WEBVTT

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THE SELECT COMMITTEE
ON SOCIAL DETERMINANTS

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OF HEALTH WILL BEGIN
IN 30S.

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GOOD MORNING EVERYONE.

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THANK YOU FOR BEING
HERE TODAY AT THIS

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VERY IMPORTANT HEARING
OF THE SENATE SELECT

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COMMITTEE ON THE SOCIAL
DETERMINANTS OF HEALTH.

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AS CHAIR, IT IS MY
HONOR TO WELCOME YOU,

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COMMUNITY MEMBERS, FOOD
SECURITY ADVOCATES,

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EDUCATORS, HEALTH
CARE PROFESSIONALS,

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COUNTY AND STATE
ADMINISTRATORS,

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AND POLICY MAKERS.

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I AM DOCTOR AKILAH
WEBER PEARSON, SENATOR

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FOR CALIFORNIA SENATE
DISTRICT 39.

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AND I WANT TO THANK MY
STAFF, THE SENATE STAFF

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AND THE COUNTY TEAM FOR
YOUR WORK AND ORGANIZING

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TODAY'S EVENT.

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A FEW HOUSEKEEPING
NOTES.

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PLEASE SILENCE YOUR
CELL PHONES AND OTHER

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ELECTRONIC DEVICES.

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WE WILL BE ALLOWING
PUBLIC COMMENT IN

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PERSON ONLY.

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THERE WILL BE NO
REMOTE PUBLIC COMMENT

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FOR THIS HEARING.

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IN ORDER TO FACILITATE
THE GOAL OF HEARING

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FROM THE PUBLIC WHILE
MAINTAINING ORDER.

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WE WILL NOT PERMIT
CONDUCT THAT DISRUPTS,

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DISTURBS OR OTHERWISE
IMPEDES THE ORDERLY

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CONDUCT OF THIS
LEGISLATIVE PROCESS.

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DISRUPTIVE BEHAVIOR
OR BEHAVIOR THAT

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INCITES OR THREATENS
VIOLENCE, INCLUDING

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VEILED THREATS, WILL
NOT BE ACCEPTED.

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PERFECT TIMING.

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I ALSO WANT TO
TAKE THE MOMENT TO

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ACKNOWLEDGE SENATOR
PADILLA FROM THE 18TH

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SENATE DISTRICT FOR
BEING HERE TODAY AS

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A MEMBER OF THE SELECT
COMMITTEE ON SOCIAL

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DETERMINANTS OF HEALTH.

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SENATOR PADILLA,
WOULD YOU LIKE TO

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TAKE A MINUTE TO
WELCOME EVERYONE?

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THERE WE GO.
REALLY SIMPLE.

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THANK YOU, MADAM CHAIR.
AND I THINK MANY OF US

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KNOW IN THE REGION THAT
SENATOR.

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WEBER PEARSON IS
AN ABSOLUTE LEADER IN

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THIS SPACE, OBVIOUSLY
BOTH PROFESSIONALLY

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BUT ALSO IN
THE LEGISLATURE.

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AND I SERVED WITH HER
ON HER COMMITTEE ON

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HEALTH IN THE CAPITOL.

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AND I'M HAPPY TO BE
HERE WITH YOU TODAY

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IN YOUR COMPANY.

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AND I THINK IT'S
IMPORTANT TO ALWAYS

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REMEMBER CONTEXT, RIGHT,
THAT HOW WE DEFINE

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HEALTH AND WELL-BEING
IS NOT JUST IN CLINICAL

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TERMS, BUT IT'S IN
TERMS OF OUR LIVES

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AND THE MEANINGFUL
AND FULLNESS OF THAT

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AND ALL THE THINGS THAT
ARE IMPACTED BY OUR

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HEALTH.

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UH, AND MANY OF
THOSE DETERMINANTS

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AND FACTORS ARE BEYOND,
BEYOND INTERVENTIONS

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AND TREATMENTS
AND PREVENTATIVE

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MEASURES, BUT THEY'RE
THERE.

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THE CLIMATE WE LIVE
IN, IN SO MANY WAYS.

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AND SO THAT'S WHY
I'M HAPPY TO SERVE

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AS A MEMBER OF
THE SELECT COMMITTEE.

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I APPRECIATE
THE SENATOR'S

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LEADERSHIP.

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REALLY APPRECIATE
THE OPPORTUNITY TO BE

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HERE THIS MORNING.

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THANK YOU,
SENATOR PADILLA.

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I ALSO WANT TO MENTION
THAT THERE IS SOMEONE

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FROM COUNTY SUPERVISOR
MONICA MONTGOMERY STEPS

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OFFICE HERE AS WELL,
REPRESENTING HER OFFICE.

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THANK YOU SO MUCH
FOR BEING HERE.

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TODAY'S HEARING WILL
EXAMINE THE NUTRITION

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GAPS IN THREE PARTS
FROM A PHYSICIAN'S

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PERSPECTIVE ON HOW FOOD
ACCESS CONNECTS HEALTH

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TO HEALTH OUTCOMES.

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FOOD SECURITY IN
CALIFORNIA AND SAN

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DIEGO, INCLUDING
CAL FRESH LANDSCAPE

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POLICY ACCESS
AND THE CHALLENGES

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FACING FAMILIES
AND ADMINISTRATORS.

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AND FINALLY,
CALIFORNIA'S SCHOOL

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NUTRITION PROGRAMS
AND HOW THEY REACH

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KIDS WHERE THEY ARE.

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OUR GOAL IS TO
UNDERSTAND WHAT

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IS WORKING, WHAT
BARRIERS REMAIN,

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AND POTENTIALLY NEXT
STEPS THE LEGISLATURE

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CAN TAKE.

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CALIFORNIA GROWS
AND PRODUCES MORE FOOD

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THAN ALMOST ANYWHERE
ELSE IN THE WORLD.

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YET TOO MANY OF OUR OWN
FAMILIES, INCLUDING

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RIGHT HERE IN SAN
DIEGO, DO NOT HAVE

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RELIABLE ACCESS TO
ENOUGH NUTRITIOUS FOOD.

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HEALTH IS NOT CREATED IN
CLINICS OR HOSPITALS.

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IT BEGINS AT THE KITCHEN
TABLE, IN THE SCHOOL

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CAFETERIA OR AT
THE LOCAL GROCERY STORE.

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AND FOOD INSECURITY IS
NOT JUST ABOUT HUNGER.

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IT IS A POWERFUL
PREDICTOR OF CHRONIC

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DISEASE, POOR SCHOOL
PERFORMANCE, AND LONG

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TERM HEALTH OUTCOMES
FOR CHILDREN.

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A CHILD WHO DOESN'T KNOW
WHERE THEIR NEXT MEAL IS

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COMING FROM CANNOT FOCUS
IN THE CLASSROOM.

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A FAMILY SKIPPING
MEALS TO MAKE RENT IS

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MORE LIKELY TO FACE
DIET RELATED ILLNESSES

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DOWN THE ROAD.

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PROGRAMS LIKE CALFRESH
AND UNIVERSAL SCHOOL

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MEALS ARE AMONG OUR
MOST EFFECTIVE TOOLS

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FOR CLOSING THIS GAP.

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BUT ENROLLMENT GAPS,
ADMINISTRATIVE

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BARRIERS, AND SHIFTING
FEDERAL POLICY

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THREATEN TO WIDEN.

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WIDEN IT HERE
IN SAN DIEGO.

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THE PICTURE IS CLEAR
SOME NEIGHBORHOODS HAVE

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EASY ACCESS TO FULL
SERVICE GROCERY STORES

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AND FRESH PRODUCE, WHERE
OTHERS ARE FOOD DESERTS

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MILES FROM THEIR NEAREST
GROCERY STORE.

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THIS HEARING IS
DESIGNED TO SHINE

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A LIGHT ON THE SCOPE
OF THE PROBLEM.

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THE POLICY SHAPING
IT AND SOLUTIONS

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ALREADY UNDERWAY.

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NOW, ACCESS TO FOOD
IS ONE OF OUR MOST

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IMPORTANT THINGS
THAT WE CAN PROTECT

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FOR THE HEALTH OF
OUR FAMILIES.

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AND RIGHT NOW THAT
ACCESS IS BEING TESTED.

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CALFRESH, WHICH IS
CALIFORNIA'S VERSION

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OF SNAP, PROVIDES
FEDERALLY FUNDED FOOD

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ASSISTANCE FOR ABOUT
5.3 MILLION LOW INCOME

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CALIFORNIANS, ACCORDING
TO THE LEGISLATIVE

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ANALYST'S OFFICE.

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ABOUT 90% OF CALFRESH
ENROLLEES ARE ALSO

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ENROLLED IN MEDI-CAL.

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FOOD AND HEALTH ARE
NOT SEPARATE ISSUES.

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THEY ARE THE SAME
FAMILIES AND OFTEN IN

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THE SAME HOUSEHOLD.

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H.R. ONE SIGNED
ON JULY 2025.

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WHAT SOME OF YOU
MAY KNOW AS THE BIG

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BEAUTIFUL BILL MAKES
MULTIPLE SIGNIFICANT

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CHANGES TO CALFRESH.

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SOME ARE ALREADY IN
EFFECT AND OTHERS

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ARE STILL TO COME.

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BEGINNING IN JUNE
OF 2026, CALIFORNIA

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STATEWIDE WAIVER ENDED
AND THE EXPANDED WORK

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REQUIREMENT TOOL WENT
INTO EFFECT.

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ADULTS AGED 18 TO 64
WHO ARE NOT EXEMPT

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MUST WORK, TAKE PART
IN A WORK PROGRAM OR DO

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COMMUNITY SERVICE FOR AT
LEAST 20 HOURS A WEEK TO

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KEEP THEIR BENEFITS.

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THERE ARE SOME
EXEMPTIONS, INCLUDING

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PEOPLE WHO CARE FOR
CHILDREN UNDER THE AGE

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OF 14, THOSE WHO CARE
FOR A DEPENDENT WITH

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A DISABILITY, PREGNANT
INDIVIDUALS AND PEOPLE

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WHO ARE MEDICALLY
UNFIT TO WORK.

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BUT THE LAO ESTIMATES
THAT OVER 713,000

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CALIFORNIANS
ARE AFFECTED BY

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THE REQUIREMENT AFTER
EXEMPTIONS, AND THAT

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ABOUT 562,000 COULD
BE DISENROLLED.

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FOOD BANKS AND COMMUNITY
ORGANIZATIONS ARE DOING

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CRITICAL WORK, BUT THEIR
CAPACITY IS LIMITED.

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THEY CANNOT REPLACE
THE BENEFITS THAT

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CALFRESH PROVIDES.

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AND THE MEDI-CAL WORK
REQUIREMENT BEGINS IN

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JANUARY OF 2027.

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SO JUST IN A FEW MONTHS,
BECAUSE MOST CALFRESH

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EMPLOYEES ARE ALSO ON
MEDI-CAL, MANY FAMILIES

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WILL SOON LOSE BOTH.

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THAT IS WHY TODAY'S
CONVERSATION MATTERS.

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KEEPING ELIGIBLE
FAMILIES CONNECTED

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TO FOOD ASSISTANCE
IS A HEALTH ISSUE

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AND EDUCATION ISSUE,
AND MORE IMPORTANTLY,

00:08:14.193 --> 00:08:15.261
AN EQUITY ISSUE.

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OUR PANELISTS WILL HELP
US UNDERSTAND WHAT IT

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MEANS STATEWIDE IN OUR
REGION AND OUR SCHOOLS,

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AND WHAT WE CAN DO
ABOUT IT.

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FOOD INSECURITY DOES
NOT AFFECT EVERY

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COMMUNITY EQUALLY.

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COMMUNITIES OF COLOR,
IMMIGRANT FAMILIES,

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AND LOW INCOME
NEIGHBORHOODS CARRY

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THE GREATEST BURDEN.

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FOR EXAMPLE,
A SENIOR ON A FIXED

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INCOME MUST CHOOSE
BETWEEN MEDICATIONS

00:08:42.321 --> 00:08:43.389
AND GROCERIES.

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A WORKING PARENT WHO
EARNS JUST ENOUGH TO

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BE INELIGIBLE FOR
CALFRESH, BUT NOT

00:08:50.730 --> 00:08:53.299
ENOUGH TO CONSISTENTLY
PUT FOOD ON THE TABLE.

00:08:54.967 --> 00:08:56.769
THESE STORIES ARE
REPEATED ACROSS

00:08:56.836 --> 00:09:00.006
OUR STATE AND ARE
ROOTED IN LONG TERM

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POLICY DECISIONS.

00:09:03.476 --> 00:09:05.912
ADDRESSING INEQUALITIES
MEAN LISTENING TO OUR

00:09:05.978 --> 00:09:09.148
COMMUNITIES, CONSIDERING
THEIR EXPERIENCES

00:09:09.215 --> 00:09:12.118
AND ENSURING POLICIES
REFLECT THE NEED OF

00:09:12.184 --> 00:09:13.452
THOSE MOST AFFECTED.

00:09:14.353 --> 00:09:16.789
OUR WORK MUST BE
SHAPED BY THE REALITY

00:09:16.856 --> 00:09:19.759
OF FAMILIES AND NOT
BY ASSUMPTIONS MADE

00:09:19.825 --> 00:09:20.826
IN SACRAMENTO.

00:09:21.861 --> 00:09:24.463
SO I'M LOOKING FORWARD
TO HEARING AND WOULD

00:09:24.530 --> 00:09:26.799
LIKE TO THANK IN
ADVANCE ALL OF THOSE

00:09:26.866 --> 00:09:28.935
WHO ARE PARTICIPATING
IN OUR PANEL TODAY.

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I WOULD LIKE TO THANK
ALL OF YOU WHO ARE

00:09:31.637 --> 00:09:33.706
ATTENDING IN PERSON,
BUT ALSO THOSE WHO ARE

00:09:33.773 --> 00:09:35.341
WATCHING ON LIVE STREAM.

00:09:36.475 --> 00:09:38.044
TODAY, WE HAVE
THE BENEFIT OF HEARING

00:09:38.110 --> 00:09:40.046
FROM AN OUTSTANDING
GROUP OF EXPERTS

00:09:40.112 --> 00:09:42.448
AND ADMINISTRATORS
WORKING AT

00:09:42.515 --> 00:09:46.352
THE INTERSECTION OF
FOOD ACCESS POLICY

00:09:46.419 --> 00:09:47.420
AND HEALTH.

00:09:48.321 --> 00:09:50.656
AND IT IS NOW MY HONOR
TO INTRODUCE OUR

00:09:50.723 --> 00:09:55.861
FIRST SPEAKER, DOCTOR
ALEXANDRA CARR.

00:09:58.864 --> 00:10:01.834
IS A BOARD CERTIFIED
CARDIOTHORACIC

00:10:01.901 --> 00:10:05.738
SURGEON, CARDIOVASCULAR
HEALTH ADVOCATE

00:10:06.005 --> 00:10:08.307
AND DEDICATED COMMUNITY
LEADER COMMITTED TO

00:10:08.374 --> 00:10:11.711
IMPROVING HEART HEALTH
AND ADVANCING EQUITABLE

00:10:11.777 --> 00:10:13.746
ACCESS TO LIFE SAVING
CARE.

00:10:14.580 --> 00:10:18.117
IN HER CLINICAL WORK,
DOCTOR SPECIALIZES

00:10:18.184 --> 00:10:20.186
IN THE SURGICAL
TREATMENT OF COMPLEX

00:10:20.686 --> 00:10:23.055
CONDITIONS AFFECTING
THE HEART AND CHEST.

00:10:23.456 --> 00:10:25.992
HER EXPERIENCE IN CARING
FOR PATIENTS WITH

00:10:26.058 --> 00:10:29.729
ADVANCED CARDIOVASCULAR
DISEASE REINFORCES

00:10:29.929 --> 00:10:33.099
HER COMMITMENT TO
PREVENTION, EARLY

00:10:33.165 --> 00:10:35.668
INTERVENTION,
AND EMPOWERING

00:10:35.735 --> 00:10:37.903
INDIVIDUALS WITH
THE KNOWLEDGE

00:10:37.970 --> 00:10:40.706
AND RESOURCES NECESSARY
TO PROTECT THEIR LONG

00:10:40.773 --> 00:10:41.774
TERM HEALTH.

00:10:42.675 --> 00:10:44.944
A PASSIONATE ADVOCATE
FOR WOMEN'S HEALTH

00:10:45.244 --> 00:10:46.979
AND THE NEXT GENERATION
OF HEALTH CARE

00:10:47.046 --> 00:10:49.849
PROFESSIONALS, DOCTOR
KESARI IS ACTIVELY

00:10:49.915 --> 00:10:52.418
INVOLVED IN COMMUNITY
INITIATIVES THAT INSPIRE

00:10:52.485 --> 00:10:55.021
YOUNG WOMEN TO PURSUE
CAREERS IN SCIENCE,

00:10:55.221 --> 00:10:57.990
TECHNOLOGY, ENGINEERING
AND MEDICINE.

00:10:58.758 --> 00:11:01.093
SHE RECOGNIZES THAT
ACCESS TO NUTRITIOUS

00:11:01.160 --> 00:11:04.897
FOODS IS FOUNDATIONAL TO
CARDIOVASCULAR HEALTH,

00:11:05.464 --> 00:11:07.900
AND THAT ADDRESSING
NUTRITION SECURITY IS

00:11:07.967 --> 00:11:10.336
AN ESSENTIAL COMPONENT
OF PREVENTION, CHRONIC

00:11:10.403 --> 00:11:13.639
DISEASE, REDUCING HEALTH
DISPARITIES AND BUILDING

00:11:13.706 --> 00:11:15.408
HEALTHIER COMMUNITIES.

00:11:16.175 --> 00:11:19.045
SHE WILL HELP US CONNECT
THE DOTS BETWEEN ACCESS

00:11:19.111 --> 00:11:21.647
TO NUTRITIOUS FOODS
AND HEALTH OUTCOMES,

00:11:21.947 --> 00:11:24.450
SETTING THE STAGE FOR
THE LATER CONVERSATIONS

00:11:24.517 --> 00:11:26.018
THAT WE WILL HAVE THIS
MORNING.

00:11:26.752 --> 00:11:28.621
DOCTOR KESARI,
THE FLOOR IS YOURS.

00:11:35.594 --> 00:11:36.796
GOOD MORNING. THANK YOU.

00:11:36.862 --> 00:11:38.130
AS YOU JUST
HEARD, I'M DOCTOR

00:11:38.197 --> 00:11:39.565
ALEXANDRA KHARAZI.

00:11:39.832 --> 00:11:42.601
I AM A CARDIOTHORACIC
SURGEON HERE IN SAN

00:11:42.668 --> 00:11:45.404
DIEGO, AND I WANT TO
START BY SAYING THAT

00:11:45.471 --> 00:11:48.240
CARDIOVASCULAR DISEASE
IS THE NUMBER ONE

00:11:48.307 --> 00:11:51.610
KILLER OF MEN AND WOMEN
IN THE UNITED STATES

00:11:51.677 --> 00:11:52.678
ANNUALLY.

00:11:52.745 --> 00:11:57.483
SO THIS IS A BIG ISSUE
NOT ONLY IN HEALTHCARE,

00:11:57.550 --> 00:12:01.153
BUT IN OUR COMMUNITY
THAT AFFECTS, UM, ALL OF

00:12:01.220 --> 00:12:02.588
OUR COMMUNITY MEMBERS.

00:12:03.022 --> 00:12:06.425
NOW, AS A CARDIOTHORACIC
SURGEON, I SEE PEOPLE AT

00:12:06.492 --> 00:12:09.295
THE VERY END STAGE OF
THIS DISEASE.

00:12:09.662 --> 00:12:13.099
SO THE MOST COMMON
SURGERY THAT I DO IS

00:12:13.165 --> 00:12:14.400
A BYPASS SURGERY.

00:12:14.467 --> 00:12:16.669
AND THAT IS WHEN
THE DISEASE HAS GOTTEN

00:12:16.735 --> 00:12:19.872
TO THE POINT WHERE
THERE'S BLOCKAGES IN

00:12:19.939 --> 00:12:21.440
THE HEART THAT CAN'T
BE FIXED.

00:12:21.507 --> 00:12:24.210
NOT EVEN BY STENTS
OR MEDICATION.

00:12:24.276 --> 00:12:26.078
AND WE HAVE TO GO
IN AND DO OPEN

00:12:26.145 --> 00:12:27.079
HEART SURGERY.

00:12:27.146 --> 00:12:28.948
AND THIS IS JUST
ONE EXAMPLE.

00:12:29.548 --> 00:12:32.952
AND WHY I'M BRINGING
THIS UP IS BECAUSE

00:12:33.152 --> 00:12:34.954
THE RISK FACTORS
THAT LEAD TO THIS

00:12:35.020 --> 00:12:37.590
DISEASE ARE HIGH
BLOOD PRESSURE, HIGH

00:12:37.656 --> 00:12:40.826
CHOLESTEROL, SMOKING
AND FAMILY HISTORY.

00:12:41.327 --> 00:12:43.529
THE BIGGEST ONE,
THE BIGGEST

00:12:43.596 --> 00:12:45.831
MODIFIABLE RISK
FACTORS THAT WE WORK

00:12:45.898 --> 00:12:49.235
ON THE DIABETES HIGH,
HIGH BLOOD PRESSURE

00:12:49.301 --> 00:12:50.636
AND HIGH CHOLESTEROL.

00:12:51.103 --> 00:12:55.307
NOW WHERE THIS REALLY
BECOMES IMPORTANT.

00:12:55.374 --> 00:12:59.478
AND WHAT REALLY BROUGHT
ME INTO TO SPEAK ABOUT

00:12:59.545 --> 00:13:02.481
THE FOOD ACCESS PORTION
OF THIS IS THAT AS

00:13:02.548 --> 00:13:05.551
A SURGEON, THIS HAS
VERY REAL IMPLICATIONS

00:13:05.618 --> 00:13:09.088
ON NOT ONLY PRE-OP
CARE, BUT POST-OP CARE

00:13:09.288 --> 00:13:11.457
OF PEOPLE AT THE END
STAGES OF THE DISEASE.

00:13:11.524 --> 00:13:14.660
WE KNOW THAT IT'S NOT
JUST WE'RE SEEING IT

00:13:14.727 --> 00:13:17.096
WHEN YOU'RE 60, MAYBE
70, BUT IT STARTS

00:13:17.163 --> 00:13:18.097
WHEN YOU'RE 20.

00:13:18.164 --> 00:13:20.032
WE HAVE MORE AND MORE
DATA THAT THIS PLAQUE

00:13:20.099 --> 00:13:23.068
IS FOUND IN ARTERIES
OF 20 YEAR OLDS,

00:13:23.135 --> 00:13:25.437
AND THAT WE'RE SEEING
THESE CHANGES EARLY,

00:13:25.504 --> 00:13:29.175
AND THEN THEY PROGRESS
AS WE AS WE AGE.

00:13:29.742 --> 00:13:32.878
UM, THAT BECOMES
IMPORTANT AGAIN WHEN

00:13:32.945 --> 00:13:36.849
WE CONSIDER THE FACT
THAT PARTICULARLY IN

00:13:36.916 --> 00:13:39.852
THE SOUTH BAY, WHERE
I DO A LOT OF MY WORK,

00:13:39.919 --> 00:13:43.389
PEOPLE OFTENTIMES HAVE,
UH, THERE'S, THERE'S

00:13:43.455 --> 00:13:45.925
MORE OF A DISPARITY
WITH THE FOOD THAT

00:13:45.991 --> 00:13:48.594
WE'RE PEOPLE ARE ABLE
TO HAVE ACCESS TO.

00:13:48.994 --> 00:13:52.698
UM, AND SO WE DO SEE
THAT DISEASE GETTING

00:13:52.765 --> 00:13:56.001
AFFECTING THEM, UM, MORE
SO, AND THEN BEING ABLE

00:13:56.068 --> 00:13:59.371
TO HAVE A HARDER TIME
MAINTAINING THEIR HEALTH

00:13:59.438 --> 00:14:02.374
IN THE POST-OPERATIVE
SETTING AND KEEPING

00:14:02.441 --> 00:14:04.677
THOSE RISK FACTORS UNDER
CONTROL.

00:14:05.311 --> 00:14:09.114
UM, THE, THE BIG PART,
I THINK THAT I WANT

00:14:09.181 --> 00:14:11.483
TO SAY IS WHEN I SEE
A POST-OP PATIENT, LIKE

00:14:11.550 --> 00:14:14.119
AFTER A BYPASS SURGERY,
WHAT I TELL EVERYONE

00:14:14.186 --> 00:14:16.722
IS THE CLOCK STARTS
AGAIN ONCE WE'VE DONE

00:14:16.789 --> 00:14:19.558
THE SURGERY AND THE SAME
RISK FACTORS THAT

00:14:20.392 --> 00:14:21.961
BROUGHT YOU TO THIS
POINT IN THE FIRST PLACE

00:14:22.027 --> 00:14:24.630
WHERE YOU'VE HAD SURGERY
ARE THE SAME ONES THAT

00:14:24.697 --> 00:14:27.166
CAN GIVE YOU RECURRENT
ISSUES, RIGHT?

00:14:27.233 --> 00:14:29.602
AND SO WHEN I, WHEN
THEY TELL ME, WELL,

00:14:29.668 --> 00:14:30.636
DOCTOR, WHAT CAN I DO?

00:14:30.703 --> 00:14:32.137
BECAUSE A LOT OF
THEM HAVEN'T EVEN

00:14:32.204 --> 00:14:34.940
HAD THE EDUCATION TO
KNOW THAT, YOU KNOW,

00:14:35.007 --> 00:14:37.276
LIFESTYLE IS SUCH
A BIG COMPONENT.

00:14:37.343 --> 00:14:38.944
SO WHAT'S THE NUMBER
ONE THING WE CAN DO

00:14:39.011 --> 00:14:41.313
TO MODIFY THOSE RISK
FACTORS? WELL, DIET.

00:14:41.380 --> 00:14:42.314
RIGHT.

00:14:42.381 --> 00:14:43.582
THAT DIET'S
THE NUMBER ONE THING.

00:14:43.649 --> 00:14:45.584
AND THAT'S WHY I TELL
PEOPLE IS WE START WITH

00:14:45.651 --> 00:14:47.620
DIET AND EXERCISE.

00:14:47.820 --> 00:14:49.588
AND THEN IF THAT
DOESN'T WORK, THEN WE

00:14:49.655 --> 00:14:52.224
MOVE ON TO MEDICATION
AND THEN DISEASE.

00:14:52.691 --> 00:14:54.727
AND THEN REALLY THEN IT
DEPENDS WHAT PEOPLE ARE

00:14:54.793 --> 00:14:56.061
ABLE TO HAVE ACCESS TO.

00:14:56.128 --> 00:14:57.596
IF YOU'RE SOMEBODY
THAT HAS ACCESS TO

00:14:57.663 --> 00:14:59.798
MEDICAL CARE, IF YOU'RE
SOMEONE THAT HAS ACCESS

00:14:59.865 --> 00:15:02.001
TO A PRIMARY DOCTOR,
IF YOU'RE SOMEONE THAT

00:15:02.067 --> 00:15:05.237
HAS INSURANCE, THEN
YOU'RE GOING TO PROBABLY

00:15:05.304 --> 00:15:07.706
YOUR DISEASE WILL BE AT
BAY FOR A LONG TIME.

00:15:07.906 --> 00:15:10.442
AND THOSE PEOPLE TEND TO
BE VERY WELL PRESERVED.

00:15:10.509 --> 00:15:12.745
AND AS A SURGEON,
WE SEE THEM AT MUCH

00:15:12.811 --> 00:15:14.713
LOWER RISK PROFILES.

00:15:14.780 --> 00:15:18.183
SO WHAT THAT MEANS IS
IF I, I HAVE A PATIENT

00:15:18.250 --> 00:15:20.719
THAT HAS THAT'S BEEN
TAKEN CARE OF THEIR

00:15:20.786 --> 00:15:22.488
HEALTH, EVEN IF THEY
DO NEED SURGERY DOWN

00:15:22.554 --> 00:15:24.990
THE LINE, THEIR SURGERY
IS MUCH LOWER RISK.

00:15:25.291 --> 00:15:27.459
BUT THAT'S NOT WHO
I SEE, PARTICULARLY

00:15:27.526 --> 00:15:29.628
IN SOME OF THESE LOWER
RESOURCE COMMUNITIES

00:15:29.695 --> 00:15:30.796
LIKE THE SOUTH BAY.

00:15:30.863 --> 00:15:33.499
AND I SEE THE SAME
DEMOGRAPHIC DEMOGRAPHIC

00:15:33.565 --> 00:15:35.701
OF PEOPLE WITH LESS
RESOURCES, AND BECAUSE

00:15:35.768 --> 00:15:39.338
OF THAT, THEIR DISEASE
HAS PROGRESSED MUCH

00:15:39.405 --> 00:15:40.472
MORE SIGNIFICANTLY.

00:15:40.539 --> 00:15:41.774
AND THAT'S REALLY
WHERE WE SEE THAT

00:15:41.840 --> 00:15:42.941
DISPARITY IN CARE.

00:15:43.008 --> 00:15:44.677
SO WHEN MY PATIENTS
ASK ME POST OP,

00:15:44.743 --> 00:15:45.678
WHAT CAN I DO?

00:15:45.744 --> 00:15:48.213
AND I SAY, WELL, WHAT
I TELL THEM ALL THE TIME

00:15:48.280 --> 00:15:51.750
IS MORE LESS PROCESSED
FOODS, MORE LEAN

00:15:51.817 --> 00:15:54.386
PROTEIN, MORE FRUITS,
MORE VEGETABLES.

00:15:54.453 --> 00:15:56.221
AND A LOT OF THEM
HAVE TROUBLE LIKE

00:15:56.288 --> 00:15:59.858
GETTING THAT, YOU KNOW,
AND THAT'S REALLY, IS

00:15:59.925 --> 00:16:03.729
THAT THE FACT THAT THAT
AFFECTS THE OUTCOMES OF

00:16:03.796 --> 00:16:06.665
THEIR HEALTH IN A VERY
REAL, TANGIBLE WAY THAT

00:16:06.732 --> 00:16:08.934
I SEE AS A SURGEON
AND LEADS THEM TO

00:16:09.001 --> 00:16:11.370
GET SURGERY SOONER
OFTENTIMES, AND LEADS

00:16:11.437 --> 00:16:13.906
THEM TO HAVE REPEAT
SURGERY AND REPEAT

00:16:13.972 --> 00:16:16.709
INTERVENTION, ALL
BECAUSE THEY'RE UNABLE

00:16:16.775 --> 00:16:18.877
TO REALLY MAKE THAT
WORK, WHETHER THAT BE

00:16:18.944 --> 00:16:21.480
FINANCIALLY OR, OR
OTHERWISE.

00:16:21.780 --> 00:16:25.818
UM, AND SO IT'S A VERY,
IT'S THE LIFESTYLE

00:16:25.884 --> 00:16:28.454
ASPECT WITH MODIFIABLE
RISK FACTORS.

00:16:28.520 --> 00:16:30.723
AND PREVENTING
THESE HIGH RISK

00:16:30.789 --> 00:16:33.092
COMPLICATIONS IS KEY.

00:16:33.158 --> 00:16:35.527
AND IN ADDITION TO
THAT, EVEN WHEN I DO

00:16:35.594 --> 00:16:37.830
HAVE TO OPERATE ON
THEM, THE RISK POINT

00:16:37.896 --> 00:16:41.834
IS MUCH LOWER IF THEY
HAVE ACCESS TO THESE

00:16:41.900 --> 00:16:43.469
BASIC NEEDS, RIGHT?

00:16:43.736 --> 00:16:46.839
AND SO ONCE AGAIN,
THOSE, THOSE DIET

00:16:46.905 --> 00:16:48.273
FACTORS ARE SO
IMPORTANT.

00:16:48.340 --> 00:16:51.577
SO JUST BASIC ACCESS
TO FRESH FOOD.

00:16:51.877 --> 00:16:53.178
ANYTHING THAT'S
NOT PROCESSED.

00:16:53.245 --> 00:16:55.581
WE NOW HAVE RESEARCH
THAT EVEN MICROPLASTICS

00:16:55.647 --> 00:16:57.516
IN PROCESSED FOODS
IS A RISK FACTOR FOR

00:16:57.583 --> 00:16:59.151
CARDIOVASCULAR DISEASE.

00:17:00.719 --> 00:17:04.990
AND SO IN THE CARE OF
MY POST-OP PATIENTS,

00:17:05.057 --> 00:17:06.759
THIS IS AN ISSUE
THAT'S NOT JUST

00:17:06.825 --> 00:17:09.328
DISCUSSED HERE, LIKE
I'M DISCUSSING IT HERE.

00:17:09.762 --> 00:17:12.297
SURE. BUT AT THE END OF
THE DAY, I DISCUSS IT

00:17:12.364 --> 00:17:13.332
EVERY DAY IN CLINIC.

00:17:13.399 --> 00:17:15.234
I'M SEEING PATIENTS IN
CLINIC TODAY, AND THIS

00:17:15.300 --> 00:17:17.603
IS THE DISCUSSION I'M
GOING TO HAVE WITH THEM.

00:17:17.836 --> 00:17:20.038
SO I'M HOPING THAT MAYBE
HAVING A DISCUSSION

00:17:20.105 --> 00:17:23.776
HERE WILL HELP HAVE
THOSE DOWNSTREAM EFFECTS

00:17:23.842 --> 00:17:26.178
TO WHERE I'M WE'RE
HELPING AS DOCTORS,

00:17:26.245 --> 00:17:28.113
WE'RE HELPING PEOPLE
BEFORE IT EVER GETS TO

00:17:28.180 --> 00:17:30.449
THAT POINT BEFORE I EVER
HAVE TO OPEN ANYONE UP.

00:17:30.516 --> 00:17:31.517
THANK YOU.

00:17:33.786 --> 00:17:35.020
THANK YOU SO MUCH.

00:17:35.254 --> 00:17:38.157
DOCTOR KHARAZI WITH YOU.

00:17:38.223 --> 00:17:39.391
WE'RE GOING TO DO IT
A LITTLE DIFFERENT

00:17:39.458 --> 00:17:41.059
BECAUSE YOU LIKE MYSELF.

00:17:41.393 --> 00:17:43.162
OFTENTIMES I HAVE TO
RUN OFF TO THE OR.

00:17:43.228 --> 00:17:45.297
I KNOW YOU HAVE
A SURGICAL CASE AS WELL.

00:17:45.531 --> 00:17:48.634
UM, SO WE WILL, UH,
TAKE ANY QUESTIONS AT

00:17:48.700 --> 00:17:50.068
THIS MOMENT BEFORE
YOU HAVE TO LEAVE FOR

00:17:50.135 --> 00:17:51.069
THE OTHER PANELISTS.

00:17:51.136 --> 00:17:52.004
WE'LL DO ALL
THE QUESTIONS

00:17:52.070 --> 00:17:53.071
AT THE END.

00:17:53.272 --> 00:17:55.007
UH, SENATOR PADILLA.

00:17:55.541 --> 00:17:57.075
THANK YOU, CHAIR,
AND I JUST MAYBE

00:17:57.142 --> 00:17:58.610
A COMMENT.
NICE TO SEE YOU, DOCTOR.

00:17:58.811 --> 00:18:00.913
UM, APPRECIATE YOUR
WORK VERY MUCH.

00:18:01.313 --> 00:18:03.248
UM, AND I JUST MIGHT
WHERE I'M THINKING

00:18:03.315 --> 00:18:04.450
WHEN YOU TALK, WHEN
YOU'RE TALKING ABOUT

00:18:04.516 --> 00:18:06.819
THE CORRELATIONS
BETWEEN EARLY ACCESS,

00:18:06.885 --> 00:18:08.921
LONG TERM SORT OF
CLINICAL OUTCOMES,

00:18:08.987 --> 00:18:10.722
THE PATIENTS YOU'RE
SEEING, THE REBOOT

00:18:10.789 --> 00:18:11.824
CONVERSATION YOU'RE
HAVING.

00:18:11.890 --> 00:18:13.492
WE'VE ALL SEEN
THIS MOVIE BEFORE.

00:18:13.826 --> 00:18:15.994
UH, SOME OF US UP CLOSE
IF WITH FAMILY MEMBERS

00:18:16.061 --> 00:18:18.430
AND OTHERS, BUT I'M
REMINDED FROM A POLICY

00:18:18.497 --> 00:18:22.000
STANDPOINT ABOUT TAKING
THE SORT OF IMMEDIATE,

00:18:22.067 --> 00:18:24.670
OBVIOUS INSTITUTIONAL
OPPORTUNITIES IN

00:18:24.736 --> 00:18:25.671
GOVERNMENT, RIGHT?

