OKAY AT THE YOUR HELP WILL COME
TO ORDER I'M GOOD AFTERNOON
EVERYBODY AS WE CONTINUE TO
WELCOME YOU ALL IN PUBLIC WE'RE
ALSO CONTINUING TO INVITE THE
PUBLIC TO PARTICIPATE VIA
TELEPHONE LINE FOR AWHILE THAT
NUMBER IS 877-226-8163 AND THE
ACCESS CODE IS. THREE FIVE TWO
FIVE NINE ZERO FIVE WILL ONLY
TAKE TESTIMONY ON THE PHONES FOR
NO MORE THAN FIFTEEN MINUTES
TODAY WE HAVE TWENTY FIVE BILLS
ON THE AGENDA. FIVE OF THOSE
BILLS ON OUR PROPOSED CONSENT
CALENDAR AND THEY ARE AB SIX
FOURTEEN AB TWENTY EIGHT AB
TWELVE OH TWO WITH AMENDMENTS A.
B. FOURTEEN SEVENTY EIGHT AND A
B. SIXTEEN TWELVE. OKAY WHAT WE
DO NOT HAVE A QUORUM- WE WILL
BEGIN AS A SUB COMMITTEE NICE
YOUR FIRST AUTHOR ASSEMBLY
MEMBER ARAMBULA IS HERE DR
ARAMBULA IF YOU WOULD LIKE TO
GET STARTED. THANK YOU MADAM
CHAIR AND MEMBERS I'D LIKE TO
BEGIN BY THANKING THE COMMITTEE
STAFF FOR THE SUGGESTED
AMENDMENTS WHICH I ACCEPT THANK
YOU AB FOUR DIRECTS COVERED
CALIFORNIA TO EXPAND ACCESS TO
AFFORDABLE HEALTH CARE COVERAGE
TO ALL INCOME ELIGIBLE
CALIFORNIANS REGARDLESS OF
IMMIGRATION STATUS. THE HISTORIC
EXCLUSION OF UNDOCUMENTED
IMMIGRANTS FROM THE HEALTH CARE
SYSTEM THREATENS THE WELL BEING
OF INDIVIDUALS AND FAMILIES IN
OUR COMMUNITIES. WE HAVE BEEN
WORKING TO END THIS EXCLUSION
THROUGH RECENT EFFORTS TO EXPAND
FULL SCOPE MEDICAL COVERAGE TO
ALL INCOME ELIGIBLE ADULTS.
HOWEVER UNDOCUMENTED INDIVIDUALS
WHO ARE INELIGIBLE FOR MEDICO
ARE STILL RESTRICTED FROM
PURCHASING COVERAGE ON THE
COVERED CALIFORNIA MARKETPLACE
IF THEY'RE JUST OVER THOSE
INCOME LIMITS. BY REMOVING
IMMIGRATION STATUS AS AN
ELIGIBILITY BARRIER TO COVERED
CALIFORNIA WE CAN BUILD A MORE
MORE UNIVERSAL. EQUITABLE
HEALTHCARE SYSTEM FOR ALL WHO
LIVE IN CALIFORNIA. IT IS TIME
TO RECOGNIZE THAT HEALTH CARE
ACCESS IS A HUMAN RIGHTS AND
REMOVE EXCLUSIONS TO VITAL
HEALTH CARE ACCESS TESTIFYING IN
SUPPORT IS JOSE TORRES CASILLAS
WITH HEALTH ACCESS. MR GARCIA.
GOOD AFTERNOON CHAIR AND MEMBER-
I STATED MY NAME IS JOSE TORRES
CÁC US WITH HEALTH ACCESS
CALIFORNIA I AM ALSO
REPRESENTING THE CALIFORNIA
IMMIGRANT POLICY CENTER. THE TWO
CO CHAIRS OF THE HEALTH FOR ALL
COALITION AND SPONSORS OF A
BEFORE. OVER THE LAST TEN YEARS
THE COALITION HAS WORKED TO
REMOVE IMMIGRATION STATUS AS A
BARRIER TO ELIGIBILITY WITHIN
OUR HEALTHCARE SYSTEM WE HAVE
MADE TREMENDOUS PROGRESS BY
REMOVING IMMIGRATION STATUS HAS
A BEAR WITH IN OUR MEDICAL
PROGRAM. CURRENTLY SIX HUNDRED
THIRTY THOUSAND INDIVIDUALS HAVE
GAINED HEALTHCARE COVERAGE AND
BEGINNING AT SIX MONTHS AN
ADDITIONAL SEVEN HUNDRED
THOUSAND PEOPLE GAIN COVERAGE
WHEN THE FINAL PROGRAM EXPANSION
BEGINS IMPLEMENTATION. THAT'S
OVER A MILLION UNDOCUMENTED
PEOPLE WHO NOW HAVE ACCESS TO
PREVENTATIVE AND PRIMARY CARE.
WHILE WE HAVE MADE SUCH GREAT
PROGRESS THERE CONTINUE TO BE
BEARS WITHIN OUR HEALTHCARE
SYSTEM THAT STILL PREVENT
UNDOCUMENTED PEOPLE FROM ACCESS
TO HEALTH CARE. MEDIC HOW HAS AN
INCOME THRESHOLD FOR ONE PERSON
THAT IS LESS THAN TWENTY
THOUSAND DOLLARS PER YEAR.
NORMALLY A PERSON WHO HAS AN
INCOME ABOVE THIS LIMIT WOULD BE
ABLE TO PURCHASE COVERAGE ON
COVERED CALIFORNIA. AND RECEIVE
AFFORDABILITY ASSISTANCE HOWEVER
UNDOCUMENTED INDIVIDUALS ARE NOT
ABLE TO ENROLL WITHIN COVER
CALIFORNIA. AB FOUR TAKES THE
FIRST STEP IN ADDRESSING THE
SYSTEMIC DISPARITY THAT
UNDOCUMENTED PEOPLE FACE. IT
WOULD HAVE COVERED CALIFORNIA
ESTABLISH HEALTH PLANS THAT
WOULD BE IDENTICAL TO THOSE
OFFERED ON THE EXCHANGE BUT
UNDOCUMENTED INDIVIDUALS BUT
WOULD BE ABLE TO ENROLL IN.
UNDOCUMENTED CALIFORNIA'S WITH
INCOME ABOVE THE MEDICAL LIMIT
WOULD BE THE FIRST. WOULD WOULD
FOR THE FIRST TIME HAVE ACCESS
TO THE SAME QUALITY. COVERED
CALIFORNIA PLANS AS DOCUMENTED
INDIVIDUALS. THIS CONTINUES THE
WORK AND LEADERSHIP WE HAVE DONE
HERE TODAY TO MAKE OUR HEALTH
CARE MORE TO HELP TO MAKE OUR
HEALTHCARE SYSTEM MORE
EQUITABLE. TO ENSURE THAT
EVERYONE HAS ACCESS TO OUR
HEALTH CARE SYSTEM REGARDLESS OF
WHERE THEY WERE BORN IN. THE
WORK CONTINUES LOACH SIGA. IN
SEEKING TO ENSURE THAT OUR
NEIGHBORS OUR FRIENDS OUR FAMILY
HAVE. ACCESS TO HEALTH CARE
COVERAGE I THANK YOU FOR YOUR
TIME AND ASK FOR YOUR SUPPORT
HERE TODAY. THANK YOU VERY MUCH
NEXT PERSON SPEAKING IN SUPPORT
OF. MEMBERS CUT THE MUSTARD
GROUP SAYING THE CALIFORNIA
IMMIGRANT POLICY CENTER WILL
ASSOCIATE OURSELVES WITH OUR
OTHER COSPONSORED URGENT I VOTE
TODAY THANK YOU FOR TALK THANK
YOU VERY MUCH NOW PEOPLE JUST.
NAME AND AFFILIATION. ROBERT
HARRIS WITH US YEAH YOU
CALIFORNIANS SUPPORT THANK YOU.
KAREN SEVEN SEVEN CALIFORNIA PAN
ETHNIC HEALTH NETWORK IN SUPPORT
THANK YOU. THE SET SHORT ON
BEHALF OF THE LINES OF CATHOLIC
HEALTH CARE AND SUPPORT THANK
YOU. NORRLAND FOR CHILDREN NOW
IN SUPPORT THANK YOU. MARIN
PANETTA WHAT THE ROOKIE MANIFOLD
A SOCIETY IN SUPPORT THANK YOU
THANK YOU. A KELLY BROOKS WITH
THE BOARD OF SUPERVISORS OF
SANTA CLARA COUNTY AND THE URBAN
COUNTIES OF CALIFORNIANS SUPPORT
THANK YOU. SANDRA PULL WESTERN
CENTER ON LAW AND POVERTY IN
SUPPORT THANK YOU. BASICALLY
WITH ASIAN AMERICANS ADVANCING
JUSTICE SOUTHERN CALIFORNIA OR
IN SUPPORT. THANK YOU VERY MUCH
HERE TO SPEAK IN OPPOSITION TO
THIS BILL TODAY. C. NUMBER GO TO
THE PHONE LINES NOW SPEAKING IN
SUPPORT AND OR OPPOSITION. NOW'S
THE TIME JUST NAME AND
AFFILIATION AND POSITION DURING
ONE OF THE CUBAN WRITER- YES IF
YOU'D LIKE TO EXPRESS SUPPORT OR
OPPOSITION TO THIS BILL. A
PLEASE PRESS ONE AND ZERO AT
THIS TIME IN OUR FIRST LINE IS
ONE FIFTY SIX. PLEASE GO AHEAD
YOUR LINE IS OPEN. THEIR NEXT
LINE IS ONE SEVENTY. PLEASE GO
AHEAD. HELLO DANIEL INCHES ON
BEHALF OF CHIRLA IN SUPPORT.
THANK YOU THANKS CALLER. EXLINE
IS ONE SEVENTY FOUR PLEASE GO
AHEAD. I GOT REALIST LARGE
NATIONAL IMMIGRATION LAW CENTER
IN SUPPORT. THANK YOU NEXT
QUESTION PLEASE. WIND ONE
SEVENTY SIX PLEASE GO AHEAD.
HELLO THIS IS NOT A VALID
SELECTION OF COALITION FOR
HEALTH CALIFORNIA AND FROM.
THANK YOU VERY MUCH TAX CALLER
PLEASE. LINE ONE SEVENTY NINE
PLEASE GO AHEAD. HELLO LOOK AT
YOUR GOLF WITH ALL THE LEGAL
CENTER IN SUPPORT. THANK YOU
VERY MUCH NEXT CALLER PLEASE.
LINE ONE EIGHTY PLEASE GO AHEAD
. HELLO THIS IS KEVIN- FRIEND
COMMITTEE ON LEGISLATION OF
CALIFORNIA AND STRONG SUPPORT
THANK YOU THANK YOU NEXT COLOR.
NINE ONE EIGHTY TWO PLEASE GO
AHEAD. AFTERNOON SURE MEMBERS
CHRIS MARKET WITH THE CALIFORNIA
SCHOOL EMPLOYEES OF. ASSOCIATION
IN STRONG SUPPORT THANK YOU NICE
COLOR PLACE. LINE ONE SIXTY
THREE PLEASE GO AHEAD. HELLO MY
NAME IS SAVANNAH HOGAN WITH AN
AYE FAMILY CLINIC SOMEWHERE IN
SUPPORT OF AB FOUR THANK YOU
VERY MUCH NEXT CALLER PLEASE.
LINE ONE EIGHTY FOUR PLEASE GO
AHEAD. HELLO THIS IS A DEBATE
THAT THE FUTURE RESOURCE ACTION
CENTER IN SUPPORT. THANK YOU
MEXICO PLEASE. HELLO ONE SIXTY
FOUR PLEASE GO AHEAD. HI THIS IS
VERONICA WITH THE CYNICAL INTO
SOME. THANK YOU NEXT CALL. LINE
ONE SO THREE PLEASE GO AHEAD.
GOOD AFTERNOON MY LIBERAL BEHALF
OF THE WE HAD SO AND- THANK YOU
VERY MUCH THANKS CALLER. LINE
ONE SIXTY NINE PLEASE GO AHEAD.
HELLO MY NAME IS ALONG THE
MENDOZA WITH THE MIX BETWEEN THE
IN THE COMMUNITY FOR THE
NINETEEN PROJECT. WE ARE IN
SUPPORT OF AB FOUR. THANK YOU
VERY MUCH NEXT CALLER PLEASE.
ONE ONE SEVENTY TWO PLEASE GO
AHEAD. AFTERNOON TEN MEMBERS MY
NAME IS INTERESTED NOT FROM UCLA
CENTER FOR HEALTH EQUITY WE ARE
IN SUPPORT OF AB FOUR THANK YOU
VERY MUCH NEXT COLOR. LAUREN ONE
FORTY SEVEN PLEASE GO AHEAD.
GOOD AFTERNOON SHARON MEMBERS
JAMES MICHAEL POWELL EMERIC
FEDERATION OF STATE COUNTY
MUNICIPAL EMPLOYEES IN SUPPORT.
THANK YOU NEXT CALLER PLEASE.
LINE ONE SIXTY FOUR PLEASE GO
AHEAD. HELLO MY NAME IS ON A
ROLL YES AND I AM IN MEXICO NOT
COMMUNITY OPEN PROJECT. TO OF A
BEFORE. THANK YOU MUCH NEXT CALL
PLEASE. LINE ONE FIFTIES PLEASE
GO AHEAD. GO AHEAD PLEASE. TWO
ONE MODERATOR. LINE ONE SIXTY
SEVEN PLEASE GO AHEAD. HELLO MY
NAME IS PHILLIP CHEN AND AS-
WITH A KELLY HEALTH STRONG
SUPPORT EIGHTY FOUR THANK YOU
NEXT CALLER PLEASE. LAUREN ONE
EIGHTY FIVE PLEASE AHEAD.
REPRESENTED MEMBERS THEM FOR THE
MARKET YOU KNOW TO WAY TO
CALIFORNIA IN. THANK YOU NICE
COLOR PLEASE. LINE ONE SIXTY ONE
PLEASE GO AHEAD. UNION THE IN
THE PARLIAMENT HELLO- AND THE
ALERT CALIFORNIA HELP I'M AND
WE'RE IN A THE PEOPLE THANK YOU
VERY MUCH NEXT COLOR PLEASE.
LINE ONE EIGHTY NINE PLEASE GO
AHEAD. ON BEHALF OF THE QUALITY
CAL. WORK THANK YOU NEXT CALL
PLEASE. LINE ONE NINE ONE PLEASE
GO AHEAD. GOOD AFTERNOON THANK
WITH MATERNAL AND HEALTH ACCESS
AND STRONG SUPPORT OF A OF A
BEFORE THANK YOU THANK YOU NEXT
CALLER PLEASE. LINE ONE NINETY
PLEASE GO AHEAD. HELLO
UNDERLYING ELSEWHERE SERVICES
IMMIGRANT RIGHTS AND EDUCATION
NETWORK IN SUPPORT OF AB FOUR
THANK YOU THANK YOU NICE COLOR
PLEASE. LINE ONE NINETY TWO
PLEASE GO AHEAD. AND ON BEHALF
OF THE ALSO MAD IN SUPPORT.
THANK YOU NEXT CALLER PLEASE. IN
MADAM CHAIR I HAVE NO OTHER
LINES QUEUED UP AT THIS
PARTICULAR TIME THANK YOU VERY
MUCH WOULD BRING IT BACK TO THE
COMMITTEE NOW QUESTIONS CONCERNS
. OKAY WOULD YOU LIKE TO CLOSER
THANK YOU FOR THE OPPORTUNITY TO
PRESENT THANKS AGAIN TO THE
COMMITTEE FOR ALL THE HARD WORK
ON THIS BILL AND WHEN THE TIME
IS APPROPRIATE I RESPECTFULLY
ASK FOR AN AYE VOTE THANK YOU
DIET DR EVELYN THANK YOU SO MUCH
FOR YOUR LONG TIME WORK AND
FOCUS ON. MAKING SURE HEALTH
CARE IS EXTENDED TO EVERYBODY IN
CALIFORNIA I APPRECIATE IT AND I
ADMIRE IT THANK YOU THANK YOU.
OKAY MOVING ON TO AB FORTY.
ASSEMBLY MEMBER RODRIGUEZ HERE
COME ON UP SIR. WITH. GO AHEAD
THANK YOU MADAM CHAIR AND
SENATORS. THANK YOU FOR THE
OPPORTUNITY TO PRESENT A. B.
FORTY A BIPARTISAN BILL THAT
TAKES SEVERAL STEPS TO PREVENT.
AMBULANCE PATIENT OFFLOAD DELAYS
TO ENSURE AMBULANCES ARE
AVAILABLE TO RESPOND. TO NINE
ONE ONE CALLS FOR EMERGENCY
MEDICAL SERVICES. FIRST THE BILL
WOULD REQUIRE ALL THEMSELVES TO
ESTABLISH AN AMBULANCE PATIENT
OFFLOAD TIME STANDARD. ALSO
KNOWN AS A PART OF NO MORE THAN
THIRTY MINUTES 90% OF THE TIME.
CURRENTLY THERE IS NO LUMPS US.
WITH AN ESTABLISH A PART
STANDARD GREATER THAN THIRTY
MINUTES AB FORTY WOULD ALSO
REQUIRE HOSPITALS TO DEVELOP IN
A POT REDUCTION PROTOCOL AND
FOLLOW THE PROTOCOL WITH THE
LOCAL M. SAYS. HOSPITALS WOULD
HAVE THE FLEXIBILITY IN
DETERMINING HOW TO IMPROVE
HOSPITAL OPERATIONS INCLUDING
ADDITIONAL STAFFING OR IMPROVED
TRIAGE OR TRANSFER SYSTEMS. AS
SOMEONE WHO'S SPENT OVER THIRTY
YEARS WORKING AS A FIRST
RESPONDER IN THE BURN TO MEDICAL
SERVICES SYSTEM I'M ALL TOO
FAMILIAR WITH WHAT TIMES. EXCESS
OF WHAT TIMES HAVE BEEN A
PROBLEM FOR DECADES IN FACT I
HAVE PERSONALLY WAITED FOR OVER
TWELVE HOURS A HOSPITAL MERGER
DEPARTMENT TO TRANSFER A PATIENT
TO A HOSPITAL STAFF. ACCORDING
TO A TWENTY TWENTY I'M SORRY
PART EACH YEAR ROUGHLY SEVENTY
THOUSAND CALIFORNIANS WAIT OVER
AN HOUR FOR AN AMBULANCE. GURNEY
ONCE THEY ARRIVED AT THE
HOSPITAL. NOT ONLY DO WHAT COMES
OUT IN UNTIMELY FOR PATIENTS
EXPERIENCING AN EMERGENCY BUT IT
PREVENTS EMTS AND PARAMEDICS
FROM RESPONDING TO OTHER
EMERGENCIES. I PERSONALLY HAVE
WORKED ON THIS ISSUE FOR OVER
THREE YEARS AND I'VE MET WITH
STAKEHOLDERS NUMEROUS TIMES.
TOWARD LOCAL FACILITIES AND
INTRODUCED LEGISLATION TO HELP
FIND A SOLUTION TO WHAT TIMES.
AS A RESULT OF THESE EFFORTS M.
SIR CONVENE A WALL TIME TASK
FORCE IN NOVEMBER TWENTY TWENTY
ONE. IN JUNE TWENTY TWENTY TO
THE M. SO WHAT TIME TASK FORCE
VOTED. ON NINETEEN
RECOMMENDATIONS TO MITIGATE THEM
BLITZ PATIENT OFFLOAD DELAYS.
THIS BILL CODIFIES SOME OF THE
MOST IMPACTFUL RECOMMENDATIONS
INCLUDING BETTER DATA
COLLECTION. WITHOUT LET ME TURN
IT OVER TO MY WITNESS AND
SUPPORT. BRIAN RICE FROM
PRESIDENT OF THE CALIFORNIA
PROFESSIONAL FIREFIGHTERS SEAN
BURROUGHS PRESIDENT OF THE
ALAMEDA COUNTY FIREFIGHTERS
LOCAL FIFTY FIVE. AND DOUG
SUBER'S WITH THE CALIFORNIA
PROFESSIONAL FIREFIGHTERS TO ASK
ANSWER ANY TECHNICAL QUESTIONS
THANK YOU. SEE YOU SITE JUST A
COUPLE MINUTES AGO I FEEL LIKE
WE DID. NICE TO SEE YOU GET.
PLEASE GET OFF MATTER CHAIR AND
OF THE COMMITTEE NAME'S PER RICE
I AM THE PRESIDENT OF THE CAL.
PROFESSIONAL FIREFIGHTERS AND I
REPRESENT NEARLY THIRTY FIVE
THOUSAND PROFESSIONAL
FIREFIGHTERS AND EMERGENCY
MEDICAL SERVICES PERSONNEL
STATEWIDE- I ALSO SERVED FOR
OVER THIRTY YEARS HERE IN
SACRAMENTO WITH THE SACRAMENTO
METROPOLITAN FIRE DEPARTMENT.
CPF IS A PROUD SPONSOR OF AB
FORTY AND I'D LIKE TO THINK
ASSEMBLY MEMBER ROD REGUS. FOR
HIS LEADERSHIP ON THIS ISSUE AND
ALSO- THANK YOU SENATOR EGGMAN-
EGGMAN AND YOUR COMMITTEE STAFF
FOR THE ENGAGEMENT ON THIS. ON
THIS MEASURE IN THE DISCUSSIONS.
LAST YEAR BATTALION CHIEF FROM
SACRAMENTO TESTIFIED THAT A
PATIENT EXPERIENCED SEVERE
MEDICAL EMERGENCY FOUR BLOCKS
FROM HOSPITAL. BUT THE ONLY
AVAILABLE AMBULANCE CAME FROM
EIGHT MILES AWAY IN THREE CITIES
OVER AND WAS OTHERWISE IN THE
CAD SYSTEM THE TWENTIETH PICK IN
THE ORDERING SYSTEM. WHEN
AMBULANCES ARE STUCK ON THE WALL
THEY CAN'T DO THEIR JOBS
PROTECTING THE PUBLIC THAT MEANS
LONGER AND LONGER RESPONSE TIMES
FOR OTHER PATIENTS. WHEN SECONDS
COUNT. THIS ALSO CREATES COST TO
THE TAXPAYERS BY FORCING
FIREFIGHTER EMTS AND FIREFIGHTER
PARAMEDICS. AND PRIVATE
AMBULANCE EMTS AND PARAMEDICS TO
EFFECTIVE TO EFFECTIVELY
SUBSIDIZE THE STAFFING OF
HOSPITALS WHY THEY WAIT TO
TRANSFER PATIENT CARE. IN TWENTY
TWENTY TO THE ANAHEIM FIRE
DEPARTMENT HAD UNITS HELD ON THE
WALL FOR OVER FIVE THOUSAND
EIGHT HUNDRED HOURS THIS EQUATES
TO TWO FULL TIME TWENTY FOUR
HOUR UNITS- STAFFING THE E. R.
IN THE CITY OF ANAHEIM WITH NO
ROONEY RE NUMERATION FOR THE
CITY. BETWEEN JANUARY AND MAY OF
TWENTY TWENTY THREE EMS CREWS
WERE HELD. AT THE END EMERGENCY
DEPARTMENTS IN SACRAMENTO COUNTY
FOR MORE THAN FOURTEEN THOUSAND
EIGHT HUNDRED AND FIFTY HOURS
THAT'S- JANUARY THROUGH MAY.
RESULTING IN A COST TO LOCAL
AGENCIES CITIES COUNTIES AND
SPECIAL DISTRICTS OF THREE POINT
ONE MILLION DOLLARS IN WALL KIND
COSTS THAT'S JUST FOR FIVE
MONTHS. THAT EQUATES TO NEARLY A
HUNDRED HOURS PER DAY THAT THESE
UNITS WERE NOT ABLE TO RESPOND
TO AN EMERGENCY JUST IN
SACRAMENTO COUNTY. AND
SACRAMENTO COUNTY AS A SYSTEM OF
APPROXIMATELY FORTY FIVE MEDIC
UNITS YOU CAN KIND OF LOOK AT
THAT AND I'LL BE VERY
CONSERVATIVE BUT YOU COULD TAKE
TWO TO THREE OF THOSE OUT OF
SERVICE FOR TWENTY FOUR HOURS
AND THEY NEVER RESPOND TO A CALL
THAT'S- WHAT THOSE NUMBERS LOOK
LIKE. AB FORTY WILL SET A
STATEWIDE CAP OF THIRTY MINUTES
FOR AMBULANCE PATIENT OFFLOAD
TIME AND DIRECT EACH LAMPS. TO
ADOPT A STANDARD- IS NOTED IN
THE ANALYSIS A SIGNIFICANT
NUMBER OF LOCAL JURISDICTIONS
HAVE ADOPTED A STANDARD OF
TWENTY MINUTES OR LESS. AB FORTY
WILL ALSO REQUIRE HOSPITALS TO
DEVELOP AND IMPLEMENT A
PROTOCOL. TO REDUCE IT OFFLOAD
TIMES IF THEY EXCEED THE
STANDARD. HAVING HOSPITALS WE
KNOW THAT HOSPITALS HAVE
STRUGGLED WITH COVERT NINETEEN
IN THE EAST THE INCREASING
DEMANDS ON THE HEALTH HEALTH
CARE SYSTEM THERE'S NO DOUBT
ABOUT IT JUST LIKE EVERY SINGLE
EMERGENCY PRE HOSPITAL
PROVIDERS. SUFFERED THE SAME
KIND OF- HARDSHIPS AND
DIFFICULTIES DURING THE PANDEMIC
THIS IS NOT A PANDEMIC CAUSED
ISSUE THIS IS A SYSTEMIC ISSUE
THAT HAS BEEN IN PLAY. FOR WELL
OVER. A DECADE. AND I FULLY.
THAT THE ENTIRE HEALTHCARE
SYSTEMS AND BEEN EXPERIENCING
THE CHALLENGE AND THAT THIS
LEGISLATURE STEPPED UP TO WORK
TO ADDRESS SOME OF THE
CHALLENGES. BETWEEN THE CHAIR IN
THIS COMMITTEE'S WORK ON
IMPROVING ACCESS TO BEHAVIORAL
HEALTH TREATMENT COMMUNITY
PARAMEDICINE. THE DISTRESSED
HOSPITAL LOAN PROGRAM AND THE
MCO TAX SUBSTANTIATED. STEPS
HAVE BEEN TAKEN TO SUPPORT OUR
HEALTHCARE DELIVERY SYSTEM. BUT
THE CHALLENGES FACED BY
HOSPITALS CHALLENGES THAT ARE
MIRRORED IN PRE HOSPITAL CARE.
CAN'T BE IT CAN'T BE AN EXCUSE
TO PUT AN ENDLESS TAP ON
TAXPAYER FUNDED. EMERGENCY
SERVICE RESPONSES WITHIN OUR
COMMUNITIES. THE HEALTH AND
SAFETY OF OUR COMMUNITIES DEPEND
ON FAST EFFECTIVE FULLY STAFFED
AND AVAILABLE MEDICAL RESPONSE
TEAMS THAT CAN HAPPEN WHEN
AMBULANCE ARE STACKED UP. IN THE
ER WAITING TO OFFLOAD THEIR
PATIENTS FOR THESE REASONS AND
MANY MORE I RESPECTFULLY. ASK
YOUR WRIST REQUEST YOUR SUPPORT
ON AB FORTY THANK YOU I THINK
THE PRESIDENT RICE NEXT PERSON
PLEASE. ABOUT A MINUTE AND A
HALF LEFT ARE A GREAT THANK YOU
GOOD AFTERNOON- CHAIRMAN AND
MEMBERS OF THE COMMITTEE. MY
NAME IS SUMMERS I'M A TWENTY
SEVEN YEAR VETERAN OF THE FIRE
SERVICE. AND I CURRENTLY SERVE
AS A FIRE CAPTAIN PARAMEDIC FOR
THE ALAMEDA COUNTY FIREFIGHTERS
AS WELL AS PRESIDENT. OF THE
ALAMEDA COUNTY FIREFIGHTERS
LOCAL FIFTY FIVE. AS YOU'VE
HEARD FROM ASSEMBLYMEMBER
RODRIGUEZ AND PRESENT RISE
AMBULANCE PATIENT OFFLOAD TIME
OR WHAT TIME. CONTINUES TO GROW
AND FARMERS THROUGHOUT THE STATE
ARE BEING PUSHED TO THE BRINK. I
WOULD LIKE TO HIGHLIGHT HOW
AMBULANCE PATIENT OFFLOAD TIME
IMPACTS MY COMMUNITY AND THE
ALAMEDA COUNTY FIRE DEPARTMENT
SERVICE DELIVERY TO OUR
RESIDENTS. EXCESSIVE WALL TIME
IMPACTS PATIENT CARE FOR THE
PATIENT WAITING AT THE HOSPITAL
AND IMPACTS PATIENT SAFETY FOR
THE NEXT PATIENT EXPERIENCING AN
EMERGENCY AND WAITING FOR AN
AMBULANCE. IN MANY EMERGENCIES
ONE OF OUR FIRE ENGINES ARE THE
FIRST ON THE SCENE. TO BEGIN TO
RE TO RENDER PATIENT CARE WHILE
WAITING FOR AN AMBULANCE TO
ARRIVE IN MY COMMUNITY FIRE
ENGINES ARE CONSISTENTLY WAITING
ON SCENE FERNANDES TO ARRIVE.
BECAUSE ZERO AMBULANCES ARE
AVAILABLE IN THE SYSTEM.
RECENTLY IN ALAMEDA COUNTY FIRE
ENGINE WAITED ON SCENE WITH THE
PATIENT FOR NEARLY NINETY
MINUTES BECAUSE THERE WERE NO
AVAILABLE UNITS AVAILABLE. IN IN
THE MANY MANY CASES LIKE THESE
NOT ONLY IS THE PATIENT IMPACTED
BY NOT RECEIVING TIMELY MERCY
SERVICES. BUT THE FIRE ENGINE IS
ALSO UNABLE TO RESPOND ANY
ADDITIONAL INCIDENTS IN OUR
RESPONSE AREA. THESE DELAYS ARE
NOT ONE OFFS AND ARE NOT
ANOMALIES THEY OCCUR DAILY AND
THEY HAPPEN THROUGHOUT THE
STATE. MY BROTHERS AND SISTERS
ACROSS THE STATE ARE BEING
STRETCHED TO THE BREAKING POINT.
WHETHER IT'S A FORTY FIVE MINUTE
WAIT FOR A YOUNG ADULT
EXPERIENCING A SEIZURE IN LONG
BEACH OR EVEN. OR EVEN BEING
TOLD THAT THERE IS NOT NOT A
SINGLE AMBULANCE AVAILABLE TO
HELP A DYING CHILD IN OAKLAND.
THIS CANNOT CONTINUE WE GO TO
WORK EACH DAY TO PERFORM THE
DIFFICULT AND DANGEROUS JOBS AND
SERVICE TO OUR COMMUNITIES. BUT
THERE MUST BE ACCEPTABLE AND
ACTIONABLE STEPS TAKEN TO REDUCE
THE STRAIN ON OUR SYSTEM THANK
YOU VERY MUCH THANK YOU THANK
YOU. OKAY OTHER PEOPLE NOW TO
SPEAKING IN SUPPORT NAME ENOUGH
FILIATION P. PLEASE. REPETIR
COMMITTEE KNICKERS OF THE
CALIFORNIA LABOR FEDERATION IN
SUPPORT. AFTERNOON JAMES MICHAEL
POWELL WITH ASKED ME CALIFORNIA
AND SUPPORT. THANK YOU. GOOD
AFTERNOON DOCTOR DAN HAVE THIRTY
FIVE SHE FOR SACRAMENTO
METROPOLITAN FIRE DISTRICT WE
PLEDGE OUR SUPPORT. THANK YOU.
REMEMBERS COMMITTEE FRANK WILL
LEAN ON BEHALF OF THE SAME ROLL
BAND OF MISSION INDIANS AND
SUPPORT. THANK YOU. GOOD
AFTERNOON ROBERT HARRIS ON
BEHALF S. C. ARE YOU
CALIFORNIANS SUPPORT THANK YOU.
GOOD AFTERNOON OUT OF HOUSE
BETONTE SACRAMENTO METROPOLITAN
FIRE DISTRICT PLEDGE OF SUPPORT
THANK YOU. GOOD AFTERNOON JEFF
DALY ON BEHALF OF THE FIRE
DISTRICTS ASSOCIATION OF
CALIFORNIA SUPPORT THANK YOU.
RES MARKETS ON BEHALF OF THE
CALIFORNIA AMBULANCE ASSOCIATION
AND THE RECON TRIBE WE SEE ANY-
INDIANS IN SUPPORT. JEFF MILLER
ON BEHALF OF THE CITY OF CHULA
VISTA IN SUPPORT. GOOD AFTERNOON
SIR IN A SEAT ON BEHALF OF
COUNTY NOW THE CALIFORNIA
CHAPTER OF THE NATIONAL
EMERGENCY NUMBER ASSOCIATION IN
SUPPORT THANK YOU. A GOOD
AFTERNOON ALEX HAMILTON FIRE
CHIEF FOR THE CITY OF OXNARD
FIRE DEPARTMENT IN SUPPORT THANK
YOU. GOOD AFTERNOON DAVE SPENCER
FIRE CHIEF FOR THE CITY OF
AUBURN IN SUPPORT THANK YOU.
GOOD AFTERNOON TED PETERSON
DEPUTY CHIEF OF REPRESENTING
CALIFORNIA FIRE CHIEFS
ASSOCIATION IN SUPPORT THANK YOU
. GOOD AFTERNOON FRANK CRESPO ON
BEHALF OF HE WOULD FIRE
DEPARTMENT IN LOCAL NINETEEN OH
NINE IN SUPPORT THANK YOU. GOOD
AFTERNOON JOE JACOBS FAR FAR
ALAMEDA COUNTY FIRE DEPARTMENT
IN SUPPORT THANK YOU. JERRY MAY
LOCAL TO THIRTY SAN JOSE
FIREFIGHTERS AND SUPPORT THANK
YOU. J. MEMBERS JONATHON FELDMAN
WITH THE LATE SUPPORT FROM THE
NINE ONE AMBULANCE ALLIANCE
THANK YOU. MICHAEL GOLDSTEIN
CHIEF CITY A LOT I FIRE IN
SUPPORT THANK YOU. PROSECUTORS
HERE ON BEHALF OF THE CITY OF
SANTA MONICA AND SUPPORT THANK
YOU. GOOD AFTERNOON RYAN HENRY
CITY VICE PRESIDENT SACRAMENTO
FIREFIGHTERS LOCAL FIVE TWO TWO
IN SUPPORT THANK YOU. HEY THERE
SEVERAL YOUR OAKLAND FIREFIGHTER
TWENTY FIVE YEARS AND LOCAL
FIFTY FIVE VICE PRESIDENT IN
SUPPORT THANK YOU. JEREMY BISHOP
CAPTAIN STOCKTON FIRE DEPARTMENT
IN SUPPORT THANK YOU. DUST
RODRIGUEZ LOCAL FIVE TWO TWO IN
SPORT THANK YOU. MEDICAL
SECONDARY FIREFIGHTERS LOCAL
FIVE TWO TWO IN SUPPORT THANK
YOU. TILDEN BUILDER DEPUTY CHIEF
SACRAMENTO FIRE DEPARTMENT IN
SUPPORT THANK YOU. ROBERT WEBER
SACRAMENTO METROPOLITAN FIRE
DISTRICT BOARD OF DIRECTORS IN
SUPPORT THANK YOU. THEN CAME
PRESIDENT THE ALAMEDA CITY
FIREFIGHTERS LOCAL SIX EIGHT
NINE IN SUPPORT THANK YOU.
AFTERNOON JAMES MAGNUSSEN TELL
CLASSIFIED RESTRICTED THE CHIEF
IN SUPPORT THANK YOU. IN BURNING
BERKELEY FIRE LOCAL TWELVE
TWENTY SEVEN IN SUPPORT THANK
YOU. GOOD AFTERNOON CHRISTOFIAS
SAN JOSE FIREFIGHTERS LOOK AT
TWO THIRTY AND SUPPORT THANK YOU
. GOOD AFTERNOON BATTLE FOR THE
PRESIDENCY AS A FIREFIGHTERS
LOCAL TWO THIRTY IN SPORT THANK
YOU. GOOD AFTERNOON NO MORE
LYING- PRESIDENT BERKELEY
FIREFIGHTERS TWELVE TWENTY SEVEN
SUPPORT THANK YOU. FINISH OUT ON
BEHALF OF THE CITY OF SAN JOSE
IN SUPPORT THANK YOU THANK YOU.
GOOD AFTERNOON MADAM CHAIR
MEMBERS ROSS BUCKLEY ABOUT THE
SEAL SACRAMENTO IN MERRICK
DARRELL STEINBERG IN SUPPORT
THANK YOU. JEFF YOU SAID YOU'RE
SPEAKING ON BEHALF OF THE YOUR
BROTHERS AND SISTERS I DECIDED
BROTHERS. IN PREVIOUS SISTERS-
SO ANYWAY- MANAGER I THINK THIS
IS ANOTHER REMINDER OF HOW MUCH
MORE WORK WE NEED TO DO THAT
THEY HAVE A LOT OF WORK TO DO.
IN T. OKAY- SO YOUR FROM THE NOW
. GOOD AFTERNOON CHAIRMAN AND
COMMITTEE MEMBERS MY NAME IS DR
BRANDON LOW I'M EMERGENCY
DEPARTMENT MEDICAL DIRECTOR AT
HUNTINGTON HOSPITAL AN AFFILIATE
OF CEDAR SINAI PASADENA SERVING
THE CENTRAL VALLEY. ATTENTION IS
A SIX HUNDRED FIFTY MAGNET BED
HOSPITAL THE ONLY LEVEL TWO
TRAUMA CENTER IN REGION. SERVING
A POPULATION OF APPROXIMATELY
TWO HUNDRED AND SIXTY FIVE
THOUSAND INDIVIDUALS IN THE
CENTER VALLEY AND THE
SURROUNDING AREAS. AS A FULL
TIME EMERGENCY MEDICINE
PHYSICIAN FOR OVER THIRTY TWO
YEARS I HAVE SEEN FIRSTHAND THE
CHANGES TO EMERGENCY MEDICINE.
AND THE NEW NORMAL IS
SIGNIFICANTLY DIFFERENT THAN IT
WAS FIVE YEARS AGO. AMBULANCE
PATIENT OFFLOAD DELAYS A PROBLEM
THAT CANNOT BE SOLVED BY
HOSPITALS ALONE. WAY BEFORE
THESE WELL INTENDED IS AN
OVERSIMPLIFICATION OF THE ISSUE
. THIS IS NOT JUST A HOSPITAL
PROBLEM IS NOT JUST AN EMS
PROVIDER PROBLEM. IT'S A
HEALTHCARE DELIVERY SYSTEM
PROBLEM. LET ME TELL YOU A
LITTLE BIT ABOUT HOW MIGHT YOU
DO TYPICALLY LOOKS ON ANY GIVEN
DAY. WE HAVE FIFTY FOUR
TREATMENT STATIONS AND SEE AN
AVERAGE OF ABOUT TWO HUNDRED TEN
PATIENTS A DAY. THIS PAST
WEEKEND WE HAD FIFTEEN PATIENTS
BOARDING AND ET WHICH MEANS THAT
THEY WERE READY TO LEAVE BUT
THERE WAS NO AVAILABLE BED FOR
THE NEXT LEVEL OF CARE. SO THEY
HAD TO STAY WITH US INTO THE
COULD BE TRANSFERRED. THAT
BRINGS US DOWN FROM FIFTY FOUR
TREATMENT SPACES TO JUST THIRTY
NINE TO CARE FOR TWO HUNDRED AND
TEN PENSIONS. TREATING PATIENTS
AS QUICKLY AS POSSIBLE COMES
WITH OTHER CHALLENGES. SUCH AS
WORKFORCE SHORTAGES FOR BOTH
HOSPITALS AND EMS PROVIDERS. IN
ADDITION WE'RE ALSO FACING A
BEHAVIORAL HEALTH AND
HOMELESSNESS CRISIS THAT
CONTINUES TO GROW. A RECENT
STUDY FOUND THAT YOU VISITS BY
THE INDIVIDUALS EXPERIENCING
HOMELESSNESS HAS NEARLY DOUBLED
BETWEEN TWENTY EIGHTEEN AND
TWENTY TWENTY ONE. IN ORDER TO
TREAT A HIGH VOLUME OF PATIENTS
EMERGENCY DEPARTMENTS USE A
CLINICALLY DRIVEN PROCESS TO
EVALUATE. TRIAGE AND DELIVER
APPROPRIATE CARE TO EVERYONE WHO
SEEKS HELP. AT A HOSPITAL
REGARDLESS OF HOW THEY ARRIVE. I
AM EXTREMELY CONCERNED AB FORTY
CREATING A STANDARD THAT R. ET
WILL NOT BE ABLE TO MEET. AND
WILL MAKE CARING FOR PATIENTS
EVEN MORE CHALLENGING IF YOU'RE
TRYING TO MEET AN ARBITRARY
OFFLOAD STANDARD. RATHER THAN
TREATING PATIENTS BASED ON
SECURITY LEVEL. I'M ALSO
CONCERNED ABOUT THE UNINTENDED
CONSEQUENCES OF AB FORTY. IF
IT'S SIGNED INTO LAW FOR EXAMPLE
THIS BILL WILL INCENTIVIZE
MISUSE OF AN OVERLY. BURDENED
EMS SYSTEM AND HAS TO
POTENTIALLY TO RADICALLY SHIFT
AND INCREASED COSTLY AMBULANCE
UTILIZATION. I OFTEN HAVE PEOPLE
ARRIVE BY AMBULANCE FOR ISSUES
SUCH AS BACK PAIN SORE THROATS
MINOR CUTS. BECAUSE I THINK IT
WILL BE SEEN FASTER. THIS OF
COURSE IS NOT THE CASE THEY WILL
BE SENT TO THE WAITING ROOM
AFTER THEY HAVE BEEN TRIAGED.
AMBULANCE PATIENT OFFLOAD DELAYS
ARE COMPLEX LONGSTANDING ISSUE.
EXACERBATED BY THE PANTALLA
PANDEMIC RESULTING FROM
CHALLENGES ACROSS THE ENTIRE
CARE DELIVERY SYSTEM. I SURE
THAT YOU MRS PROVIDERS
FRUSTRATION BUT RATHER THAN
PUTTING THE BLAME ON JUST ONE
PIECE OF THE PUZZLE. WE SHOULD
BE LOOKING AT THE SOLUTIONS
ACROSS THE ENTIRE HEALTHCARE
DELIVERY SYSTEM. HUNTINGTON
HOSPITAL'S EAGER TO BE PART OF
THE SOLUTION. AND WORK TOGETHER
WITHOUT YOU MISS PARTNERS TO
REDUCE DELAYS AND TO ALLOW US TO
FOCUS ON OUR PATIENTS. HOWEVER A
BEFORE YOU ONLY PUT MORE STRAIN
ON AN ALREADY BROKEN SYSTEM. ON
BEHALF OF HUNTINGTON HOSPITAL WE
RESPECTFULLY REQUEST YOUR NO
VOTE AB FORTY. THANK YOU. THANK
YOU VERY MUCH NEXT PERSON PLEASE
. GOOD AFTERNOON CHAIR AND
COMMITTEE MEMBERS MY NAME IS
ROSE CLIENTS OF A I'M HERE TODAY
ON BEHALF OF SUTTER HEALTH IN
OPPOSITION TO AB FORTY. I'VE
SPENT TWENTY THREE YEARS AS A
TRAUMA ER NURSE IN THE PAST
THREE YEARS AT SUTTER ROSEVILLE
MEDICAL CENTER AS A DIRECTOR OF
EMERGENCY CITY SERVICES. IN
ADDITION TO MY ROLE THAT FEDERAL
AS WELL I LEAD SUTTER HEALTH
SYSTEM WIDE COMMITTEE TO ADDRESS
A POT IN ALL TWENTY ONE OF OUR
EMERGENCIES IN NORTHERN
CALIFORNIA. ONE CHALLENGE I'VE
COME ACROSS IS SIGNIFICANT
INACCURACIES AND THE OFFERED
TIMES REPORTED BY AMBULANCE
PERSONNEL COMPARED TO WHAT IS
RECORDED. IN THE HOSPITAL'S
MEDICAL RECORD. AS WE ALL KNOW
DATA DRIVES CHANGE. WE SHOULD
NOT SET LAWS AND STANDARDS BASED
ON FIVE DATA. FOR EXAMPLE SUTTER
WORKS WITH OVER A DOZEN LINE
SAYS. WE'VE REACHED OUT TO TEN
FOR DATA VALIDATION PURPOSES AND
ONLY TO ALLOW US TO AUDIT THE
DATA. UNFORTUNATELY WE'VE ONLY
BEEN SUCCESSFUL IN GETTING DATA
CORRECTED FOR ONE NIGHT IT. TO
GIVE AN EXAMPLE OF HOUSE THE
FLIGHT DATA IS HOW FAR THE DATA
IS WHEN DOING OUR OWN ARTISTS OF
THE DATA. WE FOUND MANY
INSTANCES OF PATIENTS THAT WERE
NEVER IN OUR FACILITY BUT WE'RE
ON OUR A PART REPORT. PATIENTS
THAT WERE HAVING HEART ATTACKS
AND WERE LISTED AS A PART TIME
IS GREATER THAN AN HOUR. BUT
THAT HAD ALREADY BEEN TREATED
AND WERE IN HOSPITALS I SEE IS
WHEN A PART REPORT WAS SHOWING
THAT THEY WERE STILL ON OUR
WALL. ADDITIONALLY THERE
INCONSISTENCIES WITH THE START
AND STOP TIME EVERY AMBULANCE
PROVIDER DOES THIS DIFFERENTLY.
THREE CJ WE OFFERED AMENDMENTS
TO CLARIFY THE PROCESS FOR WHEN
THE CLOCK STARTS AND STOPS AND
THESE WERE REJECTED. WELL WE
APPRECIATE THAT THE BELL
INCLUDED DEVELOPMENT OF AN
ESIGNATURE AN AUDIT TOOL WE HAVE
CONCERNS WITH THE IMPLEMENTATION
TIMELINE. IN THE CURRENT
LANGUAGE THE LOCAL EMS AGENCIES
MUST SET A STANDARD BY MARCH
FIRST TWENTY TWENTY FOUR. YET
EMSA IS NOT REQUIRED TO DEVELOP
AND IMPLEMENT THEIR AYE IT TOOL
ESIGNATURE UNTIL JUNE FIRST
TWENTY TWENTY FOUR. WE BELIEVE
THIS IS LIKE PUTTING THE CART
BEFORE THE HORSE. M. SAYS SHOULD
CREATE AND BEGIN IMPLEMENTING A
SYSTEM TO ENSURE THAT THE DATA
IS ACCURATE ACCURATE BEING
COLLECTED. AND USED TO CALCULATE
YOU CALCULATE A PART TIMES
BEFORE LOCAL TIME STANDARDS ARE
PUT IN PLACE. FURTHERMORE HOUSE
WAS A CAN BE HELD TO THE
STANDARDS ON JULY FIRST LEAVING
ONLY THIRTY DAYS FOR HOSPITALS
AND EMS PROVIDERS NUMBERS
RABBIS. THESE NEW PROCEDURES.
