THE SENATE COMMITTEE ON HEALTH
BEGIN RIGHT NOW IT'S COMING
ORDER- GOOD AFTERNOON AS WE
CONTINUE TO WELCOME PERSON IN
PERSON AND VIA TELECONFERENCE-
WE SAY HELLO TO EVERYBODY TODAY
FOR INDIVIDUALS WISHING TO
PROVIDE PUBLIC COMMENT VIA
TELEPHONE THE PURSUITS BUT
NUMBERS. 877-266-8163 ACCESS
CODE. NINE THREE SIX SIX ZERO
TWO ONE. WE HAVE SEVENTEEN BILLS
ON TODAY'S AGENDA EIGHT OF THOSE
ARE ARE PROPOSED CONSENT- WE DO
NOT HAVE A QUORUM BUT WE HAVE TO
PEOPLE AND SO IF- USING KNOW WE
GOT COMPETITION. SENATE-
ASSEMBLY MEMBER WOULD ACTUALLY
SAW YOU SEE HERE THE NEW. TEN
ALL RIGHT HIS FIRST HIS FIRST
AND SHE HAS. GOOD AFTERNOON
AFTERNOON M. LISTER AB TWO FIFTY
FOR FIRST AMERICAN I THANK YOU
MADAM CHAIR AND SENATORS
SENATOR. SANDERS. THREE THREE.
WHAT MADAM CHAIR AND CENTER
CLOSE OKAY THANK YOU ARE THE
CHAIR AND THE- WOULD WOULD YOU
TO GO. I'M EIGHTY TWO FIFTY FOUR
IS A COMMON SENSE MEASURE TO
PROTECT REPRODUCTIVE HEALTH
INFORMATION NEARLY ONE THIRD OF
WOMEN USE REPRODUCTIVE AND
FERTILITY TRACKING APPS TO GUIDE
THEM THROUGH THEIR LIVES AND
THEIR PREGNANCIES FOR MISSILE
CYCLE TRACKING ONE OF THE FIRST
QUESTIONS USER FIRST ANSWER WHEN
SEEKING THESE. THE APPS SERVICES
OFTEN ARE YOU PREGNANT THESE
APPS ARE CAPABLE OF RECORDING
WHEN PREGNANCIES BEGIN AND WHEN
THEY END IN THEIR CURRENT FORM
THE APPS OFFER LITTLE IN THE WAY
OF DATA PROTECTION A CONSUMER
REPORTS STUDY FOUND THAT NONE OF
THE LEADING MENSTRUAL TRACKING
APPS OFFER TRANSPARENCY ABOUT
WHO THEY SHARE THE DATA WITH.
THIS STUDY FOUND THAT A MAJORITY
THE APPS USE THIRD PARTY
TRACKERS IT'S UNACCEPTABLE
ESPECIALLY IN A POST FOR A WORLD
TO SELL DATA REVEALING
REPRODUCTIVE CARE THAT COULD
RESULT IN ARREST. AND NOT TO
MENTION JUST THAT WE DESERVE
PRIVACY AND REPRODUCTIVE LIVES.
AB TWO FIFTY FOUR PROTECT THIS
DATA BY ADDING C. M. I. A.
PROTECTIONS THE CALIFORNIA
MEDICAL INFORMATION ACT. TO
REPRODUCTIVE AND SEXUAL HEALTH
INFORMATION COLLECTED BY THESE
DIGITAL SERVICES WITH ME TODAY
IN SUPPORT OF AB TWO FIFTY FOUR
IS GENESIS GONZALEZ WITH THE
LIEUTENANT GOVERNOR'S OFFICE AND
BECCA KRAMER WITH THE ACLU.
PLEASE FOR SPARKLING. HI BACK
KRAMER MATTER ON BEHALF OF ACLU
CALIFORNIA ACTION AND SUPPORT.
GIVEN THE NATIONAL CLIMATE
REPRODUCTIVE AND SEXUAL HEALTH
INFORMATION IS BECOMING EVEN
MORE VALUABLE AND POSES AN EVEN
GREATER RISK TO USERS WHEN
SHARED WITHOUT THEIR CONSENT. AS
STATES ACROSS THE COUNTRY
CRIMINALIZED PEOPLE FOR
RECEIVING REPRODUCTIVE HEALTH
CARE IT BECOMES EVEN MORE
IMPORTANT THAT CALIFORNIA DOES
MORE TO PROTECT AGAINST IT'LL
TRACKING. THE LAX DATA SECURITY
OF APPS THAT TRACK MENSTRUAL
CYCLES ARE PREGNANCY MEANS THE
STATIC COULD EASILY BE ACQUIRED
AND USED AS EVIDENCE TO
CRIMINALIZE PREGNANCY LOSS
ABORTION OR GENDER AFFIRMING
CARE. THE DATA COLLECTED BY
THESE APPS IS EXTENSIVE. ADS FOR
REPRODUCTIVE HEALTH SERVICES MAY
TAKE A USER DIRECTLY TO A SURVEY
THAT TRACKS FAMILY MEDICAL
HISTORY MOOD MEDICATIONS
PREGNANCY STATUS AND OTHER
SENSITIVE INFORMATION. UNLIKE A
DOCTOR'S OFFICE THIS INFORMATION
IS NOT COVERED BY HIPAA OR CMA.
BECAUSE IT IS CONSIDERED HEALTH
INFORMATION RATHER THAN MEDICAL
INFORMATION. A DISTINCTION THAT
CARRIES A HUGE DIFFERENCE IN
LEGAL OBLIGATIONS AND
PROTECTIONS. BUT WHICH IS
MEANINGLESS AND NONSENSICAL TO
THE AVERAGE USER. THE DATA
SHARING PROVISIONS AND
ENFORCEMENT MECHANISMS GOVERNING
HEALTH INFORMATION DO NOT
PROVIDE ADEQUATE AND PROTECTION.
THIS BILL MAKES THOSE CLAIMS OF
PRIVACY PROTECTIONS REAL BY
ADDING THE INFORMATION COLLECTED
TO CMA. PROVIDING USERS WITH THE
MEDICAL PRIVACY PROTECTIONS MANY
WRONGLY ASSUME REPRODUCTIVE OR
SEXUAL HEALTH OP INFORMATION
ALREADY HAS. WE THEREFORE
REQUEST AND I HAVE IT ON AB TWO
FIVE FOUR THANK YOU THANK YOU
VERY MUCH NEXT PERSON SPEAKING
IN SUPPORT PLEASE. HI THERE
THANK YOU MADAM CHAIR NUMBERS I
APOLOGIZE RAN DOWN THE STAIRS A
LITTLE OUT OF BREATH. GO BACK UP
TO THE PARK. NO I'M SURE THIS IS
GONZALEZ. LEGISLATIVE AFFAIRS
SPECIALIST. TO SPEAK IN SUPPORT
OF AB TWO FIVE FOUR ON BEHALF OF
THE TO THE GOVERNOR OF ANY KIND
OF LIKE IT'S- OKAY GOOD WOULD
USE POSITIVELY. IT'S HAPPENED TO
A LOT WE'RE WITH YOU. THANK YOU
THE LIEUTENANT GOVERNOR IS A
PROUD SPONSOR OF AB TWO FIVE
FOUR AND IS GRATEFUL TO THE
AUTHOR FOR BRINGING THIS BILL
FORWARD. UNDER CURRENT LAW DATA
COLLECTED ON AN APP REGARDING
USERS SEXUAL REPRODUCTIVE HEALTH
IS NOT SUFFICIENTLY PROTECTED.
SINCE RETURN ROSE ELEVEN STATES
HAVE CRIMINALIZED ABORTION AND
MANY MORE CONSIDER DOING THE
SAME. AS MORE AND MORE
CALIFORNIANS PLACE THEIR
PERSONAL HEALTH DATA ON TRACKING
APPS THERE'S NO GUARANTEE THAT
THE INFORMATION IS SAFE. AB TWO
BY FORCIBLY EXPENSES EIGHT
GUARDS OF CALIFORNIA'S MEDICAL
PRIVACY LAW CMA. AND THE FEDERAL
MEDICAL PRIVACY LAW HIPPA TO.
THE DATA GATHERED BY DATA
SERVICES THAT OFFER SEXUAL AND
REPRODUCTIVE HEALTH CARE WITH AB
TWO FIVE OR- USERS CAN BE
ASSURED THAT SENSITIVE DIGITAL
INFORMATION. ABOUT THE
REPRODUCTIVE AND SEXUAL HEALTH
WHAT THE SAME PROTECTIONS AND
PRIVACY IS OTHER MEDICAL
INFORMATION. AB TWO FIVE FOUR
PROTECT CALIFORNIANS AND
CONTINUES TO BE A BEACON OF
HOPE. AND A SAFE HAVEN AND APOST
ROW WORLD WE RESPECTFULLY ASK
FOR YOUR AYE VOTE ON AB TWO FIVE
FOUR THANK YOU THANK YOU VERY
MUCH NOW OTHERS SPEAKING TO
SUPPORTERS COME FORWARD NOW NAME
AND AFFILIATION. PERSECUTE US ON
BEHALF OF THE CITY AND COUNTY OF
SAN FRANCISCO IN SUPPORT. KAREN
STOUT WE HAVE FOR THE CALIFORNIA
NURSE ASSOCIATION AS WELL AS
NARAL PRO CHOICE CALIFORNIA IN
SUPPORT. BRENT SPENCER MAP THE
AMERICAN COLLEGE OF OBGYN
STRYCHNINE IN SUPPORT. TAYLOR
JACKSON WITH CALIFORNIA HEALTH
PLUS ADVOCATES REPRESENTING
CALIFORNIA'S COMMUNITY HEALTH
CENTERS HERE IN STRONG SUPPORT.
THANK YOU. HE WILL BE SPEAKING
IN OPPOSITION TO THIS BILL TODAY
. NONE LISTED RIGHT SEEING NONE
LEAGUE OPPOSITION AS ARE JUST
SOME PEOPLE LIKE TO SPEAK IN.
SAKE THEY DON'T LIKE IT. SEEING
NONE WILL GO TO LINES MODERATOR
YOU THEY'RE HAVING BUT HE ON THE
LINE. FOR AB TWO FIESTA BETTER
OKAY. YES MEDICARE- WE DO HAVE A
KIND FOR MY NINETY. YOUR LINE IS
NOW OPEN AND IF YOU WOULD LIKE
TO COMMENT PLEASE PRESS ONE ZERO
BY NINETY SIX YOUR LINE IS OPEN
. HI MY NAME IS A CALVET THE
NATIONAL ASSOCIATION OF SOCIAL
WORKERS CALIFORNIA CHAPTER IN
SUPPORT OF THIS. THANK YOU NEXT
CALLER PLEASE. AND WE ARE
WAITING. EIGHT THEN. BY THE NEXT
QUESTION THE NEXT COMPETITION
LINE NINETY TWO YOUR LINE IS
OPEN. GOOD AFTERNOON CAN COME
AROUND HALF OF THAT HEALTH
OFFICE IS THAT THE CREATION OF
CALIFORNIA IN SUPPORT THANK YOU
THANK YOU VERY MUCH COLOR PLEASE
. M. ARE NUMBER COMMENTS BETTER
. THANK YOU FOR MUCH NOW TIME OF
TWO IT BACK COMMITTEE MEMBERS
QUESTION COMMON. IS PRETTY
STRAIGHTFORWARD BILL WOULD YOU
LIKE TO CLOSE WHEN THE TIME IS
RIGHT EXPECT LAST PRIVATE THANK
YOU VERY MUCH WE DON'T HAVE A
QUORUM PROMOTION RIGHT NOW BUT
WHEN WE DO WE WILL GET THERE.
ARE NOW MOVING ON TO AB
SEVENTEEN TWENTY. THANK YOU MATT
INSURANCE SENATORS I WANT TO
START BY THANKING THE COMMITTEE
STAFF FOR THEIR HELP ON THIS
BILL AND THE CHAIR ITSELF I'M
ULTRASOUND AB SEVENTEEN TWENTIES
A SIMPLE BILL TO ENSURE ALTER
SOUNDS ARE PROVIDED LICENSE
EDDINGS OR BY MEDICAL PROVIDERS.
ULTRASOUNDS ARE SOME OF THE MOST
INTIMATE REVEALING METAL CORTES
AN INDIVIDUAL CAN RECEIVE THEY
OFTEN REVEAL FOR THE FIRST TIME
A SERIOUS MEDICAL ISSUE OR THE
DEVELOPMENT OF THE FETUS I MISS
READ ALTER SOUND CAN THEREFORE
BE. UTTERLY DEVASTATING UNLIKE
OTHER STATES ULTRASOUNDS IN
CALIFORNIA DO NOT REQUIRE A
SPECIFIC CERTIFICATION OR
LICENSURE. AND LICENSE ALTER
SOME PROVIDERS DO NOT USE
INSURANCE WHICH PUTS UNINSURED
PATIENTS AT DISPROPORTIONATE
RISK. THE SAME A SECRET SHOULD
BE MEDICAL CARE FROM UNLICENSED
CENTERS. AND WE'RE TAKING
AMENDMENTS AND SENATE JUDICIARY
COMMITTEE TO EXPAND EXEMPTIONS
TO ALL LICENSE PROVIDERS. AND
I'M COMMITTED TO CONTINUING TO
WORK WITH STAKEHOLDERS TO ENSURE
THE BILL IS RESTRICTED TO
UNLICENSED ALTER SOUNDS ONLY
WITH ME IN SUPPORT IS RYAN
SPENCER WITH THE AMERICAN
COLLEGE OF OBSTETRICIANS AND
GYNECOLOGISTS. MISTER SPENCER.
BEKOMMEN CHAIRMAN VERSUS A RIGHT
SPENCER ON BEHALF OF THE
AMERICAN COLLEGE OF OBGYN
STRYCHNINE IN SUPPORT OF AB
SEVENTEEN TWENTY. OUR PROVIDERS
UTILIZE ULTRASOUNDS TO MONITOR
PREGNANCY AS WELL AS DIAGNOSE
AND MONITOR MEDICAL CONDITIONS.
THAT ARE NOT RELATED PEGS THE
SUCH AS- THE CAUSE OF PELVIC
PAIN ABNORMAL UTERINE BLEEDING
OR INFERTILITY. THEY ARE AN
ESSENTIAL PART OF HEALTHCARE BE
TREAT SHOULD BE TREATED AS SUCH.
STOP UTILIZED ULTRASOUNDS AT
UNREGULATED AND OFTEN NON
MEDICAL FACILITIES HAVE NO LEGAL
OBLIGATION TO PROVIDE PREGNANT
PEOPLE WITH ACCURATE INFORMATION
AND ARE NOT SUBJECT TO HIPAA OR
REQUIRED BY LAW TO MAINTAIN
CLIENT CONFIDENTIALITY. EQUI
CONCERNS YOU SUPPORTER SOUNDS TO
EMOTIONALLY MANIPULATE AND SHAME
PREGNANT PEOPLE AND THE GUYS OF
INFORMING OR DIAGNOSING THEM.
ADDITIONALLY WHY THERE'S
CURRENTLY NO EVIDENCE THAT WATER
SOUNDS ARE HARMFUL TO A
DEVELOPING FETUS IT IS POSSIBLE.
THAT AFFECTS COULD BE IDENTIFIED
IN THE FUTURE. THEREFORE CASUAL
OR NON MEDICAL USE OF.
ULTRASOUNDS DURING PREGNANCY
SHOULD BE AVOIDED AND FORMER
ONLY FOR MEDICAL REASONS BY
QUALIFIED HEALTH CARE
PROFESSIONALS IN AB SEVENTEEN
TWENTY. YOU KNOW PROVIDE THESE
NECESSARY PROTECTIONS. BY
ENSURING OLD SOUNDS REFORMED
ONLY IN REGULATED MEDICAL
FACILITIES FOR THESE REASONS
AYCOCK IS PLEASED TO SUPPORT AB
SEVENTEEN TWENTY AND ASK FOR
AYE. THANK YOU THANK YOU VERY
MUCH VIDEO SPEAKER SUPPORT OF
THIS BILL. WHEN SOME. JUST IS.
OKAY WE WISH WE COULD NOT RESIST
THIS BILL TODAY. OKAY SEEING
SIGNAL GO TO PHONE LINES. IF YOU
WOULD LIKE TO HAVE IT AT AB
SEVENTEEN TWENTY PLEASE PRESS
ONE ZERO. AND THERE ARE NO
COMMENTS AND CHAIR. OKAY THANK
YOU VERY MUCH AND WILL NOW BE
BRING IT BACK HERE AND I JUST TO
CLARIFY WE HAVE TO MOCK UP OF
MEN'S IT TOO LATE YOUR DOUBLE
REFERRED. SO YOU'RE GOING TO
TAKE THESE AMENDS INJUDICIOUS
KIND JUST CLEANING UP THE
LANGUAGE ACCURATE MAKING SURE
PEOPLE WHO SHOULD BE GIVING
ULTRASOUNDS DOCTORS OFFICE AND
SUCH CAN ALL. DO THEIR WORK YES
MANAGER OKAY VERY GOOD OKAY
ANYBODY ELSE. I THINK WE'RE NOT
QUITE AT A QUORUM NHÀ. I MEAN
ONE MORE OKAY. WITH IT YOU VERY
MUCH WE'RE GOING GIVE US. AGAIN
WHEN THEY ARE ARISES RICH ASK
FOR AND THEN YOU MANAGER FOR.
THANK YOU VERY MUCH YEAH. ALL
RIGHT SO MEMBER WERE.
THANK YOU VERY MADAM YES SIR.
AND JUST AT THE END OF THE
ALPHABET- SO OF THAT INSURANCE
SENATORS- THANK YOU FOR THE
OPPORTUNITY PERCENT AB TEN
NINETY TWO. THIS BILL BUILDS
UPON MY PRIOR LEGISLATION AB
FIVE NINETY FIVE ON HEALTH PLAN
MERGERS. TO ENSURE THAT HEALTH
PLANS ACQUIRING A PHYSICIAN
GROUP ARE SUBJECT TO REGULATORY
REVIEW. STUDIES SHOW THAT
MERGERS AND ACQUISITIONS IN
HEALTHCARE ARE NOT LOWERING
COSTS FOR ANYONE BUT THE
ENTITIES DOING IT AND THERE ARE
REAL CONCERNS ABOUT HOW THESE
MERGERS COULD REDUCE OR LIMIT
ACCESS TO CERTAIN HEALTH CARE
SERVICES. THIS BILL ENSURES THAT
THE REGULATORS HAVE THE
AUTHORITY TO REVIEW SUCH
TRANSACTIONS AND THEIR IMPACT ON
CONSUMERS. THE BILL ALSO
AUTHORIZES DEPARTMENT OF MANAGED
HEALTH CARE DIRECTOR TO REVIEW
COMPETITION AND HEALTH SYSTEMS.
AND PROVIDE THIS INTO
INFORMATION TO THE ATTORNEY
GENERAL'S. RECENT TECHNICAL
ASSISTANCE FROM THE DEPARTMENT
OF MANAGED HEALTH CARE CLARIFY
THAT THESE TRANSACTIONS INCLUDE
THOSE OF A HEALTH PLANS FILIA. I
RESPECTFULLY ASK RIVAL THANK YOU
VERY MUCH FIRST PERSON SPEAKING
IN SUPPORT. GOOD AFTERNOON MADAM
CHAIR AND SENATORS I'M KATIE VAN
DEINZE UP HOUSING LEGISLATIVE
ADVOCATE WITH HEALTH ACCESS
CALIFORNIA AND WE ARE PROUD TO
SUPPORT EIGHTY TEN NINETY TWO.
HEALTH ACCESS I'M AT SINCE HER
HEALTH A SPONSORED EIGHTY FIVE
NINE FIVE BY DOCTOR WOULD WHICH
THE LEGISLATURE PASSED BACK IN
TWENTY EIGHTEEN TO GIVE THE
DEPARTMENT OF HEALTH CARE THE
AUTHORITY TO APPROVE OR DENY
MERGERS OR APPROVE MERGERS WITH
CONDITIONS TO PROTECT CONSUMERS.
EIGHTY FIVE NINE FIVE REQUIRED
THAT WHEN TO HELP AND MERGED OR-
ANOTHER ENTITY ACQUIRED A HEALTH
PLAN THE SEEK THE APPROVAL OF
THE APARTMENT DEPARTMENT. UNDER
THE LAW THE DEPARTMENT REVIEWS
THE MERGER FOR THE IMPACTS ON
CONSUMERS PURCHASERS QUALITY AND
COSTS. AND HOLD A PUBLIC MEETING
ON A MAJOR TRANSACTION WHICH
AFFECTS A SIGNIFICANT NUMBER OF
ENROLLEES WILL HAVE A
SIGNIFICANT IMPACTS. AB TEN
NINETY TWO BECAUSE A CRITICAL
GAP IN THAT LEGISLATION IN THIS
OVERSIGHT AUTHORITY BY REQUIRING
THAT WOULD HELP INSPIRE OTHER
ENTITIES LIKE PHYSICIAN GROUPS.
THERE THAT SAME OVERSIGHT. SINCE
THE PASSAGE OF EIGHTY FIVE NINE.
I TREND THAT WE'VE BEEN SEEING
AS HOW PLANS BY. OR IN. FOR
BREAK. OPTIM HEALTH MEDICAL
GROUP OWNED BY UNITED HEALTHCARE
RECENTLY BOUGHT TO THE LARGEST
PHYSICIAN GROUPS IN SOUTHERN
CALIFORNIA. UNITED HEALTHCARE
HEALTH PLAN MEETS AB THE LARGEST
EMPLOYER OF PHYSICIANS IN THE
UNITED STATES. LIKE HEALTH PLAN
MERGERS ELIMINATING OR LESSENING
COMPETITION AMONG PROVIDERS AND
INSURERS AND HEALTH PLANS. CAN
LEAD TO INCREASING COSTS FOR
CONSUMERS AND THAT LESS
COMPETITION FOR QUALITY AND
TYPES OF SERVICES OFFERED. AND
ENSURE BANG A DOCTOR GROUP
RAISES IMPORTANT QUESTIONS ABOUT
QUALITY AND THIS COMMITTEE HAS
HEARD LOTS OF BILLS THIS YEAR
ABOUT PROTECTING CONSUMERS BY
RESPECTING THE PROFESSIONAL
JUDGMENT OF DOCTORS. THIS IS BY
REQUIRING THAT ALL KINDS OF
HEALTH PLAN MERGERS HI THIS
STATE REVIEW FOR IMPACTS IS SO
CRITICAL TO PROTECTING QUALITY
AND AFFORDABLE HEALTH CARE.
THANK YOU AND I RESPECTFULLY ASK
YOUR I THOUGHT. THANK YOU VERY
MUCH HISTORIAL SPEAKING AS- LEAD
TO SUPPORTER TODAY. OKAY SINGMAN
JUST OTHERS WANTING TO CHIME IN.
ON THIS BILL PLEASE COME FORWARD
AT THIS TIME. NAME AND
AFFILIATION THAT'S ON ASK YOU
THAT'S HEAR CALIFORNIANS STRONG
SUPPORT THANK YOU. GOOD
AFTERNOON OF MY LOCUSTS. NURSES
ALSO. AND THANK YOU. HELLO KURDS
THAT WITH CALIFORNIA'S MEMBERS
THE STATION AS WELL AS IN A ROW
PURCHASE CAL. IN SUPPORT THANK
YOU. AFTERNOON CHAIR MEMBERS
JAMES MICHAEL POLLOCK WITH ASKED
ME CALIFORNIANS SUPPORT. THANK
YOU VERY MUCH. OKAY LEAVE PEOPLE
SPEAKING IN OPPOSITION TODAY
PLEASE COME FORWARD. OKAY OKAY
AFTERNOON I THINK YOU MADAM
CHAIR AND MEMBER NICHOLAS- SOME
HAVE TO. ASSOCIATION OF HEALTH
PLANS AND WE ARE IN A RESPECTFUL
OPPOSITION OF- TEN EIGHT TEN
NINETY TWO. WHICH REPRESENTATIVE
WILL ONLY MAKE HEALTH CARE MORE
COMPLICATED- MORE EXPENSIVE IN
THE SUFFICIENT. DO YOU NEED C.
