OKAY. THE SENATE HEALTH
COMMITTEE WILL COME TO ORDER
JUNOON AS WE CONTINUE TO WELCOME
THE IN PEOPLE IN PERSON WE'RE
ALSO CONTINUING TO- THE DEATH TO
PEOPLE OF FOR THROUGH OUR
TELECONFERENCE WOULD ALLOW SIX
MINUTES FOR IN PERSON TESTIMONY
PER SIDE- INDIVIDUALS WISHING TO
CONTACT US VIA TELECONFERENCE
THE NUMBER IS EIGHT SEVEN SEVEN
TWO TWO SIX. EIGHT ONE SIX THREE
AND THE ACCESS CODE IS THREE
FIVE TWO FIVE NINE ZERO FIVE
FOUR AND CAP THE- COMMENTS
COMING IN ON THE TELEPHONE AT
FIFTEEN MINUTES TODAY WE HAVE
EIGHTEEN BILLS ON OUR AGENDA TWO
OF THOSE BILLS ARE PROPOSED
CONSENT- STARTING WITH AB FOUR
TWENTY FIVE ARE WITH THOSE BILLS
ARE AB FOR TWENTY FIVE IN AB
TWELVE THIRTY NINE- AND WE ARE
GOING TO START WITH- ASSEMBLY
MEMBER AGUIAR-CURRY WELCOME.
MALINCHE MADAM CHAIR AND SIT
SENATORS WE ALL LOVE SOMEONE WHO
HAS STRUGGLED WITH OR EVEN DIED
OF CANCER. I WOULD HAVE DONE
JUST ABOUT ANYTHING TO KEEP THAT
FROM HAPPENING TO MY LOVED ONES
. HPV CANCER RATES ARE AT THIRTY
SEVEN THOUSAND PER YEAR AND YET
ALMOST 60% OF ELIGIBLE TEENS ARE
NOT RECEIVE THE HPV VACCINATION
CALIFORNIA. THOSE NUMBERS ARE
MUCH WORSE IT'S SMALL TOWNS AND
COMMUNITIES OF COLOR. HPV CAUSES
A RANGE OF CANCERS IN BOTH MEN
AND WOMEN BUT WE CAN ONLY USE
PREVENTATIVE SCREENING FOR A FEW
OF THEM. OTHER TYPES OF REMAIN
UNDETECTED UNTIL THEY BECOME A
THREAT TO THE PERSON A PERSON'S
LIFE. SB SIX FIFTY NINE WILL
INCREASE UPTAKE OF CANCER
PREVENTING HPV VACCINE BY
GUARANTEEING THAT THE VACCINE IS
COMPLETELY COVERED BY ALL PUBLIC
AND PRIVATE HEALTH PLANS. THIS
BILL AS WRITTEN WILL SET THE
EXPECTATION THAT ITS CREATORS BE
FULLY VACCINATED AGAINST HPV. AS
WELL AS AN EXPECTATION FOR
STUDENTS ENTERING UCCS SHOES IN
CALIFORNIA COMMUNITY COLLEGES.
PARENTS OF SOON TO BE HIGH
SCHOOL STUDENTS WILL BE NOTIFIED
AT THE BEGINNING OF SIXTH GRADE
OF THE EXPECTATION. FOR HPV
VACCINATION GIVING THEM AMPLE
TIME TO LEARN ABOUT THE VACCINE
AND ITS BENEFITS. THE
NOTIFICATION WILL BE DONE IN THE
METHOD ALREADY CHOSEN. BY LOCAL
SCHOOL DISTRICTS TO COMMUNICATE
TO STUDENTS AND PARENTS AND- IN
THE STATISTICALLY PREVALENT
LANGUAGES OF THE SCHOOL
POPULATION. THE OPPONENTS ELSE
FOR ME TO CONSIDER THE
DEVASTATING EFFECTS OF THE
PANDEMIC ON STUDENTS. BEING FROM
STUDENTS BEING KEPT FROM IN
PERSON LEARNING AND SOCIAL
ACTIVITIES. AND ON SCHOOL
DISTRICTS WHO FEAR DECLINING
ENROLLMENT. SB SIX FIFTY NINE
HAS BEEN AMENDED TO REMOVE ANY
ENFORCEMENT BY SCHOOL DISTRICTS
AND HIGHER EDUCATION
INSTITUTIONS SO NO STUDENT WILL
BE BARRED FROM SCHOOL. COLLEGE
OR UNIVERSITIES. THEN THE
OPPOSITION PIVOTED TO CLAIMING
CONCERNS OF CONFUSION CREATED BY
THE VERY NOTIFICATION OF
STUDENTS AND PARENTS THE
REQUESTED. THE BILL IN ITS
CURRENT FORM IS ENDORSED BY THE
CALIFORNIA L. G. B. T. Q.
LEGISLATIVE CAUCUS AND IS
SUPPORTED BY A VAST NUMBER OF
PUBLIC HEALTH PROFESSIONALS AND
INSTITUTIONS IN ADVOCATES.
INCLUDING THE CMA PLANNED
PARENTHOOD IN THE CALIFORNIA
ACADEMY OF FAMILY PHYSICIANS.
THE FREEDOM ANGELS REMOVE THEIR
OPPOSITION WHEN THE ENFORCEMENT
WAS DROPPED. MADAM CHAIR MY GOAL
IS TO HAVE EVERY ELIGIBLE CHILD
VACCINATED AGAINST THIS LIFE
THREATENING VIRUS THE BILL
STARTED OFF AS A MANDATE. WHICH
IS NOT CONFUSING. BUT I LISTED I
LISTEN TO THE CONCERNS OF THE
PARENTS AND COMPROMISED REMOVE
ENFORCEMENT. THE BILL NO LONGER
MANDATES THE VACCINE FOR SCHOOL
ATTENDANCE AND WILL NOT
CONTRIBUTED TO DECLINING
ENROLLMENT. THE DEFAULT SHOULD
BE PROTECTING OUR KIDS THROUGH
THIS VACCINATION. BUT NO ONE CAN
ARGUE AGAINST HIS THAT A WEAKER
NOTIFICATION WILL RESULT IN LESS
CHILDREN GETTING VACCINATED AND
MORE PEOPLE GETTING CANCER. SO I
WILL WITH GREAT PERSONAL RESPECT
S. FOR YOU TO RECONSIDER THE
PROPOSED MOMENT A REAL AMENDMENT
TO CHANGE EXPECTATION TO
RECOMMENDATION IN THE BILL. YOUR
STUFF IS KINDLY OFFERED TO
INCLUDE MORE DETAIL IN THE
NOTIFICATION WHAT TO FURTHER
HELP REDUCE. HIS HIS BE HELP
EDUCATE PARENTS ON THE VACCINE.
I APPRECIATE THAT HIM I LOOK
FORWARD TO WORKING WITH YOU AND
THEN GOING FOR THE PERFECT
LANGUAGE. HERE WITH ME TODAY IN
SUPPORT OUR DOCTOR JEFFREY
JEFFREY CLOUSER CLINICAL
PROFESSOR OF MEDICINE INFECTIOUS
DISEASES POPULATION AND PUBLIC
HEALTH SCIENCES FROM USC KECK
SCHOOL OF MEDICINE AND DR
SHAPIRO WAS A COMMUNITY POSITION
AT THE ULTIMATE HEALTH. SERVICES
FOR. OKAY- AND THEN JUST TO SAY
THAT I. FIVE I AM SURE THEY'LL
DO B. T. Q. AND WILL SUPPORT OF
IT AS A MANDATE THAT'S NOT HOW
IT CAME OUT. AND I AM SUPPORTIVE
OF THE CONCEPT I AM NOT
SUPPORTIVE OF USING THE TERM
EXPECTED BECAUSE I DON'T THINK
IT'S TO FIND. I THINK WE HAVE
RECOMMENDATIONS AND OR- MANDATES
BUT EXPECTED I THINK BECAUSE A
LOT OF CONFUSION WE'VE HEARD
FROM BOTH PUBLIC HEALTH AND THE
DEPARTMENT OF EDUCATION. IT'S
CONFUSING AND MISLEADING SO I AM
SIMPLY ASKING TO CHANGE THAT TO
CORRECT. TO RECORD THAT WE ARE
ALL WE ARE RECOMMENDING. THAT
PEOPLE GET THE VACCINE- AND I
UNDERSTAND YOU HAVE ISSUES WITH
THAT BUT THAT'S JUST JUST TO BE
CLEAR FOR THE PUBLIC THAT'S
WHERE WE ARE OKAY WE GET THE
FIRST WITNESS PLEASE. COKE COKE
GOOD AFTERNOON NAME IS JEFF
KLAUS I'M A- OF MEDICINE IN FACT
DISEASE POPULATION AND PUBLIC
HEALTH SCIENCES AT THE
UNIVERSITY OF SOUTHERN
CALIFORNIA. I AM ALSO A FORMER
CDC MEDICAL OFFICER AND FORMER
DEPUTY HEALTH OFFICER FOR THE
CITY COUNTY SAN FRANCISCO. I'M
TESTIFYING TODAY AS AN
INDIVIDUAL AND DO NOT REPRESENT
ANY PRIOR OR CURRENT
AFFILIATIONS. TODAY IN
CALIFORNIA ABOUT HALF OF
ADOLESCENTS HAVE COMPLETED HPV
CANCER VACCINATION. THAT LEAVES
ABOUT HALF OF YOUNG CALIFORNIANS
IN COMPLETELY OR FULLY
UNPROTECTED AGAINST THOSE CANCER
CAUSING VIRUSES. MY OWN
PUBLISHED RESEARCH HAS SHOWN
WITH THE CURRENT INADEQUATE
VACCINATION COVERAGE IN
CALIFORNIA THERE WILL CONTINUE
TO BE ABOUT THIRTEEN HUNDRED
FIFTY NEW PREVENTABLE CANCERS
EVERY YEAR. AT THE ANNUAL COST
TO CALIFORNIA FIFTY TWO MILLION
DOLLARS. WITH INCREASE
VACCINATION COVERAGE MORE
CANCERS COULD BE PREVENTED LIFE
SAVED AND STATE HEALTH CARE
COSTS REDUCED EVERY DAY TO
CALIFORNIANS DIE FROM VACCINE
PREVENTABLE HPV RELATED CANCER.
ADDITIONALLY THERE ARE IMPORTANT
CONCERNS ON THE ISSUE OF EQUITY
MY RESEARCH HAS SHOWN THAT IN
SOME COUNTIES THE HPV
VACCINATION COMPLETION IS AS LOW
AS TEN TO FIFTEEN PERCENT. FOUR
OTHER COUNTIES REACH 60% OR
MORE. OF THE HPV CANCER VACCINE
IS VERY SAFE IN THE SEVENTEEN
YEARS SINCE THE FDA APPROVAL THE
VACCINE IN TWO THOUSAND SIX
SAFETY CONCERNS HAVE NEVER BEEN
VALIDATED IN SCIENTIFIC STUDIES.
AN OVERWHELMING CONSENSUS A
MEDICAL AND PUBLIC HEALTH
EXPERTS IN THE U. S. AND
GLOBALLY AGREE THAT HPV
VACCINATION IS SAFE. HVV CANCER
VAX VACCINE IS HIGHLY EFFECTIVE
STUDIES HAVE SHOWN THAT THE
VACCINE REDUCE PRE CANCEROUS
LESIONS AND ABNORMAL CERVICAL
PAP SMEARS MOST RECENTLY A
NATIONWIDE STUDY IN SWEDEN SHOW
THAT HPV CANCER VACCINATION.
REDUCED HPV RELATED CANCERS BY
THE 8% IN COLLEGE LIKE AUSTRALIA
WHERE HPV CANCER VACCINATIONS
ROUTINE THE NUMBER CERVICAL PRE
CANCERS AND CANCERS HAVE
DECLINED DRAMATICALLY SUCH THAT
BY TWENTY THIRTY FIVE HPV
RELATED CANCERS MAY BE
ELIMINATED. IN AUSTRALIA I'VE
ALSO DONE RESEARCH TO SHOW THE
BENEFIT OF SCHOOL BASED
VACCINATION REQUIREMENTS RIDGE
IN VIRGINIA RHODE ISLAND HAWAII
WASHINGTON IMPORTER RICO IN
THOSE PLACES SCHOOL BAY CENTER
REQUIREMENTS INCREASE
VACCINATION COVERAGE FROM FIFTY
TO EIGHTY PERCENT. THE TARGET OF
THE U. S. HEALTHY PEOPLE TWENTY
THIRTY RECOMMENDATION. LASTLY I
STRONGLY SUPPORT MAINTAINING THE
LANGUAGE IN THE BILL THE
VACCINATION IS EXPECTED OF
STUDENTS HAS CHANGING TO
RECOMMENDED WEAKENS THE POLICY
AND MIGHT RESULT IN SLOWER
PROGRESS IN REACHING THE STATE
POLICY GOAL. URGE ALL OF YOU TO
VOTE YES ON A. B. SIX FIVE NINE
TO HELP PROTECT CALIFORNIANS
FROM PREVENTABLE CANCERS AND
REDUCE HEALTH DISPARITIES THANK
YOU. THANK YOU NEXT PERSON
PLEASE. IT'S AN HONOR TO BE HERE
WITH ALL OF YOU. GOOD MORNING
AND GOOD EVENING CARE AND
MEMBERS MY NAME IS DR LET
SHAPIRO. THANK YOU TO SPEAKS IN
SUPPORT OF AB SIX FIFTY NINE ON
BEHALF OF THE MID CARE SERVICES
IN MYSELF AS A COMMUNITY
PHYSICIAN. THE MOST IMPORTANT AS
A FATHER. I SERVICE SUPPORT THE
DISSIPATING PHYSICIAN AND CHIEF
HEALTH CORRESPONDENT AMERICAN
AFFAIRS OFFICER FOR ULTIMATE. OF
THEM IS ONE OF THE LARGEST FOR
QUALIFIED HEALTH CENTERS ON THE
NATION. AND WE PROVIDE MORE.
HELP THE MOST IMPORTANT TO OUR
BASE OF. FIVE HUNDRED THOUSAND
PATIENTS. THANK IT'S IMPORTANT
RIGHT NOW TO UNDERSTAND THAT HPV
SOMETHING THAT TOUCHES ALL OF
US. AT ONE OF THE IMPORTANT
THINGS THAT WE NEED TO DO IS
MAKE SURE THAT OUR FUTURE
GENERATIONS ARE PROTECTED. AND
MOST IMPORTANTLY OUR FAMILIES
HAVE A BETTER FUTURE THAT THE
ONE THAT WE ALREADY HAVE. RIGHT
NOW I TIME IT HAS BEEN X.
EXEMPLIFYING WHAT ACTUALLY
COMMUNITY MEMBERS HAVE BEEN
DOING. MY MOVING FORWARD WITH
CAMPAIGNS WITH KOBE NINETEEN
VACCINATIONS WE KNOW RIGHT NOW
THAT THE COMMUNITIES ARE
IMPORTANT IN THEIR LOCATION
COMPONENT OF IT IT'S KEY. FOR
THE MOMENT THAT WE CONNECT THE
DOTS AND WE GIVE THAT
OPPORTUNITIES TO BE PROTECTED.
AGAINST THINGS THAT WE CAN
ACTUALLY SKIP PLAY CANCER IS
EXTREMELY IMPORTANT FOR ALL OF
US. VENTI MEASURES ARE A KEY
ASPECT OF CREATING A HEALTHIER
FUTURE FOR OUR KIDS. AS A
PHYSICIAN AND MOST IMPORTANTLY
ABSENT FATHER I WANT MY
CHILDREN'S TO WORRY ABOUT MATH
AND SOCIAL STUDIES AND NOT
CANCER. EACH YEAR MORE THAN
FORTY SIX THOUSAND PEOPLE IN THE
U. S. ARE DIAGNOSED WITH HPV
RELATED CANCERS. THE HPV VACCINE
PREVENTS AROUND 90% OF THOSE
CANCERS CAUSED BY HPV IN BOLD IN
BOTH BOYS AND GIRLS. BUT HAVING
THE OPPORTUNITY AND
UNDERSTANDING THAT H. SUCCUMBING
BUYERS THAT 75% OF FIFTEEN TO
TWENTY FOUR YEAR OLD ARE EXPOSED
TO HPV BY THAT AGE. IT'S
IMPRESSIVE. PACIFY OTHER ENOUGH
AS A PHYSICIAN. I WANT TO KEEP
MY COMMUNITY THE BEST EVIDENCE
BASED TOOLS TO BE HEALTHY. WHY
IT BE IMPORTANT TO PROTECT AT
THIS AGE. EIGHTEEN SPRUCE MORE
ANTIBODIES AFTER TO THE ALSO SO
H. B. VACCINES WHITE OLDER TEENS
REQUIRED THREE DOSES AND THIS IS
IMPORTANT BECAUSE THAT WAY WE
ARE ACTUALLY PREVENTING A LOT OF
CANCER. PROTECTING ADOLESCENTS
THAT TRUST THROUGH HPV
VACCINATIONS HIGH SCHOOL AND
BEFORE THEY ARE EXPOSED TO THE
VIRUS TAKES ADVANTAGE OF THE H.
B. B. NATURAL BORN ABILITIES.
HERE HE'S BETTER. WITH BARRIERS
THESE BACK CAN LEAD TWENTY OF
CANCER AMONG WITH. AND YOUNG
PEOPLE. FOR EXAMPLE IN WE
ALREADY HEARD IN AUSTRALIA. THEY
ARE PROJECTED BY TWO THOUSAND
TWENTY DOCTOR YOU NEED TO WRAP
UP YOUR FOR SIX MINUTES SORRY
ABOUT THAT ONE- MOST IMPORTANTLY
RIGHT NOW AS A CALIFORNIA
PHYSICIAN AND THAT'S APPARENT I
ASK YOU. FOR YOUR HELP TO DO MY
JOB TO PROTECT THE CHILDREN FROM
PREVENTABLE DISEASES I URGE YOU
TO SUPPORT AB SIX FIFTY NINE.
THANK YOU VERY MUCH JIM WILL
GIVE. THE SAME AMOUNT OF TIME
INTO. REMEMBER YOU SAID I JUST
WANT TO OUR TWENTY DOUBLE CHECK
WITH YOU AGAIN FOR GO FOR. HE
SAID THE STAFF AND PROVIDE A
LANGUAGE HOME TO READ TO
STUDENTS IF THIS IS YOU DO YOU'D
BE WILLING TO ACCEPT OKAY. YOUR
YEARS IS. EXPECT THIS SAYS THE
CENTERS THIS IS WHAT THE POLICY
NOTICE WOULD SAY GOING OUT TO
SIXTH GRADERS THE CENTERS FOR
DISEASE DISEASE CONTROL AND
PREVENTION. ADVISOR COMMITTEE ON
IMMUNIZATION PRACTICES
RECOMMENDS HPV VACCINATION AT
AGE ELEVEN OR TWELVE ALTHOUGH
VACCINATION CAN BE STARTED AGE
NINE. ACIP ALSO RECOMMENDS
VACCINATION FOR EVERYONE THROUGH
AGE TWENTY SIX IF NOT ADEQUATELY
VACCINATED WHEN YOUNGER. THE CDC
STATES THAT IS TRUE THE ACCENTS
ARE VERY SAFE SCIENTIFIC
RESEARCH SHOWS THE BENEFITS OF
HPV VACCINATIONS. FAR OUTWEIGH
THE POTENTIAL RISKS. IS THAT
WHAT YOU'RE WILLING TO ACCEPT.
CAN I INTERESTED IN MY CLOTHES
CERTAINLY THANK YOU OKAY. ALL
RIGHT OTHER SPEAKING IN SUPPORT
AT THIS TIME WITH YOU COME
FORWARD NOW WHICH IS NAME AND
AFFILIATION.
YOUR PHONE- YOUR RETIREMENT YOU
MAKE SURE IT GOES HELLO
COMMITTEE. I'M A GOVERNING BOARD
CHOI MY HAVE A ONE MINUTE OF
YOUR TIME IN SUPPORT OF THIS.
PLEASE THANK YOU HIS NAME AND
NAME AND HIS ORGANS. THAT'S ALL
THIS IS EVERYONE TO BE SPEAKING
IN SUPPORT RIGHT NOW ONE MINUTE
AS A GOVERNING BOARD TRUSTEE IN
SUPPORT OF THIS HEAT. THIS IS A
SHORT SHORTS THAT I'M ALLOW THAT
FOR THE OPPOSITION AS WELL THANK
YOU. HELLO MY NAME IS CAN FRAUD
ON I'M A BOARD FOR AND THE UNIT
SCHOOL DO AND I'M HERE ON MY OWN
TO PASS. AND NOT AS A SCHOOL
BOARD TRUSTEE. I BELIEVE
STRONGLY IN PRE CANCER
SCREENINGS AND I SUPPORT AB SIX
FIVE NINE IF LET ME REPEAT IF
YOU ADD THE WORDS AND NOT
REQUIRED FOR IN PERSON LAW OKAY
THANK YOU VERY MUCH THANK YOU
THANK YOU. NEXT PERSON PLEASE.
TAYLOR JACKSON ON BEHALF OF
CALIFORNIA HEALTH PLUS ADVOCATES
IN SUPPORT THANK YOU. MEDTRONIC
GONNA FOR WAS TO BE TENS FOURTH
THANK YOU. COOLEY RIPPED AND
WITH PLAN PARENT AFFILIATES OF
CALIFORNIANS SUPPORT THANK YOU.
PRESIDENT RAM OF THE CALIFORNIA
DENTAL ASSOCIATION IN SUPPORT Q.
IT SEEMS FROM WITH THE COUNTY
HEALTH EXECUTIVES ASSOCIATION
REPRESENTING LOCAL HEALTH
DEPARTMENTS IN SUPPORT THANK YOU
. MADAM CHAIR BRAND IN MARCH
WITH THE CALIFORNIA MEDICAL
ASSOCIATION IN SUPPORT AND ALSO
AUTHORIZED TO BE IN SUPPORT FOR
THE AMERICAN COLLEGE OF OBGYN
SISTER NINE. THANK YOU. TATIAN
WHAT'S WITH THE- FAMILY
PHYSICIANS AND SUPPORT THANK YOU
. AT THE MOST PERSON TO ACCESS
HEALTH IN SUPPORT Q. FRAZIER
MEMBERS RANDY MARTIN ON BEHALF
OF THE AIDS HEALTHCARE
FOUNDATION IN STRONG SUPPORT
THANK YOU VERY MUCH. ISABELLA
QUITE A WITH THE HEALTH OFFICERS
ASSOCIATION OF CALIFORNIANS
SUPPORT THANK YOU VERY MUCH OKAY
NOW WE'LL HEAR FROM THOSE IN
OPPOSITION. CAN YOU BE GRANTED
SINGER WE AT WHAT TIME IS LIKE A
LITTLE BIT EXTRA ON THE FIRST
THING AND THE OTHER GENTLEMAN
HAVE A LITTLE BIT OF TIME YOU
FOR YOUR TOTAL TIME YOU'LL HAVE
SIX MINUTES AND THIRTY SECONDS.
OKAY BEFORE YOU GO ON ONE
SPEAKING IN OPPOSITION TODAY
THERE'S GOING TO BE THREE OF US
OKAY. KEEP TRACK OF THAT TIME.
OKAY RIGHT. PART TIME STARTS
RIGHT. WE BELIEVE THAT ALL
PEOPLE SHOULD HAVE THE- OF
CHOICE AS WHEN IT TO SOMETHING
THAT HAS THE- FOR SEVERE SIDE
EFFECTS. WE HAVE NOW WITH THIS
BILL IS THAT THERE IS NO
LANGUAGE THAT WILL INSURE PEOPLE
UNDERSTAND THAT THEY HAVE AN
OPTION. ALL THE OPPOSITION HAS
BEEN ASKING FOR MONTHS IS THAT
THE AUTHOR ADDS LANGUAGE IN THE
NOTIFICATION TO STUDENTS AND
PARENTS THAT CLARIFIES THAT THIS
PUBLIC POLICY IS NOT AN ENFORCED
MANDATE. THE AUTHOR HAS REFUSED.
THEREFORE WE BELIEVE THAT IT IS
THE INTENTION OF THIS BILL TO
LEAD STUDENTS. PARENTS ADULTS
AND CHILDREN TO BELIEVE THAT
TAKING THIS VACCINE IS REQUIRED
IN ORDER TO REMAIN IN SCHOOL.
YEAH ALL THE AXES ARE DIFFERENT
AND THE RATE OF INJURY BERRIES
DEPENDING ON THE VACCINE.
GARDASIL NINE THE ONLY HPV
VACCINE AVAILABLE HAD THREE
SAFETY STUDIES DONE BY MERCK
PHARMACEUTICALS THE COMPANY THAT
DEVELOPS AND MANUFACTURES THIS
VACCINE. THOSE STUDIES EVIDENCED
AN EXTREMELY HIGH RATE OF SEVERE
ADVERSE EFFECT AT TWO POINT
THREE PERCENT. YOU MAY HAVE
HEARD THE PHRASE VACCINE
INJURIES ONE IN A MILLION. TWO
POINT 3% WOULD BE TWENTY THREE
THOUSAND IN THE MILLION OR TO
FRAME IT DIFFERENTLY ONE IN
EVERY FORTY THREE PEOPLE. AND
THESE ARE MINOR SIDE EFFECTS TO
SEVERE ADVERSE EFFECT IS DEFINED
AS- DEATH. LIFE THREATENING
CONDITION PERMANENT INJURY
ETCETERA. IN THE NINETEEN
EIGHTIES CONGRESS SET UP A
SYSTEM TO TRACK POST MARKET
EXPERIENCES WITH VACCINES CALLED
VEIRS. AFTER THE RELEASE OF THE
GARDASIL NINE VACCINE IT QUICKLY
ESCALATED TO BEING THE NUMBER
ONE MOST REPORTED VACCINE TO
CAUSE INJURY AND DEATH UNTIL THE
RELEASE OF THE COVE IN NINETEEN
VACCINE. THIS VACCINE WAS
SPECIFICALLY DEVELOPED TO TARGET
HPV STRAINS THAT CAUSE CERVICAL
CANCER WHEN GARDASIL NINE WAS
RELEASED IN TWO THOUSAND AND SIX
THE CERVICAL CANCER RATE IN THE
U. S. WAS EIGHT POINT TWO
PERSONS. OUT OF EVERY ONE
HUNDRED THOUSAND PEOPLE. SINCE
THAT TIME THE VERY LOWEST THAT
STATISTIC HAS BECOME WAS IN
TWENTY NINETEEN WHEN IT DROPPED
TO SEVEN POINT FIVE PERSONS OUT
OF ONE HUNDRED THOUSAND. EIGHT
POINT TWO SEVEN POINT FIVE. THE
DATA SHOWS THAT THIS VACCINE IS
NOT SAFE NOR IS IT EFFECTIVE AND
THAT IS WHY IF THE AUTHOR IS
GOING TO ALLOW PEOPLE THE CHOICE
BUT NOT KICKING THEM OUT OF
SCHOOL FOR NOT GETTING IT. THE
LEAST YOU COULD DO IS TO ENSURE
THAT PEOPLE KNOW THEY HAVE THAT
OPTION THANK YOU. THANK YOU VERY
MUCH NEXT PERSON PLEASE. CAN YOU
HEAR ME OK. MY NAME IS KATHERINE
SPORTS PHOTO ROBY I'M A LIFELONG
CALIFORNIAN AND I OPPOSE AB SIX
FIVE NINE MY DAUGHTER JENNIFER
SUFFERED A SEVERE ADVERSE
REACTION TO THE HPV VACCINE
GARDASIL IS A TEENAGER. GARCIA
BECAUSE DEBILITATING AND
DEVASTATING INJURIES JENNIFER
WAS A HIGH SCHOOL ATHLETE AN
HONOR STUDENT HAD TO DROP OUT OF
SCHOOL AND HAS BEEN DISABLED FOR
OVER A DECADE. JENNIFER IS NOT
TWENTY YEARS OLD AND I AM HER
FULL TIME CAREGIVER GARZOT HAS
DESTROYED MY DAUGHTER'S LIFE
THESE INJURIES ARE REAL AND
THEIR DEVASTATING. GARCIA HAS
BEEN GROSSLY MIS MARKETED BY ITS
MANUFACTURER MERCK MERCK
OVERSOLD THE EFFICACY OF THE
VACCINE AND CONCEAL SAFETY RISKS
WORKS OWN LITERATURE STATES
GARCIA DOES NOT REMOVE THE NEED
FOR CERVICAL CANCER SCREENING
DOES NOT TREAT HPV INFECTION.
DOES NOT PROTECT AGAINST PRE
EXISTING HPV INFECTIONS DOES NOT
PROTECT AGAINST HPV STRAINS NOT
COVERED BY THE VACCINE AND MAY
NOT FULLY PROTECT EACH PERSON
WHO GETS IT IT IS AN EXPENSIVE
AN OPTIONAL ADD ON TREATMENT. IT
IS IMPORTANT THAT THE PUBLIC IS
A WORD THAT THE BEST WAY TO
PREVENT CERVICAL CANCER IS A PAP
SMEAR. SB SIX FIVE NINE USES
LANGUAGE IT IT'S THAT IS
DECEPTIVE AND INTENTIONALLY
MISLEADING THE WOULD BE THE
AVERAGE CALIFORNIAN TO BELIEVE
THAT THE STATE IS MANDATING. A
CERVICAL CANCER VACCINATION FOR
EIGHTH GRADE TO COLLEGE
STUDENTS. THE WORDS PUBLIC
POLICY OF THE STATE AND EXPECTED
ARE COERCIVE AND MISLEADING. AB
SIX FIVE NINE NEEDS TO MAKE
CLEAR THAT THE VACCINE IS ONLY A
RECOMMENDATION AND NOT A
MANDATE. BUT IT NEEDS TO BE
EXPRESSLY STATED THAT STUDENTS
WILL NOT BE DENIED ACCESS TO
EDUCATION IF THEY CHOOSE NOT TO
GET THE VACCINE. MY DAUGHTER AND
I MET WITH THE AUTHOR BABY SIX
FIVE NINE TO DISCUSS THE
CONFUSING OF COURSE OF LANGUAGE.
WE RECEIVED A LOT OF PUSHBACK
WHEN WE ASK WHY THE LANGUAGE IN
THE BILL IMPLIES THAT IT IS A
MANDATE. WE'RE AGGRESSIVELY TOLD
BY HER CHIEF OF STAFF THAT THE
ASSEMBLY MEMBER WILL NOT BE
RECOMMENDING THE VACCINE BECAUSE
SHE WANTS PEOPLE TO GET
VACCINATED. IT IS INAPPROPRIATE
FOR THE STATE TO DELIBERATELY
MISLEAD THE CITIZENS OF
CALIFORNIA BY USING DECEPTIVE
AND COERCIVE LANGUAGE IN THIS
BILL. CALIFORNIA SHOULD NOT BE
RECOMMENDING A VACCINE WITH
SERIOUS SIDE EFFECTS FOR VIRUS
NOT TRANSMITTED IN THE CLASSROOM
SETTING. CURRENTLY THERE ARE
HUNDREDS OF LAWSUITS IN THE
UNITED STATES INCLUDING
CALIFORNIA AGAINST MARK FOR
SERIOUS INJURIES CAUSED BY
GARDASIL. VOTE NO ON AB SIX FIVE
NINE THIS VACCINE IS DANGEROUS.
BEING. INTENTIONALLY MIS
MARKETED AND IT IS GUARANTEED
YOU TO ENJOY INNOCENT CAL. THINK
THANK YOU VERY MUCH NEXT PERSON
. I HAVE A LITTLE BIT OVER A
MINUTE. GOOD AFTERNOON MY NAME
IS KAREN AMAZON I LEAD STAND UP
CALIFORNIA AND THE DIRECTOR OF
OPERATIONS FOR FREEDOM HE WAS
UNITED AND I AM BEHALF RIGHTS
DIRECTOR FOR VOICE FOR TOWARDS
ADVOCACY. WORKING ALONGSIDE A
CONSORTIUM OF ORGANIZATIONS
ADVOCATING FOR HEALTH RIGHTS
THANK YOU FOR THE OPPORTUNITY TO
GIVE. TESTIMONY THE AB SIX FIVE
NINE HAS BEEN AMENDED SEVERAL
TIMES KEY AMENDMENTS ARE NEEDED
TO CLARIFY THE INTENT OF. AB SIX
FIVE NINE. AND REMOVE POTENTIAL
UNINTENDED CONSEQUENCES. THE
AUTHOR HAS MADE IT CLEAR THAT
THIS IS A MANDATE WITHOUT
ENFORCEMENT. IF THIS BILL IS NOT
AMENDED THERE'S A STRONG
LIKELIHOOD IT WILL BE ENFORCED.
ANY TO BE A CLEAR STATEMENT.
THAT THE HPV VACCINE IS NOT
REQUIRED TO ENROLL OR ATTEND IN
PERSON PUBLIC OR PRIVATE. OR A
PUBLIC HIGHER EDUCATION. IF YOU
HAVE A STATE POLICY IN WHICH
THERE IS AN EXPECTATION. THAT
PEOPLE RECEIVE THE HPV VACCINE
THE CALIFORNIA DEPARTMENT OF
EDUCATION AND FOR THE CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH.
ISSUE GUIDANCE IN THE FORM OF
FAQ OR Q. AND A ON THE WEBSITE.
BASED ON THIS GUIDANCE THE
CALIFORNIA SCHOOL BOARDS
ASSOCIATION CONDEMNED PUT
FORWARD DRAFT SCHOOL BOARD
POLICIES. AND DIESEL SCHOOL
BOARDS ACROSS THE STATE WHO WHAT
ABOUT POLICIES THAT HAVE
ENFORCEMENT LANGUAGE IN THEM.
THE NOTIFICATION SHOULD ALSO
ONLY TO WRAP UP OKAY. IN ORDER
TO STAY CONSISTENT WITH SECTION
ONE TWO. ZERO THREE THREE FIVE
OF HEALTH AND SAFETY CODE
PEOPLE'S IP SHOULD ALSO BE
EXEMPT- AS WELL AS PEOPLE'S
ENROLLED INDEPENDENT STUDY THING
WITH THESE REASONS THAT WE ASK
YOU TO VOTE NOW THANK YOU THANK
YOU VERY MUCH OF THE PEOPLE
SPEAKING IN OPPOSITION- JUST
NAME AND AFFILIATION. BOLIVIA
MICROSCOPE VIA REXY OPPOSE
UNLESS AMEND. PAUL ROBY. CA
STRONGLY. THANK YOU. CURRENTLY
FOUNDER OF TICKETS STAND I'LL
HOLD A MARRIAGE NURSE. A SIR.
ONCOLOGY I OPPOSE UNLESS AMENDED
THANK YOU. HI PAGE READ- ARMY
AND I OPPOSE AND LISTEN. THANK
YOU. CONSULTING FOR ANYWAY BUT-
ALL RIGHT. HEALTH WE ARE GOING
TO BE A CAMERA SURE. THE ONLY
SELF FEES RIGHT. I DON'T KNOW IF
YOU. SENATOR AMY OKAY THANK YOU
THANK YOU SEE MUCH YOU AND NAME
IS FOR. THEM WITH- CAL PARENTS.
IN EDUCATORS AND- YEAH WE ALL OF
US IN STRONG OPPOSITION ONE OF
THE YOU THINK VERY MUCH NEXT
PERSON PLEASE THANK YOU SO MUCH
. THAT'S MEMBERS WILLIAMS- ON
BEHALF OF BECAUSE PARENTS UNION
A SPECIAL INTEREST GROUP GROUPS
PARENTS GOING TO. AND CONCERNED
CITIZENS WERE IN OPPOSITION TO
AB SIX FIVE NINE THANK YOU SO
MUCH THANK YOU NEXT PERSON
PLEASE. GOOD AFTERNOON I'M
STEPHANIE DEGREE I'M A LICENSED
REGISTERED PEDIATRIC NURSE AND
ALSO A REPRESENTATIVE FOR
CALIFORNIA NURSES UNITED AND WE
OPPOSE THE BILL UNLESS FURTHER
AMENDED TO PULL SECTIONS POINT
SIX THANK YOU THANK YOU VERY
MUCH. GOOD AFTERNOON LISA JUST
BROKE WITH HIM FOR PARENTS OF
CONTRA COSTA COUNTY IN STRONG
OPPOSITION. OF MEDICAL TYRANNY.
HI DAVE A BLOCK FROM THE SAN
FERNANDO VALLEY CENTER MENJIVAR
TWENTIETH DISTRICT FROM AND
SPEAKING ON BEHALF OF SAN
FERNANDO VALLEY PARENTS IN SAN
FERNANDO VALLEY ALLIANCE IN
OPPOSITION THANK YOU THANK YOU.
GOOD AFTERNOON I'M SO FEEL
LAURIE WITH CALIFORNIA FAMILY
COUNCIL WE STAND IN OPPOSITION
THANK YOU. HELLO MY NAME IS RUTH
AND I'M ON OPPOSITION THANK YOU
FOR. GOOD AFTERNOON MADAM CHAIR
TOM SHE HE ON BEHALF OF PER
CAPITA C. WHICH CAME IN OPPOSE
UNLESS AMENDED TO THE COMMITTEE
CLARIFIES THE BILL AS YOU
MENTIONED WE WOULD BE PLEASED TO
REMOVE OUR OPPOSITION THANK YOU
. THE NUMBERS BUT THE BASIC
ABOUT UPPER FOLLOWED WITH AN
HONESTY THIS IS. GOOD AFTERNOON
SURE AND COMMITTEE MEMBERS NAME
IS LI JONES ON BEHALF OF VOICE
FOR ADVOCACY WE GRACIOUSLY
ASSETS THIS BILL PLEASE BE
AMENDED ORAL SUPPOSE THANK YOU.
GOOD AFTERNOON I'M CARA BUTLER A
- IN CONTRA COSTA COUNTY AND I
THANK YOU FOR AND MENDING AND I
REQUEST THAT YOU CHANGE THE
VERBIAGE THANK YOU THANK YOU.
GOOD AFTERNOON SIR MARTINEZ I'M
A MOM OF THREE STUDENTS A CONTRA
COSTA COUNTY AND I OPPOSE AB SIX
FIVE NINE **** THANK YOU. MY
NAME IS DARLENE L. KEYS ARE FROM
PROTECTION OF THE EDUCATIONAL
RIGHTS OF KIDS THANK YOU MADAM
CHAIR FOR YOUR CONFIGURATIONS
THANK YOU VERY MUCH. GOOD
AFTERNOON MY NAME IS MAX BONEY
ON BEHALF OF REBUILD
CALIFORNIANS STRONG OPPOSITION
THANK YOU. MORNING MY NAME IS
JANET FELTS SACRAMENTO COUNTY
AND I OPPOSE THIS BILL THANK YOU
. HELLO MY NAME IS MELISSA PRATO
RIVERSIDE COUNTY AND I OPPOSE
THIS BILL THANK YOU. MY NAME IS
GROW KING OF SACRAMENTO COUNTY
AND I OPPOSE THIS BILL THANK YOU
. THE DOUBLE FILMER OKAY YOUR
POST. HELLO MY NAME IS MRS G.
AND I'M HERE WITH MY SON TODAY
THAT SITTING IN THE AUDIENCE AND
WE BOTH OPPOSE THIS BILL AS WELL
AS MY DAUGHTERS THANK YOU VERY
MUCH THANK YOU MISTER G. OKAY.
SEE NOBODY ELSE COMING TO THE
MIKE AT THIS TIME WE'LL GO TO
OUR PHONE LINES NOW AND NOW IT'S
FOR OR AGAINST THE BILL JUST
NAME AND AFFILIATION IMPOSITION
PLEASE. MODERATOR OTHER CALLS ON
THE LINE. THANK YOU FOR SUPPORT
OPPOSITION OF- SB SIX FIVE NINE
PLEASE PRESS ONE. ZERO AT THIS
TIME. AND WE WILL GO TO LINE TWO
SEVEN ZERO. LINE TWO SEVEN ZERO.
YOUR OPEN NOW. THANK YOU MADAM
CHAIR AND MEMBERS THIS IS ERIN
EVAN CALLING IN SUPPORT ON
BEHALF OF NARAL PRO CHOICE
CALIFORNIA THANK YOU. THANK YOU
VERY MUCH THANKS CALLER PLEASE.
OUTLINE. TWO SEVEN EIGHT. BOB
GOOD AFTERNOON MADAM CHAIR AND
MEMBERS OF THE CALIFORNIA STATE
SENATE HEALTH COMMITTEE. I'M
CALLING ON BEHALF OF MY HUSBAND
DANIEL MCGINNIS MY CELL AND
MILLIONS OF OTHER PEOPLE
AFFILIATED WITH THE ORGANIZATION
BY THE NAME OF WHO OWNS YOUR
BODY DOES THE WHO ON YOUR BODY.
YOUR BODY THAN THAT MAKES YOU A
SLAVE ORGANIZATION AND THAT GOES
DOUBLE FOR CHILDREN AND YOU FARM
FASCIST OKAY THANK YOU VERY MUCH
AND EXPELLER PLEASE. THANK YOU
MODERATOR NEXT COLOR. LINE TO
FORMER FED AND HAVING A TODAY.
FIND YOUR FIVE EURO. YES HI. YES
AHEAD PLEASE. OKAY I THOUGHT I
HEARD THEM SAY THAT THE FACT. SO
HOW MAY ON THE PRETTY DON'T DO
THAT KIND OF COMMENTS OF I'M
HERE THANK YOU VERY MUCH NEXT
COLOR PLEASE OBJECT. THANK YOU
NEXT TIME- USE SIX. TWO SIX. HI
MY NAME IS A CAL I'M CALLING
FROM AND OF THE OF FOR WORKERS
CHAPTER WITH THE THANK YOU THANK
YOU NEXT CALL PLEASE. MY TO SET
THREE. SARIPUTTA NAME IS YEAH
I'M CA FROM WEST WILL BE NOT
QUARTER AND STRONGLY OF IT BILL
THANK YOU NEXT PLEASE. MY TWO
SEVEN FIVE. WHAT HI I'M CALLING
FROM ON OF A PARENTS EDUCATION
AND WE OPPOSE TO. THANK YOU NICE
COLOR PLEASE. LINE. ONE NINE
SEVEN. IT WILL BE ACKERMAN
COUNTY AND I'M WITH THE K. YOU
AND I OPPOSE THIS BILL THANK
FOR. LEVINE TO EDIFY. THIS IS
GABRIELLE INGRAM OF UP FOR OKAY
WE OPPOSE UNLESS WE WOULD BE TO
WILL IT WORK. THE YOU- ONE NINE
FOUR SIX. THANK NAME KERRY
PRACTICE ON THE OF I THOUGHT
REPRESENTING THE RICHEST FAMILY
AND FRIEND AND CALLING IN OFF.
THANK YOU. NINE TO SAY. SEVEN
THE RADIO CALL ON BEHALF OF
HELLO FREEDOM IN OPPOSITION.
I RECOMMEND IT THANK YOU THANK
YOU. IT'S COLOR BLIND TO. FINE.
TWO TWENTY SEVEN. BUT AFTERNOON
CLINTON LAKE ON THE CALIFORNIA
HEALTH COALITION THE IN
OPPOSITION THANK YOU. BY TWO
TWENTY FOUR. MY NAME IS THE NET
PENS OF HER MOM OF THREE FROM
RIVERSIDE I OPPOSE THIS BILL.
THANK YOU WITH THAT NEXT CALL.
BLIND. THREE ZERO EIGHT. MY NAME
IS KIND OF DIRECTLY FROM YUBA
COUNTY AND AYE OPPOSED THE BILL
THANK YOU. HAS BEEN LINED CHIU
FORTY FOUR. HI MY NAME IS CHRIS
ENOUGH FROM LOS ANGELES COUNTY
AND MOM OF TWO AND I OPPOSE THIS
BILL THANK YOU. A LINE. TO
THIRTY NINE. I DON'T FOR KENNEDY
ATTORNEY L. A. COUNTY AND
PASADENA PARENTS FOR LIBERTY IN
STRONG OPPOSITION THANK YOU. A
LINE. TWO EIGHTY ONE. THE
CORNELL P. FROM L. A. COUNTY
APPEARED A FEW TEENAGERS
STRONGLY OPPOSE THANK YOU. BLIND
. TWO THIRTY FOUR. CAN A LARSON
CALLING FROM RIVERSIDE COUNTY
HEALTH CARE WORKER AND MOTHER IN
STRONG OPPOSITION UNLESS YOU'RE
WORKING GETS MOVED AROUND OF
COURSE AND THANK YOU. THANKS
CALLER. UNLINED TWO SIX FOUR.
HELLO MY NAME IS MARGARET A
READER FROM SACRAMENTO COUNTY
FINE IN STRONG OPPOSITION THANK
YOU THANK YOU CALLER PLEASE FIND
. TO NINETEEN. MY NAME IS
CALLING BRITAIN WITH CALIFORNIA
LEGISLATIVE BOYS IN STRONG
OPPOSITION UNLESS AMENDED THANK
YOU THANK YOU. LINE. TWO FOUR
SIX. HI MY NAME IS CAPTAIN
MCBRIDE BUDGET COUNTY AND
CALIFORNIA PARENTS. STRONGLY
OPPOSES MISLEADING AND DANGEROUS
THANK YOU VERY MUCH THAT'S COLOR
PLEASE. A LINE TWO NINE SEVEN.
TWO NINE SEVEN. HELLO MY NAME IS
PRIYANKA MAX FOUNDER OF INJURED
MOM AGAIN BARTEL AND MOM OF
THREE AND WE STRONGLY OPPOSE
ITSELF THANK YOU. UNLINED. TO
TEN. HI THIS IS A CHANCE WEBER
FROM SANTA CRUZ COUNTY AND
STRONGLY OPPOSE NATIONAL THANK
YOU- LINE. TO TWELVE. BLOCKING
HEARING MEMBERS MY NAME IS JOHN
CREEP I AM MOTHER THREE ARRAY
NURSE MARCHERS CALLING ON UP.
THANK YOU SIX CLICK. LINE THREE
HUNDRED. YES MY NAME IS DE KING
AND I'M IN SECOND COUNTY THE
MISSING A MOTHER OF TWO AND I
STRONGLY OPPOSE THIS DESPICABLE
BILL THANK YOU THANKS CALLER
PLEASE. ONLINE. THREE ZERO
THREE. HI MY NAME IS LINDA RICH
FROM PLASTIC COUNTY I STRONGLY
OPPOSE SB SIX FIFTY NINE PUBLIC
SCHOOLS WILL INFLOWS. THANK YOU
NICE COLOR. THE LINE AND TWO SIX
TWO. HELLO THIS IS RANGE OF
AFTER I AM A FISCALLY PARENT AND
SCHOOL COUNSELOR I AM AN ORANGE
COUNTY PARENT AND I REPRESENT
THE GROUP NEWPORT MESA AND
CENSORED AND WE STRONGLY OPPOSE
THIS BILL THANK YOU. COLOR
PLEASE. LINE TO ZERO. HELLO MY
NAME ON THE BALLOT QUESTIONS ON
ON SOMEONE'S FUNNY CALIFORNIA
WILL NOT OPPOSITION UNLESS
AMENDED THANK YOU NEXT CALLER
PLEASE. OUTLINED. TO SIXTY. HI
I'M A PARENT OF THREE DAUGHTERS
FROM TO HIM A COUNTY AND
STRONGLY OPPOSE THIS BILL THANK
YOU NEXT CALLER PLEASE. A LINE.
ONE EIGHTY EIGHT. HI MICHELLE
O'BRIEN FROM ORANGE COUNTY FROM
THE MOM GRANDMA IN MEMBER OF
HERITAGE ACTION AND HER. LESS
AMENDED I SB SIX FIVE NINE THANK
YOU THANK YOU NEXT CALLER
PLEASE. NINE THREE OH FOUR. GOOD
AFTERNOON MY NAME IS ON THE
CALDERON FROM ORANGE COUNTY I'M
A RETIRED SECOND GRADE TEACHER
AND MOM OF ARTISTIC KING QUEEN
SONS AND I AM IN STRONG
OPPOSITION THANK YOU FOR CALLING
PLEASE- LINE THREE ZERO TWO. I
DO. EIGHT DOLLARS I'M CALLING
FROM OF TOWNIE AND FIND THEM OF
AN OPTION BOY AND I FROM OPPOSE
THE- THANK YOU THINK YOU COLOR
PLEASE. A LINE. EIGHT RIGHT MANY
IS THE NEW YORK FOR FROM
DECEMBER COUNTY AND I THIS BILL
THANK YOU THE COLOR PLEASE FOR-
LINE. TO TWENTY SIX. MAKOKO AND
THEN COUNTY MARTINEZ AND I'M
CALLING ON OPPOSITION EXCEL
THANK YOU. FIVE LINE. TO EIGHT
EIGHT. YEAH GOOD AFTERNOON MY
NAME SHANNON I REPRESENT TWO
HUNDRED FIVE FAMILY WITH
CALIFORNIA PARENTS RIGHT ACT AND
WE OPPOSE. I WANT. TO EIGHTY
NINE. THE BETTER THE NUMBER. ONE
PLAYER THEY IN LEVEL STUDY NOTES
IF THE BUG ABOUT SECOND SO WE
WILL QUELLA. THANK YOU NICE
COLOR PLAY. LINE TO NINE EIGHT.
HI MY NAME IS MARK LAWYER AND
I'M A PARENT SUCH I REALLY IN LA
CONNER AND ON THE OF SOME THE
PARENTS. WE ARE APPROVED THE
BILL THANK YOU THANK YOU THIS
CALL PLEASE. LINE TWO FIVE FIVE.
HI THIS IS RACHEL BEGAN DOWN
COMMITTEE SB FOR FREEDOM AND WE
HAVE HAD EBAY SIX FIVE NINE
UNLESS AMENDED THANK YOU THANK
YOU COULD PLEASE. LINE. FIFTEEN
HI MY NAME IS KELLY FOR ABOUT
APART FROM I'M A OF FOUR AND I
OPPOSE THIS BILL THANK YOU
THANKS CALLER PLEASE.
THE COVINGTON I'M CALLING ON
BEHALF OF TULARE COUNTY
COALITION FOR FREEDOM. ALSO I
THINK THAT LIBERTY MATH
CALIFORNIA I REPRESENT YOUR
CHURCHES. GEN OF THIS BILL THANK
YOU VERY MUCH HAVE A BLESSED DAY
THANK YOU FOR CALLING PLEASE.
FIVE TWO FIVE NINE. HI MY NAME
IS NICOLE CATHOLIC ON THE UC
BERKELEY PUBLIC HEALTH GRAD WHO
WAS INJURED FROM GARDASIL IN TWO
THOUSAND AND SIX I STRONGLY
OPPOSE THANK YOU NICE COLOR
PLEASE. NINE THREE TWO SIX. ANY
HEARINGS AND FROM SAN DIEGO
COUNTY STRONGLY OPPOSED THANK
YOU FOR THE INCREMENTAL-
AMENDMENTS THANK YOU THANKS
COLONIES. FIND. THREE TO FIVE.
CRISTINA CALDERON A MODERATE YOU
IN A STRONG OPPOSE THE BILL.
THANK YOU THINK YOU'RE CALLED.
THE COLOR PLEASE. BLIND. TWO
EIGHT FIVE. MANY IS JACK IN MAMA
FROM RIVERSIDE COUNTY. STRONGLY
OPPOSES BILL. THANK YOU. THIS
CALL. LINE COMMITTEE. TWO THREE
ZERO. JOIN US ON THE ARE YOU
FROM THE LAW FIRM WIZNER BOMB WE
RIP HUNDREDS OF YOUNG BOY AND
GIRLS CAN ENSURE BY CAR. IN
STRONG POPPERS. IT WILL BE
MISLEAD THE PUBLIC IN ITS ON WHY
THANK YOU. THANK YOU. AT NINE
THREE THREE ONE. CREDIT HAVE YOU
PICKED UP ON IT THE PARENT THE
BOTH THE STUFF THANK YOU VERY
MUCH COLOR. NINE THREE THREE. MY
NAME IS WITH CATHOLIC FAMILIES
FREEDOM AND KIRK IS FOLLOWING TO
A- AND DETAILED THANKS
OPPOSITION THING YOU
CRISSCROSSES. LYING TO YOU. NINE
FOUR TWO NINE FOUR. HI MY NAME
IS AND- GRANDMOTHER AND MOTHER
AND I STILL OPPOSE IT THIS BILL
- BECAUSE DEFINITELY PUTS
CHILDREN IN MUCH DANGER THANK IF
THANK YOU. CALLER PLEASE ONLINE
. FIND THREE FIVE ZERO. GOOD OF
MY NAME IS JENNIFER AND I AM IN
VERY OPPOSITION THIS AB PSYCH
FIVE NINE THANK YOU. RAYMOND AND
FOR COM IN Q. THIS TIME THANK
YOU VERY WE DID THAT AND UNDER
FIFTY MINUTES ALL RIGHT NOW IS
THE TIME WOULD BRING IT TO THE
COMMITTEES WE YOU'RE RIGHT. I
THANK YOU VERY MUCH SURE FOR SAW
WANT TO THANK THE AUTHOR FOR.
NOT NOT JUST BUILD IT FOR HER
YEAR. ADVOCATES FOR- FRENCH AND
OF EACH PIECE REALLY ACCOUNTS-
RELEASED MY YOUR YOUR WORK AND
I'M STILL PRETTY OF YOUR OUR
SYSTEM NOT CITY- ON THIS- ISSUE
AND ALSO SUPPORTING SMART PUBLIC
HEALTH MEASURES SUCH AS
VACCINATION- AND- I. STRONGLY
SUPPORTED THE ORIGINAL VERSION
OF THIS BILL THE REQUIREMENTS-
TO PREVENT CANCER- IN FOR KIDS.
OF THE THIRD. A REDUCED RISK
DRAMATICALLY REDUCE RISK OF
CANCER FOR FURTHER ENTIRE- I
WISH THAT THE WERE THE BEFORE
COMMITTEE TODAY AND I'M I WOULD
LOVE TO REMEMBER BACK I KNOW
THAT'S NOT. IMPOSSIBLE GIVEN-
GIVEN HOW LEGISLATURE WORKS- AND
DIED I SUPPORT THE BILL AND
INTEMPERANCE- SO I JUST WANTED
TO PUT THAT OUT THERE- THIS IS
VERY REAL AND I'M I JUST HAVE
YOU KNOW CDC STATISTICS IN FRONT
OF ME THIS IS NOT THIS IS NOT
LIKE A TINY ISSUE WE HAVE. EVERY
YEAR AND THE U. S. ABOUT NEARLY
FORTY THOUSAND HPV CANCERS- FOR
ABOUT ALMOST TWENTY TWO THOUSAND
AMONG WOMEN AND ALMOST SIXTEEN
THOUSAND AMONG MEN THIS IS
CERVICAL CANCER MAYBE MAYBE THE
MOST- ARE AMONG THE MOST COMMON
ACTUALLY. LOOKS LIKE BACK OF THE
THROUGH THIS EVEN MORE COMMON
THAN THAN CERVICAL CANCER BUT
CERVICAL CANCER IS A HUGE PUBLIC
HEALTH- ISSUE BUT IF IT'S
BROUGHT UP IN THE AND IF IT
AFFECTS BOTH MEN AND WOMEN- IN.
IN ADDITION- YOU KNOW IN TERMS
OF WE KNOW THAT THIS IS AN
EFFECTIVE VACCINE REDUCES THE
RISK BY ABOUT NINETY PERCENT.
IT'S ALSO SAFE VACCINE ANNOYED
FOR SOME STATISTICS THAT I'M
LOOKING AT THE NATIONAL CANCER
INSTITUTE- SORRY AND- THE RATE
OF HOUSES READER REPORTS OF
SERIOUS HEALTH ISSUES AFTER HPV
VACCINATION. WERE CONSISTENTLY
RARE ABOUT ONE POINT EIGHT PER
ONE HUNDRED THOUSAND EACH PEAVEY
VACCINE DOSES OR POINT OH OH ONE
EIGHT. PERCENT OUR SERVICE IS A
SAFE AND EFFECTIVE VACCINE A
VACCINE IS PERFECT- BUT THIS IS
A GOOD ONE- I WALL- SAYS ON OF-
PERSONAL- I'M OF THE AGE THERE
WAS NO H. P. ROCKS WHEN I. WAS A
KID IT WAS A FROM WHEN I WAS
THIRTY NINE. YEARS OLD SO AS
WELL ON THE TIME WHEN IT WAS-
ABOUT RECOMMENDED- AND SO I DID
NOT HAVE- IT'S COULD BE-
PROTECTION- I WAS RECENTLY
DIAGNOSED WITH HPV RELATED.
CANCER AND I'M GONNA BE FINE I'M
GAGA TREATMENT OUGHT TO BE
MONITORED FOR A WHILE AND- YOU
KNOW IT'S NOT THE MOST PLEASANT
TREATMENT IN THE WORLD BUT- BUT
IT'S ALL GOING TO BE COULD- BUT
I YOU KNOW AND I JUST HAPPENED
TO GET. SCREENED FOR UP FOR
UNRELATED REASONS- AND
UNFORTUNATELY FOUND AND WERE
ABLE TO- TO TREAT IT- I REALLY
WISH THAT WHEN I WAS A BOY- THAT
THEY HAVE HAD EACH PEAVEY
VACCINES- AND THAT AND FROM
KNOWING MY FAMILY WE WOULD HAVE
SINCE GOTTEN IT- AND I WILL.
ANNOUNCE VERY VERY VERY HIGH
PROBABILITY THAT I WOULD HAVE
AVOIDED- HAVING HPV RELATED
PRECANCER- AND SO- WHEN WE TALK
ABOUT- YOU KNOW THE HEALTH OF
OUR KIDS AND SUCH AS WELL TO
HELP THE KIDS ABOUT THEIR HEALTH
FOR THE REST OF THEIR LIVES.
BECAUSE THIS ISN'T A SITUATION
THAT- YOU KNOW WE CAN JUST GET
AT ANY POINT IN THEIR LIVES- WE
NOTE THAT IT'S BY FAR AND AWAY
MOST EFFECTIVE IF THEY GOT IT.
THEY RECEIVE A VACCINE AS A
TEENAGER- AND IF THEY DON'T.
THEN THEY ARE- BEING BASICALLY.
THE RISK LIFETIME RISK OF HPV
RELATED CANCERS BEING. INFLICTED
ON THEM FOR THE REST OF THEIR
LIVES- AND- YOU KNOW- I. THINK
IT MAKES ALL THE SENSE THE
WORLD- FOR PEOPLE TO RECEIVE A
FAX- AT THE- SPECIFY. IN THE
BILL- AND I KIND OF THIS IS
JUST. IMPORT IT'S INCREDIBLY
IMPORTANT PUBLIC HEALTH ISSUE
AND- I'M HAPPY TO SUPPORT THE
BILL TODAY I'M- HAPPY TO MOVE OF
THE BILL AT THE APPROPRIATE TIME
. THANK YOU VERY MUCH OF THE
MEMBERS WISHING TO SPEAK. SAID
CENTER GROVE AND THANK YOU MADAM
CHAIR I DO APOLOGIZE AND- TO THE
UP TO THE AUTHORED THAT- I AM
BOUNCING BETWEEN TWO COMMITTEES
. IT'S RULES AND WHERE THE
SENATE PRO TEM IS THAT AND
GOVERNOR'S CONFIRMATIONS IN HERE
SO I DID MISTER A LARGE PART OF
THE TESTIMONY. BUT I DID WANT TO
NOTE- NEVER WHEN- JUST AND I
KNOW YOU'VE READ THE ANALYSIS
BUT DENOUNCES IN THE BILL
ACTUALLY SAYS- SORRY ME FLIP
AGAIN. THAT AND THE AND- THE
CITY EITHER CALIBER DEPARTMENT
OF EDUCATION. M. BECAUSE THE WAY
THE WORDING IN THE BILL IT
ACTUALLY SOUNDS LIKE A MANDATE
BUT IT'S NOT A MANDATE. CORRECT
IT'S NOT A MANDATE IT IS NOT A
MANDATE SO WHEN YOU READ THE
LANGUAGE NATION BUT- WELL I I'M
IN A DRESS THAT YOU WERE HERE
BUT I WILL ADDRESS THAT AND MY
CLOTHES IN YOUR CLOTHES OKAY SO-
SO. AND I APOLOGIZE BUT IN IN
THAT LANGUAGE ITSELF. IT'S THE
SEED CALIFORNIA DEPARTMENT OF
EDUCATION SAYS THE BILL'S
MISLEADING AND MAY INDICATE- TOO
MANY THAT H. P. THE VACCINE IS
REQUIRED TO ENTER EIGHTH GRADE
AND THEY THINK THAT WOULD BE A
CONFUSING THING FOR PARENTS. AND
I UNDERSTOOD AND I CORRECT ME IF
I'M WRONG THAT I'M SURE BUT I
UNDERSTOOD THAT THE COMMITTEE OR
YOU HAD AMENDMENTS. SO ARE WE
TAKING THOSE MINUTES TO CLARIFY
THE LANGUAGE WE OR THE AUTHOR
THANK YOU CENTER GROVE- THANKS
WE HAVE WE HAVE REQUESTED THAT
THE AUTHOR TAKE AMENDMENTS THE
CHANGES. RECOMMENDED THE CHANGE
IS EXPECTED. TO RECOMMEND IT
RIGHT WE HAVE A- TAKEN RICK
SMITH WRITTEN UP THE CENTER FOR
DISEASE AND CONTROL PREVENTION
CITIES ADVISE COMMITTEE ON HIM.
