WEBVTT
Region: id=rollup2 lines=2 scroll=up
00:26:25.050 --> 00:26:26.018 region:rollup2
TO GO AHEAD AND GET STARTED WITH
00:26:25.717 --> 00:26:27.252 region:rollup2
OUR HEARING.
00:26:26.018 --> 00:26:30.422 region:rollup2
.
00:26:27.252 --> 00:26:30.823 region:rollup2
WELL LITTLE SHRIVER QUORUM.
00:26:30.422 --> 00:26:32.991 region:rollup2
WATCH I'M QUORUM.
00:26:30.823 --> 00:26:33.659 region:rollup2
.
00:26:32.991 --> 00:26:35.093 region:rollup2
BUT WE WILL GO AHEAD GET STARTED
00:26:33.659 --> 00:26:35.994 region:rollup2
AS A SUB COMMITTEE SO.
00:26:35.093 --> 00:26:38.097 region:rollup2
TODAY WE WILL.
00:26:35.994 --> 00:26:39.598 region:rollup2
WE WILL HEAR TWO WITNESSES PER
00:26:38.097 --> 00:26:40.999 region:rollup2
SIDE WITH THE LONG TIME LIMIT OF
00:26:39.598 --> 00:26:42.601 region:rollup2
THREE MINUTES EACH ADDITIONAL
00:26:40.999 --> 00:26:43.368 region:rollup2
WITNESSES WILL BE ASKED ONLY
00:26:42.601 --> 00:26:44.770 region:rollup2
STATE THEIR NAME AND
00:26:43.368 --> 00:26:46.338 region:rollup2
ORGANIZATION AND POSITION FOR
00:26:44.770 --> 00:26:48.273 region:rollup2
THE RECORD.
00:26:46.338 --> 00:26:50.209 region:rollup2
WE WILL HAVE A SPECIAL ORDER
00:26:48.273 --> 00:26:52.177 region:rollup2
BUSINESS TO HEAR AB THIRTY
00:26:50.209 --> 00:26:53.612 region:rollup2
EIGHTY SEVEN A BY MISTER KALRA
00:26:52.177 --> 00:26:55.047 region:rollup2
FROM THREE THIRTY TO FOUR THIRTY
00:26:53.612 --> 00:26:57.449 region:rollup2
TODAY.
00:26:55.047 --> 00:26:59.351 region:rollup2
DOT THIS IS OUR LAST.
00:26:57.449 --> 00:27:01.120 region:rollup2
BILL HEARING ON ASSEMBLY BILLS
00:26:59.351 --> 00:27:02.821 region:rollup2
WE HAVE THIRTY FIVE BILLS ON THE
00:27:01.120 --> 00:27:05.491 region:rollup2
AGENDA NASA MEMBERS BE PRESENT
00:27:02.821 --> 00:27:08.327 region:rollup2
AS MUCH AS POSSIBLE.
00:27:05.491 --> 00:27:09.261 region:rollup2
TWEENER SO.
00:27:08.327 --> 00:27:10.129 region:rollup2
A PHRASE I'M NOT AYE AYE DEBT
00:27:09.261 --> 00:27:10.963 region:rollup2
THAT I DON'T LIKE VERY MUCH
00:27:10.129 --> 00:27:12.698 region:rollup2
QUITE FRANKLY.
00:27:10.963 --> 00:27:14.132 region:rollup2
FOR THOSE YOU HAVE A POSITION
00:27:12.698 --> 00:27:15.968 region:rollup2
SOMEWHERE BETWEEN SUPPORT AND
00:27:14.132 --> 00:27:17.369 region:rollup2
OPPOSEOR THOSE OR WHO HAVE NO
00:27:15.968 --> 00:27:18.871 region:rollup2
POSITION BECAUSE OF THE LENGTH
00:27:17.369 --> 00:27:20.806 region:rollup2
OF OUR AGENDA I'M I'M NOT
00:27:18.871 --> 00:27:21.874 region:rollup2
ALLOWING EXTENSIVE TESTIMONY. IF
00:27:20.806 --> 00:27:23.342 region:rollup2
YOU SUBMITTED A LETTER TO THE
00:27:21.874 --> 00:27:25.210 region:rollup2
COMMITTEE AND AUTHOR. VERY
00:27:23.342 --> 00:27:26.278 region:rollup2
BRIEFLY EXPLAIN IF YOU DID NOT
00:27:25.210 --> 00:27:27.579 region:rollup2
SUBMIT A LETTER PLEASE ONLY GIVE
00:27:26.278 --> 00:27:29.581 region:rollup2
YOUR NAME ORGANIZATION AND
00:27:27.579 --> 00:27:30.816 region:rollup2
POSITION.
00:27:29.581 --> 00:27:32.851 region:rollup2
OF THE CONCERT FILM ARE PROPOSED
00:27:30.816 --> 00:27:34.553 region:rollup2
FOR CONSENT.
00:27:32.851 --> 00:27:35.921 region:rollup2
AND ANY MEMBER MAY PULL A HER
00:27:34.553 --> 00:27:37.389 region:rollup2
HAVE A BILL REMOVED FROM THE
00:27:35.921 --> 00:27:38.657 region:rollup2
CONSENT CALENDAR. SO THE
00:27:37.389 --> 00:27:41.026 region:rollup2
FOLLOWING BILLS A PROPOSED FOR
00:27:38.657 --> 00:27:42.561 region:rollup2
CONSENT TODAY ITEM NUMBER FIVE
00:27:41.026 --> 00:27:45.164 region:rollup2
AB TWENTY TWENTY NINE EDUARDO
00:27:42.561 --> 00:27:46.532 region:rollup2
GARCIA. ITEM NUMBER SEVEN AB
00:27:45.164 --> 00:27:48.800 region:rollup2
TWENTY ONE EIGHTEEN MISTER
00:27:46.532 --> 00:27:50.369 region:rollup2
COOLEY WITH AMENDMENTS.
00:27:48.800 --> 00:27:52.070 region:rollup2
AND WITH THE AGREEMENT THAT IF
00:27:50.369 --> 00:27:53.205 region:rollup2
THIS BILL SUBSTANTIALLY MINUTE
00:27:52.070 --> 00:27:56.208 region:rollup2
WE WILL CALL IT BACK TO HEALTH
00:27:53.205 --> 00:27:57.543 region:rollup2
COMMITTEE. MR Y. GARCIA'S BILL.
00:27:56.208 --> 00:27:59.278 region:rollup2
WITH AMENDMENTS AS WELL.
00:27:57.543 --> 00:28:01.480 region:rollup2
ITEM NUMBER FOUTEEN AB TWENTY
00:27:59.278 --> 00:28:03.916 region:rollup2
THREE TWENTY FIVE MISS IRWIN
00:28:01.480 --> 00:28:05.684 region:rollup2
ITEM NUMBER FIFTEEN AB TWENTY
00:28:03.916 --> 00:28:07.753 region:rollup2
THREE THIRTY THREE WOULD. ITEM
00:28:05.684 --> 00:28:09.454 region:rollup2
NUMBER TWENTY A BEEF TWENTY FOUR
00:28:07.753 --> 00:28:10.722 region:rollup2
SEVENTY ONE THURMAN.
00:28:09.454 --> 00:28:11.590 region:rollup2
ITEM NUMBER TWENTY THREE AB
00:28:10.722 --> 00:28:12.925 region:rollup2
TWENTY FOUR EIGHTY NINE
00:28:11.590 --> 00:28:14.660 region:rollup2
MAIENSCHEIN.
00:28:12.925 --> 00:28:16.461 region:rollup2
I NUMBER TWENTY SEVEN AB TWENTY
00:28:14.660 --> 00:28:18.897 region:rollup2
SIX EIGHTY SIX MISTER JONES
00:28:16.461 --> 00:28:20.532 region:rollup2
SAWYER. I NEVER TWENTY NINE AB
00:28:18.897 --> 00:28:22.134 region:rollup2
FIFTIES TWENTY SEVEN FIFTY
00:28:20.532 --> 00:28:24.236 region:rollup2
MISTER OBERNOLTE. ITEM NUMBER
00:28:22.134 --> 00:28:25.704 region:rollup2
THIRTY TWO AB TWENTY EIGHT
00:28:24.236 --> 00:28:27.806 region:rollup2
NINETY THREE MISS WALDRON. ITEM
00:28:25.704 --> 00:28:29.274 region:rollup2
NUMBER THIRTY THREE AB TWENTY
00:28:27.806 --> 00:28:30.676 region:rollup2
NINE SIXTY SEVEN MISS QUIRK SO
00:28:29.274 --> 00:28:32.778 region:rollup2
WITH AMENDMENTS.
00:28:30.676 --> 00:28:34.613 region:rollup2
AND ITEM NUMBER THIRTY FIVE ACR
00:28:32.778 --> 00:28:36.515 region:rollup2
ONE SEVENTY SEVEN MISTER JONES
00:28:34.613 --> 00:28:39.017 region:rollup2
SAWYER WITH AMENDMENTS.
00:28:36.515 --> 00:28:41.153 region:rollup2
THAT BEING SAID WE WILL. NOW
00:28:39.017 --> 00:28:42.187 region:rollup2
MOVE ON.
00:28:41.153 --> 00:28:43.855 region:rollup2
WE WERE LOOKING FOR AUTHORS
00:28:42.187 --> 00:28:44.456 region:rollup2
MISTER CHU I SEE YOUR PRESENT
00:28:43.855 --> 00:28:48.226 region:rollup2
WOULD YOU LIKE TO PRESENT YOUR
00:28:44.456 --> 00:28:50.429 region:rollup2
BILL.
00:28:48.226 --> 00:28:58.403 region:rollup2
SHE WILL BE PRESENTING A. B. TWO
00:28:50.429 --> 00:28:59.471 region:rollup2
ZERO TWO TWO.
00:28:58.403 --> 00:29:00.806 region:rollup2
AT WHEN YOU'RE READY SECOND
00:28:59.471 --> 00:29:03.275 region:rollup2
MISTER CHAIR OF THEIR MEMBERS
00:29:00.806 --> 00:29:05.611 region:rollup2
I'M HERE TODAY TO PERCENT AB TWO
00:29:03.275 --> 00:29:07.412 region:rollup2
ZERO TWO TWO. A BILL TO EXPAND
00:29:05.611 --> 00:29:08.513 region:rollup2
MENTAL HEALTH SERVICES TO EVERY
00:29:07.412 --> 00:29:10.415 region:rollup2
STUDENT.
00:29:08.513 --> 00:29:12.551 region:rollup2
ADD THEIR SCHOOLS.
00:29:10.415 --> 00:29:13.685 region:rollup2
THE BILL REQUIRED IT WILL BE ONE
00:29:12.551 --> 00:29:16.288 region:rollup2
OR MORE MENTAL HEALTH
00:29:13.685 --> 00:29:19.157 region:rollup2
PROFESSIONALS ON ALL ELEMENTARY
00:29:16.288 --> 00:29:20.826 region:rollup2
AND SECONDARY SCHOOL CAMPUSES.
00:29:19.157 --> 00:29:22.928 region:rollup2
AND ESPECIALLY OR ESTABLISH A
00:29:20.826 --> 00:29:25.030 region:rollup2
RACIAL ALL ONE MENTAL HEALTH
00:29:22.928 --> 00:29:26.832 region:rollup2
PROFESSIONAL FOR EVERY SIX
00:29:25.030 --> 00:29:28.500 region:rollup2
HUNDRED STUDENTS.
00:29:26.832 --> 00:29:30.836 region:rollup2
SCHOOL HAS THREE IDENTIFY ESTA
00:29:28.500 --> 00:29:32.638 region:rollup2
BASS PLACE TO PROVIDE EARLY
00:29:30.836 --> 00:29:34.706 region:rollup2
PREVENTION AND INTERVENTION FOR
00:29:32.638 --> 00:29:35.941 region:rollup2
MENTAL HEALTH.
00:29:34.706 --> 00:29:37.743 region:rollup2
MENTAL ILLNESS OR MENTAL
00:29:35.941 --> 00:29:40.412 region:rollup2
WELLNESS IS DIRECTLY LINKED TO
00:29:37.743 --> 00:29:43.015 region:rollup2
THEIR ACADEMIC SUCCESS.
00:29:40.412 --> 00:29:44.082 region:rollup2
SCHOOL CLIMATE A GRADUATION RATE
00:29:43.015 --> 00:29:47.619 region:rollup2
AND THE PREVENTION OF.
00:29:44.082 --> 00:29:49.588 region:rollup2
O. ABSENTEES OUT ABSENTEEISM A
00:29:47.619 --> 00:29:51.556 region:rollup2
SUSPENSION SUBSTANCE USE
00:29:49.588 --> 00:29:52.958 region:rollup2
DISORDER AND KEEPING KIDS ALL OF
00:29:51.556 --> 00:29:55.193 region:rollup2
JAIL.
00:29:52.958 --> 00:29:57.195 region:rollup2
CURRENTLY IN CALIFORNIA DO YOU
00:29:55.193 --> 00:29:58.964 region:rollup2
ARE SIGNIFICANT BARRIERS PUT
00:29:57.195 --> 00:30:00.365 region:rollup2
CHILDREN AND USE TO REACH
00:29:58.964 --> 00:30:03.669 region:rollup2
SERVICES INCLUDING
00:30:00.365 --> 00:30:05.070 region:rollup2
TRANSPORTATION COST LANGUAGE.
00:30:03.669 --> 00:30:06.705 region:rollup2
AND THIS STIGMA
00:30:05.070 --> 00:30:08.006 region:rollup2
OVER SEVENTY PERCENT OF TO
00:30:06.705 --> 00:30:09.041 region:rollup2
STUDENTSWITH MENTAL HEALTH
00:30:08.006 --> 00:30:10.642 region:rollup2
NEEDS ARE NOT RECEIVING
00:30:09.041 --> 00:30:12.611 region:rollup2
TREATMENT.
00:30:10.642 --> 00:30:14.913 region:rollup2
AND DOESN'T NUMBERED JUMPED TO
00:30:12.611 --> 00:30:17.949 region:rollup2
OVER EIGHTY PERCENT FOR CHILDREN
00:30:14.913 --> 00:30:19.618 region:rollup2
IN POVERTY OR WITH NINE ENGLISH
00:30:17.949 --> 00:30:21.586 region:rollup2
SPEAKING PARENTS
00:30:19.618 --> 00:30:23.955 region:rollup2
WE NEED TO DO BETTER FOR OUR
00:30:21.586 --> 00:30:26.124 region:rollup2
KIDS. THERE WAS ME TODAY IS
00:30:23.955 --> 00:30:28.126 region:rollup2
BRIAN LUNDGREN ON BEHALF OF THE
00:30:26.124 --> 00:30:29.594 region:rollup2
NATIONAL ALLIANCE ON MENTAL.
00:30:28.126 --> 00:30:34.366 region:rollup2
ILLNESS
00:30:29.594 --> 00:30:35.367 region:rollup2
SPEAK IN SUPPORT OF TO SPILL.
00:30:34.366 --> 00:30:36.635 region:rollup2
MISTER CHAIR AND MEMBERS BRIAN
00:30:35.367 --> 00:30:37.736 region:rollup2
LUNDGREN ON BEHALF OF THE
00:30:36.635 --> 00:30:38.603 region:rollup2
NATIONAL ALLIANCE ON MENTAL
00:30:37.736 --> 00:30:40.005 region:rollup2
ILLNESS CALIFORNIA NEMI
00:30:38.603 --> 00:30:41.406 region:rollup2
REPRESENTS.
00:30:40.005 --> 00:30:43.175 region:rollup2
NINETEEN THOUSAND MEMBERS AND
00:30:41.406 --> 00:30:44.509 region:rollup2
SIXTY TWO AFFILIATES INCLUDING
00:30:43.175 --> 00:30:46.144 region:rollup2
MANY PEOPLE LIVING WITH A
00:30:44.509 --> 00:30:47.446 region:rollup2
SERIOUS MENTAL ILLNESS.
00:30:46.144 --> 00:30:49.081 region:rollup2
THEIR FAMILIES AND SUPPORTERS
00:30:47.446 --> 00:30:51.183 region:rollup2
AND WE ARE PLEASED TO SUPPORT AB
00:30:49.081 --> 00:30:52.284 region:rollup2
TWENTY TWENTY TWO. OR SUPPORTERS
00:30:51.183 --> 00:30:54.019 region:rollup2
THERE THE FACT THAT NAM WE
00:30:52.284 --> 00:30:55.353 region:rollup2
STRONGLY BELIEVES IN ACCESS IN
00:30:54.019 --> 00:30:56.888 region:rollup2
SCHOOLS.
00:30:55.353 --> 00:30:57.422 region:rollup2
TO A COMPREHENSIVE ARRAY OF
00:30:56.888 --> 00:30:58.890 region:rollup2
SERVICES INCLUDING MENTAL
00:30:57.422 --> 00:31:01.493 region:rollup2
HEALTH.
00:30:58.890 --> 00:31:03.195 region:rollup2
ACCOMMODATIONS AND SUPPORT.
00:31:01.493 --> 00:31:04.362 region:rollup2
AS MR CHIU INDICATED OVER THREE
00:31:03.195 --> 00:31:05.530 region:rollup2
HUNDRED THOUSAND CALIFORNIA
00:31:04.362 --> 00:31:05.931 region:rollup2
CHILDREN BETWEEN THE AGE OF FOUR
00:31:05.530 --> 00:31:08.333 region:rollup2
ELEVEN.
00:31:05.931 --> 00:31:09.868 region:rollup2
.
00:31:08.333 --> 00:31:11.803 region:rollup2
NEED SOME TYPE OF MENTAL HEALTH
00:31:09.868 --> 00:31:12.370 region:rollup2
NEEDS HOWEVER A SEVENTY PERCENT
00:31:11.803 --> 00:31:13.405 region:rollup2
OF THEM ARE NOT OFFERED ANY
00:31:12.370 --> 00:31:14.806 region:rollup2
TREATMENT.
00:31:13.405 --> 00:31:16.341 region:rollup2
AND THOSE YOUNG FOLKS WHO LIVE
00:31:14.806 --> 00:31:16.908 region:rollup2
BELOW THE POVERTY LINE OVER
00:31:16.341 --> 00:31:18.443 region:rollup2
EIGHTY PERCENT ARE NOT OFFER
00:31:16.908 --> 00:31:20.178 region:rollup2
TREATMENT.
00:31:18.443 --> 00:31:21.880 region:rollup2
NOT ENOUGH SCHOOLS TODAY.
00:31:20.178 --> 00:31:23.882 region:rollup2
PROVIDE ON CAMPUS MENTAL HEALTH
00:31:21.880 --> 00:31:25.650 region:rollup2
SERVICES AND STUDENT PUPIL
00:31:23.882 --> 00:31:27.619 region:rollup2
SUPPORT PERSONNEL RATIOS ARE TOO
00:31:25.650 --> 00:31:29.054 region:rollup2
HIGH PROVIDE.
00:31:27.619 --> 00:31:31.490 region:rollup2
IT TOO HIGH TO PROVIDE A TIME
00:31:29.054 --> 00:31:33.592 region:rollup2
ACCESS THIS LEGISLATION SLIP.
00:31:31.490 --> 00:31:34.960 region:rollup2
SPIRITS A VIABLE SOLUTION AND
00:31:33.592 --> 00:31:36.762 region:rollup2
THIS AND THIS IS WHY NAM ME
00:31:34.960 --> 00:31:37.462 region:rollup2
CALIFORNIA IS PLEASED TO SUPPORT
00:31:36.762 --> 00:31:38.363 region:rollup2
THE BILL REQUEST YOUR
00:31:37.462 --> 00:31:41.333 region:rollup2
CONSIDERATION IN SUPPORT THANK
00:31:38.363 --> 00:31:46.838 region:rollup2
YOU.
00:31:41.333 --> 00:31:48.573 region:rollup2
OTHERS IN SUPPORT.
00:31:46.838 --> 00:31:49.674 region:rollup2
NATION.
00:31:48.573 --> 00:31:51.443 region:rollup2
TIFFANY PULLEYBLANK WITH THE
00:31:49.674 --> 00:31:52.744 region:rollup2
NATIONAL ASSOCIATION OF SOCIAL
00:31:51.443 --> 00:31:57.382 region:rollup2
WORKERS CALIFORNIA CHAPTER IN
00:31:52.744 --> 00:31:58.550 region:rollup2
STRONG SUPPORT.
00:31:57.382 --> 00:31:59.584 region:rollup2
VICTOR CHRISTY WITH CALIFORNIA
00:31:58.550 --> 00:32:00.152 region:rollup2
HELPLESS ADVOCATES REPRESENTING
00:31:59.584 --> 00:32:04.022 region:rollup2
COMMUNITY HEALTH CENTERS AND
00:32:00.152 --> 00:32:05.424 region:rollup2
SUPPORT.
00:32:04.022 --> 00:32:08.994 region:rollup2
ADRIN SO SOME OF THE STEINBERG
00:32:05.424 --> 00:32:10.529 region:rollup2
INSTITUTE AND SUPPORT.
00:32:08.994 --> 00:32:12.430 region:rollup2
CORRESPONDS WITH MENTAL HEALTH
00:32:10.529 --> 00:32:14.266 region:rollup2
AMERICA OF CALIFORNIA AS WELL AS
00:32:12.430 --> 00:32:15.467 region:rollup2
THE CALIFORNIA YOUTH EMPOWERMENT
00:32:14.266 --> 00:32:17.869 region:rollup2
NETWORK WHICH IS A PROGRAM OF
00:32:15.467 --> 00:32:18.970 region:rollup2
MHC. AND WE STRONGLY SUPPORT IT
00:32:17.869 --> 00:32:22.340 region:rollup2
AND I PERSONALLY STRONGLY
00:32:18.970 --> 00:32:23.942 region:rollup2
SUPPORTED THANK YOU.
00:32:22.340 --> 00:32:27.312 region:rollup2
JOY BURKHARD THE TWENTY TWENTY
00:32:23.942 --> 00:32:32.284 region:rollup2
MOM WE STRONGLY SUPPORT.
00:32:27.312 --> 00:32:33.051 region:rollup2
ZERO ANYONE IN OPPOSITION.
00:32:32.284 --> 00:32:34.386 region:rollup2
SEEING NO ONE BRING BACK THE
00:32:33.051 --> 00:32:34.853 region:rollup2
COMMITTEE FOR QUESTIONS OR
00:32:34.386 --> 00:32:37.823 region:rollup2
COMMENTS ANYONE ON THE
00:32:34.853 --> 00:32:39.491 region:rollup2
COMMITTEE.
00:32:37.823 --> 00:32:39.891 region:rollup2
MISTER MISTER BIGELOW.
00:32:39.491 --> 00:32:41.359 region:rollup2
BUT YOU HOW MANY.
00:32:39.891 --> 00:32:44.229 region:rollup2
.
00:32:41.359 --> 00:32:45.697 region:rollup2
WORKERS YOU THINK THIS WILL.
00:32:44.229 --> 00:32:48.500 region:rollup2
CREATE NEW POSITIONS IN THE
00:32:45.697 --> 00:32:49.734 region:rollup2
SYSTEM FOR.
00:32:48.500 --> 00:32:51.903 region:rollup2
I HAVEN'T DONE THE MATH SO BOTH
00:32:49.734 --> 00:32:53.638 region:rollup2
THAT THIS BILL WOULD REQUIRE ONE
00:32:51.903 --> 00:32:55.841 region:rollup2
FOR EVERY SIX HUNDRED STUDENT.
00:32:53.638 --> 00:32:58.176 region:rollup2
SO MAYBE THERE'S SOME A SCHOOL
00:32:55.841 --> 00:33:01.746 region:rollup2
IN THE RURAL AREA THE HOUSE LAST
00:32:58.176 --> 00:33:03.181 region:rollup2
THEM A TOOL SIX HUNDRED STUDENTS
00:33:01.746 --> 00:33:06.518 region:rollup2
AND ONE CAMPUS. THERE WILL
00:33:03.181 --> 00:33:10.488 region:rollup2
PROBABLY WILL CARE BECAUSE ALL
00:33:06.518 --> 00:33:12.357 region:rollup2
ADDITIONAL. HAVE AND MAKE SURE
00:33:10.488 --> 00:33:13.592 region:rollup2
THAT IS SO ONE TO SIX HUNDRED
00:33:12.357 --> 00:33:14.426 region:rollup2
RACIAL.
00:33:13.592 --> 00:33:14.693 region:rollup2
SO ANYBODY KNOWS THE TOTAL
00:33:14.426 --> 00:33:16.828 region:rollup2
NUMBER OF.
00:33:14.693 --> 00:33:18.230 region:rollup2
.
00:33:16.828 --> 00:33:19.631 region:rollup2
KATE WHO. TAKEN TWELFTH A
00:33:18.230 --> 00:33:21.766 region:rollup2
STUDENTS IN CALIFORNIA WE.
00:33:19.631 --> 00:33:22.801 region:rollup2
DIVIDED BY SIX HUNDRED WOULD YOU
00:33:21.766 --> 00:33:23.268 region:rollup2
GIVE TO THE ANSWER.
00:33:22.801 --> 00:33:23.602 region:rollup2
YEAH SO IF THERE'S AN
00:33:23.268 --> 00:33:24.469 region:rollup2
APPROXIMATE.
00:33:23.602 --> 00:33:26.137 region:rollup2
SIX
00:33:24.469 --> 00:33:27.672 region:rollup2
POINT SOMETHING MILLION STUDENTS
00:33:26.137 --> 00:33:28.940 region:rollup2
IN THE STATE OF CALIFORNIA.
00:33:27.672 --> 00:33:31.743 region:rollup2
BRIGHTEN THEIR HEALTHCARE IS NOT
00:33:28.940 --> 00:33:33.979 region:rollup2
CHEAP DISCO NOT VERY EXPENSIVE.
00:33:31.743 --> 00:33:35.914 region:rollup2
BUT IS THIS FACT OUT BUT WITHOUT
00:33:33.979 --> 00:33:37.716 region:rollup2
THE C. SEXUAL SERVICES WILL COST
00:33:35.914 --> 00:33:38.383 region:rollup2
IS SO SUCH A TIGHT HE MORE EVEN
00:33:37.716 --> 00:33:39.451 region:rollup2
MORE MONEY.
00:33:38.383 --> 00:33:40.986 region:rollup2
SO I GUESS MY QUESTION IS JUST
00:33:39.451 --> 00:33:42.954 region:rollup2
REALLY.
00:33:40.986 --> 00:33:44.923 region:rollup2
IF THERE'S ABOUT SIX MILLION.
00:33:42.954 --> 00:33:45.857 region:rollup2
STUDENTS AND WE USE YOU THE
00:33:44.923 --> 00:33:47.826 region:rollup2
NUMBER THAT YOU'RE USING FOR THE
00:33:45.857 --> 00:33:48.260 region:rollup2
BASIS.
00:33:47.826 --> 00:33:50.929 region:rollup2
OF ONE POINT SIX SO.
00:33:48.260 --> 00:33:53.198 region:rollup2
.
00:33:50.929 --> 00:33:54.165 region:rollup2
FOR EVERY SIX HUNDRED STUDENTS.
00:33:53.198 --> 00:33:55.800 region:rollup2
THAT'S GONNA BE AROUND TEN
00:33:54.165 --> 00:33:57.702 region:rollup2
THOUSAND SOME.
00:33:55.800 --> 00:33:59.104 region:rollup2
AND EMPLOYEES IT WITH AN
00:33:57.702 --> 00:34:01.773 region:rollup2
AVERAGE SALARY WAS JUST.
00:33:59.104 --> 00:34:03.008 region:rollup2
BASE IT UP.
00:34:01.773 --> 00:34:04.376 region:rollup2
FORTY THOUSAND DOLLARS WERE
00:34:03.008 --> 00:34:05.277 region:rollup2
TALKING HALF A BILLION DOLLARS
00:34:04.376 --> 00:34:08.446 region:rollup2
BUT WE'RE TRYING TO GET WILL GO
00:34:05.277 --> 00:34:09.481 region:rollup2
AFTER THAT MARIJUANA TAX MONEY.
00:34:08.446 --> 00:34:10.615 region:rollup2
I I UNDERSTAND THE HEART OF
00:34:09.481 --> 00:34:12.250 region:rollup2
MONEY THERE.
00:34:10.615 --> 00:34:14.085 region:rollup2
PRETTY EXPENSIVE SONG IT IS JUST
00:34:12.250 --> 00:34:17.722 region:rollup2
CURIOUS
00:34:14.085 --> 00:34:18.924 region:rollup2
APPRECIATE THAT. THANK YOU.
00:34:17.722 --> 00:34:21.026 region:rollup2
THE QUESTIONS OF THE AUTHOR MISS
00:34:18.924 --> 00:34:23.495 region:rollup2
WALDRON.
00:34:21.026 --> 00:34:25.664 region:rollup2
JUST FOR CLARIFICATION.
00:34:23.495 --> 00:34:27.232 region:rollup2
THE WAY IT'S STATE. LAW SCHOOL
00:34:25.664 --> 00:34:29.034 region:rollup2
DISTRICTS COUNTY OFFICE OF
00:34:27.232 --> 00:34:31.603 region:rollup2
EDUCATION OR CHARTER SCHOOLS.
00:34:29.034 --> 00:34:33.805 region:rollup2
FONG.
00:34:31.603 --> 00:34:35.807 region:rollup2
IN IN MY AREA CHARTER SCHOOLS
00:34:33.805 --> 00:34:38.043 region:rollup2
FALL UNDER THE PUBLIC.
00:34:35.807 --> 00:34:40.378 region:rollup2
DISTRICT.
00:34:38.043 --> 00:34:42.013 region:rollup2
SO. IT WOULD STILL BE LUMPED ON
00:34:40.378 --> 00:34:42.981 region:rollup2
THE LIKE THAT ALL THE OTHER
00:34:42.013 --> 00:34:44.816 region:rollup2
PUBLIC SCHOOLS AND IT WOULDN'T
00:34:42.981 --> 00:34:45.951 region:rollup2
BE THE CHARTER SCHOOL WOULD HAVE
00:34:44.816 --> 00:34:47.686 region:rollup2
TO DO IT THEMSELVES.
00:34:45.951 --> 00:34:50.055 region:rollup2
BECAUSE THEY DON'T EVEN HAVE SIX
00:34:47.686 --> 00:34:52.123 region:rollup2
HUNDRED STUDENTS IN THE SCHOOL.
00:34:50.055 --> 00:34:53.959 region:rollup2
IS THAT GROUP OF THE EURO WHAT
00:34:52.123 --> 00:34:55.393 region:rollup2
SHOULD NOT FIRED THROUGH. THERE
00:34:53.959 --> 00:34:58.730 region:rollup2
EXCLUDE A CHARTER SCHOOL BUT A
00:34:55.393 --> 00:35:00.599 region:rollup2
LOT OF CHARTER SCHOOL FALL. THAT
00:34:58.730 --> 00:35:02.233 region:rollup2
YOU USE TO SPACE HOPE FOR OUR
00:35:00.599 --> 00:35:03.301 region:rollup2
PUBLIC SCHOOLS. AND THAT SHOULD
00:35:02.233 --> 00:35:04.970 region:rollup2
BE IS THAT THAT'S ALSO INCLUDE
00:35:03.301 --> 00:35:06.805 region:rollup2
THAT BUT THERE ARE SOME CHARTER
00:35:04.970 --> 00:35:10.542 region:rollup2
SCHOOL THERE ARE. JUST YOU KNOW
00:35:06.805 --> 00:35:11.676 region:rollup2
OF A. OUTSIDE OPTED FOR A PUBLIC
00:35:10.542 --> 00:35:13.144 region:rollup2
SCHOOL.
00:35:11.676 --> 00:35:13.778 region:rollup2
THOUGH CAMPUSES
00:35:13.144 --> 00:35:23.288 region:rollup2
IN WHY I WANNA MAKE SURE THAT
00:35:13.778 --> 00:35:26.558 region:rollup2
THEY ARE ALSO CAPTURE.
00:35:23.288 --> 00:35:28.093 region:rollup2
IT. SHOULD BE ANYONE ELSE.
00:35:26.558 --> 00:35:28.927 region:rollup2
SEEING NO ONE WHICH LOOKED CLOSE
00:35:28.093 --> 00:35:30.895 region:rollup2
MISTER CHIPMAN THANK YOU VERY
00:35:28.927 --> 00:35:32.430 region:rollup2
MUCH A AGAIN THIS BILL WOULD
00:35:30.895 --> 00:35:34.232 region:rollup2
ENSURE THAT ALL CALIFORNIA
00:35:32.430 --> 00:35:38.370 region:rollup2
CHILDREN'S. HAVE ASKED US TO DO
00:35:34.232 --> 00:35:39.471 region:rollup2
IS VERY ESSENTIAL SERVICES AND I
00:35:38.370 --> 00:35:41.072 region:rollup2
RESPECTFULLY ASK FOR YOUR RIFLE.
00:35:39.471 --> 00:35:42.440 region:rollup2
THANK YOU VERY MUCH MISTER CHIU
00:35:41.072 --> 00:35:44.175 region:rollup2
YOUR BILL DOES ENJOYED YOU PASS
00:35:42.440 --> 00:35:46.244 region:rollup2
RECOMMENDATION SO WHEN WE HAVE A
00:35:44.175 --> 00:35:47.178 region:rollup2
QUORUM.
00:35:46.244 --> 00:35:48.580 region:rollup2
PUT IT UP FOR A VOTE OR A THINK
00:35:47.178 --> 00:35:48.780 region:rollup2
CONDUCT TO THANK YOU VERY MUCH.
00:35:48.580 --> 00:35:50.248 region:rollup2
NEXT.
00:35:48.780 --> 00:35:54.352 region:rollup2
.
00:35:50.248 --> 00:35:57.489 region:rollup2
THIS COMPANY ZERO.
00:35:54.352 --> 00:35:58.890 region:rollup2
YEAH.
00:35:57.489 --> 00:36:02.327 region:rollup2
DISCOVER YOUR YOU HAVE EIGHTEEN
00:35:58.890 --> 00:36:05.096 region:rollup2
TWENTY ONE THIRTY THREE.
00:36:02.327 --> 00:36:05.630 region:rollup2
I'M LOOKING FOR A LONG LIST TO
00:36:05.096 --> 00:36:05.897 region:rollup2
MAKE SURE NOT EVEN LEAVING
00:36:05.630 --> 00:36:06.631 region:rollup2
WELFARE.
00:36:05.897 --> 00:36:13.004 region:rollup2
THANK YOU.
00:36:06.631 --> 00:36:13.872 region:rollup2
WHENEVER YOU'RE READY.
00:36:13.004 --> 00:36:15.807 region:rollup2
GOOD AFTERNOON MISTER CHAIRMAN
00:36:13.872 --> 00:36:17.442 region:rollup2
MEMBERS I AM PLEASED TO PRESENT
00:36:15.807 --> 00:36:18.710 region:rollup2
TWENTY ONE FORTY THREE. WHICH
00:36:17.442 --> 00:36:20.245 region:rollup2
WOULD INCREASED ACCESS TO
00:36:18.710 --> 00:36:21.980 region:rollup2
PSYCHIATRIC SERVICES BY
00:36:20.245 --> 00:36:23.348 region:rollup2
PROVIDING AN INCENTIVE FOR
00:36:21.980 --> 00:36:25.083 region:rollup2
CURRENTLY LICENSED MENTAL HEALTH
00:36:23.348 --> 00:36:26.618 region:rollup2
PROFESSIONAL TO GAIN MEDICAL
00:36:25.083 --> 00:36:28.253 region:rollup2
TRAINING USING EXISTING TRAINING
00:36:26.618 --> 00:36:29.421 region:rollup2
PROGRAMS. FIRST I WOULD LIKE TO
00:36:28.253 --> 00:36:30.455 region:rollup2
SAY I AM HAPPY TO TAKE THE
00:36:29.421 --> 00:36:32.624 region:rollup2
COMMITTEE AMENDMENTS REMOVING
00:36:30.455 --> 00:36:34.959 region:rollup2
THE COLLECTION OF FEES FROM MPS
00:36:32.624 --> 00:36:36.361 region:rollup2
MPAS FOR THE LOAN PROGRAM.
00:36:34.959 --> 00:36:37.595 region:rollup2
CALIFORNIA IS FACING IT'S A
00:36:36.361 --> 00:36:38.763 region:rollup2
SHORTAGE OF MENTAL HEALTH
00:36:37.595 --> 00:36:40.131 region:rollup2
PROFESSIONALS WHO CAN WRITE ASK
00:36:38.763 --> 00:36:41.733 region:rollup2
ACCESS
00:36:40.131 --> 00:36:43.101 region:rollup2
TO PSYCHIATRIC SERVICES THERE
00:36:41.733 --> 00:36:44.903 region:rollup2
SIMPLY AREN'T ENOUGH GRADUATING
00:36:43.101 --> 00:36:46.905 region:rollup2
PSYCHIATRISTS TO MEET CURRENT
00:36:44.903 --> 00:36:48.473 region:rollup2
DEMAND. ONE IN FOUR
00:36:46.905 --> 00:36:49.741 region:rollup2
PSYCHIATRISTS POSITIONS IN
00:36:48.473 --> 00:36:51.910 region:rollup2
COUNTY MENTAL HEALTH PROGRAM
00:36:49.741 --> 00:36:54.379 region:rollup2
STATEWIDE OUR BACON AT ANY ONE
00:36:51.910 --> 00:36:56.581 region:rollup2
TIME. SOME ESTIMATES IT INDICATE
00:36:54.379 --> 00:36:57.949 region:rollup2
THAT DURING ANY ONE YEAR TWENTY
00:36:56.581 --> 00:36:59.384 region:rollup2
TO TWENTY FIVE PERCENT OF THE
00:36:57.949 --> 00:37:01.086 region:rollup2
POPULATION WILL BENEFIT FROM
00:36:59.384 --> 00:37:02.821 region:rollup2
MENTAL HEALTH SERVICES. AND
00:37:01.086 --> 00:37:05.356 region:rollup2
FIFTY PERCENT OF OUR POPULATION
00:37:02.821 --> 00:37:07.358 region:rollup2
OVER THEIR LIFETIME WILL REQUIRE
00:37:05.356 --> 00:37:08.560 region:rollup2
THE SERVICES IT IS CRITICAL THAT
00:37:07.358 --> 00:37:10.428 region:rollup2
WE ADDRESS THE CURRENT AND
00:37:08.560 --> 00:37:10.995 region:rollup2
FUTURE NEEDS OF OUR CITIZENS
00:37:10.428 --> 00:37:13.031 region:rollup2
PARTICULARLY IN UNDERSERVED
00:37:10.995 --> 00:37:14.899 region:rollup2
AREA.
00:37:13.031 --> 00:37:16.801 region:rollup2
AB TWENTY ONE FORTY THREE AMEND
00:37:14.899 --> 00:37:18.536 region:rollup2
STATUTES FOR EXISTING STATE
00:37:16.801 --> 00:37:20.805 region:rollup2
PROGRAMS SUCH AS THE MENTAL
00:37:18.536 --> 00:37:22.807 region:rollup2
HEALTH LOAN ASSUMPTION PROGRAM.
00:37:20.805 --> 00:37:25.009 region:rollup2
TO ALLOW DUAL STATUS TRAINEES
00:37:22.807 --> 00:37:26.277 region:rollup2
MEETING CERTAIN CRITERIA TO BE
00:37:25.009 --> 00:37:27.946 region:rollup2
ELIGIBLE FOR STUDENT LOAN
00:37:26.277 --> 00:37:29.380 region:rollup2
REPAYMENTS IF THEY'RE WILLING TO
00:37:27.946 --> 00:37:30.949 region:rollup2
WORK IN UNDERSERVED OR RURAL
00:37:29.380 --> 00:37:32.484 region:rollup2
COMMUNITIES.
00:37:30.949 --> 00:37:34.652 region:rollup2
INCREASING OPPORTUNITIES FOR
00:37:32.484 --> 00:37:37.455 region:rollup2
LICENSED PSYCHOTHERAPIST TO GAIL
00:37:34.652 --> 00:37:39.057 region:rollup2
TO GAIN DUAL LICENSURE AS
00:37:37.455 --> 00:37:40.358 region:rollup2
PHYSICIANS ASSISTANTS OR
00:37:39.057 --> 00:37:42.660 region:rollup2
PSYCHIATRIC MENTAL HEALTH NURSE
00:37:40.358 --> 00:37:44.429 region:rollup2
PRACTITIONERS WILL HELP.
00:37:42.660 --> 00:37:45.530 region:rollup2
FIND AND TO ATTRACT THEM TO
00:37:44.429 --> 00:37:46.998 region:rollup2
UNDERSERVED AND RURAL
00:37:45.530 --> 00:37:48.366 region:rollup2
COMMUNITIES GROWING THE
00:37:46.998 --> 00:37:50.435 region:rollup2
PSYCHIATRIC WORKFORCE WILL
00:37:48.366 --> 00:37:52.070 region:rollup2
EXPAND PSYCHIATRIC SERVICES TO
00:37:50.435 --> 00:37:53.571 region:rollup2
THOSE WITH MENTAL ILLNESS. WHICH
00:37:52.070 --> 00:37:55.073 region:rollup2
WILL LEAD TO REDUCE WAIT TIMES
00:37:53.571 --> 00:37:57.542 region:rollup2
FOR APPOINTMENTS AND MOST
00:37:55.073 --> 00:37:59.077 region:rollup2
IMPORTANTLY EARLY EARLIER
00:37:57.542 --> 00:38:00.578 region:rollup2
EVALUATION AND TREATMENT I ASK
00:37:59.077 --> 00:38:02.113 region:rollup2
FOR YOUR AYE VOTE.
00:38:00.578 --> 00:38:04.215 region:rollup2
SUPPORT THIS LOAN REPAYMENT
00:38:02.113 --> 00:38:05.350 region:rollup2
PROGRAM EXPANSION WITH ME TODAY
00:38:04.215 --> 00:38:06.384 region:rollup2
IS RANDALL HAGER FROM THE
00:38:05.350 --> 00:38:09.954 region:rollup2
CALIFORNIA PSYCHIATRIC
00:38:06.384 --> 00:38:10.989 region:rollup2
ASSOCIATION TO TEST TRANSPORT.
00:38:09.954 --> 00:38:12.190 region:rollup2
MISTER CHAIRMAN MEMBERS OF THE
00:38:10.989 --> 00:38:14.192 region:rollup2
COMMITTEE RENTAL HAGER FOR THE
00:38:12.190 --> 00:38:15.593 region:rollup2
PSYCHIATRIC ASSOCIATION ON WE
00:38:14.192 --> 00:38:17.996 region:rollup2
ARE THE SPONSORS OF THIS BILL.
00:38:15.593 --> 00:38:19.931 region:rollup2
IT'S NO SECRET TO ANYBODY THAT
00:38:17.996 --> 00:38:21.299 region:rollup2
ACCESS OF PSYCHIATRIC SERVICES
00:38:19.931 --> 00:38:22.834 region:rollup2
CAN BE CHALLENGING AND.
00:38:21.299 --> 00:38:24.002 region:rollup2
TIME CONSUMING WHEN PEOPLE TRY
00:38:22.834 --> 00:38:25.470 region:rollup2
TO FIND A PSYCHIATRIST
00:38:24.002 --> 00:38:27.405 region:rollup2
PSYCHIATRISTS.
00:38:25.470 --> 00:38:29.007 region:rollup2
OUR ABOUT SIXTY PERCENT OF THEM
00:38:27.405 --> 00:38:30.542 region:rollup2
ARE APPROACHING THE AGE OF SIXTY
00:38:29.007 --> 00:38:32.043 region:rollup2
FIVE ON SOME OF THE OBVIOUS
00:38:30.542 --> 00:38:34.112 region:rollup2
SOLUTIONS.
00:38:32.043 --> 00:38:35.814 region:rollup2
TO CREATING MORE PSYCHIATRIC
00:38:34.112 --> 00:38:36.714 region:rollup2
ACCESS ARE REALLY NOT FEASIBLE
00:38:35.814 --> 00:38:38.816 region:rollup2
AT THIS POINT IN TIME FOR
00:38:36.714 --> 00:38:40.285 region:rollup2
INSTANCE CREATING NEW RESIDENCY
00:38:38.816 --> 00:38:42.954 region:rollup2
TRAINING PROGRAMS. THEY ARE
00:38:40.285 --> 00:38:43.788 region:rollup2
DEPENDENT IN LARGE PART ON.
00:38:42.954 --> 00:38:45.490 region:rollup2
FEDERAL MONIES.
00:38:43.788 --> 00:38:47.358 region:rollup2
BUT THERE ARE LONG TIME
00:38:45.490 --> 00:38:47.959 region:rollup2
CONSUMING PROCESS IS SET UP SO
00:38:47.358 --> 00:38:49.961 region:rollup2
WE WHAT WE HAVE HERE TODAY IS
00:38:47.959 --> 00:38:51.462 region:rollup2
IS.
00:38:49.961 --> 00:38:52.330 region:rollup2
I AN ALTERNATIVE WHICH I THINK
00:38:51.462 --> 00:38:54.899 region:rollup2
IS AN INNOVATIVE.
00:38:52.330 --> 00:38:55.433 region:rollup2
IDEA OF THE LOAN REPAYMENT
00:38:54.899 --> 00:38:57.368 region:rollup2
PROGRAMS IN OUR STATE ARE
00:38:55.433 --> 00:38:59.304 region:rollup2
TESTED.
00:38:57.368 --> 00:39:00.505 region:rollup2
PHYSICIAN ASSISTANT AND NURSE
00:38:59.304 --> 00:39:01.840 region:rollup2
PRACTITIONER PROGRAMS ARE WELL
00:39:00.505 --> 00:39:03.074 region:rollup2
ESTABLISHED.
00:39:01.840 --> 00:39:04.142 region:rollup2
THE MENTAL HEALTH LOAN
00:39:03.074 --> 00:39:05.810 region:rollup2
PROFESSIONAL REPAYMENT PROGRAM
00:39:04.142 --> 00:39:07.378 region:rollup2
ALREADY EXISTS
00:39:05.810 --> 00:39:09.247 region:rollup2
SO WE ARE TAKING WHAT WE HOPE IS
00:39:07.378 --> 00:39:11.216 region:rollup2
THE NEXT STEP TOWARDS OFFERING
00:39:09.247 --> 00:39:12.050 region:rollup2
OPPORTUNITIES FOR. ALREADY
00:39:11.216 --> 00:39:13.618 region:rollup2
CURRENTLY TRAINED
00:39:12.050 --> 00:39:14.219 region:rollup2
PSYCHOTHERAPIST TO DENVER GONE
00:39:13.618 --> 00:39:16.354 region:rollup2
BECOME.
00:39:14.219 --> 00:39:17.789 region:rollup2
MEDICALLY TRAINED IN IN EITHER
00:39:16.354 --> 00:39:19.524 region:rollup2
OF THOSE TWO DISCIPLINES
00:39:17.789 --> 00:39:22.060 region:rollup2
IT'S MORE A MORE COMPREHENSIVE
00:39:19.524 --> 00:39:23.161 region:rollup2
APPROACH IT'S IT'S A. CONSISTENT
00:39:22.060 --> 00:39:24.662 region:rollup2
WITH INTEGRATED CARE.
00:39:23.161 --> 00:39:26.331 region:rollup2
IT'S GOING TO HELP US IN THE
00:39:24.662 --> 00:39:27.865 region:rollup2
TWO HUNDRED AND FIFTY AREAS IN
00:39:26.331 --> 00:39:29.467 region:rollup2
THE STATE THAT OUR VET LE
00:39:27.865 --> 00:39:30.802 region:rollup2
FEDERALLY DESIGNATED.
00:39:29.467 --> 00:39:33.504 region:rollup2
MENTAL HEALTH SERVICE.
00:39:30.802 --> 00:39:34.072 region:rollup2
ON AND UNDERSERVED AREAS AND
00:39:33.504 --> 00:39:35.673 region:rollup2
WE'RE.
00:39:34.072 --> 00:39:37.575 region:rollup2
REALLY PLEASED TO BELIEVE I
00:39:35.673 --> 00:39:39.043 region:rollup2
BRING THIS UP FOR YOU.
00:39:37.575 --> 00:39:41.045 region:rollup2
TO YOU AND.
00:39:39.043 --> 00:39:42.313 region:rollup2
URGE YOUR SUPPORT.
00:39:41.045 --> 00:39:45.383 region:rollup2
THANK YOU VERY MUCH OTHER OTHERS
00:39:42.313 --> 00:39:47.051 region:rollup2
IN SUPPORT.
00:39:45.383 --> 00:39:49.120 region:rollup2
HI TIFFANI PULLEYBLANK NATIONAL
00:39:47.051 --> 00:39:53.324 region:rollup2
ASSOCIATION OF SOCIAL WORKERS
00:39:49.120 --> 00:39:55.059 region:rollup2
CALIFORNIA CHAPTER IN SUPPORT.
00:39:53.324 --> 00:39:57.729 region:rollup2
ADRIN SO SOME OF THE STEINBERG
00:39:55.059 --> 00:39:59.163 region:rollup2
INSTITUTE IN SUPPORT.
00:39:57.729 --> 00:40:00.732 region:rollup2
MELISSA AND MO WITH SHIRE ANTI
00:39:59.163 --> 00:40:01.1000 region:rollup2
ON BEHALF OF THE CALIFORNIA
00:40:00.732 --> 00:40:05.136 region:rollup2
ACADEMY OF CHILD AND ADOLESCENT
00:40:01.1000 --> 00:40:06.537 region:rollup2
PSYCHIATRY IN SUPPORT.
00:40:05.136 --> 00:40:07.872 region:rollup2
TIM AND REPRESENT THE CALIFORNIA
00:40:06.537 --> 00:40:11.309 region:rollup2
CHAPTER OF AMERICA BECAUSE
00:40:07.872 --> 00:40:12.810 region:rollup2
EMERGENCY PHYSICIANS IN SUPPORT.
00:40:11.309 --> 00:40:14.212 region:rollup2
TOM REILLY REPRESENTING THE
00:40:12.810 --> 00:40:15.179 region:rollup2
AMERICAN COLLEGE OF PHYSICIANS
00:40:14.212 --> 00:40:17.916 region:rollup2
CALIFORNIA CHAPTERS IN STRONG
00:40:15.179 --> 00:40:19.050 region:rollup2
SUPPORT.
00:40:17.916 --> 00:40:20.418 region:rollup2
MELANIE THOMAS I'M A
00:40:19.050 --> 00:40:23.154 region:rollup2
PSYCHIATRIST WITH UCSF IN
00:40:20.418 --> 00:40:24.455 region:rollup2
SUPPORT.
00:40:23.154 --> 00:40:27.659 region:rollup2
MISTER THOMPSON CALIFORNIA
00:40:24.455 --> 00:40:30.461 region:rollup2
MEDICAL ASSOCIATION SUPPORT.
00:40:27.659 --> 00:40:35.166 region:rollup2
ANNOUNCE.
00:40:30.461 --> 00:40:36.367 region:rollup2
IS THERE ANYONE IN OPPOSITION.
00:40:35.166 --> 00:40:37.001 region:rollup2
SEE NO ONE BRING BACK TO
00:40:36.367 --> 00:40:40.204 region:rollup2
COMMITTEE QUESTIONS OR COMMENTS
00:40:37.001 --> 00:40:42.140 region:rollup2
FROM THE COMMITTEE.
00:40:40.204 --> 00:40:44.075 region:rollup2
THAT'S WHAT IT.
00:40:42.140 --> 00:40:45.643 region:rollup2
PLEASE AND. THANK YOU MISTER
00:40:44.075 --> 00:40:47.011 region:rollup2
CHAIR OF.
00:40:45.643 --> 00:40:48.546 region:rollup2
WHEN I FIRST SAW THIS I READ A
00:40:47.011 --> 00:40:49.681 region:rollup2
COUPLE TIMES BECAUSE I AM USED
00:40:48.546 --> 00:40:53.618 region:rollup2
TO IT FROM THE MEDICAL
00:40:49.681 --> 00:40:53.618 region:rollup2
PROFESSION. POSITIONS.
00:40:53.685 --> 00:40:57.088 region:rollup2
THE FACT THAT. WHEN YOU TALK
00:40:55.553 --> 00:40:58.890 region:rollup2
ABOUT MENTAL HEALTH WITH SO MUCH
00:40:57.088 --> 00:41:01.326 region:rollup2
IMPACTS YOUR PHYSICAL HEALTH AS
00:40:58.890 --> 00:41:02.794 region:rollup2
WELL. THAT I DIDN'T SEE REASON
00:41:01.326 --> 00:41:05.029 region:rollup2
WHY NOT TO.
00:41:02.794 --> 00:41:07.065 region:rollup2
LOOK INTO DOING IT AND.
00:41:05.029 --> 00:41:09.367 region:rollup2
YOU KNOW ESPECIALLY IN AREAS
00:41:07.065 --> 00:41:11.803 region:rollup2
WHERE THERE'S NO SERVICES
00:41:09.367 --> 00:41:13.404 region:rollup2
AVAILABLE OR VERY FEW IN RURAL
00:41:11.803 --> 00:41:15.406 region:rollup2
AREAS IS ALWAYS ONE OF THOSE.
00:41:13.404 --> 00:41:16.874 region:rollup2
AS WELL THAT YOU WANT TO BE
00:41:15.406 --> 00:41:18.876 region:rollup2
ABLE TO.
00:41:16.874 --> 00:41:20.745 region:rollup2
BE ACCESSIBLE TO PEOPLE SO THAT
00:41:18.876 --> 00:41:22.347 region:rollup2
THEY CAN CONTINUING CARE BECAUSE
00:41:20.745 --> 00:41:23.848 region:rollup2
THERE'S NOTHING WORSE THAN YOU
00:41:22.347 --> 00:41:25.450 region:rollup2
KNOW INITIATING CARE AND THEN
00:41:23.848 --> 00:41:26.884 region:rollup2
THEY DROP OFF JUST BECAUSE IT'S
00:41:25.450 --> 00:41:28.586 region:rollup2
TOO HARD TO GET.
00:41:26.884 --> 00:41:30.988 region:rollup2
TO THE SERVICES AND YOU KNOW
00:41:28.586 --> 00:41:32.690 region:rollup2
ANOTHER THING THAT'S ALSO. AN
00:41:30.988 --> 00:41:33.257 region:rollup2
ISSUE IS BEING ABLE TO SPEAK THE
00:41:32.690 --> 00:41:35.793 region:rollup2
LANGUAGE OF THE AREA SO YOU
00:41:33.257 --> 00:41:37.362 region:rollup2
KNOW.
00:41:35.793 --> 00:41:40.098 region:rollup2
AND EMPHASIS COULD BE ON YOU
00:41:37.362 --> 00:41:41.532 region:rollup2
KNOW BILINGUAL AND. THINGS LIKE
00:41:40.098 --> 00:41:43.534 region:rollup2
THAT AS WELL TO HOPE SO.
00:41:41.532 --> 00:41:46.771 region:rollup2
THANK YOU.
00:41:43.534 --> 00:41:47.605 region:rollup2
IF YOU ANYONE ELSE.
00:41:46.771 --> 00:41:49.640 region:rollup2
SEEING NO ONE.
00:41:47.605 --> 00:41:50.875 region:rollup2
WHICH A CLOSENESS GOVERNOR
00:41:49.640 --> 00:41:52.176 region:rollup2
THANK YOU MISTER CHAIRMAN THANK
00:41:50.875 --> 00:41:53.745 region:rollup2
YOU FOR THAT COMMENTED THERE'S
00:41:52.176 --> 00:41:54.645 region:rollup2
NO QUESTION THAT THE MORE THAT
00:41:53.745 --> 00:41:55.880 region:rollup2
YOU HAVE SOMEBODY THAT'S
00:41:54.645 --> 00:41:57.615 region:rollup2
CULTURALLY COMPETENT THAT
00:41:55.880 --> 00:41:59.350 region:rollup2
UNDERSTANDS. DIFFERENT LANGUAGES
00:41:57.615 --> 00:41:59.951 region:rollup2
IN DIFFERENT CULTURES IN THIS
00:41:59.350 --> 00:42:01.085 region:rollup2
SETTING IT'S REALLY IMPORTANT
00:41:59.951 --> 00:42:02.420 region:rollup2
SO.
00:42:01.085 --> 00:42:04.055 region:rollup2
THANK YOU VERY MUCH FOR THE
00:42:02.420 --> 00:42:04.689 region:rollup2
OPPORTUNITY PRESENT THIS TODAY
00:42:04.055 --> 00:42:06.024 region:rollup2
AND I RESPECTFULLY ASK YOUR AYE
00:42:04.689 --> 00:42:06.557 region:rollup2
VOTE.
00:42:06.024 --> 00:42:07.692 region:rollup2
BECAUSE YOU CAN SEE WHERE
00:42:06.557 --> 00:42:09.127 region:rollup2
OPERATE AS A SUBCOMMITTEE IT
00:42:07.692 --> 00:42:10.194 region:rollup2
DOESN'T ENJOY DO PASS
00:42:09.127 --> 00:42:11.562 region:rollup2
RECOMMENDATION WILL PUT IT UP
00:42:10.194 --> 00:42:13.464 region:rollup2
FOR A VOTE THANK YOU CHANCE
00:42:11.562 --> 00:42:24.675 region:rollup2
THANK YOU SO MUCH PERSONAL THAT
00:42:13.464 --> 00:42:25.676 region:rollup2
WAS QUIRK SILVA.
00:42:24.675 --> 00:42:27.712 region:rollup2
GIVE TWO BILLS BEFORE US BUT
00:42:25.676 --> 00:42:29.147 region:rollup2
ONCE I CONSENT.
00:42:27.712 --> 00:42:30.515 region:rollup2
GET THE TO WHAT TAKE THAT ONE
00:42:29.147 --> 00:42:32.050 region:rollup2
OFF NO GOOD THANK YOU PERFECT
00:42:30.515 --> 00:42:32.550 region:rollup2
PLEASE PROCEED WITH ITEM NUMBER
00:42:32.050 --> 00:42:34.719 region:rollup2
THIRTEEN AB TWENTY THREE
00:42:32.550 --> 00:42:36.254 region:rollup2
FIFTEEN.
00:42:34.719 --> 00:42:38.289 region:rollup2
GOOD AFTERNOON MISTER CHAIR AND
00:42:36.254 --> 00:42:40.658 region:rollup2
MEMBERS I'M OF PLEASED TO
00:42:38.289 --> 00:42:42.026 region:rollup2
PRESENT AB TWENTY THREE FIFTEEN
00:42:40.658 --> 00:42:43.061 region:rollup2
WHICH WOULD INSTRUCT THE
00:42:42.026 --> 00:42:45.797 region:rollup2
CALIFORNIA DEPARTMENT OF
00:42:43.061 --> 00:42:47.665 region:rollup2
EDUCATION IN CONJUNCTION WITH D.
00:42:45.797 --> 00:42:49.667 region:rollup2
H. CS AND APPROPRIATE
00:42:47.665 --> 00:42:51.502 region:rollup2
STAKEHOLDERS. TO DEVELOP
00:42:49.667 --> 00:42:53.704 region:rollup2
GUIDELINES AND BEST PRACTICES
00:42:51.502 --> 00:42:55.573 region:rollup2
FOR MENTAL HEALTH AND BEHAVIORAL
00:42:53.704 --> 00:42:58.309 region:rollup2
TELEHEALTH DELIVERY IN
00:42:55.573 --> 00:42:58.943 region:rollup2
CALIFORNIA SCHOOLS AS MANY OF
00:42:58.309 --> 00:43:00.812 region:rollup2
YOU HAVE BEEN AWARE OF
00:42:58.943 --> 00:43:03.848 region:rollup2
THROUGHOUT THE. COUNTRY WE HAVE
00:43:00.812 --> 00:43:05.383 region:rollup2
SEEN A MANY TRAUMATIC EVENTS
00:43:03.848 --> 00:43:07.118 region:rollup2
THAT HAVE PLAYED OUT IN THE NEWS
00:43:05.383 --> 00:43:08.619 region:rollup2
AND FOR MANY OF OUR STUDENTS
00:43:07.118 --> 00:43:10.922 region:rollup2
BEING ABLE TO PROCESS THOSE
00:43:08.619 --> 00:43:13.658 region:rollup2
EVENTS WHETHER THEY HAVE BEEN.
00:43:10.922 --> 00:43:15.960 region:rollup2
OF ATTACKS ON CAMPUSES WHETHER
00:43:13.658 --> 00:43:17.929 region:rollup2
THEY BE OF GUN RELATED THE
00:43:15.960 --> 00:43:20.531 region:rollup2
STUDENTS DON'T ALWAYS HAVE A
00:43:17.929 --> 00:43:22.733 region:rollup2
PLACE TO A REALLY GET THE
00:43:20.531 --> 00:43:24.902 region:rollup2
NECESSARY INTERACTION THAT THEY
00:43:22.733 --> 00:43:27.605 region:rollup2
NEED THIS WOULD BE A BEGINNING%
00:43:24.902 --> 00:43:29.440 region:rollup2
OF. LOOKING FOR GUIDELINES FOR
00:43:27.605 --> 00:43:31.142 region:rollup2
PUBLIC SCHOOLS TO START TO
00:43:29.440 --> 00:43:32.743 region:rollup2
INTRODUCE TELL AUTHORITY AND
00:43:31.142 --> 00:43:36.113 region:rollup2
THIS ACTUALLY CAME OUT OF ME
00:43:32.743 --> 00:43:37.915 region:rollup2
VISITING A SPEECH THERAPY CLINIC
00:43:36.113 --> 00:43:39.984 region:rollup2
IN ORANGE COUNTY WHERE THEY ARE
00:43:37.915 --> 00:43:41.953 region:rollup2
NOW SERVICE SEEN ON MANY MANY
00:43:39.984 --> 00:43:44.355 region:rollup2
UNDERSERVED YOUTH AT A COMMUNITY
00:43:41.953 --> 00:43:47.291 region:rollup2
CENTER USING TELESAT P.. SO WITH
00:43:44.355 --> 00:43:49.460 region:rollup2
THAT OF OUR HOPE IS THAT WE WILL
00:43:47.291 --> 00:43:51.529 region:rollup2
BEGIN TO LAY THE FOUNDATION SO
00:43:49.460 --> 00:43:52.897 region:rollup2
THAT OUR STUDENTS WOULD HAVE
00:43:51.529 --> 00:43:55.032 region:rollup2
ACCESS TO TELESERYE P..
00:43:52.897 --> 00:43:56.467 region:rollup2
PARTICULARLY WITH COUNSELORS AND
00:43:55.032 --> 00:43:58.035 region:rollup2
SO FORTH AND.
00:43:56.467 --> 00:43:59.971 region:rollup2
WE THINK THAT THE STATE
00:43:58.035 --> 00:44:03.307 region:rollup2
PARTNERSHIP IT'S TIMELY IN THE
00:43:59.971 --> 00:44:03.875 region:rollup2
SENSE THAT TECHNOLOGY IS
00:44:03.307 --> 00:44:04.976 region:rollup2
AVAILABLE AND READY AND WE.
00:44:03.875 --> 00:44:06.677 region:rollup2
DIRECTION
00:44:04.976 --> 00:44:08.012 region:rollup2
SO I HAVE WITH ME ARACELI
00:44:06.677 --> 00:44:12.383 region:rollup2
NAVARRO WITH THE CHILDREN'S
00:44:08.012 --> 00:44:13.851 region:rollup2
PARTNERSHIP TO TESTIFY AS WELL.
00:44:12.383 --> 00:44:16.120 region:rollup2
GREAT THAT AFTERNOON EVERYBODY.
00:44:13.851 --> 00:44:17.655 region:rollup2
THE CHILDREN'S PARTNERSHIP TCS
00:44:16.120 --> 00:44:19.590 region:rollup2
POLICE OF SPONSOR AB TWENTY
00:44:17.655 --> 00:44:21.859 region:rollup2
THREE FIFTEEN.
00:44:19.590 --> 00:44:22.560 region:rollup2
TCP BELIEVES THAT WE SHOULD
00:44:21.859 --> 00:44:24.262 region:rollup2
MEET CHILDREN.
00:44:22.560 --> 00:44:25.730 region:rollup2
WHERE THEY ARE IN OUR POLICY
00:44:24.262 --> 00:44:27.865 region:rollup2
APPROACH AND WITH THE VAST
00:44:25.730 --> 00:44:29.066 region:rollup2
MAJORITY OF CHILDREN ATTENDING
00:44:27.865 --> 00:44:30.701 region:rollup2
ONE OF THE STATE'S MORE THAN TEN
00:44:29.066 --> 00:44:32.169 region:rollup2
THOUSAND PUBLIC SCHOOLS
00:44:30.701 --> 00:44:33.371 region:rollup2
INTEGRATING TECHNOLOGY AND
00:44:32.169 --> 00:44:35.106 region:rollup2
ACCESS TO HEALTH CARE THROUGH
00:44:33.371 --> 00:44:35.840 region:rollup2
TELL HEALTH SERVICES TO MAKE
00:44:35.106 --> 00:44:37.041 region:rollup2
THAT?
00:44:35.840 --> 00:44:39.210 region:rollup2
IN ADDITION CHILDREN WHO ARE
00:44:37.041 --> 00:44:40.444 region:rollup2
HEALTHIER DO BETTER IN SCHOOL
00:44:39.210 --> 00:44:42.313 region:rollup2
THEREFORE SCHOOLS HAVE BOTH A
00:44:40.444 --> 00:44:43.848 region:rollup2
SIGNIFICANT ROLE TO PLAY IN A
00:44:42.313 --> 00:44:44.348 region:rollup2
STRONG INCENTIVE TO OUR FOR
00:44:43.848 --> 00:44:46.284 region:rollup2
PROMOTING THE HEALTH OF
00:44:44.348 --> 00:44:47.718 region:rollup2
CHILDREN.
00:44:46.284 --> 00:44:49.554 region:rollup2
UNFORTUNATELY AS STATED.
00:44:47.718 --> 00:44:51.055 region:rollup2
A LOT OF SCHOOLS DO NOT HAVE
00:44:49.554 --> 00:44:51.656 region:rollup2
THE RESOURCES IN PLACE TO
00:44:51.055 --> 00:44:53.424 region:rollup2
PROVIDE.
00:44:51.656 --> 00:44:54.892 region:rollup2
PEOPLE'S PHYSICAL MENTAL AND
00:44:53.424 --> 00:44:56.427 region:rollup2
BEHAVIORAL HEALTH CARE NEEDS AND
00:44:54.892 --> 00:44:58.729 region:rollup2
SO AGAIN.
00:44:56.427 --> 00:45:00.298 region:rollup2
THEY ARE A LOT MORE COMPLEX AND
00:44:58.729 --> 00:45:01.766 region:rollup2
SO WE CERTAINLY WANT TO ADDRESS
00:45:00.298 --> 00:45:03.634 region:rollup2
THIS THROUGH TELEHEALTH.
00:45:01.766 --> 00:45:05.236 region:rollup2
I'M WE ARE AWARE OF INNOVATIVE
00:45:03.634 --> 00:45:06.837 region:rollup2
TELEHEALTH MODELS AROUND THE
00:45:05.236 --> 00:45:08.706 region:rollup2
STATE AND WE'RE CURRENTLY
00:45:06.837 --> 00:45:10.174 region:rollup2
WORKING ON PUBLISHING A. AYE
00:45:08.706 --> 00:45:11.776 region:rollup2
REPORT WHICH OUTLINED SOME OF
00:45:10.174 --> 00:45:12.977 region:rollup2
THE MODELS ACROSS THE STATE THAT
00:45:11.776 --> 00:45:13.844 region:rollup2
OF COURSE WOULD.
00:45:12.977 --> 00:45:17.114 region:rollup2
HELPLESS.
00:45:13.844 --> 00:45:19.216 region:rollup2
GET CALIFORNIA TO HAVING A.
00:45:17.114 --> 00:45:20.851 region:rollup2
OUR OWN MODEL HERE AND
00:45:19.216 --> 00:45:22.887 region:rollup2
CERTAINLY KEEPING INTO ACCOUNT.
00:45:20.851 --> 00:45:23.821 region:rollup2
THOSE WHO PROVIDE THE SERVICES
00:45:22.887 --> 00:45:25.056 region:rollup2
AND THE AXIS.
00:45:23.821 --> 00:45:27.124 region:rollup2
WITHIN A SITE.
00:45:25.056 --> 00:45:27.491 region:rollup2
AS OUTLINED IN THE BILL THERE
00:45:27.124 --> 00:45:29.961 region:rollup2
ARE.
00:45:27.491 --> 00:45:31.095 region:rollup2
CONSIDERATIONS FOR OUR
00:45:29.961 --> 00:45:32.863 region:rollup2
REIMBURSEMENTS.
00:45:31.095 --> 00:45:34.599 region:rollup2
SCOPE OF WORK AND.
00:45:32.863 --> 00:45:35.366 region:rollup2
AND REALLY ULTIMATELY GETTING
00:45:34.599 --> 00:45:38.236 region:rollup2
THE STATE TO.
00:45:35.366 --> 00:45:42.173 region:rollup2
BE A PARTNER IN THIS WORK AS WE
00:45:38.236 --> 00:45:43.341 region:rollup2
ESTABLISHED AND.
00:45:42.173 --> 00:45:47.345 region:rollup2
GOOD OF THEIR OTHER WITNESSES IN
00:45:43.341 --> 00:45:49.880 region:rollup2
SUPPORT.
00:45:47.345 --> 00:45:50.481 region:rollup2
THEY BORN REPRESENT CALIFORNIA
00:45:49.880 --> 00:45:53.217 region:rollup2
SCHOOL NURSES ORGANIZATION IN
00:45:50.481 --> 00:45:54.552 region:rollup2
SUPPORT.
00:45:53.217 --> 00:45:56.387 region:rollup2
KATIE LADEN ON BEHALF OF THE
00:45:54.552 --> 00:45:59.223 region:rollup2
CHILDREN SPECIALTY CARE
00:45:56.387 --> 00:46:00.191 region:rollup2
COALITION IN SUPPORT THANK YOU.
00:45:59.223 --> 00:46:01.726 region:rollup2
ANA HOW SUPPLIED WITH UNITED
00:46:00.191 --> 00:46:02.693 region:rollup2
WAYS AND ALSO ON BEHALF OF THE
00:46:01.726 --> 00:46:04.295 region:rollup2
CHILDREN'S HEALTH COVERAGE
00:46:02.693 --> 00:46:05.796 region:rollup2
COALITION CONSISTING. OF THE
00:46:04.295 --> 00:46:07.565 region:rollup2
CHILDREN'S PARTNERSHIP CHILDREN
00:46:05.796 --> 00:46:09.667 region:rollup2
NOW A CALIFORNIA COVERAGE OF
00:46:07.565 --> 00:46:10.835 region:rollup2
HEALTH INITIATIVES UNITED WAYS
00:46:09.667 --> 00:46:13.704 region:rollup2
AND THE CHILDREN'S DEFENSE FUND
00:46:10.835 --> 00:46:18.676 region:rollup2
IN SUPPORT.
00:46:13.704 --> 00:46:19.644 region:rollup2
SIR ANYONE IN OPPOSITION.
00:46:18.676 --> 00:46:20.478 region:rollup2
SAY NO WE'RE BRING BACK TO THE
00:46:19.644 --> 00:46:24.215 region:rollup2
COMMITTEE FOR QUESTIONS OR
00:46:20.478 --> 00:46:25.583 region:rollup2
COMMENTS.
00:46:24.215 --> 00:46:26.751 region:rollup2
SEEN KNOWN WHICH ARE TO CLOSE
00:46:25.583 --> 00:46:29.787 region:rollup2
WAS WORK SO. I WOULD I WOULD
00:46:26.751 --> 00:46:32.223 region:rollup2
JUST LIKE US TO THINK OF FORWARD
00:46:29.787 --> 00:46:33.891 region:rollup2
AS WE LOOK TO DELIVER HEALTH IN
00:46:32.223 --> 00:46:35.559 region:rollup2
PUBLIC SCHOOLS. AND ANSWER YOUR
00:46:33.891 --> 00:46:36.927 region:rollup2
AYE VOTE THANK YOU VERY MUCH WAS
00:46:35.559 --> 00:46:38.229 region:rollup2
QUIRK SILVA WE THINK HE DOES
00:46:36.927 --> 00:46:39.730 region:rollup2
ENJOY DEPRESSED RECOMMENDATION
00:46:38.229 --> 00:46:41.032 region:rollup2
WHEN WE HAVE A QUORUM WILL UP
00:46:39.730 --> 00:46:43.367 region:rollup2
CALL FOR A VOTE. THANK YOU
00:46:41.032 --> 00:46:44.235 region:rollup2
MEMBERS VERY MUCH SO NEXT WOULD
00:46:43.367 --> 00:46:45.369 region:rollup2
BE MISS REYES AND THEN JUST AS A
00:46:44.235 --> 00:46:47.271 region:rollup2
UP AND WILL HAVE WITH DOCTOR
00:46:45.369 --> 00:46:48.239 region:rollup2
ARAMBULA FOLLOW. I KNOW THAT'S A
00:46:47.271 --> 00:46:51.275 region:rollup2
LITTLE OUT OF ORDER EFFECTS OF
00:46:48.239 --> 00:46:52.209 region:rollup2
THOSE AUTHORS MIGHT BE WATCHING
00:46:51.275 --> 00:46:52.810 region:rollup2
OUT THERE.
00:46:52.209 --> 00:46:57.648 region:rollup2
BUT THIS REYES HAS TWO BILLS
00:46:52.810 --> 00:46:58.449 region:rollup2
BEFORE US.
00:46:57.648 --> 00:47:00.551 region:rollup2
THANK YOU MISTER CHAIR AND
00:46:58.449 --> 00:47:01.819 region:rollup2
MEMBERS.
00:47:00.551 --> 00:47:03.454 region:rollup2
FIRST I WOULD LIKE TO ACCEPT THE
00:47:01.819 --> 00:47:05.356 region:rollup2
COMMITTEE.
00:47:03.454 --> 00:47:07.091 region:rollup2
I JUST AMENDMENTS TO ADDRESS
00:47:05.356 --> 00:47:08.292 region:rollup2
TECHNICAL ISSUES IN THE BILL.
00:47:07.091 --> 00:47:09.193 region:rollup2
WE APPRECIATE THE WORK OF THE
00:47:08.292 --> 00:47:11.595 region:rollup2
COMMITTEE STAFF ON THIS
00:47:09.193 --> 00:47:13.431 region:rollup2
IMPORTANT ISSUE.
00:47:11.595 --> 00:47:14.999 region:rollup2
HOSPITALS IN CALIFORNIA MUST
00:47:13.431 --> 00:47:15.866 region:rollup2
MEET CERTAIN SEISMIC
00:47:14.999 --> 00:47:17.668 region:rollup2
REQUIREMENTS ENACTED IN THE MID
00:47:15.866 --> 00:47:19.036 region:rollup2
NINETIES.
00:47:17.668 --> 00:47:20.271 region:rollup2
THE FIRST OF THESE DEADLINES IS
00:47:19.036 --> 00:47:22.940 region:rollup2
TO ENSURE THE BUILDING REMAIN
00:47:20.271 --> 00:47:24.442 region:rollup2
STANDING IN A MAJOR EARTHQUAKE.
00:47:22.940 --> 00:47:27.745 region:rollup2
THE FIRST DEADLINE IS JANUARY
00:47:24.442 --> 00:47:29.547 region:rollup2
FIRST TWENTY TWENTY.
00:47:27.745 --> 00:47:30.715 region:rollup2
OVER NINETY PERCENT OF HOSPITALS
00:47:29.547 --> 00:47:32.516 region:rollup2
HAVE MET THIS REQUIREMENT TO
00:47:30.715 --> 00:47:33.784 region:rollup2
DATE.
00:47:32.516 --> 00:47:35.286 region:rollup2
AB TWENTY ONE NINETY WILL
00:47:33.784 --> 00:47:37.922 region:rollup2
ADDRESS DELAYS EXPERIENCED BY
00:47:35.286 --> 00:47:40.191 region:rollup2
THE REMAINING FEW HOSPITALS.
00:47:37.922 --> 00:47:42.093 region:rollup2
THIS BILL ESTABLISHES BENCHMARKS
00:47:40.191 --> 00:47:43.728 region:rollup2
AND GUIDANCE FOR THESE REMAINING
00:47:42.093 --> 00:47:45.396 region:rollup2
HOSPITALS SHOULD THEY NEED AN
00:47:43.728 --> 00:47:46.697 region:rollup2
EXTENSION.
00:47:45.396 --> 00:47:48.666 region:rollup2
THE OFFICE OF STATEWIDE HEALTH
00:47:46.697 --> 00:47:50.634 region:rollup2
PLANNING AND DEVELOPMENT COULD
00:47:48.666 --> 00:47:52.002 region:rollup2
GRANT UP TO THIRTY MONTHS.
00:47:50.634 --> 00:47:53.938 region:rollup2
ADDITIONAL TIME PROVIDED THE
00:47:52.002 --> 00:47:55.740 region:rollup2
HOSPITAL AGREES TO TIME LINES
00:47:53.938 --> 00:47:57.708 region:rollup2
AND PENALTIES
00:47:55.740 --> 00:47:59.710 region:rollup2
SPECIFIED BY THE DEPARTMENT. AND
00:47:57.708 --> 00:48:03.614 region:rollup2
CAN MEET THE STANDARDS PROVIDED
00:47:59.710 --> 00:48:04.982 region:rollup2
FOR IN THE BILL.
00:48:03.614 --> 00:48:06.517 region:rollup2
TODAY WE HAVE KATHERINE SCOTT
00:48:04.982 --> 00:48:08.085 region:rollup2
REPRESENTING THE CALIFORNIA
00:48:06.517 --> 00:48:09.987 region:rollup2
HOSPITAL ASSOCIATION.
00:48:08.085 --> 00:48:15.760 region:rollup2
TO FURTHER EXPLAIN THE MANDATE
00:48:09.987 --> 00:48:16.660 region:rollup2
AND THE EXTENSION IN THE BILL.
00:48:15.760 --> 00:48:18.195 region:rollup2
GOOD AFTERNOON MEMBERS KATHERINE
00:48:16.660 --> 00:48:19.497 region:rollup2
LOTS OF CUT FIFTY CALIFORNIA
00:48:18.195 --> 00:48:21.031 region:rollup2
HOSPITAL ASSOCIATION.
00:48:19.497 --> 00:48:22.700 region:rollup2
OF THE AUTHOR.
00:48:21.031 --> 00:48:24.101 region:rollup2
AND SO MOMENT QUICKLY POINTED
00:48:22.700 --> 00:48:25.803 region:rollup2
OUT OUR AUTHORS ARE OUR
00:48:24.101 --> 00:48:27.204 region:rollup2
HOSPITALS ARE WORKING HARD TO
00:48:25.803 --> 00:48:29.507 region:rollup2
MEET THAT FIRST MANDATE WHICH IS
00:48:27.204 --> 00:48:31.308 region:rollup2
TO REMAIN STANDING AFTER A MAJOR
00:48:29.507 --> 00:48:32.510 region:rollup2
EARTHQUAKE. IT'S A. VERY
00:48:31.308 --> 00:48:34.345 region:rollup2
EXPENSIVE MANDATE FOR HOSPITALS
00:48:32.510 --> 00:48:35.946 region:rollup2
TO MEET WE'RE DOWN TO THE LAST
00:48:34.345 --> 00:48:37.348 region:rollup2
TWENTY OR SO HOSPITALS WHO WILL
00:48:35.946 --> 00:48:38.849 region:rollup2
WHO WILL DO THAT AYE IN THE
00:48:37.348 --> 00:48:40.384 region:rollup2
PROCESS WE HAVE A FEW HOSPITALS
00:48:38.849 --> 00:48:41.719 region:rollup2
THAT WILL NEED SOME EXTRA TIME
00:48:40.384 --> 00:48:43.421 region:rollup2
WITH THE WORK OF THIS COMMITTEE.
00:48:41.719 --> 00:48:44.155 region:rollup2
WE HAVE DEVELOPED A BILL THAT
00:48:43.421 --> 00:48:46.390 region:rollup2
WOULD.
00:48:44.155 --> 00:48:48.726 region:rollup2
ESTABLISH A FRAMEWORK FOR THOSE
00:48:46.390 --> 00:48:49.660 region:rollup2
EXTENSIONS HOLD THOSE HOSPITALS
00:48:48.726 --> 00:48:51.228 region:rollup2
TO THE EXTENSION AND CREATE A
00:48:49.660 --> 00:48:53.230 region:rollup2
PENALTY PROCESS OF FIVE THOUSAND
00:48:51.228 --> 00:48:53.731 region:rollup2
DOLLARS PER DAY IF THEY DON'T
00:48:53.230 --> 00:48:56.033 region:rollup2
MEET THEIR BENCHMARKS.
00:48:53.731 --> 00:48:57.802 region:rollup2
.
00:48:56.033 --> 00:48:59.270 region:rollup2
AS OUR HOSPITALS COMPLETE THESE
00:48:57.802 --> 00:49:00.404 region:rollup2
BENCHMARKS ON IT WILL BE
00:48:59.270 --> 00:49:03.107 region:rollup2
IMPORTANT TO.
00:49:00.404 --> 00:49:04.809 region:rollup2
MANAGE AND MAKE SURE THAT WE
00:49:03.107 --> 00:49:06.076 region:rollup2
UNDERSTAND OUR HOSPITALS ARE
00:49:04.809 --> 00:49:07.178 region:rollup2
BECAUSE IN TEN SHORT YEARS
00:49:06.076 --> 00:49:08.312 region:rollup2
THEY'RE GOING TO NEED TO MEET
00:49:07.178 --> 00:49:10.181 region:rollup2
THE FULLY OPERATIONAL STANDARD
00:49:08.312 --> 00:49:12.283 region:rollup2
WHICH THEY MULTI BILLION DOLLAR
00:49:10.181 --> 00:49:12.750 region:rollup2
STANDARD TO ENSURE HOSPITALS
00:49:12.283 --> 00:49:13.717 region:rollup2
OPERATIONAL AFTER THE
00:49:12.750 --> 00:49:16.253 region:rollup2
EARTHQUAKE.
00:49:13.717 --> 00:49:17.922 region:rollup2
LAST ESTIMATE ABOUT FIVE YEARS
00:49:16.253 --> 00:49:19.356 region:rollup2
AGO AS A HUNDRED AND TEN BILLION
00:49:17.922 --> 00:49:20.958 region:rollup2
DOLLARS FOR THAT MANDATE.
00:49:19.356 --> 00:49:22.293 region:rollup2
WE THINK THE I THINK THE
00:49:20.958 --> 00:49:25.696 region:rollup2
COMMITTEE FOR THEIR WORK AND ASK
00:49:22.293 --> 00:49:27.364 region:rollup2
FOR YOUR SUPPORT.
00:49:25.696 --> 00:49:28.766 region:rollup2
MR AT SHORT ON BEHALF OF LOMA
00:49:27.364 --> 00:49:29.633 region:rollup2
LINDA UNIVERSITY HEALTH HOW
00:49:28.766 --> 00:49:30.868 region:rollup2
WE'RE ONE OF THOSE HOSPITALS
00:49:29.633 --> 00:49:32.837 region:rollup2
THAT NEEDS A LITTLE BIT MORE
00:49:30.868 --> 00:49:34.104 region:rollup2
TIME TO COMPLETE OUR CURRENT ON
00:49:32.837 --> 00:49:35.606 region:rollup2
CONSTRUCTION. AYE WE ARE
00:49:34.104 --> 00:49:37.408 region:rollup2
BUILDING A ONE MILLION SQUARE
00:49:35.606 --> 00:49:39.009 region:rollup2
FOOT BRAND NEW FACILITY THAT
00:49:37.408 --> 00:49:40.678 region:rollup2
WILL INCLUDE CHILDREN'S HOSPITAL
00:49:39.009 --> 00:49:41.445 region:rollup2
BEDS ADDITIONAL IMPATIENT ADULT
00:49:40.678 --> 00:49:42.847 region:rollup2
BEDS.
00:49:41.445 --> 00:49:43.848 region:rollup2
AND IT'S A TO POINT FIVE
00:49:42.847 --> 00:49:45.516 region:rollup2
BILLION DOLLAR INVESTMENT IN THE
00:49:43.848 --> 00:49:46.784 region:rollup2
COMMUNITY I'M AND WE DO NEED
00:49:45.516 --> 00:49:48.385 region:rollup2
JUST A LITTLE BIT MORE TIME TO
00:49:46.784 --> 00:49:50.154 region:rollup2
COMPLETE THAT CONSTRUCTION WE
00:49:48.385 --> 00:49:51.188 region:rollup2
ARCHER AYE VOTE.
00:49:50.154 --> 00:49:54.658 region:rollup2
YOU VERY MUCH ARE THERE OTHERS
00:49:51.188 --> 00:49:56.126 region:rollup2
IN SUPPORT.
00:49:54.658 --> 00:50:00.531 region:rollup2
SEEING NO ONE IS THERE ANYONE IN
00:49:56.126 --> 00:50:07.304 region:rollup2
OPPOSITION.
00:50:00.531 --> 00:50:09.273 region:rollup2
COMING.
00:50:07.304 --> 00:50:10.374 region:rollup2
NOT QUITE NAM POSITION NOT YET
00:50:09.273 --> 00:50:12.643 region:rollup2
THERE IN SUPPORT.
00:50:10.374 --> 00:50:15.212 region:rollup2
WANTED TO THANK THE COMMITTEE.
00:50:12.643 --> 00:50:16.046 region:rollup2
FOR YOUR EFFORTS OUT ALONG WITH
00:50:15.212 --> 00:50:17.548 region:rollup2
THE CALIFORNIA HOSPITAL
00:50:16.046 --> 00:50:19.717 region:rollup2
ASSOCIATION TO COME UP WITH A
00:50:17.548 --> 00:50:23.354 region:rollup2
COMPREHENSIVE SOLUTION.
00:50:19.717 --> 00:50:25.189 region:rollup2
SEIU HAS BEEN ENGAGED IN MAKING
00:50:23.354 --> 00:50:26.857 region:rollup2
SURE OUR HOSPITALS GET FULLY
00:50:25.189 --> 00:50:29.159 region:rollup2
COMPLIANT WITH THE LAW ON
00:50:26.857 --> 00:50:30.961 region:rollup2
THROUGHOUT THE YEARS AND WE WANT
00:50:29.159 --> 00:50:32.997 region:rollup2
TO JUST.
00:50:30.961 --> 00:50:34.899 region:rollup2
REMAIN IN THE CONVERSATION AS A
00:50:32.997 --> 00:50:36.166 region:rollup2
COMMITTED STAKEHOLDER ON THIS
00:50:34.899 --> 00:50:38.035 region:rollup2
ISSUE TO MAKE SURE THAT ALL OF
00:50:36.166 --> 00:50:39.637 region:rollup2
OUR HOSPITALS GET THERE WE DO
00:50:38.035 --> 00:50:42.439 region:rollup2
HAVE CONCERNS WITH THE.
00:50:39.637 --> 00:50:44.441 region:rollup2
CATEGORY OF HOSPITALS THAT
00:50:42.439 --> 00:50:45.676 region:rollup2
WOULD BE COMPLETELY I'M STARTING
00:50:44.441 --> 00:50:47.511 region:rollup2
FROM SCRATCH.
00:50:45.676 --> 00:50:48.746 region:rollup2
IN THAT CASE WE WANT TO
00:50:47.511 --> 00:50:49.713 region:rollup2
CONTINUE TO WORK WITH THE AUTHOR
00:50:48.746 --> 00:50:50.447 region:rollup2
IN THE SPONSORS AND THE
00:50:49.713 --> 00:50:52.016 region:rollup2
COMMITTEE.
00:50:50.447 --> 00:50:53.651 region:rollup2
TO MAKE SURE THAT THERE ARE
00:50:52.016 --> 00:50:55.085 region:rollup2
SOME CLEAR PARAMETERS AROUND
00:50:53.651 --> 00:50:55.953 region:rollup2
THOSE HOT THAT CATEGORY OF
00:50:55.085 --> 00:50:57.488 region:rollup2
HOSPITALS.
00:50:55.953 --> 00:50:58.856 region:rollup2
AND TO MAKE SURE THAT WE
00:50:57.488 --> 00:51:00.291 region:rollup2
ACCOMPLISH THE GOALS OF THE
00:50:58.856 --> 00:51:02.126 region:rollup2
CHAIR OF THE COMMITTEE AND WITH
00:51:00.291 --> 00:51:04.495 region:rollup2
THAT WE JUST WANTED TO STATE ON
00:51:02.126 --> 00:51:07.131 region:rollup2
THE RECORD THANK YOU.
00:51:04.495 --> 00:51:10.668 region:rollup2
GOOD THANK YOU IS SIR.
00:51:07.131 --> 00:51:11.936 region:rollup2
ANYONE ELSE.
00:51:10.668 --> 00:51:13.771 region:rollup2
THE PRIVATE ESSENTIAL ACCESS
00:51:11.936 --> 00:51:14.672 region:rollup2
COMMUNITY HOSPITALS ADVENTIST
00:51:13.771 --> 00:51:15.205 region:rollup2
HEALTH IN THE ALLIANCE OF
00:51:14.672 --> 00:51:18.409 region:rollup2
CATHOLIC HEALTH CARE ALSO
00:51:15.205 --> 00:51:20.477 region:rollup2
SUPPORT.
00:51:18.409 --> 00:51:21.045 region:rollup2
QUESTIONS COMMENTS MYSTERIES.
00:51:20.477 --> 00:51:21.545 region:rollup2
I DON'T THINK YOU MISS RAISE
00:51:21.045 --> 00:51:23.314 region:rollup2
FOR.
00:51:21.545 --> 00:51:25.015 region:rollup2
FOR AUTHORING THIS BILL IT'S
00:51:23.314 --> 00:51:26.517 region:rollup2
VERY IMPORTANT IT'S IMPORTANT
00:51:25.015 --> 00:51:27.051 region:rollup2
THE REGION OF THE INLAND EMPIRE
00:51:26.517 --> 00:51:27.952 region:rollup2
ANOTHER LIMB LINDA'S BEEN
00:51:27.051 --> 00:51:29.987 region:rollup2
WORKING.
00:51:27.952 --> 00:51:32.256 region:rollup2
A FOR YEARS TO TRY TO FIX OTHER
00:51:29.987 --> 00:51:33.557 region:rollup2
FACILITY AND IT TURNS OUT THAT.
00:51:32.256 --> 00:51:34.525 region:rollup2
IT'S GOING TO BE A LITTLE BIT
00:51:33.557 --> 00:51:35.359 region:rollup2
DOWN.
00:51:34.525 --> 00:51:36.860 region:rollup2
CHEAPER IF THEY.
00:51:35.359 --> 00:51:37.795 region:rollup2
JUST RIPPED THE BUILDING DOWN
00:51:36.860 --> 00:51:39.463 region:rollup2
STAR LOVER AGAIN.
00:51:37.795 --> 00:51:40.197 region:rollup2
BUT IT'S INCREDIBLY IMPORTANT
00:51:39.463 --> 00:51:42.032 region:rollup2
SO.
00:51:40.197 --> 00:51:43.334 region:rollup2
I THINK THIS IS A.
00:51:42.032 --> 00:51:45.102 region:rollup2
IS GOOD WORK KIND ON YOUR
00:51:43.334 --> 00:51:45.669 region:rollup2
BEHALF AND THANK YOU I'M FOR
00:51:45.102 --> 00:51:46.303 region:rollup2
THOSE OF THEIR SUPPORTING AN
00:51:45.669 --> 00:51:47.604 region:rollup2
OBVIOUS PUT.
00:51:46.303 --> 00:51:50.307 region:rollup2
THANK YOU.
00:51:47.604 --> 00:51:51.709 region:rollup2
ANYONE ELSE.
00:51:50.307 --> 00:51:52.042 region:rollup2
I JUST LIKE TO THANK YOU A
00:51:51.709 --> 00:51:54.211 region:rollup2
MISTRESS FOR.
00:51:52.042 --> 00:51:55.946 region:rollup2
NOT ONLY TAKING ON THIS.
00:51:54.211 --> 00:51:56.647 region:rollup2
FOR A LONG LINDA BUT ALSO AS A
00:51:55.946 --> 00:51:58.649 region:rollup2
LARGER ISSUE.
00:51:56.647 --> 00:52:00.517 region:rollup2
GOT MULTIPLE HOSPITALS INVOLVES
00:51:58.649 --> 00:52:01.185 region:rollup2
I REALLY APPRECIATE THAT IT'S AN
00:52:00.517 --> 00:52:02.853 region:rollup2
ISSUE COMES UP EVERY COUPLE OF
00:52:01.185 --> 00:52:04.722 region:rollup2
YEARS. AS WE NEAR THE NEXT
00:52:02.853 --> 00:52:05.889 region:rollup2
SEISMIC DEADLINE ACTUALLY VERY
00:52:04.722 --> 00:52:07.424 region:rollup2
FIRST BILL I INTRODUCED WAS TO
00:52:05.889 --> 00:52:07.624 region:rollup2
WAS A BILL VERY SIMILAR TO THIS
00:52:07.424 --> 00:52:09.593 region:rollup2
FOR.
00:52:07.624 --> 00:52:11.595 region:rollup2
FRANK HOWARD HOSPITAL IN WILL
00:52:09.593 --> 00:52:13.297 region:rollup2
ITSELF SO APPRECIATE THE.
00:52:11.595 --> 00:52:14.231 region:rollup2
THAT YOU'RE A WORKING WITH
00:52:13.297 --> 00:52:15.733 region:rollup2
SPONSORS TO HELP.
00:52:14.231 --> 00:52:16.500 region:rollup2
YOU KNOW WITH WITH A WITH THE
00:52:15.733 --> 00:52:18.268 region:rollup2
VARIETY HERE.
00:52:16.500 --> 00:52:19.303 region:rollup2
AND WORK WITH THOSE. WHO
00:52:18.268 --> 00:52:21.005 region:rollup2
ALREADY HAVE THEIR SEISMIC PLANS
00:52:19.303 --> 00:52:22.406 region:rollup2
IN PLACE BUT JUST A LITTLE BIT
00:52:21.005 --> 00:52:24.141 region:rollup2
MORE TIME TO WORK ON THIS?
00:52:22.406 --> 00:52:26.243 region:rollup2
DUE TO UNFORESEEN CIRCUMSTANCES
00:52:24.141 --> 00:52:27.011 region:rollup2
SO THE BILL DOES ENJOY DO PASS
00:52:26.243 --> 00:52:28.912 region:rollup2
RECOMMENDATION WHEN WE HAVE A
00:52:27.011 --> 00:52:30.014 region:rollup2
QUORUM. ARE NOT QUITE THERE YET
00:52:28.912 --> 00:52:32.016 region:rollup2
WE GET CLOSE.
00:52:30.014 --> 00:52:33.150 region:rollup2
BUT WOULD YOU LIKE TO CLOSE.
00:52:32.016 --> 00:52:34.985 region:rollup2
I THANK THE COMMITTEE FOR THEIR
00:52:33.150 --> 00:52:37.054 region:rollup2
TIME AND RESPECTFULLY ASK FOR
00:52:34.985 --> 00:52:39.123 region:rollup2
YOUR AYE VOTE. THINK OF SO.
00:52:37.054 --> 00:52:42.292 region:rollup2
WE'RE GETTING CLOSER TO. WHERE
00:52:39.123 --> 00:52:43.727 region:rollup2
THEY'RE WHERE THEY'RE?
00:52:42.292 --> 00:52:47.398 region:rollup2
NO SECRETARY PLEASE TAKE THE
00:52:43.727 --> 00:52:49.233 region:rollup2
ROLE WELL WE HAVE.
00:52:47.398 --> 00:52:51.402 region:rollup2
WE TAKE THE ROLE IN AND NOW.
00:52:49.233 --> 00:52:51.969 region:rollup2
IT'S. A QUORUM CAN BE ELUSIVE SO
00:52:51.402 --> 00:52:53.337 region:rollup2
WE'RE GOING TO GRAB IT OR WE
00:52:51.969 --> 00:52:53.871 region:rollup2
CAN.
00:52:53.337 --> 00:52:56.974 region:rollup2
WOOD HERE. MAYES HERE AGAR
00:52:53.871 --> 00:52:58.442 region:rollup2
CURRY.
00:52:56.974 --> 00:53:00.678 region:rollup2
BIGELOW.
00:52:58.442 --> 00:53:02.880 region:rollup2
BONTA.
00:53:00.678 --> 00:53:05.716 region:rollup2
BURKE CARILLO.
00:53:02.880 --> 00:53:08.118 region:rollup2
FLORA. LOW MOAN.
00:53:05.716 --> 00:53:10.120 region:rollup2
MCCARTY. NAZARIAN RODRIGUEZ.
00:53:08.118 --> 00:53:14.958 region:rollup2
SANTIAGO.
00:53:10.120 --> 00:53:17.561 region:rollup2
THURMOND WALDRON.
00:53:14.958 --> 00:53:20.097 region:rollup2
WE HAVE A QUORUM.
00:53:17.561 --> 00:53:20.597 region:rollup2
YOU'RE MEANT TO.
00:53:20.097 --> 00:53:21.932 region:rollup2
OUT SO WE HAVE A MOTION.
00:53:20.597 --> 00:53:24.201 region:rollup2
.
00:53:21.932 --> 00:53:26.036 region:rollup2
THE MOTION IS SAID TO PASS.
00:53:24.201 --> 00:53:27.604 region:rollup2
AS AMENDED.
00:53:26.036 --> 00:53:29.506 region:rollup2
TO APPROPRIATIONS.
00:53:27.604 --> 00:53:30.974 region:rollup2
MOTION BY MISTER MAYES SECOND
00:53:29.506 --> 00:53:32.910 region:rollup2
BY MISTER BIGELOW MADAM
00:53:30.974 --> 00:53:35.379 region:rollup2
SECRETARY PLEASE CALL THE ROLL.
00:53:32.910 --> 00:53:37.314 region:rollup2
I WOULD I WOULD AYE MAYES FIGHT
00:53:35.379 --> 00:53:38.982 region:rollup2
MAYES AYE AGUIAR-CURRY. ACTOR
00:53:37.314 --> 00:53:40.484 region:rollup2
CORY I BIGELOW. BIGELOW AYE
00:53:38.982 --> 00:53:41.552 region:rollup2
BONTA.
00:53:40.484 --> 00:53:43.454 region:rollup2
BURKE
00:53:41.552 --> 00:53:45.556 region:rollup2
CARILLO.
00:53:43.454 --> 00:53:47.991 region:rollup2
CARILLO AYE FLORA FLORA AYE
00:53:45.556 --> 00:53:50.160 region:rollup2
LAMONT. MCCARTY NAZARIAN
00:53:47.991 --> 00:53:52.129 region:rollup2
RODRIGUEZ. RODRIGUEZ AYE
00:53:50.160 --> 00:53:55.065 region:rollup2
SANTIAGO THURMAN WALDRON.
00:53:52.129 --> 00:53:56.834 region:rollup2
WALDRON AYE.
00:53:55.065 --> 00:53:58.068 region:rollup2
YOUR BILL WAS OUT EIGHT ZERO SO
00:53:56.834 --> 00:53:59.570 region:rollup2
WILL KEEP IT OPEN FOR OTHERS TO
00:53:58.068 --> 00:54:00.637 region:rollup2
ADD ON SO MET WHICH LIKE SUCH
00:53:59.570 --> 00:54:02.239 region:rollup2
SECOND OFF.
00:54:00.637 --> 00:54:03.941 region:rollup2
YES THANK YOU CHAIRMAN WORD AND
00:54:02.239 --> 00:54:05.876 region:rollup2
MEMBERS OF THE COMMITTEE.
00:54:03.941 --> 00:54:06.510 region:rollup2
FIRST I WOULD LIKE TO NOTE THAT
00:54:05.876 --> 00:54:08.445 region:rollup2
WE WILL BE TAKING THE COMMITTEE
00:54:06.510 --> 00:54:10.180 region:rollup2
SUGGESTED AMENDMENTS.
00:54:08.445 --> 00:54:11.682 region:rollup2
PERTAINING TO DISCIPLINE.
00:54:10.180 --> 00:54:13.450 region:rollup2
AND MY OFFICE WILL CONTINUE TO
00:54:11.682 --> 00:54:15.352 region:rollup2
WORK WITH THE COMMITTEE STAFF ON
00:54:13.450 --> 00:54:17.054 region:rollup2
THE CRITERIA THAT WAS OUTLINED.
00:54:15.352 --> 00:54:19.423 region:rollup2
IN YOUR OTHER SUGGESTED
00:54:17.054 --> 00:54:20.758 region:rollup2
AMENDMENTS AS WE MOVE FORWARD.
00:54:19.423 --> 00:54:22.259 region:rollup2
AT THIS TIME I'D LIKE TO THANK
00:54:20.758 --> 00:54:24.128 region:rollup2
THE COMMITTEE ON CHAIR AND HIS
00:54:22.259 --> 00:54:26.764 region:rollup2
STAFF FOR YOUR CONTINUE TO. ON
00:54:24.128 --> 00:54:28.799 region:rollup2
THE SUBJECT.
00:54:26.764 --> 00:54:29.733 region:rollup2
CALIFORNIA HAS NEARLY EIGHT
00:54:28.799 --> 00:54:31.735 region:rollup2
MILLION PEOPLE WITH CRIMINAL
00:54:29.733 --> 00:54:32.970 region:rollup2
RECORDS.
00:54:31.735 --> 00:54:34.805 region:rollup2
THAT'S ONE IN EVERY FIVE
00:54:32.970 --> 00:54:36.540 region:rollup2
CALIFORNIANS.
00:54:34.805 --> 00:54:38.308 region:rollup2
IT'S BEEN SHOWN THAT THE BEST
00:54:36.540 --> 00:54:40.043 region:rollup2
MEASURE AGAINST RECIDIVISM.
00:54:38.308 --> 00:54:42.279 region:rollup2
IS GETTING A JOB TO SUPPORT
00:54:40.043 --> 00:54:44.481 region:rollup2
YOURSELF AND YOUR FAMILY.
00:54:42.279 --> 00:54:46.950 region:rollup2
APPROXIMATELY THIRTY PERCENT OF
00:54:44.481 --> 00:54:48.852 region:rollup2
ALL JOBS IN OUR STATE REQUIRE AN
00:54:46.950 --> 00:54:50.387 region:rollup2
OCCUPATIONAL LICENSE.
00:54:48.852 --> 00:54:52.789 region:rollup2
MANY OF THESE LICENSES HAVE
00:54:50.387 --> 00:54:54.158 region:rollup2
REGULATIONS WHICH IMMEDIATELY
00:54:52.789 --> 00:54:55.826 region:rollup2
DISQUALIFY ANYONE WITH A PRIOR
00:54:54.158 --> 00:54:57.294 region:rollup2
CONVICTION REGARDLESS OF THE
00:54:55.826 --> 00:54:58.796 region:rollup2
DEGREE HOW LONG AGO THE
00:54:57.294 --> 00:55:00.097 region:rollup2
CONVICTION WAS.
00:54:58.796 --> 00:55:02.199 region:rollup2
OR ANY TYPE OF REHABILITATION
00:55:00.097 --> 00:55:04.501 region:rollup2
COMPLETED.
00:55:02.199 --> 00:55:07.538 region:rollup2
AB TUNE TWO TWO NINE THREE
00:55:04.501 --> 00:55:09.039 region:rollup2
ADDRESSES THE LICENSING FOR EMTS
00:55:07.538 --> 00:55:09.573 region:rollup2
AND SIX TO PROVIDE THE PATH
00:55:09.039 --> 00:55:13.210 region:rollup2
REMEMBER OVER CONSERVATION
00:55:09.573 --> 00:55:14.144 region:rollup2
CAMPS.
00:55:13.210 --> 00:55:16.547 region:rollup2
WERE APPROXIMATELY FORTY FIVE
00:55:14.144 --> 00:55:17.080 region:rollup2
HUNDRED INMATES AROUND THE STATE
00:55:16.547 --> 00:55:18.615 region:rollup2
HAVE VOLUNTEERED TO BATTLE
00:55:17.080 --> 00:55:20.384 region:rollup2
FIRES.
00:55:18.615 --> 00:55:23.253 region:rollup2
TO DO WORK TOWARDS THEIR
00:55:20.384 --> 00:55:24.955 region:rollup2
CONSERVATION.
00:55:23.253 --> 00:55:26.390 region:rollup2
AND DO WORK TOWARD SCHOOL OUR
00:55:24.955 --> 00:55:28.959 region:rollup2
CONSERVATION EFFORTS BUT ARE
00:55:26.390 --> 00:55:31.295 region:rollup2
BARRED FROM GETTING THE REQUIRED
00:55:28.959 --> 00:55:33.263 region:rollup2
LICENSES TO USE THE SKILLS THEY
00:55:31.295 --> 00:55:35.432 region:rollup2
HAVE LEARNED. ONCE THEY'RE NO
00:55:33.263 --> 00:55:36.600 region:rollup2
LONGER INCARCERATED.
00:55:35.432 --> 00:55:38.635 region:rollup2
IN A NORMAL YEAR THESE INMATES
00:55:36.600 --> 00:55:40.571 region:rollup2
MAKE UP.
00:55:38.635 --> 00:55:43.407 region:rollup2
UP TO THIRTY PERCENT OF OUR
00:55:40.571 --> 00:55:44.708 region:rollup2
FOREST FIRE FIGHTERS.
00:55:43.407 --> 00:55:46.276 region:rollup2
THEY CONTRIBUTE OVER THREE
00:55:44.708 --> 00:55:47.811 region:rollup2
MILLION HOURS RESPONDING TO
00:55:46.276 --> 00:55:51.582 region:rollup2
FIRES.
00:55:47.811 --> 00:55:53.450 region:rollup2
AND OVER SEVEN.
00:55:51.582 --> 00:55:56.153 region:rollup2
IN OVER SEVEN BILLION HOURS AND
00:55:53.450 --> 00:55:57.688 region:rollup2
COMMUNITY SERVICE PROJECTS.
00:55:56.153 --> 00:55:59.890 region:rollup2
THEY ALSO HELP A STATE SAVE
00:55:57.688 --> 00:56:02.125 region:rollup2
APPROXIMATELY ONE HUNDRED
00:55:59.890 --> 00:56:04.127 region:rollup2
MILLION DOLLARS ANNUALLY.
00:56:02.125 --> 00:56:05.796 region:rollup2
THAT'S IN A NORMAL YEAR.
00:56:04.127 --> 00:56:07.497 region:rollup2
LAST YEAR WAS THE LARGEST AND
00:56:05.796 --> 00:56:09.666 region:rollup2
MOST DEVASTATING FIRE SEASON IN
00:56:07.497 --> 00:56:11.602 region:rollup2
OUR STATE'S HISTORY. AND THEIR
00:56:09.666 --> 00:56:14.238 region:rollup2
EFFORTS ALL AROUND THE STATE
00:56:11.602 --> 00:56:15.372 region:rollup2
WERE NO LESS EXTRAORDINARY.
00:56:14.238 --> 00:56:16.974 region:rollup2
I'M SORRY TO SAY THAT
00:56:15.372 --> 00:56:18.642 region:rollup2
CONSERVATION CAMP MEMBERS HAVE
00:56:16.974 --> 00:56:20.377 region:rollup2
EVEN PERISHED.
00:56:18.642 --> 00:56:22.279 region:rollup2
DURING TRAINING AND ON THE FRONT
00:56:20.377 --> 00:56:24.514 region:rollup2
LINES BATTLING OR FIRES FOR OUR
00:56:22.279 --> 00:56:26.216 region:rollup2
STATE.
00:56:24.514 --> 00:56:28.051 region:rollup2
THESE PEOPLE OUR TRUSTED AND
00:56:26.216 --> 00:56:28.485 region:rollup2
SKILLED ENOUGH TO RISK THEIR
00:56:28.051 --> 00:56:30.988 region:rollup2
LIVES WHILE THEY'RE
00:56:28.485 --> 00:56:32.422 region:rollup2
INCARCERATED.
00:56:30.988 --> 00:56:34.258 region:rollup2
WHEN RELEASED THEY WANT TO USE
00:56:32.422 --> 00:56:35.993 region:rollup2
THE SKILLS THEY'VE LEARNED AND
00:56:34.258 --> 00:56:37.127 region:rollup2
PUT THEM TOWARDS EARNING A
00:56:35.993 --> 00:56:38.662 region:rollup2
LIVING AND CONTRIBUTING TO THEIR
00:56:37.127 --> 00:56:40.631 region:rollup2
COMMUNITIES.
00:56:38.662 --> 00:56:42.266 region:rollup2
UNFORTUNATELY OUR STATE'S
00:56:40.631 --> 00:56:44.067 region:rollup2
RESTRICTIVE LICENSING SYSTEM IN
00:56:42.266 --> 00:56:46.136 region:rollup2
THIS AREA BARS THEM FROM DOING
00:56:44.067 --> 00:56:48.605 region:rollup2
SO.
00:56:46.136 --> 00:56:51.708 region:rollup2
AB TWENTY TWO NINETY THREE SIX
00:56:48.605 --> 00:56:52.709 region:rollup2
TO REMEDY.
00:56:51.708 --> 00:56:54.177 region:rollup2
IT'S TO REMEDY THAT WHILE ALSO
00:56:52.709 --> 00:56:56.113 region:rollup2
LOOKED TAKING PUBLIC SAFETY INTO
00:56:54.177 --> 00:56:57.414 region:rollup2
ACCOUNT.
00:56:56.113 --> 00:56:58.916 region:rollup2
HERE TO SPEAK ON THE BILL ARE
00:56:57.414 --> 00:57:00.584 region:rollup2
JAIL.
00:56:58.916 --> 00:57:02.819 region:rollup2
MYRICK FROM THE EAST BAY
00:57:00.584 --> 00:57:04.955 region:rollup2
COMMUNITY LAW CENTER AND DEVOTED
00:57:02.819 --> 00:57:08.959 region:rollup2
TO LAYER FROM LEGAL SERVICES FOR
00:57:04.955 --> 00:57:10.627 region:rollup2
PRISONERS WITH CHILDREN.
00:57:08.959 --> 00:57:12.029 region:rollup2
GOOD AFTERNOON I'M EVER TELL AIR
00:57:10.627 --> 00:57:14.097 region:rollup2
WITH LEGAL SERVICES FOR
00:57:12.029 --> 00:57:15.799 region:rollup2
PRISONERS WITH CHILDREN.
00:57:14.097 --> 00:57:17.467 region:rollup2
AS THE ASSEMBLY MEMBER JUST
00:57:15.799 --> 00:57:19.202 region:rollup2
SAID THIRTY PERCENT OF OUR
00:57:17.467 --> 00:57:20.904 region:rollup2
CURRENT FOREST FIRES ARE
00:57:19.202 --> 00:57:21.672 region:rollup2
CURRENTLY INCARCERATED THAT'S
00:57:20.904 --> 00:57:23.674 region:rollup2
FOUR THOUSAND FIVE HUNDRED
00:57:21.672 --> 00:57:26.043 region:rollup2
PEOPLE AND THEY GET PAID TWO
00:57:23.674 --> 00:57:27.678 region:rollup2
DOLLARS AN HOUR. CDC ARE SELECT
00:57:26.043 --> 00:57:30.314 region:rollup2
TO THOSE PEOPLE CAN BE AND
00:57:27.678 --> 00:57:31.515 region:rollup2
AUTOMATICALLY EXCLUDES PEOPLE
00:57:30.314 --> 00:57:34.584 region:rollup2
WITH CONVICTIONS FOR SEX
00:57:31.515 --> 00:57:35.585 region:rollup2
OFFENSES ARSONOR ESCAPE.
00:57:34.584 --> 00:57:37.821 region:rollup2
FIREFIGHTING IS A GROWTH
00:57:35.585 --> 00:57:39.656 region:rollup2
INDUSTRY FOR WHICH WE HAVE SEEN
00:57:37.821 --> 00:57:41.858 region:rollup2
THE STARK NEED FOR PEOPLE IN
00:57:39.656 --> 00:57:44.027 region:rollup2
THESE ROLES LAST YEAR ACROSS THE
00:57:41.858 --> 00:57:46.430 region:rollup2
STATE WITH COMMUNITIES AND HOMES
00:57:44.027 --> 00:57:47.764 region:rollup2
DECIMATED THE PRISON SYSTEM IS
00:57:46.430 --> 00:57:49.466 region:rollup2
TRAINING PEOPLE TO FILL THESE
00:57:47.764 --> 00:57:51.435 region:rollup2
POSITIONS BUT THE FIRE
00:57:49.466 --> 00:57:53.737 region:rollup2
DEPARTMENTS INCLUDING CAL FIRE
00:57:51.435 --> 00:57:56.473 region:rollup2
REQUIRE EMT CERTIFICATION FOR
00:57:53.737 --> 00:57:58.475 region:rollup2
THESE JOBS.
00:57:56.473 --> 00:58:01.078 region:rollup2
OUR COMMUNITIES DESERVE SKILLED
00:57:58.475 --> 00:58:03.480 region:rollup2
AND EXPERIENCED FIREFIGHTERS OUR
00:58:01.078 --> 00:58:05.582 region:rollup2
SOCIETY DESERVES A LICENSING
00:58:03.480 --> 00:58:07.551 region:rollup2
PROCESS THAT DOESN'T DUPLICATE
00:58:05.582 --> 00:58:09.753 region:rollup2
AND REINFORCE UNINTENTIONAL
00:58:07.551 --> 00:58:11.421 region:rollup2
RACIAL DISCRIMINATION. AND THESE
00:58:09.753 --> 00:58:13.190 region:rollup2
MEN AND WOMEN ARE DOING THIS
00:58:11.421 --> 00:58:15.058 region:rollup2
WORK WELL INCARCERATED THEY
00:58:13.190 --> 00:58:16.827 region:rollup2
DESERVE A FAIR CHANCE FOR A
00:58:15.058 --> 00:58:18.562 region:rollup2
LIVING WAGE TO DO THIS AFTER
00:58:16.827 --> 00:58:20.263 region:rollup2
INCARCERATION.
00:58:18.562 --> 00:58:22.966 region:rollup2
I WANT OF FURTHER EMPHASIZED
00:58:20.263 --> 00:58:25.802 region:rollup2
THAT THIS BILL GOES BEYOND JUST
00:58:22.966 --> 00:58:27.771 region:rollup2
THE CONSERVATION CAMP WORKERS.
00:58:25.802 --> 00:58:28.872 region:rollup2
EIGHT MILLION CALIFORNIANS HAVE
00:58:27.771 --> 00:58:31.341 region:rollup2
CONVICTION HISTORIES.
00:58:28.872 --> 00:58:33.043 region:rollup2
.
00:58:31.341 --> 00:58:34.277 region:rollup2
THIS BUT AND THAT SIGNIFICANTLY
00:58:33.043 --> 00:58:36.747 region:rollup2
MORE THAN THE FOUR THOUSAND FIVE
00:58:34.277 --> 00:58:38.382 region:rollup2
HUNDRED PEOPLE IN THESE CAMPS
00:58:36.747 --> 00:58:40.183 region:rollup2
THIS BILL PROVIDES A PATH FOR
00:58:38.382 --> 00:58:41.885 region:rollup2
PEOPLE WITH NON CONVICTIONS. SO
00:58:40.183 --> 00:58:44.254 region:rollup2
ARRESTS.
00:58:41.885 --> 00:58:46.023 region:rollup2
WITH CONVICTIONS THAT WERE NOT
00:58:44.254 --> 00:58:47.391 region:rollup2
SERIOUS ENOUGH TO WARRANT PRISON
00:58:46.023 --> 00:58:49.192 region:rollup2
TIME AND THEREFORE WEREN'T
00:58:47.391 --> 00:58:51.328 region:rollup2
ELIGIBLE FOR CONSERVATION CAMP
00:58:49.192 --> 00:58:52.963 region:rollup2
BECAUSE IT'S A CDC OUR PROGRAM.
00:58:51.328 --> 00:58:54.264 region:rollup2
AND ALSO FOR THOSE WITH CERTAIN
00:58:52.963 --> 00:58:56.366 region:rollup2
CONVICTIONS THAT HAVE SHOWN
00:58:54.264 --> 00:58:57.667 region:rollup2
REHABILITATION AND ARE OTHERWISE
00:58:56.366 --> 00:59:00.771 region:rollup2
ELIGIBLE TO PROTECT OUR
00:58:57.667 --> 00:59:01.738 region:rollup2
COMMUNITIES.
00:59:00.771 --> 00:59:03.106 region:rollup2
AND THANK YOU MY NAME IS.
00:59:01.738 --> 00:59:04.074 region:rollup2
THANK YOU MISTER CHAIRMAN OF
00:59:03.106 --> 00:59:05.375 region:rollup2
THE COMMITTEE MY NAME IS JAIL
00:59:04.074 --> 00:59:06.710 region:rollup2
MYRICK AND I'M WITH THE EAST BAY
00:59:05.375 --> 00:59:08.245 region:rollup2
CAN BE LAW CENTER AND JUST
00:59:06.710 --> 00:59:09.846 region:rollup2
BRIEFLY I WANT TO READ PORTIONS
00:59:08.245 --> 00:59:11.181 region:rollup2
OF TWO LETTERS WE WORK WITH
00:59:09.846 --> 00:59:12.015 region:rollup2
CLIENTS ON A REGULAR BASIS WERE
00:59:11.181 --> 00:59:13.917 region:rollup2
TRYING TO GET THEIR LIVES BACK
00:59:12.015 --> 00:59:15.152 region:rollup2
ON TRACK AND. WANT TO READ FROM
00:59:13.917 --> 00:59:16.219 region:rollup2
TWO OF THEM ONE.
00:59:15.152 --> 00:59:18.188 region:rollup2
I'M WRITING THIS LETTER TO
00:59:16.219 --> 00:59:19.523 region:rollup2
INFORM YOU WHO I AM A AND HOW
00:59:18.188 --> 00:59:21.291 region:rollup2
BEING CONVICTED OF A FELONY OVER
00:59:19.523 --> 00:59:22.459 region:rollup2
TWENTY SEVEN YEARS AGO IS STILL
00:59:21.291 --> 00:59:23.927 region:rollup2
AFFECTING ME. I'VE BEEN A
00:59:22.459 --> 00:59:25.462 region:rollup2
FIREFIGHTER IN THE BAY AREA FOR
00:59:23.927 --> 00:59:26.797 region:rollup2
TWENTY YEARS NOW AND THE
00:59:25.462 --> 00:59:28.165 region:rollup2
LONGSHOREMEN THE PAST FIVE. I
00:59:26.797 --> 00:59:29.800 region:rollup2
HAVE TWO WONDERFUL CAREERS IN A
00:59:28.165 --> 00:59:31.234 region:rollup2
LOVING FAMILY WITH A WIFE AND
00:59:29.800 --> 00:59:33.103 region:rollup2
FOUR SONS RANGING FROM NINE TO
00:59:31.234 --> 00:59:34.438 region:rollup2
TWENTY FOUR YEARS OF AGE. I WANT
00:59:33.103 --> 00:59:35.739 region:rollup2
TO PROMOTE TO THE POSITION OF
00:59:34.438 --> 00:59:37.774 region:rollup2
FIRE INVESTIGATOR WITHIN MY
00:59:35.739 --> 00:59:39.876 region:rollup2
DEPARTMENT BUT IN ORDER TO DO SO
00:59:37.774 --> 00:59:42.145 region:rollup2
I HAVE TO TAKE A FIRE ARMS AND
00:59:39.876 --> 00:59:43.580 region:rollup2
LAWS. OF OF OVER REST CLASS I
00:59:42.145 --> 00:59:45.248 region:rollup2
HAD TO SUBMIT MY FINGERPRINTS TO
00:59:43.580 --> 00:59:46.983 region:rollup2
THE DOJ AND OF COURSE I WAS
00:59:45.248 --> 00:59:47.451 region:rollup2
UNABLE TO BE CLEARED FOR THE
00:59:46.983 --> 00:59:48.385 region:rollup2
CLASSES BECAUSE OF MY
00:59:47.451 --> 00:59:49.686 region:rollup2
CONVICTION.
00:59:48.385 --> 00:59:50.954 region:rollup2
BECAUSE I CANNOT TAKE THESE
00:59:49.686 --> 00:59:52.622 region:rollup2
CLASSES I CANNOT BE PROMOTED
00:59:50.954 --> 00:59:54.424 region:rollup2
DESPITE HAVING WORKED HARD AS A
00:59:52.622 --> 00:59:55.826 region:rollup2
FIREFIGHTER FOR TWENTY YEARS I
00:59:54.424 --> 00:59:57.160 region:rollup2
HAVE BEEN A LAW ABIDING CITIZEN
00:59:55.826 --> 00:59:59.029 region:rollup2
THAT GOES TO WORK EVERY DAY WITH
00:59:57.160 --> 01:00:00.831 region:rollup2
TWO JOBS. RAISING A FAMILY OF
00:59:59.029 --> 01:00:03.333 region:rollup2
FOUR SCIENCE AND THIS HAS COME
01:00:00.831 --> 01:00:03.967 region:rollup2
BACK TO HURT ME TIME AND AGAIN
01:00:03.333 --> 01:00:04.835 region:rollup2
AND THEN THE OTHER LETTERS FROM
01:00:03.967 --> 01:00:07.204 region:rollup2
A WOMAN.
01:00:04.835 --> 01:00:08.271 region:rollup2
WELL WHO IS ACTUALLY A FIREFIGHT
01:00:07.204 --> 01:00:09.706 region:rollup2
BUT REGISTER AS EMT IN ANOTHER
01:00:08.271 --> 01:00:11.108 region:rollup2
STATE IN AUGUST THE TWENTY
01:00:09.706 --> 01:00:13.009 region:rollup2
FOURTEEN I WAS CONVICTED OF ONE
01:00:11.108 --> 01:00:14.478 region:rollup2
MISDEMEANOR DUE TO BEING AN
01:00:13.009 --> 01:00:15.412 region:rollup2
ABUSIVE RELATIONSHIP.
01:00:14.478 --> 01:00:16.880 region:rollup2
A FEW MONTHS.
01:00:15.412 --> 01:00:18.415 region:rollup2
POST CONVICTION I WAS ABLE TO
01:00:16.880 --> 01:00:20.884 region:rollup2
END THE RELATIONSHIP AND START
01:00:18.415 --> 01:00:22.786 region:rollup2
ANEW I STARTED AN EMERGENCY
01:00:20.884 --> 01:00:23.954 region:rollup2
MEDICAL TECHNICIAN PROGRAM AFTER
01:00:22.786 --> 01:00:25.989 region:rollup2
DECIDING THAT I WANT TO BE A
01:00:23.954 --> 01:00:26.456 region:rollup2
FIRST RESPONDER WITH ASPIRATIONS
01:00:25.989 --> 01:00:27.457 region:rollup2
OF BEING A FIREFIGHTER
01:00:26.456 --> 01:00:28.992 region:rollup2
PARAMEDIC.
01:00:27.457 --> 01:00:30.227 region:rollup2
I MOVED TO NEW YORK IN TWENTY
01:00:28.992 --> 01:00:31.428 region:rollup2
FIFTEEN FOR A CHANGE OF
01:00:30.227 --> 01:00:33.897 region:rollup2
ENVIRONMENT DURING THAT TIME I
01:00:31.428 --> 01:00:35.866 region:rollup2
OBTAINED MY NATIONAL REGISTRY.
01:00:33.897 --> 01:00:37.667 region:rollup2
OF EMT CERTIFICATION AND NEW
01:00:35.866 --> 01:00:39.536 region:rollup2
YORK STATE EMT CERTIFICATION
01:00:37.667 --> 01:00:41.338 region:rollup2
GAINING EMT EXPERIENCE FOR TO
01:00:39.536 --> 01:00:42.572 region:rollup2
SCAN FOR NINE MONTHS SINCE MY
01:00:41.338 --> 01:00:45.542 region:rollup2
RETURN TO THE BAY AREA IN SUMMER
01:00:42.572 --> 01:00:46.076 region:rollup2
TWENTY SIXTEEN I STARTED WORKING
01:00:45.542 --> 01:00:46.843 region:rollup2
WITH THE AMERICAN MEDICAL
01:00:46.076 --> 01:00:48.445 region:rollup2
RESPONSE.
01:00:46.843 --> 01:00:49.980 region:rollup2
AS THERE WILL CHAIR DRIVER AND
01:00:48.445 --> 01:00:52.082 region:rollup2
I'M CURRENTLY AT SABOL COLLEGES
01:00:49.980 --> 01:00:53.617 region:rollup2
FIRE ACADEMY WITH AN ANTICIPATED
01:00:52.082 --> 01:00:54.751 region:rollup2
GRADUATION DATE OF MAY TWENTY
01:00:53.617 --> 01:00:56.586 region:rollup2
FOURTH TWENTY EIGHTEEN
01:00:54.751 --> 01:00:58.188 region:rollup2
UNFORTUNATELY IT IS DUE TO
01:00:56.586 --> 01:01:00.056 region:rollup2
RESTRICTIONS IN OBTAINING BY
01:00:58.188 --> 01:01:01.625 region:rollup2
CALIFORNIA ANTI CARD. THAT I'M
01:01:00.056 --> 01:01:03.593 region:rollup2
CURRENTLY UNABLE TO PROBE
01:01:01.625 --> 01:01:05.829 region:rollup2
PROGRESS CAREER WISE. BOTH AT
01:01:03.593 --> 01:01:09.466 region:rollup2
AMERICAN MEDICAL RESPONSE AND IN
01:01:05.829 --> 01:01:10.500 region:rollup2
THE FIRE SERVICE THANK YOU.
01:01:09.466 --> 01:01:12.802 region:rollup2
YOU VERY MUCH DESERVED OTHER
01:01:10.500 --> 01:01:14.137 region:rollup2
OTHERS IN SUPPORT.
01:01:12.802 --> 01:01:15.639 region:rollup2
BETTER THAN I WITH THE EAST BAY
01:01:14.137 --> 01:01:17.173 region:rollup2
COMMUNITY LAW CENTER ON BEHALF
01:01:15.639 --> 01:01:18.608 region:rollup2
OF A COALITION OF OVER FIFTEEN
01:01:17.173 --> 01:01:19.643 region:rollup2
ORGANIZATIONS ACROSS THE STATE
01:01:18.608 --> 01:01:21.678 region:rollup2
OF CALIFORNIA ABOVE SUBMITTED
01:01:19.643 --> 01:01:22.245 region:rollup2
LETTERS OF SUPPORT. WE ARE IN
01:01:21.678 --> 01:01:25.649 region:rollup2
SUPPORT OF AB THIRTY THIRTY
01:01:22.245 --> 01:01:27.517 region:rollup2
NINE.
01:01:25.649 --> 01:01:28.451 region:rollup2
HELLO SABRINA CHRIS SAID HE WITH
01:01:27.517 --> 01:01:31.288 region:rollup2
ALL OF US ARE NONE IN STRONG
01:01:28.451 --> 01:01:32.622 region:rollup2
SUPPORT.
01:01:31.288 --> 01:01:34.191 region:rollup2
ERICA TING GOING ON BEHALF OF
01:01:32.622 --> 01:01:35.425 region:rollup2
POLICY LINK IN THE ALLIANCE FOR
01:01:34.191 --> 01:01:37.727 region:rollup2
BOYS AND MEN OF COLOR IN STRONG
01:01:35.425 --> 01:01:44.200 region:rollup2
SUPPORT THINK YOU.
01:01:37.727 --> 01:01:45.802 region:rollup2
THREE ONE IN OPPOSITION.
01:01:44.200 --> 01:01:47.037 region:rollup2
WHEN IT WAS RECORDED A LOT LIKE
01:01:45.802 --> 01:01:48.205 region:rollup2
TO SUPPORT ALSO ON THE SPEAKING
01:01:47.037 --> 01:01:50.040 region:rollup2
MAYBE HALF A LOT OF THE FANS
01:01:48.205 --> 01:02:04.187 region:rollup2
THAT ARE OUT THERE THANK YOU
01:01:50.040 --> 01:02:05.422 region:rollup2
THANK YOU THANK YOU SORRY.
01:02:04.187 --> 01:02:07.190 region:rollup2
GOOD AFTERNOON MISTER CHAIR AND
01:02:05.422 --> 01:02:08.959 region:rollup2
COMMITTEE MEMBERS.
01:02:07.190 --> 01:02:10.193 region:rollup2
MY NAME IS DAVID MAGNETO AND THE
01:02:08.959 --> 01:02:11.294 region:rollup2
ADMINISTRATOR FOR THE SACRAMENTO
01:02:10.193 --> 01:02:12.629 region:rollup2
COUNTY EMERGENCY MEDICAL SERVICE
01:02:11.294 --> 01:02:14.197 region:rollup2
AGENCY.
01:02:12.629 --> 01:02:16.132 region:rollup2
AND ON BEHALF OF THE EMERGENCY
01:02:14.197 --> 01:02:17.267 region:rollup2
MEDICAL SERVICE.
01:02:16.132 --> 01:02:19.669 region:rollup2
ADMINISTRATORS ASSOCIATION OF
01:02:17.267 --> 01:02:20.737 region:rollup2
CALIFORNIA I AM CURRENTLY A
01:02:19.669 --> 01:02:22.706 region:rollup2
PARAMEDIC LICENSE IN THE STATE
01:02:20.737 --> 01:02:25.208 region:rollup2
OF CALIFORNIA. FOR OVER TWENTY
01:02:22.706 --> 01:02:26.476 region:rollup2
YEARS AND AN EMT THAT'S BEEN
01:02:25.208 --> 01:02:28.245 region:rollup2
CENTER CERTIFIED IN THE STATE OF
01:02:26.476 --> 01:02:29.613 region:rollup2
CALIFORNIA. OF FOR OVER THIRTY
01:02:28.245 --> 01:02:31.381 region:rollup2
FIVE YEARS TWELVE THIRTY OF
01:02:29.613 --> 01:02:33.083 region:rollup2
THOSE YEARS BEING WITH THE
01:02:31.381 --> 01:02:35.218 region:rollup2
CALIFORNIA HIGHWAY PATROL.
01:02:33.083 --> 01:02:36.653 region:rollup2
I'M FOR BEFORE YOU TODAY.
01:02:35.218 --> 01:02:38.622 region:rollup2
TO EXPRESS M. SACKS CONCERN
01:02:36.653 --> 01:02:40.256 region:rollup2
REGARDING THIS BILL.
01:02:38.622 --> 01:02:42.559 region:rollup2
FIRST WE BELIEVE IT IS IMPORTANT
01:02:40.256 --> 01:02:44.961 region:rollup2
TO HOLD PARAMEDICS AND IAN TV'S.
01:02:42.559 --> 01:02:47.631 region:rollup2
TO A HIGHER STANDARD.
01:02:44.961 --> 01:02:49.165 region:rollup2
DUE TO THE NATURE OF THEIR WORK.
01:02:47.631 --> 01:02:51.835 region:rollup2
MANY OF THEIR PATIENTS ARE.
01:02:49.165 --> 01:02:54.037 region:rollup2
ELDERLY.
01:02:51.835 --> 01:02:55.972 region:rollup2
THE INFIRM AND ALONE.
01:02:54.037 --> 01:02:58.541 region:rollup2
THEY HAVE VERY LIMITED DIRECT
01:02:55.972 --> 01:03:00.043 region:rollup2
SUPERVISION Y. THERE ON A CALL.
01:02:58.541 --> 01:03:01.745 region:rollup2
IN THEIR ACCESS TO PATIENTS
01:03:00.043 --> 01:03:05.015 region:rollup2
IDENTITIES VALUABLES AND
01:03:01.745 --> 01:03:06.750 region:rollup2
MEDICATIONS ARE WIDELY OPEN.
01:03:05.015 --> 01:03:08.618 region:rollup2
LOCAL EMS AGENCIES ROUTINELY
01:03:06.750 --> 01:03:10.787 region:rollup2
CERTIFY.
01:03:08.618 --> 01:03:12.022 region:rollup2
EMTS WITH PAST CONVICTIONS.
01:03:10.787 --> 01:03:14.257 region:rollup2
THESE INDIVIDUALS MUST COMPLETE
01:03:12.022 --> 01:03:17.360 region:rollup2
THEIR PROBATION.
01:03:14.257 --> 01:03:18.528 region:rollup2
ALL COURT ORDERED REQUIREMENTS.
01:03:17.360 --> 01:03:19.963 region:rollup2
AND CURRENTLY LOCAL YOU MISS
01:03:18.528 --> 01:03:22.132 region:rollup2
AGENCIES USE THE EXISTING
01:03:19.963 --> 01:03:23.066 region:rollup2
LEGISLATIVE FRAMEWORK TO GUIDE
01:03:22.132 --> 01:03:24.601 region:rollup2
US IN OUR DECISION MAKING.
01:03:23.066 --> 01:03:27.570 region:rollup2
PROCESS.
01:03:24.601 --> 01:03:29.439 region:rollup2
WHEN A PERSON IS REHABILITATED.
01:03:27.570 --> 01:03:31.408 region:rollup2
SUCH AS IF THEY'VE COMPLETED ALL
01:03:29.439 --> 01:03:31.875 region:rollup2
THE COURT REQUIREMENTS.
01:03:31.408 --> 01:03:33.843 region:rollup2
THEY ARE ELIGIBLE FOR
01:03:31.875 --> 01:03:36.046 region:rollup2
CERTIFICATION.
01:03:33.843 --> 01:03:38.014 region:rollup2
BOTH THEIR ONLY A FEW EXCEPTIONS
01:03:36.046 --> 01:03:39.749 region:rollup2
SUCH AS PENAL CODE TO NINETY
01:03:38.014 --> 01:03:41.751 region:rollup2
CONVICTIONS AND MURDER. AND
01:03:39.749 --> 01:03:43.853 region:rollup2
CURRENTLY AS AN ADMINISTRATOR I
01:03:41.751 --> 01:03:45.522 region:rollup2
HAVE FOUR NEW. EMT APPLIQUE
01:03:43.853 --> 01:03:46.323 region:rollup2
APPLICANTS.
01:03:45.522 --> 01:03:47.924 region:rollup2
WHO HAVE SUBMITTED ALL THEIR
01:03:46.323 --> 01:03:48.692 region:rollup2
DOCUMENTS?
01:03:47.924 --> 01:03:50.126 region:rollup2
I'M WAITING FOR THE COURT
01:03:48.692 --> 01:03:52.095 region:rollup2
DOCUMENTS.
01:03:50.126 --> 01:03:53.630 region:rollup2
TO REVIEW ALL OF THEM HAVING
01:03:52.095 --> 01:03:55.899 region:rollup2
PRIOR CONVICTIONS.
01:03:53.630 --> 01:03:57.334 region:rollup2
AND SHOWING TRENDS.
01:03:55.899 --> 01:03:59.202 region:rollup2
BUT AS I LOOK AT THEIR BASIC
01:03:57.334 --> 01:04:00.503 region:rollup2
PEOPLE WORK RIGHT NOW.
01:03:59.202 --> 01:04:01.871 region:rollup2
EVEN WITH THEIR CONVICTIONS
01:04:00.503 --> 01:04:05.075 region:rollup2
THOSE FOUR WILL PROBABLY MOVE ON
01:04:01.871 --> 01:04:07.243 region:rollup2
TO BE CERTIFIED.
01:04:05.075 --> 01:04:08.778 region:rollup2
WE UNDERSTAND AND EMPATHIZE WITH
01:04:07.243 --> 01:04:10.547 region:rollup2
ASSEMBLY MEMBER RACES OBJECTIVES
01:04:08.778 --> 01:04:11.781 region:rollup2
HOWEVER.
01:04:10.547 --> 01:04:14.818 region:rollup2
WE'D LIKE TO NOTE THAT
01:04:11.781 --> 01:04:16.586 region:rollup2
FIREFIGHTERS ARE NOT CURRENTLY.
01:04:14.818 --> 01:04:19.189 region:rollup2
REQUIRED BY STATUTE TO HOLD AN
01:04:16.586 --> 01:04:20.957 region:rollup2
EMT OR PARAMEDIC CREDENTIAL.
01:04:19.189 --> 01:04:21.925 region:rollup2
BASIC PUBLIC SAFETY FOR STATE IS
01:04:20.957 --> 01:04:23.993 region:rollup2
ALL THAT IS REQUIRED. UNDER
01:04:21.925 --> 01:04:25.762 region:rollup2
STATUTE.
01:04:23.993 --> 01:04:27.797 region:rollup2
AND CAL FIRE WIDELY WILDLAND
01:04:25.762 --> 01:04:28.298 region:rollup2
FIREFIGHTERS ARE TRAINED.
01:04:27.797 --> 01:04:30.233 region:rollup2
TO BE FOR STATE CERTIFY
01:04:28.298 --> 01:04:31.801 region:rollup2
STANDARD.
01:04:30.233 --> 01:04:33.536 region:rollup2
AB TWO TWENTY TWO NINETY THREE
01:04:31.801 --> 01:04:35.405 region:rollup2
RESTRICTS THE CONSIDERATIONS OF
01:04:33.536 --> 01:04:37.574 region:rollup2
VIOLATIONS TO ONLY.
01:04:35.405 --> 01:04:38.908 region:rollup2
DODD ON DUTY BEHAVIOR HOWEVER WE
01:04:37.574 --> 01:04:40.310 region:rollup2
BELIEVE THAT THESE OFF DUTY
01:04:38.908 --> 01:04:41.778 region:rollup2
VIOLATIONS THAT WORK
01:04:40.310 --> 01:04:43.279 region:rollup2
CONSIDERATIONS SUCH AS DRIVING
01:04:41.778 --> 01:04:44.547 region:rollup2
UNDER THE INFLUENCE. DIRECTLY
01:04:43.279 --> 01:04:45.815 region:rollup2
RELATES TO ONE'S ABILITY TO
01:04:44.547 --> 01:04:47.951 region:rollup2
QUARK.
01:04:45.815 --> 01:04:49.819 region:rollup2
A FORM SAFELY WHILE ON DUTY.
01:04:47.951 --> 01:04:51.855 region:rollup2
IT'S THEIR PERSONAL CHOICES AND
01:04:49.819 --> 01:04:53.256 region:rollup2
A BILLY TO BE RESPONSIBLE. FOR
01:04:51.855 --> 01:04:55.925 region:rollup2
ONE'S ACTIONS THAT NEED TO BE
01:04:53.256 --> 01:04:57.026 region:rollup2
MONITORED AND HELD ACCOUNTABLE
01:04:55.925 --> 01:04:59.396 region:rollup2
ONCE THEY ARE CERTIFIED AS A.
01:04:57.026 --> 01:05:01.231 region:rollup2
EMT.
01:04:59.396 --> 01:05:02.132 region:rollup2
THE OLD THE EMS ADMINISTRATORS
01:05:01.231 --> 01:05:03.767 region:rollup2
ARE WILLING TO WORK WITH
01:05:02.132 --> 01:05:05.168 region:rollup2
STAKEHOLDERS AND EMS AUTHORITY
01:05:03.767 --> 01:05:06.770 region:rollup2
TO EVALUATE OUR EXISTING
01:05:05.168 --> 01:05:08.138 region:rollup2
REGULATIONS AND GUIDELINES TO
01:05:06.770 --> 01:05:08.805 region:rollup2
DETERMINE. THE UNNECESSARY
01:05:08.138 --> 01:05:11.508 region:rollup2
BOUNDARIES TO LICENSE YOUR
01:05:08.805 --> 01:05:13.176 region:rollup2
THANK YOU.
01:05:11.508 --> 01:05:13.843 region:rollup2
GOOD AFTERNOON STRUCTURE MEMBERS
01:05:13.176 --> 01:05:15.211 region:rollup2
OF THE COMMITTEE MY NAME'S KEVIN
01:05:13.843 --> 01:05:16.613 region:rollup2
BACK HIM A BOARD CERTIFIED
01:05:15.211 --> 01:05:19.182 region:rollup2
EMERGENCY PHYSICIAN I'M ALSO THE
01:05:16.613 --> 01:05:20.250 region:rollup2
CURRENT PRESIDENT. OF EMERGENCY
01:05:19.182 --> 01:05:22.819 region:rollup2
MEDICAL DIRECTORS ASSOCIATION OF
01:05:20.250 --> 01:05:23.319 region:rollup2
CALIFORNIA WHICH IS REPRESENTING
01:05:22.819 --> 01:05:25.121 region:rollup2
THE THIRTY THREE MEDICAL
01:05:23.319 --> 01:05:26.823 region:rollup2
DIRECTORS. THAT OVER THAT
01:05:25.121 --> 01:05:28.024 region:rollup2
STATUTORY AUTHORITY OVER THE
01:05:26.823 --> 01:05:29.793 region:rollup2
FIFTY COUNTIES IN THE STATE OF
01:05:28.024 --> 01:05:30.460 region:rollup2
CALIFORNIA.
01:05:29.793 --> 01:05:31.661 region:rollup2
I'VE SERVED AS MEDICAL DIRECTOR
01:05:30.460 --> 01:05:34.130 region:rollup2
ONE THE CMS AGENCIES FOR TEN
01:05:31.661 --> 01:05:35.532 region:rollup2
YEARS.
01:05:34.130 --> 01:05:37.367 region:rollup2
AND ARE I I CAN KNOWLEDGE THE
01:05:35.532 --> 01:05:38.935 region:rollup2
AUTHOR'S INTENT TO EXPAND THAT
01:05:37.367 --> 01:05:40.703 region:rollup2
CALIFORNIA'S FIREFIGHTING
01:05:38.935 --> 01:05:42.272 region:rollup2
CAPACITY. HOWEVER I'M GONNA TAKE
01:05:40.703 --> 01:05:44.274 region:rollup2
A BRIEF MOMENT SPUN YOU WHY THIS
01:05:42.272 --> 01:05:45.875 region:rollup2
BILL IS BOTH UNNECESSARY WINE
01:05:44.274 --> 01:05:47.644 region:rollup2
FORTUNATELY I HAVE TO OPPOSE IT.
01:05:45.875 --> 01:05:48.211 region:rollup2
THE LOCAL A MESS AGENCIES WITH
01:05:47.644 --> 01:05:49.412 region:rollup2
THEIR MEDICAL DIRECTORS ARE
01:05:48.211 --> 01:05:51.481 region:rollup2
CHARGED.
01:05:49.412 --> 01:05:53.149 region:rollup2
THE CERTIFICATION OF EMTS THIS
01:05:51.481 --> 01:05:54.050 region:rollup2
IS AN AWESOME RESPONSIBILITY.
01:05:53.149 --> 01:05:55.819 region:rollup2
BECAUSE THESE MEN AND WOMEN
01:05:54.050 --> 01:05:57.053 region:rollup2
RESPONDED TO THE HOMES OF OUR OF
01:05:55.819 --> 01:05:58.588 region:rollup2
OUR LOVED ONES IN OUR FAMILY
01:05:57.053 --> 01:06:00.990 region:rollup2
MEMBERS IN ADDITION IS MR BANG
01:05:58.588 --> 01:06:02.859 region:rollup2
KNOW POINTED OUT. ARE INVALID
01:06:00.990 --> 01:06:04.127 region:rollup2
INFIRMED AND PEOPLE AT RISK.
01:06:02.859 --> 01:06:05.829 region:rollup2
THIS IS THERE'S VERY LITTLE
01:06:04.127 --> 01:06:07.363 region:rollup2
DIRECT SUPERVISION OF THE CMT'S
01:06:05.829 --> 01:06:08.932 region:rollup2
WALL THEY'RE CHARGING THEIR
01:06:07.363 --> 01:06:11.468 region:rollup2
EMERGENCY CARE I'D EMPHASIZE
01:06:08.932 --> 01:06:13.336 region:rollup2
DIRECT THAT'S VISUAL ON SITE.
01:06:11.468 --> 01:06:14.270 region:rollup2
WHICH IS WHY LOCAL AMOS AGENCIES
01:06:13.336 --> 01:06:16.639 region:rollup2
HOLD THESE INDIVIDUALS TO A VERY
01:06:14.270 --> 01:06:18.174 region:rollup2
HIGH STANDARD.
01:06:16.639 --> 01:06:19.609 region:rollup2
WE HAVE CURRENT EXISTING
01:06:18.174 --> 01:06:21.010 region:rollup2
OPERATIONAL LEGISLATIVE
01:06:19.609 --> 01:06:23.279 region:rollup2
FRAMEWORK THAT THE MESSAGES HE'S
01:06:21.010 --> 01:06:24.347 region:rollup2
WORK UNDER TO GUIDE US.
01:06:23.279 --> 01:06:25.682 region:rollup2
WHEN A PERSON HAS PARTY LEGAL
01:06:24.347 --> 01:06:27.951 region:rollup2
TROUBLES.
01:06:25.682 --> 01:06:29.719 region:rollup2
AND WE DO CERTIFY THOSE.
01:06:27.951 --> 01:06:31.087 region:rollup2
ARE WITH PRIOR CONVICTIONS SO
01:06:29.719 --> 01:06:32.488 region:rollup2
LONG AS IF COMPLETED OF THEIR
01:06:31.087 --> 01:06:34.490 region:rollup2
COURT IMPOSED REQUIREMENTS
01:06:32.488 --> 01:06:36.493 region:rollup2
HOWEVER WE ALSO RIGHTFULLY
01:06:34.490 --> 01:06:37.494 region:rollup2
DISALLOW CERTIFICATION FOR THOSE
01:06:36.493 --> 01:06:39.262 region:rollup2
WHO'VE COMMITTED SEVERE
01:06:37.494 --> 01:06:40.363 region:rollup2
PENALTIES LA SUCH AS.
01:06:39.262 --> 01:06:42.432 region:rollup2
A PENAL CODE TO NINETY IN
01:06:40.363 --> 01:06:44.234 region:rollup2
VIOLENT FELONIES IN ADDITION AB
01:06:42.432 --> 01:06:45.535 region:rollup2
TWENTY TWO NINETY THREE A ROADS
01:06:44.234 --> 01:06:47.203 region:rollup2
ARE EXISTING AUTHORITY TO
01:06:45.535 --> 01:06:49.138 region:rollup2
MAINTAIN ACCOUNTABILITY. FOR
01:06:47.203 --> 01:06:50.974 region:rollup2
THOSE WHO HAVE PARDEE YOU WISE
01:06:49.138 --> 01:06:52.108 region:rollup2
OFF DUTY ACTS
01:06:50.974 --> 01:06:54.344 region:rollup2
AND THE MONITOR FITNESS TO
01:06:52.108 --> 01:06:56.279 region:rollup2
PERFORM LIFE SAVING TASKS.
01:06:54.344 --> 01:06:57.547 region:rollup2
FIREFIGHTERS PARTICULARLY
01:06:56.279 --> 01:06:59.515 region:rollup2
CALIFORNIA DEPARTMENT OF
01:06:57.547 --> 01:07:01.551 region:rollup2
FORESTRY FIREFIGHTERS ARE
01:06:59.515 --> 01:07:03.586 region:rollup2
ALLOWED TO BUT ARE NOT REQUIRED
01:07:01.551 --> 01:07:05.388 region:rollup2
TO BECOME EMTS.
01:07:03.586 --> 01:07:07.690 region:rollup2
CDF WILDLAND FIREFIGHTERS ARE
01:07:05.388 --> 01:07:09.192 region:rollup2
TRAINED BASIC FIRST DAY.
01:07:07.690 --> 01:07:10.760 region:rollup2
WHILE I CERTAINLY UNDERSTAND THE
01:07:09.192 --> 01:07:11.861 region:rollup2
AUTHOR FOR THE INTENT HERE IS
01:07:10.760 --> 01:07:13.496 region:rollup2
MEDICAL DIRECTOR THAT SIGNED THE
01:07:11.861 --> 01:07:15.798 region:rollup2
CERTIFICATION CARDS OF HUNDREDS
01:07:13.496 --> 01:07:17.100 region:rollup2
OF EMTS AND PARAMEDICS.
01:07:15.798 --> 01:07:19.135 region:rollup2
I'M CERTAIN WE CAN ACCOMPLISH
01:07:17.100 --> 01:07:20.904 region:rollup2
HER OBJECTIVE BY WORKING WITH
01:07:19.135 --> 01:07:22.238 region:rollup2
THE STATE EMS OF FORTY AND
01:07:20.904 --> 01:07:23.606 region:rollup2
STAKEHOLDERS UNDER CURRENT
01:07:22.238 --> 01:07:25.074 region:rollup2
LEGISLATIVE FRAMEWORK. TO
01:07:23.606 --> 01:07:27.911 region:rollup2
EVALUATE AND ADDRESS ANY
01:07:25.074 --> 01:07:28.311 region:rollup2
UNNECESSARY BARRIERS TO LICENSE
01:07:27.911 --> 01:07:29.879 region:rollup2
FROM CERTIFICATION
01:07:28.311 --> 01:07:30.680 region:rollup2
FOR THESE REASONS THE EMERGENCY
01:07:29.879 --> 01:07:32.148 region:rollup2
MEDICAL DIRECTOR ASSOCIATION OF
01:07:30.680 --> 01:07:33.917 region:rollup2
CALIFORNIA.
01:07:32.148 --> 01:07:34.918 region:rollup2
MUST REGRETFULLY OPPOSE AB
01:07:33.917 --> 01:07:39.355 region:rollup2
TWENTY TWO NINETY THREE THANK
01:07:34.918 --> 01:07:40.123 region:rollup2
YOU FOR YOUR TIME.
01:07:39.355 --> 01:07:43.526 region:rollup2
BUT AND OTHER OTHERS IN
01:07:40.123 --> 01:07:44.827 region:rollup2
OPPOSITION.
01:07:43.526 --> 01:07:46.029 region:rollup2
SEEING NO MORE BRING IT BACK TO
01:07:44.827 --> 01:07:48.631 region:rollup2
THE COMMITTEE FOR QUESTIONS OR
01:07:46.029 --> 01:07:50.433 region:rollup2
COMMENTS MISTER FLOOR.
01:07:48.631 --> 01:07:51.768 region:rollup2
AND THE PACIFIC THANK YOU TO THE
01:07:50.433 --> 01:07:53.136 region:rollup2
AUTHOR FOR BRINGING THIS UP
01:07:51.768 --> 01:07:54.370 region:rollup2
AROUND. I DO APOLOGIZE I'M HAVE
01:07:53.136 --> 01:07:56.439 region:rollup2
TO SPEAK IN OPPOSITION TO THIS
01:07:54.370 --> 01:07:59.375 region:rollup2
PARTICULAR BILL. THERE WAS A LOT
01:07:56.439 --> 01:08:00.443 region:rollup2
SAID TODAY ABOUT HELLFIRE IN THE
01:07:59.375 --> 01:08:01.210 region:rollup2
FIRE SERVICE IN.
01:08:00.443 --> 01:08:02.278 region:rollup2
AS YOU MAY KNOW THAT THAT IS
01:08:01.210 --> 01:08:02.912 region:rollup2
ACTUALLY WHERE I COME FROM I
01:08:02.278 --> 01:08:04.647 region:rollup2
WORK FOR CAL FIRE FOR A NUMBER
01:08:02.912 --> 01:08:05.648 region:rollup2
OF YEARS. AND IN THEIR MINIMUM
01:08:04.647 --> 01:08:06.182 region:rollup2
QUALIFICATIONS IT'S EIGHTEEN
01:08:05.648 --> 01:08:07.951 region:rollup2
YEARS OLD.
01:08:06.182 --> 01:08:09.519 region:rollup2
PERIOD.
01:08:07.951 --> 01:08:11.387 region:rollup2
SO THERE IS NO THIS CORRELATION
01:08:09.519 --> 01:08:12.989 region:rollup2
BETWEEN THE FIRE SERVICE AND AN
01:08:11.387 --> 01:08:15.358 region:rollup2
EMT TRAINING.
01:08:12.989 --> 01:08:16.626 region:rollup2
SPACES RELEASED A CAL FIRE IS
01:08:15.358 --> 01:08:19.295 region:rollup2
NOT EXACTLY ACCURATE.
01:08:16.626 --> 01:08:21.464 region:rollup2
BECAUSE IT IN THEIR OWN HOME.
01:08:19.295 --> 01:08:22.398 region:rollup2
QUALIFICATIONS SO JUST MAKE A
01:08:21.464 --> 01:08:23.032 region:rollup2
NOTE OF THAT BECAUSE I AM
01:08:22.398 --> 01:08:25.301 region:rollup2
CONCERNED.
01:08:23.032 --> 01:08:26.803 region:rollup2
AS AN EMT MYSELF AS A PARENT I
01:08:25.301 --> 01:08:28.605 region:rollup2
WENT TO PARAMEDIC SCHOOL IN SAN
01:08:26.803 --> 01:08:31.240 region:rollup2
JOAQUIN COUNTY.
01:08:28.605 --> 01:08:32.375 region:rollup2
WHEN WE GO INTO THESE HOMES.
01:08:31.240 --> 01:08:34.811 region:rollup2
THESE ARE TYPICALLY THE WORST
01:08:32.375 --> 01:08:36.613 region:rollup2
DAY THAT THESE PEOPLE NEVER HAD.
01:08:34.811 --> 01:08:39.215 region:rollup2
AND WHEN WE WALK INTO THEM THEY
01:08:36.613 --> 01:08:39.816 region:rollup2
HAVE TO HAVE THE UTMOST TRUST.
01:08:39.215 --> 01:08:41.084 region:rollup2
THAT THE PEOPLE THAT ARE THERE
01:08:39.816 --> 01:08:42.051 region:rollup2
TO HELP THEM.
01:08:41.084 --> 01:08:43.886 region:rollup2
ARE NOT GONNA DO SOMETHING.
01:08:42.051 --> 01:08:45.555 region:rollup2
TO HARM THEM
01:08:43.886 --> 01:08:46.689 region:rollup2
AND I FEEL BAD TO SPEAK
01:08:45.555 --> 01:08:48.057 region:rollup2
OPPOSITION THIS BILL BECAUSE
01:08:46.689 --> 01:08:49.859 region:rollup2
I'VE WORKED WITH EX CONS AT CAL
01:08:48.057 --> 01:08:50.960 region:rollup2
FIRE.
01:08:49.859 --> 01:08:52.996 region:rollup2
TWO THE GUYS I WORK WITH THE SAN
01:08:50.960 --> 01:08:54.397 region:rollup2
ANDREAS WERE FORMALLY
01:08:52.996 --> 01:08:56.065 region:rollup2
INCARCERATED AND SOME OF THE
01:08:54.397 --> 01:08:56.933 region:rollup2
BEST GUYS I'VE EVER MET MY LIFE.
01:08:56.065 --> 01:08:58.635 region:rollup2
AND THEY'RE INCREDIBLE HUMAN
01:08:56.933 --> 01:09:00.903 region:rollup2
BEINGS AND THEY HAVE A PATH TO
01:08:58.635 --> 01:09:02.438 region:rollup2
BECOME INCREDIBLE AND SUCCESSFUL
01:09:00.903 --> 01:09:03.840 region:rollup2
MEMBERS OF OUR SOCIETY WHICH IS
01:09:02.438 --> 01:09:04.674 region:rollup2
INCREDIBLY IMPORTANT.
01:09:03.840 --> 01:09:05.775 region:rollup2
BUT IF YOU'RE A RECOVERING
01:09:04.674 --> 01:09:06.376 region:rollup2
ALCOHOLIC
01:09:05.775 --> 01:09:07.710 region:rollup2
YOU PROBABLY SHOULD WORK IN A
01:09:06.376 --> 01:09:09.212 region:rollup2
BAR.
01:09:07.710 --> 01:09:11.147 region:rollup2
IF YOUR BANK ROBBER YOU PROBABLY
01:09:09.212 --> 01:09:11.981 region:rollup2
SHOULDN'T WORK AT A BANK TELLER.
01:09:11.147 --> 01:09:13.983 region:rollup2
AND SO WHEN WE TALK ABOUT THESE
01:09:11.981 --> 01:09:14.951 region:rollup2
FOLKS WHEN WE TAKE A PATIENT IN
01:09:13.983 --> 01:09:16.352 region:rollup2
THE HOSPITAL WE LOADED UP INTO
01:09:14.951 --> 01:09:17.420 region:rollup2
THE BACK OF AN AMBULANCE.
01:09:16.352 --> 01:09:19.422 region:rollup2
A LOT OF TIMES THEY DON'T HAVE A
01:09:17.420 --> 01:09:21.858 region:rollup2
MEDALIST.
01:09:19.422 --> 01:09:22.692 region:rollup2
BUT THIS HAS A BAG OF PILLS.
01:09:21.858 --> 01:09:24.494 region:rollup2
AND WE TAKE HIM TO THE ER WITH
01:09:22.692 --> 01:09:26.229 region:rollup2
US AND THE DOCTOR GOES THROUGH
01:09:24.494 --> 01:09:27.363 region:rollup2
THOSE OR THE MEDIC ON THE CALL
01:09:26.229 --> 01:09:27.930 region:rollup2
SO WE CAN TRY TO FIGURE OUT
01:09:27.363 --> 01:09:29.699 region:rollup2
WHAT'S GOING ON WITH THIS
01:09:27.930 --> 01:09:31.134 region:rollup2
PATIENT WHAT SUMMERS PREVIOUS
01:09:29.699 --> 01:09:32.802 region:rollup2
MEDICAL HISTORY MAY BE.
01:09:31.134 --> 01:09:34.404 region:rollup2
IT BE VERY VERY EASY TO TEMPT
01:09:32.802 --> 01:09:35.605 region:rollup2
SOMEBODY INTO.
01:09:34.404 --> 01:09:36.706 region:rollup2
SOME OF THE BEHAVIOR THAT THEY
01:09:35.605 --> 01:09:39.475 region:rollup2
MAY OR MAY NOT OF HAD IN THE
01:09:36.706 --> 01:09:41.044 region:rollup2
PAST AND OTHERS MY CONCERN IS.
01:09:39.475 --> 01:09:42.512 region:rollup2
WE WANT TO HELP THESE FOLKS OUT
01:09:41.044 --> 01:09:44.547 region:rollup2
WE WANT TO GET THEM TO BECOME
01:09:42.512 --> 01:09:46.149 region:rollup2
SUCCESSFUL. BUT IF THEY HAVE
01:09:44.547 --> 01:09:47.316 region:rollup2
ISSUES WITH SOME OF THESE THINGS
01:09:46.149 --> 01:09:48.651 region:rollup2
IN THE PAST
01:09:47.316 --> 01:09:49.819 region:rollup2
TO TEMPT THEM WITH THAT I THINK
01:09:48.651 --> 01:09:51.421 region:rollup2
IT COULD BE PROBLEMATIC FOR
01:09:49.819 --> 01:09:52.622 region:rollup2
THEIR OWN SUCCESS. SAYS MY
01:09:51.421 --> 01:09:53.990 region:rollup2
CONCERN TO THIS BILL AYE I DO
01:09:52.622 --> 01:09:55.792 region:rollup2
FILLED APOLOGIZE FOR BEING IN
01:09:53.990 --> 01:09:57.527 region:rollup2
OPPOSITION TO IT. BUT I DO THINK
01:09:55.792 --> 01:09:59.128 region:rollup2
THE EM THE FIREFIGHTER
01:09:57.527 --> 01:10:00.530 region:rollup2
CALIFORNIA I'M.
01:09:59.128 --> 01:10:01.664 region:rollup2
ANALOGY IS IS IS A GREAT
01:10:00.530 --> 01:10:03.566 region:rollup2
ANALOGY BECAUSE THAT'S A VERY
01:10:01.664 --> 01:10:04.634 region:rollup2
SUCCESSFUL PROGRAM. BUT IT
01:10:03.566 --> 01:10:06.135 region:rollup2
DOESN'T ACTUALLY RELATE TO THE
01:10:04.634 --> 01:10:08.071 region:rollup2
INDIAN THE LICENSURE THAT WE'RE
01:10:06.135 --> 01:10:10.440 region:rollup2
TALKING ABOUT IN THIS PARTICULAR
01:10:08.071 --> 01:10:12.775 region:rollup2
BILL THANK YOU VERSION.
01:10:10.440 --> 01:10:14.877 region:rollup2
TO BIGELOW.
01:10:12.775 --> 01:10:17.080 region:rollup2
CHYNA.
01:10:14.877 --> 01:10:18.648 region:rollup2
KIND OF PUT THAT IN PERSPECTIVE.
01:10:17.080 --> 01:10:20.249 region:rollup2
LIKE MY COLLEAGUE NEXT TO ME
01:10:18.648 --> 01:10:22.385 region:rollup2
OVER HERE HE GIVES A REALLY GOOD
01:10:20.249 --> 01:10:23.720 region:rollup2
SET OF REASONS.
01:10:22.385 --> 01:10:25.388 region:rollup2
KIND OF PUTTING IT IN
01:10:23.720 --> 01:10:29.892 region:rollup2
PERSPECTIVE FOR YOU. MY LICENSE
01:10:25.388 --> 01:10:31.627 region:rollup2
NUMBER IS ZERO ZERO ZERO THREE.
01:10:29.892 --> 01:10:34.263 region:rollup2
ONE AND TWO NO LONGER WITH US
01:10:31.627 --> 01:10:36.799 region:rollup2
TODAY SO MY HISTORY IN THE.
01:10:34.263 --> 01:10:37.767 region:rollup2
INDUSTRY IS PRETTY LENGTHY.
01:10:36.799 --> 01:10:39.769 region:rollup2
AND I UNDERSTAND.
01:10:37.767 --> 01:10:41.337 region:rollup2
.
01:10:39.769 --> 01:10:43.506 region:rollup2
HOW IT WORKS VERY WELL AND AND
01:10:41.337 --> 01:10:45.708 region:rollup2
AND LIKE?
01:10:43.506 --> 01:10:47.210 region:rollup2
THE PREVIOUS SPEAKER JUST SAID.
01:10:45.708 --> 01:10:50.780 region:rollup2
CALIPARI IF YOU'RE EIGHTEEN AND
01:10:47.210 --> 01:10:53.349 region:rollup2
BREATHING THEY WELCOME YOU AND.
01:10:50.780 --> 01:10:54.784 region:rollup2
YOU DON'T NEED US TO BE AN EMT
01:10:53.349 --> 01:10:56.619 region:rollup2
TO WORK THERE JUST HAVE THE
01:10:54.784 --> 01:10:58.287 region:rollup2
BASIC SKILLS IT IN BASIC FIRST
01:10:56.619 --> 01:10:59.622 region:rollup2
AID.
01:10:58.287 --> 01:11:01.591 region:rollup2
I'M NOT QUITE SURE WHAT WE'RE
01:10:59.622 --> 01:11:03.526 region:rollup2
TRYING TO ACHIEVE HERE.
01:11:01.591 --> 01:11:05.528 region:rollup2
AND AS THE ART DIRECTOR SPOKE A
01:11:03.526 --> 01:11:07.296 region:rollup2
MOMENT AGO. THE REAL THRUSTING
01:11:05.528 --> 01:11:09.532 region:rollup2
ISSUE FOR US IS.
01:11:07.296 --> 01:11:11.834 region:rollup2
THE SANCTITY OF CONFIDENCE WITH
01:11:09.532 --> 01:11:14.036 region:rollup2
THE PATIENT.
01:11:11.834 --> 01:11:15.905 region:rollup2
CRITICAL THAT WE HAVE.
01:11:14.036 --> 01:11:17.573 region:rollup2
THAT KIND OF CONFIDENCE IN THE
01:11:15.905 --> 01:11:18.941 region:rollup2
PEOPLE WHO WERE TREATING.
01:11:17.573 --> 01:11:20.209 region:rollup2
AS OUTLINED PREVIOUSLY WITH THE
01:11:18.941 --> 01:11:22.512 region:rollup2
PREVIOUS SPEAKER SO I'M NOT
01:11:20.209 --> 01:11:25.715 region:rollup2
QUITE SURE.
01:11:22.512 --> 01:11:27.717 region:rollup2
HOW THIS RESOLVES ANY OF THAT?
01:11:25.715 --> 01:11:29.085 region:rollup2
AND IN ESPECIALLY WHEN WE HAVE
01:11:27.717 --> 01:11:30.586 region:rollup2
FOLKS WHO OUTSIDE THE WORK
01:11:29.085 --> 01:11:32.121 region:rollup2
PARAMETER SOMETIMES STUMBLE IN
01:11:30.586 --> 01:11:33.422 region:rollup2
LIVE.
01:11:32.121 --> 01:11:34.991 region:rollup2
AND ARE UNABLE TO CONTINUE TO
01:11:33.422 --> 01:11:36.926 region:rollup2
PRACTICE.
01:11:34.991 --> 01:11:39.061 region:rollup2
OR UNABLE TO CONTINUE TO
01:11:36.926 --> 01:11:40.363 region:rollup2
PRACTICE BECAUSE THEY'VE.
01:11:39.061 --> 01:11:41.964 region:rollup2
MAYBE THEY'VE GOT A DUI ARREST
01:11:40.363 --> 01:11:43.232 region:rollup2
FOR SOMETHING THAT DOESN'T ALLOW
01:11:41.964 --> 01:11:44.467 region:rollup2
THEM TO HIM OUTSIDE THE
01:11:43.232 --> 01:11:46.002 region:rollup2
WORKPLACE.
01:11:44.467 --> 01:11:48.471 region:rollup2
TO CONTINUE ON FORTY CONTINUE
01:11:46.002 --> 01:11:50.173 region:rollup2
RECEIVING. ARE CONTINUING AT.
01:11:48.471 --> 01:11:52.175 region:rollup2
SUCH AS BOTH OF US.
01:11:50.173 --> 01:11:54.210 region:rollup2
I MEAN FOR MAY I EVER FOR THREE
01:11:52.175 --> 01:11:56.312 region:rollup2
MONTHS OUT OF EVERY YEAR EVERY
01:11:54.210 --> 01:11:57.947 region:rollup2
THURSDAY I GO HOME. AND TAKE A A
01:11:56.312 --> 01:11:59.715 region:rollup2
CONTINUING ED COURSE JUST KEEP
01:11:57.947 --> 01:12:02.718 region:rollup2
CURRENT.
01:11:59.715 --> 01:12:03.920 region:rollup2
AND SO I KIND OF. PERPLEXED
01:12:02.718 --> 01:12:05.354 region:rollup2
HERE SOME ASK YOU TRY TO HELP
01:12:03.920 --> 01:12:07.023 region:rollup2
GIVE US SOME.
01:12:05.354 --> 01:12:08.191 region:rollup2
GUIDANCE AND AN UNDERSTANDING OF
01:12:07.023 --> 01:12:09.625 region:rollup2
WHAT YOU'RE REALLY TRYING TO
01:12:08.191 --> 01:12:10.493 region:rollup2
ACHIEVE HERE BECAUSE IF I LOOK
01:12:09.625 --> 01:12:12.495 region:rollup2
AT THE FIRST PART OF THIS
01:12:10.493 --> 01:12:14.130 region:rollup2
PRESENTATION. IT DOESN'T
01:12:12.495 --> 01:12:14.931 region:rollup2
CORRELATE WITH THIS LATTER PART.
01:12:14.130 --> 01:12:16.766 region:rollup2
DEALING WITH THE BROADER SCOPE
01:12:14.931 --> 01:12:17.266 region:rollup2
OF FIRE.
01:12:16.766 --> 01:12:20.570 region:rollup2
WHAT HE REALLY TRYING TO
01:12:17.266 --> 01:12:22.538 region:rollup2
ACCOMPLISH?
01:12:20.570 --> 01:12:25.775 region:rollup2
THERE ARE THE TWO AREAS AND IN A
01:12:22.538 --> 01:12:27.810 region:rollup2
MOMENT I'LL LET OUR. ORDER THEM.
01:12:25.775 --> 01:12:29.645 region:rollup2
SPEAKERS ALSO ADDRESS IT.
01:12:27.810 --> 01:12:30.947 region:rollup2
WELL LOOK AT EMTS
01:12:29.645 --> 01:12:32.381 region:rollup2
JUST IN GENERAL WERE LOOKING
01:12:30.947 --> 01:12:35.284 region:rollup2
FIREFIGHTERS.
01:12:32.381 --> 01:12:37.453 region:rollup2
AND IF WE DO KNOW THAT.
01:12:35.284 --> 01:12:38.654 region:rollup2
THIRTY PERCENT AND THIS IS JUST
01:12:37.453 --> 01:12:40.323 region:rollup2
ONE OF THE ONE OF THE GROUPS
01:12:38.654 --> 01:12:41.557 region:rollup2
THAT NEEDS TO HAVE A LICENSE.
01:12:40.323 --> 01:12:43.125 region:rollup2
THIRTY PERCENT OF ALL JOBS
01:12:41.557 --> 01:12:45.494 region:rollup2
REQUIRE LICENSE
01:12:43.125 --> 01:12:47.196 region:rollup2
AND IT IT'S BEEN SAID BY SOME OF
01:12:45.494 --> 01:12:49.265 region:rollup2
THE SPEAKERS THAT. YOU YOU
01:12:47.196 --> 01:12:50.433 region:rollup2
PEOPLE MAKE MISTAKES.
01:12:49.265 --> 01:12:51.467 region:rollup2
YOU MAKE A MISTAKE AND YOU HAVE
01:12:50.433 --> 01:12:53.269 region:rollup2
A SOMETIMES
01:12:51.467 --> 01:12:54.337 region:rollup2
AND YOU COMPLETE YOUR SENTENCE
01:12:53.269 --> 01:12:56.138 region:rollup2
FOR SOME OF THEM IT BECOMES A
01:12:54.337 --> 01:12:59.008 region:rollup2
LIFE SENTENCE.
01:12:56.138 --> 01:13:01.377 region:rollup2
ESPECIALLY FOR PARTICULAR JOBS.
01:12:59.008 --> 01:13:03.379 region:rollup2
WE HAVE SPECIFICALLY EXCLUDED
01:13:01.377 --> 01:13:05.147 region:rollup2
ANY VIOLENT CRIME.
01:13:03.379 --> 01:13:07.783 region:rollup2
FROM FROM THE BILL.
01:13:05.147 --> 01:13:10.019 region:rollup2
SO WHEN ANY CONCERN THAT A
01:13:07.783 --> 01:13:11.554 region:rollup2
PERSON WOULD HAVE HAVING AN EMT
01:13:10.019 --> 01:13:14.090 region:rollup2
OR HAVING A FIREFIGHTER COME
01:13:11.554 --> 01:13:14.690 region:rollup2
INTO THEIR HOME I THINK IT WOULD
01:13:14.090 --> 01:13:19.028 region:rollup2
BE THE SAME CONCERN NO MATTER
01:13:14.690 --> 01:13:20.529 region:rollup2
WHAT.
01:13:19.028 --> 01:13:22.965 region:rollup2
YOU HAVING STRANGER WALK INTO
01:13:20.529 --> 01:13:25.234 region:rollup2
YOUR INTO YOUR INTO YOUR HOME.
01:13:22.965 --> 01:13:27.003 region:rollup2
BUT CLEARLY. BEFORE YOU GET THE
01:13:25.234 --> 01:13:28.938 region:rollup2
EMPTY BEFORE YOU GET THE JOB YOU
01:13:27.003 --> 01:13:30.139 region:rollup2
HAVE TO BE THAT IT. YOU HAVE TO
01:13:28.938 --> 01:13:32.008 region:rollup2
GO THROUGH THE PROCESS YOU'RE
01:13:30.139 --> 01:13:34.844 region:rollup2
NOT GUARANTEED A JOB JUST
01:13:32.008 --> 01:13:35.444 region:rollup2
BECAUSE YOU HAVE AN EMT LICENSE.
01:13:34.844 --> 01:13:36.946 region:rollup2
STILL HAVE TO GO THROUGH THE
01:13:35.444 --> 01:13:38.381 region:rollup2
PROCESS
01:13:36.946 --> 01:13:39.582 region:rollup2
AND THE EMPLOYER WILL STILL JUST
01:13:38.381 --> 01:13:45.388 region:rollup2
DECIDE WHO THEY'RE GOING TO
01:13:39.582 --> 01:13:47.857 region:rollup2
EMPLOY.
01:13:45.388 --> 01:13:49.892 region:rollup2
BUT MR CHURKIN I HAVE. CAN I
01:13:47.857 --> 01:13:51.093 region:rollup2
HAVE FOR THE RESPONSE PROVIDED.
01:13:49.892 --> 01:13:52.528 region:rollup2
YEAH I WOULD ALSO ADD A IN
01:13:51.093 --> 01:13:54.363 region:rollup2
RESPONSE TO A NUMBER OF THE
01:13:52.528 --> 01:13:55.498 region:rollup2
QUESTIONS BOMBER RELATING TO
01:13:54.363 --> 01:13:57.800 region:rollup2
ISSUES THAT ARE NOT IN THIS BILL
01:13:55.498 --> 01:13:59.568 region:rollup2
OF AND WHAT I MEAN IS. EARLY ON
01:13:57.800 --> 01:14:01.270 region:rollup2
THE MEMBER MENTIONED THAT.
01:13:59.568 --> 01:14:02.705 region:rollup2
SHE'S AGREEING TO THE A
01:14:01.270 --> 01:14:04.373 region:rollup2
DISCIPLINARY QUESTION SO
01:14:02.705 --> 01:14:05.708 region:rollup2
QUESTIONS IN TERMS OF WHETHER
01:14:04.373 --> 01:14:07.643 region:rollup2
SOMEONE FALLS OFF THE WAGON OR
01:14:05.708 --> 01:14:09.045 region:rollup2
GETS INTO TROUBLE WHILE THEY'RE
01:14:07.643 --> 01:14:11.247 region:rollup2
ON THE JOB WOULD NOT BE.
01:14:09.045 --> 01:14:12.381 region:rollup2
BE AN ISSUE HERE BECAUSE THIS
01:14:11.247 --> 01:14:13.215 region:rollup2
THE DISCIPLINARY PIECE WOULD
01:14:12.381 --> 01:14:16.018 region:rollup2
REMAIN THE SAME.
01:14:13.215 --> 01:14:16.953 region:rollup2
ALSO AS THE MEMBER STATED WERE
01:14:16.018 --> 01:14:17.787 region:rollup2
NOT INCLUDING.
01:14:16.953 --> 01:14:19.322 region:rollup2
VIOLENT.
01:14:17.787 --> 01:14:21.223 region:rollup2
FELONS UNDER SIX SIX POINTS
01:14:19.322 --> 01:14:21.991 region:rollup2
THAT.
01:14:21.223 --> 01:14:22.792 region:rollup2
SIX SIX SEVEN POINT FIVE WERE
01:14:21.991 --> 01:14:24.627 region:rollup2
ALSO NOT.
01:14:22.792 --> 01:14:25.795 region:rollup2
CHANGING WITH.
01:14:24.627 --> 01:14:27.263 region:rollup2
DRAMATICALLY THERE ARE.
01:14:25.795 --> 01:14:28.831 region:rollup2
TO NINETY SO.
01:14:27.263 --> 01:14:31.534 region:rollup2
WHEN YOU TALK ABOUT SORT OF
01:14:28.831 --> 01:14:33.369 region:rollup2
SEXUAL OFFENSES THAT WOULDN'T BE
01:14:31.534 --> 01:14:33.936 region:rollup2
IMPACTED HERE AS WELL ARM AND
01:14:33.369 --> 01:14:35.404 region:rollup2
THEN THE OTHER THING THAT I
01:14:33.936 --> 01:14:37.139 region:rollup2
WANTED TO MAKE SURE THAT WE
01:14:35.404 --> 01:14:39.508 region:rollup2
UNDERSTAND. IS THAT.
01:14:37.139 --> 01:14:41.944 region:rollup2
WHILE THERE MAY NOT BE A
01:14:39.508 --> 01:14:43.312 region:rollup2
REQUIREMENT FOR FIREFIGHTERS AT
01:14:41.944 --> 01:14:47.083 region:rollup2
CAL FIRE TO HAVE THE MT.
01:14:43.312 --> 01:14:49.318 region:rollup2
MOST. OF THE LOCAL AGENCIES.
01:14:47.083 --> 01:14:51.020 region:rollup2
DO REQUIRE IT AND AS A PRACTICAL
01:14:49.318 --> 01:14:51.854 region:rollup2
MATTER IF YOU DON'T HAVE EMT
01:14:51.020 --> 01:14:53.923 region:rollup2
YOU'RE GONNA HAVE A VERY HARD
01:14:51.854 --> 01:14:55.191 region:rollup2
TIME GETTING A JOB AS A
01:14:53.923 --> 01:14:56.292 region:rollup2
FIREFIGHTER AND THAT'S OUR
01:14:55.191 --> 01:14:58.527 region:rollup2
EXPERIENCE AND SO.
01:14:56.292 --> 01:15:00.262 region:rollup2
THOSE ISSUES THAT WE'RE TRYING
01:14:58.527 --> 01:15:02.631 region:rollup2
TO TO SOFT.
01:15:00.262 --> 01:15:04.633 region:rollup2
YEAH I WOULD JUST.
01:15:02.631 --> 01:15:05.668 region:rollup2
MAYBE MY EXPERIENCE IS DIFFERENT
01:15:04.633 --> 01:15:06.836 region:rollup2
BECAUSE I WORK WITH A MOMENT
01:15:05.668 --> 01:15:09.205 region:rollup2
DAILY BASIS.
01:15:06.836 --> 01:15:10.773 region:rollup2
AND I SEE WHO GETS HIRED WHO
01:15:09.205 --> 01:15:13.542 region:rollup2
DOESN'T GET HIRED.
01:15:10.773 --> 01:15:15.244 region:rollup2
BUTTON TO MY KNOWLEDGE.
01:15:13.542 --> 01:15:15.845 region:rollup2
ANYWAY IT SHOWS UP AND FILLED
01:15:15.244 --> 01:15:17.380 region:rollup2
OUT THE APPLICATION.
01:15:15.845 --> 01:15:20.016 region:rollup2
.
01:15:17.380 --> 01:15:20.716 region:rollup2
FOR THE MOST PART.
01:15:20.016 --> 01:15:23.219 region:rollup2
GETS ACCEPTED.
01:15:20.716 --> 01:15:24.854 region:rollup2
RIGHT AWAY AND THEN THEY'RE PUT
01:15:23.219 --> 01:15:26.856 region:rollup2
INTO THROUGH A FORTY HOUR BASIC.
01:15:24.854 --> 01:15:27.656 region:rollup2
OPS.
01:15:26.856 --> 01:15:29.358 region:rollup2
PROGRAM WHERE THEY GET THEIR
01:15:27.656 --> 01:15:30.693 region:rollup2
BASIC TRAINING.
01:15:29.358 --> 01:15:32.328 region:rollup2
AND FROM THERE THEY CAN EXPAND
01:15:30.693 --> 01:15:32.862 region:rollup2
GO ON TO THE NEXT LEVEL AND DO
01:15:32.328 --> 01:15:34.296 region:rollup2
THEIR HUNDRED SIXTY HOUR
01:15:32.862 --> 01:15:36.365 region:rollup2
TRAINING WHERE THEY'LL GET THEIR
01:15:34.296 --> 01:15:38.034 region:rollup2
DRIVER OPERATOR. AND ADDITIONAL
01:15:36.365 --> 01:15:39.935 region:rollup2
TRAININGS FOR WILDLAND AND
01:15:38.034 --> 01:15:40.936 region:rollup2
STRUCTURED TRAINING THAT GOES ON
01:15:39.935 --> 01:15:42.972 region:rollup2
FROM THERE DIDN'T LOOK MODE
01:15:40.936 --> 01:15:43.572 region:rollup2
MOVES ON OUT THOSE THAT WANT TO
01:15:42.972 --> 01:15:44.273 region:rollup2
GO ON TO GET DIFFERENT TWENTY
01:15:43.572 --> 01:15:45.708 region:rollup2
OUR.
01:15:44.273 --> 01:15:46.709 region:rollup2
TRAINING TO BECOME A A
01:15:45.708 --> 01:15:49.378 region:rollup2
NATIONALIZED.
01:15:46.709 --> 01:15:50.446 region:rollup2
EMT CERTAINLY CAN DO SO AND
01:15:49.378 --> 01:15:51.414 region:rollup2
THOSE THAT WANT TO JUST TAKE THE
01:15:50.446 --> 01:15:52.982 region:rollup2
STATE TRAINING WHICH I FORGET
01:15:51.414 --> 01:15:56.018 region:rollup2
WHAT THE HOURS ARE NOW.
01:15:52.982 --> 01:15:58.354 region:rollup2
ON THAT IS WHEN SIXTY SO YEAH.
01:15:56.018 --> 01:15:59.588 region:rollup2
AND.
01:15:58.354 --> 01:16:00.222 region:rollup2
THANKS FOR A GREAT GIFT.
01:15:59.588 --> 01:16:01.424 region:rollup2
SO THANK YOU FORGET.
01:16:00.222 --> 01:16:03.292 region:rollup2
.
01:16:01.424 --> 01:16:05.661 region:rollup2
THERE'S ZERO ZERO ZERO THREE
01:16:03.292 --> 01:16:09.031 region:rollup2
THAT'S WHY.
01:16:05.661 --> 01:16:10.466 region:rollup2
SOMETIMES.
01:16:09.031 --> 01:16:12.935 region:rollup2
I'M GETTING BORED ALONE.
01:16:10.466 --> 01:16:15.237 region:rollup2
THAT WAS NICELY DONE NICELY DONE
01:16:12.935 --> 01:16:17.273 region:rollup2
BAD HUMOR BAD HUMOR.
01:16:15.237 --> 01:16:20.242 region:rollup2
BUT.
01:16:17.273 --> 01:16:21.210 region:rollup2
IF YOU LOOK AT IT.
01:16:20.242 --> 01:16:22.945 region:rollup2
IN THAT NOW I DAY IT WAS A
01:16:21.210 --> 01:16:25.081 region:rollup2
HUNDRED TWENTY HOURS.
01:16:22.945 --> 01:16:27.750 region:rollup2
WE GOING TO HUNDRED SIXTY HOURS.
01:16:25.081 --> 01:16:29.885 region:rollup2
WHAT WAS REQUIRED DAN IS ALMOST
01:16:27.750 --> 01:16:32.421 region:rollup2
A MIRROR OF WHAT WE HAVE TODAY
01:16:29.885 --> 01:16:34.890 region:rollup2
THOUGH? AND AND. THE CHALLENGES
01:16:32.421 --> 01:16:36.692 region:rollup2
THOUGH WE'VE NOW CAN GO ON AND
01:16:34.890 --> 01:16:38.160 region:rollup2
GET THE THE NATIONALIZED LEVEL
01:16:36.692 --> 01:16:40.996 region:rollup2
WHERE WE CAN PRACTICE IN ANY
01:16:38.160 --> 01:16:41.564 region:rollup2
STATE WHICH I HAVE DONE.
01:16:40.996 --> 01:16:43.399 region:rollup2
THAT TAKES A GREAT DEAL OF
01:16:41.564 --> 01:16:46.469 region:rollup2
CONCENTRATION AND AND STUDY BUT
01:16:43.399 --> 01:16:48.938 region:rollup2
BACK HERE POINT.
01:16:46.469 --> 01:16:50.272 region:rollup2
FOLKS AT THE FIRE DEPARTMENT.