ALREADY HAS THE AUTHORITY TO
IMPOSE REQUIREMENTS ON HEALTH
PLAN TRANSACTIONS. AND THE
DEPARTMENT IS NOT SHY AT ALL
ABOUT USING ITS AUTHORITY- AB
TEN NINETY TWO PLACES- EVEN MORE
CONDITIONS INTO EXISTING LAW
THAT WILL ULTIMATELY GIVE THE
GOVERNMENT MORE LEVERAGE TO
DEMAND EXPENSIVE UNDERTAKINGS
FROM OUR MEMBERS. I'M END OF THE
AMENDMENTS THAT WENT INTO THE
BILL LAST WEEK- UNFORTUNATELY
MAKE THE BILL WORSE- JUST AS ONE
EXAMPLE OF THE LANGUAGE. STATING
THAT THE CHOIR RING INTO T. IS
FURTHER DEFINED AS INCLUDING THE
ACQUISITION OF AN ENTITY BY
CORPORATE AFFILIATE OF A HEALTH
PLAN IF THE AGREEMENT OR
TRANSACTION WILL IMPACT
ENROLLEES OF THE HEALTH CARE
SERVICE PLAN THE STATE. ON IS-
PARTICULARLY PROBLEMATIC FOR MY
MEMBERS PERSPECTIVE ON THIS
LANGUAGE ABOUT CORPORATE
AFFILIATES COULD CAST A VERY
WIDE NET AND INCORPORATE
ACTIVITIES THAT WE DON'T THINK
ARE INTENDED- IN THE SCOPE OF
THIS BILL. ONE OF MY MEMBERS
OFFERED ONE EXAMPLE- IF THE
PARENT COMPANY OF THE HEALTH
PLAN FOR INSTANCE ACQUIRED A
CORPORATION THAT. PROVIDES LIKE
PRINTING SERVICES- LET'S SAY IN
THOSE SERVICES ARE USED FOR
PATIENT MATERIALS EMPLOYEE
MATERIALS. AND FOR- MATERIALS
INTENDED FOR THE HEALTH PLAN
ENROLLEES EVENT COULD
CONCEIVABLY TRIGGER ALL OF THE
READ REVIEW REQUIREMENTS OF THIS
BILL AND WE'RE NOT SURE THAT'S
INTENDED BECAUSE- THE
TRANSACTION WOULD IMPACT
ENROLLEES OF THE HEALTH CARE
SERVICE PLAN AS STATED BY THE
LANGUAGE. BECAUSE THE PLAN
DOCUMENTS WOULD BE PRODUCED BY
THAT SERVICE- IN THE
TRANSACTIONS WOULD BE CONSIDERED
A MAJOR TRANSACTION SINCE ALL
THE HEALTH PLAN ENROLLEES WOULD
BE IMPACTED BY THAT I'M NOT SURE
THAT'S THE INTENT. BUT IF YOU
KNOW A PLAIN READING OF THE
LANGUAGE- SEEMS TO INDICATE THAT
THAT THAT THAT COULD CONCEIVABLY
HAPPEN- ADDITIONALLY THE NEWLY
ENACTED OFFICE OF HEALTH CARE
AFFORDABILITY OF WHICH YOU KNOW
DOCTOR WOULD WAS A CHAMPION OF-
AND- CONCEPTUALLY YOU KNOW I.
WOULD LIKE TO SEE- YOU KNOW
TAKING AIM AT THE UNDERLYING
COSTS OF HEALTH CARE- BUT THE
OFFICE- ALSO TAKES AIM TO SEEK A
COMPREHENSIVE APPROACH TO
ADDRESSING RISING HEALTH CARE
COSTS. IN AS PART OF ITS MISSION
ON THE OFFICERS REQUIRED TO
MONITOR THE IMPACT OF A
CONSOLIDATIONS AND PROMOTE A
COMPETITIVE MARKETS. I'M IN A
MANNER THAT'S SUPPOSED TO BE
SUPPORTIVE OF THE AG'S
ACTIVITIES- AND OF THE
DEPARTMENT MANAGED HEALTHCARE-
THIS INVOLVES. ANALYZING
TRANSACTIONS- AND REPORTING ON-
ANTICIPATED IMPACTS ON THE
HEALTH CARE MARKET. I'M
CONSIDERING THIS IS NOT ENTIRELY
CLEAR. WHY THIS BILL IS NEEDED.
IN A RECENT BOARD ME OF THE ALL-
IT SAID IT WOULD BE REVIEWING
OVER A HUNDRED TRANSACTIONS- IN
THE HEALTHCARE INDUSTRY SO
WEARING. A NEW LAYERS OF REVIEW
UPON THE ONES THAT ALREADY EXIST
ON WE THINK- IS- THE ONEROUS ON
OUR MEMBERS- DAHLE JUST LEAVE
YOU WITH THIS YOU KNOW
CALIFORNIA'S MARKET YOU KNOW.
PARTICULAR COMPARED TO OTHER
STATES PRETTY COMPETITIVE
COMPETITIVE. AND IT'S A
BELLWETHER OF COMPETITION
CHOICE- PROVIDING MILLIONS OF
ACCESS TO AFFORDABLE HEALTH CARE
NO YOU KNOW WE AGREE YOU KNOW-
ENSURING THAT WE HAVE A
COMPETITIVE MARKET AND HEALTHY
MARKET IS DEFINITELY- YOU KNOW
SOMETHING THAT POLICY MAKERS
SHOULD STRIVE FOR. AND WE JUST
THINK- THIS BILL- IS UNNECESSARY
AND- COULD HARM OF THE MARKET
THANK YOU. THANK YOU VERY MUCH.
THE PERSON SPEAKING IN A
POSITION AFTERNOON MADAM CHAIR
JOHN VALENCIA REPRESENTING
VISION SERVICE PLAN VSP
HEADQUARTERED IN RANCHO CORDOVA.
WE'RE THE NATION'S LARGEST NOT
FOR PROFIT INSURER OF VISION
CARE. WE ENSURE OVER FOURTEEN
AND A HALF MILLION CALIFORNIANS
IN OVER NINETY THREE MILLION
AMERICANS WITH A NETWORK. OF
FORTY FIVE THOUSAND PROVIDERS.
TO DISTINGUISH FROM OUR MY
COLLEAGUES POSITION OUR CONCERN
IS ABOUT THE SAME LANGUAGE BUT
FOR DIFFERENT REASONS. VSP HAS A
SUBSIDIARY OF CORPORATE
AFFILIATE IN TITLE VS P.
VENTURES USING THE MECHANICS IN
THE BUSINESS AND PROFESSIONS
CODE SECTION SIX FIVE FIVE. WE
ARE INVESTING IN COMMUNITY BASED
UP OPTOMETRIC PRACTICES
BASICALLY TO KEEP THEM IN
EXISTENCE AND KEEP COMPETITIVE
AGAINST RETAIL ORIENTED TYPES OF
PROVIDERS OF OPTOMETRY THE WAY
WE DO IT IS SIMPLE. WE INVEST IN
A PROFESSIONAL CORPORATION WHICH
IS THE ONLY TYPE OF HEALTHCARE
CORPORATION THAT IN TURN CAN
INVEST IN OPTOMETRIC PRACTICES.
WE TAKE AWAY THE CONCERNS OF THE
PROVIDER LEASES PRACTICE
MANAGEMENT ON THE LIGHT. AND
THOSE PROVIDERS BECOME
PRACTITIONER EMPLOYEES OF THAT
PROFESSIONAL CORPORATION WE
PROVIDE THE FINANCING. SO THAT
NEW DOCS WHO ARE BOTH IN DEBT
AND NOT NECESSARILY INCLINED TO
FOLLOW THE OLD MODEL OF PRACTICE
ACQUISITION. HAVE AN OPPORTUNITY
TO STAY IN THE COMMUNITY IN
WHICH THEY WANT TO PRACTICE. IN
TERMS OF MARKET DOMINATION
BUSINESS AND PROFESSIONS CODE
SECTION THIRTY SEVENTY SEVEN IF
I REMEMBER CORRECTLY LIMITS
OPTOMETRISTS TO MORE THAN NO
MORE THAN. ELEVEN OFFICES AND
THAT'S ANY COMBINATION OF THE
NUMBER OF OPTOMETRISTS WE'VE
ADVANCED CORRECTIVE LANGUAGE TO
THE AUTHOR OF SPOKEN WITH DOCTOR
WOULD. WE INTEND TO KEEP WORKING
ON THAT BUT WE WOULD ASK FOR
YOUR CONSIDERATION OF OUR
REQUEST THANK YOU THANK YOU VERY
MUCH. WHICH SPEAKING IN ME TO
FOR UP. MADAM MEMBERS JOHN WE
GRAB MEREKA HEALTH AND PLAN.
APOLOGIES FOR NOT GETTING A
LETTER IN ON TIME BUT WE DO HAVE
AN OPPOSE POSITION. THANK YOU
VERY MUCH OKAY GOING TO THE
PHONE LINES NOW. WE HAVE ANYBODY
IN SUPPORT AND OR OPPOSITION. TO
AB TEN NINETY TWO. IF YOU'D LIKE
TO SPEAK TO AB TODAY DUE TO
PLEASE PRESS ONE ZERO. OUR FIRST
COMEDIES FROM LINE NINETY YOUR
LINE IS NOW OPEN. GOOD AFTERNOON
THIS IS SANDRA POOL WITH WESTERN
CENTER ON LAW AND POVERTY IN
SUPPORT. THANK YOU NEXT CALLER
PLEASE. THE NEXT COMPETITION
LINE EIGHTY SIX YOUR LINE IS NOW
OPEN. GOOD AFTERNOON STATE
BORDERS ON BEHALF OF CALIFORNIA
AGENTS AND HEALTH INSURANCE
PROFESSIONALS IN SUPPORT. THANK
YOU VERY MUCH AND THERE ARE.
OTHER NUMBER COMMENTS AT THIS
POINT MADAM CHAIR THANK YOU VERY
MUCH NOW WILL BE BRINGING IT
BACK TO THE COMMITTEE. CENTER
RUBIO. THANK YOU MADAM CHAIR.
THANK YOU TO BE OUT THERE- YOU
KNOW I WANT TO ADDRESS SOME OF
THE COMMENTS THAT WERE MADE BY
THE OPPOSITION- I COMPLETELY
UNDERSTAND WHY HE WANT TO MOVE
THIS BILL FORWARD BUT- IF YOU
DON'T MIND ADDRESSING A MICHELIN
SUGGEST- STATED IN TERMS OF. HOW
IT IMPACTS THAT THAT THEIR
BUSINESSES WELL S. MISTER
LOUISA'S SIGN ALL THAT THERE'S A
LOT THERE AND A LOT OF COMMENTS
WERE MADE BUT- IF YOU CAN
SYNTHESIZE I THINK IT'S- BASED
ON THE- CORPORATE AFFILIATES.
WORDS HAVE YOU CAN ADDRESS THAT
THAT WOULD BE GREAT THANK YOU
THANK YOU CENTER FOR THE
QUESTION WE'RE STILL LOOKING AT.
THE V. S. P. ISSUE- BUT I THINK
THE- THEY HAVE FOURTEEN MILLION
ENROLLEES IN THE STATE. AND I
THINK THEIR DESIRE IS TO KEEP
THAT. THAT POOL BY. SUPPORTING
OTHER OTHER ENTITIES IN PRACTICE
OUT THERE- AND THAT'S FINE I
GUESS FROM MY PERSPECTIVE. AS
LONG AS IT ACTUALLY BENEFITS
CONSUMERS AND NOT NECESSARILY
BENEFITS. VS P. OR OTHERS- THE
PURPOSE OF THIS BILL IS TO MAKE
SURE THAT IF WE HAVE
CONSOLIDATION OR- ACQUISITIONS
THAT THEY ACTUALLY BENEFIT
CONSUMERS SO- I DID ANTICIPATE
SOME OF THE- QUESTIONS- FROM THE
OPPOSITION- WE HAVE NO INTEREST
IN PRINTING. BUSINESSES THAT'S
NOT IT AT ALL- BUT- IT IS IT'S
MORE AND MORE WE'RE STARTING TO
SEE. AFFILIATED ENTITIES-
ENTERING INTO THE HEALTHCARE
SPACE FOR EXAMPLE AND WHILE IT
DOESN'T APPLY SPECIFICALLY TO
THIS BILL- OR SEEN IN THE IN THE
SKILLED NURSING FACILITY SPACE
WHERE. COMPANIES OWN MORE AND
MORE RELATED ENTITIES THAT THAT
SEEK TO- MAXIMIZE PROFIT WHILE
BOB. IN SOME CASES PUTTING LESS
AND LESS MONEY TOWARDS THE
ACTUAL CARE OF THE PATIENT. OUR
MOST VULNERABLE ARE BOTH SUMMER
MOST VULNERABLE CITIZENS- THIS
BILL WE DON'T BELIEVE. IS GOING
TO INCREASE COSTS- IT IT
BASICALLY WE'RE LOOKING AT THE
ACQUISITION OF PHYSICIAN GROUPS
WHICH IS BEEN THE NEXT FRONTIER
SO TO SPEAK- YOU HEARD THAT
OPTUM ACQUIRED- IT HAS IT HAS
BEEN AN ACQUISITION THEY ARE NOW
THE LARGEST. GROUP THAT OWNS
THAT THAT THAT OPERATE NOT
PHONES WHAT HOPEFULLY THEIR OWN
PHYSICIANS- BUT- BUT BUT YOU
HAVE A LARGE ACQUISITION THERE
AND I THINK. THAT THAT IS A
CHALLENGE I DON'T THINK THAT
THAT NECESSARILY LEADS TO-
INCREASED- CONSUMER BENEFIT
THERE- LET ME SEE I HAD A COUPLE
OF OTHER THINGS. WE DON'T
BELIEVE THIS MAKES THIS ANYTHING
ANY MORE EXPENSIVE IS TO REVIEW
THE M. A. C. WOULD LOOK AT THE
DATA- THEY HAVE IT. IN IN THIRTY
YEARS D. M. A. C. HAS NOT DENIED
A MERGER AND ACQUISITION IN
CALIFORNIA WHAT THEY HAVE DONE
IS THAT SOME CONDITIONS TO THAT
TO MAKE IT MORE CONSUMER
FRIENDLY AND WE SAW THAT THIS
YEAR THE LAST YEAR WITH- AB FIVE
NINETY FIVE AND TO HEALTH PLANS
SO. THAT PERFORMERS AND THERE
WERE CONSENT CONDITIONS TO THAT
THAT HELP TO MAKE THIS MORE
CONSUMER FRIENDLY SO- OKAY
DOESN'T HAVE THE OFFICE POKER
AFFORDABILITY DOESN'T HAVE THE
AUTHORITY TO DO THAT VERY
THEY'RE TASKS WITH. I'M
GATHERING MARKET DATA TO SEE.
WHETHER OR NOT- THERE IS A
MARKET THERE IS A MARKET
INFLUENCE THERE SO- APPRECIATE
THE OPPOSITION I THINK- THEY'RE
CONFLATING SOME THINGS HERE THAT
REALLY DON'T. DON'T GO WELL
TOGETHER AND I JUST REITERATE WE
. HAVE NO INTEREST IN PRINTING
BUSINESSES. SENATE NIGHT JUST
TWO OF WILL GIVE OUR BECAUSE AND
I WANT TO THANK YOU THAT- BUT
AGAIN THERE A LOT FIVE THAT WAS
STAY- BY SOME OF THE OPPOSITION
THAT YOU KNOW. HOW HE REQUIRES
TO GO A LITTLE DEEPER BUT- WE DO
ACT AT THE END OF THE DAY I
THINK ALL OF US WANT THE
BENEFITS TO GO TO CONSUMERS BUT
WE ALSO DON'T WANT THEM TO. BE
SO BOGGED DOWN WITH THE YOU KNOW
THE PROCESSES AND POLICIES THAT
THEY'RE NOT ACTUALLY PROVIDING
THOSE BENEFITS TO OUR CONSUMERS
I JUST WANT TO ENCOURAGE IF YOU
CAN JUST- YOU KNOW. GIVE IT SOME
MORE THOUGHT IN TERMS OF HOW DO
WE- MAKE SURE THAT THERE IS NOT
INTENDED CONSEQUENCES I WOULD
APPRECIATE THAT BUT DOWN. BUT
THINK I KNOW THAT YOU TRY TO
EXPLAIN AS BEST YOU COULD WITH
EVERYTHING THAT WAS SAID I TELL
AS MISTAKE THANK YOU. THANK YOU
CENTER SUNDARA. THANK YOU
VENTURE- I'M JUST CURIOUS ON THE
PHYSICIAN GROUP ACQUISITIONS OF.
BOB FOR A- AMID. IS THIS A
TRADITIONAL ACQUISITION WHERE
OPTUM. BUYS THE ASSETS AND-
LIABILITIES AND OR PER PER
REQUIRES THE STOCK IN A
CORPORATION AND THEN THE
PHYSICIANS BECOME EMPLOYEES. OR
OTHER OR AND OR ARE THERE OTHER
ARRANGEMENTS WHERE. A PHYSICIAN
GROUP. TIRES OF DEALING WITH THE
ADMINISTRATION OF A MEDICAL
PRACTICE IN CONTRACTS WITH ON
SOME BASIS. ON OPTUM. OR SOME
OTHER GROUP TO COME IN AND- RUN
THAT PIECE OF THE OPERATION IS
THE PHYSICIANS PRACTICE MEDICINE
WITH THAT FOR EXAMPLE- ASK A
BETTER QUESTION. WITH THAT
SITUATION FALL UNDER THIS. THIS
BILL. I THINK I THINK WHAT WE'RE
WE'RE SEAT WELL I THINK THE
DIFFERENCE IS I RIGHT NOW WE
HAVE- YOU HAVE PHYSICIAN GROUPS
THAT EXIST AND THEY- EXIST. FOR
CONNIE OF SCALE TO SHARE
ADMINISTRATIVE BURDENS TO. TO
SHARE OFFICE SPACE. A VARIETY OF
THINGS- WHAT WE'RE SEEING HERE
IS THAT THAT THE HEALTH PLAN IS
ACTUALLY ACQUIRING THE PHYSICIAN
GROUP VERY DIFFERENT THAN THE
HEALTH THAT THEN THE PHYSICIAN
GROUP OPERATING AS AN
INDEPENDENT ENTITY. AND THAT IS
WHERE WE HAVE CONCERNS THE MORE
THE MORE YOU SEE IN THE MARKET
PLACE THE MORE CONSOLIDATION YOU
SEE IN ALL OF HEALTH CARE. IS
NOT LEADING TO. A CONSUMER NET
BENEFIT WERE ACTUALLY SEEN
INCREASES IN COSTS AND- SO AS
FAR AS YOUR SPECIFICS ABOUT.
EVERY ACQUISITION IS GOING TO BE
DIFFERENT- AND WHAT IS REQUIRED
AND WHAT IS NOT REQUIRED AS PART
OF THAT IS GONNA BE DIFFERENT
BASED ON EACH TRANSACTION SITE
IT'S HARD FOR ME TO SAY EXACTLY
WHAT EACH TRANSACTION WITH. WITH
WITH WITH INCLUDING. THANK YOU
MANAGER THANK YOU THANK YOU SIR
- CENTER WHEN. THANK YOU. THANK
MANAGER I'VE GOT A FEW QUESTIONS
TO ONE IS THERE A TIME. FRAME ON
HOW LONG. THE DEPARTMENT HAS TO
BE ABLE TO APPROVE OR DISAPPROVE
AND BELIEVE IT IS. ADULT ART I
CAN'T REMEMBER HAND I'M SORRY.
WE DON'T HAVE. WE DON'T HAVE
THAT I APOLOGIZE BECAUSE WE KIND
OF I TONYA HI- BECAUSE WE LOOK
THROUGH AND WE CAN FIND IT. THE
REASON WHY I BRING THIS UP IS.
WE'VE HAD A LOT OF PROBLEMS WITH
FOR THE LENGTH OF TIME IN TERMS
OF HOSPITAL BEEN ACQUIRED. AND
BECAUSE OF THAT YOU KNOW
OBVIOUSLY THE BUSINESS DECISION.
A NIECE MOVE FASTER AND SLOWER
AND THEN WE END UP A LOT OF
THESE HOSPITAL SHUTTING DOWN
BECAUSE IT CAN'T BE ACQUIRED-
AND I'VE- WHEN I WAS A COUNTY
SUPERVISOR WE WENT THROUGH THE
PROCESS OF. HELLO AND ST JOSEPH
MERGING IN ORANGE COUNTY AND IT
TOOK QUITE A PROCESS AND SO I
JUST WANNA MAKE SURE THAT THERE
IS SOME KIND OF TIME LINE. SO
THAT YOU KNOW AS THEY'RE LOOKING
AT THE BUSINESS DECISION AND
ALSO THE CONSUMER SIDE OF IT.
THAT THERE IS. THAT THE LATE
DOESN'T GET TOO LONG OR THAT
THERE'S UNLIMITED TIME. THE
OTHER ONE- IS THE DIVING DEEP
INTO. THE INFORMATION OF THE
PROVIDER. IS THAT INCLUDE
CONFIDENTIAL ATTORNEY CLIENT
PRIVILEGE INFORMATION AS I CAN
ALL BE EXPOSED HOW DOES THAT
WORK NOT NOT THAT'S NOT OUR
INTENT AND IF. YOU KNOW IF
THERE'S SOMETHING IN THE
LEGISLATION THAT ASKED FOR THAT
THAT'S NOT OUR INTENT. WHEN WE
WOULD ADDRESS THAT. THANK YOU. I
APPRECIATE YOUR LEADERSHIP IN
THIS IN THIS SPACE- YOU KNOW I
MEAN WHETHER WE LIKE IT OR NOT
WE HAVE A FOR PROFIT HEALTHCARE
SYSTEM RIGHT. SO THAT'S I MEAN
THAT'S THE NAME OF THE GAME
COMPANIES. MERGE TO BE ABLE TO
MAXIMIZE- ROUGH IT. BUT
SOMEBODY'S VIEW LOOKING OUT FOR
THE CONSUMERS AS WELL AND I
THINK THAT'S WHAT OUR JOB IS TO
MAKE SURE. AS COMPANIES GROW AND
GET BIGGER AND- MORE COMPONENTS
ONE. OF THE PART. THAT YOU KNOW
YOU CAN ONLY SEE THE NAME
MONOPOLY REYES THAT GAME I THINK
HE SHOULD BE ABLE TO RUN THE
BOARD AND I THINK THAT'S WHAT
YOU'RE TRYING TO GET OUT WITH
THIS. AND SO I APPRECIATE THAT
EFFORT WE'RE TRY TO LOOK AT THE
TIMELINE ISSUE ALSO AND I THINK
POTENTIALLY COULD GET BOGGED
DOWN SO THAT MIGHT BE. AN AREA
WHERE WE TAKE A LITTLE LOOK
BECAUSE IT'S NOT IT'S NOT
DELINEATED OUT IT'S JUST A PART
OF A- A MERGER WELL I DON'T
THINK THE SAME AS A HOSPITAL
BECAUSE BOTTOM HOSPITALS ARE.
ARE PRECARIOUS WHERE IS
OFTENTIMES DOCTORS GROUPS OR
INSURANCE WHICH ARE NOT SO IT'S
A IT'S A DIFFERENT TYPE OF
TRANSACTION. OKAY WOULD YOU LIKE
TO. BUT IT JUST I YOU FOR THE
QUESTIONS AND- WE WILL LOOK AT
THE TIMELINE I APPRECIATE THAT
AS WELL. I DON'T TAKE THIS
LIGHTLY YOU KNOW I OWN MY OWN
PRACTICE FOR MANY YEARS I MEAN I
DIDN'T. YOU KNOW I DID REALLY
LIKE. FLATTERING CURZON'S INTO
WHAT I WAS DOING- AND I GET IT
SO I DO GET IT- BUT I YOU KNOW I
THINK IT'S OUR JOB TO LOOK OUT
FOR CONSUMERS WE CONTINUALLY
HERE. THE PRICE OF THE COST OF
HEALTH CARE CONTINUES TO RISE
AND IS RISING. AS I'VE SAID
MULTIPLE TIMES AT. NEARLY TWICE
THE RATE OF INFLATION AT TIMES.
AND A- FACTOR IN THIS IS
CONSOLIDATION IN THE MARKET
PLACE THERE IS NO QUESTION ABOUT
THAT- AND THERE'S A LOT OF.
THERE'S A LOT ACADEMIC STUDIES
TO SUPPORT THAT SO. WE'RE NOT
SAYING YOU CAN'T CONSOLIDATE.