PRACTICES RECOMMENDS HPV.
VACCINATION AT AGE ELEVEN OR
TWELVE ALTHOUGH VACCINATION CAN
STARTED THE H. NINE- THE ALSO
THE VACCINATION FOR EVERYONE
THROUGH AGE OF TWENTY SIX YOU
COULD NOT ADEQUATELY VACCINATED
WHEN YOUNGER THE CDC STATES THAT
HPV VACCINES ARE VERY SAFE
SCIENTIFIC RESEARCH SHOWS THE
BENEFITS OF THE HPV VACCINATION.
FAR OUTWEIGHS THE POTENTIAL
RISKS BECAUSE WE WE'VE ASKED.
THE AUTHOR TO TAKE THE
AMENDMENTS SO FOR THE AUTHOR HAS
BEEN UNWILLING. AND SO AND MY
RECOMMENDATION WOULD BE AND I IF
THE AUTHOR TAKES AMENDMENTS
WITHOUT IT. I HAVE A NINE
RECOMMENDATION BUT I WILL BE
VOTING NO. I THANK YOU FOR THAT
CLARIFICATION AGAIN I JUST
NEEDED TO BE CAUGHT UP TO SPEED
SO I APOLOGIZE FOR GOING OVER
ALL THAT AGAIN. I DO HAPPEN TO
AGREE WITH A CHAIR- I THINK THE
WORD EXPECTED IF YOU LOOK IT UP
IN THE DICTIONARY SOUNDS MORE
LIKE A MANDATE THEN RECOMMENDED
THAT SOUNDS LIKE IT'S OKAY FOR
THE PARENT TO MAKE THE DECISION-
ON THEIR CHILD. I REALIZE THIS
ISN'T LIKE MEASLES MUMPS AND
CHICKEN POX YOU KNOW IT'S NOT
LIKE THEY CAN GO TO SCHOOL AND
AFFECTS SOMEONE ELSE. BUT THIS
SHOULD REALLY BE A PARENTS AND
DECISION- OR AN ADULT CHILD OR
ADULT. AND AFTER THE AGE OF
EIGHTEEN TO WEBER TWENTY SIX OR
WHATEVER THAT NUMBER IS SO I DO
AGREE. WITH THE CHAIR'S
RECOMMENDATION FOR THE
AMENDMENTS AND- M. BUT- YOU ARE
YOU'RE NOT TAKING THOSE
AMENDMENTS ALL AT ALL INTERESTED
IN MY CLOTHES. OKAY OKAY THANK
YOU WELCOME THANK. YOU KNOW
THANK YOU FOR YOUR COMMENTS.
OKAY ANY OTHER MEMBERS WISHING
TO SPEAK AT THIS TIME. AND JUST
TO- TWENTY SAY THIS ONE OF THE
QUESTIONS I HAD TO BECAUSE WE'RE
SEEING A FOOT. IF IT IF THE
CHILD. IF A PARENT CHOOSES NOT
TO FOR CHILD AND THAT CHILD IS
PROTECTED BUT- IN CALIFORNIA WE
HAVE SAID THE CHILDREN. AT THE
AGE OF TWELVE CAN. OF
VOLUNTARILY GET THEMSELVES
VACCINATED YEAH. OKAY IT'S BEEN
LONG OKAY. JUST I MEAN JUST TO.
CLARIFY THAT. OKAY I'M SORRY. IT
CAN CLARIFY ANSWERED AND I'M
SURE CAN YOU CAN IT ONE MORE
TIME TWELVE IS THAT IN THIS BILL
OR IN LIKE IT'S OKAY EVERY IN
EVERY. AND EVERY. EVERY
VACCINATE WE HAVE WIDE. WELL
EVERY. EVERY SURPASSED. RELATED
BAXEEN IS TWELVE HOURS. TENETS
OF YOURS. SO FOR. S. B. FOR EACH
PEAVEY- THE I THINK. I'D IMAGINE
THAT SOME POINT I'M MEASURE
MONKEYPOX WILL WILL QUALIFIED
SOME POINT- AND THAT IS
ABSOLUTELY TRUE BUT OF COURSE AS
WE- TALKED ABOUT A LOT WHEN WE
TRY TO LOWER LAST YEAR ALL
DIVIDE VACCINE USING SEVERAL
VACCINES- AND MANY MANY MORE THE
I THINK LAW. ENJOY KIDS ARE NOT
TO GET ON THEIR OWN THEY'RE
GOING TO DO. YOU KNOW THEIR
THEIR THEIR PARA MMHM THANK YOU
. OKAY SO WE'VE EXHAUSTED
COMMERCE UP HERE AND YOU AND I
HAVE A MANY TALK AND BUT WE ARE
FRIENDS HAVE A LOT OF FOR YOU I.
HAVE THEY HAVE ALL THE
VACCINATIONS ARE SUPPOSED TO
HAVE AND THE AGE APPROPRIATE I
WAS WITH THE WITH THE MANDATE I
BELIEVE EXPECTED IS A CONFUSING
LANGUAGE AND IT SHOULD BE
RECOMMEND OR MANDATE WE'RE AT
THE POINT WHERE WE'RE SAYING
RECOMMEND- WOULD YOU LIKE TO
CLOSE I SURE WOULD. FIRST OF ALL
I WANT TO THANK YOU SENATOR
WIENER FOR SHARING YOUR STORY.
THANKS A LOT TO DO THIS THANK
YOU. SB SIX FIVE NINE WILL
RESULT IN AN UPTICK IN HPV
VACCINATION AT THE IDEAL AGE
RANGE FOR THE VACCINE. THE
QUESTION IS HOW MUCH. THIS BILL
DOES NOT MANDATE OR ENFORCE
VACCINATIONS SO MUCH THE LONG
STANDING KEPT HEPATITIS B.
VACCINE REQUIRED FOR SEVENTH
GRADERS. MOST OF YOU LIKELY
DON'T EVEN KNOW ABOUT HAVE ME
REQUIREMENT EXISTS BECAUSE IT IS
BECAUSE NONE OF THE **** CLAIMED
BY THE OPPONENTS OF THIS BILL.
THIS BILL ENSURES PROPER
COMMUNICATION WITH STUDENTS AND
PARENTS. IN LOCALLY PREVALENT IN
LANGUAGES THIS BILL ALSO REMOVES
ALL COST BARRIERS TO GETTING HPV
VACCINE. REGARDLESS OF HEALTH
INSURANCE STATUS. I'M WORKING ON
THIS PROPOSAL FOR FIVE YEARS
DURING THAT TIME OVER TWO OR
THREE THOUSAND. AMERICANS HAVE
DEVELOPED HPV RELATED CANCER
MORE THAN THIRTY FIVE THOUSAND
PEOPLE HAVE DIED FROM. AS A
RESULT. YOU KNOW COLLEAGUES
REMEMBER THE LOVED ONES WHO GOT
THE IN THE TERRIFYING NEWS THAT
THEY HAD CANCER. AND I KNOW FOR
ME. I WOULD HAVE DONE ALMOST
ANYTHING TO PREVENT IT. AND
THAT'S WHY I'M HERE TODAY
FUNDING FOR THE BILL THE
PRODUCT- COMMITTEE. I WANT
CALIFORNIA TO DO ITS PART IN
PROTECTING OUR YOUTH FROM CANCER
. MADAM CHAIR I UNDERSTAND THAT
YOU INSIST ON AMENDING THE BILL
LANGUAGE FROM EXPECTED TO
RECOMMEND. WITH TREMENDOUS
REGRET I WILL ACCEPT AND PASS
FOR A VOTE. WE HAVE GOT THREE
BECAUSE TODAY AND WE WOULD LIKE
TO CONTINUE TO WORK ON THANK
YOU. OKAY SO MY UNDERSTANDING IS
YOU ARE WILLING TO TAKE
RECOMMEND OKAY THANK YOU VERY
MUCH OKAY. SO THE MOTION WE HAVE
A MOTION BY SENATOR WIENER. AND
THE MOTION IS TO PASS AS AMENDED
AND REFERRED TO THE COMMITTEE ON
EDUCATION. YES WE DO NOT HAVE A
QUORUM YET WHEN WE DO WE WILL
TAKE THE ROLL CALL. OKAY THANK
YOU VERY MUCH APPRECIATE
APPRECIATE ALL YOUR COMMENTS
THANK YOU VERY MUCH.
ASSEMBLY MEMBER WEBER. YOU ARE
RECOGNIZED. I THINK YOU'VE HEARD
THAT BEFORE I'M NOT CORRECT IF
I'M NOT MISTAKEN. OKAY IN YOU
ARE HERE TODAY RIGHT. SHE. AB AB
EIGHTY FIVE. LOOK AFTERNOON
MADAM CHAIR AND MEMBERS OF THE
COMMITTEE THANK YOU TO THE
COMMITTEE CHAIR AND STAFF FOR
THE THOUGHTFUL CONVERSATIONS
LEADING UP TO THIS HEARING AND I
ACCEPT THE AMENDMENTS I'M HERE
TO PRESENT AB EIGHTY FIVE WHICH
WILL REQUIRE HEALTH PLANS AND
INSURERS TO INCLUDE COVERAGE FOR
SOCIAL DETERMINANTS OF HEALTH
SCREENING AND ACCESS TO
COMMUNITY HEALTH WORKERS SOCIAL
DETERMINANTS OF HEALTH ARE
COMMONLY DEFINED AS THE
CONDITIONS IN WHICH PEOPLE ARE
BORN GROW WORK LIVE AND AGE IN
WHICH A WIDER SET OF FORCES AND
SYSTEM SHAPES THE CONDITIONS OF
DAILY LIFE AND AFFECT HOW
FUNCTIONS AND QUALITY OF LIFE
OUTCOMES AND RISK. THE DETERMINE
ARE THINGS LIKE SAVE HOUSING
EDUCATION FOOD ACCESS
TRANSPORTATION AND ECONOMIC
STABILITY. SOCIAL DETERMINANTS
OF HEALTH SCREENING TOOLS IN
CLINICAL PRACTICE HELP TO
IDENTIFY THE SOCIAL AND ECONOMIC
RISK OF PATIENTS THAT MAYBE
PREVIOUSLY UNKNOWN TO HEALTH
PROVIDERS. IDEALLY THAT
INFORMATION LEADS TO HEALTH CARE
TEAMS MAKING PATIENTS TO
COMMUNITY RESOURCES OR
DISCUSSIONS ABOUT CHANGING
PATIENT TREATMENT PLANS TO
MITIGATE THE SOCIAL NEEDS TO
IMPROVE. THE OVERALL HEALTH
OUTCOMES. ONCE CONDUCTED BY
AMERICAN OF FAMILY PHYSICIANS
INDICATED THAT FAMILY PHYSICIANS
WANT TO HELP ADDRESS OUR
PATIENTS NEED BUT FACE MANY
BARRIERS AND OFFERING THE
SUPPORT THAT THEY NEED. AB
EIGHTY FIVE HELPS ADDRESS THESE
GAPS IN HEALTH CARE BY REQUIRING
COVERAGE AND REIMBURSEMENT OF
SOCIAL DETERMINANTS OF HEALTH
SCREENING AND ACCESS TO
COMMUNITY HEALTH WORKERS. IT
ALSO MAKES SCREENING A COVERED
BENEFIT FOR MEDICARE
BENEFICIARIES THIS BILL ALSO
REQUIRES THE DEPARTMENT OF
HEALTH CARE ACCESS AND
INFORMATION TO CONVENE A WORKING
GROUP TO CREATE A STANDARDIZED
MODEL AND PROCEDURES. FOR
CONNECTING PATIENTS WITH
COMMUNITY RESOURCES TO ACCESS
THE NEED FOR CENTRALIZED LIST OF
ACCREDITED COMMUNITY PROVIDERS.
AND TO DETERMINE GAPS IN
RESEARCH TO INFORM POLICY. HERE
WITH ME TO SPEAK IN SUPPORT OF
AB EIGHTY FIVE ARCHITRAVE REYES
THE VICE PRESIDENT OF ADVOCACY
AND POLICY AND DOCTOR SCRUBS.
THANK YOU THIS REYES PLEASE.
THANK YOU CHAIR AND COMMITTEE
MEMBERS MY NAME IS KATRINA
RADIUS AND THE VICE PRESIDENT
ADVOCACY POLICY FOR THE
CALIFORNIA ACADEMY OF FAMILY
PHYSICIANS. THE PROUD SPONSORS
OF AB EIGHTY FIVE. I'D LIKE TO
THINK ASSEMBLY MEMBER WEBER FOR
INTRODUCING THIS CRITICAL BILL
THAT WOULD MAKE A REAL IMPACT ON
HEALTH OUTCOMES HEALTH EQUITY
AND HEALTH CARE COSTS. AS YOU
KNOW SOCIAL DETERMINES OF HEALTH
ARE GROWING COST OF. BECAUSE OF
HEALTH CARE INEQUITY RESULTING
IN WORSENING HEALTH OUTCOMES AND
INCREASING HEALTH CARE COSTS. AB
EIGHTY FIVE SIX IDENTIFIES
SOCIAL DETERMINES OF HEALTH AND
INTRODUCE INTERVENOR LAYER BY
REQUIRING HEALTH PLANS AND
INSURERS. PROVIDE COVERAGE FOR
SOCIAL DETERMINES OF HEALTH
SCREENINGS AND PROVIDE ADEQUATE
ACCESS TO COMMUNITY HEALTH
WORKERS FROM A TAURUS COMMITTEE
HEALTH REPRESENTATIVES OR SOCIAL
WORKERS. THE IMPACT OF SOCIAL
NEED ON HEALTH IS WELL
DOCUMENTED STUDIES HAVE FOUND
THAT FOOD INSECURE INDIVIDUALS
ARE 20% MORE LIKELY TO REPORT
THEY HAVE HYPERTENSION. AND 30%
MORE LIKELY TO REPORT THAT THEY
HAVE HYPERLIPIDEMIA THAN THEIR
FOOD SECURE COUNTERPARTS.
SUBSTANDARD HOUSING CONDITIONS
SUCH AS POOR VENTILATION PASSED
INFESTATION AND WATER LEAKS ARE
DIRECTLY ASSOCIATED WITH
RESPIRATORY DISEASES AND ASTHMA
. IN TWO THOUSAND A STUDY
ATTRIBUTED SOCIAL FACTORS IS THE
DIRECT CAUSE OF DEATH. TAKING
THE FIRST STEPS IN ADDRESSING
SOCIAL DETERMINANTS OF HEALTH
THROUGH SCREENINGS AND CLOSING
THEIR FOR ALL GAPS TO COMMUNE
RESOURCES RESULT IN BETTER
HEALTH OUTCOMES. AND LOWER
COSTS. IN TWO THOUSAND FIFTEEN
TO THE MOST COMMONLY TREATED
CONDITIONS AMONG THE TOP 5% OF
HEALTH SPENDERS WERE
HYPERTENSION AND HYPERLIPIDEMIA.
AND BOTH THRILLING TO UNMET
SOCIAL NEEDS. OTHER CONDITIONS
FOR WHICH FOR WHICH AT LEAST 25%
OF PERSONS IN THE TOP 5% OF
HEALTH SPENDERS RETREATED.
INCLUDE MENTAL HEALTH DISORDERS
HEART DISEASE COPD OR ASTHMA
DIABETES AND TRAUMA RELATED
DISORDERS. ALL OF WHICH HAS BEEN
LINKED ARE EXACERBATED BY SOCIAL
AND ECONOMIC ECONOMIC
CONDITIONS. BY DRESSING THE
SOCIAL NEEDS OF HIGH HEALTHCARE
STANDARDS PARTICULARLY THE
COMMUNITY HEALTH WORKER
INTERVENTION WE CAN IMPROVE
CHRONIC DISEASE DISEASE CONTROL
MENTAL HEALTH QUALITY OF CARE
AND HOSPITALIZATIONS. AND THUS
LOWER HEALTH CARE COSTS. A STUDY
ON THE EXPENDITURE REDUCTIONS
ASSOCIATED WITH THE SOCIAL
SERVICE REFERRAL PROGRAM. FOUND
A 10% REDUCTION HEALTHCARE COSTS
EQUATING TO MORE THAN TWO
THOUSAND FOUR HUNDRED AND ANNUAL
SAVINGS PER PERSON. ANOTHER
STUDY CONDUCTED BY THE
UNIVERSITY OF PENNSYLVANIA ON
THE RETURN ON INVESTMENT OF
COMMUNITY HEALTH WORKER
INTERVENTIONS. FOR THE MEDICAID
PROGRAM FOUND THAT JUST ONE TEAM
OF COMMUNITY HEALTH WORKERS.
SERVING THREE HUNDRED THIRTY
PATIENTS WOULD PREVENT TWO
HUNDRED NINETY FIVE BAD DAYS
YIELDING A SAVINGS OF OVER SEVEN
HUNDRED THOUSAND DOLLARS. AB
EIGHTY FIVE WILL IMPROVE HEALTH
OUTCOMES AND HEALTH EQUITY AND
REDUCE HEALTHCARE COSTS AND IT
IS FOR THESE REASONS THAT WE ARE
CHEN I VOTE FOR IT I AB EIGHTY
FIVE. HAPPY TO ANSWER ANY
QUESTIONS THE COMMITTEE MAY HAVE
THANK YOU THANK YOU VERY MUCH.
NEXT PERSON IN SUPPORT PLEASE.
THANK YOU TO THE CHAIR COMMITTEE
MEMBERS MY NAME IS A DISCREPANT
I'M A FAMILY MEDICINE PHYSICIAN
FROM OAKLAND CALIFORNIA
CURRENTLY WORKING IN FAIRFIELD.
I LEARNED EARLY ON FROM MY
MENTORS IN MEDICINE AT A
COMMUNITY PHYSICIAN MUST ALSO
REACH BEYOND THE CLINIC WALLS TO
MAKE AN IMPACT. I ASK YOU TO
VOTE YES ON EIGHTY EIGHTY FIVE
BECAUSE IT WILL ENSURE THAT
HEALTH CARE PROVIDERS HAVE. THE
RESOURCES TO BETTER UNDERSTAND
FACTORS IMPACT IMPACTING OUR
PATIENCE HEALTH BOTH INSIDE AND
OUTSIDE OF THE CLINIC. SCREENING
FOR THE SOCIAL DETERMINANTS OF
HEALTH IS CRITICAL TO DEVELOPING
A TREATMENT PLAN IS BEST FOR MY
PATIENTS. IF I AM INFORMED THAT
A PATIENT DOESN'T HAVE RELIABLE
TRANSPORTATION. AND THEN I TRY
TO SELECT MEDICINES THAT REQUIRE
LESS FOLLOW UP MONITORING. IF I
AM INFORMED THAT IN ON HOUSE
DIABETIC PATIENT DOESN'T HAVE
ACCESS TO REFRIGERATION TO KEEP
INSULIN. THAT I HAVE TO MAXIMIZE
TREATMENT WITH ORAL MEDICATIONS.
HOWEVER THERE IS A NEED TO DO
MORE THAN JUST SCREEN BECAUSE
THEY'RE OBSTACLES OUTSIDE OF THE
CLINIC THE INTERFERE WITH A
PATIENT'S ABILITY TO COMPLETE
TREATMENT. THIS BILL WILL
PROVIDE THE LINKAGE BETWEEN THE
HEALTH CARE TEAM AND COMMUNITY
RESOURCES THROUGH COMMUNITY
HEALTH WORKERS. OR SOCIAL
WORKERS THEY CAN ENSURE THAT
PATIENTS ARE RECEIVING THE
DIRECTOR SINCE THE ASSISTANCE
THEY NEED. TO ACCESS FOOD
TRANSPORTATION HOUSING AND
HEALTH CARE. I RECALL HAVING A
PATIENT WITH EXTREMELY ELEVATED
BLOOD PRESSURE READINGS EVERY
TIME SHE CAME TO CLINICS. SHE
LATER SHARED WITH ME THAT SHE
WAS LIVING ALONE WITH NO ACCESS
TO TRANSPORTATION. THIS LEFT HER
WITH NO OTHER OPTION THAN TO EAT
HIGH SALT FROZEN MEALS BECAUSE
IT WAS EASY TO FOR HER TO KEEP
FOR EXTENDED PERIODS OF TIME. A
COMMUNITY HEALTH WORKER WOULD
HAVE BEEN ABLE TO HELP HER WITH
TRANSPORTATION VOUCHERS.
RESOURCES RESOURCES TO FOOD
BANKS THAT MIGHT DELIVER. MY
FAMILY MEDICINE COLLEAGUES HAD
DIFFICULTIES WITH GETTING ON
HOUSE PATIENT A MUCH NEEDED
SURGERY. BECAUSE HE DID NOT HAVE
AN ADDRESS WHERE HE COULD BE
DISCHARGED TO AFTER THE SURGERY.
A SOCIAL WORKER WOULD HAVE BEEN
ABLE TO ASSIST THE PATIENT WITH
NAVIGATING IN OBTAINING
ATTAINING AT LEAST SOME TYPE OF
TEMPORARY HOUSING. TO BE ABLE TO
MOVE FORWARD WITH SURGERY. WITH
THAT I RESPECTFULLY ASK FOR YOU
TO VOTE YES ON AB EIGHTY FIVE
THANK YOU. THANK YOU VERY MUCH.
I WAS SPEAKING SUPPORT NOW THE
TIMES TO COME FORWARD WITH YOUR
NAME POSITION AND AFFILIATION.
WOULD BE SANTOS ON BEHALF OF THE
ULTIMATE IN SUPPORT THANK YOU.
MARIJUANA GONNA FOR WAS CV CHEN
CO SPONSOR IN STRONG SUPPORT
THANK YOU. TAYLOR JACKSON WITH
CALIFORNIA HEALTH PLUS ADVOCATES
REPRESENTING THIRTEEN HUNDRED
COMMUNITY HEALTH CENTERS- HERE
AS A PROUD CO SPONSOR. THANK YOU
. JENNIFER OF LESS WITH HELP
ACCESS CALIFORNIANS SUPPORT.
THANK YOU. MEGHAN CHUNG WITH THE
STEINBERG INSTITUTE IN SUPPORT
THANK YOU. THE MANAGER MEMBERS
PRICE DOUGHERTY ON BEHALF OF THE
AMERICAN ACADEMY OF PEDIATRICS
CALIFORNIA. AND POCHEON AND THE
THEIR SUBSIDIARY OF THE
CALIFORNIA TELEHEALTH NETWORK OF
SUPPORT THANK YOU. TURN MEMBERS
CRISSCROSSING OF PREY IN THE
KEIGHLEY ON BEHALF OF CHILDREN'S
CHOICE DENTAL CARE AND SUPPORT
THANK YOU. BRENDAN MARTY WITH
THE CALIFORNIA MEDICAL
ASSOCIATION IN SUPPORT. FRANCE
SPENDS ABOUT HALF OF THE-
AMERICAN COLLEGE OF OBGYN STICK
NINE AND THE CROHN'S AND COLITIS
FOUNDATION IN SUPPORT THANK YOU
. STEPHEN CURRY WITH CALIFORNIA
LIFE SCIENCES IN SUPPORT THANK
YOU. GET ANY MONEY ON ON BEHALF
OF CHILDREN SPECIALTY CARE
COALITION IN SUPPORT THANK YOU.
COOLEY RIPPED WITH PLANNED
PARENTHOOD AFFILIATES OF
CALIFORNIANS PART THANK YOU.
ISRAEL ARGUETA WITH THE HEALTH
OFFICERS ASSOCIATION OF
CALIFORNIANS SUPPORT THANK YOU-
INSTEAD OF THE HAVE THE BLUE
LEADERSHIP. WE ARE CLOSED MISTER
SUPPORT THANK YOU. AND WHAT THE
I'M A LICENSED REGISTERED IN
SUPPORT THANK YOU. STEPHANIE
DEGREE ALSO LICENSED REGISTERED
PEDIATRIC NURSE IN SUPPORT THANK
YOU. YOU SEE HIM ON BEHALF THE
CALIFORNIA Y. NW CP IN STRONG
SUPPORT. THANK YOU VERY MUCH
OKAY NOW IS THE TIME FOR FOLKS
BEGIN OPPOSITION TO THIS BILL
COME FORWARD. REVENUE MANAGER
MEMBERS THE COMMITTEE HAD
HIMSELF CALIFORNIA ASSOCIATION
PLANS I READ HERE AT OPPOSITION
TO EIGHTY EIGHTY FIVE. FIRST OF
ALL WE WANT TO THINK THE
AUTHORED HER STAFF I WE'VE BEEN
TALKING WITHIN THE WORKING VERY
CLOSELY- ENDEMIC SPLIT PROCESS
THAT THEY'RE WORKING WITH US ON
ON THIS BILL- WE'RE CERTAINLY
APPRECIATIVE AND SUPPORTIVE OF
THE INTENT OF THIS BILL AND
WHOLEHEARTEDLY WHOLEHEARTEDLY
EXCUSE ME AGREE THAT THAT SOCIAL
DETERMINANTS OF HEALTH. ARE
SIGNIFICANT DRIVERS OF HEALTH
DISPARITIES AND A CRITICAL
COMPONENT OF THE TURNING HEALTH
OUTCOMES. COMMERCIAL HEALTH
PLANS ARE IN THE OF BUILDING UP
THEIR NETWORKS TO ENSURE THAT WE
CAN CAPTION REIMBURSE FOR THE
REQUIRED SOCIAL TERMS OF HEALTH
SCREENINGS THAT ARE PART OF THE
NCQA HEALTHEQUITY ACCREDITATION
WHICH IS SET TO COLLIDE THAT
JANUARY ONE TWENTY TWENTY SIX
SO. WE CERTAINLY APPRECIATE AND
SUPPORT BUT THE INTENT OF THIS
BILL. HOWEVER SOME OF OUR
REMAINING CONCERNS ARE- YOU KNOW
ADDRESSED SOMEONE THAT COMMUNAL
SYSTEM AROUND- THE EVALUATIONS
AND WHAT THAT TOOLS ARE
ACCEPTABLE AND HOW THIS REQUIRE
REQUIREMENT MORE INTERFACE WITH
THAT THE MEDIKAL UP VERSION OF.
THE SCREEN PROGRAM UNDER- THIS-
POPULOUS HEALTH MANAGEMENT SO WE
JUST WE BELIEVE THAT THOSE
REQUIREMENTS STILL ALIGNS
CLOSELY AS POSSIBLE SO REWARDING
NING'S ROOT DUPLICATION OR OR
ADDITIONAL WORK SO. AGAIN US FOR
THAT THE INTENT OF THIS BILL- WE
HEADED TO SOME OF THOSE
REMAINING CONCERNS AND ECONOMIC
I THINK THE AUTHOR AND HER STAFF
FOR WORKING WITH ON THIS BILL.
THANK YOU VERY MUCH. PLEASE THE
ONE CAN FINALLY HAPPEN THIS
ISSUE OF HEALTH LIFE HEALTH AND
COMPANY WE TO OUR OPPOSE FOR THE
SAME REASON WE LOOKED TO CAN.
THIS ANYTHING OVERALL IS TO MAKE
SURE THAT THIS IS THE MOST
AFFECT IN THE PROCESS. THAT WE
GET THE SIR TO THE RIGHT PEOPLE
THANK YOU THANK YOU VERY MUCH.
JOHN WINGER MIX HEALTH INTO
PLANS CYCLE COMMENTS CAP BACK.
THANK YOU VERY MUCH. NOBODY ELSE
IS GOING TO SPEAK IN GENERAL
OPPOSITION COME FORWARD AT THIS
POINT NAME IN. THE NATION.
SEEING NONE WILL GO TO THE PHONE
LINES MODERATOR DO WE HAVE ANY
LINES ON PHONES ON THE LINE.
PEOPLE ON THE LINE. YES FOR
SUPPORT OPPOSITION. A. B. EIGHTY
FIVE THIS PRESS ONE THEN ZERO AT
THIS TIME. AND WE WILL GO TO
LINE. TWO NINETY FIVE. TWO NINE
FIVE EUROPEN. THE NO RESPONSE-
THE BLIND. THREE SIX FOUR. I'M
SORRY THREE SEVEN FOUR. HUNTING
LINKING CALIFORNIA I ABSOLUTELY
STILL. THANK YOU. HE'S LINE. TO
ZERO. CALL WATERMAN ON THE OF
THE PARTNERSHIP IS FOR THANK
NEXT CALLER PLEASE. LARA. TWO
THREE. BONTA POOL FROM THE UPPER
WEST CONSENT ALONG IN THE- Q.
FIND THREE EIGHT FOUR. GOOD
AFTERNOON MADAM AND ALEX ON
BEHALF OF THE CAL CRIME CARE.
STRONG THANK YOU SCHOOL PLEASE.
BLIND. SIX THREE. FIVE THREE TWO
THREE EUROPEN. THE RESPONSE LINE
. THREE EIGHT SEVEN. AB KELLY
HAD ON BEHALF OF HEALTH INTO
THANK YOUNG THANK YOU. APPLIANCE
TO SIX SIX. HI RICK OF THE
NATIONAL OF THE OF SOCIAL CAL
TRAP IN THE OF THE BILL THANK
YOU THANK YOU. FIND THREE EIGHT.
TAYLOR SACRAMENTO AND I OPPOSE
THE BILL THANK YOU. MADAM CHAIR
NO FURTHER COMMENTS THANK YOU.
THANK YOU VERY MUCH STILL BE THE
TIME WOULD BRING IT BACK TO
COMMITTEE IN JUST TO SEE SOME
THAT THE AMENDMENTS AND I FULLY
SUPPORT OF THIS CONCEPT WE MOVED
TO THIS WITH THE CAL AYMAN
REALLY ACKNOWLEDGE THIS IS A
PROFESSOR OF SOCIAL WORK TWENTY
THINGS I TAUGHT ALL THE TIMES WE
NEED TO HAVE THE SOCIAL AND A
PHYSICAL ENVIRONMENT IN ORDER
FOR ANYBODY TO REACH THEIR FULL
POTENTIAL. THIS MAKES TOTAL
SENSE- BUT THOSE TOOLS ARE STILL
BEING PROCESS WITH BATCH HE
TRIED TO PUT TOGETHER WORKING
GROUP TO BE ABLE TO STANDARDIZE
SOME OF THIS AS WE CONTINUE TO
CUSTOMIZE IT SO WE CAN REALLY
GET. THE CARE TO THE RIGHT
PEOPLE AT THE RIGHT TIME YEAH
THE NEW YORK SOMETHING. OKAY
OTHER QUESTIONS COME FROM THE
CAN MEMBERS OKAY WOULD YOU LIKE
TO CLOSE ELIMINATED THINK THAT
CAN RHYS I FOR YOUR I. VOEPEL
THANK YOU VERY MUCH- IMPORTANT
BILL AND WILL CLOSE WE'LL DO
THAT WHEN WE GET A CALL.
THINKING MUCH YOU HAVE ANOTHER
ONE BEFORE US. I. TO DEALING
WITH MEDICARE REIMBURSED FOR
BONE OR- YES. OOPS I'M HERE AT
PRESENT AB FOR SEVEN WHICH
UPDATE THE MEDIC HOW. FOR
ABORTION MEDICAID. MEDICATION IS
. AND EFFECTIVE METHOD TERMINATE
A PREGNANCY AND IS PREFERRED BY
MANY PEOPLE WHO OBTAIN
ABORTIONS. SINCE THE U. S. FOOD
AND DRUG ADMINISTRATION FIRST
APPROVED THE DRUG FOR MEDICATION
PORTION TWO THOUSAND IT'S USE IS
GROWING SUBSTANTIALLY. AND IN
TWENTY TWENTY ONE HALF OF
ABORTIONS IN THE UNITED STATES
FOR MEDICATION ABORTION.
CURRENTLY MEDICARE ONLY COVERS
MEDICATION PORTION FOR UP TO
SEVENTY DAYS TO STATION. YET A
TWENTY NINETEEN STUDY
DEMONSTRATED THAT MEDICATION
ABORTION FOR PREGNANCIES BETWEEN
SEVENTY ONE AND SEVENTY SEVEN
DAYS WITH SAFE AND EFFECTIVE. AS
A REGIMEN IS FOR SIXTY FOUR TO
SEVENTY DAYS. THERE OVER EIGHT
MILLION WOMEN ELIGIBLE FOR MEDI
CAL IN THE STATE WHO HAVE MORE
LIMITATIONS ON OUR ACCESS TO THE
ABORTION PILL THAN THOSE IN THE
PRIVATE INSURANCE MARKET. FOR
THOSE REASONS AB FIVE SEVEN SIX
WOULD REQUIRE THE DEPARTMENT OF
HEALTH CARE SERVICES BY MARCH
FIRST TWENTY TWENTY FOUR. TO
REVIEW AND UPDATE MEDICARE
COVERAGE POLICIES FOR MEDICATION
ABORTION TO ALIGN WITH CURRENT
EVIDENCE BASED CLINICAL
GUIDELINES. AFTER INITIAL VIEW
THE BILL WOULD REQUIRE THE
DEPARTMENT TO UPDATE ITS MEDICAL
COVERAGE POLICIES FOR MEDICATION
ABORTION AS NEEDED TO ALIGN WITH
CLINICAL GUIDELINES. THIS BILL
WOULD ALSO REQUIRE THE
DEPARTMENT ALLOW FOR FLEXIBILITY
OF PROVIDERS TO EXERCISE THEIR
CLINICAL JUDGMENT WHEN SERVICES
ARE PERFORMED. BY EXTENDING THE
TIME THAT A PREGNANT INDIVIDUAL
CAN RECEIVE ABORTION MEDICATION
UNDER MEDIC CAL WE ARE ALLOWING
FAMILIES TO MAKE THE FAMILY
DECISION. PLANNING THAT IS MOST
APPROPRIATE FOR THEIR LIFE. THIS
BILL IS BY BY ESSENTIAL HEALTH
THE NATIONAL HEALTH LAW PROGRAM
AND THEY WERE ALL PRO CHOICE
CALIFORNIA AND PLANNED
PARENTHOOD AFFILIATES OF
CALIFORNIA. HERE TO TESTIFY WITH
ME TODAY IS MOLLY ROBSON WITH
PLANNED PARENTHOOD AFFILIATES OF
CALIFORNIA. AND DR- PARDEE II.
TOTALLY ACCEPT THAT RIGHT
PROFESSOR OF OBSTETRICS AND
GYNECOLOGY AND REPRODUCTIVE
SCIENCES AT UC SAN FRANCISCO.
THANK YOU VERY MUCH IT'S ZERO
NAME HERE THANK YOU. GOOD
AFTERNOON CHAIR ADMIN AND
MEMBERS I AM DOCTOR OF SMOKE HOW
THE I. PROFESSOR AND PUBLIC
HEALTH SCIENTIST AT UNIVERSITY
OF CALIFORNIA SAN FRANCISCO. I'M
HERE TODAY IN SUPPORT OF
ASSEMBLY BILL FIVE SEVEN SIX
WHICH REQUIRES. DH CS TO UPDATE
THEIR BILLING POLICY FOR
MEDICATION ABORTION TO REFLECT
EVIDENCE BASED RESEARCH CLINICAL
GUIDELINES AND DESPITE THE
DISCRETION OF THE CLINICAL
PROVIDER. MEDICATION ABORTION
HAS TAKEN ON A PIVOTAL ROLE IN
ABORTION CARE IN THE WAKE OF THE
TOP SUPREME COURT DECISION. IT
NOW MAKES UP WELL OVER HALF OF
ALL ABORTIONS NATIONALLY. FOR A
LONG TIME MEDIC HEALTH POLICY
REQUIRED TO ULTRASOUNDS FOR
REIMBURSEMENT. I ANALYZED
MEDICARE DATA ON OVER ELEVEN
THOUSAND MEDICATION ABORTION
PATIENTS AND FOUND THAT THEY
WERE ROUTINELY REQUIRED TO MAKE
RETURN VISITS FOR POST ABORTION
ULTRASOUND WHEN MOST PROVIDERS
ACROSS THE REST OF THE COUNTRY.
HAVE LONG STOPPED REQUIRING THIS
UNNECESSARY IN PERSON FOLLOW UP
VISIT. PATIENTS TOO OFTEN
RECEIVE THE CARE THAT WILL BE
REIMBURSED RATHER THAN THE CARE
THAT THEY ACTUALLY NEED. BASED
ON THE BEST MEDICAL EVIDENCE.
ADDITIONALLY STUDIES SHOW THAT
MEDICATION ABORTION IS EXTREMELY
SAFE AND EFFECTIVE THROUGH THE
FIRST TRIMESTER UP TO TWELVE
WEEKS OF PREGNANCY AND THIS IS
ENDORSED BY THE WORLD HEALTH
ORGANIZATION GUIDELINES. YET
MEDICARE REIMBURSES ONLY UP TO
TEN WEEKS OF PREGNANCY. THE NEW
UCSF STUDY FOUND THAT OVER ONE
THIRD. OF ABORTION PROVIDERS
ACROSS THE COUNTRY CURRENTLY
OFFER MEDICATION ABORTION CARE
BEYOND TEN WEEKS WITH AN
ADDITIONAL DOSE OF MESOPROSTIL A
MEDICATION ABORTION BETWEEN NINE
AND TWELVE WEEKS IS JUST AS
EFFECTIVE AS EARLIER IN
PREGNANCY. SCIENCE IS
CONTINUALLY EVOLVING AND I WANT
MEDICAL MEMBERS TO AVAIL OF THE
LATEST EVIDENCE BASED CARE. I AM
PROUD TO BE HERE IN SUPPORT OF
AB FIVE SEVENTY SIX AND
RESPECTFULLY URGE YOU YOUR
SUPPORT ON THIS BILL TODAY THANK
YOU THANK YOU VERY MUCH. NEXT
PERSON TROOPS. AFTER MY ROPES
AND WITH HIM CURRENT AFFILIATES
COLOR WE REPRESENT THE SEVEN
AFFILIATES IN THE STATE OFFER A
SEXUAL REPRODUCTIVE HEALTH CARE
THROUGH OVER A HUNDRED AND TEN
HEALTH CENTERS IN CALIFORNIA.
MEDICATION ABORTION IS A
PREFERRED METHOD FOR ENDING A
PREGNANCY IT HAS BEEN FOR THE
LAST TWO DECADES AND AT PLANNED
PARENTHOOD HEALTH CENTERS MORE
THAN 70% OF PATIENTS SEEKING
ABORTION END UP RECEIVING A
MEDICATION ABORTION. BY
EXTENDING THE WINDOW AND WATCH
MEDICATION ABORTION WOULD BE
AVAILABLE JUST TO BE IN LINE
WITH CLINICAL GUIDELINES AN
ADDITIONAL 10% OF PLANNED
PARENTHOOD PATIENTS WOULD BE.
ABLE TO CHOOSE MEDICATION VERSUS
BEING KIND OF FORCED INTO A-
CLINIC PROCEDURAL ABORTION FOR
THIS BILL REALLY WILL ADDRESS
UNNECESSARY BARRIERS TO CARE AND
ADDRESS KIND OF EQUITY GAPS IN.
COVERAGE BETWEEN MEDICARE AND
PRIVATE INSURANCE SO AS SUCH
WOULD RESPECTFULLY REQUEST YOUR
SUPPORT ON THIS BILL TODAY THANK
YOU THANK YOU VERY MUCH OKAY NOW
THE TIME IS FOR PEOPLE SPEAKING
IN GENERAL SUPPORT TO COME
FORWARD. NAME IN A PHILLY. WE
ASSUME YOU'RE SPEAKING INTO.
TAYLOR JACKSON WITH CALIFORNIA
HEALTH PLUS ADVOCATES HERE IN
STRONG SUPPORT. TIFFANY MATTHEWS
ON BEHALF OF ATTORNEY GENERAL
ROB BONTA IN SUPPORT. TASIA
WHAT'S WITH THE CALIFORNIA HAD
TO BE A FAMILY PHYSICIANS IN
SUPPORT. RENDON MARTINEZ THE
CALIFORNIA MEDICAL ASSOCIATION
IN SUPPORT. HELLO GENESIS
GONZALEZ ON BEHALF OF LIEUTENANT
GOVERNOR LINEKER LAKIS IN
SUPPORT THANK YOU. PRICE SPENCER
AMERICAN COLLEGE OF OBGYN
STRYCHNINE IN SUPPORT. YOU MUST
PER PROP COSPONSORED CENTER
ACCESS HEALTH IN SUPPORT.
KARAWANG ABOVE THE CITY AND
COUNTY OF SAN FRANCISCO IN
SUPPORT. CAN STOP A BEHALF OF
NARAL PRO CHOICE CALIFORNIA
PROUD SPONSOR THE BILL AS WELL
AS THE CALIFORNIA NURSES
ASSOCIATION STRONG SUPPORT THANK
YOU. DESCRIBE FAMILY MEDICINE
PHYSICIAN REPRESENTING MYSELF
AND SUPPORT THANK YOU. MUDDIED
UP AS CALIFORNIA NURSES
ASSOCIATION IN SUPPORT THANK YOU
VERY MUCH OKAY NOW THOSE
SPEAKING IN OPPOSITION TO THE
BILL MACOMB FORTY THIS POINT.
YEAH COMMITTEE MEMBERS I AM SO
FEEL LAURIE AND I WITH
CALIFORNIA FAMILY COUNCIL AB
FIVE SEVENTY SIX WOULD REQUIRE
TAXPAYERS MEDICAL FUNDING TO
FULLY REIMBURSE PROVIDERS FOR
MEDICATION ABORTIONS UP TO
SEVENTY SEVEN DAYS JUST STATION.
WHEREAS IT CURRENTLY COVERS
SEVENTY DAYS THE FDA HAS GRANTED
APPROVAL FOR THE USE OF ABORTION
MEDICATION UP TO SEVENTY DAYS OF
JUST STATION. IS IMPORTANT TO
NOTE REGARDING EIGHTY FIVE
SEVENTY SIX THAT THE FDA DOES
NOT APPROVE THE ADMINISTRATION
FOR CONSUMPTION OF ABORTION
MEDICATION AFTER SEVENTY DAYS OF
JUST STATION. LET'S WALK THROUGH
ABORTION MEDICATION DOES. A
MEDICAL ABORTION IS DONE BY
TAKING TWO PILLS MIFEPRISTONE
AND MISOPROSTOL. MIFEPRISTONE
CHEMICALLY STAR OF THE
PRETERNATURAL OF PROGESTERONE
WHICH BECAUSE THE PLACENTA TO
DEGENERATE SO THAT IT CAN NO
LONGER PROVIDE OXYGEN AND
NUTRIENTS TO THE CHILD. THE
WOMAN THEN TAKES MESOPROSTIL
WITHIN TWENTY FOUR TO FORTY
EIGHT HOURS CAUSING SEVERE
CRAMPING CONTRACTIONS AND OFTEN
HEAVY BLEEDING TO EXPEL THE DEAD
BABY OUT OF A WOMAN'S UTERUS
USUALLY ON HER OWN SITTING OVER
A TOILET. THROUGH THIS BILL
MEDICARE WILL BE FORCED TO PAY
FOR ABORTION MEDICATION UP TO
ELEVEN WEEKS OF A PREGNANCY. SO
LET'S WALK THROUGH WHAT THE
FIRST ELEVEN WEEKS OF A
PREGNANCY LOOKS LIKE. BY THREE
WEEKS AND ONE DAY A BABY'S
HEARTBEAT CAN BE DETECTED.
BETWEEN FIVE TO SIX WEEKS THE
BABY'S LUNG AND DIGESTIVE SYSTEM
START FORMING IN BRAIN ACTIVITY
CAN BE RECORDED. AT NINE WEEKS
THE BABY CAN SUCK THEIR THEM
SIDE AND STRETCH. AT TEN WEEKS A
BABY IS ABOUT AN INCH AND A
QUARTER LONG ALL VITAL ORGANS
ARE IN PLACE AND THEIR TEETH ARE
STARTING TO HARDEN AND CONNECT
TO THEIR CHILD ON. EVERY
MEDICATION ABORTION. ENDS AND AT
LEAST ONE PERSON DEAD. SINCE TWO
THOUSAND FIVE POINT SIX MILLION
UNBORN CHILDREN HAVE DIED FROM
ABORTION MEDICATION. SINCE TWO
THOUSAND TWENTY EIGHT WOMEN HAVE
DIED FROM ABORTION MEDICATION.
THIS IS NOT MISINFORMATION THIS
COMES DIRECTLY FROM THE US FOOD
AND DRUG ADMINISTRATION. THE FDA
HAS ALSO REPORTED THAT SINCE
200-010-0040 EIGHT WOMEN HAVE
BEEN HOSPITALIZED SIX HUNDRED
AND FOUR WOMEN HAVE EXPERIENCED
BLOOD LOSS REQUIRING
TRANSFUSIONS. AND FOUR HUNDRED
FOURTEEN WOMEN HAVE EXPERIENCE
INFECTIONS ALL DUE TO ABORTION
MEDICATION. AND WHILE I DO NOT
HAVE TIME TO DIVE INTO THIS I DO
WANT TO NOTE THAT CURRENTLY
THERE IS A CASE BEFORE FEDERAL
COURTS WHICH COULD LEAD TO THE
CORE ORDERING THE FDA TO
WITHDRAW ALL THESE DANGEROUS
CHEMICAL ABORTION DRUGS FROM THE
MARKETS. DUE TO THE CURRENT CASE
IN THE PHYSICAL HARM THAT
ABORTION MEDICATION CAUSES TO
WOMEN TAXPAYERS MEDICAL FUNDING
TO FULLY REIMBURSE PROVIDERS FOR
MEDICATION ABORTIONS SHOULD NOT
EXIST AT ALL LET ALONE BE
INCREASED TO SEVENTY SEVEN DAYS
JUST STATION. I URGE A NO VOTE
ON EIGHTY FIVE SEVENTY SIX THANK
YOU. THANK YOU ANYBODY ELSE
SPEAK IN OPPOSITION TO THIS BILL
TODAY. ANYWAY JUST WANT TO SAY
NO TO THIS BILL TODAY OKAY
SEEING NONE. BRING IT BACK TO
THE COMMITTEE. THANK I THINK WE
HAVE NO COMMENT DOCTOR WOULD
YOU- TELEPHONE TELEPHONE THANK
YOU. I WAS GOING TO THE
TELEPHONE LINES. WERE THE COLORS
. THANK YOU YES SIR FOR SUPPORT
OPPOSITION OF AB FIVE SEVEN SIX
PLEASE PRESS ONE THEN ZERO AT
THIS TIME. PHOTO LINE THREE SIX
THREE. PLEASE. THREE SIX THREE
EUROPEN. NO RESPONSE. LINE.
THREE NINE TWO. HI MY NAME IS
WENDY PALLOT TEACHING ANOTHER
AND AFTER BEING AND IRIS OPPOSE
THE BILL. THANK YOU. LINE. NINE
EIGHT. HELLO THE NATIONAL
TEACHING CULTURE WHERE. IN
CHAPTER STRONG BUT THE. THANK
YOU. YES COLOR FINE WAIT. TWO
EIGHT FIVE. GABRIELLE A FOUNDER
SAM SECOND CAPPING STRONGLY
OPPOSES BILL THANK YOU. MY THREE
ZERO. WHEN THE RICH BLASTER
COUNTY I STRONGLY OPPOSE. EIGHTY
SIX FIFTY NINE. FOR TIPS OKAY
WE'RE NOT WE'RE NOT THERE
ANYMORE THANK YOU NEXT CALLER
PLEASE. THE BLIND THREE SO
EIGHT. HEATHER KELLER FROM
SACRAMENTO COUNTY AND OPPOSED
THE BILL. THANK YOU THANKS COLOR
BLIND. THREE NINE SIX. AND HERE
IN THE BEGINNING L. A. COUNTY
NIGHT OF THIS BILL. THANK YOU
MEXICO'S FLY. TWO ZERO THREE.
NINE SEVEN EIGHT COUNTY AND I
OPPOSE A BILL EXCUSE RESEARCH
OPPOSING- FIVE SEVEN SIX OKAY
THANK YOU NICE COLOR PLEASE.
OKAY ONE MOMENT PLEASE OR- THE
GO TO LINE. THREE SIX THREE- MY
NAME IS ANDREA AND MY
AFFILIATION IS A MOTHER OF FOUR
WHO HAS HAD TO THE BIRTH DOWN
THE PROPOSAL FOR. AND I AM PRO
CHOICE AND I OPPOSE BUILDING
BILL THANK YOU VERY NEXT PLEASE
. LINE. THREE ZERO. BARCLAYS. AT
LINE FOUR HUNDRED. YES HI MY
NAME IS MARGARET BOILS AND I AM
FROM A LOS ANGELES JOHNNY AND I
ARE BOTH THIS BILL IS THE
PORTION IS A LIFE THREATENING
THANK YOU VERY MUCH AND OTHER
PLEASE. GREAT LINE. THREE ZERO
THREE. BY LINDA RICH CULTURE
COUNTY I'M SORRY AT THE WRONG
NUMBER I OPPOSE AB FIVE SEVEN
SIX. THANK YOU NICE COLOR PLEASE
. SACRAMENTO NO FOR THE COMMENTS
THANK YOU AT THIS TIME THANK YOU
VERY MUCH THAT WOULD BE THE TIME
TO BRING IT BACK TO THE
COMMITTEE SCENERY WISHING TO
COMMENT DR WEBER WOULD YOU LIKE
TO CLOSE. EVERY SINGLE DAY
MATTERS WHEN MAKING SUCH A MAJOR
DECISION AND THE DECISION SHOULD
NOT BE DEPENDENT ON WHETHER AN
INDIVIDUAL HAS THE FUNDS. TO
COVER THIS MEDICATION- I
RESPECTFULLY ASK FOR YOUR IPHONE
THANK YOU OKAY THANK YOU MUCH
SISTERS ENJOY A DUE PASS
RECOMMENDATION AND WILL ONLY GET
A QUORUM. WHEN YOU FROM YOUR
SERVICE. SEVENTY SEVENTY
SOMETHING. THANK YOU THANK YOU
THANK YOU. FOR ALL RIGHT. DR
WOULD YOU UP NEXT AB TWO FOUR
TWO WHICH IS A DEEP REFER TO CA
ON A PER. WELCOME GET RID OF
SOME SENSE. ALTHOUGH I LOVE
SUNSETS ARE PRETTY. BUT CERTAIN
RIGHTS TO. YEAH WITH A YOU MADAM
CHAIR IN MEMBERS- AB TWO FORTY
TO ALLOW THE FIVE YEARS SINCE ON
A PER BILL OF MINE A TWENTY
FOUR. MITCHELL FEDERALES.
CRITICAL ACCESS HOSPITALS TO
PLAY PHYSICIANS AND BE ABLE TO
BILL FOR THERE'S PROFESSIONAL
SERVICES CRITICAL ACCESS
HOSPITALS ARE OFTEN REFERRED TO
AS FRONTIER HOSPITALS BECAUSE
MOST OF THEM ARE LOCATED IN
REMOTE RURAL AREAS. THERE THIRTY
FOUR SUCH HOSPITALS IN THE STATE
AND THEY ALL HAVE TWENTY FIVE OR
FEWER BEDS FOR THESE HOSPITALS
ARE SMALL THEY PROVIDE CRITICAL
SERVICES AND VALUE TO THEIR
COMMUNITIES WITHOUT THESE
HOSPITALS WOULD HAVE TO DRIVE
MANY MILES BEFORE REACHING
ANOTHER HOSPITAL. FOR THE ISSUES
I CONTINUE TO HEAR THROUGHOUT MY
DISTRICT IS HOW DIFFICULT IT IS
TO RECRUIT PHYSICIANS. SIX OF
THESE HOSPITALS ARE IN MY
DISTRICT IT'S IMPORTANT POINT
OUT THAT IT CONTINUED SUNSET
CREATES UNCERTAINTY PHYSICIANS
WHO MAY BE SEEKING EMPLOYMENT
AND WHETHER THE LENGTH OF
EMPLOYMENT COULD END ABRUPTLY.
FIVE SUNSET. LIMITED HEALTHCARE
PROVIDER MYSELF ANDERSON AND THE
CONCERNS OF THE MEDICAL
COMMUNITY ABOUT WHETHER ALLOWING
HOSPITALS TO EMPLOY PHYSICIANS
WILL CHANGE THE NATURE OF THE
PHYSICIAN'S CLINICAL DECISION.
HOWEVER THE OPPORTUNITY FOR
THESE HOSPITALS HIRE PHYSICIANS
HAS NOT BEEN PILOTED TWO TIMES
WITH NO NEGATIVE FEEDBACK AND
THE MEDICAL BOARD IS NEUTRAL ON
THE BILL. AB TWO FORTY TWO IS A
MODEST BILL PROVIDES A LIMITED
EXEMPTION FOR THOSE HOSPITALS
MOST AT RISK OF CLOSING THEIR
DOORS AT THE CAMP FROM. FIGURE
OUT A WAY TO ADDRESS OUR
HOSPITALS PHYSICIAN STAFFING
NEEDS. IN SUPPORT OF THE MEASURE
TODAY IS SERRA BRIDGES WITH THE
CALIFORNIA ASSOCIATION OF HEALTH
CARE DISTRICTS. I RESPECTFULLY
ASK RIVAL. THANK YOU VERY MUCH
IS PRODUCED. THANK YOU I THANK
YOU MADAM CHAIR AND MEMBERS
THEIR BRIDGE ON BEHALF OF THE
ASSOCIATION CALIFORNIA
HEALTHCARE DISTRICTS HERE AM
PROUD SUPPORT OF ASSEMBLY BILL
TWO FORTY TWO. I DISTRICT
HOSPITALS MAKE UP OVER HALF OF
THE CRITICAL ACCESS HOSPITALS IN
THE STATE OF CALIFORNIA. AS THE
ASSEMBLY MEMBER MENTIONED THESE
HOSPITALS THE WITH THE CRITICAL
ACCESS DESIGNATION ARE SOME OF
THE MOST RURAL AND REMOTE IN THE
STATE WITH TWENTY FIVE OR FEWER
BEDS MAKING THEM THE SOME OF THE
SMALL EXT. THE CIVICALLY AB TWO
FORTY TWO MAKES THE PILOT
PROGRAM ESTABLISHED IN TWENTY
SIXTEEN ALLOWING THESE CRITICAL
ACCESS HOSPITALS DIRECTLY
EMPLOYED PHYSICIANS. PERMANENT
WITHOUT THIS BILL COME JANUARY
ONE TWENTY TWENTY FOUR HOSPITALS
THAT HAVE UTILIZED THIS PROGRAM
WILL HAVE TO TRANSITION THEIR
EMPLOYED PHYSICIANS TO THE
CONTRACTING MODEL. WHICH MEANS
THEY WILL WHICH MOST CERTAINLY
WILL RESULT IN THE LOSS OF THOSE
POSITIONS. RURAL CRITICAL ACCESS
HOSPITALS HAVE AN INCREDIBLY
DIFFICULT TIME RECRUITING AND
RETAINING PHYSICIANS TO THEIR
AREAS. THIS IS FOR A NUMBER OF
REASONS INCLUDING LOCATION AND
LACK OF OTHER FACILITIES AND
HIGH MEDIKAL AND MEDICARE
NUMBERS- THIS PILOT PROGRAM HAS
PRODUCED EXCEPTIONALLY STRONG.
RETENTION ALLOWED FOR THE YLIDES
RECRUIT YOUNG POSITION COMING
OUT RESIDENTS. AND FELLOWSHIP.
IN TOUCH SIGNS OF AND HAS SHOWN
NO SIGN OF AN- IF IT'S- A BILL.
TO MAKE. A DECISIONS FOR THEIR
PATIENTS. NOTABLY THE TAHOE
FOREST HEALTH CARE SYSTEM IN
DISTRICT HOSPITAL LOCATED IN
TRUCKEE HAS SUCCESSFULLY
RECRUITED FIFTY FOUR PHYSICIANS
UNDER THIS PILOT PROGRAMS TO
THEIR REGION OF THE STATE.
SOMETHING THAT WOULD NOT HAVE
BEEN POSSIBLE WITHOUT THE
EMPLOYMENT MODEL. THOSE
HOSPITALS THAT HAVE NOT YET USE
THIS TOOL. THANK THEIR NUMBER
ONE CONCERN IS THE PILOT PROGRAM
AND THE UNWILLINGNESS OF DOCTORS
TO ENJOY AN EMPLOYMENT MODEL IF
THE THREAT OF THAT ARE. UNDER
THE START OF THE LOOMING SONS. I
WANT TO THANK DOCTOR WOULD FOR
HIS LEADERSHIP IN THIS AREA AND
IT WAS IT IS WITHOUT A DOUBT
THAT EIGHTY TWO FORTY TWO WILL
PRESERVE ACCESS TO CARE AND
RURAL CALIFORNIA. IS FOR THOSE
REASONS RESPECTFULLY ASK FOR
YOUR IPHONE THANK YOU THANK YOU
VERY MUCH OF THE SPEAKING IN
SUPPORT COMFORT AT THIS TIME.
GOOD AFTERNOON MADAM CHAIR AND
MEMBERS COUNTY DELGADO BEHALF
THE DISTRICT HOSPITAL LEADERSHIP
FORUM IN SUPPORT THANK YOU. IT
HANNEMANN ON BEHALF THE
CALIFORNIA SPECIAL DISTRICTS
ASSOCIATION IN SUPPORT THANK YOU
THANK YOU. GOOD AFTERNOON KAREN
COMMITTEE MEMBERS VANESSA
GONZALEZ WITH A CALIFORNIA
HOSPITAL INTO ASSOCIATION IN
SUPPORT THANK YOU THANK YOU VERY
MUCH. THE SPEAKER IN OPPOSITION
NOW WOULD BE THE TIME TO COME
FORWARD. MADAM CHAIR MEMBERS
THEY CAN MEET BRANDON MARCH WITH
THE CALIFORNIA MEDICAL
ASSOCIATION VERY HAPPY TO BE
CHANGING UP MY SPIEL- FOR THIS
BILL AND ON THIS SUBJECT- WE
GREATLY APPRECIATE THE
CONVERSATION THAT WE HAVE HAD
THE VERY PRODUCTIVE
CONVERSATIONS WE'VE HAD WITH THE
AUTHOR. ON THIS TOPIC- WE ARE
STILL IN AN OPPOSE UNLESS
AMENDED POSITION BUT HAVING.
THOSE CONVERSATIONS AND
HOPEFULLY AS THE REPORT COMES
OUT IN. JULY THE NEXT COUPLE OF
DAYS WE LOOK FORWARD TO REMOVING
OUR OPPOSITION SOON. THANK YOU
VERY MUCH MISTER MARCHI. OTHER
SPEAKING IN OPPOSITION TODAY
COMPORT IF NOT LET US PAUSE FOR
A MOMENT WHILE WE CALL THE ROLL
. SENATORS EGGMAN EGGMAN HERE.
WE WHEN HERE GLAZER. GONZALEZ
ROW. GROW HERE OUR TOP. RAMON
THE HERE MEANT. MENJIVAR HE ROSS
. ROSS HERE RUBIO. WAHAD WINNER
. PRESIDENT WINNER PRESENT. WITH
AT SEVEN WE HAVE A QUORUM. THANK
YOU ALL RIGHT NOW WE'RE IT BACK
TO THE- QUESTIONS COMMENTS FOR.
THIRTY WITH- PHONE CALLS. PHONE
CALLS DON'T DO IN ASSEMBLY MARK
. OKAY LET'S GO TO PHONE LINES.
THE COLORS ARE NOT. YES SUPPORT
OPPOSITION OF AB TWO FOUR TWO.
PRESS ONE AND ZERO. THOUGHT FIND
. THREE EIGHT SEVEN. THREE EIGHT
SEVEN YOUR LINE IS OPEN. BUT NO
RESPONSE FROM THAT LINE FIVE
FOUR ZERO FIVE PLEASE GO AHEAD.