THAT BEING SAID WE ARE COMMITTED
TO THIS WORK AND MAKE SURE TO
GET IT RIGHT BUT THIS CAN ONLY
HAPPEN WITH THE REALISTIC
INFORMATION TIMELINE OR FEES
THANK YOU VERY. MUCH APPROACH
THANK YOU VERY MUCH. OTHER
PEOPLE SPEAKING IN OPPOSITION
NOW JUST NAME AND AFFILIATION
PLEASE. BUT I THINK AND ALSO THE
CALIFORNIA HOSPITALS PHYSICIAN
HERE IN OPPOSITION TO AB FORTY
ALSO. I'M ABLE TO HELP ANSWER
ANY QUESTIONS THAT YOU MAY HAVE
. CAROLING ON BEHALF OF THE
SOLANO COUNTY BOARD OF
SUPERVISORS IN OPPOSITION THANK
YOU THANK YOU. HI GREG HAYES
HERE ON BEHALF OF PROVIDENCE
HOSPITALS AND IT'S SEVENTEEN
HOSPITALS IN CALIFORNIA IN
OPPOSITION THANK YOU. JOHNSON
CLAIMED THAT THE SCRIPT SELF IN
OPPOSITION THANK YOU. I WOULD
GET ON A HERE ON BEHALF OF THE
CALIFORNIA CHILDREN'S HOSPITAL
ASSOCIATION IN OPPOSITION THANK
YOU. AND HE GOT INVOLVED WITH
KAISER PERMANENTE A OPPOSE LESS
AMENDED THANK YOU. KELLY ASKED
WITH DIGNITY HEALTH OPPOSE THANK
YOU THANK YOU. THE SUCH SHORT ON
BEHALF THE ALLIANCE OF CATHOLIC
HEALTH CARE RADY CHILDREN'S
HOSPITAL IN ADVENTIST HEALTH IN
OPPOSITION. THANK YOU VERY MUCH
OKAY- NOW WILL GO TO THE PHONE
LINES. OPERATOR ARE THERE ANY
CALLS IN THE QUEUE AND NOW IT'S
SAID NAME AFFILIATION AND
POSITION ON THE BILL. WE'RE
TALKING ABOUT AB FOR DENTURE. S.
CI STATED IF YOU'RE LIKE TO TAKE
THIS OPPORTUNITY PLEASE PRESS
ONE FOLLOWED BY ZERO IF YOUR
SUPPORT OR OPPOSITION TO A. B.
FORTY. ONE FALL BY ZERO ONE ONE
SEVENTY FIVE YOU ARE OPEN. GOOD
AFTERNOON MADAM CHAIR AND
MEMBERS OF THE COMMITTEE
SCHERING OPEN ON BEHALF OF THE
STATE CARLSBAD IN SUPPORT. THANK
YOU. PLEASE GO AHEAD NINE ONE
EIGHTY THREE. GOOD AFTERNOON
MADAM CHAIR MEMBERS A ROCK YOU
HAVE TO THE CITY OF CORONADO AND
SUPPORT. THANK YOU. FINE TWO
HUNDRED ONE YOU ARE OPEN AND
ANYBODY ELSE GOING AT ONE ZERO
PRINT SUPPORT OPPOSITION TO A.
B. FORTY PLEASE GO AHEAD TO ON.
IT'S ALL WORK BEHALF OF
DIFFERENT AND IN A PUBLIC. TONY
AND- THANK YOU. LINE ONE NINETY
FIVE PLEASE GO AHEAD. THANK YOU
ON THE OF UNITED THE WORK
DISTRICT TWELVE UEFA EUROPA
TWELVE NINE ONE ONE THE LIST OF
THE MOST EIGHT FIFTY THREE IN
FRONT. THANK YOU. AND IT'S CLEAR
THE QUEUE CHAIR. ALL RIGHT THANK
YOU VERY MUCH NUMBER THE WE'D
BRING BACK TO THE COMMITTEE MAY-
IT IN A- THANK YOU FOR BRING
THIS FOR AND IN CERTAINLY ONE
THE BILLS SPARKED THE MOST TIME
AND IN THAT CONVERSATION- IN OUR
COMMUNITY- WHEN I THINK STAFF
FOR ALL THEIR WORK ON THIS. AND
YOU AND THE COALITION FOR BOTH
SIDES ON THIS IDEA- I'M A
SUPPORT THIS TODAY I AM. NOT
QUITE SURE WHAT I'LL DO ON THE
FLOOR YOU YOU'VE ENGAGED AND-
HONEST BROKERING AND WE'VE WE'VE
WORKED ON THIS AND MAKE SURE
THERE WAS NO I TEETH IN THIS. I
AGREE WITH A LOT OF OPPOSITION
AND SOMEBODY AND I'M SURE THIS
BEFORE I'M A CARE GIVER- TWO
WEEKS AGO I SPENT A WHOLE LOT OF
TIME IN THE ER. AND YOU REALLY
GET TO SEE I MEAN. WHAT'S
HAPPENING RIGHT IN THE HOSPITALS
DON'T HAVE ANY CONTROL OVER
WHO'S COMING IN I HAD THERE WAS
ONE PERSON WHO WAS. IN THE
HOSPITAL BAY THE ABLE TO TRY TO
PULL OUT AND THEY STEPPED RIGHT
IN FRONT OF THE CAR. AND CAME
BACK IN SO IT'S A- IT. AS PEOPLE
ARE SAID IT IS A DELIVER. SYSTEM
I. THE FRESH. OF THE FIRE I
UNDERSTAND THAT BUT AT THE SAME
TIME IT IS A FULL DELIVERY
SYSTEM UTILIZED DON'T. YOU DON'T
OFFER INVITATIONS UP TELL PEOPLE
TO CALL YOU. AND THE HOUSE WAS
DON'T EXTEND INVITATIONS FOR
PEOPLE TO COME ON IN. SO IT IS-
AND I HOPE ALL THE WORK THAT
WE'VE BEEN DOING THESE LAST FEW
YEARS REALLY TRYING TO DRESS-
BEHAVIOR HEALTH REALLY TRYING TO
ADDRESS. OUR SUBS ABUSE ISSUES
REALLY TRYING TO ADDRESS- MAKING
SURE THAT THERE ARE MORE
PROVIDERS OUT THERE SO PEOPLE
ARE NOT USING THE EMERGENCY ROOM
AS A- FIRST AID STATION- IT
MAKES IT ALL VERY DIFFICULT BUT
I. I APPRECIATE THE WORK THAT
YOU'RE TRYING TO DO. HERE ON
THIS BILL- SENATE ROTH. THANK
YOU MADAM CHAIR I WANT TO JOIN
IN MY THANKS TO THE AUTHOR FOR
TAKING ON THIS ISSUE YOU KNOW. I
SERVED ON HOSPITAL BOARDS
VARIETY OF TIMES AND BACK IN THE
NINETIES WHEN I WAS THE VICE
CHAIR ONE BOARD WALL TIME WAS A
SIGNIFICANT ISSUE THEN. A RETURN
TO HOSPITAL BOARDS. TWICE IN THE
TWO THOUSANDS BETWEEN TWO
THOUSAND AND TWO THOUSAND TWELVE
AND- WHILE TIME WAS A
SIGNIFICANT ISSUE THEN IT DIDN'T
SEEM TO GET ANY BETTER. YOU KNOW
AND AS WE USED TO SAY IN THE
MILITARY WHAT GETS MEASURED GETS
DONE SO SOMETIMES YOU HAVE TO.
STEP UP AND DO SOMETHING IN
ORDER FOR CORRECTIVE ACTION TO
BE TAKEN. BUT I DO ALSO
UNDERSTAND THAT THIS IS A VERY
COMPLICATED. ISSUE CERTAINLY THE
HOSPITALS- AND HOSPITAL
MINISTERS HAVE A PART TO PLAY IN
THIS BUT- YOU KNOW WE'VE- WORRY
HERE ABOUT THE SHORTAGE OF-
MENTAL HEALTH BEDS IN OUR
COMMUNITIES AND- THE- EMERGENCY.
DOCKS IN THE EMERGENCY
DEPARTMENTS ARE PSYCHIATRIST IN
CALIFORNIA NOW IN THE EMERGENCY
DEPARTMENT SIR ARE. ACUTE CARE
SORT OF INPATIENT. PSYCHIATRIC
FACILITIES SO WE'RE WORKING ON
THAT. WE ALSO UNDERSTAND THAT.
AS HAS BEEN STATED. OF FOLKS ARE
COMING THE EMERGENCY ROOM EVEN
IN AMBULANCES WITH CONDITIONS
THAT REALLY DON'T BELONG IN
EMERGENCY ROOMS SO. OTHERS HAVE
BEEN WORKING ON HOW TO FIGURE
OUT. A WAY TO ALLOW PARAMEDICS
TO TRIAGE CASES AND GET THE
CASES TO THE RIGHT LOCATION
WHICH MAY VERY WELL NOT BE THE
EMERGENCY DEPARTMENT. CLOGGING
THAT UP AND OF COURSE WE ALL
KNOW ABOUT THE HEALTHCARE
WORKFORCE SHORTAGES WHICH
EXISTED BEFORE THE PANDEMIC. AND
CONTINUE TO EXIST AND- PROBABLY
HAVE BEEN EXACERBATED BY THE
PANDEMIC SO IT IS COMPLICATED
AND SO. GIVEN ALL THAT AND ALL
OF THE AND THE ROLE OF THE
HOSPITAL AND THAT- AS YOU THIS
BILL MOVES FORWARD I'M
SUPPORTING IT BY THE WAY IN CASE
YOU CAN'T TELL- AS IT MOVES
FORWARD I HOPE YOU CONSIDER-
PROVIDING SORT OF ON. AN ON RAMP
FOR HOSPITALS BECAUSE HOSPITAL'S
INFLUENCES AS I READ THE
ANALYSIS ARE ALL OVER THE PLACE
SOME WHIMS IS HAVE PLANNED SOME
DON'T. SOME HOSPITALS ARE DOING
WELL SUMMER DOING. A MEDIOCRE
AND SOME AREN'T DOING MUCH AT
ALL SO. YOU KNOW PERHAPS INSTEAD
OF IMMEDIATELY IMPLEMENTING A
90% STANDARD MAYBE STARTED 70%
80% NINETY PERCENT. JUST GIVE
THAT SOME THOUGHT AS THE BILL
MOVES FORWARD BUT I BILL BE
SUPPORTING THE BILL TODAY AND
THANK YOU FOR BRINGING MEDIA.
THE BILL THANK YOU VENTURE.
THANK YOU. THINK GENERAL
SENTIMENT FOR. THANK YOU.
ASSEMBLY MEMBER OUT OF THE
HUNDRED TWENTY MEMBERS HERE YOU
AND I ARE THE ONLY MEMBERS THAT
UNDERSTAND WHAT TIME. THANK YOU
I WAS ANY ANTI FOR FIVE YEARS I
LEFT IN TWENTY EIGHTEEN. I MEAN
IT WASN'T FUN WHAT TIME WAS IT
FUN FOR ME. SO I 100% UNDERSTAND
THAT PART BUT I ALSO HAVE I ALSO
AM ON THE SAME SIDE OF THE
GENERAL OVER THERE. WERE I DO
HAVE WHY DO HAVE HE IS THE
GENERAL. ONE TENNIS- WASN'T
ALWAYS GENERAL AND A. WHERE I DO
HAVE SOME OF THOSE CONCERNS- YOU
KNOW SOME OF THE QUESTIONS THAT
I HAVE- AND IT'S GOING TO BE A
COUPLE QUESTIONS SO- YOU
MENTIONED THE RECOMMENDATIONS
THAT CAME OUT OF THE STAKEHOLDER
YES A PROPOSAL AND I READ THAT.
I'M IN THIS STAKEHOLDER PROPOSES
THE WORDEN. SEIEN ES WAS THERE-
EMERGED WINNERS WERE PRESENT AS
WERE THERE AND NONE OF THEM
VOTED FOR THIS RECOMMENDATION-
AND WE'RE HEARING FROM DOCTORS
ON THE OTHER SIDE INDIVIDUALS
WHO. ARE ON THE OTHER SIDE OF
ONCE WE OFF LOAD AND YOU KNOW I
HAD THE PATIENT OVER WHO SEE
FIRSTHAND- AS AN EMT I REMEMBER
HOW CHAOTIC JAHRES AS THEY
SHOULD AS MOST OF THEM AREN'T
WERE AND HOW. I FEAR THERE COULD
BE EVEN THE COULD BE RUSHED CARE
IF OUR HEALTH CARE AND IF I
HEALTHCARE WORKERS ARE SAYING
THAT IT'S GOING TO BE A LITTLE
DIFFICULT FOR US TO DO IT- SO
THAT'S- A CONCERN THERE I'M NOT
SURE HOW CONVERSATIONS HAVE BEEN
GOING WITH. EMERGENCY NURSE
REPRESENTATIVES WITH THE NURSE
RIPPERS A ASSOCIATION WITH
DOCTORS SO FORTH- AND THEN MY IN
MY DISTRICT I HAVE A PSYCHE ARE-
I HAVE A HOSPITAL THAT HAS BOTH.
A REGULAR ER AND THE PSYCHE ARE.
IN THE PSYCHE OURS MY WAIT TIMES
THERE WERE TEN TIMES LONGER THAN
A REGULAR ER. BECAUSE WE ALL
HAVE TALKED ABOUT THE LACK OF
PSYCH BEDS ALL ACROSS THE STATE
OF CALIFORNIA. WHAT THIS BILL
INCLUDES LIKE YOURS BECAUSE I
THINK THAT'S REALLY GOING TO
BRING DOWN THE PERCENTAGE FOR
HOSPITALS TO HAVE PSYCHE OURS-
PUTTING THEM UNDER THE SAME
UMBRELLA. SO THAT WOULD BE MY
FIRST QUESTION TO YOU AND MAYBE
WE CAN GO AND ANSWER AND THEN I
CAN GO CONTINUE TO ASK OTHER
QUESTIONS RIGHT NOW THE BILLS
CURRENTLY. DRAFTED IT'S ONLY FOR
MARGARINES BUT THAT IS SOMETHING
WE COULD WORK ON THE SITE THAT
IS ALSO NOT NOT NOT INCLUDING
PSYCH HOSPITAL OKAY JUST ANOTHER
INCIDENT OCCURRED. EDIE
RECEIVING HOSPITALS. WELL
AFFORDABLE MY HOSPITAL IS A
HOSPITAL TO HOSPITAL HAS TWO E.
OURS. IT HAS. BUT THAT'S FOR
PSYCH PATIENTS GROWN A ONE
REGULAR YARD AND ONE PSYCHE R.
WORRY ONLY AMBULANCES ARE
ALLOWED TO DROP OFF PATIENTS. SO
FAR DEPARTMENTS PRIVATE
DEPARTMENTS ARE DROPPING OFF
PATIENTS OR WOULD THEY ALSO BE
CONSIDERED TO BE UNDER. THE
THIRTY MINUTE WAIT TO THE BEST
OF MY KNOWLEDGE NOT JUST
EMERGENCY DEPARTMENTS ONLY MISS.
DOUG YOU WANNA. JUMP IN ON THAT
MAYBE MIGHT HAVE BEEN A GRAPHIC
DESIGNER IF THAT'S OKAY TO THE
CHAIR. I THINK THE LANGUAGE IN
THE BILL AS A GENERAL ACUTE CARE
HOSPITAL WITH AN EMERGENCY
DEPARTMENT I THINK THE FACILITY
IN YOUR DISTRICT IS L. A. C. ALL
OF. BETTER LISTENER CORRECT
HOSPITAL SO THEY ARE THEY HAVE
THE EDIE DOES HAVE DATA WITHIN
THE AMBULANCE PATIENT OFFLOAD
TIME- REPORT FROM EMSA. I THINK
WE HAVE TO CHECK IF THEY ROLL.
THE DATA FROM BOTH THE ED'S
TOGETHER OR NOT BECAUSE THERE IS
ONE LINE ITEM IN THE AMPS-
REPORT. FOR L. A. C. ALL OF SO
WE'RE JUST GONNA HAVE TO LOOK
INTO AND HAPPY TO GET BACK TO
YOU OKAY THANK. I'VE BEEN IN TWO
THOUSAND AND EIGHTEEN MAYBE.
THINGS HAVE CHANGED A LOT IN THE
CITY OF LA FOR. PREGNANT I'M NOT
USING THE TERMINOLOGY CORRECT
WORKED WELL ONE CITY. THEY'RE
THE ONES WHO RESPOND THEIR YOU
KNOW THEIR THEIR OWN
ADMINISTRATIVE- SO I'VE WORKED
PRIVATE AMBULANCE I DID IT
CENTER FOR THE LADY TRANSPORTS
SOMETIMES WE- YOU KNOW. WE ALSO
WENT TO THE E. OURS AS WELL WE
WOULD GET THERE AND THE FIRE
DEPARTMENTS. AS THEY SHOULD WHAT
TRUMP ALL OUR CALLS SO WE WOULD
WAIT LONGER THAN. THE FIRE
DEPARTMENT- TAKING THAT INTO
CONSIDERATION I KNOW OTHER AREAS
LIKE THERE IS A YOU WORK THAT.
THE PRIVATE AMBULANCES WERE THE
ONES RESPONDING TO EACH NINE ONE
ONE CALL. WOULD THERE BE A
DIFFERENTIATION BETWEEN THOSE
KIND OF PUBLIC AND PRIVATE
PRIVATE AMBULANCES AND OTHER
PRIVATE AMBULANCES IN TWENTY SEE
THE GERMAN OF THERE SHAKING HIS
HEAD. IT'S EVEN ALL PRIVATE
AMBULANCES REGARDLESS IF
THEY'RE- RUNNING NINE ONE CALLS
ARE NOT GOING TO BE UNDER THE
THIRTY MINUTE WAIT AS WELL WHAT
WE'RE LOOKING AT. NORTH AS YOUR
ROUTE BRINGING THE PATIENT FROM
A NINE ONE ONE CALL RIGHT FOR
YOUR EAT YOUR CLOSES. WE ARE
RECEIVING RIGHT TO GET THAT
PATIENT OFF WITHIN THIRTY
MINUTES SO LET'S NOT AND I WON'T
BECAUSE- THE MY MCD'S. RESPONSES
FOR ME WHAT WERE YOU KNOW. IF
YOU'RE GONNA RUN I OF T. RIGHT
YOU'RE PICKING UP SOMEBODY FROM
A- SKILLED NURSING FACILITY TO A
LOCAL ER RIGHT. USUALLY THAT'S
ALREADY BEEN PRE APPROVED BY THE
HOSPITAL THAT. THEY WERE
RECEIVING THAT PATIENT BECAUSE-
THE FACILITY CONTACT THE
HOSPITAL HEY WE NEED TO BRING
THIS PATIENT TO THE ER. SO THE
WHOLE PROPERTY KNOWS WELL AHEAD
OF TIME AT THIS PATIENTS COMING
RIGHT. RIGHT FOR WHATEVER THE
CASE MAY BE BUT IT DOESN'T MEAN
THAT THEY'RE GONNA GET SEE THEM
OR AT THIS POINT I DON'T THINK
SO BUT UNLESS. YOU WANT TO
PROVIDE. THE BEST MY MARGINAL I
DON'T THINK SO. I WOULD JUST AND
I THINK THIS. COLLECTS DATA
SPACE. TO AMBULANCE TRANSFER THE
GENERATE FROM A NINE ONE ONE
CALL SO I DO NOT THINK- WALL-
AND I. F. T. TRANSFER BETWEEN
TWO FACILITIES- KARUME. WAIT I
DON'T THINK THAT DATA IS
INCLUDED IN THIS- CURRENT
ANALYSIS OR THE ANALYSIS OF
PROPOSED BY THIS BILL AND WHILE.
IF IT WASN'T. NOTED LIKE THE
GENERAL I'M ALSO GOING TO BE
SUPPORTING THIS BILL BUT I JUST
HAVE A COUPLE OF THESE CONCERNS
AND THAT MAKES ME FEEL A LOT
BETTER BECAUSE I FELT. IN IFT
TRANSPORTS ARE HOT. AMBULANCE
COMPANY THAT ARE PRIVATE T. V.
GO TO YOURS AS WELL. AND I FELT
FOR THEM IS GONNA BE EXTRA HARD
FOR THEM TO FALL WITHIN THE
THIRTY MINUTES. NOW OKAY. THE
YEAH I THINK I. TOLD UNDERSTAND
YOUR POINT GENERALLY THOSE ARE.
PLANNED TRANSPORTS I THINK
EITHER THE HOSPITAL MAY HAVE A
CONTRACT WITH THE EXISTING I
HAVE TO PROVIDER. OR THERE MAY
BE ANOTHER- PROVIDER BUT I DON'T
THINK THAT THAT THAT DATA IS OUT
OF- GENERATED FROM A NINE ONE
ONE CALL TO. GET TRANSPORT TO
THE HOSPITAL SO NOT AND I. F. T.
I AND I DO WE WILL DOUBLE CHECK
BUT I. SEE THAT SOUNDS LIKE IT
NEEDS SOME FOLLOW UP. WE'RE
HAPPY TO FOLLOW UP BUT I. DON'T
BELIEVE I THINK I HAVE TO USE
AND IN FACT JUST BE BACK ON THAT
AS WELL SO YOU GOT UP. SO IF
YOU'RE DOING THE I. OF TEA IN A
FACILITY TRANSPORT. YOU'RE NOT
REALLY IN THE NINE ONE ONE
SYSTEM RIGHT CORRECT. SO YOU'RE
BRINGING THAT NON EMERGENT SO TO
SPEAK PATIENT TO A HOSPITAL. FOR
MORE EVALUATION OR WORKLOAD. SO
THAT'S NOT LIKE YOU NEED THE
ALBUMS BACK ON THE ROAD TO
RESPOND TO THOSE. NINE ONE ONE
SO THAT'S A TOTAL SEPARATE
COUNTY. AND THAT'S WHY I BROUGHT
THAT UP TO MAKE SURE THEY
WEREN'T BEING GROUPED. INTO
THIS. YES AND WHAT WHAT DO YOU
THINK. YOU HAVE A- FOR HER. NO
NO JUST ONE ELABORATE ON SO THE
WHOLE PURPOSE OF THE BILL THIS
FREEING UP OUR- FIRST RESPONDERS
THAT ARE. CONTRACTED ON THE NINE
ONE ONE CALLS THE LOCAL FIRE
DEPARTMENTS. EVEN THE PRIVATE
SECTOR YOU MUST IN SOME OF THESE
AREAS THAT. THE PRIVATE SECTOR
EMS ARE THE NINE ONE ONE
PROVIDERS RIGHT. SO WE GOT TO
GET THEM BACK ON THE ROAD
BECAUSE- ONE THREE WE TALK ABOUT
THE DELAYS SO IF WE CAN HELP.
ALL OF OUR- FIRST IN UNITS SO TO
SPEAK TIED UP SOME OF THESE
HOSPITALS. THE BIG DELAY IS THE
BACK LOAD. WHEN THE- OTHER CALLS
FOR SERVICE COMES IN. NOW THE
CLOSEST AMBULANCE TO RESPOND IS
NOT THERE BECAUSE- THEY ARE TIED
UP. SO ARE YOU GONNA BE WAITING
TEN TWENTY MINUTES. SO THAT'S
PERFECT PRETTY MUCH THE MAIN
PURPOSE OF THE BOOK. GET OUR
FOLKS BACK OUT THERE WITHIN.
THIRTY MINUTES YOU GOTTA
REMEMBER. THE RITUAL PART WAS
TWENTY MINUTES I'VE TAKEN A LOT
OF. AMENDMENTS NOW IT'S THIRTY
MINUTES. AND I'M ONCE AGAIN I
TALK ABOUT THAT. EMSA TASK FORCE
. WE TALKED ABOUT THAT. IN THE
MAJORITY PEOPLE PRESENT AT THOSE
VOTING. WERE WERE VOTE FOR
TWENTY MINUTES I KNOW. SOME OF
THE DOCTORS THE NURSES DIDN'T
REALLY. APPROVE THAT BUT THE
MAJORITY STAKEHOLDERS IN THESE
MEETINGS. APPROVED A TWENTY
MINUTE. A TIMELINE. BUT ONCE
AGAIN I'M BEING FLEXIBLE. WE
MOVED IT TO THIRTY MINUTES AND
WE'RE JUST CATERING ON OUR FIRST
RESPONDERS. TO GET HIM BACK OUT
ON THE ROADS BECAUSE- WE'RE
LIVING IN TWENTY TWENTY THREE IS
THAT RIGHT TO HEAR. WE GOT A
TWENTY THIRTY MINUTE IN.
RESPONSE FOR AN AMBULANCE WHEN
WE HAVE IT COULD BE OUR LOVED
ONES. SHORT OF BREATH. CARDIAC
ARREST TRAFICANT'S NO MATTER
WHAT IT IS WE TALK ABOUT-
HOSPITALS TAKING A LOT OF
BURDEN. OUR PRIVATE SECTOR EMUS
FOLKS ARE THEY'RE THE ONES
HOLDING THE WALLS RIGHT NOW.
THEY'RE ALSO BEING INNOVATIVE
AND COMMUNITY PARAMEDICINE WE'RE
LOOKING OUT OF TURN OF
DESTINATIONS. ALL OF THOSE
THINGS ARE BEING KICKED AROUND
SO IT'S NOT JUST WE'RE NOT DOING
ANYTHING BUT JUST LIKE NOT
HOSPITALS. THEY ARE DOING THINGS
YOU KNOW I WOULD THINK A LOT OF
OUR FIRE DEPARTMENTS HAVE NURSES
ON BOARD. RUNNING ON SOME OF
THESE CALLS IT YEAH YOU'RE RIGHT
THIS PERSON DOESN'T NEED TO GO
TO THE ER. THEY COULD BETTER
SERVE GOING BACK TO THE DOCTOR
OR THEY CAN. TAKE CARE OF THE
ISSUE RIGHT THERE SO. IT'S A LOT
OF WORK IN PROGRESS BUT THE MAIN
THING IS. AS I STATED BEFORE MY
OPENING. THIS BEEN GOING ON FOR
DECADES IT DEPENDABLE MAY HAVE
MADE THINGS WORSE BUT IT'S BEEN
GOING ON EVEN. SENATE ROTH TALK
ABOUT IT. IN TWENTY. I THINK
WHATEVER. YOU WANT ON THE BOARD
THIS IS BRING ONE FOR DEBT. I
PER. I GUESS. WOULD TWELVE HOURS
THIRTY YEARS AGO. AND WE HAVEN'T
DONE ANYTHING ABOUT IT. AND WE
STILL WANT TO TRY TO DELAY OR-
OR WORK SOMETHING WE ALREADY
KNOW THE DATE IS THERE BUT- LIKE
I SAID. WE'VE DONE A LOT OF WORK
ON THIS. AND THIS IS JUST
SOMETHING THAT WE NEED TO TRY
TO. CONTINUE THE WORK IN
PROGRESS. AND COME UP WITH SOME
STANDARD RIGHT NOW REALLY. THE
FLEXIBILITY IS ON THE HOSPITAL
TO HELP US DEVELOP THESE PLANS.
WERE NOT TELLING THE HOUSE FOR
YOU BETTER DO THIS WITHOUT.
WHERE HATE. HERE HERE'S TO THE
TOOLS TELL US HOW YOU CAN
ACHIEVE THAT BECAUSE WE DON'T
KNOW. SOME HOSPITALS DO A GOOD
JOB THINK IF THE PATIENTS OVER
TWENTY MINUTES BECAUSE I'VE BEEN
ABOUT THESE HOSPITALS. BUT
OTHERS TAKE THEIR TIME FOR SOME
REASON I DON'T KNOW WHAT IT IS.
BUT EVERYBODY SHOULD BE HELD
ACCOUNTABLE ACROSS THE BOARD.
THANK YOU. THE MY QUESTION FOR
RELATED TO IF THEY WAS GOING TO
AND- THOSE KIND OF. COMPANY SO
IF THEY'RE NOT I THINK I'LL- PUT
ASIDE THOSE QUESTIONS. SO I'LL
JUST SEND IT. I JUST AND I THINK
YOU KNOW THE GENERAL SUGGESTIONS
SOMETHING THAT. YOU KNOW THE
RAMPING UP SITUATION I KNOW IT'S
TWENTY TWENTY THREE BUT- WE
NEVER WOULD HAVE THOUGHT THAT
THERE WOULD BE A PANDEMIC AS
WELL AND WAS. YOU KNOW. NOT
GONNA REPEAT EVERYTHING ABOUT
WORK FOR A SHORTAGE BUT IT'S
RATES THAT WE'VE NEVER SEEN
BEFORE BUT- ARE YOU OF MY TIME.
THANK YOU VERY MUCH. I SEE NO
OTHER MEMBERS WISHING TO SPEAK-
YEAH. AND- JUST GO BACK TO MY
POINT I MEAN YOU SAID THIS IS
GOING TO FIX IT IF. IT THIS IS
GOING TO GATHER MORE DATA. RIGHT
THIS IS NOT GOING TO MAGICALLY
MAKE A THIRTY MINUTE. TIME RIGHT
BECAUSE I. I MEAN IF WE COULD
GET THERE I THINK WE ALREADY BE
THERE. I DON'T THINK HOSPITALS
ARE JUST. SIT AROUND TWIDDLING
THEIR THUMBS I'VE BEEN IN A LOT
OF EDIE'S. NOW WE SIT AROUND
TWIDDLING THEIR THUMBS SAYING.
HOW CAN WE MESS WITH THE
AMBULANCE PEOPLE. RIGHT SO. DO
WE HAVE A COUPLE. SO WOULD YOU
LIKE TO CLOSER. WHAT THAT DOES
SAID I'VE BEEN WORKING ON THIS
ISSUE. FOR THE LAST THREE OR
FOUR YEARS NOW. I'VE MET WITH
ALL THE STAKEHOLDERS OR NOBODY.
THAT'S INVOLVED IN THIS ARENA
CAN SAY WERE NEVER PART OF ANY
NEGOTIATIONS. BECAUSE OF MY
DOOR'S BEEN OPENED TO EVERYONE
HOW CAN WE FIX THIS PROBLEM
BECAUSE- IT'S SOMETHING THAT'S
GOING ON FOR DECADES. AND ONCE
AGAIN I'VE BEEN VERY FLEXIBLE TO
TAKE A LOT OF AMENDMENTS. THE
FIRST PART WAS LIKE YOU SAID THE
TWENTY MINUTE. IMPLEMENTATION WE
MOVED UP TO THIRTY MINUTES NOW
TO GIVE FLEXIBILITY LET HIM KNOW
WE WANT TO WORK WITH YOU. WHEN
ALL KNOW THAT THERE IS AN ISSUE.
SO ONCE AGAIN I'M JUST. WANTED
TO BRING THIS FORTY GAN. AS A
VERY IMPORTANT THOUGH NOT JUST
MYSELF OUR FIRST RESPONDERS BUT
ULTIMATELY. THE PEOPLE IN THE
STATE OF CALIFORNIA SO WITHOUT.
RESPECT OUTS FROM MY BOOK THANK
YOU VERY MUCH WE'LL- SEE IF WE
GET A MOTION. WITH THE COURT
WHEN THEY WILL GET A QUORUM.
THANK YOU VERY MUCH THANK YOU.
OKAY. BAR CAN YOU'RE UP WITH.
THREE FOR. TWO THANK YOU SENATOR
. THANK YOU MANAGE. MEMBERS
AMMON THANK YOU THE COMMITTEE
STAFFER YOUR WORK. THE BILL.
ALWAYS APPRECIATE YOUR EFFORTS.
I'M PROUD TO PRESENT AB THREE
FIFTY TWO A BILL TO FURTHER
PROTECT REPRODUCTIVE RIGHTS. BY
PREVENTING INFORMATION ON
ABORTION FROM CROSSING STATE
LINES WITH ROW FULLY OVERTURNED
ABORTION ACCESS FOR TWENTY FIVE
MILLION WOMEN IS EITHER
CRIMINALIZED- HIGHLY LIMITED.
AND THAT NUMBER ONLY GROWS WE
SAW JUST THIS WEEK I WILL PASS A
SIX WEEK BAN. THAT WE DID
INCREDIBLE WORK LAST YEAR TO
PROTECT ABORTION ACCESS GAPS
REMAIN SPECIFICALLY PHYSICIANS
IN ANTI CHOICE STATES CAN EASILY
SEE ALL THE DETAILS OF ABORTION
CARE. RECEIVED HERE IN
CALIFORNIA EVEN IF IT IS
UNRELATED TO THE PATIENTS LATER
HEALTH NEEDS. THIS CREATES THE
REST THAT OUT OF STATE PROVIDERS
WILL REPORT PATIENTS TO
AUTHORITIES AND IN DANGER BOTH
THE PATIENTS AND OR PROVIDERS.
THE LAST THING WE WANT IS FOR
PATIENTS TO FACE A TRADE OFF
BETWEEN CRIMINALIZATION AT HOME
FOR MEDICAL CARE HERE IN
CALIFORNIA. WE MUST ENSURE THAT
PATIENTS RECEIVING ABORTION CARE
IN CALIFORNIA DON'T HAVE TO FEAR
VISITS TO THE DOCTOR WHEN THEY
RETURN HOME. AB THREE FIFTY
PREVENTS INFORMATION ON
REPRODUCTIVE HEALTH AND ABORTION
AND HEALTH INFORMATION EXCHANGES
AND OTHER HEALTH SYSTEMS FROM
BEING AUTOMATICALLY SHARED
OUTSIDE OF CALIFORNIA. THIS
SIMPLE GUARDRAIL OF CONSENSUAL
GIVE PATIENTS THE SECURITY AND
ECONOMY THEY DESERVE IN THEIR
HEALTH CARE. WITH ME IN SUPPORT
IS DOCTOR PANEL OSSIA FAMILY
MEDICINE PROVIDER SPECIALIZING
IN REPRODUCTIVE HEALTH. AND
SOFIA DRAWS- COUNSEL FOR PLANNED
PARENTHOOD. AFFILIATES WHO CAN
ANSWER ANY QUESTIONS THANK YOU
VERY MUCH. WITH US PLEASE. GOOD
AFTERNOON CHAIR EGGMAN IN
MEMBERS MY NAME IS DOCTOR PONTA
LOST C. AND I AM A FAMILY
MEDICINE DOCTOR AND UCSF
FACULTY. WHO HAS PROVIDED AND
TAUGHT. COMPREHENSIVE COMMUNITY
HEALTH CARE- INCLUDING ABORTION
FOR THE LAST THIRTY YEARS. I
CAME HERE FROM CINEMA COUNTY TO
SUPPORT AB FIVE TWO. THREE FIVE
TWO I'M SORRY BECAUSE I'M VERY
CONCERNED FOR MY PATIENTS AND MY
COLLEAGUES. THE DOCTOR PATIENT
RELATIONSHIP DEPENDS ON TRUST
WHICH IN TURN DEPENDS ON
CONFIDENTIALITY. HOWEVER MS
ADVANCES IN ELECTRONIC HEALTH
RECORD SHARING WELL VERY
IMPORTANT. ARE CREATING SERIOUS
COMPLICATE CONFIDENTIALITY
CONCERNS CONCERNS MOST PATIENTS
AND DOCTORS DO NOT REALIZE THAT
MEDICAL RECORDS ARE NOW EASILY
SEEN BY OTHER PROVIDERS IN THE
SAME ELECTRONIC HEALTH SYSTEM.
EVEN ACROSS STATE LINES I DIDN'T
REALIZE IT MYSELF UNTIL A
COLLEAGUE WHO WORKS IN THE SMALL
PRIVATE PRACTICE HEARING
CALIFORNIA TOLD ME THAT SHE HAD
PROVIDED A MEDICATION ABORTION
FOR A PATIENT WHO THEN WENT BACK
TO TEXAS. AND HAD TO GO TO THE
EMERGENCY ROOM MY COLLEAGUE GOT
A NOTIFICATION THROUGH HER
ELECTRONIC HEALTH RECORD THAT
THE PATIENT WAS SEEN IN A TEXAS
EMERGENCY DEPARTMENT. SHE COULD
SEE THE WHOLE VISIT AND REALIZE
THAT THE PROVIDER THAT SAW THE
PATIENT IN THE EMERGENCY
DEPARTMENT IN TEXAS COULD ALSO
SEE HER ENTIRE VISIT. THAT THE
TEXAS DOCTOR COULD SEE THAT THIS
PATIENT HAD HAD AN ABORTION IN
CALIFORNIA. CURRENTLY TWENTY
STATES HAVE BANNED OR RESTRICTED
ABORTION AND SO IT IS ESSENTIAL
TO ENSURE ENSURE THAT WHEN
PATIENTS COME TO CALIFORNIA TO
ACCESS ABORTION CARE THEY'RE
SENSITIVE HEALTH RECORDS WILL
NOT CROSS STATE LINES. CURRENTLY
LARGE ELECTRONIC HEALTH RECORD
COMPANIES SHARE RECORDS WITH
OTHER DOCTORS AND PROVIDERS THAT
USE THEIR SYSTEMS. EVEN ACROSS
STATE LINES. I RECOGNIZE THE
OBVIOUS BENEFITS OF THE HEALTH
INFORMATION EXCHANGES IT IS A
HUGE BENEFIT TO BE ABLE TO SEE
MY PATIENTS RADIOLOGY REPORT
FROM THE ER OR THE RADIO
RHEUMATOLOGIST LAB REPORT. THESE
ARE IMPORTANT ADVANCES IN OUR
HEALTH CARE SYSTEM. HOWEVER IN
STATES WHERE ABORTION IS
CRIMINALIZED THIS EASY EXCHANGE
OF INFORMATION EXPOSES PATIENTS
AND PROVIDERS TO PROSECUTIONS
AND OTHER STATE ACTIONS THAT ARE
HARMFUL TO THEM. I FACILITATE A
NATION WIDE WORKING GROUP ON
THIS ISSUE AND WE HAVE ALREADY
HEARD ABOUT SERIOUS CONSEQUENCES
FROM THESE PRIVACY BREACHES.
COLLEAGUES HAVE REPORTED THAT
PATIENTS TRAVEL FROM A STATE
WHERE ABORTION IS BANNED TO HAVE
A PROCEDURE IN A STATE WHERE IT
IS LEGAL ONLY TO FIND THAT THE
ELECTRONIC MEDICAL RECORD OF THE
PROCEDURE FOLLOWED THEM BACK TO
THEIR HOME STATE. IN ONE CASE
THIS REPORT RESULTED IN A REPORT
TO CPS THIS PATIENT IS NOW
DEALING WITH THE RAMIFICATIONS
OF BEING ACCUSED OF AN AN AS AN
UNFIT MOTHER FOR SEEKING A LEGAL
ABORTION. SOME ABORTION
PROVIDERS HAVE EVEN RESULTED TO
USING PATIENT RIP- PAPER RECORDS
RATHER THAN ELECTRONIC HEALTH
RECORDS TO PRINT BETTER PROTECT
PATIENT CONFIDENTIALITY. I ALSO
VOLUNTEER ON A HOTLINE A
NATIONWIDE HOTLINE FOR
MISCARRIAGE AND ABORTION AND I
HAVE HEARD FIRST HAND THAT
PATIENTS ARE AFRAID THAT THEY
MIGHT BE TURNED IN IN THEIR HOME
STATES WHERE THEY'VE WHERE
ABORTION IS BANNED. BECAUSE THEY
SOUGHT ABORTION CARE IN. A STATE
WHERE IT'S LEGAL RIGHT NOW I
CANNOT REASSURE THESE WOMEN THAT
THEIR MEDICAL RECORDS WON'T
CROSS STATE LINES AND BE SEEN BY
PROVIDERS IN THEIR HOME STATE.
THIS IS AN URGENT PROBLEM WE
NEED TO ACT RIGHT NOW TO MAKE
SURE THAT SENSITIVE MEDICAL
INFORMATION DOES NOT PROSTATE
LINES WE DO NOT WANT TO WAIT
UNTIL SOMEONE IS HARMED BEFORE
WE DO SOMETHING IN CALIFORNIA TO
PROTECT. ABORTION PATIENTS AND
PROVIDERS. THESE ARE REAL LIVES
WITH REAL CONSEQUENCES IN
CALIFORNIA CAN CONTINUE TO BE A
LEADER IN THE FIGHT FOR
REPRODUCTIVE FREEDOM. BUT WE
MUST PROTECT PATIENT PRIVACY.
THANK YOU VERY MUCH THANK YOU
VERY MUCH- NEXT PERSON OR YOU
JUST HEAR PROTECT QUESTIONS
QUESTIONS OKAY THANK YOU VERY
MUCH OKAY OTHERS WISHING TO
SPEAK IN SUPPORT OF THIS MEASURE
NAME AND AFFILIATION PLEASE.
GOOD AFTERNOON MY RIBS WITH
PLANNED PARENTHOOD AFFILIATES OF
CALIFORNIA COSPONSORED TRANSPORT
THINKING. HI TIFFANY MATTHEWS ON
BEHALF OF ATTORNEY GENERAL ROB
BONTA IN SUPPORT THANK YOU.
TAYLOR THOMPSON ON BEHALF OF THE
TENANT GOVERNOR LENNY COULD LOCK
THIS IN SUPPORT THANK YOU. BRENT
SPENCER BEHALF THE AMERICAN
COLLEGE OF OBGYN STRYCHNINE IN
SUPPORT THANK YOU. KAREN START A
BEHALF FOR THE CALIFORNIA NURSES
ASSOCIATION AS WELL AS THEIR
APPROACHES CALIFORNIA AND STRONG
SUPPORT THANK YOU. KATHY LAS
VEGAS AND TO ACCESS HELP AND
SUPPORT. THE HAVING SOMEONE
CALIFORNIA PAN ETHNIC HEALTH
NETWORK IN SUPPORT THANK YOU.
NOVATEL ON WE HAVE A SO YOU
CALIFORNIA ACTION IN SUPPORT
THANK YOU VERY MUCH OKAY- PEOPLE
SPEAK IN OPPOSITION TO THIS BILL
TODAY FIRST WITNESS. OKAY SEE
NOT GO THE PHONE LINES NOW
PEOPLE SPEAKING IN SUPPORT AND
OR OPPOSITION. AB. THREE FIFTY
TWO. AND HERE SHE STATED IF
YOU'RE IN SUPPORT OR OPPOSITION
TO. ASSEMBLY BILL THREE FIFTY
TWO PLEASE PRESS ONE ZERO. AND
LET'S START WITH TWENTY TWO OH
EIGHT. MADAM CHAIRMAN SENATOR
MICHELLE TRAN WILL FORFEIT THE
CALIFORNIA COMMISSION ON THE
STATUS OF THE GIRL IN STRONG
SUPPORT THANK YOU THANK YOU VERY
MUCH NICE COLLECTIONS FOR ANY.
ADDITIONAL PLEASE PRESS ONE
ZERO. MY MANAGER AND WE'LL GO TO
LINE ONE NINETY. TAYLOR JACK
CALIFORNIA HEALTH ADVOCATES. IN
CALIFORNIA COMMUNITY HEALTH
AMERICAN SUPPORT THANK YOU.
SENATE MODERATOR SURE WE HAVE NO
THAT'S IT OKAY. THANK YOU VERY
MUCH BRING IT BACK TO THE
COMMITTEE KNOWS. RUSSIAN CONCERN
OKAY WE DON'T QUITE HAVE A
QUORUM YET BUT WE WILL NOTE
THAT'S WHEN WE DO GET ONE.
WIENER HAS MOVED THE BILL.
ASSEMBLY WOULD YOU LIKE TO CLOSE
YES THANK YOU MADAM CHAIR AND
COMMITTEE. AS IF I GET TO THE
EYES ONE THANK THE AUTHOR FOR
CONTINUING LEADERSHIP IN THIS
AREA TO A MULTI YEAR AS THANK
YOU. THE YOU SENATOR- AND I JUST
WANTED TO CENTER ASKED TO BE
ADDED AS A CO AUTHOR WHICH I
WOULD BE DELIGHTED HAVE WITH
THAT I. THAT YOUR THAT THANK YOU
FOR MUCH THE RIVER DURING THIS
BILL BUT THIS TO. OKAY I A
SUMMER CHEN HERE. GERMAN UP IN
THE BUT DOES WHAT HAPPENED RIGHT
. THANK YOU SO MUCH MY FOR THE
OPPORTUNITY LET ME- LITTLE BIT
OF EVERYONE. AGAIN THANK YOU SO
MUCH FOR ALLOWING ME TO PUT. AB
TWELVE A THREE. A TWO YEAR AGO
THE SCHOOL- BASED AND MAN PRO.
H. R. TO FOUR SIX EIGHT WAS INTO
LAW. THIS LEGISLATION ENCOURAGE
. ALL STATES IMPROVE ASK
MCCARRON SCHOOLS BY GIVING PER
FOR FEDERAL GRANTS TO STATES
THAT DOBSON ASTHMA MANAGEMENT
PROGRAMS AND POLICIES. WELL IT'S
HURT TO FOUR SIX EIGHT DOESN'T
REQUIRE STATES TO A FUNERAL
STOCKING SCHOOLS IT WOULD
ENCOURAGE SCHOOLS TO PUT IT INTO
PLACE. HOWEVER WITHOUT STATE
LEGISLATION SCHOOLS WILL BE
UNABLE TO RECEIVE ANY FEDERAL
FUNDING PROVIDED FOR THEM UNDER
THE SCHOOL BASED ALLERGY AND
ASTHMA MANAGEMENT PROGRAM. AB
TWELVE EIGHTY THREE WILL ACCESS
TO FEDERAL FUNDS THE STOCK A
NEUTRAL CALIFORNIA. INTENDING TO
CHILDREN THAT HAVE ASTHMA
ATTACKS AT THE SAME TIME IT WILL
ENCOURAGE EDUCATION APARTMENTS
DIVIDED MRCY STOCK A BUY
BEAUTIFUL HEALERS. IF NECESSARY
SINGLE USE DISPOSABLE HOLDING
CHAMBERS FOR SCHOOL NURSES WERE
TRAINED PERSONNEL WHO HAVE
VOLUNTEERED. THE GOALS PROVE
ADAM CAROUSEL SAID WHY THE
CHILDREN ALL WITH LITTLE COST
THE CITY CALIFORNIA- HERE WITH
ME THEY WE HAVE WITNESSED
TESTIMONY. FOR KILLING THE DINA
REPRESENTING THE SCHOOL NURSES.