WE'RE JUST SAYING IT SHOULD BE
REVIEWED. AND IT SHOULD. BENEFIT
CONSUMERS AND- THERE ARE
EXAMPLES WHERE THE-
CONSOLIDATION DOES BENEFIT
CONSUMERS WE'VE GOT A HOSPITAL
IN MY DISTRICT. THAT HAS BEEN-
THAT WAS A- PART OF AN OPERATING
AGREEMENT WITH ANOTHER HEALTH
SYSTEM ALLOW THAT HOSPITAL STAY
OPEN. BENEFIT TO EVERYONE- AND
THE KANEMI OF SCALE THE RAIL TO
BRING- DOESN'T DOESN'T APPEAR TO
HAVE COST AND INCREASING COSTS-
WHAT WE'RE WATCHING THAT. BUT IT
TROUBLES ME THAT NOW WE'RE WE'RE
MOVE BEYOND HOSPITALS. WE'VE
MOVED BEYOND HEALTH PLAN MERGERS
WERE NOW. HAVING HEALTH PLANS
ACQUIRE PHYSICIAN GROUPS. IT'S
CONTINUING TO GO BECAUSE THERE
ARE. ACTIVITIES ACQUISITIONS
HAVE BECAUSE OUR RESOURCES TO BE
MADE SO- WITH THAT IDEA. IN MANY
OF THE BIG BOX I APPRECIATE THE
OPPORTUNITY I RESPECTFULLY ASK
YOUR AYE VOTE WHEN THE TIME
COMES THANK YOU VERY MUCH WE'LL-
GET A MOTION FOR. WHEN WE GET
THERE I SEE MR RODRIGUEZ HERE.
WE AND WE WANT SENATOR FOR
QUORUM. HOME. SOME OF THE. THE
LOCAL STATE. ALL RIGHT. YOU HAVE
. WITH MORE THAN ONE BILL AHEAD
OF ITS OF US TODAY AND YES A
COUPLE TIMES QUICK ALL RIGHT-
TRY. THE. SO THE SERVER A BASE
SEVEN NINE. THANK YOU MADAM
CHAIR THE YOU FOR LONG ME TO
PURSUE A. B. SEVEN NINE THANK
YOU FOR A LONG TO PRESENT AND
ACCEPT THE COME A MEMBER. AB
THREE SEVEN NINE WOULD CREATE A
NEW OF ENTRANCED RICK FOR THE
LOW AMER MEDICAL SERVICE AGE.
ALSO KNOWN AS SAYS THE COLOR.
MONTHS ABOUT A SERVICE THIRTY
EMSA TO INCREASED. THE WOULD
REQUIRE OF THEM AND EMSA TAPOS
APPROVED UNDER PLAN ON THE WEB
WITH THIRTY OF A- THEM WERE BE
WERE TO IN THE ANNUAL PRO. THEIR
CORRESPONDING BUDGET ANALYST OF
EXEMPTIONS GIVEN TO PROVIDERS
FOR FAILING TO MEET NINE ONE ONE
RESPONSE TIMES IN THE PREVIOUS
YEAR. I'M SO WOULD BE REQUIRED
TO APPROVE OR REQUEST AMENDMENTS
TO UNDER PLANS WITHIN NINETY
DAYS OF RECEIPT TO ENSURE THAT
LUMP SAYS OPERATE ON UP TO DATE
PLANS. ADDITIONALLY THIS BILL
REQUIRE THE LUMP TO DEVELOP
POLICIES AND PROCEDURES FOR
CALCULATING AND REPORTING
AMBULANCE PATIENT OFFLOAD TIMES
BETTER KNOWN AS A POP. FINALLY
THIS BUILDER DIRECT I'M SET TO
DEVELOP AN AUDIT TOOL FOR
AMBULANCE PATIENT OFFLOAD TIME A
POT DAY THAT WITH VALIDATION
FROM EMPLOYERS PROVIDERS AND
HOSPITALS THEMSELVES COURT EIGHT
MERCER SPONSOR CALIFORNIA AND IT
IS IMPERATIVE THAT THE PUBLIC
AND LAWMAKERS CAN SEE HOW LOCAL
AGENCIES. ARE PLANNING FOR CARE
. ALL TOO OFTEN. WELL IF
WONDERED WHY TIMELY NINE ONE ONE
SPONSORED TIMES ARE NOT BEEN
ACHIEVED IN A POT. IS EXTRA
CRUCIALLY LONG FOR MORE THAN
THIRTY YEARS WORKING IN THE
FIELD AS AN EMT. I CAN TELL YOU
THAT I EVER HAD TO WAIT. A
HOSPITALS THOUSANDS OF TIMES. I
CAN ATTEST THAT. THIS HAS ALSO
RESULTED ME BEING LATE ON MANY
NINE ONE ONE RESPONSES. THIS
BILL INCREASES TRANSPARENCY ON
HOW LUMPS OF OPERATE. I'M
COMPELLED THEM TO WORK MORE
QUICKLY TO CORRECT AND IMPROVE
ANNUAL PLANTS. SO THAT LOCAL
AGENCIES CAN OPERATE UP TO DATE
PLANS. THANK YOUR SPEC YES WHEN
I. THANK YOU FIRST PERSONS. IN
SUPPORT OF THIS BILL. HAVE ANY.
LEAD UP BRIEFLY SUPPORTERS.
MARXIST THIS IS YOUR VIEWS YOUR
BILL SIR YES UP OKAY- ANYBODY
SPEAKING IN OPPOSITION TO THIS
BILL TODAY PLEASE COME FORWARD.
GOOD AFTERNOON MADAM CHAIR AND
MEMBERS- SEAN HENSCHEL HERE ON
BEHALF OF THE AMERICAN MEDICAL
RESPONSE I CALIFORNIA'S LARGEST
PROVIDER OF NINE ONE ONE PRIVATE
EMERGENCY SERVICES. REGRETTABLY
THEY ARE OPPOSED UNLESS AMENDED
TO AB THREE SEVENTY NINE-
ACCORDING THE AUTHOR STATEMENT-
THE BILL SIXTY INCREASE
TRANSPARENCY AND EMAAR'S
ACTUALLY IN FAVOR OF THAT GOAL-
THE ISSUE HOWEVER IS THAT IT'S
NOT BEING APPLIED EQUALLY HERE-
RESPECTFULLY- IT REQUESTS IN. A
MORE RESPECTFULLY REQUEST THAT
IT ALSO INCLUDE PUBLIC AGENCIES.
AS RESPONSE TIMES AND STANDARDS
FOR THE REPORTING ADDITIONALLY
TO ESTABLISH A STANDARD
DEFINITION FOR WHAT IS A
RESPONSE TO. THE NINE ONE ONE
NUMBER- EXEMPTION PROVISIONS
TARGET PRIVATE AMBULANCE
RESPONSE TIMES WITH NO
ACCOUNTABILITY TO THE RESPONSE
TIMES FOR PUBLIC AGENCIES WHICH
MAKE UP A MAJORITY OF THE EMS
PROVIDERS IN CALIFORNIA. THIS IS
BECAUSE PUBLIC PROVIDERS DON'T
HAVE TO REPORT RESPONSIBLE-
REQUIREMENTS. SO THE BILL WOULD
UNFAIRLY PAINT PRIVATE AS NOT
MEETING RESPONSE TIMES AND
THERE'S NO COMPARABLE
INFORMATION FOR PUBLIC-
PROVIDERS. THIS IMPORTANTLY
WOULD CREATE A DOUBLE STANDARD
WITHIN THE LAW. FINALLY M. R.
ARGUES THAT THERE SHOULD BE A
BASED MEASUREMENT OR DEFINITION
RESPONSE TIME TO ENSURE
EQUITABLE COMPARISONS THE TERM
CAN BE VAGUE. AS NOT ALL
PROVIDERS START THEIR DISPATCH
CLOCK AT THE EXACT SAME TIME.
INCREMENTALISM CERTAINLY HAS ITS
PLACE OF COURSE WHERE SOME
IMPROVEMENT WOULD BE BETTER THAN
OTHER THAN NONE AT ALL HOWEVER
THAT'S NOT THE CASE WHEN YOU'RE
DEALING WITH DATA COLLECTION AND
REPORTING- BUT WHAT YOU WOULD
END UP RESULTING IS UNFAIRLY
MISLEADING- DATA. THAT WOULD BE
YOU KNOW AGREE JUST TOWARDS A
PUBLIC- VERSUS A PRIVATE AND
RESPECTFULLY. REQUEST AN
AMENDMENT THANK YOU. THANK YOU
VERY MUCH ANYBODY ELSE BECAUSE
OPPOSITE TO THIS BILL TODAY.
ANYBODY ON THE PHONE LINES
WISHING TO SPEAK IN SUPPORT AND
OR OPPOSITION OF THIS BILL. IF
YOU WOULD LIKE TO SPEAK TO AB
THREE SEVEN SEVEN NINE PLEASE
PRESS ONE ZERO AND THERE IS A
COMMENT FROM NINETY FOR YOUR
LINE IS NOW OPEN. BY NINETY FOR
YOUR LINE IS NOW OPEN. PLEASE I
AM YOU'D HEAR MUTED AT THIS TIME
. THERE ARE NO FURTHER COMMENTS
AT THIS POINT MADAM CHAIR. THANK
YOU VERY MUCH JIM WE'D BRING IT
BACK TO THE COMMITTEE AT THIS
TIME AND JUST TO MAKE THEM THE
COMMENT I HEAR M. R. BUT THAT'S-
THERE'S NO NINE ONE ONE TIME
LIMIT FOR. FOR PUBLIC AGENCIES
SO MAYBE THAT CAN BE A BILL THAT
SOMEBODY DOES ANOTHER TIME- BUT
THAT'S NOT WHAT THIS BILL IS
TRYING TO DO. SENATE ROTH. THANK
MANAGER AND I DO UNDERSTAND THAT
I WAS JUST CURIOUS OF THE AUTHOR
WHY WHY NOT INCLUDE THE- PUBLIC
AGENCIES IT ACTUALLY- PROVIDING
STAFF. AMBULANCE BUT PREHOSPITAL
TRANSPORT SERVICES WELL THEY ARE
FORTUNATE OPERATE A LITTLE
DIFFERENTLY UNDER EXCLUSIVE
OPERATING AGREEMENTS BETTER
KNOWN AS YOU EAT HE- AS SO
THAT'S SOME SEPARATE BUT THAT'S
SOMETHING I RETAIN TO LOOK OUT
FOR NEXT YEAR. BUT SPECIFICALLY
THIS BILLS OVER CATERED
DIFFERENTLY BUT I'M OPEN FOR
THAT BUT UNFORTUNATE AND HAVE
THAT DISCUSSION WITH A MARK
UNTIL JUST RECENTLY ABOUT THAT
SO OBVIOUSLY THAT'S SOMETHING WE
DEFINITELY WORK ON FOR NEXT YEAR
BECAUSE I THINK YOU'RE RIGHT.
EVERYBODY SHOULD BE HELD
ACCOUNTABLE WHETHER YOU'RE A
PRIVATE SECTOR OR THE PUBLIC
SECTOR CORRECT THANK YOU I
APPRECIATE THAT I'M SURE THEY
APPRECIATE IT TOO SO LOOK
FORWARD TO THAT THANK YOU
MANAGER YEAH EXCELLENT. GOOD FOR
THE GOOSE GOOD SHOULD BE GOOD
FOR THE GANDER TO BECAUSE
OTHERWISE HOSPITALS ARE THE ONES
HOLDING THE BAG CORRECT WHERE'S
YOU GET MULTIPLE PARTIES FEEDING
INTO THAT SYSTEM. OKAY OKAY AND
I BELIEVE WE HAVE ENOUGH TO CALL
FOR A QUORUM. THE SECRETARY IF
YOU COULD CALL THE ROLL.
SENATORS EGGMAN HERE EGGMAN HERE
WHEN. WHEN HERE GLAZER. GONZALEZ
GONZALEZ HERE. GROWTH GROVE HERE
HER TADO. THE MOUNT. MENJIVAR
AND OF OUR HERE ROSTER ROTH HERE
RUBIO. FOR REVIEW. RUBIO PRESS.
WELL WINNER. THAT'S RIGHT SEVEN
WE HAVE A CORE THING YOU VERY
MUCH. SEEN THE QUESTION. GET
CENTER. THANK YOU MADAM CHAIR I
DO HAVE A QUESTION YEAH IT- IT
APPEARS AND FORGIVE ME I WAS IN
RULES GOVERNOR'S APPOINTMENTS SO
I CAME DOWN HERE- TO GIVE THEM
CHAIR CORPSMAN ASKS THIS
QUESTION- SO I APOLOGIZE IF THIS
IS ALREADY BEEN ASKED- BUT IT
APPEARS TO ME THAT. IT'S
PROVIDING KIND OF A DOUBLE
STANDARD BY TARGETING PRIVATE
AMBULANCE HOLDERS- OUR
OPERATORS. AND THERE'S NO
ACCOUNTABILITY WITH THE PUBLIC
AGENCIES OR PUBLIC ORGANIZATIONS
THAT PROVIDE THE SAME SERVICES
APPS PRIVATE ORGANIZATIONS BUT
YET WE'RE ONLY GOING TO PENALIZE
A REQUIRE THIS FROM THE PRIVATE
PROVIDERS. IS THERE A REASON WHY
OR AM I INCORRECT ONE REASON IS
THEY OPERATE A BIT DIFFERENTLY
UNDER EO AS EXTRUSIVE OPERATING
AGREEMENT SO THAT'S FALLS IN
DIFFERENT CATEGORIES BUT
OPPOSITION IS RIGHT IT NEEDS TO
BE FAIR ACROSS BOTH BOTH SIDES
BEFORE TREAT THIS BILL JUST
CATER THIS WAY. IT MARKING TO ME
KINDA LATE REGARDING THIS
DISCREPANCY IN LIKE IS THAT IT'S
A LITTLE TOO FAR TOO LATE BUT
THAT'S SOMETHING I'M WILLING TO
ENTERTAIN WITH THEM OFFER NEXT
YEAR BECAUSE THAT RIGHT
EVERYBODY SHOULD BE HELD
ACCOUNTABLE ON BOTH SIDES. SHEET
YOU AM AT LEAST ACKNOWLEDGING
THE FACT THAT EVERYBODY SHOULD
BE HELD ACCOUNTABLE REGARDLESS
OF ITS PUBLIC OR PRIVATE I THINK
ONE OF THE BIGGEST FRUSTRATIONS
I HAVE IN THIS COMMITTEE IS THE
WAY THAT WE TREAT EITHER STATE
POLICIES LIKE. TAKE MEDICARE
POLICIES AND THERE ARE PLANS
THAT ARE PRIVATE PLANS YOU KNOW
WE REQUIRE SO MUCH OF THEM BUT
WE DON'T REQUIRE IT FOR THE
POOREST PEOPLE IN OUR COMMUNITY
AND THEN HERE WE HAVE A I
AMBULANCE SERVICE PROVIDER THAT.
YOU KNOW AGAIN YEARS AT THIS
BILL TARGETS. THE PRIVATE
PROVIDERS BUT LET'S ALL THE
PUBLIC PROVIDERS OFF THE HOOK
WHEN. THERE SHOULD BE
ACCOUNTABILITY. FOR SERVICE. TO
THE PERSON WHO'S REQUIRING THE
SERVICE IF THAT MAKES SENSE BUT
THANK YOU FOR ANSWERING THAT
QUESTION I APPRECIATE IT. THANK
YOU AND WE HAD WE HAD. WE HELP
THOSE ON ASTRONAUT BECAUSE NASA.
NO NO WORRIES NO IT'S OKAY IT'S
SENSE YEAH I KNOW ITS IMPORTANCE
IT'S AN IMPORTANT POINT. AND
WHEN WE I WAS TALK ABOUT THAT IN
IN ALL OF OUR BRIEFINGS LEADING
UP TO THIS. AND THERE'S NOT EVEN
A GOOD TIME WHEN ESTABLISH FOR.
PRIVATE IMAGES THERE'S A
TIMELINE ESTABLISHED WHICH IS
WHAT HE'S TRYING TO GET AT. IS
LIKE WHAT ARE THE EXCEPTIONS. TO
GOING OVER THE TIME LINE THEY'RE
NOT EVEN ESTABLISHED FOR THE.
PUBLICATION SEES SO I THINK.
SOMEBODY SHOULD DO THAT. YEAR
THANK YOU OKAY FOR. THAT WITH
YOUR CO. YES WITHOUT EXPECT OUT
FROM MY- OKAY. WE HAVE A MOTION
ON THIS BILL. THE MOVE BY
SENATOR. SECRETARY PLEASE CALL
THE ROLL IS TO PASS AS AMENDED
AND REFERRED TO THE COMMITTEE ON
APPROPRIATIONS. SENATORS EGGMAN.
EGGMAN AYE WHEN. GLAZER
GONZALEZ. GONZALEZ I GROWTH.
GROWTH NOT VOTING FOR HER TADO.
THE MOUNT. MENJIVAR MENJIVAR AYE
ROTH. ROSS I RUBIO. LIKE RUBIO I
WILL HOP. WINNER. THAT'S BILL
HAS FIVE WHICH WILL HOLD ON CALL
FOR THE ABSENT MEMBERS AND NOW
YOU HAVE NEXT UP. AB SIX
SIXTEEN- BUT I'LL JUST SAY ON
THIS BILL. BEFORE YOU GET
STARTED I JUST WANT TO KIND OF
MAKE IT A STATEMENT FOR MY
COMMITTEE MEMBERS. I UNDERSTAND
THAT THERE WAS A LOT OF
NEGOTIATIONS LAST YEAR. AND THAT
THERE WAS A DEAL STRUCK AND-
NOBODY HERE WAS A PARTY TO THAT-
AND NOW ONE OF THE GROUPS HAS
COME BACK TO TRY TO- TO GET WHAT
THEY DIDN'T QUITE GET LAST TIME.
AND I'LL SAY I WAS A PART OF
THAT POLITICS AND THE THIS
POLICY SEEMS TO BE. A TOP HOLDS
THE SAME POLICY FOR EVERYBODY
WHICH SEEMS FAIR SO ON THAT
BASIS- I RECOMMEND AN AYE VOTE
ON THIS AND UNDERSTAND THE
PEOPLE FEEL DIFFERENTLY BECAUSE
OF THINGS THAT WERE ESTABLISHED
LAST YEAR IS ONE SAY THAT OKAY
GO AHEAD SIR. THANK YOU WITHOUT
THAT THANK YOU MADAM CHAIR AND
SENATORS THANK YOUR FILAMENT
PRESENT SB SIX ONE SIX WHICH
WOULD REDUCE REMOVED EXEMPTION.
FOR PUBLIC DISCLOSURE FINANCIAL
DATA REPORTS FOR THE LARGE
MEDICAL GROUPS AND MEDICAL
GROUPS THAT TAKE ON DELEGATED
WRISTS FROM HEALTH PLANS FIRST
ELECT START BY THANKING THE
COMMITTEE STAFF FOR WORKING WITH
MY STAFF AND SPONSORS ON OUR
MEMBERS TO CLARIFY THE BILL. AND
EASE IMPLEMENTATION. REGARDING
OUR B. O.'S REPORTING TO D. MHC
THE COMMITTEE RECOMMENDED WE
SIMPLY SIMPLIFY THE PROCESS DMH
DMH C. WERE USED TO MAKE
INFORMATION PUBLICLY AVAILABLE
IN ORDER TO BETTER ALIGN THE
PROCESS WITH DIEM AGENCIES
DISCLOSURE PROCESS FOR HEALTH
PLAN AN AUDITED FINANCIAL
STATEMENTS. MEMBERS WOULD ALSO
ENSURE THAT THE INFORMATION MADE
PUBLIC WOULD NOT INCLUDE
INDIVIDUAL PLANS SPECIFIC RATES.
REGARDING OTHER MEDICAL GROUPS
REPORTING TO. H. CHI THAT
COMMITTEE RECOMMENDED WE
SEPARATE THE PROVISIONS DEALING
WITH PHYSICIAN ORGANIZATIONS.
THAT ARE PART OF A FULLY
INTEGRATED DELIVERY SYSTEM AND
OTHER LARGE MEDICAL GROUPS THIS
CHANGE IS INTENDED TO BE
CLARIFYING. FINALLY THE
COMMITTEE RECOMMENDED THE
ALLIANCE. OF TYPES OF
INFORMATION WILL BE COLLECTED
MADE PUBLIC INFORMATION WILL BE
TREATED. IN A SIMILAR MANNER
MANNER AS HOSPITAL FOR MEASURE
WILL NOT INCLUDE INDIVIDUAL
PLANT SPECIFIC RATES EXCEPT THE
COMMITMENTS AND GREAT. TO TAKE
THEM IN JUDICIARY COMMITTEE.
ACCORDING TO THE CENTERS OPEN.
IN SECOND QUARTER THAT'S- AB ONE
SIX WOULD BE CREATE GREATER
ACCOUNTABILITY IN THE HEALTHCARE
DELIVERY SYSTEM AND CLOSE THE
GAP. AND PUBLICLY ASSESS
FINANCIAL DATA BY MAKING PUBLIC
THE FINANCIAL DATA ALREADY
REPORTED. TO D. M. H. C. AND
MAKING PUBLIC THE FINANCIAL DATA
SHOULD BE COLLECTED BY H. ****.
FOR OTHER LARGE MEDICAL GROUPS
WITH ME TO PROVIDE TESTIMONY OR
BETH MULLIN ASKEY WHO IS THE
GOVERNMENT AFFAIRS ASSOCIATION.
FOR SA CALIFORNIA KITTY VAN
DEINZE WHO IS A LEGISLATIVE
ADVOCATE FOR HEALTH ACCESS
CALIFORNIA AND JOHN ALLEN WITH
S. C. I. U. U. H. W. IS ALSO
AVAILABLE FOR TECHNICAL
QUESTIONS THANK YOU. OKAY HAVE
SIX MINUTES TOTAL PER SIDE SO.
THAT IN TURN MEMBERS THAT'S NOT
AS GOOD AS YOU CALIFORNIA PROUD
SPONSORS OF AB SIX ONE SIX- A
AND E'S- THE PLAN NUMBER NOTED
WE WORK CLOSELY WITH THE CHAIR
AND STAFF. ON COMMONSENSE
AMENDMENTS- THAT REALLY DO WELL
AND HAVE INFORMATION THAT WILL
BE MADE PUBLIC CAN APPRECIATE
THAT WORK. ON THAT I'D LIKE TO
OFFER SOME BRIEF REMARKS AS HIS
PERSPECTIVE ON THE IMPORTANCE OF
THIS BILL. WE MIGHT NOT SEE THIS
ENOUGH BUT EVERY WORKER RECALLS
IF THEY CLEAN SCHOOLS CARE FOR
THE ELDERLY OR TAKE CARE OF OUR
AIRPORTS. THEY ARE HEALTH CARE
CONSUMERS TO. AND HEALTHCARE
COSTS ARE RISING OUT OF CONTROL
THE COST OF HEALTHCARE HAS BEEN
RISING ABOVE INFLATION FOR
YEARS. TAKING THE LARGER LARGER
CHUNKS OUT OF WORKERS WAGES AND
DESTABILIZING FAMILY BUDGETS.
EVERY DOLLARS WORK WORKERS PUT
INTO A COPAY IS ONE LESS DOLLAR
THEY CAN REINVEST IN THEIR
COMMUNITIES. FOR AS YOU MEMBERS
OF THE BARGAINING TABLE HEALTH
CARE COVERAGE AND COSTS ARE THE
NUMBER ONE ISSUE. EMPLOYERS FACE
THESE RISING COSTS EITHER SEEK
TO REDUCE HEALTH BENEFITS OR
PUSH MORE OF THE COST ON TO THE
WORK FORCE. LEAVING LESS OF
THEIR PAYCHECK FOR RENT OR
PUTTING FOOD ON THE TABLE. IS A
LOSING PROPOSITION FOR
CALIFORNIA'S WORKFORCE SAYS YEAH
YOU HAS FOR YEARS ADVANCED
EFFORTS TO REIN AND HEALTH CARE
SPENDING IN COALITION WITH
CONSUMERS. LABOR AND PURCHASERS
THE JOB OF ADDRESSING THE
UNDERLYING COSTS IN OUR
HEALTHCARE SYSTEM IS FAR FROM
OVER. BUT WE CAN NOT ADDRESS
WHAT WE CANNOT. MEASURE AND TO
TACKLE THIS ISSUE WE MUST CREATE
A MORE TRANS. AND ACCOUNTABLE
SYSTEM WITH PA ACCESS TO MORE
DATA. AB SIX ONE SIX DOES JUST
THAT. AS HAMMER RODRIGUEZ NOTED
THE BILL IT WILL A CLOSE
SIGNIFICANT AND REMAINING GAP
AND FINANCIAL DATA THAT IS
PUBLICLY AVAILABLE. GETTING
PARITY ACROSS THE HEALTHCARE
DELIVERY SYSTEM THAT MEDICAL
GROUP DATA IS TREATED THE SAME
WAY AS HOSPITAL. HEALTH PLAN
SKILLED NURSING AND OTHER DATA
SETS. THE MEDICAL GROUP
TRANSPARENCY ACT WOULD REMOVE
THE EXISTING PUBLIC RECORDS ACT
EXEMPTION FOR RENTAL DATA. THAT
POSITION OR HIS AGENT ALREADY
REQUIRED TO REPORT TO DAMAGE C.