01:16:48.938 --> 01:16:53.209 region:rollup2
THAT ONE GOING TO BE A COMMON
01:16:50.272 --> 01:16:55.811 region:rollup2
EMT THAT'S ON THEIR TIME.
01:16:53.209 --> 01:16:56.479 region:rollup2
AND IN SOME FIRE DEPARTMENTS YOU
01:16:55.811 --> 01:16:57.046 region:rollup2
ACTUALLY PAY FOR YOU IF YOU WANT
01:16:56.479 --> 01:16:59.515 region:rollup2
ONE BUT THEY DON'T HOLD YOU
01:16:57.046 --> 01:17:01.317 region:rollup2
BACK.
01:16:59.515 --> 01:17:02.885 region:rollup2
LEAST EVERY FOUR DIFFERENT I
01:17:01.317 --> 01:17:04.520 region:rollup2
WORKED WITH IN HIS STATE SO I
01:17:02.885 --> 01:17:05.554 region:rollup2
I'M JUST A LITTLE PERPLEXED AND
01:17:04.520 --> 01:17:07.857 region:rollup2
MAYBE IN IS NOT ABLE TO GET
01:17:05.554 --> 01:17:08.457 region:rollup2
ACROSS THE LINE TODAY. AND
01:17:07.857 --> 01:17:10.059 region:rollup2
WOULDN'T BE ABLE TO ENCOURAGE
01:17:08.457 --> 01:17:12.261 region:rollup2
ANY OTHER MEMBER APPEARED TO
01:17:10.059 --> 01:17:13.762 region:rollup2
RECOGNIZE THE VALUE OF THIS BILL
01:17:12.261 --> 01:17:14.330 region:rollup2
AT THIS TIME.
01:17:13.762 --> 01:17:16.165 region:rollup2
BUT I APPRECIATE YOU PERCENT
01:17:14.330 --> 01:17:16.732 region:rollup2
THANK YOU.
01:17:16.165 --> 01:17:17.500 region:rollup2
THANK YOU THANK YOU FOR YOUR
01:17:16.732 --> 01:17:21.036 region:rollup2
INPUT.
01:17:17.500 --> 01:17:22.972 region:rollup2
ESTIMATES.
01:17:21.036 --> 01:17:24.740 region:rollup2
SO WHAT WHEN I FIRST THE.
01:17:22.972 --> 01:17:26.308 region:rollup2
LOOK AT THIS AND STAFF
01:17:24.740 --> 01:17:27.743 region:rollup2
RECOMMENDATION WAS AN OPPOSE AND
01:17:26.308 --> 01:17:28.110 region:rollup2
AS I BEGAN TO DIG INTO IT A
01:17:27.743 --> 01:17:29.912 region:rollup2
LITTLE BIT MORE.
01:17:28.110 --> 01:17:30.479 region:rollup2
I BECAME BEST SYMPATHETIC TO
01:17:29.912 --> 01:17:32.681 region:rollup2
THE CAUSE.
01:17:30.479 --> 01:17:34.517 region:rollup2
IT BECAUSE I THINK IN OUR
01:17:32.681 --> 01:17:35.918 region:rollup2
SOCIETY WE'VE GONE TOO FAR WHEN
01:17:34.517 --> 01:17:37.286 region:rollup2
YOU START TO THINK ABOUT PEOPLE
01:17:35.918 --> 01:17:39.088 region:rollup2
MAKE MISTAKES.
01:17:37.286 --> 01:17:39.989 region:rollup2
COMING FROM PREACHER'S KID BOMB
01:17:39.088 --> 01:17:41.490 region:rollup2
I WOULD SAY SEN HAPPENS.
01:17:39.989 --> 01:17:42.591 region:rollup2
.
01:17:41.490 --> 01:17:44.393 region:rollup2
AND.
01:17:42.591 --> 01:17:45.227 region:rollup2
WHEN WHAT WHEN IT WHEN IT
01:17:44.393 --> 01:17:46.996 region:rollup2
HAPPENS.
01:17:45.227 --> 01:17:48.764 region:rollup2
IT SEEMS AS THOUGH WE DON'T
01:17:46.996 --> 01:17:50.032 region:rollup2
JUST PUNISH YOUR AND THEN AFTER
01:17:48.764 --> 01:17:51.834 region:rollup2
PUNISHMENT THERE'S FORGIVENESS
01:17:50.032 --> 01:17:53.636 region:rollup2
IN THERE'S REDEMPTION IT SAYS IF
01:17:51.834 --> 01:17:55.070 region:rollup2
YOU NOW HAVE TO. BE FORGIVEN
01:17:53.636 --> 01:17:56.172 region:rollup2
OVER AND OVER AND OVER AGAIN AND
01:17:55.070 --> 01:17:58.274 region:rollup2
THEN AT THE PUNISHMENT AND THAT
01:17:56.172 --> 01:17:59.909 region:rollup2
BEING THE BECOMING A GREATER
01:17:58.274 --> 01:18:01.277 region:rollup2
THAN WHAT WHAT WAS ACTUALLY OF
01:17:59.909 --> 01:18:02.411 region:rollup2
SHOULD HAVE BEEN.
01:18:01.277 --> 01:18:03.913 region:rollup2
AND THEN SOME AS I'M LISTENING
01:18:02.411 --> 01:18:06.015 region:rollup2
I'M ALSO SYMPATHETIC TO HEARING
01:18:03.913 --> 01:18:07.850 region:rollup2
THESE GUYS TO MY LEFT.
01:18:06.015 --> 01:18:09.718 region:rollup2
BUT WHO HAVE BEEN IN THE
01:18:07.850 --> 01:18:11.654 region:rollup2
SERVICE AND UNDERSTAND IT BETTER
01:18:09.718 --> 01:18:13.189 region:rollup2
THAN A BETTER THAN I DO. BUT
01:18:11.654 --> 01:18:13.455 region:rollup2
THEN IT SEEMS AS THOUGH MAYBE
01:18:13.189 --> 01:18:16.025 region:rollup2
THERE'S.
01:18:13.455 --> 01:18:17.326 region:rollup2
AT SOME MIDDLE GROUND A THAT
01:18:16.025 --> 01:18:18.994 region:rollup2
THAT'S THAT'S HERE.
01:18:17.326 --> 01:18:19.628 region:rollup2
.
01:18:18.994 --> 01:18:20.729 region:rollup2
BECAUSE ALSO THEY JUST PUBLIC
01:18:19.628 --> 01:18:22.665 region:rollup2
LIABILITY FOR SOME THESE
01:18:20.729 --> 01:18:23.766 region:rollup2
AGENCIES AS WELL SO IS THERE IS
01:18:22.665 --> 01:18:25.534 region:rollup2
THERE IT IS THERE SOME MIDDLE
01:18:23.766 --> 01:18:28.170 region:rollup2
GROUND THAT YOU GUYS CAN FIND.
01:18:25.534 --> 01:18:29.572 region:rollup2
UNDERSTANDING WHAT MISS RACES
01:18:28.170 --> 01:18:31.507 region:rollup2
IS TRYING TO DO HERE IS THERE
01:18:29.572 --> 01:18:32.575 region:rollup2
SOME WAY OF BEING ABLE TO. ADD
01:18:31.507 --> 01:18:33.509 region:rollup2
TO TO THE TO TO ADDRESS THE
01:18:32.575 --> 01:18:35.344 region:rollup2
PROBLEM.
01:18:33.509 --> 01:18:36.712 region:rollup2
AND MAYBE FIND SOME AMENDMENTS
01:18:35.344 --> 01:18:38.414 region:rollup2
TO MAKE IT HAPPEN.
01:18:36.712 --> 01:18:39.815 region:rollup2
ABSOLUTELY SIR THERE IS MIDDLE
01:18:38.414 --> 01:18:42.184 region:rollup2
GROUND I BELIEVE.
01:18:39.815 --> 01:18:43.552 region:rollup2
IS AYE IS WE MENTIONED WE WE
01:18:42.184 --> 01:18:46.255 region:rollup2
BELIEVE THAT THIS IS.
01:18:43.552 --> 01:18:48.324 region:rollup2
HAY THAT THIS BILL HAS
01:18:46.255 --> 01:18:49.792 region:rollup2
OPPORTUNITIES ARM BUT THE
01:18:48.324 --> 01:18:51.226 region:rollup2
IMPORTANT POINT IS THE FACT WARY
01:18:49.792 --> 01:18:53.229 region:rollup2
HAVE A PROCESS IN PLACE.
01:18:51.226 --> 01:18:54.997 region:rollup2
IS MR MAGNETO POINT OUT HE
01:18:53.229 --> 01:18:57.299 region:rollup2
REVIEWS THESE ALREADY I DO AS
01:18:54.997 --> 01:18:58.200 region:rollup2
MEDICAL DIRECTOR SO THIS ISN'T
01:18:57.299 --> 01:18:59.835 region:rollup2
SOMETHING THAT'S NOT CURRENTLY
01:18:58.200 --> 01:19:01.337 region:rollup2
HAPPENING ALREADY NEMS AGENCIES
01:18:59.835 --> 01:19:02.171 region:rollup2
THROUGHOUT THE STATE.
01:19:01.337 --> 01:19:03.572 region:rollup2
WHAT'S THE PROCESS FOR YOU GUYS
01:19:02.171 --> 01:19:05.741 region:rollup2
WHEN.
01:19:03.572 --> 01:19:07.876 region:rollup2
BECAUSE IT SEEMS LIKE THIS IS
01:19:05.741 --> 01:19:09.645 region:rollup2
FOR EXISTING LICENSE HOLDERS AS
01:19:07.876 --> 01:19:11.614 region:rollup2
WELL IF SOMEBODY DOES SOMETHING.
01:19:09.645 --> 01:19:12.848 region:rollup2
NOT IN THE LINE OF WORK.
01:19:11.614 --> 01:19:14.083 region:rollup2
IF SOMEBODY GOT IT DO YOU LIE
01:19:12.848 --> 01:19:15.884 region:rollup2
THAT IS THEIR LICENSE GET PULLED
01:19:14.083 --> 01:19:17.052 region:rollup2
IT RIGHT AWAY WHAT PROCESS DO
01:19:15.884 --> 01:19:18.988 region:rollup2
YOU HAVE WHAT KIND OF DISCRETION
01:19:17.052 --> 01:19:20.789 region:rollup2
DO YOU HAVE. AND THEN WHAT KIND
01:19:18.988 --> 01:19:22.257 region:rollup2
OF. A JUDGMENT DO YOU USE TO
01:19:20.789 --> 01:19:23.959 region:rollup2
BUILD A SAY YEP THIS GUYS OR
01:19:22.257 --> 01:19:24.493 region:rollup2
GALS GOOD IN THIS ONE IS NOT
01:19:23.959 --> 01:19:26.362 region:rollup2
GOOD.
01:19:24.493 --> 01:19:27.730 region:rollup2
BOOK BECAUSE AGAIN I'M VERY
01:19:26.362 --> 01:19:28.664 region:rollup2
SYMPATHETIC TO THIS BECAUSE IT
01:19:27.730 --> 01:19:30.299 region:rollup2
SEEMS LIKE THERE'S SOME GOOD
01:19:28.664 --> 01:19:31.133 region:rollup2
PEOPLE THAT MIGHT BE LEFT OUT
01:19:30.299 --> 01:19:31.800 region:rollup2
BECAUSE THEY'VE DONE SOMETHING
01:19:31.133 --> 01:19:33.402 region:rollup2
WRONG.
01:19:31.800 --> 01:19:34.670 region:rollup2
FIVE YEARS AGO TEN YEARS AGO
01:19:33.402 --> 01:19:36.271 region:rollup2
FIFTEEN YEARS AGO.
01:19:34.670 --> 01:19:39.241 region:rollup2
AND THERE'S NO THREAT.
01:19:36.271 --> 01:19:41.276 region:rollup2
OF OF ANY IF ANY HARM IN DOING
01:19:39.241 --> 01:19:42.077 region:rollup2
THE WORK SO WHAT.
01:19:41.276 --> 01:19:42.278 region:rollup2
IT WHETTED MY IDEAS COME UP WITH
01:19:42.077 --> 01:19:44.580 region:rollup2
THAT.
01:19:42.278 --> 01:19:46.815 region:rollup2
THERE IS THAT THE PROCESS IS IS
01:19:44.580 --> 01:19:48.183 region:rollup2
WHEN WE GET A. REPORT BACK FROM
01:19:46.815 --> 01:19:50.653 region:rollup2
THE DEPARTMENT OF JUSTICE THAT
01:19:48.183 --> 01:19:51.920 region:rollup2
AN EMT ADD THAT WE HAVE
01:19:50.653 --> 01:19:53.889 region:rollup2
CERTIFIED FOR INSTANCE.
01:19:51.920 --> 01:19:56.025 region:rollup2
HAS BEEN ARRESTED. IT STARTS
01:19:53.889 --> 01:19:58.060 region:rollup2
THE PROCESS SO ONCE THEY'RE DONE
01:19:56.025 --> 01:19:59.161 region:rollup2
WITH THEIR COURT CASE.
01:19:58.060 --> 01:20:00.629 region:rollup2
WE'D START LOOKING WE REQUEST
01:19:59.161 --> 01:20:01.764 region:rollup2
THE COURT DOCUMENTS
01:20:00.629 --> 01:20:03.532 region:rollup2
WHAT DID THEY.
01:20:01.764 --> 01:20:05.734 region:rollup2
WHAT WAS THERE CONVICTION HOW
01:20:03.532 --> 01:20:07.736 region:rollup2
LONG AGO AND IT'S BOTH FOR NEW
01:20:05.734 --> 01:20:09.972 region:rollup2
APPLICANTS AND?
01:20:07.736 --> 01:20:11.507 region:rollup2
RE CERTIFYING A EMTS ALSO WE USE
01:20:09.972 --> 01:20:13.208 region:rollup2
THE SAME PROCESS.
01:20:11.507 --> 01:20:15.311 region:rollup2
SO ONCE WE GET ALL THE DOCUMENTS
01:20:13.208 --> 01:20:17.246 region:rollup2
AND WE FIND OUT.
01:20:15.311 --> 01:20:18.914 region:rollup2
WHAT THEIR CONVICTION WAS WHAT
01:20:17.246 --> 01:20:21.483 region:rollup2
THE COURT ORDERED DID THEY
01:20:18.914 --> 01:20:22.818 region:rollup2
COMPLETE THE COURT REQUIREMENTS?
01:20:21.483 --> 01:20:24.953 region:rollup2
HOW LONG AGO THE THE CONVICTION
01:20:22.818 --> 01:20:26.455 region:rollup2
MAY HAVE BEEN?
01:20:24.953 --> 01:20:27.556 region:rollup2
WE PUT WE LOOK AT IT ALL AND
01:20:26.455 --> 01:20:29.124 region:rollup2
DOES IT MEET THE MODEL DISCOVERY
01:20:27.556 --> 01:20:31.193 region:rollup2
GUIDELINES
01:20:29.124 --> 01:20:32.895 region:rollup2
THAT PART ESTABLISHED.
01:20:31.193 --> 01:20:34.830 region:rollup2
BY THE STATE WHICH ALL THE
01:20:32.895 --> 01:20:36.265 region:rollup2
STAKEHOLDERS HAD IT APART AND
01:20:34.830 --> 01:20:38.467 region:rollup2
BACK INTO THE EARLY TWO THOUSAND
01:20:36.265 --> 01:20:40.302 region:rollup2
TEN.
01:20:38.467 --> 01:20:41.570 region:rollup2
THEN THE ADMINISTRATOR WILL MAKE
01:20:40.302 --> 01:20:43.972 region:rollup2
A RECOMMENDATION TO OUR MEDICAL
01:20:41.570 --> 01:20:45.374 region:rollup2
DIRECTOR YES THIS PERSON FOR
01:20:43.972 --> 01:20:47.276 region:rollup2
INSTANCE HAD FIRST TIME THE U.
01:20:45.374 --> 01:20:48.610 region:rollup2
WHY.
01:20:47.276 --> 01:20:50.813 region:rollup2
THEY ARE CURRENTLY EMPLOYED BY
01:20:48.610 --> 01:20:52.147 region:rollup2
THEIR EMPLOYER. AND THEY'VE DONE
01:20:50.813 --> 01:20:55.084 region:rollup2
ALL OF THE REQUIREMENTS THAT THE
01:20:52.147 --> 01:20:55.651 region:rollup2
COURT REQUESTED THEM.
01:20:55.084 --> 01:20:59.621 region:rollup2
WE FEEL THAT THIS PERSON IS
01:20:55.651 --> 01:21:00.923 region:rollup2
EIGHTEEN YOU WITH THEIR
01:20:59.621 --> 01:21:02.925 region:rollup2
RECERTIFICATION OR THEIR NEW
01:21:00.923 --> 01:21:04.493 region:rollup2
CERTIFICATION.
01:21:02.925 --> 01:21:06.128 region:rollup2
IN THE FOUR YEARS THAT I'VE BEEN
01:21:04.493 --> 01:21:09.531 region:rollup2
THE ADMINISTRATOR AT SACRAMENTO
01:21:06.128 --> 01:21:11.467 region:rollup2
COUNTY I'VE APPROVED.
01:21:09.531 --> 01:21:13.369 region:rollup2
PROBABLY CLOSE TO TWO THOUSAND
01:21:11.467 --> 01:21:16.105 region:rollup2
NEW AND RECERTIFY AND.
01:21:13.369 --> 01:21:16.972 region:rollup2
EMTS AND I'VE I'VE ONLY HAD ONE
01:21:16.105 --> 01:21:17.873 region:rollup2
WHERE I'VE HAD RECOMMENDED
01:21:16.972 --> 01:21:19.742 region:rollup2
DENIAL.
01:21:17.873 --> 01:21:21.610 region:rollup2
INTO REVOCATION OF THAT EMT
01:21:19.742 --> 01:21:22.411 region:rollup2
CERTIFICATION BECAUSE HE WAS
01:21:21.610 --> 01:21:24.380 region:rollup2
UNDER THE INFLUENCE.
01:21:22.411 --> 01:21:27.216 region:rollup2
WHILE ON DUTY.
01:21:24.380 --> 01:21:29.017 region:rollup2
SO WE HAVE THOSE PROCESSES IN
01:21:27.216 --> 01:21:30.419 region:rollup2
SACRAMENTO COUNTY IS NOT ONE OF
01:21:29.017 --> 01:21:33.422 region:rollup2
THE LARGEST AGENCIES BUT WHERE
01:21:30.419 --> 01:21:35.090 region:rollup2
LIKE SIXTEEN. IN NUMBERS BUT I
01:21:33.422 --> 01:21:36.725 region:rollup2
ALSO HAVE TO CERTIFY ALL THE
01:21:35.090 --> 01:21:40.095 region:rollup2
STATE.
01:21:36.725 --> 01:21:41.563 region:rollup2
AGENCIES SUCH AS CAL FIRE CHP.
01:21:40.095 --> 01:21:42.731 region:rollup2
PARK AND REC IF THEY HAVE AN E.
01:21:41.563 --> 01:21:43.899 region:rollup2
N. T..
01:21:42.731 --> 01:21:45.100 region:rollup2
THEY HAVE TO BECAUSE THEY'RE
01:21:43.899 --> 01:21:46.869 region:rollup2
HEADQUARTERED HERE IN SACRAMENTO
01:21:45.100 --> 01:21:48.237 region:rollup2
THE WAY THE STATUTE TO WRITTEN.
01:21:46.869 --> 01:21:50.305 region:rollup2
MY AGENCY OR THE WHAT IS THE ONE
01:21:48.237 --> 01:21:51.206 region:rollup2
THAT.
01:21:50.305 --> 01:21:51.974 region:rollup2
REVIEWS SOME AND APPROVES THEM
01:21:51.206 --> 01:21:53.709 region:rollup2
AND.
01:21:51.974 --> 01:21:55.677 region:rollup2
KEEP SOME CERTIFIED SO I HAVE
01:21:53.709 --> 01:21:57.613 region:rollup2
NOT JUST.
01:21:55.677 --> 01:21:59.715 region:rollup2
THE EMTS WITHIN THE COUNTY.
01:21:57.613 --> 01:22:01.016 region:rollup2
I HAVE BETWEEN ALL MY PROBABLY
01:21:59.715 --> 01:22:02.184 region:rollup2
WITH THE STATE AGENCIES I'M
01:22:01.016 --> 01:22:05.154 region:rollup2
LOOKING AT PROBABLY CLOSE TO TEN
01:22:02.184 --> 01:22:08.423 region:rollup2
THOUSAND EMTS IN THAT I CERTIFY.
01:22:05.154 --> 01:22:10.793 region:rollup2
REGULARLY SO THE PROCESS WORKS
01:22:08.423 --> 01:22:13.462 region:rollup2
AND IT WORKS IN ALL AGENCIES OF
01:22:10.793 --> 01:22:19.134 region:rollup2
ALL THIRTY THREE OF US.
01:22:13.462 --> 01:22:20.102 region:rollup2
MISTER RODRIGUEZ.
01:22:19.134 --> 01:22:22.237 region:rollup2
I THANK THE MEMBER FROM ARE
01:22:20.102 --> 01:22:23.505 region:rollup2
BRINGING THIS BILL FORWARD.
01:22:22.237 --> 01:22:24.940 region:rollup2
ANOTHER TORN AS I I SEE WHAT
01:22:23.505 --> 01:22:26.308 region:rollup2
YOU'RE TRYING TO DO IT AND I
01:22:24.940 --> 01:22:27.709 region:rollup2
THINK I ONE OF MY COLLEAGUES
01:22:26.308 --> 01:22:29.344 region:rollup2
HAVE TOOK THE WORDS OUT OF MY
01:22:27.709 --> 01:22:31.046 region:rollup2
MOUTH WHEN HE TALKED ABOUT.
01:22:29.344 --> 01:22:32.714 region:rollup2
YOU NOT AS AS AN EMT IF YOU'RE
01:22:31.046 --> 01:22:34.283 region:rollup2
WORKING OUT THERE.
01:22:32.714 --> 01:22:35.284 region:rollup2
REALLY DON'T HAVE A LOT OF
01:22:34.283 --> 01:22:36.819 region:rollup2
SUPERVISION WAS JUST YOU AND
01:22:35.284 --> 01:22:38.821 region:rollup2
YOUR PARTNER IN IN DEALING WITH
01:22:36.819 --> 01:22:39.988 region:rollup2
WITH PATIENTS AT THE WORST.
01:22:38.821 --> 01:22:41.690 region:rollup2
IN DEALING WITH PERSONAL
01:22:39.988 --> 01:22:43.258 region:rollup2
BELONGINGS AS WELL.
01:22:41.690 --> 01:22:44.993 region:rollup2
BUT ONE THING I MUST SAY YOU
01:22:43.258 --> 01:22:46.361 region:rollup2
NOT.
01:22:44.993 --> 01:22:48.096 region:rollup2
NOT BEING A FIREFIGHTER MYSELF
01:22:46.361 --> 01:22:50.098 region:rollup2
BUT BEING.
01:22:48.096 --> 01:22:51.533 region:rollup2
DISPATCHED TO WILDFIRES WITH.
01:22:50.098 --> 01:22:53.101 region:rollup2
.
01:22:51.533 --> 01:22:53.302 region:rollup2
FIRE PERSONNEL I CAN TELL YOU
01:22:53.101 --> 01:22:55.604 region:rollup2
THAT.
01:22:53.302 --> 01:22:57.105 region:rollup2
.
01:22:55.604 --> 01:22:59.141 region:rollup2
THOSE CAMP CREWS ARE IMMIGRANTS
01:22:57.105 --> 01:23:00.809 region:rollup2
HOW PEOPLE REFER THEM TO ONE OF
01:22:59.141 --> 01:23:01.143 region:rollup2
THE HARDEST WORKING GUYS OUT
01:23:00.809 --> 01:23:02.678 region:rollup2
THERE I THINK.
01:23:01.143 --> 01:23:04.213 region:rollup2
.
01:23:02.678 --> 01:23:06.849 region:rollup2
OUR COLLEAGUES ARE HERE CAN CAN.
01:23:04.213 --> 01:23:07.716 region:rollup2
CAN. AGREE WITH ME ON THAT THE
01:23:06.849 --> 01:23:09.351 region:rollup2
OTHER THE HARDEST WORKING GUYS
01:23:07.716 --> 01:23:12.054 region:rollup2
NOTHING ON THE FIRE LINE. I'VE
01:23:09.351 --> 01:23:13.489 region:rollup2
SEEN THEM I I'VE TING CARE SOME
01:23:12.054 --> 01:23:14.122 region:rollup2
OF THEM IF THEY GOT HURT.
01:23:13.489 --> 01:23:16.425 region:rollup2
BUT THEN OPPOSED IT PUTS ME AT
01:23:14.122 --> 01:23:17.926 region:rollup2
AN AWKWARD SITUATION ON ON THE
01:23:16.425 --> 01:23:19.761 region:rollup2
OTHER END OF IT. AS AN EMT AND
01:23:17.926 --> 01:23:20.529 region:rollup2
AND.
01:23:19.761 --> 01:23:22.564 region:rollup2
AND I THINK MOTHER KALI TALKED
01:23:20.529 --> 01:23:25.334 region:rollup2
ABOUT IT. NOT EVERY DEPARTMENT
01:23:22.564 --> 01:23:26.235 region:rollup2
REQUIRES A INTO LICENSE.
01:23:25.334 --> 01:23:27.436 region:rollup2
I'M SOME OF SOME DO AND SOME
01:23:26.235 --> 01:23:28.470 region:rollup2
DON'T SO I GUESS IN A SENSE IT
01:23:27.436 --> 01:23:30.038 region:rollup2
LIMITS.
01:23:28.470 --> 01:23:30.839 region:rollup2
YOUR AVAILABILITY RIGHT THAT YOU
01:23:30.038 --> 01:23:32.207 region:rollup2
CAN ONLY APPLY FOR CERTAIN
01:23:30.839 --> 01:23:34.309 region:rollup2
DEPARTMENTS
01:23:32.207 --> 01:23:35.677 region:rollup2
AND I THINK MAYBE AS.
01:23:34.309 --> 01:23:37.312 region:rollup2
TIME CHANGES MORE DEPARTMENTS
01:23:35.677 --> 01:23:39.281 region:rollup2
WILL START REQUIRING THAT.
01:23:37.312 --> 01:23:39.781 region:rollup2
BUT RIGHT NOW THEIR LIMITED
01:23:39.281 --> 01:23:42.584 region:rollup2
BECAUSE OF THAT NATURE.
01:23:39.781 --> 01:23:44.920 region:rollup2
.
01:23:42.584 --> 01:23:46.355 region:rollup2
SO WITH THAT SAID IT IS I'M TORN
01:23:44.920 --> 01:23:47.956 region:rollup2
BECAUSE YOU'RE TRYING TO DO GIVE
01:23:46.355 --> 01:23:49.725 region:rollup2
THEM A CHANCE I KNOW WE TALKED
01:23:47.956 --> 01:23:50.826 region:rollup2
ABOUT COUPLE PENAL CODES ABOUT
01:23:49.725 --> 01:23:52.261 region:rollup2
THE SECTIONS ABOUT.
01:23:50.826 --> 01:23:54.029 region:rollup2
THE TYPES OF CRIMES I DON'T KNOW
01:23:52.261 --> 01:23:55.731 region:rollup2
WHAT THOSE ARE SO MAYBE. IF
01:23:54.029 --> 01:23:57.099 region:rollup2
SOMEBODY OR THE MEMBER CONSENT
01:23:55.731 --> 01:23:57.633 region:rollup2
TO THE LIST OF WHAT WHAT KIND OF
01:23:57.099 --> 01:23:59.902 region:rollup2
CRIMES THAT WOULD BE. FALL
01:23:57.633 --> 01:24:00.269 region:rollup2
UNDER.
01:23:59.902 --> 01:24:01.637 region:rollup2
AND.
01:24:00.269 --> 01:24:03.372 region:rollup2
SECOND LOOK AT A LITTLE BIT
01:24:01.637 --> 01:24:04.506 region:rollup2
MORE.
01:24:03.372 --> 01:24:06.275 region:rollup2
I IN ON THE OTHER HAND TO.
01:24:04.506 --> 01:24:07.843 region:rollup2
.
01:24:06.275 --> 01:24:09.711 region:rollup2
WE TALK ABOUT WHEN OFFICE WHEN
01:24:07.843 --> 01:24:12.247 region:rollup2
INDIVIDUALS.
01:24:09.711 --> 01:24:13.882 region:rollup2
GET A ARE CAUGHT RIGHT OR THIS
01:24:12.247 --> 01:24:15.584 region:rollup2
THE DRUNK DRIVER AND WHATEVER WE
01:24:13.882 --> 01:24:16.785 region:rollup2
TALKED ABOUT THE PROCESS.
01:24:15.584 --> 01:24:18.487 region:rollup2
IT IS THERE A TIME LIMIT ON THAT
01:24:16.785 --> 01:24:20.455 region:rollup2
PROCESS WHETHER IT'S SIX MONTHS
01:24:18.487 --> 01:24:21.390 region:rollup2
A YEAR OR. IF SOMEBODY GETS
01:24:20.455 --> 01:24:23.692 region:rollup2
ARRESTED FOR THE DRUNK DRIVING
01:24:21.390 --> 01:24:25.561 region:rollup2
IS GOING TAKE FOR FIVE YEARS OR
01:24:23.692 --> 01:24:27.062 region:rollup2
OR OR DO WE LOOK AT.
01:24:25.561 --> 01:24:28.864 region:rollup2
GIVEN THIS PERSON THAT MAY HAVE
01:24:27.062 --> 01:24:30.966 region:rollup2
HAD AN ISSUE TOOK CORRECTED AND
01:24:28.864 --> 01:24:34.136 region:rollup2
COME BACK IS IS THERE ANY TALK
01:24:30.966 --> 01:24:35.270 region:rollup2
ABOUT. THAT TIME FRAME OF MISS.
01:24:34.136 --> 01:24:37.339 region:rollup2
THE OTHER CURRENT STATUTE
01:24:35.270 --> 01:24:39.074 region:rollup2
DOESN'T.
01:24:37.339 --> 01:24:41.076 region:rollup2
STATE A TIME LINE FOR THEY
01:24:39.074 --> 01:24:43.745 region:rollup2
PROCESS TO GO THROUGH. AS I SAID
01:24:41.076 --> 01:24:44.947 region:rollup2
BEFORE WE WE TRY TO WAIT INTELL.
01:24:43.745 --> 01:24:45.914 region:rollup2
THEIR CONVICTION IS DONE IN THE
01:24:44.947 --> 01:24:47.849 region:rollup2
COURT.
01:24:45.914 --> 01:24:49.518 region:rollup2
AND UNFORTUNATELY SOMETIMES
01:24:47.849 --> 01:24:52.287 region:rollup2
THAT TAKES A LOT.
01:24:49.518 --> 01:24:53.755 region:rollup2
AWHILE AGO MOST OF THE AGENCIES
01:24:52.287 --> 01:24:55.457 region:rollup2
THAT I DEAL WITH HERE IN
01:24:53.755 --> 01:24:56.925 region:rollup2
SACRAMENTO COUNTY. A THEY WILL
01:24:55.457 --> 01:24:58.660 region:rollup2
CONTINUE TO ALLOW THEIR EMPLOYEE
01:24:56.925 --> 01:24:59.962 region:rollup2
TO WORK WHETHER GOING THROUGH
01:24:58.660 --> 01:25:01.730 region:rollup2
THE COURT PROCESS.
01:24:59.962 --> 01:25:03.065 region:rollup2
BECAUSE THEY'RE LIGHT THEIR
01:25:01.730 --> 01:25:05.167 region:rollup2
CERTIFICATION IS STILL GOOD
01:25:03.065 --> 01:25:06.702 region:rollup2
UNTIL MY AGENCY TAKE SOME TYPE
01:25:05.167 --> 01:25:10.205 region:rollup2
OF ACTION ON IT.
01:25:06.702 --> 01:25:12.240 region:rollup2
WITH IT. AGAIN FIRST TIME DI Y.
01:25:10.205 --> 01:25:13.875 region:rollup2
FIRST TIME.
01:25:12.240 --> 01:25:15.577 region:rollup2
STAFF BASED ON WHAT IT IS.
01:25:13.875 --> 01:25:17.179 region:rollup2
WILL WILL WILL MAKE THE
01:25:15.577 --> 01:25:19.514 region:rollup2
RECOMMENDATION OF JUST DOING A
01:25:17.179 --> 01:25:22.250 region:rollup2
PROBATIONARY TYPE. CERTIFICATION
01:25:19.514 --> 01:25:23.585 region:rollup2
WHERE THEY CAN CONTINUE TO WORK.
01:25:22.250 --> 01:25:26.254 region:rollup2
BUT THEY HAVE TO CHECK IN WITH
01:25:23.585 --> 01:25:28.223 region:rollup2
MY AGENCY AND DO CERTAIN THINGS.
01:25:26.254 --> 01:25:29.224 region:rollup2
DURING THAT PROBATION BUT MOST
01:25:28.223 --> 01:25:31.827 region:rollup2
OF THE TIME THAT'S NOT UNTIL
01:25:29.224 --> 01:25:33.295 region:rollup2
AFTER THEIR COURT CASES.
01:25:31.827 --> 01:25:34.429 region:rollup2
THEN I JUST ONE MORE QUESTION
01:25:33.295 --> 01:25:36.465 region:rollup2
COMES TO MIND.
01:25:34.429 --> 01:25:37.866 region:rollup2
SO SAY IF.
01:25:36.465 --> 01:25:39.835 region:rollup2
THIS BILL MOVES FORWARD IT GETS
01:25:37.866 --> 01:25:41.970 region:rollup2
SIGNED BY THE GOVERNOR.
01:25:39.835 --> 01:25:43.472 region:rollup2
AND WE GIVE THESE INDIVIDUALS AT
01:25:41.970 --> 01:25:43.972 region:rollup2
THE SECOND CHANCE AT LIFE SO TO
01:25:43.472 --> 01:25:44.673 region:rollup2
SPEAK TO GET THEIR EMPTY
01:25:43.972 --> 01:25:46.742 region:rollup2
LICENSE.
01:25:44.673 --> 01:25:48.977 region:rollup2
SO I'M THINKING ABOUT.
01:25:46.742 --> 01:25:50.012 region:rollup2
SO IF I CAN GET MY EMT LICENSE
01:25:48.977 --> 01:25:51.780 region:rollup2
EVEN THOUGH I MAY HAVE HAD A
01:25:50.012 --> 01:25:52.848 region:rollup2
PASSPORT WE'VE YOU KNOW TO CARE
01:25:51.780 --> 01:25:53.982 region:rollup2
THAT.
01:25:52.848 --> 01:25:55.717 region:rollup2
BUT SOME OF THESE FIRE
01:25:53.982 --> 01:25:56.284 region:rollup2
DEPARTMENTS MAY HAVE AN ISSUE IF
01:25:55.717 --> 01:25:57.819 region:rollup2
YOU'RE LOOKING THE APPLY THE
01:25:56.284 --> 01:26:00.489 region:rollup2
FIRE DEPARTMENT. NOW THEY HAVE
01:25:57.819 --> 01:26:02.224 region:rollup2
THEIR OWN SETS OF EMPLOYMENT
01:26:00.489 --> 01:26:03.291 region:rollup2
QUALIFICATIONS OR SPEAK.
01:26:02.224 --> 01:26:04.793 region:rollup2
SUTTER OF THAT'S GOING TO POSE A
01:26:03.291 --> 01:26:06.294 region:rollup2
CHALLENGE FROM SO HERE I WANT TO
01:26:04.793 --> 01:26:08.296 region:rollup2
GET THEIR HOPES UP.
01:26:06.294 --> 01:26:09.264 region:rollup2
I GOT INTO LICENSE TODAY IN AND
01:26:08.296 --> 01:26:10.298 region:rollup2
THE YEAR I WANT TO GET HARD BY
01:26:09.264 --> 01:26:12.334 region:rollup2
THIS DEPARTMENT OF THAT
01:26:10.298 --> 01:26:13.101 region:rollup2
DEPARTMENT BUT THEN AS THEY DO
01:26:12.334 --> 01:26:14.836 region:rollup2
APPLY GO THROUGH THE PROCESS.
01:26:13.101 --> 01:26:16.338 region:rollup2
GUESS WHAT.
01:26:14.836 --> 01:26:17.773 region:rollup2
YOU HAVE THE SENIOR RECORD FROM
01:26:16.338 --> 01:26:19.074 region:rollup2
FIVE YEARS AGO OR TEN YEARS AGO
01:26:17.773 --> 01:26:20.242 region:rollup2
SO IT'S GONNA BE ANOTHER
01:26:19.074 --> 01:26:22.110 region:rollup2
ROADBLOCK FROM THEM I DON'T KNOW
01:26:20.242 --> 01:26:22.644 region:rollup2
IF WE'VE LOOKED AT THAT WOULD IT
01:26:22.110 --> 01:26:24.346 region:rollup2
WOULD HE THINK.
01:26:22.644 --> 01:26:25.614 region:rollup2
WILL HAVE YOU LOOKED AT THAT
01:26:24.346 --> 01:26:27.616 region:rollup2
AND I DO WANT TO JUST FOR YOU
01:26:25.614 --> 01:26:28.517 region:rollup2
ASKED ABOUT THE THING VIOLENT
01:26:27.616 --> 01:26:29.818 region:rollup2
CRIMES.
01:26:28.517 --> 01:26:31.353 region:rollup2
WE HAVE INCLUDED LANGUAGE IN THE
01:26:29.818 --> 01:26:32.854 region:rollup2
BILL THAT ALLOWS THE REGULATING
01:26:31.353 --> 01:26:34.089 region:rollup2
AUTHORITIES.
01:26:32.854 --> 01:26:35.724 region:rollup2
STILL DENY LICENSE BASED ON THE
01:26:34.089 --> 01:26:37.225 region:rollup2
FOLLOWING.
01:26:35.724 --> 01:26:38.493 region:rollup2
DIRECTLY IN ADVERSELY RELATED
01:26:37.225 --> 01:26:40.262 region:rollup2
CONVICTIONS WITH OF THE
01:26:38.493 --> 01:26:41.897 region:rollup2
PRECEDING FIVE YEARS.
01:26:40.262 --> 01:26:43.031 region:rollup2
VIOLENT FELONIES AS DEFINED IN
01:26:41.897 --> 01:26:43.632 region:rollup2
THE PENAL CODE WE'RE NOT
01:26:43.031 --> 01:26:45.867 region:rollup2
CHANGING WHAT A VIOLENT CRIME
01:26:43.632 --> 01:26:47.636 region:rollup2
IS.
01:26:45.867 --> 01:26:49.438 region:rollup2
A VIOLENT FELONY IS ALREADY
01:26:47.636 --> 01:26:50.439 region:rollup2
DEFINED THEIR TWENTY THREE THEIR
01:26:49.438 --> 01:26:52.441 region:rollup2
DEFINED IN THE PENAL CODE.
01:26:50.439 --> 01:26:53.742 region:rollup2
THIS BILL DOES NOT.
01:26:52.441 --> 01:26:55.343 region:rollup2
READ TO FIND THAT THEY'RE
01:26:53.742 --> 01:26:56.745 region:rollup2
ALREADY DEFINED.
01:26:55.343 --> 01:26:59.281 region:rollup2
PLUS ANY FELONIES THAT WOULD
01:26:56.745 --> 01:27:00.282 region:rollup2
PLACE SOMEONE ON THE SEX OFFENSE
01:26:59.281 --> 01:27:02.484 region:rollup2
REGISTRY THEY'RE EXCLUDED FROM
01:27:00.282 --> 01:27:05.487 region:rollup2
THIS.
01:27:02.484 --> 01:27:05.754 region:rollup2
THE. WE THERE'S TALK ABOUT CAL
01:27:05.487 --> 01:27:07.722 region:rollup2
FIRE AND.
01:27:05.754 --> 01:27:08.290 region:rollup2
.
01:27:07.722 --> 01:27:10.692 region:rollup2
COURSE WE'RE TALKING TO AN
01:27:08.290 --> 01:27:13.395 region:rollup2
EXPERT TO ASSEMBLY MEMBER FLORA.
01:27:10.692 --> 01:27:14.963 region:rollup2
THAT IS HIS PROFESSION.
01:27:13.395 --> 01:27:17.065 region:rollup2
BUT THEY THE CALIFORNIA
01:27:14.963 --> 01:27:18.834 region:rollup2
PROFESSIONAL FIREFIGHTERS HAVE
01:27:17.065 --> 01:27:20.502 region:rollup2
YOU IN OUR DISCUSSIONS WITH THEM
01:27:18.834 --> 01:27:22.304 region:rollup2
THEY HAVE TOLD US IT IS OFTEN A
01:27:20.502 --> 01:27:24.206 region:rollup2
CONDITION OF EMPLOYMENT IN
01:27:22.304 --> 01:27:26.241 region:rollup2
MUNICIPAL FIRE DEPARTMENTS. THAT
01:27:24.206 --> 01:27:27.843 region:rollup2
THEY THAT THE APPLICANT BE HAVE
01:27:26.241 --> 01:27:31.046 region:rollup2
AN E. EMMAUS.
01:27:27.843 --> 01:27:33.348 region:rollup2
BUT OUR EMT LICENSE.
01:27:31.046 --> 01:27:35.150 region:rollup2
WE HAVE WORKED WITH THE HEALTH
01:27:33.348 --> 01:27:36.418 region:rollup2
COMMITTEE HERE WITH THE STAFF
01:27:35.150 --> 01:27:38.153 region:rollup2
TRIED TO COME UP WITH.
01:27:36.418 --> 01:27:38.687 region:rollup2
RESPOND TO MANY OF THE CONCERNS
01:27:38.153 --> 01:27:40.822 region:rollup2
THAT HAVE BEEN VOICED HERE
01:27:38.687 --> 01:27:43.258 region:rollup2
TODAY.
01:27:40.822 --> 01:27:44.693 region:rollup2
AND WE DO WELCOME THE M. EMSA
01:27:43.258 --> 01:27:46.094 region:rollup2
EMSA NEWS AND OTHER STAKEHOLDERS
01:27:44.693 --> 01:27:47.362 region:rollup2
INPUT.
01:27:46.094 --> 01:27:49.564 region:rollup2
BECAUSE WE WANT TO WORK
01:27:47.362 --> 01:27:51.666 region:rollup2
DILIGENTLY TOWARDS A RESOLUTION
01:27:49.564 --> 01:27:53.702 region:rollup2
THAT ADDRESSES THE CONCERNS THAT
01:27:51.666 --> 01:27:56.238 region:rollup2
HAVE BEEN VOICED HERE AND UP BY
01:27:53.702 --> 01:27:57.706 region:rollup2
THE BY MY MEMBERS.
01:27:56.238 --> 01:27:59.708 region:rollup2
WE WANT TO BE ABLE TO PROVIDE
01:27:57.706 --> 01:28:01.343 region:rollup2
THIS OPPORTUNITY.
01:27:59.708 --> 01:28:02.444 region:rollup2
IT'S JUST OPENING A DOOR WE'RE
01:28:01.343 --> 01:28:04.813 region:rollup2
NOT SAYING THAT THEY WILL
01:28:02.444 --> 01:28:06.014 region:rollup2
AUTOMATICALLY NOW BE HIRED AS AN
01:28:04.813 --> 01:28:07.682 region:rollup2
EMT OR THAT THEY WILL
01:28:06.014 --> 01:28:09.184 region:rollup2
AUTOMATICALLY BE.
01:28:07.682 --> 01:28:11.620 region:rollup2
HIRED AS A IS.
01:28:09.184 --> 01:28:13.121 region:rollup2
AS A FIREFIGHTER.
01:28:11.620 --> 01:28:15.557 region:rollup2
WELL WERE NOT PRECLUDING THEM
01:28:13.121 --> 01:28:17.092 region:rollup2
FROM MOVING IN THAT DIRECTION.
01:28:15.557 --> 01:28:18.360 region:rollup2
THEY'VE ALREADY DONE THAT TYPE
01:28:17.092 --> 01:28:20.328 region:rollup2
OF SERVICE WITH THE CONSERVATION
01:28:18.360 --> 01:28:20.929 region:rollup2
CAMP.
01:28:20.328 --> 01:28:23.298 region:rollup2
THERE WERE GOOD ENOUGH TO DO
01:28:20.929 --> 01:28:25.267 region:rollup2
WITH THEIR. AND WE NOW WANT TO
01:28:23.298 --> 01:28:27.302 region:rollup2
BE ABLE TO PROVIDE THAT EVEN TO
01:28:25.267 --> 01:28:29.204 region:rollup2
BE TO BE QUALIFIED THROUGH THE
01:28:27.302 --> 01:28:31.406 region:rollup2
CONSERVATION CAMP THEY HAVE TO
01:28:29.204 --> 01:28:33.074 region:rollup2
GO THROUGH QUITE A PROCEDURE. TO
01:28:31.406 --> 01:28:34.609 region:rollup2
BE ACCEPTED TO BE PUT ON THE
01:28:33.074 --> 01:28:36.044 region:rollup2
FRONT LINES.
01:28:34.609 --> 01:28:37.712 region:rollup2
TO BE FIRE FIGHTING OUT TO
01:28:36.044 --> 01:28:39.581 region:rollup2
TO TO TO JOIN WITH THE FIRE
01:28:37.712 --> 01:28:40.582 region:rollup2
FIGHTING.
01:28:39.581 --> 01:28:42.517 region:rollup2
SO THAT THERE IS AN ENTIRE
01:28:40.582 --> 01:28:45.086 region:rollup2
PROCESS THAT HAPPENS BEFORE THEY
01:28:42.517 --> 01:28:46.054 region:rollup2
CAN DO THAT. THEN OUR SAYING.
01:28:45.086 --> 01:28:48.190 region:rollup2
WOULD LIKE TO APPLY FOR THESE
01:28:46.054 --> 01:28:49.958 region:rollup2
JOBS BUT MANY OF THE JOBS WE
01:28:48.190 --> 01:28:51.827 region:rollup2
WANT TO APPLY FOR DO REQUIRED
01:28:49.958 --> 01:28:54.863 region:rollup2
THIS WE'RE JUST SAYING LET'S
01:28:51.827 --> 01:28:56.932 region:rollup2
OPEN THE DOOR SO THEY CAN APPLY.
01:28:54.863 --> 01:28:58.800 region:rollup2
AND IT ISN'T A NO AT THE MOMENT
01:28:56.932 --> 01:29:00.335 region:rollup2
THEY APPLY. THEY NOW WERE GIVEN
01:28:58.800 --> 01:29:02.270 region:rollup2
THAT OPPORTUNITY THERE NO
01:29:00.335 --> 01:29:03.838 region:rollup2
GUARANTEES THERE NO GUARANTEES
01:29:02.270 --> 01:29:04.639 region:rollup2
FOR ANY OF US WHEN WE TO OBTAIN
01:29:03.838 --> 01:29:05.941 region:rollup2
A LICENSE
01:29:04.639 --> 01:29:07.909 region:rollup2
BUT DOORS ARE SHUT WHEN YOU
01:29:05.941 --> 01:29:09.044 region:rollup2
DON'T HAVE THE LICENSE. AND WE
01:29:07.909 --> 01:29:12.414 region:rollup2
WANT TO BE ABLE TO PROVIDE THAT
01:29:09.044 --> 01:29:13.949 region:rollup2
OPPORTUNITY FOR THEM.
01:29:12.414 --> 01:29:15.350 region:rollup2
WELL THANK YOU SO I I'M I'M
01:29:13.949 --> 01:29:16.551 region:rollup2
LOOKING TO SUPPORT IT BUT I'M
01:29:15.350 --> 01:29:17.886 region:rollup2
GONNA AND RESERVE MY RIGHT SEE
01:29:16.551 --> 01:29:19.788 region:rollup2
HOW THINGS COME UP FOR GETS TO
01:29:17.886 --> 01:29:21.456 region:rollup2
THE FLOOR. BUT WE CONTINUE WORK
01:29:19.788 --> 01:29:22.991 region:rollup2
WITH OPPOSITION AND.
01:29:21.456 --> 01:29:24.593 region:rollup2
REDEFINING SOME OF THESE THINGS
01:29:22.991 --> 01:29:25.760 region:rollup2
AND AND MOVED AROUND LUGGAGE
01:29:24.593 --> 01:29:27.128 region:rollup2
PROCESS OF ONE THANK FOR BRING
01:29:25.760 --> 01:29:27.696 region:rollup2
UP FOR AND WE WILL CONTINUE TO
01:29:27.128 --> 01:29:28.263 region:rollup2
WORK WITH STAKEHOLDERS THANK
01:29:27.696 --> 01:29:30.732 region:rollup2
YOU.
01:29:28.263 --> 01:29:32.167 region:rollup2
CARILLO.
01:29:30.732 --> 01:29:33.468 region:rollup2
Q..
01:29:32.167 --> 01:29:34.769 region:rollup2
THANK THE AUTHOR FOR PRE.
01:29:33.468 --> 01:29:37.372 region:rollup2
YOU ARE A TEN.
01:29:34.769 --> 01:29:38.773 region:rollup2
COMMITTEE AND.
01:29:37.372 --> 01:29:40.108 region:rollup2
LIKELY AYE TO POINT OUT THAT
01:29:38.773 --> 01:29:40.675 region:rollup2
WHEN YOU'RE SUPPORTERS IS AN
01:29:40.108 --> 01:29:42.043 region:rollup2
ORGANIZATION CALLED HOMEBOY
01:29:40.675 --> 01:29:43.311 region:rollup2
INDUSTRIES.
01:29:42.043 --> 01:29:44.246 region:rollup2
WHICH IS IN THE FIFTY FIRST
01:29:43.311 --> 01:29:46.014 region:rollup2
ASSEMBLY DISTRICT STARTED BY
01:29:44.246 --> 01:29:46.648 region:rollup2
FATHER GREG BOYLE.
01:29:46.014 --> 01:29:48.016 region:rollup2
IN THE COMMUNITY THAT I GREW UP
01:29:46.648 --> 01:29:49.918 region:rollup2
IN.
01:29:48.016 --> 01:29:52.687 region:rollup2
OFTENTIMES WE TALK ABOUT AND
01:29:49.918 --> 01:29:53.288 region:rollup2
THEIR MOTTO IS JOBS NOT JAILS
01:29:52.687 --> 01:29:54.656 region:rollup2
NOTHING STOPS A BULLET LIKE A
01:29:53.288 --> 01:29:56.191 region:rollup2
JOB.
01:29:54.656 --> 01:29:58.560 region:rollup2
WE OFTEN TALK ABOUT THE NEED FOR
01:29:56.191 --> 01:30:00.328 region:rollup2
MORE FIREFIGHTERS MAUREEN TEASE
01:29:58.560 --> 01:30:02.697 region:rollup2
VARIOUS OTHER PROFESSIONS ACROSS
01:30:00.328 --> 01:30:05.033 region:rollup2
OUR STATE. I ALSO SAID ON PUBLIC
01:30:02.697 --> 01:30:07.202 region:rollup2
SAFETY. TODAY WE DISCUSSED A
01:30:05.033 --> 01:30:09.237 region:rollup2
SIMILAR PUMP WE HAD A SIMILAR
01:30:07.202 --> 01:30:10.805 region:rollup2
CONVERSATION IN TERMS OF.
01:30:09.237 --> 01:30:13.041 region:rollup2
HOW CALIFORNIA ANOTHE DEFIER
01:30:10.805 --> 01:30:14.876 region:rollup2
DEPARTMENTS ARE? ARE NOT ABLE TO
01:30:13.041 --> 01:30:16.578 region:rollup2
HIRE THE FIRE.
01:30:14.876 --> 01:30:17.078 region:rollup2
THE FIREFIGHTERS THAT THEY WOULD
01:30:16.578 --> 01:30:19.080 region:rollup2
LIKE BECAUSE OF CERTAIN
01:30:17.078 --> 01:30:21.650 region:rollup2
RESTRICTIONS.
01:30:19.080 --> 01:30:21.883 region:rollup2
WE HAVE HAD SO THE STATE HAS HAD
01:30:21.650 --> 01:30:23.852 region:rollup2
SEVERAL.
01:30:21.883 --> 01:30:26.021 region:rollup2
.
01:30:23.852 --> 01:30:27.455 region:rollup2
FIRES ACROSS OUR STATE THAT HAVE
01:30:26.021 --> 01:30:28.923 region:rollup2
USED PRISON LABOR TO PUT THOSE
01:30:27.455 --> 01:30:32.360 region:rollup2
OUT.
01:30:28.923 --> 01:30:33.261 region:rollup2
OFTENTIMES VISA. MEN AND WOMEN
01:30:32.360 --> 01:30:35.463 region:rollup2
WOULD LIKE TO HAVE THE
01:30:33.261 --> 01:30:36.698 region:rollup2
OPPORTUNITY TO CONTINUE DOING
01:30:35.463 --> 01:30:39.234 region:rollup2
THE WORK THAT THEY HAVE BEEN
01:30:36.698 --> 01:30:40.635 region:rollup2
TRAINED FOR. CENTER NOT ALLOWED
01:30:39.234 --> 01:30:43.238 region:rollup2
BECAUSE OF THE RESTRICTIONS THAT
01:30:40.635 --> 01:30:44.506 region:rollup2
WE HAVE ACROSS OUR STATE.
01:30:43.238 --> 01:30:46.541 region:rollup2
THE STATE OF CALIFORNIA HAS ALSO
01:30:44.506 --> 01:30:49.577 region:rollup2
DONE INCREDIBLE WORK ON CRIMINAL
01:30:46.541 --> 01:30:51.079 region:rollup2
JUSTICE REFORM. THAT HAS OPENED
01:30:49.577 --> 01:30:52.380 region:rollup2
UP THE OPPORTUNITY FOR MEN AND
01:30:51.079 --> 01:30:55.283 region:rollup2
WOMEN ACROSS OUR STATE TO BE
01:30:52.380 --> 01:30:55.817 region:rollup2
ABLE TO LEAVE PRISON.
01:30:55.283 --> 01:30:57.285 region:rollup2
AND BE REUNITED WITH THEIR
01:30:55.817 --> 01:30:59.254 region:rollup2
FAMILIES.
01:30:57.285 --> 01:31:00.088 region:rollup2
WE FACE A HOUSING CRISIS
01:30:59.254 --> 01:31:01.890 region:rollup2
WE FACE A HOMELESSNESS
01:31:00.088 --> 01:31:03.925 region:rollup2
POPULATION INCREASE.
01:31:01.890 --> 01:31:04.526 region:rollup2
WE FACE ALL KINDS OF DOCUMENTS
01:31:03.925 --> 01:31:06.461 region:rollup2
THAT.
01:31:04.526 --> 01:31:07.996 region:rollup2
THESE MEN AND WOMEN ARE FACING
01:31:06.461 --> 01:31:09.230 region:rollup2
WHEN THEY RETURN HOME AND MY
01:31:07.996 --> 01:31:11.633 region:rollup2
COMMUNITY WERE ALSO FACING
01:31:09.230 --> 01:31:12.767 region:rollup2
GENTRIFICATION. IT'S DONE FOLKS
01:31:11.633 --> 01:31:14.369 region:rollup2
COMING BACK GETTING OUT OF
01:31:12.767 --> 01:31:15.003 region:rollup2
PRISON FIND IN THEIR COMMUNITY
01:31:14.369 --> 01:31:17.272 region:rollup2
NOT BEING THE WAY THAT IT USED
01:31:15.003 --> 01:31:18.907 region:rollup2
TO BE. THERE'S A LACK OF JOBS
01:31:17.272 --> 01:31:21.042 region:rollup2
THERE'S A LACK OF OPPORTUNITY
01:31:18.907 --> 01:31:22.510 region:rollup2
THERE'S A LACK OF RESOURCES.
01:31:21.042 --> 01:31:23.945 region:rollup2
THIS IS THE AN IDEA I THINK IT'S
01:31:22.510 --> 01:31:25.814 region:rollup2
A.
01:31:23.945 --> 01:31:27.182 region:rollup2
IT'S IT'S A MEASURE IN WAYS THAT
01:31:25.814 --> 01:31:28.316 region:rollup2
WE CAN ACTUALLY. BRING MORE
01:31:27.182 --> 01:31:30.085 region:rollup2
PEOPLE IN.
01:31:28.316 --> 01:31:32.053 region:rollup2
IF YOU HAVE.
01:31:30.085 --> 01:31:32.620 region:rollup2
SERVED YOUR TIME.
01:31:32.053 --> 01:31:33.588 region:rollup2
IF YOU ARE WILLING TO DO THE
01:31:32.620 --> 01:31:35.323 region:rollup2
WORK
01:31:33.588 --> 01:31:36.491 region:rollup2
IF YOU DO NOT FALL WITHIN THE
01:31:35.323 --> 01:31:37.058 region:rollup2
GUIDELINES THAT YOU HAVE ALREADY
01:31:36.491 --> 01:31:38.893 region:rollup2
LAID OUT IN TERMS OF YOU ARE
01:31:37.058 --> 01:31:40.462 region:rollup2
NOT.
01:31:38.893 --> 01:31:41.563 region:rollup2
GOING TO ENDANGER THE LIVES OF
01:31:40.462 --> 01:31:43.531 region:rollup2
THOSE THAT YOU.
01:31:41.563 --> 01:31:44.432 region:rollup2
WOULD WANT TO SERVE.
01:31:43.531 --> 01:31:47.035 region:rollup2
THIS IS A STEP IN THE RIGHT
01:31:44.432 --> 01:31:48.570 region:rollup2
DIRECTION FOR STATE. AND SO I AM
01:31:47.035 --> 01:31:49.504 region:rollup2
MORE THAN COMMITTED TO TO
01:31:48.570 --> 01:31:50.872 region:rollup2
WORKING WITH YOUR WITH YOUR
01:31:49.504 --> 01:31:52.941 region:rollup2
OFFICE AND WITH THOSE THAT HAVE
01:31:50.872 --> 01:31:54.275 region:rollup2
CONCERNS IN TERMS OF. HOW DO WE
01:31:52.941 --> 01:31:56.077 region:rollup2
AT THE END OF THE DAY MAKE SURE
01:31:54.275 --> 01:31:57.445 region:rollup2
THAT PEOPLE HAVE JOBS?
01:31:56.077 --> 01:31:58.646 region:rollup2
THE PEOPLE HAVE OPPORTUNITY THAT
01:31:57.445 --> 01:32:00.915 region:rollup2
IF THEY WANT TO SERVE AND DO
01:31:58.646 --> 01:32:02.484 region:rollup2
THIS WORK WHICH IS NOT EASY.
01:32:00.915 --> 01:32:03.351 region:rollup2
AS MEMBERS OF THIS COMMITTEE
01:32:02.484 --> 01:32:05.720 region:rollup2
KNOW THAT YOU DO THIS YOU'VE
01:32:03.351 --> 01:32:06.221 region:rollup2
DONE THIS IN THE PAST.
01:32:05.720 --> 01:32:07.455 region:rollup2
THAT WOULD PROVIDE THOSE
01:32:06.221 --> 01:32:09.324 region:rollup2
OPPORTUNITIES
01:32:07.455 --> 01:32:11.025 region:rollup2
AND THEN WE SET THE EXAMPLE THAT
01:32:09.324 --> 01:32:13.528 region:rollup2
CALIFORNIA IS A STATE.
01:32:11.025 --> 01:32:14.996 region:rollup2
WERE YOU CAN. YOU IF YOU COMMIT
01:32:13.528 --> 01:32:16.564 region:rollup2
A CRIME AND YOU PAYER IF YOU
01:32:14.996 --> 01:32:18.033 region:rollup2
PAID WITH THEIR TIME. THE YOU
01:32:16.564 --> 01:32:19.267 region:rollup2
WILL HAVE AN OPPORTUNITY TO GET
01:32:18.033 --> 01:32:20.969 region:rollup2
A JOB AND START OVER AND LIVE A
01:32:19.267 --> 01:32:22.437 region:rollup2
LIFE AND LIVE AND NOT ONLY
01:32:20.969 --> 01:32:24.439 region:rollup2
SURVIVE BUT THRIVE.
01:32:22.437 --> 01:32:25.640 region:rollup2
AND BE GOOD AT WHAT YOU DO.
01:32:24.439 --> 01:32:27.242 region:rollup2
SO THANK YOU FOR BRINGING THIS
01:32:25.640 --> 01:32:28.710 region:rollup2
TO OUR ATTENTION THANK YOU FOR
01:32:27.242 --> 01:32:29.778 region:rollup2
TO THE COMMENTS THAT HAVE MADE
01:32:28.710 --> 01:32:31.513 region:rollup2
THE DIALOGUE.
01:32:29.778 --> 01:32:33.848 region:rollup2
WHAT IT IS NOW?
01:32:31.513 --> 01:32:35.350 region:rollup2
AND I HOPE THAT YOU I HOPE AND
01:32:33.848 --> 01:32:36.985 region:rollup2
I URGE MY COLLEAGUES TO VOTE YES
01:32:35.350 --> 01:32:38.253 region:rollup2
ON THIS MEASURE THINK.
01:32:36.985 --> 01:32:39.154 region:rollup2
THANK YOU MISTER CHAIRMAN LET OF
01:32:38.253 --> 01:32:41.022 region:rollup2
THE AUTHOR'S COMMITTED TO WORK
01:32:39.154 --> 01:32:45.326 region:rollup2
THE STATE OR SOME OF THE BILL.
01:32:41.022 --> 01:32:45.493 region:rollup2
THIS FIGURE SECOND.
01:32:45.326 --> 01:32:47.962 region:rollup2
SO.
01:32:45.493 --> 01:32:49.097 region:rollup2
.
01:32:47.962 --> 01:32:51.399 region:rollup2
ANY OTHER QUESTIONS OR COMMENTS
01:32:49.097 --> 01:32:52.834 region:rollup2
FROM COMMITTEE.
01:32:51.399 --> 01:32:54.769 region:rollup2
CNN WILL BRING IT BACK TO HIS
01:32:52.834 --> 01:32:55.270 region:rollup2
WRIST FOR CLOTHES I DO WANT TO
01:32:54.769 --> 01:32:56.805 region:rollup2
THANK.
01:32:55.270 --> 01:32:58.039 region:rollup2
COMMITTEE MEMBERS FOR YOUR
01:32:56.805 --> 01:32:59.707 region:rollup2
INPUT I THINK IT'S REALLY
01:32:58.039 --> 01:33:01.376 region:rollup2
IMPORTANT ESPECIALLY THOSE OF
01:32:59.707 --> 01:33:03.678 region:rollup2
YOU WHO HAVE THIS EXPERIENCE.
01:33:01.376 --> 01:33:06.514 region:rollup2
I APPRECIATE THE EXPERIENCES
01:33:03.678 --> 01:33:08.450 region:rollup2
ESPECIALLY OF THAT THE.
01:33:06.514 --> 01:33:09.984 region:rollup2
TO BIGELOW THE TO OF HAD.
01:33:08.450 --> 01:33:11.186 region:rollup2
MANY OTHERS HAVE NOT HAD THE
01:33:09.984 --> 01:33:12.554 region:rollup2
POSITIVE EXPERIENCES THAT YOU
01:33:11.186 --> 01:33:14.289 region:rollup2
HAVE
01:33:12.554 --> 01:33:15.690 region:rollup2
AND I THINK PROVIDING THOSE
01:33:14.289 --> 01:33:17.459 region:rollup2
OPPORTUNITIES IS EXTREMELY
01:33:15.690 --> 01:33:19.461 region:rollup2
IMPORTANT ESPECIALLY WHEN WE
01:33:17.459 --> 01:33:20.028 region:rollup2
KNOW THAT THERE ARE. CERTAIN
01:33:19.461 --> 01:33:21.763 region:rollup2
CRIMES ARE ALREADY EXCLUDED
01:33:20.028 --> 01:33:24.365 region:rollup2
WHAT.
01:33:21.763 --> 01:33:25.800 region:rollup2
I WANT THE SAFETY OF OF ANYBODY
01:33:24.365 --> 01:33:27.836 region:rollup2
WHO'S EVER SERVED BY IAN MANY
01:33:25.800 --> 01:33:29.504 region:rollup2
EMPTY OR FIREFIGHTER I WANT THAT
01:33:27.836 --> 01:33:31.639 region:rollup2
JUST AS MUCH AS ANYBODY ELSE
01:33:29.504 --> 01:33:32.273 region:rollup2
WOULD WANT THAT. I'M NOT TRYING
01:33:31.639 --> 01:33:33.308 region:rollup2
TO PUT SOMEONE IS GOING TO CAUSE
01:33:32.273 --> 01:33:35.510 region:rollup2
HARM.
01:33:33.308 --> 01:33:37.212 region:rollup2
ODE TO AND NOT TRY TO PUT THEM
01:33:35.510 --> 01:33:38.746 region:rollup2
IT IN THE HOME SOMEBODY WHO'S
01:33:37.212 --> 01:33:40.315 region:rollup2
VULNERABLE.
01:33:38.746 --> 01:33:42.584 region:rollup2
BUT I ABSOLUTELY WANT TO PROVIDE
01:33:40.315 --> 01:33:43.718 region:rollup2
THAT SECOND CHANCE TO SOMEONE
01:33:42.584 --> 01:33:46.254 region:rollup2
WHO IS PAID THEIR DEBT TO
01:33:43.718 --> 01:33:47.188 region:rollup2
SOCIETY SIMPLY TO OPEN THE DOORS
01:33:46.254 --> 01:33:48.089 region:rollup2
THEY STILL HAVE TO GO THROUGH
01:33:47.188 --> 01:33:49.591 region:rollup2
THE PROCESS AS ANYBODY ELSE
01:33:48.089 --> 01:33:51.693 region:rollup2
WOULD.
01:33:49.591 --> 01:33:52.894 region:rollup2
I GIVE THEM THAT OPPORTUNITY AND
01:33:51.693 --> 01:33:54.963 region:rollup2
I DO MAKE A COMMITMENT TO.
01:33:52.894 --> 01:33:55.630 region:rollup2
MISTER CHAIRMAN AND MEMBERS TO
01:33:54.963 --> 01:33:57.665 region:rollup2
CONTINUE TO WORK WITH THE
01:33:55.630 --> 01:33:59.300 region:rollup2
STAKEHOLDERS TO TRY TO FIND A
01:33:57.665 --> 01:34:00.802 region:rollup2
WAY THAT WE WILL ALL BE ABLE TO
01:33:59.300 --> 01:34:01.836 region:rollup2
WORK. TOWARDS PROVIDING THAT
01:34:00.802 --> 01:34:03.638 region:rollup2
SECOND
01:34:01.836 --> 01:34:04.572 region:rollup2
BRITTANY THAT SECOND CHANCE
01:34:03.638 --> 01:34:05.807 region:rollup2
AND I THINK THE COMMITTEE FOR
01:34:04.572 --> 01:34:09.210 region:rollup2
THEIR TIME AND RESPECTFULLY ASK
01:34:05.807 --> 01:34:10.445 region:rollup2
FOR YOU AYE VOTE.
01:34:09.210 --> 01:34:10.712 region:rollup2
FIRST OFF THANK YOU I WANNA
01:34:10.445 --> 01:34:12.280 region:rollup2
THANK YOU.
01:34:10.712 --> 01:34:13.781 region:rollup2
MISS MISS
01:34:12.280 --> 01:34:15.750 region:rollup2
REYES FOR ACCEPTING THE
01:34:13.781 --> 01:34:16.684 region:rollup2
AMENDMENT AND YOUR COMMITMENT TO
01:34:15.750 --> 01:34:18.186 region:rollup2
WANTING TO WORK WITH THE
01:34:16.684 --> 01:34:19.654 region:rollup2
STAKEHOLDERS I THINK YOU YOU.
01:34:18.186 --> 01:34:20.622 region:rollup2
YOU HEARD A LOT FROM PEOPLE
01:34:19.654 --> 01:34:21.055 region:rollup2
HERE TODAY AND I THINK THAT
01:34:20.622 --> 01:34:22.357 region:rollup2
THERE.
01:34:21.055 --> 01:34:23.291 region:rollup2
I THINK THESE ARE ALL REALLY
01:34:22.357 --> 01:34:24.526 region:rollup2
GOOD COMMENTS IN AND
01:34:23.291 --> 01:34:25.693 region:rollup2
CONSTRUCTIVE I THINK EVERYONE
01:34:24.526 --> 01:34:27.529 region:rollup2
APPRECIATES WHAT YOU'RE TRYING
01:34:25.693 --> 01:34:28.830 region:rollup2
TO ACCOMPLISH IN AND WANT TO SEE
01:34:27.529 --> 01:34:30.665 region:rollup2
THAT YOUR YOUR SUCCESSFUL.
01:34:28.830 --> 01:34:31.799 region:rollup2
BUT OBVIOUSLY THERE IS THERE IS
01:34:30.665 --> 01:34:33.134 region:rollup2
THERE IS THERE IS STILL SOME
01:34:31.799 --> 01:34:35.703 region:rollup2
SOME WORK TO DO SO YEAH.
01:34:33.134 --> 01:34:37.038 region:rollup2
THE THE BILL DOES TO ENJOY A DO
01:34:35.703 --> 01:34:38.673 region:rollup2
PASS RECOMMENDATION WE HAVE A
01:34:37.038 --> 01:34:40.175 region:rollup2
MOTION FROM MISTER MAYES A
01:34:38.673 --> 01:34:41.776 region:rollup2
SECOND FROM INSIDE YOUR CAREER
01:34:40.175 --> 01:34:43.411 region:rollup2
THE MOTION IS TO PASS AS AMENDED
01:34:41.776 --> 01:34:44.812 region:rollup2
TO APPROPRIATIONS. AND
01:34:43.411 --> 01:34:47.749 region:rollup2
AUTOMATICALLY CALL THE ROLL
01:34:44.812 --> 01:34:49.817 region:rollup2
WOULD I WOULD I MAYES MAYES AYE
01:34:47.749 --> 01:34:51.753 region:rollup2
AGAR CURRY. AYE HURRY AYE
01:34:49.817 --> 01:34:53.621 region:rollup2
BIGELOW. BIGELOW NO BONTA.
01:34:51.753 --> 01:34:55.256 region:rollup2
BURKE.
01:34:53.621 --> 01:34:56.925 region:rollup2
BURKE I CARILLO.
01:34:55.256 --> 01:34:58.760 region:rollup2
CARILLO AYE FLORA. FLORA NO LOW
01:34:56.925 --> 01:35:00.628 region:rollup2
MOAN.
01:34:58.760 --> 01:35:03.331 region:rollup2
MCCARTY MCCARTY AYE NAZARIAN.
01:35:00.628 --> 01:35:05.667 region:rollup2
RODRIGUEZ.
01:35:03.331 --> 01:35:12.073 region:rollup2
SANTIAGO THURMOND WALDRON.
01:35:05.667 --> 01:35:13.441 region:rollup2
WALDRON NO.
01:35:12.073 --> 01:35:14.576 region:rollup2
THE VOTE IS SIX THREE YOU STILL
01:35:13.441 --> 01:35:15.843 region:rollup2
NEED A COUPLE VOTES WE STILL
01:35:14.576 --> 01:35:18.012 region:rollup2
HAVE SOME MEMBERS MISSING SO
01:35:15.843 --> 01:35:19.914 region:rollup2
WE'LL PUT THAT ON CALL.
01:35:18.012 --> 01:35:21.749 region:rollup2
THANK YOU VERY MUCH SO.
01:35:19.914 --> 01:35:23.451 region:rollup2
SO AT THE RISK OF IRRITATING OF
01:35:21.749 --> 01:35:24.953 region:rollup2
COLLEAGUE OUT THERE I'VE I'VE
01:35:23.451 --> 01:35:26.621 region:rollup2
GIVEN MR ABDUCTOR INTO THE PIT
01:35:24.953 --> 01:35:27.689 region:rollup2
PERMISSION TO GO NEXT.
01:35:26.621 --> 01:35:28.256 region:rollup2
DUCK MISS I'M LOOKING AT MR
01:35:27.689 --> 01:35:30.525 region:rollup2
MAIENSCHEIN I HOPE THAT HE'S
01:35:28.256 --> 01:35:32.427 region:rollup2
NOT.
01:35:30.525 --> 01:35:33.695 region:rollup2
NOTHING PERSONAL MISTER INTO.
01:35:32.427 --> 01:35:34.963 region:rollup2
THERE'S ANOTHER TWIST HERE TO
01:35:33.695 --> 01:35:36.331 region:rollup2
USE DOCTOR AND WAS GONNA PRESENT
01:35:34.963 --> 01:35:37.799 region:rollup2
A BILL AND I'M GONNA CHO PRESENT
01:35:36.331 --> 01:35:39.567 region:rollup2
A SECOND GO.
01:35:37.799 --> 01:35:40.768 region:rollup2
THEY WILL GO TO MR MAIENSCHEIN.
01:35:39.567 --> 01:35:42.337 region:rollup2
AND THEN JUST TO MESS THINGS UP
01:35:40.768 --> 01:35:44.706 region:rollup2
A BIT MORE MR MCCARTY WILL
01:35:42.337 --> 01:35:48.409 region:rollup2
PRESENT. A BILL PRIOR TO OUR
01:35:44.706 --> 01:35:49.677 region:rollup2
SPECIAL SESSION OKAY.
01:35:48.409 --> 01:35:52.113 region:rollup2
AND HE GOT ALL THAT GOOD I'M
01:35:49.677 --> 01:35:54.515 region:rollup2
GLAD BECAUSE I. I'M NOT SURE I
01:35:52.113 --> 01:35:56.017 region:rollup2
CAN REPEAT IT. SO.
01:35:54.515 --> 01:35:57.585 region:rollup2
DOCTOR ARAMBULA YOU HAVE BEFORE
01:35:56.017 --> 01:36:00.588 region:rollup2
US.
01:35:57.585 --> 01:36:02.290 region:rollup2
ITEM NUMBER SEVENTEEN AB TWENTY
01:36:00.588 --> 01:36:03.725 region:rollup2
THREE EIGHTY FOUR.
01:36:02.290 --> 01:36:05.226 region:rollup2
THANK YOU MISTER CHAIRMAN BEFORE
01:36:03.725 --> 01:36:06.527 region:rollup2
I BEGAN I WANT TO SAY THAT I'M
01:36:05.226 --> 01:36:08.162 region:rollup2
GOING TO BE ACCEPTING THAT
01:36:06.527 --> 01:36:10.098 region:rollup2
COMMITTEE AMENDMENTS THANK YOU.
01:36:08.162 --> 01:36:12.033 region:rollup2
CALIFORNIA LIKE THE REST OF THE
01:36:10.098 --> 01:36:13.901 region:rollup2
NATION IS GRAPPLING WITH A
01:36:12.033 --> 01:36:15.803 region:rollup2
SERIOUS HEALTH CARE DILEMMA.
01:36:13.901 --> 01:36:17.338 region:rollup2
HOW TO USE OPIOID MEDICATION TO
01:36:15.803 --> 01:36:19.107 region:rollup2
RELIEVE PAIN SAFELY AND
01:36:17.338 --> 01:36:20.908 region:rollup2
EFFECTIVELY WHILE AT THE SAME
01:36:19.107 --> 01:36:23.544 region:rollup2
TIME REDUCING THE RISK OF
01:36:20.908 --> 01:36:25.580 region:rollup2
PRESCRIPTION MEDICATION MISUSE?
01:36:23.544 --> 01:36:27.348 region:rollup2
ADDICTION AND OVERDOSE.
01:36:25.580 --> 01:36:29.284 region:rollup2
AS AN EMERGENCY ROOM PHYSICIAN I
01:36:27.348 --> 01:36:31.719 region:rollup2
SAW THE IMPACT THAT OPIOID ABUSE
01:36:29.284 --> 01:36:33.454 region:rollup2
HAVE ON FAMILIES FIRST HAND.
01:36:31.719 --> 01:36:35.890 region:rollup2
I BELIEVE THAT WE NEED TO ENSURE
01:36:33.454 --> 01:36:37.625 region:rollup2
WE ARE USING OPIOIDS EFFECTIVELY
01:36:35.890 --> 01:36:39.661 region:rollup2
AND DO OUR BEST TO TREAT
01:36:37.625 --> 01:36:41.429 region:rollup2
SUBSTANCE USE DISORDERS.
01:36:39.661 --> 01:36:43.531 region:rollup2
AB TWENTY THREE EIGHTY FOUR WILL
01:36:41.429 --> 01:36:45.767 region:rollup2
CONTINUE TO ADVANCE CALIFORNIA
01:36:43.531 --> 01:36:47.669 region:rollup2
IN THE DIRECTION OF RECOVERY.
01:36:45.767 --> 01:36:49.270 region:rollup2
AS IT REMOVES BARRIERS TWO SOME%
01:36:47.669 --> 01:36:50.905 region:rollup2
OF THE MOST EFFECTIVE AND
01:36:49.270 --> 01:36:52.573 region:rollup2
INNOVATIVE TREATMENT OF
01:36:50.905 --> 01:36:55.043 region:rollup2
SUBSTANCE ABUSE DISORDERS AND
01:36:52.573 --> 01:36:55.643 region:rollup2
MEDICATION ASSISTED THERAPY.
01:36:55.043 --> 01:36:58.079 region:rollup2
COMMONLY REFERRED TO AS AN A.
01:36:55.643 --> 01:37:00.848 region:rollup2
T..
01:36:58.079 --> 01:37:02.583 region:rollup2
MIT AS THE USE OF MEDICATIONS IN
01:37:00.848 --> 01:37:04.152 region:rollup2
COMBINATION WITH COUNSELING AND
01:37:02.583 --> 01:37:05.787 region:rollup2
BEHAVIORAL THERAPIES.
01:37:04.152 --> 01:37:07.388 region:rollup2
TO PROVIDE A WHOLE PATIENT
01:37:05.787 --> 01:37:09.290 region:rollup2
APPROACH TO THE TREATMENT OF
01:37:07.388 --> 01:37:10.158 region:rollup2
SUBSTANCE USE DISORDERS.
01:37:09.290 --> 01:37:12.427 region:rollup2
RESEARCH SHOWS
01:37:10.158 --> 01:37:14.195 region:rollup2
THAT.
01:37:12.427 --> 01:37:15.430 region:rollup2
A COMBINATION OF MEDICATION AND
01:37:14.195 --> 01:37:16.764 region:rollup2
COUNSELLING THERAPY CAN
01:37:15.430 --> 01:37:18.866 region:rollup2
SUCCESSFULLY TREAT THESE
01:37:16.764 --> 01:37:20.935 region:rollup2
DISORDERS AND FOR SOME PEOPLE
01:37:18.866 --> 01:37:23.838 region:rollup2
STRUGGLING WITH ADDICTION. ME T.
01:37:20.935 --> 01:37:24.972 region:rollup2
CAN HELP AND SUSTAIN RECOVERY.
01:37:23.838 --> 01:37:26.674 region:rollup2
ACCORDING TO THE CALIFORNIA
01:37:24.972 --> 01:37:28.876 region:rollup2
HEALTH BENEFITS REVIEW PROGRAM
01:37:26.674 --> 01:37:30.845 region:rollup2
ANALYSIS OF THIS BILL.
01:37:28.876 --> 01:37:33.081 region:rollup2
THERE IS A CLEAR AND CONVINCING
01:37:30.845 --> 01:37:35.083 region:rollup2
EVIDENCE THAT MEDICATIONS USED
01:37:33.081 --> 01:37:37.118 region:rollup2
TO TREAT ME T. FOR OPIOID USE
01:37:35.083 --> 01:37:38.720 region:rollup2
DISORDER ARE MORE EFFECTIVE THAN
01:37:37.118 --> 01:37:40.788 region:rollup2
PLACEBO OR NO TREATMENT FOR
01:37:38.720 --> 01:37:42.557 region:rollup2
RETENTION OF PATIENTS.
01:37:40.788 --> 01:37:45.393 region:rollup2
AND TREATMENT ABSTINENCE
01:37:42.557 --> 01:37:47.562 region:rollup2
FROM OPIOIDS AND BIRTH OUTCOMES.
01:37:45.393 --> 01:37:49.497 region:rollup2
THIS ANALYSIS ALSO PROJECTS THAT
01:37:47.562 --> 01:37:51.966 region:rollup2
IN THE FIRST YEAR POST MANDATE
01:37:49.497 --> 01:37:54.135 region:rollup2
OF THIS BILL. WE WOULD DECREASE
01:37:51.966 --> 01:37:55.470 region:rollup2
ILLICIT DRUG USE DECREASE OPIOID
01:37:54.135 --> 01:37:56.971 region:rollup2
OVERDOSE
01:37:55.470 --> 01:37:58.673 region:rollup2
DECREASE OVERDOSE RELATED
01:37:56.971 --> 01:38:00.174 region:rollup2
MORTALITY.
01:37:58.673 --> 01:38:02.076 region:rollup2
A DECREASE POOR MATERNAL AND
01:38:00.174 --> 01:38:04.312 region:rollup2
FETAL OUTCOMES AND TO ALSO
01:38:02.076 --> 01:38:06.280 region:rollup2
DECREASE HIV AND HEPATITIS C.
01:38:04.312 --> 01:38:08.316 region:rollup2
TRANSMISSION AMONG ABOUT TEN
01:38:06.280 --> 01:38:10.118 region:rollup2
THOUSAND NEW CALIFORNIAN ME TWO
01:38:08.316 --> 01:38:12.487 region:rollup2
USERS.
01:38:10.118 --> 01:38:13.621 region:rollup2
MEDICATION USED AN MA T. ARE
01:38:12.487 --> 01:38:15.823 region:rollup2
APPROVED BY THE FEDERAL DRUG
01:38:13.621 --> 01:38:17.291 region:rollup2
ADMINISTRATION AN EMMY T.
01:38:15.823 --> 01:38:19.360 region:rollup2
PROGRAMS ARE CLINICALLY TRICK.
01:38:17.291 --> 01:38:21.262 region:rollup2
DRIVEN AND TAILORED TO MEET EACH
01:38:19.360 --> 01:38:22.597 region:rollup2
PATIENT'S NEEDS.
01:38:21.262 --> 01:38:24.499 region:rollup2
CALIFORNIA IS LEADING THE
01:38:22.597 --> 01:38:25.733 region:rollup2
COUNTRY AND MULTI YEAR REDUCTION
01:38:24.499 --> 01:38:27.401 region:rollup2
OF OVERDOSE DEATHS FROM
01:38:25.733 --> 01:38:29.370 region:rollup2
PRESCRIPTION OPIOIDS.
01:38:27.401 --> 01:38:31.139 region:rollup2
AND NOW WE HAVE A CHANCE TO LEAD
01:38:29.370 --> 01:38:32.974 region:rollup2
AND PROVIDING CRITICAL RECOVERY
01:38:31.139 --> 01:38:34.809 region:rollup2
SERVICES AS WELL.
01:38:32.974 --> 01:38:36.911 region:rollup2
AB TWENTY THREE EIGHTY FOUR WILL
01:38:34.809 --> 01:38:38.846 region:rollup2
HAVE A DIRECT AFFECT IN REMOVING
01:38:36.911 --> 01:38:41.315 region:rollup2
BARRIERS TO ACCESSING HIGH
01:38:38.846 --> 01:38:43.551 region:rollup2
QUALITY EVIDENCE BASED CARE.
01:38:41.315 --> 01:38:45.486 region:rollup2
WITH THESE MEASURES I HOPE WE
01:38:43.551 --> 01:38:47.655 region:rollup2
ARE ABLE TO REDUCE THE MISUSE OF
01:38:45.486 --> 01:38:49.490 region:rollup2
OPIOIDS WHILE ALSO EFFECTIVELY
01:38:47.655 --> 01:38:50.958 region:rollup2
RELIEVING PAIN.
01:38:49.490 --> 01:38:52.193 region:rollup2
HERE TO TESTIFY IN SUPPORT IS
01:38:50.958 --> 01:38:56.063 region:rollup2
MEGHAN ALLRED FROM THE
01:38:52.193 --> 01:38:57.131 region:rollup2
CALIFORNIA MEDICAL ASSOCIATION.
01:38:56.063 --> 01:38:58.766 region:rollup2
GOOD AFTERNOON CHAIR MEMBERS
01:38:57.131 --> 01:39:00.935 region:rollup2
MAKE IT ALRIGHT ON BEHALF OF THE
01:38:58.766 --> 01:39:02.837 region:rollup2
CALIFORNIA MEDICAL ASSOCIATION.
01:39:00.935 --> 01:39:04.172 region:rollup2
SPONSORS OF AB TWENTY THREE
01:39:02.837 --> 01:39:05.573 region:rollup2
EIGHTY FOUR.
01:39:04.172 --> 01:39:07.041 region:rollup2
IT'S ONE OF THINK THE AUTHOR FOR
01:39:05.573 --> 01:39:08.876 region:rollup2
BEING WILLING TO TAKE THIS ON WE
01:39:07.041 --> 01:39:10.511 region:rollup2
OF REALLY HAVE BEEN FOCUSED ON
01:39:08.876 --> 01:39:12.046 region:rollup2
SHIFTING THE CONVERSATION TO.
01:39:10.511 --> 01:39:14.982 region:rollup2
PREVENTION AND TREATMENT NOW
01:39:12.046 --> 01:39:15.616 region:rollup2
THAT WE HAVE TAKEN A LOT OF THE.
01:39:14.982 --> 01:39:16.517 region:rollup2
PRESCRIPTIONS OFF THE MARKET WE
01:39:15.616 --> 01:39:18.453 region:rollup2
NEED TO.
01:39:16.517 --> 01:39:19.587 region:rollup2
GIVE THAT.
01:39:18.453 --> 01:39:21.556 region:rollup2
GIVE OPTIONS FOR TREATMENT TO
01:39:19.587 --> 01:39:23.191 region:rollup2
THOSE WHO NEED IT.
01:39:21.556 --> 01:39:24.692 region:rollup2
IN TWENTY SIXTEEN MORE THAN TWO
01:39:23.191 --> 01:39:26.394 region:rollup2
POINT ONE MILLION PEOPLE AGED
01:39:24.692 --> 01:39:28.129 region:rollup2
TWELVE AND ORDER LAST YEAR MET
01:39:26.394 --> 01:39:29.730 region:rollup2
THE DIAGNOSTIC CRITERIA FOR AN
01:39:28.129 --> 01:39:31.666 region:rollup2
OPIOID USE DISORDER.
01:39:29.730 --> 01:39:32.567 region:rollup2
TREATMENT OF OPIOID USE DISORDER
01:39:31.666 --> 01:39:34.035 region:rollup2
WITH MEDICATION ASSISTANT
01:39:32.567 --> 01:39:35.803 region:rollup2
TREATMENT HAS BEEN SHOWN TO BE
01:39:34.035 --> 01:39:36.971 region:rollup2
COST EFFECTIVE. SAFE AND
01:39:35.803 --> 01:39:38.706 region:rollup2
SUCCESSFUL WHEN USED
01:39:36.971 --> 01:39:40.007 region:rollup2
APPROPRIATELY FURTHER OPIOID
01:39:38.706 --> 01:39:41.576 region:rollup2
MAINTENANCE THERAPIES HAVE NOT
01:39:40.007 --> 01:39:43.110 region:rollup2
ONLY BEEN SHOWN TO INCREASE
01:39:41.576 --> 01:39:44.579 region:rollup2
ABSENCE FROM ILLICIT OPIOIDS.
01:39:43.110 --> 01:39:46.180 region:rollup2
BUT ALSO BEEN SHOWN TO REDUCE
01:39:44.579 --> 01:39:47.481 region:rollup2
MORTALITY FROM OVERDOSE WITH
01:39:46.180 --> 01:39:49.183 region:rollup2
EVEN A FRIEND HAVING COME
01:39:47.481 --> 01:39:49.684 region:rollup2
COMPARABLE MORTALITY REDUCTIONS
01:39:49.183 --> 01:39:51.919 region:rollup2
COMPARED TO METHADONE.
01:39:49.684 --> 01:39:53.120 region:rollup2
I.
01:39:51.919 --> 01:39:54.622 region:rollup2
WHEN PHARMACOTHERAPY IS
01:39:53.120 --> 01:39:56.257 region:rollup2
RANDOMIZED AND NOT SELF SELECTED
01:39:54.622 --> 01:39:57.658 region:rollup2
BY THE PATIENT DESPITE THIS
01:39:56.257 --> 01:39:59.627 region:rollup2
EVIDENCE ONLY TEN PERCENT OF
01:39:57.658 --> 01:40:00.661 region:rollup2
AMERICANS SEEKING MAC WERE ABLE
01:39:59.627 --> 01:40:03.531 region:rollup2
TO ACCESS THAT WITH INSURANCE
01:40:00.661 --> 01:40:05.299 region:rollup2
UTILIZATION MANAGEMENT POLICIES.
01:40:03.531 --> 01:40:06.601 region:rollup2
POSING A SIGNIFICANT OBSTACLE.
01:40:05.299 --> 01:40:08.870 region:rollup2
MANY HEALTH PLANS USE PRIOR
01:40:06.601 --> 01:40:10.872 region:rollup2
AUTHORIZATION REAUTHORIZATION
01:40:08.870 --> 01:40:12.340 region:rollup2
FAIL FIRST CRITERIA.
01:40:10.872 --> 01:40:13.774 region:rollup2
AND PLACE ANNUAL OR LIFETIME
01:40:12.340 --> 01:40:15.443 region:rollup2
MEDICATION LIMITS AS A MEANS OF
01:40:13.774 --> 01:40:17.211 region:rollup2
REDUCING EXPENDITURES BUT IN
01:40:15.443 --> 01:40:18.779 region:rollup2
DOING SO RESTRICT ACCESS TO
01:40:17.211 --> 01:40:19.714 region:rollup2
THESE TREATMENT SERVICES.
01:40:18.779 --> 01:40:20.781 region:rollup2
WELL THESE POLICIES HAVE THE
01:40:19.714 --> 01:40:22.483 region:rollup2
INTENTION OF REDUCING AN
01:40:20.781 --> 01:40:24.118 region:rollup2
APPROPRIATE CARE THEY ALSO
01:40:22.483 --> 01:40:25.520 region:rollup2
INTERRUPT PATIENT CARE DURING A
01:40:24.118 --> 01:40:27.121 region:rollup2
TIME IN WHICH ONE DAY OR LAST
01:40:25.520 --> 01:40:28.155 region:rollup2
CAN MAKE ALL THE DIFFERENCE.
01:40:27.121 --> 01:40:29.790 region:rollup2
NOT TO MENTION DIVERTING
01:40:28.155 --> 01:40:31.759 region:rollup2
POSITION RESOURCES AWAY FROM
01:40:29.790 --> 01:40:33.628 region:rollup2
DIRECT PATIENT CARE. I TWENTY
01:40:31.759 --> 01:40:35.530 region:rollup2
SEVENTEEN CALIFORNIA'S SOCIETY
01:40:33.628 --> 01:40:37.164 region:rollup2
OF ADDICTION MEDICINE SURVEY.
01:40:35.530 --> 01:40:38.566 region:rollup2
SURVEY OUR SURVEY OF ITS
01:40:37.164 --> 01:40:39.667 region:rollup2
POSITION MEMBERSHIP INDICATED
01:40:38.566 --> 01:40:40.968 region:rollup2
THAT FIFTY SIX PERCENT OF
01:40:39.667 --> 01:40:42.870 region:rollup2
RESPONDENTS FOUND IT DIFFICULT
01:40:40.968 --> 01:40:44.472 region:rollup2
TO ACCESS MAP FOR PATIENTS NEW
01:40:42.870 --> 01:40:46.207 region:rollup2
TO TREATMENT DUE TO INSURANCE
01:40:44.472 --> 01:40:48.209 region:rollup2
CARRIERS. WITH FORTY ONE PERCENT
01:40:46.207 --> 01:40:50.278 region:rollup2
EXPERIENCING SITUATIONS WHERE
01:40:48.209 --> 01:40:52.380 region:rollup2
PATIENTS WENT WITHOUT TREATMENT.
01:40:50.278 --> 01:40:53.848 region:rollup2
AND JUST TO QUOTE THE.
01:40:52.380 --> 01:40:55.716 region:rollup2
I'M DOCTOR DAVID KAHN PRESIDENT
01:40:53.848 --> 01:40:56.350 region:rollup2
OF.
01:40:55.716 --> 01:40:57.919 region:rollup2
CALIFORNIA SOCIETY OF ADDICTION
01:40:56.350 --> 01:41:00.054 region:rollup2
MEDICINE.
01:40:57.919 --> 01:41:00.955 region:rollup2
I WE DON'T REQUIRE DIABETICS TO
01:41:00.054 --> 01:41:02.523 region:rollup2
PROVE THEY ARE ATTENDING
01:41:00.955 --> 01:41:03.958 region:rollup2
NUTRITION VISITS FOR THEIR
01:41:02.523 --> 01:41:05.159 region:rollup2
INSURANCE TO COVER INSULIN A
01:41:03.958 --> 01:41:07.128 region:rollup2
MEDICINE THAT IS DEADLY AN
01:41:05.159 --> 01:41:08.129 region:rollup2
OVERDOSE. HOWEVER INSURANCE
01:41:07.128 --> 01:41:09.797 region:rollup2
COMPANIES FREQUENTLY CUT
01:41:08.129 --> 01:41:11.299 region:rollup2
PATIENTS OFF TREATMENT IF WE
01:41:09.797 --> 01:41:12.633 region:rollup2
DON'T SUBMIT DETAILED CLINICAL
01:41:11.299 --> 01:41:13.901 region:rollup2
RECORDS PROVING ATTENDANCE AT
01:41:12.633 --> 01:41:15.269 region:rollup2
COUNSELING AND DRUG SCREENS
01:41:13.901 --> 01:41:17.004 region:rollup2
SHOWING PERFECT COMPLIANCE
01:41:15.269 --> 01:41:18.539 region:rollup2
SOMETHING WE DON'T SEE OR EXPECT
01:41:17.004 --> 01:41:21.342 region:rollup2
IN ANY OTHER CHRONIC DISEASE.
01:41:18.539 --> 01:41:22.510 region:rollup2
WITH THAT WE ASK YOUR SUPPORT.
01:41:21.342 --> 01:41:24.078 region:rollup2
OTHER SUPPORT THANK YOU MISTER
01:41:22.510 --> 01:41:25.179 region:rollup2
CHAIRMAN WAS YES OUT TOM RENT
01:41:24.078 --> 01:41:26.881 region:rollup2
FREE WITH THE COUNTY BEHAVIORAL
01:41:25.179 --> 01:41:27.648 region:rollup2
HEALTH DIRECTORS ASSOCIATION.
01:41:26.881 --> 01:41:29.317 region:rollup2
THIS BILL IS CRITICALLY
01:41:27.648 --> 01:41:31.419 region:rollup2
IMPORTANT FOR A GIVEN THE OPIOID
01:41:29.317 --> 01:41:33.254 region:rollup2
MISUSE AND HEROIN EPIDEMIC THAT
01:41:31.419 --> 01:41:34.388 region:rollup2
IS DEVASTATING MANY CALIFORNIA
01:41:33.254 --> 01:41:36.557 region:rollup2
COMMUNITIES AND WE JUST HEARD
01:41:34.388 --> 01:41:37.191 region:rollup2
YOUR UP SUPPORT FOR ALL THE
01:41:36.557 --> 01:41:38.526 region:rollup2
REASONS THAT MY COLLEAGUES HAVE
01:41:37.191 --> 01:41:40.928 region:rollup2
MENTIONED.
01:41:38.526 --> 01:41:41.963 region:rollup2
OTHER SUPPORT ASSN DUTCH CHAIR
01:41:40.928 --> 01:41:43.230 region:rollup2
MEMBERS TO MAD REPRESENT
01:41:41.963 --> 01:41:44.565 region:rollup2
CALIFORNIA CHAPTER OF AMERICAN
01:41:43.230 --> 01:41:47.001 region:rollup2
CALLS EMERGENCY PHYSICIANS IN
01:41:44.565 --> 01:41:48.069 region:rollup2
STRONG SUPPORT.
01:41:47.001 --> 01:41:48.569 region:rollup2
MISTER CHAIR MEMBERS FRED NUMBER
01:41:48.069 --> 01:41:52.073 region:rollup2
REPRESENTING FORMATIONS
01:41:48.569 --> 01:41:53.341 region:rollup2
THANK YOU.
01:41:52.073 --> 01:41:54.342 region:rollup2
MISSY JOHNSON ON BEHALF THE
01:41:53.341 --> 01:41:56.677 region:rollup2
CALIFORNIA PHARMACISTS
01:41:54.342 --> 01:41:58.479 region:rollup2
ASSOCIATION IN SUPPORT BAQIR.
01:41:56.677 --> 01:41:59.981 region:rollup2
CARRIE PARKER ON BEHALF OF THE
01:41:58.479 --> 01:42:03.317 region:rollup2
CALIFORNIA SOCIETY OF ADDICTION
01:41:59.981 --> 01:42:04.919 region:rollup2
MEDICINE IN SUPPORT.
01:42:03.317 --> 01:42:06.454 region:rollup2
LINDA WAY WITH WESTERN CENTER ON
01:42:04.919 --> 01:42:07.521 region:rollup2
LAW AND POVERTY WITH THE AUTHORS
01:42:06.454 --> 01:42:08.889 region:rollup2
AMENDMENT WE'VE CHANGED OUR
01:42:07.521 --> 01:42:11.926 region:rollup2
POSITION FROM A SUPPORT TO
01:42:08.889 --> 01:42:12.927 region:rollup2
AMENDED TO SUPPORT.
01:42:11.926 --> 01:42:14.662 region:rollup2
GOOD AFTERNOON ALL OF IRAQ FOR A
01:42:12.927 --> 01:42:15.129 region:rollup2
CALIFORNIA LIFE SCIENCES
01:42:14.662 --> 01:42:17.932 region:rollup2
ASSOCIATION IN SUPPORT
01:42:15.129 --> 01:42:19.333 region:rollup2
INTRICATE.
01:42:17.932 --> 01:42:19.967 region:rollup2
RIGHT SPENCER THE CALVARY
01:42:19.333 --> 01:42:22.370 region:rollup2
ACADEMY OF FAMILY PHYSICIANS AND
01:42:19.967 --> 01:42:24.238 region:rollup2
SPORT.
01:42:22.370 --> 01:42:24.805 region:rollup2
RANDALL HAGER FOR THE CALIFORNIA
01:42:24.238 --> 01:42:28.309 region:rollup2
PSYCHIATRIC ASSOCIATION AND
01:42:24.805 --> 01:42:29.343 region:rollup2
SUPPORT.
01:42:28.309 --> 01:42:30.211 region:rollup2
GOOD AFTERNOON SEAMUS WITH
01:42:29.343 --> 01:42:31.112 region:rollup2
CROWLEY ON BEHALF OF THE
01:42:30.211 --> 01:42:32.480 region:rollup2
CALIFORNIA CHRONIC CARE
01:42:31.112 --> 01:42:37.218 region:rollup2
COALITION AND EL CAMINOS IN
01:42:32.480 --> 01:42:38.986 region:rollup2
SUPPORT.
01:42:37.218 --> 01:42:40.187 region:rollup2
BETH BELFORD HEALTHAXIS
01:42:38.986 --> 01:42:41.489 region:rollup2
CALIFORNIA WE WERE PREVIOUSLY
01:42:40.187 --> 01:42:42.423 region:rollup2
OPPOSE UNLESS AMENDED WE
01:42:41.489 --> 01:42:44.258 region:rollup2
APPRECIATE THE WORK OF THE
01:42:42.423 --> 01:42:45.459 region:rollup2
AUTHOR IN THE COMMITTEE. AND
01:42:44.258 --> 01:42:46.794 region:rollup2
WILL BE REMOVING OUR OPPOSITION
01:42:45.459 --> 01:42:48.062 region:rollup2
WANTS THE BILLS AND PRINT HOPE
01:42:46.794 --> 01:42:49.864 region:rollup2
WITH A FEW MORE POLY XING
01:42:48.062 --> 01:42:50.464 region:rollup2
AMENDMENTS WILL BE IN
01:42:49.864 --> 01:42:53.434 region:rollup2
WHOLEHEARTED SUPPORT THANK YOU
01:42:50.464 --> 01:43:02.209 region:rollup2
THINK.
01:42:53.434 --> 01:43:03.778 region:rollup2
ANYONE IN OPPOSITION.
01:43:02.209 --> 01:43:05.079 region:rollup2
MISTER CHAIR TOM RILEY WITH THE
01:43:03.778 --> 01:43:11.118 region:rollup2
AMERICAN COLLEGE OF PHYSICIANS
01:43:05.079 --> 01:43:12.653 region:rollup2
AND STRONG SUPPORT.
01:43:11.118 --> 01:43:13.721 region:rollup2
YEAH I MISTER CHAIR MEMBERS NICK
01:43:12.653 --> 01:43:14.588 region:rollup2
LOUISE US ON BEHALF OF THE
01:43:13.721 --> 01:43:16.290 region:rollup2
CALIFORNIA ASSOCIATION OF HEALTH
01:43:14.588 --> 01:43:17.658 region:rollup2
PLANS THAT WERE IN OPPOSITION TO
01:43:16.290 --> 01:43:18.893 region:rollup2
THIS BILL.
01:43:17.658 --> 01:43:20.327 region:rollup2
I MISS TERM MEMBERS WE TOTALLY
01:43:18.893 --> 01:43:22.530 region:rollup2
AGREE THAT YOU IF YOU'RE CRISIS
01:43:20.327 --> 01:43:24.298 region:rollup2
IS A SERIOUS ISSUE. ON INDEED
01:43:22.530 --> 01:43:25.833 region:rollup2
CONCERNS ABOUT OPIOID MIS USE
01:43:24.298 --> 01:43:26.901 region:rollup2
ADDICTION AND OVERDOSES OF WHAT
01:43:25.833 --> 01:43:28.636 region:rollup2
HEALTH PLANS IN CALIFORNIA AND
01:43:26.901 --> 01:43:29.804 region:rollup2
NATIONALLY TO TAKE A LEADERSHIP
01:43:28.636 --> 01:43:31.405 region:rollup2
ROLE IN THIS AREA.
01:43:29.804 --> 01:43:33.207 region:rollup2
FOR EXAMPLE OUR SISTER TRADE
01:43:31.405 --> 01:43:34.542 region:rollup2
ASSOCIATION YOU AMERICA'S
01:43:33.207 --> 01:43:36.143 region:rollup2
ASSOCIATES AMERICA'S HEALTH
01:43:34.542 --> 01:43:37.678 region:rollup2
INSURANCE PLANS RECENTLY
01:43:36.143 --> 01:43:39.346 region:rollup2
LAUNCHED ITS SAFE TRANSPARENT
01:43:37.678 --> 01:43:41.048 region:rollup2
OPIOID PRESCRIBING INITIATIVE OR
01:43:39.346 --> 01:43:42.450 region:rollup2
THE STOP INITIATIVE. WHICH IS
01:43:41.048 --> 01:43:43.984 region:rollup2
DESIGNED TO SUPPORT WIDESPREAD
01:43:42.450 --> 01:43:45.686 region:rollup2
WIDESPREAD ADOPTION OF CLINICAL
01:43:43.984 --> 01:43:47.388 region:rollup2
GUIDELINES FOR PAIN CARE IN
01:43:45.686 --> 01:43:48.522 region:rollup2
OPIOID PRESCRIBING.
01:43:47.388 --> 01:43:50.124 region:rollup2
HEALTH PLANS HAVE CONSISTENTLY
01:43:48.522 --> 01:43:51.258 region:rollup2
SUPPORTED THE CDC'S OPIOID
01:43:50.124 --> 01:43:52.660 region:rollup2
GUIDELINES TO PROMOTE EVIDENCE
01:43:51.258 --> 01:43:54.095 region:rollup2
BASED.
01:43:52.660 --> 01:43:55.196 region:rollup2
PAIN CARE AND REDUCE UNNECESSARY
01:43:54.095 --> 01:43:56.964 region:rollup2
OPIOID PRESCRIBING.
01:43:55.196 --> 01:43:57.865 region:rollup2
.
01:43:56.964 --> 01:43:59.467 region:rollup2
MANY HEALTH PLANS HAVE ALREADY
01:43:57.865 --> 01:44:00.801 region:rollup2
INSTITUTED NEW PROGRAMS THAT ARE
01:43:59.467 --> 01:44:02.236 region:rollup2
HELPING TO DRAMATICALLY REDUCE
01:44:00.801 --> 01:44:04.305 region:rollup2
HOW MUCH AND HOW OFTEN. OPIOIDS
01:44:02.236 --> 01:44:06.006 region:rollup2
ARE PRESCRIBED.
01:44:04.305 --> 01:44:07.274 region:rollup2
AND IN ADDITION TO THAT ENSURING
01:44:06.006 --> 01:44:08.809 region:rollup2
THE AVAILABILITY OF MEDICATION
01:44:07.274 --> 01:44:10.277 region:rollup2
ASSISTED TREATMENTS FOR
01:44:08.809 --> 01:44:11.745 region:rollup2
ADDICTION WHICH IS THE SUBJECT
01:44:10.277 --> 01:44:13.681 region:rollup2
OF THIS BILL IS SOMETHING THAT'S
01:44:11.745 --> 01:44:15.216 region:rollup2
WIDELY SUPPORTED BY PLANS.
01:44:13.681 --> 01:44:17.184 region:rollup2
ON IN MAY BE MOVING TO ENCOURAGE
01:44:15.216 --> 01:44:18.519 region:rollup2
A MORE USE OF THESE DRUGS.
01:44:17.184 --> 01:44:20.755 region:rollup2
WELL WE DON'T OBJECT TO THE
01:44:18.519 --> 01:44:22.923 region:rollup2
OVERALL GOAL OF REDUCING OPIOID
01:44:20.755 --> 01:44:26.127 region:rollup2
USE IN CALIFORNIA. THIS BILL IS
01:44:22.923 --> 01:44:28.129 region:rollup2
VERY VERY BROAD FROM OUR OF.
01:44:26.127 --> 01:44:29.497 region:rollup2
PERSPECTIVE HOW WE VIEW THIS IS
01:44:28.129 --> 01:44:30.931 region:rollup2
KIND OF A SUPER DRUG MANDATE
01:44:29.497 --> 01:44:32.399 region:rollup2
THAT CONTAINS ALL THE GREATEST
01:44:30.931 --> 01:44:33.934 region:rollup2
HITS THAT WE'VE SEEN BEFORE IN
01:44:32.399 --> 01:44:36.303 region:rollup2
DRUG MANDATE BILLS.
01:44:33.934 --> 01:44:37.905 region:rollup2
IT REQUIRES ANY AND EVERY FDA
01:44:36.303 --> 01:44:39.373 region:rollup2
APPROVED DRUG TO BE COVERED BY
01:44:37.905 --> 01:44:40.474 region:rollup2
HEALTH PLAN EVEN FUTURE DRUGS
01:44:39.373 --> 01:44:41.842 region:rollup2
THAT WE OBVIOUSLY DON'T KNOW
01:44:40.474 --> 01:44:43.144 region:rollup2
ANYTHING ABOUT THAT THIS POINT
01:44:41.842 --> 01:44:44.512 region:rollup2
IN TIME.
01:44:43.144 --> 01:44:45.646 region:rollup2
AND MAY NOT BE ANY BETTER THAN
01:44:44.512 --> 01:44:46.947 region:rollup2
WHAT CURRENTLY EXISTS ON THE
01:44:45.646 --> 01:44:48.916 region:rollup2
MARKET WHETHER IT'S IN GENERIC
01:44:46.947 --> 01:44:50.417 region:rollup2
FORM AND OR OR ANY MORE COST
01:44:48.916 --> 01:44:52.486 region:rollup2
EFFICIENT FORM.
01:44:50.417 --> 01:44:53.687 region:rollup2
SOME ALL FDA APPROVED DRUGS
01:44:52.486 --> 01:44:54.789 region:rollup2
UNDER THIS BILL.
01:44:53.687 --> 01:44:56.624 region:rollup2
WOULD BE COVERED WITHOUT
01:44:54.789 --> 01:44:57.091 region:rollup2
CONSIDERATION MEDICAL NECESSITY
01:44:56.624 --> 01:44:57.992 region:rollup2
WE DON'T VIEW THAT THE
01:44:57.091 --> 01:44:59.660 region:rollup2
AMENDMENT.
01:44:57.992 --> 01:45:01.295 region:rollup2
THAT IS TAKING TODAY IS TOTALLY
01:44:59.660 --> 01:45:02.763 region:rollup2
FIXING THAT ISSUE AND WE OF
01:45:01.295 --> 01:45:04.365 region:rollup2
COURSE DO NOT COVER ANY DRUGS
01:45:02.763 --> 01:45:06.267 region:rollup2
THAT ARE.
01:45:04.365 --> 01:45:07.635 region:rollup2
MEDICALLY UNNECESSARY.
01:45:06.267 --> 01:45:08.469 region:rollup2
ABSOLUTELY NO UTILIZATION
01:45:07.635 --> 01:45:09.770 region:rollup2
MANAGEMENT LIKE PRIOR
01:45:08.469 --> 01:45:11.005 region:rollup2
AUTHORIZATION TO STEP THERAPY
01:45:09.770 --> 01:45:12.606 region:rollup2
WOULD BE ALLOWED FOR ANY OF
01:45:11.005 --> 01:45:13.941 region:rollup2
THESE DRUGS I'M EVEN DRUGS IT
01:45:12.606 --> 01:45:15.776 region:rollup2
WOULD BE APPROVED BY THE FDA IN
01:45:13.941 --> 01:45:16.710 region:rollup2
THE FUTURE.
01:45:15.776 --> 01:45:18.779 region:rollup2
EVEN IF THERE ARE.
01:45:16.710 --> 01:45:19.880 region:rollup2
CLINICAL ARE COSTING SERRATIONS
01:45:18.779 --> 01:45:20.948 region:rollup2
IT SHOULD BE CONSIDERED AS A
01:45:19.880 --> 01:45:23.017 region:rollup2
PART OF A PLANS COVERAGE
01:45:20.948 --> 01:45:23.984 region:rollup2
GUIDELINES.
01:45:23.017 --> 01:45:25.653 region:rollup2
IN ADDITION.
01:45:23.984 --> 01:45:27.788 region:rollup2
THERE'S A VERY I TROUBLING.
01:45:25.653 --> 01:45:29.190 region:rollup2
LATEST AMENDMENTS TO THE BILL
01:45:27.788 --> 01:45:30.724 region:rollup2
ON A PLAN IN ITS COVERAGE
01:45:29.190 --> 01:45:32.393 region:rollup2
POLICIES CANNOT REQUIRE THAT THE
01:45:30.724 --> 01:45:34.128 region:rollup2
DRUG BE TAKEN IN CONJUNCTION
01:45:32.393 --> 01:45:35.629 region:rollup2
WITH THE BEHAVIORAL THERAPY.
01:45:34.128 --> 01:45:37.932 region:rollup2
A REGIMEN.
01:45:35.629 --> 01:45:39.166 region:rollup2
NO UTILIZATION MANAGEMENT AND
01:45:37.932 --> 01:45:40.801 region:rollup2
CANNOT REQUIRE THE PERSON TO
01:45:39.166 --> 01:45:41.302 region:rollup2
ALSO BE IN ANY KIND OF THERAPY
01:45:40.801 --> 01:45:43.103 region:rollup2
OR PEER SUPPORT RECOVERY
01:45:41.302 --> 01:45:43.871 region:rollup2
PROGRAM.
01:45:43.103 --> 01:45:45.306 region:rollup2
WE DON'T BELIEVE THIS BE
01:45:43.871 --> 01:45:47.241 region:rollup2
CONSISTENT WITH FEDERAL OR
01:45:45.306 --> 01:45:48.375 region:rollup2
MEDICAL COMMUNITY RECOGNIZE
01:45:47.241 --> 01:45:50.010 region:rollup2
DEFINITIONS.
01:45:48.375 --> 01:45:51.412 region:rollup2
A FOR INSTANCE THE SUBSTANCE
01:45:50.010 --> 01:45:53.113 region:rollup2
ABUSE MENTAL HEALTH SERVICES
01:45:51.412 --> 01:45:54.181 region:rollup2
ADMINISTRATION DEFINES MEDICAL A
01:45:53.113 --> 01:45:55.549 region:rollup2
MEDICATION ASSISTED TREATMENTS
01:45:54.181 --> 01:45:56.851 region:rollup2
AS.
01:45:55.549 --> 01:45:58.986 region:rollup2
THE USEOF FDA APPROVED
01:45:56.851 --> 01:45:59.486 region:rollup2
MEDICATIONS IN COMBINATION WITH
01:45:58.986 --> 01:46:00.621 region:rollup2
COUNSELING A BEHAVIORAL
01:45:59.486 --> 01:46:01.689 region:rollup2
THERAPIES.
01:46:00.621 --> 01:46:02.856 region:rollup2
TO PROVIDE A WHOLE PATIENT
01:46:01.689 --> 01:46:04.592 region:rollup2
APPROACH TO THE TREATMENT OF
01:46:02.856 --> 01:46:05.860 region:rollup2
SUBSTANCE ABUSE DISORDERS.
01:46:04.592 --> 01:46:07.261 region:rollup2
THE ADMINISTRATION'S ALSO
01:46:05.860 --> 01:46:08.963 region:rollup2
WEBSITE ALSO STATES THAT UNDER
01:46:07.261 --> 01:46:10.698 region:rollup2
FEDERAL LAW MATT PATIENTS MUST
01:46:08.963 --> 01:46:11.999 region:rollup2
RECEIVE COUNSELING. WHICH COULD
01:46:10.698 --> 01:46:13.534 region:rollup2
INCLUDE DIFFERENT FORMS OF
01:46:11.999 --> 01:46:15.402 region:rollup2
BEHAVIORAL THERAPY. I'M ALSO
01:46:13.534 --> 01:46:16.770 region:rollup2
FROM OTHER WEBSITE IN ORDER TO
01:46:15.402 --> 01:46:18.072 region:rollup2
RECEIVE HER MAINTAIN A WAIVER TO
01:46:16.770 --> 01:46:19.240 region:rollup2
ACTUALLY DELIVER THE DRUGS A
01:46:18.072 --> 01:46:21.141 region:rollup2
PHYSICIAN MUST BE CAPABLE OF
01:46:19.240 --> 01:46:22.977 region:rollup2
REFERRING A PATIENT COUNSELING
01:46:21.141 --> 01:46:23.911 region:rollup2
OR OTHER SERVICES.
01:46:22.977 --> 01:46:25.779 region:rollup2
MEMBERS EITHER MEDICAL
01:46:23.911 --> 01:46:27.448 region:rollup2
MEDICATION ASSISTED TREATMENTS
01:46:25.779 --> 01:46:29.516 region:rollup2
NAM MEDICATION ONLY TREATMENTS.
01:46:27.448 --> 01:46:31.185 region:rollup2
THIS IS A VERY BROAD BILL THAT
01:46:29.516 --> 01:46:33.053 region:rollup2
FROM OUR PERSPECTIVE SETS OF A
01:46:31.185 --> 01:46:33.621 region:rollup2
NUMBER OF TROUBLING PRECEDENCE.
01:46:33.053 --> 01:46:34.955 region:rollup2
AND.
01:46:33.621 --> 01:46:36.957 region:rollup2
THERE FOR WE ASK YOU TO VOTE NO
01:46:34.955 --> 01:46:38.859 region:rollup2
ON THIS BILL THANK YOU.
01:46:36.957 --> 01:46:40.294 region:rollup2
GOOD AFTERNOON
01:46:38.859 --> 01:46:40.928 region:rollup2
GOOD AFTERNOON CHAIRMAN HE
01:46:40.294 --> 01:46:41.996 region:rollup2
REPRESENT CALIFORNIA CHAMBER OF
01:46:40.928 --> 01:46:43.597 region:rollup2
COMMERCE.
01:46:41.996 --> 01:46:44.632 region:rollup2
I CAN'T CHAMBER POSES AB TWENTY
01:46:43.597 --> 01:46:46.066 region:rollup2
THREE EIGHTY FOUR CENTS THAT
01:46:44.632 --> 01:46:47.635 region:rollup2
WOULD AMONG OTHER THINGS MANDATE
01:46:46.066 --> 01:46:49.436 region:rollup2
COVERAGE FOR ALL MEDICATION
01:46:47.635 --> 01:46:51.171 region:rollup2
ASSISTED TREATMENT PRESCRIPTION
01:46:49.436 --> 01:46:52.706 region:rollup2
DRUGS FOR SUBSTANCE ABUSE
01:46:51.171 --> 01:46:54.108 region:rollup2
DISORDERS. AND WOULD ELIMINATE
01:46:52.706 --> 01:46:55.843 region:rollup2
QUALITY CONTROL AND COST
01:46:54.108 --> 01:46:57.111 region:rollup2
CONTAINMENT MECHANISMS FOR THE
01:46:55.843 --> 01:46:58.145 region:rollup2
TREATMENT BOTH OF WHICH WOULD
01:46:57.111 --> 01:46:59.580 region:rollup2
SIGNIFICANTLY INCREASE
01:46:58.145 --> 01:47:01.815 region:rollup2
HEALTHCARE COSTS.
01:46:59.580 --> 01:47:02.416 region:rollup2
CHIPPER BEST MATES THAT IF AB
01:47:01.815 --> 01:47:03.984 region:rollup2
TWENTY THREE EIGHTY FOUR TO
01:47:02.416 --> 01:47:05.152 region:rollup2
BECOME LAW. ANNUAL HEALTHCARE
01:47:03.984 --> 01:47:06.587 region:rollup2
EXPENDITURES IN CALIFORNIA WOULD
01:47:05.152 --> 01:47:08.122 region:rollup2
INCREASE BY TWENTY FOUR POINT
01:47:06.587 --> 01:47:10.291 region:rollup2
SIX MILLION DOLLARS
01:47:08.122 --> 01:47:11.492 region:rollup2
HOWEVER THE ANALYSIS ALSO STATES
01:47:10.291 --> 01:47:13.394 region:rollup2
THAT THE COST PROJECTED COULD BE
01:47:11.492 --> 01:47:14.928 region:rollup2
EXPONENTIALLY HIGHER IF LEGAL
01:47:13.394 --> 01:47:15.829 region:rollup2
INTERPRETATIONS OF THE BILL
01:47:14.928 --> 01:47:17.731 region:rollup2
DIFFER FROM THE ASSUMPTIONS IN
01:47:15.829 --> 01:47:19.366 region:rollup2
THEIR ANALYSIS.
01:47:17.731 --> 01:47:20.467 region:rollup2
WELL WELL INTENTIONED EMPLOYERS
01:47:19.366 --> 01:47:21.969 region:rollup2
AND INDIVIDUALS HAVE BEEN FACING
01:47:20.467 --> 01:47:22.903 region:rollup2
SIGNIFICANT INCREASES IN THEIR
01:47:21.969 --> 01:47:24.705 region:rollup2
HEALTH INSURANCE PREMIUMS FOR A
01:47:22.903 --> 01:47:26.106 region:rollup2
NUMBER OF YEARS.
01:47:24.705 --> 01:47:27.274 region:rollup2
THE INCREASE IN PREMIUMS AB
01:47:26.106 --> 01:47:29.243 region:rollup2
TWENTY THREE EIGHTY FOUR RESULTS
01:47:27.274 --> 01:47:30.577 region:rollup2
AND WILL FOLLOW ON INDIVIDUALS
01:47:29.243 --> 01:47:31.912 region:rollup2
AND SMALL TO MEDIUM SIZED
01:47:30.577 --> 01:47:33.547 region:rollup2
EMPLOYERS WHICH WILL HELP TO
01:47:31.912 --> 01:47:35.616 region:rollup2
DRIVE HEALTHY PEOPLE OUT OF THE
01:47:33.547 --> 01:47:37.618 region:rollup2
MARKETPLACE. THEREBY LEAVING
01:47:35.616 --> 01:47:38.819 region:rollup2
FEWER PEOPLE TO PAY FOR THIS
01:47:37.618 --> 01:47:40.087 region:rollup2
MANDATE.
01:47:38.819 --> 01:47:40.654 region:rollup2
FOR THESE REASONS CHAMBER
01:47:40.087 --> 01:47:42.056 region:rollup2
COMMERCE AS OPPOSED THE BILL
01:47:40.654 --> 01:47:44.024 region:rollup2
THANK YOU.
01:47:42.056 --> 01:47:45.225 region:rollup2
THREE MUCH OTHERS IN OPPOSITION.
01:47:44.024 --> 01:47:46.794 region:rollup2
STEPHANIE LICHENS ON BEHALF OF
01:47:45.225 --> 01:47:47.328 region:rollup2
THE ASSOCIATION OF CALIFORNIA
01:47:46.794 --> 01:47:50.397 region:rollup2
LIFE AND HEALTH INSURANCE
01:47:47.328 --> 01:47:52.066 region:rollup2
COMPANIES OPPOSED.
01:47:50.397 --> 01:47:52.666 region:rollup2
AT THE MOST PREFERRED LOCAL
01:47:52.066 --> 01:47:54.601 region:rollup2
HEALTH PLANS A CALIFORNIA ALSO
01:47:52.666 --> 01:47:55.803 region:rollup2
POST.
01:47:54.601 --> 01:47:59.840 region:rollup2
JOHN WINGER ON BEHALF AMERICA'S
01:47:55.803 --> 01:48:01.008 region:rollup2
HEALTH INSURANCE PLANS BUT.
01:47:59.840 --> 01:48:01.575 region:rollup2
PRE BACK TO COMMITTEE FOR
01:48:01.008 --> 01:48:06.580 region:rollup2
QUESTIONS OR COMMENTS IN THE
01:48:01.575 --> 01:48:07.881 region:rollup2
QUESTIONS.
01:48:06.580 --> 01:48:09.083 region:rollup2
SEE NOTES LIKE CLOSE DOCTOR
01:48:07.881 --> 01:48:10.617 region:rollup2
ARAMBULA YES.
01:48:09.083 --> 01:48:12.386 region:rollup2
I WANTED TO TOUCH ON SOME OF THE
01:48:10.617 --> 01:48:14.488 region:rollup2
THINGS THAT WERE SAID TODAY AND
01:48:12.386 --> 01:48:16.557 region:rollup2
THERE IS A GREAT PROBLEM WHICH
01:48:14.488 --> 01:48:18.759 region:rollup2
IS FACING OUR GREAT STATE. AND
01:48:16.557 --> 01:48:20.494 region:rollup2
THAT IS OPIOID USE DISORDERS.
01:48:18.759 --> 01:48:21.428 region:rollup2
AND TO COMBAT IT WE ACTUALLY
01:48:20.494 --> 01:48:23.197 region:rollup2
HAVE TO HAVE ALL TOOLS AVAILABLE
01:48:21.428 --> 01:48:24.898 region:rollup2
FOR US.
01:48:23.197 --> 01:48:25.766 region:rollup2
AND TO DO THAT I BELIEVE THIS
01:48:24.898 --> 01:48:27.401 region:rollup2
BILL HELPS US TO MOVE IN THAT
01:48:25.766 --> 01:48:29.570 region:rollup2
DIRECTION.
01:48:27.401 --> 01:48:32.239 region:rollup2
FOR US TO BE ABLE TO EFFECTIVELY
01:48:29.570 --> 01:48:33.741 region:rollup2
TREAT OPIOID USE DISORDERS WE
01:48:32.239 --> 01:48:35.943 region:rollup2
HAVE TO FOLLOW EVIDENCE BASED
01:48:33.741 --> 01:48:37.311 region:rollup2
MEDICINE AND I BELIEVE THAT THIS
01:48:35.943 --> 01:48:39.446 region:rollup2
BILL HELPS TO MOVE US FURTHER IN
01:48:37.311 --> 01:48:40.514 region:rollup2
THAT CONVERSATION.
01:48:39.446 --> 01:48:41.682 region:rollup2
THERE ARE TEN THOUSAND
01:48:40.514 --> 01:48:44.184 region:rollup2
CALIFORNIANS WHO WOULD BENEFIT
01:48:41.682 --> 01:48:46.020 region:rollup2
FROM THIS BILL.
01:48:44.184 --> 01:48:47.554 region:rollup2
THERE ARE TEN THOUSAND OF OUR
01:48:46.020 --> 01:48:49.289 region:rollup2
NEIGHBORS WHO ARE GONNA BE ABLE
01:48:47.554 --> 01:48:51.258 region:rollup2
TO ACCESS SERVICES THAT COULD
01:48:49.289 --> 01:48:54.595 region:rollup2
NOT HAVE ACCESS WITHOUT THIS
01:48:51.258 --> 01:48:55.095 region:rollup2
BILL. I HUMBLY REQUEST AND I'VE.
01:48:54.595 --> 01:48:56.030 region:rollup2
THANKS VERY MUCH DOCTOR
01:48:55.095 --> 01:48:57.164 region:rollup2
ARAMBULA.
01:48:56.030 --> 01:48:58.766 region:rollup2
THANK YOU FOR THE BRING THIS
01:48:57.164 --> 01:49:00.367 region:rollup2
BILL FOR IT'S UNFORTUNATE THAT
01:48:58.766 --> 01:49:02.102 region:rollup2
THIS BILL IS ACTUALLY NECESSARY.
01:49:00.367 --> 01:49:03.804 region:rollup2
BUT WHO WE BELIEVE MEDICAID
01:49:02.102 --> 01:49:04.872 region:rollup2
MEDICATED MEDICATIONS ASSISTANCE
01:49:03.804 --> 01:49:06.273 region:rollup2
TREATMENT IS PROVEN TO BE
01:49:04.872 --> 01:49:08.075 region:rollup2
CLINICALLY EFFECTIVE.
01:49:06.273 --> 01:49:09.109 region:rollup2
AND TO SIGNIFICANTLY REDUCE THE
01:49:08.075 --> 01:49:11.178 region:rollup2
NEED FOR INPATIENT
01:49:09.109 --> 01:49:12.713 region:rollup2
DETOXIFICATION SERVICES.
01:49:11.178 --> 01:49:14.681 region:rollup2
THE BILL ENJOYS A DO PASS
01:49:12.713 --> 01:49:15.616 region:rollup2
RECOMMENDATION ALAS MADAME
01:49:14.681 --> 01:49:16.650 region:rollup2
SECRETARY TO PLEASE CALL THE
01:49:15.616 --> 01:49:18.485 region:rollup2
ROLL. WE NEED A MOTION THAT I'M
01:49:16.650 --> 01:49:21.588 region:rollup2
SORRY.
01:49:18.485 --> 01:49:22.790 region:rollup2
QATAR AND MOTION.
01:49:21.588 --> 01:49:24.992 region:rollup2
AND A SECOND MOST MEMBERS HAVE
01:49:22.790 --> 01:49:26.660 region:rollup2
YOUR CURRY SECOND I MISS CARILLO
01:49:24.992 --> 01:49:28.395 region:rollup2
MOTION IS DO PASS AS AMENDED TO
01:49:26.660 --> 01:49:29.863 region:rollup2
APPROPRIATIONS MEN SECRETARY
01:49:28.395 --> 01:49:32.099 region:rollup2
PLEASE CALL THE ROLL WHAT. I
01:49:29.863 --> 01:49:35.803 region:rollup2
WHAT I MAYES MAYES NO ANCHOR
01:49:32.099 --> 01:49:39.073 region:rollup2
CURRY. ATTACKER CURRY I BIGELOW.
01:49:35.803 --> 01:49:41.074 region:rollup2
BIGELOW NO. BONTA. BURKE.
01:49:39.073 --> 01:49:42.843 region:rollup2
CARILLO.
01:49:41.074 --> 01:49:44.645 region:rollup2
CARILLO AYE FLORA.
01:49:42.843 --> 01:49:46.747 region:rollup2
FLORA NO LIMON.
01:49:44.645 --> 01:49:49.850 region:rollup2
LIMON AYE MCCARTY. MCCARTY AYE
01:49:46.747 --> 01:49:53.587 region:rollup2
NAZARIAN. RODRIGUEZ.
01:49:49.850 --> 01:49:59.493 region:rollup2
SANTIAGO THEREIN WALDRON.
01:49:53.587 --> 01:50:00.727 region:rollup2
WALDRON AYE.
01:49:59.493 --> 01:50:02.463 region:rollup2
IT'S IT'S A SIX THREE SO WE'LL
01:50:00.727 --> 01:50:03.063 region:rollup2
LEAVE THAT ON CALL AND YOU AND I
01:50:02.463 --> 01:50:04.031 region:rollup2
WILL PRESENT THE NEXT BILL AND
01:50:03.063 --> 01:50:05.732 region:rollup2
THEN.
01:50:04.031 --> 01:50:06.366 region:rollup2
THE VERY PATIENT NEVER PRESENT
01:50:05.732 --> 01:50:22.382 region:rollup2
MR MAIENSCHEIN WILL BE FOLLOWING
01:50:06.366 --> 01:50:22.382 region:rollup2
US
01:50:26.520 --> 01:50:28.088 region:rollup2
.
01:50:26.653 --> 01:50:29.189 region:rollup2
DOCTOR WOOD MISTER ARAMBULA.
01:50:28.088 --> 01:50:31.058 region:rollup2
THANK YOU MISTER CHAIR AND
01:50:29.189 --> 01:50:32.092 region:rollup2
MEMBERS INLAND AND ONCE AGAIN.
01:50:31.058 --> 01:50:34.194 region:rollup2
APPRECIATE THE OPPORTUNITY
01:50:32.092 --> 01:50:36.096 region:rollup2
REARRANGE THINGS HERE.
01:50:34.194 --> 01:50:36.597 region:rollup2
CHRIS PAUL I'D LIKE TO START BY
01:50:36.096 --> 01:50:39.566 region:rollup2
ACCEPTING THE COMMITTEES
01:50:36.597 --> 01:50:41.835 region:rollup2
AMENDMENTS.
01:50:39.566 --> 01:50:43.971 region:rollup2
HEALTHCARE IS A RIGHT.
01:50:41.835 --> 01:50:45.939 region:rollup2
AND YET NOT EVERYONE HAS IT.
01:50:43.971 --> 01:50:46.940 region:rollup2
SOME HAVE GREAT HEALTH CARE.
01:50:45.939 --> 01:50:48.275 region:rollup2
SOME HAVE INSURANCE BUT IT'S
01:50:46.940 --> 01:50:49.576 region:rollup2
EXPENSIVE
01:50:48.275 --> 01:50:50.777 region:rollup2
SOME BUYING FIND COVERAGE ON
01:50:49.576 --> 01:50:52.779 region:rollup2
AFFORDABLE.
01:50:50.777 --> 01:50:53.881 region:rollup2
SOME HAVE MEDI CAL.
01:50:52.779 --> 01:50:56.083 region:rollup2
A STRUGGLE TO FIND CARE.
01:50:53.881 --> 01:50:57.651 region:rollup2
AS SOME HAVE NOTHING.
01:50:56.083 --> 01:50:59.653 region:rollup2
WE ALL KNOW HOW COMPLEX OUR
01:50:57.651 --> 01:51:01.522 region:rollup2
HEALTHCARE SYSTEM IS.
01:50:59.653 --> 01:51:04.391 region:rollup2
BUT I DO NOT SEE A SILVER BULLET
01:51:01.522 --> 01:51:05.959 region:rollup2
ON THE HORIZON ASPIRATIONAL YES.
01:51:04.391 --> 01:51:07.961 region:rollup2
REALISTICALLY NO.
01:51:05.959 --> 01:51:10.164 region:rollup2
SO WHAT'S TO BE DONE.
01:51:07.961 --> 01:51:11.164 region:rollup2
IT'S GOING TO BE A JOURNEY.
01:51:10.164 --> 01:51:12.833 region:rollup2
WE NEED TO KNOW HOW TO PLOT OUR
01:51:11.164 --> 01:51:14.501 region:rollup2
COURSE.
01:51:12.833 --> 01:51:15.602 region:rollup2
THAT'S WHY I AND MY COLLEAGUE DR
01:51:14.501 --> 01:51:16.770 region:rollup2
ARAMBULA HAVE A BILL THAT
01:51:15.602 --> 01:51:19.339 region:rollup2
CREATES A PROCESS.
01:51:16.770 --> 01:51:21.275 region:rollup2
TO BUILD A ROAD MAP.
01:51:19.339 --> 01:51:23.210 region:rollup2
THE GOAL UNIVERSALLY PUBLIC
01:51:21.275 --> 01:51:24.444 region:rollup2
FUNDED HEALTH CARE.
01:51:23.210 --> 01:51:25.679 region:rollup2
THE BILL CREATES SEE ADVISORY
01:51:24.444 --> 01:51:27.281 region:rollup2
PANEL ON HEALTH CARE DELIVERY
01:51:25.679 --> 01:51:29.116 region:rollup2
SYSTEMS AND UNIVERSAL COVERAGE
01:51:27.281 --> 01:51:31.051 region:rollup2
WITHIN THE CALIFORNIA HEALTH AND
01:51:29.116 --> 01:51:32.519 region:rollup2
HUMAN SERVICES AGENCY.
01:51:31.051 --> 01:51:34.121 region:rollup2
AN INDEPENDENT PANEL THAT WILL
01:51:32.519 --> 01:51:35.322 region:rollup2
DEVELOP A PLAN THAT CLUED
01:51:34.121 --> 01:51:36.757 region:rollup2
INCLUDES A TIMELINE OF THE
01:51:35.322 --> 01:51:38.959 region:rollup2
BENCHMARKS AND STEPS NECESSARY
01:51:36.757 --> 01:51:40.027 region:rollup2
TO REACH THE GOAL.
01:51:38.959 --> 01:51:41.328 region:rollup2
S. CO CHAIRS OF THE ASSEMBLY
01:51:40.027 --> 01:51:42.896 region:rollup2
SELECT COMMITTEE ON HEALTH CARE
01:51:41.328 --> 01:51:44.865 region:rollup2
DELIVERY SYSTEMS AND UNIVERSAL
01:51:42.896 --> 01:51:46.466 region:rollup2
COVERAGE WE CAN MEAN A NUMBER OF
01:51:44.865 --> 01:51:48.001 region:rollup2
HEARINGS BEGINNING LAST FALL
01:51:46.466 --> 01:51:49.703 region:rollup2
MORE THAN THIRTY HOURS WORTH. TO
01:51:48.001 --> 01:51:52.372 region:rollup2
HEAR FROM MANY WALRUS RESPECTED
01:51:49.703 --> 01:51:53.373 region:rollup2
EXPERTS ABOUT WHERE WE ARE NOW.
01:51:52.372 --> 01:51:55.242 region:rollup2
WHERE WE NEED TO GO AND HOW TO
01:51:53.373 --> 01:51:56.777 region:rollup2
GET THERE?
01:51:55.242 --> 01:51:58.745 region:rollup2
AS WE DUG DEEP INTO THIS COMPLEX
01:51:56.777 --> 01:52:00.380 region:rollup2
POLICY ISSUE WE RECOGNIZE THAT
01:51:58.745 --> 01:52:02.182 region:rollup2
TO BE SUCCESSFUL YOU MUST DIVINE
01:52:00.380 --> 01:52:03.850 region:rollup2
OF DEFINED A PATHWAY THAT
01:52:02.182 --> 01:52:05.319 region:rollup2
ADDRESSES A NUMBER OF ISSUES.
01:52:03.850 --> 01:52:07.588 region:rollup2
INCLUDING CHALLENGES RELATED TO
01:52:05.319 --> 01:52:08.789 region:rollup2
STATE AND FEDERAL LAW.
01:52:07.588 --> 01:52:10.457 region:rollup2
MEDICARE'S FUNDED THROUGH
01:52:08.789 --> 01:52:12.392 region:rollup2
PROTECTED MEDICARE TRUST FUND
01:52:10.457 --> 01:52:13.393 region:rollup2
AND FEDERAL LAWS STAB WHICH IS
01:52:12.392 --> 01:52:15.095 region:rollup2
THE RULES FOR HOW THAT MONEY CAN
01:52:13.393 --> 01:52:16.196 region:rollup2
BE SPENT.
01:52:15.095 --> 01:52:19.266 region:rollup2
ACCESSING THOSE FUNDS WOULD
01:52:16.196 --> 01:52:20.634 region:rollup2
REQUIRE CONGRESSIONAL ACTION.
01:52:19.266 --> 01:52:21.868 region:rollup2
PROP NINETY EIGHT AMENDED THE
01:52:20.634 --> 01:52:23.503 region:rollup2
CONSTITUTION TO REQUIRE FORTY
01:52:21.868 --> 01:52:24.838 region:rollup2
PERCENT OF STATE GENERAL FUND
01:52:23.503 --> 01:52:26.406 region:rollup2
REVENUES GO TO K. THREE FOURTEEN
01:52:24.838 --> 01:52:27.908 region:rollup2
EDUCATION.
01:52:26.406 --> 01:52:29.243 region:rollup2
HOW WILL PROP NINETY EIGHT
01:52:27.908 --> 01:52:30.711 region:rollup2
AFFECT NEW BUT REVENUES BROUGHT
01:52:29.243 --> 01:52:32.679 region:rollup2
INTO HEALTHCARE?
01:52:30.711 --> 01:52:33.247 region:rollup2
BEGAN LIMITS.
01:52:32.679 --> 01:52:35.082 region:rollup2
FROM PROPOSITION THIRTEEN IN
01:52:33.247 --> 01:52:36.416 region:rollup2
FOR.
01:52:35.082 --> 01:52:37.851 region:rollup2
AMENDED THE CONSTITUTION TO
01:52:36.416 --> 01:52:39.486 region:rollup2
IMPOSED SPENDING LIMITS ON THE
01:52:37.851 --> 01:52:41.154 region:rollup2
STATE TO ENSURE THAT REVENUE IN
01:52:39.486 --> 01:52:43.523 region:rollup2
EXCESS OF THOSE LIMITS WOULD BE
01:52:41.154 --> 01:52:45.859 region:rollup2
RETURNED. TO THE TAXPAYERS.
01:52:43.523 --> 01:52:46.760 region:rollup2
WHAT CAN BE DONE ABOUT THAT?
01:52:45.859 --> 01:52:47.828 region:rollup2
CURRENTLY THREE POINT THREE
01:52:46.760 --> 01:52:49.563 region:rollup2
MILLION CALIFORNIANS GET
01:52:47.828 --> 01:52:50.897 region:rollup2
COVERAGE THROUGH SELF INSURED OR
01:52:49.563 --> 01:52:52.666 region:rollup2
SELF FUNDED PLANS THEY'RE
01:52:50.897 --> 01:52:53.600 region:rollup2
SUBJECT TO RISA.
01:52:52.666 --> 01:52:55.469 region:rollup2
ADMINISTERED BY THE US
01:52:53.600 --> 01:52:56.803 region:rollup2
DEPARTMENT OF LABOR. THEY ARE
01:52:55.469 --> 01:52:58.405 region:rollup2
EXEMPT FROM STATE SPECIFIC
01:52:56.803 --> 01:53:00.173 region:rollup2
HEALTH INSURANCE REGULATIONS AND
01:52:58.405 --> 01:53:02.142 region:rollup2
THEREFORE COULD NOT BE COMBINED
01:53:00.173 --> 01:53:04.177 region:rollup2
INTO A SINGLE SYSTEM.
01:53:02.142 --> 01:53:06.046 region:rollup2
IN ADDITION TO FEDERAL AND STATE
01:53:04.177 --> 01:53:07.247 region:rollup2
STATUTORY CHAMP CHALLENGES ANY
01:53:06.046 --> 01:53:08.849 region:rollup2
MEANINGFUL CHANGES TO THE
01:53:07.247 --> 01:53:10.250 region:rollup2
CURRENT SYSTEM MUST HAVE BEEN
01:53:08.849 --> 01:53:12.486 region:rollup2
THAT MECHANISM TO PREDICT AND
01:53:10.250 --> 01:53:13.387 region:rollup2
MANAGE SEVERAL THINGS INCLUDING.
01:53:12.486 --> 01:53:15.722 region:rollup2
THE EXTRA ORDINARY RISE IN
01:53:13.387 --> 01:53:16.890 region:rollup2
HEALTHCARE COSTS.
01:53:15.722 --> 01:53:18.525 region:rollup2
THE EXISTING AND PREDICTED
01:53:16.890 --> 01:53:21.061 region:rollup2
SHORTAGE AND PHYSICIANS AND
01:53:18.525 --> 01:53:23.063 region:rollup2
ALLIED HEALTH PROFESSIONALS.
01:53:21.061 --> 01:53:24.831 region:rollup2
FINALLY WE NEED.
01:53:23.063 --> 01:53:25.932 region:rollup2
A MULTI YEAR FINANCIAL MODEL
01:53:24.831 --> 01:53:27.701 region:rollup2
THAT INCLUDE STATE BUDGET
01:53:25.932 --> 01:53:29.002 region:rollup2
IMPLICATIONS ASSESSMENT OF
01:53:27.701 --> 01:53:30.704 region:rollup2
OPTIONS FOR RAISING REVENUES IN
01:53:29.002 --> 01:53:32.139 region:rollup2
MANAGING COSTS.
01:53:30.704 --> 01:53:33.874 region:rollup2
IDENTIFICATION OF THE SIZE OF
01:53:32.139 --> 01:53:35.776 region:rollup2
POTENTIAL REVENUE SOURCES FOR
01:53:33.874 --> 01:53:37.144 region:rollup2
PRUDENT RESERVE.
01:53:35.776 --> 01:53:38.779 region:rollup2
STAKEHOLDER ENGAGEMENT AND
01:53:37.144 --> 01:53:41.415 region:rollup2
ANALYTICAL PROCESS TO DEVELOP
01:53:38.779 --> 01:53:42.683 region:rollup2
COVERED BENEFITS ELIGIBILITY
01:53:41.415 --> 01:53:43.917 region:rollup2
SERVICE DEVELOPED DELIVERY
01:53:42.683 --> 01:53:45.986 region:rollup2
PROVIDER PAYMENTS.
01:53:43.917 --> 01:53:47.187 region:rollup2
QUALITY IMPROVEMENT.
01:53:45.986 --> 01:53:48.622 region:rollup2
WE NEED TO ESTABLISH A DATA
01:53:47.187 --> 01:53:51.491 region:rollup2
COLLECTION REPORTING SYSTEM TO
01:53:48.622 --> 01:53:53.126 region:rollup2
SUPPORT MANAGEMENT EVALUATION
01:53:51.491 --> 01:53:54.961 region:rollup2
TRANSPORTATION TRANSPARENCY AND
01:53:53.126 --> 01:53:55.862 region:rollup2
PUBLIC ACCOUNTABILITY.
01:53:54.961 --> 01:53:57.364 region:rollup2
RECOMMEND WE NEED
01:53:55.862 --> 01:53:58.832 region:rollup2
RECOMMENDATIONS TO BUILD AN IT
01:53:57.364 --> 01:54:00.567 region:rollup2
SYSTEM AND A FINANCIAL
01:53:58.832 --> 01:54:02.169 region:rollup2
MANAGEMENT SYSTEM CAPABLE OF
01:54:00.567 --> 01:54:05.238 region:rollup2
ADMINISTERING A UNIVERSAL AND
01:54:02.169 --> 01:54:07.708 region:rollup2
UNIFIED PUBLICLY FINANCED HEALTH
01:54:05.238 --> 01:54:08.542 region:rollup2
CARE SYSTEM.
01:54:07.708 --> 01:54:09.276 region:rollup2
WE NEED A FEASIBLE FINANCING
01:54:08.542 --> 01:54:10.577 region:rollup2
SYSTEM AN ANALYSIS OF THE NEED
01:54:09.276 --> 01:54:12.746 region:rollup2
FOR A VOTER APPROVAL OF ANY
01:54:10.577 --> 01:54:14.514 region:rollup2
FUNDING MECHANISM.
01:54:12.746 --> 01:54:16.149 region:rollup2
THIS BILL PROVIDES THE ROADMAP.
01:54:14.514 --> 01:54:16.516 region:rollup2
THAT THE MAP AND THE PATH WE
01:54:16.149 --> 01:54:18.952 region:rollup2
NEED.
01:54:16.516 --> 01:54:22.789 region:rollup2
TO MOVE FORWARD AND I'M ASKING
01:54:18.952 --> 01:54:24.157 region:rollup2
FOR YOUR SUPPORT MOVE THE BILL.
01:54:22.789 --> 01:54:24.658 region:rollup2
AND WHAT ABOUT AT THIS POINT TO
01:54:24.157 --> 01:54:26.059 region:rollup2
TURN THIS OVER TO DOCTOR
01:54:24.658 --> 01:54:27.561 region:rollup2
ARAMBULA.
01:54:26.059 --> 01:54:28.995 region:rollup2
I HAVE ALWAYS BELIEVED THAT
01:54:27.561 --> 01:54:30.731 region:rollup2
HEALTHCARE IS A HUMAN RIGHT. IT
01:54:28.995 --> 01:54:32.399 region:rollup2
IS BECAUSE OF THAT BELIEF THAT I
01:54:30.731 --> 01:54:34.334 region:rollup2
BECAME A DOCTOR.
01:54:32.399 --> 01:54:35.635 region:rollup2
THE CARE FOR THE RESIDENTS ALL
01:54:34.334 --> 01:54:37.170 region:rollup2
OF THE RESIDENTS OF THE SAN
01:54:35.635 --> 01:54:38.305 region:rollup2
JOAQUIN VALLEY.
01:54:37.170 --> 01:54:40.073 region:rollup2
I ALSO SAW MANY OF THE
01:54:38.305 --> 01:54:42.042 region:rollup2
LIMITATIONS OF OUR CURRENT
01:54:40.073 --> 01:54:43.310 region:rollup2
HEALTHCARE SYSTEM. PARTICULARLY
01:54:42.042 --> 01:54:45.112 region:rollup2
TO THOSE WHO ARE MOST VULNERABLE
01:54:43.310 --> 01:54:46.380 region:rollup2
WITHIN OUR COMMUNITIES.
01:54:45.112 --> 01:54:48.281 region:rollup2
AS ASSEMBLY MEMBER WOULD
01:54:46.380 --> 01:54:49.883 region:rollup2
ITERATED OUR HEARINGS IN THE
01:54:48.281 --> 01:54:51.518 region:rollup2
ASSEMBLY SELECT COMMITTEE ON
01:54:49.883 --> 01:54:53.653 region:rollup2
HEALTH CARE DELIVERY SYSTEMS AND
01:54:51.518 --> 01:54:55.622 region:rollup2
UNIVERSAL. COVERAGE HELPED US
01:54:53.653 --> 01:54:57.457 region:rollup2
UNDERSTAND THE COMPLEXITIES OF
01:54:55.622 --> 01:54:59.192 region:rollup2
THE HEALTHCARE SYSTEM AND THE
01:54:57.457 --> 01:55:00.527 region:rollup2
CHALLENGES WE MUST OVERCOME IN
01:54:59.192 --> 01:55:01.828 region:rollup2
ORDER TO GET TO UNIVERSAL
01:55:00.527 --> 01:55:04.264 region:rollup2
COVERAGE.
01:55:01.828 --> 01:55:06.233 region:rollup2
AB TWENTY FIVE SEVENTEEN AIMS TO
01:55:04.264 --> 01:55:07.834 region:rollup2
CREATE A ROADMAP TO HELP US
01:55:06.233 --> 01:55:10.170 region:rollup2
ENVISIONED THE PATH FORWARD
01:55:07.834 --> 01:55:12.606 region:rollup2
TOWARDS A UNIVERSAL.
01:55:10.170 --> 01:55:14.107 region:rollup2
PUBLICLY FUNDED HEALTHCARE
01:55:12.606 --> 01:55:15.876 region:rollup2
SYSTEM AND GET US THERE STEP BY
01:55:14.107 --> 01:55:17.844 region:rollup2
STEP.
01:55:15.876 --> 01:55:18.378 region:rollup2
THROUGH THIS BILL WE WILL START
01:55:17.844 --> 01:55:19.613 region:rollup2
OF COURSE TO SUCCESSFULLY
01:55:18.378 --> 01:55:21.848 region:rollup2
ADDRESS.
01:55:19.613 --> 01:55:23.917 region:rollup2
STATE AND FEDERAL LAW CHALLENGES
01:55:21.848 --> 01:55:26.019 region:rollup2
INCLUDING FEDERAL WAIVERS AND
01:55:23.917 --> 01:55:27.854 region:rollup2
STATUTORY CHANGES. AND STATE
01:55:26.019 --> 01:55:29.422 region:rollup2
CONSTITUTIONAL AMENDMENTS.
01:55:27.854 --> 01:55:30.824 region:rollup2
WE AS A LEGISLATURE SHOULD
01:55:29.422 --> 01:55:32.559 region:rollup2
ADDRESS THE HIGH COST OF
01:55:30.824 --> 01:55:34.394 region:rollup2
HEALTHCARE SO WE CAN ACHIEVE
01:55:32.559 --> 01:55:36.129 region:rollup2
MORE EQUITABLE ACCESS TO QUALITY
01:55:34.394 --> 01:55:38.098 region:rollup2
HEALTHCARE.
01:55:36.129 --> 01:55:40.400 region:rollup2
WE SHOULD WORK TOWARD MITIGATING
01:55:38.098 --> 01:55:42.169 region:rollup2
EXCESSIVE HEALTH INSURER PROFITS
01:55:40.400 --> 01:55:44.037 region:rollup2
AND ADMINISTRATIVE COSTS SO THAT
01:55:42.169 --> 01:55:45.572 region:rollup2
MORE MONEY IS SPENT ON DIRECT
01:55:44.037 --> 01:55:46.873 region:rollup2
CARE TO PATIENTS.
01:55:45.572 --> 01:55:48.675 region:rollup2
WE SHOULD PROVIDE ALL
01:55:46.873 --> 01:55:51.478 region:rollup2
CALIFORNIANS WITH HIGH QUALITY
01:55:48.675 --> 01:55:53.480 region:rollup2
HEALTHCARE REGARDLESS OF AGE.
01:55:51.478 --> 01:55:56.082 region:rollup2
INCOME RACE ETHNICITY
01:55:53.480 --> 01:55:58.985 region:rollup2
IMMIGRATION STATUS GENDER SEXUAL
01:55:56.082 --> 01:56:00.821 region:rollup2
ORIENTATION GEOGRAPHIC LOCATION
01:55:58.985 --> 01:56:02.422 region:rollup2
HEALTH STATUS OR ABILITY.
01:56:00.821 --> 01:56:04.024 region:rollup2
AND WE SHOULD TRAIN IN EMPLOYER
01:56:02.422 --> 01:56:05.425 region:rollup2
HEALTH CARE WORKFORCE THAT CAN
01:56:04.024 --> 01:56:07.160 region:rollup2
MEET THE HEALTHCARE NEEDS OF OUR
01:56:05.425 --> 01:56:09.396 region:rollup2
GREAT STATE.
01:56:07.160 --> 01:56:10.630 region:rollup2
MEMBERS ASSEMBLY MEMBER WOULD AN
01:56:09.396 --> 01:56:11.998 region:rollup2
I WHOLE HEARTEDLY INTEND TO DO
01:56:10.630 --> 01:56:13.767 region:rollup2
THIS
01:56:11.998 --> 01:56:14.601 region:rollup2
I AM PROUD TO JOIN WE AUTHOR
01:56:13.767 --> 01:56:16.303 region:rollup2
THIS MEASURE WITH ASSEMBLY
01:56:14.601 --> 01:56:18.605 region:rollup2
MEMBER WOULD. AND I HOPE WE CAN
01:56:16.303 --> 01:56:20.006 region:rollup2
COUNT ON YOUR SUPPORT.
01:56:18.605 --> 01:56:23.176 region:rollup2
THE DOCTOR ARAMBULA ANYMORE
01:56:20.006 --> 01:56:24.277 region:rollup2
WITNESSES IN SUPPORT.
01:56:23.176 --> 01:56:25.278 region:rollup2
MARRIED IF MANAGING FORESTS ON
01:56:24.277 --> 01:56:27.214 region:rollup2
BEHALF OF HEALTH ACCESS
01:56:25.278 --> 01:56:29.216 region:rollup2
CALIFORNIA WE HERE TO SUPPORT AB
01:56:27.214 --> 01:56:30.450 region:rollup2
TWENTY FIVE SEVENTEEN. THE BILL
01:56:29.216 --> 01:56:32.018 region:rollup2
ESTABLISHES AN ADVISORY
01:56:30.450 --> 01:56:33.720 region:rollup2
COMMITTEE TO DEVELOP A ROADMAP
01:56:32.018 --> 01:56:35.489 region:rollup2
TO UNIVERSAL COVERAGE SYSTEM
01:56:33.720 --> 01:56:38.124 region:rollup2
THAT INCLUDES A TIMELINE. AND
01:56:35.489 --> 01:56:39.226 region:rollup2
THE RECOGNITION OF THE BEARS TO
01:56:38.124 --> 01:56:41.461 region:rollup2
VARIOUS REFORMS LIKE THE STATE
01:56:39.226 --> 01:56:43.230 region:rollup2
CONSTITUTION AND FEDERAL LAW. WE
01:56:41.461 --> 01:56:44.498 region:rollup2
STRONGLY SUPPORT THE BILL'S GOAL
01:56:43.230 --> 01:56:46.233 region:rollup2
OF GUARANTEED ACCESS TO
01:56:44.498 --> 01:56:49.035 region:rollup2
HEALTHCARE THAT IMPROVES HEALTH
01:56:46.233 --> 01:56:50.670 region:rollup2
OUTCOMES LOWERS HEALTHCARE COSTS
01:56:49.035 --> 01:56:52.539 region:rollup2
AND REDUCES HEALTH DISPARITIES
01:56:50.670 --> 01:56:53.807 region:rollup2
FORD THESE REASONS WE ASK
01:56:52.539 --> 01:56:55.575 region:rollup2
ARRIVAL.
01:56:53.807 --> 01:56:59.746 region:rollup2
ANYMORE WITNESSES IN SUPPORT.
01:56:55.575 --> 01:57:01.214 region:rollup2
LINDA WAIT.
01:56:59.746 --> 01:57:05.218 region:rollup2
LINDA WAY WITH WESTERN CENTER ON
01:57:01.214 --> 01:57:06.920 region:rollup2
LAW AND POVERTY IN SUPPORT.
01:57:05.218 --> 01:57:08.755 region:rollup2
DALE FOUNTAIN CONNECTING EVER SO
01:57:06.920 --> 01:57:09.623 region:rollup2
HEALTH CARE FOR CALIFORNIA.
01:57:08.755 --> 01:57:11.758 region:rollup2
REPRESENTING HUNDRED EIGHT
01:57:09.623 --> 01:57:12.259 region:rollup2
THOUSAND CALIFORNIANS SINGLE
01:57:11.758 --> 01:57:12.492 region:rollup2
PAYER SUPPORTERS IN FULL
01:57:12.259 --> 01:57:15.629 region:rollup2
SUPPORT.
01:57:12.492 --> 01:57:17.597 region:rollup2
THANK YOU.
01:57:15.629 --> 01:57:25.105 region:rollup2
ANGELA WILLIAMS CALIFORNIA LIKE
01:57:17.597 --> 01:57:27.641 region:rollup2
ALFA NETWORK IN STRONG SUPPORT.
01:57:25.105 --> 01:57:29.843 region:rollup2
GENTLEMAN JEFF TOWARD A KIA. I'M
01:57:27.641 --> 01:57:32.078 region:rollup2
NOT IN STRONG SUPPORT BECAUSE
01:57:29.843 --> 01:57:33.813 region:rollup2
LIKE OTHER LEGISLATION.
01:57:32.078 --> 01:57:35.582 region:rollup2
THERE ARE GONNA BE UNINTENTIONAL
01:57:33.813 --> 01:57:37.384 region:rollup2
CONSEQUENCES OF THIS.
01:57:35.582 --> 01:57:38.952 region:rollup2
AND THE BIGGEST CONCERNS GOING
01:57:37.384 --> 01:57:40.754 region:rollup2
TO BE IN ANY CAPACITY OF
01:57:38.952 --> 01:57:43.256 region:rollup2
ADVISORY.
01:57:40.754 --> 01:57:45.058 region:rollup2
IS EXACTLY WHO IS INFLUENCING
01:57:43.256 --> 01:57:47.460 region:rollup2
THIS.
01:57:45.058 --> 01:57:49.763 region:rollup2
SO ACCOUNTABILITY NEEDS TO BE
01:57:47.460 --> 01:57:52.098 region:rollup2
HIGHLY IN THERE SIR ANYONE SO
01:57:49.763 --> 01:57:56.703 region:rollup2
CONCERT I AM THAT NORMALLY
01:57:52.098 --> 01:57:57.203 region:rollup2
SUPPORTING IT.
01:57:56.703 --> 01:58:00.106 region:rollup2
ANY FURTHER WITNESSES IN
01:57:57.203 --> 01:58:06.379 region:rollup2
SUPPORT.
01:58:00.106 --> 01:58:07.714 region:rollup2
I ANY WITNESSES IN OPPOSITION.
01:58:06.379 --> 01:58:14.087 region:rollup2
SEEING NONE WILL COME BACK.
01:58:07.714 --> 01:58:16.289 region:rollup2
TO MEMBER COMMENTS OR QUESTIONS.
01:58:14.087 --> 01:58:19.092 region:rollup2
MISS WALDRON.
01:58:16.289 --> 01:58:21.428 region:rollup2
THANK YOU MISTER CHAIR I'M.
01:58:19.092 --> 01:58:24.064 region:rollup2
WHO WERE HOW DO YOU FORESEE THE
01:58:21.428 --> 01:58:26.266 region:rollup2
ADVISORY PANEL? YOU KNOW BEING
01:58:24.064 --> 01:58:27.734 region:rollup2
SET UP AS FAR AS THE MEMBERSHIP.
01:58:26.266 --> 01:58:29.235 region:rollup2
ON THE PANEL AND THE HEALTH AND
01:58:27.734 --> 01:58:30.070 region:rollup2
HUMAN SERVICES SERVICES
01:58:29.235 --> 01:58:32.772 region:rollup2
SECRETARY WOULD APPOINT THE
01:58:30.070 --> 01:58:34.507 region:rollup2
MEMBERS.
01:58:32.772 --> 01:58:36.309 region:rollup2
NO CAN SO IS NO.
01:58:34.507 --> 01:58:37.877 region:rollup2
CRITERIA LIKE THE.
01:58:36.309 --> 01:58:39.446 region:rollup2
YOU KNOW HAVE TO BE A CERTAIN
01:58:37.877 --> 01:58:43.550 region:rollup2
NUMBER OF HEALTH PROVIDERS OF.
01:58:39.446 --> 01:58:45.151 region:rollup2
HEALTH PLANS OR STAKEHOLDERS OR.
01:58:43.550 --> 01:58:47.087 region:rollup2
IS HAVE THEY HAVE GOTTEN UP FOR
01:58:45.151 --> 01:58:47.654 region:rollup2
ME.
01:58:47.087 --> 01:58:49.756 region:rollup2
STILL HAVEN'T GOTTEN IT SO.
01:58:47.654 --> 01:58:51.925 region:rollup2
YEAH.
01:58:49.756 --> 01:58:53.460 region:rollup2
THE ROADMAP WITH MAYBE A PIECE
01:58:51.925 --> 01:58:55.662 region:rollup2
MISSING AT THIS POINT OKAY.
01:58:53.460 --> 01:58:56.997 region:rollup2
SO JUST A COMMENT YOU KNOW
01:58:55.662 --> 01:58:58.999 region:rollup2
HAVING SERVED WITH THE TWO
01:58:56.997 --> 01:59:01.301 region:rollup2
DOCTORS ON THE UNIVERSAL CARE
01:58:58.999 --> 01:59:03.603 region:rollup2
SELECT COMMITTEE.
01:59:01.301 --> 01:59:05.805 region:rollup2
SO MUCH INFORMATION CAME OUT IS.
01:59:03.603 --> 01:59:07.974 region:rollup2
ALMOST SEEMS LIKE IT WAS.
01:59:05.805 --> 01:59:08.508 region:rollup2
IT JUST ENDED TOO SOON IN A WAY
01:59:07.974 --> 01:59:09.743 region:rollup2
EVEN THOUGH WE HAD SEVERAL
01:59:08.508 --> 01:59:10.176 region:rollup2
HEARINGS.
01:59:09.743 --> 01:59:11.111 region:rollup2
THERE'S JUST SO MUCH
01:59:10.176 --> 01:59:12.379 region:rollup2
INFORMATION.
01:59:11.111 --> 01:59:14.280 region:rollup2
.
01:59:12.379 --> 01:59:15.882 region:rollup2
YOU KNOW.
01:59:14.280 --> 01:59:17.617 region:rollup2
THE GOAL OF UNIVERSAL CARE IS
01:59:15.882 --> 01:59:19.519 region:rollup2
SOMETHING. I THINK EVERYONE
01:59:17.617 --> 01:59:21.588 region:rollup2
SHOULD BE ABLE TO SUPPORT.
01:59:19.519 --> 01:59:23.189 region:rollup2
BUT HOW YOU GET THERE OR THE
01:59:21.588 --> 01:59:23.390 region:rollup2
ROADBLOCKS IN AND WE CAME UP
01:59:23.189 --> 01:59:25.625 region:rollup2
WITH.
01:59:23.390 --> 01:59:28.728 region:rollup2
HAVING TO GET WAIVERS FROM THE
01:59:25.625 --> 01:59:29.929 region:rollup2
FEDERAL GOVERNMENT. YOU KNOW.
01:59:28.728 --> 01:59:31.531 region:rollup2
WHAT THAT WOULD INVOLVE I MEAN
01:59:29.929 --> 01:59:33.800 region:rollup2
THERE WERE SO MANY ISSUES AND
01:59:31.531 --> 01:59:35.802 region:rollup2
COSTS AND THE SURPRISING I KNOW
01:59:33.800 --> 01:59:37.203 region:rollup2
WE'VE TALKED ABOUT? LOOKING AT
01:59:35.802 --> 01:59:39.339 region:rollup2
IF THERE'S ANY WAY TO REDUCE
01:59:37.203 --> 01:59:40.840 region:rollup2
COSTS AND THAT JUST DIDN'T SEEM
01:59:39.339 --> 01:59:43.009 region:rollup2
TO ME HE. WAS OTHER.
01:59:40.840 --> 01:59:44.377 region:rollup2
STATES OR NATIONS WAS FACING AND
01:59:43.009 --> 01:59:45.712 region:rollup2
YOU KNOW IF WE WANNA.
01:59:44.377 --> 01:59:47.414 region:rollup2
WILL MOVE AHEAD AND REALLY
01:59:45.712 --> 01:59:48.681 region:rollup2
ANALYZE THAT. IT'S ALMOST LIKE
01:59:47.414 --> 01:59:50.950 region:rollup2
WE KEEP OUR SELECT COMMITTEE
01:59:48.681 --> 01:59:52.886 region:rollup2
GOING WELL WE TASK OTHERS TO
01:59:50.950 --> 01:59:54.320 region:rollup2
CONTINUE THE WORK TO GET BACK SO
01:59:52.886 --> 01:59:55.989 region:rollup2
I THINK THAT'S WHAT YOU. TRYING
01:59:54.320 --> 01:59:57.657 region:rollup2
TO ACCOMPLISH. Y. THINK I THINK
01:59:55.989 --> 01:59:59.359 region:rollup2
IT'S ON THIS IS SUCH A COMPLEX
01:59:57.657 --> 02:00:00.860 region:rollup2
TOPIC IN EACH ONE OF THOSE.
01:59:59.359 --> 02:00:02.595 region:rollup2
ISSUES THAT YOU BROUGHT UP
02:00:00.860 --> 02:00:03.163 region:rollup2
REALLY DESERVES A REALLY REALLY
02:00:02.595 --> 02:00:04.197 region:rollup2
DEEP DIVE TO REALLY COME UP
02:00:03.163 --> 02:00:06.466 region:rollup2
WITH.
02:00:04.197 --> 02:00:08.301 region:rollup2
WITH HOW WE COULD HOW WE COULD
02:00:06.466 --> 02:00:09.536 region:rollup2
MOVE PAST THOSE AND SO IT'S KIND
02:00:08.301 --> 02:00:10.704 region:rollup2
OF BEYOND THE PURVIEW OF THE
02:00:09.536 --> 02:00:11.905 region:rollup2
SELECT COMMITTEE IN MY OPINION
02:00:10.704 --> 02:00:13.440 region:rollup2
BECAUSE THERE ARE SO MANY
02:00:11.905 --> 02:00:15.141 region:rollup2
UNINTENDED CONSEQUENCES AS YOU
02:00:13.440 --> 02:00:18.011 region:rollup2
SAY. OUT O WE.
02:00:15.141 --> 02:00:19.746 region:rollup2
THAT TO THAT THE GOAL IS THAT.
02:00:18.011 --> 02:00:20.113 region:rollup2
AS WE AS WE MOVE YOU KNOW
02:00:19.746 --> 02:00:22.015 region:rollup2
THROUGH THESE.
02:00:20.113 --> 02:00:23.116 region:rollup2
THROUGH THESE CHALLENGES THAT
02:00:22.015 --> 02:00:25.251 region:rollup2
WE GET THE INFORMATION WE NEED
02:00:23.116 --> 02:00:27.053 region:rollup2
TO ALLOW US TO CONTINUE OUR DOWN
02:00:25.251 --> 02:00:28.788 region:rollup2
THE ROAD.
02:00:27.053 --> 02:00:30.156 region:rollup2
THIS I DON'T. DISAGREE COMMENT.
02:00:28.788 --> 02:00:31.558 region:rollup2
I WANT TO THANK YOU BOTH FOR
02:00:30.156 --> 02:00:32.125 region:rollup2
BRINGING THIS FORWARD AS WELL AS
02:00:31.558 --> 02:00:33.660 region:rollup2
ALL THE WORK YOU DID FOR THE
02:00:32.125 --> 02:00:34.994 region:rollup2
SELECT COMMITTEE WE WOULDN'T BE
02:00:33.660 --> 02:00:36.196 region:rollup2
WHERE WE ARE TODAY AND WITH AN
02:00:34.994 --> 02:00:38.531 region:rollup2
AUDIENCE LIKE WE HAVE TODAY
02:00:36.196 --> 02:00:39.165 region:rollup2
BECAUSE OF. THE CHANGES AND
02:00:38.531 --> 02:00:39.733 region:rollup2
THINGS THAT WE WANT TO CHIP AWAY
02:00:39.165 --> 02:00:41.501 region:rollup2
AT.
02:00:39.733 --> 02:00:43.002 region:rollup2
FIRST WHAT YOU LISTEN TO THIS
02:00:41.501 --> 02:00:44.838 region:rollup2
IN THE PUBLIC.
02:00:43.002 --> 02:00:45.705 region:rollup2
YOU ARE FOLLOWING UP.
02:00:44.838 --> 02:00:47.974 region:rollup2
BUT THE WORK THAT NEEDS TO BE
02:00:45.705 --> 02:00:49.008 region:rollup2
DONE IT'S A TOUGH ROAD NOW I AM
02:00:47.974 --> 02:00:50.610 region:rollup2
CONFIDENT THAT.
02:00:49.008 --> 02:00:52.045 region:rollup2
YOU'LL HELP US LEAD US DOWN
02:00:50.610 --> 02:00:54.180 region:rollup2
THAT WAY WITH AND. COMMITTEE
02:00:52.045 --> 02:00:55.949 region:rollup2
THAT IS SPOT ON SO.
02:00:54.180 --> 02:00:57.350 region:rollup2
AS THE GENTLEMAN SAID THE
02:00:55.949 --> 02:00:58.985 region:rollup2
UNINTENDED CONSEQUENCES AS WE
02:00:57.350 --> 02:01:00.653 region:rollup2
WENT THROUGH OTHER BILLS IN THE
02:00:58.985 --> 02:01:02.355 region:rollup2
PAST ON UNIVERSAL HEALTH CARE.
02:01:00.653 --> 02:01:04.424 region:rollup2
AND BOYS FEAR WHO WOULD BE LEFT
02:01:02.355 --> 02:01:06.192 region:rollup2
BEHIND AND HOPEFULLY BY THIS
02:01:04.424 --> 02:01:09.028 region:rollup2
ADVISORY COMMITTEE WE WILL LEAVE
02:01:06.192 --> 02:01:10.697 region:rollup2
ANYONE BEHIND.
02:01:09.028 --> 02:01:11.598 region:rollup2
DOCTORS WOULD LIKE TO CLOSE. I
02:01:10.697 --> 02:01:13.133 region:rollup2
JUST LIKE TO SAY.
02:01:11.598 --> 02:01:14.801 region:rollup2
FOR SMALL THANK YOU CAPTAIN
02:01:13.133 --> 02:01:16.569 region:rollup2
PRESENT THE BILL IN THIS THIS
02:01:14.801 --> 02:01:18.138 region:rollup2
WILL NOT AS SOME MAY CLAIM. THE
02:01:16.569 --> 02:01:19.672 region:rollup2
ROAD TO NOWHERE.
02:01:18.138 --> 02:01:21.975 region:rollup2
IT'S NOT A DELAY TACTIC.
02:01:19.672 --> 02:01:22.909 region:rollup2
WHAT IT IS IS WHAT WE BELIEVE
02:01:21.975 --> 02:01:24.911 region:rollup2
IS THE RESPONSIBLE AND
02:01:22.909 --> 02:01:27.046 region:rollup2
THOUGHTFUL WAY TO ADDRESS A
02:01:24.911 --> 02:01:28.548 region:rollup2
MULTIFACETED SYSTEM? THAT HAS
02:01:27.046 --> 02:01:29.382 region:rollup2
MANY MOVING PARTS.
02:01:28.548 --> 02:01:29.916 region:rollup2
AND ONE THAT HOLDS A HEALTH CARE
02:01:29.382 --> 02:01:31.851 region:rollup2
OF ALL CALIFORNIANS IN ITS
02:01:29.916 --> 02:01:32.919 region:rollup2
HANDS.
02:01:31.851 --> 02:01:34.454 region:rollup2
SUCCESS IN THE END WILL BE THE
02:01:32.919 --> 02:01:35.755 region:rollup2
CREATION OF A SUSTAINABLE
02:01:34.454 --> 02:01:37.323 region:rollup2
HEALTHCARE SYSTEM THAT PROVIDES
02:01:35.755 --> 02:01:38.725 region:rollup2
QUALITY. AND AFFORDABLE
02:01:37.323 --> 02:01:40.426 region:rollup2
HEALTHCARE TO EVERYONE IN
02:01:38.725 --> 02:01:42.128 region:rollup2
CALIFORNIA.
02:01:40.426 --> 02:01:44.864 region:rollup2
I RISK WE RESPECTFULLY ASK FOR
02:01:42.128 --> 02:01:46.566 region:rollup2
YOUR AYE VOTE.
02:01:44.864 --> 02:01:49.102 region:rollup2
THANK YOU WE DO HAVE A MOTION BY
02:01:46.566 --> 02:01:52.272 region:rollup2
MISS AGAR CURRY IN A SECOND BY A
02:01:49.102 --> 02:01:53.840 region:rollup2
MISS CARILLO LOCAL POLICE.
02:01:52.272 --> 02:01:55.942 region:rollup2
AYE AND THE MOTION IS TO PASS AS
02:01:53.840 --> 02:01:59.012 region:rollup2
AMENDED TO APPROPRIATIONS. WOULD
02:01:55.942 --> 02:02:02.215 region:rollup2
I WOULD I MAYES NO MAYES NO
02:01:59.012 --> 02:02:03.316 region:rollup2
AGUIAR-CURRY. I AGREE I BIGELOW.
02:02:02.215 --> 02:02:05.952 region:rollup2
BIGELOW NO. BONTA.
02:02:03.316 --> 02:02:07.987 region:rollup2
BURKE.
02:02:05.952 --> 02:02:09.489 region:rollup2
CARILLO.
02:02:07.987 --> 02:02:11.691 region:rollup2
I CARILLO AYE FLORA.
02:02:09.489 --> 02:02:13.560 region:rollup2
FLORA NO LIMON.
02:02:11.691 --> 02:02:16.429 region:rollup2
THE LOAN AYE MCCARTY. MCCARTY
02:02:13.560 --> 02:02:18.531 region:rollup2
AYE NAZARIAN. RODRIGUEZ.
02:02:16.429 --> 02:02:24.671 region:rollup2
SANTIAGO THURMOND WALDRON.
02:02:18.531 --> 02:02:26.906 region:rollup2
WALDRON AYE.
02:02:24.671 --> 02:02:29.008 region:rollup2
THREE.
02:02:26.906 --> 02:02:30.643 region:rollup2
IT VERY MUCH MR MAIENSCHEIN
02:02:29.008 --> 02:02:41.754 region:rollup2
EUROPE AND.
02:02:30.643 --> 02:02:44.090 region:rollup2
PISTONS ARE YOUR US AT ALL.
02:02:41.754 --> 02:02:48.061 region:rollup2
WELL YOU KNOW.
02:02:44.090 --> 02:02:49.963 region:rollup2
IT IS.
02:02:48.061 --> 02:02:50.897 region:rollup2
YOU ARE SIX WEEKS TO.
02:02:49.963 --> 02:02:53.466 region:rollup2
SO I WAS SIX THREE WE NEED TO
02:02:50.897 --> 02:02:54.067 region:rollup2
MORE.
02:02:53.466 --> 02:02:56.369 region:rollup2
GET BETTER AT THE MOMENT THANK
02:02:54.067 --> 02:02:57.837 region:rollup2
YOU.
02:02:56.369 --> 02:02:59.472 region:rollup2
MISTER MAY TAKE THANK YOU I DO
02:02:57.837 --> 02:03:00.873 region:rollup2
APOLOGIZE FOR THAT SHUFFLING
02:02:59.472 --> 02:03:01.708 region:rollup2
AROUND AND HAD YOU BACK I THINK
02:03:00.873 --> 02:03:02.609 region:rollup2
MISTER CHAIRMAN FROM I WOULD
02:03:01.708 --> 02:03:03.710 region:rollup2
HAVE JUST BEEN STUCK IN A
02:03:02.609 --> 02:03:05.645 region:rollup2
DIFFERENT COMMITTEE ANYWAY SO
02:03:03.710 --> 02:03:06.512 region:rollup2
IT'S NOT NO PROBLEM. ALTHOUGH I
02:03:05.645 --> 02:03:08.047 region:rollup2
DO WANT TO SAY JUST FOR THE
02:03:06.512 --> 02:03:09.682 region:rollup2
RECORD WE DID LOSE A NUMBER OF
02:03:08.047 --> 02:03:10.917 region:rollup2
WITNESSES WHO ARE HERE TODAY AND
02:03:09.682 --> 02:03:12.218 region:rollup2
I DO WANT REFLECT THAT FOR THE.
02:03:10.917 --> 02:03:13.286 region:rollup2
FOR THE REQUISITE NUMBER OF MOMS
02:03:12.218 --> 02:03:15.188 region:rollup2
WHO ARE HERE WHO DID END UP
02:03:13.286 --> 02:03:17.123 region:rollup2
HAVING TO LEAVE SO I FOR THE
02:03:15.188 --> 02:03:17.557 region:rollup2
RECORD I WANT TO MAKE SURE THAT
02:03:17.123 --> 02:03:19.125 region:rollup2
THAT THING.
02:03:17.557 --> 02:03:20.660 region:rollup2
IT'S NOTED THAT THEY WERE THERE
02:03:19.125 --> 02:03:21.861 region:rollup2
IN SUPPORT OF THE BILL FISHING.
02:03:20.660 --> 02:03:22.929 region:rollup2
I BEFORE I BEGIN I WILL BE
02:03:21.861 --> 02:03:23.963 region:rollup2
ACCEPTING THE AMENDMENTS
02:03:22.929 --> 02:03:25.098 region:rollup2
REFLECTED IN THE COMMITTEE
02:03:23.963 --> 02:03:26.966 region:rollup2
ANALYSIS WOULD LIKE TO THANK THE
02:03:25.098 --> 02:03:28.434 region:rollup2
CHAIRMAN A STAFF OF FOR WORKING
02:03:26.966 --> 02:03:29.802 region:rollup2
WITH ME ON THIS BILL I LOOK FOR
02:03:28.434 --> 02:03:31.804 region:rollup2
TO CONTINUE WORKING WITH THE
02:03:29.802 --> 02:03:33.740 region:rollup2
OPPOSITION. TO ADDRESS ANY
02:03:31.804 --> 02:03:35.041 region:rollup2
REMAINING CONCERNS
02:03:33.740 --> 02:03:36.809 region:rollup2
MATERNAL DEPRESSION IS THE MOST
02:03:35.041 --> 02:03:38.244 region:rollup2
COMPLICATED MOST COMMON
02:03:36.809 --> 02:03:39.545 region:rollup2
COMPLICATION OF PREGNANCY IN THE
02:03:38.244 --> 02:03:41.180 region:rollup2
UNITED STATES
02:03:39.545 --> 02:03:42.982 region:rollup2
SURPASSING SURPASSING JUST
02:03:41.180 --> 02:03:44.918 region:rollup2
ADDITIONAL DIABETES AND
02:03:42.982 --> 02:03:46.019 region:rollup2
PREECLAMPSIA COMBINED. MATERNAL
02:03:44.918 --> 02:03:48.054 region:rollup2
MENTAL HEALTH DISORDERS
02:03:46.019 --> 02:03:49.255 region:rollup2
INCLUDING DEPRESSION ANXIETY AND
02:03:48.054 --> 02:03:50.957 region:rollup2
THE MUCH MORE RARE BUT VERY
02:03:49.255 --> 02:03:52.792 region:rollup2
SERIOUS POSTPARTUM PSYCHOSIS
02:03:50.957 --> 02:03:54.394 region:rollup2
AFFECT ONE IN FIVE WOMEN. DURING
02:03:52.792 --> 02:03:55.995 region:rollup2
PREGNANCY OR THE FIRST YEAR
02:03:54.394 --> 02:03:57.997 region:rollup2
FOLLOWING CHILDBIRTH.
02:03:55.995 --> 02:03:59.365 region:rollup2
IT PRESENTS A SIGNIFICANT EARLY
02:03:57.997 --> 02:04:00.800 region:rollup2
RASTA PROPER CHILD DEVELOPMENT
02:03:59.365 --> 02:04:02.835 region:rollup2
THE MOTHER INFANT MONT AND THE
02:04:00.800 --> 02:04:04.137 region:rollup2
FAMILY. ADDITIONALLY MATERNAL
02:04:02.835 --> 02:04:05.238 region:rollup2
DEPRESSION HAS BEEN CONSISTENTLY
02:04:04.137 --> 02:04:06.839 region:rollup2
LINKED WITH CHILDREN'S PARK
02:04:05.238 --> 02:04:08.875 region:rollup2
COGNITIVE OUTCOME.
02:04:06.839 --> 02:04:10.443 region:rollup2
A RECENT STUDY BY UC SAN DIEGO
02:04:08.875 --> 02:04:12.278 region:rollup2
INDICATED THAT HIGHLY DEPRESSED
02:04:10.443 --> 02:04:13.780 region:rollup2
MOTHERS PROVIDE LESS EMOTIONAL
02:04:12.278 --> 02:04:15.848 region:rollup2
SUPPORT TO THEIR CHILDREN ACROSS
02:04:13.780 --> 02:04:17.717 region:rollup2
ALL AGES WHICH RELATED TO
02:04:15.848 --> 02:04:18.918 region:rollup2
CHILDREN'S LOWER AYE CUES.
02:04:17.717 --> 02:04:19.686 region:rollup2
SCREENING AND TREATMENT FOR
02:04:18.918 --> 02:04:21.587 region:rollup2
MATERNAL MENTAL HEALTH
02:04:19.686 --> 02:04:22.855 region:rollup2
CONDITIONS IS AN IMPORTANT TOOL
02:04:21.587 --> 02:04:24.657 region:rollup2
TO PROTECT CHILDREN FROM THE
02:04:22.855 --> 02:04:26.459 region:rollup2
POTENTIAL ADVERSE PHYSICAL. AND
02:04:24.657 --> 02:04:28.594 region:rollup2
DEVELOPMENTAL EFFECTS OF THESE
02:04:26.459 --> 02:04:30.330 region:rollup2
CONDITIONS AB TWENTY ONE NINETY
02:04:28.594 --> 02:04:32.732 region:rollup2
THREE WILL REQUIRE OBGYN IS TO
02:04:30.330 --> 02:04:35.034 region:rollup2
SCREEN PREGNANT PATIENTS FROM
02:04:32.732 --> 02:04:36.669 region:rollup2
ETERNAL MENTAL HEALTH DISORDERS.
02:04:35.034 --> 02:04:38.338 region:rollup2
AND DURING THE PERINATAL PERIOD
02:04:36.669 --> 02:04:40.006 region:rollup2
SOME MAY ARGUE THAT SCREENING
02:04:38.338 --> 02:04:40.573 region:rollup2
TAKES TOO MUCH TIME AND WE'VE
02:04:40.006 --> 02:04:41.507 region:rollup2
HEARD WE'VE EVEN HEARD THAT
02:04:40.573 --> 02:04:42.642 region:rollup2
IT'S.
02:04:41.507 --> 02:04:44.143 region:rollup2
IF A MOM IS ASKED ABOUT HER
02:04:42.642 --> 02:04:45.745 region:rollup2
FEELINGS SHE COULD BE IN TEARS
02:04:44.143 --> 02:04:46.779 region:rollup2
TOO LONG.
02:04:45.745 --> 02:04:48.381 region:rollup2
FOR THAT THE REIMBURSEMENT
02:04:46.779 --> 02:04:50.083 region:rollup2
RATES ARE NOT ENOUGH BUT HOW CAN
02:04:48.381 --> 02:04:51.417 region:rollup2
THIS BE A JUSTIFICATION TO A
02:04:50.083 --> 02:04:52.719 region:rollup2
FATHER LIKE RUDY CORONADO WHO
02:04:51.417 --> 02:04:54.053 region:rollup2
YOU WILL HEAR FROM SHORTLY.
02:04:52.719 --> 02:04:55.488 region:rollup2
MISTER CORONADO LOST THREE
02:04:54.053 --> 02:04:56.723 region:rollup2
DAUGHTERS UNDER THREE YEARS OLD
02:04:55.488 --> 02:04:58.424 region:rollup2
WHEN HIS WIFE TOOK THE LIVES OF
02:04:56.723 --> 02:04:59.792 region:rollup2
THEIR CHILDREN AFTER SUFFERING
02:04:58.424 --> 02:05:00.626 region:rollup2
AN UNDIAGNOSED CASE OF
02:04:59.792 --> 02:05:01.994 region:rollup2
POSTPARTUM DEPRESSION AND
02:05:00.626 --> 02:05:03.997 region:rollup2
PSYCHOSIS.
02:05:01.994 --> 02:05:05.331 region:rollup2
ADD PAGET IS ANOTHER FATHER THE
02:05:03.997 --> 02:05:06.999 region:rollup2
MUST HIS GRANDSON SHANE AND HIS
02:05:05.331 --> 02:05:09.002 region:rollup2
DAUGHTER CHARLENE WHO WAS NOT
02:05:06.999 --> 02:05:10.570 region:rollup2
SCREENED FOR MATERNAL DEPRESSION
02:05:09.002 --> 02:05:12.105 region:rollup2
HER CONDITION WAS DISCOVERED BY
02:05:10.570 --> 02:05:13.206 region:rollup2
HER HUSBAND AND MOTHER A LITTLE
02:05:12.105 --> 02:05:14.574 region:rollup2
TOO LATE.