00:18:25.737 --> 00:18:27.206
OUR EDUCATIONAL
INSTITUTIONS SETTING

00:18:27.272 --> 00:18:29.274
THERE'S AN EXAMPLE
IN MY DISTRICT IN

00:18:29.341 --> 00:18:32.010
SOUTH COUNTY, WHERE
THE DISTRICT THERE HAS

00:18:32.077 --> 00:18:34.213
COMBINED AN OPERATIONAL
REQUIREMENT, WHICH IS

00:18:34.279 --> 00:18:35.948
PROVIDING NUTRITION
AND MEALS AND LUNCH

00:18:36.014 --> 00:18:38.617
SERVICE WITH
AN EDUCATIONAL INTERFACE

00:18:38.684 --> 00:18:41.253
WHERE THEY'RE DOING
PRODUCTION OF COMMUNITY

00:18:41.320 --> 00:18:42.421
GARDEN ON CAMPUS.

00:18:42.488 --> 00:18:46.191
THEY'RE UTILIZING THOSE
HEALTHY INGREDIENTS

00:18:46.258 --> 00:18:48.193
FOR INSTRUCTIONAL
OPPORTUNITIES ON

00:18:48.260 --> 00:18:49.828
THE PREPARATION OF
MEALS.

00:18:50.095 --> 00:18:51.597
THEN THEY'RE ACTUALLY
CONSUMING IT IN

00:18:51.663 --> 00:18:53.332
A MARKETPLACE ON SITE.

00:18:54.266 --> 00:18:56.301
AND SO THEY'RE
GETTING OPPORTUNITIES

00:18:56.368 --> 00:18:58.070
FOR AN EDUCATIONAL
EXPERIENCE.

00:18:58.136 --> 00:19:00.172
THEY'RE CONSUMING
APPROPRIATE PRODUCT,

00:19:00.372 --> 00:19:02.341
THEY'RE GETTING EARLY
NUTRITIONAL SELF-CARE

00:19:02.407 --> 00:19:05.410
EDUCATION EARLY IN LIFE,
AND THEY'RE BENEFITING

00:19:05.477 --> 00:19:07.179
FROM THOSE BECAUSE WE
ALL REMEMBER I'M OLD

00:19:07.246 --> 00:19:09.348
ENOUGH TO REMEMBER BACK
IN THE OLDEN DAYS WHEN

00:19:09.414 --> 00:19:11.517
THEY ACTUALLY HAD HOT
MEALS IN SCHOOLS.

00:19:11.583 --> 00:19:13.752
AND THEN WE ALL
BEMOAN THE FACT THAT

00:19:13.819 --> 00:19:15.721
BY THE TIME WE I GOT
TO HIGH SCHOOL, BOY,

00:19:15.787 --> 00:19:18.390
THE QUALITY OF WHAT
I GOT SERVED IN

00:19:18.457 --> 00:19:20.459
HIGH SCHOOL REALLY
DROPPED QUITE A BIT.

00:19:20.526 --> 00:19:22.060
AND MY OPTIONS
WEREN'T GREAT.

00:19:22.127 --> 00:19:23.996
IT WAS, YOU KNOW, SOME
REALLY BAD OPTIONS

00:19:24.062 --> 00:19:25.764
AND MAYBE A COUPLE
OFF TO THE SIDE THAT

00:19:25.831 --> 00:19:26.765
WE'RE GOOD.

00:19:26.832 --> 00:19:28.767
ALL OF THIS TO SAY
THAT FROM A POLICY

00:19:28.834 --> 00:19:30.402
STANDPOINT, IF WE
CAN THINK ABOUT

00:19:30.836 --> 00:19:34.139
INSTITUTIONAL SETTINGS,
BROAD TOUCHES TO BIG

00:19:34.206 --> 00:19:37.442
POPULATIONS, EARLY
INCENTIVIZING THE RIGHT

00:19:37.509 --> 00:19:39.645
KIND OF INTERACTIONS,
EDUCATIONAL EXPOSURE,

00:19:39.711 --> 00:19:41.580
OPPORTUNITY, THOSE
KINDS OF THINGS WHERE

00:19:41.647 --> 00:19:43.949
YOU START MAKING SOME
SOME BROADER IMPACTS.

00:19:44.016 --> 00:19:45.150
AND I THINK THERE ARE
THINGS TO CONTINUE TO

00:19:45.217 --> 00:19:46.151
THINK ABOUT.

00:19:46.218 --> 00:19:47.252
THERE'S A LOT OF
GREAT STUFF HAPPENING

00:19:47.319 --> 00:19:48.954
UP AND DOWN THE STATE
IN THAT REGARD.

00:19:49.021 --> 00:19:51.523
BUT I ALSO THINK THAT
MAYBE THAT'S A PLACE

00:19:51.590 --> 00:19:52.858
FOR SOME OF US TO
THINK A LITTLE BIT

00:19:52.925 --> 00:19:55.127
ABOUT BROADENING THOSE
KINDS OF INTERACTIONS.

00:19:55.193 --> 00:19:56.795
VERY MUCH APPRECIATE
YOUR TESTIMONY

00:19:56.862 --> 00:19:58.564
AND YOU BEING HERE.
DOCTOR. THANK YOU.

00:19:58.797 --> 00:19:59.798
THANK YOU.

00:20:01.199 --> 00:20:04.937
I WANT TO ECHO WHAT,
UM, SENATOR PADILLA

00:20:05.003 --> 00:20:06.838
SAID, AND REALLY THANK
YOU SO MUCH FOR TAKING

00:20:06.905 --> 00:20:08.473
YOUR TIME TO BE HERE.

00:20:08.874 --> 00:20:11.677
UM, YOU KNOW,
I AS I STATED IN

00:20:11.743 --> 00:20:14.379
THE BEGINNING, SOME
OF THE THINGS THAT WE

00:20:14.446 --> 00:20:17.416
SEE WITH INEQUITIES
HAVE BEEN A RESULT

00:20:17.482 --> 00:20:19.952
OF POLICIES THAT
WERE DECIDED EITHER

00:20:20.018 --> 00:20:22.321
AT A LOCAL, STATE
OR FEDERAL LEVEL,

00:20:22.387 --> 00:20:23.622
AND SOMETIMES ALL THREE.

00:20:24.222 --> 00:20:27.526
UM, AND SO WHEN, WHEN
YOU NOTICE CERTAIN

00:20:27.926 --> 00:20:29.828
THINGS WITHIN PATIENTS
THAT YOU MAY HAVE THAT

00:20:29.895 --> 00:20:33.398
LIVE IN SOUTH BAY THAT
YOU WOULDN'T SEE, UM,

00:20:33.465 --> 00:20:35.634
IN A PATIENT THAT MAY
LIVE IN, YOU KNOW,

00:20:35.701 --> 00:20:36.702
NORTH COUNTY.

00:20:36.969 --> 00:20:39.504
UM, THOSE WERE
SOMETIMES DECISIONS

00:20:39.571 --> 00:20:41.840
THAT WERE MADE AS TO
WHAT KIND OF RESOURCES

00:20:41.907 --> 00:20:44.142
WOULD BE AVAILABLE IN
CERTAIN COMMUNITIES.

00:20:44.676 --> 00:20:46.645
UM, YOU KNOW, I LOVE
THE FACT THAT YOU

00:20:46.712 --> 00:20:49.848
TOUCHED ON THE, UH,
THE FACT THAT WE CAN

00:20:49.915 --> 00:20:51.650
GIVE RECOMMENDATIONS,
BUT IF THEY DON'T

00:20:51.717 --> 00:20:53.852
HAVE ACCESS TO IT IN
THEIR COMMUNITIES,

00:20:54.886 --> 00:20:56.989
THEN IT'S REALLY HARD
TO MAKE THE CHANGE.

00:20:57.422 --> 00:20:59.958
UM, YEARS AGO WE
USED TO TALK ABOUT

00:21:00.025 --> 00:21:01.426
THE NON-COMPLIANT
PATIENT.

00:21:01.493 --> 00:21:03.028
YOU'D SEND THEM, YOU'D
SAY, DO ALL OF THIS

00:21:03.095 --> 00:21:04.663
THING TO LOSE WEIGHT
AND DA DA DA DA DA.

00:21:04.730 --> 00:21:06.298
AND THEY COME BACK
AND THEY'VE ACTUALLY

00:21:07.366 --> 00:21:08.433
GAINED WEIGHT.

00:21:08.500 --> 00:21:11.069
UM, WITHOUT RECOGNIZING
THAT WE'RE ASKING YOU

00:21:11.136 --> 00:21:13.905
TO, TO EAT FRESH FRUITS
AND VEGETABLES, BUT YOU

00:21:13.972 --> 00:21:16.108
DON'T HAVE THAT IN YOUR
COMMUNITY.

00:21:16.174 --> 00:21:19.511
YOU HAVE THE ULTRA
PROCESSED FOODS, YOU

00:21:19.578 --> 00:21:22.314
HAVE THE, YOU KNOW, HERE
IN SAN DIEGO, WE HAVE,

00:21:22.614 --> 00:21:24.616
YOU KNOW, WE BOAST THAT
WE HAVE THE BEST MEXICAN

00:21:24.683 --> 00:21:26.885
KIND OF HOLE IN THE WALL
SHOPS, BUT SOMETIMES

00:21:27.119 --> 00:21:28.654
THOSE ARE NOT THE BEST
FOR OUR HEALTH.

00:21:28.720 --> 00:21:31.657
BUT YOU'LL SEE THEM,
UM, VERY PREVALENT IN

00:21:31.723 --> 00:21:32.658
CERTAIN COMMUNITIES.

00:21:32.724 --> 00:21:34.693
AND SO I REALLY
APPRECIATE YOU

00:21:34.760 --> 00:21:35.827
HIGHLIGHTING THAT.

00:21:36.561 --> 00:21:38.597
AND ALSO THE FACT
THAT THIS, THAT THESE

00:21:38.664 --> 00:21:41.400
THINGS START EARLY,
WHICH IS WHY IT'S

00:21:41.466 --> 00:21:43.635
EXTREMELY IMPORTANT
TO START TALKING ABOUT

00:21:43.702 --> 00:21:47.706
AND PROVIDING ACCESS
TO GOOD NUTRITION FOR

00:21:47.773 --> 00:21:48.774
OUR YOUTH.

00:21:49.041 --> 00:21:51.209
UM, BECAUSE WHAT THEY
DO AS KIDS WILL SHOW

00:21:51.276 --> 00:21:53.645
UP AS YOUNG ADULTS
AND THEN, WHICH WILL

00:21:54.246 --> 00:21:56.715
ULTIMATELY LEAD TO
HEALTH OUTCOMES WHEN

00:21:56.782 --> 00:21:58.083
THEY'RE OLDER ADULTS.

00:21:58.316 --> 00:22:00.519
BUT ALSO THE OTHER
THING THAT I REALLY

00:22:00.585 --> 00:22:02.954
HADN'T EVEN THOUGHT
ABOUT MYSELF IS JUST

00:22:03.021 --> 00:22:07.025
POST-OPERATIVELY WHAT
KIND OF CARE WILL YOU

00:22:07.092 --> 00:22:09.361
HAVE POST-OPERATIVELY
TO PREVENT NEEDING

00:22:09.428 --> 00:22:13.065
ANOTHER PROCEDURE, UM,
IS EXTREMELY IMPORTANT

00:22:13.131 --> 00:22:15.901
AND IT HAS TO DO WITH
YOUR, THE ENVIRONMENT

00:22:15.967 --> 00:22:16.968
THAT YOU'RE IN.

00:22:17.235 --> 00:22:20.172
SO MY ONE QUESTION
FOR YOU IS.

00:22:21.573 --> 00:22:23.542
SEEING THAT WE FOCUS
HERE, WE'RE FOCUSING

00:22:23.608 --> 00:22:26.178
ON POLICIES AND WHAT
IT IS THAT WE CAN DO.

00:22:26.511 --> 00:22:29.681
DO YOU HAVE ANY
SUGGESTIONS, UM, THAT WE

00:22:29.748 --> 00:22:31.049
CAN DO AT A STATE LEVEL?

00:22:31.116 --> 00:22:32.484
BECAUSE YES, AS
A PHYSICIAN, YOU

00:22:32.551 --> 00:22:34.052
TALK ONE ON ONE
TO YOUR PATIENTS.

00:22:34.119 --> 00:22:37.255
YOU TALK, UH, ONE ON ONE
WITH THEIR FAMILIES.

00:22:37.556 --> 00:22:39.691
WE'RE DEALING WITH
POLICIES THAT CAN

00:22:39.758 --> 00:22:42.694
HAVE A BROADER IMPACT
ON COMMUNITIES.

00:22:42.994 --> 00:22:45.897
WHAT IS IT THAT WE
CAN DO FROM THE STATE

00:22:46.098 --> 00:22:48.533
THAT COULD HELP YOU
AND YOUR PATIENTS

00:22:48.600 --> 00:22:50.268
AND THE COMMUNITIES
THAT YOU SERVE?

00:22:52.270 --> 00:22:54.606
THAT'S A GREAT QUESTION.
I THINK, UM, I HAVE

00:22:54.673 --> 00:22:56.141
A FEW THOUGHTS ON THIS.

00:22:56.208 --> 00:23:01.213
THE FIRST THING I DO
SEE IS THE EDUCATION,

00:23:01.413 --> 00:23:03.448
AND I TOUCH ON THAT
BECAUSE THE RISK

00:23:03.515 --> 00:23:05.617
FACTORS THAT LEAD
TO THE COMPLICATIONS

00:23:05.684 --> 00:23:08.053
OF CARDIOVASCULAR
DISEASE ARE OFTEN

00:23:08.120 --> 00:23:09.821
DEEMED PARTICULARLY
HIGH BLOOD PRESSURE,

00:23:09.888 --> 00:23:10.989
THE SILENT KILLER.

00:23:11.556 --> 00:23:14.126
SO AND THAT'S BECAUSE
YOU CAN FEEL TOTALLY

00:23:14.192 --> 00:23:16.328
FINE AND COME IN AND,
FOR EXAMPLE, HAVE

00:23:16.394 --> 00:23:18.363
AN AORTIC DISSECTION,
WHICH IS A SURGICAL

00:23:18.430 --> 00:23:21.166
EMERGENCY THAT SOMEONE
LIKE ME HAS TO FIX.

00:23:21.533 --> 00:23:24.169
UM, AND, YOU KNOW,
THEY'RE THE ALL COMERS.

00:23:24.236 --> 00:23:27.005
MORTALITY, THE RISK
OF DYING WITHIN

00:23:27.072 --> 00:23:29.407
THE PERIOPERATIVE PERIOD
FROM A SURGERY LIKE THAT

00:23:29.474 --> 00:23:31.309
IS 20% IN THE DATA.

00:23:31.376 --> 00:23:33.478
SO IT'S NOT
AN INSIGNIFICANT THING.

00:23:33.712 --> 00:23:36.248
UM, AND THERE'S
AN EDUCATION GAP THAT

00:23:36.314 --> 00:23:38.683
I DO SEE AS A SURGEON
IN PRIVATE PRACTICE

00:23:38.750 --> 00:23:40.452
THAT GOES TO MULTIPLE
HOSPITALS.

00:23:40.752 --> 00:23:43.488
I DEFINITELY SEE
A DISCREPANCY IN

00:23:43.688 --> 00:23:45.290
THE EDUCATION.

00:23:45.624 --> 00:23:47.526
UM, AND JUST
THE KNOWLEDGE LEVEL.

00:23:47.592 --> 00:23:50.796
A LOT OF PEOPLE COMING
IN TO THAT SPECIFIC ED

00:23:51.062 --> 00:23:53.231
TO LIKE HAVE NO IDEA
THAT THIS, THAT THEY

00:23:53.298 --> 00:23:55.100
EVEN SHOULD HAVE BEEN
GETTING CHECKED OR

00:23:55.167 --> 00:23:56.101
HAVING ACCESS.

00:23:56.168 --> 00:23:59.271
AND THEN THERE'S SO MANY
DIFFERENT PRIORITIES

00:23:59.337 --> 00:24:03.542
THAT THEY HAVE, UM, THAT
AREN'T GETTING CARE,

00:24:03.608 --> 00:24:05.710
THEY'RE JUST TRYING TO
MEET THE BOTTOM LINE

00:24:05.777 --> 00:24:08.580
AND, YOU KNOW, GET THEIR
KIDS FOOD AND THINGS

00:24:08.647 --> 00:24:09.581
LIKE THAT.

00:24:09.648 --> 00:24:11.716
THEY'RE NOT WORRIED
ABOUT THEIR OWN HEALTH.

00:24:11.783 --> 00:24:16.221
SO I THINK, UM, IN
ADDITION TO PROVIDING

00:24:16.288 --> 00:24:17.589
ACCESS PATHWAYS.

00:24:17.656 --> 00:24:19.424
AND AS A DOCTOR, I DON'T
KNOW HOW TO TELL YOU

00:24:19.491 --> 00:24:22.661
TO DO THAT, BUT, UM,
ACCESS PATHWAYS TO

00:24:22.727 --> 00:24:25.997
MAKE THIS A PRIORITY,
BUT ALSO THE EDUCATION

00:24:26.064 --> 00:24:28.133
AND THE NARRATIVE
SURROUNDING THAT.

00:24:28.500 --> 00:24:30.836
UM, AND GETTING
THAT OUT THERE.

00:24:30.902 --> 00:24:33.738
I DO KNOW THAT THERE'S,
UH, SOCIETIES LIKE

00:24:33.805 --> 00:24:36.041
THE AMERICAN HEART
ASSOCIATION AND THINGS

00:24:36.107 --> 00:24:39.811
LIKE OTHER, OTHER, UM,
EDUCATIONAL SOCIETIES

00:24:39.878 --> 00:24:41.780
THAT HELP WITH THAT IN
THE COMMUNITY.

00:24:42.047 --> 00:24:45.784
HOWEVER, UM, I DO STILL
SEE THAT GAP AND IT'S

00:24:45.851 --> 00:24:47.118
A VERY REAL GAP.

00:24:47.185 --> 00:24:50.255
AND I WILL ADD TO THAT,
UM, THAT THIS IS ALSO

00:24:50.322 --> 00:24:51.456
A WOMEN'S HEALTH ISSUE.

00:24:51.523 --> 00:24:53.892
SO WOMEN ARE MORE LIKELY
TO BE ASYMPTOMATIC

00:24:53.959 --> 00:24:56.194
AND PRESENT WITH
ATYPICAL SYMPTOMS.

00:24:56.261 --> 00:24:58.597
AND BY THE TIME WE
SEE THEM AS DOCTORS

00:24:58.663 --> 00:25:02.200
AND SURGEONS, WE ARE
MORE LIKELY TO HAVE,

00:25:02.534 --> 00:25:04.336
YOU KNOW, A HIGHER
RISK SURGERY BECAUSE

00:25:04.402 --> 00:25:05.804
IT'S GONE FOR SO LONG.

00:25:06.171 --> 00:25:09.107
SO, UM, AND THAT'S A LOT
OF THE STUDIES HAVEN'T

00:25:09.174 --> 00:25:10.275
BEEN DONE ON WOMEN.

00:25:10.342 --> 00:25:13.311
AND, UM, A LOT OF
THE EDUCATION STILL

00:25:13.378 --> 00:25:14.813
ISN'T TARGETED THAT WAY.

00:25:14.880 --> 00:25:17.148
AND WOMEN TEND TO,
IN MY PRACTICE AS

00:25:17.215 --> 00:25:19.184
A SURGEON, NOT
PRIORITIZE THEMSELVES,

00:25:19.251 --> 00:25:20.685
BUT PRIORITIZE OUR
FAMILIES.

00:25:20.752 --> 00:25:23.021
SO AN EDUCATIONAL
COMPONENT, FOCUSING

00:25:23.088 --> 00:25:25.757
SPECIFICALLY ON WOMEN'S
HEALTH, BECAUSE EVEN

00:25:26.091 --> 00:25:29.427
EVEN THE FOOD IS
A WOMEN'S HEALTH ISSUE.

00:25:29.494 --> 00:25:31.630
LIKE I, IT
DISPROPORTIONATELY

00:25:32.731 --> 00:25:36.534
AFFECTS WOMEN AS WELL
BECAUSE WE TEND TO GO

00:25:36.601 --> 00:25:39.471
LONGER WITHOUT EVEN
HAVING SYMPTOMS OR

00:25:39.537 --> 00:25:42.407
HAVING AND BE DISMISSED
FROM THE ED WHEN WE DO.

00:25:42.707 --> 00:25:45.176
SO A LOT OF THE TIME WE
HAVE TO TAKE BECAUSE WE

00:25:45.243 --> 00:25:47.612
KNOW THAT THE SYSTEM
IS INHERENTLY BIASED,

00:25:47.679 --> 00:25:49.247
RIGHT?
SO I SEE WOMEN.

00:25:49.314 --> 00:25:50.448
I'LL GIVE YOU
AN EXAMPLE.

00:25:50.515 --> 00:25:52.951
I, UM, I'LL SEE A WOMAN
WHO NEEDS BYPASS

00:25:53.018 --> 00:25:54.319
SURGERY AND I'LL LOOK
BACK IN HER CHART

00:25:54.386 --> 00:25:57.188
AND SHE'S BEEN SENT
OUT OF THE ER MULTIPLE

00:25:57.255 --> 00:26:00.258
TIMES FOR MENOPAUSE OR
PERIMENOPAUSE SYMPTOMS,

00:26:00.325 --> 00:26:01.860
WHEN IN REALITY IT WAS
HEART DISEASE.

00:26:01.927 --> 00:26:03.895
AND YOU DON'T SEE THAT
AS OFTEN WITH MEN.

00:26:03.962 --> 00:26:06.464
SO I OFTEN TELL MY
PATIENTS, I SAY, YOU

00:26:06.531 --> 00:26:09.067
KNOW, I'M TAKING PUTTING
IN YOUR HANDS, YOU GOT

00:26:09.134 --> 00:26:12.137
TO TELL YOUR DOCTOR
AND INSIST ON THAT HEART

00:26:12.203 --> 00:26:14.472
WORKUP BECAUSE WE KNOW
THAT THESE SYSTEMS ARE

00:26:14.539 --> 00:26:15.874
INHERENTLY BIASED.

00:26:16.274 --> 00:26:18.810
UM, AND AS SUCH, TO
ANSWER YOUR ORIGINAL

00:26:18.877 --> 00:26:22.447
QUESTION TO, TO
REALLY EMPOWER PEOPLE

00:26:22.514 --> 00:26:26.384
THROUGH EDUCATION, UM,
AND HAVE THOSE ACCESS

00:26:26.451 --> 00:26:30.021
PATHWAYS THROUGH, UM,
KNOWING THAT THIS IS

00:26:30.088 --> 00:26:31.489
SUCH AN IMPORTANT,
THEIR NUTRITION IS

00:26:31.556 --> 00:26:33.925
AN IMPORTANT COMPONENT
THAT SPEAKING UP IS

00:26:33.992 --> 00:26:35.527
AN IMPORTANT COMPONENT.

00:26:35.593 --> 00:26:40.031
UM, THAT WOULD BE HUGE
AND HOW TO INCORPORATE

00:26:40.098 --> 00:26:42.367
THAT IS A BIGGER ISSUE
I'LL LEAVE TO YOU.

00:26:45.637 --> 00:26:47.672
THANK YOU SO MUCH
FOR THAT QUESTION.

00:26:47.739 --> 00:26:50.008
AND I WANT TO THANK YOU
SO MUCH FOR, FOR BEING

00:26:50.075 --> 00:26:51.176
HERE THIS MORNING.

00:26:51.543 --> 00:26:54.379
UM, GOOD LUCK ON YOUR
CASE. THANK YOU.

00:27:00.118 --> 00:27:03.989
SO WE WILL NOW MOVE
INTO OUR FIRST PANEL,

00:27:04.055 --> 00:27:06.157
WHICH WILL HELP US
UNDERSTAND THE SCALE

00:27:06.224 --> 00:27:09.995
OF THE NUTRITION GAP
STATEWIDE IN OUR REGION

00:27:10.261 --> 00:27:12.697
AND IN THE CALFRESH
PROGRAM THAT SO MANY

00:27:12.764 --> 00:27:14.065
FAMILIES RELY ON.

00:27:14.733 --> 00:27:18.103
OUR FIRST PANELIST IS
JARED CALL, DIRECTOR

00:27:18.169 --> 00:27:20.372
OF POLICY AND ADVOCACY
WITH THE CALIFORNIA

00:27:20.438 --> 00:27:22.040
ASSOCIATION OF FOOD
BANKS.

00:27:22.374 --> 00:27:25.210
HE IS A LONG TIME
ANTI-HUNGER POLICY

00:27:25.276 --> 00:27:28.213
ADVOCATE WITH A BREADTH
OF EXPERIENCE IN

00:27:28.279 --> 00:27:30.648
THE NON PROFIT SPACE.

00:27:31.082 --> 00:27:33.184
BEFORE TAKING HIS
CURRENT ROLE AS

00:27:33.251 --> 00:27:35.387
DIRECTOR OF PUBLIC
POLICY AND ADVOCACY AT

00:27:35.453 --> 00:27:36.988
CALIFORNIA FOOD BANKS.

00:27:37.255 --> 00:27:39.691
JARED SPENT NEARLY
A DECADE AT NOURISH

00:27:39.758 --> 00:27:42.260
CALIFORNIA, WHERE
HE LAUNCHED SEVERAL

00:27:42.327 --> 00:27:45.463
CALFRESH INITIATIVES,
INCLUDING ESTABLISHING

00:27:45.530 --> 00:27:47.632
SPECIAL RULES THAT
EXPANDED ACCESS TO

00:27:47.699 --> 00:27:49.934
THE PROGRAM FOR OLDER
CALIFORNIANS.

00:27:50.435 --> 00:27:52.737
TODAY, MR. CALL WILL
EXPLORE THE NUTRITION

00:27:52.804 --> 00:27:55.306
GAP ACROSS THE STATE
AND DISCUSS CALFRESH

00:27:55.373 --> 00:27:56.808
PROGRAM STATISTICS.

00:27:57.409 --> 00:28:01.212
WE ARE ALSO JOINED
BY ALONDRA ALVARADO,

00:28:01.279 --> 00:28:04.582
PRESIDENT AND CEO OF
THE SAN DIEGO HUNGER

00:28:04.649 --> 00:28:05.650
COALITION.

00:28:05.984 --> 00:28:08.987
MISS ALVARADO BRINGS
MORE THAN 20 YEARS

00:28:09.054 --> 00:28:12.023
OF EXPERIENCE IN
GOVERNMENT AND NONPROFIT

00:28:12.090 --> 00:28:15.326
LEADERSHIP ACROSS
MEXICO AND CALIFORNIA,

00:28:15.693 --> 00:28:17.729
INCLUDING ROLES
WITH A TIJUANA CITY

00:28:17.796 --> 00:28:21.166
COUNCIL MEMBER, A BAJA
CALIFORNIA STATE

00:28:21.232 --> 00:28:25.136
LEGISLATOR AND SAN DIEGO
CITY COUNCIL MEMBER,

00:28:25.203 --> 00:28:27.072
MORENO OF DISTRICT
EIGHT.

00:28:27.272 --> 00:28:29.574
SHE JOINED THE HUNGER
COALITION IN JUNE OF

00:28:29.641 --> 00:28:33.778
2023 AND HAS SERVED
AS PRESIDENT AND CEO

00:28:33.845 --> 00:28:36.047
SINCE DECEMBER 2023.

00:28:36.614 --> 00:28:39.350
TODAY, SHE WILL PRESENT
THE REGIONAL SNAPSHOT

00:28:39.417 --> 00:28:40.985
AND THE REGIONAL FOOD
GAP.

00:28:41.653 --> 00:28:44.155
AND WE'LL ALSO HEAR
FROM DOCTOR ALBERTO

00:28:45.690 --> 00:28:47.625
BANUELOS BANUELOS.

00:28:48.126 --> 00:28:50.061
I'M SORRY, INTERIM
DIRECTOR FOR

00:28:50.128 --> 00:28:52.063
SELF-SUFFICIENCY
SERVICE FOR THE COUNTY

00:28:52.130 --> 00:28:53.198
OF SAN DIEGO.

00:28:53.631 --> 00:28:55.934
HE HAS SPENT NEARLY
HIS ENTIRE CAREER AT

00:28:56.000 --> 00:28:58.703
COUNTY GOVERNMENT,
INCLUDING 16 YEARS

00:28:58.770 --> 00:29:02.607
WITH THE TULARE COUNTY
HHA BEFORE JOINING SAN

00:29:02.674 --> 00:29:04.609
DIEGO COUNTY IN 2016.

00:29:05.210 --> 00:29:07.779
HIS ACCOMPLISHMENTS
INCLUDE CENTRALIZING

00:29:07.846 --> 00:29:10.181
ELIGIBILITY SERVICES
DURING COVID 19

00:29:10.248 --> 00:29:13.518
PANDEMIC AND INTEGRATING
THE COUNTY'S OFFICE OF

00:29:13.585 --> 00:29:16.121
MILITARY AND VETERAN
AFFAIRS AND OFFICE OF

00:29:16.187 --> 00:29:18.189
IMMIGRATION AND REFUGEE
AFFAIRS.

00:29:18.656 --> 00:29:20.859
HE WAS APPOINTED
INTERIM DIRECTOR IN

00:29:20.925 --> 00:29:22.694
NOVEMBER OF 2025.

00:29:23.294 --> 00:29:25.864
HE WILL SHARE WHAT IS
WORKING, WHAT ISN'T

00:29:25.930 --> 00:29:28.133
WORKING WITH CALFRESH
IN SAN DIEGO COUNTY,

00:29:28.633 --> 00:29:29.968
THE IMPACTS OF H.R.

00:29:30.034 --> 00:29:32.470
ONE AND OUR
CURRENT CALFRESH

00:29:32.537 --> 00:29:33.972
PARTICIPATION RATES.

00:29:34.339 --> 00:29:36.708
WE WILL BEGIN
WITH MR. JARRETT.

00:29:36.774 --> 00:29:38.910
CARL, THE FLOOR IS
YOURS. THANK YOU.

00:29:39.677 --> 00:29:41.446
GOOD MORNING, CHAIR
WEBER PEARSON

00:29:41.513 --> 00:29:42.714
AND SENATOR PADILLA.

00:29:42.780 --> 00:29:44.849
JARED. CARL WITH
CALIFORNIA FOOD BANKS.

00:29:44.916 --> 00:29:46.251
I WANT TO START BY
THANKING YOU FOR

00:29:46.317 --> 00:29:48.086
HOLDING THIS HEARING
AND INVITING ME TO

00:29:48.153 --> 00:29:51.589
SHARE THE PERSPECTIVE
OF OUR ASSOCIATION'S 44

00:29:51.656 --> 00:29:54.025
MEMBER FOOD BANKS ACROSS
THE STATE, SERVING ALL

00:29:54.092 --> 00:29:56.861
58 COUNTIES AND TWO OF
WHICH ARE LOCATED HERE

00:29:56.928 --> 00:29:58.997
IN SAN DIEGO AND DO
FANTASTIC WORK.

00:29:59.297 --> 00:30:01.065
UM, I'M GOING TO START
WITH AN OVERVIEW

00:30:01.132 --> 00:30:03.234
OF THE PICTURE OF
FOOD INSECURITY IN

00:30:03.301 --> 00:30:05.837
CALIFORNIA, WHICH
FRANKLY, IS SERIOUS

00:30:05.904 --> 00:30:07.372
AND GROWING PROBLEM.

00:30:07.772 --> 00:30:09.107
I'M GOING TO SHARE
A LOT OF DATA WITH

00:30:09.174 --> 00:30:12.544
YOU, BUT I WANT TO NOTE
FIRST THAT OUR JOB IN

00:30:12.610 --> 00:30:14.579
GATHERING AND COMPILING
AND PUBLISHING DATA WAS

00:30:14.646 --> 00:30:17.215
MADE MORE DIFFICULT
LAST YEAR WHEN THE USDA

00:30:17.282 --> 00:30:21.786
CANCELED THE, UH, THEIR
ANNUAL FOOD SECURITY

00:30:21.853 --> 00:30:24.556
STUDY, EXCUSE ME, WHICH
IS REALLY THE BENCHMARK

00:30:24.622 --> 00:30:27.225
THAT WE'VE RELIED ON
FOR DECADES TO HAVE

00:30:27.292 --> 00:30:29.394
A BASELINE OF FOOD
INSECURITY FOR OUR STATE

00:30:29.460 --> 00:30:31.062
AND BE ABLE TO COMPARE
IT TO OTHER STATES.

00:30:31.129 --> 00:30:34.432
SO OUR RESEARCH AND,
AND DATA TEAM PARTNERED

00:30:34.499 --> 00:30:37.735
THIS YEAR WITH, UH,
URBAN INSTITUTE, UH,

00:30:37.802 --> 00:30:40.138
TO OBTAIN CALIFORNIA
SPECIFIC DATA ON FOOD

00:30:40.205 --> 00:30:42.740
INSECURITY RATES THROUGH
THEIR WELL-BEING, UH,

00:30:42.807 --> 00:30:44.309
AND BASIC NEEDS SURVEY.

00:30:44.375 --> 00:30:47.111
SO THIS ALLOWS US TO
HAVE 2025 DATA AS

00:30:47.178 --> 00:30:50.949
A BASELINE, UM, AS
THOSE CUTS FROM H.R.

00:30:51.015 --> 00:30:52.850
ONE, WHICH YOU
REFERENCED IN YOUR

00:30:52.917 --> 00:30:55.186
OPENING CHAIR, WEBER
PEARSON HAVE, ARE JUST

00:30:55.253 --> 00:30:56.221
NOW GOING INTO EFFECT.

00:30:56.287 --> 00:30:58.122
WE'LL HAVE SOMETHING
TO COMPARE THEM TO,

00:30:58.456 --> 00:30:59.791
UH, IN 2025.

00:30:59.857 --> 00:31:03.361
SO THE DATA WE
PUBLISHED SHOW THAT

00:31:03.728 --> 00:31:07.599
IN CALIFORNIA IN 2025,
24% OF ALL ADULTS IN

00:31:07.665 --> 00:31:09.867
CALIFORNIA EXPERIENCED
FOOD INSECURITY.

00:31:09.934 --> 00:31:11.703
AND AMONG ADULTS
LIVING WITH CHILDREN,

00:31:11.769 --> 00:31:13.371
THAT NUMBER IS 33%.

00:31:13.438 --> 00:31:15.940
SO JUST ABOUT 1 IN 3 UH.

00:31:16.007 --> 00:31:18.643
THE STUDY ALSO FOUND,
CRUCIALLY, THAT FOOD

00:31:18.710 --> 00:31:21.012
INSECURITY DOESN'T
JUST EXIST AMONG LOW

00:31:21.079 --> 00:31:23.181
INCOME HOUSEHOLDS,
A LARGE SHARE OF

00:31:23.248 --> 00:31:25.850
FAMILIES WHOSE INCOMES
EXCEED THE ELIGIBILITY

00:31:25.917 --> 00:31:28.219
LIMIT FOR CALFRESH
BENEFITS EXPERIENCED

00:31:28.286 --> 00:31:29.320
FOOD INSECURITY.

00:31:29.587 --> 00:31:32.123
SO THE GROSS INCOME
LIMIT FOR CALFRESH IS

00:31:32.190 --> 00:31:34.092
200% OF THE FEDERAL
POVERTY LEVEL.

00:31:34.158 --> 00:31:37.128
THAT'S ABOUT $60,000
FOR A FAMILY OF FOUR.

00:31:38.162 --> 00:31:41.766
IN CALIFORNIA, 17% OF
ADULTS WHO ARE ABOVE

00:31:41.833 --> 00:31:44.469
THAT THRESHOLD REPORTED
FOOD INSECURITY IN

00:31:44.535 --> 00:31:47.138
THE PAST YEAR, AND EVEN
FOR ADULTS EARNING

00:31:47.205 --> 00:31:50.541
TWICE THAT ABOVE 400%
OF THE FEDERAL POVERTY

00:31:50.608 --> 00:31:53.578
LEVEL, THAT NUMBER WAS
9% IN CALIFORNIA.

00:31:53.645 --> 00:31:55.280
SO THERE ARE PEOPLE WHO
ARE FALLING INTO THAT

00:31:55.346 --> 00:31:57.682
GAP WHERE THEY DON'T
QUALIFY FOR FEDERAL

00:31:57.749 --> 00:31:59.817
FOOD ASSISTANCE,
BUT STILL AREN'T ABLE

00:31:59.884 --> 00:32:00.885
TO MAKE ENDS MEET.

00:32:01.486 --> 00:32:03.087
IT'S ALSO IMPORTANT TO
NOTE THAT THOSE RATES

00:32:03.154 --> 00:32:05.957
ARE HIGHER AMONG BLACK
AND HISPANIC HOUSEHOLDS.

00:32:06.024 --> 00:32:08.359
THAT RATE IS 35%,
AND AMONG HOUSEHOLDS

00:32:08.426 --> 00:32:10.495
WITH DISABILITIES,
IT'S 40%.

00:32:11.229 --> 00:32:14.565
SO THAT'S THE BASELINE
FOR 2025.

00:32:14.866 --> 00:32:16.901
WITH INFLATION
INCREASING, THE PRICES

00:32:16.968 --> 00:32:20.071
OF FOOD, FUEL AND OTHER
BASIC NEEDS, GROCERIES

00:32:20.138 --> 00:32:22.807
ARE THE MOST COMMON
AFFORDABILITY CONCERN

00:32:22.874 --> 00:32:24.175
AMONG U.S. ADULTS.