THE NAME IS LINDA. AND AYE
OPPOSED TO BILL. OKAY THANK YOU
SIX CODE. A GOOD LINE THREE
SIXTY THREE. HI MY NAME ANDREW
HAVE DROPPED BY THE BILL A BOY
THE GUY Q. VERY AND I CALLING
PLEASE. FRIEDMAN SHARED NO THE
CAR THANK YOU AT THIS TIME THANK
YOU FOR MUCH AND I WOULD THE
TIME WE WOULD IT BACK TO THE
CENTER. GROVE THANK YOU MADAM
CHAIR AND I JUST WANT CHANGE THE
FOR BRING THIS BILL FORWARD SOME
READ REAL. AND HAVING- A MODEL
WHERE AS YOU KNOW HOSPITAL OR
MEDICAL PROVIDERS DOCTORS DON'T
HAVE TO PROVISIONAL IN A SMALL
COMMUNITY BUT CAN HAVE A PLACE
IN THE HOSPITAL TO OPERATE TO
PROVIDE SERVICES ESPECIALLY TO A
LOT YOU KNOW I REPRESENT 70% OF
THE MEDICARE POPULATION TAKES A
SPECIAL DOCTOR TO GET PAID LESS
THAN WHAT. YOU KNOW THERE'S PUT
NOW IN- I JUST I APPRECIATE THE
BILL AND I LOOK. FORWARD TO
MOVING IT AT THE APPROPRIATE
TIME. THANK YOU. HELLO OKAY
WOULD YOU LIKE TO CLOSER I JUST
RESPECTFULLY ASK FOR AN AYE VOTE
OKAY- I THINK IT'S A GOOD BILL
IMPORTANT ISSUE HOW MANY
CRITICAL ACCESS HOSPITALS YOU.
AVENUE DISTRICT SIX OF THE
THIRTY FOUR AND MY DISTRICT OKAY
ALL RIGHT- OKAY- WE HAVE A
MOTION BY SENATOR GROVE
SECRETARY IF YOU COULD PLEASE
CALL THE ROLL THE MOTIONS TO
PASS AND REFERRED TO THE
COMMITTEE ON APPROPRIATIONS.
SENATORS EGGMAN FIVE EGGMAN AYE
WHEN I. WHEN I GLAZER. GONZALEZ
BOTH. GROVE I FURTADO. LIMÓN HI
THE MON I MEANT OF OUR- BINGE OF
OUR AYE ROTH FIVE ROTH. RUBIO
WHAT. WIENER WIENER AYE. SEVEN
EIGHT SEVEN- WE HOLD THE
ROLLOVER FOR ABSENT. VERY MUCH
YEAH I'M SURE I DO HAVE A BILLS
I WAS ASKED IF FOR. OF MEMBER WE
- YOU WANT ME TO COME FOR. GO
AHEAD SIR OF THANK YOU. I THINK
VERY MUCH MADAM- I'M HERE TO- AB
TEN FORTY EIGHT FOUR ASSEMBLY
MEMBER WICKS OKAY- FIRST I WANT
TO ACCEPT THE COMMITTEES
AMENDMENTS THIS IS NOT MY
STATEMENT SO OKAY SOUND LIKE ME
AT ALL. RIGHT BUT IT'S REALLY
GOOD OKAY ARE YOU LIKE A
HURRICANE RIGHT. OKAY AND I
THINK AND THANK YOU JUST ENJOYED
YOU PASS A GOOD- MAYBE SEE IF I
CAN IT THE- HE EVEN IN A STATE
THAT IS IN THE FOR BLACK. ACT
ANALYSTS ARE PLANS OF OPERATE-
WE MUCH LESS OVERSIGHT. AND
SERVICE HEALTH PLANS PRETTY GOOD
FOR EXEMPTION ALLOWED DOWN PLANS
FOR PATIENT BENEFITS WITH HARPER
WAITING PERIODS THAT I COVERAGE
OF PRE CONDITIONS. AND INCREASED
PATIENT PREMIUMS WITHOUT
INCREASING BENEFITS IS EXHIBITED
AS A CRITICALLY OF HURT PATIENTS
DENIED COVERAGE. DUE TO- WERE
PREVENTED FROM RECEIVING
MEANINGFUL VALUE FOR THEIR FOR
THEIR DENTAL PREMIUMS ESPECIALLY
IMPORTANT AS OUT OF POCKET
EXPENSES FOR DENTAL SERVICES ARE
CONTINUALLY RISING 16% ALONE IN
TWENTY TWENTY ONE. THE NEW HOW
CALIFORNIA HEALTH CARE
FOUNDATION SURVEY FOUND 38%
CALIFORNIANS HAVE A FAMILY
MEMBER WHO SKIPPED DENTAL CARE
LAST YEAR DUE TO HIGH COST IS A
50% ALMOST 90% OF. OF MEDICAL
PATIENTS GET FOR THE SAME FOR
THE SAME VERY SAME REASON SO AS
AMENDED- AB TEN FORTY EIGHT WILL
ESTABLISH A STATE ESSENTIAL
PATIENT PROTECTIONS AND CREATE
ACCOUNTABILITY THROUGH
PROHIBITING LARGE GROUPS. OF
DENTAL PLANS- FROM IMPLEMENTING
ARBITRARY WAITING PERIODS ON
PATIENTS PROHIBITING DENTAL
PLANS FROM DENYING CLAIMS
RELATED TO PRE EXISTING
CONDITIONS. AND REQUIRED AN
ANNUAL REVIEW OF DENTAL PLAN
PREMIUM RATES- I THINK AT THIS
POINT I WILL- ASKED WE HAVE A
COUPLE OF WITNESSES IN SUPPORT
WITH HERE TODAY. DR STEPHANIE
SEND READY THE FORMER CHAIR OF
THE GOVERNMENT AFFAIRS COUNSEL
FOR THE CALIFORNIA DENTAL
ASSOCIATION. AND JESSICA MORAN
LEGAL- LEGISLATIVE ADVOCATE. FOR
THE CALIFORNIA DENTAL
ASSOCIATION. WELCOME THANK YOU
THANK YOU DOCTOR WOULD I GET A-
CHAIR AT MEMBERS MY NAME IS
STUFF SANDRA. I'M HERE TODAY'S
ABOUT OF THE CALIFORNIA DENTAL
ASSOCIATION AND ARE TWENTY SEVEN
THOUSAND MEMBERS THROUGHOUT THE
STATE IN SUPPORT OF AB TEN FORTY
EIGHT. AS THE OWNER OF TO DENTAL
PRACTICES HERE IN THE SACRAMENTO
AREA I REGULARLY COME ACROSS
COUNTLESS PATIENTS STORIES OF
THOSE WHO CHOOSE TO FORGO DENTAL
CARE. EVEN WHEN THEY HAVE DENTAL
INSURANCE PATIENTS OFTEN FIND
THEMSELVES IN SITUATIONS WHERE
THEY'RE UNABLE TO COVER THE OUT
OF POCKET COST OF CARE OR HAVE
CLAIMS DENIED BY THEIR DENTAL
INSURANCE. FOR EXAMPLE DENTAL
INSURANCE PLANS CAN IMPOSE
WAITING PERIODS ON PATIENTS IN
WHICH THEY WILL NOT COVER
SERVICES SUCH AS FILLINGS ROOT
CANALS DEEP CLEANINGS. OR CROWNS
FOR SIX TO TWELVE MONTHS UPON
GAINING COVERAGE DESPITE THE
PATIENTS PAYING FOR THEIR
MONTHLY PREMIUMS. WHEN I SEE A
PATIENT FOR A CONFERENCE EXAM
DIAGNOSE GUM DISEASE IT IS
INCREDIBLY DISHEARTENING WHEN WE
FIND OUT THAT THE PATIENT WILL
NOT HAVE COVERAGE FOR UP TO A
YEAR. FOR THAT TREATMENT. THIS
WILL LEAD TO PERMANENT DAMAGE TO
THEIR GOVERNMENT BONE. AB TEN
FORTY EIGHT WILL CODE WOULD
PROHIBIT DENTAL INSURANCE PLANS
FROM IMPOSING WAITING PERIODS ON
ENROLLEES IN THE LARGE GROUP
MARKET. DENTAL INSURANCE PLANS
CAN ALSO DENY CLAIMS FOR
ENROLLEES WITH PRE EXISTING
CONDITIONS. THIS IS WHEN A
DENTAL PLAN WILL NOT COVER
BRIDGES PARTIAL DENTURES OR
IMPLANTS FOR IT TOO THOUGHT WAS
LOST BEFORE AN ENROLLEE STARTED
COVERAGE WITHOUT SPECIFIC PLAN.
FOR EXAMPLE I HAD A PATIENT WHO
HAD AN EXISTING BRIDGE. SHE
DEVELOPED A K. AND THE INSURANCE
DENIED THAT REPLACEMENT BECAUSE
SHE HAD A MISSING TOOTH CLAUSE
UNDER HER. PLAN I WAS DIFFICULT
FOR US TO COLLECT MONEY FROM NOT
BECAUSE WE HAD ESTIMATED THAT
THE INSURANCE WOULD COVER BUT
DESPITE THAT MISSING TOOTH
CLAUSE. IT WAS DENIED. AB TEN
FORTY EIGHT WOULD PROHIBIT
DENTAL INSURANCE PLANS FROM
DENYING CLAIMS DUE TO PRE
EXISTING CONDITIONS. THESE
PREVIOUS PROHIBITIONS IN
COVERAGE BEG THE QUESTION AS TO
WHAT VALUE DENTAL INSURANCE
ACTUALLY PROVIDES TO ENROLLEES
IF THEY WILL NOT COVER DENTAL
PROCEDURES WHEN THEY ARE MOST
NEEDED. AB TEN FORTY EIGHT WOULD
ALSO REQUIRE DENTAL INSURANCE
PLANS TO GO THROUGH A PREMIUM
RATE REVIEW PROCESS. JUST LIKE
ANY OTHER TYPES OF INSURANCES
INCLUDING MEDICAL HOMEOWNERS AND
PET INSURANCE. IT'S LONG OVERDUE
FOR DENTAL PLANS TO BE HELD
ACCOUNTABLE AND TO ENSURE
CONSUMERS ARE RECEIVING VALUE
FOR THE PREMIUM DOLLARS THEY
PAY. AS HEALTHCARE PROVIDERS OUR
ULTIMATE GOAL IS TO PROVIDE
QUALITY CARE TO ALL OF OUR
PATIENTS. HAVE DENTAL PLANS CAN
DENY COVERAGE FOR ARBITRARY
REASONS HOW CAN WE POSSIBLY
PROVIDE THE NECESSARY CARE. WE
KNOW HOW INTEGRAL ORAL HEALTH IS
TO OVERALL PHYSICAL HEALTH AND
AB TEN FORTY EIGHT. IS AN
IMPORTANT STEP IN ENSURING
DENTAL INSURANCE PROVIDES REAL
VALUE TO OUR CALIFORNIANS. I
RESPECT RESPECTFULLY ASK FOR
YOUR AYE VOTE TODAY THANK YOU
THANK YOU VERY MUCH THANKS
PERSON SUPPORT PLEASE. GOOD
AFTERNOON TURN MEMBERS JUST
AROUND CALIFORNIA DENTAL
ASSOCIATION HERE TO GET THE
SPONSORS AT TEN FORTY EIGHT.
THIS IMPORTANT BILL THAT AIMS TO
MAKE DENTAL INSURANCE MORE REAL
FOR CONSUMERS THAT ARE ALREADY
PAYING THEIR MONTHLY PREMIUMS.
WE OTHERS. UNDERSTAND THAT THOSE
WHO ARE IN THE SMALL INDIVIDUAL
GROUP MARKET. ARE MORE SENSITIVE
TO PREMIUM INCREASES WHICH IS
WHY WE TOOK THE AMENDMENT AND
ASSEMBLY HELL TO WOULD NARROW
THAT WAITING FOR INFLATION TO
ONLY APPLY TO LARGE GROUP PLANS-
COUNTRY. COUNTRY TO THE
OPPOSITION CLAIMS THE LARGE
GROUP MARKET DOES NOT OPERATE
THE SAME WAY THE INDIVIDUAL AND
SMALL GROUP MARKET DOES. YOU
CANNOT ENTER THE LARGE GROUP
MARKET DEAN DENTAL COVERAGES AND
THEN DROP COVERAGE BECAUSE YOUR
COVERAGE IS TIED TO YOUR
EMPLOYER AND YOUR EMPLOYER HAS.
TO OVER A HUNDRED EMPLOYEES TO
PROVIDE LARGE PRODUCTS. SO THE
WIDESPREAD BIPARTISAN SUPPORT
THAT AB TEN FORTY RECEIVED IN
THE ASSEMBLY- IS PROOF OF DENTAL
INSURANCE REFORM IS NEEDED WE
SHOULD CONTINUE TO ALLOW DENTAL
INSURANCE PLANS OPERATE WITH
MINIMUM. THE PROTECTIONS AND
OVERSIGHT- DR AT ST THANK YOU
THANK YOU VERY MUCH. THANKS FOR
SIMPLY SIT IN SUPPORT NOW JUST
NAME AN AFFILIATION. I THANK YOU
MADAM CHAIR MEMBERS MY NAME IS
FRED NO WE'RE REPRESENTING THE
ASSOCIATION OF DENTAL SUPPORT
ORGANIZATIONS IN. SUPPORT THANK
YOU THANK YOU FOR. GOOD
AFTERNOON MEMBERS TO SOME L. A.
WITHOUT SOME CAL. AND SOME.
THANK YOU. GOOD AFTERNOON TERRY
MEMBERS TO K. WITH THE
CALIFORNIA SCHOOL EMPLOYEE
ASSOCIATION AND SO. THANK YOU.
TAYLOR JACKSON WITH. HEALTH PLUS
AT. FOR K. CA HEALTH. HERE IN
SUPPORT THANK YOU. THANK YOU
CHAIRMAN CHRIS WITH THE PAIN THE
ABOUT HALF THE CHILDREN'S.
DENTAL CARE AND SUPPORT THANK
YOU FOR. GRAVITY CHAIRMAN JOSE
WITH ACTORS BECAUSE- SUPPORT
THANK YOU JOSE. COULD I. CHAIR
AND MEMBERS JENNIFER TANNAHILL
ON BEHALF OF THE K. DENTAL.
ASSOCIATION AND SOME THANK YOU.
SO MY LOPEZ CAL NURSE
ASSOCIATION IT'S- THANK YOU VERY
MUCH OKAY NO WILL GO THE
SPEAKING OPPOSITE TO THIS BILL
TODAY. I'M SURE SENATORS DINGER
FIELD WITH KAPLAN SIXTY ON
BEHALF OF THE CALIFORNIA
ASSOCIATION OF DENTAL PLANS IN
OPPOSITION TO THE BILL. REJECTED
THE SUPPORTERS DESCRIPTION OF
THE DENTAL COVERAGE MARKET AS
THE WILD WEST AS THE COMMITTEE
ANALYSIS SAYS ALL THESE PRODUCTS
ARE REGULATED BY TEAMMATE C.
ANTIOCH. DOES THAT COVERAGE IS A
VERY TO PRODUCT FOR MEDICAL
COVERAGE IS NOT MANDATORY
COVERAGES SO WHEN EMPLOYERS
OFFER IT IS A VOLUNTARY BENEFITS
THAT THEY SEEK TO PROVIDE AN AS
A ROLE AS A RESULT THEY'RE VERY
COST SENSITIVE. OUR POSITION IS
BASED ON THE FACT THAT SB TEN
FORTY EIGHT LIMITS THE ABILITY
OF PLANS TO CONTROL COSTS AND
PREVENT ADVERSE SELECTION. THIS
WILL INCREASE THE COST OF
COVERAGE TO EMPLOYERS WE DO NOT
BELIEVE THE RATE REVIEW
PROVISIONS ARE NECESSARY GIVEN
THE EXISTING ROLE OF CDI ANTI
MHC. RESPECTFULLY REQUEST. THANK
YOU THANK YOU VERY MUCH. DO IT
IS- MISS WEEKS EXCEPT THE
AMENDMENTS YES WITH. MEMBERS
KATHY MUST FOR GROUPS TODAY JUST
ASSOCIATE MYSELF WITH COMMENTS
MADE BY THE REPRESENT OF CAT PEE
WEE DO REMAIN OPPOSED THANKS
THANK YOU VERY MUCH. ELSE JOHN
WHEN YOU'RE BEHALF HEALTHCARE
PLANS ARE OF AN OPPOSED. THANK
YOU VERY MUCH OKAY LET'S GO THE
PHONE LINES DOWN. THANK YOU.
SUPPORT OF A. B. CAN FORTY
EIGHT. PRESS ONE AND ZERO. GO TO
LINE TWO THREE FIVE. THREE FIVE.
GOOD AFTERNOON HEARING MEMBERS
OF THE PORTIONS ON BEHALF OF THE
CALIFORNIA'S TO KEEP ME
CALIFORNIA AGENTS AND HEALTH
INSURANCE PROFESSIONALS
RESPECTFULLY OPPOSE. THANK YOU
S. COLOR PLEASE. A LINE. TWO
THREE THREE. THE FOUNDER PORT
THE SERUM ON POVERTY IN SUPPORT
THANK YOU COLOR PLEASE. LINE.
TWO ZERO THREE. INSEMINATE
COUNTY I SUPPORT THANK YOU
THANKS CALLER. ONE MOMENT PLEASE
FOR NECKLINE. NINE FOUR ZERO
NINE- WOMAN PLEASE. WHAT IS YOUR
NINE YEAR OPEN NOW. FOR A MAN ON
BEHALF OF CHILDREN NOW IN
SUPPORT. THANK YOU. THEIR CHAIR
NO FOR THE PROMISING CARE OKAY
IT BACK TO THE COMMITTEE CENTER
WIENER- I KNOW THIS ISN'T YOUR
BILL IT'S YOUR BILL- DOCTOR- I
WAS ACTUALLY REALLY EXCITED I
SAW BILL- BECAUSE I A WITH ALL
RESPECT THE OPPOSITION ODD
DENTAL INSURANCE IS ABSOLUTELY
THE WILD WEST- AND- YOU KNOW I
THINK WHICH STEMS FROM THE FACT
THAT AS A SOCIETY WE'VE ALWAYS
TREATED WORLD HEALTH SOME L.
OPTIONAL OR A LUXURY- AS OPPOSED
TO WHAT WE KNOW WHICH IS THAT
OUR- HEALTH IS. ABSOLUTELY
CENTRAL TO OVERALL HEALTH YOU
KNOW THIS BETTER THAN MOST THAT
IF YOU HAVE POOR ORAL HEALTH
IMPACTS SO MANY OTHER ASPECTS OF
YOUR HEALTH CONDITION TO BE
POTENTIALLY VERY PAINFUL MAKE IT
HARDER TO. EAT AND- CREATING
SOCIAL CHALLENGES FOR PEOPLE AND
YET WE REALLY TREAT IT LIKE A
LUXURY AND A BIG SWATH OF
SOCIETY DOES HAVE A INSURANCE AT
ALL EVEN IF YOU HAVE GOOD.
DENTAL INSURANCE. IT'S ALWAYS
BAD IT DOESN'T COVER NEAR AS
MUCH AS IT SHOULD THERE'S
POTENTIAL OUT OF POCKET TO IT
HITS- LIMIT VERY VERY QUICKLY-
PEOPLE HAVE TO PAY OUT OF POCKET
WORKS HAS NOT YET- MEDICALLY
NECESSARY- DENTAL CARE. HI IN
ADDITION I WANT TO SAY LIKE I
HAVE- DELTA DENTAL CALPERS
THROUGH THE STATE I'M I'M
GUESSING THAT THAT IS PROBABLY
AMONG THE BEST DENTAL PLANS IS
CALPERS. IT'S NOTHING COMPARED
TO OTHER DENTAL PLANS CALPERS
FEDERAL- AND- IN ADDITION TO
HELP ALWAYS HAVE A LOT OF OUT OF
POCKETS- MY DENTIST RECENTLY
TOLD ME THAT HE AND MANY MANY
OTHER DENTISTS YOU KNOW THEY'RE
ALL GOING OUT OF NETWORK. FOR
DELTA DENTAL BECAUSE DELTA
DENTAL IS SLASHING ITS
REIMBURSEMENT SO ALL THESE
DENNIS ARE GOING OUT OF NETWORK-
AND THAT MEANS THAT. AS SOMEONE
WHO HAS DELTA DENTAL I AYE AND
MANY OTHER- PEOPLE ARE GOING TO
HAVE TO PAY IN ADVANCE- AND THEN
GO AND DO THE PAPERWORK- TO GET
REIMBURSED. IN THE RE ONE OF THE
REASONS ARE GOING OUT OF NETWORK
IS THE DELTA THAT WON'T EVEN
TELL THE DENTIST HOW MUCH
THEY'RE GOING TO REIMBURSE. IN
ADVANCE SO YOU'RE STUCK THERE
STOCK BASICALLY TRYING TO
COLLECT FROM THE PATIENT. AFTER
THE FACT- SO IT'S A REALLY BAD.
SITUATION AND IS THE WILD WEST
AND IT'S LONG PAST DUE- THAT WE
START PUTTING SOME OF THESE
REGULATIONS IN PLACE BECAUSE
DENTAL INSURANCE SHOULD NOT BE
TREATED DIFFERENTLY. THAN OTHER
FORMS OF HEALTH INSURANCE AND.
SO I'M HAPPY TO MOVE THIS BILL.
THANK YOU SENATOR. BOB CINEMA.
THANK YOU THANK YOU MA'AM TO.
SURPRISE I DISAGREE MY COLLEAGUE
FROM SAMPLE. AND JUST SAY THAT'S
OKAY I KNOW IT'S NOT YOUR BILL
BUT I DO HAVE A COUPLE
QUESTIONS. AND IT SO IT'S JUST
FIVE. MAJOR IT DOESN'T COVER
LIKE FOR MEDIC CAL. THAT DON'T
HAVE DENTAL COVERAGE SO MEDICARE
WOULDN'T BE MANAGED TO PROVIDE
THIS SERVICE. OMIT ACTUALLY
MEDICAL PROGRAM IS COMPLETELY
INDEPENDENT SO ADMINISTERED BY
DELTA DENTAL BUT IT IS
COMPLETELY INDEPENDENT SO THE
BENEFITS OF IT ESTABLISHED- FOR
BY THE STATE. I UNDERSTAND THAT
BUT YOUR BILL WITHIN A REQUIRE
OR YOUR BILL THE BILL YOU'RE
PRESENTING HERE TODAY WOULD
REQUIRE. AND THAT SERVICE TO BE
PROVIDED TO MEDICARE PATIENTS
NOW. THANK YOU M. TO THE CHAIR
DO YOU HAVE A COMMENT ON MY
QUESTION. DID I MESS UP ALREADY.
YOU KNOW I JUST I'M I'M HERE TO
ANSWER ANY QUESTIONS ALSO OKAY.
ARE YOUR FRIEND UP THERE SO I
AM. SO I DO- THE NEXT QUESTION I
HAVE IS- YOU KNOW I THINK WHAT I
HEARD FROM THE PLANS THEMSELVES
IS IT THEY'RE OPPOSED TO IT
BECAUSE- THERE HAS TO BE SOME
TYPE OF PRIOR COVERAGE OR SOME
TYPE OF COVERAGE MECHANISM. AND
PRIOR TO GETTING DENTAL WORK.
AND SO I GUESS MY QUESTION IS
THERE ANYTHING IN THE BILL THAT
WOULD PREVENT SOMEONE FOR. YOU
KNOW IN ROLLING IN SOME MAJOR
MEDICAL PROGRAM PAIN TWO MEN
SKATING THOUSANDS UPON THOUSANDS
OF DOLLARS WORTH OF DENTAL CARE
AND THEN CANCELING. THEIR POLICY
IS THERE ANYTHING IN THAT
REQUIRES THEM TO HAVE A VOTE YOU
KNOW TWELVE MONTHS PRIOR
COVERAGE SIX MONTHS PRIOR
COVERAGE OR ANYTHING LIKE THAT.
AND ACTUALLY THERE IS AN AND
PART OF THAT THIS BILL IS NOW
BEEN NARROWED TO A LARGE GROUP
PLAN SO THAT WOULD MEAN YOU TAKE
A JOB WITH SOMEBODY. IT'S TO GET
DENTAL INSURANCE. AND THEN LEAVE
THE JOB AFTER A COUPLE MONTHS
I'M NOT SURE THAT MANY PEOPLE WE
GOT. THROUGH THAT BUT I GUESS
IT'S A POSSIBILITY- BUT- DID
THIS BECAUSE IT HAS BEEN
NARROWED TO COVER JUST LARGE
GROUP PLANS. OKAY MERRY WELL I'M
A- I APPRECIATE THAT AND I
HADN'T HAD A CHANCE TO LOOK AT
THE AMENDMENTS BUT I UNDERSTAND
THEY'RE JUST TECHNICAL IS THAT
TRUE. I HOPE SO. I'M SORRY LOU
CLAIMS. THIS IS CLARIFICATION
RATE ON A FUN ACTUALLY. THE CASE
. I DON'T KNOW THE BILL AND I
KIND OF. KIND OF A DENT I'M OF
KIND. A LICENSED DENTIST CAL. SO
AND I JUST WANTED TO MAKE THEY
WERE JUST CLEAR TENDER ADMIN
AND- GREATER THAN I MISS OR- USE
UP FOR THE- FOR THE COMMITTEE
ARE TECHNICAL THAT I MAY. THAT
ARE WHAT IS WRONG. TO NARROW
THAT WOULD PERIODS WAS TAKEN
ASSEMBLY IT WILL IT WAY WE DID
THAT. YOU DID THAT OKAY AND
ELIMINATE WAITING PERIODS AND IS
THERE A WAY PERIOD OUT ALL OR IT
IN ITS- M. SO- WITHIN A TO GET.
HEALTH IT WOULD ALLOW WAITING
PERIODS IN THE LAR GROUP MARK SO
DOES HER. THE BENEFITS TO THEIR
AND IN A LARGE GROUP TO THAT IN
TIME THEIR HEALTH. OF GOES INTO
AND CARE THOSE EXPECT YES YOU
THINK YOU MA'AM CHURCH ASK THAT
. THE I JUST MIGHT NOTE YOU KNOW
SOMEONE. HAVE A WAITING YES
PEOPLE TO BE. FOR ANY SELF YES-
THIS IS WOULD COME WITH THE
WAITING. FOR THOSE INDIVIDUALS
BE ELIGIBLE LIKE MIKE THEIR
REGULAR HOW DO WE GET THE THINGS
YOU WOULDN'T GET A DENTAL PLAN.
JUST BY. WITHOUT QUALIFYING FOR
THE OTHER BENEFITS AT THE
EMPLOYER WOULD WOULD BE OFFERING
THAT IS THERE A SPECIFIC TIME
FRAME. OKAY SHE RESPONDING THANK
YOU SIR. THIRTY BETWEEN TEETH
AND NOSE. SENATOR PER MONTH
THANK YOU. YOU KNOW THIS IS IT
INTEREST COMMERCE BECAUSE I JUST
RECENTLY I THINK IN A LAST TWO
RECEIVE A NOTICE- MY DENTIST. I
LETTING ME KNOW THAT MY ENSURE
AND MY DE AND- PLAN- WAS NOW
GOING TO BE OUT OF NETWORK- IN
SO EAT YOU KNOW WHILE WE KNOW
THAT. THE EIGHT THERE IS SUCH
IMPORTANCE WITH HEALTH- AND IT
WITH DENTAL HEALTH AND IT ALSO
RELATES TO OVERALL HEALTH FOR
MANY- IN ARC FOR MANY FOR ALL.
BUT ALSO PARTICULARLY FOR IT
COMMUNITIES WHO DON'T HAVE
ACCESS TO I THINK I'M HAVING A
MORE COMPREHENSIVE- MEDICAL
INSURANCE I THINK MAKES SENSE
TO- WE KNOW. THERE'S A LOT TO DO
AND I THINK OF MY FORMER SCHOOL
BOARD DAYS AND WHAT WE DID TO
HAVE VOLUNTEER DENTIST- IN OUR
SCHOOLS BECAUSE IT WAS SO KEY-
TO OVERALL HEALTH AND- WHILE
THIS ONLY APPLIES. TO THE LARGER
GROUPS I STILL THINK IT'S VERY
WORTHWHILE AND I THINK IT IS A
PART OF A BROADER CONVERSATION
OF HOW WE ALIGN. THE BENEFITS-
PARTICULARLY IN LIGHT OF I THINK
WHAT SO MANY ARE EXPERIENCING
THAT DO HAVE COVERAGE- AND THAT
COVERAGE IS INCONSISTENT
DEPENDING ON WHERE YOU LIVE- AND
ALSO- HAS ITS OWN CHALLENGES
THAT YOUR AVERAGE- YOU KNOW A
PATIENT MIGHT NOT BE ABLE TO
NAVIGATE- ON THEIR OWN. WITHOUT
SUMMIT. BROADER STANDARD
STATEWIDE SO I'M GRATEFUL THAT
THIS BILLS COMING FORWARD- DO
UNDERSTAND THE CONCERNS OF THE
HEALTH PLANS- BUT CERTAINLY I
THINK THAT THERE IS A MUCH TO
GAIN IF WE ARE ABLE TO HAVE A
MORE COMPREHENSIVE WAY TO ALIGN
IT WITH MEDICAL. THANK YOU AND I
WILL SOME THE SAME COME ALSO YOU
KNOW TRY TO BE VERY. I TRY TO BE
CIVIL TO THE TO THE PLANS I
UNDERSTAND THERE'S ALWAYS NEW
THINGS BUT I ALSO STAND ON THE
SIDE OF- AS A SOCIAL WORKER TO
TRY TO WORK WITH. STUDENTS ABOUT
HOW DO YOU TAKE ANY CARE FOR
KIDS. ONE OF THE BIGGEST RISK
FACTORS HAVE BEEN YOU KNOW A
MESSED UP MOUTH THAT THAN JUST
CONTINUES TO. KEEP THAT TICKER
TROUBLE TROUBLE NOT RAISING
THEIR HANDS KIDDING I MEAN IT'S
JUST. INCREDIBLE SOCIAL
DETERMINANTS OF HEALTH LIVE IN
OUR MALES- SO I'M ALSO SUPPORTER
WE HAD A MOTION BY CENTER WINNER
WOULD YOU LIKE TO CLOSER. THANK
YOU MADAM CHAIR AND- TO CENTER
GROVE I WOULD LOVE IT IF THE
MEDICARE PROGRAM WAS AS
COMPREHENSIVE AS SOME OTHER
PLANS ARE. YET HERE WE ARE SOME
OF THESE PRIVATE PLANS ARE NOT
AS COMPREHENSIVE AS I THINK THEY
SHOULD BE. IMAGINE A CHILD BORN
WITH A CLEFT LIP OR CLEFT
PALATE- AND- OFTEN THAT CAN CUT
THAT THAT INVOLVES MISSING
TEETH. THERE IS MEDICAL CARE
AVAILABLE FOR THE FOR THE
TREATMENT OF CLEFT LIP AND CLEFT
PALATE. BUT UNDER MOST DENTAL
PLANS THE REPLACEMENT OF A
TOOTH. THAT WAS NEVER THERE-
WOULD BE CONSIDERED A PRE
EXISTING CONDITION. AND THAT
CHILD WOULD NOT BE ABLE TO GET
THE RESTORATIVE FUNCTIONAL- THE
- TREATMENT THE THEY NEED TO. E.
CHIU. SMILE AND THE KINDS OF.
AND I JUST THINK FUNDAMENTAL
THAT'S UNFAIR AND I THINK WHEN I
WAS PRACTICING. THE MORE THE
THINK THE BIGGEST FRUSTRATION I
EVER HAD WAS THIS MISS THIS- PRE
EXISTING CONDITION. A MISSING
TOOTH EXCLUSION THAT JUST. MADE
IT REALLY DIFFICULT TO PROVIDE
COMPREHENSIVE CARE TO PEOPLE
AND- I DO I JUST THINK IT'S
UNFAIR. AND I HOPE THAT WE CAN
CHANGE THAT GOING FORWARD.
TICKET OKAY. US SECRETARY PLEASE
CALL THE ROLL AND THIS IS A TO
PASS A MINUTE AND REFERRED TO
COMMITTEE ON APPROPRIATIONS.
SENATORS EGGMAN. EGGMAN I WENT.
WHEN I GLAZER. GLAZER AYE
GONZALEZ. GROWTH GROW BY HER
TADO. LIMÓN LOW MON HI MENJIVAR
. ROTH- ROTH I RUBIO. WAHAD I
BOB HI WIENER. WINNER I. EIGHT
EIGHT TWO ZERO HOLD THE ROLE
OPEN THANK YOU VERY MUCH TALKED
WOULD. MR GABER EUROPE WITH FOR
EIGHTEEN. FOOD PRODUCT.
THANK YOU VERY MUCH FOR CHAIR I
WANT TO START TODAY BY X. THE TO
DELAY IMPLEMENTATION UNTIL
TWENTY TWENTY SEVEN TO PERMIT
THE INDUSTRY TIME TO.
REFORMULATE AND MESS AND MAKE
THE NECESSARY SUPPLY CHAIN
ADJUSTMENTS WANT TO THANK YOU
AND YOUR STAFF FOR THEIR
THOUGHTFUL HELP AND ASSISTANCE
WITH THAT I WANT TO THANK THE
OPPOSITION PARTICULARLY THE
CONSUMER HEALTHCARE PRODUCTS
ASSOCIATION FOR WORKING WITH US
ON THE IMPLEMENTATION DATE TO
LIKE. AND APPRECIATE THEIR
THOUGHTFUL COLLABORATION I AM
PLEASED TODAY TO PRESENT AB FOUR
EIGHTEEN WHICH WOULD HELP TO
PROTECT KIDS FAMILIES AND
CONSUMERS IN THE STATE OF
CALIFORNIA BY BANNING THE USE OF
FIVE TOXIC CHEMICALS WITH WELL
DOCUMENTED RISKS OF HARM
INCLUDING CANCER REPRODUCTIVE
ISSUES AND DEVELOPMENTAL AND
BEHAVIORAL ISSUES IN KIDS. AS
I'VE DISCUSSED WITH MANY OF YOU
THESE CHEMICALS ARE ALL
CURRENTLY BANNED IN THE TWENTY
SEVEN NATIONS THE EUROPEAN UNION
THEY ARE ALSO BANNED IN
DIFFERENT COMBINATIONS
PERMUTATIONS AND COMBINATIONS
COMBINATIONS IN MANY OTHER
JURISDICTIONS AROUND THE GLOBE-
COUNTRIES INCLUDING THE UK
CANADA BRAZIL INDIA CHINA
NIGERIA SOUTH KOREA. IS A ROGUE
TO QATAR. AND SO ON WE'VE ALSO
SEEN THAT MANY MAJOR BRANDS AND
CORPORATIONS HERE IN UNITED
STATES HAVE MOVED AWAY FROM
USING THESE CHEMICALS INCLUDING
SOME OF OUR MOST ICONIC BRANDS
AND CORPORATIONS SO COKE. PEPSI
GATORADE TO PAPA JOHN'S DUNKIN
DONUTS PANERA WHOLE FOODS KROGER
AND OTHERS HAVE MOVED AWAY FROM
THE USE OF THESE CHEMICALS THE-
ONE THING I DO WANT TO MAKE
CLEAR HERE IS THAT WE ARE NOT
LOOKING TO PULL ANY ITEMS OFF
THE SHELF AND IN FACT I WOULD
VOTE AGAINST A BILL THAT I
THOUGHT. WAS GOING TO BAN
SKITTLES THE IDEA OF THIS HERE
IS SIMPLY TO. HAVE THESE
COMMUNION CHURCH HAVE THESE
COMPANIES DO WHAT THEY ARE
ALREADY DOING IN EUROPE AND SO
MANY OTHER PLACES AROUND THE
GLOBE WHICH IS MAKE MINOR
MODIFICATIONS TO THEIR RECIPES
AND WE KNOW THAT THESE COMPANIES
CAN DO THAT. BECAUSE IN FACT
THEY'RE ALREADY DOING SO AND-
CENTRALLY MONA'S GENEROUS ENOUGH
TO BRING ME UP A PACKAGE OF
SKITTLES BACK FROM DENMARK ON A
RECENT VISIT THERE AND I ASSURE
YOU I TASTED THEM. WE TASTE IN
MY OFFICE THEY WERE DELICIOUS MY
STAFF ACTUALLY TOOK THEM AWAY
FROM ME BECAUSE I WAS EATING TOO
MANY OF THEM- AND WE WANTED TO
USE THEM AS A PROP. BUT WE KNOW
THAT THE INDUSTRY IS CAPABLE OF
MAKING THESE FROM. THESE OF. SO
THE BACK. OF ALL OF THIS. FOR ME
BECAUSE I HAD A QUESTION WHEN I
FIRST LOOKED AT THIS AND THIS IS
NOT AN ERROR IN WHICH I'VE DONE
A LOT OF WORK WISE. WHY IS THE
UNITED STATES AN OUT LIAR HERE.
WHY IS IT THAT SO MANY OTHER
JURISDICTIONS SO MANY OTHER
NATIONS SO MANY. CORPORATIONS
AND MANUFACTURERS MOVED AWAY
FROM THESE CHEMICALS. AND YET
THE A HAVE THE FDA HAS NOT DONE
SO. WHAT I FOUND WAS ACTUALLY
VERY DISTURBING TO ME THAT THERE
ARE MAJOR FLAWS IN THE FDA.
REGULATORY PROCESS ONE OF THEM
IS THE GENERALLY RECOGNIZED AS
SAFE FOR GRASSLEY PAUL. TO THE
FACT THAT A PROXY 99% OF NEW
CHEMICALS THAT HAVE GONE INTO
OUR FOOD SUPPLY. HAVE YOU THEIR
BEEN GRANDFATHERED IN OR HAVE
NOT RECEIVED INDEPENDENT
MEANINGFUL REVIEW BY THE FDA.
THE FDA OPERATES DIFFERENTLY
THAN OTHER FEDERAL AGENCIES SO
EXAMPLE WHERE. THE EPA REVIEWS
CHEMICALS EVERY FIFTEEN YEARS
REFUSE THEM BECAUSE OUR
UNDERSTANDING OF HUMAN
PHYSIOLOGY OF SCIENCE NEW DATA
COMES INTO ACCOUNT. THAT DOES
NOT HAPPEN AT THE FDA- IN THE
WAY THAT IT DOES. AT OTHER
AGENCIES AND SO WE'VE ENDED UP
IN THIS SITUATION THIS VERY
BIZARRE SITUATION. WHERE WE ARE
LAGGING BEHIND THE REST OF THE
WORLD. AND I THINK THE BEST
EXAMPLE OF THIS IS THAT ONE OF
THE CHEMICALS IN THIS BILL RED
DYE THREE. HAS BEEN BANNED BY
THE FDA FOR USE IN COSMETICS
SINCE NINETEEN NINETY. IT IS
STILL OUT IN OUR FOOD SUPPLY. I
THINK THAT TELLS YOU EVERYTHING
YOU NEED TO KNOW ABOUT HELPING
COHERENT THE SYSTEM IS I DON'T
THINK IT TAKES A- A PHD IN
MOLECULAR BIOLOGY TO UNDERSTAND
THE DOESN'T MAKE A LOT OF SENSE
OF SOMETHING. IS A TYPE TO
CARCINOGEN TO TOO DANGEROUS TO
PUT ON OUR FACES AND YET. IS
PUTTING A LOT OF PRODUCTS THAT
ARE PRIMARILY. TARGETED TOWARDS.
OUR OUR YOUNG PEOPLE SO. WE HAVE
FOCUSED ON THESE FIVE CHEMICALS
WE BECAUSE WE BELIEVE THAT THERE
IS A STRONG SCIENCE TO SUPPORT
THAT. BUT ALSO BECAUSE FOR EACH
OF THESE CHEMICALS THERE ARE
WELL READILY AVAILABLE
ALTERNATIVES- AND AGAIN THE
INDUSTRY DOESN'T HAVE TO GUESS
WHAT THOSE ALTERNATIVES ARE IT
IS ALREADY USING THEM. IN MANY
PRODUCTS HERE IN THE UNITED
STATES AND CERTAINLY. IN OTHER
PRODUCTS IN JURISDICTIONS AROUND
THE WORLD SO. WE'RE VERY PROUD
TO HAVE ASSEMBLED A COALITION
OF. CONSUMER PROTECTION PUBLIC
HEALTH. COULD INVITE. ANTI
CANCER. ENVIRO GROUPS THAT ARE
BEHIND THE- RECENTLY. SECURED
THE SUPPORT OF- FORMER GOVERNOR
ARNOLD SCHWARZENEGGER WHO I
THINK MAY BE IN THE EXIT POINT
THAT THIS IS NOT A PARTISAN
ISSUE. THIS IS SIMPLY COMMON
SENSE HE HAD IS TO LOOK INTO THE
SCIENCE BEHIND THIS AND I THINK
THEY WERE VERY PERSUADED. THAT
THIS IS A COMMON SENSE STEP
FORWARD TO. PROTECT KIDS AND
FAMILIES IN THE STATE OF
CALIFORNIA SO. APPRECIATE THE
WORK OF THE COMMITTEE HAPPY TO
ACCEPT AMENDMENTS AND WOULD
RESPECTFULLY REQUEST YOUR AYE
VOTE. AND WITH ME TODAY TO
TESTIFY. ARE- FOR TWO WITNESSES
UNTIL WE HAVE WITH US- FROM. THE
ENVIRONMENTAL WORKING GROUP
SUSAN LITTLE AND ALSO. I'M VERY
GRATEFUL THAT TO A- DR. ED
RICHARD JACKSON. HAS HAS JOINED
US HE IS A- PEDIATRICIAN. A
PROFESSOR EMERITUS AT THE
FIELDING SCHOOL OF PUBLIC HEALTH
AT UCLA WHERE HE WAS THE
DEPARTMENT SHARE ENVIRONMENTAL
HEALTH SCIENCE. HAS SERVED IN
MANY LEADERSHIP POSITIONS WITHIN
THE CALIFORNIA. DEPARTMENT OF
HEALTH INCLUDING AT THE HIGHEST
AS THE STATE HEALTH OFFICER
UNDER GOVERNOR SCHWARZENEGGER.
FOR NINE YEARS HE WAS THE
DIRECTOR OF THE CDC'S NATIONAL
CENTER FOR ENVIRONMENTAL HEALTH
HE RECEIVED THE PRESIDENTIAL
DISTINGUISHED SERVICE AWARD FROM
PRESIDENT GEORGE W. BUSH. AND
MOST RECENTLY WAS ELECTED TO THE
NATIONAL ACADEMY OF MEDICINE AND
THE NATIONAL ACADEMY OF SCIENCES
PUTTING IN A VERY VERY SMALL
GROUP. OF THE MOST DISTINGUISHED
EXPERTS ON THIS ISSUE SO THANK
YOU FOR YOUR CONSIDERATION AND
RESPECTFULLY REQUEST YOUR IPHONE
THANK YOU ASSEMBLY MEMBER DR.
PLEASE MADAM CHAIR MEMBERS OF
THE SENATE COMMITTEE IT'S A
PLEASURE TO BE WITH YOU. BECAUSE
A PEDIATRICIAN I'M GOING TO
FOCUS ON. CHILDREN WHEN THE-
FUNDAMENTAL TENETS OF PEDIATRICS
IS THAT CHILDREN ARE NOT. LITTLE
ADULTS THE EAT. DRINK AND
BREATHE THREE TIMES AS MUCH AS
AN ADULT DOES. FOR EVERY POUND
OF BODY WEIGHT. IN INSULTS THAT
OCCUR TO THEM EARLY IN LIFE AS
YOU KNOW. STAY WITH THEM
POTENTIALLY FOR THEIR ENTIRE
LIFE THEY CARRY. THAT DAMAGE ALL
THE WAY ALONG. I AS I THIS BILL
I LEARN ABOUT A- I SHOCKED THAT.
FOR THESE CHEMICAL ARE UNLESS.
THERE NOT PROVE TO BE SAFE IN
MEANT MOST SITUATIONS. AND-
THERE ARE. SAFER SUBSTITUTES.
BECAUSE TABLETS SHINE- YOU KNOW
WE DON'T REALLY NEED THAT EVERY
MOTHER TEACHES A CHILD. YES FOOD
IS NOT NECESSARILY THE
HEALTHIEST ONES FOR YOU TO BE
EATING. MOMS AND DADS SHOULD NOT
HAVE TO BE BIOCHEMISTS
EPIDEMIOLOGISTS TO GO SHOPPING
TO FIGURE OUT WHAT IS BEST TO
GIVE THEIR CHILDREN. MY LONG
CAREER IN PUBLIC HEALTH I'VE
LEARNED THE AMERICAN APPROACH TO
. PUBLIC HEALTH THREATS IS A
COMBINATION OF. THE COLLECT AND
PANIC. INTO OFTEN WE SUFFER FROM
THIS NEGLECT IN FTA IS IN PART.
GUILTY OF THIS WITH THE FIFTY
YEARS I'VE BEEN SITTING ON SOME
OF THESE CHEMICALS IN FACT. IF
THE FAA OPERATED THE WAY THE FDA
DID NOT ONE OF YOU WOULD GET ON
AN AIRPLANE AT THIS POINT. FROM
OUR HEALTH PROTECTION AGENCIES
NEED TO BE NIMBLE SMART AND
DECISIVE. AND WE NEED TO BECAUSE
CALIFORNIA IS ONE NIGHT FOOTBALL
THE BIRTHS IN THE UNITED STATES.
UP WE SET THE FEDERAL BUDGET TWO
HUNDRED AND EIGHTY BILLION
DOLLARS LAST YEAR. WHICH WAS
MORE MONEY. IN TEXAS FLORIDA THE
NEW YORK SENT TO THE FEDERAL
GOVERNMENT DON'T YOU THINK WE
OWE MUCH BETTER OVERSIGHT BUT IN
FACT. THE REAL LEADERSHIP ON
PESTICIDES. COME FROM CALIFORNIA
THE REAL LEADERSHIP ON AIR
POLLUTION AND WATER POLLUTANTS
THAT WORK WITH LLOYD CALMLY AND
MANY OTHERS ON THESE ISSUES HAVE
COME FROM CALIFORNIA AND
SOMETIMES CALIFORNIA HAS TO STEP
UP. AND SHOW THE LEADERSHIP WHEN
THE FEDS ARE DRAGGING THEIR FEET
SO. AS A PEDIATRICIAN PUBLIC
HEALTH TALK A GRANDFATHER MY
GRANDDAUGHTER IS HERE'S- UP.
CENTER GLAZER FROM WALNUT CREEK-
I WANT TO ASK YOU TO MAKE
DECISIONS ABOUT HOW WE CAN MAKE
OUR FOOD SAFER FOR ALL OF OUR
GREAT CHILDREN THANK YOU VERY
MUCH. THANK YOU NEXT WITNESS
PLEASE. THANK YOU. I'M SUSAN
LITTLE ONE WITH THE
ENVIRONMENTAL WORKING GROUP.
TODAY WE ASK YOU TO SUPPORT A
BEFORE EIGHTEEN AND REMOVE FIVE
TOXIC CHEMICALS FROM FOOD
PRODUCTS SOLD IN CALIFORNIA. ALL
FIVE WERE BANNED IN NEARLY ALL
FOODS SOLD IN THE EUROPEAN
UNION'S TWENTY SEVEN NATIONS AND
MANY OTHER NATIONS AROUND THE
WORLD. UNFORTUNATELY THE FOOD
AND DRUG ADMINISTRATION'S
PROCESS FOR ADDRESSING FOOD
CHEMICAL RISK IS DEEPLY BROKEN.
A RECENT FDA COMMISSIONED
REPORT. WHICH WE PROVIDED YOUR
STAFF FOUND THE AGENCY'S FOOD
SAFETY PROGRAM IS PLAGUED BY
TURMOIL INFIGHTING AND BIAS
AGAINST ACTION. IN FACT THE FDA
DOES LITTLE TO KEEP FOOD
CHEMICALS SAFE. FOOD AND
CHEMICAL COMPANIES NOT THE FDA
PERFORMED A SAFETY ASSESSMENTS
OF 99% OF NEW KEEP FOOD
CHEMICALS PLACED ON THE MARKET
OVER THE LAST TWENTY YEARS. EVEN
WHEN THE FDA DOES APPROVE
CHEMICALS AND NEW SCIENCE LATER
IDENTIFIES SERIOUS HEALTH HARMS
LINKED TO THAT CHEMICAL. THE FDA
DOES NOT HAVE TO RE REVIEW IT
AND OF CITIZEN GROUPS PETITIONED
THE FDA SUCH AS ENVIRONMENTAL
WORKING GROUP PASS. TO REVIEW TO
RE REVIEW A CHEMICAL THE FDA IS
SLOW TO ACT IF AT ALL. IT HAS
NOT SUBSTANCE SUBSTANTIVELY
RESPONDED TO PETITION FILED IN
THE NINETEEN NINETIES FOR
EXAMPLE. CONSEQUENTLY MANY
CHEMICALS INCLUDING MOST OF
THOSE DEAL THOSE LISTED IN A
BEFORE EIGHTEEN HAVE NOT BEEN
ASSESSED IN DECADES. POTASSIUM
BROMATE FOR INSTANCE A
CARCINOGEN HAS NOT BEEN RECESSES
NINETEEN SEVENTY THREE EVEN
THOUGH IT WAS LISTED AS A PROP
SIXTY FIVE CHEMICAL IN NINETEEN
NINETY. PROPYLPARABEN CAN CAUSE
THE HORMONE CAN HARM HOME
HORMONE SYSTEM BUT HAS NOT BEEN
REVIEWED BY THE FDA SINCE
NINETEEN SEVENTY TWO. AND THE
LIST GOES ON IF YOU HEARD ABOUT
READ THREE. B. VIDEO WHICH HARMS
THE NERVOUS SYSTEM HAS NEVER
BEEN ALLOWED IN THE E. U. FOOD
BUT REMAINS IN STORE BRAND SODA
IS SOLD ACROSS THE UNITED STATES
. IN THE ABSENCE OF CONSTRUCTIVE
FEDERAL REGULATION IT'S UP TO
STATES TO FOLLOW THE LEAD OF
OTHER NATIONS. AND BANNED THE
WORST OF THE WORST CHEMICALS IN
THE FOOD SUPPLY. AB FOUR
EIGHTEEN WILL DO THIS AND WE
URGE YOUR AYE VOTE THANK YOU.
THANK YOU VERY MUCH OTHER
SPEAKING IN SUPPORT NOW JUST
NAME AND AFFILIATION. GOOD
AFTERNOON MADAM CHAIR AND
MEMBERS LIBBY SANCHEZ HERE TODAY
ON BEHALF OF THREE OF OUR
COALITION PARTNERS THE CENTER
FOR COMMUNITY ACTION AND
ENVIRONMENTAL JUSTICE CENTER FOR
FOOD SAFETY. AND SOCIAL ECO
EDUCATION AND STRONG SUPPORT
THANK YOU VERY MUCH. I'M SURE
MEMBERS DUNCAN MCFETRIDGE
REPRESENTING FOOD SAFE TRANSPORT
THANK YOU. GOOD AFTERNOON
RECTANGLE REPRESENTING THE
AMERICAN NURSES ASSOCIATION IN
CALIFORNIA OF CALIFORNIA AND
SUPPORT. THANK YOU. THANK YOU
CHU REMEMBERS MY NAME IS NO
WHITLEY SPEAKING ON BEHALF OF
THE BREAST CANCER PREVENTION
PARTNERS IN STRONG SUPPORT THANK
YOU. GOOD AFTERNOON THAT WAS A
WITH US HERE YOU CALIFORNIANS
SUPPORT THANK YOU. BRENT SPENCER
AMERICAN COLLEGE OF OBGYN
STRYCHNINE IN SUPPORT THANK YOU
. DAVID POLACK SAN FERNANDO
VALLEY RESIDENT WISHING.
ASSEMBLY MEMBER GABER WILL TURN
HIS RED LIGHT FROM RED TO GREEN
IN SUPPORT THANK YOU. OKC NO
OTHER PEOPLE SPEAKING IN SUPPORT
RIGHT NOW WOULD OPPOSITION NOW.
TO SCHOOL. MADAM CHAIR AND
MEMBERS PETER CALLISON OUR
CLIENT IS THE NATIONAL
CONFECTIONERS ASSOCIATION. AT
THE LEAD WITNESS WHO IS SUPPOSED
TO BE HERE TO PRESENT TESTIMONY
WAS IN IRAQ WAS UNABLE TO MAKE
IT TO CALIFORNIA DUE TO
INCLEMENT WEATHER. AND SO I AM
STANDING IN. I WANT TO BE VERY
CLEAR THAT I WILL DO MY BEST TO
CONVEY THEIR TESTIMONY BUT I
LACK THE EXPERTISE TO ANSWER
QUESTIONS OR TO RESPOND. THE
NATIONAL CONFECTIONERS
ASSOCIATION AND CA REPRESENTS
COUNTY MANY FACTORS ACROSS THE
NATION INCLUDING MANY IN
CALIFORNIA. IT'S MEMBERS
PRIORITIZE FOOD SAFETY AND
ENSURE THAT ALL INGREDIENTS USED
COMPLY WITH FDA REQUIREMENTS AND
ARE SAFE FOR CONSUMPTION. THEY
WOULD LIKE TO ADDRESS TO
UNDERLYING ARGUMENTS THAT ARE
BEHIND AB FOR EIGHTEEN. THE
FIRST IS THAT THE FDA IS NOT
ACTIVELY REGULATING THE SAFETY
OF FOOD ADDITIVES. THE FDA
CONSISTENTLY REVIEWS ADDITIVES
AND IS CURRENTLY EVALUATING
THREE OF THE FIVE ADDITIVES
MENTIONED IN THE BILL. FOR
EXAMPLE THE FDA RECENTLY
COMPLETED STUDIES ON BROMINATED
VEGETABLE OIL PVO AND ANNOUNCED
ITS INTENTION TO PROPOSE A RULE
BY THE END OF THIS YEAR TO BAN
IT. THE FDA IS ALSO REVIEWING
TITANIUM OXIDE AND READ THREE
ACTIVELY SEEKING DATA AND
COMMENTS ON THEIR SAFETY IS
COLOR ADDITIVES. THE FDA HAS
PREVIOUSLY EXAMINED TITANIUM
OXIDE IN TWENTY TWENTY ONE AND
READ THREE IN TWENTY NINETEEN
AND CONTINUOUSLY ASSESSES THE
SAFETY OF THESE INGREDIENTS IN
THE DRUG APPROVAL PROCESS.
SEPARATELY THE CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH IS
ALSO CONDUCTING A REVIEW OF READ
THREE. TO DETERMINE IF WARNING
STATEMENT SHOULD BE REQUIRED.
THE OTHER ISSUE THAT AS THEY
WISH TO ADDRESS IS THE BELIEF
THAT IS IF A SUBSTANCE IS BANNED
IN THE EU. IT SHOULD ALSO BE
BANNED IN THE U. S. THEY BELIEVE
THAT THIS IS A NEW WANTS TO
STATEMENT AND IN FACT THE E. U.
PERMITS THE USE OF RED THREE AND
BOTH COSMETICS AND FOOD AS THE
ANALYSIS POINTS OUT SUCH AS-
COCKTAIL AND CANDIED CHERRIES.
ALTHOUGH THE U. S. ALLOWS
BROADER USES. THE E. U. HAS
DETERMINED THAT READ THREE IS
SAFE FOR CONSUMPTION OF FOOD.
THE INTERPRETATION OF SCIENTIFIC
STUDIES CAN DIFFER AS
EXEMPLIFIED BY THE FDA'S DENIAL
OF RED THREE APPROVAL IN
COSMETICS NINETEEN NINETY BASED
ON A RODENT STUDY. WHAT THE E.
U. IN TWENTY TWELVE REVIEWED THE
SAME STUDY AN ADDITIONAL
LITERATURE. CONCLUDING THAT READ
THREE DOES NOT POSE A
CARCINOGENIC RISK AND IS
PERMISSIBLE IN EVEN COSMETICS.
SO DIFFERENT PERSPECTIVES ON THE
RELEVANCE OF STUDIES ALSO EXIST.
FTA DISAGREED WITH THE E. WAS
BANNED ON TITANIUM OXIDE BECAUSE
IT WAS BASED ON STUDIES NOT
APPLICABLE TO FOOD GRADE
TITANIUM OXIDE. LASTLY I'D LIKE
TO ADDRESS THE MISPERCEPTION OF
THERE ARE EXISTING REPLACEMENTS
FOR TITANIUM OXIDE IN RED THREE
IN THE U. S. THERE ARE NOT. FDA
UP IS RIPPED UP PRIVIL IS
REQUIRED FOR ALL COLOR ADDITIVES
INCLUDING NATURAL COLOR
ADDITIVES. WITH APPROXIMATELY
FORTY APPROVED ADDITIVES NO
SUITABLE SUBSTITUTE EXISTS FOR
CURRENT USE OF TITANIUM OXIDE
AND READ THREE. IN CONCLUSION
THESE COMPLEX MATTERS INVOLVED
EXPERTISE OF TOXICOLOGISTS FOOD
SCIENTISTS CHEMISTS AND
BIOCHEMISTS. ON THE A FORTY TO
MAKE SUCH DECISIONS SHOULD
REMAIN WITH THE FDA. BY ENSURING
A CONSISTENT APPROACH THAT
ALIGNS WITH THE FDA'S SCIENCE
BASED DELIBERATE OF PROCESS. IT
IS THE HOPE TO PRESERVE THE CORE
PURPOSE OF THE FDA AN ESSENTIAL
TO MAINTAIN A BALANCE AND AVOID
CREATING A PRECEDENT. THAT WE'RE
INDIVIDUAL STATES MAKE
INDIVIDUAL DETERMINATIONS THAT
MAY CONFLICT WITH THE PROCESS.
PLEASE REASONS. IN OPPOSITION TO
THE BILL THANK YOU THANK YOU
VERY MUCH. I'LL SPEAK IN
OPPOSITION THIS BILL JUST FELLOW
NAMED AFFILIATION. MADAM CHAIR
MEMBERS INTO THE MILLION ON
BEHALF OF THE CONSUMER BRANDS
ASSOCIATION IN OPPOSITION THANK
YOU THANK YOU. REMEMBERS TÍNH
TALLY CALIFORNIA MANUFACTURES
AND TECHNOLOGY ASSOCIATION
OPPOSED THANK YOU. FOR GOOD
AFTERNOON LADIES GARCIA THE COLD
GROCERS. ALSO OPPOSED. HI MCKAY
CARNEY ON BEHALF AT THE
INTERNATIONAL ASSOCIATION OF
COLOR MANUFACTURERS RESPECTFULLY
IN OPPOSITION THANK YOU. THANK
YOU. KIND OF CHAIR RUSSELL NOWAK
ON BEHALF OF THE AMERICAN
CHEMISTRY COUNCIL POST THANK YOU
. MARGINALIA SAMSON RISERS ON
BEHALF OF THE CALIFORNIA LEGAL
FOOD PRODUCERS AND THE COUNCIL
FOR RESPONSIBLE NUTRITION IN
OPPOSITION THANK YOU. MADAM
CHAIR MEMBERS DON GILBERT ON
BEHALF OF THE CONSUMER
HEALTHCARE PRODUCTS ASSOCIATION
WERE REMOVING OUR OPPOSITION IN
LIGHT OF OUR SUCCESSFUL
NEGOTIATIONS WITH THE AUTHOR
THANK YOU THANK YOU VERY MUCH.
OKAY LET'S GO TO THE PHONE LINES
DOES THE TIME FOR PEOPLE IN
SUPPORT AND OR OPPOSITION SIMPLY
STATE YOUR NAME PHIL FILIATION
IMPOSITION THANK YOU. MODERATOR
THERE AND CALLS. YES FORCE FOR
OPPOSITION OF AB FOUR EIGHTEEN
EXPRESS ONE ZERO AT THIS TIME.