02:05:13.206 --> 02:05:16.175 region:rollup2
CHARLIE TOOK HER OWN LIFE AND
02:05:14.574 --> 02:05:17.643 region:rollup2
THE LIFE OF HER SON SHANNON A
02:05:16.175 --> 02:05:19.278 region:rollup2
FEW DAYS PRIOR TO AN APPOINTMENT
02:05:17.643 --> 02:05:20.713 region:rollup2
HER FAMILY SOUGHT FOR HER FIGHT
02:05:19.278 --> 02:05:22.181 region:rollup2
PSYCHIATRIST.
02:05:20.713 --> 02:05:23.316 region:rollup2
ALTHOUGH MATERNAL MENTAL HEALTH
02:05:22.181 --> 02:05:25.251 region:rollup2
DISORDERS FORM THE MOST COMMON
02:05:23.316 --> 02:05:26.619 region:rollup2
COMPLICATION OF PREGNANCY
02:05:25.251 --> 02:05:28.421 region:rollup2
IMPACTING ROUGHLY A HUNDRED
02:05:26.619 --> 02:05:30.156 region:rollup2
THOUSAND CALIFORNIA WOMEN AND
02:05:28.421 --> 02:05:32.191 region:rollup2
FAMILIES EACH YEAR. THEY ARE
02:05:30.156 --> 02:05:33.826 region:rollup2
ALSO THE MOST UNDER DIAGNOSED
02:05:32.191 --> 02:05:35.595 region:rollup2
COMPLICATION IN AMERICA
02:05:33.826 --> 02:05:36.729 region:rollup2
ADDITIONALLY CALIFORNIA HAS
02:05:35.595 --> 02:05:38.364 region:rollup2
RECENTLY EXPERIENCED A
02:05:36.729 --> 02:05:39.465 region:rollup2
SIGNIFICANT UPWARD TREND IN
02:05:38.364 --> 02:05:41.300 region:rollup2
HOSPITALIZATION OF PREGNANT
02:05:39.465 --> 02:05:42.635 region:rollup2
WOMEN WHAT THE MENTAL HEALTH.
02:05:41.300 --> 02:05:43.736 region:rollup2
HEALTH DIAGNOSES
02:05:42.635 --> 02:05:45.438 region:rollup2
ACCORDING TO THE AMERICAN
02:05:43.736 --> 02:05:46.906 region:rollup2
ACADEMY OF PEDIATRICS
02:05:45.438 --> 02:05:48.341 region:rollup2
SCREENING MOTHERS FROM ETERNAL
02:05:46.906 --> 02:05:50.543 region:rollup2
DEPRESSION IS A PAST PRACTICE
02:05:48.341 --> 02:05:52.545 region:rollup2
FOR PRIMARY CARE PEDIATRICIANS
02:05:50.543 --> 02:05:53.613 region:rollup2
IN TWENTY FIFTEEN THE AMERICAN
02:05:52.545 --> 02:05:56.115 region:rollup2
CONGRESS OF OBSTETRICIANS AND
02:05:53.613 --> 02:05:57.784 region:rollup2
GYNECOLOGISTS. A COG RECOMMENDED
02:05:56.115 --> 02:05:59.118 region:rollup2
THAT CLINICIANS SCREEN PATIENTS
02:05:57.784 --> 02:06:01.087 region:rollup2
AT LEAST ONCE DURING THAT
02:05:59.118 --> 02:06:02.188 region:rollup2
PERINATAL PERIOD. THE UNITED
02:06:01.087 --> 02:06:03.523 region:rollup2
STATES PREVENTIVE TASK FORCE
02:06:02.188 --> 02:06:04.857 region:rollup2
ALSO RECOMMENDS DEPRESSION
02:06:03.523 --> 02:06:06.292 region:rollup2
SCREENING FOR PREGNANT AND
02:06:04.857 --> 02:06:07.560 region:rollup2
POSTPARTUM WOMEN.
02:06:06.292 --> 02:06:09.295 region:rollup2
THE CALIFORNIA TASK FORCE ON
02:06:07.560 --> 02:06:10.363 region:rollup2
MATERNAL MENTAL HEALTH IN WHICH
02:06:09.295 --> 02:06:11.664 region:rollup2
A CAUSE AND THE CALIFORNIA
02:06:10.363 --> 02:06:13.733 region:rollup2
ASSOCIATION HEALTH PLANS
02:06:11.664 --> 02:06:15.902 region:rollup2
PARTICIPATED PRESENTED REPORT TO
02:06:13.733 --> 02:06:17.070 region:rollup2
THE. CALIFORNIA LEGISLATURE THAT
02:06:15.902 --> 02:06:18.638 region:rollup2
SET A GOAL TO REACH AND EIGHTY
02:06:17.070 --> 02:06:20.773 region:rollup2
PERCENT SCREENING RIGHT BY
02:06:18.638 --> 02:06:22.008 region:rollup2
ABSTRACT. ABSTRACT PROVIDERS BY
02:06:20.773 --> 02:06:23.843 region:rollup2
THE YEAR TWENTY TWENTY ONE
02:06:22.008 --> 02:06:25.845 region:rollup2
THIS BILL WILL AID IN ACHIEVING
02:06:23.843 --> 02:06:27.046 region:rollup2
THAT GOAL.
02:06:25.845 --> 02:06:28.581 region:rollup2
AB TWENTY ONE NINETY THREE WILL
02:06:27.046 --> 02:06:29.682 region:rollup2
ADDRESS THESE PREVENTABLE AND
02:06:28.581 --> 02:06:31.350 region:rollup2
TREATABLE DISORDERS THAT ARE
02:06:29.682 --> 02:06:33.019 region:rollup2
SIMPLY FOLLOWING.
02:06:31.350 --> 02:06:35.021 region:rollup2
FALLING THROUGH THE CRACKS WITH
02:06:33.019 --> 02:06:37.023 region:rollup2
ME TO TESTIFY TODAY IN SUPPORT
02:06:35.021 --> 02:06:40.092 region:rollup2
OF THE BILL. OUR VENDOR RARE ANY
02:06:37.023 --> 02:06:41.594 region:rollup2
TO SAY OBGYN AND RUDY CORONADO A
02:06:40.092 --> 02:06:42.762 region:rollup2
CALIFORNIA RESIDENT WHO LOST HIS
02:06:41.594 --> 02:06:43.863 region:rollup2
FAMILY DUE TO MATERNAL MENTAL
02:06:42.762 --> 02:06:45.698 region:rollup2
HEALTH CONDITION
02:06:43.863 --> 02:06:46.899 region:rollup2
KELLY O'CONNOR QUE REPRESENTING
02:06:45.698 --> 02:06:48.201 region:rollup2
THE CO SPONSORS TWENTY TWENTY
02:06:46.899 --> 02:06:49.535 region:rollup2
MOM AND MATERNAL MENTAL HEALTH
02:06:48.201 --> 02:06:53.206 region:rollup2
NOW. IS ALSO AVAILABLE TO ANSWER
02:06:49.535 --> 02:06:57.043 region:rollup2
QUESTIONS.
02:06:53.206 --> 02:06:58.377 region:rollup2
PLEASE GO AHEAD FOR SWEETNESS.
02:06:57.043 --> 02:07:00.113 region:rollup2
THANK YOU FOR HAVING ME I'M HERE
02:06:58.377 --> 02:07:01.581 region:rollup2
TODAY TO SHARE AS A BOARD
02:07:00.113 --> 02:07:03.583 region:rollup2
CERTIFIED OBGYN AND MATERNAL
02:07:01.581 --> 02:07:04.350 region:rollup2
FETAL. MEDICINE SPECIALIST THAT
02:07:03.583 --> 02:07:05.618 region:rollup2
IT'S CRITICALLY IMPORTANT THAT
02:07:04.350 --> 02:07:06.819 region:rollup2
WE DETECT
02:07:05.618 --> 02:07:08.287 region:rollup2
AND ENSURE TREATMENT FOR
02:07:06.819 --> 02:07:10.857 region:rollup2
MATERNAL MENTAL HEALTH DISORDER
02:07:08.287 --> 02:07:12.492 region:rollup2
SUCH AS POST PARTUM DEPRESSION.
02:07:10.857 --> 02:07:14.227 region:rollup2
AB TWENTY ONE NINETY THREE WILL
02:07:12.492 --> 02:07:15.728 region:rollup2
ENSURE THAT MY COLLEAGUES
02:07:14.227 --> 02:07:16.829 region:rollup2
PRIORITIZE THIS URGENT MATTER.
02:07:15.728 --> 02:07:18.631 region:rollup2
AND HAVE A SYSTEM OF SUPPORT TO
02:07:16.829 --> 02:07:19.765 region:rollup2
DO SO.
02:07:18.631 --> 02:07:21.167 region:rollup2
THE BILL COMES OUT OF THE
02:07:19.765 --> 02:07:23.202 region:rollup2
CALIFORNIA TASK FORCE ON
02:07:21.167 --> 02:07:24.804 region:rollup2
MATERNAL MENTAL HEALTH THE TASK
02:07:23.202 --> 02:07:26.506 region:rollup2
FORCE WAS FORMED AT THE URGING
02:07:24.804 --> 02:07:28.407 region:rollup2
OF THE LEGISLATOR THROUGH ACR
02:07:26.506 --> 02:07:30.142 region:rollup2
ONE FORTY EIGHT. MULTIPLE
02:07:28.407 --> 02:07:31.978 region:rollup2
STAKEHOLDERS PARTICIPATED INTO
02:07:30.142 --> 02:07:33.146 region:rollup2
INCLUDING THREE OBGYN THIS AND
02:07:31.978 --> 02:07:35.515 region:rollup2
THE CALIFORNIA ASSOCIATION OF
02:07:33.146 --> 02:07:36.849 region:rollup2
HEALTH PLANS. THE REPORT NOTES
02:07:35.515 --> 02:07:38.184 region:rollup2
THAT IN CALIFORNIA TWENTY
02:07:36.849 --> 02:07:39.485 region:rollup2
PERCENT OF WOMEN WILL SUFFER
02:07:38.184 --> 02:07:40.553 region:rollup2
FROM A MATERNAL MENTAL HEALTH
02:07:39.485 --> 02:07:41.787 region:rollup2
DISORDERS SUCH AS POST PARTUM
02:07:40.553 --> 02:07:43.656 region:rollup2
DEPRESSION.
02:07:41.787 --> 02:07:45.124 region:rollup2
AND ROUGHLY FIFTY PERCENT OF LOW
02:07:43.656 --> 02:07:46.893 region:rollup2
INCOME MOTHERS WILL SUFFER JUST
02:07:45.124 --> 02:07:47.960 region:rollup2
DUE TO INCREASE STRESSORS.
02:07:46.893 --> 02:07:49.629 region:rollup2
THINK ABOUT THOSE NUMBERS JUST
02:07:47.960 --> 02:07:51.030 region:rollup2
FOR A MINUTE.
02:07:49.629 --> 02:07:53.566 region:rollup2
RESEARCH UNFORTUNATELY SHOWS
02:07:51.030 --> 02:07:54.100 region:rollup2
THAT THESE DISORDERS.
02:07:53.566 --> 02:07:55.201 region:rollup2
ARE NOT BEING DETECTED AND
02:07:54.100 --> 02:07:56.969 region:rollup2
TREATED.
02:07:55.201 --> 02:07:57.503 region:rollup2
DETECTION STARTS WITH HAVING
02:07:56.969 --> 02:07:59.939 region:rollup2
PATIENTS COMPLETE A QUICK
02:07:57.503 --> 02:08:01.541 region:rollup2
SURVEY.
02:07:59.939 --> 02:08:02.508 region:rollup2
THAT HAS BEEN CONFIRMED OTHER
02:08:01.541 --> 02:08:04.577 region:rollup2
VALIDATED SCREENING TOOL BY
02:08:02.508 --> 02:08:05.411 region:rollup2
RESEARCHERS.
02:08:04.577 --> 02:08:07.413 region:rollup2
THERE ARE HUNDREDS OF STUDIES
02:08:05.411 --> 02:08:08.748 region:rollup2
SHOWING THE EFFECTIVENESS
02:08:07.413 --> 02:08:10.550 region:rollup2
OF SCREENING TO DETECT THESE
02:08:08.748 --> 02:08:12.285 region:rollup2
DISORDERS AND THE IMPORTANCE OF
02:08:10.550 --> 02:08:14.320 region:rollup2
EARLY AND EFFECTIVE TREATMENT.
02:08:12.285 --> 02:08:15.988 region:rollup2
YET THE SCREENING RATES REMAIN
02:08:14.320 --> 02:08:17.323 region:rollup2
LOW. AND I BELIEVE THAT ONE OF
02:08:15.988 --> 02:08:18.891 region:rollup2
THE REASONS THESE ARE LOW
02:08:17.323 --> 02:08:20.793 region:rollup2
NUMBERS COMES FROM A LACK OF
02:08:18.891 --> 02:08:22.328 region:rollup2
APPROPRIATE REFERRAL. THAT WE
02:08:20.793 --> 02:08:23.729 region:rollup2
HAVE TO REFER TO BEHAVIORAL
02:08:22.328 --> 02:08:24.864 region:rollup2
HEALTH SPECIALIST ONCE WE
02:08:23.729 --> 02:08:26.399 region:rollup2
SUSPECT THAT THERE IS A MENTAL
02:08:24.864 --> 02:08:27.500 region:rollup2
HEALTH DISORDER.
02:08:26.399 --> 02:08:29.035 region:rollup2
RESEARCHERS LONG CONFIRMED
02:08:27.500 --> 02:08:30.069 region:rollup2
UNTREATED MATERNAL DEPRESSION
02:08:29.035 --> 02:08:31.404 region:rollup2
LEADS TO TREATMENT RESISTANT
02:08:30.069 --> 02:08:33.506 region:rollup2
DEPRESSION AND IMPACTS FAMILY
02:08:31.404 --> 02:08:35.641 region:rollup2
STABILITY. AS I TELL ALL MY
02:08:33.506 --> 02:08:36.943 region:rollup2
PATIENTS IF MOMS ARE IN A GOOD
02:08:35.641 --> 02:08:38.244 region:rollup2
PLACE THE FAMILY ISN'T IN A GOOD
02:08:36.943 --> 02:08:39.478 region:rollup2
PLACE.
02:08:38.244 --> 02:08:41.080 region:rollup2
IT'S ALSO CRITICAL BUT YOU KNOW
02:08:39.478 --> 02:08:42.815 region:rollup2
THAT HUNDREDS OF STUDIES CONFIRM
02:08:41.080 --> 02:08:44.116 region:rollup2
NEGATIVE CHILD OUTCOMES
02:08:42.815 --> 02:08:45.685 region:rollup2
WHEN THESE DISORDERS ARE LEFT
02:08:44.116 --> 02:08:47.119 region:rollup2
UNTREATED ONE ENTRY TO DURING
02:08:45.685 --> 02:08:48.654 region:rollup2
PREGNANCY THERE'S A HIGHER RISK
02:08:47.119 --> 02:08:49.188 region:rollup2
OF ADVERSE PREGNANCY OUTCOMES
02:08:48.654 --> 02:08:50.556 region:rollup2
INCLUDING LOW BIRTH WEIGHT
02:08:49.188 --> 02:08:52.458 region:rollup2
INFANTS.
02:08:50.556 --> 02:08:53.759 region:rollup2
AND PRETERM BIRTH.
02:08:52.458 --> 02:08:55.828 region:rollup2
THE WORST FAMILY OUTCOME IS
02:08:53.759 --> 02:08:56.862 region:rollup2
STUFF IN THOSE SUICIDE IS RARE
02:08:55.828 --> 02:08:57.897 region:rollup2
IT IS KNOWN TO BE THE LEADING
02:08:56.862 --> 02:08:59.165 region:rollup2
CAUSE OF DEATH IN THE PERINATAL
02:08:57.897 --> 02:09:01.367 region:rollup2
PERIOD.
02:08:59.165 --> 02:09:02.101 region:rollup2
IN THE CASE OF PSYCHOSIS A STATE
02:09:01.367 --> 02:09:04.203 region:rollup2
WHEN A MOTHER HAS A BREAK IN
02:09:02.101 --> 02:09:05.738 region:rollup2
REALITY SHE ALSO HAS A HIGHER
02:09:04.203 --> 02:09:07.106 region:rollup2
RISK OF HARMING HER CHILD.
02:09:05.738 --> 02:09:09.008 region:rollup2
AB TWENTY ONE NINETY THREE
02:09:07.106 --> 02:09:09.875 region:rollup2
REQUIRES WILL BE PROVIDERS TO
02:09:09.008 --> 02:09:12.311 region:rollup2
SCREEN AND FOR INSURANCE
02:09:09.875 --> 02:09:13.446 region:rollup2
COMPANIES TO PROVIDE US WITH
02:09:12.311 --> 02:09:15.214 region:rollup2
SUPPORT BY DEVELOPING A QUALITY
02:09:13.446 --> 02:09:16.482 region:rollup2
MANAGEMENT PROGRAM.
02:09:15.214 --> 02:09:17.783 region:rollup2
THE HEALTH CRISIS IS NEGATIVELY
02:09:16.482 --> 02:09:18.784 region:rollup2
IMPACTING MY PATIENTS
02:09:17.783 --> 02:09:23.889 region:rollup2
CALIFORNIA'S FAMILIES AND OUR
02:09:18.784 --> 02:09:24.457 region:rollup2
SOCIETY.
02:09:23.889 --> 02:09:28.828 region:rollup2
SIR. DIFFICULT MA'AM EXITING
02:09:24.457 --> 02:09:30.563 region:rollup2
SIR.
02:09:28.828 --> 02:09:31.864 region:rollup2
I THANK YOU FOR GIVING ME THE
02:09:30.563 --> 02:09:33.799 region:rollup2
OPPORTUNITY OF SPEAKING TO USE
02:09:31.864 --> 02:09:35.901 region:rollup2
POWERFUL PEOPLE.
02:09:33.799 --> 02:09:37.036 region:rollup2
WHEN I WAS RUDY CORONADO.
02:09:35.901 --> 02:09:38.738 region:rollup2
I LOST MY FAMILY TO THIS
02:09:37.036 --> 02:09:40.740 region:rollup2
HORRIBLE DISEASE.
02:09:38.738 --> 02:09:43.142 region:rollup2
BY WIFE WAS A GOOD WOMAN. SHOOT
02:09:40.740 --> 02:09:44.176 region:rollup2
SHE WAS A EXTRA TECHNOLOGIES.
02:09:43.142 --> 02:09:45.544 region:rollup2
SHE WAS SIXTY HOURS AWAY FROM
02:09:44.176 --> 02:09:47.546 region:rollup2
BEING A DOCTOR.
02:09:45.544 --> 02:09:50.483 region:rollup2
SEVEN YEARS RESERVE MILITARY.
02:09:47.546 --> 02:09:52.418 region:rollup2
UNDER HER BELT.
02:09:50.483 --> 02:09:53.686 region:rollup2
SHE HAD A PSYCHOSIS REACTION AS
02:09:52.418 --> 02:09:55.054 region:rollup2
HE TOOK THE LIVES OF MY THREE
02:09:53.686 --> 02:09:56.922 region:rollup2
LITTLE GIRLS MAY TWENTIETH TWO
02:09:55.054 --> 02:09:59.425 region:rollup2
THOUSAND FOURTEEN BEFORE YEARS
02:09:56.922 --> 02:10:01.160 region:rollup2
NEXT MONTH.
02:09:59.425 --> 02:10:03.562 region:rollup2
THERE'S.
02:10:01.160 --> 02:10:05.765 region:rollup2
I'M I'M HERE IN SUPPORT OF THE
02:10:03.562 --> 02:10:07.800 region:rollup2
BILL BECAUSE NO ONE EVER TOLD US
02:10:05.765 --> 02:10:10.503 region:rollup2
ANYTHING OR NO ONE EVER ADVISES
02:10:07.800 --> 02:10:13.272 region:rollup2
US. OF THIS DISEASE WE KNOW
02:10:10.503 --> 02:10:14.974 region:rollup2
ABOUT IT POSTPARTUM.
02:10:13.272 --> 02:10:15.841 region:rollup2
I'M PRETTY SURE NEITHER NON ONE
02:10:14.974 --> 02:10:17.476 region:rollup2
OF YOU GUYS KNEW THAT IT WAS
02:10:15.841 --> 02:10:19.679 region:rollup2
THERE'S THREE STAGES TO POST
02:10:17.476 --> 02:10:20.880 region:rollup2
PARTUM. THAT NONE WAS NOBODY
02:10:19.679 --> 02:10:23.416 region:rollup2
THEY DON'T TELL US ABOUT IT
02:10:20.880 --> 02:10:24.817 region:rollup2
WARRANTED OR NOT SCHOOLED ABOUT
02:10:23.416 --> 02:10:26.152 region:rollup2
NOTHING LIKE THAT.
02:10:24.817 --> 02:10:28.254 region:rollup2
I'M SORRY FROM SPEECH I'M NOT
02:10:26.152 --> 02:10:31.090 region:rollup2
TOO GOOD AT THIS.
02:10:28.254 --> 02:10:35.928 region:rollup2
.
02:10:31.090 --> 02:10:37.930 region:rollup2
WELL ON GRASS.
02:10:35.928 --> 02:10:39.765 region:rollup2
I'M HERE IN SUPPORT.
02:10:37.930 --> 02:10:41.600 region:rollup2
TO MAKE SURE THAT AB TWENTY ONE
02:10:39.765 --> 02:10:43.035 region:rollup2
A THREE THIS PAST SO THAT ALL
02:10:41.600 --> 02:10:43.636 region:rollup2
THEIR HUSBAND OR FATHER GOES
02:10:43.035 --> 02:10:44.737 region:rollup2
THROUGH WHAT I'M GOING THROUGH
02:10:43.636 --> 02:10:46.605 region:rollup2
RIGHT NOW.
02:10:44.737 --> 02:10:50.176 region:rollup2
IT'S IT'S IT'S NOT EASY FOR FOR
02:10:46.605 --> 02:10:51.677 region:rollup2
ONE.
02:10:50.176 --> 02:10:53.813 region:rollup2
STUDIES FOR WANT TO LIVE WITH IS
02:10:51.677 --> 02:10:55.314 region:rollup2
IS NOT IN AND IT'S NOT EASY TO
02:10:53.813 --> 02:10:57.383 region:rollup2
DETECT IT.
02:10:55.314 --> 02:10:59.051 region:rollup2
THERE'S NOTHING BEING DONE ABOUT
02:10:57.383 --> 02:11:00.386 region:rollup2
IT TO TRY TO FIGURE IT OUT OR
02:10:59.051 --> 02:11:02.855 region:rollup2
LEARNED OR.
02:11:00.386 --> 02:11:03.989 region:rollup2
I'M SO SORRY.
02:11:02.855 --> 02:11:05.524 region:rollup2
THERE'S NOTHING BEING DONE ABOUT
02:11:03.989 --> 02:11:07.593 region:rollup2
IT THERE'S NOTHING BEING DON'T
02:11:05.524 --> 02:11:09.361 region:rollup2
WORRY NOT TOLD NOTHING I'M JUST
02:11:07.593 --> 02:11:09.929 region:rollup2
A REGULAR PERSON I'M NOT IS
02:11:09.361 --> 02:11:10.696 region:rollup2
KILLING NONE OF THESE FOLKS
02:11:09.929 --> 02:11:12.765 region:rollup2
HERE.
02:11:10.696 --> 02:11:13.766 region:rollup2
BUT ONE THING THAT THEY DON'T
02:11:12.765 --> 02:11:15.468 region:rollup2
TELL US IS NOTHING ABOUT THIS
02:11:13.766 --> 02:11:19.805 region:rollup2
DISEASE WORDS. WERE NOT TOLD
02:11:15.468 --> 02:11:21.774 region:rollup2
ABOUT IT.
02:11:19.805 --> 02:11:23.209 region:rollup2
CAROL WAS WAS WAS WAS A STRONG
02:11:21.774 --> 02:11:25.010 region:rollup2
WOMAN WAS A STRONG WOMAN SHE
02:11:23.209 --> 02:11:26.378 region:rollup2
SHE'S.
02:11:25.010 --> 02:11:28.214 region:rollup2
SHE'D NEVER MISSED AN
02:11:26.378 --> 02:11:30.116 region:rollup2
APPOINTMENT SCISSORS WHO ALWAYS
02:11:28.214 --> 02:11:31.717 region:rollup2
WENT ALL REPLY MEANS NEVER GOT
02:11:30.116 --> 02:11:34.887 region:rollup2
SCREEN TO AWAIT THE WITH
02:11:31.717 --> 02:11:37.089 region:rollup2
ANYTHING.
02:11:34.887 --> 02:11:41.927 region:rollup2
I.
02:11:37.089 --> 02:11:45.931 region:rollup2
I'M SORRY.
02:11:41.927 --> 02:11:47.933 region:rollup2
I AM.
02:11:45.931 --> 02:11:49.368 region:rollup2
WE WERE A HAPPY FAMILY. WE WERE
02:11:47.933 --> 02:11:50.302 region:rollup2
OF A WE WERE A HAPPY FAMILY WITH
02:11:49.368 --> 02:11:52.037 region:rollup2
HE WOULDN'T HAVE THE LUXURIES
02:11:50.302 --> 02:11:53.606 region:rollup2
BUT WE NEED OF NOTHING.
02:11:52.037 --> 02:11:54.673 region:rollup2
WE WORKED WE WORKED SHE WENT TO
02:11:53.606 --> 02:11:56.275 region:rollup2
SCHOOL WE WORK THAT WE WORK
02:11:54.673 --> 02:11:57.543 region:rollup2
TOGETHER.
02:11:56.275 --> 02:11:59.612 region:rollup2
OUR KIDS WERE HAPPY IT
02:11:57.543 --> 02:12:00.546 region:rollup2
EVERYTHING WAS GOOD. JUST FROM
02:11:59.612 --> 02:12:02.882 region:rollup2
ONE DAY TO ANOTHER SHE FLIPPED
02:12:00.546 --> 02:12:03.449 region:rollup2
OUT.
02:12:02.882 --> 02:12:04.817 region:rollup2
AND WHAT MADE IT HAPPEN WHO
02:12:03.449 --> 02:12:06.685 region:rollup2
KNOWS.
02:12:04.817 --> 02:12:09.255 region:rollup2
HOW WHAT CAN I DO TO FIGURE OUT
02:12:06.685 --> 02:12:11.290 region:rollup2
WHAT SHE WAS GOING? AND NO CLUE.
02:12:09.255 --> 02:12:13.192 region:rollup2
NOW THAT THIS HAPPENED I'VE SEEN
02:12:11.290 --> 02:12:15.361 region:rollup2
I'VE SEEN OPEN MY EYES AND I'VE
02:12:13.192 --> 02:12:17.329 region:rollup2
NOTICED A LOT MORE WOMEN COME
02:12:15.361 --> 02:12:18.297 region:rollup2
FORWARD AND BRING IT OUT. THEY
02:12:17.329 --> 02:12:20.533 region:rollup2
DON'T TALK ABOUT IT DIDN'T
02:12:18.297 --> 02:12:21.100 region:rollup2
THEY'VE THEY FEAR THE FACT THAT
02:12:20.533 --> 02:12:22.001 region:rollup2
THEY MIGHT THINK THEIR KIDS
02:12:21.100 --> 02:12:23.035 region:rollup2
AWAY.
02:12:22.001 --> 02:12:23.803 region:rollup2
THEY WILL TALK TO US HUSBAND
02:12:23.035 --> 02:12:25.004 region:rollup2
BECAUSE THEY MIGHT THINK THEY
02:12:23.803 --> 02:12:26.439 region:rollup2
WORK DAY WE THINK THAT THEY'RE
02:12:25.004 --> 02:12:27.706 region:rollup2
CRAZY.
02:12:26.439 --> 02:12:28.808 region:rollup2
BUT IN REALITY YOU REALLY ARE
02:12:27.706 --> 02:12:30.810 region:rollup2
THE KIND OF GOING THROUGH IT
02:12:28.808 --> 02:12:32.978 region:rollup2
EVERY SINGLE WOMAN THAT HAS A
02:12:30.810 --> 02:12:34.480 region:rollup2
CHILD. GOES THROUGH THESE.
02:12:32.978 --> 02:12:35.881 region:rollup2
EVERY SINGLE ONE ON BUT NOBODY
02:12:34.480 --> 02:12:36.782 region:rollup2
TALKS ABOUT IT AND THEY
02:12:35.881 --> 02:12:38.117 region:rollup2
ESPECIALLY DON'T WANT TO TALK
02:12:36.782 --> 02:12:39.852 region:rollup2
ABOUT IT BECAUSE IT'S IN THEIR
02:12:38.117 --> 02:12:41.220 region:rollup2
MIND.
02:12:39.852 --> 02:12:42.521 region:rollup2
WHAT ARE YOU GUYS AND I THINK
02:12:41.220 --> 02:12:43.556 region:rollup2
ALL ON CRAZY YOU GONNA TAKE MY
02:12:42.521 --> 02:12:44.123 region:rollup2
BABY ONLY?
02:12:43.556 --> 02:12:45.758 region:rollup2
THAT'S WILL COSTUMES MIND I
02:12:44.123 --> 02:12:47.326 region:rollup2
FEEL.
02:12:45.758 --> 02:12:52.431 region:rollup2
AND THAT'S WHY THEY DON'T NOBODY
02:12:47.326 --> 02:12:55.301 region:rollup2
EVER TALKS ABOUT IT.
02:12:52.431 --> 02:12:56.435 region:rollup2
I'M HERE TO ENSURE DRUM THAT.
02:12:55.301 --> 02:12:58.370 region:rollup2
THE MONEY TO ENSURE BUT TO LET
02:12:56.435 --> 02:12:59.839 region:rollup2
YOU GUYS KNOW THAT PLEASE LET
02:12:58.370 --> 02:13:01.240 region:rollup2
LET LET DO SOMETHING ABOUT IT
02:12:59.839 --> 02:13:03.542 region:rollup2
YOU GUYS WILL BE THE FIRST ONES
02:13:01.240 --> 02:13:05.544 region:rollup2
TO NOT TODAY EVERYONE KNOWS
02:13:03.542 --> 02:13:06.745 region:rollup2
ABOUT IT IN EUROPE IS A FOR THIS
02:13:05.544 --> 02:13:10.916 region:rollup2
IS REAL.
02:13:06.745 --> 02:13:12.284 region:rollup2
IT'S S. ACCEPTED IT'S IT'S.
02:13:10.916 --> 02:13:13.152 region:rollup2
I'M GOING THROUGH THE WORST
02:13:12.284 --> 02:13:15.020 region:rollup2
THINGA HUMAN BEING CAN GO
02:13:13.152 --> 02:13:16.689 region:rollup2
THROUGH AND I'M STILL STE.
02:13:15.020 --> 02:13:17.756 region:rollup2
PORTING THE WOMAN THAT THE THIS
02:13:16.689 --> 02:13:19.492 region:rollup2
BECAUSE I KNOW SHE WAS OF THE
02:13:17.756 --> 02:13:20.960 region:rollup2
LONG.
02:13:19.492 --> 02:13:22.228 region:rollup2
SHE HAS A SHE'S GOING THROUGH A
02:13:20.960 --> 02:13:24.530 region:rollup2
THREE LIFE SENTENCES AND I FEEL
02:13:22.228 --> 02:13:26.232 region:rollup2
BAD BECAUSE OF WHAT SHE'S GOING
02:13:24.530 --> 02:13:27.867 region:rollup2
THROUGH. BECAUSE I KNEW HER.
02:13:26.232 --> 02:13:29.101 region:rollup2
I HATE WHAT I'M GOING THROUGH IN
02:13:27.867 --> 02:13:30.836 region:rollup2
MY LIFE BUT IF THIS HAD HAPPENED
02:13:29.101 --> 02:13:32.371 region:rollup2
I WOULDN'T BE HERE.
02:13:30.836 --> 02:13:34.306 region:rollup2
SPEAKING THROUGH YOU PEOPLE
02:13:32.371 --> 02:13:36.075 region:rollup2
ABOUT IT AND TO TRY TO HELP
02:13:34.306 --> 02:13:38.177 region:rollup2
ANOTHER ANOTHER FATHER. AND
02:13:36.075 --> 02:13:38.777 region:rollup2
MOTHER FOR THEM NOT TO HAPPEN
02:13:38.177 --> 02:13:46.118 region:rollup2
WOULD HAPPEN WAS HAPPENING TO
02:13:38.777 --> 02:13:47.620 region:rollup2
ME.
02:13:46.118 --> 02:13:49.355 region:rollup2
I'M SORRY I DON'T KNOW WHAT
02:13:47.620 --> 02:13:50.990 region:rollup2
VOTES THROUGH WHAT ELSE TO SAY.
02:13:49.355 --> 02:13:52.791 region:rollup2
OTHER THAN THE PLEASE LISTEN TO
02:13:50.990 --> 02:13:53.926 region:rollup2
THESE PEOPLE BECAUSE THEY REALLY
02:13:52.791 --> 02:13:55.861 region:rollup2
ARE TRYING TO DO SOMETHING ABOUT
02:13:53.926 --> 02:13:57.196 region:rollup2
IT. AND YOU GUYS WOULD BE THE
02:13:55.861 --> 02:13:59.164 region:rollup2
ONES THAT HAVE THE FIRST HAND
02:13:57.196 --> 02:14:00.733 region:rollup2
AND UPPER HAND. TO BEGIN
02:13:59.164 --> 02:14:03.102 region:rollup2
SOMETHING TO TO BEGIN TO DO
02:14:00.733 --> 02:14:05.170 region:rollup2
SOMETHING ABOUT IT AND EDUCATE
02:14:03.102 --> 02:14:06.739 region:rollup2
US FATHERS OF NEW FATHERS. ABOUT
02:14:05.170 --> 02:14:09.241 region:rollup2
THIS DISEASE TO AT LEAST GIVE US
02:14:06.739 --> 02:14:11.744 region:rollup2
A HEADS UP AND IT DOESN'T HEAR
02:14:09.241 --> 02:14:13.646 region:rollup2
FROM. FROM THE BACK.
02:14:11.744 --> 02:14:14.213 region:rollup2
SOME DON'T KNOW WHAT ELSE TO SAY
02:14:13.646 --> 02:14:16.382 region:rollup2
THANK YOU VERY MUCH FOR YOUR
02:14:14.213 --> 02:14:17.983 region:rollup2
TIME.
02:14:16.382 --> 02:14:18.617 region:rollup2
THANK YOU VERY MUCH PLEASE NEVER
02:14:17.983 --> 02:14:19.885 region:rollup2
APOLOGIZE FOR SPEAKING FROM THE
02:14:18.617 --> 02:14:23.222 region:rollup2
HEART.
02:14:19.885 --> 02:14:29.762 region:rollup2
THANK YOU.
02:14:23.222 --> 02:14:31.330 region:rollup2
OTHERS IN SUPPORT.
02:14:29.762 --> 02:14:32.698 region:rollup2
HI MY NAME IS KELLY LOCKWOOD I'M
02:14:31.330 --> 02:14:37.903 region:rollup2
A LICENSED CLINICAL SOCIAL
02:14:32.698 --> 02:14:39.471 region:rollup2
WORKER AND MOTHER AND PORT.
02:14:37.903 --> 02:14:40.839 region:rollup2
LISA STOCK IN AND BACK IT
02:14:39.471 --> 02:14:45.177 region:rollup2
STOCKTON WITH NAPA MOMS IN
02:14:40.839 --> 02:14:46.979 region:rollup2
SUPPORT.
02:14:45.177 --> 02:14:48.547 region:rollup2
THERE PADGETT A DAD AND A
02:14:46.979 --> 02:14:49.081 region:rollup2
GRANDFATHER THAT LOST BOTH HIS
02:14:48.547 --> 02:14:54.420 region:rollup2
DAUGHTER AND HIS
02:14:49.081 --> 02:14:55.888 region:rollup2
GRANDSON.
02:14:54.420 --> 02:15:00.392 region:rollup2
HE JOHN WROTE US WITH THE
02:14:55.888 --> 02:15:02.194 region:rollup2
STEINBERG INSTITUTE IN SUPPORT.
02:15:00.392 --> 02:15:02.761 region:rollup2
JOSEPHINE AT ANY DOES NOT SENATE
02:15:02.194 --> 02:15:14.039 region:rollup2
WITH CHILDREN NOW IN STRONG
02:15:02.761 --> 02:15:15.908 region:rollup2
SUPPORT.
02:15:14.039 --> 02:15:17.876 region:rollup2
KELLY BE MARCH OF DOT.
02:15:15.908 --> 02:15:19.078 region:rollup2
WOMEN FOR OF HARRY PART OF
02:15:17.876 --> 02:15:23.515 region:rollup2
MENTAL HEALTH DISORDERS IN
02:15:19.078 --> 02:15:24.950 region:rollup2
STRONG SUPPORT.
02:15:23.515 --> 02:15:29.321 region:rollup2
CHAPLAIN LAME OTHERWISE LAKE
02:15:24.950 --> 02:15:31.056 region:rollup2
COUNTY IN STRONG SUPPORT.
02:15:29.321 --> 02:15:34.727 region:rollup2
ROSARIO GARCIA POSTPARTUM DOULA
02:15:31.056 --> 02:15:36.462 region:rollup2
IN SUPPORT.
02:15:34.727 --> 02:15:37.496 region:rollup2
NICOLE CAN GUESS LICENSED
02:15:36.462 --> 02:15:37.963 region:rollup2
MARRIAGE AND FAMILY THERAPIST IN
02:15:37.496 --> 02:15:47.473 region:rollup2
STRONG SUPPORT SENDING
02:15:37.963 --> 02:15:49.408 region:rollup2
POSTPARTUM SUPPORTED
02:15:47.473 --> 02:15:50.809 region:rollup2
NATIONAL. IT'S A PROGRAM THAT
02:15:49.408 --> 02:15:54.246 region:rollup2
SUPPORTS WOMEN.
02:15:50.809 --> 02:15:55.948 region:rollup2
IN ADVOCACY AND SUPPORT AND IN
02:15:54.246 --> 02:15:57.650 region:rollup2
TRAININGS. AND IT'S A PROGRAM
02:15:55.948 --> 02:16:00.452 region:rollup2
THAT SUPPORTS. ALL THROUGHOUT
02:15:57.650 --> 02:16:02.321 region:rollup2
THE UNITED STATES WOMEN WITH UP
02:16:00.452 --> 02:16:05.157 region:rollup2
POST PARTUM OR HARRY NATAL. MOOD
02:16:02.321 --> 02:16:07.192 region:rollup2
DISORDERS AND. OTHER ANXIETY AND
02:16:05.157 --> 02:16:08.660 region:rollup2
AS WELL AS THIRTY FIVE OTHER
02:16:07.192 --> 02:16:09.728 region:rollup2
COUNTRIES IN THE WORLD.
02:16:08.660 --> 02:16:11.864 region:rollup2
SO THIS IS NOT JUST A UNITED
02:16:09.728 --> 02:16:20.973 region:rollup2
STATES PRO.
02:16:11.864 --> 02:16:24.743 region:rollup2
PICK HERE.
02:16:20.973 --> 02:16:26.879 region:rollup2
I'M MICHAEL LANDON ABA. I AM A.
02:16:24.743 --> 02:16:29.782 region:rollup2
PSYCHOLOGIST IN PRIVATE PRACTICE
02:16:26.879 --> 02:16:31.550 region:rollup2
IN CALIFORNIA AND I TREAT WOMEN
02:16:29.782 --> 02:16:34.420 region:rollup2
WITH PERI NATAL.
02:16:31.550 --> 02:16:35.988 region:rollup2
MENTAL DISORDERS INCLUDING
02:16:34.420 --> 02:16:38.891 region:rollup2
PROBLEMS WITH INFERTILITY. FETAL
02:16:35.988 --> 02:16:41.593 region:rollup2
LOSS.
02:16:38.891 --> 02:16:43.662 region:rollup2
DEPRESSION.
02:16:41.593 --> 02:16:46.031 region:rollup2
AND ALL THAT TRAGIC THINGS THAT
02:16:43.662 --> 02:16:48.834 region:rollup2
CAN HAPPEN DURING THE COURSE OF
02:16:46.031 --> 02:16:51.370 region:rollup2
PRODUCING A CHILD WHICH IS A
02:16:48.834 --> 02:16:53.105 region:rollup2
HIGH RISK ENDEAVOR.
02:16:51.370 --> 02:16:56.375 region:rollup2
PRESENTLY THOUGH A WOMAN NEEDS
02:16:53.105 --> 02:16:59.011 region:rollup2
TO. SELF DIAGNOSE HERSELF.
02:16:56.375 --> 02:17:00.179 region:rollup2
LOCATE CARE FINANCE CARE CHAU UP
02:16:59.011 --> 02:17:01.914 region:rollup2
IN AN UNFAMILIAR PLACE FOR
02:17:00.179 --> 02:17:03.449 region:rollup2
TREATMENT.
02:17:01.914 --> 02:17:05.050 region:rollup2
BY THE TIME WHEN SHE SAID HER
02:17:03.449 --> 02:17:07.553 region:rollup2
MOST VULNERABLE.
02:17:05.050 --> 02:17:09.288 region:rollup2
IN OFTEN UNABLE TO EVEN GET OUT
02:17:07.553 --> 02:17:11.223 region:rollup2
OF BED HER BRUSH YOUR TEETH.
02:17:09.288 --> 02:17:13.058 region:rollup2
WE'RE ASKING TOO MUCH IN FACT
02:17:11.223 --> 02:17:14.827 region:rollup2
WERE ASKING THE IMPOSSIBLE AND
02:17:13.058 --> 02:17:16.862 region:rollup2
PLACING BOTH THE WOMAN AND HER
02:17:14.827 --> 02:17:18.464 region:rollup2
INFANT AT RISK.
02:17:16.862 --> 02:17:19.965 region:rollup2
NONE OF US WOULD LIKE TO SEE
02:17:18.464 --> 02:17:22.835 region:rollup2
MARK OUR MOST VULNERABLE
02:17:19.965 --> 02:17:25.003 region:rollup2
CITIZENS PLACED IN A SITUATION.
02:17:22.835 --> 02:17:26.071 region:rollup2
WITH IT IMPAIRED CAREGIVER
02:17:25.003 --> 02:17:28.540 region:rollup2
THAT'S HAPPENING ALL TOO
02:17:26.071 --> 02:17:30.642 region:rollup2
FREQUENTLY AND WE NEED A SAFETY
02:17:28.540 --> 02:17:32.578 region:rollup2
NET IN PLACE TO ALLOW. PEOPLE TO
02:17:30.642 --> 02:17:34.446 region:rollup2
BE PROTECTED AND TO BE ABLE TO
02:17:32.578 --> 02:17:36.715 region:rollup2
ACCESS THE CARE THAT THEY NEED
02:17:34.446 --> 02:17:38.484 region:rollup2
AND DESERVE. THANK YOU I SUPPORT
02:17:36.715 --> 02:17:40.352 region:rollup2
STRONGLY SUPPORTS AB TWENTY ONE
02:17:38.484 --> 02:17:41.253 region:rollup2
NINETY THREE.
02:17:40.352 --> 02:17:42.688 region:rollup2
THANK YOU JUST NAME AND
02:17:41.253 --> 02:17:43.489 region:rollup2
ORGANIZATION PLEASE
02:17:42.688 --> 02:17:44.690 region:rollup2
CAN RELIGION ON BEHALF THE
02:17:43.489 --> 02:17:48.060 region:rollup2
CALIFORNIA PAN ETHNIC HEALTH
02:17:44.690 --> 02:17:49.394 region:rollup2
ORGAN SUPPORT.
02:17:48.060 --> 02:17:52.631 region:rollup2
MAJOR FORCE ON BEHALF OF HEALTH
02:17:49.394 --> 02:17:53.866 region:rollup2
ACCESS CALIFORNIANS SUPPORT.
02:17:52.631 --> 02:17:55.868 region:rollup2
HI I'M CHRISTA MCAULIFFE FROM
02:17:53.866 --> 02:17:59.104 region:rollup2
NAPA MOANS AND TWENTY TWENTY MOM
02:17:55.868 --> 02:18:00.506 region:rollup2
IN STRONG SUPPORT FOR.
02:17:59.104 --> 02:18:02.441 region:rollup2
HI AMBER PRESERVED IN A LICENSE
02:18:00.506 --> 02:18:02.908 region:rollup2
ECOLOGISTS AND BOARD MEMBER OF
02:18:02.441 --> 02:18:06.111 region:rollup2
TWENTY TWENTY MONTHS.
02:18:02.908 --> 02:18:07.746 region:rollup2
Q..
02:18:06.111 --> 02:18:10.682 region:rollup2
JOINT BURKHARD MOTHER IN SANTA
02:18:07.746 --> 02:18:12.317 region:rollup2
CLARITA CALIFORNIA WE ALSO HAVE.
02:18:10.682 --> 02:18:13.552 region:rollup2
A BOOK HERE OF ABOUT FIFTY OTHER
02:18:12.317 --> 02:18:14.686 region:rollup2
MOTHERS WHO COULDN'T JOIN US
02:18:13.552 --> 02:18:17.790 region:rollup2
TODAY WE ALL STRONGLY SUPPORT
02:18:14.686 --> 02:18:19.491 region:rollup2
THE SPELLING.
02:18:17.790 --> 02:18:21.627 region:rollup2
MOTION ME MUKHERJEE CERTIFIED
02:18:19.491 --> 02:18:24.463 region:rollup2
NURSE MIDWIFE IN PSYCHIATRIC
02:18:21.627 --> 02:18:25.931 region:rollup2
NURSE PRACTITIONER IN SUPPORT.
02:18:24.463 --> 02:18:28.500 region:rollup2
MELANIE THOMAS LICENSE
02:18:25.931 --> 02:18:29.801 region:rollup2
PSYCHIATRIST AT DEPARTMENT OF
02:18:28.500 --> 02:18:32.571 region:rollup2
PSYCHIATRY AT UCSF AND SUPPORT
02:18:29.801 --> 02:18:34.072 region:rollup2
THANK YOU.
02:18:32.571 --> 02:18:35.974 region:rollup2
HI I'M KILEY ENACHE I'M AN
02:18:34.072 --> 02:18:37.309 region:rollup2
OCCUPATIONAL THERAPIST I'M WITH
02:18:35.974 --> 02:18:38.744 region:rollup2
TWENTY TWENTY MOM AND THE RETURN
02:18:37.309 --> 02:18:39.678 region:rollup2
TO ZERO CENTER FOR HIM.
02:18:38.744 --> 02:18:42.815 region:rollup2
I STRONGLY SUPPORT THIS BILL.
02:18:39.678 --> 02:18:44.850 region:rollup2
Q..
02:18:42.815 --> 02:18:46.218 region:rollup2
A ROLE MARTINEZ MY WIFE TOOK HER
02:18:44.850 --> 02:18:50.923 region:rollup2
OWN LIFE BECAUSE POSTPARTUM
02:18:46.218 --> 02:18:53.258 region:rollup2
PSYCHOSIS AND STRONG SUPPORTER.
02:18:50.923 --> 02:18:54.359 region:rollup2
I AM ANGELINA SPICER I AM A POST
02:18:53.258 --> 02:18:56.395 region:rollup2
PARTUM DEPRESSION.
02:18:54.359 --> 02:19:01.500 region:rollup2
SURVIVOR.
02:18:56.395 --> 02:19:02.334 region:rollup2
AND I AM IN STRONG SUPPORT.
02:19:01.500 --> 02:19:03.602 region:rollup2
CHAIRMAN MEMBERS OF THE
02:19:02.334 --> 02:19:04.636 region:rollup2
COMMITTEE RENTAL HAGER FOR THE
02:19:03.602 --> 02:19:06.572 region:rollup2
CALIFORNIA PSYCHIATRIC
02:19:04.636 --> 02:19:08.440 region:rollup2
ASSOCIATION AND PARTICULARLY ON
02:19:06.572 --> 02:19:08.974 region:rollup2
BEHALF OF THE TOWN OF LESSONS
02:19:08.440 --> 02:19:13.111 region:rollup2
SKYTREE COMMITTEE WERE IN
02:19:08.974 --> 02:19:14.713 region:rollup2
SUPPORT.
02:19:13.111 --> 02:19:30.929 region:rollup2
ANYONE IN OPPOSITION.
02:19:14.713 --> 02:19:30.929 region:rollup2
WITH THE BILL
02:19:38.136 --> 02:19:39.705 region:rollup2
.
02:19:38.270 --> 02:19:40.405 region:rollup2
RIGHT SPENCER WITH THE AMERICAN
02:19:39.705 --> 02:19:42.174 region:rollup2
COLLEGE OF OBSTETRICS AND
02:19:40.405 --> 02:19:44.409 region:rollup2
GYNECOLOGY. NINE.
02:19:42.174 --> 02:19:45.544 region:rollup2
WE HAD A OF POSITION HERE
02:19:44.409 --> 02:19:47.346 region:rollup2
PRESENT BUT YOU HAVE HAD A
02:19:45.544 --> 02:19:48.280 region:rollup2
CALLED UNEXPECTEDLY SO. I WILL
02:19:47.346 --> 02:19:49.581 region:rollup2
TRY DO MY BEST ARTICULATE HIS
02:19:48.280 --> 02:19:51.550 region:rollup2
WORDS.
02:19:49.581 --> 02:19:52.851 region:rollup2
I'VE.
02:19:51.550 --> 02:19:54.453 region:rollup2
WE I REGRET WE HAVE OPPOSE
02:19:52.851 --> 02:19:55.287 region:rollup2
UNLESS AMENDED POSITION ON THE
02:19:54.453 --> 02:19:57.189 region:rollup2
BILL.
02:19:55.287 --> 02:19:58.724 region:rollup2
THE FIRST LIKE TO THANK MR
02:19:57.189 --> 02:20:00.259 region:rollup2
MANGE I'VE TAKEN ON THIS ISSUE.
02:19:58.724 --> 02:20:02.261 region:rollup2
A IT'S A IT'S A BIG ONE AND A
02:20:00.259 --> 02:20:04.196 region:rollup2
LOT OF A ONE.
02:20:02.261 --> 02:20:06.331 region:rollup2
IN I COULDN'T SAY I SAY THAT
02:20:04.196 --> 02:20:07.532 region:rollup2
WITH CERTAINTY THAT A COG AGREES
02:20:06.331 --> 02:20:09.034 region:rollup2
WITH.
02:20:07.532 --> 02:20:10.335 region:rollup2
HIS AND THE WITNESSES
02:20:09.034 --> 02:20:12.271 region:rollup2
VIEWS TOWARD SCREENING.
02:20:10.335 --> 02:20:14.306 region:rollup2
A COG.
02:20:12.271 --> 02:20:15.073 region:rollup2
IS THE STANDARD OF CARE FOR OPG
02:20:14.306 --> 02:20:15.574 region:rollup2
Y. HANDS TO SCREEN THEIR
02:20:15.073 --> 02:20:17.609 region:rollup2
PATIENTS.
02:20:15.574 --> 02:20:18.777 region:rollup2
A CUT GUIDELINES SUGGEST AT
02:20:17.609 --> 02:20:20.178 region:rollup2
LEAST ONCE DURING PERINATAL
02:20:18.777 --> 02:20:21.546 region:rollup2
PERIOD FOR DEPRESSION AND
02:20:20.178 --> 02:20:22.848 region:rollup2
ANXIETY SYMPTOMS THERE SHOULD BE
02:20:21.546 --> 02:20:25.817 region:rollup2
A SCREENING.
02:20:22.848 --> 02:20:28.120 region:rollup2
MOST OBGYN SCREEN OF EVEN MORE
02:20:25.817 --> 02:20:29.821 region:rollup2
I'M ONCE BEFORE ONCE AFTER.
02:20:28.120 --> 02:20:31.790 region:rollup2
AND THAT'S JUST THE MINIMUM OF
02:20:29.821 --> 02:20:32.991 region:rollup2
WHAT THEY DO I THINK WHERE THE
02:20:31.790 --> 02:20:34.359 region:rollup2
PROBLEM WE HAVE AND FRANKLY THE
02:20:32.991 --> 02:20:36.595 region:rollup2
ONLY PROBLEM THAT WE HAVE WITH
02:20:34.359 --> 02:20:37.863 region:rollup2
THIS BILL. NOT THE TEN AND ALL
02:20:36.595 --> 02:20:39.665 region:rollup2
IS THE FACT THAT IT'S A MANDATE
02:20:37.863 --> 02:20:41.333 region:rollup2
ON ONE SCREEN.
02:20:39.665 --> 02:20:42.934 region:rollup2
WHEN YOU OF MANDATE MEDICAL
02:20:41.333 --> 02:20:44.403 region:rollup2
GUIDELINES IN STATUTE BECOME
02:20:42.934 --> 02:20:46.171 region:rollup2
STATIC AND THAT'S HOW MEDICAL
02:20:44.403 --> 02:20:47.773 region:rollup2
GUIDELINES SHOULD OPERATE.
02:20:46.171 --> 02:20:49.474 region:rollup2
MEDICAL GUIDELINES ARE FLUID ON
02:20:47.773 --> 02:20:50.809 region:rollup2
YOU STUDY YOU EMPLOYMENT AND
02:20:49.474 --> 02:20:52.077 region:rollup2
THEN YOU GO FROM THERE AND THEN
02:20:50.809 --> 02:20:53.779 region:rollup2
YOU STUDY YOU UP WHEN YOU GO
02:20:52.077 --> 02:20:54.746 region:rollup2
FROM THERE. AYE YEAH I WILL
02:20:53.779 --> 02:20:56.648 region:rollup2
ADMIT EVEN THE.
02:20:54.746 --> 02:20:58.350 region:rollup2
SCREENING THAT THEY'RE TALKING
02:20:56.648 --> 02:20:58.617 region:rollup2
ABOUT RIGHT HERE THAT IS A CALL
02:20:58.350 --> 02:20:59.918 region:rollup2
GUIDELINES
02:20:58.617 --> 02:21:01.787 region:rollup2
ON THE WE DON'T KNOW WHAT THE
02:20:59.918 --> 02:21:03.355 region:rollup2
FUTURE MAY HOLD AND SO. THAT IS
02:21:01.787 --> 02:21:05.090 region:rollup2
THE PREMISE OF OUR POSITION ON
02:21:03.355 --> 02:21:06.591 region:rollup2
THIS BILL. AND WE DO LOOK FOR TO
02:21:05.090 --> 02:21:08.193 region:rollup2
WORK WITH MR MAIENSCHEIN ON THIS
02:21:06.591 --> 02:21:09.928 region:rollup2
ISSUE AND HELP TO TRY TO IMPROVE
02:21:08.193 --> 02:21:10.495 region:rollup2
THE RESOURCES FOR THESE PATIENTS
02:21:09.928 --> 02:21:11.730 region:rollup2
BUT THEY NEED AN APPROPRIATE
02:21:10.495 --> 02:21:13.465 region:rollup2
TREATMENT.
02:21:11.730 --> 02:21:15.567 region:rollup2
BUT UNTIL THEN AND AS LONG AS A
02:21:13.465 --> 02:21:16.201 region:rollup2
MANDATE IS IN THE BILL AYE WE
02:21:15.567 --> 02:21:19.638 region:rollup2
REGRETTABLY HAVE TO OPPOSE THANK
02:21:16.201 --> 02:21:20.839 region:rollup2
YOU.
02:21:19.638 --> 02:21:22.140 region:rollup2
GOOD AFTERNOON I'M JENNIFER WITH
02:21:20.839 --> 02:21:23.475 region:rollup2
THE CALIFORNIA ASSOCIATION
02:21:22.140 --> 02:21:25.177 region:rollup2
HEALTH PLANS AND WE ARE OPPOSED
02:21:23.475 --> 02:21:27.145 region:rollup2
TO THIS BILL. ON THIS BILL
02:21:25.177 --> 02:21:28.747 region:rollup2
CREATES A CONDITION SPECIFIC
02:21:27.145 --> 02:21:29.848 region:rollup2
CARVE OUT UNDER EXISTING AT
02:21:28.747 --> 02:21:31.016 region:rollup2
COVERAGE FOR MENTAL HEALTH
02:21:29.848 --> 02:21:32.584 region:rollup2
SERVICES.
02:21:31.016 --> 02:21:34.086 region:rollup2
HEALTH PLANS STRONGLY AGREE WITH
02:21:32.584 --> 02:21:35.754 region:rollup2
A CRITICAL VALUE OF DELIVERY
02:21:34.086 --> 02:21:37.823 region:rollup2
HEALTH SERVICES FOR POSTPARTUM
02:21:35.754 --> 02:21:39.358 region:rollup2
DEPRESSION. AND CURRENTLY COVER
02:21:37.823 --> 02:21:40.125 region:rollup2
MENTAL HEALTH SERVICES.
02:21:39.358 --> 02:21:41.560 region:rollup2
I INCLUDING POSTPARTUM
02:21:40.125 --> 02:21:42.761 region:rollup2
DEPRESSION.
02:21:41.560 --> 02:21:44.229 region:rollup2
THE TO BURP ACCOUNT FOR ANY
02:21:42.761 --> 02:21:46.031 region:rollup2
HEALTH BENEFITS REVIEW HALF
02:21:44.229 --> 02:21:47.299 region:rollup2
PROGRAM REPORT INDICATES THAT A
02:21:46.031 --> 02:21:49.101 region:rollup2
HUNDRED PERCENT OF HEALTH PLAN
02:21:47.299 --> 02:21:50.736 region:rollup2
IN ROWLEY'S HAVE COVERAGE TO
02:21:49.101 --> 02:21:51.837 region:rollup2
MENTAL HEALTH SCREENINGS. DURING
02:21:50.736 --> 02:21:53.438 region:rollup2
THE PRENATAL AND POSTPARTUM
02:21:51.837 --> 02:21:54.539 region:rollup2
PERIODS.
02:21:53.438 --> 02:21:56.541 region:rollup2
HOWEVER THIS BILL GOES MUCH
02:21:54.539 --> 02:21:58.844 region:rollup2
FURTHER THAN THAT.
02:21:56.541 --> 02:21:59.745 region:rollup2
AND IT THAT REQUIRE MUCH OPPOSE
02:21:58.844 --> 02:22:01.380 region:rollup2
GOES MUCH FURTHER THAN CURRENT
02:21:59.745 --> 02:22:03.148 region:rollup2
PRACTICE BY REQUIRING HEALTH
02:22:01.380 --> 02:22:04.216 region:rollup2
PLANS TO PROVIDE AND CASE
02:22:03.148 --> 02:22:05.917 region:rollup2
MANAGEMENT AND OR QUALITY
02:22:04.216 --> 02:22:07.786 region:rollup2
REPORTING THAT'S MENTIONED IN
02:22:05.917 --> 02:22:09.054 region:rollup2
THE AMENDMENTS. REGARDING
02:22:07.786 --> 02:22:10.856 region:rollup2
POSTPARTUM CARE.
02:22:09.054 --> 02:22:12.224 region:rollup2
DEVELOPING AN ENTIRE NEW
02:22:10.856 --> 02:22:13.959 region:rollup2
MANAGEMENT SYSTEM FOR ONE
02:22:12.224 --> 02:22:15.894 region:rollup2
CATEGORY OF SERVICE.
02:22:13.959 --> 02:22:17.696 region:rollup2
WILL COULD NOT CONSTITUTE AN
02:22:15.894 --> 02:22:19.131 region:rollup2
EXTREME BURDEN AND INCREASED
02:22:17.696 --> 02:22:20.265 region:rollup2
COSTS FOR HEALTH PLANS.
02:22:19.131 --> 02:22:22.200 region:rollup2
WHICH UNFORTUNATELY IS FACTORED
02:22:20.265 --> 02:22:23.635 region:rollup2
INTO PREMIUMS
02:22:22.200 --> 02:22:25.937 region:rollup2
ON IN THIS JUST ISN'T A YEAR.
02:22:23.635 --> 02:22:27.606 region:rollup2
THAT WE WANT TO SEE PREMIUM
02:22:25.937 --> 02:22:30.442 region:rollup2
INCREASES OCCURRING.
02:22:27.606 --> 02:22:31.543 region:rollup2
I'M IN OR ALSO CONCERNED ABOUT.
02:22:30.442 --> 02:22:32.677 region:rollup2
ACCESS TO THE NETWORK
02:22:31.543 --> 02:22:34.446 region:rollup2
REQUIREMENTS BECAUSE OUR
02:22:32.677 --> 02:22:36.415 region:rollup2
SPECIFIC REFERENCE TO PROVIDER
02:22:34.446 --> 02:22:37.883 region:rollup2
TYPES WITHIN THE BILL.
02:22:36.415 --> 02:22:39.684 region:rollup2
SO I APPRECIATE THAT THIS IS OF
02:22:37.883 --> 02:22:41.453 region:rollup2
A REAL ISSUE THAT EXIST WITHIN
02:22:39.684 --> 02:22:43.455 region:rollup2
OUR STATE. WERE VERY I'M
02:22:41.453 --> 02:22:45.223 region:rollup2
SENSITIVE TO THE IMPACT OF HIS
02:22:43.455 --> 02:22:47.392 region:rollup2
DISEASES HAVE ON. A WOMEN IN
02:22:45.223 --> 02:22:48.660 region:rollup2
THAT WITNESSES THAT WE'VE HEARD
02:22:47.392 --> 02:22:49.761 region:rollup2
PROVIDING TESTIMONY TODAY.
02:22:48.660 --> 02:22:51.263 region:rollup2
WE'VE HAD NUMEROUS
02:22:49.761 --> 02:22:52.798 region:rollup2
CONVERSATIONS WITH THE AUTHORS
02:22:51.263 --> 02:22:55.367 region:rollup2
OFFICE IN THE SPONSORS AND WE
02:22:52.798 --> 02:22:56.635 region:rollup2
APPRECIATE. THAT THOSE.
02:22:55.367 --> 02:22:58.136 region:rollup2
CONVERSATIONS THAT WE HAVE AND
02:22:56.635 --> 02:22:59.604 region:rollup2
WHAT FOR CONTINUING THEM.
02:22:58.136 --> 02:23:01.106 region:rollup2
I DO KNOW THAT NEXT MONTH THOSE
02:22:59.604 --> 02:23:03.075 region:rollup2
MENTAL HEALTH HELP HEALTH
02:23:01.106 --> 02:23:04.609 region:rollup2
AWARENESS MONTH. WE'VE HAD SOME
02:23:03.075 --> 02:23:05.777 region:rollup2
DISCUSSIONS ABOUT EDUCATING IN
02:23:04.609 --> 02:23:07.679 region:rollup2
REDUCING THE STIGMA FOR POST
02:23:05.777 --> 02:23:08.346 region:rollup2
PART OF TO MAKE IT EASIER FOR
02:23:07.679 --> 02:23:10.615 region:rollup2
WOMEN TO ACCESS THE CARE THAT'S
02:23:08.346 --> 02:23:11.216 region:rollup2
CURRENTLY. THEY HAVE COVERAGE
02:23:10.615 --> 02:23:11.983 region:rollup2
FOR THROUGH THEIR HEALTH PLAN
02:23:11.216 --> 02:23:13.485 region:rollup2
PREMIUMS.
02:23:11.983 --> 02:23:15.620 region:rollup2
WELL WE'RE JUST NOT SURE THAT
02:23:13.485 --> 02:23:16.822 region:rollup2
THIS IS THE A NEW BENEFIT
02:23:15.620 --> 02:23:18.824 region:rollup2
MANDATES IS EXACTLY.
02:23:16.822 --> 02:23:20.759 region:rollup2
OF THE APPROPRIATE WAY TO GO.
02:23:18.824 --> 02:23:22.394 region:rollup2
.
02:23:20.759 --> 02:23:23.028 region:rollup2
FOR SPECIFIC DISEASE CARVE OUT
02:23:22.394 --> 02:23:24.663 region:rollup2
SINCE WE COVER ALL MENTAL HEALTH
02:23:23.028 --> 02:23:25.130 region:rollup2
SERVICES.
02:23:24.663 --> 02:23:27.599 region:rollup2
AND HERE TO ANSWER ANY
02:23:25.130 --> 02:23:29.434 region:rollup2
QUESTIONS.
02:23:27.599 --> 02:23:31.303 region:rollup2
OTHERS IN OPPOSITION
02:23:29.434 --> 02:23:33.004 region:rollup2
STEPHANIE LICHENS ON THE OF THIS
02:23:31.303 --> 02:23:33.638 region:rollup2
ISSUE XIN CALIFORNIA LIFE AND
02:23:33.004 --> 02:23:36.374 region:rollup2
HEALTH INSURANCE. BE SUPPOSED.
02:23:33.638 --> 02:23:37.742 region:rollup2
IF.
02:23:36.374 --> 02:23:39.478 region:rollup2
MICHELLE BACO THE CALIFORNIA
02:23:37.742 --> 02:23:42.781 region:rollup2
MEDICAL ASSOCIATION WE ARE IN
02:23:39.478 --> 02:23:44.382 region:rollup2
OPPOSE MUST AMENDED THANK YOU.
02:23:42.781 --> 02:23:45.617 region:rollup2
SHERRI MCCUE REPRESENT THE
02:23:44.382 --> 02:23:46.852 region:rollup2
CALIFORNIA CHAMBER OF COMMERCE
02:23:45.617 --> 02:23:47.853 region:rollup2
WE ARE OPPOSING THE CEMENTED
02:23:46.852 --> 02:23:48.954 region:rollup2
LOOK FOR TO CONTINUE TO WORK
02:23:47.853 --> 02:23:51.189 region:rollup2
WITH THE AUTHORED ADDRESS OUR
02:23:48.954 --> 02:23:51.756 region:rollup2
CONCERNS WITH THE COST OF THIS
02:23:51.189 --> 02:23:53.558 region:rollup2
BILL COULD ADD TO THE SYSTEM
02:23:51.756 --> 02:23:54.793 region:rollup2
THANK YOU.
02:23:53.558 --> 02:23:55.961 region:rollup2
MARIN HIGGINS REPRESENTING
02:23:54.793 --> 02:23:58.630 region:rollup2
AMERICA'S HEALTH INSURANCE PLANS
02:23:55.961 --> 02:24:00.232 region:rollup2
IN OPPOSITION.
02:23:58.630 --> 02:24:01.500 region:rollup2
JERRY HICKS REPRESENTING THAT
02:24:00.232 --> 02:24:03.068 region:rollup2
CALIFORNIA ACADEMY OF FAMILY
02:24:01.500 --> 02:24:05.070 region:rollup2
PHYSICIANS WE ARE OPPOSE MUST
02:24:03.068 --> 02:24:07.405 region:rollup2
AMENDED AND I WOULD ASSOCIATE
02:24:05.070 --> 02:24:08.974 region:rollup2
MCOT COMMENTS WITH.
02:24:07.405 --> 02:24:09.608 region:rollup2
RIGHT SPENCER'S.
02:24:08.974 --> 02:24:12.711 region:rollup2
CONCERNS THEY ARE THE SAME THANK
02:24:09.608 --> 02:24:13.345 region:rollup2
YOU.
02:24:12.711 --> 02:24:17.983 region:rollup2
PREFECTURE COMMITTEE FOR
02:24:13.345 --> 02:24:19.751 region:rollup2
QUESTIONS OR COMMENTS.
02:24:17.983 --> 02:24:22.420 region:rollup2
WALDRON.
02:24:19.751 --> 02:24:24.623 region:rollup2
THANK YOU MISTER CHAIR OF.
02:24:22.420 --> 02:24:25.624 region:rollup2
I.
02:24:24.623 --> 02:24:26.258 region:rollup2
SUPPORT WHAT YOU'RE TRYING TO DO
02:24:25.624 --> 02:24:27.225 region:rollup2
WITH THIS BILL THAT I HAVE SOME
02:24:26.258 --> 02:24:29.895 region:rollup2
QUESTIONS.
02:24:27.225 --> 02:24:31.096 region:rollup2
.
02:24:29.895 --> 02:24:31.830 region:rollup2
MAYBE I COULD START WITH THE
02:24:31.096 --> 02:24:33.598 region:rollup2
OPPOSITION JUST FOR
02:24:31.830 --> 02:24:36.468 region:rollup2
CLARIFICATION.
02:24:33.598 --> 02:24:37.802 region:rollup2
SOME OF THE ISSUES INVOLVED.
02:24:36.468 --> 02:24:39.237 region:rollup2
YEAH THE MOM HAS ONE TYPE OF
02:24:37.802 --> 02:24:40.405 region:rollup2
INSURANCE THE CHILD MIGHT BE
02:24:39.237 --> 02:24:42.007 region:rollup2
COVERED UNDER ANOTHER. THIS
02:24:40.405 --> 02:24:44.609 region:rollup2
DIFFERENT KINDS OF.
02:24:42.007 --> 02:24:45.710 region:rollup2
YOU KNOW COVERAGES.
02:24:44.609 --> 02:24:47.612 region:rollup2
HOW WOULD THIS BILL AFFECT?
02:24:45.710 --> 02:24:49.381 region:rollup2
THAT.
02:24:47.612 --> 02:24:52.551 region:rollup2
AS FAR AS NAVIGATING YOU KNOW
02:24:49.381 --> 02:24:53.985 region:rollup2
RECOVERED.
02:24:52.551 --> 02:24:55.453 region:rollup2
THAT'S VERY QUESTION I THINK
02:24:53.985 --> 02:24:56.721 region:rollup2
THAT THE COVERAGE REQUIREMENTS
02:24:55.453 --> 02:24:57.789 region:rollup2
WOULD DEPEND ON WHO'S DOING THE
02:24:56.721 --> 02:24:59.357 region:rollup2
SCREEN SPECIFICALLY IF THE SPELL
02:24:57.789 --> 02:25:01.293 region:rollup2
WAS.
02:24:59.357 --> 02:25:02.661 region:rollup2
AND ACTED AND THE PEDIATRICIAN
02:25:01.293 --> 02:25:04.429 region:rollup2
AND PROVIDED THE SCREEN AND I
02:25:02.661 --> 02:25:05.931 region:rollup2
DURING THE PEDIATRIC VISIT FOR
02:25:04.429 --> 02:25:06.998 region:rollup2
THE CHILD AND IDENTIFIED THAT
02:25:05.931 --> 02:25:08.767 region:rollup2
THE MOTHER WAS SUFFERING FROM
02:25:06.998 --> 02:25:10.168 region:rollup2
POSTPARTUM. IF THE MOTHER OF THE
02:25:08.767 --> 02:25:11.870 region:rollup2
CHILD WERE UNDER DIFFERENT
02:25:10.168 --> 02:25:13.672 region:rollup2
INSURANCE PERHAPS THE FATHER OR
02:25:11.870 --> 02:25:15.140 region:rollup2
ANOTHER PARENT. PROVIDED THE
02:25:13.672 --> 02:25:16.575 region:rollup2
CHILD'S INSURANCE AND THE MOTHER
02:25:15.140 --> 02:25:18.210 region:rollup2
WAS ON HER OWN.
02:25:16.575 --> 02:25:20.478 region:rollup2
THAT HOW THE CASE MANAGEMENT
02:25:18.210 --> 02:25:21.746 region:rollup2
WOULD GO BETWEEN A PEDIATRICIAN
02:25:20.478 --> 02:25:23.281 region:rollup2
WHO TO IS RESPONSIBLE FOR THE
02:25:21.746 --> 02:25:24.649 region:rollup2
CARE OF THE MOTHER AND FOR THE
02:25:23.281 --> 02:25:27.118 region:rollup2
TREATING MENTAL HEALTH PROVIDER
02:25:24.649 --> 02:25:28.753 region:rollup2
IN TWO DIFFERENT SYSTEMS I'M NOT
02:25:27.118 --> 02:25:29.688 region:rollup2
SURE HOW THOSE WOULD INTERACT.
02:25:28.753 --> 02:25:31.323 region:rollup2
I DO KNOW THAT THE HEALTH PLAN
02:25:29.688 --> 02:25:32.691 region:rollup2
WITH THE CHILD'S INSURANCE WILL
02:25:31.323 --> 02:25:34.559 region:rollup2
BE COVERING. YOU NO THE
02:25:32.691 --> 02:25:35.327 region:rollup2
PEDIATRIC ISIT AND THE MOTHER'S
02:25:34.559 --> 02:25:37.095 region:rollup2
HEALTH INSURANCE WOULD BE
02:25:35.327 --> 02:25:38.597 region:rollup2
COVERING THE MOTHER'S MENTAL
02:25:37.095 --> 02:25:40.231 region:rollup2
HEALTH SERVICES.
02:25:38.597 --> 02:25:41.866 region:rollup2
BUT HOW THOSE TWO WOULD BE
02:25:40.231 --> 02:25:43.768 region:rollup2
MANAGED IF YOU HAD TWO DIFFERENT
02:25:41.866 --> 02:25:45.537 region:rollup2
PROVIDERS NOT NECESSARILY WITH
02:25:43.768 --> 02:25:47.105 region:rollup2
ONE INSURANCE COMPANY. HOW THE
02:25:45.537 --> 02:25:49.074 region:rollup2
CASE MANAGEMENT COORDINATION
02:25:47.105 --> 02:25:50.875 region:rollup2
WOULD WORK IS A QUESTION THAT WE
02:25:49.074 --> 02:25:52.811 region:rollup2
WE HAVE AS WELL?
02:25:50.875 --> 02:25:55.280 region:rollup2
SO DOES THE BILL REQUIRE THE
02:25:52.811 --> 02:25:55.914 region:rollup2
OBGYN TO DO THE INITIAL POST
02:25:55.280 --> 02:25:58.783 region:rollup2
PARTUM.
02:25:55.914 --> 02:26:00.752 region:rollup2
SCREENING.
02:25:58.783 --> 02:26:02.754 region:rollup2
OKAY.
02:26:00.752 --> 02:26:05.023 region:rollup2
BUT THEN LATER THEY ALWAYS GO
02:26:02.754 --> 02:26:07.225 region:rollup2
FOR THE WELL BABY. SO.
02:26:05.023 --> 02:26:09.227 region:rollup2
DOES A COVER THAT TOO I MEAN
02:26:07.225 --> 02:26:10.195 region:rollup2
BECAUSE THERE'S A PROGRESSION.
02:26:09.227 --> 02:26:11.496 region:rollup2
YOU KNOW I I THINK IT'S A LITTLE
02:26:10.195 --> 02:26:13.131 region:rollup2
BIT OF SORT OF.
02:26:11.496 --> 02:26:14.132 region:rollup2
MAYBE THIS IS ALL ABOUT APPLES
02:26:13.131 --> 02:26:15.066 region:rollup2
AND ORANGES THAT YOU'RE I THINK
02:26:14.132 --> 02:26:16.434 region:rollup2
YOU'RE ASKED ABOUT INSURANCE
02:26:15.066 --> 02:26:18.203 region:rollup2
COVERAGE ISSUE AND THIS ISN'T
02:26:16.434 --> 02:26:20.038 region:rollup2
THIS IS NOT WHAT THIS BILL IS
02:26:18.203 --> 02:26:21.640 region:rollup2
THIS IS A SCREENING AND SHE'LL.
02:26:20.038 --> 02:26:22.941 region:rollup2
BE OBG.
02:26:21.640 --> 02:26:24.576 region:rollup2
DOWN THE ROAD WHAT MIGHT HAPPEN
02:26:22.941 --> 02:26:25.543 region:rollup2
IN TERMS OF TREATMENT.
02:26:24.576 --> 02:26:26.711 region:rollup2
YEAH THAT'S ABOUT IT IS THAT
02:26:25.543 --> 02:26:27.746 region:rollup2
THAT AS A PROBLEM BUT THAT'S AN
02:26:26.711 --> 02:26:29.547 region:rollup2
ONGOING PROBLEM THAT WOULD BE
02:26:27.746 --> 02:26:30.782 region:rollup2
SEPARATE FROM MY DEL THERE ISN'T
02:26:29.547 --> 02:26:32.450 region:rollup2
ENOUGH TREATMENT WE GOING TO
02:26:30.782 --> 02:26:33.652 region:rollup2
THAT AND WE WE HAVE.
02:26:32.450 --> 02:26:36.554 region:rollup2
BUT THIS IS THIS IS SIMPLY ABOUT
02:26:33.652 --> 02:26:39.224 region:rollup2
THE SCREEN.
02:26:36.554 --> 02:26:40.625 region:rollup2
BECAUSE RIGHT NOW.
02:26:39.224 --> 02:26:42.227 region:rollup2
THE NUMBER I'M GONNA SUPPORT THE
02:26:40.625 --> 02:26:43.361 region:rollup2
BILL TODAY BECAUSE HONEST I WANT
02:26:42.227 --> 02:26:45.930 region:rollup2
ONE I'M TRYING TO GET TO THESE
02:26:43.361 --> 02:26:48.333 region:rollup2
QUESTIONS SO THAT MAYBE WE COULD
02:26:45.930 --> 02:26:49.300 region:rollup2
WORK SOMETHING OUT AS THIS GOES.
02:26:48.333 --> 02:26:50.402 region:rollup2
IN UP TO BURBS SAYING THAT
02:26:49.300 --> 02:26:52.203 region:rollup2
HUNDRED PERCENT OF ENROLLEES
02:26:50.402 --> 02:26:54.472 region:rollup2
WITH HEALTH INSURANCE RIGHT NOW.
02:26:52.203 --> 02:26:55.674 region:rollup2
HAVE COVERAGE FOR MENTAL HEALTH
02:26:54.472 --> 02:26:58.343 region:rollup2
SCREENINGS DURING PRENATAL POST
02:26:55.674 --> 02:27:00.845 region:rollup2
PARTUM PERIOD.
02:26:58.343 --> 02:27:03.481 region:rollup2
SO. BUT YOU KNOW A PART OF THE.
02:27:00.845 --> 02:27:05.216 region:rollup2
THE ISSUE IS.
02:27:03.481 --> 02:27:07.085 region:rollup2
YOU KNOW YOU GO FOR WELL BABY
02:27:05.216 --> 02:27:09.020 region:rollup2
VISIT NOW YOU'RE NOT WITH AN
02:27:07.085 --> 02:27:11.456 region:rollup2
OBGYN IT'S A TOTALLY DIFFERENT
02:27:09.020 --> 02:27:13.625 region:rollup2
SCENARIO.
02:27:11.456 --> 02:27:15.694 region:rollup2
YOU DON'T WANT TO. MISS THAT
02:27:13.625 --> 02:27:17.896 region:rollup2
COVERAGE IS I MEAN THAT HAS TO
02:27:15.694 --> 02:27:19.297 region:rollup2
BE WORKED OUT I THINK IS.
02:27:17.896 --> 02:27:21.299 region:rollup2
THAT SORT OF JUST YEAH IT AT TEN
02:27:19.297 --> 02:27:23.001 region:rollup2
MS WHAT WE'VE WE HAVE WORKED IN
02:27:21.299 --> 02:27:24.569 region:rollup2
AYE I THINK AS MR SPENCE AND
02:27:23.001 --> 02:27:26.137 region:rollup2
OTHERS WOULD ATTEST WE HAVE WE
02:27:24.569 --> 02:27:27.038 region:rollup2
HAVE HAD COUNTLESS MEETINGS ON
02:27:26.137 --> 02:27:28.373 region:rollup2
THIS AND WE WILL CONTINUE TO DO
02:27:27.038 --> 02:27:29.007 region:rollup2
THAT'S I THINK. MOST OF YOUR
02:27:28.373 --> 02:27:30.508 region:rollup2
QUESTIONS WILL BE ABLE TO GET
02:27:29.007 --> 02:27:32.143 region:rollup2
ANSWERED I WOULD SAY THOUGH IT I
02:27:30.508 --> 02:27:33.144 region:rollup2
THINK THERE'S A DIFFERENCE
02:27:32.143 --> 02:27:35.013 region:rollup2
BETWEEN COVERAGE ISSUE.
02:27:33.144 --> 02:27:36.648 region:rollup2
AND SCREEN THIS THIS STILL
02:27:35.013 --> 02:27:38.683 region:rollup2
REFERS TO SCREEN.
02:27:36.648 --> 02:27:41.052 region:rollup2
SO AS AS COVERAGE MAY PROGRESS
02:27:38.683 --> 02:27:41.653 region:rollup2
IN TERMS OF TREATMENT OF A MAMA
02:27:41.052 --> 02:27:43.354 region:rollup2
WHAT'S GOING ON WITH THE BABY
02:27:41.653 --> 02:27:45.023 region:rollup2
THAT.
02:27:43.354 --> 02:27:46.291 region:rollup2
THAT'S NOT WHAT'S ENTAILED
02:27:45.023 --> 02:27:48.259 region:rollup2
WITHIN THE PARAMETERS OF THIS
02:27:46.291 --> 02:27:49.394 region:rollup2
BILL THAT THAT IS SOMETHING THAT
02:27:48.259 --> 02:27:51.396 region:rollup2
I THINK THIS COMMITTEE SHOULD
02:27:49.394 --> 02:27:53.231 region:rollup2
ADDRESS. BUT IT'S NOT THAT'S
02:27:51.396 --> 02:27:54.999 region:rollup2
GOING TO BE ADDRESSED WAY
02:27:53.231 --> 02:27:56.634 region:rollup2
THROUGH THIS VEHICLE ONE. OF THE
02:27:54.999 --> 02:27:58.370 region:rollup2
OTHER THING I HAD WAS FOURTEEN
02:27:56.634 --> 02:27:58.837 region:rollup2
STATES HAVE ALREADY PASSED LAWS
02:27:58.370 --> 02:28:00.839 region:rollup2
RELATING.
02:27:58.837 --> 02:28:01.940 region:rollup2
SIMILAR.
02:28:00.839 --> 02:28:04.142 region:rollup2
BUT THERE'S DIFFERENT WON SOME
02:28:01.940 --> 02:28:06.711 region:rollup2
OF THEM EDUCATION MANDATE.
02:28:04.142 --> 02:28:09.147 region:rollup2
SCREENING MANDATES.
02:28:06.711 --> 02:28:10.715 region:rollup2
POSTPARTUM DEPRESSION AWARENESS
02:28:09.147 --> 02:28:11.750 region:rollup2
CAMPAIGNS WITH JUST VERY
02:28:10.715 --> 02:28:14.386 region:rollup2
CRITICAL.
02:28:11.750 --> 02:28:14.919 region:rollup2
HAS TO BE IN THE TASK FORCE WAS
02:28:14.386 --> 02:28:17.589 region:rollup2
TO LOOK AT.
02:28:14.919 --> 02:28:18.823 region:rollup2
SO.
02:28:17.589 --> 02:28:21.292 region:rollup2
WE'RE LOOKING AT THE SCREENING
02:28:18.823 --> 02:28:23.862 region:rollup2
MANDATES.
02:28:21.292 --> 02:28:25.430 region:rollup2
AND. WHAT HAVE YOU SEEN AS FAR
02:28:23.862 --> 02:28:27.432 region:rollup2
AS OTHER STATES THAT HAVE DONE
02:28:25.430 --> 02:28:35.273 region:rollup2
SCREENING MANDATES HOW THAT HAS
02:28:27.432 --> 02:28:36.508 region:rollup2
WORK OR NOT WORK?
02:28:35.273 --> 02:28:38.376 region:rollup2
JOY BURKHARD I WAS WITH THE
02:28:36.508 --> 02:28:40.011 region:rollup2
MATERNAL MENTAL HEALTH TASK
02:28:38.376 --> 02:28:41.279 region:rollup2
FORCE THAT ISSUED THE REPORT.
02:28:40.011 --> 02:28:43.014 region:rollup2
THAT I THINK EACH OF OUR
02:28:41.279 --> 02:28:45.316 region:rollup2
COMMITTEE MEMBERS HAVE RECEIVED
02:28:43.014 --> 02:28:47.018 region:rollup2
A COPY OF LAST YEAR A IT IS THE
02:28:45.316 --> 02:28:49.354 region:rollup2
TASK FORCE FUNCTION MUCH LIKE A
02:28:47.018 --> 02:28:51.623 region:rollup2
BLUE RIBBON COMMISSION. IT WAS A
02:28:49.354 --> 02:28:52.924 region:rollup2
CALLED FOR BY ACR ONE FORTY
02:28:51.623 --> 02:28:54.125 region:rollup2
EIGHT THE LEGISLATIVE WOMEN'S
02:28:52.924 --> 02:28:55.827 region:rollup2
CAUCUS.
02:28:54.125 --> 02:28:57.796 region:rollup2
SPONSORED THAT RESOLUTION THE
02:28:55.827 --> 02:28:59.998 region:rollup2
REPORT WAS ISSUED LAST YEAR AND
02:28:57.796 --> 02:29:01.966 region:rollup2
HERE AT THE LEGISLATURE AND.
02:28:59.998 --> 02:29:03.735 region:rollup2
IT DOCUMENT SOME OF THE WORK
02:29:01.966 --> 02:29:04.636 region:rollup2
THAT OTHER STATES HAVE DONE.
02:29:03.735 --> 02:29:05.670 region:rollup2
THIS WORK HERE IN CALIFORNIA I
02:29:04.636 --> 02:29:07.439 region:rollup2
THINK IT'S IMPORTANT THAT
02:29:05.670 --> 02:29:10.108 region:rollup2
EVERYONE KNOWS OF HAS BEEN IN
02:29:07.439 --> 02:29:11.509 region:rollup2
THE WORKS FOR ROUGHLY TEN YEARS.
02:29:10.108 --> 02:29:13.378 region:rollup2
RESOLUTIONS AWARENESS
02:29:11.509 --> 02:29:15.847 region:rollup2
RESOLUTIONS CAMP AWARENESS
02:29:13.378 --> 02:29:17.649 region:rollup2
CAMPAIGNS ALL THOSE THINGS HAVE
02:29:15.847 --> 02:29:18.950 region:rollup2
BEEN ADDRESSED NOT PUBLICLY
02:29:17.649 --> 02:29:20.685 region:rollup2
FUNDED YET.
02:29:18.950 --> 02:29:23.154 region:rollup2
AND THERE IS ANOTHER BILL THAT.
02:29:20.685 --> 02:29:24.456 region:rollup2
THAT A BRAIN MAIENSCHEIN IS ALSO
02:29:23.154 --> 02:29:26.391 region:rollup2
ADDRESSING THE PUBLIC HEALTH.
02:29:24.456 --> 02:29:28.593 region:rollup2
A FUNDING BILL FEDERAL FUNDS
02:29:26.391 --> 02:29:29.227 region:rollup2
BILL WHICH WE HOPE WILL ADDRESS
02:29:28.593 --> 02:29:32.897 region:rollup2
A PUBLIC AWARENESS CAMPAIGN AS
02:29:29.227 --> 02:29:34.566 region:rollup2
WELL. ON THE REPORT CALLS FOR
02:29:32.897 --> 02:29:36.301 region:rollup2
THE URGENT NEED TO SCREEN.
02:29:34.566 --> 02:29:38.102 region:rollup2
SCREEN WOMEN SO THESE STORIES
02:29:36.301 --> 02:29:39.904 region:rollup2
DON'T KEEP HAPPENING IT'S A
02:29:38.102 --> 02:29:41.472 region:rollup2
STARTING PLACE WE KNOW IT'S A.
02:29:39.904 --> 02:29:42.574 region:rollup2
VERY COMPLEX PROBLEM THAT
02:29:41.472 --> 02:29:45.210 region:rollup2
THERE'S MULTIPLE PLAYERS THAT
02:29:42.574 --> 02:29:46.778 region:rollup2
CAN AND TAKE A ROLL. THE REPORT
02:29:45.210 --> 02:29:49.080 region:rollup2
ACKNOWLEDGES THE CRITICAL ROLE
02:29:46.778 --> 02:29:50.448 region:rollup2
OF THE OBGYN IN SCREENING FOR
02:29:49.080 --> 02:29:51.950 region:rollup2
THESE DISORDERS BECAUSE THEY CAN
02:29:50.448 --> 02:29:53.852 region:rollup2
OCCUR AS FREQUENTLY DURING
02:29:51.950 --> 02:29:55.220 region:rollup2
PREGNANCY. NOT JUST IN THE POST
02:29:53.852 --> 02:29:57.322 region:rollup2
PARTUM WE DON'T TALK ABOUT THAT
02:29:55.220 --> 02:29:58.723 region:rollup2
OFTEN WE ALSO KNOW A LOT OF
02:29:57.322 --> 02:30:00.158 region:rollup2
WOMEN WILL SUFFER FROM A
02:29:58.723 --> 02:30:01.626 region:rollup2
DEPRESSION OR ANXIETY. BEFORE
02:30:00.158 --> 02:30:02.927 region:rollup2
THEY GET PREGNANT
02:30:01.626 --> 02:30:04.963 region:rollup2
THESE DISORDERS WHEN LEFT
02:30:02.927 --> 02:30:05.496 region:rollup2
UNTREATED CAN LEAD TO PRETERM
02:30:04.963 --> 02:30:07.432 region:rollup2
BIRTH WHICH WE NO COST THE
02:30:05.496 --> 02:30:09.067 region:rollup2
STATE.
02:30:07.432 --> 02:30:10.201 region:rollup2
THOUSAND MILLIONS OF DOLLARS ON
02:30:09.067 --> 02:30:10.768 region:rollup2
AND IT'S CRITICALLY IMPORTANT
02:30:10.201 --> 02:30:12.937 region:rollup2
THAT OBGYN SERVICE THE HOME
02:30:10.768 --> 02:30:14.839 region:rollup2
BASE.
02:30:12.937 --> 02:30:16.407 region:rollup2
NO OTHER DOCTOR SHOULD NOT ON
02:30:14.839 --> 02:30:17.508 region:rollup2
SCREEN SO DOCTOR SHOULD SCREEN
02:30:16.407 --> 02:30:19.744 region:rollup2
OTHER SHOULD AS WELL BUT O.
02:30:17.508 --> 02:30:20.378 region:rollup2
BITCOINS MUST BE THE HOME BASE
02:30:19.744 --> 02:30:22.780 region:rollup2
AND THAT'S OF KNOWLEDGE IN THIS
02:30:20.378 --> 02:30:25.383 region:rollup2
REPORT.
02:30:22.780 --> 02:30:27.318 region:rollup2
.
02:30:25.383 --> 02:30:30.021 region:rollup2
STILL MY LAST QUESTION IS THERE
02:30:27.318 --> 02:30:34.058 region:rollup2
A BEST PRACTICE PROTOCOL.
02:30:30.021 --> 02:30:36.461 region:rollup2
CURRENTLY ON WELL CHILD VISITS.
02:30:34.058 --> 02:30:38.897 region:rollup2
IS THAT PART OF WHAT.
02:30:36.461 --> 02:30:39.330 region:rollup2
A PEDIATRICIAN IS LOOKING AT.
02:30:38.897 --> 02:30:41.232 region:rollup2
YEAH AND IF I COULD.
02:30:39.330 --> 02:30:42.433 region:rollup2
.
02:30:41.232 --> 02:30:43.835 region:rollup2
BRIAN IF WE COULD MENTION ONE OF
02:30:42.433 --> 02:30:45.803 region:rollup2
THE AMENDMENTS THAT WERE LOOKING
02:30:43.835 --> 02:30:47.305 region:rollup2
OUT ITS TO HAVE OBGYN SCREEN AND
02:30:45.803 --> 02:30:48.773 region:rollup2
PERHAPS DROP THE SCREENING
02:30:47.305 --> 02:30:50.041 region:rollup2
MANDATE ON OTHER PROVIDERS WE
02:30:48.773 --> 02:30:51.776 region:rollup2
WANT TO ACKNOWLEDGE.
02:30:50.041 --> 02:30:53.144 region:rollup2
THAT FIRST TIME.
02:30:51.776 --> 02:30:54.679 region:rollup2
SO AT YOUR QUESTION ABOUT
02:30:53.144 --> 02:30:56.180 region:rollup2
PEDIATRICIANS.
02:30:54.679 --> 02:30:58.783 region:rollup2
MCMURRAY.
02:30:56.180 --> 02:30:59.884 region:rollup2
PEDIATRICIANS BUT VERY VERY ST
02:30:58.783 --> 02:31:01.286 region:rollup2
ASSOCIATIONS HAVE COME OUT WITH
02:30:59.884 --> 02:31:02.887 region:rollup2
POSITIONS ON THE IMPORTANCE OF
02:31:01.286 --> 02:31:04.489 region:rollup2
SCREENING PEDIATRICIANS ARE VERY
02:31:02.887 --> 02:31:06.457 region:rollup2
INTERESTED IN THIS.
02:31:04.489 --> 02:31:08.092 region:rollup2
THIS I'M WORK BECAUSE UNTREATED
02:31:06.457 --> 02:31:08.526 region:rollup2
DEPRESSION NEGATIVELY IMPACTS AS
02:31:08.092 --> 02:31:10.495 region:rollup2
YOU HAVE HEARD CHILD
02:31:08.526 --> 02:31:11.896 region:rollup2
DEVELOPMENT.
02:31:10.495 --> 02:31:13.531 region:rollup2
SEWED PEDIATRICIANS ARE
02:31:11.896 --> 02:31:16.801 region:rollup2
INTERESTED THERE NOT THE MOTHERS
02:31:13.531 --> 02:31:17.735 region:rollup2
DR WHICH IS WHY OBGYN SO CALLED
02:31:16.801 --> 02:31:19.971 region:rollup2
OUT AS BEING CRITICALLY
02:31:17.735 --> 02:31:21.172 region:rollup2
IMPORTANT OBGYN SCAN PRESCRIBE
02:31:19.971 --> 02:31:21.773 region:rollup2
CREATE.
02:31:21.172 --> 02:31:24.375 region:rollup2
TREATMENT.
02:31:21.773 --> 02:31:25.977 region:rollup2
PATHWAYS SIX CETERA THAT'S NOT
02:31:24.375 --> 02:31:27.612 region:rollup2
THE ROLE OF THE PEDIATRICIAN AT
02:31:25.977 --> 02:31:29.781 region:rollup2
THE DOCTOR OF THE BABY OR THE
02:31:27.612 --> 02:31:30.949 region:rollup2
INFANT NOT THE THE MOTHER. DOES
02:31:29.781 --> 02:31:31.182 region:rollup2
I HOPE.
02:31:30.949 --> 02:31:33.318 region:rollup2
RIGHT.
02:31:31.182 --> 02:31:35.119 region:rollup2
SO THEY HAVE A BEST PRACTICE
02:31:33.318 --> 02:31:36.354 region:rollup2
PROTOCOL THAT THEY YEAH AND SO
02:31:35.119 --> 02:31:37.555 region:rollup2
DOES A COG THE AMERICAN COLLEGE
02:31:36.354 --> 02:31:39.557 region:rollup2
OF OBSTETRICS AND GOING
02:31:37.555 --> 02:31:41.659 region:rollup2
GYNECOLOGY AND TOOLS ARE BEING
02:31:39.557 --> 02:31:42.460 region:rollup2
ISSUED BY A CAUGHT. UP AS WE
02:31:41.659 --> 02:31:43.695 region:rollup2
SPEAK.
02:31:42.460 --> 02:31:45.229 region:rollup2
LEADER THE SURE THEY'LL BE
02:31:43.695 --> 02:31:46.731 region:rollup2
MULTIPLE TOOLS THAT WILL BE
02:31:45.229 --> 02:31:48.833 region:rollup2
AVAILABLE THROUGH AN EXPERT
02:31:46.731 --> 02:31:50.535 region:rollup2
WORKGROUP WHICH ON SEVERAL OF US
02:31:48.833 --> 02:31:53.671 region:rollup2
RUN THE TASK FORCE HAVE A
02:31:50.535 --> 02:31:55.373 region:rollup2
PRIVILEGE TO SIT ON.
02:31:53.671 --> 02:31:57.041 region:rollup2
THANK YOU I I'M. YOU KNOW
02:31:55.373 --> 02:31:58.910 region:rollup2
LOOKING FORWARD TO SEE HOW THIS
02:31:57.041 --> 02:32:00.645 region:rollup2
EVOLVES BECAUSE.
02:31:58.910 --> 02:32:02.380 region:rollup2
THE WAY THE HEALTH PLANS.
02:32:00.645 --> 02:32:04.649 region:rollup2
WORK
02:32:02.380 --> 02:32:06.384 region:rollup2
ON THAT NOW.
02:32:04.649 --> 02:32:08.152 region:rollup2
IT'S A LITTLE DIFFERENT THAN HOW
02:32:06.384 --> 02:32:09.487 region:rollup2
YOU'RE TRYING TO DO IT AND I'M.
02:32:08.152 --> 02:32:11.255 region:rollup2
CURIOUS TO SEE HOW THIS COMES
02:32:09.487 --> 02:32:13.725 region:rollup2
TOGETHER.
02:32:11.255 --> 02:32:16.194 region:rollup2
ON BECAUSE THEY MAY BE.
02:32:13.725 --> 02:32:19.130 region:rollup2
AWAY TO DO WHAT YOU WANNA DO.
02:32:16.194 --> 02:32:20.732 region:rollup2
THAT MAYBE COULD BE WORKABLE AND
02:32:19.130 --> 02:32:22.934 region:rollup2
I DON'T KNOW BUT.
02:32:20.732 --> 02:32:23.468 region:rollup2
THAT LIST.
02:32:22.934 --> 02:32:25.937 region:rollup2
WHY WAS SAYING THAT ON THE
02:32:23.468 --> 02:32:26.738 region:rollup2
RECORD?
02:32:25.937 --> 02:32:31.376 region:rollup2
OTHER QUESTIONS COMMENTS FROM
02:32:26.738 --> 02:32:33.144 region:rollup2
THE COMMITTEE.
02:32:31.376 --> 02:32:33.878 region:rollup2
SEEN MUCH SEEN OBJECT CLOSENESS
02:32:33.144 --> 02:32:35.980 region:rollup2
BUT MAY I WOULD.
02:32:33.878 --> 02:32:38.850 region:rollup2
JUST A COUPLE JUST A COUPLE
02:32:35.980 --> 02:32:39.083 region:rollup2
QUICK RESPONSES ON. THE TASK
02:32:38.850 --> 02:32:44.822 region:rollup2
FORCE.
02:32:39.083 --> 02:32:45.456 region:rollup2
THAT. ACT ACTUALLY THAT THE.
02:32:44.822 --> 02:32:45.723 region:rollup2
SOME OPPONENTS PARTICIPATED AND
02:32:45.456 --> 02:32:46.958 region:rollup2
DECLARED.
02:32:45.723 --> 02:32:48.226 region:rollup2
THAT OBSTETRIC PROVIDERS OF THE
02:32:46.958 --> 02:32:50.094 region:rollup2
HOME BASE FOR SCREENING AND
02:32:48.226 --> 02:32:51.496 region:rollup2
TREATMENT AND RECOMMENDED THAT
02:32:50.094 --> 02:32:52.130 region:rollup2
WOMEN ARE SCREEN THROUGHOUT THE
02:32:51.496 --> 02:32:53.297 region:rollup2
PREGNANCY IN THE IMMEDIATE POST
02:32:52.130 --> 02:32:54.899 region:rollup2
PARTUM.
02:32:53.297 --> 02:32:56.968 region:rollup2
PERIOD AND IT ALSO URGED HEALTH
02:32:54.899 --> 02:32:58.403 region:rollup2
INSURERS TO ASSIST OBG Y. ANTS
02:32:56.968 --> 02:32:59.003 region:rollup2
WITH ONGOING PATIENT CARE
02:32:58.403 --> 02:32:59.837 region:rollup2
OVERSIGHT MANAGEMENT THAT WAS
02:32:59.003 --> 02:33:01.906 region:rollup2
PRESENTED.
02:32:59.837 --> 02:33:03.541 region:rollup2
PARTICIPATE IN AND PRESENTED TO
02:33:01.906 --> 02:33:04.642 region:rollup2
THIS LEGISLATURE AS PART OF A
02:33:03.541 --> 02:33:05.810 region:rollup2
SOLUTION TO POST PARTUM
02:33:04.642 --> 02:33:07.478 region:rollup2
DEPRESSION.
02:33:05.810 --> 02:33:09.347 region:rollup2
I WOULD ALSO SAY TO YOU IN
02:33:07.478 --> 02:33:10.715 region:rollup2
TERMS OF THE STANDARD OF CARE.
02:33:09.347 --> 02:33:12.884 region:rollup2
THIS IS THE STANDARD.
02:33:10.715 --> 02:33:13.451 region:rollup2
SCREEN IS.
02:33:12.884 --> 02:33:14.652 region:rollup2
THAT IS HOW YOU GET OUT THE
02:33:13.451 --> 02:33:17.021 region:rollup2
STANDARD OF CARE.
02:33:14.652 --> 02:33:19.290 region:rollup2
AND SO WELL IN SOME SENSE I
02:33:17.021 --> 02:33:20.291 region:rollup2
UNDERSTAND WHAT WAS SAID ABOUT
02:33:19.290 --> 02:33:22.560 region:rollup2
THEIR NOT FLUID.
02:33:20.291 --> 02:33:24.362 region:rollup2
.
02:33:22.560 --> 02:33:25.663 region:rollup2
HOW ARE THEY ARE THEY ARE FLUID
02:33:24.362 --> 02:33:26.431 region:rollup2
WHERE I WOULD DISAGREE AS TO ASK
02:33:25.663 --> 02:33:26.831 region:rollup2
ARE NOT FLUID IN THE SENSE THAT
02:33:26.431 --> 02:33:29.333 region:rollup2
THEY'RE ON AN AD?
02:33:26.831 --> 02:33:31.269 region:rollup2
BASIS.
02:33:29.333 --> 02:33:32.537 region:rollup2
DATE WE SET THINGS AND LAW.
02:33:31.269 --> 02:33:33.938 region:rollup2
AND THEN IF THIS AS THE STATE OF
02:33:32.537 --> 02:33:35.640 region:rollup2
SCIENCE
02:33:33.938 --> 02:33:37.408 region:rollup2
ADVANCES IN MEDICAL KNOWLEDGE
02:33:35.640 --> 02:33:39.410 region:rollup2
MASSES THAT LONG MAY CHANGE
02:33:37.408 --> 02:33:40.545 region:rollup2
BUT WE DON'T JUST HAVE ADHOC.
02:33:39.410 --> 02:33:41.813 region:rollup2
EVERYBODY DO WHAT THEY WANT
02:33:40.545 --> 02:33:44.615 region:rollup2
THAT'S ACCORDING TO THEIR
02:33:41.813 --> 02:33:45.783 region:rollup2
VERSION OF REALITY SO WITH THIS
02:33:44.615 --> 02:33:46.918 region:rollup2
I MEAN I THINK YOU SAW FROM THE
02:33:45.783 --> 02:33:47.952 region:rollup2
TESTS MY HERE TODAY AND FOR THE
02:33:46.918 --> 02:33:49.087 region:rollup2
NUMBERS OF PEOPLE HERE MANY MORE
02:33:47.952 --> 02:33:50.855 region:rollup2
WHO WOULD LIKE TO BE HERE THIS
02:33:49.087 --> 02:33:52.423 region:rollup2
IS. THIS IS A REALLY SIGNIFICANT
02:33:50.855 --> 02:33:54.258 region:rollup2
PROBLEM WE TALK ABOUT ADDRESSING
02:33:52.423 --> 02:33:54.826 region:rollup2
MENTAL HEALTH MANY TIMES IN THIS
02:33:54.258 --> 02:33:55.259 region:rollup2
LEGISLATURE THIS IS A LARGE
02:33:54.826 --> 02:33:57.361 region:rollup2
COME.
02:33:55.259 --> 02:34:00.131 region:rollup2
OF.
02:33:57.361 --> 02:34:00.698 region:rollup2
AND I WOULD STRONGLY. URGE AND
02:34:00.131 --> 02:34:03.067 region:rollup2
AYE VOTE AND REQUEST AN AYE
02:34:00.698 --> 02:34:03.701 region:rollup2
VOTE.
02:34:03.067 --> 02:34:04.969 region:rollup2
I FROM THIS COMMITTEE THANK YOU
02:34:03.701 --> 02:34:06.304 region:rollup2
MISTER.
02:34:04.969 --> 02:34:07.171 region:rollup2
THANK YOU MR MAIENSCHEIN AND I
02:34:06.304 --> 02:34:08.239 region:rollup2
VERY MUCH APPRECIATE YOU
02:34:07.171 --> 02:34:09.740 region:rollup2
BRINGING THIS BILL FORWARD AND
02:34:08.239 --> 02:34:11.676 region:rollup2
APPRECIATE YOUR WITNESSES AND.
02:34:09.740 --> 02:34:13.511 region:rollup2
AND THE TESTIMONY AND THANK YOU
02:34:11.676 --> 02:34:15.913 region:rollup2
FOR. COMING INTO THAT WAS VERY%
02:34:13.511 --> 02:34:16.547 region:rollup2
DIFFICULT AND.
02:34:15.913 --> 02:34:17.515 region:rollup2
I'D VERY MUCH APPRECIATE WE VERY
02:34:16.547 --> 02:34:20.418 region:rollup2
MUCH APPRECIATED.
02:34:17.515 --> 02:34:21.819 region:rollup2
THE BILL DOES ENJOY A DO PASS
02:34:20.418 --> 02:34:22.386 region:rollup2
RECOMMENDATION I KNOW YOU'RE
02:34:21.819 --> 02:34:23.554 region:rollup2
GOING TO CONTINUE WORKING ON
02:34:22.386 --> 02:34:26.290 region:rollup2
THIS.
02:34:23.554 --> 02:34:27.758 region:rollup2
I'M NOT THRILLED ABOUT THEM. IN
02:34:26.290 --> 02:34:28.426 region:rollup2
THE AND MANDATING THINGS ON
02:34:27.758 --> 02:34:30.294 region:rollup2
PROVIDERS.
02:34:28.426 --> 02:34:32.029 region:rollup2
HOWEVER I THINK.
02:34:30.294 --> 02:34:33.197 region:rollup2
I THINK WE NEED TO MESSAGE OUT
02:34:32.029 --> 02:34:35.333 region:rollup2
THERE AND CLEARLY.
02:34:33.197 --> 02:34:36.801 region:rollup2
IT'S NOT HAPPENING TO A CERTAIN
02:34:35.333 --> 02:34:38.903 region:rollup2
TO A CERTAIN SIGNIFICANT NUMBER
02:34:36.801 --> 02:34:40.605 region:rollup2
OF PEOPLE OUT THERE AND.
02:34:38.903 --> 02:34:42.507 region:rollup2
THERE ARE CONSEQUENCES FOR THAT
02:34:40.605 --> 02:34:43.241 region:rollup2
AND WE NEED TO CHANGE THAT AND
02:34:42.507 --> 02:34:44.275 region:rollup2
SO I APPRECIATE YOU BRINGING
02:34:43.241 --> 02:34:46.544 region:rollup2
THAT NO FORWARD.
02:34:44.275 --> 02:34:48.112 region:rollup2
AND AS I SAID IT DOES ENJOY DO
02:34:46.544 --> 02:34:49.247 region:rollup2
PASS RECOMMENDATION AND AND I
02:34:48.112 --> 02:34:51.415 region:rollup2
KNOW YOU WILL BE COMMITTED TO
02:34:49.247 --> 02:34:52.350 region:rollup2
CONTINUING TO WORK ON THIS SO
02:34:51.415 --> 02:34:54.652 region:rollup2
ASK MADAM SECRETARY.
02:34:52.350 --> 02:34:56.454 region:rollup2
PLEASE CALL THE ROSES DO PASS AS
02:34:54.652 --> 02:34:58.456 region:rollup2
AMENDED TO APPROPRIATIONS.
02:34:56.454 --> 02:35:00.057 region:rollup2
AND I.
02:34:58.456 --> 02:35:01.993 region:rollup2
CARE MEMBER WHO MADE MOTIONS BUT
02:35:00.057 --> 02:35:02.560 region:rollup2
THEY WERE GREAT MOTIONS. AND
02:35:01.993 --> 02:35:06.097 region:rollup2
DON'T HAVE THIS AGUIAR-CURRY
02:35:02.560 --> 02:35:07.398 region:rollup2
AND.
02:35:06.097 --> 02:35:08.032 region:rollup2
AND MISS PERFECT SO THANK YOU.
02:35:07.398 --> 02:35:09.033 region:rollup2
MADAM SECRETARY PLEASE CALL THE
02:35:08.032 --> 02:35:12.770 region:rollup2
ROLL.
02:35:09.033 --> 02:35:16.908 region:rollup2
WOULD I WOULD I MAYES.
02:35:12.770 --> 02:35:19.844 region:rollup2
MAYES BOMBARDING AGUIAR-CURRY.
02:35:16.908 --> 02:35:20.378 region:rollup2
BIGELOW.
02:35:19.844 --> 02:35:25.283 region:rollup2
BIGELOW NOT VOTING WANT.
02:35:20.378 --> 02:35:35.293 region:rollup2
SIR.
02:35:25.283 --> 02:35:36.661 region:rollup2
TO MAKE THOSE CHANGES.
02:35:35.293 --> 02:35:37.528 region:rollup2
YOU COULD YOU CAN ACCEPT MR
02:35:36.661 --> 02:35:39.597 region:rollup2
MAIENSCHEIN.
02:35:37.528 --> 02:35:40.865 region:rollup2
TODAY IT'S A NO.
02:35:39.597 --> 02:35:42.333 region:rollup2
BUT IF YOU WORK ON THAT CHANGES
02:35:40.865 --> 02:35:43.734 region:rollup2
I'M HOLDING MY OWN HERE MISTER
02:35:42.333 --> 02:35:46.437 region:rollup2
AND TRACKING WHAT THAT YEAH I
02:35:43.734 --> 02:35:47.939 region:rollup2
THINK I THINK I GOT IT.
02:35:46.437 --> 02:35:49.707 region:rollup2
BIGELOW NO BONTA.
02:35:47.939 --> 02:35:52.109 region:rollup2
BONTA AYE BURKE.
02:35:49.707 --> 02:35:54.712 region:rollup2
BURKE I CARILLO.
02:35:52.109 --> 02:35:56.380 region:rollup2
CARILLO AYE FLORA.
02:35:54.712 --> 02:35:58.216 region:rollup2
FLORA NOT VOTING THE MONK. LIMON
02:35:56.380 --> 02:35:59.917 region:rollup2
AYE MCCARTY. MCCARTY AYE IN THIS
02:35:58.216 --> 02:36:02.019 region:rollup2
AREA.
02:35:59.917 --> 02:36:03.354 region:rollup2
RODRIGUEZ SANTIAGO BERMAN.
02:36:02.019 --> 02:36:09.961 region:rollup2
WALDRON.
02:36:03.354 --> 02:36:10.528 region:rollup2
WALDRON AYE.
02:36:09.961 --> 02:36:12.697 region:rollup2
SEVEN ONE YOU NEED ONE MORE
02:36:10.528 --> 02:36:14.498 region:rollup2
VOTE.
02:36:12.697 --> 02:36:15.867 region:rollup2
WITH THAT WE'RE GOING TO. MOVE
02:36:14.498 --> 02:36:17.201 region:rollup2
INTO OUR SPECIAL ORDER OF
02:36:15.867 --> 02:36:18.669 region:rollup2
BUSINESS WHICH IS GOING TO BE
02:36:17.201 --> 02:36:20.504 region:rollup2
ITEM NUMBER ONE OF NASCAR
02:36:18.669 --> 02:36:22.907 region:rollup2
COMMITTEE MEMBERS WHO ARE NOT
02:36:20.504 --> 02:36:24.842 region:rollup2
PRESENT TO PLEASE.
02:36:22.907 --> 02:36:27.078 region:rollup2
COME TO THE DYESS AND AND WITH
02:36:24.842 --> 02:36:40.191 region:rollup2
THIS AND PARTICIPATE IN THIS.
02:36:27.078 --> 02:36:56.307 region:rollup2
I KNOW YOU'RE OUT THERE.
02:36:40.191 --> 02:36:56.307 region:rollup2
ORTEGA
02:38:30.835 --> 02:38:38.476 region:rollup2
THE LINE.
02:38:36.340 --> 02:38:42.780 region:rollup2
SAY FOR.
02:38:38.476 --> 02:38:58.896 region:rollup2
I LOVE.
02:38:42.780 --> 02:38:58.896 region:rollup2
ALRIGHT
02:39:05.503 --> 02:39:07.772 region:rollup2
.
02:39:05.636 --> 02:39:10.241 region:rollup2
OKAY. LET'S GO AHEAD AND GET
02:39:07.772 --> 02:39:10.541 region:rollup2
STARTED GET STARTED.
02:39:10.241 --> 02:39:22.153 region:rollup2
WE COULDN'T.
02:39:10.541 --> 02:39:24.155 region:rollup2
.
02:39:22.153 --> 02:39:40.371 region:rollup2
GET THE PAPER GET THE DOOR
02:39:24.155 --> 02:39:40.371 region:rollup2
CLOSED THEREIN
02:39:58.889 --> 02:40:01.392 region:rollup2
OKAY WE'RE GOING TO GO AHEAD
02:39:59.990 --> 02:40:02.059 region:rollup2
GET STARS TO LOOK DIFFERENT THAN
02:40:01.392 --> 02:40:03.727 region:rollup2
OUR NORMAL COMMITTEE
02:40:02.059 --> 02:40:05.930 region:rollup2
PRESENTATION WE ALLOW EACH
02:40:03.727 --> 02:40:07.198 region:rollup2
EACH SIDE TO PERCENT FOR FIFTEEN
02:40:05.930 --> 02:40:08.232 region:rollup2
MINUTES TOTAL. SO EVERYONE SPLIT
02:40:07.198 --> 02:40:08.399 region:rollup2
UP.
02:40:08.232 --> 02:40:09.867 region:rollup2
SO.
02:40:08.399 --> 02:40:11.135 region:rollup2
.
02:40:09.867 --> 02:40:13.270 region:rollup2
AND THAT DOES NOT INCLUDE YOU
02:40:11.135 --> 02:40:14.371 region:rollup2
MISTER KALRA.
02:40:13.270 --> 02:40:15.706 region:rollup2
I REGRET I REGRET THAT FOR THE
02:40:14.371 --> 02:40:17.875 region:rollup2
COMMITTEE MEMBERS BUT.
02:40:15.706 --> 02:40:19.643 region:rollup2
THANK YOU VERY MUCH MR CHAIRMAN
02:40:17.875 --> 02:40:20.678 region:rollup2
MEMBERS I'D LIKE TO START OFF BY
02:40:19.643 --> 02:40:22.246 region:rollup2
THANKING THE CHAIR IN HIS
02:40:20.678 --> 02:40:24.014 region:rollup2
PERSONAL AND COMMITTEE STAFF FOR
02:40:22.246 --> 02:40:26.584 region:rollup2
THEIR TIRELESS. EFFORTS ON THIS
02:40:24.014 --> 02:40:27.751 region:rollup2
BILL. AND WORKING WITH ME.
02:40:26.584 --> 02:40:28.786 region:rollup2
I APPRECIATE THE WORK AND EFFORT
02:40:27.751 --> 02:40:30.387 region:rollup2
I'M GRATEFUL FOR ALL THE TIME
02:40:28.786 --> 02:40:31.522 region:rollup2
YOU PUT INTO THIS MEASURE AND
02:40:30.387 --> 02:40:32.723 region:rollup2
ALSO LIKE TO COMMEND THE WORK OF
02:40:31.522 --> 02:40:34.692 region:rollup2
THIS COMMITTEE AND MEMBERS OF
02:40:32.723 --> 02:40:35.359 region:rollup2
THE SELECT COMMITTEE. WHICH ARE
02:40:34.692 --> 02:40:37.194 region:rollup2
NUMEROUS HEARINGS THROUGHOUT THE
02:40:35.359 --> 02:40:38.929 region:rollup2
STATE HEARING FROM EXPERTS
02:40:37.194 --> 02:40:40.865 region:rollup2
STAKEHOLDERS AND THE PUBLIC ON
02:40:38.929 --> 02:40:42.299 region:rollup2
THE IMPORTANT DISCUSSION. ON HOW
02:40:40.865 --> 02:40:44.268 region:rollup2
TO EXPAND ACCESS TO HEALTHCARE
02:40:42.299 --> 02:40:45.903 region:rollup2
WHILE CONTROLLING COSTS.
02:40:44.268 --> 02:40:46.937 region:rollup2
THOSE HEARINGS ARE CRITICAL TO
02:40:45.903 --> 02:40:48.639 region:rollup2
GETTING A. B. THIRTY EIGHTY
02:40:46.937 --> 02:40:49.106 region:rollup2
SEVEN TO WHERE WE ARE NOW AND I
02:40:48.639 --> 02:40:51.075 region:rollup2
TRULY APPRECIATE YOUR
02:40:49.106 --> 02:40:52.409 region:rollup2
LEADERSHIP.
02:40:51.075 --> 02:40:53.310 region:rollup2
SECONDLY I WANT TO THANK THE
02:40:52.409 --> 02:40:54.445 region:rollup2
COMMITTEE MEMBERS AND THEIR
02:40:53.310 --> 02:40:55.913 region:rollup2
STAFF FOR THEIR TIME QUESTION
02:40:54.445 --> 02:40:56.780 region:rollup2
ASKS.
02:40:55.913 --> 02:40:58.315 region:rollup2
AND CONCERNS THAT HAVE BEEN
02:40:56.780 --> 02:40:59.617 region:rollup2
RAISED.
02:40:58.315 --> 02:41:00.951 region:rollup2
THE AMENDMENTS WE HAVE MADE AND
02:40:59.617 --> 02:41:02.286 region:rollup2
THOSE PROPOSED AS AUTHOR
02:41:00.951 --> 02:41:03.888 region:rollup2
AMENDMENTS IN THE COMMITTEE
02:41:02.286 --> 02:41:06.123 region:rollup2
ANALYSIS ARE REFLECTIVE OF HOW
02:41:03.888 --> 02:41:07.591 region:rollup2
WE HAVE WORKED TO RESPOND TO AN
02:41:06.123 --> 02:41:09.493 region:rollup2
ADDRESSES MANY OF THE QUESTIONS.
02:41:07.591 --> 02:41:12.062 region:rollup2
AND CONCERNS THAT HAVE BEEN
02:41:09.493 --> 02:41:13.330 region:rollup2
RAISED TO DATE. BOPPING IS
02:41:12.062 --> 02:41:14.899 region:rollup2
HEADED OUT A MATRIX WHICH HAS.
02:41:13.330 --> 02:41:16.667 region:rollup2
.
02:41:14.899 --> 02:41:18.602 region:rollup2
TWELVE SUBSTANCE OR BLEVINS
02:41:16.667 --> 02:41:20.738 region:rollup2
SUBSTANTIVE AMENDMENTS WE'VE
02:41:18.602 --> 02:41:23.007 region:rollup2
TAKEN PLUS FOR COMMERCE OF
02:41:20.738 --> 02:41:24.275 region:rollup2
COMMITTEE POLICY COMMENTS THAT
02:41:23.007 --> 02:41:26.510 region:rollup2
WERE ALSO GOING TO BE.
02:41:24.275 --> 02:41:27.511 region:rollup2
INCORPORATING AS AMENDMENTS AS
02:41:26.510 --> 02:41:28.045 region:rollup2
THIS BILL IT WERE TO MOVE
02:41:27.511 --> 02:41:30.281 region:rollup2
FORWARD.
02:41:28.045 --> 02:41:31.982 region:rollup2
WOULD BE INCLUDED IN THE BILL
02:41:30.281 --> 02:41:34.251 region:rollup2
AS WELL SO FIFTEEN TOTAL
02:41:31.982 --> 02:41:35.319 region:rollup2
SUBSTANTIVE AMENDMENTS AND WE
02:41:34.251 --> 02:41:37.621 region:rollup2
LOOK FORWARD TO CONTINUING THE
02:41:35.319 --> 02:41:38.756 region:rollup2
PROCESS OF WORKING ON AN
02:41:37.621 --> 02:41:40.791 region:rollup2
IMPROVING THE BILL.
02:41:38.756 --> 02:41:42.092 region:rollup2
OF WITH THAT.
02:41:40.791 --> 02:41:43.527 region:rollup2
WELL GLAD I'LL GLADLY ACCEPT
02:41:42.092 --> 02:41:45.195 region:rollup2
AMENDMENTS TO ADDRESS ALL THE
02:41:43.527 --> 02:41:45.763 region:rollup2
POLICY COMMENTS AS AUTHORS
02:41:45.195 --> 02:41:47.865 region:rollup2
AMENDMENTS IN THE COMMITTEE
02:41:45.763 --> 02:41:48.699 region:rollup2
ANALYSIS. AND A MOCK UP IN TABLE
02:41:47.865 --> 02:41:50.668 region:rollup2
SUMMARY AS MENTION IS BEING
02:41:48.699 --> 02:41:52.469 region:rollup2
DISTRIBUTED FOR OF ALL OF YOU TO
02:41:50.668 --> 02:41:53.604 region:rollup2
REVIEW.
02:41:52.469 --> 02:41:54.805 region:rollup2
OVER THE PAST TEN YEARS
02:41:53.604 --> 02:41:56.407 region:rollup2
CALIFORNIA HAS MADE GREAT
02:41:54.805 --> 02:41:57.875 region:rollup2
STRIDES IN INCREASING ACCESS TO
02:41:56.407 --> 02:41:59.043 region:rollup2
HEALTH CARE WHY ARE UNINSURED
02:41:57.875 --> 02:42:00.611 region:rollup2
POPULATIONS DROPPED. BY NEARLY
02:41:59.043 --> 02:42:02.313 region:rollup2
HALF.
02:42:00.611 --> 02:42:03.914 region:rollup2
HOWEVER. ALTHOUGH WE HAVE MADE
02:42:02.313 --> 02:42:05.416 region:rollup2
TREMENDOUS STRIDES IN INCREASING
02:42:03.914 --> 02:42:06.917 region:rollup2
ACCESS TO HEALTH CARE MANY
02:42:05.416 --> 02:42:08.586 region:rollup2
CONTINUE TO FOREGO NEEDED
02:42:06.917 --> 02:42:09.887 region:rollup2
MEDICAL TREATMENT BECAUSE OF THE
02:42:08.586 --> 02:42:11.822 region:rollup2
CONTINUED YOUR BY YOUR INCREASES
02:42:09.887 --> 02:42:13.357 region:rollup2
AND HEALTHCARE COSTS.
02:42:11.822 --> 02:42:15.593 region:rollup2
HEALTHCARE HAS BECOME FAR TOO
02:42:13.357 --> 02:42:17.728 region:rollup2
EXPENSES AND IF IT CONTINUES
02:42:15.593 --> 02:42:18.195 region:rollup2
WILL BECOME UNSUSTAINABLE NOT
02:42:17.728 --> 02:42:20.164 region:rollup2
JUST FOR THOSE WITHOUT
02:42:18.195 --> 02:42:22.166 region:rollup2
INSURANCE.
02:42:20.164 --> 02:42:23.434 region:rollup2
BUT ALSO FOR THOSE WITH IT.
02:42:22.166 --> 02:42:24.501 region:rollup2
NOT ONLY DOES IT IMPACT THE
02:42:23.434 --> 02:42:26.503 region:rollup2
STATE'S ABILITY TO FUND
02:42:24.501 --> 02:42:28.305 region:rollup2
IMPORTANT PRIORITIES SUCH AS
02:42:26.503 --> 02:42:29.873 region:rollup2
EDUCATION TRANSPORTATION. AND IS
02:42:28.305 --> 02:42:31.775 region:rollup2
HAVING A SIGNIFICANT IMPACT ON
02:42:29.873 --> 02:42:33.978 region:rollup2
THE ABILITY OF CALIFORNIA
02:42:31.775 --> 02:42:35.079 region:rollup2
BUSINESSES TO AFFORD. AN OFFER
02:42:33.978 --> 02:42:36.680 region:rollup2
HEALTHCARE BENEFITS TO THEIR
02:42:35.079 --> 02:42:38.182 region:rollup2
EMPLOYEES.
02:42:36.680 --> 02:42:39.583 region:rollup2
IN FACT OVER THE PAST TEN YEARS
02:42:38.182 --> 02:42:40.884 region:rollup2
STATE BUDGET EXPENDITURES ON
02:42:39.583 --> 02:42:43.020 region:rollup2
HEALTH CARE HAVE INCREASED BY
02:42:40.884 --> 02:42:44.488 region:rollup2
EIGHT PERCENT YEAR OVER. YEAR
02:42:43.020 --> 02:42:45.789 region:rollup2
THE PAST TEN YEARS AND
02:42:44.488 --> 02:42:47.558 region:rollup2
CALIFORNIA'S BUSINESSES ARE
02:42:45.789 --> 02:42:48.959 region:rollup2
INCREASINGLY FOR DON OFFERING
02:42:47.558 --> 02:42:50.060 region:rollup2
THEIR EMPLOYEES HEALTHCARE
02:42:48.959 --> 02:42:51.662 region:rollup2
INSURANCE WERE ONLY FIFTY FIVE
02:42:50.060 --> 02:42:53.163 region:rollup2
PERCENT OF CALIFORNIA COMPANIES.
02:42:51.662 --> 02:42:54.064 region:rollup2
HAVE REPORTED PROVIDING
02:42:53.163 --> 02:42:55.399 region:rollup2
HEALTHCARE INSURANCE TO
02:42:54.064 --> 02:42:57.267 region:rollup2
EMPLOYEES TWO THOUSAND SIXTEEN
02:42:55.399 --> 02:42:58.902 region:rollup2
WHICH IS DOWN FROM SIXTY NINE
02:42:57.267 --> 02:43:00.204 region:rollup2
PERCENT IN TWO THOUSAND.
02:42:58.902 --> 02:43:01.238 region:rollup2
MOST IMPORTANTLY WE'RE SEEING
02:43:00.204 --> 02:43:02.806 region:rollup2
PEOPLE MAKE SERIOUS AND
02:43:01.238 --> 02:43:04.675 region:rollup2
POTENTIALLY DEBILITATING HELD
02:43:02.806 --> 02:43:06.610 region:rollup2
DECISIONS DUE. TO THE COST OF
02:43:04.675 --> 02:43:07.645 region:rollup2
HEALTHCARE.
02:43:06.610 --> 02:43:09.280 region:rollup2
IN A RECENT REPORT BY THE
02:43:07.645 --> 02:43:10.748 region:rollup2
UNIVERSITY OF CHICAGO WAS FOUND
02:43:09.280 --> 02:43:12.349 region:rollup2
UP FORTY PERCENT OF AMERICANS
02:43:10.748 --> 02:43:15.252 region:rollup2
SKIPPED A RECOMMENDED MEDICAL
02:43:12.349 --> 02:43:16.220 region:rollup2
TESTS OR TREATMENT. DUE TO COST.
02:43:15.252 --> 02:43:17.855 region:rollup2
WHAT ALL THIS INFORMATION
02:43:16.220 --> 02:43:19.356 region:rollup2
DEMONSTRATES THAT THE CURRENT
02:43:17.855 --> 02:43:21.592 region:rollup2
TRAJECTORY OF HEALTHCARE COSTS
02:43:19.356 --> 02:43:23.260 region:rollup2
IS UNSUSTAINABLE?
02:43:21.592 --> 02:43:24.828 region:rollup2
IT BEGAN TEN YEARS TO GO ON
02:43:23.260 --> 02:43:27.298 region:rollup2
UNADDRESSED IN THAT COULD WELL
02:43:24.828 --> 02:43:28.666 region:rollup2
ACCESS TO CARE WILL WORSEN.
02:43:27.298 --> 02:43:29.500 region:rollup2
HEALTHCARE DISPARITIES WILL
02:43:28.666 --> 02:43:31.101 region:rollup2
INCREASE AND THE
02:43:29.500 --> 02:43:33.037 region:rollup2
DISPROPORTIONATE USE OF MEDICAL
02:43:31.101 --> 02:43:34.204 region:rollup2
CARE BETWEEN THOSE WHO CAN AND
02:43:33.037 --> 02:43:36.140 region:rollup2
CANNOT AFFORD THEIR HEALTHCARE
02:43:34.204 --> 02:43:37.675 region:rollup2
WILL EXPAND.
02:43:36.140 --> 02:43:39.677 region:rollup2
THIS IS WHY I HAVE OP AUTHORED
02:43:37.675 --> 02:43:41.311 region:rollup2
AB THIRTY EIGHTY SEVEN THE
02:43:39.677 --> 02:43:42.846 region:rollup2
HEALTH CARE PRICE RELIEF ACT
02:43:41.311 --> 02:43:44.281 region:rollup2
WHICH WILL ESTABLISH AN
02:43:42.846 --> 02:43:46.183 region:rollup2
INDEPENDENT HEALTH CARE COST.
02:43:44.281 --> 02:43:47.451 region:rollup2
QUALITY AND EQUITY COMMISSION TO
02:43:46.183 --> 02:43:49.086 region:rollup2
SET REASONABLE BASED AMOUNTS
02:43:47.451 --> 02:43:50.654 region:rollup2
HOSPITALS DOCTORS AND OTHER
02:43:49.086 --> 02:43:53.757 region:rollup2
PROVIDERS OF HEALTHCARE SERVICE
02:43:50.654 --> 02:43:55.225 region:rollup2
CAN COLLECT FROM PARIS.
02:43:53.757 --> 02:43:56.527 region:rollup2
THE ELEVEN MEMBER COMMISSION
02:43:55.225 --> 02:43:58.929 region:rollup2
WOULD BUILD OFF OF WOULD BUILD
02:43:56.527 --> 02:44:00.397 region:rollup2
OFF OF MEDICARE REYES NOT LOWER.
02:43:58.929 --> 02:44:02.499 region:rollup2
THAN A HUNDRED PERCENT DETERMINE
02:44:00.397 --> 02:44:04.068 region:rollup2
PROVIDER BASE AMOUNTS AND I JUST
02:44:02.499 --> 02:44:05.636 region:rollup2
MEDICARE ADVANTAGE REYES TO
02:44:04.068 --> 02:44:07.738 region:rollup2
ESTABLISH A CAPITATED AMOUNT
02:44:05.636 --> 02:44:09.306 region:rollup2
THAT HEALTH PLANS MUST USE AS A
02:44:07.738 --> 02:44:11.208 region:rollup2
BASIS FOR PREMIUMS.
02:44:09.306 --> 02:44:12.576 region:rollup2
BY BUILDING UPON EXISTING MODELS
02:44:11.208 --> 02:44:14.511 region:rollup2
WE CAN ESTABLISH A TRANSPARENT
02:44:12.576 --> 02:44:15.846 region:rollup2
PROCESS BY WHICH INCREASES IN
02:44:14.511 --> 02:44:17.848 region:rollup2
HEALTHCARE COSTS CAN BE KEPT
02:44:15.846 --> 02:44:19.683 region:rollup2
REASONABLE. CONTINUE TO EXPAND
02:44:17.848 --> 02:44:21.018 region:rollup2
ACCESS TO CARE AND PROVIDE OUR
02:44:19.683 --> 02:44:22.086 region:rollup2
HEALTH CARE INDUSTRY WITH THE
02:44:21.018 --> 02:44:24.254 region:rollup2
ABILITY TO RECEIVE A FAIR RETURN
02:44:22.086 --> 02:44:25.989 region:rollup2
ON INVESTMENT.
02:44:24.254 --> 02:44:27.424 region:rollup2
IN DOING SO WE CAN HELP ADDRESS
02:44:25.989 --> 02:44:28.859 region:rollup2
THE LONG TERM SUSTAINABILITY OF
02:44:27.424 --> 02:44:30.160 region:rollup2
OUR HEALTHCARE SYSTEM BY
02:44:28.859 --> 02:44:31.495 region:rollup2
DRESSING UNREASONABLE AND
02:44:30.160 --> 02:44:32.763 region:rollup2
EGREGIOUS RATES WHILE
02:44:31.495 --> 02:44:34.431 region:rollup2
MAINTAINING ACCESS TO QUALITY
02:44:32.763 --> 02:44:35.499 region:rollup2
CARE FOR ALL.
02:44:34.431 --> 02:44:36.800 region:rollup2
I WANTED ALSO ADDRESS SOME OF
02:44:35.499 --> 02:44:38.335 region:rollup2
THE QUESTIONS WE HAVE REGULARLY
02:44:36.800 --> 02:44:40.404 region:rollup2
HEARD ABOUT THE BILL. SIDE LEGAL
02:44:38.335 --> 02:44:41.538 region:rollup2
HELP TO CLARIFY WHERE CERTAIN
02:44:40.404 --> 02:44:43.140 region:rollup2
ELEMENTS OF GOT LOST IN
02:44:41.538 --> 02:44:44.441 region:rollup2
TRANSLATION OR MISINFORMATION IS
02:44:43.140 --> 02:44:45.642 region:rollup2
ADDED TO THE CONFUSION ABOUT THE
02:44:44.441 --> 02:44:47.244 region:rollup2
BILL.
02:44:45.642 --> 02:44:48.712 region:rollup2
A FREE CONCERNED THAT THERE'S
02:44:47.244 --> 02:44:49.880 region:rollup2
BEEN REYES IS THAT THIS BILL
02:44:48.712 --> 02:44:51.582 region:rollup2
WOULD LET LEAD TO RATIONING OF
02:44:49.880 --> 02:44:52.716 region:rollup2
CARE AND COST POSITIONS TO FLEE
02:44:51.582 --> 02:44:54.251 region:rollup2
THE STATE AND HOSPITALS CLOSE
02:44:52.716 --> 02:44:56.120 region:rollup2
OUR DOORS.
02:44:54.251 --> 02:44:57.755 region:rollup2
THIS IS NOT TRUE RATHER A. B.
02:44:56.120 --> 02:44:59.156 region:rollup2
THIRTY EIGHTY SEVEN WHAT COUNTER
02:44:57.755 --> 02:45:00.557 region:rollup2
WHAT WE ARE ALREADY SEEING IN
02:44:59.156 --> 02:45:02.426 region:rollup2
OUR HEALTHCARE SYSTEM
02:45:00.557 --> 02:45:03.360 region:rollup2
TODAY THE RATION OF HEALTHCARE
02:45:02.426 --> 02:45:04.962 region:rollup2
BY THE PEOPLE WHO NEED IT. THE
02:45:03.360 --> 02:45:07.097 region:rollup2
MOST
02:45:04.962 --> 02:45:09.133 region:rollup2
AYE DO THE COST OF CARE MANY ARE
02:45:07.097 --> 02:45:09.666 region:rollup2
REGULARLY CHOOSING TO FORGO A
02:45:09.133 --> 02:45:11.135 region:rollup2
NETIQUETTE I NAY A NEEDED
02:45:09.666 --> 02:45:12.569 region:rollup2
MEDICAL. TREATMENT OR TO PAY THE
02:45:11.135 --> 02:45:13.137 region:rollup2
RENT.
02:45:12.569 --> 02:45:14.571 region:rollup2
THE FOOD ON THE TABLE OR PAY
02:45:13.137 --> 02:45:15.406 region:rollup2
THEIR UTILITY BILL.
02:45:14.571 --> 02:45:16.740 region:rollup2
THIS BILL WOULD ENSURE THAT
02:45:15.406 --> 02:45:19.176 region:rollup2
RATES ARE REFLECTIVE OF THE NEED
02:45:16.740 --> 02:45:20.644 region:rollup2
TO MAINTAIN AND EXPAND ACCESS TO
02:45:19.176 --> 02:45:22.813 region:rollup2
NOT JUST QUALITY MEDICAL CARE
02:45:20.644 --> 02:45:24.047 region:rollup2
BUT AFFORDABLE MEDICAL CARE.
02:45:22.813 --> 02:45:25.149 region:rollup2
REGARDING PHYSICIANS AND
02:45:24.047 --> 02:45:26.617 region:rollup2
HOSPITALS WE ARE ALREADY
02:45:25.149 --> 02:45:28.385 region:rollup2
EXPERIENCING A SHORTAGE OF
02:45:26.617 --> 02:45:29.353 region:rollup2
PRIMARY CARE PHYSICIANS WHO ARE
02:45:28.385 --> 02:45:31.188 region:rollup2
ON THE FRONTLINE OF OUR
02:45:29.353 --> 02:45:33.056 region:rollup2
HEALTHCARE SYSTEM AND WATCHING
02:45:31.188 --> 02:45:33.891 region:rollup2
US HOSPITAL'S CONSOLIDATE. AND
02:45:33.056 --> 02:45:35.526 region:rollup2
SHUDDER HEALTHCARE FACILITIES IN
02:45:33.891 --> 02:45:36.660 region:rollup2
THE PROCESS.
02:45:35.526 --> 02:45:38.128 region:rollup2
AS OPPOSED TO OUR CURRENT
02:45:36.660 --> 02:45:40.097 region:rollup2
REALITY ASSAULT RATION
02:45:38.128 --> 02:45:41.165 region:rollup2
HEALTHCARE DUE TO COST AB THIRTY
02:45:40.097 --> 02:45:42.866 region:rollup2
EIGHTY SEVEN WOULD ENSURE THAT
02:45:41.165 --> 02:45:44.802 region:rollup2
PROVIDER RATES ARE TIED TO
02:45:42.866 --> 02:45:47.171 region:rollup2
IMPROVING HEALTH OUTCOMES AND
02:45:44.802 --> 02:45:48.639 region:rollup2
REDUCING HEALTH DISPARITIES.
02:45:47.171 --> 02:45:50.073 region:rollup2
FURTHER AB THIRTY EIGHTY SEVEN
02:45:48.639 --> 02:45:51.675 region:rollup2
ALSO TAKES INTO ACCOUNT WHAT IS
02:45:50.073 --> 02:45:53.076 region:rollup2
NEEDED TO RECRUIT AND RETAIN A
02:45:51.675 --> 02:45:54.278 region:rollup2
QUALIFIED HEALTHCARE WORKFORCE.
02:45:53.076 --> 02:45:55.612 region:rollup2
AND THAT THERE'S A FAIR AND
02:45:54.278 --> 02:45:57.347 region:rollup2
REASONABLE RETURN ON INVESTMENT
02:45:55.612 --> 02:45:58.715 region:rollup2
FOR PROVIDERS.
02:45:57.347 --> 02:45:59.716 region:rollup2
ANOTHER CONCERN WE HAVE HEARD IS
02:45:58.715 --> 02:46:01.985 region:rollup2
THAT THIS BILL DOES NOTHING TO
02:45:59.716 --> 02:46:02.786 region:rollup2
ADDRESS INADEQUATE MEDICAL RATES
02:46:01.985 --> 02:46:04.288 region:rollup2
WHICH ARE A DRIVER OF COST
02:46:02.786 --> 02:46:05.856 region:rollup2
SHIFTING BETWEEN COMMERCIAL AND
02:46:04.288 --> 02:46:06.857 region:rollup2
MEDI CAL RATES.
02:46:05.856 --> 02:46:08.292 region:rollup2
ALTHOUGH THERE ARE SIGNIFICANT
02:46:06.857 --> 02:46:10.260 region:rollup2
RESEARCH THAT DEMONSTRATES THAT
02:46:08.292 --> 02:46:10.794 region:rollup2
COST SHIFTING FROM A MORE
02:46:10.260 --> 02:46:12.496 region:rollup2
CONSERVATIVE VIEWPOINT HAS
02:46:10.794 --> 02:46:14.231 region:rollup2
OCCURRED. ABOUT USUALLY AT A
02:46:12.496 --> 02:46:15.566 region:rollup2
RELATIVELY LOW RATE THE BILL
02:46:14.231 --> 02:46:16.934 region:rollup2
DOES INCLUDE LANGUAGE TAKE INTO
02:46:15.566 --> 02:46:17.835 region:rollup2
ACCOUNT THE NUMBER OF. NUMBER OF
02:46:16.934 --> 02:46:19.136 region:rollup2
MEDI CAL PATIENTS PROVIDERS
02:46:17.835 --> 02:46:20.971 region:rollup2
SERVE
02:46:19.136 --> 02:46:21.972 region:rollup2
THE FISCAL IMPACT ASSOCIATED AND
02:46:20.971 --> 02:46:23.740 region:rollup2
MAKE ADJUSTMENTS TO THE RATE AS
02:46:21.972 --> 02:46:24.942 region:rollup2
NECESSARY.
02:46:23.740 --> 02:46:26.877 region:rollup2
LASTLY CONCERN WE HAVE HEARD
02:46:24.942 --> 02:46:28.011 region:rollup2
REGULARLY THIS BILL AS A VEILED
02:46:26.877 --> 02:46:29.780 region:rollup2
ATTEMPT AND MEANT MEDICARE FOR
02:46:28.011 --> 02:46:31.348 region:rollup2
ALL OR TO KEEP RATES AT AT OR
02:46:29.780 --> 02:46:32.716 region:rollup2
NEAR MEDICARE AMOUNTS.
02:46:31.348 --> 02:46:33.550 region:rollup2
THIS IS UNTRUE AND AS AN
02:46:32.716 --> 02:46:34.985 region:rollup2
ARGUMENT THAT I BELIEVE IS
02:46:33.550 --> 02:46:36.687 region:rollup2
MISLEADING A MISREPRESENTATION
02:46:34.985 --> 02:46:37.588 region:rollup2
OF EFFORTS MY OFFICE MADE TO
02:46:36.687 --> 02:46:38.889 region:rollup2
HELP STAKEHOLDERS READ THROUGH
02:46:37.588 --> 02:46:40.090 region:rollup2
THE BILL LANGUAGE.
02:46:38.889 --> 02:46:41.792 region:rollup2
SPECIFICALLY IN ONE OF THE
02:46:40.090 --> 02:46:42.893 region:rollup2
DOCUMENTS WE USED TO HELP
02:46:41.792 --> 02:46:44.862 region:rollup2
STAKEHOLDERS UNDERSTAND THE
02:46:42.893 --> 02:46:45.929 region:rollup2
DIFFERENT PROVISIONS WE INCLUDED
02:46:44.862 --> 02:46:47.297 region:rollup2
AN EXAMPLE OF HOW THE MEDICARE
02:46:45.929 --> 02:46:48.899 region:rollup2
RATE CAN BE USED TO DETERMINE
02:46:47.297 --> 02:46:50.000 region:rollup2
PROVIDER MAYES.
02:46:48.899 --> 02:46:50.934 region:rollup2
FOR EXAMPLE WOULD READ THAT
02:46:50.000 --> 02:46:52.436 region:rollup2
RATES COULD BE UNDER TWENTY FIVE
02:46:50.934 --> 02:46:53.937 region:rollup2
PERCENT HUNDRED PERCENT MEDICARE
02:46:52.436 --> 02:46:55.706 region:rollup2
OR HIGHER.
02:46:53.937 --> 02:46:56.506 region:rollup2
HOWEVER SOME MISREPRESENTED THIS
02:46:55.706 --> 02:46:57.774 region:rollup2
AFTER TO STATE THAT THE BILL
02:46:56.506 --> 02:46:58.709 region:rollup2
WOULD SET RATES AT A HUNDRED
02:46:57.774 --> 02:47:00.377 region:rollup2
PERCENT TWENTY FIVE PERCENT
02:46:58.709 --> 02:47:01.712 region:rollup2
MEDICARE AND RESULT IN AN
02:47:00.377 --> 02:47:02.613 region:rollup2
ESTIMATED EIGHTEEN BILLION
02:47:01.712 --> 02:47:04.348 region:rollup2
DOLLARS IN LOST REVENUE FOR THE
02:47:02.613 --> 02:47:04.848 region:rollup2
OVER. FOREIGNER HOSPITALS IN
02:47:04.348 --> 02:47:06.917 region:rollup2
CALIFORNIA THAT PAYMENT
02:47:04.848 --> 02:47:09.620 region:rollup2
REDUCTIONS WILL NEED AN ESTIMATE
02:47:06.917 --> 02:47:10.220 region:rollup2
A HUNDRED SEVENTY FIVE THOUSAND.
02:47:09.620 --> 02:47:10.754 region:rollup2
OF HEALTH CARE WORKERS LOSING
02:47:10.220 --> 02:47:12.623 region:rollup2
THEIR JOBS.
02:47:10.754 --> 02:47:14.291 region:rollup2
THAT'S OF OF A HYPOTHETICAL
02:47:12.623 --> 02:47:15.926 region:rollup2
DOES NOT BASED IN FACT AND IT'S
02:47:14.291 --> 02:47:17.060 region:rollup2
INCORRECT AND MISLEADING.
02:47:15.926 --> 02:47:18.729 region:rollup2
RATHER AS MANY OF YOU KNOW
02:47:17.060 --> 02:47:20.964 region:rollup2
MEDICARE RATES ARE OFTEN USED BY
02:47:18.729 --> 02:47:22.232 region:rollup2
POSITIONS HOSPITALS INSURERS TO
02:47:20.964 --> 02:47:24.468 region:rollup2
NEGOTIATE THEIR CONTRACT AND A
02:47:22.232 --> 02:47:25.669 region:rollup2
CONTRACT RAISE. IT IS USED AS
02:47:24.468 --> 02:47:27.104 region:rollup2
THE FOUNDATION UPON WHICH
02:47:25.669 --> 02:47:28.805 region:rollup2
POSITIONS MEDICAL GROUPS
02:47:27.104 --> 02:47:30.774 region:rollup2
HOSPITALS CLINICS HEALTHCARE
02:47:28.805 --> 02:47:32.643 region:rollup2
PLANS AND INSURERS NEGOTIATE
02:47:30.774 --> 02:47:34.044 region:rollup2
THEIR RATES. THIS IS THE SAME
02:47:32.643 --> 02:47:36.313 region:rollup2
APPROACH USED FOR A. B. THIRTY
02:47:34.044 --> 02:47:38.115 region:rollup2
EIGHTY SEVEN ONE THAT DOES NOT
02:47:36.313 --> 02:47:40.050 region:rollup2
SET A PROVIDER RATE CEILING JUST
02:47:38.115 --> 02:47:42.686 region:rollup2
THE OPPOSITE THAT SETS A FLOOR
02:47:40.050 --> 02:47:43.954 region:rollup2
USING EXISTING. MEDICARE RATES
02:47:42.686 --> 02:47:45.289 region:rollup2
I'M NOT LOOKING TO GO BACK AND
02:47:43.954 --> 02:47:47.324 region:rollup2
SET RATES WHERE THEY WERE TWENTY
02:47:45.289 --> 02:47:48.659 region:rollup2
YEARS AGO THIS IS THE PROSPECT
02:47:47.324 --> 02:47:50.093 region:rollup2
OF BILL WHEREBY THE COMMISSION
02:47:48.659 --> 02:47:52.162 region:rollup2
WILL BE LOOKING AT TODAY. AND
02:47:50.093 --> 02:47:53.263 region:rollup2
GOING INTO THE FUTURE.
02:47:52.162 --> 02:47:54.698 region:rollup2
THE NOTION OF THIS ONLY GONNA
02:47:53.263 --> 02:47:56.767 region:rollup2
LEAD TO CUTS IN CURRENT RATES
02:47:54.698 --> 02:47:57.768 region:rollup2
ARE SIMPLY NOT TRUE. AS THE
02:47:56.767 --> 02:47:59.469 region:rollup2
COMMISSION IS REQUIRED TO SET
02:47:57.768 --> 02:48:00.570 region:rollup2
REYES A FAIR MARKET VALUE. AND
02:47:59.469 --> 02:48:01.338 region:rollup2
FOSTER A MORE ACTIVE WILL
02:48:00.570 --> 02:48:02.506 region:rollup2
HEALTHCARE SYSTEM FOR ALL
02:48:01.338 --> 02:48:05.142 region:rollup2
CALIFORNIANS
02:48:02.506 --> 02:48:07.611 region:rollup2
SIMPLY PUT SHARON MEMBERS THE
02:48:05.142 --> 02:48:09.146 region:rollup2
STATUS QUO IS UNACCEPTABLE.
02:48:07.611 --> 02:48:10.814 region:rollup2
AND IF WE MAINTAIN THIS IS THE
02:48:09.146 --> 02:48:11.949 region:rollup2
WAY THE SYSTEM IS CURRENTLY SET
02:48:10.814 --> 02:48:13.684 region:rollup2
UP WE'RE GONNA SEE MORE
02:48:11.949 --> 02:48:15.752 region:rollup2
CALIFORNIANS MORE SMALL
02:48:13.684 --> 02:48:17.487 region:rollup2
BUSINESSES NOT BE ABLE TO AFFORD
02:48:15.752 --> 02:48:19.623 region:rollup2
HEALTHCARE AND FRANKLY. BUT THE
02:48:17.487 --> 02:48:21.758 region:rollup2
PROVIDERS THE HOSPITALS THE
02:48:19.623 --> 02:48:23.660 region:rollup2
DOCTORS GOING INTO THE FUTURE
02:48:21.758 --> 02:48:25.295 region:rollup2
THEY WON'T NEED AND DESERVE A
02:48:23.660 --> 02:48:27.764 region:rollup2
SUSTAINABLE SYSTEM TO.
02:48:25.295 --> 02:48:29.299 region:rollup2
AND SO THE THIS BILL SEEKS TO
02:48:27.764 --> 02:48:31.501 region:rollup2
ENSURE THAT EVERYONE CAN COME TO
02:48:29.299 --> 02:48:32.636 region:rollup2
THE TABLE AND PROVIDE INPUT TO
02:48:31.501 --> 02:48:33.904 region:rollup2
ENSURE THAT THE RATES THAT ARE
02:48:32.636 --> 02:48:35.839 region:rollup2
SET ARE ONES THAT ARE FAIR TO
02:48:33.904 --> 02:48:38.575 region:rollup2
EVERYONE. BUT THAT DON'T HAVE
02:48:35.839 --> 02:48:40.310 region:rollup2
THESE UNEXPECTED INCREASES THAT
02:48:38.575 --> 02:48:42.112 region:rollup2
REALLY MAKE IT AN UNSUSTAINABLE
02:48:40.310 --> 02:48:43.347 region:rollup2
SYSTEM FOR ALL.
02:48:42.112 --> 02:48:44.815 region:rollup2
WITH THAT I HAVE WITH ME ARE CO
02:48:43.347 --> 02:48:46.283 region:rollup2
SPONSORS FOR A. B. THIRTY EIGHTY
02:48:44.815 --> 02:48:48.251 region:rollup2
SEVEN WILL BE TESTIFYING IN
02:48:46.283 --> 02:48:49.786 region:rollup2
SUPPORT OF THE BILL. ARE PLASTIC
02:48:48.251 --> 02:48:51.121 region:rollup2
SECRETARY TREASURER FOR THE
02:48:49.786 --> 02:48:52.689 region:rollup2
CALIFORNIA LABOR FEDERATION.
02:48:51.121 --> 02:48:55.158 region:rollup2
CHRIS ROCK PRESIDENT OF UNITE
02:48:52.689 --> 02:48:56.293 region:rollup2
HERE LOCAL FORTY NINE AND TAM MA
02:48:55.158 --> 02:49:00.364 region:rollup2
WITH HEALTH ACCESS THINK
02:48:56.293 --> 02:49:02.566 region:rollup2
RESEARCHER.
02:49:00.364 --> 02:49:04.968 region:rollup2
GERMAN.
02:49:02.566 --> 02:49:06.470 region:rollup2
MEMBERS MY NAME IS ART PULASKI.
02:49:04.968 --> 02:49:07.371 region:rollup2
I'M THE EXECUTIVE SECRETARY
02:49:06.470 --> 02:49:09.840 region:rollup2
TREASURER OF THE CALIFORNIA
02:49:07.371 --> 02:49:10.440 region:rollup2
LABOR FEDERATION.
02:49:09.840 --> 02:49:13.143 region:rollup2
THANK YOU DOCTOR WORD FOR ALL
02:49:10.440 --> 02:49:15.212 region:rollup2
THAT YOU DO.
02:49:13.143 --> 02:49:15.712 region:rollup2
YOU DON'T SEE ME. YOU DON'T
02:49:15.212 --> 02:49:17.547 region:rollup2
OFFICE HE ME HERE GIVING
02:49:15.712 --> 02:49:18.181 region:rollup2
TESTIMONY.
02:49:17.547 --> 02:49:19.383 region:rollup2
BUT HEALTHCARE IS AN ISSUE THAT
02:49:18.181 --> 02:49:20.384 region:rollup2
TOUCHES.
02:49:19.383 --> 02:49:22.119 region:rollup2
ALL OF OUR MEMBERS TWO MILLION
02:49:20.384 --> 02:49:25.922 region:rollup2
OF THEM.
02:49:22.119 --> 02:49:28.158 region:rollup2
AND ALMOST ALL CALIFORNIANS.
02:49:25.922 --> 02:49:30.494 region:rollup2
SINCE TWO THOUSAND AND TWO.
02:49:28.158 --> 02:49:32.663 region:rollup2
PREMIUMS FOR JOB BASED INSURANCE
02:49:30.494 --> 02:49:35.332 region:rollup2
IN CALIFORNIA HAVE RISEN BY TWO
02:49:32.663 --> 02:49:38.001 region:rollup2
HUNDRED AND THIRTY FOUR PERCENT.
02:49:35.332 --> 02:49:39.870 region:rollup2
SOMETHING IS VERY WRONG.
02:49:38.001 --> 02:49:41.438 region:rollup2
THIS IS BEFORE THEN LONG BEFORE
02:49:39.870 --> 02:49:42.272 region:rollup2
THEN WE HAVE WORKED HARD EVERY
02:49:41.438 --> 02:49:46.309 region:rollup2
ASPECT OF HEALTH CARE FOR
02:49:42.272 --> 02:49:49.012 region:rollup2
CONSUMERS.
02:49:46.309 --> 02:49:50.847 region:rollup2
TWO THOUSAND THREE.
02:49:49.012 --> 02:49:52.716 region:rollup2
BECAUSE WE SPONSORED ESPY TO THE
02:49:50.847 --> 02:49:54.217 region:rollup2
JOHN BURTON BILL.
02:49:52.716 --> 02:49:55.952 region:rollup2
THAT WOULD CALLED ON ALL
02:49:54.217 --> 02:49:57.554 region:rollup2
EMPLOYERS ALMOST ALL EMPLOYERS
02:49:55.952 --> 02:49:59.289 region:rollup2
IN THE STATE OF CALIFORNIA.
02:49:57.554 --> 02:50:02.826 region:rollup2
TO GIVE OUR HEALTH INSURANCE TO
02:49:59.289 --> 02:50:03.393 region:rollup2
THEIR EMPLOYEES.
02:50:02.826 --> 02:50:05.495 region:rollup2
WHO WORKED ON THE AFFORDABLE
02:50:03.393 --> 02:50:06.630 region:rollup2
CARE ACT?
02:50:05.495 --> 02:50:07.898 region:rollup2
HE'S TAKEN ON INSURANCE
02:50:06.630 --> 02:50:10.300 region:rollup2
COMPANIES HEALTH PLANS AND BIG
02:50:07.898 --> 02:50:11.501 region:rollup2
PHARMA.
02:50:10.300 --> 02:50:12.335 region:rollup2
OUR TRUST FUND SAID NEGOTIATE
02:50:11.501 --> 02:50:13.937 region:rollup2
COVERAGE FOR TWO MILLION
02:50:12.335 --> 02:50:15.238 region:rollup2
FAMILIES.
02:50:13.937 --> 02:50:18.475 region:rollup2
CONTINUOUS GREAT FOR WAYS TO CUT
02:50:15.238 --> 02:50:19.810 region:rollup2
COSTS.
02:50:18.475 --> 02:50:20.644 region:rollup2
THROUGH ALL THIS AND MORE WE
02:50:19.810 --> 02:50:23.146 region:rollup2
HAVE LEARNED THE ONLY WAY TO
02:50:20.644 --> 02:50:25.282 region:rollup2
CONTAIN COSTS.
02:50:23.146 --> 02:50:26.016 region:rollup2
IS TO ADDRESS HIGHER PRICES.
02:50:25.282 --> 02:50:30.120 region:rollup2
ACROSS THE BOARD THROUGH THE
02:50:26.016 --> 02:50:31.588 region:rollup2
ENTIRE INDUSTRY.
02:50:30.120 --> 02:50:34.091 region:rollup2
ARE FEDERATION IS A STRONG
02:50:31.588 --> 02:50:36.326 region:rollup2
SUPPORTER OF SINGLE PAYER.
02:50:34.091 --> 02:50:38.462 region:rollup2
S. B. FIVE SIX TWO.
02:50:36.326 --> 02:50:39.629 region:rollup2
AND TO ACHIEVE SINGLE PAYER.
02:50:38.462 --> 02:50:43.333 region:rollup2
WE MUST REDUCE THE COSTS OF
02:50:39.629 --> 02:50:45.068 region:rollup2
MEDICAL CARE.
02:50:43.333 --> 02:50:46.269 region:rollup2
AB THIRTY EIGHTY SEVEN.
02:50:45.068 --> 02:50:47.237 region:rollup2
IS ABOUT SETTING A FAIR AND
02:50:46.269 --> 02:50:49.372 region:rollup2
TRANSPARENT PROCESS FOR HEALTH
02:50:47.237 --> 02:50:50.474 region:rollup2
CARE RATES.
02:50:49.372 --> 02:50:51.441 region:rollup2
RIGHT NOW THOSE PRICES ARE
02:50:50.474 --> 02:50:54.711 region:rollup2
LARGELY CONTROLLED BY MEDICAL
02:50:51.441 --> 02:50:56.213 region:rollup2
MONOPOLIES.
02:50:54.711 --> 02:50:57.414 region:rollup2
ESSENTIALLY THEY CHARGE WHATEVER
02:50:56.213 --> 02:51:00.350 region:rollup2
THEY CAN.
02:50:57.414 --> 02:51:02.052 region:rollup2
WHENEVER THEY CAN.
02:51:00.350 --> 02:51:06.623 region:rollup2
SUTTER HEALTH HERE IN SACRAMENTO
02:51:02.052 --> 02:51:07.491 region:rollup2
IS JUST ONE EXAMPLE OF THAT.
02:51:06.623 --> 02:51:09.493 region:rollup2
WE HAVE LEARNED THAT THE FREE
02:51:07.491 --> 02:51:09.993 region:rollup2
MARKET SYSTEM.
02:51:09.493 --> 02:51:11.695 region:rollup2
FOR ALL OTHER ESSENTIAL
02:51:09.993 --> 02:51:13.630 region:rollup2
SERVICES.
02:51:11.695 --> 02:51:15.132 region:rollup2
DOES NOT WORK.
02:51:13.630 --> 02:51:20.103 region:rollup2
WE IS CONTROLLED BY MY NOT
02:51:15.132 --> 02:51:21.037 region:rollup2
MONOPOLISTIC PRICE CITY.
02:51:20.103 --> 02:51:25.342 region:rollup2
OF COURSE IT DOESN'T WORK FOR
02:51:21.037 --> 02:51:26.676 region:rollup2
HEALTH CARE EITHER.
02:51:25.342 --> 02:51:28.445 region:rollup2
THOSE PRICES ARE PUSHING
02:51:26.676 --> 02:51:30.147 region:rollup2
HEALTHCARE SYSTEM TO THE BRINK.
02:51:28.445 --> 02:51:32.415 region:rollup2
PUSHING FAMILIES EMPLOYERS ALIKE
02:51:30.147 --> 02:51:33.517 region:rollup2
OVER THE EDGE.
02:51:32.415 --> 02:51:35.452 region:rollup2
EVERY MOMENT WE WAIT MORE
02:51:33.517 --> 02:51:36.853 region:rollup2
FAMILIES WILL BE HEARD.
02:51:35.452 --> 02:51:37.487 region:rollup2
THEY NEED URGENT ATTENTION WE
02:51:36.853 --> 02:51:43.093 region:rollup2
ARE JUNE VOTE YES THANK YOU VERY
02:51:37.487 --> 02:51:44.494 region:rollup2
MUCH.
02:51:43.093 --> 02:51:46.029 region:rollup2
GOOD AFTERNOON CHAIRMAN WOULD
02:51:44.494 --> 02:51:47.030 region:rollup2
AND MEMBERS OF THE COMMITTEE. MY
02:51:46.029 --> 02:51:48.098 region:rollup2
NAME IS CHRIS RACKING ON THE
02:51:47.030 --> 02:51:50.300 region:rollup2
PRESIDENT OF UNITE HERE LOCAL
02:51:48.098 --> 02:51:51.768 region:rollup2
FORTY NINE. A UNION OF THIRTY
02:51:50.300 --> 02:51:53.003 region:rollup2
SIX HUNDRED HOTEL RESTAURANT A
02:51:51.768 --> 02:51:54.304 region:rollup2
CASINO WORKERS BASED HERE IN
02:51:53.003 --> 02:51:54.938 region:rollup2
SACRAMENTO.
02:51:54.304 --> 02:51:56.339 region:rollup2
OUR MEMBERS ARE THE
02:51:54.938 --> 02:51:57.507 region:rollup2
HOUSEKEEPER'S IN THE BARTENDERS
02:51:56.339 --> 02:51:58.975 region:rollup2
WHO WAIT ON YOU AT THE SHERATON
02:51:57.507 --> 02:52:00.544 region:rollup2
GRAND SACRAMENTO AND TO CITIZEN
02:51:58.975 --> 02:52:01.645 region:rollup2
HOTEL. IS THE COOKS IN THE
02:52:00.544 --> 02:52:03.079 region:rollup2
BOUNCERS WHO SERVE YOU AT
02:52:01.645 --> 02:52:03.947 region:rollup2
THUNDER VALLEY IN CAST CREEK
02:52:03.079 --> 02:52:05.582 region:rollup2
CASINOS.
02:52:03.947 --> 02:52:06.650 region:rollup2
WE ARE UNION OF LOW WAGE WORKERS
02:52:05.582 --> 02:52:08.018 region:rollup2
TO GENERATE PROFITS FOR
02:52:06.650 --> 02:52:09.553 region:rollup2
CORPORATIONS THAT MAKE BILLIONS
02:52:08.018 --> 02:52:10.654 region:rollup2
OF DOLLARS A YEAR.
02:52:09.553 --> 02:52:12.189 region:rollup2
I'M HERE TODAY REPRESENTING
02:52:10.654 --> 02:52:13.190 region:rollup2
UNITE HERE AND INTERNATIONAL
02:52:12.189 --> 02:52:14.658 region:rollup2
UNION OF TWO HUNDRED SEVENTY
02:52:13.190 --> 02:52:15.725 region:rollup2
FIVE THOUSAND HOSPITALITY
02:52:14.658 --> 02:52:17.594 region:rollup2
WORKERS ACROSS THE U. S. AND
02:52:15.725 --> 02:52:18.395 region:rollup2
CANADA.
02:52:17.594 --> 02:52:19.663 region:rollup2
ALONG WITH THE CALIFORNIA LABOR
02:52:18.395 --> 02:52:21.131 region:rollup2
FEDERATION AS YOU ARE YOU
02:52:19.663 --> 02:52:22.566 region:rollup2
CALIFORNIA THE TEAMSTERS AND
02:52:21.131 --> 02:52:24.501 region:rollup2
HEALTH ACCESS
02:52:22.566 --> 02:52:25.735 region:rollup2
WE ARE CO SPONSORS OF AB THIRTY
02:52:24.501 --> 02:52:27.404 region:rollup2
EIGHTY SEVEN BECAUSE THE
02:52:25.735 --> 02:52:28.638 region:rollup2
INCREASING COST OF HEALTHCARE
02:52:27.404 --> 02:52:29.906 region:rollup2
HAS CREATED A CRISIS THAT
02:52:28.638 --> 02:52:31.942 region:rollup2
THREATENS THE ABILITY. OF
02:52:29.906 --> 02:52:33.610 region:rollup2
MILLIONS OF WORKERS BOTH ARE
02:52:31.942 --> 02:52:34.177 region:rollup2
MEMBERS IN THOSE WITHOUT UNIONS
02:52:33.610 --> 02:52:35.512 region:rollup2
HAVE A SHOT AT MIDDLE CLASS
02:52:34.177 --> 02:52:37.380 region:rollup2
LAUGHS.
02:52:35.512 --> 02:52:39.282 region:rollup2
WE RESET CRISIS POINT AND THINGS
02:52:37.380 --> 02:52:40.383 region:rollup2
CANNOT CONTINUE AS THEY ARE.
02:52:39.282 --> 02:52:41.451 region:rollup2
I'VE BEEN IN SACRAMENTO SINCE
02:52:40.383 --> 02:52:43.220 region:rollup2
TWO THOUSAND FIVE IN A
02:52:41.451 --> 02:52:44.921 region:rollup2
NEGOTIATED DOZENS OF CONTRACTS
02:52:43.220 --> 02:52:46.957 region:rollup2
WITH HOTEL COMPANIES CORPORATE
02:52:44.921 --> 02:52:48.725 region:rollup2
CAFETERIA FRANCHISEES IN TRIBAL
02:52:46.957 --> 02:52:50.227 region:rollup2
GAMING OPERATORS. REPRESENTING
02:52:48.725 --> 02:52:51.328 region:rollup2
HUNDREDS OF MILLIONS OF DOLLARS
02:52:50.227 --> 02:52:53.396 region:rollup2
IN WAGES PENSIONS AND HEALTH
02:52:51.328 --> 02:52:54.698 region:rollup2
CARE CONTRIBUTIONS.
02:52:53.396 --> 02:52:55.932 region:rollup2
IN THAT TIME I'VE HAD LIED TO
02:52:54.698 --> 02:52:57.267 region:rollup2
MANY HARD UGLY MEETINGS WITH
02:52:55.932 --> 02:52:58.335 region:rollup2
COURAGEOUS GROUPS OF WORKERS WHO
02:52:57.267 --> 02:53:00.036 region:rollup2
ARE FORCED TO MAKE AN IMPOSSIBLE
02:52:58.335 --> 02:53:01.905 region:rollup2
CHOICE AT THE END OF TOUGH
02:53:00.036 --> 02:53:03.373 region:rollup2
CONTRACT NEGOTIATIONS.
02:53:01.905 --> 02:53:03.940 region:rollup2
THEY STRUGGLE TO WIN NINETY
02:53:03.373 --> 02:53:05.675 region:rollup2
CENTS FOR A BUCK FROM THE
02:53:03.940 --> 02:53:06.710 region:rollup2
COMPANY BUT THEY HAVE TO DECIDE
02:53:05.675 --> 02:53:07.177 region:rollup2
WHETHER TO PUT THAT MONEY INTO
02:53:06.710 --> 02:53:09.279 region:rollup2
RAISES OR HEALTH CARE
02:53:07.177 --> 02:53:09.880 region:rollup2
CONTRIBUTIONS.
02:53:09.279 --> 02:53:10.780 region:rollup2
WHEN YOU'RE TRYING TO SUPPORT
02:53:09.880 --> 02:53:12.415 region:rollup2
YOUR FAMILY ON TWELVE OR
02:53:10.780 --> 02:53:13.783 region:rollup2
THIRTEEN DOLLARS AN HOUR AND PAY
02:53:12.415 --> 02:53:15.218 region:rollup2
FOR HOUSING AND LIVING EXPENSES
02:53:13.783 --> 02:53:16.887 region:rollup2
IN CALIFORNIA THAT'S A REALLY
02:53:15.218 --> 02:53:18.021 region:rollup2
PAINFUL CHOICE.
02:53:16.887 --> 02:53:18.989 region:rollup2
WORKERS ARE FORCED TO PUT LOTS
02:53:18.021 --> 02:53:21.124 region:rollup2
OF THE MONEY THEY WIN IN
02:53:18.989 --> 02:53:21.758 region:rollup2
BARGAINING OFTEN THE MAJORITY OF
02:53:21.124 --> 02:53:23.360 region:rollup2
IT INTO PROTECTING THEIR HEALTH
02:53:21.758 --> 02:53:24.828 region:rollup2
CARE.
02:53:23.360 --> 02:53:26.329 region:rollup2
THIS IS HAPPENING EVERYWHERE IN
02:53:24.828 --> 02:53:28.064 region:rollup2
SAN FRANCISCO HOTELS NOW PAY
02:53:26.329 --> 02:53:29.299 region:rollup2
MORE THAN THE STATE MINIMUM WAGE
02:53:28.064 --> 02:53:30.767 region:rollup2
JUST TO FUND THEIR HOUSEKEEPERS
02:53:29.299 --> 02:53:32.102 region:rollup2
HEALTH CARE.
02:53:30.767 --> 02:53:33.103 region:rollup2
EACH YEAR INSURANCE COMPANIES
02:53:32.102 --> 02:53:34.204 region:rollup2
DEMAND MORE MONEY FOR THE SAME
02:53:33.103 --> 02:53:36.206 region:rollup2
BENEFITS FROM OUR HEALTH CARE
02:53:34.204 --> 02:53:37.107 region:rollup2
TRUST FUNDS REGARDLESS OF
02:53:36.206 --> 02:53:38.508 region:rollup2
WHETHER OR NOT OUR MEMBERS WENT
02:53:37.107 --> 02:53:40.310 region:rollup2
TO THE HOSPITAL MORE LESS OFTEN
02:53:38.508 --> 02:53:41.278 region:rollup2
IN THE LAST YEAR.
02:53:40.310 --> 02:53:42.612 region:rollup2
INSTEAD OF PUTTING DESPERATELY
02:53:41.278 --> 02:53:44.347 region:rollup2
NEEDED MONEY INTO THE POCKETS OF
02:53:42.612 --> 02:53:45.448 region:rollup2
LOW WAGE WORKERS IF IT OFTEN
02:53:44.347 --> 02:53:46.750 region:rollup2
FEELS LIKE WE'RE TRANSFERRING
02:53:45.448 --> 02:53:47.250 region:rollup2
TENS OF MILLIONS OF DOLLARS FROM
02:53:46.750 --> 02:53:48.852 region:rollup2
ONE MULTIBILLION DOLLAR
02:53:47.250 --> 02:53:50.353 region:rollup2
INDUSTRY.
02:53:48.852 --> 02:53:51.254 region:rollup2
THE HOSPITALITY INDUSTRY TO
02:53:50.353 --> 02:53:52.489 region:rollup2
ANOTHER THE MEDICAL INDUSTRIAL
02:53:51.254 --> 02:53:53.523 region:rollup2
COMPLEX
02:53:52.489 --> 02:53:55.425 region:rollup2
AND ALL OF THIS AT THE EXPENSE
02:53:53.523 --> 02:53:56.293 region:rollup2
OF WORKING FAMILIES.
02:53:55.425 --> 02:53:57.794 region:rollup2
AND WHY DOES THE COST OF HEALTH
02:53:56.293 --> 02:53:59.329 region:rollup2
CARE KEEP INCREASING
02:53:57.794 --> 02:54:00.430 region:rollup2
SEVERAL AB THIRTY EIGHTY SEVEN
02:53:59.329 --> 02:54:01.965 region:rollup2
BILL SPONSORS HAVE SPONSORED
02:54:00.430 --> 02:54:02.699 region:rollup2
PREVIOUS LEGISLATION TO MAKE
02:54:01.965 --> 02:54:04.334 region:rollup2
HEALTH CARE COSTS MORE
02:54:02.699 --> 02:54:06.202 region:rollup2
TRANSPARENT.
02:54:04.334 --> 02:54:07.270 region:rollup2
INFORMATION FROM THOSE BILL SHOW
02:54:06.202 --> 02:54:08.571 region:rollup2
THAT SEVENTY FIVE PERCENT OF THE
02:54:07.270 --> 02:54:10.240 region:rollup2
TO TWENTY EIGHTEEN PREMIUM
02:54:08.571 --> 02:54:11.641 region:rollup2
DOLLAR IS PROJECTED TO GO TO
02:54:10.240 --> 02:54:13.410 region:rollup2
DOCTORS AND HOSPITALS. AND
02:54:11.641 --> 02:54:15.145 region:rollup2
EIGHTY THREE PERCENT OF MEDICAL
02:54:13.410 --> 02:54:17.480 region:rollup2
COST INCREASES LAST YEAR
02:54:15.145 --> 02:54:19.082 region:rollup2
RESULTED FROM PRICE INFLATION.
02:54:17.480 --> 02:54:20.116 region:rollup2
THIS CONFIRMS A CONSENSUS IN THE
02:54:19.082 --> 02:54:21.685 region:rollup2
EXPERT LITERATURE THAT THE CORE
02:54:20.116 --> 02:54:23.019 region:rollup2
PROBLEM WITH HEALTHCARE COSTS IN
02:54:21.685 --> 02:54:24.888 region:rollup2
OUR COUNTRY AND IN CALIFORNIA IS
02:54:23.019 --> 02:54:26.656 region:rollup2
HIGH PRICES.
02:54:24.888 --> 02:54:27.891 region:rollup2
AB THIRTY EIGHTY SEVEN ESTOPPEL
02:54:26.656 --> 02:54:29.192 region:rollup2
PUBLIC POLICY THAT GETS TO THE
02:54:27.891 --> 02:54:30.427 region:rollup2
HEART OF THIS ISSUE WE'RE URGING
02:54:29.192 --> 02:54:34.597 region:rollup2
WHAT MOVIE FOR WITHOUT DELAY
02:54:30.427 --> 02:54:36.032 region:rollup2
THANK YOU.
02:54:34.597 --> 02:54:37.968 region:rollup2
GOOD AFTERNOON MISTER CHAIR AND
02:54:36.032 --> 02:54:39.569 region:rollup2
MEMBERS I AM TAM MA AND ON THE
02:54:37.968 --> 02:54:41.171 region:rollup2
LEGAL AND POLICY DIRECTOR WITH
02:54:39.569 --> 02:54:42.205 region:rollup2
HEALTH ACCESS CALIFORNIA THE
02:54:41.171 --> 02:54:44.240 region:rollup2
STATE HEALTHCARE CONSUMER
02:54:42.205 --> 02:54:45.508 region:rollup2
ADVOCACY COALITION. WE ARE PROUD
02:54:44.240 --> 02:54:46.943 region:rollup2
TO CO SPONSOR AB THIRTY EIGHTY
02:54:45.508 --> 02:54:48.645 region:rollup2
SEVEN.
02:54:46.943 --> 02:54:50.347 region:rollup2
THE BILL IS CAREFULLY CRAFTED TO
02:54:48.645 --> 02:54:51.381 region:rollup2
ENSURE THE INDUSTRY GETS A FAIR
02:54:50.347 --> 02:54:53.083 region:rollup2
RATE FOR THE SERVICES THEY
02:54:51.381 --> 02:54:54.351 region:rollup2
PROVIDE.
02:54:53.083 --> 02:54:55.852 region:rollup2
THE COMMISSION AND THE BILL
02:54:54.351 --> 02:54:56.419 region:rollup2
WOULD DO THREE THINGS
02:54:55.852 --> 02:54:58.321 region:rollup2
FIRST IT WOULD SET THE BASE
02:54:56.419 --> 02:55:00.023 region:rollup2
RATE.
02:54:58.321 --> 02:55:03.026 region:rollup2
SECOND WOULD HEAR APPEALS AND
02:55:00.023 --> 02:55:04.494 region:rollup2
THIRD SET A GLOBAL BUDGETS.
02:55:03.026 --> 02:55:06.396 region:rollup2
FIRST THE COMMISSION WITHOUT THE
02:55:04.494 --> 02:55:08.064 region:rollup2
BASE RATE FOR DOCTORS HOSPITALS
02:55:06.396 --> 02:55:09.799 region:rollup2
AND HEALTH PLANS USING MEDICARE
02:55:08.064 --> 02:55:12.002 region:rollup2
AS A BENCHMARK.
02:55:09.799 --> 02:55:13.770 region:rollup2
WE CHOSE MEDICARE BECAUSE IT IS
02:55:12.002 --> 02:55:15.672 region:rollup2
A TRIED AND TRUE PROCESS FOR
02:55:13.770 --> 02:55:17.440 region:rollup2
SETTING FARE RATES THAT ARE
02:55:15.672 --> 02:55:18.975 region:rollup2
TRANSPARENT TO EVERYONE.
02:55:17.440 --> 02:55:20.076 region:rollup2
AND MOST IMPORTANTLY MEDICARE
02:55:18.975 --> 02:55:21.845 region:rollup2
DOES NOT ALLOW THE RELATIVE
02:55:20.076 --> 02:55:24.714 region:rollup2
MARKET POWER OF MAJOR HEALTH
02:55:21.845 --> 02:55:26.750 region:rollup2
CARE PLAYERS TO DICTATE PRICES.
02:55:24.714 --> 02:55:28.251 region:rollup2
FOR STATE LICENSED HEALTH PLANS
02:55:26.750 --> 02:55:29.552 region:rollup2
AND INSURERS SELLING TO
02:55:28.251 --> 02:55:31.654 region:rollup2
EMPLOYERS AND INDIVIDUAL
02:55:29.552 --> 02:55:33.656 region:rollup2
CONSUMERS. THE BILL WOULD USE
02:55:31.654 --> 02:55:35.592 region:rollup2
MEDICARE ADVANTAGE AS THE BASIS
02:55:33.656 --> 02:55:37.160 region:rollup2
FOR PREMIUMS.
02:55:35.592 --> 02:55:38.928 region:rollup2
MEDICARE ADVANTAGE PLANS ARE
02:55:37.160 --> 02:55:39.929 region:rollup2
PRIVATE MEDICARE PLANS LIKE THE
02:55:38.928 --> 02:55:42.465 region:rollup2
ONES OFFERED BY KAISER AND
02:55:39.929 --> 02:55:43.533 region:rollup2
HEALTH NUTS.
02:55:42.465 --> 02:55:44.868 region:rollup2
AB THIRTY EIGHTY SEVEN DOES NOT
02:55:43.533 --> 02:55:46.636 region:rollup2
A DO MANAGED CARE OR VALUE BASED
02:55:44.868 --> 02:55:48.271 region:rollup2
PURCHASING.
02:55:46.636 --> 02:55:50.440 region:rollup2
HEALTH PLANS AND PROVIDERS WOULD
02:55:48.271 --> 02:55:51.808 region:rollup2
CONTINUE TO NEGOTIATE A CONTRACT
02:55:50.440 --> 02:55:53.309 region:rollup2
WITH ONE ANOTHER AND HEALTH
02:55:51.808 --> 02:55:54.711 region:rollup2
PLANS WOULD STILL BE REQUIRED TO
02:55:53.309 --> 02:55:56.479 region:rollup2
HAVE ENOUGH DOCTORS AND
02:55:54.711 --> 02:55:58.281 region:rollup2
HOSPITALS AND THEIR NETWORKS TO
02:55:56.479 --> 02:56:00.450 region:rollup2
GUARANTEE TIMELY ACCESS TO CARE.
02:55:58.281 --> 02:56:02.252 region:rollup2
LAW AS THEY DO TODAY.
02:56:00.450 --> 02:56:04.087 region:rollup2
THE RATE PAID TO HEALTH PLANS
02:56:02.252 --> 02:56:05.922 region:rollup2
WOULD BE ADJUSTED BY AGE. RISK
02:56:04.087 --> 02:56:07.690 region:rollup2
LEX AND OTHER PERMISSIBLE RATING
02:56:05.922 --> 02:56:09.092 region:rollup2
FACTORS BECAUSE PEOPLE IN THEIR
02:56:07.690 --> 02:56:10.226 region:rollup2
THIRTIES USE LESS HEALTH CARE
02:56:09.092 --> 02:56:12.495 region:rollup2
THAT PEOPLE IN THEIR SEVENTIES
02:56:10.226 --> 02:56:13.897 region:rollup2
AND EIGHTIES.
02:56:12.495 --> 02:56:16.099 region:rollup2
FOR DOCTORS AND HOSPITALS TO
02:56:13.897 --> 02:56:16.866 region:rollup2
PROVIDE CARE OUTSIDE OF THE
02:56:16.099 --> 02:56:18.601 region:rollup2
CONTRACT WITH THE STATE LICENSE
02:56:16.866 --> 02:56:20.136 region:rollup2
HEALTH PLAN THE BASE RATE WILL
02:56:18.601 --> 02:56:21.971 region:rollup2
BE BASED ON WHAT MEDICARE PAYS
02:56:20.136 --> 02:56:22.505 region:rollup2
PROVIDER WITH ONE HUNDRED
02:56:21.971 --> 02:56:23.907 region:rollup2
PERCENT OF MEDICARE AS THE
02:56:22.505 --> 02:56:25.041 region:rollup2
FLOOR.
02:56:23.907 --> 02:56:26.843 region:rollup2
THIS WOULD APPLY TO OUT OF
02:56:25.041 --> 02:56:28.344 region:rollup2
NETWORK CAREAS WELL AS THE CARE
02:56:26.843 --> 02:56:30.146 region:rollup2
THAT SIX MILLION CALIFORNIANS
02:56:28.344 --> 02:56:32.882 region:rollup2
GET FROM THEIR EMPLOYER OR YOU
02:56:30.146 --> 02:56:35.018 region:rollup2
TRUST UP BUT OR YOU TRUST FUND.
02:56:32.882 --> 02:56:36.019 region:rollup2
OFFERING A SELF INSURED PLAN.
02:56:35.018 --> 02:56:38.121 region:rollup2
THE AUTHORS AMENDMENTS TAKEN
02:56:36.019 --> 02:56:41.157 region:rollup2
TODAY ALLOW SUCH PLANS TO OPT IN
02:56:38.121 --> 02:56:42.625 region:rollup2
TO USING THE BASE RATE.
02:56:41.157 --> 02:56:44.327 region:rollup2
USING THE MEDICARE RIGHT BILLS
02:56:42.625 --> 02:56:45.495 region:rollup2
AND A NUMBER OF ADJUSTMENTS FOR
02:56:44.327 --> 02:56:47.230 region:rollup2
GEOGRAPHIC REGION AND PARTICULAR
02:56:45.495 --> 02:56:48.698 region:rollup2
SPECIALTIES.
02:56:47.230 --> 02:56:49.466 region:rollup2
IT ALSO INCORPORATES DIFFERENCES
02:56:48.698 --> 02:56:51.968 region:rollup2
AND LABOR AND ALL OTHER
02:56:49.466 --> 02:56:52.669 region:rollup2
OPERATING COSTS.
02:56:51.968 --> 02:56:55.104 region:rollup2
THE COMMISSION MUST REVEAL
02:56:52.669 --> 02:56:56.406 region:rollup2
ADJUST THE BASE RATES EACH YEAR
02:56:55.104 --> 02:56:57.807 region:rollup2
FOR THE RATES REFLECT CURRENT
02:56:56.406 --> 02:56:59.509 region:rollup2
COSTS AND NEEDS.
02:56:57.807 --> 02:57:00.877 region:rollup2
AND WHAT SETTINGS.
02:56:59.509 --> 02:57:02.378 region:rollup2
THE RACE EACH YEAR THE
02:57:00.877 --> 02:57:04.414 region:rollup2
COMMISSION MUST CONSIDER FACTORS
02:57:02.378 --> 02:57:06.182 region:rollup2
THAT ARE CRITICAL TO ENSURING
02:57:04.414 --> 02:57:07.717 region:rollup2
CALIFORNIA'S CAN ACCESS CARE.