00:32:24.542 --> 00:32:26.311
AND FOR LOWER INCOME
HOUSEHOLDS, WHICH

00:32:26.377 --> 00:32:28.713
TYPICALLY SPEND A LARGER
SHARE OF THEIR HOUSEHOLD

00:32:28.780 --> 00:32:30.782
INCOME ON THOSE BASIC
NECESSITIES, THOSE

00:32:30.848 --> 00:32:33.184
PRICE INCREASES CAN BE
ESPECIALLY DIFFICULT TO

00:32:33.251 --> 00:32:34.252
ABSORB.

00:32:34.652 --> 00:32:37.221
FOOD INSECURE FAMILIES,
ACCORDING TO OUR DATA

00:32:37.288 --> 00:32:39.524
FROM URBAN INSTITUTE,
HAD A HIGHER LIKELIHOOD

00:32:39.590 --> 00:32:42.193
OF USING CASH FROM
A PAYDAY LOAN TO PAY FOR

00:32:42.260 --> 00:32:45.596
GROCERIES, USING SAVINGS
TO PAY FOR GROCERIES,

00:32:45.663 --> 00:32:47.565
AND MISSING PAYMENTS ON
CREDIT CARDS.

00:32:47.865 --> 00:32:50.702
SO THESE DATA POINTS ARE
DEFINITELY WORRISOME,

00:32:50.768 --> 00:32:52.904
AND UNFORTUNATELY, WE
EXPECT THINGS TO GET

00:32:52.970 --> 00:32:55.340
WORSE IN THE NEXT YEAR
AS THOSE CUTS TO H.R.

00:32:55.406 --> 00:32:57.275
ONE MEAN MORE PEOPLE
WILL BE LOSING FEDERAL

00:32:57.342 --> 00:32:58.343
FOOD ASSISTANCE.

00:32:59.077 --> 00:33:02.113
SO WHAT'S DRIVING
THOSE ELEVATED RATES

00:33:02.180 --> 00:33:03.281
OF FOOD INSECURITY?

00:33:03.648 --> 00:33:05.583
IT'S BY AND LARGE,
THE HIGH COST OF LIVING

00:33:05.650 --> 00:33:08.186
IN CALIFORNIA, BECAUSE
FOOD INSECURITY RATES

00:33:08.252 --> 00:33:09.921
DON'T REALLY PAINT
THE FULL PICTURE.

00:33:09.987 --> 00:33:11.789
THEY DON'T CAPTURE
THE FULL EXTENT OF

00:33:11.856 --> 00:33:13.558
THOSE WHO NEED FOOD
ASSISTANCE, BECAUSE

00:33:13.624 --> 00:33:16.094
FOOD INSECURITY IS
A SYMPTOM OF BROADER

00:33:16.160 --> 00:33:17.362
ECONOMIC STRAINS.

00:33:18.329 --> 00:33:20.298
OVER THE PAST YEAR, OUR
RESEARCH AND DATA TEAM

00:33:20.365 --> 00:33:22.333
AT CALIFORNIA FOOD BANK
DEVELOPED A NEW MEASURE,

00:33:22.400 --> 00:33:24.936
WHICH WE CALL THE BASIC
NEEDS GAP, AND THAT

00:33:25.002 --> 00:33:27.071
CALCULATES HOW MANY
PEOPLE LACK SUFFICIENT

00:33:27.138 --> 00:33:29.073
INCOME TO COVER THE COST
OF LIVING WHERE THEY

00:33:29.140 --> 00:33:30.074
LIVE IN THE STATE.

00:33:30.141 --> 00:33:33.177
LOCALLY, THIS MEASURE
HELPS US AT THE FOOD

00:33:33.244 --> 00:33:35.780
BANKS ANTICIPATE AT
THE LOCAL LEVEL HOW

00:33:35.847 --> 00:33:38.049
MANY PEOPLE ARE PRICED
OUT AND MAY NEED TO

00:33:38.116 --> 00:33:40.184
SEEK HELP FROM A FOOD
BANK AT SOME POINT.

00:33:40.885 --> 00:33:43.054
SO ACCORDING TO THAT
BASIC NEEDS GAP STUDY,

00:33:43.121 --> 00:33:48.993
16 MILLION CALIFORNIANS
40% FOR 40%, THE COST

00:33:49.060 --> 00:33:50.928
OF BASIC NEEDS IN THEIR
COMMUNITY EXCEEDS THEIR

00:33:50.995 --> 00:33:51.929
INCOME.

00:33:51.996 --> 00:33:53.464
THE BASIC NEEDS WE
USE TO CALCULATE

00:33:53.531 --> 00:33:55.433
THIS MEASURE INCLUDE
HOUSING, HEALTH CARE,

00:33:55.500 --> 00:33:58.603
TRANSPORTATION, CHILD
CARE, AND FOOD.

00:33:59.237 --> 00:34:01.005
AND OF COURSE, THOSE
COSTS VARY ACCORDING

00:34:01.072 --> 00:34:02.407
TO WHERE PEOPLE LIVE
IN THE STATE.

00:34:03.107 --> 00:34:04.308
AND THOSE ARE
THE HOUSEHOLDS THAT

00:34:04.375 --> 00:34:06.310
MAY NEED SUPPORT FROM
A LOCAL FOOD BANK.

00:34:06.878 --> 00:34:08.413
UM, THIS IS
A DIVERSE GROUP.

00:34:08.479 --> 00:34:10.281
THEY FACE A WIDE RANGE
OF CIRCUMSTANCES.

00:34:10.348 --> 00:34:12.250
SOME RELY ON
CALFRESH AND FOOD

00:34:12.316 --> 00:34:13.418
BANKS REGULARLY.

00:34:13.684 --> 00:34:15.987
OTHERS MAY VISIT A FOOD
PANTRY OCCASIONALLY

00:34:16.053 --> 00:34:17.922
JUST TO FREE UP FUNDS
TO HELP PAY BILLS AT

00:34:17.989 --> 00:34:19.090
THE END OF THE MONTH.

00:34:19.157 --> 00:34:21.826
AND SOME DON'T USE FOOD
ASSISTANCE YET, BUT MANY

00:34:21.893 --> 00:34:24.762
OF THEM ARE REALLY JUST
ONE EVENT AWAY FROM

00:34:24.829 --> 00:34:26.697
POTENTIALLY NEEDING TO
TURN TO A FOOD BANK.

00:34:26.764 --> 00:34:29.667
SO ONE UNEXPECTED
MEDICAL BILL JOB

00:34:29.734 --> 00:34:32.770
LOSS, A CAR REPAIR,
OR A NATURAL DISASTER

00:34:32.837 --> 00:34:34.806
WOULD PUT THEM OVER
THE EDGE FINANCIALLY.

00:34:35.306 --> 00:34:37.208
SO THAT'S WHY OUR FOOD
BANKS NEED SUSTAINED

00:34:37.275 --> 00:34:38.409
SUPPORT FROM THE STATE.

00:34:38.976 --> 00:34:41.612
UH, 1 IN 5 CALIFORNIANS
RECEIVED HELP FROM

00:34:41.679 --> 00:34:43.481
THE CHARITABLE FOOD
SYSTEM LAST YEAR.

00:34:43.548 --> 00:34:45.283
AND OUR OUR FOOD
BANK NETWORK IS

00:34:45.349 --> 00:34:47.018
SERVING 6 MILLION
PEOPLE PER MONTH.

00:34:47.084 --> 00:34:48.419
AND THAT'S BEEN
THE STEADY OVER

00:34:48.486 --> 00:34:49.720
THE PAST THREE YEARS.

00:34:51.055 --> 00:34:52.290
AND BECAUSE OF H.R.

00:34:52.356 --> 00:34:54.091
ONE CUTS, WE EXPECT
THIS PICTURE TO

00:34:54.158 --> 00:34:56.494
POTENTIALLY GET WORSE
OVER THE NEXT YEAR.

00:34:56.828 --> 00:34:58.463
THE FULL EXTENT OF
THOSE CUTS HAVE

00:34:58.529 --> 00:34:59.697
NOT BEEN FELT YET.

00:35:00.131 --> 00:35:01.999
AS YOU SAID IN YOUR
OPENING CHAIR, WEBER

00:35:02.066 --> 00:35:04.836
PEARSON, THE BULK OF
THOSE CHANGES WERE

00:35:04.902 --> 00:35:07.171
ENACTED IN JUNE OF
THIS YEAR.

00:35:07.238 --> 00:35:09.440
WE'RE GRATEFUL TO
STATE LEADERS AND TO

00:35:09.507 --> 00:35:10.908
THE CALIFORNIA
DEPARTMENT OF SOCIAL

00:35:10.975 --> 00:35:13.344
SERVICES FOR DELAYING
THE IMPLEMENTATION OF

00:35:13.411 --> 00:35:15.146
THOSE CUTS AND THOSE
RESTRICTIONS AS LONG

00:35:15.213 --> 00:35:16.280
AS POSSIBLE.

00:35:16.347 --> 00:35:18.449
BUT AS WE LOOK AT OTHER
STATES THAT IMPLEMENTED

00:35:18.516 --> 00:35:21.385
THEM SOONER, I POINT AT
ARIZONA IN PARTICULAR,

00:35:21.452 --> 00:35:25.990
THEIR SNAP CASELOAD
FELL 47% OVER THE YEAR

00:35:26.057 --> 00:35:28.059
THAT THEY IMPLEMENTED,
PARTICULARLY THOSE WORK

00:35:28.125 --> 00:35:29.460
REPORTING REQUIREMENTS.

00:35:30.194 --> 00:35:33.865
SO SNAP IS THE NUTRITION
SAFETY NET.

00:35:33.931 --> 00:35:35.800
FOOD BANKS ARE NOT FOOD
BANKS ARE THE HANDS

00:35:35.867 --> 00:35:37.068
BENEATH THE SAFETY NET.

00:35:37.468 --> 00:35:39.837
BUT AS THAT SAFETY NET
GETS HOLES IN IT, MORE

00:35:39.904 --> 00:35:41.939
AND MORE PEOPLE ARE
FALLING INTO OUR HANDS.

00:35:43.908 --> 00:35:47.678
I'LL ALSO NOTE THAT
THE LAO REPORT THAT

00:35:47.745 --> 00:35:49.914
YOU CITED, CHAIR
WEBER PEARSON, CITING

00:35:49.981 --> 00:35:53.084
A CASELOAD OF 5.3
MILLION PARTICIPANTS

00:35:53.150 --> 00:35:54.151
IN CALFRESH.

00:35:54.485 --> 00:35:56.554
THAT NUMBER NOW AS
WE SIT HERE TODAY IS

00:35:56.621 --> 00:35:57.955
JUST OVER 5 MILLION.

00:35:58.022 --> 00:36:00.157
WE'VE LOST ABOUT
300,000 PEOPLE OVER

00:36:00.224 --> 00:36:01.359
THE PAST EIGHT MONTHS.

00:36:01.893 --> 00:36:04.328
130,000 OF THOSE
ABOUT ARE CHILDREN.

00:36:04.929 --> 00:36:07.131
AND THAT'S NOT BECAUSE
OF H.R. ONE CUTS.

00:36:07.398 --> 00:36:10.334
THAT'S LARGELY DRIVEN BY
CONFUSION ABOUT FEDERAL

00:36:10.401 --> 00:36:13.104
CHANGES AND FEAR AMONG
IMMIGRANT FAMILIES

00:36:13.170 --> 00:36:15.139
OF ACCESSING PUBLIC
BENEFITS.

00:36:15.573 --> 00:36:18.075
UM, SO WE'RE ALREADY
SORT OF BEHIND

00:36:18.142 --> 00:36:19.076
THE EIGHT BALL.

00:36:19.143 --> 00:36:20.978
WE'RE ALREADY HAVING
ISSUES CONNECTING PEOPLE

00:36:21.045 --> 00:36:23.981
TO CALFRESH BEFORE THESE
MORE CUMBERSOME WORK

00:36:24.048 --> 00:36:26.050
REPORTING REQUIREMENTS
GO INTO EFFECT.

00:36:27.251 --> 00:36:29.153
H.R. ONE IS THE LARGEST
CUT TO SNAP IN

00:36:29.220 --> 00:36:30.321
THE PROGRAM'S HISTORY.

00:36:30.821 --> 00:36:34.559
UM, WE SAW IN APRIL,
34,000 HUMANITARIAN

00:36:34.625 --> 00:36:36.093
IMMIGRANTS LOSE ACCESS.

00:36:36.294 --> 00:36:38.129
AND JUST THIS MONTH,
WE'LL PROBABLY LOSE

00:36:38.195 --> 00:36:40.431
ANOTHER 40,000 PEOPLE
DUE TO THOSE WORK

00:36:40.498 --> 00:36:42.533
REPORTING REQUIREMENTS,
THAT EXTRA PAPERWORK

00:36:42.600 --> 00:36:45.336
WHERE PEOPLE CAN'T
QUALIFY FOR AN EXEMPTION

00:36:45.403 --> 00:36:47.438
OR PROVE THAT THEY
QUALIFY FOR AN EXEMPTION

00:36:47.505 --> 00:36:49.574
FROM THOSE WORK
REPORTING REQUIREMENTS,

00:36:50.007 --> 00:36:53.511
OR JUST CAN'T MEET
ENOUGH HOURS, UM, PEOPLE

00:36:53.578 --> 00:36:55.513
DON'T HAVE CONTROL OVER
THEIR WORK SCHEDULES.

00:36:55.880 --> 00:36:57.715
THEIR HOURS GET CUT,
THEIR FOOD ASSISTANCE

00:36:57.782 --> 00:36:58.716
CAN GET CUT.

00:36:58.783 --> 00:37:00.384
AND SO OVER THE NEXT
YEAR, YEAH, WE'RE

00:37:00.451 --> 00:37:02.520
ANTICIPATING OVER HALF
A MILLION PEOPLE TO LOSE

00:37:02.587 --> 00:37:03.721
ACCESS TO CALFRESH.

00:37:04.255 --> 00:37:05.523
AND THEN H.R.

00:37:05.590 --> 00:37:06.857
ONE GOES FURTHER
COMPOUNDING THAT

00:37:06.924 --> 00:37:07.858
CHALLENGE.

00:37:07.925 --> 00:37:10.061
UM, IT SHIFTS MORE
COSTS FROM THE FEDERAL

00:37:10.127 --> 00:37:11.295
GOVERNMENT TO THE STATE.

00:37:11.896 --> 00:37:13.931
JUST OCTOBER,
THIS OCTOBER 1ST,

00:37:13.998 --> 00:37:16.867
THE ADMINISTRATIVE COST
SHIFT WENT INTO EFFECT.

00:37:16.934 --> 00:37:18.869
WE'RE VERY GRATEFUL
TO THE LEGISLATURE

00:37:18.936 --> 00:37:20.371
AND GOVERNOR IN THIS
YEAR'S BUDGET FOR

00:37:20.438 --> 00:37:23.040
COVERING THAT COST SO
THAT WE CAN CONTINUE TO

00:37:23.107 --> 00:37:24.976
FULLY OPERATE CALFRESH,
AND PARTICULARLY

00:37:25.042 --> 00:37:26.611
THE CALFRESH OUTREACH
PROGRAM.

00:37:26.677 --> 00:37:28.646
THERE WAS AN ADDITIONAL
ALLOCATION OF $14

00:37:28.713 --> 00:37:30.648
MILLION TO SUSTAIN
THE CALFRESH OUTREACH

00:37:30.715 --> 00:37:31.649
PROGRAM.

00:37:31.716 --> 00:37:33.851
I ESPECIALLY WANT TO
THANK YOU, SENATOR

00:37:33.918 --> 00:37:35.419
PADILLA, FOR FOR
LEADING THAT EFFORT

00:37:35.486 --> 00:37:36.654
IN THE LEGISLATURE.

00:37:36.721 --> 00:37:38.522
THOSE ARE COMMUNITY
BASED ORGANIZATIONS

00:37:38.589 --> 00:37:40.725
THAT MEET PEOPLE WHERE
THEY'RE AT AND ARE ABLE

00:37:40.791 --> 00:37:42.893
TO LITERALLY SPEAK
THEIR LANGUAGE AND,

00:37:42.960 --> 00:37:46.330
AND HELP THEM NAVIGATE
THE ALREADY COMPLEX

00:37:47.098 --> 00:37:49.467
PROCESS OF APPLYING FOR
AND STAYING CONNECTED

00:37:49.533 --> 00:37:50.534
TO CALFRESH.

00:37:50.868 --> 00:37:53.170
EXCUSE ME. WHICH IS
AGAIN, ONLY GETTING

00:37:53.237 --> 00:37:54.639
MORE DIFFICULT WITH
THESE WORK REPORTING

00:37:54.705 --> 00:37:55.706
REQUIREMENTS.

00:37:56.107 --> 00:37:57.274
AND IT DOESN'T
END THERE.

00:37:57.508 --> 00:38:00.378
UH, NEXT OCTOBER,
CALIFORNIA COULD FACE

00:38:01.112 --> 00:38:03.681
A $2 BILLION COST
TO COVER A SHARE OF

00:38:03.748 --> 00:38:05.049
THE BENEFIT COSTS.

00:38:05.416 --> 00:38:07.952
THAT IS THE FIRST TIME
THAT'S EVER HAPPENED

00:38:08.019 --> 00:38:09.520
IN THE HISTORY OF
THE PROGRAM.

00:38:09.587 --> 00:38:12.523
IT FUNDAMENTALLY
BREAKS THE FEDERAL

00:38:12.590 --> 00:38:14.625
STATE RELATIONSHIP
WHEN IT COMES TO

00:38:14.692 --> 00:38:15.793
FOOD ASSISTANCE.

00:38:16.227 --> 00:38:17.828
WE'RE WORKING HARD
WITH OUR MEMBERS IN

00:38:17.895 --> 00:38:20.331
CONGRESS TO SEEK AT
LEAST A TWO YEAR DELAY

00:38:20.531 --> 00:38:21.899
IN THAT COST SHIFT.

00:38:22.099 --> 00:38:24.435
SO TO GIVE STATES,
CALIFORNIA AND OTHER

00:38:24.502 --> 00:38:26.370
STATES TIME TO
AT LEAST PREPARE

00:38:26.437 --> 00:38:27.571
AND BUDGET FOR THAT.

00:38:27.805 --> 00:38:29.707
BUT YOU KNOW BETTER
THAN I DO THAT A $2

00:38:29.774 --> 00:38:31.742
BILLION HOLE IN
THE HUMAN SERVICES

00:38:31.809 --> 00:38:34.445
BUDGET WILL COME FROM
SOMEWHERE, AND IT WILL

00:38:34.512 --> 00:38:36.914
COME FROM PROGRAMS,
UNFORTUNATELY, THAT

00:38:36.981 --> 00:38:38.149
SERVE THE SAME PEOPLE.

00:38:39.383 --> 00:38:42.286
SO I KNOW I'VE PAINTED
A CONCERNING PICTURE.

00:38:42.353 --> 00:38:45.423
UM, I DON'T, UM,
I DON'T WANT TO END

00:38:45.489 --> 00:38:46.824
ON ALL BAD NEWS.

00:38:46.891 --> 00:38:49.360
I, I WILL SAY THAT
ADVOCATES FELT

00:38:49.427 --> 00:38:51.896
VERY ENCOURAGED BY
THE LEGISLATURE'S

00:38:51.962 --> 00:38:54.365
LEADERSHIP LAST YEAR
ON THESE ISSUES.

00:38:54.665 --> 00:38:56.600
THE COW FOOD PROGRAM,
WHICH SUPPORTS FOOD

00:38:56.667 --> 00:38:58.636
BANKS AND ALLOWS THEM
TO PURCHASE CALIFORNIA

00:38:58.703 --> 00:39:01.505
PRODUCED FOODS, LARGELY
FRESH, PRODUCE, HEALTHY

00:39:01.572 --> 00:39:03.641
PROTEINS, THE HEALTHIEST
FOOD THAT FOOD BANKS

00:39:03.708 --> 00:39:05.710
ARE ABLE TO PROVIDE
PEOPLE BECAUSE THEY CAN

00:39:05.776 --> 00:39:07.978
PURCHASE WHAT THEY DON'T
GET DONATED.

00:39:08.179 --> 00:39:09.980
AS ONE FOOD BANK
EXECUTIVE DIRECTOR

00:39:10.047 --> 00:39:13.217
TELLS ME, DONATIONS ARE
GREAT, BUT SOMETIMES

00:39:13.284 --> 00:39:15.052
I'VE GOT MARSHMALLOWS
AND JALAPENOS,

00:39:15.386 --> 00:39:17.021
AND THAT'S NOT WHAT
PEOPLE NEED TO PUT ON

00:39:17.088 --> 00:39:18.022
THEIR TABLE.

00:39:18.089 --> 00:39:19.423
AND SO THEY USE THOSE
COW FOOD DOLLARS TO

00:39:19.490 --> 00:39:20.424
SUPPLEMENT THAT.

00:39:20.491 --> 00:39:22.193
AND IT GOES DIRECTLY
TO CALIFORNIA FARMERS

00:39:22.259 --> 00:39:23.861
AND CALIFORNIA FOOD
PRODUCERS.

00:39:24.695 --> 00:39:27.998
SO FOR NEXT YEAR, WE
WE ARE AGAIN ADVANCING

00:39:28.065 --> 00:39:30.234
A THREE PRONGED
APPROACH TO HELP ABATE

00:39:30.301 --> 00:39:31.535
A HUNGER HUNGER CRISIS.

00:39:31.602 --> 00:39:33.838
ONE, CONTINUE TO
BOLSTER THE EMERGENCY

00:39:33.904 --> 00:39:35.740
FOOD SYSTEM BY
FUNDING CAL FOOD.

00:39:36.207 --> 00:39:39.510
AND CRUCIALLY,
THE CAL FOOD BASELINE

00:39:39.577 --> 00:39:41.846
LEVEL OF FUNDING IS
ONLY $8 MILLION.

00:39:42.046 --> 00:39:43.714
IN THIS LAST YEAR'S
BUDGET, WE WERE VERY

00:39:43.781 --> 00:39:46.584
GRATEFUL TO HAVE BEEN
ALLOCATED $118 MILLION

00:39:46.650 --> 00:39:49.186
DOLLARS, BUT THE NEW
NORMAL FOR THE PAST 5

00:39:49.253 --> 00:39:52.123
OR 6 YEARS HAS BEEN
A MINIMUM OF $60

00:39:52.189 --> 00:39:53.124
MILLION.

00:39:53.190 --> 00:39:55.226
THAT'S TO SERVE THE 6
MILLION PEOPLE PER

00:39:55.292 --> 00:39:56.894
YEAR THAT THEY'VE
BEEN THAT OUR NETWORK

00:39:56.961 --> 00:39:57.895
HAS BEEN SERVING.

00:39:57.962 --> 00:40:01.398
SO WE REALLY, TO REDUCE
VOLATILITY, ALLOW FOOD

00:40:01.465 --> 00:40:04.301
BANKS TO PLAN AHEAD
AND GET MORE FOOD FOR

00:40:04.368 --> 00:40:06.604
THE STATE DOLLAR WILL
BE REQUESTING THAT THAT

00:40:06.670 --> 00:40:09.774
BASELINE INCREASE TO
$60 MILLION PER YEAR.

00:40:09.974 --> 00:40:12.009
ON TOP OF THAT, WE WILL
NEED ADDITIONAL FUNDING

00:40:12.076 --> 00:40:14.011
TO HELP MEET THE NEED
DUE TO THOSE H.R.

00:40:14.078 --> 00:40:15.880
ONE CUTS AND THOSE
500,000 PEOPLE THAT

00:40:15.946 --> 00:40:17.047
WILL BE CUT OFF.

00:40:17.114 --> 00:40:19.283
SECOND, ENSURE AS MANY
PEOPLE AS POSSIBLE

00:40:19.350 --> 00:40:21.085
CAN STAY CONNECTED TO
CALFRESH.

00:40:21.452 --> 00:40:23.254
THAT MEANS CONTINUING
TO FUND THE CALFRESH

00:40:23.320 --> 00:40:24.288
OUTREACH NETWORK.

00:40:24.355 --> 00:40:27.391
THAT $14 MILLION
INVESTMENT PAYS OFF

00:40:27.591 --> 00:40:30.161
MANY, MANY, MANY TIMES
OVER IN FEDERAL BENEFITS

00:40:30.227 --> 00:40:32.897
THAT END UP IN PEOPLE
ON PEOPLE'S EBT CARDS

00:40:32.963 --> 00:40:34.865
AND FOOD ON PEOPLE'S
TABLES AND HELP SUPPORT

00:40:34.932 --> 00:40:36.000
LOCAL ECONOMIES.

00:40:36.267 --> 00:40:38.335
AND THIRD, WE REALLY ARE
URGING THE LEGISLATURE

00:40:38.402 --> 00:40:39.503
TO THINK BIG.

00:40:39.570 --> 00:40:41.839
WE HAVE A STATE FUNDED
VERSION OF CALFRESH

00:40:41.906 --> 00:40:44.108
CALLED THE CALIFORNIA
FOOD ASSISTANCE PROGRAM.

00:40:44.175 --> 00:40:46.844
IT WAS SET UP IN
1996 AFTER A SIMILAR

00:40:46.911 --> 00:40:49.046
SITUATION WHEN
THE FEDERAL GOVERNMENT

00:40:49.113 --> 00:40:51.649
CUT A GROUP OF PEOPLE
OFF OF FEDERAL FOOD

00:40:51.715 --> 00:40:52.650
ASSISTANCE.

00:40:52.716 --> 00:40:54.618
IT'S BEEN WORKING SINCE
THEN TO SERVE A CERTAIN

00:40:54.685 --> 00:40:55.786
GROUP OF IMMIGRANTS.

00:40:56.620 --> 00:40:59.890
WE NEED, AGAIN, TO
EXPAND ACCESS TO

00:40:59.957 --> 00:41:02.426
THAT PROGRAM SO THAT
CALIFORNIA CAN TAKE

00:41:02.493 --> 00:41:04.728
CARE OF ITS OWN
AND PROVIDE FOOD

00:41:04.795 --> 00:41:08.098
ASSISTANCE WHEN FEDERAL
DECISIONS DON'T REFLECT

00:41:08.165 --> 00:41:09.333
CALIFORNIA VALUES.

00:41:09.667 --> 00:41:11.836
SO WITH THAT, I'LL JUST
SAY NO ONE SHOULD GO

00:41:11.902 --> 00:41:13.137
HUNGRY IN CALIFORNIA.

00:41:13.370 --> 00:41:14.805
I'LL STOP MY COMMENTS
THERE, AND I'M HAPPY

00:41:14.872 --> 00:41:16.507
TO TAKE QUESTIONS AT
THE APPROPRIATE TIME.

00:41:16.574 --> 00:41:17.575
THANK YOU.

00:41:28.485 --> 00:41:31.355
BUENOS DIAS. SENATOR
WEBER PEARSON

00:41:31.422 --> 00:41:33.991
AND SENATOR PADILLA,
I'D LIKE TO THANK YOU

00:41:34.058 --> 00:41:35.759
ALL FOR YOUR TIME,
ESPECIALLY SENATOR

00:41:35.826 --> 00:41:37.461
AKILAH WEBER PEARSON
AND HER TEAM FOR

00:41:37.528 --> 00:41:39.396
THE INVITATION TO
PARTICIPATE IN TODAY'S

00:41:39.463 --> 00:41:40.464
SENATE COMMITTEE.

00:41:41.665 --> 00:41:44.235
HERE'S A QUICK
OVERVIEW OF WHERE WE

00:41:44.301 --> 00:41:45.736
ARE HEADED TODAY.

00:41:45.803 --> 00:41:47.738
I'LL START WITH A QUICK
INTRODUCTION TO THE SAN

00:41:47.805 --> 00:41:49.874
DIEGO HUNGER COALITION,
OUR MISSION AND VISION

00:41:49.940 --> 00:41:51.942
AND HOW WE DEFINE
NUTRITION SECURITY.

00:41:52.276 --> 00:41:54.511
THEN I'LL GIVE
A SNAPSHOT OF WHO

00:41:54.578 --> 00:41:56.881
EXACTLY IS AFFECTED
ACROSS SAN DIEGO COUNTY

00:41:56.947 --> 00:41:59.216
AND FINISHED WITH CALL
FOR PARTICIPATION RATE

00:41:59.283 --> 00:42:02.286
AND THE IMPACT THIS HAS
ON OUR LOCAL ECONOMY.

00:42:03.888 --> 00:42:06.257
OUR MISSION IS TO CREATE
EQUITABLE ACCESS TO

00:42:06.323 --> 00:42:08.392
FOOD ASSISTANCE THROUGH
RESEARCH, EDUCATION,

00:42:08.459 --> 00:42:09.493
AND ADVOCACY.

00:42:09.560 --> 00:42:11.328
WE ARE A BACKBONE
ORGANIZATION FIGHTING

00:42:11.395 --> 00:42:13.264
TO END HUNGER ACROSS
SAN DIEGO COUNTY.

00:42:13.330 --> 00:42:15.532
WE'RE A NETWORK OF
500 PLUS COMMUNITY

00:42:15.599 --> 00:42:18.769
PARTNERS FROM SAN DIEGO
AND BEYOND THAT, AND WE

00:42:20.170 --> 00:42:22.606
WORK COLLABORATIVELY TO
FULFILL OUR MISSION.

00:42:22.840 --> 00:42:24.475
AND TODAY'S
PRESENTATION HIGHLIGHTS

00:42:24.541 --> 00:42:27.011
HOW WE USE DATA TO
MEASURE HUNGER IN

00:42:27.077 --> 00:42:29.079
THE REGION, KEEP OTHERS
INFORMED, AND HELP

00:42:29.146 --> 00:42:31.248
LEADERS UNDERSTAND
WHICH AREAS NEED

00:42:31.315 --> 00:42:32.816
ADDITIONAL RESOURCES.

00:42:32.883 --> 00:42:34.785
THIS INFORMATION
IS ALSO AVAILABLE

00:42:34.852 --> 00:42:36.654
IN OUR RESEARCH
RESEARCH CENTER AT

00:42:36.720 --> 00:42:39.023
THE HUNGER.ORG/RESEARCH.

00:42:40.758 --> 00:42:41.759
UH. FOR.

00:42:44.795 --> 00:42:46.864
SORRY. THAT'S, UH,
AT SAN DIEGO HUNGER

00:42:46.931 --> 00:42:49.066
COALITION, WE DEFINE
NUTRITION SECURITY AS

00:42:49.133 --> 00:42:51.302
BEING UNABLE TO AFFORD
THREE NUTRITIOUS MEALS

00:42:51.368 --> 00:42:53.537
PER DAY USING EARNED
INCOME.

00:42:53.804 --> 00:42:56.373
OUR MEASURE IS BASED ON
ECONOMIC INDICATORS,

00:42:56.440 --> 00:42:59.310
PARTICULARLY HOUSEHOLD
INCOME, WHICH ALLOWS US

00:42:59.376 --> 00:43:01.178
TO UPDATE THE ESTIMATE.

00:43:01.245 --> 00:43:03.447
UH, SORRY.

00:43:03.514 --> 00:43:06.417
WHICH ALLOW US TO UPDATE
THE ESTIMATE AS ECONOMIC

00:43:06.483 --> 00:43:08.052
CONDITIONS CHANGE.

00:43:08.285 --> 00:43:11.255
FOR JUNE 2026, WE
ESTIMATE THE POPULATION

00:43:11.322 --> 00:43:13.223
AT RISK BY USING
THE NUMBER OF SAN

00:43:13.290 --> 00:43:17.161
DIEGO'S LIVING BELOW
2,025% OF THE FEDERAL

00:43:17.227 --> 00:43:20.898
POVERTY LEVEL, WHICH IS
ROUGHLY ROUGHLY 74,000

00:43:20.965 --> 00:43:22.633
A YEAR FOR A FAMILY
OF FOUR.

00:43:25.970 --> 00:43:28.439
ONE IN SAN DIEGANS ARE
NUTRITION INSECURE,

00:43:28.505 --> 00:43:31.442
BUT THIS BURDEN ISN'T
REALLY ISN'T SHARED.

00:43:31.508 --> 00:43:34.178
EQUALLY, THE RATE
IS 36% FOR BLACK

00:43:34.244 --> 00:43:36.814
AFRICAN AMERICAN
RESIDENTS AND 35%

00:43:36.880 --> 00:43:38.816
FOR HISPANIC LATINO
RESIDENTS, COMPARED

00:43:38.882 --> 00:43:41.352
WITH 25% COUNTYWIDE.

00:43:45.055 --> 00:43:47.791
THAT'S TEN AND 11
PERCENTAGE POINTS ABOVE

00:43:47.858 --> 00:43:48.792
THE COUNTY AVERAGE.

00:43:48.859 --> 00:43:50.961
THESE GAPS AREN'T
ABOUT INDIVIDUAL OR

00:43:51.028 --> 00:43:52.062
CULTURAL CHOICES.

00:43:52.129 --> 00:43:54.565
IT'S A REFLECTION
OF EQUITY ISSUES

00:43:54.631 --> 00:43:55.833
ACROSS OUR REGION.

00:43:55.899 --> 00:43:58.168
WHO HAS HAD ACCESS
TO STABLE INCOME,

00:43:58.235 --> 00:44:00.204
AFFORDABLE HOUSING,
AND WELL RESOURCED

00:44:00.270 --> 00:44:02.006
NEIGHBORHOODS,
AND WHO HASN'T?

00:44:02.339 --> 00:44:05.142
WHEN RATES DIFFER THIS
MUCH BY COMMUNITY, A ONE

00:44:05.209 --> 00:44:08.445
SIZE FITS ALL RESPONSE
LEAVES PEOPLE BEHIND.

00:44:08.512 --> 00:44:10.514
THIS IS WHY WE TAILOR
OUR MISSION AND APPROACH

00:44:10.581 --> 00:44:13.117
TO ADDRESSING HUNGER
TO INCLUDE RESEARCH,

00:44:13.183 --> 00:44:15.152
ADVOCACY AND EDUCATION.

00:44:17.821 --> 00:44:19.757
OVER TIME, NUTRITION
SECURITY IN SAN DIEGO

00:44:19.823 --> 00:44:21.792
COUNTY HAS STAYED
CONSISTENTLY HIGH.

00:44:22.026 --> 00:44:24.428
SINCE 2019, THE RATE
HAS RANGED FROM

00:44:24.495 --> 00:44:27.264
ABOUT 23% TO 26%.

00:44:27.464 --> 00:44:30.434
THIS 25% MARK IS
THE RATE WE SAW AT

00:44:30.501 --> 00:44:33.370
THE HEIGHT OF COVID
COVID 19 PANDEMIC.

00:44:33.637 --> 00:44:35.839
THE NEED IN OUR
REGION SURGE IN OUR

00:44:35.906 --> 00:44:38.609
HUNGER RELIEF SECTOR
MOBILIZED TO PROVIDE,

00:44:39.676 --> 00:44:41.412
UH, TO PROVIDE RELIEF.

00:44:41.478 --> 00:44:45.049
HOWEVER, WHAT THIS TREND
SHOWS IS THAT WE NEED WE

00:44:45.115 --> 00:44:46.383
NEVER CAME BACK DOWN.

00:44:46.583 --> 00:44:48.385
THERE'S BEEN A SLIGHT
MOVEMENT YEAR TO

00:44:48.452 --> 00:44:50.320
YEAR, BUT BROADER
PICTURE IS CLEAR.

00:44:50.387 --> 00:44:52.790
ROUGHLY 1 IN 4 SAN DIEGO
AND HAS EXPERIENCED

00:44:52.856 --> 00:44:54.958
NUTRITION SECURITY
THROUGHOUT THIS ENTIRE

00:44:55.025 --> 00:44:57.327
PERIOD FROM 2019 TO NOW.

00:44:57.761 --> 00:44:59.363
THAT PERSISTENCE
MATTERS.

00:44:59.663 --> 00:45:01.999
THIS ISN'T A TEMPORARY
REACTION TO ONE

00:45:02.066 --> 00:45:03.067
ECONOMIC SHOCK.

00:45:03.300 --> 00:45:06.136
SHOCK. IT REFLECTS
AN ONGOING GAP BETWEEN

00:45:06.203 --> 00:45:08.505
HOUSEHOLD RESOURCES,
THE COST OF LIVING,

00:45:08.572 --> 00:45:10.641
AND THE FOOD ASSISTANCE
AVAILABLE TO FAMILIES

00:45:10.707 --> 00:45:11.742
ACROSS THE COUNTY.

00:45:13.243 --> 00:45:16.880
IN JUNE 2026, ALL FOOD
ASSISTANCE PROGRAMS

00:45:16.947 --> 00:45:19.650
PROVIDED ABOUT 25.7
MILLION MEALS ACROSS

00:45:19.716 --> 00:45:22.119
SAN DIEGO COUNTY,
CALIFORNIA ACCOUNTS FOR

00:45:22.186 --> 00:45:26.590
14.9 MILLION, OR 58% OF
THOSE MEALS, MORE THAN

00:45:26.657 --> 00:45:28.625
ALL THE OTHER PROGRAMS
COMBINED.