N. H. CHI THERE BY CREATING A
PATHWAY FOR PURCHASERS.
RESEARCHERS POLICY MAKERS AND
ADVOCATES TO ACCESS INFORMATION.
AS HEALTHCARE INCREASINGLY MOVE
TOWARDS OUTPATIENT SETTINGS
OPERATE BY PHYSICIAN
ORGANIZATION IS ONGOING PROVIDER
CONSOLIDATION INCREASES THE
MARKET POWER. OF LARGE PHYSICIAN
ORGANIZATIONS APPROPRIATE TO
BRING THE SAME LEVEL PUBLIC
SCRUTINY. DIVISION ORGANIZATIONS
THAT ALREADY EXIST FOR OTHER
TYPES OF PROVIDERS AND FOR
HEALTH PLANS. THANK YOU IN
ADVANCE FOR YOUR AYE VOTE TODAY
AND I'LL HAND OVER NOW TO MY
COLLEAGUE KATIE EVENTS LINES
OVER- AND HEALTHAXIS. THANK YOU
RESPLENDENT. GOOD AFTERNOON
AGAIN I KEEP IN MIND THAT ACCESS
CALL. AND YOU'RE HERE IN POTS
ACCORDED SIX SIXTEEN A PROGRAM
THROUGH MY MEASURE TO HELP US
BETTER UNDERSTAND THAT WHAT'S
CAUSING RISING HEALTH CARE
COSTS. HEALTH ACCESS HAS BEEN
ADVOCATING FOR MEDICAL GROUP
FINANCIAL TRANSPARENCY IT SINCE
THE NINETIES WHEN WE SUPPORTED
AS PART OF A PACKAGE TO CREATE
TO CREATE THE MET DEPARTMENT OF
MANAGED HEALTHCARE AND
REGULATION OF MEDICAL GROUPS
THAT TAKE RISK. THE OFFICE OF
HEALTH CARE AFFORDABILITY
REQUIRES COST GROWTH TARGETS FOR
THE HEALTHCARE INDUSTRY AN
ADDITIONAL I'M ADDITIONAL
CATEGORIES OF BEEN PHYSICIAN
ORGANIZATIONS TO REPORT
FINANCIAL DATA. TO INFORM THE
SETTING OF THIS COST GROWTH
TARGETS. YET THAT INFORMATION IS
EXEMPT FROM PUBLIC DISCLOSURE.
THIS DECISION WITH A CARRY OVER
FROM A COMPROMISE BACK IN THE
NINETIES KEEPING MEDICAL GROUP
INFORMATION FROM THE PUBLIC.
THIS COMPROMISE WAS BAD FOR
CONSUMERS THAN IT IS NOW. THIS
TRANSPARENCY IS EVEN MORE
CRITICAL NOW AS A PROVIDERS
CONTENT. CONTINUE TO CONSOLIDATE
DRIVING HIGHER HEALTH CARE
COSTS. BASED ON RECENT REVIEW
FILINGS WE CAN SEE THAT 20% OF
SOME HEALTH PLAN PREMIUMS GO TO
PHYSICIANS SERVICE SAYS. BUT WE
DO NOT HAVE THE MOST BASIC
INFORMATION ABOUT MEDICAL
GROUPS. HAVE FINANCIALLY SOLVENT
ARE THESE GROUPS DO THEY HAVE
ONE DOLLAR RESERVES ARE THEIR
RESERVES AT THE AMPLE EYES
HEALTH PLANS AND HOSPITALS THAT
WE HAVE THIS INFORMATION FOR.
WHERE TO MEDICAL GROUPS REPLY
AREN'T RELIANT AFFILIATED
ENTITIES AT LIKE KAISER CIDER IN
SHARP FOR THEIR RESEARCH. I
PROVIDERS CONTINUE TO
CONSOLIDATE AND INCREASE THEIR
MARKET POWER THESE ARE ALL
REASONS WHY. MEDICAL GROUP
SHOULD HAVE THE SAME
TRANSPARENCY AS HEALTH PLANS AND
HOSPITALS YOU UNDER EXISTING LAW
. CONSUMERS ARE STRUGGLING TO
AFFORD THEIR HEALTHCARE AND MORE
THAN HALF OF THEM ARE DELAYING
OR SKIPPING CARE BECAUSE OF
THESE RISING HEALTH CARE COSTS
IN EIGHTY SIX SIXTEEN IS AN
IMPORTANT MEASURE TOP UNDERSTAND
PROSTRATE EARNERS. AND ADDRESS
THESE RISING COSTS FOR CONSUMERS
THANK YOU AND I RESPECTFULLY ASK
YOUR I THOUGHT. THANK YOU VERY
MUCH- NO PEOPLE TO SPEAK IN IN
GENERAL SUPPORT. NAME AND
AFFILIATION. GOOD AFTERNOON
MADAM CHAIR OF MUDDY LOPEZ
CALIFORNIA NURSES ASSOCIATION IN
SUPPORT THANK YOU. GOOD
AFTERNOON MADAM CHAIR AND
MEMBERS JUST GO AHEAD WITH THE
CALIFORNIA SCHOOL EMPLOYEES
ASSOCIATION IN SUPPORT. THANK
YOU. HERE COMES OUR LEADER. THE
LOOKING AT TREES TAKE A STEREO
KAISER FULSOME IN SUPPORT THANK
YOU. MALINA CHIU ON THE DAUGHTER
OF A KAISER ROSEVILLE HEALTH
CARE WORKER IN SUPPORT THANK YOU
. MY NAME'S TAMMY TO EMMA KAISER
ROSEVILLE EMPLOYEE N. S. PROUD
SEIU. UNION MEMBER. AND I'M IN
SUPPORT THANK YOU VERY MUCH. MY
NAME IS DIVINE CHRISTIAN I WORK
FOR KAISER SACRAMENTAL AND I'M
IN SUPPORT OF AB SIX ONE SIX
THANK YOU. MY NAME IS DONNA
YOUNG I'M A KAISER EMPLOYEE
DESKTOP MEDICINE ON THE SUPPORT
OF AB SIX ONE SIX. THANK YOU.
THE SHAUNA DASHER A NURSE AT
KAISER PERMANENTE IN SUPPORT OF
SIX ONE SIX THANK YOU. HELLO I'M
TRACY MCCURRY I WORK AT KAISER
SACRAMENTO I'M ALSO A NURSE AND
I AM IN SUPPORT OF SIX ONE SIX
THANK YOU VERY MUCH OKAY NOW
WILL MOVE TO THE OPPOSITION.
MISTER MARCHI. I MADAM CHAIR
MEMBERS OF THE COMMITTEE BRANDON
MARCH WITH THE CALIFORNIA
MEDICAL ASSOCIATION. WITH THE
UTMOST RESPECT FOR THE AUTHOR-
UNFORTUNATELY WE ARE OPPOSED TO
THE BILL. ALSO WE'RE I KNOW YOU
GAVE A AN OPENING DIALOGUE TO IT
MADAM CHAIR BUT UNFORTUNATELY WE
ARE EXTREMELY DISAPPOINTED THAT
WE ARE HERE TODAY TALKING ABOUT
SOMETHING AFTER YEARS OF
NEGOTIATION AFTER AT LESS THAN
ONE YEAR AFTER THE OFFICE WAS
SIGNED INTO LAW. AND AN
AGREEMENT WAS MADE AND EVERYBODY
ENGAGED IN GOOD FAITH
NEGOTIATIONS ON THIS MONUMENTAL
LEGISLATION WE'RE HERE TALKING
ABOUT PROPOSALS THAT DID NOT
MAKE IT INTO THAT FINAL
AGREEMENT. THIS IS NOT HOW GOOD
FAITH NEGOTIATIONS SHOULD BE
CONDUCTED OR HONORED AFTERWARDS
CALIFORNIA'S REGULATOR
REGULATORY ENTITIES SUCH AS THE
FINANCIAL SOLVENCY BOARD SUCH AS
THE DEPARTMENT OF MANAGED HEALTH
CARE SUCH AS THE HEALTH PAYMENTS
DATABASE. SUCH AS THE OFFICE OF
HEALTH CARE AFFORDABILITY HAVE
ACCESS TO THIS INFORMATION AND
CAN TAKE REGULATORY ACTION
ADMINISTRATIVE ACTION SHOULD
THEY FIND SOME INCONSISTENCIES
OR SOMETHING WRONG WITH THE
STATE OR- RATHER THIS BILL. WELL
BETTER IN RATHER THAN BETTER
INFORMING OR PROTECTING THE
PUBLIC THIS BILL WILL BE USED
FOR POLITICAL PURPOSES AND WOULD
GIVE PRIVATE EQUITY VENTURE
CAPITAL AND OTHER INTEREST A
BLUEPRINT AND ROADMAP TO
CONTINUE THEIR PREDATORY
ACQUISITION PRACTICES. A MEDICAL
GROUPS IN THE STATE AND EVEN
FROM ENTITIES THAT ARE NOT BASED
IN CALIFORNIA MANAGER WE JUST
HEARD ABOUT FROM A BILL EARLIER
TODAY THAT THESE ENTITIES ARE
NOW MOVING FROM THE HOSPITAL
SPACE AND HEALTH PLAN MERGER AND
ACQUISITION SPACE. INTO MEDICAL
GROUPS WHY WOULD WE WANT TO GIVE
THEM. MORE OF A ROAD MAP MORE OF
A BLUE PEN INTO THESE TYPES OF
TRANSACTIONS. SB SIX ONE SIX
REGISTERED NET RAISES
SIGNIFICANT ANTITRUST CONCERNS
AND WILL HAVE SIGNIFICANT IMPLY
IMPLICATIONS EXCUSE ME. ON THE
STATE OF CONSOLIDATION IN THE
STATE OF CALIFORNIA AND WILL
HARM OUR ABILITY TO RECRUIT AND
RETAIN PROVIDERS NOT JUST
PHYSICIANS. AND COMMUNITIES THAT
NEED CARE MOST WITHOUT RESPECT
TO THE QUESTION OF. THANK YOU.
AFTERNOON MADAM TURN MEMBERS ON
HOW THEY GOT GONZALEZ WITH
KAISER PERMANENTE HEY WE ARE
ALSO RESPECTFULLY OPPOSED TO AB
SIX ONE SIX WHICH- AGAIN WOULD
REVERSE AN AGREEMENT MADE JUST
LAST YEAR WHEN ESTABLISHING
OKEH. I'M IT TOOK WELL OVER TWO
YEARS OF STAKEHOLDER GO SHE
ASIANS TO PASS THIS LEGISLATION
AND IT IS MONUMENTAL
LEGISLATION- WE AGREED TO A
COMPROMISE ON LAST YEAR'S BILL
TO SUBMIT. THE PROVIDER GROUP
FINANCIAL INFORMATION TO OKAY IF
THAT INFORMATION WAS KEPT
CONFIDENTIAL THAT WAS A KEY
PROVISION FOR KAISER PERMANENTE
A TO GO TO TRIAL ON THE BILL
FROM LAST YEAR- THAT LANGUAGE
ULTIMATELY REMOVED OUR
OPPOSITION. THIS WAS A
COMPROMISE LANGUAGE WAS
STAKEHOLDER SELECTIONS
LEGISLATURE AND THE GOVERNOR'S
OFFICE- WHICH ULTIMATELY CAME SB
ONE EIGHTY FOUR WHICH NOBODY
OPPOSE OPPOSED- SO. THE PUBLIC
RELEASE OF THIS INFORMATION WE
BELIEVE WOULD HAVE. MANY
UNINTENDED CONSEQUENCES
MANDATING DISCLOSURE OF
COMPETITIVELY SENSITIVE
INFORMATION PARTICULARLY IN THE
HEALTHCARE SECTOR WILL ALLOW
SOPHISTICATED ENTITIES TO
MILLION MANIPULATE THAT
INFORMATION. WE BELIEVE IT WILL
IMPACT HEALTHCARE MARKETS. THIS
INFORMATION WOULD BE AVAILABLE
TO NOT JUST THE PUBLIC BUT TO
LARGE SOPHISTICATED HEALTH CARE
CORPORATIONS AND PRIVATE EQUITY
FIRMS OUTSIDE OF CALIFORNIA.
HEALTH CARE IS A HIGHLY
COMPETITIVE INDUSTRY DISCLOSURE
OF THIS COMPENSATE OF
COMPENSATION INFORMATION HIRING
STRATEGIES THAT THESE REPORTS
CONTAIN FOR EXAMPLE WOULD HAVE
UNINTENDED CONSEQUENCES IN
RECRUITING. AND RETAINING
PHYSICIANS IN CALIFORNIA. WE
BELIEVE THAT AB SIX ONE SIX IS
TROUBLING AND THAT REVERSES THE
OUTCOME OF GOOD FAITH
NEGOTIATIONS LESS THAN A YEAR
THAN THAT LESS THAN A YEAR THAN
WHEN THEY WERE PASSED. FOR THESE
REASONS WE ARE RESPECTFULLY
OPPOSED TO AB SIX ONE SIX THANK
YOU THANK YOU VERY MUCH OTHER
PEOPLE SPEAKING IN OPPOSITION.
NOW JUST NAME AND AFFILIATION.
OKAY GRAHAM ON BEHALF OF THE
CALIFORNIA STATE ASSOCIATION OF
PSYCHIATRISTS IN OPPOSITION
THANK YOU VERY MUCH. TAYLOR
JACKSON WITH CALIFORNIA HEALTH
PLUS ADVOCATES REPRESENTING
CALIFORNIA'S COMMUNITY HEALTH
CENTERS IN OPPOSITION THANK YOU
VERY MUCH- OKAY NO GOOD THE
PHONE LINES ANYBODY SPEAKING. IN
SUPPORT AND OPPOSITION TO AB SIX
ONE SIX. NAME AFFILIATION AND
POSITION. IF YOU'D LIKE TO SPEAK
TO AB SIX ONE SIX PLEASE PRESS
ONE ZERO THE FIRST COMMENT IS
FROM LINE NUMBER NINETY. GOOD
AFTERNOON MADAM CHAIR AND
MEMBERS OF THE SAUNTER POOL WITH
WESTERN CENTER ON LAW AND
POVERTY IN SUPPORT. THANK YOU.
COLOR PLEASE. MY NINETY FIVE
YOUR LINE IS OPEN. GOOD
AFTERNOON THANK YOU MADAM CHAIR
MEMBERS PRICE DOUGHERTY ON
BEHALF OF THE CALIFORNIA SOCIETY
OF ANESTHESIOLOGISTS. CALIFORNIA
IN THE LITERARY SURGERY SO SHE-
NOT POSITION THANK YOU THANK YOU
NEXT CALLER PLEASE. MY NINETY
THREE YEAR LINE IS NOW OPEN.
GOOD AFTERNOON THIS IS KELLY
MCMILLAN CALLING ON BEHALF OF
MEMORIAL HEALTH CARE SYSTEMS IN
OPPOSITION THANK YOU. CALLER
PLEASE. BY NINETY FOR YOUR LINE
IS OPEN. ADAM CARE NUMBERS EIGHT
AND DATA FOR THE CALIFORNIA
LABOR FEDERATION IN SUPPORT.
NEXT CALLER PLEASE. LINE ONE
HUNDRED ONE YOUR LINE IS OPEN.
YUP OF LANDSLIP POLICY DIRECTOR
FOR A SMALL BUSINESS MAJORITY IN
SUPPORT. THANK YOU NEXT CALLER
PLEASE. LINE ONE HUNDRED YOUR
LINE IS NOW OPEN. THANK YOU
MADAM CHAIR OUT OF THERE WITH
THE LOOKING LYMPHOMA. IN SUPPORT
. THANK YOU. THANKS CALLER. LOOK
BLIND EIGHT YOUR- IT NINE
MEMBERS DIDN'T INVOLVE HALF OF
AMERICANS LOSING GROUPS AND
OPPOSITION THANK YOU THANK YOU.
I COLOR. AND ARE NO MORE
COMMENTS SPAN OF CHAIR THANK YOU
VERY AT THIS WE WILL BRING IT
BACK TO THE COMMITTEE SENATOR
ROTH. THANK YOU MADAM CHAIR YOU
KNOW- WHEN I FIRST TOOK A LOOK
AT THIS- BILL I WAS- SINCE WE'RE
DEALING WITH THE PHYSICIAN
GROUPS. I WAS CONCERNED ABOUT
THE PRIVACY ASPECTS OF. OF THE
DISCLOSURE OF. CRITICALLY TO THE
EXTENT THAT INDIVIDUALLY
IDENTIFIABLE INFORMATION WHETHER
IT'S REGARD TO PHYSICIAN-
COMPENSATION EARNERS
COMPENSATION OR STAFF
COMPENSATION- WOULD BE DISCLOSED
WOULD BE CONTAINED IN THE
INFORMATION INCIDENTS DISCLOSED-
YOU KNOW HAVING. MAYES LAW FIRMS
BEFORE I PROBABLY WOULD HAVE
BEEN OFFENDED IF SOMEBODY WANTED
ME TO. TURN OVER MY AUDITED
FINANCIAL STATEMENTS FOR THE
FIRM ALTHOUGH I RECOGNIZE IT IN
THE HEALTHCARE ARENA WE'RE NOT
LAW FIRMS WERE DEALING IN A MUCH
DIFFERENT SANDBOX WHERE. THERE
NEEDS TO BE TRANSPARENCY AND
IT'S IMPORTANT TO MAKE SURE THAT
CONSUMERS ARE PROTECTED AND
THAT. THE RATE STAYS LOW AS
POSSIBLE FOR THE HEALTH CARE
THAT PEOPLE NEED. BUT HAVING
LOOKED AT SOME OF THE SAMPLE-
DISCLOSURE FORMS THAT WERE
PROVIDED TO ME- IT APPEARS THAT
THE INFORMATION IN VARIOUS
CATEGORIES THE ONES THAT I WOULD
BE MOST CONCERNED ABOUT CELLS
AND SALARIES AND BENEFITS AND
THINGS LIKE THAT. IS AGGREGATED
INFORMATION. AND SO I'M NOT
NECESSARILY SURE UNDERSTAND
COMPLETELY WHAT THE PROBLEM IS
WITH THE PUBLIC RELEASE AT THIS
POINT. OF THE INFORMATION THAT'S
ON FILE AND HAVING LISTENED TO.
SOME OF THE OPPOSITION. I GUESS
MY COMMENT IS IF THERE ARE
SPECIFIC REPORTING CATEGORIES
THAT ARE PROBLEMATIC FROM THE
STANDPOINT OF- PREDATORY
TAKEOVERS OF PHYSICIAN
PRACTICES. IT WOULD SEEM TO ME
THAT THAT SORT OF. INFORMATION
THOSE PROBLEMATIC REPORTING
CATEGORIES. EITHER SHOULD HAVE
BEEN OR SHOULD BE IDENTIFIED SO
THAT WE CAN CONSIDER WHETHER THE
REDACTED INFORMATION PRIOR TO
THE PUBLIC RELEASE. OF THE
INFORMATION IF IT'S IF IT'S
APPROPRIATE TO DO SO AND IF IT
DOESN'T TERRIBLY DAMAGE YOUR
ABILITY TO DO THE ANALYSIS THAT
WE NEED TO DO ON THE DATA SO. I
GUESS I'M STANDING BY TO HEAR
ABOUT THAT IN IN THE INTERIM MY
CONCERNS HAVE BEEN. SATISFIED
I'LL BE SUPPORTING THE BILL
THANK YOU MADAM CHAIR. THANK YOU
KEITH THANK YOU VERY MUCH YEAH I
HAVE I'VE MADE A STATEMENT
BEGINNING AND THIS IS JUST THE
SAME APPLICATION THAT GOES TO
EVERY OTHER HEALTH AGENCY
HOSPITALS EVERYBODY ELSE SO- SO.
WHICH IS NO ONE AVAILABLE TO
SPEAK ON THIS AND THEN WOULD YOU
LIKE TO CLOSER- THANK RUMORED
FOR THE ROBUST DISCUSSION OF
SPEC AS RIVALS OKAY WE DON'T
HAVE A QUORUM RIGHT NOW BUT ONE.
HELLO THIS DEFICIT RIGHT OVER.
ALL RIGHT MOST OF IT THE NEW BY-
SO MENJIVAR SECRETARY PLEASE
CALL THE ROLL AND YOU ARE
TAKING- NOVEMBER TO TRY SO THE
MOTION IS TO PASS AND RIVER AND
REFER TO THIS COMMITTEE ON
APPROPRIATIONS. JUDICIAL PROTECT
THE MAMMOTHS AND JUDAS. THANK
YOU. SENATORS EGGMAN BY EGGMAN
AYE WHEN. GLAZER GONZALEZ. ROW
TADO. LIMÓN MENJIVAR. MENJIVAR I
ROTH. ROTH AYE RUBIO RIGHT RUBIO
AYE WILL HOP. WINNER PORTHOLE
THAT WROTE THE ROLE OPEN. AND
NOW YOUR LAST ONE IS AB THIRTEEN
NINETY TWO. I THINK I'LL MAKE
THIS QUICK THANK YOU MADAM CHAIR
AND SENATORS. THANK YOU FOR
ALLOWING ME TO PRESENT A BEING
THIRTEEN NINETY TWO WHICH WOULD
STRENGTHEN THE HOSPITAL SUPPLIER
DIVERSITY PROGRAM. THIS BILL
REQUIRE HOSPITALS WITH THE
EXPENSES OVER. FIFTY THOUSAND
FIVE HUNDRED THOUSAND I'M SORRY
FOR THE SENATE TAKES A MINUTE
THEY PLANT THE DEPARTMENT OF
HEALTH CARE ACCESS FOR
INFORMATION. H. CUTTING CREASE
PROCUREMENT FROM MINORITY WOMEN
L. G. B. T. AND DISABLED VETERAN
OWNED BUSINESSES AND ENTERPRISES
AB TWENTY NINETEEN. AND TWENTY
NINE TIMES ARE A. B. NINE SIX
TWO CREATED THE HOSPITAL
SUPPLIER DIVERSITY REPORTING
PROGRAM TO REQUIRE HOSPITALS TO
SUBMIT AN ANNUAL REPORT TO EACH
CAR ON THEIR PRIOR SUPPLIER
DIVERSITY EFFORTS. A. B. NINE
SIXTY TO RECOGNIZE THAT
INCREASING PROCUREMENT OVERSEE
IS NOT JUST A SOCIAL MISSION BUT
ALSO A BUSINESS STRUCTURE
STRATEGY THAT WIDENS THE
SUPPLIER POOL TOMORROW THE
PATIENT POPULATION THEY SERVE
HOWEVER IN THE MOST RECENT
REPORT DIVERSE PROCUREMENT
SPENDING ONLY ACCOUNTED 42% OF
THE TOTAL. SUPPLIER SPENDING OUR
DISADVANTAGED COMMUNITIES
DESERVE MORE DOLLARS THIS BILL
WILL STRENGTHEN THE PROGRAM TO
ALIGN MORE WITH TWO SUCCESSFUL
SUPPLIER DIVERSITY PROGRAMS FROM
THE CALIFORNIA PUBLIC UTILITIES
COMMISSION AND THE TRUMP
COMMISSION. SPECIFICALLY THE
BILL USES THE FOLLOWING
STRATEGIES FROM THE STATE'S
EXISTING PROGRAMS REQUIRES THE
DEPARTMENT TO PROVIDE OUTREACH
AND ASSISTANCE TO BOTH HOSPITALS
AND BUSINESSES. AS A
REPRESENTATIVE FROM A GROUP
PURCHASING ORGANIZATION TO THE
COMMISSION LASTLY THE BILL
ALLOWS H. CHI THE FLEXIBILITY TO
ADOPT ANY ADDITIONAL
REQUIREMENTS OR PROGRAMS TO
STRAIGHTEN THE TENT OF THE BILL.