02:57:06.182 --> 02:57:09.285 region:rollup2
SUCH AS MAINTAINING AN ADEQUATE
02:57:07.717 --> 02:57:11.254 region:rollup2
WORKFORCE OF PHYSICIANS AND
02:57:09.285 --> 02:57:12.222 region:rollup2
OTHER HEALTHCARE WORKERS.
02:57:11.254 --> 02:57:13.990 region:rollup2
MAKING SURE PEOPLE IN RURAL
02:57:12.222 --> 02:57:16.059 region:rollup2
AREAS AND UNDERSERVED URBAN
02:57:13.990 --> 02:57:17.127 region:rollup2
AREAS CAN GET CARE.
02:57:16.059 --> 02:57:17.961 region:rollup2
AND CERTAIN THE PROVIDERS ARE
02:57:17.127 --> 02:57:19.529 region:rollup2
GETTING A FAIR RETURN ON
02:57:17.961 --> 02:57:20.029 region:rollup2
INVESTMENT
02:57:19.529 --> 02:57:21.564 region:rollup2
AND CAN STAY FINANCIALLY
02:57:20.029 --> 02:57:22.499 region:rollup2
SOLVENT.
02:57:21.564 --> 02:57:24.133 region:rollup2
AND MAKING SURE THAT THE BASE
02:57:22.499 --> 02:57:25.502 region:rollup2
RATE IS ADJUSTED TO TACKLE
02:57:24.133 --> 02:57:29.305 region:rollup2
EXISTING FUNDING INEQUITIES FOR
02:57:25.502 --> 02:57:30.573 region:rollup2
PROVIDERS THAT RELY ON MEDI CAL.
02:57:29.305 --> 02:57:31.608 region:rollup2
THE SECOND RESPONSIBILITIES THE
02:57:30.573 --> 02:57:33.643 region:rollup2
COMMISSION IS TO CONSIDER
02:57:31.608 --> 02:57:35.178 region:rollup2
APPEALS FROM DOCTORS HOSPITALS
02:57:33.643 --> 02:57:37.080 region:rollup2
AND HEALTH PLANS FOR AMOUNTS
02:57:35.178 --> 02:57:38.448 region:rollup2
HIGHER THAN THE BASE RATE.
02:57:37.080 --> 02:57:39.616 region:rollup2
THEY WOULD NEED TO JUSTIFY WHY A
02:57:38.448 --> 02:57:41.384 region:rollup2
HIGHER RATE AS APPROPRIATE TO
02:57:39.616 --> 02:57:43.453 region:rollup2
ENSURE ACCESS.
02:57:41.384 --> 02:57:45.054 region:rollup2
SUCH AS BUT ANTICIPATED COSTS
02:57:43.453 --> 02:57:47.090 region:rollup2
RESULTING FROM NATURAL DISASTERS
02:57:45.054 --> 02:57:50.593 region:rollup2
OUTBREAKS OF DISEASE AND CHANGES
02:57:47.090 --> 02:57:51.861 region:rollup2
IN LABOR AND CAPITAL COSTS.
02:57:50.593 --> 02:57:53.463 region:rollup2
FINALLY THE THIRD THING THE
02:57:51.861 --> 02:57:54.764 region:rollup2
COMMISSION IS CHARGED WITH DOING
02:57:53.463 --> 02:57:56.599 region:rollup2
IS ESTABLISHING A GLOBAL CAP
02:57:54.764 --> 02:57:58.501 region:rollup2
EACH YEAR SO INCREASES IN OUR
02:57:56.599 --> 02:58:00.904 region:rollup2
OVERALL HEALTH CARE SPENDING TO
02:57:58.501 --> 02:58:02.105 region:rollup2
NOT RISE FASTER THAN INFLATION.
02:58:00.904 --> 02:58:04.340 region:rollup2
THIS IS ALSO WITH THE COMMISSION
02:58:02.105 --> 02:58:06.676 region:rollup2
CAN MONITOR I ANY INCREASES IN
02:58:04.340 --> 02:58:08.077 region:rollup2
VOLUME SPIKES IN SPENDING OR
02:58:06.676 --> 02:58:09.512 region:rollup2
OTHER ISSUES THAT NEED TO BE
02:58:08.077 --> 02:58:11.080 region:rollup2
REMEDIED SO PROVIDERS TO
02:58:09.512 --> 02:58:13.483 region:rollup2
ECONOMIZE. IN WAYS THAT HURT
02:58:11.080 --> 02:58:15.118 region:rollup2
PATIENTS.
02:58:13.483 --> 02:58:16.352 region:rollup2
AB THIRTY EIGHTY SEVEN TACKLES
02:58:15.118 --> 02:58:17.754 region:rollup2
THE PROBLEMS WE SEE IN HEALTH
02:58:16.352 --> 02:58:19.389 region:rollup2
CARE PRICING TODAY WHERE
02:58:17.754 --> 02:58:20.790 region:rollup2
PROVIDER IN HOSPITAL MONOPOLIES
02:58:19.389 --> 02:58:22.759 region:rollup2
CHARGE WHATEVER THEY WANT WITH
02:58:20.790 --> 02:58:24.594 region:rollup2
VERY LITTLE OVERSIGHT.
02:58:22.759 --> 02:58:25.962 region:rollup2
AS CONSUMER ADVOCATES WE WANT
02:58:24.594 --> 02:58:27.564 region:rollup2
PEOPLE TO HAVE MEANINGFUL ASKS
02:58:25.962 --> 02:58:28.798 region:rollup2
US TO CARE AND A LARGE PART OF
02:58:27.564 --> 02:58:30.567 region:rollup2
THAT EQUATION IS LOWERING
02:58:28.798 --> 02:58:32.068 region:rollup2
OVERALL COSTS SO WE CAN SUSTAIN
02:58:30.567 --> 02:58:33.736 region:rollup2
OUR HEALTH CARE SYSTEM AND MAKE
02:58:32.068 --> 02:58:35.071 region:rollup2
IT WORK FOR EVERYONE.
02:58:33.736 --> 02:58:36.673 region:rollup2
ON BEHALF OF HEALTH ACCESS I
02:58:35.071 --> 02:58:39.242 region:rollup2
RESPECTFULLY ASK ME AYE VOTES ON
02:58:36.673 --> 02:58:40.643 region:rollup2
A. B. THIRTY EIGHTY SEVEN.
02:58:39.242 --> 02:58:43.179 region:rollup2
YOU VERY MUCH THIS POINT WILL
02:58:40.643 --> 02:58:44.414 region:rollup2
LAST FOR OTHERS IN SUPPORT.
02:58:43.179 --> 02:58:51.888 region:rollup2
IT WOULD JUST BE HER NAME AND
02:58:44.414 --> 02:58:53.723 region:rollup2
POSITION ONLY.
02:58:51.888 --> 02:58:54.924 region:rollup2
LOOK YOU HAVE TO RUN ITS OKAY.
02:58:53.723 --> 02:58:56.025 region:rollup2
MISTER CHAIR MEMBERS MICHELLE
02:58:54.924 --> 02:58:57.694 region:rollup2
CABINET I WITH THIS YEAH YOU
02:58:56.025 --> 02:59:02.065 region:rollup2
CALIFORNIA WE ARE PROUD CO
02:58:57.694 --> 02:59:03.700 region:rollup2
SPONSOR OF THIS BILL THINK YOU.
02:59:02.065 --> 02:59:05.368 region:rollup2
DALE FOUNTAIN ENACT UNIVERSAL
02:59:03.700 --> 02:59:06.369 region:rollup2
HEALTH CARE FOR CALIFORNIA
02:59:05.368 --> 02:59:08.171 region:rollup2
REPRESENTING HUNDRED EIGHT
02:59:06.369 --> 02:59:10.540 region:rollup2
THOUSAND SINGLE PAYER SUPPORTERS
02:59:08.171 --> 02:59:11.107 region:rollup2
IN CALIFORNIA. WE FULLY SUPPORT
02:59:10.540 --> 02:59:14.210 region:rollup2
AB THIRTY EIGHTY SEVEN THANK
02:59:11.107 --> 02:59:15.111 region:rollup2
YOU.
02:59:14.210 --> 02:59:16.079 region:rollup2
KIMBERLY CHEN ABOUT THE
02:59:15.111 --> 02:59:19.115 region:rollup2
CALIFORNIA PAN ETHNIC HEALTH
02:59:16.079 --> 02:59:20.783 region:rollup2
NETWORK IN SUPPORT.
02:59:19.115 --> 02:59:21.317 region:rollup2
LINDA WAY WITH WESTERN CENTER ON
02:59:20.783 --> 02:59:23.186 region:rollup2
LAW AND POVERTY IN STRONG
02:59:21.317 --> 02:59:24.220 region:rollup2
SUPPORT.
02:59:23.186 --> 02:59:25.255 region:rollup2
CHRISTOPHER GALIANO THE
02:59:24.220 --> 02:59:27.590 region:rollup2
CALIFORNIA IMMIGRANT POLICY
02:59:25.255 --> 02:59:29.325 region:rollup2
CENTER IN SUPPORT.
02:59:27.590 --> 02:59:30.727 region:rollup2
GEN CAN ARE ON BEHALF OF SEIU
02:59:29.325 --> 02:59:32.462 region:rollup2
LOCAL ONE THOUSAND REPRESENTING
02:59:30.727 --> 02:59:33.029 region:rollup2
OVER NINETY SIX THOUSAND PUBLIC
02:59:32.462 --> 02:59:36.532 region:rollup2
WORKERS ACROSS THE STATE IN
02:59:33.029 --> 02:59:37.700 region:rollup2
SUPPORT.
02:59:36.532 --> 02:59:38.201 region:rollup2
I BET MARTINEZ WITH UNITE HERE
02:59:37.700 --> 02:59:43.539 region:rollup2
AND CASTRO CASINO STRONG
02:59:38.201 --> 02:59:44.674 region:rollup2
SUPPORT.
02:59:43.539 --> 02:59:47.210 region:rollup2
HAVE YOU INFILL GRAYSON CASINO
02:59:44.674 --> 02:59:49.312 region:rollup2
STRONG SUPPORT.
02:59:47.210 --> 02:59:53.316 region:rollup2
MARGIE CA CERRO CREIGHTON CASINO
02:59:49.312 --> 02:59:54.751 region:rollup2
UNITE HERE STRONGLY SUPPORT.
02:59:53.316 --> 02:59:59.222 region:rollup2
ROBERT FLAT THUNDER VALLEY
02:59:54.751 --> 03:00:00.757 region:rollup2
CASINO STRONGLY SUPPORT.
02:59:59.222 --> 03:00:01.758 region:rollup2
MISTER CHAIR SET BROWN HERE
03:00:00.757 --> 03:00:03.026 region:rollup2
REPRESENTING MORE THAN THREE
03:00:01.758 --> 03:00:04.360 region:rollup2
HUNDRED THOUSAND MEMBERS OF THE
03:00:03.026 --> 03:00:07.530 region:rollup2
CALIFORNIA TEACHERS ASSOCIATION
03:00:04.360 --> 03:00:08.231 region:rollup2
AND STRONG SUPPORT.
03:00:07.530 --> 03:00:09.432 region:rollup2
THANK YOU MISTER CHAIR AND
03:00:08.231 --> 03:00:10.366 region:rollup2
MEMBERS TROSZYN BROWN OF THE
03:00:09.432 --> 03:00:14.937 region:rollup2
CALIFORNIA FEDERATION OF
03:00:10.366 --> 03:00:16.139 region:rollup2
TEACHERS AND SUPPORT THANK YOU.
03:00:14.937 --> 03:00:18.141 region:rollup2
I THINK YOU MISTER CHAIR AND
03:00:16.139 --> 03:00:20.176 region:rollup2
MEMBERS AMY HIND SHANK WITH UP
03:00:18.141 --> 03:00:22.078 region:rollup2
THE CW A LOCAL NINETY ONE
03:00:20.176 --> 03:00:23.046 region:rollup2
NINETEEN WITH FIFTEEN THOUSAND
03:00:22.078 --> 03:00:24.180 region:rollup2
UNIVERSITY PROFESSIONAL AND
03:00:23.046 --> 03:00:30.586 region:rollup2
TECHNICAL MEMBERS IN STRONG
03:00:24.180 --> 03:00:31.654 region:rollup2
SUPPORT.
03:00:30.586 --> 03:00:34.791 region:rollup2
THEN AFTER UNITED HERE IN
03:00:31.654 --> 03:00:36.059 region:rollup2
SUPPORT.
03:00:34.791 --> 03:00:41.597 region:rollup2
YOU CAN VIOLENCE HE.
03:00:36.059 --> 03:00:43.533 region:rollup2
BUT I CAN.
03:00:41.597 --> 03:00:47.003 region:rollup2
DANNY SO GATO OUR CASH CREEK
03:00:43.533 --> 03:00:48.204 region:rollup2
CASINO IN SUPPORT.
03:00:47.003 --> 03:00:51.040 region:rollup2
MARIO A. DATING TO UNITE HERE
03:00:48.204 --> 03:00:54.744 region:rollup2
SUPPORT.
03:00:51.040 --> 03:00:55.945 region:rollup2
OUR DEAN UNITE HERE IN SUPPORT.
03:00:54.744 --> 03:00:57.680 region:rollup2
SHANE GUSMAN ON BEHALF OF THE
03:00:55.945 --> 03:00:59.682 region:rollup2
CALIFORNIA TEACHERS PUBLIC
03:00:57.680 --> 03:01:00.650 region:rollup2
AFFAIRS COUNCIL THE I'LL W. THE
03:00:59.682 --> 03:01:02.318 region:rollup2
AMALGAMATED TRANSIT UNION
03:01:00.650 --> 03:01:07.390 region:rollup2
MACHINISTS.
03:01:02.318 --> 03:01:07.957 region:rollup2
UTILITY WORKERS ON SPORT.
03:01:07.390 --> 03:01:11.260 region:rollup2
ALTHOUGH GOMEZ UNITE HERE IN
03:01:07.957 --> 03:01:12.829 region:rollup2
SUPPORT.
03:01:11.260 --> 03:01:15.031 region:rollup2
GOTTA AND ON THOSE GUYS PRETTY
03:01:12.829 --> 03:01:17.333 region:rollup2
SO I SUPPORT.
03:01:15.031 --> 03:01:21.471 region:rollup2
SOMBER THAWED UNITE HERE AND
03:01:17.333 --> 03:01:22.605 region:rollup2
THE AIRPORT SUPPORT.
03:01:21.471 --> 03:01:27.977 region:rollup2
ISN'T THAT SAD ABOUT THIS UP FOR
03:01:22.605 --> 03:01:29.645 region:rollup2
YOUR SUPPORT.
03:01:27.977 --> 03:01:33.716 region:rollup2
IF THAT VIOLENCE YOUNG. UP ALL
03:01:29.645 --> 03:01:34.217 region:rollup2
YOUR SUPPORT.
03:01:33.716 --> 03:01:38.454 region:rollup2
AND CACHE CREEK STRONGLY
03:01:34.217 --> 03:01:38.988 region:rollup2
SUPPORT.
03:01:38.454 --> 03:01:42.225 region:rollup2
AGING GONZALEZ UNITE HERE
03:01:38.988 --> 03:01:43.192 region:rollup2
SUPPORT.
03:01:42.225 --> 03:01:47.196 region:rollup2
SENATE UP BEYOND UNITE HERE IN
03:01:43.192 --> 03:01:47.697 region:rollup2
SUPPORT.
03:01:47.196 --> 03:01:53.369 region:rollup2
JULIA REESE UNITE HERE I
03:01:47.697 --> 03:01:54.537 region:rollup2
SUPPORT.
03:01:53.369 --> 03:01:59.041 region:rollup2
PLUS IT'LL CLICK THROUGH THE
03:01:54.537 --> 03:01:59.876 region:rollup2
NIGHT HERE I SUPPORT.
03:01:59.041 --> 03:02:04.213 region:rollup2
MATTHEW EINSTEIN NIGHT HERE IN
03:01:59.876 --> 03:02:05.581 region:rollup2
SUPPORT.
03:02:04.213 --> 03:02:07.717 region:rollup2
LIMON COSTA BLOCK CALIFORNIA
03:02:05.581 --> 03:02:12.388 region:rollup2
WHITES RETIRED AMERICANS WITH
03:02:07.717 --> 03:02:13.589 region:rollup2
ONE MILLION MEMBERS IN SUPPORT.
03:02:12.388 --> 03:02:17.059 region:rollup2
JOHN RACE OPENING NIGHT HERE ON
03:02:13.589 --> 03:02:18.461 region:rollup2
THAT SUPPORT.
03:02:17.059 --> 03:02:20.296 region:rollup2
SHE BONDED TO MARCOS UNITED
03:02:18.461 --> 03:02:24.500 region:rollup2
DOMESTIC WORKERS ASKED ME LOCAL
03:02:20.296 --> 03:02:26.002 region:rollup2
THIRTY NINE THIRTY IN SUPPORT.
03:02:24.500 --> 03:02:30.273 region:rollup2
SO WITH GENEROUS WITH UNITE HERE
03:02:26.002 --> 03:02:31.474 region:rollup2
I'M A STRONG SUPPORT.
03:02:30.273 --> 03:02:35.812 region:rollup2
NOTE AND THAT'S WHAT I HEAR A
03:02:31.474 --> 03:02:36.579 region:rollup2
SUPPORT.
03:02:35.812 --> 03:02:42.318 region:rollup2
IN VETS UNITE HERE.
03:02:36.579 --> 03:02:43.352 region:rollup2
SUPPORT.
03:02:42.318 --> 03:02:47.023 region:rollup2
THIS IS THE WHOLE UNITED HERE
03:02:43.352 --> 03:02:48.691 region:rollup2
SUPPORT.
03:02:47.023 --> 03:02:50.660 region:rollup2
JACK RUBIN REPRESENTING.
03:02:48.691 --> 03:02:53.296 region:rollup2
UNITE HERE INTERNATIONAL UNION
03:02:50.660 --> 03:03:04.106 region:rollup2
AND WE WHOLE HEARTEDLY SUPPORT
03:02:53.296 --> 03:03:05.374 region:rollup2
THIS BELL.
03:03:04.106 --> 03:03:08.644 region:rollup2
TOUGH ACT FOLLOW DOUG BLOOD.
03:03:05.374 --> 03:03:14.150 region:rollup2
IN STRONG SUPPORT.
03:03:08.644 --> 03:03:14.650 region:rollup2
ANYONE ELSE.
03:03:14.150 --> 03:03:16.152 region:rollup2
MAY WANNA STAY. WE HAVE
03:03:14.650 --> 03:03:16.986 region:rollup2
QUESTIONS
03:03:16.152 --> 03:03:18.955 region:rollup2
COMMITTEE SO WILL LAST
03:03:16.986 --> 03:03:20.389 region:rollup2
OPPOSITION
03:03:18.955 --> 03:03:22.058 region:rollup2
FORWARD AND AND WAS SHARED
03:03:20.389 --> 03:03:23.292 region:rollup2
OPTION COMES FORWARD I. BELIEVE
03:03:22.058 --> 03:03:24.894 region:rollup2
I DON'T KNOW IF THE TIME THERE'S
03:03:23.292 --> 03:03:25.962 region:rollup2
STILL A FEW MINUTES
03:03:24.894 --> 03:03:27.296 region:rollup2
OBSERVERS AWARENESS WHICH OUT
03:03:25.962 --> 03:03:43.679 region:rollup2
SOME OF THE WITNESSES WE COULD
03:03:27.296 --> 03:03:43.679 region:rollup2
NOW LAW BOTHER COMING UP
03:04:03.466 --> 03:04:06.369 region:rollup2
OKAY PLEASE WHEN YOU'RE VERY
03:04:05.034 --> 03:04:07.703 region:rollup2
MUCH MISTER CHAIRMAN AND MEMBERS
03:04:06.369 --> 03:04:09.438 region:rollup2
OF THE COMMITTEE I AM CARMELLA
03:04:07.703 --> 03:04:10.973 region:rollup2
OIL. THE PRESIDENCY OF THE
03:04:09.438 --> 03:04:13.209 region:rollup2
CALIFORNIA HOSPITAL ASSOCIATION
03:04:10.973 --> 03:04:14.944 region:rollup2
HERE IN STRONG OPPOSITION TO AB
03:04:13.209 --> 03:04:17.513 region:rollup2
THIRTY EIGHTY SEVEN. WHICH IS A
03:04:14.944 --> 03:04:19.382 region:rollup2
BIG BAD BILL FOR THE HEALTH OF
03:04:17.513 --> 03:04:21.083 region:rollup2
CALIFORNIANS.
03:04:19.382 --> 03:04:22.718 region:rollup2
THE PROPONENTS ARGUE THAT THIS
03:04:21.083 --> 03:04:24.487 region:rollup2
BILL WOULD MAKE HEALTHCARE MORE
03:04:22.718 --> 03:04:26.822 region:rollup2
AFFORDABLE AND THEREFORE MORE
03:04:24.487 --> 03:04:29.025 region:rollup2
ACCESSIBLE IN CALIFORNIA.
03:04:26.822 --> 03:04:31.060 region:rollup2
IT DOES NOT AND UNFORTUNATELY
03:04:29.025 --> 03:04:33.262 region:rollup2
THE OPPOSITE IS TRUE.
03:04:31.060 --> 03:04:34.664 region:rollup2
THE BILL AMOUNTS TO HUGE CUTS
03:04:33.262 --> 03:04:36.299 region:rollup2
FOR DOCTORS HOSPITALS DENTISTS
03:04:34.664 --> 03:04:38.200 region:rollup2
AND OTHERS.
03:04:36.299 --> 03:04:40.169 region:rollup2
AND LOST ACCESS TO CARE FOR
03:04:38.200 --> 03:04:41.771 region:rollup2
EVERYONE.
03:04:40.169 --> 03:04:43.539 region:rollup2
BUT THIS BILL DOES NOTHING TO
03:04:41.771 --> 03:04:45.308 region:rollup2
REDUCE THE ACTUAL UNDERLYING
03:04:43.539 --> 03:04:46.609 region:rollup2
COST OF CARE.
03:04:45.308 --> 03:04:47.944 region:rollup2
WHAT I MEAN WHAT DOES THIS BILL
03:04:46.609 --> 03:04:48.911 region:rollup2
DO?
03:04:47.944 --> 03:04:49.679 region:rollup2
IT'S LIKE WALKING INTO A
03:04:48.911 --> 03:04:51.447 region:rollup2
RESTAURANT.
03:04:49.679 --> 03:04:52.782 region:rollup2
HAVING DINNER.
03:04:51.447 --> 03:04:54.951 region:rollup2
GETTING A CHECK FOR TWENTY
03:04:52.782 --> 03:04:57.053 region:rollup2
DOLLARS AND LEADING A TEN DOLLAR
03:04:54.951 --> 03:04:58.421 region:rollup2
BILL ON THE TABLE.
03:04:57.053 --> 03:05:00.089 region:rollup2
THAT TEN DOLLAR BILL PAYING LESS
03:04:58.421 --> 03:05:00.690 region:rollup2
THAN THE CHECK.
03:05:00.089 --> 03:05:01.857 region:rollup2
DOESN'T CHANGE THE COST OF THE
03:05:00.690 --> 03:05:03.659 region:rollup2
MEAL.
03:05:01.857 --> 03:05:05.561 region:rollup2
DOESN'T CHANGE THE WAGES PAID TO
03:05:03.659 --> 03:05:06.929 region:rollup2
THE WAITRESS OR TO THE CHEF.
03:05:05.561 --> 03:05:08.064 region:rollup2
DOESN'T CHANGE THE EXPENSES
03:05:06.929 --> 03:05:09.799 region:rollup2
OCCURRED BY THAT RESTAURANT
03:05:08.064 --> 03:05:10.833 region:rollup2
OWNER.
03:05:09.799 --> 03:05:13.269 region:rollup2
HE SIMPLY IS LEFT WITH HALF THE
03:05:10.833 --> 03:05:15.004 region:rollup2
AMOUNT.
03:05:13.269 --> 03:05:17.440 region:rollup2
THIS BILL CREATES A PROCESS
03:05:15.004 --> 03:05:19.108 region:rollup2
THE ONLY CAPS THE PRICES PAID.
03:05:17.440 --> 03:05:19.809 region:rollup2
TO DOCTORS AND HOSPITALS AND
03:05:19.108 --> 03:05:22.311 region:rollup2
PHYSICIANS AND DENTISTS AND
03:05:19.809 --> 03:05:23.212 region:rollup2
OTHERS AND HEALTH PLANS.
03:05:22.311 --> 03:05:25.114 region:rollup2
IT'S SOMETHING WE HAVEN'T DONE
03:05:23.212 --> 03:05:26.415 region:rollup2
IN THE UNITED STATES
03:05:25.114 --> 03:05:27.350 region:rollup2
SINCE THE NIXON WAGE AND PRICE
03:05:26.415 --> 03:05:28.884 region:rollup2
CONTROLS OF THE NINETEEN
03:05:27.350 --> 03:05:30.119 region:rollup2
SEVENTIES.
03:05:28.884 --> 03:05:32.655 region:rollup2
AND FOR THOSE WHO THINK THIS
03:05:30.119 --> 03:05:35.224 region:rollup2
PROPOSAL. IS ANYTHING LIKE THE
03:05:32.655 --> 03:05:36.626 region:rollup2
RATE SETTING SYSTEM IN MARYLAND
03:05:35.224 --> 03:05:38.194 region:rollup2
HAVING SERVED NINE YEARS AS THE
03:05:36.626 --> 03:05:40.062 region:rollup2
PRESIDENT CEO OF THE MARYLAND
03:05:38.194 --> 03:05:41.697 region:rollup2
HOSPITAL ASSOCIATION. I'M HERE
03:05:40.062 --> 03:05:43.099 region:rollup2
TO TELL YOU THAT THAT IS NOT AT
03:05:41.697 --> 03:05:44.834 region:rollup2
ALL THE CASE NOTHING COULD BE
03:05:43.099 --> 03:05:45.868 region:rollup2
FURTHER FROM THE TRUTH.
03:05:44.834 --> 03:05:47.803 region:rollup2
THIS BILL DOES NOTHING TO
03:05:45.868 --> 03:05:49.405 region:rollup2
ADDRESS THE UNDERLYING DRIVERS
03:05:47.803 --> 03:05:51.507 region:rollup2
OF HEALTH CARE COSTS NOR DOES IT
03:05:49.405 --> 03:05:53.943 region:rollup2
ACKNOWLEDGED. AND SEPARATE
03:05:51.507 --> 03:05:55.478 region:rollup2
HEALTHCARE SPENDING INCREASES
03:05:53.943 --> 03:05:57.913 region:rollup2
SOME OF THE HEALTHCARE SPENDING
03:05:55.478 --> 03:06:00.082 region:rollup2
INCREASES THAT WE ARE INCURRING.
03:05:57.913 --> 03:06:02.118 region:rollup2
ARE GOOD IT'S THE RESULT OF
03:06:00.082 --> 03:06:03.919 region:rollup2
HAVING COVERED MILLIONS MORE
03:06:02.118 --> 03:06:05.554 region:rollup2
CALIFORNIANS UNDER THE
03:06:03.919 --> 03:06:08.024 region:rollup2
AFFORDABLE CARE ACT HEALTH CARE
03:06:05.554 --> 03:06:09.725 region:rollup2
SPENDING SOME IS REALLY
03:06:08.024 --> 03:06:11.093 region:rollup2
IMPORTANT REALLY GOOD AND WE
03:06:09.725 --> 03:06:12.662 region:rollup2
SHOULD ACKNOWLEDGE THAT. THE
03:06:11.093 --> 03:06:14.497 region:rollup2
IMPACT OF THIS BILL.
03:06:12.662 --> 03:06:15.698 region:rollup2
IT IS UNPRECEDENTED.
03:06:14.497 --> 03:06:17.199 region:rollup2
FOR HOSPITALS THAT WOULD RESULT
03:06:15.698 --> 03:06:18.801 region:rollup2
IN A KIND OF EIGHTEEN BILLION
03:06:17.199 --> 03:06:20.369 region:rollup2
DOLLARS A YEAR.
03:06:18.801 --> 03:06:21.737 region:rollup2
SIXTY PERCENT OF HOSPITALS IN
03:06:20.369 --> 03:06:24.740 region:rollup2
THE STATE OF CALIFORNIA WOULD BE
03:06:21.737 --> 03:06:27.276 region:rollup2
OPERATING IN THE RED AT A LOSS.
03:06:24.740 --> 03:06:29.178 region:rollup2
THAT IS DOUBLE THE NUMBER TODAY.
03:06:27.276 --> 03:06:30.780 region:rollup2
AND AS A RESULT HOSPITALS WILL
03:06:29.178 --> 03:06:31.580 region:rollup2
CLOSE.
03:06:30.780 --> 03:06:33.416 region:rollup2
AND I WOULD LIKE TO SAY
03:06:31.580 --> 03:06:34.283 region:rollup2
SINCERELY I'VE SPENT THIRTY
03:06:33.416 --> 03:06:37.486 region:rollup2
YEARS IN THE HOSPITAL
03:06:34.283 --> 03:06:39.722 region:rollup2
ASSOCIATION. AREA OF WORK.
03:06:37.486 --> 03:06:41.290 region:rollup2
I HAVE NEVER.
03:06:39.722 --> 03:06:42.792 region:rollup2
THREATEN HOSPITAL CLOSURES I'M
03:06:41.290 --> 03:06:44.794 region:rollup2
HERE TO TELL YOU THAT THE
03:06:42.792 --> 03:06:46.595 region:rollup2
FINANCIAL IMPACT OF THIS ORDER
03:06:44.794 --> 03:06:47.630 region:rollup2
OF MAGNITUDE WOULD RESULT IN
03:06:46.595 --> 03:06:49.565 region:rollup2
HOSPITAL CLOSURES IN THE STATE
03:06:47.630 --> 03:06:51.400 region:rollup2
OF CALIFORNIA. IN ADDITION AND
03:06:49.565 --> 03:06:54.904 region:rollup2
MORE IMPORTANT A HUNDRED AND
03:06:51.400 --> 03:06:55.871 region:rollup2
SEVENTY FIVE THOUSAND JOBS LOST.
03:06:54.904 --> 03:06:57.039 region:rollup2
THAT'S NOT WHAT YOU WANT TO HAVE
03:06:55.871 --> 03:06:59.175 region:rollup2
HAPPEN THAT'S NOT WHAT WE WANT
03:06:57.039 --> 03:07:01.944 region:rollup2
TO HAPPEN WHY IS THAT. ON WE DID
03:06:59.175 --> 03:07:03.279 region:rollup2
BRING A CHART TO HELP EXPLAIN.
03:07:01.944 --> 03:07:05.414 region:rollup2
IT IS BECAUSE YOU CAN SEE IN
03:07:03.279 --> 03:07:06.716 region:rollup2
THAT CHART MEDICARE TODAY
03:07:05.414 --> 03:07:08.484 region:rollup2
PROVIDING CARE FOR PEOPLE OVER
03:07:06.716 --> 03:07:10.886 region:rollup2
THE AGE OF SIXTY FIVE.
03:07:08.484 --> 03:07:13.756 region:rollup2
PAYS LESS THAN THE COST
03:07:10.886 --> 03:07:15.758 region:rollup2
OF CARING FOR A SENIOR. MEDICARE
03:07:13.756 --> 03:07:18.027 region:rollup2
PAYS TWENTY THREE PERCENT LESS
03:07:15.758 --> 03:07:20.362 region:rollup2
THAN THE COST OF CARING FOR A
03:07:18.027 --> 03:07:22.264 region:rollup2
SENIOR IN THE HOSPITAL MEDI CAL
03:07:20.362 --> 03:07:24.133 region:rollup2
PAYS THIRTY TWO PERCENT LESS
03:07:22.264 --> 03:07:25.634 region:rollup2
THAN THE COST.
03:07:24.133 --> 03:07:27.603 region:rollup2
TREATING A MEDI CAL PATIENT IN
03:07:25.634 --> 03:07:29.171 region:rollup2
THE HOSPITAL. AND YES
03:07:27.603 --> 03:07:30.940 region:rollup2
THOSE COSTS
03:07:29.171 --> 03:07:33.509 region:rollup2
PURPOSELY SHIFTED BY GOVERNMENT
03:07:30.940 --> 03:07:35.377 region:rollup2
UNDER FUNDING ON TO PRIVATELY
03:07:33.509 --> 03:07:36.612 region:rollup2
INSURED INDIVIDUALS. MEANING THE
03:07:35.377 --> 03:07:39.248 region:rollup2
PRICES THE PRIVATELY INSURED
03:07:36.612 --> 03:07:41.317 region:rollup2
INDIVIDUALS PAY ARE HIGHER WHAT
03:07:39.248 --> 03:07:43.152 region:rollup2
WOULD THIS BILL DO. IT DOES NOT
03:07:41.317 --> 03:07:44.954 region:rollup2
FILL THE EMPTY BUCKET OF
03:07:43.152 --> 03:07:46.822 region:rollup2
MEDICARE IT DOES NOT FILL THE
03:07:44.954 --> 03:07:48.090 region:rollup2
EMPTY BUCKET OF MEDICAID ALL IT
03:07:46.822 --> 03:07:48.657 region:rollup2
DOES IS TAKE THAT PRIVATE
03:07:48.090 --> 03:07:50.993 region:rollup2
INSURED AMOUNT AND BRING IT
03:07:48.657 --> 03:07:52.962 region:rollup2
DOWN.
03:07:50.993 --> 03:07:54.697 region:rollup2
YES WHAT THIS RED LINE SHOWS YOU
03:07:52.962 --> 03:07:55.798 region:rollup2
IS WHAT WOULD HAPPEN IF RATES
03:07:54.697 --> 03:07:58.367 region:rollup2
WERE SET AT A HUNDRED AND TWENTY
03:07:55.798 --> 03:07:59.769 region:rollup2
FIVE PERCENT OF MEDICARE. IT
03:07:58.367 --> 03:08:01.971 region:rollup2
COULD BE MORE IT COULD BE LESS
03:07:59.769 --> 03:08:03.339 region:rollup2
IT IS SIMPLY UNCLEAR IN THE BILL
03:08:01.971 --> 03:08:04.373 region:rollup2
WE USED A FIGURE THAT WAS BEING
03:08:03.339 --> 03:08:05.574 region:rollup2
DISCUSSED AS THE BILL WAS
03:08:04.373 --> 03:08:07.510 region:rollup2
INTRODUCED AT A HUNDRED AND
03:08:05.574 --> 03:08:09.912 region:rollup2
TWENTY FIVE PERCENT OF MEDICARE.
03:08:07.510 --> 03:08:11.113 region:rollup2
THAT IS A RECIPE FOR DISASTER.
03:08:09.912 --> 03:08:13.482 region:rollup2
IT'S IS ALSO A PROBLEM BECAUSE
03:08:11.113 --> 03:08:15.317 region:rollup2
HOSPITALS STILL HAVE TO PAY THE
03:08:13.482 --> 03:08:16.719 region:rollup2
EXPLODING COSTS OF CARE LABOR.
03:08:15.317 --> 03:08:18.721 region:rollup2
DRUGS
03:08:16.719 --> 03:08:20.289 region:rollup2
SURGICAL SUPPLIES EMERALD EYES
03:08:18.721 --> 03:08:22.691 region:rollup2
OTHER IMAGING EQUIPMENT I. T.
03:08:20.289 --> 03:08:24.827 region:rollup2
SYSTEMS AND THE ENORMOUS COST OF
03:08:22.691 --> 03:08:26.896 region:rollup2
BEING SEISMICALLY PREPARED
03:08:24.827 --> 03:08:28.464 region:rollup2
HUNDREDS OF BILLIONS OF DOLLARS
03:08:26.896 --> 03:08:30.166 region:rollup2
IN THIS STATE.
03:08:28.464 --> 03:08:32.868 region:rollup2
THAT DOESN'T GO AWAY IF WE
03:08:30.166 --> 03:08:34.970 region:rollup2
SIMPLY PAY LOWER PRICES
03:08:32.868 --> 03:08:36.071 region:rollup2
HOSPITALS HAD TWO CHOICES SHORT
03:08:34.970 --> 03:08:38.307 region:rollup2
CHANGE PATIENT CARE.
03:08:36.071 --> 03:08:39.475 region:rollup2
THAT IS.
03:08:38.307 --> 03:08:41.577 region:rollup2
THERE LARGEST CHANGEABLE COST IS
03:08:39.475 --> 03:08:42.111 region:rollup2
NEXT.
03:08:41.577 --> 03:08:43.345 region:rollup2
AND THAT MEANS LAYING OFF
03:08:42.111 --> 03:08:44.847 region:rollup2
WORKERS.
03:08:43.345 --> 03:08:46.415 region:rollup2
OUR WORKERS COMPRISE MORE THAN
03:08:44.847 --> 03:08:47.983 region:rollup2
SIXTY PERCENT OF A TYPICAL
03:08:46.415 --> 03:08:49.718 region:rollup2
HOSPITAL'S COST IT IS THE ONLY
03:08:47.983 --> 03:08:52.054 region:rollup2
CHOICE THAT THIS PRICE CAPPING
03:08:49.718 --> 03:08:53.489 region:rollup2
BILL ALLOWS. AND UNDER THIS BILL
03:08:52.054 --> 03:08:54.990 region:rollup2
PATIENTS WILL STILL BE STRAPPED
03:08:53.489 --> 03:08:56.625 region:rollup2
WITH OUT OF POCKET DRUG COSTS
03:08:54.990 --> 03:08:58.727 region:rollup2
AND OTHER COMMON OUT OF POCKET
03:08:56.625 --> 03:09:00.062 region:rollup2
MEDICAL EXPENSES.
03:08:58.727 --> 03:09:01.630 region:rollup2
NO MANY SAY THERE IS WIDESPREAD
03:09:00.062 --> 03:09:02.698 region:rollup2
AGREEMENT. THAT WE HAVE TO
03:09:01.630 --> 03:09:04.533 region:rollup2
ADDRESS THE ISSUE OF THE
03:09:02.698 --> 03:09:06.435 region:rollup2
AFFORDABILITY OF HEALTH CARE
03:09:04.533 --> 03:09:07.937 region:rollup2
IT'S GOT TO BE ADDRESSED AND THE
03:09:06.435 --> 03:09:09.772 region:rollup2
SOLUTIONS WE SHOULD LOOK TO
03:09:07.937 --> 03:09:11.941 region:rollup2
SHOULD NOT COMPROMISE EITHER THE
03:09:09.772 --> 03:09:13.943 region:rollup2
QUALITY OR AVAILABILITY. OF CARE
03:09:11.941 --> 03:09:15.644 region:rollup2
IN CALIFORNIA. AB THIRTY EIGHTY
03:09:13.943 --> 03:09:16.779 region:rollup2
SEVEN IS A FLAWED APPROACH FOR
03:09:15.644 --> 03:09:18.113 region:rollup2
TRYING TO DEAL WITH THIS
03:09:16.779 --> 03:09:19.381 region:rollup2
IMPORTANT ISSUE.
03:09:18.113 --> 03:09:20.382 region:rollup2
I WILL SAY THAT THE CALIFORNIA
03:09:19.381 --> 03:09:21.617 region:rollup2
HOSPITAL ASSOCIATION STANDS
03:09:20.382 --> 03:09:24.019 region:rollup2
READY.
03:09:21.617 --> 03:09:25.421 region:rollup2
PLAY A LEADERSHIP ROLE IN THIS
03:09:24.019 --> 03:09:26.689 region:rollup2
DISCUSSION ABOUT MAKING CARE
03:09:25.421 --> 03:09:29.091 region:rollup2
MORE AFFORDABLE IN THE STATE OF
03:09:26.689 --> 03:09:31.727 region:rollup2
CALIFORNIA AND HELPING US ALL TO
03:09:29.091 --> 03:09:33.662 region:rollup2
SCRUTINIZE WHAT IS A VERY
03:09:31.727 --> 03:09:36.332 region:rollup2
COMPLEX PROBLEM. IDENTIFY
03:09:33.662 --> 03:09:37.700 region:rollup2
SOLUTIONS AND MOVE WITH ALACRITY
03:09:36.332 --> 03:09:38.868 region:rollup2
IN THAT DIRECTION WITHOUT
03:09:37.700 --> 03:09:40.569 region:rollup2
COMPROMISING THE CARE FOR
03:09:38.868 --> 03:09:41.470 region:rollup2
MILLIONS.
03:09:40.569 --> 03:09:45.808 region:rollup2
WITH THAT MISTER CHAIRMAN WE
03:09:41.470 --> 03:09:47.142 region:rollup2
URGE A NO VOTE ON THIS BILL.
03:09:45.808 --> 03:09:49.345 region:rollup2
THANK YOU MISTER CHAIR AND
03:09:47.142 --> 03:09:50.679 region:rollup2
COMMITTEE MEMBERS I CAN GO VERY
03:09:49.345 --> 03:09:53.282 region:rollup2
SHORT AND SAY WHAT SHE SAID.
03:09:50.679 --> 03:09:54.450 region:rollup2
FOR PHYSICIANS.
03:09:53.282 --> 03:09:55.684 region:rollup2
I'M DOCTOR TED MAYES OF THE
03:09:54.450 --> 03:09:57.586 region:rollup2
CURRENT PRESIDENT OF THE
03:09:55.684 --> 03:09:58.854 region:rollup2
CALIFORNIA MEDICAL ASSOCIATION.
03:09:57.586 --> 03:10:00.089 region:rollup2
I'M A FULL TIME EAR NOSE AND
03:09:58.854 --> 03:10:01.957 region:rollup2
THROAT HEAD AND NECK SURGEON IN
03:10:00.089 --> 03:10:04.526 region:rollup2
SAN DIEGO IN SOLO PRIVATE
03:10:01.957 --> 03:10:05.961 region:rollup2
PRACTICE IT'S NOT DEAD YET.
03:10:04.526 --> 03:10:08.330 region:rollup2
MY PRACTICE INCLUDES MEDICARE
03:10:05.961 --> 03:10:11.267 region:rollup2
MANAGED CARE. MEDICARE DUAL
03:10:08.330 --> 03:10:13.102 region:rollup2
ELIGIBLES PP OWES H. M. O.'S AND
03:10:11.267 --> 03:10:14.870 region:rollup2
UNINSURED INDIVIDUALS.
03:10:13.102 --> 03:10:16.405 region:rollup2
I PRACTICE CLINICAL MEDICINE.
03:10:14.870 --> 03:10:18.207 region:rollup2
BUT I'M ALSO AN EMPLOYER.
03:10:16.405 --> 03:10:19.842 region:rollup2
THE BUSINESS ADMINISTRATOR.
03:10:18.207 --> 03:10:21.677 region:rollup2
PRIOR AUTHORIZATION APPEALS
03:10:19.842 --> 03:10:23.279 region:rollup2
EXPERT UNWILLINGLY.
03:10:21.677 --> 03:10:24.914 region:rollup2
AND MORE AND MORE A DATA ENTRY
03:10:23.279 --> 03:10:27.049 region:rollup2
SPECIALIST COMPLYING WITH MYRIAD
03:10:24.914 --> 03:10:29.084 region:rollup2
COSTLY RULES AND REGULATIONS
03:10:27.049 --> 03:10:31.353 region:rollup2
AND REPORTING REQUIREMENTS OFTEN
03:10:29.084 --> 03:10:31.887 region:rollup2
DUE TO LEGISLATION. JUST TO GET
03:10:31.353 --> 03:10:33.555 region:rollup2
REIMBURSED FOR MY CLINICAL
03:10:31.887 --> 03:10:35.057 region:rollup2
SERVICES.
03:10:33.555 --> 03:10:36.191 region:rollup2
I'M HERE TODAY TO VOICE CMA'S
03:10:35.057 --> 03:10:37.960 region:rollup2
CONCERNS WITH A. B. THIRTY
03:10:36.191 --> 03:10:38.794 region:rollup2
EIGHTY SEVEN. AND THE NEGATIVE
03:10:37.960 --> 03:10:40.596 region:rollup2
EFFECTS IT WILL HAVE ON OUR
03:10:38.794 --> 03:10:42.364 region:rollup2
HEALTHCARE SYSTEM.
03:10:40.596 --> 03:10:43.465 region:rollup2
WE HAVE SERIOUS FEARS ABOUT THE
03:10:42.364 --> 03:10:44.667 region:rollup2
SIGNIFICANT UNINTENDED QUANT
03:10:43.465 --> 03:10:46.368 region:rollup2
CONSEQUENCES SHOULD THIS BILL
03:10:44.667 --> 03:10:47.903 region:rollup2
BECOME LAW.
03:10:46.368 --> 03:10:49.905 region:rollup2
IT WOULD MAKE CALIFORNIA THE
03:10:47.903 --> 03:10:50.739 region:rollup2
ONLY STATE IN THE NATION.
03:10:49.905 --> 03:10:53.175 region:rollup2
A FIXED POSITION PAYMENTS AND
03:10:50.739 --> 03:10:54.310 region:rollup2
COMMERCIAL MARKETS.
03:10:53.175 --> 03:10:55.944 region:rollup2
ANY PROPOSED SOLUTION TO OUR
03:10:54.310 --> 03:10:56.679 region:rollup2
HEALTH CARE SYSTEM THAT FAILS TO
03:10:55.944 --> 03:10:59.315 region:rollup2
ADDRESS CALIFORNIA'S
03:10:56.679 --> 03:11:00.582 region:rollup2
UNREASONABLY LOW MEDICARE RATES.
03:10:59.315 --> 03:11:02.584 region:rollup2
IS NO SOLUTION TO HEALTHCARE
03:11:00.582 --> 03:11:04.119 region:rollup2
CRISIS AND ALL.
03:11:02.584 --> 03:11:05.654 region:rollup2
MEDI CAL THE COUNTRY'S LARGEST
03:11:04.119 --> 03:11:07.222 region:rollup2
MEDICAID PROGRAM PROVIDES
03:11:05.654 --> 03:11:09.091 region:rollup2
HEALTHCARE TO ALMOST FOURTEEN
03:11:07.222 --> 03:11:10.993 region:rollup2
MILLION CALIFORNIANS ONE THIRD
03:11:09.091 --> 03:11:12.394 region:rollup2
OF THE STATE'S POPULATION.
03:11:10.993 --> 03:11:14.096 region:rollup2
WELL RECENT COVERAGE GAINES
03:11:12.394 --> 03:11:15.698 region:rollup2
SHOULD BE CELEBRATED.
03:11:14.096 --> 03:11:17.032 region:rollup2
CALIFORNIA PERSISTS IN BEING
03:11:15.698 --> 03:11:18.200 region:rollup2
AMONGST THE WORST STATES WHEN
03:11:17.032 --> 03:11:19.635 region:rollup2
WHEN IT COMES TO MEDI CAL
03:11:18.200 --> 03:11:21.337 region:rollup2
PROVIDER RATES.
03:11:19.635 --> 03:11:22.538 region:rollup2
PAYING RATES WELL BELOW THE COST
03:11:21.337 --> 03:11:23.939 region:rollup2
OF PROVIDING SERVICES AND
03:11:22.538 --> 03:11:25.240 region:rollup2
PHYSICIANS OFFICE AS WELL
03:11:23.939 --> 03:11:26.275 region:rollup2
CONSUMING DISPROPORTIONATELY
03:11:25.240 --> 03:11:28.143 region:rollup2
MORE ADMINISTRATIVE TIME THAN
03:11:26.275 --> 03:11:29.678 region:rollup2
MOST OTHER PAYERS.
03:11:28.143 --> 03:11:31.680 region:rollup2
THIS RESULTS IN MANY PHYSICIANS
03:11:29.678 --> 03:11:34.083 region:rollup2
CHOOSING NOT TO SEE MANY. OR IN
03:11:31.680 --> 03:11:36.251 region:rollup2
FACT ANY MEDI CAL PATIENTS.
03:11:34.083 --> 03:11:37.987 region:rollup2
AND THE STATE SHIFTING COSTS FOR
03:11:36.251 --> 03:11:38.954 region:rollup2
MEDICARE BENEFICIARIES ON TO THE
03:11:37.987 --> 03:11:40.856 region:rollup2
PURCHASERS OF COMMERCIAL
03:11:38.954 --> 03:11:42.157 region:rollup2
INSURANCE PRODUCTS.
03:11:40.856 --> 03:11:43.759 region:rollup2
AB THIRTY EIGHTY SEVEN WILL
03:11:42.157 --> 03:11:44.893 region:rollup2
EXACERBATE ACCESS PROBLEMS THAT
03:11:43.759 --> 03:11:46.328 region:rollup2
DOES NOTHING TO CORRECT THE
03:11:44.893 --> 03:11:48.330 region:rollup2
UNFAIR LOW FEE SCHEDULE FOR MEDI
03:11:46.328 --> 03:11:49.732 region:rollup2
CAL SERVICES. WHICH REMAINS
03:11:48.330 --> 03:11:52.101 region:rollup2
NEARLY UNCHANGED IN THE THIRTY
03:11:49.732 --> 03:11:53.435 region:rollup2
YEARS I'VE PRACTICED.
03:11:52.101 --> 03:11:54.937 region:rollup2
BY RATE SETTING ONLY COMMERCIAL
03:11:53.435 --> 03:11:56.038 region:rollup2
PRODUCTS AB THIRTY EIGHTY SEVEN
03:11:54.937 --> 03:11:57.172 region:rollup2
WILL MAKE IT EVEN HARDER FOR
03:11:56.038 --> 03:11:58.941 region:rollup2
THOSE STILL WANTING TO SEE MEDI
03:11:57.172 --> 03:12:01.176 region:rollup2
CAL PATIENTS.
03:11:58.941 --> 03:12:02.644 region:rollup2
TO KEEP THEIR PRACTICES VIABLE.
03:12:01.176 --> 03:12:04.013 region:rollup2
NOTHING IN THIS BILL MEANING
03:12:02.644 --> 03:12:05.781 region:rollup2
FULLY ADDRESSES THE PROBLEMS OF
03:12:04.013 --> 03:12:07.249 region:rollup2
MEDI CAL RATHER. IGNORING THE
03:12:05.781 --> 03:12:08.617 region:rollup2
MEDI CAL ISSUES WHILE IMPOSING
03:12:07.249 --> 03:12:10.786 region:rollup2
COMMERCIAL RATE CUTS BASED ON
03:12:08.617 --> 03:12:12.321 region:rollup2
MEDICARE WILL MAKE ALREADY POOR
03:12:10.786 --> 03:12:13.422 region:rollup2
ACCESS TO SPECIALTY AND EVEN
03:12:12.321 --> 03:12:16.358 region:rollup2
PRIMARY CARE FOR MEDI CAL
03:12:13.422 --> 03:12:17.593 region:rollup2
BENEFICIARIES. EVEN WORSE.
03:12:16.358 --> 03:12:18.727 region:rollup2
IT IS OUR STRONG BELIEF THAT
03:12:17.593 --> 03:12:20.062 region:rollup2
PASSAGE OF AB THIRTY EIGHTY
03:12:18.727 --> 03:12:22.297 region:rollup2
SEVEN WILL LEAD TO REDUCED
03:12:20.062 --> 03:12:24.032 region:rollup2
WORKFORCE OF PHYSICIANS.
03:12:22.297 --> 03:12:25.968 region:rollup2
CALIFORNIA HAS MUCH TO OFFER IN
03:12:24.032 --> 03:12:27.503 region:rollup2
TERMS OF CLIMATE AND ACTIVITIES.
03:12:25.968 --> 03:12:29.104 region:rollup2
BUT NOT AT THE COST OF BEING
03:12:27.503 --> 03:12:30.806 region:rollup2
UNABLE TO PAY BACK LOANS
03:12:29.104 --> 03:12:31.640 region:rollup2
PURCHASE NEEDED EQUIPMENT. AND
03:12:30.806 --> 03:12:33.609 region:rollup2
REMAIN FINANCIALLY VIABLE IN
03:12:31.640 --> 03:12:35.077 region:rollup2
PRACTICE.
03:12:33.609 --> 03:12:37.479 region:rollup2
THIS WILL IMPACT POSITIONS IN
03:12:35.077 --> 03:12:38.514 region:rollup2
ALL SIZES A PRACTICE.
03:12:37.479 --> 03:12:39.748 region:rollup2
PROPONENTS SAY THAT U. S.
03:12:38.514 --> 03:12:41.850 region:rollup2
POSITIONS GET PAID MORE THAN
03:12:39.748 --> 03:12:42.718 region:rollup2
THEIR EUROPEAN COUNTERPARTS.
03:12:41.850 --> 03:12:44.486 region:rollup2
BUT THEY FAILED TO POINT OUT THE
03:12:42.718 --> 03:12:46.288 region:rollup2
PUBLIC POLICY REGION REASONS FOR
03:12:44.486 --> 03:12:47.823 region:rollup2
THAT BEING SELF.
03:12:46.288 --> 03:12:49.158 region:rollup2
CALIFORNIA EXPECTS POSITIONS TO
03:12:47.823 --> 03:12:50.859 region:rollup2
SELF FINANCE THEIR COLLEGE IN
03:12:49.158 --> 03:12:52.361 region:rollup2
MEDICAL EDUCATION.
03:12:50.859 --> 03:12:54.129 region:rollup2
LEAVING MEDICAL SCHOOL GRADUATES
03:12:52.361 --> 03:12:54.763 region:rollup2
TO GRADUATE WITH HUNDREDS OF
03:12:54.129 --> 03:12:56.398 region:rollup2
THOUSANDS OF DOLLARS OF PERSONAL
03:12:54.763 --> 03:12:57.833 region:rollup2
DEBT.
03:12:56.398 --> 03:12:59.601 region:rollup2
PHYSICIANS UNLIKE IN THE
03:12:57.833 --> 03:13:00.969 region:rollup2
EUROPEAN NO FAULT SYSTEM MUST
03:12:59.601 --> 03:13:02.404 region:rollup2
SELF FINANCE THEIR LIABILITY
03:13:00.969 --> 03:13:03.705 region:rollup2
COSTS WITH PREMIUMS IN THIS
03:13:02.404 --> 03:13:05.607 region:rollup2
STATE TOPPING FIFTY THOUSAND
03:13:03.705 --> 03:13:07.342 region:rollup2
DOLLARS ANNUALLY.
03:13:05.607 --> 03:13:09.178 region:rollup2
ADMINISTRATIVE COSTS ARE NEARLY
03:13:07.342 --> 03:13:10.612 region:rollup2
DOUBLE THAT OF EUROPEAN SYSTEMS.
03:13:09.178 --> 03:13:12.047 region:rollup2
AND PHYSICIANS NOW SPENT TWENTY
03:13:10.612 --> 03:13:13.482 region:rollup2
FIVE TO FIFTY PERCENT OF THEIR
03:13:12.047 --> 03:13:15.951 region:rollup2
TIME DOING UNREIMBURSED
03:13:13.482 --> 03:13:17.252 region:rollup2
ADMINISTRATIVE TASKS.
03:13:15.951 --> 03:13:19.188 region:rollup2
CALIFORNIA IN FACT HAS THE
03:13:17.252 --> 03:13:21.457 region:rollup2
HIGHEST COST TO PRACTICE
03:13:19.188 --> 03:13:23.192 region:rollup2
MEDICINE IN THE ENTIRE NATION.
03:13:21.457 --> 03:13:23.992 region:rollup2
AB THIRTY EIGHTY SEVEN DOES
03:13:23.192 --> 03:13:26.028 region:rollup2
NOTHING TO ADDRESS THESE
03:13:23.992 --> 03:13:27.729 region:rollup2
PROBLEMS INFECTED FAILS TO EVEN
03:13:26.028 --> 03:13:29.998 region:rollup2
ADDRESS THE ACTUAL RISING COST
03:13:27.729 --> 03:13:30.499 region:rollup2
TO POSITIONS IN ORDER TO DELIVER
03:13:29.998 --> 03:13:33.335 region:rollup2
CARE. AND SIMPLY LIMITS
03:13:30.499 --> 03:13:34.803 region:rollup2
PAYMENTS.
03:13:33.335 --> 03:13:37.072 region:rollup2
CALIFORNIA POSITIONS ARE ALREADY
03:13:34.803 --> 03:13:38.607 region:rollup2
LEAN AND EFFICIENT.
03:13:37.072 --> 03:13:40.109 region:rollup2
OVER THE LAST TWENTY FIVE YEARS
03:13:38.607 --> 03:13:41.243 region:rollup2
THE GROWTH FOR PER CAPITA
03:13:40.109 --> 03:13:43.846 region:rollup2
SPENDING A POSITION SERVICES IN
03:13:41.243 --> 03:13:45.581 region:rollup2
CALIFORNIA. HAS RISEN ONLY THREE
03:13:43.846 --> 03:13:48.517 region:rollup2
POINT FIVE PERCENT PER YEAR THE
03:13:45.581 --> 03:13:50.252 region:rollup2
LOWEST IN THE ENTIRE NATION.
03:13:48.517 --> 03:13:51.220 region:rollup2
IT IS NOT HYPERBOLE TO SAY THAT
03:13:50.252 --> 03:13:52.855 region:rollup2
MANY PHYSICIANS WOULD
03:13:51.220 --> 03:13:54.656 region:rollup2
POTENTIALLY LEAVE THE STATE.
03:13:52.855 --> 03:13:55.724 region:rollup2
OR RETIRE EARLY.
03:13:54.656 --> 03:13:57.593 region:rollup2
AND WE WOULD CLEARLY STRUGGLE TO
03:13:55.724 --> 03:13:58.193 region:rollup2
RECRUIT THE NEXT GENERATION OF
03:13:57.593 --> 03:13:59.728 region:rollup2
POSSESSIONS TO COMMON PRACTICE
03:13:58.193 --> 03:14:01.530 region:rollup2
HERE.
03:13:59.728 --> 03:14:03.031 region:rollup2
FINALLY WE DO NOT HAVE FAITH
03:14:01.530 --> 03:14:04.066 region:rollup2
THAT ELEVEN POLITICAL APPOINTEES
03:14:03.031 --> 03:14:05.367 region:rollup2
WILL BE ABLE TO ACCURATELY
03:14:04.066 --> 03:14:07.002 region:rollup2
DETERMINE THE RATES OF OVER A
03:14:05.367 --> 03:14:08.537 region:rollup2
HUNDRED THOUSAND POSITIONS.
03:14:07.002 --> 03:14:10.572 region:rollup2
IN A WAY THAT WOULD ENSURE OUR
03:14:08.537 --> 03:14:11.473 region:rollup2
PRACTICES WOULD REMAIN VIABLE.
03:14:10.572 --> 03:14:13.575 region:rollup2
POTENTIAL FOR DISASTER HERE IS
03:14:11.473 --> 03:14:14.710 region:rollup2
IMMENSE.
03:14:13.575 --> 03:14:16.145 region:rollup2
THERE ARE MANY MORE CONCERNS AND
03:14:14.710 --> 03:14:17.379 region:rollup2
I'D BE HAPPY TO SPEND MORE TIME
03:14:16.145 --> 03:14:18.881 region:rollup2
WITH ANY ONE OF YOU AND GOING TO
03:14:17.379 --> 03:14:20.148 region:rollup2
GREATER DETAIL. SHOULD THIS
03:14:18.881 --> 03:14:22.317 region:rollup2
POORLY CONCEIVED PRICE FIXING
03:14:20.148 --> 03:14:24.486 region:rollup2
PROPOSAL UNFORTUNATELY MOVE
03:14:22.317 --> 03:14:25.854 region:rollup2
FORWARD AFTER TODAY'S HEARING.
03:14:24.486 --> 03:14:27.589 region:rollup2
THIS BODY RECENTLY COMMISSION
03:14:25.854 --> 03:14:28.657 region:rollup2
THE UCSF REPORT THROUGH THE
03:14:27.589 --> 03:14:30.492 region:rollup2
SELECT COMMITTEE ON HEALTH CARE
03:14:28.657 --> 03:14:32.694 region:rollup2
DELIVERY AND UNIVERSAL ACCESS.
03:14:30.492 --> 03:14:33.795 region:rollup2
WHICH RECOMMENDED TO POLICIES
03:14:32.694 --> 03:14:35.597 region:rollup2
THAT THE LEGISLATURE OUGHT TO BE
03:14:33.795 --> 03:14:37.065 region:rollup2
TACKLING.
03:14:35.597 --> 03:14:38.600 region:rollup2
ONE RAISING MEDI CAL PROVIDER
03:14:37.065 --> 03:14:40.869 region:rollup2
RATES.
03:14:38.600 --> 03:14:42.638 region:rollup2
TO ENSURING THAT THE STATE HAS A
03:14:40.869 --> 03:14:43.672 region:rollup2
SUFFICIENT POSITION WORKFORCE TO
03:14:42.638 --> 03:14:45.240 region:rollup2
MEET THE NEEDS OF A GROWING
03:14:43.672 --> 03:14:47.309 region:rollup2
POPULATION.
03:14:45.240 --> 03:14:47.709 region:rollup2
AB THIRTY EIGHTY SEVEN FLIES IN
03:14:47.309 --> 03:14:49.645 region:rollup2
THE FACE OF THESE
03:14:47.709 --> 03:14:51.146 region:rollup2
RECOMMENDATIONS BY GUARANTEEING
03:14:49.645 --> 03:14:51.947 region:rollup2
THAT CALIFORNIA WILL BE ONE OF
03:14:51.146 --> 03:14:54.049 region:rollup2
THE WORST STATES IN WHICH TO
03:14:51.947 --> 03:14:55.417 region:rollup2
PRACTICE MEDICINE.
03:14:54.049 --> 03:14:57.586 region:rollup2
YES THERE ARE PROBLEMS WITH
03:14:55.417 --> 03:14:58.720 region:rollup2
AFFORDABLE ACCESS TO CARE.
03:14:57.586 --> 03:14:59.488 region:rollup2
AND WE ARE TRYING TO BE PART OF
03:14:58.720 --> 03:15:01.089 region:rollup2
THE SOLUTION FOR UNIVERSAL
03:14:59.488 --> 03:15:02.925 region:rollup2
ACCESS.
03:15:01.089 --> 03:15:05.027 region:rollup2
BUT AB THIRTY EIGHTY SEVEN IS
03:15:02.925 --> 03:15:11.500 region:rollup2
CLEARLY NOT THE ANSWER WE URGE A
03:15:05.027 --> 03:15:12.267 region:rollup2
NO VOTE THANK YOU.
03:15:11.500 --> 03:15:13.602 region:rollup2
GOOD AFTERNOON SHARON MCKEE
03:15:12.267 --> 03:15:14.903 region:rollup2
REPRESENT THE CALIFORNIA CHAMBER
03:15:13.602 --> 03:15:16.004 region:rollup2
OF COMMERCE THERE'S NO
03:15:14.903 --> 03:15:17.539 region:rollup2
DISAGREEMENT THE HEALTHCARE
03:15:16.004 --> 03:15:18.941 region:rollup2
COSTS ARE RISING AND MAKE IT
03:15:17.539 --> 03:15:20.542 region:rollup2
MORE DIFFICULT FOR EMPLOYERS AND
03:15:18.941 --> 03:15:22.110 region:rollup2
EMPLOYEES TO FOR QUALITY
03:15:20.542 --> 03:15:23.712 region:rollup2
ACCESSIBLE CARE. HENCE MY
03:15:22.110 --> 03:15:25.147 region:rollup2
TESTIMONY ON A FEW OTHER BILLS
03:15:23.712 --> 03:15:26.215 region:rollup2
THIS AFTERNOON.
03:15:25.147 --> 03:15:27.683 region:rollup2
THE PROPONENTS OF AB THIRTY
03:15:26.215 --> 03:15:28.317 region:rollup2
EIGHTY SEVEN ARGUED THAT THEIR
03:15:27.683 --> 03:15:29.685 region:rollup2
APPROACH WILL CONTROL HEALTHCARE
03:15:28.317 --> 03:15:30.953 region:rollup2
COSTS
03:15:29.685 --> 03:15:33.055 region:rollup2
BUT IN PRACTICE THE PROPOSAL MAY
03:15:30.953 --> 03:15:34.723 region:rollup2
IN FACT RESULT IN LESS ACCESS TO
03:15:33.055 --> 03:15:36.592 region:rollup2
CARE IN THE SHORT TERM. AND
03:15:34.723 --> 03:15:38.293 region:rollup2
ACCELERATE COST INCREASES IN THE
03:15:36.592 --> 03:15:39.328 region:rollup2
LONG TERM.
03:15:38.293 --> 03:15:40.229 region:rollup2
IT'S IMPORTANT TO NOTE THAT THE
03:15:39.328 --> 03:15:41.997 region:rollup2
BILL WILL INTERFERE WITH AN
03:15:40.229 --> 03:15:43.498 region:rollup2
EMPLOYER'S ABILITY TO NEGOTIATE
03:15:41.997 --> 03:15:45.534 region:rollup2
FOR BENEFIT DESIGNS AND COSTS
03:15:43.498 --> 03:15:46.902 region:rollup2
FOR THEIR EMPLOYEES.
03:15:45.534 --> 03:15:47.970 region:rollup2
AB THIRTY EIGHTY SEVEN EMPOWERS
03:15:46.902 --> 03:15:49.338 region:rollup2
THE COMMISSION IN ADDITION TO
03:15:47.970 --> 03:15:51.239 region:rollup2
SETTING RATES TO PROVIDERS AND
03:15:49.338 --> 03:15:53.909 region:rollup2
INSURERS TO DECIDE THE LEVEL OF
03:15:51.239 --> 03:15:55.477 region:rollup2
CO PAYS DEDUCTIBLES COINSURANCE
03:15:53.909 --> 03:15:57.913 region:rollup2
AND ANY OTHER SHARE OF COSTS FOR
03:15:55.477 --> 03:16:00.482 region:rollup2
SERVICES. EMPLOYERS LIKE COVER
03:15:57.913 --> 03:16:02.351 region:rollup2
CALIFORNIA ARE ACTIVE PURCHASERS
03:16:00.482 --> 03:16:04.286 region:rollup2
ACTIVE PURCHASERS NEGOTIATE WITH
03:16:02.351 --> 03:16:06.054 region:rollup2
HEALTH PLANS ON PRICES NETWORKS
03:16:04.286 --> 03:16:08.190 region:rollup2
AND QUALITY MEASURES.
03:16:06.054 --> 03:16:10.158 region:rollup2
THE ULTIMATE PRICE PLAYS A KEY
03:16:08.190 --> 03:16:11.727 region:rollup2
ROLE AND OTHER FACETS OF HEALTH
03:16:10.158 --> 03:16:13.061 region:rollup2
OF A HEALTH PLAN SUCH AS THE
03:16:11.727 --> 03:16:15.264 region:rollup2
NUMBER OF DOCTORS OFFERED TO
03:16:13.061 --> 03:16:16.164 region:rollup2
PATIENTS OR COST SHARING.
03:16:15.264 --> 03:16:18.300 region:rollup2
THE BILL WOULD ALSO REDUCE
03:16:16.164 --> 03:16:20.068 region:rollup2
ACCESS TO CARE MANY ECONOMISTS
03:16:18.300 --> 03:16:21.837 region:rollup2
BELIEVE PRICE CONTROLS KEEP
03:16:20.068 --> 03:16:22.671 region:rollup2
PRICES ARTIFICIALLY LOW AND
03:16:21.837 --> 03:16:24.273 region:rollup2
SUPPLY DOES NOT KEEP UP WITH
03:16:22.671 --> 03:16:25.540 region:rollup2
DEMAND.
03:16:24.273 --> 03:16:27.075 region:rollup2
IN THE CASE OF HEALTH CARE THE
03:16:25.540 --> 03:16:28.744 region:rollup2
LACK OF SUPPLY WOULD MEAN FEWER
03:16:27.075 --> 03:16:30.379 region:rollup2
HEALTH CARE PROVIDERS.
03:16:28.744 --> 03:16:31.813 region:rollup2
WITHOUT AN ADEQUATE SIX SUPPLY
03:16:30.379 --> 03:16:33.682 region:rollup2
OF HEALTHCARE PROVIDERS
03:16:31.813 --> 03:16:34.783 region:rollup2
CONSUMERS MAY PAY LESS BUT THEY
03:16:33.682 --> 03:16:36.151 region:rollup2
MAY NOT HAVE ACCESS TO THE CARE
03:16:34.783 --> 03:16:38.353 region:rollup2
THEY NEED.
03:16:36.151 --> 03:16:39.688 region:rollup2
SO EMPLOYEES MAY BE INSURED BUT
03:16:38.353 --> 03:16:41.657 region:rollup2
THEY MAY NOT HAVE THE ABILITY TO
03:16:39.688 --> 03:16:43.225 region:rollup2
SEE THEIR PROVIDER.
03:16:41.657 --> 03:16:44.660 region:rollup2
AB THIRTY EIGHTY SEVEN FAILED TO
03:16:43.225 --> 03:16:45.560 region:rollup2
TAKE INTO ACCOUNT THE MAJOR
03:16:44.660 --> 03:16:47.129 region:rollup2
CAUSES OF WRITING MEDICAL CARE
03:16:45.560 --> 03:16:48.864 region:rollup2
COSTS.
03:16:47.129 --> 03:16:49.898 region:rollup2
SIMPLY CAPPING RATES WILL NOT
03:16:48.864 --> 03:16:52.434 region:rollup2
MAKE COSTS IN THE HEALTHCARE
03:16:49.898 --> 03:16:55.470 region:rollup2
SYSTEM DISAPPEAR. IT WILL LIMIT
03:16:52.434 --> 03:16:57.172 region:rollup2
CHOICES NEGATIVELY IMPACT ACCESS
03:16:55.470 --> 03:16:58.740 region:rollup2
AND IN THE LONG TERM INCREASED
03:16:57.172 --> 03:17:00.275 region:rollup2
COSTS FOR EMPLOYERS AND THEIR
03:16:58.740 --> 03:17:03.378 region:rollup2
EMPLOYEES FOR THESE REASONS WE
03:17:00.275 --> 03:17:03.879 region:rollup2
RESPECTFULLY OPPOSE THE BILL.
03:17:03.378 --> 03:17:08.517 region:rollup2
BUT THERE ARE OTHERS IN
03:17:03.879 --> 03:17:09.017 region:rollup2
OPPOSITION.
03:17:08.517 --> 03:17:11.420 region:rollup2
STERN JUST YOUR NAME AND
03:17:09.017 --> 03:17:12.287 region:rollup2
ORGANIZATION.
03:17:11.420 --> 03:17:13.255 region:rollup2
THANK YOU MISTER CHAIRMAN
03:17:12.287 --> 03:17:14.456 region:rollup2
MEMBERS MARINO HERON
03:17:13.255 --> 03:17:15.691 region:rollup2
REPRESENTING CITY OF HOPE
03:17:14.456 --> 03:17:18.560 region:rollup2
NATIONAL MEDICAL CENTER IN
03:17:15.691 --> 03:17:19.861 region:rollup2
OPPOSITION THANK YOU.
03:17:18.560 --> 03:17:20.996 region:rollup2
THE SUCH SHORT ON BEHALF OF THE
03:17:19.861 --> 03:17:22.764 region:rollup2
PRIVATE ESSENTIAL ACCESS
03:17:20.996 --> 03:17:24.433 region:rollup2
COMMUNITY HOSPITALS THE ALLIANCE
03:17:22.764 --> 03:17:25.667 region:rollup2
A CATHOLIC HEALTHCARE. OTHER
03:17:24.433 --> 03:17:27.336 region:rollup2
ADVENTIST HEALTH LOMA LINDA
03:17:25.667 --> 03:17:29.071 region:rollup2
UNIVERSITY HEALTHY ASSOCIATION
03:17:27.336 --> 03:17:30.272 region:rollup2
NORTHERN CALIFORNIA COLLEGES IN
03:17:29.071 --> 03:17:32.207 region:rollup2
THE MEDICAL ONCOLOGY ASSOCIATION
03:17:30.272 --> 03:17:34.076 region:rollup2
OF A PACK OF THE MEDICAL
03:17:32.207 --> 03:17:36.211 region:rollup2
ONCOLOGY ASSOCIATION OF SOUTHERN
03:17:34.076 --> 03:17:37.546 region:rollup2
CALIFORNIA AND OPPOSE.
03:17:36.211 --> 03:17:38.146 region:rollup2
CAPTION HOUSE COVERS IN THE
03:17:37.546 --> 03:17:39.881 region:rollup2
DISTRICT HOSPITAL LEADERSHIP
03:17:38.146 --> 03:17:41.516 region:rollup2
FORUM THE CALIFORNIA ACADEMY OF
03:17:39.881 --> 03:17:42.050 region:rollup2
PHYSICIAN ASSISTANTS BICU
03:17:41.516 --> 03:17:44.353 region:rollup2
NIGHT HOSPITAL ASSOCIATION
03:17:42.050 --> 03:17:45.887 region:rollup2
OPPOSITION.
03:17:44.353 --> 03:17:46.922 region:rollup2
DOUBLE SHIP OUT ON BEHALF OF THE
03:17:45.887 --> 03:17:48.256 region:rollup2
UNION OF AMERICAN PHYSICIANS AND
03:17:46.922 --> 03:17:49.491 region:rollup2
DENTISTS WE REPRESENT OVER FIVE
03:17:48.256 --> 03:17:50.959 region:rollup2
THOUSAND DOCTORS IN PUBLIC AND
03:17:49.491 --> 03:17:52.794 region:rollup2
PRIVATE SECTOR. AND BOTH
03:17:50.959 --> 03:17:54.262 region:rollup2
CALIFORNIA WASHING STATE AT THIS
03:17:52.794 --> 03:17:55.097 region:rollup2
JUNCTURE WERE STILL REVIEWING
03:17:54.262 --> 03:17:56.732 region:rollup2
THE LEGISLATION WE DO HAVE SOME
03:17:55.097 --> 03:17:58.266 region:rollup2
CONCERNS BUT ONE APPLAUD THE
03:17:56.732 --> 03:17:59.701 region:rollup2
LEADERSHIP AND MISTER CARLA FOR
03:17:58.266 --> 03:18:01.136 region:rollup2
ADVANCING A BILL THAT REALLY. IS
03:17:59.701 --> 03:18:02.738 region:rollup2
VERY DIFFICULT TO DO DEAL WITH A
03:18:01.136 --> 03:18:04.239 region:rollup2
VERY DIFFICULT PROBLEM SO
03:18:02.738 --> 03:18:05.273 region:rollup2
ENSUING MONTHS WE HOPE THAT.
03:18:04.239 --> 03:18:06.708 region:rollup2
IT'S A PROGRESS THAT.
03:18:05.273 --> 03:18:08.343 region:rollup2
CAN BE WORKED ON AND WE CAN
03:18:06.708 --> 03:18:09.978 region:rollup2
MOVE FORWARD BUT THIS JUNCTURE
03:18:08.343 --> 03:18:12.147 region:rollup2
WE HAVE NO FORMAL POSITION BUT
03:18:09.978 --> 03:18:13.715 region:rollup2
WE ARE CONCERNED THANK YOU.
03:18:12.147 --> 03:18:14.516 region:rollup2
SHAWN FLANAGAN TO HAVE A
03:18:13.715 --> 03:18:18.220 region:rollup2
HOSPITAL CORPORATION OF AMERICA
03:18:14.516 --> 03:18:19.755 region:rollup2
IN OPPOSITION.
03:18:18.220 --> 03:18:20.489 region:rollup2
RANDALL HEGER M. BEHALF OF THE
03:18:19.755 --> 03:18:24.826 region:rollup2
CALIFORNIA PSYCHIATRIC
03:18:20.489 --> 03:18:26.261 region:rollup2
ASSOCIATION WE ARE OPPOSE.
03:18:24.826 --> 03:18:27.763 region:rollup2
I'M DOCTOR ROGER HICKS TIME
03:18:26.261 --> 03:18:29.297 region:rollup2
PRESIDENT OF THE CALIFORNIA
03:18:27.763 --> 03:18:31.099 region:rollup2
URGENT CARE ASSOCIATION WHICH
03:18:29.297 --> 03:18:35.537 region:rollup2
REPRESENTS URGENT CARE CENTERS
03:18:31.099 --> 03:18:37.072 region:rollup2
THROUGHOUT THE STATE WE OPPOSE.
03:18:35.537 --> 03:18:38.407 region:rollup2
WHERE'S DR MUN DISSEMINATE AGO
03:18:37.072 --> 03:18:39.040 region:rollup2
TREASURER OF THE URGENT CARE
03:18:38.407 --> 03:18:40.008 region:rollup2
ASSOCIATION OF AMERICA AND ALSO
03:18:39.040 --> 03:18:41.576 region:rollup2
A.
03:18:40.008 --> 03:18:44.846 region:rollup2
ORDER OF EMERGING CARE.
03:18:41.576 --> 03:18:46.648 region:rollup2
STRONGLY OPPOSE.
03:18:44.846 --> 03:18:47.149 region:rollup2
ALL ROCK GRAY CALIFORNIA LIFE
03:18:46.648 --> 03:18:49.851 region:rollup2
SCIENCES ASSOCIATION IN
03:18:47.149 --> 03:18:50.819 region:rollup2
OPPOSITION.
03:18:49.851 --> 03:18:52.621 region:rollup2
STEPPING Y. CANS ON THE AFTER
03:18:50.819 --> 03:18:53.155 region:rollup2
THIS INITIATION OF CALIFORNIA
03:18:52.621 --> 03:18:55.857 region:rollup2
LIFE AND HEALTH INSURANCE
03:18:53.155 --> 03:18:56.892 region:rollup2
COMPANIES OPPOSED.
03:18:55.857 --> 03:18:57.959 region:rollup2
SEAN DOES THE NATIONAL
03:18:56.892 --> 03:18:58.894 region:rollup2
FEDERATION OF INDEPENDENT
03:18:57.959 --> 03:19:00.128 region:rollup2
BUSINESS REPRESENTING OVER
03:18:58.894 --> 03:19:02.564 region:rollup2
TWENTY THOUSAND SMALL BUSINESS
03:19:00.128 --> 03:19:03.965 region:rollup2
OWNERS ALSO OPPOSED.
03:19:02.564 --> 03:19:04.433 region:rollup2
MICHELE O'ROURKE ON BEHALF OF
03:19:03.965 --> 03:19:07.803 region:rollup2
MALINA HEALTH CARE AND
03:19:04.433 --> 03:19:09.271 region:rollup2
OPPOSITION.
03:19:07.803 --> 03:19:09.771 region:rollup2
THERESA START BECAUSE A
03:19:09.271 --> 03:19:12.808 region:rollup2
PERMANENT DAY IN STRONG
03:19:09.771 --> 03:19:13.875 region:rollup2
OPPOSITION.
03:19:12.808 --> 03:19:14.976 region:rollup2
KELLY BUCKS ON BEHALF OF THE
03:19:13.875 --> 03:19:15.477 region:rollup2
ASSOCIATION OF CALIFORNIA
03:19:14.976 --> 03:19:17.846 region:rollup2
HEALTHCARE DISTRICTS IN
03:19:15.477 --> 03:19:19.147 region:rollup2
OPPOSITION.
03:19:17.846 --> 03:19:20.649 region:rollup2
KELLY BEAM ON BEHALF OF THE
03:19:19.147 --> 03:19:21.349 region:rollup2
CALIFORNIA ASSOCIATION OF NURSE
03:19:20.649 --> 03:19:24.019 region:rollup2
ANESTHETISTS IN OPPOSITION.
03:19:21.349 --> 03:19:25.086 region:rollup2
IF.
03:19:24.019 --> 03:19:26.588 region:rollup2
JERRY HEXUM MAY HAVETHE
03:19:25.086 --> 03:19:27.722 region:rollup2
CALIFORNIA ACADEMY OF FAMILY
03:19:26.588 --> 03:19:29.925 region:rollup2
PHYSICIANS IN THE CALIFORNIA
03:19:27.722 --> 03:19:33.228 region:rollup2
ASSOCIATION OF AYE PHYSICIANS
03:19:29.925 --> 03:19:34.162 region:rollup2
AND SURGEONS IN OPPOSITION.
03:19:33.228 --> 03:19:36.765 region:rollup2
RAINY BARRIER THERE READING
03:19:34.162 --> 03:19:38.033 region:rollup2
ASSOCIATES ON BEHALF OF PORAC
03:19:36.765 --> 03:19:39.868 region:rollup2
THE CALIFORNIA CHILDREN'S
03:19:38.033 --> 03:19:41.536 region:rollup2
HOSPITAL ASSOCIATION.
03:19:39.868 --> 03:19:43.071 region:rollup2
THE CALIFORNIA OPTOMETRIC
03:19:41.536 --> 03:19:45.373 region:rollup2
ASSOCIATION
03:19:43.071 --> 03:19:49.211 region:rollup2
THE CALIFORNIA SOCIETY FOR
03:19:45.373 --> 03:19:50.545 region:rollup2
RESPIRATORY CARE. AND I THINK
03:19:49.211 --> 03:19:52.247 region:rollup2
THAT OUR CALIFORNIA UP TO MAKE
03:19:50.545 --> 03:19:55.717 region:rollup2
IT OPTOMETRIC ASSOCIATION THANK
03:19:52.247 --> 03:19:57.352 region:rollup2
YOU.
03:19:55.717 --> 03:19:59.020 region:rollup2
RIGHT SPENCER WITH THE AMERICAN
03:19:57.352 --> 03:20:00.222 region:rollup2
COLLEGE OF OBGYN IS THE IN THE
03:19:59.020 --> 03:20:01.990 region:rollup2
CALIFORNIA PUT YAK MEDICAL
03:20:00.222 --> 03:20:02.457 region:rollup2
ASSOCIATION WALLS OF SAN DIEGO
03:20:01.990 --> 03:20:05.360 region:rollup2
CHAMBER OF COMMERCE IN
03:20:02.457 --> 03:20:06.895 region:rollup2
OPPOSITION.
03:20:05.360 --> 03:20:08.063 region:rollup2
MARIN HIGGINS REPRESENTING THE
03:20:06.895 --> 03:20:11.466 region:rollup2
ADVANCED MEDICAL TECHNOLOGY
03:20:08.063 --> 03:20:12.701 region:rollup2
ASSOCIATION OPPOSITION.
03:20:11.466 --> 03:20:16.037 region:rollup2
JONATHAN CLAIMED OFF A SCRIPT
03:20:12.701 --> 03:20:17.639 region:rollup2
SELF IN OPPOSITION.
03:20:16.037 --> 03:20:19.241 region:rollup2
JENNIFER TANNAHILL WITH AARON
03:20:17.639 --> 03:20:20.041 region:rollup2
REGION ASSOCIATES ON BEHALF OF
03:20:19.241 --> 03:20:24.112 region:rollup2
THE CALIFORNIA DENTAL HYGIENISTS
03:20:20.041 --> 03:20:25.814 region:rollup2
ASSOCIATION.
03:20:24.112 --> 03:20:27.182 region:rollup2
BRANTON INTO SPENCER WITH THE
03:20:25.814 --> 03:20:30.085 region:rollup2
CALIFORNIA DENTAL ASSOCIATION IN
03:20:27.182 --> 03:20:31.753 region:rollup2
OPPOSITION.
03:20:30.085 --> 03:20:35.490 region:rollup2
I DAVID GONZALEZ ABOUT AMERICA'S
03:20:31.753 --> 03:20:36.791 region:rollup2
PHYSICIAN GROUPS IN OPPOSITION.
03:20:35.490 --> 03:20:38.026 region:rollup2
JENNIFER SIGN ON BEHALF OF THE
03:20:36.791 --> 03:20:39.261 region:rollup2
OSTEOPATHIC PHYSICIANS AND
03:20:38.026 --> 03:20:40.428 region:rollup2
SURGEONS OF CALIFORNIA THE
03:20:39.261 --> 03:20:42.230 region:rollup2
CALIFORNIA ASSOCIATION A HEALTH
03:20:40.428 --> 03:20:42.731 region:rollup2
FACILITIES AND THE CALIFORNIA
03:20:42.230 --> 03:20:45.834 region:rollup2
RETAILERS ASSOCIATION IN
03:20:42.731 --> 03:20:47.335 region:rollup2
OPPOSITION.
03:20:45.834 --> 03:20:49.938 region:rollup2
ALISON RAIMI WITH BLUE SHIELD OF
03:20:47.335 --> 03:20:51.072 region:rollup2
CALIFORNIA IN OPPOSITION.
03:20:49.938 --> 03:20:54.075 region:rollup2
MICHAEL TELL PROVINCE ST JOSEPH
03:20:51.072 --> 03:20:55.343 region:rollup2
HEALTH IN OPPOSITION.
03:20:54.075 --> 03:20:56.811 region:rollup2
KATHLEEN SORIANO ON BEHALF THE
03:20:55.343 --> 03:20:57.646 region:rollup2
CUT MEDICINE OF THE UNIVERSITY
03:20:56.811 --> 03:21:00.982 region:rollup2
OF SOUTHERN CALIFORNIA AND
03:20:57.646 --> 03:21:02.150 region:rollup2
OPPOSITION.
03:21:00.982 --> 03:21:03.184 region:rollup2
BRYCE DOUGHERTY AND BEHALF THE
03:21:02.150 --> 03:21:04.252 region:rollup2
CALIFORNIA DECIDED
03:21:03.184 --> 03:21:05.654 region:rollup2
ANESTHESIOLOGISTS
03:21:04.252 --> 03:21:06.988 region:rollup2
THE CALIFORNIA ORTHOPEDIC
03:21:05.654 --> 03:21:08.223 region:rollup2
ASSOCIATION IN THE CALIFORNIA
03:21:06.988 --> 03:21:11.793 region:rollup2
AMBULATORY SURGERY ASSOCIATION
03:21:08.223 --> 03:21:13.061 region:rollup2
IN OPPOSITION.
03:21:11.793 --> 03:21:14.462 region:rollup2
FRED MADE ON BEHALF OF THE
03:21:13.061 --> 03:21:16.364 region:rollup2
CHAMBER OF COMMERCE ALLIANCE OF
03:21:14.462 --> 03:21:19.834 region:rollup2
VENTURA. IN SANTA BARBARA COUNTY
03:21:16.364 --> 03:21:21.102 region:rollup2
IN OPPOSITION.
03:21:19.834 --> 03:21:22.237 region:rollup2
TIM AND REPRESENT CALIFORNIA
03:21:21.102 --> 03:21:23.338 region:rollup2
CHAPTER OF AMERICA BECAUSE
03:21:22.237 --> 03:21:25.407 region:rollup2
EMERGENCY PHYSICIANS THE
03:21:23.338 --> 03:21:26.675 region:rollup2
CALIFORNIA RHEUMATOLOGY ALLIANCE
03:21:25.407 --> 03:21:28.310 region:rollup2
THE CALVARY SOCIETY PLASTIC
03:21:26.675 --> 03:21:29.344 region:rollup2
SURGEONS IN THE CALIFORNIA
03:21:28.310 --> 03:21:32.347 region:rollup2
CHAPTER OF THE AMERICAN COLLEGE
03:21:29.344 --> 03:21:34.049 region:rollup2
OF CARDIOLOGY ALL OPPOSED.
03:21:32.347 --> 03:21:35.216 region:rollup2
MICHAEL HAWKINS FOR REPRESENT
03:21:34.049 --> 03:21:38.086 region:rollup2
TENET HEALTHCARE IN OPPOSITION
03:21:35.216 --> 03:21:39.521 region:rollup2
THANK YOU.
03:21:38.086 --> 03:21:41.222 region:rollup2
VIDEO BORN REPRESENTING AMERICAN
03:21:39.521 --> 03:21:41.656 region:rollup2
ACADEMY OF PEDIATRICS CALIFORNIA
03:21:41.222 --> 03:21:45.327 region:rollup2
DIVISION YOUR POST.
03:21:41.656 --> 03:21:46.628 region:rollup2
IF.
03:21:45.327 --> 03:21:48.330 region:rollup2
NICOLE WATERMAN ON BEHALF OF THE
03:21:46.628 --> 03:21:51.399 region:rollup2
SAN BERNADINO COUNTY PART OF
03:21:48.330 --> 03:21:52.734 region:rollup2
SUPERVISORS IN OPPOSITION.
03:21:51.399 --> 03:21:53.401 region:rollup2
ANGELA LANTERN ON BEHALF OF THE
03:21:52.734 --> 03:21:54.936 region:rollup2
CHILDREN SPECIALTY CARE
03:21:53.401 --> 03:21:58.473 region:rollup2
COALITION REPRESENTING PEDIATRIC
03:21:54.936 --> 03:22:00.141 region:rollup2
SUB SPECIALIST IN OPPOSITION.
03:21:58.473 --> 03:22:03.612 region:rollup2
NICHOLAS CALIFORNIA ASSOCIATION
03:22:00.141 --> 03:22:04.379 region:rollup2
OF HEALTH PLANS OPPOSE.
03:22:03.612 --> 03:22:04.879 region:rollup2
LET SHEPHERD REPRESENTING
03:22:04.379 --> 03:22:07.682 region:rollup2
STAMFORD HEALTH CARE IN
03:22:04.879 --> 03:22:09.150 region:rollup2
OPPOSITION.
03:22:07.682 --> 03:22:12.621 region:rollup2
LEAH BARRELS REPRESENTING OUR
03:22:09.150 --> 03:22:14.456 region:rollup2
CAMINO HOSPITAL IN OPPOSITION.
03:22:12.621 --> 03:22:17.792 region:rollup2
TOM REILLY CALDERON AMERICAN
03:22:14.456 --> 03:22:25.066 region:rollup2
COLLEGE OF PHYSICIANS SUPPOSED.
03:22:17.792 --> 03:22:25.667 region:rollup2
ANYONE ELSE.
03:22:25.066 --> 03:22:31.406 region:rollup2
OKAY WILL BRING IT BACK TO THE
03:22:25.667 --> 03:22:31.906 region:rollup2
COMMITTEE.
03:22:31.406 --> 03:22:37.345 region:rollup2
REPLACEMENT.
03:22:31.906 --> 03:22:40.181 region:rollup2
OBSERVERS.
03:22:37.345 --> 03:22:41.349 region:rollup2
CHECK A. ASIDE MR CHERUB LE MAI
03:22:40.181 --> 03:22:43.018 region:rollup2
WITNESSES A PRESERVED FIVE
03:22:41.349 --> 03:22:44.686 region:rollup2
MINUTES I THINK IT.
03:22:43.018 --> 03:22:46.488 region:rollup2
DISCUSS YOUR STOP IT THAT'S OKAY
03:22:44.686 --> 03:22:47.722 region:rollup2
OF THEM. REBUTTAL BEEF OTHER
03:22:46.488 --> 03:22:49.624 region:rollup2
FIFTEEN THEY PREVENT TEN WITH
03:22:47.722 --> 03:22:50.191 region:rollup2
THE PRESSING WITNESSES WOULD
03:22:49.624 --> 03:22:51.226 region:rollup2
THAT BE OKAY WITH YOU MISTER
03:22:50.191 --> 03:22:52.927 region:rollup2
CHAIR.
03:22:51.226 --> 03:22:54.729 region:rollup2
TURKISH AND WE HAD TO WE HAD
03:22:52.927 --> 03:22:55.664 region:rollup2
AGREED UPON THAT. THANK YOU
03:22:54.729 --> 03:22:58.733 region:rollup2
VERSION SO WE HAVE.
03:22:55.664 --> 03:23:00.702 region:rollup2
HOW MUCH?
03:22:58.733 --> 03:23:05.306 region:rollup2
WE HAVE FIVE MINUTES. I THANK
03:23:00.702 --> 03:23:06.374 region:rollup2
YOU VERY MUCH FOR SURE.
03:23:05.306 --> 03:23:07.475 region:rollup2
MISTER CHAIR MEMBERS SARAH
03:23:06.374 --> 03:23:09.310 region:rollup2
FLOCKS IN THE CALIFORNIA LABOR
03:23:07.475 --> 03:23:11.646 region:rollup2
FEDERATIONS THANK YOU SO MUCH
03:23:09.310 --> 03:23:13.882 region:rollup2
FOR THIS OPPORTUNITY.
03:23:11.646 --> 03:23:16.851 region:rollup2
THE OPPOSITION IS DEFENDING A
03:23:13.882 --> 03:23:18.319 region:rollup2
SYSTEM THAT WE KNOW IS BROKEN.
03:23:16.851 --> 03:23:20.955 region:rollup2
IT IS BROKEN FOR WORKERS FOR
03:23:18.319 --> 03:23:22.724 region:rollup2
EMPLOYERS FOR GOVERNMENT AND FOR
03:23:20.955 --> 03:23:24.392 region:rollup2
PATIENTS IN CALIFORNIA.
03:23:22.724 --> 03:23:25.760 region:rollup2
MOST OF ALL IT'S BROKEN FOR
03:23:24.392 --> 03:23:27.729 region:rollup2
COMMUNITIES THAT ALREADY HAVE A
03:23:25.760 --> 03:23:30.398 region:rollup2
SHORTAGE OF PROVIDERS WHO HAVE A
03:23:27.729 --> 03:23:32.567 region:rollup2
LACK OF ACCESS FOR RURAL AREAS.
03:23:30.398 --> 03:23:34.069 region:rollup2
AND IT IS BROKEN FOR MEDI CAL
03:23:32.567 --> 03:23:36.538 region:rollup2
PATIENTS
03:23:34.069 --> 03:23:37.839 region:rollup2
AND MEDI CAL PROVIDERS.
03:23:36.538 --> 03:23:40.141 region:rollup2
THIS BILL IS NOT ABOUT PUNISHING
03:23:37.839 --> 03:23:41.876 region:rollup2
PROVIDERS AT ITS CORE IT IS
03:23:40.141 --> 03:23:43.344 region:rollup2
ABOUT ACCESS
03:23:41.876 --> 03:23:45.747 region:rollup2
AND IT'S ABOUT ADDRESSING THE
03:23:43.344 --> 03:23:47.782 region:rollup2
INEQUITIES IN OUR CURRENT SYSTEM
03:23:45.747 --> 03:23:48.717 region:rollup2
THAT LEAD TO A LACK OF ACCESS.
03:23:47.782 --> 03:23:50.819 region:rollup2
THAT'S WHY THE NAME OF THE
03:23:48.717 --> 03:23:53.054 region:rollup2
COMMISSION IS THAT COMMISSION ON
03:23:50.819 --> 03:23:55.690 region:rollup2
HEALTH CARE COST QUALITY IN
03:23:53.054 --> 03:23:56.825 region:rollup2
EQUITY YOU CANNOT SEPARATE THEM.
03:23:55.690 --> 03:23:58.593 region:rollup2
I WANT TO START OFF BY
03:23:56.825 --> 03:24:01.196 region:rollup2
ADDRESSING THE.
03:23:58.593 --> 03:24:03.565 region:rollup2
CHART THE MATH DOESN'T ADD UP.
03:24:01.196 --> 03:24:04.532 region:rollup2
WHICH TIES INTO THE ISSUE OF
03:24:03.565 --> 03:24:06.234 region:rollup2
MEDI CAL REIMBURSEMENT AND
03:24:04.532 --> 03:24:08.837 region:rollup2
ACCESS.
03:24:06.234 --> 03:24:10.038 region:rollup2
A SUBSTANTIAL BODY OF EVIDENCE
03:24:08.837 --> 03:24:11.940 region:rollup2
SHOWS THAT PROVIDERS THAT
03:24:10.038 --> 03:24:14.109 region:rollup2
DISPROPORTIONATELY SERVE LOW
03:24:11.940 --> 03:24:15.610 region:rollup2
INCOME AND ELDERLY POPULATIONS
03:24:14.109 --> 03:24:17.679 region:rollup2
THE MEDI CAL AND MEDICARE
03:24:15.610 --> 03:24:19.914 region:rollup2
POPULATIONS.
03:24:17.679 --> 03:24:21.382 region:rollup2
CHARGE LOWER PRICES TO PRIVATE
03:24:19.914 --> 03:24:23.118 region:rollup2
PAYERS
03:24:21.382 --> 03:24:24.552 region:rollup2
IN FACT A TWENTY SIXTEEN STUDY
03:24:23.118 --> 03:24:26.287 region:rollup2
THAT FOUND THAT FOR EVERY
03:24:24.552 --> 03:24:28.590 region:rollup2
PERCENT INCREASE. IN THE
03:24:26.287 --> 03:24:30.859 region:rollup2
MEDICAID POPULATION SO THE MEDI
03:24:28.590 --> 03:24:33.061 region:rollup2
CAL POPULATION IN CALIFORNIA THE
03:24:30.859 --> 03:24:36.097 region:rollup2
AVERAGE HOSPITAL CHARGE TO
03:24:33.061 --> 03:24:37.665 region:rollup2
PRIVATE PAYERS DECREASED BY ONE
03:24:36.097 --> 03:24:39.901 region:rollup2
POINT TWO PERCENT WHICH IS A
03:24:37.665 --> 03:24:41.669 region:rollup2
DROP OF ELEVEN HUNDRED DOLLARS.
03:24:39.901 --> 03:24:43.638 region:rollup2
NOT INCREASE DECREASE.
03:24:41.669 --> 03:24:45.140 region:rollup2
AND WHY.
03:24:43.638 --> 03:24:47.775 region:rollup2
BECAUSE PROVIDERS WITH HIGH MEDI
03:24:45.140 --> 03:24:49.744 region:rollup2
CAL AND MEDICARE POPULATIONS ARE
03:24:47.775 --> 03:24:52.180 region:rollup2
MORE EFFICIENT AND COST
03:24:49.744 --> 03:24:54.415 region:rollup2
EFFECTIVE. IN OTHER WORDS THEY
03:24:52.180 --> 03:24:57.085 region:rollup2
DO MORE WITH LESS
03:24:54.415 --> 03:24:59.287 region:rollup2
COSTS ARE NOT IMMUTABLE.
03:24:57.085 --> 03:25:00.555 region:rollup2
IN FACT MED PAC WHICH IS THE
03:24:59.287 --> 03:25:02.357 region:rollup2
MEDICARE PAYMENT ADVISORY
03:25:00.555 --> 03:25:04.125 region:rollup2
COMMISSION WHICH ADVISES
03:25:02.357 --> 03:25:06.261 region:rollup2
CONGRESS ON MEDICARE.
03:25:04.125 --> 03:25:07.495 region:rollup2
SAYS THAT IN A QUOTE WHEN A
03:25:06.261 --> 03:25:09.764 region:rollup2
HOSPITAL RECEIVES HIGHER
03:25:07.495 --> 03:25:11.232 region:rollup2
PAYMENTS FROM COMMERCIAL PAYERS
03:25:09.764 --> 03:25:13.501 region:rollup2
THE FINANCIAL PRESSURE ON THE
03:25:11.232 --> 03:25:16.037 region:rollup2
HOSPITAL'S LOWER. IT THEREFORE
03:25:13.501 --> 03:25:18.640 region:rollup2
HAS LESS INCENTIVE
03:25:16.037 --> 03:25:20.341 region:rollup2
KEEP ITS COSTS LOW.
03:25:18.640 --> 03:25:21.609 region:rollup2
ON THE FLIPSIDE MED PAC HAS ALSO
03:25:20.341 --> 03:25:23.611 region:rollup2
SHOWN THE PROVIDERS UNDER
03:25:21.609 --> 03:25:25.480 region:rollup2
FINANCIAL PRESSURE WHO RESEARCH
03:25:23.611 --> 03:25:27.415 region:rollup2
RECEIVE LOWER COMMERCIAL RE
03:25:25.480 --> 03:25:30.285 region:rollup2
EMBRACE REIMBURSEMENTS ARE ABLE
03:25:27.415 --> 03:25:32.520 region:rollup2
TO RESTRAIN THEIR COSTS.
03:25:30.285 --> 03:25:34.956 region:rollup2
HI COMMERCIAL PRICES.
03:25:32.520 --> 03:25:36.591 region:rollup2
ARE NOT CORRELATED WITH SERVING
03:25:34.956 --> 03:25:38.827 region:rollup2
LARGE POPULATIONS OF MEDI CAL
03:25:36.591 --> 03:25:41.296 region:rollup2
ARE MEDICARE THEY ARE CORRELATED
03:25:38.827 --> 03:25:42.797 region:rollup2
WITH HAVING MONOPOLY POWER.
03:25:41.296 --> 03:25:44.532 region:rollup2
IF YOU ARE IN IN AN AREA WHERE
03:25:42.797 --> 03:25:46.768 region:rollup2
YOU CAN COMMAND HIGHER PRICES
03:25:44.532 --> 03:25:47.869 region:rollup2
THEN YOU WILL. YOU WILL HAVE
03:25:46.768 --> 03:25:49.837 region:rollup2
HIGHER COMMERCIAL PRICES
03:25:47.869 --> 03:25:52.340 region:rollup2
REGARDLESS OF YOU SERVE A SINGLE
03:25:49.837 --> 03:25:54.242 region:rollup2
MEDI CAL IN RELIEF OR NOT.
03:25:52.340 --> 03:25:55.810 region:rollup2
AND WHY. BECAUSE WE LET THEM
03:25:54.242 --> 03:25:57.579 region:rollup2
BECAUSE THE COMMERCIAL MARKET IS
03:25:55.810 --> 03:25:59.380 region:rollup2
FRAGMENTED OPAQUE AND DRIVEN BY
03:25:57.579 --> 03:26:00.882 region:rollup2
PROFIT.
03:25:59.380 --> 03:26:02.817 region:rollup2
AB THIRTY EIGHTY SEVEN SIX TO
03:26:00.882 --> 03:26:04.552 region:rollup2
REMEDY THE INEQUITIES THAT WE
03:26:02.817 --> 03:26:06.554 region:rollup2
HAVE IN OUR EXISTING BROKEN
03:26:04.552 --> 03:26:08.256 region:rollup2
SYSTEM BY TAKING IN ACCOUNT
03:26:06.554 --> 03:26:10.091 region:rollup2
PROVIDERS THAT SERVE MEDI CAL
03:26:08.256 --> 03:26:12.026 region:rollup2
POPULATIONS THAT ARE IN RURAL
03:26:10.091 --> 03:26:13.461 region:rollup2
AREAS THAT ARE IN UNDERSERVED
03:26:12.026 --> 03:26:15.463 region:rollup2
COMMUNITIES. WHERE THERE ARE IT
03:26:13.461 --> 03:26:17.165 region:rollup2
IS A LACK OF ACCESS WHEN THEY
03:26:15.463 --> 03:26:19.534 region:rollup2
SAT BASE RATES?
03:26:17.165 --> 03:26:23.104 region:rollup2
THAT WILL CREATE A LINK A
03:26:19.534 --> 03:26:24.906 region:rollup2
REASONABLE LINK BETWEEN MEDI CAL
03:26:23.104 --> 03:26:27.642 region:rollup2
AND COMMERCIAL RATES THIS IS A
03:26:24.906 --> 03:26:28.810 region:rollup2
LINK THAT DOES NOT EXIST RIGHT
03:26:27.642 --> 03:26:30.945 region:rollup2
NOW. THIS BILL WILL BRING
03:26:28.810 --> 03:26:32.714 region:rollup2
TRANSPARENCY AND FAIRNESS TO ARE
03:26:30.945 --> 03:26:34.716 region:rollup2
CURTAINS CURRENT SYSTEM OUR
03:26:32.714 --> 03:26:37.185 region:rollup2
CURRENT SYSTEM THAT REWARDS
03:26:34.716 --> 03:26:38.386 region:rollup2
MONOPOLIES AND DEVALUES THE
03:26:37.185 --> 03:26:40.955 region:rollup2
PROVIDERS THAT MAKE UP OUR
03:26:38.386 --> 03:26:42.657 region:rollup2
SAFETY NET AND PROVIDE CARE. TO
03:26:40.955 --> 03:26:45.660 region:rollup2
THE IN THE IN THE ARE MOST RURAL
03:26:42.657 --> 03:26:46.628 region:rollup2
AND UNDERSERVED COMMUNITIES.
03:26:45.660 --> 03:26:48.730 region:rollup2
CHAIR AND MEMBERS MITCHELL HAVE
03:26:46.628 --> 03:26:49.664 region:rollup2
DATA WITH SEIU CALIFORNIA WE ARE
03:26:48.730 --> 03:26:51.432 region:rollup2
ONE OF THE CO SPONSORS OF THIS
03:26:49.664 --> 03:26:52.400 region:rollup2
BILL. I'M I WANT TO SPEAK TO A
03:26:51.432 --> 03:26:54.335 region:rollup2
FEW OF THE POINTS AND
03:26:52.400 --> 03:26:56.070 region:rollup2
PARTICULARLY THE POINT SPACEY HA
03:26:54.335 --> 03:26:57.805 region:rollup2
THAT THIS BILL WOULD LEAD TO
03:26:56.070 --> 03:26:59.173 region:rollup2
BILLIONS OF DOLLARS IN CUTS AND
03:26:57.805 --> 03:27:01.376 region:rollup2
A HUNDRED AND SEVENTY FIVE
03:26:59.173 --> 03:27:03.311 region:rollup2
THOUSAND JOBS LOST IN. HOSPITAL
03:27:01.376 --> 03:27:04.879 region:rollup2
SECTORS WE REPRESENT HOSPITAL
03:27:03.311 --> 03:27:06.714 region:rollup2
WORKERS WE SEE THIS AS A THINLY
03:27:04.879 --> 03:27:07.749 region:rollup2
VEILED THREAT THE FACT OF THE
03:27:06.714 --> 03:27:09.484 region:rollup2
MATTER IS THE COMMISSION IS
03:27:07.749 --> 03:27:12.153 region:rollup2
REQUIRED TO TAKE INTO ACCOUNT
03:27:09.484 --> 03:27:14.522 region:rollup2
WHEN SETTING. THE BASE RATE A
03:27:12.153 --> 03:27:17.091 region:rollup2
FAIR RETURN ON INVESTMENT
03:27:14.522 --> 03:27:17.625 region:rollup2
REASONABLE LABOR COSTS INCLUDING
03:27:17.091 --> 03:27:20.028 region:rollup2
THE COSTS OF BARGAINING
03:27:17.625 --> 03:27:21.663 region:rollup2
AGREEMENTS CAPITAL INVESTMENTS
03:27:20.028 --> 03:27:23.998 region:rollup2
AND CHANGES IN THE DELIVERY OF
03:27:21.663 --> 03:27:25.099 region:rollup2
CARE. THERE ALSO WITH AMENDMENT
03:27:23.998 --> 03:27:28.303 region:rollup2
SEEKING IN THIS COMMITTEE TAKING
03:27:25.099 --> 03:27:29.070 region:rollup2
INTO ACCOUNT THE AMOUNT OF.
03:27:28.303 --> 03:27:31.039 region:rollup2
MEDI CAL PURPOSE
03:27:29.070 --> 03:27:33.675 region:rollup2
POPULATION SERVED AND SO ALL OF
03:27:31.039 --> 03:27:35.510 region:rollup2
THAT IS BUILT INTO THE BASE RATE
03:27:33.675 --> 03:27:37.845 region:rollup2
WHAT WE ARE TALKING ABOUT HERE
03:27:35.510 --> 03:27:39.414 region:rollup2
IS MAKING COST SHIFTING. REAL
03:27:37.845 --> 03:27:41.816 region:rollup2
ACTUALLY REWARDING THOSE
03:27:39.414 --> 03:27:43.785 region:rollup2
PROVIDERS THAT ARE DOING MORE IN
03:27:41.816 --> 03:27:45.853 region:rollup2
THE PUBLIC PROGRAMS RATHER THAN
03:27:43.785 --> 03:27:48.056 region:rollup2
LETTING ARBITRARY MARKET FORCES
03:27:45.853 --> 03:27:49.490 region:rollup2
DECIDE THAT. DOCTORS AND
03:27:48.056 --> 03:27:51.259 region:rollup2
HOSPITALS IN NORTHERN CALIFORNIA
03:27:49.490 --> 03:27:53.428 region:rollup2
SHOULD GET PAID THIRTY FIVE TO
03:27:51.259 --> 03:27:55.096 region:rollup2
SEVENTY PERCENT HIGHER THAN
03:27:53.428 --> 03:27:57.699 region:rollup2
DOCTORS AND HOSPITALS IN LOS
03:27:55.096 --> 03:27:59.467 region:rollup2
ANGELES AND SOUTHERN CALIFORNIA.
03:27:57.699 --> 03:28:01.836 region:rollup2
WITH RESPECT TO THE PHYSICIAN
03:27:59.467 --> 03:28:03.471 region:rollup2
POPULATION DOCTORS ARE BECOMING
03:28:01.836 --> 03:28:06.274 region:rollup2
MORE AND MORE CONSOLIDATED OVER
03:28:03.471 --> 03:28:07.208 region:rollup2
THE LAST TEN YEARS OR LESS
03:28:06.274 --> 03:28:09.444 region:rollup2
ACTUALLY.
03:28:07.208 --> 03:28:11.245 region:rollup2
WE'VE MOVED TO HALF OF ALL
03:28:09.444 --> 03:28:13.548 region:rollup2
PHYSICIANS IN HOSPITAL OWNED
03:28:11.245 --> 03:28:14.649 region:rollup2
PHYSICIAN GROUPS AND WE PUT AN
03:28:13.548 --> 03:28:16.417 region:rollup2
AMENDMENT IN THAT SAYS NO
03:28:14.649 --> 03:28:18.119 region:rollup2
DOCTORS WITHOUT DATA ABSENT THE
03:28:16.417 --> 03:28:19.220 region:rollup2
DATA THE COMMISSION CANNOT MOVE
03:28:18.119 --> 03:28:19.487 region:rollup2
TO SET RATES FOR HOSPITALS AND
03:28:19.220 --> 03:28:21.889 region:rollup2
DOCTORS.
03:28:19.487 --> 03:28:23.691 region:rollup2
THANK YOU.
03:28:21.889 --> 03:28:25.393 region:rollup2
SO
03:28:23.691 --> 03:28:27.028 region:rollup2
YOU HAD TWO MINUTES LEFT ON ON
03:28:25.393 --> 03:28:28.763 region:rollup2
THE OPPOSITION SO THEY'RE GOING
03:28:27.028 --> 03:28:30.131 region:rollup2
TO GET A CHANCE TO.
03:28:28.763 --> 03:28:31.065 region:rollup2
AND WILL SHARE THIS QUICKLY.
03:28:30.131 --> 03:28:33.501 region:rollup2
WE DO HOPE WE HAVE THE
03:28:31.065 --> 03:28:35.069 region:rollup2
OPPORTUNITY TO UNPACK FOR YOU
03:28:33.501 --> 03:28:35.937 region:rollup2
THE CONFUSION THAT SEEMS TO
03:28:35.069 --> 03:28:37.672 region:rollup2
EXIST BETWEEN PRICES.
03:28:35.937 --> 03:28:39.340 region:rollup2
COSTS
03:28:37.672 --> 03:28:41.409 region:rollup2
AND DOING STUDIES AND ALL THE
03:28:39.340 --> 03:28:43.911 region:rollup2
REST TO COUPLE POINTS PLEASE DID
03:28:41.409 --> 03:28:45.013 region:rollup2
YOU KNOW. THAT IN CALIFORNIA.
03:28:43.911 --> 03:28:46.247 region:rollup2
HOSPITAL COSTS ARE SIX AND A
03:28:45.013 --> 03:28:47.515 region:rollup2
HALF PERCENT BELOW THE NATIONAL
03:28:46.247 --> 03:28:48.983 region:rollup2
AVERAGE DID YOU KNOW THAT
03:28:47.515 --> 03:28:50.118 region:rollup2
CALIFORNIA'S HOSPITAL COSTS ARE
03:28:48.983 --> 03:28:52.253 region:rollup2
IN THE BOTTOM QUARTILE THE
03:28:50.118 --> 03:28:54.522 region:rollup2
BOTTOM TWENTY FIVE PERCENT. OF
03:28:52.253 --> 03:28:56.324 region:rollup2
COSTS NATIONALLY WE WANT TO TALK
03:28:54.522 --> 03:28:58.493 region:rollup2
ABOUT VARIATION DID YOU KNOW
03:28:56.324 --> 03:29:01.629 region:rollup2
THAT NORTHERN CALIFORNIA HAS THE
03:28:58.493 --> 03:29:03.664 region:rollup2
TOP TWELVE CITIES IN TERMS OF
03:29:01.629 --> 03:29:04.799 region:rollup2
WAGES IN THE ENTIRE UNITED
03:29:03.664 --> 03:29:06.501 region:rollup2
STATES.
03:29:04.799 --> 03:29:08.436 region:rollup2
WE WELCOME CONVERSATION TO TALK
03:29:06.501 --> 03:29:10.304 region:rollup2
MORE ABOUT THE UNDERLYING
03:29:08.436 --> 03:29:12.907 region:rollup2
DRIVERS BUT PLEASE DO NOT BE
03:29:10.304 --> 03:29:13.975 region:rollup2
FOOLED BY NUMBERS AND DATA THAT
03:29:12.907 --> 03:29:15.543 region:rollup2
ARE BEING THROWN AT YOU THERE
03:29:13.975 --> 03:29:17.845 region:rollup2
ARE REAL REASONS AN IMPORTANT
03:29:15.543 --> 03:29:18.479 region:rollup2
REASONS FOR VARIATIONS IN COST.
03:29:17.845 --> 03:29:22.383 region:rollup2
AND THE DIFFERENCE BETWEEN COSTS
03:29:18.479 --> 03:29:23.418 region:rollup2
AND PRICES.
03:29:22.383 --> 03:29:24.852 region:rollup2
THANK YOU I'LL TRY TO DO THIS
03:29:23.418 --> 03:29:26.087 region:rollup2
QUICKLY.
03:29:24.852 --> 03:29:28.089 region:rollup2
IT IS A BROKEN SYSTEM FOR
03:29:26.087 --> 03:29:29.857 region:rollup2
PROVIDERS AS WELL WE RECOGNIZE
03:29:28.089 --> 03:29:30.291 region:rollup2
THAT WE WANT TO SEE IT FIXED BUT
03:29:29.857 --> 03:29:31.826 region:rollup2
WE WANT TO SEE A FIX
03:29:30.291 --> 03:29:33.728 region:rollup2
RESPONSIBLY.
03:29:31.826 --> 03:29:35.730 region:rollup2
WE ARE FOR TRANSPARENCY BUT WE
03:29:33.728 --> 03:29:37.932 region:rollup2
ARE NOT FOR PRICE FIXING THAT
03:29:35.730 --> 03:29:39.700 region:rollup2
DOESN'T DEAL WITH ACTUAL COSTS.
03:29:37.932 --> 03:29:41.536 region:rollup2
THE FACT THAT THIS BILL CONTAINS
03:29:39.700 --> 03:29:43.304 region:rollup2
GLOBAL CAPS
03:29:41.536 --> 03:29:44.472 region:rollup2
BELIES ANY ARGUMENT THAT IT
03:29:43.304 --> 03:29:46.140 region:rollup2
WOULD KEEP UP WITH THE ACTUAL
03:29:44.472 --> 03:29:47.642 region:rollup2
COST OF CARE.
03:29:46.140 --> 03:29:50.111 region:rollup2
IF CAPS HAVE TO BE REDUCED
03:29:47.642 --> 03:29:51.846 region:rollup2
BECAUSE WE OVER EXPENDED. ON
03:29:50.111 --> 03:29:52.747 region:rollup2
NEEDED MEDICAL SERVICES WHY
03:29:51.846 --> 03:29:54.282 region:rollup2
PUNISH THE PROVIDERS ON THE BACK
03:29:52.747 --> 03:29:56.217 region:rollup2
AND.
03:29:54.282 --> 03:29:57.819 region:rollup2
AND MAY I REMIND THE LEGISLATURE
03:29:56.217 --> 03:29:59.086 region:rollup2
THAT THIS LEGISLATURE HAS HAD
03:29:57.819 --> 03:30:00.087 region:rollup2
SIMILAR LANGUAGE ABOUT
03:29:59.086 --> 03:30:01.556 region:rollup2
PERCENTAGE OF MEDICARE IN THE
03:30:00.087 --> 03:30:03.057 region:rollup2
PAST.
03:30:01.556 --> 03:30:04.692 region:rollup2
THIS BILL DOES NOT DEFINE WHAT
03:30:03.057 --> 03:30:05.993 region:rollup2
THAT PERCENT YES BUT THIS
03:30:04.692 --> 03:30:08.062 region:rollup2
LEGISLATURE HAS PLAYED WITH A
03:30:05.993 --> 03:30:10.097 region:rollup2
HUNDRED PERCENT IN S. B. FIVE IN
03:30:08.062 --> 03:30:11.666 region:rollup2
AB FIVE THIRTY THREE. AND A
03:30:10.097 --> 03:30:13.901 region:rollup2
HUNDRED AND TWENTY FIVE PERCENT
03:30:11.666 --> 03:30:15.603 region:rollup2
IN AB SEVENTY TWO FOR NON
03:30:13.901 --> 03:30:17.505 region:rollup2
CONTRACT PROVIDERS GIVING THE
03:30:15.603 --> 03:30:18.739 region:rollup2
BULK OF CARE IN THE EMERGENCY
03:30:17.505 --> 03:30:20.241 region:rollup2
ROOM WHEN THERE ARE NO
03:30:18.739 --> 03:30:21.509 region:rollup2
CONTRACTED PROVIDERS AVAILABLE.
03:30:20.241 --> 03:30:23.077 region:rollup2
WHY DO WE BELIEVE THAT THE
03:30:21.509 --> 03:30:24.112 region:rollup2
LEGISLATURE WOULD NOT LOOK AT A
03:30:23.077 --> 03:30:26.180 region:rollup2
HUNDRED TO A HUNDRED AND TWENTY
03:30:24.112 --> 03:30:27.448 region:rollup2
FIVE PERCENT WHICH IS WELL BELOW
03:30:26.180 --> 03:30:29.283 region:rollup2
THE COST OF CARE? ONE LAST
03:30:27.448 --> 03:30:30.151 region:rollup2
COMMENT
03:30:29.283 --> 03:30:32.820 region:rollup2
MEDICARE IN THE LAST TWENTY
03:30:30.151 --> 03:30:34.555 region:rollup2
YEARS HAS FALLEN WAY BELOW THE
03:30:32.820 --> 03:30:36.023 region:rollup2
ACTUAL INFLATION RATE.
03:30:34.555 --> 03:30:38.025 region:rollup2
IN WHAT IT PAYS POSITIONS IN
03:30:36.023 --> 03:30:41.329 region:rollup2
THIS STATE AND NATION WIDE IT IS
03:30:38.025 --> 03:30:44.265 region:rollup2
NOT A GOOD. MARKER.
03:30:41.329 --> 03:30:44.732 region:rollup2
OKAY.
03:30:44.265 --> 03:30:44.999 region:rollup2
NOW QUESTIONS FROM THE
03:30:44.732 --> 03:30:47.268 region:rollup2
COMMITTEE.
03:30:44.999 --> 03:30:48.970 region:rollup2
SO
03:30:47.268 --> 03:30:50.505 region:rollup2
STERN BANKS I THINK AS CHAIR. I
03:30:48.970 --> 03:30:51.806 region:rollup2
WAS KALRA WHAT BOB AND I WANT TO
03:30:50.505 --> 03:30:52.874 region:rollup2
THANK YOU FOR THE EFFORT IN TEND
03:30:51.806 --> 03:30:54.408 region:rollup2
TO THIS BILL.
03:30:52.874 --> 03:30:56.444 region:rollup2
TO ADDRESS.
03:30:54.408 --> 03:30:57.612 region:rollup2
ON AFFORDABILITY IN OUR
03:30:56.444 --> 03:30:58.946 region:rollup2
HEALTHCARE SYSTEM
03:30:57.612 --> 03:31:00.548 region:rollup2
AND HOWEVER SICK COME AS NO
03:30:58.946 --> 03:31:02.049 region:rollup2
SURPRISE THAT I'M I DON'T
03:31:00.548 --> 03:31:03.584 region:rollup2
SUPPORT THIS PARTICULAR APPROACH
03:31:02.049 --> 03:31:05.786 region:rollup2
IS TO COST CONTAINMENT.
03:31:03.584 --> 03:31:07.488 region:rollup2
I DON'T THINK THAT GOVERNMENT
03:31:05.786 --> 03:31:09.056 region:rollup2
PRICE SETTING IS THE BEST
03:31:07.488 --> 03:31:10.525 region:rollup2
THE BEST APPROACH AND WE'VE
03:31:09.056 --> 03:31:11.359 region:rollup2
HEARD SOME OF THAT IN. AMONGST
03:31:10.525 --> 03:31:13.094 region:rollup2
THE WITNESSES TODAY DO HAVE A
03:31:11.359 --> 03:31:15.463 region:rollup2
COUPLE OF QUESTIONS.
03:31:13.094 --> 03:31:17.031 region:rollup2
A FOR YOU IF THAT'S OKAY.
03:31:15.463 --> 03:31:18.633 region:rollup2
BUT IT IS WELL KNOWN AS A SOME
03:31:17.031 --> 03:31:19.901 region:rollup2
THE WITNESSES TALKED ABOUT ABOUT
03:31:18.633 --> 03:31:21.502 region:rollup2
COST SHIFTING IN HEALTH CARE AS
03:31:19.901 --> 03:31:23.204 region:rollup2
A RESULT OF LOW REIMBURSEMENT
03:31:21.502 --> 03:31:24.539 region:rollup2
RATES IN IN MEDI CAL. A FOR
03:31:23.204 --> 03:31:26.007 region:rollup2
HOSPITALS THAT HAVE A LARGE
03:31:24.539 --> 03:31:27.775 region:rollup2
SHARE OF MEDI CAL PATIENTS
03:31:26.007 --> 03:31:29.310 region:rollup2
AND I CAN THINK OF A HANDFUL OF
03:31:27.775 --> 03:31:30.645 region:rollup2
THEM BOUT WITH IN THE INLAND
03:31:29.310 --> 03:31:31.679 region:rollup2
EMPIRE WHERE I REPRESENT.
03:31:30.645 --> 03:31:33.447 region:rollup2
I'M HOW WOULD THEY MAKE ENDS
03:31:31.679 --> 03:31:34.482 region:rollup2
MEET IF THEY FURTHER SQUEEZE
03:31:33.447 --> 03:31:35.950 region:rollup2
PAYMENTS FROM PRIVATE PAY
03:31:34.482 --> 03:31:37.718 region:rollup2
PATIENTS.
03:31:35.950 --> 03:31:39.453 region:rollup2
IT SEEMS TO BE UNWORKABLE.
03:31:37.718 --> 03:31:40.721 region:rollup2
THANK YOU FOR THE QUESTION AND
03:31:39.453 --> 03:31:42.990 region:rollup2
THE REALITY IS FIRST OF ALL
03:31:40.721 --> 03:31:44.859 region:rollup2
THERE'S A. A FALSE PRESUMPTION
03:31:42.990 --> 03:31:46.394 region:rollup2
THAT'S BEEN PUT FORTH THAT THOSE
03:31:44.859 --> 03:31:48.763 region:rollup2
THAT ARE TAKING ON MORE MEDI CAL
03:31:46.394 --> 03:31:50.898 region:rollup2
AND MEDICARE PATIENTS ARE BARB
03:31:48.763 --> 03:31:53.267 region:rollup2
DOING IT SIMPLY BY. INCREASING
03:31:50.898 --> 03:31:53.834 region:rollup2
COMMERCIAL RATES THE REALITY IS
03:31:53.267 --> 03:31:54.635 region:rollup2
THAT THE FACTS DON'T DICTATE
03:31:53.834 --> 03:31:55.903 region:rollup2
THAT
03:31:54.635 --> 03:31:57.972 region:rollup2
THE FACTS ACCEDED TO THAT THOSE
03:31:55.903 --> 03:31:59.774 region:rollup2
THAT TAKE MORE MEDI CAL.
03:31:57.972 --> 03:32:01.509 region:rollup2
AND MEDICARE PATIENTS ACTUALLY
03:31:59.774 --> 03:32:03.177 region:rollup2
GET A LOWER COMMERCIAL RATE WHAT
03:32:01.509 --> 03:32:04.679 region:rollup2
IS DRIVING THE COMMERCIAL RATES
03:32:03.177 --> 03:32:06.714 region:rollup2
IS NOT THAT THEY'RE ALL TAKING
03:32:04.679 --> 03:32:08.883 region:rollup2
CARE. OF THOSE THAT ARE ON MEDI
03:32:06.714 --> 03:32:10.151 region:rollup2
CAL BUT I WILL TELL YOU THIS
03:32:08.883 --> 03:32:11.385 region:rollup2
THAT IN THIS BILL WE DO HAVE THE
03:32:10.151 --> 03:32:13.888 region:rollup2
OPPORTUNITY.
03:32:11.385 --> 03:32:15.323 region:rollup2
AND IT'S INCLUDED NOT ONLY.
03:32:13.888 --> 03:32:16.757 region:rollup2
IN THE ORIGINAL.
03:32:15.323 --> 03:32:18.626 region:rollup2
BUT DROPPED IN THE AMENDED
03:32:16.757 --> 03:32:20.561 region:rollup2
DRAFT BUT ALSO IN.
03:32:18.626 --> 03:32:22.563 region:rollup2
IN MY ACCEPTING THE POLICY
03:32:20.561 --> 03:32:24.131 region:rollup2
RECOMMENDATIONS FROM THE CHAIR
03:32:22.563 --> 03:32:27.902 region:rollup2
AND THE STAFF AND THE STAFF.
03:32:24.131 --> 03:32:30.972 region:rollup2
TO ACTUALLY FIND WAYS TO MAKE
03:32:27.902 --> 03:32:33.140 region:rollup2
UP FOR THOSE CLINICS HOSPITALS
03:32:30.972 --> 03:32:35.710 region:rollup2
DOCTORS THAT TAKE. MORE MEDI CAL
03:32:33.140 --> 03:32:37.144 region:rollup2
PATIENTS AND WE DO THAT BY JUST
03:32:35.710 --> 03:32:39.113 region:rollup2
IN THE COMMERCIAL RATE IN A WAY
03:32:37.144 --> 03:32:40.781 region:rollup2
THAT REWARDS THEM. REWARDS THEM
03:32:39.113 --> 03:32:42.583 region:rollup2
FOR TAKING CARE OF THE MOST
03:32:40.781 --> 03:32:43.718 region:rollup2
VULNERABLE IN OUR STATE AND
03:32:42.583 --> 03:32:45.086 region:rollup2
REWARDS THEM.
03:32:43.718 --> 03:32:46.921 region:rollup2
FOR ACTUALLY DOING A PUBLIC
03:32:45.086 --> 03:32:49.357 region:rollup2
SERVICE THE REALITY IS IF IT
03:32:46.921 --> 03:32:50.891 region:rollup2
WERE TRUE IF IT WERE TRUE THAT
03:32:49.357 --> 03:32:52.426 region:rollup2
THOSE THAT TOOK ON MORE MEDI CAL
03:32:50.891 --> 03:32:53.594 region:rollup2
PATIENTS WERE BEING COMPENSATED
03:32:52.426 --> 03:32:54.962 region:rollup2
APPROPRIATELY BY COMMERCIAL
03:32:53.594 --> 03:32:55.863 region:rollup2
RATES AND WE DON'T WANT TO MESS
03:32:54.962 --> 03:32:57.531 region:rollup2
WITH THE COMMERCIALLY BECAUSE OF
03:32:55.863 --> 03:32:59.367 region:rollup2
IT. THEN IN SO MANY RULE
03:32:57.531 --> 03:33:01.402 region:rollup2
COMMUNITIES WHERE THEY HAVE AN
03:32:59.367 --> 03:33:02.670 region:rollup2
EXCESS OF MEDICAL RATES THEN
03:33:01.402 --> 03:33:04.605 region:rollup2
THEY WOULDN'T HAVE DOCTORS BEING
03:33:02.670 --> 03:33:05.806 region:rollup2
PAID LESS THAN DOCTORS AND OTHER
03:33:04.605 --> 03:33:07.742 region:rollup2
COMMUNITIES ON THE COMMERCIAL
03:33:05.806 --> 03:33:08.976 region:rollup2
RATES AND IN FACT. IN MANY RURAL
03:33:07.742 --> 03:33:10.311 region:rollup2
COMMUNITIES DOCTORS OF GETTING
03:33:08.976 --> 03:33:11.946 region:rollup2
COMMERCIAL RATES EVEN BELOW
03:33:10.311 --> 03:33:13.614 region:rollup2
MEDICARE RIGHT NOW AND WHY IS
03:33:11.946 --> 03:33:15.349 region:rollup2
THAT. THE DOCTORS HAVE NO
03:33:13.614 --> 03:33:17.418 region:rollup2
LEVERAGE THEY HAVE NO BARGAINING
03:33:15.349 --> 03:33:19.320 region:rollup2
POWER WITH THESE CONSOLIDATED
03:33:17.418 --> 03:33:21.956 region:rollup2
SYSTEMS WITH THESE MONOPOLISTIC
03:33:19.320 --> 03:33:26.327 region:rollup2
MONOPOLISTIC HOSPITALS AND AND.
03:33:21.956 --> 03:33:27.294 region:rollup2
THE DEAD TAPES SUGGEST THAT
03:33:26.327 --> 03:33:28.496 region:rollup2
THEY DO IS JUST NOT TRUE.
03:33:27.294 --> 03:33:29.063 region:rollup2
AND SO MY AND MY MY ANSWER TO
03:33:28.496 --> 03:33:30.331 region:rollup2
YOU THE SHORT ANSWER IS MEDI
03:33:29.063 --> 03:33:31.899 region:rollup2
CAL.
03:33:30.331 --> 03:33:33.401 region:rollup2
.
03:33:31.899 --> 03:33:34.502 region:rollup2
IT'S ABSOLUTELY NOT ONLY
03:33:33.401 --> 03:33:35.636 region:rollup2
INCLUDED IN THIS IS GONNA BE A
03:33:34.502 --> 03:33:37.038 region:rollup2
MAJOR PART OF WHAT WE'RE GOING
03:33:35.636 --> 03:33:38.873 region:rollup2
TO CONTINUE TO WORK ON IN THE
03:33:37.038 --> 03:33:40.708 region:rollup2
WEEKS AHEAD HOW DO WE ACCOUNT
03:33:38.873 --> 03:33:41.609 region:rollup2
FOR THE FACT THAT. WE HAVE SO
03:33:40.708 --> 03:33:43.844 region:rollup2
MANY MEDI CAL.
03:33:41.609 --> 03:33:45.980 region:rollup2
PATIENTS IN OUR STATE AND HOW
03:33:43.844 --> 03:33:47.581 region:rollup2
THE WE INCENTIVIZE DOCTORS TO
03:33:45.980 --> 03:33:49.350 region:rollup2
NOT ONLY TAKE MEDI CAL PATIENTS
03:33:47.581 --> 03:33:50.451 region:rollup2
AND MEDICARE PATIENTS BUT FOR
03:33:49.350 --> 03:33:51.819 region:rollup2
DOCTORS TO GOING TO RURAL
03:33:50.451 --> 03:33:52.486 region:rollup2
COMMUNITIES UNDERSERVED
03:33:51.819 --> 03:33:53.954 region:rollup2
COMMUNITIES WHERE THEY DON'T GO
03:33:52.486 --> 03:33:55.489 region:rollup2
RIGHT NOW. AND THEY DON'T GO
03:33:53.954 --> 03:33:58.993 region:rollup2
THERE BECAUSE THE COMMERCIAL
03:33:55.489 --> 03:34:00.361 region:rollup2
RATES DON'T INCENTIVIZE AND.
03:33:58.993 --> 03:34:00.528 region:rollup2
THING I REPRESENT A RURAL AREA
03:34:00.361 --> 03:34:02.096 region:rollup2
AND.
03:34:00.528 --> 03:34:03.564 region:rollup2
LIKE I GET SOME
03:34:02.096 --> 03:34:06.767 region:rollup2
SOME CONTRADICTORY NAM.
03:34:03.564 --> 03:34:07.468 region:rollup2
ARGUMENTS FROM I'M SO MY LOCAL
03:34:06.767 --> 03:34:09.136 region:rollup2
UP LOCAL DOCKS IN HEALTHCARE
03:34:07.468 --> 03:34:10.905 region:rollup2
PROVIDERS. THAT I'M HAPPY TO
03:34:09.136 --> 03:34:12.206 region:rollup2
TALK TO THEM IT IT I GOT A
03:34:10.905 --> 03:34:12.807 region:rollup2
COUPLE OF QUESTIONS A COUPLE
03:34:12.206 --> 03:34:14.208 region:rollup2
MORE IF.
03:34:12.807 --> 03:34:15.910 region:rollup2
IF THIS BILL SUPPOSED TO REIN
03:34:14.208 --> 03:34:17.144 region:rollup2
IN COSTS A WHITE AS A SOLELY
03:34:15.910 --> 03:34:18.779 region:rollup2
FOCUS ON GOVERNMENT PRICE FIXING
03:34:17.144 --> 03:34:20.414 region:rollup2
HAS THIS.
03:34:18.779 --> 03:34:22.683 region:rollup2
WHAT ABOUT UTILIZATION IN THE
03:34:20.414 --> 03:34:24.218 region:rollup2
COST OF LABOR FOR EXAMPLE WHICH
03:34:22.683 --> 03:34:25.486 region:rollup2
ARE ALSO MAJOR COST DRIVERS?
03:34:24.218 --> 03:34:26.620 region:rollup2
WELL THAT'S PART OF THE REASON
03:34:25.486 --> 03:34:28.022 region:rollup2
THE AND I'M GLAD YOU MENTIONED
03:34:26.620 --> 03:34:29.990 region:rollup2
UTILIZATION BECAUSE THE LAST
03:34:28.022 --> 03:34:31.359 region:rollup2
SEVERAL YEARS. UP WITH WITH THE
03:34:29.990 --> 03:34:33.494 region:rollup2
THE AFFORDABLE CARE ACT WE HAVE
03:34:31.359 --> 03:34:35.296 region:rollup2
SEEN INCREASED ACCESS TO PEOPLE
03:34:33.494 --> 03:34:37.231 region:rollup2
HAVE UPPER HEALTH INSURANCE CARD
03:34:35.296 --> 03:34:38.632 region:rollup2
YOU SEE HEALTHCARE COSTS GO UP
03:34:37.231 --> 03:34:39.900 region:rollup2
BUT UTILIZATION HAS GONE DOWN.
03:34:38.632 --> 03:34:41.502 region:rollup2
SO THAT TELLS US THAT PEOPLE ARE
03:34:39.900 --> 03:34:43.437 region:rollup2
ARE ARE RATIONING THEIR
03:34:41.502 --> 03:34:45.840 region:rollup2
HEALTHCARE BECAUSE COSTS ARE
03:34:43.437 --> 03:34:46.907 region:rollup2
GOING UP AND SO THAT IT'S.
03:34:45.840 --> 03:34:48.509 region:rollup2
THE THE.
03:34:46.907 --> 03:34:50.811 region:rollup2
.
03:34:48.509 --> 03:34:52.012 region:rollup2
EUROPEAN QUESTIONING AND.
03:34:50.811 --> 03:34:53.547 region:rollup2
THAT POINT ENTITIES RELIGIOUSLY
03:34:52.012 --> 03:34:54.915 region:rollup2
UTILIZATION IN THE COST OF LABOR
03:34:53.547 --> 03:34:56.450 region:rollup2
WHY ARE WE LOOKING AT ALL THOSE
03:34:54.915 --> 03:34:58.285 region:rollup2
COSTS ARE ALL THOSE COSTS ARE
03:34:56.450 --> 03:35:00.154 region:rollup2
ACCOUNTED FOR. AND THE README
03:34:58.285 --> 03:35:02.456 region:rollup2
AND ONE OF THE THE COMMENTS MADE
03:35:00.154 --> 03:35:05.159 region:rollup2
BY OPPOSITION WHICH ACTUALLY IS
03:35:02.456 --> 03:35:06.694 region:rollup2
AS IS AN IMPORTANT PART OF.
03:35:05.159 --> 03:35:07.762 region:rollup2
I COUNTING FOR ALL THOSE
03:35:06.694 --> 03:35:09.697 region:rollup2
INCREASED COSTS AND IF YOU LOOK
03:35:07.762 --> 03:35:11.332 region:rollup2
AT WHAT CAN BE ACCOUNTED FOR IN
03:35:09.697 --> 03:35:12.967 region:rollup2
THE BASED AT BASE COSTS AND
03:35:11.332 --> 03:35:14.001 region:rollup2
ADJUSTMENTS IT IS INCREASED
03:35:12.967 --> 03:35:15.569 region:rollup2
LABOR COSTS. IT IS.
03:35:14.001 --> 03:35:16.203 region:rollup2
.
03:35:15.569 --> 03:35:18.873 region:rollup2
THE.
03:35:16.203 --> 03:35:19.707 region:rollup2
ENOUGH YOU HAVE MAINTENANCE OR
03:35:18.873 --> 03:35:20.608 region:rollup2
IF YOU HAVE NEW FACILITIES ARE
03:35:19.707 --> 03:35:22.676 region:rollup2
BUILDING.
03:35:20.608 --> 03:35:24.245 region:rollup2
AND SO THE IMPORTANT ASPECT OF
03:35:22.676 --> 03:35:26.580 region:rollup2
THE GLOBAL CAP WHICH WAS
03:35:24.245 --> 03:35:29.216 region:rollup2
REFERRED TO IS TO ENSURE YES IF
03:35:26.580 --> 03:35:30.251 region:rollup2
WE DO SET RATES FOR BUT SERVICES
03:35:29.216 --> 03:35:31.685 region:rollup2
WE DON'T WANT TO SEE HAPPEN IS
03:35:30.251 --> 03:35:32.887 region:rollup2
WHAT WE SAW HAPPEN IN MARYLAND
03:35:31.685 --> 03:35:34.221 region:rollup2
IS THAT PEOPLE JUST STARTED.
03:35:32.887 --> 03:35:36.123 region:rollup2
INCREASING NUMBER THE SERVICES
03:35:34.221 --> 03:35:38.192 region:rollup2
THEY DID TO MAKE MORE MONEY AND
03:35:36.123 --> 03:35:40.194 region:rollup2
IT WAS NASA CONNECTED TO CARE.
03:35:38.192 --> 03:35:41.729 region:rollup2
AND AND WHAT WAS NEEDED SO THAT
03:35:40.194 --> 03:35:43.597 region:rollup2
MARYLAND A FEW YEARS AGO
03:35:41.729 --> 03:35:45.399 region:rollup2
RECOGNIZING THAT SORT OF PUTTING
03:35:43.597 --> 03:35:46.767 region:rollup2
GLOBAL CAPSULAR DEFERRED OR A S.
03:35:45.399 --> 03:35:48.736 region:rollup2
YEAH YOU REPRESENTATIVE IN TERMS
03:35:46.767 --> 03:35:50.504 region:rollup2
OF LABOR COSTS. BUT I MENTION
03:35:48.736 --> 03:35:52.006 region:rollup2
THE GLOBAL CLOCK CAP BECAUSE
03:35:50.504 --> 03:35:52.506 region:rollup2
THAT IS A WAY TO ENSURE THAT
03:35:52.006 --> 03:35:54.074 region:rollup2
COST ON TO SPIRAL OUT OF
03:35:52.506 --> 03:35:56.210 region:rollup2
CONTROL.
03:35:54.074 --> 03:35:57.511 region:rollup2
ON LABOR SIDE WHAT HAVE YOU AND
03:35:56.210 --> 03:35:59.013 region:rollup2
THEN THE HOSPITAL OR THE
03:35:57.511 --> 03:36:01.849 region:rollup2
DOCTOR'S AT THE DEAL WITH THAT
03:35:59.013 --> 03:36:02.917 region:rollup2
BECAUSE THEY ARE GETTING LESS ON
03:36:01.849 --> 03:36:05.286 region:rollup2
THE POLL ON THE. RIGHT SIDE.
03:36:02.917 --> 03:36:07.154 region:rollup2
THANK YOU OF VICE CHAIR MAYES.
03:36:05.286 --> 03:36:08.722 region:rollup2
IN OUR COLLECTIVE BARGAINING
03:36:07.154 --> 03:36:11.859 region:rollup2
AGREEMENTS WITH HOSPITALS LABOR
03:36:08.722 --> 03:36:13.994 region:rollup2
COST INCREASES HAVE BEEN STEADY
03:36:11.859 --> 03:36:15.429 region:rollup2
AT AROUND TWO PERCENT WE ACCOUNT
03:36:13.994 --> 03:36:17.598 region:rollup2
FOR MAYBE ONE TO TWO PERCENT OF
03:36:15.429 --> 03:36:18.833 region:rollup2
OVERALL COST INCREASES IN THE
03:36:17.598 --> 03:36:21.502 region:rollup2
HOSPITAL SECTOR. WHICH.
03:36:18.833 --> 03:36:23.671 region:rollup2
HAS BEEN OUT PIECING
03:36:21.502 --> 03:36:26.373 region:rollup2
PRESCRIPTION DRUG CROSS COSTS AS
03:36:23.671 --> 03:36:29.210 region:rollup2
THE NUMBER ONE FASTEST GROWING.
03:36:26.373 --> 03:36:31.612 region:rollup2
PRICE INCREASE IN HEALTH CARE
03:36:29.210 --> 03:36:32.913 region:rollup2
SO. LET ME REPHRASE THAT
03:36:31.612 --> 03:36:34.281 region:rollup2
HOSPITAL COSTS HAVE BEEN GOING
03:36:32.913 --> 03:36:35.115 region:rollup2
UP FASTER THAN PRESCRIPTION DRUG
03:36:34.281 --> 03:36:35.850 region:rollup2
COSTS
03:36:35.115 --> 03:36:37.885 region:rollup2
AND.
03:36:35.850 --> 03:36:39.720 region:rollup2
WE CAN PROVIDE A CITATION ON
03:36:37.885 --> 03:36:41.055 region:rollup2
THAT BUT CLEARLY IF WERE ONE
03:36:39.720 --> 03:36:43.190 region:rollup2
PERCENT TWO PERCENT OF THE
03:36:41.055 --> 03:36:45.059 region:rollup2
OVERALL PRICE INCREASES OVER
03:36:43.190 --> 03:36:46.961 region:rollup2
TIME AND HOLDING STEADY.
03:36:45.059 --> 03:36:49.430 region:rollup2
WE'RE NOT REALLY THE DRIVER OF
03:36:46.961 --> 03:36:50.998 region:rollup2
THAT HIGH. PRICE.
03:36:49.430 --> 03:36:51.999 region:rollup2
WELL IT AND IT JUST ONE MORE
03:36:50.998 --> 03:36:53.567 region:rollup2
QUESTION BECAUSE IT ACTION
03:36:51.999 --> 03:36:55.336 region:rollup2
WHAT'S GOING TO GET TO THAT TO
03:36:53.567 --> 03:36:56.670 region:rollup2
THAT POINT I MEAN IN READING
03:36:55.336 --> 03:36:57.671 region:rollup2
THIS OVER THE LAST COUPLE OF
03:36:56.670 --> 03:36:58.239 region:rollup2
DAYS IT SEEMED LIKE THE
03:36:57.671 --> 03:36:59.340 region:rollup2
ECONOMICS IN THE POLITICS OF
03:36:58.239 --> 03:37:00.841 region:rollup2
THIS.
03:36:59.340 --> 03:37:02.877 region:rollup2
A SEEM LITTLE OFF
03:37:00.841 --> 03:37:04.812 region:rollup2
A BECAUSE WHEN YOU TALK ABOUT.
03:37:02.877 --> 03:37:06.480 region:rollup2
.
03:37:04.812 --> 03:37:08.015 region:rollup2
YEAH I DON'T I GUESS I'M I'M.
03:37:06.480 --> 03:37:09.016 region:rollup2
THE QUESTION I HAVE IS HOW WILL.
03:37:08.015 --> 03:37:10.517 region:rollup2
HELP ME UNDERSTAND HOW WE CAN
03:37:09.016 --> 03:37:11.852 region:rollup2
HAVE COLLECTIVE BARGAINING IN
03:37:10.517 --> 03:37:13.287 region:rollup2
UNREGULATED PAY RAISES AND
03:37:11.852 --> 03:37:14.455 region:rollup2
BENEFIT INCREASES FOR CERTAIN
03:37:13.287 --> 03:37:16.490 region:rollup2
GROUPS OF HEALTH CARE PROVIDERS
03:37:14.455 --> 03:37:18.092 region:rollup2
LIKE NURSES AND. I AM ALLIED
03:37:16.490 --> 03:37:18.893 region:rollup2
HEALTH PROFESSIONALS WHAT THE
03:37:18.092 --> 03:37:19.894 region:rollup2
SAME TIME COMPLETELY
03:37:18.893 --> 03:37:21.095 region:rollup2
CONSTRAINING THE RATES AND
03:37:19.894 --> 03:37:23.163 region:rollup2
CHARGES OF THE PEOPLE THE
03:37:21.095 --> 03:37:24.999 region:rollup2
HOSPITAL'S OPPOSITION GROUPS.
03:37:23.163 --> 03:37:27.268 region:rollup2
WHO HAVE TO PAY THOSE WORKERS IT
03:37:24.999 --> 03:37:29.370 region:rollup2
IN ECONOMIC SENSE IN IT AND FROM
03:37:27.268 --> 03:37:30.237 region:rollup2
AN ECONOMIC PERSPECTIVE IT JUST
03:37:29.370 --> 03:37:32.840 region:rollup2
DOESN'T DOESN'T MAKE SENSE HOW
03:37:30.237 --> 03:37:35.676 region:rollup2
DO WE? HOW DO WE? JUSTIFY THOSE
03:37:32.840 --> 03:37:37.311 region:rollup2
TO. THOSE PAY RATE INCREASES ARE
03:37:35.676 --> 03:37:38.178 region:rollup2
ACCOUNTED FOR AND HOW THE RATES
03:37:37.311 --> 03:37:40.948 region:rollup2
ARE JUST.
03:37:38.178 --> 03:37:42.750 region:rollup2
SO IF THERE IS OF A BARGAINING
03:37:40.948 --> 03:37:43.851 region:rollup2
UNIT HOSPITAL AND THEY AGREED TO
03:37:42.750 --> 03:37:45.519 region:rollup2
GIVE THE NURSES A TWO PERCENT
03:37:43.851 --> 03:37:47.054 region:rollup2
PAY RAISE WELL IN THE AND NUMBER
03:37:45.519 --> 03:37:49.790 region:rollup2
THERE'S AN ANNUAL. REVIEW SO
03:37:47.054 --> 03:37:51.258 region:rollup2
THAT OTHER. AS THAT OCCURS RATES
03:37:49.790 --> 03:37:52.559 region:rollup2
CAN BE ADJUSTED BY THAT SAME
03:37:51.258 --> 03:37:53.494 region:rollup2
PERCENTAGE ACCOUNT FOR THAT.
03:37:52.559 --> 03:37:56.664 region:rollup2
IN FACT THE COMMISSION IS
03:37:53.494 --> 03:38:00.401 region:rollup2
REQUIRED TO FACTOR LABOR COSTS
03:37:56.664 --> 03:38:02.202 region:rollup2
INTO THE BASE RATE SO NOT. NOT
03:38:00.401 --> 03:38:04.905 region:rollup2
THE YOU KNOW YOU CAN COME BACK
03:38:02.202 --> 03:38:06.907 region:rollup2
HIM GONNA APPEAL IT THE BASE
03:38:04.905 --> 03:38:09.076 region:rollup2
RATE NEEDS TO FACTOR IN YOUR THE
03:38:06.907 --> 03:38:11.478 region:rollup2
COST OF LABOR THE COST OF DOING
03:38:09.076 --> 03:38:13.681 region:rollup2
BUSINESS. PLUS A REASONABLE RATE
03:38:11.478 --> 03:38:15.583 region:rollup2
OF RETURN. AND IN ADDITION ON
03:38:13.681 --> 03:38:17.751 region:rollup2
TOP OF THAT ACT AREAS WHERE
03:38:15.583 --> 03:38:19.219 region:rollup2
THERE ACCESS PROBLEMS ALL OF
03:38:17.751 --> 03:38:20.688 region:rollup2
THAT IS IN THE BASE
03:38:19.219 --> 03:38:22.790 region:rollup2
ANYTHING ABOVE THAT YOU CAN
03:38:20.688 --> 03:38:23.824 region:rollup2
APPEAL FOR BUT ALL OF THAT
03:38:22.790 --> 03:38:25.025 region:rollup2
SHOULD BE ACCOUNTED FOR IN THE
03:38:23.824 --> 03:38:27.094 region:rollup2
BAIT WE'RE NOT TALKING ABOUT A
03:38:25.025 --> 03:38:28.729 region:rollup2
SORT OF ONE. A HOMOGENEOUS
03:38:27.094 --> 03:38:30.597 region:rollup2
ACROSS THE BOARD RATE IT'S
03:38:28.729 --> 03:38:33.300 region:rollup2
ACTUALLY BASED ON MEDICARE WHICH
03:38:30.597 --> 03:38:34.568 region:rollup2
DOES HAVE VARIATION WITHIN IT BY
03:38:33.300 --> 03:38:36.170 region:rollup2
REGION AND BY.
03:38:34.568 --> 03:38:36.737 region:rollup2
PROVIDERS SERVICE.
03:38:36.170 --> 03:38:39.406 region:rollup2
OKAY KIND OF THE OPPOSITION
03:38:36.737 --> 03:38:40.474 region:rollup2
THAT.
03:38:39.406 --> 03:38:41.642 region:rollup2
MISTER CHAIRMAN RESTORE TALK
03:38:40.474 --> 03:38:43.344 region:rollup2
ABOUT THE CALIFORNIA MEDICAL
03:38:41.642 --> 03:38:44.712 region:rollup2
ASSOCIATION I JUST BRIEFLY WANT
03:38:43.344 --> 03:38:45.446 region:rollup2
RESPOND TO SOME OF THOSE
03:38:44.712 --> 03:38:47.314 region:rollup2
COMMENTS I THINK THE FIRST ONE
03:38:45.446 --> 03:38:48.615 region:rollup2
WOULD BE. THAT WE HAVE GREAT
03:38:47.314 --> 03:38:49.917 region:rollup2
CONCERN THAT AN ELEVEN MEMBER
03:38:48.615 --> 03:38:51.719 region:rollup2
COMMISSION IS GOING TO
03:38:49.917 --> 03:38:53.220 region:rollup2
ACCURATELY SEPARATES FOR BEFORE
03:38:51.719 --> 03:38:55.055 region:rollup2
UNDER HOSPITALS OVER A HUNDRED
03:38:53.220 --> 03:38:56.590 region:rollup2
THOUSAND PHYSICIANS. IN A MANNER
03:38:55.055 --> 03:38:57.891 region:rollup2
THAT ECONOMICALLY VIABLE I KNOW
03:38:56.590 --> 03:38:59.159 region:rollup2
THAT THE LANGUAGE THAT THE
03:38:57.891 --> 03:39:00.861 region:rollup2
PEOPLE TAKE THESE FACTORS INTO
03:38:59.159 --> 03:39:01.462 region:rollup2
ACCOUNT. BUT IF THEY GET IT
03:39:00.861 --> 03:39:03.497 region:rollup2
WRONG.
03:39:01.462 --> 03:39:04.531 region:rollup2
THE RAT THE RAMIFICATIONS FOR
03:39:03.497 --> 03:39:07.001 region:rollup2
THE HEALTH CARE INDUSTRY IS.
03:39:04.531 --> 03:39:08.669 region:rollup2
QUITE SEVERE AND SECONDLY THE
03:39:07.001 --> 03:39:09.903 region:rollup2
STATISTICS THAT ARE CITED BOTH
03:39:08.669 --> 03:39:11.305 region:rollup2
IN THE ATTACK LANGUAGE AND THAT
03:39:09.903 --> 03:39:13.774 region:rollup2
THE PROPONENTS CONTINUE SITE ARE
03:39:11.305 --> 03:39:15.175 region:rollup2
BASED ON NATIONAL A STATISTICS
03:39:13.774 --> 03:39:16.777 region:rollup2
AND SO I THINK WE WANT TO POINT
03:39:15.175 --> 03:39:18.145 region:rollup2
OUT IN CALIFORNIA. AGAIN THE
03:39:16.777 --> 03:39:19.480 region:rollup2
POSITION GROWTH WITH OVER THE
03:39:18.145 --> 03:39:21.315 region:rollup2
LAST TWENTY FIVE YEARS IS BASED
03:39:19.480 --> 03:39:22.549 region:rollup2
ON MEDICARE DATA ACROSS ALL
03:39:21.315 --> 03:39:24.218 region:rollup2
PAYERS IS THREE POINT SIX
03:39:22.549 --> 03:39:26.153 region:rollup2
PERCENT THE NATIONAL AVERAGE IS
03:39:24.218 --> 03:39:27.755 region:rollup2
FOUR POINT FIVE AT WE ARE THE
03:39:26.153 --> 03:39:29.556 region:rollup2
LOWEST AS FAR AS WAS USED IN
03:39:27.755 --> 03:39:31.625 region:rollup2
SERVICE AS HAS BEEN THE LOWEST
03:39:29.556 --> 03:39:33.594 region:rollup2
GROWTH. OF ANY STATE I'M SO THE
03:39:31.625 --> 03:39:35.396 region:rollup2
FACT THAT NOW AS A RESULT OF
03:39:33.594 --> 03:39:36.063 region:rollup2
THAT WE HAVE TO PUT FAITH IN
03:39:35.396 --> 03:39:37.665 region:rollup2
ELEVEN MEMBER COMMISSION THAT'S
03:39:36.063 --> 03:39:38.432 region:rollup2
SUPPOSED TO TAKE INTO ACCOUNT
03:39:37.665 --> 03:39:41.735 region:rollup2
ALL THESE FACTORS.
03:39:38.432 --> 03:39:43.103 region:rollup2
QUICKLY IS REALLY UNREALISTIC
03:39:41.735 --> 03:39:44.638 region:rollup2
AND AS FAR AS THE WORLD ACCESS.
03:39:43.103 --> 03:39:46.273 region:rollup2
MOST OF YOUR RURAL MEMBERS TO
03:39:44.638 --> 03:39:48.876 region:rollup2
RURAL HOSPITALS ARE SEEN
03:39:46.273 --> 03:39:49.610 region:rollup2
PATIENTS ON MEDI CAL AND
03:39:48.876 --> 03:39:52.012 region:rollup2
MEDICARE.
03:39:49.610 --> 03:39:54.448 region:rollup2
THIS BILL ALTHOUGH IT SPEAKS TO
03:39:52.012 --> 03:39:56.050 region:rollup2
MEDI CAL MEDICARE DOES NOTHING
03:39:54.448 --> 03:39:57.518 region:rollup2
IN ANY MEANINGFUL WAY.
03:39:56.050 --> 03:39:59.119 region:rollup2
TO RAISE THOSE RATES WERE
03:39:57.518 --> 03:40:00.554 region:rollup2
INCREASED ACCESS IF IF THEY WANT
03:39:59.119 --> 03:40:01.889 region:rollup2
TO PUT IN AN INCREASE IN MEDICAL
03:40:00.554 --> 03:40:02.723 region:rollup2
RATES UP TO MEDICARE I THINK
03:40:01.889 --> 03:40:04.525 region:rollup2
THAT'S A CONVERSATION WE COULD
03:40:02.723 --> 03:40:06.627 region:rollup2
HAVE. BREWING TALK ABOUT THIRD
03:40:04.525 --> 03:40:07.828 region:rollup2
OF THE MARKET AND AGAIN MEDI CAL
03:40:06.627 --> 03:40:10.864 region:rollup2
ON POSITION SERVICES BATES ABOUT
03:40:07.828 --> 03:40:12.466 region:rollup2
SIXTY PERCENT. OF OF MEDICARE
03:40:10.864 --> 03:40:15.269 region:rollup2
AND IT'S OFTEN BELOW COST.
03:40:12.466 --> 03:40:16.804 region:rollup2
IF I MAY I'D LIKE TO UNDERSCORE.
03:40:15.269 --> 03:40:18.439 region:rollup2
HONESTLY ON WORKABILITY OF
03:40:16.804 --> 03:40:20.374 region:rollup2
APPEALS SYSTEM.
03:40:18.439 --> 03:40:22.409 region:rollup2
HAVING SPENT MANY YEARS IN
03:40:20.374 --> 03:40:24.378 region:rollup2
MARILYN THIS IS NOT AT ALL HOW
03:40:22.409 --> 03:40:25.212 region:rollup2
THE SYSTEM IN MARYLAND WORKS IT
03:40:24.378 --> 03:40:26.847 region:rollup2
WAS A SYSTEM THAT WORKED
03:40:25.212 --> 03:40:27.681 region:rollup2
SUCCESSFULLY FOR FORTY YEARS AND
03:40:26.847 --> 03:40:29.616 region:rollup2
THEN.
03:40:27.681 --> 03:40:31.852 region:rollup2
THE STATE.
03:40:29.616 --> 03:40:33.353 region:rollup2
TOOK A WHOLE NEW APPROACH.
03:40:31.852 --> 03:40:34.755 region:rollup2
BUT THERE THE RATES ARE SET
03:40:33.353 --> 03:40:36.557 region:rollup2
BASED ON THE UNDERLYING COSTS
03:40:34.755 --> 03:40:38.058 region:rollup2
EXPERIENCED BY A HOSPITAL. HAS A
03:40:36.557 --> 03:40:38.826 region:rollup2
VERY OFTEN HIGHER IN AN URBAN
03:40:38.058 --> 03:40:40.327 region:rollup2
AREA AND THEY ARE IN A RURAL
03:40:38.826 --> 03:40:41.795 region:rollup2
AREA. THEIR HIGHER FOR A
03:40:40.327 --> 03:40:43.931 region:rollup2
TEACHING HOSPITAL THAN A NON
03:40:41.795 --> 03:40:44.798 region:rollup2
TEACHING HOSPITAL THEY HAVE TO
03:40:43.931 --> 03:40:46.100 region:rollup2
REFLECT THE CHALLENGE
03:40:44.798 --> 03:40:47.735 region:rollup2
ENVIRONMENT THAT HOSPITALS
03:40:46.100 --> 03:40:48.769 region:rollup2
TREATING LARGE NUMBERS OF
03:40:47.735 --> 03:40:51.472 region:rollup2
MEDICARE AND MEDICAID WITH
03:40:48.769 --> 03:40:53.874 region:rollup2
SIGNIFICANT. UNDER FUNDING NEED
03:40:51.472 --> 03:40:55.275 region:rollup2
TO STAY AFLOAT IT IS NOT AN
03:40:53.874 --> 03:40:56.877 region:rollup2
APPEALS PROCESS IS A VERY
03:40:55.275 --> 03:40:58.212 region:rollup2
KNOWLEDGEABLE GROUP OF PEOPLE
03:40:56.877 --> 03:40:59.546 region:rollup2
KNOWLEDGE ABOUT THE HOSPITAL'S
03:40:58.212 --> 03:41:02.015 region:rollup2
CIRCUMSTANCE SETTING
03:40:59.546 --> 03:41:04.151 region:rollup2
DIFFERENTIAL RATES THERE IS NO
03:41:02.015 --> 03:41:05.285 region:rollup2
TIME. TO MEDICARE. AND BY THE
03:41:04.151 --> 03:41:06.787 region:rollup2
WAY.
03:41:05.285 --> 03:41:09.056 region:rollup2
FOR A COUNTRY THAT IS JUST
03:41:06.787 --> 03:41:11.425 region:rollup2
INCREASED OUR FEDERAL DEFICIT BY
03:41:09.056 --> 03:41:13.427 region:rollup2
ONE AND A HALF TRILLION DOLLARS.
03:41:11.425 --> 03:41:15.162 region:rollup2
WHAT HAPPENS TO FEDERAL MEDICARE
03:41:13.427 --> 03:41:16.530 region:rollup2
PAYMENTS HAS MORE TO DO WITH
03:41:15.162 --> 03:41:18.365 region:rollup2
WHAT'S GOING ON WITH THE FEDERAL
03:41:16.530 --> 03:41:20.033 region:rollup2
DEFICIT AND DEBT THAN IT DOES
03:41:18.365 --> 03:41:21.268 region:rollup2
WITH ANY HEALTHCARE POLICY? WHY
03:41:20.033 --> 03:41:23.270 region:rollup2
WOULD WE IN CALIFORNIA ONE A
03:41:21.268 --> 03:41:24.738 region:rollup2
TETHER OURSELVES TO A RATE
03:41:23.270 --> 03:41:27.207 region:rollup2
THAT'S BEING DRIVEN? BY DEFICITS
03:41:24.738 --> 03:41:28.842 region:rollup2
AND DEBT.
03:41:27.207 --> 03:41:30.210 region:rollup2
MISS MISTER CHAIR BY GOOD REVIEW
03:41:28.842 --> 03:41:31.879 region:rollup2
IF I COULD RESPOND TO THAT YOU
03:41:30.210 --> 03:41:33.313 region:rollup2
KNOW ALL ALL. ALL OF THOSE
03:41:31.879 --> 03:41:34.348 region:rollup2
FACTORS ARE ACCOUNTED FOR IN
03:41:33.313 --> 03:41:35.716 region:rollup2
THIS BILL IN THE BASE
03:41:34.348 --> 03:41:37.384 region:rollup2
ADJUSTMENTS AND WOULDN'T EVEN
03:41:35.716 --> 03:41:38.452 region:rollup2
REQUIRED APPEAL OF COURSE THE
03:41:37.384 --> 03:41:40.154 region:rollup2
APPEAL PROCESS AND STILL
03:41:38.452 --> 03:41:41.421 region:rollup2
AVAILABLE. SO WHETHER IT'S A
03:41:40.154 --> 03:41:43.190 region:rollup2
TEACHING HOSPITAL A RESEARCH
03:41:41.421 --> 03:41:44.892 region:rollup2
FACILITY IN A RULE COMMUNITY IN
03:41:43.190 --> 03:41:46.460 region:rollup2
URBAN COMMUNITY HIGHER COST
03:41:44.892 --> 03:41:48.529 region:rollup2
LIVING LOWER COST LIVING THAT'S
03:41:46.460 --> 03:41:49.730 region:rollup2
ALL CAUGHT ACCOUNTED FOR IN THE
03:41:48.529 --> 03:41:51.165 region:rollup2
ADJUSTED BASE RATE.
03:41:49.730 --> 03:41:53.066 region:rollup2
AND WILL BE ACCOUNTED FOR IN THE
03:41:51.165 --> 03:41:54.001 region:rollup2
FACT THAT. THE ACKNOWLEDGMENT
03:41:53.066 --> 03:41:55.702 region:rollup2
THAT AND RURAL COMMUNITIES THEY
03:41:54.001 --> 03:41:57.871 region:rollup2
ONLY TAKE MEDI CAL ON MEDICARE
03:41:55.702 --> 03:41:58.605 region:rollup2
PATIENTS IS A PROBLEM.
03:41:57.871 --> 03:41:59.373 region:rollup2
THE FACT THEY DON'T HAVE
03:41:58.605 --> 03:42:00.774 region:rollup2
SPECIALIST THOSE COMMUNITIES AS
03:41:59.373 --> 03:42:02.476 region:rollup2
A PROBLEM.
03:42:00.774 --> 03:42:02.943 region:rollup2
AND I THINK THAT A WE ACTUALLY
03:42:02.476 --> 03:42:03.477 region:rollup2
HAVE ACCOUNT FOR THOSE
03:42:02.943 --> 03:42:05.813 region:rollup2
COMMERCIAL RATES AND GIVE
03:42:03.477 --> 03:42:06.814 region:rollup2
CREDIT.
03:42:05.813 --> 03:42:08.615 region:rollup2
TO THOSE DOCTORS IN THOSE
03:42:06.814 --> 03:42:10.117 region:rollup2
PROVIDERS THAT ARE. SOLELY
03:42:08.615 --> 03:42:12.052 region:rollup2
TAKING CARE OF LOW INCOME
03:42:10.117 --> 03:42:12.886 region:rollup2
CALIFORNIANS THE WE CANNOT YOU
03:42:12.052 --> 03:42:14.655 region:rollup2
JUST COMMERCIAL RATES
03:42:12.886 --> 03:42:15.455 region:rollup2
ACCORDINGLY BECAUSE RIGHT NOW
03:42:14.655 --> 03:42:16.523 region:rollup2
THEY DON'T HAVE THE LEVERAGE TO
03:42:15.455 --> 03:42:19.459 region:rollup2
DO THAT.
03:42:16.523 --> 03:42:21.161 region:rollup2
IN THE CURRENT ENVIRONMENT.
03:42:19.459 --> 03:42:23.030 region:rollup2
JERRY JUST FIVE IF I CAN CLOSE
03:42:21.161 --> 03:42:24.798 region:rollup2
BY JUST SAYING.
03:42:23.030 --> 03:42:26.600 region:rollup2
AGAIN MISTER KALRA UNDERSTAND OF
03:42:24.798 --> 03:42:27.634 region:rollup2
THE PROBLEM I'M I THINK IT'S
03:42:26.600 --> 03:42:29.002 region:rollup2
SOMETHING THAT WE ALL NEED TO TO
03:42:27.634 --> 03:42:30.470 region:rollup2
WORK OUT WORK ON.
03:42:29.002 --> 03:42:32.206 region:rollup2
I LOOK FORWARD TO IN THE NEXT.
03:42:30.470 --> 03:42:33.707 region:rollup2
COMING MONTHS WORKING WITH THE
03:42:32.206 --> 03:42:35.976 region:rollup2
CHAIR LAMP OTHER MEMBERS OF THIS
03:42:33.707 --> 03:42:37.311 region:rollup2
COMMITTEE AND STAKEHOLDERS AMONG
03:42:35.976 --> 03:42:38.345 region:rollup2
WORKING SOMETHING WORK BUT I'M
03:42:37.311 --> 03:42:39.213 region:rollup2
WORKING ON SOMETHING THAT WE CAN
03:42:38.345 --> 03:42:40.981 region:rollup2
ALL.
03:42:39.213 --> 03:42:42.883 region:rollup2
THEM THOUGH BUT. WORK ON
03:42:40.981 --> 03:42:44.985 region:rollup2
TOGETHER A TO TRY TO LOWER THE
03:42:42.883 --> 03:42:45.586 region:rollup2
COST IN OUR HEALTH CARE SYSTEM I
03:42:44.985 --> 03:42:45.819 region:rollup2
JUST THINK THIS THE THE WRONG
03:42:45.586 --> 03:42:48.622 region:rollup2
APPROACH
03:42:45.819 --> 03:42:51.391 region:rollup2
THE BODY NOT.
03:42:48.622 --> 03:42:52.993 region:rollup2
IF THERE.
03:42:51.391 --> 03:42:54.328 region:rollup2
THANK YOU SO CHAIR ON THANK YOU
03:42:52.993 --> 03:42:55.629 region:rollup2
TO THE AUTHOR IN TO ALL THE
03:42:54.328 --> 03:42:57.297 region:rollup2
PRESENTERS.
03:42:55.629 --> 03:42:59.233 region:rollup2
SIR SOME AMERICANA.
03:42:57.297 --> 03:43:00.601 region:rollup2
I'LL GET YOU ADDRESS OR OR YOU
03:42:59.233 --> 03:43:02.336 region:rollup2
WITNESSES ADDRESS ONE OF THE
03:43:00.601 --> 03:43:05.138 region:rollup2
ASSERTIONS THAT WAS MADE THAT
03:43:02.336 --> 03:43:07.908 region:rollup2
THIS BILL. WOULD LEAD OPPOSITION
03:43:05.138 --> 03:43:10.177 region:rollup2
SECESSION LEAD THE STATE AND ON.
03:43:07.908 --> 03:43:11.211 region:rollup2
BEALL. WELL I I HAD A BUNCH
03:43:10.177 --> 03:43:13.180 region:rollup2
MEETINGS.
03:43:11.211 --> 03:43:14.514 region:rollup2
RECENTLY ON THIS ISSUE AND THAT
03:43:13.180 --> 03:43:16.049 region:rollup2
WAS THE NUMBER ONE CONCERN THAT
03:43:14.514 --> 03:43:17.484 region:rollup2
WAS PRESENTED THAT.
03:43:16.049 --> 03:43:19.386 region:rollup2
POSITIONS WOULD.
03:43:17.484 --> 03:43:20.187 region:rollup2
BASICALLY BE IN A POSITION
03:43:19.386 --> 03:43:22.489 region:rollup2
WHERE THEY COULDN'T.
03:43:20.187 --> 03:43:23.423 region:rollup2
EARN ENOUGH IN THEIR PRACTICE
03:43:22.489 --> 03:43:24.958 region:rollup2
IN TO PAY OFF LOANS AND THAT IT
03:43:23.423 --> 03:43:26.093 region:rollup2
WOULD NOT BE SUCH A TREAT AN
03:43:24.958 --> 03:43:27.327 region:rollup2
ACCESS PROBLEM WHICH YOU KNOW
03:43:26.093 --> 03:43:28.729 region:rollup2
UPS YOU WANT CONTROL COSTS BUT
03:43:27.327 --> 03:43:30.530 region:rollup2
WE DON'T CREATE NEXUS PROBLEM.
03:43:28.729 --> 03:43:32.766 region:rollup2
COULD SPEAK TO THAT PLEASE SURE
03:43:30.530 --> 03:43:35.602 region:rollup2
OF AND UNDER OUR IS ISSUES WITH
03:43:32.766 --> 03:43:36.203 region:rollup2
ACCESS TO POSITIONS IN MANY
03:43:35.602 --> 03:43:37.905 region:rollup2
PARTS OF OUR STATE RIGHT NOW.
03:43:36.203 --> 03:43:39.539 region:rollup2
AND A LOT OF THAT HAS TO DO WITH
03:43:37.905 --> 03:43:40.907 region:rollup2
THE THAT THE DIFFERENTIAL AND
03:43:39.539 --> 03:43:42.009 region:rollup2
HOW THEY'RE COMPENSATED AND
03:43:40.907 --> 03:43:43.810 region:rollup2
THEIR ABILITY.
03:43:42.009 --> 03:43:45.279 region:rollup2
TO BE ABLE TO HAVE A PRACTICE.
03:43:43.810 --> 03:43:47.147 region:rollup2
OR FOR HOSPITALS.
03:43:45.279 --> 03:43:48.949 region:rollup2
THAT THAT CLOSE IN THEIR
03:43:47.147 --> 03:43:50.550 region:rollup2
COMMUNITY HOT BILL TO PROVIDE
03:43:48.949 --> 03:43:52.119 region:rollup2
DOCTORS THAT COMMUNITY AYE AND
03:43:50.550 --> 03:43:54.655 region:rollup2
THERE'S NO DOUBT THAT I MEAN AS
03:43:52.119 --> 03:43:56.290 region:rollup2
INDICATED. IN OUT OF THE. RIGHT
03:43:54.655 --> 03:43:58.025 region:rollup2
NOW WHAT HE IN TERMS JUST TAKING
03:43:56.290 --> 03:43:58.592 region:rollup2
MEDICARE PATIENTS LONGER SENIOR
03:43:58.025 --> 03:43:59.793 region:rollup2
FINE DOCTOR TAKING MORE AND
03:43:58.592 --> 03:44:00.927 region:rollup2
MORE.
03:43:59.793 --> 03:44:04.131 region:rollup2
MEDICARE PATIENTS.
03:44:00.927 --> 03:44:05.732 region:rollup2
AND SO AND AND HAS REFERRED TO.
03:44:04.131 --> 03:44:07.200 region:rollup2
CERTAIN COMMUNITIES WHERE
03:44:05.732 --> 03:44:08.769 region:rollup2
DOCTORS ARE ONLY TAKING MEDICARE
03:44:07.200 --> 03:44:09.703 region:rollup2
AND MEDICAL PATIENTS AND
03:44:08.769 --> 03:44:11.271 region:rollup2
PRESUMABLY THIS WOULD NOT IMPACT
03:44:09.703 --> 03:44:12.072 region:rollup2
THEM BUT THIS WOULD IT WOULD
03:44:11.271 --> 03:44:14.007 region:rollup2
HAVE THE OPPORTUNITY TO DO IS
03:44:12.072 --> 03:44:16.076 region:rollup2
ACTUALLY. BOOSTTHE PAPER SOME
03:44:14.007 --> 03:44:17.311 region:rollup2
DOCTORS IN COMMUNITIES WHERE
03:44:16.076 --> 03:44:18.945 region:rollup2
THEY'RE NOT GETTING COMPENSATED
03:44:17.311 --> 03:44:21.481 region:rollup2
ENOUGH IT'S NOT A.
03:44:18.945 --> 03:44:23.517 region:rollup2
SALARY OR A PAY CUT.
03:44:21.481 --> 03:44:25.585 region:rollup2
TO THE HEALTHCARE INDUSTRY.
03:44:23.517 --> 03:44:26.887 region:rollup2
AND. FURTHERMORE IN
03:44:25.585 --> 03:44:28.422 region:rollup2
ACKNOWLEDGEMENT TYPICALLY THE
03:44:26.887 --> 03:44:30.457 region:rollup2
CHAIRS GREAT INTEREST IN AND
03:44:28.422 --> 03:44:31.892 region:rollup2
CONCERN UP WHICH IS WHAT YOU'VE
03:44:30.457 --> 03:44:33.527 region:rollup2
ECHOED RIGHT NOW WITH WITH THE
03:44:31.892 --> 03:44:35.395 region:rollup2
DOCTORS AND HOW DIFFICULT IT IS
03:44:33.527 --> 03:44:36.563 region:rollup2
FOR DOCTORS. COMING OUT OF
03:44:35.395 --> 03:44:37.464 region:rollup2
MEDICAL SCHOOL WITH A LOT OF
03:44:36.563 --> 03:44:39.199 region:rollup2
DEBT.
03:44:37.464 --> 03:44:40.567 region:rollup2
DE.
03:44:39.199 --> 03:44:41.702 region:rollup2
AFFRONT FIRST OF ALL DOCTORS ARE
03:44:40.567 --> 03:44:43.403 region:rollup2
NOT BE INCORPORATING THIS INTO
03:44:41.702 --> 03:44:44.338 region:rollup2
THEIR DATA AND THAT AND THAT
03:44:43.403 --> 03:44:46.673 region:rollup2
WILL BE TAKE AT LEAST THREE
03:44:44.338 --> 03:44:49.276 region:rollup2
YEARS TO GET DATA. OF REAL
03:44:46.673 --> 03:44:51.211 region:rollup2
INFORMATION SECONDLY WE BELIEVE
03:44:49.276 --> 03:44:53.680 region:rollup2
THAT WITH THIS IN PLACE YOU'LL
03:44:51.211 --> 03:44:55.515 region:rollup2
HAVE A SAVINGS AND PUBLIC PLANS.
03:44:53.680 --> 03:44:57.117 region:rollup2
WITH THOSE SAVINGS NOT ONLY TO
03:44:55.515 --> 03:44:58.885 region:rollup2
BE SEEK TO HELP IMPROVE MEDI CAL
03:44:57.117 --> 03:45:01.021 region:rollup2
REIMBURSEMENT RATES BUT WE ALSO
03:44:58.885 --> 03:45:03.457 region:rollup2
WANT TO AB FUND AT A MUCH HIGHER
03:45:01.021 --> 03:45:05.025 region:rollup2
LEVEL PROGRAMS THAT RIGHT NOW.
03:45:03.457 --> 03:45:06.259 region:rollup2
ARE AVAILABLE TO DOCTORS THERE
03:45:05.025 --> 03:45:07.694 region:rollup2
JUST UNDER FUNDED THEY'RE
03:45:06.259 --> 03:45:09.429 region:rollup2
WEIGHTLESS FOR THEM DOCTORS
03:45:07.694 --> 03:45:10.931 region:rollup2
GOING INTO RESIDENTS HE'S PUT UP
03:45:09.429 --> 03:45:12.332 region:rollup2
LONG REPAYMENT PROGRAMS.
03:45:10.931 --> 03:45:14.134 region:rollup2
WE WANNA WORK OF REDUCE LOAN
03:45:12.332 --> 03:45:16.169 region:rollup2
DEBT FRY DOCTORS COMING OUT OF
03:45:14.134 --> 03:45:17.537 region:rollup2
MEDICAL SCHOOL AND WE THINK THAT
03:45:16.169 --> 03:45:19.039 region:rollup2
WE CAN DO THAT WITH COST SAVINGS
03:45:17.537 --> 03:45:20.040 region:rollup2
ON THIS BILL.
03:45:19.039 --> 03:45:21.475 region:rollup2
WITH COSTS AND THE COSTUMES
03:45:20.040 --> 03:45:23.977 region:rollup2
WOULD BE A REDUCTION IN THE
03:45:21.475 --> 03:45:25.412 region:rollup2
EXPECTED RISE IN HEALTHCARE
03:45:23.977 --> 03:45:27.781 region:rollup2
COSTS IN THE DO WHAT ONE OR TWO
03:45:25.412 --> 03:45:29.049 region:rollup2
DECADES AHEAD WITHOUT ALONE WE
03:45:27.781 --> 03:45:31.084 region:rollup2
EXPECT THAT WE CAN HAVE IN
03:45:29.049 --> 03:45:32.252 region:rollup2
PUBLIC PLANS ALONE. BILLIONS OF
03:45:31.084 --> 03:45:33.520 region:rollup2
DOLLARS IN SAVINGS
03:45:32.252 --> 03:45:34.721 region:rollup2
YOU MENTION MEDICARE RATES IS
03:45:33.520 --> 03:45:36.123 region:rollup2
GOING ON A MISSION MEDICARE RESA
03:45:34.721 --> 03:45:37.824 region:rollup2
OUT YOU KNOW A LOT OF US HAVE
03:45:36.123 --> 03:45:39.259 region:rollup2
WORKED ON THIS FOR A LONG TIME
03:45:37.824 --> 03:45:41.061 region:rollup2
CONCERNED ABOUT HOW LOW MEDICARE
03:45:39.259 --> 03:45:42.229 region:rollup2
REIMBURSEMENT RATES ARE. UP
03:45:41.061 --> 03:45:43.196 region:rollup2
WOULD SHOOT WHICH YOU STATE WHAT
03:45:42.229 --> 03:45:44.031 region:rollup2
YOU WERE SAYING A MINUTE AGO
03:45:43.196 --> 03:45:45.432 region:rollup2
ABOUT.
03:45:44.031 --> 03:45:46.633 region:rollup2
YOU'RE CREATING MORE
03:45:45.432 --> 03:45:48.034 region:rollup2
OPPORTUNITIES BECAUSE AS I
03:45:46.633 --> 03:45:50.203 region:rollup2
UNDERSTAND IT SOME OF THE
03:45:48.034 --> 03:45:52.406 region:rollup2
DOCTORS WHO ACCEPT PRIVATE PAY
03:45:50.203 --> 03:45:54.341 region:rollup2
AND MEDI CAL ESSENTIALLY USE A
03:45:52.406 --> 03:45:56.243 region:rollup2
PRIVATE PAY PATIENTS TO HELP IN
03:45:54.341 --> 03:45:57.210 region:rollup2
A WAY. UP MAKE UP FOR THE FACT
03:45:56.243 --> 03:45:59.479 region:rollup2
THAT THE MEDICARE RATES REALLY
03:45:57.210 --> 03:46:00.047 region:rollup2
LOW AND AND YOU'RE SAYING THAT
03:45:59.479 --> 03:46:02.282 region:rollup2
THERE'S ANOTHER OPPORTUNITY
03:46:00.047 --> 03:46:03.750 region:rollup2
THAT.
03:46:02.282 --> 03:46:04.985 region:rollup2
THAT THOUGHT THANK YOU MET THE I
03:46:03.750 --> 03:46:06.453 region:rollup2
THINK IN A STATEMENT THAT'S THE
03:46:04.985 --> 03:46:07.587 region:rollup2
ARGUMENT THAT SOMETHING REALITY.
03:46:06.453 --> 03:46:09.156 region:rollup2
AND IN FACT.
03:46:07.587 --> 03:46:11.591 region:rollup2
THIS COMMISSION CAN SET THAT AS
03:46:09.156 --> 03:46:12.893 region:rollup2
A REALITY THAT THOSE DOCTORS ARE
03:46:11.591 --> 03:46:14.594 region:rollup2
TAKING MORE MEDI CAL PATIENTS
03:46:12.893 --> 03:46:15.629 region:rollup2
MEDICARE BUT PATIENTS WOULD GET
03:46:14.594 --> 03:46:17.197 region:rollup2
A HIGHER REIMBURSEMENT THE
03:46:15.629 --> 03:46:19.066 region:rollup2
COMMERCIAL RATE. THE REALITY IS
03:46:17.197 --> 03:46:20.734 region:rollup2
THAT'S NOT THE COST DRIVER OF
03:46:19.066 --> 03:46:22.202 region:rollup2
THE COST WEBER IS NOT BECAUSE
03:46:20.734 --> 03:46:23.904 region:rollup2
DOCTORS ARE TAKING MORE MEDI CAL
03:46:22.202 --> 03:46:25.372 region:rollup2
MEDICARE PATIENTS DESPISES IS
03:46:23.904 --> 03:46:26.773 region:rollup2
IT'S SIMPLY NOT TRUE.
03:46:25.372 --> 03:46:27.607 region:rollup2
AND MANY OF THE HOSPITALS OF
03:46:26.773 --> 03:46:29.309 region:rollup2
YOU SEEN DRAMATIC INCREASE IN
03:46:27.607 --> 03:46:31.077 region:rollup2
RATES IS NOT BECAUSE THOSE
03:46:29.309 --> 03:46:32.379 region:rollup2
HOSPITALS HAVE THE DISPROPORTION
03:46:31.077 --> 03:46:33.914 region:rollup2
NUMBER MEDI CAL OR MEDICARE
03:46:32.379 --> 03:46:35.882 region:rollup2
PATIENTS COMPARED TO OTHER
03:46:33.914 --> 03:46:37.250 region:rollup2
HOSPITALS THAT DON'T SEE. THAT
03:46:35.882 --> 03:46:38.985 region:rollup2
KIND OF INCH INCREASING RATES
03:46:37.250 --> 03:46:41.388 region:rollup2
AND SO THIS COMMISSION WILL HAVE
03:46:38.985 --> 03:46:44.024 region:rollup2
THE OPPORTUNITY TO ACTUALLY.
03:46:41.388 --> 03:46:46.026 region:rollup2
I BELIEVE A LEAD TO THAT LEAD TO
03:46:44.024 --> 03:46:47.360 region:rollup2
THE RECOGNITION OF THOSE DOCTORS
03:46:46.026 --> 03:46:49.563 region:rollup2
AND HOSPITALS ARE ACTUALLY
03:46:47.360 --> 03:46:50.864 region:rollup2
TAKING PATIENTS THAT ARE ANNIE
03:46:49.563 --> 03:46:52.466 region:rollup2
TAKING MEDICARE AND TAKING MEDI
03:46:50.864 --> 03:46:53.934 region:rollup2
CAL PATIENTS.
03:46:52.466 --> 03:46:55.902 region:rollup2
AND TO COMPENSATE THEM
03:46:53.934 --> 03:46:56.636 region:rollup2
INCENTIVIZE THEM FOR DOING THAT
03:46:55.902 --> 03:46:57.571 region:rollup2
PARTICULARLY IN RURAL
03:46:56.636 --> 03:46:58.738 region:rollup2
COMMUNITIES.