IN CALIFORNIA. THANK YOU FOR
SWEETNESS FOR. HI GOOD AFTERNOON
THANK YOU TO THE CHAIR AND
COMMITTEE FOR ALLOWING ME TO
SPEAK HERE TODAY. I AM
PRESENTING TO YOU HERE TODAY AS
A NURSE A MOTHER OF TWO
ASTHMATIC CHILDREN A SENSE OF
THE VALLEY AND ASTHMATIC MYSELF
IN FAVOR OF THIS BILL. AS A
NURSE WE'RE TAUGHT THAT ADULT
PATIENTS SUFFER MORE FREQUENTLY
FROM CARDIAC RELATED INCIDENCES
SUCH AS HEART ATTACKS IN THE
CASE OF CHILDREN THE RESPIRATORY
SYSTEM FAILS FIRST. THIS EXACTLY
THIS SCENARIO THAT HAPPENS TO
THOUSANDS OF CHILDREN IN THE
VALLEY EVERY YEAR AN ASTHMA
ATTACK AND TWO PUFFS OF A RESCUE
INHALER CAN PREVENT COMPLETE
RESPIRATORY FAILURE. I WORKED
MYSELF FIVE AND A HALF YEARS A
LEVEL ONE TRAUMA CENTER IN THE
CENTRAL VALLEY. IT WAS NOT
INFREQUENT TO SEE ADULTS AND
YOUNG YOUNG AND OLD ALIKE AND
TEAMS FROM THE VALLEY IN ARMOR
DOES YOUR ROOM OR ADMITTED TO
OUR FACILITY FOLLOWING AN ASTHMA
ATTACK. UNFORTUNATELY DUE TO
LONG TERM CODE IN SOME PATIENTS
IN ADDITION TO A FACTORY SHUT
DOWN. A SHORTAGE OF ALBUTEROL
HAS CREATED EVEN MORE SCARCITY.
AB TWELVE EIGHTY THREE CAN
INCREASE SAFETY AND ALL OF OUR-
IN OUR SCHOOLS BY HAVING
INHALERS AVAILABLE WHEN THEY
NEED CALLS. AS A CHILD I MYSELF
CARRIED MY OWN INHALER AND WAS
CONCERNED FOR LOSING THAT
INHALER BECAUSE OF THE COST
INCURRED IF IT WAS LOST. AS A
PARENT TODAY WITH HIGH CO
PAYMENTS SHORTAGE OF ALBUTEROL
AND OTHER INSURANCE ISSUES IT'S
UNDERSTANDABLE WHY CHILD MAY
HAVE ONLY ONE INHALER AVAILABLE.
AS SOMEONE WITH A CHRONIC
CONDITION I ALSO NEED TO ENSURE
THAT INHALERS IN OUR HOUSEHOLD
ARE NOT EXPIRED AND STILL HAVE
ENOUGH MEDICATION TO GIVE THAT
LIFESAVING TREATMENT. DOCTORS
VISITS ARE REQUIRED IN ORDER TO
ACHIEVE REFILLS FOR MEDICATION.
PERSONALLY OUR PRIMARY CARE
PROVIDER CLOSE IN TWENTY TWENTY
IN THE MIDDLE OF COATED. IN
ADDITION MY EMPLOYERS WHICH
INSURANCE WHICH BECAUSE MIKE
PRIMARY CARE PROVIDER TO CHANGE
SIX TIMES WITHIN THE LAST YEAR.
ALLOWING THIS BILL TO PASS WOULD
ALLOW KIDS ON CAMPUS WHO
POSSIBLY LOSE THEIR INHALER RUN
OUT OF MEDICATION TO RECEIVE A
POTENTIALLY LIFE SAVING
TREATMENT. AS BOTH A PARENT AND
A NURSE I WOULD SLEEP BETTER AT
NIGHT KNOWING THAT MY CHILDREN
ARE PROTECTED IF THEY'RE WITHOUT
THEIR INHALER FOR ANY REASON AT
SCHOOL. THANK YOU THE COMMITTEE
AS WELL AS THE CHAIR FOR
ALLOWING ME TO SPEAK. ON BEHALF
OF THIS INITIATIVE I HOPE THAT I
CAN RECEIVE YOUR SUPPORT. THANK
YOU VERY MUCH. REELS BECAUSE
SUPPORTER THIS BILL TODAY. NOW
IT'S TIME TO COME FORTH NAME AN
AFFILIATION. GOOD AFTERNOON
MADAM CHAIR AND MEMBERS OF THE
HUMBOLDT POLICE ON BEHALF OF
CONTESTED BECAUSE BY.
REPRESENTING SB SIX ONE SEVEN
COMMUNITY OF IMPERIAL COUNTY. IN
SUPPORT. THANK YOU THANK YOU TO
THE ASSEMBLY MEMBER AS WELL.
GOOD AFTERNOON CHAIRMAN MEMBERS
US RECOMMEND SKI ON BEHALF OF
THE ASSOCIATION OF CALIFORNIA
SCHOOL ADMINISTRATORS IN STRONG
SUPPORT THANK YOU. THANK YOU.
OKAY NOW WILL GO TO THE PEOPLE
SPEAK IN OPPOSITION TO THIS
TODAY. SEEING NONE WILL GO TO
THE PHONE LINES. BE THE PHONE
LINES HERE. YOUR SUPPORT OR
OPPOSITION TO. THIS CRESSMAN
FILED BY ZERO. ANALYSTS START
WITH LINE ONE NINETY SEVEN
PLEASE GO AHEAD. COOPER BUT THE
HELP OF. THE STATION OF. IN
COURT. THANK YOU VERY MUCH.
ANOTHER ONE MODERATOR GIVE. YEAH
WE HAVE ONE MORE CHANCE FOR. AB
THREE FIVE TWO PLEASE PRESS ONE
FOLLOWED BY ZERO WE HAVE ONE
CUEING UP THE AN OPERATOR JUST
GIVE US ONE MOMENT PLEASE. ALL
RIGHT. AND. IT'S READY.
NINE TWO OH NINE PLEASE GO AHEAD
. IN GIVES AMERICAN LUNG
ASSOCIATION IN SUPPORT. THANK
YOU. AND THAT DOES- CLEARLY Q.
MADAM CHAIR THANK YOU VERY MUCH
BRING IT BACK TO THE COMMITTEE.
SO EVERYTHING IS A FINE BILL- I
THINK OUR SCHOOLS HAVE TURNED
INTO OUR LINE OF FIRST DEFENSE
FOR KIDS WHETHER IT'S MENTAL
HEALTH SERVICES IN FOOD OR ITS
MEDICINE- ASSEMBLY WHO
REPRESENTS A VALIANT HAS AN
INCREDIBLY HIGH RATE OF- AS AN
ASTHMA- I'M APPRECIATIVE OF THIS
BILL. WOULD YOU LIKE TO CLOSE A
MANAGER THANK YOU FOR YOUR
LEADERSHIP AND YOUR KIND WORDS I
RESPECTFULLY ASK RIVAL THANK YOU
VERY MUCH WE WILL WE'LL GET A
QUORUM AT ONE POINT THANK YOU
MA'AM THANK YOU VERY MUCH OKAY.
IN CALLING ALL HEALTH COMMITTEE
MEMBERS I KNOW THERE'S A LADY
OUT THERE AND I KNOW EVERYBODY'S
BUSY BUT BE GREAT IF WE GET A
QUORUM. TO MITIGATE GIVE YOU. TO
ALL RIGHT WE HAVE A STATE PRISON
- CENTER WIENER PER FOR.
ASSEMBLY MEMBER. FIFTEEN ITEM
FIFTEEN TWELVE TWELFTH. TWO OF
THEM. TWELVE AND THIRTEEN
FANTASTIC. THANK YOU MADAM CHAIR
I'M HERE- PRESENTING ITEM TWELVE
AB TEN SIXTY THREE ON BEHALF OF.
ASSEMBLY MEMBER GABRIEL WHO IS.
ILL AND SENDS HIS REGRETS FOR
NOT BEING ABLE TO BE HERE TODAY-
AB TEN SIXTY THREE BUT FIRST I
WANT TO ON BEHALF OF THE
ASSEMBLY MEMBER EXCEPT THE CAN
MIDDIES AMENDMENTS AND ANALYSIS.
I AB TEN SIXTY THREE IS A
STRAIGHTFORWARD ACCOUNTABILITY
MEASURE THAT WILL REQUIRE THE
DEPARTMENT PUBLIC HEALTH. I TO
OFFICIALLY DOCUMENT THE
EFFECTIVENESS OF ITS EFFORTS TO
ENFORCE NURSE STAFFING RATIOS.
AND HOSPITALS AND HEALTH
FACILITIES IN PARTICULAR THE
BILL REQUIRES CDPH TO PREPARE
AND PUBLISH A REPORT DOCUMENTING
ITS ENFORCEMENT OF EXISTING.
REGULATIONS INCLUDING DATA
REGARDING THE NUMBER OF
COMPLAINTS RECEIVED AN
INVESTIGATORY THE INVESTIGATORY
STEPS TAKEN IN RESPONSE TO THOSE
COMPLAINTS. THE BILL ALSO
REQUIRES CDPH TO RECEIVE INPUT
FROM HEALTH CARE PROFESSIONALS.
ABOUT WAYS TO IMPROVE ITS
ENFORCEMENT THEREBY GIVING
HEALTH CARE WORKERS A VOICE IN
THE PROCESS IN SO DOING AB TEN
SIXTY THREE WILL PROVIDE GREATER
TRANSPARENCY AND ACCOUNTABILITY-
TO MAKE SURE THAT THE LAWS WE
HAVE PASSED IN THIS BUILDING
OVER THE YEARS FOR A NURSE.
STAFFING RATIOS ARE ACTUALLY
BEING ENFORCED- I RESPECTFULLY
ASK FOR AND I WROTE I WHICH WITH
ME TODAY TO TESTIFY ARE SURE OUR
SHERMAN MORALIS OR UNDER REGS
NURSE. AND PRESIDENT OF- YOU'RE
NOT CP AS WELL AS- THAT. WAS A-
GOVERNME RELATIONS ADVOCATE FOR
US HERE YOU CALIFORNIA I THINK
YOU VERY MUCH FIRST. SIX MINUTES
TOTAL PURSE. HI SPEAKING OF FOR
ME AROUND MY NAME IS AND THANK
YOU. SHARE AD AND MEMBER OF THE
COMMITTEE FOR. AB THIRTY. AB
SIXTY THREE AND THANK YOU SENATE
WIENER OF FOR YOUR SUPPORT MY
NAME IS SANDY MARQUEZ AND I HAVE
BEEN A REGISTERED NURSE FOR
APPROXIMATELY THIRTY NINE YEARS.
IN CRITICAL CARE AND THE CATH
LAB I ARE. AND I AM A MEMBER OF
THE UNITED NURSES ASSOCIATION OF
CALIFORNIA UNION OF HEALTH CARE
PROFESSIONALS AB TEN SIXTY THREE
REQUIRES THE DEPARTMENT OF
PUBLIC HEALTH. TO OFFICIALLY
DOCUMENT THE EFFECTIVENESS OF
ITS EFFORTS TO ENFORCE NURSE
STAFFING RATIOS TITLE TWENTY TWO
AND HOSPITALS AND HEALTH
FACILITIES LEADING TO GREATER
TRANSPARENCY AND ACCOUNTABILITY.
NURSE TO PATIENT RATIOS BECAME
LAW IN CALIFORNIA TO PROTECT
PATIENTS AS WELL AS TO SUPPORT
OUR ENDS AND FACILITATE THE
DELIVERY OF SAFE PATIENT CARE.
UNFORTUNATELY THE CHRONIC NON
COMPLIANCE WITH TITLE TWENTY TWO
AND THE STAFFING RATIOS HAS LEAD
TO BURNOUT FATIGUE AND AN
INCREASE IN THE NUMBER OF NURSES
LEAVING BEDSIDE NURSING. NURSING
ALTOGETHER OR RETIRING SOONER
THAN ANTICIPATED. NURSE BURNOUT
IS A SIGNIFICANT PROBLEM AND
ACCORDING TO THE CEO OF THE
UNIVERSITY OF PENNSYLVANIA
HEALTH SYSTEM AND EXTENSIVE
RESEARCH DATA SAFE STAFFING
STANDARDS WILL HELP. RELIEVE AND
PREVENT NURSE FOR NOW CREATE
BETTER IMPROVE WORKING
ENVIRONMENTS TO ATTRACT AND
RETAIN DEDICATED FRONTLINE
REGISTERED NURSES. BUT MOST
IMPORTANTLY IT CORRELATES WITH
IMPROVED SAFE PATIENT CARE AND
IMPROVED OUTCOMES. MANY OF OUR
STAFFING CHALLENGES SPECIFICALLY
UNDERSTAFFING EXISTED PRIOR TO
THE KOBE PANDEMIC. COVERT ONLY
EXACERBATED THE PROBLEM MORE AND
HIGHLIGHTED THE ISSUES THE
STAFFING CRISIS HAS TAKEN A
HEAVY TOLL ON OUR NURSES AND THE
FAILURE TO STAFF APPROPRIATELY.
RESULT IN HIGHER LEVELS OF
NURSES BURNOUT AND NURSE
TURNOVER. ACUTE CARE HOSPITALS
RELY ON THE EXPERIENCE NURSES TO
TRAIN TEACH AND SUPPORT THE NEW
NURSES ON THEIR KNOWLEDGE
JOURNEY. OUT OF RACIAL STAFFING
MAKES THIS NEARLY IMPOSSIBLE.
UNDERSTAFFING HAS ALSO LED TO
UNNECESSARY COST TO THE EMPLOYER
HOSPITALS HAVE SPENT MILLIONS OF
DOLLARS ON TRAVELERS INSTEAD OF
HIRING PERMANENT NURSES HIRING
THESE TEMPORARY ARE AND
SOMETIMES FROM OTHER STATES.
PLUS MUCH MORE THAN A REGULAR
NURSE ON AN HOURLY BASIS
ADDITIONALLY HIGH LEVELS OF
TEMPORARY STAFF NEGATIVELY
IMPACTS EMPLOYERS ABILITY TO
EDUCATE AND DEVELOP CONSISTENT
IMPROVEMENT TO SAFE PATIENT
CARE. AND GOOD PATIENT OUTCOMES
MOREOVER AB TEN SIXTY THREE WILL
ALLOW DIRECT CARE NURSES TO
PROVIDE INPUT REGARDING THE
EFFICACY OF CDPH IS ENFORCEMENT
EFFORTS AS WELL AS SUGGESTIONS
FOR IMPROVING ENFORCEMENT. THE
BILL DOES NOT IMPOSE ANY NEW
OBLIGATIONS ON HOSPITAL NOR DOES
IT IMPOSE ANY FINES BUT IT DOES
ENSURE THAT CDPH IS ENFORCEMENT
EFFORTS REGARDING EXISTING LAWS
ARE EFFECTIVE. TRANSAMERICA AND
PROMOTES AN ACCOUNTABILITY WHICH
DOESN'T HAPPEN NOW IF YOU FILE A
COMPLAINT AND THEN YOU TRY AND
FOLLOW UP WITH CDPH YOU CAN NOT
GET ANY RESPONSES EVEN WHEN YOU
HAVE PROOF. THAT WHAT THEY
BELIEVE OCCURRED IN THE
HOSPITAL'S DIDN'T OCCUR. THANK
YOU FOR YOUR TIME AND I
RESPECTFULLY ASK FOR YOUR YES
VOTE THANK YOU THANK YOU VERY
MUCH. OTHER SAID MOTHER MAKE ME
MAJOR WAS JUST GO AHEAD OF MADAM
CHAIR MEMBERS I'M CLEARLY NOT
MATT LET'S SAY- BUT SERRA FLOCKS
CALIFORNIA LABOR FEDERATION WE
ARE IN SUPPORT OF THE BILL- AND
THIS COMMITTEE AND LAWMAKERS
HAVE PASSED GROUND BREAKING LAWS
TO PROTECT PATIENTS AND WORKERS.
BUT THOSE LAWS ONLY ARE
EFFECTIVE IF THEY'RE ENFORCED
THIS IS A VERY SIMPLE BILL TO
INCREASE TRANSPARENCY TO MAKE
ENFORCEMENT MORE EFFECTIVE WHEN
WE FIND TRANSPARENCY DOES THAT
WHICH IS INCREDIBLY IMPORTANT-
POST PANDEMIC WHEN WE REALLY
NEED TO MAKE SURE WE HAVE ENOUGH
HEALTH CARE WORKERS FRONT LINE
HEALTH CARE WORKERS- AND ARE
PROTECTING PATIENT SAFETY SO WE
URGE AN AYE VOTE. THANK YOU
THANK YOU VERY MUCH OKAY NOW
IT'S TIME FOR OTHERS JUST
SPEAKING IN GENERAL SUPPORT NAME
AND AFFILIATION. WELL NO
AFTERNOON CHAIR MEMBERS JAMES
MICHAEL POWELL WITH ASKED ME
CALIFORNIANS STRONG SUPPORTER
CHEN AYE VOTE THANK YOU THANK
YOU VERY MUCH ELSE BECAUSE
SUPPORT OF THIS TODAY. OKAY
SEEING NONE AND WE SPEAK IN
OPPOSITION TO THIS TODAY. GOOD
AFTERNOON TERRY COMMITTEE
MEMBERS NOTHING INVOLVED WITH
THE CALIFORNIA HOSPITAL
ASSOCIATION HERE IN OPPOSITION
TO IT AB TEN SIXTY THREE WHILE
WE DO APPRECIATE THE COMMITTEE
AMENDMENT CJ DOES REMAIN IN
OPPOSITION TO THE LEGISLATION.
AS YOU KNOW SENATORS CALIFORNIA
IS IN THE MIDST OF A HEALTH CARE
WORK FORCE CRISIS A RECENT STUDY
BY UCSF I FOUND THE CALIFORNIA
HAD A DEFICIT OF FORTY THOUSAND
REGISTERED NURSES AND TWENTY
TWENTY ONE. AND THAT NUMBER HAS
LIKELY ONLY GROWN AT THE SAME
TIME HOSPITALS ARE EXPERIENCING
UNPRECEDENTED PATIENT VOLUME A
42% INCREASE IN THE LAST SEVEN
YEARS. STILL HOSPITALS ARE DOING
EVERYTHING THAT THEY CAN-
EVERYTHING IN THEIR POWER TO
ENSURE THAT STAFFING RATIOS ARE
BEING MET. INCLUDING HIRING
TRAVEL NURSES WHEN THERE ARE NOT
ENOUGH TYPICALLY AND PLAY NURSES
TO MEET THE DEMAND CJ IS ALSO
SPONSORING AND SUPPORTING
PROPOSALS TO INCREASE THE
NURSING PIPELINE. GIVEN THE WORK
FORCE CRISIS AND RECORD PATIENT
VOLUME NOW THAT NOT THE TIME TO
REQUIRE ADDITIONAL REPORTING
REQUIREMENTS THAT ARE LARGELY
DUPLICATIVE OF CURRENT STATE
LAW. I WOULD NOT RESULT IN
IMPROVE PATIENT CARE IMPORTANTLY
THERE IS ALREADY A PROCESS IN
PLACE FOR ANYONE TO FILE A
COMPLAINT ON STAFFING RATIOS.
AND CDPH I ENFORCEMENT ACTIONS
ON FACILITY COMPLIANCE ALREADY
PUBLICLY AVAILABLE WE ARE ALSO
CONCERNED THAT AB TEN SIXTY
THREE RESULT WOULD RESULT IN AN
INCREASE IN ABSENT
UNSUBSTANTIATED. STAFFING RATIO
COMPLAINTS AS WELL AS STAFF TIME
BEING PULLED AWAY FROM PATIENT
CARE TO ASSIST CD PH IN
ASSISTING IN INVESTIGATING THOSE
COMPLAINTS. FOR THESE REASONS HA
REMAINS IN OPPOSITION TO E. B.
TEN SIXTY THREE WE'RE
RESPECTFULLY REQUEST YOUR
NOTEBOOK THANK YOU THANK YOU
VERY MUCH OTHER SPEAKING IN
OPPOSITION TO THIS BILL TODAY
NAME AND AFFILIATION. SEEING
NONE WILL GO THE PHONE LINE. WE
SPEAK IT IS A AND OR OPPOSITE TO
A TEN SICK THREE. COMMAND CHAIR
SHIA. SAID IF YOUR SUPPORT OR
OPPOSITION TO AB TEN SIXTY THREE
PLEASE PRESS ONE ZERO ONE VOEPEL
ZERO. WE'LL START WITH NINE ONE
NINETY FIVE PLEASE GO AHEAD-
AFTER. UNITED DISTRICT WELCOMES
FROM COURT. THANK YOU. AND A
QUICK REMINDER ONE FELL BY ZERO
SHARE SUPPORTER OPPOSITION. TO
TEN FIFTY THREE. AND WE HAVE NO
OTHER PARTICIPANTS QUEUED UP AT
THIS TIME. OKAY BRING IT BACK TO
THE COMMAND CENTER. THANK YOU
MADAM CHAIR YOU KNOW- I
APPRECIATE THE- HOSPITALS
CONCERNS ABOUT THIS- I DO THINK
SUNSHINE- IS A GOOD THING. A
PARTICULARLY WHERE WE HAVE
GOVERNMENTS AND WE HAVE RULES
THAT WERE PUT IN PLACE SOMEHOW-
WE AS A LEGISLATURE NEED TO-
REVIEW HOW THE RULES ARE ARE
WORKING AND- I DO APPRECIATE THE
AMENDMENT THAT WAS TAKEN TO MAKE
THIS OF. A FULL AND OPEN
DISCUSSION NOT JUST OF THE VERY
IMPORTANT TO DIRECT TO THE
NURSES WHO HAVE ISSUES OR MAY
HAVE ISSUES WITH THE STAFFING
RATIOS. BUT OTHER PLAYERS AND
STAKEHOLDERS IN THE PROCESS SO
THERE CAN BE A ROBUST
CONVERSATION. ABOUT THE STAFFING
RATIOS OTHER WORKING OTHER NOT
WORKING. IN A REPORT GENERATED
IN A IN A IN A FORMAT THAT- WE
AS LEGISLATORS LEGISLATE TORS-
CAN REVIEWS SO- WITH THAT I WILL
BE SUPPORTING- THE MEASURE TODAY
AND THANK THE AUTHOR FOR. FOR
TAKING THAT AMENDMENT THANK YOU
MADAM CHAIR. MUCH AND YOU DID X.
AMENDMENTS ON THE OF THE AUTHOR
OKAY THANK YOU- AND- AND I WILL
ASSOCIATE MIKE WITH THE CENTER
ROTH AND ALSO. MUCH LIKE MY
COMMENTS ON- MISTER RODRIGUEZ'S
A. B. FORTY IF WE HAD A MAGIC
WANTING AND CREATE ALL KINDS OF
NEW HEALTH CARE PROFESSIONALS
THAT WOULD BE FANTASTIC. I THINK
THAT IS THE WORK OF OUR
GENERATION HAS TO REALLY ADDRESS
OUR WORKFORCE CRISIS- ACROSS.
INDUSTRIES BUT ESPECIALLY AS IT
RELATES TO HEALTH CARE
BEHAVIORAL HEALTH CARE WE HAVE
AN- INCREDIBLE CRISIS AND AS THE
GENERAL SAID THIS WILL SHINE
MORE LIGHT ON IT- AND THERE'S NO
REPERCUSSIONS FOR THE HOSPITALS
AT THIS TIME- AS WE ALL CONTINUE
TO WORK TO ADDRESS THIS CRISIS.
WOULD YOU LIKE TO CLOSER. AS FOR
AYE VOTE OKAY- YOU LIKE TO GO ON
. BEST AS THE MEMBER. I'LL
CONTINUE TO PLAY ROLE OF JAMES-
SO- I'M LIKE PRESENT US BILL TWO
SEVEN. A ON BEHALF OF A SO
MEMBER GET- WILL BE X. THE
COMMITTEES TALK MAN- TO- SOME
RUBIO AS A CO AUTHOR- AB TOLSON
WILL CONTINUE WORK THAT I MISTER
GABER ON I- TO TOGETHER. AND I
IF YOU'RE AGO- TO ME PER- THE-
PANDEMIC- HEALTH DINING ARE ROLE
WHICH IS VERY. FOR SAW DURING
THE PANDEMIC THAT OUT THERE.
FLOURISHED IT A MUCH OF HAS
REMAIN- AND WE WERE TO MAKE SURE
THAT THESE ARE CAN CAN ACTUALLY
SERVE JUST THROUGH BUT ALSO.
OUTDOORS AND ALSO THE GOVERNOR'S
SIGN. OUR BILLS ARE- TO DO THAT
AND WE WONDER THE AND KEEP IT
GOING HI. INTERPUBLIC'S IN
SUPPORT OUR OUR SMALL. AND A
RESPECT ASK FOR AYE VOTE HOW
NEEDED TEST. AT MATT SO WITH THE
REP AS- MISTER SAID. THANK YOU
MADAM CHAIR THANK YOU SENATOR
THANK YOU SENATOR WE ABOUT
SUDDEN OF THE REST AS- THIS IS A
NEXT. OF A- LAW- IF YOU WANT WHY
IT'S YOUR COMMITTEE- PIECE THAT
THE WITH THE- OF THE SENATE
HEALTH COMMITTEE IS THE P. THAT.
ALLOWS FOR LIGHT FOOD PREP. ALL
PORTIONS OF RESTAURANT
EXPANSIONS THAT ARE NOT.
CONTIGUOUS NECESSARILY AND ARE
NOT ON THE RESTAURANT SIDE SO
SOME OF THESE ARE THE NEW
CREATIVE ASPECTS OF DINING THAT
HAVE TAKEN PLACE IN THAT- ARE
STICKING AROUND A LOT OF
NEIGHBORHOODS. THIS ALLOWS- THAT
LIGHT FOOD PREPARATION OVER IN
THE NON CONTIGUOUS SPACE- AS
LONG AS THE RESTAURANT ITSELF IS
PERMITTED FOR SUCH FOOD
PREPARATION SO WE DO ASK FOR
YOUR AYE VOTE THANK YOU FOR YOUR
SUPPORT. I THINK SENSE THANK YOU
VERY MUCH YES BECAUSE SUPPORT OF
THIS BILL NAME AN AFFILIATE.
GOOD AFTERNOON SENATE SEAT ON
BEHALF OF THE UNITED CHAMBER
ADVOCACY NETWORK AND SUPPORT
THINK SIR. HE SEEMED I KNOW
OTHER PEOPLE. APPROACHING THE
MIKE- THE PEOPLE SPEAKING IN
OPPOSITION TO THIS BILL TODAY.
SEEING NONE WILL GO TO THE PHONE
LINES. HI READERS ANYBODY THE
PHONE LINES ARE Q. HM EIGHT
WHICH SPEAKING WHAT ARE
OPPOSITION PLEASE PRESS ONE AND
ZERO AT THIS TIME. WE'LL BE
GOING TO LINE TO FOURTEEN DAYS
AGO AT. THE MONEY ON BEHALF THE
CALIFORNIA TRAVELS DECISION IN
SUPPORT. THANK YOU VERY MUCH
THANKS CALLER. IT'S FAIRLY KNOWN
L. HE MET. THANK YOU VERY MUCH
BRING IT BACK TO THE COMMITTEE.
IRWIN I JUST WANT TO SAY THANK
YOU- TO YOU FOR PEACE AND ALSO
TO THE CEMENT REPORT THIS AND
WHEN THE PROPERLY WOULD LIKE TO
IT. THANK. OKAY WOULD YOU LIKE
CLOSER IS PROFESSOR. THANK YOU
VERY MUCH. FUN BILL. YOUR FORCE
ISSUES RESTRICTIONS IF THERE'S A
WORD ISSUE. OKAY- SO BONTA ICY.
ITEM NINE YOU'RE PRESENTING.
THIS IS TWENTY TWO. THANK SO
MUCH MADAM CHAIR AND MEMBERS.
ALAMEDA HEALTH IS A PUBLIC
HOSPITAL AUTHORITY AT WHICH HAD
BEEN. AND SERVE HOSP IN OAKLAND
ALAMEDA AND SAN LEANDRO
CURRENTLY ALAMEDA HEALTH SYSTEM
CANNOT CONTRACT OUT THE SERVICES
PROVIDED BY UNIONIZED POSITIONS
WITHOUT EVIDENCE THAT DOING SO
WILL BE CHEAPER AND MORE
EFFICIENT THIS REQUIREMENT WILL
SUNSET ON JUNE FIRST TWENTY
TWENTY FOUR AB SEVEN TWENTY TWO
EXTENT THAT SUNSET TO JUNE
JANUARY ONE TWENTY THIRTY FIVE.
HERE TODAY TO TESTIFY ON BEHALF
OF THE UNION OF AMERICAN
PHYSICIANS AND DENTISTS ASKED ME
LOCAL TO A SIX IS GEORGE OSBORNE
THANK YOU VERY MUCH MISTRUST. I
THANK YOU MADAM CHAIR MEMBERS-
GOOD AFTERNOON A GEORGE OSBORNE
IN THE CONTRACT ADVOCATE FOR YOU
A PDF ME LOCAL TWO OH SIX WHEN I
THINK ASSEMBLYMEMBERS BONTA FOR
BRINGING THIS BILL FORWARD-
WHICH EXTENDS FROM JANUARY ONE
TWENTY TWENTY FOUR. TO JANUARY
ONE TWENTY THIRTY FIVE THE
LIMITATION ON CONTRACTING OUT.
TO REPLACE SERVICES BEING
PROVIDED BY OUR MEMBERS IT YOU
APD. AFTER YEARS OF LEGAL
ACTION. UNDER THE CURRENT
SYSTEM. ALAMEDA HEALTH CARE
SYSTEM AND YOU APD. HAD
DEVELOPED A GOOD WORKING
RELATIONSHIP. AS BERT LANCE SAID
WHEN HE SERVED AS PRESIDENT
CARTER'S DIRECTOR OF OMB. IF IT
AIN'T BROKE DON'T FIX IT. THERE
IS NO KNOWN OPPOSITION TO AB
SEVEN TWENTY TWO. WE
RESPECTFULLY ASK THIS COMMITTEE
ALLOW. THE HOSPITAL SYSTEM AND
OUR MEMBERS IT YOU APD TO
CONTINUE TO WORK TOGETHER. THANK
YOU VERY MUCH AND RESPECT
REQUEST AND I VOTE THANK YOU
VERY MUCH JIM BILL SPEAK IN
SUPPORT OF THIS BILL TODAY. THE
TIME TO COME FORWARD. THE
AFFILIATION. AFTERNOON JAMES
MICHAEL PUBLIC ACTUALLY
CALIFORNIA PROUD CO SPONSOR
ORIGIN IPHONE THANK YOU THANK
YOU VERY MUCH. OKAY NOW WILL GO
. PEOPLE IN OPPOSITION.
RESTAURANT WAS ONCE SAID THERE
IS NO OPPOSITION- EVERYBODY ON
THE PHONE LINE TO ASSIST WEIGH
IN ON A. B. SEVEN TWENTY TWO.
YOU HAVE ANY QUESTIONS YOU CAN
SUPPORT OR OPPOSITION PLEASE
PRESS ONE THEN ZERO AT THIS TIME
. AS CURRENTLY KNOWN QUEUING UP
AT THIS TIME AND CHAIR ALL RIGHT
WOULD YOU LIKE TO CLOSE ON THIS
BILL THAT DID NOT. GENERATE
HOURS AND HOURS OF DISCUSSION
WITH OUR COMMUNITY WELL THANK
YOU AND I ACTUALLY- THIS BILL
HAS ENJOYED UNANIMOUS BIPARTISAN
SUPPORT AND I HOPE TO CONTINUE
THAT STREAK I'VE IN THIS
COMMITTEE TODAY AND I
RESPECTFULLY REQUEST YOUR VOTE
THANK YOU VERY MUCH. SOME POINT
WILL GET A QUORUM. OKAY SEEING
NO WEATHER ASSEMBLY MEMBERS HERE
TO PRESENT. WE LIKE ONE.
HEY WE HAVE AN AUTHOR. ALL RIGHT
. ONE ASSEMBLY MEMBER PRICES
PRICE IS RIGHT. YEAH. HE YOU
OKAY WE YOU ARE PRESENTING TODAY
- DON'T FILE ITEM NINETY AB FOR
FOURTEEN ONE YES MA'AM THANK YOU
VERY MUCH CHAIR MEMBER OF THE
COMMITTEE AB FOURTEEN FIFTY ONE-
I WANT TO START OUT TO THANK THE
STAFF FOR WORKING ON THIS BILL
TO CONTINUE TO IMPROVE IT AND
I'M GLAD TO ACCEPT AND AGREE TO
THE AMENDMENTS GET AS MANY OF
YOU ARE FULLY AWARE WE ARE IN
THE MIDST OF A MENTAL HEALTH
CRISIS. IN FACT ACCORDING TO THE
DEPARTMENT OF PSYCHICS LIKE
PSYCHIATRY AND BEHAVIORAL
SCIENCES AT UNIVERSITY OF
CALIFORNIA DAVIS AS MANY AS 40%
OF PATIENTS SEEN IN PRIMARY CARE
HAVE AN ACTIVE SITE THREE
PSYCHIATRIC CONDITION. AND AS
FOUND BY THE CALIFORNIA HEALTH
CARE FOUNDATION'S TWENTY TWENTY
TWO REPORT ON MENTAL HEALTH IN
CALIFORNIA ONE IN SEVEN
CALIFORNIA DOES EXPERIENCE
MENTAL HEALTH ILLNESS AND ONE IN
FOURTEEN CHILDREN HAS AN
EMOTIONAL DISTURBANCE THAT
LIMITS FUNCTIONING IN FAMILY
SCHOOL OR COMMUNITY ACTIVITIES.
THE SEVERITY AND DURATION OF
THIS CRISIS IS AND WILL CONTINUE
TO BE ABOUT OUR ABILITY TO BRING
TIMELY ACCESS TO QUALITY MENTAL
HEALTH TREATMENT TO EVERYONE IN
NEED AND THAT IS WHY AB FOURTEEN
FIFTY ONE- IS HERE TO ENSURE
THAT THOSE SUFFERING FROM A
MENTAL HEALTH. ILLNESS OR IN
NEED OF TREATMENT CAN RECEIVE
TIMELY TREATMENT WE KNOW THAT
BY. A COMMON PRACTICE IN THE
SCIENCE. AND OF COURSE SOCIAL
WORKERS ARE ALWAYS TAUGHT ONCE
YOU HAVE SOMEBODY. GIVE THEM
EVERYTHING YOU CAN WHILE THEY'RE
THERE BECAUSE THE CHANCES OF
THEM COMING BACK IS SLIM. AND
THIS BILL ENSURES THAT WHEN
SOMEONE GOES INTO A HOSPITAL-
THAT THEY ARE ABLE TO RECEIVE A
BOTH PHYSICAL AND MENTAL HEALTH-
AT THE SAME TIME. AND THIS IS
DONE BY MAKING SURE THAT HEALTH
CARE SERVICE PLANS PROVIDE
REIMBURSEMENT FOR SERVICES
PROVIDED AND TO BE IN COMPLIANCE
WITH THE REQUIREMENT FOR TIMELY
PAYMENT OF CLAIMS. IMPORTANTLY
THIS BILL SHALL ONLY BE
IMPLEMENTED UPON APPROPRIATION
BY THE LEGISLATURE FOR SPECIFIC.
SPECIFIC TO ADMINISTRATIVE COST-
FOR THE DEPARTMENT- THIS ALSO
MAKE SURE IS THAT. FRIEDMAN IS
HAS NO BARRIERS AS REGARDS TO
PRE AUTHORIZATION SO WHEN DR SEE
THAT A MENTAL HEALTH SERVICES
NEED TO BE RENDERED- WE WANT TO
MAKE SURE THAT THERE IS NO
BARRIER BETWEEN THEIR DOCTOR AND
THEIR PATIENT TO RECIEVE THE
MENTAL HEALTH TREATMENT THAT
THEY CAN. JUST LIKE THE VARIOUS
OTHER CRISIS THAT CALIFORNIA
FACE- WE KNOW THAT WE HAVE TO
THEN NOT DOWN EVERY SILO EVERY
BARRIER POSSIBLE TO ENSURE THAT
PEOPLE GET THE HELP THAT THEY
NEED. AND SO I RESPECTFULLY ASK
FOR NIVEAU THANK YOU VERY MUCH
OKAY PEOPLE SPEAKING IN SUPPORT
FOR THIS MEASURE TODAY.
LEGISLATURE THIRDLY LIMITS BUT
PERSONAL CHAOS HERE ON BEHALF OF
A FEW CLIENTS CALIFORNIA ACADEMY
OF CHILD AND ADOLESCENT
PSYCHIATRY CALIFORNIA STATE
ASSOCIATION PSYCHIATRIST IN THE
CALIFORNIA FACULTY ASSOCIATION
ON STRONG SUPPORT THANK YOU VERY
MUCH FOR. THIS PERSON PLEASE.
THANK YOU CHAIR MEMBERS SO JOSE
TOWARDS WITHOUT ACCESS- WANTED
TO SAY THAT WE ARE IN SUPPORT OF
AMENDED POSITION BY DO THANK THE
COMMITTEE AND THE AUTHOR FOR
WORKING WITH US ON THE
AMENDMENTS TO LIMIT. GET PARK
OPERATIONS LANGUAGE ENSURE THE
BILL IS CONSISTENT WITH RECENT
BEHAVIOR HEALTH LAWS PASSED IN
THE LEGISLATURE BUT WE DO LOOK
FORWARD TO CONTINUE THE
DISCUSSIONS THANK YOU VERY MUCH
OKAY. MARK FOR CALIFORNIA
HOSPITAL ASSOCIATION IN SUPPORT
THANK YOU VERY MUCH. OKAY
INTEREST WE CAN OPPOSITION TO
THIS BILL TODAY. IT'S TIME TO
COME FORWARD. GRACING NONE WILL
GO TO THE PHONE LINES. A BREAK
IN A U. M. IF YOU WISH TO SPEAK
WITH SUPPORT OR OPPOSITION
PLEASE PRESS ONE THEN ZERO AT
THIS TIME. WE'LL BE GOING TO
LINE ONE NINE EIGHT PLEASE GO
AHEAD. THEY WERE DROPPING WITH
CALIFORNIA HEALTH ADVOCATES
STRONG SUPPORT THANK YOU VERY
MUCH NEXT CALLER PLEASE. BERMAN
HAS QUEUED UP BUT ONE WALL
THEY'RE GIVEN THEIR LINEUP. FOR
CONNECT WITH A LINE ONE SEVENTY
SEVEN PLEASE GO AHEAD. HI MEGHAN
TRONG ON BEHALF THE STANDARD
INTO AND THE KENNEDY FORUM WITH
THE FORTHCOMING AMENDMENT WERE
HAPPY TO MOVE REPORT FROM. TO
SUPPORT THANK YOU FOR THAT THANK
YOU TO THE AUTHOR AND THE
COMMITTEE FOR YOUR PARTNERSHIP.
THANK YOU. THIS CALL PLEASE.
THERE'S CURRENTLY NO ONE ELSE IN
THE QUEUE AT THIS TIME AND OKAY
THANK YOU BRING BACK TO THE
COMMITTEE. NO QUESTIONS CONCERNS
WITH THANK YOU FOR BRING THIS
FORWARD I KNOW YOU WANT TO TREAT
MENTAL HEALTH LIKE THE EMERGENCY
IT IS AND I APPRECIATE YOU
PUTTING WORDS TO THAT. IDEA AND
ALSO THANK YOU FOR ACCEPTING THE
COMMITTEE AMENDMENTS NO- WORKED
A LOT ON THOSE- WOULD YOU LIKE
TO CLOSER I RESPECTFULLY ASK FOR
AN AYE VOTE THANK YOU VERY MUCH
AND WE GET A QUORUM HOPEFULLY
SOON- WE WILL SWEEPING EMOTION
INTAKE. THANK YOU VERY MUCH OKAY
THANK YOU VERY MUCH. I AM VERY
HOPEFUL WE'LL GET A.
HELLO ASSEMBLY MEMBER. YOU WANNA
YOU WANNA COME ON OVER. CAN
SOMEBODY GET THE CENTER WIENER
IN THE IN THE SIDE ROOM. THREE
BEFORE I GET THE SEVEN OH TIENEN
WE'RE. WE'RE ALMOST TO A QUORUM
. OKAY. WE ARE SETTLED MANAGE
YOUR OKAY. RIGHT BUT A LONG DAY
AMEN SISTER AMEN SISTER OKAY.
THANK YOU MADAM CHAIR IN
SENATORS PLAYED ALSO LIKE TO
THANK THE COMMITTEE STAFF FOR
THEIR WORK WITH US ON THIS BILL
AB FOUR TWENTY CLARIFIES THAT
THE MEDICINAL AND ADULT USE
CANNABIS REGULATION AND SAFETY
ACT DOES NOT PROHIBIT THE
CANNABIS LICENSEE FOR
MANUFACTURING DISTRIBUTING OR
SELLING PRODUCTS THAT CONTAIN
INDUSTRIAL HIM OR HIM DRIVE
COMPOUNDS OR EXTRACTS. THIS BILL
ALSO CONTAINS NEEDED CLEAN UP
LANGUAGE THAT WILL HELP PROTECT
THE PUBLIC FROM ADULTERATED HIM
PRODUCTS WHICH ARE ALREADY
ILLEGAL BUT CAN STILL BE FOUND
ACROSS THE STATE. HEMP AND
MARIJUANA ARE BOTH MEMBERS OF
THE CAMPUS FAMILY BUT HEMP IS
LEGALLY REGULATED TO NOT BE
INTOXICATING AND HAS HIGHER
LEVELS OF CBD. GIVEN THE
SIMILARITIES MANY OF THE
PRODUCTS MADE USING HIM TO
CANNABIS OUR MANUFACTORY
MANUFACTURED USING SIMILAR
PROCESSES AND THE PRODUCTS ARE
SIMILAR TO. FOR EXAMPLE SEE
REDEEM PRODUCTS CAN BE MADE FROM
HEMP OR CANNABIS AND ARE VERY
POPULAR AMONG CONSUMERS CBD IS
NON INTOXICATING OR HABIT
FORMING AND PROVIDES RELIEF FROM
PAIN INFLAMMATION ANXIETY
INSOMNIA AND OTHER CONDITIONS.
CBD PRODUCTS DERIVED FROM HIM
ARE WIDELY AVAILABLE ONLINE IN
GROCERY STORES GAS STATIONS GYMS
AND OTHER COMMON RETAIL
LOCATIONS HOWEVER CBD IS ALSO
USED IN MANY CANNABIS PRODUCTS.
BUT CANNABIS MANUFACTURERS
DISTRIBUTORS AND RETAILERS CAN
ONLY WORK WITH CANNABIS DERIVED
CBD. CANNABIS DERIVED CBD IS
MUCH MORE EXPENSIVE BECAUSE IT
IS SUBJECT TO STRICTER
REGULATION AND CANNABIS AND
CANNABIS TYPICALLY HAS A LOWER
CBD CONTENT CONTENT. THIS PUTS
OUR CANNABIS LICENSEES AT A
DISADVANTAGE WHEN SELLING THE
PRODUCTS. THIS RESTRICTION
CONTRIBUTES TO THE STRUGGLE OF
CANNABIS LICENSEES TO STAY
AFLOAT AS THEY COMPETE WITH THE
WITH THE LEGAL MARKET. AB FOUR
TWENTY WILL ENHANCE THE
VIABILITY OF LOVE LEGAL CANNABIS
LICENSEES IN THE MARKETPLACE BY
AUTHORIZING LICENSEES TO
MANUFACTURE DISTRIBUTE AND SELL
HIM AND HIM TO DERIVE CBD AND
OTHER PRODUCTS IN COMPLIANCE
WITH CURRENT LAW. WE LOOK
FORWARD TO WORKING WITH
STAKEHOLDERS STICK AGENCIES AND
COMMITTEE STAFF AS WE ADDRESS
CONCERNS ABOUT THE BEST WAY TO
IMPLEMENT THESE CHANGES. WE ARE
ESPECIALLY COMMITTED TO FURTHER
EMPOWERING OUR STATE REGULATORS
TO ATTACK THE PRODUCTION AND
SALE OF ILLEGAL SYNTHETIC
CHEMICALS IN THE MARKETPLACE
TODAY. WITH ME TODAY ARE PAMELA
EPSTEIN. REPRESENT THE
CALIFORNIA CANNABIS INDUSTRY
ASSOCIATION INC AARON WOODS FROM
KIVA CONFECTIONS WELCOME. IF YOU
COULD HOLD. THIS CALL THE ROLL.
SENATORS EGGMAN HERE EGGMAN HERE
WHEN. HERE WHEN HERE. GLAZER
GONZALEZ. GONZALEZ HERE GROW.
HER TADO. FURTADO HERE LIMON
MENJIVAR MENJIVAR HERE ROSS.
ROSS HERE RUBIO WHAT HAAB WINNER
. WIENER PRESENT. THANK YOU VERY
MUCH OKAY. GO AHEAD AND WE HAVE
A QUORUM. EXCELLENT THANK YOU AT
SHARE WOMEN EGGMAN AND MEMBERS
OF THE COMMITTEE. THANK YOU
ASSEMBLYMAN ASSEMBLY WOMEN
AGUIAR-CURRY FOR THE LEADERSHIP
AGAIN THAT BRINGS US HERE TODAY
MY NAME IS KAREN WHAT'S IN FOR
KIVA CONFECTIONS AND I'M ALSO
HERE ON BEHALF OF THE CALIFORNIA
CANNABIS MANUFACTURERS
ASSOCIATION TO URGE YOUR SUPPORT
FOR AB FOUR TWENTY. IN ADDITION
TO STRENGTHENING THE ENFORCEMENT
PROVISIONS I AM HERE TO TESTIFY
THAT MANUFACTURES LIKE CUBA
WOULD BENEFIT GREATLY BY THE
OPTION TO USE HEMP DERIVED
CANNABINOIDS IN OUR PRODUCTS. A
SIGNIFICANT NUMBER OF CUBA'S
PRODUCTS USE USE MINOR
CANNABINOIDS LIKE CBN AND CBD TO
CREATE A TAILORED EXPERIENCE FOR
OUR CONSUMERS BUT IT'S COSTLY TO
SOURCE THESE MINOR CANNABINOIDS
FROM THE CLOSED LOOP CANNABIS
MARKET. AND THOSE COSTS ARE
RISING AS WE START TO SEE
CONTRACTION IN THE CULTIVATION
SECTOR ACCORDING TO KEEP HIS
INNOVATION TEAM A PRODUCT MADE
WITH HEMP CANNABINOIDS WOULD ON
AVERAGE COST AROUND TWENTY
DOLLARS BUT THAT SAME PRODUCTS
SOURCED FROM CANNABIS DERIVED.