THE STRATEGIES FROM EXISTING
PROGRAMS HAVE BEEN LARGELY
SUCCESSFUL FOR EXAMPLE INSURANCE
COMPANIES HAVE INCREASED THEIR
DIVERSE PROCUREMENT DOLLARS FROM
NINE HUNDRED THIRTY MILLION TO
THREE POINT ONE BILLION FROM
TWENTY TWELVE TO TWENTY TWENTY
ONE. LARGE UTILITIES REPORT THAT
31% OF THE TOTAL PROCUREMENT
CAME FROM DIVERSE SUPPLIERS
SURPASSING THE AGENCY'S GOAL OF
21% WITH ME THE TOUGH PART. IN
SUPPORT AND PROVIDE TESTIMONY IS
MANY DAIS REPRESENTING THE
CALIFORNIA HISPANIC CHAMBER OF
COMMERCE AND DURACELL SIDA
CHAIRMAN OF LOS ANGELES LATINO
CHAMBER OF COMMERCE THANK YOU
THANK YOU VERY MUCH MISTER DAVIS
. GOOD AFTERNOON MADAM CHAIR
MEMBERS SO MANY VS REPRESENT THE
CALIFORNIA HISPANIC CHAMBERS OF
COMMERCE. UP MADAM CHAIR WERE UP
PROUD CO SPONSOR OF THIS
LEGISLATION- WE THINK THAT
WHAT'S BEING PROPOSED HERE IS-
VERY REASONABLE. IT'S NOT. ABOUT
A REPORT IT'S REALLY ABOUT A
PLAN A DETAILED PLAN. FOR THE
LARGE HOSPITALS TO UP TO PUT
TOGETHER. ARE YOU THE OPPOSITION
MOTION WILL. WILL STATE THAT
THEY NEED MORE TIME. WELL WE
THINK IT'S VERY DOABLE. THERE'S
ALREADY BEST PRACTICES RIGHT NOW
WITH THE OTHER SUPPLIER
DIVERSITY PROGRAMS OF- RODRIGUEZ
MENTIONED THE UTILITY INDUSTRY
THE INSURANCE INDUSTRY. VERY
SUCCESSFUL. SO THERE'S A LOT OF
DATA THE HOSPITALS CAN USE FROM
THEIR BEST PRACTICE FROM THE
OTHERS SUPPLIER DIVERSITY
PROGRAM WE THINK IT'S TIME. WHEN
40% OF OUR POPULATION HERE IN
CALIFORNIA IS LATINO AND WE'RE
ONLY THAT'S JUST THE LATINO PART
OF IT IN ONLY 2% OF. GROSS
PERFECT- MEANT FOR EVERYBODY
THAT'S IN DIVERSITY POLL. WE
THINK OF SOME WRONG HERE. SO WE
ASK FOR YOUR SUPPORT TO REALLY
COME OUT WITH A DETAILED PLAN
HERE AND I KNOW THAT
CALIFORNIA'S BANKS HERE WE'VE
BEEN WORKING WITH THE OTHER
YOUTH OF. SUPPLIER DIVERSITY
PROGRAMS WITH P. YOU SEE IN THE
UTILITY INDUSTRY FOR MANY YEARS
AND ALSO WITH THE INSURANCE
INDUSTRY SO THIS IS NOTHING NEW
FOR US AND WILL BE MORE THAN
HAPPY HAPPY TO ALSO WORK WITH
THE HOSPITAL GROUPS. SO WE'RE
HERE TO ASK FOR YOUR SUPPORT
THANK YOU THANK YOU VERY MUCH
THANKS PERSON SPEAKING IN
SUPPORT. GOOD AFTERNOON MADAM
CHAIR AND COMMITTEE. SO MANY
MISTER ALSO SAID- I'M
REPRESENTING THE LOS ANGELES
TINA CHAMBER OF COMMERCE WE HAVE
A OVER NINE HUNDRED MEMBERS AND
WE'VE BEEN. DILIGENT TRYING TO
WORK WITH THE HOSPITAL
ASSOCIATION FOR THE LAST TWO
YEARS TRYING TO GET WERE AT
RIGHT NOW. IT WAS A SMALL
BUSINESS OWNER MYSELF I'VE
TRIED. TO WORK WITH THE HOSPITAL
ASSOCIATION AND WE JUST KEEP
GETTING ROAD BLOCKS BUT A GPOS-
JUST SEEMS LIKE IT'S JUST
ANOTHER LAYER OF. TRYING TO
FRUSTRATE US TO NOT APPLY FOR
THIS KIND OF WORK BUT I BELIEVE
THAT YOU KNOW- AB THIRTEEN
NINETY TWO. A STRENGTHENS THE
BURKE BILL FROM A. B. NINE SIXTY
TWO WHICH IS. WAS WAS WAS IN
EXISTENCE SINCE TWO THOUSAND
NINETEEN SO. I DON'T UNDERSTAND
WHY YOU NEED MORE TIME TO. LOOK
AT THIS I MEAN I KNOW WE HAD THE
PANDEMIC BUT YOU KNOW AS A
BUSINESS OWNER AS WE ALL HAVE
DIFFERENT. DIFFERENT AREAS WHERE
WE HAVE EXPERTS SAID CONTINUE
WANT TO MOVE THE BUSINESS ALL. I
JUST BELIEVE THAT ADDITIONAL
TIME IS JUST. I JUST THINK IS
UNACCEPTABLE WE'RE WASTING TIME
WE YOU KNOW WE NEED TO PUT OUR
LOCAL. BUSINESSES BACK TO WORK
COMMUTER. THEY'RE PART OF THE
MEMBERSHIP YOU KNOW WE'RE GIVING
WE'RE YOU KNOW WE'RE PROVIDING
THE BOTTOM LINE TO THIS HOSPITAL
SO. I'M IN SUPPORT I'M HOPING
THAT WE GET YOUR VOTE. THANK YOU
THANK YOU VERY MUCH OF THE
SPEAKING. SUPPORT NOW JUST NAME
AND AFFILIATION. THE MANAGER
MARTY LOPEZ CALIFORNIA NURSES
ASSOCIATION IN SUPPORT. THANK
YOU. PEOPLE SPEAK IN OPPOSITION
TO THE BILL TODAY. NOW WOULD BE
THE TIME TO COME FORWARD. AT
GOOD AFTERNOON CARE EGGMAN
COMMITTEE MEMBERS MINISTER
GONZALEZ WITH A CALIFORNIA
HOSPITAL ASSOCIATION.
REPRESENTING OVER FOUR HUNDRED
HOSPITALS AND HEALTH SYSTEMS IN
CALIFORNIA HERE WITH AN OPPOSE
UNLESS AMENDED POSITION ON AB
THIRTEEN NINETY TWO. CJ IS NOT
OPPOSED TO THE INTENT OR TO THE
NEW REQUIREMENTS IN AB THIRTEEN
NINETY TWO. HOWEVER IN LIGHT OF
EFFORTS THAT ARE CURRENTLY UNDER
WAY. AT RELATED TO DIVERSITY
BECAME IT FROM P. OF PREVIOUS
LEGISLATION WE ARE REQUESTING A
DELAY IN IMPLEMENTATION. M. BACK
IN TWENTY NINETEEN WHEN AB NINE
SIXTY TWO WAS SIGNED INTO LAW
THIS WAS THE FIRST TIME THAT
THERE WERE STATE REQUIREMENTS ON
HOSPITALS A RELATED TO DIVERSITY
PROCUREMENT. AND IT WAS
SOMETHING COMPLETELY NEW FOR
MANY OF OUR HOSPITAL MEMBERS OF
THE PURPOSE OF THAT REGIONAL
PIECE OF LEGISLATION WAS TO LAY
THE GROUNDWORK COLLECT THE DATA
FIND OUT WHERE HOSPITALS ARE IN
THAT DIVERT DIVERSITY
PROCUREMENT SPACE AND A SAID
ASSESS WHICH DIVERSE VENDORS.
ARE AVAILABLE AND CAN MEET THE
NEEDS OF HOSPITALS. AND DUE TO
THE DELAYED IMPLEMENTATION OF
NINE SIXTY TWO BECAUSE OF THE
PANDEMIC HOSPITAL DIDN'T SUBMIT
THEIR FIRST YEAR OF REPORTS
UNTIL JULY TWENTY TWENTY TWO.
AND THE SECOND YEAR REPORTING
WAS DUE JUST LAST WEEK
ADDITIONALLY AB NINE SIXTY TWO
ALSO CREATED THE HOSPITAL
SUPPLIER DIVERSITY COMMISSION
WHICH WAS TASKED WITH PROVIDING
RECOMMENDATIONS TO THE STATE ON
HOW HOSPITALS CAN INCREASE
THEIR- DIVERSE PROCUREMENT OF
THE GROUP DIDN'T MEET UNTIL
MARCH OF TWENTY TWENTY ONE. AND
HAS ONLY ISSUED ONE SET OF
RECOMMENDATIONS IN ORDER FOR TO
ALLOW AB NINE SIXTY TWO TO
MATURE AND TO DO WHAT IT WAS
INTENDED TO DO C. H. IS
REQUESTING THAT THE REQUIREMENT.
AT THE HOSPITALS DEVELOP
DETAILED NUMBER OF FOUGHT DE
DETAILED AND VERIFIABLE PLANTS.
AT B. IT DELAYED UNTIL AT FOR
DEEP BE DELAYED FOR FIVE YEARS
THIS WOULD ALLOW H. CHI. I TO
COLLECT FIVE YEARS OF DATA FROM
HOSPITAL REPORTING AND GIVE THE
HOSPITAL SUPPLIER DIVERSITY
COMMISSION. A TIME TO EVALUATE
AND- DEVELOP ADDITIONAL
RECOMMENDATIONS FOR THE STATE'S
CONSIDERATION. ADDITIONALLY WERE
ALSO REQUESTING THAT THE PLANT'S
EMISSION REQUIREMENTS BE CHANGED
FROM ANNUALLY TO AT EVERY THREE
YEARS SIMILAR TO COMMUNITY
BENEFITS ASSESSMENTS AS THERE'S
NOT MUCH CHANGE YEAR OVER YEAR.
I'M HOSPITALS ARE COMMITTED TO
SUPPLIER DIVERSITY AND- ARE
DOING A LOT TO. MEET THE
REQUIREMENTS OF AB NINE SIXTY
TWO. I WITHOUT RESPECTFULLY
REQUEST YOUR NOBLE THANK YOU
THANK YOU VERY MUCH. THE PERSON
SPEAKING IN OPPOSITION. GOOD
AFTERNOON MADAM CHAIR AND
MEMBERS CONNIE DELGADO A BEHALF
THE DISTRICT HOSPITAL LEADERSHIP
FOREMAN WOULD LIKE TO LINE MY
COMMENTS WITH THOSE OF THE
CALIFORNIA HOSPITAL ASSOCIATION
THANK YOU THANK YOU VERY MUCH
ANYBODY ELSE JUST WANNA SPEAK
AGAINST THE BILL NOW JUST NAME
AFFILIATION. SEEING NONE WILL GO
TO THE PHONE LINES NOW IF
THERE'S ANYBODY ON THE PHONE
LINE SPEAKING IN SUPPORT OR
OPPOSITION TO THIRTEEN NINETY
TWO. THANK YOU MADAM CHAIR IF
ANYONE WOULD LIKE TO SPEAK ON
BILL AB THIRTEEN NINETY TWO
PLEASE PRESS ONE THEN ZERO AT
THIS TIME. AGAIN THAT IS ONE
ZERO AT THE TIME. I'M SURE AT
THE TIME WE HAVE NOBODY QUEUEING
UP THANK YOU VERY MUCH- OKAY
WOULD YOU LIKE A CLOSE FAMILY
MEMBER. OKAY THURMOND
RECOLLECTION. COMMISSION I'M- MY
QUESTION TO THE NASA IF YOU COME
BACK A- THANK YOU. YOU MENTIONED
THAT YOU KNOW THE CALIFORNIA
HOUSE WERE DIVERSITY PROGRAM
RECOMMENDATIONS CAME OUT IN
TWENTY TWENTY ONE AND I WAS
READING THROUGH THESE
RECOMMENDATIONS HAVE ANY OF THEM
BEEN IMPLEMENTED SINCE. YES SO
B. H. CHI IS ACTUALLY TASKED
WITH HER BEING IN THOSE
RECOMMENDATIONS AND IMPLEMENTING
EITHER THROUGH REGULATION OR
THROUGH LEGISLATION. SO THEY'RE
CURRENTLY GOING THROUGH THE
PROCESS RIGHT NOW YES EXACTLY.
MY QUESTION TO YOU THEN ASSEMBLY
MEMBER- YOU KNOW I CAN SEE. BOTH
I THINK A 100% WE SHOULD BE YOU
KNOW PUTTING A LOT OF PRESSURE
TO ENSURE THAT WE YOU KNOW
DETERMINES IS AS DIVERSE AS
CALIFORNIA. BUT I'M ALSO SEEING
SOME OF THE GROUNDWORK FOR SOME
OF THE FOUNDATION HAS BEEN IN
PLACE ALREADY TWENTY TWENTY ONE
THESE RECOMMENDATIONS CAME OUT.
I JUST HEARD H. GUYS GOING
THROUGH THEM WHAT ARE WHAT DO
YOU SAY TO THEM POTENTIALLY
HAVING THAT START IN THREE YEARS
VERSUS I MEANS PUSHING BACK THE
IMPLEMENTATION JUST TO. WELL I
JUST THINK. THERE ARE NO ONE
OTHER HARMS IS FIVE YEARS RIGHT.
BUT THERE'S NO GUARANTEE THAT
THE REALLY DO ALL RIGHT EVEN
THOUGH WILL LOOK OUT FOR FIVE
YEARS BUT IS THERE GUARANTEED
THAT THEY'LL DO IT. FOR ONCE
SINCE THE CPU. CPU SERIES DOING
INSURANCE COMMISSION DOESN'T
BASICALLY MIMICKING WHAT THEY'RE
DOING ITS VERY SIMPLE EASY
PROCESS SO THAT'S WHY I SEE
THAT. NOW IS THE TIME TO DO A
BETTER DELAY NO MORE WE'RE JUST
DELAYED. OUR OUR OUR COMMUNITIES
THAT ARE OR PHONE WITH THAT DO
YOU REALLY NEED THIS HELP AND
SUPPORT- SO ONCE AGAIN I DON'T
KNOW WHY WE WANT TO WAIT LONGER.
IT'S ALREADY BEING DONE IN TWO
OTHER ORGANIZATIONS AND THERE'S
NO GUARANTEE ONCE AGAIN IF THEY
WANT TO WAIT ANOTHER FIVE YEARS
WELL THEY REALLY IMPLEMENT THE
RECOMMENDATIONS ARE JUST.
JUSTICE OBSTACLE DELAY NO MORE
AND MORE SO WOULD YOU WHAT WOULD
YOU SAY SO IT'S KIND IS GOING TO
COME OUT AND- EITHER VALIDATE
THESE RECOMMENDATIONS FROM
TWENTY TWENTY ONE OR SAY HEY
THESE ARE THE ONES THAT SHOULD
BE IMPLEMENTED. WHICH YOUR BILL
THEN TRUMP ONE H. KAI IS LOOKING
TO PUSH FORWARD. ONCE THEY'RE
DONE WITH THEIR EVALUATION OF I
WOULD THINK OF LONG TO MIMIC THE
SAME THING WAS DONE WITH THE C.
P. U. S. C. AS TO WHAT IT CALLS
THEIR WORK RIGHT NOW. I'M NOT
REALLY TOO SURE ON THAT OKAY
BACKGROUND AND THEN MY SECOND
QUESTION IS HOW WOULD YOU
RESPOND TO A THING BUT- I'M NOT
SURE IF THE SECOND. OPPOSITION
SAID SOMETHING AROUND- IN.
REPORT RICHEST THREE YEARS. THEN
WHEN YOU'RE MAYBE NOT MUCH IS
HAPPENING. VERSUS MAYBE IN TWO
TO THREE YEARS YOU'RE GOING TO
SEE MORE- CHANGES. NO I THINK.
PART OF THAT IS THAT. REPORT
THEY TALK ABOUT EVERY THREE
YEARS. IS A VERY COMPREHENSIVE
REPORT. THE HAS MORE DETAILS TO
IT. THIS ONE DOESN'T. ONCE
AGAIN. IF THE CPS INSURANCE
COMMISSIONER DOOR WITHIN A YEAR
I DON'T SEE WHY THEY CAN'T. ONCE
AGAIN IT'S BASIC MIMICKING THEM.
AND ONCE AGAIN THE REPORT THEY
TALK ABOUT EVERY THREE YEARS. IS
A VERY COMPREHENSIVE REPORT.
WE'RE NOT LOOKING AT THAT. RIGHT
THIS IS A MORE SIMPLE REPORT.
OKAY THAT TO US FEELS LIKE IT
SHOULD BE DONE SOONER RATHER
THAN LATER. OKAY OKAY. TO THE
HOUSE WAS ALREADY DOING THE-
THE- THE- THE- GROUNDWORK CAN I
THE GROUNDWORK THERE ARE YOU
DOING. THE LIST SO THIS JUST
SAYS ALONG WITH THAT LIST LET'S
GET A PLAN. WHEN YOU'RE DONE
WITH THAT LIST. IS THERE PLAN TO
GO ALONG WITH IT. CORRECT ONE
SECONDS BASIC PLAN. I THINK IT.
I RUBIO THANKS. THANK YOU MADAM
CHAIR AND IT YOU KNOW. I DON'T
REPEAT EVERYTHING THAT MY
COLLEGE A STATE RIGHT NOW BUT IT
IS ONE OF THESE- SITUATIONS
WHERE I CAN SEE BOTH SIDES AS
WELL BECAUSE I YOU KNOW I
UNDERSTAND THAT WE HAVE THESE
RECOMMENDATIONS AND- AND
SOMETIMES WE- COULD GET AHEAD OF
SOME OF THE WORK THAT'S ALREADY
BEEN DONE. BUT ON THE FLIP SIDE
YOU KNOW I ALSO UNDERSTAND OUR
LOCAL COMMUNITIES WHO ARE. OF A
STRUGGLING TO ALSO STATE OF FLOW
BECAUSE YOU KNOW THE PANDEMIC
JUST REALLY STIFLED EVERYONE'S
ABILITY TEST TO GET AHEAD AND-
END UP PUTTING FOR THIS- YOU
KNOW ALL. OF THE PLAN I THINK
WOULD HELP LOCAL BAND YOU
COMMUNITIES AND NOT ONLY A LOCAL
BENEFIT BUT ALSO LOCAL JOBS
WHICH I THINK ALL OF US ARE. ARE
ARE WANTING IN OUR LOCAL
COMMUNITY SO LIKE I SAID I DO
UNDERSTAND WHAT SITES AND I. YOU
KNOW I UNDERSTAND YOU KNOW THE
HOSPITALS- JUST SORT OF
CONCERNED ABOUT- HAVING ALREADY
THESE RECOMMENDATIONS SO IT'S A
LITTLE BIT INTERESTING HOW. I
CAN SEE THIRTY HOW BOTH ARE TORN
HERE BUT AT THE END OF THE DAY
YOU'D LIKE FOR ME I. I
UNDERSTAND THAT IT'S A WIN WIN.
IN TERMS OF ALL LOCAL BENEFITS
LOCAL JOBS TO OUR COMMUNITIES
AND- AND ALSO I'M YOU KNOW I'M
SURE THAT- BECAUSE I TRUST THE
AUTHOR AS WELL THAT I HOPE YOU
CAN CONTINUE TO HAVE THESE
CONVERSATIONS AND SEE. WHERE WE
CAN FIND COMMON GROUND BUT FOR
ME IT'S UP. HAVING THAT DIVERSE
POOL IS SMART BUSINESS AND IT
DOES YOU KNOW FOR ME IT JUST
CONSIDERING THE INSURANCE
COMPANIES ARE DOING IT AS WELL
AS THE- CALIFORNIA UTILITIES. AS
IS DOING AND I THINK HE POINTED
OUT SOME OF THE- FINANCIAL
BENEFITS. TRIMS OF NUMBERS- YOU
KNOW WE NEED TO ENSURE THAT.
DIVERSEY IS RAW. SO I THIS A
LITTLE. SUPPORTER AND DOT BUT I
HOPE THAT YOU'RE OPEN TO
CONTINUE CONVERSATIONS TO MAKE
SURE THAT SOME OF THE CONCERNS
OF MY COLLEAGUES. TO STATE IT.
OUR OUR TECHNOLOGY YES DEVELOP
FOR TO. CONTINUE THE- THE
DISCUSSIONS CENTER MENTOR FOR.
SILENCER IT'S YOU KNOW I. I I'M
ALWAYS WEARY OF. IMPLEMENTING
SOMETHING WHERE SOMETHING HAS
SIMPLY BEEN DEVELOPED- JUST
ENSURE THAT YOU KNOW WE'RE NOT
PULLING OUR CAPACITY HERE WE
NEVER SEE SOMETHING GROW. CAN
YOU JUST EXPLAIN TO ME A LITTLE
BIT MORE. I'M GONNA GO BACK TO
THIS DIVERSITY PROGRAM THING
OKAY SO RECOMMENDATIONS FROM
PLACE AND UNDERSTAND YOUR BILL
WITH TO ACTUALLY IMPLEMENT.
THOSE RECOMMENDATIONS DON'T JUST
TO REPORT. WHERE THE ACTIONS-
ARE WE GOING TO BE GETTING A NEW
SET OF RECOMMENDATIONS OR IS
YOUR BILL GOING TO BUILD OFF OF
THESE RECOMMENDATIONS AND JUST
DO A PLAN FOR IMPLEMENTING
PRETTY MUCH THE PLAN. KIND OF
MIMICKING ONCE AGAIN WHAT
THEY'RE DOING AT THE CPUC AND
INSURANCE SO WE'RE NOT GOING TO
BE LOOKING TO. FIND NEW
RECOMMENDATIONS BECAUSE THAT
WORK ALREADY HAS BEEN DONE.
CORRECTIVE HIGHS BUT YOU KNOW
WE'RE ALWAYS OPEN TO SEE WHAT.
THE BEST IMPACT WOULD HAVE ONCE
AGAIN FOR OUR MINORITY OWNED
BUSINESSES IN THE AREAS THAT.
HOSPITALS ARE LOCATED I WRITER
JERRY COMPLEX THE STATE IS
RIGHT. AND SO LET'S LOOK AT WHO
WE CAN WORK WITH IN THOSE AREAS
THAT WOULD BE A DIVERSE GROUP OF
INDIVIDUALS OR BUSINESSES IN
THIS POINT. OKAY. THAT IS OUR
MANAGER. THANK YOU- A LOT OF US
WERE OUT. AND ABOUT. A EVENTS
AND I HAPPEN TO SEE A
CONSTITUENT WHO TOLD ME SHE WAS
GETTING READY TO RETIRE. FROM
OUR- OUR OUR OUR PRISON HEALTH
CARE FACILITY THAT WE HAVE IN
TOWN AND STOCKTON. I WAS ON THE
CITY COUNCIL WHEN- THE STATE
WANT TO BUILD. THE FOURTH PERSON
IN MY DISTRICT- AND WE ASK THEM
FOR LOCAL HIGHER AND LOCAL
PROCUREMENT. AND EXPLAINED TO US
THAT THEY DIDN'T HAVE TO DO THAT
BECAUSE THEY WERE THE STATE OF
CALIFORNIA. I DON'T HAVE TO DO
THAT. AND THEN EXPLAIN TO THEM
THAT THEY NEEDED DID NEED WATER
AND SEWER HOOKUP- SO WE ARE ABLE
TO GET LOCAL PROCUREMENT AND
LOCAL HIGHER AND I JUST SAW
SOMEBODY WHO'S GETTING READY TO
RETIRE WITH TWELVE YEARS. AND
WITH THAT STATE JOBS SO IT MAKES
A DIFFERENCE I THINK IN PEOPLE'S
LIVES ENOUGH- THERE'S GOING TO
BE. YOU KNOW GOOD EMPLOYERS IN
OUR OUR COMMUNITIES THEY SHOULD
BE EMPLOYING AND PARTNERING.
WITH OUR WITH OUR LOCAL DIVERSE
COMMUNITIES WOULD YOU LIKE TO
CLOSER I RESPECTFULLY ASK RIVAL
THANK YOU VERY MUCH TO WE- DID
ONE OF THE- QUESTIONING.
SENATORS ONE MAKE A MOTION.
THANK YOU SENATOR THE BILL HAS
MOVED BY. CENTER RUBIO THAT IS
TO PASS AND REFERRED TO THE
COMMITTEE ON APPROPRIATIONS.
SECRETARY PLEASE CALL THE ROLL.
SENATORS EGGMAN AYE EGGMAN AYE
WHEN. AS GONZALEZ. GROWTH GROVE
NOPE. FURTADO THE MOUND.
MENJIVAR MENJIVAR AYE ROTH. ROTH
AYE RUBIO. RUBIO I WILL HOP.