03:46:57.571 --> 03:46:59.940 region:rollup2
AS INDICATED IF AND RURAL
03:46:58.738 --> 03:47:01.541 region:rollup2
COMMUNITIES OF THEIR SEEM ALSO
03:46:59.940 --> 03:47:02.943 region:rollup2
MEDI CAL MEDICARE PATIENTS AND
03:47:01.541 --> 03:47:04.311 region:rollup2
THERE'S A LOT OF SPECIALISTS AND
03:47:02.943 --> 03:47:05.846 region:rollup2
ANOTHER THAT WILL GO A FAMILY
03:47:04.311 --> 03:47:06.947 region:rollup2
PRACTITIONERS OTHERS ARE GOING
03:47:05.846 --> 03:47:08.281 region:rollup2
TO RURAL COMMUNITIES ARE.
03:47:06.947 --> 03:47:09.382 region:rollup2
HEAVILY UNDERSERVED RIGHT NOW
03:47:08.281 --> 03:47:10.984 region:rollup2
WELL IF THEY'RE ABLE TO GET MORE
03:47:09.382 --> 03:47:11.818 region:rollup2
ON THE COMMERCIAL RATES GUESS
03:47:10.984 --> 03:47:13.520 region:rollup2
WHAT YOU CAN HAVE A GREATER
03:47:11.818 --> 03:47:15.555 region:rollup2
INCENTIVE FOR DOCTORS TO GO INTO
03:47:13.520 --> 03:47:16.189 region:rollup2
THOSE RULE COMMUNITIES. AND
03:47:15.555 --> 03:47:17.090 region:rollup2
THOSE UNDERSERVED COMMUNITIES IN
03:47:16.189 --> 03:47:18.959 region:rollup2
OUR STATE.
03:47:17.090 --> 03:47:20.093 region:rollup2
I I'M SECURE AS WELL AS QUESTION
03:47:18.959 --> 03:47:21.428 region:rollup2
I'M SURE THE OPPOSITION WOULD
03:47:20.093 --> 03:47:22.696 region:rollup2
LIKE TO ADDRESS THAT PROBLEM BUT
03:47:21.428 --> 03:47:24.097 region:rollup2
I'D LIKE TO DISCUSS THIS FINAL
03:47:22.696 --> 03:47:24.297 region:rollup2
QUESTION TO THE AUTHOR AND HIS
03:47:24.097 --> 03:47:25.465 region:rollup2
TEAM.
03:47:24.297 --> 03:47:27.033 region:rollup2
.
03:47:25.465 --> 03:47:27.901 region:rollup2
IT'S ABOUT DRUG COSTS NOT
03:47:27.033 --> 03:47:29.369 region:rollup2
INCLUDED HERE SINCE THAT'S
03:47:27.901 --> 03:47:31.171 region:rollup2
REALLY ONE OF THE THINGS ONE OF
03:47:29.369 --> 03:47:33.540 region:rollup2
THE OTHER COSTS THAT CONSUMERS
03:47:31.171 --> 03:47:35.375 region:rollup2
OFTEN FEEL THE PINCH. ON WHY
03:47:33.540 --> 03:47:36.009 region:rollup2
THEY'RE NOT INCLUDED AND THEN
03:47:35.375 --> 03:47:37.978 region:rollup2
JUST ABOUT THE.
03:47:36.009 --> 03:47:38.812 region:rollup2
THIS IS A QUESTION DO YOU AND
03:47:37.978 --> 03:47:40.347 region:rollup2
TO THE OPPOSITION ABOUT THE
03:47:38.812 --> 03:47:41.281 region:rollup2
STRUCTURE OF THE COMMISSION
03:47:40.347 --> 03:47:43.283 region:rollup2
ITSELF.
03:47:41.281 --> 03:47:45.418 region:rollup2
MUCH HAS BEEN SAID THAT THIS
03:47:43.283 --> 03:47:46.119 region:rollup2
COMMISSION CAN NOT PROPERLY SET
03:47:45.418 --> 03:47:48.021 region:rollup2
RATES.
03:47:46.119 --> 03:47:49.723 region:rollup2
IN A WAY THAT KEEPS THE PACE
03:47:48.021 --> 03:47:50.857 region:rollup2
WITH THIS INDUSTRY I WOULD LIKE
03:47:49.723 --> 03:47:51.791 region:rollup2
YOU TO ADDRESS THAT AND IF THE
03:47:50.857 --> 03:47:52.592 region:rollup2
OPPOSITION WOULD ADDRESS THAT
03:47:51.791 --> 03:47:55.128 region:rollup2
I'M SURE YOU CAN ADDRESS THE
03:47:52.592 --> 03:47:56.696 region:rollup2
PIECE ABOUT. UP MEDI CAL RATES
03:47:55.128 --> 03:47:58.031 region:rollup2
AS IT RELATES TO.
03:47:56.696 --> 03:47:59.466 region:rollup2
A PRIVATE PRACTICE THANK YOU.
03:47:58.031 --> 03:48:01.101 region:rollup2
THEM IN SO.
03:47:59.466 --> 03:48:02.736 region:rollup2
THE OTHER CHALLENGES I THINK IT
03:48:01.101 --> 03:48:04.704 region:rollup2
AND MANY IN THE LEGISLATURE HAVE
03:48:02.736 --> 03:48:06.573 region:rollup2
FACED A BECAUSE I KNOW. MANY OF
03:48:04.704 --> 03:48:08.675 region:rollup2
THE LEGISLATURE. HAVE GRAPPLED
03:48:06.573 --> 03:48:10.343 region:rollup2
WITH THE ISSUE OF. PERCEPTION
03:48:08.675 --> 03:48:12.345 region:rollup2
DRUGS.
03:48:10.343 --> 03:48:13.914 region:rollup2
AND PHARMACEUTICAL COSTS.
03:48:12.345 --> 03:48:16.683 region:rollup2
SO THERE ARE SOME CHALLENGES IN
03:48:13.914 --> 03:48:18.318 region:rollup2
TERMS OF THE COMMERCE CLAUSE OF
03:48:16.683 --> 03:48:19.553 region:rollup2
OF WHAT WE CAN DO BUT I DO
03:48:18.318 --> 03:48:20.620 region:rollup2
BELIEVE THROUGH THIS BILL WE CAN
03:48:19.553 --> 03:48:22.255 region:rollup2
DO MORE THAN WE'VE EVER DONE
03:48:20.620 --> 03:48:23.990 region:rollup2
BEFORE. AND SOME OF THE POLICY
03:48:22.255 --> 03:48:25.625 region:rollup2
RECOMMENDATIONS THAT.
03:48:23.990 --> 03:48:27.394 region:rollup2
MOVED FROM THE CHAIR AND HIS
03:48:25.625 --> 03:48:28.662 region:rollup2
STAFF THAT WE ARE ACCEPTING A
03:48:27.394 --> 03:48:30.096 region:rollup2
DOES EVEN FURTHER THAN THE
03:48:28.662 --> 03:48:31.498 region:rollup2
LANGUAGE BEING CLUED IN TERMS OF
03:48:30.096 --> 03:48:32.532 region:rollup2
JUST DOING A REPORT. ON
03:48:31.498 --> 03:48:34.734 region:rollup2
PRESCRIPTION DRUGS BUT I
03:48:32.532 --> 03:48:36.570 region:rollup2
ACTUALLY FINDING WAYS IN WHICH
03:48:34.734 --> 03:48:38.104 region:rollup2
WE CAN DETERMINE METHODS OF THE
03:48:36.570 --> 03:48:39.139 region:rollup2
STATE GOVERNMENT ACTUALLY CAN
03:48:38.104 --> 03:48:40.440 region:rollup2
ACT ON PRESCRIPTION DRUGS.
03:48:39.139 --> 03:48:41.875 region:rollup2
SO ONE OF THE KEY THINGS ABOUT
03:48:40.440 --> 03:48:44.177 region:rollup2
THIS COMMISSION THE OPPORTUNITY
03:48:41.875 --> 03:48:45.612 region:rollup2
PROVIDES RATHER THAN HAVING US
03:48:44.177 --> 03:48:47.647 region:rollup2
AS MUCH AS I BUT I BELIEVE IN
03:48:45.612 --> 03:48:48.648 region:rollup2
ALL OF US HERE. DECIDE HOW MUCH
03:48:47.647 --> 03:48:50.517 region:rollup2
WEIGHT SHOULD BE AND DECIDE WHAT
03:48:48.648 --> 03:48:51.685 region:rollup2
THE COSTS RIDERS ARE IS TO GET
03:48:50.517 --> 03:48:53.253 region:rollup2
EXPERTS AND GET A COMMISSION
03:48:51.685 --> 03:48:54.754 region:rollup2
HAVE A EXPERTS ON THE ADVISORY
03:48:53.253 --> 03:48:56.289 region:rollup2
COMMITTEE ADVICE COMMISSION HAD
03:48:54.754 --> 03:48:58.191 region:rollup2
EXPERTS STAFFS.
03:48:56.289 --> 03:48:59.092 region:rollup2
STOP THAT IS WHAT'S GOING TO
03:48:58.191 --> 03:49:01.094 region:rollup2
HELP US DETERMINE WHAT THE
03:48:59.092 --> 03:49:03.396 region:rollup2
HEALTH OF THE DRIVERS OF HEALTH
03:49:01.094 --> 03:49:05.665 region:rollup2
COSTS ARE AND AND CONTAIN THEM
03:49:03.396 --> 03:49:07.467 region:rollup2
NOT CUT THEM NOT SLASH THEM
03:49:05.665 --> 03:49:09.502 region:rollup2
CONTAINED THEM. AND IT'S GONNA.
03:49:07.467 --> 03:49:12.339 region:rollup2
UP AND IT'S GOING UP I'M.
03:49:09.502 --> 03:49:14.207 region:rollup2
ALLOW US TO IDENTIFY AND SHINE A
03:49:12.339 --> 03:49:14.841 region:rollup2
LIGHT ON THOSE AREAS THAT
03:49:14.207 --> 03:49:16.142 region:rollup2
WHETHER WE HAVE CONTROL OVER AND
03:49:14.841 --> 03:49:18.211 region:rollup2
NOT.
03:49:16.142 --> 03:49:19.279 region:rollup2
EXPOSE THEM UNSELFISHLY THE
03:49:18.211 --> 03:49:21.314 region:rollup2
PHARMACEUTICALS AND SHOULD YOUR
03:49:19.279 --> 03:49:23.183 region:rollup2
DRUGS WILL BE DID SB SEVEN TWO
03:49:21.314 --> 03:49:24.184 region:rollup2
LAST YEAR IS A GREAT START. BUT
03:49:23.183 --> 03:49:26.186 region:rollup2
THROUGH THIS COMMISSION WE CAN
03:49:24.184 --> 03:49:27.554 region:rollup2
FURTHER EXPOSED THAT'S THE
03:49:26.186 --> 03:49:28.455 region:rollup2
THOUGH TRUE COST DRIVER.
03:49:27.554 --> 03:49:29.956 region:rollup2
AND IT'S NOT THE DOCTORS IN THIS
03:49:28.455 --> 03:49:31.391 region:rollup2
OP HOSPITALS THAN GREAT YOU KNOW
03:49:29.956 --> 03:49:32.592 region:rollup2
WHAT THE RATES ARE GONNA CHANGE
03:49:31.391 --> 03:49:33.960 region:rollup2
THE DOCTORS A HOSPITAL SO MUCH.
03:49:32.592 --> 03:49:36.663 region:rollup2
AND WE CAN THEN TURN OUR
03:49:33.960 --> 03:49:38.665 region:rollup2
ATTENTION AND FOCUS ON THAT BUT
03:49:36.663 --> 03:49:40.266 region:rollup2
WHICH DOES AFFECT THE RATES.
03:49:38.665 --> 03:49:41.635 region:rollup2
AS TO.
03:49:40.266 --> 03:49:43.036 region:rollup2
AND THE FIRST QUESTION WAS
03:49:41.635 --> 03:49:44.170 region:rollup2
POSED A QUESTION ABOUT ABOUT THE
03:49:43.036 --> 03:49:45.338 region:rollup2
STRUCTURE OF THE KID AND I
03:49:44.170 --> 03:49:46.773 region:rollup2
COMMISSION I THINK A LOT'S BEEN
03:49:45.338 --> 03:49:48.742 region:rollup2
SAID THAT THIS COMMISSION CAN'T
03:49:46.773 --> 03:49:49.342 region:rollup2
PROPERLY SET RATES ARE THAT WILL
03:49:48.742 --> 03:49:51.745 region:rollup2
FALL BEHIND OUR THAT APPEALS
03:49:49.342 --> 03:49:53.079 region:rollup2
WILL BE. SORT OF UNREAL THE.
03:49:51.745 --> 03:49:54.114 region:rollup2
SURE THIS NINE MEMBER
03:49:53.079 --> 03:49:55.949 region:rollup2
COMMISSION.
03:49:54.114 --> 03:49:57.884 region:rollup2
IF YOU COULD ADDRESS THAT SURE
03:49:55.949 --> 03:49:59.019 region:rollup2
IT'S IDEA BEHIND THIS IS THAT IT
03:49:57.884 --> 03:50:02.289 region:rollup2
WOULD BE A LIVING WAGE.
03:49:59.019 --> 03:50:03.990 region:rollup2
AND BEFORE WE EVEN GOT TO RATES
03:50:02.289 --> 03:50:05.458 region:rollup2
WE DO TAKE A LEAST THREE YEARS.
03:50:03.990 --> 03:50:07.360 region:rollup2
OF A IN GETTING DATA.
03:50:05.458 --> 03:50:09.062 region:rollup2
AND AND GETTING REAL DATA THAT
03:50:07.360 --> 03:50:10.964 region:rollup2
WE CAN USE TO HELP TO ESTABLISH
03:50:09.062 --> 03:50:12.332 region:rollup2
THE RATES ONCE RATES ARE SET THE
03:50:10.964 --> 03:50:13.667 region:rollup2
REEVALUATED EVERY YEAR THEY ARE
03:50:12.332 --> 03:50:15.235 region:rollup2
JUST OF EVERY YEAR COST LIVING
03:50:13.667 --> 03:50:16.636 region:rollup2
GO DIG INTO GENERAL COST OF
03:50:15.235 --> 03:50:18.271 region:rollup2
LIVING INCREASES. THINKING TO
03:50:16.636 --> 03:50:19.839 region:rollup2
RATES OF THE UNCERTAIN SYSTEMS I
03:50:18.271 --> 03:50:21.274 region:rollup2
JUST DID A LABOR AGREEMENT AND
03:50:19.839 --> 03:50:22.876 region:rollup2
COST ONE UPPER ONE AT ONE
03:50:21.274 --> 03:50:27.314 region:rollup2
SEGMENT OF THE LABOR FORCE. AND
03:50:22.876 --> 03:50:27.981 region:rollup2
SO IT'S A LIVING COMMISSION.
03:50:27.314 --> 03:50:28.648 region:rollup2
THAT'S NOT A COMMISSION IS GOING
03:50:27.981 --> 03:50:30.150 region:rollup2
TO LOOK AT EVERY FIVE YEARS IT'S
03:50:28.648 --> 03:50:32.385 region:rollup2
AN ANNUAL REVIEW AT AND THEN
03:50:30.150 --> 03:50:35.155 region:rollup2
ANNUAL ADJUSTMENT OF RATES.
03:50:32.385 --> 03:50:35.855 region:rollup2
I'M DEFICIT OBSERVED.
03:50:35.155 --> 03:50:38.525 region:rollup2
MISTER MISTER BY MAY.
03:50:35.855 --> 03:50:39.926 region:rollup2
.
03:50:38.525 --> 03:50:40.894 region:rollup2
SO EAT DE.
03:50:39.926 --> 03:50:42.829 region:rollup2
THE CASSETTE COMMISSION
03:50:40.894 --> 03:50:44.864 region:rollup2
GOVERNANCE WAS VERY MUCH BASED
03:50:42.829 --> 03:50:45.899 region:rollup2
ON SUCCESSFUL MODELS THAT COVER
03:50:44.864 --> 03:50:49.002 region:rollup2
CALIFORNIA.
03:50:45.899 --> 03:50:51.037 region:rollup2
SO WHICH IS INDEPENDENT.
03:50:49.002 --> 03:50:52.972 region:rollup2
HAS STRONG CONFLICT OF OF
03:50:51.037 --> 03:50:55.542 region:rollup2
INTEREST STANDARDS.
03:50:52.972 --> 03:50:58.011 region:rollup2
AND IS MADE UP OF EXPERTS
03:50:55.542 --> 03:50:59.979 region:rollup2
EXPERTS IN HEALTH CARE FINANCING
03:50:58.011 --> 03:51:01.715 region:rollup2
AND HEALTH CARE ECONOMICS IN A
03:50:59.979 --> 03:51:03.083 region:rollup2
NUMBER OF DIFFERENT AREAS AND
03:51:01.715 --> 03:51:03.616 region:rollup2
ACTUALLY BASED ON SOME OF THE
03:51:03.083 --> 03:51:05.719 region:rollup2
EXPERIENCE IN MARYLAND OF
03:51:03.616 --> 03:51:08.188 region:rollup2
HAVING.
03:51:05.719 --> 03:51:09.689 region:rollup2
AN INDEPENDENT BOY THAT HAS
03:51:08.188 --> 03:51:12.325 region:rollup2
BUILT FLEXIBILITY INDEPENDENCE
03:51:09.689 --> 03:51:14.160 region:rollup2
AND AUTHORITY TO REACT
03:51:12.325 --> 03:51:17.097 region:rollup2
THE CHANGES IN THE MARKET.
03:51:14.160 --> 03:51:18.264 region:rollup2
AND TO SET RATES.
03:51:17.097 --> 03:51:20.600 region:rollup2
WITH THE GUIDANCE THAT THE
03:51:18.264 --> 03:51:21.668 region:rollup2
LEGISLATURE SETS OUT IN TERMS OF
03:51:20.600 --> 03:51:23.103 region:rollup2
WHAT THEY WANT TO SEE
03:51:21.668 --> 03:51:26.406 region:rollup2
ADJUSTMENTS FOR.
03:51:23.103 --> 03:51:27.907 region:rollup2
BUT HAS THAT EXPERTISE AND
03:51:26.406 --> 03:51:29.209 region:rollup2
INDEPENDENCE THE OTHER THING IS
03:51:27.907 --> 03:51:30.076 region:rollup2
IS THAT THERE IS AN ADVISORY
03:51:29.209 --> 03:51:32.512 region:rollup2
COMMITTEE.
03:51:30.076 --> 03:51:34.681 region:rollup2
WHICH IS REQUIRED TO ME AND
03:51:32.512 --> 03:51:36.950 region:rollup2
GIVE ADVICE AND INPUT TO THAT
03:51:34.681 --> 03:51:38.251 region:rollup2
COMMISSION THAT IS MADE UP OF
03:51:36.950 --> 03:51:39.819 region:rollup2
MEMBERS OF THE HEALTH CARE
03:51:38.251 --> 03:51:41.988 region:rollup2
INDUSTRY THEIR VOICES ARE
03:51:39.819 --> 03:51:43.089 region:rollup2
INCREDIBLY IMPORTANT IN SETTING
03:51:41.988 --> 03:51:45.091 region:rollup2
THESE RATES.
03:51:43.089 --> 03:51:47.560 region:rollup2
AND THE AUTHOR IS ACCEPTING
03:51:45.091 --> 03:51:49.195 region:rollup2
AMENDMENTS THAT WOULD ADD EVEN.
03:51:47.560 --> 03:51:50.730 region:rollup2
MORE PROVIDERS LIKE SPECIFY
03:51:49.195 --> 03:51:53.333 region:rollup2
PROVIDERS SUCH AS PRIMARY CARE
03:51:50.730 --> 03:51:55.168 region:rollup2
DOCTORS BEHAVIORAL HEALTH I'M A
03:51:53.333 --> 03:51:57.337 region:rollup2
SOLO PRACTITIONER. BECAUSE THAT
03:51:55.168 --> 03:51:59.005 region:rollup2
IS AN IMPORTANT VOICE SO ALL OF
03:51:57.337 --> 03:52:01.141 region:rollup2
THAT WILL BE PART OF THE
03:51:59.005 --> 03:52:03.243 region:rollup2
ADVISORY COMMITTEE EXPERTS ON
03:52:01.141 --> 03:52:05.945 region:rollup2
THE COMMISSION. AND IN SETTING
03:52:03.243 --> 03:52:07.714 region:rollup2
THE PACE AMOUNTS THE COMMISSION
03:52:05.945 --> 03:52:09.549 region:rollup2
WILL TAKE PUBLIC COMMENT WRITTEN
03:52:07.714 --> 03:52:12.318 region:rollup2
TESTIMONY THERE WILL BE A
03:52:09.549 --> 03:52:15.188 region:rollup2
PROCESS WHERE THE STAKEHOLDERS
03:52:12.318 --> 03:52:16.756 region:rollup2
GO IN AND TALK ABOUT. WHY
03:52:15.188 --> 03:52:19.759 region:rollup2
CERTAIN RATES NEED TO BE A
03:52:16.756 --> 03:52:21.861 region:rollup2
CERTAIN WAY SO ALL OF THAT IS IS
03:52:19.759 --> 03:52:23.263 region:rollup2
BAKED INTO THE PROCESS?
03:52:21.861 --> 03:52:24.798 region:rollup2
AND THERE'S GUIDANCE INTO WHAT
03:52:23.263 --> 03:52:26.833 region:rollup2
WHAT THEY NEED TO TAKE INTO
03:52:24.798 --> 03:52:30.537 region:rollup2
ACCOUNT SO IT HAS INDEPENDENCE
03:52:26.833 --> 03:52:31.771 region:rollup2
BUT HAS GUARD RAILS TO MAKE SURE
03:52:30.537 --> 03:52:33.673 region:rollup2
THAT THERE IS.
03:52:31.771 --> 03:52:36.709 region:rollup2
AFFECTED UPS AND THEN ALSO WITH
03:52:33.673 --> 03:52:38.778 region:rollup2
THE GLOBAL CAP THAT IS BASICALLY
03:52:36.709 --> 03:52:40.346 region:rollup2
AWAY FOR THE COMMISSION TO KIND
03:52:38.778 --> 03:52:41.781 region:rollup2
OF TRACK ARE THEIR SPIKES IN
03:52:40.346 --> 03:52:44.617 region:rollup2
PRESCRIPTION DRUGS ARE THEIR
03:52:41.781 --> 03:52:46.586 region:rollup2
SPIKES IN. VOLUME ARE THERE
03:52:44.617 --> 03:52:47.821 region:rollup2
OTHER ISSUES THAT ARE GOING ON
03:52:46.586 --> 03:52:50.457 region:rollup2
THAT THIS COMMISSION NEEDS TO
03:52:47.821 --> 03:52:51.825 region:rollup2
LOOK AT THAT WOULD CAUSE THERE
03:52:50.457 --> 03:52:52.759 region:rollup2
TO BE AN ADJUSTMENT IN THE BASE
03:52:51.825 --> 03:52:54.227 region:rollup2
AMOUNT.
03:52:52.759 --> 03:52:56.696 region:rollup2
AND SO THAT'S THE IDEA BEHIND
03:52:54.227 --> 03:52:57.864 region:rollup2
THE GOVERNMENTS OF THE.
03:52:56.696 --> 03:52:59.466 region:rollup2
THANK YOU KNOW THROUGH THE CHAIR
03:52:57.864 --> 03:53:01.167 region:rollup2
IF IF THE OPPOSITION TO ADDRESS
03:52:59.466 --> 03:53:02.802 region:rollup2
SOME OF THE MEDI CAL STUFF.
03:53:01.167 --> 03:53:04.037 region:rollup2
THANK YOU.
03:53:02.802 --> 03:53:05.338 region:rollup2
THANK YOU MRS THURMAN APPRECIATE
03:53:04.037 --> 03:53:06.539 region:rollup2
THE OPPORTUNITY RESPOND.
03:53:05.338 --> 03:53:08.007 region:rollup2
FIRST OF ALL THERE'S BEEN A LOT
03:53:06.539 --> 03:53:09.809 region:rollup2
OF INTERESTING IDEAS PUT OUT
03:53:08.007 --> 03:53:10.443 region:rollup2
ABOUT HOW TO INCREASE MEDI CAL
03:53:09.809 --> 03:53:11.945 region:rollup2
THROUGH THIS BUT THEY'RE NOT IN
03:53:10.443 --> 03:53:12.745 region:rollup2
THE BILL.
03:53:11.945 --> 03:53:14.614 region:rollup2
THEY'RE JUST SIMPLY NOT IN THE
03:53:12.745 --> 03:53:16.483 region:rollup2
BILL.
03:53:14.614 --> 03:53:18.551 region:rollup2
AS FAR AS THE.
03:53:16.483 --> 03:53:20.086 region:rollup2
WHETHER OR NOT COMMERCIAL RATES
03:53:18.551 --> 03:53:21.955 region:rollup2
REALLY OFFSET LOSSES.
03:53:20.086 --> 03:53:23.756 region:rollup2
COME TO MY OFFICE COME TO THE
03:53:21.955 --> 03:53:25.024 region:rollup2
DOCTORS AROUND ME. THE ONLY
03:53:23.756 --> 03:53:26.526 region:rollup2
REASON I CAN SEE MEDI CAL
03:53:25.024 --> 03:53:28.228 region:rollup2
PATIENTS IS BECAUSE I TAKE
03:53:26.526 --> 03:53:29.162 region:rollup2
COMMERCIAL RATES.
03:53:28.228 --> 03:53:30.430 region:rollup2
I WOULD BE OUT OF BUSINESS AND
03:53:29.162 --> 03:53:32.131 region:rollup2
IN FACT.
03:53:30.430 --> 03:53:33.233 region:rollup2
TWO THOUSAND SEVEN I SHUT MY
03:53:32.131 --> 03:53:34.801 region:rollup2
DOOR TO THE FEE FOR SERVICE
03:53:33.233 --> 03:53:35.869 region:rollup2
MEDICARE PROGRAM.
03:53:34.801 --> 03:53:37.437 region:rollup2
BECAUSE I WAS ONE OF THE LAST
03:53:35.869 --> 03:53:39.672 region:rollup2
THE ANTI PHYSICIANS IN SAN DIEGO
03:53:37.437 --> 03:53:41.474 region:rollup2
COUNTY STILL SEEING THOSE FOLKS.
03:53:39.672 --> 03:53:42.208 region:rollup2
AND THEY WERE BANKRUPTING MAY
03:53:41.474 --> 03:53:43.142 region:rollup2
BECAUSE I COULDN'T SEE
03:53:42.208 --> 03:53:44.744 region:rollup2
COMMERCIAL PATIENTS TO OFFSET MY
03:53:43.142 --> 03:53:46.513 region:rollup2
LOSSES.
03:53:44.744 --> 03:53:47.847 region:rollup2
SO IT IS SIMPLY TRUE.
03:53:46.513 --> 03:53:48.781 region:rollup2
THAT THERE IS AN OFFSET THAT THE
03:53:47.847 --> 03:53:50.650 region:rollup2
STATE IS PUTTING ON THE
03:53:48.781 --> 03:53:51.217 region:rollup2
COMMERCIAL RATES.
03:53:50.650 --> 03:53:52.685 region:rollup2
WE CAN GIVE YOU THE DATE I'M
03:53:51.217 --> 03:53:55.221 region:rollup2
SURE.
03:53:52.685 --> 03:53:55.822 region:rollup2
AS FAR AS COMMENTS HERE ABOUT
03:53:55.221 --> 03:53:58.091 region:rollup2
THE CONSOLIDATION DRIVING UP
03:53:55.822 --> 03:53:59.859 region:rollup2
COSTS.
03:53:58.091 --> 03:54:01.628 region:rollup2
THIS BILL WOULD INCREASE
03:53:59.859 --> 03:54:03.463 region:rollup2
CONSOLIDATION DOCTORS LIKE
03:54:01.628 --> 03:54:05.632 region:rollup2
MYSELF IN THE LATTER PART OF OUR
03:54:03.463 --> 03:54:07.634 region:rollup2
PRACTICES AND I WILL TELL YOU I
03:54:05.632 --> 03:54:08.101 region:rollup2
WILL BE ONE OF THOSE DOCTORS
03:54:07.634 --> 03:54:09.602 region:rollup2
WILL LOOK TO AN EARLY
03:54:08.101 --> 03:54:10.803 region:rollup2
RETIREMENT.
03:54:09.602 --> 03:54:11.971 region:rollup2
I PRACTICE THIRTY YEARS I COULD
03:54:10.803 --> 03:54:13.339 region:rollup2
PROBABLY PRACTICE ANOTHER FIVE
03:54:11.971 --> 03:54:15.008 region:rollup2
TO TEN.
03:54:13.339 --> 03:54:17.477 region:rollup2
AS A SOLO PRACTITIONER MY ONLY
03:54:15.008 --> 03:54:18.845 region:rollup2
OPTIONS UNDER THIS BILL ASSUMING
03:54:17.477 --> 03:54:19.979 region:rollup2
THAT WE SEE THE SAME BEHAVIORS
03:54:18.845 --> 03:54:21.047 region:rollup2
BY THE LEGISLATURE SETTING RIGHT
03:54:19.979 --> 03:54:22.982 region:rollup2
OR THIS. THIS WITH A PANEL
03:54:21.047 --> 03:54:23.850 region:rollup2
SETTING RIGHTS.
03:54:22.982 --> 03:54:25.485 region:rollup2
WOULD BE TO JOIN A LARGER
03:54:23.850 --> 03:54:26.719 region:rollup2
ORGANIZATION FURTHER INCREASING
03:54:25.485 --> 03:54:28.454 region:rollup2
CONSOLIDATION.
03:54:26.719 --> 03:54:31.558 region:rollup2
OR CLOSE MY PRACTICE
03:54:28.454 --> 03:54:32.659 region:rollup2
CONSOLIDATION DRIVES UP PRICES.
03:54:31.558 --> 03:54:33.927 region:rollup2
THAT IS NOT WHERE WE WANT TO
03:54:32.659 --> 03:54:35.762 region:rollup2
PUSH PHYSICIANS AND OTHER
03:54:33.927 --> 03:54:37.964 region:rollup2
HEALTHCARE PROVIDERS.
03:54:35.762 --> 03:54:39.465 region:rollup2
IN TERMS OF HOW THIS COMMISSION
03:54:37.964 --> 03:54:40.533 region:rollup2
WOULD WORK TO WATCH AND MAKE
03:54:39.465 --> 03:54:42.068 region:rollup2
SURE THESE ARE REASONABLE RATES
03:54:40.533 --> 03:54:43.836 region:rollup2
DEALING WITH INCREASED LABOR
03:54:42.068 --> 03:54:45.471 region:rollup2
COSTS AND INCREASE INFLATION.
03:54:43.836 --> 03:54:46.105 region:rollup2
LET ME REMIND EVERYBODY IN THE
03:54:45.471 --> 03:54:47.440 region:rollup2
ROOM ABOUT SOMETHING CALLED THE
03:54:46.105 --> 03:54:49.108 region:rollup2
SG ARE.
03:54:47.440 --> 03:54:49.642 region:rollup2
AND THE DOC FIX THAT WE HAD TO
03:54:49.108 --> 03:54:51.611 region:rollup2
GO AFTER EVERY YEAR FOR A
03:54:49.642 --> 03:54:53.479 region:rollup2
DECADE.
03:54:51.611 --> 03:54:54.847 region:rollup2
BECAUSE MEDICARE WAS ALSO GOING
03:54:53.479 --> 03:54:56.649 region:rollup2
TO TAKE CARE OF THOSE THINGS AND
03:54:54.847 --> 03:54:57.584 region:rollup2
NEVER DID.
03:54:56.649 --> 03:54:58.618 region:rollup2
FORTUNATELY THE FEDERAL
03:54:57.584 --> 03:54:59.953 region:rollup2
GOVERNMENT HAD A LITTLE BIT MORE
03:54:58.618 --> 03:55:01.921 region:rollup2
SPARE CASH THEN THE STATE HAS
03:54:59.953 --> 03:55:03.790 region:rollup2
NEVER COME UP WITH. TO MAKE UP
03:55:01.921 --> 03:55:05.692 region:rollup2
FOR THOSE LOSSES YEAR AFTER YEAR
03:55:03.790 --> 03:55:07.026 region:rollup2
AND KEEP DOCTORS OFFICE OPEN.
03:55:05.692 --> 03:55:08.861 region:rollup2
FOR MEDICARE AND I WILL REMIND
03:55:07.026 --> 03:55:10.129 region:rollup2
ALSO THAT THERE ARE COUNTIES IN
03:55:08.861 --> 03:55:11.664 region:rollup2
THIS STATE.
03:55:10.129 --> 03:55:12.165 region:rollup2
THAT COULD NOT HAVE THAT THERE
03:55:11.664 --> 03:55:14.467 region:rollup2
WAS NO PATIENT ENTERING
03:55:12.165 --> 03:55:15.768 region:rollup2
MEDICARE.
03:55:14.467 --> 03:55:17.203 region:rollup2
THAT COULD FIND OPPOSITION
03:55:15.768 --> 03:55:18.905 region:rollup2
ACCEPTING THEM PARTICULARLY IN
03:55:17.203 --> 03:55:20.206 region:rollup2
SPECIALTIES LIKE ORTHOPEDICS
03:55:18.905 --> 03:55:22.175 region:rollup2
BECAUSE THEY SIMPLY DIDN'T COVER
03:55:20.206 --> 03:55:23.943 region:rollup2
THE COSTS OF CARE THE DOCTORS
03:55:22.175 --> 03:55:25.945 region:rollup2
WERE NOT WILLING TO SEE MEDICARE
03:55:23.943 --> 03:55:27.680 region:rollup2
LET ALONE MEDIC CALATHUS RATES.
03:55:25.945 --> 03:55:30.316 region:rollup2
IN TERMS OF GLOBAL BUDGETING.
03:55:27.680 --> 03:55:32.085 region:rollup2
IF WE DON'T INCLUDE PHARMA.
03:55:30.316 --> 03:55:34.087 region:rollup2
IN ANY PART OF THIS BILL.
03:55:32.085 --> 03:55:36.122 region:rollup2
HOW DO U. GLOBALLY BUDGET AND
03:55:34.087 --> 03:55:37.590 region:rollup2
NOT END UP CUTTING PAYMENT?
03:55:36.122 --> 03:55:39.058 region:rollup2
TO PHYSICIANS HOSPITALS DENTISTS
03:55:37.590 --> 03:55:40.326 region:rollup2
AND OTHER HEALTH CARE PROVIDERS
03:55:39.058 --> 03:55:41.961 region:rollup2
WHEN FORMA INCREASES ARE STILL
03:55:40.326 --> 03:55:43.296 region:rollup2
OUT OF CONTROL.
03:55:41.961 --> 03:55:45.064 region:rollup2
FINALLY THE IDEA OF AN APPEALS
03:55:43.296 --> 03:55:46.132 region:rollup2
PROCESS.
03:55:45.064 --> 03:55:46.1000 region:rollup2
MANY OF YOU ARE PROBABLY
03:55:46.132 --> 03:55:48.568 region:rollup2
FAMILIAR WITH INDEPENDENT
03:55:46.1000 --> 03:55:50.103 region:rollup2
DISPUTE RESOLUTION THAT'S COME
03:55:48.568 --> 03:55:51.604 region:rollup2
UP MANY TIMES BEFORE.
03:55:50.103 --> 03:55:52.705 region:rollup2
IT IS A FAILED PROCESS IN MANY
03:55:51.604 --> 03:55:54.507 region:rollup2
WAYS BECAUSE INDIVIDUAL
03:55:52.705 --> 03:55:56.442 region:rollup2
PRACTITIONERS OR EVEN SMALL
03:55:54.507 --> 03:55:57.944 region:rollup2
GROUPS OF PRACTITIONERS SIMPLY
03:55:56.442 --> 03:56:00.113 region:rollup2
DON'T HAVE THE TIME AND THE
03:55:57.944 --> 03:56:02.015 region:rollup2
FINANCIAL RESOURCES TO GO AFTER
03:56:00.113 --> 03:56:03.983 region:rollup2
HEALTH PLANS CURRENTLY. THAT ARE
03:56:02.015 --> 03:56:05.885 region:rollup2
UNDER PAYING CLAIMS OR REFUSING
03:56:03.983 --> 03:56:07.754 region:rollup2
TO PAY REASONABLE CLAIMS FOR
03:56:05.885 --> 03:56:09.155 region:rollup2
MEDICALLY NECESSARY CARE.
03:56:07.754 --> 03:56:10.623 region:rollup2
THERE IS NO EXPECTATION THAT
03:56:09.155 --> 03:56:12.191 region:rollup2
SMALLER PRACTICES AND EVEN
03:56:10.623 --> 03:56:13.426 region:rollup2
MEDIUM SIZED PRACTICES ARE GONNA
03:56:12.191 --> 03:56:14.994 region:rollup2
HAVE THE WHEREWITHAL TO GO UP
03:56:13.426 --> 03:56:16.929 region:rollup2
AGAINST THE COMMISSION.
03:56:14.994 --> 03:56:17.697 region:rollup2
THAT HAS AT THIS TIME ORIGINALLY
03:56:16.929 --> 03:56:19.365 region:rollup2
OUT OF NINE MEMBERS KNOW
03:56:17.697 --> 03:56:21.134 region:rollup2
PHYSICIANS.
03:56:19.365 --> 03:56:23.136 region:rollup2
AND NOW MAYBE ONE PHYSICIAN ON A
03:56:21.134 --> 03:56:24.771 region:rollup2
PANEL OF ELEVEN.
03:56:23.136 --> 03:56:25.772 region:rollup2
THERE'S MUCH TO BE DONE BEFORE
03:56:24.771 --> 03:56:27.740 region:rollup2
THIS BILL HAS ANY SENSE TO IT.
03:56:25.772 --> 03:56:29.008 region:rollup2
THANK YOU.
03:56:27.740 --> 03:56:30.343 region:rollup2
AND IF I MAY ADD ASSEMBLY MEMBER
03:56:29.008 --> 03:56:32.412 region:rollup2
THANK YOU FOR THE OPPORTUNITY
03:56:30.343 --> 03:56:34.147 region:rollup2
THE FUNDAMENTAL FLAW HERE IS
03:56:32.412 --> 03:56:37.717 region:rollup2
THAT THIS BILL THIS APPROACH.
03:56:34.147 --> 03:56:39.385 region:rollup2
ATTACKS ONLY ONE ASPECT.
03:56:37.717 --> 03:56:40.253 region:rollup2
SPENDING IN PRICING DOES ADDRESS
03:56:39.385 --> 03:56:43.056 region:rollup2
MEDICARE DOESN'T ADDRESS
03:56:40.253 --> 03:56:44.924 region:rollup2
MEDICAID. WE ARE NOW ON A RACE
03:56:43.056 --> 03:56:46.125 region:rollup2
TO THE BOTTOM.
03:56:44.924 --> 03:56:48.194 region:rollup2
IT ALSO DOESN'T TAKE INTO
03:56:46.125 --> 03:56:49.295 region:rollup2
ACCOUNT.
03:56:48.194 --> 03:56:50.730 region:rollup2
FROM A HOSPITAL ORGANIZATIONS
03:56:49.295 --> 03:56:52.598 region:rollup2
PERSPECTIVE THE PLANNING THAT IS
03:56:50.730 --> 03:56:54.801 region:rollup2
NEEDED.
03:56:52.598 --> 03:56:55.968 region:rollup2
TO OPERATE A SIGNIFICANT
03:56:54.801 --> 03:56:57.703 region:rollup2
ORGANIZATION ONE WHY MEAN BY
03:56:55.968 --> 03:56:59.505 region:rollup2
THAT.
03:56:57.703 --> 03:57:01.307 region:rollup2
IN MARYLAND THE RATE SETTING
03:56:59.505 --> 03:57:03.409 region:rollup2
COMMISSION FOCUSED ON RATES OF
03:57:01.307 --> 03:57:05.945 region:rollup2
INCREASE.
03:57:03.409 --> 03:57:07.313 region:rollup2
THIS PROPOSES TO READ BASS
03:57:05.945 --> 03:57:10.416 region:rollup2
THE RATES AT WHICH HOSPITAL'S
03:57:07.313 --> 03:57:12.785 region:rollup2
PHYSICIANS AND OTHERS ARE SET.
03:57:10.416 --> 03:57:13.219 region:rollup2
FOR AN ORGANIZATION THAT EMPLOYS
03:57:12.785 --> 03:57:15.054 region:rollup2
TENS OF THOUSANDS OF
03:57:13.219 --> 03:57:16.422 region:rollup2
INDIVIDUALS.
03:57:15.054 --> 03:57:17.657 region:rollup2
THAT HAS TO PLAN NOT ONLY FOR
03:57:16.422 --> 03:57:18.791 region:rollup2
THE CARE THEY'RE PROVIDING TODAY
03:57:17.657 --> 03:57:21.260 region:rollup2
BUT THE CARE THEY'RE GOING TO BE
03:57:18.791 --> 03:57:23.196 region:rollup2
PROVIDING IN FIVE TO TEN YEARS
03:57:21.260 --> 03:57:24.097 region:rollup2
WITH BOARDS OF TRUSTEES FROM THE
03:57:23.196 --> 03:57:25.898 region:rollup2
COMMUNITY WHO GOVERN THOSE
03:57:24.097 --> 03:57:27.767 region:rollup2
DECISIONS.
03:57:25.898 --> 03:57:28.835 region:rollup2
THEY CAN'T WAIT TO NO THREE
03:57:27.767 --> 03:57:30.269 region:rollup2
HUNDRED SIXTY FIVE DAYS AT A
03:57:28.835 --> 03:57:31.771 region:rollup2
TIME.
03:57:30.269 --> 03:57:33.372 region:rollup2
WHAT THEY'RE GOING TO BE PAID
03:57:31.771 --> 03:57:35.041 region:rollup2
FOR THE SERVICES THAT THEY NEED
03:57:33.372 --> 03:57:37.243 region:rollup2
TO PROVIDE
03:57:35.041 --> 03:57:39.045 region:rollup2
SO THIS SYSTEM IS NOT ONLY NOT
03:57:37.243 --> 03:57:41.514 region:rollup2
TAKING INTO ACCOUNT THE
03:57:39.045 --> 03:57:43.182 region:rollup2
UNDERLYING COSTS OF CARE? LABOR
03:57:41.514 --> 03:57:45.384 region:rollup2
DRUGS AND ALL THE REST THE
03:57:43.182 --> 03:57:46.352 region:rollup2
DEGREE OF SUBSIDY THAT'S NEEDED.
03:57:45.384 --> 03:57:48.221 region:rollup2
AND AS THE PROPONENTS HAVE
03:57:46.352 --> 03:57:50.056 region:rollup2
ARGUED IF YOU'RE A HOSPITAL
03:57:48.221 --> 03:57:52.258 region:rollup2
TREATING THE LARGE NUMBERS OF
03:57:50.056 --> 03:57:54.227 region:rollup2
MEDICARE AND MEDICAID PATIENTS.
03:57:52.258 --> 03:57:56.529 region:rollup2
THEY HAVE NO PATIENCE TO SHIFT
03:57:54.227 --> 03:57:58.631 region:rollup2
THOSE UNFUNDED COSTS TO AND
03:57:56.529 --> 03:58:00.333 region:rollup2
THEIR WORKING DAY BY DAY TO MAKE
03:57:58.631 --> 03:58:01.901 region:rollup2
ENDS MEET BUT THE SYSTEM
03:58:00.333 --> 03:58:03.336 region:rollup2
CERTAINLY DOES NOT TAKE INTO
03:58:01.901 --> 03:58:05.238 region:rollup2
ACCOUNT THE PLANNING. THAT'S
03:58:03.336 --> 03:58:06.973 region:rollup2
NEEDED TO TAKE CARE DELIVERY
03:58:05.238 --> 03:58:08.541 region:rollup2
WHERE WE NEED IT TO BE. IN
03:58:06.973 --> 03:58:10.343 region:rollup2
MARYLAND ONE OF THE FLAWS OF THE
03:58:08.541 --> 03:58:13.379 region:rollup2
RATE SETTING SYSTEM IS THAT
03:58:10.343 --> 03:58:15.548 region:rollup2
MARYLAND HAD AN OLDER.
03:58:13.379 --> 03:58:17.283 region:rollup2
SET OF CAPITAL OLDER HOSPITALS
03:58:15.548 --> 03:58:18.618 region:rollup2
OLDER FACILITIES BECAUSE IT
03:58:17.283 --> 03:58:20.586 region:rollup2
WASN'T UNTIL THE RATE SETTING
03:58:18.618 --> 03:58:22.355 region:rollup2
COMMISSION RELEASED FUNDS. THAT
03:58:20.586 --> 03:58:25.057 region:rollup2
HOSPITALS COULD THEN PLANET TEN
03:58:22.355 --> 03:58:27.393 region:rollup2
YEAR CYCLE. OF REPLACING THAT
03:58:25.057 --> 03:58:29.328 region:rollup2
PHYSICAL PLANT SO THERE IS MUCH
03:58:27.393 --> 03:58:31.063 region:rollup2
TO BE LEARNED I BELIEVE FROM THE
03:58:29.328 --> 03:58:32.698 region:rollup2
SYSTEMS THAT ARE OUT THERE THIS
03:58:31.063 --> 03:58:33.800 region:rollup2
BILL DOES NOT DO. MAKES YOU
03:58:32.698 --> 03:58:39.205 region:rollup2
WON'T ANSWER MY QUESTIONS WAS
03:58:33.800 --> 03:58:41.941 region:rollup2
INTERESTING ABOUT COUNT.
03:58:39.205 --> 03:58:44.744 region:rollup2
LABOR COSTS DRUG COSTS IN OTHER
03:58:41.941 --> 03:58:45.845 region:rollup2
COSTS BUT THE AUTHOR DID SAY
03:58:44.744 --> 03:58:47.680 region:rollup2
THAT THE STRUCTURE CREATES A WAY
03:58:45.845 --> 03:58:49.415 region:rollup2
TO ADDRESS POTENTIAL DRUG COSTS
03:58:47.680 --> 03:58:51.050 region:rollup2
IN THE STATE. AND HAS BUILT IN A
03:58:49.415 --> 03:58:52.652 region:rollup2
WAY TO ADDRESS WITH LABOR COSTS
03:58:51.050 --> 03:58:53.920 region:rollup2
AND SO I THINK WHAT'S
03:58:52.652 --> 03:58:55.421 region:rollup2
CHALLENGING IS THAT WE'VE HEARD
03:58:53.920 --> 03:58:56.489 region:rollup2
FROM TWO SIDES ON THE SAME
03:58:55.421 --> 03:58:58.157 region:rollup2
ISSUES AND THEY'RE CITING
03:58:56.489 --> 03:58:59.358 region:rollup2
DIFFERENCE THAT'S DATA.
03:58:58.157 --> 03:59:00.560 region:rollup2
BUT A BUT THE AUTHOR DID
03:58:59.358 --> 03:59:01.527 region:rollup2
ADDRESS THAT THERE'S A WAY TO
03:59:00.560 --> 03:59:02.962 region:rollup2
ADDRESS LABOR COSTS IN DRUG
03:59:01.527 --> 03:59:04.797 region:rollup2
COSTS AND SO.
03:59:02.962 --> 03:59:05.832 region:rollup2
CLEARLY THERE'S SOME CHALLENGES
03:59:04.797 --> 03:59:08.100 region:rollup2
HERE BUT I THINK THERE'S
03:59:05.832 --> 03:59:10.937 region:rollup2
SOMETHING CREATIVE TO WORK WITH
03:59:08.100 --> 03:59:11.537 region:rollup2
LAW ENFORCEMENT WHEN I THINK
03:59:10.937 --> 03:59:11.837 region:rollup2
BOTH SIDES THREE QUESTIONS YOU
03:59:11.537 --> 03:59:19.011 region:rollup2
CREATIVELY.
03:59:11.837 --> 03:59:21.414 region:rollup2
TO BIGELOW.
03:59:19.011 --> 03:59:23.749 region:rollup2
THANK YOU TO THE AUTHOR.
03:59:21.414 --> 03:59:24.350 region:rollup2
I FIND IT.
03:59:23.749 --> 03:59:25.218 region:rollup2
LIKE MANY MEMBERS HERE A KIND
03:59:24.350 --> 03:59:27.854 region:rollup2
OF.
03:59:25.218 --> 03:59:28.821 region:rollup2
IF USING SCENARIO HERE.
03:59:27.854 --> 03:59:29.956 region:rollup2
AND WHEN I TRIED TO LOOK AT THIS
03:59:28.821 --> 03:59:30.856 region:rollup2
AND TRY TO UNDERSTAND THAT THERE
03:59:29.956 --> 03:59:32.225 region:rollup2
ARE TENS OF THOUSANDS OF
03:59:30.856 --> 03:59:35.261 region:rollup2
PROVIDERS.
03:59:32.225 --> 03:59:37.964 region:rollup2
BOTH INDIVIDUAL AND HOSPITALS.
03:59:35.261 --> 03:59:38.831 region:rollup2
THAT ARE GOING TO BE.
03:59:37.964 --> 03:59:40.833 region:rollup2
THAT'S GONNA BE A STAGGERING
03:59:38.831 --> 03:59:42.101 region:rollup2
NUMBER WHO ALL HAVE INDIVIDUAL
03:59:40.833 --> 03:59:44.604 region:rollup2
SOCIO ECONOMIC.
03:59:42.101 --> 03:59:46.539 region:rollup2
CHALLENGES.
03:59:44.604 --> 03:59:49.675 region:rollup2
DOES YOUR.
03:59:46.539 --> 03:59:51.210 region:rollup2
I'LL CONTEMPLATE. A SEPARATELY.
03:59:49.675 --> 03:59:52.111 region:rollup2
PAYMENT PROGRAM FOR EACH
03:59:51.210 --> 03:59:54.747 region:rollup2
INDIVIDUAL DOCTOR AND HEALTH
03:59:52.111 --> 03:59:56.115 region:rollup2
PLAN.
03:59:54.747 --> 03:59:57.850 region:rollup2
YEAH DOT NODDED FOR EVERY
03:59:56.115 --> 03:59:59.719 region:rollup2
INDIVIDUAL DOCTOR. THEN HOW WILL
03:59:57.850 --> 04:00:01.420 region:rollup2
THEY BE ABLE HOW WILL ANY
03:59:59.719 --> 04:00:03.589 region:rollup2
SUCCESS COME FROM THIS IF YOU'RE
04:00:01.420 --> 04:00:05.992 region:rollup2
NOT ABLE TO TAKE INTO ACCOUNT.
04:00:03.589 --> 04:00:08.361 region:rollup2
THE LABOR COSTS THE AND THE
04:00:05.992 --> 04:00:11.097 region:rollup2
PATIENT LOAD.
04:00:08.361 --> 04:00:12.732 region:rollup2
WHAT WE DO TAKE INTO ACCOUNT?
04:00:11.097 --> 04:00:13.966 region:rollup2
ITALIAN HOW IN THE* SO. AS
04:00:12.732 --> 04:00:15.735 region:rollup2
MENTIONED A COUPLE TIMES LABOR
04:00:13.966 --> 04:00:17.770 region:rollup2
COSTS ARE TAKE INTO ACCOUNT AND
04:00:15.735 --> 04:00:19.272 region:rollup2
SO THAT'S SOMETHING THAT CAN BE
04:00:17.770 --> 04:00:21.140 region:rollup2
ADJUSTED IN THE BASE ADJUSTMENT
04:00:19.272 --> 04:00:22.608 region:rollup2
NOT EVEN AN APPEAL. BUT ACTUALLY
04:00:21.140 --> 04:00:25.211 region:rollup2
A BASS ADJUSTMENT AND THEIR.
04:00:22.608 --> 04:00:26.379 region:rollup2
IS A LARGE SCALE OPERATION HAS
04:00:25.211 --> 04:00:28.014 region:rollup2
A LOT OF LABOR WHERE THEY DO
04:00:26.379 --> 04:00:29.382 region:rollup2
THEY HAVE A BARGAINING UNIT. AND
04:00:28.014 --> 04:00:30.716 region:rollup2
THE CONTRACTS WE APPLAUD THAT
04:00:29.382 --> 04:00:35.655 region:rollup2
CAN BE FACTORED IN TO A RATE
04:00:30.716 --> 04:00:37.857 region:rollup2
INCREASE OF THAT INDIVIDUAL BUT.
04:00:35.655 --> 04:00:38.691 region:rollup2
.
04:00:37.857 --> 04:00:41.827 region:rollup2
BUT IT'S JUST LIKE RIGHT NOW IF
04:00:38.691 --> 04:00:43.596 region:rollup2
I CAN BUY DIFFER ON HOW MEDICARE
04:00:41.827 --> 04:00:44.764 region:rollup2
WORKS HOW MEDICARE RATES ARE SET
04:00:43.596 --> 04:00:45.798 region:rollup2
ALREADY HAS NOT LET EVERY DOCTOR
04:00:44.764 --> 04:00:47.333 region:rollup2
HAS INDIVIDUAL MEDICARE WAIT
04:00:45.798 --> 04:00:48.634 region:rollup2
THEY GET. IT'S ALSO BASE OUR
04:00:47.333 --> 04:00:49.669 region:rollup2
REGION SPACE ON COST ADJUSTMENT
04:00:48.634 --> 04:00:50.503 region:rollup2
OR WHAT HAVE YOU RIGHT BEFORE
04:00:49.669 --> 04:00:52.972 region:rollup2
YOU RESPOND THAT CLEARLY IT'S A
04:00:50.503 --> 04:00:53.539 region:rollup2
ONE ONE SIZE FITS ALL.
04:00:52.972 --> 04:00:54.240 region:rollup2
CURRENTLY AND WHAT YOU'RE
04:00:53.539 --> 04:00:55.741 region:rollup2
OPENING THE DOOR TO IS A TENS OF
04:00:54.240 --> 04:00:58.444 region:rollup2
THOUSANDS
04:00:55.741 --> 04:01:00.212 region:rollup2
SOLUTION FOR A PLAN.
04:00:58.444 --> 04:01:02.648 region:rollup2
YOU'RE GOING TO HAVE CONFLICT
04:01:00.212 --> 04:01:04.150 region:rollup2
BUILT INTO THIS AND. AND I KNOW
04:01:02.648 --> 04:01:05.418 region:rollup2
YOU WANT RESPOND TO THAT BUT
04:01:04.150 --> 04:01:06.819 region:rollup2
WITH ONLY NINE MEMBERS
04:01:05.418 --> 04:01:09.822 region:rollup2
INCREASING GET ELEVEN.
04:01:06.819 --> 04:01:11.891 region:rollup2
IS A REALLY GOING TO BE ENOUGH.
04:01:09.822 --> 04:01:12.625 region:rollup2
ABILITY FOR THIS COMMISSION TO
04:01:11.891 --> 04:01:14.994 region:rollup2
ADDRESS THAT MAGNITUDE OF AN
04:01:12.625 --> 04:01:16.996 region:rollup2
ISSUE A CHALLENGE.
04:01:14.994 --> 04:01:17.897 region:rollup2
IT'S IS A MAJOR ENDEAVOR AND
04:01:16.996 --> 04:01:20.066 region:rollup2
THAT'S WHY IT WILL BE UP OF
04:01:17.897 --> 04:01:21.100 region:rollup2
FUNDED COMMISSION TO ALLOW STAFF
04:01:20.066 --> 04:01:22.201 region:rollup2
STARTUP TO THAT ADVISORY
04:01:21.100 --> 04:01:24.103 region:rollup2
COMMITTEE. TO HELP PROVIDE
04:01:22.201 --> 04:01:26.372 region:rollup2
INFORMATION ALLOW FOR A PROCESS
04:01:24.103 --> 04:01:27.907 region:rollup2
IS SET BOTH BASE RATES ADJUSTED
04:01:26.372 --> 04:01:30.876 region:rollup2
RATES AND ALLOW FOR AN APPEALS
04:01:27.907 --> 04:01:31.410 region:rollup2
PROCESS AS WELL. AYE IF THERE'S.
04:01:30.876 --> 04:01:33.112 region:rollup2
A PARTICULAR NEED IT IS A
04:01:31.410 --> 04:01:34.080 region:rollup2
DOCTOR.
04:01:33.112 --> 04:01:35.581 region:rollup2
BUT A COUNTRY TO STOP THE NEEDS
04:01:34.080 --> 04:01:37.183 region:rollup2
THAT THEY HAVE UP FACILITIES
04:01:35.581 --> 04:01:38.818 region:rollup2
ISSUES BUT THEY HAVE TO ACCOUNT
04:01:37.183 --> 04:01:40.586 region:rollup2
FOR. THOSE ARE ALL THINGS ARE
04:01:38.818 --> 04:01:42.421 region:rollup2
VERY INDIVIDUALIZED THAT FRANKLY
04:01:40.586 --> 04:01:43.856 region:rollup2
RIGHT NOW. IT'LL GET COMPENSATED
04:01:42.421 --> 04:01:47.560 region:rollup2
FOR THAT THE TAKE THAT OUT OF
04:01:43.856 --> 04:01:48.995 region:rollup2
THEIR OWN GENERAL FUND OF THEIR
04:01:47.560 --> 04:01:50.930 region:rollup2
ALL OF THEIR OPERATIONS.
04:01:48.995 --> 04:01:52.598 region:rollup2
AND SO AND THEIR DOCTORS SUCH AS
04:01:50.930 --> 04:01:54.200 region:rollup2
THE OUR OUR GOOD DOT HERE THE
04:01:52.598 --> 04:01:55.901 region:rollup2
RIGHT TESTIFIED SAYING. YOU KNOW
04:01:54.200 --> 04:01:56.936 region:rollup2
THE COMMERCIAL RATES.
04:01:55.901 --> 04:01:59.005 region:rollup2
HELP ME TO OFFSET OUR MEDICARE
04:01:56.936 --> 04:01:59.572 region:rollup2
MEDICAL MEDICARE MEDICAL RATES
04:01:59.005 --> 04:02:01.240 region:rollup2
WELL THEN WHO THE ACTOR THAT
04:01:59.572 --> 04:02:03.209 region:rollup2
CAN.
04:02:01.240 --> 04:02:04.910 region:rollup2
BE ANNOUNCED SO IF THAT'S THE
04:02:03.209 --> 04:02:05.544 region:rollup2
CASE IN THE REGION HE PRACTICES.
04:02:04.910 --> 04:02:06.145 region:rollup2
THEN THAT COULD VERY WELL BE
04:02:05.544 --> 04:02:07.613 region:rollup2
WHAT COMMERCIAL RATES ARE SET
04:02:06.145 --> 04:02:07.980 region:rollup2
THAT THIS IS NOT ABOUT. CUTTING
04:02:07.613 --> 04:02:09.315 region:rollup2
AYE I KNOW THAT.
04:02:07.980 --> 04:02:10.249 region:rollup2
.
04:02:09.315 --> 04:02:11.851 region:rollup2
THERE THERE WAS A SUGGEST THAT
04:02:10.249 --> 04:02:12.885 region:rollup2
WE'RE GONNA RE BASS.
04:02:11.851 --> 04:02:15.588 region:rollup2
BUT THE RATES ARE THE REALITY IS
04:02:12.885 --> 04:02:17.523 region:rollup2
WE BATES IS NOT EQUAL REDUCE.
04:02:15.588 --> 04:02:19.392 region:rollup2
AND SO ON UP TO A DEFERRED TO
04:02:17.523 --> 04:02:21.494 region:rollup2
THIS AREA HERE ON THE POINT OF
04:02:19.392 --> 04:02:23.029 region:rollup2
HOW YOU ACCOUNT FOR INDIVIDUAL
04:02:21.494 --> 04:02:24.030 region:rollup2
INDIVIDUAL ICONS GIVEN THE FACT
04:02:23.029 --> 04:02:26.565 region:rollup2
THAT MEDICARE DOESN'T DO THAT.
04:02:24.030 --> 04:02:31.103 region:rollup2
BUT HOW WITH THIS ACCOUNT FOR
04:02:26.565 --> 04:02:31.904 region:rollup2
LOCALIZED DIFFERENCES IN CLASS.
04:02:31.103 --> 04:02:33.205 region:rollup2
IT'S A BIGELOW THAT'S AND AN
04:02:31.904 --> 04:02:34.607 region:rollup2
EXCELLENT QUESTION AND I THINK
04:02:33.205 --> 04:02:36.142 region:rollup2
WHEN WE.
04:02:34.607 --> 04:02:36.709 region:rollup2
AND WE'RE CONTEMPLATING WHAT THE
04:02:36.142 --> 04:02:39.779 region:rollup2
AUTHOR THE STRUCTURE OF THIS
04:02:36.709 --> 04:02:42.014 region:rollup2
BILL WE REALIZE THAT THERE IS A
04:02:39.779 --> 04:02:43.449 region:rollup2
TRIED AND TRUE FORMULA OUT THERE
04:02:42.014 --> 04:02:45.618 region:rollup2
WHICH IS THE WORKHORSE OF
04:02:43.449 --> 04:02:47.987 region:rollup2
MEDICARE. WE REALIZED WE DID NOT
04:02:45.618 --> 04:02:50.156 region:rollup2
NEED A COMMISSION TO REINVENT
04:02:47.987 --> 04:02:52.691 region:rollup2
THE WHEEL AND SAT AS YOU SAID
04:02:50.156 --> 04:02:54.427 region:rollup2
TEN THOUSAND DIFFERENT.
04:02:52.691 --> 04:02:55.928 region:rollup2
RATES FOR ALL THE PROVIDERS IN
04:02:54.427 --> 04:02:57.897 region:rollup2
THE STATE ESPECIALLY A STATE AS
04:02:55.928 --> 04:03:00.366 region:rollup2
LARGE AS AS CALIFORNIA. THE
04:02:57.897 --> 04:03:02.768 region:rollup2
MEDICARE SYSTEM DOES THE WORK
04:03:00.366 --> 04:03:04.970 region:rollup2
FOR US AND THAT'S WHY MEDICARE
04:03:02.768 --> 04:03:06.906 region:rollup2
IS USED AS THE BENCHMARK IN THE
04:03:04.970 --> 04:03:08.774 region:rollup2
BASIS FOR THE COMMISSION TO SET
04:03:06.906 --> 04:03:09.275 region:rollup2
RATES. MEDICARE TAKES INTO
04:03:08.774 --> 04:03:11.077 region:rollup2
ACCOUNT
04:03:09.275 --> 04:03:13.879 region:rollup2
COST
04:03:11.077 --> 04:03:15.915 region:rollup2
THE COST OF CARE LABOR COSTS IT
04:03:13.879 --> 04:03:18.117 region:rollup2
DOES ADJUSTMENTS FOR REGIONAL
04:03:15.915 --> 04:03:20.653 region:rollup2
WAGE DIFFERENCES IT LOOKS THAT
04:03:18.117 --> 04:03:22.555 region:rollup2
IF A FACILITY DOES MEDICAL
04:03:20.653 --> 04:03:24.557 region:rollup2
EDUCATION. IF THEY ALL HAVE A
04:03:22.555 --> 04:03:26.292 region:rollup2
DISPROPORTIONATE SHARE OF
04:03:24.557 --> 04:03:28.561 region:rollup2
MEDICAID OUT OR LOW INCOME
04:03:26.292 --> 04:03:30.229 region:rollup2
BENEFICIARIES AND EVEN DOES AN
04:03:28.561 --> 04:03:31.730 region:rollup2
ADDITIONAL PAYMENT IF THERE'S AN
04:03:30.229 --> 04:03:33.933 region:rollup2
OUT LIAR CASE IF THERE HAPPENS
04:03:31.730 --> 04:03:35.301 region:rollup2
TO BE A CASE WHERE. IT IS VERY
04:03:33.933 --> 04:03:37.770 region:rollup2
VERY EXPENSIVE.
04:03:35.301 --> 04:03:39.004 region:rollup2
EVEN DEALS WITH CRITICAL ACCESS
04:03:37.770 --> 04:03:40.506 region:rollup2
HOSPITALS
04:03:39.004 --> 04:03:41.474 region:rollup2
THOSE ARE HOSPITALS I BELIEVE
04:03:40.506 --> 04:03:44.310 region:rollup2
THERE'S THIRTY FOUR IN THE STATE
04:03:41.474 --> 04:03:46.512 region:rollup2
OF CALIFORNIA THAT ARE IN. RURAL
04:03:44.310 --> 04:03:48.314 region:rollup2
AREAS AND THEIR SMALL HOSPITALS
04:03:46.512 --> 04:03:51.117 region:rollup2
THAT REALLY ARE THE ONLY SOURCE
04:03:48.314 --> 04:03:52.918 region:rollup2
OF CARE FOR MEDICARE ENROLLEES
04:03:51.117 --> 04:03:53.853 region:rollup2
AND SO A LOT OF THAT WORK IS
04:03:52.918 --> 04:03:56.822 region:rollup2
DONE.
04:03:53.853 --> 04:03:58.390 region:rollup2
AND SO MEDICAID PROVIDERS WHO
04:03:56.822 --> 04:04:00.025 region:rollup2
ACCEPT MEDICARE.
04:03:58.390 --> 04:04:01.327 region:rollup2
KNOWWHAT THAT IS AND THE
04:04:00.025 --> 04:04:03.062 region:rollup2
COMMISSION IS GOING TO USE THAT
04:04:01.327 --> 04:04:04.463 region:rollup2
AS THE BASIS.
04:04:03.062 --> 04:04:05.564 region:rollup2
TO MAKE ADJUSTMENTS THAT MAKE
04:04:04.463 --> 04:04:07.967 region:rollup2
SENSE FOR THE STATE OF
04:04:05.564 --> 04:04:09.802 region:rollup2
CALIFORNIA AND FOR THE VARIOUS
04:04:07.967 --> 04:04:11.403 region:rollup2
THINGS THAT ARE BUILT INTO. THE
04:04:09.802 --> 04:04:13.305 region:rollup2
BELL I MEAN.
04:04:11.403 --> 04:04:15.307 region:rollup2
WE HAVE TO MAKE SURE THAT THESE
04:04:13.305 --> 04:04:16.475 region:rollup2
RATES ALLOW FOR STATE LAW
04:04:15.307 --> 04:04:18.944 region:rollup2
REQUIREMENTS SUCH AS TIMELY
04:04:16.475 --> 04:04:20.613 region:rollup2
ACCESS LANGUAGE ACCESS AND
04:04:18.944 --> 04:04:22.014 region:rollup2
NETWORK ADULTS ADEQUACY.
04:04:20.613 --> 04:04:22.948 region:rollup2
THOSE ARE ALL EXISTING STATE
04:04:22.014 --> 04:04:24.083 region:rollup2
LAWS THAT ARE NOT GOING TO
04:04:22.948 --> 04:04:26.151 region:rollup2
DISAPPEAR THE BASE RATES HAVE TO
04:04:24.083 --> 04:04:27.953 region:rollup2
ACCOUNT FOR THE.
04:04:26.151 --> 04:04:29.688 region:rollup2
THE OTHER THING IS IS THAT IN
04:04:27.953 --> 04:04:30.623 region:rollup2
CALIFORNIA FORTY PERCENT OF
04:04:29.688 --> 04:04:32.691 region:rollup2
MEDICARE ENROLLEES ARE IN
04:04:30.623 --> 04:04:33.993 region:rollup2
MEDICARE ADVANTAGE.
04:04:32.691 --> 04:04:35.861 region:rollup2
THE REASON THAT'S SO IMPORTANT
04:04:33.993 --> 04:04:37.530 region:rollup2
IS THAT IN CALIFORNIA WE DO HAVE
04:04:35.861 --> 04:04:39.398 region:rollup2
A VERY UNIQUE.
04:04:37.530 --> 04:04:40.766 region:rollup2
DELEGATED MODEL.
04:04:39.398 --> 04:04:43.402 region:rollup2
WE HAVE INTEGRATED SYSTEMS LIKE
04:04:40.766 --> 04:04:43.969 region:rollup2
KAISER THAT HAVE DONE INCREDIBLE
04:04:43.402 --> 04:04:45.938 region:rollup2
WORK.
04:04:43.969 --> 04:04:47.907 region:rollup2
AND REALLY DO SOME VALUE BASED
04:04:45.938 --> 04:04:49.308 region:rollup2
CARE.
04:04:47.907 --> 04:04:51.243 region:rollup2
THE INTENT OF AB THIRTY EIGHTY
04:04:49.308 --> 04:04:52.745 region:rollup2
SEVEN IS NOT TO DISRUPT THAT
04:04:51.243 --> 04:04:54.346 region:rollup2
MODEL.
04:04:52.745 --> 04:04:56.715 region:rollup2
WE DID NOT WANT TO DISRUPT THE
04:04:54.346 --> 04:04:58.851 region:rollup2
WORK THAT CALIFORNIA HAS DONE TO
04:04:56.715 --> 04:05:01.520 region:rollup2
GET TO VALUE BASED CARE. AND SO
04:04:58.851 --> 04:05:03.589 region:rollup2
THE BILL VERY CLEARLY USES
04:05:01.520 --> 04:05:04.590 region:rollup2
MEDICARE ADVANTAGE.
04:05:03.589 --> 04:05:06.559 region:rollup2
AND A PERCENTAGE OF MEDICARE
04:05:04.590 --> 04:05:08.127 region:rollup2
ADVANTAGE RISK ADJUSTED OF
04:05:06.559 --> 04:05:10.796 region:rollup2
COURSE FOR THE TO HER POPULATION
04:05:08.127 --> 04:05:13.432 region:rollup2
TO BE ABLE TO SET THE CAPITATED
04:05:10.796 --> 04:05:15.167 region:rollup2
PAYMENTS TO HEALTH PLANS.
04:05:13.432 --> 04:05:16.769 region:rollup2
IT DOES NOT INTERFERE WITH THE
04:05:15.167 --> 04:05:17.903 region:rollup2
CONTRACTS RELATIONSHIPS THAT
04:05:16.769 --> 04:05:19.538 region:rollup2
HEALTH PLANS HAVE WITH
04:05:17.903 --> 04:05:20.973 region:rollup2
CONTRACTED PROVIDERS
04:05:19.538 --> 04:05:22.274 region:rollup2
IT WAS VERY IMPORTANT TO US
04:05:20.973 --> 04:05:23.475 region:rollup2
ESPECIALLY WITH THE LABOR
04:05:22.274 --> 04:05:24.076 region:rollup2
MOVEMENT HAVING SIXTY FIVE
04:05:23.475 --> 04:05:25.544 region:rollup2
PERCENT ENROLLMENT IN KAISER
04:05:24.076 --> 04:05:26.912 region:rollup2
PLANS.
04:05:25.544 --> 04:05:29.315 region:rollup2
BUT THAT WOULDN'T DISRUPT THIS
04:05:26.912 --> 04:05:31.183 region:rollup2
MODEL AND SO JUST TO ANSWER YOUR
04:05:29.315 --> 04:05:33.052 region:rollup2
QUESTION A LOT OF THE WORK IS
04:05:31.183 --> 04:05:34.787 region:rollup2
DONE BY THE FEDERAL GOVERNMENT.
04:05:33.052 --> 04:05:36.288 region:rollup2
AND THE COMMISSION WILL ADJUST
04:05:34.787 --> 04:05:39.658 region:rollup2
FOR THE REALITIES TO CALIFORNIA.
04:05:36.288 --> 04:05:42.394 region:rollup2
SO WHEN WHEN I HEAR THAT.
04:05:39.658 --> 04:05:43.996 region:rollup2
I'M I'M. ALMOST HEARING IS STILL
04:05:42.394 --> 04:05:45.764 region:rollup2
A ONE SIZE FITS ALL.
04:05:43.996 --> 04:05:48.167 region:rollup2
PLATFORM.
04:05:45.764 --> 04:05:50.536 region:rollup2
AND WHAT'S WRITTEN IN THE BILL.
04:05:48.167 --> 04:05:52.004 region:rollup2
WHICH WAS TO GIVE.
04:05:50.536 --> 04:05:53.739 region:rollup2
MOST PEOPLE IN UNDERSTANDING
04:05:52.004 --> 04:05:55.941 region:rollup2
THAT THERE WOULD BE SOME. OFF
04:05:53.739 --> 04:05:58.277 region:rollup2
RAMPS FOR UNDERSTANDING HOW TO
04:05:55.941 --> 04:06:00.145 region:rollup2
APPEAL THAT'S ALMOST OFF THE
04:05:58.277 --> 04:06:01.146 region:rollup2
TABLE BECAUSE WE'RE A GONNA BE
04:06:00.145 --> 04:06:02.781 region:rollup2
PREDETERMINED.
04:06:01.146 --> 04:06:04.383 region:rollup2
SO I'M A LITTLE CONCERNED MAYBE
04:06:02.781 --> 04:06:06.085 region:rollup2
THE OPPOSITION. SINCE YOU
04:06:04.383 --> 04:06:09.054 region:rollup2
COMMENTED A MAYBE YOU CAN MAYBE
04:06:06.085 --> 04:06:10.089 region:rollup2
ADDRESS THAT.
04:06:09.054 --> 04:06:10.756 region:rollup2
IF YOU'RE ME YES PLEASE THANK
04:06:10.089 --> 04:06:12.658 region:rollup2
YOU SOME WOMEN UP THE BILL DOES
04:06:10.756 --> 04:06:13.926 region:rollup2
CONTEMPLATE SETTING DIFFERENT
04:06:12.658 --> 04:06:14.927 region:rollup2
RATES FOR DIFFERENT HOSPITALS
04:06:13.926 --> 04:06:16.328 region:rollup2
AND DIFFERENT PHYSICIAN GROUPS
04:06:14.927 --> 04:06:17.496 region:rollup2
IT'S RIGHT THERE IN THE BILL AT
04:06:16.328 --> 04:06:19.431 region:rollup2
THE COMMISSION DOES HAVE THE
04:06:17.496 --> 04:06:21.100 region:rollup2
POWER TO SET. DIFFERENT RATES
04:06:19.431 --> 04:06:23.302 region:rollup2
FOR DISINFORMATION GROUPS IN THE
04:06:21.100 --> 04:06:24.436 region:rollup2
SAME GEOGRAPHIC AREA OF THE FACT
04:06:23.302 --> 04:06:26.038 region:rollup2
THAT WE'RE SAYING THAT MEDICARE
04:06:24.436 --> 04:06:27.706 region:rollup2
RT TAKE THIS INTO ACCOUNT FOR
04:06:26.038 --> 04:06:28.874 region:rollup2
ONE. OF THERE'S A LOT OF
04:06:27.706 --> 04:06:30.576 region:rollup2
PROBLEMS AND MEDICARE ESPECIALLY
04:06:28.874 --> 04:06:32.945 region:rollup2
AT NIGHT WHEN THEY WOULD ZONE
04:06:30.576 --> 04:06:34.213 region:rollup2
DIFFERENT COUNTIES AS URBAN OR
04:06:32.945 --> 04:06:35.948 region:rollup2
OR RURAL.
04:06:34.213 --> 04:06:37.349 region:rollup2
IT AS A MEDICAL ASSOCIATION
04:06:35.948 --> 04:06:38.384 region:rollup2
WE'VE WE'VE HAD A LOT OF TROUBLE
04:06:37.349 --> 04:06:40.185 region:rollup2
THE FEDERAL GOVERNMENT.
04:06:38.384 --> 04:06:41.854 region:rollup2
MAKING SURE THAT THAT MEDICARE
04:06:40.185 --> 04:06:43.455 region:rollup2
RATES ARE SET AT ESTABLISHED
04:06:41.854 --> 04:06:44.590 region:rollup2
LEVEL BUT TO YOUR QUESTION OF
04:06:43.455 --> 04:06:46.458 region:rollup2
WHETHER THIS IS THE ONE SIZE
04:06:44.590 --> 04:06:48.060 region:rollup2
FITS ALL APPROACH TO TO US
04:06:46.458 --> 04:06:48.661 region:rollup2
THERE'S JUST A FULL DELEGATION
04:06:48.060 --> 04:06:49.995 region:rollup2
THE COMMISSION THE COMMISSION
04:06:48.661 --> 04:06:51.597 region:rollup2
COULD SET ONE WAY IF THEY WANTED
04:06:49.995 --> 04:06:52.831 region:rollup2
TO. OR THEY COULD SAID DIFFERENT
04:06:51.597 --> 04:06:54.633 region:rollup2
RATE FOR EVERY POSITION A
04:06:52.831 --> 04:06:56.835 region:rollup2
POSITION GROUP IN THE STATE OF
04:06:54.633 --> 04:06:58.370 region:rollup2
CALIFORNIA SO THERE REALLY IS NO
04:06:56.835 --> 04:06:59.972 region:rollup2
ANSWER YOUR QUESTION BECAUSE
04:06:58.370 --> 04:07:01.040 region:rollup2
IT'S ALL DELEGATED TO THE
04:06:59.972 --> 04:07:02.274 region:rollup2
COMMISSION AND THE COMMISSION
04:07:01.040 --> 04:07:03.942 region:rollup2
SHALL TAKE INTO ACCOUNT THESE
04:07:02.274 --> 04:07:05.377 region:rollup2
DIFFERENT ITEMS BUT AT THE END
04:07:03.942 --> 04:07:07.379 region:rollup2
OF THE DAY. WHAT HAPPENS IF THEY
04:07:05.377 --> 04:07:08.647 region:rollup2
GET IT WRONG A ACCESS TO CARE
04:07:07.379 --> 04:07:10.215 region:rollup2
THE HEALTHCARE DELIVERY SYSTEM
04:07:08.647 --> 04:07:14.687 region:rollup2
REALLY GETS HURT AND SO?
04:07:10.215 --> 04:07:15.454 region:rollup2
I THINK FOR FOR OUR ASSOCIATION
04:07:14.687 --> 04:07:16.355 region:rollup2
THE
04:07:15.454 --> 04:07:17.189 region:rollup2
THE CONCERN THAT WE HAVE IS NO
04:07:16.355 --> 04:07:17.956 region:rollup2
EASY ANSWERS ARE NO THESE
04:07:17.189 --> 04:07:20.125 region:rollup2
QUESTIONS CAN BE ANSWERED.
04:07:17.956 --> 04:07:21.193 region:rollup2
IN FACT THEY LEAVE THE ANSWERS
04:07:20.125 --> 04:07:22.795 region:rollup2
TO THE COMMISSION AND AGAIN AT
04:07:21.193 --> 04:07:24.663 region:rollup2
ELEVEN PEOPLE WE HAVE ONE
04:07:22.795 --> 04:07:25.898 region:rollup2
POSITION ON THERE UP MOST OF IT
04:07:24.663 --> 04:07:27.533 region:rollup2
WOULD SAY IS IS.
04:07:25.898 --> 04:07:29.268 region:rollup2
.
04:07:27.533 --> 04:07:30.836 region:rollup2
TILTED TOWARD PURCHASERS THERE'S
04:07:29.268 --> 04:07:32.104 region:rollup2
A REPRESENT OF LABOR UNIONS IN
04:07:30.836 --> 04:07:32.938 region:rollup2
THERE'S ACTUALLY EVEN INTERVENOR
04:07:32.104 --> 04:07:34.473 region:rollup2
FEES OR SOME PROPONENT OF BILL
04:07:32.938 --> 04:07:35.541 region:rollup2
CASTIGATE WITNESS AN ADVOCACY
04:07:34.473 --> 04:07:37.743 region:rollup2
FEES TO.
04:07:35.541 --> 04:07:38.844 region:rollup2
LOBBYING FROM THE COMMISSION SO
04:07:37.743 --> 04:07:40.345 region:rollup2
WE DON'T HAVE ANY CONFIDENCE
04:07:38.844 --> 04:07:42.147 region:rollup2
THAT ELEVEN PEOPLE WILL BE ABLE
04:07:40.345 --> 04:07:43.015 region:rollup2
TO ACCURATELY SET THE RATE FOR
04:07:42.147 --> 04:07:44.950 region:rollup2
ALL THE PROVIDERS IN THE
04:07:43.015 --> 04:07:45.684 region:rollup2
HOSPITAL IN OUR IN OUR STATE. SO
04:07:44.950 --> 04:07:47.353 region:rollup2
HELP ME.
04:07:45.684 --> 04:07:48.721 region:rollup2
HAVING HEARD THAT MAYBE SOMEONE
04:07:47.353 --> 04:07:50.489 region:rollup2
CAN ADDRESS THAT THERE IS A
04:07:48.721 --> 04:07:51.924 region:rollup2
SECTION IN THE BILL.
04:07:50.489 --> 04:07:52.458 region:rollup2
AND IN FACT IT'S ONE ZERO ZERO
04:07:51.924 --> 04:07:55.527 region:rollup2
SIX POINT I'M SIX ONE ZERO
04:07:52.458 --> 04:07:56.895 region:rollup2
POINT.
04:07:55.527 --> 04:07:57.930 region:rollup2
A. THAT WOULD ALLOW THE
04:07:56.895 --> 04:08:00.065 region:rollup2
COMMISSION TO WORK MONEY TO
04:07:57.930 --> 04:08:01.467 region:rollup2
ADVOCACY ORGANIZATIONS.
04:08:00.065 --> 04:08:03.435 region:rollup2
WHAT ORGANIZATIONS AND FOR WHAT
04:08:01.467 --> 04:08:04.903 region:rollup2
PURPOSES?
04:08:03.435 --> 04:08:07.106 region:rollup2
MAYBE YOU COULD ADDRESS THAT
04:08:04.903 --> 04:08:08.240 region:rollup2
YEAH AND WE ACTUALLY HAVE AGREED
04:08:07.106 --> 04:08:12.044 region:rollup2
TO TAKE ON THE.
04:08:08.240 --> 04:08:14.213 region:rollup2
SUGGESTION UP FROM THE CHAIR.
04:08:12.044 --> 04:08:14.813 region:rollup2
BUT TO CAP HOW MUCH TO BE SPENT
04:08:14.213 --> 04:08:16.281 region:rollup2
ON THAT OVER THE COURSE OF THE
04:08:14.813 --> 04:08:20.619 region:rollup2
YEAR.
04:08:16.281 --> 04:08:25.524 region:rollup2
AND SO. THAT'S. THE PPP.
04:08:20.619 --> 04:08:30.028 region:rollup2
.
04:08:25.524 --> 04:08:30.896 region:rollup2
SO ANNA.
04:08:30.028 --> 04:08:32.631 region:rollup2
THE MATRIX THE ITS THE.
04:08:30.896 --> 04:08:33.932 region:rollup2
PURCHASE A PARTICIPATION
04:08:32.631 --> 04:08:35.601 region:rollup2
PROGRAMS SOME OF THE NEW COMPANY
04:08:33.932 --> 04:08:37.569 region:rollup2
POLICY COMIC JUST SAYS SIMPLY
04:08:35.601 --> 04:08:39.405 region:rollup2
PPP. BUT IF YOU LOOK AT THE
04:08:37.569 --> 04:08:41.874 region:rollup2
STAFF REPORT UNDER PAGE TWENTY
04:08:39.405 --> 04:08:43.242 region:rollup2
FIVE THEIR SUGGESTION.
04:08:41.874 --> 04:08:45.711 region:rollup2
TO BOTH SUNSET.
04:08:43.242 --> 04:08:47.312 region:rollup2
THE TO SUNSET THE PROGRAM AND
04:08:45.711 --> 04:08:49.348 region:rollup2
TO HAVE A CAP AS TO HOW MUCH CAN
04:08:47.312 --> 04:08:50.716 region:rollup2
BE SPENT. EVERY YEAR ON THAT
04:08:49.348 --> 04:08:52.050 region:rollup2
THOSE SUGGESTION I KNOW THERE'S
04:08:50.716 --> 04:08:54.019 region:rollup2
BEEN I'VE SEEN SOME OPPOSITION
04:08:52.050 --> 04:08:56.188 region:rollup2
LETTERS OR SUGGEST MILLIONS TO
04:08:54.019 --> 04:08:58.557 region:rollup2
CAN GO TO SO I'LL GREG. GROUP A
04:08:56.188 --> 04:09:00.125 region:rollup2
YEAR TO LOBBY RIGHT. EXPLICITLY
04:08:58.557 --> 04:09:01.760 region:rollup2
OF SEEKING TO LIMIT THAT FOR A
04:09:00.125 --> 04:09:03.095 region:rollup2
THOUSAND DOLLARS A YEAR AND A
04:09:01.760 --> 04:09:04.997 region:rollup2
SON SENATE PROVIDE YEARS THE
04:09:03.095 --> 04:09:07.399 region:rollup2
REASON WHY IS THAT IS THOSE
04:09:04.997 --> 04:09:09.234 region:rollup2
EARLY YEARS THAT. WE. WOULD
04:09:07.399 --> 04:09:10.402 region:rollup2
REQUIRE INPUT AND SOME OF THE
04:09:09.234 --> 04:09:11.570 region:rollup2
ORGANIZATIONS THAT ARE NONPROFIT
04:09:10.402 --> 04:09:12.938 region:rollup2
ORGANIZATIONS.
04:09:11.570 --> 04:09:14.139 region:rollup2
IS JUST TO MAKE SURE THAT WE
04:09:12.938 --> 04:09:14.773 region:rollup2
GET THEIR PROPERTY BUT FOR SOME
04:09:14.139 --> 04:09:17.176 region:rollup2
THE THE.
04:09:14.773 --> 04:09:18.644 region:rollup2
THINK TANKS AND OTHERS THAT CAN
04:09:17.176 --> 04:09:21.580 region:rollup2
PROVIDE INFORMATION IS NOT
04:09:18.644 --> 04:09:23.148 region:rollup2
UNIQUE THEIR OTHER COMMISSIONS
04:09:21.580 --> 04:09:24.416 region:rollup2
IN THE SAME THING.
04:09:23.148 --> 04:09:25.517 region:rollup2
IN FACT AN EXCUSE ME IF I MAY
04:09:24.416 --> 04:09:26.885 region:rollup2
DONE IT'S MODELED OFF OF THE
04:09:25.517 --> 04:09:27.820 region:rollup2
INTERVENOR PROGRAM FOR FOR
04:09:26.885 --> 04:09:29.688 region:rollup2
EXAMPLE THE DEPARTMENT OF
04:09:27.820 --> 04:09:31.056 region:rollup2
MANAGED HEALTHCARE WHERE GROUPS
04:09:29.688 --> 04:09:32.758 region:rollup2
LIKE HEALTH ACCESS.
04:09:31.056 --> 04:09:34.126 region:rollup2
THE CALIFORNIA PAN ETHNIC
04:09:32.758 --> 04:09:34.760 region:rollup2
HEALTH NETWORKING CONSUMERS
04:09:34.126 --> 04:09:37.329 region:rollup2
UNION.
04:09:34.760 --> 04:09:39.665 region:rollup2
DO GET FEES FOR.
04:09:37.329 --> 04:09:41.433 region:rollup2
AT PETITIONING ON ON ISSUES
04:09:39.665 --> 04:09:44.069 region:rollup2
SUCH AS TIMELY ACCESS TO CARE ON
04:09:41.433 --> 04:09:46.438 region:rollup2
BEHALF OF CONSUMERS AND SO THE
04:09:44.069 --> 04:09:47.806 region:rollup2
INTENTION HERE IS TO REPLICATE
04:09:46.438 --> 04:09:49.908 region:rollup2
SUCCESSFUL SYSTEM THAT WE'VE
04:09:47.806 --> 04:09:51.877 region:rollup2
SEEN IN OTHER AREAS OF POLICY
04:09:49.908 --> 04:09:52.845 region:rollup2
MAKING.
04:09:51.877 --> 04:09:54.413 region:rollup2
HOMELESS ALWAYS IN THE EYE OF
04:09:52.845 --> 04:09:55.380 region:rollup2
THE BEHOLDER AND.
04:09:54.413 --> 04:09:57.082 region:rollup2
AND UNDERSTOOD BUT THERE'S
04:09:55.380 --> 04:09:57.983 region:rollup2
ALWAYS.
04:09:57.082 --> 04:09:59.651 region:rollup2
THE STORIES THAT WE WERE TOLD
04:09:57.983 --> 04:10:01.453 region:rollup2
AND TAUGHT.
04:09:59.651 --> 04:10:03.322 region:rollup2
IF YOU ONLY HEAR ONE SIDE. YOU
04:10:01.453 --> 04:10:04.656 region:rollup2
DON'T HAVE A FIRM BALANCED.
04:10:03.322 --> 04:10:07.092 region:rollup2
APPROACH TO MAKE IT AN INFORMED
04:10:04.656 --> 04:10:09.127 region:rollup2
DECISION. SO SHOULDN'T THERE BE
04:10:07.092 --> 04:10:10.829 region:rollup2
AN ABILITY TO HAVE BOTH SIDES
04:10:09.127 --> 04:10:12.197 region:rollup2
PRESENTED. AND IF YOU'RE GOING
04:10:10.829 --> 04:10:14.132 region:rollup2
TO PRESENT ONE SIDE WITH THE
04:10:12.197 --> 04:10:16.134 region:rollup2
ABILITY WITH FUNDING XIN THE
04:10:14.132 --> 04:10:17.803 region:rollup2
OTHER SIDE GET THE SAME LEVEL.
04:10:16.134 --> 04:10:19.938 region:rollup2
OF ATTENTION AND ABILITY WELL
04:10:17.803 --> 04:10:21.506 region:rollup2
THERE'S AN ADVISORY COMMITTEE
04:10:19.938 --> 04:10:22.541 region:rollup2
AND I'M I'M HAPPY TO HAVE OUR.
04:10:21.506 --> 04:10:23.575 region:rollup2
SPONSORS HERE SPEAK ABOUT
04:10:22.541 --> 04:10:25.043 region:rollup2
THERE'S AN ADVISORY COMMITTEE
04:10:23.575 --> 04:10:26.712 region:rollup2
THAT'S CHOCK FULL OF EXPERTS
04:10:25.043 --> 04:10:28.180 region:rollup2
FROM ALL CROSS INDUSTRY.
04:10:26.712 --> 04:10:30.215 region:rollup2
I CLUED IN FROM SMALLER
04:10:28.180 --> 04:10:31.950 region:rollup2
PRACTICES AND EVEN ADDING IN THE
04:10:30.215 --> 04:10:33.285 region:rollup2
RURAL COMMUNITIES AS WELL. AND
04:10:31.950 --> 04:10:34.419 region:rollup2
SO THERE'S GONNA BE A PLENTY OF
04:10:33.285 --> 04:10:36.555 region:rollup2
OPPORTUNITY FOR FEEDBACK THE
04:10:34.419 --> 04:10:39.458 region:rollup2
REASON WHY. THAT PARTICULAR.
04:10:36.555 --> 04:10:41.693 region:rollup2
THE BOTTOM IS IN THERE IS THAT.
04:10:39.458 --> 04:10:44.029 region:rollup2
THE AVERAGE CONSUMER.
04:10:41.693 --> 04:10:45.664 region:rollup2
DOESN'T HAVE EXPERTS TO COME IN
04:10:44.029 --> 04:10:46.532 region:rollup2
X. IF IT WERE NOT FOR THESE
04:10:45.664 --> 04:10:47.599 region:rollup2
NONPROFITS
04:10:46.532 --> 04:10:49.534 region:rollup2
TO COME IN AND SPEAK ON THEIR
04:10:47.599 --> 04:10:50.869 region:rollup2
BEHALF OF WHILE OTHER ASPECTS OF
04:10:49.534 --> 04:10:52.371 region:rollup2
THE INDUSTRY INCLUDING LABOR
04:10:50.869 --> 04:10:54.172 region:rollup2
INCLUDING. THE DOCTORS AND
04:10:52.371 --> 04:10:55.741 region:rollup2
HOSPITALS THEY HAD ADVOCACY THEY
04:10:54.172 --> 04:10:57.943 region:rollup2
HAVE LOBBYING THEY HAVE ABA
04:10:55.741 --> 04:10:58.143 region:rollup2
EXPERTS THAT CAN PROVIDE DATA TO
04:10:57.943 --> 04:11:00.078 region:rollup2
THE.
04:10:58.143 --> 04:11:01.280 region:rollup2
COMMISSION IS SO IT'S IT'S JUST
04:11:00.078 --> 04:11:02.881 region:rollup2
TO PROVIDE THE CONSUMER
04:11:01.280 --> 04:11:03.415 region:rollup2
PERSPECTIVE THAT OTHERWISE WOULD
04:11:02.881 --> 04:11:05.417 region:rollup2
NOT BE THERE.
04:11:03.415 --> 04:11:06.251 region:rollup2
OR MAYBE.
04:11:05.417 --> 04:11:08.387 region:rollup2
BOTH SCIENCE STILL AREN'T BEING
04:11:06.251 --> 04:11:09.121 region:rollup2
RESENTED.
04:11:08.387 --> 04:11:09.621 region:rollup2
WITH A PERSPECTIVE FROM TWO
04:11:09.121 --> 04:11:10.656 region:rollup2
DIFFERENT.
04:11:09.621 --> 04:11:12.224 region:rollup2
DECISION.
04:11:10.656 --> 04:11:12.858 region:rollup2
AND.
04:11:12.224 --> 04:11:14.192 region:rollup2
BECAUSE YOU GOT EXPERTS ON THIS
04:11:12.858 --> 04:11:15.193 region:rollup2
SITE.
04:11:14.192 --> 04:11:17.729 region:rollup2
DOESN'T NECESSARILY MEAN THAT
04:11:15.193 --> 04:11:18.564 region:rollup2
ALL EXPERTS ARE PRESENT.
04:11:17.729 --> 04:11:19.731 region:rollup2
TO PUT GIVE THE INFORMATION THAT
04:11:18.564 --> 04:11:21.199 region:rollup2
THERE'S A THERE'S A ROBUST
04:11:19.731 --> 04:11:23.101 region:rollup2
ADVISORY COMMITTEE THAT'S FULL
04:11:21.199 --> 04:11:24.436 region:rollup2
OF TONS OF FOLKS FROM ACROSS
04:11:23.101 --> 04:11:26.238 region:rollup2
INDUSTRY I'M HAPPY TO GO THROUGH
04:11:24.436 --> 04:11:27.105 region:rollup2
EACH ONE IS LISTED IN. A IN
04:11:26.238 --> 04:11:28.240 region:rollup2
THERE'S LAWS WITH THE AMENDMENTS
04:11:27.105 --> 04:11:29.608 region:rollup2
BUT THERE THERE'S PLENTY OF
04:11:28.240 --> 04:11:31.643 region:rollup2
OPPORTUNITY FOR EXPERTISE FROM
04:11:29.608 --> 04:11:33.679 region:rollup2
INDUSTRY TO PROVIDE INPUT THOSE
04:11:31.643 --> 04:11:34.146 region:rollup2
LAWS A HOSPITAL AND A DOCTOR
04:11:33.679 --> 04:11:35.213 region:rollup2
REPRESENTATIVE ON THE
04:11:34.146 --> 04:11:35.847 region:rollup2
COMMISSION.
04:11:35.213 --> 04:11:36.815 region:rollup2
THAT'S NOT REFORM THE INTERVENOR
04:11:35.847 --> 04:11:38.383 region:rollup2
PORTION
04:11:36.815 --> 04:11:38.917 region:rollup2
LET ME LET ME MOVE ON A BECAUSE
04:11:38.383 --> 04:11:40.652 region:rollup2
I DON'T THINK YOU MISTER
04:11:38.917 --> 04:11:43.255 region:rollup2
CHAIRMAN FOR BEING SO INDULGENT.
04:11:40.652 --> 04:11:46.391 region:rollup2
ON MAY BE.
04:11:43.255 --> 04:11:47.259 region:rollup2
MAYBE SOMEONE CAN ADDRESS THIS.
04:11:46.391 --> 04:11:49.561 region:rollup2
I UNDERSTAND THAT.
04:11:47.259 --> 04:11:50.963 region:rollup2
ANOTHER STATE OF WEST VIRGINIA
04:11:49.561 --> 04:11:53.265 region:rollup2
HAS HAD A SIMILAR.
04:11:50.963 --> 04:11:55.367 region:rollup2
SET OF RATE SETTING LAWS OF THE
04:11:53.265 --> 04:11:58.036 region:rollup2
COMMERCIAL INSURANCE.
04:11:55.367 --> 04:11:59.071 region:rollup2
BUT IT WAS RECENTLY. REPEAL.
04:11:58.036 --> 04:12:01.406 region:rollup2
MAYBE YOU CAN ADDRESS THAT.
04:11:59.071 --> 04:12:02.641 region:rollup2
WHY?
04:12:01.406 --> 04:12:03.875 region:rollup2
CAN SOMEONE UP THERE IS AND I
04:12:02.641 --> 04:12:05.911 region:rollup2
WOULD BE HAPPY TO AND JUST THAT
04:12:03.875 --> 04:12:07.446 region:rollup2
HISTORY HERE. RATE SETTING.
04:12:05.911 --> 04:12:09.114 region:rollup2
WAS EXPERIMENTED WITH STARTING
04:12:07.446 --> 04:12:11.483 region:rollup2
ABOUT FORTY YEARS AGO THERE WERE
04:12:09.114 --> 04:12:13.151 region:rollup2
ORIGINALLY FIVE STATES THAT HAD
04:12:11.483 --> 04:12:15.087 region:rollup2
RATE SETTING PROGRAMS.
04:12:13.151 --> 04:12:17.522 region:rollup2
WEST VIRGINIA WAS DIFFERENT
04:12:15.087 --> 04:12:19.524 region:rollup2
BECAUSE WEST VIRGINIA ORIGINALLY
04:12:17.522 --> 04:12:21.026 region:rollup2
ONLY HAD RATE SETTING FOR THE
04:12:19.524 --> 04:12:23.328 region:rollup2
PRIVATE INSURANCE SIDE THEY WERE
04:12:21.026 --> 04:12:24.863 region:rollup2
UNABLE. TO GET THE WAIVERS
04:12:23.328 --> 04:12:26.765 region:rollup2
NECESSARY TO DO RATE SETTING ON
04:12:24.863 --> 04:12:27.966 region:rollup2
THE MEDICARE AND MEDICAID SIDE
04:12:26.765 --> 04:12:29.434 region:rollup2
OF THE EQUATION.
04:12:27.966 --> 04:12:31.069 region:rollup2
ALL OF THE OTHER STATES LET RATE
04:12:29.434 --> 04:12:32.738 region:rollup2
SETTING GO BY THE WAYSIDE AND
04:12:31.069 --> 04:12:33.872 region:rollup2
THE REASON THAT WEST VIRGINIA.
04:12:32.738 --> 04:12:35.273 region:rollup2
HAS NOW BEEN BATTLING FOR THE
04:12:33.872 --> 04:12:37.609 region:rollup2
LAST SEVERAL YEARS AND WAS
04:12:35.273 --> 04:12:38.844 region:rollup2
SUCCESSFUL IN UP REMOVING RATE
04:12:37.609 --> 04:12:40.012 region:rollup2
SETTING IS BECAUSE OF THOSE
04:12:38.844 --> 04:12:42.214 region:rollup2
OTHER TWO BARS.
04:12:40.012 --> 04:12:43.115 region:rollup2
SO THEY'RE EXPERIENCING EXACTLY
04:12:42.214 --> 04:12:45.484 region:rollup2
THE CHALLENGE WE'RE TALKING
04:12:43.115 --> 04:12:46.018 region:rollup2
ABOUT THAT IS WHEN THEY MOVED TO
04:12:45.484 --> 04:12:48.620 region:rollup2
RATE SETTING MEDICARE AND
04:12:46.018 --> 04:12:50.555 region:rollup2
MEDICAID. REIMBURSING IT COST
04:12:48.620 --> 04:12:51.089 region:rollup2
AS MEDICARE AND MEDICAID AND
04:12:50.555 --> 04:12:53.792 region:rollup2
FEDERAL AND STATE BUDGET
04:12:51.089 --> 04:12:55.260 region:rollup2
PRESSURES ABOUT GREW. AS THOSE
04:12:53.792 --> 04:12:56.828 region:rollup2
RATES WENT BELOW COST THEY
04:12:55.260 --> 04:12:58.730 region:rollup2
COULDN'T JUST SET RATES FOR THE
04:12:56.828 --> 04:13:00.832 region:rollup2
PRIVATE SECTOR IT RESULTED IN
04:12:58.730 --> 04:13:02.401 region:rollup2
LOSSES. AND THAT'S WHEN THE
04:13:00.832 --> 04:13:04.169 region:rollup2
HOSPITAL COMMUNITY IN PARTICULAR
04:13:02.401 --> 04:13:05.170 region:rollup2
IN THE STATE OF WEST VIRGINIA
04:13:04.169 --> 04:13:07.973 region:rollup2
MOUNTED AN EFFORT TO HAVE IT
04:13:05.170 --> 04:13:08.607 region:rollup2
REPEAL THE MORE SUCCESS.
04:13:07.973 --> 04:13:10.075 region:rollup2
SO AS WE SEE THIS STORY INTO A
04:13:08.607 --> 04:13:11.910 region:rollup2
FACT WE CAN START TO SEE HOW
04:13:10.075 --> 04:13:12.544 region:rollup2
WHAT'S BEING PRESENTED HERE.
04:13:11.910 --> 04:13:14.112 region:rollup2
IT IS COMING BACK TO A ONE SIZE
04:13:12.544 --> 04:13:15.681 region:rollup2
FITS.
04:13:14.112 --> 04:13:17.683 region:rollup2
ALL WITH LITTLE OPPORTUNITY FOR
04:13:15.681 --> 04:13:19.217 region:rollup2
INJECTION.
04:13:17.683 --> 04:13:20.752 region:rollup2
AND WE ALREADY KNOW THAT MANY OF
04:13:19.217 --> 04:13:22.854 region:rollup2
THE PEOPLE.
04:13:20.752 --> 04:13:24.256 region:rollup2
THAT ARE TRYING TO PROVIDE
04:13:22.854 --> 04:13:26.191 region:rollup2
HEALTHCARE SERVICES TO EVERYONE.
04:13:24.256 --> 04:13:27.793 region:rollup2
THAT DEBT THAT ARE IN NEED AND I
04:13:26.191 --> 04:13:29.861 region:rollup2
REPRESENT THAT RULE AREA THAT
04:13:27.793 --> 04:13:30.362 region:rollup2
YOU. SPEAK ABOUT AND I KNOW IT
04:13:29.861 --> 04:13:32.631 region:rollup2
VERY DEARLY WHEN MOST MY
04:13:30.362 --> 04:13:33.231 region:rollup2
DOCTORS.
04:13:32.631 --> 04:13:33.965 region:rollup2
OR A CLOTHES SHOP BECAUSE THEY
04:13:33.231 --> 04:13:35.033 region:rollup2
CAN'T.
04:13:33.965 --> 04:13:37.235 region:rollup2
STAND BUSINESS IT'S BEEN VERY
04:13:35.033 --> 04:13:39.171 region:rollup2
CHALLENGING.
04:13:37.235 --> 04:13:40.672 region:rollup2
BUT. I FIND IT JUST PERPLEXING
04:13:39.171 --> 04:13:42.741 region:rollup2
HERE THAT THERE'S SO MANY OPEN
04:13:40.672 --> 04:13:43.842 region:rollup2
ENDED QUESTIONS.
04:13:42.741 --> 04:13:45.811 region:rollup2
THAT WERE TRYING TO PUSH A BILL
04:13:43.842 --> 04:13:46.912 region:rollup2
FORWARD.
04:13:45.811 --> 04:13:48.246 region:rollup2
WHEN IS STILL NEEDS MORE TIME TO
04:13:46.912 --> 04:13:49.147 region:rollup2
BE.
04:13:48.246 --> 04:13:51.116 region:rollup2
ADDRESSED.
04:13:49.147 --> 04:13:52.217 region:rollup2
SOME OF THE THINGS THAT I STILL
04:13:51.116 --> 04:13:54.186 region:rollup2
THINK THAT ARE OF CONCERN TO
04:13:52.217 --> 04:13:57.055 region:rollup2
THIS. IS WHEN WE LOOK AT SOME OF
04:13:54.186 --> 04:13:58.890 region:rollup2
THE. SOME OF THESE PLANS.
04:13:57.055 --> 04:13:59.524 region:rollup2
ARE FROM OUT OF STATE AND BY
04:13:58.890 --> 04:14:00.559 region:rollup2
OTHER STATES ARE NOT GOING TO BE
04:13:59.524 --> 04:14:01.960 region:rollup2
MANDATED.
04:14:00.559 --> 04:14:03.528 region:rollup2
UNDER THE SAME TERMS AND
04:14:01.960 --> 04:14:05.497 region:rollup2
CONDITIONS AS THE ONES WITHIN
04:14:03.528 --> 04:14:10.936 region:rollup2
THE STATE HOW COULD YOU ADDRESS
04:14:05.497 --> 04:14:11.737 region:rollup2
THAT FOREST TODAY.
04:14:10.936 --> 04:14:14.573 region:rollup2
MISTER BIGELOW IS YOUR QUESTION
04:14:11.737 --> 04:14:16.341 region:rollup2
AROUND HEALTH PLANS THAT ARE OUT
04:14:14.573 --> 04:14:19.678 region:rollup2
OF STATE HEALTH PLANS YEAH. THE
04:14:16.341 --> 04:14:21.880 region:rollup2
REASON THAT WE'RE FOCUSING ON.
04:14:19.678 --> 04:14:22.781 region:rollup2
REGULATING DOCTORS HOSPITALS AND
04:14:21.880 --> 04:14:25.951 region:rollup2
HEALTH PLANS.
04:14:22.781 --> 04:14:25.951 region:rollup2
AND HAVE.
04:14:26.017 --> 04:14:28.887 region:rollup2
COMMISSION IS DIRECTED TO LOOK
04:14:27.385 --> 04:14:30.655 region:rollup2
AT PRESCRIPTION DRUGS IS BECAUSE
04:14:28.887 --> 04:14:33.391 region:rollup2
IN THE STATE OF CALIFORNIA. WE
04:14:30.655 --> 04:14:35.093 region:rollup2
CAN REGULATE HEALTH PLANS
04:14:33.391 --> 04:14:37.262 region:rollup2
DOCTORS AND HOSPITALS.
04:14:35.093 --> 04:14:38.396 region:rollup2
WE CANNOT. PRESCRIPTIONDRUGS
04:14:37.262 --> 04:14:39.798 region:rollup2
BECAUSE THERE'S FEDERAL
04:14:38.396 --> 04:14:41.233 region:rollup2
PREEMPTION AND THERE'S THE
04:14:39.798 --> 04:14:42.801 region:rollup2
COMMERCE CLAUSE AND LOTS OF.
04:14:41.233 --> 04:14:44.703 region:rollup2
LEGAL ISSUES.
04:14:42.801 --> 04:14:46.938 region:rollup2
AND SO THAT'S ONE OF THE REASON
04:14:44.703 --> 04:14:48.006 region:rollup2
PRESCRIPTION DRUGS ARE OUT BUT.
04:14:46.938 --> 04:14:49.541 region:rollup2
THE STATE HAS THE POWER TO
04:14:48.006 --> 04:14:51.209 region:rollup2
REGULATE HEALTH PLANS AND SO
04:14:49.541 --> 04:14:52.277 region:rollup2
THAT'S WHAT THEY ARE GOING TO.
04:14:51.209 --> 04:14:53.612 region:rollup2
DO IF THEY ARE SELLING IN
04:14:52.277 --> 04:14:54.146 region:rollup2
CALIFORNIA THAN THEY ARE
04:14:53.612 --> 04:14:55.547 region:rollup2
REGULATED BY THE STATE OF
04:14:54.146 --> 04:14:59.985 region:rollup2
CALIFORNIA.
04:14:55.547 --> 04:15:02.587 region:rollup2
CAN.
04:14:59.985 --> 04:15:04.723 region:rollup2
SO WE CAN'T WE DON'T HAVE TO
04:15:02.587 --> 04:15:06.491 region:rollup2
WORRY ABOUT OUR STATE ENTITIES
04:15:04.723 --> 04:15:07.526 region:rollup2
BEING ABLE TO PROVIDE CERTAIN
04:15:06.491 --> 04:15:10.228 region:rollup2
THINGS IN THE STATE OF
04:15:07.526 --> 04:15:11.329 region:rollup2
CALIFORNIA AND NOT BE REGULATED.
04:15:10.228 --> 04:15:16.768 region:rollup2
AND GET A DIFFERENT VALUE. ON
04:15:11.329 --> 04:15:19.271 region:rollup2
RETURN.
04:15:16.768 --> 04:15:21.640 region:rollup2
NO THE PLANTS THAT ARE PROVIDE
04:15:19.271 --> 04:15:22.974 region:rollup2
AIR IN CALIFORNIA ARE REGULATED
04:15:21.640 --> 04:15:23.909 region:rollup2
EVERITT THERE HAVE CALIFORNIA
04:15:22.974 --> 04:15:25.010 region:rollup2
ENROLLEES ARE REGULATED BY THE
04:15:23.909 --> 04:15:26.111 region:rollup2
STATE WHEN ASKING A DIFFERENT
04:15:25.010 --> 04:15:27.879 region:rollup2
WAY ARE FEDERAL CONSUMER
04:15:26.111 --> 04:15:32.250 region:rollup2
PROTECTION LAWS AS STRONG AS
04:15:27.879 --> 04:15:33.818 region:rollup2
CALIFORNIA BECAUSE.
04:15:32.250 --> 04:15:35.854 region:rollup2
AND WHAT THE CALIPHATE FOR
04:15:33.818 --> 04:15:36.922 region:rollup2
PLANTS THAT ARE REGULATED IN
04:15:35.854 --> 04:15:38.423 region:rollup2
HEALTH PLANS REGULATE IN THE
04:15:36.922 --> 04:15:39.357 region:rollup2
STATE OF CALIFORNIA ARE SUBJECT
04:15:38.423 --> 04:15:40.659 region:rollup2
TO THE CONSUMER PROTECTIONS
04:15:39.357 --> 04:15:42.894 region:rollup2
CALIFORNIA.
04:15:40.659 --> 04:15:44.329 region:rollup2
ARE.
04:15:42.894 --> 04:15:48.466 region:rollup2
OUR PATIENTS PROTECTED FROM A
04:15:44.329 --> 04:15:50.669 region:rollup2
BALANCED BILLING.
04:15:48.466 --> 04:15:51.870 region:rollup2
AB SEVENTY TO WHICH THERE IS CO
04:15:50.669 --> 04:15:53.605 region:rollup2
AUTHORS HERE.
04:15:51.870 --> 04:15:55.740 region:rollup2
PROTECTS CONSUMERS FROM
04:15:53.605 --> 04:15:56.274 region:rollup2
SURPRISE MEDICAL BILLS SO WE'RE
04:15:55.740 --> 04:15:57.943 region:rollup2
NOT GONNA HAVE A CONFLICT
04:15:56.274 --> 04:15:59.778 region:rollup2
BETWEEN FEDERAL. LAWS AND
04:15:57.943 --> 04:16:01.580 region:rollup2
CALIFORNIA'S.
04:15:59.778 --> 04:16:02.647 region:rollup2
MAYBE YOU GUYS CAN MAYBE IT GOT
04:16:01.580 --> 04:16:04.449 region:rollup2
YOU'RE REFERRING TO ADDRESS A
04:16:02.647 --> 04:16:05.750 region:rollup2
PLAN. I CANNOT I CAN REFER TO IT
04:16:04.449 --> 04:16:06.685 region:rollup2
AS A RESULT YEAH I WANT TO NAME
04:16:05.750 --> 04:16:08.820 region:rollup2
ANY.
04:16:06.685 --> 04:16:11.056 region:rollup2
IS THAT WE DON'T GET IT TO COME.
04:16:08.820 --> 04:16:13.425 region:rollup2
YEAH THERE'S A LOT OF A LOT OF
04:16:11.056 --> 04:16:15.527 region:rollup2
AND EMPLOYERS HAVE ARE SELF
04:16:13.425 --> 04:16:16.962 region:rollup2
INSURED A LOT OF UNIONS HAVE
04:16:15.527 --> 04:16:18.230 region:rollup2
LABOR MANAGEMENT TRUST FUNDS.
04:16:16.962 --> 04:16:19.598 region:rollup2
THOSE ARE SOMETIMES REFERRED TO
04:16:18.230 --> 04:16:22.234 region:rollup2
AS A RISK APPLY ANSWER TAPPED
04:16:19.598 --> 04:16:24.436 region:rollup2
PARTIES OR SELF INSURED PLANS.
04:16:22.234 --> 04:16:26.171 region:rollup2
THOSE ARE REGULATED BY THE
04:16:24.436 --> 04:16:27.672 region:rollup2
DEPARTMENT OF LABOR UNDER
04:16:26.171 --> 04:16:30.775 region:rollup2
SOMETHING CALLED THE RISA.
04:16:27.672 --> 04:16:32.744 region:rollup2
AND ARISTA PLANS ARE NOT
04:16:30.775 --> 04:16:33.778 region:rollup2
SUBJECT TO REGULATION BY THE
04:16:32.744 --> 04:16:35.213 region:rollup2
STATE OF CALIFORNIA.
04:16:33.778 --> 04:16:37.382 region:rollup2
.
04:16:35.213 --> 04:16:40.485 region:rollup2
THE BUT THE WAY THAT THIS BILL
04:16:37.382 --> 04:16:43.855 region:rollup2
IS CRAFTED IS THAT RISA PLANS
04:16:40.485 --> 04:16:45.390 region:rollup2
CAN OPT IN TO HAVING THE RATES
04:16:43.855 --> 04:16:47.325 region:rollup2
THAT ARE AT THE BASE AMOUNTS
04:16:45.390 --> 04:16:49.094 region:rollup2
THAT ARE SET BY THE COMMISSION.
04:16:47.325 --> 04:16:52.197 region:rollup2
BUT IT DOES NOT IN ANY WAY
04:16:49.094 --> 04:16:53.932 region:rollup2
IMPOSE UPON OR REGULATE SELF
04:16:52.197 --> 04:16:55.333 region:rollup2
INSURED AGGRESSIVE PLANS BECAUSE
04:16:53.932 --> 04:16:57.269 region:rollup2
THAT WOULD BE PREEMPTED BY THE
04:16:55.333 --> 04:16:58.536 region:rollup2
STATE OF CALIFORNIA.
04:16:57.269 --> 04:16:59.871 region:rollup2
THANK YOU COULD YOU MAYBE
04:16:58.536 --> 04:17:00.939 region:rollup2
ADDRESS THAT ES DE ANOTHER
04:16:59.871 --> 04:17:01.840 region:rollup2
CONCERN THAT WE HAVE THERE'S
04:17:00.939 --> 04:17:03.008 region:rollup2
ABOUT SIX MILLION LIVES
04:17:01.840 --> 04:17:04.476 region:rollup2
CURRENTLY AT THAT ARE ON A
04:17:03.008 --> 04:17:05.543 region:rollup2
RESERVE PLANS OVER SUPPLANTED
04:17:04.476 --> 04:17:06.678 region:rollup2
NOT REGULATED BY THE STATE OF
04:17:05.543 --> 04:17:08.179 region:rollup2
CALIFORNIA THAT MEANS I'M NOT
04:17:06.678 --> 04:17:09.648 region:rollup2
KEEN PROTECTIONS DON'T APPLY TO
04:17:08.179 --> 04:17:11.616 region:rollup2
THEM SO YES THEY COULD. HAVE
04:17:09.648 --> 04:17:12.584 region:rollup2
DIFFERENT LEVELS OF OF BENEFITS
04:17:11.616 --> 04:17:14.719 region:rollup2
STRUCTURE.
04:17:12.584 --> 04:17:16.755 region:rollup2
OF POOR BELOW WHAT CALIFORNIA
04:17:14.719 --> 04:17:18.290 region:rollup2
OFFERS A INDEED THE RESUPPLY
04:17:16.755 --> 04:17:19.925 region:rollup2
ENDS ACTUALLY CAN CAN AVAIL
04:17:18.290 --> 04:17:21.493 region:rollup2
THEMSELVES OF THE RATE SET BY
04:17:19.925 --> 04:17:22.727 region:rollup2
THIS COMMISSION WITHOUT IT
04:17:21.493 --> 04:17:24.162 region:rollup2
HEARING TWENTY THE CONSUMER
04:17:22.727 --> 04:17:25.830 region:rollup2
PROTECTIONS OF THE STATE OF
04:17:24.162 --> 04:17:27.032 region:rollup2
CALIFORNIA. AND THAT AND THAT'S
04:17:25.830 --> 04:17:27.699 region:rollup2
JUST A FACT.
04:17:27.032 --> 04:17:28.700 region:rollup2
OKAY READ MISTER CHAIRMAN THANK
04:17:27.699 --> 04:17:30.769 region:rollup2
YOU VERY MUCH FOR GIVING ME A
04:17:28.700 --> 04:17:31.770 region:rollup2
LITTLE EXTRA TIME.
04:17:30.769 --> 04:17:32.971 region:rollup2
WE'RE GONNA WE'RE GONNA MOVE
04:17:31.770 --> 04:17:34.439 region:rollup2
ALONG AND ASK THAT IN FUTURE
04:17:32.971 --> 04:17:36.408 region:rollup2
QUESTIONS THAT WE HAVE ONE
04:17:34.439 --> 04:17:37.876 region:rollup2
MEMBER OF THE. UP SUPPORT ONE
04:17:36.408 --> 04:17:39.477 region:rollup2
MEMBER FROM OPPOSITION
04:17:37.876 --> 04:17:41.913 region:rollup2
RESPOND TO THE QUESTION NOT ALL
04:17:39.477 --> 04:17:42.480 region:rollup2
THREE AND SO WE CAN GET WE GOT
04:17:41.913 --> 04:17:44.049 region:rollup2
WE WE NEED TO WE NEED TO GET
04:17:42.480 --> 04:17:45.617 region:rollup2
THROUGH.
04:17:44.049 --> 04:17:46.518 region:rollup2
A LOT MORE BILLS AT TODAY TO AND
04:17:45.617 --> 04:17:47.585 region:rollup2
WE'RE ALMOST TWO HOURS AND OUR
04:17:46.518 --> 04:17:49.321 region:rollup2
DISCUSSION I DO NOT WANT TO
04:17:47.585 --> 04:17:50.255 region:rollup2
LIMIT THE DISCUSSION I THINK
04:17:49.321 --> 04:17:52.190 region:rollup2
THESE ARE IMPORTANT QUESTIONS
04:17:50.255 --> 04:17:54.526 region:rollup2
BUT. QUESTIONS BEEN ANSWERED
04:17:52.190 --> 04:17:56.461 region:rollup2
PLEASE DON'T ASK IT AGAIN.
04:17:54.526 --> 04:17:58.430 region:rollup2
SO THE NEXT PERSON TO ASK GO
04:17:56.461 --> 04:18:00.332 region:rollup2
WILL BE MISSED BURKE AND ON DECK
04:17:58.430 --> 04:18:00.932 region:rollup2
IS MISTER BONTA WON'T.
04:18:00.332 --> 04:18:02.600 region:rollup2
PEOPLE KNOW WHERE THEY ARE IN
04:18:00.932 --> 04:18:04.102 region:rollup2
THE QUEUE SO.
04:18:02.600 --> 04:18:05.403 region:rollup2
SO I HAVE TWO QUESTIONS THERE
04:18:04.102 --> 04:18:06.805 region:rollup2
PRETTY MUCH THE SAME QUESTIONS I
04:18:05.403 --> 04:18:07.939 region:rollup2
ASKED THE SPONSORS WHEN THEY
04:18:06.805 --> 04:18:08.673 region:rollup2
CAME TO MY OFFICE AND THEN I
04:18:07.939 --> 04:18:10.675 region:rollup2
HAVE A COUPLE COMMENTS FOR
04:18:08.673 --> 04:18:12.644 region:rollup2
OPPOSITION I'M MAKING QUESTION
04:18:10.675 --> 04:18:13.211 region:rollup2
STILL CONTINUES TO BE WHAT IS
04:18:12.644 --> 04:18:14.245 region:rollup2
YOUR PROJECTED SAVINGS WITH
04:18:13.211 --> 04:18:17.549 region:rollup2
THIS.
04:18:14.245 --> 04:18:19.551 region:rollup2
PROGRAM AND THEN OR WITH THIS.
04:18:17.549 --> 04:18:20.185 region:rollup2
GROUP AND THEN MY OTHER QUESTION
04:18:19.551 --> 04:18:22.220 region:rollup2
WHICH IS STILL PRAYER THE SAME
04:18:20.185 --> 04:18:23.888 region:rollup2
QUESTION IS EITHER I DO HAVE
04:18:22.220 --> 04:18:25.857 region:rollup2
SOME CONCERN NOT TOO DIFFERENT
04:18:23.888 --> 04:18:27.759 region:rollup2
FROM MR BIGELOW IS THAT THERE'S
04:18:25.857 --> 04:18:28.326 region:rollup2
THIS I'M GETTING THE SENSE AND
04:18:27.759 --> 04:18:29.427 region:rollup2
ACTUALLY MISTER CHAIRMAN AS
04:18:28.326 --> 04:18:30.695 region:rollup2
WELL.
04:18:29.427 --> 04:18:31.363 region:rollup2
IS I'M GETTING THE SENSE THAT
04:18:30.695 --> 04:18:33.765 region:rollup2
THERE HASN'T BEEN A REAL
04:18:31.363 --> 04:18:35.567 region:rollup2
STAKEHOLDER PROCESS AND AND WHAT
04:18:33.765 --> 04:18:37.569 region:rollup2
CONCERNS ME NOW IS THAT.
04:18:35.567 --> 04:18:38.737 region:rollup2
DO YOU HAVE ANY MODELING ON WHAT
04:18:37.569 --> 04:18:41.139 region:rollup2
THE EFFECT THIS WILL HAVE ON
04:18:38.737 --> 04:18:43.675 region:rollup2
HOSPITALS CAN YOU SHOW US. THE
04:18:41.139 --> 04:18:45.410 region:rollup2
ACTUAL BALANCE SHEET OR HOW YOU
04:18:43.675 --> 04:18:46.878 region:rollup2
PROJECT THIS WILL WORK WITH THE
04:18:45.410 --> 04:18:48.446 region:rollup2
FOUR HUNDRED DIFFERENT KINDS OF
04:18:46.878 --> 04:18:50.148 region:rollup2
HOSPITALS THAT WE HAVE HERE IN
04:18:48.446 --> 04:18:52.050 region:rollup2
THE STATE OF CALIFORNIA. AND
04:18:50.148 --> 04:18:53.785 region:rollup2
THEN MY NEXT QUESTION IS YOU SAY
04:18:52.050 --> 04:18:56.121 region:rollup2
THIS IS GOING TO ALLOW MORE
04:18:53.785 --> 04:18:58.189 region:rollup2
ACCESS FOR URBAN AND RURAL
04:18:56.121 --> 04:18:58.757 region:rollup2
COMMUNITIES HOWEVER YET I SEE
04:18:58.189 --> 04:18:59.758 region:rollup2
NONE OF THEM HERE SUPPORTING
04:18:58.757 --> 04:19:01.926 region:rollup2
YOU.
04:18:59.758 --> 04:19:04.396 region:rollup2
AND THAT GIVES ME GREAT PAUSE.
04:19:01.926 --> 04:19:05.230 region:rollup2
SO THOSE ARE MY QUESTIONS.
04:19:04.396 --> 04:19:09.467 region:rollup2
FOR THE SUPPORTERS AND THEN I AM
04:19:05.230 --> 04:19:11.669 region:rollup2
A FEW QUESTIONS FOR THE.
04:19:09.467 --> 04:19:12.704 region:rollup2
SO ON THE OVERALL PROJECTED
04:19:11.669 --> 04:19:15.407 region:rollup2
SAVINGS.
04:19:12.704 --> 04:19:17.876 region:rollup2
AND MODELING QUESTION.
04:19:15.407 --> 04:19:21.379 region:rollup2
WE WERE PURPOSEFUL IN NOT
04:19:17.876 --> 04:19:24.215 region:rollup2
SETTING THIS AS A CAP BILL.
04:19:21.379 --> 04:19:26.384 region:rollup2
THERE'S NOT A A SPECIFIC
04:19:24.215 --> 04:19:28.353 region:rollup2
TARGETED MEDICARE RATE THAT WE
04:19:26.384 --> 04:19:30.288 region:rollup2
SET MAY RATES THAT THAT WOULD
04:19:28.353 --> 04:19:32.991 region:rollup2
HAVE BEEN ONE APPROACH THERE IS
04:19:30.288 --> 04:19:35.126 region:rollup2
NOT ONE OVERALL SORT OF.
04:19:32.991 --> 04:19:36.861 region:rollup2
SAVINGS NUMBER THAT WE'RE AIMING
04:19:35.126 --> 04:19:39.364 region:rollup2
FOR HERE BECAUSE WE DON'T
04:19:36.861 --> 04:19:41.733 region:rollup2
BELIEVE THAT IT IS PRUDENT.
04:19:39.364 --> 04:19:44.002 region:rollup2
TO CUT FOR THE SAKE OF CUTTING
04:19:41.733 --> 04:19:46.371 region:rollup2
THERE IS A REASON THAT THIS IS
04:19:44.002 --> 04:19:48.406 region:rollup2
ABOUT BOTH IMPROVING ACCESS AND
04:19:46.371 --> 04:19:51.476 region:rollup2
QUALITY IN HEALTH CARE WHILE
04:19:48.406 --> 04:19:53.645 region:rollup2
ALSO CONSTRAINING UNREASONABLE.
04:19:51.476 --> 04:19:55.079 region:rollup2
PRICE INCREASES THEY'RE NOT
04:19:53.645 --> 04:19:56.247 region:rollup2
TIED TO OUTCOMES THAT ARE NOT
04:19:55.079 --> 04:19:58.316 region:rollup2
TIED TO QUALITY THAT ARE TIED TO
04:19:56.247 --> 04:19:59.984 region:rollup2
UTILIZATION.
04:19:58.316 --> 04:20:01.986 region:rollup2
WE DON'T PRESUME TO KNOW WHAT
04:19:59.984 --> 04:20:03.521 region:rollup2
THAT IS IN A COMPLEX HEALTHCARE
04:20:01.986 --> 04:20:06.691 region:rollup2
MARKET
04:20:03.521 --> 04:20:07.892 region:rollup2
RATHER THE BILL IS VERY MARYLAND
04:20:06.691 --> 04:20:10.195 region:rollup2
INSPIRED.
04:20:07.892 --> 04:20:11.663 region:rollup2
BUT THE BILL SORT OF REVISITS
04:20:10.195 --> 04:20:13.631 region:rollup2
MARILYN'S EXPERIENCE THEY
04:20:11.663 --> 04:20:14.599 region:rollup2
STARTED IN NINETEEN SEVENTY ONE
04:20:13.631 --> 04:20:16.334 region:rollup2
WHEN THE HEALTH CARE ENVIRONMENT
04:20:14.599 --> 04:20:18.703 region:rollup2
WAS QUITE DIFFERENT.
04:20:16.334 --> 04:20:21.539 region:rollup2
AND WE ASK OURSELVES WHAT WOULD
04:20:18.703 --> 04:20:24.209 region:rollup2
MARILYN DO IN TWENTY EIGHTEEN WE
04:20:21.539 --> 04:20:25.944 region:rollup2
HAVE A SENSE OF THAT THEY ARE
04:20:24.209 --> 04:20:29.047 region:rollup2
LOOKING TO PULL WITHIN THEIR
04:20:25.944 --> 04:20:30.281 region:rollup2
COMMISSION. PHYSICIAN COSTS
04:20:29.047 --> 04:20:32.684 region:rollup2
PRESCRIPTION DRUG COSTS TO THE
04:20:30.281 --> 04:20:35.687 region:rollup2
EXTENT ALLOWED BY FEDERAL LAW.
04:20:32.684 --> 04:20:37.055 region:rollup2
AND OUTPATIENT COSTS AND
04:20:35.687 --> 04:20:38.790 region:rollup2
SERVICES INCLUDING OF A GLOBAL
04:20:37.055 --> 04:20:41.126 region:rollup2
CAP.
04:20:38.790 --> 04:20:42.894 region:rollup2
IN MARILYN'S EXPERIENCE THE DID
04:20:41.126 --> 04:20:44.262 region:rollup2
NOT START WITH ALL PEERS
04:20:42.894 --> 04:20:46.197 region:rollup2
THE LAW WAS PASSED IN NINETEEN
04:20:44.262 --> 04:20:48.099 region:rollup2
SEVENTY ONE. AND IT TOOK UNTIL
04:20:46.197 --> 04:20:50.735 region:rollup2
NINETEEN SEVENTY SEVEN FOR THEM
04:20:48.099 --> 04:20:52.437 region:rollup2
TO GET THE NECESSARY WAIVERS TO
04:20:50.735 --> 04:20:53.438 region:rollup2
PULL IN THE PUBLIC PROGRAMS BUT
04:20:52.437 --> 04:20:54.806 region:rollup2
IT PRECEDED ANYWAY WITH SETTING
04:20:53.438 --> 04:20:58.276 region:rollup2
RATES.
04:20:54.806 --> 04:20:59.644 region:rollup2
WE UNDERSTAND THAT THE COST
04:20:58.276 --> 04:21:01.079 region:rollup2
DRIVERS AND HEALTH CARE ARE A
04:20:59.644 --> 04:21:03.248 region:rollup2
FUNCTION OF MUCH MORE THAN
04:21:01.079 --> 04:21:04.983 region:rollup2
HOSPITAL COSTS IN A VACUUM.
04:21:03.248 --> 04:21:06.851 region:rollup2
YOU DO HAVE TO FACTOR IN OTHER
04:21:04.983 --> 04:21:09.354 region:rollup2
COMPONENTS
04:21:06.851 --> 04:21:11.389 region:rollup2
SO THE PART OF THE REASON WHY WE
04:21:09.354 --> 04:21:13.091 region:rollup2
DID THE THE REVIEW OF LITERATURE
04:21:11.389 --> 04:21:14.626 region:rollup2
IN THE OUTCOMES IN THE SUCCESSES
04:21:13.091 --> 04:21:16.895 region:rollup2
AND WHAT WORKED AND WHAT DIDN'T.
04:21:14.626 --> 04:21:19.230 region:rollup2
OVER THE COURSE OF FORTY YEARS
04:21:16.895 --> 04:21:21.399 region:rollup2
AGO. YOU KNOW EXPERIMENT WITH.
04:21:19.230 --> 04:21:22.734 region:rollup2
REGULATING THE INDUSTRY THE
04:21:21.399 --> 04:21:24.802 region:rollup2
REGULATION WORKED
04:21:22.734 --> 04:21:26.671 region:rollup2
ACTUALLY AND IN MARYLAND IT
04:21:24.802 --> 04:21:29.040 region:rollup2
WORKED PARTICULARLY WELL DUE TO
04:21:26.671 --> 04:21:30.909 region:rollup2
THE FLEXIBILITY BECAUSE IT WAS
04:21:29.040 --> 04:21:32.710 region:rollup2
NOT OVERLY PRESCRIPTIVE.
04:21:30.909 --> 04:21:36.214 region:rollup2
BECAUSE IT ALLOWED FOR THE
04:21:32.710 --> 04:21:37.949 region:rollup2
COMMISSION TO SHIFT OVER TIME.
04:21:36.214 --> 04:21:39.751 region:rollup2
THE PROBLEM IS THAT IT WAS
04:21:37.949 --> 04:21:41.085 region:rollup2
FOCUSED SOLELY ON HOSPITALS AND
04:21:39.751 --> 04:21:42.520 region:rollup2
NOT ON THE BROADER HEALTH CARE
04:21:41.085 --> 04:21:44.088 region:rollup2
SYSTEM WHICH THEY ARE NOW TRYING
04:21:42.520 --> 04:21:46.991 region:rollup2
TO FIX.
04:21:44.088 --> 04:21:47.592 region:rollup2
AND SO THE SHORT ANSWER IS IT'S
04:21:46.991 --> 04:21:49.160 region:rollup2
HARD TO GIVE YOU AN ANSWER
04:21:47.592 --> 04:21:50.495 region:rollup2
BECAUSE PART OF WHAT WE'RE
04:21:49.160 --> 04:21:52.096 region:rollup2
TRYING TO ACHIEVE HERE IS
04:21:50.495 --> 04:21:53.831 region:rollup2
PRECISELY THE OPPOSITE OF ONE
04:21:52.096 --> 04:21:55.500 region:rollup2
SIZE FITS ALL. WE COULD HAVE
04:21:53.831 --> 04:21:58.136 region:rollup2
GONE THAT ROUTE WE DIDN'T WE'RE
04:21:55.500 --> 04:22:00.138 region:rollup2
TRYING TO BE CAREFUL ABOUT
04:21:58.136 --> 04:22:02.207 region:rollup2
ENSURING THAT THIS REALLY IS
04:22:00.138 --> 04:22:04.409 region:rollup2
ABOUT ENSURING ACCESS. AND
04:22:02.207 --> 04:22:05.977 region:rollup2
CORRECTING FOR MARKET FAILURES
04:22:04.409 --> 04:22:08.479 region:rollup2
IN THE HEALTHCARE SYSTEM WHICH
04:22:05.977 --> 04:22:10.882 region:rollup2
ARE EVIDENT IN. UNNECESSARY
04:22:08.479 --> 04:22:13.384 region:rollup2
HOSPITAL CLOSURES BECAUSE A
04:22:10.882 --> 04:22:14.986 region:rollup2
PROVIDER CAN'T COMPETE BECAUSE
04:22:13.384 --> 04:22:16.421 region:rollup2
THEY'RE IN A REGION THAT IS TOO
04:22:14.986 --> 04:22:18.156 region:rollup2
POOR.
04:22:16.421 --> 04:22:21.492 region:rollup2
TO ATTRACT PHYSICIANS AND
04:22:18.156 --> 04:22:22.427 region:rollup2
COMMERCIAL PAYMENTS TO IT.
04:22:21.492 --> 04:22:24.362 region:rollup2
SO I DON'T KNOW THAT ANSWER THE
04:22:22.427 --> 04:22:26.898 region:rollup2
QUESTION.
04:22:24.362 --> 04:22:28.299 region:rollup2
HONESTLY I THINK.
04:22:26.898 --> 04:22:29.500 region:rollup2
AND THIS IS A HUGE HIT WITH THE
04:22:28.299 --> 04:22:30.501 region:rollup2
RECORD OF WHAT YOU ARE ASKING
04:22:29.500 --> 04:22:32.904 region:rollup2
FOR IS IS.
04:22:30.501 --> 04:22:34.906 region:rollup2
MONUMENTAL.
04:22:32.904 --> 04:22:36.541 region:rollup2
AND TO NOT HAVE HAD A PROCESS I
04:22:34.906 --> 04:22:37.742 region:rollup2
DON'T THINK YOU DO RESPONDED TO
04:22:36.541 --> 04:22:39.344 region:rollup2
THE STAKEHOLDER PROCESS EITHER
04:22:37.742 --> 04:22:40.645 region:rollup2
TO HAVE A PROCESS IN WHICH YOU
04:22:39.344 --> 04:22:41.746 region:rollup2
HAVE NOT INCLUDED STAKEHOLDERS
04:22:40.645 --> 04:22:43.815 region:rollup2
OF WHICH YOU'RE TALKING ABOUT
04:22:41.746 --> 04:22:45.783 region:rollup2
FOUR HUNDRED HOSPITALS. AND WORK
04:22:43.815 --> 04:22:47.385 region:rollup2
TOGETHER TO GET TO WHAT ARE THE
04:22:45.783 --> 04:22:48.987 region:rollup2
REALISTIC THERE ARE I MEAN A
04:22:47.385 --> 04:22:50.888 region:rollup2
BALANCE SHEET IS NOT CONJECTURED
04:22:48.987 --> 04:22:52.323 region:rollup2
THAT IS NUMBERS THAT YOU HAVE TO
04:22:50.888 --> 04:22:53.491 region:rollup2
ADD TOGETHER TO MAKE SURE YOU'RE
04:22:52.323 --> 04:22:55.159 region:rollup2
NOT THE RIGHT. TO MAKE SURE
04:22:53.491 --> 04:22:56.461 region:rollup2
YOU'RE MEMBERS ARE PAID WHAT
04:22:55.159 --> 04:22:57.629 region:rollup2
THEY DESERVE TO BE PAID WHICH I
04:22:56.461 --> 04:23:00.265 region:rollup2
BELIEVE IT.
04:22:57.629 --> 04:23:01.866 region:rollup2
SO IT GIVES ME GREAT PAUSE THAT
04:23:00.265 --> 04:23:03.301 region:rollup2
THAT PROCESS HAS NOT HAPPENED
04:23:01.866 --> 04:23:04.869 region:rollup2
IT'S AN IMPORTANT PROCESS WAS
04:23:03.301 --> 04:23:06.371 region:rollup2
AND I DO AT NO ONE LIKES DOING
04:23:04.869 --> 04:23:08.139 region:rollup2
IT IT'S HARD WORK IT TAKES A LOT
04:23:06.371 --> 04:23:09.674 region:rollup2
OF TIME. AND YES IT DOES NOT
04:23:08.139 --> 04:23:11.409 region:rollup2
FALL ALWAYS IN OUR DEADLINES TO
04:23:09.674 --> 04:23:13.278 region:rollup2
DO THINGS IN THIS YEAR BUT WITH
04:23:11.409 --> 04:23:15.013 region:rollup2
SOMETHING THIS BIG IT SHOULD BE
04:23:13.278 --> 04:23:16.314 region:rollup2
WRITTEN IRRESPONSIBILITY.
04:23:15.013 --> 04:23:18.983 region:rollup2
SO THAT IS NOT ONE THAT'S THE
04:23:16.314 --> 04:23:20.151 region:rollup2
FIRST THING I AT GALLAGHER HAD.
04:23:18.983 --> 04:23:22.654 region:rollup2
IF I COULD JUST RESPOND TO THAT
04:23:20.151 --> 04:23:24.389 region:rollup2
THE TWO QUESTIONS WHAT ONE IS ON
04:23:22.654 --> 04:23:25.523 region:rollup2
HOW MUCH YOU EXPECT TO SAY WELL.
04:23:24.389 --> 04:23:26.591 region:rollup2
THAT'S WHAT WE'RE DOING HERE
04:23:25.523 --> 04:23:28.459 region:rollup2
THAT WE WERE ACTUALLY SETTING
04:23:26.591 --> 04:23:29.727 region:rollup2
RATES RIGHT HERE RIGHT NOW I CAN
04:23:28.459 --> 04:23:31.696 region:rollup2
TELL YOU WE'RE GONNA SAVE X.
04:23:29.727 --> 04:23:32.664 region:rollup2
BILLIONS X. MILLIONS. AND AND
04:23:31.696 --> 04:23:33.898 region:rollup2
WE'RE GONNA GIVE THIS MUCH
04:23:32.664 --> 04:23:36.200 region:rollup2
ACCESS.
04:23:33.898 --> 04:23:38.069 region:rollup2
THAT IS UP.
04:23:36.200 --> 04:23:39.671 region:rollup2
A FALSEHOOD COULD CHART BUT
04:23:38.069 --> 04:23:41.272 region:rollup2
THERE CHOOSING A NUMBER ENDING
04:23:39.671 --> 04:23:43.574 region:rollup2
THAT WE'RE NOT DOING THAT.
04:23:41.272 --> 04:23:44.542 region:rollup2
IF WE DID THAT ARM THE BILL TO
04:23:43.574 --> 04:23:45.543 region:rollup2
GIVE YOU THOSE ARE THOSE NUMBERS
04:23:44.542 --> 04:23:46.878 region:rollup2
TO BE OUT AS WE DON'T WANT TO DO
04:23:45.543 --> 04:23:48.012 region:rollup2
THAT WE THAT'S IDEA OF GETTING
04:23:46.878 --> 04:23:49.580 region:rollup2
EXPERTS.
04:23:48.012 --> 04:23:51.115 region:rollup2
TO ACTUALLY SET THE RATES SET
04:23:49.580 --> 04:23:52.383 region:rollup2
THE BASEMENTS OF THE JUST AMAZED
04:23:51.115 --> 04:23:54.352 region:rollup2
ALLOW THE FLEXIBILITY
04:23:52.383 --> 04:23:55.987 region:rollup2
AT THE END OF THE DAY MAY BE
04:23:54.352 --> 04:23:57.155 region:rollup2
COSTLY FLAT WHERE THEY ARE. AND
04:23:55.987 --> 04:23:58.556 region:rollup2
THEY WON'T GO UP TEN PERCENT A
04:23:57.155 --> 04:23:59.157 region:rollup2
YEAR THE MIKE WHAT THREE PERCENT
04:23:58.556 --> 04:24:00.758 region:rollup2
A YEAR WHICH YOU'RE SUGGESTING
04:23:59.157 --> 04:24:02.193 region:rollup2
IT'S COSTING TOO.
04:24:00.758 --> 04:24:03.327 region:rollup2
YOU'RE SELLING IT AS COST
04:24:02.193 --> 04:24:05.530 region:rollup2
CONTAINMENT AND THAT IS COST
04:24:03.327 --> 04:24:07.098 region:rollup2
CONTAINMENT SO MIKE MINE CURIOUS
04:24:05.530 --> 04:24:08.800 region:rollup2
I GUESS FURTHER AGAIN IS NOT THE
04:24:07.098 --> 04:24:10.435 region:rollup2
QUESTION IS IF IN FACT THIS IS
04:24:08.800 --> 04:24:12.537 region:rollup2
COST CONTAINMENT IN THAN FACT
04:24:10.435 --> 04:24:14.539 region:rollup2
THIS WILL GIVE. MORE ACCESS TO
04:24:12.537 --> 04:24:15.873 region:rollup2
URBAN AND RURAL COMMUNITIES HAVE
04:24:14.539 --> 04:24:17.475 region:rollup2
YOU I MEAN THERE SHOULD BE ONE
04:24:15.873 --> 04:24:18.509 region:rollup2
HOSPITAL THERE SHOULD BE ONE
04:24:17.475 --> 04:24:20.078 region:rollup2
THAT WOULD BE WILLING TO GO
04:24:18.509 --> 04:24:21.612 region:rollup2
THROUGH WITH YOU AND AND AND SEE
04:24:20.078 --> 04:24:22.947 region:rollup2
WHAT THIS ACTUAL PROCESS WOULD
04:24:21.612 --> 04:24:24.382 region:rollup2
LOOK LIKE WITH YOUR EXPERTS.
04:24:22.947 --> 04:24:25.383 region:rollup2
BEFORE WE MOVE THIS BILL INTO
04:24:24.382 --> 04:24:26.784 region:rollup2
ACTION
04:24:25.383 --> 04:24:28.553 region:rollup2
WHAT I'M NOT SURE WHY WE WOULD
04:24:26.784 --> 04:24:31.255 region:rollup2
WHY WE WOULD DO THIS WITHOUT ANY
04:24:28.553 --> 04:24:33.191 region:rollup2
DATA OR ANY ACTUAL ACTUAL
04:24:31.255 --> 04:24:34.125 region:rollup2
NUMBERS AT THIS IS THAT THIS IS
04:24:33.191 --> 04:24:35.993 region:rollup2
NOT SOMETHING THAT IS.
04:24:34.125 --> 04:24:37.261 region:rollup2
.
04:24:35.993 --> 04:24:39.363 region:rollup2
THIS IS NOT SOMETHING THAT'S TO
04:24:37.261 --> 04:24:40.531 region:rollup2
BE TAKEN LIGHTLY. AND WHEN A
04:24:39.363 --> 04:24:42.100 region:rollup2
HOSPITAL IT'S GOING TO GOING TO
04:24:40.531 --> 04:24:43.167 region:rollup2
THE RED BOOK FOR A FIRST OF ALL
04:24:42.100 --> 04:24:44.369 region:rollup2
THERE ARE NUMBER HAAS WAS IN THE
04:24:43.167 --> 04:24:45.636 region:rollup2
BED THEIR NUMBER OF HOSTELS THAT
04:24:44.369 --> 04:24:48.306 region:rollup2
ARE CLOSE INCLUDING MY OWN
04:24:45.636 --> 04:24:49.507 region:rollup2
BACKYARD. ENDS AND SO THAT'S
04:24:48.306 --> 04:24:51.275 region:rollup2
ALREADY HAPPENING BUT I WILL SAY
04:24:49.507 --> 04:24:52.009 region:rollup2
THIS CLUB IS THE TOLL OF THE
04:24:51.275 --> 04:24:54.045 region:rollup2
JIMMY CONCERN.
04:24:52.009 --> 04:24:55.947 region:rollup2
ONE IS A REASON WHY WE PUT INTO
04:24:54.045 --> 04:24:57.048 region:rollup2
PLACE THAT OF THE BILL AND THEN
04:24:55.947 --> 04:24:58.583 region:rollup2
I WANT TO THANK THE CHAIR WHO
04:24:57.048 --> 04:25:00.151 region:rollup2
REALLY HARD ON THIS.
04:24:58.583 --> 04:25:01.586 region:rollup2
STRINGENT DATA COLLECTION.
04:25:00.151 --> 04:25:02.954 region:rollup2
AND THAT DATA CLUTCH IS GOING TO
04:25:01.586 --> 04:25:04.222 region:rollup2
HAPPEN WITH ALL STAKEHOLDERS IS
04:25:02.954 --> 04:25:05.923 region:rollup2
GOING TO HAPPEN BEFORE WE SET
04:25:04.222 --> 04:25:07.391 region:rollup2
RATES FOR PHYSICIANS.
04:25:05.923 --> 04:25:09.427 region:rollup2
SECONDLY THERE'S A ROBUST
04:25:07.391 --> 04:25:11.195 region:rollup2
ADVISER COMMITTEE THIRD THIS
04:25:09.427 --> 04:25:12.897 region:rollup2
BILL STILL HAS A WAY TO GO AT MY
04:25:11.195 --> 04:25:16.067 region:rollup2
DOOR HAS BEEN OPEN FROM DAY ONE.
04:25:12.897 --> 04:25:17.101 region:rollup2
I'M AND I'M LOOKING AT THE.
04:25:16.067 --> 04:25:18.102 region:rollup2
DOZENS OF LETTERS FROM OPPOSITE
04:25:17.101 --> 04:25:19.504 region:rollup2
LOOK
04:25:18.102 --> 04:25:21.272 region:rollup2
WE WERE GETTING CHAMBER OF
04:25:19.504 --> 04:25:22.673 region:rollup2
COMMERCE OPPOSITION EVEN THOUGH.
04:25:21.272 --> 04:25:23.908 region:rollup2
HAVING SOME COST TEN IT IS GOING
04:25:22.673 --> 04:25:25.877 region:rollup2
TO BE GOOD FOR ALMOST EVERY
04:25:23.908 --> 04:25:26.911 region:rollup2
EMPLOYER IN OUR STATE BUT WE
04:25:25.877 --> 04:25:28.579 region:rollup2
KNOW THAT HOSPITAL'S A LARGE
04:25:26.911 --> 04:25:29.781 region:rollup2
CHRISTIAN GROUPS ARE MEMBERS OF
04:25:28.579 --> 04:25:31.215 region:rollup2
THOSE CHAMBERS. UNLESS WE HAVE
04:25:29.781 --> 04:25:32.083 region:rollup2
TO BE REALISTIC ABOUT WHO'S
04:25:31.215 --> 04:25:34.385 region:rollup2
GOING TO COME TO THE TABLE RIGHT
04:25:32.083 --> 04:25:36.320 region:rollup2
NOW MIGHT DOORS BEEN OPEN IT'S
04:25:34.385 --> 04:25:37.989 region:rollup2
GOING TO BE OPEN TOMORROW JUST
04:25:36.320 --> 04:25:39.991 region:rollup2
AS IT HAS BEEN YESTERDAY.
04:25:37.989 --> 04:25:41.526 region:rollup2
AND I YOU KNOW THAT IF. I WANNA
04:25:39.991 --> 04:25:42.660 region:rollup2
SIT DOWN AND TALK A WITH THE
04:25:41.526 --> 04:25:44.162 region:rollup2
STAKEHOLDERS ON ALL THESE
04:25:42.660 --> 04:25:45.163 region:rollup2
DETAILS IN THE MEANTIME WE'RE
04:25:44.162 --> 04:25:46.431 region:rollup2
TALKING WITH WEBER WILL TALK TO
04:25:45.163 --> 04:25:48.099 region:rollup2
US I'VE TALKED TO PLENTY OF
04:25:46.431 --> 04:25:49.167 region:rollup2
DOCTORS WHO ARE THOUGH UNDER NOT
04:25:48.099 --> 04:25:51.135 region:rollup2
UNDER THE GUISE. OF
04:25:49.167 --> 04:25:52.236 region:rollup2
ORGANIZATIONS WILL CONTACT US
04:25:51.135 --> 04:25:54.238 region:rollup2
OBVIOUSLY THE CHAIR OF THE
04:25:52.236 --> 04:25:56.040 region:rollup2
COMMITTEE STAFF AND PLENTY OF
04:25:54.238 --> 04:25:57.008 region:rollup2
OTHER STAKEHOLDERS THERE YOU
04:25:56.040 --> 04:25:58.443 region:rollup2
WERE PART OF THE OF THE YOUR
04:25:57.008 --> 04:25:59.977 region:rollup2
LONG OF THE OF THE SELECT
04:25:58.443 --> 04:26:01.579 region:rollup2
COMMITTEE HEARINGS WHICH. DID
04:25:59.977 --> 04:26:03.347 region:rollup2
IDENTIFY COST CONTAINMENT.
04:26:01.579 --> 04:26:05.550 region:rollup2
AS A CRITICAL COMPONENT OF WHAT
04:26:03.347 --> 04:26:06.784 region:rollup2
WE NEED TO DO THIS IS COST
04:26:05.550 --> 04:26:08.119 region:rollup2
CONTAINMENT NOT COST CUTTING.
04:26:06.784 --> 04:26:09.887 region:rollup2
IT'S COST CONTAINMENT SO THAT WE
04:26:08.119 --> 04:26:11.389 region:rollup2
CAN CONTROL THE RATE OF GROWTH
04:26:09.887 --> 04:26:13.591 region:rollup2
IN THE OUT YEARS SO THAT WE CAN
04:26:11.389 --> 04:26:15.593 region:rollup2
HAVE SOME SORT EXPECTATIONS BUT
04:26:13.591 --> 04:26:16.794 region:rollup2
THERE'S NO COST CONTAINMENT. OR
04:26:15.593 --> 04:26:18.629 region:rollup2
ANYTHING THAT WILL GO ON PLACE
04:26:16.794 --> 04:26:19.597 region:rollup2
UNTIL ALL THE DATA IS THERE WITH
04:26:18.629 --> 04:26:20.164 region:rollup2
ALL THE STAKEHOLDERS AT THE
04:26:19.597 --> 04:26:21.799 region:rollup2
TABLE IT REQUIRES IT IN THE
04:26:20.164 --> 04:26:23.734 region:rollup2
BILL.
04:26:21.799 --> 04:26:25.670 region:rollup2
THE BILL ACTUALLY DETAILS WHO
04:26:23.734 --> 04:26:26.771 region:rollup2
NEEDS TO BE AT THE TABLE AND UP
04:26:25.670 --> 04:26:28.506 region:rollup2
WITH THE AMENDMENTS SEVERAL
04:26:26.771 --> 04:26:29.774 region:rollup2
GOING TO BE ADDING ALSO INCLUDES
04:26:28.506 --> 04:26:31.609 region:rollup2
THE DATA PEACE REQUIRES A LEAST
04:26:29.774 --> 04:26:33.945 region:rollup2
THREE YEARS. OF DATA BEFORE WE
04:26:31.609 --> 04:26:34.946 region:rollup2
TOUCH OF ANY POSITION.
04:26:33.945 --> 04:26:36.480 region:rollup2
SO IS THERE A WAY TO COLLECT
04:26:34.946 --> 04:26:37.081 region:rollup2
BACK TO YOU KNOW.
04:26:36.480 --> 04:26:39.750 region:rollup2
BEFORE WE PUT THIS COMMISSION
04:26:37.081 --> 04:26:40.918 region:rollup2
INTO PLAY.
04:26:39.750 --> 04:26:42.620 region:rollup2
THE I MEAN ISN'T THAT SORT OF
04:26:40.918 --> 04:26:43.955 region:rollup2
THE RESPONSIBLE THING TO DO IS
04:26:42.620 --> 04:26:45.189 region:rollup2
TO COLLECT THE DATA FIRST AND
04:26:43.955 --> 04:26:46.190 region:rollup2
THEN MOVE FORWARD WITH THE
04:26:45.189 --> 04:26:47.124 region:rollup2
COMMISSION AND NO WITHOUT
04:26:46.190 --> 04:26:47.892 region:rollup2
COMMISSION REALLY SHOULD LOOK
04:26:47.124 --> 04:26:50.528 region:rollup2
LIKE IMPACT.
04:26:47.892 --> 04:26:52.129 region:rollup2
THE ON THE PHYSICIAN ADD DATA
04:26:50.528 --> 04:26:53.831 region:rollup2
BE IT THE STATE OF CALIFORNIA
04:26:52.129 --> 04:26:55.299 region:rollup2
ALREADY COLLECTS OF ROBUST DATA
04:26:53.831 --> 04:26:57.034 region:rollup2
ON HOSPITALS THROUGH THE OFFICE
04:26:55.299 --> 04:26:58.269 region:rollup2
OF STATEWIDE HEALTH PLANNING AND
04:26:57.034 --> 04:27:01.772 region:rollup2
AND DEVELOPMENT POSH BUT.
04:26:58.269 --> 04:27:03.875 region:rollup2
SO WE HAVE A LOT THERE ALREADY
04:27:01.772 --> 04:27:05.109 region:rollup2
WE ALSO HAVE A LOT OF DATA
04:27:03.875 --> 04:27:07.311 region:rollup2
THANKS TO THE GOOD WORK OF THE
04:27:05.109 --> 04:27:10.114 region:rollup2
LEAPER FED AND HEALTH ACCESS ON.
04:27:07.311 --> 04:27:12.083 region:rollup2
IT INSURANCE RATE FILINGS IN
04:27:10.114 --> 04:27:13.885 region:rollup2
THE COMMERCIAL MARKET WHAT WE
04:27:12.083 --> 04:27:15.953 region:rollup2
ARE MISSING RIGHT NOW IS
04:27:13.885 --> 04:27:16.721 region:rollup2
PHYSICIAN DATA AND THE
04:27:15.953 --> 04:27:17.421 region:rollup2
AMENDMENTS TAKEN IN THIS
04:27:16.721 --> 04:27:20.258 region:rollup2
COMMITTEE.
04:27:17.421 --> 04:27:21.826 region:rollup2
REQUIRE THAT WE NOT MOVE ON
04:27:20.258 --> 04:27:24.428 region:rollup2
DOING ANYTHING TO SET RATES FOR
04:27:21.826 --> 04:27:25.763 region:rollup2
PHYSICIANS UNTIL THE COMMISSION
04:27:24.428 --> 04:27:28.633 region:rollup2
HAS THAT DATA.
04:27:25.763 --> 04:27:30.201 region:rollup2
SO THAT IT'S ALREADY.
04:27:28.633 --> 04:27:31.969 region:rollup2
NOW IN THE BILL.
04:27:30.201 --> 04:27:32.703 region:rollup2
I AND ONE LAST COMMENT THAT I
04:27:31.969 --> 04:27:33.771 region:rollup2
HAVE QUESTIONS FOR THE
04:27:32.703 --> 04:27:34.171 region:rollup2
OPPOSITION I PROMISE I'LL BE
04:27:33.771 --> 04:27:35.706 region:rollup2
REALLY FAST THINK.
04:27:34.171 --> 04:27:37.675 region:rollup2
.
04:27:35.706 --> 04:27:39.010 region:rollup2
AGAIN AGAIN I WOULDN'T I WOULD
04:27:37.675 --> 04:27:39.677 region:rollup2
ASK I WOULD FEEL MUCH MORE
04:27:39.010 --> 04:27:41.279 region:rollup2
COMFORTABLE IF WE WERE
04:27:39.677 --> 04:27:42.480 region:rollup2
COLLECTING THAT DATA BEFORE WE
04:27:41.279 --> 04:27:44.248 region:rollup2
PUT THE COMMISSION INTO PLACE
04:27:42.480 --> 04:27:45.383 region:rollup2
THAT'S JUST A STATEMENT. NOW OUT
04:27:44.248 --> 04:27:46.350 region:rollup2
TO THE OPPOSITION I WILL SAY THE
04:27:45.383 --> 04:27:47.618 region:rollup2
SAME THING I SAID TO YOU IN MY
04:27:46.350 --> 04:27:48.920 region:rollup2
OFFICE WHICH IS THIS IS KIND OF
04:27:47.618 --> 04:27:49.954 region:rollup2
WHAT YOU GET.
04:27:48.920 --> 04:27:52.123 region:rollup2
THIS IS KIND OF WHAT HAPPENS
04:27:49.954 --> 04:27:52.723 region:rollup2
WHEN YOU. LEAVE THINGS STATUS
04:27:52.123 --> 04:27:54.125 region:rollup2
QUO WHEN YOU DON'T DO ANYTHING
04:27:52.723 --> 04:27:55.927 region:rollup2
ABOUT IT.
04:27:54.125 --> 04:27:57.161 region:rollup2
I'M I KNOW YOU MADE A COMMENT
04:27:55.927 --> 04:27:58.529 region:rollup2
THAT YOU'RE HAPPY TO WORK WITH
04:27:57.161 --> 04:27:59.864 region:rollup2
THIS BUT YOU HAD YEARS TO WORK
04:27:58.529 --> 04:28:01.699 region:rollup2
ON COST CONTAINMENT AND YOU
04:27:59.864 --> 04:28:03.134 region:rollup2
HAVEN'T DONE IT. AND NOW HERE WE
04:28:01.699 --> 04:28:05.102 region:rollup2
ALL IN THIS POSITION DO I LIKE
04:28:03.134 --> 04:28:07.104 region:rollup2
THIS BILL NO.
04:28:05.102 --> 04:28:08.306 region:rollup2
BUT. IS COST CONTAINMENT A
04:28:07.104 --> 04:28:09.707 region:rollup2
SERIOUS ISSUE THAT MUST BE
04:28:08.306 --> 04:28:10.942 region:rollup2
ADDRESSED YES
04:28:09.707 --> 04:28:12.577 region:rollup2
AND THEY DON'T THINK YOU WOULD
04:28:10.942 --> 04:28:14.278 region:rollup2
BE AT THIS TABLE AND I DON'T
04:28:12.577 --> 04:28:15.479 region:rollup2
THINK YOU WOULD ADDRESS IT IF
04:28:14.278 --> 04:28:17.148 region:rollup2
THIS BILL OR SOME OF THE OTHER.
04:28:15.479 --> 04:28:19.317 region:rollup2
ONES WERE HERE.
04:28:17.148 --> 04:28:21.085 region:rollup2
SO I HAVE TO TELL YOU AS MUCH AS
04:28:19.317 --> 04:28:22.019 region:rollup2
I DON'T LIKE THIS.
04:28:21.085 --> 04:28:23.154 region:rollup2
I AM GLAD WE'RE HAVING A
04:28:22.019 --> 04:28:24.655 region:rollup2
CONVERSATION IT'S AN IMPORTANT
04:28:23.154 --> 04:28:26.123 region:rollup2
CONVERSATION AND IF THIS PUT
04:28:24.655 --> 04:28:28.359 region:rollup2
YOUR FEET TO THE FIRE TO FINALLY
04:28:26.123 --> 04:28:30.227 region:rollup2
DO SOMETHING ABOUT IT. THEN I'M
04:28:28.359 --> 04:28:31.629 region:rollup2
HAPPY IT'S HERE AND THAT'S ALL I
04:28:30.227 --> 04:28:32.964 region:rollup2
HAVE TO SAY ON THE MATTER. IF
04:28:31.629 --> 04:28:34.398 region:rollup2
I'VE NAY PERHAPS WE COULD.
04:28:32.964 --> 04:28:36.133 region:rollup2
SHARE THIS QUICKLY.
04:28:34.398 --> 04:28:37.435 region:rollup2
I AM NEW TO THIS POSITION I
04:28:36.133 --> 04:28:39.704 region:rollup2
UNDERSTAND OUR ORGANIZATION HAS
04:28:37.435 --> 04:28:41.405 region:rollup2
BEEN HERE FOR A LONG TIME I HAVE
04:28:39.704 --> 04:28:43.174 region:rollup2
BEEN HERE FOR FIVE MONTHS. AS I
04:28:41.405 --> 04:28:44.875 region:rollup2
HAVE EXPRESSED TO THE SPONSORS
04:28:43.174 --> 04:28:46.143 region:rollup2
OF THIS BILL WE DON'T NEED TO BE
04:28:44.875 --> 04:28:47.411 region:rollup2
FORCED TO THE TABLE ON THIS
04:28:46.143 --> 04:28:48.980 region:rollup2
DISCUSSION THERE'S NOTHING MORE
04:28:47.411 --> 04:28:49.981 region:rollup2
IMPORTANT.
04:28:48.980 --> 04:28:51.282 region:rollup2
EVERYONE NOT ONLY IN THE STATE
04:28:49.981 --> 04:28:52.950 region:rollup2
OF CALIFORNIA IN THE UNITED
04:28:51.282 --> 04:28:54.785 region:rollup2
STATES TO ADDRESS THE ISSUE OF
04:28:52.950 --> 04:28:55.886 region:rollup2
HEALTH CARE AFFORDABILITY THERE
04:28:54.785 --> 04:28:57.555 region:rollup2
ARE WAYS TO ADDRESS
04:28:55.886 --> 04:28:58.389 region:rollup2
AFFORDABILITY I WAS PLEASED TO
04:28:57.555 --> 04:29:00.291 region:rollup2
BE PART OF THAT EFFORT IN
04:28:58.389 --> 04:29:02.193 region:rollup2
MARYLAND. BY THE WAY MARYLAND
04:29:00.291 --> 04:29:03.194 region:rollup2
LET RATE SETTING GO FIVE YEARS
04:29:02.193 --> 04:29:05.496 region:rollup2
AGO NOW.
04:29:03.194 --> 04:29:06.597 region:rollup2
ONTO NEW THINGS WE SHOULD BE AT
04:29:05.496 --> 04:29:07.765 region:rollup2
THAT LEADING EDGE OF POLICY
04:29:06.597 --> 04:29:09.266 region:rollup2
DEVELOPMENT HERE IN THE STATE OF
04:29:07.765 --> 04:29:11.102 region:rollup2
CALIFORNIA WE SHOULD BE
04:29:09.266 --> 04:29:12.570 region:rollup2
ADDRESSING AFFORDABILITY I AM
04:29:11.102 --> 04:29:14.372 region:rollup2
PLEASED NOT ONLY TO PLAY A ROLE
04:29:12.570 --> 04:29:16.007 region:rollup2
IN TERMS OF OUR ASSOCIATION. BUT
04:29:14.372 --> 04:29:17.975 region:rollup2
TO PLAY A LEADING ROLE IN THAT
04:29:16.007 --> 04:29:18.609 region:rollup2
CONVERSATION.
04:29:17.975 --> 04:29:20.011 region:rollup2
I THINK YOU'RE JUST LIKE I SAID
04:29:18.609 --> 04:29:22.179 region:rollup2
JUST ONE.
04:29:20.011 --> 04:29:23.514 region:rollup2
ONE PER PERSON SO BOB MISS.
04:29:22.179 --> 04:29:26.584 region:rollup2
MISTER BONTA AND THEN MISS
04:29:23.514 --> 04:29:27.918 region:rollup2
CARILLO POPPED OUT BUT AFTER IT
04:29:26.584 --> 04:29:29.186 region:rollup2
BURKE MISSED CREEL NOT BACK THEN
04:29:27.918 --> 04:29:31.255 region:rollup2
MISS LAMONT SO PLEASE AND WE'LL
04:29:29.186 --> 04:29:32.923 region:rollup2
TRY TO KEEP. IT OFF OPEN THIS
04:29:31.255 --> 04:29:34.091 region:rollup2
WILL BE SHORT MA'AM THANK YOU
04:29:32.923 --> 04:29:35.760 region:rollup2
MISTER KALRA UP FOR YOUR
04:29:34.091 --> 04:29:36.927 region:rollup2
PRESENTATION AND. THANK YOU TO
04:29:35.760 --> 04:29:38.796 region:rollup2
ALL THE STAKEHOLDERS ON ON BOTH
04:29:36.927 --> 04:29:39.130 region:rollup2
SIDES FOR FOR THIS DISCUSSION I
04:29:38.796 --> 04:29:40.598 region:rollup2
THINK WE'VE.
04:29:39.130 --> 04:29:41.666 region:rollup2
.
04:29:40.598 --> 04:29:43.234 region:rollup2
EMBARK ON A REALLY IMPORTANT
04:29:41.666 --> 04:29:44.802 region:rollup2
DISCUSSION AND AND AND AND
04:29:43.234 --> 04:29:45.803 region:rollup2
THAT'S SORT OF MY OF MY FIRST
04:29:44.802 --> 04:29:46.704 region:rollup2
POINT I THINK IS PERHAPS ONE OF
04:29:45.803 --> 04:29:48.372 region:rollup2
MOST IMPORTANT ISSUES YOU CAN
04:29:46.704 --> 04:29:49.740 region:rollup2
DISCUSS WE CAN BE DISCUSSING AND
04:29:48.372 --> 04:29:50.374 region:rollup2
HEALTH CARE THE UNSUSTAINABLE
04:29:49.740 --> 04:29:51.475 region:rollup2
RISING COST OF HEALTHCARE WE'VE
04:29:50.374 --> 04:29:53.077 region:rollup2
HAD.
04:29:51.475 --> 04:29:54.678 region:rollup2
JOINT COMMITTEE HEARINGS ON IT
04:29:53.077 --> 04:29:56.480 region:rollup2
IT COMES UP AND ANIMATES ALMOST
04:29:54.678 --> 04:29:58.649 region:rollup2
EVERY DISCUSSION IN HEALTH CARE
04:29:56.480 --> 04:30:00.551 region:rollup2
ANYWHERE YOU TALK ABOUT IT SO. I
04:29:58.649 --> 04:30:01.952 region:rollup2
I REALLY APPRECIATE THAT
04:30:00.551 --> 04:30:03.387 region:rollup2
WILLINGNESS TO TAKE THIS ISSUE.
04:30:01.952 --> 04:30:05.056 region:rollup2
HEAD ON I THINK PROBABLY IN THIS
04:30:03.387 --> 04:30:05.856 region:rollup2
ROOM THERE IS WIDE AGREEMENT ON
04:30:05.056 --> 04:30:06.991 region:rollup2
WHAT THE PROBLEM IS I DON'T
04:30:05.856 --> 04:30:08.592 region:rollup2
THINK ANYONE WILL DENY THAT
04:30:06.991 --> 04:30:10.261 region:rollup2
RISING COSTS ARE PROBLEM.
04:30:08.592 --> 04:30:11.228 region:rollup2
I THINK FOR SURE THERE'S WIDE
04:30:10.261 --> 04:30:12.763 region:rollup2
DISAGREEMENT AND I WHAT THE
04:30:11.228 --> 04:30:14.565 region:rollup2
APPROPRIATE SOLUTION AS I AM I
04:30:12.763 --> 04:30:15.900 region:rollup2
WILL SAY THAT. IF THIS WERE A
04:30:14.565 --> 04:30:17.101 region:rollup2
PROBLEM THAT WERE EASY TO SOLVE
04:30:15.900 --> 04:30:18.069 region:rollup2
AND WERE AMENABLE TO THAT A
04:30:17.101 --> 04:30:19.503 region:rollup2
QUICK AND EASY SOLUTION WOULD
04:30:18.069 --> 04:30:20.805 region:rollup2
HAVE A BY NOW WE DON'T. BECAUSE
04:30:19.503 --> 04:30:23.407 region:rollup2
IT'S HARD AND IT'S TRICKY AND
04:30:20.805 --> 04:30:24.408 region:rollup2
IT'S DIFFICULT SO I'M ALSO NOT
04:30:23.407 --> 04:30:25.609 region:rollup2
SHOCKED THAT WE DON'T HAVE.
04:30:24.408 --> 04:30:27.044 region:rollup2
AGREEMENT IN THE FIRST
04:30:25.609 --> 04:30:28.512 region:rollup2
COMMITTEE THE FIRST HOUSE THAT
04:30:27.044 --> 04:30:29.647 region:rollup2
WE HAVE THIS THINGS WRAPPED UP
04:30:28.512 --> 04:30:30.748 region:rollup2
IN A BOW AND AND AND AND READY
04:30:29.647 --> 04:30:32.750 region:rollup2
TO GO.
04:30:30.748 --> 04:30:34.118 region:rollup2
SO M..
04:30:32.750 --> 04:30:36.353 region:rollup2
I APPRECIATE YOU DESIRE TO TAKE
04:30:34.118 --> 04:30:37.688 region:rollup2
THIS ON. I HAVE REAL CONCERNS
04:30:36.353 --> 04:30:39.256 region:rollup2
THAT A SIGNIFICANT ABOUT THIS
04:30:37.688 --> 04:30:40.991 region:rollup2
BILL I SHARE THEM WITH YOU WHEN
04:30:39.256 --> 04:30:41.826 region:rollup2
AND AND OTHERS IN THIS ROOM. LOT
04:30:40.991 --> 04:30:42.993 region:rollup2
OF THEM HAVE BEEN NAMED ALREADY
04:30:41.826 --> 04:30:44.829 region:rollup2
TODAY I JUST KIND OF GO THROUGH
04:30:42.993 --> 04:30:46.831 region:rollup2
IT REAL QUICKLY I I YOU KNOW WE.
04:30:44.829 --> 04:30:48.966 region:rollup2
.
04:30:46.831 --> 04:30:50.301 region:rollup2
AS AS DEMOCRATS AS AS AS HUMANS
04:30:48.966 --> 04:30:51.702 region:rollup2
CARE DEEPLY ABOUT ACCESS TO HIGH
04:30:50.301 --> 04:30:52.870 region:rollup2
QUALITY HEALTHCARE THAT THAT
04:30:51.702 --> 04:30:54.772 region:rollup2
REALLY DRIVES OUR COMMITMENT TO
04:30:52.870 --> 04:30:55.539 region:rollup2
THE HEALTH CARE.
04:30:54.772 --> 04:30:57.374 region:rollup2
I WONDER IF IT'S GONNA BE
04:30:55.539 --> 04:30:58.342 region:rollup2
UNDERMINED AS AS AN UNINTENDED
04:30:57.374 --> 04:31:00.678 region:rollup2
CONSEQUENCE OF POINTS OF THIS
04:30:58.342 --> 04:31:02.246 region:rollup2
BILL. AND I UNDERSTAND WHAT YOU
04:31:00.678 --> 04:31:03.047 region:rollup2
SAID ABOUT REWARDING IN
04:31:02.246 --> 04:31:04.815 region:rollup2
RECOGNIZING THOSE THAT TAKE ON
04:31:03.047 --> 04:31:07.017 region:rollup2
MORE MEDI CAL.
04:31:04.815 --> 04:31:08.352 region:rollup2
I ALSO HEAR REGULARLY FROM
04:31:07.017 --> 04:31:09.954 region:rollup2
PROVIDERS WERE TALKING ABOUT
04:31:08.352 --> 04:31:10.888 region:rollup2
THEIR OWN PRACTICE THAT.
04:31:09.954 --> 04:31:12.389 region:rollup2
YOU KNOW THAT MIX OF THE
04:31:10.888 --> 04:31:13.858 region:rollup2
COMMERCIAL PAYER THAT THAT AND
04:31:12.389 --> 04:31:15.893 region:rollup2
MEDICARE PAYERS AND MEDICAL
04:31:13.858 --> 04:31:17.695 region:rollup2
PAIRS COMBINED HELP THEM.
04:31:15.893 --> 04:31:18.362 region:rollup2
HAVE A HAVE A BUSINESS THAT'S
04:31:17.695 --> 04:31:19.964 region:rollup2
SUSTAINABLE ON THAT THE
04:31:18.362 --> 04:31:21.065 region:rollup2
COMMERCIAL RATES SUBSIDIZE
04:31:19.964 --> 04:31:22.233 region:rollup2
ESSENTIALLY THE MEDICARE RIGHT I
04:31:21.065 --> 04:31:24.101 region:rollup2
THINK A MEDIC COUNTIES HAVE TO
04:31:22.233 --> 04:31:25.002 region:rollup2
GET HIGHER THEY JUST DO. SO I'M
04:31:24.101 --> 04:31:26.537 region:rollup2
NOT SAYING THAT YOU THINK THIS
04:31:25.002 --> 04:31:27.638 region:rollup2
IS THE ONLY SOLUTION I AM I
04:31:26.537 --> 04:31:28.973 region:rollup2
THINK WE CAN STILL PURSUE SOME
04:31:27.638 --> 04:31:30.474 region:rollup2
OF THE OTHER SOLUTIONS THAT WE
04:31:28.973 --> 04:31:31.242 region:rollup2
HAVE TO BIG BILLS THE LOT OF US
04:31:30.474 --> 04:31:32.676 region:rollup2
SUPPORTED TO RAISE MEDICARE
04:31:31.242 --> 04:31:33.511 region:rollup2
RATES LIKE THAT SHOULD BE PUT BY
04:31:32.676 --> 04:31:35.412 region:rollup2
THE WAYSIDE.
04:31:33.511 --> 04:31:36.614 region:rollup2
AS BEEF CONTINUE TO EXPLORE
04:31:35.412 --> 04:31:38.048 region:rollup2
THIS ISSUE OF IF THAT'S WHAT THE
04:31:36.614 --> 04:31:39.283 region:rollup2
THE WILL THIS BODY HAS. A WAY
04:31:38.048 --> 04:31:41.952 region:rollup2
ABOUT THE PROVIDER SHORTAGE
04:31:39.283 --> 04:31:42.486 region:rollup2
WE'VE WE'VE THAT IN AND WHETHER
04:31:41.952 --> 04:31:43.287 region:rollup2
THIS WILL EXACERBATE IT.
04:31:42.486 --> 04:31:44.455 region:rollup2
IF THIS IS THE ONLY STATE THAT
04:31:43.287 --> 04:31:46.490 region:rollup2
HAS A.
04:31:44.455 --> 04:31:48.592 region:rollup2
AT COMMISSION THAT SETTING RATES
04:31:46.490 --> 04:31:50.361 region:rollup2
AND OTHER STATE DOES.
04:31:48.592 --> 04:31:51.328 region:rollup2
AND IT'S ALREADY HARD TO TO TO
04:31:50.361 --> 04:31:53.597 region:rollup2
TO LIVE HERE AND WORK HERE AS A
04:31:51.328 --> 04:31:53.931 region:rollup2
PROVIDER BECAUSE OF OF STUDENT
04:31:53.597 --> 04:31:55.566 region:rollup2
DAD AND AND.
04:31:53.931 --> 04:31:57.001 region:rollup2
WHAT WE NEED TO DO MORE ON A
04:31:55.566 --> 04:31:58.202 region:rollup2
GRADUATE MEDICAL EDUCATION THE
04:31:57.001 --> 04:31:59.970 region:rollup2
WHAT WILL THAT DO THAT'S BEEN
04:31:58.202 --> 04:32:01.739 region:rollup2
REYES I AND I I I KNOW YOU'VE
04:31:59.970 --> 04:32:02.273 region:rollup2
ADDRESSED IT TO TO SOME EXTENT
04:32:01.739 --> 04:32:03.674 region:rollup2
BUT I STILL THINK THAT'S A
04:32:02.273 --> 04:32:04.675 region:rollup2
CONCERN THAT WE HAVE TO? GET OUR
04:32:03.674 --> 04:32:07.778 region:rollup2
ARMS AROUND.
04:32:04.675 --> 04:32:10.781 region:rollup2
YOU KNOW THIS BILL TAKES ON.
04:32:07.778 --> 04:32:12.016 region:rollup2
SOME COST DRIVERS BUT NOT ALL.
04:32:10.781 --> 04:32:13.951 region:rollup2
WE NEED TO HAVE A GLOBAL A
04:32:12.016 --> 04:32:15.452 region:rollup2
UNIVERSAL THAT APPROACH AND I
04:32:13.951 --> 04:32:17.221 region:rollup2
KNOW THAT WE HAVE LIMITS WE HAVE
04:32:15.452 --> 04:32:18.789 region:rollup2
RISA THAT WE HAVE THE COMMERCE
04:32:17.221 --> 04:32:20.324 region:rollup2
CLUB HAS. YOU KNOW I GET THE
04:32:18.789 --> 04:32:22.293 region:rollup2
FEDERAL INTERPLAY WITH STATE LAW
04:32:20.324 --> 04:32:23.961 region:rollup2
WE CAN'T DO IT ALL. BUT I THINK
04:32:22.293 --> 04:32:25.429 region:rollup2
WE NEED TO TRY OUT TO THE EXTENT
04:32:23.961 --> 04:32:27.164 region:rollup2
WE CAN ADDRESS ALL COST DRIVERS.
04:32:25.429 --> 04:32:28.799 region:rollup2
AT A HIGH PRICE SPECIALTY DRUGS
04:32:27.164 --> 04:32:32.036 region:rollup2
ARE A COST DRIVER.
04:32:28.799 --> 04:32:34.271 region:rollup2
I. T. SEISMIC. EQUIPMENT.
04:32:32.036 --> 04:32:35.206 region:rollup2
GENERAL WASTE INEFFICIENCY IS
04:32:34.271 --> 04:32:36.941 region:rollup2
INEFFICIENCY ARE COST RIDERS YOU
04:32:35.206 --> 04:32:38.509 region:rollup2
KNOW.
04:32:36.941 --> 04:32:40.211 region:rollup2
MAYBE WILL LEAVE THAT. IT
04:32:38.509 --> 04:32:42.146 region:rollup2
COMMERCIAL RATES ACCOMPA SOME OF
04:32:40.211 --> 04:32:42.780 region:rollup2
THOSE ARE ALL OF THOSE ME MAYBE
04:32:42.146 --> 04:32:43.647 region:rollup2
YOU DON'T BUT I THINK THOSE ARE
04:32:42.780 --> 04:32:44.748 region:rollup2
THOSE ARE REAL.
04:32:43.647 --> 04:32:46.417 region:rollup2
AND THEN FINALLY YOU KNOW THIS
04:32:44.748 --> 04:32:46.617 region:rollup2
ISSUE THAT WAS RAISED BY MY MISS
04:32:46.417 --> 04:32:48.118 region:rollup2
BURKE.
04:32:46.617 --> 04:32:49.854 region:rollup2
.
04:32:48.118 --> 04:32:51.722 region:rollup2
AND AND IT'S SOMETHING THAT I.
04:32:49.854 --> 04:32:53.090 region:rollup2
DEEPLY BELIEVE AND IS IS IS HOW
04:32:51.722 --> 04:32:54.191 region:rollup2
WE GET THERE IS IMPORTANT.
04:32:53.090 --> 04:32:55.492 region:rollup2
BUT THE PROCESS.
04:32:54.191 --> 04:32:57.595 region:rollup2
THIS
04:32:55.492 --> 04:32:59.563 region:rollup2
IMPACTS ALL OF US.
04:32:57.595 --> 04:32:59.763 region:rollup2
PROVIDER COMMUNITY FOR SURE
04:32:59.563 --> 04:33:01.332 region:rollup2
THAT.
04:32:59.763 --> 04:33:03.500 region:rollup2
AND
04:33:01.332 --> 04:33:04.869 region:rollup2
I THINK ALL VOICES NEED TO BE IN
04:33:03.500 --> 04:33:05.603 region:rollup2
THE ROOM AT ALL WHILE I'M.
04:33:04.869 --> 04:33:07.171 region:rollup2
SEEKING TO BE TAKEN OFF THE
04:33:05.603 --> 04:33:09.006 region:rollup2
TABLE AS WE DISCUSS THIS I I
04:33:07.171 --> 04:33:10.074 region:rollup2
KNOW YOU HAVE A WILLINGNESS TO
04:33:09.006 --> 04:33:12.243 region:rollup2
HAVE THAT CONVERSATION.
04:33:10.074 --> 04:33:12.876 region:rollup2
AYE AYE I ENCOURAGE YOU TO
04:33:12.243 --> 04:33:14.445 region:rollup2
CONTINUE TO HAVE THAT
04:33:12.876 --> 04:33:15.446 region:rollup2
WILLINGNESS ENCOURAGE THOSE WHO
04:33:14.445 --> 04:33:17.214 region:rollup2
HAVEN'T HAD THEIR VOICES IN THE
04:33:15.446 --> 04:33:18.816 region:rollup2
ROOM TO TO GO TO THAT ROOM. AND
04:33:17.214 --> 04:33:21.018 region:rollup2
EXPRESS THEM TO PUT THE BEST
04:33:18.816 --> 04:33:21.986 region:rollup2
IDEAS ON THE TABLE AND HAVE THEM
04:33:21.018 --> 04:33:23.487 region:rollup2
COMPETE AND IN IN THE.
04:33:21.986 --> 04:33:24.722 region:rollup2
.
04:33:23.487 --> 04:33:26.090 region:rollup2
YOU KNOW IT IN THE INTELLECTUAL
04:33:24.722 --> 04:33:27.591 region:rollup2
DEBATE OVER IDEA TO SEE WHICH
04:33:26.090 --> 04:33:29.260 region:rollup2
ONES PREVAIL AND ANTI TO FIND A
04:33:27.591 --> 04:33:30.961 region:rollup2
SOLUTION TO THIS NEED WILL FIND.
04:33:29.260 --> 04:33:31.695 region:rollup2
AS I'VE AS I'VE SEEN THROUGH
04:33:30.961 --> 04:33:32.429 region:rollup2
THIS PROCESS AND OTHER TIMES
04:33:31.695 --> 04:33:34.398 region:rollup2
THAT THERE'S.
04:33:32.429 --> 04:33:35.766 region:rollup2
SOME OPPORTUNITIES TO ITS OF TO
04:33:34.398 --> 04:33:37.001 region:rollup2
FIND COMMON GROUND YOU CAN'T GET
04:33:35.766 --> 04:33:38.202 region:rollup2
THERE IF YOU DON'T SEEK IT.
04:33:37.001 --> 04:33:39.536 region:rollup2
AND SO I JUST WANNA COURAGE YOU
04:33:38.202 --> 04:33:41.572 region:rollup2
TO SORT OF DO WHAT YOU CAN TO
04:33:39.536 --> 04:33:43.107 region:rollup2
CULTIVATE A PROCESS FOR ALL
04:33:41.572 --> 04:33:44.241 region:rollup2
STAKEHOLDERS AT THE TABLE SO.
04:33:43.107 --> 04:33:45.476 region:rollup2
I'LL JUST SAY I DON'T THINK WITH
04:33:44.241 --> 04:33:46.877 region:rollup2
BILLS READY TODAY.