00:45:28.926 --> 00:45:30.828
FOOD DISTRIBUTIONS
LIKE OUR LOCAL FOOD

00:45:30.894 --> 00:45:34.331
BANKS AND PANTRIES
AT ABOUT 4.7 MILLION

00:45:34.398 --> 00:45:37.501
MEALS OR 18% SCHOOL
AND YOUTH MEALS ABOUT

00:45:37.568 --> 00:45:41.205
3.3 MILLION, ABOUT 13%.

00:45:41.271 --> 00:45:44.174
AND THE REST COMES FROM
SUMMER EBT WEEK MEALS

00:45:44.241 --> 00:45:46.176
FOR OLDER ADULTS OR
THE FOOD DISTRIBUTION

00:45:46.243 --> 00:45:48.412
PROGRAM ON INDIAN
RESERVATIONS.

00:45:50.481 --> 00:45:52.349
THIS IS HOW WE
CALCULATE THE MEAL GAP

00:45:52.416 --> 00:45:53.517
IN SAN DIEGO COUNTY.

00:45:53.817 --> 00:45:55.652
WE TAKE THE TOTAL
NUMBER OF NUTRITION,

00:45:55.719 --> 00:45:57.988
SECURE SAN DIEGANS,
AND MULTIPLY BY THREE

00:45:58.055 --> 00:45:59.356
MEALS A DAY PER MONTH.

00:45:59.723 --> 00:46:02.059
WE ESTIMATE HOW MANY OF
THOSE MEALS HOUSEHOLDS

00:46:02.126 --> 00:46:04.228
CAN BUY THEMSELVES WITH
THEIR OWN INCOME.

00:46:04.495 --> 00:46:06.630
AND THEN WE SUBTRACT
ALL THE FOOD ASSISTANCE

00:46:06.697 --> 00:46:09.933
MEALS PROVIDED ABOUT
25.7 MILLION FROM

00:46:10.467 --> 00:46:12.703
SCHOOL MEALS, FOOD
DISTRIBUTIONS, WEEK,

00:46:12.769 --> 00:46:14.538
WEEK, AND THE REST OF
THE PROGRAMS.

00:46:15.439 --> 00:46:16.974
WHAT'S LEFT IN
THE MISSING MEALS?

00:46:17.040 --> 00:46:19.743
ABOUT 5.5 MILLION
MEALS IN JUNE IS IN

00:46:19.810 --> 00:46:21.912
JUNE 2026 ALONE.

00:46:22.246 --> 00:46:25.249
IN OTHER WORDS, ONLY
APPROXIMATE 59% OF

00:46:25.315 --> 00:46:27.651
THE TOTAL NEED IS MET
THROUGH SELF-PURCHASE.

00:46:27.718 --> 00:46:30.587
34% THROUGH FOOD
ASSISTANCE AND 7%

00:46:30.654 --> 00:46:31.755
IS STILL MISSING.

00:46:32.322 --> 00:46:33.323
THAT'S 7%.

00:46:33.390 --> 00:46:34.791
SOUNDS SMALL, BUT IT'S.

00:46:34.858 --> 00:46:38.629
IT IS 5.5 MILLION MEALS
EVERY SINGLE MONTH,

00:46:38.695 --> 00:46:41.198
NEARLY TWO FULL DAYS
WITHOUT A SINGLE MEAL

00:46:41.265 --> 00:46:42.666
PER PERSON IN NEED.

00:46:45.769 --> 00:46:47.905
THIS MAP SHOWS
THE MONTHLY MEAL GAP BY

00:46:47.971 --> 00:46:50.474
ZIP CODE FOR JUNE 2026.

00:46:50.674 --> 00:46:52.543
THE MEAL GAP IS
THE NUMBER OF ADDITIONAL

00:46:52.609 --> 00:46:54.811
MEALS HOUSEHOLDS WILL
NEED EACH MONTH.

00:46:54.878 --> 00:46:57.014
AFTER ACCOUNTING FOR
THE MEALS THEY BY

00:46:57.347 --> 00:46:59.383
THEMSELVES AND THE FOOD
ASSISTANCE ALREADY

00:46:59.449 --> 00:47:02.319
BEING PROVIDED, THE GAP
VARIES WIDELY ACROSS

00:47:02.386 --> 00:47:03.320
THE REGION.

00:47:03.387 --> 00:47:05.422
SOME ZIP CODES HAVE
RELATIVELY SMALL

00:47:05.489 --> 00:47:07.691
REMAINING GAPS, WHILE
OTHERS ARE STILL

00:47:07.758 --> 00:47:10.260
SHORT BY HUNDREDS OF
THOUSANDS OF MEALS IN

00:47:10.327 --> 00:47:11.328
A SINGLE MONTH.

00:47:11.662 --> 00:47:14.064
SOME OF THE LARGEST
AND CONSISTENT GAPS ARE

00:47:14.131 --> 00:47:16.967
ESCONDIDO, UNIVERSITY,
CITY AND OCEANSIDE.

00:47:17.167 --> 00:47:20.871
THE UNMET NEED SHOWS
UP THROUGH THE REGION.

00:47:21.071 --> 00:47:23.140
I KNOW UNIVERSITY
CITY IS A SURPRISING

00:47:23.207 --> 00:47:24.942
NAME TO SEE AMONG
THE LARGEST GAPS,

00:47:25.008 --> 00:47:27.544
SINCE IT'S GENERALLY
A HIGHER INCOME AREA.

00:47:27.611 --> 00:47:29.313
WE SPECULATE THIS
IS DUE TO THE HIGH

00:47:29.379 --> 00:47:31.281
CONCENTRATION OF
COLLEGE STUDENTS LIVING

00:47:31.348 --> 00:47:32.583
IN THIS SAME AREA.

00:47:33.283 --> 00:47:34.751
SO EVEN BEYOND
THE COUNTY WIDE

00:47:34.818 --> 00:47:38.422
NUTRITION SECURITY
MATTERS, DIFFERENT

00:47:38.488 --> 00:47:40.691
COMMUNITIES FACE VERY
DIFFERENT LEVELS OF

00:47:40.757 --> 00:47:42.793
NEED, WHICH TELLS
US WHERE OUTREACH

00:47:42.859 --> 00:47:45.229
AND ENROLLMENT AND FOOD
ASSISTANCE RESOURCES

00:47:45.295 --> 00:47:46.396
ARE MOST NEEDED.

00:47:48.532 --> 00:47:50.267
OVER THE PAST TWO
YEARS, CALL FOR

00:47:50.334 --> 00:47:52.936
PARTICIPATION HAS
DECLINED AFTER REACHING

00:47:53.003 --> 00:47:57.341
ABOUT 70% IN LATE 2024
AND EARLY 2025.

00:47:57.407 --> 00:47:59.710
IT HAS FALLEN BACK
INTO THE MID 60%

00:47:59.776 --> 00:48:02.846
RANGE AS THE CHART ON
THE RIGHT SHOWS UP.

00:48:03.880 --> 00:48:05.415
THAT MATTERS
BECAUSE CALFRESH IS

00:48:05.482 --> 00:48:07.184
THE LARGEST SOURCE
OF FOOD ASSISTANCE

00:48:07.251 --> 00:48:08.352
IN THE COUNTY.

00:48:08.418 --> 00:48:10.721
WHEN FEWER ELIGIBLE
RESIDENTS PARTICIPATE,

00:48:10.787 --> 00:48:13.557
FEWER FEWER MEALS REACH
HOUSEHOLDS THAT COULD

00:48:13.624 --> 00:48:14.825
STILL BE IN NEED.

00:48:15.359 --> 00:48:18.028
ALL OF THIS IS HAPPENING
WHILE NUTRITION SECURITY

00:48:18.095 --> 00:48:20.097
REMAINS AT PANDEMIC
LEVELS.

00:48:20.163 --> 00:48:22.399
THAT'S WHY PROTECTING
ACCESS TO COVERAGE

00:48:22.466 --> 00:48:23.734
MATTERS RIGHT NOW.

00:48:25.636 --> 00:48:30.140
IN JUNE 2026, ABOUT 65%
OF SAN DIEGANS ESTIMATED

00:48:30.207 --> 00:48:32.709
TO BE ELIGIBLE FOR
COVERAGE WERE ENROLLED.

00:48:33.010 --> 00:48:36.446
THAT LEAVES ROUGHLY
194,600 PEOPLE WHO

00:48:36.513 --> 00:48:39.116
ARE LIKELY ELIGIBLE,
BUT NOT PARTICIPATING

00:48:39.416 --> 00:48:40.417
IF ELIGIBLE.

00:48:40.484 --> 00:48:42.319
ELIGIBLE INDIVIDUALS
WERE ENROLLED IN

00:48:42.386 --> 00:48:45.489
COVERAGE ABOUT 8.1
MILLION ADDITIONAL MEALS

00:48:45.555 --> 00:48:49.826
PER MONTH, AND 67.7
MILLION IN FEDERAL

00:48:49.893 --> 00:48:52.229
FUNDING WILL HAVE
A RIPPLE EFFECT ON

00:48:52.296 --> 00:48:56.333
A LOCAL ECONOMY, BECAUSE
ENROLLING ALL ELIGIBLE

00:48:56.400 --> 00:48:58.702
INDIVIDUALS WILL PROVIDE
MORE MEALS THAN OUR

00:48:58.769 --> 00:48:59.970
COUNTYWIDE MEAL GAP.

00:49:00.037 --> 00:49:02.172
TO END HUNGER IN
A REGION, WE MUST

00:49:02.239 --> 00:49:05.375
ENCOURAGE PARTICIPATION
AMONG ALL ELIGIBLE

00:49:05.442 --> 00:49:06.443
INDIVIDUALS.

00:49:08.612 --> 00:49:11.248
AS OF AUGUST OF 2026,
THERE WERE APPROXIMATELY

00:49:11.315 --> 00:49:15.585
30,030 2000 FEWER
RECIPIENTS COMPARED

00:49:15.652 --> 00:49:18.388
TO THE PREVIOUS YEAR,
REPRESENTING AN 8%

00:49:18.455 --> 00:49:21.224
DECLINE IN A LOSS OF
A MILLION OF MILLIONS TO

00:49:21.291 --> 00:49:22.326
OUR LOCAL ECONOMY.

00:49:22.592 --> 00:49:25.996
WE CAN SPECULATE, AS WAS
PREVIOUSLY SAID, THAT

00:49:26.630 --> 00:49:29.032
ENROLLMENT STARTED AS
THE CONVERSATIONS AROUND

00:49:29.099 --> 00:49:31.001
HR ONE AND CHANGES
TO PUBLIC CHARGE

00:49:31.068 --> 00:49:33.403
STARTED, ELIGIBLE
PEOPLE ARE STEPPING

00:49:33.470 --> 00:49:36.139
AWAY FROM COVERAGE ON
THEIR OWN BECAUSE NEW

00:49:36.206 --> 00:49:39.209
REQUIREMENTS, PAPERWORK
AND OR ENTITY MAKE

00:49:39.276 --> 00:49:41.812
STAYING ENROLLED FEEL
HARDER OR RISKIER.

00:49:42.145 --> 00:49:44.715
EVERY PERSON WHO
ENROLLS, EVEN WHEN

00:49:44.781 --> 00:49:46.917
THEY STILL QUALIFY,
IS A HOUSEHOLD THAT

00:49:46.983 --> 00:49:48.185
LOSES SUPPORT.

00:49:48.752 --> 00:49:51.355
OF THE 34,000
INDIVIDUALS WHO WENT

00:49:51.421 --> 00:49:54.124
THROUGH RE-CERTIFICATION
BETWEEN JUNE AND AUGUST,

00:49:54.191 --> 00:49:56.993
APPROXIMATELY 34%
HAD THEIR BENEFITS

00:49:57.060 --> 00:49:58.061
DISCONTINUED.

00:49:58.595 --> 00:50:02.466
OVERALL, NEARLY 30,500
SAN DIEGANS HAVE ALREADY

00:50:02.532 --> 00:50:05.035
LOST BENEFITS UNDER
THESE CHANGES, WITH MANY

00:50:05.102 --> 00:50:07.137
MORE RECERTIFICATIONS
STILL TO COME.

00:50:07.871 --> 00:50:09.706
THESE FINDINGS
DEMONSTRATE HOW H.R.

00:50:09.773 --> 00:50:12.109
ONE IS ALREADY REDUCING
ACCESS TO FOOD

00:50:12.175 --> 00:50:14.211
ASSISTANCE, AND WHY
CONTINUE TARGETED

00:50:14.277 --> 00:50:16.313
OUTREACH AND SUPPORT
TO HOUSEHOLDS THAT

00:50:16.380 --> 00:50:18.615
ARE STILL ELIGIBLE ARE
ESSENTIAL.

00:50:20.751 --> 00:50:24.154
A FEW TAKEAWAYS FIRST,
NUTRITION SECURITY IN

00:50:24.221 --> 00:50:26.690
SAN DIEGO IS WIDESPREAD
AND PERSISTENT.

00:50:26.757 --> 00:50:31.361
ABOUT 1 IN 4 RESIDENTS
EVERY YEAR SINCE 2019

00:50:31.428 --> 00:50:33.997
AND HIGHER FOR CHILDREN,
SENIORS AND PEOPLE WITH

00:50:34.064 --> 00:50:35.065
DISABILITIES.

00:50:35.298 --> 00:50:39.069
SECOND, EVEN WITH 25.7
MILLION FOOD ASSISTANCE

00:50:39.136 --> 00:50:40.771
MEALS AND MONTHS,
THERE'S STILL A GAP

00:50:40.837 --> 00:50:44.141
OF ABOUT 5.55 MILLION
MEALS, AND IT'S

00:50:44.207 --> 00:50:46.343
CONCENTRATED IN
PARTICULAR COMMUNITIES

00:50:46.410 --> 00:50:47.778
ACROSS OUR REGION.

00:50:47.844 --> 00:50:50.881
THIRD IS THE BIGGEST
LEVER WE HAVE TO FIGHT

00:50:50.947 --> 00:50:53.150
NUTRITION SECURITY IN
SAN DIEGO COUNTY.

00:50:53.216 --> 00:50:55.018
IT ALREADY PROVIDES
THE MAJORITY OF FOOD

00:50:55.085 --> 00:50:59.589
ASSISTANCE BY CONNECTING
THE ROUGHLY 195 ELIGIBLE

00:50:59.656 --> 00:51:01.224
THOUSAND ELIGIBLE
RESIDENTS WHO ARE

00:51:01.291 --> 00:51:02.426
ENROLLED IN COVERAGE.

00:51:02.492 --> 00:51:04.127
WE COULD BRING IN ONE.

00:51:05.028 --> 00:51:08.265
MY APOLOGIES. 8.1
MILLION NEEDED MEALS

00:51:08.331 --> 00:51:12.969
AND 67.6 MILLION IN
LOCAL ECONOMIC ACTIVITY.

00:51:13.637 --> 00:51:15.672
THE WORK WE'RE DONE AT
SAN DIEGO COALITION,

00:51:15.739 --> 00:51:17.841
THE EDUCATION,
RESEARCH AND DIRECT

00:51:17.908 --> 00:51:19.876
OUTREACH, IS HELPING
INCREASE ENROLLMENT

00:51:19.943 --> 00:51:22.179
AND END HUNGER IN SAN
DIEGO COUNTY.

00:51:23.046 --> 00:51:25.549
THANK YOU AGAIN FOR YOUR
AGAIN FOR YOUR TIME.

00:51:25.615 --> 00:51:27.818
BEFORE I FINISH,
I WANT TO SHARE A FEW

00:51:27.884 --> 00:51:29.986
WAYS YOU OR PEOPLE
IN THE COMMUNITY TO

00:51:30.053 --> 00:51:30.987
GET INVOLVED.

00:51:31.054 --> 00:51:32.622
THERE'S A TRULY
ROLE FOR EVERYONE.

00:51:32.689 --> 00:51:35.725
CHECK THEIR DATA IN A,
IN A, IN OUR FOR YOUR

00:51:35.792 --> 00:51:36.760
OWN NEIGHBORHOOD.

00:51:36.827 --> 00:51:37.961
ON A RESEARCH CENTER.

00:51:38.028 --> 00:51:40.764
STAY INFORMED, SHARE
OUR RESOURCES IN

00:51:40.831 --> 00:51:43.333
WHATEVER HONORS YOUR
CAPACITY AND PASSION.

00:51:43.400 --> 00:51:45.602
AND REMEMBER,
ENDING HUNGER TAKES

00:51:45.669 --> 00:51:47.037
A COMMUNITY. GRACIAS.

00:51:53.210 --> 00:51:55.612
EXCUSE ME. GOOD
MORNING EVERYONE.

00:51:55.812 --> 00:51:57.848
THANK YOU, SENATOR
DOCTOR WEBBER PEARSON

00:51:57.914 --> 00:51:59.783
AND SENATOR PADILLA
FOR INVITING ME.

00:51:59.850 --> 00:52:01.551
UH, FOR INVITING
ME HERE TODAY.

00:52:02.385 --> 00:52:04.421
THE COUNTY OF SAN
DIEGO IS DEDICATED TO

00:52:04.488 --> 00:52:06.623
THE HEALTH AND SAFETY OF
ALL OF ITS RESIDENTS.

00:52:06.690 --> 00:52:08.492
AS THE INTERIM
DIRECTOR FOR COUNTY

00:52:08.558 --> 00:52:10.494
SELF-SUFFICIENCY
SERVICES, MY PRIORITY

00:52:10.560 --> 00:52:13.530
IS ENSURING THAT OUR
RESIDENTS CAN ACCESS

00:52:13.597 --> 00:52:16.733
THE BENEFITS THEY ARE
ELIGIBLE FOR H.R.

00:52:16.800 --> 00:52:18.535
ONE HOUSE RESOLUTION
ONE IS PROBABLY

00:52:18.602 --> 00:52:21.171
THE BIGGEST CHALLENGE
THAT I HAVE CONTENDED

00:52:21.238 --> 00:52:24.241
WITH MY 28 YEAR YOUR
CAREER ALREADY WE ARE

00:52:24.307 --> 00:52:25.909
HEARING FROM PEOPLE
STRUGGLING TO FEED

00:52:25.976 --> 00:52:28.211
THEIR FAMILIES WITHOUT
CALFRESH, INCLUDING

00:52:28.278 --> 00:52:30.747
LEGAL NON-CITIZENS
AND OTHER NON-CITIZENS

00:52:30.814 --> 00:52:32.916
WITH PERMANENT RESIDENCY
APPLICATIONS THAT ARE

00:52:32.983 --> 00:52:33.984
PENDING.

00:52:34.351 --> 00:52:38.321
LOOKING AT CALFRESH,
A TOTAL OF 93,500

00:52:38.388 --> 00:52:40.790
PEOPLE IN SAN DIEGO
ARE AT RISK OF LOSING

00:52:40.857 --> 00:52:42.726
BENEFITS DUE TO
THE WORK REQUIREMENTS.

00:52:43.059 --> 00:52:46.930
OF THOSE, 48,600 ARE
LIKELY ARE LIKELY TO

00:52:46.997 --> 00:52:48.999
LOSE BENEFITS OUTRIGHT
DUE TO THE FEDERAL

00:52:49.065 --> 00:52:51.101
CHANGES FOR MEDI-CAL.

00:52:51.167 --> 00:52:55.338
THAT IMPACT IS IS
LARGER, WITH 309,000

00:52:55.405 --> 00:52:57.307
PEOPLE SUBJECT TO
THE WORK REQUIREMENTS,

00:52:57.374 --> 00:53:00.143
AND ANOTHER 68,000 ARE
LIKELY TO LOSE BENEFITS

00:53:00.210 --> 00:53:02.913
OUTRIGHT IN THESE.

00:53:03.113 --> 00:53:04.915
IN THESE FIRST FEW
MONTHS, WE ARE.

00:53:04.981 --> 00:53:07.284
WE ARE ALREADY SEEING
DISPARITIES IN

00:53:07.350 --> 00:53:09.352
THE DATA OF CALFRESH
CONTINUANCES.

00:53:09.553 --> 00:53:11.688
WE HAVE SEEN IN
THE SEPTEMBER DATA

00:53:11.755 --> 00:53:15.892
HISPANIC, LATINX HAVE
HAVE FALL OFF AT 28%

00:53:16.259 --> 00:53:19.629
AND AVERAGE AGE OF
DISCONTINUANCE IS 18

00:53:19.696 --> 00:53:23.833
TO 27 YEARS OLD AT
32%, FOLLOWED BY 28 TO

00:53:23.900 --> 00:53:26.136
37 YEAR OLDS AT 24%.

00:53:26.803 --> 00:53:29.573
WHEN WE LOOK AT WHEN WE
LOOK AT OVERALL CALFRESH

00:53:29.639 --> 00:53:32.976
ENROLLMENT DEMOGRAPHICS,
WE SEE A LARGE MAJORITY

00:53:33.043 --> 00:53:37.480
IN THE LATINX, ABOUT
40% WHITE, AT 16% BLACK

00:53:37.547 --> 00:53:41.451
OR AFRICAN AMERICAN AT
6% ASIAN, ALSO AT 6%,

00:53:41.518 --> 00:53:43.453
AND AMERICAN INDIAN
AT JUST A THIRD OF

00:53:43.520 --> 00:53:44.521
A PERCENT.

00:53:44.921 --> 00:53:47.691
HALF OF OUR CALFRESH
CUSTOMERS ARE AT EITHER

00:53:48.091 --> 00:53:51.661
END OF THE AGE SPECTRUM,
WITH A THIRD IN THE AGE

00:53:51.728 --> 00:53:56.333
GROUP OF 0 TO 17 AND 21%
AGED OVER 65.

00:53:57.334 --> 00:53:59.235
OUR CUSTOMERS LIVE
ACROSS THE REGION,

00:53:59.302 --> 00:54:01.371
BUT WE SEE HIGHER
CONCENTRATIONS IN

00:54:01.438 --> 00:54:03.840
THE IN OUR SOUTH,
CENTRAL AND EAST

00:54:03.907 --> 00:54:06.610
COUNTY REGIONS THAT
ARE THAT HISTORICALLY

00:54:06.676 --> 00:54:07.677
ARE UNDERSERVED.

00:54:08.378 --> 00:54:10.280
ADDING TO
THE FEDERAL CHANGES

00:54:10.347 --> 00:54:13.249
FOR OUR CUSTOMERS
IS THE NEW PUBLIC.

00:54:13.316 --> 00:54:15.385
THE NEW PUBLIC CHARGE
RULES THAT WENT INTO

00:54:15.452 --> 00:54:17.153
EFFECT IN SEPTEMBER,
MAKING PEOPLE MORE

00:54:17.220 --> 00:54:19.689
HESITANT TO ACCESS
SERVICES THEY NEED.

00:54:20.123 --> 00:54:21.257
SO HOW DO WE GET HERE?

00:54:21.958 --> 00:54:24.361
THE NEED FOR SAFETY NET
SERVICES HAS SURGED IN

00:54:24.427 --> 00:54:25.495
THE LAST TWO DECADES.

00:54:25.562 --> 00:54:27.731
BUT REALLY, OUR HISTORY
GOES BACK TO THE GREAT

00:54:27.797 --> 00:54:30.467
RECESSION IN 2006.

00:54:30.533 --> 00:54:34.537
SAN DIEGO COUNTY HAS WAS
HELPING MORE THAN 83,000

00:54:34.604 --> 00:54:37.741
NEIGHBORS GET NUTRITION,
FOOD, UH, GET NUTRITIOUS

00:54:37.807 --> 00:54:39.109
FOOD THEY NEED THROUGH
CALFRESH.

00:54:39.476 --> 00:54:41.778
DURING THE PANDEMIC,
WE SURGED TO A RECORD

00:54:41.845 --> 00:54:44.080
HIGH AROUND 391,000.

00:54:44.547 --> 00:54:45.815
AT THE SAME
TIME, THE COUNTY

00:54:45.882 --> 00:54:47.984
WAS PRACTICALLY
PROACTIVELY REACHING

00:54:48.051 --> 00:54:50.320
OUT THROUGH PARTNERS,
LEVERAGING GRASSROOTS

00:54:50.387 --> 00:54:52.188
EFFORTS TO ENSURE
PEOPLE WERE CONNECTED

00:54:52.255 --> 00:54:54.090
TO ALL THE SERVICES
THEY NEEDED.

00:54:54.557 --> 00:54:56.159
IN THE MONTH OF
OCTOBER, WE DROPPED

00:54:56.226 --> 00:55:00.930
FROM OUR PANDEMIC HIGH
TO AROUND 362,000 OF

00:55:00.997 --> 00:55:02.065
CALFRESH RECIPIENTS.

00:55:02.832 --> 00:55:04.868
MEDI-CAL EXPERIENCED
SIMILAR SURGES OVER

00:55:04.934 --> 00:55:06.036
THE PAST 20 YEARS.

00:55:06.436 --> 00:55:08.838
MEDI-CAL, WHICH IS WHICH
MUCH OF THE NATION

00:55:08.905 --> 00:55:11.307
REFERS AS MEDICAID, IS
CALIFORNIA'S LOW COST

00:55:11.374 --> 00:55:12.308
HEALTHCARE.

00:55:12.375 --> 00:55:14.711
IN 2006, THE COUNTY
OF SAN DIEGO HAD

00:55:14.778 --> 00:55:16.646
260,000 RECIPIENTS.

00:55:17.147 --> 00:55:18.682
PASSAGE OF
THE AFFORDABLE CARE

00:55:18.748 --> 00:55:22.285
ACT DROVE EXPANSION
TO A HIGH OF 744,000

00:55:22.852 --> 00:55:25.689
AND IN THE SUBSEQUENT
PANDEMIC SURGE, THEN

00:55:25.755 --> 00:55:27.891
CREATED A NEW RECORD
HIGH OF MORE THAN

00:55:27.957 --> 00:55:30.393
A MILLION SAN DIEGANS
RECEIVING MEDI-CAL.

00:55:31.127 --> 00:55:33.329
BY OCTOBER OF THIS
YEAR, THAT NUMBER HAS

00:55:33.396 --> 00:55:37.233
DECLINED TO NEARLY
781,000 RECIPIENTS, EVEN

00:55:37.300 --> 00:55:39.402
THOUGH MOST OF THE HR
ONE MEDICAID REFORMS

00:55:39.469 --> 00:55:41.871
PROVISIONS DON'T START
HAVING MATERIAL EFFECTS

00:55:41.938 --> 00:55:46.443
UNTIL 2027, HR ONE HAS
PULLED AND CONTINUES

00:55:46.509 --> 00:55:48.945
TO TUG AT THE RUG OUT
FROM THOUSANDS OF OUR

00:55:49.012 --> 00:55:53.083
CLIENTS TO GET AHEAD OR
FOR TO GET AHEAD OF WHAT

00:55:53.149 --> 00:55:56.119
WE FORESAW, THE COUNTY
ACTED IMPORTANTLY.

00:55:56.186 --> 00:55:59.122
THAT INCLUDED A SIGNING
STAFF TO EXPLORE

00:55:59.189 --> 00:56:00.957
OPTIONS TO CREATE
A SAFETY NET BRIDGE

00:56:01.024 --> 00:56:03.193
PROGRAM AND REAFFIRM
THE COUNTY'S INDIGENT

00:56:03.259 --> 00:56:04.260
CARE PROGRAM.

00:56:04.794 --> 00:56:07.864
THE COUNTY, WORKING
WITH 201 SAN DIEGO,

00:56:07.931 --> 00:56:10.200
ONE OF OUR PARTNERS IN
THE CALFRESH SPACE,

00:56:10.266 --> 00:56:12.736
ALONG WITH MY COLLEAGUES
HERE SITTING NEXT TO ME,

00:56:13.169 --> 00:56:17.307
UH, WE BUILT A VIRTUAL
HUB OF PARTNER VOLUNTEER

00:56:17.373 --> 00:56:19.008
WORK AND TRAINING
OPPORTUNITIES.

00:56:19.642 --> 00:56:21.678
OUR. OUR TASK WAS
TO GATHER THE.

00:56:22.178 --> 00:56:23.680
OUR TASK WAS TO
GATHER THE VARIOUS

00:56:23.747 --> 00:56:25.782
OPPORTUNITIES IN ONE
PLACE TO GET PEOPLE

00:56:25.849 --> 00:56:27.617
CONNECTED AND BENEFITS.

00:56:28.184 --> 00:56:30.420
THE VIRTUAL WORK READY
HUB LAUNCHED JUNE 1ST,

00:56:30.487 --> 00:56:32.355
THE SAME DAY WORK
REQUIREMENTS STARTED.

00:56:32.422 --> 00:56:34.557
SINCE THEN, THE HUB
HAS HAD MORE THAN

00:56:34.624 --> 00:56:35.859
10,000 VISITS.

00:56:36.760 --> 00:56:38.128
IN ADDITION, THE.

00:56:38.428 --> 00:56:40.897
THE COUNTY REGULARLY
PROMOTES VOLUNTEER

00:56:40.964 --> 00:56:42.532
AND JOB OPPORTUNITY
THROUGH OUR PARTNER

00:56:42.599 --> 00:56:44.667
NETWORK, SOCIAL
MEDIA AND THE NEWS.

00:56:45.335 --> 00:56:48.371
THE COUNTY LAUNCHED
A MASS TEXT CALL EMAIL

00:56:48.438 --> 00:56:50.707
CAMPAIGNS BY ELIGIBILITY
STAFF TO ENSURE WE

00:56:50.774 --> 00:56:52.976
ARE WALKING SHOULDER
TO SHOULDER WITH OUR

00:56:53.042 --> 00:56:55.211
CUSTOMERS, TEACHING
THEM ABOUT THE CHANGES

00:56:55.278 --> 00:56:56.679
AND RESOURCES AVAILABLE.

00:56:57.413 --> 00:56:59.516
WE HAVE GATHERED
VALUABLE FEEDBACK ON

00:56:59.582 --> 00:57:01.918
ANY ON ANY PLACES
CUSTOMERS ARE GETTING

00:57:01.985 --> 00:57:04.387
STUCK, RECONNECTING
ELIGIBLE CUSTOMERS

00:57:04.454 --> 00:57:07.223
WHO HAVE FALLEN OFF
AND PROVIDING RESOURCES

00:57:08.658 --> 00:57:09.592
FOR THE PUBLIC.

00:57:09.659 --> 00:57:12.328
WE POSTED INFORMATIVE
SOCIAL MEDIA GRAPHICS

00:57:12.395 --> 00:57:15.098
EXPLAINING THE CHANGES,
GETTING TENS OF

00:57:15.165 --> 00:57:17.534
THOUSANDS OF VIEWS
AND MORE THAN 2 MILLION

00:57:17.600 --> 00:57:20.170
VIEWS FROM OUR ENTIRE
CAMPAIGN SINCE MARCH.

00:57:21.037 --> 00:57:23.973
FOR FOR TRADITIONAL
NEWS, WE HAVE HAD MORE

00:57:24.040 --> 00:57:27.076
THAN A BILLION VIEWS
FROM MEDIA OUTLETS ALL

00:57:27.143 --> 00:57:28.077
OVER THE WORLD.

00:57:28.144 --> 00:57:31.347
ALSO, SINCE MARCH, TO
GROW THE SAFETY NET,

00:57:31.414 --> 00:57:33.383
THE COUNTY IN AUGUST
LAUNCHED THE FOOD

00:57:33.449 --> 00:57:34.684
DISTRIBUTION PROGRAM.

00:57:35.018 --> 00:57:36.786
THE YEAR LONG FOOD
DISTRIBUTION PROGRAM

00:57:36.853 --> 00:57:38.521
STARTED WITH SIX
LOCATIONS ACROSS

00:57:38.588 --> 00:57:40.890
THE REGION MOST LIKELY
TO BE HIT HARDEST BY

00:57:40.957 --> 00:57:41.991
FEDERAL CHANGES.

00:57:42.525 --> 00:57:45.461
THE SIX LOCATIONS WERE
DETERMINED BY BY DATA

00:57:45.528 --> 00:57:48.498
IDENTIFYING 16 ZIP
CODES THAT HOLD NEARLY

00:57:48.565 --> 00:57:50.166
HALF OF THE IMPACTED
INDIVIDUALS.

00:57:50.233 --> 00:57:53.203
COUNTYWIDE, COUNTY
OWNED BUILDINGS WERE

00:57:53.269 --> 00:57:55.305
IDENTIFIED IN THOSE
AREAS, ALLOWING

00:57:55.371 --> 00:57:57.407
QUICKER ACTIVATION
OF THE PROGRAM.

00:57:57.807 --> 00:57:59.576
WE PARTNER WITH THE SAN
DIEGO FOOD BANK

00:57:59.642 --> 00:58:02.111
AND FEEDING SAN DIEGO
TO BRING FOOD AND OTHER

00:58:02.178 --> 00:58:04.047
RESOURCES INTO THESE
NEIGHBORHOODS.

00:58:04.113 --> 00:58:07.250
SO FAR, WE HAVE HOSTING
18 EVENTS, WITH ONE

00:58:07.317 --> 00:58:09.185
HAPPENING RIGHT NOW IN
SAN YSIDRO.

00:58:10.119 --> 00:58:12.388
SINCE OUR START, WE
HAVE SERVED MORE

00:58:12.455 --> 00:58:15.358
THAN 2900 HOUSEHOLDS
MEETING IN NEED OF

00:58:15.425 --> 00:58:16.860
FOOD. MEETING A NEED.

00:58:16.926 --> 00:58:18.528
THE FOOD BANKS HAVE
BEEN VOICING FOR

00:58:18.595 --> 00:58:19.529
MONTHS TO GATHER.

00:58:19.596 --> 00:58:22.699
OUR FOOD BANK PARTNERS
SERVE MORE THAN 600,000

00:58:22.765 --> 00:58:23.833
PEOPLE EACH MONTH.

00:58:24.033 --> 00:58:25.435
BUT WE DIDN'T
STOP THERE.

00:58:26.135 --> 00:58:27.270
WE KEPT BUILDING.

00:58:27.637 --> 00:58:29.072
WE KEPT BUILDING
AND ARE LOOKING TO

00:58:29.138 --> 00:58:31.507
EXPAND THE PROGRAM
TO POTENTIALLY

00:58:31.574 --> 00:58:34.077
12 SITES WITH
WRAPAROUND SERVICES.

00:58:34.477 --> 00:58:36.145
IN ADDITION TO
FOOD DISTRIBUTIONS

00:58:36.212 --> 00:58:39.182
AND RESOURCE NAVIGATION,
SELECT SITES NOW INCLUDE

00:58:39.249 --> 00:58:41.918
VACCINES, BEHAVIORAL
HEALTH, HOUSING,

00:58:41.985 --> 00:58:43.953
CHILD AND FAMILY
WELL-BEING AND AGING,

00:58:44.020 --> 00:58:45.855
AND INDEPENDENT SERVICES
RESOURCES.

00:58:46.289 --> 00:58:47.690
ADDING THESE
SERVICES ENABLES

00:58:47.757 --> 00:58:49.726
RESIDENTS TO RECEIVE
CRITICAL CONNECTIONS

00:58:49.792 --> 00:58:51.661
WHILE ACCESSING MUCH
NEEDED NUTRITION.

00:58:52.328 --> 00:58:54.364
THESE EXPANDED
OFFERINGS REFLECT

00:58:54.430 --> 00:58:56.900
THE COUNTY'S COMMITMENT
TO REDUCING BARRIERS

00:58:56.966 --> 00:58:58.568
AND MAKING MULTIPLE
FORMS OF SUPPORT

00:58:58.635 --> 00:59:00.103
AVAILABLE IN ONE PLACE.

00:59:00.904 --> 00:59:02.939
THERE'S MORE TO COME AS
WE CONTINUE TO EXPLORE

00:59:03.006 --> 00:59:06.476
OPPORTUNITIES TO EXPAND
OUR REACH FOR THOSE WHO

00:59:06.542 --> 00:59:08.878
MAY NOT FEEL COMFORTABLE
COMING TO AN IN-PERSON

00:59:08.945 --> 00:59:10.813
SITE FOR FOOD RESOURCES.

00:59:11.481 --> 00:59:13.883
IN A WEEK, THE BOARD OF
SUPERVISORS WILL REVIEW

00:59:14.217 --> 00:59:16.953
OUR UPDATED PLAN TO HELP
PEOPLE WHO LOSE THEIR

00:59:17.020 --> 00:59:19.088
MEDICAL BENEFITS, STAY
CONNECTED AND RECEIVE

00:59:19.155 --> 00:59:21.557
CARE FROM THEIR MEDICAL
HOME WHILE WE ASSIST

00:59:21.624 --> 00:59:24.093
THEM IN RE ENROLLING IN
MEDI-CAL.

00:59:24.961 --> 00:59:27.463
THE COUNTY WILL SUPPORT
EXPANDED HEALTH FAIRS

00:59:28.131 --> 00:59:30.900
TO PROVIDE PRIMARY CARE
ON THE SPOT AND CONNECT

00:59:30.967 --> 00:59:33.403
PEOPLE WITH A MEDICAL
HOME FOR FUTURE CARE.