WINNER. FORTY ONE LEAVE THE ROLE
OPEN. THANK YOU FOR REMEMBER
THINK YOUR WORK HERE IS DONE YES
. ABOUT A MOTION ON THE CONSENT
CALENDAR. SO MOVED ALL RIGHT
THAT IS CONSENT CALENDAR DAY AB
FOUR SIXTY ONE SB SIX ZERO EIGHT
AB EIGHT FORTY SEVEN WITH THE
MAN AB NINE FIFTEEN WITH THE
MAN'S AB ELEVEN TEN WITH THE
MEN'S. AB TEN ZERO FIVE AB
ELEVEN TWENTY FIVE AND AB
FOURTEEN SEVENTY ONE. ELEVEN
TWENTY TWO MR SPOKE OKAY US
SECRETARY PLEASE CALL THE ROLL
MOTION BY SENATOR ROTH. SENATORS
EGGMAN AYE EGGMAN AYE WHEN.
LASER GONZALEZ GROWTH. GROWTH I
FURTADO THE MON MENJIVAR.
MENJIVAR I BROUGHT. ROTH I RUBIO
AYE RUBIO AYE WELL HOBBS WE-
FIVE ZERO. AS FAR ZERO THAT THE
WHOLE THE ROLE OPEN FOR ABSENT
MEMBERS OKAY WE'RE LOOKING FOR
PRESENTERS. HERE. THE NEW
DULCIMER RAWMARSH. NO ROCHE. WE
NEED. WE NEED BORDER AND JONES
SAWYER SERGEANTS AREA BEFORE. I
NEED TO SAPIR. WE HAVE THE ONE
OF THEM. ONE HOW ABOUT THE- DID
WE GET EMOTIONAL AB THREE
SEVENTY NINE. OKAY AND FOR. I AM
IN NUMBER FOUR AB. FIFTY FOUR BY
BAUER K. WE DON'T SUPPORT MOVE
BY SO ROB. THAT IS TO PAY AND WE
TO THE ON A- SECRETARY CALL THE
ROLL- FOR FOUR OKAY. SENATORS
EGGMAN HI EGGMAN AYE WHEN. AS-
GONZALEZ GROWTH. HER TADO. LIMÓN
MENJIVAR MENJIVAR AYE ROTH. ROTH
AYE RUBIO AYE RUBIO AYE WHAT
HAAB WINNER. FOR SURE WILL HOLD
THE ROLE OPEN FOR ABSENT MEMBERS
. IN A MINUTE ASSEMBLY MEMBER
WILL CALL THE ROLL ON OUR NEXT
ONE OKAY AB IS SEVENTEEN TWENTY
BY OUR QUE HAN WE NEED TO
MOTIONS MOVED BY SENATOR ROTH
SECRETARY PLEASE CALL THE ROLL.
SANDERS EGGMAN AYE EGGMAN AYE
WHEN GLAZER GONZALEZ GROWTH
GROVE NO HER TADO LIMÓN MENJIVAR
FIVE MINUTES OF OUR AYE ROTH
ROTH AYE RUBIO. WILL BE- I WILL
HAVE WINNER. FOR I FOR ONE WILL
HOLD THAT OPEN AND NOW HAVE A
FORCED AB SO SIXTEEN BY SOMEONE
FORMER. WELCOME. OKAY THANK YOU
SO MUCH MA'AM MEMBERS OF LIKE
EXTRA THE COMMITTEE A- I WOULD
LIKE TO THANK THAT SHARING YOUR
STUFF FOR WORKING US ON THIS
BILL AB SEVEN SIXTEEN QUITE
SIMPLY PUT SIX TO PREVENT
CONSUMERS FROM BEING HIT WITH
SURPRISE BILLS FOR GROUND
AMBULANCE SERVICES. CALIFORNIA
ALREADY HAS STRONG PROTECTIONS
IN PLACE FOR SURPRISE MEDICAL
BILLS BUT THERE REMAINS A
LOOPHOLE FOR GROUND AMBULANCE
TELLS UNDER THIS BILL PATIENTS
WITH INSURANCE WILL ONLY BE
RESPONSIBLE TO PAY THE END
NETWORK COST SHARING AMOUNT.
THOSE WITHOUT INSURANCE WILL BE
CHARGED NO MORE THAN THE MEDICAL
OR MEDICARE RATE FOR THAT
SERVICE WHICHEVER IS GREATER.
AND THIS BILL WILL REQUIRE THAT
ABSENT A CONTRACT BETWEEN
AMBULANCE PROVIDER AND HEALTH
PLAN THE HEALTH PLAN PAYS THE
AMBULANCE PROVIDER THE LOCALLY
SET LOCAL EMERGENCY MEDICAL
AUTHORITY THE LAMB SAYS RIGHT
FOR EMINENT SERVICES. MEANING
THAT OUR LOCAL FIREFIGHTERS OR
PARAMEDICS ARE COMPENSATED FOR
THE HEROIC WORK THAT THEY DO.
THIS ISSUE IS ALSO PERSONAL TO
ME MY DAUGHTER HAD TO TAKE AN
EMERGENCY TRIP TO THE HOSPITAL
MY FIRST YEAR WHEN I WAS IN THE
SIMPLY AND WE RECEIVED A
SURPRISE BOTH DESPITE HAVING
EXCELLENT INSURANCE FOR CALLING
AMBULANCE THE LAST THING ANYONE
ANY MOTHER. ANY ANY SPOUSE ANY
CHILD. SHOULD HAVE TO DO IS
THINKING ABOUT THE LICENSING
RIVAL RESULT IN FINANCIAL
HARDSHIP. EIGHTY SEVEN SIXTEEN
IS A COMMON SENSE SOLUTION TO
HELP ALL MY COLLEAGUES. WILL
JOIN ME IN THE LEGISLATURE AND
SUPPORTING THE SPAM I'LL
CONTINUE WORKING WITH ALL
STAKEHOLDERS TO ENSURE WE
ADDRESS. ANY UNINTENDED
CONSEQUENCES I RESPECTFULLY ASK
FOR A VOTE. I HAVE HERE WITH ME
TODAY JENNIFER. RICE WHO WILL
FOR SURE THE STORY OF WHAT
HAPPENED HER WHEN HER DAUGHTER
WAS INJURED. WE ALSO HAVE
CAITLYN FENTON'S. I BANKS. OF
POLICY AND LEGISLATIVE ADVOCATE
FOR HEALTH ACCESS CALIFORNIA THE
SPONSORS OF THIS BILL. THANK YOU
VERY MUCH THANKS FOR SOME PLACE.
FIRST GOOD AFTERNOON MADAM CHAIR
AND SENATORS. MY NAME IS
JENNIFER REESE AND I LIVE IN
FRESNO COUNTY. I AM HERE TODAY
IN SUPPORT OF AB SEVEN SIXTEEN.
I HOPE THAT AFTER YOU HEAR MY
STORY YOU WILL UNDERSTAND WHY AN
AYE VOTE IS SO IMPORTANT FOR ALL
CALIFORNIANS. JUST OVER A YEAR
AGO MY DAUGHTER A TWENTY ONE
YEAR OLD COLLEGE STUDENT
SUSTAINED SERIOUS INJURIES DUE
TO BEING KICKED MULTIPLE TIMES
IN THE CHEST BY HORSE. AFTER SHE
WAS KICKED SHE FELL TO THE
GROUND UNABLE TO MOVE OR SPEAK.
THE APPLE WATCH THAT SHE WAS
WEARING IMMEDIATLY ACTIVATED AND
CALLED NINE ONE ONE. AN
AMBULANCE ARRIVED AT OUR HOME
AND TRANSPORTED HER TO THE
NEAREST HOSPITAL FIVE MILES
AWAY. WHILE THERE SHE WAS
DIAGNOSED WITH FOUR BROKEN RIBS
AND A PARTIALLY COLLAPSED LUNG.
THE SERIOUSNESS OF HER INJURIES
PROMPTED HER TO BE TRANSPORTED
AGAIN BY AMBULANCE TO A LEVEL
ONE TRAUMA CENTER TWELVE MILES
AWAY. SHE SPENT THREE NIGHTS IN
THE HOSPITAL. A MONTH LATER SHE
RECEIVED A BILL FROM THE
AMBULANCE COMPANY TOTALING FORTY
SIX HUNDRED DOLLARS. MY DAUGHTER
IS COVERED BY MY EMPLOYER
SPONSORED HEALTH PLAN. BUT OUR
INSURANCE COMPANY PAY LESS THAN
HALF OF THE BILL LEAVING MY
DAUGHTER RESPONSIBLE FOR TWENTY
FOUR HUNDRED DOLLARS. SHE WAS
DISTRAUGHT BECAUSE SHE DIDN'T
KNOW HOW SHE WAS GOING TO PAY
FOR THIS BILL. INITIALLY MY- I
THOUGHT MY INSURANCE COMPANY WAS
PROCESSING THE CLAIM INCORRECTLY
BUT AFTER MANY HOURS ON THE
PHONE WITH THEM I FOUND OUT THE
TWENTY FOUR HUNDRED DOLLARS WAS
BILLED. BECAUSE THE AMBULANCE
COMPANY WAS OUT OF MY INSURANCE
PLAN NETWORK. I ALSO DISCOVERED
THAT ALL FRESNO COUNTY NINE ONE
ONE CALLS ARE HANDLED BY THIS
AMBULANCE COMPANY. AND THIS
COMPANY CHOOSES NOT TO CONTRACT
WITH ANY EMPLOYER SPONSORED
HEALTH PLANS. THIS CHOICE MAKES
THEM OUT OF NETWORK FOR ALL
FRESNO COUNTY RESIDENTS WITH
EMPLOYER SPONSORED HEALTH
INSURANCE PLANS. WITH A MILLION
RESIDENTS IN FRESNO COUNTY
THAT'S A LOT OF PEOPLE RECEIVING
SURPRISE AMBULANCE BILLS. TO
MAKE MATTERS WORSE FOUR MONTHS
AFTER RECEIVING THE FIRST
AMBULANCE BILL AND DESPITE
KNOWING I WAS WORKING TO RESOLVE
THE CLAIM WITH MY INSURANCE
COMPANY. THE AMBULANCE COMPANY
SENT MY DAUGHTER TO COLLECTIONS
. TO PROVIDE PERSPECTIVE. THE
TOTAL BILL FOR THE THREE DAY
HOSPITAL STAY WAS FIFTY SEVEN
THOUSAND DOLLARS. MY INSURANCE
COVERED ALL BUT SEVENTEEN
HUNDRED DOLLARS BASICALLY MY
DAUGHTER IT OWED 3% OF THE
HOSPITAL BILL BUT MORE THAN 50%
OF THE AMBULANCE BILL. I AM
ACTIVELY FIGHTING TO PREVENT
OTHER CALIFORNIANS FROM AND
DURING THE STRUGGLE I HAVEN'T
HEARD OVER THE LAST YEAR. BROWN
TRANSPORTATION AMBULANCES SHOULD
BE STOPPED FROM SURPRISE BILLING
FOR CRITICAL EMERGENCY SERVICES
I URGE YOU TO VOTE AYE ON AB
SEVEN SIXTEEN THANK YOU THINK
YOU'RE MUCH HOPE YOUR DAUGHTERS
DOING BETTER. NEXT PERSON PLEASE
. GOOD AFTERNOON AGAIN I MADAM
CHAIR AND SENATORS I'M KATIE AND
DINES WITH HEALTH ACCESS
CALIFORNIA WHERE POT ITS SPONSOR
AND SUPPORT EIGHTY SEVEN
SIXTEEN. EIGHTY SEVEN SIXTEEN
WILL CLOSE A GLARING GAP IN
CONSUMER PROTECTIONS AGAINST A
PRIZE BELLS FOR GROUND AMBULANCE
TRANSPORT ENSURING THAT
CONSUMERS WILL ONLY PAY THEIR IN
NETWORK COST SHARING. THIS BILL
ALSO PLEASE OF THE CAP ON WHAT
AN INTER CALIFORNIANS CAN BE
CHARGE FOR AMBULANCE SERVICE
SAYS. I'M ENSURING THEY'RE NOT
BEING CHARGED AN INFLATED RATE.
AS A VITAL HAPPENED WHEN A
CONSUMER DOES THE RIGHT THING BY
GOING TO THE EMERGENCY ROOM OR
THE HOSPITAL- BUT THEY'RE NO
PART OF FAULT OF THEIR OWN SEE
AN OUT OF NETWORK PROVIDER. IN
THE CASE OF ENGLAND SAYS
CONSUMERS HAVE NO CONTROL IN
WHETHER THE EMAIL IF THAT SHOWS
UP IS IN THEIR NETWORK RESULTING
IN MANY SURPRISE BELLS. AT STUDY
FOUND THAT 73% OF I'M- THERE AT
OF AMBULANCE FROM CALIFORNIANS
WITH LARGE EMPLOYER COVERAGE
INCLUDING OUT OF NETWORK CHARGE
IN FOR AN AMBULANCE RIDE.
CONSUMERS CAN OFTEN RECEIVE A
BELL OF A THOUSAND DOLLARS OR
EVEN MORE THAN TWO THOUSAND
DOLLARS WHICH CAN BE FINANCIALLY
DESTABILIZING FOR CALIFORNIANS
ESPECIALLY THOSE WITH LOW AND
MODERATE INCOME HE MIGHT NOT
HAVE SAVINGS. WE HEAR FROM
CALIFORNIANS ACROSS THE STATE
THAT THEY MIGHT NOT EVEN CALL
THE AMBULANCE OUT OF LEGITIMATE
YOU'RE OF THE BELT PUTTING THEIR
HEALTH AT RISK. YOU'LL SEE IN
THAT HAND OUT THAT WE HAVE I'M
WITH THE COMMUNITY MEMBERS I'M
STORIES FROM CALIFORNIANS ACROSS
THE STATE. ABOUT THEIR
EXPERIENCE WITH SURPRISE MEDICAL
BILLS WITH SOME SAYING THAT.
EITHER HOW TO BAIL ON ME. AT ONE
POINT AND THEN DECIDED NOT TO
CALL THE AMBULANCE THE NEXT TIME
THEY ARE AN EMERGENCY. IF THERE
IS NO CONTRACT BETWEEN THE
HEALTH I'M DEEP BETWEEN THE
AMBULANCE PROVIDER AND THE
HEALTH INSURER OR THE HEALTH
PLAN I'M THE BILL REQUIRES THAT
THE ENSURE THE HEALTH PLAN PAID.
THAT LIKELY SAT RATE I'M UNDER
THE EXISTING LOCAL RATE SETTING
PROCESS. AND I'M AGAIN TO FIX
THE CONSUMER OF THE METAL
ENSURING THEY ONLY RECEIVE THAT
AND NETWORK COST SHARING. SB
SEVEN SIXTEEN ALSO INCLUDES
CONSUMER PROTECTIONS AGAINST TAX
COLLECTIONS INCLUDING AGAINST
WAGE GARNISHMENT. THAT IS
IDENTICAL TO WHAT IT WAS
INCLUDED IN A B. SEVENTY TWO M.
THE ACT PRIVATE ENTERPRISE
BILLING FOR OUT OF NETWORK
HEALTH PROFESSIONALS AUTHORED BY
OUR ATTORNEY GENERAL BROUGHT
BONTA. THANK YOU VERY MUCH OF
THANK YOU I RECENTLY AFTER
EITHER AN EIGHTY SEVEN SIXTEEN
OKAY. OTHER PEOPLE SPEAKING IN
SUPPORT OF THIS TODAY REPORTS
STATE YOUR NAME AND AFFILIATION
. GOOD AFTERNOON ONCE AGAIN
MANAGER MONEY LOVERS OF THE
CALIFORNIA NURSES ASSOCIATION
SUPPORT THANK YOU. CAPTION AGAIN
BETH ON ASKING SCO CALIFORNIANS
SUPPORT. THANK YOU. VERY SPEAK
IN OPPOSITION TO THIS BILL TODAY
. THANK YOU ARE MADAM CHAIR
CLIFF BURKE HERE BEHALF FOR THE
CALIFORNIA ASSOCIATION OF
COLLECTORS. ARM WE GENERALLY
APPLAUD THE AUTHOR FOR THIS BILL
WE THINK ALL THE PROVISIONS THAT
YOU'VE HEARD ABOUT. OUR
EXCELLENCY AND I HAVE NO
CONCERNS REGARDING THEM. THE ONE
PROVISION IN THIS BILL WHICH WE
THINK IS OVERBROAD IT NEEDS
WORK. IS AN ABSOLUTE PROHIBITION
ON THE USE OF WAGE GARNISHMENT.
WHILE IT IS TRUE WE AGREED IN
THE BONTA BILL RELATING TO
HOSPITALS. TO INCLUDE A BAN ON
WAGE GARNISHMENT WE DID NOT
AGREE TO EVERY SUBSEQUENT
HEALTHCARE A BILL THAT COMES TO
THE LEGISLATURE AND SINCE THE
PASSAGE OF THE BONTA BILL WE'VE
SEEN AN AGREED UPON LEGISLATION
BY SENATOR WHAT KASKY. WHICH
ESSENTIALLY LIMITS THE USE OF
WAGE GARNISHMENT IN CALIFORNIA
BASED UPON INCOME TO PROTECT LOW
INCOME AND MODERATE INCOME
CALIFORNIANS SO GIVEN THE
PASSAGE OF THE WOOD COUNTY BILL
LIMITING WAGE GARNISHMENT WE
THINK AN ABSOLUTE PROHIBITION
WAGE GARNISHMENT. FOR A
PARTICULAR TYPE OF DEBT MAKES NO
SENSE IN REALITY OUR WAGE
GARNISHMENT IS A POST JUDGMENT
TOOL WHICH MEANS THAT THE BILL
HAS GONE THROUGH THE COLLECTION
PROCESS IT'S GONE TO COURT
BECAUSE IT WAS TRIAGE AND
SOMEONE FELT IT WAS WORTH SUING
ON. THE JUDGMENT WAS ATTAINED
COLLECTION WAS TRIED AGAIN AND
THE INDIVIDUAL STILL REFUSED TO
EVEN WORK OUT A PAYMENT PLAN SO
ONLY AS A LAST RESORT AND WAGE
GARNISHMENT EVERY USE POST
JUDGMENT CALIFORNIA. AND ITS
SEVERELY LIMITED BY THE WHAT
KASKY BILL WE THINK THIS
LANGUAGES OVER BROAD AND WOULD
ASK THE OTHER AUTHOR TO CONSIDER
NARROWING LANGUAGE YOU'RE TAKING
OUT TO PROHIBITION. THANK YOU.
THE YOU VERY MUCH OF THE ENOUGH.
TODAY TWO CLIFFS. MAKES A HILL.
OKAY THAT IS TRUE MADAM CHAIR A
CLIFF CUSTER ON BEHALF OF THE
CALIFORNIA CREDITORS BAR
ASSOCIATION WOULD LIKE TO
ASSOCIATE MY COMMENTS WITH CLIFF
BURKE. THE OTHER CLIFF- AND
RESPECTFULLY. ASK FOR A NO VOTE
TODAY BUT UNDERSTAND IT ON THAT
LIMITED PERSPECTIVE THANK YOU
THANK YOU VERY MUCH. OKAY WHO
JUST WANT TO SPEAK IN OPPOSITION
IN GENERAL. OKAY NO WAS BECAUSE
THE PHONE LINES ANYONE'S BECAUSE
SUPPORT AND OR OPPOSITION. TO AB
SEVEN SIXTEEN. THANK YOU MADAM
CHAIR IF ANYONE WOULD LIKE TO
SPEAK ON AB SEVEN FIFTEEN THIS
PRESS ONE THEN ZERO AT THIS TIME
. OUR FIRST COMIC COME FROM LINE
EIGHTY THAT. PLEASE GO AHEAD
TAKE. IT AFTERNOON CHAIRED
MEMBERS EIGHT FOUR JUST ON
BEHALF OF CALIFORNIA AGENTS AND
HEALTH INSURANCE PROFESSIONALS
AND SUPPORT. THANK YOU VERY MUCH
. OUR NEXT COMMENT COMES FROM
LINE EIGHTY NINE PLEASE GO AHEAD
. ONE EIGHTY NINE YOUR LINE IS
OPEN.
EIGHTY NINE IF YOU WOULD LIKE TO
COMMENT NOW IS YOUR TIME. LIVING
ON A LINE ONE OH FIVE YOUR LINE
IS OPEN. YOUR MEMBERS JOB
INSTALLMENT ON BEHALF OF THE ONE
HUNDRED ON THE LINE- DIDN'T HAVE
A POSITION AT THE TIME THE BILL
WAS BEING PREPARED FROM THE
OFFICE DIRECTORY NEGOTIATIONS WE
ARE MOVING TO SUPPORT SO JUST
WANT TO THANK THE AUTHOR. SECOND
SPONSOR FOR NEGOTIATING ALL YEAR
WITH US THANK YOU FOR SUPPORTING
THEIR BILL FROM HERE ON OUT
THANK YOU VERY MUCH NEXT COLOR
PLEASE. ONE ONE OF YEARS IS NO.
HI JERRY MEMBERS THANK YOU MAN
HALF MENASHE MULTIPLE SCLEROSIS
SOCIETY AND ABOUT THANK YOU
THANK YOU NEXT CALLER PLEASE. AT
THIS TIME WE HAVE NOBODY ELSE IN
LINE SEVEN CARE. ALL RIGHT WE'RE
GONNA BRING IT BACK NOW SENATOR
WIENER. I THANK YOU AND SHARE
PERSONAL THANK YOU FOR BRINGING
THIS BILL FORWARD SO LONG OVER
TO EXERCISE LOVE TO BE A CO
AUTHOR OF THE BILL- THIS IS ONE
OF THOSE AREAS IT'S LIKE THE
WILD WEST AND PEOPLE LIKE
LITERALLY ARE LIVING IN FEAR OF
CALLING AN AMBULANCE AND IT'S
BEEN THAT WAY FOR A LONG TIME-
ATTITUDE I DON'T THINK USED TO
BE THAT WAY. SUPPORT THE FIRE
DEPARTMENT SENT OUT AN AMBULANCE
FOR YOU AND- AMBER WHEN I WAS
WHEN I WAS IN THE SAN FRANCISCO
CITY ATTORNEY'S OFFICE AND I
DEFENDED THE CITY WHEN I GOT
SUED AND- AMONG OTHER THINGS IN
TORT CLAIMS AND SO WE GET THE
COMPLETE MEDICAL RECORD
INCLUDING THE AMBULANCE AND
AMMONS BUT WOULD YOU SEE LIKE.
THREE HUNDRED DOLLARS OR YOU
KNOW. MAYBE THREE FIFTY OR FOUR.
AND AL IT'S JUST THOUSANDS AND
THOUSANDS AND WE NEED TO BE VERY
CLEAR THAT THIS INDUSTRY HAS
TRANSFORMED IN A NEGATIVE WAY-
AND PRIVATE EQUITY IS NOW IN THE
HOUSE- AND SO IT THIS IS. BEING
VIEWED AS A CASH COW CONSERVE
OUT THERE. THERE'S NO REASON WHY
AMBULANCE. IN THE STREET. THIS
IS GOING THAT THAT'S THE CURRENT
STATE OF AFFAIRS BUT WE
CERTAINLY. DON'T NEED TO OP ED
IN PEOPLE'S LIVES- ARE BECAUSE
OF YOU KNOW THE OF THE I MEAN
IT'S JUST OUTRAGEOUS THAT. THAT
THERE WERE. FOR AMBULANCE
COMPANIES EVEN JUST REFUSED TO
BE A NETWORK FOR ANYONE BECAUSE
THEY KNOW. THEY'LL JUST GO AFTER
THE PATIENTS AND- AND SO THIS IS
A REALLY. GREAT BILL AND HAVING
TO MOVE IT- AND IF YOU BE-
PERHAPS COULD- AND I APOLOGIZE
OF- I'M I WAS PRESENTING OTHER
BILLS AYE MR OPENING IT. IF YOU
ALREADY TRUST IN YOUR OPENING I
DON'T WANT TO REPEAT THAT JUST-
RESPONDING TO THE GARNISHMENT
ISSUE. YEAH SO THE PROHIBITION
ON WAGE GARNISHMENT THAT SINCE
M. SIXTEEN IS IDENTICAL TO THE
ALL THE WAGE GARNISHMENT-
PROHIBITIONS THAT WE HAVEN'T
EVERY OTHER SURPRISE MEDICAL
BILL. YOU KNOW- THIS BILL IS
ACTUALLY BROUGHT TO US THREE
YEARS AGO BY MY FIRE CHIEF IN
OCEANSIDE AND I HAD. NO IDEA
THAT ONE THAT THAT I WAS
SURPRISED BUT WE GOT FOR MY
DAUGHTER. I THOUGHT IT WAS LIKE
AN INSURANCE ERROR I WAS LIKE
WHY DO WE HAVE THIS. YOU KNOW IT
WAS IT WAS SO CRAZY BECAUSE. SHE
WAS IN A WE HAD NO CONTROL OF-
GOING TO TRANSFER HER FROM SKIP
TO RADIUS WHEN SHE HAD- OR BOTH.