04:33:45.476 --> 04:33:48.412 region:rollup2
BUT I DON'T THINK IT HAS TO BE
04:33:46.877 --> 04:33:50.781 region:rollup2
READY TODAY AND IN THE FIRST
04:33:48.412 --> 04:33:52.049 region:rollup2
HOUSE IN THE IN IN THE I AM THE
04:33:50.781 --> 04:33:53.450 region:rollup2
FIRST COMMITTEE. I AM. I WILL BE
04:33:52.049 --> 04:33:54.885 region:rollup2
LOOKING AT A VERY CLOSELY AS A
04:33:53.450 --> 04:33:56.153 region:rollup2
PROCEEDS TO SEE HOW YOU ADDRESS
04:33:54.885 --> 04:33:57.488 region:rollup2
THESE MAJOR CONCERNS THAT I AND
04:33:56.153 --> 04:34:00.791 region:rollup2
OTHERS HAVE RAISED.
04:33:57.488 --> 04:34:01.825 region:rollup2
AND I RESERVE MY RIGHT TO A
04:34:00.791 --> 04:34:02.793 region:rollup2
VOTE DIFFERENTLY IN THE FUTURE
04:34:01.825 --> 04:34:03.928 region:rollup2
BUT TODAY I'M GONNA VOTE AYE AND
04:34:02.793 --> 04:34:05.462 region:rollup2
APPRECIATE TAKING ON THIS VERY
04:34:03.928 --> 04:34:07.464 region:rollup2
TOUGH ISSUE. I KNOW IT'S NOT
04:34:05.462 --> 04:34:09.800 region:rollup2
EASY AND I URGE ALL STAKEHOLDERS
04:34:07.464 --> 04:34:10.401 region:rollup2
TO HOT TO TRY TO FIND COMMON
04:34:09.800 --> 04:34:11.035 region:rollup2
GROUND TO GET TO SOLUTION THAT
04:34:10.401 --> 04:34:13.170 region:rollup2
CAN WORK THANK YOU.
04:34:11.035 --> 04:34:18.142 region:rollup2
CARILLO.
04:34:13.170 --> 04:34:19.543 region:rollup2
YES.
04:34:18.142 --> 04:34:20.844 region:rollup2
THANK YOU MISTER CHAIRMAN. WHO
04:34:19.543 --> 04:34:22.346 region:rollup2
THINK IT TO THE AUTHOR FOR
04:34:20.844 --> 04:34:24.848 region:rollup2
BRINGING THIS TO OUR ATTENTION I
04:34:22.346 --> 04:34:27.251 region:rollup2
WOULD SAY THAT?
04:34:24.848 --> 04:34:27.718 region:rollup2
ALL GREAT SOCIETIES ARE DEFINED
04:34:27.251 --> 04:34:29.219 region:rollup2
BY THE COURAGE OF OUR
04:34:27.718 --> 04:34:30.754 region:rollup2
CONVICTIONS
04:34:29.219 --> 04:34:31.322 region:rollup2
TO BE BOLD AND COURAGEOUS IN
04:34:30.754 --> 04:34:33.324 region:rollup2
ADDRESSING ISSUES THAT ARE.
04:34:31.322 --> 04:34:33.891 region:rollup2
HARD.
04:34:33.324 --> 04:34:35.893 region:rollup2
TO DO HARD CONVERSATIONS TO
04:34:33.891 --> 04:34:38.829 region:rollup2
HAVE.
04:34:35.893 --> 04:34:41.565 region:rollup2
I MET WITH YOURSELF WHEN
04:34:38.829 --> 04:34:44.001 region:rollup2
SUPPORTERS WITH OPPOSITION.
04:34:41.565 --> 04:34:45.069 region:rollup2
WANTED TO HEAR ALL PERSPECTIVES.
04:34:44.001 --> 04:34:46.236 region:rollup2
AND ONE OF THE THINGS THAT I
04:34:45.069 --> 04:34:47.404 region:rollup2
TOOK AWAY FROM WAS A YOUNG MAN
04:34:46.236 --> 04:34:49.173 region:rollup2
WHO IS A DOCTOR WHO IS STUDYING
04:34:47.404 --> 04:34:50.474 region:rollup2
TO BECOME A DOCTOR ACTUALLY ON
04:34:49.173 --> 04:34:51.942 region:rollup2
HIS LAST YEAR OF RESIDENCY WHO
04:34:50.474 --> 04:34:53.077 region:rollup2
SAID HE'S GOING TO BE GRADUATING
04:34:51.942 --> 04:34:54.745 region:rollup2
WITH TWO HUNDRED THOUSAND
04:34:53.077 --> 04:34:56.280 region:rollup2
DOLLARS IN DEBT.
04:34:54.745 --> 04:34:57.648 region:rollup2
AND THAT YOU KNOW IS IS A REAL
04:34:56.280 --> 04:34:59.049 region:rollup2
ISSUE ACROSS THE BOARD NOT ONLY
04:34:57.648 --> 04:35:00.684 region:rollup2
FOR STATE BUT FOR THE ENTIRE
04:34:59.049 --> 04:35:01.952 region:rollup2
COUNTRY.
04:35:00.684 --> 04:35:03.954 region:rollup2
AND TO THINK ABOUT HIM BECOMING
04:35:01.952 --> 04:35:05.055 region:rollup2
A DOCTOR AND WHAT THAT LOOKS
04:35:03.954 --> 04:35:06.990 region:rollup2
LIKE TO PRACTICE YOU DON'T GO
04:35:05.055 --> 04:35:08.759 region:rollup2
INTO THE FIELD OF MEDICINE OR IN
04:35:06.990 --> 04:35:09.927 region:rollup2
THE FIELD OF LAW ENFORCEMENT.
04:35:08.759 --> 04:35:10.995 region:rollup2
OR ANY OTHER FIELD BECAUSE
04:35:09.927 --> 04:35:12.997 region:rollup2
YOU'RE IN A FOR YOURSELF YOU DO
04:35:10.995 --> 04:35:14.064 region:rollup2
IT BECAUSE YOU WANT HELP PEOPLE.
04:35:12.997 --> 04:35:15.199 region:rollup2
AND I THINK THAT WE'RE IN A
04:35:14.064 --> 04:35:16.467 region:rollup2
SITUATION RIGHT NOW WHERE WE
04:35:15.199 --> 04:35:18.535 region:rollup2
UNDERSTAND THAT THE COST OF
04:35:16.467 --> 04:35:20.170 region:rollup2
HEALTH CARE. IS NOT AFFORDABLE
04:35:18.535 --> 04:35:22.573 region:rollup2
EVEN THE AFFORDABLE CARE ACT IS
04:35:20.170 --> 04:35:24.274 region:rollup2
NOT AFFORDABLE AS GOOD AS IT IS.
04:35:22.573 --> 04:35:25.709 region:rollup2
MANY PEOPLE JUST CAN'T
04:35:24.274 --> 04:35:27.544 region:rollup2
BEFORE TO BE HONEST THE TO YOUR
04:35:25.709 --> 04:35:28.479 region:rollup2
POINT VERY EARLY ON.
04:35:27.544 --> 04:35:30.614 region:rollup2
IN THE DISCUSSION ABOUT
04:35:28.479 --> 04:35:33.684 region:rollup2
RATIONING OF HEALTHCARE.
04:35:30.614 --> 04:35:34.785 region:rollup2
THAT IS A VERY REAL THING.
04:35:33.684 --> 04:35:36.787 region:rollup2
I DO BELIEVE THAT THERE'S AN
04:35:34.785 --> 04:35:38.756 region:rollup2
OPPORTUNITY FOR US TO HAVE A
04:35:36.787 --> 04:35:40.524 region:rollup2
BROADER LARGER CONVERSATION
04:35:38.756 --> 04:35:41.992 region:rollup2
ASIDE FROM THIS COMMITTEE WHICH
04:35:40.524 --> 04:35:43.293 region:rollup2
IS CLEARLY NOT ENOUGH TIME WITH
04:35:41.992 --> 04:35:44.928 region:rollup2
ALL THE MANY QUESTIONS AND
04:35:43.293 --> 04:35:46.463 region:rollup2
CONCERNS AND COMMENTS THAT.
04:35:44.928 --> 04:35:47.898 region:rollup2
MEMBERS HAVE BEEN AND I'M SURE
04:35:46.463 --> 04:35:49.333 region:rollup2
THE PUBLIC HAS AS WELL AND
04:35:47.898 --> 04:35:51.402 region:rollup2
STAKEHOLDERS HAVE.
04:35:49.333 --> 04:35:53.337 region:rollup2
TO COME TO A FINAL CONCLUSION AS
04:35:51.402 --> 04:35:55.472 region:rollup2
TO WHAT THIS IS WHAT I DO
04:35:53.337 --> 04:35:56.373 region:rollup2
APPRECIATE. OF IT.
04:35:55.472 --> 04:35:57.074 region:rollup2
IS THAT IT SETS THE TONE FOR
04:35:56.373 --> 04:35:59.209 region:rollup2
WHAT THE COMMISSION COULD
04:35:57.074 --> 04:36:00.277 region:rollup2
POTENTIALLY BE LIKE.
04:35:59.209 --> 04:36:02.012 region:rollup2
AND THAT IF WE CAN HAVE THIS
04:36:00.277 --> 04:36:03.814 region:rollup2
CONVERSATION HERE.
04:36:02.012 --> 04:36:05.849 region:rollup2
ELEVEN PEOPLE WHILE IT MAY SEEM
04:36:03.814 --> 04:36:06.450 region:rollup2
A SMALL NUMBER IS CERTAINLY MORE
04:36:05.849 --> 04:36:07.551 region:rollup2
THAN WHAT WE HAVE NOW WHICH IS
04:36:06.450 --> 04:36:09.953 region:rollup2
NONE.
04:36:07.551 --> 04:36:11.922 region:rollup2
AND SO TO EVEN COME TO THE TABLE
04:36:09.953 --> 04:36:13.257 region:rollup2
WITH DIFFERENT VIEWPOINTS
04:36:11.922 --> 04:36:14.825 region:rollup2
DIFFERENT IDEAS DIFFERENT
04:36:13.257 --> 04:36:16.326 region:rollup2
SOLUTIONS WHICH IS WHAT WE ALL
04:36:14.825 --> 04:36:17.461 region:rollup2
WANT TO HEAR I MEAN WE CAN HEAR
04:36:16.326 --> 04:36:18.862 region:rollup2
ABOUT ALL THE PROBLEMS ALL DAY
04:36:17.461 --> 04:36:19.630 region:rollup2
LONG.
04:36:18.862 --> 04:36:21.865 region:rollup2
BUT WE WANT TO COME TO A
04:36:19.630 --> 04:36:23.700 region:rollup2
CONCLUSION AS TO WHAT WE DO TO
04:36:21.865 --> 04:36:26.336 region:rollup2
ENSURE THAT PEOPLE.
04:36:23.700 --> 04:36:27.704 region:rollup2
NOT ONLY HAVE AXIS BUT CAN USE.
04:36:26.336 --> 04:36:29.740 region:rollup2
THE HEALTH CARE SO THAT THEY'RE
04:36:27.704 --> 04:36:30.307 region:rollup2
NOT LANDING IN EMERGENCY ROOMS
04:36:29.740 --> 04:36:32.009 region:rollup2
SO THAT THEY'RE NOT WITHOUT
04:36:30.307 --> 04:36:33.844 region:rollup2
CARE.
04:36:32.009 --> 04:36:35.078 region:rollup2
SO THAT IT IS AFFORDABLE AND THE
04:36:33.844 --> 04:36:36.814 region:rollup2
PEOPLE THAT WANT TO PRACTICE
04:36:35.078 --> 04:36:38.782 region:rollup2
MEDICINE OUR STATE CANNOT.
04:36:36.814 --> 04:36:40.784 region:rollup2
AND SO I COMMEND THE HOSPITALS
04:36:38.782 --> 04:36:42.052 region:rollup2
FOR BEING AT THE FOREFRONT.
04:36:40.784 --> 04:36:44.521 region:rollup2
OF THAT CONVERSATION FOR
04:36:42.052 --> 04:36:46.056 region:rollup2
PROVIDING CARE AS WELL AS THE
04:36:44.521 --> 04:36:48.158 region:rollup2
SUPPORTERS OF THIS BILL ISN'T.
04:36:46.056 --> 04:36:49.793 region:rollup2
AND IN INTRODUCING IDEAS AND THE
04:36:48.158 --> 04:36:51.328 region:rollup2
THOUGHT PROCESS US TO WHAT WE
04:36:49.793 --> 04:36:52.896 region:rollup2
CAN DO TO ENSURE THAT EVERYONE
04:36:51.328 --> 04:36:54.131 region:rollup2
THAT CALLS CALIFORNIA HOME CAN
04:36:52.896 --> 04:36:56.100 region:rollup2
HAVE ACCESS TO QUALITY
04:36:54.131 --> 04:36:57.468 region:rollup2
HEALTHCARE. I THINK THAT'S WHERE
04:36:56.100 --> 04:36:59.136 region:rollup2
WE ALL WANT TO GET OUT I MEAN
04:36:57.468 --> 04:37:00.771 region:rollup2
WE'VE TALKED A LITTLE BIT ABOUT
04:36:59.136 --> 04:37:02.539 region:rollup2
THE COST OF PRESCRIPTION DRUGS
04:37:00.771 --> 04:37:03.907 region:rollup2
WE TALKED A LITTLE BIT ABOUT
04:37:02.539 --> 04:37:05.609 region:rollup2
MEDICARE AND IDEA THAT.
04:37:03.907 --> 04:37:08.145 region:rollup2
SOME OPPOSED EVEN THE BEGINNING
04:37:05.609 --> 04:37:10.047 region:rollup2
OF THAT SEVERAL DECADES AGO AND
04:37:08.145 --> 04:37:10.747 region:rollup2
NOW HAS PROVIDED.
04:37:10.047 --> 04:37:12.716 region:rollup2
COVERAGE TO MILLIONS OF
04:37:10.747 --> 04:37:13.851 region:rollup2
AMERICANS.
04:37:12.716 --> 04:37:16.453 region:rollup2
WE HAVE AN OPPORTUNITY THESE
04:37:13.851 --> 04:37:18.122 region:rollup2
CONVERSATIONS ARE NEVER EASY.
04:37:16.453 --> 04:37:20.624 region:rollup2
AND CLEARLY WE'RE NOT GOING TO
04:37:18.122 --> 04:37:21.792 region:rollup2
COME TO A SOLUTION RIGHT NOW.
04:37:20.624 --> 04:37:22.926 region:rollup2
BUT I HOPE THAT ALL THE
04:37:21.792 --> 04:37:24.161 region:rollup2
STAKEHOLDERS WHETHER THEY'VE
04:37:22.926 --> 04:37:25.596 region:rollup2
BEEN A PART OF THE CONVERSATION
04:37:24.161 --> 04:37:26.763 region:rollup2
BEFORE.
04:37:25.596 --> 04:37:28.799 region:rollup2
OR WHETHER.
04:37:26.763 --> 04:37:30.467 region:rollup2
THEY'RE INCLINED TO DO SO NOW
04:37:28.799 --> 04:37:31.668 region:rollup2
CAN HELP THAT AND AGAIN LIKE I
04:37:30.467 --> 04:37:33.737 region:rollup2
WANT TO BE PART OF THE DIALOGUE
04:37:31.668 --> 04:37:35.439 region:rollup2
BECAUSE I BELIEVE. THAT WE CAN
04:37:33.737 --> 04:37:35.906 region:rollup2
COME TO A SOLUTION I DON'T
04:37:35.439 --> 04:37:36.507 region:rollup2
BELIEVE ANYBODY AT THE
04:37:35.906 --> 04:37:37.808 region:rollup2
TABLE-RIGHT NOW. IS SAYING WE
04:37:36.507 --> 04:37:38.842 region:rollup2
DON'T
04:37:37.808 --> 04:37:39.443 region:rollup2
WANT TO HAVE A SOLUTION.
04:37:38.842 --> 04:37:41.078 region:rollup2
THE QUESTION IS HOW DO WE GET
04:37:39.443 --> 04:37:42.679 region:rollup2
THERE.
04:37:41.078 --> 04:37:43.146 region:rollup2
SO I COMMEND YOU FOR BRINGING
04:37:42.679 --> 04:37:44.815 region:rollup2
THIS TO TO.
04:37:43.146 --> 04:37:47.017 region:rollup2
.
04:37:44.815 --> 04:37:49.419 region:rollup2
THIS COMMITTEE IT'S NOT EASY TO
04:37:47.017 --> 04:37:51.388 region:rollup2
BE IN MANY WAYS A FIRING SQUAD.
04:37:49.419 --> 04:37:52.723 region:rollup2
WITHIN A ALL OF OUR QUESTIONS
04:37:51.388 --> 04:37:54.691 region:rollup2
COMMENTS CONCERNS.
04:37:52.723 --> 04:37:57.127 region:rollup2
AND IN DOING SO IN A WAY THAT
04:37:54.691 --> 04:37:57.761 region:rollup2
BRINGS DIGNITY TO THE ISSUE. AND
04:37:57.127 --> 04:37:59.563 region:rollup2
TO THE PEOPLE THAT YOU'RE TRYING
04:37:57.761 --> 04:38:01.765 region:rollup2
TO SERVE.
04:37:59.563 --> 04:38:04.134 region:rollup2
AND SO I WILL BE VOTING YES ON
04:38:01.765 --> 04:38:05.802 region:rollup2
YOUR ON YOUR BILL. AND I WOULD
04:38:04.134 --> 04:38:07.204 region:rollup2
ENCOURAGE THE THE REST OF THE
04:38:05.802 --> 04:38:08.906 region:rollup2
COMMITTEE TO CONSIDER VOTING YES
04:38:07.204 --> 04:38:11.208 region:rollup2
AS WELL SO THAT WE CAN BEGIN THE
04:38:08.906 --> 04:38:12.543 region:rollup2
CONVERSATION. AND BRING EVERYONE
04:38:11.208 --> 04:38:14.444 region:rollup2
THAT HAS AN OPINION A THOUGHT
04:38:12.543 --> 04:38:16.013 region:rollup2
PROCESS AND HOW WE CAN ENSURE
04:38:14.444 --> 04:38:17.447 region:rollup2
ACCESS TO QUALITY HEALTHCARE TO
04:38:16.013 --> 04:38:19.883 region:rollup2
EVERY CALIFORNIA AND THAT
04:38:17.447 --> 04:38:21.618 region:rollup2
INCLUDES WHETHER YOU OPPOSE OR
04:38:19.883 --> 04:38:22.686 region:rollup2
SUPPORT OR IN BETWEEN.
04:38:21.618 --> 04:38:25.088 region:rollup2
TO MAKE SURE THAT AT THE END OF
04:38:22.686 --> 04:38:25.522 region:rollup2
THE DAY WERE DOING WHAT WE CAN.
04:38:25.088 --> 04:38:27.558 region:rollup2
TWO.
04:38:25.522 --> 04:38:29.092 region:rollup2
TRY TO SOLVE A PROBLEM THAT IS
04:38:27.558 --> 04:38:31.094 region:rollup2
NOT GONNA BE SOLVED OVERNIGHT
04:38:29.092 --> 04:38:32.529 region:rollup2
BUT THAT REQUIRES THAT WE. BEGIN
04:38:31.094 --> 04:38:34.031 region:rollup2
TO TALK ABOUT IT AND BEGIN TO
04:38:32.529 --> 04:38:35.165 region:rollup2
HAVE SOME ACTION ON IT. MORE
04:38:34.031 --> 04:38:36.833 region:rollup2
THAN JUST THE OUTSIDE
04:38:35.165 --> 04:38:37.801 region:rollup2
CONVERSATION SO THANK YOU FOR
04:38:36.833 --> 04:38:38.902 region:rollup2
YOUR WORK AND THANK YOU TO BOTH
04:38:37.801 --> 04:38:40.203 region:rollup2
SIDES.
04:38:38.902 --> 04:38:41.305 region:rollup2
FOR BRINGING ALL OF YOUR
04:38:40.203 --> 04:38:43.140 region:rollup2
DIFFERENT PERSPECTIVE TO THE
04:38:41.305 --> 04:38:43.774 region:rollup2
TABLE BECAUSE ARE IMPORTANT.
04:38:43.140 --> 04:38:45.709 region:rollup2
AND CERTAINLY CONVERSATIONS THAT
04:38:43.774 --> 04:38:46.643 region:rollup2
ARE NEED.
04:38:45.709 --> 04:38:48.478 region:rollup2
SO MISS LIMON WE HAVE FIVE
04:38:46.643 --> 04:38:49.813 region:rollup2
MEMBERS WAITING TO SPEAK SO
04:38:48.478 --> 04:38:51.548 region:rollup2
IRATE SO I WILL BUILD UP WITH
04:38:49.813 --> 04:38:55.319 region:rollup2
WALDRON A THINK A LOT OF MY
04:38:51.548 --> 04:38:55.919 region:rollup2
COLLEAGUES HAVE SHARED SOME OF
04:38:55.319 --> 04:38:56.520 region:rollup2
THE CONCERNS I'M GONNA TRY TO
04:38:55.919 --> 04:38:58.121 region:rollup2
LIMIT IT TO ONE QUESTION FOR
04:38:56.520 --> 04:38:59.189 region:rollup2
EACH SIDE. UP FOR THE SUPPORTERS
04:38:58.121 --> 04:39:01.358 region:rollup2
MY FIRST QUESTION IS.
04:38:59.189 --> 04:39:07.965 region:rollup2
WHAT IF THIS DOESN'T WORK WHAT
04:39:01.358 --> 04:39:10.334 region:rollup2
HAPPENS THEN?
04:39:07.965 --> 04:39:13.203 region:rollup2
WE DEFAULT TO THE CURRENT SYSTEM
04:39:10.334 --> 04:39:15.005 region:rollup2
WHICH IS ALSO NOT WORKING. AND
04:39:13.203 --> 04:39:17.140 region:rollup2
IS DRIVEN BY.
04:39:15.005 --> 04:39:20.277 region:rollup2
PURE MARKET CONSIDERATIONS
04:39:17.140 --> 04:39:22.179 region:rollup2
AND MONOPOLISTIC TAKEOVERS OF
04:39:20.277 --> 04:39:25.115 region:rollup2
OUR HEALTH CARE I MEAN THIS THE
04:39:22.179 --> 04:39:27.284 region:rollup2
CURRENT. REALITY IS.
04:39:25.115 --> 04:39:29.720 region:rollup2
SUPER NOT GREAT AND I THINK THAT
04:39:27.284 --> 04:39:31.488 region:rollup2
WE DO HAVE MODELS THAT.
04:39:29.720 --> 04:39:34.658 region:rollup2
WE CAN DRAW FROM THAT WE CAN
04:39:31.488 --> 04:39:36.093 region:rollup2
LEARN FROM AND APPLY. AND REALLY
04:39:34.658 --> 04:39:39.196 region:rollup2
CALIFORNIA HAS AN OPPORTUNITY TO
04:39:36.093 --> 04:39:40.797 region:rollup2
LEAVE HERE SO. IT IT IS YOU KNOW
04:39:39.196 --> 04:39:42.266 region:rollup2
WE'RE TAKING ON SOMETHING THAT
04:39:40.797 --> 04:39:43.200 region:rollup2
IS CHALLENGING WERE TAKING ON
04:39:42.266 --> 04:39:44.935 region:rollup2
SOMETHING THAT IS ONE OF THE
04:39:43.200 --> 04:39:46.136 region:rollup2
MOST IMPORTANT ISSUES FACING OUR
04:39:44.935 --> 04:39:48.005 region:rollup2
STATE TODAY.
04:39:46.136 --> 04:39:50.574 region:rollup2
AND.
04:39:48.005 --> 04:39:52.209 region:rollup2
YOU KNOW OVER TIME WE WILL GET
04:39:50.574 --> 04:39:54.244 region:rollup2
TO REALIZE.
04:39:52.209 --> 04:39:56.146 region:rollup2
YOU DON'T MAKE ADJUSTMENTS IF
04:39:54.244 --> 04:39:57.447 region:rollup2
WE'RE NOT.
04:39:56.146 --> 04:39:58.682 region:rollup2
OVERLY PRESCRIPTIVE AND I THINK
04:39:57.447 --> 04:40:01.485 region:rollup2
THAT IS THE BIG TAKEAWAY FROM
04:39:58.682 --> 04:40:04.021 region:rollup2
MARYLAND IS WE NEED TO.
04:40:01.485 --> 04:40:05.122 region:rollup2
ALLOW FOR ADJUSTMENTS TO BE
04:40:04.021 --> 04:40:07.424 region:rollup2
MADE OVER TIME ONE MORE THING
04:40:05.122 --> 04:40:09.459 region:rollup2
ALL SAY ON THAT. THERE IS A TON
04:40:07.424 --> 04:40:10.027 region:rollup2
OF EXPERIMENTATION THAT HAPPENS
04:40:09.459 --> 04:40:11.395 region:rollup2
ALL THE TIME AND HEALTHCARE
04:40:10.027 --> 04:40:13.964 region:rollup2
POLICY.
04:40:11.395 --> 04:40:17.234 region:rollup2
PAYMENT REFORM IS ONE BIG
04:40:13.964 --> 04:40:19.503 region:rollup2
EXPERIMENT IN ONE BIG IDEA. THE
04:40:17.234 --> 04:40:22.305 region:rollup2
IDEA OF VALUE VERSUS VOLUME THAT
04:40:19.503 --> 04:40:24.107 region:rollup2
YOU CAN PULL THE MONETARY LEVERS
04:40:22.305 --> 04:40:26.209 region:rollup2
AND MAKE OUTCOMES BE DIFFERENT
04:40:24.107 --> 04:40:28.612 region:rollup2
BASED ON THAT. THAT IS BEING
04:40:26.209 --> 04:40:29.980 region:rollup2
DRIVEN BY BOTH THE PUBLIC SECTOR
04:40:28.612 --> 04:40:31.214 region:rollup2
AS WELL AS THE PRIVATE SECTOR
04:40:29.980 --> 04:40:31.682 region:rollup2
THEY'RE EASY TON OF
04:40:31.214 --> 04:40:33.116 region:rollup2
EXPERIMENTATION THAT'S
04:40:31.682 --> 04:40:35.986 region:rollup2
HAPPENING.
04:40:33.116 --> 04:40:36.853 region:rollup2
AND GUESS WHAT. IN THAT PROCESS.
04:40:35.986 --> 04:40:38.622 region:rollup2
THEIR HAVE BEEN NEGATIVE
04:40:36.853 --> 04:40:41.625 region:rollup2
CONSEQUENCES.
04:40:38.622 --> 04:40:44.127 region:rollup2
AND WE KEEP GOING BECAUSE TRYING
04:40:41.625 --> 04:40:46.663 region:rollup2
FOR BETTER IS IMPORTANT.
04:40:44.127 --> 04:40:48.498 region:rollup2
BUT THAT IS THE TRUTH ABOUT OUR
04:40:46.663 --> 04:40:49.499 region:rollup2
CURRENT REALITY.
04:40:48.498 --> 04:40:52.135 region:rollup2
AND THE EVIDENCE THAT YOU'RE
04:40:49.499 --> 04:40:53.704 region:rollup2
USING IS THAT MARILYN OR WHAT
04:40:52.135 --> 04:40:56.073 region:rollup2
EVIDENCE ARE YOU USING. THAT
04:40:53.704 --> 04:40:57.140 region:rollup2
THIS HAS A CHANCE OF WORKING.
04:40:56.073 --> 04:40:58.942 region:rollup2
YOU'VE TALKED ABOUT DATA BUT
04:40:57.140 --> 04:41:00.377 region:rollup2
DATA IS NOT EVIDENCE WHAT'S THE
04:40:58.942 --> 04:41:01.745 region:rollup2
EVIDENCE YOU'RE USING THAT THIS
04:41:00.377 --> 04:41:03.313 region:rollup2
IS GOING TO HELP GET YOU THERE.
04:41:01.745 --> 04:41:05.115 region:rollup2
WELL IT'S THE THE GRAND
04:41:03.313 --> 04:41:06.550 region:rollup2
EXPERIMENT WITH MEDICARE IT'S
04:41:05.115 --> 04:41:08.285 region:rollup2
THE GRAND EXPERIMENT WITH
04:41:06.550 --> 04:41:10.787 region:rollup2
MARYLAND IT IS THE GRAND
04:41:08.285 --> 04:41:12.556 region:rollup2
EXPERIMENT IN MASSACHUSETTS.
04:41:10.787 --> 04:41:14.224 region:rollup2
YOU KNOW THE COUNTRIES OF
04:41:12.556 --> 04:41:15.559 region:rollup2
FRANCE GERMANY THE NETHERLANDS
04:41:14.224 --> 04:41:17.627 region:rollup2
HAVE ALL USE OUR MEDICARE
04:41:15.559 --> 04:41:18.028 region:rollup2
PAYMENT SYSTEM TO MODEL THEIR
04:41:17.627 --> 04:41:20.297 region:rollup2
OWN.
04:41:18.028 --> 04:41:22.899 region:rollup2
IN FACT I WILL SAY BECAUSE IT
04:41:20.297 --> 04:41:24.401 region:rollup2
HASN'T BEEN SAID TO ME THAT WHEN
04:41:22.899 --> 04:41:26.770 region:rollup2
THEY THAT SELECT COMMITTEE
04:41:24.401 --> 04:41:28.772 region:rollup2
LOOKED AT WHAT IS EVERYBODY ELSE
04:41:26.770 --> 04:41:31.174 region:rollup2
DOING THAT WE'RE NOT DOING
04:41:28.772 --> 04:41:31.742 region:rollup2
THAT'S MAKING THEIR SYSTEMS BOTH
04:41:31.174 --> 04:41:34.511 region:rollup2
CHEAPER AND HIGHER QUALITY.
04:41:31.742 --> 04:41:35.746 region:rollup2
HAVE.
04:41:34.511 --> 04:41:37.748 region:rollup2
COSTS ARE LOWER BUT THEY'RE
04:41:35.746 --> 04:41:39.916 region:rollup2
GETTING BETTER OUTCOMES FROM
04:41:37.748 --> 04:41:41.918 region:rollup2
THEIR SYSTEMS THE ONE THING THEY
04:41:39.916 --> 04:41:45.322 region:rollup2
ALL HAD IN COMMON WAS THAT THEY
04:41:41.918 --> 04:41:48.125 region:rollup2
REGULATED. PRICES.
04:41:45.322 --> 04:41:49.159 region:rollup2
AND SO THAT THAT IS ESSENTIALLY
04:41:48.125 --> 04:41:50.961 region:rollup2
THE STARTING POINT FOR THIS
04:41:49.159 --> 04:41:52.129 region:rollup2
CONVERSATION THE ONE THING THAT
04:41:50.961 --> 04:41:53.697 region:rollup2
ALL INDUSTRIALIZED WEALTHY
04:41:52.129 --> 04:41:54.731 region:rollup2
NATIONS TO IN THEIR HEALTH CARE
04:41:53.697 --> 04:41:56.767 region:rollup2
SYSTEMS IS THEY REGULATE PRICES.
04:41:54.731 --> 04:41:58.435 region:rollup2
IN HEALTHCARE.
04:41:56.767 --> 04:42:00.237 region:rollup2
SO I GUESS FOR ME IS A LISTEN TO
04:41:58.435 --> 04:42:02.005 region:rollup2
THIS THE CONCERN I HAVE IS THAT.
04:42:00.237 --> 04:42:03.540 region:rollup2
.
04:42:02.005 --> 04:42:05.108 region:rollup2
YOU KNOW I APPRECIATE THAT
04:42:03.540 --> 04:42:05.308 region:rollup2
EXPERIMENTATION IS NEEDED BY
04:42:05.108 --> 04:42:06.877 region:rollup2
ALSO.
04:42:05.308 --> 04:42:08.011 region:rollup2
.
04:42:06.877 --> 04:42:09.012 region:rollup2
YOU KNOW THE ANSWER THAT WELL
04:42:08.011 --> 04:42:10.781 region:rollup2
WE'LL JUST FAILED LIKE THE
04:42:09.012 --> 04:42:11.481 region:rollup2
SYSTEM IS FAILING NOW IS REALLY
04:42:10.781 --> 04:42:13.483 region:rollup2
HARD.
04:42:11.481 --> 04:42:15.185 region:rollup2
IT IT'S JUST A HARD ANSWER TO
04:42:13.483 --> 04:42:16.887 region:rollup2
KIND OF GRAPPLE WITH BECAUSE IF
04:42:15.185 --> 04:42:17.854 region:rollup2
THE SYSTEM FAILS. OUR COMMUNITY
04:42:16.887 --> 04:42:19.823 region:rollup2
FEELS WITH IT.
04:42:17.854 --> 04:42:21.224 region:rollup2
.
04:42:19.823 --> 04:42:22.259 region:rollup2
SO YOU KNOW THIS ARE SOME OF THE
04:42:21.224 --> 04:42:23.560 region:rollup2
QUESTIONS THAT WE'RE ASKING
04:42:22.259 --> 04:42:24.561 region:rollup2
OURSELVES NUMBER ONLY ASKING
04:42:23.560 --> 04:42:26.096 region:rollup2
OURSELVES THESE QUESTIONS
04:42:24.561 --> 04:42:27.297 region:rollup2
BECAUSE WE CARE AND BECAUSE WERE
04:42:26.096 --> 04:42:29.499 region:rollup2
INVESTED IN TRYING TO SEE WHAT
04:42:27.297 --> 04:42:31.968 region:rollup2
THE SOLUTION WOULD BE.
04:42:29.499 --> 04:42:34.171 region:rollup2
AT FOUR IN THE OPPOSITION YOU
04:42:31.968 --> 04:42:36.072 region:rollup2
TALKED ABOUT AND WANTING TO BE
04:42:34.171 --> 04:42:37.908 region:rollup2
AT THE TABLE TO ADDRESS HEALTH
04:42:36.072 --> 04:42:40.343 region:rollup2
CARE AFFORDABILITY WHAT ARE YOU
04:42:37.908 --> 04:42:42.212 region:rollup2
DOING NOW TO ADDRESS HEALTH CARE
04:42:40.343 --> 04:42:45.182 region:rollup2
AFFORDABILITY. AND WHAT HAVE YOU
04:42:42.212 --> 04:42:46.883 region:rollup2
PUT ON THE TABLE.
04:42:45.182 --> 04:42:47.984 region:rollup2
WE HAVE BEEN AT THE TABLE ALL
04:42:46.883 --> 04:42:49.586 region:rollup2
ALONG TRYING TO FIND SOME
04:42:47.984 --> 04:42:50.086 region:rollup2
ANSWERS IT IS AS WE'VE HEARD
04:42:49.586 --> 04:42:52.656 region:rollup2
OTHERS IN THE NATION SAY
04:42:50.086 --> 04:42:54.391 region:rollup2
COMPLEX.
04:42:52.656 --> 04:42:55.792 region:rollup2
WHAT PART OF CMA RIGHT NOW IS
04:42:54.391 --> 04:42:57.661 region:rollup2
PART OF THE CARE FOR ALL
04:42:55.792 --> 04:42:59.396 region:rollup2
CALIFORNIA COALITION THAT HAS
04:42:57.661 --> 04:43:01.832 region:rollup2
PUT FORWARD OTHER IDEAS ON HOW
04:42:59.396 --> 04:43:02.966 region:rollup2
TO DEAL WITH THE COST?
04:43:01.832 --> 04:43:04.367 region:rollup2
WE'RE WE'RE WE'RE SUPPORTING
04:43:02.966 --> 04:43:05.335 region:rollup2
THAT COALITION AND SOME OF THE
04:43:04.367 --> 04:43:07.370 region:rollup2
SOME OF THE BILLS THAT ARE
04:43:05.335 --> 04:43:08.004 region:rollup2
BEFORE THE LEGISLATURE NOW.
04:43:07.370 --> 04:43:09.739 region:rollup2
I WILL TELL YOU FROM CALIFORNIA
04:43:08.004 --> 04:43:11.308 region:rollup2
MEDICAL ASSOCIATION STANDPOINT
04:43:09.739 --> 04:43:12.642 region:rollup2
WE HAVE AN ANNUAL SESSION.
04:43:11.308 --> 04:43:14.110 region:rollup2
THIS IS BEEN AN ONGOING
04:43:12.642 --> 04:43:15.011 region:rollup2
DISCUSSION AT THE ANNUAL SESSION
04:43:14.110 --> 04:43:16.379 region:rollup2
OF OUR HOUSE OF DELEGATES
04:43:15.011 --> 04:43:17.914 region:rollup2
REPRESENTING PHYSICIANS IN
04:43:16.379 --> 04:43:19.583 region:rollup2
ALMOST A PRACTICE ALL OVER THE
04:43:17.914 --> 04:43:20.550 region:rollup2
STATE OF CALIFORNIA.
04:43:19.583 --> 04:43:22.686 region:rollup2
WE ARE IN THE PROCESS NOW WE'RE
04:43:20.550 --> 04:43:23.854 region:rollup2
GETTING OUR AGENDA FOR NEXT YEAR
04:43:22.686 --> 04:43:25.188 region:rollup2
WHY NOT NEXT YEAR THIS COMING
04:43:23.854 --> 04:43:26.890 region:rollup2
OCTOBER.
04:43:25.188 --> 04:43:28.158 region:rollup2
AND WELL WE USUALLY TACKLE FOR
04:43:26.890 --> 04:43:29.593 region:rollup2
FIVE MAJOR ISSUES AT THAT
04:43:28.158 --> 04:43:31.094 region:rollup2
MEETING.
04:43:29.593 --> 04:43:32.429 region:rollup2
THE RECOMMENDATION FROM OUR
04:43:31.094 --> 04:43:34.130 region:rollup2
GROUP THAT PUTS TOGETHER THAT
04:43:32.429 --> 04:43:37.501 region:rollup2
AGENDA AND IS NOW GOING TO OUR
04:43:34.130 --> 04:43:38.635 region:rollup2
BOARD. IS AN ALL SESSION ON COST
04:43:37.501 --> 04:43:40.337 region:rollup2
CONTAINMENT COST IN AFFORDABLE
04:43:38.635 --> 04:43:42.072 region:rollup2
ACCESS TO HEALTH CARE.
04:43:40.337 --> 04:43:43.640 region:rollup2
WE'RE NOT BLIND TO IT WE ACCEPT
04:43:42.072 --> 04:43:45.408 region:rollup2
THE CHALLENGE WE WANT TO BE PART
04:43:43.640 --> 04:43:46.810 region:rollup2
OF THAT SOLUTION TO THE ISSUE.
04:43:45.408 --> 04:43:48.245 region:rollup2
AND WE CONTINUE TO BE THERE WHAT
04:43:46.810 --> 04:43:50.380 region:rollup2
WE ARE CONCERNED ABOUT OUR
04:43:48.245 --> 04:43:52.449 region:rollup2
DRACONIAN BACKWARD LOOKING WAYS
04:43:50.380 --> 04:43:53.950 region:rollup2
OF TRYING TO FIX THE SYSTEM.
04:43:52.449 --> 04:43:55.719 region:rollup2
AND I APPRECIATE THAT THERE'S A
04:43:53.950 --> 04:43:57.587 region:rollup2
CONVERSATION HAPPENING BUT I
04:43:55.719 --> 04:43:59.689 region:rollup2
ALSO THINK THAT THERE HAS TO BE
04:43:57.587 --> 04:44:00.891 region:rollup2
SOMETHING MORE CONCRETE PUTS A
04:43:59.689 --> 04:44:02.225 region:rollup2
TABLE WE'VE HAD A YEARS OF
04:44:00.891 --> 04:44:05.462 region:rollup2
KNOWING THAT OUR SYSTEM THAT
04:44:02.225 --> 04:44:06.463 region:rollup2
NEEDED FIXING. I'M AND I SPENT
04:44:05.462 --> 04:44:07.797 region:rollup2
YOU KNOW MORE THAN TWO HOURS
04:44:06.463 --> 04:44:09.132 region:rollup2
ACTUALLY WITH LOCAL CMA
04:44:07.797 --> 04:44:10.534 region:rollup2
REPRESENTATIVES TALKING ABOUT
04:44:09.132 --> 04:44:11.835 region:rollup2
THIS.
04:44:10.534 --> 04:44:13.270 region:rollup2
AND WHAT CAME OUT AFTER A TWO
04:44:11.835 --> 04:44:15.305 region:rollup2
HOUR CONVERSATION IS THEIR
04:44:13.270 --> 04:44:15.839 region:rollup2
REGRET THAT THEY HAVEN'T BROUGHT
04:44:15.305 --> 04:44:18.074 region:rollup2
A CONCRETE SOLUTION TO THE
04:44:15.839 --> 04:44:19.709 region:rollup2
TABLE.
04:44:18.074 --> 04:44:21.745 region:rollup2
AND THAT'S A PROBLEM AND SO I
04:44:19.709 --> 04:44:23.446 region:rollup2
THINK A LESSON FOR EVERYBODY OUT
04:44:21.745 --> 04:44:25.849 region:rollup2
THERE IS UNLESS WE'RE BRINGING
04:44:23.446 --> 04:44:27.517 region:rollup2
SOLUTIONS TO THE TABLE.
04:44:25.849 --> 04:44:30.287 region:rollup2
THIS IS GOING TO KEEP HAPPENING
04:44:27.517 --> 04:44:32.088 region:rollup2
UP AYE ICY THIS BILL AS A
04:44:30.287 --> 04:44:35.091 region:rollup2
CONVERSATION AND THAT NEEDS TO
04:44:32.088 --> 04:44:35.525 region:rollup2
HAPPEN I'VE SAID IF THERE'S NOT
04:44:35.091 --> 04:44:37.394 region:rollup2
A BILL THERE'S NOT A
04:44:35.525 --> 04:44:38.061 region:rollup2
CONVERSATION.
04:44:37.394 --> 04:44:38.962 region:rollup2
UGH BUT I HAVE GREAT CONCERNS I
04:44:38.061 --> 04:44:40.463 region:rollup2
HAVE GREAT CONCERNS ABOUT THE
04:44:38.962 --> 04:44:42.299 region:rollup2
BILL BECAUSE.
04:44:40.463 --> 04:44:43.767 region:rollup2
YET WHAT'S BEEN TALKED ABOUT IS
04:44:42.299 --> 04:44:45.468 region:rollup2
URBAN AND RURAL WELL AS THE
04:44:43.767 --> 04:44:47.304 region:rollup2
SIXTH LARGEST ECONOMY THERE'S A
04:44:45.468 --> 04:44:49.005 region:rollup2
WHOLE LOT IN BETWEEN. AND IN A
04:44:47.304 --> 04:44:51.341 region:rollup2
COMMUNITY THAT HAS A HIGH COST
04:44:49.005 --> 04:44:52.809 region:rollup2
OF LIVING WHERE I MYSELF CAN
04:44:51.341 --> 04:44:55.345 region:rollup2
ONLY GO SEE A PROVIDER ON A
04:44:52.809 --> 04:44:57.013 region:rollup2
FRIDAY OR SATURDAY. AND THAT
04:44:55.345 --> 04:44:58.448 region:rollup2
ALONE IS REALLY DIFFICULT TO
04:44:57.013 --> 04:45:01.351 region:rollup2
FIND.
04:44:58.448 --> 04:45:04.287 region:rollup2
I I I THINK BACK TO THIS IDEA
04:45:01.351 --> 04:45:07.924 region:rollup2
WILL THIS IS GREAT. IF YOU. IF
04:45:04.287 --> 04:45:09.426 region:rollup2
YOU END UP AYE CAPPING RATES.
04:45:07.924 --> 04:45:11.828 region:rollup2
THAT'S GONNA HELP FOLKS BUT WHAT
04:45:09.426 --> 04:45:13.463 region:rollup2
HAPPENS IF THE RATES ARE CAPPED
04:45:11.828 --> 04:45:15.565 region:rollup2
AND I CAN'T FIND A HOSPITAL OR
04:45:13.463 --> 04:45:18.435 region:rollup2
DOCTOR IT DOES ME AND MY
04:45:15.565 --> 04:45:20.370 region:rollup2
COMMUNITY NO GOOD. TO CAP RATES
04:45:18.435 --> 04:45:22.005 region:rollup2
IF THERE'S NOT A DOCTOR TO SEE
04:45:20.370 --> 04:45:23.340 region:rollup2
AND HOSPITAL TO GO TO AND I
04:45:22.005 --> 04:45:24.641 region:rollup2
THINK THAT THIS IS PART OF THE
04:45:23.340 --> 04:45:27.510 region:rollup2
GREATER CONVERSATION.
04:45:24.641 --> 04:45:29.746 region:rollup2
AND THIS IS PART OF THE CONCERN
04:45:27.510 --> 04:45:31.448 region:rollup2
UP THAT I HAVE. I AM GOING TO
04:45:29.746 --> 04:45:33.016 region:rollup2
SUPPORT THE BILL TODAY I HAVE A
04:45:31.448 --> 04:45:34.451 region:rollup2
LOT OF RESERVATIONS ABOUT THIS
04:45:33.016 --> 04:45:35.986 region:rollup2
BECAUSE AS BEEN SAID THERE'S A
04:45:34.451 --> 04:45:37.087 region:rollup2
LOT AT TO CONSIDER AND I DON'T
04:45:35.986 --> 04:45:38.622 region:rollup2
WANT A REPEAT A LOT OF THE
04:45:37.087 --> 04:45:39.556 region:rollup2
THINGS THAT I THINK.
04:45:38.622 --> 04:45:41.024 region:rollup2
COLLEAGUES HAVE SAID.
04:45:39.556 --> 04:45:42.859 region:rollup2
BUT I WANT US TO THINK ABOUT
04:45:41.024 --> 04:45:44.027 region:rollup2
THAT BECAUSE IN SOME COMMUNITIES
04:45:42.859 --> 04:45:46.162 region:rollup2
THAT IS REALLY.
04:45:44.027 --> 04:45:48.631 region:rollup2
THE FEAR AND WERE NOT DRIVEN ON
04:45:46.162 --> 04:45:49.933 region:rollup2
FEAR THAT FEAR IS REAL I TALKED
04:45:48.631 --> 04:45:51.368 region:rollup2
TO HUNDREDS OF PEOPLE IN MY
04:45:49.933 --> 04:45:52.736 region:rollup2
COMMUNITY THAT STRUGGLE TO
04:45:51.368 --> 04:45:54.571 region:rollup2
FIGURE OUT WHERE TO GO PEOPLE
04:45:52.736 --> 04:45:55.405 region:rollup2
SAY WILL GO TO A KAISER GUESS
04:45:54.571 --> 04:45:55.872 region:rollup2
WHAT I DON'T HAVE BEEN WHERE YOU
04:45:55.405 --> 04:45:58.074 region:rollup2
LIVE.
04:45:55.872 --> 04:46:00.543 region:rollup2
AND SO I THINK THAT THAT'S.
04:45:58.074 --> 04:46:02.078 region:rollup2
SOMETHING DATA I WILL BE TAKEN
04:46:00.543 --> 04:46:03.646 region:rollup2
INTO CONSIDERATION AND AS THIS
04:46:02.078 --> 04:46:05.415 region:rollup2
BILL MOVES FORWARD I WILL
04:46:03.646 --> 04:46:06.583 region:rollup2
CONSIDER WHETHER OR NOT THEY CAN
04:46:05.415 --> 04:46:08.818 region:rollup2
CONTINUE TO SUPPORT IT.
04:46:06.583 --> 04:46:10.854 region:rollup2
BUT I DEFINITELY AT I
04:46:08.818 --> 04:46:12.689 region:rollup2
UNDERSTAND THAT THERE'S REASON
04:46:10.854 --> 04:46:14.057 region:rollup2
TO HAVE THIS CONVERSATION AND I
04:46:12.689 --> 04:46:15.492 region:rollup2
HOPE THAT WE WILL SEE A
04:46:14.057 --> 04:46:17.427 region:rollup2
DIFFERENT EFFORT AN EFFORT.
04:46:15.492 --> 04:46:20.263 region:rollup2
THAT REALLY STARTS TO MAKE
04:46:17.427 --> 04:46:23.133 region:rollup2
COMPROMISES AROUND WHAT NEEDS TO
04:46:20.263 --> 04:46:25.235 region:rollup2
HAPPEN TO MOVE THIS FORWARD.
04:46:23.133 --> 04:46:26.703 region:rollup2
GUIDE AND UP WE HAVE FIVE FOUR
04:46:25.235 --> 04:46:28.838 region:rollup2
FOUR MEMBERS PLUS ME WOULD LIKE
04:46:26.703 --> 04:46:30.340 region:rollup2
TO SPEAKS UP WE COULD.
04:46:28.838 --> 04:46:32.175 region:rollup2
MOVING HERE WE'VE GOT WE ALSO
04:46:30.340 --> 04:46:34.811 region:rollup2
HAVE UP. THIRTY OTHER BILLS.
04:46:32.175 --> 04:46:35.812 region:rollup2
TODAY.
04:46:34.811 --> 04:46:37.480 region:rollup2
WE'VE ONLY PROOF WE'VE ONLY
04:46:35.812 --> 04:46:41.384 region:rollup2
VOTED ON ONE BILL.
04:46:37.480 --> 04:46:44.688 region:rollup2
SO JUST JUST JUST SAY HAVE.
04:46:41.384 --> 04:46:46.723 region:rollup2
PLEASE.
04:46:44.688 --> 04:46:48.358 region:rollup2
THANK YOU MISTER CHAIR OKAY.
04:46:46.723 --> 04:46:50.193 region:rollup2
I'LL TRY THOSE FRANCESTHE CAN
04:46:48.358 --> 04:46:52.028 region:rollup2
HEAR CHRISTMAS SO MANY THOUGHTS
04:46:50.193 --> 04:46:52.996 region:rollup2
OF JUST ERASED HALF MY QUESTIONS
04:46:52.028 --> 04:46:55.665 region:rollup2
SLOW.
04:46:52.996 --> 04:46:56.599 region:rollup2
OKAY SO THE PURPOSE THE
04:46:55.665 --> 04:46:56.866 region:rollup2
RESERVES RIGHT IN THE BILL.
04:46:56.599 --> 04:46:58.568 region:rollup2
YOU KNOW.
04:46:56.866 --> 04:47:00.970 region:rollup2
.
04:46:58.568 --> 04:47:02.272 region:rollup2
SECTION ONE HUNDRED SIX OH THREE
04:47:00.970 --> 04:47:04.074 region:rollup2
IT TALKS ABOUT.
04:47:02.272 --> 04:47:05.842 region:rollup2
SETTING THE AMOUNTS ACCEPTED.
04:47:04.074 --> 04:47:07.977 region:rollup2
PAYMENT.
04:47:05.842 --> 04:47:09.079 region:rollup2
DETERMINE METHODS FOR STATE
04:47:07.977 --> 04:47:10.580 region:rollup2
GOVERNMENT TO REDUCE THE COSTS
04:47:09.079 --> 04:47:12.082 region:rollup2
OF PRESCRIPTION DRUGS AND
04:47:10.580 --> 04:47:13.817 region:rollup2
MEDICAL DEVICES PAID FOR BY
04:47:12.082 --> 04:47:15.819 region:rollup2
PRIVATE PURCHASERS.
04:47:13.817 --> 04:47:17.454 region:rollup2
CONTROL IN STATE CARE COST IN A
04:47:15.819 --> 04:47:19.622 region:rollup2
MANNER INTENDED TO IMPROVE
04:47:17.454 --> 04:47:20.857 region:rollup2
HEALTH CARE QUALITY. IMPROVE
04:47:19.622 --> 04:47:22.525 region:rollup2
OUTCOMES AND REDUCE HEALTH
04:47:20.857 --> 04:47:23.793 region:rollup2
DISPARITIES FOR ALL CALIFORNIANS
04:47:22.525 --> 04:47:25.228 region:rollup2
SO ANNA TALK ABOUT SOMETHING
04:47:23.793 --> 04:47:26.796 region:rollup2
THAT.
04:47:25.228 --> 04:47:29.132 region:rollup2
WAS TOUCHED UPON BUT NOT REALLY
04:47:26.796 --> 04:47:31.768 region:rollup2
TALKED ABOUT THAT'S PATIENTS.
04:47:29.132 --> 04:47:33.903 region:rollup2
IN ONE OF MY BIGGEST DRIVERS
04:47:31.768 --> 04:47:34.871 region:rollup2
BEING ON HEALTH COMMITTEE HAS
04:47:33.903 --> 04:47:36.773 region:rollup2
ALWAYS BEEN PATIENTS
04:47:34.871 --> 04:47:39.242 region:rollup2
PATIENT CARE. PATIENT ACCESS
04:47:36.773 --> 04:47:42.145 region:rollup2
SO.
04:47:39.242 --> 04:47:43.713 region:rollup2
IF THIS COMMISSION WILL FORMED
04:47:42.145 --> 04:47:43.980 region:rollup2
AN IN THEM AND PICK SOMETHING UP
04:47:43.713 --> 04:47:45.415 region:rollup2
RIGHT OUT.
04:47:43.980 --> 04:47:47.417 region:rollup2
.
04:47:45.415 --> 04:47:49.352 region:rollup2
RARE DISEASE PATIENTS.
04:47:47.417 --> 04:47:50.787 region:rollup2
FACE CHRONIC LIFE THREATENING
04:47:49.352 --> 04:47:51.354 region:rollup2
DISEASES ON SOME OF THE
04:47:50.787 --> 04:47:53.690 region:rollup2
COUNTRY'S HIGHEST TREATMENT
04:47:51.354 --> 04:47:54.724 region:rollup2
COST.
04:47:53.690 --> 04:47:56.626 region:rollup2
DISEASES.
04:47:54.724 --> 04:47:58.895 region:rollup2
SUCH AS THOSE COVERED UNDER THE
04:47:56.626 --> 04:48:00.630 region:rollup2
CALIFORNIA CHILDREN'S SERVICES
04:47:58.895 --> 04:48:02.532 region:rollup2
CCS PROGRAM.
04:48:00.630 --> 04:48:03.767 region:rollup2
AND LATER THE GENETICALLY
04:48:02.532 --> 04:48:05.635 region:rollup2
HANDICAPPED PERSONS PROGRAM G.
04:48:03.767 --> 04:48:07.837 region:rollup2
HPP.
04:48:05.635 --> 04:48:09.239 region:rollup2
REQUIRE ACCESS TO SPECIALIZED
04:48:07.837 --> 04:48:11.708 region:rollup2
EXPENSIVE CARE AND THERAPIES FOR
04:48:09.239 --> 04:48:14.677 region:rollup2
LIFE.
04:48:11.708 --> 04:48:16.412 region:rollup2
SO YOU KNOW TAKE HEMOPHILIA THE
04:48:14.677 --> 04:48:18.615 region:rollup2
AVERAGE COST OF IN THE DOLE.
04:48:16.412 --> 04:48:21.017 region:rollup2
IN FOR YEARS THREE HUNDRED
04:48:18.615 --> 04:48:22.519 region:rollup2
THOUSAND DOLLARS.
04:48:21.017 --> 04:48:24.087 region:rollup2
HOW WOULD THIS ISSUE BE
04:48:22.519 --> 04:48:25.855 region:rollup2
ADDRESSED BY THE COMMITTEE?
04:48:24.087 --> 04:48:27.891 region:rollup2
WHO'S LOOKING TO REDUCE COSTS.
04:48:25.855 --> 04:48:29.859 region:rollup2
OF CARE.
04:48:27.891 --> 04:48:31.628 region:rollup2
AND I GUESS WHAT I'M ASKING FOR
04:48:29.859 --> 04:48:38.668 region:rollup2
IS A COMMITMENT THAT.
04:48:31.628 --> 04:48:40.003 region:rollup2
THESE PATIENTS WILL BE FUNDED.
04:48:38.668 --> 04:48:41.504 region:rollup2
SO I'M SORRY.
04:48:40.003 --> 04:48:43.273 region:rollup2
MISS WALDRON.
04:48:41.504 --> 04:48:44.874 region:rollup2
THAT MANY OF THE PROGRAMS THAT
04:48:43.273 --> 04:48:47.844 region:rollup2
YOU MENTIONED ARE PUBLIC
04:48:44.874 --> 04:48:50.079 region:rollup2
PROGRAMS M. CCS FOR EXAMPLE IS A
04:48:47.844 --> 04:48:51.948 region:rollup2
MEDI CAL PROGRAM. WHOSE REACH
04:48:50.079 --> 04:48:53.983 region:rollup2
GOES FAR BEYOND THE MEDI CAL
04:48:51.948 --> 04:48:56.019 region:rollup2
ELIGIBLE POPULATIONS IF YOU HAVE
04:48:53.983 --> 04:48:57.687 region:rollup2
A VERY SICK CHILD WHOSE HEALTH
04:48:56.019 --> 04:48:59.522 region:rollup2
CARE EXPENSES WOULD EXCEED A
04:48:57.687 --> 04:49:01.558 region:rollup2
CERTAIN AMOUNT OF THE FAMILY'S
04:48:59.522 --> 04:49:03.393 region:rollup2
INCOME. THAT FAMILY CAN QUALIFY
04:49:01.558 --> 04:49:04.827 region:rollup2
FOR CCS EVEN THOUGH THEY'RE NOT
04:49:03.393 --> 04:49:06.729 region:rollup2
MEDI CAL ELIGIBLE WE HAVE
04:49:04.827 --> 04:49:08.164 region:rollup2
MEDICARE WHICH ALSO SERVES
04:49:06.729 --> 04:49:11.701 region:rollup2
PEOPLE WITH DISABILITIES.
04:49:08.164 --> 04:49:13.703 region:rollup2
AND SO MANY OF OF THE HIGH
04:49:11.701 --> 04:49:15.405 region:rollup2
NEEDS POPULATIONS YOU'RE TALKING
04:49:13.703 --> 04:49:18.041 region:rollup2
ABOUT ARE ALREADY COVERED.
04:49:15.405 --> 04:49:19.309 region:rollup2
UNDER PUBLIC PROGRAMS.
04:49:18.041 --> 04:49:20.276 region:rollup2
THIS BILL IS SPECIFICALLY
04:49:19.309 --> 04:49:22.478 region:rollup2
DIRECTED TO LOOK AT THE
04:49:20.276 --> 04:49:23.046 region:rollup2
COMMERCIAL MARKET TO THE EXTENT
04:49:22.478 --> 04:49:24.214 region:rollup2
THAT WE DO HAVE INDIVIDUALS
04:49:23.046 --> 04:49:29.152 region:rollup2
WITH.
04:49:24.214 --> 04:49:29.152 region:rollup2
VERY S. SIGNIFICANT HEALTH CARE
04:49:29.219 --> 04:49:32.989 region:rollup2
MEDICARE PAYMENT SYSTEM IS
04:49:31.154 --> 04:49:35.558 region:rollup2
ALREADY.
04:49:32.989 --> 04:49:36.960 region:rollup2
PERFECTLY SORT OF SET UP
04:49:35.558 --> 04:49:38.728 region:rollup2
TO DEAL WITH THOSE I'M
04:49:36.960 --> 04:49:40.430 region:rollup2
REIMBURSEMENTS BECAUSE THEY DO
04:49:38.728 --> 04:49:42.365 region:rollup2
COVER I'M VERY SICK POPULATIONS
04:49:40.430 --> 04:49:44.067 region:rollup2
ALREADY.
04:49:42.365 --> 04:49:45.768 region:rollup2
ONE OF THE PROBLEMS WITH RARE
04:49:44.067 --> 04:49:47.537 region:rollup2
DISEASE AND GENETIC INVOLVED
04:49:45.768 --> 04:49:49.239 region:rollup2
DISEASE IS THAT.
04:49:47.537 --> 04:49:51.541 region:rollup2
IT CAN TAKE UP TO EIGHT YEARS
04:49:49.239 --> 04:49:53.443 region:rollup2
BEFORE PEOPLE EVEN DIAGNOSED.
04:49:51.541 --> 04:49:55.745 region:rollup2
AND AT THAT POINT THERE PROBABLY
04:49:53.443 --> 04:49:57.447 region:rollup2
COULD BE IN A COMMERCIAL PLAN.
04:49:55.745 --> 04:49:59.415 region:rollup2
NOT IN THE MEDICARE PLAN.
04:49:57.447 --> 04:50:01.117 region:rollup2
SO YOU HAVE PROVIDERS THAT ARE
04:49:59.415 --> 04:50:02.719 region:rollup2
DOING TESTING THIS GENETIC
04:50:01.117 --> 04:50:04.187 region:rollup2
TESTING ALL THOSE THINGS I I
04:50:02.719 --> 04:50:05.588 region:rollup2
JUST BRINGING THIS OUT OF THE
04:50:04.187 --> 04:50:08.258 region:rollup2
RECORD BECAUSE.
04:50:05.588 --> 04:50:10.560 region:rollup2
IT'S AN ISSUE THAT COULD FALL BY
04:50:08.258 --> 04:50:12.228 region:rollup2
THE WAYSIDE. YOU KNOW WHICH WAS
04:50:10.560 --> 04:50:13.663 region:rollup2
A DISCUSSION WE HAD IN OUR
04:50:12.228 --> 04:50:15.465 region:rollup2
UNIVERSAL SINGLE PAYER
04:50:13.663 --> 04:50:17.667 region:rollup2
COMMITTEES TO THAT.
04:50:15.465 --> 04:50:18.868 region:rollup2
NO THERE'S SOME UNIQUE CASES
04:50:17.667 --> 04:50:21.004 region:rollup2
THAT WE WANT TO BE SURE THOSE
04:50:18.868 --> 04:50:22.238 region:rollup2
PATIENTS STILL HAVE CARE.
04:50:21.004 --> 04:50:23.239 region:rollup2
THANK YOU FOR SPEAKING OUT ON
04:50:22.238 --> 04:50:24.674 region:rollup2
BEHALF OF THOSE PATIENTS WITH
04:50:23.239 --> 04:50:26.009 region:rollup2
THOSE UNIQUE SITUATIONS AND
04:50:24.674 --> 04:50:27.443 region:rollup2
CERTAINLY THAT'S SOMETHING THAT
04:50:26.009 --> 04:50:28.912 region:rollup2
WILL BE COUNTY FOUR AS INDICATED
04:50:27.443 --> 04:50:31.014 region:rollup2
ME THOSE PROGRAMS ALREADY PUBLIC
04:50:28.912 --> 04:50:32.382 region:rollup2
PROGRAMS FUNDED BY MEDICARE. BUT
04:50:31.014 --> 04:50:33.816 region:rollup2
TO THE EXTENT THAT THERE ARE
04:50:32.382 --> 04:50:35.251 region:rollup2
SITUATIONS THAT'S NOT THE CASE
04:50:33.816 --> 04:50:36.185 region:rollup2
ABSOLUTELY THAT THOSE WOULD BE
04:50:35.251 --> 04:50:37.954 region:rollup2
PEOPLE THAT WILL BE OUT OF THE
04:50:36.185 --> 04:50:40.523 region:rollup2
CONVERSATION AS TO. HOW WE SET
04:50:37.954 --> 04:50:42.725 region:rollup2
UP BY THE ENSURE QUALITY
04:50:40.523 --> 04:50:43.860 region:rollup2
OUTCOMES OCCUR?
04:50:42.725 --> 04:50:44.527 region:rollup2
ON IT IN A SMALL MARKET REFERRAL
04:50:43.860 --> 04:50:46.229 region:rollup2
SPAWNED A IS SO MY COMMENTS WERE
04:50:44.527 --> 04:50:47.597 region:rollup2
COMPARING CALIFORNIA TO
04:50:46.229 --> 04:50:48.831 region:rollup2
DIFFERENT EUROPEAN COUNTRIES.
04:50:47.597 --> 04:50:50.300 region:rollup2
YOU KNOW OUR CONCERN HERE IS NOT
04:50:48.831 --> 04:50:51.934 region:rollup2
OR DOCTORS GOING TO CANADA TO
04:50:50.300 --> 04:50:54.203 region:rollup2
OUR DOCTORS GOING TO OREGON SO
04:50:51.934 --> 04:50:56.005 region:rollup2
FOR THOSE PROGRAMS IT WOULD BE.
04:50:54.203 --> 04:50:57.240 region:rollup2
NOT THAT THEY'RE NOT FUNDED BY
04:50:56.005 --> 04:50:58.942 region:rollup2
BETTER CAL BUT THERE'S JUST NO
04:50:57.240 --> 04:51:00.543 region:rollup2
SPECIALIST ACTUALLY PROVIDE THE
04:50:58.942 --> 04:51:01.144 region:rollup2
SERVICE.
04:51:00.543 --> 04:51:01.678 region:rollup2
AND SO THAT WE ARE CONCERNED
04:51:01.144 --> 04:51:01.878 region:rollup2
THERE.
04:51:01.678 --> 04:51:04.380 region:rollup2
OKAY.
04:51:01.878 --> 04:51:06.182 region:rollup2
.
04:51:04.380 --> 04:51:08.084 region:rollup2
YEAH I WANT I'M GONNA TALK ABOUT
04:51:06.182 --> 04:51:09.819 region:rollup2
MEDICAL NECESSITY HOPE THAT THE
04:51:08.084 --> 04:51:11.187 region:rollup2
COMMITTEE THE COMMISSION WITH
04:51:09.819 --> 04:51:15.558 region:rollup2
THE FIND THAT.
04:51:11.187 --> 04:51:16.859 region:rollup2
SO REGARDING FOREIGN MILITARIES.
04:51:15.558 --> 04:51:18.127 region:rollup2
AND WE KNOW THAT'S ALWAYS AN
04:51:16.859 --> 04:51:19.662 region:rollup2
ISSUE THAT'S ALWAYS BEEN AN
04:51:18.127 --> 04:51:20.596 region:rollup2
ISSUE FOR ME TRYING TO GET
04:51:19.662 --> 04:51:22.365 region:rollup2
PATIENTS ACCESS.
04:51:20.596 --> 04:51:22.966 region:rollup2
THE.
04:51:22.365 --> 04:51:24.534 region:rollup2
TREATMENT THAT THE PHYSICIAN
04:51:22.966 --> 04:51:26.636 region:rollup2
WANTS.
04:51:24.534 --> 04:51:28.504 region:rollup2
THE PATIENT I HAVE.
04:51:26.636 --> 04:51:30.073 region:rollup2
WILL ACCEPTING TREATMENTS REMAIN
04:51:28.504 --> 04:51:32.442 region:rollup2
UNCHANGED TO WORSEN UNDER THIS
04:51:30.073 --> 04:51:33.676 region:rollup2
COMMISSION.
04:51:32.442 --> 04:51:35.311 region:rollup2
THE HOPE THAT IT THAT THE THE
04:51:33.676 --> 04:51:36.579 region:rollup2
GREATER ACCESS MEANING YOU CRANK
04:51:35.311 --> 04:51:37.480 region:rollup2
THAT'S THE OF THE HOPE OF THE
04:51:36.579 --> 04:51:39.115 region:rollup2
COMMISSION WERE CERTAINLY NOT
04:51:37.480 --> 04:51:40.750 region:rollup2
LOOKING TO CHANGE ACCESS. OR
04:51:39.115 --> 04:51:41.284 region:rollup2
REDUCE THE ABILITY FOR DOCTORS
04:51:40.750 --> 04:51:42.752 region:rollup2
OR HOSPITALS BUILT RETREAT
04:51:41.284 --> 04:51:45.621 region:rollup2
PATIENTS.
04:51:42.752 --> 04:51:48.658 region:rollup2
INSULT THE IT COULD INCREASE
04:51:45.621 --> 04:51:49.425 region:rollup2
ACCESS BY BOB IN IN CERTAIN
04:51:48.658 --> 04:51:51.294 region:rollup2
COMMUNITIES WHERE THERE MAY NOT
04:51:49.425 --> 04:51:52.495 region:rollup2
BE ACCESS RIGHT NOW IF YOU HAVE
04:51:51.294 --> 04:51:54.197 region:rollup2
THE ABILITY FOR A DOCTOR TO BE
04:51:52.495 --> 04:51:55.264 region:rollup2
ABLE TO SUSTAIN THEMSELVES. UP
04:51:54.197 --> 04:51:55.932 region:rollup2
BECAUSE THEY COULD GET HIGHER
04:51:55.264 --> 04:51:57.266 region:rollup2
COMMERCIAL RACING THEY CURRENTLY
04:51:55.932 --> 04:51:59.202 region:rollup2
GET THAN YOU COULD ACTUALLY
04:51:57.266 --> 04:52:01.170 region:rollup2
INCREASE ACCESS BUT ABSOLUTELY
04:51:59.202 --> 04:52:02.238 region:rollup2
NOT NOT INTENDING ON REDUCING
04:52:01.170 --> 04:52:03.439 region:rollup2
ACCESS AT ALL IN ANY WAY.
04:52:02.238 --> 04:52:04.807 region:rollup2
SO THE FORMULA AREAS THAN WITH
04:52:03.439 --> 04:52:06.309 region:rollup2
THOUGHT BECAUSE.
04:52:04.807 --> 04:52:08.745 region:rollup2
THE FORMALLY ORDERS AS THEY
04:52:06.309 --> 04:52:10.747 region:rollup2
STAND NOW WITH. REMAIN NO
04:52:08.745 --> 04:52:15.818 region:rollup2
CHANGES TO CLINICAL PRACTICE
04:52:10.747 --> 04:52:17.620 region:rollup2
WOULD BE MADE UNDER THE SPELL.
04:52:15.818 --> 04:52:20.123 region:rollup2
OKAY BECAUSE PART OF THEIR.
04:52:17.620 --> 04:52:21.324 region:rollup2
DRIVING IS TO LOOK AT REDUCING
04:52:20.123 --> 04:52:22.825 region:rollup2
THE COST OF DRUGS AND MEDICAL
04:52:21.324 --> 04:52:22.992 region:rollup2
DEVICES.
04:52:22.825 --> 04:52:26.596 region:rollup2
AND.
04:52:22.992 --> 04:52:28.297 region:rollup2
.
04:52:26.596 --> 04:52:29.799 region:rollup2
CONTROL HER IN STATE HEALTH CARE
04:52:28.297 --> 04:52:30.867 region:rollup2
COSTS OF ONE OF THE FIRST THINGS
04:52:29.799 --> 04:52:32.702 region:rollup2
THAT CAME OUT IN THE SINGLE
04:52:30.867 --> 04:52:35.271 region:rollup2
PAYER COMMITTEE WAS.
04:52:32.702 --> 04:52:36.305 region:rollup2
FORMULARIES AND DRUGS AND TRYING
04:52:35.271 --> 04:52:38.207 region:rollup2
TO MATCH THEM UP TO.
04:52:36.305 --> 04:52:39.842 region:rollup2
.
04:52:38.207 --> 04:52:41.344 region:rollup2
YOU KNOW THE THE VETERANS
04:52:39.842 --> 04:52:43.246 region:rollup2
AFFAIRS AND THEN.
04:52:41.344 --> 04:52:44.647 region:rollup2
THEREFORE MILLER SO I'M JUST
04:52:43.246 --> 04:52:47.283 region:rollup2
CONCERNED BECAUSE I WANT TO
04:52:44.647 --> 04:52:50.953 region:rollup2
INCREASE THE FOR MILLER ACCESS
04:52:47.283 --> 04:52:53.256 region:rollup2
NOT RESTRICTED FURTHER.
04:52:50.953 --> 04:52:54.724 region:rollup2
OKAY.
04:52:53.256 --> 04:52:57.593 region:rollup2
SO THE BILL ADDRESSES HEALTH
04:52:54.724 --> 04:52:59.662 region:rollup2
PLAN PREMIUMS.
04:52:57.593 --> 04:53:00.930 region:rollup2
.
04:52:59.662 --> 04:53:01.531 region:rollup2
ALL THE DIFFERENT PLANS A
04:53:00.930 --> 04:53:02.031 region:rollup2
DIFFERENT THOUGH THAN DESIGNED
04:53:01.531 --> 04:53:04.400 region:rollup2
DIFFERENTLY.
04:53:02.031 --> 04:53:05.001 region:rollup2
I'M.
04:53:04.400 --> 04:53:06.836 region:rollup2
HOW DOES THE BILL DO ANYTHING
04:53:05.001 --> 04:53:08.638 region:rollup2
TO?
04:53:06.836 --> 04:53:10.706 region:rollup2
PREVENT
04:53:08.638 --> 04:53:12.308 region:rollup2
THE CALLS FROM FROM SIMPLY BEING
04:53:10.706 --> 04:53:12.909 region:rollup2
PASSED THOUGHT THAT THOUGH COST
04:53:12.308 --> 04:53:18.815 region:rollup2
OF THE PREMIUMS COPAYS BECAUSE
04:53:12.909 --> 04:53:19.382 region:rollup2
NOW THEY.
04:53:18.815 --> 04:53:21.517 region:rollup2
PREMIUMS ARE SUPPOSED TO BE
04:53:19.382 --> 04:53:23.719 region:rollup2
REDUCED
04:53:21.517 --> 04:53:24.720 region:rollup2
BUT SOMEWHERE THAT COSTS US A
04:53:23.719 --> 04:53:26.222 region:rollup2
GOES LIKE SQUEEZING A TO.
04:53:24.720 --> 04:53:28.224 region:rollup2
TOOTH PASTE STIR
04:53:26.222 --> 04:53:28.825 region:rollup2
IT GOES ONE SIDE OR THE OTHER
04:53:28.224 --> 04:53:29.325 region:rollup2
THE COSTS ARE NOT GOING TO GO
04:53:28.825 --> 04:53:31.527 region:rollup2
AWAY.
04:53:29.325 --> 04:53:32.495 region:rollup2
SO.
04:53:31.527 --> 04:53:35.264 region:rollup2
WHAT'S GOING TO PREVENT THAT
04:53:32.495 --> 04:53:39.402 region:rollup2
FROM BEING PUSHED ONTO HIGHER
04:53:35.264 --> 04:53:41.003 region:rollup2
DEDUCTIBLES OR CO PAYS.
04:53:39.402 --> 04:53:42.538 region:rollup2
THROUGH THE CHAIR BY MAY AND
04:53:41.003 --> 04:53:43.372 region:rollup2
MISS WALDRON TO GREAT QUESTION
04:53:42.538 --> 04:53:45.341 region:rollup2
AND.
04:53:43.372 --> 04:53:49.212 region:rollup2
ALL OF THE STATE AND FEDERAL
04:53:45.341 --> 04:53:51.280 region:rollup2
LAWS RELATING TO UP CAPPING AND
04:53:49.212 --> 04:53:52.949 region:rollup2
PREVENT AND AND WENT MANAGING
04:53:51.280 --> 04:53:54.617 region:rollup2
OUT OF POCKET COSTS ARE STILL IN
04:53:52.949 --> 04:53:57.353 region:rollup2
PLACE THE AFFORDABLE CARE ACT
04:53:54.617 --> 04:54:00.223 region:rollup2
HAS LIMITS. ON WHAT INDIVIDUALS
04:53:57.353 --> 04:54:02.125 region:rollup2
CAN PAY OUT OF POCKET AND YEARLY
04:54:00.223 --> 04:54:03.593 region:rollup2
THERE ARE LIMITS ON DEDUCTIBLES
04:54:02.125 --> 04:54:04.961 region:rollup2
THAT CURRENTLY AT SEVEN THOUSAND
04:54:03.593 --> 04:54:07.196 region:rollup2
ABOUT SEVEN THOUSAND FOR AN
04:54:04.961 --> 04:54:10.233 region:rollup2
INDIVIDUAL. ALL OF THAT IS IN
04:54:07.196 --> 04:54:13.536 region:rollup2
PLACE THERE'S ALSO LIMITS ON.
04:54:10.233 --> 04:54:14.937 region:rollup2
PREVENTING HEALTH PLANS FROM
04:54:13.536 --> 04:54:16.172 region:rollup2
BEING ABLE TO HAVE A LIMIT ON
04:54:14.937 --> 04:54:18.374 region:rollup2
HOW MUCH CARE THEY PAY FOR
04:54:16.172 --> 04:54:20.076 region:rollup2
ANNUALLY OR OVER A LIFETIME SO
04:54:18.374 --> 04:54:21.477 region:rollup2
THAT YOU SEE GOT RID OF LIFETIME
04:54:20.076 --> 04:54:22.545 region:rollup2
LIMITS. IN THEIR STATE
04:54:21.477 --> 04:54:25.214 region:rollup2
PROTECTIONS IN TERMS OF NETWORK
04:54:22.545 --> 04:54:29.118 region:rollup2
OUT TO SEA ADEQUACY TIMELY. AND
04:54:25.214 --> 04:54:29.118 region:rollup2
ACCESS TO CARE AND LANGUAGE
04:54:29.185 --> 04:54:32.455 region:rollup2
PROTECTIONS ALL THE PROTECTIONS
04:54:31.454 --> 04:54:35.191 region:rollup2
AROUND.
04:54:32.455 --> 04:54:37.126 region:rollup2
TAPPING OUT OF POCKET COSTS ARE
04:54:35.191 --> 04:54:38.227 region:rollup2
THEY ALL STAY IN PLACE UNDER
04:54:37.126 --> 04:54:40.496 region:rollup2
THIS LAW.
04:54:38.227 --> 04:54:45.935 region:rollup2
SO WHERE WITH THE COSTS AGO
04:54:40.496 --> 04:54:48.271 region:rollup2
WOMEN HOW THAT THE COVERS.
04:54:45.935 --> 04:54:50.973 region:rollup2
THE IDEA IS THAT OF THIS BILL IS
04:54:48.271 --> 04:54:53.176 region:rollup2
TO REALLY GET AT PRICES.
04:54:50.973 --> 04:54:54.944 region:rollup2
UTILIZATION HAS GONE DOWN IN
04:54:53.176 --> 04:54:57.713 region:rollup2
THIS COUNTRY AND PRICES HAVE
04:54:54.944 --> 04:55:00.049 region:rollup2
SKYROCKETED. AND SO THE IDEA IS
04:54:57.713 --> 04:55:02.485 region:rollup2
TO GUIDE OF GET A HANDLE ON THE
04:55:00.049 --> 04:55:03.653 region:rollup2
PRICES THAT ARE CHARGED.
04:55:02.485 --> 04:55:05.288 region:rollup2
BECAUSE THAT'S AND WE'VE SEEN WE
04:55:03.653 --> 04:55:06.789 region:rollup2
DID S. B. FIVE WAS SPONSORED S.
04:55:05.288 --> 04:55:08.391 region:rollup2
B. FIVE FORTY SIX.
04:55:06.789 --> 04:55:10.293 region:rollup2
COUPLE YEARS AGO WHICH BROUGHT
04:55:08.391 --> 04:55:12.528 region:rollup2
TRANSPARENCY TO THE WAY HEALTH
04:55:10.293 --> 04:55:14.630 region:rollup2
PLAN SET PREMIUMS AND FOR THE
04:55:12.528 --> 04:55:16.399 region:rollup2
LARGE GROUP. AND WE HAVE NOW TWO
04:55:14.630 --> 04:55:18.267 region:rollup2
YEARS OF ROBUST DATA THERE'S
04:55:16.399 --> 04:55:20.102 region:rollup2
BEEN TWO PUBLIC MEETINGS.
04:55:18.267 --> 04:55:22.939 region:rollup2
AND ONE OF THE THINGS THAT THEY
04:55:20.102 --> 04:55:23.906 region:rollup2
SHOWED IS THAT A BIG DRIVER ONE
04:55:22.939 --> 04:55:26.342 region:rollup2
OF THE THINGS THAT ARE REALLY
04:55:23.906 --> 04:55:28.144 region:rollup2
DRIVING INCREASES IN PREMIUMS
04:55:26.342 --> 04:55:29.946 region:rollup2
AND WHAT CONSUMERS ARE SPENDING
04:55:28.144 --> 04:55:32.048 region:rollup2
OUT OF POCKET. IS DOCTORS AND
04:55:29.946 --> 04:55:33.216 region:rollup2
HOSPITALS.
04:55:32.048 --> 04:55:34.250 region:rollup2
PRESCRIPTION DRUGS IS A PIECE OF
04:55:33.216 --> 04:55:35.651 region:rollup2
GUIDANCE ONE OF THE FASTEST
04:55:34.250 --> 04:55:37.486 region:rollup2
GROWING.
04:55:35.651 --> 04:55:40.456 region:rollup2
PARTS DRIVER COST DRIVERS IN OUR
04:55:37.486 --> 04:55:42.291 region:rollup2
SYSTEM BUT DOCTORS AND HOSPITALS
04:55:40.456 --> 04:55:42.925 region:rollup2
ARE THE BIGGEST CHUNK OF WHAT WE
04:55:42.291 --> 04:55:46.762 region:rollup2
ARE SPENDING OUR PREMIUM DOLLARS
04:55:42.925 --> 04:55:47.797 region:rollup2
ON.
04:55:46.762 --> 04:55:49.232 region:rollup2
JUST BRIEFLY DOCTORS AND
04:55:47.797 --> 04:55:50.299 region:rollup2
HOSPITALS ARE THE MAIN PART OF
04:55:49.232 --> 04:55:53.903 region:rollup2
ANY MEDICAL SERVICE SO THAT
04:55:50.299 --> 04:55:57.473 region:rollup2
ACTUALLY MAKES SENSE.
04:55:53.903 --> 04:55:59.041 region:rollup2
OKAY A I THINK WE WE WANT CEMEX
04:55:57.473 --> 04:56:00.476 region:rollup2
VERY QUICKLY.
04:55:59.041 --> 04:56:01.477 region:rollup2
OKAY SO AS FAR AS.
04:56:00.476 --> 04:56:04.213 region:rollup2
HOW MANY HOSPITALS ARE IN
04:56:01.477 --> 04:56:04.847 region:rollup2
MARYLAND?
04:56:04.213 --> 04:56:06.382 region:rollup2
FORTY HOSPITALS IN THE STATE OF
04:56:04.847 --> 04:56:08.951 region:rollup2
MARYLAND.
04:56:06.382 --> 04:56:10.219 region:rollup2
SO FORTY AND THEY WERE ABLE TO.
04:56:08.951 --> 04:56:12.588 region:rollup2
LOOK AT THOSE ON THE COMMITTEE
04:56:10.219 --> 04:56:14.223 region:rollup2
THEY HAD AT THE TIME THEY HAD
04:56:12.588 --> 04:56:15.524 region:rollup2
RATES SETTINGS BUT.
04:56:14.223 --> 04:56:17.426 region:rollup2
I WAS JUST DOING SIMPLE MATH IF
04:56:15.524 --> 04:56:18.227 region:rollup2
YOU SUBTRACT.
04:56:17.426 --> 04:56:20.296 region:rollup2
CHRISTMAS WEEK AND.
04:56:18.227 --> 04:56:22.331 region:rollup2
.
04:56:20.296 --> 04:56:24.433 region:rollup2
NEW YEAR'S WEEK THAT'S FIFTY
04:56:22.331 --> 04:56:26.569 region:rollup2
WEEKS IN THE YEAR FOUR HUNDRED
04:56:24.433 --> 04:56:27.536 region:rollup2
HOSPITALS THAT'S EIGHT WEEKS
04:56:26.569 --> 04:56:29.205 region:rollup2
THIS COMMITTEE WOULD HAVE TO BE
04:56:27.536 --> 04:56:30.906 region:rollup2
WORKED ON NOT EVEN TO MENTION
04:56:29.205 --> 04:56:32.808 region:rollup2
THE HUNDRED THOUSAND. OR SO
04:56:30.906 --> 04:56:35.244 region:rollup2
PROVIDERS.
04:56:32.808 --> 04:56:36.679 region:rollup2
WITH ACTUAR EARLY ACTUARIAL IS A
04:56:35.244 --> 04:56:38.147 region:rollup2
RETURN ON INVESTMENT ALL OF THE
04:56:36.679 --> 04:56:39.949 region:rollup2
THINGS THAT HAVE TO LOOK AT.
04:56:38.147 --> 04:56:42.051 region:rollup2
WOULD HAVE TO HAVE A HUGE STAFF.
04:56:39.949 --> 04:56:44.654 region:rollup2
LET'S JUST.
04:56:42.051 --> 04:56:45.888 region:rollup2
COMMENTS. IF I MAY ASSEMBLY
04:56:44.654 --> 04:56:46.856 region:rollup2
MEMBER AND IN THE STATE OF
04:56:45.888 --> 04:56:49.125 region:rollup2
MARYLAND REMEMBER THE RATE
04:56:46.856 --> 04:56:51.093 region:rollup2
SETTING SYSTEM WAS ALL ABOUT
04:56:49.125 --> 04:56:52.528 region:rollup2
LOOKING AT THE RATE OF INCREASE.
04:56:51.093 --> 04:56:54.297 region:rollup2
IT DID NOT LOOK AT WHAT THIS
04:56:52.528 --> 04:56:57.166 region:rollup2
BILL IS PROPOSING IN THAT IS TO
04:56:54.297 --> 04:56:58.868 region:rollup2
SET. INDIVIDUAL RATES AT SOME
04:56:57.166 --> 04:57:01.370 region:rollup2
BASE
04:56:58.868 --> 04:57:03.305 region:rollup2
FOR ALL PHYSICIANS AND DENTISTS
04:57:01.370 --> 04:57:04.740 region:rollup2
AND HOSPITALS FORTY HOSPITALS
04:57:03.305 --> 04:57:06.509 region:rollup2
ONLY AND WAS TO CONTROL THE RATE
04:57:04.740 --> 04:57:07.677 region:rollup2
OF INCREASE OVER TIME.
04:57:06.509 --> 04:57:09.979 region:rollup2
OKAY JUST VERY QUICKLY COMMENTS
04:57:07.677 --> 04:57:12.181 region:rollup2
ON THEM.
04:57:09.979 --> 04:57:17.553 region:rollup2
.
04:57:12.181 --> 04:57:19.622 region:rollup2
OKAY SO.
04:57:17.553 --> 04:57:20.790 region:rollup2
SO PLAYERS YOU KNOW SEEM TO BE
04:57:19.622 --> 04:57:22.324 region:rollup2
MOVING TO COMPARATIVE
04:57:20.790 --> 04:57:24.727 region:rollup2
EFFECTIVENESS OF TREATMENT AND
04:57:22.324 --> 04:57:25.961 region:rollup2
SERVICES IN ORDER TO DECIDE.
04:57:24.727 --> 04:57:27.563 region:rollup2
WHAT TO PAY FOR A MONTH NOT TO
04:57:25.961 --> 04:57:28.998 region:rollup2
PAY FOR?
04:57:27.563 --> 04:57:30.566 region:rollup2
BUT FOR PATIENTS WITH RARE
04:57:28.998 --> 04:57:32.234 region:rollup2
DISEASES AND OTHER CHRONIC
04:57:30.566 --> 04:57:34.136 region:rollup2
DISEASES YOU KNOW.
04:57:32.234 --> 04:57:36.339 region:rollup2
ARE EXPENSIVE TO TREAT THE REAL
04:57:34.136 --> 04:57:38.908 region:rollup2
CONCERN IS THAT.
04:57:36.339 --> 04:57:40.743 region:rollup2
A NEW PAYER LIKE AN OLD PAIR OF
04:57:38.908 --> 04:57:42.778 region:rollup2
CAPT BECAUSE FOCUSES ON
04:57:40.743 --> 04:57:44.046 region:rollup2
COMPARATIVE COST EFFECTIVENESS
04:57:42.778 --> 04:57:45.614 region:rollup2
RATHER THAN CLINICAL
04:57:44.046 --> 04:57:48.050 region:rollup2
EFFECTIVENESS.
04:57:45.614 --> 04:57:49.418 region:rollup2
TREATMENTS AND SERVICES SO.
04:57:48.050 --> 04:57:51.787 region:rollup2
PHILIP WE'RE GONNA BE LOSIN
04:57:49.418 --> 04:57:52.388 region:rollup2
QUALITY OF CARE TO.
04:57:51.787 --> 04:57:52.855 region:rollup2
MAKE UP FOR THAT ON THE OTHER
04:57:52.388 --> 04:57:54.957 region:rollup2
END.
04:57:52.855 --> 04:57:56.292 region:rollup2
.
04:57:54.957 --> 04:57:58.260 region:rollup2
IN IN OUR UNIVERSAL CARE.
04:57:56.292 --> 04:57:59.929 region:rollup2
COMMITTEE WE LOOK AT OTHER
04:57:58.260 --> 04:58:01.797 region:rollup2
COUNTRIES AND OTHER STATES
04:57:59.929 --> 04:58:03.466 region:rollup2
AND WE'RE GOVERNMENT SET RATES
04:58:01.797 --> 04:58:05.301 region:rollup2
AND REGULATED PRICES BUT ALL THE
04:58:03.466 --> 04:58:07.536 region:rollup2
COSTS ROSE NO ONE WAS ABLE TO
04:58:05.301 --> 04:58:09.105 region:rollup2
GET A HANDLE ON REDUCING COSTS
04:58:07.536 --> 04:58:09.638 region:rollup2
BECAUSE THAT WOULD HAVE BEEN
04:58:09.105 --> 04:58:10.506 region:rollup2
SOMETHING WE ALL WOULD'VE
04:58:09.638 --> 04:58:12.441 region:rollup2
REALLY.
04:58:10.506 --> 04:58:15.811 region:rollup2
LOOK THAT CLOSER.
04:58:12.441 --> 04:58:17.079 region:rollup2
IN ANY MEANINGFUL WAY BUT. YOU
04:58:15.811 --> 04:58:17.980 region:rollup2
KNOW WHEN YOU LOOK AT THESE
04:58:17.079 --> 04:58:21.050 region:rollup2
OTHER.
04:58:17.980 --> 04:58:22.818 region:rollup2
HIGH INTENSITY CHRONIC DISEASES
04:58:21.050 --> 04:58:24.286 region:rollup2
RARE DISEASES IN EXETER. YOU
04:58:22.818 --> 04:58:25.588 region:rollup2
KNOW AND MY CONCERN FOR ACCESS
04:58:24.286 --> 04:58:27.757 region:rollup2
FOR THE UNDER SERVED WITH THE
04:58:25.588 --> 04:58:29.325 region:rollup2
QUALITY CARE NOT JUST THE BASE
04:58:27.757 --> 04:58:30.826 region:rollup2
CARE HOW DO WE GET NEW
04:58:29.325 --> 04:58:33.195 region:rollup2
INNOVATIONS.
04:58:30.826 --> 04:58:35.164 region:rollup2
IN LIFE SCIENCE TO FOLKS IF
04:58:33.195 --> 04:58:36.699 region:rollup2
EVERYTHING'S GOING TO BE CAPPED.
04:58:35.164 --> 04:58:37.233 region:rollup2
WHERE'S THE INCENTIVE FOR AN
04:58:36.699 --> 04:58:39.201 region:rollup2
INVASION INNOVATION IN OUR
04:58:37.233 --> 04:58:40.870 region:rollup2
STATE.
04:58:39.201 --> 04:58:41.504 region:rollup2
PERSONALIZE MEDICINE IS
04:58:40.870 --> 04:58:43.205 region:rollup2
SOMETHING WE'RE TRYING TO LOOK
04:58:41.504 --> 04:58:45.441 region:rollup2
AT SO THAT WE CAN ACTUALLY IN
04:58:43.205 --> 04:58:46.909 region:rollup2
THE LONG TERM REDUCE COSTS IF WE
04:58:45.441 --> 04:58:48.711 region:rollup2
TREAT THE PATIENT THE RIGHT WAY.
04:58:46.909 --> 04:58:50.513 region:rollup2
AND MISS BURKE AND I HAVE A
04:58:48.711 --> 04:58:51.847 region:rollup2
BILL TALK UP BAKA GENETIC
04:58:50.513 --> 04:58:53.382 region:rollup2
TESTING I MEAN IF WE KNOW WHAT
04:58:51.847 --> 04:58:54.250 region:rollup2
WE'RE DEALING WITH IT'S CHEAPER
04:58:53.382 --> 04:58:55.918 region:rollup2
TO TREAT.
04:58:54.250 --> 04:58:57.853 region:rollup2
BUT INSTEAD OF BRINGING THE META
04:58:55.918 --> 04:58:58.921 region:rollup2
CHO UP WHICH A FEW OF US HAVE
04:58:57.853 --> 04:59:00.256 region:rollup2
TALKED ABOUT WE NEED TO IMPROVE
04:58:58.921 --> 04:59:02.625 region:rollup2
MEDI CAL.
04:59:00.256 --> 04:59:04.660 region:rollup2
AND THE RATE.
04:59:02.625 --> 04:59:06.395 region:rollup2
I FEEL THIS BILL IS BRINGING.
04:59:04.660 --> 04:59:10.733 region:rollup2
A COMMERCIAL CARE NOW.
04:59:06.395 --> 04:59:14.003 region:rollup2
SO THAT'S MY CLOSING STATEMENT.
04:59:10.733 --> 04:59:15.504 region:rollup2
STERN MISSOURIAN FOLLOWED BY MR
04:59:14.003 --> 04:59:18.007 region:rollup2
MCCARTY AND SO WILL KEEP MOVING
04:59:15.504 --> 04:59:20.242 region:rollup2
ALONG HERE GUYS PLEASE.
04:59:18.007 --> 04:59:21.844 region:rollup2
THANK YOU MISTER CHAIR.
04:59:20.242 --> 04:59:22.411 region:rollup2
AND MISTER CHAIR I VERY MUCH
04:59:21.844 --> 04:59:23.479 region:rollup2
APPRECIATE YOUR PATIENCE AND
04:59:22.411 --> 04:59:25.648 region:rollup2
YOUR.
04:59:23.479 --> 04:59:27.950 region:rollup2
CALM TONE AND HOW WE'RE CARRYING
04:59:25.648 --> 04:59:33.689 region:rollup2
ON THANK YOU VERY MUCH.
04:59:27.950 --> 04:59:34.857 region:rollup2
MY PLEASURE MISTER THIS AREA.
04:59:33.689 --> 04:59:36.292 region:rollup2
UP AT I I GOTTA MAKE AN
04:59:34.857 --> 04:59:37.660 region:rollup2
OBSERVATION AND THIS HAS NOTHING
04:59:36.292 --> 04:59:38.427 region:rollup2
TO DO WITH THE COMMITTEE BUT. I
04:59:37.660 --> 04:59:40.229 region:rollup2
REMEMBER SITTING IN THIS
04:59:38.427 --> 04:59:41.597 region:rollup2
COMMITTEE ROOM FOR ABOUT FIVE OR
04:59:40.229 --> 04:59:43.833 region:rollup2
SIX HOURS.
04:59:41.597 --> 04:59:44.466 region:rollup2
WHEN MISTER BONTA WAS CHAIR.
04:59:43.833 --> 04:59:44.667 region:rollup2
AND WE DISCUSSED THE VACCINATION
04:59:44.466 --> 04:59:46.735 region:rollup2
BILL.
04:59:44.667 --> 04:59:49.338 region:rollup2
A.
04:59:46.735 --> 04:59:50.573 region:rollup2
I WISH WE GAVE THAT PERIOD OF A
04:59:49.338 --> 04:59:52.575 region:rollup2
TIME TO THIS BILL THIS'S
04:59:50.573 --> 04:59:53.876 region:rollup2
WHISPERED TALKING ABOUT CHANGING
04:59:52.575 --> 04:59:54.944 region:rollup2
AND AGAIN THIS IS NO REFLECTION
04:59:53.876 --> 04:59:57.947 region:rollup2
TO THE CHAIR OF COURSE THIS IS
04:59:54.944 --> 04:59:59.715 region:rollup2
JUST. A COMMENTARY ON THE WAY WE
04:59:57.947 --> 05:00:01.817 region:rollup2
PROCESS THINGS HERE. WITH THIRTY
04:59:59.715 --> 05:00:03.652 region:rollup2
FOUR BILLS IN ONE NIGHT WHEN ONE
05:00:01.817 --> 05:00:05.554 region:rollup2
OF THEM MAKES SUCH A.
05:00:03.652 --> 05:00:06.755 region:rollup2
DRASTIC CHANGE IMPACT AND AND
05:00:05.554 --> 05:00:08.524 region:rollup2
AND AND INDUSTRY.
05:00:06.755 --> 05:00:10.059 region:rollup2
.
05:00:08.524 --> 05:00:11.360 region:rollup2
I THINK ONCE ITS OWN TIME.
05:00:10.059 --> 05:00:12.795 region:rollup2
RATHER THAN BEING FOCUS THAT
05:00:11.360 --> 05:00:14.663 region:rollup2
WITH A THIRTY THREE OTHERS.
05:00:12.795 --> 05:00:16.098 region:rollup2
SO.
05:00:14.663 --> 05:00:17.466 region:rollup2
COUPLE OF BASIC QUESTIONS AND
05:00:16.098 --> 05:00:18.667 region:rollup2
THEN A THIRD QUESTION OF
05:00:17.466 --> 05:00:20.636 region:rollup2
SOMETHING THAT I HAVEN'T REALLY
05:00:18.667 --> 05:00:22.171 region:rollup2
HEARD BEING RAISED ABOUT. A AND
05:00:20.636 --> 05:00:23.606 region:rollup2
MAYBE I'M WRONG ON THIS BUT
05:00:22.171 --> 05:00:25.274 region:rollup2
FIRST OF ALL.
05:00:23.606 --> 05:00:27.042 region:rollup2
EIGHTEEN BILLION DOLLAR ISSUE
05:00:25.274 --> 05:00:29.945 region:rollup2
WITH THE OF THE LOSS FROM
05:00:27.042 --> 05:00:30.479 region:rollup2
HOSPITALS CAN YOU. PLEASE.
05:00:29.945 --> 05:00:32.448 region:rollup2
OFFER SOME LEVEL OF DETAIL
05:00:30.479 --> 05:00:34.116 region:rollup2
GIVEN.
05:00:32.448 --> 05:00:35.684 region:rollup2
THE TIME CRUNCH WE HAVE OF WHERE
05:00:34.116 --> 05:00:37.753 region:rollup2
DO YOU GET THAT I KEEP ON
05:00:35.684 --> 05:00:38.954 region:rollup2
HEARING THAT BUT I HAVEN'T.
05:00:37.753 --> 05:00:40.723 region:rollup2
WOULD BE HAPPY TWO AND IT'S VERY
05:00:38.954 --> 05:00:42.791 region:rollup2
SIMPLE IF I MAY USE THIS CHART
05:00:40.723 --> 05:00:43.859 region:rollup2
TO EXPLAIN. BASICALLY WHAT WE'RE
05:00:42.791 --> 05:00:46.328 region:rollup2
TALKING ABOUT IS TAKING THAT
05:00:43.859 --> 05:00:47.696 region:rollup2
GRAYBAR PRIVATE INSURANCE THE
05:00:46.328 --> 05:00:50.666 region:rollup2
EIGHTEEN BILLION DOLLARS IS THE
05:00:47.696 --> 05:00:51.901 region:rollup2
IMPACT IF THE RATES WERE SET AT
05:00:50.666 --> 05:00:54.570 region:rollup2
ONE HUNDRED AND TWENTY FIVE
05:00:51.901 --> 05:00:55.971 region:rollup2
PERCENT. OF MEDICARE SO IT'S
05:00:54.570 --> 05:00:58.540 region:rollup2
VERY THIS IS ALL STATE DATA IT'S
05:00:55.971 --> 05:00:59.742 region:rollup2
VERY EASY FOR US TO MODEL. ONE
05:00:58.540 --> 05:01:01.477 region:rollup2
HUNDRED AND TWENTY FIVE PERCENT
05:00:59.742 --> 05:01:02.945 region:rollup2
OF THE MEDICARE RATES TODAY
05:01:01.477 --> 05:01:04.914 region:rollup2
WOULD BRING IT TO THAT RED LINE
05:01:02.945 --> 05:01:06.682 region:rollup2
SHOT SLIGHTLY ABOVE COST BECAUSE
05:01:04.914 --> 05:01:08.884 region:rollup2
MEDICARE. PAYS TWENTY THREE
05:01:06.682 --> 05:01:09.919 region:rollup2
PERCENT BELOW COST TODAY THREE
05:01:08.884 --> 05:01:11.086 region:rollup2
HUNDRED TWENTY FIVE PERCENT OF
05:01:09.919 --> 05:01:12.421 region:rollup2
MEDICARE IT'S BARELY BREAKING
05:01:11.086 --> 05:01:14.256 region:rollup2
EVEN THAT'S THE EIGHTEEN BILLION
05:01:12.421 --> 05:01:16.091 region:rollup2
DOLLARS. IF THEY WERE SET AT
05:01:14.256 --> 05:01:18.127 region:rollup2
MEDICARE RATES THE LOSSES WOULD
05:01:16.091 --> 05:01:19.762 region:rollup2
BE FAR GREATER. IF THEY WERE SET
05:01:18.127 --> 05:01:22.097 region:rollup2
AT HIGHER THAN A HUNDRED AND
05:01:19.762 --> 05:01:23.232 region:rollup2
TWENTY FIVE PERCENT OF MEDICARE
05:01:22.097 --> 05:01:24.733 region:rollup2
THE LOSSES WOULD BE LESS.
05:01:23.232 --> 05:01:26.101 region:rollup2
BUT IT BEGS THE QUESTION WHETHER
05:01:24.733 --> 05:01:26.902 region:rollup2
THERE IS ANY COST CONTAINMENT
05:01:26.101 --> 05:01:28.571 region:rollup2
ANY PRICE SAVINGS.
05:01:26.902 --> 05:01:30.673 region:rollup2
GET.
05:01:28.571 --> 05:01:32.841 region:rollup2
I'D LOVE TO HEAR FROM YOU.
05:01:30.673 --> 05:01:34.843 region:rollup2
THAT OF MISTER COLOCAR KALRA BUT
05:01:32.841 --> 05:01:36.378 region:rollup2
JUSTANSWER THEN THEN THAT GOES
05:01:34.843 --> 05:01:37.746 region:rollup2
BACK TO THE ASSUMPTION OF THE.
05:01:36.378 --> 05:01:39.582 region:rollup2
IN THE FIRST EXAMPLE YOU GAVE OF
05:01:37.746 --> 05:01:41.250 region:rollup2
THE RESTAURANT WHERE YOU.
05:01:39.582 --> 05:01:42.952 region:rollup2
WE PAY A BILL AND THEN YOU
05:01:41.250 --> 05:01:44.520 region:rollup2
RECEIVE A BILL AND THEN YOU MAKE
05:01:42.952 --> 05:01:45.588 region:rollup2
A PAYMENT THAT'S NOT HAVE TO
05:01:44.520 --> 05:01:46.956 region:rollup2
SIGH HEFTY AMOUNT OF THE BILL.
05:01:45.588 --> 05:01:48.457 region:rollup2
WELL.
05:01:46.956 --> 05:01:49.491 region:rollup2
THAT ALL DUE RESPECT THAT
05:01:48.457 --> 05:01:50.459 region:rollup2
EXAMPLE DOESN'T REALLY APPLY
05:01:49.491 --> 05:01:52.227 region:rollup2
HERE BECAUSE.
05:01:50.459 --> 05:01:53.996 region:rollup2
THAT.
05:01:52.227 --> 05:01:55.531 region:rollup2
SUGGESTS THAT THE PLAYERS DON'T
05:01:53.996 --> 05:01:56.765 region:rollup2
KNOW WHAT THEY'RE WALKING INTO.
05:01:55.531 --> 05:01:57.1000 region:rollup2
THE REALITY IS THE WHOLE IDEA IS
05:01:56.765 --> 05:02:00.235 region:rollup2
THAT THE.
05:01:57.1000 --> 05:02:00.869 region:rollup2
THE FACTORS INVOLVED IN THE COST
05:02:00.235 --> 05:02:03.172 region:rollup2
OF WHAT THE RESTAURANT IS GONNA
05:02:00.869 --> 05:02:06.375 region:rollup2
CHARGE IS ALREADY GONNA HAVE
05:02:03.172 --> 05:02:09.244 region:rollup2
ASSUMED THE LOWER PRICES.
05:02:06.375 --> 05:02:11.013 region:rollup2
SO YOU KNOW WHAT YOUR PAIN.
05:02:09.244 --> 05:02:12.748 region:rollup2
THAT THAT THAT KIND OF THEN
05:02:11.013 --> 05:02:14.650 region:rollup2
ERODES THE ARGUMENT ON THIS
05:02:12.748 --> 05:02:16.852 region:rollup2
DOESN'T. MATTER YOU'RE TALKING
05:02:14.650 --> 05:02:18.220 region:rollup2
ABOUT. COSTS IF I MAY OFFER A
05:02:16.852 --> 05:02:20.322 region:rollup2
ANOTHER PERSPECTIVE A TO THE
05:02:18.220 --> 05:02:22.591 region:rollup2
QUESTION THAT WAS ASKED.
05:02:20.322 --> 05:02:24.560 region:rollup2
BY ASSEMBLY MEMBER WALDRON. ON
05:02:22.591 --> 05:02:25.961 region:rollup2
THE COST OF CARE WHETHER THAT'S
05:02:24.560 --> 05:02:27.196 region:rollup2
FOR A VERY EXPENSIVE PEDIATRIC
05:02:25.961 --> 05:02:29.932 region:rollup2
CASE.
05:02:27.196 --> 05:02:31.467 region:rollup2
FOR AN INDIVIDUAL WITH CANCER.
05:02:29.932 --> 05:02:32.234 region:rollup2
FOR SOMEONE NAME BUT YOU KNOW
05:02:31.467 --> 05:02:34.203 region:rollup2
THOUSAND OTHER CONDITIONS THE
05:02:32.234 --> 05:02:36.472 region:rollup2
ACTUAL COST OF THAT CARE DOESN'T
05:02:34.203 --> 05:02:37.973 region:rollup2
CHANGE AT ALL. WHAT THIS BILL
05:02:36.472 --> 05:02:39.375 region:rollup2
DOES IS SIMPLY SAY WE'RE GONNA
05:02:37.973 --> 05:02:41.043 region:rollup2
DETERMINE HOW MUCH WE'RE GONNA
05:02:39.375 --> 05:02:43.012 region:rollup2
PAY YOU FOR THAT SERVICE?
05:02:41.043 --> 05:02:44.747 region:rollup2
SO THE DOCTORS AND THE NURSES
05:02:43.012 --> 05:02:45.714 region:rollup2
AND THE SURGERY AND CHEMOTHERAPY
05:02:44.747 --> 05:02:47.750 region:rollup2
AND EVERYTHING ELSE THAT'S A
05:02:45.714 --> 05:02:49.118 region:rollup2
PART OF THAT VISIT. IS STILL
05:02:47.750 --> 05:02:50.552 region:rollup2
THERE THE DRUGS ARE STILL GOING
05:02:49.118 --> 05:02:53.155 region:rollup2
UP A TEN POINT SIX PERCENT A
05:02:50.552 --> 05:02:54.657 region:rollup2
YEAR. ALL OF THE CLUSTER THERE
05:02:53.155 --> 05:02:57.126 region:rollup2
WERE SIMPLY SETTING HOW MUCH
05:02:54.657 --> 05:02:59.061 region:rollup2
WOULD BE PAID FOR THAT VISIT
05:02:57.126 --> 05:03:00.429 region:rollup2
THAT'S WHERE THE CHALLENGE AND
05:02:59.061 --> 05:03:02.197 region:rollup2
THE LOSSES AND THE CONCERN ABOUT
05:03:00.429 --> 05:03:04.433 region:rollup2
PHYSICIANS LEAVING THE STATE.
05:03:02.197 --> 05:03:05.734 region:rollup2
AND HOSPITAL CLOSURES COMMIT.
05:03:04.433 --> 05:03:07.603 region:rollup2
AND THE IDEA BEHIND THE
05:03:05.734 --> 05:03:09.938 region:rollup2
COMMISSION IS A SET.
05:03:07.603 --> 05:03:10.572 region:rollup2
SET THE COST. SET THE PAYMENT
05:03:09.938 --> 05:03:12.307 region:rollup2
BASED ON WHAT THE COSTS ACTUALLY
05:03:10.572 --> 05:03:15.010 region:rollup2
ARE.
05:03:12.307 --> 05:03:16.612 region:rollup2
I IN SO BY PUTTING.
05:03:15.010 --> 05:03:18.147 region:rollup2
SOMEBODY A FICTITIOUS CHART UP
05:03:16.612 --> 05:03:20.149 region:rollup2
THERE AS TO WHAT BUT EVEN THOUGH
05:03:18.147 --> 05:03:21.316 region:rollup2
WE'VE SAID.
05:03:20.149 --> 05:03:22.351 region:rollup2
WE'VE SAID TIME AND AGAIN
05:03:21.316 --> 05:03:23.552 region:rollup2
THERE'S A ME FLEXIBILITY WITH
05:03:22.351 --> 05:03:24.620 region:rollup2
COMMISSION WHAT I MEAN BY
05:03:23.552 --> 05:03:26.288 region:rollup2
PETITIONS OF NO ONE OF SADNESS
05:03:24.620 --> 05:03:28.624 region:rollup2
AT HOW TO DRIVE SENT ACROSS THE
05:03:26.288 --> 05:03:29.391 region:rollup2
BOARD. DOES ALLOW THIS REPEATED
05:03:28.624 --> 05:03:30.526 region:rollup2
EIGHTEEN BILLION DOLLARS
05:03:29.391 --> 05:03:31.694 region:rollup2
HUNDREDS OF YOU BY THE HOUSE TO
05:03:30.526 --> 05:03:32.928 region:rollup2
BE USED TIME AND AGAIN I'VE SEEN
05:03:31.694 --> 05:03:35.164 region:rollup2
DOZENS OF LETTERS WITH THAT
05:03:32.928 --> 05:03:36.565 region:rollup2
CLEARLY THE FOLKS ABOUT THOSE
05:03:35.164 --> 05:03:37.232 region:rollup2
LETTERS AND ACTUALLY THE BILL.
05:03:36.565 --> 05:03:38.801 region:rollup2
BECAUSE IF THEY HAD A REALIZE NO
05:03:37.232 --> 05:03:39.835 region:rollup2
ONE IS SUGGESTING SETTING RATES
05:03:38.801 --> 05:03:41.503 region:rollup2
AT HUNDRED AND TWENTY FIVE
05:03:39.835 --> 05:03:43.172 region:rollup2
PERCENT AND IT ALSO DOESN'T
05:03:41.503 --> 05:03:44.873 region:rollup2
ACCOUNT FOR ALL THE DIFFERENT.
05:03:43.172 --> 05:03:46.942 region:rollup2
ADJUSTMENTS THAT CAN BE MADE
05:03:44.873 --> 05:03:49.611 region:rollup2
THAT HOSPITALS AND AND.
05:03:46.942 --> 05:03:52.347 region:rollup2
PROVIDERS ACTUALLY SEE CLINTON
05:03:49.611 --> 05:03:54.483 region:rollup2
IN REAL TIME. AND SO. THAT'S WHY
05:03:52.347 --> 05:03:56.251 region:rollup2
IT'S NOT VERY HELPFUL TO HAVE A
05:03:54.483 --> 05:03:58.053 region:rollup2
CHART ALTHOUGH I DO. UNDERSTAND
05:03:56.251 --> 05:04:00.622 region:rollup2
WHY BUT IN THOSE NUMBERS OUT
05:03:58.053 --> 05:04:02.224 region:rollup2
THERE AYE IS EASIER.
05:04:00.622 --> 05:04:02.825 region:rollup2
BUT THEN ACTUALLY.
05:04:02.224 --> 05:04:03.625 region:rollup2
LOOKING AT WHAT THE BILL DOES
05:04:02.825 --> 05:04:05.360 region:rollup2
AND DOES NOT.
05:04:03.625 --> 05:04:07.596 region:rollup2
IF I MAY THOUGH ASSEMBLY MEMBER
05:04:05.360 --> 05:04:09.498 region:rollup2
IF THE BILL SPECIFIED THE NUMBER
05:04:07.596 --> 05:04:10.165 region:rollup2
WE COULD GIVE YOU AN EXACT.
05:04:09.498 --> 05:04:12.067 region:rollup2
NUMBER.
05:04:10.165 --> 05:04:13.135 region:rollup2
YOU NEED EARLY OFFERING OF THE
05:04:12.067 --> 05:04:14.570 region:rollup2
BILL HUNDRED TWENTY FIVE PERCENT
05:04:13.135 --> 05:04:16.305 region:rollup2
MEDICARE IS WHAT WAS BEING
05:04:14.570 --> 05:04:18.474 region:rollup2
DISCUSSED THAT'S WHY WE MODELED
05:04:16.305 --> 05:04:20.209 region:rollup2
IT. IF THE BILL SPECIFICALLY
05:04:18.474 --> 05:04:22.344 region:rollup2
TELLS US WHAT PERCENT OF
05:04:20.209 --> 05:04:23.378 region:rollup2
MEDICARE WE COULD MODEL THAT.
05:04:22.344 --> 05:04:24.446 region:rollup2
AS WELL WOULD BE HAPPY THAT IS
05:04:23.378 --> 05:04:28.083 region:rollup2
NOT WHAT WAS DISCUSSED IN THE
05:04:24.446 --> 05:04:29.718 region:rollup2
BILL WAS SIMPLY AS AN EFFORT TO.
05:04:28.083 --> 05:04:31.520 region:rollup2
DEMONSTRATE TO STAKEHOLDERS WHAT
05:04:29.718 --> 05:04:33.222 region:rollup2
THE WHAT THE PURPOSE OF THE
05:04:31.520 --> 05:04:34.356 region:rollup2
COMMISSION IS AND SAID HONEY
05:04:33.222 --> 05:04:36.358 region:rollup2
TWENTY FIVE COM HUNDRED KEEPER
05:04:34.356 --> 05:04:37.626 region:rollup2
SENT DOT DOT DOT. THEY TOOK
05:04:36.358 --> 05:04:38.727 region:rollup2
HUNDRED TWENTY FIVE PERCENT OF
05:04:37.626 --> 05:04:40.996 region:rollup2
THE US WERE SAYING WAS GONNA
05:04:38.727 --> 05:04:43.065 region:rollup2
HAPPEN IT'S FALSE. I UNDERSTAND
05:04:40.996 --> 05:04:46.135 region:rollup2
WHY THEY'RE BEING SOME DESIRE
05:04:43.065 --> 05:04:47.669 region:rollup2
FOR FOR. THE CONFUSION CREATED
05:04:46.135 --> 05:04:49.738 region:rollup2
HERE OFTENTIMES IS INTENTIONAL.
05:04:47.669 --> 05:04:50.572 region:rollup2
ARM THAT IS NOT WHAT WE EVER
05:04:49.738 --> 05:04:51.507 region:rollup2
SUGGESTED
05:04:50.572 --> 05:04:52.941 region:rollup2
AND SO THAT'S WHY I'M SAYING
05:04:51.507 --> 05:04:54.176 region:rollup2
IT'S NOT HELPFUL.
05:04:52.941 --> 05:04:55.511 region:rollup2
THE CONVERSATION AND WE'RE NOT
05:04:54.176 --> 05:04:56.545 region:rollup2
GOING TO GIVE A NUMBER BECAUSE
05:04:55.511 --> 05:04:58.413 region:rollup2
WE'RE NOT THIS BILL DOES NOT SET
05:04:56.545 --> 05:04:59.915 region:rollup2
A NUMBER.
05:04:58.413 --> 05:05:01.683 region:rollup2
IF WE DID IDIOT WHOLLY DIFFERENT
05:04:59.915 --> 05:05:03.018 region:rollup2
CONVERSATION AND I THINK TO BE
05:05:01.683 --> 05:05:04.186 region:rollup2
SOME MERIT DARDEN'S ME MADE
05:05:03.018 --> 05:05:06.655 region:rollup2
OPPOSITION IF THAT'S WHAT THIS
05:05:04.186 --> 05:05:07.289 region:rollup2
BILL ACTUALLY DID IT'S JUST THAT
05:05:06.655 --> 05:05:07.556 region:rollup2
HAVE US IS THAT IS THAT IS THAT
05:05:07.289 --> 05:05:08.790 region:rollup2
A NUMBER.
05:05:07.556 --> 05:05:10.692 region:rollup2
VOTER RESPECT
05:05:08.790 --> 05:05:11.260 region:rollup2
NOT A COUNTERPOINT COUNTERPOINT
05:05:10.692 --> 05:05:12.494 region:rollup2
HERE IT'S NOT SIXTY MINUTES
05:05:11.260 --> 05:05:15.030 region:rollup2
TODAY.
05:05:12.494 --> 05:05:18.133 region:rollup2
BUT BUT JUST PLEASE ADDRESS THE
05:05:15.030 --> 05:05:19.268 region:rollup2
QUESTION.
05:05:18.133 --> 05:05:21.003 region:rollup2
THANK YOU MISTER CHAIR I IDEA
05:05:19.268 --> 05:05:22.204 region:rollup2
LIKE.
05:05:21.003 --> 05:05:24.006 region:rollup2
HAVEN'T HEARD FROM KAISER
05:05:22.204 --> 05:05:25.707 region:rollup2
PERMANENTE ON THIS.
05:05:24.006 --> 05:05:26.775 region:rollup2
I KNOW THEY HAD SOME CONCERNS I
05:05:25.707 --> 05:05:28.810 region:rollup2
DON'T OF PAIRS OF REPRESENTATIVE
05:05:26.775 --> 05:05:30.112 region:rollup2
WOULD LIKE TO. AT LEAST SPEAK TO
05:05:28.810 --> 05:05:32.981 region:rollup2
SOME OF THEIR CONCERNS.
05:05:30.112 --> 05:05:33.515 region:rollup2
IF MISTER CHAIR YOU.
05:05:32.981 --> 05:05:35.517 region:rollup2
A COMFORTABLE IN ALLOWING
05:05:33.515 --> 05:05:37.352 region:rollup2
SOMETIMES.
05:05:35.517 --> 05:05:47.396 region:rollup2
COUPLE MINUTES HERE.
05:05:37.352 --> 05:05:48.030 region:rollup2
AND AND NO PRESSURE TERESA.
05:05:47.396 --> 05:05:48.831 region:rollup2
THANK YOU THANK YOU MISTER IS
05:05:48.030 --> 05:05:51.567 region:rollup2
THERE AND.
05:05:48.831 --> 05:05:53.335 region:rollup2
WE DID SEND IN AN OPPOSE LETTER.
05:05:51.567 --> 05:05:55.070 region:rollup2
WE DO HAVE SIGNIFICANT CONCERNS
05:05:53.335 --> 05:05:56.672 region:rollup2
WITH THE BILL FRANKLY FOR. ALL
05:05:55.070 --> 05:05:57.739 region:rollup2
THE REASONS YOU YOU HAVE HEARD
05:05:56.672 --> 05:06:00.008 region:rollup2
ABOUT TODAY.
05:05:57.739 --> 05:06:01.243 region:rollup2
JUST IN TERMS OF THE IMPACT ON
05:06:00.008 --> 05:06:01.910 region:rollup2
OUR OUR DELIVERY SYSTEM.
05:06:01.243 --> 05:06:03.879 region:rollup2
.
05:06:01.910 --> 05:06:05.447 region:rollup2
TO THE EXTENT.
05:06:03.879 --> 05:06:06.615 region:rollup2
AND AGAIN IT'S UNCLEAR WHAT THEY
05:06:05.447 --> 05:06:07.950 region:rollup2
THE IMPACT WOULD BE IN TERMS OF
05:06:06.615 --> 05:06:10.185 region:rollup2
MONEY BEING REMOVED FROM THE
05:06:07.950 --> 05:06:11.887 region:rollup2
SYSTEM BUT. WE HAVE THIRTY SIX
05:06:10.185 --> 05:06:12.988 region:rollup2
HOSPITALS IN CALIFORNIA AND.
05:06:11.887 --> 05:06:15.257 region:rollup2
FOUR HUNDRED MEDICAL OFFICE
05:06:12.988 --> 05:06:16.792 region:rollup2
BUILDINGS AND WE I WORK WITH OUR
05:06:15.257 --> 05:06:18.894 region:rollup2
MEDICAL GROUPS TWELVE THOUSAND
05:06:16.792 --> 05:06:20.929 region:rollup2
POSITIONS AND SO IT WOULD HAVE.
05:06:18.894 --> 05:06:22.631 region:rollup2
SIGNIFICANT IMPACT ON OUR
05:06:20.929 --> 05:06:23.932 region:rollup2
ABILITY TO RUN OUR INTEGRATED
05:06:22.631 --> 05:06:25.801 region:rollup2
DELIVERY SYSTEM SOUP MORE
05:06:23.932 --> 05:06:27.903 region:rollup2
SPECIFICALLY SINCE YOU ARE AN
05:06:25.801 --> 05:06:29.238 region:rollup2
INTEGRATED SYSTEM.
05:06:27.903 --> 05:06:31.039 region:rollup2
CAN YOU ELABORATE A LITTLE BIT
05:06:29.238 --> 05:06:32.507 region:rollup2
MORE ABOUT WHAT EXACTLY THE
05:06:31.039 --> 05:06:33.609 region:rollup2
IMPACT WOULD BE BECAUSE I THINK
05:06:32.507 --> 05:06:35.611 region:rollup2
THERE WERE AMENDMENTS THAT WERE
05:06:33.609 --> 05:06:37.112 region:rollup2
TAKEN TO CLARIFY THAT THE BILL
05:06:35.611 --> 05:06:38.680 region:rollup2
IS NOT INTENDED TO IMPACT
05:06:37.112 --> 05:06:40.315 region:rollup2
CONTRACTED RATES.
05:06:38.680 --> 05:06:42.384 region:rollup2
SO THE CAPITATED RATE THAT WE
05:06:40.315 --> 05:06:45.420 region:rollup2
PAY ARE DELEGATED MEDICAL GROUP
05:06:42.384 --> 05:06:47.623 region:rollup2
THIS SPONSORS ARE. NODDING BUT.
05:06:45.420 --> 05:06:49.424 region:rollup2
THE HEALTH PLAN WOULD BE SET
05:06:47.623 --> 05:06:51.260 region:rollup2
WOULD BE PAID ARRAY BASED ON
05:06:49.424 --> 05:06:53.595 region:rollup2
MEDICARE ADVANTAGE.
05:06:51.260 --> 05:06:56.531 region:rollup2
SO. WE WOULD STILL BE EXPECTED
05:06:53.595 --> 05:06:58.667 region:rollup2
TO RUN OUR DELIVERY SYSTEM.
05:06:56.531 --> 05:06:59.201 region:rollup2
WITH A RATE THAT WOULD BE VERY
05:06:58.667 --> 05:07:01.136 region:rollup2
DIFFERENT FROM WHAT WE GET
05:06:59.201 --> 05:07:03.071 region:rollup2
TODAY.
05:07:01.136 --> 05:07:05.073 region:rollup2
SO WHILE THEY'RE NOT INTENDING
05:07:03.071 --> 05:07:06.875 region:rollup2
TO IMPACT THE CONTRACTED RATES.
05:07:05.073 --> 05:07:08.410 region:rollup2
WHICH MAKES SENSE BECAUSE THAT.
05:07:06.875 --> 05:07:09.912 region:rollup2
REALLY IS SORT OF RATE SETTING
05:07:08.410 --> 05:07:12.014 region:rollup2
IT'S AGREED TO BETWEEN THE PAIR
05:07:09.912 --> 05:07:14.249 region:rollup2
IN THE PROVIDER AND THAT'S HOW
05:07:12.014 --> 05:07:16.952 region:rollup2
YOU GET TO VALUE. AND. YOU KNOW
05:07:14.249 --> 05:07:17.586 region:rollup2
OUTCOMES PERFORMANCE SPACE CARE
05:07:16.952 --> 05:07:20.489 region:rollup2
WHICH IS WHAT WE ALL WANT TO
05:07:17.586 --> 05:07:21.790 region:rollup2
ACHIEVE. BUT IF YOU.
05:07:20.489 --> 05:07:24.726 region:rollup2
THEORETICALLY LOWER WHAT WE'RE
05:07:21.790 --> 05:07:25.794 region:rollup2
GETTING DIDN'T AS THE PAIR.
05:07:24.726 --> 05:07:29.498 region:rollup2
THEN THAT'S LESS MONEY IN THE
05:07:25.794 --> 05:07:32.134 region:rollup2
SYSTEM FOR EVERYTHING ELSE.
05:07:29.498 --> 05:07:35.237 region:rollup2
THANK.
05:07:32.134 --> 05:07:37.472 region:rollup2
OKAY.
05:07:35.237 --> 05:07:45.347 region:rollup2
BUT ONCE OF.
05:07:37.472 --> 05:07:45.914 region:rollup2
LIKE YOUR CONVERSATION BUT I.
05:07:45.347 --> 05:07:47.683 region:rollup2
WE GOT THAT WERE SHAKING HER
05:07:45.914 --> 05:07:48.884 region:rollup2
HEAD TO GET WELL GIVEN WHAT I'M
05:07:47.683 --> 05:07:51.586 region:rollup2
HEARING THOUGH IT FOR FIRST OF
05:07:48.884 --> 05:07:53.088 region:rollup2
ALL IF IF YOU DON'T TRY TO TAKE
05:07:51.586 --> 05:07:54.790 region:rollup2
A CERTAIN STEP AND.
05:07:53.088 --> 05:07:56.992 region:rollup2
IN IN IN ADDRESSING AN ISSUE
05:07:54.790 --> 05:07:58.193 region:rollup2
YOU'RE NEVER GONNA MOVE.
05:07:56.992 --> 05:07:59.828 region:rollup2
AND PART OF THE CHALLENGE OF
05:07:58.193 --> 05:08:02.264 region:rollup2
WHAT I'M HEARING RIGHT NOW AND
05:07:59.828 --> 05:08:02.764 region:rollup2
WHAT WE USUALLY HERE. IS JUST
05:08:02.264 --> 05:08:04.700 region:rollup2
THE NEGATIVES OF WHAT'S
05:08:02.764 --> 05:08:05.834 region:rollup2
SOMETHING.
05:08:04.700 --> 05:08:07.369 region:rollup2
OF OF HOW SOMETHING IS NOT GOING
05:08:05.834 --> 05:08:09.071 region:rollup2
TO WORK.
05:08:07.369 --> 05:08:12.174 region:rollup2
INSTEAD OF TRYING TO FIGURE OUT
05:08:09.071 --> 05:08:14.276 region:rollup2
HOW WE CAN MAKE SOMETHING WORK.
05:08:12.174 --> 05:08:16.578 region:rollup2
I'M NOT WILLING TO SUPPORT THIS
05:08:14.276 --> 05:08:17.646 region:rollup2
BILL TODAY BECAUSE. OF AND I
05:08:16.578 --> 05:08:19.247 region:rollup2
DON'T WANT TO ELABORATE ON JUST
05:08:17.646 --> 05:08:21.750 region:rollup2
THE NEGATIVES.
05:08:19.247 --> 05:08:23.685 region:rollup2
I THINK IF IF THERE IS A BODY
05:08:21.750 --> 05:08:25.787 region:rollup2
THAT'S COMMISSION TO LOOK AT
05:08:23.685 --> 05:08:28.623 region:rollup2
SOMETHING FULL TIME.
05:08:25.787 --> 05:08:30.025 region:rollup2
IT'S NOT.
05:08:28.623 --> 05:08:31.526 region:rollup2
FAR OUT OF REACH THAT IT CAN
05:08:30.025 --> 05:08:33.362 region:rollup2
POTENTIALLY TRIED TO ADDRESS
05:08:31.526 --> 05:08:35.697 region:rollup2
SOME OF THE ISSUES.
05:08:33.362 --> 05:08:37.165 region:rollup2
AND IT CAN'T BE MORE CHALLENGING
05:08:35.697 --> 05:08:39.301 region:rollup2
THAN WHAT WE'VE BEEN DEALING
05:08:37.165 --> 05:08:40.635 region:rollup2
WITH RIGHT NOW WHEN.
05:08:39.301 --> 05:08:42.771 region:rollup2
SOME OF THE A LOT OF THE
05:08:40.635 --> 05:08:46.575 region:rollup2
SOLUTIONS ARE. COMPROMISED TO
05:08:42.771 --> 05:08:48.210 region:rollup2
THE POINT WHERE IT BECOMES.
05:08:46.575 --> 05:08:49.578 region:rollup2
RELATIVELY INEFFECTIVE OR. ALICE
05:08:48.210 --> 05:08:51.780 region:rollup2
MARGINAL OF IMPACT.
05:08:49.578 --> 05:08:53.181 region:rollup2
.
05:08:51.780 --> 05:08:55.183 region:rollup2
BUT WILL ONE OF THE THINGS THAT
05:08:53.181 --> 05:08:57.285 region:rollup2
I WAS CONCERNED ABOUT WAS MORE
05:08:55.183 --> 05:08:59.554 region:rollup2
OF JUST THE ACCOUNTABILITY.
05:08:57.285 --> 05:09:01.957 region:rollup2
OF OF THIS COMMISSION.
05:08:59.554 --> 05:09:03.225 region:rollup2
AT WHAT WHEN YOU ESTABLISH IT.
05:09:01.957 --> 05:09:03.992 region:rollup2
YOU'RE NOT VOTING FOR THESE
05:09:03.225 --> 05:09:05.827 region:rollup2
PEOPLE THESE ARE SELECTED
05:09:03.992 --> 05:09:05.994 region:rollup2
INDIVIDUALS.
05:09:05.827 --> 05:09:08.230 region:rollup2
SO.
05:09:05.994 --> 05:09:10.399 region:rollup2
.
05:09:08.230 --> 05:09:12.634 region:rollup2
WHAT ARE THE PRESSURES THAT WILL
05:09:10.399 --> 05:09:13.802 region:rollup2
FORCE UP?
05:09:12.634 --> 05:09:16.638 region:rollup2
FORCE UPON THIS BODY.
05:09:13.802 --> 05:09:18.673 region:rollup2
TELL.
05:09:16.638 --> 05:09:21.243 region:rollup2
HOW IT MAKES DECISIONS AND HOW
05:09:18.673 --> 05:09:24.513 region:rollup2
IT MANEUVERS AND HOW?
05:09:21.243 --> 05:09:26.081 region:rollup2
A IT RESPONDS MOST. IMPORTANTLY.
05:09:24.513 --> 05:09:27.449 region:rollup2
VIDEO IS THIS SOMETHING THAT
05:09:26.081 --> 05:09:28.383 region:rollup2
WOULD BE BETTER SERVED IF IT WAS
05:09:27.449 --> 05:09:29.918 region:rollup2
UNDER THE.
05:09:28.383 --> 05:09:32.020 region:rollup2
INSURANCE COMMISSIONERS.
05:09:29.918 --> 05:09:33.789 region:rollup2
A DEPARTMENT SO THAT THERE IS A
05:09:32.020 --> 05:09:36.391 region:rollup2
POLITICAL ENTITY WHO GETS
05:09:33.789 --> 05:09:39.795 region:rollup2
ELECTED STATEWIDE WHO THEN. IS
05:09:36.391 --> 05:09:40.462 region:rollup2
MORE ACCOUNTABLE LIKE. THAT I'M.
05:09:39.795 --> 05:09:41.897 region:rollup2
I HAVEN'T THOUGHT THIS THROUGH I
05:09:40.462 --> 05:09:43.765 region:rollup2
JUST WANTED TO SUGGEST THAT ONLY
05:09:41.897 --> 05:09:44.933 region:rollup2
BECAUSE I FELT THAT THERE NEEDS
05:09:43.765 --> 05:09:46.635 region:rollup2
TO BE A GREATER ACCOUNTABILITY
05:09:44.933 --> 05:09:48.170 region:rollup2
ON THIS BODY.
05:09:46.635 --> 05:09:49.738 region:rollup2
SURE YEAH AND MISS SHARE OF A
05:09:48.170 --> 05:09:51.339 region:rollup2
GOOD I I APPRECIATE THAT
05:09:49.738 --> 05:09:51.873 region:rollup2
CONCERNED I THINK THAT THE KEY
05:09:51.339 --> 05:09:53.575 region:rollup2
IS TO MAKE AS TO THAT MUCH
05:09:51.873 --> 05:09:54.976 region:rollup2
INDEPENDENT. I DO NOT HAVE
05:09:53.575 --> 05:09:56.445 region:rollup2
SIMPLY HAVE ELECTED OFFICIALS ON
05:09:54.976 --> 05:09:57.813 region:rollup2
IT BECAUSE WE SEE WHAT'S
05:09:56.445 --> 05:09:59.948 region:rollup2
HAPPENED IN OUR POLITICAL SYSTEM
05:09:57.813 --> 05:10:01.249 region:rollup2
AND AND. IT IN HOW ELECTIONS ARE
05:09:59.948 --> 05:10:02.350 region:rollup2
WON AND LOST IF YOU HAVE A JUST
05:10:01.249 --> 05:10:02.951 region:rollup2
UNDER THE INSURANCE COMMISSION
05:10:02.350 --> 05:10:05.287 region:rollup2
THAT YOU'RE TALKING ABOUT ONE
05:10:02.951 --> 05:10:06.388 region:rollup2
ELECTED INDIVIDUAL. THAT WOULD
05:10:05.287 --> 05:10:07.222 region:rollup2
HAVE ALL THAT POWER.
05:10:06.388 --> 05:10:09.057 region:rollup2
AND THAT'S WHY THE THOUGH THE
05:10:07.222 --> 05:10:10.992 region:rollup2
APPOINTEES ARE SELECTED FROM
05:10:09.057 --> 05:10:13.962 region:rollup2
THREE DIFFERENT. OF MOVIE THE
05:10:10.992 --> 05:10:14.496 region:rollup2
GUBERNATORIAL SENATE ASSEMBLY OF
05:10:13.962 --> 05:10:15.630 region:rollup2
WHICH ALLOWS FOR THE CROSS
05:10:14.496 --> 05:10:19.067 region:rollup2
SECTION ALSO.
05:10:15.630 --> 05:10:19.801 region:rollup2
OF IT IF IT DETAILS THE KINDS
05:10:19.067 --> 05:10:22.204 region:rollup2
OF PEOPLE WE WANT ON IT.
05:10:19.801 --> 05:10:24.372 region:rollup2
BICU ONE FOLKS I DO HAVE.
05:10:22.204 --> 05:10:27.142 region:rollup2
CERTAIN AGREES EXPERTISE
05:10:24.372 --> 05:10:29.344 region:rollup2
OTHER TERM LIMITED AS WELL.
05:10:27.142 --> 05:10:30.212 region:rollup2
OF A EN AND SO.
05:10:29.344 --> 05:10:31.146 region:rollup2
THERE THERE'S ALWAYS GONNA BE A
05:10:30.212 --> 05:10:32.247 region:rollup2
QUESTION AS TO WHAT THE PEOPLE
05:10:31.146 --> 05:10:32.948 region:rollup2
DO THE RIGHT THING I THINK WHAT
05:10:32.247 --> 05:10:35.150 region:rollup2
YOU DO IS GREAT INDEPENDENT
05:10:32.948 --> 05:10:36.918 region:rollup2
SYSTEM. THAT HAS COMPLEMENT JUST
05:10:35.150 --> 05:10:39.254 region:rollup2
RULES IN PLACE THAT HAD BEEN HAS
05:10:36.918 --> 05:10:40.555 region:rollup2
SOME TRANSPARENCY OPEN MEETINGS
05:10:39.254 --> 05:10:41.923 region:rollup2
AND THEN YOU ALLOW THE ADVISORY
05:10:40.555 --> 05:10:42.424 region:rollup2
COMMITTEE WHICH IS MADE UP OF A
05:10:41.923 --> 05:10:43.658 region:rollup2
WIDE RANGE OF FOLKS WHO
05:10:42.424 --> 05:10:46.261 region:rollup2
INDUSTRY.
05:10:43.658 --> 05:10:47.963 region:rollup2
THAT ADVISE THEM AGAIN IN A
05:10:46.261 --> 05:10:48.964 region:rollup2
VERY OPEN AND TRANSPARENT MANNER
05:10:47.963 --> 05:10:49.998 region:rollup2
AND YOU GET THE MOST OUT OF
05:10:48.964 --> 05:10:51.867 region:rollup2
ACTION CAN MONEY CAN DO THE
05:10:49.998 --> 05:10:54.603 region:rollup2
DETAILS TO THE RESEARCH. DO THE
05:10:51.867 --> 05:10:56.304 region:rollup2
STUDY AND DO THE HOMEWORK I IS
05:10:54.603 --> 05:10:57.606 region:rollup2
THERE A FULL PROOF WAY.
05:10:56.304 --> 05:10:58.306 region:rollup2
I DON'T KNOW IF WE FOUND ONE YET
05:10:57.606 --> 05:10:59.474 region:rollup2
BUT IT IS FULL PROOF IS IT CAN
05:10:58.306 --> 05:11:01.109 region:rollup2
GET IT'S NOT DIFFERENT THAN
05:10:59.474 --> 05:11:02.811 region:rollup2
OTHER COMMISSIONS OF THE STATE
05:11:01.109 --> 05:11:03.745 region:rollup2
IS EMPLOYED AND I THINK THAT.
05:11:02.811 --> 05:11:05.280 region:rollup2
THIS COMMUNE OPPORTUNITY GET
05:11:03.745 --> 05:11:07.115 region:rollup2
INDEPENDENT FOLKS ARE FOCUSING
05:11:05.280 --> 05:11:08.650 region:rollup2
ON THE DATA AND INFORMATION NOT
05:11:07.115 --> 05:11:10.118 region:rollup2
ON THE POLITICS.
05:11:08.650 --> 05:11:10.685 region:rollup2
AND MISTER CHAIR THANK YOU VERY
05:11:10.118 --> 05:11:12.020 region:rollup2
MUCH FOR THE OPPORTUNITY I I
05:11:10.685 --> 05:11:13.421 region:rollup2
JUST.
05:11:12.020 --> 05:11:14.523 region:rollup2
THANK YOU FOR THE ANSWER I I
05:11:13.421 --> 05:11:15.423 region:rollup2
DON'T THINK THAT'S EXACTLY WHAT
05:11:14.523 --> 05:11:16.391 region:rollup2
I WAS LOOKING FOR ONLY BECAUSE
05:11:15.423 --> 05:11:18.293 region:rollup2
IT'S.
05:11:16.391 --> 05:11:19.161 region:rollup2
.
05:11:18.293 --> 05:11:20.495 region:rollup2
WE'RE CHANGING THERE'S A SYSTEM
05:11:19.161 --> 05:11:22.664 region:rollup2
HERE.
05:11:20.495 --> 05:11:25.534 region:rollup2
ADAM AND AND IT'S DIFFICULT TO
05:11:22.664 --> 05:11:27.469 region:rollup2
JUST PLACE INDIVIDUALS WHO. UP
05:11:25.534 --> 05:11:29.171 region:rollup2
WILL NOT HAVE CERTAIN PRESSURES
05:11:27.469 --> 05:11:31.740 region:rollup2
ON THEM TO PERFORM.
05:11:29.171 --> 05:11:32.374 region:rollup2
AND TO BE ACCOUNTABLE SO I
05:11:31.740 --> 05:11:35.076 region:rollup2
THINK THAT'S SOMETHING THAT WE
05:11:32.374 --> 05:11:35.744 region:rollup2
NEED TO. BE MINDFUL OF AND WORK
05:11:35.076 --> 05:11:38.146 region:rollup2
THROUGH.
05:11:35.744 --> 05:11:39.848 region:rollup2
SO ABSOLUTELY THANK YOU FOR
05:11:38.146 --> 05:11:41.683 region:rollup2
YOUR EFFORTS ABSOLUTELY I THINK.
05:11:39.848 --> 05:11:43.952 region:rollup2
MR MCCARTY.
05:11:41.683 --> 05:11:45.153 region:rollup2
AND THEN MISTER SANTIAGO.
05:11:43.952 --> 05:11:46.788 region:rollup2
THANK YOU MISTER CHAIR PATRICK
05:11:45.153 --> 05:11:48.190 region:rollup2
MISTER KALRA.
05:11:46.788 --> 05:11:49.958 region:rollup2
I. WON'T ASK YOU ONE ONE
05:11:48.190 --> 05:11:51.793 region:rollup2
QUESTION.
05:11:49.958 --> 05:11:53.728 region:rollup2
LOT OF QUESTIONS ASKED I COULD
05:11:51.793 --> 05:11:55.297 region:rollup2
ASK PLENTY MORE BUT. IT'S
05:11:53.728 --> 05:11:57.499 region:rollup2
IN LATE BUT BEFORE THAT I AM
05:11:55.297 --> 05:11:58.767 region:rollup2
GOING TO VOTE FOR THE BILL.
05:11:57.499 --> 05:12:00.368 region:rollup2
AN IMPERFECT SOLUTION SOMEWHAT
05:11:58.767 --> 05:12:02.370 region:rollup2
UNEASY.
05:12:00.368 --> 05:12:04.272 region:rollup2
BUT I DO THINK AS MR BONTA SAID
05:12:02.370 --> 05:12:06.808 region:rollup2
WE HAVE.
05:12:04.272 --> 05:12:08.777 region:rollup2
UNSUSTAINABLE ESCALATING COSTS
05:12:06.808 --> 05:12:10.645 region:rollup2
THAT WE'RE NOT ADDRESSING AND
05:12:08.777 --> 05:12:12.681 region:rollup2
THE CURRENT SITUATION. IS IS NOT
05:12:10.645 --> 05:12:15.116 region:rollup2
GOING TO WORK.
05:12:12.681 --> 05:12:16.551 region:rollup2
SOME NOT SO MY QUESTION IS THIS.
05:12:15.116 --> 05:12:17.152 region:rollup2
IN THE NECK WITH A LITTLE OF
05:12:16.551 --> 05:12:18.153 region:rollup2
THIS WILL HAPPEN TO ME IN THE
05:12:17.152 --> 05:12:19.621 region:rollup2
NEXT.
05:12:18.153 --> 05:12:20.922 region:rollup2
FEW DAYS OR WEEKS I'LL BE
05:12:19.621 --> 05:12:23.625 region:rollup2
WALKING AROUND MY NEIGHBORHOOD
05:12:20.922 --> 05:12:25.126 region:rollup2
WITH MY DOG.
05:12:23.625 --> 05:12:27.229 region:rollup2
AND I WON'T RUN INTO A NO
05:12:25.126 --> 05:12:28.997 region:rollup2
OFFENSE A HOSPITAL.
05:12:27.229 --> 05:12:30.599 region:rollup2
EXECUTIVE I WON'T RUN INTO AN
05:12:28.997 --> 05:12:33.034 region:rollup2
HMO EXECUTIVE BUT I WILL RUN
05:12:30.599 --> 05:12:34.669 region:rollup2
INTO A DOCTOR.
05:12:33.034 --> 05:12:35.904 region:rollup2
PROBABLY A FAMILY DOCTOR AND
05:12:34.669 --> 05:12:37.939 region:rollup2
THEY'LL BE UNEASY ABOUT THE
05:12:35.904 --> 05:12:40.575 region:rollup2
SQUEEZE.
05:12:37.939 --> 05:12:42.577 region:rollup2
SO WHAT WOULD YOU TELL.
05:12:40.575 --> 05:12:44.546 region:rollup2
POSITIONS OUT THERE.
05:12:42.577 --> 05:12:45.714 region:rollup2
WITH THAT.
05:12:44.546 --> 05:12:47.649 region:rollup2
YOU KNOW THEY MAY NOT BE
05:12:45.714 --> 05:12:48.917 region:rollup2
SPECIALISTS NAY MAIM NAY MAYBE
05:12:47.649 --> 05:12:49.985 region:rollup2
APPETITE AS SOON THAT MAYBE THEY
05:12:48.917 --> 05:12:52.687 region:rollup2
DON'T PUTS BUT THEY'RE GOING TO
05:12:49.985 --> 05:12:53.154 region:rollup2
FEEL THAT THIS WILL SQUEEZE.
05:12:52.687 --> 05:12:54.656 region:rollup2
THE AVERAGE DOCTOR IN
05:12:53.154 --> 05:12:56.758 region:rollup2
CALIFORNIA.
05:12:54.656 --> 05:12:56.925 region:rollup2
WHAT WOULD YOU TELL THEM?
05:12:56.758 --> 05:12:58.526 region:rollup2
TO.
05:12:56.925 --> 05:13:00.862 region:rollup2
TO ATTEMPT TO SATISFY THEIR
05:12:58.526 --> 05:13:02.597 region:rollup2
KIDS.
05:13:00.862 --> 05:13:03.865 region:rollup2
WHY WAS START BY SAYING THAT?
05:13:02.597 --> 05:13:05.800 region:rollup2
THAT THIS BILL IS NOT INTENDED
05:13:03.865 --> 05:13:06.401 region:rollup2
TO SQUEEZE.
05:13:05.800 --> 05:13:07.902 region:rollup2
DAM.
05:13:06.401 --> 05:13:09.404 region:rollup2
BUT THE BALLY PRACTITIONERS ARE
05:13:07.902 --> 05:13:10.405 region:rollup2
ANY DOCTOR FOR THAT MATTER BUT
05:13:09.404 --> 05:13:11.439 region:rollup2
YOU'RE YOU'RE RAISING THE ISSUE
05:13:10.405 --> 05:13:12.841 region:rollup2
SPECIFICALLY AND I UNDERSTAND
05:13:11.439 --> 05:13:14.109 region:rollup2
WHY FAMILY PRACTITIONERS SOLO
05:13:12.841 --> 05:13:15.143 region:rollup2
PRACTITIONERS.
05:13:14.109 --> 05:13:17.112 region:rollup2
OTHER ALREADY FEELING SQUEEZE
05:13:15.143 --> 05:13:19.381 region:rollup2
RIGHT NOW WITH GRINS.
05:13:17.112 --> 05:13:19.681 region:rollup2
AND UP IN MANY CASES THEY'RE
05:13:19.381 --> 05:13:21.883 region:rollup2
UNDERPAID.
05:13:19.681 --> 05:13:23.051 region:rollup2
AND I THINK THAT THIS BILL
05:13:21.883 --> 05:13:23.852 region:rollup2
WOULD HAVE THE OPPORTUNITY TO
05:13:23.051 --> 05:13:25.654 region:rollup2
ACTUALLY PAY THEM WHAT THEY
05:13:23.852 --> 05:13:27.355 region:rollup2
DESERVE. ALLOW THE COMMERCIAL
05:13:25.654 --> 05:13:28.623 region:rollup2
RATES THEY DON'T RESPECT US ALL
05:13:27.355 --> 05:13:30.592 region:rollup2
PRACTITIONERS WHAT LEVERAGE THEY
05:13:28.623 --> 05:13:30.959 region:rollup2
HAVE RIGHT NOW. TO INCREASE THE
05:13:30.592 --> 05:13:32.293 region:rollup2
RACE THEY GET.
05:13:30.959 --> 05:13:33.728 region:rollup2
VERY LITTLE.
05:13:32.293 --> 05:13:35.263 region:rollup2
THIS WILL ACTUALLY GIVE THEM THE
05:13:33.728 --> 05:13:35.764 region:rollup2
OPTION TO HAVE SOME LEVERAGE AND
05:13:35.263 --> 05:13:38.033 region:rollup2
HAVE THE OPPORTUNITY TO
05:13:35.764 --> 05:13:39.801 region:rollup2
ACTUALLY.
05:13:38.033 --> 05:13:40.502 region:rollup2
NUMBER CONTINUE UP TO WORK AS A
05:13:39.801 --> 05:13:42.203 region:rollup2
FAMILY PRACTITIONER OR
05:13:40.502 --> 05:13:44.005 region:rollup2
PEDIATRICIAN.
05:13:42.203 --> 05:13:45.407 region:rollup2
IN IN THE COMMUNITY IN WHICH
05:13:44.005 --> 05:13:47.075 region:rollup2
THEY LIVE.
05:13:45.407 --> 05:13:48.576 region:rollup2
AND W. DO HAPPEN DISHES IN THERE
05:13:47.075 --> 05:13:49.878 region:rollup2
THAT INCLUDE CONSIDERATION A
05:13:48.576 --> 05:13:51.880 region:rollup2
WORKFORCE NEEDS ROGAN A BE
05:13:49.878 --> 05:13:52.747 region:rollup2
PUTTING OF RESOURCES INTO FUNDS
05:13:51.880 --> 05:13:54.649 region:rollup2
THAT RIGHT NOW ARE SEVERELY
05:13:52.747 --> 05:13:56.818 region:rollup2
UNDERFUNDED. TO HELP WITH THE
05:13:54.649 --> 05:13:58.320 region:rollup2
MEDICAL SCHOOL DEBT AND TRAINING
05:13:56.818 --> 05:14:00.055 region:rollup2
FOR HEALTHCARE PROFESSIONALS.
05:13:58.320 --> 05:14:01.990 region:rollup2
IN ORDER TO BUILD A PIPELINE
05:14:00.055 --> 05:14:02.857 region:rollup2
BUT WHAT I WOULD SAY THAT. TO
05:14:01.990 --> 05:14:04.359 region:rollup2
ANY INDIVIDUAL DOCTOR NOT
05:14:02.857 --> 05:14:04.893 region:rollup2
FRANKLY SAID THIS TO A NUMBER OF
05:14:04.359 --> 05:14:06.227 region:rollup2
THEM THAT HAVE CALLED ME
05:14:04.893 --> 05:14:07.996 region:rollup2
PERSONALLY AND TALKING ABOUT
05:14:06.227 --> 05:14:10.298 region:rollup2
THIS BILL TALKED MY STAFF ABOUT
05:14:07.996 --> 05:14:11.333 region:rollup2
THIS BILL. EYES OTHERS DOES NOT
05:14:10.298 --> 05:14:12.767 region:rollup2
ABOUT TARGETING DOCTORS
05:14:11.333 --> 05:14:14.336 region:rollup2
THERE'S AND AND THAT WE WANT
05:14:12.767 --> 05:14:15.737 region:rollup2
DOCTORS OTHER DOCTORS AND
05:14:14.336 --> 05:14:17.806 region:rollup2
HEALTHCARE PROFESSIONALS I DO
05:14:15.737 --> 05:14:19.541 region:rollup2
MOST SERVICE. I TO GET PAID.
05:14:17.806 --> 05:14:20.642 region:rollup2
IN AND TO GET THE RESOURCES
05:14:19.541 --> 05:14:21.910 region:rollup2
THEY NEED TO CONTINUE IN
05:14:20.642 --> 05:14:23.411 region:rollup2
PRACTICE.
05:14:21.910 --> 05:14:26.181 region:rollup2
THERE'S A YOUNG DOCTOR.
05:14:23.411 --> 05:14:27.916 region:rollup2
THEY NOT ONLY HAVE TO CONSIDER.
05:14:26.181 --> 05:14:29.017 region:rollup2
THEIR PRACTICE FOR THE NEXT
05:14:27.916 --> 05:14:30.051 region:rollup2
FOUR FIVE YEARS BUT THAT IT THE
05:14:29.017 --> 05:14:31.653 region:rollup2
NEXT HOPEFULLY THIRTY FORTY PLUS
05:14:30.051 --> 05:14:33.221 region:rollup2
YEARS.
05:14:31.653 --> 05:14:35.056 region:rollup2
AND SO THE SYSTEMS UNSUSTAINABLE
05:14:33.221 --> 05:14:36.091 region:rollup2
DOES A BENEFIT THEM AND THE WAY
05:14:35.056 --> 05:14:37.525 region:rollup2
THAT THE SYSTEM HAS BEEN GOING
05:14:36.091 --> 05:14:38.727 region:rollup2
AS WE EVEN HEARD FROM MISTER
05:14:37.525 --> 05:14:39.694 region:rollup2
BIGELOW LOT OF PRACTICE ARE
05:14:38.727 --> 05:14:40.962 region:rollup2
CLOSING DOWN BUT THE CURRENT
05:14:39.694 --> 05:14:42.230 region:rollup2
SYSTEM.
05:14:40.962 --> 05:14:43.298 region:rollup2
SO WE HAVE TO DO SOMETHING
05:14:42.230 --> 05:14:44.466 region:rollup2
DIFFERENT TO CREATE A SYSTEM
05:14:43.298 --> 05:14:46.434 region:rollup2
THAT SUSTAINABLE AND THAT
05:14:44.466 --> 05:14:47.936 region:rollup2
INCLUDES ENSURING IT SUSTAINABLE
05:14:46.434 --> 05:14:50.405 region:rollup2
FOR DOCTORS. AND MISTER.
05:14:47.936 --> 05:14:50.705 region:rollup2
MCCARTY IF I MAY AT SEIU
05:14:50.405 --> 05:14:52.674 region:rollup2
REPRESENTS.
05:14:50.705 --> 05:14:53.475 region:rollup2
THE COMMITTEE OF. INTERNS AND
05:14:52.674 --> 05:14:57.011 region:rollup2
RESIDENTS.
05:14:53.475 --> 05:14:58.747 region:rollup2
WHO ARE AN AMAZING GROUP OF US
05:14:57.011 --> 05:14:59.280 region:rollup2
STUDENT PHYSICIANS WHO ALSO
05:14:58.747 --> 05:15:01.182 region:rollup2
DEDICATE THEIR TIME TO THE
05:14:59.280 --> 05:15:03.685 region:rollup2
UNION?
05:15:01.182 --> 05:15:04.919 region:rollup2
AND THERE IS A A BIT OF GOOD
05:15:03.685 --> 05:15:06.688 region:rollup2
NEWS IN THIS PICTURE.
05:15:04.919 --> 05:15:09.424 region:rollup2
CALIFORNIA RANKS FIRST IN THE
05:15:06.688 --> 05:15:10.024 region:rollup2
NATION FOR PERCENTAGES OF BOTH
05:15:09.424 --> 05:15:10.859 region:rollup2
MEDICAL STUDENTS AND RESIDENTS
05:15:10.024 --> 05:15:12.594 region:rollup2
WHO
05:15:10.859 --> 05:15:13.061 region:rollup2
CHOOSE TO REMAIN IN THE STATE.
05:15:12.594 --> 05:15:15.196 region:rollup2
AND.
05:15:13.061 --> 05:15:17.232 region:rollup2
OUR GOAL CERTAINLY IS NOT TO
05:15:15.196 --> 05:15:19.267 region:rollup2
SEE THEM OF LEAVE.
05:15:17.232 --> 05:15:22.437 region:rollup2
ONE OF THE THINGS THAT I WILL
05:15:19.267 --> 05:15:24.539 region:rollup2
POINT OUT YOU TO IS KIND OF AT A
05:15:22.437 --> 05:15:26.441 region:rollup2
POINT IN HISTORY WHEN. UP PRIOR
05:15:24.539 --> 05:15:28.743 region:rollup2
LEGISLATURE PASSED NURSE
05:15:26.441 --> 05:15:31.679 region:rollup2
STAFFING RATIOS CALIFORNIA WAS
05:15:28.743 --> 05:15:35.416 region:rollup2
UNDER A TERRIBLE NURSE AS
05:15:31.679 --> 05:15:37.018 region:rollup2
NURSING SHORTAGE. AND THE RATIOS
05:15:35.416 --> 05:15:38.787 region:rollup2
HELPED TO.
05:15:37.018 --> 05:15:40.789 region:rollup2
COMPEL.
05:15:38.787 --> 05:15:42.657 region:rollup2
DOES THE GOVERNOR GOVERNOR GRAY
05:15:40.789 --> 05:15:44.692 region:rollup2
DAVIS AND SUBSEQUENTLY GOVERNOR
05:15:42.657 --> 05:15:47.796 region:rollup2
SCHWARZENEGGER TO INVEST NINETY
05:15:44.692 --> 05:15:50.431 region:rollup2
MILLION DOLLARS INTO A NURSE
05:15:47.796 --> 05:15:52.167 region:rollup2
TRAINING AND EDUCATION. WE HAVE
05:15:50.431 --> 05:15:53.468 region:rollup2
ERASE THE NURSING SHORTAGE IN
05:15:52.167 --> 05:15:55.904 region:rollup2
THE STATE OF CALIFORNIA AS A
05:15:53.468 --> 05:15:57.872 region:rollup2
RESULT AND I DO THINK THAT ONE
05:15:55.904 --> 05:15:59.941 region:rollup2
OF THE WAYS THAT WE CAN GET TO
05:15:57.872 --> 05:16:01.576 region:rollup2
ACTUALLY DOING SOMETHING ON
05:15:59.941 --> 05:16:01.976 region:rollup2
PHYSICIAN RECRUITMENT AND
05:16:01.576 --> 05:16:03.211 region:rollup2
RETENTION AND LOAN
05:16:01.976 --> 05:16:04.312 region:rollup2
REIMBURSEMENT.
05:16:03.211 --> 05:16:06.448 region:rollup2
IS BY.
05:16:04.312 --> 05:16:08.249 region:rollup2
CREATING A SIGNIFICANT POLICY
05:16:06.448 --> 05:16:10.685 region:rollup2
CHANGE BECAUSE ITIT'S BEEN FAR
05:16:08.249 --> 05:16:11.886 region:rollup2
TOO LONG SINCE WE'VE SEEN A REAL
05:16:10.685 --> 05:16:12.954 region:rollup2
DECENT INVESTMENT IN LOW
05:16:11.886 --> 05:16:14.456 region:rollup2
REIMBURSEMENT FOR PHYSICIANS
05:16:12.954 --> 05:16:17.025 region:rollup2
HOUSES.
05:16:14.456 --> 05:16:18.593 region:rollup2
A FOLLOW UP LOS
05:16:17.025 --> 05:16:19.694 region:rollup2
YOU KALRA I KNOW THAT THAT.
05:16:18.593 --> 05:16:21.629 region:rollup2
CHANGES HARD TO THIS IS WHAT
05:16:19.694 --> 05:16:22.997 region:rollup2
YOU'RE PROPOSING IN THE GET
05:16:21.629 --> 05:16:24.966 region:rollup2
CHANGES PRODUCT TO CANCEL.
05:16:22.997 --> 05:16:26.768 region:rollup2
ONE CAN'T IS ONE HUNDRED PERCENT
05:16:24.966 --> 05:16:28.736 region:rollup2
CERTAIN OF THE DEVICE.
05:16:26.768 --> 05:16:30.004 region:rollup2
TERRIBLE THINGS CAN HAPPEN.
05:16:28.736 --> 05:16:32.373 region:rollup2
THE OTHER CAMP IS CAUTIOUSLY
05:16:30.004 --> 05:16:33.007 region:rollup2
OPTIMISTIC.
05:16:32.373 --> 05:16:34.375 region:rollup2
ON THE UPSIDE IT'S MY CHANGES SO
05:16:33.007 --> 05:16:36.044 region:rollup2
HARD.
05:16:34.375 --> 05:16:38.012 region:rollup2
SO ARE YOU ARE YOU.
05:16:36.044 --> 05:16:39.514 region:rollup2
ARGUING THAT.
05:16:38.012 --> 05:16:40.915 region:rollup2
THE THAT'S THAT THAT YOU COULD
05:16:39.514 --> 05:16:42.550 region:rollup2
MAKE A STRAIGHT FACE THAT A
05:16:40.915 --> 05:16:44.752 region:rollup2
GREAT NUMBER OF DOCTORS WOULD
05:16:42.550 --> 05:16:46.621 region:rollup2
BUT HAVE THEIR SITUATIONS. ARE
05:16:44.752 --> 05:16:48.022 region:rollup2
INCREASE AS FAR AS THAT THAT
05:16:46.621 --> 05:16:48.556 region:rollup2
THAT THE FINANCIAL WHEREWITHAL
05:16:48.022 --> 05:16:50.091 region:rollup2
AND THAT.
05:16:48.556 --> 05:16:52.193 region:rollup2
THAT BY.
05:16:50.091 --> 05:16:53.561 region:rollup2
MAKING SOME ADJUSTMENTS AT THE
05:16:52.193 --> 05:16:56.097 region:rollup2
ENDS THAT THAT WHOLE OVER ALL
05:16:53.561 --> 05:16:57.198 region:rollup2
THAT MANY THAT MORE THAN. FIFTY
05:16:56.097 --> 05:16:58.867 region:rollup2
PERCENT ARE CERTAIN POTENTIALLY
05:16:57.198 --> 05:17:00.935 region:rollup2
BETTER OFF.
05:16:58.867 --> 05:17:02.437 region:rollup2
WELL. CERTAINLY UP WHO AGREE
05:17:00.935 --> 05:17:04.038 region:rollup2
NUMBER THEM WOULD I CAN
05:17:02.437 --> 05:17:05.106 region:rollup2
CERTAINLY SAY THAT AND I CAN
05:17:04.038 --> 05:17:07.175 region:rollup2
THAT'S OUR GOAL.
05:17:05.106 --> 05:17:09.377 region:rollup2
OUR GOAL IS TO DO THAT BECAUSE
05:17:07.175 --> 05:17:10.411 region:rollup2
WE DO KNOW THAT THEIR PLENTY. OF
05:17:09.377 --> 05:17:11.579 region:rollup2
SOLO PRACTITIONERS WHETHER
05:17:10.411 --> 05:17:13.014 region:rollup2
THEY'RE IN URBAN AREAS WITH
05:17:11.579 --> 05:17:14.849 region:rollup2
THEIR MIDDLE CLASS NEIGHBORHOODS
05:17:13.014 --> 05:17:16.651 region:rollup2
OR RULE COMMUNITIES OTHER
05:17:14.849 --> 05:17:18.686 region:rollup2
STRUGGLING RIGHT NOW. AND OUR
05:17:16.651 --> 05:17:19.921 region:rollup2
GOAL IS TO. MAKE THEIR PRACTICES
05:17:18.686 --> 05:17:22.657 region:rollup2
SUSTAINABLE.
05:17:19.921 --> 05:17:24.626 region:rollup2
AS AS MUCH AS IT IS TO MAKE.
05:17:22.657 --> 05:17:25.226 region:rollup2
HEALTHCARE COSTS FOR BUSINESSES
05:17:24.626 --> 05:17:29.330 region:rollup2
AND PROFOUNDLY SUSTAINABLE AS
05:17:25.226 --> 05:17:32.300 region:rollup2
WELL.
05:17:29.330 --> 05:17:33.835 region:rollup2
SANTIAGO NAY MISSING HERE.
05:17:32.300 --> 05:17:36.871 region:rollup2
MISTER KALRA GOD BLESS YOU FOR
05:17:33.835 --> 05:17:37.605 region:rollup2
TAKING UP THIS ISSUE.
05:17:36.871 --> 05:17:38.907 region:rollup2
LOOK I'M NOT I'M NOT IN LOVE
05:17:37.605 --> 05:17:40.541 region:rollup2
WITH THIS BILL.
05:17:38.907 --> 05:17:41.976 region:rollup2
FOR SHARON IN UNITED HAD SOME
05:17:40.541 --> 05:17:43.244 region:rollup2
CONVERSATIONS.
05:17:41.976 --> 05:17:44.779 region:rollup2
BUT I WILL SAY THAT I'M HEAD
05:17:43.244 --> 05:17:47.982 region:rollup2
OVER HEELS AND SWEPT OFF MY FEET
05:17:44.779 --> 05:17:50.351 region:rollup2
ON THE ABILITY TO CONTAIN COSTS.
05:17:47.982 --> 05:17:51.052 region:rollup2
AND THAT MOTIVATES ME. ABOUT
05:17:50.351 --> 05:17:52.220 region:rollup2
THE WANT TO SUPPORT THIS BILL TO
05:17:51.052 --> 05:17:53.454 region:rollup2
GET OUT DRIVE TO GET AMERICAN
05:17:52.220 --> 05:17:55.390 region:rollup2
CONVERSATION.
05:17:53.454 --> 05:17:56.324 region:rollup2
I DO UNDERSTAND AND AGREE WITH
05:17:55.390 --> 05:17:58.026 region:rollup2
THE FACT THAT HEALTHCARE IS
05:17:56.324 --> 05:17:59.160 region:rollup2
RISING AND WE NEED TO FIGURE OUT
05:17:58.026 --> 05:18:00.895 region:rollup2
A WAY TO CONTAIN A. REDUCE ITS
05:17:59.160 --> 05:18:01.963 region:rollup2
COST.
05:18:00.895 --> 05:18:03.932 region:rollup2
AND SURE THAT EVERYBODY HAS
05:18:01.963 --> 05:18:06.367 region:rollup2
QUALITY HEALTHCARE.
05:18:03.932 --> 05:18:07.669 region:rollup2
MONTH I I AM SYMPATHETIC.
05:18:06.367 --> 05:18:09.137 region:rollup2
TOWARDS THOSE AT THE BARGAINING
05:18:07.669 --> 05:18:11.239 region:rollup2
TABLE.
05:18:09.137 --> 05:18:11.839 region:rollup2
CONTINUING TO HAVE TO FIGHT
05:18:11.239 --> 05:18:13.207 region:rollup2
OVER THIS ISSUE OVER AND OVER
05:18:11.839 --> 05:18:15.677 region:rollup2
AND OVER.
05:18:13.207 --> 05:18:16.711 region:rollup2
AND.
05:18:15.677 --> 05:18:18.112 region:rollup2
WHAT WHAT I HAD A CHALLENGE WITH
05:18:16.711 --> 05:18:19.414 region:rollup2
IT AND ALL SAY IT? OUT LOUD
05:18:18.112 --> 05:18:20.448 region:rollup2
ALTHOUGH UNITED TALKED IN AND
05:18:19.414 --> 05:18:22.517 region:rollup2
SPONSORS OF TALK.
05:18:20.448 --> 05:18:23.051 region:rollup2
IT IS.
05:18:22.517 --> 05:18:25.053 region:rollup2
YOU KNOW I CHALLENGE WITH
05:18:23.051 --> 05:18:26.854 region:rollup2
TARGETING PEOPLE.
05:18:25.053 --> 05:18:28.423 region:rollup2
AND YOU KNOW MY DOCTOR PERSON
05:18:26.854 --> 05:18:30.291 region:rollup2
TOO OBVIOUS.
05:18:28.423 --> 05:18:31.559 region:rollup2
AND IN FACT I LOVE MY DOCTOR AND
05:18:30.291 --> 05:18:33.394 region:rollup2
MOST OF YOU KNOW I'VE RECENTLY
05:18:31.559 --> 05:18:35.563 region:rollup2
HAD SURGERY AND.
05:18:33.394 --> 05:18:37.165 region:rollup2
HAD SURGERY HE CALL THE NEXT
05:18:35.563 --> 05:18:39.033 region:rollup2
MORNING CONTINUE TO CALL THE
05:18:37.165 --> 05:18:40.234 region:rollup2
ONCE EVERY COUPLE WEEKS.
05:18:39.033 --> 05:18:41.669 region:rollup2
AND I KINDA LIKE THE FACT THAT
05:18:40.234 --> 05:18:43.271 region:rollup2
YOUMAY BE IN THE SYSTEM FOR
05:18:41.669 --> 05:18:45.073 region:rollup2
SOME TIME I KINDA LIKE THE FACT
05:18:43.271 --> 05:18:46.574 region:rollup2
THAT HE MAY HAVE MADE. A LOT OF
05:18:45.073 --> 05:18:48.843 region:rollup2
MONEY BECAUSE IT MOTIVATES THEM
05:18:46.574 --> 05:18:49.911 region:rollup2
TO DO BETTER. AND IT MOTIVATED
05:18:48.843 --> 05:18:51.045 region:rollup2
THEM TO GIVE ME THE BEST QUALITY
05:18:49.911 --> 05:18:53.247 region:rollup2
OF CARE.
05:18:51.045 --> 05:18:54.582 region:rollup2
AND.
05:18:53.247 --> 05:18:57.085 region:rollup2
IN MY CHALLENGE WITH THE BILL
05:18:54.582 --> 05:18:58.252 region:rollup2
ORIGINALLY. IT IS THAT.
05:18:57.085 --> 05:18:59.654 region:rollup2
ALTHOUGH I HERE NOW CLEARLY IT'S
05:18:58.252 --> 05:19:01.089 region:rollup2
NOT TARGETING PROVIDERS WHEN I
05:18:59.654 --> 05:19:02.490 region:rollup2
REDID IT DID LOOK LIKE IT'S
05:19:01.089 --> 05:19:04.525 region:rollup2
TARGETING PROVIDERS.
05:19:02.490 --> 05:19:06.661 region:rollup2
AND AND.
05:19:04.525 --> 05:19:09.430 region:rollup2
AND. I WAS IN A PHILOSOPHICAL.
05:19:06.661 --> 05:19:10.264 region:rollup2
.-THE LIMIT HERE BECAUSE FOR THE
05:19:09.430 --> 05:19:11.1000 region:rollup2
SAME REASON THAT I WANT TO
05:19:10.264 --> 05:19:13.468 region:rollup2
PROTECT THE NURSE.
05:19:11.1000 --> 05:19:14.435 region:rollup2
NURSES WAIT FOR THE SAME REASON
05:19:13.468 --> 05:19:16.104 region:rollup2
I WANT PROTECT A JANITOR'S WHAT
05:19:14.435 --> 05:19:17.338 region:rollup2
WAGE INCREASE AND FOR THE SAME
05:19:16.104 --> 05:19:18.840 region:rollup2
REASONS THAT I WANT. A
05:19:17.338 --> 05:19:20.508 region:rollup2
CONSTRUCTION TRADES.
05:19:18.840 --> 05:19:22.210 region:rollup2
EMPLOYED TO INCREASE HIS OR HER
05:19:20.508 --> 05:19:23.811 region:rollup2
WAGE
05:19:22.210 --> 05:19:25.213 region:rollup2
IS THE SAME REASON NOW
05:19:23.811 --> 05:19:26.681 region:rollup2
PHILOSOPHIC THAT I HAVE TO BE
05:19:25.213 --> 05:19:27.782 region:rollup2
CHALLENGED TO.
05:19:26.681 --> 05:19:28.916 region:rollup2
ALLOW SOMEBODY TO DO THE BEST
05:19:27.782 --> 05:19:31.285 region:rollup2
THEY POSSIBLY CAN.
05:19:28.916 --> 05:19:33.521 region:rollup2
IN THE MARKETPLACE.
05:19:31.285 --> 05:19:35.323 region:rollup2
I DO ACKNOWLEDGE. THAT THERE
05:19:33.521 --> 05:19:38.693 region:rollup2
ARE SOME.
05:19:35.323 --> 05:19:40.795 region:rollup2
BUT I WOULD CALLS THROUGH SOME.
05:19:38.693 --> 05:19:42.397 region:rollup2
EXAGGERATED COST OR OR REAL HIGH
05:19:40.795 --> 05:19:44.132 region:rollup2
COST.
05:19:42.397 --> 05:19:46.134 region:rollup2
I MEAN CERTAINLY EARNED IS
05:19:44.132 --> 05:19:48.269 region:rollup2
CERTAINLY IN THE SPECIALTIES.
05:19:46.134 --> 05:19:48.736 region:rollup2
SPECIAL SPECIAL PROCEDURES
05:19:48.269 --> 05:19:50.138 region:rollup2
CERTAINLY AN UNPLANNED
05:19:48.736 --> 05:19:52.273 region:rollup2
PROCEDURES.
05:19:50.138 --> 05:19:54.742 region:rollup2
I KNOW WHICH BUT THIS IS THE
05:19:52.273 --> 05:19:55.276 region:rollup2
DILEMMA THAT I MEAN.
05:19:54.742 --> 05:19:56.644 region:rollup2
I WAS ALSO LITTLE BIT HARD
05:19:55.276 --> 05:19:58.279 region:rollup2
PRESSED.
05:19:56.644 --> 05:19:59.380 region:rollup2
COULD BECAUSE SEVERAL YEARS AGO
05:19:58.279 --> 05:20:01.349 region:rollup2
I POSED A BILL THAT HAD A
05:19:59.380 --> 05:20:02.383 region:rollup2
SIMILAR PARADISE. AND I THINK
05:20:01.349 --> 05:20:03.584 region:rollup2
IT'S A BUT A BILL THAT MISTER
05:20:02.383 --> 05:20:05.253 region:rollup2
BONTA CARRIED.
05:20:03.584 --> 05:20:07.188 region:rollup2
I HOPE I GET THE NUMBER RIGHT.
05:20:05.253 --> 05:20:09.357 region:rollup2
AB THREE FIVE FIVE.
05:20:07.188 --> 05:20:10.224 region:rollup2
BECAUSE IT DID CITY FLOOR IN
05:20:09.357 --> 05:20:12.060 region:rollup2
THE DID TALK ABOUT GOING TO A
05:20:10.224 --> 05:20:14.996 region:rollup2
PANEL.
05:20:12.060 --> 05:20:16.698 region:rollup2
AND IDEA AT THAT POINT AT THAT
05:20:14.996 --> 05:20:17.331 region:rollup2
POINT HOW MANY BELIEVE THAT.
05:20:16.698 --> 05:20:18.833 region:rollup2
THAT THIS WAS SOMETHING THAT WAS
05:20:17.331 --> 05:20:20.101 region:rollup2
FEASIBLE.
05:20:18.833 --> 05:20:21.536 region:rollup2
MEANING SETTING A FLOOR AND
05:20:20.101 --> 05:20:22.870 region:rollup2
DOCTORS EARLIER BOTH OF THIS
05:20:21.536 --> 05:20:25.139 region:rollup2
PANEL TO.
05:20:22.870 --> 05:20:26.140 region:rollup2
TO PROTEST THE INCOME I MEAN
05:20:25.139 --> 05:20:28.042 region:rollup2
THE THE.
05:20:26.140 --> 05:20:29.177 region:rollup2
PROCEDURE PRICE
05:20:28.042 --> 05:20:31.479 region:rollup2
OR WHAT THEY BRING IN SORRY.
05:20:29.177 --> 05:20:32.647 region:rollup2
.
05:20:31.479 --> 05:20:33.815 region:rollup2
AND I'M HOPING THAT SOMETHING
05:20:32.647 --> 05:20:35.483 region:rollup2
THAT CAN BE WORKED ON I DON'T
05:20:33.815 --> 05:20:36.951 region:rollup2
KNOW WHAT THE PERFECT SOLUTION
05:20:35.483 --> 05:20:38.853 region:rollup2
IS AND AND ALL THE.
05:20:36.951 --> 05:20:40.188 region:rollup2
ALL THAT I'VE SAID.
05:20:38.853 --> 05:20:41.923 region:rollup2
BUT I AM COMFORTABLE WITH
05:20:40.188 --> 05:20:43.357 region:rollup2
UNDERSTANDING WHERE YOU'RE
05:20:41.923 --> 05:20:45.259 region:rollup2
TRYING TO GET IN THAT SOMETHING
05:20:43.357 --> 05:20:46.127 region:rollup2
THAT I WANT TO SUPPORT AND I
05:20:45.259 --> 05:20:48.229 region:rollup2
WOULD URGE. ALL TO SUPPORT.
05:20:46.127 --> 05:20:49.597 region:rollup2
.
05:20:48.229 --> 05:20:51.265 region:rollup2
UNFORTUNATELY RAN OUT OF TIME
05:20:49.597 --> 05:20:54.068 region:rollup2
AND WE'VE GOT TO GET THIS. SIDE
05:20:51.265 --> 05:20:54.669 region:rollup2
I THINK CONVERSATION CONTINUE.
05:20:54.068 --> 05:20:55.970 region:rollup2
LOOK I'M STILL SKEPTIC ON THE
05:20:54.669 --> 05:20:58.072 region:rollup2
COMMISSION.
05:20:55.970 --> 05:21:00.041 region:rollup2
I I'VE SEVEN NUMBER OF TIMES
05:20:58.072 --> 05:21:01.809 region:rollup2
RIGHT AYE. AYE A LIST OWNER I'M
05:21:00.041 --> 05:21:02.810 region:rollup2
WITH YOU KNOW IT SHOULD BE STATE
05:21:01.809 --> 05:21:04.912 region:rollup2
DEPARTMENT HOW LIKE THE IDEAS
05:21:02.810 --> 05:21:05.480 region:rollup2
WITH ON OUR ULTIMATELY YOU WILL
05:21:04.912 --> 05:21:05.646 region:rollup2
MAKE THE DECISION AS TO WHAT
05:21:05.480 --> 05:21:07.348 region:rollup2
THE.
05:21:05.646 --> 05:21:08.316 region:rollup2
THE FAIREST APPROACH.
05:21:07.348 --> 05:21:10.585 region:rollup2
MIGHT BE.
05:21:08.316 --> 05:21:11.786 region:rollup2
AT BOTH.
05:21:10.585 --> 05:21:13.187 region:rollup2
BUDDHA CONSULTING WITH THEIR
05:21:11.786 --> 05:21:14.722 region:rollup2
SPONSORS AND HOPEFULLY
05:21:13.187 --> 05:21:16.824 region:rollup2
CONSULTING WITH THE OPPOSITION.
05:21:14.722 --> 05:21:18.726 region:rollup2
.
05:21:16.824 --> 05:21:20.094 region:rollup2
AND HOW
05:21:18.726 --> 05:21:23.164 region:rollup2
LIKE A A I JUST FINE HARD IN
05:21:20.094 --> 05:21:23.965 region:rollup2
SOME CASES TO BELIEVE.
05:21:23.164 --> 05:21:25.299 region:rollup2
THAT IT DIDN'T A BILL WE CREATE
05:21:23.965 --> 05:21:26.300 region:rollup2
A FAIR SYSTEM.
05:21:25.299 --> 05:21:27.769 region:rollup2
BUT BUT I'M HOPEFUL THAT IF
05:21:26.300 --> 05:21:28.870 region:rollup2
ANYONE CAN DO IT.
05:21:27.769 --> 05:21:29.737 region:rollup2
HEY I IT'S GOING TO BE YOU KNOW
05:21:28.870 --> 05:21:31.239 region:rollup2
I'M HOPEFUL ALSO THAT YOU PUT
05:21:29.737 --> 05:21:32.540 region:rollup2
SOME SORT OF.
05:21:31.239 --> 05:21:34.308 region:rollup2
STAKEHOLDER PROCESS TOGETHER AND
05:21:32.540 --> 05:21:36.477 region:rollup2
THAT YOU WILL AND THAT YOU WILL
05:21:34.308 --> 05:21:38.079 region:rollup2
TAKE INTO CONSIDERATION.
05:21:36.477 --> 05:21:38.679 region:rollup2
WITH THE OPPOSITION SAYS I
05:21:38.079 --> 05:21:40.047 region:rollup2
THINK THAT THAT'S MERITED AYE
05:21:38.679 --> 05:21:41.482 region:rollup2
IT'S HARD TO FORESEE A
05:21:40.047 --> 05:21:43.584 region:rollup2
COMMISSION.
05:21:41.482 --> 05:21:45.253 region:rollup2
DESIGNING A RATES THAT ARE GOING
05:21:43.584 --> 05:21:46.988 region:rollup2
INCLUDE FACILITY UPGRADES ARE
05:21:45.253 --> 05:21:49.023 region:rollup2
THEY'RE GONNA INCLUDE.
05:21:46.988 --> 05:21:50.525 region:rollup2
IT.
05:21:49.023 --> 05:21:52.293 region:rollup2
ANY NATURAL BECAUSE I ME WHAT
05:21:50.525 --> 05:21:54.128 region:rollup2
HAPPENS IF THE FACILITY UPGRADE
05:21:52.293 --> 05:21:55.263 region:rollup2
HAPPENS IMMEDIATELY OR A NEW
05:21:54.128 --> 05:21:56.697 region:rollup2
FACILITY HAS TO COME ON LIVES
05:21:55.263 --> 05:21:58.166 region:rollup2
EVERYBODY'S.
05:21:56.697 --> 05:21:59.233 region:rollup2
PRICES SPIKE UP FOR ONE YEAR
05:21:58.166 --> 05:22:00.601 region:rollup2
AND THEN GO DOWN FOR ANOTHER
05:21:59.233 --> 05:22:03.004 region:rollup2
YEAR LEGAL QUESTIONS ARE HARD.
05:22:00.601 --> 05:22:03.538 region:rollup2
TO ANSWER.
05:22:03.004 --> 05:22:05.206 region:rollup2
BUT I RECOGNIZE ROLL THIS
05:22:03.538 --> 05:22:08.242 region:rollup2
TOGETHER.
05:22:05.206 --> 05:22:09.577 region:rollup2
BUT I DO HAVE HE CHALLENGED.
05:22:08.242 --> 05:22:10.811 region:rollup2
ORIGINALLY WHEN I READ THE BILL
05:22:09.577 --> 05:22:12.446 region:rollup2
AND FELT LIKE IT TARGETED
05:22:10.811 --> 05:22:13.047 region:rollup2
SPECIFIC GROUP OF PEOPLE AND I
05:22:12.446 --> 05:22:14.415 region:rollup2
HAVE A BETTER UNDERSTANDING OF
05:22:13.047 --> 05:22:15.716 region:rollup2
IT.
05:22:14.415 --> 05:22:17.285 region:rollup2
I AND I'M CONFIDENT THE DOOR
05:22:15.716 --> 05:22:18.686 region:rollup2
CONVERSATIONS THAT YOU'LL
05:22:17.285 --> 05:22:22.056 region:rollup2
ADDRESS SOME OF THOSE CONCERNS
05:22:18.686 --> 05:22:23.624 region:rollup2
IT'S HIM FOR I WILL FACE. A.
05:22:22.056 --> 05:22:24.258 region:rollup2
GOOD GOD RESERVE MY RIGHT THE
05:22:23.624 --> 05:22:25.593 region:rollup2
TAKE A LOOK AT IT AGAIN ON THE
05:22:24.258 --> 05:22:26.761 region:rollup2
FLOOR. AYE BUT I THINK IT'S
05:22:25.593 --> 05:22:28.563 region:rollup2
IMPORTANT CONVERSATION HAD AND.
05:22:26.761 --> 05:22:30.298 region:rollup2
.
05:22:28.563 --> 05:22:31.499 region:rollup2
GOD BLESS YOU FOR DOING IT. I
05:22:30.298 --> 05:22:33.401 region:rollup2
CAN THINK OF ANYBODY BETTER THAT
05:22:31.499 --> 05:22:34.368 region:rollup2
WOULD TAKE UP THE CHALLENGE.
05:22:33.401 --> 05:22:37.305 region:rollup2
I AND THE HUSTLE OF DOING THIS
05:22:34.368 --> 05:22:38.973 region:rollup2
THANK YOU.
05:22:37.305 --> 05:22:40.241 region:rollup2
THE SECULAR CURRY.
05:22:38.973 --> 05:22:41.809 region:rollup2
THANK YOU SO MEMBER CARL FOR
05:22:40.241 --> 05:22:43.144 region:rollup2
BRINGING THIS FORWARD AND
05:22:41.809 --> 05:22:43.477 region:rollup2
ADDRESSING ALL THE QUESTIONS OF
05:22:43.144 --> 05:22:45.146 region:rollup2
THE COMMITTEE.
05:22:43.477 --> 05:22:46.747 region:rollup2
.
05:22:45.146 --> 05:22:48.382 region:rollup2
I'VE SAID TIME AND TIME AGAIN WE
05:22:46.747 --> 05:22:50.051 region:rollup2
NEED TO MAKE SURE WE HAVE HEALTH
05:22:48.382 --> 05:22:51.652 region:rollup2
CARE FOR ALL ON WHAT YOU NEED.
05:22:50.051 --> 05:22:53.521 region:rollup2
ME THROUGH A FOLLICLE.
05:22:51.652 --> 05:22:55.089 region:rollup2
BE RESPECTFUL. AND NOT LEAVE
05:22:53.521 --> 05:22:57.058 region:rollup2
ANYBODY OUT.