00:59:33.836 --> 00:59:36.105
WE ALSO SUPPORT CLINICS
WHO WILL CONTINUE TO

00:59:36.172 --> 00:59:38.308
SERVE THE UNINSURED
AND REDIRECT

00:59:38.374 --> 00:59:41.010
THE UNINSURED, IN SOME
CASES, TO A NEW MEDICAL

00:59:41.077 --> 00:59:42.078
HOME.

00:59:42.946 --> 00:59:45.348
WIDELY AVAILABLE
APPLICATION ASSISTANCE,

00:59:45.615 --> 00:59:47.850
WHICH IS BEING OFFERED
TO KEEP AS MANY PEOPLE

00:59:47.917 --> 00:59:50.320
COVERED AS POSSIBLE,
GIVES US A CHANCE TO

00:59:50.386 --> 00:59:53.222
SHARE OPPORTUNITIES FOR
TELEHEALTH, IN-PERSON

00:59:53.289 --> 00:59:55.291
AND MOBILE UNIT CARE
AT EVENTS.

00:59:55.758 --> 00:59:58.194
WHILE THE COUNTY HAS
MADE STRIDES TO SUPPORT

00:59:58.261 --> 01:00:00.630
VULNERABLE POPULATIONS
AMID UNCERTAINTY

01:00:00.697 --> 01:00:04.300
AND COMPLICATED CHANGES,
FEAR REMAINS AND.

01:00:04.367 --> 01:00:06.002
AND SO DO
THE CHALLENGES.

01:00:06.502 --> 01:00:09.172
CALIFORNIA COUNTIES
HAVE A STATUTORY

01:00:09.238 --> 01:00:12.041
STATUTORY RESPONSIBILITY
UNDER SECTION 17,000

01:00:12.108 --> 01:00:13.343
OF THE WELFARE
AND INSTITUTION CODE

01:00:13.409 --> 01:00:15.812
TO PROVIDE CARE FOR
QUALIFYING LOW INCOME

01:00:15.878 --> 01:00:18.881
RESIDENTS WHO LACK OTHER
SOURCES OF SUPPORT.

01:00:19.215 --> 01:00:21.985
SAN DIEGO ALSO
SAN DIEGO IS ALSO

01:00:22.051 --> 01:00:23.486
AN ARTICLE 13 COUNTY.

01:00:23.853 --> 01:00:25.655
WE DO NOT OPERATE
A PUBLIC HOSPITAL

01:00:25.722 --> 01:00:27.890
OR PRIMARY CARE
CLINIC SYSTEM.

01:00:28.458 --> 01:00:31.160
LOOKING AHEAD,
THE COUNTY HAS NO BUILT

01:00:31.227 --> 01:00:33.930
IN INFRASTRUCTURE TO
ABSORB A LARGE SURGE

01:00:33.997 --> 01:00:36.165
OF INDIGENT HEALTH CARE
WITHOUT ADDITIONAL STATE

01:00:36.232 --> 01:00:37.367
OR REGIONAL SUPPORT.

01:00:37.967 --> 01:00:40.103
OUR PROJECTIONS SHOW
THAT OUR PROJECTIONS

01:00:40.169 --> 01:00:42.372
SHOW THAT HEALTH CARE,
UNINSURED RATES, IS

01:00:42.438 --> 01:00:45.641
EXPECTED TO DOUBLE
IF WE ARE UNABLE TO

01:00:45.708 --> 01:00:48.378
REACH THEM DUE TO FEAR
OR OTHER COMPLICATIONS,

01:00:48.444 --> 01:00:50.013
PREVENTING VISITS COULD
SHRINK.

01:00:51.080 --> 01:00:52.982
SO EXCUSE ME IF WE
AREN'T ABLE TO REACH

01:00:53.049 --> 01:00:55.218
THEM DUE TO FEAR
OR OTHER OR OTHER

01:00:55.284 --> 01:00:57.053
COMPLICATIONS,
PREVENTATIVE VISITS

01:00:57.120 --> 01:01:01.057
COULD SHRINK THROUGH OUR
LOCAL HEALTH SYSTEM.

01:01:01.491 --> 01:01:04.427
THIS MEANS JANE ISN'T
GOING, ISN'T GOING TO

01:01:04.494 --> 01:01:06.763
HER ANNUAL CHECKUP OR
SEEKING ROUTINE CARE

01:01:06.829 --> 01:01:09.098
FOR SMALL THINGS LIKE
A BOTHERSOME BACKACHE.

01:01:09.866 --> 01:01:12.535
THE NEED FOR EMERGENCY
SERVICES MAY ALSO GROW.

01:01:13.569 --> 01:01:15.638
ALSO, PEOPLE LIKE
JANE IGNORED.

01:01:16.272 --> 01:01:18.975
ALSO, PEOPLE LIKE JANE
IGNORE OR PUT OFF CARE

01:01:19.175 --> 01:01:22.111
THEY GET TO UNTIL THEY
GET INTO A CRITICAL

01:01:22.178 --> 01:01:23.913
POINT WHERE IT'S
AN EMERGENCY AND THEY

01:01:23.980 --> 01:01:25.748
ARE NOW IN THE EMERGENCY
DEPARTMENT.

01:01:26.215 --> 01:01:28.518
REGIONAL HOSPITAL
INFRASTRUCTURE MAY FACE

01:01:28.584 --> 01:01:31.788
A DELUGE OF PATIENTS
AND THEN SEE THAT,

01:01:32.188 --> 01:01:34.791
THEN SEE THAT SPREAD
TO A HEALTH SYSTEM WIDE

01:01:34.857 --> 01:01:36.325
STRAIN ON RESOURCES.

01:01:36.859 --> 01:01:38.361
HOSPITALS AND CLINICS
COULD STRUGGLE

01:01:38.428 --> 01:01:40.997
FINANCIALLY
AND FUNCTIONALITY TO

01:01:41.064 --> 01:01:44.434
ABSORB THOSE NEWLY
UNINSURED AND UNINSURED

01:01:44.500 --> 01:01:45.601
PATIENTS.

01:01:45.668 --> 01:01:47.870
THE FISCAL IMPACTS
ALREADY ARE BEING FELT

01:01:47.937 --> 01:01:49.072
AT THE COUNTY LEVEL.

01:01:49.405 --> 01:01:53.009
WE WE EXPECT TO SPEND
AN EXTRA 29 MILLION THIS

01:01:53.076 --> 01:01:55.711
FISCAL YEAR AND LIKELY
MORE IN THE NEXT, WITH

01:01:55.778 --> 01:01:58.448
ANTICIPATED INCREASE
OF 150 MILLION FOR

01:01:58.514 --> 01:02:00.383
THE ADMINISTRATIVE COST
ALONE.

01:02:01.017 --> 01:02:04.720
EXPENSES ALREADY
INCLUDED 122 ADDITIONAL

01:02:04.787 --> 01:02:07.023
STAFF TO FULFILL NEW
FEDERAL ELIGIBILITY

01:02:07.090 --> 01:02:08.758
CHECKS, INCLUDING
THE TWICE A YEAR

01:02:08.825 --> 01:02:11.661
MEDICARE RENEWALS,
VERIFICATION OF WORK

01:02:11.727 --> 01:02:13.963
REQUIREMENTS FOR BOTH
MEDI-CAL AND CALFRESH,

01:02:14.197 --> 01:02:15.798
AND SUPPORTING
FUNCTIONS INCLUDING

01:02:15.865 --> 01:02:18.301
OUR CALL CENTER, WHICH
HAS BEEN INUNDATED WITH

01:02:18.367 --> 01:02:20.103
QUESTIONS ON HOW TO
NAVIGATE THESE NEW,

01:02:20.169 --> 01:02:21.304
COMPLICATED CHANGES.

01:02:21.971 --> 01:02:23.940
THE REMAINING COUNTY
FUNDED SAFETY NET

01:02:24.006 --> 01:02:27.076
PROGRAMS WILL FEEL
STRESS AND OPPORTUNITIES

01:02:27.143 --> 01:02:29.178
TO BUILD FOR BEHAVIORAL
HEALTH SERVICES WILL

01:02:29.245 --> 01:02:30.213
BE LOST.

01:02:30.279 --> 01:02:33.182
EXPENSES WILL GROW
IN TIME WHEN REVENUE

01:02:33.382 --> 01:02:35.384
IS ALREADY TIGHT.

01:02:36.919 --> 01:02:39.388
THE BRIGHT SPOTS ARE
THE COMMITMENT OF OUR

01:02:39.455 --> 01:02:41.791
BOARD, OF OUR BOARD
AND COUNTY STAFF,

01:02:41.858 --> 01:02:43.693
COMMUNITY PARTNERS,
STAKEHOLDERS TO FIND

01:02:43.759 --> 01:02:46.095
WAYS TO PROVIDE THESE
BASICS TO PROVIDE THESE

01:02:46.162 --> 01:02:47.296
BASIC NECESSITIES.

01:02:47.597 --> 01:02:49.499
THE CLIMB AHEAD IS
STEEP AND ENDING.

01:02:49.565 --> 01:02:51.367
ALL SUPPORT IS
WELCOME. THANK YOU.

01:02:53.803 --> 01:02:55.571
THANK YOU TO ALL
OF THE PANELISTS.

01:02:55.638 --> 01:02:57.240
AND WE'RE ACTUALLY
GOING TO HAVE YOU STAY

01:02:57.306 --> 01:02:58.708
FOR FOR QUESTIONS.

01:02:58.774 --> 01:03:00.810
UM, SENATOR PADILLA.

01:03:01.444 --> 01:03:02.545
THANK YOU, MADAM CHAIR.

01:03:02.612 --> 01:03:03.813
AS MUCH COMMENTARY
AS OTHER.

01:03:03.880 --> 01:03:04.947
BUT FIRST, THANK YOU
ALL FOR THE WORK

01:03:05.014 --> 01:03:05.948
THAT YOU DO.

01:03:06.015 --> 01:03:08.251
I THINK FUNDAMENTALLY,
YOU'RE LOOKING AT

01:03:08.317 --> 01:03:10.019
SORT OF A SITUATIONAL
AND PROGRAMMATIC

01:03:10.086 --> 01:03:12.288
ASSESSMENT FOR US,
SHOWING US SORT OF UP

01:03:12.355 --> 01:03:13.289
TO THE MINUTE.

01:03:13.356 --> 01:03:16.459
UM, APPRECIATE, UM,
SORT OF HIGHLIGHTING

01:03:16.526 --> 01:03:18.661
AT LEAST FROM A STATE
GOVERNMENT STANDPOINT,

01:03:18.728 --> 01:03:20.897
SORT OF THE FLUCTUATIONS
IN BASELINE AT CAL

01:03:20.963 --> 01:03:23.332
FOOD, UM, KIND OF
WHERE THE DELIVERY

01:03:23.399 --> 01:03:28.304
GAPS EXIST IN TERMS OF
ACTUAL BENEFIT, UM,

01:03:28.371 --> 01:03:30.740
AND AN ASSESSMENT OF
SORT OF THE EFFICACY OF

01:03:30.806 --> 01:03:33.910
SORT OF COUNTY DEPLOYED
PROGRAMS AND THE IMPACTS

01:03:33.976 --> 01:03:35.778
ON THE COUNTY SYSTEM,
LACK OF INFRASTRUCTURE

01:03:35.845 --> 01:03:36.779
AS YOU TESTIFIED.

01:03:36.846 --> 01:03:39.081
SO TO ALL THREE OF
YOU, THANK YOU VERY

01:03:39.148 --> 01:03:41.551
MUCH FOR THOSE, UM,
VALUABLE INSIGHTS.

01:03:41.617 --> 01:03:43.686
I THINK JUST A COUPLE
OF OBSERVATIONS THAT

01:03:43.753 --> 01:03:45.655
I TAKE AWAY FROM YOUR
TESTIMONY, AND THAT

01:03:45.721 --> 01:03:48.191
IS ON THE ONE.

01:03:48.257 --> 01:03:50.726
ON THE ONE HAND, WE FIND
OURSELVES SITUATIONALLY,

01:03:50.793 --> 01:03:54.197
PROGRAMMATICALLY, UM,
IN A PERIOD OF SCARCITY

01:03:54.497 --> 01:03:58.201
BECAUSE OF UNSTABLE
POLITICS, CHANGING

01:03:58.267 --> 01:04:00.570
POLICIES AT THE FEDERAL
LEVEL AND THE STATE

01:04:00.636 --> 01:04:02.572
GOVERNMENT FROM
A PROGRAM AND BUDGET

01:04:02.638 --> 01:04:04.173
STANDPOINT, ALWAYS
HAVING TO BE TRYING TO

01:04:04.240 --> 01:04:06.676
BE VERY NIMBLE, TO STEP
UP AND FILL IN GAPS.

01:04:06.742 --> 01:04:08.611
AND THAT CREATES
GREAT INSTABILITY

01:04:08.678 --> 01:04:10.413
AND INCONSISTENCY
AND THE DELIVERY OF

01:04:10.479 --> 01:04:12.448
SERVICES, AND THEN
ALL THE PERTINENT

01:04:12.515 --> 01:04:14.417
IMPACTS THAT FLOW
FROM THAT. RIGHT.

01:04:14.483 --> 01:04:16.819
AND SO THAT I THINK OUR
CHALLENGE AS POLICY

01:04:16.886 --> 01:04:18.888
MAKERS, WHEN WE THINK
ABOUT BUDGET, ESPECIALLY

01:04:18.955 --> 01:04:20.523
WHEN WE'RE TRYING TO
CONTINUE TO RESOLVE

01:04:20.590 --> 01:04:23.359
STRUCTURAL DEFICIT IN
THE OUT YEARS, IS HOW

01:04:23.426 --> 01:04:26.662
DO WE BE BETTER AT BEING
BETTER STRATEGICALLY

01:04:27.063 --> 01:04:29.632
IN MAKING THE RIGHT
INVESTMENTS AT THE RIGHT

01:04:29.699 --> 01:04:31.834
PROGRAMMATIC POINT SO
THAT WE GET THE MAXIMUM

01:04:31.901 --> 01:04:32.902
BENEFIT.

01:04:33.102 --> 01:04:35.638
OBVIOUSLY, IN THE NEAR
TERM, WE HAVE TO TALK

01:04:35.705 --> 01:04:38.541
ABOUT EXPANDED ACCESS,
UNDERSTANDING EDUCATION

01:04:38.608 --> 01:04:39.976
AND PROGRAMMATIC
DELIVERY.

01:04:40.309 --> 01:04:44.814
RIGHT? BUT FROM A BROAD
POLICY GOAL, SOCIAL

01:04:44.880 --> 01:04:46.916
POLICY GOAL, OUR GOAL
IN CALIFORNIA SHOULD

01:04:46.983 --> 01:04:50.286
BE TO KIND OF REDUCE
YOUR YOUR MARKET

01:04:50.353 --> 01:04:54.357
AND YOUR PARTICIPANTS
AND DEPOPULATE, REDUCE

01:04:54.423 --> 01:04:55.358
THAT DEMAND.

01:04:55.424 --> 01:04:56.392
AND I JUST WOULD
NOTE, I THINK ONE OF

01:04:56.459 --> 01:04:59.061
THE THINGS THAT'S ALWAYS
STRIKING TO ME AND IT'S

01:04:59.128 --> 01:05:01.631
SAD, IS THAT WE ARE ONE
OF THE WEALTHIEST STATES

01:05:01.697 --> 01:05:02.798
IN THE UNION.

01:05:02.865 --> 01:05:05.668
WE OFTEN TALK ABOUT,
YOU KNOW, 60% OF

01:05:05.735 --> 01:05:08.037
VENTURE CAPITAL COMES
TO CALIFORNIA, FOURTH

01:05:08.104 --> 01:05:09.438
LARGEST ECONOMY IN
THE WORLD.

01:05:09.505 --> 01:05:11.040
BUT WE ALSO HAVE
THE GREATEST

01:05:11.407 --> 01:05:12.341
WEALTH DISPARITY.

01:05:12.408 --> 01:05:15.011
WE HAVE HIGH LEVELS
OF POVERTY, WORKING

01:05:15.077 --> 01:05:17.780
POVERTY, CHILDREN IN
POVERTY, HIGHEST WEALTH

01:05:17.847 --> 01:05:20.850
DISPARITY, HIGHEST
DISPARITY IN WAGES,

01:05:21.083 --> 01:05:23.386
AND IN A STATE WITH
THIS VAST AMOUNT OF

01:05:23.452 --> 01:05:25.121
ADVANTAGE AND WEALTH,
THE FACT THAT WE HAVE

01:05:25.187 --> 01:05:27.790
JUST LOOKING AT SAN
DIEGO COUNTY, THE KIND

01:05:27.857 --> 01:05:29.959
OF PERSISTENT NUMBERS
WE'VE HAD, PEOPLE

01:05:30.026 --> 01:05:31.661
WITH FOOD INSECURITY,
PARTICULARLY WITH

01:05:31.727 --> 01:05:33.696
CHILDREN AND US, IS.

01:05:35.731 --> 01:05:37.700
IT'S ALMOST
IMMORAL, RIGHT?

01:05:37.767 --> 01:05:39.602
I MEAN, IT IS IT
IS A FAILING ON

01:05:39.669 --> 01:05:40.603
A LOT OF LEVELS.

01:05:40.670 --> 01:05:43.072
AND SO WE CERTAINLY
HAVE THAT WORK TO DO.

01:05:43.139 --> 01:05:45.708
AND I THINK WHERE
MY CONTINUING FOCUS

01:05:45.775 --> 01:05:47.777
WILL BE IS WHAT DOES
THAT ARCHITECTURE

01:05:47.843 --> 01:05:48.778
LOOK LIKE NOW?

01:05:48.844 --> 01:05:51.314
WHAT IS THE DATA TELL
US ABOUT WHAT'S REALLY

01:05:51.380 --> 01:05:53.182
HAS SOME EFFICACY?
WHAT DOES NOT?

01:05:53.249 --> 01:05:55.551
WHERE ARE THE REAL
NEEDS AND HOW ARE WE

01:05:55.618 --> 01:05:58.321
FROM, AT LEAST ON
THE BUDGET SIDE, BEING

01:05:58.387 --> 01:05:59.555
MUCH MORE STRATEGIC.

01:05:59.922 --> 01:06:02.224
UM, WITH THE DOLLARS
THAT WE DO HAVE,

01:06:02.291 --> 01:06:04.226
AND WHERE DO WE NEED TO
RETHINK THOSE PRIORITIES

01:06:04.293 --> 01:06:06.062
SO THAT WE'RE CREATING
THE RIGHT OUTCOMES.

01:06:06.128 --> 01:06:08.297
BUT ULTIMATELY THOSE
OUTCOMES NEED TO LEAD TO

01:06:08.364 --> 01:06:11.534
LESS DEPENDENCY AND MORE
ECONOMIC EMPOWERMENT

01:06:11.600 --> 01:06:14.270
AND PEOPLE'S ABILITY
TO, YOU KNOW, THAT WE

01:06:14.337 --> 01:06:16.572
INVEST IN THEIR TRAINING
AND EDUCATION AND THAT

01:06:16.639 --> 01:06:19.942
THEIR SKILL SETS COMMAND
A BETTER, YOU KNOW,

01:06:20.009 --> 01:06:21.911
VALUE IN THE MARKETPLACE
SO THEY CAN MEET THEIR

01:06:21.977 --> 01:06:22.878
BASIC NEEDS.

01:06:22.945 --> 01:06:24.947
I MEAN, THE SOCIAL
CONTRACT IS REALLY

01:06:25.014 --> 01:06:27.850
BROKEN, UM, PARTICULARLY
IN CALIFORNIA.

01:06:27.917 --> 01:06:29.185
AND WE CAN DO BETTER.

01:06:29.251 --> 01:06:30.553
WE'VE DONE A LOT
OF GREAT WORK.

01:06:30.853 --> 01:06:32.722
I'M NOT GOING TO TAKE
THAT AWAY FROM ANYONE.

01:06:32.788 --> 01:06:34.724
UM, WE'VE MADE SOME
GOOD PROGRESS.

01:06:34.790 --> 01:06:37.059
WE'VE HAD TO DEAL
WITH SOME CRAZY

01:06:37.126 --> 01:06:38.127
CIRCUMSTANCES.

01:06:38.627 --> 01:06:41.664
UH, BUT, UM, WE HAVE
A LOT OF WORK TO DO.

01:06:41.731 --> 01:06:43.966
AND YOUR TESTIMONY,
THE DATA YOU'VE

01:06:44.033 --> 01:06:46.535
PROVIDED HERE IS
A REMINDER AND ALSO

01:06:46.602 --> 01:06:49.538
VERY ENLIGHTENING,
UH, ABOUT HOW WE CAN,

01:06:49.605 --> 01:06:51.207
WE CAN, AND WHERE WE
CAN FOCUS THAT.

01:06:51.273 --> 01:06:55.010
SO, UM, I WILL HAVE TO
DEPART THIS MEETING FOR

01:06:55.077 --> 01:06:57.213
ANOTHER ONE IN A FEW
MINUTES, BUT I WANT TO

01:06:57.279 --> 01:07:00.716
AGAIN THANK MY FRIEND
AND COLLEAGUE, UM, UH,

01:07:01.183 --> 01:07:04.353
DOCTOR WEBBER AGAIN
FOR YOUR LEADERSHIP

01:07:04.420 --> 01:07:06.589
AND PARTNERSHIP HERE.

01:07:06.655 --> 01:07:08.891
UM, AND I KNOW THAT
WE'RE BOTH PREPARED

01:07:08.958 --> 01:07:10.993
TO ROLL UP OUR SLEEVES
AND CONTINUE CONTINUE

01:07:11.060 --> 01:07:12.628
THE WORK. SO THANK YOU.

01:07:13.028 --> 01:07:14.997
THANK YOU SO MUCH,
SENATOR PADILLA.

01:07:15.264 --> 01:07:17.466
AND I WANT TO THANK
THIS PANEL AS WELL.

01:07:17.833 --> 01:07:20.970
UM, DO HAVE A COUPLE
OF QUESTIONS.

01:07:21.036 --> 01:07:22.605
WE'LL START WITH, UM.

01:07:23.139 --> 01:07:27.376
MR. CARL. SO WHEN
YOU, UH, DISCUSS FOOD

01:07:27.443 --> 01:07:30.379
INSECURITY, I JUST
WANT TO MAKE SURE YOUR

01:07:30.446 --> 01:07:33.115
DEFINITION OF FOOD
INSECURITY ALIGNS WITH

01:07:33.182 --> 01:07:36.919
THE DEFINITION THAT,
UM, MISS ALVARADO HAD

01:07:36.986 --> 01:07:40.256
STATED, OR IS IT OR IS
IT DIFFERENT?

01:07:40.322 --> 01:07:42.691
YEAH. NO, WE, UH,
DEFINE FOOD INSECURITY

01:07:42.758 --> 01:07:45.161
AS LIMITED OR UNCERTAIN
ACCESS TO ENOUGH FOOD

01:07:45.227 --> 01:07:46.962
TO LEAD A HEALTHY,
ACTIVE LIFE.

01:07:49.432 --> 01:07:52.435
OKAY. SO IT'S NOT AS
SPECIFIC AS THE ONE

01:07:52.501 --> 01:07:57.139
THAT MISS ALVARADO
IS USING. UM.

01:07:59.241 --> 01:08:01.677
BECAUSE THAT COULD
DIFFER FROM PERSON TO

01:08:01.744 --> 01:08:03.179
PERSON. YEAH. OKAY.

01:08:03.679 --> 01:08:08.350
UM, NOW, YOU HAD
MENTIONED, UH, ONE

01:08:08.417 --> 01:08:11.220
OF THE REASONS FOR
THE HIGH PERCENTAGE

01:08:11.287 --> 01:08:14.123
OF FOOD INSECURITY
IN CALIFORNIA, UM,

01:08:14.657 --> 01:08:17.059
IS DUE TO OUR HIGH
COST OF LIVING.

01:08:17.359 --> 01:08:19.495
NOT SURE YOU KNOW,
THE ANSWER TO THIS,

01:08:19.762 --> 01:08:22.865
BUT DO YOU HAPPEN TO
KNOW HOW OUR RATES OF

01:08:22.932 --> 01:08:26.168
FOOD INSECURITY COMPARE
TO OTHER STATES?

01:08:27.403 --> 01:08:28.838
WELL, THAT'S ONE
THING WE LOST WITH

01:08:28.904 --> 01:08:31.874
THE CANCELLATION OF
THE USDA FOOD SECURITY

01:08:31.941 --> 01:08:32.975
SUPPLEMENT SURVEY.

01:08:33.175 --> 01:08:34.910
UM, I CAN FOLLOW UP
WITH YOUR OFFICE ON

01:08:34.977 --> 01:08:36.779
THAT, THOUGH.
OKAY. THANK YOU.

01:08:37.146 --> 01:08:40.015
AND THEN, UM, ONE
OTHER QUESTION.

01:08:40.082 --> 01:08:43.986
AND, UM, SENATOR PADILLA
WAS TALKING ABOUT, UM,

01:08:45.454 --> 01:08:48.290
YOU KNOW, OUR MORALS
AND OUR VALUES AS

01:08:48.357 --> 01:08:49.391
A STATE AS A WHOLE.

01:08:49.458 --> 01:08:53.028
AND OFTENTIMES WE
SAY IN OUR BUDGET

01:08:53.095 --> 01:08:56.532
HEARINGS, LIKE OUR
BUDGET IS AN EXAMPLE

01:08:56.599 --> 01:09:00.503
OF WHAT WE PRIORITIZE,
UM, UNDERSTANDING

01:09:00.569 --> 01:09:02.471
A LOT OF THE CHANGES
THAT ARE HAPPENING.

01:09:02.771 --> 01:09:04.974
UM, THE FEDERAL
GOVERNMENT IS PULLING

01:09:05.040 --> 01:09:07.209
BACK ON A LOT OF
THE COMMITMENTS THAT

01:09:07.276 --> 01:09:08.377
THEY MADE.

01:09:08.444 --> 01:09:10.813
THOSE RESPONSIBILITIES,
FINANCIAL

01:09:10.880 --> 01:09:13.682
RESPONSIBILITIES
ARE NOW SHIFTING

01:09:13.749 --> 01:09:15.951
OVER POTENTIALLY TO
THE STATE AND ALSO AT

01:09:16.018 --> 01:09:17.052
THE LOCAL LEVEL.

01:09:17.386 --> 01:09:22.091
UM, SO MUCH HAS BEEN
SAID ABOUT, UH,

01:09:22.157 --> 01:09:25.094
POTENTIAL STRUCTURAL
BUDGET DEFICIT THAT

01:09:25.160 --> 01:09:27.263
WE'RE GOING TO HAVE AT
THE STATE NEXT YEAR.

01:09:27.329 --> 01:09:33.369
THE, I THINK $30 BILLION
OR SO HAS BEEN, UM, KIND

01:09:33.435 --> 01:09:35.771
OF PUT OUT THERE AS WHAT
OUR STRUCTURAL BUDGET

01:09:35.838 --> 01:09:38.040
DEFICIT WILL BE FOR NEXT
YEAR.

01:09:39.408 --> 01:09:42.745
HAVING CONVERSATIONS
WITH MY COLLEAGUES

01:09:42.811 --> 01:09:44.847
WHO MAY NOT
NECESSARILY BE HERE.

01:09:45.447 --> 01:09:50.219
UM, WHAT WOULD YOU
SAY TO THEM TO ASK

01:09:50.286 --> 01:09:53.522
THEM TO REALLY FOCUS
ON PROVIDING MORE

01:09:53.589 --> 01:09:56.959
RESOURCES IN THIS
AREA, GIVEN THE FACT

01:09:57.026 --> 01:09:59.295
THAT WE'RE ALREADY IN
A DEFICIT AND THAT

01:09:59.361 --> 01:10:02.064
WILL REQUIRE US TO
TAKE FROM OTHER AREAS.

01:10:03.065 --> 01:10:04.199
THANKS FOR THE QUESTION.

01:10:04.400 --> 01:10:08.304
I WOULD SAY THAT NOT
ONLY IS IT IMMORAL,

01:10:08.837 --> 01:10:09.905
IT'S BAD POLICY.

01:10:11.340 --> 01:10:15.945
FOOD IS AN INVESTMENT IN
OUR KIDS, IN OUR FUTURE.

01:10:16.912 --> 01:10:18.147
WE ALREADY SPOKE TO.

01:10:20.282 --> 01:10:21.550
FOOD AND NUTRITION.

01:10:21.617 --> 01:10:23.452
BEING A BUILDING BLOCK
FOR HIGHER EDUCATIONAL

01:10:23.519 --> 01:10:25.554
OUTCOMES, THERE'S
A WEALTH OF RESEARCH

01:10:25.621 --> 01:10:28.457
THAT SHOWS THAT GOOD
NUTRITION REDUCES

01:10:28.524 --> 01:10:29.725
HEALTH CARE COSTS.

01:10:30.159 --> 01:10:31.493
IN SOME CASES,
PARTICULARLY FOR

01:10:31.560 --> 01:10:33.896
OLDER ADULTS, MORE
THAN PAYS FOR ITSELF.

01:10:34.396 --> 01:10:37.800
UM, AND IN TERMS OF
EDUCATIONAL OUTCOMES,

01:10:37.866 --> 01:10:39.234
LIFELONG EARNINGS.

01:10:39.635 --> 01:10:41.737
THESE ARE ALL LINKED
TO GOOD NUTRITION.

01:10:41.804 --> 01:10:44.340
SO IT'S GOOD POLICY
IN ADDITION TO BEING

01:10:44.406 --> 01:10:45.407
THE RIGHT THING TO DO.

01:10:47.443 --> 01:10:48.410
THANK YOU FOR THAT.

01:10:48.477 --> 01:10:51.547
MAY NEED TO CALL ON
YOU TO COME UP TO SOME

01:10:51.614 --> 01:10:53.315
OF THESE HEARINGS. UM,
BECAUSE.

01:10:53.382 --> 01:10:54.316
HAPPY.

01:10:54.383 --> 01:10:56.118
TO. SOMETIMES WHEN
YOU'RE LOOKING AT A LOT

01:10:56.185 --> 01:11:02.057
OF DIFFERENT THINGS, UM,
THAT KIND OF GETS LOST

01:11:02.124 --> 01:11:05.828
IN THE, UM, IN ALL OF
THE, ALL OF THE OTHER

01:11:05.894 --> 01:11:07.763
THINGS THAT, THAT ARE
BEING DEALT WITH.

01:11:08.163 --> 01:11:12.201
UM, MISS ALVARADO, THERE
WAS A SLIDE THERE THAT

01:11:12.267 --> 01:11:14.236
YOU HAD THAT TALKED
ABOUT THE DECLINING

01:11:14.303 --> 01:11:16.939
CALFRESH PARTICIPATION
IN SAN DIEGO COUNTY.

01:11:17.239 --> 01:11:19.308
AND YOU MENTIONED THAT
THE PARTICIPATION

01:11:19.375 --> 01:11:22.611
HAS DECREASED SINCE
DECEMBER OF 2024.

01:11:23.078 --> 01:11:28.384
UM, DO WE HAVE ANY
UNDERSTANDING OF WHY

01:11:28.450 --> 01:11:32.221
IT HAS DROPPED SINCE
2024, WHICH WAS BEFORE

01:11:32.287 --> 01:11:35.057
DECEMBER OF 2024,
WHICH WAS BEFORE H.R.

01:11:35.124 --> 01:11:36.291
ONE WAS VOTED ON.

01:11:36.358 --> 01:11:38.227
AND, YOU KNOW, A LOT
OF THESE CONVERSATIONS

01:11:38.293 --> 01:11:39.628
WERE WERE BEING HAD.

01:11:40.062 --> 01:11:42.531
YES. WE HAVEN'T
CONDUCTED THE RESEARCH

01:11:42.598 --> 01:11:44.700
TO HAVE SPECIFIC
INFORMATION ON THAT.

01:11:44.767 --> 01:11:46.301
BUT FOR WHAT WE'RE
HEARING FROM OUR

01:11:46.368 --> 01:11:48.337
COMMUNITY PARTNERS
ACROSS SAN DIEGO COUNTY,

01:11:48.404 --> 01:11:50.539
PLUS SOME OF THE THINGS
THAT WE CAN SPECULATE

01:11:50.606 --> 01:11:52.908
GIVEN, LIKE EVERY TIME
THAT WE LOOK AT SPECIFIC

01:11:53.308 --> 01:11:56.945
ZIP CODES, IS THAT
THE CHANGES IN POLICIES

01:11:57.012 --> 01:12:00.049
AND THE POTENTIAL FEAR
OF, UM, PUBLIC CHARGE

01:12:00.115 --> 01:12:01.550
AND HOW THIS IS GOING
TO AFFECT SOME OF

01:12:01.617 --> 01:12:03.652
THE IMMIGRANT OF MIXED
STATUS FAMILIES.

01:12:03.719 --> 01:12:06.488
AT THE SAME TIME, WITH
ALL THE ICE RAIDS THAT

01:12:06.555 --> 01:12:08.691
HAVE BEEN HAPPENING
AROUND SAN DIEGO COUNTY,

01:12:08.757 --> 01:12:11.326
SOME FAMILIES ARE
STARTING TO BE AFRAID OF

01:12:11.527 --> 01:12:12.561
FEDERAL GOVERNMENT.

01:12:12.628 --> 01:12:14.697
AND SO UNFORTUNATELY,
SOME OF THESE FAMILIES

01:12:14.763 --> 01:12:16.932
AND INDIVIDUALS STILL
QUALIFY FOR COVERAGE,

01:12:16.999 --> 01:12:19.101
BUT THEY ARE AFRAID
OF WHAT THAT WILL

01:12:19.168 --> 01:12:20.669
REPRESENT FOR THEM
IF THEY ARE STILL

01:12:20.736 --> 01:12:22.838
ENROLLED IN A FEDERAL
FOOD ASSISTANCE PROGRAM.

01:12:24.106 --> 01:12:28.777
THANK YOU. UM, AND, UH,
DOCTOR BANUELOS, I JUST

01:12:28.844 --> 01:12:32.047
REALLY WANT TO THANK YOU
FOR ALL OF THE WORK THAT

01:12:32.114 --> 01:12:33.315
YOU HAVE BEEN DOING.

01:12:33.549 --> 01:12:38.087
UM, THE IMPLEMENTATION
OF WRAPAROUND SERVICES

01:12:38.153 --> 01:12:41.890
AT THESE POP UP SITES
IS SO CRITICAL AND SO

01:12:41.957 --> 01:12:42.891
IMPORTANT.

01:12:42.958 --> 01:12:45.894
AND GOES TO SHOW
THE LEVEL OF

01:12:45.961 --> 01:12:49.198
UNDERSTANDING THAT,
UM, HEALTH IS MORE

01:12:49.264 --> 01:12:50.232
THAN JUST ONE THING.

01:12:50.299 --> 01:12:52.000
FOOD IS MORE THAN
JUST ONE THING.

01:12:52.067 --> 01:12:54.636
AND WE REALLY NEED TO
GO TO WHERE THE PEOPLE

01:12:54.703 --> 01:12:57.773
ARE INSTEAD OF EXPECTING
THEM TO NAVIGATE ALL OF

01:12:57.840 --> 01:13:00.876
THESE VERY COMPLICATED
SYSTEMS AND COME TO THIS

01:13:00.943 --> 01:13:02.711
BUILDING FOR ONE THING,
AND THIS LOCATION FOR

01:13:02.778 --> 01:13:03.712
ANOTHER THING.

01:13:03.779 --> 01:13:07.116
AND SO I REALLY APPLAUD
YOU ALL FOR DOING THAT

01:13:07.182 --> 01:13:10.819
AND HOPE TO SEE MORE OF
THAT IN THE FUTURE.

01:13:11.019 --> 01:13:13.589
UM, BECAUSE THAT
WILL NOT ONLY HELP

01:13:13.655 --> 01:13:16.959
PEOPLE FROM, UM, DIS
ENROLLING OR FALLING

01:13:17.025 --> 01:13:19.328
OFF ENROLLMENTS FOR,
FOR VARIOUS THINGS.

01:13:19.628 --> 01:13:22.197
UM, BUT IT ALSO HELPS
OUT THE ENTIRE COMMUNITY

01:13:22.264 --> 01:13:26.168
BECAUSE THEY ARE THEN
YOUR BEST MESSENGERS TO

01:13:26.235 --> 01:13:27.770
OTHER PEOPLE THAT LIVE
AND SAY, HEY, IF YOU

01:13:27.836 --> 01:13:29.872
COME HERE, NOT ONLY
CAN YOU GET YOUR FOOD,

01:13:29.938 --> 01:13:31.540
BUT YOU CAN GET YOUR
HEALTH CARE, YOU CAN SEE

01:13:31.607 --> 01:13:33.509
YOUR DOCTOR, YOU CAN DO
THIS, YOU CAN DO THAT.