CANNABINOIDS BECAUSE CONSUMERS
ABOUT TWENTY FOUR DOLLARS SO
THERE'S ABOUT A 20% SAVINGS THAT
CAN BE PASSED ON TO CONSUMERS
AND HELP MAKE THE PRODUCT A
LITTLE BIT MORE COMPETITIVE
AGAINST THE ILLICIT CANNABIS
MARKET. IN ADDITION TO
INTEGRATION WE SUPPORT EFFORTS
TO INCREASE THE ENFORCEMENT
AGAINST PROLIFERATION OF
INTOXICATING HEMP PRODUCTS. AB
FOUR TWENTY REPRESENTS A STEP IN
THE RIGHT DIRECTION AND I
STRONGLY URGE YOUR SUPPORT TODAY
WEEK OVER TO MY COLLEAGUE
PAMELA. THANK YOU VERY MUCH.
PLEASE GOOD AFTERNOON CHAIRMAN A
MAN RESTS THE COMMITTEE AND
AGAIN THANK YOU TO THE ASSEMBLY
MEMBER AGUIAR-CURRY FOR LEADING
THE CHARGE IN THIS PROFOUNDLY
IMPORTANT ISSUE. MY NAME IS
PAMELA ABSENT I'M THE CHIEF
LEGAL OFFICER FOR EVEN
ENTERPRISES AND THE PRESIDENT OF
THE CALIFORNIA CANNABIS INDUSTRY
ASSOCIATION. I'M HERE TO EXPRESS
MY SUPPORT FOR A BI FOR TWENTY A
BILL THAT STRENGTHENS
ENFORCEMENT OF AB FORTY FIVE.
AND PROMOTES THE INTEGRATION OF
HAND CAN'T EVEN NOISE INTO THE
REGULATED CANNABIS. SUPPLY
CHAIN. AS NOTED. IN THE ANALYSIS
BY THE DEPARTMENT OF CAMPUS
CONTROLS HEMP REPORT WHICH WAS
DELAYED BY SIX MONTHS FAILED TO
PROVIDE THE SPECIFIC FRAMEWORK
FOR THE INCLUSION. OF HAND INTO
THE CANNABIS MARKET PLACE AS WAS
DIRECTED BY AB FORTY FIVE AND
UNFORTUNATELY OFFER GENERAL
CONTRAST ARE OFFERED A GENERAL
CONTRACT OF HAND. AND CANNABIS
REGULATIONS. WITH THE REGULATED
CANNABIS INDUSTRY IN CRISIS
INTEGRATION IS IMPERATIVE FOR
THE FOLLOWING REASONS.
INTEGRATION OF HAVE CANONIZED
WILL BENEFIT THE OVERALL SUPPLY
CHAIN AS WE'VE HEARD MINOR CAN'T
EVEN RATES ARE IN SHORT SUPPLY
AND THEY DRIVE UP COSTS TO THE
CONSUMERS. MANUFACTURERS ALREADY
PRODUCED CBD ONLY PRODUCTS LOTOS
PRODUCTS AND MAX POTENCY PRODUCT
IN THE SAME FACILITY. THE DCC
HAS NOT ISSUED ANY STATEWIDE
RECALLS DUE TO THE MISLABELING
OF POTENCY BETWEEN CBD AND THC.
INCORPORATING HAVE IS SIMILAR TO
INCORPORATING ANY OTHER GREEN IT
INGREDIENT INTO THE CANNABIS
PRODUCT AND WILL BE TAX AND
QUALITY ASSURANCE TESTED THE
SAME WAY. INTEGRATION MAXIMIZES
THE FACILITY UTILIZATION REDUCES
COSTS AND FOSTERS INNOVATION
MAKING THE INDUSTRY MORE CAPABLE
OF COMPETING WITH THE ILLICIT
MARKET. SECOND INTEGRATION
PROMOTES AND PROTECTS PUBLIC
HEALTH AND SAFETY. THE LACK OF
ENFORCEMENT HAS ALLOWED THE
PROLIFERATION OF THESE
INTOXICATING HEMP PRODUCTS
POSING SEVERE HEALTH AND SAFETY
RISKS CONSUMERS ARE OFFERED
UNREGULATED UNTESTED HAVE
PRODUCTS THAT ARE THREE TO
THIRTY THREE TIMES STRONGER.
THAN THAT OF LEGAL CANNABIS.
THIS IS WHY THE CANNABIS
REGULATORS ASSOCIATION WROTE TO
CONGRESS URGING FEDERAL ACTION
TO REGULATE INTOXICATING HEMP
DERIVED CANNABIS LLOYDS OF WHICH
THE DEPARTMENT PARTICIPATES IN A
CALL SERVICE CURRENTLY AS A
MEMBER AT LARGE FOR CAMERA.
ROGUE INTOXICATING PRODUCT OF
COST ESTIMATED LOSSES FOR
DISPENSARIES AS HIGH AS 30% AND
GROWING. WHILE THE REGULATED
INDUSTRY MANDATES TRACK AND
TRACE QUALITY CONTROL ASSURANCE
TESTING INTOXICATING HOW
PRODUCTS ARE OFTEN DESIGNED TO
BE ATTRACTIVE TO CHILDREN AND
ARE MANUFACTURED USING HEAVY
METALS AND RESIDUAL SOLVENTS
WITH UNENFORCED TESTING
REQUIREMENTS. INNERVATION IN
CALIFORNIA CALIFORNIA WILL BE
UNABLE TO PARTICIPATE IN
INTEGRATION- WITHOUT INTEGRATION
CALIFORNIA WILL BE UNABLE TO
PARTICIPATE IN INTERSTATE
COMMERCE THE GOVERNOR AND THE
DEPARTMENT SUPPORTED INTERSTATE
COMMERCE WITH THE PASSAGE OF SB.
THIRTEEN TWENTY SIX LAST YEAR
AND SUBSEQUENT TO THAT AS STATE
ATTORNEY GENERAL'S OPINION
REGARDING THE LEGALITY OF
INTERSTATE COMMERCE BUT WITHOUT
INTEGRATION CALIFORNIA'S
REGULATED INDUSTRY WILL STRUGGLE
DUE TO HIGH PRODUCTION COSTS AND
EXCESSIVE FEES COMPARED TO OTHER
REGULATED MARKETS. TO LEAD THE
CALIFORNIA CANNABIS CONVERSATION
AND REMAIN COMPETITIVE WE MUST
ALLOW FOR INTEGRATION FOR THESE
REASONS THE CIA PROUDLY SUPPORTS
FOR TWENTY AND LOOKS FORWARD TO
COLLABORATING WITH THE AUTHOR
AND OTHER STAKEHOLDERS TO
ADDRESS OUTSTANDING ISSUES.
INCLUDING TESTING PARITY.
PACKAGE AND PER SERVING CAPS FOR
EDIBLE HEMP PRODUCTS AND FURTHER
LIMITATIONS ON THE PRODUCTION
AND SALE OF UBER POTENT
SYNTHETIC CANNABIS NOISE I URGE
YOU TO VOTE I'D TODAY THANK YOU.
THANK YOU VERY MUCH REAL STRICT
IN SUPPORT OF THIS BILL NAME AN
AFFILIATION. VENTURE MEMBERS
RANDY MARTIN ON BEHALF OF THE
PARENT COMPANY IN SUPPORT THANK
YOU THANK YOU. TELL YOU TOMORROW
BEHALF OF CALIFORNIA NORMAL IN
SUPPORT THANK YOU. AMY JENKINS
ON BEHALF OF KEMET CRAFTED
SUPPORT THANK YOU THANK YOU VERY
MUCH OKAY IN RESPECT IN
OPPOSITION TO THIS BILL TODAY NO
THE TIME COME FORWARD. HELLO
AGAIN. MADAM CHAIR MEMBERS I'M
DOCTOR LYNN SILVER PEDIATRICIAN
SENIOR ADVISER AT THE PUBLIC
HEALTH INSTITUTE AND CLINICAL
PROFESSOR AT UCSF. AB FOUR
TWENTY OF FAILS TO SOLVE THE Kò
PROBLEM FAR STATES INITIAL HIM
FRAMEWORK WHILE INTRODUCING NEW
ONES. THE GOOD PART OF THE BILL
IS THE PROHIBITION ON THE
DANGEROUS GROUP OF NEW
ARTIFICIAL INTOXICATING
CANNABINOIDS CREATED THROUGH
CHEMICAL MODIFICATION OF C. B.
D. COMPOUNDS THAT HAVE BEEN
MASSIVELY MARKETED WITH NO
ASSESSMENT OF HUMAN SAFETY. AND
GROWING EVIDENCE OF HARM
INCLUDING MENTAL ILLNESS AND
POISONINGS TWO WEEKS AGO CDPH
FINALLY CLEARLY DETERMINED THAT
THESE ARE PRODUCTS OF CHEMICAL
SYNTHESIS ILLEGAL UNDER DISH
EXISTING LAW. BUT A BEFORE
TWENTY WILL PROVIDE FURTHER
CLARIFICATION OF THEIR
ILLEGALITY HOWEVER IT FAILS TO
CREATE THE MOST URGENT MISSING
PIECE IN HEMP REGULATION. THE
HEMP INDUSTRY HAS MASSIVELY
FLOODED MARKETS WITH HIGHLY INTO
PSYCHOACTIVE AN INTOXICATING
PRODUCTS EXPLOITING THE
NOTORIOUS YEAR POINT 3% THC FORM
BUILD LOOPHOLE. WE WARNED OF
THIS YEAR TWO YEARS AGO MANY
HEMP EDIBLES HAVE FAR MORE
TRADITIONAL DELTA NINE THC THE
LEGAL CANNABIS EDIBLES MAY
CONTAIN AND ARE NOW WIDELY SOLD
TO TENURE OF AN AVAILABLE TO BE
SOLD TO TEN YEAR OLDS IN CORNER
STORES NEAR SCHOOLS. ACROSS OUR
STATE GOING ANY SMOKE SHOP AND
YOU WILL SEE A FOUR YEAR OLD IN
WEST VIRGINIA RECENTLY DIED
AFTER INGESTING INTOXICATING
HEMP CANDIES WE JOIN WITH MANY
CANNABIS INDUSTRY COLLEAGUES IN
DEMANDING ACTION TO KEEP KIDS
SAFE. BY PROHIBITING.
INTOXICATING HEMP PRODUCTS NOW.
AB FOUR TWENTY OPEN THE CANOPY
INDUSTRY WIDE TO HELP INCLUDING
THESE INTOXICATING COMPOUNDS
DISCARDING GUIDING PRINCIPLES OF
PROPOSITION SIXTY FOUR AND
UNDERMINING SOME LEGAL CANNABIS
CULTIVATORS HARD HIT BY THE
ILLICIT MARKET. RATHER THAN A
THOUGHTFUL PROCESS OF
INTEGRATION PRODUCTS MERELY NEED
TO COMPLY WITH CURRENT HEMPEL.
SO IT WILL CREATE A PARALLEL SET
OF UNTAXED PRODUCTS IN CANNABIS
RETAILERS WITH WEAKER PRODUCT
PACKAGING WARNING IN MARKETING
PROTECTIONS INCLUDING ON
ATTRACTIVENESS TO CHILDREN. THAN
CANNABIS CURRENTLY HAS AND IT
WILL WITHOUT A CAP WILL ALLOW
EDIBLES WITH FAR MORE THC THAN
LEGAL CANNABIS EDIBLES TO
CONTINUE TO BE WIDELY AVAILABLE
AND NOW INCLUDING. IN CANNABIS
RETAILERS IT WILL FURTHER REDUCE
CANNABIS TAX REVENUES AND IT'S
CRITICAL FLOWS TO CHILD CARE
SLOTS YOU SUBSTANCE ABUSE
PREVENTION AND ENFORCEMENT. FOR
THESE REASONS WE RESPECTFULLY
URGE YOUR NAY VOTE IN LESS
AMENDED TO ADD A PROHIBITION ON
INTOXICATING HIM FINAL PRODUCTS
WITH MORE THAN A MILLIGRAM OF
THC PER PACKAGE- AND DELETION OF
THE CHAOTIC AND UNTAXED OPENING.
OF CANNABIS RETAILERS TO HIM
THERE WILL BE A PATH TO MORE
SENSIBLE INTEGRATION IN THE
FUTURE BUT THAT THIS IS NOT YET
OFFERING THAT THANK YOU. THANK
YOU VERY MUCH IT WILL SPEAK IN
OPPOSITION TODAY NOW NAME AND
AFFILIATION. WE GO TO OUR PHONE
LINES. EIGHT IN GERMANY WHICH IS
IN SUPPORT OR OPPOSITION PLEASE
PRESS ONE THEN ZERO AT THIS TIME
. THERE'S CURRENTLY NO ONE
COMING UP ON MADAM CHAIR OKAY
THANK YOU COME BACK TO THE
COMMITTEE I GUESS I'LL JUST SAY
TO THE OPPOSITION- AT. AB THAT'S
ONE THANK YOU FOR YOUR
LEADERSHIP IN THIS I WAS THERE A
COUPLE YEARS AGO WHEN WE STARTED
THIS AN HOUR BACK. BUT IT
DOESN'T SOUND LIKE THERE'S A
MORE LEGISLATION NEEDS TO BE
DONE PERHAPS- AN AMENDMENT GOING
INTO PROBES AND OR A PIECE OF
WORK THAT YOU CAN WORK ON NEXT
YEAR TO BE ABLE TO ADDRESSED.
KIND OF UNADDRESSED ISSUE THAT
YOUR BILL DOESN'T. DOESN'T YOUR
BILL IS DOESN'T TALK ABOUT THIS
BUT IT IS ANOTHER PART THAT I
THINK IS PART OF THE PICTURE IN
THAT'S FAIR IS THE ONE OF THE
THINGS THAT WE ARE WAITING FOR
THE HEMP REPORT. AND IT DIDN'T
COME OUT FOR SEVEN MONTHS AND SO
WE'RE TRYING TO MAKE SURE
PATCHWORK THIS BECAUSE THE
MEANTIME WE HAVE A LOT OF ISSUES
THAT WE NEED TAKE CARE OF. AND
WE WILL CONTINUE THAT SO I'VE
BEEN WORKING WITH THE
STAKEHOLDERS TO EXAMINE
QUESTIONS AND IT'S REYES AND
WE'RE GETTING CLOSE TO TRYING
TO. HAVE AN ANSWER BUT AGAIN
WITH THAT HIP REPORT COMING OUT
IN A TIMELY FASHION WE CAN'T
CONTINUE TO WAIT AND WE NEED TO
TAKE SOME. ACTION NOW SO IS IT
THE IS IT. LET MORE WORK WE CAN
DO ABSOLUTELY HAVE ADDITIONAL
WORK MAYBE IN THE FUTURE
PROBABLY SO YEAH. OKAY OKAY- AND
DID YOU PICK THIS NUMBERED IT'S-
WHEN YOU'RE CLEVER STUFF. I AM
VERY CLEVER STUFF OKAY I THOUGHT
SO. I THOUGHT SO. OKAY THANK YOU
VERY MUCH EVERYBODY ELSE HEARD
TELL ABOUT EMOTION. WELL YOU
KNOW I WHEN I LOOKED AT THIS AS
A MEMBER YOU KNOW. THREE OF US
HERE TOOK ACTION THIS YEAR AND
SUB THREE RELATED. TO MORE
FUNDING TO THE TWO TWO CD P. H.
ON JUN. THIS VERY SPECIFIC THING
BECAUSE THEY'RE HAVING TROUBLE
FINDING HIM BENEFACTORS. AND I
READ THIS AS SAYING OH THIS
BRINGS IT INTO. SOMETHING THAT'S
REALLY A READY BEING REGULATED
THAT IS GOING TO BE EASY TO FIND
THEM I SAW THIS AS- A STEP
FORWARD IN HELPING REGULATING
HEMP'S- IF I READ THIS CORRECTLY
SO. HAPPEN TO MOVE THE BILL
FORWARD OKAY. THANK YOU THINK
YOU. WOULD DO IT. YEAH I WOULD
LIKE TO CLOSE A CRYSTAL THANK
YOU VERY MUCH FOR TECHNOLOGY
THAT- YOU KNOW THIS BILLS PASSED
OUT OF. THE ASSEMBLY BUT WE HAVE
TAKEN A MEMBERS TO ADDRESS MANY
OF THE OPPOSITION'S CONCERNS IN
KEEPING SYNTHETIC CHEMICALS OUT
OF THE HEMP PRODUCTS. AND- HELP
KEEP- GIVE DICK DPH MORE
AUTHORITY OVER PRODUCTS COMING
INTO OUR STATE. I'VE BEEN
WORKING WITH THESE ISSUES FOR
FIVE YEARS WE KNOW THAT IN THIS
THIS IS ALWAYS EVOLVING. AND WE
HAVE TO CONTINUE TO WORK ON
THIS. AS I PRESENT THIS BILL TO
YOU TODAY I WILL MAKE PRODUCTS-
IT WILL MAKE PRODUCTS AND
PRACTICES SAFER. MAKE IT HARDER
FOR CRIMINALS TO SELL ILLEGAL
PRODUCTS BUT THAT DOESN'T MEAN
OUR WORK IS DONE. I ASSURE YOU
THAT I WILL CONTINUE TO WORK
WITH ALL THE STAKEHOLDERS TO
IMPLEMENT INTEGRATION IN A WAY
THAT SUPPORTS OUR LEGAL HEMP.
AND CANNABIS INDUSTRIES.
EMPOWERS OUR REGULATORS TO
ATTACK THE LEGAL PRODUCTS
PROTECTS PUBLIC HEALTH. AND I
COMMIT TO YOU THAT I WILL UPDATE
YOU. AS WE MOVE FORWARD AND I
APPRECIATE YOUR AYE VOTE. THANK
YOU VERY MUCH OKAY WE HAVE A
MOTION. AND THE MOTION IS TO
PASS AND REFERRED TO THE
COMMITTEE ON APPROPRIATIONS
SECRETARY PLEASE CALL THE ROLL.
YES SENATOR EGGMAN BY EGGMAN AYE
. WHEN GLAZER. GONZALEZ GONZALEZ
I GROWTH. HER TADO. FURTADO I
LIMÓN. MENJIVAR BINGE OF EYEING
ROSS. ROTH AYE RUBIO. RUBIO I
WILL HOP. WIENER IF THIS WORKS
TWO SIX TO HOLD THAT ROLE OPEN
THANK YOU VERY VERY MUCH THE
FOURTH ONE. YEAH I GUESS IT'S
THREE TWENTY FIVE AM. MOTION ON
THE CONSENT CALENDAR. HERE TO US
AND RUBIO MADE THAT MOTION WHEN
HE SAID WHEN HE CALLED THE
WINNER. COULD YOU PLEASE CALL
THE ROLL AND THE IS ON. THE
CONSENT CAL WITH A B. SIX FOUR.
EIGHTY EIGHT AB TWELVE OH TWO.
AB FOURTEEN SEVENTY EIGHT AND AB
. SIXTEEN TEN SIXTEEN TWELVE.
SENATORS EGGMAN. HI EGGMAN AYE
WHEN GLAZER GONZALEZ GONZALEZ I
GROWTH HER TADO. FOR TODD- I
LIMON MENJIVAR MENJIVAR I ROSS
ROSS I RUBIO RUBIO I WILL HOP
WINNER. SIX THREE SIX WILL HOLD
THAT ROLE OPEN LET'S MOVE ON TO-
AB FOUR ARAMBULA WE NEED A
MOTION ON THAT SO MOVED BY A
CENTER MENTOR FOR. US ON AB FOUR
TWENTY AB FOUR AND THAT IS THE
MOTION IS TO PASS AS AMENDED AND
REFERRED TO COMMITTEE ON
APPROPRIATIONS SECRETARY PLEASE
CALL THE ROLL. SENATE EGGMAN AYE
EGGMAN AYE WHEN GLAZER GONZALEZ
. GONZALEZ I GROWTH HER TADO HER
TADO AYE LIMÓN MENJIVAR. BEEN I
ROTH ROTH I RUBIO. WE I WILL HOP
WINNER. SIX SIX OH WILL HOLD
THAT ROLE OPEN MOVING ON A FILE
ITEM NUMBER TWO AB FORTY WE GET
A MOTION BY CENTER ROSTER THAT
IS DUE PASSED AND REFER THE
COMMITTEE ON APPROPRIATIONS
SECRETARY. SENATOR EGGMAN AYE
EGGMAN AYE WHEN. GLAZER GONZALEZ
GONZALEZ I GROWTH HER TADO HER
TADO AYE THE MOANS. MENJIVAR
MINGE OF OUR AYE ROTH ROTH AYE
RUBIO. RUBIO AYE BOB WINNER. SIX
SIX. ZERO WILL GO ON TO AB THREE
FIFTY TWO BAUER K. HAND MOVED BY
SENATOR MENTOR BAR THAT IS TO
PASS AND REFERRED TO THE
COMMITTEE ON APPROPRIATIONS
SECRETARY. SENATORS EGGMAN FIVE
WHEN I WENT GLAZER GONZALEZ
GONZALEZ I GROWTH FURTADO HER
TADO AYE LIMÓN MENJIVAR LIKE
MANY OF OUR AYE ROSS. ROSS I
RUBIO. RUBIO I WILL HOP WINNER.
SIX SIX ZERO MOVING ON TO FILE
ITEM NUMBER NINE AB SEVEN TWENTY
TWO BY DECEMBER BONTA THE MOTION
IS TO PASS A PROMOTION. FILMOVE
I. CENTER ROTH SECRETARY.
SENATORS EGGMAN AYE EGGMAN AYE
WHEN. GLAZER GONZALEZ GONZALEZ I
GROWTH HER TADO- TODD- I LIMÓN
MENJIVAR MENJIVAR AYE ROTH. ROTH
AYE RUBIO RUBIO AYE WILL HOP
WINNER. MATCH MEMBERS MAGICALLY
SIX AGAIN ALL RIGHT MOVING ON TO
AB TEN SIXTY THREE BY GABRIEL.
SO MOVED BY CENTER ROTH THAT
MOTIONS TO PASS AS AMENDED AND
REFERRED TO THE COMMITTEE ON
APPROPRIATIONS SECRETARY SENATOR
EGGMAN EGGMAN AYE WHEN. AS-
GONZALEZ GONZALEZ I GROWTH HER
TADO FOR TITLE II THE MON
MENJIVAR MENJIVAR AYE ROTH ROTH
AYE RUBIO. RUBIO AYE WELL HOT
WINNER. SIX SIX ZERO AGAIN- ON
TO ITEM. AB TWELVE SEVENTEEN
VOICE REMEMBER GRABEEL GREAT
GABRIEL CERVANTES AND SCHIAVO
THE MOTION IS TO PASS AMENDED
AND REFERRED TO COMMITTEE ON
APPROPRIATIONS. MOVE BY SENATOR
NGUYEN WHO WANT TO BE A CO
AUTHOR SECRETARY PLEASE CALL THE
ROLL. SENATOR EGGMAN AYE EGGMAN
AYE WHEN. LASER GONZALEZ
GONZALEZ I GROWTH HER TADO.
FURTADO I LIVE ALONE FRENCH OF
OUR MENJIVAR AYE ROTH. ROTH AYE
RUBIO. RUBIO I WILL HOP WINNER.
SIX ZERO I GUESS OKAY WE CAN DO
NUMBER SIXTEEN OF THE 17% OFF
THE TRACK FILE ITEM SIXTEEN
ASSEMBLY MEMBER CHEN MOTIONS TO
PASS AND REFERRED TO THE
COMMITTEE ON APPROPRIATIONS BY
SENATOR MENJIVAR SECRETARY
PLEASE CALL THE ROLL. SENATOR
EGGMAN BY EGGMAN AYE WHEN GLAZER
GONZALEZ GONZALEZ I GROWTH HER
TADO. HER TADO AYE LIMON
MENJIVAR MENJIVAR AYE ROTH ROTH
AYE RUBIO. RUBIO I WILL HAVE
WINNER. STILL SIX ZERO SIX ZERO
OKAY. LOOKING FOR AUTHORS. WE
CAN DO NINETEENTH CENTURY. WE
HAVE A STRICT NINETEEN JACKSON'S
RIGHT. IT WILL BEEN HERE THE
WHOLE TIME WE GET A LITTLE BIT
EARLIER. THROUGH ALL OF PLEASE
ANOTHER IS A REYES FAULT- DO
PASSES A MINUTE REFERRED TO THE
COMMITTEE ON APPROPRIATIONS OF
MOVED BY SENATOR WHAT HAAB
PLEASE YOU KNOW- MENJIVAR PLEASE
CALL THE ROLL. SENATOR EGGMAN
ROQUE HI. EGGMAN AYE. WHEN
GLAZER GONZALEZ GONZALEZ I
GROWTH FURTADO FOR TITLE II
LIMÓN. MENJIVAR FRENCH OF OUR
AYE ROTH. ROTH AYE RUBIO. RUBIO
AYE WELL HOBBS WINNER. SIX ZERO
SIX ZERO. YEAH. THE ONE THING
THAT THEY WERE ALL SIX ZERO YES
STEP. YEAH SO FAR. NINE TWELVE
THIRTEEN AND I SIXTY NINE THIRTY
AND THEN YOU CAN SAYS. SIXTEEN
NINE. RIGHT AND ALSO. IT'S A
WHOLE AND CONSENT OKAY RIGHT
YEAH THE ONE THING MISTER. FOUR
THIRTEEN.
FOR OH FOUR YEAH WE DID MORE
WITH SIX WE DID- YEP. IT WENT I
WENT TO WITH WE DID YEAH DID ONE
ONE THROUGH FOUR ZERO AND
THEY'RE ALL SIX.
ZERO
ASSEMBLY MEMBER WOULD. THIS IS
GREAT WHEN YOU WHEN YOU GET THE
PRICE. RIGHT I'VE BEEN SO HAPPY
TO SEE YOU SINCE YOU'RE MAKING
DINNER SOME. OKAY THEN SHARED SO
HAPPY TO SEE YOU HAVE SUCH A
LARGE CONTINGENT OF YOUR CLEARLY
HAD MORE WE WERE SITTING WAITING
PEOPLE LAUGH THEY DRAFT. I KNOW
I UNDERSTAND THAT ONE COMPLETELY
YEAH. OKAY AND- IF I COULD TO
SAY TO HEALTH COMMITTEE MEMBERS
WE HAVE AN AUTHOR SO NOW WOULD
BE THE TIME TO COME BACK
ASSEMBLY MEMBER WE DON'T KNOW WE
HAVE TO AUTHORS OKAY WE EIGHT
WE'RE RICH. D. B. EIGHT FORTY
THREE OR START WITH THAT ONE FOR
MISTER MURATSUCHI I MEAN FOR
EIGHTY THREE FORTY THREE SURE
THAT'S WHAT I MEAN TO OKAY OKAY
WE'LL PROBABLY DO THAT THANK
OKAY. I THANK YOU MADAM CHAIR
AND MEMBERS. ON BEHALF OF-
ASSEMBLY MEMBER MURATSUCHI I AND
THE BILL'S JOINT AUTHORS- BEFORE
I BEGIN I WANT TO CONFIRM WE ARE
HAPPY TO ACCEPT THE COMMITTEE
SUGGESTED AMENDMENT ON PAGE
SEVEN OF THE ANALYSIS AND THANK
YOU COMMITTEE. AND THERE AND
STAFF OF THE STAFF FOR THEIR
WORK ON THIS BILL THIS IS A
TECHNICAL BUT IMPORTANT BILL
THAT WILL INCREASE ACCESS TO
SCHOOL BASED HEALTH AND MENTAL
HEALTH SERVICES. THE L. A. L. E.
A. BILLION OPTION PROGRAM ALLOWS
SCHOOLS TO BE REIMBURSED FOR
MEDICALLY NECESSARY SERVICES
PROVIDED TO ANY MEDICARE
ELIGIBLE PEOPLE BY SCHOOL HEALTH
PROFESSIONALS. FOR TO LONG THE
DEPARTMENT HEALTHCARE SERVICE
AUDIT PROCESS HAS BEEN A BARRIER
TO INCREASING ACCESS TO THE
SCHOOL BASED SERVICES SCHOOLS
BEEN FRUSTRATED WITH THE HEAVY
ADMINISTRATIVE BURDEN AND
PUNITIVE AUDIT AUDIT FINDINGS.
MANY DISTRICTS HAVE FACED
SIGNIFICANT DISALLOWANCE IS
REQUIRING THEM TO RETURN MONEY
TO THE STATE AND IS FISCAL RISK
AS DISCOURAGED PARTICIPATION
SCHOOLS HAVE DROPPED OUT OF THE
PROGRAM ENTIRELY AND SOME DON'T
BILL FOR THE SERVICES THAT ARE
ELIGIBLE FOR REIMBURSEMENT. IN
FACT 75% ABOUT THE A CLAIMS
AUDITED BETWEEN TWENTY TWO
THOUSAND SEVEN AND TWENTY
FIFTEEN. REQUIRED SOME LEVEL OF
REPAYMENT TO THE STATE- AND
DURING THAT TIME. NOT A SINGLE
ELLIE A ONE A FORMAL APPEAL. AIN
CLAIMS MEANS THAT SCHOOLS ARE
DIPPING INTO THEIR GENERAL FUND
TAKING FUNDING AWAY FROM
CLASSROOM. AND OTHER SERVICES TO
STUDENTS. AS A RESULT CURRENTLY
ONLY ABOUT ONE HALF OF THE L.
LIAISING CALIFORNIA. PARTICIPATE
IN THIS PROGRAM SO WE ARE
LEAVING SIGNIFICANT FEDERAL
MONEY ON THE TABLE. A. B. FORTY
THREE REQUIRES REFORMS TO THE
AUDITING PROCESS. TO INCREASE
TIMELINESS INSURE ALL ELIGIBLE
SERVICES ARE REIMBURSED. AND
PROVIDE ADDITIONAL TECHNICAL
ASSISTANCE THESE CHANGES WILL
ENCOURAGE MORE SCHOOLS TO
PARTICIPATE IN THE L. A. ELLIE A
BILLING PROGRAM. BRING MORE
FEDERAL MONEY TO OUR STATE. AND
ULTIMATELY INCREASE THE
AVAILABILITY OF CRITICALLY
NEEDED HEALTH AND MENTAL HEALTH
SERVICES. ON OUR SCHOOL
CAMPUSES. I HAVE TWO WITNESSES
HERE TODAY WITH ME- DEREK LENNIX
REPRESENTING THE CALIFORNIA
COUNTY SUPERINTENDENTS.
ASSOCIATION AND TONI TREE GUERO
WITH THE CALIFORNIA TEACHERS
ASSOCIATION. THANK YOU VERY MUCH
PLEASE BEGIN. THANK YOU MADAM
CHAIR. TONY TO CARE ON BEHALF
THE CALIFORNIA TEACHERS
ASSOCIATION AND ONE OF THE CO
SPONSORS OF AB FOUR EIGHTY THREE
IT ACCOMPLISHES THREE THINGS. IT
MAXIMIZES THE NUMBER OF LOCAL
EDUCATIONAL AGENCIES
PARTICIPATING IN THE L. A. BOB
PROGRAM. WHICH IS THE ASSEMBLY
MEMBER INDICATED HAS ABOUT A 50%
PARTICIPATION RATE AT THIS
POINT. IT DRAWS DOWN THE MAXIMUM
AMOUNT OF FEDERAL DOLLARS THAT
CALIFORNIA IS ELIGIBLE TO
RECEIVE. AND IT DELIVERS TO
STUDENTS BOTH THE PHYSICAL AND
BEHAVIORAL HEALTH SERVICES
THEY'RE ENTITLED TO. PRIOR TO
JULY TWENTY TWENTY ONLY
CALIFORNIA STUDENTS WITH IEPS
INDIVIDUALIZED EDUCATION PLANS
WERE ELIGIBLE TO RECEIVE ELLIE A
BOP SERVICES BUT AS OF JULY
TWENTY TWENTY AND RETROACTIVE TO
TWENTY FIFTEEN. ALL MEDICARE
ELIGIBLE STUDENTS IN CALIFORNIA
BECAME ELIGIBLE FOR BOTH
PHYSICAL AND BEHAVIORAL HEALTH
SERVICES BASED ON THE APPROVAL
OF THE FEDERAL GOVERNMENT.
ELIGIBLE SERVICES WERE ALSO
EXPANDED AS WAS THE LIST OF
INDIVIDUALS WHO ARE ELIGIBLE TO
DELIVER THOSE SERVICES IN
CALIFORNIA THAT MEANS THAT MORE
THAN 60% OF ALL OF OUR PUBLIC
SCHOOLS STUDENTS. ARE MEDICARE
ELIGIBLE AND MORE THAN HALF OF
THEM WOULD BE ELIGIBLE FOR THESE
VITAL SERVICES WHILE ONLY HALF
OF THE L. A.'S PARTICIPATE IN
THE BOT PROGRAM. EVEN THOUGH
MOST ELLIE AS ARE DELIVERING
SERVICES BUT ARE NOT SEEKING THE
FEDERAL REIMBURSEMENT DUE TO THE
BURDENSOME AND PUNITIVE NATURE
OF THE DH. DH CS AUDIT PROCESS
FOR ELLIE A BOB. WHEN WE TALK
ABOUT FUNDING FOR SCHOOLS THE
AMOUNT OF MONEY ELEAZER ELIGIBLE
TO RECEIVE AND REIMBURSEMENT FOR
SERVICES BUT DO NOT CURRENTLY
BILL FOR IS A FUND IS
FOUNDATIONAL TO STUDENTS
RECEIVING A WIDE VARIETY OF
HEALTH SERVICES. AT SCHOOLS THAT
DIRECTLY IMPACTS THEIR EFFORTS
TO MAXIMIZE THEIR EDUCATIONAL
OPPORTUNITIES FOR SUCCESS. SINCE
NINETEEN SINCE TWENTY TWENTY ONE
THE DEPARTMENT OF HEALTH CARE
SERVICES BECAUSE OF SB. SEVENTY
FIVE DIDN'T TO TWENTY NINETEEN
BUDGET TRAILER BILL HAS HAD A-
MAP AS TO THE IMPROVEMENTS
NEEDED FOR THE DH CS AUDIT
PROCESS. INCLUDING A GREATER
FOCUS ON PROVIDING SUPPORT AND
TECHNICAL ASSISTANCE TO ELLIE
AS- INCREASING THE PARTICIPATION
OF ELLIE AS AND- IN THE BOB
PROGRAM ALONG WITH BILLING FOR
MORE ELIGIBLE SERVICES WILL
RESULT IN INCREASED FUNDING
AVAILABLE TO SUPPORT STUDENT
SERVICES. AS A SIDE BAR. ONE OF
THE EFFORTS INCLUDED IN THE BILL
FOR BILLION DOLLAR CHILDREN AND
YOUTH BEHAVIORAL HEALTH
INITIATIVE. IS A NEW FEE
SCHEDULE FOR ELLIE AS AND
MANAGED CARE PLANS PROVIDING
REIMBURSEMENT FOR BEHAVIORAL
HEALTH SERVICES ONLY. ONE CAN
ONLY IMAGINE IF WE CAN'T
MAXIMIZE THE OPPORTUNITIES FOR
ELLIE AS TO READILY AND EASILY
PARTICIPATE IN THE EXISTING
ELLIE A BOP PROGRAM. HOW AN
ADDITIONAL BILLING SYSTEM WILL
FARE. WE WANT TO THANK ASSEMBLY
MEMBER WOULD IN ASSEMBLY MEMBER
MERCY CHEAPER CARRYING ON THIS
VALIANT EFFORT AND WE CAN ONLY
HOPE THAT SOMETIME IN OUR
LIFETIME WE HAVE FIXED THIS
PROBLEM. PREACHING AND I BOTH
THANK YOU THANK YOU VERY MUCH
NEXT PERSON IN SUPPORT PLEASE.
GOOD AFTERNOON CHAIRMAN MEMBERS
I'M DEREK LENNIX ON BEHALF OF
THE FIFTY CALIFORNIA CALIFORNIA
COUNTY SUPERINTENDENT OF SCHOOLS
FOR THE CALIFORNIA COUNTY
SUPERINTENDENTS ASSOCIATION- I'M
PLEASED TO CO SPONSOR THIS
IMPORTANT MEASURING GRATEFUL TO.
A DOCTOR WOULDN'T ASSEMBLYMEMBER
MARTUCCI. CALIFORNIA IS
CURRENTLY IN THE MIDST OF
RESHAPING. WHAT ARE PUBLIC
SCHOOLS LOOK LIKE- WE'RE
BRINGING MORE SERVICES TO
CAMPUSES WHERE THE STUDENTS ARE
WILL BRING MORE PROVIDERS TO THE
STUDENTS WILL BRING IN THAT
FUNDING TO WHERE THE STUDENTS
ARE AND THIS IS ALL PART OF A
CRITICAL TRANSFORMATION THAT'S
CURRENTLY HAPPENING. IT'S NEARLY
IMPOSSIBLE TO DO THAT WITHOUT
ONGOING RESOURCES. IN CALIFORNIA
THE ONLY ON GOING FUNDING
CURRENTLY AVAILABLE TO SUPPORT
THIS WORK IS THE L. A. BOB
PROGRAM WHICH AS YOU'VE HEARD
FROM THE- PRESENTING MEMBER AND
SPEAKER SO FAR. HAS A HISTORY OF
SYSTEMIC ISSUES ASSOCIATED WITH
IT. THIS IS A PROBLEM BECAUSE
CALIFORNIA HAS AN ONGOING- YOUTH
MENTAL HEALTH CRISIS ALONG WITH
THE REST OF THE NATION. IN A
TWENTY TWENTY TWO STATEWIDE
SURVEY COMMISSIONED BY THE
CALIFORNIA ENDOWMENT 75% OF
YOUTH REPORTED ANXIETY. MORE
THAN HALF REPORTED DEPRESSION
31% EXPERIENCED SERIOUS SUICIDAL
IDEATION IN 18% OF YOUTH
INDICATED THAT THEY HAVE SELF
HARMED. THE CRISIS IS CURRENTLY
SEARCHING AND IT'S A PROBLEM
THIS BILL'S GOING TO HELP
ADDRESS BECAUSE WERE WE TO DRAW
DOWN MORE OF THE MEDICARE
REIMBURSEMENT RATES- SIMILAR TO
INCONSISTENT WITH LARGE STATES
LIKE CALIFORNIA IT WOULD
INCREASE FEDERAL FUNDING FOR
STUDENT HEALTH THE MENTAL HEALTH
SERVICES. BY APPROXIMATELY ONE
POINT THREE BILLION DOLLARS
ANNUALLY. THIS IS MONEY THAT
WOULD ENSURE THAT SPECIAL
EDUCATION PROGRAMS ARE ADEQUATE
ADEQUATELY FUNDED AND THAT
SCHOOL BASED HEALTH CENTERS
BEHAVIORAL HEALTH SERVICES AND
WELLNESS PROGRAMS HAVE ONGOING
FINANCIAL SUPPORT. FOR THESE
REASONS I RESPECTFULLY ASK FOR
YOUR SUPPORT FOR A BI FOR EIGHTY
THREE AND WOULD BE HAPPY TO
ANSWER QUESTIONS AT THE
APPROPRIATE TIME THANK YOU VERY
MUCH THANK YOU VERY MUCH. IN
OTHER SPEAKING IN SUPPORT JUST
NOW NAME AND AFFILIATION PLEASE
. GOOD AFTERNOON AMANDA DICKEY
ON BEHALF OF SANTA CLARA COUNTY
SUPERINTENDENT SCHOOLS IN
SUPPORT THANK YOU. GOOD
AFTERNOON CHAIRMAN MEMBERS THIS
RECOMMENDS COUNTY AFTER THE
ASSOCIATION OF CALIFORNIA SCHOOL
ADMINISTRATION ADMINISTRATORS
ALSO ON BEHALF OF THE
ASSOCIATION OF SCHOOL BUSINESS
OFFICIALS IN SUPPORT THANK YOU
THANK YOU VERY MUCH NEXT PERSON
. GOOD AFTERNOON BRIAN RIX THE
LOS ANGELES UNIFIED SCHOOL
DISTRICT IN SUPPORT THANK YOU.
GOOD AFTERNOON MARCEL BROWN'S
WITH CALIFORNIA SCHOOL BASED
HEALTH ALLIANCE IN STRONG
SUPPORT THANK YOU. GOOD
AFTERNOON JUST K. WITH THE
CALIFORNIA SCHOOL EMPLOYEES
ASSOCIATION IN SUPPORT THANK YOU
VERY MUCH. OKAY ANY RESPECT IN
OPPOSITION TO THIS BILL. SEEING
NONE WILL GO TO THE PHONE LINES
MODERATORS OR ANYONE IN THE
QUEUE ON THIS BILL. TO TESTIFY
IN SUPPORT OR OPPOSITION PLEASE
PRESS ONE AND. ZERO AND FIRST
PLAYER FROM LINE TO TWENTY SEVEN
PLEASE GO AHEAD. I'M NOT SURE
WHAT THE LOS ANGELES COUNTY
OFFICE OF EDUCATION SUPPORT.
THANK YOU VERY MUCH NEXT PERSON
PLEASE. AND IT WE HAVE TO MORE
PEOPLE COMING UP IN A C. ONE
MOMENT PLEASE WHILE WE PROVIDE
THEM WITH LINE NUMBERS.
AND NEXT WE'LL HEAR FROM LINE TO
EIGHTEEN PLEASE GO AHEAD.
AFTERNOON MY CONCERN WITH
STEINBERG AND COULD YOU AND FOUR
THANK YOU. AND THAT LINE. TO
THIRTY. THAT IN TURN MEMBERS FOR
WHAT ON BEHALF OF THE CALIFORNIA
ASSOCIATION OF TECHNOLOGISTS IN
SUPPORT OF AB UP FORTY THREE.
THANK YOU. MADAM CHAIR THERE ARE
NO FURTHER COMMENT THANK YOU
MUCH BRING IT BACK TO THE
COMMITTEE COMMENTS QUESTIONS THE
BILL HAS BEEN MOVED WOULD YOU
LIKE TO CLOSER I JUST
RESPECTFULLY ASK YOUR AYE VOTE
THING OKAY WE'LL TAKE THAT UP-
WHEN THE TIME COMES. ARE YOU
GOING TO MOVE ON TO THIRTEEN
THIRTY ONE. YES THANK YOU
BROTHER THANK YOU VERY MUCH OKAY
LET ME SAID LET'S GO AHEAD AND
DO THAT THE ROLL CALL AND I
GUESS. SYSTEM AND IT. REFER TO
SET THAT IS DEPRESSED AMENDED
REFERRED THE COMMITTEE ON
APPROPRIATIONS SECRETARY SENATOR
EGGMAN AYE EGGMAN AYE WHEN.
LASER GONZALEZ. GONZALEZ I
GROWTH HER TADO LIMÓN. MENJIVAR
ROTH RUBIO WILL HOBBS WINNER. TO
GOOD. WILL HOLD AN OPEN NOW
WE'RE GOING TO THIRTEEN THIRTY
ONE SIR THANK YOU MADAM CHAIR
AND SENATORS SO CALIFORNIA HAS A
FRAGMENTED AND DECENTRALIZED
HEALTH INFORMATION EXCHANGE
NETWORK WITH LIMITED
PARTICIPATION BY MAJOR TYPES OF
HEALTHCARE PROVIDERS. THIS
LIMITS THE ABILITY OF PATIENTS
HEALTH CARE PROVIDERS AND PUBLIC
HEALTH DEPARTMENTS TO USE DATA
TO IMPROVE HEALTH CARE QUALITY
AND CARE COORDINATION. IN TWENTY
TWENTY ONE THE CALIFORNIA HEALTH
AND HUMAN SERVICES AGENCY
CREATED A DATA SHARING
AGREEMENT. DEFINING THE PARTY
SUBJECT TO NEW DATA EXCHANGE
RULES SETTING FORTH A COMMON SET
OF TERMS CONDITIONS AND
OBLIGATIONS TO SUPPORT SECURE
REAL TIME ACCESS TO AN EXCHANGE
OF HEALTH AND SOCIAL SERVICES
INFORMATION. AND IN COMPLIANCE
WITH THE APPLICABLE FEDERAL
STATE AND LOCAL LAWS REGULAR
REGULATIONS AND POLICIES. THIS
BILL ESTABLISHES THE NEXT STEP
VIÆT BY CREATING A DATA EXCHANGE
BOARD TO DEVELOP RECOMMENDATIONS
AND ANY CHANGES TO THE
FRAMEWORK. RECENT AMENDMENTS
INCLUDE THE ADDITION OF AN
ENFORCEMENT FRAMEWORK BEST
PRACTICES TO COLLECT INDIVIDUAL
LEVEL DIFFERENT DEMOGRAPHIC AND
HEALTH RELATED SOCIAL NEEDS
DATA. AND A DESCRIPTION OF
QUALIFIED HEALTH INFORMATION
ORGANIZATIONS I WANT TO THANK
THE COMMITTEE IN YOUR STAFF FOR
YOUR WORK ON THIS BILL OF
ACCEPTING THE AMENDMENTS
DESCRIBED IN THE END AND IT ALSO
IS. I RESPECTFULLY ASK AN EYE
FOR AN EYE ABOUT OKAY THANK YOU
VERY MUCH PEOPLE SPEAKING IN
SUPPORT OF THIS BILL TODAY.