05:22:55.089 --> 05:22:58.526 region:rollup2
ONE OF THE THINGS THAT CAME UP
05:22:57.058 --> 05:22:59.927 region:rollup2
TODAY THAT AND WE DON'T NEED
05:22:58.526 --> 05:23:01.495 region:rollup2
GOING TO DETAIL NOW BECAUSE BEEN
05:22:59.927 --> 05:23:03.064 region:rollup2
A LONG TIME AND I MEAN MISTER
05:23:01.495 --> 05:23:04.265 region:rollup2
WHEN I STEPPED OUT BUT. MAJOR
05:23:03.064 --> 05:23:06.234 region:rollup2
DRIVER FOR THE HEALTH CARE.
05:23:04.265 --> 05:23:07.568 region:rollup2
WE RECOGNIZES LOW MEDI CAL
05:23:06.234 --> 05:23:09.270 region:rollup2
REIMBURSEMENT RATES INS NOT
05:23:07.568 --> 05:23:10.671 region:rollup2
ADDRESSED IN THE BILL THAT I CAN
05:23:09.270 --> 05:23:12.373 region:rollup2
SEE.
05:23:10.671 --> 05:23:13.941 region:rollup2
THE OTHER THING I WOULD WANT TO
05:23:12.373 --> 05:23:14.108 region:rollup2
COME BACK AND TALK TO YOU ABOUT
05:23:13.941 --> 05:23:15.710 region:rollup2
IS.
05:23:14.108 --> 05:23:16.978 region:rollup2
.
05:23:15.710 --> 05:23:18.145 region:rollup2
HECK WE COMPASS THIS BILL DOES
05:23:16.978 --> 05:23:20.314 region:rollup2
SEEKING INCREASED MEDI CAL RATES
05:23:18.145 --> 05:23:22.917 region:rollup2
AS WELL.
05:23:20.314 --> 05:23:24.418 region:rollup2
SO THOSE A COUPLE THINGS BUT
05:23:22.917 --> 05:23:26.287 region:rollup2
RECURSOS FIVE BEEN ANSWERED BUT
05:23:24.418 --> 05:23:27.588 region:rollup2
I AM VERY CONCERNED I'M A REAL
05:23:26.287 --> 05:23:29.824 region:rollup2
COMMUNITY WE HAVE FORTY PERCENT
05:23:27.588 --> 05:23:32.260 region:rollup2
FORTY SIX PERCENT ON MEDI CAL.
05:23:29.824 --> 05:23:34.495 region:rollup2
I I APPRECIATE YOU SAYING RURAL
05:23:32.260 --> 05:23:36.297 region:rollup2
SO MUCH BUT WHEN YOU SAY RURAL I
05:23:34.495 --> 05:23:37.732 region:rollup2
WANT YOU TO REALIZE RURAL NORTH
05:23:36.297 --> 05:23:39.333 region:rollup2
TO SACRAMENTO.
05:23:37.732 --> 05:23:41.168 region:rollup2
BECAUSE I FEEL LIKE OUR
05:23:39.333 --> 05:23:42.069 region:rollup2
DISTRICT IT'S LEFT OUT A LOT AND
05:23:41.168 --> 05:23:44.472 region:rollup2
I WOULD LIKE YOU I WOULD LIKE
05:23:42.069 --> 05:23:46.407 region:rollup2
THEM SO I'M HOPING I CAN GET
05:23:44.472 --> 05:23:47.208 region:rollup2
YOUR COMMITMENT TODAY. THAT WE
05:23:46.407 --> 05:23:49.677 region:rollup2
WILL HAVE SOMEONE ON YOUR
05:23:47.208 --> 05:23:50.912 region:rollup2
COMMISSION FROM A RURAL AREA
05:23:49.677 --> 05:23:52.680 region:rollup2
THAT OBVIOUSLY HAS THAT IS THE
05:23:50.912 --> 05:23:54.949 region:rollup2
QUALIFICATIONS. AND IT'S REALLY
05:23:52.680 --> 05:23:56.717 region:rollup2
IMPORTANT THAT WE HAVE SOME
05:23:54.949 --> 05:23:58.719 region:rollup2
REPRESENTATION IN OUR AREA.
05:23:56.717 --> 05:24:00.354 region:rollup2
AMID A VOTE FOR YOUR BILL TODAY.
05:23:58.719 --> 05:24:01.422 region:rollup2
.
05:24:00.354 --> 05:24:03.925 region:rollup2
BECAUSE I WANT TO CONTINUE THE
05:24:01.422 --> 05:24:05.026 region:rollup2
CONVERSATION I SAID YESTERDAY IN
05:24:03.925 --> 05:24:07.395 region:rollup2
A. BILL OF RUNNING SPLIT
05:24:05.026 --> 05:24:08.529 region:rollup2
TOUGHEST AS IF NOT NOW WHEN.
05:24:07.395 --> 05:24:10.431 region:rollup2
.
05:24:08.529 --> 05:24:11.866 region:rollup2
NEW.
05:24:10.431 --> 05:24:14.235 region:rollup2
I KNOW I WON DYING TO WORK WITH
05:24:11.866 --> 05:24:14.802 region:rollup2
I DIDN'T CATCH YOUR NAME IS ON
05:24:14.235 --> 05:24:15.569 region:rollup2
THE OPPOSITION TO YOUR BRAND
05:24:14.802 --> 05:24:17.138 region:rollup2
NEW.
05:24:15.569 --> 05:24:18.472 region:rollup2
I AM JUST REALLY INTRIGUED WITH
05:24:17.138 --> 05:24:20.107 region:rollup2
THE KNOWLEDGE OF GREEN TO THE
05:24:18.472 --> 05:24:21.709 region:rollup2
TABLE AND THAT YOUR WILLINGNESS
05:24:20.107 --> 05:24:23.244 region:rollup2
TO WORK WITH EVERYONE. AND I
05:24:21.709 --> 05:24:25.212 region:rollup2
CAN'T WAIT TO HAVE THOSE
05:24:23.244 --> 05:24:27.014 region:rollup2
CONVERSATIONS BILL FURTHER.
05:24:25.212 --> 05:24:28.549 region:rollup2
SO I'M ASKING ALL OF YOU.
05:24:27.014 --> 05:24:30.284 region:rollup2
SPONSORS OF THE OPPONENTS.
05:24:28.549 --> 05:24:32.620 region:rollup2
.
05:24:30.284 --> 05:24:33.187 region:rollup2
TO WORK TOGETHER.
05:24:32.620 --> 05:24:35.122 region:rollup2
BECAUSE YOU KNOW IS NOT AN
05:24:33.187 --> 05:24:35.823 region:rollup2
ANSWER.
05:24:35.122 --> 05:24:37.858 region:rollup2
AND.
05:24:35.823 --> 05:24:39.327 region:rollup2
I MEAN VOTE FREE TODAY BUT I
05:24:37.858 --> 05:24:40.728 region:rollup2
WANT TO MAKE IT REALLY CLEAR SO
05:24:39.327 --> 05:24:42.530 region:rollup2
THERE'S NO MISTAKE WHEN IT COMES
05:24:40.728 --> 05:24:43.631 region:rollup2
TO THE FLOOR.
05:24:42.530 --> 05:24:44.699 region:rollup2
IF I'M NOT COMFORTABLE WITH IT
05:24:43.631 --> 05:24:46.867 region:rollup2
THEN AND THEY'VE ALL WORKED
05:24:44.699 --> 05:24:48.402 region:rollup2
TOGETHER TO. HAVE SOME KIND OF
05:24:46.867 --> 05:24:51.972 region:rollup2
COLLABORATION AND.
05:24:48.402 --> 05:24:53.674 region:rollup2
RESPECT FOR THE WHOLE SYSTEM.
05:24:51.972 --> 05:24:55.109 region:rollup2
I'M NOT I MEA I CAN AFFORD SO
05:24:53.674 --> 05:24:55.676 region:rollup2
THANK YOU VERY MUCH LONG GUIDE
05:24:55.109 --> 05:24:58.412 region:rollup2
YOU CAUGHT ME AS SAYING RULE
05:24:55.676 --> 05:24:59.447 region:rollup2
OUT.
05:24:58.412 --> 05:25:00.648 region:rollup2
AS.
05:24:59.447 --> 05:25:01.215 region:rollup2
AND I ALSO EXCITED ABOUT WORKING
05:25:00.648 --> 05:25:04.819 region:rollup2
WITH CAMILLA CLEARLY SOMEONE
05:25:01.215 --> 05:25:06.187 region:rollup2
THAT BRINGS A LOT OF EXPERTISE.
05:25:04.819 --> 05:25:09.824 region:rollup2
OKAY I THINK EVERYBODY HAS
05:25:06.187 --> 05:25:10.758 region:rollup2
SPOKEN EXCEPT FOR ME.
05:25:09.824 --> 05:25:12.126 region:rollup2
AND I GOT A LOT OF NOTES AND I'M
05:25:10.758 --> 05:25:13.127 region:rollup2
NOT GONNA BELIEVE FOR A LOT OF
05:25:12.126 --> 05:25:14.795 region:rollup2
POINTS BUT IT THERE ARE SOME.
05:25:13.127 --> 05:25:16.464 region:rollup2
MYTHS I'M A PUT SOME THINGS OUT
05:25:14.795 --> 05:25:18.165 region:rollup2
THERE THAT I THINK ARE IMPORTANT
05:25:16.464 --> 05:25:18.866 region:rollup2
THAT THAT DIDN'T COME UP
05:25:18.165 --> 05:25:21.369 region:rollup2
POSSIBLY.
05:25:18.866 --> 05:25:21.736 region:rollup2
OR DICK CAME UP THAT I MAY MAY
05:25:21.369 --> 05:25:22.203 region:rollup2
NOT AGREE WITH.
05:25:21.736 --> 05:25:25.072 region:rollup2
.
05:25:22.203 --> 05:25:26.140 region:rollup2
.
05:25:25.072 --> 05:25:28.142 region:rollup2
NOBODY TALKED ABOUT WHAT HAPPENS
05:25:26.140 --> 05:25:29.944 region:rollup2
WHEN MEDICARE RATES GO DOWN THAT
05:25:28.142 --> 05:25:31.946 region:rollup2
ONE POINT THREE TRILLION DOLLAR
05:25:29.944 --> 05:25:34.582 region:rollup2
DEFICIT INCREASE IS GOING TO
05:25:31.946 --> 05:25:37.618 region:rollup2
CAUSE MEDICARE RATES TO GO DOWN.
05:25:34.582 --> 05:25:39.754 region:rollup2
THAT'S ALSO CAN AFFECT MEDICAID.
05:25:37.618 --> 05:25:41.822 region:rollup2
THAT IS A SIGNIFICANT CHALLENGE
05:25:39.754 --> 05:25:43.124 region:rollup2
GOING FORWARD.
05:25:41.822 --> 05:25:46.026 region:rollup2
AND ALTHOUGH SAVINGS THAT WE'RE
05:25:43.124 --> 05:25:46.861 region:rollup2
TALKING ABOUT MAY EVAPORATE.
05:25:46.026 --> 05:25:49.163 region:rollup2
WITH THOSE DECREASE IN MEDICARE
05:25:46.861 --> 05:25:50.531 region:rollup2
RATES.
05:25:49.163 --> 05:25:51.732 region:rollup2
THIS IS MORE COMMENTARY NOT
05:25:50.531 --> 05:25:52.800 region:rollup2
ASKING TO CONTENT JUMP JUSTICES
05:25:51.732 --> 05:25:54.702 region:rollup2
COMMENTARY.
05:25:52.800 --> 05:25:56.504 region:rollup2
.
05:25:54.702 --> 05:25:58.272 region:rollup2
TALKED ABOUT HOSPITALS BEING A
05:25:56.504 --> 05:25:59.974 region:rollup2
DRIVER IN THE COST AND THEY ARE
05:25:58.272 --> 05:26:01.041 region:rollup2
THE LEADING COST OF I BELIEVE
05:25:59.974 --> 05:26:03.110 region:rollup2
THAT CAME FROM.
05:26:01.041 --> 05:26:04.812 region:rollup2
MICHELLE CREEK CABRERA ABOUT
05:26:03.110 --> 05:26:07.314 region:rollup2
THEIR THAT THE LEADING COST
05:26:04.812 --> 05:26:08.416 region:rollup2
ABOUT THE FASTEST GROWING COST.
05:26:07.314 --> 05:26:10.451 region:rollup2
THAT MAY BE TRUE.
05:26:08.416 --> 05:26:12.486 region:rollup2
BUT.
05:26:10.451 --> 05:26:15.289 region:rollup2
DRUG PRICES ARE ONE OF THE
05:26:12.486 --> 05:26:16.724 region:rollup2
REASONS THAT HOSPITALS ARE.
05:26:15.289 --> 05:26:18.325 region:rollup2
COSTS ARE GOING UP AND SURGERY
05:26:16.724 --> 05:26:20.060 region:rollup2
CENTERS
05:26:18.325 --> 05:26:22.329 region:rollup2
AND THOSE ARE SIGNIFICANT SO WE
05:26:20.060 --> 05:26:24.165 region:rollup2
LEARNED THAT LAST YEAR WE TALKED
05:26:22.329 --> 05:26:25.966 region:rollup2
ABOUT DRUG PRICES. YES DRUG
05:26:24.165 --> 05:26:28.002 region:rollup2
PRICES MAY BE ON DRUGS MAY ONLY
05:26:25.966 --> 05:26:30.137 region:rollup2
BE THIRTEEN PERCENT BUT WHEN YOU
05:26:28.002 --> 05:26:31.338 region:rollup2
FACTOR IN HOSPITALS AND SURGERY
05:26:30.137 --> 05:26:32.840 region:rollup2
CENTERS THAT NUMBER GOES UP TO
05:26:31.338 --> 05:26:35.042 region:rollup2
OVER TWENTY.
05:26:32.840 --> 05:26:36.977 region:rollup2
SO SO.
05:26:35.042 --> 05:26:37.545 region:rollup2
JUST PUTTING THE INFORMATION
05:26:36.977 --> 05:26:39.213 region:rollup2
PRINT IT MAY INFORMATION OUT
05:26:37.545 --> 05:26:40.448 region:rollup2
THERE.
05:26:39.213 --> 05:26:42.283 region:rollup2
I AM CONCERNED WE HEARD A BILL
05:26:40.448 --> 05:26:44.085 region:rollup2
TODAY WE HAVE TWENTY HOSPITALS
05:26:42.283 --> 05:26:46.487 region:rollup2
WE WE WE'RE WE'RE WE'RE LOOKING
05:26:44.085 --> 05:26:50.091 region:rollup2
AT SEISMIC EXTENSION ON SEISMIC.
05:26:46.487 --> 05:26:52.726 region:rollup2
HUNDRED AND TEN BILLION DOLLARS.
05:26:50.091 --> 05:26:55.095 region:rollup2
WHAT WHAT HAPPENS IN THE FUTURE
05:26:52.726 --> 05:26:56.297 region:rollup2
OUR ABILITY TO REBUILD HOSPITALS
05:26:55.095 --> 05:26:57.965 region:rollup2
LOMA LINDA IS TEARING DOWN A
05:26:56.297 --> 05:26:59.333 region:rollup2
HOSPITAL IN BUILDING A MILLION
05:26:57.965 --> 05:26:59.900 region:rollup2
SQUARE FEET I CAN'T EVEN
05:26:59.333 --> 05:27:01.569 region:rollup2
COMPREHEND A MILLION SQUARE
05:26:59.900 --> 05:27:02.603 region:rollup2
FEET?
05:27:01.569 --> 05:27:03.571 region:rollup2
I CANNOT COMPREHEND MILLION
05:27:02.603 --> 05:27:05.172 region:rollup2
ANYTHING.
05:27:03.571 --> 05:27:06.674 region:rollup2
.
05:27:05.172 --> 05:27:08.442 region:rollup2
BUT THAT IS A HUGE HUGE COST
05:27:06.674 --> 05:27:10.511 region:rollup2
HUGE COST
05:27:08.442 --> 05:27:12.780 region:rollup2
AND THAT'S THAT'S SIGNIFICANT.
05:27:10.511 --> 05:27:13.814 region:rollup2
STUDENT DEBT I WISH IT WAS TWO
05:27:12.780 --> 05:27:14.982 region:rollup2
HUNDRED THOUSAND FOR FOR
05:27:13.814 --> 05:27:16.417 region:rollup2
RESIDENTS GET NOW SCHOOL BUT
05:27:14.982 --> 05:27:17.351 region:rollup2
THAT NUMBER IS.
05:27:16.417 --> 05:27:19.854 region:rollup2
FOR A LOT OF PEOPLE IS WAY
05:27:17.351 --> 05:27:21.889 region:rollup2
HIGHER THAN THAT.
05:27:19.854 --> 05:27:23.357 region:rollup2
AND WHILE YOU DID SO SOMEONE DID
05:27:21.889 --> 05:27:24.825 region:rollup2
SAY THAT YEAH THERE WE'VE WE
05:27:23.357 --> 05:27:27.061 region:rollup2
HAVE NIPPED THE BOTTOM ON
05:27:24.825 --> 05:27:29.363 region:rollup2
NURSING SHORTAGES NOT MY
05:27:27.061 --> 05:27:33.133 region:rollup2
DISTRICT. HUMBOLDT COUNTY.
05:27:29.363 --> 05:27:34.702 region:rollup2
NURSING SHORTAGE CRISIS.
05:27:33.133 --> 05:27:36.237 region:rollup2
AND SO WHILE I APPRECIATE THE
05:27:34.702 --> 05:27:36.737 region:rollup2
NUMBER OF TIMES YOU SAID RURAL.
05:27:36.237 --> 05:27:38.606 region:rollup2
YOU OUGHT TO COME TO MY
05:27:36.737 --> 05:27:40.074 region:rollup2
DISTRICT.
05:27:38.606 --> 05:27:41.208 region:rollup2
YOU DON'T KNOW RURAL INTO YOU'VE
05:27:40.074 --> 05:27:42.610 region:rollup2
ACTUALLY EXPERIENCED IT COME TO
05:27:41.208 --> 05:27:43.511 region:rollup2
MISS AGUIAR-CURRY.
05:27:42.610 --> 05:27:44.912 region:rollup2
FLORA.
05:27:43.511 --> 05:27:46.347 region:rollup2
PARTS MISTER MAYES MISTER
05:27:44.912 --> 05:27:48.816 region:rollup2
BIGELOW.
05:27:46.347 --> 05:27:50.251 region:rollup2
CHALLENGES ARE DIFFERENT.
05:27:48.816 --> 05:27:52.553 region:rollup2
THEY'RE VERY DIFFERENT AND EVEN
05:27:50.251 --> 05:27:54.255 region:rollup2
WITH INCREASE MEDICARE RATES.
05:27:52.553 --> 05:27:55.523 region:rollup2
I DON'T SEE HOW WE GET DOCTORS
05:27:54.255 --> 05:27:58.025 region:rollup2
WHERE WE NEED THEM TO GET
05:27:55.523 --> 05:27:59.493 region:rollup2
BECAUSEWE HAVE TO PAY DOCTORS
05:27:58.025 --> 05:28:01.462 region:rollup2
WERE THAT WE HAVE TO HELP THEIR
05:27:59.493 --> 05:28:02.630 region:rollup2
EDUCATION AND SO. YOU TALKED
05:28:01.462 --> 05:28:04.532 region:rollup2
ABOUT INST PEOPLE SOMEONE TALK
05:28:02.630 --> 05:28:06.267 region:rollup2
BUT IN THE INDUSTRIAL KIND EYES
05:28:04.532 --> 05:28:07.801 region:rollup2
COUNTRIES AND HOW THEY HAVE. THE
05:28:06.267 --> 05:28:10.471 region:rollup2
ONE THING THAT THEY'VE ALL DONE
05:28:07.801 --> 05:28:11.605 region:rollup2
TO IT TO MAKE HEALTHCARE MORE
05:28:10.471 --> 05:28:13.641 region:rollup2
AFFORDABLE IS IS FIX PRICES.
05:28:11.605 --> 05:28:14.708 region:rollup2
THERE'S TWO THINGS.
05:28:13.641 --> 05:28:16.877 region:rollup2
OTHER THING THEY'VE DONE IS
05:28:14.708 --> 05:28:18.879 region:rollup2
SUBSIDIZED MEDICAL EDUCATION FOR
05:28:16.877 --> 05:28:21.015 region:rollup2
ALL PROVIDERS NOT JUST DOCTORS.
05:28:18.879 --> 05:28:22.449 region:rollup2
BUT NURSES AND EVERYONE ELSE.
05:28:21.015 --> 05:28:23.951 region:rollup2
SO WE NEED TO GET THAT OUT THAT
05:28:22.449 --> 05:28:24.818 region:rollup2
THAT'S A BIG BIG COMPONENT FOR
05:28:23.951 --> 05:28:27.521 region:rollup2
US GOING FORWARD.
05:28:24.818 --> 05:28:27.922 region:rollup2
.
05:28:27.521 --> 05:28:29.890 region:rollup2
I COULD GO ON.
05:28:27.922 --> 05:28:30.524 region:rollup2
AND I I I DO GET CONCERNED
05:28:29.890 --> 05:28:33.327 region:rollup2
ABOUT.
05:28:30.524 --> 05:28:35.262 region:rollup2
WHEN REVENUES GO DOWN BUT THIS
05:28:33.327 --> 05:28:35.996 region:rollup2
AT MEAN TO THE WORK FORCE.
05:28:35.262 --> 05:28:38.332 region:rollup2
AND.
05:28:35.996 --> 05:28:39.366 region:rollup2
AND I I DO HAVE HAVE CONCERNS
05:28:38.332 --> 05:28:41.402 region:rollup2
ABOUT DOT SO.
05:28:39.366 --> 05:28:43.938 region:rollup2
A LOT A LOT HERE.
05:28:41.402 --> 05:28:46.140 region:rollup2
BUT I WANT TO SAY YOU KNOW.
05:28:43.938 --> 05:28:47.875 region:rollup2
I KNOW THE COST IN AFFORDABILITY
05:28:46.140 --> 05:28:49.310 region:rollup2
IS IS A REAL PROBLEM ONCE A
05:28:47.875 --> 05:28:51.278 region:rollup2
PERSONAL STRUGGLE FOR SO MANY
05:28:49.310 --> 05:28:52.413 region:rollup2
PEOPLE SO MANY PEOPLE IN MY
05:28:51.278 --> 05:28:53.881 region:rollup2
DISTRICT.
05:28:52.413 --> 05:28:55.683 region:rollup2
AND I'M GOING THROUGH.
05:28:53.881 --> 05:28:57.685 region:rollup2
AT FAMILY ISSUE NOW WITH.
05:28:55.683 --> 05:28:59.587 region:rollup2
RELATIVES BEEN HOSPITAL FOR
05:28:57.685 --> 05:29:00.955 region:rollup2
ALMOST FOUR WEEKS.
05:28:59.587 --> 05:29:02.222 region:rollup2
I SHUDDER TO THINK WHAT THAT'S
05:29:00.955 --> 05:29:04.325 region:rollup2
GOING TO COST IN THE AND.
05:29:02.222 --> 05:29:05.993 region:rollup2
I DON'T HOW OR HOW MANY DOCTORS
05:29:04.325 --> 05:29:06.794 region:rollup2
WHO HAVE SEEN.
05:29:05.993 --> 05:29:08.462 region:rollup2
SCENE.
05:29:06.794 --> 05:29:10.130 region:rollup2
SEEN THIS PERSON.
05:29:08.462 --> 05:29:11.265 region:rollup2
AND IT'S A IT'S YOU CHALLENGES
05:29:10.130 --> 05:29:12.433 region:rollup2
AND FAMILIES ALL OVER THE
05:29:11.265 --> 05:29:15.436 region:rollup2
COUNTRY ARE STRUGGLING WITH THIS
05:29:12.433 --> 05:29:17.204 region:rollup2
SO COST IS A REAL REAL ISSUE.
05:29:15.436 --> 05:29:19.273 region:rollup2
IN OUR CAPITAL DISTRICT OFFICES
05:29:17.204 --> 05:29:21.175 region:rollup2
WE'VE GOT HUNDREDS OF CALLS IT'S
05:29:19.273 --> 05:29:23.077 region:rollup2
NOT AN EXAGGERATION HUNDREDS OF
05:29:21.175 --> 05:29:24.445 region:rollup2
CALLS. WE KNOW THAT THEIR FEARS
05:29:23.077 --> 05:29:25.713 region:rollup2
ARE REAL AND SOME OF THESE FEARS
05:29:24.445 --> 05:29:26.814 region:rollup2
ARE GENERATED FROM THAT
05:29:25.713 --> 05:29:28.115 region:rollup2
CHALLENGES E'RE FACING WITH THE
05:29:26.814 --> 05:29:30.117 region:rollup2
FEDERAL GOVERNMENT. WHO'S
05:29:28.115 --> 05:29:31.819 region:rollup2
LOOKING FOR WAYS TO TO TO MAKE
05:29:30.117 --> 05:29:33.687 region:rollup2
OUR LIVES HARDER HERE.
05:29:31.819 --> 05:29:36.290 region:rollup2
AS HEALTHCARE PROVIDERS AS AS
05:29:33.687 --> 05:29:37.658 region:rollup2
HOSPITALS OR WHATEVER TO PROVIDE
05:29:36.290 --> 05:29:38.993 region:rollup2
CARE PEOPLE THAT REALLY NEED IT.
05:29:37.658 --> 05:29:40.394 region:rollup2
I WANT TO THANK THE AUTHOR AND
05:29:38.993 --> 05:29:41.829 region:rollup2
SPONSORS BECAUSE OF THEIR
05:29:40.394 --> 05:29:43.597 region:rollup2
DEDICATION TO TRY TO TIP FOR
05:29:41.829 --> 05:29:45.165 region:rollup2
HAVING THIS DISCUSSION.
05:29:43.597 --> 05:29:47.401 region:rollup2
TRYING TO MAKE UP ABOUT
05:29:45.165 --> 05:29:48.035 region:rollup2
HEALTHCARE MORE AFFORDABLE.
05:29:47.401 --> 05:29:50.204 region:rollup2
I ALSO WANT TO THANK YOU FOR THE
05:29:48.035 --> 05:29:51.972 region:rollup2
COURAGE. TO BRING UP A REAL
05:29:50.204 --> 05:29:53.073 region:rollup2
DIFFICULT CONTROVERSIAL SUBJECT.
05:29:51.972 --> 05:29:54.041 region:rollup2
AND YOUR WILLINGNESS TO WORK
05:29:53.073 --> 05:29:55.643 region:rollup2
WITH ME IN MY STAFF TO ADDRESS
05:29:54.041 --> 05:29:56.210 region:rollup2
SOME TO SOME ISSUES I TELL
05:29:55.643 --> 05:29:58.178 region:rollup2
PEOPLE OVER AND OVER AGAIN.
05:29:56.210 --> 05:30:00.247 region:rollup2
THAT.
05:29:58.178 --> 05:30:01.949 region:rollup2
I'M AYE AYE. AYE ASK HARD
05:30:00.247 --> 05:30:04.251 region:rollup2
QUESTIONS BECAUSE WE HAVE TO
05:30:01.949 --> 05:30:05.286 region:rollup2
HAVE THE ANSWERS AND IT IS NOT
05:30:04.251 --> 05:30:06.553 region:rollup2
IT IS NOT IN THE SPIRIT OF
05:30:05.286 --> 05:30:08.355 region:rollup2
TRYING TO.
05:30:06.553 --> 05:30:09.957 region:rollup2
SQUASH AND ISSUE IT'S IN THE
05:30:08.355 --> 05:30:11.492 region:rollup2
SPIRIT OF TRYING TO UNDERSTAND
05:30:09.957 --> 05:30:13.327 region:rollup2
AND BRING THOSE ISSUES OUT SO WE
05:30:11.492 --> 05:30:15.296 region:rollup2
CAN TALK ABOUT THEM.
05:30:13.327 --> 05:30:16.697 region:rollup2
I THINK YOU'VE WITNESSED TODAY.
05:30:15.296 --> 05:30:17.731 region:rollup2
THAT MANY MEMBERS OF THIS
05:30:16.697 --> 05:30:19.066 region:rollup2
COMMITTEE HAVE QUITE FEW
05:30:17.731 --> 05:30:20.100 region:rollup2
CONCERNS ABOUT THE BILL AND
05:30:19.066 --> 05:30:22.136 region:rollup2
WHETHER IT'S THE RIGHT APPROACH.
05:30:20.100 --> 05:30:23.070 region:rollup2
.
05:30:22.136 --> 05:30:24.171 region:rollup2
I THINK EVERYONE ON THIS
05:30:23.070 --> 05:30:25.172 region:rollup2
COMMITTEE WANTS TO ADDRESS COST
05:30:24.171 --> 05:30:26.273 region:rollup2
CONTAINMENT.
05:30:25.172 --> 05:30:27.608 region:rollup2
BUT THEY'RE NOT REALLY
05:30:26.273 --> 05:30:30.344 region:rollup2
CONFIDENT THAT RATE REGULATIONS
05:30:27.608 --> 05:30:31.445 region:rollup2
THE RIGHT RIGHT DIRECTION.
05:30:30.344 --> 05:30:32.079 region:rollup2
I THINK IT'S PRETTY OBVIOUS THE
05:30:31.445 --> 05:30:33.414 region:rollup2
BILL'S GOING WITHOUT A COMMITTEE
05:30:32.079 --> 05:30:34.515 region:rollup2
TODAY.
05:30:33.414 --> 05:30:36.684 region:rollup2
AND.
05:30:34.515 --> 05:30:37.351 region:rollup2
AS IT CONTINUES TO THE MOVE
05:30:36.684 --> 05:30:39.219 region:rollup2
THROUGH THE PROCESS I HOPE TO BE
05:30:37.351 --> 05:30:40.521 region:rollup2
OPEN TO FURTHER DISCUSSIONS
05:30:39.219 --> 05:30:42.289 region:rollup2
YOU'VE HEARD MANY PEOPLE TALK
05:30:40.521 --> 05:30:43.891 region:rollup2
ABOUT OF A ROBUST STAKEHOLDER
05:30:42.289 --> 05:30:46.160 region:rollup2
PROCESS.
05:30:43.891 --> 05:30:47.995 region:rollup2
AND TO THE EXTENT THAT THAT IS
05:30:46.160 --> 05:30:48.962 region:rollup2
POSSIBLE.
05:30:47.995 --> 05:30:51.332 region:rollup2
I'D LIKE TO SEE THE A JUST FOR
05:30:48.962 --> 05:30:54.601 region:rollup2
IT THE AT ISSUES ADDRESSED IN A
05:30:51.332 --> 05:30:56.103 region:rollup2
WAY THAT INCENTIVIZE IS.
05:30:54.601 --> 05:30:58.372 region:rollup2
COST CONTAINMENT. WHILE
05:30:56.103 --> 05:31:00.474 region:rollup2
MINIMIZING THE POTENTIAL IMPACTS
05:30:58.372 --> 05:31:03.243 region:rollup2
THAT THAT IT COULD HAVE.
05:31:00.474 --> 05:31:04.978 region:rollup2
VERY DIFFERENT CARROT A CARROT.
05:31:03.243 --> 05:31:06.814 region:rollup2
NOT NECESSARILY A STEP.
05:31:04.978 --> 05:31:08.415 region:rollup2
.
05:31:06.814 --> 05:31:09.616 region:rollup2
AFTER THOSE TWO ARGUING AGAINST.
05:31:08.415 --> 05:31:11.151 region:rollup2
AB THIRTY EIGHTY SEVEN.
05:31:09.616 --> 05:31:12.219 region:rollup2
.
05:31:11.151 --> 05:31:13.587 region:rollup2
THANK YOU REALIZED YOU SHOULD
05:31:12.219 --> 05:31:15.389 region:rollup2
REALIZE A COST CONTAINMENT ISN'T
05:31:13.587 --> 05:31:16.857 region:rollup2
GOING AWAY. MAKERS TO HEAR THAT
05:31:15.389 --> 05:31:18.125 region:rollup2
CMA AS ACCIDENT VOTE THEIR
05:31:16.857 --> 05:31:19.326 region:rollup2
ENTIRE HOUSE OF DELEGATES TO
05:31:18.125 --> 05:31:21.295 region:rollup2
THIS ISSUE.
05:31:19.326 --> 05:31:22.229 region:rollup2
AS WE TALKED WITH.
05:31:21.295 --> 05:31:25.099 region:rollup2
FORMA.
05:31:22.229 --> 05:31:26.600 region:rollup2
THE LAST COUPLE OF YEARS NO IS
05:31:25.099 --> 05:31:29.203 region:rollup2
NOT.
05:31:26.600 --> 05:31:31.672 region:rollup2
AN ADEQUATE ANSWER.
05:31:29.203 --> 05:31:34.041 region:rollup2
RATING POTENTIAL SOLUTIONS TO
05:31:31.672 --> 05:31:35.976 region:rollup2
THE TABLE WORK WITH US.
05:31:34.041 --> 05:31:37.578 region:rollup2
IF THIS BILL IS NOT SUCCESSFUL
05:31:35.976 --> 05:31:38.278 region:rollup2
IN THE LONG RUN A BILL WILL COME
05:31:37.578 --> 05:31:40.681 region:rollup2
BACK.
05:31:38.278 --> 05:31:42.316 region:rollup2
WE NEED TO WORK COLLABORATIVELY
05:31:40.681 --> 05:31:43.951 region:rollup2
TO SOLVE THIS THIS IS A HUGE
05:31:42.316 --> 05:31:44.451 region:rollup2
HUGE ISSUE FOR PEOPLE.
05:31:43.951 --> 05:31:46.420 region:rollup2
AND.
05:31:44.451 --> 05:31:48.122 region:rollup2
YOU KNOW.
05:31:46.420 --> 05:31:49.857 region:rollup2
JUST.
05:31:48.122 --> 05:31:52.559 region:rollup2
WE'VE GOT TO COME TOGETHER AND
05:31:49.857 --> 05:31:54.228 region:rollup2
NOT NO NO CANNOT BE THE ANSWER.
05:31:52.559 --> 05:31:56.029 region:rollup2
THAT THAT THERE'S TOO MUCH AT
05:31:54.228 --> 05:31:57.865 region:rollup2
STAKE FOR CALIFORNIANS WE CANNOT
05:31:56.029 --> 05:31:58.465 region:rollup2
CONTINUE DOWN THIS PATH.
05:31:57.865 --> 05:32:00.367 region:rollup2
AND.
05:31:58.465 --> 05:32:01.935 region:rollup2
I HOPE THAT IN THE SPIRIT OF
05:32:00.367 --> 05:32:02.836 region:rollup2
THAT THAT AS WE MOVE FORWARD WE
05:32:01.935 --> 05:32:05.406 region:rollup2
CAN CONTINUE TO CONTINUE THESE
05:32:02.836 --> 05:32:05.672 region:rollup2
DISCUSSIONS.
05:32:05.406 --> 05:32:08.308 region:rollup2
WITH THAT.
05:32:05.672 --> 05:32:09.176 region:rollup2
.
05:32:08.308 --> 05:32:10.010 region:rollup2
IS THE CHAIR LIKE TO MOVE THE
05:32:09.176 --> 05:32:12.412 region:rollup2
BILL SO I CAN.
05:32:10.010 --> 05:32:15.048 region:rollup2
.
05:32:12.412 --> 05:32:16.583 region:rollup2
YOU NO CLEARLY BILLS NOT PERFECT
05:32:15.048 --> 05:32:18.519 region:rollup2
BUT I THINK THE AUTHOR IS
05:32:16.583 --> 05:32:19.753 region:rollup2
DEMONSTRATED A FRAMEWORK.
05:32:18.519 --> 05:32:21.121 region:rollup2
THAT CAN ADDRESS ALL THE ISSUES
05:32:19.753 --> 05:32:22.756 region:rollup2
THAT CAME UP TODAY AND I WANT TO
05:32:21.121 --> 05:32:24.391 region:rollup2
COMMEND THE AUTHOR.
05:32:22.756 --> 05:32:26.427 region:rollup2
FOR FIELDING ALL THE CONCERNS
05:32:24.391 --> 05:32:27.561 region:rollup2
THAT HAVE COME UP TODAY.
05:32:26.427 --> 05:32:29.496 region:rollup2
IN PARTICULAR THE CONCERNS THAT
05:32:27.561 --> 05:32:31.565 region:rollup2
I HEARD ABOUT.
05:32:29.496 --> 05:32:33.901 region:rollup2
ABOUT DOCTORS AND.
05:32:31.565 --> 05:32:34.902 region:rollup2
FOR TAKING IT SINCERELY BECAUSE
05:32:33.901 --> 05:32:36.804 region:rollup2
THERE WERE SERIOUS CONCERNS AND
05:32:34.902 --> 05:32:38.405 region:rollup2
YOU'VE ADDRESSED THEM.
05:32:36.804 --> 05:32:40.507 region:rollup2
I THINK THAT THIS BILL IS TAKING
05:32:38.405 --> 05:32:41.108 region:rollup2
WHAT'S BEST ABOUT MARILYN.
05:32:40.507 --> 05:32:42.476 region:rollup2
IT'S SAYING THAT WE CAN EXPAND
05:32:41.108 --> 05:32:44.978 region:rollup2
ON IT.
05:32:42.476 --> 05:32:45.479 region:rollup2
IN A CALIFORNIA KIND WAY.
05:32:44.978 --> 05:32:47.281 region:rollup2
I REALLY APPRECIATE MY
05:32:45.479 --> 05:32:49.416 region:rollup2
COLLEAGUES WHO. REALLY BEEN
05:32:47.281 --> 05:32:50.284 region:rollup2
DIRECT AND FORTHRIGHT ABOUT.
05:32:49.416 --> 05:32:51.785 region:rollup2
WHAT THE LIKE WHAT THEY'RE
05:32:50.284 --> 05:32:53.854 region:rollup2
CONCERNED ABOUT A I THINK THE
05:32:51.785 --> 05:32:55.122 region:rollup2
CONVERSATIONS BEEN VERY ROBUST?
05:32:53.854 --> 05:32:56.957 region:rollup2
AND IT CREATES A PATHWAY FOR HOW
05:32:55.122 --> 05:32:58.058 region:rollup2
TO STRENGTHEN THE BILL.
05:32:56.957 --> 05:33:00.327 region:rollup2
I APPRECIATE.
05:32:58.058 --> 05:33:02.229 region:rollup2
THE UNIQUE.
05:33:00.327 --> 05:33:03.997 region:rollup2
OPPORTUNITY TO PROVIDE MORE MEDI
05:33:02.229 --> 05:33:05.699 region:rollup2
CAL ACCESS BY GIVING INCENTIVES
05:33:03.997 --> 05:33:07.100 region:rollup2
TO THOSE POSITIONS WHO WILL
05:33:05.699 --> 05:33:08.602 region:rollup2
SERVE THOSE.
05:33:07.100 --> 05:33:09.703 region:rollup2
WHO ARE MEDI CAL I THINK IS A
05:33:08.602 --> 05:33:11.705 region:rollup2
VERY?
05:33:09.703 --> 05:33:13.273 region:rollup2
UNIQUE INTERESTING PROVISION IN
05:33:11.705 --> 05:33:14.708 region:rollup2
THE BILL. AND I HOPE THAT ALL MY
05:33:13.273 --> 05:33:16.376 region:rollup2
COLLEAGUES HERE WILL SUPPORT IT
05:33:14.708 --> 05:33:17.678 region:rollup2
TODAY EVEN IF YOU HAVE CONCERNS
05:33:16.376 --> 05:33:18.378 region:rollup2
AND GIVEN AN OPPORTUNITY TO
05:33:17.678 --> 05:33:21.548 region:rollup2
CONTINUE TO WORK THROUGH THE
05:33:18.378 --> 05:33:22.149 region:rollup2
PROCESS. AND STAKEHOLDER PROCESS
05:33:21.548 --> 05:33:23.383 region:rollup2
TO MOVE BEFORE I MOVE THE BILL
05:33:22.149 --> 05:33:25.285 region:rollup2
FOR.
05:33:23.383 --> 05:33:27.654 region:rollup2
SO WOULD YOU LIKE TO CLOSE
05:33:25.285 --> 05:33:31.492 region:rollup2
HOPEFULLY BRIEFLY.
05:33:27.654 --> 05:33:32.793 region:rollup2
THANK. THANK YOU MISS SUDDENLY
05:33:31.492 --> 05:33:33.694 region:rollup2
HOT BUT ADEQUATELY.
05:33:32.793 --> 05:33:35.496 region:rollup2
I PERCENT THINKING AS CHAIR AND
05:33:33.694 --> 05:33:37.097 region:rollup2
YOU KNOW THE AMENDMENTS ARE MUCH
05:33:35.496 --> 05:33:39.032 region:rollup2
OF WHICH WERE IN.
05:33:37.097 --> 05:33:40.334 region:rollup2
INCLUDED BASED UPON STAKEHOLDER
05:33:39.032 --> 05:33:40.834 region:rollup2
FEEDBACK AS WELL AS FEEDBACK
05:33:40.334 --> 05:33:41.902 region:rollup2
FROM THE CHAIR AND OTHER
05:33:40.834 --> 05:33:43.337 region:rollup2
MEMBERS.
05:33:41.902 --> 05:33:43.871 region:rollup2
OF OUR NINE AND THE JUST THE
05:33:43.337 --> 05:33:45.239 region:rollup2
BEGINNING.
05:33:43.871 --> 05:33:47.174 region:rollup2
TO THE CONVERSATION THAT IS
05:33:45.239 --> 05:33:48.575 region:rollup2
REQUIRED GOING FORWARD IT THIS
05:33:47.174 --> 05:33:50.244 region:rollup2
IS A OF OF UNFORTUNATE ABOUT
05:33:48.575 --> 05:33:53.180 region:rollup2
THIS FILM WITH THIS COMMITTEE.
05:33:50.244 --> 05:33:53.580 region:rollup2
AND AS INDICATED THAT DOESN'T
05:33:53.180 --> 05:33:55.015 region:rollup2
TAKE INTO ACCOUNT.
05:33:53.580 --> 05:33:56.483 region:rollup2
.
05:33:55.015 --> 05:33:57.584 region:rollup2
OR AS THE POP SYNDICATE IS
05:33:56.483 --> 05:33:59.086 region:rollup2
TAKING ACCOUNT THE MAJOR DRIVERS
05:33:57.584 --> 05:34:00.754 region:rollup2
HEALTH BECAUSE I BELIEVE THIS
05:33:59.086 --> 05:34:02.089 region:rollup2
COMMISSION DOES HAVE THE ABILITY
05:34:00.754 --> 05:34:03.657 region:rollup2
TO DO JUST THAT.
05:34:02.089 --> 05:34:05.926 region:rollup2
TO THE GREATEST EXTENT WE
05:34:03.657 --> 05:34:07.127 region:rollup2
POSSIBLY CAN THAT'S WHY INCLUDES
05:34:05.926 --> 05:34:09.096 region:rollup2
PACIFIC CONCERNS REGARDING
05:34:07.127 --> 05:34:10.564 region:rollup2
PRESCRIPTION DRUGS OF THE EDI
05:34:09.096 --> 05:34:12.966 region:rollup2
CAL OF THE ISSUE.
05:34:10.564 --> 05:34:14.201 region:rollup2
DOCTOR SHORTAGE IN ON ON. WHAT
05:34:12.966 --> 05:34:15.669 region:rollup2
WE'RE DOING IS TRYING TO PUT IN
05:34:14.201 --> 05:34:17.638 region:rollup2
PLACE SOME KIND OF COST AND WHAT
05:34:15.669 --> 05:34:19.806 region:rollup2
WE'RE NOT DOING IS HAVING THE
05:34:17.638 --> 05:34:20.707 region:rollup2
LEGISLATURE SET RATES AN ADHOC
05:34:19.806 --> 05:34:23.377 region:rollup2
FASHION THAT?
05:34:20.707 --> 05:34:25.512 region:rollup2
THAT ARE FIXED THAT ARE GOING
05:34:23.377 --> 05:34:26.780 region:rollup2
TO A BOOTH THAT WOULD SOMEHOW.
05:34:25.512 --> 05:34:28.682 region:rollup2
.
05:34:26.780 --> 05:34:30.250 region:rollup2
CRIPPLE THE ABILITY FOR DOCTORS
05:34:28.682 --> 05:34:31.318 region:rollup2
TO BE ABLE TO PROVIDE SERVICES
05:34:30.250 --> 05:34:32.519 region:rollup2
WHAT HAPPENED A DOESN'T WORK
05:34:31.318 --> 05:34:34.621 region:rollup2
WE'RE NOT TAKING OVER THE ACTUAL
05:34:32.519 --> 05:34:37.190 region:rollup2
DELIVERY SYSTEM. TO GO BACK TO
05:34:34.621 --> 05:34:38.725 region:rollup2
THE STATUS QUO. I AND I JUST
05:34:37.190 --> 05:34:40.027 region:rollup2
WANTED.
05:34:38.725 --> 05:34:42.863 region:rollup2
CLOSE BY TWO THINGS WHO BY COULD
05:34:40.027 --> 05:34:45.032 region:rollup2
MISTER CHAIR OF A ONE IS THAT I
05:34:42.863 --> 05:34:46.400 region:rollup2
UNDERSTAND HOW. POLITICS WORKS
05:34:45.032 --> 05:34:47.467 region:rollup2
AND HOW ABOUT HIS USUAL WORKS IN
05:34:46.400 --> 05:34:48.502 region:rollup2
THIS BUILDING IN MANY STATE
05:34:47.467 --> 05:34:50.504 region:rollup2
HOUSES AROUND THE NATION.
05:34:48.502 --> 05:34:51.939 region:rollup2
.
05:34:50.504 --> 05:34:54.007 region:rollup2
AND I WOULD JUST SAY THE STATUS
05:34:51.939 --> 05:34:55.475 region:rollup2
QUO UP AN INITIAL LIKE THIS IS
05:34:54.007 --> 05:34:56.510 region:rollup2
UNACCEPTABLE.
05:34:55.475 --> 05:34:57.911 region:rollup2
I'D THIS BILL MAKES OUT OF THIS
05:34:56.510 --> 05:35:00.347 region:rollup2
COMMITTEE I RESPECTFULLY URGE
05:34:57.911 --> 05:35:02.115 region:rollup2
OPPOSITION TO UP ó ABANDONED
05:35:00.347 --> 05:35:02.583 region:rollup2
POLITICS AS USUAL PLEASE COME
05:35:02.115 --> 05:35:09.590 region:rollup2
JOIN ME ALONG WITH MY
05:35:02.583 --> 05:35:11.191 region:rollup2
COLLEAGUES.
05:35:09.590 --> 05:35:13.393 region:rollup2
SPONSORS OTHER STAKEHOLDERS.
05:35:11.191 --> 05:35:15.062 region:rollup2
GIVE US SUGGESTIONS AND I
05:35:13.393 --> 05:35:16.396 region:rollup2
PROBABLY WON A CLOSE BY THANKING
05:35:15.062 --> 05:35:17.764 region:rollup2
THE CHAIR FOR HIS EXTRAORDINARY
05:35:16.396 --> 05:35:19.499 region:rollup2
DEDICATION NOT JUST INVENTING
05:35:17.764 --> 05:35:20.367 region:rollup2
THIS BILL. BUT DURING HIS ENTIRE
05:35:19.499 --> 05:35:22.102 region:rollup2
TIME THE LEGISLATURE
05:35:20.367 --> 05:35:23.303 region:rollup2
PARTICULARLY THE LAST YEAR AS
05:35:22.102 --> 05:35:24.271 region:rollup2
THE ASSEMBLY IN THE SLOT
05:35:23.303 --> 05:35:25.572 region:rollup2
COMMITTEE MEMBERS OF WORKED
05:35:24.271 --> 05:35:26.773 region:rollup2
IDENTIFY CHALLENGES AND
05:35:25.572 --> 05:35:28.308 region:rollup2
OPPORTUNITIES TO IMPROVE OUR
05:35:26.773 --> 05:35:30.310 region:rollup2
HEALTHCARE DELIVERY SYSTEM. IS
05:35:28.308 --> 05:35:31.378 region:rollup2
YOUR WORK ALONG WITH THE WORK MY
05:35:30.310 --> 05:35:32.512 region:rollup2
COLLEAGUES THAT HAVE INSPIRED ME
05:35:31.378 --> 05:35:34.614 region:rollup2
TO TAKE THIS PAST WAS MEANINGFUL
05:35:32.512 --> 05:35:35.983 region:rollup2
COST CONTAINMENT OF AN INDUSTRY
05:35:34.614 --> 05:35:38.318 region:rollup2
SO VITAL TO THE PEOPLE WE
05:35:35.983 --> 05:35:39.052 region:rollup2
REPRESENT. I BELIEVE THAT
05:35:38.318 --> 05:35:40.454 region:rollup2
HEALTHCARE IS A RIGHT.
05:35:39.052 --> 05:35:42.055 region:rollup2
AND AS LEGISLATORS OF THIS GREAT
05:35:40.454 --> 05:35:43.390 region:rollup2
STATE IF WE ABDICATE OUR
05:35:42.055 --> 05:35:45.392 region:rollup2
RESPONSIBILITY TO ENSURE THAT
05:35:43.390 --> 05:35:45.826 region:rollup2
ACCESS TO AFFORDABLE HEALTHCARE
05:35:45.392 --> 05:35:47.294 region:rollup2
IS AVAILABLE TO ALL
05:35:45.826 --> 05:35:48.495 region:rollup2
CALIFORNIANS.
05:35:47.294 --> 05:35:49.930 region:rollup2
THEN WE'RE IGNORING WHEN THE
05:35:48.495 --> 05:35:52.232 region:rollup2
GREATEST THREATS TO SUSTAINABLE
05:35:49.930 --> 05:35:53.567 region:rollup2
ECONOMY. AND THE HEALTH AND WELL
05:35:52.232 --> 05:35:55.102 region:rollup2
BEING OF FUTURE GENERATIONS.
05:35:53.567 --> 05:35:56.870 region:rollup2
THE STATUS QUO ISN'T GOOD ENOUGH
05:35:55.102 --> 05:35:58.872 region:rollup2
FOR ME THE STATUS QUO ISN'T GOOD
05:35:56.870 --> 05:36:00.207 region:rollup2
ENOUGH FOR CALIFORNIANS I KNOW.
05:35:58.872 --> 05:36:01.341 region:rollup2
THE STATUS QUO ISN'T GOOD ENOUGH
05:36:00.207 --> 05:36:03.677 region:rollup2
FOR YOU AND I RESPECTFULLY ASK
05:36:01.341 --> 05:36:04.678 region:rollup2
ME I DON'T.
05:36:03.677 --> 05:36:05.746 region:rollup2
THANK YOU ONCE AGAIN MISTER
05:36:04.678 --> 05:36:07.280 region:rollup2
KALRA THANK YOU TO EVERYONE.
05:36:05.746 --> 05:36:09.816 region:rollup2
SPONSORS
05:36:07.280 --> 05:36:11.785 region:rollup2
OPPOSITION WITNESSES APPRECIATE
05:36:09.816 --> 05:36:13.120 region:rollup2
APPRECIATE THE DIALOGUE MEMBERS.
05:36:11.785 --> 05:36:15.689 region:rollup2
THEM SECRETARY.
05:36:13.120 --> 05:36:17.224 region:rollup2
WE DO HAVE A MOTION SORRY WEBER
05:36:15.689 --> 05:36:19.226 region:rollup2
MOTION TO HAVE A SISTER.
05:36:17.224 --> 05:36:20.427 region:rollup2
THE MOTION OF THE MOTION IS BY
05:36:19.226 --> 05:36:22.095 region:rollup2
MR THURMAN THE SECOND IS BY
05:36:20.427 --> 05:36:22.929 region:rollup2
MISTER SANTIAGO THE MOTION IS TO
05:36:22.095 --> 05:36:24.498 region:rollup2
PASS AS AMENDED TO
05:36:22.929 --> 05:36:25.665 region:rollup2
APPROPRIATIONS.
05:36:24.498 --> 05:36:27.667 region:rollup2
AND SECRETARY PLEASE CALL THE
05:36:25.665 --> 05:36:30.370 region:rollup2
ROLL WOULD I THINK WOULD AYE
05:36:27.667 --> 05:36:32.305 region:rollup2
MAYES. MAYES NO ANGER CURRY.
05:36:30.370 --> 05:36:36.443 region:rollup2
AGAR CURRY I BIGELOW. BIGELOW
05:36:32.305 --> 05:36:38.211 region:rollup2
NOW BONTA. BONTA AYE BURKE.
05:36:36.443 --> 05:36:39.780 region:rollup2
CARILLO YES
05:36:38.211 --> 05:36:42.916 region:rollup2
CARILLO AYE FLORA.
05:36:39.780 --> 05:36:45.886 region:rollup2
FLORA NOVA MON.
05:36:42.916 --> 05:36:49.823 region:rollup2
MCCARTY. MCCARTY AYE NAZARIAN
05:36:45.886 --> 05:36:51.925 region:rollup2
AYE NAZARIAN AYE RODRIGUEZ.
05:36:49.823 --> 05:36:54.161 region:rollup2
SANTIAGO AYE AYE SANTIAGO AYE
05:36:51.925 --> 05:37:01.868 region:rollup2
THURMAN. THURMOND AYE WALDRON.
05:36:54.161 --> 05:37:03.270 region:rollup2
WILDER NO.
05:37:01.868 --> 05:37:04.604 region:rollup2
THE BILL IS OUT DATA FOR WILL
05:37:03.270 --> 05:37:05.906 region:rollup2
LEAVE THE ROLE OPEN FOR OTHERS
05:37:04.604 --> 05:37:07.274 region:rollup2
TO ADD ON THANK YOU MISTER KALRA
05:37:05.906 --> 05:37:09.276 region:rollup2
THINK HEROES.
05:37:07.274 --> 05:37:12.979 region:rollup2
WE'RE GONNA MOST MR MCCARTY FOR
05:37:09.276 --> 05:37:14.548 region:rollup2
ONE BILL. AND HE'S GOING TO.
05:37:12.979 --> 05:37:15.949 region:rollup2
WELL WELL. WELL YOU GET THE ONE
05:37:14.548 --> 05:37:16.950 region:rollup2
FIRST.
05:37:15.949 --> 05:37:18.885 region:rollup2
I WANTED TIME MISTER MISTER
05:37:16.950 --> 05:37:19.519 region:rollup2
MCCARTY AND WRITTEN DIFFERENCE
05:37:18.885 --> 05:37:35.635 region:rollup2
YOUR WITNESS THE FOLLOWED BY MR
05:37:19.519 --> 05:37:35.635 region:rollup2
KILEY
05:38:18.745 --> 05:38:23.049 region:rollup2
OKAY THIS RECORD.
05:38:21.047 --> 05:38:24.217 region:rollup2
THANK YOU MISTER CHAIR AND.
05:38:23.049 --> 05:38:26.153 region:rollup2
MEMBERS AND THANK YOU FOR
05:38:24.217 --> 05:38:28.121 region:rollup2
COMMENTING.
05:38:26.153 --> 05:38:29.823 region:rollup2
OUR WITNESS HERE.
05:38:28.121 --> 05:38:31.024 region:rollup2
I HAVE BEFORE US SEVENTEEN FORTY
05:38:29.823 --> 05:38:33.493 region:rollup2
FOUR.
05:38:31.024 --> 05:38:35.195 region:rollup2
WHICH WOULD MAKE AFTER SCHOOL
05:38:33.493 --> 05:38:36.663 region:rollup2
PROGRAMS IN CALIFORNIA ELIGIBLE
05:38:35.195 --> 05:38:38.665 region:rollup2
FOR FUNDING FROM PROP SIXTY FOR
05:38:36.663 --> 05:38:40.433 region:rollup2
THE ADULT USE OF MARIJUANA ACTED
05:38:38.665 --> 05:38:41.535 region:rollup2
FIRST I. WANT TO THANK OUR
05:38:40.433 --> 05:38:43.270 region:rollup2
COMMITTEE OR STAFF FOR WORKING
05:38:41.535 --> 05:38:45.872 region:rollup2
WITH US AS WE KNOW CALIFORNIA
05:38:43.270 --> 05:38:47.607 region:rollup2
VOTERS PASSED THIS MEASURE UP TO
05:38:45.872 --> 05:38:49.876 region:rollup2
BILLION DOLLARS WILL BE. BEFORE
05:38:47.607 --> 05:38:51.912 region:rollup2
US TO DECIDE SIMILAR TO OUR CAP
05:38:49.876 --> 05:38:52.946 region:rollup2
AND TRADE PROGRAM WILL HAVE A
05:38:51.912 --> 05:38:54.548 region:rollup2
LOT OF GOOD IDEAS.
05:38:52.946 --> 05:38:56.049 region:rollup2
LA DEBATE ON HOW TO SPEND THOSE
05:38:54.548 --> 05:38:57.317 region:rollup2
MONIES I JUST WHAT DID WANT TO
05:38:56.049 --> 05:38:58.585 region:rollup2
NOTE THAT WHEN THIS WAS BEFORE
05:38:57.317 --> 05:39:00.287 region:rollup2
THE VOTERS IN THE BALLOT
05:38:58.585 --> 05:39:01.822 region:rollup2
STATEMENT.
05:39:00.287 --> 05:39:03.023 region:rollup2
IT PROMISE THAT THIS WOULD RAISE
05:39:01.822 --> 05:39:04.658 region:rollup2
BILLIONS FOR AFTER SCHOOL
05:39:03.023 --> 05:39:06.893 region:rollup2
PROGRAMS TO HELP KIDS STAY IN
05:39:04.658 --> 05:39:09.596 region:rollup2
SCHOOL. AND THERE WERE TV ADS
05:39:06.893 --> 05:39:11.431 region:rollup2
THAT FOCUSED ON JUST THIS.
05:39:09.596 --> 05:39:13.033 region:rollup2
PROP FIFTY FOUR FUNDS AFTER
05:39:11.431 --> 05:39:14.534 region:rollup2
SCHOOL PROGRAM SO THAT SAID THE
05:39:13.033 --> 05:39:16.002 region:rollup2
MESSAGE IS VERY SIMPLE. WE
05:39:14.534 --> 05:39:17.337 region:rollup2
SHOULD KEEP THAT PROMISE I MADE
05:39:16.002 --> 05:39:18.705 region:rollup2
TO THE VOTERS AND FOCUS ON AFTER
05:39:17.337 --> 05:39:20.006 region:rollup2
SCHOOL PROGRAM TO SERVE ABOUT A
05:39:18.705 --> 05:39:21.841 region:rollup2
HALF A MILLION KIDS.
05:39:20.006 --> 05:39:23.510 region:rollup2
DEALING CALIFORNIA UNDERSERVED
05:39:21.841 --> 05:39:25.779 region:rollup2
COMMUNITIES DO A WORLD A GOOD
05:39:23.510 --> 05:39:28.148 region:rollup2
KEEPING KID SAFE OUT OF TROUBLE
05:39:25.779 --> 05:39:29.816 region:rollup2
AND THAT WITH ME TODAY. OUR I
05:39:28.148 --> 05:39:32.953 region:rollup2
REPRESENT FOR A SACRAMENTO
05:39:29.816 --> 05:39:34.020 region:rollup2
pCAPTAIN KATHY LESTER WHO HAVE
05:39:32.953 --> 05:39:35.789 region:rollup2
KNOWN A LONG TIME WORKING HERE
05:39:34.020 --> 05:39:37.257 region:rollup2
IN SACRAMENTO. AND THE
05:39:35.789 --> 05:39:41.361 region:rollup2
CALIFORNIA AFTER SCHOOL ADVOCACY
05:39:37.257 --> 05:39:42.395 region:rollup2
ALLIANCE.
05:39:41.361 --> 05:39:43.663 region:rollup2
GOOD EVENING MY NAME IS KATHY
05:39:42.395 --> 05:39:45.131 region:rollup2
LESTER A CAPTAIN WITH SACRAMENTO
05:39:43.663 --> 05:39:46.600 region:rollup2
POLICE DEPARTMENT I'VE BEEN
05:39:45.131 --> 05:39:48.602 region:rollup2
THERE FOR TWENTY FOUR YEARS
05:39:46.600 --> 05:39:49.903 region:rollup2
CURRENTLY AYE OVERSEAS DIVISION
05:39:48.602 --> 05:39:51.304 region:rollup2
OF OUT REACHING ENGAGEMENT WHICH
05:39:49.903 --> 05:39:53.707 region:rollup2
ENCOMPASSES ALL OF OUR SCHOOL
05:39:51.304 --> 05:39:55.709 region:rollup2
PROGRAMS. AND OVERSEAS ABOUT
05:39:53.707 --> 05:39:57.677 region:rollup2
FIFTY FIVE THOUSAND AYE CHILDREN
05:39:55.709 --> 05:40:00.247 region:rollup2
SACRAMENTO CITY SCHOOLS I AM
05:39:57.677 --> 05:40:03.383 region:rollup2
PLEASED TO REPRESENT SACRAMENTO
05:40:00.247 --> 05:40:04.651 region:rollup2
POLICE CHIEF DANIEL HAHN. AND TO
05:40:03.383 --> 05:40:06.887 region:rollup2
SPEAK IN SUPPORT OF THE FOUR
05:40:04.651 --> 05:40:08.989 region:rollup2
HUNDRED MEMBERS OF FIGHT CRIME
05:40:06.887 --> 05:40:10.490 region:rollup2
INVEST IN KIDS THIS IS AN
05:40:08.989 --> 05:40:12.359 region:rollup2
ORGANIZATION OF POLICE CHIEFS
05:40:10.490 --> 05:40:14.327 region:rollup2
SHERIFF'S DISTRICT ATTORNEYS AND
05:40:12.359 --> 05:40:17.063 region:rollup2
CRIME VICTIMS. AND CHIEF HAN HAS
05:40:14.327 --> 05:40:18.531 region:rollup2
BEEN A LONG TIME MEMBER OF FIGHT
05:40:17.063 --> 05:40:20.367 region:rollup2
CRIME INVEST IN KIDS.
05:40:18.531 --> 05:40:21.735 region:rollup2
WE SUPPORT AB SEVENTEEN FORTY
05:40:20.367 --> 05:40:23.336 region:rollup2
FOUR BECAUSE AFTER SCHOOL
05:40:21.735 --> 05:40:23.837 region:rollup2
PROGRAMS ARE CRITICAL TO
05:40:23.336 --> 05:40:25.572 region:rollup2
EFFECTIVE CRIME FIGHTING
05:40:23.837 --> 05:40:27.641 region:rollup2
EFFORTS.
05:40:25.572 --> 05:40:29.509 region:rollup2
I UNDERSTAND THE MANY BENEFITS
05:40:27.641 --> 05:40:30.877 region:rollup2
OF AFTER SCHOOL PROGRAMS NOT
05:40:29.509 --> 05:40:32.279 region:rollup2
ONLY AS A WORKING PARENT OF
05:40:30.877 --> 05:40:35.482 region:rollup2
THREE CHILDREN BUT ALSO FROM MY
05:40:32.279 --> 05:40:36.549 region:rollup2
EXPERIENCES AS A POLICE OFFICER.
05:40:35.482 --> 05:40:38.618 region:rollup2
WE KNOW THAT AFTER SCHOOL
05:40:36.549 --> 05:40:40.320 region:rollup2
PROGRAMS KEEP KIDS ENGAGED THEY
05:40:38.618 --> 05:40:42.322 region:rollup2
PREVENT CRIME AND THEY TEACH
05:40:40.320 --> 05:40:43.823 region:rollup2
VALUABLE SOCIAL EMOTIONAL SKILLS
05:40:42.322 --> 05:40:46.092 region:rollup2
WHICH HELP THEM BE SUCCESSFUL
05:40:43.823 --> 05:40:47.627 region:rollup2
LATER IN LIFE. AFTER SCHOOL
05:40:46.092 --> 05:40:49.996 region:rollup2
PROGRAMS HELPED CUT CRIME
05:40:47.627 --> 05:40:51.765 region:rollup2
IMMEDIATELY BY KEEPING KIDS OFF
05:40:49.996 --> 05:40:54.534 region:rollup2
THE STREETS AWAY FROM GANGS AND
05:40:51.765 --> 05:40:56.269 region:rollup2
DRUGS DURING THE CRITICAL TIME
05:40:54.534 --> 05:40:57.604 region:rollup2
OF THREE PM TO SIX PM.
05:40:56.269 --> 05:40:59.673 region:rollup2
AND THEN THE LONG TERM THE IT
05:40:57.604 --> 05:41:01.241 region:rollup2
ALSO HELPED CUT CRIME BY KEEPING
05:40:59.673 --> 05:41:02.909 region:rollup2
KIDS ENGAGED IN SCHOOL.
05:41:01.241 --> 05:41:03.877 region:rollup2
IMPROVING ATTENDANCE ON HELPING
05:41:02.909 --> 05:41:07.147 region:rollup2
THEM DEVELOP STRONG
05:41:03.877 --> 05:41:09.149 region:rollup2
RELATIONSHIPS BETWEEN ADULTS AND
05:41:07.147 --> 05:41:11.518 region:rollup2
KEEPING KIDS ON TRACK TO
05:41:09.149 --> 05:41:12.519 region:rollup2
GRADUATE. UCLA DID A STUDY
05:41:11.518 --> 05:41:13.453 region:rollup2
RECENTLY.
05:41:12.519 --> 05:41:15.922 region:rollup2
OF THE.
05:41:13.453 --> 05:41:18.191 region:rollup2
OF AFTER SCHOOL PROGRAMS AND
05:41:15.922 --> 05:41:19.926 region:rollup2
THE LOS ANGELES UNIFIED SCHOOL
05:41:18.191 --> 05:41:21.895 region:rollup2
DISTRICT AND THEY FOUND.
05:41:19.926 --> 05:41:24.097 region:rollup2
WHILE TRACKING CHILDREN BETWEEN
05:41:21.895 --> 05:41:25.999 region:rollup2
ELEMENTARY AND HIGH SCHOOL THAT
05:41:24.097 --> 05:41:27.834 region:rollup2
KIDSTHAT PARTICIPATE IN AFTER
05:41:25.999 --> 05:41:30.770 region:rollup2
SCHOOL PROGRAMS HAD A TWENTY
05:41:27.834 --> 05:41:31.805 region:rollup2
PERCENT LESS CHANCE OF BEING A
05:41:30.770 --> 05:41:33.907 region:rollup2
DROP OUT THERE WERE THIRTY
05:41:31.805 --> 05:41:35.108 region:rollup2
PERCENT LESS LIKELY. TO ENGAGE
05:41:33.907 --> 05:41:37.944 region:rollup2
IN CRIME.
05:41:35.108 --> 05:41:39.446 region:rollup2
SO CALIFORNIA HAS MADE SOME
05:41:37.944 --> 05:41:41.514 region:rollup2
GREAT INVESTMENTS IN AFTER
05:41:39.446 --> 05:41:43.683 region:rollup2
SCHOOL PROGRAMS.
05:41:41.514 --> 05:41:45.185 region:rollup2
THEY AND SUPPORTING PROGRAMS
05:41:43.683 --> 05:41:46.720 region:rollup2
OVER FOUR THOUSAND SCHOOLS DALY
05:41:45.185 --> 05:41:48.688 region:rollup2
MORE FUNDING IS NEEDED TO
05:41:46.720 --> 05:41:50.056 region:rollup2
SUSTAIN EXISTING PROGRAMS THAT
05:41:48.688 --> 05:41:51.925 region:rollup2
STRUGGLE WITH LOW REIMBURSEMENT
05:41:50.056 --> 05:41:54.461 region:rollup2
RATES. AND TO ESTABLISH NEW
05:41:51.925 --> 05:41:56.062 region:rollup2
PROGRAMS INCLUDING I'M IN NEARLY
05:41:54.461 --> 05:41:58.231 region:rollup2
THREE THOUSAND LOW INCOME
05:41:56.062 --> 05:41:59.799 region:rollup2
SCHOOLS THAT RECEIVE A LITTLE OR
05:41:58.231 --> 05:42:01.134 region:rollup2
NO STATE AND FEDERAL FUNDING.
05:41:59.799 --> 05:42:02.802 region:rollup2
INVESTING IMPROPER IS AIR
05:42:01.134 --> 05:42:04.104 region:rollup2
INVESTING PROP A SIXTY FOUR
05:42:02.802 --> 05:42:06.606 region:rollup2
FUNDS IN AFTER SCHOOL PROGRAMS
05:42:04.104 --> 05:42:08.108 region:rollup2
MAKES COMMON SENSE AND THE
05:42:06.606 --> 05:42:09.409 region:rollup2
CONNECTION IS REALLY VERY CLEAR.
05:42:08.108 --> 05:42:10.977 region:rollup2
NOT ONLY DOES DRUG USE LIKE
05:42:09.409 --> 05:42:12.612 region:rollup2
OTHER COMPLECTED BE PEAK AFTER
05:42:10.977 --> 05:42:14.280 region:rollup2
SCHOOL RESEARCH SAYS THAT
05:42:12.612 --> 05:42:16.416 region:rollup2
PARTICIPATING IN AFTER SCHOOL
05:42:14.280 --> 05:42:17.751 region:rollup2
NOT ONLY REDUCES DECIDE DRUG USE
05:42:16.416 --> 05:42:19.753 region:rollup2
BUT ALSO PROVIDES FOR PHYSICAL
05:42:17.751 --> 05:42:21.054 region:rollup2
ACTIVITY. AS WELL AS A
05:42:19.753 --> 05:42:22.789 region:rollup2
PRODUCTIVE AND HEALTHY
05:42:21.054 --> 05:42:25.058 region:rollup2
ENVIRONMENT FOR CALIFORNIA'S
05:42:22.789 --> 05:42:27.093 region:rollup2
KIDS AND FOR THIS REASON LAW
05:42:25.058 --> 05:42:28.995 region:rollup2
ENFORCEMENT LEADERS ACROSS THE
05:42:27.093 --> 05:42:30.730 region:rollup2
STATE SUPPORT EIGHTY FORTY. AB
05:42:28.995 --> 05:42:32.365 region:rollup2
SEVENTEEN FORTY FOUR THANK YOU
05:42:30.730 --> 05:42:36.336 region:rollup2
FOR THE OPPORTUNITY TO SHARE
05:42:32.365 --> 05:42:36.936 region:rollup2
PERSPECTIVE.
05:42:36.336 --> 05:42:37.604 region:rollup2
THE THINGS I THINK.
05:42:36.936 --> 05:42:41.174 region:rollup2
YEAH.
05:42:37.604 --> 05:42:42.375 region:rollup2
THIS.
05:42:41.174 --> 05:42:44.010 region:rollup2
GOOD EVENING JENNIFER DIETRICH
05:42:42.375 --> 05:42:45.111 region:rollup2
ON BEHALF OF THE PARTNERSHIP FOR
05:42:44.010 --> 05:42:47.213 region:rollup2
CHILDREN AND YOUTH AND THE
05:42:45.111 --> 05:42:49.182 region:rollup2
CALIFORNIA AFTER SCHOOL ADVOCACY
05:42:47.213 --> 05:42:50.717 region:rollup2
ALLIANCE WHERE. COALITION OF
05:42:49.182 --> 05:42:52.285 region:rollup2
TWENTY MORE THAN TWENTY AFTER
05:42:50.717 --> 05:42:54.020 region:rollup2
SCHOOLPROGRAMS AND ADVOCACY
05:42:52.285 --> 05:42:55.622 region:rollup2
ORGANIZATIONS ACROSS CALIFORNIA
05:42:54.020 --> 05:42:56.923 region:rollup2
THAT SERB HUNDREDS OF THOUSANDS
05:42:55.622 --> 05:42:58.925 region:rollup2
OF STUDENTS.
05:42:56.923 --> 05:43:00.827 region:rollup2
EACH DAY.
05:42:58.925 --> 05:43:02.328 region:rollup2
WE STRONGLY SUPPORT AB SEVENTEEN
05:43:00.827 --> 05:43:03.196 region:rollup2
FORTY FOUR TO HELP ENSURE THAT
05:43:02.328 --> 05:43:04.931 region:rollup2
THE PROMISE OF PROP SIXTYFORCE
05:43:03.196 --> 05:43:06.566 region:rollup2
CAT.
05:43:04.931 --> 05:43:07.967 region:rollup2
SO THAT A PORTION OF THE TAX
05:43:06.566 --> 05:43:09.536 region:rollup2
REVENUE WOULD GO TO AFTER SCHOOL
05:43:07.967 --> 05:43:11.438 region:rollup2
PROGRAMS IN CALIFORNIA'S MOST
05:43:09.536 --> 05:43:13.173 region:rollup2
UNDERSERVED COMMUNITIES.
05:43:11.438 --> 05:43:14.707 region:rollup2
AS ASSEMBLY MEMBER MCCARTY HAS
05:43:13.173 --> 05:43:16.242 region:rollup2
ARTICULATED PROP SIXTY FOUR
05:43:14.707 --> 05:43:17.710 region:rollup2
CAMPAIGN ADVERTISEMENTS
05:43:16.242 --> 05:43:19.712 region:rollup2
PROMINENTLY FEATURED AFTER
05:43:17.710 --> 05:43:21.347 region:rollup2
SCHOOL PROGRAMS AS A. PRINT AS A
05:43:19.712 --> 05:43:23.750 region:rollup2
PRIME BENEFICIARY.
05:43:21.347 --> 05:43:25.718 region:rollup2
PROP SIXTY FOUR TAX REVENUE.
05:43:23.750 --> 05:43:26.886 region:rollup2
BUT THERE ARE NO ASSURANCES THAT
05:43:25.718 --> 05:43:28.154 region:rollup2
AFTER SCHOOL PROGRAMS WILL SEE A
05:43:26.886 --> 05:43:29.889 region:rollup2
DIME.
05:43:28.154 --> 05:43:31.791 region:rollup2
SO THAT'S WHY AB SEVENTEEN FORTY
05:43:29.889 --> 05:43:34.427 region:rollup2
FOUR IS NEED AT.
05:43:31.791 --> 05:43:37.597 region:rollup2
AND. IN ADDITION TO THE HEALTH
05:43:34.427 --> 05:43:39.599 region:rollup2
AND SAFETY ASPECTS OF OF AFTER
05:43:37.597 --> 05:43:40.834 region:rollup2
SCHOOL PROGRAMS THEY ALSO HELP
05:43:39.599 --> 05:43:42.402 region:rollup2
TO PROVIDE HUNDREDS OF
05:43:40.834 --> 05:43:44.037 region:rollup2
ADDITIONAL ACADEMIC HOURS AN
05:43:42.402 --> 05:43:46.439 region:rollup2
ENRICHMENT ACTIVITIES FOR THE
05:43:44.037 --> 05:43:49.275 region:rollup2
STUDENTS. WHO NEED THEM MOST?
05:43:46.439 --> 05:43:49.742 region:rollup2
AFTERSCHOOL PROGRAMS FUNDED BY
05:43:49.275 --> 05:43:51.344 region:rollup2
THE STATE AND FEDERAL
05:43:49.742 --> 05:43:53.513 region:rollup2
GOVERNMENTS.
05:43:51.344 --> 05:43:54.547 region:rollup2
EIGHTY PERCENT OF THEM ARE
05:43:53.513 --> 05:43:56.583 region:rollup2
ELIGIBLE FOR FREE AND REDUCED
05:43:54.547 --> 05:43:57.951 region:rollup2
PRICE MEALS.
05:43:56.583 --> 05:43:59.152 region:rollup2
BUT WITHOUT ADDITIONAL FUNDING
05:43:57.951 --> 05:44:00.753 region:rollup2
FROM THE STATE OF CALIFORNIA
05:43:59.152 --> 05:44:02.522 region:rollup2
THESE AFTER SCHOOL PROGRAMS ARE
05:44:00.753 --> 05:44:04.324 region:rollup2
AT RISK OF SHUTTING DOWN PUBLIC
05:44:02.522 --> 05:44:05.658 region:rollup2
FUNDING HASN'T KEPT PACE WITH
05:44:04.324 --> 05:44:07.127 region:rollup2
THE RISING COSTS OF PROVIDING A
05:44:05.658 --> 05:44:09.762 region:rollup2
QUALITY PROGRAM.
05:44:07.127 --> 05:44:10.597 region:rollup2
IN DECEMBER WE DID A SURVEY OF
05:44:09.762 --> 05:44:12.198 region:rollup2
AFTER SCHOOL PROGRAMS
05:44:10.597 --> 05:44:13.466 region:rollup2
REPRESENTING MORE THAN TWO
05:44:12.198 --> 05:44:13.967 region:rollup2
HUNDRED SCHOOL DISTRICTS ACROSS
05:44:13.466 --> 05:44:16.803 region:rollup2
CALIFORNIA. NINETY EIGHT
05:44:13.967 --> 05:44:18.371 region:rollup2
PERCENT.
05:44:16.803 --> 05:44:19.606 region:rollup2
OF STATE FUNDED AFTER SCHOOL
05:44:18.371 --> 05:44:20.940 region:rollup2
PROGRAMS SAID THAT THEY WOULD BE
05:44:19.606 --> 05:44:23.009 region:rollup2
NEGATIVELY BE NEGATIVELY
05:44:20.940 --> 05:44:23.576 region:rollup2
IMPACTED IF THEY DON'T RECEIVE
05:44:23.009 --> 05:44:25.478 region:rollup2
ADDITIONAL FUNDING FROM THE
05:44:23.576 --> 05:44:27.981 region:rollup2
STATE.
05:44:25.478 --> 05:44:28.481 region:rollup2
IMPACTS LIKE DIFFICULTY
05:44:27.981 --> 05:44:30.450 region:rollup2
ATTRACTING AND RETAINING
05:44:28.481 --> 05:44:32.452 region:rollup2
QUALITY.
05:44:30.450 --> 05:44:33.353 region:rollup2
STAFF HAVING TO REDUCE
05:44:32.452 --> 05:44:35.688 region:rollup2
PROFESSIONAL DEVELOPMENT FOR
05:44:33.353 --> 05:44:36.823 region:rollup2
STAFF HAVING TO REDUCE ACADEMIC
05:44:35.688 --> 05:44:39.025 region:rollup2
SUPPORT AND ENRICHMENT
05:44:36.823 --> 05:44:40.326 region:rollup2
ACTIVITIES FOR STUDENTS.
05:44:39.025 --> 05:44:41.561 region:rollup2
THESE ARE THE PEOPLE AND THE
05:44:40.326 --> 05:44:42.929 region:rollup2
SUPPORT THAT BILL THOSE
05:44:41.561 --> 05:44:44.330 region:rollup2
PROTECTIVE AND RESILIENCY
05:44:42.929 --> 05:44:46.799 region:rollup2
FACTORS THAT HELP PREVENT
05:44:44.330 --> 05:44:48.034 region:rollup2
SUBSTANCE USE.
05:44:46.799 --> 05:44:49.168 region:rollup2
KEEPS KIDS IN SCHOOL AND BOOST
05:44:48.034 --> 05:44:50.503 region:rollup2
THEIR ACADEMIC SUCCESS AND WELL
05:44:49.168 --> 05:44:52.005 region:rollup2
BEING.
05:44:50.503 --> 05:44:53.740 region:rollup2
UNDER FUNDING ALSO REDUCES THE
05:44:52.005 --> 05:44:55.542 region:rollup2
NUMBER OF STUDENTS SERVED IN OUR
05:44:53.740 --> 05:44:57.043 region:rollup2
SURVEY NEARLY A FOURTH OF STATE
05:44:55.542 --> 05:44:57.911 region:rollup2
PROGRAMS ARE VERY LIKELY TO
05:44:57.043 --> 05:44:59.179 region:rollup2
CLOSE THEIR DOORS WITHIN THE
05:44:57.911 --> 05:45:01.047 region:rollup2
NEXT TWO YEARS WITHOUT
05:44:59.179 --> 05:45:03.483 region:rollup2
ADDITIONAL FUNDING. AND AS IT IS
05:45:01.047 --> 05:45:04.784 region:rollup2
OVER TWENTY NINE HUNDRED LOW
05:45:03.483 --> 05:45:06.486 region:rollup2
INCOME SCHOOLS DON'T RECEIVE
05:45:04.784 --> 05:45:07.854 region:rollup2
STATE OR FEDERAL FUNDING FOR THE
05:45:06.486 --> 05:45:09.122 region:rollup2
AFTER SCHOOL PROGRAMS SO FOR
05:45:07.854 --> 05:45:11.057 region:rollup2
EXAMPLE ONE IN FOUR PROGRAMS
05:45:09.122 --> 05:45:12.725 region:rollup2
THAT APPLIED FOR FEDERAL FUNDING
05:45:11.057 --> 05:45:14.127 region:rollup2
LAST YEAR. DIDN'T RECEIVE ANY SO
05:45:12.725 --> 05:45:14.861 region:rollup2
THERE'S NO SHORTAGE OF DEMAND
05:45:14.127 --> 05:45:16.763 region:rollup2
BUT THERE'S A SHORTAGE OF
05:45:14.861 --> 05:45:18.164 region:rollup2
FUNDING SO WE PLEASE ASK THAT
05:45:16.763 --> 05:45:19.532 region:rollup2
THE COMMITTEE VOTE I AND AB
05:45:18.164 --> 05:45:20.667 region:rollup2
SEVENTEEN FORTY FOUR TO KEEP THE
05:45:19.532 --> 05:45:22.368 region:rollup2
PROMISE.
05:45:20.667 --> 05:45:23.770 region:rollup2
VOTERS THAT TAX REVENUE FROM
05:45:22.368 --> 05:45:24.837 region:rollup2
PROP SIXTY FOUR GOES TO PROGRAMS
05:45:23.770 --> 05:45:26.372 region:rollup2
THAT EFFECTIVELY SUPPORTS
05:45:24.837 --> 05:45:28.107 region:rollup2
CHILDREN AND YOUTH AND PREVENT
05:45:26.372 --> 05:45:28.908 region:rollup2
REDUCE SUBSTANCE USE IN
05:45:28.107 --> 05:45:30.610 region:rollup2
COMMITTEES THAT BEEN
05:45:28.908 --> 05:45:33.580 region:rollup2
DISPROPORTIONATELY AFFECTED BY
05:45:30.610 --> 05:45:35.014 region:rollup2
THE WAR ON CRIME. HORN DRUGS.
05:45:33.580 --> 05:45:35.615 region:rollup2
THANK THANK YOU VERY MUCH OTHERS
05:45:35.014 --> 05:45:37.216 region:rollup2
IN SUPPORT JUST YOUR NAME AND
05:45:35.615 --> 05:45:38.618 region:rollup2
ORGANIZATION.
05:45:37.216 --> 05:45:39.852 region:rollup2
MISTER CHAIR AND MEMBERS ANDREA
05:45:38.618 --> 05:45:41.020 region:rollup2
BALL OF THE HALF OF THE
05:45:39.852 --> 05:45:44.824 region:rollup2
CALIFORNIA SCHOOL BOARDS
05:45:41.020 --> 05:45:45.925 region:rollup2
ASSOCIATION IN SUPPORT.
05:45:44.824 --> 05:45:46.926 region:rollup2
JESSICA HAY ON BEHALF OF THE
05:45:45.925 --> 05:45:50.129 region:rollup2
CALIFORNIA AFTER SCHOOL NETWORK
05:45:46.926 --> 05:45:51.331 region:rollup2
IN SUPPORT.
05:45:50.129 --> 05:45:53.866 region:rollup2
CAN LUIS ON BEHALF CHILDREN NOW
05:45:51.331 --> 05:45:55.435 region:rollup2
IN SUPPORT.
05:45:53.866 --> 05:45:56.669 region:rollup2
STENA MARCELLUS ON BEHALF OF THE
05:45:55.435 --> 05:45:57.971 region:rollup2
SAN FRANCISCO UNIFIED SCHOOL
05:45:56.669 --> 05:45:59.205 region:rollup2
DISTRICT IN THE CALIFORNIA
05:45:57.971 --> 05:46:02.175 region:rollup2
ALLIANCE OF BOYS AND GIRLS CLUB
05:45:59.205 --> 05:46:03.476 region:rollup2
IN SUPPORT.
05:46:02.175 --> 05:46:05.645 region:rollup2
MEDI PORN REPRESENTING AMERICAN
05:46:03.476 --> 05:46:08.014 region:rollup2
CAN YOU PEDIATRIC CALIFORNIA
05:46:05.645 --> 05:46:09.215 region:rollup2
DIVISION IN SUPPORT THANK YOU.
05:46:08.014 --> 05:46:10.250 region:rollup2
CHRIS SLEPT WARMLY CALIFORNIA
05:46:09.215 --> 05:46:13.386 region:rollup2
STATE ALLIANCE OF YMCAS IN
05:46:10.250 --> 05:46:15.054 region:rollup2
SUPPORT.
05:46:13.386 --> 05:46:15.989 region:rollup2
I HAVE JUST BEEN ALSO ON BEHALF
05:46:15.054 --> 05:46:16.990 region:rollup2
OF STATE SUPERINTENDENT OF
05:46:15.989 --> 05:46:17.590 region:rollup2
PUBLIC INSTRUCTION TOM TOWARD
05:46:16.990 --> 05:46:20.026 region:rollup2
EXTENDING SUPPORT.
05:46:17.590 --> 05:46:23.963 region:rollup2
MUCH.
05:46:20.026 --> 05:46:25.632 region:rollup2
IS THERE ANYONE IN OPPOSITION.
05:46:23.963 --> 05:46:26.165 region:rollup2
SEE NO ONE BRING BACK TO THE
05:46:25.632 --> 05:46:29.669 region:rollup2
COMMITTEE FOR QUESTIONS OR
05:46:26.165 --> 05:46:31.104 region:rollup2
COMMENTS.
05:46:29.669 --> 05:46:33.039 region:rollup2
SEEN NINE WHICH I LIKE TO CLOSE
05:46:31.104 --> 05:46:35.375 region:rollup2
MISTER ACCORDING.
05:46:33.039 --> 05:46:36.476 region:rollup2
THANK YOU ASPIRATE.
05:46:35.375 --> 05:46:37.310 region:rollup2
SO YOU HAVE A OF THE FIRST I
05:46:36.476 --> 05:46:39.579 region:rollup2
THINK YOU FOR BRINGING TO GO
05:46:37.310 --> 05:46:41.114 region:rollup2
FORWARD AND I I I I. AGREE.
05:46:39.579 --> 05:46:43.283 region:rollup2
COMPLETELY WITH THE INTENT.
05:46:41.114 --> 05:46:44.884 region:rollup2
I HOPE THAT THE TAX REVENUE IS
05:46:43.283 --> 05:46:45.585 region:rollup2
ROBUST ENOUGH TO DELIVER ON THE
05:46:44.884 --> 05:46:47.654 region:rollup2
PROMISE.
05:46:45.585 --> 05:46:49.856 region:rollup2
WE SHALL SEE IN TIME.
05:46:47.654 --> 05:46:50.823 region:rollup2
AS AS THAT HAPPENS BUT TO
05:46:49.856 --> 05:46:52.492 region:rollup2
APPRECIATE I APPRECIATE WHAT
05:46:50.823 --> 05:46:54.427 region:rollup2
YOU'RE DOING PROCEDURE WITNESSES
05:46:52.492 --> 05:46:55.828 region:rollup2
AND OUT THE BILL ENJOYS A DO
05:46:54.427 --> 05:46:57.797 region:rollup2
PASS RUSH RECOMMENDATION. WE
05:46:55.828 --> 05:47:00.033 region:rollup2
HAVE A MOTION BY ITS DO PASS AS
05:46:57.797 --> 05:47:01.801 region:rollup2
AMENDED TO APPROPRIATIONS
05:47:00.033 --> 05:47:03.636 region:rollup2
MOTIONS BY MR THURMAN THE
05:47:01.801 --> 05:47:04.771 region:rollup2
SECONDS BY MR MAYES ABOUT
05:47:03.636 --> 05:47:07.840 region:rollup2
SECRETARY PLEASE CALL THE ROLL
05:47:04.771 --> 05:47:09.575 region:rollup2
WOULD. I WOULD I MAYES.
05:47:07.840 --> 05:47:11.110 region:rollup2
AGUIAR-CURRY. AGUIAR-CURRY AYE
05:47:09.575 --> 05:47:12.278 region:rollup2
BIGELOW.
05:47:11.110 --> 05:47:13.880 region:rollup2
BIGELOW AYE BONTA BONTA AYE
05:47:12.278 --> 05:47:15.848 region:rollup2
BURKE.
05:47:13.880 --> 05:47:17.450 region:rollup2
BURKE I CARILLO.
05:47:15.848 --> 05:47:19.652 region:rollup2
FLORA.
05:47:17.450 --> 05:47:21.754 region:rollup2
FLORA ISLA MON.
05:47:19.652 --> 05:47:24.457 region:rollup2
MCCARTY AYE MCCARTY AYE THIS
05:47:21.754 --> 05:47:27.627 region:rollup2
AREA.
05:47:24.457 --> 05:47:30.229 region:rollup2
RODRIGUEZ.
05:47:27.627 --> 05:47:37.470 region:rollup2
SANTIAGO. SANTIAGO AYE THURMAN
05:47:30.229 --> 05:47:38.037 region:rollup2
THURMOND AYE WALDRON.
05:47:37.470 --> 05:47:39.305 region:rollup2
THE BILL HAS NINE VOTES ITS
05:47:38.037 --> 05:47:41.207 region:rollup2
OUTGOING THANK YOU VERY MUCH MR
05:47:39.305 --> 05:47:46.679 region:rollup2
MCCARTY WILL GET YOUR OTHER ONE
05:47:41.207 --> 05:47:48.948 region:rollup2
A LITTLE LATER MR KILEY.
05:47:46.679 --> 05:47:56.389 region:rollup2
KILEY HAVE ITEM NUMBER ELEVEN.
05:47:48.948 --> 05:47:58.057 region:rollup2
AB TWENTY TWO EIGHTY SEVEN.
05:47:56.389 --> 05:47:58.891 region:rollup2
THANK YOU MISTER CHAIRMAN RESIDE
05:47:58.057 --> 05:48:00.693 region:rollup2
IT'S BEEN A LONG HEARING AND
05:47:58.891 --> 05:48:02.228 region:rollup2
SAID IT IS NOT THAT CLOSE TO TO
05:48:00.693 --> 05:48:04.097 region:rollup2
BEING OVER SO I'M GONNA SKIP
05:48:02.228 --> 05:48:05.465 region:rollup2
OVER OUR REMARKS I. I WAS GOING
05:48:04.097 --> 05:48:07.266 region:rollup2
TO GIVE ABOUT. THE.
05:48:05.465 --> 05:48:08.901 region:rollup2
THAT THE MAGNITUDE OF MENTAL
05:48:07.266 --> 05:48:10.770 region:rollup2
HEALTH NEEDS IN CALIFORNIA THE
05:48:08.901 --> 05:48:12.372 region:rollup2
GAPS THAT EXISTS IN ACCESS TO
05:48:10.770 --> 05:48:13.373 region:rollup2
TREATMENT IN THE AYE REPORTS BY
05:48:12.372 --> 05:48:15.575 region:rollup2
THE LITTLE HOOVER COMMISSION THE
05:48:13.373 --> 05:48:17.009 region:rollup2
STATE AUDITOR THAT HAVE. I HAVE
05:48:15.575 --> 05:48:18.344 region:rollup2
DOCUMENTED A LOT OF THIS OF
05:48:17.009 --> 05:48:20.580 region:rollup2
COURSE OF THEIR QUESTIONS ABOUT
05:48:18.344 --> 05:48:21.881 region:rollup2
THAT WE CAN NOT CERTAINLY I I
05:48:20.580 --> 05:48:23.382 region:rollup2
DELVE INTO ANY OF THOSE TOPICS
05:48:21.881 --> 05:48:24.917 region:rollup2
NOT AS QUICKLY SUMMARIZE FOR YOU
05:48:23.382 --> 05:48:27.120 region:rollup2
AT THIS BILL DOES TO ADDRESS
05:48:24.917 --> 05:48:28.454 region:rollup2
THAT. ARE THE ISSUE I'M IN THIS
05:48:27.120 --> 05:48:29.689 region:rollup2
BILL WOULD ADDRESS THESE ISSUES
05:48:28.454 --> 05:48:30.690 region:rollup2
BY REQUIRING THE MENTAL HEALTH
05:48:29.689 --> 05:48:32.425 region:rollup2
SERVICES OVERSIGHT AND
05:48:30.690 --> 05:48:32.759 region:rollup2
ACCOUNTABILITY COMMISSION TO DO
05:48:32.425 --> 05:48:34.594 region:rollup2
THREE THINGS.
05:48:32.759 --> 05:48:35.628 region:rollup2
FIRST DEVELOP A FISCAL
05:48:34.594 --> 05:48:37.130 region:rollup2
PROGRAMMATIC AND HOW COME
05:48:35.628 --> 05:48:38.231 region:rollup2
TRANSPARENCY AND ACCOUNTABILITY
05:48:37.130 --> 05:48:39.899 region:rollup2
STRATEGY FOR LOCAL GOVERNMENT
05:48:38.231 --> 05:48:41.834 region:rollup2
MENTAL HEALTH.
05:48:39.899 --> 05:48:42.935 region:rollup2
I ASKED SECOND DEVELOP A FISCAL
05:48:41.834 --> 05:48:44.370 region:rollup2
PROGRAMMATIC AN OUTCOME
05:48:42.935 --> 05:48:45.338 region:rollup2
TRANSPARENCY AND ACCOUNTABILITY
05:48:44.370 --> 05:48:46.973 region:rollup2
STRATEGY FOR STATE GOVERNMENT
05:48:45.338 --> 05:48:48.741 region:rollup2
MENTAL HEALTH.
05:48:46.973 --> 05:48:50.042 region:rollup2
THIRD ASSESS THE ADEQUACY OF
05:48:48.741 --> 05:48:51.310 region:rollup2
EXISTING STATUTORY AND
05:48:50.042 --> 05:48:53.379 region:rollup2
REGULATORY DATA REPORTING
05:48:51.310 --> 05:48:54.180 region:rollup2
REQUIREMENTS STRATEGIES AND
05:48:53.379 --> 05:48:55.214 region:rollup2
PRACTICES AND THIS INCLUDES
05:48:54.180 --> 05:48:56.682 region:rollup2
MAKING RECOMMENDATIONS TO THE
05:48:55.214 --> 05:48:57.750 region:rollup2
GOVERNOR AND LEGISLATURE FOR
05:48:56.682 --> 05:48:59.352 region:rollup2
STREAMLINING AND STRAIGHTEN
05:48:57.750 --> 05:49:00.520 region:rollup2
THOSE STRATEGIES. TO REDUCE
05:48:59.352 --> 05:49:02.588 region:rollup2
COSTS AND IMPROVE THE USE OF
05:49:00.520 --> 05:49:04.357 region:rollup2
INFORMATION TO GUIDE PROGRAM
05:49:02.588 --> 05:49:05.658 region:rollup2
FISCAL AND RELATED DECISIONS
05:49:04.357 --> 05:49:07.493 region:rollup2
I THE BILL WOULD ALSO REQUIRE.
05:49:05.658 --> 05:49:08.861 region:rollup2
THE COMMISSION TO REPORT BACK
05:49:07.493 --> 05:49:10.730 region:rollup2
TO THE LEGISLATURE NO LATER THAN
05:49:08.861 --> 05:49:11.564 region:rollup2
TWENTY TWENTY WHEN UPDATE ON THE
05:49:10.730 --> 05:49:13.566 region:rollup2
PROGRESS OF THE TRANSPARENCY AND
05:49:11.564 --> 05:49:14.867 region:rollup2
ACCOUNTABILITY STRATEGY.
05:49:13.566 --> 05:49:16.435 region:rollup2
I RESPECT RESPECTFULLY ASK WE
05:49:14.867 --> 05:49:17.703 region:rollup2
ARE AYE VOTE AND WITH ME TODAY
05:49:16.435 --> 05:49:19.272 region:rollup2
TO OFFER THE DISCUSS THESE
05:49:17.703 --> 05:49:21.340 region:rollup2
ISSUES IS TOBY EWING. WHO IS THE
05:49:19.272 --> 05:49:21.941 region:rollup2
EXECUTIVE DIRECTOR OF THE MENTAL
05:49:21.340 --> 05:49:24.010 region:rollup2
HEALTH SERVICES OVERSIGHT AND
05:49:21.941 --> 05:49:24.811 region:rollup2
ACCOUNTABILITY?
05:49:24.010 --> 05:49:26.045 region:rollup2
GOOD EVENING MISTER CHAIR AND
05:49:24.811 --> 05:49:27.580 region:rollup2
MEMBERS MY NAME IS TOBY DOING
05:49:26.045 --> 05:49:28.281 region:rollup2
I'M THE EXECUTRIX OF THE MENTAL
05:49:27.580 --> 05:49:29.882 region:rollup2
HEALTH SERVICES OVERSIGHT
05:49:28.281 --> 05:49:30.516 region:rollup2
ACCOUNTABILITY COMMISSION THE
05:49:29.882 --> 05:49:32.685 region:rollup2
BILL WOULD GIVE THE COMMISSION
05:49:30.516 --> 05:49:34.987 region:rollup2
EXPLICIT AUTHORITY TO TO BUILD
05:49:32.685 --> 05:49:36.088 region:rollup2
THE STRATEGY. TO MAKE SURE THAT
05:49:34.987 --> 05:49:37.757 region:rollup2
OUR MENTAL HEALTH SYSTEM IS
05:49:36.088 --> 05:49:39.258 region:rollup2
TRANSPARENT AND ACCOUNTABLE IN
05:49:37.757 --> 05:49:40.860 region:rollup2
TERMS OF THE DOLLARS THAT
05:49:39.258 --> 05:49:42.695 region:rollup2
COUNTIES RECEIVE TO PROVIDE
05:49:40.860 --> 05:49:43.229 region:rollup2
SERVICES TO FOLKS IN NEED THE
05:49:42.695 --> 05:49:44.297 region:rollup2
TYPES OF SERVICES THAT ARE
05:49:43.229 --> 05:49:45.731 region:rollup2
THERE.
05:49:44.297 --> 05:49:47.066 region:rollup2
INCLUDING ENSURING THAT WE
05:49:45.731 --> 05:49:48.501 region:rollup2
ADDRESS THAT THE RACIAL AND
05:49:47.066 --> 05:49:50.770 region:rollup2
ETHNIC DISPARITIES THAT ARE
05:49:48.501 --> 05:49:52.405 region:rollup2
CHALLENGING ACROSS THE STATE.
05:49:50.770 --> 05:49:53.406 region:rollup2
AND THEN THE THIRD PIECE IS THE
05:49:52.405 --> 05:49:55.274 region:rollup2
OUTCOMES.
05:49:53.406 --> 05:49:56.476 region:rollup2
THE THAT THE COMMISSION HAS
05:49:55.274 --> 05:49:57.577 region:rollup2
BEEN WORKING WITH THE AUTHOR TO
05:49:56.476 --> 05:49:59.212 region:rollup2
CRAFT THIS ALTHOUGH THE
05:49:57.577 --> 05:50:00.947 region:rollup2
COMMISSION MEETS THURSDAY TO
05:49:59.212 --> 05:50:02.181 region:rollup2
TALK ABOUT THE BILL AND DOES NOT
05:50:00.947 --> 05:50:03.115 region:rollup2
HAVE AN EXPLICIT SUPPORT
05:50:02.181 --> 05:50:04.617 region:rollup2
POSITION WE'D APPRECIATE THE
05:50:03.115 --> 05:50:06.118 region:rollup2
OPPORTUNITY TO CONTINUE TO WORK
05:50:04.617 --> 05:50:07.653 region:rollup2
WITH THE AUTHOR. TO STRENGTHEN
05:50:06.118 --> 05:50:09.622 region:rollup2
THIS AND MAKE SURE IT'S ALIGNED
05:50:07.653 --> 05:50:11.023 region:rollup2
WITH THAT THE BROAD GOALS THAT
05:50:09.622 --> 05:50:12.525 region:rollup2
THE COMMISSION HAS IN OUR
05:50:11.023 --> 05:50:13.826 region:rollup2
ABILITY TO ACTUALLY SUPPORT
05:50:12.525 --> 05:50:15.361 region:rollup2
PUBLIC ACCOUNTABILITY IN TERMS
05:50:13.826 --> 05:50:16.429 region:rollup2
THE MENTAL HEALTH SYSTEM. HAPPY
05:50:15.361 --> 05:50:18.698 region:rollup2
TO RESPOND TO ANY QUESTIONS YOU
05:50:16.429 --> 05:50:23.803 region:rollup2
MIGHT HAVE.
05:50:18.698 --> 05:50:25.037 region:rollup2
OTHERS IN SUPPORT.
05:50:23.803 --> 05:50:38.851 region:rollup2
SEE NO IS THERE ANYONE IN
05:50:25.037 --> 05:50:40.152 region:rollup2
OPPOSITION TO THE BILL.
05:50:38.851 --> 05:50:41.254 region:rollup2
GOOD EVENING I'M MARRIED THERE
05:50:40.152 --> 05:50:42.989 region:rollup2
WITH COUNTY BEHAVIORAL HEALTH
05:50:41.254 --> 05:50:44.523 region:rollup2
DIRECTORS ASSOCIATION THANK YOU
05:50:42.989 --> 05:50:46.158 region:rollup2
FOR HEARING OUR COMMENTS TONIGHT
05:50:44.523 --> 05:50:48.427 region:rollup2
WE HAVE IN OPPOSED POSITION ON
05:50:46.158 --> 05:50:49.929 region:rollup2
THIS BILL. WE BELIEVE.
05:50:48.427 --> 05:50:52.131 region:rollup2
IT'S DUPLICATIVE AND
05:50:49.929 --> 05:50:53.666 region:rollup2
UNNECESSARY NUMEROUS OF THE DATA
05:50:52.131 --> 05:50:55.001 region:rollup2
POINTS HAVE BEEN OUTLINED IN
05:50:53.666 --> 05:50:56.469 region:rollup2
THIS STATUTE ARE CURRENTLY
05:50:55.001 --> 05:50:58.004 region:rollup2
COLLECTED BY THE DEPARTMENT OF
05:50:56.469 --> 05:50:59.138 region:rollup2
HEALTH CARE SERVICES. AND THE
05:50:58.004 --> 05:51:01.140 region:rollup2
OVERSIGHT AND ACCOUNTABILITY
05:50:59.138 --> 05:51:02.975 region:rollup2
COMMISSION. SO WE FEEL THE
05:51:01.140 --> 05:51:04.977 region:rollup2
STATUTE DOESN'T REFLECT ALL THE
05:51:02.975 --> 05:51:06.846 region:rollup2
GREAT WORK THAT IS BEING DONE.
05:51:04.977 --> 05:51:09.148 region:rollup2
IN THE DATA COLLECTION AND
05:51:06.846 --> 05:51:11.117 region:rollup2
ANALYSIS AREA AND IN FACT WE
05:51:09.148 --> 05:51:12.184 region:rollup2
HAVE A SEPARATE PROPOSAL TO
05:51:11.117 --> 05:51:14.086 region:rollup2
EVALUATE THE MENTAL HEALTH
05:51:12.184 --> 05:51:15.488 region:rollup2
SERVICES ACT TO LEVERAGE ALL
05:51:14.086 --> 05:51:17.456 region:rollup2
THAT DATA THAT IS CURRENTLY.
05:51:15.488 --> 05:51:19.859 region:rollup2
COLLECTED IN FOR THESE REASONS
05:51:17.456 --> 05:51:20.359 region:rollup2
WE OPPOSE THE SPELL.
05:51:19.859 --> 05:51:24.263 region:rollup2
IS THERE ANYONE ELSE IN
05:51:20.359 --> 05:51:24.864 region:rollup2
OPPOSITE.
05:51:24.263 --> 05:51:25.364 region:rollup2
WE KNOW AND BRING BACK TO THE
05:51:24.864 --> 05:51:28.100 region:rollup2
COMMITTEE FOR QUESTIONS
05:51:25.364 --> 05:51:40.413 region:rollup2
COMMENTS.
05:51:28.100 --> 05:51:40.813 region:rollup2
BEEN MOVED I.
05:51:40.413 --> 05:51:42.114 region:rollup2
SUBS ARE WE HAVE.
05:51:40.813 --> 05:51:43.482 region:rollup2
.
05:51:42.114 --> 05:51:44.684 region:rollup2
A MOTION AND A SECOND.
05:51:43.482 --> 05:51:46.686 region:rollup2
I DO I DO YOU HAVE.
05:51:44.684 --> 05:51:48.054 region:rollup2
.
05:51:46.686 --> 05:51:49.322 region:rollup2
SOME COMMENTS AND THEN I'LL
05:51:48.054 --> 05:51:50.590 region:rollup2
ALLOW YOU TO CLOSE A SAID.
05:51:49.322 --> 05:51:51.624 region:rollup2
YOU KNOW THE BILL WOULD
05:51:50.590 --> 05:51:53.893 region:rollup2
SUBSTANTIALLY AMENDED AT THE
05:51:51.624 --> 05:51:54.760 region:rollup2
LAST MINUTE.
05:51:53.893 --> 05:51:55.761 region:rollup2
THE PREVIOUS VERSION THE BILL
05:51:54.760 --> 05:51:57.596 region:rollup2
ESTABLISHED AN ENTIRELY NEW
05:51:55.761 --> 05:51:58.364 region:rollup2
DEPARTMENT.
05:51:57.596 --> 05:51:59.665 region:rollup2
FOUR OF THE OVERSIGHT OF MENTAL
05:51:58.364 --> 05:52:01.567 region:rollup2
HEALTH FUNDS LAST WEEK AS
05:51:59.665 --> 05:52:03.369 region:rollup2
AMENDED TO IN TWO INSTEAD
05:52:01.567 --> 05:52:04.537 region:rollup2
ESTABLISH A STATUTE. O. INSTEAD
05:52:03.369 --> 05:52:05.972 region:rollup2
YOU NUMEROUS NEW REQUIREMENTS ON
05:52:04.537 --> 05:52:06.739 region:rollup2
LOCAL GOVERNMENTS IN THE SPIRIT
05:52:05.972 --> 05:52:08.841 region:rollup2
OF ACCOUNTABILITY AND
05:52:06.739 --> 05:52:10.076 region:rollup2
TRANSPARENCY SOMETHING THAT I
05:52:08.841 --> 05:52:11.911 region:rollup2
FEEL VERY STRONGLY ABOUT.
05:52:10.076 --> 05:52:13.980 region:rollup2
BUT I WOULD I WOULD SAY THIS IS
05:52:11.911 --> 05:52:15.348 region:rollup2
IT THIS WAS LAST WEEK A HUGE
05:52:13.980 --> 05:52:16.615 region:rollup2
REWRITE OF THE BILL.
05:52:15.348 --> 05:52:18.184 region:rollup2
WHILE THE COMMISSION IS ALREADY
05:52:16.615 --> 05:52:19.385 region:rollup2
DOING MOST OF WHAT THE WORK AT
05:52:18.184 --> 05:52:21.020 region:rollup2
THAT OF THAT THAT THIS BILL
05:52:19.385 --> 05:52:21.988 region:rollup2
REQUIRES WE DIDN'T REALLY HAVE
05:52:21.020 --> 05:52:24.090 region:rollup2
ADEQUATE TIME TO HAVE THE
05:52:21.988 --> 05:52:26.192 region:rollup2
STAKEHOLDER DISCUSSIONS.
05:52:24.090 --> 05:52:27.159 region:rollup2
DE ACTUALLY SPEAK WITH THE
05:52:26.192 --> 05:52:28.894 region:rollup2
STATE BECAUSE IT WOULD BE
05:52:27.159 --> 05:52:30.329 region:rollup2
AFFECTED BY THE BILL.
05:52:28.894 --> 05:52:31.564 region:rollup2
THAT'S THE REASON I DON'T HAVE A
05:52:30.329 --> 05:52:33.933 region:rollup2
RECOMMENDATION ON THE ON THE
05:52:31.564 --> 05:52:35.901 region:rollup2
BILL AT THIS POINT SO I'M LIKE.
05:52:33.933 --> 05:52:36.502 region:rollup2
COMMITTEE MAY YOU KNOW HOWEVER
05:52:35.901 --> 05:52:37.937 region:rollup2
THEY HAVEN'T USED TO VOTE THAT
05:52:36.502 --> 05:52:39.905 region:rollup2
THAT'S.
05:52:37.937 --> 05:52:42.675 region:rollup2
THAT'S THAT'S MY CONCERN.
05:52:39.905 --> 05:52:43.275 region:rollup2
WITHOUT ALL OF THE WHAT YOU GO
05:52:42.675 --> 05:52:44.377 region:rollup2
AHEAD AND CLOSE IF YOU LIKE MR
05:52:43.275 --> 05:52:45.645 region:rollup2
KILEY.
05:52:44.377 --> 05:52:47.046 region:rollup2
YES THINK MISTER CHAIR AND I
05:52:45.645 --> 05:52:48.247 region:rollup2
APPRECIATE THAT I I WILL TELL
05:52:47.046 --> 05:52:50.883 region:rollup2
YOU THAT THIS IS BEEN A TWO YEAR
05:52:48.247 --> 05:52:52.418 region:rollup2
EFFORT FOR US I. IN TRYING TO.
05:52:50.883 --> 05:52:53.586 region:rollup2
MOVE THE BALL FORWARD AYE WHEN
05:52:52.418 --> 05:52:55.855 region:rollup2
IT COMES TO AN ISSUE THAT I
05:52:53.586 --> 05:52:56.789 region:rollup2
THINK WE ALL I RECOGNIZE IN
05:52:55.855 --> 05:52:57.990 region:rollup2
THAT'S BEEN RECOGNIZED WITH A
05:52:56.789 --> 05:52:59.992 region:rollup2
LITTLE WHO HOOVER COMMISSION. I
05:52:57.990 --> 05:53:01.494 region:rollup2
AND SEVERAL TIMES BY THE STATE
05:52:59.992 --> 05:53:03.195 region:rollup2
AUDITOR INCLUDING AGAIN JUST A A
05:53:01.494 --> 05:53:03.729 region:rollup2
COUPLE MONTHS AGO AND I IT'S
05:53:03.195 --> 05:53:05.464 region:rollup2
TRUE THAT.
05:53:03.729 --> 05:53:07.066 region:rollup2
WHEN WE FIRST SET OUT WE WERE
05:53:05.464 --> 05:53:07.666 region:rollup2
DOING SOMETHING BROADER.
05:53:07.066 --> 05:53:08.901 region:rollup2
BUT WE'VE BEEN MEETING WITH
05:53:07.666 --> 05:53:10.503 region:rollup2
STAKEHOLDERS.
05:53:08.901 --> 05:53:12.471 region:rollup2
OF OF ALL KINDS AYE THROUGHOUT
05:53:10.503 --> 05:53:14.373 region:rollup2
THE LAST TWO YEARS AND OF REALLY
05:53:12.471 --> 05:53:15.374 region:rollup2
I THINK CHISELED OUT AND AN AREA
05:53:14.373 --> 05:53:17.143 region:rollup2
OF SOME CONSENSUS AND I
05:53:15.374 --> 05:53:18.411 region:rollup2
UNDERSTAND THEIR CONCERNS AYE
05:53:17.143 --> 05:53:19.712 region:rollup2
THAT I'LL I'LL GET TO THAT IN
05:53:18.411 --> 05:53:21.047 region:rollup2
JUST A SECOND BUT I'M. WE
05:53:19.712 --> 05:53:22.681 region:rollup2
ARRIVED AT THE CONCLUSION THAT
05:53:21.047 --> 05:53:23.416 region:rollup2
PERHAPS THE BEST STEP WE COULD
05:53:22.681 --> 05:53:25.451 region:rollup2
TAKE.
05:53:23.416 --> 05:53:26.519 region:rollup2
WHEN IT COMES TO OUR BEING ABLE
05:53:25.451 --> 05:53:28.220 region:rollup2
TO MORE EFFECTIVELY DELIVER
05:53:26.519 --> 05:53:30.056 region:rollup2
MENTAL HEALTH CARE SERVICES WAS
05:53:28.220 --> 05:53:31.457 region:rollup2
TO GET THE DATA AYE THAT TOBY
05:53:30.056 --> 05:53:33.259 region:rollup2
AND HIS COMMISSION AND OUR LOCAL
05:53:31.457 --> 05:53:35.261 region:rollup2
I. HEALTHCARE LEADERS NEED. IN
05:53:33.259 --> 05:53:35.895 region:rollup2
ORDER TO FIGURE OUT WHAT IS
05:53:35.261 --> 05:53:37.363 region:rollup2
WORKING SO THAT WE CAN DO MORE
05:53:35.895 --> 05:53:38.097 region:rollup2
OF IT SO THAT WE CAN REACH MORE
05:53:37.363 --> 05:53:40.900 region:rollup2
PEOPLE.
05:53:38.097 --> 05:53:41.634 region:rollup2
THAT WE CAN SAVE MORE LIVES IN
05:53:40.900 --> 05:53:42.568 region:rollup2
TURN AROUND MORE LIVES
05:53:41.634 --> 05:53:43.502 region:rollup2
AND I THERE'S A LOT OF OTHER AYE
05:53:42.568 --> 05:53:44.837 region:rollup2
MEASURES GOING ON IN THE
05:53:43.502 --> 05:53:46.072 region:rollup2
LEGISLATURE RIGHT NOW THAT ARE
05:53:44.837 --> 05:53:47.573 region:rollup2
IMPORTANT AND ARE SEEKING TO
05:53:46.072 --> 05:53:48.607 region:rollup2
ADDRESS THIS PROBLEM AS WELL. I
05:53:47.573 --> 05:53:50.976 region:rollup2
THINK THIS IS A REALLY IMPORTANT
05:53:48.607 --> 05:53:53.546 region:rollup2
STEP. I'M AND WE'RE VERY MUCH I
05:53:50.976 --> 05:53:54.380 region:rollup2
YOU KNOW I. OPEN AND WILLING TO
05:53:53.546 --> 05:53:55.948 region:rollup2
CONTINUING THE CONVERSATION TO
05:53:54.380 --> 05:53:57.283 region:rollup2
ADDRESS THESE CONCERNS I WILL
05:53:55.948 --> 05:53:58.651 region:rollup2
SAY THAT TO THE EXTENT THAT
05:53:57.283 --> 05:54:00.186 region:rollup2
THERE IS A CONCERN ABOUT.
05:53:58.651 --> 05:54:01.887 region:rollup2
THEY'RE ALREADY BEING EXISTING
05:54:00.186 --> 05:54:03.389 region:rollup2
REPORTING REQUIREMENTS ACTUALLY
05:54:01.887 --> 05:54:05.257 region:rollup2
PART OF OUR BILL THIS IS IN.
05:54:03.389 --> 05:54:06.358 region:rollup2
SUBSECTION SEE IS TO SUPPORT
05:54:05.257 --> 05:54:07.893 region:rollup2
ENHANCE TRANSPARENCY OUTCOME
05:54:06.358 --> 05:54:09.862 region:rollup2
ACCOUNTABILITY THE COMMISSION SO
05:54:07.893 --> 05:54:11.163 region:rollup2
ASSESS THE ADEQUACY OF EXISTING
05:54:09.862 --> 05:54:12.698 region:rollup2
STATUTORY REGULATORY DATA
05:54:11.163 --> 05:54:14.033 region:rollup2
REPORTING REQUIREMENT STRATEGIES
05:54:12.698 --> 05:54:14.934 region:rollup2
AND PRACTICES AND MAKE
05:54:14.033 --> 05:54:15.367 region:rollup2
RECOMMENDATIONS TO THE GOVERNOR
05:54:14.934 --> 05:54:16.702 region:rollup2
AND LEGISLATURE FOR
05:54:15.367 --> 05:54:17.736 region:rollup2
STREAMLINING.
05:54:16.702 --> 05:54:19.338 region:rollup2
AND STRENGTHENING THOSE
05:54:17.736 --> 05:54:20.506 region:rollup2
STRATEGIES TO REDUCE COSTS AND
05:54:19.338 --> 05:54:22.174 region:rollup2
IMPROVE THE USE OF INFORMATION
05:54:20.506 --> 05:54:23.542 region:rollup2
TO GUIDE PROGRAM FISCAL AND
05:54:22.174 --> 05:54:24.677 region:rollup2
RELATED DECISIONS I THINK THE
05:54:23.542 --> 05:54:26.712 region:rollup2
IMPACT OF THIS WON'T BE TO
05:54:24.677 --> 05:54:27.646 region:rollup2
INCREASE ANY BURDENS ARE ON YOUR
05:54:26.712 --> 05:54:28.681 region:rollup2
AND BUT RATHER TO MAKE SURE THAT
05:54:27.646 --> 05:54:30.149 region:rollup2
THE AT THE DATA THAT WE'RE
05:54:28.681 --> 05:54:31.617 region:rollup2
GETTING. IS IS WHAT WE NEED IN
05:54:30.149 --> 05:54:33.352 region:rollup2
ORDER TO MAKE INFORMED DECISIONS
05:54:31.617 --> 05:54:33.986 region:rollup2
GOING FORWARD AYE SO I THANK
05:54:33.352 --> 05:54:36.222 region:rollup2
VERY MUCH THE COMMITTEE FOR ITS
05:54:33.986 --> 05:54:38.791 region:rollup2
COOPERATION AND I RESPECTFULLY
05:54:36.222 --> 05:54:39.925 region:rollup2
ASK YOUR ABOUT.
05:54:38.791 --> 05:54:43.629 region:rollup2
SO WE HAVE A MOTION.
05:54:39.925 --> 05:54:45.131 region:rollup2
BY A MISTER BIGELOW A SECOND BY.
05:54:43.629 --> 05:54:46.565 region:rollup2
MISTER FLORA MEANT SECTOR
05:54:45.131 --> 05:54:48.200 region:rollup2
PLEASE ADD THAT MOTIONS TO
05:54:46.565 --> 05:54:48.768 region:rollup2
PATRICK REPARATIONS MEN
05:54:48.200 --> 05:54:48.968 region:rollup2
SECRETARY OF PLEASE CALL THE
05:54:48.768 --> 05:54:51.036 region:rollup2
ROLL.
05:54:48.968 --> 05:55:00.446 region:rollup2
WOULD.
05:54:51.036 --> 05:55:02.414 region:rollup2
WHAT NOT VOTING MAYES?
05:55:00.446 --> 05:55:03.983 region:rollup2
AGAR CURRY. AGUIAR-CURRY NOT
05:55:02.414 --> 05:55:06.652 region:rollup2
VOTING BIGELOW.
05:55:03.983 --> 05:55:09.555 region:rollup2
BIGELOW AYE BONTA.
05:55:06.652 --> 05:55:11.924 region:rollup2
BURKE.
05:55:09.555 --> 05:55:13.459 region:rollup2
BURKE NOT VOTING CARILLO.
05:55:11.924 --> 05:55:15.861 region:rollup2
FLORA
05:55:13.459 --> 05:55:18.631 region:rollup2
FLORA I LIMON.
05:55:15.861 --> 05:55:20.933 region:rollup2
MCCARTY.
05:55:18.631 --> 05:55:22.968 region:rollup2
MCCARTY I NAZARIAN.
05:55:20.933 --> 05:55:26.038 region:rollup2
RODRIGUEZ.
05:55:22.968 --> 05:55:28.874 region:rollup2
SANTIAGO.
05:55:26.038 --> 05:55:30.209 region:rollup2
SANTIAGO AYE BERMAN.
05:55:28.874 --> 05:55:34.980 region:rollup2
WALDRON.
05:55:30.209 --> 05:55:36.749 region:rollup2
WALDRON AYE.
05:55:34.980 --> 05:55:38.517 region:rollup2
GET FIVE VOTES IN A WHOLE SLEW
05:55:36.749 --> 05:55:40.152 region:rollup2
OF MISSING MEMBER SO WILL LEAVE
05:55:38.517 --> 05:55:41.187 region:rollup2
THE BILL ON BECAUSE. I THINK IT
05:55:40.152 --> 05:55:45.724 region:rollup2
IS A TACTIC.
05:55:41.187 --> 05:55:46.358 region:rollup2
.
05:55:45.724 --> 05:55:49.128 region:rollup2
LOOKING UP MISTER SOLACE YOUR
05:55:46.358 --> 05:55:54.500 region:rollup2
NEXT.
05:55:49.128 --> 05:55:56.502 region:rollup2
IN FILE ORDER.
05:55:54.500 --> 05:55:57.036 region:rollup2
I THINK. THE BILL NUMBER TWENTY
05:55:56.502 --> 05:55:58.437 region:rollup2
EIGHT SIXTY ONE YOU HAVE A
05:55:57.036 --> 05:56:00.039 region:rollup2
MOTION.
05:55:58.437 --> 05:56:01.473 region:rollup2
THINK RISK CHAIRWOMAN JUST AS
05:56:00.039 --> 05:56:02.975 region:rollup2
STATE OPERATES SAYING I'LL TAKE
05:56:01.473 --> 05:56:04.109 region:rollup2
THAT COMMITTEE AMENDMENTS THAT
05:56:02.975 --> 05:56:05.744 region:rollup2
STAFF WORK ON THE MAKE THE BILL
05:56:04.109 --> 05:56:07.346 region:rollup2
IMPLEMENTABLE. APART FEDERAL
05:56:05.744 --> 05:56:08.447 region:rollup2
PARTICIPATION IN THINK THE CHAIR
05:56:07.346 --> 05:56:10.216 region:rollup2
OF THE COMMITTEE FOR THEIR WORK
05:56:08.447 --> 05:56:12.084 region:rollup2
THIS IS A BILL THAT ADDRESSES
05:56:10.216 --> 05:56:14.420 region:rollup2
THE HOPI OPIOID EPIDEMIC YOU
05:56:12.084 --> 05:56:14.954 region:rollup2
TELL HEALTH SERVICES APPRECIATE
05:56:14.420 --> 05:56:17.456 region:rollup2
AYE VOTE THANK YOU FOR THE
05:56:14.954 --> 05:56:18.657 region:rollup2
MOTION.
05:56:17.456 --> 05:56:19.892 region:rollup2
HI THANK YOU MISTER MEMBERS TOM
05:56:18.657 --> 05:56:21.427 region:rollup2
READ THROUGH WITH CALIFORNIA
05:56:19.892 --> 05:56:22.428 region:rollup2
BEHAVIORAL HEALTH DIRECTORS ARE
05:56:21.427 --> 05:56:24.063 region:rollup2
THIS IS A GREAT BILL THAT'S
05:56:22.428 --> 05:56:24.697 region:rollup2
GOING TO SAVE LIVES WE ENCOURAGE
05:56:24.063 --> 05:56:26.532 region:rollup2
YOUR SUPPORT I'M HAPPY TO ANSWER
05:56:24.697 --> 05:56:31.637 region:rollup2
ANY QUESTIONS.
05:56:26.532 --> 05:56:32.972 region:rollup2
TO OTHERS IN SUPPORT.
05:56:31.637 --> 05:56:34.039 region:rollup2
THE SHUTTLE COLUMBIA HAVE THE
05:56:32.972 --> 05:56:36.242 region:rollup2
SAN DIEGO COUNTY FOR SUPERVISORS
05:56:34.039 --> 05:56:40.279 region:rollup2
SUPPORT.
05:56:36.242 --> 05:56:41.113 region:rollup2
ZERO ANYONE IN OPPOSITION.
05:56:40.279 --> 05:56:41.647 region:rollup2
SHE KNOW WILL BRING BACK TO THE
05:56:41.113 --> 05:56:45.084 region:rollup2
COMMITTEE FOR QUESTIONS OR
05:56:41.647 --> 05:56:45.918 region:rollup2
CRIME.
05:56:45.084 --> 05:56:47.319 region:rollup2
SEEN.
05:56:45.918 --> 05:56:48.621 region:rollup2
DID YOU ACCEPT OUR AMENDMENTS
05:56:47.319 --> 05:56:50.522 region:rollup2
MISTER SOLACE YES THAT'S WHAT I
05:56:48.621 --> 05:56:51.523 region:rollup2
FIRST STARTED WITH.
05:56:50.522 --> 05:56:53.359 region:rollup2
IT'S BEEN A LONG GAMES FOR
05:56:51.523 --> 05:56:55.094 region:rollup2
SOLACE I DON'T REMEMBER THAT WAS
05:56:53.359 --> 05:56:56.662 region:rollup2
HE WAS JUST VERY WELL.
05:56:55.094 --> 05:56:57.997 region:rollup2
SO WE HAVE OF MOTION BY MISTER
05:56:56.662 --> 05:56:59.832 region:rollup2
SANTIAGO A SECOND BY MISS
05:56:57.997 --> 05:57:01.667 region:rollup2
WALDRON THE MOTIONS DO PASS AS
05:56:59.832 --> 05:57:03.435 region:rollup2
AMENDED TO APPROPRIATIONS MANY.
05:57:01.667 --> 05:57:12.611 region:rollup2
TERRY PLEASE CALL THE ROLL WOULD
05:57:03.435 --> 05:57:14.513 region:rollup2
I WOULD I MAYES.
05:57:12.611 --> 05:57:16.715 region:rollup2
MAYES NOT VOTING AGUIAR-CURRY.
05:57:14.513 --> 05:57:18.217 region:rollup2
AND YOUR CAREER AYE BIGELOW.
05:57:16.715 --> 05:57:19.585 region:rollup2
BIGELOW AYE BONTA.
05:57:18.217 --> 05:57:20.853 region:rollup2
BURKE.
05:57:19.585 --> 05:57:22.988 region:rollup2
BURKE I.
05:57:20.853 --> 05:57:25.257 region:rollup2
CARILLO.
05:57:22.988 --> 05:57:29.461 region:rollup2
FLORA. FLORA ISLA MON.
05:57:25.257 --> 05:57:32.564 region:rollup2
MCCARTY.
05:57:29.461 --> 05:57:34.166 region:rollup2
NAZARIAN. RODRIGUEZ.
05:57:32.564 --> 05:57:36.802 region:rollup2
SANTIAGO.
05:57:34.166 --> 05:57:42.041 region:rollup2
SANTIAGO AYE BERMAN. BERMAN AYE
05:57:36.802 --> 05:57:43.342 region:rollup2
WALDRON WALDRON AYE.
05:57:42.041 --> 05:57:47.646 region:rollup2
MAYES I.
05:57:43.342 --> 05:57:48.414 region:rollup2
MAYES I.
05:57:47.646 --> 05:57:49.848 region:rollup2
THANK YOU AYE CIGARETTE NINE
05:57:48.414 --> 05:57:51.450 region:rollup2
ZERO ON YOUR BILLS OUT THANKS
05:57:49.848 --> 05:57:55.521 region:rollup2
VERY MUCH MR SONGS.
05:57:51.450 --> 05:58:00.693 region:rollup2
LOOKING AROUND FOR FACES.
05:57:55.521 --> 05:58:01.260 region:rollup2
MISTER FRAZIER. GROUND.
05:58:00.693 --> 05:58:06.865 region:rollup2
KNOW WHAT MISTER FRAZIER GO
05:58:01.260 --> 05:58:13.639 region:rollup2
FIRST HE'S BEEN.
05:58:06.865 --> 05:58:17.109 region:rollup2
LIKE.
05:58:13.639 --> 05:58:22.147 region:rollup2
MISTER CHAIRMAN WE HAVE A FEW I
05:58:17.109 --> 05:58:23.215 region:rollup2
WAS SORT OF LIKE TO DISCUSS.
05:58:22.147 --> 05:58:28.887 region:rollup2
YOU'RE LOSING SUPPORT RAPIDLY
05:58:23.215 --> 05:58:30.789 region:rollup2
MISTER FRAZIER.
05:58:28.887 --> 05:58:31.890 region:rollup2
GOOD AFTERNOON.
05:58:30.789 --> 05:58:33.826 region:rollup2
RIGHT AFTER GOOD EVENING
05:58:31.890 --> 05:58:34.960 region:rollup2
CHARITON MEMBERS.
05:58:33.826 --> 05:58:35.894 region:rollup2
I LIKE TO BEGIN BY SAYING THAT I
05:58:34.960 --> 05:58:37.363 region:rollup2
ACCEPT THE COMMITTEES
05:58:35.894 --> 05:58:39.198 region:rollup2
RECOMMENDED AMENDMENT OUTLINED
05:58:37.363 --> 05:58:40.566 region:rollup2
ON PAGE FOUR OF THE ANALYSIS.
05:58:39.198 --> 05:58:41.834 region:rollup2
SOME OF OUR WITNESSES HAD TO
05:58:40.566 --> 05:58:43.335 region:rollup2
LEAVE TODAY BECAUSE A PET PLANE
05:58:41.834 --> 05:58:46.004 region:rollup2
FLIGHT SO WE WILL BE A LOT
05:58:43.335 --> 05:58:47.339 region:rollup2
BRIEFER THAN WE INTENDED TO BE.
05:58:46.004 --> 05:58:48.707 region:rollup2
AB THIRTY THIRTY TWO WOULD
05:58:47.339 --> 05:58:50.109 region:rollup2
REQUIRE HOSPITALS WITH A
05:58:48.707 --> 05:58:51.677 region:rollup2
PRENATAL UNIT TO DEVELOP AND
05:58:50.109 --> 05:58:54.213 region:rollup2
IMPLEMENT A QUALITY MANAGEMENT
05:58:51.677 --> 05:58:56.515 region:rollup2
PROGRAM RELATING TO MATERIAL. OF
05:58:54.213 --> 05:58:57.282 region:rollup2
MATERNAL MENTAL HEALTH WHICH
05:58:56.515 --> 05:58:59.485 region:rollup2
ALSO INCLUDES POSTPARTUM
05:58:57.282 --> 05:59:00.753 region:rollup2
DEPRESSION.
05:58:59.485 --> 05:59:02.254 region:rollup2
THIS BILL IS A MODEST STEP
05:59:00.753 --> 05:59:03.055 region:rollup2
TOWARD ADDRESSING THE MENTAL
05:59:02.254 --> 05:59:05.090 region:rollup2
HEALTH NEEDS OF OUR MOTHERS AND
05:59:03.055 --> 05:59:06.358 region:rollup2
OUR CHILDREN.
05:59:05.090 --> 05:59:07.726 region:rollup2
AB THIRTY THIRTY TWO AUGMENTS
05:59:06.358 --> 05:59:09.561 region:rollup2
THE RECOMMENDATIONS OF THE
05:59:07.726 --> 05:59:11.630 region:rollup2
CALIFORNIA'S OF MATERNAL MENTAL
05:59:09.561 --> 05:59:13.332 region:rollup2
HEALTH TASK FORCE.
05:59:11.630 --> 05:59:14.833 region:rollup2
ONE IN FIVE OF NEW OR EXPECTANT
05:59:13.332 --> 05:59:15.968 region:rollup2
MOTHERS
05:59:14.833 --> 05:59:17.669 region:rollup2
WILL EXPERIENCING A MENTAL
05:59:15.968 --> 05:59:19.538 region:rollup2
HEALTH DISORDER. DURING A
05:59:17.669 --> 05:59:21.640 region:rollup2
PREGNANCY OR THE FIRST YEAR
05:59:19.538 --> 05:59:23.409 region:rollup2
FOLLOWING CHILDBIRTH.
05:59:21.640 --> 05:59:25.477 region:rollup2
IT IS IMPERATIVE THAT WE BREAK
05:59:23.409 --> 05:59:26.712 region:rollup2
THE STIGMA ATTACHED TO MH
05:59:25.477 --> 05:59:28.680 region:rollup2
DISORDERS AND ADDRESS THE NEEDS
05:59:26.712 --> 05:59:30.082 region:rollup2
OF NEW MOTHERS.
05:59:28.680 --> 05:59:32.251 region:rollup2
FAR TO OFTEN NEW MOTHERS
05:59:30.082 --> 05:59:33.752 region:rollup2
EXPERIENCING SEVERE DEPRESSION
05:59:32.251 --> 05:59:36.722 region:rollup2
AND ANXIETY FEEL ASHAMED
05:59:33.752 --> 05:59:38.323 region:rollup2
INADEQUATE. OR SCARED AND DO NOT
05:59:36.722 --> 05:59:41.894 region:rollup2
SEEK THE CLINICAL ASSESSMENT
05:59:38.323 --> 05:59:43.128 region:rollup2
TREATMENT THEY DESPERATELY NEED.
05:59:41.894 --> 05:59:44.763 region:rollup2
MATERNAL DEPRESSION IS AN
05:59:43.128 --> 05:59:46.498 region:rollup2
ECONOMIC BURDEN. ON THE UNITED
05:59:44.763 --> 05:59:47.1000 region:rollup2
STATES.
05:59:46.498 --> 05:59:50.469 region:rollup2
THE COST OF UNTREATED DEPRESSION
05:59:47.1000 --> 05:59:52.938 region:rollup2
INCLUDE LOSS OF PRODUCTIVITY AND
05:59:50.469 --> 05:59:54.173 region:rollup2
MEDICAL COSTS AND ALSO.
05:59:52.938 --> 05:59:55.507 region:rollup2
UNTREATED MATERNAL MENTAL
05:59:54.173 --> 05:59:57.476 region:rollup2
DEPRESSION NEGATIVELY IMPACTS
05:59:55.507 --> 05:59:58.544 region:rollup2
EMPLOYMENT HOUSEHOLD INCOME
05:59:57.476 --> 06:00:00.813 region:rollup2
BURNING THE PUBLIC ASSIST
05:59:58.544 --> 06:00:02.548 region:rollup2
ASSISTANCE SYSTEM.
06:00:00.813 --> 06:00:03.048 region:rollup2
AND THE WORST CASE MOTHERS AND
06:00:02.548 --> 06:00:04.983 region:rollup2
FAMILY SUFFER THE MOST
06:00:03.048 --> 06:00:07.986 region:rollup2
SIGNIFICANT COST.
06:00:04.983 --> 06:00:10.022 region:rollup2
SUICIDE.
06:00:07.986 --> 06:00:12.024 region:rollup2
MEMBERS I UNDERSTAND UNLESS YOU
06:00:10.022 --> 06:00:13.892 region:rollup2
MOVE THERE ARE CONCERNS WITH THE
06:00:12.024 --> 06:00:15.227 region:rollup2
BILL IN ITS CURRENT FORM.
06:00:13.892 --> 06:00:16.462 region:rollup2
HOWEVER I INTEND TO WORK CLOSELY
06:00:15.227 --> 06:00:18.297 region:rollup2
WITH CH A.
06:00:16.462 --> 06:00:20.165 region:rollup2
HE HEALTH CARE PROVIDERS MEDICAL
06:00:18.297 --> 06:00:21.266 region:rollup2
STAFF AND STAKEHOLDERS TO ENSURE
06:00:20.165 --> 06:00:23.001 region:rollup2
THAT THIS BILL PROVIDES ALL
06:00:21.266 --> 06:00:24.636 region:rollup2
ENTITIES.
06:00:23.001 --> 06:00:25.904 region:rollup2
WITH THE NECESSARY TOOLS TO
06:00:24.636 --> 06:00:28.006 region:rollup2
SUPPORT NEW MOTHER STRUGGLING
06:00:25.904 --> 06:00:29.341 region:rollup2
FROM MH DISORDERS.
06:00:28.006 --> 06:00:32.211 region:rollup2
WITH ME TODAY'S CHOI BURKHART
06:00:29.341 --> 06:00:33.378 region:rollup2
WITH TWENTY TWENTY MONTHS.
06:00:32.211 --> 06:00:35.080 region:rollup2
AND DOCTOR MELANIE THOMAS THE
06:00:33.378 --> 06:00:38.750 region:rollup2
PSYCHIATRISTS WHO WORKS AT SAN
06:00:35.080 --> 06:00:40.385 region:rollup2
FRANCISCO GENERAL HOSPITAL.
06:00:38.750 --> 06:00:42.154 region:rollup2
WELL GOOD EVENING EVERYONE ENVY
06:00:40.385 --> 06:00:43.989 region:rollup2
I'M REALLY APPRECIATE YOUR LONG
06:00:42.154 --> 06:00:45.390 region:rollup2
NIGHTS IT'S VERY EVIDENT THAT
06:00:43.989 --> 06:00:46.658 region:rollup2
YOU CARE ABOUT THE HEALTH OF OUR
06:00:45.390 --> 06:00:48.160 region:rollup2
OUR STATES THANK YOU.
06:00:46.658 --> 06:00:49.361 region:rollup2
FOR THAT.
06:00:48.160 --> 06:00:51.029 region:rollup2
AND WE ARE CONCERNED THAT YOU
06:00:49.361 --> 06:00:53.265 region:rollup2
MAY BE HAVE NOT EATEN AS MOTHER
06:00:51.029 --> 06:00:54.967 region:rollup2
SO YEAH WE WILL WE HAVE TO HEAR
06:00:53.265 --> 06:00:57.102 region:rollup2
ABOUT LATER YEAH.
06:00:54.967 --> 06:00:58.570 region:rollup2
WELL WE ON OUR BACK AGAIN IN OUR
06:00:57.102 --> 06:00:59.738 region:rollup2
ASKING FOR YOUR SUPPORT ON
06:00:58.570 --> 06:01:01.340 region:rollup2
ANOTHER IMPORTANT BILL TO
06:00:59.738 --> 06:01:02.241 region:rollup2
ADDRESS MATERNAL MENTAL HEALTH
06:01:01.340 --> 06:01:03.742 region:rollup2
DISORDERS AS YOU'VE HEARD
06:01:02.241 --> 06:01:05.944 region:rollup2
EARLIER. MANY WOMEN.
06:01:03.742 --> 06:01:07.880 region:rollup2
ARE IMPACTED A HUNDRED THOUSAND
06:01:05.944 --> 06:01:09.248 region:rollup2
WOMEN IN OUR STATE EACH YEAR. OF
06:01:07.880 --> 06:01:10.048 region:rollup2
THE TASK FORCE ON MATERNAL
06:01:09.248 --> 06:01:11.617 region:rollup2
MENTAL HEALTH AGAIN AN
06:01:10.048 --> 06:01:13.652 region:rollup2
INDEPENDENT TASK FORCE WHICH
06:01:11.617 --> 06:01:15.988 region:rollup2
INCLUDED THE COST OF CALIFORNIA
06:01:13.652 --> 06:01:18.023 region:rollup2
HOSPITAL ASSOCIATION. RECOMMENDS
06:01:15.988 --> 06:01:19.958 region:rollup2
THAT HOSPITALS ARE ALSO AN
06:01:18.023 --> 06:01:21.593 region:rollup2
IMPORTANT KEY STAKEHOLDERS AND
06:01:19.958 --> 06:01:23.529 region:rollup2
SHOULD BE ADDRESSING MATERNAL
06:01:21.593 --> 06:01:25.964 region:rollup2
MENTAL HEALTH. UP IN IN WAYS
06:01:23.529 --> 06:01:27.733 region:rollup2
THAT SEE THE SEE FIT AND WE ASK
06:01:25.964 --> 06:01:32.671 region:rollup2
FOR YOUR SUPPORT ON A. B. THIRTY
06:01:27.733 --> 06:01:34.640 region:rollup2
THIRTY TWO TONIGHT THINK YOU.
06:01:32.671 --> 06:01:35.374 region:rollup2
GOOD EVENING ANDI AM DOCTOR
06:01:34.640 --> 06:01:37.543 region:rollup2
MELANIE THOMAS I'M A
06:01:35.374 --> 06:01:38.777 region:rollup2
PSYCHIATRIST AND A RESEARCHER
06:01:37.543 --> 06:01:40.012 region:rollup2
WHO WORKS AT SAN FRANCISCO
06:01:38.777 --> 06:01:42.180 region:rollup2
GENERAL HOSPITAL EMPLOYEE BY
06:01:40.012 --> 06:01:44.449 region:rollup2
UCSF. AND THANK YOU ALL FOR
06:01:42.180 --> 06:01:45.884 region:rollup2
STAYING LATE AND I KNOW I'M
06:01:44.449 --> 06:01:48.086 region:rollup2
HUNGRY AND I'M SURE YOU ARE TOO.
06:01:45.884 --> 06:01:49.221 region:rollup2
AND I AM ALSO A MOTHER I'M ALSO
06:01:48.086 --> 06:01:51.256 region:rollup2
SOMEONE WHO HAS MY OWN
06:01:49.221 --> 06:01:53.025 region:rollup2
EXPERIENCE WITH A PSYCHIATRIC
06:01:51.256 --> 06:01:54.826 region:rollup2
ILLNESS. AND I TAKE THIS BILL
06:01:53.025 --> 06:01:56.028 region:rollup2
VERY SERIOUSLY AND I'M SURE THAT
06:01:54.826 --> 06:01:58.030 region:rollup2
YOU WELL AS WELL.
06:01:56.028 --> 06:02:00.732 region:rollup2
AND I JUST WANNA ADDRESS AND THE
06:01:58.030 --> 06:02:02.301 region:rollup2
QUESTION ABOUT WHY HOSPITALS I
06:02:00.732 --> 06:02:05.003 region:rollup2
WORK IN A HOSPITAL WHENEVER
06:02:02.301 --> 06:02:06.505 region:rollup2
COUNTY HOSPITALS I WORK ACROSS
06:02:05.003 --> 06:02:08.207 region:rollup2
DISCIPLINES BUT COLLEAGUES IN IT
06:02:06.505 --> 06:02:10.108 region:rollup2
WILL BE KIND FAMILY MEDICINE AND
06:02:08.207 --> 06:02:12.511 region:rollup2
PEDIATRICS. TO ATTEMPT TO
06:02:10.108 --> 06:02:14.846 region:rollup2
INTEGRATE CARE FOR WOMEN WHO ARE
06:02:12.511 --> 06:02:15.347 region:rollup2
PREGNANT AND POSTPARTUM WHO WALK
06:02:14.846 --> 06:02:16.348 region:rollup2
THROUGH THE DOORS OF OUR
06:02:15.347 --> 06:02:18.517 region:rollup2
HOSPITAL.
06:02:16.348 --> 06:02:21.486 region:rollup2
AND I BELIEVE THAT SUPPORT OF AB
06:02:18.517 --> 06:02:23.555 region:rollup2
THREE OH TO PRIO THREE TWO AM IS
06:02:21.486 --> 06:02:25.958 region:rollup2
CRITICAL I THINK IT'S IMPORTANT
06:02:23.555 --> 06:02:27.426 region:rollup2
TO HAVE OUR HOSPITALS AND PURSUE
06:02:25.958 --> 06:02:29.361 region:rollup2
THESE PROGRAMS THROUGH THEIR OWN
06:02:27.426 --> 06:02:31.263 region:rollup2
QUALITY MANAGEMENT. AND AND BE
06:02:29.361 --> 06:02:32.965 region:rollup2
HELD ACCOUNTABLE FOR DEVELOPING
06:02:31.263 --> 06:02:34.566 region:rollup2
PROGRAMS FOR THESE WOMEN. AND I
06:02:32.965 --> 06:02:36.969 region:rollup2
HAVE.
06:02:34.566 --> 06:02:38.537 region:rollup2
ALL KINDS OF EXAMPLES OF HOW
06:02:36.969 --> 06:02:40.539 region:rollup2
WOMEN FALL THROUGH THE CRACKS
06:02:38.537 --> 06:02:42.774 region:rollup2
IN OUR OUTPATIENT MENTAL HEALTH
06:02:40.539 --> 06:02:44.743 region:rollup2
CARE SERVICES MAKING THE
06:02:42.774 --> 06:02:46.612 region:rollup2
INVOLVEMENT OF THE HOSPITAL'S
06:02:44.743 --> 06:02:48.347 region:rollup2
CRITICAL TO REACH THESE WOMEN.
06:02:46.612 --> 06:02:49.514 region:rollup2
AND IN THE INTEREST OF TIME I
06:02:48.347 --> 06:02:51.650 region:rollup2
WON'T SHARE THEM ALL WITH YOU
06:02:49.514 --> 06:02:54.586 region:rollup2
AND BUT JUST KNOW THAT THAT THEY
06:02:51.650 --> 06:02:56.822 region:rollup2
DO EXIST AND THE BAD ALTHOUGH A
06:02:54.586 --> 06:02:58.423 region:rollup2
SHORT HOSPITAL STAY. THE LABOR
06:02:56.822 --> 06:02:59.424 region:rollup2
AND DELIVERY AND THE POST PARTUM
06:02:58.423 --> 06:03:01.893 region:rollup2
STATE DOES GIVE US AN
06:02:59.424 --> 06:03:03.362 region:rollup2
OPPORTUNITY TO INFLUENCE THESE
06:03:01.893 --> 06:03:05.597 region:rollup2
WOMEN AND THE LIVES OF THEIR
06:03:03.362 --> 06:03:06.465 region:rollup2
CHILDREN THINKING.
06:03:05.597 --> 06:03:10.669 region:rollup2
YOU VERY MUCH THERE'S OTHERS IN
06:03:06.465 --> 06:03:11.837 region:rollup2
SUPPORT.
06:03:10.669 --> 06:03:14.940 region:rollup2
RIGHT SPENCER WITH AMERICAN
06:03:11.837 --> 06:03:15.607 region:rollup2
COLLEGE OF OBGYN STRYCHNINE WE
06:03:14.940 --> 06:03:17.542 region:rollup2
DON'T HAVE AN OFFICIAL POSITION
06:03:15.607 --> 06:03:18.577 region:rollup2
YET. AND WE HAVE HAD SOME VERY
06:03:17.542 --> 06:03:19.611 region:rollup2
GOOD DISCUSSIONS WITH THE
06:03:18.577 --> 06:03:21.613 region:rollup2
AUTHORS OFFICE AND SO WE WILL BE
06:03:19.611 --> 06:03:22.180 region:rollup2
RECOMMENDING A SPORT AT THE NEXT
06:03:21.613 --> 06:03:25.083 region:rollup2
BOARD MEETING SO THANK YOU.
06:03:22.180 --> 06:03:26.485 region:rollup2
THANK YOU.
06:03:25.083 --> 06:03:28.487 region:rollup2
JACK AWAY WITH MY OTHERWISE ONLY
06:03:26.485 --> 06:03:30.022 region:rollup2
COUNTY AND ALSO REPRESENTING
06:03:28.487 --> 06:03:31.323 region:rollup2
EVERYBODY FROM AB TWO ONE NINE
06:03:30.022 --> 06:03:32.591 region:rollup2
THREE FROM EARLIER THAT HAD TO
06:03:31.323 --> 06:03:32.858 region:rollup2
LEAVE OUT WE ARE IN STRONG
06:03:32.591 --> 06:03:35.827 region:rollup2
SUPPORT.
06:03:32.858 --> 06:03:36.395 region:rollup2
Q..
06:03:35.827 --> 06:03:39.031 region:rollup2
CAN LEARN AS CHILDREN NOW IN
06:03:36.395 --> 06:03:40.198 region:rollup2
SUPPORT.
06:03:39.031 --> 06:03:41.667 region:rollup2
BARBARA GLAZER WITH THE
06:03:40.198 --> 06:03:43.402 region:rollup2
CALIFORNIA HOSPITAL ASSOCIATION
06:03:41.667 --> 06:03:44.770 region:rollup2
WE DO NOT HAVE A FORMAL POSITION
06:03:43.402 --> 06:03:46.471 region:rollup2
AT THIS TIME WE HAVE EXPRESSED
06:03:44.770 --> 06:03:48.306 region:rollup2
CONCERNS WE'VE MET WITH THE
06:03:46.471 --> 06:03:49.641 region:rollup2
AUTHORS STAFF SEVERAL TIMES. WE
06:03:48.306 --> 06:03:50.776 region:rollup2
VERY MUCH APPRECIATE THE
06:03:49.641 --> 06:03:51.777 region:rollup2
AMENDMENTS AND WE LOOK FORWARD
06:03:50.776 --> 06:03:55.113 region:rollup2
TO CONTINUING TO WORK WITH YOU
06:03:51.777 --> 06:03:59.718 region:rollup2
THANK YOU.
06:03:55.113 --> 06:04:00.652 region:rollup2
IS THERE ANYONE IN OPPOSITION.
06:03:59.718 --> 06:04:01.219 region:rollup2
SEE NO ONE BRING BACK TO THE
06:04:00.652 --> 06:04:02.387 region:rollup2
COMMITTEE FOR QUESTIONS OR
06:04:01.219 --> 06:04:03.622 region:rollup2
COMMENTS
06:04:02.387 --> 06:04:08.226 region:rollup2
IT'S OF THE AUTHOR.
06:04:03.622 --> 06:04:09.494 region:rollup2
WITNESSES.
06:04:08.226 --> 06:04:10.696 region:rollup2
LIKE WHICH I CLOSE MISTER
06:04:09.494 --> 06:04:12.597 region:rollup2
FRAZIER THANK YOU MISTER CHAIR
06:04:10.696 --> 06:04:14.700 region:rollup2
THIS IS FOR THE MOMS. RESPECT
06:04:12.597 --> 06:04:18.537 region:rollup2
WEST RIVAL.
06:04:14.700 --> 06:04:23.375 region:rollup2
WE HAVE A MOTION.
06:04:18.537 --> 06:04:25.444 region:rollup2
HAS IT I'M SORRY.
06:04:23.375 --> 06:04:27.079 region:rollup2
ALL RIGHT HERE SOAP. GROSS LOVE
06:04:25.444 --> 06:04:30.115 region:rollup2
WILL SLOW HERE LOCAL LOW BLOOD
06:04:27.079 --> 06:04:32.718 region:rollup2
SUGAR.
06:04:30.115 --> 06:04:35.387 region:rollup2
MY HANDS ARE SHAKEN.
06:04:32.718 --> 06:04:37.422 region:rollup2
SO THEM.
06:04:35.387 --> 06:04:38.357 region:rollup2
TIM MOST THE MOTION BY MISTER
06:04:37.422 --> 06:04:39.791 region:rollup2
AGUILAR CURRY THE SECOND BY
06:04:38.357 --> 06:04:41.493 region:rollup2
MISTER TERM.
06:04:39.791 --> 06:04:43.195 region:rollup2
THE MOTION IS TO PASS AS AMENDED
06:04:41.493 --> 06:04:44.696 region:rollup2
TO APPROPRIATIONS.
06:04:43.195 --> 06:04:48.166 region:rollup2
MAD SECRETARY PLEASE CALL THE
06:04:44.696 --> 06:04:50.736 region:rollup2
PRO WOULD I WOULD I MAYES MAYES
06:04:48.166 --> 06:04:51.870 region:rollup2
AYE ANGER CURRY. AGUIAR-CURRY
06:04:50.736 --> 06:04:53.171 region:rollup2
AYE BIGELOW.
06:04:51.870 --> 06:04:55.374 region:rollup2
BIGELOW AYE BONTA.
06:04:53.171 --> 06:04:57.976 region:rollup2
BURKE.
06:04:55.374 --> 06:05:00.212 region:rollup2
BURKE I CARILLO.
06:04:57.976 --> 06:05:03.115 region:rollup2
FLORA. FLORA AYE LOW MOAN.
06:05:00.212 --> 06:05:04.616 region:rollup2
MCCARTY.
06:05:03.115 --> 06:05:06.885 region:rollup2
NAZARIAN.
06:05:04.616 --> 06:05:09.888 region:rollup2
RODRIGUEZ.
06:05:06.885 --> 06:05:11.656 region:rollup2
SANTIAGO. SANTIAGO AYE THURMOND.
06:05:09.888 --> 06:05:13.658 region:rollup2
THURMOND AYE WALDRON LAWLER
06:05:11.656 --> 06:05:15.727 region:rollup2
CITED.
06:05:13.658 --> 06:05:17.496 region:rollup2
NINETEEN.
06:05:15.727 --> 06:05:18.130 region:rollup2
NIGERIA GOES OUT THANK YOU SO
06:05:17.496 --> 06:05:22.467 region:rollup2
MUCH THANK YOU MISTER CHAIRMAN.
06:05:18.130 --> 06:05:38.750 region:rollup2
THANK YOU.
06:05:22.467 --> 06:05:38.750 region:rollup2
YOUR JONES SAWYER
06:05:40.585 --> 06:05:41.386 region:rollup2
.
06:05:40.719 --> 06:05:44.656 region:rollup2
THANK YOU ARE.
06:05:41.386 --> 06:05:46.024 region:rollup2
GOOD.
06:05:44.656 --> 06:05:48.827 region:rollup2
I'LL MAKE THIS QUICK GOOD
06:05:46.024 --> 06:05:50.729 region:rollup2
EVENING MEMBERS UP AB. TWENTY
06:05:48.827 --> 06:05:51.463 region:rollup2
GOT TWENTY SIX NINETY ONE WERE
06:05:50.729 --> 06:05:53.198 region:rollup2
REQUIRED TO CALIFORNIA
06:05:51.463 --> 06:05:54.499 region:rollup2
DEPARTMENT OF EDUCATION TO
06:05:53.198 --> 06:05:56.968 region:rollup2
DEVELOP MATERIALS AND ONLINE
06:05:54.499 --> 06:05:58.336 region:rollup2
TRAINING MODULE ON HOW TO USE
06:05:56.968 --> 06:05:59.337 region:rollup2
TRAUMA INFORMED CARE AT SCHOOLS.
06:05:58.336 --> 06:06:00.739 region:rollup2
STUDIES NOW SHOW THAT NEARLY
06:05:59.337 --> 06:06:02.707 region:rollup2
EVERY.
06:06:00.739 --> 06:06:04.109 region:rollup2
SCHOOL EVERY EVERY SCHOOL HAS
06:06:02.707 --> 06:06:05.811 region:rollup2
CHILDREN WHO HAVE BEEN EXPOSED
06:06:04.109 --> 06:06:07.512 region:rollup2
TO OVERWHELMING DRAMATIC
06:06:05.811 --> 06:06:08.447 region:rollup2
EXPERIENCES SUCH AS WITNESSING
06:06:07.512 --> 06:06:10.015 region:rollup2
VIOLENCE BETWEEN THEIR
06:06:08.447 --> 06:06:11.616 region:rollup2
CARETAKERS.
06:06:10.015 --> 06:06:12.717 region:rollup2
BEING TO DIRECT TARGET OF ABUSE
06:06:11.616 --> 06:06:14.152 region:rollup2
AND OF AND ALL KINDS OF
06:06:12.717 --> 06:06:15.687 region:rollup2
ADVERSITY.
06:06:14.152 --> 06:06:17.589 region:rollup2
THE ASUS STUDY HAS SHOWN A
06:06:15.687 --> 06:06:19.891 region:rollup2
STRONG ASSOCIATION BETWEEN HIGH
06:06:17.589 --> 06:06:21.927 region:rollup2
H. ESCORTS AND PERFORMS AT
06:06:19.891 --> 06:06:22.427 region:rollup2
SCHOOL INCLUDING THE HIGHER RISK
06:06:21.927 --> 06:06:23.628 region:rollup2
OF LEARNING AND BEHAVIOR
06:06:22.427 --> 06:06:24.863 region:rollup2
PROBLEMS.
06:06:23.628 --> 06:06:26.498 region:rollup2
DRUM INFORM SCHOOL INITIATIVE
06:06:24.863 --> 06:06:28.366 region:rollup2
WILL ALLOW CALIFORNIA CATCH UP
06:06:26.498 --> 06:06:30.502 region:rollup2
WITH STATES LIKE MASSACHUSETTS
06:06:28.366 --> 06:06:31.069 region:rollup2
OHIO MICHIGAN AND OTHERS HAVE
06:06:30.502 --> 06:06:33.071 region:rollup2
ALREADY IMPLEMENTED TRAUMA
06:06:31.069 --> 06:06:35.407 region:rollup2
INFORMED. CARE PROGRAM FOR THE
06:06:33.071 --> 06:06:35.807 region:rollup2
SCHOOLS MEMBERS I RESPECTFULLY
06:06:35.407 --> 06:06:38.777 region:rollup2
ASK FOR GUY VOTE.
06:06:35.807 --> 06:06:40.545 region:rollup2
AND.
06:06:38.777 --> 06:06:41.880 region:rollup2
PAMELA GIVES REPRESENTING MY LOS
06:06:40.545 --> 06:06:43.615 region:rollup2
ANGELES COUNTY OFFICE OF
06:06:41.880 --> 06:06:45.550 region:rollup2
EDUCATION WE STRONGLY SUPPORT
06:06:43.615 --> 06:06:47.319 region:rollup2
THE BILL OUR SUPERINTENDENT DR
06:06:45.550 --> 06:06:49.521 region:rollup2
DEBORAH EDUARDO IS A SOCIAL
06:06:47.319 --> 06:06:50.589 region:rollup2
WORKER. AND AN EDUCATOR AND HIS
06:06:49.521 --> 06:06:53.091 region:rollup2
STRONG WE MADE.
06:06:50.589 --> 06:06:54.759 region:rollup2
HAS MADE TOM INFORMED CARE
06:06:53.091 --> 06:06:55.760 region:rollup2
PRIORITY IN OUR OFFICE.
06:06:54.759 --> 06:06:58.196 region:rollup2
FOR THE REASONS.
06:06:55.760 --> 06:07:00.098 region:rollup2
OF THE NUMBER OF CHILDREN WE
06:06:58.196 --> 06:07:02.133 region:rollup2
SERVE WHO ARE INCARCERATED AND
06:07:00.098 --> 06:07:04.069 region:rollup2
ALSO PROBATION REFERRED WE ALSO
06:07:02.133 --> 06:07:05.303 region:rollup2
SERVE FOSTER YOUTH HOMELESS
06:07:04.069 --> 06:07:07.539 region:rollup2
YOUTH AND JUST THE GENERAL
06:07:05.303 --> 06:07:08.940 region:rollup2
POPULATION OF STUDENTS WHO MIGHT
06:07:07.539 --> 06:07:11.109 region:rollup2
ALSO HAVE FACED TRAUMATIC.
06:07:08.940 --> 06:07:12.277 region:rollup2
EVENTS SO FOR THESE REASONS WE
06:07:11.109 --> 06:07:13.578 region:rollup2
STRONGLY URGE YOUR SUPPORT FOR
06:07:12.277 --> 06:07:14.546 region:rollup2
THE BILL THANK YOU.
06:07:13.578 --> 06:07:17.349 region:rollup2
THANK YOU ANY ADDITIONAL
06:07:14.546 --> 06:07:18.617 region:rollup2
WITNESSES IN SUPPORT.
06:07:17.349 --> 06:07:22.320 region:rollup2
SAYING NANA WITNESSES IN
06:07:18.617 --> 06:07:23.889 region:rollup2
OPPOSITION.
06:07:22.320 --> 06:07:24.823 region:rollup2
SING NINE COME BACK TO TO
06:07:23.889 --> 06:07:27.259 region:rollup2
MEMBERS FOR QUESTIONS OR
06:07:24.823 --> 06:07:30.495 region:rollup2
COMMENTS THERE IS A MOTION BY
06:07:27.259 --> 06:07:31.129 region:rollup2
MISTER SANTIAGO AND WHO IS THIS.
06:07:30.495 --> 06:07:33.365 region:rollup2
AND.
06:07:31.129 --> 06:07:33.865 region:rollup2
MR BIGELOW'S A SECOND JENNY
06:07:33.365 --> 06:07:36.768 region:rollup2
QUESTIONS OR COMMENTS.
06:07:33.865 --> 06:07:38.904 region:rollup2
YES I HURRY I JUST HAVE A BRIEF
06:07:36.768 --> 06:07:39.437 region:rollup2
COMMENT THANK YOU FOR BRINGING
06:07:38.904 --> 06:07:41.139 region:rollup2
THIS FORWARD UNLIKELY A CO
06:07:39.437 --> 06:07:42.107 region:rollup2
SPONSOR OF.
06:07:41.139 --> 06:07:43.608 region:rollup2
ON THE UNDERGROUND. COMPLEX THAT
06:07:42.107 --> 06:07:44.776 region:rollup2
IN KINDERGARTEN CLASSES AND READ
06:07:43.608 --> 06:07:46.511 region:rollup2
WITH KINDERGARTENERS.
06:07:44.776 --> 06:07:48.246 region:rollup2
AND YOU CAN TELL THE KIDS THAT
06:07:46.511 --> 06:07:49.581 region:rollup2
HAVE HAD TRAUMA IN THEIR LIFE.
06:07:48.246 --> 06:07:51.316 region:rollup2
AND JUST THE DISRUPTION THAT
06:07:49.581 --> 06:07:52.684 region:rollup2
THEY ARE TO THE CLASSROOM AND I
06:07:51.316 --> 06:07:54.653 region:rollup2
WISH I AM REALLY HAPPY TO SEE
06:07:52.684 --> 06:07:56.454 region:rollup2
THAT THE NURSES ARE ALL ON BOARD
06:07:54.653 --> 06:07:57.822 region:rollup2
ON THIS THE SCHOOLS BECAUSE.
06:07:56.454 --> 06:08:00.091 region:rollup2
THEY'RE THE FIRST ON THE FIRST
06:07:57.822 --> 06:08:01.126 region:rollup2
IN LINE TO SEE A LOT OF THE TIME
06:08:00.091 --> 06:08:01.726 region:rollup2
THIS HAPPENED BECAUSE I THINK
06:08:01.126 --> 06:08:05.697 region:rollup2
IT'S MUCH. MORE.
06:08:01.726 --> 06:08:07.098 region:rollup2
YOU'RE WELCOME.
06:08:05.697 --> 06:08:09.701 region:rollup2
THE MOTION IS TO PASSED TO PASS
06:08:07.098 --> 06:08:10.735 region:rollup2
APPROPRIATIONS OF LOOK CLOSE
06:08:09.701 --> 06:08:12.671 region:rollup2
RESPECT FLATTERY AYE VOTE.
06:08:10.735 --> 06:08:14.806 region:rollup2
CALL THE ROLL.
06:08:12.671 --> 06:08:16.708 region:rollup2
WOULD WOULD AYE MAYES AYE MAYES
06:08:14.806 --> 06:08:18.443 region:rollup2
AYE AGUIAR-CURRY ANCHOR CURRY I
06:08:16.708 --> 06:08:20.879 region:rollup2
BIGELOW. BIGELOW AYE BONTA.
06:08:18.443 --> 06:08:22.814 region:rollup2
BURKE.
06:08:20.879 --> 06:08:26.952 region:rollup2
BURKE I CARILLO.
06:08:22.814 --> 06:08:26.952 region:rollup2
FLORA.
06:08:27.018 --> 06:08:31.890 region:rollup2
NAZARIAN.
06:08:29.187 --> 06:08:33.625 region:rollup2
RODRIGUEZ SANTIAGO.
06:08:31.890 --> 06:08:34.726 region:rollup2
SANTIAGO AYE THURMAN.
06:08:33.625 --> 06:08:41.900 region:rollup2
THURMOND I.
06:08:34.726 --> 06:08:43.168 region:rollup2
WALDRON.
06:08:41.900 --> 06:08:44.669 region:rollup2
THAT IS EIGHT ZERO YOUR BILL IS
06:08:43.168 --> 06:08:46.705 region:rollup2
OUT THANK YOU FIX VERY MUCH
06:08:44.669 --> 06:08:49.874 region:rollup2
MISTER JONES SAWYER.
06:08:46.705 --> 06:08:51.409 region:rollup2
WE STILL HAVE ONE AUTHORED CUP
06:08:49.874 --> 06:08:53.411 region:rollup2
OF AUTHORS WHO HAVE.
06:08:51.409 --> 06:08:54.679 region:rollup2
BILLS THAT ARE NOT COMMITTEE
06:08:53.411 --> 06:08:56.548 region:rollup2
MEMBERS.
06:08:54.679 --> 06:08:58.249 region:rollup2
BUT WE DO HAVE COMMITTEE
06:08:56.548 --> 06:08:59.451 region:rollup2
MEMBERS WHO HAVE BILLS.
06:08:58.249 --> 06:09:00.819 region:rollup2
SO MISS BURKE WHICH USED SINCE
06:08:59.451 --> 06:09:01.419 region:rollup2
THE OTHER MEMBERS ARE HERE WHICH
06:09:00.819 --> 06:09:07.492 region:rollup2
LIKE TO PRESENT YOUR BILL MUST
06:09:01.419 --> 06:09:08.760 region:rollup2
BURKE.
06:09:07.492 --> 06:09:10.295 region:rollup2
GOOD FOR YOU ARE YOU ARE YOU
06:09:08.760 --> 06:09:11.896 region:rollup2
DOING THAT WITH HER.
06:09:10.295 --> 06:09:14.532 region:rollup2
WOULD YOU LIKE ME TO PERCENT MY
06:09:11.896 --> 06:09:19.738 region:rollup2
FOR BILL SENATE. OKAY.
06:09:14.532 --> 06:09:21.272 region:rollup2
I WILL PRESENT THEIR LOSSES.
06:09:19.738 --> 06:09:23.141 region:rollup2
LIMON RODRIGUEZ SPRING MCCARTY
06:09:21.272 --> 06:09:23.708 region:rollup2
HAS MISTER I'M THE ONLY ONE
06:09:23.141 --> 06:09:24.242 region:rollup2
HOUSE HERE SO I'LL DO MY FOR
06:09:23.708 --> 06:09:26.878 region:rollup2
BILL SENT.
06:09:24.242 --> 06:09:43.261 region:rollup2
ORACLE THINKS.
06:09:26.878 --> 06:09:43.261 region:rollup2
I DON'T KNOW ABOUT THAT
06:09:45.196 --> 06:09:47.165 region:rollup2
.
06:09:45.330 --> 06:09:48.299 region:rollup2
DOT WOULD. THANK YOU MISTER
06:09:47.165 --> 06:09:48.833 region:rollup2
THANK YOU MISTER CHAIRMAN
06:09:48.299 --> 06:09:50.802 region:rollup2
MEMBERS.
06:09:48.833 --> 06:09:53.238 region:rollup2
PURSE PRESENTING AB TWENTY FOUR
06:09:50.802 --> 06:09:54.506 region:rollup2
SIXTEEN.
06:09:53.238 --> 06:09:55.240 region:rollup2
FIRST EXCEPT THE TECHNICAL
06:09:54.506 --> 06:09:57.308 region:rollup2
AMENDMENTS.
06:09:55.240 --> 06:09:58.943 region:rollup2
TO CLARIFY THE BILL APPLIES TO
06:09:57.308 --> 06:10:00.078 region:rollup2
MEDICARE MANAGED CARE PLANS
06:09:58.943 --> 06:10:01.680 region:rollup2
LICENSED BY THE DEPARTMENT OF
06:10:00.078 --> 06:10:02.681 region:rollup2
MANAGED HEALTHCARE AND DELAY
06:10:01.680 --> 06:10:04.549 region:rollup2
IMPLEMENTATION OF THIS BILL
06:10:02.681 --> 06:10:06.217 region:rollup2
UNTIL. THE YEAR TWENTY TWENTY
06:10:04.549 --> 06:10:06.851 region:rollup2
SINCE COVER CALIFORNIA
06:10:06.217 --> 06:10:07.752 region:rollup2
NEGOTIATIONS ARE CURRENTLY UNDER
06:10:06.851 --> 06:10:09.020 region:rollup2
WAY.
06:10:07.752 --> 06:10:10.355 region:rollup2
THE REQUIRES HEALTH PLANS TO
06:10:09.020 --> 06:10:11.456 region:rollup2
NEGOTIATE WITH COVER CALIFORNIA
06:10:10.355 --> 06:10:12.323 region:rollup2
TO ENSURE THAT COUNTIES HAVE
06:10:11.456 --> 06:10:14.626 region:rollup2
MORE CHOICES IN HEALTHCARE
06:10:12.323 --> 06:10:17.262 region:rollup2
OPTIONS.
06:10:14.626 --> 06:10:18.263 region:rollup2
I RESPECTFULLY REQUEST AN IBM.
06:10:17.262 --> 06:10:19.864 region:rollup2
THE DOCTOR WOULD YOU WOULD YOU
06:10:18.263 --> 06:10:20.932 region:rollup2
WANT ANYBODY ELSE TO.
06:10:19.864 --> 06:10:22.700 region:rollup2
ANY OF ANY OTHER WITNESSES IN
06:10:20.932 --> 06:10:24.369 region:rollup2
SUPPORT SHE'S SHE'S READY TO BE
06:10:22.700 --> 06:10:25.336 region:rollup2
REALLY GREAT ARE I HAVE AND J.
06:10:24.369 --> 06:10:26.805 region:rollup2
FLORES WOULD HELP ACCESS
06:10:25.336 --> 06:10:29.340 region:rollup2
CALIFORNIA HERE I COME TO
06:10:26.805 --> 06:10:31.142 region:rollup2
SUPPORT AB TWENTY FOUR SIXTEEN.
06:10:29.340 --> 06:10:32.477 region:rollup2
ENCOURAGES MORE MEDICARE MANAGED
06:10:31.142 --> 06:10:34.145 region:rollup2
CARE PLANS TO PARTICIPATING
06:10:32.477 --> 06:10:35.714 region:rollup2
COVER CALIFORNIA CREATING AN
06:10:34.145 --> 06:10:37.015 region:rollup2
ADDITONAL OPTION FOR MANY LOW
06:10:35.714 --> 06:10:38.716 region:rollup2
AND MODERATE INCOME CALIFORNIANS
06:10:37.015 --> 06:10:39.884 region:rollup2
TO CHOOSE FROM WHICH IS A GREAT
06:10:38.716 --> 06:10:41.986 region:rollup2
THING WE ASK FOR YOUR ARRIVAL.
06:10:39.884 --> 06:10:44.522 region:rollup2
THANK YOU THEM ANYMORE WITNESSES
06:10:41.986 --> 06:10:45.557 region:rollup2
IN SUPPORT.
06:10:44.522 --> 06:10:47.125 region:rollup2
WESTERN CENTER ON LAW AND
06:10:45.557 --> 06:10:50.462 region:rollup2
POVERTY IN SUPPORT THANK YOU.
06:10:47.125 --> 06:10:51.996 region:rollup2
GRAY ANYMORE SUPPORTERS.
06:10:50.462 --> 06:10:53.965 region:rollup2
SEEING NONE LAME WITNESSES IN
06:10:51.996 --> 06:10:58.036 region:rollup2
OPPOSITION.
06:10:53.965 --> 06:10:58.970 region:rollup2
PLEASE COME FORWARD.
06:10:58.036 --> 06:11:03.608 region:rollup2
SAY NOT CONNECTED MEMBERS
06:10:58.970 --> 06:11:05.443 region:rollup2
QUESTIONS OR COMMENTS.
06:11:03.608 --> 06:11:07.345 region:rollup2
BUT WOULD LIKE TO CLOSE.
06:11:05.443 --> 06:11:08.747 region:rollup2
I JUST HAVE MORE CHOICES FOR FOR
06:11:07.345 --> 06:11:09.781 region:rollup2
COUNTIES I THINK WILL ACTUALLY
06:11:08.747 --> 06:11:11.649 region:rollup2
IMPROVE THE SYSTEM AND.
06:11:09.781 --> 06:11:12.684 region:rollup2
HOPEFULLY YOU CAN HELP WITH
06:11:11.649 --> 06:11:15.153 region:rollup2
PRICES AND.
06:11:12.684 --> 06:11:17.055 region:rollup2
AND AVAILABILITY OF PLANTS
06:11:15.153 --> 06:11:18.423 region:rollup2
RESPECTFULLY ASK YOUR AYE VOTE.
06:11:17.055 --> 06:11:20.959 region:rollup2
THANK YOU AND WE DO HAVE A
06:11:18.423 --> 06:11:24.229 region:rollup2
MOTION BY MISTER BIGELOW AND A
06:11:20.959 --> 06:11:25.730 region:rollup2
SECOND BY MISTER FLORA. AND TO
06:11:24.229 --> 06:11:28.666 region:rollup2
THE MOTION IS TO PASS AS AMENDED
06:11:25.730 --> 06:11:30.235 region:rollup2
TO APPROPRIATIONS.
06:11:28.666 --> 06:11:34.606 region:rollup2
WELL I'M SORRY IT WAS WAS IT
06:11:30.235 --> 06:11:36.040 region:rollup2
MISTER SANTIAGO IS THE SECOND.
06:11:34.606 --> 06:11:36.941 region:rollup2
GRAYSON MOTIONS TO PASS AS
06:11:36.040 --> 06:11:38.276 region:rollup2
AMENDED TO APPROPRIATIONS PLEASE
06:11:36.941 --> 06:11:40.845 region:rollup2
CALL THE ROLL.
06:11:38.276 --> 06:11:42.680 region:rollup2
WOULD I WOULD AYE MAYES AYE
06:11:40.845 --> 06:11:43.882 region:rollup2
MAYES AYE ACKER CURRY FIGURE
06:11:42.680 --> 06:11:43.882 region:rollup2
CREE AYE BIGELOW. BIGELOW AYE
06:11:44.048 --> 06:11:46.751 region:rollup2
BONTA.
06:11:46.818 --> 06:11:50.121 region:rollup2
BURKE I CARILLO.
06:11:48.052 --> 06:11:52.056 region:rollup2
FLORA.
06:11:50.121 --> 06:11:54.859 region:rollup2
FLORA NOT VOTING LIMON.
06:11:52.056 --> 06:11:56.294 region:rollup2
MCCARTY. NAZARIAN RODRIGUEZ
06:11:54.859 --> 06:11:58.229 region:rollup2
SANTIAGO.
06:11:56.294 --> 06:12:04.903 region:rollup2
SANTIAGO AYE BERMAN. THURMOND
06:11:58.229 --> 06:12:06.871 region:rollup2
AYE WALDRON.
06:12:04.903 --> 06:12:07.639 region:rollup2
SO YOU JUST
06:12:06.871 --> 06:12:09.541 region:rollup2
SEVEN AYE VOTES BUT ON CALL.
06:12:07.639 --> 06:12:10.542 region:rollup2
IT'S VERY MUCH
06:12:09.541 --> 06:12:12.443 region:rollup2
IT'S MOVE ON TO.
06:12:10.542 --> 06:12:13.378 region:rollup2
FROM NINETEEN AB TWENTY FOUR
06:12:12.443 --> 06:12:14.913 region:rollup2
TWENTY SEVEN THANK YOU MISTER
06:12:13.378 --> 06:12:16.047 region:rollup2
CHAIR UPPERSIDE EXCEPT THE
06:12:14.913 --> 06:12:17.649 region:rollup2
AMENDMENTS TO DELETE REFERENCE
06:12:16.047 --> 06:12:20.718 region:rollup2
TO INSURERS AND CLARIFY THAT IT
06:12:17.649 --> 06:12:21.286 region:rollup2
WILL APPLY FOR. TO FOR PROFIT
06:12:20.718 --> 06:12:22.187 region:rollup2
MEDI CAL MANAGED CARE PLANS
06:12:21.286 --> 06:12:23.621 region:rollup2
ONLY.
06:12:22.187 --> 06:12:25.056 region:rollup2
AND TO NEW AND RENEWAL OF
06:12:23.621 --> 06:12:27.859 region:rollup2
EXISTING MEDICARE MANAGED
06:12:25.056 --> 06:12:29.661 region:rollup2
CARE PLAN PROPER CONTRACTS ALL
06:12:27.859 --> 06:12:31.196 region:rollup2
THIS ALSO THE DEFINITION OF ANTI
06:12:29.661 --> 06:12:32.363 region:rollup2
COMPETITIVE CON A CONDUCTOR
06:12:31.196 --> 06:12:34.199 region:rollup2
PRACTICE CURRENTLY IN THIS BILL
06:12:32.363 --> 06:12:34.966 region:rollup2
WAS BROUGHT TO OUR ATTENTION.
06:12:34.199 --> 06:12:36.467 region:rollup2
CONTINUE TO LOOK INTO THE
06:12:34.966 --> 06:12:37.802 region:rollup2
DEFINITION AND ITS RELATION TO
06:12:36.467 --> 06:12:39.270 region:rollup2
AN EXISTING GENERAL.
06:12:37.802 --> 06:12:41.206 region:rollup2
EXISTS IN OUR.
06:12:39.270 --> 06:12:43.141 region:rollup2
ATTORNEY GENERAL AUTHORITY ALSO
06:12:41.206 --> 06:12:44.642 region:rollup2
EXTENDED THE ACS MAY ALREADY
06:12:43.141 --> 06:12:46.377 region:rollup2
HAVE THE AUTHORITY WITH RESPECT
06:12:44.642 --> 06:12:47.679 region:rollup2
TO MLR TO TERMINATE THE CONTRACT
06:12:46.377 --> 06:12:49.681 region:rollup2
FOR ANY NON COMPLIANCE WITH
06:12:47.679 --> 06:12:50.114 region:rollup2
EXISTING LAW. THIS BILL MAKES
06:12:49.681 --> 06:12:52.584 region:rollup2
THAT DETERMINATION A
06:12:50.114 --> 06:12:53.651 region:rollup2
REQUIREMENT.
06:12:52.584 --> 06:12:55.019 region:rollup2
BILL I REQUIRES THE STATE TO
06:12:53.651 --> 06:12:56.521 region:rollup2
DETERMINE A CONTRACT FOR NOT FOR
06:12:55.019 --> 06:12:58.523 region:rollup2
PROFIT.
06:12:56.521 --> 06:12:59.557 region:rollup2
FOR FOR FOR A FOR PROFIT
06:12:58.523 --> 06:13:00.892 region:rollup2
MEDICARE MANAGED CARE PLANS HAVE
06:12:59.557 --> 06:13:02.794 region:rollup2
ENGAGED IN ANTI COMPETITIVE
06:13:00.892 --> 06:13:03.861 region:rollup2
CONDUCT OR IF THEY ARE NOT
06:13:02.794 --> 06:13:05.430 region:rollup2
SPENDING ENOUGH ON PATIENT CARE
06:13:03.861 --> 06:13:06.965 region:rollup2
COMPARED WITH OVERHEAD AND
06:13:05.430 --> 06:13:09.033 region:rollup2
ADMINISTRATIVE COSTS RESPECT
06:13:06.965 --> 06:13:09.868 region:rollup2
ASPIRIN I'VE OF.
06:13:09.033 --> 06:13:12.070 region:rollup2
THE DOCTOR WOULDN'T ANY
06:13:09.868 --> 06:13:15.240 region:rollup2
WITNESSES IN SUPPORT.
06:13:12.070 --> 06:13:16.074 region:rollup2
ANYBODY ELSE WANT TO.
06:13:15.240 --> 06:13:17.075 region:rollup2
SO I LEVEL IF YOU START OUT.
06:13:16.074 --> 06:13:18.543 region:rollup2
ABOUT THE CALIFORNIA MEDICAL
06:13:17.075 --> 06:13:21.579 region:rollup2
ASSOCIATION STRONG THRONGS FOR
06:13:18.543 --> 06:13:25.383 region:rollup2
THIS BILL THANK YOU.
06:13:21.579 --> 06:13:25.883 region:rollup2
I WAS IMPRESSIVE.
06:13:25.383 --> 06:13:29.554 region:rollup2
ANY FURTHER WITNESSES IN
06:13:25.883 --> 06:13:31.389 region:rollup2
SUPPORT.
06:13:29.554 --> 06:13:32.757 region:rollup2
SING NINE ANY.
06:13:31.389 --> 06:13:44.035 region:rollup2
WITNESSES AND OPPOSITION PLEASE
06:13:32.757 --> 06:13:45.503 region:rollup2
COME FORWARD IF.
06:13:44.035 --> 06:13:46.905 region:rollup2
A GOOD EVENING EVERYONE I'M
06:13:45.503 --> 06:13:49.140 region:rollup2
JENNIFER ALI WITH THE CALIFORNIA
06:13:46.905 --> 06:13:50.642 region:rollup2
ASSOCIATION OF HEALTH PLANS IN
06:13:49.140 --> 06:13:52.110 region:rollup2
CAP AS OPPOSED AB TWENTY FOUR
06:13:50.642 --> 06:13:53.678 region:rollup2
TWENTY SEVEN.
06:13:52.110 --> 06:13:55.880 region:rollup2
I'M DISPARITIES BILL AND
06:13:53.678 --> 06:13:57.782 region:rollup2
UNFAIRLY TARGETS FOR PROFIT MEDI
06:13:55.880 --> 06:13:59.450 region:rollup2
CAL MANAGED CARE PLANS FOR
06:13:57.782 --> 06:14:00.918 region:rollup2
DISCIPLINARY ACTIONS
06:13:59.450 --> 06:14:02.086 region:rollup2
AS A RESULT THIS BILL COULD
06:14:00.918 --> 06:14:02.954 region:rollup2
RESULT IN LOSS OF MANY OF THE
06:14:02.086 --> 06:14:04.722 region:rollup2
MEDI CAL.
06:14:02.954 --> 06:14:06.457 region:rollup2
CARE.
06:14:04.722 --> 06:14:08.026 region:rollup2
AND MAKE MEDI CAL MANAGED CARE
06:14:06.457 --> 06:14:10.461 region:rollup2
HEALTH PLAN CONTRACTS THERE BY
06:14:08.026 --> 06:14:12.230 region:rollup2
DISRUPTING ACCESS TO HEALTH CARE
06:14:10.461 --> 06:14:13.731 region:rollup2
FOR MEDI CAL BENEFICIARIES.
06:14:12.230 --> 06:14:15.700 region:rollup2
AT A TIME WHEN WE NEED TO ENSURE
06:14:13.731 --> 06:14:16.968 region:rollup2
THAT CONSUMERS HAVE A CHOICE.
06:14:15.700 --> 06:14:19.270 region:rollup2
THIS BILL IS PREMATURE AND
06:14:16.968 --> 06:14:21.172 region:rollup2
UNNECESSARY LAST YEAR NEW MLR
06:14:19.270 --> 06:14:23.708 region:rollup2
WAS WAS CREATED FOR MEDI CAL
06:14:21.172 --> 06:14:25.643 region:rollup2
MANAGED CARE PLANS. ON AN S. B..
06:14:23.708 --> 06:14:27.412 region:rollup2
ONE SEVENTY ONE BY SENATOR
06:14:25.643 --> 06:14:28.746 region:rollup2
HERNANDEZ THIS BILL PASSED ON
06:14:27.412 --> 06:14:30.782 region:rollup2
THE ASSEMBLY FLOOR WITH THE
06:14:28.746 --> 06:14:32.417 region:rollup2
SEVENTY NINE TO ZERO VOTE.
06:14:30.782 --> 06:14:33.885 region:rollup2
UNDER S. B. ONE SEVENTY ONE
06:14:32.417 --> 06:14:36.054 region:rollup2
MEDICARE MANAGED CARE PLANS ARE
06:14:33.885 --> 06:14:37.322 region:rollup2
REQUIRED TO PAY REMAINS TO DE A
06:14:36.054 --> 06:14:38.823 region:rollup2
MAGE SEE OR TO THE H. CS WHEN
06:14:37.322 --> 06:14:40.558 region:rollup2
THEY OPERATE OUTSIDE OF THEIR
06:14:38.823 --> 06:14:42.193 region:rollup2
MEDICAL LOSS RATIO. THIS WILL
06:14:40.558 --> 06:14:43.728 region:rollup2
BEGIN ON JULY FIRST TWENTY
06:14:42.193 --> 06:14:45.330 region:rollup2
TWENTY THREE.
06:14:43.728 --> 06:14:47.198 region:rollup2
THE DELAYED EFFECTIVE DATE.
06:14:45.330 --> 06:14:48.866 region:rollup2
WAS NECESSARY BECAUSE THE RATE
06:14:47.198 --> 06:14:50.702 region:rollup2
SETTING PROCESS FOR MEDI CAL
06:14:48.866 --> 06:14:52.036 region:rollup2
MANAGED CARE PLAN RATES.