01:13:33.575 --> 01:13:36.445
AND THAT'S REALLY
HOW WE, UM, COMBAT

01:13:36.512 --> 01:13:37.780
SOME OF THESE THINGS
THAT ARE COMING DOWN

01:13:37.846 --> 01:13:39.414
FROM THE FEDERAL
GOVERNMENT, BUT ALSO

01:13:39.481 --> 01:13:41.717
USE THIS AS A TOOL TO
REALLY START CREATING

01:13:41.784 --> 01:13:42.818
HEALTHIER COMMUNITIES.

01:13:42.885 --> 01:13:45.120
SO I JUST REALLY WANT
TO APPLAUD YOU ALL.

01:13:45.187 --> 01:13:47.956
AND THANK YOU SO MUCH
FOR, FOR THAT FORESIGHT.

01:13:48.257 --> 01:13:51.593
UM, IN DOING THAT, UM,
AND WITH THAT, WE'LL

01:13:51.660 --> 01:13:52.828
MOVE TO THE NEXT PANEL.

01:14:01.003 --> 01:14:02.905
SO OUR NEXT PANEL.

01:14:05.374 --> 01:14:08.010
TURNS TO HOW WE FEED
KIDS AT SCHOOL WHERE

01:14:08.076 --> 01:14:10.746
CALIFORNIA'S UNIVERSAL
SCHOOL MEALS PROGRAM

01:14:10.813 --> 01:14:13.582
MEETS THE REALITIES OF
LOCAL IMPLEMENTATION.

01:14:14.049 --> 01:14:16.785
OUR FIRST SPEAKER
IS KIM FRENZEL,

01:14:17.085 --> 01:14:19.822
DIRECTOR OF NUTRITION
SERVICES DIVISION

01:14:19.888 --> 01:14:22.157
AT THE CALIFORNIA
DEPARTMENT OF EDUCATION,

01:14:22.424 --> 01:14:26.161
WHERE SHE LEADS A TEAM
OF MORE THAN TWO 270

01:14:26.228 --> 01:14:30.232
PROFESSIONALS OVERSEEING
SEVEN FEDERAL CHILD

01:14:30.299 --> 01:14:32.000
NUTRITION PROGRAMS.

01:14:32.367 --> 01:14:35.370
MISS FRENZEL JOINED
THE CDE IN 2013

01:14:35.437 --> 01:14:37.306
AFTER 11 YEARS WITH
THE CALIFORNIA

01:14:37.372 --> 01:14:40.242
DEPARTMENT OF PUBLIC
HEALTH'S WICK PROGRAM.

01:14:40.676 --> 01:14:42.911
TODAY, SHE WILL DESCRIBE
THE UNIVERSAL SCHOOL

01:14:42.978 --> 01:14:46.949
MEALS PROGRAM AND ITS
HISTORY, ITS EVALUATION,

01:14:47.015 --> 01:14:50.085
STATE BUDGET ALLOCATION
AND POLICY INITIATIVES,

01:14:50.152 --> 01:14:54.823
INCLUDING AB 2535,
SUPPORTING THE FARM TO

01:14:54.890 --> 01:14:58.527
FORK MODEL AND REDUCING
ULTRA PROCESSED FOODS.

01:14:59.027 --> 01:15:02.831
WE ARE ALSO JOINED BY
ALICIA PETRONE HAUSER,

01:15:03.131 --> 01:15:05.334
EXECUTIVE DIRECTOR OF
FOOD AND NUTRITION

01:15:05.400 --> 01:15:08.403
SERVICES FOR SAN DIEGO
UNIFIED SCHOOL DISTRICT.

01:15:08.470 --> 01:15:11.807
MISS HAUSER HAS SPENT
HER CAREER IN SCHOOL

01:15:11.874 --> 01:15:15.711
NUTRITION, BEGINNING
WITH A INTERNSHIP IN

01:15:15.777 --> 01:15:18.447
BOSTON PUBLIC SCHOOLS
AND SERVING AS A SCHOOL

01:15:18.513 --> 01:15:20.549
NUTRITION DIRECTOR FOR
MORE THAN A DECADE

01:15:20.616 --> 01:15:23.485
BEFORE JOINING SAN
DIEGO UNIFIED IN 2023.

01:15:23.986 --> 01:15:26.321
TODAY, SHE WILL
SHARE HER EXPERIENCE

01:15:26.388 --> 01:15:28.290
AND PERSPECTIVE ON
THE UNIVERSAL SCHOOL

01:15:28.357 --> 01:15:31.293
MEALS, LOCAL PROCUREMENT
OF CALIFORNIA GROWN

01:15:31.360 --> 01:15:35.297
FOODS, CALFRESH CROSS
ENROLLMENT, AND THE SUN

01:15:35.364 --> 01:15:36.565
BUCKS ROLLOUT.

01:15:36.865 --> 01:15:38.834
THESE EFFORTS ARE
IMPORTANT TO ENSURING

01:15:38.901 --> 01:15:41.603
CHILDREN HAVE CONSISTENT
ACCESS TO NUTRITIOUS

01:15:41.670 --> 01:15:44.740
FOODS AND THE SUPPORT
THEY NEED TO BE HEALTHY

01:15:44.806 --> 01:15:45.874
AND SUCCESSFUL.

01:15:45.941 --> 01:15:47.776
THANK YOU BOTH FOR
BEING HERE, AND WE

01:15:47.843 --> 01:15:51.079
WILL BEGIN WITH MISS
FRENZEL. THANK YOU.

01:15:51.280 --> 01:15:53.548
THANK YOU SO MUCH,
SENATOR WEBER.

01:15:53.615 --> 01:15:55.484
UM, PIERSON, JUST
REALLY APPRECIATE

01:15:55.550 --> 01:15:57.052
THE OPPORTUNITY TO
BE ABLE TO COME DOWN

01:15:57.119 --> 01:15:59.788
HERE TODAY AND TO
SHARE WITH EVERYONE

01:16:00.155 --> 01:16:03.325
AROUND CALIFORNIA
UNIVERSAL MEALS PROGRAM

01:16:03.392 --> 01:16:05.327
AND THE VALUE THAT IT
REALLY DOES BRING TO OUR

01:16:05.394 --> 01:16:09.164
STATE, TO OUR YOUTH, TO
OUR COMMUNITIES, AND TO

01:16:09.231 --> 01:16:10.766
OUR LOCAL ECONOMIES.

01:16:11.033 --> 01:16:13.535
AND I'LL ALSO ADDRESS
JUST SOME FOOD FOR

01:16:13.602 --> 01:16:16.471
THOUGHT, FOR POLICIES,
AS WE AS WE MOVE FORWARD

01:16:16.538 --> 01:16:19.041
IN THINKING ABOUT HOW
BEST TO SUPPORT OUR OUR

01:16:19.107 --> 01:16:20.075
CALIFORNIANS.

01:16:20.442 --> 01:16:22.844
WE ARE CELEBRATING
THE FIFTH YEAR.

01:16:23.145 --> 01:16:25.914
IT'S THE FIFTH
ANNIVERSARY OF OUR STATE

01:16:25.981 --> 01:16:29.284
PASSING LEGISLATION
THAT WAS TRULY HISTORIC

01:16:29.618 --> 01:16:32.854
TO ADOPT THE FIRST
IN THE NATION, UH,

01:16:32.921 --> 01:16:36.758
A STATE UNIVERSAL
MEALS PROGRAM TO REALLY

01:16:36.825 --> 01:16:40.429
UPLIFT AND ACKNOWLEDGE
THAT SCHOOL MEALS ARE

01:16:40.495 --> 01:16:41.496
ESSENTIAL.

01:16:41.697 --> 01:16:44.333
UH, JUST LIKE FREE
TEXTBOOKS ARE THAT

01:16:44.399 --> 01:16:46.435
ALL OF OUR CHILDREN
NEED TO HAVE ACCESS

01:16:46.501 --> 01:16:48.470
TO A BREAKFAST
AND A LUNCH EACH

01:16:48.537 --> 01:16:49.705
AND EVERY SCHOOL DAY.

01:16:49.905 --> 01:16:51.773
AND ACTUALLY, MY
SLIDES TODAY, WHILE

01:16:51.840 --> 01:16:53.508
THERE'S NOT A LOT OF
WORDS ON THEM, YOU'RE

01:16:53.575 --> 01:16:55.978
GOING TO SEE A LOT
OF, UM, PHOTOGRAPHS

01:16:56.044 --> 01:16:58.981
BECAUSE I WANTED TO
HIGHLIGHT IN OUR STATE

01:16:59.181 --> 01:17:01.350
THE INVESTMENTS THAT
CALIFORNIA IS MAKING,

01:17:01.416 --> 01:17:03.719
WE'VE HEARD A LOT ABOUT,
YOU KNOW, THE, THE,

01:17:04.086 --> 01:17:06.355
THE BUDGET AND WHATNOT.

01:17:06.421 --> 01:17:08.423
AND I REALLY WANT TO
UPLIFT WHAT OUR SCHOOLS

01:17:08.490 --> 01:17:10.692
ARE DOING THROUGHOUT
THE STATE OF BEING GOOD

01:17:10.759 --> 01:17:13.395
STEWARDS OF THE FUNDING
THAT THE STATE OF

01:17:13.462 --> 01:17:16.264
CALIFORNIA IS PROVIDING
FOR UNIVERSAL MEALS.

01:17:16.331 --> 01:17:18.066
UM, AND THAT IT'S NOT
JUST THE STATE MEAL

01:17:18.133 --> 01:17:20.669
REIMBURSEMENT, BUT ALSO
THE GRANT PROGRAMS WITH

01:17:20.736 --> 01:17:21.937
THE INFRASTRUCTURE.

01:17:22.237 --> 01:17:24.272
UH, YOU'LL SEE THE,
WHAT'S COMING OUT

01:17:24.339 --> 01:17:25.273
OF OUR SCHOOLS.

01:17:25.340 --> 01:17:27.342
AND I THINK YOU'LL
HEAR FROM ALICIA IN

01:17:27.409 --> 01:17:28.810
A FEW MINUTES AS WELL.

01:17:30.345 --> 01:17:33.949
OUR STATE HAS A 5.7
MILLION PUBLIC

01:17:34.016 --> 01:17:35.250
SCHOOL STUDENTS.

01:17:35.717 --> 01:17:41.289
OF THAT, 62/60 2% ARE
ELIGIBLE FOR FREE

01:17:41.356 --> 01:17:43.759
AND REDUCED PRICE
MEALS, WHICH MEANS

01:17:43.825 --> 01:17:46.228
THEY ARE VERY LIKELY
FOOD INSECURE.

01:17:46.528 --> 01:17:48.063
AND I THINK THAT'S
REALLY IMPORTANT FOR

01:17:48.130 --> 01:17:51.466
US TO TO KEEP THAT IN
MIND, THAT SUCH A LARGE

01:17:51.533 --> 01:17:54.669
PERCENTAGE OF OUR
STUDENT POPULATION ARE

01:17:54.870 --> 01:17:57.406
LIVING BELOW THE FEDERAL
POVERTY LINE.

01:17:57.472 --> 01:17:59.741
AND I'LL DEFINE WHAT
THAT THRESHOLD IS IN

01:17:59.808 --> 01:18:00.876
JUST A FEW MINUTES.

01:18:03.011 --> 01:18:07.149
IN SCHOOL YEAR 2526,
OUR STATE COLLECTIVELY,

01:18:07.215 --> 01:18:12.020
OUR SCHOOLS HAVE SERVED
OVER 868 MILLION SCHOOL

01:18:12.087 --> 01:18:13.789
BREAKFAST AND LUNCH.

01:18:14.256 --> 01:18:16.758
AND EVEN THOUGH
WE'VE SEEN DECLINING

01:18:16.825 --> 01:18:19.528
ENROLLMENT IN OUR
SCHOOLS, WE ARE SEEING

01:18:19.594 --> 01:18:22.731
THAT OUR MEAL PROGRAMS
ARE VERY STABLE.

01:18:22.964 --> 01:18:25.367
AND I THINK THAT'S
ANOTHER TESTIMONY

01:18:25.434 --> 01:18:28.470
TO THE NEED OF FOOD
AND NUTRITION INSECURITY

01:18:28.537 --> 01:18:29.671
IN OUR STATE.

01:18:30.405 --> 01:18:33.442
AND AS WE THINK
ABOUT PUBLIC POLICY.

01:18:33.508 --> 01:18:36.445
CALIFORNIA UNIVERSAL
MEALS IS IS SO MUCH

01:18:36.511 --> 01:18:39.448
MORE THAN JUST MAKING
AVAILABLE A BREAKFAST

01:18:39.514 --> 01:18:40.449
AND A LUNCH.

01:18:40.515 --> 01:18:41.750
I'M GOING TO YOU'LL
SEE THESE PHOTOS IN

01:18:41.817 --> 01:18:42.751
A FEW MINUTES.

01:18:42.818 --> 01:18:45.153
THESE ARE NOT THE SCHOOL
LUNCH PROGRAMS THAT ALL

01:18:45.220 --> 01:18:48.090
OF US HAVE GONE HAVE HAD
IN THE PAST.

01:18:48.156 --> 01:18:50.959
THEY'RE TRULY
CULTURALLY DIVERSE.

01:18:51.026 --> 01:18:53.595
THEY'RE STUDENT
VOICE IN THE MENU.

01:18:53.995 --> 01:18:55.964
THEY'RE WORKING
WITH LOCAL FARMERS.

01:18:56.031 --> 01:18:58.567
AND THAT'S THANKS TO
THE FUNDING OF THE FARM

01:18:58.633 --> 01:19:02.003
TO SCHOOL AND THE LOCAL
PROCUREMENTS,

01:19:02.070 --> 01:19:04.206
AND ALSO THE KITCHEN
INFRASTRUCTURE

01:19:04.272 --> 01:19:07.209
AND TRAINING FUNDING
THAT'S COMING FROM

01:19:07.275 --> 01:19:08.743
THE STATE OF CALIFORNIA.

01:19:09.311 --> 01:19:11.847
AND I, I THINK I SAY
THIS BECAUSE WHEN WE

01:19:11.913 --> 01:19:16.051
THINK ABOUT 62% OF OUR
CHILDREN BEING ELIGIBLE

01:19:16.118 --> 01:19:19.688
FOR FREE AND REDUCED
PRICE MEALS, THAT

01:19:19.754 --> 01:19:21.857
AND WE'VE HEARD FROM
THE OTHER PANELISTS

01:19:21.923 --> 01:19:24.860
ABOUT NUTRITION,
INSECURITY AND FOOD

01:19:24.926 --> 01:19:28.997
DESERTS AND NOT HAVING
ACCESS TO FRESH,

01:19:29.064 --> 01:19:30.532
LOCALLY SOURCED MEALS.

01:19:30.599 --> 01:19:32.634
THE SCHOOL MEAL
PROGRAM HAS QUICKLY

01:19:32.701 --> 01:19:34.736
BECOME A SAFETY NET.

01:19:34.803 --> 01:19:37.439
AND I FEEL LIKE COVID 19
REALLY KIND OF PEELED

01:19:37.506 --> 01:19:40.275
BACK THAT THAT ONION
WHERE WE REALLY SAW

01:19:40.342 --> 01:19:43.545
HOW DIRE COMMUNITIES
WERE AND HOW FRAGILE

01:19:43.612 --> 01:19:46.681
NUTRITION WAS IN, IN OUR
STATE OF CALIFORNIA.

01:19:47.415 --> 01:19:51.620
SO, UM, THE VALUE OF
CALIFORNIA FUNDING

01:19:52.120 --> 01:19:54.623
AND MAKING SURE THAT
EVERY CHILD, EVERY

01:19:54.689 --> 01:19:57.292
INSTRUCTIONAL DAY HAS
ACCESS TO A BREAKFAST

01:19:57.359 --> 01:19:58.393
AND A LUNCH.

01:19:58.460 --> 01:20:00.996
TO PUT THIS IN
PERSPECTIVE, IF 62%

01:20:01.062 --> 01:20:03.231
OF OUR CHILDREN ARE
ELIGIBLE FOR FREE

01:20:03.298 --> 01:20:06.935
AND REDUCED PRICE MEALS
AT THE FEDERAL LEVEL,

01:20:07.702 --> 01:20:10.172
THE FEDERAL GOVERNMENT
SETS THE THRESHOLD

01:20:10.238 --> 01:20:12.774
FOR A FAMILY OF THREE
WILL BE THE EXAMPLE

01:20:12.841 --> 01:20:15.710
THAT I USE A FAMILY OF
THREE, UH.

01:20:15.777 --> 01:20:18.113
IF THEY WANT THEIR
CHILD TO BE ELIGIBLE

01:20:18.180 --> 01:20:22.184
FOR FREE MEALS AT NO
COST TO THEM, THEY

01:20:22.250 --> 01:20:25.720
WOULD HAVE TO BE AT
130% OF THE FEDERAL

01:20:25.787 --> 01:20:28.490
POVERTY LEVEL FOR
A FAMILY OF THREE,

01:20:28.557 --> 01:20:29.724
A HOUSEHOLD OF THREE.

01:20:30.091 --> 01:20:33.428
THEIR ANNUAL INCOME
CANNOT BE A PENNY MORE

01:20:33.495 --> 01:20:39.401
THAN $33,566 ANNUALLY,
WHICH IS APPALLING,

01:20:39.467 --> 01:20:41.870
AND THAT THEY WOULD HAVE
TO THEN START TO PAY FOR

01:20:41.937 --> 01:20:43.038
THEIR CHILD'S MEAL.

01:20:43.905 --> 01:20:48.977
THAT SAME FAMILY,
IF THEY WERE IN THE 185%

01:20:49.044 --> 01:20:52.614
OF THE FEDERAL POVERTY
LEVEL, THE REDUCED PRICE

01:20:52.681 --> 01:20:54.416
FOR THAT MEAL, THEY
WOULD THEY COULD NOT

01:20:54.482 --> 01:21:00.922
MAKE A PENNY OVER, UH,
$47,767 ANNUALLY.

01:21:00.989 --> 01:21:04.092
AND YOU HEARD FROM
THE, THE SECOND PANEL

01:21:04.159 --> 01:21:07.829
PANEL AND TALKING
ABOUT THE CHOICES

01:21:07.896 --> 01:21:09.631
THAT FAMILIES ARE
HAVING TO MAKE.

01:21:10.131 --> 01:21:11.466
AND THE COST OF
LIVING IN CALIFORNIA

01:21:11.533 --> 01:21:12.467
IS SO HIGH.

01:21:12.534 --> 01:21:14.703
AND THERE IS NO REGIONAL
INDEXING AT THE FEDERAL

01:21:14.769 --> 01:21:17.239
LEVEL FOR THE NATIONAL
SCHOOL LUNCH SCHOOL

01:21:17.305 --> 01:21:19.975
BREAKFAST PROGRAM, WHICH
JUST IS ANOTHER REASON

01:21:20.041 --> 01:21:23.745
WHY CALIFORNIA UNIVERSAL
MEALS ARE SO IMPERATIVE.

01:21:23.812 --> 01:21:25.180
AND WHEN FAMILIES
ARE HAVING TO MAKE

01:21:25.247 --> 01:21:28.683
VERY HARD DECISIONS
ABOUT MEDICAL COSTS,

01:21:28.750 --> 01:21:31.786
GAS, TRANSPORTATION,
HOUSING, CLOTHING.

01:21:32.220 --> 01:21:33.755
UM, THE LAST THING
THEY NEED TO THINK

01:21:33.822 --> 01:21:35.657
ABOUT IS IF THEY'RE
SENDING THEIR CHILD

01:21:35.724 --> 01:21:37.225
OFF TO SCHOOL HUNGRY.

01:21:37.592 --> 01:21:40.895
AND WE KNOW THAT
THE UNIVERSITY OF

01:21:40.962 --> 01:21:43.565
BERKELEY, THE NUTRITION
POLICY INSTITUTE

01:21:43.632 --> 01:21:44.866
ACTUALLY DID A STUDY.

01:21:45.166 --> 01:21:47.869
AND THEY FOUND THAT OF
THE STATES THAT HAD

01:21:47.936 --> 01:21:50.372
IMPLEMENTED SOME SORT
OF STATE UNIVERSAL MEAL

01:21:50.438 --> 01:21:55.210
PROGRAM, THAT 12%,
UM, THEY SAW A 12%

01:21:55.277 --> 01:21:58.113
DECREASE IN REPORTED
FOOD INSECURITY IN

01:21:58.179 --> 01:22:00.949
THOSE STATES THAT HAD
IMPLEMENTED A UNIVERSAL

01:22:01.016 --> 01:22:02.250
MEALS PROGRAM.

01:22:02.317 --> 01:22:05.253
AND THAT WAS
PARTICULARLY, UM, IN

01:22:05.320 --> 01:22:08.690
FAMILIES THAT ARE, ARE
SOCIALLY DISADVANTAGED.

01:22:08.757 --> 01:22:10.859
AND SO I THINK THAT'S
IMPORTANT TO REMEMBER

01:22:10.925 --> 01:22:13.328
THAT THE VALUE THAT
CALIFORNIA UNIVERSAL

01:22:13.395 --> 01:22:17.632
MEALS BRINGS TO, UM,
TO THE STATE.

01:22:17.699 --> 01:22:20.435
AND WE ALSO KNOW THAT
RESEARCH CONFIRMS THAT.

01:22:20.802 --> 01:22:21.936
AND THIS IS
THROUGH A TUFTS

01:22:22.003 --> 01:22:25.006
UNIVERSITY STUDY THAT
THE HEALTHIEST MEALS

01:22:25.073 --> 01:22:26.074
ARE THE SCHOOL MEALS.

01:22:26.141 --> 01:22:27.575
IT'S NOT WHAT'S
COMING IN THE LUNCH

01:22:27.642 --> 01:22:29.077
BAG FROM THE FAMILY.

01:22:29.144 --> 01:22:31.413
IT'S WHAT THE SCHOOL
FOOD SERVICE

01:22:31.479 --> 01:22:33.348
PROFESSIONALS ARE
PUTTING ON THAT

01:22:33.415 --> 01:22:35.216
THOSE PLATES EACH
AND EVERY DAY.

01:22:35.984 --> 01:22:38.920
AND SO WE KNOW THAT,
UM, AND YOU MENTIONED

01:22:38.987 --> 01:22:40.855
THIS IN, IN YOUR
OPENING REMARKS,

01:22:40.922 --> 01:22:43.258
BUT THE RESEARCH IS
SO SOLID AND REALLY

01:22:43.325 --> 01:22:46.995
CONFIRMS THE CONNECTIONS
TO GOOD NUTRITION

01:22:47.062 --> 01:22:48.596
AND EDUCATIONAL
OUTCOMES.

01:22:48.663 --> 01:22:50.098
AND WHEN WE THINK
ABOUT WANTING TO GIVE

01:22:50.165 --> 01:22:53.068
OUR CHILDREN THE BEST
POSSIBLE HEALTH,

01:22:53.134 --> 01:22:57.105
WELL-BEING, AND, AND,
UM, AND POTENTIAL FOR

01:22:57.172 --> 01:22:59.941
LIFE, IT'S JUST KIND OF
A NO BRAINER, RIGHT?

01:23:00.008 --> 01:23:01.343
IT'S, IT'S JUST
COMMON SENSE.

01:23:01.409 --> 01:23:04.312
AND THE RESEARCH
CONFIRMS THAT THEY,

01:23:04.379 --> 01:23:05.947
WHEN THEY ARE WELL
NOURISHED, THERE'S

01:23:06.014 --> 01:23:09.184
IMPROVED CONCENTRATION
AND COGNITIVE FUNCTION.

01:23:09.250 --> 01:23:12.554
THERE'S, UM, REPORTED
INCREASE IN STANDARDIZED

01:23:12.620 --> 01:23:15.757
TESTING, ESPECIALLY WHEN
BREAKFAST IS OFFERED.

01:23:15.824 --> 01:23:18.226
THERE'S IMPROVED
ACADEMIC PERFORMANCE,

01:23:18.293 --> 01:23:20.161
REDUCED ABSENTEEISM.

01:23:20.695 --> 01:23:23.331
AND OVERALL WE ARE
SETTING THEM UP

01:23:23.798 --> 01:23:25.967
IN THE STATE FOR
HEALTHIER WEIGHTS.

01:23:26.568 --> 01:23:28.870
NUTRIENT. WE'RE TEACHING
THEM EARLY ABOUT GOOD

01:23:28.937 --> 01:23:31.840
NUTRITION AND WE
ARE ALSO HELPING TO

01:23:31.906 --> 01:23:35.844
REDUCE SOME OF THE THE
HEALTH DISPARITIES

01:23:35.910 --> 01:23:38.646
AND THE HEALTH DISEASES
THAT THE DOCTOR

01:23:38.713 --> 01:23:41.049
PRESENTED ON EARLIER
TODAY.

01:23:41.483 --> 01:23:43.585
AND OUR SCHOOL MEALS ARE
SCIENCE BASED, RIGHT?

01:23:43.651 --> 01:23:46.321
THEY ARE THEY INCLUDE
WHOLE GRAIN RICH ITEMS,

01:23:46.388 --> 01:23:50.725
MEAT, MEAT ITEMS, PLANT
BASED PROTEIN OPTIONS,

01:23:51.126 --> 01:23:54.596
A VARIETY OF FRUITS
AND VEGETABLES AND MILK.

01:23:54.963 --> 01:23:57.632
AND SO WE WANT OUR
OUR CHILDREN TO

01:23:57.866 --> 01:23:59.601
NOT ONLY BE SET UP
FOR THE CLASSROOM,

01:23:59.667 --> 01:24:01.803
BUT WE WANT THEM TO
BE SET UP FOR THAT.

01:24:01.870 --> 01:24:03.938
WE'RE GIVING THEM
THE BEST POSSIBLE

01:24:04.005 --> 01:24:06.574
HEALTH HEALTH
OUTCOMES AS POSSIBLE.

01:24:08.376 --> 01:24:10.945
SO AGAIN, THESE
ARE FOODS THAT ARE

01:24:11.012 --> 01:24:13.281
COMING OUT OF OUR OUR
CALIFORNIA SCHOOLS,

01:24:13.348 --> 01:24:16.050
THANKS TO THE FUNDING,
THE STATE FUNDING,

01:24:16.251 --> 01:24:18.086
THE STATE MEAL
REIMBURSEMENT FOR

01:24:18.319 --> 01:24:20.221
CALIFORNIA UNIVERSAL
MEALS.

01:24:20.288 --> 01:24:23.191
IT IS ALSO WE CAN'T
TALK ABOUT CALIFORNIA

01:24:23.258 --> 01:24:25.894
UNIVERSAL MEALS WITHOUT
TALKING ABOUT THE STATE

01:24:25.960 --> 01:24:27.395
FUNDING THAT IS COMING.

01:24:27.462 --> 01:24:29.764
WE'VE HAD FOUR ROUNDS
OF THE KITCHEN

01:24:29.831 --> 01:24:33.034
INFRASTRUCTURE
AND TRAINING FUNDING,

01:24:33.101 --> 01:24:36.638
AND OUR SCHOOLS ARE
ABLE TO TO DO THE MUCH

01:24:36.704 --> 01:24:40.775
NEEDED UPGRADES TO VERY
OUTDATED KITCHENS.

01:24:40.842 --> 01:24:43.578
MANY TIMES YOU MIGHT
TOUR A SCHOOL AND YOU

01:24:43.645 --> 01:24:46.047
SEE A BEAUTIFUL
REMODEL, AND THEN YOU

01:24:46.114 --> 01:24:48.850
WALK INTO THE KITCHEN
FROM THE 1950S.

01:24:48.917 --> 01:24:49.951
YEAH, MAYBE.

01:24:50.018 --> 01:24:52.120
AND AND YOU'RE JUST
AND YOU SEE HOW SMALL

01:24:52.187 --> 01:24:54.689
IT IS AND WHAT THAT
AMAZING TEAM IS TRYING

01:24:54.756 --> 01:24:55.957
TO DO TO PUT MEALS OUT.

01:24:56.024 --> 01:24:58.560
AND AS WE THINK ABOUT
WANTING LESS PROCESSED

01:24:58.626 --> 01:25:02.163
FOODS, UM, MORE FRESHLY
PREPARED AS WE TAKE THIS

01:25:02.230 --> 01:25:05.166
JOURNEY TO ELIMINATE
ULTRA PROCESSED FOODS

01:25:05.233 --> 01:25:08.736
OF CONCERN, WE TRULY DO
NEED, UM, THE FUNDING

01:25:08.803 --> 01:25:11.806
SO THAT THEY ARE ABLE
TO PURCHASE THOSE LOCAL

01:25:11.873 --> 01:25:15.310
FOODS, UM, PREPARE THEM
AND THEN SERVE THEM TO

01:25:15.376 --> 01:25:16.377
THEIR STUDENTS.

01:25:18.112 --> 01:25:20.715
AND IT'S NOT NUTRITIOUS
UNLESS IT'S EATEN RIGHT.

01:25:20.782 --> 01:25:22.317
WE DON'T WANT THAT
FOOD GOING INTO

01:25:22.383 --> 01:25:23.318
THE GARBAGE CAN.

01:25:23.384 --> 01:25:25.353
AND SO IT'S JUST
TRULY IMPORTANT THAT

01:25:25.420 --> 01:25:28.723
WE THINK ABOUT WHAT
WE CAN DO TO, TO

01:25:29.057 --> 01:25:32.660
PRESERVE OUR, OUR, UM,
POLICY CONSIDERATIONS

01:25:32.727 --> 01:25:33.695
AND FUNDING.

01:25:33.761 --> 01:25:36.998
AND AS I MENTIONED, AS
WE'RE MOVING FORWARD,

01:25:37.065 --> 01:25:40.568
UM, IN, IN THE COMING
YEARS, WE'RE IN

01:25:40.635 --> 01:25:42.904
CALIFORNIA IS ONCE AGAIN
LEADING THE NATION.

01:25:43.171 --> 01:25:47.208
AND WITH THE PASSAGE
OF ASSEMBLY BILL 1264,

01:25:47.275 --> 01:25:49.811
WHERE WE'RE STARTING
TO ELIMINATE ULTRA

01:25:49.878 --> 01:25:52.380
PROCESSED FOODS OF
CONCERN IN OUR SCHOOLS.

01:25:52.447 --> 01:25:54.382
AND I WOULD VENTURE TO
SAY THIS IS NOT JUST

01:25:54.449 --> 01:25:55.450
A SCHOOL PROBLEM.

01:25:55.517 --> 01:25:58.152
IT'S IT'S A COMMUNITY
PROBLEM AND A FOOD

01:25:58.219 --> 01:26:00.688
SYSTEM PROBLEM,
PROBLEM THAT WE NEED

01:26:00.755 --> 01:26:03.057
TO TO ADDRESS AS.

01:26:03.124 --> 01:26:05.960
SO WHAT CAN WE DO AS
WE THINK ABOUT, UM,

01:26:06.160 --> 01:26:08.830
SOME OF THE POLICIES,
CERTAINLY MAKING SURE

01:26:08.897 --> 01:26:11.232
THAT UNIVERSAL MEALS
IN CALIFORNIA REMAINS

01:26:11.299 --> 01:26:15.403
FULLY FUNDED AND IS NOT
PRORATED BY ANY MEANS.

01:26:16.037 --> 01:26:18.840
I THINK WE HAVE GREAT
OPPORTUNITY AROUND

01:26:18.907 --> 01:26:21.342
POLICY TO THINK ABOUT
NUTRITION, EDUCATION,

01:26:21.409 --> 01:26:24.779
AND THE CONNECTIONS IN
OUR CLASSROOMS TO WHAT'S

01:26:24.846 --> 01:26:28.750
BEING SERVED IN NOT
ONLY IN THE CAFETERIA,

01:26:28.816 --> 01:26:31.185
BUT WHAT'S WHAT'S AT
THE FAMILY TABLE, WHAT'S

01:26:31.252 --> 01:26:33.655
AT THE FARMER'S MARKET,
WHAT'S IN THE COMMUNITY,

01:26:33.721 --> 01:26:35.657
THE IMPACTS ON OUR
CLIMATE.

01:26:36.124 --> 01:26:37.091
WE JUST PASSED.

01:26:37.158 --> 01:26:39.460
I THINK WE'RE THE THIRD
STATE TO HAVE PASSED

01:26:39.527 --> 01:26:42.063
A STATE SEAL OF CLIMATE
LITERACY.

01:26:42.130 --> 01:26:43.665
I THINK WE HAVE
A GOLDEN OPPORTUNITY

01:26:43.731 --> 01:26:46.968
HERE TO THINK ABOUT
SOLID POLICY THERE.

01:26:47.802 --> 01:26:49.904
AND I THINK ADEQUATE
TIME TO EAT IS

01:26:49.971 --> 01:26:52.407
REALLY A BOLD MOVE
THAT CALIFORNIA CAN

01:26:52.473 --> 01:26:53.408
TAKE, RIGHT?

01:26:53.474 --> 01:26:55.810
WE WANT OUR CHILDREN TO
TO BE ABLE TO PARTAKE

01:26:55.877 --> 01:26:57.879
AND ENJOY THE FOODS THAT
THEY'RE BEING SERVED.

01:26:57.946 --> 01:27:00.048
AND THEY NEED
TIME TO DO THAT.

01:27:00.882 --> 01:27:02.684
UH, AND THEN LOCAL
SCHOOL WELLNESS

01:27:02.750 --> 01:27:05.253
POLICIES IS YET
ANOTHER OPPORTUNITY

01:27:05.320 --> 01:27:09.524
TO REALLY HELP BRING,
UM, SCHOOL POLICY

01:27:09.591 --> 01:27:12.961
OUTSIDE OF THE SCHOOL
CAFETERIA AND THE MANY

01:27:13.027 --> 01:27:14.362
RESPONSIBILITIES OF
THE FOOD SERVICE

01:27:14.429 --> 01:27:15.363
DIRECTOR.

01:27:15.430 --> 01:27:17.098
THAT IS A SCHOOL
RESPONSIBILITY THAT IS

01:27:17.165 --> 01:27:20.101
AT THE LOCAL EDUCATIONAL
AGENCY SCHOOL BOARDS

01:27:20.168 --> 01:27:22.203
NEED TO BE VERY
ACTIVELY INVOLVED IN

01:27:22.270 --> 01:27:25.573
SETTING MEANINGFUL, UM,
CONNECTIONS TO LOCAL

01:27:25.640 --> 01:27:28.743
SCHOOL WELLNESS POLICIES
TO SUPPORT OUR CHILDREN.

01:27:28.977 --> 01:27:32.113
AND CERTAINLY WRAPAROUND
SERVICES SUCH AS SUMMER

01:27:32.180 --> 01:27:35.483
EBT AND BREAKFAST AFTER
THE BELL.

01:27:35.550 --> 01:27:39.954
SO IN CLOSING, UM,
UNIVERSAL MEALS IS SOUND

01:27:40.021 --> 01:27:41.189
PUBLIC HEALTH POLICY.

01:27:41.255 --> 01:27:43.558
WE ARE THE FOURTH
LARGEST ECONOMY IN

01:27:43.625 --> 01:27:45.727
THE WORLD, YET WE HAVE
KIDS THAT ARE HUNGRY.

01:27:45.793 --> 01:27:47.562
THEY SHOULD NOT HAVE
TO WORRY ABOUT WHERE,

01:27:47.829 --> 01:27:49.897
UM, WHERE THEIR NEXT
MEAL IS COMING FROM.

01:27:49.964 --> 01:27:52.166
AND THEY SHOULD NOT
HAVE TO WORRY THAT

01:27:52.233 --> 01:27:54.035
THEIR OVER THE WEEKEND
THAT THEY'RE GOING TO

01:27:54.102 --> 01:27:56.270
BE HUNGRY AND THAT THEY
ARE SO DEPENDENT ON

01:27:56.337 --> 01:27:57.872
THE SCHOOL BREAKFAST
PROGRAM.

01:27:58.506 --> 01:28:00.541
HEALTHY SCHOOL MEALS
IS AN INVESTMENT IN

01:28:00.608 --> 01:28:02.844
OUR CHILDREN'S FUTURE,
PROVIDING SCIENCE BASED

01:28:02.910 --> 01:28:04.846
NUTRITION AND STANDARDS
TO SUPPORT THEIR

01:28:04.912 --> 01:28:07.181
GROWTH, DEVELOPMENT
AND EDUCATIONAL

01:28:07.248 --> 01:28:09.550
SUCCESSES FOR LIFELONG
WELL-BEING.

01:28:10.284 --> 01:28:12.754
AND AS WE FACE THESE
NATIONAL TRENDS

01:28:13.087 --> 01:28:16.624
FEDERALLY AROUND OUR
THREATS TO OUR CHILD

01:28:16.691 --> 01:28:17.959
NUTRITION PROGRAM.

01:28:18.359 --> 01:28:20.828
NOW IS THE TIME TO
TAKE BOLD POLICY

01:28:20.895 --> 01:28:24.265
STATEMENTS TO TO LEAD
THE NATION IN WHAT IS

01:28:24.332 --> 01:28:26.668
RIGHT AND MORAL FOR OUR
CHILDREN. SO THANK YOU.

01:28:49.757 --> 01:28:52.360
THANK YOU, SENATOR
WEBER PEARSON.