FIRST LEAD WITH CFA TERROR AND
COMMITTEE MEMBERS KAREN SAVAGE
SOMEONE ON BEHALF OF THE
CALIFORNIA PAN ETHNIC HEALTH
NETWORK I WE SUPPORT AT THIS
BILL WE WANT TO THANK THE AUTHOR
THE AUTHOR STAFF THE COMMITTEE
AND ALSO THE ADMINISTRATION FOR
WORKING WITH US TO ADDRESS OUR
CONCERNS. ON THE ORIGINAL BILL
AND TO BRING US TO A STRONG
SUPPORT POSITION- AS OTHER
MENTIONED THAT OUR HEALTHCARE
SYSTEM IS HIGHLY FRAGMENTED
WHICH PRESENTS CHALLENGES FOR
ALL OF US AS CONSUMERS ARE DATA
SILOS. AND OFTEN NOT AVAILABLE
TO ADDRESS EITHER OUR INDIVIDUAL
HEALTH CONCERNS OR TO HELP US
ADVANCE POPULATION HEALTH AS A
STATE. WHEN HEALTH DATA IS HELD
INDEPENDENTLY AND NOT SHARED IT
IS VERY DIFFICULT TO PROVIDE THE
HIGH QUALITY LINGUISTICALLY AND
CULTURALLY RESPONSIVE AND PERSON
CENTERED CARE THAT WE STRIVE FOR
IN THIS STATE. CURRENTLY ALL OF
US AS CONSUMERS BEAR THE BURDEN
OF TAKING OUR INFORMATION FROM
ONE PROVIDER TO THE OTHER
WHETHER THAT'S OUR HEALTH
HISTORY OUR PRESCRIPTIONS ARE
ALLERGIES OR MEDICAL CONDITIONS
AT CETERA. AND WE BELIEVE THAT
CONSUMER HEALTH DATA SHOULD BE
AVAILABLE TO IMPROVE THE HEALTH
OF CONSUMERS AND COMMUNITIES
FIRST AND FOREMOST WHICH IS WHY
WE SUPPORT THE DATA EXCHANGE
FRAMEWORK THAT WAS ESTABLISHED
BY THE LEGISLATURE IN TWENTY
TWENTY ONE- THIS BILL DOES A
COUPLE OF REALLY IMPORTANT
THINGS. ONE IS TO ENSURE STRONG
AND TRANSPARENT- GOVERNANCE
THROUGH AYE AYE NEUTRAL
GOVERNING BODY THAT INCLUDES
CONSUMER REPRESENTATION. HAS
APPROPRIATE CONFLICT OF INTEREST
PROVISIONS HAS CLEAR ROLES AND
AT THE READY AND PROVIDES AN
ANNUAL REPORT TO THE
LEGISLATURE. THE SECOND THING IS
TO FURTHER THE HEALTH EQUITY
GOALS OF THE DATA EXCHANGE
FRAMEWORK BY TAKING STEPS
TOWARDS USING BEST PRACTICES TO
REQUIRE THE COLLECTION OF
INDIVIDUAL LEVEL. DEMOGRAPHIC
AND SOCIAL NEEDS DATA. AND THE
THIRD IS TO PROMOTE THE SUCCESS
OF THIS FRAMEWORK THAT THE
LEGISLATURE ADOPTED BY ADDING
MECHANISMS FOR THE STATE TO
ENFORCE THE REQUIREMENTS OF THE
LAW. AND A DATA SHARING
AGREEMENT UNFORTUNATELY ALTHOUGH
IT MANY ENTITIES ARE CURRENTLY
REQUIRED TO BE SIGNATORIES ADD
TO THIS FRAMEWORK THEY- MANY ARE
VIEWING THIS AS OPTIONAL. AND
HAVE NOT SIGNED AND IT'S
THEREFORE IMPORTANT THAT THE
STATE UP PROVIDE A MECHANISM. TO
ENFORCE NOT ONLY SIGNING THE
AGREEMENT BUT ALSO THE POLICIES
AND PROCEDURES THAT COME ALONG
WITH IT. IT'S IMPORTANT FOR CA.
TO KNOW THAT THEIR INFORMATION
IS SAFE AND SECURE IT WILL BE
USED IN THEIR BEST INTERESTS. SO
FOR THIS REASON WE SUPPORT THE
BILL AND THINK THE AUTHOR THINK
THEY CHARGE YOUR SUPPORT. THANK
YOU VERY MUCH NEXT PERSON PLEASE
. HI THANK YOU MY NAME IS LAURIE
HOW CAN I SERVE AS THE INTERIM
EXECUTIVE DIRECTOR FOR THE
CALIFORNIA ASSOCIATION OF HEALTH
INFORMATION EXCHANGE
ORGANIZATIONS WERE. CALLED QUE
HIGH- WE'VE BEEN A COALITION OF
ORGANIZATIONS INCLUDING HEALTH
SYSTEMS- NOT FOR PROFIT A
COMMUNITY BASED ORGANIZATIONS.
TECHNOLOGY LEADERS AND EVEN
INDIVIDUALS WHO'VE WORKED FOR
THE PAST FIFTEEN YEARS IN
CALIFORNIA TO FACILITATE HEALTH
INFORMATION EXCHANGE. THIS IS
ENABLING OUR STAKEHOLDERS
HOSPITALS. CLINICS MEDICAL
GROUPS BEHAVIORAL HEALTH
PROVIDERS COUNTY HEALTH SERVICES
TO SHARE DATA. ABOUT
CALIFORNIANS- AS A MEMBER OF QUE
HI WE ARE SERVING AS THE
BACKBONE OF THE STATE'S HEALTH
INFORMATION EXCHANGE
INFRASTRUCTURE. AND WE STRONGLY
SUPPORT OF AB THIRTEEN THIRTY
ONE AND REALLY THANK YOU FOR.
PROVIDING THIS THIS OPPORTUNITY
TO CODIFY AND AMEND THE LAW TO-
ADD BUT THINGS THAT WE SUPPORT
SUCH AS THE QUALIFIED HEALTH
INFORMATION EXCHANGE.
REQUIREMENTS I'M ENFORCEMENT AS
WE JUST HEARD WEEK WE ALSO
SUPPORT AS WELL- WE ARE ALREADY
IN SUPPORT OF THE GOVERNANCE HAS
SINCE BEEN AMENDED- AND WE
PARTICULARLY APPLAUD THIS
REQUIREMENT FOR THE QUALIFIED
EACH I OWES TO BE NOT ONLY
NONPROFIT ORGANIZATIONS BUT THAT
THEY ARE NETWORKS THAT IN
WELCOME THE PARTICIPATION OF ANY
HOSPITAL. HEALTHCARE PROVIDER
HEALTH PLAN OR PUBLIC HEALTH
ORGANIZATION IN THEIR SERVICE
AREA. FOR THE PAST FIFTEEN YEARS
R. H. I. O. MEMBERS HAVE
PARTNERED WITH NATIONAL AND
STATE LEVEL TECHNOLOGY VENDORS
SO THAT WE CAN HELP CREATE THIS
BACKGROUND IN INFRASTRUCTURE IN
CALIFORNIA- BUT MOST IMPORTANTLY
WE HAVE AS NONPROFIT
ORGANIZATIONS PARTNERED WITH THE
STAKEHOLDERS IN OUR LOCAL
COMMUNITIES. WE ARE PROVIDING
AFFORDABLE SERVICES TO SAFETY
NET PROVIDERS SAID THAT ARE
MAKING UP SO MUCH OF THE
HEALTHCARE DELIVERY IN OUR STATE
. THE DESIGNATION TO OFFER A
NONPROFIT QUALIFIED H. I. O.
OPTION TO SAFETY NET PROVIDERS
AND ORGANIZATIONS AROUND THE
STATE AS AN ALTERNATIVE TO THE
TECHNOLOGY VENDOR OFFERING THAT
ALREADY EXISTS. INSURES THAT
THERE WILL BE INCLUSIVE ACCESS-
IN A PROCESS WHERE PROVIDING
CRUCIAL HEALTH CARE DATA
REGARDLESS OF THE RESOURCE
GEOGRAPHY OR PAYER. FOR OF THIS
DIVERSE POPULATION IN
CALIFORNIA. THE NONPROFIT STATUS
ALSO ALLOWS THE ORGANIZATIONS TO
REINVEST IN THEIR COMMUNITIES TO
FURTHER ADVANCE HEALTH
INFORMATION EXCHANGE FOR THE
MANY AREAS IN WHICH IT NEEDS TO
BE PROVIDED. ONE FINAL COMMENT
ON OUR SUPPORT OF THE QUALIFIED
H. I. O. REQUIREMENTS IN THIS
BILL. IS THE IS THE REQUIREMENT
ABOUT THE EXPLICIT DATA A
REQUIREMENTS I KNOW IT SEEMS-
EXCESSIVE BUT THESE MINIMAL
REQUIREMENTS THAT ARE ARE LISTED
IN THE BILL ARE NECESSARY TO
HELP LEVEL SET. SO WE ARE SURE
THAT THE PURCHASE A PENSAR
SHARING THE TYPES OF INFORMATION
THAT'S NEEDED TO MAKE CLINICAL
DECISIONS. AND FINALLY THIS THIS
PARTICULAR AREA OF HEALTH
INFORMATION EXCHANGE AS A NON
PROFIT STATUS IS REALLY A MERE
OF STATE. REGULATION ALREADY
ENACTED IN A STATE SUCH AS
ARIZONA- DELAWARE NEW YORK
WISCONSIN VERMONT AND SEVERAL
OTHERS- SOME OF THE STATE'S OF
EVEN USE THIS AS THE EXCLUSIVE
MECHANISM FOR DATA SHARING
YOU'LL NEED TO WRAP UP. OKAY SO
BEFORE I CONCLUDE I WANT TO SAY
WE ENFORCE WE AGREED WITH THE
ENFORCEMENT PROVISIONS- WE ARE-
WE ARE THRILLED TO HAVE THIS
BILL IN PLACE. AND WE FIND IT AS
A JUST A NEXT STEP IN OUR
PROCESS FOR DATA SHARING. OTHERS
NOW SPEAKING IN GENERAL SUPPORT
NAME AND AFFILIATION AND IF WE
CAN KEEP THAT I'LL OPEN A LOT OF
A LOT OF SPACE IN THE AND THE
ROOM FOR PEOPLE LINING UP. THE
INTERPUBLIC'S WITHHELD ACCESS
CALIFORNIANS SUPPORT OKAY THANK
YOU. SANDRA PROPUESTAS CENTER
ALONG POVERTY IN SUPPORT THANK
YOU. MORE NO ANTIGENIC ON BEHALF
OF BLUE SHIELD OF CALIFORNIANS
THANK YOU. GEORGE SOURIS
CALIFORNIA MEDICAL ASSOCIATION
SUPPORT OF AMENDED APPRECIATE
THE RECENT DIRECTION OF THE
AMENDMENTS WILL CONTINUE WORKING
WITH THE AUTHOR COMMITTEE THANK
YOU. THANK YOU VERY MUCH. THANK
YOU MADAM CHAIR AND MEMBERS
THERESA STARK WITH KAISER
PERMANENTE IF I COULD TAKE A
MINUTE WE ARE IN SUPPORT OF
AMENDED POSITION WE DO AGREE
WITH THE AUTHOR ON THE GOAL TO
IMPROVE HEALTH INFORMATION
EXCHANGE IN CALIFORNIA GET THAT
DATA EXCHANGE FRAMEWORK UP AND
RUNNING. WE DO HAVE A FEW
SUGGESTIONS THAT WE THINK WHICH
STRENGTH IN THE GOVERNING BOARD
ITSELF- WHICH WE'RE HAPPY TO
CONTINUE TO TALK TO THE AUTHOR
AGAIN OUR MAIN CONCERN WITH THE
BILL- IS THAT DEFINITION OF
QUALIFIED HEALTH INFORMATION
ORGANIZATION- THAT DOES STRAY
FROM THE WORK THAT ACTUALLY-
DOCTOR WOULD REFERRED TO THE
WORK. AT THE DATA EXCHANGE
FRAMEWORK ALMOST TWO YEARS OF
WORK HAS GONE INTO ACTUALLY.
DECIDING WHAT A Q. HIGH- IS WHAT
THE DEFINITION IS. HOURS OF
MEETINGS IT HAS GONE A DIFFERENT
DIRECTION FROM WHAT'S IN THE
BILL AND SO I THINK WE WANT TO
JUST BE CAREFUL THAT WE DO
RESPECT THAT PROCESS. AT THE
AGENCY OVER AT CDI- THAT IS THE
DIRECTION THAT HEALTH
INFORMATION EXCHANGES GOING IN
THIS COUNTRY- THIS ACTUALLY IS
NOT WHAT'S IN THE BILL SO I
THINK WE WANT TO JUST BE CAREFUL
ABOUT HOW WE DEFINE. A Q. HEIAU
AND NOT HAVE IT BE THE CENTRAL
REPOSITORY OF HEALTH INFORMATION
BECAUSE THERE ARE SOME RISKS-
WITHOUT AS WELL AND IT'S NOT
NECESSARY SO HAPPY TO. TALK TO
THE AUTHORS OFFICE AND CONTINUE
TO WORK WITH- WITH HIS STAFF I'M
ON THIS BUT WITH THE REMOVAL OF
THAT WOULD BE HAPPY TO SUPPORT
THE BILL. THANK YOU. OKAY
ANYBODY IN BETWEEN I SEE
HESITANCY THERE. IN BETWEEN THE
OPPOSE UNLESS AMENDED
CATEGORIES- GOOD GOOD AFTERNOON
MADAM CHAIR AND MEMBERS COUNTY
DELGADO ON BEHALF OF POINT CLICK
CARE HERE RESPECTFULLY- OPPOSE
UNLESS AMENDED TO AB THIRTEEN
THIRTY ONE. MEMBERS POINT CLICK
CARE IS A LEADING HEALTHCARE
TECHNOLOGY PLATFORM ENABLING
MEANINGFUL CARE COLLABORATION.
ON PATIENTS HEALTH CARE JOURNEY
DEDICATED TOWARDS INCREASING AND
IMPROVING AND OPERABILITY. POINT
CLICK CARE IS PARTNERED IN OVER
50% OF CALIFORNIA HOSPITALS AND
NINE HUNDRED. SKILLED NURSING
FACILITIES AND FULLY OURS FULLY
SUPPORTIVE OF A STATE WIDE DATA
INFRASTRUCTURE IN CALIFORNIA AND
PATIENTS AND PROVIDERS. WOULD
LIKE TO INSURE THAT WE DON'T
CREATE BARRIERS OR HINDER THE
LONG TERM SUCCESS OF DATA
EXCHANGE FRAMEWORK AS WE BEGIN
THE PROCESS OF THIS IMPORTANT
WORK. WE ARE PARTICULARLY
CONCERNED WITH EXPLICITLY
PREVENTING PARTICIPATION FOR
PROFIT- ENTITIES TO PARTICIPATE
AS A Q. H. I. O. IN THESE PUBLIC
PRIVATE PARTNERSHIPS WHICH WE
BELIEVE COULD STIFLE INNOVATION
AND CUTTING EDGE TECHNOLOGY
DEVELOPMENTS. AND PROTECTION OF
PATIENT SENSITIVE DATA I WE ARE
TRYING TO UNDERSTAND THE
AFFILIATION LANGUAGE OF THE BILL
WHICH WE FEEL PREVENTS
ORGANIZATIONS AFFILIATED WITH
HEALTH CARE ORGANIZATIONS OR EHR
VENDORS. FROM BECOMING A Q. H.
I. O. AND MIGHT INCREASE COSTS
FOR PROVIDERS LASTLY WE BELIEVE
EXISTING RELATIONSHIPS BETWEEN
PROVIDERS THEIR COMMUNITIES
TECHNOLOGY PARTNERS SHOULD BE
PRESERVED AS LONG AS THEY'RE
ABLE TO MEET THE TECHNICAL
REQUIREMENTS PUT FORTH BY THE
STATE- AND ARE CONCERNED THAT
THIS COULD LEAD TO SILO DATA
REPOSITORIES. THANK YOU FOR
THESE REASONS WE RESPECTFULLY
ASK FOR YOUR NUMBER AND WE HOPE
TO CONTINUE CONVERSATIONS THAT
SOUND LIKE OPPOSITION THAT'S UP
OPPOSE UNLESS AMENDED I'M SORRY
. ARE YOU WHAT ARE YOU IN
OPPOSITION ARE INTERVIEWING YOUR
RUMORED TO IN BETWEEN. I THANK
YOU MADAM CHAIR EVERY
FLEXIBILITY- MARC FOR CALIFORNIA
HOSPITALS ASSOCIATION ALSO
SPEAKING FOR THE ASSOCIATION
PUBLIC HOSPITALS- WE PROVIDED A
LETTER OF CONCERN TO THE
COMMITTEE AND TO THE AUTHOR'S
OFFICE ALL ALSO TO THANK THE
AUTHOR FOR THE TIME WE'VE SPENT
WITH HIS STAFF TALKING ABOUT
THESE ISSUES- WE REMAIN
CONCERNED REGARDING THE RECENT
AMENDMENTS. TO THE BILL THAT
WOULD IMPOSE SIGNIFICANT
PENALTIES ON HOSPITALS FOR NOT
SIGNING A NEW AGREEMENT THAT IS
NOT YET FINALIZED AND LACKS
CLARITY ON SEVERAL CRITICAL
POINTS- HOSPITALS HAVE EVERY
INTENTION OF COMPLYING AND WE
WANT TO HEALTH INFORMATION
EXCHANGE TO WORK- BUT IS
CRITICAL THAT EVERYONE SUBJECT
TO THE AGREEMENT HAVE A CLEAR
UNDERSTANDING OF HOW TO BE IN
COMPLIANCE- THE DSA REMAINS
UNCLEAR RELATED TO SEVERAL
FUNDAMENTAL COMPONENTS. AS IT
REFERENCES MULTIPLE POLICIES AND
PROCEDURES. THEY HAVE YET TO BE
DEVELOPED MEANING THAT WHAT
COMPLIANCE MAY LOOK LIKE IS
STILL UNCERTAIN. IT'S CRITICAL
THAT WE GET THIS RIGHT WE LOOK
FORWARD TO CONTINUING TO WORK
WITH THE AUTHOR STAFF AND THE
COMMITTEE THANK YOU. THANK YOU
VERY MUCH. OTHER SPEAKING IN
OPPOSITION GENERALLY. SORT OF
LEE. OKAY LET'S GO TO PHONE
LINES- SPEAKING IN OPPOSITION
AND OR SUPPORT. AND OR IN
BETWEEN JUST NAME AFFILIATION.
HERE TESTIFIED IN SUPPORT OR
OPPOSITION TO A. B. THIRTEEN
THIRTY ONE PLEASE PRESS ONE ZERO
. WE DO HAVE A COUPLE OF LINE
GIVING UP SO JUST BE A MOMENT
PLEASE WHILE WE PROVIDE THEM
WITH THEIR LINE NUMBERS. THANK.
ONE MORE MOMENT PLEASE. AND NOW
WE WILL HEAR FROM LINE IT TWO
THIRTY THREE PLEASE GO AHEAD
YOUR MIKE IS OPEN. WELL IT WILL
BE A BUNCH YOU ON BEHALF OF
CONNECTING BETTER HELP YOU
STRONGLY. L. YEAH THANK YOU NEXT
CALL PLEASE. AN ONLINE TO
SEVENTEEN. AMORITE YEAH AND I AM
OPPOSITE IN OPPOSITION TO THIS
BILL THANK YOU. MADAM CHAIR
THERE ARE NO FURTHER COMMENT.
OKAY THANK YOU VERY MUCH BRING
IT BACK TO THE COMMITTEE NOW AND
JUST TO CONFIRM THE MANAGER
TAKEN OUR DATA PRIVACY
CONFIDENTIALITY AND SECURITY THE
TOPICS TO BE DEVELOPED UNDER THE
POLICIES AND PROCEDURE. REQUIRED
CD AYE AYE TO REPORT VIOLATIONS
TO ANY OTHER ENTITIES AUTHORIZED
TO ENSURE COMPLIANCE WITH DATA
SHARING POLICIES AND PROCEDURES
MAKE THE BOARD SUBJECT TO
ARTICLE THREE. AT REQUIRE THE
BOARD TO REVIEW MODIFY AND
APPROVE NEW DATA SHARING
REQUIREMENTS AUTHORIZE THE BOARD
TO CALL EMERGENCY MEETING FOR
THE PURPOSE OF FEDERAL
REGULATORY COMPLIANCE WITH AT
LEAST FIVE BUSINESS DAYS NOTICE
AND TO ENSURE THAT AT LEAST ONE
BOARD MEETING OCCURS BEFORE
ADOPTION AND CLARIFY WHAT Q. H.
I. O. CRITERIAS RIGHT OKAY. OKAY
BRING IT BACK THROUGH
COMPLICATED STUFF YOU'RE WORKING
ON AND SO AND I KNOW YOU'VE BEEN
DOING THIS FOR YEARS NOW AND SO
ANYTIME YOU DO THAT I THINK
THERE'S YOU KNOW THERE'S GOING
TO BE A LOT OF OPINIONS HERE
THERE AND EVERYWHERE. SO WE
APPRECIATE THIS WORK I THINK
THIS IS VITALLY IMPORTANT THAT
WERE ABLE TO WE GET ALL KINDS OF
THINGS ONLINE WHICH ARE BILL'S
RECORD SHOULD BE ABLE TO FOLLOW
US WHEREVER WE GO NO MATTER WHAT
THE SYSTEM OR IN- FOR A COMPLETE
AND ACCURATE CARE. SO I'M A BIG
SUPPORTER WOULD YOU LIKE TO
CLOSE. THANK YOU VERY MUCH
SENATOR AND IT IS COMPLICATED
BUT THE PREMISE IS PRETTY
SIMPLE. AND THE ME JUST
ILLUSTRATE THAT BECAUSE I THINK
IT'S IMPORTANT- HERE'S AGO I WAS
A PATIENT AT. AN EMERGENCY ROOM
AND YOU SEE HOW DO YOU SEE
HOSPITALS AND SAN DIEGO. OF
COURSE I DON'T HAVE A LOT OF
HEALTH ISSUES. BUT HAD A HIGH-
THERE WAS NO WAY THAT THE UC'S
COULD REALLY COMMUNICATE IN REAL
TIME WITH MY HEALTH PROVIDER
SUTTER HEALTH. AND THAT WAS
ACTUALLY ONE OF THE THINGS THAT
STARTED ME THINKING ABOUT GOING
ABOUT THE NEED FOR THIS KIND OF
DATA. PEOPLE SEEM TO FORGET OR
NOT WANT TO. TALK ABOUT THE
FACT. THAT YOUR HEALTH DATA IS
NOT THE PROPERTY OF YOUR HEALTH
CARE PROVIDER IS THE PROPERTY OF
THE PATIENT. SO THE WHOEVER YOUR
PROVIDER IS AS A CUSTODIAN. OF
THAT RECORD. AND SO- IT'S
IMPORTANT TO ME THAT WE GET
EVERYBODY. IN ON THIS. AND I
WOULD APPRECIATE THAT THE FOLKS
THAT HAVE SIGNED A SIGNED THE
AGREEMENT. IS IT. AND THERE WILL
BE OP OPPORTUNITIES TO WORK
THROUGH THE PROCESS AND THAT.
THERE WILL BE AN OPPORTUNITY TO
YOU KNOW RATIFY THIS AT THE VERY
END OF AT THE BEEN THE PROCESS
THERE. BUT THERE ARE SOME
PLAYERS THAT HAVE NOT. AND ONE
OF THOSE IS THE UC HOSPITALS
HAVE NOT SIGNED ON. AND I'VE-
VERY DISAPPOINTED IN THAT
BECAUSE MY HEALTH PROVIDER
SUTTER HEALTH PASSED. KAISER
HOUSE OTHERS HAVE. BUT THE UC'S
HAVE NOT SIGNED ON AND I'M
REALLY REALLY DISAPPOINTED THAT
I HOPE THAT THEY ACTUALLY DO.
THEY ARE AFFILIATED WITH THE-
WITH US HERE WE GET DO GET
FUNDING THROUGH THE STATE. AND
I'M DISAPPOINTED THAT THEY'RE
NOT AND I AND I REALLY HAVEN'T
RECEIVED ANY SORT OF GREAT
ANSWER FOR THAT. SO THE GOAL IS
THAT WE HAVE THAT HAVE. REAL
TIME INFORMATION EXCHANGE. IN
THE INTEREST OF MAKING SURE THAT
PATIENTS GET THE APPROPRIATE
CARE AT THE RIGHT TIME. AND HAD
I BEEN. HILL HAD SOME MAJOR
CONDITION. THE UC HOSPITALS
WOULD NOT HAVE BEEN ABLE TO
NECESSARILY COMMUNICATE WELL AND
I MIGHT HAVE GOTTEN
INAPPROPRIATE CARE I MIGHT HAVE
HAD AN MRI A WEEK BEFORE AND HAD
ANOTHER MRI THERE. X. THESE ARE
THE KINDS OF THINGS THAT LEAD
TO. INCREASING COSTS AND IN IN
AND INEFFICIENCIES IN THE SYSTEM
AND WE NEED TO WE NEED TO CHANGE
THAT REDUNDANCY. GRAYSON RESET
ITSELF SO THAT THAT THAT'S IN A
NUTSHELL A PRIMATE MORE
COMPLICATED BY TRYING TO MAKE IT
LESS COMPLICATED BUT- BUT IT IS
ABOUT REAL TIME INFORMATION
EXCHANGE. SO PEOPLE CAN GET
APPROPRIATE CARE AND- AND ALSO
THE ABILITY TO COLLECT-
INFORMATION FOR RESEARCH- ANNA
AND DATA- AND LOOKING AT
SPECIFIC COMMUNITIES- AND
DISPARITIES IN HEALTH CARE AND
TRYING TO USE THAT DATA. TO HELP
IMPROVE HEALTH CARE FOR THOSE
FOR THOSE FOLKS. THANK YOU SIR
RESPECTFULLY ASK RIVAL. IT
MOTION MOTION. SO MOVED BY
SENATOR ROSS- AND IT IS DUE
PASSED AS AMENDED AND REFERRED
TO THE COMMITTEE ON
APPROPRIATIONS. SENATOR EGGMAN
HI EGGMAN AYE. WHEN GLAZER.
GONZALEZ HI GONZALEZ I GROWTH.
FURTADO LIMÓN. MENJIVAR ROTH.
ROTH AYE. RUBIO BOB. WIENER HE'S
- JUST JUST A HEALTHY THREE
WHICH IS GOOD YES THERE. OKAY
AND MOVE ON TO A P. FIFTEEN
THIRTY SEVEN THANK YOU VERY MUCH
AND THIS IS THE LAST ONE. TODAY
MEMBERS I THINK I HAVE ONE
CONSENT UNLESS I GOT PULLED OUT
OF THE FRONT THANK YOU. THANK
YOU VERY MUCH. MADAM CHAIR AND
MEMBERS- THIS IS AB FIFTEEN
THIRTY SEVEN. THIS BILL MAKES
IMPORTANT CHANGES IN HOW SKILLED
NURSING FACILITIES WILL MANAGE
THEIR MONEY. IT WILL IMPROVE THE
QUALITY OF CARE THAT RESIDENTS
RECEIVE. THE BILL REQUIRES A
FACILITY TO SPEND 85% OF ITS
TOTAL REVENUES ON DIRECT PATIENT
CARE MUCH THE SAME WAY THAT
INSURANCE COMPANIES ARE ALREADY
REQUIRED TO SPEND 85% OF
REVENUES. ON PATIENT CARE
THROUGH THE USE OF THE MEDICAL
LOSS RATIO OR MLR. DIRECT
PATIENT CARE CARE INCLUDES AN
APPROPRIATELY SO STAFFING WAGES
BENEFITS THERAPY SUPPLIES
PHARMACY PLANT OPERATIONS AND
MAINTENANCE LAUNDRY DIETARY ALL
THE THINGS THAT DIRECTLY BENEFIT
A RESIDENT OF A NURSING HOME.
NON DIRECT CARE THAT WON'T COUNT
TOWARDS THE 85% SPENDING
REQUIREMENT AND INCLUDES IT
MINISTRY OF COSTS EXECUTIVE
WAGES PAYMENTS TO MANAGEMENT
COMPANIES HOME OFFICE EXPENSES
FOR PARENT COMPANIES. AND
PROFITS PAID TO CONTRACTORS OR
RELATED PARTY ENTITIES AMONG
OTHER THINGS. RELATED PARTY
ENTITIES A SUBJECT HAS SPENT
MUCH TIME TO UNDERSTAND. OUR
COMPANIES AFFILIATED WITH THE
SKILLED NURSING FACILITY
OWNERSHIP THAT THEY USED TO
INCREASE PROFITS OFTEN PAYING
THEMSELVES MUCH MORE THAN THE
COST ALLOWED BY MEDICARE OR
MEDICARE. FOR EXAMPLE FACILITY
OWNERS RIGHT NOW ARE TAKING
ADVANTAGE OF LOOPHOLES THAT
ALLOW COMPANIES TO OWN SAFE FIVE
FACILITIES. AND TO USE A RELATED
ENTITY THE ALSO ON TO BUILD
THOUSANDS OF DOLLARS EVERY MONTH
IN ADMINISTRATIVE FEES. FOR
USING A LAUNDRY COMPANY THEY
ALSO OWN TO BILL EACH OF THEIR
OWN FACILITIES WHAT WHAT MAY BE
OVER MARKET FEES FOR SERVICE. I
MEAN CONVERSATIONS WITH THE
ADMINISTRATION ON REGARDING
TECHNICAL AMENDMENTS TO
STREAMLINE THE IMPLEMENTATION
WHICH WILL INCLUDE A DELAYED
IMPLEMENTATION DIET DOT
TIMELINE. TO ALLOW SKILLED
NURSING FACILITIES TO ADJUST TO
THESE CHANGES THERE IS NO
OPPOSITION TO THIS BILL THAT I
HOPE- WE'LL FIND OUT- BUT I
RESPECTFULLY ASK FOR LIVE UP.
THANK YOU VERY MUCH. WE RECENTLY
RECEIVED A LETTER OF CONCERN.
WE'LL SEE. WE'LL SEE. OKAY
PEOPLE SPEAKING SUPPORT NOW
WOULD BE THE TIME TO COME
FORWARD. COMPLETELY WITNESSES
TODAY. THE HIM OKAY. OKAY JUST
GENERAL. THANK SEEN AND I HAVE A
LONG LIST HERE THOUGH-
OPPOSITION. HELLO. ARE YOU ARE
YOU ARE YOU WITH YOUR LETTER.
YES I AM OKAY I'M A BIT OF A
TWEENER APOLOGIZE JENNIFER
SNYDER WITH KAPPLE ADVOCACY ON
BEHALF THE CALIFORNIA
ASSOCIATION OF HEALTH
FACILITIES. AND OF THE ASSEMBLY
MEMBER KNOWS WE SUBMITTED A
LETTER FOR CONCERN- MAINLY BASED
ON WHAT WE CAN SEE WHAT WE-
UNDERSTAND WILL BE TECHNICAL
SYSTEM AMENDMENTS FROM THE
DEPARTMENT HEALTH CARE SERVICES
WE HAVE A NEUTRAL POSITION ON
FIFTEEN THIRTY SEVEN. WE WENT TO
A NEUTRAL POSITION ON A PREVIOUS
BILL THAT IS IDENTICAL TO AB
TWENTY SEVENTY NINE. AND WE'RE
INCREDIBLY GRATEFUL IN WORKING
WITH THE AUTHOR- ON ON THAT BILL
AND CONTINUE TO BE IN THAT
NEUTRAL POSITION I THINK THE
CONCERN IS THAT AS AS FROM THE
DEPARTMENT PROVIDES AND MAYBE TO
TECHNICAL ASSISTANCE AMENDMENTS
A LITTLE. LATE IN THE PROCESS-
WE WANTED TO MAKE SURE THAT WE-
TALKED ABOUT A COUPLE
CONSIDERATIONS THAT THE
ASSOCIATION ONCE- ONCE. THE
LEGISLATURE TO UNDERSTANDING
CONSIDER BASED ON WHAT WE
POSSIBLY THINK THAT APARTMENTS
GOING TO COME OUT WITH WITH
THEIR DEPARTMENT WITH
AMENDMENTS- FIRST AND FOREMOST A
PART OF WHAT WE NEGOTIATED WITH
THE AUTHOR- BACK IN TWENTY
TWENTY TWO. WAS A TO ASSURE THAT
THE BILL ONLY DEALT WITH THOSE
FUNDS THAT THE STATE REGULATED
MEANING THAT THE BILL DEALS NOT
ONLY WITH REVENUES BUT COSTS BUT
ALSO OVERSIGHT WITH THE MEDICARE
PROGRAM AND SO. THE WAY THAT
FIFTEEN THIRTY SEVEN IS
CONSTRUCTED RIGHT NOW IT ONLY
APPLIES TO MEDICARE FUNDS BOTH
COSTS REVENUE AND REGULATORY
OVERSIGHT. AND IT DOES NOT DEAL
WITH MEDICARE FUNDS- AND WE
BELIEVE THAT MEDICARE AND GAN
IS- UNDER THE OVERSIGHT OF THE
FEDERAL GOVERNMENT IT THEY
REGULATE HOW THOSE FUNDS ARE.
ARE UTILIZED AND THEY PROVIDE
THE OVERSIGHT FOR THOSE FUNDS
AND SO PART OF WHAT WE
NEGOTIATED WITH THE AUTHOR WAS-
WAS RELATIVE TO MAKING SURE THAT
WE KEEP MEDICAID AND HAVE IT
ONLY MEDICAID. THE SECOND IS-
WHAT'S IMPORTANT FOR PROVIDING.
QUALITY PATIENT CARE IS TO MAKE
SURE THAT THE FACILITY IS ALSO A
QUALITY FACILITY SO. ANYTHING
RELATIVE TO CAPITAL COSTS RENTS
LEASE- THE BEDS THAT ARE
PATIENTS SLEEPING THE COOL MEANT
THAT THEY USE- IT'S IMPORTANT
THAT. APPROPRIATE COSTS RELATIVE
TO THAT ARE FACTORED IN- AND SO
WE HOPE IN THE DEPARTMENTS
AMENDMENTS BOTH RELATIVE TO- HOW
WHAT MONIES ARE LOOKED AT. AND
WHAT COSTS RELATIVE TO CAPITAL
COSTS- AND ARE INCLUDED WE WANT
TO MAKE SURE THAT THAT THE
SPIRIT OF THAT IS STILL
INCLUDED- AS FIFTEEN THIRTY
SEVEN MOVES FORWARD. AGAIN
REALLY APPRECIATE ALL THE WORK
WE'VE DONE WITH THE AUTHOR I AM
VERY HOPEFUL THAT WILL CONTINUE
THAT WAY M. AND SO AT THIS POINT
JUST CONCERNS AND NO OPPOSITION
APPRECIATE AND THE COMMITTEE'S
INDULGENCE THANK YOU. ALL RIGHT
WHO WE HOPE THE DEPARTMENT IS
LISTENING. OKAY OKAY ANY
QUESTIONS COMMENTS OR LET'S GO
TO THE PHONE LINES ARE YOU HAVE
SOME WE HAVE SOME REAL OWN GOAL
PLEASE GO AHEAD. MADAM CHAIR
GOOD AFTERNOON MADAM CHAIR AND
MEMBERS NORRLAND ASPECT ON
BEHALF OF PROVIDENCE- PROVIDENCE
IS ONE OF THE- AND WILL NOW ONE
OF THE LARGEST ON SKILLED
NURSING FACILITY OPERATORS- AND
IN CALIFORNIA. I JUST WANTED TO
SHARE- THAT WE SHARE THE
CONCERNS THAT CALF. HAS RAISED
ONTO AB FIFTEEN THIRTY SEVEN ARE
WE SPECIFICALLY HAVE CONCERNS
AROUND THE DEFINITION- IN THE
BILL RELATED TO DIRECT A PATIENT
RELATED SERVICES- IF APPLIED ON
THIS WOULD ACTUALLY HAVE A
DIRECT. NEGATIVE IMPACTS OUR
FACILITIES ABILITY TO PROVIDE. A
HIGH QUALITY CARE I'M ESPECIALLY
TO IT TO MEDICARE PATIENTS SO
THANK. YOU THANK YOU VERY MUCH
OKAY. NOW GOING TO THE PHONE
LINES MY- OR ANY ON THE LINE.
HMM WHICH TO SPEAK IN SUPPORT OR
OPPOSITION THE PRESS ONE THEN
ZERO AT THIS TIME. WELL THAT
CURRENTLY DON'T BRING UP THIS
TIME MEDICARE OKAY THANK YOU.
BRING IT BACK TO THE COMMITTEE.
QUESTIONS COMMENTS MOTIONS.
WOULD YOU LIKE TO CLOSE THANK
YOU THANK YOU MEMBERS AND THANK
YOU MADAM CHAIR I GUESS- THIS
LISTENING TO. THE LETTER THE
CONCERN- MY HOPE IS THAT THAT.
MEDICARE PATIENTS AND OTHERS.
THAT THERE WOULD THAT WE'RE NOT
GOING TO CREATE A SECOND SECOND
STANDARDS HERE. I WOULD HOPE
THAT THERE WOULD BE- THE ABIDING
BY THE SPIRIT OF WHAT WE'RE
ASKING FOR WITH OUR MEDICARE
POPULATION REMIND ME OF THESE
ARE ALL VULNERABLE PEOPLE. SO I
HAVE MY HOPEFUL THAT WE'RE NOT
LOOKING AT. A FACILITIES LOOKING
AT THE OPPORTUNITIES THEY WILL
WILL DO THAT FOR MEDICARE BUT
WE'RE STILL GOING TO DO ALL
THESE OTHER THINGS RELATED TO
PRIVATE PAY OR MEDICARE THAT
WOULD BE- THAT WOULD BE A
PROBLEM AND- TRUST ME THAT WOULD
HAPPEN WE- PROBABLY ASK YOU A
QUESTION ON WAYS TO FIX THAT SO
I HOPE THAT. IN SPIRIT THAT THAT
THIS IS THE THIS IS THE
BENCHMARK- AND THAT THAT GOING
FORWARD THAT THAT'S THAT'S HOW
IT'S PLAYED OUT YEAH. I
RESPECTFULLY ASK RIVAL OKAY
THANK YOU VERY MUCH SECRETARY IF
YOU COULD PLEASE. ALL THE ROLE
AND THE MOTION IS TO PASS
THROUGH FOR THE COMMITTEE ON
APPROPRIATIONS. SENATOR EGGMAN.
EGGMAN AYE WHEN. GLAZER
GONZALEZ. GONZALEZ I GROWTH
FURTADO. LIMON MENJIVAR. LIKE
MANY OF OUR AYE ROTH. ROTH AYE
RUBIO. WILL HOBBS. WINNER. FOR
WILL CALL THE ROLL OPEN THANK
YOU VERY MUCH ASSEMBLY MEMBER
ASSEMBLY MEMBER IS A BURKE.
KEEPING PATIENTLY HERE.
MADAM CHAIR COMMITTEE MEMBERS.
LET ME START. FUSING LET ME
START BY STATING MY THANKS TO
YOU AND THE COMMITTEE STAFF. FOR
YOUR INCREDIBLY- NIGHTS
ENGAGEMENT ON THIS BILL WE WILL
BE ACCEPTING THE AMENDMENTS IN
RESPONSE TO THE COMMENT AND
ANALYSIS RELATED TO THE
IMPLEMENTATION DATE- TODAY I AM
PROUD TO PRESENT AB SIXTEEN
FORTY FIVE WHICH IS SPONSORED BY
INSURANCE COMMISSIONER REQUIRED
A LOT OF. A QUALITY CALIFORNIA A
P. EIGHT A. P. LA HEALTH LOS
ANGELES LGBT CENTER AND THE SAN
CISCO AID FOUNDATION A COUPLE
MONTHS AGO YOU MAY HAVE SEEN
HEADLINES ABOUT A FEDERAL JUDGE
IN TEXAS WHO STRUCK DOWN
NATIONAL PROTECTIONS FOR
PREVENTIVE CARE BENEFITS UNDER
THE AFFORDABLE CARE ACT. WELL WE
DO HAVE PROTECTIONS IN
CALIFORNIA SOME OF THEM ARE
BASED ON THE FEDERAL PROTECTIONS
SAID THERE'S A CONCERN THAT THIS
TEXAS CASE MAY PUT THE FEDERAL
PREVENTIVE. PREVENTIVE SERVICES
REQUIREMENTS ON WHICH OUR STATE
RELIES INTO PERIL AMONG OTHER
THINGS A BEEF SIXTEEN FORTY FIVE
WILL CODIFY IN CALIFORNIA LAW
EXISTING FEDERAL GUIDANCE TO
ENSURE THAT CONSUMERS CAN STILL
ACCESS. EVENT OF CARE- AND
INSURE AND ALL THE NECESSARY
SERVICES FOR DELIVERING THAT
CARE WITHOUT COST SHARING WE
SHOULD FEDERAL LAW ULTIMATELY BE
STRUCK DOWN ON APPEAL. SO THIS
BILL IS ABOUT PROTECTING
CALIFORNIANS FROM THE SWEEPING
HEALTH CARE ROLLBACKS WE'RE
SEEING COMING OUT OF
CONSERVATIVE COURTS IN TEXAS AND
ELSEWHERE. EVERY CALIFORNIAN
DESERVES ACCESS TO PREVENTIVE
HEALTH CARE THAT IS
COMPREHENSIVE INCLUSIVE AND
AFFORDABLE. CALIFORNIA'S MOST
AFFECTED BY STI'S INCLUDE PEOPLE
OF COLOR YOUNG PEOPLE AGES
FIFTEEN TO TWENTY NINE LGBT Q.
PLUS PEOPLE AND PEOPLE WHO USE
SUBSTANCES. UNDER THE UNDERLYING
THESE DISPARITIES AS A LACK OF
PRIMARY PREVENTIVE HEALTH CARE
DUE TO A RANGE OF FACTORS
INCLUDING FAMILY REJECTION
UNEMPLOYMENT. HOMELESSNESS OR
LACK OF CULTURALLY COMPETENT
LOCAL SERVICES OR PROVIDERS.
COMPREHENSIVE INCLUSIVE AND
AFFORDABLE. AND AFFORDABLE
PREVENTIVE CARE IS CRITICAL TO
IDENTIFYING AND ADDRESSING
HEALTH CHALLENGES BEFORE THEY
BECOME SERIOUS PARTICULARLY FOR
MARGINALIZED POPULATIONS. OUR
SPONSORS HAVE DEDICATED
THEMSELVES FOR YEARS TO
STRENGTHENING ACCESS TO PREP A
LIFESAVING HIV PREVENTION
MEDICATION BECAUSE THEY
UNDERSTAND THAT COMPREHENSIVE
COVERAGE FOR BUT FOR PART FOR
PREVENTIVE HEALTHCARE IS
CRITICAL TO MAXIMIZING
UTILIZATION AND PREVENTING HIV.
THE SAME CAN BE SAID FOR OTHER
PREVENTIVE CARE THAT FALLS UNDER
THE BILL VERY SERVING OF CARE
FORCED PEOPLE TO CHOOSE BETWEEN
PREVENTING EXPENSIVE AND
DEVASTATING HEALTH. PROBLEMS
BEFORE THEY OCCUR AND PUTTING
FOOD ON THE TABLE IN ESSENCE
THIS BILL IS ABOUT ENSURING THAT
LOW INCOME PEOPLE HAVE ACCESS TO
THE SAME COMPREHENSIVE AND
AFFORDABLE PREVENTIVE HEALTH
CARE AS ANYONE ELSE. I'VE I ASK
FOR YOUR AYE VOTE AT THE
APPROPRIATE TIME TODAY WITH ME I
HAVE JOSEPHINE FIGUEROA CHIEF
DEPUTY LEGISLATIVE DIRECTOR FOR
THE DEPARTMENT OF INSURANCE AND-
ALICE KESSLER ON BEHALF OF THE
QUALITY CALIFORNIA CO SPONSOR OF
THE BILL. THANK YOU VERY MUCH
FIRST PERSON PLEASE. GOOD
AFTERNOON MADAM CHAIR MEMBERS OF
THE COMMITTEE JUST BEING
FIGUEROA CHIEF DEPUTY
LEGISLATIVE DIRECTOR. FOR THE
DEPARTMENT OF INSURANCE ON THE
LEADERSHIP OF INSURANCE
COMMISSIONER WITH A LOT OF. I
FIRST WANT TO THANK
ASSEMBLYMEMBERS BURKE FOR
AUTHORING THIS IMPORTANT
MEASURE- INSURANCE COMMISSIONER
LOTTE IS A PROUD CO SPONSOR OF
AB SIXTEEN FORTY FIVE WHICH
WOULD REMOVE BARRIERS TO
ACCESSING ZERO DOLLAR
PREVENTATIVE CARE UNDER THE-
AFFORDABLE CARE ACT. AND ADD CDC
RECOMMENDED SCREENING FOR
SEXUALLY TRANSMITTED INFECTIONS.
TO LISTEN FOR READY TO CARE
BENEFITS. STI'S HAVE BEEN
GROWING OVER THE LAST TWENTY
YEARS AND IMPACTS CALIFORNIA'S
COMMUNITIES DISPROPORTIONATELY-
OBVIOUSLY ALREADY STATED
INCLUDING- YOU KNOW COMMUNITIES
OF COLOR YOUTH AND LGBT CLUES.
AB LGBTQ PLUS COMMUNITY. UNDER
THESE UNDERLYING THESE
DISPARITIES A LACK OF PRIMARY
AND PREVENTATIVE HEALTH CARE DUE
TO A RANGE OF FACTORS NOT THE
LEAST OF WHICH IS A LACK OF
ACCESS. TO CULTURALLY COMPETENT
LOCAL SERVICES AND PROVIDERS.
IT'S IMPORTANT TO REMOVE COST
SHARING PREVENTIVE CARE SERVICES
BECAUSE SHE CARSHARING HAS BEEN
FOUND TO WORSEN DISPARITIES. IN
ACCESS TO HEALTH CARE AND
ADVERSELY AFFECT HEALTH. BY
REQUIRING STI SCREENING IS
RECOMMENDED RECOMMENDED BY THE
CDC TO BE COVERED WITHOUT COST
SHARING A. B. SIXTEEN FORTY FIVE
WILL ALSO IMPROVE HEALTH
OUTCOMES. BY DETECTING STI'S
BEFORE TRANSMITTING IT TO OTHERS
TREATING THEM BEFORE THEY
DEVELOPED AND IT INTO MORE
SERIOUS CONDITIONS. THIS MEASURE
WILL MAKE IT POSSIBLE FOR
PREVENTATIVE CARE TO BE
DELIVERED AND MORE STI'S BE
DETECTED EARLIER RESULTING IN
IMPROVED HEALTH OUTCOMES. AB
SIXTEEN FORTY FIVE ALSO CODIFIES
EXISTING FEDERAL GUIDELINES
PROVIDING THAT INTERVAL HEALTH
SERVICES MUST BE COVERED WITHOUT
COST SHARING. CODIFYING INTERNAL
SERVICES REQUIRING THE STATE LAW
IS PARTICULARLY URGENT. IN THE
WAKE OF THE BREAK WOULD BE
PERCENT A DECISION STRIKING DOWN
PREVENTIVE REQUIREMENTS WE MUST
ENSURE THAT CALIFORNIA WILL
CONTINUE TO PROVIDE ACCESS TO
BETTER CARE FOR ALL. AS
POTENTIAL CONTINUE CHANGES BY
SOME FEDERAL COURT MAY TEND TO
CURTAIL ACCESS TO THE CENTRAL
COAST SERVICES ON BEHALF OF
INSURANCE COMMISSIONER TOGETHER
LADA I ASK FOR YOUR I. BOATS.