AND WE WILL GO TO LINE FOR
EIGHTEEN PLEASE GO AHEAD. THANK
YOU TO CALLING ON BEHALF OF THE
NATIONAL STEWARDSHIP ACTION
COUNCIL IN SUPPORT OF AB FOUR
EIGHTEEN THANK YOU THANK YOU
COLOR PLEASE. ADELINE FOR
NINETEEN THAT'S CORRECT. THANK
YOU MADAM CHAIR AT A RALLY ON
BEHALF OF THE CALIFORNIA CHAMBER
OF COMMERCE INVESTMENTS HAVE
OPPOSED POSITION. THANK YOU
THANK YOU. SIX COLOR PLEASE. A
LINE TO SAY FOUR. GOOD AFTERNOON
THAT IS JIM LINDBERG- OF FRIENDS
ON LOGIC WITHOUT. IN SUPPORT
THANK YOU THANK YOU. THE COLOR
TO. BUT LINE. FIVE ONE. JOHN
POTTER OF THE CLEAN UP KIDS AT
OR IN STRONG SUPPORT OF AB FOR
EIGHTY THANK YOU CALL PLEASE.
LINE FOUR ZERO SIX. VETERANS
YOUR NUMBERS OF RYAN A LANE ON
BEHALF OF THE CALIFORNIA
RETAILERS ASSOCIATION AND
OPPOSITION THANK YOU THANK YOU
THIS CALL PLEASE. MALIGNED. FOR
TWENTY FOUR. THE END OF THE WAR
THANK YOU THANK YOU THIS CALL
PLEASE. LOS TWO FORTY SO. HE ON
WOMAN TARA REPORTING FOR NOW. IN
BEFORE. THANK YOU THANKS. A LOT
LINE FOR SEVEN. I'M BACK YES
TWENTY SEVEN. GET NATALIE ABOUT
ON THE ON THE BUSINESS
ROUNDTABLE AND OFFICE THANK YOU
CODE PLEASE. LINE FORTY TWO.
FIVE ALPHA HARPER REPORT AB EACH
THANK YOU COLOR PLEASE. LINE
FORTY ONE. WHEN IN THE BACK ON
THE CALIFORNIA HEALTH POLISH
NATIONAL IN SUPPORT. THANK YOU
THIS CALL. BY. TWO FOUR TWO FOUR
ZERO. I'D PROBABLY MORE AND THEY
HAVE BREATH CANCER OVER TIME. IN
STRONG SUPPORT. THANK YOU. LINE
. FOR YEAH ON IT ON THE OF THE
CALIFORNIA FUELED CONVENIENCE IN
OPPOSITION THANK YOU. BLIND
THREE ZERO. RIGHT AFTER COUNTY
AND SUPPORT. THANK YOU VERY MUCH
THIS COLOR. THE MANAGER NO FOR
COM THANK YOU START THANK YOU
VERY MUCH THIS IS A TIME WILL
BRING BACK TO THE COMMITTEE.
SENATE ROTH FULL OF CENTER.
THANK YOU THANK YOU MAY CHAIR-
THANK THE AUTHOR OF VERY
IMPRESSED YOUR PRISON AND YEARS
ANALYSIS THE WAY THE YOU STRUCK
YOUR- IT'S A DIFFICULT BILL
OBVIOUSLY THERE'S A LOT OF
OPPOSITION AND CHRIS. ANKLE OF A
SUPERIOR- ARE RETICENT TO CAUSE
A DISRUPTION IN THE MARKETPLACE
I AM PLEASED THAT YOU PROVIDED
TO AN ON RAMP- TO ALLOW THE
SUPPLY CHAIN TO EVEN OUT IN THE
SHELVES TO TAKE CARE OF
THEMSELVES BEFORE- AS AS THE
FRATERNITY FORMULAS ARE
DEVELOPED AN ALTERNATIVE PROGRAM
THE PRODUCT IS THE PUT THE
MARKET PLACE AND IT SEEMS TO ME
THAT AT LEAST WAS FOUR OF THE
FIVE FOOD CHEMICALS IT
SUFFICIENT SAFETY ISSUES HAVE
BEEN IDENTIFIED BY THESE VARIOUS
ISSUES EVEN THOUGH THEY'RE KIND.
FOR IS STUDIES EVEN THOUGH THEIR
CONFLICTS. TO JUSTIFY. REQUIRING
THE BAN IN THE UTILIZATION OF
ALTERNATIVE FOOD CHEMICALS IN
THESE VARIOUS PRODUCTS. SO
OBVIOUSLY I'M GOING TO SUPPORT
THE BILL AS I INDICATED TO YOU
PREVIOUSLY. AS THE BILL MOVES
FORWARD OVER TO THE EXTENT.
MOVES TO SOME OTHER COMMITTEE
BESIDES THIS ONE. WITH THE FIFTH
FOOD CHEMICAL THIS TITANIUM
DIOXIDE. IN LOOKING AT IT AGAIN
IT APPEARS OBVIOUSLY THAT
THERE'S THIS EUROPEAN STUDY BUT
THERE ARE OTHER STUDIES AT LEAST
ONE OR MORE. COULD SEEM TO
PROVIDE A CONFLICTING OPINION AS
TO WHETHER TITANIUM OXIDE CAUSES
THE PROBLEMS THAT THE EUROPEANS
BELIEVE. THAT IT DOES. AND WHILE
WE HAVE NO CONTROL OVER THE
FEDERAL. THE FOOD AND DRUG
ADMINISTRATION. THAT ALL WE DO
HAVE A CALIFORNIA DEPARTMENT OF
PUBLIC HEALTH. AND SO AS THE
BILL MOVES OUT OF THIS COMMITTEE
PERHAPS YOU WOULD CONSIDER.
ASKING THE C. P. F. C. P. H.
RATHER. TO TAKE A LOOK AT
TITANIUM DIOXIDE AND THE STUDIES
THAT EXIST. AND PROVIDE US WITH
THE LEGISLATURE SOME. IDEA AS TO
WHETHER THERE IS SUFFICIENT
CAUSE TO BELIEVE THAT DESPITE
THE CONFLICT IN THE STUDIES.
THAT THERE IS A DANGER. WITH THE
CONTINUED USE OF TITANIUM
DIOXIDE. YOUR OPTION JUST A
SUGGESTION- AS WE MOVE FORWARD I
WILL BE SUPPORTING YOUR BILL
THANK YOU FOR THE EFFORT. THANK
YOU VERY MUCH THE SENATE ROTH
CONCLUSION AND THEN CENTER
GROWTH. THANK YOU- HAT AT THE
THOUGHT IN THE BILL AND THE
CHALLENGE THAT WE HAVE THOUGH OF
TRYING TO ASK YOU KNOW WE'RE NOT
EXPERTS- YOU CONFLICTING
STUDIES- THERE'S ALWAYS THE
POLITICS OF THESE CHOICES THAT
WE FACE. WE ALWAYS HAVE A BILL
OR TWO EVERY YEAR THAT SAYS THIS
IS A BAD CHEMICAL. BENNETT AND
THEN THE DILEMMA OF- REVIEWING
THE STUDIES UNDERSTANDING WE
HELP PROCESSES FOR SOME OF THESE
TO HAVE THEM EXAMINED MORE
OBJECTIVELY. ALL THAT IS IT. IT
GETS ME TO MY QUESTION THAT I
WANTED TO ASK THE AUTHOR AND
PERHAPS THE OPPONENTS WHICH IS
THAT. IT ALL THINGS BEING EQUAL
IF THERE IS AN ALTERNATIVE.
THANK THAN THAT GETS ME A PLACE
OF WELL I'M NOT MAKING A
POLITICAL CHOICES AND
ALTERNATIVES. I WANTED TO ASK
THE AUTHOR TO SPEAK TO THIS
ISSUE OF ALL OPTIONS SUITABLE
SUBSTITUTES I THOUGHT I HEARD
THE TESTIMONY. FROM MR CALLISON
A MOMENT AGO THE SIT THERE THERE
ARE NOT. AND I WANT TO GIVE YOU
A CHANCE TO SPEAK TO THAT AND
PERHAPS HAVE THEM COME UP. AND
DEFEND HIS POINT AS WELL THANK
YOU VERY MUCH SENATOR NIGHT I
THINK WHAT I UNDERSTOOD HER
POSITION AND THEY CAN CORRECT ME
IF I'M WRONG IS THAT THEY WERE
SAYING THAT THERE'S NO SUITABLE
ALTERNATIVE FOR. ONE OF THE
CHEMICALS FOR TITANIUM DIOXIDE
THINK WE DIRECT RESPECTFULLY
SUGGEST THAT THAT'S NOT THE
CASE- THERE'S A NUMBER OF
SUBSTITUTES ON THE MARKET
CALCIUM CARBONATE. CAN BE USED
AS A SUBSTITUTE THERE'S A NUMBER
OF MANUFACTURERS THAT HAVE
DEVELOPED PROPRIETARY BLENDS AS
A SUBSTITUTE. AND THE OTHER
THING I THINK MAY BE HELPFUL TO
UNDERSTAND OR TAKE A STEP BACK
AND UNDERSTAND WHAT TITANIUM
DIOXIDE DIES SO CREATES IT
SCATTERS LIGHT. TO CREATE VERY
VIBRANT WHITE SO I WOULD BE
WILLING TO BET A LOT OF MONEY
THAT THERE IS TITANIUM DIOXIDE
IN THE PAINT ON THESE WALLS
THAT'S OFTEN FOUND IN PAINT
BECAUSE IT CREATES VIBRANT
COLORS. AND THE MANUFACTURERS
ARE USING IT TO CREATE VIBRANT
COLORS IN THEIR PRODUCTS. AND
WHAT WE FOUND IS THAT ACTUALLY
ONE OF THE SUBSTITUTES FOR
TITANIUM DIOXIDE I DON'T MEAN
THIS COULD LEAD HIS FOOD. SO
GIVE YOU AN EXAMPLE DUNKIN
DONUTS WAS PUTTING TITANIUM
DIOXIDE MIXING IT IN WITH THE
POWDERED SUGAR. ON THEIR
POWDERED SUGAR DONUTS TO MAKE
THEM MORE VIBRANT. BECAUSE OF
HEALTH CONCERNS THEY SIMPLY
REMOVE THE TITANIUM DIOXIDE THEY
STILL HAVE POWDERED SUGAR DONUTS
THEY STILL SAW A LOT OF- THERE'S
BEEN NO DISRUPTION TO THE
MARKET. PAPA JOHN'S PIZZA WAS
MIXING TITANIUM DIOXIDE IN ON
THEIR CHEESE PIZZAS TO MAKE IT.
A LITTLE MORE VIBRANT TO MAKE
THE CHEESE LOOK BETTER THEY
REALIZE THAT ACTUALLY YOU CAN
JUST USE CHEESE. YOU CAN STILL
SELL A LOT OF PIZZAS AND YOU
DON'T NEED THE INGREDIENTS SO. I
WOULD I WOULD ACTUALLY PUSH BACK
ON THE SUGGESTION THAT THERE ARE
NO- SUBSTITUTES UP THERE. IN
THREE WAYS ONE WE KNOW THERE ARE
CALCIUM CARBONATE. PROPRIETARY
BLENDS AND OTHERS. TOO YOU'VE
SEEN COMPANIES TO SUCCESSFULLY
TRANSITION TO. FOOD INGREDIENTS
AS SUBSTITUTES. AND THREE. WE
DON'T HAVE TO GAS FOR EACH OF
THESE COMPANIES AND NONE OF
THESE COMPANIES WILL ACTUALLY
HAVE TO GUESS ABOUT WHAT
ALTERNATIVE THEY MIGHT USE.
BECAUSE THEY ARE ALREADY USING
ALTERNATIVE RECIPES IN EUROPE.
RIGHTS OF SKITTLES ALREADY KNOWS
WHAT THE ALTERNATIVE RECIPE HAS
ALL OF THESE CANDY COMPANIES.
THAT ARE MANUFACTURING PRODUCTS
HERE IN UNITED STATES IN HERE IN
EUROPE. THEY ALREADY KNOW WHAT
THE ALTERNATIVE. IS BECAUSE
THEY'RE USING IT. AND THEY HAVE
CONTRACTS TO USE IT IN THEIR
SUPPLY CHAINS TO USE IT AND
THEY'RE USING IN THE PRODUCTS ON
EUROPE. AND NOTHING THAT I'M
AWARE OF HAS COME OFF THE- AS A-
OF AB ONE. AND THANK YOU INTO
THE CHAIR. WE ASK THE OPPOSITE.
TO COME. DEFENSE THEIR CLAIM.
MISTER COLSON. THE FIELD OF. AS
A SAID IN MY OPENING. I DO LET.
TECHNICAL EXPERTISE. GIVEN- LAST
MINUTE. I KNOW HERE MY
UNDERSTANDING IS. THAT FOR THIS
PRODUCT THERE IS APPROVAL FOR
LIMITED USE. NOT WIDESPREAD USE
AND AS FAR AS FROZEN PIZZA GOES.
AS IT'S BEEN CONVEYED TO ME THAT
IS TYPICALLY AN AMERICAN PRODUCT
RATHER THAN A- YOU YOU PRODUCT.
AND THAT IS THE EXTENT OF MY
INFORMATION. THANK YOU. THANK
YOU DID YOU WANT TO HEAR FROM
THE- PROPONENT I DON'T. I THINK
THE AUTHOR GAVE A VERY
COMPELLING STATEMENT AND I THINK
IT WAS PRETTY CONVINCING TO ME.
I DO THINK WE- YOU KNOW. NO ONE
WANTS TO DO THESE THINGS SAID.
HAPHAZARDLY AND I THINK WE- TAKE
THAT THE- THE RIGHT OF THE
MARKET PLACE TO KIND OF DO THEIR
THING. WITH SOME- APPRECIATION
FOR THAT CHALLENGE BUT- IF THERE
ARE ALTERNATIVES FOR ME AT
LEAST- THIS DOESN'T BECOME THE
DRAMATIC DECISION THAT IT MIGHT
HAVE BEEN AT THAT THAT FIRST
BLUSH. TO ADD THAT THIS IS A
MUCH MORE NARROW IN SCOPE THIS
BILL. WITH THE WITH THAT.
ALTERNATIVES SEEM TO NOT BE AS-
SKERRIES ONE MIGHT HAVE THOUGHT
FROM THE- ANYWAY YOU. THANK YOU
CENTER GROVE. THANK YOU MAN
CHAIR FIRST I LIKE TO THINK YOU
FOR SPEND TIME WITH ME- M. U.
THE- ABSOLUTELY HAVE YOUR- FACTS
TOGETHER AROUND THE SPELLING YOU
SPENT A LOT OF TIME ON IT AND I
HEARD YOUR PERSONAL STORY OF
WHAT THAT. PURPOSE WAS. I AM
ANGRY WITH MY COLLEAGUES AT
SPOKE I BELIEVE IT'S A BATTLE OF
THE EXPERTS M. I'M NOT AN EXPERT
I DON'T THINK ANYBODY ON THE
DICES IN THIS FIELD. AND SO I
THINK IT IS A BATTLE OF THE
EXPERTS ONE OF THE COMPELLING
STATEMENTS THAT YOU MADE TO ME
IS THAT RED DYE NUMBER THREE
HE'S BEEN REMOVED FROM COSMETICS
BUT STILL ALLOWED IN OUR FOOD.
BECAUSE SO WHY CAN YOU GIVE ME
THE EXPLANATION YOU GAVE ME WE
HAD A CONVERSATION ON THE PHONE
WHY THE FDA HAS REMOVED RED DYE
NUMBER THREE FROM COSMETICS BUT
NOT FROM OUR FOOD. I THINK THERE
WAS SOME INDICATION WHEN THEY-
REMOVED IT FROM COSMETICS THAT
THEY WERE GOING TO TAKE ACTION
TO REMOVE IT- FROM FOOD WHICH
THEY SHOULD BE REQUIRED TO DO
UNDER FEDERAL OUT THE DELANEY
CLAUSE BUT THEY NEVER GOT AROUND
TO DOING AND I THINK THAT'S ONE
OF THE FRUSTRATIONS HERE. YOU
KNOW THAT THE OPPOSITION IS
SAYING WE'LL LET THE- LET THE A
FTA TAKE CARE OF THIS. BUT WE'VE
BEEN WAITING FOR THIRTY THREE
YEARS FOR THEM TO REMOVE IT FROM
FOOD AND THEY HAVE NOT GOTTEN
AROUND TO IT. AND YOU KNOW VERY
RECENTLY- AS AS NOTED IN PITCH
FOR THE ANALYSIS FTA LEADERSHIP
ACTUALLY PUT OUT A STATEMENT
SAYING THAT THEY WANT TO DO
BETTER IN THE FOOD SAFETY AREA.
BUT TO DO THAT THEY WOULD NEED
MORE PER DAY WOULD BE NOT MORE
PERSONNEL. MORE FUNDING AND MORE
LEGAL AUTHORITY FROM CONGRESS
THAT THEY DON'T ACTUALLY HAVE
ALL OF THE LEGAL AUTHORITY THEY
NEED RIGHT NOW. TO DO THE BEST
JOB IN PROTECTING US IN FOOD
SAFETY SO. I THINK YOU HAVE TO
ASK THE FDA WHY THEY HAVEN'T
DONE THAT- BY. YOU KNOW THE
FACTS ARE THERE IT'S VERY CLEAR
IT'S INDUSTRY TO THAT DATE IT'S
BUT WAS REMOVED FROM COSMETICS
IN NINETEEN NINETY. AND THEY
HAVE NOT REMOVED FROM OUR FOOD
SUPPLY. THANK YOU AND I'M WITH
THE OTHER WHEN THE TITANIUM
DIOXIDE. AND THAT ONE THAT IS
BROUGHT UP. IN THE SAID IT'S
JUST A LIKE IN IN IN ENHANCER
FOR QUITE COLOR IT'S- THE. COLOR
WHITE. SO ON. AND I'M JUST.
AGAIN THIS KIND A SILLY QUESTION
WHAT'S MIL. AT A LOCAL BECAUSE
IT'S MILK. SO WITH SMOKING TO
LOOK LIKE IS AGAIN LOOKING. OR
CAN HAVE TO ADD. THE GIVE ANY
I'M- I'M JUST. LIKE THAT IF WE
ASK OUR PARENTS AGREE. THEY TELL
US THAT NOW PROBABLY. YOU KNOW
LOOK FINE AND THEY WERE ABLE TO
DRINK IT AND EVERYBODY DID FIND
BEFORE THEY PUT TITANIUM DIOXIDE
IN IT. YEAH AND I KNOW IT'S A
SILLY QUESTION BUT I WAS.
CURIOUS ABOUT YOU KNOW IS. I
JUST I DON'T KNOW YEAH THAT'S
THAT'S WHY I ASKED. AND THE
OTHER THING THAT I HAVE ABOUT
THAT PARTICULAR AND- TITANIUM
DIOXIDE IS THAT. IT'S MY
UNDERSTANDING THAT AND- THERE'S
NOT A REPLACEMENT FOR THAT. FOR
PEPSI. RED SEA AND SODAS CHIPS
AND SODAS. MESSAGES ISN'T. SHE.
THE SODA ONE WAS USUALLY BDO.
THE COMING. THAT'S NOT ROUTE.
BROWN FACT. OIL AND SELL. AND
GATORADE ALL THE MAJOR BRANDS
STOP USING PVO. A NUMBER OF
YEARS AGO. AND THAT'S THE ONE
THAT THE FDA HAS NOW INDICATED
THAT ACTUALLY WERE RIGHT IN THE
THIRD THINKING THAT THEY'RE
GOING TO GET AROUND TO BANNING
IT AGAIN. THEY'VE BEEN MAKING
NOISE ABOUT BANNING B. B. V. O.
FOR SEVERAL DECADES NOW. SO THE
INDUSTRY'S RT MOVED IT'S MOSTLY
NOW. IN A NUMBER OF STORE BOUGHT
BRANDS- IT'S AN EMULSIFIER IN
CITRUS BEVERAGES YOU MIGHT FIND
IT IN SPRITE OR SOMETHING LIKE
THAT- TO KEEP THE FLAVOR FROM.
FROM ALL GOING TO THE TOP. SO
YOU KNOW ALL OF THESE COMPANIES
COKE PEPSI GATORADE FIGURED OUT
HOW TO MAKE THEIR PRODUCTS
WITHOUT PVO AND SO IT'S MOSTLY
IN THESE OFF BRANDS THAT ARE
STILL OUT THERE- AND YOU KNOW.
AGAIN I THINK COKE IS DOING FINE
PATTI'S DOING FINE ALL THESE
MAJOR COMPANIES ARE DOING FINE
WITHOUT USING BBL. AND JUST A
SHORT COME AND THE REASON WHY I
ASK YOU ABOUT THAT AND- THAT
TITANIUM DIOXIDE IS BECAUSE ON A
QUICK GOOGLE SEARCH AFTER I
HEARD THAT PEPSI SAID. AND COKE
SAID THERE WAS NOT A REPLACEMENT
FOR IT. AND IT IT THERE ON A
QUICK GOOGLE SEARCH IN TWO
THOUSAND FOURTEEN IT SAYS PEPSI
AND COKE INSIST THEY ARE NOT
USING TITANIUM DIOXIDE. IN M. SO
B. OR POWER HE DRINKS SO- I
DON'T KNOW. YOU KNOW AGAIN THAT
DOUBT IT IT'S A IT'S A BATTLE OF
THE EXPERTS I GUESS YOU WOULD
SAY- I THANK YOU. I MEAN I DO I
THINK YOU I THINK THAT HEADLINE
IS GOING TO BE THAT CALIFORNIA'S
BANNING SKITTLES- I THINK MY
COLLEAGUE FROM SANTA BARBARA FOR
ME SKITTLES FROM. THE EUROPEAN
UNION- I DO HAVE A HUGE CONCERN
WITH THE FACT THAT. IF WE DO
THIS HERE IN CALIFORNIA JUST
LIKE IF WE MANDATE CERTAIN
VEHICLES ARE MANDATE. YOU KNOW
WHATEVER WE MANDATE HERE IN
CALIFORNIA BEING A LARGE MARKET.
AND THE REST THE NATION'S GOING
TO HAVE TO FOLLOW SUIT. SERVICE
CALIFORNIA SO GOES THE NATION
BECAUSE I DON'T THINK
MANUFACTURERS GOING TO PRODUCE
ONE PRODUCT. FOR CALIFORNIA IN
ONE PRODUCT FOR THE REST OF THE
NATION. M. AS I SHARED WITH YOU-
YEAH I GOT. MORE TEN GREAT NINE.
TENS DO ANY TIME NOW RIGHT SO I
GET NINE GREAT. IN THE TENTH ONE
IS THE WAY. AND I HAVE CONCERNS
ABOUT THIS AND I HAVE CONCERNS
ABOUT RED DYE NUMBER THREE
SPECIFICALLY AFTER. WHAT YOU
TELL ME ABOUT NOT HAVING IT
HAVEN'T BEEN BANNED IN MAKE UP
AND I LOOKED IT UP AND YOU'RE
TELLING THE TRUTH IT WAS BANNED
BY THE FDA. AND IT WAS THE-
THIRD OF JULY OPEN. WELL KNOW
I'VE BEEN IN THE BUILDING SIXTY.
INTENT AND- SO AS- SO I DID LOOK
AT IT IN YOUR RIGHT DFT DID IT.
YOU KNOW SO THAT YOU USE IN MAKE
IT. END SO IF CAPITA ON YOUR
FACE WHY CAN YOU INGESTED. I AM
THERE'S A VERY STRONG OPPOSE ON
THE ANALYSIS. MIDDLE LAY OFF THE
BILL. AND I BECAUSE I DON'T WANT
TO VOTE NO ON IT AND BUT I AM
CONCERNED ABOUT- OVER WRITING
THE FTA. I DO HAVE THAT CONCERN
AS FAR AS I THINK THE FEDERAL
GOVERNMENT HAS A PLACE THE STATE
GOVERNMENT HAS A PLACE. BUT I
WANT YOU TO KNOW YOU MAKE A VERY
VERY COMPELLING ARGUED INTERVENE
WHEN THE MOST CONSERVATIVE
MEMBERS ON IT IN THIS BODY I.
YOU YOU ARE YOU HAVE ME THIS
CLOSE TO A YES IN AND- YOU'RE
PRETTY. YOU HAVE YOUR FAX IN
YOUR DATA DOWN I MEAN I TEXTED
IN YOUR RIGHT SO. WELL I
APPRECIATE THE THOUGHTFUL
CONSIDERATION AND- REALLY
GRATEFUL FOR YOU FOR MAKING TIME
TO HAVE A CONVERSATION I WILL.
CONFESS THIS IS AS I MENTIONED
NOT AN AREA THAT I NORMALLY
LEGISLATING YOU PROBABLY HAVEN'T
SEEN HEALTH COMMITTEE OFTEN. I
WAS A LITTLE HESITANT TO WADE
INTO THIS BUT WHEN THE
PROPONENTS CAME TO ME AND I.
STARTED TO DO MY OWN RESEARCH
HERE- INCOMING PROTECTIVE
PERSPECTIVE REALLY AS A PARENT
IS A PARENT OF THREE YOUNG KIDS
AND- IT KIND OF BLEW MY MIND
WHEN I DISCOVERED. RIGHT IN
THESE THINGS BUT AGAIN IT
DOESN'T TAKE SOMEONE WITH A PHD
IN NEUROSCIENCE SAY WAIT A
MINUTE. IT'S BANNED IN COSMETICS
YOU CAN'T PUT ON YOUR FACE BUT
YOU CAN BE INTERESTED. IN THESE
THINGS THAT JUST DON'T MAKE ANY
SENSE AND I THINK IT'S JUST. AS
AS GOVERNOR SCHWARZENEGGER SAID
THIS IS NOT PARTISAN THIS IS A
SOME COMMONSENSE. WHEN WARM AND
- THERE WAS A COMMENT MADE BY.
THE UP OR THE PURPOSE. I THINK
THE LADY THAT COME AT. SHE SAID
THAT A LOT OF THE- FOOD. ARE
APPROVED BY THE FOOD. COMPANY
THEM. INSTEAD OF THE FDA
CORRECT. AND YOU KNOW WHEN I
LOOKED AT THE PEPSI THING WHAT
WAS INTERESTING TO ME IS THAT.
IT'S STILL ALLOWED BY THE FDA
THIS AND- TITANIUM DIOXIDE. IS
STILL ALLOWED BY THE FDA. BUT
YET THE LARGEST. PEPSI COLA AND
COKE. HAVE REMOVED IT FROM THEIR
PRODUCTS BECAUSE THEY FEEL IT'S
HAZARDOUS. SO AND- AGAIN
VALIDATING YOUR POINTS. M. SO
THANK YOU SORRY. THANK YOU A LOT
OF ELEVATION. NOT A VALID. FOR
NOT VOTING HAD SENATOR. LINDSEY
. I'M NOT. OBERNOLTE I DON'T
EVEN THINK THAT'S FINE- AS A
LIMIT WHERE THE- MY COLLEAGUES
RIVER SAY I DID WITH HIM I
THINK. GOING BACK TO THE TEAM
DIOXIDE MEAN. FTA AS CHAIR
RECOGNIZES AS BEING SAFE. AND SO
YOU KNOW AS MENTIONED WE ARE NOT
EXPERTS UP HERE AND- YOU KNOW. I
HOPE THAT YOU WOULD CONSIDER
MOVING FORWARD IS ASKING THE
CALIFORNIA DEPARTMENT OF PUBLIC
HEALTH TO LOOK AT THAT BECAUSE
IT IS THE BATTLE OF THE EXPERTS-
YOU KNOW ONE SAYS IT'S SAFE ONE
SAYS IT ISN'T BUT- GENERALLY
EVERYTHING WITH THE FOOD AND
DRUG HIM. WITH FOOD AND DRUG IN
THE UNITED STATES WE LOOK TO THE
FDA- AND SO YOU KNOW I DO HAVE
CONCERNS THAT IF YOU KNOW THIS
IS NOT. WHAT IS A SAFER IS NOT
SAFE. YOU KNOW BECAUSE I
REMEMBER WAY BACK WHEN THEY
START TALKING ABOUT MSG. IN THE
ASIAN CULTURE THESE THE
VIETNAMESE COMMUNITY THEY USE A
LOT AND SHE'S BACK THEN BUT WHEN
IT CAME OUT THAT IT COULD COST
KANSEN EVERYTHING IT JUST WENT
AWAY. UP AND THEY'D LOOK FOR
OTHER ALTERNATIVE FOR THE
ACTIVITY NEEDS FOOD. AND SO IT'S
VERY RARE YOU GET ANY MSG IN
VIETNAMESE FOOD THESE DAYS. IF
THEY DO THEY WOULD DISCLOSE AT
THAT RESTAURANT THE HEY WE DO
HAVE SOME MSG- SO I THINK THOUGH
IS YOU KNOW- THAT'S THE
CONFUSIONS LIKE. MAYBE THE
PEPSICO THE COCA COLA MAYBE IT'S
NOT. MAYBE SODAS BUT THEY DO
HAVE OTHER PRODUCT THEY HAVE
ACTUALLY A LOT OF PRODUCTS NOT
JUST. ON SODAS MAYBE IN THE
ORANGE JUICE OR SOMETHING I
DON'T KNOW. I'M SORRY I THINK
THAT. IF YOU GO FORWARD IS IT'S
REALLY HELPFUL TO GET SOME OF
THESE WHERE WE CAN GET OUR OWN
DEPARTMENT OF PUBLIC HEALTH. TO
GIVE US THEIR EXPERTISE ON
BECAUSE THEY HAVE EXPERTS TO
LOOK AT IT. I THINK YOU KNOW I
THINK THAT'S AN INTERESTING IDEA
AND I APPRECIATE IT- I THINK ONE
THING JUST TO ADD ON THE
TITANIUM DIOXIDE. THAT DOCTOR
JACKSON IT EXPLAINED TO ME IS
RETIREMENT THIS BEFORE. NOBODY
THINKS IT'S SAFE. THIS IS A
QUESTION OF HOW UNSAFE IT SAID.
RIGHT AND WHERE DO YOU DRAW THE
LINE INTO WE BELIEVE IT'S REALLY
UNSAFE OR REALLY REALLY UNSAFE
AND YOU KNOW OF FOR AS A PARENT.
KNOWING I THINK TO CENTER.
GLAZERS POINT THAT THERE ARE ALL
THESE ALTERNATIVE SOUTH THERE.
I'D RATHER HAVE MY KID I DON'T.
IT DOESN'T SIT WITH ME WHILE
WITH ME THAN A- THAT KIDS IN
ITALY FRANCE. AND OKAY AREA AND
ROMANIA AND SO. AND ALL OTHER.
ARE PROTECTED THAN MY KIDS ARE
AND SO TO ME I WOULD LIKE NO.
THAT THERE'S- KNOWING THAT
THERE'S NO HARM TO THE INDUSTRY.
I THINK WE'D BE BETTER OFF DOING
EVERYTHING WE CAN TO PROTECT
KIDS AND FAMILIES. THANK YOU SO
A MEMBER AND I WILL ALSO SAY WE
WERE. PREPARED TO REALLY. TAKE
SOME BLOWS TO THIS BILL- AND
THEN WE MET WITH YOU- CAN YOU
ARE VERY COMPELLING CAN. I KNOW
YOU REALLY DO HAVE ALL YOUR
FACTS AND EVERYTHING- IN A ROW
AND SO WE DO HAVE A- DO PASS. I
WILL SAY THAT I HAD A MAJOR
PROCESSOR AND MY- DISTRICT COME
FORWARD ON- TO KENYAN DIOXIDE
ALSO. TO AND ALSO JUST LIKE TO.
TAKE ON WITH US SENATOR ROTH
ABOUT CHECKING WITH PUBLIC
HEALTH A LITTLE BIT JUST TO SEE-
YOU KNOW. I DON'T LIKE BANDS.
BUT I ALSO DON'T THINK FOOD
SHOULD BE BRIGHT AND SHINY SO-
WOULD YOU LIKE TO CLOSE. I JUST
REALLY WANT TO THANK YOU ALL FOR
THE ENGAGEMENT FOR THE
OPPORTUNITY OF A CONVERSATION-
AND RESPECT YOUR QUESTION ABOUT.
THANK YOU VERY MUCH- WE HAD WE
HAVE A MOTION. SOME OF. SENATOR
LEMOND MOVES THE BILL CAN
SIGNATURE IF YOU CALL THE ROLL
IS TO PASS AS AMENDED. AND
REFERRED TO THE COMMITTEE ON.
ENVIRONMENTAL. QUALITY SENATORS
EGGMAN BY EGGMAN AYE WHEN.
GLAZER YEAH GLAZER AYE GONZALEZ
. GROWTH HER TADO. BUT MY OWN.
THE MON I MEANT ARE. MENJIVAR I
ROTH. ROTH HI RUBIO. HI WHAT. I
WIENER. WINNER I. THE BILL SEVEN
VOTES WILL THE ROLE OPEN WHICH-
SOME OF A- IT'S A GROVE WHO.
WHICH WHICH CAN HAS THE MOST
FOR. INSTEAD OF CALIFORNIA
TULARE COUNTY MAN WHERE DO YOU
WORK. FOR WORK BECAUSE AT MIL
WHEN IT COMES GO.
SECURING YOUR DISTRICT PERHAPS.
WELL THANK YOU MADAM CHAIR- AND
COLLEAGUES I HAVE A BRIGHT AND
SHINY BILL FOR YOU TODAY. IN A
BEFORE TWENTY FOUR A BILL THAT
WOULD DIRECT THE CALIFORNIA
DEPARTMENT PUBLIC HEALTH TO
ESTABLISH A REGISTRY WITH ALS OR
LOU GEHRIG'S DISEASE AND CITY
CALIFORNIA. CURRENT LAW REQUIRES
CDPH TO ESTABLISH AND MAINTAIN A
REGISTRY FOR PARKINSON'S DISEASE
THAT ALLOWS THE DEPARTMENT
DISCRETION TO EXPAND THE
REGISTRY TO OTHER DISEASES SUCH
AS ALS BUT IT DOES NOT REQUIRE
IT. THE AVERAGE LIFE EXPECTANCY
FOR SOMEBODY WHO IS DIAGNOSED
WITH A LS TWO TO FIVE YEARS A
RECENT STUDY SHOWED THAT THE
PREVALENCE OF ALS IS EXPECTED TO
GROW BY 69% BY TWENTY FORTY. YET
THEY'RE STILL SEVERE LACK OF
INFORMATION RESEARCH. TREATMENT
AND INVESTMENT WE DON'T KNOW WHY
THIS DISEASE MORE PREVALENT IN
MEN WE DON'T KNOW WHY THIS
DISEASE IMPACTS OUR VETERANS AT
A SIGNIFICANTLY DISPROPORTIONATE
RATE WE DON'T KNOW WHERE FOLKS
WERE DISAPPOINTINGLY IMPACTED BY
THIS DISEASE ARE IN CALIFORNIA
WE CAN'T MAKE THE MEANINGFUL
INVESTMENTS THAT WE NEED TO- IN
RESEARCH AND RESOURCES AND-
JEWISH TREATMENTS. THIS BILL
LEFT THE ASSEMBLY FLOOR WITH ALL
EIGHTY VOTES. SO I WON'T WASTE
TOO MUCH MORE OF YOUR TIME IN
RESPECTFULLY ASTRONOMICAL THANK
YOU VERY MUCH FIRST PERSONS
BECAUSE PORTANTINO WE'RE THANK
THANK YOU MADAM CHAIR MEMBERS MY
NAME IS FRED NOWHERE NEAR
REPRESENT THE GOLDEN WEST
CHAPTER OF THE ALS ASSOCIATION.
THERE WERE THE SPONSORS OF THE
BILL INTRODUCED BY MR BRYAN. AND
THE BILL MAKE CERTAIN THAT THE
CALIFORNIA DEPARTMENT OF PUBLIC
HEALTH WELL I HAD A LS INTO
THEIR EXISTING CALIFORNIA NEURO.
DISEASE REGISTRY PROGRAM. THE
ALS REGISTRY WILL ALLOW US TO
FULLY UNDERSTAND WHERE
CALIFORNIANS WERE ALS WITH ALS
RESIDE. SO THAT NO NO PERSON IS
LEFT BEHIND WE'RE HOPEFUL THE
REGISTRY WILL IDENTIFY THESE
PATIENTS. LIVING IN UNDER
RESOURCE AREAS FOR EXAMPLE SO WE
CAN BRING. CARE TO THEM. RISK
FACTORS REMAIN CONFOUNDING AND
IT IS UNCLEAR IF OR WHEN. THERE
MAY BE A L. S. HOT SPOTS IN OUR
STATE. THAT COULD PROVIDE
CLEANER A CRITICAL. CLUES AND
UNDERSTANDING. OF THE MYSTERIES
BEHIND THE DISEASE. IT IS
THOUGHT THAT UNLOCKING ALS WILL
ALSO HELP THE SCIENCE BEHIND
OTHER NEURO DEGENERATIVE
DISEASES. LIKE PARKINSON'S AND
ALZHEIMER'S. AS THE AUTHORS SAID
SADLY MOST PEOPLE WITH ALS. DIE
WITHIN TWO TO FIVE YEARS OF
DIAGNOSIS AND THERE IS A
COMPELLING REASON TO UNDERSCORE
THE URGENCY ATTACHED TO BRINGING
AN ALS REGISTRY ONLINE. WITH THE
LARGEST ALS POPULATION IN THE
COUNTRY IT IS OUR HOPE TO
CONFIRM AND PRIORITIZE HE
CALIFORNIA ALS REGISTRY. AND I
THINK THE GOOD NEWS HERE IS THAT
THERE'S A TREMENDOUS AMOUNT OF
SUPPORT IN THIS BUILDING AND THE
ADMINISTRATION FOR PEOPLE. WHO
HAVE WHO HAVE THIS DISEASE IT'S
HORRIBLE SO- WE RESPECTFULLY
URGE YOUR IPHONE AND THANK YOU
SO MUCH. THANK YOU VERY MUCH
OTHER SPEAKING SUPPORT LAST TIME
JUST TO COME FORWARD NE'EMAN-
FILIATION. C. NINE ANYBODY
SPEAKING UP A TO THIS BILL
TODAY. SEEING NONE WILL GO TO
THE PHONE LINES. ANY CALLERS ON
THE LINE. AT THIS TIME WE HAVE
NO CLOSING Q. HEY THIS TIME TO
BRING IT BACK TO COMMITTEE AND
I'LL JUST SAY I SUPPORTER OF
THIS BILL ILLICIT. DISEASE JUST
LAST FROM LAST WEEK WITH ALIAS
MALE ACTIVE AND AS WE ALL KNOW
WE LOST A DEAR CAPITAL COMMUNITY
FROM LAST YEAR ALSO. A FIT YOUNG
ACTIVE. IT'S A TRAGEDY AND WE
NEED TO FIND OUT MORE- CENTER
GROWTH I GUESS I THINK YOU KNOW
I'M SURE SENATE I MEAN I THINK
THE OTHER FOR BRINGING THIS
FORWARD I THINK IT'S A- AN
EXCELLENT. AND I ECHO MY
COLLEAGUES' COMMENTS ABOUT THE
CAPITAL PERSON THAT WE LAST LAST
YEAR THE CAPITAL A MEMBER OF OUR
FAMILY AND THEM. THERE'S WE'VE
LOST PEOPLE IN MY DISTRICT AND
IT HAPPENS VERY QUICKLY AND VERY
QUICKLY. AS I HAVE A VERY STRONG
RANCHER FRIEND HE'S NO LONGER
WITH US BUT- AND- YOU KNOW. I
THINK IT WAS IN JANUARY WE SIMON
HE LIKE JUST NORMAL LIKE HE'S
LIVED AND HUNDRED POUND BALES OF
HAY AND- AND THEN WE SIGNED IN
JUNE HE COULD HARDLY WALK HE WAS
IN A WHEELCHAIR AND CAN HARDLY
MOVE IN FEED HIMSELF AND IT'S
VERY. IT'S A VERY SAD DISEASE AN
EASY NIGHT HE WAS A UNITED
STATES MILITARY VETERAN SO THANK
YOU FOR BRINGING THIS BILL
FORWARD I APPRECIATE NINE WITH
THE ONE APPROPRIATE. THANK YOU.
THE CENTER THANK YOU TO AND- THE
- ON THIS AND THE- AND PER. IN
IT THERE'S A REAL MEAT AND DOING
THAT AND I'LL- RECOGNIZED IN MY
SPORTS TODAY TIM DAVIS WHO IS A
FORMER STAFFER. HERE IN THE
CAPITAL OF LONGTIME STAFFER WHO
PASSED AWAY FROM THIS. AND I'M
HAPPY TO INVOKE HIS NAME. IN
SUPPORT OF THIS BILL. CLICK
CLICK CLICK CLICK BAILEY WOULD
YOU LIKE TO CALL. ASSEMBLY
MEMBER. YET NOT I THINK YOU'RE A
ALL CHEN THIS. WHICH TO DO. I
WANT TO BRING UP MY CO AUTHORS
ON THIS MEASURE ASSEMBLY MEMBER
EXCIMER. ASSEMBLY MEMBER DIANE
DIXON. A BIPARTISAN COALITION
MUCH LIKE THOSE OF YOU UP HERE.
LAST WEEKEND I SPENT IT WITH MY
COUSIN CHRIS. CHRIS WAS. EMT AT
THIRTY YEARS OLD WORKING LATE
NIGHT SHIFTS WHEN HE WAS
DIAGNOSED WITH ALS HE'S COMING
UP ON HIS. FIFTH YEAR HE IS.
NEEDING FULL TIME CARE AT THIS
POINT HE SPEAKS WITH HIS EYES-
WHEN I GOT TO THE- LEGISLATURE
THOUGHT- WE'VE GOT A HUNDRED
BILLION DOLLAR SURPLUS WE NEED
TO DO SOMETHING FOR FOLKS WITH A
LS. HOW DO WE MAKE THE
MEANINGFUL INVESTMENTS THAT WE
NEED TO MAKE AND I FOUND OUT
VERY QUICKLY THAT WE ARE SO FAR
BEHIND. THAT WE DON'T EVEN HAVE
A REGISTRY TO HELP US DECIDE-
AND THINK THROUGH CRITICALLY
USING DATA AND EVIDENCE WHERE
AND HOW TO MAKE THE INVESTMENTS
WE NEED TO MAKE. A AND THAT IS
UNFORTUNATE BECAUSE WE WON'T
ALWAYS HAVE. THE SURPLUSES OF
YESTER. YEAR AND SO. STARTING AT
THE FOUNDATION IT GIVES US
SOMETHING WE CAN ALL BUILD ON
AND WE CAN BUILD ON IT TOGETHER.
AGAIN I RESPECTFULLY ASK RIVAL.
THANK YOU VERY MUCH I WAS ABLE
TO HELP GET COUPLE MILLION LAST
YEAR FOR- NELLIS. SITE IN
SACRAMENTO BECAUSE THERE'S ONLY
ONE AT- AND SAN FRANCISCO AND LA
AND NOT ONE. AT UC DAVIS WE GOT
A SATELLITE HOOKUP FOR. OKAY WE
HAVE A MOTION BY CENTER GROVE-
SECURITY CALL THE ROLL. THE
COMMISSION BY SENATOR GROVE THAT
. TO PASS A REFERRED TO
COMMITTEE ON APPROPRIATIONS.
SENATORS EGGMAN AYE EGGMAN AYE
WHEN I GLAZER. GLAZER AYE
GONZALEZ. GROWTH GROVE I HER
TADO. LIMÓN MENJIVAR. BINGE OF
OUR AYE ROTH. ROSS I RUBIO. BOB
HI BOB HI WIENER. WINNER HI. HE
WILL THAT WILL. ABSENT MEMBERS
THANK YOU MRS. ON THE BEFORE
SIXTY FOUR. DURING A DO PASS AND
REFER TO THE CA ON. HAVING TO DO
WITH RECORDS. THANK YOU AND I
HAVE TO SAY YOU HAVE SUCH A
PLEASANT VOICE AS THE CHAIR. AND
SAID THIS IS THE FIRST TIME I'VE
BEEN IN THE COMMITTEE- SO THANK
YOU SO MUCH MADAM CHAIR AND-
MEMBERS I AM VERY HAPPY TO
PRESENT AB SIX FOUR SIX FOUR-
DAND. YOU YOU MAY NOT KNOW BUT I
A CO FOUNDED AN ORGANIZATION
ADDRESSING HOMELESSNESS IN THE
SAN FERNANDO VALLEY. AND WHAT
BECAME- NOW HAS THE LARGEST
HOMELESS OUTREACH PROGRAM IN THE
WEST VALLEY. WHERE I PERSONALLY
DID A LOT OF OUTREACH TO
ENCAMPMENTS MYSELF EVERY SUNDAY
FOR OVER A YEAR AND THE NUMBER
ONE THING THAT PEOPLE ASKED FOR
AFTER HOUSING AND YOU KNOW- FOOD
WAS AND I. D. WAS VITAL RECORDS
THINGS THAT THEY NEEDED TO BE
ABLE TO GET ON THEIR FEET. AND
SO AB FOUR SIX FOUR REALLY IS TO
ADDRESS THAT NEED- AND GIVEN THE
BURDENS OF LIVING IN SUCH
UNSTABLE CIRCUMSTANCES IT CAN BE
REALLY CHALLENGING TO RECOVER
VITAL DOCUMENTS. SUCH AS
PERSONAL IDENTIFICATION DRIVER'S
LICENSES AND OTHER PAPERWORK
WHEN AN INDIVIDUAL IS SEEKING
EMPLOYMENT APPOINT A PLANE FOR
SERVICES OR APPLYING FOR RENTAL
HOUSING IDENTIFICATION DOCUMENTS
OF THIS SORT ARE IN MOST CASES A
REQUIREMENT. ESTIMATES ARE MORE
THAN A HUNDRED AND FIFTY
THOUSAND CALIFORNIANS ARE
HOMELESS WITH 72% OF THOSE
UNSHELTERED ENOUGH WITH THE
HIGHEST- THE HIGHEST UNSHELTERED
POPULATION IN THE STATE. AB FOUR
SIX FOUR WILL REDUCE
ADMINISTRATIVE BARRIERS FOR LOW
INCOME INDIVIDUALS SEEKING
EMPLOYMENT HOUSING HEALTH CARE
AND MORE AND IT DOES SO BY
EXEMPTING INDIVIDUALS BASED ON
THEIR QUALIFICATIONS FOR CERTAIN
PUBLIC ASSISTANCE. FROM HAVING
TO PAY ANY FEE OTHERWISE
REQUIRED FOR COPIES OF VITAL
RECORDS. OR A CALIFORNIA'S IDEA
OR LICENSE AND DRIVER'S LICENSE
RENEWAL. ADDITIONALLY BEGINNING
ON JULY FIRST TWENTY TWENTY
SEVEN AB FOUR SIX FOUR EXEMPTS A
PERSON WHO'S EXPERIENCING
HOMELESSNESS FROM PAYING A FEE
FOR A DRIVER'S LICENSE AND WOULD
REQUIRE THE DETERMINATIONS OF
ELIGIBILITY TO BE MADE. BY A
GOVERNMENTAL OR NONPROFIT
ENTITY. HAPPY TO SHARE THAT THIS
BILL HAS RECEIVED BIPARTISAN
SUPPORT ON THE ASSEMBLY SIDE AND
ALSO HOPEFULLY GET THE SAME
HERE- AND LOOKING FORWARD TO
WORKING TOGETHER TO MAKE SURE
THAT WE CAN HELP FOLKS HAVE THE
TOOLS THAT THEY NEED TO GET ON
THEIR FEET. THANK YOU VERY MUCH
OKAY ANYBODY SPEAK IN SUPPORT OF
THIS BILL TODAY STONE COMPORT.
FOR SENATE DISTRICT TWENTY IN
SUPPORT THANK YOU THANK YOU VERY
MUCH DAVID. JIM LEWIS
REPRESENTING SPAIN AND THE
CALIFORNIA COALITION FOR YOUTH
IN SUPPORT. THANK YOU VERY MUCH
. OKAY RESPECT IN OPPOSITION
TODAY. GOOD AFTERNOON MADAM
CHAIR MEMBERS ROB GROWS CLOSER
WITH THE COUNTY RECORDER'S
ASSOCIATION OF CALIFORNIA
RESPECTFULLY IN OPPOSITION WE DO
AGREE WITH THE INTENT OF THE
ASSEMBLY MEMBER AS THE
CUSTODIANS OF CALIFORNIA'S VITAL
RECORDS. ACCESS IS ABSOLUTELY
IMPORTANT- COSTS ARE EXPENSIVE-
WE HAVE TRIED IN FACT THEIR TIME
WAS THE CHARM LAST SESSION WE
SUCCESSFULLY WERE ABLE TO
SPONSOR A BILL THAT WOULD ALLOW
COUNTIES TO START TO LOOK AT
ISSUING BATTLE OCCURS VIA
BLOCKCHAIN TECHNOLOGY TO REDUCE
COSTS- I WILL LIMIT MY TESTIMONY
NOT TO THE FISCAL CONCERNS
THOUGH WITH THE MINISTRY OF ONE
SINCE THE POLICY COMMITTEE. FROM
ADMINISTRATIVE PERSPECTIVE
THERE'S A LOT OF QUESTIONS AND
AS I BILL FOR SIX FOUR-
SPECIFICALLY WHEN IT COMES TO
THE ISSUANCE OF THE VITAL
RECORDS IF THERE'S A SELF
CERTIFICATION TYPE OF PROCESS IT
COULD RESULT IN- SOME INEQUITIES
I E. FOLKS THAT SHOULD BE
ELIGIBLE FOR FREE DOCUMENT THE
TESTING AT TO THE OUR- AND IF
THE FUNDING STREAM IS. LIMITED
THAN THOSE INDIVIDUALS SEEKING
TAXES THAT LEADER MAY NOT HAVE
ACCESS TO IT IF WE SWITCH FROM A
SELF CERTIFICATION PROCESS TO
ONE THAT INCLUDES CERTIFICATION
SUCH AS THE DOCUMENTS
ARTICULATED IN THE LEGISLATION-
WE MAY HAVE SOME PRIVACY
CONCERNS INCLUDING TRACKING AND
MONITORING WITH THE SUBJECT P.
R. A.'S AND WE DON'T HAVE
SYSTEMS CURRENTLY IN PLACE TO
SORT OF COLLECT INFORMATION
THAT'S NOT IN A- PUBLIC RECORD
SORT OF FORMAT- SO IT CREATES
DIFFERENT ADMINISTRATIVE
COMPLEXITIES THERE- IN ADDITION
FOR A ONE PER CUSTOMER. OPTION
POTENTIALLY FROM A TRACKING
PERSPECTIVE L. A. COUNTY HAS
MULTIPLE OFFICES HOW DO WE MAKE
SURE THAT FOLKS ARE JUMPING
OFFICES TO GET MORE COULD BE
QUESTION AS WELL AS
COMMUNICATING WITH DEPARTMENT
PUBLIC HEALTH. ISSUES FROM A
STATEWIDE PERSPECTIVE. WHEN IT
COMES TO PROBE. I THINK THE HAS
AND IT OPPONENT. WITH
ADMINISTRATORS DON'T KNOW DO WE
STOP ISSUING FREE VITAL RECORDS
WHEN THE PRESSURE PREPARATION
FUNDS DROP OFF WHAT IF THERE'S
AN APPROPRIATION FUTURE YEARS
WHAT SHOULD WE BE DOING WE JUST
WANT TO KNOW HOW TO MINISTER FOR
THE PUBLIC'S EXPECTATION- LASTLY
THERE'S A POLICY QUESTION AS TO
SPECIAL FUNDS. A LOT OF VITAL
RECORDS HAVE SPECIAL FUNDS
ASSOCIATED WITH THEM- WE DON'T
KNOW IF THOSE VITAL- THOSE FUNDS
ARE SUPPOSED TO BE IMPACTED OR
NOT IMPACTED SO FROM A
COLLECTION PERSPECTIVE AND
DISTRIBUTED BACK TO THE STATE.
WE DON'T KNOW WHAT TO DO- I
DIDN'T REALLY APPRECIATE TIME
TODAY AND DEFINITELY AGREED TO
SELL MEMBERS INTENT AND IT
FORCES MINISTRY YEARS WE JUST
ARE CONFUSED NOT SURE HOW TO GO
ABOUT IT SO RESPECTFULLY WERE
OPPOSED THANK YOU. THANK YOU
VERY MUCH ANYBODY ELSE BECAUSE
IN A POSITION TODAY. THE SIGNAL
GO THE PHONE LINES. AND COLORS
ON THIS TODAY. DOES IT LOOK LIKE
AN AMATEUR. OKAY THANK YOU VERY
MUCH. NOBODY AROUND YOU AT THIS
TIME. THAT WOULD BE THE TIME TO
BRING IT BACK TO THE COMMITTEE
MEMBERS. THE BILL HAS BEEN
MOVED- AND WOULD YOU LIKE TO
CLOSE WOULD YOU LIKE TO. RESPOND
TO THE OPPOSITION. HERE IS SO
HAPPY TO CONTINUES CONVERSATIONS
I KNOW WE'VE BEEN HAVING THEM-
WE FEEL LIKE THE BILL IS PRETTY
CLEAR IN TERMS OF HOW YOU
QUALIFY IT CLEARLY- YOU KNOW. A
REFERENCES THE- THE STATUE WITH
THE- THE- PROGRAMS LIKE CALFRESH
AND THINGS LIKE THAT WHICH WHAT
FOLKS WOULD HAVE TO. QUALIFY
FOR. OBVIOUSLY WE WANT TO MAKE
SURE THAT PRIVACY IS PROTECTED
AND SO HAPPY TO CONTINUE
CONVERSATIONS TO ADDRESS THOSE.
CONCERNS AND- YOU KNOW WE KNOW
THAT IN TERMS OF APPROPRIATIONS
THAT THERE'S AN OPPORTUNITY TO-
SEEK REIMBURSEMENTS FOR STATE
MANDATES AND SO YOU KNOW
CERTAINLY SUPPORT WOULD SUPPORT
THAT AND WILL SUPPORT- FUNDING
GOING FORWARD AS WELL AND NEXT
BUDGET YEAR SO THAT'S WHY WE
HAVE THE UPON- APPROPRIATIONS
RECOMMENDATION. REQUESTS SO
RESPECTFULLY ASK RIVAL THANK YOU
VERY MUCH WE HAVE A MOTION BY
SENATOR WAHABI SECRETARY IF YOU
COULD PLEASE. CALL THE ROLL AND
AGAIN THAT IS- MOTIONS TO PASS
AND REFERRED TO COMMITTEE ON
TRANSPORTATION. SENATORS EGGMAN
I WENT. GLAZER HI GLAZER AYE
GONZALEZ. GROWTH FOR TADO. AMONG
MENJIVAR. MENJIVAR EYEING. ROTH
ROTH AYE RUBIO. BOB HI BOB I
WINNER. WINNER I. SIX HOUR COULD
KEEP THAT ROLE OPEN FOR ABSENT
MEMBERS THANK YOU VERY MUCH. MR
LOWENTHAL. HERE TODAY ON PANDAS
AND PANS THE BEARS AND DOES
ENJOY A MOTION TO PASS AS
AMENDED AND RE FOR RE REFER TO
THE COMMITTEE ON APPROPRIATIONS
PLEASE THANK YOU MADAM CHAIR AND
SENATORS. VERY PLEASED TO
PRESENT AB NINE OH SEVEN WHICH
REQUIRES HEALTH CARE SERVICE
PLAN CONTRACT. FOR HEALTH
INSURANCE POLICY ISSUED AMENDED
OR RENEWED ON OR AFTER JANUARY
FIRST TWENTY TWENTY FOUR. TO
PROVIDE COVERAGE FOR THE
TREATMENT OF PEDIATRIC
AUTOIMMUNITY NEURO PSYCHIATRIC
DISORDER ASSOCIATED WITH
STREPTOCOCCAL INFECTIONS OR
PANDAS. AND PEDIATRIC ACUTE
ONSET NEURO PSYCHIATRIC SYNDROME
OR PANS PRESCRIBED ORDER BIAS
PHYSICIAN OR SURGEON. I'D LIKE
TO BEGIN BY SAYING THAT- WE
ACCEPT THE AMENDMENTS AND WANT
TO THANK THE VERY THOUGHTFUL AND
THOROUGH APPROACH BY COMMITTEE
STAFF. PANIZZA PANS ARE AN
INFLAMMATORY DISEASE OF THE
BRAIN THAT RESULT IN SUDDEN
ONSET DEVASTATION ALL BEHAVIORAL
NEUROLOGICAL DYSFUNCTION.
USUALLY OCCUR AFTER A TRIGGERING
INFECTION. THESE DISORDERS ARE
THOUGHT TO BE CAUSED BY
AUTOANTIBODIES GENERATED AFTER
THE INFECTION THAT MISTAKENLY
ATTACKED THE BRAIN. ANYBODY IT'S
AN ORAL ANTI INFLAMMATORY
MEDICATION HELP MOST CHILDREN
FOR THE MINORITY NEED STRONGER
IMMUNE MODULATING TREATMENTS
SUCH AS INTRAVENOUS.
IMMUNOGLOBULIN OR IV IG. DESPITE
PUBLISHED PANDAS AND PANS
TREATMENT GUIDELINES THAT
ESTABLISH THE STANDARD OF CARE
SIX YEARS AGO IN TWO THOUSAND
SEVENTEEN. INSURERS HAVE
CONTINUE TO BE HERE TO THEIR OWN
POLICY STATEMENTS FOR BIDDING
AUTHORIZATION OF IMMUNE FOCUSED
TREATMENTS LIKE IV IG. AND AS A
RESULT THE TREATMENTS ARE
ROUTINELY DENIED. EARLY AN
EXPEDIENT ACCESS TO THE
TREATMENT IS CRUCIAL TO THE
EFFECTIVE TREATMENTS OF PANDAS
AND PANS. IN ORDER TO AVOID THE
DEBILITATING SYMPTOMS
POTENTIALLY PERMANENT
NEUROLOGICAL DAMAGE. AND
SOMETIMES FATAL OUTCOMES
ASSOCIATED WITH THESE DISORDERS
. I'M JOINED TODAY BY NUMBER OF
PARENTS WHOSE CHILDREN HAVE BEEN
AFFECTED BY THESE DEBILITATING
SYNDROMES INCLUDING APRIL RENEE.
WILL BE TESTIFYING SHORTLY.
APRIL SON AND BY THE WAY THEY
ARE THEY ARE RESIDENTS OF THE
SIX MONTHS ASSEMBLY DISTRICT HAS
BEEN TREATING SUCCESSFULLY WITH
IDEA GM WAS ABLE TO RETURN TO
SCHOOL AND RESUME MANY OF HIS
NORMAL ACTIVITIES. BUT COVERAGE
FOR HIS TREATMENT WAS RECENTLY
DENIED IN HIS PANTS HAS BEGUN
FLARING AGAIN THIS IS
UNACCEPTABLE. EIGHTY NINE OH
SEVEN WILL ENSURE THAT
INDIVIDUALS AND FAMILIES WHO ARE
CONFRONTED WITH THESE DISORDERS
DO NOT EXPERIENCE UNNECESSARY
DELAYS IN TREATMENT THAT CAN
LEAD TO DISASTROUS AND TRAGIC
OUTCOMES. IT'S MY PLEASURE TO
INTRODUCE APRIL RENEE M. DOCTOR
TEMPTATION WE'RE HERE TO TESTIFY
IN SUPPORT OF AB NINE OH SEVEN.
BERNIE HI I AM A PRO NAY I'M A
SECOND GRADE SCHOOL TEACHER AND
MOM TOOK PAINS. MY BEAUTIFUL SON
AIDEN WAS A HEALTHY VIBRANT
EIGHT YEAR OLD WHEN HE GOT
PNEUMONIA NINE YEARS AGO HE WOKE
UP A COMPLETELY DIFFERENT CHILD
CONSUMED BY OCD HALLUCINATIONS
AND EXTREME ANXIETY HE COULDN'T
LEAVE THE HOUSE OR PLAY HE
COULDN'T EAT. SLEEP OR DO ANY
SCHOOL WORK. FOUR MONTHS LATER
IT WAS DIAGNOSED WITH CANCER HE
STARTED ANTIBIOTICS IN DAYS WE
HAD OUR SON BACK. UNFORTUNATELY
A SIMPLE FLEW AT AGE FOURTEEN
PLUNGED HIM BACK INTO SEVERE
PANTS THIS TIME ANTIBIOTICS
DIDN'T WORK HE LOST ALL QUALITY
OF LIFE AND I STOPPED TEACHING
TO BECOME AS CARETAKER.