01:28:52.427 --> 01:28:54.328
IT IS AN HONOR
AND A PRIVILEGE TO

01:28:54.395 --> 01:28:55.596
PRESENT TO YOU TODAY.

01:28:56.364 --> 01:28:58.700
UM, MY NAME IS ALICIA
PATRON HAUSER.

01:28:58.766 --> 01:29:01.302
I'M A DIETITIAN
BY EDUCATION

01:29:01.369 --> 01:29:03.071
AND THE EXECUTIVE
DIRECTOR OF FOOD

01:29:03.137 --> 01:29:06.140
AND NUTRITION SERVICES
FOR THE SAN DIEGO

01:29:06.207 --> 01:29:07.642
UNIFIED SCHOOL DISTRICT.

01:29:07.975 --> 01:29:12.146
WE ARE THE LARGEST, UH,
FAST FOOD ESTABLISHMENT

01:29:12.213 --> 01:29:15.483
IN THE COUNTY WITH OVER
200 LOCATIONS.

01:29:16.918 --> 01:29:19.287
WE ARE KNOWN AS
THE SANDY COAST

01:29:19.353 --> 01:29:22.790
CAFE AND OUR PILLARS
ARE NUTRITIOUS

01:29:22.857 --> 01:29:23.791
AND DELICIOUS.

01:29:23.858 --> 01:29:26.994
CALIFORNIA FRESH
AND SERVED WITH LOVE.

01:29:28.396 --> 01:29:30.865
AND THESE PHOTOS
REPRESENT OUR. WHY.

01:29:31.265 --> 01:29:32.500
I AM AN OPERATOR.

01:29:32.567 --> 01:29:34.135
I AM ON THE FRONT LINE.

01:29:34.202 --> 01:29:38.172
UM, AND, UH, AS
KIM MENTIONED, UM,

01:29:39.240 --> 01:29:42.076
THESE, THESE PHOTOS
DEMONSTRATE OUR WHY.

01:29:42.376 --> 01:29:45.146
UM, WHAT YOU SEE
HERE ARE CHILDREN

01:29:45.213 --> 01:29:47.982
PARTICIPATING IN
NUTRITION EDUCATION

01:29:48.049 --> 01:29:51.185
EXPERIENCES WHERE
THEY ENJOY HARVEST OF

01:29:51.252 --> 01:29:54.689
THE MONTH, ITEMS LIKE
PERSIMMON AND AVOCADO.

01:29:55.123 --> 01:29:59.360
UM, WE HAVE A NATION,
NATIONALLY KNOWN

01:29:59.427 --> 01:30:02.096
NUTRITION EDUCATION,
FARM TO SCHOOL PROGRAM.

01:30:02.363 --> 01:30:05.767
UM, AND THOSE PICTURES
ARE DEMONSTRATING,

01:30:06.134 --> 01:30:08.236
UM, WHAT THE DOCTOR
MENTIONED EARLIER,

01:30:08.736 --> 01:30:10.004
THE NEED FOR EDUCATION.

01:30:10.071 --> 01:30:13.541
AND THEN IN THE BOTTOM
RIGHT, YOU SEE A MOM

01:30:13.608 --> 01:30:16.878
ENJOYING BREAKFAST
WITH HER TWO GIRLS.

01:30:17.245 --> 01:30:20.815
UM, AND SO, UM, THIS
SLIDE DEMONSTRATES

01:30:20.882 --> 01:30:21.883
OUR WHY.

01:30:23.417 --> 01:30:26.320
LAST YEAR, THE UNIVERSAL
SCHOOL MEALS PROGRAM,

01:30:26.387 --> 01:30:30.792
WE, WE SERVED A TOTAL
OF 18.1 MILLION YEARS TO

01:30:30.858 --> 01:30:35.730
THE TUNE OF $76 MILLION
IN INVESTMENT IN OUR

01:30:35.797 --> 01:30:36.798
STUDENTS.

01:30:37.064 --> 01:30:38.699
UM, THROUGH
THE COMMUNITY

01:30:38.766 --> 01:30:41.536
ELIGIBILITY PROVISION
AND THE UNIVERSAL

01:30:41.602 --> 01:30:45.339
MEALS PROGRAM, UH, WE
OFFERED EVERY CHILD

01:30:45.640 --> 01:30:49.076
BREAKFAST AND LUNCH AT
NO COST, REGARDLESS OF

01:30:49.143 --> 01:30:50.344
HOUSEHOLD INCOME.

01:30:50.745 --> 01:30:53.014
UM, I HAVE BEEN IN
SCHOOL NUTRITION

01:30:53.080 --> 01:30:54.682
FOR OVER 20 YEARS.

01:30:55.016 --> 01:30:57.218
UM, MY, MY WHOLE
CAREER PRETTY MUCH

01:30:57.285 --> 01:30:59.554
SPENT IN SAN DIEGO.

01:30:59.987 --> 01:31:02.056
AND, YOU KNOW,
THE UNIVERSAL SCHOOL

01:31:02.123 --> 01:31:05.693
SCHOOL MEAL PROGRAM IS,
UM, ONE FOR WHICH I HAVE

01:31:05.760 --> 01:31:07.261
TREMENDOUS GRATITUDE.

01:31:07.795 --> 01:31:11.165
UM, UM, IT HAS LEVELED
THE PLAYING FIELD.

01:31:11.566 --> 01:31:17.505
UM, NO CHILD, DESPITE
THE CHARGE TO, UM,

01:31:17.572 --> 01:31:20.274
OPERATE IN A WAY
THAT FREE AND REDUCED

01:31:20.341 --> 01:31:23.411
PRICE CHILDREN WERE
NOT DISTINGUISHABLE

01:31:23.477 --> 01:31:24.879
IN OUR PROGRAMS.

01:31:25.213 --> 01:31:27.548
UM, THAT THERE HAS
ALWAYS BEEN A STIGMA

01:31:27.615 --> 01:31:31.652
ASSOCIATED WITH FREE
MEALS AND THIS PROGRAM

01:31:31.719 --> 01:31:36.023
HAS, UM, TURNED,
TURNED IT AROUND.

01:31:36.090 --> 01:31:38.559
UM, ANY CHILD,
REGARDLESS OF INCOME

01:31:38.626 --> 01:31:39.560
CAN PARTICIPATE.

01:31:39.627 --> 01:31:41.996
AND IT'S JUST BEEN
AMAZING FOR ME TO SEE.

01:31:42.363 --> 01:31:46.634
AND I, AND BEFORE YOU
WITH MUCH GRATITUDE

01:31:46.701 --> 01:31:50.438
AND I'LL ECHO KIM'S,
UH, PUNCHLINE, WHICH IS,

01:31:50.504 --> 01:31:53.174
UM, PLEASE CONTINUE TO
SUSTAIN THE FUNDING FOR

01:31:53.241 --> 01:31:56.210
US TO BE ABLE TO OFFER
THIS AMAZING PROGRAM.

01:31:58.846 --> 01:32:02.316
UM, WE HAVE HERE
MASLOW'S HIERARCHY

01:32:02.383 --> 01:32:03.384
OF NEEDS.

01:32:03.451 --> 01:32:06.420
AND AS YOU CAN SEE, UM,
AND AS OTHER PANELISTS

01:32:06.487 --> 01:32:07.488
HAVE POINTED OUT.

01:32:07.722 --> 01:32:10.258
IT JUST MAKES
PERFECT SENSE.

01:32:10.591 --> 01:32:14.295
UM, IT'S GOOD PUBLIC
POLICY TO MEET

01:32:14.362 --> 01:32:19.066
THE FOUNDATIONAL NEEDS
OF OUR MOST VULNERABLE

01:32:19.133 --> 01:32:21.002
POPULATIONS, OUR
CHILDREN.

01:32:21.068 --> 01:32:23.404
AND AS, AS, AS WAS
MENTIONED, OUR

01:32:24.138 --> 01:32:25.406
ELDERLY AND DISABLED.

01:32:25.473 --> 01:32:28.409
AND SO THIS, THESE ARE
STATISTICS ON WHAT IS

01:32:28.476 --> 01:32:30.711
HAPPENING RIGHT NOW IN
THE UNIVERSAL MEALS

01:32:30.778 --> 01:32:31.679
PROGRAM.

01:32:31.746 --> 01:32:32.747
AND WE'RE, WE'RE
HITTING AROUND

01:32:32.813 --> 01:32:34.282
100,000 MEALS A DAY.

01:32:36.417 --> 01:32:40.888
UM, WE ALSO ARE A VERY,
UM, GOOD SUPPORTER OF

01:32:40.955 --> 01:32:42.623
THE LOCAL ECONOMY.

01:32:42.690 --> 01:32:45.893
AND WHAT THIS SLIDE
DEMONSTRATES ARE OUR

01:32:46.093 --> 01:32:47.728
STATISTICS ON PRODUCE.

01:32:48.129 --> 01:32:51.933
UM, NEARLY 50% ARE
CALIFORNIA GROWN, UM,

01:32:51.999 --> 01:32:55.269
NOT ON THIS SLIDE,
BUT ALSO, UM, UH,

01:32:55.336 --> 01:32:57.605
A WAY IN WHICH WE
SUPPORT THE CALIFORNIA

01:32:57.672 --> 01:33:00.641
ECONOMY, OUR, OUR
LOCAL DAIRY, WHICH IS

01:33:00.708 --> 01:33:02.243
RIGHT IN SAN MARCOS.

01:33:02.610 --> 01:33:05.780
UM, WE PURCHASE
BREAD FROM A BAKERY

01:33:05.846 --> 01:33:06.847
IN LOS ANGELES.

01:33:08.182 --> 01:33:11.252
WE BUY BEEF FROM
HARRIS RANCH BEEF IN

01:33:11.319 --> 01:33:12.453
THE CENTRAL VALLEY.

01:33:12.520 --> 01:33:15.656
AND SO OUR PROGRAM IS
SUPPORTING CALIFORNIA

01:33:15.723 --> 01:33:18.059
AGRICULTURE WHILE
DELIVERING FRESH,

01:33:18.125 --> 01:33:20.161
NUTRITIOUS MEALS TO
STUDENTS.

01:33:22.296 --> 01:33:26.434
AND SO WHILE THE POLICY
IS OUTSTANDING, UM, I'M

01:33:26.500 --> 01:33:28.135
A MEMBER.
I'M A BOARD MEMBER.

01:33:28.469 --> 01:33:32.073
UH, THE URBAN SCHOOL
FOOD ALLIANCE, I NETWORK

01:33:32.139 --> 01:33:35.242
WITH MY COLLEAGUES IN
OTHER STATES WHERE THEY

01:33:35.309 --> 01:33:37.912
DON'T HAVE THE GOOD
FORTUNE OF A UNIVERSAL

01:33:37.979 --> 01:33:38.980
MEAL PROGRAM.

01:33:39.347 --> 01:33:42.984
AND, AND SO, UM,
I THINK CALIFORNIA

01:33:43.317 --> 01:33:47.588
IS GROUNDBREAKING FOR
RUNNING IN THIS WORK.

01:33:47.989 --> 01:33:51.392
UM, AND THE POLICY
FOUNDATION HAS BEEN SET.

01:33:51.726 --> 01:33:55.029
UM, MY ASK IS THAT
IT, IT STAYS.

01:33:55.229 --> 01:33:59.300
UM, AND SO ACCESS
IS THE FIRST STEP.

01:33:59.600 --> 01:34:00.968
UM, THE SECOND STEP.

01:34:01.035 --> 01:34:03.504
AND KIM ALLUDED
TO THIS PILLAR.

01:34:04.338 --> 01:34:06.407
ADEQUATE TIME
TO EAT. UM.

01:34:07.008 --> 01:34:08.109
SEATED TIME.

01:34:08.175 --> 01:34:10.011
AND SO I'LL GET INTO
THAT A LITTLE BIT IN

01:34:10.077 --> 01:34:11.012
ANOTHER SLIDE.

01:34:11.078 --> 01:34:14.281
BUT, UM, UH, THAT IS
CRITICALLY IMPORTANT.

01:34:14.348 --> 01:34:17.351
UM, QUALITY
INFRASTRUCTURE, UM,

01:34:17.418 --> 01:34:20.021
PEOPLE AND COMMUNITY
SUPPORT.

01:34:20.087 --> 01:34:21.989
AND SO, UM,
GREAT GRATITUDE.

01:34:22.056 --> 01:34:24.425
GRATITUDE FOR
THE POLICY ADOPTION TO

01:34:24.492 --> 01:34:27.928
CREATE LASTING IMPACT,
WE MUST CONSIDER THESE

01:34:28.262 --> 01:34:33.367
OTHER SUPPORTS, UM,
FOR MEANINGFUL ACCESS.

01:34:35.202 --> 01:34:36.937
TIME TO EAT IS ACCESS.

01:34:37.004 --> 01:34:39.306
AND SO WHAT I'VE
DEMONSTRATED HERE ARE

01:34:39.373 --> 01:34:42.376
A TYPICAL BREAKFAST
AND LUNCH TRAY AT SAN

01:34:42.443 --> 01:34:43.544
DIEGO UNIFIED.

01:34:43.978 --> 01:34:47.615
UM, YOU CAN SEE THAT
THEY'RE VERY FULL TRAYS.

01:34:47.882 --> 01:34:51.819
UM, AND I'VE GOT
A, A SIMPLE VIDEO,

01:34:52.787 --> 01:34:56.090
UM, TO SHOW YOU,
UM, THE CHALLENGE.

01:34:56.157 --> 01:34:58.893
AND SO WHAT YOU'RE
GOING TO SEE IS UM

01:34:58.959 --> 01:35:02.063
A TIME LAPSE AT PATRICK
HENRY MIDDLE SCHOOL.

01:35:02.129 --> 01:35:04.265
THE SPACE THAT YOU'RE
LOOKING AT IN THE MIDDLE

01:35:04.331 --> 01:35:07.535
OF THE SLIDE IS WHAT WE
CALL A SPEED ROOM.

01:35:07.768 --> 01:35:09.804
WE'VE USED KITCHEN
INFRASTRUCTURE

01:35:09.870 --> 01:35:13.107
AND TRAINING FUNDS TO
OUTFIT EATERIES IN

01:35:13.174 --> 01:35:16.177
A WAY THAT WE CAN SERVE
STUDENTS IN THE QUICKEST

01:35:16.243 --> 01:35:17.411
TIME POSSIBLE.

01:35:17.478 --> 01:35:19.613
AND SO PATRICK
HENRY HIGH SCHOOL'S

01:35:19.680 --> 01:35:23.184
ENROLLMENT IS AT
LEAST 1500 STUDENTS.

01:35:23.250 --> 01:35:26.687
WE HAVE ONE LUNCH PERIOD
TO FEED THE STUDENTS.

01:35:26.887 --> 01:35:30.524
AND SO AS YOU CAN
IMAGINE, HIGH SCHOOL

01:35:30.591 --> 01:35:32.460
STUDENTS DON'T WANT
TO SPEND THEIR TIME

01:35:32.526 --> 01:35:34.028
WAITING FOR FOOD.

01:35:34.295 --> 01:35:37.565
AND SO THIS THIS VIDEO
WILL SHARE WITH YOU WHAT

01:35:37.631 --> 01:35:40.701
WE'VE DONE, WHAT WE'VE
STRATEGIZED, KNOWING

01:35:40.768 --> 01:35:43.737
THE CONSTRAINTS SO THAT
WE CAN MAXIMIZE THAT

01:35:43.804 --> 01:35:45.306
ACCESS TO THE PROGRAM.

01:36:54.842 --> 01:37:00.147
OKAY. AND SO, UM, AN ASK
WOULD BE STATEWIDE

01:37:00.214 --> 01:37:04.185
STANDARDS GUARANTEEING,
UM, SEEDED MEAL TIME.

01:37:04.251 --> 01:37:07.421
AND SO, UM, A BELL
SCHEDULE MIGHT

01:37:07.488 --> 01:37:09.690
PLAN A HALF A HALF
HOUR FOR LUNCH.

01:37:09.957 --> 01:37:14.028
UM, THAT DOESN'T ACCOUNT
FOR UM, THE, THE TIME

01:37:14.094 --> 01:37:16.463
IT TAKES A STUDENT TO
ACCESS A MEAL.

01:37:16.530 --> 01:37:19.300
AND SO THIS WOULD BE
CRITICALLY IMPORTANT

01:37:19.366 --> 01:37:22.369
IF WE GUARANTEED SEEDED
TIME FOR OUR STUDENTS TO

01:37:22.436 --> 01:37:24.939
ENJOY JUST TEN MINUTES
FOR BREAKFAST AND 20

01:37:25.005 --> 01:37:26.006
MINUTES FOR LUNCH.

01:37:27.908 --> 01:37:30.678
UM, THE KITCHENS
AND THE PEOPLE BEHIND

01:37:30.744 --> 01:37:33.480
EVERY MEAL, WE'VE
BEEN ABLE TO ADDRESS

01:37:33.547 --> 01:37:35.950
THE CHALLENGES THAT
I'VE NOTED HERE WITH

01:37:36.016 --> 01:37:38.652
THE GENEROUS FUNDING
VIA THE KITCHEN

01:37:38.719 --> 01:37:41.288
INFRASTRUCTURE
AND TRAINING SUPPORT.

01:37:41.622 --> 01:37:44.191
UM, WE'RE ADDRESSING
AGING INFRASTRUCTURE.

01:37:44.258 --> 01:37:46.961
KIM MENTIONED KITCHENS
FROM THE 1950S.

01:37:47.261 --> 01:37:50.064
UM, OUR FPC
FACILITIES PLANNING

01:37:50.130 --> 01:37:51.699
AND CONSTRUCTION
PARTNERS WILL TELL

01:37:51.765 --> 01:37:54.735
ME THAT THE KITCHEN
INFRASTRUCTURE IS

01:37:54.802 --> 01:37:57.171
THE HIGHEST COST
SQUARE FOOTAGE ON

01:37:57.238 --> 01:37:58.339
A SCHOOL CAMPUS.

01:37:58.405 --> 01:38:01.041
AND SO IT IS IT HAS
OFTENTIMES BEEN LEFT

01:38:01.108 --> 01:38:04.545
OUT OF A WHOLE SITE
MODERNIZATION PLANS.

01:38:04.612 --> 01:38:06.046
AND SO THE KITCHEN
INFRASTRUCTURE

01:38:06.113 --> 01:38:08.082
AND TRAINING MONIES
HAS ALLOWED US TO

01:38:08.148 --> 01:38:09.917
ADDRESS SOME OF
THESE CHALLENGES.

01:38:10.217 --> 01:38:15.189
IT'S ALLOWED US TO, UM,
TRAIN AND EDUCATE OUR

01:38:15.256 --> 01:38:19.260
STAFF SO THAT THEY DO
HAVE THE SKILL TO, UH,

01:38:19.326 --> 01:38:20.928
PREPARE FRESH MEALS.

01:38:21.128 --> 01:38:24.131
AND IT'S ALSO AFFORDED
US THE OPPORTUNITY TO

01:38:24.198 --> 01:38:25.599
UPGRADE OLD EQUIPMENT.

01:38:28.669 --> 01:38:32.606
MORE PICTURES THAT
DEMONSTRATE THE WAY IN

01:38:32.673 --> 01:38:35.542
WHICH WE PUT THE MONEY
TO GOOD USE, WHICH YOU

01:38:35.609 --> 01:38:38.646
CAN SEE A WAREHOUSE
FULL OF MILK COOLERS

01:38:38.712 --> 01:38:42.783
AND HEATED CABINETS
AND, UM, SPEED LINE

01:38:42.850 --> 01:38:46.120
EQUIPMENT, UM,
A CULINARY INSTRUCTOR.

01:38:46.487 --> 01:38:48.822
UM, AND THEN IN
THE BOTTOM RIGHT, YOU

01:38:48.889 --> 01:38:52.893
SEE PEGA WHO IS IN
FRONT OF UM TWO COMBI

01:38:52.960 --> 01:38:56.764
OVENS, WHICH ARE THE,
UM, THE CADILLAC OF,

01:38:56.830 --> 01:39:00.801
OF OVENS COMBINING
CONVECTION AND STEAM, UM

01:39:00.868 --> 01:39:06.874
TO MAKE FRESH, UM, MEAL
PREPARATION AS EASY AS

01:39:07.107 --> 01:39:08.175
THE PUSH OF A BUTTON.

01:39:08.242 --> 01:39:10.311
AND SO THE BOTTOM LINE
IS ACHIEVING HIGHER

01:39:10.377 --> 01:39:13.647
QUALITY FOOD REQUIRES
MODERN KITCHEN EQUIPMENT

01:39:13.714 --> 01:39:16.350
AND THE CAPACITY TO
TRAIN AND DEVELOP OUR

01:39:16.417 --> 01:39:17.418
STAFF.

01:39:18.085 --> 01:39:20.654
UM, WE'VE, WE'VE
TAKEN TECHNOLOGY

01:39:20.721 --> 01:39:22.056
TO ANOTHER LEVEL.

01:39:22.122 --> 01:39:25.759
IF YOU HAVE FREQUENTED
UM, ANY TIME, UM,

01:39:25.826 --> 01:39:27.961
LATELY A FAST FOOD
ESTABLISHMENT, YOU'LL

01:39:28.028 --> 01:39:30.764
NOTICE THAT, YOU KNOW,
THEY'RE ALL CARRYING

01:39:30.831 --> 01:39:32.633
IPADS OR THEY'RE
ASKING YOU TO CHECK

01:39:32.700 --> 01:39:33.634
YOURSELF OUT.

01:39:33.701 --> 01:39:35.969
AND SO THIS SLIDE IS
JUST A DEMONSTRATION

01:39:36.036 --> 01:39:39.139
OF HOW THE FUNDING
HAS ALLOWED US TO

01:39:39.206 --> 01:39:43.310
UPDATE OUR TECHNOLOGY
INFRASTRUCTURE.

01:39:43.377 --> 01:39:45.512
ON THE BOTTOM RIGHT,
YOU CAN SEE DIGITAL

01:39:45.579 --> 01:39:46.513
MENU BOARDS.

01:39:46.580 --> 01:39:49.350
AND SO AGAIN,
ACHIEVING HIGH

01:39:49.416 --> 01:39:52.953
QUALITY FOOD REQUIRES
THE CAPACITY TO MAKE

01:39:53.020 --> 01:39:54.421
ALL OF THESE UPDATES.

01:39:55.823 --> 01:39:58.058
AND SO WHAT CAN
THE STATE DO TO HELP?

01:39:58.425 --> 01:40:02.329
UM, I APPRECIATE
SO MUCH.

01:40:02.396 --> 01:40:05.999
UM, THE POLICY, UM,
UNIVERSAL MEALS HAS JUST

01:40:06.066 --> 01:40:09.737
BEEN A GAME CHANGER IN
THE PROFESSION.

01:40:09.937 --> 01:40:13.040
UM, WE'RE ASKING IF IT
MAY BE SUSTAINED WITH

01:40:13.107 --> 01:40:15.876
ADEQUATE FUNDING, UM,
CONTINUE TO INVEST

01:40:15.943 --> 01:40:18.979
IN OUR KITCHENS
AND PEOPLE, UM, PROTECT

01:40:19.046 --> 01:40:22.850
TIME FOR THE STUDENTS
TO EAT AND CONTINUE

01:40:22.916 --> 01:40:26.253
TO HELP STRENGTHEN
THE FOOD SYSTEMS AROUND

01:40:26.320 --> 01:40:30.290
OUR STUDENTS, UM, LIKE
CALFRESH AND SUN BUCKS.

01:40:30.691 --> 01:40:33.861
AND SO THANK YOU SO MUCH
FOR, UH, THE LEADERSHIP

01:40:33.927 --> 01:40:34.828
AND PARTNERSHIP.

01:40:34.895 --> 01:40:38.198
AND, UM, I LOOK FORWARD
TO MORE GOOD WORK

01:40:38.265 --> 01:40:40.300
AND PARTNERSHIP WITH
THE STATE. THANK YOU.

01:40:41.735 --> 01:40:44.538
THANK YOU SO MUCH
TO BOTH OF YOU FOR

01:40:46.173 --> 01:40:47.841
YOUR PRESENTATIONS.

01:40:48.108 --> 01:40:51.745
THERE WAS A SLIDE, UM,
I BELIEVE IT WAS DURING

01:40:51.812 --> 01:40:57.351
THE FIRST PRESENTATION
OF A STUDENT BROCCOLI.

01:40:58.485 --> 01:41:01.688
IS THAT A PART OR
IS THIS NOW A PART

01:41:01.755 --> 01:41:04.191
OF THE NUTRITION
CURRICULUM WHERE

01:41:04.258 --> 01:41:07.127
THEY ACTUALLY LEARN
HOW TO PREPARE FOOD?

01:41:07.194 --> 01:41:09.430
IT CAN BE. AND THAT'S
A GREAT EXAMPLE

01:41:09.496 --> 01:41:10.898
OF THE KITCHEN
INFRASTRUCTURE

01:41:10.964 --> 01:41:13.600
AND TRAINING FUNDING,
AS WELL AS SOME OF

01:41:13.667 --> 01:41:17.771
THE OTHER, UM, THE FARM
TO SCHOOL FUNDING.

01:41:18.071 --> 01:41:20.307
WE ALSO HAD SOME
SPECIAL, UH, FEDERAL

01:41:20.374 --> 01:41:23.510
FUNDING, BUT WE CAN
SCHOOLS ARE OFFERING,

01:41:23.577 --> 01:41:27.014
RIGHT, THAT HANDS ON
EXPERIENCE TO REALLY

01:41:27.080 --> 01:41:28.849
ENGAGE, ESPECIALLY
THE YOUNGER CHILDREN,

01:41:28.916 --> 01:41:29.850
RIGHT.

01:41:29.917 --> 01:41:31.351
AND LEARNING ABOUT WHERE
THE FOOD IS GROWN.

01:41:31.418 --> 01:41:33.887
SO WHETHER IT'S WORKING
IN A SCHOOL GARDEN OR

01:41:33.954 --> 01:41:35.088
HELPING TO PREPARE.

01:41:35.155 --> 01:41:36.690
AND SO MANY TIMES
THEY'LL AND YOU

01:41:36.757 --> 01:41:38.492
CAN PROBABLY SPEAK
VERY ELOQUENTLY TO

01:41:38.559 --> 01:41:41.728
THIS, THEY'LL HAVE
COMPETITIONS, RIGHT?

01:41:41.795 --> 01:41:44.097
AND WHERE THE CHILD,
THE CHILDREN WILL

01:41:44.164 --> 01:41:46.900
PREPARE A MENU, THEN
IT GETS TASTE TESTED

01:41:46.967 --> 01:41:49.837
AND THEN CAN ACTUALLY
THEN BE ADOPTED ONTO

01:41:49.903 --> 01:41:51.371
INTO THE SCHOOL MENU.

01:41:51.438 --> 01:41:53.841
SO YES, MANY SCHOOLS
ARE DOING THAT SORT

01:41:53.907 --> 01:41:55.709
OF ENGAGED STUDENT
ENGAGEMENT.

01:41:55.776 --> 01:41:59.279
AND IS THAT SOMETHING
THAT INDIVIDUAL

01:41:59.346 --> 01:42:01.715
DISTRICTS DECIDE THAT
THEY WANT TO DO?

01:42:01.782 --> 01:42:04.251
IS IT FUNDING THAT
THEY APPLY FOR?

01:42:04.318 --> 01:42:07.955
HOW HOW IS THAT TRICKLED
DOWN TO THE INDIVIDUAL

01:42:08.021 --> 01:42:09.122
DISTRICTS?

01:42:09.189 --> 01:42:11.658
INDIVIDUAL. AND I'LL LET
ALICIA SPEAK TO THAT.

01:42:11.725 --> 01:42:14.995
AND SO WHEN I BROUGHT UP
MY SLIDE ABOUT POTENTIAL

01:42:15.062 --> 01:42:18.232
STATE POLICY, UM, AROUND
NUTRITION EDUCATION,

01:42:18.298 --> 01:42:21.535
I THINK WE HAVE SOME
CONSIDERATIONS AROUND IS

01:42:21.602 --> 01:42:25.272
IT OPTIONAL OR WHAT IS
REQUIRED AND HOW COULD

01:42:25.339 --> 01:42:29.443
WE TIE THAT TO CORE
CURRICULUM? MHM. MHM.

01:42:30.911 --> 01:42:32.613
UM, IT IS OPTIONAL.

01:42:32.679 --> 01:42:35.349
AND UM, AT SAN
DIEGO UNIFIED, I'M

01:42:35.415 --> 01:42:38.418
FORTUNATE TO BE ABLE
TO AFFORD THOSE

01:42:38.719 --> 01:42:40.387
PLAYERS ON MY TEAM.

01:42:40.721 --> 01:42:42.890
UM, WE HAVE
A SPECIALIST, A FARM

01:42:42.956 --> 01:42:45.692
TO SCHOOL SPECIALIST
WHO HAS AN EXTENSIVE,

01:42:45.759 --> 01:42:48.695
EXTENSIVE NUTRITION
EDUCATION PROGRAM.

01:42:48.929 --> 01:42:51.465
UM, YOU SAW THE STUDENTS
TASTING THE AVOCADO

01:42:51.532 --> 01:42:52.699
AND THE PERSIMMON.

01:42:53.033 --> 01:42:56.703
UM, WE ALSO PARTNER WITH
OUR SECONDARY SCHOOL

01:42:56.770 --> 01:43:01.842
CULINARY ARTS CLASSES
AND UM, WORK WITH THEM.

01:43:01.909 --> 01:43:04.278
LAST YEAR WE HELD
A COMPETITION

01:43:04.478 --> 01:43:08.081
AND UM, GARLIC HOT
HONEY CHICKEN IS ON

01:43:08.148 --> 01:43:09.516
THE MENU THIS FALL.

01:43:09.816 --> 01:43:15.188
UM, AND SO, UM, THERE'S,
UM, AS KIM MENTIONED, IT

01:43:15.255 --> 01:43:16.557
IS OPTIONAL.

01:43:16.623 --> 01:43:20.827
UM, BUT UM, THE WORK
IS, IT COULD BE

01:43:20.894 --> 01:43:24.998
ENDLESS AND IT'S GREAT
FUN AND, UM, GREAT

01:43:25.065 --> 01:43:27.935
EDUCATION FOR OUR KIDS
IN SO MANY WAYS.

01:43:28.302 --> 01:43:30.170
CAN I ADD ONE THING
AND WE'LL MENTION

01:43:30.237 --> 01:43:33.674
THE 2026 KITCHEN
INFRASTRUCTURE, UM,

01:43:33.740 --> 01:43:35.809
TRAINING, FUNDING
THAT STATE FUNDING

01:43:35.876 --> 01:43:38.679
$500 MILLION THAT
WILL GO OUT AND WHAT'S

01:43:38.745 --> 01:43:39.913
OUTLINED EVERY YEAR.

01:43:39.980 --> 01:43:41.381
IT'S BEEN A LITTLE BIT
DIFFERENT, BUT ONE

01:43:41.448 --> 01:43:43.884
OF THE, THE OPTIONS
THIS YEAR FOR SCHOOLS

01:43:43.951 --> 01:43:47.487
IS AROUND NUTRITION,
EDUCATION AND FOOD

01:43:47.554 --> 01:43:49.356
PANTRIES IS ON THERE
FOR THE FIRST TIME.

01:43:49.856 --> 01:43:51.792
SO FOR FUNDING. SO
PRETTY EXCITING.

01:43:53.327 --> 01:43:55.295
AND IN SAN DIEGO,
YOU SAID THAT IT

01:43:55.362 --> 01:43:56.897
IS OPTIONAL.

01:43:57.164 --> 01:44:00.767
UM, SO IS EVERY SCHOOL
DECIDING IT'S SOMETHING

01:44:00.834 --> 01:44:02.002
THAT THEY WANT TO DO.

01:44:02.402 --> 01:44:04.538
IS THERE EXTRA FUNDING
THAT YOU'RE PROVIDING

01:44:04.605 --> 01:44:06.139
TO THE SCHOOLS THAT
DO THAT?

01:44:06.206 --> 01:44:09.910
OR IS IT A ANOTHER POT
OF MONEY THAT THEY'RE

01:44:09.977 --> 01:44:12.813
JUST USING THAT THEY'RE
JUST DECIDING TO USE IT?

01:44:12.879 --> 01:44:15.349
THE RESOURCES ARE
COMING FROM THE CHILD

01:44:15.415 --> 01:44:19.319
NUTRITION PROGRAM
BUDGET AS WELL AS CFAS.

01:44:19.586 --> 01:44:22.089
UM, AND KIM, YOU MIGHT
BE ABLE TO SPEAK TO

01:44:22.155 --> 01:44:23.724
CCDF PROGRAMMING.

01:44:23.924 --> 01:44:26.360
UM, WE USE A LOT OF
THEIR FUNDING TO

01:44:27.361 --> 01:44:29.997
SUBCONTRACT WITH
GARDEN EDUCATORS.

01:44:30.197 --> 01:44:34.468
UM, IT IS A SCHOOL
CHOICE, UM, TO HAVE

01:44:34.534 --> 01:44:35.602
A SCHOOL GARDEN.

01:44:35.836 --> 01:44:40.707
UM, AND UM, WE HAVE MANY
AT SAN DIEGO UNIFIED.

01:44:41.174 --> 01:44:45.012
UM, AND SO WE KIND OF
GRABBED THE RESOURCES IN

01:44:45.078 --> 01:44:49.249
A VARIETY OF DIFFERENT
WAYS TO BRING, UM, THOSE

01:44:49.316 --> 01:44:51.685
KINDS OF PROGRAMS TO OUR
SCHOOLS.

01:44:53.120 --> 01:44:55.122
THANK YOU. AND I,
I SAW THAT SLIDE.

01:44:55.188 --> 01:44:57.090
IT JUST KIND OF
PERKED MY INTEREST.

01:44:57.157 --> 01:45:00.694
UM, MY KIDS WENT TO
A MONTESSORI AND THEY

01:45:00.761 --> 01:45:03.897
DO THIS A PART OF THEIR
EVERYDAY ROUTINE.

01:45:03.964 --> 01:45:06.299
UM, FOR, FOR
THE YOUNGER KIDS, UM,

01:45:06.700 --> 01:45:08.969
TO BE ABLE TO ACTUALLY
PREPARE THEIR OWN

01:45:09.036 --> 01:45:11.071
FRESH, YOU KNOW, MEALS.

01:45:11.304 --> 01:45:12.873
THERE'S A GREAT
OPPORTUNITY IF YOU THINK

01:45:12.939 --> 01:45:16.410
ABOUT THE, UM, LOCAL,
THE, THE LOCAL CONTROL,

01:45:16.476 --> 01:45:20.313
THE PLAN THAT SCHOOLS
THE LCFF PLAN AND, YOU

01:45:20.380 --> 01:45:23.316
KNOW, MANY SCHOOLS, SOME
SCHOOLS, UM, WE REALLY

01:45:23.383 --> 01:45:25.252
ENCOURAGE OUR FOOD
SERVICE DEPARTMENTS TO

01:45:25.318 --> 01:45:26.820
HAVE A SEAT AT THE TABLE
WHEN THAT PLAN IS BEING

01:45:26.887 --> 01:45:27.821
DEVELOPED.

01:45:27.888 --> 01:45:29.556
AND THIS WOULD BE, YOU
KNOW, A REALLY GREAT

01:45:29.623 --> 01:45:31.725
EXAMPLE OF STARTING
TO MAKE THOSE STRONG

01:45:31.792 --> 01:45:32.793
CONNECTIONS.

01:45:33.994 --> 01:45:35.962
GREAT, GREAT PROGRAM,
GREAT IDEAS.

01:45:36.263 --> 01:45:40.867
UM, SO I WANTED TO ASK
ABOUT THE ADEQUATE

01:45:40.934 --> 01:45:41.868
TIME TO EAT.

01:45:41.935 --> 01:45:45.072
AND I KIND OF CHUCKLE
BECAUSE, UM, YOU KNOW,

01:45:45.138 --> 01:45:46.740
A COUPLE OF WEEKS AGO
I WAS TALKING TO MY

01:45:46.807 --> 01:45:48.475
YOUNGEST AND HE WAS
LIKE, MOM, I ONLY HAVE

01:45:48.542 --> 01:45:50.310
20 MINUTES TO EAT FOR
LUNCH.

01:45:50.577 --> 01:45:52.045
UM, BECAUSE I WAS
ASKING HIM LIKE,

01:45:52.112 --> 01:45:53.547
WHAT DID YOU EAT?
EVERYTHING, YOU KNOW?

01:45:53.613 --> 01:45:59.219
AND, UM, AND SO ONE
UNDERSTANDING THAT

01:45:59.286 --> 01:46:01.955
SENATE BILL THREE,
FOUR, EIGHT REQUIRED

01:46:02.022 --> 01:46:03.924
CDC TO DEVELOP
THE RECOMMENDATIONS,

01:46:03.990 --> 01:46:06.927
BUT IT'S NOT A MANDATE
FOR INDIVIDUAL SCHOOL

01:46:06.993 --> 01:46:08.762
DISTRICTS TO ACTUALLY
ADOPT IT.