THANK YOU VERY MUCH THIS PERSON
PLEASE. THANK YOU MADAM CHAIR
AND MEMBERS ALICE KESSLER I'M
HERE ON BEHALF OF A QUALITY
CALIFORNIA WE'RE PROUD CO
SPONSOR OF AB SIXTEEN FORTY
FIVE. AND THE ATTACKS ON THE ACA
OR REAL OF WE KNOW THAT IS
HAPPENING MANY OF US WHO CO
SPONSORING THIS BILL HAVE BEEN
WORKING ON. IMPROVING ACCESS TO
PREVENTIVE CARE SUCH AS PREP PRE
EXPOSURE PROPHYLAXIS- FOR MANY
YEARS AND THESE ATTACKS ARE
INDEED. VERY MUCH UNDERMINING
THE PROMISE OF THOSE PROTECTIONS
AND THAT ACCESS FOR CALIFORNIANS
WE'RE GRATEFUL TO ASSEMBLY
MEMBERS A PER AND COMMISSIONER
LARA FOR THEIR LEADERSHIP ON THE
BILL. AND STRENGTHENING THESE
PREVENTIVE CARE MANDATES IN THE
FACE OF THESE ATTACKS- NOT TO
REPEAT OTHER TESTIMONY THAT'S
BEEN GIVEN- BUT ESSENTIALLY.
THERE ARE- WE NEED TO IMPROVE
ACCESS TO CULTURALLY COMPETENT
STI SERVICES. BY REQUIRING
HEALTH PLANS TO REIMBURSE NON
PARTICIPATING ESSENTIAL
COMMUNITY PROVIDERS SUCH AS
FEDERATE FEDERALLY QUALIFIED
HEALTH CENTERS AND OTHER
COMMUNITY CLINICS REST YEAH I
SCREENING. OF S. B. AB SIXTEEN
FORTY FIVE IS A COMMON SENSE
BILL TO INCREASE THE AVAILABLE
AVAILABILITY OF STI SCREENING
FOR MANY OF OUR VULNERABLE
POPULATIONS IN CALIFORNIA AND WE
URGE THE COMMITTEE TO PASS THE
BILL. THANK YOU VERY MUCH OF THE
SPEAKING ANSWER GENERAL SUPPORT
NAME AND AFFILIATION PLEASE.
SAUNTER PULL WESTERN CENTER ON
LAW POVERTY IN SUPPORT THANK YOU
. MADAM CHAIR MEMBERS DARBY
KERNAN ON BEHALF OF TWO OF THE
CO SPONSORS SAN FRANCISCO AIDS
FOUNDATION AND A P. L. A. HEALTH
AS WELL AS FIRST INITIAL ACCESS
HELP THANK YOU THANK YOU VERY
MUCH. THANK YOU MADAM CHAIR
MEMBERS DAVE GONZALES ABOUT FOR
THE CALIFORNIA LIFE SCIENCES AND
SPORTS THANK YOU. MANAGER
MEMBERS RANDY MARTIN ON BEHALF
OF THE AIDS HEALTHCARE
FOUNDATION SUPPORT THANK YOU.
JENNIFER A LESS WITH HEALTHAXIS
CALIFORNIANS SUPPORT THANK YOU
VERY MUCH. OKAY LET'S GO TO
ANYBODY SPEAK IN OPPOSITION TO
THIS BILL TODAY. BUT I GET
AFTERNOON CHAIR MEMBERS OF THE
COMMITTEE ROBERT BOYKIN WITH
CALIFORNIA ASSOCIATION OF HEALTH
PLANS REGRETTABLY IN OPPOSITION
AT SIXTEEN AB SIXTEEN FORTY
FIVE. WE RESPECT UNDERSTAND THE
INTENT OF THE BILL HOWEVER WE
ARE OPPOSED BECAUSE THIS ROOM
WAS COST SHARING ON SERVICES
THAT ARE 99% COVERED BY HEALTH
PLANS. ACCORDING TO THE
CALIFORNIA HEALTH BENEFITS
REVIEW PROGRAM THIS WILL
INCREASE ANNUAL COSTS BY TWENTY
MILLION. FOR ALL CALIFORNIANS
THE TRADE OFF THE REAL REDUCE
COST SHARING FOR ONE BENEFIT
WILL RESULT IN HIGHER COSTS AND
FOR OTHER BENEFITS- THIS IS ONE
OF TWENTY ONE MANDATE BILLS THIS
YEAR. THAT WHEN TAKEN ALL
TOGETHER ARE SET TO INCREASE
ANNUAL COSTS BY MORE THAN ONE
BILLION ON ALL CALIFORNIANS. ARE
FOR THESE REASONS WE ARE OPPOSED
TO A AB SIXTEEN FORTY FIVE.
THANK YOU VERY MUCH ANYBODY ELSE
SPEAKING IN OPPOSITION TODAY
SECOND PERSON. THANK YOU
PRESIDENT YOUNG FOR THE
CALIFORNIA CHAMBER OF COMMERCE
HERE TODAY AND RESPECTFUL
OPPOSITION TO AB SIXTEEN FORTY
FIVE JUST BRIEFLY I DON'T WANT
TO BE REDUNDANT- THE POLICY IS
NOT WHAT WE TAKE ISSUE WITH THE
WITH THE BILL WE ARE CONCERNED
ABOUT THE UNINTENDED
CONSEQUENCES THE COSTS THAT ARE
ASSOCIATED WITH THESE MANDATES I
REALIZE WHEN YOU LOOK AT ONE. IT
DOESN'T LOOK BAD BUT WHEN YOU
PUT THEM ALL TOGETHER IS- THE
PLANS TO SAID THE COST DOES
INCREASE QUITE A BIT THE AVERAGE
ANNUAL PREMIUM FOR EMPLOYER
SPONSORED FAMILY HEALTH CARE
COVERAGE REACHED OVER TWENTY TWO
THOUSAND DOLLARS LAST YEAR SO.
THIS IS WHAT I HOPE REMAIN
COGNISANT OF WHEN WE DISCUSS
MANDATES THANK YOU VERY MUCH FOR
YOUR TIME YOUR CONSIDERATION
THANK YOU NOW OTHERS JUST NAME
AND POSITION. JOHN WAYNE GRUBBY
F. AMERICA'S HEALTH INSURANCE
PLANS WOULD ALSO- ECHO THE
COMMENTS OF THE CHAMBER AND CAP
THANK YOU. NOT A CAN ON BEHALF
OF THE ASSOCIATION OF CALIFORNIA
LIFE AND HEALTH INSURANCE
COMPANIES IN OPPOSITION THANK
YOU VERY MUCH OKAY LET'S GO TO
OUR PHONE LINES NOW. SPEAKING IN
SUPPORT AND OR OPPOSITION. NOW
IS THE TIME. LATER GEMMA FUTURES
BECAUSE SUPPORT OR OPPOSITION
PLEASE PRESS ONE ZERO AT THIS
TIME. WE'LL BE GOING TO LINE TO
THIRTY SEVEN PLEASE GO AHEAD.
AFTERNOON MODERATE. HAVE PLAYED
THE CALIFORNIA IN PART THANK YOU
. WE DID JUST HAVE A FEW OTHERS
QUEUE UP DURING THAT. AND ONE
MORE WHILE THEY WERE GIVEN THE
LINE THEM. THE NEXT SEVERAL LINE
TWO THREE EIGHT. PLEASE GO AHEAD
. I CAN DEDICATE KELLY HOW. ARE
THANK YOU. THANK YOU. AFTER A
LINE TWO THREE NINE. GO AHEAD.
ANDY RUBIN BOMB ON BEHALF OF THE
COUNTY OF LOS ANGELES IN
SUPPORT. THANK YOU. AND NEXT
WE'LL GO TO LINE TWO OH FIVE
PLEASE GO AHEAD. AFTERNOON AND
DONNELLY ON BEHALF OF AN
EPIDEMIC COALITION AND
CALIFORNIA HIS CLIENTS IN
SUPPORT. THANK YOU. AS CURRENTLY
NO ONE ELSE THANK YOU AT THE
TIME AND CHAIR THANK YOU VERY
MUCH BRING IT BACK TO THE
COMMITTEE QUESTION CONCERNS
PRODUCTS ARE GOING TO ALSO IS
MOVING THE BILL- VERY SUPPORTIVE
OF THE BILL. BUT I ALSO AND
WE'RE GONNA BREAK THE SYSTEM
AND- I WANNA LOOK TO MY LEFT
INTO MY RIGHT AT BY MEMBERS ARE
GOING TO BE HERE LONG AFTER I'M
GONE- IT IS TRUE FOR EVERYTHING
THAT WE GET RID OF PRIYA'S
EVERYTHING THAT WE SAY IT'S
GOING TO BE INCLUDED.
EVERYBODY'S COSTS RISE THAT IS
THE NATURE OF SPREADING IT OUT-
SO WELL THIS AND ALL THE OTHER
EXPENSE EXEMPTIONS WE DO ARE
IMPORTANT- THIS CONTINUES TO ADD
COST BURDEN BOTH TO EMPLOYERS
AND INDIVIDUAL CALIFORNIANS WHO
ARE WHO ARE. PAYING FOR THEIR
OWN HEALTH CARE SO- GOING
FORWARD I THINK WE ALL HAVE TO
BEAR THAT IN MIND. WOULD YOU
LIKE TO CLOSER IT SAID AND SO I
DO HAVE THAT IN MIND I THINK THE
ONE THING I WOULD SAY IN
RESPONSE TO THAT IS THAT THIS IS
ABOUT PREVENTIVE CARE. AND
STUDIES HAVE SHOWN ACTUALLY TO
PREVENTIVE CARE IS COST
EFFECTIVE SO- FOR EXAMPLE IF WE
CAN ACTUALLY REMOVE BARRIERS TO
PREVENTIVE CARE IT PREVENTS
PEOPLE THROUGH THE FEET FROM
BECOMING ILL THAT FROM NEEDING
MORE EXPENSIVE CARE LATER AND
SO. IN SOME WAYS THIS IS
ACTUALLY REDUCING THE OVERALL
COST IF YOU LOOK AT IT IN THE
SHORT RUN IT'S SOMETHING THAT
MAY IN A SHORT TERM PERIOD OF
TIME COST A LITTLE MORE BUT IT'S
GOING TO SAVE COSTS INCLUDING
FOR THE INSURANCE COMPANIES. IN
THE LONG RUN THE OTHER THING I'D
SAY IS THAT WHEN YOU'RE LOOKING
AT THINGS LIKE CRAP- IF YOU
ACTUALLY HAVE COST SHARING THAT
BASICALLY MEANS THAT LOW INCOME
PEOPLE DO NOT HAVE ACCESS TO IT-
AND SO THIS IS ONE OF THOSE
THINGS THAT- THERE ARE SOME GAPS
IN COVERAGE WHERE. WE HAVE TO
REQUIRE THAT THE PREP BE COVERED
BUT WE ACTUALLY DON'T REQUIRE
THAT THE- THAT THIS TEST IN
ORDER TO KEEP STAY ON PREP ARE
COVERED AND THAT IS A REAL
BARRIER TO LOW INCOME
CALIFORNIANS INS AND IS
SOMETHING THAT IF YOU THINK
ABOUT IT. IF WE CAN PREVENT
SOMEONE FROM ACTUALLY
CONTRACTING HIV IT'S A LIFETIME
OF KEEPING THEM. OFF OF OTHER
HIV MEDICATIONS AND ACTUALLY THE
HEALTHCARE THAT. WOULD BE
REQUIRED IF SOMEONE ACTUALLY
BECOMES HIV POSITIVE. I DON'T I
DON'T ARGUE WITH THAT. YES I
BITE MY THING JUST FOR EVERYBODY
WHO'S PAYING FOR THEIR OWN
COVERED CALIFORNIA. THEIR COSTS
GO UP EVERY DAY SO IT'S NOT. SO
ANYWAY I BUT I UNDERSTAND- DO WE
HAVE A MOTION BY SENATOR
GONZALEZ. WAS AT YOUR CLOSER.
THAT WAS MY CLOSE. ACTUALLY ASK
FOR NIGHT ALL RIGHT THANK YOU
VERY MUCH. SECRETARY PLEASE CALL
THE ROLL. THAT EGGMAN HI. EGGMAN
AYE. WHEN LASER. CAN AND SALAS I
GROWTH. FURTADO LIMON. MENJIVAR
GIVENS OF R. I. ROTH. ROTH AYE
RUBIO. WAHABI WINNER. THANK YOU
AND I WILL LEAVE THAT ROLE OF
THANK YOU VERY MUCH SELLING OVER
SEVEN MEMBER REYES. YOU ARE.
HERE PRESENTED TODAY FOR
ASSEMBLY MEMBER RENDON IS THAT
CORRECT. THAT IS CORRECT. THANK
YOU MADAM CHAIR SENATORS ON
PLEASED TO PRESENT AB TWELVE
EIGHTY EIGHT ON BEHALF OF
SPEAKER EMERITUS RENDON. AB
TWELVE EIGHTY EIGHT PROHIBITS
COMMERCIAL HEALTH INSURERS FROM
IMPOSING. PRIOR AUTHORIZATION
RULES THAT CREATE BARRIERS TO
ACCESSING MEDICATION ASSISTANT
ASSISTED TREATMENT. MEDICATION
ASSISTED TREATMENT CAN
SIGNIFICANTLY IMPROVE TREATMENT
FOR MANY SUBSTANCE USE DISORDERS
INCLUDING FENTON ALL BY
TREATING. CRAVING AND WITHDRAWAL
SYMPTOMS. HOWEVER IT IS UNDER
USE DUE TO PRIOR AUTHORIZATION
REQUIREMENTS WHICH CREATE
UNNECESSARY BARRIERS THAT DELAY
OR INTERRUPT ACCESS TO EFFECTIVE
TREATMENT. THIS MEASURE IS
URGENTLY NEEDED TO ADDRESS THE
CURRENT OVERDOSE CRISIS IN OUR
STATE HERE TO TESTIFY IN SUPPORT
OF THE BILL. R. DAVID HANISCH
PRESIDENT OF THE CALIFORNIA
HEALTH POLICIES STRATEGIES AND
DR DANIEL HERNANDEZ AND
ADDICTION MEDICINE FELLOW WITH
THE DEPARTMENT OF ENERGY OF
EMERGENCY MEDICINE AT UC DAVIS
HEALTH. THANK YOU. LIKE TO BRING
DEFINITE. MY NAME IS DR ED
HERNANDEZ AND I'M AN ASSISTANT
PROFESSOR IN THE DEPARTMENT OF
EMERGENCY MEDICINE AND ADDICTION
MEDICINE AT THE UNIVERSITY OF
CALIFORNIA DAVIS. AS AN
EMERGENCY MEDICINE IN ADDICTION
MEDICINE PHYSICIAN I SEE
PATIENTS STRUGGLING WITH
ADDICTION EVERY DAY. I SEE THE
TOLL FENTANYL AND OTHER DRUGS
TAKE ON THE LIVES. OF THE
PATIENTS AND THEIR FAMILIES AND
FRIENDS. I ALSO SEE HOW MANY
CATIONS SUCH AS METHADONE
BUPRENORPHINE NALOXONE ANIL
TRUCKS ON ARE HIGHLY EFFECTIVE
IN PREVENTING OVERDOSE AND DEATH
AND HELPING PATIENTS REGAIN THE
LIFE THEY HAD BEFORE SUBSTANCE
USE. AT THE UNIVERSITY OF
CALIFORNIA DAVIS WE HAVE FOCUSED
ON LOW TRASH HOLD ACCESS TO
TREATMENT FOR SUBSTANCE USE
DISORDERS. WE START TREATMENT
FOR FENTANYL AND OTHER
SUBSTANCES IN THE ER AND IN THE
HOSPITAL. AND HELP CONNECT
PATIENTS TO OUTPATIENT TREATMENT
PROGRAMS. THIS TREATMENTS ARE
EVIDENCE BASED AND REMARKABLY
EFFECTIVE. HOWEVER WHEN THERE
ARE DELAYS AND UNNECESSARY.
BARRIERS TO TREATMENT WE LOSE
PEOPLE. NOT JUST LOSE THEM TO
FOLLOW UP BUT TO OVERDOSES AND
DEATH. AB TWELVE EIGHTY EIGHT
WILL ELIMINATE UNNECESSARY
DELAYS AND BARRIERS TO TREATMENT
AND WILL HELP SAVE LIVES. PRIOR
AUTHORIZATIONS CAN PLACE A DELAY
IN THE CRITICAL TIME WHEN AN
INDIVIDUAL IS SEEKING TREATMENT.
ESPECIALLY FOR THOSE WITH
COMMERCIAL INSURANCE. MEDIC HELP
DOES NOT HAVE THIS VERY. ALL
LIKE OTHER MEDICAL CONDITIONS
DELAYS AND SUBSTANCE USE
TREATMENT CAN LEAVE TO CONTINUE
DRUG USE OVERDOSE AND DEATH.
ADDICTION CAN AFFECT EVERYONE.
AND ANYONE. IT CAN HAVE THE TO
MENTAL IN FATAL CONSEQUENCES I
AM GOING TO DO WAY TOO OFTEN IN
MY PRACTICE. THANKFULLY
TREATMENT IS HIGHLY EFFECTIVE
BUT IT SHOULD ALSO BE TIMELY AND
EASILY ACCESSIBLE TO THOSE WHO
NEED IT. I AM CONFIDENT AB
TWELVE EIGHTY EIGHT WILL HELP
MANY PATIENTS SUFFERING FROM
ADDICTION THANK YOU FOR YOUR
TIME AND ATTENTION I'M AVAILABLE
FOR QUESTIONS. THANK YOU VERY
MUCH THANKS PERSON SPEAKING IN
SUPPORT PLEASE. HI MADAM CHAIR
MEMBERS DAVID PASSION WITH
CALIFORNIA HEALTH POLICIES
STRATEGIES THAT CAN SACRAMENTO
BASED- CONSULTING ORGANIZATION-
I THINK IS EVERYONE KNOWS
THERE'S BEEN AND IT STRUCK AS
ASTONISHING INCREASE IN THE
NUMBER OF OVERDOSE DEATHS IN
CALIFORNIA. TWO THOUSAND TWENTY
ONE IT WAS ABOUT OVER ALMOST
ELEVEN THOUSAND A HUNDRED AND
24% INCREASE AND THAT IS NOT
INCLUDING ANOTHER TWENTY
THOUSAND DEATHS THAT RELATE TO
ALCOHOL. DISORDERS AND- ONE IN
SEVEN PEOPLE WHO ARE COMING INTO
THE EMERGENCY ROOMS THAT DOCTOR
HERNANDEZ IS WORKING WITH ONE IN
SEVEN. ARE NOW PRESENTING WITH
AN S. U. D. ISSUE. AND I WOULD
JUST ADD THAT MANY OF THESE
PEOPLE AS WE TRY TO ADDRESS SOME
OF THE ISSUES RELATED TO
HOMELESSNESS- BEGIN THEIR
JOURNEY TOWARDS THE STREET.
BECAUSE THEY WE HAVE NOT BEEN
ABLE TO ATTEND TO THEIR
SUBSTANCE USE DISORDERS IN AN
APPROPRIATE WAY. THIS
LEGISLATION WHICH WE ARE
SUPPORTING- IS A ONE STEP
TOWARDS MODERNIZING AND
INTEGRATING MEDICATION ASSISTED
TREATMENT WHICH IS HIGHLY
EFFECTIVE. INTO THOSE TREATMENT
PROTOCOL SO WE ARE JULY VOTE
THANK YOU THANK YOU VERY MUCH.
REAL SPEAKING IN SUPPORT HIS
NAME AND AFFILIATION NOW. LISA
GARDNER WITH THE COUNTY
BEHAVIORAL HEALTH DIRECTORS
ASSOCIATION IN SUPPORT THANK YOU
. WITH ROBERT HARRIS WITH THE-
THE CALIFORNIA SOCIETY OF
ADDICTION MEDICINE IN SUPPORT
THANK YOU. DARBY KERNAN ON
BEHALF OF THE SAN FRANCISCO AIDS
FOUNDATION IN SUPPORT THANK YOU
. THANK YOU MADAM CHAIR MEMBERS
DIVIDENDS AWESOME HALF THE
CALIFORNIA LIFE SCIENCES AND
SUPPORT THANK YOU. PRESELECTED
US HERE WE HAVE THE CALIFORNIA
STATE ASSOCIATION PSYCHIATRISTS
AND SUPPORT THANK YOU VERY MUCH
OKAY FOLKS PUT IN OPPOSITION TO
THIS MEASURE TODAY. ONCE AGAIN
GOOD AFTERNOON HI JERRY MEMBERS
OF THE COMMITTEE ROBERT BOYKIN
WITH CALIFORNIA ASSOCIATION OF
HEALTH PLANS REGRETTABLY IN
OPPOSITION TO AB TWELVE EIGHTY
EIGHT THE RECENT AMENDMENTS TO
REMOVE STEP THERAPY ARE
EXTREMELY CONCERNING- THIS IS
ONE OF A FEW BILLS THIS YEAR
THAT REMOVE UTILIZATION
MANAGEMENT. FROM HEALTH PLANS
WHICH FROM OUR VIEWPOINT ARE
NECESSARY FOR COST EFFECTIVE IN
STATE AND SAFE ACCESS TO CARE.
ADDITIONALLY TO BURKE IS
ANALYZING THE OVERALL COST OF
REMOVING PRIOR AUTHORIZATION SO
I MINIMUM THIS BILL IS A LITTLE
PREMATURE AND SHOULD BE PAUSED
UNTIL THEIR ANALYSIS COMPLETE.
HOME OTHER STATES HAVE DONE
SOMETHING SIMILAR BUT ALLOW FOR
SOME SAFETY MECHANISMS TO REMAIN
IN PLACE SO WE LOOK FORWARD TO
FURTHER CONVERSATIONS ABOUT THIS
BILL AND LOOK FORWARD TO WORKING
WITH AUTHORED THE AS THE BILL
MOVES FORWARD. THAT RESPECTFULLY
OPPOSE THE BILL TODAY THANK YOU
THANK YOU MISTER BOYD. STRINGER
I'M SURE MEMBERS JOHN LINGER ON
THE F. AMERICA'S HEALTH
INSURANCE PLANS- ALSO IN
OPPOSITION- A HIP IS ACTUALLY
BEEN DOING A LOT ON THE NATIONAL
LEVEL WITH STOP INITIATIVE AND
WORKING ON- ON TREATMENT- I
WOULD JUST POINT OUT THAT YOU
KNOW. REMOVING THAT LINE OF
SIGHT WHEN IT COMES TO THESE
PRESCRIPTIONS COULD BE COULD
HAVE SOME VERY SIGNIFICANT
ADVERSE REACTIONS YOU KNOW
BENZODIAZEPINE A BEEP IN AFRIN
TOGETHER CAN BE A DEADLY
COMBINATION SO- NOT HAVING ANY
SORT OF LINUS I COULD BE.
CONCERNING FROM OUR STANDPOINT
SO WE'D LIKE TO- CONTINUE
CONVERSATIONS ON SOME OF THESE
RECENT AMENDMENTS. I'M SURE TO
COMMUNICATE THAT TO THE AUTHOR.
ABSOLUTELY THANK YOU OKAY OTHER
PEOPLE SPEAKING IN OPPOSITION
WE'RE JUST JOURNAL ME TOOS. GOOD
AFTERNOON MADIGAN ON BEHALF OF
THE ASSOCIATION OF CALIFORNIA
LIFE AND HEALTH INSURANCE
COMPANIES IN OPPOSITION. THANK
YOU OKAY SCREW THE PHONE LINES
THERE'S ANYBODY ON THE PHONE
LINES. HMF WHICH SPEAK IN
SUPPORT OR OPPOSITION AT THIS
TIME PLEASE PRESS ONE. ZERO IF
YOU HAVE SOMEONE THAT HAS JUST
QUEUED UP ONE MOMENT WATER LINE
NUMBERS GIVEN.
IT WILL BE ON THE LINE TWO FORTY
PLEASE GO AHEAD. HELLO HI AGAIN
VERY EASY THEN WITH THE TYING
BROKEN IF YOU IN SUPPORT. THANK
YOU VERY MUCH. SENATE MARK
MODERATOR. ANOTHER ONE HAS JUST
QUEUED UP WE'LL GO TO LINE TWO
SEVENTEEN PLEASE GO AHEAD. I AM
A RESIDENT OF CALIFORNIA AND I.
DON'T THINK YOU. THERE'S
CURRENTLY NO ONE ELSE IN THE
QUEUE AT THIS TIME AND CHAIR
THANK YOU VERY MUCH BRING IT
BACK TO THE COMMITTEE QUESTIONS
COMMENTS. OKAY MOTIONS. WE HAVE
A MOTION THAT WE HAD A GRAND
IDEA TO HOLD ALL OF THE PRIOR US
BILLS TO WE GOT THAT. GIBBER
ANALYSIS BUT- I DIDN'T HAPPEN SO
HERE WE ARE AND- WE ARE NOT THE
APPROPRIATIONS COMMITTEE WOULD
YOU LIKE TO CLOSE ASSEMBLY I
RESPECTFULLY ASK FOR YOUR IPHONE
THANK YOU VERY MUCH WE HAVE A
MOTION PICTURE IF YOU CALL THE
ROLL. DEPRESSES AMENDED REFERRED
TO THE COMMITTEE ON
APPROPRIATIONS. SANDERS EGGMAN
EGGMAN I WENT GLAZER GONZALEZ.
GROWTH HER TADO THE MON MENJIVAR
MENJIVAR EYEING ROSS. AYE ROTH
AYE RUBIO. BOB WINNER. THREE
ZERO THREE ZERO WILL HOLD
SEVERAL OPEN THANK YOU VERY MUCH
SO IN AMBER ASSEMBLY MEMBER
JONES SAWYER. THANK YOU. HI LOW
. GOOD AFTERNOON CHAIR AND
MEMBERS. I PRESENT AB NINE ONE
TWO THE STRATEGIC ANTI VIOLENCE
FUNDING EFFORTS ACT OR SAY FACT.
THIS COMPREHENSIVE MEASURE
CAPTURES THAT TWO HUNDRED THIRTY
FIVE MILLION DOLLARS ASSOCIATED
WITH TO PRISON CLOSURES AND
REINVEST THEM INTO EFFECTIVE
PROGRAMS. PROVEN TO FURTHER
REDUCE PILOTS PROVIDE CRITICAL
SUPPORT TO OUR COMMUNITIES
MEMBERS RATHER THAN RETURNING
THE SAVINGS TO THE GENERAL FUND.
IS IMPAIRED AT THE D. SAVINGS
ARE KEPT WITHIN THE LEGISLATURE
CRIME PREVENTION BUDGET STUDIES
HAVE SHOWN THAT HEALTH BASED
APPROACHES HAVE SUCCESSFULLY
CURB VIOLENCE THROUGH APPLIED
SKILL BASED PREVENTION PROGRAMS
ADDRESSING YOUTH MENTAL HEALTH
AND ADVERSE CHILD HOOD
EXPERIENCES IS CRUCIAL IN
MITIGATING LONG TERM EFFECTS
SUCH AS SUBSTANCE ABUSE. MENTAL
ILLNESS CHRONIC HEALTH PROBLEMS
AND CRIMINALITY IS IT TOO
PROGRAMS HAVE BEEN SUCCESSFUL
IMPROVE BUT PROVIDING CRUCIAL
RESOURCES AND EARLY INTERVENTION
TO YOU FOR INSTANCE SKILL BASED
GROUP INTERVENTION HAS BEEN
PROVEN SUCCESSFUL IN REDUCING
PTSD SYMPTOMS DEPRESSION DURING
THAT WOULD BE AMONG CHILDREN
EXPOSED TO TRAUMA. AS SUCH IT IS
IMPERATIVE THAT THESE PROGRAMS
ARE DISTANTLY FUNDED AN EXPANDED
ACROSS LOCAL EDUCATIONAL
AGENCIES STATEWIDE ADDITIONALLY
DATA HAS SHOWN THE PUBLIC HEALTH
BENEFITS OF SCHOOL BASED HEALTH
CENTERS LOCATED ON SCHOOL SITES
THE CENTERS INCREASE PREVENTIVE.
HEALTH SERVICES REDUCE MENTAL
ILLNESS AMONG YOUTH PROVIDE
BETTER OUTCOMES FOR CHRONIC
CONDITIONS IMPROVED OVERALL
SCHOOL PERFORMANCE. IN ORDER TO
EFFECTIVELY ENHANCE PUBLIC
SAFETY AND HEALTH WE MUST ENSURE
THAT WE ARE INVESTING IN
PROGRAMS WITH A PROVEN TRACK
RECORD OF KEEPING OUR COMMUNITY
SAFE FOR PROVIDING CRITICAL
HEALTH SUPPORT THIS EFFECT IS A
COMPREHENSIVE MEASURE THAT WILL
FUND EFFECTIVE STRATEGIES DIVERT
YOUTH. FROM THE JUSTICE SYSTEM
REDUCE YOU TO PTSD SYMPTOMS AND
MENTAL HEALTH BOB ELLIPSIS AND
PROVIDING LIFESAVING RESOURCES
TO OUR CONSTITUENTS WITH ME TO
SPEAK IN SUPPORT. IS. ON THIS
BILL IS DEMENTIA ISN'T CO A
SAINT JOHN COMMITTEE HEALTH AND
ARE SELDOM ON BEHALF THE- BASED
HEALTH ALLIANCE. COSPONSORED
SAFE ACT RESPECT ASK YOU GUYS
VOTE THANK YOU VERY MUCH PLEASE
SIR THANK YOU- GOOD AFTERNOON
CHAIR EGGMAN AND MEMBERS. MY
NAME IS JIM MINE JOHN THE
PRESIDENT AND CEO ST JOHN'S
COMMUNITY HEALTH A FEDERALLY
QUALIFIED HEALTH CENTER BASED IN
SOUTH LOS ANGELES WE OPERATE
TWENTY ONE CLINICS INCLUDING
EIGHT SCHOOL BASED HEALTH
CENTERS. AND THREE MOBILE
CLINICS THAT PROVIDE SERVICES TO
OVER FOUR HUNDRED FIFTY THOUSAND
PATIENTS ANNUALLY- I WOULD LIKE
TO ASK THAT IF YOUR SUPPORT OF
AB NINE TWELVE. WHICH WOULD
UPDATE A GRANT FUND UPON
APPROPRIATION OF THE LEGISLATURE
EFFECTIVE SCHOOL BASED HEALTH
CENTERS INVIOLABLE COMMUNITIES
AND ENSURE STUDENTS IN THESE
COMMUNITIES. HAVE ACCESS TO
CRITICAL SERVICES PROVIDED BY
CENTERS LIKE OURS. MY MAIN POINT
ABOUT THIS BILL IS SIMPLE.
SCHOOL BASED HEALTH CENTERS HELP
KEEP OUR YOUTH IN SCHOOL.
SUPPORTING SCHOOL BASED HEALTH
CENTERS HELP SUPPORT OUR
STUDENTS. ST JOHN'S SUPPORTS
CALIFORNIA STUDENTS BY GIVING
THEM ACCESS TO THE FUND TO
FUNDAMENTAL HEALTH CARE. SUCH AS
ANNUAL PHYSICALS VACCINATIONS
DENTAL EXAMS AND VISION AND
HEARING SERVICES. AND WE ALSO
PROVIDE HEALTH EDUCATION SO
FAMILIES CAN MANAGE CHRONIC
DISEASES ASSIST WITH
REPRODUCTIVE HEALTH AND FAMILY
PLANNING AND PROVIDE TRANSGENDER
HEALTH CARE. CALIFORNIA'S NEW
YOUTH NEED SCHOOL BASED HEALTH
CENTERS NOW MORE THAN EVER THE
PRESSURES FROM SCHOOL SOCIAL
MEDIA THE NEW CYCLE CAN WEIGH
HEAVILY ON THEIR MENTAL HEALTH.
MANY STUDENTS ARE STILL TRYING
TO DEAL WITH THE IMPACTS OF THE
COVERT NINETEEN PANDEMIC.
ACCORDING TO EDSOURCE SINCE
TWENTY SEVENTEEN RATES OF
ANXIETY AND DEPRESSION AMONG
CALIFORNIA'S CHILDREN HAVE
INCREASED. 70% JUST BETWEEN TWO
AND TWENTY TWO ONE. A THIRD OF
CAL ADOLESCENCE SUFFERED FROM
SERIOUS PSYCHOLOGICAL THIS. THIS
INCLUDED PER INCREASE IN
ADOLESCENT SUICIDES. WITH AN
EVER SHRINKING SUPPLY OF HEALTH
CARE PROFESSIONALS IN CALIFORNIA
WE NEED TO MAKE SURE THAT
STUDENTS ESPECIALLY LOW INCOME
STUDENTS HAVE ACCESS TO THE CARE
THEY NEED. HEALTHY STUDENTS ARE
ABLE TO ATTEND SCHOOL FOCUS MORE
IN THE CLASSROOM AB. NINE TWELVE
WILL HELP MAKE SURE WE CAN KEEP
OUR YOU HEALTH. AYE ARCHER AYE
VOTE THIS COULD BILL THANK YOU
FOR YOUR TIME. I'M HAPPY DANCE
ANY. THANK YOU THANK YOU VERY
MUCH HE WILL SPEAK IN SUPPORT
TODAY. AFTERNOON SHERIFF MEN AND
MEMBERS MY NAME IS MARCEL
REYNOLDS AND I AM WITH THE
CALIFORNIA SCHOOL BASED HEALTH
ALLIANCE. THE CALIFORNIA SCHOOL
BASED HEALTH ALLIANCE SUPPORTS
AROUND FOUR HUNDRED SCHOOL BASED
HEALTH AND WELLNESS CENTRES IN
K. THROUGH TWELVE SCHOOLS ACROSS
CALIFORNIA. SCHOOL BASED HEALTH
CENTERS PROVIDE MEDICAL AND
BEHAVIORAL HEALTH CARE AND MANY
MANY ALSO PROVIDE DENTAL CARE
VISION SERVICES AND OTHER
ANCILLARY SERVICES ALL OF WHICH
ARE YOUTH CENTERED. ALMOST ALL
THE CARE PROVIDED IS REIMBURSED
DRAMATIC HOW. RESEARCH SHOWS
THAT SCHOOL BASED HEALTH CENTERS
HAVE A POSITIVE IMPACT ON
ABSENCES DROPOUT RATES
DISCIPLINARY ISSUES AND OTHER
ACADEMIC OUTCOMES. SCHOOL BASED
HEALTH CENTERS ENHANCE ACCESS TO
HEALTH CARE BY BRINGING
MEDICALLY ACCURATE AGE
APPROPRIATE CARE TO WHERE KIDS
SPEND MOST SENSE OF THEIR TIME
IN SCHOOL. SCHOOL BASED HEALTH
CENTERS ARE AN INVESTMENT IN THE
WELL BEING OF YOUTH AND THEIR
COMMUNITY. WITH EIGHTY NINE
TWELVE CALIFORNIA HAS A UNIQUE
AND TIMELY OPPORTUNITY TO
REINVEST FUNDING FROM THE
CARCERAL SYSTEM TO COMMUNITY
HEALTH SAFETY AND SUPPORT FOR
YOUNG PEOPLE AT A CRITICAL POINT
IN THEIR LIVES. CALIFORNIA IS
THE STATE WITH THE HIGHEST
NUMBER OF SCHOOL BASED HEALTH
CENTERS THAT DOES NOT PROVIDE
DEDICATED STATE FUNDING TO
SUPPORT THEM. AMONG OTHER
PROVISIONS AB NINE TWELVE WOULD
PROVIDE GRANTS TO SUPPORT THE
ESTABLISHMENT EXPANSION AND
OPERATIONAL SUSTAINABILITY OF
SCHOOL BASED HEALTH CENTERS.
ONGOING. STATE FUNDING WOULD
SUPPORT THE CRITICAL ROLE THAT
SCHOOL HEALTH CENTERS PLAY AND
CAL. AFTER TO AND ACCESS TO HIGH
CARE FOR ALL. THANK YOU FOR YOUR
TIME AND I RESPECTFULLY URGE
ARRIVAL THANK YOU VERY MUCH NOW
JUST NAME AND AFFILIATION. JIM
WEINBERG ON BEHALF OF THE
FRIENDS COMMITTEE ON LEGISLATION
TO CALIFORNIA IN SUPPORT THANK
YOU THANK YOU. BRIAN WORKS AT
THE LOS ANGELES UNIFIED SCHOOL
DISTRICT IN SUPPORT THANK YOU.
RESEARCHERS HERE ON BEHALF OF
THE FOLLOWING CLIENTS
CALIFORNIANS HAD ME OF CHILD AND
ADOLESCENT PSYCHIATRY CALIFORNIA
STATE ASSOCIATION OF
PSYCHIATRISTS THE CALIFORNIA
FACULTY ASSOCIATION ALSO THE SAN
FRANCISCO BOARD OF SUPERVISORS
ON TALKSPORT. THANK THANK YOU
VERY MUCH. NORRLAND WITH
CHILDREN NOW IN SUPPORT. THANK
YOU. OKAY INCREASED UP AS TO
THIS I HAVE NO LIST. JONES GOOD
NEWS. OKAY THE PHONE LINES
THERE'S ANYBODY ON THE PHONE
WOULD LIKE TO ABOUT THIS. FOUR
OR AGAINST. AB EIGHT NINE
TWELVE. IF YOU WISH TO SPEAK IN
SUPPORT OR OPPOSITION PLEASE
PRESS ONE THERE ARE AT THIS
TIME. THE LINE TO TWENTY SEVEN
PLEASE GO AHEAD. THE FUTURE
MEMBERS I'M NOT SURE ON BEHALF
ON BEHALF OF LOS ANGELES COUNTY
SUPERINTENDENT SCHOOL DR DOUBLE
GARDO. THANK YOU. EXETER LINE TO
FORTY THREE DAYS AGO AT. GOOD
AFTERNOON REBECCA GONZALEZ THE
NATIONAL ASSOCIATION OF SOCIAL
WORKERS CALIFORNIA CHAPTER IN
SUPPORT. THANK YOU. XCERRA LINE
ONE SIXTY ONE PLEASE GO AHEAD.
ONE SIXTY ONE YOUR LINE IS OPEN
. THIS CURRENTLY NO ONE ELSE IN
THE QUEUE AT THIS TIME MADAM
CHAIR THANK YOU VERY MUCH NOW DO
THE TIME WE BRING IT BACK TO THE
COMMITTEE. QUESTIONS COMMENTS.
THE BILL THE BILL'S BEEN MOVED
PRETTY STRAIGHTFORWARD BILL
WOULD YOU LIKE TO CLOSER. THE
FBI VOTE THANK YOU VERY MUCH IN
THE MOTION IS TO PASS AMENDED.
AND REFERRED TO THE COMMITTEE ON
APPROPRIATIONS MOVE BY SENATOR
MENJIVAR SECRETARY PLEASE CALL
THE ROLL. SENATORS EGGMAN AYE
EGGMAN AYE WHEN. WHEN I GLAZER.
GONZALEZ GROWTH HER TADO LIMÓN
MENJIVAR MANAGE OF OUR AYE ROTH
. ROTH AYE RUBIO. WHAT HAAB
WINNER. WE WILL HOLD THAT ROLE
OPEN FOR YOU THANK YOU VERY MUCH
ASSEMBLY MEMBER ORTEGA YOUR NEXT
UP ON OUR LIST. GOOD AFTERNOON
HI GOOD AFTERNOON THANK YOU
MADAME TERRENCE SENATORS FOR THE
OPPORTUNITY TO PRESENT AB ELEVEN
FIFTY SEVEN BEFORE YOU TODAY I'D
LIKE TO BEGIN BY ACCEPTING THE
COMMITTEE AMENDMENTS AND I THANK
THE CHAIR AND STAFF FOR ALL OF
THEIR WORK. HI THIS BILL WOULD
CLARIFY THAT DURABLE MEDICAL
EQUIPMENT OR DM ME ARE COVERED
ESSENTIAL HEALTH BENEFITS AN
INDIVIDUAL AND SMALL GROUP
HEALTH PLANS WHEN MEDICALLY
NECESSARY AND. PRESCRIBED BY A
HEALTH CARE PROVIDER MANY HOW
PLANS. X. THE- ITEMS LIKE WELL
TO HERE AIDS ADVANTAGE OTHER
PER. HAVE IMPOSED TO DOLLAR ANYA
COOKED LIMITS- WHICH ONLY COVERS
ARE. OF COST OF MOST THE ENEMIES
- WITHOUT ADEQUATE COVERAGE MANY
PEOPLE WON'T GO WITHOUT
MEDICALLY UNNECESSARY DEVICES I
HAVE TWO WITNESSES HERE TODAY-
TO BRIEFLY TALK ABOUT THE NEED
FOR THIS BILL. I HAVE- THUNDER
POOL WITH THE CENTER LYME. AND
GEM LEPER A COULD WHO HAS SIX
FOR HAND I WITH EMMY NOT LOOKING
VERY MUCH GOOD AFTERNOON ADAM TO
AND SAYS MENTION MY NAME IS PULL
ON THE PALM AFTER WITH SOONER
LAW AND POVERTY. GO TO FAST TO
TRY TO GET THROUGH THIS- THAT'S
SPONSOR WITH SUPPORT AB ELEVEN
FIFTY SEVEN AND BELIEVE IT WILL
PLAY A VITAL ROLE IN IMPROVING
ACCESS TO HEALTH CARE DEVICES
THAT PEOPLE WITH DISABILITIES
NEED TO LEAVE THEIR HOMES
MAINTAIN THEIR HEALTH AND
PARTICIPATE FULLY IN COMMUNITY
LIFE. AS MENTIONED CURRENTLY
CALIFORNIANS MANY CALIFORNIANS
DO NOT HAVE ACCESS TO.
WHEELCHAIRS AND VENTILATORS AND
OTHER DURABLE MEDICAL EQUIPMENT.
PRIVATE HEALTH PLANS OFFERED IN
CALIFORNIA INDIVIDUAL SMALL
GROUP MARKETS REGULAR EXCLUDE OR
SEVERELY LIMIT COVERAGE OF THIS
EQUIPMENT. AND WITHOUT ADEQUATE
COVERAGE MANY PEOPLE GO WITHOUT
MEDICALLY. NEEDY NECESSARY
DEVICES THEY OBTAIN INFERIOR
STEP PUT THEIR- AND SAFETY AT.
OR TURN TO PUBLICLY FUNDED
PROGRAMS SUCH AS MEDICARE AND
MEDICARE WHICH DO COVER DM ME.
DEAR ME IT DEVICES WHICH ARE
ESSENTIAL FOR BASIC FUNCTIONS
SUCH AS MOBILITY BRIEFING AND
COMMUNICATION ARE PRIMARILY USED
BY PEOPLE WITH DISABILITY. AND
WHEN DME IS EXCLUDED OR SEVERELY
LIMITED FROM HEALTH PLAN
COVERAGE IT CREATES AN ACCESS
BARRIER FOR ADULTS AND CHILDREN
WHO RELY ON THIS EQUIPMENT BUT
CANNOT AFFORD IT OUT OF POCKET.
FURTHER HOME USE RULES WHICH
LIMIT COVERAGE TO ONLY THE
DEVICES THAT AN INDIVIDUAL NEEDS
INSIDE OF THEIR HOME. TO THE
EXCLUSION OF DEVICES THAT MAY.
NEED TO TRAVEL EVEN TEN FEET
OUTSIDE SERVE TO FURTHER SERVER
GATE SEGREGATE AND ISOLATE
PEOPLE FROM THEIR COMMUNITIES.
THIS BILL WILL HELP ADDRESS THIS
INEQUITY AB ELEVEN FIFTY SEVEN
CLARIFIES THAT MEDICALLY
NECESSARY DME IS A COVERED
ESSENTIAL HEALTH BENEFIT IN
CALIFORNIA. AND IT WILL STOP THE
DISCRIMINATORY EXCLUSIONS AND
LIMITATIONS THAT PEOPLE WITH
DISABILITIES HAPPEN TO WORK FOR
DECADES WITH GREATER ACCESS TO
DM ME MORE CALIFORNIANS WILL
HAVE THE TOOLS THEY NEED. TO
PURSUE EDUCATION AND EMPLOYMENT
TO TAKE CARE OF THEIR FAMILIES
AND TO DO WHAT EVER ELSE A
PERSON MAY NEED OR WANT TO DO.
THIRTEEN YEARS AFTER PASSAGE OF
THE AFFORDABLE CARE ACT IT IS
NOT ACCEPTABLE THAT HEALTH PLANS
CONTINUE TO EXCLUDE DEVICES AS
FOUNDATIONAL AS A WHEELCHAIR.
CALIFORNIA NOW HAS THE
OPPORTUNITY TO CORRECT THIS
INJUSTICE AND WE URGE YOU TO
TAKE THANK. YOU THANK YOU VERY
MUCH NEXT PERSON PLEASE. BUT
THAT THAT PLEASE. RIGHT. HI
THANK YOU VERY MUCH MY NAME IS
JIM LEBRECHT. I AM GRATEFUL FOR
THIS OPPORTUNITY TODAY. I LIKE
TO SHARE MY LIVED EXPERIENCE OF
WHAT IT'S LIKE AND WHAT IT MEANS
TO ME TO HAVE LIVED WITH THE
CURRENT DOLLAR CAPS IN HOME USE
LIMITS OF DME COVERED. UNDER
PRIVATE TO- INSURANCE COVERAGE.
USING A WHEELCHAIR IT'S BEEN
PART OF MY LIFE SINCE I WAS TWO
YEARS OLD I WAS BORN WITH SPINA
DIFFIDENT AND UNABLE TO WALK.
WHEN I FIRST UNDERSTOOD THAT MY
INSURANCE WOULD ONLY PAY FOR DME
COVERAGE FOR ITEMS USED IN THE
HOME I WAS OUTRAGED. THAT THIS
WAS THE LAW TOLD ME ALL I NEEDED
TO KNOW ABOUT HOW MOST OF
SOCIETY AND ELECTED OFFICIALS
THOUGHT ABOVE ME AND THE
DISABLED COMMUNITY. WHY WOULD
THEY PAY FOR A WHEELCHAIR THAT
WILL ALLOW ME TO TRAVEL AWAY
FROM MY HOME WHY WASN'T
CONSIDERED NECESSARY FOR PEOPLE
LIKE ME TO HAVE ACCESS TO THE
WORLD AROUND US FRESH AIR. SUNNY
DAYS VISITING FAMILY AND GOING
TO WORK. IT WAS ABOUT PAINFULLY
LOW EXPECTATIONS FOR US. THE
MESSAGE I TOOK FROM THIS WAS
THAT THE SOCIETY AND THE LAW
ONLY THOUGHT OF THE DISABLED OR
SICK PEOPLE WHO ARE ONLY ABLE TO
LIVE AT HOME AND NOT HOLD A JOB.