DESPERATE WE FOUND SPECIALIST
FROM OUR LOCAL CHILDREN'S
HOSPITAL AND UCLA WHO PRESCRIBED
IV IG A STANDARD TREATMENT
ACCORDING TO PUBLISHED
GUIDELINES. WE WERE SHOCKED WHEN
OUR INSURANCE TONIGHT IV IG AS
NOT MEDICALLY NECESSARY. TWO
YEARS INTO THIS HORRIBLE FLARE
AND STILL WAITING FOR TREATMENT
IT WAS HOSPITALIZED AND FINALLY
GOT IV IG WITH THE IMMEDIATE
RELIEF AND ALL HIS SYMPTOMS. HIS
DOCTOR CALLED HIS RECOVERY BORAC
KEYLESS AND RECOMMENDED ANOTHER
INFUSION TO SOLIDIFY GAINS. WE
WERE ASKED TO DOCUMENT AGENTS
IMPROVEMENTS I JOURNALED AS HE
BEGAN TO EAT GAINING WEIGHT
HISTORIAN STOPPED ACHING HE
SLEPT THROUGH THE NIGHT. ANXIETY
OCD OF MEMORY LOSS MELTED MY
ENTIRE FAMILY STARTED TO HEAL
UNTIL WE OPENED ANOTHER DENIAL
LETTER. THIS TIME CLAIMING IBAT
AS EXPERIMENTAL. WITHOUT MORE
MEDICINE OUR TASK OF DOCUMENT
MANY AGENTS MIRACULOUS RECOVERY
TURNED INTO THE HEARTBREAK. OF
DOCUMENTING HIS DECLINE. MONTHS
LATER I A LETTER SAYING I TO WAS
FINE UP. BY NOW SENT ON BRAIN
INFLAMMATION FOR TWO YEARS AND
THREE MONTHS. AFTER A SUCCESSFUL
YEAR OF ID EIGHTY EIGHT IT WAS
80% HEALED HE RETURNED TO SCHOOL
AND I TO WORK. UNTIL THE RECENT
THE NOT PLUNGED EIGHT IN INTO
PANS YET AGAIN. THE CONSEQUENCES
OF DENIALS ARE TREMENDOUS
FAMILIES CHOOSE BETWEEN PAYING
BILLS AND THEIR CHILDREN'S
HEALTH DESPERATE SOME SELL HOMES
SOME JUST LOSE THEIR CHILDREN
FOREVER. THERE'S A BRAIN BANK AT
GEORGETOWN TO STUDY KIDS LIKE
MAX WALLACE MAX KILLED HIMSELF
THE DAY BEFORE CHRISTMAS TWO
THOUSAND SIXTEEN WHILE WAITING
FOR TREATMENT. HE WAS JUST
THIRTEEN. RIGHT NOW ELEVEN
STATES HAVE LAWS LIKE AB NINE OH
SEVEN MEANWHILE CALIFORNIA
FAMILIES CAN ACCESS LIFE SAVING
MEDICINE DESPITE HAVING TO
LEADING PANTS CLINICS UCLA AND
STANFORD. IT'S TIME FOR
CALIFORNIA TO PROTECT ITS
CHILDREN I RESPECTFULLY URGE I
ON AB NINE OH SEVEN. THANK YOU
VERY MUCH THANK YOU DOCTOR. MY
NAME IS DR TEMPE CHEN AND I'M A
PEDIATRIC INFECTIOUS DISEASE
PHYSICIAN AT MILLER CHILDREN'S
AND WOMEN'S HOSPITAL IN LONG
BEACH TREATING PANDAS AND PANS
WHERE MISGUIDED AUTOIMMUNE
ANTIBODIES MISTAKENLY ATTACKED A
CHILD'S OWN BRAIN. OVERNIGHT THE
CHILD DEVELOPS SEVERE NEURO
PSYCHIATRIC SYMPTOMS THAT CAN
DESTROY AN ENTIRE FAMILY'S
ABILITY TO FUNCTION. ONE
TREATING PANS I FOLLOW EXPERT
GUIDELINES THAT ARE PUBLISHED BY
THE N. H. STANFORD HARVARD AND
OTHER ACADEMIC CENTERS OF
EXCELLENCE THESE GUIDELINES
INCLUDE INTRAVENOUS IMMUNE
GLOBULIN- I. IG A STANDARD OF
CARE FOR MORE SEVERE CASES. AS
SUPPORTED BY EACH CLINICAL
TRIALS TO DATE. I'VE SEEN THE
DRAMATIC RECOVERIES FROM MY V.
EIGHT G. YEAH EVERY REQUEST FOR
IVI G. GETS DENIED INSURERS
SHAMELESSLY POST THEIR IV IG
POLICIES CLAIMING IT'S NOT
MEDICALLY NECESSARY FOR PANS. I
SPENT HOURS ON THE PHONE CITING
TREATMENT GUIDELINES TO
INSURANCE REPRESENTATIVES WHO
HAVEN'T EVEN SEEN OR HEARD OF A
CASE OF PANTS. I SENT IN REAMS
OF APPEALS PAPERWORK TO NO AVAIL
THE ONLY WAY FORWARD IS TO
BATTLE MONTHS OF MULTILEVEL
ROUTE DENIALS THEN FILE A
GRIEVANCE WITH REGULATORS LIKE
THE MHC. MOST THE MHC DECISION
EVER PATIENTS SO WHY THEN DO
INSURERS DENY THIS IMPORTANT
TREATMENT ACCORDING TO
PROPUBLICA CIGNA ESTIMATES THAT
ONLY 5% OF PATIENTS APPEAL AND
INSURERS BANKS ON FAMILY SIMPLY
GIVING UP. I AM THE ONLY DOCTOR
ACCEPTING PANS CASES AT MY
HOSPITAL MOST PHYSICIANS CAN'T
STAND MONTHS OF FACING
DESPERATELY ILL CHILDREN AND
THEIR FAMILIES WITH THEIR HANDS
TIED THE TO HAVE GIVEN UP. I
FEAR THAT INSURANCE DELAYS CAN
PERMANENTLY HARM THESE
DEVELOPING BRAINS ONLY THE MOST
EDUCATED PERSISTENT AND WEALTHY
. FAMILIES CAN GET TIMELY
TREATMENT OTHER KIDS AND UP A UP
LOCKED CYCLE OR NEEDING SPECIAL
AND- WELL THEIR CARE GIVER
PARENTS CANNOT. THIS IS SO MUCH
MORE EXPENSIVE TO SOCIETY THAN
JUST TREATING PROMPTLY. EIGHTY
NINE OH SEVEN WOULD ADDRESS
HEALTH CARE INEQUITY AND SAVE
CALIFORNIA MONEY BY TWO BIRDS
ESTIMATES WHICH BIG NOR IS A
SOCIETAL COST EIGHTY NINE OH
SEVEN WOULD INCREASE INSURANCE
PREMIUMS MY ZERO POINT ZERO ZERO
ONE SIX PERCENT. LESS THAN ONE
CENT. ALLOWING A FAMILY TO READ
JOINT PRODUCTIVE SOCIETY IS
ABSOLUTELY PRICELESS AND THE
CHOICE IS CRYSTAL CLEAR TO ME.
ELEVEN STATES ALREADY HAVE SUCH
LAWS AND A DOZEN MORE INTRODUCED
BILLS THIS YEAR CALIFORNIA'S
SITUATION WILL NOT IMPROVE
WITHOUT AB NINE OH SEVEN PLEASE
HELP ME FEEL THESE CHILDREN BY
VOTING HI THANK YOU THANK YOU
VERY MUCH- ANYBODY ELSE BECAUSE
SUPPORT NOW IS A TIME TO COME
FORWARD JUST NAME AND
AFFILIATION. HOLCIM YOU'RE
SPEAKING IN SUPPORT. GET
ILLUMINA YOUNG ON BEHALF OF
MILLER CHILDREN'S AND WOMEN'S
HOSPITAL LONG BEACH IN SUPPORT
THANK YOU THANK YOU. S. MADAM
CHAIRS SENATORS I WOULD COULD
ANI WITH LANGE HAD CENTRO QEDANI
REPRESENTING- CALIFORNIA
CHILDREN'S HOSPITAL ASSOCIATION
STRONG SUPPORT THANK YOU TO THE
AUTHOR THANK YOU VERY MUCH.
MADAM CHAIR MEMBERS OF THE
COMMITTEE BRAND IN MARCH WITH
THE CALIFORNIA MEDICAL
ASSOCIATION WANT TO THANK THE
AUTHOR FOR TAKING THE AMENDMENTS
IN PRINT WE ARE IN SUPPORT THANK
YOU THANK YOU. MY NAME IS ANGELA
TANG I'M A PHYSICIAN AND MOTHER
OF THE PANS SON GOT BETTER WITH
IV IG AND STRONG SUPPORT FOR ALL
THE CHILDREN WHO DON'T HAVE THE
ADVANTAGES MINDED. THANK YOU
TALK. MY NAME IS SHERRY STRAWSON
. FIND ME OFF OF MY THIRTEEN
YEAR OLD SON. WITH SEVERE PANTS
AND- AN ADVOCATE WITH THE
CALIFORNIA COALITION OF PANTS
PANTS ADVOCACY I STRONGLY URGE
YOU TO VOTE YES ON EIGHTY NINE
OH SEVEN. THANK YOU VERY MUCH.
MY NAME IS CARLA SERVICE- I AM-
PANTS MOM SPEECH LANGUAGE
PATHOLOGY ASSISTANT I STRONGLY
SUPPORTED THE NINETY SEVEN I
MEMBER OF THE CALIFORNIA
COALITION. AND MY DAUGHTERS HERE
TODAY THANK YOU VERY MUCH. I'M
APPENDICES VIVEN MY NAME IS MIA
SERVICE AND I STRONGLY SUPPORT
THIS BILL THANK YOU. STEPHEN
COMMITTEE ON BEHALF OF
CALIFORNIA LIFE SCIENCES IN
SUPPORT THANK YOU. MOTHERLESS
SERVICE- AND FATHER MIA KIND OF
SUPPORT AB IN TOWN SEVEN THANK
YOU THANK YOU VERY MUCH. OKAY
THOSE BEGIN OPPOSITION. THE TIME
TO COME FORWARD HEALTH CARE
PLANS. GOOD AFTERNOON MADAM
CHAIR MEMBERS THAT- HAMPTON WITH
THE CAL SAYS OF HEALTH PLANS I
REGRETTABLY HERE AND OPPOSITION
AB NINE SEVEN. I FIRST JUST WANT
TO START- BY. EVERY
MISDIAGNOSIS- YOU KNOW THAT THE
SPURS THE BILL IN COMING HERE
ACTUALLY WANTED KNOWLEDGE THAT
THIS IS A VERY SENSITIVE AND IN
DIFFICULT AND CHALLENGING ISSUE
SO. I WOULD BE REMISS IF I
DIDN'T KNOWLEDGE THAT FIRST-
REGARDING PAINS INFANTICIDE IS
VERY CHALLENGING TO DEFINITIVELY
DIAGNOSE- THERE'S NOT A SPECIFIC
DIAGNOSTIC TEST TO CONFIRM A
DIAGNOSIS FOR PANDAS OR PANS.
AND GENERALLY COME THE CLINICIAN
TO USE DIFFERENT DIAGNOSTIC
PROCESS IS NOT ONLY TO CONFIRM A
DIAGNOSIS DIAGNOSIS BUT ALSO
RULE OUT OTHER CONDITIONS- WITH
SIMILAR SYMPTOMS SUCH AS OCD.
ADDITIONALLY ICV TEN CODES DO
NOT EXIST FOR PANDAS UNDER THE
DEFINITION OF DISORDERS
INVOLVING IMMUNE MECHANISMS.
GENERALLY SPEAKING NATIONAL
BUILDING CODES DO NOT EXIST TO
REIMBURSE FOR THE SPECIFIC
SERVICES CURRENTLY WHICH MAKES
IT CHALLENGING OBVIOUSLY TO
REIMBURSE FOR THESE TYPES OF
SERVICES- YOU KNOW ULTIMATELY WE
ARE CONCERNED THAT THIS THIS
BILL WOULD PROBABLY REQUIRE
PLANTS TO COVER ALL TREATMENTS.
PLEASE CONDITIONS WITHOUT
MEETING MEDICAL NECESSITY
CRITERIA I PREFER PRIVATE HEALTH
PLANS FROM ANY LIMITATIONS ON
THE VOLUME OF TREATMENTS- AND-
YOU KNOW JUST THE BENEFIT DESIGN
MY LIVING COST SHARING- ON ON
THE COPAYMENTS SO WITH THESE
THREE THINGS COMBINED
SPECIFICALLY AROUND THE REMOVAL
OF MEDICAL. NECESSITY WHICH IS
GENERALLY THE STANDARD BY WHICH
WE- YOU KNOW- PROVIDE SERVICES-
THAT DOES TEND TO BE THE MOST
CONCERNING A PART OF THIS BILL
FROM FROM OUR MEMBERS
PERSPECTIVE- WE DO DAHLE SAID
THIS IS A MANDATE. WE WOULD
AGREE WITH THE SUPPORTERS THAT
THIS IS A YOU KNOW NOT NOT ONE
OF THE MORE COSTLY MANDATES
INTRODUCED THIS YEAR- BUT AGAIN
IN OUR OUR GENERAL CONCERNS
REALLY AROUND. THE REMOVAL OF
THAT MEDICAL NECESSITY- FOR THE-
DATA SOME CRITERIA THIS BILL SO.
FOR THOSE REASONS THAT WE ARE
REGRETTABLY I IN OPPOSITION TO
THE BILL- BUT AGAIN I WOULD LIKE
TO THANK THE AUTHOR AND THAT.
SPONSORS AND SPORTS WELL THANK
YOU. THANK YOU. SEVEN STEPHANIE
WHAT CAN SOME OF THIS. OF
CALIFORNIA LIFE IN HEALTH
INSURANCE ALL POSED IN INTEREST
OF TIME I WILL LET ME WITH MY
COME. THANK YOU. JOHN LINGER ON
BEHALF AMERICA'S HEALTH
INSURANCE PLANS AND ECHO THE
COMMENTS A CAP. THANK YOU VERY
MUCH OKAY. IT DOES BECAUSE THE
PHONE LINES AT THIS POINT. IN
COLORS YES. YES FOR SUPPORT
OPPOSITION OF EIGHTY NINE OH
SEVEN- PLEASE PRESS ONE THEN
ZERO AT THIS TIME. WE'LL GO TO
LINE FOR FORTY EIGHT. ALL FORTY
EIGHT YOUR LINE IS OPEN. NO
RESPONSE AND FOR FORTY EIGHT.
FROM A PLACE.
LINE BETWEEN TWO THIRTY EIGHT.
DELAYING FAILING IN L. A. COUNTY
REGISTERED NURSE FRANCO WORKER
THE MINUTE EARNED THAT. HAS
SPANNED IN SUPPORT. HE AND WE'RE
GO TO LINE. ONE NINETY TWO. ONE
ONE NINETY TWO YEAR OLD BUT.
RIGHT NO RESPONSE. ONE NINETY
TWO. I WILL GO TO LINE. FOR
FORTY FIVE. HELLO MY NAME IS AT
THE HEAD HELLO MY NAME THOUSAND
GOLDBERG MY NEPHEW HAS HANDS AND
NEEDED I THE I. D. TREATMENT AND
I'D LIKE TO ASK YOU TO SUPPORT.
EIGHTY NINE ZERO SEVEN. WE GO TO
A LINE FOR FORTY ONE PLEASE GO
AHEAD. HELLO THE CLINTON OF THAT
CAN BE HAPPY CALIFORNIA HELP
POLLUTION ADVOCACY AND SUPPORT
THANK YOU VERY MUCH THANKS COLOR
PLEASE. ONE MOMENT PLEASE. WE'LL
GO TO LINE FOR THIRTY EIGHT
PLEASE GO AHEAD. HI THIS IS
CHRISTINA RETURNING FROM LOS
ANGELES COUNTY AND I'M CALLING
TO SUPPORT EIGHTY NINE ZERO
SEVEN THANK YOU. THANKS CALLER
PLEASE. WE'LL GO TO LINE FOR
THIRTY FOUR PLEASE GO AHEAD.
FOUR THIRTY FOR YOUR LINE IS
OPEN. THE RESPONSE FROM FOUR
THIRTY FOUR FIVE GO TO LINE CHIU
FORTY THREE PLEASE GO AHEAD. HI
MANY WITH THE BACKING ON A L. A.
COUNTY PROBATE I COULD NOT FAIR
FOR THE MOTHER OF A DAUGHTER
WITH AND IN STRONG OF THE L. A.
B. NINE OF THANK YOU THANK YOU
VERY MUCH THANKS COLOR. GO TO
LINE UP. FOR TWENTY SIX PLEASE
GO AHEAD. HELLO MY NAME IS THE
FIFTH LANE I'M A PARENT OF THE
BUT AND AKJ THERAPIST AND I IT
NINE OF. PLEASE THANK YOU THANKS
CALLER PLEASE WILL WE'RE TO LAW
TWO. SCHOOL AT TWO FORTY. HI
FROM NAME IS DANNY RUNNING. BOB
CALIFORNIA I'M A FATHER AND SON
. STRONG SUPPORT EIGHTY NINE
INSTEAD THANK YOU. THANK YOU FOR
CALLING PLEASE- LINE THREE
EIGHTY TWO GO AHEAD. MY NAME IS
MERCEDES THE CALL I'M A
GRANDMOTHER OF A CENTRAL STYLE
SENATE SUPPORT EIGHTY NINE OH
SEVEN. THANK VERY MUCH THANKS
CALLER PLEASE- LINE FOR FIVE ONE
LET'S GO AHEAD. FIND FOR FIFTY
ONE YEAR OPENS. NO RISK POINT
WHERE NO RESPONSE AND FOUR FIFTY
ONE OKAY. AT THE SCHOOL LINE FOR
FORTY PLEASE GO AHEAD. GOOD
AFTERNOON I'M BRIAN A GREAT LIVE
IN SANTA CLARA ON THE FATHER OF
TWO CHILDREN SUFFERED COMPOUNDS
FOR YEARS. AND I STRONGLY URGE
YOU TO PUT OF THE STATE ITSELF
AB NINE SEVEN THANK YOU THANK
YOU VERY MUCH THANKS CALLER
PLEASE- LINE FOR NINE THIS GO
AHEAD. I DON'T RECALL A MILLER
MY BROTHER HAS AND THE NEEDED
LIFESAVING I'VE IF YOU PLEASE
SUPPORT AB NOT AFFECT. THANK
VERY MUCH COLOR PLAY. FILE LINE
THREE SO. REMAINING IS NATALIA
CAREER ON- MY SON HAS AND
EXTREMELY. EIGHTY NINE SEVEN YOU
THANK YOU VERY MUCH COLOR. A
LINE FOR FIVE TO THE CREDIT. YES
MY NAME IS MARGARET MARC. BY
FAMILY HAS HAN THE NEW IDEA ID
I'M OFF ON THERAPIST AND I
SUPPORT AB NINE SEVEN THANK YOU
. TO THANK YOU. BLIND FOR FORCE
PLEASE GO AHEAD. HELLO FIND
BALKAN NINE THE GRAHAM. OF. BOY
WHO HAS AN I NEEDED IDEA ICSI
PLEASE SUPPORT AGEE'S NORTH.
THANK YOU VERY MUCH COLOR. FROM
LINE FOR SIX AHEAD. MY NAME
DIANA POHLMAN FEINSTEIN IS THE
FIRST TO BE IV IDEA TWO THOUSAND
AND WE FOUNDED ON FOR. GET ALL
THE CHILDREN TREATMENT THANK YOU
SO MUCH FIVE YOU WORK THANK YOU
VERY MUCH AS YOU NINE AT. THANK
YOU MCCARTHY'S. ONLINE. TWO
THIRTEEN. HI MY NAME IS DAN HI
MY NAME IS SANDRA PART I'M A
PARENT OF TWO KIDS IN THEN I TRY
FOR AB NINE OH. THANK YOU
NEXTCODE PLAY. HELLO FOR THREE
NINE. HI MY NAME IS ASHER THE
CALL AND I LOOK OTHER. ALL YOU
HAD AND AN EXTRA SUPPORT THE
BLUE NINE ARE SEVEN. THANK YOU
COLOR PLEASE. FINE FOR FORTY.
YEAH MY NAME'S MIKE PARTY-
FATHER OF A CHILD WITH FANS.
STRONGLY SUPPORT. THANK YOU NICE
COLOR. A LINE. FOR THIRTY TWO.
YOU'RE NOT YOU'RE NOT THAT I AM
THAT PRINCIPLE. OF THE LARGE
NATURAL STUDY FOUND THE ACCOUNT
. PERFORMED IN THE COUNTRY
OUTSIDE RALEIGH. I DON'T. THINK
YOU VERY MUCH SIX COLOR.
ASSEMBLY MEMBER LOWENTHAL FOR
BRINGING THIS FORWARD AND I KNOW
SO MANY OF OUR RESIDENTS IN LONG
BEACH ARE HERE AND I WANT TO
THANK THEM FOR EDUCATING ME ON
THIS ISSUE BECAUSE I HAD NOT-
UNDERSTOOD PANS OR PANDAS AND-
HAVING. A CAMPING AT A MOTHER OF
THREE BOYS I CAN ONLY UNDERSTAND
AS A PARENT BUT THAT WOULD BE
LIKE IF YOU DID NOT REALLY HAVE
ANSWERS BUT YOU DO HAVE THAT
HERE IN THIS GREAT STATE OF
CALIFORNIA IS IN INCREDIBLE
INSTITUTION STANFORD WHO IS
DOING THIS WORK- AND LOOKING AT
WAYS IN ADDITION TO THIS BILL TO
FIND WAYS THAT WE CAN. INFUSE
MORE DOLLARS INTO THIS RESEARCH
SO WE CAN HELP WORK FOR CHILDREN
SO WITH THAT I SAY THANK YOU AND
I THINK THE ASSEMBLY MEMBER FOR
BRINGING THIS FORWARD. THANK YOU
SENATOR IMPERIAL SING ON. WOULD
YOU LIKE TO CLOSE ASSEMBLY
MEMBER YOU KNOW. FIRST OF ALL
THANK YOU MADAM CHAIR WE TRULY
APPRECIATE THE CONSIDERATION
TODAY I WANT TO POINT OUT THAT-
THREE INACTION WERE PAYING
ANYWAY. NO YOU HEARD VERY
BRIEFLY FROM SOME OF THE
FAMILIES ABOUT THE FINANCIAL
HARDSHIP THE DIFFICULTIES THAT
THESE FAMILIES ARE EXHIBITING
BECAUSE THE RAPID DECLINE THESE
CHILDREN ARE EXPERIENCING. I CAN
TELL YOU AS A SINGLE DAD OF
THREE GIRLS- I HAVE A DAUGHTER
WHO IS HOSPITALIZED AT MILLER'S
CHILDREN THIS PAST WEEK IN THERE
FOR A FEW DAYS. AND I LEFT THE
LEGISLATURE. I LOVE TO GO DOWN
TO BE WITH MY FAMILY. THE
FAMILIES THAT HAVE CHILDREN THAT
ARE EXPERIENCING PANS AND PANDAS
CANNOT WORK. THEY HAVE TO BE
WITH THEIR KIDS. TODAY HAVE- THE
NEED TO RELY UPON THE SOCIAL
SAFETY NET THAT WE PROVIDE THE
STATE OF CALIFORNIA AND WE ARE
PAYING BY NOT PROVIDING THE
SERVICE. I ALSO WANT TO
REITERATE WHAT WAS STATED ALSO
BY SOME OF THE PEOPLE PROVIDING
TESTIMONY ELEVEN STATES. HAVE
ADOPTED TO THIS YEAR A DOZEN
MORE HABIT IN PROCESS. AND
FINALLY WOULD LIKE TO SAY THAT
THIS ENJOY UNANIMOUS SUPPORT IN
HEALTH COMMITTEE ON THE ASSEMBLY
SIDE. AS WELL AS THE ASSEMBLY
BODY ITSELF I RESPECTFULLY ASK
FOR YOUR- THANK YOU VERY MUCH-
THAT MOTION IS TO PASS AND
REFERRED TO THE COMMITTEE ON. AS
AMENDED OKAY- SECRETARY PLEASE
CALL THE ROLL. SENATORS EGGMAN
BY. EGGMAN AYE WHEN. I WHEN I
GLAZER. GLAZER AYE GONZALEZ.
SALAS I GROWTH. FURTADO LIMON.
LOW MON. MENJIVAR CENTER OF OUR
AYE ROTH. ROTH AYE RUBIO. BOB HI
BOB ICE WINTER. THANK YOU VERY
MUCH HOLDING OPEN. THANK YOU AND
WELL- SERVER CONLEY'S BEEN HERE
FOR AWHILE THE CENTER KALRA AS A
MEMBER KALRA IS UP NEXT.
FOLLOWED BY A THREE MEMBER KALRA
ERA CONLEY AND THEN THE SAME
NUMBER OR TAKE. THANK YOU BUT
I'M SURE AB FOR EIGHTY SIX. THE
REGULATORY APPEAL PROCESS FOR
CLASS DOUBLE A AND E'S APPEALS
OUT OF COURT AND INTO AN
INDEPENDENT ADMINISTRATIVE
HEARING OVERSEEN BY
ADMINISTRATIVE LAW JUDGE.
CURRENTLY NURSING HOMES AND LONG
TERM CARE FACILITIES LICENSED BY
THE DEPARTMENT OF PUBLIC HEALTH.
HAVE THE UNUSUAL AND SINGULAR
PRIVILEGE TO POLISH CITATION
APPEAL FOR THE MOST SERIOUS
VIOLATIONS THAT INVOLVE HARM OR
DEATH OF A RESIDENT. IN THEIR
LOCAL SUPERIOR COURT HOWEVER.
THE COURT SYSTEM IS OVERBURDENED
CAN ALSO DRAW THIS PROCESS OUT
FOR SEVERAL YEARS REDUCE OR
OVERTURN CITATIONS AND AVOID
ACCOUNTABILITY. FORTUNATELY
THERE IS A WELL ESTABLISHED
ADMINISTRATIVE LAW PROCESS THAT
CAN ABSORB AND EDUCATE THESE
APPEALS. THIS OUT OF COURT
PROCESS IS LESS EXPENSIVE MORE
TIME EFFICIENT AND CONSISTENT
WITH OTHER LICENSING APPEALS
THAT ARE ALSO USUALLY HANDLED BY
ADMINISTRATIVE LAW JUDGE OR
REGULATORY APPEALS BOARD. BY
MAKING THIS LONG OVERDUE CHANGE
AB FOUR EIGHTY SIX ALLOWS OUR
STATE REGULATORS TO MORE
EFFECTIVELY HOLD NEGLIGENT
FACILITIES ACCOUNTABLE SO
QUALITY CARE FOR FUTURE
RESIDENTS CAN BE IMPROVED. UNDER
THIS BILL FACILITIES RETAIN
THEIR DUE PROCESS RIGHTS AND WAS
STILL BE ALLOWED TO FILE A WRIT
OF MANDATE FOR JUDICIAL REVIEW
OF THE FACTUAL AND EVIDENTIARY
RECORD FROM THE HEARING TO
DETERMINE IF THE PROCESS WAS
FAIR. THE VAST MAJORITY OF
APPEALS SETTLE WHEN THE PARTIES
ARE COMPELLED TO COME TOGETHER
AND EXCHANGE INFORMATION. AND
FACTS CDPH TOLD US THAT ONLY
THREE CLASS BE APPEALS USING
ADMINISTRATIVE LAW PROCESS. IN
THE LAST FIVE YEARS HAVE
ACTUALLY NEEDED TO BE SET FOR
HEARING. SB FOUR EIGHTY SIX IS
INFORMED BY THIS EXPERIENCE AND
OUR EXPECTATION IS A STREAMLINED
PROCESS BENEFITS ALL PARTIES.
THIRSTING HOMES RECEIVE
SUBSTANTIAL STATE FUNDING TO
CARE FOR SOME OF OUR MOST
VULNERABLE RESIDENTS AND IN
EXCHANGE WE SHOULD EXPECT
QUALITY CARE. UNFORTUNATELY OUR
CURRENT SYSTEM MAKES IT VERY
DIFFICULT TO HOLD NIXON ACTORS
ACCOUNTABLE. AND AB FOUR EIGHTY
SIX AS A BALANCED PICKS IN THAT
SYSTEM. WITH ME TO A PROTEST
MONNING SUPPORT. IS SOME WHITE
CM DISABILITY RIGHTS CALIFORNIA
AND CHARLES ANTIN SUPERVISING
DEPUTY ATTORNEY GENERAL AND THE
HEALTH EDUCATION WELL PERCEPTION
OF THE CALIFORNIA DEPARTMENT OF
JUSTICE. THANK YOU VERY MUCH
PERSON PLEASE GOOD AFTERNOON.
MADAM CHAIR AND MEMBERS MY NAME
IS SO WHITE SIEM AND I'M HERE ON
BEHALF OF DISABILITY RIGHTS
CALIFORNIA. AND WE ARE THE
SPONSORS OF THIS BILL. AS
CALIFORNIA'S. PROTECTION
ADVOCACY AGENCY THE CARE AND
TREATMENT OF SKILLED NURSING
FACILITY RESIDENTS IS A TOP
PRIORITY FOR US. OUR STAFF GO
INSIDE REGULARLY TO THESE
FACILITIES TO INVESTIGATE ABUSE
AND NEGLECT. AND MONITOR THE
WELL BEING OF RESIDENTS. FROM
OUR DECADES OF EXPERIENCE WE
HAVE CONCLUDED THAT ROBUST
OVERSIGHT AND REGULATION IS
ESSENTIAL TO PROTECT THE MOST
VULNERABLE. AND WE BELIEVE THE
CURRENT SYSTEM ALLOWING NURSING
FACILITIES TO DRAG OUT. THE
APPEALS PROCESS FOR SERIOUS
VIOLATIONS LEADING TO THAT OR
THE PROBABILITY OF DEATH GRAVELY
COMPROMISES THIS OVERSIGHT. THE
R. C. INVESTIGATED AND ANALYZED
HUNDREDS OF CLASS A. AND DOUBLE
A. CITATIONS. ISSUED WHAT A
FACILITIES VIOLATION CAUSES
DEATH OR SUBSTANTIAL PROBABILITY
OF DEATH OF A RESIDENT. WE DID
FIND MANY INSTANCES WHERE
FACILITY RECEIVED A LOWER
CITATION DESPITE SERIOUS
NEGLIGENCE. AS AS AN EXAMPLE. A
RESIDENT RECEIVING FIFTY
MILLIGRAMS OF MORPHINE INSTEAD
OF FIVE MILLIGRAMS. A RESIDENT
WHO IS A RESIDENT WHO USED
PORTABLE OXYGEN BURNING TO DEATH
AFTER SMOKING UNSUPERVISED. AND
FINALLY A RESIDENT BLEEDING TO
DEATH FROM MULTIPLE UNTREATED
PRESSURE SOURCE. THIS HAPPENS
FAR TOO OFTEN AND A ROADS PUBLIC
TRUST IN OUR REGULATORY SYSTEM
DESIGNED TO HOLD BAD ACTORS
ACCOUNTABLE SO CARE CAN BE
IMPROVED. AB FOUR EIGHTY SIX
WOULD MOVE THE APPEALS PROCESS
WHERE IT BELONGS AND AN
INDEPENDENT ADMINISTRATIVE BODY
THAT OVERSEES THE REGULATORY
PROCESS. ENCLOSING AB FOUR
EIGHTY SIX PROVIDES A SOLUTION
THAT INTERESTS EVERYONE TO DO
PROCESS RIGHTS BUT BRINGS THINGS
INTO ALIGNMENT WITH HOW THINGS
ARE DONE FOR OTHER FACILITIES
AND PROVIDERS IT KEEPS THE
APPEALS PROCESS BEFORE THE
ADMINISTRATIVE LAW JUDGE WHO
REALLY HAVE THE EXPERTISE TO
HANDLE REGULATORY APPEALS. WE
URGE YOUR AYE VOTE THANK YOU
THANK YOU VERY MUCH NEXT PERSON
SUPPORT PLEASE. GOOD AFTERNOON
MY NAME IS CHARLES MANSON AND
I'M A SUPERVISING DEPUTY
ATTORNEY GENERAL AND THE HEALTH
EDUCATION WELFARE SECTION AT THE
CALIFORNIA DEPARTMENT OF
JUSTICE. I AM HERE ON BEHALF OF
ATTORNEY GENERAL ROB BONTA WHO
IS PROUD TO SUPPORT AB FORTY SIX
AND THANKS ASSEMBLY MEMBER KALRA
FOR CARRYING THIS IMPORTANT
PIECE OF LEGISLATION. IN THE
HEALTH EDUCATION AND WELFARE
SECTION WE DEFEND ANY CHALLENGE
TWO CITATIONS ISSUED BY THE
CALIFORNIA DEPARTMENT OF PUBLIC
HEALTH TO SKILLED NURSING
FACILITIES IN MY CAREER AT THE
DEPARTMENT. I HAVE LITIGATED
APPROXIMATELY FIFTY OF THESE
CASES AND TRIED FIVE TO PROTECT
. IN THE DIRECT TO COURT PROCESS
FOR CHALLENGING NURSING HOME
CITATION IT IS AN OUT LIAR BOTH
NATIONALLY AND WITHIN
CALIFORNIA'S OWN JURISPRUDENCE.
ONLY THREE OTHER STATES USE THIS
DIRECTOR COURT PROCESS AND MOST
LICENSING SCHEMES IN CALIFORNIA
START WITH AN ADMINISTRATIVE
ADJUDICATION. AND ADMINISTRATIVE
PROCESS WILL SAVE COURT
RESOURCES IT'S GOING TO OFFER
RESOLUTIONS IN A MORE TIMELY AND
EFFICIENT MANNER AND ULTIMATELY
BE IN THE INTERESTS OF PATIENTS
CONSUMERS AND REGULATORS. BAD
ACTORS ARE THE ONLY ENTITIES
THAT BENEFIT FROM THE CURRENT
LINK THE CUMBERSOME PROCESS TO
ENSURE PATIENT REGULATIONS ARE
UPHELD. DUE PROCESS IS PROTECTED
UNDER AB FORTY SIX BECAUSE AT
THE END OF THE DAY THE SKILLED
NURSING FACILITY MAY FILE A WRIT
OF ADMINISTRATIVE MANDATE. IF
THERE IS AN UNDERLYING AIR AND
THE DECISION OR IT IS IN ANY
OTHER WAY TO SATISFIED WITH THE
OUTCOME. MOREOVER ADMINISTRATIVE
HEARINGS ARE THE MOST COMMON WAY
A FACTUAL RECORD IS DEVELOPED IN
A LICENSING DISPUTE. BOTH SIDES
GET THE OPPORTUNITY TO INTRODUCE
EVIDENCE CALL WITNESSES CROSS
EXAMINE WITNESSES AND MAKE
ARGUMENTS TO A NEUTRAL FACT
FINDER. FOR THESE REASONS HE
TONY GENERAL SUPPORTS AB FORTY
SIX AND RESPECTFULLY ASKS FOR
YOUR AYE VOTE TODAY. THANK YOU
VERY MUCH. OTHER SPEAKERS
SUPPORT NOW DOES COME FORWARD
NAME AND AFFILIATION. YOU SEEN
NONE OPPOSITION. GOOD AFTERNOON
MADAM CHAIR MEMBERS MISTER
KALRA. SHANE LEVINE IS CAPITAL
ADVOCACY ON BEHALF OF THE
ASSOCIATION OF HEALTH
FACILITIES. AB FOUR EIGHT SIX
SIMPLY FURTHERS THE SYSTEMATIC
DECONSTRUCTION IN THE ROSHEN OF
OUR FACILITIES DUE PROCESS
RIGHTS TO DEFEND THEMSELVES
AGAINST THE MOST EGREGIOUS OF
ALLEGATIONS. AB FORTY SIX BUILDS
ON LAST YEAR'S AB THREE TWENTY
THREE FOR MISTER KALRA. A. B.
THREE TWENTY THREE CHANGED THE
LEGAL CAUSATION STANDARD IN A
AND W. CASES FROM PROXIMATE
CAUSE TO SUBSTANTIAL FACTOR AND
HEIGHTEN THE FINES FOR THE
CITATIONS. AB FORTY SIX GOES
ANOTHER STEP REMOVES OUR APPEAL
THE CITATIONS FROM SUPERIOR
COURT AND PUTS THEM INTO AN
ADMINISTRATIVE LAW SETTING AND
FAST TRACK THESE CASES IN A WAY
THAT DOESN'T ALLOW OUR
FACILITIES TO ADEQUATELY LOOK AT
AND SEEK EVIDENCE OR DEPOSE
WITNESSES. THE CASES WE ARE
TALKING ABOUT HERE ARE CAN TO
MEDICAL MALPRACTICE CASES
TYPICALLY IN THEIR LEVEL OF
COMPLEXITY. OVER THE COURSE OF
MANY DECADES THE USE OF
DEPOSITIONS AND WRITTEN
DISCOVERY HAS BROUGHT TO LIGHT
SIGNIFICANT INCONSISTENCIES AND
CONTRADICTIONS WITHIN THE
VARIOUS INTERVIEWS AND FACTUAL
INVESTIGATIONS CONDUCTED BY CDPH
SURVEYORS IN INDIVIDUAL CITATION
APPEALS. IN THE OUTRIGHT
REJECTION OF EXCULPATORY FACTS
BY SURVEYORS. IN ADDITION THE
DEPOSITION OF THE PHYSICIAN
EXPERTS UTILIZED BY CDPH OF
UNCOVERED SERIOUS ISSUES WITH
PROFESSIONAL EXPERIENCE.
REQUIRED TO QUALIFY. AS AN
EXPERT UNDER STYLISH SEVEN ENTRY
STANDARDS. THE USED TO DESIGNATE
THE USE OF DEPOSITIONS IN
STANDARD WRITTEN DISCOVERY IS
ESSENTIAL IN THESE CASES. IF
THERE ARE FACTUAL DISCREPANCIES
OR OTHER SERIOUS QUESTIONS ABOUT
THE CITATION CITED THIS IS A
CRITICAL ELEMENT ELEMENT FOR ALL
PARTIES TO CONSIDER. BEFORE
PROCEEDING TO TRIAL. IN THESE
CIRCUMSTANCES SETTLEMENT AS
OFTEN THE RIGHT CONCLUSION FOR
THE PARTIES. IN CASES THAT WOULD
OTHERWISE SUBTLE IRONICALLY
DESPITE WITH THE SPONSOR SAY
BEFORE YOU SIX ONLY OPERATE
BECAUSE EVERY CITATION APPEAL TO
GO TO A FULL BLOWN
ADMINISTRATIVE HEARING. THIS
WOULD REFLECT AN ENORMOUS WASTE
OF RESOURCES. IF WE'RE TRULY
INTERESTED IN SHORTENING
SHORTENING THE TIME FOR NEW
MOVIES CASES THEN LET'S LOOK AT
WHAT WE DID IN REFORMING THE
TIME IN THE SUPER COURT PROCESS.
A FEW YEARS AGO WITH SB TEN
SIXTY FIVE BY THEN SENATOR
MONNING. TO REMOVE THESE CASES
ENTIRELY FROM THE SUPERIOR AND
NOT ENTIRELY AND REMOVE THESE
CASES ENTIRELY FROM THE SUPERIOR
COURT PROCESS. WERE VERY OPEN TO
WORKING WITH THE AUTHOR AND
SPONSORS TO REACH A MUTUAL
AGREEMENT AND HOPE WE CAN DO SO.
UNTIL THEN AND FOR THESE REASONS
WE ASK FOR NO VOTE WITH ME TODAY
IS SCOTT KEEPING AN ATTORNEY. AT
HOOPER LUNDY AND BOOKMAN THANK
YOU THANK YOU. GOOD AFTERNOON
MADAM CHAIR. AND MEMBERS. MISTER
KALRA- MY NAME IS SCOTT KEEP AND
I'M A PARTNER AT HOOPER LUNDY
AND BOOKMAN SAN FRANCISCO FROM
OUR FIRM IS THE LARGEST FIRM IN
THE COUNTRY DEDICATED SOLELY TO
REPRESENTING HEALTHCARE
PROVIDERS. IN THIS INSTANCE.
I'VE BEEN A TWENTY FOR TWENTY
EIGHT YEARS AND HAD THE PLEASURE
OF IT AND REALLY QUITE FRANKLY
THE HONOR OF REPRESENTING
SKILLED NURSING FACILITIES. IN
NUMEROUS- DEFENSES OF OUR CLASS
B. CITATIONS AS WELL AS- CLASS
AS CITATIONS IN CLASS DOUBLE A.
CITATIONS. AS WELL AS ALSO
REPRESENTING PROVIDERS IN THE
PROCESS REFERRED TO AS THE WRIT
OF ADMINISTRATIVE MAN DAMOS.
UNDER CALIFORNIA CODE OF CIVIL
PROCEDURE SECTION TEN NINETY
FOUR POINT FIVE. THE BIGGEST
CONCERN WITH EIGHTY FOUR EIGHTY
SIX IT'S A THREAT TO SKILLED
NURSING PROVIDERS DUE PROCESS
RIGHTS. SIMPLY PUT DESPITE THE
CONTRARY FROM FROM THE FROM THE
PROPONENTS- THE ADMINISTRATIVE
SYSTEM FOR THE LESS COMPLEX BE
CITATIONS IS JUST NOT DESIGNED
TO ADDRESS THE COMPLEX. ISSUES
THAT EXISTING CLASS A. AND CLASS
DOUBLE A. CITATIONS WHICH
REQUIRE THE FULL DISCOVERY
PROCESSES SUCH AS DEPOSITIONS
DOCUMENT REQUESTS. BY THE CLASS
SAY IN CLASS A DOUBLES DOUBLY
CITATIONS BRING FORWARD SERIOUS
CHARGES IN CASES THAT ARE
SIMILAR IN MANY RESPECTS TO.
MEDICAL MALPRACTICE CASES SO IN
THIS CONTEXT IT INVOLVES. A
TESTIMONY FROM NUMEROUS
WITNESSES OFTENTIMES PHYSICIANS
AS WELL AS OTHER CLINICIANS AND
THE LIKE I AND REQUIRES A FULL
EXTENSIVE OPPORTUNITY TO DEPOSE
THESE TYPES OF INDIVIDUALS AS
WELL AS THE FACTUAL WITNESSES
WHICH OFTEN REPRESENTS.
SURVEYORS FROM THE DEPARTMENT OF
PUBLIC HEALTH AS WELL AS THE
MEDICAL EXPERTS ARE RETAINED BY
THE DEPARTMENT OF PUBLIC HEALTH.
I CAN SAY PERSONALLY IN MY OWN
EXPERIENCE HAVE YOU HAVING DONE
THIS NOW FOR A PROXY TWENTY
EIGHT YEARS. IN MANY INSTANCES
WE HAVE REVEALED FACTUAL
INACCURACIES. I ISSUES WITH
REGARD TO- OPINIONS AND
JUDGMENTS THAT WERE NOT SUPPORT
IN ANY WAY BY THE FAX OR BY THE
LAW OR BY THE SCIENCE. AND UNDER
THE CIRCUMSTANCES THESE ISSUES
ONLY CAME TO LIGHT THROUGH THE
EXTENSIVE DISCOVERY AND THE
OPPORTUNITY TO CROSS EXAMINE
THESE AND IF IT'S NOT JUST
NECESSARILY TO TIME TRIAL BUT
ALSO THROUGH DEPOSITIONS. AND
THEN QUITE FRANKLY THAT LED TO
THE OPPORTUNITY FOR THE PARTIES
TO DISCUSS SETTLEMENT. IN A
MEANINGFUL AND ENGAGING WHY NOT
IN MY PURSE EXPERIENCE IT'S ALL
AT THE TIME WITH DEPARTMENT OF
PUBLIC HEALTH AS WELL AS THE
PROVIDER. AFTER HAVING HAD THE
FULL OPPORTUNITY TO REEVALUATE
THE FACTS THROUGH A FULL
DISCOVERY THAT'S PROVIDED FOR IN
THE CURRENT SYSTEM TO THE
SUPERIOR COURT. THAT'S WHAT
LENDS ITSELF TO SETTLEMENT AND
THAT'S ALSO WHAT LENDS ITSELF TO
OUR ON FOR SAVING OF RESOURCES.
UNDER THE CIRCUMSTANCES. WE
WOULD AGAIN FOR EVERYTHING THAT
MR LEVINE TO SAID WE WOULD
ENCOURAGE AND HELP OUT. THANK
YOU. OTHER SPEAKING OPPOSITION
STONE JUST NAME AN AFFILIATION
HI DARBY KERNAN. ON BEHALF OF
LEADING H. CALIFORNIA IN
OPPOSITION THANK YOU. GOOD
AFTERNOON KAREN LAYING OFF HALF
OF THE CITY AND COUNTY OF SAN
FRANCISCO THEY WERE OPPOSED
UNLESS AMENDED I THINK WE'RE
ALMOST THERE SIR HOPING.
OFFICIALLY TO BE NEUTRAL
APOLOGIZE FOR GOING OVER THE
LIMIT. THANK YOU. CAROLING- THE
PHONE LINES. WE HAVE NO ONE. IN
THE QUEUE AT THIS TIME. OKAY
THANK YOU VERY MUCH- WILL BRING
BACK TO THE COMMITTEE AND I
WOULD JUST SAY I ALWAYS HAVE A
LOT OF- THE SYMPATHY FOR THE-
FACILITIES IT'S A HARD JOB BUT
THEY HAVE TO DO- BUT I ALSO
THINK. DRAGGING THINGS OUT IN
COURT WE'RE TALKING ABOUT
VULNERABLE FOLKS WHO ARE EITHER
DEAD OR INJURED- AND HAVE TO
CONTINUE TO FIGHT IN COURT
DOESN'T SEEM TO BE THE RIGHT WAY
TO GO I THINK THE FACILITIES ARE
ALWAYS GOING TO HAVE. TO BE ABLE
TO HIRE EXPENSIVE ATTORNEYS- AND
I THINK THE AG'S DEPARTMENT. IS
EQUIPPED TO DO IT SENATE ROTH.
THINK ABOUT I'M SURE JUST
CURIOUS IN THIS PROCEEDING THE
CLG PROCEEDING IS. I DON'T
FRANKLY REMEMBER I'VE BEEN UP
HERE SHE LONG- HIS DISCOVERY NOT
PERMITTED IN THE ALJ PROCESS AND
INCLUDING. SOME LEVEL OF
DEPOSITION TAKING IN.
INTERROGATORIES REQUESTS FOR
PRODUCTION OF DOCUMENTS SO IT IN
ADMINISTRATIVE HEARING- THEY
CAN'T ALLOW FOR DEPOSITIONS
UNDER GOVERNMENT CODE. ELEVEN
FIVE ONE ONE IT IS AT THE
DISCRETION. OF THE MINISTRY OF
THE JUDGE AND THE JUDGE THE
ADMINISTRATIVE. LAW JUDGES ALSO
KNOW THAT- YOU KNOW OBVIOUSLY
GIVEN THE NATURE OF THESE CASES
THEY ARE MORE COMPLEX. THAN
CLASS BE- HOWEVER EVEN UNDER THE
SET UP THAT THIS WOULD PUT
FORTH. BASILIDES ARE
DISSATISFIED WITH THE
ADMINISTRATIVE HEARING PROCESS
MAY POLITECNICA POINT FIVE RICH
. OR THE RULES THAT WITH YOU
FACTUAL. AND EVIDENTIARY FROM
THE HEARING TO DETERMINE IF THE
PROCESS WAS FAIR AND SO- THIRD
OF THE RATE COULD ALSO PERMIT
DIGITAL EVIDENCE- SO IF IT IS
NEW EVIDENCE THAT'S AN EXERCISE
REASONABLE DILIGENCE. COULD NOT
A PRODUCER THAT WAS IMPROPERLY
EXCLUDED THE HEARING BOTTOM LINE
THERE IS A CHECK ON THAT.
THERE'S CHECKS ON THE
ADMINISTRATIVE LAW JUDGE THAT
THEY ARE VERY AWARE OF SO
ESPECIALLY THE CLEARCASE IS MORE
COMPLEX THEY CAN CERTAINLY ALLOW
FOR DEPOSITIONS UNDER DISCUSSION
OF THE ADMINISTRATIVE LAW JUDGE
AND JUST TO KNOW CALIFORNIA SIR
IS UNUSUAL. IN ITS REQUIREMENT
NURSING HOMES WHO IS OF COURSE
TO OVERTURN CITATIONS AND FINES
OTHER STATES HAVE STATE
REGULATORS OR ADMINISTRATIVE
JUDGES HANDLING OF THESE APPEALS
AND SO WE'RE TRYING TO CONFORM.
WITH THE WILL BUT OTHER STATES
ALREADY TO- BOTH FOR EFFICIENCY
SAKE BUT ALSO DOING TO ENSURE.
THAT THE VICTIMS AREN'T. BUT
FORTH IN A MEMO YEAR. PROCESS
FOR THEY DON'T HAVE THE
ATTORNEYS SAID WITH THE
RESOURCES BE ABLE TO WITHSTAND.
BUT- SOME OF THESE- THE PROPOSAL
HE'S CAN. WELL IT SEEMS TO ME
THAT A. AROUND CALIFORNIA HERE
COMPLEX MATTERS EVERY DAY AND-
CERTAINLY MUST BE. ACCUSTOMED TO
GRANTING. REASONABLE REQUESTS
FOR DISCOVERY. YOU RAISE THE
REVIEW ISSUES SO MY FOLLOW UP
QUESTION IS. IS THE REVIEW OF
THE ALE JAY'S DECISION DE NOVO
REVIEW WHICH IS A- COMPLETE
REVIEW OF THE RECORD IN THE
TESTIMONY. AS OPPOSED TO THE-
ADMINISTRATIVE RICH STANDARD OF
SUBSTANTIAL EVIDENCE. FAR FROM
FLOYER OFFICE CAN- HOPE WITH
THAT ONE SINCE HE'S A HANDLED
MANY OF THESE CASES. IT WOULD BE
UNDER THE ABUSE OF DISCRETION
STANDARD UNDER TEN NINETY FOUR
POINT FIVE WELL THE PROBLEM WITH
THE SUBSTANTIAL EVIDENCE
ABUSIVE. AS YOU NO ABUSE OF
DISCRETION STANDARD IF I
UNDERSTAND IT IF I REMEMBER IT
WHICH IS A LONG TIME AGO. IS THE
COURT LOOKS TO SEE IF THERE'S
ANY RELEVANT EVIDENCE TO SUPPORT
THE DECISION. AND DOES NOT WAY
OR BALLOTS THE EVIDENCE IS
PRESENTED IS THAT CORRECT. IT
DEPENDS ON HOW YOU ARE FRAMING
THE ABUSE OF DISCRETION BUT I
MEAN THAT WOULD THERE'S THE
OTHER STANDARD OF READ THE
REVIEW RIGHT WHICH IS THERE'S AN
ELEVEN EIGHTY FIVE CORRECT. PART
ONE UNDER THE UNDER RICK
PRACTICE IT IS TYPICALLY- THE
ABUSE OF DISCRETION HOWEVER IT
DEPENDS HOW IT. HOW IT'S PHRASE
FOR EXAMPLE IF THE ALJ PROCEEDED
NOT IN ACCORDANCE WITH THE LAW.
THEY CAN GET VERY COMPLICATED
OKAY WELL I'M AT THIS DISTANCE
THIS ISN'T A JUDICIARY COMMITTEE
SO I'M NOT GOING TO. DELIVER
THAT BUT I IF THE STANDARD IS
SUBSTANTIAL EVIDENCE WHICH IS A
LIMITED REVIEW. AND I'VE IN THE
COMMAND ENABLES THE COURT TO
QUIT LOOKING AT IT IF THE COURT
FINDS ANY RELEVANT EVIDENCE TO
SUPPORT THE ALE JAY'S DECISION
AND I CAN UNDERSTAND WHY. PEOPLE
ARE UP YOU'RE- OBJECTING BECAUSE
THAT'S NO REVIEW AT ALL FOR THE
MOST PART BUT IF IT'S DONE OVER
REVIEW THEN. THAT MAKES SENSE SO
I'M SURE. YOU WERE A-
STRAORDINARIO AUTHOR AND I'M
SURE YOU'LL TAKE A LOOK AT THAT
SIR AS YOU MOVE FORWARD I'LL BE
SUPPORTING THE BILL THANK YOU
MADAM CHAIR. THANK YOU. AND IT
DOES GO TO THE COMMITTEE ON
JUDICIARY NEXT. OKAY I SEE NO
OTHER PEOPLE WANTING TO SPEAK.
WOULD YOU LIKE TO CLOSE THANK
YOU MADAM CHAIR AS AS YOU KNOW
TO CHARITIES. IF IT DOES MAKE IT
THROUGH THIS COMMITTEE WOULD BE
GOING. TO THE JUDICIARY
COMMITTEE FOR FURTHER ANALYSIS
AND QUESTIONS AND AS WELL AS OUR
OUR FRIEND. FROM CENSUS WASN'T
HERE WHEN IT WAS MENTIONED WE
ARE WORKING WITH THE CITY AND
COUNTY OF SAN FRANCISCO TO
RESOLVE SOME OF THE ISSUES. I'M
AWARE OF THAT OKAY APPRECIATIVE
OF YOU DURING YOU. LET ME ASK
EITHER. THINK YOU VERY MUCH AND
THE MOST IS TO PASS AND ROOF TO
COME ON- VOTING I SECRETARY.
SENATORS EGGMAN BY EGGMAN AYE.
WHEN GLAZER. GONZALEZ. GROWTH
FURTADO FLAVONE. THE MON I
MANAGE OF OUR- ROSS. ROSS I
RUBIO. WHAT HAAB. WINNER OF
WINNER I. PEOPLE HOLD IT OPEN
FOR UPS MEMBERS THANK YOU. THE
PATIENT MISTER CONNELLY. SB SIX
TWENTY. SHOULD TO PASS REFER TO
THE COMMITTEE ON APPROPRIATIONS
. WE'RE TALKING ABOUT HEALTH
CARE COVERAGE FOR METABOLIC
DISORDERS WE ARE IN THANK YOU
MADAM CHAIR AND MEMBERS A GOOD
AFTERNOON SB SIX TWENTY WOULD
REQUIRE PRIVATE HEALTH PLANS TO
COVER MEDICAL NUTRITION THERAPY
. MEDICAL NUTRITION THERAPY IN
THE FORM OF NUTRITIONAL FORMULAS
TO BE A SUCCESSFUL ALTERNATIVE
TO A MEDICATION TREATMENT FOR
SEVERAL DISEASES INCLUDING
CROHN'S DISEASE. WELL THE BILL
APPLIES TO ALL PATIENTS THIS
THERAPY IS A PARTICULAR BENEFIT
FOR PEDIATRIC PATIENTS BECAUSE
THEY MAY NOT HAVE ACCESS TO OR
MAY NOT BE ABLE TO USE CERTAIN
MEDITATIONS. ADDITIONALLY
PATIENTS WITH INTESTINAL BOWEL
DISEASE OR AS WE SAY ID DE
SPECIFICALLY CROHN'S DISEASE CAN
UTILIZE A MEDICALLY NECESSARY
FORMULAS FOR NUTRITIONAL SUPPORT
TO HELP THEM ACHIEVE REMISSION.
THE INHERITED METABOLIC
DISORDERS AND DIGESTIVE DISEASES
INCLUDING IBD AFFECT MILLIONS OF
AMERICANS WITH AS MANY AS
SEVENTY THOUSAND NEW CASES OF
IBD DIAGNOSED EACH YEAR. SB SIX
TWENTY WILL ALLOW CALIFORNIANS
SUFFERING FROM THESE DISORDERS
TO HAVE GREATER ACCESS TO
NUTRITIONAL SUPPORT IN ADDITION
TO MEDICATION BY EXPANDING
HEALTH INSURANCE COVERAGE TO
MEDICALLY NECESSARY FOODS WHICH
ARE PROVEN TO REDUCE SYMPTOMS
AND IMPROVE QUALITY OF LIFE.
THIS MEASURE HAS RECEIVED
BIPARTISAN SUPPORT I WILL NOW
PASS IT OFF OF WITH YOUR
PERMISSION TO RYAN SPENCER HE
REPRESENTS THE BILL'S SPONSOR
THE CROHN'S AND COLITIS
FOUNDATION. MISTER SPENCER
FIGURE CARE OF RIGHT ABOUT THE
CROSSING FOUNDATION SPONSORS OF
AB SIX TWENTY. BACK ON
DECEMBER'S A STATEMENT JUST MAKE
A FEW ADDITIONAL COMMENTS-
CURRENT LAW ACTUALLY ALREADY
WEAK CHOIRS HEALTH PLANS TO
COVER MEDICAL NUTRITION FOR PKU
PATIENTS THAT'S PATIENTS WHO
CAN'T METABOLIZE THEM YOU KNOW I
SAID THE MILLION NINE SIXTIES.
THE ROLL OFF THE TONGUE. THIS
BILL SIMPLY EXPANDS THAT
EXISTING- REQUIREMENT TO MEDICAL
SITUATION THAT PLIES FOR
INDIVIDUALS WITH DIGESTIVE
DISORDERS OR METABOLIC DISORDERS
AS DECEMBER MENTIONED
PARTICULARLY CROHN'S DISEASE
WELCOME DIGESTIVE DISEASES
ACCESS TO STREAMING OPTION A
SIGNIFICANT PARTICULARLY FOR
PEDIATRIC PATIENTS AS ASSEMBLY
MEMBER NOTED- THERE'S A COUPLE
REASONS WHY THIS IS IMPORTANT.
NUMBER ONE IS THERE'S A LIMITED
SUPPLY OF MEDICATION THAT EXISTS
FOR CROHN'S. DISEASE PATIENTS
AND SO. ATIONS A STARTED TO
STARTED Z. SORRY THIS A-
TREATMENT OF MEDICATION SO EARLY
ELIMINATES OPTIONS IN THE FUTURE
FOR THEM SCIENCE AND CLINICAL
STUDIES HAVE SHOWN HOW
SIGNIFICANT MEDICAL TRACTION AND
SPECIFICALLY WE'RE TALKING ABOUT
LIQUID FORMULAS- THAT P. ACT
PATIENTS ARE ABLE TO UTILIZE AND
STAY STABLE IN REMISSION. AND
GET TO A POINT WHERE THEY DON'T
HAVE TO TAKE MEDICATIONS.
ADDITIONALLY- DID BIOLOGICS ARE
NOT APPROVED FOR CHILDREN UNDER
AGE OF EIGHTEEN SO TAKEN OFF
LABEL AND THE OBVIOUS ONE IS
MEDICATION SIDE EFFECTS SO IF
YOU'RE ON A SOMETHING AS MILD AS
INTERNATIONAL FORMULA THE COULD
FORM A- IT AVOID YOU FORGET ON
HARSHER MEDICATION INTERNET
LATER AGE. AT YOUR BERMAN HOUSES
LISTED THE COSTS OF THIS OVERALL
PREMIUMS A POINT 002% THAT
BREAKS DOWN TO FIFTEEN CENTS
PER. PER INDIVIDUAL- I WOULD
EVEN CONTESTED THAT'S A LITTLE
TOO HIGH BECAUSE THE ISSUE
REALLY DEALING WITH RIGHT NOW IS
USING A CHEAPER ALTERNATIVE TO
MORE EXPENSIVE BIOLOGIC AND
IRONICALLY PATIENTS ACTUALLY
FORGO. TAKING MEDICAL TREATMENT
BECAUSE IT IS NOT COVERED THE
BIOLOGICS ARE THEY COULD DO A
TEN DOLLAR COPAY TO GET BIOLOGIC
OR THEY CAN. PAY HUNDREDS OF
DOLLARS FOR THESE FORMULAS SO IT
JUST MAKES SENSE TO GET THIS
COVERED MEDICARE ACTUALLY COVERS
NUTRITIONAL FORMULAS INTO AN
ATTRITION JUST MAKES SENSE FOR
PRIVATE PLANS TO DO THE SAME.
THANK YOU FOR YOUR TIME ASK FOR
AYE VOTE. THANK YOU VERY MUCH HE
WILL SPEAK IN SUPPORT TODAY THIS
TIME COME FORWARD NAMED
AFFILIATION. C. NUNS SPEAK
ENOUGH TO. POPE I THINK WE HAVE
ANOTHER SUPPORT. SAYING SORRY
TRYING TO GET UP. PAT KELLY
BROOKS ON BEHALF OF THE LOS
ANGELES COUNTY BOARD OF
SUPERVISORS HERE IN SUPPORT
THANK YOU THANK YOU VERY MUCH.