01:46:08.829 --> 01:46:11.865
DO WE HAVE ANY
INFORMATION OR ANY DATA

01:46:11.932 --> 01:46:15.168
AS TO HOW MANY SCHOOL
DISTRICTS IN THE STATE

01:46:15.235 --> 01:46:18.605
HAVE ACTUALLY ADOPTED
THE RECOMMENDATIONS FOR

01:46:18.672 --> 01:46:19.806
THE SEATED TIME?

01:46:19.873 --> 01:46:21.108
THAT IS A GREAT
QUESTION.

01:46:21.174 --> 01:46:23.944
AND WE ARE CURRENTLY,
UH, RELEASING

01:46:24.177 --> 01:46:26.313
A VOLUNTARY SURVEY
TO START COLLECTING

01:46:26.379 --> 01:46:28.348
TO SEE WHAT ARE WHAT
ARE THE BARRIERS, YOU

01:46:28.415 --> 01:46:30.250
KNOW, WHAT ARE THEIR
PRACTICES AND WHAT,

01:46:30.317 --> 01:46:32.018
WHAT IS THE LANDSCAPE
IN CALIFORNIA?

01:46:32.085 --> 01:46:34.020
SO WE'RE JUST
EMBARKING ON THAT NOW.

01:46:34.454 --> 01:46:35.388
OKAY.

01:46:35.455 --> 01:46:39.426
AND, UM, FOR THE,
THE TIME TO GET

01:46:39.760 --> 01:46:41.928
THE ACTUAL FOOD
AND APPRECIATE

01:46:41.995 --> 01:46:42.929
THE SPEED LINES.

01:46:42.996 --> 01:46:46.099
MY OLDEST IS NOW IN HIGH
SCHOOL AND THEY HAD US

01:46:46.166 --> 01:46:47.567
COME TO THE SCHOOL,
SO I GOT A CHANCE TO

01:46:47.634 --> 01:46:50.103
ACTUALLY LIKE SEE THIS
SPEED LINE IN ACTION

01:46:50.170 --> 01:46:51.171
AND IT WORKS.

01:46:51.371 --> 01:46:53.540
BUT DO WE KNOW
LIKE THE AVERAGE

01:46:53.607 --> 01:46:57.177
TIME FOR STUDENTS
TO GET THEIR FOOD?

01:46:58.178 --> 01:47:01.148
IT CAN BE AS QUICK
AS 10 TO 12 MINUTES.

01:47:02.282 --> 01:47:04.251
8 TO 900 STUDENTS.

01:47:04.317 --> 01:47:06.653
IT REALLY WORKS. YEAH.

01:47:06.853 --> 01:47:09.389
SO IF YOU WERE SAYING
AN AVERAGE OF LIKE

01:47:10.323 --> 01:47:14.861
12 MINUTES AND THEY
THEN NEED TO SIT DOWN

01:47:14.928 --> 01:47:20.066
AND EAT, UM, A 30
MINUTE LUNCH PERIOD

01:47:20.133 --> 01:47:21.101
IS NOT ADEQUATE.

01:47:21.168 --> 01:47:22.169
CORRECT?

01:47:23.170 --> 01:47:24.337
OKAY, CORRECT.

01:47:24.905 --> 01:47:25.906
OKAY.

01:47:26.239 --> 01:47:28.809
ALL RIGHT. DEFINITELY
AN EYE OPENER.

01:47:28.875 --> 01:47:30.811
THANK YOU SO MUCH
FOR, UH, FOR YOUR

01:47:30.877 --> 01:47:31.812
PRESENTATIONS.

01:47:31.878 --> 01:47:35.015
I'M SURE THAT WE WILL
BE DISCUSSING THIS

01:47:35.081 --> 01:47:36.249
FURTHER IN THE FUTURE.

01:47:38.585 --> 01:47:42.455
AT THIS POINT, WE
WILL OPEN IT UP TO

01:47:42.522 --> 01:47:46.026
ANY COMMENTS FROM
THE PUBLIC. UM.

01:47:49.029 --> 01:47:50.764
I WANT TO THANK ALL
OF OUR PANELISTS FOR

01:47:50.831 --> 01:47:52.799
ALL OF THEIR VERY,
VERY THOUGHTFUL, UM,

01:47:52.866 --> 01:47:54.201
PRESENTATIONS.

01:47:54.267 --> 01:47:57.137
SO IF YOU ARE INTERESTED
IN PROVIDING A PUBLIC

01:47:57.204 --> 01:48:01.708
COMMENT, YOU MAY COME TO
THE CENTER LECTERN, UM,

01:48:02.075 --> 01:48:07.180
IN ORDER TO ACCOMMODATE,
UM, ANY AND EVERYONE WHO

01:48:07.247 --> 01:48:10.917
MAY WANT TO SPEAK ON
WHAT WE WERE DISCUSSING

01:48:10.984 --> 01:48:11.918
TODAY.

01:48:11.985 --> 01:48:13.486
WE'RE GOING TO LIMIT
PUBLIC COMMENT TO

01:48:13.553 --> 01:48:14.554
ONE MINUTE.

01:48:16.857 --> 01:48:18.558
AND YOU MAY COME
UP AND SPEAK.

01:48:24.197 --> 01:48:28.435
UH, MADAM CHAIR,
SENATOR PIERSON, MAY

01:48:28.501 --> 01:48:33.173
WE REQUEST ME TO READ
HER INPUTS BECAUSE OF

01:48:33.240 --> 01:48:34.841
HER MEDICAL CONDITION?

01:48:35.108 --> 01:48:36.042
YES.

01:48:36.109 --> 01:48:37.110
THANK YOU MA'AM.

01:48:38.545 --> 01:48:41.648
THIS MIGHT EXCEED
ONE MINUTE, BUT I'LL

01:48:41.715 --> 01:48:43.350
TRY TO COMPRESS IT.

01:48:43.416 --> 01:48:45.852
AND I'LL GIVE THE COPY
TO YOUR STAFF.

01:48:46.753 --> 01:48:48.622
I WILL LET YOU KNOW WHEN
YOU REACH ONE MINUTE.

01:48:48.855 --> 01:48:50.357
YES, MA'AM. UM.

01:48:50.957 --> 01:48:52.692
THANK GOD WE LOVE YOU.

01:48:53.226 --> 01:48:57.397
THIS IS A DIVINE
GUIDANCE TO US.

01:48:58.398 --> 01:49:02.669
WE DIDN'T KNOW THAT YOU
HAVE A A MEETING TODAY.

01:49:04.838 --> 01:49:07.507
I AM PURITA JAVIER
SENIOR WITH EXISTING

01:49:07.574 --> 01:49:10.844
MEDICAL CONDITION
AND VICTIM OF

01:49:10.911 --> 01:49:14.381
CERAMICS KILN
TOXICITY SINCE 1997.

01:49:14.915 --> 01:49:17.150
MY HUSBAND IN 2012.

01:49:18.118 --> 01:49:20.787
WE LIVE IN FEAR
AND WE ARE HURT.

01:49:21.655 --> 01:49:26.326
WE REFERRED OUR CASE
FROM THE POLICE UP TO

01:49:26.393 --> 01:49:31.865
THE LATTER CITY, SAN
DIEGO OFFICIALS, COUNTY,

01:49:31.932 --> 01:49:35.235
AIR POLLUTION CONTROL
DISTRICT AND EVEN SANDAG

01:49:35.602 --> 01:49:39.873
AND THE F B, I AND UP
TO THIS DATE.

01:49:40.573 --> 01:49:45.979
FIVE YEARS SINCE THERE
WAS NO ACTION IGNORED.

01:49:46.046 --> 01:49:47.981
NEGLECTED. PARTICULARLY.

01:49:48.048 --> 01:49:51.851
MAYOR GLORIA
COUNCILLOR RIVERA WHO

01:49:51.918 --> 01:49:54.654
ARE THE ACCOUNTABLE
LEADERSHIP.

01:49:54.854 --> 01:49:59.826
AS FAR AS OUR COMMUNITY
IS CONCERNED AND WE

01:49:59.893 --> 01:50:05.365
ARE HERE TO DECLARE
THAT WE HAVE TO UPROOT

01:50:05.832 --> 01:50:10.737
THE CAUSE, NOT JUST
EATING GOOD FOOD.

01:50:13.073 --> 01:50:14.975
INHALING THE CLEAN
AIR, DRINKING

01:50:15.041 --> 01:50:17.544
THE CLEAN WATER,
STAYING IN A SAFE.

01:50:17.610 --> 01:50:23.283
AND IT'S ONE MINUTE MY
TURN, IF I MAY EXTEND.

01:50:24.084 --> 01:50:26.252
THIS IS OUR VALUE
ANALYSIS FROM

01:50:26.319 --> 01:50:27.320
THE PRESENTATION.

01:50:27.387 --> 01:50:30.190
THANK GOD WE LOVE YOU.

01:50:30.557 --> 01:50:33.994
WE REPRESENT 77
NEIGHBORHOODS UNDER

01:50:34.060 --> 01:50:35.061
DISTRICT NINE.

01:50:35.795 --> 01:50:37.063
YES, WE NEED FOOD.

01:50:37.697 --> 01:50:38.865
WE NEED CLEAN AIR.

01:50:39.366 --> 01:50:40.333
CLEAN WATER.

01:50:40.400 --> 01:50:45.805
WE HAVE ALL PIPING'S
MOM IN OUR COMMUNITY,

01:50:46.506 --> 01:50:48.274
PARTICULARLY SANJAY
SETHI.

01:50:50.443 --> 01:50:52.946
WE NEED CLEAN FOOD. YES.

01:50:53.680 --> 01:50:56.750
AND SO WE RECOMMEND
THAT EVERY FAMILY, AS

01:50:56.816 --> 01:51:01.855
A POLICY, MUST HAVE
AT LEAST TWO PARTS OR

01:51:01.921 --> 01:51:03.390
THREE PARTS TO PLANT.

01:51:03.590 --> 01:51:05.992
FOR EXAMPLE,
MORINGA, A MIRACLE

01:51:06.059 --> 01:51:07.193
TREE VEGETABLE.

01:51:12.098 --> 01:51:14.334
OH, THANK YOU, MA'AM,
FOR THE OPPORTUNITY.

01:51:14.401 --> 01:51:16.669
LET'S LET'S
WORK TOGETHER.

01:51:16.870 --> 01:51:18.405
AND WE ARE READY
TO HELP, MA'AM.

01:51:18.471 --> 01:51:20.807
THANK YOU. I'M GOING
TO ASK FOR ONE OF MY

01:51:20.874 --> 01:51:22.842
DISTRICT STAFF, BECAUSE
I'VE GOT A LOT IN

01:51:22.909 --> 01:51:26.413
THE AUDIENCE TO, UM, TO
SPEAK WITH YOU AT THIS

01:51:26.479 --> 01:51:29.783
TIME, AND WE'LL BRING
THE NEXT SPEAKER UP.

01:51:30.617 --> 01:51:31.851
HELLO. YOU MAY BEGIN.

01:51:32.385 --> 01:51:35.488
UM, THANK YOU FOR HAVING
THIS, UH, COMMITTEE FOR

01:51:35.555 --> 01:51:36.923
NUTRITIONAL ACCESS.

01:51:36.990 --> 01:51:39.559
I STARTED A NONPROFIT
CALLED YOUR GARDEN

01:51:39.626 --> 01:51:43.263
CONNECTION, AND I AM
BUILDING AND MAINTAINING

01:51:43.329 --> 01:51:44.764
GARDENS AT SCHOOLS.

01:51:44.831 --> 01:51:49.035
AND, UM, TO HELP BRIDGE
THE GAP FOR NUTRITION

01:51:49.102 --> 01:51:50.370
FOR FAMILIES.

01:51:50.437 --> 01:51:53.873
I THINK IT WOULD BE
HELPFUL TO GROW MORE

01:51:53.940 --> 01:51:58.011
FOOD AT ALL SCHOOL
CAMPUSES, UM, HAVE

01:51:58.078 --> 01:52:00.547
MORE COMMUNITY GARDENS
THAT ARE WALKABLE TO

01:52:00.613 --> 01:52:02.615
THERE'S ONE COMMUNITY
GARDEN IN EL CAJON.

01:52:03.116 --> 01:52:06.419
UM, AND IF WE WERE
TO SIMPLIFY FOOD

01:52:06.486 --> 01:52:09.923
DISTRIBUTION, UM, BY
HAVING EVERYONE GROW

01:52:09.989 --> 01:52:12.792
THEIR OWN FOOD, UM, IT
CAN HELP BRIDGE THAT

01:52:12.859 --> 01:52:15.395
GAP EVEN FURTHER, UH,
CREATING INCENTIVES

01:52:15.462 --> 01:52:18.798
FOR PROPERTY OWNERS TO
GROW FOOD.

01:52:18.865 --> 01:52:21.267
UM, AND BY HAVING
GARDENS INSTEAD OF

01:52:21.334 --> 01:52:25.538
LAWNS, UM, HAVING RAISED
GARDEN BEDS USES LESS

01:52:25.605 --> 01:52:28.074
WATER THAN MAINTAINING
GREEN LANDSCAPED LAWNS.

01:52:30.076 --> 01:52:33.246
AND BEING ABLE TO
GROW VERTICALLY CAN

01:52:33.313 --> 01:52:37.550
HELP GROW MORE FOOD
WITH LESS SPACE.

01:52:38.051 --> 01:52:39.986
SO I HOPE THAT YOU
CAN CONSIDER FUNDING

01:52:40.053 --> 01:52:43.756
FOR MORE COMMUNITY
GARDENS. THANK YOU.

01:52:49.729 --> 01:52:51.631
THANK YOU, SENATOR
ROBERT PIERSON, FOR

01:52:51.698 --> 01:52:52.866
THE OPPORTUNITY TO
SPEAK AND FOR ALL

01:52:52.932 --> 01:52:54.334
THE WORK THAT YOU
DO FOR CALIFORNIANS,

01:52:54.400 --> 01:52:56.436
AND SPECIFICALLY
A SAN DIEGANS.

01:52:56.870 --> 01:52:58.304
MY NAME IS DOCTOR
GAYLE BACHMAN.

01:52:58.371 --> 01:53:00.440
I'M A PHYSICAL
THERAPIST HERE IN SAN

01:53:00.507 --> 01:53:02.542
DIEGO, AND I SPENT MOST
OF MY CAREER WORKING

01:53:02.609 --> 01:53:05.311
WITH PATIENTS WHO HAVE
SUFFERED NEUROLOGICAL

01:53:05.378 --> 01:53:06.412
CONDITIONS.

01:53:06.479 --> 01:53:08.615
UM, A LARGE PORTION OF
THOSE BEING INDIVIDUALS

01:53:08.681 --> 01:53:09.682
WITH STROKE.

01:53:09.916 --> 01:53:12.785
UM, AS WE HEARD FROM
DOCTOR KHARAZI EARLIER,

01:53:12.852 --> 01:53:14.654
CARDIOVASCULAR DISEASE
IS A LEADING CAUSE OF

01:53:14.721 --> 01:53:15.655
DEATH AND DISABILITY.

01:53:15.722 --> 01:53:17.524
AND STROKE IS
A MAJOR CONTRIBUTION

01:53:17.590 --> 01:53:18.591
TO THAT BURDEN.

01:53:19.125 --> 01:53:21.961
UM, ACCORDING TO CDC,
MORE THAN HALF OF STROKE

01:53:22.028 --> 01:53:24.097
SURVIVORS EXPERIENCE
REDUCED MOBILITY.

01:53:24.164 --> 01:53:25.532
AND THAT INCLUDES
THEIR ABILITY TO TAKE

01:53:25.598 --> 01:53:27.300
CARE OF THEMSELVES,
FEED THEMSELVES,

01:53:27.367 --> 01:53:32.038
BATHE, DRESS, WALK TO
ANY NEARBY MARKET.

01:53:32.438 --> 01:53:34.440
UH. THESE ARE LIFE
CHANGING INDIVIDUALS

01:53:34.507 --> 01:53:36.009
THAT DON'T ONLY AFFECT
THE INDIVIDUALS,

01:53:36.075 --> 01:53:38.478
BUT ALSO THEIR FAMILIES
AS WELL, WHO OFTEN HAVE

01:53:38.545 --> 01:53:41.214
TO TAKE OFF TIME FOR
WORK TO, TO TAKE ON

01:53:41.281 --> 01:53:42.415
THAT BURDEN OF CARE.

01:53:43.082 --> 01:53:45.084
UM, PREVENTION THROUGH
ACCESS TO HEALTHY

01:53:45.151 --> 01:53:47.620
FOODS AND NUTRITION IS
CRITICAL IN REDUCING

01:53:47.687 --> 01:53:50.323
STROKE RISK FACTORS,
PARTICULARLY HIGH

01:53:50.390 --> 01:53:51.324
BLOOD PRESSURE.

01:53:51.391 --> 01:53:53.059
AND THEN AS WE'VE TALKED
ABOUT A LOT TODAY,

01:53:53.126 --> 01:53:55.428
PROCESSED FOOD THAT'S
USUALLY HIGH IN SODIUM.

01:53:55.962 --> 01:53:58.331
AND IT'S NOT JUST FOR
THE INITIAL REDUCTION

01:53:58.398 --> 01:54:00.366
IN STROKE RISK
FACTORS, BUT OFTEN

01:54:00.433 --> 01:54:02.702
FOR THOSE NOT GETTING
A SECONDARY STROKE.

01:54:03.002 --> 01:54:04.170
UM, THANK YOU
FOR THIS TIME.

01:54:04.237 --> 01:54:05.972
I REALLY LOOK FORWARD
TO THE CONTINUED WORK

01:54:06.039 --> 01:54:07.607
THAT YOU'RE GOING TO DO
AND ANY OPPORTUNITY TO

01:54:07.674 --> 01:54:09.709
COLLABORATE WITH LOCAL
PARTNERS OR YOUR OFFICE.

01:54:15.248 --> 01:54:17.884
THANK YOU, SENATOR
WEBER PEARSON AND ALSO

01:54:17.951 --> 01:54:18.952
SENATOR PADILLA.

01:54:19.319 --> 01:54:21.821
UH, CALFRESH PROVIDES
MY CELL PHONE SERVICE.

01:54:21.888 --> 01:54:25.325
DOMINOES FALL WHEN
CALFRESH IS LOST, AND IT

01:54:25.391 --> 01:54:26.960
CAN BE JUST A LITTLE
TRIP UP AND CAUSES A LOT

01:54:27.026 --> 01:54:27.961
OF PROBLEMS.

01:54:28.027 --> 01:54:29.729
TRANSIT COSTS
HAVE RISEN.

01:54:29.796 --> 01:54:31.598
THAT GIVES ME A LOT OF
PROBLEMS TOO, BECAUSE

01:54:31.664 --> 01:54:33.366
NOW I HAVE TO COME UP
WITH EXTRA DOLLARS.

01:54:34.100 --> 01:54:38.605
SO LOSING A CALFRESH
BENEFITS HURT LOCAL

01:54:38.671 --> 01:54:40.940
ECONOMY, AND WE NEED
TO KNOW THAT MANY TIMES

01:54:41.007 --> 01:54:43.643
I HAVE TO SPEND EXTRA
MONEY WITH MY CALFRESH

01:54:43.710 --> 01:54:47.247
SO THAT I CAN USE, UM,
RETAIL CLUB DOLLARS TO

01:54:47.313 --> 01:54:51.184
GET, UH, TOOTHPASTE,
TOILET PAPER, DETERGENT

01:54:51.251 --> 01:54:52.552
THAT'S NOT COVERED
UNDER IT.

01:54:52.885 --> 01:54:54.587
WHEN I WAS YOUNG
AND LIVING IN GOVERNMENT

01:54:54.654 --> 01:54:56.589
HOUSING DUE TO MY
DAD NEEDING SURGERY

01:54:56.656 --> 01:54:59.092
AND HEART TRANSPLANT, WE
HAD A COMMUNITY GARDEN

01:54:59.158 --> 01:55:00.093
SPACE.

01:55:00.159 --> 01:55:03.196
I LOVED GETTING MY
HANDS IN THE SOIL

01:55:03.263 --> 01:55:06.633
AND HAVING THE CHANCE TO
PRODUCE SOMETHING, GROW

01:55:06.699 --> 01:55:08.368
SOMETHING BY MY WORK.

01:55:09.235 --> 01:55:11.004
IT REALLY CHANGED
MY LIFE TILL

01:55:11.070 --> 01:55:12.438
THE DAY THAT YEAR.

01:55:12.505 --> 01:55:16.476
VIA THE MINNEAPOLIS STAR
TRIBUNE, I EARNED MY

01:55:16.542 --> 01:55:19.045
FIRST TRIP TO SAN DIEGO
SELLING SUBSCRIPTIONS.

01:55:19.512 --> 01:55:21.147
I WAS 11 YEARS OLD THEN.

01:55:21.948 --> 01:55:23.850
YET WE STILL
CAN DO BETTER.

01:55:24.083 --> 01:55:25.752
WE CAN DO BETTER.

01:55:26.119 --> 01:55:28.588
LET'S DO BETTER. CAN
THE STATE ASK CHURCHES

01:55:28.655 --> 01:55:31.724
AND COMMUNITY COLLEGES
TO PROVIDE GARDENS?

01:55:31.791 --> 01:55:34.260
MAYBE INCLUDE EVEN
PUBLIC UTILITY

01:55:34.327 --> 01:55:35.528
LANDS ALSO?

01:55:35.595 --> 01:55:36.729
THANK YOU VERY MUCH.

01:55:40.433 --> 01:55:42.935
GOOD MORNING. MY
NAME IS MARY YOUNG.

01:55:43.002 --> 01:55:48.274
I'M FROM ENCANTO, WHICH
IS IN SOUTHEASTERN SAN

01:55:48.341 --> 01:55:49.275
DIEGO.

01:55:49.342 --> 01:55:51.311
I WASN'T PLANNING
TO SPEAK, BUT AS

01:55:51.377 --> 01:55:55.882
I HEARD THEM TALK
ABOUT PROGRAMS, UH,

01:55:55.948 --> 01:55:58.084
I THOUGHT ABOUT
MORRIS HIGH SCHOOL.

01:55:58.151 --> 01:56:01.788
MORRIS HIGH SCHOOL
HAS A SCHOOL GARDEN.

01:56:01.854 --> 01:56:05.058
THEY WORK WITH, UH,
PROJECT NEW VILLAGE.

01:56:05.258 --> 01:56:08.261
AND SO I WANTED TO GIVE
THEM A SHOUT OUT, UM,

01:56:08.328 --> 01:56:12.165
BECAUSE THEY WORK VERY
HARD IN PRODUCING, UH,

01:56:12.465 --> 01:56:16.302
FRESH VEGETABLES FOR
THE COMMUNITY AND ALSO

01:56:16.369 --> 01:56:17.403
FOR THE SCHOOLS.

01:56:17.637 --> 01:56:18.905
IT DOES WORK.

01:56:18.971 --> 01:56:20.506
WE WOULD LIKE
TO SEE MORE.

01:56:20.873 --> 01:56:24.911
WE HAVE LAND OUT THERE
AND I'M THINKING THAT

01:56:24.977 --> 01:56:26.779
THAT'S SOMETHING THAT
WE SHOULD DO.

01:56:27.180 --> 01:56:31.818
UM, HAVE UM,
THE COMMUNITY PRODUCE

01:56:31.884 --> 01:56:36.022
MORE UM FRESH VEGETABLES
AND THINGS LIKE THAT.

01:56:36.356 --> 01:56:39.192
UM AND USE THAT LAND
MORE APPROPRIATELY, UH,

01:56:39.258 --> 01:56:41.728
AND HAVE THE SCHOOLS
MORE INVOLVED IN

01:56:41.794 --> 01:56:43.162
PROJECTS LIKE THAT.

01:56:43.229 --> 01:56:45.031
SO WE THANK YOU
FOR BEING HERE

01:56:45.098 --> 01:56:46.199
TODAY. THANK YOU.

01:56:55.208 --> 01:56:57.910
GOOD MORNING, SENATOR
WEBBER PEARSON, THANK

01:56:57.977 --> 01:57:00.146
YOU FOR HAVING THIS
EVENT TODAY.

01:57:00.446 --> 01:57:02.382
I'M DOCTOR GERALD
TOLBERT, AN EMERGENCY

01:57:02.448 --> 01:57:05.651
MEDICINE PHYSICIAN AT
UC SAN DIEGO AND FACULTY

01:57:05.718 --> 01:57:08.054
CHAIR OF THE FOOD
IS MEDICINE UNIT AT

01:57:08.121 --> 01:57:10.456
THE CENTER FOR COMMUNITY
HEALTH IN THE EMERGENCY

01:57:10.523 --> 01:57:11.457
DEPARTMENT.

01:57:11.524 --> 01:57:12.892
I CARE FOR UNHOUSED
PATIENTS WHO COME

01:57:12.959 --> 01:57:15.161
IN REGULARLY FOR
CLINICAL EVALUATION.

01:57:15.528 --> 01:57:17.163
WE CHECK THEIR
VITAL SIGNS.

01:57:17.663 --> 01:57:20.633
WE CHECK THEIR LABS,
WE TREAT WHAT WE CAN,

01:57:20.700 --> 01:57:24.570
BUT OFTEN TIMES WE CAN'T
PROVIDE THEM THE THING

01:57:24.637 --> 01:57:26.806
THAT THEY NEED BECAUSE
THEY'RE JUST SIMPLY

01:57:26.873 --> 01:57:31.077
HUNGRY AND THEIR ACCESS
TO FOOD IS REDUCED AS

01:57:31.144 --> 01:57:32.412
WELL AS I APPRECIATE IT.

01:57:32.478 --> 01:57:36.549
DOCTOR CORAZZA POINT
ABOUT, UM, HOW DOES ONE

01:57:36.616 --> 01:57:39.452
HEAL AFTER A SURGERY
IF ONE IS HUNGRY?

01:57:40.353 --> 01:57:43.723
UM, I THINK CALIFORNIA
HAS SOME TOOLS TO DEAL

01:57:43.790 --> 01:57:46.826
WITH THIS, UM, EVEN WITH
THESE FEDERAL CUTS.

01:57:46.893 --> 01:57:48.928
UM, SO I WOULD
ENCOURAGE ONE, WE

01:57:48.995 --> 01:57:51.998
CAN PROTECT CALFRESH
SO NO OTHER ELIGIBLE

01:57:52.064 --> 01:57:54.967
FAMILY LOSES FOOD
BECAUSE OF PAPERWORK.

01:57:55.368 --> 01:57:57.970
WE CAN BACKFILL
THE GAPS, UM, FOR

01:57:58.037 --> 01:58:00.940
IMMIGRANTS COMMUNITIES
LOSING BENEFITS FOR,

01:58:01.007 --> 01:58:04.010
UM, AND FOR THE FOOD
BANKS FACING RISING

01:58:04.076 --> 01:58:06.979
DEMAND, UM, AS WELL AS
WE CAN BUILD ON WHAT WE

01:58:07.046 --> 01:58:10.683
WORK, UH, WORKS FOR OUR
KIDS, UNIVERSAL SCHOOL

01:58:10.750 --> 01:58:12.685
MEALS AND SUMMER FOOD
BENEFITS.

01:58:12.952 --> 01:58:14.954
SO I APPRECIATE YOUR
TIME. THANK YOU.

01:58:17.890 --> 01:58:20.226
WELL, THAT IS THE END
OF PUBLIC COMMENT AS

01:58:20.293 --> 01:58:23.296
I DON'T SEE ANYONE ELSE
LOOKING TO COME FORWARD.

01:58:23.362 --> 01:58:24.897
REALLY WANT TO
THANK EVERYONE FOR

01:58:24.964 --> 01:58:26.065
COMING OUT TODAY.

01:58:26.132 --> 01:58:29.802
UM, I THINK WE HAD SOME
VERY INFORMATIVE, VERY

01:58:29.869 --> 01:58:31.337
GOOD PRESENTATIONS.

01:58:31.404 --> 01:58:34.841
UM, THAT SPARKED A LOT
OF IDEAS, UM, AT LEAST

01:58:34.907 --> 01:58:38.311
FOR MYSELF AND HOPEFULLY
ALSO FOR, UM, ANY OF

01:58:38.377 --> 01:58:39.979
MY COLLEAGUES THAT MAY
HAVE BEEN WATCHING

01:58:40.046 --> 01:58:42.949
AND ALSO FOR SENATOR
PADILLA, UM, IT IS

01:58:43.015 --> 01:58:47.320
VERY CLEAR THE LINK
BETWEEN ACCESS TO FRESH

01:58:47.386 --> 01:58:50.490
FRUITS AND VEGETABLES
AND ADEQUATE NUTRITION

01:58:50.756 --> 01:58:54.026
AND THE OVERALL HEALTH
OF AN INDIVIDUAL, UM,

01:58:54.093 --> 01:58:55.695
AND THE HEALTH OF
A COMMUNITY.

01:58:55.928 --> 01:58:58.264
I LOVE ALL OF THE PEOPLE
WHO, WHO CAME UP

01:58:58.331 --> 01:59:00.533
AND TALKED ABOUT
COMMUNITY GARDENS.

01:59:00.766 --> 01:59:02.668
UM, BECAUSE I DO THINK
THAT IS SOMETHING THAT

01:59:02.735 --> 01:59:05.471
WE SHOULD BE LOOKING
MORE INTO AND, UM,

01:59:05.538 --> 01:59:06.873
AND INVESTING IN.

01:59:07.206 --> 01:59:10.476
UM, STUDIES HAVE ALSO
COME OUT SHOWING THE,

01:59:11.043 --> 01:59:14.647
UM, UH, JUST PUTTING
YOUR HANDS IN, IN

01:59:14.714 --> 01:59:18.684
THE DIRT, HOW THAT HAS
A POSITIVE IMPACT ON,

01:59:19.085 --> 01:59:21.521
UM, A CERTAIN PORTION
OF SOME OF THE HORMONES

01:59:21.587 --> 01:59:23.189
THAT, THAT YOUR BODY
PRODUCES.

01:59:23.256 --> 01:59:25.558
BUT ALSO AS WE ARE
LOOKING AROUND

01:59:25.625 --> 01:59:27.093
AND WE'RE, AND WE'RE
SEEING SOME OF

01:59:27.159 --> 01:59:29.061
THE SIGNIFICANT
OUTBREAKS FROM

01:59:29.128 --> 01:59:30.296
THE FRUITS
AND VEGETABLES THAT

01:59:30.363 --> 01:59:31.397
WE'RE BUYING.

01:59:31.464 --> 01:59:35.434
UM, I KNOW FOR MYSELF,
IT HAS MADE ME START

01:59:35.768 --> 01:59:37.003
GROWING THINGS AT HOME.

01:59:37.270 --> 01:59:40.773
SO IT IS NOT ONLY
HEALTHIER IN TERMS OF

01:59:40.840 --> 01:59:43.643
WHAT WE BE BRINGING INTO
OUR BODIES, BUT THE,

01:59:44.110 --> 01:59:47.480
THE ACTUAL PROCESS OF
GARDENING, UM, HAS

01:59:47.547 --> 01:59:50.416
AN IMPACT, A POSITIVE
IMPACT ON ONE'S HEALTH.

01:59:50.683 --> 01:59:53.352
UM, AND JUST THE ENTIRE
COMMUNITY BRINGING

01:59:53.419 --> 01:59:54.487
PEOPLE TOGETHER.

01:59:54.720 --> 01:59:56.722
UM, AND SO I REALLY,
REALLY APPRECIATE ALL

01:59:56.789 --> 02:00:00.459
OF THOSE WHO'VE LIFTED
UP THE, UM, THE IDEA

02:00:00.526 --> 02:00:02.929
OF US FOCUSING MORE ON
COMMUNITY GARDENS.

02:00:02.995 --> 02:00:05.164
FOOD IS MEDICINE
IS SOMETHING THAT

02:00:05.231 --> 02:00:06.699
I STRONGLY BELIEVE IN.

02:00:06.766 --> 02:00:09.135
AND, UH, ONE OF
MY COLLEAGUES HAS

02:00:09.201 --> 02:00:10.636
REALLY BEEN TRYING
TO GET THAT THROUGH

02:00:10.703 --> 02:00:13.039
THE LEGISLATURE MORE
FOCUSED, MORE FUNDING.

02:00:13.472 --> 02:00:16.275
UM, DEFINITELY COMMITTED
TO DOING THAT AGAIN.

02:00:16.342 --> 02:00:18.277
WE'VE HIT ROADBLOCKS
EVERY TIME WE'VE

02:00:18.344 --> 02:00:20.546
TRIED IT, BUT IT'S,
IT'S IMPORTANT.

02:00:20.813 --> 02:00:23.349
UM, AND IT IS SOMETHING
THAT WE NEED TO

02:00:23.416 --> 02:00:25.651
BE INVESTING IN
AND UNDERSTANDING THAT

02:00:25.718 --> 02:00:28.087
IF WE WANT TO REDUCE
A LOT OF THE COSTS

02:00:28.154 --> 02:00:30.289
WITHIN OUR HEALTH CARE
SYSTEM IN TERMS OF,

02:00:30.623 --> 02:00:34.393
UM, MANAGING CHRONIC
DISEASES WITH DRUGS AND,

02:00:34.460 --> 02:00:37.997
AND HOSPITALIZATIONS
AND ER VISITS AND,

02:00:38.064 --> 02:00:40.199
AND OTHER THINGS THAT
WE REALLY NEED TO FOCUS

02:00:40.266 --> 02:00:43.669
ON THE FACT THAT FOOD
IS MEDICINE, FOOD CAN

02:00:43.736 --> 02:00:45.972
HELP PREVENT A LOT OF
THESE THINGS.

02:00:46.305 --> 02:00:48.741
AND IT CAN ALSO
HELP TREAT SOME OF

02:00:48.808 --> 02:00:50.543
THESE THINGS ONCE
INDIVIDUALS HAVE IT.

02:00:50.610 --> 02:00:52.645
AND SO, UM,
I LOOK FORWARD TO

02:00:52.712 --> 02:00:54.280
THE CONTINUING
CONVERSATIONS,

02:00:54.347 --> 02:00:57.516
THE PARTNERSHIPS,
THE WORKING ON OUR, OUR

02:00:57.583 --> 02:01:00.286
SCHOOL MEALS, ENSURING
THAT, UM, THAT WE'RE

02:01:00.353 --> 02:01:03.422
ABLE TO SUSTAIN THEM,
UM, IN THIS VERY, VERY

02:01:03.489 --> 02:01:04.890
DIFFICULT BUDGET YEAR.

02:01:04.957 --> 02:01:10.329
I KNOW, UM, AS A PARENT
OF TWO CHILDREN, UM, IN

02:01:10.396 --> 02:01:11.764
SCHOOLS THAT IT IS.

02:01:11.998 --> 02:01:13.799
IT IS SOMETHING THAT
WE UTILIZE, AND IT

02:01:13.866 --> 02:01:15.835
IS SOMETHING THAT IS
EXTREMELY IMPORTANT

02:01:16.268 --> 02:01:19.739
THAT WE AS CALIFORNIA,
EMBRACE AS THE ONLY ONE

02:01:19.805 --> 02:01:21.073
AND AS THE ONLY STATE.

02:01:21.307 --> 02:01:23.376
UM, AND IT IS
IMPORTANT NOT ONLY

02:01:23.442 --> 02:01:25.244
FOR THE STUDENTS,
BUT THE FAMILIES AND ALL

02:01:25.311 --> 02:01:26.779
OF THE COMMUNITIES THAT
WE SERVE.

02:01:26.846 --> 02:01:29.248
SO I WANT TO THANK YOU
ALL SO MUCH FOR COMING

02:01:29.315 --> 02:01:30.650
OUT AND PARTICIPATING.

02:01:30.916 --> 02:01:32.918
AND, UH, LOOK FORWARD
TO THE CONTINUED

02:01:32.985 --> 02:01:33.919
PARTNERSHIP.

02:01:33.986 --> 02:01:36.122
IF ANYONE HAS ANY
FURTHER QUESTIONS,

02:01:36.188 --> 02:01:38.424
CONCERNS, COMMENTS,
YOU CAN ALWAYS DIRECT

02:01:38.491 --> 02:01:41.360
THOSE TO MY DISTRICT
OFFICE HERE.

02:01:41.560 --> 02:01:44.130
UM, I HAVE LOTS OF STAFF
HERE WHO WILL WAVE THEIR

02:01:44.196 --> 02:01:47.299
HANDS IF YOU WANT TO GET
A CARD OR ANY QUESTIONS.

02:01:47.366 --> 02:01:49.335
AND JESSE, YOU CAN RAISE
YOUR HAND IN THE FRONT.

02:01:49.402 --> 02:01:51.003
MALAYA IS BACK
IN THE GREEN.

02:01:51.070 --> 02:01:52.505
MONA IS IN THE WHITE.

02:01:52.571 --> 02:01:54.106
AND AND SAM IS
BACK THERE WAVING

02:01:54.173 --> 02:01:55.241
HIS HAND AS WELL.

02:01:55.307 --> 02:01:57.610
SO THANK YOU ALL SO MUCH
FOR COMING AND I HOPE

02:01:57.677 --> 02:01:58.844
YOU HAVE AN AMAZING DAY.