WE WERE INSIGNIFICANT
DISPOSABLE. AND NOT FAILED
VALUED AS HUMAN BEINGS LIKE
OTHERS. I WISH IT WAS BEING
MELODRAMATIC HERE BUT I'M NOT
WHAT WOULD YOU ASSUME. WAS THEY
DON'T THINK WE'LL THAT I MIGHT
BE ABLE TO CONTRIBUTE TO SOCIETY
IN A MEANINGFUL WAY THAT I COULD
START A SMALL BUSINESS AND
EMPLOY PEOPLE IN MEANINGFUL
CREATIVE JOBS. THE REALITY IS I
DID STARTED AUDIO COMPANY AND
HIRED SEVERAL EMPLOYEES I AM MY
COMPANY PAY TAXES AND PROVIDED
AFFORDABLE A NEEDED SERVICE. THE
LOCAL FILM INDUSTRY AND WHEN THE
OPPORTUNITY AROSE I AND DOZENS
OF PEOPLE WERE EMPLOYED OVER
FIVE YEARS. TO CREATE THE
DOCUMENTARY CRIP CAMP. AND WE
PAID FOR SERVICES FROM AT LEAST
A DOZEN COMPANIES. I DON'T LIKE
EQUATING SOMEONE'S VALUE TO
ECONOMICS BUT I AM TELLING YOU
THAT THE BENEFITS OF THIS BILL
FAR OUTWEIGH THE COSTS. AND I
DON'T FEEL LIKE I NEED A
SPREADSHEET TO BACK UP MY ****
OR TATIAN. ASSERTION EXCUSE ME.
ON A MORE BASIC LEVEL WHEN WE
ALLOW SENIORS OR THE DISABLED TO
FULLY PARTICIPATE IN DAILY
LIVING EVERYONE BENEFITS IT'S
NOT A ONE WAY STREET.
GRANDPARENTS COULD BABYSIT
CHILDREN AFTER SCHOOL SO SINGLE
PAYER CAN HOLD DOWN A FULL TIME
JOB. THIS IS JUST ONE EXAMPLE
THAT I COULD TELL YOU ABOUT.
THIS BILL ISN'T ABOUT CHARITY OR
SOMETHING NICE TO DO FOR THE
LESSEN FORTUNATE. IT'S ABOUT
CORRECTING A POLICY THAT
DEVALUES US IT'S ABOUT ALLOWING
US THE SAME FREEDOMS THAT
EVERYONE ELSE TAKES FOR GRANTED.
THIS IS ABOUT HUMAN RIGHTS AND
ANYONE WILLING TO SAY THAT IT'S
TOO EXPENSIVE TO PASS THIS BILL.
SIMPLY DOESN'T BELIEVE IN
FREEDOM FOR ALL. ALL OF US WANT
TO HAVE A FULL LIFE A LIFE FOR
ONCE CHOOSING. WHEN YOU CAN'T
AFFORD THESE CENTRAL ITEMS THAT
THE CURTAIN REGULATIONS STATE WE
ARE NOT ESSENTIAL HEALTH
BENEFITS. YOU'RE KEEPING A SHUT
AWAY IN OUR HOMES. OUT OF SIGHT
. IT MAKES ME WONDER IF THAT WAS
THE INTENT ALL ALONG. THANK YOU
VERY MUCH THANK YOU VERY MUCH
OTHER SPEAKING IN SUPPORT TODAY
. EACH NAME AND AFFILIATION.
GOOD EVENING SERNA SAID ON
BEHALF OF THE ALS ASSOCIATION IN
SUPPORT THANK YOU. GOOD
AFTERNOON DOWN OPEN FIRST WITH
THE CALIFORNIA FOUNDATION FOR
INDEPENDENT LIVING CENTERS AND
SUPPORT THANK YOU. I THANK YOU
MADAM CHAIR MEMBERS DAVID
GONZALEZ ON BEHALF OF THE
CALIFORNIA LIFE SCIENCES AND
SUPPORT THANK YOU. NORTHLAND
WITH CHILDREN NOW IN SUPPORT
THANK YOU. STEPHANIE'S JOHN
BEHALF OF CALIFORNIA LETTING US
REPRODUCTIVE JUSTICE AND SUPPORT
THANK YOU THANK YOU VERY MUCH.
OKAY ANYWAY SPEAKING IN
OPPOSITION. ALL DUTY MISTER
BOYKIN HELLO. GOOD EVENING
SHARED MEMBERS OF THE COMMITTEE
ROBERT BOYKIN WAS CALIFORNIA
ASSOCIATION OF HEALTH PLANS
REGRETTABLY OPPOSE- TO AB ELEVEN
FIFTY SEVEN- WE ARE GENERALLY
OPPOSED TO THE BENEFIT MANDATES.
AND THIS- ONE WOULD INCREASE
PREMIUMS BY FIFTY SEVEN MILLION
WE ARE ALSO CONCERNED THAT THIS
BILL COULD POTENTIALLY EXCEED
THE ESSENTIAL HEALTH BENEFITS WE
THINK THAT THIS IS A TROUBLESOME
PRECEDENT TO SET WE'RE BY THE
STATE WOULD BE REQUIRED. TO THE
FRAY THE THESE COST- FOR THESE
REASONS WE RESPECTFULLY OPPOSE
TO AB ELEVEN FIFTY SEVEN THANK
YOU THINK YOU. THE MANAGER
COMMITTEE MEMBERS PRESTON YOUNG
FOR THE CALIFORNIA CHAMBER OF
COMMERCE RESPECTFULLY OPPOSED
LINER COMMENTS WITH THE SHOULD
BY THE PLANS I HAVE NOTHING ELSE
TO SAY IT WILL BE A REDUNDANT SO
THANK YOU VERY MUCH THANK YOU
VERY MUCH FOR THAT- COMING BACK
TO THE- COMMITTEE. QUESTIONS
COME OVER THE PHONE LINES PHONE
LINES PHONE LINES PHONE LINES
MODERATORS OR ANYBODY IN THE
QUEUE. EIGHT AM IT WISHES
BECAUSE SUPPORT OR OPPOSITION
PLEASE PRESS ONE ZERO. GOING TO
ONE ONE EIGHTY SEVEN PLEASE GO
AHEAD. IT IS REMOVED HIMSELF
FROM QUEUE SO WE'LL BE GOING TO
LINE TO THIRTY FIVE IN THAT
PLEASE GO AHEAD. HELLO DANIEL
STANCES ON BEHALF OF THE
LEUKEMIA AND LYMPHOMA SOCIETY IN
SUPPORT THANK YOU. THANK YOU.
EXCELL LINE TO FORTY FOUR PLEASE
GO AHEAD. ANDREA RIVERA ON
BEHALF OF THE CALIFORNIA PAN
ETHNIC HEALTH NETWORK IN SUPPORT
THANK YOU THANK YOU. XCERRA LINE
TO FORTY SIX PLEASE GO AHEAD.
GOOD AFTERNOON CHAIR MEMBERS
JOSE TOWARDS WITHOUT ACTIVE
CALIFORNIA OR THANK YOU. MIXER
LINE TWO FORTY FIVE PLEASE GO
AHEAD. MAXING OUT ON BEHALF OF
THE NATIONAL MULTIPLE SCLEROSIS
SOCIETY. OR THANK YOU. NOW THE
LINE ONE EIGHTY SEVEN PLEASE GO
AHEAD. WELL GOOD AFTERNOON I'M
CURRENTLY MIRED. AND NATIONAL
HEALTH LAW PROGRAM THEY ARE
CLOSED. STILL ON SUPPORT THANK
YOU. AS CURRENTLY NO ONE ELSE IN
THE CUTEST TIME MADAM CHAIR
THANK YOU VERY MUCH NOW BRING IT
BACK TO THE COMMITTEE. OF THE
MOTION SACRAMENTO BAR I THOUGHT
EVER I JUST WANTED TO THANK YOU-
FOR THIS YESTERDAY HAD A SIMILAR
FAIL IT LET CALIFORNIA KIDS HERE
YOU SPOKE ABOUT HEARING AIDS
RECINE ACROSS THE STATE OF
CALIFORNIA CHILDREN- WITH SO
MANY BEARS IN PLACE ARE UNABLE
TO. EIGHT AFFORD FORGET ACCESS
TO HEARING AIDS OF THINGS SO
MUCH FOR THIS BILL. THANK YOU
ASSEMBLY MEMBER YEAH I LIVE WITH
SOMEBODY WHO IS DISABLED AND IF
WE HAD TO WAIT FOR INSURANCE TO
PAY FOR THINGS I AM BLESSED THAT
WE JUST HAVE WE JUST PAY OUT OF
OUR POCKET- WHICH A LOT OF
PEOPLE CAN DO AND I'LL BE
WORKING. AT TO PAY FOR IT ALL-
BUT I ALSO AGREE AGAIN THAT THAT
AND HE DID ACCEPT THE AMENDMENTS
ACT OKAY- AND WE'RE NOT THE
APPROPRIATIONS COMMITTEE- WOULD
YOU LIKE TO CLOSE RESPECTFULLY
ASK FOR YOUR RIVAL THANK YOU
VERY MUCH OKAY- THE POTION IS TO
PASS AS AMENDED AND REFERRED TO
THE COMMITTEE ON APPROPRIATIONS.
SECRETARY PLEASE CALL THE ROLL.
SANDERS EGGMAN AYE EGGMAN AYE
WHEN. GLAZER GONZALEZ. GROWTH
HER TADO. LIMÓN MENJIVAR.
MENJIVAR AYE ROTH. ROTH AYE
RUBIO. WAHAD WINNER. THREE ZERO.
IS IT WILL THAT WILL OPEN. GET
IT HERE YOU CAN GET AROUND SO
THAT'S ANOTHER THING YOU NEED
RAMPS. YEAH THANK YOU VERY MUCH
. OKAY NOW. MISS BORDER. EIGHT
THREE FOURTEEN EIGHTY ONE FILE
I'M TWENTY ONE. YESTERDAY
AFTERNOON MADAM CHAIR MEMBERS
FIRST I'M ACCEPTING THE
COMMITTEE AMENDMENTS. WHICH WILL
REQUIRE PROVIDERS AND THE
PRESUMPTIVE ELIGIBILITY FOR
PREGNANT WOMEN PROGRAM TO
PROVIDE. INFORMATION TO PREGNANT
PEOPLE ENROLLED IN THE PROGRAM
ON HOW TO CONTACT THEIR COUNTY
TO EXPEDITE THEIR MEDICAL
APPLICATION I'D ALSO LIKE TO
THANK YOUR STAFF FOR HER WORK ON
THE BILL IS REALLY REALLY
IMPORTANT WE HAVE THIS ONE.
ISSUE OUT OF THE ASSEMBLY AND WE
CAME UP WITH A REALLY ELEGANT
SOLUTION THAT IS NAMED AB
FOURTEEN A ONE REQUIRE THE
DEPARTMENT OF HEALTH CARE
SERVICES TO ENSURE THAT A
PREGNANT PERSON IS COVERED UNDER
THE PRESUMPTIVE ELIGIBILITY FOR
PREGNANT WOMEN PROGRAM UNTIL
THEY'RE ROLLED AND FULL SCOPE
MEDICA. UNDER CURRENT LAW THE
PRESUMPTIVE ELIGIBILITY FOR
PREGNANT WOMEN PROGRAM PROVIDES
PREGNANT PERSON WITH A LOW
INCOME IMMEDIATE TEMPORARY
COVERAGE FOR UP TO SIXTY DAYS
WHILE THEY'RE APPLYING FOR FULL
SCOPE MEDICAL HOWEVER IT'S OFTEN
COULD TAKE LONGER THAN SIXTY
DAYS FROM MEDICAL OBLIGATIONS TO
BE APPROVED AND THAT TIME
COVERAGE AND THIS PROGRAM
COLLAPSE LEADING TO A GAP IN
COVERAGE. MANY PEOPLE ARE LEFT
WITHOUT COVERAGE AND EITHER HAVE
TO PAY OUT OF POCKET FOR THE
SERVICES OR FORGO MEDICAL CARE
AND MEDICAL CARE ENTIRELY WHILE
THEY WAIT FOR MEDICAL
APPLICATIONS TERMINATION AB
FOURTEEN ANYONE RECTIFIED THE
SITUATION. EIGHTY FOURTEEN ONE
IS BASED ON THE FUTURE OF
PORTION COUNCIL RECOMMENDATIONS
ON THIS BILL ALSO A WOMEN'S
LEGISLATIVE CAUCUS PARTY BILL
AND I RESPECTFULLY ASK FOR NINE.
THANK YOU VERY MUCH YOU HAVE
WITNESSES IN SUPPORT NOPE NOPE.
AND NOBODY IN OPPOSITION. NOPE
LET'S CHECK WITH THE PHONE LINE
DON'T LOOK PEOPLE ARE COMING OH
WAIT WAIT WAIT- OKAY. THEY WANT
TO SUPPORT IT- YEAH PLEASE
PLEASE. YEAH HECK I. ROBERT
HARRIS ON BEHALF OF US I. U.
SUPPORT. RESIDENTS ARE MAPPED
AMERICAN COLLEGE OF OBGYN
STITCHES NINE IN SUPPORT THANK
YOU. SEVEN ESTARÁ BEHALF OF
CALIFORNIA LATINAS FOR
REPRODUCTIVE JUSTICE AND SUPPORT
THANK YOU. HI TIFFANY MATTHEWS
ON BEHALF OF ATTORNEY GENERAL
ROB BONTA AND SUBMIT. THANK YOU.
HEY ABETA OPPOSITION. SEEING
NONE OF THE PHONE LINES. YEAH
I'M GONNA PUSH BACK A COMMENT OR
OPPOSITION THIS PRESS ONE THEN
ZERO AT THIS TIME. WE ON THE
LINE ONE SIXTY ONE PLEASE GO
AHEAD. ALL RIGHT HOPEFULLY
HOPEFULLY ADVOCATE FOR. THANK
YOU. SENATE LET ME AS CURRENTLY
NO ONE OF THE QUEUE I THANK YOU
VERY MUCH. SENTIMENT OF OUR
MOVES HIS BILL WOULD YOU LIKE TO
CLOSE NOW RESPECTFULLY ASK FOR A
VOTE THANK YOU VERY MUCH NOW I
WOULD PUT THE HEALTH COMMITTEE
STEP UP AGAINST ANYBODY THEY'RE
FANTASTIC TO WITH AMAZING OKAY.
WE THE MOTION BY SENATOR
MENJIVAR MOTION IS TO PASS AS
AMENDED AND REFER TO THE
COMMITTEE ON APPROPRIATIONS
SECRETARY PLEASE CALL THE ROLL.
SENATORS EGGMAN AYE EGGMAN AYE
WHEN. GLAZER GONZALEZ. GROWTH
HER TADO LIMON MENJIVAR BINGE OF
OUR AYE ROTH. ROTH AYE RUBIO.
RUBIO I WELL HOBBS. WIENER
THREE. FORCING THE TOWARDS YOUR
WILL HOLD THE ROLE OPENING AGAIN
VERY MUCH OKAY. NOW WE'RE
LOOKING FOR ASSEMBLYMEMBERS
MCCARTY AND SHE I WILL. GEN
BECAUSE WILL BE. OKAY LET US THE
- START AT I GUESS WE'LL START
THE- CONSENT. SECRETIVE YOU
PLEASE CALL THE ROLL. SENATOR
WHEN I WHEN I. GLAZER GROWTH.
LIMON BOB. WIENER. SEVEN OKAY
JUST MOVE ON TO FILE ITEM FOR A
BEFORE FILE ITEM NUMBER ONE
EIGHTY FOUR ARAMBULA. SENATOR
WHEN NO. GLAZER GROWTH. LIMON
THE HOBBIT. WINNER. SIX ONE.
YOUR AVAILABLE IF THE ROOM. I
HAVE YOU KNOW YEAH. WE HAVE A
LONG ROAD. YEAH YOU HAVE DONE
THE MOMENT WHEN I'M ON THE LIST
OKAY I FELL INTO A BEFORE YOU
RODRIGUEZ SECRETARY SENATOR WENT
BY. WHEN I GLAZER. GROWTH LET
ALONE BOB WINNER. SIX SEVEN FILE
ITEM THREE AB THREE FIFTY TWO.
THE TICKET. SENATOR WENT. GLAZER
HE'S ME GROW. LIMÓN WAHABI
WINNER STILL AT SIX TWO SIX.
YEAH. TWO HOW ABOUT THE FOR
TWENTY FOUR FOUR TWENTY
AGUIAR-CURRY SENATOR WHEN. WHEN
NO. GLAZER GROWTH LIMON BOB
WINNER. SIX ONE SIX ONE WITH THE
ROLE OPEN. FOR A LOT OF FIVE AB
THE B. FORTY THREE SECRETARY
SENATOR WHEN I WHEN I. GLAZER
GROWTH HER TADO THE MON MENJIVAR
. RIGHT MENJIVAR AYE ROTH. RIGHT
I RUBIO. RUBIO AYE WHAT HAAB
WINNER. NO. SEVEN SIX ZERO NINE
ONE SIX ZERO ZERO OPEN MOVING ON
FILE ITEM SEVEN AB THIRTEEN
THIRTY ONE SECRETARY. SENATOR
WHEN. GLAZER. GROWTH FURTADO
LIMON MENJIVAR MENJIVAR I THINK
. RUBIO RUBIO I WILL HOP WINNER
. TO PUT THIS IN FIVE ZERO ONE
FIVE ZERO HOLD THE ROLE OPEN.
FILE ITEM EIGHT AB FIFTEEN
THIRTY SEVEN SECRETARY. SENATOR
WHEN. GLAZER. GROWTH HER TADO
LIMÓN. RUBIO. RUBIO I WILL HAVE
. WIENER. SEVEN FIVE ZERO. FILE
ITEM NINES SB SEVEN TWENTY TWO
SECRETARY. SENATOR WENT WHEN I.
GLAZER ROTHE LIMÓN. WAHABI
WINNER. SIX SEVEN ZERO SEVEN
ZERO HOLD THE ROLE OPEN AB NINE
TWELVE WELL AT ELEVEN SECRETARY
. THE MOTION. I SHALL. FOR THE
MOTION IS TO PASS A REFER TO THE
COMMITTEE ON APPROPRIATIONS.
MADE BY SENATOR MENJIVAR.
SENATOR GLAZER GONZALEZ ROVE HER
TADO LIMON RUBIO RUBIO AYE WHAT
HAAB WINNER. CONSISTS OF FIVE
ZERO FIVE ZERO. FILE ITEM TWELVE
A. B. TEN SIXTY THREE. SENATOR
WENT NO WHEN NO. GLAZER GROWTH
LIMÓN. WHAT HAAB WINNER. SIX ONE
SIX ONE LEAVE THE ROLE OPEN FILE
ITEM THIRTEEN AB TWELVE
SEVENTEEN. SENATOR WENT WHEN I.
GLAZER. ROVE AMOUNT. BOB WINNER
. SEVEN ZERO SEVEN ZERO HOLD THE
ROLE OPEN. FILE ITEM FOURTEEN AB
ELEVEN FIFTY SEVEN SENATOR WHEN
. GLAZER GONZALEZ GROWTH HER
TADO LIMÓN. RUBIO. BOB WINNER.
THREE ZERO THREE ZERO FILE ITEM
SIXTEEN AB TWELVE EIGHTY THREE.
SENATOR WHEN I. MY OWN. BOB
WIENER. SEVEN ZERO SEVEN ZERO
HOLD WILL OPEN FILE ITEM
SEVENTEEN AB TWELVE EIGHTY EIGHT
SENATOR WHEN. GLAZER GONZALEZ
GROVE- TADO LIMÓN RUBIO. RUBIO
AYE BOB WIENER. FOUR ZERO ZERO
TO MOVE ONTO FILE ITEM EIGHTEEN
AB THIRTEEN SIXTY. THAT'S RIGHT
THAT'S RIGHT- WHILST WILL HOLD
OFF ON THAT ONE FROM. WE WOULD
ASK THAT AS SOON BACARDI TO COME
ON DOWN AB FOURTEEN FIFTY ONE
JACKSON. SENATOR WHEN. GLAZER
GROWTH LIMON BOB WINNER SIX OF
SIX SO. OKAY WITH IT. DID YOU
WANT. GO TO MY HOUSE TO. HI MY-
ZERO RECORDED ON. YEAH WE HAVE
TWO MORE FOR THAT I DON'T. I
HAVE STATE.
WE WILL CALL IT SO LET'S DO.
WHICH DO. LET'S DO FILE ITEM
TWENTY FOUR AB SIXTEEN FORTY
FIVE ZUBER SECRETARY SENATOR
WHEN NO. GLAZER GROWTH HER TADO
. LIMON RUBIO RUBIO I. WHAT HOGG
WIENER. SO WE HAVE. YEAH. WE
HAVE FIVE EIGHT. INTO OUR
SURGEONS ARE YOU ARE YOU CALLING
THE- MCCARTY AND- OKAY. YEAH
TELL THE WILL MOVE INTO CITY
AVAIL. YEAH. MCCARTY LAWSON HE
WAS SITTING THERE SO IN CASE YOU
. ARE THEY STILL IN EDUCATION
OVER THERE I MEAN. THEN THERE IS
THE FUTURE KNOWN MURATSUCHI OF.
WITH A.
OKAY.
THAT'S RIGHT YEAH. WE DON'T.
WE'RE JUST GONNA SEE IF YOU'D BE
OPEN FOR SOMEONE TO PRESENT
WELCOME. DON'T SIT DOWN THOSE.
WANNA. IT'S READY. FILE I'M
TWENTY FIVE EACH YEAR NUMBER
FOUR WELCOME ASSEMBLY MEMBER.
NUMBER IS VERY HAPPY AND THANK
YOU FOR YOUR PATIENCE TO PRESENT
AG ARE FORTY FOUR WHICH IS A
JOINT RESOLUTION REQUESTING THE
BY ADMINISTRATION DISSOLVED THAT
ACCOUNTABLE CARE ORGANIZATION OR
A CO REACH PROGRAM AND THIS HAS
BEEN REALLY A REBRANDING OF THE
TRUMP ADMINISTRATION- PROGRAM
THE GLOBAL AND PROFESSIONAL
DIRECT CONTRACTING MODEL OR G.
D. C. G. P. C. AND THE BY THE
MINISTRATION REALLY ATTEMPTED TO
REBRAND THIS AND MAKE CHANGES TO
IT TO REMEDY SOME OF THE ISSUES
THAT HAVE PLAGUED. THE GT'S PC
PROGRAM BY REBRANDING IT TO THE
ACO REACH HOWEVER IT DOESN'T
REALLY GO FAR ENOUGH TO STOP THE
PREDATORY BEHAVIORS OF THOSE
ENTITIES THAT ARE PART OF THE
ACO REACH PROGRAM MANY OF THE
PROVIDERS OF ACO REACH ARE
SOMETIMES PRIVATE EQUITY FIRMS
THAT ARE RUSHING TO EXPLOIT AN
UNDERMINE MEDICARE'S SOLVENCY BY
OVER DIE DIAGNOSE SCENE AND
INFLATING BILLING PRICES. AND
PRACTICES- CALIFORNIA IS THE
MOST VULNERABLE BECAUSE WE HAVE
TWENTY SEVEN OF THE HUNDRED AND
THIRTY TWO NATIONALLY APPROVED A
CIOS WHICH MEANS RIVER ROAD ONE
OF THE STATES THAT HAS THE MOST
WE HAVE 20% OF THE NATION'S H.
ACO REACH PROVIDERS. JOINING ME
TODAY I HAVE KATHLEEN HEALY A
RETIRED PHYSICIAN FROM NAPA
REPRESENTING PHYSICIANS FOR A
NATIONAL HEALTH PROGRAM AND RUTH
CARTER THE CALIFORNIA ALLIANCE
FOR RETIRED AMERICANS WHO WILL
TESTIFY IN SUPPORT. AND AND BE
ABLE TO SPEAK MORE YOU KNOW
REALLY WERE VERY CONCERNED ABOUT
THE SOLVENCY OF MEDICARE AND HOW
THIS PROGRAM IS ACTUALLY
UNDERMINING NOT SOLVENCY RIGHT.
NOW THANK YOU VERY MUCH PLEASE.
THANK YOU MADAM CHAIR AND
COMMITTEE MEMBERS I'M DOCTOR
KATHLEEN HEALY. AND I APPRECIATE
THIS OPPORTUNITY TO ADDRESS YOU
IN JULY THE MONTH OF MEDICARE'S
ANNIVERSARY. THIS WONDERFUL
PROGRAM THAT WE HAVE ENJOYED FOR
ALMOST FIFTY EIGHT YEARS IS
BEING THREATENED BY INCREASING
PRIVATIZATION. THE ACO REACH
PROGRAM WHICH HAD ITS ORIGINS IN
THE TRUMP ADMINISTRATION AS AN
EXAMPLE. PRIVATE EQUITY
INVESTORS AND MEDICAL GROUPS ARE
UNITING TO CREATE A CO REACH
ENTITIES. WHAT IS WRONG WITH
THIS. LOSS OF BENEFICIARY CHOICE
HEMORRHAGE OF THE TRUST FUND AND
COMPROMISED OF THE PHYSICIAN
PATIENT RELATIONSHIP LET'S LOOK
AT THESE. AS YOU KNOW AT AGE
SIXTY FIVE SENIORS HAVE THE
CHOICE OF TRADITIONAL MEDICARE
OR MEDICARE ADVANTAGE PROGRAM.
HALF OF ALL AMERICANS AND MOST
RETIRED PHYSICIANS CHOOSE
TRADITIONAL MEDICARE TO HAVE
FREE CHOICE OF PROVIDERS IN
HOSPITALS AND FREEDOM FROM
INTERFERENCE IN THEIR CARE BY A
THIRD PARTY. IF YOUR PHYSICIAN
GROUP JOINS IN A CO REACH ENTITY
MEDICARE SENDS LETTERS TO ALL
THEIR PATIENTS WHO HAVE CHOSEN
TRADITIONAL MEDICARE INFORMING
THEM THAT THEY ARE NOW IN THIS
PRACTICE THAT HAS A FOR PROFIT
THIRD PARTY INVOLVED. AS A
PATIENT YOUR GIVEN NO CHOICE AND
CAN'T TO OPT OUT THE ONLY WAY
OUT IS TO LEAVE YOUR DOCTOR
WHICH IS DIFFICULT IN SOME
AREAS. TO DATE OVER TWO MILLION
AMERICANS HAVE BEEN CAUGHT IN
THE A. C. O. REACH NET.
HEMORRHAGE OF THE TRUST FUND THE
ADMINISTRATIVE COSTS OF
TRADITIONAL MEDICARE ARE 2% SOME
98% OF FUNDING GOES TO HEALTH
CARE. ACO REACH PROGRAMS CAN
KEEP FROM TWENTY FIVE TO UP 240%
OF THEIR HEALTHCARE DOLLARS FOR
OVERHEAD AND PROFIT. THIS IS
MONEY WE HAVE CONTRIBUTED
THROUGHOUT OUR WORKING LIVES FOR
OUR HEALTH CARE. AND LOTS OF
MONEY FROM UP CODING FRAUD A
FEATURE OF MEDICARE ADVANTAGE
CAN ALSO BE EXPECTED FROM THE CO
REACH. BUT THE MOST EGREGIOUS
OUTCOME OF THIS PROGRAM MAYBE
THE LOSS. OF PHYSICIAN PATIENT
TRUST WHEN THE PATIENT REALIZES
THAT THE LESS CARE SHE RECEIVES
THE MORE MONEY THE GROUP MAKES.
THIS IS A PERVERSE FINANCIAL
INCENTIVES IT IS NOT PRESENT IN
TRADITIONAL MEDICARE. LOSS OF
BENEFICIARY CHOICE HEMORRHAGE OF
THE MEDICARE TRUST FUND AND
POLICING PHYSICIANS IN THE ROLE
OF CARE RATIONING ARE THE
REASONS WE ASK YOU TO SEND THIS
RESOLUTION AGAINST THE ACO REACH
PROGRAM. TO PRESIDENT BIDEN
SECRETARY TO SERRA MEDICARE AND
CONGRESS. PRESIDENT BIDEN HAS
RESOLVED TO SUPPORT AND PROTECT
MEDICARE AND BY SENDING THIS
RESOLUTION WE HOPE THAT MORE
EFFORT WILL BE PUT INTO
EXPANDING THE BENEFITS OF
TRADITIONAL MEDICARE AND MAKING
IT MORE AFFORDABLE. WE HOPE THE
ACO REACH PROGRAM WILL BE
ELIMINATED AND THAT IN KEEPING
WITH THE STATED GOALS OF HIS
ADMINISTRATION THERE WILL BE NO
FURTHER MOVES TO PRIVATISE
TRADITIONAL MEDICARE. THANK YOU
THANK YOU VERY MUCH NEXT PERSON
SPEAKING IN SUPPORT PLEASE. IN
ABOUT TWO MINUTES. MADAM CHAIR
AND MEMBERS OF THE COMMITTEE
THANK YOU FOR THIS OPPORTUNITY
TO TALK TODAY. MY NAME IS RUTH
CARTER. I AM EIGHTY THREE YEARS
OLD AND MY MEDICARE CARD STATES
THAT I HAVE BEEN A TRADITIONAL
MEDICARE BENEFICIARY SINCE
DECEMBER TWO THOUSAND FOUR.
AFTER HAVING CONTRIBUTED INTO
MEDICARE VIA PAYROLL TAXES SINCE
IT BEGAN IN NINETEEN SIXTY FIVE.
I ALSO CHOSE A MEDIGAP POLICY
THAT WOULD PAY THE 20% THAT
MEDICARE DOES NOT PAY. SINCE
THEN I HAVE FELT SECURE. KNOWING
THAT MY MIDDLE COSTS WOULD BE
COVERED BY PAYING MY MONTHLY
PREMIUMS. AND SEEING DOCTORS WHO
ACCEPTED MEDICARE. ABOUT A HALF
MILLION PEOPLE SEEK BANKRUPTCY
PROTECTION FROM MEDICAL BILLS
EACH YEAR IN THE UNITED STATES
BUT I FEEL SAFE. FROM BECOMING A
PART OF THE STATISTIC BECAUSE OF
MY MEDICARE COVERAGE. THEREFORE
YOU CAN IMAGINE MY CHAGRIN WHEN
I OPENED A LETTER RECENTLY THAT
STATED THAT MY PRIMARY CARE
PHYSICIAN WAS NOW A PART OF
NOIDA HEALTH. ADVANTAGE ACO A
MEDICARE ACCOUNTABLE CARE
ORGANIZATION. THIS IS NOT MY
CHOICE SINCE I NEVER WANTED TO
BE PART OF AN ACO BECAUSE I
WANTED THE ABILITY TO FREELY
CHOOSE MY PHYSICIANS AND
HEALTHCARE PROVIDERS. WHILE THAT
LATER STATED THAT THERE WAS NO
ACTION NEEDED ON MY PART. I DID
SOME RESEARCH AND SINCE THEN. I
FEEL ANXIOUS ABOUT WHAT THIS NEW
PROGRAM MIGHT MEAN FOR ME. I
SCANNED THE LIST OF PROVIDERS
THAT WAS THAT ONE OF THE LINKS
IN THIS LETTER I RECEIVED AND
DISCOVERED THAT NONE OF THE
SPECIALIST I SEE REGULARLY.
GOING TO COLLEGE JUST
ORTHOPEDIST OR METALLIC JUST
PHYSICAL THERAPIST ARE LISTED.
ADDITIONALLY I DISCOVERED THAT
BRIGHT HEALTH THE PARENT COMPANY
TO NOIDA HEALTH. DESCRIBED THE
MEDICARE FEE FOR SERVICE MARKET
AS A FOUR HUNDRED THIRTY BILLION
DOLLAR OPPORTUNITY IN A TWENTY
TWENTY ONE REGULATORY FILING.
ALL RIGHT SEAT TRADITIONAL
MEDICARE AS A SYMBOL OF OUR
NATION'S COMMITMENT TO TAKE CARE
OF OUR SENIORS AND PEOPLE WITH
DISABILITIES. AS DR SUSAN ROGERS
FORMER P. AND H. P. PRESIDENT
STATED IN HER TESTIMONY TO A U.
S. SENATE COMMITTEE. MEDICARE
WAS DESIGNED AS A LIFELINE FOR
AMERICA'S SENIORS AND PEOPLE
WITH DISABILITIES NOT AS A
PLAYGROUND FOR WALL STREET
INVESTORS. I WANT MY CHILDREN MY
GRANDCHILDREN AND MY TWO GREAT
GRANDCHILDREN DOES THE SAME
SENSE OF SECURITY THAT I HAD. I
HOPE YOU WILL RECOGNIZE THE
DANGER THAT THE EASIER REACH
PRIVATIZATION PLAN POSES TO
TRADITIONAL MEDICARE AND ITS
BENEFICIARIES. BY TAKING WHERE
THEIR CHOICE AND TRANSFORMING
MEDICARE INTO A FOR PROFIT
COMMERCIAL ENTERPRISE. PLEASE
VOTE FOR HDR FOUR THANK YOU
THANK YOU VERY MUCH OTHER P.
PEOPLE SPEAKING IN SUPPORT NOW
JUST NAME AND AFFILIATION. COME
. YES PHYSICIANS FOR A NATIONAL
HEALTH PROGRAM THANK YOU. WE
SPEAK IN SUPPORTER. RUBBER
COUPLE ALIVE FOR CALIFORNIA
TRANSAMERICAN STRONG SUPPORT
THANK YOU FOREVER. KATHY
PITINO'S CALIFORNIA ALLIANCE FOR
RETIRED AMERICANS VERY STRONG
SUPPORT THANK YOU VERY MUCH
NOBODY ELSE. OKAY ANYBODY SPEAK
IN A POSITION TODAY TO THIS BILL
HAVE NO LISTED OPPOSITION. C.
NONE GO TO OUR PHONE LINES.
EIGHT DEMICHELIS BECAUSE SUPPORT
OR OPPOSITION PLEASE PRESS ONE
THEN THEY ARE AT THIS TIME. THE
NOW GOING TO LINE TWO OH SEVEN
GO AHEAD. YES I'M A HARD WORK ON
THE- HEARING OF THE DEMOCRATIC
PARTY. IT IMPORT AT THE CONGRESS
AND THE CREDIT CARD WE- YES
EIGHT FOUR. THANK YOU. THE
NATIONAL LINE TO FIFTY TWO
PLEASE GO AHEAD. GOOD AFTERNOON
BAKER WITH HEALTHCARE FOR ALL
CONTRA COSTA COUNTY IN WRONG
REPORT THANK YOU THANK YOU VERY
. THANKS CALLER. NEXT WE'LL GO
TO LINE TWO SEVENTEEN PLEASE GO
AHEAD. THE SEVENTY OUT OPEN. HI-
I'M. PRESIDENT OF CALIFORNIA
ANIMAL STRONG SUPPORT- THIS.
STRONG SUPPORT. OKAY GIVE. DID
PRESENT A CALIFORNIA LICENSE TO
LIVE. RECENT RESIDENT THANK YOU
NICE COLOR AT EXTRA LINE TO
ELEVEN PLEASE GO AHEAD. MY NAME
IS DAVID LEGAL WITH I BELONG TO
THE MOVEMENT TO END THE
PRIVATIZATION OF MEDICARE AND
PHYSICIANS FOR A NATIONAL HEALTH
PROGRAM. I PROVIDE STRONG
SUPPORT FOR EACH A. R. FOUR
THANK YOU MISTER REVERTS AND
COLOR PLEASE. EXTRA LINE ONE
NINETY FOUR PLEASE GO AHEAD.
THIS IS JOHNNY GRAPHIUM A MEMBER
OF KERA AND THE MOVEMENT TO END
THE PRIVATIZATION OF MEDICARE
AND I'M IN WRONG OR DEBATE J. R.
OR THANK YOU JOHNNY NEXT CALLER
PLEASE. EXCEL LINE TO TWENTY
FOUR PLEASE GO AHEAD. YOU TWENTY
FOR YOUR LINE IS OPEN. THERE'S
CURRENTLY NO ONE ELSE IN THE
QUEUE AT THIS TIME AT CHAIR
THANK YOU VERY MUCH BRING IT
BACK TO THE MEMBERS NOW. CENTER
WILL HAVE MOVED THE BILL YOU
KNOW THE QUESTIONS COMMENTS
SEEING NONE WORTHY THANK YOU
VERY MUCH FOR- FIGURES COMING UP
TODAY WOULD YOU LIKE TO CLOSE.
JUST THANK YOU SO MUCH FOR
ALLOWING US TO PRESENT THIS BILL
SUCH AN IMPORTANT ISSUE FOR OUR
COMMUNITY TO MAKE SURE THAT
MEDICARE IS PROTECTED FOR OUR
SENIORS AND SOLVENT AND FUTURE-
AND WE KNOW THAT THE BY
DEMONSTRATION IS DONE A LOT TO
SUPPORT THE MEDICARE PROGRAM
THIS IS ANOTHER. STEP THAT CAN
BE TAKEN AT THE FEDERAL LEVEL TO
ENSURE THAT THIS IS AROUND FOR
FUTURE GENERATIONS- AND WE STOP
PRIVATE PROFITEERING OFF
MEDICARE THANK YOU SO MUCH AND
ASKING I BOOK THANK YOU VERY
MUCH OKAY I WAS MOVED BY CENTER
WILL HOP AND THE MOTION IS. TO
BE ADOPTED. SECRETARY SENATOR
EGGMAN EGGMAN AYE WHEN. GLAZER
GONZALEZ GONZALEZ I GROWTH. HER
TADO. LIMON MALONE I MENSHEVIK
BINGE OF OUR AYE ROTH. ROTH AYE
RUBIO. RUBIO AYE WELL HOT. BOB I
WINNER. SEVEN ZERO SEVEN ZERO
WILL HOLD THE ROLE OPEN THANK
YOU VERY MUCH AND REMEMBER. SO
MEMBER MCCARTY HER LAST BILL
TODAY. NOBODY GREETED ME SO I
MUST BE RIGHT. RIGHT PLEASE
ENTER FINAL FINAL FINAL THANK
YOU MADAM CHAIR I KNOW YOU
REMEMBER THIS FROM A COUPLE
YEARS AGO BUT SOME SOME NEWER
FACES THAT APPEAR THIS IS AN
ISSUE OF A WORK ON FOR SEVERAL
YEARS AS A DISTRICT BILL.
RELATED TO COUNTIES- MY COUNTY
SACRAMENTO COUNTY AS WELL AS
YOLO COUNTY WILL DO A PILOT
PROJECT ALONG THE TWO COUNTIES
TO COME UP WITH INNOVATIVE
SOLUTIONS DEALING WITH
INDIVIDUALS. WHO HAVE SUBSTANCE
ABUSE DISORDER AND ARE
INCARCERATED JAILS AND PRISONS
ARE THE BEST PLACE TO GET CLEAN
WE SEE TOO OFTEN PEOPLE REVOLVE
THROUGH THE SYSTEM OUR LOCAL DA
HERE IN YOLO COUNTY. REMINDS ME
ALL THE TIME THAT INDIVIDUALS
GET ARRESTED FOR A CRIME GET
SENTENCE BUT THE REASON THEY'RE
COMMITTING THE CRIME TOO OFTEN.
IS NOT THE CRIME IT'S TO FEED
THEIR ADDICTION SELL PROPERTY
CRIME SO GIVE EXAMPLE AND
INDIVIDUALS ARRESTED FOR
BURGLARY- THIS THERE'S A
MULTIPLE TIMES AFTER BEING
ARRESTED THEY GET OFFERED A TWO
YEAR- THEY GET A SENTENCE FOR
TWO YEARS. AT SENTENCING THEY
WILL GET OFFERED THE CHANCE TO
GO DO TREATMENTS IN LIEU OF THAT
SO IT WOULD BE VOLUNTARY. THEY
COULD GO TO A SEGREGATED. UNIT
THAT'S OUTSIDE THE COUNTY JAIL
SYSTEM- NOT BARS AND WALLS BUT A
SECURED UNIT BECAUSE THESE
PEOPLE ARE GOING OVER THE NICKEL
BRACELET OTHERWISE IT WOULD BE
SENTENCED TO. COUNTY JAIL OR
STATE PRISON. MAY BE ABLE TO GET
TREATMENT DEALING WITH THE
UNDERLYING CONDITION AND
THEREFORE HOPEFULLY WHEN THEY GO
HOME NOT BECOME A STATISTIC AS
FAR AS RECIDIVIST- AND WE'VE
WORKED WITH- PROFESSIONALS THE-
STATE ASSOCIATION OF
PSYCHIATRISTS TAKEN A NUMBER OF
AMENDMENTS IMPROVING. IMPROVING
THE- THE COMMITMENT TO ENGAGING
MEDICAL PROFESSIONALS IN IN
PATIENT CARE- YOU KNOW WE HAVE
THIS ADDICTION CRISIS ALL ACROSS
OUR STATE ALL OF OUR COMMUNITIES
AND CERTAINLY YOU KNOW THERE IS
INTERSECTION WITH ADDICTION AND
MENTAL HEALTH THE CRIMINAL
JUSTICE SYSTEM HOMELESSNESS NOT
ALL EVERYBODY FITS ALL THESE.
BUT TOO OFTEN TO MAYES THINGS
ARE INTERWOVEN IN THE CRIMINAL
JUSTICE SYSTEM JUST IS NOT THE
PLACE TO TREAT. DRUG ADDICTION
SO THIS WOULD GIVE US INNOVATIVE
A FIVE YEAR PILOT PROJECT HERE
IN SACRAMENTO AND YOLO COUNTY.
TO DEAL WITH IT AND IT ADDICTION
AND- A FURTHER THE INDIVIDUALS
WHO GO THROUGH THIS AGAIN IT'S A
VOLUNTARY CHOICE- WE TOOK A
NUMBER OF- AMENDMENTS AND SENATE
PUBLIC SAFETY SO THEY WOULD
SERVE LESS TIME. THAN THEIR
UNDERLYING SENTENCE FOR IN THE
JAIL- STATE PRISON AND THEY
WOULD HAVE THEIR RECORDS
EXPUNGED AS WELL. SO WE THINK
THIS IS A WIN WIN FOR
COMMUNITIES AND FOR INDIVIDUALS.
I RESPECTFULLY ASK FOR YOUR AYE
VOTE LOST A FEW WITNESSES WITH
THE TIME CRUNCH BUT WE HAVE ONE
INDIVIDUAL WHO WAITED HERE ALL
DAY AND I LOOK FORWARD TO- YOU
ALL HEARING HIS TESTIMONY THANK
YOU. THANK YOU WHO WOULD THAT
PERSON BE HOW DO YOU LIKE TO
COME FORWARD. THE DROP
ADDITIONALLY TO. OKAY. PLEASE
SIR THANKS MADAM CHAIR AND
COMMITTEE MEMBERS- I MATTHEW
KING. AND MY SOBRIETY DATE IS
JUNE EIGHTH NINETEEN NINETY
SEVEN. AND I'VE BEEN CLEAN AND
SOBER FOR MORE THAN TWENTY SIX
YEARS- I'M LIVING PROOF THAT
MANDATED TREATMENT WORKS. I'M
HERE TO SUPPORT THIS BILL
BECAUSE- I WOULDN'T BE HERE
TODAY. IF IT WASN'T FOR
ACCOUNTABILITY AND TREATMENT
THROUGH DIVERSION PROGRAMS. I
WAS A CRIMINAL AND ALCOHOLIC A
METH ADDICT. BUT I BASICALLY DO
ANY DRUGS THAT I CAN GET MY
HANDS ON INCLUDING IRELAND I
WOULD LIE CHEAT STEAL TO GET
THEM. TREATMENT WORKS BUT IT
NEEDS ACCOUNTABILITY. I HAD A-
SIX MONTH BEHAVIOR MODIFICATION
PROGRAM WITH THE SHARES FOR ALL
LEAST WHEN I GOT OUT. AND I HAD
NO IDEA I'D BE HERE TALKING WITH
ALL OF YOU TODAY. AS A LONG TIME
MEMBER OF RECOVERY MEETINGS AND
THE SECRETARY AND THE
CHAIRPERSON OF THE MEETINGS I
KNOW FIRST HAND THAT. SENTENCING
OF MEETINGS OR OUTPATIENT CARE
ARE NOT ENOUGH. PEOPLE JUST DROP
THEIR SLIPS IN THE BASKET AND
THEY COME BACK IN A COUPLE WEEKS
TO FIND THEM SIGNED WITHOUT EVEN
ATTENDING. TREATMENT OF ANY KIND
OF TERMINAL ILLNESS IS
AGGRESSIVE AND THIS MUST BE TO.
I WOULD HAVE NEVER GOTTEN
CLEANED TODAY IF I HAD TO DO IT
ALL OVER. I COULD SUPPLEMENT MY
HABIT WITH CRIME SHOPLIFTING
SELLING DRUGS. WITH BEHAVIOR
MODIFICATION TREATMENT AND
THERAPY I LEARNED TO REENTER
SOCIETY AND FEEL COMFORTABLE
AGAIN AND I'M ASHAMED. BUT IT
TOOK ME AT LEAST SIX MONTHS TO A
YEAR TO DO SO. I STILL HOLD
RECORDS WHICH I'D LOVE TO HAVE
X. FUNDS WITH THIS BILL WILL.
GIVE THE HEAD START ADDICTS LIKE
I NEEDED IN BUILDING A SOLID
FUTURE THOUGH HELP WITH- FILLING
OUT JOB APPLICATIONS AND-
FINDING HOUSING BECAUSE YOU
WON'T HAVE CERTAIN THINGS ON
YOUR RECORD. PROBLEMS LIKE THIS
HAVE KEPT ME OFF THE STREET. AND
WILL HELP OTHERS AS WELL TODAY.
I AM A PRODUCTIVE MEMBER OF
SOCIETY WHO ADVOCATES FOR MY
COMMUNITY. THEY'RE MAKING
LIFETIME A MAN'S AND I CARRY MY
MESSAGE OF HOPE THE RECOVERY. I
HAVE YOUR SUPPORT OF AB THIRTEEN
SIXTY THANK YOU. THANK YOU VERY
MUCH AND CONGRATULATIONS ON.