OKAY OPPOSITION COME ON. GOOD
AFTERNOON CHAIR AND MEMBERS OF
THE COMMITTEE BY REVOKING THE
CALIFORNIA ASSOCIATION OF HEALTH
PLANS REGRETTABLY IN OPPOSITION
AB SIX TWENTY. WE RESPECT
UNDERSTAND INTENT OF THE BILL
HOWEVER WE ARE OPPOSED BECAUSE
ACCORDING TO THE CALIFORNIA
HEALTH BENEFITS FOR YOU REVIEW
PROGRAM. THE ANNUAL HEALTH CARE
PEOPLE INCREASED BY TWENTY FOUR
MILLION FOR ALL CALIFORNIANS.
KEEP IN MIND SB SIX TWENTY YEARS
ONE OR TWENTY ONE MANDATE BILLS
THIS YEAR THAT WHEN TAKEN
COLLECTIVELY ARE SET TO INCREASE
ANNUAL PREMIUM COST BY MORE THAN
ONE BILLION. EACH ONE OF THE
MANY BILLS WHILE WELL INTENDED
WILL ONLY INCREASE COSTS AND
MAKE HEALTH CARE LESS AFFORDABLE
FOR EVERYONE. THANK YOU FOR YOUR
TIME TODAY- I RESPECTFULLY ASK
FOR NOTE THANK YOU. STEPHANIE
SEVEN WHY CAN ON BEHALF OF THE
ASSOCIATION OF CALIFORNIA LIFE
AND HEALTH INSURANCE COMPANIES
FIRST I'D LIKE TO THINK THE
AUTHOR AND SPONSORS WELL WE'VE
HAD SOME REALLY GOOD PRODUCTIVE
CONVERSATIONS I THINK THEY- WERE
LOOKING INTO A- POTENTIAL
PATHWAY FORWARD ESPECIALLY TO
THE DEGREE THAT THE- BILL LOOKS
AT JUST FORMULA BASED.
NUTRITIONAL OPTIONS SO WITH THAT
BEING SAID WE STILL ARE OPPOSED
BUT WE LOOK FORWARD TO FURTHER
CONVERSATION THANK YOU THANK YOU
STORE YOUR- JOURNALING- IBF
AMERICA'S HEALTH INSURANCE PLANS
AGIS ECHO THE COMMENTS ON THE
CUMULATIVE IMPACT OF THE
MANDATES THIS YEAR. YEAH THANK
YOU AND- I WILL SAY I AM VERY
SYMPATHETIC TO THE COMMUNITY-
BUT THEN YOU KNOW HOW DO YOU SAY
NO YOU PEOPLE STARVE NO YOU
DON'T GET TEETH NOW YOU KNOW I
MEAN IT JUST. HARD TO SAY NO TO
INDIVIDUALLY BUT I DO UNDERSTAND
THE OVERALL IMPACT IT HAS AND I
MEAN WE NEED TO CONTINUE TO WORK
ON OUR HEALTH CARE SYSTEM. WE
GOT OURSELVES A LITTLE. SO
OTHERS GOING TO SPEAK ON THIS
BILL. OKAY ASSEMBLY MEMBER
WHICH- LET'S GO THE PHONE'S
SCREEN PHONES. PHONE LINES AND
LADIES. LADIES AND GENTLEMEN IF
YOU WISH TO SHOW. OR OPPOSITION
EIGHTY SIX TWENTY PRESS ONE THEN
ZERO NOW AGAIN A ONE THEN ZERO.
THERE IS NO ONE IN THE QUEUE AT
THE MOMENT. OKAY YOU'RE WELCOME
IN THE QUEUE- WOULD YOU LIKE TO
CLOSE. YEP PRETTY SHADE- THE
OPPORTUNITY AND RESPECTFULLY ASK
FOR AND I HAVE A- KIND OF CELLS
LIKE YOU COULD CONTINUE TO WORK
WITH OPPOSITION JOBS. AND WE CAN
DEBATE THE COST ADVANTAGE-
DINNER YOU HEARD FROM MISTER
SPENCER ABOUT WHAT WE BELIEVE TO
BE A IT'S VERY OF FAIRLY NOMINAL
COST. AND COST SAVINGS IN TERMS
OF. POTENTIALLY AVOIDING. MORE
EXPENSIVE MEDITATION. THANK YOU
OKAY. AND THIS IS A DO PASS
REFERRED ON A PER. US SECRETARY
CALL THE ROLL IT WAS REMOTE-
HARMONIOUS. THE MONTH WHEN SICK
OKAY. OKAY SIXTY PLEASE CALL THE
ROLL. SENATORS CRACKED EGGS AYE
WHEN. AS OUR- GLAZER AYE CONSOL
. GROWTH HER TADO. SIMONE LIMÓN
. VENTURE OUR- BINGE OF OUR I.
ROSS RUBIO. BAJA WIENER. RIGHT
THAT'S FOR WILL HO THAT OPEN
APPS MEMBERS OKAY. ASSEMBLY
MEMBER ORTEGA. EUROPE WITH SOME
LOCKS ON AND WE'RE GONNA RUN OUT
COULD GIVE IT ALL AWAY. ALSO FOR
ANOTHER DAY DON'T WORRY WE WON'T
GIVE IT ALL AWAY ALL RIGHT WE
ARE A SPORTS SPORTING EVENTS
SCHOOLS EVERYWHERE REYES GOT. WE
NEED IT OKAY I AM HERE ALL RIGHT
TAKEN AWAY MADAM CHAIR MEMBERS
THANKS FOR THE OPPORTUNITY TO
PRESENT AB TEN SIXTY TODAY AT
ADDRESSING THE FENTANYL CRISIS
THAT WE'RE ALL IN- YOU KNOW I'VE
BEEN HEARING ABOUT THIS SINCE I
LIVE RIGHT TO THE LEGISLATURE.
THOUSANDS OF PEOPLE ARE DYING-
YOU KNOW DURING THE PANDEMIC OUR
MARKETS WERE FILLED WITH PEOPLE
DYING FROM CALL OF IT CURRENTLY
THEY'RE DYING BECAUSE OF
FENTANYL POISONING. AND SO I- IN
ORDER TO ADDRESS THIS I DIDN'T
WANNA MAKE- NOR CAN. I HAVE MORE
AVAILABLE AT WHEN THE FDA
ANNOUNCED. THAT THEY WERE GONNA
MAKE IN OUR CAN AVAILABLE OVER
THE COUNTER. THERE WAS TWO
THINGS THAT STOOD OUT TO ME ONE
WAS GREAT. ARE WE CLEAR WE
NEEDED. MORE PEOPLE NEED TO
ACCESS IT. THE PROBLEM IS THE
PRICE. ARE CURRENTLY CAN BE
ANYWHERE BETWEEN FIFTY TO A
HUNDRED DOLLARS DEPENDING ON HOW
MUCH YOU NEED. AND THAT'S WHY I
DECIDED TO COME UP WITH TEN
SIXTY AND INTRODUCED THAT
SEVERAL MONTHS AGO IN WHICH
PRIVATE INSURANCE AND MEDICARE
WILL COVER THE COST OF OVER THE
COUNTER MARKET AND- NOW BEFORE I
GO FURTHER AND INTRODUCE- SOME
OF MY WITNESSES I DO WANT TO
ADDRESS. AN EMAIL I RECEIVED
EARLIER TODAY. IT'S AN EMAIL
FROM THE CALIFORNIA ASSOCIATION
OF HEALTH PLANS. WHEN I FIRST
INTRODUCED THIS BILL SIX MONTHS
AGO THEY REACHED OUT AND THEY
SAID WE MIGHT HAVE SOME
AMENDMENTS WILL REACH OUT IF WE
DO. NEVER HEARD BACK FROM THEM
AGAIN. UNTIL THIS AFTERNOON.
THREE HOURS AGO IN FACT. AND THE
EMAIL SAID WE PLAN ON SHOWING UP
IN COMMITTEE TODAY WITH THE
CHANGE THE POSITION OF OPPOSE
UNLESS AMENDED. THEY'VE GIVEN ME
LESS THAN SEVEN HOURS. IN THIS
LAST TO FLETCHER WE HAVE TO HAVE
BILLS. IMPRINT FOR UP TO THREE
DAYS BEFORE WE CAN DO ANYTHING
ABOUT IT THEY EXPECT ME TO COME
IN HERE. AND HAVE A DECISION ON
AMENDMENTS THAT THEY GAVE ME
LASSEN SEVEN HOURS TO LOOK AT.
THAT IS NOT OKAY I FIND IT
EXTREMELY DISRESPECTFUL NOT JUST
TO ME BUT TO THE COMMITTEE THE
CONSULTANTS MY STAFF AND THE
FAMILY THAT IS HERE TODAY TO
TALK ABOUT THE NEED FOR THIS
BILL. I HOPE THAT MOVING FORWARD
. THEY UNDERSTAND THAT I'M MORE
THAN HAPPY TO HAVE THOSE
CONVERSATIONS I'VE WORKED WITH
OTHER. YOU KNOW OPPONENTS
ANOTHER BILLS HAPPY TO HAVE THAT
DISCUSSION IN FACT I INTRODUCED
MY OWN AMENDMENTS TO THIS BILL.
BECAUSE IT'S SO IMPORTANT TO ME
AND I I'VE LEARNED THROUGH THE
PROCESS OF GOING TO THE
DIFFERENT HEARINGS AND GETTING
BIPARTISAN SUPPORT UP UNTIL
TODAY. SO I AGAIN. I HOPE THAT
OPPONENTS- RECOGNIZE THAT THIS
IS NOT THE WAY TO DO TO WORK
WITH MY OFFICE. HAPPY TO MEET
WITH THE MOVING FORWARD. BUT I
WILL NOT BE BULLIED. INTO TAKING
AMENDMENTS. THREE HOURS BEFORE A
COMMITTEE. WITH THAT I WOULD
LIKE TO BRING UP MY- ONE OF THEM
MOTHERS WHO IS HERE TODAY TO
TESTIFY- HER NAME IS MARITA COLD
MOTHER OF MARIE COLE. WELCOME HI
. A LITTLE BIT NERVOUS. MY NAME
IS AMERICA COLE AND I'M HERE TO
ASK YOU TO SUPPORT. AB TEN SIXTY
AND TO SHARE MY STORY TO
ILLUSTRATE WHY IT SO IMPORTANT.
THIS IS MY SECOND MARRIAGE. HE
WAS TWENTY FIVE YEARS OLD WHEN
WE LOST HIM. HE LOVES
SKATEBOARDING. HE HAD AUTISM.
AND HE REALLY DIDN'T. TALK A LOT
BUT HE WAS INCREDIBLY BRIGHT. HE
WAS A POLYGLOT ANY NEW FIVE
LANGUAGES. HE COULD READ AND
WRITE RUSSIAN FLUENTLY HE COULD
SPEAK SPANISH ANY NEW AMERICAN
SIGN LANGUAGE. HE LOVED PLAYING
VIDEO GAMES. WHEN HE WAS PLAYING
I COULD HEAR HIM SPEAKING OTHER
LANGUAGES AND I COULDN'T EVEN
TELL YOU WHAT THEY WERE. BUT HE
DIDN'T REALLY SOCIALIZE VERY
WELL IN WAS WAY TOO TRUSTING WE
HAD CONSERVATORSHIP FOR HIM AND
I WAS HIS CONSERVATIVE HER. WHEN
YOU HAVE AUTISM. YOU WANT TO
MAKE FRIENDS WHEN DO YOU GROUP
OF MERRICK'S FRIENDS GAVE HIM A
DRINK TO TAKE HOME. AND TOLD HIM
JUST TO RELAX BECAUSE HE WAS
UPSET. HE CAME HOME THAT DAY.
AND I DECIDED TO GO TO THE STORE
TO GET HIM SOME SLIPPERS. I WAS
GONE FOR ABOUT FORTY FIVE
MINUTES. AND WHEN I CAME BACK I
FOUND HIM UNRESPONSIVE. I LIVE
IN A COMMUNITY WHERE THERE ARE
HOMELESS PEOPLE. SO I HAD TO DO
DOES OF NALOXONE ITSELF I COULD
AFFORD. IT I ONLY HAD TWO IT WAS
JUST TOO EXPENSIVE FOR ME TO
HAVE MORE. SO I TRIED GIVING HIM
BOTH THE DOSES BECAUSE I THOUGHT
MAYBE IT SPENT NO IT WAS
SOMETHING THAT WAS GOING AROUND.
AND IT DIDN'T WORK HI
ADMINISTERED CPR HAD I CALLED
NINE ONE ONE AND THE PARAMEDICS
CAME FAST. AND THEY GAVE HIM THE
IDEA OF NO WALKS IN BUT IT
WASN'T ENOUGH. THE AUTOPSIES
LATER FOUND THAT IT WAS FENNEL.
AND CARFENTANIL. SO THE DOSAGE
WAS JUST NOT ENOUGH. FOR THOSE
OF YOU WHO DON'T KNOW
CARFENTANIL IS A HUNDRED TIMES
MORE POTENT THAN THERMAL.
CONTENT NOW. SINCE THEN I'VE
DONE A LOT OF RESEARCH AND
LEARNED THAT NALOXONE CAN CAN
SAVE LIVES I'VE SEEN IT HAPPEN
WITH SET FIRE. AND IT DOES SAVE
LIVES AT THE RIGHT DOSAGE AND
THE RIGHT TIME. IF IT HAD BEEN
MORE AFFORDABLE I WOULD HAVE HAD
MORE. THERE'S NO DOUBT I WOULD
HAVE HAD MORE. AND MY SON MIGHT
STILL BE ALIVE TODAY. WE NEED
NALOXONE TO BE MADE AFFORDABLE.
AND AVAILABLE TO EVERYONE NOT TO
SINCE SCHOOLS WITH PARAMEDICS
IN. OUR POLICE DEPARTMENT BUT
OTHER PUBLIC PLACES. AND PEOPLE
NEED TO BE CARRIED AROUND AND BE
FAMILIAR WITH IT AND BE READY TO
USE IT THEY NEED TO KNOW HOW TO
USE THAT. BETHNAL IS A POISON
AND IT WILL KILL. THERE'S NO
DOUBT. YOU CAN'T PUT A PRICE ON
LIFE'S. WE NEED TO PROVIDE
PARENTS CARE GIVERS EVERYBODY
WITH THIS TOOL SO MORE LIVES CAN
BE SAVED. I ASKED THE COMMITTEE
TODAY TO PLEASE VOTE YES ON AB
TEN SIXTY. AND HELP SAVE MORE
LIVES IN MAYBE PARENTS LIKE ME
COULD HAVE SOME MORE ON HAND. IN
CASE OF AN EMERGENCY. THANK YOU
. THANK YOU VERY MUCH WE'RE VERY
SORRY FOR YOUR LOSS. OKAY OTHER
SPEAKING IN SUPPORT YES THEY
ALSO HAVE DOCTOR DIEM MERA WHO
SPECIALIZES IN ADDICTION
MEDICINE THANK YOU. DOCTOR HELLO
I'M DR NEIL MERRETT IS HONORED
TO SPEAK TO YOU ON THE BALLOT
FOR THE CALIFORNIA SOCIETY OF
ADDICTION MEDICINE. I
SPECIALIZED IN ADDICTION
MEDICINE AND MEDICAL DIRECTOR OF
TWO PROMINENT NONPROFIT
COMPREHENSIVE TREATMENT PROGRAMS
IN SACRAMENTO. WE TREAT BOTH
PATIENTS THAT HAVE AN OPIATE
ADDICTION AS WELL AS PATIENTS
THAT DO NOT HAVE ADDICTION BUT
NEED HELP TAKING OPIOIDS MORE
SAFELY. WE THINK OF OVERDOSE ONE
OFTEN IT QUITS IS THAT PEOPLE
WHO WITH JUDGE DICTION HARBORS
THE CEILING MORE COMMON THAT
PEOPLE WITHOUT ADDICTION ARE
UNKNOWINGLY. EXPOSED TO HIGH
POTENCY SYNTHETIC OPIOIDS SUCH
AS FENTANYL. AS NOTING REPORTS
BYSTANDERS ARE PRESENT BUT
UNABLE TO UNABLE TO PROVIDE
LIFESAVING MEASURES THAT LED TO
A PROXY THREE THOUSAND THREE
HUNDRED UNNECESSARY DEATHS IN
CALIFORNIA. JUST IN TWENTY
TWENTY ONE THAT COULD HAVE
SIMPLY BEEN PREVENTED IF THE BY
CENTER TO ACCESS TO OPIOID
REVERSAL ASIANS. THIS IS A
CRITICAL REASON WHY EVERYONE
NEEDS ACCESS TO OPIOID REVERSAL
AGENTS ALL OPIATE ADDICTIONS
VERY PREVALENT NOW IS AN
UNPRECEDENTED TIME WHEN PEOPLE
WITHOUT ADDICTION ARE KNOWINGLY
AND UNWILLINGLY EXPOSED HIGH
POTENCY. AND LETHAL SYNTHETIC
OPIATES SUCH AS FENTANYL
ANALOGUES SUCH AS CARFENTANIL.
THE FIRST ILLUSTRATED EXAMPLE
OUR CHILDREN YOUNG ADULTS THAT
ARE NOT ADDICTED BUT MAY BE
EXPERIENCING EXPERIMENTING WITH
DRUGS FOR THE FIRST TIME. IT IS
EXTREMELY EASY FOR KIDS TO ORDER
DRUGS OF THE INTERNET AND HAVE
THEM DELIVERED DIRECTLY TO THEM.
IN MANY CASES THESE ILLICIT
PILLS ARRIVE IN A VARIABLE
AMOUNTS OF FENTANYL THAT IS A
HUNDRED TIMES MORE POTENT THAN
MORPHINE OR CAR FENCE OF THAT IS
TEN THOUSAND MORE TIMES MORE
POTENT THAN MORPHINE. THIS IS
LED TO THE PHENOMENON WHERE ONE
PILL CAN KILL AND THIS COULD BE
PERHAPS THE FIRST BILL THEY TRY.
HAVING HAVING ANY ACCESS OR COST
BARRIERS TO OPIOID REVERSAL
ASIANS WOULD DETER AND MAKE IT
EVEN MORE UNLIKELY THAT PARENTS
FRIENDS AND OTHERS WOULD NOT
PRIORITIZE OBTAINING IT. AND
THAT'S NOT BE PREPARED IN CASE
OF A FATAL OVERDOSE. A SECOND
INCREASINGLY COMMON EXAMPLES A
CONSEQUENCE OF MOST PROVIDERS
BEING FEARFUL OF PRESCRIBING
OPIOIDS. EVEN FOR APPROPRIATE
REASONS AS A RESULT MANY CHRONIC
PAIN PATIENTS INCLUDING THE
ELDERLY AND VETERANS ARE GETTING
ABRUPTLY CUT OFF FROM THEIR
MEDICATIONS CENTER GOING THROUGH
WITHDRAWAL. AND HIGHER LEVELS OF
PAIN. THESE PATIENTS DEPEND ON
OPIOIDS BUT ARE NOT NECESSARILY
ADDICTED. THEY ARE RELUCTANTLY
RESORTING TO BUYING PILLS OFF
THE STREETS. AGAIN MANY OF THESE
PEOPLE UNKNOWINGLY ARE BUYING
FAKE PAIN PILLS THAT ARE
POTENTIALLY LETHAL THAT UP
BECAUSE THAT CONTAIN POTENTIALLY
LETHAL DOSES OF FENTANYL DON'T
YOU NEED TO WRAP UP OKAY. WITH A
TUB WITH GREATER ACCESS TO OPEN
REVERSAL AGENTS AND STANDARD
COVERED BY INSURANCES ASK ME
THIS BILL COULD SAVE
APPROXIMATELY FOUR THOUSAND
SEVEN R. LIVES. I CAN HONESTLY
POTENTIALLY REDUCING THE COST
WITH THE- RESPOND IN HERE. SAID
SOMEBODY'S. MAY NOT NEED TO. YOU
A THANK YOU FOR THIS IN SUPPORT
AT THIS TIME NAME AFFILIATE.
PLEASE. TIFFANY MATTHEWS ON
BEHALF OF ROB BONTA IN SUPPORT.
RETURNING ATTORNEY GENERAL ROB
BONTA SUPPORT. GET ANY MONEY ON
BEHALF ON BEHALF OF ALAMEDA
COUNTY IN SUPPORT THANK YOU.
BETSEY ARMSTRONG WITH THE COUNTY
HEALTH EXECUTIVES ASSOCIATION
REPRESENTING LOCAL HEALTH
DEPARTMENTS IN SUPPORT THANK YOU
. CONSUMERS ON BEHALF OF THE
CALIFORNIA PROFESSIONAL
FIREFIGHTERS AND SUPPORT THANK
YOU THANK YOU. THANK SHOW US
WHAT THE CALIFORNIA CANNABIS
FAMILY PHYSICIANS SUPPORT THANK
YOU. WITH THE GARDENER WITH THE
COUNTY BEHAVIORAL HEALTH
DIRECTOR SINCE PART THANK YOU.
SHERRI DALY WITH A CALIFORNIA
CONSORTIUM OF ADDICTION PROGRAMS
AND PROFESSIONALS IN SUPPORT
THANK YOU. UNDER US ARMY DOES ON
BEHALF OF THE CITY OF FULLER
THAT IN SUPPORT THANK YOU. BRIAN
WORKS WITH THE LOS ANGELES
UNIFIED SCHOOL DISTRICT IN
SUPPORT THANK YOU. SUNDARBANS
ARE WITH THE CALIFORNIA COUNCIL
COMMUNITY HEALTH BEHAVIORAL
SORRY CALIFORNIA COUNCIL
COMMUNITY EVER UP AGENCIES IN
SUPPORT THANK YOU VERY MUCH OKAY
NOW IS THE TIME FOR OPPOSITION.
GOOD AFTERNOON CHAIR MEMBERS OF
THE COMMITTEE ROBERT BORK IN A
WITH A CALIFORNIA SO SHE'S ALL
PLANS HERE WITH THE CHANGE
POSITION OF OPPOSITION OF OPPOSE
UNLESS AMENDED ON A. B. TEN
SIXTY THE CENTER OF THE EMAIL
EARLIER. AND I APOLOGIZE WE
SIMPLY HOPED SENDING THESE
AMENDMENTS WOULD HELP OPEN A
DIALOGUE- LARGE COALITION TRYING
TO GET CONSISTENT ON AMENDMENTS
IS FAIRLY DIFFICULT I APOLOGIZE
MY INTENT WAS NOT TO BE BUILDING
AT ALL. SO IF I CAN UNDERSTAND
YOU HAD AN OPPOSE AND YOU WANT
TO GO TO OPPOSE UNLESS AMENDED
OKAY. YES EXACTLY SO WE RESPECT
THE WE RESPECT UNDERSTANDING
INTENT OF THE BILL ARTIMUS THE
CLARITY AND WHICH TYPES OF
MARKANDE AND ALLOWS PLANS TO
HAVE SOME GUARD RAILS FOR
QUANTITY LIMITS- KNOW THE AUTHOR
HAS YET THE TO LOOK MY- BUT WE
DO LOOK FORWARD TO WORKING WITH
THE AUTHOR. TO HELP REACH A
MUTUAL AGREEMENT THANK YOU FOR
YOUR TIME AND CONSIDERATION
TODAY THANK YOU VERY MUCH.
STEPHANIE WATKINS ON THE APP OF
THIS INITIATION OF CALIFORNIA
LIFE AND HEALTH INSURANCE
COMPANIES WE TOO WOULD LIKE TO
APOLOGISE THE INTENT WAS NOT TO
ACTUALLY BRING UP THAT
CONVERSATION TODAY IN THIS
HEARING BUT RATHER TO LET THEM
AND THE AUTHOR AND SPONSORS NO
WE HAD CHANGED OUR POSITION.
THAT WE WOULD LIKE TO CREATE AN
OPEN DIALOGUE IN CONVERSATIONS
MOVING FORWARD THANK YOU THANK
YOU VERY MUCH. JOHN WHEN YOU'RE
ON THE AMERICAN HEALTH INSURANCE
PLANS ECHO THE COMMENTS A CAP
ACTORS. HEY THANK YOU VERY MUCH
OTHER PEOPLE JUST WANT TO VOICE
OPPOSITION AS A TIME TO COME
FORWARD. C. NG NUMBER KO THE
PHONE LINES. LADIES AND
GENTLEMEN IF YOU WISH TO SHOW
SUPPORT OR OPPOSITION OF AB TEN
SIXTY PLEASE PRESS THE ONE THEN
ZERO NOW. AGAIN ONE THEN ZERO.
LOCAL TO ALIGN OF FOUR FIFTY
NINE PLEASE GO AHEAD. GOOD
AFTERNOON LINDA WAY WITH WESTERN
CENTER ON LAW AND POVERTY IN
SUPPORT. THANK YOU VERY MUCH.
INITIAL PLEASE GO AHEAD. YEP OF
THE JOHNS FAMILY IN ACCOUNTING
I'VE FOR. THANKS JOHN. AND AT
THIS TIME THERE'S NO ONE ELSE IN
THE QUEUE. OKAY THANK YOU VERY
MUCH KNOWS THE TIME WILL BRING
IT BACK TO COMMITTEE MEMBERS.
HIS COMMENTS SENATOR GROWTH.
THANK YOU MADAM CHAIR I
APOLOGIZE BOUNCING BACK AND
FORTH FROM DIFFERENT COMMITTEES-
I APPLAUD THE OTHER REGAIN
SOMETHING THROUGH TO ADDRESS THE
FINALE SHE'LL AND IT'S BEEN A
VERY DIFFICULT TASK FOR
EVERYBODY DEMOCRAT AND
REPUBLICAN IN THIS BUILDING SO
THANK YOU VERY MUCH TO BE ABLE
TO GET YOUR BILL. OF YOUR
FLUORIDE TO OUR SIDE- AND YOU
ARE ONE OF THE VERY FEW-
INDIVIDUALS THAT BRING
SOMETHING- TO THIS HEALTH
COMMITTEE THAT DOESN'T JUST
REQUIRE THE PLANS TO DO IT BUT
YOU REQUIRE A MEDIC CAL TO DO IT
AS WELL. AND THE REASON WHY
THANK YOU FOR THAT IS BECAUSE
OFTENTIMES THE STATE SAYS NO WE
CAN'T AFFORD THAT AND THEN OUR
POOREST POPULATIONS DON'T HAVE
ACCESS TO THE SAME BENEFITS THAT
IF YOU READY TO PAY A THOUSAND
DOLLARS A MONTH FOR HEALTH PLAN.
SO I APPRECIATE YOU DOING THAT
IN INCLUDING THAT I HOPE YOU
DON'T TAKE IT AMENDMENT TO AMEND
THAT OUT ANYTIME IN THE FUTURE
ANY STAND STRONG BECAUSE I THINK
THAT'S VERY IMPORTANT. AGAIN
IT'S NOT IT'S NOT JUST A MANDATE
ON THE PLANS IT'S MAKING SURE
THAT OUR POOREST POPULATION IN
MY DISTRICT HAS ALMOST 70% OF
THE MEDICARE POPULATION. IN THE
CENTRAL VALLEY SO THANK YOU FOR
THAT AND AT THE APPROPRIATE
TIME- IT'S ABOUT. THANK YOU
SENATOR. RUBIO SPEAKING. OKAY
THANK YOU ASSEMBLY FOR BRINGING
THIS FORWARD IT SOUNDS LIKE
YOU'RE IN BE HOPEFULLY WORKING
WITH THE OPPOSITION AND GETTING
THEM TO A PLACE OF. OF NON.
OPPOSITION TO LIKE THERE'S A
PATH FOR THAT AND YOU HAD A
MOTION BY CENTER GROVE WHICH IS
AMAZING. AND THAT IS SAID TO
PASS AND REFERRED TO THE
COMMITTEE ON APPROPRIATIONS
WOULD YOU LIKE TO CLOSE.
RESPECTFULLY ASK FOR YOUR AYE
VOTE THANK YOU VERY MUCH. THREE
BILLS TODAY. IT'S A BIG DAY.
COULD YOU PLEASE CALL THE ROLL.
SENATORS EGGMAN. EGGMAN AYE WHEN
. GLAZER AYE GLAZER AYE GONZALEZ
. GROWTH GROW BY- HER TADO.
LIMÓN HI THE MON I MENTIONED ARE
. MANAGEABLE AYE ROTH. RUBIO
WAHAD. WINNER. I JUST FIVE WILL
HOLD ROLE OPEN FOR ABSENT
MEMBERS THANK YOU VERY MUCH FOR
COMING BEFORE US TODAY THANK YOU
MEMBER AND I UNDERSTAND THIS
MEMBER BENNETT HAS ASKED MR
MURATSUCHI IF HE CAN JUMP THE
LINE. OKAY ASSEMBLY MEMBER
YOU'RE GOING TO BE OVER HERE.
AND I AM GOING TO ASK- CENTER
MENJIVAR. TOGETHER.
ASSEMBLY MEMBER. THANK YOU MADAM
CHAIR AND MEMBERS AND I WANT TO
THANK ASSEMBLY MEMBER AMERICA
YOU SEE FOR BEING KIND I HAVE A
WITNESS WHO HAS A FLIGHT- THAT
HE'S TRYING TO CATCH UP. FIRST I
WANT TO START BY ACCEPTING THE
AMENDMENTS THAT THE SERGEANTS
PASSING OUT OF TODAY WANT TO
THANK THE CHAIR THE COMMITTEE
FOR THEIR WORK ON THE BILL I
BELIEVE WITH THESE AMENDMENTS
ARE REALLY CLARIFIES- OF THE
BILL FOR ALL OF THE
STAKEHOLDERS. AB ELEVEN SIXTY
EIGHT AS AMENDED IS AN ATTEMPT
TO TRY TO PROVIDE EXCLUSIVELY
THE CITY OF OXNARD- WITH ITS
RIGHTS WITH THE ABILITY TO
EXERCISE IS TO ALL ONE RIGHTS
REGARDING EMS SERVICES IN
VENTURA COUNTY WE'VE NARROWED
THE BILL DOWN SO IT DOESN'T
AFFECT OTHER AREAS OUTSIDE OF
OXNARD. THE BILL HAS- WE'VE
TAKEN A LOT OF WORK WELL WITH
STAKEHOLDERS AND- I'M HAPPY TO
SAY THAT TO ME IS STAKEHOLDERS-
HAVE NOW DROPPED THEIR
OPPOSITION THE BILL AND
HOPEFULLY YOU'LL HEAR FROM THEM
TODAY. THE IS AN IMPORT FAIL
SAFE IN HERE- THAT- REQUIRES-
ANY THE CITY OF OXNARD IF FOR
SOME REASON THERE IS A
DISADVANTAGE OR ANY COMMUNITY
OUTSIDE OF THE CITY OF OXNARD
THAT NEED TO HAVE SERVICE BUT
WAS IN THE ORIGINAL DISTRICT
FOUR OXNARD- TO BE RESPONSIBLE
FOR TAKING CARE OF THAT- HIM
WITH ME TODAY I HAVE THE DOGS
SUPERS ON BEHALF THE CALIFORNIA.
CALIFORNIA PROFESSIONAL
FIREFIGHTERS IN CHIEF ALEXANDER
HAMILTON FROM OXNARD AND I KNOW
CHIEF HAMILTON HAS A FLIGHT SO-
CALL HIM UP FIRST IT WAS
TESTIFYING. AT BAKER. THAT'S
MEMBER THANK YOU. GOOD AFTERNOON
CHAIR AND COMMITTEE MEMBERS MY
NAME IS ALEX AND ALLYSON. AND
I'M THE FIRE CHIEF FOR THE CITY
OF OXNARD AND PRESIDENT OF THE
FIRE CHIEF DEPARTMENT THE LEAGUE
OF CITIES WHICH IS SPONSORING
THIS MEASURE. THE MEASURE SIX TO
CLARIFY AS ASSEMBLY MEMBER
BENNETT MENTIONED SIX TO CLARIFY
SECTION TO A ONE OF THE MSX
WHICH GRANDFATHERS RIGHTS FOR
ENTITIES THAT WE'RE DELIVERING.
HOSPITAL EMS SERVICES PRIOR TO
THE ACT BECOMING LAW. AND I LIKE
TO TAKE A MOMENT TO EXPRESS MY
APPRECIATION FOR- COMMITTEE
CHAIRED A COMMITTEE AND STUFF
FOR WORKING ON THIS BILL WITH US
WE'VE BEEN WORKING HARD TO
LISTEN TO THE CONCERNS OF THE
VERY STAKEHOLDERS. AND MAKE
CHANGES TO ADDRESS THOSE
CONCERNS. WITH THAT BEING SAID
TO BE PART OF THE REASON I COME
BEFORE YOU TODAY I USED TO
REPRESENT MY CITY COUNCIL'S
INTEREST IN PROVIDING EQUITABLE
AMBULANCE SERVICE TO OUR
RESIDENTS. CURRENTLY IF YOU'RE A
PORN OXNARD YOU ARE TWICE AS
LIKELY TO WAIT FOR AN AMBULANCE.
AND UNFORTUNATELY THAT'S TO SEE
GETS WORSE THE FURTHER DOWN THE
SOCIOECONOMIC SCALE YOU GO. THE
CITY OF OXNARD HAS BEEN TRYING
FOR YEARS TO ADDRESS THIS ISSUE
THAT SUCCESS. INCLUDING
ESTABLISHING OUR OWN PARAMEDIC
PROGRAM TO IMPROVE THE LEVEL OF
SERVICE TO OUR RESIDENTS. ARE
ALSO LIKE TO HIGHLIGHT THAT OUR
GOAL HERE IS TO PROVIDE AN
INTEGRATED SYSTEM OF PRE
HOSPITAL CARE. WE'RE NOT TRYING
TO FRAGMENT THE SYSTEM BY ANY
MEANS. AND JUST LIKE TWO OR ONE
AGENCIES CURRENTLY OPERATING UP
AND DOWN THE STATE WE WOULD
FOLLOW OLE. A LOCAL EMS AGENCY
REGULATIONS AND MEDICAL CONTROL
. CURRENTLY THERE IS NO REAL
INTEGRATION BETWEEN FAR AN EMS
RESOURCES- YET TOGETHER WE PUT
COMPRISES THE BULK OF PRE
HOSPITAL EMS CARE SYSTEM. YOU
KNOW CITY. MANDATE HAVING NO
AMBULANCES AVAILABLE I'M MORE
THAN TWELVE HUNDRED TIMES IN A
SINGLE YEAR AND A CITY THE SIZE
OF OXNARD. WITH A POPULATION OF
OVER TWO HUNDRED THOUSAND. IS A
SYMPTOM OF GREATER PROBLEMS
REGARDLESS OF IF THOSE. PROBLEMS
ARE STOPPING. DEPLOYMENT
MISMANAGEMENT OR BROWNOUTS. THAT
IS A SYSTEM THAT IS ALREADY
FRACTURED. AND TO OUR MIND CAN
CAN TO CONTINUING TO ENGAGE WITH
STAKEHOLDERS OPPOSING
LEGISLATION TO SEE OUR GOAL OF
IMPROVING THE SYSTEM. THROUGH
BETTER INTEGRATION AND A FOCUS
ON OUTCOMES- AND BEFORE I CLOSE
I JUST WANTED TO MAKE MENTION
THAT THIS IS CERTAINLY NOT AN
ATTACK ON ON THE PROVIDENCE
INDUSTRY AT ALL- CERTAINLY THEY
HAVE VERY DEDICATED AND
HARDWORKING- EMTS AND PARAMEDICS
AND- BUT I CAN TELL YOU THAT MY
FIVE. ENJOYING EXCELLENT
OPERATIONAL RELATIONSHIP WITH
THAT PRIVATE AND BEYONCE THE
COMPANY STUFF. THIS IS ABOUT THE
SYSTEM NOT ABOUT ANY PROVIDER-
IN THE CURRENT SYSTEM IS NOT
EQUITABLE FOR OUR MOST
VULNERABLE RESIDENTS I THANK YOU
FOR YOUR TIME TODAY. THANK YOU
VERY MUCH SPEAKING IN SUPPORT
TODAY. THANK YOU MADAM CHAIR AND
SENATORS- DOUG SUPERS I MAY HAVE
THE CALIFORNIA PROFESSIONAL
FIREFIGHTERS HERE IN SUPPORT OF
AB ELEVEN SIXTY EIGHT. WOULD
LIKE TO THANK ASSEMBLY MEMBER
BENNETT FOR BRINGING THIS MATTER
FORWARD AND THINK THAT CHAIR AND
COMMITTEE STAFF FOR CONTINUING
TO WORK ON THIS MEASURE- AS
NOTED PREVIOUSLY THIS MEASURE
WILL PROVIDE CLARITY AROUND THE
PROVISIONAL PRE HOSPITAL. EMS
SERVICES AND RIGHTS TO DELIVER
THOSE SERVICES THE OXNARD
DECISION HAS RAISED. AMBIGUITY
IN POTENTIAL NEGATIVE POLICY
OUTCOME SO WE THINK THE
LEGISLATURE TAKING A STEP TO
CLARIFY. THE SPECIFIC ISSUES
THAT WE'RE TALKING ABOUT HERE
TODAY IS APPROPRIATE. IN
ADDITION TO ADDRESSING THE CITY
OF OXNARD ISSUE DIRECTLY- THIS
BILL WILL ENSURE STATUTORY
STATUTORY CLARITY OF A FIRE
DEPARTMENT THAT HAS TO A ONE
RIGHTS WANTS TO ENTER INTO AN
AGREEMENT GOING FORWARD. THAT BY
VIRTUE OF ENTER INTO THAT
AGREEMENT IT DOESN'T CAUSE THEM
TO LOSE THEIR RIGHTS WE THINK
THAT IS A APPROPRIATE AND GOOD
AND MAY. HELP FACILITATE MORE
COLLABORATION- ADDITIONALLY AS
THE AUTHOR NOTED THERE IS A FAIL
SAFE- IN THE MEASURE SUBDIVISION
SECTION TWO OF SUBDIVISION C.
OUTLINES A PROCESS TO ENSURE
SHOULD OXNARD EXERCISE OUR
RIGHTS UNDER THIS MEASURE. THAT
NO MEMBER OF THE COMMUNITY IS
LEFT BEHIND OR DOES NOT HAVE
ACCESS TO SERVICE- AND AS NOTED
AS THE OUTSIDE THE AMENDMENTS
FURTHER CLARIFY AND NARROW DOWN.
THE MEASURE EMS IS DELIVERY IS A
VITAL PORTION OF CPF MEMBERS
WORK- OUR MEMBERS ARE OFTEN
EITHER. STAFFING AMBULANCES ARE
PROVIDING FIRST RESPONSE IN OUR
FIRST ON SCENE RENDERING AID IN
AN EMERGENCY- IT'S IMPERATIVE
THAT THE SYSTEM BE EFFICIENT.
THE LASER AND INEFFICIENCY-
IMPACT THE ENTIRE SYSTEM AND
ULTIMATELY IMPACT PATIENT CARE.
FOR THOSE REASONS WOULD
RESPECTFULLY REQUEST YOUR VOTE
THANK YOU VERY MUCH. ANYONE ELSE
BECAUSE SUPPORT TODAY. THANK YOU
MADAM CHAIR. RUSSELL NOWAK ON
BEHALF OF THE CALIFORNIA FIRE
CHIEFS ASSOCIATION. AND THE FIRE
DISTRICTS ASSOCIATION OF
CALIFORNIA IN SUPPORT. THANK YOU
VENTURE. OKAY HELLO. GOOD
EVENING BELIEVE JOSE'S WITH THE
LEAGUE OF CALIFORNIA CITIES THIS
TRUNK SUPPORT THANK YOU VERY
MUCH. OKAY PEOPLE SPEAK IN
OPPOSITION TO THE BILL TODAY
PLEASE COME FORWARD AT THIS TIME
. THANK GOODNESS- SO MY NAME IS
DAN SHEPHERD I AM A PRACTICING
RICHARD APARTMENT PHYSICIAN IN
MASS PLUS TO A SPECIALIST IN THE
CONSUMER TO MEDICAL SERVICES
MEDICAL DIRECTOR FOR THE VENTURA
COUNTY EMS AGENCY. IF YOU NEED
TODAY IN RESPECT WHAT POSITION
TO AB ELEVEN SIXTY EIGHT ON
BEHALF OF A BROAD COSTA COUNTY
AS PART OF THE M. S. ACT
REGULATION OF EMS IN CALIFORNIA
WAS FRAGMENTED HAPHAZARD.
NOTHING REQUIRED EMS PROVIDERS
ACCORDING TO INTEGRATE THEIR
SERVICES APPLY TO CARE VERY DAN
WAS NOT A CREDIBLE CROSS STREETS
TO ACTIONS. M. S. BACK PROMISE
AND FOR FORTY YEARS COUNTIES ARE
YOU HAS DELIVERED A COORDINATED
INTEGRATED READILY AVAILABLE
SYSTEM OF PRE HOSPITAL EMERGENCY
MEDICAL CARE AND SPECIALTY
HOSPITAL RESOURCES FOR EVERYONE
IN CALIFORNIA REGARDLESS OF
WHERE ONE LIVES OR THEIR
SOCIOECONOMIC STATUS. HUMAN
SYSTEMS OF TODAY ARE NOT
STAGNANT ENTITIES HAVE THEY ARE
DYNAMIC AND YOU SEE OF OFTEN
WITH THE LATEST- SCIENCE AND
BEST PRACTICES LOCAL IN ASSISI
PHYSICIAN MEDICAL DIRECTORS LIKE
MYSELF PROVIDE OBJECTIVE
OVERSIGHT IN THE PLANNING
IMPLEMENTATION AND MONITORING OF
THE IN THE SYSTEM. AN ADVOCATE
FOR THE SAFETY OF OUR
COMMUNITIES BY FOCUSING ON
PATIENT NEEDS THROUGH IMPARTIAL
ASSESSMENT OF SYSTEM
PERFORMANCE. PROPONENTS HAVE
ARGUED THIS MEASURES MEANT TO
ADDRESS RELUCTANCE BY CITIES ARE
FAR DISTRICT FROM ENTERING A
GPA. IF THAT IS THE CASE
COUNTIES WILL REMOVE OUR
OPPOSITION OF SECTION SEVENTEEN
NINETY SEVEN TO THIRTY TO BE.
WAS THE SOLE PROVISION OF THE
BILL HOWEVER COUNTIES CONTINUE
TO STRONGLY OPPOSE LEGISLATIVE
INTENT LANGUAGE. IN AB ELEVEN
SIXTY THE DISTORTS THE FINDINGS
IN OXNARD. OXNARD VERSUS COUNTY
VENTURA CASE. AND WILL BE
LEVERAGED IN FUTURE LITIGATION
AS WE'VE SEEN IN PREVIOUS COURT.
CASES I COMMITTEES PROPOSED
AMENDMENTS TO THE INTEL LANGUAGE
SECTIONALLY VIEW THE COUNTIES
CONCERNS THAT WE ASK THAT THE
INTENT LANGUAGE BEING REMOVED
ENTIRELY. CAN YOU VENTURE AS
ADMINISTERED EMS SERVICES IN THE
CITY OF OXNARD FOR OVER FIVE
DECADES HIM LONG BEFORE THE
ENACTMENT THE MSX. VIRTUALLY NO
INVOLVEMENT FROM THE CITY IN THE
FUNDING ONLY REJECT ARGUMENT AT
AUCTION AND WAS EVERITT TO ONE
ENTITY FOR AMOS TRANSPORT
SERVICES. AND THE VALIDITY OF
THE ORIGINAL JOINT POWERS
AGREEMENT REGARDING EMS IN THIS
CASE WAS NOT CALLED INTO
QUESTION BY THE COURSE WE MUST
FAMILY OPPOSED ABROGATION OF.
THE OX SERVERS THE POKER ROOM WE
AS A- ELEVEN SIX EIGHT PROPOSES
. TO BE CLEAR LEVINSKY GIVE THE
CITY OF. TO ONE THE FORTY AT
THE- WOULD MAKE. THAT NOT ME.
THE GUIDELINE FOR PER REQUIRE OF
SIX SEVENTEEN SEVEN A ONE. SOME
OF THE FASTEST RESPONSE TIMES IN
ACCOUNTING. WELL SOME FAT IF WE
REJECT THE ASSERTION THE SOCIO
ECONOMICALLY DISADVANTAGED AREAS
WERE INTENTIONALLY NEGLECTED.
FOR THE MORE THE COUNTY STARTED
A COMPETITIVE PROCUREMENT
PROCESS FOR ILLNESS TRANSPORT
SERVICES. ARE FEW WILL BE ISSUED
THAT AUCTION COULD CERTAINLY
BUILT ON AND WE URGE THE
LEGISLATURE TO ALLOW US TO
COMPLETE THAT PROCESS. WELL THE
REASON AMENDMENTS IN THE
COMMITTEES PROPOSED AMENDMENTS
ATTEMPTED NEAR THE INTENT OF THE
BILL WE STILL BELIEVE THE RESULT
WILL. AFFECT THE FRAGMENTATION
OF ORGANIZED EFFICIENT AND
EFFECTIVE YOU MUST SYSTEM OF
TODAY. AND OUR REGION TO THE
DISJOINTED A STATE THAT EXISTED
PART OF IMPLEMENTATION OF THE M.
S. ACT. THIS BILL SAYS A
PRESIDENT THAT PRIOR EMAILS
RELATED COURT RULINGS CAN BE
ABROGATED BY THE LEGISLATURE I
WELL. AND REFER SEE REDUCTION IN
QUALITY OF CARE AND DIPPING
HEALTH CARE DISPARITIES IN RURAL
COMMUNITIES LOW INCOME OR
HISTORICALLY UNDERSERVED
POPULATIONS. THE REASONS I
OUTLINED- CALIFORNIA COUNTY
STRONGLY URGED- TO STAND FOR
COMMUNITIES AND VOTE NO ON A
DELIVERY SIXTY. THANK YOU THANK
YOU VERY MUCH THANK YOU. THANKS
FOR SIMPLY- GOOD EVENING TERM
MEMBER I'D CHANNEL SOME WITH THE
AND ARE FEDERATION STATE COUNTY
MUNICIPAL- HERE ON BEHALF OF OUR
UNITED EMS WORKERS AT LOCAL FOUR
NINE ONE ONE. WE DIDN'T HAVE AN
OFFICIAL POSITION I'M AT THE
TIME THAT THE COMMITTEE ANALYSIS
WAS IMPRINTS SO JUST WANTED TO.
INFORM YOU OF OUR POSITION ON
THE BILL WITH THE AUTHORS
COMMITMENT TO INCLUDE ADDITIONAL
AMENDMENTS- THAT WILL BE ADDED
IN THE FUTURE. WE ARE NO NEUTRAL
ON THE BILL- CONCERNS FROM OUR
MEMBERS WERE THAT IT'S WITHIN A
FIRE AGENCIES HAVE THE AUTHORITY
TO TAKE OVER GROUND AMBULANCE
SERVICES. AND THEN SUBCONTRACT
THAT WORK- BACK TO PRIVATE U. S.
COMPANIES IT WOULD RESULT IN A
SYSTEM DELIVERY MODEL THAT WOULD
INCREASE CHARGES TO PATIENTS.
AND SUPPRESS THE WAGES AND
BENEFITS FOR PRIVATE EMTS AND
PARAMEDICS- WE APPRECIATE THE
AUTHOR AND THE PROPONENTS WORK
TO ADDRESS SOME OF THESE
CONCERNS. WITH THE BILL WANT TO
RECOGNIZE THAT SUBSTANTIAL
CHANGES HAVE- HAVE BEEN MADE TO
ADDRESS OUR CONCERNS- JUST REAL
QUICK JUST WANTED TO HIGHLIGHT
SOME OF THOSE CHANGES THAT GOT
US TO NEUTRAL. THE BILL IS
LIMITED TO THE CITY OF OXNARD-
NEXT IT ENSURES THAT THE
CONTRACTOR PROVIDES INCOME AT
WORK FORCE WITH COMPATIBLE WHICH
IS CONSISTENT WITH THOSE.
PROVIDED IN THEIR CBA'S AND
FUTURE MEMONS WAS ALSO RECOGNIZE
COME AT WORK FORCES SENIORITY
STATUS. A THIRD IT ENSURES THAT
THE CONTRACTOR ADDRESS ANY
CONCERNS RAISED BY AMBULANCE
SERVICE EMPLOYEES AND ALLOW FOR
THEM TO PROVIDE INPUT ON
OPERATIONAL CHANGES AS
REQUESTED. AND LASTLY FUTURE
AMENDMENTS WILL PROVIDE GREATER
TRANSPARENCY IN THE R. FIFTY
PROCESS. BY ALONG THE INCOMING
WORK FORCES UNION TO REVIEW AND
DISCUSS THE CURRENT. COLLECTIVE
BARGAINING AGREEMENT FOR THE
INCOMING WORKFORCE WITH THE NEW
CONTRACTOR PRIOR TO ENTERING A
NEW CONTRACT ALTHOUGH AFTER HE
STILL BELIEVES THAT THE REGIONAL
APPROACH SERVES AS A BOTTLE
BETTER MODEL OF CARE FOR
CITIZENS OF PATIENTS WERE.
INCREDIBLY GRATEFUL TO THE
AUTHOR. WHO WORKED RESPECTFULLY
AND COLLABORATIVELY. WITH US TO
ENSURE PROTECTIONS WERE IN PLACE
FOR THE INCOME WORKFORCE THANK
YOU THANK VERY MUCH THE REAL
SPEAKING AND- OPPOSITION NOW
JUST NAME AND AFFILIATION. GOOD
EVENING MADAM CHAIR YEAH
COMMITTEE MEMBERS ON HENSCHEL ON
BEHALF OF THE AMERICAN MEDICAL
RESPONSE ALL KILLED BY COMMENTS
TO ASK ME WHICH CAME WITH HER
WORKFORCE AND WE ARE REMOVING OR
OPPOSITION BASED OFF OF THESE
MOMENTS- NOW ON NEUTRAL. THANK
YOU TO THE AUTHOR THANK YOU. IT
REALLY MILLION ON BEHALF OF THE
COUNTIES OF SAN MATTEO IN
ALAMEDA IN OPPOSITION THANK YOU
THANK YOU. ISABEL ARE QUITE A
WITH THE HEALTH OFFICERS
ASSOCIATION OF CALIFORNIA IN
OPPOSITION THANK YOU. THAT'S THE
ARMS ARE WITH THE COUNTY HEALTH
EXECUTIVES ASSOCIATION
RESPECTFUL OPPOSITION THANK YOU
. THIS IS. KELLY BROOKS ON
BEHALF OF THE COUNTY BOARD OF
SUPERVISORS OF LOS ANGELES
VENTURA AND RIVERSIDE COUNTY AS
WELL AS THE CALIFORNIA STATE
ASSOCIATION OF COUNTIES URBAN
COUNTIES OF CALIFORNIA AND THE-
WORLD COUNTY REPRESENTATIVES OF
CALIFORNIA ALL IN OPPOSITION
THANK YOU. THANK YOU. DURING
NUMBERS TO THE CALIFORNIA
ASSOCIATION IN OPPOSITION THANK
YOU THANK YOU. JON COHN
REPRESENTING THE EMERGENCY
MEDICAL SERVICES ADMINISTRATORS
ASSOCIATION CALIFORNIAN
OPPOSITION YOU. JEFF NEAL
REPRESENTING THE COUNTIES OF
CONTRA COSTA AND YELLOW BOTH
OPPOSE. THANK YOU VERY MUCH OVER
THE PHONE LINES SEE IF THERE'S
ANY FOLKS THERE WANTING TO.
SPEAK IN SUPPORT AND OPPOSITION
. MAYBE JUST. MAYBE THE INTERNET
EXPERIENCE. OR OPPOSITION OF AB
ELEVEN SIXTY EIGHT PLEASE PRESS
ONE THEN ZERO NOW AGAIN ONE THEN
ZERO. WE'LL GO TO LINE FOR SIXTY
FOUR PLEASE GO AHEAD. AGAIN
CHAIRMAN KAREN LAYING ON BEHALF
OF THE COUNTY'S OF PLASTER
CHAVEZ MARY BAD AT MATH BUT
BURNSIDE KERN SO AND SO LONG-
COUNTIES ALL IN OPPOSITION TO
THE BILL IN PRINT TODAY I
BELIEVE THEY WOULD REMOVE THEIR
OPPOSITION WITH AMENDMENTS.
THANK YOU THANK YOU. THREE ELSE
CALLING. WE HAVE TO MARLA IN THE
QUEUE GO TO FOR SIX FIVE PLEASE
AHEAD. MEMBERS JONATHON FELDMAN
ON BEHALF OF THE NINE ONE
AMBULANCE ALLIANCE WE APPRECIATE
THE WORK OF THE AUTHOR HIS STAFF
AND COMMITTEE STAFF INSTEAD OF
AMENDMENTS- WE'RE GOING TO WAIT
YOU COULD FINALLY BE ON THEM BUT
WE LOOK FORWARD TO REMOVE THEIR
OPPOSITION. THANK YOU VERY MUCH
THANK YOU. I AM LAST LOCAL TIME
FOR SIXTY TO PLEASE GO AHEAD.
THE MEGA MASS THE CENTER AND
SUPPORT. I THANK YOU FOR. OKAY
NOW WE'RE TO IT BACK. TO THE
COMMITTEE AND I WILL SAY THAT
WE- WE WORK VERY HARD AND ALLOW
THIS TO GO TO TODAY WORKED VERY
HARD JUST TO NARROW IT TO THE
CASE OF OXNARD. TO TRY TO STRIP
ANYTHING OUT THAT GAVE ANY OTHER
MUNICIPALITY OR ANY OTHER AGENCY
THE OPPORTUNITY TO BE ABLE TO
USE THIS FINDING- GOING FORWARD
AND THIS IS IT INCREDIBLY TRICKY
. AREA I SERVED ON A CITY
COUNCIL WHERE WE SPENT YEARS IN
COURT SPENT MILLIONS OF DOLLARS
DEFENDING OUR FIREFIGHTERS AND
ENDED UP LOSING AND SURELY THERE
AFTER GOING INTO BANKRUPTCY SO.
I AM I GOT A LOT OF FEELINGS
ABOUT THESE KINDS OF ISSUES. SO
YOU KNOW WHEN I RESET DO YOU
KNOW WHAT KIND OF SHAKY GROUND
YOU'RE TREADING ON CIRCUSES
MESSY MESSY STUFF. WE HAVE NEVER
IT TO THIS ONE CASE AND SO I
WILL BE SUPPORTING IT TODAY
WE'LL SEE IF ANY OF MY OTHER
COLLEAGUES SENATOR ROTH. THANK
YOU MADAM THANK YOU MEASURE- I
TRY TO PAY ATTENTION TO WHEN MY
COUNTY AND ADJACENT COUNTIES
SPEAK- HELLO I'M TRYING TO
FIGURE OUT. WHAT THE ISSUE IS. I
WAS TOLD IT WAS LEGISLATIVE
INTENT. AND IS CONTAINED IN THE
LEGISLATIVE COUNSEL'S DIGEST WE
KNOW THAT'S NOT THE STATUTE.
THAT'S JUST A SUMMARY TO TELL
ALL OF US WHO HAVE TROUBLE
READING LAW WITH THE LAW REALLY
IS. BUT COURTS DON'T PAY ANY
ATTENTION TO THAT UNLESS AND
UNTIL THE STATUTE IS COMPLETELY
UNINTELLIGIBLE AND THEN THEY
MIGHT TURN TO THE- LEGISLATIVE
DIGESTED TRY TO. FIGURE THINGS
OUT SO I'M LOOKING AT MY
LEGISLATIVE DIGEST HERE FOR THIS
BILL. AND THIS ONE IN THE BINDER
IS AMENDED IN ASSEMBLY MAY.
TWENTY SIX TWO THOUSAND TWENTY
THREE. IT LOOKS LIKE ON PAGE
TWO- ASSEMBLY MEMBER THAT THE
INTENT LANGUAGE WAS STRICKEN.
EVERYTHING THAT DEALS WITH. THE
CITY OR FOR DISTRICTS ENTRY INTO
A WRITTEN AGREEMENT WITH THE
COUNTY FOR THE JOINT EXERCISE OF
POWERS REGARDING PRE HOSPITAL
EMS. DOES NOT MAKE THE CITY- FOR
DISTRICT INELIGIBLE TO CONTRACT
WITH THE COUNTY. WHICH IS WHAT.
WE'RE TALKING ABOUT IN THE
OXNARD CASE THAT WAS STRICKEN
FROM THE DIGEST IS THAT YOUR
UNDERSTANDING. THAT IS AND I'M
GOING TO ASK OUR SPONSOR ALSO-
THE MR SHIVERS TO COME FORWARD.
BUT YES I'D I'D WE ARE- SEVERAL
OF US ARE CONFUSED UP HERE AND
WE WILL WE WANT TO BE ON
CONFUSED BEFORE WE CAST OUR
VOTE. CENTER WHAT I MAKE- WHEN
THIS BILL WAS BEFORE THE
ASSEMBLY IT CONTAINED THREE
PROVISIONS THERE ARE. SIXTY ONE
OTHER JOINT EXERCISE A POWER
AGREEMENTS IN THE STATE THAT MAY
OR MAY NOT FIT THE SAME
CHARACTERISTICS OF OXNARD. SO
WHEN THE AUTHOR SET OUT ON THIS
HE THOUGHT WE WERE WELL HIS I
THINK THE EFFORTS COLLECTIVE
EFFORTS WERE TO CLARIFY. WITH
REGARD TO THIS COURT CASE HOW
THE APPLICATION WOULD APPLY FOR
THOSE. OTHER JOINT. EXERCISE OF
POWER AGREEMENTS. OXNARD AND
PROSPECTIVELY I BELIEVE THAT
THIS- PORTION OF THE DIGEST ON
ON PAGE TWO HERE. IS DELETED AND
THEN- RESTATED I GUESS IS
BECAUSE WE TOOK AMENDMENTS TO
FURTHER NARROW I THINK EVEN MORE
SPECIFICALLY TODAY AND COMMITTEE
THERE WILL BE AMENDMENTS TO
FURTHER CHANGE THE FINDINGS.
MAKE IT EVEN MORE CLEAR THAT
SUBDIVISION A IN THE BILL
SECTION TWO OF THE BILL TODAY IS
RELATIVELY REAL. SPECIFIC TO
OXNARD AND SUBDIVISION B. AND
SECTION TWO OF THE BILL TODAY IS
SPECIFIC TO PROSPECTIVE
AGREEMENTS. WITH REGARD TO- CITY
OR FIRE DISTRICT THAT HAS TO A
ONE RIGHTS IF ANY. GOING INTO AN
AGREEMENT WITH THE CATTLE
SUBSECTION SEE. THAT SPEND
STRICKEN. NO NO SIR. SECTION SEE
IS REMAIN I THINK UNDER THE
COMMITTEE AMENDMENT SECTION C.
WILL REMAIN IN THE BILL SECTION
SEE IS SPECIFIC TO THE PROCESS
THAT NEEDS TO BE FOLLOWED BY THE
COUNTY. OF VENTURA NOW IF THE
CITY OF OXNARD EXERCISES THE
RIGHTS. IF YOU'RE REFERRING TO
THE SECTION C. OF AN EIGHT FIVE
B. WHAT WE SHOULD HAVE IS TO
HAVE THE COUNTY REPRESENTATIVE
THAT. SPOKE IN OPPOSITION STEP
FORWARD AND TELL ME EXACTLY
WHERE THE INTENT LANGUAGE IS
THAT THEY'RE REFERRING TO AND
WHAT EXACTLY SAYS SO I CAN MAKE
MY OWN. DRAW MY OWN CONCLUSIONS
OF THE VOTE. BECAUSE I'M
CONFUSED SENATOR BETSY I'M SORRY
ON BEHALF OF THE COUNTY HEALTH
EXECUTIVES ASSOCIATION I THINK
WE'RE COUNTIES ARE OPPOSED TO
THE INTENT LANGUAGE IS WHAT WE
WOULD DESCRIBE AS A DISTORTION
OF THE FINDINGS IN THE CASE OF
THE CITY OF OXNARD VERSES.
CENTER AYE AND THERE HAVE BEEN
PREVIOUS COURT CASES WHERE.
PROPONENTS IN COURT HAVE POINTED
TO INTENT LANGUAGE AND OTHER
LEGISLATIVE BILLS THAT HAVE BEEN
PASSED BY THE LEGISLATURE TO
JUSTIFY THE COURT CASES AGAINST
COUNTIES ON EMS ISSUES SO.