AND ALMOST LOST HER AYE RATE AND
VISIBLE THAT THERE WAS THE WEEK
AFTER SPRING RECESS MY FIRST
YEAR. DO I GO BACK HOW DO WE
HANDLE THESE THINGS SO WE DIDN'T
HAVE THAT AND WE DIDN'T KNOW AND
WHEN HE BROUGHT IT TO US HE MAKE
CLEAR. MOST INSURERS DO NOT
CONTRACT WITH CITIES THAT
PROVIDE INTERNET SERVICES. SO WE
THINK ABOUT WAGE GARNISHMENT
ANYTHING ABOUT IT REALLY HOW THE
HELL THIS INDUSTRY IS IMPACTING.
REAL CALIFORNIANS AND BEING ABLE
TO PAY. IT IS APPROPRIATE THAT
YOU HAVE THE WAGE GARNISHMENT
GARNISHMENT PROHIBITIONS. IN
SURPRISE AND LIVES BILL LIKE YOU
HAVE FOR EVERY OTHER SURPRISE
MEDICAL BILL. AND SO THAT'S WHY
WE DID NOT TAKE THIS WITH. YES
THIS IS OUR THIRTY YEAR. I THINK
ADVENTURE. OBVIOUSLY THIS IS A
CRITICAL BILL AND THIS IS A- AS
OF MY COLLEAGUES FOR CALLING
CENTERS FOR USED TO SEE AN
ELEGANT SOLUTION. SERIOUS
PROBABLE. I'M A LITTLE CONCERNED
ON THE WAGE GARNISHMENT PIECE-
BECAUSE OBVIOUSLY WE'RE LEARNING
THAT THE AMOUNT THAT CAN BE
CHARGED. WE HAVE UNINSURED
PEOPLE. WE'RE GONNA HAVE TO PAY
. AND IT SEEMS TO ME THAT AT
SOME POINT IF WE CONTROL THE-
COST IS BEING CHARGED. FOR THOSE
FOLKS WHO. CHOOSE NOT TO. PAY
THE BILLS THERE NEEDS TO BE SOME
RECORDS FOR THE COMPANY PROVIDES
A SERVICE. HOWEVER LIMITED. AND
IF THE- PRIOR LIMITATIONS ON
WAGE GARNISHMENT THAT OUR
BANKRUPTCY EXPERT FORMER
COLLEAGUE PUT THROUGH THE
LEGISLATURE ARE NOT SUFFICIENT
AND MAYBE WE NEED TO REVISIT
THAT SO OBVIOUSLY THAT'S NOT.
GONNA HAPPEN I JUST ASK YOU TO
CONTINUE TO TAKE A LOOK AT THAT
BECAUSE IF THERE'S NO ABILITY
TO. TO DO ANY SORT OF WAGE
GARNISHMENT AND IF AN INDIVIDUAL
FOR WHATEVER REASON. AB
INTENTIONAL MAYBE NOT CHOOSE NOT
TO PAY FOR THE SERVICES HOW HOW
DO YOU RECOVER FOR THE SERVICES
TO COST OF THE SERVICES
PROVIDED. AND THAT'S RHETORICAL
OKAY I APPRECIATE YOUR WORK
THANK YOU I WILL POINT OUT AND-
I BELIEVE IT'S ANTHONY THIS I
MIGHT HAVE THE CITY WRONG- THE
LOCALLY NEGOTIATED- I'M
SEPARATE. FOUR ANALYSTS SERVICE
IS FOUR HUNDRED DOLLARS AND
POWER WAY IT'S FOUR THOUSAND
FIVE HUNDRED. SO YOU'RE NOT JUST
BECAUSE WE'RE USING THE THEM
SEPARATE DOESN'T MEAN THAT THIS
IS GONNA BE. A REALLY LOW COST A
COST SHARE FOR THE PATIENT. AND
I THINK WHEN PEOPLE ARE MAKING A
GOOD FAITH EFFORT TO PAY THEIR
MEDICAL BILLS. WE KNOW MEDICAL
BILLS ARE ONE OF THE REASONS
PEOPLE END UP. GOING ON THAT
PRECIPICE OF HOMELESSNESS WE
KNOW THAT RIGHT THAT'S NOT
SOMETHING WE DON'T KNOW WHAT'S
BY JUST LATER AS WE KNOW THAT.
AND HAVING THAT WAGE GARNISHMENT
FOR PEOPLE WHO ARE ESPECIALLY
LOW INCOME. OR MIDDLE INCOME YOU
KNOW THAT'S I DON'T THINK IT
APPROPRIATE THING WOULD HAVE WE
SHOULD HAVE ALL SURPRISE MEDICAL
BILLS AND THE SAME KIND OF
SITUATION BECAUSE HAVING MEDICAL
BILLS. ARE A DIFFERENT CATEGORY
IN OTHER WHICH GOSH THIS
ELIMINATES THE SURPRISE PIECE OF
THE MEDICAL BILL RIGHT. IT DOES
BUT THE LOCALLY NEGOTIATED THAT
THE LIMBS OF RATE CAN VARY
WIDELY FROM JURISDICTION IF
THAT'S LIKE SAN DIEGO COUNTY
DOESN'T HAVE. A COUNTY WIDE THEM
SEPARATE SO GOES TO THE
MUNICIPALITIES AND
MUNICIPALITIES AS I GAVE THE
EXAMPLE ONE CITY IS FOUR HUNDRED
ONE IS FOUR THOUSAND FIVE
HUNDRED BUT IN TERMS OF SERVICE
PROVIDERS WERE DEALING WITH
SERVICE PROVIDERS YOU DON'T HAVE
ANY ALTERNATIVE BUT TO PROVIDE
THE SERVICE. YES SO. WE NEED TO
PROVIDE A WAY FOR THOSE WHO ARE
PROVIDING. A SERVICE TO THOSE
WHO CHOOSE NOT TO PAY. THE
ABILITY TO RECOVER FOR THE COST
OF THE SERVICES I HEAR YOU. THE
AREA. THANK YOU. OKAY ANYBODY
ELSE WANNA SPEAK ON THIS BILL.
OKAY YEAH I THINK IT'S A
LEGITIMATE ISSUE. WHICH WE WENT
AROUND AROUND ON THE WAGE
GARNISHMENT IN THE OFFICE ALSO-
I KIND OF WENT ON. ON THE SIDE
MAYBE MEET ME BECAUSE I HAD TO
CALL NINE ONE ONE TWICE IN A
WEEK I DON'T KNOW. RIGHT I DON'T
KNOW SURPRISE BILLS MAY BE
COMING- BUT IT IS A TIME WHEN
PEOPLE ARE INCREDIBLY
VULNERABLE. WHEN THEY HAVE TO.
DECIDE WHETHER TO CALL NINE ONE
ONE OR NOT- WOULD YOU LIKE TO
CLOSE. RESPECT PLACERVILLE OKAY
WAS OUR MOTION ON THIS BILL
JUDGE CENTER WIENER MOVED IT.
OKAY AND IT IS SAID TO PASS AS
AMENDED AND REFER TO THE
COMMITTEE ON APPROPRIATIONS AND
FOCUS ON THE MARKETING WERE
SOME. TECH TECHNICAL- AND
CLARIFYING AMENDMENTS MADE TO
THE BILL AND YOUR ACCEPTANCE AND
I ACCEPT THOSE AND OKAY. THANK
YOU VERY MUCH A CRITICAL ROLE.
SENATOR EGGMAN BY EGGMAN. WHEN
GLAZER. GONZALEZ GROWTH. HER
TADO. MON MENJIVAR. MANAGE OF
OUR AYE ROTH. ROTH AYE RUBIO AYE
RUBIO AYE WHAT HANS. WIENER
WIENER AYE. RIGHT HOLD THAT OPEN
FOR ABSENT MEMBERS AND THEN
MOVING ON TO AB SEVEN NINETEEN.
OF NON MEDICAL AND NON EMERGENCY
MEDICAL TRANSPORT BACK TO
TRANSPORT.
WITH OKAY MANAGER MEMBERS FOR
SELECT EXCEPT THE COMMITTEE
AMENDMENTS WOULD LIKE TO THANK
THE CHAIR AND YOUR STAFF FOR
WORKING WITH US ON THIS BILL.
EIGHTY SEVEN NINETEEN WOULD
REQUIRE MEDICAL MANAGED HEALTH
PLANS TO REIMBURSE
TRANSPORTATION OPERATORS FOR NON
MEDICAL TRANSPORTATION AND NON
EMERGENCY MEDICAL TRANSPORTATION
SERVICES. THESE ARE SERVICES
THAT ARE FEDERALLY MANDATED
UNDER THE AMERICANS WITH
DISABILITY ACT TO PROVIDE
INCLUDE TRAVEL TO DOCTOR'S
APPOINTMENTS PHYSICAL THERAPY
AND OTHER MEDICALLY NECESSARY
SERVICES AB TWENTY THREE NINETY
FOUR SIGN IN TWENTY SIXTEEN HAD
THE UNINTENDED CONSEQUENCE OF
REMOVING THE INCENTIVE FOR
MEDICAL MANAGED CARE PLANS. TO
CONTRACT WITH TRANSIT AGENCIES
AS A RESULT MEDICAL MANAGED CARE
PLANS RETAIN FUNDING THAT SHOULD
HAVE BEEN USED TO REIMBURSE
PUBLIC TRANSIT AGENCIES FOR
SERVICES THEY WERE PROVIDING FOR
MEDICAL CLIENTS. EIGHTY SEVEN
NINETEEN SIMPLY ENSURES THAT THE
PUBLIC TRANSIT AGENCIES ARE
REIMBURSED FOR ELIGIBLE MEDICAL
TRIPS BY REQUIRING PLANS TO
CONTRACT WITH TRANSIT PROVIDERS
I RESPECTFULLY ASK FOR AN AYE
VOTE AND I HAVE WITH ME HERE
TODAY ALCHEMY GRAHAM LEGISLATIVE
ADVOCATE FOR THE CALIFORNIA
TRANSIT ASSOCIATION SPONSORS OF
THIS BILL. ON THE PHONE LINE I
HAVE AN ESTÁ RUSH AMERICA WITH
GOLD COAST TRANSIT DISTRICTS TO
ANSWER ANY TECHNICAL QUESTIONS
THANK YOU VERY MUCH HE'S PERCENT
THANK YOU MADAM CHAIR AND
SENATORS ALCHEMY GRAHAM
LEGISLATIVE AND REGULATORY
ADVOCATE WITH THE CALIFORNIA
TRANSIT ASSOCIATION. ON BEHALF
OF OUR MORE THAN TWO HUNDRED
TWENTY MEMBER ORGANIZATIONS I'M
HERE TODAY TO VOICE OUR SUPPORT
FOR AND PROUD CO SPONSORSHIP OF
AB SEVEN NINETEEN. AS AS A
MEMBER- BURNER MENTIONED AB
SEVENTEEN WOULD REQUIRE MEDICAL
MANAGED CARE PLANS ARE AND SEE
PIECES I WILL REFER TO THEM. IN
MY TESTIMONY TO REIMBURSE PUBLIC
TRANSIT OPERATORS FOR THE NON
MEDICAL AND NON EMERGENCY
MEDICAL TRANSPORTATION AND M. T.
AND ANY M. T. RESPECTIVELY. AT
THE SERVICES THAT THEY PROVIDE.
AND AS THESE REMEMBER ASSEMBLY
MEMBER MENTIONED BEFORE AB
TWENTY THREE NINETY FOUR BY SOME
MEMBER GARCIA WAS PASSED IN
TWENTY SIXTEEN. MEDIC HOW
DIRECTLY REIMBURSED
TRANSPORTATION PROVIDERS WHEN
THEY OFFERED THE SERVICES TO
MEDICAL CUSTOMERS. WHEN AB
TWENTY THREE NINETY FOUR WAS
SIGNED INTO LAW IT HAD THAT
UNINTENDED EFFECT. OF CUTTING
TRANSPORTATION PROVIDERS OUT OF
THE ROOM. LOOP BY PER STATE AND
FEDERAL FUNDING DIRECTLY TO THE
MC PEACE FOR TRANSPORTATION
SERVICES. THIS DISINCENTIVE ISIS
MC PEACE FROM CONTRACTING WITH
PUBLIC TRANSIT AGENCIES ARE NOT
REQUIRED TO REIMBURSE THEM FOR
THE SERVICES THAT. THEY PROVIDE.
AND AS A RESULT PUBLIC TRANSIT
AGENCIES HAVE SEEN REDUCTIONS OF
HUNDREDS OF THOUSANDS TO SEVERAL
MILLIONS OF DOLLARS IN
REIMBURSEMENT FUNDING. WELL
NCP'S CONTINUE TO RECEIVE
TRANSPORTATION FUNDS AND POCKET
THEM. SINCE THIS BILL WAS HEARD
IN THE ASSEMBLY WE'VE RECEIVED
SOME OPPOSITION FROM NCP'S WHO
HAVE MADE SEVERAL CLAIMS.
INCLUDING THE FOLLOWING. THAT
THIS BILL WILL DRIVE UP
TRANSPORTATION COSTS FROM C.
PEAS AND CUSTOMERS ALREADY HAVE
ACCESS TO PUBLIC TRANSIT.
WITHOUT A CONTRACT BETWEEN THE
M. C. P. AND TRANSPORTATION
PROVIDER. I'D LIKE TO CLARIFY
THAT THIS BILL WOULD NOT REQUIRE
ANY ADDITIONAL FUNDS FROM M. C.
P.'S IT WOULD SIMPLY ENSURE THAT
THE FUNDS. THAT THEY CURRENTLY
RECEIVE FOR TRANSPORTATION ARE
USED FOR THEIR DESIGNATED
PURPOSE. WHILE IT IS TRUE THAT
CUSTOMERS CAN ACCESS FIXED ROUTE
PUBLIC TRANSIT FOR
TRANSPORTATION SERVICES BECAUSE
IT IS A PUBLIC SERVICE.
TRANSMISSIONS THESE DO NOT
RECEIVE REIMBURSEMENT FOR FIXED
ROUTE SERVICES. THE ONLY RECEIVE
REIMBURSEMENT FOR PARATRANSIT
SERVICES AS CLARIFIED IN AUTHORS
MOST RECENT AMENDMENTS. THAT
SAID THIS BILL DOES NOT APPLY TO
FIXED ROUTE SERVICES NOR DOES IT
QUALIFY REIMBURSEMENT FOR PUBLIC
TRANSIT FARES. AS THESE ARE NOT
ELIGIBLE ANY M. T. OR AND M. T.
SERVICES. AB SEVEN NINETEEN WILL
ENSURE THE PUBLIC TRANSIT
AGENCIES ARE REIMBURSED AT
REASONABLE RATES FOR ELIGIBLE
MEDICAL TRIPS REMEDYING THE
UNINTENDED CONSEQUENCES OF AB
TWENTY THREE NINETY FOUR. AND
PROVIDING CUSTOMERS WITH
RELIABLE AND ACCESSIBLE
TRANSPORTATION SERVICES WITH
THAT RESPECTFULLY REQUEST YOUR
SUPPORT. THANK YOU THANK YOU
VERY MUCH SPEAKING SUPPORT. FOR
NOW. IF YOU JUST WANT TO SAY YOU
LIKE THE BILL COME FOR NOW NAME
AFFILIATION- GOOD AFTERNOON
STEVE WALK UP AFTER THE ALAMEDA
CONTRA COSTA TRANSIT DISTRICT
AND CALIFORNIA ASSOCIATION
RECORDED TRANSPORTATION. IN
SUPPORT. THANK YOU VERY MUCH.
ALL RIGHT AB SPEAK IN OPPOSITION
TO THIS BILL TODAY. EVERY TIME
WE COME FORWARD. GOOD AFTERNOON
MADAM CHAIR AND COMMITTEE
MEMBERS. REBECCA SULLIVAN WITH
LOCAL HEALTH PLANS CALIFORNIA L.
H. P. C. REPRESENT THE SEVENTEEN
NOT FOR PROFIT COMMUNITY BASED
HEALTH PLANS MEDICAL MANAGED
CARE HEALTH PLANS EXCUSE ME- SO
WE HAVE HAD SOME GREAT
CONVERSATIONS WITH THE AUTHORS
OFFER THE- AUTHOR'S OFFICE IN
THE SPONSORS BUT UNFORTUNATELY.
WE ARE STILL OPPOSED AS OF TODAY
DUE TO THE CONTRACTING MANDATE
THERE ARE A NUMBER OF VALID
REASONS THAT PLANS OR EVEN
PUBLIC TRANSIT OPERATORS MAY NOT
CHOOSE TO CONTRACT WITH ONE
ANOTHER AND THE LANGUAGE OF THIS
BILL IS VERY IS VERY STRICT. YOU
KNOW SOME OF THOSE REASONS COULD
BE- MEDICAL APPROPRIATENESS OR
SERVICE PROVISION REASONS
QUALITY OF CARE PROVISIONS- OR
OTHERS AND- JUST DISTRICT
MANDATE REALLY DOESN'T ACCOUNT
FOR ANY OF THAT- SO WE- LOOK
FORWARD TO AND HOPE TO CONTINUE
TO HAVE CONVERSATIONS- AND WOULD
BE OPEN TO HAVING CONVERSATIONS
SOFTENING THAT LANGUAGE
SOMETHING LIKE A GOOD FAITH
EFFORT- SO. THANK YOU SO MUCH
THANK YOU VERY MUCH VIDEO SPEAK
IN OPPOSITION TO THE BILL TODAY
. MADAM CHAIR MEMBERS THE
COMMITTEE JEFF HAMPTON WITH
CALIFORNIA ASSOCIATION HEALTH
PLANS AND IT'S THE TIME WE WOULD
ALIGN OUR COMMENTS WITH OUR
COLLEAGUES FROM THE LOCAL HELP
IN CALIFORNIA ABOUT CONCERNS
WITH THE OVER ARCHING MANDATE-
FOR A PERMANENT COMMISSION
HEALTH PLANS TO. CONTRACT
SPECIFICALLY WITH LOCAL TRANSIT
AGENCIES THE THANK YOU ACCORDING
TO THE AUTHOR OF THE BOARD OKAY.
THANK YOU VERY MUCH. ANYBODY
ELSE WANT TO SPEAK. SAY THEY
DON'T LIKE IT. NO OKAY LET'S GO
TO THE PHONE LINES IF YOU'RE IN
SUPPORT AND OR OPPOSITION. TO AB
SEVEN NINETEEN. MODERATOR IF
YOU'D LIKE TO SPEAK. IF YOU'D
LIKE TO SPEAK AB SEVEN ONE
NINETEEN PLEASE PRESS ONE AND
THEN ZERO. THE ACCOUNT FROM LINE
NINETY NINE YOUR LINE IS OPEN.
HI THIS IS VANESSA RUSSIAN
BURGER GENERAL MANAGER FOR GOLD
COAST TRANSIT DISTRICT AND I'M
THINKING. WORK THE GOAL THIS IS
AN IMPORTANT BILL FOR FOCUS
TRANSIT HELP US COVER HOSPICE
SERVICES ARE ALREADY PROVIDING.
AND- WE URGE THE COMMITTEE TO
SUPPORT THANK YOU THANK YOU VERY
MUCH ANY OTHER SPEAKING IN
SUPPORT THOSE WHEN YOU'RE
WITNESSES SAID IT WAS OUTSIDE
OKAY. AND THERE ARE NO FURTHER
COMMENTS AT THIS POINT MADAM
CHAIR. OKAY BRING IT BACK TO THE
COMMITTEE NOW QUESTIONS COMMENTS
MOVE THE BILL THE BILL HAS BEEN
MOVED. UP WHICH AND I AND I
DIDN'T QUITE REALIZE IS THAT
HEALTH PLANS WHEN I. USING UBER
AND STUFF TO PICK PEOPLE UP
WHICH SEEMS LIKE THIS WOULD BE A
VERY GOOD WAY TO USE OUR-
TRANSIT DISTRICTS WHO HAVE.
DROPPED STRUGGLE AND HAVE LIVES
AND HAVE ALL THE THINGS TO BE
ABLE TO GO AROUND AND- PICK
FOLKS UP AND GO TO THE DOCTORS
WOULD YOU LIKE TO CLOSE.
RESPECTFULLY ASK FOR AN IRA OKAY
DO WE AND WE HAVE A MOTION WHERE
PROMOTIONS CENTER WALK LET'S
CALL THE ROLL AND THAT MOTION IS
. I DO PASSED AS AMENDED AND RE
REFER TO THE COMMITTEE ON
APPROPRIATIONS. SECRETARY
SENATORS EGGMAN FIVE EGGMAN AYE
WHEN I. WHEN I GLAZER. GONZALEZ
GROWTH. FOR TARO. FOR TODD- I
LIMÓN. THE LOAN AYE MENSHEVIK.
BINGE OF OUR AYE ROTH. ROTH AYE
RUBIO. RUBIO I WILL HA. BOB I
WIENER. EIGHT ZERO HOLD THAT
OPEN FOR ABSENT MEMBERS THANK
YOU VERY MUCH THANK YOU VERY
MUCH NOW OUR FINAL PRESENTER OF
THE DAY. ON DECEMBER JONES
SAWYER. THANK YOU MADAM CHAIR
AND MEMBERS I WOULD LIKE TO
START BY ACCEPTING THE
COMMITTEES ARE AMENDMENTS. I AM
PROUD TO PRESENT AB FIFTEEN TEN
THE FIGHTING FEDERAL BOND ACT OF
TWENTY TWENTY FOUR THAT THE
CHAIR OF THE ASSEMBLY PUBLIC
SAFETY COMMITTEE I'VE HEARD MY
COLLEAGUES CONCERNED FOR THEIR
COMMUNITIES. AND I CONSIDERED
BILLS THAT ATTEMPTED TO COMBAT
THE FENTANYL CRISIS FROM
NUMEROUS ANGLES. HOWEVER WELL
INTENTIONAL TO BILLS MAY HAVE
BEEN IT BECAME CLEAR THAT THEY
WERE NOT GOING TO ADDRESS THE
ROOT CAUSES BEHIND A CRISIS I
RECOGNIZE THAT THIS ISSUE DOES
DESERVE MORE ATTENTION. THAN A
POLICY COMMITTEE HEARING COULD
OFFER THAT'S WHY I WAS PROUD TO
CO HOST THE INFORMATIONAL
HEARING ON THE FEDERAL AN
OVERDOSE CRISIS WHERE WE HEARD
FROM THE IMPACTED FAMILIES
PUBLIC HEALTH EXPERTS AND
INDIVIDUALS WORKING ON THE FRONT
LINES. OVER AND OVER AGAIN WE
HEARD ABOUT THE NEED FOR A
PUBLIC HEALTH RESPONSE. EXPERTS
STRESS THE IMPORTANCE OF
ADDRESSING THE UNDERLYING CAUSES
OF DRUG USE AND OVERDOSE AND
PRESENTED THE DATA AND EVIDENCE
TO SUPPORT AT POLICIES THAT
EXPAND SERVICES IN ELIMINATE
SUFFERING. THE PUNITIVE POLICIES
FROM THE WAR ON DRUGS FAIL TO
SUPPORT CALIFORNIANS WHO LACK
ACCESS TO SERVICES AND
STIGMATIZE THOSE WHO ARE
STRUGGLING WITH ADDICTION. LEVON
INFORMATIONAL HEARING I SAW AN
OPPORTUNITY TO CORRECT THE
MISTAKES OF THE PAST TO PREVENT
FURTHER HARM TO OUR COMMUNITIES
THE FIGHTING FEDERAL BAN. BOND
WILL MAKE UNDER REPRESENTED
INVESTED UNPRECEDENTED
INVESTMENTS. IN PUBLIC HEALTH
INTERVENTION PRO GRAMS THAT
INCREASE ACCESS TO SUBSTANCE USE
AND TREATMENT MEDICATION
ASSISTED TREATMENT HARM
REDUCTION PROGRAMS THAT NO
TESTED STRIPS AND- MAX ALONG.
EDUCATION AWARENESS SO THAT
PEOPLE UNDERSTAND THE RISKS
LEARN HOW TO MINISTER MAX ALONG
AND KNOW HOW TO PROTECT
THEMSELVES AND THEIR LOVED ONES.