DECADES OF SOBRIETY. OF ANYONE
ELSE BECAUSE SUPPORT OF THE BILL
TODAY. THANK YOU MADAM CHAIR
JEFF NEAL THE KILL SMIRK SMART
BEHALF OF YOLO COUNTY IN
SUPPORT. THANK YOU VERY MUCH
OKAY ANYBODY SPEAK IN OPPOSITION
TO THIS BILL TODAY. POP IT IN
LIFE. GOOD EVENING- LISA GARDNER
WITH THE COUNTY BEHAVIORAL
HEALTH DIRECTORS ASSOCIATION WE
ARE RESPECTFULLY OPPOSED TO THIS
MEASURE AS WE HAVE BEEN TO PRIOR
VERSIONS OF THE SPELL IN
PREVIOUS YEARS- WE BELIEVE THAT
ADDICTION IS TREATABLE WE SHARE
A DEEP CONCERN ABOUT. OVERDOSE
CRISIS WE MUST EXPAND ACCESS TO
TREATMENT BUT WE BELIEVE OUR
APPROACH SHOULD BE GUIDED BY
RESEARCH AND EVIDENCE AND THAT
TREATMENT SHOULD BE VOLUNTARY-
BECAUSE THIS PILOT CREATES A
FALSE CHOICE. BETWEEN
INCARCERATION OR TREATMENT WE
BELIEVE IT IS CALL HER SERVE NOT
VOLUNTARY SELF MOTIVATION IS
CRITICAL TO THE RECOVERY PROCESS
RESEARCH- FROM OTHER COUNTRIES
COMPARING COMPULSORY TREATMENT
TO VOLUNTARY MEDICATION
TREATMENT. SHOWS THAT PATIENTS
BEGAN TO USE OPIATES RAPIDLY
ONCE THEY WERE RELEASED IN
MASSACHUSETTS DATA SHOW THAT
THOSE WHO WENT THROUGH
INVOLUNTARY TREATMENT FACE
DOUBLE THE RISK OF A FATAL
OVERDOSE. COMPARED TO THOSE WHO
WENT THROUGH VOLUNTARY
TREATMENT. A SYSTEMIC REVIEW OF
THE EFFECTIVENESS OF INVOLUNTARY
TREATMENT PROGRAMS AROUND THE
WORLD FOUNDED NO EVIDENCE OF
BENEFIT AND RISK OF POTENTIAL
HARM. IN ADDITION INVOLUNTARY
SUBSTANCE USE DISORDER TREATMENT
CAN BE. AND AFFECT A PERSON'S
WILLINGNESS TO ENGAGE
INVOLUNTARY TREATMENT IN THE
FUTURE. IN FAR TOO MANY
COMMUNITIES CALIFORNIANS WHO ARE
READY AND WILLING TO SEEK A
VOLUNTARY SUBSTANCE USE DISORDER
TREATMENT LACK ACCESS TO THE
CARE THAT THEY NEED AND WANT
RIGHT NOW AT THIS CRITICAL
MOMENT WHEN CALIFORNIA'S BUS
PRESSED FOR TIME AND RESOURCES.
WE URGE INVESTMENT INSTEAD
INVOLUNTARY TREATMENT MODELS
THAT ARE PROVEN EFFECTIVE
EVIDENCE BASED AND PATIENT
CENTERED THANK YOU THANK YOU
VERY MUCH X. PERSON PLEASE.
THANK YOU GOOD EVENING MADAM
CHAIR AND COMMITTEE MEMBERS
WESLEY SABER DIRECTOR OF POLICY
AND PUBLIC AFFAIRS FOR HEALTH
RIGHT THREE SIXTY ON BEHALF OF
THE ONE OF THE LARGEST UNIONIZED
NONPROFIT BEHAVIORAL HEALTH
PROVIDERS IN CALIFORNIA SPEAK
WITH THE INTIMATE KNOWLEDGE. OF
THE PERSISTENT CHALLENGES OF
SUBSTANCE USE DISORDER- THESE
ARE SENSITIVE ISSUES AND INDEED
PERSONAL TO US ALL AND LIKE TO
CONGRATULATE THE GENTLEMAN ON
HIS JOURNEY IN IN YEARS OF
SOBRIETY HOWEVER AB THIRTEEN
SIXTY LIKE ITS PREVIOUS
VERSIONS. POSE A SIGNIFICANT
HARM TO PEOPLE WHO USE DRUGS
THIS LEGISLATION DANGEROUSLY
UNDERMINES OVERDOSE PREVENTION
AND RECOVERY. CRIMINALIZES
PEOPLE FOR THE ILLNESS AND BLURS
THE LINES BETWEEN KAREN
PUNISHMENT AND AS THE PREVIOUS
SPEAKER MENTION PREVENT
PRESENTING PEOPLE WITH A FALSE
CHOICE BETWEEN INCARCERATION OR
TREATMENT IS ALWAYS COERCIVE. IN
BEHAVIOR HEALTH COMMUNITY COURSE
OF TREATMENT IS WIDELY
CRITICIZED AND REJECTED FOR ITS
LACK OF EVIDENCE BASED PRACTICES
THIS PROGRESSIVE APPROACH DOES
NOT ALIGN WITH THE GOVERNOR'S
VISION FOR A MODERNIZED MENTAL
HEALTH SERVICES ACT. THESE
PROGRAMS DAMAGE THE PATIENT
PROVIDER RELATIONSHIP RESULT IN
HIGH AND RAPID RATES OF RETURN
TO USE AND INCREASED OVERDOSE
OVERDOSE DEATHS AND SUICIDE
RATES FOR PARTICIPANTS YOU CAN
LOOK NO FURTHER THAN SAN
FRANCISCO WHICH IS EXPERIENCE
RECORD OVERDOSE DEATHS FOR SIX
OF THE PAST SEVEN MONTHS. AND
THIS COINCIDES WITH INCREASED
ENFORCEMENT MEASURES AND COERCED
TREATMENT OF PEOPLE WHO USE
DRUGS. THE MODEL PROPOSED BY THE
THIRTEEN SIXTY IS DEADLY AND
THERE IS NO SCHOLARSHIP THAT'S
THE SUPPORTS THIS APPROACH. THE
COMMITTEE ANALYSIS TO SITES
RESEARCH HIGHLIGHTING THE
VOLUNTARY TREATMENT IN COMMUNITY
BASED SETTINGS PRODUCES FAR
BETTER OUTCOMES THAN COERCED
TREATMENT. OFFERING READILY
AVAILABLE LOW THRESHOLD EVIDENCE
BASED CULTURALLY AFFIRMING
INVOLUNTARY TREATMENT IN THE
COMMUNITY REDUCES FAR BETTER AND
SUBSTANTIATED OCCAM'S KNOWING
THIS. WE OPPOSE AB THIRTEEN
SIXTEEN RESPECTFULLY URGE YOU TO
VOTE NO THANK YOU THANK YOU.
OTHER SPEAKING IN OPPOSITION
NAME AND AFFILIATION. POLICE SAY
BELLAVIA'S LEWIS ON BEHALF OF
POLICY ALLIANCE IN STRONG
OPPOSITION THANK YOU. GEODON ON
BEHALF THE CALIFORNIA CONSORTIUM
OF ADDICTION PROGRAMS AND
PROFESSIONALS AND THE CALIFORNIA
SOCIETY OF ADDICTION MEDICINE IN
OPPOSITION THANK YOU THANK YOU.
OKAY LET'S GO TO THE PHONE LINES
ANYBODY GROUP CALLING IN SUPPORT
AND OR OPPOSITION. THIS BILL
WHICH IS BEACON SUPPORT OR
OPPOSITION PLEASE PRESS ONE SB
THIRTY ALEXIS FIVE. WE'LL GO TO
LINE TWO FIFTY FIVE PLEASE GO
AHEAD. ROTH WITH DISABILITY
RIGHTS CALIFORNIA IN STRONG
OPPOSITION. THANK STEP NEXT
CALLER PLEASE. XO NINE TWO FIVE
SEVEN PLEASE GO AHEAD. GOOD
EVENING ONE BACKER FILMMAKER
CENTER FOR HUMAN RIGHTS IN
OPPOSITION THANK YOU NEXT CALL
PLEASE. X. OF THE LINE TO FIVE
THREE PLEASE GO AHEAD. HI MY
NAME IS THE ONLY MARKET THAT
POLICY ANALYST THE LEGAL
SERVICES TO CERTAIN OF THE
CHILDREN. ALSO CALLING ON BEHALF
OF ALL OF US OR NONE AND THE
STRONG OPPOSITION THANK YOU
THANK YOU THANKS CALLER PLEASE.
IF YOU EITHER HAVE JUST QUEUED
UP AT THIS TIME ONE MOMENT WATER
LINE NUMBERS GIVEN.
NEXT OTHER LINE TWO FIVE EIGHT
PLEASE GO AHEAD. ERIC ANDERSON
ON BEHALF OF THE ACLU CALIFORNIA
ACTION IN OPPOSITION. THANK YOU
. THE NEXT OTHER LINE TWO FIFTY
PLEASE GO AHEAD. HI THIS IS
AMBER ROSE POWERED. CORRECT OF
CALIFORNIANS UNITED FOR A
RESPONSIBLE BUDGET AND WE ARE IN
STRONG OPPOSITION THANK YOU
THANKS CALLER PLEASE. THERE'S NO
ONE ELSE THANK YOU AFTER THANK
YOU VERY MUCH THIS TIME WE BRING
IT BACK TO THE COMMITTEE
COMMENTS QUESTIONS UNDER ROTH
THANK YOU VENTURE. YOU'RE MY
CONCERN IS WHAT HAPPENS IF
SOMEONE. DOZEN VOLUNTEERS. DO WE
JUST NOT DO ANYTHING. WELL
THAT'S THE STATUS QUO RIGHT NOW
AND SO AN INDIVIDUAL WOULD BE
SENTENCED. THE THE DA WOULD HAVE
THE OPPORTUNITY TO WITH LONG
WITH THE JUDGE TO PRESENT THIS
TO THE APPLICANT TO THE
APPLICANT. YOU WANT TO GO. SERVE
YOUR SENTENCE AT SACRAMENTO
COUNTY JAIL YOLO COUNTY JAIL OR
PROTECT PERHAPS THE STATE PRISON
SENTENCE FOR THIS SO. THERE
THERE IT'S A CHOICE AND I GUESS
I KIND OF ADDRESSES THE ISSUE
TOO I FINALLY JUST AGREE THIS IS
NOT COERCED IS THESE PEOPLE CAN
SAY NOW THIS IS SOMEBODY WHO IS
COMMITTED A CRIME COMMITTED
CRIME IN THEIR SENTENCE IS
INDIVIDUALS ARE NOT GOING HOME
WITH AN ANKLE BRACELET THESE ARE
PEOPLE THAT OTHERWISE. WOULD BE
SENTENCED TO A MULTI YEAR MULTI
MULTI MONTH SENTENCE AND WIN AND
THEY'RE THEY'RE PROVIDED WITH AN
OPTION AND THEY CAN CHOOSE IT OR
THEY CAN DENY. THIS IS. THANK
YOU FOR CARRYING THE BILL. A
CENTER RUBIO SENATOR MENJIVAR AN
INCIDENT. THANK YOU MADAM CHAIR-
I JUST FIND THIS TOPIC VERY
INTERESTING- YOU KNOW I WAS
LISTENING TO SOME OF THE
OPPOSITION I CLEARLY UNDERSTAND
EVERYTHING THAT WAS SAID IN
TERMS OF A VOLUNTARY TREATMENT
PROGRAMS. BUT THERE'S TWO THINGS
ON. CHAU CONFUSED ABOUT- I KNOW
THAT A LOT OF DATA WEBSITE RIGHT
HERE- DOT CLARIFY FOR ME IS THIS
IS A PILOT PROGRAM CORRECT- YES
IT'S A PILOT. IN TWO COUNTIES
FOR FIVE YEARS AND- AND A LOT OF
THE DATA THAT I WAS CONFUSED TOO
BECAUSE IF I WOULD VOTE AGAINST
THAT BILL AS WELL BUT THAT'S NOT
THE BILL I'M PRESENTING YOU.
HERE TODAY. THIS IS NOT A CO
WORST. INVOLUNTARY PROGRAM THIS
IS BY CHOICE FOR INDIVIDUALS IN
IN TWO COUNTIES THEY CAN CHOOSE
TO DO THIS OR THEY CAN SAY NOW.
AND GO SERVE THEIR SENTENCE. AND
I SAY THAT BECAUSE I ALWAYS
THINK OF A PILOT PROGRAM IT SORT
OF UP THE WAY TO GATHER DATA TO
SEE OF SEVENTEEN THAT WE
IMPLEMENT WORKS. AND SO WHAT
WE'RE SAYING YOU KNOW THE DATA
SHOWS I'M JUST WONDERING WE
DON'T HAVE A PROGRAM LIKE THIS
HOW DO WE COMPARE THAT TO
SOMETHING ELSE. AND I'M HEARING
WHAT YOU'RE SAYING AND I DO
UNDERSTAND THAT IT'S- VOLUNTARY
AND I. STRUGGLE TO THINK THAT'LL
FONG PAUL IS FALSE CHOICE
BECAUSE WE'RE PICKING TRAILER
WITH PICKING. TREATMENT CENTER
EVEN THAT MAY NOT BE THE IDEAL
SITUATION BUT AGAIN IN MY HEAD
I'M THINKING THIS IS A PILOT
PROGRAM THAT WOULD GIVE US A
SENSE OF. WHETHER OR NOT IT
WORKS OR NOT ESPECIALLY BECAUSE
WE OFTEN SAY WE INCARCERATE
PEOPLE BUT YET WE DON'T HAVE. AN
ALTERNATIVE SO I FIND THIS TO BE
SOMEWHAT. INTERESTING IN THAT IT
DOES PROVIDE AN ALTERNATIVE FOR
THOSE THAT THAT WANT TO TRY YOU
WERE VERY VERY CLEAR ABOUT NOT
BEING A FORCED. CHOICE YOU HAVE
TO CHOOSE TO BE IN HERE. AND I
JUST HAVE TO SHARE THAT YOU KNOW
RIGHT MISSING TO BE A SIR YOU
AND ALL THE TREATMENT CENTERS
AND EVERYONE THAT TALKS ABOUT
DATA AND WHAT WORKS AND WHAT
DOESN'T WORK BUT- I CAN SURE
PERSONALLY I MEAN I HAVE FAMILY
MEMBERS WHO. HANG MEMBERS DRUG
ADDICTS AND I CAN TELL YOU I
HAVE ONE PARTICULAR PERSON I WAS
VERY CLOSE TO ME. WHO SPENT
TWENTY FIVE YEARS AN ADDICTION
YOU KNOW TWO YEARS AGO GOT SHOT
IN THE HEAD AND- DIED THAT
SOMEONE I CARED ABOUT VERY MUCH
AND I WONDER IF THEY- YOU KNOW
SHE WAS IN AND OUT OF JAIL.
NOTHING EVER WORKED IF A PROGRAM
LIKE THIS HAVE BEEN IN PLACE
WHERE MAYBE WE COULD HAVE PUT
HER IN A PLACE WHERE. THERE
COULD HAVE BEEN MORE. TREATMENT
AT DIFFERENT AWAY. GOING TO JAIL
TEN TIMES WAS NOT WORKING SELL.
SOMETHING LIKE. WOULD PROBABLY
HAVE BEEN AN OPTION SO FOR ME.
OP I WANT TO MAKE SURE THAT IT'S
CLEAR THAT I UNDERSTAND
EVERYTHING. THAT THE OPPOSITION
THE SAME BUT- FROM PERSONAL
EXPERIENCE THERE'S NO WAY WE
COULD HAVE GOT THIS PERSON. TO
TREATMENT- NOT EVEN VOLUNTARY
BUT I WOULD HAVE CHOSEN AS A
FAMILY MEMBER TO HAVE SOMETHING.
LIKE THIS TO OFFER AN
ALTERNATIVE AND AGAIN I'M SEEN
IT AS A PILOT PROGRAM. TO GATHER
THE DATA AND SEE WHAT THAT LOOKS
LIKE. I WOULD BE VERY INTERESTED
IN A- SEEN. INFORMATION I WOULD
LIKE TO ADD YEAH IT IS A CO
AUTHOR AND WITHOUT I WILL MOVE
THE BILL WENT. OKAY THERE'S A
MOTION BY CENTER RUBIO SENATOR.
MENJIVAR THANK YOU SO MUCH-
ASSEMBLY MEMBER. AYE I HAVE.
SOME CONCERNS WITH THIS YOU KNOW
I WAS LOOKING YOUR- YOUR
PREVIOUS- WORK IN THIS AND JUST
THE VETO MESSAGE FROM THE
GOVERNOR. I'M STILL TRYING TO
FIGURE OUT A LITTLE BIT WHAT'S
THE DIFFERENCE HERE- SO. IF
WE'RE LOOKING THAT. IF WE'RE
GOING TO PUT A HUMAN BEING IN
FRONT OF YOUR CHOICES JAIL YOUR
CHOICES THAT. THE DATA OUT OF
THIS IS GONNA SHOW HUMAN BEINGS
CHOSE. PERHAPS THIS PILOT
PROGRAM OVER GEL BUT WHAT DO WE
GAIN NONE OF THAT THAT A HUMAN
BEING SHOWS THIS OVER THAT. I'D
BE MORE INTERESTED IN WHAT'S THE
RELAPSE RATE FOLLOWING THIS
PROGRAM. WAS THERE A RECIDIVISM.
BECAUSE IF WE JUST COLLECT DATA
THAT SHOW. THIS WAS CHOSEN OVER
THAT IT DOESN'T REALLY SHOW MUCH
FOR US AND THEN MY SECOND
QUESTION- THIS ONE IS AN ACTUAL
QUESTION IS. SO THESE WOULD ONLY
BE FOR PEOPLE WITH THE SENTENCE
OF LESS THAN FIVE YEARS SINCE
PARENTS ONLY IN UP. TO TWENTY
TWENTY NINE. YES I I'M NOT SURE
IF IT'S BECAUSE IT'S A FIVE YEAR
PILOT. WE WE'RE WE'RE AND WE
DON'T HAVE VIOLENT CRIMES ONE
THAT STRIKES INVOLVED HERE I
DON'T HAVE DEVIATED TO I AM. NOT
A PROSECUTOR. I THINK BY AND
LARGE THIS THE SENTENCES THAT
WOULD BE APPLICABLE. WOULD BE
SHORTER TERM SENTENCES
REGARDLESS OF THE FIVE PILOTS.
OKAY I'M AND THEN THE CONTINUUM
OF CARE PER I WAS LOOKING IN THE
POST A LIST AMENDED. JUST YOU
KNOW THE TO APPROACH OF THIS- IF
YOU KNOW LOOKING A DIVERSION
PROGRAMS TO GET PEOPLE OUT OF
OUR OUR JAILS- HOW HOLISTIC IS
THAT. EXACT APPROACH AND I SEE
IN THE OPPOSE LISTEN PURCHASE TO
PROVIDE IN THE CONTINUUM OF
CARE. NIPPER HOUSING AND SO
FORTH. I THINK THE ISSUE AND-
PEOPLE OPPOSED TO THIS. ARE GOOD
PEOPLE AND THEY'RE MY FRIENDS.
AND OUR FRIENDS AND SO MANY
OTHER ISSUES BUT WE RESPECTFULLY
DISAGREE AND THE GOVERNOR'S VETO
MESSAGE SOMETIMES PEOPLE GET
AROUND. I WOULD NOTE THAT THE
CARE COURTS THAT THEY PASSED A
YEAR LATER WAS VERY SIMILAR TO
THE PRICE THAT WE'RE DOING HERE
SO MAYBE WE ARE AHEAD OF OUR
TIME- THAT BEING SAID I THINK
THE OPPOSITION WOULD RATHER HAVE
THESE EFFORTS. BEING OUTSIDE. OF
THAT JUSTICE SYSTEM AND HAVE IN
THE COMMUNITY AND CULTURALLY
BASIS AND ALL THAT AND THAT THAT
WAS THE I THINK THE- THE GOLD
STANDARD. BUT THESE INDIVIDUALS
ARE BEING PROSECUTED AND
SENTENCED FOR SERIOUS CRIMES.
THEY'RE GOING TO GO TO A COUPLE
YEARS JUST COUNTY JAIL FOR STATE
. HONORS AGAIN LIKE I DON'T BE
SO. THAT YOU KNOW JOKING ABOUT
THESE FOLKS ARE GOING HOME WITH
AN ANKLE BRACELET. THESE PEOPLE
ARE OTHERWISE GOING TO BE
SENTENCED AND SO THERE IS NO
ALTERNATIVE THAT THE OTHERS
WOULD WANT WE SHOULD BE SPENDING
MORE AND- OUTPATIENT COMMUNITY.
DRUG TREATMENT I CAN KERR BUT
THIS IS THE POPULATION THAT'S
NOT PART OF THE THAT THAT
EQUATION- AND SO WE HAVE- WORKED
WITH- PUBLIC HEALTH OFFICIALS.
THE PEOPLE MESS WE JUST TOOK THE
NAY MAY AND HAVE THIS OF. FOR
THE- CALIFORNIA'S ASSOCIATION OF
PSYCHIATRISTS I WILL CENTER IN
OUR THREE YEARS WORKING AS A
TAKEN OVER EIGHTY AMENDMENTS
DEALING WITH. ISSUES ONE BY ONE
AND I THINK THAT WE WERE TRYING
TO ADDRESS THAT. THE PRISON
SYSTEM IS NOT THE BEST PLACE FOR
HEALTHCARE AND SO WHAT KIND OF
ALTERNATIVE CAN WE HAVE THAT CAN
BE THEY CAN BE TESTED. SPEAKING
OF DATA COULD BE TESTED FOR FIVE
YEARS AND SAY IS THIS WORKING.
WHAT THE FLIP SIDE. THAT ESCROW
ISN'T NECESSARILY AND I AGREE
WITH YOU ON THAT THE STATUS QUO
IS NOT WORKING A HUNDRED
PERCENT- YOU KNOW GIVEN JUST. I
SEE THE FINAL ACCOUNTABILITY IS
GOING TO FALL UNDER COUNTY
PROBATION OFFICERS AN ENTITY
THAT I PERSONALLY BELIEVE SHOULD
NOT BE RESPONSIBLE FOR THIS KIND
OF TREATMENT- ARE THERE ANY
GUARD ROSE TO SHOW THAT. YOU
DON'T TREATMENT IS GOING TO BE
JUST. FOR THESE INDIVIDUALS I
THINK THAT THAT'S THAT'S THE
ISSUE HERE AND I WISH R. DA
COULD TESTIFY THAT. THESE
INDIVIDUALS WOULD BE LOCKED UP
OTHERWISE AND SO WE CAN HAVE IT.
YOU KNOW JUST THAT OUTPATIENT
MEANT I MEAN NOT MENTAL MEDICAL
FACILITY WILL JUST LET THE WAY
THESE PEOPLE ARE SENTENCED IN
THE NEEDS IS TO BE A SAFE SO
NEEDS TO BE. SECURED AND SO I
THINK THAT THE COMPROMISE HERE
WE WOULDN'T HAVE. YOU KNOW- IT
CORRECTIONAL INDIVIDUALS THERE-
BUT IT WOULD BE. PROBATION THAT
WOULD SECURE THE- THE- OF THE
BUILDING TO MAKE SURE THEY HAVE
SOME SECURITY BUT THE PEOPLE WHO
ARE PROVIDING THE SERVICE ON THE
INSIDE. WOULD BE HEALTH
PROFESSIONALS PAID FOR- BY THE
COUNTY IS NO GENERAL FUND.
APPROPRIATION HERE IS TO BE
SOLELY PAID FOR BY THE
INDIVIDUAL PARTICIPATING COUNTY.
THANK YOU. SIR WHAT THANK YOU.
THANK YOU ASSEMBLY MEMBER FOR
BRING THIS FORD- I JUST WANTED
TO BE ABLE TO ASK A COUPLE
QUESTIONS AND IF YOU COULD
PROVIDE SOME CLARITY- FROM WHAT
I UNDERSTAND THAT THIS. IS THE
INDIVIDUALS THAT WOULD
POTENTIALLY BE IN THIS PROGRAM
WOULD POSSIBLY HAVE- TREATMENT
PROVIDERS THAT MAY INCLUDE
ADDICTION MEDICINE PHYSICIANS
CORRECT. CORRECT AND THIS-
SUCCESSFUL COMPLETION OF THE
TREATMENT IS DEFINED IN TO
DETERMINE BY TREATMENT PROVIDERS
CORRECT. YES TO BE DETERMINED
PROVIDERS BASED COUNTY AND NOT
BY THE COURT NOT BY A DA'S
OFFICE NOT BY A PROBATION
DEPARTMENT NOT BY. ANYTHING LIKE
THAT BUT SPECIFICALLY TREATMENT
PROVIDERS GRASS. OKAY AND THE-
YOU KNOW SOME PEOPLE ARE SAYING
THAT THIS IS PUSHING SOMEBODY TO
MAKE A DECISION AND IT'S THIS
NOT. WOULD YOU RE FRAME THAT AND
SAY THIS IS AN INCENTIVE FOR AN
INDIVIDUAL. AND ALLOWS THEM TO
POTENTIALLY PARTICIPATE IN
SOMETHING THAT HELPS THEM WITH
THEIR ADDICTION- RATHER THAN
LET'S SAY A STICK. YES I DON'T
THINK IT'S A FALSE CHOICE I
THINK IT IS A CHOICE AND AN
INCENTIVE TO GO DOWN THIS ROAD
AND NOT ONLY TO GET TREATMENT
WHILE YOU'RE THERE. BUT HAVE
YOUR RECORD EXPUNGED. AND I
THINK WE TOOK AND AMENDMENTS ONE
OF THE EIGHTY AMENDMENTS. LAST
TIME WITH MISTER WINNER PUBLIC
SAFETY. YES YES THAT SAYS THAT
THE SENTENCE. YOU'RE CAN'T BE
CAN'T BE MORE THAN YOU WOULD
HAVE HAD OTHERWISE SERVED IF YOU
JUST SERVED OUT YOUR TIME IN THE
COUNTY JAIL AND YOU ALSO ALLOW
FOR INDIVIDUALS THAT ARE
CURRENTLY- POTENTIALLY. YOU KNOW
A PARTICIPANT IN THIS TO HAVE
EARNED CREDITS TOWARDS THEIR
SENTENCES WELL FOR THOSE
INDIVIDUALS THAT WERE LOOKING
OUT GRAPHICALLY YES. SO OVERALL
I DO JUST WANT TO SAY I THINK
THAT YOU KNOW. AGAIN WE TALK A
LOT ABOUT POLICY IN THEORY AND
THEN WE TALK ABOUT PRACTICE- THE
REALITY IS THAT YOU KNOW. WE AS
A STATE OR STRUGGLING WITH
SUBSTANCE ABUSE- FROM A LOT OF
DIFFERENT PEOPLE FOR A LOT OF
DIFFERENT REASONS IT DOESN'T FIT
A SPECIFIC DEMOGRAPHIC OR
ANYTHING LIKE THAT- I FULLY
SUPPORT THIS BECAUSE ONE IT'S A
PILOT. IT ALLOWS US TO KIND OF
HAVE A DIFFERENT APPROACH AND
THEY'RE ALL PILOTS CAN BE
DIFFERENT YOU HAVE DIFFERENT.
YOU KNOW ENGAGEMENT DIFFERENT
FRAMEWORK DIFFERENT- WHATEVER
YOU YOU NEED TO SET AND THE
PARAMETERS BUT THE FACT OF THE
MATTER IS THAT. SUBSTANCE ABUSE
IS ALSO A MENTAL HEALTH CONCERNS
AND OVERALL HEALTH CARE CONCERN.
AND WE OFTEN TALK ABOUT IT IN A
PUNITIVE WAY AND YOU KNOW PRISON
IS THE ONLY WAY AND SO FORTH.
THAT'S NOT NECESSARY TO PRODUCE
THIS OFFERS THE OPPORTUNITY TO
GET OUT OF THE IN INCARCERATION
SYSTEM. AND POTENTIALLY ALLOW A
PERSON TO FOCUS ON THE REAL CORE
REASON OF WHY THEY MAY BE
COMMITTING A CRIME RATE WHETHER
IT'S SUPPORTING A HABIT OR
SOMETHING ELSE. I ALSO WANT TO
SEE LIVED EXPERIENCE AND PEOPLE
WHO HAVE FAMILIES WITH
INDIVIDUALS THAT- ARE SUBSTANCE
ABUSE- YOU KNOW. THAT VICTIMS IN
A LOT OF WAYS AND STRUGGLING
WITH THAT. FAMILY MEMBERS WANT.
SOME TYPE OF I ALWAYS SAY
WHETHER IT'S- BIGGER AUTHORITY A
BIGGER BROTHER A BIGGER
SOMETHING TELLING THEIR FATHER
THEIR BROTHER THEIR SISTER SO
FORTH. THAT YOU NEED TO SEEK
TREATMENT AND THIS IS AN
OPPORTUNITY TO ALLOW THAT TO
FORCE AN INDIVIDUAL TO
POTENTIALLY HAVE. A MOMENT OF
CLARITY THAT THEY'RE LUCID
POTENTIALLY WITHIN A MONTH OR
YOU KNOW- THEY ARE WORKING ON IT
SO. I FULLY SUPPORT THIS AYE AYE
THANK YOU FOR YOUR EFFORT- AND-
AGAIN WILL SUPPORT THE BILL.
THANK YOU. TAKE CENTER WIENER
MIGHT WANNA SAY SOMETHING YES I
KNOW I JUST WANT I FEEL I FEEL
LIKE- I'VE BEEN AROUND THIS
BILL- FOR A LONG TIME NOW
BECAUSE I SAID I WAS. IT WHEN IT
FIRST CAME THE TWENTY TWENTY ONE
THE- SENATE PUBLIC SAFETY- I WAS
VERY SKEPTICAL AT FIRST IN THE
APPOINT THE OPPONENTS OF THE
STORE PEOPLE I WORK WITH. MY
CONSTANTLY ALL THE TIME LOCALLY.
THE STATE LEVEL AND SO I WAS
SKEPTICAL- AUTUMN WAY I PROPOSED
A SERIES. OF AMENDMENTS ARE AN
AUTHOR ACCEPTED ALL OF THEM AND
THEY ALL REMAIN IN THE BILL IN
ADDITION TO ALL THE OTHER
AMENDMENTS. I AM BUT ULTIMATELY
FOR ME. AS A PILOT PROGRAM. AND
WHAT WE'RE DOING NOW. IS NOT.
WORKING NOW I'M THERE ARE THINGS
THAT ARE WORKING RIGHT THERE
GOOD PROGRAMS I DON'T WANT US TO
SUCCEED NOT EVERYTHING IS BAD
THAT'S NOT TRUE. BUT SIR
GLOBALLY. THERE ARE CLEARLY
MAJOR GAPS IN THE SYSTEM LET'S
PUT IT THAT WAY. I'M PM PEOPLE
ARE FLYING THROUGH THOSE GAPS.
AND DO SO THAT THE FOLKS. AT
ISSUE HERE ARE PEOPLE WHO
COMMIT. CRIMES THAT ARE GOING
BE. PROCESS AND THE CRIMINAL
SYSTEM. AS OF THIS IS SIMPLY A
WAY FOR THE DAY AND THEY CAN
JUST GO AHEAD OF THE PROSECUTOR
IN THE CRIMINALS AND I'M BY WITH
IT. THE CRIME IS NOT. DRUGS IT'S
OTHER STUFF. AND SO YOU CAN GO
AHEAD AND JUST GO THROUGH THAT
SYSTEM AS AS DEFICIENT AS IT IS
IN DEALING WITH PEOPLE WHO HAVE
SUBSTANCE USE. ARE PROBLEMS
WHERE THEY HAVE A CHOICE. LET'S
DO THIS. AND MAYBE THIS WON'T
WORK AND IT WON'T THAT'S WHY
IT'S A- IT'S A PILOT AND- I I'M
GOING TO. GIVE IT A TRY AND SEE
IF IT. IF IT WORKS NOTS WILD
CONTINUE TO SUPPORT IT. THANK
YOU UP YEAH. I'LL SAY YOU KNOW
THE THERE THERE IS A LOT OF
SKEPTICISM AROUND THIS BILL I
DON'T I DON'T SHARE IT- BIRTH I
DO SEE IT AS A CHOICE YOUR
GETTING SENTENCED TO JAIL. AND
OR YOU CAN CHOOSE THIS I
UNDERSTAND THAT VOLUNTARY IS
ALWAYS BETTER I AGREE VOLUNTARY
IS ALWAYS BETTER. BUT OFTENTIMES
PEOPLE ARE IN A CONDITION TO
MAKE THAT. I WAS THINKING THIS
MORNING I WAS AT A- THE ROUND
TABLE WITH THE GOVERNOR'S WE'RE
TALKING ABOUT REDOING OUR MHSAA
BEHAVIOR HOUSE. SERVICES ACT
GOING TO CALL THAT NOW BE HSA.
INTRODUCING THE BEEN DOING THIS
WORK FOR THIRTY YEARS AND I
STARTED THINKING WHICH MADE ME
FEEL INCREDIBLY ALL BUT I
BELIEVE. TEXTURES THE FORTIETH
YEAR THAT I'LL BE WORKING- IN
AND AROUND HEALTH AND HUMAN
SERVICES AND I STARTED IN
WORKING IN ADDICTIONS- AND I
STARTED DURING THE TIME AND- THE
GENERAL WASN'T AN ADDICTIONS
WITH ME. BUT IT WAS THERE WAS A
TIME WHEN YOU. THE JUDGE WOULD
SAY YOU CAN GO TO JAIL OR YOU
CAN GO TO TREATMENT. YOU CAN GO
TO THE ARMY OR YOU CAN GO TO
JAIL. THOSE KINDS OF THINGS WERE
LAID OUT FOR PEOPLE- AND PEOPLE
MAKE CHOICES- AND IF YOU LEFT
DRIVEN THEY WERE LOCKED
FACILITIES IF YOU LEFT AND THEN
YOU WENT TO JAIL. AND I GOT.
YEAH JUST YESTERDAY I GOT A
MESSAGE FROM MY STAFF SOMEBODY
HAD CALLED ME AND THEY SAID DID
YOU GO TO COLLEGE WITH THIS
PERSON I LOOKED I THOUGHT OH NO.
I KNEW THIS PERSON FORTY YEARS
AGO IN A DIFFERENT SETTING- AND
I. FEEL VERY HAPPY THAT SHE'S
STILL ALIVE- SO. THINGS WORK-
EVEN IF YOU GET THEIR FUNNY WAY
SOMETIMES. SO I WILL BE
SUPPORTING THIS BILL TODAY- AND
I WOULD ALSO ENCOURAGE YOU TO
WORK WITH- MAYBE. YOU SEE. THAT
UC DAVIS OR SAC STATE OR
SOMEBODY TO ACTUALLY. HELP YOU
GATHER SOME DATA ON THIS PILOT
PROGRAM. I DON'T SEE THIS AS A
MAJOR COMPONENT. BUT I THINK-
EXTRA DATA ON THIS WOULD ALSO BE
HELPFUL IN GOING FORWARD WOULD
YOU LIKE TO CLOSER. YES I LET ME
JUST FOCUS ON THAT ISSUE AND I
THINK I'M NOT SURE IF YOU WERE
THE CHAIR THAT I THINK IT. WAS
SORRY TO POINT IS ALRIGHT. BUT
THIS IS THE EGGMAN AMENDMENT
THAT WE TOOK A COUPLE YEARS AGO
A FREE EVALUATION SO IT'S STILL
IN HERE OKAY I WAS GONNA NOTE
THAT THEY LISTEN TO A PILOT. I
WANT TO COME BACK AND TELL YOU
ALL HOW IT'S WORKING OUT. SO
MAYBE WE CAN GO TO. L. A. COUNTY
YEARS. KERNER SAN BERNARDINO
HOURS YOU KNOW. SANTA BARBARA
COUNTY BECAUSE- WE ALL HAVE
THESE PROBLEMS. WE ALL HAVE
SUBSTANCE ABUSE ISSUES AND ALL
OF OUR COMMUNITIES. AND GETTING
TREATMENT. IN JAILS JUST DON'T
WORK. 70% OF PEOPLE. GO BACK
AND- YOU KNOW GO BACK TO THEIR
TO THEIR ADDICTION. SO THIS
REVOLVING DOOR JUST DOESN'T WORK
OUT SO I RAN THE HEALTH
COMMITTEE. AND TALKING ABOUT
THIS ADDITION TO THAT THE PUBLIC
SAFETY COMPONENTS OF THIS IS A
PUBLIC HEALTH ISSUE. I THINK
THIS IS GOING TO. HELP
CALIFORNIA MOVED FORWARD. AND
TACKLE THIS STUBBORNNESS YOU
HAVE ABLE TO SOLVE. AND WORST
CASE SCENARIO. WILL LEARN. ABOUT
THIS AFTER FIVE YEARS. AND SO I
WITH THAT THIS IS A TWO COUNTY
PILOTS THE DISTRICT BILL AND- I
RESPECTFULLY ASK YOUR RIVAL.
THANK YOU VERY MUCH IT WAS MOVED
BY SENATOR RUBIO- THE MOTION IS
TO PASS AND REFERRED TO
COMMITTEE ON APPROPRIATIONS
SECRETARY PLEASE CALL THE ROLL.
SENATOR EGGMAN I. EGGMAN AYE
WHEN FIVE. WHEN I. GLAZER LASER
EYE. GONZALEZ GONZALEZ I GROWTH
. HER TADO. MACHADO I LIVE MY
OWN LIFE THE MONNING AYE
MENJIVAR AYE MENJIVAR AYE ROTH.
ROTH AYE RUBIO. RUBIO I WILL
HOP. HOP I WINNER. WINNER I.
ELEVEN ZERO ELEVEN ZERO THAT
BUILD OUT WE WILL HOLD THE ROLE
OPEN CENTER GROVE COME ON DOWN
THANK YOU VERY MUCH- SHOULD NOT
COME IN THAT CONFLICT SO THE
ROLE IS CLOSEST. ALL RIGHT THANK
YOU ALL VERY MUCH WE HAVE MORE.
YES OKAY. ALL RIGHT LET'S OPEN
THE ROLE ON OUR CONSENT CALENDAR
SECRETARY PLEASE CALL THE ROLL.
SENATOR GLAZERS. GLAZER AYE.
GROWTH LIMÓN HI. LIMON I. WE'LL
HAVE. WE'LL HOP I WINNER. WIENER
AYE. ELEVEN ZERO SOLDIERS
MENJIVAR AND ROTH OR EXCUSE
THEY'VE BEEN HERE THE WHOLE TIME
. OH OH SORRY THERE'S A MARINE
OKAY. LET'S START WITH EIGHT V.
SIX FOURTEEN. NO NO THAT'S RIGHT
EIGHTY FOUR ARAMBULA SECRETARY.
SENATOR GLAZERS. GROWTH LAMONT
HI THE MON I. THE HOBBIT TIME
FOR HOBB I WINNER WINNER I. NINE
ONE NINE ONE THE BILL IS OUT THE
ROLES CLOSED. FILE NUMBER TWO AB
FORTY EIGHT RODRIGUEZ SECRETARY
PLEASE CALL THE ROLL SENATOR
GLAZERS. GROWTH LEMOND HI LIMÓN
I. BOB WILL HAVE AYE WIENER.
WIENER AYE. TEN ZERO TEN ZERO
THE BILL IS OUT THE ROSE CLOSED
FILE ITEM NUMBER THREE BY OUR
QUE HAN AB THREE FIFTY TWO
SECRETARY. SENATOR WHEN. GLAZER
GLAZER AYE. GROWTH LEMOND LAMONT
I. BOB BOB I WINNER. WIENER AYE
. TEN ZERO TEN ZERO ALL RIGHT
MOVING ON TO HAVE FIVE THAT BILL
IS OUT THE RULES CLOSED FILE
ITEM NUMBER FOR A BI FOR TWENTY
AGUIAR-CURRY THE CLEVER STAFF
SECRETARY. SENATOR GLAZERS.
GLAZER I. GROWTH THE LOAN AMOUNT
I WILL HAVE WILL HAVE I WINNER
WIENER AYE. TEN ONE TEN ONE HAVE
ROSE CLOSED THE BILL IS OUT-
FILE ITEM FIVE AB FOUR EIGHTY
THREE PER SU CHI AND WORD
SECRETARY SENATOR GLAZERS.
GLAZER AYE GROWTH HER TADO HER
TADO AYE LIMÓN. THE MON I WILL
HOP. HOP I WINNER WINNER I.
ELEVEN ZERO ELEVEN ZERO THE BILL
IS OUT THE ROLES CLOSE. MOVING
ON TO FILE ITEM NUMBER SEVEN AB
THIRTEEN THIRTY ONE BY DECEMBER
WOOD SECRETARY SENATOR WHEN.
GLAZER GLAZER AYE GROWTH. HER
TADO FURTADO I LIMÓN. THE MON I
. AHA OKAY WELL HOBBS I WINNER
WINNER I. BERLIN NUMBER EIGHT A.
B. IT'S TEN ZERO THE RULES THAT
BILLS OUT THE RULES CLOSED BY
THEM NUMBER EIGHT AB FIFTEEN
THIRTY SEVEN BY SOME MEMBER
WOULD SECRETARY SENATOR WHEN.
GLAZER GLAZER AYE GROVE HER TADO
ARE TAUGHT- I LIMÓN. RAMON I
WILL HOP BOB HI WIENER. WIENER
AYE. TEN ZERO TEN ZERO THE BILL
IS OUT THE ROSE CLOSE MOVING ON
TO FILE ITEM NUMBER NINE AB
SEVEN TWENTY TWO BONTA.
SECRETARY SENATOR GLAZERS.
GROWTH LEMOND LAMONT I. WHAT
HAAB WILL HAVE I WINNER WINNER I
. OKAY YES TEN ZERO ZERO THE
BILL IS OUT THE RULES CLOSED
MOVING ON TO FILE ITEM ELEVEN AB
NINE TWELVE JONES SAWYER
SECRETARY SENATOR GLAZERS.
GLAZER AYE GONZALEZ GONZALEZ I
GROWTH FURTADO FURTADO I LIMÓN.
RAMON I WILL HOP HOP I WINNER
WINNER I. THIS IS- EVAN ZERO
ELEVEN ZERO THAT BILL IS OUT THE
ROSE CLOSE MOVING ON TO FILE
ITEM TWELVE AB TEN SIXTY
ASSEMBLY MEMBER GABRIEL. THREE
TEN SIXTY THREE TWO- SECRETARY
SENATOR GLAZER. GROWTH LIMÓN
FIVE LIMÓN I WILL HOP. WE'LL
HAVE I WINNER WINNER I. THOSE
THAT BILL IS OUT MOVING ON FROM
THAT IN THIRTEEN AB TWELVE
SEVENTEEN. SECRETARY SENATOR
GLAZERS. GLAZER EYEING GROWTH.
LIMÓN RAMON I WILL HOP WILL HAVE
AYE WIENER WIENER AYE. ELEVEN
ZERO ELEVEN ZERO THE BILLS OUT
THE ROADS CLOSED FILE ITEM
FOURTEEN A. B. ELEVEN FIFTY
SEVEN ORTEGA SECRETARY SENATOR
WHEN. GLAZER GLAZER AYE GONZALEZ
GONZALEZ I GROWTH- TADO HER TADO
AYE LIMÓN LIMON I. RUBIO WHAT
HAAB WILL HOP I WINNER WINNER I
. NINE ZERO NINE ZERO THAT BILLS
OUT THE ROLE IS CLOSED FILE ITEM
SIXTEEN AB TWELVE EIGHTY THREE
CHEN SECRETARY. SENATOR GLAZERS
LASER EYEING GROWTH. LIMÓN LIMON
I WAHAD. THE HOBBIT I WINNER
WINNER I. ELEVEN ZERO ELEVEN
ZERO THE BILL IS OUT THE ROSE
CLOSED AB TWELVE EIGHTY EIGHT
RENDON. SECRETARY SENATOR WHEN.
GLAZER GLAZER AYE GONZALEZ
GONZALEZ I GROWTH HER TADO
FURTADO I LIMÓN. LIMON I WILL
HOP BOB I WINNER WINNER I. TEN
ZERO TEN ZERO THAT BILLS OUT THE
RULES CLOSED. AB THIRTEEN SIXTY
EIGHT MCCARTY THERE WAS OUT I
WAS OUT THE RULES CLOSED AB
FOURTEEN EIGHTY ONE BORDER. TWO
FIFTY EIGHTEEN FIFTY ONE IT WAS
TO. MISTER CORRECTION WE'RE
GOING TO DO FILE ITEM NINETEEN
AB FOURTEEN FIFTY ONE JACKSON
SECRETARY SENATOR WHEN. GLAZER
GLAZER AYE GROWTH AMONG THE MOAN
I WILL HA. HA HA I WINNER.
WINNER I. TEN ZERO TEN ZERO THE
BILLS OUT THE ROLE IS CLOSE TO
BEING ON THE FILE ITEM TWENTY
ONE AB FOURTEEN EIGHTY ONE. BY
BORDER SECRETARY SENATOR WHEN.
GLAZER GLAZER AYE GONZALEZ
GONZALEZ I GROWTH FURTADO
FURTADO I LOAN. THE MON I WILL
HUG. BOB WINNER WINNER I. TEN TO
TEN ZERO THE BILLS OUT THE ROLE
IS CLOSED FILE ITEM TWENTY FOUR
AB SIXTEEN FORTY FIVE ZUBER
SECRETARY. SENATOR GLAZERS.
GLAZER AYE GROVE. HER TADO
FURTADO I LIMÓN. RAMON I WILL
HOP. THE HOBBIT I WINNER WINNER
I. TEN ONE TEN ONE HALF BILLS
OUT THE ROADS CLOSED. AND
FINALLY FILE ITEM TWENTY FIVE A.
G. R. A. J. R. FOR SCHIAVO
SECRETARY SENATOR WHEN. GLAZER
GLAZER AYE GROWTH HER TADO
FURTADO I. WIENER WIENER AYE IN
. TEN ZERO. YEAH DO YOU WANT TO
LOOK. CAN OUT OF TEN THAT BILL
IS OUT THE ROLE IS CLOSED.
BURNER IS FOURTEEN EIGHTY ONE.
REPORTER. I HAVE- BORN I HAVE A
HAVE A LITTLE ALONE AS I COULD.
I'M SORRY. YES AND IT ALSO.
THANK YOU SHE'S- YEAH. EVERYBODY
HAS ME ON EVERYTHING. AND NOW I
WILL ADJOURN THE MEETING.