THAT'S WHY WE'RE RESPECTFULLY
ASKING THAT THE INTENT LANGUAGE
BE REMOVED- IN WHICH- IS IT'S
THIS THING SO WHICH WHICH PART
DO YOU WANT REMOVED I DON'T I
DON'T HAVE TO FILL IN FOR ME I
APOLOGIZE SENATORS. THIS IS A
MESSAGE. SORRY TO PUT YOU ON THE
SPOT NO THAT'S FINE. GEN F.
STILL. WITH A WORKING A LOT OF
THIS BILL AND IT'S BEEN A LOT OF
MOVING PARTS- I THINK SECTION DE
SER THAT THE CITY OF OXNARD HAS
CREATED CONFUSION WE DON'T THAT
WE DISAGREE THAT IT'S CREATED
CONFUSION ON THE GPA ISSUE AND
AGAIN WE SAID WE WOULD REMOVE
OUR OPPOSITION IF. THE SOLE
SECTION DEALING WITH THE GPA ON
THE GO FORWARD IS REMOVED. I
THINK WHERE WE DISAGREE IS THAT
THE COURT MADE VERY CLEAR THAT
THE CITY OF OXNARD DOES NOT HAVE
TO A ONE AUTHORITIES. AND SO
ANYTHING THAT ALLOWS FOR THAT
THAT'S WHERE THE COUNTIES WILL
OPPOSE AND WE THINK THAT INTENT
LANGUAGE KIND OF. MUDDIES THE
WATERS AND THAT'S WHY WE'VE BEEN
ASKED BEEN ASKING FOR THE INTENT
LANGUAGE TO BE REMOVED AS WELL.
DOES THAT HELP. I WILL. GLAZER I
THINK THIS. AT ON THE GOING BACK
TO THE DOCTOR BECAUSE THIS WAS I
THOUGHT YOUR COMMITMENT WAS TO
REMOVE THIS INTENT LANGUAGE SO
MAYBE YOU CAN CLARIFY NOW WHAT
YOUR POSITION IS. THIS IS THE IN
THE MOCK UP. OF THE PROPOSED
AMENDING SECTION D. SPEAKING
ABOUT. I COMMITMENT HAS BEEN TO
THE RESIDENTS EXTENSIVE
NEGOTIATION SETS OF
CONVERSATIONS BETWEEN COMMITTEE
STAFF. AND THE SPONSORS OF THE
BILL AND THEY REACHED AGREEMENT
IN TERMS OF WHAT IS THE
APPROPRIATE INTENT LANGUAGE. AND
THAT IS THE INTENT LANGUAGE THAT
I HAVE THAT I'M VERY COMFORTABLE
ACCEPTING. IN TERMS OF TRYING TO
FIND THE EXACT LANGUAGE HERE AS
A REFERENCE TO- BY SENATOR ROSS
. THAT IT'S A LITTLE DIFFICULT
FOR ME TO FIND YOUR AND MY- YOU
KNOW MY PAPERWORK BUT- I AM. I
AM. I THINK LATER THIS LANGUAGE
ATTY RIGHT SENARATNE CRISTINA
THIS LANGUAGE IS THE THAT. OF
THIS IS THE ASSEMBLY KENNELS A
PROBLEM WITH. FIFTY FIVE FOR MAY
MINIATURE SECTION D. APPEARS TO
SIMPLY STATE WHAT THE ISSUE IS
IT GAVE RIGHT TO THE POINT GAVE.
BIRTH TO THE BILL WHICH IS
THERE'S THIS COURT DECISION IT
CREATED CONFUSION AMONG LOCAL
GOVERNMENTS AS TO WHETHER. THEY
CAN TO STAY IN THE WOODS STAY IN
A JOINT POWERS AUTHORITY OR
COULD SEPARATELY CONTRACT.
THAT'S ALL THIS D. SAYS. THE END
OF THE ABANDONED THAT THE
COMMITTEE AMENDMENTS THAT
THEY'VE ACCEPTED. YES THAT'S
WHAT I'M LOOKING AT. SO LISTEN
I'LL I'LL STOP TALKING. AT THE
BUT THE COUNTY FOLKS BELIEVE
THAT THIS IS THIS MISSTATES. THE
FINDINGS IN THE COURT RIGHT AND
THAT'S THE THAT'S THE DISPUTE.
MY IF I UNDERSTANDING THAT
CORRECTLY SEATS YOU SEE THAT
THAT THAT. JUST SAYING THAT
PEOPLE WILL STILL HAVE THEIR
THEIR TO A ONE RIGHT IF. IF THEY
ENTER INTO A JPA NO NOT THAT
PIECE WHAT WE OBJECT TO IS THAT
THE SUBSTANTIALLY DEEMS. NOT WAS
A PREVIOUS ITERATION OF THE BILL
BUT DEEMS OXNARD TO BE A TWO OH
ONE ENTITY WE FUNDAMENTALLY
DISAGREE WITH THAT BASED ON THIS
COURT CASE AND SO WE THINK THE
INTENT LANGUAGE SAYS THAT AN
EFFECT. AND THAT'S WHY WE'RE
ASKING TO THAT BE REMOVED IF IT
WILL CONTINUE TO OPPOSE I
BELIEVE THE PIECE ABOUT OXNARD.
BUT THAT WAS THAT THE INTENT
LANGUAGE TO US IS ALSO WHAT WE
WOULD APART OKAY. AND WE AND WE
DID OUR BEST TO TRY TO JUST. IT
GETS VERY SPECIFIC THIS CASE. IF
I COULD I THINK I MIGHT BE A TO
HELP CLEAR NOW BECAUSE QUITE
FRANKLY IF YOU GUYS WERE LOOKING
AT THE AMENDMENTS THAT WE PASSED
OUT. I PASSED THEM ALL OUT AND I
WAS LOOKING AT THOSE MOMENTS I
NOW UNDERSTAND I THINK CLEARLY
IN TERMS OF THAT. UP WHAT WE
HAVE TRIED TO ESTABLISH IS TO
THE BENEFIT OF. EVERYBODY AND I
DON'T THINK THERE'S ANYBODY THAT
OPPOSES THIS IS THAT. THE COURTS
RULED THAT AKHTAR DOESN'T HAVE A
TO A ONE RIGHT. AND THAT SEEMS
FUNDAMENTALLY UNFAIR. BECAUSE
OXNARD ENTERED INTO THE JPA.
BEFORE THE TO ON REPORT BEFORE
WE HAD THE TOOL ONE RIGHTS. AND
NOW THEY'RE BEING TOLD THEY
CAN'T EXIT OUT OF THE JPA.
BECAUSE THEY- THE TO DO BECAUSE-
OF THE TOOL ONE RIGHTS HAVING
NOT HAD BEEN BEEN IN EXISTENCE.
IT SEEMS FUNDAMENTALLY UNFAIR TO
SAY EVERYBODY THAT ENTERED INTO
A GPA- CAN'T EXERCISE OR TOOL
ONE RIGHTS. BUT EVERYBODY THAT
THERE AGAIN AFTER THAT DAY CAN'T
EXERCISE OR TO A ONE RIGHT. SO
FOR THE CITY OF OXNARD. OF THIS
LEGISLATION IS THE LEGISLATION
THAT IS NECESSARY. FOR THEM TO
BE ABLE TO DO THAT AT THE SAME
TIME. WE'VE HAD BOTH. COUNTY CMS
AGENCIES AND CITY SAYING
PROSPECTIVELY. SOME CITIES ARE
CONSIDERING ENTERING IN TO A
JOINT POWERS AGREEMENT FOR EMS
SERVICES. BUT THOSE CITY SAY WE
DON'T WANT TO ENTER INTO THAT IF
WHEN WE ENTER INTO IT LIKE
OPTION ARE WE'RE GONNA LOSE OUR
RIGHTS TO GET OUT. AND SO
EVERYBODY SAYS THOSE CITIES WE
DON'T WANT THAT TO HAPPEN WE
ACTUALLY WANT CITIES TO JOIN IN
WHEREVER THEY CAN CANCEL THIS
LANGUAGE IS AN ATTEMPT TO TRY TO
SAY CITIES THAT. WANT TO ENTER
IN DO NOT GIVE. UP THEIR TOOL
ONE RIGHTS. A THAT IS HEALTH
BECAUSE THEY WERE LIKELY TO GET
INTO A JOINT POWERS AGREEMENT
AND CAN HAVE COORDINATED
SERVICE. AND THAT OXNARD IT'D BE
FUNDAMENTALLY UNFAIR TO SAY
OXNARD DOESN'T HAVE TO A ONE
RIGHT JUST BECAUSE THEY WERE
PROACTIVE AND DID THE RIGHT
THING BY ENTERING INTO A JOINT
POWERS AGREEMENT- WITH EVERYBODY
TO TRY TO MAKE IT HAPPEN. AND
THEY SHOULDN'T BE TRAPPED
FOREVER WITHOUT KNOWING THEY
WERE GIVING UP THE RIGHT TO EVER
GET OUT AND IMAGINE IF YOU
SIGNED A CONTRACT. THAT DID DID
YOU JOINED INTO AN AGREEMENT
THAT YOU ASSUME AT SOME POINT
TIME THERE'D BE SOME WAY TO EXIT
OUT IN THE COURTS CONSISTENCY
YOU CAN GET TRAPPED FOREVER.
RIGHT NOW THE WAY THE LANGUAGES
THERE TRAPPED FOREVER I CAN'T IF
I COULD JUST INTERRUPT HERE FOR
A FOR A SECOND SLOWER BECAUSE I
THINK I. REALLY DISAGREE WITH
YOU OKAY I MEAN I DISAGREE THAT-
THAT OUR SIDE HAD THE TOOL ONE
WRITES I DON'T DISAGREE THAT
PEOPLE SHOULD BE ABLE TO
SUBCONTRACT. AND LOSER TO A ONE
RIGHTS BUT I THINK OUR
DISAGREEMENT IS WHETHER OXNARD
EVER HAD THEM BECAUSE THEY JUST.
JOINED A GPA. BREAK THE JOURNEY
JPA SO THEY NEVER HAD THE RIGHT
START WITH A JOINT JPA AND NOW
THEY'RE SAYING THEY WANT THEIR
RIGHTS. AND THAT THEN THEY'RE
SAYING THE COURTS GOT THE WRONG
SOURCING OKAY OXNARD YOU HAVE
YOUR RIGHTS. WHAT WE TRY TO SAY
IN HERE. IT'S GOING FOR. ANYBODY
WHO. ALREADY HAS THEIR RIGHTS
AND THEN ENTERS INTO GPA DOES
NOT LOSE ERRORS. SO GOOD. THAT'S
WHAT WE'RE TRYING TO SAY. THAT I
DISAGREE WITH YOU THAT OUR
SERVER HAD THERE'S FINE OKAY
OKAY BUT WE'RE JUST TRYING TO.
DO A VERY NARROW LIKE THAT SO
THAT WAS OUR INTENT. THAT MAKES
SENSOR. SERVERS MESSAGE. YES SIR
AND I'M SURE THAT THE COROLLARY
TO THAT IS IF YOU DIDN'T HAVE
YOUR TO A RIGHT TO ONE WRITES IN
YOUR ANOTHER CITY AND YOU ARE IN
THAT COURT CASE. THIS DOES
NOTHING TO APPLY TO YOU CORRECT
. CORRECT YES SIR. JUST CHAIR- I
LOBBYIST WHO WANT TO TRY TO FIND
A WAY TO BE SUPPORTIVE HERE. AND
I'M SENSITIVE TO THE OXNARD
CIRCUMSTANCE I JUST WOULD HAS
THE AS THE BILL. MOVES FORWARD
THAT THE CLARIFICATION CAN
CONTINUE TO BE. AB AND HAS SAID
THAT. THE COUNTIES LIKE MINE
THAT ARE OPPOSING TODAY. BECAUSE
OF THIS. BROADER INTERPRETATION
FAIR OR UNFAIR THAT WE CONTINUE
TO WORK ON THAT YEAH. YEP FOR
THE MAGIC LANGUAGE. YES AND I
APOLOGIZE FOR PUTTING MEMBERS
AND- IN A SITUATION WHERE WE'RE
DOING THIS YEAR. CEREMONY THANK
YOU ANNA AND I JUST WANT TO
THINK AS A MEMBER BENNETT HE AND
I BOTH REPRESENT OXNARD IN THIS
IS BEEN A DIFFICULT CONVERSATION
AND THIS CONVERSATION DIDN'T
JUST START WITH THIS BILL. I
WANT TO BE CLEAR THAT THERE HAVE
BEEN DISCUSSIONS IN THE DISTRICT
THAT WE MUTUALLY REPRESENT- A
FOR. YOU KNOW SOME TIME TRYING
TO FIND THE ANSWER AND I HAVE
BEEN IN TOUCH YOU KNOW I
REPRESENT MONTEREY COUNTY AS
WELL THEY'RE OPPOSED TO THIS BUT
WE HAVE BEEN IN CONVERSATIONS.
WITH STAKEHOLDERS TO TRY TO
DETERMINE WHAT THE BEST PATHWAY
IS AND WE BOTH COLLECT
COLLECTIVELY THOUGHT. THAT IT
WAS IMPORTANT TO MOVE
LEGISLATION FORWARD TO CLEAR IT
OUT BECAUSE WE REALLY DIDN'T GET
VERY FAR- IT JUST WITH OUR OWN
INTERPRETATION SO I THINK THAT-
YOU KNOW. THE CHAIR SAID THIS IS
REALLY MESSY IT IS COMPLICATED
AND I WILL REITERATE IT'S MESSY
IT'S COMPLICATED BUT THAT THE
EFFORTS TO TRY TO RESOLVE THIS
ISSUE- HAVE EXTENDED FAR BEYOND
THE LEGISLATIVE PROCESS- AND
NOW. HAVE LED TO THE LEGISLATIVE
PROCESS- AND WE HAVE BEEN VERY
COMMITTED I THINK- AND TO
INSURE. THAT WE YOU KNOW THAT
THAT THERE'S AS MANY
PROTECTIONS- A IN PLACE FOR THE
COUNTY AND FOR THE STAKEHOLDERS
LOCALLY THAT ARE OPPOSED. AS
WELL SO I JUST WANTED TO SHARE
THAT WITH- THE GROUP- IT IS A
VERY VERY COMPLICATED DISTRICT
ISSUE BUT- WE REALLY DID FEEL
THAT THIS WAS THE RIGHT. PATHWAY
THANK YOU CENTERS. OKAY SENATOR
GLAZERS THE I'M GONNA SUPPORT
THE BILL THE DAVID RESERVE THE
RIGHT TO EXAMINE IT IS A GETS
THE FLOOR AND ASKED THE CHAIR
TAKE THE CHAIR IN THE MEMBER FOR
THEIR WORK IN THIS AREA. OKAY
VIDEOS. WOULD YOU LIKE TO CLOSE
. THANK YOU VERY MUCH OF
RESPECTFULLY ASTRONOMICAL OKAY
THANK YOU VERY MUCH ALL RIGHT
AND THAT IS A- TO PASS AS
AMENDED AND RE REFER TO THE
COMMITTEE ON GOVERNANCE AND
FINANCE. THERE MOTION. SENATE
ALONG THAT A MOTION. THE MOTION
YEAH. PRESIDENT OBAMA. SECRETARY
PLEASE CALL THE ROLL. SENATORS
EGGMAN HI EGGMAN AYE WHEN.
GLAZER GLAZER AYE GONZALEZ.
GROWTH FURTADO. MON MON HI
MENJIVAR. MENJIVAR AYE ROTH AYE
ROTH AYE RUBIO. RUBIO I WILL HOP
. WIENER WIENER AYE. SEVEN LEAVE
THE ROLE OPEN FOR ABSENT MEMBERS
. GO GET GO GET A MOTION ON THE
CONSENT CALENDAR. SO CENTER BY
MOVE BY SENATOR RON SECRETARY
PLEASE CALL THE ROLL CONCENTRIC
AB FOR TWENTY FIVE AB TWELVE
THIRTY NINE. SENATORS EGGMAN.
EGGMAN AYE WHEN. GLAZERS GLAZER
AYE GONZALEZ. THE GROWTH WILL
FURTADO- ARE TAUGHT- I. LIMÓN
THE MON HI MY ARE VENTURA AYE
ROTH. ROSS HI RUBY HI RUBIO I.
THIS WINTER WINNER. EIGHT OKAY
THAT IS EIGHT AND WE ARE TO OUR
LAST TO BE OR ENCOURAGE HEALTH
CARE COMMITTEE MEMBERS TO COME
ON DOWN. THANK YOU VERY MUCH US
ASSEMBLY MURATSUCHI. THANK YOU
VERY MUCH I MR BENNETT TOLD ME
THAT THAT WAS A SIMPLE BILL AND-
AND SO. YEAH BUT I HAVE A SIMPLE
BE A BILL HERE WHICH IS ASSEMBLY
BILL EIGHT NINETY NINE- BECAUSE
YOU KNOW WHO DOESN'T LOVE BABIES
WE ALL LOVE BABIES AND WE WANT
TO MAKE SURE THAT WE PROTECT
THEM ESPECIALLY FROM TOXIC HEAVY
METAL TO BROAD STATEMENTS ARE.
THIS BILL IS A TRANSPARENCY BILL
THAT WILL PUT THAT WILL HELP
PROTECT BABIES FROM INGESTING
HEAVY TOXIC METALS. V. HOUSE
OVERSIGHT. SUBCOMMITTEE ON
ECONOMIC AND CONSUMER POLICY
ISSUED A REPORT MADE CONDUCTIVE
HEARING ISSUED A REPORT IN
TWENTY TWENTY ONE FOUR THEY
FOUND. THAT COMMERCIAL BABY
FOODS ARE TAINTED WITH
SIGNIFICANT LEVELS OF TOXIC
HEAVY METALS INCLUDING ARSENIC
LEAD CADMIUM AND MERCURY.
EXPOSURE TO TOXIC HEAVY METALS
CAUSES PERMANENT DECREASES AND
I. Q. DIMINISHED FUTURE ECONOMIC
PRODUCTIVITY AND INCREASED RISK
OF FUTURE CRIMINAL AND
ANTISOCIAL BEHAVIOUR IN
CHILDREN. TOXIC HEAVY METALS
ENDANGER INFANT NEUROLOGICAL
DEVELOPMENT AND LONG TERM BRAIN
FUNCTION. THIS BILL SEEKS TO ACT
ON THE RECOMMENDATIONS OF THE
CONGRESSIONAL SUBCOMMITTEE AGAIN
TO REQUIRE. DISCLOSURE IS NOT
TRYING TO BAN ANY PRODUCTS THIS
IS TRYING TO HARM CONSUMERS WITH
GIVING INFORMATION ON WHAT TOXIC
HEAVY METALS ARE CONTAINED IN
INFANT FORMULA AND BABY FOOD
HERE TO TESTIFY IN SUPPORT OF
THIS BILL IS SUSAN LITTLE WITH
ENVIRONMENTAL WORKING GROUP. AS
WELL AS PRICE DOUGHERTY WITH THE
AMERICAN ACADEMY OF PEDIATRICS.
THANK YOU. PLEASE GO AHEAD YES
HELLO GOOD AFTERNOON SUSAN
LITTLE WITH THE ENVIRONMENTAL
WORKING GROUP AND FIRST I'D JUST
LIKE TO THANK ASSEMBLY MEMBER
MARTUCCI FOR AUTHORING A BEEF
EIGHT NINETY NINE WHICH WILL
INFORM PARENTS ABOUT THE HEAVY
METALS LURKING IN THE FOOD THEY
FEED THEIR INFANTS. TO DATE THIS
INFORMATION HAS LARGELY BEEN A
MYSTERY THE PRESENCE OF HIGH
LEVELS OF LEAD MERCURY ARSENIC
AND CADMIUM AND BABY FOOD HAS
ONLY BEEN BROUGHT TO LIGHT AS A
RESULT OF THIRD PARTY TESTING OR
ACTS OF CONGRESS. THESE
DISCLOSURES HAVE DEMONSTRATED
THAT ALARMINGLY HIGH LEVELS OF
TOXIC METALS ARE PRESENT. AS
ASSEMBLY MEMBER MURATSUCHI
MENTIONED SAID A CONGRESSIONAL
SUBCOMMITTEE RECENTLY ANALYZED
FOR BABY FOOD BRANDS STOCK
DOCUMENTS AND FOUND THAT ALL
FOUR BRANDS PRODUCTS WERE
TAINTED WITH HEAVY METALS. THE
SUBCOMMITTEE FOUND THAT PRODUCTS
CONTAIN FOR EXAMPLE A HUNDRED
AND SEVENTY SEVEN TIMES THE
ALLOWABLE LEVEL OF LEAD NINETY
ONE TIMES THE ALLOWABLE LEVEL OF
ARSENIC. THAT THE FDA HAS SET
FOR DRINKING WATER. THREE OTHER
COMPANIES REFUSED TO COOPERATE
WITH THE INVESTIGATION AND THE
SUB COMMITTEE WROTE THAT IT HAD
GRAVE CONCERNS THAT THESE
COMPANIES REFUSALS. MIGHT HIDE
EVEN HIGHER LEVELS OF TOXIC
CHEMICALS IN THEIR PRODUCTS THEN
THEY'RE MORE COOPERATIVE
COMPETITORS DOCUMENTS DISCLOSED
. THE PRESENCE OF TOXIC METALS
AND BABY FUTURE CAUSES ALARM
BECAUSE THE AND JUSTIN OF
COURSE. OF EVEN LOW LEVELS OF
THESE METALS MANY OF WHICH BUILD
UP OVER TIME CAN CAUSE INFANTS
AND TODDLERS GREAT HEALTH
EFFECTS. BABY FOOD MANUFACTURER
SHOULD COMPREHENSIVELY. TESTER
PRODUCTS FOR THESE TOXINS AND
TRANSPARENTLY DISCLOSE THE
RESULTS TO CONSUMERS. AMAZINGLY
SUCH PROTECTIONS AREN'T
CURRENTLY REQUIRED. AB EIGHT
NINETY NINE WILL CLOSE THIS GAP
AND GIVE CALIFORNIANS
INFORMATION THEY NEED TO PROTECT
THEIR INFANTS FROM TOXIC METALS
THAT CAN AFFECT DEVELOPMENT HARM
LIFE AYE OUTCOMES. WE URGE YOUR
SUPPORT FOR THIS BILL THANK YOU.
THANK YOU VERY MUCH MR DOUGHERTY
. VENTURE MEMBERS PRESS
DOUGHERTY ON BEHALF OF THE
AMERICAN ACADEMY OF PEDIATRICS
CALIFORNIA. RESEARCH HAS
REPEATEDLY FOUND THAT HEAVY
METALS ARE DETRIMENTAL TO
COGNITIVE DEVELOPMENT EXPOSURE
TO HEAVY METALS AT AN EARLY AGE
HAS BEEN LINKED TO LOWER I CUES
BEHAVIORAL PROBLEMS.
CARDIOVASCULAR ISSUES AND
ATTENTION DEFICIT HYPERACTIVITY
DISORDER THEREFORE THE AP
CALIFORNIA STRONG SUPPORT THANK
YOU VERY MUCH THANK YOU VERY
MUCH OF THE SPRING TO SPEAK IN
SUPPORT NOW JUST NAME AND-
AFFILIATION. DAVID BULLDOG IN
SUPPORT THANK YOU DAVE. ALL
RIGHT NOW GO TO OPPOSITION. GOOD
AFTERNOON DENNIS I'LL BE ON A
WITH A CONSUMER BRAND
ASSOCIATION FORTUNE WE HAVE TO
SAY WE ARE POSED TODAY AND CAN
WE REPRESENT MANUFACTURERS OF
BABY FOOD ANOTHER WONDERFUL
PRODUCTS AS WELL ONE OF THE
CHALLENGES IN THE BIGGEST
CHALLENGE THIS IS WHEN YOU HAVE
A SINGLE STATE LABELING
REQUIREMENT. AND SIXTY
REQUIREMENTS ALL AROUND IT IT IT
IS BROWN'S HAVOC ON DISTRIBUTION
SYSTEM- YOU KNOW WE WERE SERVING
YOU KNOW STATEWIDE AND
NATIONWIDE. MARMOTS THIS HAS
UNIQUE REQUIREMENT FOR STATE AND
TRYING TO MEET THAT. BECOMES A
CONSIDERABLE CHALLENGE THERE'S
LIABILITY GOES ALONG WITHOUT
WHAT IF A PRODUCT IT'S
MISLABELED TO TEN ALL THESE
REQUIREMENTS TO COME ON A NOT SO
THE BIGGEST CHALLENGE WE SEE
WITH THIS BILL SO AT THIS POINT
WE'RE OPPOSED AND APPRECIATE
YOUR TIME THANK YOU THANK YOU
VERY MUCH DENNIS OTHER SPEAKING
IN OPPOSITION TODAY. GOOD
AFTERNOON THAT CHAIR AND MEMBERS
LARISSA SAYS STUDENTS HERE AND I
LOVE BABIES TO. AS A MOTHER OF A
ONE YEAR OLD AND A THREE YEAR
OLD I'M VERY INTIMATELY THAT.
HAVE A VERY INTIMATE KNOWLEDGE
IN BABY FOOD AND INFANT FORMULA
AND I'M HERE REPRESENTING THE
INFANT NUTRITION COUNCIL
AMERICA. WHO UNFORTUNATELY HAS
AN OPPOSE UNLESS AMENDED
POSITION. WE SHARE THE GOAL OF
ASSEMBLY MEMBER OF YOUR SU CHI
IN KEEPING AT THE FOOD AND
FORMULA THAT WE FEED OUR BABIES
SAFE- BUT OUR CONCERNS ARE
PRIMARILY AROUND THE OBLIGATIONS
WITH REGARDS TO TEST TEAM-
THEY'LL- UNIQUE LABEL. THAT WE
HAVE WE WOULD HAVE FOR
CALIFORNIA AS WELL AS THE
POSTING ON THE WEBSITE- I WANT
TO POINT OUT THE MAJOR
DISTINCTION TO CARE BETWEEN
INFANT FORMULA AND BABY FOOD-
AND AS YOU HEARD ABOUT THIS
HOUSE SUBCOMMITTEE REPORT THAT
FOCUS WAS PURELY ON. FOOD NOT
INFANT FORMULA WHERE WE HAVE TO
DO. A COMPLY WITH VERY RIGOROUS
STANDARDS SET NOT ONLY BY THE
FDA. BUT INTERNATIONAL BODIES
LIKE KODAK'S IN THE EUROPEAN
UNION. FOR THOSE REASONS WE HAVE
INITIALLY ASKED THEM FOR AN
EXEMPTION FOR BABY FORMULA FROM
THIS- BILL WE ARE ALSO CONCERNED
ABOUT YOU KNOW WHAT IS THE VALUE
OF THE INFORMATION THAT WOULD BE
PROVIDED. WITHOUT ACTUALLY
HAVING AN FDA STANDARD ON THE
LEVEL OF HEAVY METALS AS YOU
KNOW WE'VE SEEN RECENTLY A
PROLIFERATION OF MISINFORMATION
OF SCIENTIFIC YOU KNOW FEARS
ABOUT SCIENTIFIC- STUDIES PUT
PUT ONLINE AND WE'RE CONCERNED
ABOUT. YOU KNOW AS A CONSUMER
WHAT ARE THE OPTIONS THAT WOULD
BE AVAILABLE- WHEN YOU CANNOT
PROVIDE BREAST MILK OR INFANT
FORMULA AND THE POTENTIAL
DOWNSIDE WITH THIS BILL AND WE
THINK IT'S VERY CONCERNING
WITHOUT PROVIDING YOU KNOW A LOT
OF VALUE FOR THE CUSTOMER WHEN
IT COMES TO INFANT FORMULA. SO
YOU KNOW WE'RE HAPPY TO CONTINUE
TO HAVE CONVERSATIONS I THINK WE
WOULD EXPLORE POTENTIALLY- I
KNOW BUT YOU KNOW SO. THE
DISCUSSION WITH REGARDS TO
HAVING SOME KIND OF FTA STANDARD
THAT WOULD THAT WE WOULD POST
ONLINE RATHER THAN HAVING A
PRODUCT- LABEL WHEN FTA DOES SET
AS A HEAVY METAL STANDARD- BUT
AT THIS POINT- UNFORTUNATELY WE
ARE OPPOSED. OKAY THANK YOU
THANK YOU WE DO HAVE A TECHNICAL
AMENDMENT THAT IS IF THE FDA
HAS. ESTABLISHED GUIDANCE OR
ACTION. OKAY THAT WILL GO. IF
ANYBODY ELSE IS GOING TO SAY
THEY'RE AGAINST IT. OKAY NO NO
OVER THE PHONE LINES ANYBODY ON
THE PHONE LINES MODERATOR.
NINETY THREE GENTLEMEN IF YOU
WISH TO SHOW SUPPORT OR
OPPOSITION OF EIGHTY EIGHT
NINETY NINE PRESS ONE THEN ZERO
NOW AGAIN WINDS AND ZERO. AND
THERE'S NO ONE IN THE QUEUE AT
THE MOMENT. THANK YOU THIS TIME
WILL BRING IT BACK. TO THE
COMMITTEE AND I WILL SAY I HEARD
. A FEW PEOPLE THAT- FORMULA
SHOULDN'T BE AN BECAUSE IT MUST
HAVE HEAVY METALS IN IT AND I.
AND I'M- YOU KNOW AND NOT TO
SCARE PARENTS WERE HEARD THAT
BUT I DO WE DID A LOT OF
OUTREACH TO. VARIOUS MARK MOTHER
GROUPS TO TRY TO SEE IF THAT WAS
SOMETHING OR JUST COMING FROM
MANUFACTURERS. AND WE DIDN'T
HAVE ANYBODY ELSE SPEAKING. IT
WITH IN THAT WAY SO- THAT'S WHAT
GOT US TO WHERE WE ARE TODAY
ANYBODY ELSE GOING TO SENATOR
ROTH. THANK YOU MANAGER AND UP I
JUST WANNA MAKE SURE I
UNDERSTAND. IS THERE- AN ACTION
LEVEL REGULATORY LIMIT OR
TOLERANCE ESTABLISHED BY THE
FEDERAL FTA. BECAUSE AS I READ
THE AMENDMENTS ISN'T THAT WHAT
TRIGGERS THE REQUIREMENT. SO
FIRST OF ALL I FORGOT TO. THE
STATE FOR THE RECORD THAT I
ACCEPTED THE COMMITTEE
AMENDMENTS- WITH THE COMMITTEE
MEN MEN'S THE LABELING
REQUIREMENT IS ONLY TRIGGERED
WHEN THE FTA ACTUALLY ADOPTS AN
ACTION. LEVEL CURRENTLY THE ONLY
ACTION LEVEL THAT THE FDA HAS.
FOR BABY FOOD IS FOR LEAD IN
BABY FOOD SO THAT'S THE ONLY ONE
THAT CURRENTLY- WOULD REQUIRE A
LABEL. FOR EVERYTHING ELSE WE
JUST WANT TO PROVIDE INFORMATION
TO CONSUMERS SO YOU KNOW EVEN
EVEN THOUGH THE FDA HASN'T TAKEN
ACTION YET IN TERMS OF- DEFINING
WHAT WHAT IS SAFE AND WHAT IS
NOT. YOU KNOW THEY WOULD BE ABLE
TO GO ON THE WEBSITE AND CHECK
TO SEE LIKE WHAT PRODUCTS HAVE
MORE- HEAVY METALS THAN OTHERS
AND- YOU KNOW WILD- THE
MANUFACTURERS. YOU KNOW RAISE
CONCERNS ABOUT CONFUSION I THINK
CONSUMERS WE'RE JUST TRYING TO
GIVE THEM MORE INFORMATION AND
LET THEM DECIDE. YOU KNOW I
GUESS IT WAS ME I WOULD BE
CHOOSING PRODUCTS THAT HAVE
LESS. HEAVY METALS IN THE
PRODUCT AND- AND THAT WOULD
INCENTIVIZE MANUFACTURERS TO BE
MORE CAREFUL TO. ENSURE THAT-
THAT THEY'RE TESTING AND GETTING
GOT HEAVY METALS OUT OF THE
PRODUCTS AND TO YOU KNOW THIS TO
BE AN EXAMPLE FOR CALIFORNIA.
YOU KNOW WOULD LEAD THE COUNTRY
AND HOPEFULLY PUT PRESSURE ON
THE FTA YOU KNOW CONGRESS HAS
RECOGNIZED THAT THIS IS A- A
CRITICAL ISSUE AFFECTING. YOU
KNOW OUR OUR MOST VULNERABLE
BABIES- ADDRESSING THE ISSUE OF
TOXIC HEAVY METALS AND THIS BILL
AGAIN IT DOESN'T SEEK TO BAN
ANYTHING THEY JUST WANT TO SHINE
A SPOTLIGHT. GIVE CONSUMERS
INFORMATION ON WHAT YOU KNOW
PRODUCTS CONTAIN THESE TOXIC
HEAVY METALS THAT THE FOR
IDENTIFIED IN PROPOSED IN THIS
BILL WILL IN THE ABSENCE OF AN
ACTION LEVEL THAT THE FDA
ESTABLISHES AND I HEAR YOU LET
IS APPARENTLY ALREADY THERE SO
THAT SHOULD BE. APPLICABLE
ACROSS THE FIFTY STATES AND-
THIRD THIRD IN THE COMMON RIGHT
THAT LED THERE'S NO THERE'S NO
STATE- THIS BILL WOULD BE THE
FIRST- AND I'M LOOKING THIS IS A
LOT OF THE CONFIRM. CONFIRM THAT
THIS THAT THIS WOULD BE THE
FIRST IN THE COUNTRY TO REQUIRE
LATER WHAT IF THE FDA SAYS
THERE'S A CERTAIN ACTION LEVEL
FOR LEAD AND FOOD PRODUCTS IN
THAT EXISTS AROUND THE COUNTRY.
THAT IS CORRECT SO ABSENT SOME
FURTHER. ACTION BY THE FDA TO
ESTABLISH A- TOLERANCE OR
REGULATORY LIMIT OR AN ACTION
LEVEL. WHAT EXACT AND SO YOU
WHAT DO YOU WHAT DO YOU WHAT DO
YOU HAVE TO DO TODAY WITH
RESPECT TO BABY FOOD FOR EXAMPLE
. SO AGAIN THE FDA DOESN'T HAVE
GUIDELINES ON WHAT IS SAFE AND
WHAT IS NOT. AS AS OF THIS DATE
. WHAT WOULD IT DO TODAY IN THE
ABSENCE OF ANY OTHER ACTION IT
WOULD IT WOULD- PROVIDE THE DATA
ON WHICH- PRODUCTS. CONTAIN WHAT
LEVELS OF TOXIC HEAVY METALS BY
AND LET THE CONSUMER DECIDE
ALLIES. SO THEY'RE GOING TO HAVE
TO TESTED FOR EVERY. FOR THE FOR
THAT YOU HAVE IN YOUR BILL
THAT'S CORRECT AND- IT'S FOR
THE- THE- REPRESENT A SAMPLE OF
THE FINAL PRODUCT. AND THAT'S
GOING TO BE ON A LABEL BUT THE
CONSUMERS NOT GONNA KNOW WHETHER
THAT'S A PROBLEM OR NOT. SO LIKE
A MULTI VITAMIN WHERE YOU LOOK
AT THE BACK CAN YOU SEE. WHAT'S
IN THE MULTI VITAMIN IT AND YOU
DON'T KNOW WHETHER. ONE HUNDRED
MILLIGRAMS IS GOOD OR BAD OR
FIVE HUNDRED IS GOOD YOU JUST
KNOW THAT YOU GOT ALL THE JUNK
IN THE BILL THE STOCK'S BEEN A
LABEL. AGAIN THE ONLY LABEL
THAT'S COULD BE REQUIRED AS FOR
LEAD IN BABY FOOD BECAUSE THAT'S
THE ONLY STANDARD THAT THE FDA
HAS OF. THE STYLISH FOR
EVERYTHING ELSE IT'LL IT'LL BE-
DATA PROBE REQUIRED TO BE POSTED
ON THE MANUFACTURER'S WEBSITE-
TO IT'S NOT CHANGING IN LABELING
IT'S JUST TESTING THE PRODUCTS I
GOT AND THEN PROVIDING. THE
DATABASE ON THE MANUFACTURER'S
WEBSITE. PATIENTS THANK YOU FOR
HOW MUCH HEAVY METAL IS IN THAT
ONE THANK YOU MA'AM SURE.
SENATOR RUBIO. THANK YOU. GOOD
AFTERNOON- I THERE IT IS A
LITTLE BIT CONFUSING AT FIRST I
THOUGHT IT WAS WE WERE LABELING.
THE ACTUAL PRODUCT BUT I WANT IF
I CAN BRING- LARISSA SOPHIST TO
ANSWER ONE QUESTION YOU SAID
SOMETHING. I THINK YOU SAID THAT
ANOTHER AT THAT TO. OTHER STATES
OR OTHER COUNTRIES THAT THERE'S
A SEPARATION BETWEEN. BABY
FORMULA AND- AND FOOD CAN YOU
JUST REITERATE THAT THAT POINT
YOU'RE SAYING THAT THIRD THEY'RE
TREATED DIFFERENTLY RIGHT SO
EVEN UNDER CURRENT FDA STANDARDS
INFANT FORMULA IS TREATED
DIFFERENTLY THAN BABY FOOD WE
HAVE MORE RIGOROUS TESTING
STANDARDS. THERE'S THERE ARE
ACTUALLY HEAVY METAL LEVELS-
STANDARDS THAT ARE SET IN THE
EUROPEAN UNION TODAY AND CODECS
THAT WE HAVE TO MEET BECAUSE-
OUR SUPPLIERS ARE SUPPLYING
THEIR- PRODUCTS INTERNATIONALLY.
I THINK OUR CONCERN AND- WE JUST
SAW I THINK THE AMENDMENTS THAT
ARE BEING REFERENCING COMMITTEE
WHEAT SO WE DO WANT TO TAKE THEM
INTO CONSIDERATION. BUT I'M I'M
NOT SO SURE THAT THAT TRIGGER OF
THE FDA. ONCE THE FDA SETS A
STANDARD AS ACTUALLY WHAT'S
REFLECTED IN THE LANGUAGE AND
THAT WE WOULD STILL BE REQUIRED
TO DO UNIQUE BATCH TESTING IN
CALIFORNIA FOR CAP PRODUCTS SOLD
IN CALIFORNIA. AND UNIQUE
LABELING AND UNIQUE- ED
DISCLOSURES ONLINE YOU WE ARE
JUST CONCERNED ABOUT WHY ANY FOR
THIS BATCH TESTING REQUIREMENT
THIS CURRENTLY IN THE BILL IS
ALMOST IMPOSSIBLE FOR
MANUFACTURERS TO COMPLY WITH.
AND WE'RE NOT SURE THAT THERE'S
ACTUAL ADDED VALUE OF PUTTING
SAFER PRODUCTS FOR THE COST FOR
THE POTENTIAL TIME ADDITIONAL
TIME THAT IT'S GOING TO TAKE-
AND SO WE STILL WERE MAIN
CONCERN BUT YOU KNOW I THINK
WE'VE YOU'VE HEARD OUR OUR OUR
POSITION WHICH IS. ONCE THE FDA
SAID THE GUIDANCE CENTS GUIDANCE
THEN WHY DON'T WHY DOESN'T
CALIFORNIA FOLLOW THAT AND-
FRANKLY I'M I'M NOT SO SURE THAT
THE BILL IS WARRANTED BEFORE FTA
SETS GUIDANCE- BUT YOU KNOW
THAT'S FOR YOU ALL TO DECIDE.
THANK YOU FOR THAT SO I HAVE A
QUESTION STILL. IS THE FTA
WORKING ON SOMETHING ALREADY ARE
WE WAITING FOR THE FTA OR IS
SOMETHING THAT. BUT IT'S BEEN
SETTLED BY THE FTA HERE TRYING
TO GET AHEAD OF IT CURRENTLY WE
ARE WAITING FOR THINGS FOR THE
EMPTY FOR DECADES. YES I KNOW
FROM- YOU KNOW SOME- OTHER.
PRODUCTS THAT- I'VE WORKED ON.
INCLUDING THE BANNING OF- TOXIC-
CHEMICALS. HERE IN CITY
CALIFORNIA I KNOW THAT WE OFTEN
HAVE TO. LEADS AND FTA FOLLOWS-
HI I DON'T KNOW IF THE
ENVIRONMENT WORKING GROUP CAN
COME YOU KNOW COMMENT ON WHETHER
THE- THE FTA CURRENTLY IS
WORKING CON- THIS ISSUE OR NOT.
HELLO. SO AS YOU KNOW WITH THE-
WITH THE INFANT FORMULA CRISIS
THAT HAPPENED- THE FDA IS IN THE
PROCESS COMPLETELY REORGANIZING
ITSELF ALL OF ITS TOP PERSONNEL
HAVE LEFT. IN HOUSE THEY'RE
BRINGING PEOPLE BACK AND THEY'RE
TRYING TO TAKE CARE OF THAT WE
DON'T HAVE A LOT OF HOPE THAT
THINGS WILL MOVE VERY QUICKLY
BECAUSE THAT'S OF COURSE AS YOU
SAID AS WE EXPLAINED WITH OUR
LAST BILL THAT YOU SAW. ON THE
F. DATE THE- AT. THE FOOD SAFETY
SAFETY PROGRAM AT THE FTA IS
VERY- IT'S HAVING A HARD TIME
AND NOW WITH THIS-
REORGANIZATION THEY'RE DOING.
VICIOUS WE DON'T HOLD OUR BREATH
SO MAYBE SOMETHING WILL COME
THROUGH THEY ARE WORKING ON IT
BUT MAYBE SOMETHING COME THROUGH
IN A FEW YEARS- BUT THIS IS AN
OPPORTUNITY FOR US TO MOVE
FORWARD WITH AT LEAST SOME
INITIAL TESTING. AND AND
CERTAINLY DISCLOSURE FOR
CONSUMERS AND THAT'S WHAT WE'RE
IN SUPPORT. JUST ONE LAST THING
WHAT I JUST WANNA. REITERATE
WITH MY COLLEAGUES NEXT TO ME IS
JUST SAID FROM RIVERSIDE IN
TERMS OF. I MEAN I KNOW THEY
WERE TRYING TO DO BETTER BY
CONSUMERS BY APPROVED BY LISTING
THIS BUT IT HAS CONCERNED ME
THAT SOMETIMES LIKE. LABELING
THE INFORMATION IS OVERWHELMING
THAT IT DOESN'T REALLY- TACKLED
THE INTENT WHICH IS YOU KNOW
MAKING SURE THAT WE HAVE THE
INFORMATION AS CONSUMERS- I'M
JUST YOU KNOW I GUESS I WANT TO
BE SUPPORTIVE AND I JUST WANT TO
SEE WE CAN. MAKE SURE THAT
REALLY MEETS THE MARKER WHICH
MEANS MAKING SURE THAT PARENTS
KNOW WHAT THEIR CHILDREN ARE
GETTING ENOUGH. PERHAPS
SIMPLIFIED WAY THAT YOU KNOW
THAT TIME AND I KNOW WE'RE
ASKING THEM TO ONE WEBSITE TO
LOOK. AT DIFFERENT THINGS I
ALWAYS THINK OUR SECOND
LANGUAGE. LEARNERS SPANISH
SPEAKERS LIKE WHAT DOES THIS ALL
MEAN TO THEMSELVES. JUST
THINKING OF HOW WE- SIMPLIFYING
AWAY BUT UP GET THE INFORMATION
THAT THEY REALLY NEED INSTEAD OF
LIKE THAT SCIENTIFIC. IF YOU
WILL SO I'LL JUST LEAVE IT AT
THAT THANK YOU THANK YOU SENATOR
ROSTERS ONE QUICK FOLLOW BEFORE
MY COLLEAGUE NEXT TO ME. MMHM
HIS QUESTION. MY EXPERIENCE IN.
BACK IN THE DAY WHEN I USED TO
BE A LAWYER TO REPRESENT FOOD
MANUFACTURERS AND FROZEN FOOD
MANUFACTURERS IN THE LIKE IN.
FOOD OBVIOUSLY IS TESTED AND-
USPTA INSTRUCTORS FOR THEIR
TWENTY FOUR SEVEN AND THE
INSPECTED. SINCE THESE TOXIC
HEAVY METALS ARE IN THE
ENVIRONMENT THAT ARE IN THE FOOD
IN THE VEGETABLES AND ALL THAT.
CRAP HOW WOULD YOU TEST AND
DON'T YOU HAVE TO TEST BY BATCH
AND IF YOU'RE TESTING IS BY
BATCH. HOW DO YOU POSTED ON A
WEBSITE BECAUSE YOUR
MANUFACTURING PROCESS. MUST HAVE
HUNDREDS AND HUNDREDS OF
BATCHES. OF BABY FOOD PRODUCT OF
FORMULA THAT'S PUT ON PALLETS
AND SHIPPED AROUND THE COUNTRY
SO. DO I LOOK UP TO BATCH ONE
EIGHTY TWO TO FIND OUT THAT.
IT'S YOU KNOW 2% LESS THAN 5%
ARSENIC IN. BETTER NOT FITTED TO
MY BABY OR WHAT HOW DOES THAT
WORK YES SO- YOU KNOW WE- WANTED
TO THE MANUFACTURE- WE WANT TO
DEFER THE MANUFACTURERS IN TERMS
OF. HOW TO- IDENTIFY THE BATCH
IS BEING TESTED BUT NUMBER ONE I
WANT TO EMPHASIZE THAT THIS WAS
THE RECOMMENDATION OF THE- OF
THE CORRECT CONGRESSIONAL
SUBCOMMITTEE THAT THAT-
INVESTIGATED THIS ISSUE THAT.
THAT FINAL BATCH TESTING BE
CONDUCTED- AND YOU KNOW. WHAT I
MEAN I CAN I CAN- OFFER
POTENTIAL OPTIONS LIKE- HAVING
BAR CODES YOU KNOW FOR FOUR
DIFFERENT BATCHES I MEAN THE
BILL CALLS FOR A REPRESENTATIVE.
OF REPRESENT OF SAMPLES OF THE
FINAL PRODUCT. TO BE TESTED. I
THINK OVERALL YOU KNOW. SECOND
TO TWO THINGS ONE IS TO TRY TO
SHINE A LIGHT ON THE AMOUNTS OF
THE TOXIC HEAVY METALS AND
PRODUCTS SO THAT- IT WOULD
INCENTIVIZE THE MANUFACTURERS.
TO DO EVERYTHING POSSIBLE TO
REDUCE THE RISK OF EXPOSURE TO-
BABIES- AND NUMBER TWO IS TO
SHINE A SPOTLIGHT ON THIS ISSUE
THAT- YOU KNOW IT HAS ALREADY.
BEEN IDENTIFIED TO- THAT AS AS A
COMPELLING ISSUE A BY- TODD THIS
CONGRESSIONAL SUB COMMITTEE. SO
THAT THE AT WE CAN HOPEFULLY
SPUR THE FTA TO PROVIDE SOME
GUIDANCE TO OUR COMMUNITIES BUT
IN THE MEANTIME AGAIN YOU KNOW
WHAT I MEAN WE COULD HAVE WE ARE
TALKING ABOUT WHAT WE SHOULD WE
SHOULD WE TRY TO ALIGN. BABY
FOOD AND INFANT FORMULA WITH THE
E. U. SANDERS AND BANNING OF
PRODUCTS THAT DIDN'T MEET THE E.
U. SANDERS NO REALLY WE CHOSE
NOT TO THE- WE CHOSE TO- PROVIDE
THIS THIS- YOU KNOW. A SIMPLE
TRANSPARENCY MEASURE BUT TO GIVE
CONSUMERS INFORMATION SO THAT IT
WOULD SPUR MANUFACTURERS TO
PRODUCE TO MANUFACTURE SAFER
PRODUCTS AND TO HOPEFULLY TO
SPUR- THE FDA TO ACT. BUT
SENATOR GLAZERS THEN MENJIVAR
GENMAB. THANK YOU ASSEMBLY
MEMBER I KNOW YOUR HEARTS IN THE
RIGHT PLACE HERE. AND WE'RE
TRYING TO WORK OUR WAY THROUGH
THIS IT MAKE SURE WE UNDERSTAND
IT BUT I DON'T HAVE A PROBLEM
WITH THE A AND B. ONE A AND B.
IN THE ANALYSIS THAT SAYS THAT
THEY HAVE TO TEST. EVEN THE
CENTER OFFICE REYES SOME ISSUES
ABOUT HOW THEY DO THAT BUT AND
THEY HAVE DISCLOSED ON THE
WEBSITE SO FOR ME OKAY THAT'S
NOT A BURDEN THAT'S NOT
CONFUSION IT'S REALLY AN C. ND
THAT I STARTED. TO GET FEEL LIKE
I'M GOING DOWN A RABBIT HOLE
BECAUSE C. IS SAYING THAT- YOU
HAVE TO PREPARE ON THE LABEL NOW
BECAUSE THIS IS WHERE IT'S YOU
HAVE TO PUT IT ON THE LABEL-
THAT THAT THE FDA SAYS SET A
STANDARD. RIGHT MMHM AND SO ON
THAT ONE IT'S LIKE OKAY WELL IF
THEY SET A STANDARD THEY COULD
IT COULD BE IN THE MARKET PLACE
UNLESS THIS WAS BELOW THE
STANDARD RIGHT. OTHERWISE IT
WOULDN'T BE IN THE MARKET PLACE
SO YOU WOULDN'T HAVE A LABEL ON
SOMETHING THAT. IS EXCEEDS THE
STANDARD. HI MY LEAVE THE FTA
DOES NOT. PROHIBIT. THE- THE-
PRODUCT BUT IT- IDENTIFIES SAID
IT WOULD ADD THE LABEL WOULD I
IDENTIFIED AS EXCEEDING THE-
LEVEL OF THAT- THAT PFT ED ISSUE
THE AND IT IS HARD FOR ME TO
BELIEVE. THAT A MANUFACTURER
WOULD. PUT A PRODUCT OUT THIS
SAYS THIS EXCEEDS THE- HEALTHY
LEAD LEVELS- IN BABY FOOD AT THE
ART FOR ME TO BELIEVE OKAY BUT
WE WENT KNOW THAT UNLESS THE BED
THE BATCHES WERE WERE BEING
TESTED. RIGHT THAT'S AT A AND B.
SO I GET A AND B. BUT- YOU'RE
YOU'RE SAYING THAT AFTER THE FDA
IS A TERMINAL LEVEL THAT. IS
HARMFUL THAT THIS THEY'RE GONNA
PUT A LABEL IT SAYS OUR PRODUCT
IS HARMFUL. BECAUSE IT EXCEEDS
THE LEVEL THAT THE FDA SAID THAT
SEEMS WHAT YOU'RE SAYING AND SEE
HERE. RIGHT YOU KNOW I MEAN IF
THE IF THE MANUFACTURER IS DOING
THE RIGHT THING THEN THE I THINK
YOU'RE RIGHT I MEAN THEY SHOULD
BE SELLING THOSE PRODUCTS IF
AND- IF THE RIGHT TITLE SHOWS OF
THE LIKELY THING IS THAT THAT
THAT PRODUCT THAT'S ON THE
MARKET IS BELOW. WHAT THE FDA IS
DETERMINED IS NOT AS HARMFUL.
BELOW IT AND THEN YOU GET TO D.
RIGHT. AND YOUR AND NOW THIS IS
ON THE LABEL YOU HAVE TO SAY.
THAT IT MEETS THE FDA GUIDES HI
SO IT'S BELOW WHAT THEY SAY IS
UNHEALTHY AND IT MEETS. THAT'S
WHAT IT'S SAYING HERE AS WHAT
YOUR BILL REQUIRES SO ON BOTH OF
THOSE POINTS I'M KINDA LEFT WITH
WILL. IT'S NOW MEETING ALL THE
REQUIREMENTS AND YOU'RE GONNA
TELL PEOPLE ON THE LABEL HEY IT
MEETS ALL THE REQUIREMENTS. WHY
DO WE NEED A GOVERNMENT
REQUIREMENT. THAT SAYS HEY THIS
IS HEALTHY WHEN. IT'S DETERMINED
TO BE A NOT HARMFUL BY OUR-
EXPERTS. TRYING TO UNDERSTAND
THE USEFULNESS OF THAT OF C. N.
D. HERE AND WHAT YOUR
JOURNALISM. AND IT WOULD TO.
SHINE A SPOTLIGHT ON THE ISSUE
OF THAT THAT CONSUMERS SHOULD BE
AWARE OF. THE ISSUE IN THE
PRESENCE OF TOXIC HEAVY METALS
IN BABY FOODS- IT WOULD IT
WOULD. SAY HEY THIS PRODUCT- YOU
KNOW MEETS THE FTA LEVEL. AND
YOU KNOW OKAY PEOPLE THEY WOULD
INCENTIVIZE PEOPLE TO BUY THAT
PRODUCT AS OPPOSED TO. A PRODUCT
THAT DIDN'T HAVE THAT LABEL I
CAN'T UNDERSTAND A PRODUCT BEING
ON THE MARKET BY THE WAY THAT
EXCEEDS. OKAY I'M GONNA GO BACK
TO THAT SO THAT. FOR ME IT'S A
QUESTION OF. ARE WE REQUIRING
SOMETHING THAT REALLY. IS GONNA
CREATE. ANXIETY WHEN THE HEALTH
EXPERT TO SAID IT'S NOT A
PROBLEM SURE AND IT REMINDS ME
HONESTLY OF. A REQUIREMENT OF
PROP SIXTY FIVE. THAT IS POSTED
EVERYWHERE. ON A VENDING
MACHINE. AT A GAS STATION
EVERYWHERE YOU LOOK THERE'S A
PROP SIXTY FIVE WARNING. WHICH I
KNOW CAME OUT OF THE BEST OF
INTENTIONS. AND IT'S LIKE WHAT
IS HE DOING NOW. HOW IS IT
REALLY INFORMING ANY OF US
ABOUT. THINGS THAT MIGHT BE
UNHEALTHY BUT IT'S JUST THAT
WARNING IT'S EVERYWHERE AND SO
AT LEAST IT LOSES ITS VALUE. AND
THAT'S WHAT I'M STRUGGLING WITH
YOUR C. N. D. REQUIRE OKAY
BECAUSE IT DOESN'T SEEM TO. LEAD
TO HATE THIS LIKE. IT'S
DIFFERENT THAN WHAT WE PUT ON A
PACK OF CIGARETTES RIGHT THIS
COULD CAUSE CANCER AND CAN KILL
YOU. ALL RIGHT WILL THE
CIGARETTE MANUFACTURERS SAY THEY
WANT TO KEEP SOME CIGARETTES SO
WE REQUIRE THEY GOTTA SAY HAS
POISONOUS. BITE AT YOUR OWN
PERIL. THAT'S NOT REALLY WHAT
YOU'RE TRYING TO DO HERE IN C.
HINDI. YES BECAUSE THEY HAVE TO
THEY HAVE TO BE UNDER THE LIMIT
SO THEY WOULD BE SELLING THE DAM
PRODUCT IS GOING TO SELL BABY TO
THAT SAYS IT'S- IT'S UNHEALTHY.
SO WITH THE WITH RESPECT THAT
SO. IF I'M UNDERSTANDING IT
BROWN PLEASE. SHARE THAT WITH ME
THAT'S WHAT MAKES ME HESITANT TO
EVEN WITH THE BEST OF
INTENTIONS. IF YOU KEEP C. N. D.
N. I'M TRYING TO SAY. THAT'S NOT
REALLY COMMUNICATING HELPFUL
INFORMATION AND I KNOW THAT'S
REALLY YOUR ATTENTION. THROUGH
THE CHAIR FIGHTING. YEAH IF I
MAY JUST ASK. TO THE EAST SELL
THE BAY PRODUCTS WITH LESS. THAT
X. THE- BUT THEY JUST SAY THIS
EXCEEDS THE LIMIT ON LEAD BUT WE
STILL SELL ON IT. THEY'RE NOT
ACTUALLY REQUIRED TO SAY
ANYTHING ON THE LABEL THE ACTION
LEVELS THAT BUSH BY THE FDA IS
ESSENTIALLY A GUIDANCE. THAT THE
FDA HOPES MANUFACTURERS WILL
COMPLAIN ABOUT. SO THAT'S WHY.
THIS BILL IS GONNA GIVE SOME
GOOD TOOLS FOR THE CONSUMERS
BECAUSE IT WILL ACTUALLY
INDICATE WHETHER OR NOT. THAT
ACTION LEVEL IS BEING FOLLOWED
WHEN THOSE ACTION LEVELS ARE
STYLISH. OKAY THE- GUIDANCE THAT
WE WE'VE GOT A LINE SIR WE'VE
GOT A LINE. OKAY TO EXCITED
CENTER MENJIVAR I MEAN THAT
THROUGH ME. DIRECTLY LET HER
PROVIDE THEIR- I DO A LINE SOME
OF MY CONCERNS WITH MY
COLLEAGUES OVER THERE ON THE
RIGHT- AND I'M WONDERING ON. OF
THIS REPORT I THINK IDEA NOT
ASTON MAYBE I MISSED THIS
QUESTION. THE REPORT SAID
INCLUDED. THE BABY FOOD ENOUGH
THE BABY FORMULA THAT IS CORRECT
AND I'M WONDERING WHY THIS WAS
INCLUDED IN HERE AND THEN MY
SECOND QUESTION TO MENTION THE
AMENDMENTS IS IT CORRECT. THAT
THERE'S GOING TO BE NO LABELING
RIGHT NOW UNTIL THERE'S AN
ACTUAL LEVEL OF THIS. THAT'S
GOOD THAT'S THAT'S CORRECT THAT
IS IT'S JUST IT JUST YOU GO
THERE THE MANUFACTURED WEBSITE
YOU CAN SEE HOW MUCH HEAVY
METALS. ARE IN THE PROCESS OF
FOOD. AND OVER THE ISSUE SO
MOVING FORWARD IN PROTEST MAYBE
TWO YEARS THREE YEARS- BABY AT.
THE AND BABY FORMULA AT FROM
GEORGE WOULD HAVE A LABEL THAT
SAYS THIS HAS EXCEEDED. THE
AMOUNT OF X. Y. Z. THAT IT'S
APPROVED AN FDA. I'M
UNDERSTANDING THAT CORRECTLY
THAT'S RIGHT- ONLY WHEN THE FTA
STEPS STEPS THAT THAT GUIDELINE
WE KNOW WE FIND OUT THAT IT'S
NOT A BAND BUT IT'S A GUIDELINE.
THAT THAT THAT WITH THE PRODUCTS
THAT WOULD BE LABELED AN AND
THIS WOULD BE- DISCLOSED- AFTER
JANUARY FIRST OF TWENTY TWENTY
FIVE SO IS THERE ANY REPORT THAT
SHOWED THAT THERE IS TAXES
LEVELS POTENTIALLY IN INFANT.
FORMULA WE KNOW ABOUT THE LEAD.
THE LETTER WAS A BABY FOOD. IT'S
A LITTLE BABY FOOD AND BABY
FORMULA WAS BABY. BABY FOOD SO
IS THERE ANY. OFFER PROBLEM ONE.
IT ON THE MICROPHONE I STILL. IT
WAS FOUNDED. FORMULA IN FOOD.
THANK YOU. THANK YOU. THANK YOU
. SENATE WHAT. THANK YOU
ASSEMBLY MEMBER FOR BRINGING
THIS BILL FORWARD- I HATE. IT I
HAVE SOME CONCERNS THAT- KIND OF
ECHO WHAT MY COLLEAGUES HERE
STATED BUT I JUST WOULD LIKE A
LITTLE MORE TRANSPARENCY ON A
NUMBER OF THINGS- MY CONCERN IS
THAT ONE THERE IS. BABY FORMULA
FIRST BABY FOODS RIGHT- BABY
FORMULA IT'S A NECESSITY- FROM
ZERO TO SIX MONTHS OR ZERO TWO
YEAR DEPENDING ON YOU KNOW I
DON'T HAVE CHILDREN SOME
THOUGHTS OUT NUMBERS RIGHT. AND-
THERE IS NO REAL ALTERNATIVE
RATE. AND WE SAW IN OUR COUNTRY
THAT THERE WAS A BABY FORMULA
SHORTAGE THAT LITERALLY HAD
PEOPLE FREAKING OUT. AND EIGHT
OVER HERE IT SAYS PACKAGING
INDIVIDUAL UNITS FOR SALE OR
DISTRIBUTION RIGHT SO WE'VE
HEARD DIFFERENT THINGS FROM- YOU
KNOW PEOPLE THAT HAVE TALKED TO
US PEOPLE THAT HAVE SENT LETTERS
AND EMAILS AND SO FORTH- ARE YOU
LOOKING AT INDIVIDUAL UNITS TO
TEST OR YOU LOOKING AT WHAT DOES
BATCH LOOK LIKE FOR YOU WHAT
DOES. SPOT TESTING LOOK LIKE
THERE'S NOT A LOT OF CLARITY AND
CONCERN AS THE SUPPLY CHAIN FOR.