FOCUSED DETERRENCE AND VIOLENCE
PREVENTION BECAUSE INDIVIDUALS
WHO HAVE BEEN IMPACTED BY THE
CARCERAL SYSTEM HAVE LIMITED
ACCESS TO SERVICES. AND ARE
FORTY TIMES AS LIKELY TO DIE
FROM THE- I REACHED ON EMERGING
THING THERE ARE MERGING ILLICIT
DRUGS. SO THAT WE CAN STOP
PLAYING CATCH UP IN THE STATE BE
PREPARED TO TAKE ON. A DI LEVINE
CALMLY KNOWN AS TRYING TO
PREVENT FUTURE CRISIS IF. THE
FIGHTING FROM THE BOND WAS
DEVELOPED IN PARTNERSHIP WITH
EXPERTS IN ADDICTION MEDICINE
AND PUBLIC HEALTH AS WELL AS
LEADERS IN A DRUG POLICY. HUMAN
RIGHTS IN LAW ENFORCEMENT I'M
PROBABLY I AM EXTREMELY PROUD OF
THIS BIPARTISAN EFFORT TO
PROVIDE THE PUBLIC. WITH AN
OPPORTUNITY TO MAKE A REAL
INVESTMENT IN PUBLIC HEALTH. AND
DRUG TREATMENT TOGETHER WE HOPE
TO ABANDON THE DIVISIVE RHETORIC
THAT HAS LED NOWHERE AND UNITE
THE FIGHT AGAINST FEDERAL. WITH
ME IS DR KEITH HUMPHREYS
PROFESSOR AT STANFORD SCHOOL OF
MEDICINE. AND A STANFORD HEALTH.
POLICY ASSOCIATE I'M ALSO JOINED
BY GLENN BACKUS- MEMBERS I
RESPECTFULLY ASK FOR YOU I VOTE.
THANK YOU VERY MUCH DR. OUR
CHAIR EGGMAN WESTERN MAN THANK
YOU FOR A CHANCE TO SPEAK TO YOU
TODAY AND THANK YOU ASSEMBLY
MEMBER JONES SAWYER FOR YOUR
LEADERSHIP IT'S AN HONOR TO
TESTIFY ALONGSIDE YOU- AS WE SAT
ON A PROFESSOR AT STANFORD
MEDICAL SCHOOL I'VE BEEN WORKING
THE ADDICTION FIELD FOR THIRTY
FIVE YEARS. I STRONGLY SUPPORT
THIS FOR THE SIMPLE REASON THAT
I'VE NEVER SEEN A DRUG DRUG
EPIDEMIC THIS BAD IN MY LIFE.
50% INCREASE IN FENTANYL DEATHS
IN CALIFORNIA AND IN IN TWENTY
TWENTY AGAIN IN TWENTY TWENTY
ONE PERHAPS AGAIN IN TWENTY
TWENTY TWO. AND THAT'S JUST ONE
OF THE DRUGS WE ARE SUFFERING
FROM ALSO METHAMPHETAMINE AT
TRANK AND SO ON AND THERE HAS TO
BE RESOURCES TO DO THAT BECAUSE
I JUST HAVE A VERY SHORT TIME I
JUST COULDN'T. JUST GIVE AN
EXAMPLE OF ONE THING WE COULD DO
THAT'S HARD TO DO OTHERWISE AND
THAT IS. MAKING INVESTMENT IN
KIDS AROUND PREVENTION.
PREVENTION IS TO COME A LONG WAY
FROM WHEN IT WAS MAYBE COPS
TRYING TO SCARE KIDS ABOUT
CANNABIS. THERE'S REALLY GOOD
EVIDENCE BASED PROGRAMS THAT
BRING COMMUNITIES TOGETHER TWO
QUICK KIDS WITH- A MOTIONAL
SKILLS SOCIAL SKILLS- PROSOCIAL-
CONNECTIONS IN THE COMMUNITY.
AND THE MOST RIGOROUS STUDIES WE
HAVE RANDOMIZED CLINICAL TRIALS
WHICH IS WHAT WE LOVE TO SEE A
SCIENTIST. OKAY LIKE THIS MY
COMMUNITY THE CARE WHICH IS DONE
HUNDREDS OF CITIES AROUND THE
UNITED STATES. SHOWS THAT NOT
ONLY DO KIDS USE LESS DRUGS THEY
ALSO SMOKE LESS. THEY THEY USE
LESS- ALCOHOL THEY'RE MORE LIKE
A GRADUATE SCHOOL THERE EVEN
TWELVE YEARS LATER MORE LIKELY
TO GRADUATE FROM COLLEGE. IT'S
VERY HARD TO GET A STANDING
SUPPORT FOR PREVENTION
INVESTMENT KIDS IT'S NOT
HEALTHCARE IS WAS NOT COVERED BY
MEDICARE NOW. IT'S SOMETHING WE
HAVE A HARD TIME TO OFTENTIMES
THINKING AHEAD THIS IS ONE OF
THE MANY THINGS YOUR SUPPORT
WITH THIS. BILL SO THAT'S WHY
I'M STRONGLY IN SUPPORT OF IN
THANK YOU FOR YOUR TIME VERY
MUCH THANK YOU VERY MUCH SIR. I
GUESS. GOOD AFTERNOON GOING BACK
AS FOR THE- BAKER CENTER FOR
HUMAN RIGHTS IN STRONG SUPPORT.
THERE'S A HUMANITARIAN CRISIS
HAPPENING IN OUR HOMES AND OUR
STREETS. NOTHING SHORT. OF A
MAJOR CRISIS OUR OWN NEIGHBORS
ARE NOW DISPLACED REFUGEES IN
THEIR OWN COUNTRY. OUR CHILDREN
ARE LIVING IN A WORLD OF
ESCALATING DANGER. THE CAUSES
ARE MYRIAD INTERLOCKING. RICE'S
OF HOMELESSNESS CAUSED BY THE
LACK OF AFFORDABLE HOUSING AND
WIDESPREAD ECONOMIC DISPARITIES
THE CRISES OF UNTREATED MENTAL
ILLNESS. AND UNTREATED SUBSTANCE
USE DISORDERS. THIS BILL. THIS
BOND MEASURE IS PART OF THE
SOLUTION TO THOSE INTERLOCKING
PROBLEMS. IT'S WELL PAST DUE.
THE UNITED STATES HAS NEVER
TAKEN DRUGS SERIOUSLY. IF WE
TAKING DRUGS SERIOUSLY THEN WE
WOULD HAVE INVESTED. IN BETTER
TREATMENTS IN THE END NAN.
EVIDENCE BASED PREVENTION AND
EVIDENCE BASED EFFORTS TO
PREVENT DEATH. THIS BALLOT
MEASURE LAST VOTERS IF THEY'RE
READY TO TAKE DRUGS SERIOUSLY.
AND INVEST IN PRIMARY PREVENTION
SECONDARY PREVENTION ONGOING
TREATMENT AND MANAGEMENT OF
CHRONIC RELAPSING DISEASE.
PRIMARY PREVENTION BY INVESTING
IN YOUNG PEOPLE AND EDUCATING
THEM ABOUT THE RISK OF
PHENELZINE PROVIDING A PROSOCIAL
OPTIONS. SECONDARY PREVENTION
WHICH IS THE PREVENTION OF
OVERDOSE HIV HEPATITIS C. HEART
CONDITIONS AND OTHER CONDITIONS
ASSOCIATED WITH DRUG USE. IN THE
CONTEXT OF DRUGS- SECONDARY
PREVENTIONS OFTEN CALLED HARM
REDUCTION. IT'S WORKING WITH
PEOPLE WHO ARE EXPRESSING
SYMPTOMS OF A MEDICAL CONDITION
OR TO PREVENT THE FURTHER DEATH
DISEASE OR DISABILITY. PERSON
MIGHT BE WITH DIABETES IN WHICH
YOU WORK WITH THE PATIENT TO
PREVENT LOSS OF EYESIGHT OR LOSS
OF LIMB. THIS BILL WILL HELP US
INVEST IN TREATMENT FOR
SUBSTANCE USE DISORDERS WE NEED
TO INVEST IN WHAT WORKS SUCH AS
MEDICALLY ASSISTED TREATMENT
CONTINUES THE MANAGEMENT. AND WE
SHOULD ALSO INVEST IN RESEARCH
INTO WHAT CAN WORK BETTER FOR
THE TREATMENT OF OPIOID USE
DISORDERS AND STIMULATE USE
DISORDERS. US IS WOEFULLY BEHIND
IN THIS RESEARCH BECAUSE OF A
PREFERENCE FOR PUNISHMENT OVER
SCIENCE AND HEALTH CARE. IF
VOTER SUPPORT IS INVESTMENT IN
THIS TIME OF CRISIS. THE
ADDITIONAL BENEFIT IS THERE
WOULD BE GREATER INTEREST FROM
PRIVATE INDUSTRIES IN TREATMENT
AND CURES FOR SUBSTANCE. USE
DISORDERS INCLUDING STIMULANT
USE DISORDER FOR COCAINE
METHAMPHETAMINE OPIOID USE
DISORDERS FOR HEROIN FENTANYL
AND OTHER DRUGS AND THE
TREATMENT OF TRANQUILIZERS
BENZODIAZEPINE SEDATIVES AND
OTHER DRUGS. BUT WE CAN'T WAIT
FOR THE FEDERAL GOVERNMENT OR
PRIVATE INDUSTRY TO BAIL US OUT
. CALIFORNIANS HAVE TO HELP
CALIFORNIANS. THIS BILL IS A
STRONG STEP IN THE RIGHT
DIRECTION. IS WORTHY OF YOUR
SUPPORT IN THE VOTER SUPPORT
THANK YOU. THANK YOU VERY MUCH
OF THE SPEAK IN SUPPORT OF THIS
TODAY. GOOD AFTERNOON INTERNET
THING BUT THE NUMBER YOU HAVE A
DRUG POLICY ALLIANCE IN STRONG
SUPPORT THANK YOU VERY MUCH
IMPERIAL SPEAKING SUPPORT.
SYNONYMOUS BEGIN OPPOSITION TO
THIS BILL TODAY. SEEING NONE
WILL GO TO THE PHONE LINES
ANYBODY SPEAKING IN SUPPORT AND
OR OPPOSITION TODAY. IF YOU'D
LIKE TO SPEAK TO AB FIFTEEN TEN
PLEASE PRESS ONE ZERO AT THIS
TIME. AND THERE ARE NO COMMENTS
QUEUING UP MANAGER. OKAY NUMBER
THE TIME WE BRING IT BACK TO THE
COMMITTEE AND I'M ASSUMING SO.
SO WHENEVER YOU GOT A LOT GOING
TO WORK A LOT MORE THAN I MEAN.
AS FAR AS AN ACTUAL PLAN AND
WORKING WITH LEADERSHIP IN THE
ADMINISTRATION TO ACTUALLY GET
SOMETHING ON THE BALLOT. YES THE
NOT ONLY THAT BUT OBVIOUSLY
TRYING TO COME UP WITH A NUMBER.
OF WORKING WITH NOT
ADMINISTRATION DEPARTMENT
FINANCE AND OTHERS WHAT MAKES
SENSE OF BECAUSE YOU WANT TO
MAKE SURE THAT THE FUNDING GOES
TO SPECIFICALLY. OUR PUBLIC
HEALTH- POLICY GROUPS THAT
ACTUALLY ARE SUCCESSFUL. AT DRUG
TREATMENT- BECAUSE WE WANT TO
MAKE TAKE THIS VERY SERIOUSLY.
AND MAKE SURE THAT NOT ONLY ARE
THEY FUNDED BUT IS A PROVISION
NEW TO US LOOK AT
ACCOUNTABILITY. AND SO THE WITH
FEW SUCCESSFUL PROGRAMS THAT WE
CAN HOPEFULLY COULD FUNDING OVER
AND OVER AGAIN. CORRECT BEFORE
MOVES OFF THE FLOOR HOPEFULLY
MOST ALL THOSE THINGS WILL BE IN
PLACE SO WE CAN ACTUALLY KNOW.
WHAT WE'RE GONNA BE SENDING TO
THE I THINK THAT'S THE MOST
IMPORTANT TO KNOW WHAT WORKS.
EXACTLY OKAY. HE WOULD ASK
QUESTIONS COMMENTS ON THIS.
THING THEN WE HAVE A MOTION HOW
WOULD YOU LIKE TO CLOSER.
PERSPECTIVE ASK FOR YOUR VOTE
THANK YOU VERY MUCH. MOTIONS
SENATOR- HER TADO MOVES A BILL.
AND IT IS- DO PASSES AMENDED AND
RE REFER TO THE COMMITTEE ON GOV
AND FINANCE. VICTOR PLEASE CALL
THE ROLL. SENATORS EGGMAN AYE
EGGMAN AYE WENT. GLAZER GONZALEZ
. GROWTH HER TADO. FOR TODD- I
THE MOUNT. THE MON I MENSHEVIK.
MENJIVAR HIGH ROTH. ROTH AYE
RUBIO. YOU KNOW I WILL HUG.
WIENER WIENER AYE. SEVEN ZERO
THANK YOU VERY MUCH WILLING AND
OPEN FOR ABSENT MEDICALLY
COMMITTEE. OKAY YEAH. AND ITEM
FOURTEEN DO WE HAVE A MOTION. SO
MOVED BY CENTER FURTADO. PLEASE
GET BACK TO MY SHEET THE MOTION
WAS. DO PASS AND REFERRED TO THE
COMMITTEE ON JUDICIARY. SEVEN
MEMBER WOULD. SECRETARY PLEASE
CALL THE ROLL SENATORS EGGMAN
AYE EGGMAN AYE WHEN. SO WHEN NO
. GLAZER GONZALEZ GROWTH.
FURTADO FURTADO I LIMÓN. THE MON
I MENTIONED ARE BINGE OF OUR AYE
ROTH. ROTH AYE RUBIO HI RUBIO I
WILL HOP. WIENER WIENER AYE.
THAT'S ALL OF US RIGHT SO. SEVEN
ONE SO CLOSE THE ROLE. THERE'S A
WHO IS MISSING. WHAT ABOUT LATER
OKAY WE'RE GONNA LEAVE THAT THE
ROLE OPEN ON THAT OKAY LET'S
MOVE ON TO BACK UP FILE ORDERED
TO FILE ITEM NUMBER ONE. AB
THREE SEVENTY NINE THE MOTION IS
TO PASS AS A MAN AND REFER TO
THE COMMITTEE ON APPROPRIATIONS
BY RODRIGUEZ AB THREE SEVENTY
NINE SECRETARY WHICH WE GET A
MOTION ON THAT WE DID RUBIO LOOK
AT BILL. SECRETARY PLEASE CALL
THE ROLL. CENTERS WHEN. GLAZER
GROWTH FURTADO HER TADO I.
LEMOND HI LIMÓN I THINK. BOB
WIENER WIENER AYE. SIXTY TWO
EIGHT ZERO HOLD THE ROLE OPEN
MOVING ON TO AB SIX SIXTEEN ALSO
BY RODRIGUEZ THAT IS TO PASS AND
REFERRED TO THE COMMITTEE ON
JUDICIARY SECRETARY PLEASE CALL
THE ROLL IT WAS MOVED BY
MENJIVAR. SENATORS WHEN NO.
GLAZER GONZALEZ GROWTH FURTADO
FURTADO I. RAMON LIMON I. WAHAD
WINNER. WIENER AYE. OKAY MOVING
ON. LEAVE THE ROLE OPEN ON THAT
A. B. THIRTEEN NINETY TWO
RODRIGUEZ MOTION IS TO PASS AND
REFERRED TO COMMITTEE ON
APPROPRIATIONS SECRETARY PLEASE
CALL THE ROLL. SENATORS WHEN NO
. GLAZER GONZALEZ. HER TADO.
ACTUALLY IT FURTADO I LIMÓN. THE
MON I. WHAT HAAB WINNER WINNER I
. SEVEN SEVENTY TWO WILL LEAVE
THE ROLE OPEN FOR ABSENT MEMBERS
AB TWO FIFTY FOUR HOUR K. HAND
THAT WAS MOVED BY ROTH THE
MOTION IS TO PASS AND REFERRED
TO THE COMMITTEE ON
APPROPRIATIONS SECRETARY CENTERS
WHEN I GLAZER. GONZALEZ GROVE
FURTADO FURTADO I LIMÓN. HI THE
MON EYEING WHAT HAAB WINNER.
WIENER AYE. MOVING ON TO OUR QUE
HAN AB. SEVENTEEN TWENTY- BY
SENATOR ROTH THE MOTION IS TO
PASS AND REFERRED TO THE
COMMITTEE ON JUDICIARY CENTER
SECRETARY. SENATOR WENT. LOS
WHEN NO GLAZER GONZALEZ FURTADO
FURTADO I LIMÓN. MON I WILL
HOBBS WINNER. WIENER AYE. IS
THIS TWO SEVEN TO HOLD THE ROLE
OPEN MOVING ON TO AB SEVEN
SIXTEEN BY BORDER THAT IS TO
PASS AS AMENDED AND RE REFER TO
THE COMMITTEE ON APPROPRIATIONS
MOVE BY SENATOR WIENER SECRETARY
PLEASE CALL THE ROLL SENATOR
WENT. GLAZER. GONZALEZ GROWTH
HER TADO HER TADO AYE LIMÓN AYE
THE MON I. HOBB. SEVEN SEVEN
ZERO HOTEL OPEN MOVING ON TO AB
SEVEN NINETEEN BOERNER- THE
MOTIONS TO PASS AS AMENDED AND
RE REFER TO THE COMMITTEE ON
APPROPRIATIONS. MOVED BY SENATOR
WHAT HAAB SECRETARY PLEASE CALL
. SENATOR GLAZER. GONZALEZ
GONZALEZ I. GROWTH WIENER.
WIENER AYE. SIX TWO ZERO TEN
ZERO. I HOPE THAT OPEN. AND
THEN- JONES SAWYER A. B. FIFTEEN
TEN MOVE BY CENTER. HER TADO
SECRETARY PLEASE CALL THE ROLL.
SENATOR WHEN. GLAZER GONZALEZ.
GONZALEZ I. GROWTH WHAT HAAB.
ZERO EIGHT ZERO HOLE THAT OPENED
. YOU CAN CLOSE TO THE CONSENT
CALENDAR AGAIN. ON SIGNATURE
PLEASE CALL THE ROLL. SENATOR
WENT. WHEN I GLAZER GONZALEZ HI
GONZALEZ I. HER TADO. FURTADO I
LIMÓN THANK LIMON I WILL HOP.
WIENER WIENER AYE. THIS IS.
THANK YOU FOR ALL THAT OPEN. WE
PLEASE. YOUR AND A HALF OKAY
WITH THIS. FOR SENATOR. SB SIX
SIX. TO SB SIX ITEM TO THAT
MOTION IS TO PASS AND REFERRED
TO THE COMMITTEE ON JUDICIARY
SECRETARY PLEASE CALL THE ROLL
MOVE BY CENTER MENJIVAR. SENATOR
GLAZERS GONZALEZ GONZALEZ I. FRO
BOB. SEVEN THIRTEEN NINETY TWO
RODRIGUEZ OKAY THIRTEEN NINETY
TWO RODRIGUEZ TO PASS REFER TO
THE COMMITTEE ON APPROPRIATIONS
BY. RUBIO SENATE SECRETARY.
SENATOR GLAZERS GONZALEZ
GONZALEZ I. WAHAT FOR. TO LEAVE
THAT OPEN. THE AB TWO FIFTY FOUR
BIKE POWER CAN TO PASS REFER THE
COMMITTEE ON APPROPRIATIONS.
WE'LL BY ROSS. THERE'S A GLAZER
GONZALEZ. GONZALEZ GONZALEZ. I
GONZALEZ I GROWTH. WHAT HAAB HI
I. TWO ZERO HOLD THAT OPEN. AND
THEN- AB SEVENTEEN TWENTY POWER
QUE HANNAH TO PASS REFER THE
COMMITTEE ON JUDICIARY SMALL BY
CENTER ROSTER JERRY. GLAZER THIS
IS ABOUT WORKING HAND SEVENTEEN
TWENTY. GLAZER AYE. GONZALEZ
GONZALEZ I. BOB BOB I. TO ALL
RIGHT THE THAT'S TEN TO THE BILL
IS OUT THE ROLE IS CLOSED. OKAY
MUST MOVE ON TO. AB. SEVEN
SIXTEEN THAT MOTION IS. THE
PRESIDENT REFERRED TO THE
COMMITTEE ON APPROPRIATIONS AS
AMENDED SECRETARY. SOMETIMES
SENATOR WHEN. GLAZER YEAH. OKAY
THE VOTE COUNT IS SEVEN EYES
FIVE KNOWS. I GLAZER AYE
GONZALEZ GONZALEZ I GROWTH.
WAHAT WHAT HAVE I. ZERO TEN
ZERO. HI PLEASE GO BACK IN ORDER
FOR. ALL RIGHT AS TO CALL THE
ROLL ON THE CONSENT CALENDAR.
GLAZER GLAZER AYE. WELL HOP ON
OR HOP BY TWELVE TWELVE ZERO THE
ROLE IS CLOSE AT BILL IS OUT A.
B. THREE SEVEN RIGHT NINE
RODRIGUEZ TO PASS AS AMENDED AND
REFER TO THE COMMITTEE ON
APPROPRIATIONS. WHEN GLAZER.
GROWTH. BOB HI BOB HI. SB SIX
SIXTEEN ROD REGUS TO PASS AND
REFERRED THE COMMITTEE ON
JUDICIARY. SECRETARY SENATOR
GLAZERS. GROWTH. BOB BOB I. ONE
EIGHT TO ONE THE ROLES CLOSE
THAT BILLS OUT OF MOVING ON TO
THIRTEEN NINETY TWO RODRIGUEZ TO
PASS AND REFERRED TO THE
COMMITTEE ON APPROPRIATIONS
HAVING TO DO WITH PROCUREMENT
SECRETARY. SENATOR GLAZERS.
GLAZER AYE. WAHAT BOB I TEND TO
TEND TO THAT BILLS OUT THE ROLES
CLOSED MOVING ON TO THE TWO
FIFTY FOUR BY OUR QUE HAN
CONFIDENTIALITY TO PASS AND
REFERRED TO COMMITTEE ON
APPROPRIATIONS SECRETARY SENATOR
GLAZERS. AS- I. GROWTH I'M SORRY
TWO FIFTY FOR OUR KM. NO GROVE
NO. OKAY. YEAH. ELEVEN ONE
ELEVEN ONE ROSE CLOSE THAT BILL
IS OUT MOVING ON TO A B.
SEVENTEEN TWENTY POWER QUE HAN
DO PASS AND ROOF REFER TO THE
COMMITTEE ON JUDICIARY.
SEVENTEEN TWENTIES OUT SEVENTEEN
TWENTY IS OUT. SEVEN SIX SEVEN
SIXTEEN FIVE- FORMER. SB SEVEN
SIXTEEN TO PASS REFERRED TO THE
COMMITTEE ON APPROPRIATIONS.
SENATOR WHEN. YES AND GROWTH.
THIS IS THAT NONEMERGENCY
DEALING WITH THE NUMBER. THE EX
MEMBERS OF. THE BILLING THE
EXCESSIVE BILLING OR BILLING
THIS IS PERFECT BILLION WITH
HEALTH PLANS THIS IS A PRICE
CEILING YES YES YES OKAY AND I.
GROVE I. OKAY THAT IS. SURE.
YEAH I HAVE A LIVE IN CONCERT
ELEVEN ZERO THAT BILL IS OUT THE
ROSE CLOSE MOVING ON TO AB SEVEN
NINETEEN BOERNER ALSO HAVING TO
DO WITH- NON MEDICAL
TRANSPORTATION AND CONTRACTING
WITH LOCAL TRANSIT DISTRICTS.
SECRETARY SENATOR GLAZERS.
GLAZER AYE. GROWTH GROVE I. WELL
TO. CLOSER SENATE BILL IS OUT-
AB TEN NINETY TWO BY ASSEMBLY
MEMBER WOULD. DO PASS AND
REFERRED THE COMMITTEE ON
JUDICIARY SECRETARY SENATOR
GLAZERS GLAZER AYE GONZALEZ.
GROWTH NO GROWTH NO. WAHAT BOB I
FINAL BILL UPDATE IS AB FIFTEEN
TEN. WE WANT. OUT OF TEN NINETY
TWO IS. NINETY TWO THAT BILLS
OUT THAT ROLE IS CLOSED AB
FIFTEEN TEN JONES SAWYER THAT IS
TO PASS AS AMENDED AND RE REFER
TO THE COMMITTEE ON GOV AND
FINANCE SECRETARY. WHEN. GLAZER
GLAZER AYE GROWTH GROVE KNOW
WHAT HOT. WHAT HAVE I. THANK YOU
AND THAT CONCLUDES TEN ONE AND
TEN ONE OUT. AND THAT. CONCLUDES
THIS. MEDIC COMMITTEE. YEAH
COMMITTEE MEETING THE.