BABIES AND PARENTS WHO WANT TO
FEED THEIR BABIES. WELL IT I
MEAN THE BILL BILL JUST CALLS
FOR TESTING A QUOTE
REPRESENTATIVE SAMPLE OF THE
FINAL PRODUCT. THAT- BUT THE
FINAL PRODUCT BEING EVERY UNIT A
BATCH THE REPRESENTATIVE SAMPLE
YES. REGULATORS FOR THE PACKAGE
RIGHT IT'S LIKE IT'S LIKE BEER
WINE OR ANYTHING ELSE OF WORLD
WON'T YOU BUY A BOTTLE SOMETHING
YOU THINK IT'S GOING TO BE THE
SAME AS THE LAST ONE YOU GOT.
OKAY IF YOU DON'T AND
SUPPOSEDLY. IF WE HAVE SOMEBODY
THAT CAN SPEAK TO THIS- THE
EMAIL DOES NOT DO BABY FORMULA
CORRECT. THE ONLY DO FOOD OR-
EBEID THE E. R. DOES HAVE
ADDRESS FOR PAID FOR YES THERE
ARE HAVE A HEAVY METAL STANDARDS
IN THE E. U. CURRENTLY FOR
INFANT FORMULA. AND THE FDA IS
CURRENTLY WORKING ON IS AT
CLOSER TO ZERO INITIATIVE TO
ESTABLISH HEAVY METAL STANDARDS
FOR BABY FOOD. AT SOME POINT
THEY WILL ESTABLISH THAT SEEMS
SOME STANDARDS FOR FORMULA AS
WELL AND YOU KNOW OUR WORK WITH
ASSEMBLY MEMBER MURATSUCHI ON A
NUMBER OF OTHER INGREDIENT BILLS
WE KNOW THAT VERY OFTEN. BECAUSE
THE E. U. HAS BEEN AHEAD OF THE
U. S. ON THIS THAT THERE'S A LOT
OF GROUND WORK THAT'S BEEN LAID
THERE THAT THEY WILL LIKELY
INCORPORATE MUCH OF THE SCIENCE
THAT HAS BEEN THERE AND DONE
THERE SO. YOU KNOW I KNOW THERE
WAS SOME DISCUSSION EARLIER IN
THE COMMITTEE ABOUT THE IN
ACTIVITY OF THE FDA AND THIS IS
ONE OF THOSE IT'S NOT THAT
INSTANCE THIS IS ONE WHERE THIS
IS AT THE TOP TIER OF. HAVING
SOME ACTIONABLE- SOMETHING
ACTUAL HONEST AND AGAIN AND
THAT'S WHY WE FEEL COMFORTABLE
ASKING FOR YOU KNOW. TO WAIT
BECAUSE WHY ARE WE GOING TO
CREATE A CALIFORNIA UNIQUE.
TESTING STANDARD A UNIQUE LABEL
WHEN WE KNOW SOMETHING IS COMING
DOWN THE CHUTE BUT WE'RE NOT TO
THE LABEL WE'RE JUST DOING THE
WEBSITE RIGHT NOW. I THINK IT'S
- I MEAN YEAH FIVE IF THE FDA
HAS ESTABLISHED GUIDANCE OR
LEVEL. AS WE DO WITH LET.
ASSEMBLY. SIX SO. AGAIN MY
CONCERN IS. DO YOU FEEL THE NEED
TO INCLUDE BOTH BABY FORMULA AND
BABY FOOD. WELLY I MEET YOU
HEARD TESTIMONY THAT THERE HAS
BEEN- A SIGNIFICANT LEVELS OF
FLOOD FOUND IN INFANT FORMULA.
IN THE E. U. FOR DELIVERY ARE
THERE ALREADY ESTABLISHED IN IT
THAT IT'S THEIR THEY'VE
ESTABLISHED LEVELS WE HAVE NOT.
CORRECT AND I APOLOGIZE BUT I
DIDN'T CATCH THIS DO YOU ACCEPT
ANY AMENDMENTS- EXCEPT THE
TECHNICAL AMENDMENTS TO HAVE IF
THE IF THERE IS A LABEL THAT'S
ONLY IF THE FDA HAS ESTABLISHED
THE GUIDANCE OR ACTIONABLE
LEVEL. OTHER THAN THAT IT'S JUST
ON THE WEBSITE THAT THE
MANUFACTURERS ARE TESTING THEIR
FINAL BEFORE THEY PUT SOMEONE UP
IN A BOTTLE OR SOMETHING. AND
THEY HAVE TO LIST THE AMOUNT OF
HEAVY METALS THAT ARE IN THE
FOOD AND OR FORMULA. OKAY. OKAY
SENATE WENT. THANK YOU THE
MANAGER A SETTLEMENT I AM. I
KNOW YOU'RE DOING THIS WITH THE
BEST OF INTENTIONS OKAY AND- I'M
AS CONFUSED AS MY COLLEAGUES
RIGHT NOW. AND I'M ALSO VERY
CONCERNED WITH. THE BABY FORMULA
. THE STORIES THAT WE HAD I MEAN
MY BOYS THE WAY BEYOND THAT AND-
YOU KNOW. IT'S FROM ZERO TO UP
TO MOST TO USUAL AS BABY
FORMULA. SO AND SO. I GUESS A
COUPLE THINGS THAT I WANT TO ASK
IS- I GUESS. MAYBE NOT TO YOU
MAYBE TO ONE OF THE INDIVIDUALS
WHO ARE OUT WHO THERE. IS HELP
ME UNDERSTAND THE DIFFERENCE
BETWEEN. AB TESTS THE BATCH AT
THE BEGINNING. OUR THE FORMER
GOES IN AT THE BEGINNING DOES IT
CHANGE BY THE END. WHY NOT AT
THE BEGINNING WHY DOES IT HAVE
TO BE THE END OF IT BECAUSE WHAT
IS AT FOCUS THE FINAL SAMPLE
BEFORE IT GOES TO THE CONSUMER
BUT IT'S STILL THE SAME.
INGREDIENTS IT DOESN'T CHANGE
WE'RE NOT TESTING THE
INGREDIENTS BUT WE WANT TO WE
WANT TO TESTED AS CLOSELY TO THE
CONSUMER CONSUMPTION AS POSSIBLE
TO A PRE PACKAGED OKAY CAN I
MAYBE ASK THE OPPONENT FOR THAT
MAYBE CAN YOU HELP ME WHAT WHAT
IS IT YOU NEED TO UNDERSTAND SO
IS THERE A DIFFERENCE. DO YOU.
IS THERE A DIFFERENCE WHEN
YOU'RE TESTING FROM THE
BEGINNING BUT WHAT WHAT IS THE
DIFFERENCE TEST BEGINNING AND
THE END AND WHAT. IS HOW DOES
THE PRODUCT CHANGES. OR NOT.
CURLERS THANK YOU AND I WILL
JUST SAY I AM NOT AID
MANUFACTURING OR PRODUCTION
EXPERT- SO I MAY HAVE TO COME
BACK WITH MORE INFORMATION. BUT
MY UNDERSTANDING OF THE
PROCESSES THAT AND WHAT THIS
BILL WOULD POTENTIALLY REQUIRE
IS THAT WE WOULD BE REQUIRED TO
CAST SOME OF THOSE TO UP TO LIKE
TWO THOUSAND BATCHES THE YEAR
THAT WE'RE CREATING INTO
PRODUCTION PROCESS. OF A BATCH
BEGINS WHEN. RYAN GREENS ARE PUT
IN AND THE MANUFACTURING PROCESS
AND THAT'S ON A LOOP. AND I HAVE
TO SAY THAT THE- INGREDIENTS AT
THE BEGINNING OF THE PROCESS ARE
TESTED AND I KNOW GENERAL ROTH
PROBABLY KNOWS MORE ABOUT THIS
THAN I DO SO. IN THE WAY THIS IS
WHERE I'VE SEEN SOMETHING WRONG
BUT- THAT THE BEGINNING OF THE
PROCESS AND THAT THERE ARE
SAMPLE TEST THROUGHOUT THE
PROCESS ESPECIALLY AT THE END
PRODUCT. BUT THIS WOULD CREATE A
WHOLE NOTHER OBLIGATION THAT
WOULD REQUIRE OVER SIGNIFICANTLY
MORE TESTING. POTENTIALLY
RESULTING AND YOU KNOW WHAT
DELAY OF THAT PRODUCT BEING TO
MARKET POTENTIAL OF COURSE
INCREASE COSTS AND TO WHAT END
IS THE BENEFIT TO THE CONSUMER
FOR A ALL OF THIS TESTING WHEN
WE- WITH ADDITIONAL TESTING WHAT
WE'RE ALREADY DOING THE RIGOROUS
TESTING THAT'S BEING REQUIRED BY
CODEX. BY WHO BY THE WHL BY THE
E. U. N. FTA. AND I AND I WILL
ONLY POINT OUT ONE OTHER THING
THAT I THINK THAT THERE WAS A
MENTION OF BIRTH REGARDS TO
TODDLER FORMULA THAT IS
SOMETHING TOTALLY DIFFERENT THAN
WHAT WE'RE TALKING ABOUT HERE
AND WE'RE TALKING ABOUT INFANT
FORMULA WHICH IS SAFE. FOR THAT-
SMALL SMALL BABIES THE ANSWER
YOUR QUESTION BUT IT'S NOT BUT
IT'S ALL. GOING TO THE PACKAGE
WE'RE NOT ASKING THIS BILL IS
NOT ASKING BAY TEST SOMETHING
AFTER TORY PRIME PACKAGE. RIGHT
I DON'T KNOW THAT IT'S THAT IN
THE- LANGUAGE BUT A
REPRESENTATIVE SAMPLE OF THE
FINAL PRODUCTS BEFORE BEFORE
PACKAGING. AN INDIVIDUAL UNITS
FOR SALE. PROCESS AN AREA
MANAGER FOR A IF I MAY ADD I AM
READING FROM THE- ASSEMBLY.
HEALTH COMMITTEE ANALYSIS.
SENATE NOW SIR YES SIR YES MA'AM
BUT- I WANTED TO. SHARE SOME
RELEVANT. INFORMATION THAT WOULD
ADDRESS CENTER IN WINDSOR-
QUESTION WHICH IS THAT THE- THE
CONGRESSIONAL SUB COMMITTEE-
POINTS OUT THAT THAT THE
CORPORATE POLICIES TO TEST ONLY
INGREDIENTS. AND NOT THE FINAL
PRODUCTS. UNDER REPRESENTS THE
LEVELS OF TOXIC HEAVY METALS IN
BABY FOODS. THAT THE ISSUE IS
THAT BABY FOOD PRODUCERS MAY BE
ADDING INGREDIENTS THAT HAVE
HIGH LEVELS OF TOXIC HEAVY
METALS INTO THEIR PRODUCTS. SUCH
AS VITAMIN OR MINERAL ADDITIONS
AND THAT ONLY FINAL PRODUCT
TESTING CAN MEASURE THE TRUE
DANGER POSED BY BABY FOODS. SO
MAN. THANK YOU MAY BUT BUT BUT I
JUST THINK IF WE JUST KIND OF
CAPTURE IT. IS WHAT THEY'RE
ASKING FOR LIKE BECAUSE YOU
COULDN'T YOU CAN HAVE ALL YOUR
PROCEDURE YOU COOK RIGHT GET ALL
YOUR PRODUCTS YET YOU HAVE TO BE
REGISTERED THEY'RE ALL LAID OUT
RIGHT FOR ALL THEY'RE ALL GOOD.
BUT YOU PUT THEM ALL TOGETHER
AND THEN YOU COOK THEM AND THAT
COULD CHANGE THE DATE THAT THE
COMPOSITION. OF THE FINAL
PRODUCT FOR ADD SOME DIFFERENT
RIGHT OR AT DIFFERENT. THEY CAN
THEY CAN CHANGE THE COMPOSITION
SO. TESTING THE PRODUCTS THE
INDIVIDUAL COMPONENTS IN THE
BEGINNING. IS THAT THE QUITE FIT
AS THE INSTITUTE. AND I IT I
UNDERSTAND THAT MADAM CHAIR- I
GUESS MY THING IS THAT SOMETHING
THAT'S BECAUSE FTA DOESN'T HAVE
I MEAN WHAT IS THE STATUS OF I
WAS A MOM. HAVE A. BABY AND I
LOOK AT THIS PROJECT. WHAT IS
THIS. WHAT IS WHAT IS A YOU KNOW
THE PROCESS WHAT'S THE WHAT WHAT
IS IT THAT I'M LOOKING FOR THAT
I SHOULD. SHOULD NOT. YOU KNOW
IT'S KIND OF LIKE EARLY WHEN WE
HAD THE FOOD- THE PRODUCT AND I
WAS TALKING ABOUT MSG. IT'S LIKE
YOU KNOW FOR A LOT OF ASIAN
RESTAURANT PARTICULARLY JUST
SAVING ME SINCE I'M- MEANS IS
THAT. YOU KNOW WHEN I LOOK AT
ANYTHING THAT SAYS. MSG AGO- I
REMEMBER EIGHT EIGHTY EIGHT
CAUSE CANCER AND SO WE KIND OF
DID AWAY WITH THAT SEVERAL YEARS
AGO WITHIN THE ASIAN. COMMUNITY
BUT LIKE WHAT IS THE STANDARD
THERE I GET THE LEAD BUT IF
THEY'RE- RIGHT NOW YOU SEE THAT
YOU'RE NOT ALLOWED TO SELL IT
THE STATURE ROOM. IT JUST SAYS
OKAY NEEDS A LEVEL. THAT IS
HEALTHY OKAY SO I GUESS YOU KNOW
FOR ME IS LIKE I DON'T WANT THIS
TO BE WHERE. LOTS OF BABIES NOT
BEING ABLE BECAUSE NOT. I MEAN.
NOT MANY MOMS CAN PRODUCE AS
MUCH. S. MILK IF THEY CHOOSE TO-
HELLO BUT- IT'S A WHERE DO THEY
GO. I MEAN THAT'S I JUST DON'T
WANT THIS FATIGUE OUT THERE
WHILE WE'RE READY FOR DEALT WITH
THE STORAGE- READY AND THE
DIFFERENCE BETWEEN BABY FORMULA
AND BABY FOOD IS A TO ME IT'S
JUST. ALMOST NIGHT AND DAY MMHM.
WELL YOU KNOW I WOULD BUT POINT
OUT FIRST OF ALL I KNOW THERE'S
A- THANKS YOU KNOW ANXIETY ABOUT
TO. ABOUT THE HISTORY OF THE YOU
KNOW THEY THE PENSION FORMULA
SHORTAGE DURING THE CULVERT
NINETEEN PANDEMIC WHICH WAS. YOU
KNOW IN LARGE PART DUE TO SUPPLY
CHAIN ISSUES AND NOT RELATED TO
ISSUES OF TOXIC HEAVY METALS. I
MEAN I DON'T THINK. THAT YOU
KNOW EVEN EVEN IF THEY'RE
THEY'RE WATER AND- YOU KNOW AN
ADEQUATE SUPPLY BABY FORMULA I
DON'T THINK WE WOULD WANT OUR
BABIES TO BE CONSUMING. YOU KNOW
THE BABY FORMULA THAT WOULD
CONTAIN. YOU KNOW UNHEALTHY
LEVELS OF TOXIC HEAVY METALS AND
SO YOU KNOW. THIS BILL IS JUST
TRYING TO. PROVIDING TO THE
CONSUMERS LIKE FOR EXAMPLE I
DON'T KNOW WHAT THE WORKING GO.
INTO THE ACTUAL LEVELS OF- OF-
SAY ARSENIC YOU KNOW BUT BUT IF
YOU HAD IF YOU SEE YOU ARE. ON
THE ON THE MANUFACTURER'S
WEBSITE ONE PRODUCT HAS TWO
MILLIGRAMS OF ARSENIC IN ANOTHER
PROBLEM HAS ONE MILLIGRAM OF
ARSENIC. WHICH ONE WOULD YOU
CHOOSE. HI I WOULD CHOOSE THE
ONE WITH LESS. THAT'S THE ISSUE
NOW. YES SAY I ABSOLUTELY AGREE
WITH YOU THAT IS SHOULD BE THE
RESPONSIBILITY OF THE FDA TO
ISSUE THOSE KIND OF GUIDELINES.
TO PROVIDE CONSUMERS WITH
GUIDANCE BUT SHORT OF THAT FTA'S
FAILURE TO ENACT SUCH GUIDELINES
WE ARE TRYING TO PROVIDE
CONSUMERS WITH. INFORMATION SO
THAT THEY CAN YOU KNOW DO THEIR
HOMEWORK AND- DECIDE- FOR
THEMSELVES YOU KNOW WHAT WHAT
PRODUCTS THEY WANT TO- TO
PURCHASE. A. THANK YOU CENTER.
MENTOR THANK YOU I DON'T HAVE
KIDS SO WHEN I HEARD- USE A
TODDLER FORMULA BUT- IT'S THE
SAME THING AS INFANT FORMULA.
LARISSA JUST IT IS COMPLETELY
DIFFERENT SO THEN I'M GONNA GO
BACK TO MY QUESTION OF HAS THERE
EVER BEEN A REPORT SAYING THAT.
INFANT FORMULA HAS BEEN HAS THE
POTENTIAL HIGHS- ANY KIND OF
THESE TOXINS SO IT SOUNDS LIKE
IT'S NO AND IT'S ONLY TONDER
FORM NO NO. THAT'S NOT RIGHT
ENVIRONMENTAL WORKING GROUP.
THROUGH THE CHIU I DON'T KNOW.
BACK UP TO THE MICROPHONE AND IS
THE IS THE- DISTANCE REPRESENTS
THE PITTED. AND THAT'S WHAT THE
INITIAL POINT WAS RIGHT THAT.
THE PEDIATRICIANS EVERYBODY SAYS
HIGH LEVELS OF METALS ARE TOXIC
FOR KIDS BECAUSE LOW I Q.
BECAUSE LEARNING DISABILITIES
BECAUSE ALL KINDS OF THINGS. AND
THAT WE SHOULD PEOPLE SHOULD
KNOW HOW MUCH OF IT IS IN BABY
FOOD AND FORMULA. BUT THE INFANT
FOOD THERE'S NEVER BEEN ANY KIND
OF RESEARCH AROUND INTERN
FORMULA. I BELIEVE THERE HAS I'M
SORRY I DON'T HAVE IT AT MY
FINGERTIPS I'M SURE THERE HAS
BEEN BUT WHAT WE'RE WHAT WE'VE
BEEN TALKING ABOUT IS THE
CONGRESSIONAL. INVESTIGATION
THAT WAS DONE OF- BABY FOOD
INCLUDING SOME INFANT SOME
TODDLER FORMULA CENTER SATURNO
IN THEY WERE HORRIFIED THAT THAT
HE WASN'T DOING MORE WHICH IS
WHAT KIND OF BECAUSE A LOT OF
THIS TO HAPPEN. EVERYONE ASSUMED
EVERYTHING WAS SAFE SO THERE WAS
A HEARING AND THEN LET GO RIGHT.
I COMMEND. YOU KNOW SOMEONE OR I
JUST. I DON'T. I THINK WE'VE ALL
SAID ABOUT THE SAME- THERE'S NO
I'M JUST WORRIED OF SOME.
BECAUSE IN THE MY DISTRICT. WITH
DONATION IN PREVENTING. GOING
INTO CERTAIN LOCATIONS
STRUGGLING TO SUBMIT THIS AS
STONE EIGHTEEN. BECAUSE I'M
WORRIED- THERE IS NO SUPPLEMENT
THAT IF I THINK IF SOMEONE
MENTIONED IF YOU CAN PRESS FOR
IF YOU DON'T HAVE PRESS SMOKE.
THAT'S YOUR ONLY OPTION- I WOULD
HAVE THE SAME QUESTION OF WHY OF
CENTER HOBB WHY THIS IS. INFANT
FORMULA IS INCLUDED IN THIS- AND
JUST BEING ABLE TO PERHAPS MOVE
THIS FORWARD WITHOUT INFORMING
HIS BABY FOOD- HI- COMMITTEE
LIGHT AND LYFT. DISCUSSING WITH
THE- PROCESS BUT AS ABOUT THAT
THAT OPTION AND- IF IT IS THE-
COMMITTEE'S DESIRE TO- YOU KNOW
WE ARE GIVEN THE CONCERNS BEING
RAISED ABOUT INFANT FORMULA- WE
CAN FOCUS ON ON BABY FOOD BUT TO
CONSIDER. ADAM SHAREIT I SEE A
WITNESS. WELL I THINK. ARE YOU
WILLING TO ACCEPT THAT. GOING
FORWARD THAT WE WOULD STRIKE
OUT. BABY FORMULA. IF IT- WITH
YOUR PERMISSION I THAT I'D LIKE
TO GIVE HER ONE LAST OPPORTUNITY
TO ADDRESS THAT BEFORE I MAKE
ANY COMMITMENTS. I'M SORRY JUST
AS I- THAT YES TÌM COMMITTEE
STAFF JUST EMAILED ME THEY'RE
WATCHING THE HEARING. TO TELL ME
THAT- YES THERE HAS BEEN
DOCUMENTED LED AN INFANT FORMULA
SEE MY ANALYSIS STUFF ANALYSIS.
ATTORNEY GENERAL BROUGHT A CASE
AGAINST PERRIGO IN CALIFORNIA. I
JUST WANTED TO SHARE THAT THANK
YOU THIS WOULD LEAD THAT WE
ALREADY KNOW GUARD TESLA YES
LEAD OKAY SO THAT'S THAT THAT'S
NOT THE HEAVY METALS BUT IT'S
SPECIFICALLY FOR AN INFANT
FORMULA. OKAY NOT JUST BABY FOOD
. I GO BACK TO BY MY QUESTION
SIR. ARE YOU WILLING TO STRIKE
OUT INFANT FORMULA YOU SEE HERE
A LOT OF ANXIETY FROM THE
COMMITTEE. YES OKAY. OKAY I'LL
TAKE THAT AS A COMMITMENT.
SENATOR BROAD SENATOR RUBIO
CENTER WILL HOP. I'LL BE VERY
QUICK MANAGER- I CONFESS I'M
HAVING DIFFICULTY UNDERSTANDING
HOW THIS IS GOING TO WORK YOU
KNOW IF YOU MAKING COCA COLA IF
THEY GIVE YOU THE FORMULA. YOU
CAN LISTED ON THE CAN BECAUSE
IT'S A SET PROCESS AND YOU KNOW
HOW MUCH OF THIS AND HOW MUCH OF
THAT AND HOW MUCH OF WHATEVER.
HERE WE'RE TALKING ABOUT
CONTAMINANTS THEY'RE NOT
INGREDIENTS IN THE- IN THE BABY
FOOD OR THE INFANT FORMULA OTHER
CONTAMINANTS AND WHEREVER THEY
COME FROM PERHAPS- INSIDE THE
VEGETABLE OR THE YEAR OF CORN IS
MY COLLEAGUE WAS TALKING ABOUT
BECAUSE WE- PULLED OUT OF THE-
OFFICE STOCK IN KANSAS AND-
THERE'S ARSENIC IN THE GROUND.
IT COULD BE IN THE PIPE SOMEHOW
IN THE PIPES IN THE
MANUFACTURING PROCESS THAT WE
PICK UP LEAD BUT IT'S A
CONTAMINANT IN THE- THE DEGREE
OF CONTAMINATION VERY DEPENDING
ON. WHICH VEGETABLE IT IS WHERE
IT COMES FROM WHAT THE PIPES
LOOK LIKE HOW OFTEN THEY'RE
CLEANED. I COULD SEE TESTING THE
PRODUCT BY BATCH OF THE TIME IT.
POURS OUT THE END AND YOU'RE
POURING INTO THE GLASS INTAKE OR
THE CANON TAKE A REPRESENTATIVE
SAMPLE. AND IF THE SAMPLED. BUT
YOU TAKE INDICATES THAT THE
DEGREE OF LET EXCEEDS THE FDA
GUIDANCE AT FTA. DOT WHATEVER IT
IS. FDA GUIDANCE AT THAT TIME.
YOU KNOW JUST LIKE WITH FROZEN
BURRITOS YOU THROW THE WHOLE
BATCH AWAY ANYA VIEW OF WORK ON
THE NEXT BATCH WHAT I DON'T
UNDERSTAND. IS HOW YOU CAN
GENERATE LABELS AND LABELLING IS
HIS PROTECT HIS PRODUCT AND
SUPPLY CHAIN COMPANIES
MANUFACTURING PRODUCTS. PRINTER
LABELS IN ADVANCE THEY HAVE
AVAILABLE THEY DON'T PRINT I'M
AT THE END OF THE PRODUCTION
LINE BASED ON THE CONTENT. OF
THE BATCH THAT'S COMING OUT OF
THE PIPE. I DON'T COMPLETELY
UNDERSTAND HOW LABELLING WORKS I
UNDERSTAND HOW TESTING BATCHES
WORKS I UNDERSTAND OF THROWING
AWAY BATCHES WORKS IF THE-
REPRESENTATIVE SAMPLE DOESN'T
MEET THE FDA GUIDELINES. I JUST
DON'T UNDERSTAND HOW THIS BILL
IS GOING TO WORK. ASSEMBLY
MEMBER AND YOU KNOW ME I TRY TO.
VOTE FOR EVERYTHING BUT I MAY
HAVE TO STAY UP FOR THIS ONE I'M
JUST APOLOGIZING IN ADVANCE YEP
AND I WOULD NORMALLY SAY
SOMETHING LIKE THIS WOULD PUT IT
OVER SINCE THERE IS SO MUCH
CONFUSION BUT YOUR DOUBLE
REFERRED SO IT MAKES IT VERY
DIFFICULT. I WOULD COMMIT TO-
WORKING WITH THIS COMMITTEE TO.
MAKE SURE THAT- WE WOULD NEED
TO. HEAR COMMITTEES- IN A ROW.
THAT INTO TO ADDRESS THE ISSUES
RAISED IN IN THIS COMMITTEE
SPEAKING. CENTER RUBIO YOU HAD A
QUESTION. YEAH HELLO I ALMOST
LIKE. THE LINE MY COMMENTS HERE
WITH MY WITH THE GENERAL IS JUST
IT'S YOU KNOW THROUGHOUT THE
DISCUSSION YOU START LEARNING SO
MUCH MORE AND- BECAUSE I WAS.
UNDER THE UNDERSTANDING THAT AS
BABY FORMULA AND THEN I'VE HEARD
THE COMMENTS RIGHT HERE THAT
IT'S THE TODDLER FORMULA AND
THEN I KNOW THAT THEY MENTIONED
THAT THERE WAS ONE CASE OF THE
ATTORNEY GENERAL HAD BUT- IS IT
REALLY. SAY THE ENTIRE INDUSTRY
OR JUSTICE. INDUSTRY SO IT IS
GETTING REALLY COMPLICATED FOR
ME AS WELL TO. HIS NAVIGATE ALL
THIS INFORMATION IN TERMS OF.
WHAT THE INTENT IS THAT THE END
SO WE'RE ALL CLEAR WE DON'T WANT
CHILDREN TO HAVE LED WORLD CLEAR
AS AN EDUCATOR TEACHER I CAN
TELL YOU. EVERYTHING THAT YOU'VE
DISCUSS HAPPY THEY DISCUSS
INTENSELY DHD AND EVERYTHING I
MEAN WE GET ALL THAT RIGHT
NOBODY WANTS TO HURT CHILDREN
BUT I'M ALSO NOW- YOU KNOW WHEN.
THEY WERE TALKING ABOUT TWO
THOUSAND BATCHES A YEAR OR AND
THEN THEY HAVE TO. ATTEST IS
GETTING COMPLICATED FOR ME TO
WIN I. TRY TO BE WITH YOU ON
THIS ONE BUT I'M STARTING TO
HAVE SECOND DOUBTS JUST AS IT
PERTAINS. TO THE BABY FOOD LET'S
BE CLEAR BECAUSE I KEEP HEARING
TODDLER. TALLER AND THERE IS
SOME INDICATION THAT THERE MIGHT
BE SOME TESTING BUT NOT CLEARLY
AND SO THAT TODDLER ISSUE IS FOR
SURE. SOMETHING I WOULD SUPPORT
AND I THINK I HEARD YOU SAY YOU
TAKE THE AMENDMENT CORRECT SO
THERE ARE TWO CATEGORIES OF
PRODUCTS IS NOT HAULERS IN HERE.
IS TALKING WITH. ARE YOU TALKING
. THANK YOU FOR TWO CATEGORIES
THE INFANT FORMULA AND BABY
FOOD. AND WAIT I MEAN I AM
COMMITTED TO TAKING. OUT INFANT
FORMULA OKAY. LEAVE THAT MAY
REMOVE NECESSITY. SUSPECTS RIGHT
COME ON UP HEALTH. SERVICES YOU
WHEN YOU'RE THANK YOU. YES IF
INFORMED WAS HER FROM THE BILL
WOULD MOVE OUR OPPOSITION. THANK
YOU. SO ARE. YOU LIVE WITH THAT
COMMITMENT- IT'S STILL A LOT OF
HESITATION- JUST OVER HOW
COMPLICATED THIS ISSUE IS AND I
DON'T DISAGREE THAT. LABELING IS
REALLY LIKE YOU KNOW MEASURED
YOU KNOW PRODUCT WHAT YOU PUT IN
IT AND EVERYTHING ELSE IS SORT
OF. HARD TO. AT TO QUANTIFY MY
PERSONAL OPINION THE LABEL WOULD
ONLY BE REQUIRED FOR LET. OKAY
BECAUSE THE LEAD IS THE ONLY.
CHEMICAL OF THE FOR CHEMICALS
THAT WE CALL OUT. THAT HAS FTA
ACTION LEVEL. I WILL BE
SUPPORTING LEGACY WITH
HESITATION- WITH THE
UNDERSTANDING THAT I MAY
CONTINUE TO REVIEW THIS WITH THE
UNDERSTANDING THAT YOU WILL TAKE
THAT AMENDMENT THAT WE'VE JUST
EXPRESSED PUBLICLY THANK YOU
THANK YOU. SIR WHAT. THANK YOU
ASSEMBLY MEMBER I KNOW WHEN WE
CARE ABOUT OUR BILLS HOW
DIFFICULT THIS IS AND OBVIOUSLY
YOU ARE DOING SOMETHING THAT IS
NEEDED FOR THE PUBLIC IT'S
SOMETHING THAT IS DESIGNED FOR
ALL PEOPLE BUT- I ALSO THINK
THAT. THERE IS A SIGNIFICANT
AMOUNT OF HESITATION AND
CONCERNED ESPECIALLY AS THESE
ARE OUR MOST VULNERABLE
COMMUNITY MEMBERS WE WANT TO DO
THE RIGHT THING- WE ARE ALSO-
HAVE A LOT OF QUESTIONS RATE AND
NOT ALL OF US ARE ARE AWARE OF
EXACTLY WHAT HAPPENS AND HOW IT
HAPPENS IN THE FTA. YES HAS
FAILED US IN MANY WAYS FOR MANY
DECADES ON MANY ITEMS RIGHT. SO
AS AS A COURTESY I ACTUALLY WILL
MOVE THIS ITEM FOR YOU- WITH THE
CONSIDERATION OF OBVIOUSLY
YOU'VE TAKEN THE CHAIRS- SLASH
COMMITTEES AMENDMENTS AS WELL AS
THE COMMITMENT THAT YOU'VE MADE-
RIGHT NOW. TO REMOVE AND FORMULA
I'M VERY HAPPY TO MOVE THIS
BECAUSE I KNOW THAT YOU ARE HAVE
A GOOD FAITH EFFORT IN TRYING TO
DO THE RIGHT THING SO THANK YOU.
THANK YOU VERY MUCH. WILL THE-
OKAY. SO WE HAVE. OPPOSITION
REMOVED. TAKEN WITHOUT AMENDMENT
. WHAT DOES THE MANUFACTURERS OF
SOUNDS LIKE YOU THINK MISTER
I'LL BE ON THE LEFT I DON'T
KNOW. CLOSE OKAY. AND SO WE ARE
SENIOR TO TAKE THAT AMENDMENT
AND YOU KNOW ALSO TAKE OUR
AMENDMENT THIS IS WE'RE NOT
GOING TO DO ANY LABELING UNLESS
THE FDA ESTABLISHES A GUIDELINE.
OTHER THAN THAT IT'S JUST BATCH
TESTING. ON THE PUT IT ON THEIR
WEBSITE. OKAY WOULD YOU LIKE TO
CLOSE. SIMPLE BILL. BUCKLEY ASK
FOR A HAVE A THIRD GOOD NOBODY.
IN THEIR RIGHT I DON'T KNOW WHO
IS LONGER YOU OR BEEN IT. I AM.
SO THE MOTION IS TO PASS AS
AMENDED AND RE REFER TO THE
COMMITTEE ON ENVIRONMENTAL
QUALITY. HE Q. AND WE HAVE A
MOTION FROM SENATOR WILL HOP.
SIGNATURE IF YOU PLEASE CALL THE
ROLL. SENATOR EGGMAN. EGGMAN
WHEN. GLAZER GONZALEZ. GROWTH
HER TADO. LIMON MENJIVAR. MANY
OF OUR AYE ROTH. RUBIO AYE RUBIO
I WILL HOP. BOB HI WIENER RIGHT
WIENER AYE. IT'S FIVE- AND WE
WILL GRANT YOU RECONSIDERATION
IF THE BILL SHOULD FAIL TO MOVE
FORWARD THANK YOU OKAY. THANK
YOU VERY MUCH- AND AGAIN. THIS
IS MESSY STUFF SO THANK YOU ALL
FOR. TAKING THIS JOURNEY
TOGETHER. ASSEMBLY MEMBER
QUIRK-SILVA. THE LAST FOUR. THIS
EASY PAY. GOOD EVENING SENATE
OUT I'M SURE I'M GONNA SAY IT'S
A SIMPLE BILL BUT I'M NOT
GETTING THAT. CHAU SHOCK NOW THE
BILL IS ALL ABOUT SIMPLIFYING
AND GOING FASTER WITH PAPERWORK
AND WHO THINKS THERE'S TOO MUCH
PAPERWORK OUT THERE WELL IN THIS
CASE. WE HAVE AB. FOURTEEN
SEVENTY WHICH REQUIRES THE D. H.
CS TO STE DEVELOP STANDARD FORMS
FOR MEDICAL NECESSITY CRITERIA
MAN MANDATORY SCREENING
TRANSITION OF CARE TOOLS AND
DOCUMENTATION REQUIREMENTS FOR
MENTAL AND BEHAVIORAL HEALTH
SERVICES PROVIDED UNDER THE
MEDICARE PROGRAM. S. SAID THIS
BILL ADDRESSES A LONG STANDING
ISSUE AND THE EXCESSIVE
PAPERWORK THAT IS HINDERED
MENTAL AND BEHAVIOR BEHAVIORAL
HEALTH PROVIDERS FROM FOCUSING
ON PATIENT OUTCOMES. AND I WILL
JUST SAY PERSONALLY AS I VISITED
THE DOCTOR OVER MANY. DECADES I
THINK WE'VE ALL EXPERIENCED
WHERE YOU HAVE EIGHTY PROVIDER
THAT'S ACTUALLY DOING THEIR
PAPERWORK WHILE THEY'RE TALKING
TO YOU. AS THEIR ON THEIR DEVICE
TRYING TO MAKE SURE THEY CAN
KEEP UP WITH THAT AND THAT
DOESN'T ALWAYS PROVIDE THE BEST
OUTCOMES AS THEIR INTERACTION IS
MUCH MORE LIMITED BECAUSE THE
CLOCK IS TICKING IN THE PAPER
WORK IS EXTENSIVE. WITH ME TODAY
IN SUPPORT OF AB FOURTEEN
SEVENTY IT TO ANSWER ANY
QUESTIONS IS MIZ VICTORIA KELLY
CEO OF REDWOOD COMMUNITY
SERVICES. AND DR LEE ON ANDREA
CLARK CEO OF THE CALIFORNIA
COUNCIL OF COMMUNITY BEHAVIORAL
HEALTH AGENCIES SEMESTERS FOR
QUESTIONS IS THAT CORRECT YES
OKAY WE'VE ALREADY HAD A MOTION
FROM SENATOR NGUYEN. OKAY SO
DOES ANYBODY HAVE ANY SPECIFIC
QUESTIONS WE NEED TO WITNESSES
UP FOR. OKAY THE OKAY SIGNAL-
ANYBODY JUST WANT TO SPEAK IN
SUPPORT NO NOBODY WOULD BE THE
TIME TO COME FORWARD. MADAM
CHAIR AND MEMBERS ADRIAN CHILTON
ON BEHALF OF THE CALIFORNIA
ALLIANCE OF CHILD AND FAMILY
SERVICES PROUD CO SPONSOR AND
SUPPORT THANK YOU. I DEFINITELY
UNDERGARMENTS BEHALF OF CBJ
CALIFORNIA COUNCIL COMMUNITY
BEHAVIOR HEALTH AGENCIES AND
SUPPORT THANK YOU. YOUR DAILY
WITH THE CALIFORNIA CONSORTIUM
OF ADDICTION PROGRAMS AND
PROFESSIONALS IN SUPPORT THANK
YOU. WELCOME BACK ROBERT. IF A
BULLDOG IN SUPPORT OF THE
HONORABLE QUIRK-SILVA SPILL
THANK QUE THANK YOU VERY MUCH.
VICTORIA KELLY REDWOOD COMMUNITY
SERVICES AND SUPPORT THANK YOU
VERY MUCH OKAY- ANYBODY SPEAKING
IN OPPOSITION TO THIS BILL
TODAY. CONCERNS. GOOD EVENING
LISA GARDNER WITH THE COUNTY BE
EVER HEALTH DIRECTORS
ASSOCIATION WE RESPECTFULLY HAVE
A CONCERNS POSITION ON THIS
BILL- WE SHARE THE AUTHOR'S
CONCERN FOR. TOO MUCH PAPERWORK-
IT GETS IN THE WAY OF CLIENT
CARE IT HURTS OUR WORK FORCE IT
COMES UP THE SYSTEM BUT WE
BELIEVE THERE ARE SIGNIFICANT
WORK UNDER WAY. THROUGH THE-
KELLY MINISH SHOULD'VE AND WE
THINK THIS BILL IS PREMATURE
THANK YOU VERY MUCH. WE HEAR YOU
AND THERE WAS GOING TO BE
REPORTS IN. IT TOOK FOREVER AND
WE JUST LIMITED TO TRY TO
ADDRESS THOSE ISSUES WHILE THE
SYSTEM CATCHES UP. OKAY LET'S GO
TO THE PHONE LINES IF THERE'S
ANYBODY IN SUPPORT AND OR
OPPOSITION OF AB FOURTEEN
SEVENTY. AND LADIES AND
GENTLEMEN IF YOU'RE IN SUPPORT
OR OPPOSITION OF AB FOURTEEN
SEVENTY PRESS ONE THEN ZERO NOW
AGAIN A ONE THEN ZERO. DO HAVE
THANK YOU'LL BE JUST A MOMENT.
NEVER MIND OR ONE AND THEN ZERO
. AND THE SECOND. WE'LL GO TO
LINE FOR SIXTY NINE PLEASE GO
AHEAD. GOOD EVENING THIS IS TOM
RENT FREE WITH THE CALIFORNIA
ASSOCIATION OF ALCOHOL AND DRUG
PROGRAM EXECUTIVES IN SUPPORT
THANK YOU THANK YOU VERY MUCH.
OKAY AN ABSCESS. THANK YOU KNOW
ENOUGH HERE THANK YOU VERY MUCH
SIR WHAT. THANK YOU CENTER WHEN
I REMOVED. OKAY OKAY. ALL RIGHT
AND I THINK THIS IS THE- AND WE
HOPE YOU DON'T GET FEEL SURE
TRIP BUT IT'S BEEN A LONG
HEARING. AND WE'LL LIKE THE BILL
. WOULD YOU LIKE RESPECTFULLY
FOR YOU VERY MUCH ALL RIGHT AND
THIS IS A TO PASS AS AMENDED OR
RE REFER TO THE COMMITTEE ON
APPROPRIATIONS AND YOU ARE
ACCEPTING THE AMENDMENTS YES
THANK YOU VERY MUCH SECRETARY
PLEASE CALL THE ROLL. SENATORS
EGGMAN FIVE EGGMAN AYE WHEN I
WHEN I GLAZERS. GLAZER AYE
GONZALEZ. GROVE FURTADO FURTADO
I LIMÓN. MENJIVAR MENJIVAR AYE
ROTH. ROTH AYE RUBIO. RUBIO I
HOP. BOB HI WINNERS WINNER I.
THANK YOU THE EVENING HOLD THAT
OPEN AND THANK YOU FOR ABSENT
MEMBERS AND I AM GOING TO NOW
PRESENT FOR DR RAM REALISTIC
RIGHT HERE AND I PASSED THE
GAVEL OVER TO. OUR VICE CHAIR
I'LL BE BRIEF- THANK YOU FOR
ALLOWING ME TO PRESENT A. B.
NINE FOUR NINETY FOUR ON TODAY
ON BEHALF OF SENATOR ARAMBULA.
THIS WILL PROTECT FARMWORKERS
INSURED TO THE UNIT AND BOLSTER
THE RFK MEDICAL PLAN FARMWORKERS
THE BACKBONE OF THE CALIFORNIA'S
ECONOMY CENTRAL TO ALL OF OUR
COMMUNITIES. DESPITE THEIR
SIGNIFICANT PROVISIONS TO OUR
STATE BUT WORKERS CAN CONTINUE
PLEASE BARRIERS THIS IS A
PROGRAM WHY FARMWORKERS FOR
FARMWORKERS- AND THIS
LEGISLATION EXTENDS A SUNSET
PROVISION TO TWENTY THIRTY ONE
SO THEY CAN CONTINUE CAN KEEP
PROVIDING THAT INSURANCE. AND
TESTIFYING IN SUPPORT IS ANTONIO
THE L'OREAL REPRESENTING THE- U.
F. W. GOOD EVENING. BONTA THE
HOW CAN TO FOR THE FORMER IN
SUPPORT. OF AB FOUR NINE FOUR-
THIS BILL WOULD ALLOW BOTH
FARMWORKERS AND THEIR EMPLOYERS
TO CONTINUE CONTRIBUTING
FINANCIALLY TO THEIR OWN HEALTH
CARE. AND ALLOW US TO CONTINUE
REDUCING CALIFORNIA'S MEDI CAL
COSTS. TODAY THE STATE GENERAL
FUND MEDICAL SAVINGS ARE
APPROXIMATELY ELEVEN MILLION PER
YEAR. AB FOUR NINE FOUR EXTENDS
THE SUNSET ON THE SUCCESSFUL
PROVISION IN THE HEALTH AND
SAFETY CODE AND ADJUSTS THE
CURRENT STATE REIMBURSEMENT CAP
. ROBERT F. KENNEDY MEDICAL PLAN
IS A JOINT LABOR MANAGEMENT
HEALTH PLAN FOR FARMWORKERS
ORGANIZED UNDER THE NINETEEN
FORTY SEVEN TAFT HARTLEY ACT.
THROUGH THE R. F. K. PLAN THE
UNITED FARM WORKERS AND
CONTRIBUTING EMPLOYERS DELIVER
BASIC MEDICAL CARE AT AN
AFFORDABLE COST FOR OVER SIX
THOUSAND CALIFORNIANS INCLUDING
APPROXIMATELY TWO THOUSAND
CHILDREN. WITH RECENT CHANGES IN
CALIFORNIA LAW THERE IS A
REASONABLE EXPECTATION THE
NUMBER OF FARMWORKERS COVERED BY
THE R. F. K. MEDICAL PLAN WILL
GROW. AS A RESULT AB FOUR NINE
FOUR WILL PROVIDE FURTHER
PROTECT THE STATE'S BUDGET BY
REDUCING THE STATE'S MEDICAL
COSTS. WE ASK FOR YOUR
CONSIDERATION. THANK YOU THANK
YOU VERY MUCH ANYBODY ELSE
SPEAKING TO SUPPORT TODAY. AT
THIS TIME SEEING NONE ANYBODY
SPEAK IN OPPOSITION. SEEING NONE
I'M SORRY IT'S. THIS IS GOOD
LET'S SEE. IT'S FASTER. IT'S A
LOT- I. THINK ANY. OPPOSITION
NO- CAN WE MOVE TO THE
TELECONFERENCE SERVICE PLEASE-
MODERATED CAN YOU PLEASE SEE IF
THERE'S ANYBODY WHO WOULD LIKE
TO SUPPORT OR OPPOSE AB FOUR
NINE FOUR. YES AND LADIES AND
GENTLEMEN PRESS ONE THEN ZERO
APPEARANCE SUPPORT OR OPPOSITION
OF AB FOUR NINE FOUR AGAIN ONE
THEN ZERO. AT THIS TIME THERE'S
NO ONE IN THE QUEUE THANK YOU
SIR THANK YOU FOR THE SUPPORT
OPPOSITION WITNESSES WILL NOW
MOVE WILL BRING IT BACK TO THIS
QUESTION FOR MEMBERS. WE HAVE A
MOTION- MANAGER WOULD YOU LIKE
TO CLOSE. THE DOCTOR IN THE LAST
YOUR AYE VOTE THANK YOU THANK
YOU THE MEASURE HAS BEEN MOVED
BY SENATOR GLAZERS. AND THE
MOTION IS. DO YOU PASS IT WE
REFERRED TO THE COMMITTEE ON
APPROPRIATIONS CLICK PLEASE CALL
THE- SENATORS EGGMAN. EGGMAN AYE
WHEN THE WHEN NO GLAZER GLAZER
AYE GONZALEZ HI GONZALEZ I
GROWTH. FURTADO FURTADO I LIMON
. MENJIVAR MENJIVAR AYE ROSS.
ROSS I RUBIO. RUBIO I WILL HOP.
HOP I WINNER. WINNER I. NINE YES
AND ONE. THE BILL IS NINETY
FIFTH EVERYBODY HERE THREE OPEN
. WHAT IT WILL KEEP THE VOCAL
WITH OKAY THANK YOU VERY MUCH
AND NOW I WOULD AGREE ALL-
COMMITTEE MEMBERS TO COME WE'RE
GOING TO START GOING THROUGH-
THE ROLE AND TO MOVE THE REST OF
THESE BILLS ON AB SIX FIFTY NINE
AGUIAR-CURRY DID WE HAVE A
MOTION FROM ANYBODY. FROM
SENATOR WIENER WE DID- AND I
WILL SAY STE ASSEMBLY MEMBER
AGUIAR-CURRY DID TAKE THE
RECOMMENDATION TO HAVE IT
RECOMMENDED NOT EXPECT. OKAY SO
THAT IS TO PASS AND REFERRED TO
THE COMMITTEE ON EDUCATION
SECRETARY PLEASE CALL THE ROLL.
SENATORS EGGMAN I THINK WHEN
IT'S TWO PASSES AMENDED
DEPRESSES AMENITIES AND RE REFER
TO THE COMMITTEE ON EDUCATION.
HELLO SB. IT WOULD. WHEN NO
GLAZER I GLAZER AYE GONZALEZ HI
GONZALEZ I GROWTH. HER TADO AYE
LIMÓN. MENJIVAR RIGHT MANY OF
OUR AYE ROTH. ROTH AYE RUBIO ALL
RUBIO I WILL HOP. BOB I WINNER.
WINNER I. THE BOOK WILL HOLD
THAT ROLE OPEN. UP MOVING ON TO
AB EIGHTY FIVE BYE ASSEMBLY
MEMBER WEBER SHE DID ACCEPT THE
COMMITTEE AMENDMENTS AND THE
MOTION IS TO PASS AS AMENDED AND
REFERRED TO COMMITTEE ON
APPROPRIATIONS. AND WE DON'T
HAVE A MOTION. SOME OF BY
SENATOR GLAZERS. SECRETARY CALL
THE ROLL. SENATORS EGGMAN EGGMAN
AYE WHEN. GLAZER AYE GLAZER AYE
GONZALEZ GONZALEZ I GROWTH
FURTADO I HER TADO I. THE BOND.
MENJIVAR BINGE II ROSS AYE ROSS
AYE RUBIO OKAY RUBIO AYE WELL
HOT. BOB HI WINNER WINNER I.
THANK THE WHOLE THE OPEN FOR
ABSENT MEMBERS OF THE NEXT ONE
IS AB FIVE SEVENTY SIX BY ALSO
BY ASSEMBLYMEMBER WEBER THE
MOTION IS TO PASS AND REFERRED
TO THE COMMITTEE ON
APPROPRIATIONS. TO MOVE BY
CENTER MENJIVAR SECRETARY PLEASE
CALL THE ROLL. SENATORS EGGMAN
HI EGGMAN AYE WHEN. GLAZER FIVE
LASER EYE GONZALEZ GONZALEZ I
GROW- TADO. HER TADO AYE LIMÓN.
MENJIVAR MENSCH OF OUR AYE ROTH
. ROTH AYE WHO RUBIO HI RUBIO I
WILL HOP. BOB I WINNER WINNER I.
LEAVE THAT ROLE OPEN. AB TWO
FORTY TWO BY DECEMBER WOULD-
THAT IS TO PASS AND REFERRED TO
THE COMMITTEE ON APPROPRIATIONS
AND DEALS WITH THE LEADING IN
THE SUNSET FROM HOSPITALS BEING
ABLE TO. HIRE DOCTORS IN
CRITICAL CARE ACCESS HOSPITALS
WE HAD WE HAVE A MOTION MICELLAR
GROWTH. HELLO PLEASE CALL THE
ROLL. SENATOR GLAZERS. GLAZER
ICE GONZALEZ. GONZALEZ I.
FURTADO'S I'M CONVERTIDO I.
RUBIO BY RUBIO I WILL HOP. THE
HOBBIT. AND HE IS JUST AS- OKAY
. ROOF FOR I WAS LOOKING AT HER
AND I KNOW WHAT YOU SEE THE SIGN
. THE FOURTEENTH- THE VERY WELL
TWO FOUR TWO CONNECTION WELL WE
HAVE 1-202-120-1242 THE BILL IS
OUT THAT ROLE IS CLOSED. NOW
MOVING ON TO THE VERY EFFECTIVE
ASSEMBLY MEMBER GABRIEL IT
BEFORE EIGHTEEN THE MOTION IS TO
PASS AS AMENDED AND REFERRED TO
THE COMMITTEE ON ENVIRONMENTAL
QUALITY IN HIS CAN CONTINUE TO
LOOK AT TITANIUM DIOXIDE. PLEASE
MOVE ARSENAL MARC. SENATOR WENT
. GONZALEZ RIGHT GONZALEZ I.
GROWTH HER TADO. HER TADO I.
RUBIO HI RUBIO I. WE'LL CLOSE IT
OUT CENTER GROVE APPARENTLY IS
NOT COMING BACK TEN ZERO TEN
ZERO MOVING ON TO AB FOR TWENTY
FOUR BY ASSEMBLY BRIAN THAT IS
TO PASS AND REFERRED TO
COMMITTEE ON APPROPRIATIONS WITH
NO OPPOSITION. MOTION WAS MADE
BY SENATOR GROVE. SECRETARY
GONZALEZ FIVE GONZALEZ I FURTADO
HI FOR TODD- I LIMÓN. RUBIO
RIGHT RUBIO I. SERVICEMAN COMING
BLEVINS- I BELIEVE CENTER LIMON
IS COMING BACK IF WE COULD FIND
OUT OF CENTER MOANS COMING BACK
. MOVING ON TO FIX ITEMS ON
CONSENT- AB FOUR SIXTY FOUR-
CHICAGO MOTIONS TO PASS AND
REFERRED TO COMMITTEE ON
TRANSPORTATION AND IT WAS MOVED
BY SENATOR WILL HOP SECRETARY
PLEASE CALL THE ROLL. SANDERS
WHEN. GONZALEZ GONZALEZ I GROWTH
. HER TADO FURTADO FIVE. LIMON
YES. RUBIO HI RUBIO I. NINE ZERO
NINE ZERO I WILL HOLD IT OPEN
FOR CENTER LIMON COME ON DOWN
MONIQUE. AB FOUR EIGHTY SIX
KALRA LONG TERM HEALTH FACILITY
CITATION APPEALS IT'S TO PASS
AND REFERRED TO THE COMMITTEE ON
JUDICIARY SENATE ROTH HAD SOME
PAST ANY LEGAL QUESTIONS WHICH
WILL BE ANSWERED IN JUDICIARY.
IS BEEN THAT WE NEED A MOTION ON
THAT. WE HAVE AN ORAL. WE SAW
AROMAS KALRA THIS. SENATOR WHEN
THE WHEN NO GLAZER. GONZALEZ
FLETCHER GONZALEZ I. DROVE HER
TADO. HER TADO I'D. MENJIVAR
MENJIVAR EYEING RUBIO HI RUBIO
AYE WHAT HAAB. BOB HI. NINE TWO
ONE TWO NINE TWO ONE ANOTHER
BILL IS OUT ROSE CLOSED. NEXT UP
HE BEAT NINE FOUR NINETY FOUR BY
ARAMBULA TO PASS AND REFER TO
THE COMMITTEE ON APPROPRIATIONS
SECRETARY PLEASE CALL THE ROLL-
SENATOR GROWTH. SENATOR LIMÓN.
WITH THE MON HI. THAT'S ABOUT
THE BILL IS ABOUT TEN TO ONE AB
SIX TWENTY BY CALMLY THE MOTION
IS TO PASS AND REFERRED THE
COMMITTEE ON APPROPRIATIONS WITH
THE CHAIR VOTING HI. SECRETARY
WHEN. CONSULT BUT WHEN I.
GONZALEZ HI GONZALEZ I GROWTH.
HER TADO FURTADO I. ROTH ROTH
AYE RUBIO OKAY RUBIO I WILL HOP
BOB I WINNER WINNER I. OKAY
ELEVEN THAT'S ELEVEN TWO ZERO
THE BILL IS OUT BREL'S CLOSED.
AB EIGHT NINETY NINE BY MISTER
MURATSUCHI HAVING TO IS FOOD.
SAFETY A BABY FOOD BECAUSE WE
HAVE STRICKEN NOW HE'S AGREED TO
TAKE AN AMENDMENT TO TAKE OUT
INFANT FORMULA TO THIS ONLY NOW
APPLIES TO BABY FOOD. TESTING OF
THE FINAL BATCH AND LISTING ON
THE WEBSITE HOW MUCH HEAVY
METALS ARE IN SAID FOOD AND ONLY
WHEN THE FDA HAS ESTABLISHED A
GUIDANCE OR ACTUALLY WHAT WILL
IT GO ON THE LABEL. AND IT'S
GOING TO PASS AS AMENDED AND
REFERRED TO THE COMMITTEE ON
ENVIRONMENTAL QUALITY SECRETARY
PLEASE CALL THE ROLL. SENATOR
WHEN. GLAZER. GONZALEZ Y.
GONZALEZ I. GROWTH HER TADO.
LIMON MON I. ROTH. TO THANK IS A
SEVEN SO OKAY THE TEST SEVEN
VOTES IT GETS OUT- AND WE WILL
CLOSE THE ROLE ON THAT ONE-
MOVING ON TO AB NINE OH SEVEN
LOWENTHAL. DEALING WITH PANDAS
AND PANS MOTIONS TO PASS AS
AMENDED AND REFERRED TO THE
COMMITTEE ON APPROPRIATIONS IT'S
BEEN MOVED BY CENTER WILL HOP
SECRETARY PLEASE CALL THE ROLL.
GROWTH HER TADO- TODD- I. RUBIO
AYE RUBIO AYE WIENER AYE WIENER
AYE. ZERO TO ZERO THAT BILLS OUT
THAT ROSE CLOSE. B. TEN FORTY
EIGHT WICKS DENTAL BENEFITS AND
RATE REVIEW DO PASSED AS AMENDED
EVERY YEAR FOR THE COMMITTEE ON
APPROPRIATIONS. GONZALEZ
GONZALEZ I HER TADO. FURTADO I
MENTIONED ARE. AND YOU'VE ARE
EYEING RUBIO RIGHT RUBIO I. AT
ZERO TWELVE ZERO CLOSE THE ROLE
ON THAT. THAT MOVING ON TO- AB
TEN SIXTY SEVEN ASSEMBLY MEMBER
ORTEGA TO PASS AND REFERRED TO
THE COMMITTEE ON APPROPRIATIONS
SECRETARY PLEASE CALL THE ROLL.
WHEN I GONZALEZ HI GONZALEZ I
FURTADO. FURTADO I. ROTH RIGHT
ROTH HI RUBIO AYE RUBIO AYE WELL
HA. HA I WINNER. WIENER AYE.
OKAY THAT'S THAT'S OUT TWELVE
ZERO CLOSER ROLE MOVING ON NOW
TO AB ELEVEN SIXTY EIGHT
BENNETT. HAVING TO DO IT SAID TO
PASS AS AMENDED AND RE REFER TO
THE COMMITTEE ON GOVERNANCE AND
FINANCE I WANT TO SOMEBODY TELL
ME WHICH WAS LONGER THIS ONE
FOR. A MURATSUCHI ONE SECRETARY
PLEASE CALL THE ROLL. WHEN. AND
SALAS HI GONZALEZ I GROWTH.
APARTADO FURTADO I. WAHAT BOB HI
. HELLO ZERO IT OUT TEN ZERO.
NOW AB FOURTEEN SEVENTY
QUIRK-SILVA. LIMITED THE IMMENSE
SHE'S ACCEPTED THE MAN'S IN THE
MOTIONS TO PASS AS AMENDED EVERY
REFER TO THE COMMITTEE ON
APPROPRIATIONS SECRETARY. AND
SALAS HI GONZALEZ I GROWTH.
LIMON LIMON I. ABOUT. ELEVEN
ZERO. WITHOUT ELEVEN ZERO WE
WILL CLOSE THE ROLE WE NEED TO
RE OPEN THE- ROLE ON THE CONSENT
CALENDAR SECRETARY PLEASE CALL
THE ROLL THE CONSENT CALENDAR.
WHEN I WENT HI GONZALEZ GONZALEZ
I GROWTH. WHAT HAAB. BOB EVANS
ELEVEN ZERO THAT BILLS OUT THAT
ROSE CLOSED I THINK EVERYBODY
FOR A VIGOROUS NO WE HAVE- I
HAVE. THE MONTH BUT SHALL WE
NEED TO WE NEED TO ADD ON FOR
MUSLIM OWN ON WHICH BILL. AND HI
. OKAY LET'S START FOR THE
BEGINNING. WE ARE. EIGHTY SIX
FIFTEEN OF EIGHTY SIX FIFTY NINE
PLEASE CALL THE ROLL. I THANK
LIMÓN HI GROWTH. TEN THAT WENT
OUT TEN ONE THAT'S- TEN TO ONE
AB EIGHTY FIVE WEBER. SECRETARY
WHEN. GROWTH A MOUNTAIN. LIMÓN
HI. THE BILLS OUT THAT ROSE
CLOSE. TO- TIME THAT WEBER FIVE
SEVEN IN ON FIVE SIX WEBER SIX.
OPEN THE ROLE. WHEN GROWTH THE
MOUNTAIN. HI THE MON. WHAT ABOUT
FOR TWENTY. RIGHT. REFER LET HIM
SEE. AB FOR TWENTY FOUR SO OPEN
THE ROLE. CALL ROLL SO PLEASE
LET PART OF THE THINGS RIGHT ONE
OF MY OWN HI. THAT'S CHAU TWELVE
ZERO BILL IS OUT FOR THE- AB
FOUR SIXTY FOUR SHE I. SECRETARY
OPEN ROLES HE WENT. GROWTH LIMON
. LIMON HI. THE BILLS OUT. TEN
MAKE SURE WHEN THE- YEAH. TEN
ZERO THAT BILLS OUT THAT ROLE IS
CLOSED DID WE DO ACCEPT THAT
SOMEONE IS THAT YOU HAVE TO
FIGURE OUT OF. YES YEAH I THINK
SHE JUST A MINUTE TO MAKE SURE.
FOR OKAY THE NATIONAL. IF YOU
FOR. JUST YEAH. IF OKAY YEAH
OKAY. HOLE THAT CONCLUDES
EPISODE OF US SENATE HEALTH
COMMITTEE THREE OF US OF MISSING
OUR PARTY WE WILL ENSURE IN THIS
MEETING.