06:14:50.702 --> 06:14:53.971 region:rollup2
IS CHANGING BASED ON NEW FEDERAL
06:14:52.036 --> 06:14:55.006 region:rollup2
REGULATIONS ARE NOW REQUIRE THE
06:14:53.971 --> 06:14:56.507 region:rollup2
RATES TO BE SET ON A PROSPECTIVE
06:14:55.006 --> 06:14:58.076 region:rollup2
BASIS
06:14:56.507 --> 06:14:59.644 region:rollup2
ONCE THE RATE PROCESS IS SETTLED
06:14:58.076 --> 06:15:01.913 region:rollup2
IN OUR REMAINS RULES WILL KICK
06:14:59.644 --> 06:15:03.881 region:rollup2
INTO PLACE.
06:15:01.913 --> 06:15:05.083 region:rollup2
AND OTHER WORDS WHEN THE PROCESS
06:15:03.881 --> 06:15:06.718 region:rollup2
IS ALREADY WE ALREADY HAVE A
06:15:05.083 --> 06:15:08.386 region:rollup2
PROCESS.
06:15:06.718 --> 06:15:10.321 region:rollup2
THAT INCLUDES AMERICAN AS A
06:15:08.386 --> 06:15:11.689 region:rollup2
MECHANISM WHEN MEDI CAL MANAGED
06:15:10.321 --> 06:15:15.693 region:rollup2
CARE PLANS FAIL TO MEET THEIR
06:15:11.689 --> 06:15:17.161 region:rollup2
AND ALL OUR REQUIREMENTS.
06:15:15.693 --> 06:15:19.297 region:rollup2
I'M HERE TO ANSWER ANY QUESTIONS
06:15:17.161 --> 06:15:19.964 region:rollup2
ON THE RATE SETTING PROCESS AND
06:15:19.297 --> 06:15:20.832 region:rollup2
I JUST WANT TO NOTE THAT.
06:15:19.964 --> 06:15:24.902 region:rollup2
.
06:15:20.832 --> 06:15:25.370 region:rollup2
AND THAT'S IT.
06:15:24.902 --> 06:15:26.871 region:rollup2
ANY OTHER WITNESSES IN
06:15:25.370 --> 06:15:28.039 region:rollup2
OPPOSITION.
06:15:26.871 --> 06:15:28.673 region:rollup2
JOHN WHEN YOU'RE ON THE OUT THE
06:15:28.039 --> 06:15:30.241 region:rollup2
ANTHEM BLUE CROSS.
06:15:28.673 --> 06:15:33.411 region:rollup2
IN THE INTERCITY I'M
06:15:30.241 --> 06:15:35.146 region:rollup2
UNDERSUPPLY MY COMMENTS OF CAPS.
06:15:33.411 --> 06:15:37.782 region:rollup2
THANK YOU ANYMORE.
06:15:35.146 --> 06:15:39.484 region:rollup2
OPPOSITION.
06:15:37.782 --> 06:15:41.519 region:rollup2
SING NOW WILL COME BACK TO THE
06:15:39.484 --> 06:15:45.156 region:rollup2
QUESTIONS COMMENTS FROM.
06:15:41.519 --> 06:15:46.457 region:rollup2
MEMBERS.
06:15:45.156 --> 06:15:49.026 region:rollup2
I DO BELIEVE WE HAVE.
06:15:46.457 --> 06:15:49.327 region:rollup2
A MOTION FROM MISTER CENTEL GO
06:15:49.026 --> 06:15:51.462 region:rollup2
IN WAS THAT.
06:15:49.327 --> 06:15:55.299 region:rollup2
.
06:15:51.462 --> 06:15:56.067 region:rollup2
FROM BURKE. AS AS THE SECOND.
06:15:55.299 --> 06:15:58.770 region:rollup2
I'D LOVE TO.
06:15:56.067 --> 06:16:00.171 region:rollup2
DO YOU WANT TO CLOSE.
06:15:58.770 --> 06:16:02.407 region:rollup2
I JUST RESPECT WEBSPHERE ABOUT.
06:16:00.171 --> 06:16:03.307 region:rollup2
A GREAT DIED THE MOTION IS TO
06:16:02.407 --> 06:16:05.810 region:rollup2
PASS AS AMENDED TO
06:16:03.307 --> 06:16:07.745 region:rollup2
APPROPRIATIONS HIS CALL. WOULD I
06:16:05.810 --> 06:16:10.148 region:rollup2
WOULD I MAYES SNOW MAYES NO
06:16:07.745 --> 06:16:11.516 region:rollup2
AGUIAR-CURRY. ANGER CURRY I
06:16:10.148 --> 06:16:12.350 region:rollup2
BIGELOW.
06:16:11.516 --> 06:16:14.352 region:rollup2
BIGELOW NO BONTA.
06:16:12.350 --> 06:16:16.487 region:rollup2
WORK.
06:16:14.352 --> 06:16:18.423 region:rollup2
BURKE I CARILLO.
06:16:16.487 --> 06:16:20.458 region:rollup2
FLORA.
06:16:18.423 --> 06:16:22.460 region:rollup2
FLORA NO. LOW MOAN.
06:16:20.458 --> 06:16:24.629 region:rollup2
MCCARTY.
06:16:22.460 --> 06:16:26.664 region:rollup2
THIS AREA RODRIGUEZ.
06:16:24.629 --> 06:16:28.966 region:rollup2
SANTIAGO.
06:16:26.664 --> 06:16:30.735 region:rollup2
SANTIAGO I'D THURMOND.
06:16:28.966 --> 06:16:37.842 region:rollup2
BERMAN I.
06:16:30.735 --> 06:16:39.477 region:rollup2
WALDRON. WILDER NO.
06:16:37.842 --> 06:16:40.511 region:rollup2
FIVE TO FOUR PUT ON CALL FOR
06:16:39.477 --> 06:16:43.114 region:rollup2
* THAT THANK YOU.
06:16:40.511 --> 06:16:44.649 region:rollup2
YEAH OKAY MOVING ON TO ITEM
06:16:43.114 --> 06:16:46.117 region:rollup2
NUMBER OR WHATEVER ITEM NUMBER
06:16:44.649 --> 06:16:47.919 region:rollup2
S. EYES AT TWENTY ONE IS AT A
06:16:46.117 --> 06:16:49.353 region:rollup2
TWENTY FOUR SEVEN. MAYBE TWENTY
06:16:47.919 --> 06:16:53.658 region:rollup2
FIRST OF NOVEMBER IS THE HOUSE
06:16:49.353 --> 06:16:54.225 region:rollup2
HAS SO GOOD AT LEAST WRITE YOUR
06:16:53.658 --> 06:16:55.626 region:rollup2
BILL DOCTOR WOULD MAKE YOU.
06:16:54.225 --> 06:16:56.727 region:rollup2
AB TWENTY FOUR SEVENTY TWO AS AS
06:16:55.626 --> 06:16:58.262 region:rollup2
YOU ALL KNOW THE* COMMITTEE
06:16:56.727 --> 06:17:00.097 region:rollup2
ON HEALTH CARE DELIVERY SYSTEMS
06:16:58.262 --> 06:17:01.432 region:rollup2
AND UNIVERSAL COVERAGE CONNECTED
06:17:00.097 --> 06:17:02.900 region:rollup2
FIVE INFORMATIONAL HEARINGS TO
06:17:01.432 --> 06:17:04.302 region:rollup2
IDENTIFY THE BEST AND QUICKEST
06:17:02.900 --> 06:17:05.603 region:rollup2
PATH TO UNIVERSAL COVERAGE FOR
06:17:04.302 --> 06:17:06.871 region:rollup2
CALIFORNIA.
06:17:05.603 --> 06:17:08.406 region:rollup2
S. PORTRAIT STRATEGIES FOR
06:17:06.871 --> 06:17:09.574 region:rollup2
IMPROVING OUR HEALTHCARE SYSTEM
06:17:08.406 --> 06:17:10.842 region:rollup2
ONE OF THE TOPICS OF THE SELECT
06:17:09.574 --> 06:17:12.276 region:rollup2
COMMITTEE DISCUSSES THE
06:17:10.842 --> 06:17:14.078 region:rollup2
VIABILITY OF A STEPS IN A PUBLIC
06:17:12.276 --> 06:17:16.214 region:rollup2
OPTION IN AN EFFORT TO INCREASE
06:17:14.078 --> 06:17:17.381 region:rollup2
PLAN COMPETITION. AND IMPROVE
06:17:16.214 --> 06:17:18.883 region:rollup2
THE AFFORDABILITY OF HEALTH CARE
06:17:17.381 --> 06:17:20.485 region:rollup2
MANY CALIFORNIA COUNTIES IN
06:17:18.883 --> 06:17:22.153 region:rollup2
CALIFORNIA HAVE ONLY ONE WILL
06:17:20.485 --> 06:17:23.921 region:rollup2
ONLY TOUR FEWER HEALTH PLAN
06:17:22.153 --> 06:17:25.623 region:rollup2
CHOICES. AND THIS OP THIS
06:17:23.921 --> 06:17:27.091 region:rollup2
LIMITED OPTION IS IMPACTING NOT
06:17:25.623 --> 06:17:28.626 region:rollup2
JUST THE PRICES OF HEALTH CARE
06:17:27.091 --> 06:17:29.160 region:rollup2
BUT ALSO THE QUALITY OF
06:17:28.626 --> 06:17:29.861 region:rollup2
HEALTHCARE THAT CONSUMERS
06:17:29.160 --> 06:17:30.895 region:rollup2
RECEIVE.
06:17:29.861 --> 06:17:32.163 region:rollup2
HOWEVER WE RECOGNIZE THE
06:17:30.895 --> 06:17:33.231 region:rollup2
COMPLICATIONS OF ESTABLISHING A
06:17:32.163 --> 06:17:34.599 region:rollup2
PUBLIC OPTION BECAUSE AMONG
06:17:33.231 --> 06:17:36.100 region:rollup2
OTHER REASONS.
06:17:34.599 --> 06:17:37.602 region:rollup2
OF THE EXTENSIVE NETWORK OF
06:17:36.100 --> 06:17:39.137 region:rollup2
LOCAL HEALTH PLANS AND THE HEAVY
06:17:37.602 --> 06:17:40.838 region:rollup2
CONCENTRATION MANAGED CARE IN
06:17:39.137 --> 06:17:42.106 region:rollup2
THE EXISTING MEDICARE PROGRAM.
06:17:40.838 --> 06:17:43.774 region:rollup2
AB TWENTY FOUR SEVENTY TO WOULD
06:17:42.106 --> 06:17:45.309 region:rollup2
REQUIRE COVER CALIFORNIA TO
06:17:43.774 --> 06:17:46.844 region:rollup2
PREPARE A FEASIBILITY ANALYSIS
06:17:45.309 --> 06:17:48.446 region:rollup2
TO DETERMINE THE POSSIBILITY OF
06:17:46.844 --> 06:17:50.047 region:rollup2
A PUBLIC HEALTH INSURANCE OPTION
06:17:48.446 --> 06:17:51.616 region:rollup2
IN CALIFORNIA.
06:17:50.047 --> 06:17:53.150 region:rollup2
IT WE BELIEVE THIS TO
06:17:51.616 --> 06:17:55.086 region:rollup2
ESTABLISHES A THOUGHTFUL
06:17:53.150 --> 06:17:55.720 region:rollup2
APPROACH TO THE PUBLIC OPTION
06:17:55.086 --> 06:17:56.554 region:rollup2
ISSUE AND I RESPECT THAT'S RIGHT
06:17:55.720 --> 06:17:57.922 region:rollup2
NOW.
06:17:56.554 --> 06:17:59.590 region:rollup2
THANK YOU DOCTOR WOULD ANY
06:17:57.922 --> 06:18:01.592 region:rollup2
WITNESSES AND SUPPORT. IS
06:17:59.590 --> 06:18:02.727 region:rollup2
QUICKLY QUICKLY GETS NJ FLOORS
06:18:01.592 --> 06:18:04.529 region:rollup2
WOULD HELP ACCESS CALIFORNIA
06:18:02.727 --> 06:18:06.230 region:rollup2
HERE IN SUPPORT AB TWENTY FOUR
06:18:04.529 --> 06:18:07.765 region:rollup2
SEVEN TWO WE THINK THAT IT IS
06:18:06.230 --> 06:18:09.300 region:rollup2
FITTING FOR COVER CALIFORNIA TO
06:18:07.765 --> 06:18:10.868 region:rollup2
DEVELOP AN ANALYSIS OF DIFFERENT
06:18:09.300 --> 06:18:11.369 region:rollup2
PUBLIC OPTIONS THAT CAN BE
06:18:10.868 --> 06:18:13.037 region:rollup2
OFFERED BOTH ON AND OFF
06:18:11.369 --> 06:18:14.705 region:rollup2
EXCHANGE.
06:18:13.037 --> 06:18:16.908 region:rollup2
IN THE INDIVIDUAL MARKET WE ASK
06:18:14.705 --> 06:18:17.475 region:rollup2
FOR YOUR AYE VOTE THANK YOU PRE
06:18:16.908 --> 06:18:18.209 region:rollup2
SHEET THAT AND LOOK FOR THE
06:18:17.475 --> 06:18:19.277 region:rollup2
WITNESSES.
06:18:18.209 --> 06:18:20.912 region:rollup2
YES CHEN FLORIAN BEHALF OF
06:18:19.277 --> 06:18:23.581 region:rollup2
WESTERN CENTER ON LAW AND AND
06:18:20.912 --> 06:18:24.749 region:rollup2
POVERTY AND SUPPORT THANK YOU.
06:18:23.581 --> 06:18:25.383 region:rollup2
RIGHT SPENCER THE CALIFORNIA
06:18:24.749 --> 06:18:26.751 region:rollup2
ACADEMY OF FAMILY PHYSICIANS IN
06:18:25.383 --> 06:18:28.052 region:rollup2
SUPPORT
06:18:26.751 --> 06:18:29.854 region:rollup2
THANK YOU ANY FURTHER WITNESSES
06:18:28.052 --> 06:18:31.889 region:rollup2
IN SUPPORT.
06:18:29.854 --> 06:18:34.659 region:rollup2
SAYING NONE OF MOVE ON TO
06:18:31.889 --> 06:18:36.127 region:rollup2
WITNESSES IN OPPOSITION.
06:18:34.659 --> 06:18:41.198 region:rollup2
SEEING NONE ALL COME BACK TO
06:18:36.127 --> 06:18:42.767 region:rollup2
MEMBER QUESTIONS COMMENTS.
06:18:41.198 --> 06:18:44.635 region:rollup2
BUT WOULD LIKE TO CLOSE RESPECT
06:18:42.767 --> 06:18:46.337 region:rollup2
THAT'S HERE I GO WE DO HAVE.
06:18:44.635 --> 06:18:49.640 region:rollup2
DO YOU KNOW MOTION.
06:18:46.337 --> 06:18:52.577 region:rollup2
ON A TEN A MOTION.
06:18:49.640 --> 06:18:55.146 region:rollup2
DID YOU.
06:18:52.577 --> 06:18:56.047 region:rollup2
OKAY SO WE'RE GOING TO CALL THAT
06:18:55.146 --> 06:18:58.082 region:rollup2
WANNA AGUIAR-CURRY MAKE THE.
06:18:56.047 --> 06:18:58.349 region:rollup2
MOVE THE BILL AND AUTUMN BURKE A
06:18:58.082 --> 06:18:59.350 region:rollup2
SECONDED.
06:18:58.349 --> 06:18:59.517 region:rollup2
.
06:18:59.350 --> 06:19:01.285 region:rollup2
AND.
06:18:59.517 --> 06:19:02.186 region:rollup2
PLEASE CALL THE ROLL.
06:19:01.285 --> 06:19:03.854 region:rollup2
THOSE ARE THE MOTION IS TO PASS
06:19:02.186 --> 06:19:05.856 region:rollup2
APPROPRIATIONS.
06:19:03.854 --> 06:19:09.026 region:rollup2
WOOD I WOULD AYE MAYES AYE MAYES
06:19:05.856 --> 06:19:12.263 region:rollup2
AYE ANCHOR CURRY.
06:19:09.026 --> 06:19:14.098 region:rollup2
ABSOLUTELY AGAR CURRY I BIGELOW.
06:19:12.263 --> 06:19:17.335 region:rollup2
BIGELOW AYE BONTA.
06:19:14.098 --> 06:19:19.537 region:rollup2
BURKE BURKE I CARILLO. FLORA.
06:19:17.335 --> 06:19:22.873 region:rollup2
FLORA I LOW MOAN. MCCARTY
06:19:19.537 --> 06:19:25.109 region:rollup2
NAZARIAN RODRIGUEZ SANTIAGO.
06:19:22.873 --> 06:19:30.248 region:rollup2
SANTIAGO AYE THEREIN. THURMOND
06:19:25.109 --> 06:19:31.816 region:rollup2
AYE WALDRON WALDRON AYE.
06:19:30.248 --> 06:19:33.618 region:rollup2
NINE ZERO THAT BILL IS OUT SO
06:19:31.816 --> 06:19:35.319 region:rollup2
WE'RE GONNA MOVE ON TO A FILE
06:19:33.618 --> 06:19:37.221 region:rollup2
TWENTY FOUR AB TWENTY FIVE A TWO
06:19:35.319 --> 06:19:38.322 region:rollup2
SECONDS CREDIT ANALYST BILL
06:19:37.221 --> 06:19:38.956 region:rollup2
THANK YOU GET IT YAKKING
06:19:38.322 --> 06:19:41.258 region:rollup2
THANKFULLY.
06:19:38.956 --> 06:19:41.459 region:rollup2
FIRST OF ALL I'D LIKE TO ACCEPT
06:19:41.258 --> 06:19:42.727 region:rollup2
THE.
06:19:41.459 --> 06:19:44.629 region:rollup2
SUGGESTED AMENDMENTS OUT
06:19:42.727 --> 06:19:46.163 region:rollup2
OUTLINED IN THE ANALYSIS AB
06:19:44.629 --> 06:19:48.065 region:rollup2
TWENTY FIVE GO TO WOULD REQUIRE
06:19:46.163 --> 06:19:48.599 region:rollup2
THE SECRETARY OF CALIFORNIA
06:19:48.065 --> 06:19:49.867 region:rollup2
HEALTH AND HUMAN SERVICES
06:19:48.599 --> 06:19:51.202 region:rollup2
AGENCY.
06:19:49.867 --> 06:19:53.204 region:rollup2
ARE TO ESTABLISH AND IMPLEMENT
06:19:51.202 --> 06:19:55.406 region:rollup2
AND ADMINISTER THE CALIFORNIA
06:19:53.204 --> 06:19:56.741 region:rollup2
HEALTH CARE PAYMENTS DATABASE IN
06:19:55.406 --> 06:19:58.075 region:rollup2
TWO THOUSAND SIXTEEN THIS CUT
06:19:56.741 --> 06:19:59.543 region:rollup2
COMMITTEE HELD AN INFORMATIONAL
06:19:58.075 --> 06:20:00.945 region:rollup2
HEARING ON DRUG COSTS. AND THE
06:19:59.543 --> 06:20:02.513 region:rollup2
PANELISTS FROM IN MINNESOTA
06:20:00.945 --> 06:20:04.482 region:rollup2
INDICATED THAT MINNESOTA'S ALL
06:20:02.513 --> 06:20:07.018 region:rollup2
PAYMENTS DATABASES GUIDED THE
06:20:04.482 --> 06:20:07.718 region:rollup2
STATE'S POLICY IN CONTROLLING
06:20:07.018 --> 06:20:08.886 region:rollup2
COSTS.
06:20:07.718 --> 06:20:10.288 region:rollup2
THE BILL AIMS TO DO THE SAME THE
06:20:08.886 --> 06:20:11.922 region:rollup2
GOAL OF THE STATE OF BASIS TO
06:20:10.288 --> 06:20:13.391 region:rollup2
GATHER THE DATA WE NEED.
06:20:11.922 --> 06:20:15.226 region:rollup2
TO OBTAIN A COMPLETE PICTURE OF
06:20:13.391 --> 06:20:16.927 region:rollup2
WHAT HEALTHCARE COSTS.
06:20:15.226 --> 06:20:18.763 region:rollup2
RESOURCES USED TO TREAT PATIENTS
06:20:16.927 --> 06:20:19.897 region:rollup2
AND VARIATIONS IN THE TOTAL COST
06:20:18.763 --> 06:20:21.332 region:rollup2
TO TREAT AN ILLNESS OR MEDICAL
06:20:19.897 --> 06:20:22.300 region:rollup2
EVENT.
06:20:21.332 --> 06:20:23.734 region:rollup2
WELL KNOW THAT THE HEALTHCARE
06:20:22.300 --> 06:20:25.336 region:rollup2
SYSTEM IS EXPERIENCING PRICE
06:20:23.734 --> 06:20:27.338 region:rollup2
INCREASES IN FOR MANY INCLUDING
06:20:25.336 --> 06:20:29.073 region:rollup2
CONSUMERS AND EMPLOYERS THIS IS
06:20:27.338 --> 06:20:30.241 region:rollup2
BECOMING AN UNSUSTAINABLE. BY
06:20:29.073 --> 06:20:32.076 region:rollup2
COLLECTING THE DATA IT WILL IN
06:20:30.241 --> 06:20:33.711 region:rollup2
FIRM FORM US ON HOW TO ESTABLISH
06:20:32.076 --> 06:20:35.379 region:rollup2
COST CONTAINMENT MEASURES. THAT
06:20:33.711 --> 06:20:37.014 region:rollup2
WORKS FOR EVERYONE AND I
06:20:35.379 --> 06:20:40.618 region:rollup2
RESPECTFULLY ASK YOUR I'VE.
06:20:37.014 --> 06:20:41.752 region:rollup2
THANK YOU DOCTOR WOULD.
06:20:40.618 --> 06:20:43.054 region:rollup2
AND ANYWAY THIS ISN'T SUPPORT.
06:20:41.752 --> 06:20:44.322 region:rollup2
AND A FOREST AGAIN WOULD HELP
06:20:43.054 --> 06:20:46.290 region:rollup2
ACCESS CALIFORNIA PLEASED TO
06:20:44.322 --> 06:20:47.291 region:rollup2
SUPPORT AB TWENTY FIVE OH TO
06:20:46.290 --> 06:20:49.060 region:rollup2
THAT WOULD CREATE A HEALTH CARE
06:20:47.291 --> 06:20:50.795 region:rollup2
DATABASE ON HEALTH CARE COST
06:20:49.060 --> 06:20:52.596 region:rollup2
QUALITY AND SOCIAL DETERMINANTS
06:20:50.795 --> 06:20:54.532 region:rollup2
OF HEALTH. AND REQUIRE ANALYSIS
06:20:52.596 --> 06:20:55.499 region:rollup2
OF SUCH DATA WE LOOK FORWARD TO
06:20:54.532 --> 06:20:56.801 region:rollup2
WORKING WITH THE AUTHOR TO
06:20:55.499 --> 06:20:58.069 region:rollup2
ENSURE PRICING INFORMATION
06:20:56.801 --> 06:21:00.371 region:rollup2
REFLECTS WHAT PLANS OR OTHER
06:20:58.069 --> 06:21:02.273 region:rollup2
PEERS PAY AND NOT THE CHARGES.
06:21:00.371 --> 06:21:03.040 region:rollup2
OR STICKER PRICES THOUGHT BY
06:21:02.273 --> 06:21:05.109 region:rollup2
PROVIDERS WE ASK FOR YOUR
06:21:03.040 --> 06:21:05.810 region:rollup2
ARRIVAL. THANK YOU DECIDE
06:21:05.109 --> 06:21:07.545 region:rollup2
WITNESSES FOR.
06:21:05.810 --> 06:21:08.446 region:rollup2
GEN FLOOR IN BEHALF OF WESTERN
06:21:07.545 --> 06:21:09.447 region:rollup2
CENTER ON LAW AND POVERTY WE
06:21:08.446 --> 06:21:11.115 region:rollup2
ESPECIALLY APPRECIATE THE
06:21:09.447 --> 06:21:13.250 region:rollup2
ABILITY TO EVALUATE SOCIAL
06:21:11.115 --> 06:21:14.852 region:rollup2
DETERMINANTS OF HEALTH THINK
06:21:13.250 --> 06:21:16.721 region:rollup2
THANK YOU ANY FURTHER. WITNESSES
06:21:14.852 --> 06:21:18.022 region:rollup2
IN SUPPORT.
06:21:16.721 --> 06:21:23.160 region:rollup2
THERE IS THERE ANY DONE
06:21:18.022 --> 06:21:24.662 region:rollup2
TESTIMONY OPPOSITION.
06:21:23.160 --> 06:21:26.063 region:rollup2
SEEING NONE I GOT TWO WORDS I TO
06:21:24.662 --> 06:21:27.431 region:rollup2
CLOSE.
06:21:26.063 --> 06:21:28.032 region:rollup2
YES AYE I LIKE SAID THIS THIS IS
06:21:27.431 --> 06:21:29.900 region:rollup2
A BIG DEAL.
06:21:28.032 --> 06:21:31.302 region:rollup2
DATA IS REALLY REALLY CRITICAL
06:21:29.900 --> 06:21:33.337 region:rollup2
FOR GOING TO LOOK TO REALLY
06:21:31.302 --> 06:21:34.772 region:rollup2
CONTROL COSTS AND AND THE SIX IT
06:21:33.337 --> 06:21:35.706 region:rollup2
THIS WILL LOOK AT DATA ACROSS
06:21:34.772 --> 06:21:37.141 region:rollup2
THE BOARD FOR AS FAR FOR
06:21:35.706 --> 06:21:39.076 region:rollup2
EVERYTHING. RELATED TO HEALTH
06:21:37.141 --> 06:21:40.878 region:rollup2
CARE IT'S BEEN DONE IN OTHER
06:21:39.076 --> 06:21:42.980 region:rollup2
STATES IT'S NOT INEXPENSIVE. BUT
06:21:40.878 --> 06:21:43.814 region:rollup2
IT IS A GOLD MINE LITERALLY OF
06:21:42.980 --> 06:21:45.483 region:rollup2
INFORMATION THAT WILL ALLOW US
06:21:43.814 --> 06:21:46.817 region:rollup2
TO TO FORMULATE HEALTHCARE
06:21:45.483 --> 06:21:48.352 region:rollup2
POLICY GOING FORWARD
06:21:46.817 --> 06:21:49.620 region:rollup2
RESPECTFULLY ASK DR.
06:21:48.352 --> 06:21:51.655 region:rollup2
THE DOCTOR WOULD AGAR CURRY
06:21:49.620 --> 06:21:52.957 region:rollup2
MOVED BURKE A SECOND IS.
06:21:51.655 --> 06:21:54.258 region:rollup2
SECULAR PLEASE CALL THE ROLL
06:21:52.957 --> 06:21:56.460 region:rollup2
THOUGH THE MOTION IS TO PASS AS
06:21:54.258 --> 06:21:59.130 region:rollup2
AMENDED APPROPRIATIONS.
06:21:56.460 --> 06:22:00.564 region:rollup2
WOULD I WOULD AYE MAYES AYE
06:21:59.130 --> 06:22:02.333 region:rollup2
MAYES AYE AGUIAR-CURRY.
06:22:00.564 --> 06:22:04.068 region:rollup2
YES MA'AM.
06:22:02.333 --> 06:22:06.337 region:rollup2
AGAR CURRY I.
06:22:04.068 --> 06:22:07.838 region:rollup2
BIGELOW.
06:22:06.337 --> 06:22:10.040 region:rollup2
BIGELOW NOT VOTING BONTA.
06:22:07.838 --> 06:22:11.575 region:rollup2
BURKE.
06:22:10.040 --> 06:22:13.411 region:rollup2
BURKE I CARILLO.
06:22:11.575 --> 06:22:16.614 region:rollup2
FLORA.
06:22:13.411 --> 06:22:19.116 region:rollup2
FLORA I LOW MOAN.
06:22:16.614 --> 06:22:21.585 region:rollup2
MCCARTY NAZARIAN RODRIGUEZ
06:22:19.116 --> 06:22:23.053 region:rollup2
SANTIAGO. SANTIAGO AYE BERMAN
06:22:21.585 --> 06:22:29.827 region:rollup2
THURMOND AYE WALDRON.
06:22:23.053 --> 06:22:31.061 region:rollup2
WALDRON AYE.
06:22:29.827 --> 06:22:31.395 region:rollup2
ZIGGS EARLIER BILLS OUT THANK
06:22:31.061 --> 06:22:33.063 region:rollup2
YOU VERY MUCH.
06:22:31.395 --> 06:22:37.668 region:rollup2
.
06:22:33.063 --> 06:22:43.007 region:rollup2
THIS BURKE MISS WALDRON.
06:22:37.668 --> 06:22:55.286 region:rollup2
I.
06:22:43.007 --> 06:22:57.621 region:rollup2
EVERYONE.
06:22:55.286 --> 06:22:59.089 region:rollup2
TRIVIA HOW ARE YOU. AND FABULOUS
06:22:57.621 --> 06:23:01.025 region:rollup2
THANK YOU GOOD AFTERNOON. GOOD
06:22:59.089 --> 06:23:02.092 region:rollup2
EVENING.
06:23:01.025 --> 06:23:03.494 region:rollup2
IT ORIGINALLY SAID GOOD MORNING
06:23:02.092 --> 06:23:03.994 region:rollup2
THAT AND THEN I CHANGED IT TO
06:23:03.494 --> 06:23:05.062 region:rollup2
AFTERNOON AMOUNT TO GOOD
06:23:03.994 --> 06:23:06.363 region:rollup2
EVENING.
06:23:05.062 --> 06:23:07.164 region:rollup2
GOOD EVENING WITH SUCH AN IMPACT
06:23:06.363 --> 06:23:07.865 region:rollup2
CHAIR AND MEMBERS OF THE
06:23:07.164 --> 06:23:09.233 region:rollup2
COMMITTEE TODAY I'M HERE TO
06:23:07.865 --> 06:23:10.868 region:rollup2
PRESENT ASSEMBLY BILL TWENTY
06:23:09.233 --> 06:23:11.669 region:rollup2
EIGHT FIFTY. A BILL WHICH WOULD
06:23:10.868 --> 06:23:13.204 region:rollup2
AUTHORIZE THE DEPARTMENT OF
06:23:11.669 --> 06:23:14.338 region:rollup2
PUBLIC HEALTH TO APPROVE THE
06:23:13.204 --> 06:23:15.773 region:rollup2
REQUIRED SIXTY HOURS OF
06:23:14.338 --> 06:23:17.475 region:rollup2
CLASSROOM TRAINING. FOR
06:23:15.773 --> 06:23:19.143 region:rollup2
CERTIFIED NURSING ASSISTANTS TO
06:23:17.475 --> 06:23:21.912 region:rollup2
BE OFFERED THROUGH ONLINE OR
06:23:19.143 --> 06:23:22.847 region:rollup2
DISTANCE LEARNING CLASSES.
06:23:21.912 --> 06:23:23.681 region:rollup2
CALIFORNIA SKILLED NURSING
06:23:22.847 --> 06:23:25.316 region:rollup2
FACILITIES ARE FACING A
06:23:23.681 --> 06:23:26.717 region:rollup2
WORKFORCE SHORTAGE THROUGHOUT
06:23:25.316 --> 06:23:27.618 region:rollup2
THE STATE WITH OVER FOURTEEN
06:23:26.717 --> 06:23:29.186 region:rollup2
MILLION PEOPLE ON MEDI CAL AND
06:23:27.618 --> 06:23:30.621 region:rollup2
ELEVEN HUNDRED CALIFORNIANS
06:23:29.186 --> 06:23:32.289 region:rollup2
TURNING SIXTY FIVE.
06:23:30.621 --> 06:23:33.691 region:rollup2
YEARS OLD EVERY DAY THEY MUST
06:23:32.289 --> 06:23:35.226 region:rollup2
BE AND THAT. THERE MUST BE AN
06:23:33.691 --> 06:23:36.293 region:rollup2
ATTRACTIVE AND SUSTAINABLE
06:23:35.226 --> 06:23:38.062 region:rollup2
WORKFORCE SOMEPLACE.
06:23:36.293 --> 06:23:39.763 region:rollup2
IN ORDER TO CARE FOR AGING
06:23:38.062 --> 06:23:41.265 region:rollup2
POPULATION THIS BILL WILL HELP
06:23:39.763 --> 06:23:42.266 region:rollup2
ADDRESS CALIFORNIA SKILLED
06:23:41.265 --> 06:23:44.201 region:rollup2
NURSING FACILITIES WORKFORCE
06:23:42.266 --> 06:23:45.502 region:rollup2
SHORTAGE BY MODERNIZING THE
06:23:44.201 --> 06:23:47.671 region:rollup2
CLASSROOM TRAINING REQUIREMENT
06:23:45.502 --> 06:23:47.872 region:rollup2
TO BECOME A CNA. I GIVEN THAT
06:23:47.671 --> 06:23:49.006 region:rollup2
THAT.
06:23:47.872 --> 06:23:51.242 region:rollup2
THE CONVENIENCE OF IT AND
06:23:49.006 --> 06:23:52.543 region:rollup2
EFFICIENCY OF ONLINE COURSEWORK
06:23:51.242 --> 06:23:54.411 region:rollup2
ALLOWING POTENTIAL CMA'S THE
06:23:52.543 --> 06:23:55.746 region:rollup2
OPTION OF PURSUING THIS PORTION
06:23:54.411 --> 06:23:57.381 region:rollup2
OF THEIR CERTIFICATION ONLINE IS
06:23:55.746 --> 06:23:58.482 region:rollup2
A COMMON SENSE APPROACH. TOWARDS
06:23:57.381 --> 06:23:59.683 region:rollup2
MODERNIZING THE CERTIFICATION
06:23:58.482 --> 06:24:01.519 region:rollup2
PROCESS AND ENCOURAGING MORE
06:23:59.683 --> 06:24:02.653 region:rollup2
PEOPLE TO GET INTO THE FIELD.
06:24:01.519 --> 06:24:03.621 region:rollup2
WITH ME TODAY I HAVE JENNIFER
06:24:02.653 --> 06:24:04.922 region:rollup2
SNYDER ON BEHALF OF THE
06:24:03.621 --> 06:24:07.024 region:rollup2
CALIFORNIA ASSOCIATION OF HEALTH
06:24:04.922 --> 06:24:09.727 region:rollup2
OF FACILITIES THE SPONSOR OF
06:24:07.024 --> 06:24:10.828 region:rollup2
THIS LEGISLATION.
06:24:09.727 --> 06:24:11.996 region:rollup2
JENNIFER CIDER ON BEHALF
06:24:10.828 --> 06:24:13.864 region:rollup2
RECOVERY ASSOCIATION HOPE
06:24:11.996 --> 06:24:15.699 region:rollup2
FACILITIES WE APPRECIATE THAT
06:24:13.864 --> 06:24:17.401 region:rollup2
SOME OF HER RUBIO AND HANDLING
06:24:15.699 --> 06:24:18.135 region:rollup2
THIS ARE BUILT THIS BILL FOR US
06:24:17.401 --> 06:24:20.337 region:rollup2
THIS YEAR.
06:24:18.135 --> 06:24:22.239 region:rollup2
WE AS MANY OF YOU KNOW.
06:24:20.337 --> 06:24:23.107 region:rollup2
THERE WILL BE NEW STAFFING
06:24:22.239 --> 06:24:24.909 region:rollup2
REQUIREMENTS FOR SCHOOL NURSING
06:24:23.107 --> 06:24:26.477 region:rollup2
FACILITIES WILL BE EFFECTIVE
06:24:24.909 --> 06:24:29.113 region:rollup2
JULY FIRST OF THIS YEAR.
06:24:26.477 --> 06:24:30.581 region:rollup2
AND WE ESTIMATE THAT AT LEAST TO
06:24:29.113 --> 06:24:31.682 region:rollup2
A SEVENTEEN HUNDRED NEW
06:24:30.581 --> 06:24:34.485 region:rollup2
CERTIFIED NURSING ASSISTANTS
06:24:31.682 --> 06:24:35.686 region:rollup2
WILL BE REQUIRED TO SUPPLY AND
06:24:34.485 --> 06:24:37.454 region:rollup2
THAT NEED TO BE AND.
06:24:35.686 --> 06:24:39.790 region:rollup2
OUR FACILITIES ARE EXTREMELY
06:24:37.454 --> 06:24:41.392 region:rollup2
CONCERNED ABOUT WHERE THOSE SEE
06:24:39.790 --> 06:24:42.826 region:rollup2
AN AIDS ARE GOING TO COME FROM
06:24:41.392 --> 06:24:44.895 region:rollup2
OF THIS BILL IS ACTUALLY ONE WAY
06:24:42.826 --> 06:24:46.030 region:rollup2
FOR MANY OF OUR FACILITIES TO
06:24:44.895 --> 06:24:47.765 region:rollup2
GET A LITTLE BIT MORE CREATIVE
06:24:46.030 --> 06:24:49.099 region:rollup2
WITH THEIR TRAINING PROGRAMS.
06:24:47.765 --> 06:24:50.734 region:rollup2
AND PROVIDE BETTER ACCESS TO
06:24:49.099 --> 06:24:52.002 region:rollup2
INDIVIDUALS FOR ONLINE AND
06:24:50.734 --> 06:24:54.405 region:rollup2
DISTANCE LEARNING.
06:24:52.002 --> 06:24:55.172 region:rollup2
TO GET THEIR TRAINING DONE
06:24:54.405 --> 06:24:56.874 region:rollup2
THROUGH.
06:24:55.172 --> 06:24:58.142 region:rollup2
DIFFERENTMEANS AND THERE ARE
06:24:56.874 --> 06:24:59.877 region:rollup2
MANY OTHER STATES THAT PROVIDE
06:24:58.142 --> 06:25:01.211 region:rollup2
ONLINE TRAINING FOR CNN IS THERE
06:24:59.877 --> 06:25:02.613 region:rollup2
ARE ALSO MANY OTHER HEALTHCARE
06:25:01.211 --> 06:25:04.515 region:rollup2
PROFESSIONALS THAT USE ONLINE OR
06:25:02.613 --> 06:25:05.616 region:rollup2
DISTANCE LEARNING. ARE RIGHT NOW
06:25:04.515 --> 06:25:07.151 region:rollup2
THAT PART OF PUBLIC HEALTH DOES
06:25:05.616 --> 06:25:08.786 region:rollup2
NOT HAVE THE AUTHORITY TO DO
06:25:07.151 --> 06:25:10.421 region:rollup2
THIS AT LEAST NOW THEY WILL HAVE
06:25:08.786 --> 06:25:12.523 region:rollup2
THE AUTHORITY TO APPROVE I'M
06:25:10.421 --> 06:25:15.092 region:rollup2
SOME OF OUR TRAINING PROGRAMS.
06:25:12.523 --> 06:25:17.094 region:rollup2
TO HANDLE CLASSROOM HOURS
06:25:15.092 --> 06:25:18.696 region:rollup2
THROUGH ONLINE TRAINING ONE WAY
06:25:17.094 --> 06:25:20.831 region:rollup2
THAT WE CAN ADDRESS THE WORK FOR
06:25:18.696 --> 06:25:22.366 region:rollup2
SHORTAGE THAT WE ARE AND IN THE
06:25:20.831 --> 06:25:24.001 region:rollup2
MIDDLE OF IN CALIFORNIA SO WE
06:25:22.366 --> 06:25:25.302 region:rollup2
APPRECIATE YOUR AYE VOTE ON THE
06:25:24.001 --> 06:25:25.836 region:rollup2
BILL THINK YOU.
06:25:25.302 --> 06:25:28.472 region:rollup2
VERY MUCH OF THE OTHERS IN
06:25:25.836 --> 06:25:29.673 region:rollup2
SUPPORT.
06:25:28.472 --> 06:25:32.476 region:rollup2
SEE NO ONE IS THERE ANYONE IN
06:25:29.673 --> 06:25:33.711 region:rollup2
OPPOSITION.
06:25:32.476 --> 06:25:34.645 region:rollup2
SEE NO ONE WILL BRING IT BACK TO
06:25:33.711 --> 06:25:35.846 region:rollup2
THE COMMITTEE FOR QUESTIONS OR
06:25:34.645 --> 06:25:38.615 region:rollup2
COMMENTS ANYONE ON THE COMMITTEE
06:25:35.846 --> 06:25:39.516 region:rollup2
HAVE A QUESTIONER COMMENT.
06:25:38.615 --> 06:25:45.055 region:rollup2
SEEING NONE WE HAVE.
06:25:39.516 --> 06:25:48.292 region:rollup2
.
06:25:45.055 --> 06:25:50.060 region:rollup2
THE MOTION BY MISTER SANTIAGO A
06:25:48.292 --> 06:25:51.362 region:rollup2
SECOND BY MISTER BIGELOW. A
06:25:50.060 --> 06:25:52.763 region:rollup2
WHICH I CLOSED HIS RUBIO THANK
06:25:51.362 --> 06:25:54.732 region:rollup2
YOU ARE THIS RESPECTFULLY ASK
06:25:52.763 --> 06:25:57.635 region:rollup2
FOR A AYE VOTE. SO THE MOTION IS
06:25:54.732 --> 06:26:00.204 region:rollup2
DO PASSED APPROPRIATIONS MADAMS.
06:25:57.635 --> 06:26:02.473 region:rollup2
CALDERON WHERE'D I LED AYE MAYES
06:26:00.204 --> 06:26:03.841 region:rollup2
MAYES AYE AGAR CURRY.
06:26:02.473 --> 06:26:04.341 region:rollup2
AGUIAR-CURRY I BIGELOW. BIGELOW
06:26:03.841 --> 06:26:06.143 region:rollup2
AYE BONTA.
06:26:04.341 --> 06:26:07.444 region:rollup2
BURKE.
06:26:06.143 --> 06:26:08.779 region:rollup2
BURKE I.
06:26:07.444 --> 06:26:10.347 region:rollup2
CARILLO.
06:26:08.779 --> 06:26:12.349 region:rollup2
FLORA.
06:26:10.347 --> 06:26:14.852 region:rollup2
FLORA ISLA MON.
06:26:12.349 --> 06:26:16.020 region:rollup2
LIMON AYE MCCARTY MCCARTY AYE.
06:26:14.852 --> 06:26:17.621 region:rollup2
MISSOURIAN.
06:26:16.020 --> 06:26:19.623 region:rollup2
RODRIGUEZ.
06:26:17.621 --> 06:26:21.125 region:rollup2
SANTIAGO.
06:26:19.623 --> 06:26:22.159 region:rollup2
SANTIAGO ARE THURMAN. BERMAN AYE
06:26:21.125 --> 06:26:28.165 region:rollup2
WALDRON.
06:26:22.159 --> 06:26:29.666 region:rollup2
WALDRON AYE.
06:26:28.165 --> 06:26:32.970 region:rollup2
ELEVEN ZERO YOUR BILL IS OUT
06:26:29.666 --> 06:26:35.239 region:rollup2
THANK YOU VERY MUCH MISS RUBIO.
06:26:32.970 --> 06:26:39.443 region:rollup2
.
06:26:35.239 --> 06:26:49.887 region:rollup2
IT'S MCCARTY THEN MISS.
06:26:39.443 --> 06:26:51.255 region:rollup2
YET QUITE GLAD I'M SORRY.
06:26:49.887 --> 06:26:54.625 region:rollup2
HIP HOP AB TWENTY FOUR EIGHTY
06:26:51.255 --> 06:26:55.693 region:rollup2
SIX.
06:26:54.625 --> 06:26:57.361 region:rollup2
THANK YOU MISTER CHAIR AT THE
06:26:55.693 --> 06:26:58.729 region:rollup2
LATE HOUR I DID LOSE MY
06:26:57.361 --> 06:27:01.165 region:rollup2
WITNESSES THEY WERE HERE FOR
06:26:58.729 --> 06:27:02.599 region:rollup2
SEVERAL HOURS.
06:27:01.165 --> 06:27:04.134 region:rollup2
WHO I HAVE ONE THING YOU DO LOSE
06:27:02.599 --> 06:27:06.437 region:rollup2
SOME ARE? SO I HAVE THE.
06:27:04.134 --> 06:27:08.205 region:rollup2
OPIOID ADDICTION PREVENTION A
06:27:06.437 --> 06:27:09.940 region:rollup2
REFILL TATIAN ACTS.
06:27:08.205 --> 06:27:11.809 region:rollup2
JOIN THE AUTHORED BY MYSELF IN
06:27:09.940 --> 06:27:13.610 region:rollup2
MISTER GALLAGHER I DID LOSE HIM.
06:27:11.809 --> 06:27:15.145 region:rollup2
BY THIS CREATES A ON A SMALL
06:27:13.610 --> 06:27:16.947 region:rollup2
SURCHARGE ON PRESCRIPTION
06:27:15.145 --> 06:27:18.849 region:rollup2
OPIOIDS IN CALIFORNIA FOR
06:27:16.947 --> 06:27:20.384 region:rollup2
MANUFACTURERS THAT CONTRACT WITH
06:27:18.849 --> 06:27:22.019 region:rollup2
THE STATE. TO BE PUT ON THE
06:27:20.384 --> 06:27:24.021 region:rollup2
PREFERRED DRUG LIST FOR SALES
06:27:22.019 --> 06:27:26.356 region:rollup2
THIS IS. AN OPTIONAL.
06:27:24.021 --> 06:27:27.925 region:rollup2
IDEA WE HAVE THAT WE KNOW THAT
06:27:26.356 --> 06:27:29.660 region:rollup2
PRESCRIPTION OPIOIDS DO SERVE A
06:27:27.925 --> 06:27:31.261 region:rollup2
LEGITIMATE PURPOSE IN PAIN
06:27:29.660 --> 06:27:32.663 region:rollup2
MANAGEMENT BUT OUR NATION AS.
06:27:31.261 --> 06:27:34.498 region:rollup2
ALSO FALLEN VICTIM TO THE
06:27:32.663 --> 06:27:35.766 region:rollup2
CULTURE OF OVER PRESCRIPTION
06:27:34.498 --> 06:27:36.900 region:rollup2
CAUSING MILLIONS AMERICANS TO
06:27:35.766 --> 06:27:39.269 region:rollup2
BECOME ADDICTED TO THESE
06:27:36.900 --> 06:27:41.371 region:rollup2
DANGEROUS DRUGS. WE KNOW THAT.
06:27:39.269 --> 06:27:44.408 region:rollup2
THREE AND FOR NO NEW HERRING
06:27:41.371 --> 06:27:46.009 region:rollup2
USERS WERE RECENTLY A ABUSING
06:27:44.408 --> 06:27:47.077 region:rollup2
PRESCRIPTION DRUGS.
06:27:46.009 --> 06:27:48.812 region:rollup2
WEEK WE HAVE INCREASE
06:27:47.077 --> 06:27:49.947 region:rollup2
HEALTHCARE COSTS
06:27:48.812 --> 06:27:51.915 region:rollup2
PLACING FINANCIAL BURDENS ON
06:27:49.947 --> 06:27:53.650 region:rollup2
TAXPAYERS REDUCING ACCESS TO
06:27:51.915 --> 06:27:54.952 region:rollup2
EMERGENCY ROOMS WE NEED IS
06:27:53.650 --> 06:27:56.053 region:rollup2
SOMETHING WE NEED MORE TREATMENT
06:27:54.952 --> 06:27:57.955 region:rollup2
WE MORE PREVENTION ACROSS
06:27:56.053 --> 06:27:59.590 region:rollup2
CALIFORNIA. CERTAIN THE GENERAL
06:27:57.955 --> 06:28:00.757 region:rollup2
FUND COULD PAY FOR THIS WE HEARD
06:27:59.590 --> 06:28:02.292 region:rollup2
FROM THE LAST HEARING.
06:28:00.757 --> 06:28:03.827 region:rollup2
FOR THREE HOURS WE HAVE OTHER
06:28:02.292 --> 06:28:05.596 region:rollup2
NEEDS IN OUR HEALTHCARE SYSTEM
06:28:03.827 --> 06:28:07.064 region:rollup2
SO WE THINK THE INDUSTRY THE
06:28:05.596 --> 06:28:09.099 region:rollup2
MANUFACTURERS HAVE A
06:28:07.064 --> 06:28:11.101 region:rollup2
RESPONSIBILITY AS WELL TO HELP
06:28:09.099 --> 06:28:12.402 region:rollup2
WITH THIS ISSUE. SO WITH THIS WE
06:28:11.101 --> 06:28:13.537 region:rollup2
THINK WE HAVE A CREATIVE
06:28:12.402 --> 06:28:15.272 region:rollup2
SOLUTION.
06:28:13.537 --> 06:28:17.141 region:rollup2
ASKING FOR THESE ENTITIES WHO
06:28:15.272 --> 06:28:20.310 region:rollup2
WANT TO PARTICIPATE IN OUR MEDI
06:28:17.141 --> 06:28:22.045 region:rollup2
CAL FORMULARY PROCESS TO PAY.
06:28:20.310 --> 06:28:24.014 region:rollup2
INTO A ON.
06:28:22.045 --> 06:28:26.350 region:rollup2
INTO A HUG A REBATE ON A
06:28:24.014 --> 06:28:28.318 region:rollup2
SURCHARGE FUND THAT WILL PAY FOR
06:28:26.350 --> 06:28:30.320 region:rollup2
A RE HAPPENED PREVENTION
06:28:28.318 --> 06:28:33.223 region:rollup2
SERVICES ACROSS CALIFORNIA. ASK
06:28:30.320 --> 06:28:35.459 region:rollup2
YOUR AYE VOTE AND WITH ME TODAY
06:28:33.223 --> 06:28:36.460 region:rollup2
MISTER GRANT FREE. THANK YOU AYE
06:28:35.459 --> 06:28:37.728 region:rollup2
TOM RENT FREE WITH THE
06:28:36.460 --> 06:28:38.529 region:rollup2
CALIFORNIA BE ABLE HEALTH
06:28:37.728 --> 06:28:40.764 region:rollup2
DIRECTORS THIS IS ANOTHER GREAT
06:28:38.529 --> 06:28:41.198 region:rollup2
BILL WILL HELP PROVIDE RESOURCES
06:28:40.764 --> 06:28:43.033 region:rollup2
FOR.
06:28:41.198 --> 06:28:43.700 region:rollup2
OUR TREATMENT SYSTEM TO BE ABLE
06:28:43.033 --> 06:28:46.537 region:rollup2
TO.
06:28:43.700 --> 06:28:48.105 region:rollup2
ADDRESS THE OPIOID CRISIS AND
06:28:46.537 --> 06:28:49.139 region:rollup2
OUT WE URGE YOUR SUPPORT I'M ALL
06:28:48.105 --> 06:28:51.909 region:rollup2
I'VE ALSO BEEN ASKED TO.
06:28:49.139 --> 06:28:53.277 region:rollup2
TO EXPRESS THE SUPPORT OF THE A
06:28:51.909 --> 06:28:56.346 region:rollup2
CALIFORNIA.
06:28:53.277 --> 06:28:58.382 region:rollup2
SOCIETY ADDICTION MEDICINE BUT
06:28:56.346 --> 06:29:02.152 region:rollup2
ALSO IN SUPPORT THANK YOU.
06:28:58.382 --> 06:29:02.686 region:rollup2
ANYONE ELSE IN SUPPORT.
06:29:02.152 --> 06:29:05.656 region:rollup2
NO ONE IS THERE ANYONE IN
06:29:02.686 --> 06:29:06.623 region:rollup2
OPPOSITION.
06:29:05.656 --> 06:29:07.157 region:rollup2
NO ONE BRING BACK TO THE
06:29:06.623 --> 06:29:08.692 region:rollup2
COMMITTEE FOR QUESTIONS OR
06:29:07.157 --> 06:29:10.327 region:rollup2
COMMENTS
06:29:08.692 --> 06:29:11.528 region:rollup2
TO RECEIVE MAYES. I'M SORRY I
06:29:10.327 --> 06:29:12.329 region:rollup2
KNOW IT'S THE LATE HOUR AND ONE
06:29:11.528 --> 06:29:14.298 region:rollup2
HAS TO.
06:29:12.329 --> 06:29:14.965 region:rollup2
DID TO BELABOR THIS BUT WHEN I
06:29:14.298 --> 06:29:17.000 region:rollup2
LOOK AT THIS.
06:29:14.965 --> 06:29:19.736 region:rollup2
I KNOW YOU GUYS HAD A SIMILAR
06:29:17.000 --> 06:29:21.071 region:rollup2
BILL I'M LAST YEAR AND THAT WAS
06:29:19.736 --> 06:29:23.240 region:rollup2
A. ATTACKS.
06:29:21.071 --> 06:29:24.775 region:rollup2
THIS IS A REBATE.
06:29:23.240 --> 06:29:26.109 region:rollup2
BUT IT LOOKS LIKE IT'S THE SAME
06:29:24.775 --> 06:29:27.878 region:rollup2
THING I'M SURPRISED THERE ISN'T
06:29:26.109 --> 06:29:28.679 region:rollup2
ANY OPPOSITION.
06:29:27.878 --> 06:29:30.480 region:rollup2
AND.
06:29:28.679 --> 06:29:31.582 region:rollup2
THEM SO THAT THEY THEN I I
06:29:30.480 --> 06:29:32.449 region:rollup2
THINK BUT I LOOK AT THIS IT
06:29:31.582 --> 06:29:34.184 region:rollup2
SEEMS LIKE THIS IS THAT
06:29:32.449 --> 06:29:35.986 region:rollup2
PROVERBIAL THE CAMEL'S NOSE
06:29:34.184 --> 06:29:37.588 region:rollup2
UNDER THE UNDER THE TENT.
06:29:35.986 --> 06:29:40.123 region:rollup2
AND AND THAT IS OUR SLIPPERY
06:29:37.588 --> 06:29:40.357 region:rollup2
SLOPE THAT. I'M MIXING METAPHORS
06:29:40.123 --> 06:29:42.092 region:rollup2
NOW BUT.
06:29:40.357 --> 06:29:43.927 region:rollup2
.
06:29:42.092 --> 06:29:45.095 region:rollup2
BUT BUT.
06:29:43.927 --> 06:29:46.396 region:rollup2
TELL ME HOW THIS IS DURING THE
06:29:45.095 --> 06:29:47.931 region:rollup2
MATURE US YOU'RE THE FIRST OF
06:29:46.396 --> 06:29:49.867 region:rollup2
ALL OUR FRIENDS ARE HERE ALLEGE
06:29:47.931 --> 06:29:51.835 region:rollup2
COUNCIL DIDN'T HOLIDAY AND.
06:29:49.867 --> 06:29:52.135 region:rollup2
ATTACKS
06:29:51.835 --> 06:29:53.604 region:rollup2
AND SO IT'S.
06:29:52.135 --> 06:29:55.839 region:rollup2
.
06:29:53.604 --> 06:29:57.741 region:rollup2
IT'S VOLUNTARY SO THERE ARE
06:29:55.839 --> 06:29:59.509 region:rollup2
ENTITIES THAT WANT TO. WORK WITH
06:29:57.741 --> 06:30:01.111 region:rollup2
CALIFORNIA TO BE ABLE TO SELL
06:29:59.509 --> 06:30:03.080 region:rollup2
THEIR PLAYER THEIR PRODUCTS ON
06:30:01.111 --> 06:30:05.649 region:rollup2
THE FORMULARY. PAINKILLERS
06:30:03.080 --> 06:30:06.283 region:rollup2
OPIATES AND WE ASKED THEM IF
06:30:05.649 --> 06:30:07.417 region:rollup2
THEY'D LIKE TO PARTICIPATE WITH
06:30:06.283 --> 06:30:08.719 region:rollup2
US
06:30:07.417 --> 06:30:10.354 region:rollup2
TO GIVE US THE DISCOUNT KNOW
06:30:08.719 --> 06:30:12.756 region:rollup2
WHAT WE'RE PAYING AYE ANNUAL
06:30:10.354 --> 06:30:13.957 region:rollup2
BASIS. AND WILL TAKE THAT EXTRA
06:30:12.756 --> 06:30:15.292 region:rollup2
DISCOUNT AND PUT IN A SEPARATE
06:30:13.957 --> 06:30:16.827 region:rollup2
FUND.
06:30:15.292 --> 06:30:18.629 region:rollup2
WE'VE BEEN DOING THIS FOR YEARS
06:30:16.827 --> 06:30:20.697 region:rollup2
WITH THAT AIDS MEDICATION. IN
06:30:18.629 --> 06:30:22.132 region:rollup2
NOT IN CALIFORNIA SO IT IS.
06:30:20.697 --> 06:30:24.735 region:rollup2
.
06:30:22.132 --> 06:30:25.736 region:rollup2
YEAH IT WOULD IT'S A SURCHARGE
06:30:24.735 --> 06:30:28.171 region:rollup2
THAT WOULD BE THAT WOULD BE
06:30:25.736 --> 06:30:29.506 region:rollup2
PLACED ARE ON THIS TRANSACTION.
06:30:28.171 --> 06:30:30.774 region:rollup2
AND AGAIN IT'S NOT IT'S NOT IT'S
06:30:29.506 --> 06:30:31.942 region:rollup2
NOT FORCES SOMEONE DOESN'T WANNA
06:30:30.774 --> 06:30:33.710 region:rollup2
PARTICIPATE WITH CALIFORNIA TO
06:30:31.942 --> 06:30:35.178 region:rollup2
GET ON THE FORMULARY. THEY DON'T
06:30:33.710 --> 06:30:38.248 region:rollup2
HAVE TO TO PARTICIPATE THEIR
06:30:35.178 --> 06:30:43.787 region:rollup2
FOURTH ATTACK.
06:30:38.248 --> 06:30:46.156 region:rollup2
OTHER QUESTIONS.
06:30:43.787 --> 06:30:47.491 region:rollup2
THE NUN UM.
06:30:46.156 --> 06:30:48.825 region:rollup2
FIRST BOB PRETTY PRETTY YOUR
06:30:47.491 --> 06:30:50.360 region:rollup2
PERSISTENCE ON ON THIS ISSUE
06:30:48.825 --> 06:30:52.029 region:rollup2
OBVIOUSLY.
06:30:50.360 --> 06:30:53.530 region:rollup2
IT THE OPIOID ADDICTION
06:30:52.029 --> 06:30:55.399 region:rollup2
CHALLENGES WERE FACING IN THE
06:30:53.530 --> 06:30:57.167 region:rollup2
LACK OF RESOURCES FOR TREATMENT
06:30:55.399 --> 06:30:58.368 region:rollup2
IS AS PARTICULARLY VEXING.
06:30:57.167 --> 06:31:00.737 region:rollup2
I APPRECIATE YOU BRINGING THE
06:30:58.368 --> 06:31:01.338 region:rollup2
BILL FORWARD OF THE BILL DOESN'T
06:31:00.737 --> 06:31:02.039 region:rollup2
DO.
06:31:01.338 --> 06:31:03.840 region:rollup2
DOES ENJOY DO PASS
06:31:02.039 --> 06:31:06.176 region:rollup2
RECOMMENDATION.
06:31:03.840 --> 06:31:09.479 region:rollup2
TO WE HAVE A MOTION.
06:31:06.176 --> 06:31:10.881 region:rollup2
WE DO NOT HAVE A MOTION HOWEVER.
06:31:09.479 --> 06:31:12.349 region:rollup2
NUMBER OF MOTION BY MISTER
06:31:10.881 --> 06:31:13.784 region:rollup2
RODRIGUEZ AND WE HAVE A SECOND
06:31:12.349 --> 06:31:14.651 region:rollup2
BY MISTAKE YOUR CAREER THE
06:31:13.784 --> 06:31:17.020 region:rollup2
MOTION WOULD BE TO PASS TO
06:31:14.651 --> 06:31:18.789 region:rollup2
APPROPRIATIONS.
06:31:17.020 --> 06:31:24.428 region:rollup2
MADAM SECRETARY PLEASE CALL THE
06:31:18.789 --> 06:31:26.163 region:rollup2
ROLL.
06:31:24.428 --> 06:31:28.832 region:rollup2
I. THOUGHT I WOULD I WOULD I
06:31:26.163 --> 06:31:30.434 region:rollup2
MAYES.
06:31:28.832 --> 06:31:33.236 region:rollup2
THERE'S NOT VOTING AGAR CURRY.
06:31:30.434 --> 06:31:34.371 region:rollup2
AGAR CURRY I BIGELOW.
06:31:33.236 --> 06:31:36.773 region:rollup2
BIGELOW NO BONTA.
06:31:34.371 --> 06:31:38.742 region:rollup2
BURKE.
06:31:36.773 --> 06:31:42.512 region:rollup2
BURKE I CARILLO.
06:31:38.742 --> 06:31:43.613 region:rollup2
FLORA.
06:31:42.512 --> 06:31:45.349 region:rollup2
FLORA NOT VOTING.
06:31:43.613 --> 06:31:47.617 region:rollup2
LIMON.
06:31:45.349 --> 06:31:49.953 region:rollup2
LIMON AYE MCCARTY.
06:31:47.617 --> 06:31:52.422 region:rollup2
MCCARTY AYE THIS AREA.
06:31:49.953 --> 06:31:54.558 region:rollup2
RODRIGUEZ.
06:31:52.422 --> 06:31:56.426 region:rollup2
RODRIGUEZ I SANTIAGO.
06:31:54.558 --> 06:31:57.627 region:rollup2
SANTIAGO AYE BERMAN. THURMOND
06:31:56.426 --> 06:32:00.297 region:rollup2
AYE WALDRON.
06:31:57.627 --> 06:32:02.432 region:rollup2
FATHER I.
06:32:00.297 --> 06:32:03.066 region:rollup2
NINETY.
06:32:02.432 --> 06:32:04.701 region:rollup2
NINE ZERO THE VOTE WAS A NINE
06:32:03.066 --> 06:32:05.569 region:rollup2
POINT BUT CERTAIN NINE ONE THE
06:32:04.701 --> 06:32:07.637 region:rollup2
BILL IS OUT.
06:32:05.569 --> 06:32:08.905 region:rollup2
MISS BURKE AND MISS WALDRON
06:32:07.637 --> 06:32:12.008 region:rollup2
WILL LET YOU GO NEXT CAN WE TO
06:32:08.905 --> 06:32:12.175 region:rollup2
THEM WE TAKE UP ABOUT A VOTE ON
06:32:12.008 --> 06:32:15.712 region:rollup2
THE.
06:32:12.175 --> 06:32:16.279 region:rollup2
CONSENT CALENDAR.
06:32:15.712 --> 06:32:19.683 region:rollup2
I'LL GIVE YOU THE NUMBERS.
06:32:16.279 --> 06:32:21.184 region:rollup2
ITEM IT'S AB TWENTY THREE.
06:32:19.683 --> 06:32:22.786 region:rollup2
I'M SORRY IT'S IT'S AB TWO ZERO
06:32:21.184 --> 06:32:24.888 region:rollup2
TWO NINE.
06:32:22.786 --> 06:32:26.790 region:rollup2
MR GARCIA AB TWENTY ONE EIGHTEEN
06:32:24.888 --> 06:32:28.825 region:rollup2
MISTER COOLEY AB TWENTY THREE
06:32:26.790 --> 06:32:30.193 region:rollup2
TWENTY FIVE MISTER WHEN AB
06:32:28.825 --> 06:32:31.561 region:rollup2
TWENTY THREE THIRTY THREE WOULD.
06:32:30.193 --> 06:32:33.697 region:rollup2
AB TWENTY FOUR SEVENTY ONE
06:32:31.561 --> 06:32:36.033 region:rollup2
THURMAN. AB TWENTY FOUR EIGHTY
06:32:33.697 --> 06:32:37.901 region:rollup2
NINE MAIENSCHEIN AB TWENTY SIX
06:32:36.033 --> 06:32:38.468 region:rollup2
EIGHTY SIX JONES SAWYER. AB
06:32:37.901 --> 06:32:44.708 region:rollup2
TWENTY AB TWENTY NINE SIXTY
06:32:38.468 --> 06:32:46.343 region:rollup2
SEVEN OH
06:32:44.708 --> 06:32:48.378 region:rollup2
QUIRK SILVA AND ACR ONE SEVENTY
06:32:46.343 --> 06:32:50.714 region:rollup2
SEVEN JONES SAWYER SO WE DO HAVE
06:32:48.378 --> 06:32:52.983 region:rollup2
A MOTION. BY MISTER THURMAN THE
06:32:50.714 --> 06:32:54.051 region:rollup2
SECOND BY MISTER SANTIAGO.
06:32:52.983 --> 06:32:59.222 region:rollup2
MEMSIC TRIP PLEASE CALL THE
06:32:54.051 --> 06:33:02.125 region:rollup2
ROLL WOULD I WOULD I MAYES.
06:32:59.222 --> 06:33:02.993 region:rollup2
MAYES EYEING AGAR CURRY.
06:33:02.125 --> 06:33:03.427 region:rollup2
AND YOUR CAREER I BIGELOW
06:33:02.993 --> 06:33:05.028 region:rollup2
BIGELOW AYE BONTA.
06:33:03.427 --> 06:33:07.264 region:rollup2
BURKE.
06:33:05.028 --> 06:33:09.366 region:rollup2
BURKE I CARILLO.
06:33:07.264 --> 06:33:11.368 region:rollup2
FLORA.
06:33:09.366 --> 06:33:13.804 region:rollup2
FLORA I LIMON.
06:33:11.368 --> 06:33:15.539 region:rollup2
THE BONE AYE MCCARTY.
06:33:13.804 --> 06:33:17.541 region:rollup2
MCCARTY I NAZARIAN.
06:33:15.539 --> 06:33:19.976 region:rollup2
RODRIGUEZ.
06:33:17.541 --> 06:33:22.212 region:rollup2
RODRIGUEZ I SANTIAGO.
06:33:19.976 --> 06:33:23.680 region:rollup2
SANTIAGO AYE BERMAN.
06:33:22.212 --> 06:33:33.256 region:rollup2
THURMOND AYE WALDRON.
06:33:23.680 --> 06:33:35.859 region:rollup2
WALDRON AYE.
06:33:33.256 --> 06:33:38.261 region:rollup2
CARILLO CONSENT COUNTY.
06:33:35.859 --> 06:33:40.864 region:rollup2
CARILLO I.
06:33:38.261 --> 06:33:43.767 region:rollup2
THAT'S FOURTEEN ZERO.
06:33:40.864 --> 06:33:45.902 region:rollup2
MISS BURKHALTER. THIRTEEN ZERO
06:33:43.767 --> 06:33:47.270 region:rollup2
MISS BURKE WAS ABOUT.
06:33:45.902 --> 06:33:48.171 region:rollup2
THANK YOU MISTER CHAIRMAN RISK
06:33:47.270 --> 06:33:49.539 region:rollup2
ASSEMBLY WOMAN.
06:33:48.171 --> 06:33:51.174 region:rollup2
WALDRON I PRESENT YOU AB TWENTY
06:33:49.539 --> 06:33:52.142 region:rollup2
THREE FORTY TWO WHICH REQUIRES
06:33:51.174 --> 06:33:53.810 region:rollup2
HEALTH PLANS INSURANCE AND DEEP
06:33:52.142 --> 06:33:55.245 region:rollup2
SIESTA COVER SCREENINGS. GENETIC
06:33:53.810 --> 06:33:56.847 region:rollup2
COUNSELING AND TESTING FOR BROCK
06:33:55.245 --> 06:33:57.647 region:rollup2
MUTATION IN WOMEN WHO HAVE NOT
06:33:56.847 --> 06:33:59.349 region:rollup2
BEEN DIAGNOSED WITH BREAST
06:33:57.647 --> 06:34:01.885 region:rollup2
CANCER OVER CANCER BUT WHO COULD
06:33:59.349 --> 06:34:03.887 region:rollup2
BE. CONSIDERED A HIGH RISK.
06:34:01.885 --> 06:34:05.122 region:rollup2
WITH THAT I WILL ALLOW US I
06:34:03.887 --> 06:34:07.224 region:rollup2
WILL HAVE ASSEMBLY MEMBER
06:34:05.122 --> 06:34:10.427 region:rollup2
WALDRON COMPLETE THE PRISON
06:34:07.224 --> 06:34:11.761 region:rollup2
TASTE.
06:34:10.427 --> 06:34:12.529 region:rollup2
THANK YOU I'M JUST REALLY
06:34:11.761 --> 06:34:15.165 region:rollup2
BRIEFLY.
06:34:12.529 --> 06:34:17.567 region:rollup2
IT'S IMPORTANT THAT ALL WOMEN
06:34:15.165 --> 06:34:19.402 region:rollup2
THAT NEED GENETIC COUNSELING.
06:34:17.567 --> 06:34:21.271 region:rollup2
AND TESTING RECEIVE THESE VITAL
06:34:19.402 --> 06:34:23.173 region:rollup2
SERVICES BREAST AND OVARIAN
06:34:21.271 --> 06:34:24.908 region:rollup2
CANCER DOES NOT DISCRIMINATE
06:34:23.173 --> 06:34:26.543 region:rollup2
DOES NOT CARE WHETHER YOU ARE
06:34:24.908 --> 06:34:27.878 region:rollup2
RICH OR POOR THAT DOESN'T CARE
06:34:26.543 --> 06:34:29.713 region:rollup2
YOUR POLITICAL VIEWS MOVE THE
06:34:27.878 --> 06:34:32.415 region:rollup2
BILL. AND THAT IS WHY I AM SO
06:34:29.713 --> 06:34:34.084 region:rollup2
STRONGLY INCLINED TO JOIN THE
06:34:32.415 --> 06:34:35.652 region:rollup2
AUTHOR ON THIS BILL THANK YOU.
06:34:34.084 --> 06:34:38.388 region:rollup2
VERY MUCH
06:34:35.652 --> 06:34:40.323 region:rollup2
WITNESSES IN SUPPORT.
06:34:38.388 --> 06:34:41.491 region:rollup2
GOOD EVENING MISTER CHAIRMAN
06:34:40.323 --> 06:34:42.159 region:rollup2
REYES LESS AND MORE WITH SHALL
06:34:41.491 --> 06:34:43.693 region:rollup2
ENTER INTO THE HAIR ON BEHALF OF
06:34:42.159 --> 06:34:46.596 region:rollup2
THE CITY OF LOS ANGELES PROUD TO
06:34:43.693 --> 06:34:47.931 region:rollup2
SPONSOR THE SPELL. AND JUST
06:34:46.596 --> 06:34:48.865 region:rollup2
BRIEFLY ONE I THINK
06:34:47.931 --> 06:34:51.101 region:rollup2
ASSEMBLYMEMBERS BURKE AND
06:34:48.865 --> 06:34:51.801 region:rollup2
LODGING FOR AUTHORING THIS
06:34:51.101 --> 06:34:52.869 region:rollup2
IMPORTANT DEL.
06:34:51.801 --> 06:34:53.770 region:rollup2
OVARIAN CANCER IS ONE OF THE
06:34:52.869 --> 06:34:54.371 region:rollup2
DEADLIEST OF GYNECOLOGICAL
06:34:53.770 --> 06:34:56.006 region:rollup2
CANCERS THAT CAN HAPPEN TO
06:34:54.371 --> 06:34:56.973 region:rollup2
ANYONE AT ANY AGE AND PART OF
06:34:56.006 --> 06:34:58.408 region:rollup2
THE REASON FOR THE HIGH
06:34:56.973 --> 06:34:59.743 region:rollup2
MORTALITY RATES IS THAT
06:34:58.408 --> 06:35:01.077 region:rollup2
DETECTION OFTEN COMES TOO LATE.
06:34:59.743 --> 06:35:03.079 region:rollup2
THE CITY OF LA WAS INSPIRED TO
06:35:01.077 --> 06:35:05.148 region:rollup2
SPONSOR THIS BILL BY THE OVARIAN
06:35:03.079 --> 06:35:06.049 region:rollup2
CANCER CIRCLE AND THE STORY OF
06:35:05.148 --> 06:35:07.951 region:rollup2
ROBIN BABY WHO LOST HER FIGHT
06:35:06.049 --> 06:35:09.452 region:rollup2
WITH OVARIAN CANCER AT ONLY
06:35:07.951 --> 06:35:10.587 region:rollup2
TWENTY YEARS OLD.
06:35:09.452 --> 06:35:11.655 region:rollup2
MADE BY ROBIN STORY THE LOS
06:35:10.587 --> 06:35:12.856 region:rollup2
ANGELES CITY COUNCIL HELD A
06:35:11.655 --> 06:35:14.591 region:rollup2
SPECIAL PRESENTATION IN
06:35:12.856 --> 06:35:16.126 region:rollup2
SEPTEMBER FOR OVARIAN CANCER
06:35:14.591 --> 06:35:17.727 region:rollup2
AWARENESS MONTH. AND FOLLOWING
06:35:16.126 --> 06:35:19.529 region:rollup2
THAT MANY ANGELENOS INCLUDING
06:35:17.727 --> 06:35:21.064 region:rollup2
CITY HALL EMPLOYEES REACHED OUT
06:35:19.529 --> 06:35:22.032 region:rollup2
WITH STORIES OF THEIR OWN.
06:35:21.064 --> 06:35:23.033 region:rollup2
AND THIS BILL WILL HELP
06:35:22.032 --> 06:35:24.200 region:rollup2
SAFEGUARD COVERAGE FOR
06:35:23.033 --> 06:35:25.936 region:rollup2
CALIFORNIA WOMEN AND MEN
06:35:24.200 --> 06:35:26.503 region:rollup2
REGARDLESS OF THE STATUS OF THE
06:35:25.936 --> 06:35:28.104 region:rollup2
AFFORDABLE CARE ACT AT THE
06:35:26.503 --> 06:35:29.506 region:rollup2
FEDERAL LEVEL AND FOR THESE
06:35:28.104 --> 06:35:29.773 region:rollup2
REASONS WE RESPECTFULLY ASK YOU
06:35:29.506 --> 06:35:31.041 region:rollup2
TO VOTE.
06:35:29.773 --> 06:35:34.644 region:rollup2
A MUCH
06:35:31.041 --> 06:35:35.745 region:rollup2
OTHERS IN SUPPORT.
06:35:34.644 --> 06:35:37.113 region:rollup2
ASSOCIATION OF NORTHERN
06:35:35.745 --> 06:35:41.818 region:rollup2
CALIFORNIA ONCOLOGISTS IN THE
06:35:37.113 --> 06:35:43.086 region:rollup2
SOUTHERN CALIFORNIANS SUPPORT
06:35:41.818 --> 06:35:43.887 region:rollup2
ALL OF OUR GREAT CALIFORNIA LIFE
06:35:43.086 --> 06:35:45.455 region:rollup2
SCIENCES ASSOCIATION IN STRONG
06:35:43.887 --> 06:35:47.691 region:rollup2
SUPPORT THANK YOU.
06:35:45.455 --> 06:35:48.558 region:rollup2
ANYONE ELSE.
06:35:47.691 --> 06:36:01.605 region:rollup2
IS THERE ANYONE IN OPPOSITION TO
06:35:48.558 --> 06:36:03.239 region:rollup2
THE BILL.
06:36:01.605 --> 06:36:05.542 region:rollup2
REMAIN GENERALLY WITH CALIFORNIA
06:36:03.239 --> 06:36:07.877 region:rollup2
ASSOCIATION HEALTH PLANS ON MY
06:36:05.542 --> 06:36:09.613 region:rollup2
MEMBERS CURRENTLY COVER BRCA THE
06:36:07.877 --> 06:36:11.314 region:rollup2
BROKEN SCREEN IT'S REQUIRED IT'S
06:36:09.613 --> 06:36:13.216 region:rollup2
RECOMMENDED BY THE UNITED STATES
06:36:11.314 --> 06:36:15.418 region:rollup2
PREVENTIVE SERVICES TASK FORCE.
06:36:13.216 --> 06:36:16.686 region:rollup2
WITHIN A RECOMMENDATION ON AND
06:36:15.418 --> 06:36:18.488 region:rollup2
SO ARE OPPOSITION OF THE BILLS
06:36:16.686 --> 06:36:20.190 region:rollup2
IT'S REFERENCING A CERTAIN AN
06:36:18.488 --> 06:36:21.024 region:rollup2
EXACT PASS THAT NEEDS TO BE DONE
06:36:20.190 --> 06:36:24.461 region:rollup2
WHICH MAY NOT.
06:36:21.024 --> 06:36:25.629 region:rollup2
STAY CURRENT WITH AS MEDICAL.
06:36:24.461 --> 06:36:26.896 region:rollup2
SCIENCE IMPROVES AND THERE MAY
06:36:25.629 --> 06:36:28.898 region:rollup2
BE ADDITIONAL JEAN SCREENS IN
06:36:26.896 --> 06:36:33.069 region:rollup2
THE FUTURE.
06:36:28.898 --> 06:36:33.703 region:rollup2
THAT'S ALL PLANT THANK YOU. FOR.
06:36:33.069 --> 06:36:35.405 region:rollup2
JOHN WINGER ON BEHALF AMERICA'S
06:36:33.703 --> 06:36:36.940 region:rollup2
HEALTH INSURANCE PLANS WE HAVE A
06:36:35.405 --> 06:36:37.907 region:rollup2
SIMILAR CONCERNS IT'S CAPITAL
06:36:36.940 --> 06:36:39.175 region:rollup2
LOOK FOR TO WORK WITH THE AUTHOR
06:36:37.907 --> 06:36:40.844 region:rollup2
ON. ON.
06:36:39.175 --> 06:36:42.045 region:rollup2
REFERENCING THE THE GUIDELINES
06:36:40.844 --> 06:36:44.147 region:rollup2
RATHER THAN PUTTING THEM IN THE
06:36:42.045 --> 06:36:48.051 region:rollup2
STATUTE THANKS.
06:36:44.147 --> 06:36:49.119 region:rollup2
THREE ANYONE ELSE IN OPPOSITION.
06:36:48.051 --> 06:36:49.853 region:rollup2
SCENE NUMBER BRING BACK TO THE
06:36:49.119 --> 06:36:50.287 region:rollup2
COMMITTEE FOR QUESTIONS OR
06:36:49.853 --> 06:36:54.557 region:rollup2
COMMENTS.
06:36:50.287 --> 06:36:56.159 region:rollup2
ANYONE.
06:36:54.557 --> 06:36:57.360 region:rollup2
TO KNOW WHAT WOULD YOU LIKE TO
06:36:56.159 --> 06:36:58.595 region:rollup2
CLOSE WITH ASPECT THERE BECAUSE
06:36:57.360 --> 06:36:59.829 region:rollup2
THEY WILL THANK YOU VERY MUCH WE
06:36:58.595 --> 06:37:01.598 region:rollup2
HAVE A MOTION.
06:36:59.829 --> 06:37:04.334 region:rollup2
BY MISTER MAYES THE SECOND BY
06:37:01.598 --> 06:37:05.902 region:rollup2
MS CARILLO. OF THE MOTION IS TO
06:37:04.334 --> 06:37:08.438 region:rollup2
PASS TO APPROPRIATIONS MADAM
06:37:05.902 --> 06:37:09.673 region:rollup2
SECRETARY PLEASE CALL THE ROLL.
06:37:08.438 --> 06:37:11.441 region:rollup2
WOULD.
06:37:09.673 --> 06:37:13.309 region:rollup2
IT AYE MAYES MAYES AYE AGAR
06:37:11.441 --> 06:37:13.877 region:rollup2
CURRY.
06:37:13.309 --> 06:37:16.713 region:rollup2
I GUESS CURRY AYE BIGELOW.
06:37:13.877 --> 06:37:18.648 region:rollup2
BIGELOW AYE BONTA BURKE.
06:37:16.713 --> 06:37:20.917 region:rollup2
BURKE I CARILLO I.
06:37:18.648 --> 06:37:22.852 region:rollup2
CARILLO I'VE FLORA.
06:37:20.917 --> 06:37:24.888 region:rollup2
FLORA I LIMON.
06:37:22.852 --> 06:37:28.658 region:rollup2
LIMON I MCCARTY. MCCARTY AYE IN
06:37:24.888 --> 06:37:29.159 region:rollup2
THIS AREA.
06:37:28.658 --> 06:37:34.631 region:rollup2
RODRIGUEZ RODRIGUEZ AYE
06:37:29.159 --> 06:37:36.566 region:rollup2
SANTIAGO.
06:37:34.631 --> 06:37:40.503 region:rollup2
THURMOND. THURMOND AYE WALDRON.
06:37:36.566 --> 06:37:42.272 region:rollup2
MODERN AYE.
06:37:40.503 --> 06:37:44.841 region:rollup2
TWELVE ZERO YOUR BILL IS OUT
06:37:42.272 --> 06:37:46.910 region:rollup2
THANK YOU VERY MUCH MR WHEN.
06:37:44.841 --> 06:37:56.353 region:rollup2
AS IRWIN YOU HAVE AB TWENTY SIX
06:37:46.910 --> 06:37:58.054 region:rollup2
FORTY THREE.
06:37:56.353 --> 06:37:59.422 region:rollup2
AB TWENTY SIX FORTY THREE
06:37:58.054 --> 06:38:01.157 region:rollup2
EXPANDS HEALTH CARE COVERAGE OF
06:37:59.422 --> 06:38:02.592 region:rollup2
GENERAL ANESTHESIA TO THE DENTAL
06:38:01.157 --> 06:38:03.126 region:rollup2
OFFICE SETTING FOR CERTAIN
06:38:02.592 --> 06:38:05.095 region:rollup2
POPULATIONS CHILDREN UNDER
06:38:03.126 --> 06:38:06.229 region:rollup2
SEVEN.
06:38:05.095 --> 06:38:07.931 region:rollup2
PEOPLE WITH DEVELOPMENTAL
06:38:06.229 --> 06:38:09.833 region:rollup2
DISABILITIES.
06:38:07.931 --> 06:38:11.434 region:rollup2
WHEN ANESTHESIA IS MEDICALLY
06:38:09.833 --> 06:38:12.802 region:rollup2
NECESSARY FOR DENTAL SERVICES
06:38:11.434 --> 06:38:15.038 region:rollup2
THE BILL ALSO AMENDS REQUIRED
06:38:12.802 --> 06:38:16.473 region:rollup2
INFORMATION INFORMED CONSENT TO
06:38:15.038 --> 06:38:18.975 region:rollup2
INCLUDE A REFERENCE TO NON
06:38:16.473 --> 06:38:20.377 region:rollup2
SURGICAL TREATMENT OPTIONS.
06:38:18.975 --> 06:38:21.211 region:rollup2
I DENTAL CAVITIES ARE THE MOST
06:38:20.377 --> 06:38:23.313 region:rollup2
CHRONIC.
06:38:21.211 --> 06:38:24.948 region:rollup2
CHILDHOOD DISEASE AFFECTING
06:38:23.313 --> 06:38:27.350 region:rollup2
NEARLY TWO THIRDS OF AMERICAN
06:38:24.948 --> 06:38:28.585 region:rollup2
CHILDREN BY. GRADE THREE PAIN
06:38:27.350 --> 06:38:30.887 region:rollup2
AND INFECTION RELATED TO CABBIES
06:38:28.585 --> 06:38:32.422 region:rollup2
RESULTS IN A LOSS OF FIFTY ONE
06:38:30.887 --> 06:38:34.424 region:rollup2
MILLION SCHOOL HOURS EACH YEAR.
06:38:32.422 --> 06:38:35.458 region:rollup2
WHEN TREATMENT IS NEEDED TO
06:38:34.424 --> 06:38:36.726 region:rollup2
ADDRESS CAVITIES IN YOUNG
06:38:35.458 --> 06:38:38.795 region:rollup2
CHILDREN OF PEOPLE WITH SPECIAL
06:38:36.726 --> 06:38:40.563 region:rollup2
NEEDS THOSE UNABLE TO.
06:38:38.795 --> 06:38:42.398 region:rollup2
COOPERATE WITH TRADITIONAL
06:38:40.563 --> 06:38:44.567 region:rollup2
DENTAL TREATMENT GENERAL
06:38:42.398 --> 06:38:46.770 region:rollup2
ANESTHESIA IS OFTEN THE ONLY
06:38:44.567 --> 06:38:48.838 region:rollup2
OPTION FOR. SITE I HAD THE
06:38:46.770 --> 06:38:50.707 region:rollup2
PROVISION OF THE CARE.
06:38:48.838 --> 06:38:51.741 region:rollup2
OF ONE THIS IS THE CASE DENNIS
06:38:50.707 --> 06:38:53.510 region:rollup2
HAVE THREE OPTIONS HOSPITAL
06:38:51.741 --> 06:38:55.345 region:rollup2
AMBULATORY SURGERY CENTER AND
06:38:53.510 --> 06:38:57.213 region:rollup2
THE DENTAL OFFICE AND RIGHT NOW
06:38:55.345 --> 06:38:57.480 region:rollup2
INSURANCE IS NOT COVER THAT OUR
06:38:57.213 --> 06:38:58.982 region:rollup2
OFFICE SO.
06:38:57.480 --> 06:39:00.016 region:rollup2
.
06:38:58.982 --> 06:39:01.184 region:rollup2
I WOULD LAST A FEW OF OUR
06:39:00.016 --> 06:39:04.788 region:rollup2
WITNESSES BUT I'M SURE YOU'RE
06:39:01.184 --> 06:39:06.656 region:rollup2
VERY HAPPY ABOUT THAT.
06:39:04.788 --> 06:39:08.091 region:rollup2
GOOD GOOD EVENING CHAIR MEMBERS.
06:39:06.656 --> 06:39:08.725 region:rollup2
BREANNA PITTMAN SPONSOR WITH
06:39:08.091 --> 06:39:10.593 region:rollup2
THE CALIFORNIA DENTAL
06:39:08.725 --> 06:39:13.263 region:rollup2
ASSOCIATION I AM PLEASED TO BE
06:39:10.593 --> 06:39:14.731 region:rollup2
THE CO SPONSOR OF THIS BILL.
06:39:13.263 --> 06:39:16.099 region:rollup2
DOCTOR POWERS ORDER. GRIZZARD
06:39:14.731 --> 06:39:17.367 region:rollup2
ó WITH THE CALIFORNIA SOCIETY
06:39:16.099 --> 06:39:19.836 region:rollup2
OF PEDIATRIC DENNIS WHOSE ARE A
06:39:17.367 --> 06:39:20.904 region:rollup2
CO SPONSOR WAS HERE AND JUST HAD
06:39:19.836 --> 06:39:21.571 region:rollup2
TO LEAVE TO CATCH
06:39:20.904 --> 06:39:23.039 region:rollup2
FLIGHT.
06:39:21.571 --> 06:39:24.307 region:rollup2
SO EGGS AT EXISTING LAW
06:39:23.039 --> 06:39:25.508 region:rollup2
REQUIRES THAT MEDICAL PLANS
06:39:24.307 --> 06:39:26.709 region:rollup2
COVER THE COST OF GENERAL
06:39:25.508 --> 06:39:28.244 region:rollup2
ANESTHESIA.
06:39:26.709 --> 06:39:29.646 region:rollup2
IN SPECIFIC VULNERABLE
06:39:28.244 --> 06:39:30.980 region:rollup2
POPULATIONS WHICH WERE JUST
06:39:29.646 --> 06:39:32.315 region:rollup2
DESCRIBED.
06:39:30.980 --> 06:39:33.483 region:rollup2
BUT IT REQUIRES OF THE STREET
06:39:32.315 --> 06:39:35.552 region:rollup2
IN THE CAR AND HOSPITAL OR
06:39:33.483 --> 06:39:36.786 region:rollup2
SURGERIES CENTER. THIS COVERAGE
06:39:35.552 --> 06:39:38.321 region:rollup2
OR CRIME AND ACKNOWLEDGES THAT
06:39:36.786 --> 06:39:39.989 region:rollup2
THE REASON FOR ANESTHESIA IS NOT
06:39:38.321 --> 06:39:40.356 region:rollup2
THE DEVIL TREATMENT ITSELF BUT
06:39:39.989 --> 06:39:42.459 region:rollup2
IS.
06:39:40.356 --> 06:39:43.827 region:rollup2
TO UNDERLYING MEDICAL CONDITION
06:39:42.459 --> 06:39:45.161 region:rollup2
OR AGE OF THE PATIENT
06:39:43.827 --> 06:39:46.429 region:rollup2
A HEALTHY AND ADULT FOR EXAMPLE
06:39:45.161 --> 06:39:47.597 region:rollup2
WOULD BE ABLE TO SIT THROUGH A
06:39:46.429 --> 06:39:49.466 region:rollup2
DENTAL TREATMENT TO RECEIVE
06:39:47.597 --> 06:39:50.667 region:rollup2
MULTIPLE FILLINGS OR CROWNS WALL
06:39:49.466 --> 06:39:51.568 region:rollup2
SOME OF THESE POPULATIONS JUST
06:39:50.667 --> 06:39:53.336 region:rollup2
AREN'T ABLE TO.
06:39:51.568 --> 06:39:54.637 region:rollup2
.
06:39:53.336 --> 06:39:56.206 region:rollup2
REMOVING THE SETTING RESTRICTION
06:39:54.637 --> 06:39:57.807 region:rollup2
ON EXISTING COVERAGE WILL REMOVE
06:39:56.206 --> 06:39:59.476 region:rollup2
THE COST BARRIERS FOR SOME OF
06:39:57.807 --> 06:40:00.743 region:rollup2
OUR MOST VULNERABLE CALIFORNIANS
06:39:59.476 --> 06:40:01.711 region:rollup2
ENSURING TIMELY ACCESS CAN BE
06:40:00.743 --> 06:40:03.246 region:rollup2
PROVIDED IN THE LEAST DRAMATIC
06:40:01.711 --> 06:40:04.214 region:rollup2
SETTING.
06:40:03.246 --> 06:40:06.015 region:rollup2
AND WHAT THE LOWEST COST BURDEN
06:40:04.214 --> 06:40:08.051 region:rollup2
FOR FAMILIES.
06:40:06.015 --> 06:40:09.185 region:rollup2
I'M CDA IS TRYING TO IMPROVE
06:40:08.051 --> 06:40:11.187 region:rollup2
ACCESS TO DENTAL SEDATION
06:40:09.185 --> 06:40:12.555 region:rollup2
ANASTASIA BORE ALSO COMMITTED TO
06:40:11.187 --> 06:40:14.724 region:rollup2
DECREASING THE NEED WHEREVER
06:40:12.555 --> 06:40:15.258 region:rollup2
POSSIBLE. AND THE CHANGE IN THE
06:40:14.724 --> 06:40:15.992 region:rollup2
INFORMED CONSENT THAT WAS
06:40:15.258 --> 06:40:18.962 region:rollup2
MENTIONED.
06:40:15.992 --> 06:40:20.230 region:rollup2
IS REALLY INTENDED TO MAKE SURE
06:40:18.962 --> 06:40:21.297 region:rollup2
THAT FAMILIES OF MINORS ARE.
06:40:20.230 --> 06:40:23.399 region:rollup2
.
06:40:21.297 --> 06:40:24.734 region:rollup2
INFORMED OF THE ALTERNATIVES AND
06:40:23.399 --> 06:40:26.169 region:rollup2
IT'S REALLY JUST CONTINUATION OF
06:40:24.734 --> 06:40:27.804 region:rollup2
OUR EFFORTS THERE SOBRE DIVING
06:40:26.169 --> 06:40:29.138 region:rollup2
FLUORIDE IS A NEW TREATMENT
06:40:27.804 --> 06:40:30.340 region:rollup2
THAT'S AVAILABLE IT CAN ACTUALLY
06:40:29.138 --> 06:40:32.542 region:rollup2
IT'S A MEDIC IN THE DOCUMENT THE
06:40:30.340 --> 06:40:34.644 region:rollup2
PONTIFF CAN. SLOW OR STOP.
06:40:32.542 --> 06:40:36.079 region:rollup2
THE DEVELOPMENT OF CAVITIES AND
06:40:34.644 --> 06:40:37.247 region:rollup2
SO CAN BE A REALLY GOOD
06:40:36.079 --> 06:40:39.182 region:rollup2
ALTERNATIVE FOR SOME OF THESE
06:40:37.247 --> 06:40:41.518 region:rollup2
POPULATIONS TO INSTEAD OF HAVING
06:40:39.182 --> 06:40:42.619 region:rollup2
THEM UNDERGO ANESTHESIA JUST FOR
06:40:41.518 --> 06:40:44.153 region:rollup2
SIMPLE CLEANING OR SOME THINGS.
06:40:42.619 --> 06:40:45.588 region:rollup2
TO REALLY TRY TO PROMOTE THAT
06:40:44.153 --> 06:40:47.156 region:rollup2
AND WE THINK THAT THE INFORMED
06:40:45.588 --> 06:40:47.323 region:rollup2
CONSENT IS A SMALL PIECE ABOUT
06:40:47.156 --> 06:40:48.224 region:rollup2
SO.
06:40:47.323 --> 06:40:49.792 region:rollup2
.
06:40:48.224 --> 06:40:52.962 region:rollup2
THANK YOU FOR LETTING ME TALK ON
06:40:49.792 --> 06:40:54.330 region:rollup2
AN URGENT AYE VOTE.
06:40:52.962 --> 06:40:55.965 region:rollup2
OTHERS IN SUPPORT HOW MISTER
06:40:54.330 --> 06:40:57.400 region:rollup2
CHAIR MEMBERS BREAK STOCKARD IN
06:40:55.965 --> 06:40:58.801 region:rollup2
BEHALF OF THE CALIFORNIA SOCIETY
06:40:57.400 --> 06:40:59.836 region:rollup2
OF ANESTHESIOLOGISTS AND.
06:40:58.801 --> 06:41:01.804 region:rollup2
DELIGHTED TO FINALLY BE ABLE TO
06:40:59.836 --> 06:41:03.106 region:rollup2
SUPPORT A CDA SPONSORED
06:41:01.804 --> 06:41:04.440 region:rollup2
PEDIATRIC DENTAL HONESTY
06:41:03.106 --> 06:41:06.643 region:rollup2
SHOULDN'T THANKS VERY MUCH.
06:41:04.440 --> 06:41:07.210 region:rollup2
IF.
06:41:06.643 --> 06:41:09.712 region:rollup2
OTHERS IN SUPPORT OF ANYONE
06:41:07.210 --> 06:41:11.481 region:rollup2
ELSE.
06:41:09.712 --> 06:41:13.316 region:rollup2
ANGELA LANTERN ON BEHALF OF THE
06:41:11.481 --> 06:41:14.551 region:rollup2
CALIFORNIA ASSOCIATION ANDERSON
06:41:13.316 --> 06:41:15.285 region:rollup2
ASSISTANCE AND SUPPORT. YOU VERY
06:41:14.551 --> 06:41:31.768 region:rollup2
MUCH.
06:41:15.285 --> 06:41:31.768 region:rollup2
IS THERE ANYONE IN OPPOSITION
06:41:35.138 --> 06:41:35.872 region:rollup2
.
06:41:35.271 --> 06:41:36.873 region:rollup2
ROOM WELL HELLO AGAIN JENNIFER
06:41:35.872 --> 06:41:38.908 region:rollup2
OUT WITH CALIFORNIA ASSOCIATION
06:41:36.873 --> 06:41:40.643 region:rollup2
HEALTH PLANS IDEA WE REPRESENT
06:41:38.908 --> 06:41:41.544 region:rollup2
FORTY EIGHT PUBLIC AND PRIVATE
06:41:40.643 --> 06:41:43.379 region:rollup2
ORGANIZATIONS THAT COLLECT.
06:41:41.544 --> 06:41:43.947 region:rollup2
COLLECTIVELY PROVIDE HEALTH CARE
06:41:43.379 --> 06:41:45.748 region:rollup2
COVERAGE TWENTY SIX MILLION
06:41:43.947 --> 06:41:47.483 region:rollup2
CALIFORNIA.
06:41:45.748 --> 06:41:49.786 region:rollup2
WE OPPOSE AB TWENTY SIX FORTY
06:41:47.483 --> 06:41:51.654 region:rollup2
THREE A BILL THAT CREATES A
06:41:49.786 --> 06:41:53.122 region:rollup2
COSTLY NEW MANDATE. A REQUIRED
06:41:51.654 --> 06:41:55.692 region:rollup2
HEALTH PLANS TO COVER ANASTASIA
06:41:53.122 --> 06:41:58.261 region:rollup2
SERVICES AND AN OFFICE.
06:41:55.692 --> 06:42:00.096 region:rollup2
ASK THE PROPONENTS OF ALREADY
06:41:58.261 --> 06:42:01.197 region:rollup2
STATED HEALTH PLANS CURRENTLY
06:42:00.096 --> 06:42:03.433 region:rollup2
COVER ANASTASIA FOR DENTAL
06:42:01.197 --> 06:42:05.001 region:rollup2
SERVICES WHAT IS PROVIDED IN A
06:42:03.433 --> 06:42:06.769 region:rollup2
HOSPITAL OR OUTPATIENT SETTING.
06:42:05.001 --> 06:42:08.037 region:rollup2
AND IT SOME OF THOSE OF
06:42:06.769 --> 06:42:08.871 region:rollup2
COVERAGE REQUIREMENTS IS THAT
06:42:08.037 --> 06:42:10.707 region:rollup2
THAT FACILITY BEING CONTRACT
06:42:08.871 --> 06:42:12.475 region:rollup2
WITH THE HEALTH PLAN.
06:42:10.707 --> 06:42:15.011 region:rollup2
AND SO WHAT THIS MANDATE DOES IT
06:42:12.475 --> 06:42:16.179 region:rollup2
MOVES IT'S OUTSIDE OF.
06:42:15.011 --> 06:42:18.348 region:rollup2
HEALTH INJURED CONTRACTED
06:42:16.179 --> 06:42:19.582 region:rollup2
ENTITIES AND MOVES INTO OUR
06:42:18.348 --> 06:42:20.950 region:rollup2
NETWORK NON CONTRACTED DENTAL
06:42:19.582 --> 06:42:22.752 region:rollup2
OFFICES
06:42:20.950 --> 06:42:23.386 region:rollup2
WHICH MAY CREATE REIMBURSEMENT
06:42:22.752 --> 06:42:25.588 region:rollup2
ISSUES ON THE BACK END FOR THIS
06:42:23.386 --> 06:42:26.923 region:rollup2
BILL.
06:42:25.588 --> 06:42:28.324 region:rollup2
YOU KNOW WE'VE HEAD A LOT ABOUT
06:42:26.923 --> 06:42:29.592 region:rollup2
HEALTHCARE COSTS
06:42:28.324 --> 06:42:30.860 region:rollup2
RIGHT THIS IS AN EXPENSIVE
06:42:29.592 --> 06:42:32.762 region:rollup2
MANDATE ITS MOST EXPENSIVE
06:42:30.860 --> 06:42:34.964 region:rollup2
MANDATE THAT WE FOR ABOUT. IN
06:42:32.762 --> 06:42:36.032 region:rollup2
THE COMMITTEE TODAY. NO PREMIUM
06:42:34.964 --> 06:42:37.800 region:rollup2
INCREASE IN THE TO BURKE RECORD
06:42:36.032 --> 06:42:39.168 region:rollup2
A SEVENTY FIVE MILLION OVERALL
06:42:37.800 --> 06:42:41.104 region:rollup2
TOTAL COSTS THE SYSTEM IS A
06:42:39.168 --> 06:42:42.438 region:rollup2
UPPER TO FORTY MILLION SAVED IN
06:42:41.104 --> 06:42:42.705 region:rollup2
THE ANNOUNCERS. AND THAT'S A LOT
06:42:42.438 --> 06:42:44.641 region:rollup2
OF MONEY.
06:42:42.705 --> 06:42:46.175 region:rollup2
.
06:42:44.641 --> 06:42:48.745 region:rollup2
YOU KNOW MY MEMBERS REALLY TRY
06:42:46.175 --> 06:42:50.747 region:rollup2
TO KEEP PREMIUMS AFFORDABLE TO
06:42:48.745 --> 06:42:52.482 region:rollup2
ENSURE THE VIBRANT SUCCESS THAT
06:42:50.747 --> 06:42:54.450 region:rollup2
WE HAVE. WITH NINETY THREE
06:42:52.482 --> 06:42:55.318 region:rollup2
PERCENT OF OF CALIFORNIANS
06:42:54.450 --> 06:42:56.552 region:rollup2
CURRENTLY COVERED BY HEALTH
06:42:55.318 --> 06:42:58.988 region:rollup2
INSURANCE IN ITS MANDATES LIKE
06:42:56.552 --> 06:43:00.790 region:rollup2
THIS. TO JEOPARDIZE OUR ABILITY
06:42:58.988 --> 06:43:02.458 region:rollup2
TO KEEP.
06:43:00.790 --> 06:43:04.694 region:rollup2
HEALTH PREMIUMS AFFORDABLE.
06:43:02.458 --> 06:43:05.828 region:rollup2
THANK YOU.
06:43:04.694 --> 06:43:06.796 region:rollup2
CHAIR MEMBERS KATHY MOSSBERG
06:43:05.828 --> 06:43:08.364 region:rollup2
RIPS INTO LOCAL HEALTH PLANS
06:43:06.796 --> 06:43:09.332 region:rollup2
CALIFORNIA THE SIXTEEN NOT FOR
06:43:08.364 --> 06:43:11.434 region:rollup2
PROFIT MEDI CAL MANAGED CARE
06:43:09.332 --> 06:43:13.436 region:rollup2
PLANS OUR CONCERNS ARE SIMILAR
06:43:11.434 --> 06:43:15.071 region:rollup2
BUT JUST TO BE CLEAR THE ISSUE
06:43:13.436 --> 06:43:16.939 region:rollup2
OF NON CONTRACTING PROVIDERS IS
06:43:15.071 --> 06:43:17.974 region:rollup2
A BIG ONE FOR US. WHEN THERE IS
06:43:16.939 --> 06:43:19.008 region:rollup2
A CONTRACTING PROVIDER WE
06:43:17.974 --> 06:43:20.043 region:rollup2
CREDENTIALED AND WE LOOK AT
06:43:19.008 --> 06:43:21.644 region:rollup2
QUALIFICATIONS WOULD LOOK AT
06:43:20.043 --> 06:43:22.645 region:rollup2
FACILITIES AND CHECK THEM FOR
06:43:21.644 --> 06:43:24.380 region:rollup2
SAFETY.
06:43:22.645 --> 06:43:25.882 region:rollup2
THAT WOULD BECAUSE THESE ARE
06:43:24.380 --> 06:43:26.883 region:rollup2
NOT CONTRACTING WE WOULDN'T BE
06:43:25.882 --> 06:43:29.018 region:rollup2
ABLE TO DO THAT ARE HAPPY DOING
06:43:26.883 --> 06:43:30.086 region:rollup2
THAT SO WE DO A LOT OF CONCERNS
06:43:29.018 --> 06:43:33.523 region:rollup2
FOR THIS AS AS.
06:43:30.086 --> 06:43:34.157 region:rollup2
AS WE SEE THIS IN PLAY SO
06:43:33.523 --> 06:43:35.024 region:rollup2
UNFORTUNATELY WE ARE POSED THIS
06:43:34.157 --> 06:43:37.393 region:rollup2
TIME.
06:43:35.024 --> 06:43:38.261 region:rollup2
OPPOSITE.
06:43:37.393 --> 06:43:39.729 region:rollup2
YEAH I JOHN LINGER ON BEHALF
06:43:38.261 --> 06:43:41.264 region:rollup2
AMERICA'S HEALTH INSURANCE PLANS
06:43:39.729 --> 06:43:42.865 region:rollup2
WE LINE OUR COMMENTS OF VILLAGE
06:43:41.264 --> 06:43:46.969 region:rollup2
PC AND CAP.
06:43:42.865 --> 06:43:48.204 region:rollup2
ANYONE ELSE.
06:43:46.969 --> 06:43:49.038 region:rollup2
IT'S YOU KNOW AND I'M OF COURSE
06:43:48.204 --> 06:43:51.374 region:rollup2
ISN'T A RUNAWAY PLEASE
06:43:49.038 --> 06:43:53.943 region:rollup2
YOU DON'T MIND.
06:43:51.374 --> 06:43:55.478 region:rollup2
NO YOU YEP KNOW EITHER ONE OF
06:43:53.943 --> 06:43:56.713 region:rollup2
YOU DOESN'T MATTER. OH MAYBE
06:43:55.478 --> 06:43:57.280 region:rollup2
BOTH OF YOU.
06:43:56.713 --> 06:43:58.281 region:rollup2
DOES ANYBODY ELSE HAVE ANY
06:43:57.280 --> 06:44:00.383 region:rollup2
QUESTIONS.
06:43:58.281 --> 06:44:01.017 region:rollup2
MR RESTRAINTS.
06:44:00.383 --> 06:44:02.285 region:rollup2
YEAH I'M NOT SURE I CAN SUPPORT
06:44:01.017 --> 06:44:03.886 region:rollup2
THIS BILL TODAY BUT I LIKE IT.
06:44:02.285 --> 06:44:04.620 region:rollup2
AND THE REASON I LIKE IT IS
06:44:03.886 --> 06:44:05.188 region:rollup2
BECAUSE.
06:44:04.620 --> 06:44:06.789 region:rollup2
I DO THINK THERE'S GOTTA BE
06:44:05.188 --> 06:44:09.525 region:rollup2
MORE IN A.
06:44:06.789 --> 06:44:10.693 region:rollup2
DENTISTRY AND AND MEDICINE.
06:44:09.525 --> 06:44:11.561 region:rollup2
THIS FALL.
06:44:10.693 --> 06:44:12.995 region:rollup2
I HAD THE OPPORTUNITY ABLE TO
06:44:11.561 --> 06:44:14.464 region:rollup2
HEAR ABOUT WHAT MINNESOTA'S
06:44:12.995 --> 06:44:16.365 region:rollup2
DOING AND HEARING ABOUT HOW
06:44:14.464 --> 06:44:17.366 region:rollup2
THEY'RE ACTUALLY LOWERING COSTS.
06:44:16.365 --> 06:44:19.102 region:rollup2
A BECAUSE OF.
06:44:17.366 --> 06:44:21.104 region:rollup2
THEIR INTEGRATED NAM.
06:44:19.102 --> 06:44:22.472 region:rollup2
SERVICE BETWEEN BED DENTISTRY
06:44:21.104 --> 06:44:23.906 region:rollup2
IN MEDICINE AND I THINK THIS IS
06:44:22.472 --> 06:44:24.740 region:rollup2
A STEP IN THE RIGHT DIRECTION I
06:44:23.906 --> 06:44:26.976 region:rollup2
DON'T LIKE THE COSTUMES THAT
06:44:24.740 --> 06:44:27.443 region:rollup2
WOULD NOT THE WAY THE SYSTEM. IS
06:44:26.976 --> 06:44:30.179 region:rollup2
SET UP BUT I LIKE THE
06:44:27.443 --> 06:44:31.981 region:rollup2
DIRECTIONS.
06:44:30.179 --> 06:44:33.750 region:rollup2
AND IF YOU WANTED TO. YOU KNOW.
06:44:31.981 --> 06:44:35.118 region:rollup2
TALK ABOUT THAT A LITTLE BIT BUT
06:44:33.750 --> 06:44:36.819 region:rollup2
AND MARK OR NOT WAS TO QUESTIONS
06:44:35.118 --> 06:44:40.223 region:rollup2
MORE A STATEMENT BUT I WOULD
06:44:36.819 --> 06:44:41.591 region:rollup2
LIKE TO SEE MORE INTEGRATION.
06:44:40.223 --> 06:44:42.792 region:rollup2
WELL I THINK THAT THE CURRENT
06:44:41.591 --> 06:44:43.726 region:rollup2
SYSTEM IS INTEGRATED RIGHT
06:44:42.792 --> 06:44:44.761 region:rollup2
BECAUSE THEY'RE GOING TO THE
06:44:43.726 --> 06:44:45.795 region:rollup2
HOSPITAL THEY'RE GOING TO THE
06:44:44.761 --> 06:44:47.330 region:rollup2
OUT PATIENT SURGERY THEY'RE
06:44:45.795 --> 06:44:48.331 region:rollup2
GOING TO A MEDICAL FACILITY FOR
06:44:47.330 --> 06:44:50.500 region:rollup2
THIS TREATMENT AND WHAT THIS
06:44:48.331 --> 06:44:52.101 region:rollup2
DOES KIND OF. FROM WHAT I HEARD
06:44:50.500 --> 06:44:53.569 region:rollup2
YOUR COMMENTS IS THIS KIND D.
06:44:52.101 --> 06:44:54.704 region:rollup2
INTEGRATES IT RIGHT IT'S POINTED
06:44:53.569 --> 06:44:58.741 region:rollup2
OUT OF THE HEALTH AND MOVING ITS
06:44:54.704 --> 06:45:00.276 region:rollup2
WHOLLY INTO THE DENTAL.
06:44:58.741 --> 06:45:01.711 region:rollup2
BUT IT'S A LATE HOUR I'M SURE
06:45:00.276 --> 06:45:03.146 region:rollup2
AND ARTICULATE VERY WELL.
06:45:01.711 --> 06:45:03.713 region:rollup2
WILL COME BACK AND HAVE SOME
06:45:03.146 --> 06:45:07.049 region:rollup2
MORE CONVERSATION ABOUT THIS
06:45:03.713 --> 06:45:07.617 region:rollup2
ABOUT THAT.
06:45:07.049 --> 06:45:08.518 region:rollup2
TO ANYONE ELSE IN THE WORLD
06:45:07.617 --> 06:45:10.153 region:rollup2
QUESTION.
06:45:08.518 --> 06:45:11.788 region:rollup2
YES MY QUESTION MY QUESTION IS.
06:45:10.153 --> 06:45:13.623 region:rollup2
AS A DENTIST AND AND.
06:45:11.788 --> 06:45:15.625 region:rollup2
.
06:45:13.623 --> 06:45:17.126 region:rollup2
IT'S ALREADY ALMOST IMPOSSIBLE
06:45:15.625 --> 06:45:18.828 region:rollup2
TO GET GENERAL ANESTHESIA
06:45:17.126 --> 06:45:22.231 region:rollup2
COVERAGE FOR A CHILD IN THE
06:45:18.828 --> 06:45:23.065 region:rollup2
HOSPITAL SETTING.
06:45:22.231 --> 06:45:24.667 region:rollup2
IT JUST ISN'T APPROVED VERY
06:45:23.065 --> 06:45:25.635 region:rollup2
OFTEN.
06:45:24.667 --> 06:45:26.402 region:rollup2
THAT IS THE MOST EXPENSIVE
06:45:25.635 --> 06:45:28.437 region:rollup2
SETTING.
06:45:26.402 --> 06:45:30.506 region:rollup2
TO PROVIDE CARE.
06:45:28.437 --> 06:45:32.208 region:rollup2
ABSOLUTE MOST EXPENSIVE SO THE
06:45:30.506 --> 06:45:33.809 region:rollup2
DENTAL OFFICE.
06:45:32.208 --> 06:45:34.343 region:rollup2
IN THE RIGHT SET YOU UP WITH THE
06:45:33.809 --> 06:45:36.112 region:rollup2
RIGHT SUPERVISION WITH THE
06:45:34.343 --> 06:45:37.613 region:rollup2
RIGHT.
06:45:36.112 --> 06:45:39.315 region:rollup2
PRECAUTIONS IS THE LEAST
06:45:37.613 --> 06:45:41.150 region:rollup2
EXPENSIVE SETTING.
06:45:39.315 --> 06:45:42.385 region:rollup2
SO YOU'RE YOU'RE YOUR YOUR
06:45:41.150 --> 06:45:44.053 region:rollup2
CONTENTION ABOUT NOT WANTING
06:45:42.385 --> 06:45:45.488 region:rollup2
THIS BILL IS BECAUSE IT WAS
06:45:44.053 --> 06:45:48.024 region:rollup2
BECAUSE OF. NOT NON CONTRACTING
06:45:45.488 --> 06:45:49.825 region:rollup2
PROVIDERS.
06:45:48.024 --> 06:45:51.527 region:rollup2
WHY WOULDN'T YOU WANT A CONTRACT
06:45:49.825 --> 06:45:52.461 region:rollup2
WHAT COULD YOU WHICH PROHIBIT
06:45:51.527 --> 06:45:53.129 region:rollup2
YOU FROM CONTRACTING WITH
06:45:52.461 --> 06:45:54.931 region:rollup2
PROVIDERS TO PROVIDE THIS
06:45:53.129 --> 06:45:56.766 region:rollup2
SERVICE?
06:45:54.931 --> 06:45:58.267 region:rollup2
TO HELP THESE KIDS AND TO HELP
06:45:56.766 --> 06:45:59.569 region:rollup2
THESE PEOPLE IN VULNERABLE
06:45:58.267 --> 06:46:01.537 region:rollup2
POPULATIONS TO GET THE CARE THEY
06:45:59.569 --> 06:46:03.739 region:rollup2
NEED.
06:46:01.537 --> 06:46:05.208 region:rollup2
IN A VERY INEXPENSIVE SETTING
06:46:03.739 --> 06:46:07.543 region:rollup2
CHUCK JUST I WOULD JUST SPEAK TO
06:46:05.208 --> 06:46:08.311 region:rollup2
THE MEDI CAL SYSTEM IN MEDI CAL
06:46:07.543 --> 06:46:09.445 region:rollup2
AT THE DENTAL IS GENERALLY A
06:46:08.311 --> 06:46:11.547 region:rollup2
CARVED OUT.
06:46:09.445 --> 06:46:14.717 region:rollup2
A CARVED OUT ISSUE SO.
06:46:11.547 --> 06:46:15.885 region:rollup2
WE CERTAINLY HAVE PLANS LOOKING
06:46:14.717 --> 06:46:17.486 region:rollup2
AT TRYING TO LOOK AT A CARVIN
06:46:15.885 --> 06:46:19.155 region:rollup2
SITUATION WHERE I THINK THAT
06:46:17.486 --> 06:46:21.057 region:rollup2
WOULD SOLVE IT BUT I THINK
06:46:19.155 --> 06:46:22.558 region:rollup2
THAT'S OUR ISSUE. WHEN YOU DO IT
06:46:21.057 --> 06:46:24.293 region:rollup2
IN THOSE FACILITIES WE DO COVER
06:46:22.558 --> 06:46:25.861 region:rollup2
IT AND SO WE HAVE CREDENTIALS
06:46:24.293 --> 06:46:27.296 region:rollup2
FACILITIES AND LOOKED AT IT BUT
06:46:25.861 --> 06:46:29.131 region:rollup2
I THINK THE MEDI CAL ISSUES
06:46:27.296 --> 06:46:30.733 region:rollup2
BECAUSE IT'S CARVED OUT.
06:46:29.131 --> 06:46:32.435 region:rollup2
AND THE AND THE PRIVATE SECTOR.
06:46:30.733 --> 06:46:34.537 region:rollup2
PRIVATE SECTOR NOT ALL OF OUR
06:46:32.435 --> 06:46:35.972 region:rollup2
OUR COMMERCIAL PLANTS CURRENTLY
06:46:34.537 --> 06:46:37.707 region:rollup2
YOU DON'T. INCLUDE A DENTAL
06:46:35.972 --> 06:46:39.942 region:rollup2
BENEFIT SOME DO SOME DON'T SOME
06:46:37.707 --> 06:46:41.677 region:rollup2
HAVE EMBEDDED AND SOME DO NOT.
06:46:39.942 --> 06:46:43.312 region:rollup2
AND SO.
06:46:41.677 --> 06:46:44.580 region:rollup2
YOU KNOW WHEN WE CONTRACT WITH A
06:46:43.312 --> 06:46:45.848 region:rollup2
PROVIDED PROVIDER IS MISS
06:46:44.580 --> 06:46:47.149 region:rollup2
MUSBURGER STATED THERE IS A
06:46:45.848 --> 06:46:49.518 region:rollup2
CREDENTIALING PROCESS THAT THEY
06:46:47.149 --> 06:46:51.821 region:rollup2
GO THROUGH AND SO. TO JUST HAVE
06:46:49.518 --> 06:46:53.289 region:rollup2
A BLANKET BENEFIT THAT SAYS YOU
06:46:51.821 --> 06:46:54.523 region:rollup2
DON'T OWE YOU CAN HAVE IT IN IN
06:46:53.289 --> 06:46:56.058 region:rollup2
THE DENTAL OFFICE IN YOUR HEALTH
06:46:54.523 --> 06:46:57.360 region:rollup2
PLANS GOING TO COVER THAT.
06:46:56.058 --> 06:46:59.395 region:rollup2
THAT'S THAT'S AN ONE IN
06:46:57.360 --> 06:47:00.029 region:rollup2
INCREASED COSTS FOR US BECAUSE
06:46:59.395 --> 06:47:00.896 region:rollup2
WE THINK UTILIZATION IS GONNA GO
06:47:00.029 --> 06:47:03.399 region:rollup2
OUT.
06:47:00.896 --> 06:47:03.933 region:rollup2
BUT TO WE DON'T. WE MAY NOT HAVE
06:47:03.399 --> 06:47:05.468 region:rollup2
A RELATIONSHIP WITH THOSE
06:47:03.933 --> 06:47:07.169 region:rollup2
PROVIDERS.
06:47:05.468 --> 06:47:07.937 region:rollup2
AND SO THEN THAT PUTS PRESSURE
06:47:07.169 --> 06:47:08.905 region:rollup2
YOU KNOW ADDITIONAL
06:47:07.937 --> 06:47:10.206 region:rollup2
ADMINISTRATIVE COSTS ON THE
06:47:08.905 --> 06:47:12.108 region:rollup2
PLANS OF WE HAVE TO GO OUT AND
06:47:10.206 --> 06:47:13.542 region:rollup2
AND CONTRACT WITH A SLEW OF NEW
06:47:12.108 --> 06:47:15.144 region:rollup2
PROVIDERS TO COVER THIS MANDATE.
06:47:13.542 --> 06:47:17.880 region:rollup2
THAT IT'S GONNA BUMP UP ON OUR
06:47:15.144 --> 06:47:18.347 region:rollup2
NETWORK ADEQUACY REQUIREMENTS
06:47:17.880 --> 06:47:20.916 region:rollup2
THAT WE HAVE WITH OUR
06:47:18.347 --> 06:47:22.018 region:rollup2
REGULATORS.
06:47:20.916 --> 06:47:23.753 region:rollup2
SO YOU DO YOU YOU YOU REALLY
06:47:22.018 --> 06:47:25.154 region:rollup2
DON'T WANT TO CONTRACT WITH
06:47:23.753 --> 06:47:26.289 region:rollup2
ADDITIONAL PROVIDERS. DO I DON'T
06:47:25.154 --> 06:47:28.891 region:rollup2
THINK IT'S A MATTER THAT WE
06:47:26.289 --> 06:47:30.126 region:rollup2
DON'T WANT TO I MEAN IT'S JUST.
06:47:28.891 --> 06:47:31.193 region:rollup2
YOU KNOW IT'S IT'S GOOD WE WERE
06:47:30.126 --> 06:47:32.295 region:rollup2
COMPLETELY HAVE THERE'S THE
06:47:31.193 --> 06:47:33.996 region:rollup2
POTENTIAL THAT WILL HAVE TO
06:47:32.295 --> 06:47:36.465 region:rollup2
COMPLETELY RETOOL RE TUNE THE
06:47:33.996 --> 06:47:38.934 region:rollup2
RETOOL A RETURNON THE EXISTING.
06:47:36.465 --> 06:47:39.702 region:rollup2
NETWORK TO ENSURE THAT THESE
06:47:38.934 --> 06:47:40.936 region:rollup2
PROVIDERS ARE CONTRACTED WHEN
06:47:39.702 --> 06:47:42.638 region:rollup2
WERE ALREADY COVERING THE
06:47:40.936 --> 06:47:43.940 region:rollup2
SERVICE IN A DIFFERENT SETTING
06:47:42.638 --> 06:47:45.508 region:rollup2
THE MOST EXPENSIVE SETTING YOU
06:47:43.940 --> 06:47:46.976 region:rollup2
COULD POSSIBLY COVERED AND. THAT
06:47:45.508 --> 06:47:49.045 region:rollup2
AND THAT'S MY POINT AND THAT'S
06:47:46.976 --> 06:47:50.079 region:rollup2
AND I APPRECIATE MR MAZES OF
06:47:49.045 --> 06:47:51.580 region:rollup2
COMMENT TO ABOUT.
06:47:50.079 --> 06:47:53.249 region:rollup2
HOW CAN WE GET TO A POINT WE CAN
06:47:51.580 --> 06:47:54.884 region:rollup2
INTEGRATE A DENTISTRY IN
06:47:53.249 --> 06:47:55.951 region:rollup2
MEDICINE MORE FOR SITUATIONS
06:47:54.884 --> 06:47:57.486 region:rollup2
JUST LIKE THIS BECAUSE I
06:47:55.951 --> 06:47:58.521 region:rollup2
APPRECIATE?
06:47:57.486 --> 06:48:00.056 region:rollup2
YOU DO HAVE A SETTINGS YOU CAN
06:47:58.521 --> 06:48:01.557 region:rollup2
DO IT BUT IT IS THE MOST
06:48:00.056 --> 06:48:03.559 region:rollup2
EXPENSIVE WAY TO DO IT. AND HERE
06:48:01.557 --> 06:48:05.661 region:rollup2
IS AN ALTERNATIVE AND YES OR
06:48:03.559 --> 06:48:06.762 region:rollup2
MAYBE ADDITIONAL COSTS BUT. FOR
06:48:05.661 --> 06:48:08.097 region:rollup2
THE PEOPLE THE NEEDS OF THIS
06:48:06.762 --> 06:48:10.166 region:rollup2
POPULATION.
06:48:08.097 --> 06:48:11.801 region:rollup2
THE SEDATION IS NOT A DENTAL
06:48:10.166 --> 06:48:14.537 region:rollup2
ISSUE IT'S A MEDICAL ISSUE THEY
06:48:11.801 --> 06:48:16.272 region:rollup2
CANNOT HAVE THE CARE WITHOUT
06:48:14.537 --> 06:48:17.573 region:rollup2
SOME MEDICAL INTERVENTION.
06:48:16.272 --> 06:48:19.075 region:rollup2
THAT'S THE ISSUE HERE AND SO
06:48:17.573 --> 06:48:21.043 region:rollup2
THAT'S WHERE THE INTEGRATION IS
06:48:19.075 --> 06:48:22.244 region:rollup2
MISSING. AND IT IS A LEUPOLD
06:48:21.043 --> 06:48:24.013 region:rollup2
SALUTE POLYGONAL WHERE FOR
06:48:22.244 --> 06:48:25.047 region:rollup2
THIRTY YEARS AND I WISH YOU
06:48:24.013 --> 06:48:27.183 region:rollup2
WOULD CHANGE BECAUSE QUITE
06:48:25.047 --> 06:48:28.150 region:rollup2
FRANKLY WAS A LOT OF PEOPLE THAT
06:48:27.183 --> 06:48:28.551 region:rollup2
ARE NOT GETTING THE CARE THEY
06:48:28.150 --> 06:48:30.586 region:rollup2
NEED.
06:48:28.551 --> 06:48:32.355 region:rollup2
WHICH LEADS TO OTHER KINDS OF
06:48:30.586 --> 06:48:34.323 region:rollup2
PROBLEMS DOWN THE ROAD AND.
06:48:32.355 --> 06:48:35.725 region:rollup2
I JUST WISH.
06:48:34.323 --> 06:48:36.993 region:rollup2
WE COULD BE WORKING TOWARDS
06:48:35.725 --> 06:48:38.027 region:rollup2
SOLUTION INSTEAD OF JUST SAYING
06:48:36.993 --> 06:48:40.563 region:rollup2
NOW IT'S JUST ANOTHER MANDATE.
06:48:38.027 --> 06:48:40.830 region:rollup2
SO ANYWAY.
06:48:40.563 --> 06:48:42.798 region:rollup2
IT'S LAKE.
06:48:40.830 --> 06:48:44.700 region:rollup2
.
06:48:42.798 --> 06:48:46.168 region:rollup2
THIS SHORT SOAPBOX BUT YOU KNOW
06:48:44.700 --> 06:48:46.902 region:rollup2
IT IS AN ISSUE THAT I'VE WATCHED
06:48:46.168 --> 06:48:48.871 region:rollup2
FOR THIRTY YEARS AND.
06:48:46.902 --> 06:48:50.239 region:rollup2
AND
06:48:48.871 --> 06:48:52.208 region:rollup2
PEOPLE DON'T GET THE CARE THEY
06:48:50.239 --> 06:48:54.744 region:rollup2
NEED BECAUSE OF THIS.
06:48:52.208 --> 06:48:55.644 region:rollup2
THIS WHOLE RIGHT HERE. AND YET
06:48:54.744 --> 06:48:56.645 region:rollup2
YOU'RE WILLING TO PAY FOR IN THE
06:48:55.644 --> 06:48:58.280 region:rollup2
MOST EXPENSIVE SETTING
06:48:56.645 --> 06:49:00.149 region:rollup2
OCCASIONALLY.
06:48:58.280 --> 06:49:02.018 region:rollup2
NOT VERY OFF IT'S VERY RARE THAT
06:49:00.149 --> 06:49:02.618 region:rollup2
I ACTUALLY HEAR ABOUT THESE
06:49:02.018 --> 06:49:03.986 region:rollup2
CASES ACTUALLY BECAUSE NUMBER
06:49:02.618 --> 06:49:04.553 region:rollup2
ONE.
06:49:03.986 --> 06:49:06.122 region:rollup2
THERE AREN'T THE FACILITIES
06:49:04.553 --> 06:49:07.923 region:rollup2
AVAILABLE.
06:49:06.122 --> 06:49:08.958 region:rollup2
AND HOSPITALS DON'T WANT TO
06:49:07.923 --> 06:49:10.860 region:rollup2
GIVE UP THEIR OR SWEETS IN
06:49:08.958 --> 06:49:11.894 region:rollup2
GENERAL FOR FOR THESE PROCEDURES
06:49:10.860 --> 06:49:14.063 region:rollup2
BECAUSE THEY'RE NOT. VERY.
06:49:11.894 --> 06:49:15.998 region:rollup2
PROFITABLE.
06:49:14.063 --> 06:49:17.433 region:rollup2
AND AND THERE'S JUST A LOT
06:49:15.998 --> 06:49:18.434 region:rollup2
THERE'S A LOT OF ISSUE THE LOT
06:49:17.433 --> 06:49:20.036 region:rollup2
OF ISSUES HERE SO IT IS EASIER
06:49:18.434 --> 06:49:23.406 region:rollup2
TO IS TO NOT CONTRACT IT OR TO
06:49:20.036 --> 06:49:24.306 region:rollup2
NOT. COVER IT AND AND MEANWHILE.
06:49:23.406 --> 06:49:25.274 region:rollup2
PEOPLE DON'T GET THE SERVICES
06:49:24.306 --> 06:49:28.010 region:rollup2
THEY NEED THE CARE THEY NEED.
06:49:25.274 --> 06:49:29.779 region:rollup2
ANYWAY.
06:49:28.010 --> 06:49:30.746 region:rollup2
WHICH I COULDN'T BUT I THINK WE
06:49:29.779 --> 06:49:32.782 region:rollup2
JUST CLOSE FOR ME. BUT.
06:49:30.746 --> 06:49:34.083 region:rollup2
I I WOULD SAY IT'S NOT ONLY
06:49:32.782 --> 06:49:36.152 region:rollup2
THAT THAT AND AND OFFICE CAN
06:49:34.083 --> 06:49:37.686 region:rollup2
PROVIDED AT A MUCH LOWER COST
06:49:36.152 --> 06:49:40.256 region:rollup2
BUT IT'S ALSO A MUCH LESS
06:49:37.686 --> 06:49:41.991 region:rollup2
DRAMATIC SETTING FOR THESE
06:49:40.256 --> 06:49:43.192 region:rollup2
VULNERABLE POPULATIONS SO.
06:49:41.991 --> 06:49:45.194 region:rollup2
WITH THAT I ASK FOR YOUR
06:49:43.192 --> 06:49:47.396 region:rollup2
DISTRIBUTOR AMENDMENTS.
06:49:45.194 --> 06:49:53.702 region:rollup2
I'M SORRY DID YOU TO FURTHER
06:49:47.396 --> 06:49:54.603 region:rollup2
DOWN.
06:49:53.702 --> 06:49:55.871 region:rollup2
THANK YOU APPRECIATE THAT SO WE
06:49:54.603 --> 06:49:57.373 region:rollup2
HAVE A MOTION BY MISTER THURMOND
06:49:55.871 --> 06:50:01.010 region:rollup2
A SECOND BY MISS LIMON.
06:49:57.373 --> 06:50:01.944 region:rollup2
AND SECRETARY OF THAT THE
06:50:01.010 --> 06:50:06.749 region:rollup2
MOTIONS TO PASS AS A MAN.
06:50:01.944 --> 06:50:16.058 region:rollup2
PERFECT.
06:50:06.749 --> 06:50:17.293 region:rollup2
OF THE.
06:50:16.058 --> 06:50:19.295 region:rollup2
WELL FOR.
06:50:17.293 --> 06:50:21.197 region:rollup2
LEYVA.
06:50:19.295 --> 06:50:22.064 region:rollup2
WOW. A FIRST.
06:50:21.197 --> 06:50:22.731 region:rollup2
PLEASE SAID THAT THE BUSHES TO
06:50:22.064 --> 06:50:23.766 region:rollup2
PASS AS AMENDED TO
06:50:22.731 --> 06:50:25.468 region:rollup2
APPROPRIATIONS MEMSIC TRIP
06:50:23.766 --> 06:50:27.336 region:rollup2
PLEASE CALL THE ROLL WHEN I
06:50:25.468 --> 06:50:29.071 region:rollup2
WOULD AYE MAYES. MAYES NOT
06:50:27.336 --> 06:50:31.874 region:rollup2
VOTING AGAR CURRY. AGAR CURRY I
06:50:29.071 --> 06:50:33.275 region:rollup2
BIGELOW.
06:50:31.874 --> 06:50:35.277 region:rollup2
BIGELOW NOT VOTING BONTA.
06:50:33.275 --> 06:50:39.014 region:rollup2
BURKE.
06:50:35.277 --> 06:50:41.750 region:rollup2
BURKE I CARILLO.
06:50:39.014 --> 06:50:43.686 region:rollup2
CARILLO AYE FLORA.
06:50:41.750 --> 06:50:45.688 region:rollup2
FLORA I LIVE ALONE.
06:50:43.686 --> 06:50:49.758 region:rollup2
LIMON AYE MCCARTY.
06:50:45.688 --> 06:50:50.259 region:rollup2
MCCARTY AYE THE SYRIAN.
06:50:49.758 --> 06:50:54.196 region:rollup2
RODRIGUEZ RODRIGUEZ AYE
06:50:50.259 --> 06:50:55.931 region:rollup2
SANTIAGO.
06:50:54.196 --> 06:50:58.167 region:rollup2
THURMOND.
06:50:55.931 --> 06:51:08.310 region:rollup2
THURMOND AYE WALDRON.
06:50:58.167 --> 06:51:19.388 region:rollup2
WALDRON NOT VOTING.
06:51:08.310 --> 06:51:22.124 region:rollup2
BIGELOW VOTING TO KNOW.
06:51:19.388 --> 06:51:24.426 region:rollup2
THAT.
06:51:22.124 --> 06:51:27.863 region:rollup2
NINE TWO ONE. YOUR YOUR BILLS
06:51:24.426 --> 06:51:28.797 region:rollup2
OUT. THEN TAKE YOU VERY MUCH
06:51:27.863 --> 06:51:35.137 region:rollup2
THIS GREAT DINNER BUT WENT ON.
06:51:28.797 --> 06:51:39.708 region:rollup2
THIS MONTH.
06:51:35.137 --> 06:51:42.178 region:rollup2
IN AUGUST ONE.
06:51:39.708 --> 06:51:43.445 region:rollup2
THANK YOU TURN MEMBERS. AB
06:51:42.178 --> 06:51:44.847 region:rollup2
EIGHTEEN SIXTY TWO OR ADAM
06:51:43.445 --> 06:51:46.081 region:rollup2
REMOVES A SUNSET ON ORAL
06:51:44.847 --> 06:51:47.983 region:rollup2
CHEMOTHERAPY.
06:51:46.081 --> 06:51:50.219 region:rollup2
THIRD.
06:51:47.983 --> 06:51:53.022 region:rollup2
THANK YOU. WITH ME TODAY I HAVE.
06:51:50.219 --> 06:51:55.157 region:rollup2
IS MILAN FLOWERS A DIVA BARNEY
06:51:53.022 --> 06:51:55.891 region:rollup2
DOCTOR CAME ASSISTANT PROFESSOR
06:51:55.157 --> 06:51:58.327 region:rollup2
OF MEDICINE AT UC DAVIS IN
06:51:55.891 --> 06:51:58.861 region:rollup2
AUTUMN ODD CHEN DIRECTOR OF
06:51:58.327 --> 06:52:00.429 region:rollup2
STATE LEGISLATION FOR THE
06:51:58.861 --> 06:52:02.364 region:rollup2
CALIFORNIA.
06:52:00.429 --> 06:52:04.266 region:rollup2
AMERICAN CANCER SOCIETY ACTION.
06:52:02.364 --> 06:52:05.234 region:rollup2
YEAH THEY CAN PROVIDE TESTIMONY
06:52:04.266 --> 06:52:06.602 region:rollup2
IN QUESTIONS AND WE DO HAVE A
06:52:05.234 --> 06:52:09.004 region:rollup2
MOTION.
06:52:06.602 --> 06:52:11.006 region:rollup2
THESE.
06:52:09.004 --> 06:52:12.241 region:rollup2
HELLO MY NAME IS MORE ON FLOWERS
06:52:11.006 --> 06:52:14.009 region:rollup2
I'M BRIAN COSTELLO FLOWERS
06:52:12.241 --> 06:52:15.411 region:rollup2
STARTING.
06:52:14.009 --> 06:52:16.812 region:rollup2
YOU MAY OR MAY NOT REMEMBER HER
06:52:15.411 --> 06:52:18.714 region:rollup2
BUT SHE TRAVELED HERE WITH MY
06:52:16.812 --> 06:52:20.983 region:rollup2
FATHER RON TO GIVE OUR POWERFUL
06:52:18.714 --> 06:52:22.451 region:rollup2
TESTIMONY FOR EP TWO ONE NINE
06:52:20.983 --> 06:52:23.786 region:rollup2
WITH ASSEMBLY MEMBER HENRY T.
06:52:22.451 --> 06:52:25.487 region:rollup2
PRAYER.
06:52:23.786 --> 06:52:27.122 region:rollup2
MY MOM WAS FIRST DIAGNOSED WITH
06:52:25.487 --> 06:52:29.124 region:rollup2
STAGE TWO BREAST CANCER IN TWO
06:52:27.122 --> 06:52:30.593 region:rollup2
THOUSAND SEVEN. I WAS NINE YEARS
06:52:29.124 --> 06:52:31.160 region:rollup2
OLD AND MY BROTHER CAMERON WHO
06:52:30.593 --> 06:52:33.028 region:rollup2
IS HERE TODAY WAS FOUR YEARS
06:52:31.160 --> 06:52:34.496 region:rollup2
OLD.
06:52:33.028 --> 06:52:36.332 region:rollup2
SHE BOB VERY VERY HARD WHILE
06:52:34.496 --> 06:52:38.067 region:rollup2
WORKING FULL TIME IN HELPING MY
06:52:36.332 --> 06:52:39.335 region:rollup2
FATHER RAISED MY BROTHER AND I.
06:52:38.067 --> 06:52:41.904 region:rollup2
MY MOM WENT IN APRIL TWO
06:52:39.335 --> 06:52:43.906 region:rollup2
THOUSAND TWELVE HER FIVE YEAR.
06:52:41.904 --> 06:52:45.507 region:rollup2
HER FIFTH YEAR IN REMISSION THAT
06:52:43.906 --> 06:52:46.709 region:rollup2
THE CANCER HAD RECURRED.
06:52:45.507 --> 06:52:48.377 region:rollup2
LUCKILY SHE WAS ABLE TO SEE THE
06:52:46.709 --> 06:52:49.812 region:rollup2
BONE ACTION.
06:52:48.377 --> 06:52:50.913 region:rollup2
IT'S LIKELY SHOULD BE ABLE TO
06:52:49.812 --> 06:52:52.548 region:rollup2
SEE THE BILL PASSED BUT SHE WAS
06:52:50.913 --> 06:52:53.682 region:rollup2
UNABLE TO EXPERIENCE AND SEE THE
06:52:52.548 --> 06:52:54.783 region:rollup2
BONE ACTION.
06:52:53.682 --> 06:52:56.518 region:rollup2
SHE PASSED AWAY EARLY TWO
06:52:54.783 --> 06:52:57.686 region:rollup2
THOUSAND FOURTEEN.
06:52:56.518 --> 06:52:58.821 region:rollup2
I NEVER REALIZED TALKS WITH MY
06:52:57.686 --> 06:53:00.489 region:rollup2
MOM'S TREATMENTS ACTUALLY WHERE
06:52:58.821 --> 06:53:01.957 region:rollup2
UNTIL SHE PASS.
06:53:00.489 --> 06:53:03.926 region:rollup2
OF COURSE MY PARENTS NEVER
06:53:01.957 --> 06:53:05.828 region:rollup2
TALKED ABOUT FINANCIAL HARDSHIPS
06:53:03.926 --> 06:53:06.762 region:rollup2
MY BROTHER AND I WE WERE YOUNG.
06:53:05.828 --> 06:53:08.264 region:rollup2
MY PARENTS ALWAYS MADE SURE WE
06:53:06.762 --> 06:53:09.932 region:rollup2
HAD CLOTHES ON OUR BACK
06:53:08.264 --> 06:53:11.267 region:rollup2
WE HAD THE FOOD WE HAD A ROOF
06:53:09.932 --> 06:53:12.368 region:rollup2
OVER OUR HEADS.
06:53:11.267 --> 06:53:13.669 region:rollup2
BUT I NEVER REALIZED THE
06:53:12.368 --> 06:53:15.304 region:rollup2
MAGNITUDE OF BILLS THAT WERE
06:53:13.669 --> 06:53:17.506 region:rollup2
PILING UP IN THE FINANCIAL
06:53:15.304 --> 06:53:19.008 region:rollup2
HARDSHIP YOU'RE ACTUALLY IN.
06:53:17.506 --> 06:53:20.209 region:rollup2
A LOT OF PEOPLE IN OUR COMMUNITY
06:53:19.008 --> 06:53:21.644 region:rollup2
WOULD BRING MEALS FOR US EVERY
06:53:20.209 --> 06:53:23.746 region:rollup2
WEEK YOU'D GET ANONYMOUS
06:53:21.644 --> 06:53:24.213 region:rollup2
SPONSORS SO THAT WE CAN CONTINUE
06:53:23.746 --> 06:53:25.414 region:rollup2
ON OUR EXTRACURRICULAR
06:53:24.213 --> 06:53:26.615 region:rollup2
ACTIVITIES.
06:53:25.414 --> 06:53:28.317 region:rollup2
I WE THOUGHT IT WAS BECAUSE MY
06:53:26.615 --> 06:53:29.652 region:rollup2
MOM WAS SICK WHICH IT WAS BUT IT
06:53:28.317 --> 06:53:31.287 region:rollup2
WAS ALSO BECAUSE WE'RE IN SUCH A
06:53:29.652 --> 06:53:32.755 region:rollup2
FINANCIAL HARDSHIP.
06:53:31.287 --> 06:53:34.089 region:rollup2
THIS MEDICATION THAT POTENTIALLY
06:53:32.755 --> 06:53:35.958 region:rollup2
COULD SAVE MY MOM'S LIFE WAS
06:53:34.089 --> 06:53:37.259 region:rollup2
BREAKING MY PANTS POCKETS.
06:53:35.958 --> 06:53:38.727 region:rollup2
I REMEMBER MY FATHER SHOWING ONE
06:53:37.259 --> 06:53:40.496 region:rollup2
OF HER ORAL CHEMOTHERAPY
06:53:38.727 --> 06:53:42.064 region:rollup2
MEDICATIONS THE SMALL BOTTLE
06:53:40.496 --> 06:53:43.365 region:rollup2
CONTAINING ONLY THIRTY PILLS
06:53:42.064 --> 06:53:44.600 region:rollup2
BECAUSE TWO THOUSAND SEVEN
06:53:43.365 --> 06:53:47.269 region:rollup2
HUNDRED AND FIFTY THREE DOLLARS
06:53:44.600 --> 06:53:48.637 region:rollup2
AND FORTY TWO CENTS.
06:53:47.269 --> 06:53:49.972 region:rollup2
ALL THESE DIFFERENT MEDICATIONS
06:53:48.637 --> 06:53:51.573 region:rollup2
WERE CAUSING MY PANTS THOUSANDS
06:53:49.972 --> 06:53:52.908 region:rollup2
AND THOUSANDS OF DOLLARS.
06:53:51.573 --> 06:53:54.710 region:rollup2
ONE DAY I WAS HOPING MY FATHER
06:53:52.908 --> 06:53:55.944 region:rollup2
SORT THROUGH ALL THE BILLS. WE
06:53:54.710 --> 06:53:57.379 region:rollup2
LEARNED THAT MY MOM WAS SIGNING
06:53:55.944 --> 06:53:58.781 region:rollup2
UP FOR EVERY CREDIT CARD SHE
06:53:57.379 --> 06:53:59.748 region:rollup2
RECEIVED IN THE MAIL.
06:53:58.781 --> 06:54:01.617 region:rollup2
JUST SO SHE COULD PAY FOR THESE
06:53:59.748 --> 06:54:02.851 region:rollup2
MEDICATIONS.
06:54:01.617 --> 06:54:03.986 region:rollup2
MY DAD TOLD ME THERE WERE TIMES
06:54:02.851 --> 06:54:05.354 region:rollup2
THAT THEY STRUGGLE TO PAY FOR
06:54:03.986 --> 06:54:06.588 region:rollup2
HOME AND THEN MY MOM'S PARENTS
06:54:05.354 --> 06:54:08.057 region:rollup2
WOULD HELP OUT WITH THE MORTGAGE
06:54:06.588 --> 06:54:09.324 region:rollup2
FROM TIME TO TIME.
06:54:08.057 --> 06:54:11.260 region:rollup2
THESE MEDICATIONS WERE SO
06:54:09.324 --> 06:54:12.828 region:rollup2
EXPENSIVE TO CONTINUE AND AFTER
06:54:11.260 --> 06:54:14.897 region:rollup2
FIGHTING FOR SEVEN YEARS MY MOM
06:54:12.828 --> 06:54:15.998 region:rollup2
DECIDED SHE WAS TOO TIRED.
06:54:14.897 --> 06:54:17.499 region:rollup2
SHE NO LONGER HAD A FIGHT AND
06:54:15.998 --> 06:54:18.434 region:rollup2
HER SOMETIMES CANCER RIGHT
06:54:17.499 --> 06:54:20.202 region:rollup2
ATTACKS MULTIPLE PEOPLE IN A
06:54:18.434 --> 06:54:21.270 region:rollup2
FAMILY.
06:54:20.202 --> 06:54:22.638 region:rollup2
UNFORTUNATELY CANCER SEEMS TO
06:54:21.270 --> 06:54:27.109 region:rollup2
LOVE MY FAMILY.
06:54:22.638 --> 06:54:28.777 region:rollup2
FIRST MY MOTHER.
06:54:27.109 --> 06:54:31.547 region:rollup2
THEN. THEN WERE FATHER.
06:54:28.777 --> 06:54:33.148 region:rollup2
MY GRANDFATHER. AND MY YEAH.
06:54:31.547 --> 06:54:34.350 region:rollup2
I'M HEARTBROKEN TO SEE THAT MY
06:54:33.148 --> 06:54:37.052 region:rollup2
GRANDFATHER'S HOUSE WITH THIS
06:54:34.350 --> 06:54:38.420 region:rollup2
LAST NOVEMBER. AND MY AT WHICH
06:54:37.052 --> 06:54:40.389 region:rollup2
WAS THREE WEEKS AGO.
06:54:38.420 --> 06:54:42.624 region:rollup2
MY GRANDMOTHER HOW LOSING.
06:54:40.389 --> 06:54:44.393 region:rollup2
TWO DAUGHTERS AND HER HUSBAND OF
06:54:42.624 --> 06:54:46.795 region:rollup2
SIXTY YEARS TO CANCER SHE IS NOW
06:54:44.393 --> 06:54:47.629 region:rollup2
COMPLETELY ALONE.
06:54:46.795 --> 06:54:49.364 region:rollup2
THIS IS BEEN A TRAUMATIC TIME
06:54:47.629 --> 06:54:50.899 region:rollup2
FOR MY FAMILY AND I.
06:54:49.364 --> 06:54:52.735 region:rollup2
JUST IMAGINE FOR ONE MOMENT THE
06:54:50.899 --> 06:54:55.204 region:rollup2
EMOTIONAL TRAUMA CANCER HAS HAD
06:54:52.735 --> 06:54:56.638 region:rollup2
ON MY FAMILY. ALARM SLOWED THE
06:54:55.204 --> 06:54:59.408 region:rollup2
FINANCIAL ASPECT OF IT.
06:54:56.638 --> 06:55:01.977 region:rollup2
NO ONE DESERVES CANCER.
06:54:59.408 --> 06:55:03.812 region:rollup2
AND NO FAMILY. AND ALSO THE
06:55:01.977 --> 06:55:06.782 region:rollup2
HARDSHIP. AND ALSO THE FINANCIAL
06:55:03.812 --> 06:55:08.083 region:rollup2
ASPECT OF IT.
06:55:06.782 --> 06:55:09.785 region:rollup2
NO ONE DESERVES THE HARDSHIPS
06:55:08.083 --> 06:55:11.854 region:rollup2
OCCURS ALONG WITH THAT MENTALLY
06:55:09.785 --> 06:55:13.455 region:rollup2
PHYSICALLY AND FINANCIALLY.
06:55:11.854 --> 06:55:15.858 region:rollup2
I HOPE YOU WILL COME SOONER AB
06:55:13.455 --> 06:55:17.326 region:rollup2
EIGHTEEN SIXTY EVER SUCH U. HAS
06:55:15.858 --> 06:55:18.327 region:rollup2
PAST I CAN'T HELP BUT WHAT THE.
06:55:17.326 --> 06:55:20.462 region:rollup2
BUT WHAT IF ONE OF THESE
06:55:18.327 --> 06:55:21.797 region:rollup2
MEDICATIONS THAT WE CANNOT
06:55:20.462 --> 06:55:22.965 region:rollup2
AFFORD SAVED HER LIFE.
06:55:21.797 --> 06:55:24.600 region:rollup2
MY MOM COULD HAVE BEEN HERE TO
06:55:22.965 --> 06:55:26.135 region:rollup2
SEE MY BROTHER AND GROW UP MY
06:55:24.600 --> 06:55:27.836 region:rollup2
BROTHER AND I CRAWL UP AND SEE
06:55:26.135 --> 06:55:29.204 region:rollup2
WHAT WE'VE ACCOMPLISHED.
06:55:27.836 --> 06:55:31.073 region:rollup2
MAYBE THESE MEDICATIONS COURTESY
06:55:29.204 --> 06:55:32.975 region:rollup2
MY GRANDFATHER MY AUNT'S LIFE AS
06:55:31.073 --> 06:55:35.144 region:rollup2
WELL. IMAGINE YOURSELF IN MICE
06:55:32.975 --> 06:55:35.811 region:rollup2
MOMS SITUATION. WOULD YOU FEEL
06:55:35.144 --> 06:55:37.913 region:rollup2
COMFORTABLE PAYING FOR
06:55:35.811 --> 06:55:38.447 region:rollup2
MEDICATION THAT IS SO EXPENSIVE
06:55:37.913 --> 06:55:40.349 region:rollup2
THAT YOU NEED IN ORDER TO
06:55:38.447 --> 06:55:41.917 region:rollup2
SURVIVE. WOULD IT BE WORTH
06:55:40.349 --> 06:55:43.252 region:rollup2
CONTINUING FOR YOUR FIGHT.
06:55:41.917 --> 06:55:45.053 region:rollup2
PLEASE WELL I FOR AB EATEN
06:55:43.252 --> 06:55:51.660 region:rollup2
SIXTEEN.
06:55:45.053 --> 06:55:53.028 region:rollup2
THANK YOU.
06:55:51.660 --> 06:55:55.164 region:rollup2
UP MOST OF YOU HAVE HEARD.
06:55:53.028 --> 06:55:57.800 region:rollup2
SOME ON BEING CALLED A BREAST
06:55:55.164 --> 06:56:00.102 region:rollup2
CANCER SURVIVOR AYE I PERSONALLY
06:55:57.800 --> 06:56:01.370 region:rollup2
CALL MYSELF A CANCER LIFE FOR
06:56:00.102 --> 06:56:04.673 region:rollup2
SOMEONE THAT LIVES WOULD AND
06:56:01.370 --> 06:56:06.375 region:rollup2
FIGHTS CANCER ON A DAILY BASIS.
06:56:04.673 --> 06:56:08.944 region:rollup2
MY NAME IS A DIVA BARNEY AND
06:56:06.375 --> 06:56:10.679 region:rollup2
THIS IS A VERY SHORT SHORT SHORT
06:56:08.944 --> 06:56:12.915 region:rollup2
VERSION OF MY STORY.
06:56:10.679 --> 06:56:14.616 region:rollup2
A TWO THOUSAND AND FIVE I WAS
06:56:12.915 --> 06:56:17.252 region:rollup2
TWENTY SEVEN YEARS OLD.
06:56:14.616 --> 06:56:19.121 region:rollup2
AND I WAS CLIMBING THE LADDER
06:56:17.252 --> 06:56:21.356 region:rollup2
MY CAREER IN SWEDEN. HAPPILY
06:56:19.121 --> 06:56:23.358 region:rollup2
MARRIED AND WAS JUST ABOUT TO
06:56:21.356 --> 06:56:25.060 region:rollup2
HAVE A CHILD.
06:56:23.358 --> 06:56:26.829 region:rollup2
OUT WHEN WE FOUND A LUMP IN MY
06:56:25.060 --> 06:56:29.031 region:rollup2
LEFT BREAST.
06:56:26.829 --> 06:56:31.066 region:rollup2
A LUMP THAT TURNED OUT TO BE
06:56:29.031 --> 06:56:33.402 region:rollup2
STAGE ONE CANCER.
06:56:31.066 --> 06:56:36.805 region:rollup2
STAGE ONE WAS FINE I GOT TREATED
06:56:33.402 --> 06:56:38.373 region:rollup2
AND LIFE WAS GOING ON JUST A FEW
06:56:36.805 --> 06:56:40.375 region:rollup2
MONTHS OF TREATMENTS AND I WAS.
06:56:38.373 --> 06:56:42.444 region:rollup2
I WAS LIVING LIFE AGAIN.
06:56:40.375 --> 06:56:44.246 region:rollup2
TWO THOUSAND AND EIGHT HOURS NOW
06:56:42.444 --> 06:56:45.981 region:rollup2
THIRTY YEARS OLD DIVORCED WITH
06:56:44.246 --> 06:56:48.250 region:rollup2
NO KIDS.
06:56:45.981 --> 06:56:50.018 region:rollup2
AND SO I DECIDED I WILL
06:56:48.250 --> 06:56:51.286 region:rollup2
FACILITATE REAM OF MINE TO GO
06:56:50.018 --> 06:56:52.688 region:rollup2
AND WORK IN THE U. S..
06:56:51.286 --> 06:56:54.756 region:rollup2
THAT IT'S BEEN ON MY BUCKET
06:56:52.688 --> 06:56:57.593 region:rollup2
LIST.
06:56:54.756 --> 06:56:58.160 region:rollup2
UNFORTUNATELY I HAVE TO DO A OR
06:56:57.593 --> 06:56:59.428 region:rollup2
THAT WAS FORTUNATE BECAUSE I
06:56:58.160 --> 06:57:00.562 region:rollup2
HAD%
06:56:59.428 --> 06:57:02.231 region:rollup2
TO DO A FULL BODY HEALTH CHECK
06:57:00.562 --> 06:57:04.533 region:rollup2
FOR THE INSURANCE.
06:57:02.231 --> 06:57:07.469 region:rollup2
I AND THAT'S WHEN THEY FOUND TWO
06:57:04.533 --> 06:57:08.871 region:rollup2
NEW TUMORS AYE IN MY BROTHER AND
06:57:07.469 --> 06:57:11.139 region:rollup2
MY PREVIOUSLY TREATED BREAST.
06:57:08.871 --> 06:57:13.275 region:rollup2
SO MY BREAST CANCER HAD COME
06:57:11.139 --> 06:57:14.810 region:rollup2
BACK BUT STILL STAGE ONE HOWEVER
06:57:13.275 --> 06:57:16.678 region:rollup2
I HAVE TO DO THE TOUGHEST
06:57:14.810 --> 06:57:18.580 region:rollup2
TREATMENTS OUT WHICH INCLUDED IV
06:57:16.678 --> 06:57:20.449 region:rollup2
CHEMO CARE.
06:57:18.580 --> 06:57:22.117 region:rollup2
I BECAME A CARE WAS REALLY
06:57:20.449 --> 06:57:23.919 region:rollup2
HORRIFIC AND.
06:57:22.117 --> 06:57:25.554 region:rollup2
ANYTHING YOU CAN IMAGINE AND
06:57:23.919 --> 06:57:28.323 region:rollup2
SIDE EFFECTS I HAD.
06:57:25.554 --> 06:57:30.025 region:rollup2
.
06:57:28.323 --> 06:57:31.827 region:rollup2
WHILE I WAS STE A DEALING WITH
06:57:30.025 --> 06:57:33.929 region:rollup2
THE SIDE EFFECTS I ACTUALLY PUT
06:57:31.827 --> 06:57:35.464 region:rollup2
TOGETHER MY SECOND COMPANY AND
06:57:33.929 --> 06:57:37.032 region:rollup2
THAT WAS THE COMPANY THAT TOOK
06:57:35.464 --> 06:57:39.701 region:rollup2
ME LATER ON IN TWO THOUSAND
06:57:37.032 --> 06:57:41.069 region:rollup2
ELEVEN TO THE AND UNITED STATES.
06:57:39.701 --> 06:57:43.171 region:rollup2
OUGHT TO SILICON VALLEY TO
06:57:41.069 --> 06:57:44.773 region:rollup2
FULFILL MY DREAM.
06:57:43.171 --> 06:57:47.342 region:rollup2
FAST FORWARD TWO THOUSAND
06:57:44.773 --> 06:57:49.578 region:rollup2
FIFTEEN HOURS NOW A THIRTY SEVEN
06:57:47.342 --> 06:57:51.213 region:rollup2
YEAR OLD BAD A CEO. AND HAPPILY
06:57:49.578 --> 06:57:53.348 region:rollup2
MARRIED FOR TWO YEARS WITH A
06:57:51.213 --> 06:57:54.816 region:rollup2
WONDERFUL MAN NAMED CHRIS.
06:57:53.348 --> 06:57:57.719 region:rollup2
AGAIN I WANTTO START A FAMILY
06:57:54.816 --> 06:57:59.087 region:rollup2
AN IVF WAS MY ONLY OPTION.
06:57:57.719 --> 06:58:01.156 region:rollup2
THE FERTILITY CLINIC WANTED TO
06:57:59.087 --> 06:58:04.159 region:rollup2
DO A MAMMOGRAM.
06:58:01.156 --> 06:58:06.295 region:rollup2
YES AGAIN TURNED OUT I HAD
06:58:04.159 --> 06:58:07.963 region:rollup2
BREAST CANCER AGAIN HOWEVER IN
06:58:06.295 --> 06:58:09.631 region:rollup2
MY OTHER BREAST.
06:58:07.963 --> 06:58:11.633 region:rollup2
AND THAT WAS OKAY BECAUSE IT WAS
06:58:09.631 --> 06:58:13.201 region:rollup2
SUPER EARLY STAGE SO MASTECTOMY
06:58:11.633 --> 06:58:15.237 region:rollup2
AND IT WOULD BE ALL GONE.
06:58:13.201 --> 06:58:17.639 region:rollup2
HOWEVER WHEN I RECOVERED FROM
06:58:15.237 --> 06:58:19.675 region:rollup2
THEM MY SURGERY I HAD A CT SCAN
06:58:17.639 --> 06:58:21.443 region:rollup2
AS AN ANTI E. R. VISIT AND
06:58:19.675 --> 06:58:22.811 region:rollup2
TURNED OUT THAT MY PREVIOUS
06:58:21.443 --> 06:58:24.279 region:rollup2
BREAST CANCER HAS SPREAD
06:58:22.811 --> 06:58:28.517 region:rollup2
THROUGHOUT MY BODY AND IT WAS IN
06:58:24.279 --> 06:58:31.219 region:rollup2
SEVERAL SPOTS IN MY SPINE.
06:58:28.517 --> 06:58:34.623 region:rollup2
MY LIFE CHANGED FOREVER AGAIN
06:58:31.219 --> 06:58:35.591 region:rollup2
BUT THIS TIME I WAS FACED WITH
06:58:34.623 --> 06:58:36.792 region:rollup2
MORTALITY I SUDDENLY HAD A
06:58:35.591 --> 06:58:38.627 region:rollup2
BREAST CANCER DIAGNOSIS THAT
06:58:36.792 --> 06:58:40.862 region:rollup2
WILL EVENTUALLY KILL ME.
06:58:38.627 --> 06:58:42.597 region:rollup2
THEY GAVE ME THREE TO FIVE YEARS
06:58:40.862 --> 06:58:43.632 region:rollup2
THAT WAS THREE YEARS AGO. AND I
06:58:42.597 --> 06:58:45.667 region:rollup2
HAVE TO BE IN TREATMENT FOR THE
06:58:43.632 --> 06:58:47.002 region:rollup2
REST OF MY LIFE.
06:58:45.667 --> 06:58:48.737 region:rollup2
THEY PUT ME ON SEVERAL DIFFERENT
06:58:47.002 --> 06:58:50.472 region:rollup2
TREATMENTS BUT THEY ENDED UP NOT
06:58:48.737 --> 06:58:53.609 region:rollup2
WORKING LONG TERM AND MY CANCER
06:58:50.472 --> 06:58:55.010 region:rollup2
HAD NOW ALSO SPREAD TO MY LUNGS.
06:58:53.609 --> 06:58:57.346 region:rollup2
I ALSO HAD A NEW TYPE OF
06:58:55.010 --> 06:58:59.448 region:rollup2
RADIOSURGERY OUT THAT BLASTED
06:58:57.346 --> 06:58:59.915 region:rollup2
THE BIGGEST HUMOR'S I HAD IN MY
06:58:59.448 --> 06:59:00.849 region:rollup2
SPINE BUT PUT ME IN A
06:58:59.915 --> 06:59:03.719 region:rollup2
WHEELCHAIR.
06:59:00.849 --> 06:59:04.753 region:rollup2
WHERE I WAS FOR ABOUT A YEAR?
06:59:03.719 --> 06:59:06.788 region:rollup2
I HAD TO FIGHT MY BACK TO
06:59:04.753 --> 06:59:08.123 region:rollup2
MOVEMENT AGAIN.
06:59:06.788 --> 06:59:09.524 region:rollup2
IN THE SUMMER OF TWO THOUSAND
06:59:08.123 --> 06:59:11.727 region:rollup2
FIFTEEN SOMETHING WONDERFUL
06:59:09.524 --> 06:59:12.928 region:rollup2
HAPPENED.
06:59:11.727 --> 06:59:14.696 region:rollup2
I WAS PUT ON IN U. ORAL CHEMO
06:59:12.928 --> 06:59:15.931 region:rollup2
TREATMENTS.
06:59:14.696 --> 06:59:17.799 region:rollup2
A TREATMENT THAT HAS BEEN
06:59:15.931 --> 06:59:20.268 region:rollup2
WORKING FLAWLESSLY FOR TWENTY
06:59:17.799 --> 06:59:22.037 region:rollup2
NINE MONTHS I'M WALKING AGAIN I
06:59:20.268 --> 06:59:23.205 region:rollup2
HAVE A GREAT LIFE.
06:59:22.037 --> 06:59:25.240 region:rollup2
TREATMENT THAT MADE ME TO MORE
06:59:23.205 --> 06:59:27.109 region:rollup2
FREE.
06:59:25.240 --> 06:59:28.810 region:rollup2
I NOW HAVE A TEN TO FIFTEEN YEAR
06:59:27.109 --> 06:59:29.878 region:rollup2
LIFE PROGNOSIS.
06:59:28.810 --> 06:59:31.713 region:rollup2
AND SOMEWHAT GOOD QUALITY OF
06:59:29.878 --> 06:59:33.115 region:rollup2
LIFE.
06:59:31.713 --> 06:59:34.483 region:rollup2
SPIKE LIVING WITH CANCER IN ITS
06:59:33.115 --> 06:59:36.618 region:rollup2
SIDE EFFECTS I HAVE AN
06:59:34.483 --> 06:59:38.320 region:rollup2
ABSOLUTELY GREAT LIFE I TRAVEL A
06:59:36.618 --> 06:59:39.321 region:rollup2
LOT ENJOY FOR. TIME WITH FAMILY
06:59:38.320 --> 06:59:41.456 region:rollup2
AND FRIENDS
06:59:39.321 --> 06:59:43.392 region:rollup2
CHALLENGE MYSELF WITH A LOT OF
06:59:41.456 --> 06:59:45.827 region:rollup2
NEW THINGS EVERY NEW YEAR.
06:59:43.392 --> 06:59:46.194 region:rollup2
I AM I ALSO TAKE ON BOARD RULES
06:59:45.827 --> 06:59:47.295 region:rollup2
AND.
06:59:46.194 --> 06:59:48.930 region:rollup2
FUNCTION AS AN ADVOCATE FOR THE
06:59:47.295 --> 06:59:51.600 region:rollup2
BREAST CANCER STAGE FOR BREAST
06:59:48.930 --> 06:59:52.200 region:rollup2
CANCER COMMUNITY. AMAZON THE
06:59:51.600 --> 06:59:54.569 region:rollup2
SUSAN G. KOMEN.
06:59:52.200 --> 06:59:56.338 region:rollup2
BOARD A AND.
06:59:54.569 --> 06:59:57.806 region:rollup2
SAN FRANCISCO AFFILIATE.
06:59:56.338 --> 06:59:59.441 region:rollup2
ME AND MY HUSBAND DECIDED TO
06:59:57.806 --> 07:00:01.276 region:rollup2
FULFILL OUR DREAM OF HAVING A
06:59:59.441 --> 07:00:02.611 region:rollup2
FAMILY SO ARE.
07:00:01.276 --> 07:00:04.846 region:rollup2
WE HAD DECIDED TO USE A
07:00:02.611 --> 07:00:06.648 region:rollup2
SURROGATE OUR SURROGATE IS TODAY
07:00:04.846 --> 07:00:08.483 region:rollup2
THIRTEEN TODAY ACTUALLY THIRTEEN
07:00:06.648 --> 07:00:10.352 region:rollup2
WEEKS PREGNANT WITH OUR SON SO
07:00:08.483 --> 07:00:12.054 region:rollup2
WE ARE OVER THE MOON.
07:00:10.352 --> 07:00:14.189 region:rollup2
SO WHY AM I TELLING YOU ALL THIS
07:00:12.054 --> 07:00:15.557 region:rollup2
WELL I AM ONE OF THE LUCKY ONES
07:00:14.189 --> 07:00:17.592 region:rollup2
I GOT THE BEST TREATMENT YOU CAN
07:00:15.557 --> 07:00:19.661 region:rollup2
IMAGINE.
07:00:17.592 --> 07:00:22.698 region:rollup2
I GOT THE NEW GROUNDBREAKING
07:00:19.661 --> 07:00:23.899 region:rollup2
ORAL CHEMO TREATMENT THAT WAS
07:00:22.698 --> 07:00:25.367 region:rollup2
OUT IN THE MARKET HOLD NEAR
07:00:23.899 --> 07:00:26.935 region:rollup2
TREATMENTS I TAKE ONE PILL.
07:00:25.367 --> 07:00:28.537 region:rollup2
EVERY DAY FOR TWENTY ONE DAYS
07:00:26.935 --> 07:00:30.272 region:rollup2
AND HAVE A SEVEN DAY BREAK AND
07:00:28.537 --> 07:00:32.274 region:rollup2
THEN I'M ON IT AGAIN.
07:00:30.272 --> 07:00:33.842 region:rollup2
ONE OF THESE PILLS COST FIVE
07:00:32.274 --> 07:00:34.943 region:rollup2
HUNDRED DOLLARS THAT'S TEN
07:00:33.842 --> 07:00:37.846 region:rollup2
THOUSAND FIVE HUNDRED DOLLARS A
07:00:34.943 --> 07:00:39.414 region:rollup2
MONTH.
07:00:37.846 --> 07:00:41.817 region:rollup2
IF MY INSURANCE DIDN'T COVER IT
07:00:39.414 --> 07:00:44.086 region:rollup2
I WOULD BE OUT ON THE STREET.
07:00:41.817 --> 07:00:45.987 region:rollup2
NOT EVERYONE IS AS LUCKY AS I AM
07:00:44.086 --> 07:00:47.956 region:rollup2
I PERSONALLY KNOW TWO YOUNG
07:00:45.987 --> 07:00:50.358 region:rollup2
WOMEN IN MY SUPPORT GROUP.
07:00:47.956 --> 07:00:51.893 region:rollup2
THAT ARE. ALSO SUPPOSED TO BE ON
07:00:50.358 --> 07:00:53.428 region:rollup2
THE SCRUB GROUNDBREAKING
07:00:51.893 --> 07:00:56.364 region:rollup2
TREATMENT THEY HAVE THE EXACT
07:00:53.428 --> 07:00:58.033 region:rollup2
SAME TYPE OF A CANCER IN TUMOR
07:00:56.364 --> 07:00:59.401 region:rollup2
TYPES THAT I HAD.
07:00:58.033 --> 07:01:00.902 region:rollup2
BUT THEY'RE UNDER INSURERS
07:00:59.401 --> 07:01:02.871 region:rollup2
INSURED AND CAN THEREFORE NOT
07:01:00.902 --> 07:01:04.206 region:rollup2
AFFORD IT.
07:01:02.871 --> 07:01:06.041 region:rollup2
THEY STILL TRY TO TAKE IT THOUGH
07:01:04.206 --> 07:01:08.477 region:rollup2
EVERY TIME WE MEET.
07:01:06.041 --> 07:01:09.878 region:rollup2
SCRAMBLE ALL THE PILLS THAT THE
07:01:08.477 --> 07:01:11.012 region:rollup2
OTHER PATIENTS THE OTHERS MET
07:01:09.878 --> 07:01:12.180 region:rollup2
SISTERS IN THE GROUP HAVE
07:01:11.012 --> 07:01:13.749 region:rollup2
LAUGHED.
07:01:12.180 --> 07:01:15.517 region:rollup2
SO SOMETIMES THEY TAKE FIVE
07:01:13.749 --> 07:01:17.519 region:rollup2
PILLS A MONTH AND THAT'S NOT
07:01:15.517 --> 07:01:19.588 region:rollup2
WHAT THEY'RE SUPPOSED TO DO.
07:01:17.519 --> 07:01:21.990 region:rollup2
SO UNFORTUNATELY THEIR CANCER
07:01:19.588 --> 07:01:23.859 region:rollup2
HOSPITAL GRASSED.
07:01:21.990 --> 07:01:26.161 region:rollup2
AND NOW THEY HAVE TO BE ON MORE
07:01:23.859 --> 07:01:27.562 region:rollup2
TOXIC TREATMENTS WED LESS
07:01:26.161 --> 07:01:30.599 region:rollup2
EFFECTIVE AT TREATMENTS WITH
07:01:27.562 --> 07:01:32.033 region:rollup2
MORE TOXIC.
07:01:30.599 --> 07:01:33.735 region:rollup2
AND THEY ARE NOT THE ONLY ONES
07:01:32.033 --> 07:01:35.337 region:rollup2
PATIENTS ARE DYING BECAUSE THEY
07:01:33.735 --> 07:01:36.805 region:rollup2
CANNOT AFFORD TO NEW LIFE
07:01:35.337 --> 07:01:38.607 region:rollup2
CHANGING ORAL TREATMENTS THAT
07:01:36.805 --> 07:01:40.075 region:rollup2
ARE AVAILABLE TODAY.
07:01:38.607 --> 07:01:41.977 region:rollup2
WE REALLY NEED BILL A. B.
07:01:40.075 --> 07:01:43.211 region:rollup2
EIGHTEEN SIXTY.
07:01:41.977 --> 07:01:45.213 region:rollup2
PLEASE UNDERSTAND THAT PEOPLE
07:01:43.211 --> 07:01:47.082 region:rollup2
ARE UNKNOWN UNDERINSURED AND ON
07:01:45.213 --> 07:01:48.683 region:rollup2
AND UNINSURED ARE DYING IN
07:01:47.082 --> 07:01:50.719 region:rollup2
GREATER NUMBERS WITHOUT THIS
07:01:48.683 --> 07:01:54.289 region:rollup2
THAT YOU CAN MAKE A GREAT CHANGE
07:01:50.719 --> 07:01:55.090 region:rollup2
IN THEIR LIVES TODAY. THANK YOU.
07:01:54.289 --> 07:02:01.429 region:rollup2
OTHER WITNESSES SUCH AS YOUR
07:01:55.090 --> 07:02:03.331 region:rollup2
NAME AND POSITION.
07:02:01.429 --> 07:02:05.300 region:rollup2
EDWARD CAM ASSISTANT PROFESSOR
07:02:03.331 --> 07:02:06.735 region:rollup2
OF MEDICINE AND HUMAN TOUCH
07:02:05.300 --> 07:02:08.336 region:rollup2
ONCOLOGY AT UC DAVIS APPEAR
07:02:06.735 --> 07:02:09.638 region:rollup2
REPRESENTING ASSOCIATION OF
07:02:08.336 --> 07:02:10.906 region:rollup2
NORTHERN CALIFORNIA COLLEGES.
07:02:09.638 --> 07:02:11.406 region:rollup2
AND THE MEDICAL ONCOLOGY
07:02:10.906 --> 07:02:12.707 region:rollup2
ASSOCIATION OF SOUTHERN
07:02:11.406 --> 07:02:15.844 region:rollup2
CALIFORNIA.
07:02:12.707 --> 07:02:16.778 region:rollup2
OTHERS IN SUPPORT.
07:02:15.844 --> 07:02:18.146 region:rollup2
I HAVE AUTUMN OGDEN'S MET WITH
07:02:16.778 --> 07:02:19.714 region:rollup2
THE AMERICAN CANCER SOCIETY
07:02:18.146 --> 07:02:21.183 region:rollup2
CANCER ACTION NETWORK AS A. CO
07:02:19.714 --> 07:02:22.484 region:rollup2
SPONSOR OF THIS BILL AND ALSO
07:02:21.183 --> 07:02:28.557 region:rollup2
HERE TO ANSWER ANY QUESTIONS.
07:02:22.484 --> 07:02:29.291 region:rollup2
THE BILL.
07:02:28.557 --> 07:02:30.926 region:rollup2
KELLY MAC MILLAN EXECUTIVE
07:02:29.291 --> 07:02:32.460 region:rollup2
DIRECTOR FOR SUSAN G. KOMEN
07:02:30.926 --> 07:02:33.962 region:rollup2
NORTHERN CENTRAL COAT CALIFORNIA
07:02:32.460 --> 07:02:38.667 region:rollup2
ALSO CO SPONSOR AND SUPPORT OF
07:02:33.962 --> 07:02:40.001 region:rollup2
THIS BILL.
07:02:38.667 --> 07:02:43.038 region:rollup2
MARY VALDEZ WITH HEALTHAXIS
07:02:40.001 --> 07:02:43.839 region:rollup2
CALIFORNIANS SUPPORT.
07:02:43.038 --> 07:02:45.440 region:rollup2
BUT THE GREATEST WITH THE
07:02:43.839 --> 07:02:46.174 region:rollup2
AMERICAN LUNG ASSOCIATION
07:02:45.440 --> 07:02:48.376 region:rollup2
CALIFORNIANS STRONG SUPPORT.
07:02:46.174 --> 07:02:49.744 region:rollup2
SECURE.
07:02:48.376 --> 07:02:53.448 region:rollup2
KEVIN POWELL THIRTY ANSWER PAYER
07:02:49.744 --> 07:02:56.952 region:rollup2
I FULLY SUPPORT THIS BILL.
07:02:53.448 --> 07:02:58.620 region:rollup2
I TOOK OFF I FULLY SUPPORT.
07:02:56.952 --> 07:03:01.790 region:rollup2
KAMAN FLOWERS ON FLOWERS BROTHER
07:02:58.620 --> 07:03:03.825 region:rollup2
STAND IN SUPPORT.
07:03:01.790 --> 07:03:06.561 region:rollup2
LISA FLOWERS MULLIN STEPMOTHER
07:03:03.825 --> 07:03:09.264 region:rollup2
HAD FULLY SUPPORT.
07:03:06.561 --> 07:03:09.664 region:rollup2
I RUN FLOWERS FATHER AND FULL
07:03:09.264 --> 07:03:15.003 region:rollup2
SUPPORT OF BILL.
07:03:09.664 --> 07:03:16.605 region:rollup2
AB ONE EIGHT SIX ZERO.
07:03:15.003 --> 07:03:19.541 region:rollup2
AFTER THE NOSE GRANDMOTHR I
07:03:16.605 --> 07:03:21.877 region:rollup2
LOST MY MOTHER TO BREAST CANCER.
07:03:19.541 --> 07:03:22.677 region:rollup2
SHE HAD EIGHT GIRLS AND TWO OF
07:03:21.877 --> 07:03:27.415 region:rollup2
US WENT WITH THIS.
07:03:22.677 --> 07:03:28.917 region:rollup2
I STRONGLY SUPPORT.
07:03:27.415 --> 07:03:31.186 region:rollup2
MAINLY FLOUR IS MORE ON FLOWERS
07:03:28.917 --> 07:03:34.322 region:rollup2
AND OLDER SISTER AND I AM IN
07:03:31.186 --> 07:03:35.690 region:rollup2
FULL SUPPORT.
07:03:34.322 --> 07:03:38.693 region:rollup2
SHIRAZ MORNINGS COUSIN AND I
07:03:35.690 --> 07:03:39.327 region:rollup2
FULLY SUPPORT.
07:03:38.693 --> 07:03:41.763 region:rollup2
KILL ASSUMES FULLY SUPPORT THANK
07:03:39.327 --> 07:03:43.498 region:rollup2
YOU.
07:03:41.763 --> 07:03:45.567 region:rollup2
KIMBERLY BEARDEN I'M A BREAST
07:03:43.498 --> 07:03:46.434 region:rollup2
CANCER SURVIVOR AND A DEAR
07:03:45.567 --> 07:03:48.203 region:rollup2
FRIEND OF BRENDA.
07:03:46.434 --> 07:03:51.172 region:rollup2
FLOWERS.
07:03:48.203 --> 07:03:52.607 region:rollup2
I AM IN FULL SUPPORT.
07:03:51.172 --> 07:03:56.544 region:rollup2
OVERALL GREAT CALIFORNIA LIFE
07:03:52.607 --> 07:03:57.712 region:rollup2
SCIENCES ASSOCIATION IN SUPPORT.
07:03:56.544 --> 07:04:02.684 region:rollup2
WHERE TOP ON BEHALF OF VIACOM IN
07:03:57.712 --> 07:04:03.218 region:rollup2
SUPPORT?
07:04:02.684 --> 07:04:17.265 region:rollup2
ANNOUNCES IT ANYONE ENOUGH
07:04:03.218 --> 07:04:18.333 region:rollup2
POSITION.
07:04:17.265 --> 07:04:20.268 region:rollup2
PLUS I'M JENNIFER HOLLYWOOD
07:04:18.333 --> 07:04:20.468 region:rollup2
CALIFORNIA ASSOCIATION HEALTH
07:04:20.268 --> 07:04:22.103 region:rollup2
PLANS.
07:04:20.468 --> 07:04:23.338 region:rollup2
.
07:04:22.103 --> 07:04:26.341 region:rollup2
YOU KNOW WE HAVE A OPPOSE
07:04:23.338 --> 07:04:27.809 region:rollup2
POSITION ON AB EIGHTEEN SIXTY.
07:04:26.341 --> 07:04:29.577 region:rollup2
ON WE DON'T WISH Y. CLARIFY
07:04:27.809 --> 07:04:31.613 region:rollup2
HEALTH PLANS CURRENTLY COVER OR
07:04:29.577 --> 07:04:33.648 region:rollup2
ORDERLY ADMINISTRATED.
07:04:31.613 --> 07:04:35.050 region:rollup2
FORMERLY ADMINISTRATOR SO TIRED
07:04:33.648 --> 07:04:36.885 region:rollup2
ANTI CANCER DRUGS BECAUSE THEY
07:04:35.050 --> 07:04:38.186 region:rollup2
ARE IMPORTANT TOOLS.
07:04:36.885 --> 07:04:40.855 region:rollup2
TO FIGHT AGAINST CANCER.
07:04:38.186 --> 07:04:42.891 region:rollup2
OVER WE OPPOSE THIS BILL.
07:04:40.855 --> 07:04:44.993 region:rollup2
BECAUSE IT LEGISLATIVELY SETS
07:04:42.891 --> 07:04:47.595 region:rollup2
THE.
07:04:44.993 --> 07:04:48.997 region:rollup2
PER PRESCRIPTION COPAYMENT OF
07:04:47.595 --> 07:04:50.932 region:rollup2
FOR THESE EXPENSIVE DRUGS AT TWO
07:04:48.997 --> 07:04:52.600 region:rollup2
HUNDRED WHICH IS LESS THAN THE
07:04:50.932 --> 07:04:53.868 region:rollup2
TWO HUNDRED FIFTY DOLLAR PRICE
07:04:52.600 --> 07:04:55.537 region:rollup2
CAP FOR ALL OTHER OUTPATIENT
07:04:53.868 --> 07:04:57.238 region:rollup2
DRUGS.
07:04:55.537 --> 07:04:58.640 region:rollup2
I'M JUST LITTLE HISTORY THIS CAP
07:04:57.238 --> 07:05:00.342 region:rollup2
WAS SEVEN WAS THE FIRST.
07:04:58.640 --> 07:05:02.043 region:rollup2
PRESCRIPTION DRUG CAP THAT WAS
07:05:00.342 --> 07:05:04.045 region:rollup2
SET INTO TO THE LEGISLATURE INTO
07:05:02.043 --> 07:05:05.313 region:rollup2
STATUTE AND SINCE THEN THERE'S
07:05:04.045 --> 07:05:07.182 region:rollup2
BEEN A TWO HUNDRED FIFTY DOLLAR
07:05:05.313 --> 07:05:08.683 region:rollup2
PER PRESCRIPTION COST CAP. FOR
07:05:07.182 --> 07:05:09.417 region:rollup2
ALL OTHER OUTPATIENT DRUGS
07:05:08.683 --> 07:05:11.152 region:rollup2
AND SO WE WOULD LIKE.
07:05:09.417 --> 07:05:13.521 region:rollup2
.
07:05:11.152 --> 07:05:15.256 region:rollup2
YOU KNOW THE SHERIFF COST FOR AN
07:05:13.521 --> 07:05:17.158 region:rollup2
OF THESE TYPE OF MEDICATIONS TO
07:05:15.256 --> 07:05:18.360 region:rollup2
FIT THE RUBRIC THAT ALL OTHER
07:05:17.158 --> 07:05:20.362 region:rollup2
DRUG OUTPATIENT DRUGS I ADHERE
07:05:18.360 --> 07:05:22.263 region:rollup2
TO.
07:05:20.362 --> 07:05:23.999 region:rollup2
YOU KNOW WE UNDER.
07:05:22.263 --> 07:05:25.567 region:rollup2
YOU NO UNDER CURRENT LAW HEALTH
07:05:23.999 --> 07:05:27.669 region:rollup2
PLANS YOU KNOW WE HAVE TO.
07:05:25.567 --> 07:05:29.204 region:rollup2
IMPLEMENT THAT COST CARE CAP FOR
07:05:27.669 --> 07:05:30.672 region:rollup2
ANTI CANCER DRUGS WAS DIFFERENT
07:05:29.204 --> 07:05:32.307 region:rollup2
FROM ALL OTHER OUTPATIENT PRINT
07:05:30.672 --> 07:05:33.875 region:rollup2
PRESCRIPTION DRUGS IN THIS IS
07:05:32.307 --> 07:05:35.510 region:rollup2
ADMINISTRATIVELY BURDENSOME.
07:05:33.875 --> 07:05:38.646 region:rollup2
WHEN THEIR PRESCRIPTION DRUG
07:05:35.510 --> 07:05:39.914 region:rollup2
CAPS IN PLACE NOT IN STATUTE.
07:05:38.646 --> 07:05:41.750 region:rollup2
YOU KNOW KIND OF INSULATES THE
07:05:39.914 --> 07:05:42.917 region:rollup2
CONSUMER FROM THE ACTUAL COST OF
07:05:41.750 --> 07:05:45.553 region:rollup2
THOSE DRUGS AND HELPS THEM
07:05:42.917 --> 07:05:46.321 region:rollup2
ACCESS THEM WITH THE SAME TIME
07:05:45.553 --> 07:05:48.189 region:rollup2
THE HEALTH PLANS HAVE TO ABSORB
07:05:46.321 --> 07:05:49.624 region:rollup2
THE. EXTREMELY HIGH COSTS FOR
07:05:48.189 --> 07:05:50.892 region:rollup2
ALL THESE DRUGS WHICH GET
07:05:49.624 --> 07:05:52.594 region:rollup2
SOCIALIZED OUT ON THE PREMIUM
07:05:50.892 --> 07:05:53.428 region:rollup2
AND THAT'S THE DIRECTION OF THE
07:05:52.594 --> 07:05:54.929 region:rollup2
APPROACH THAT WE'VE CHOSEN TO
07:05:53.428 --> 07:05:56.564 region:rollup2
TAKE. WHO WERE SAYING AS WE'D
07:05:54.929 --> 07:05:58.666 region:rollup2
LIKE THIS DRUG TO FALL UNDER THE
07:05:56.564 --> 07:06:00.635 region:rollup2
RUBRIC WITH ALL THE RAP
07:05:58.666 --> 07:06:04.606 region:rollup2
DISTRICTS THINK?
07:06:00.635 --> 07:06:05.840 region:rollup2
ANYONE ELSE IN OPPOSITION.
07:06:04.606 --> 07:06:07.308 region:rollup2
CNN WILL BRING IT BACK TO THE
07:06:05.840 --> 07:06:09.677 region:rollup2
COMMITTEE FOR QUESTIONS OR
07:06:07.308 --> 07:06:11.246 region:rollup2
COMMENTS ANYONE.
07:06:09.677 --> 07:06:12.647 region:rollup2
MISS KOREA THINK YOU KNOW I LIKE
07:06:11.246 --> 07:06:14.549 region:rollup2
TO THINK THE AUTHOR FOR BRINGING
07:06:12.647 --> 07:06:17.552 region:rollup2
THIS TO OTHERS COMMITTEE.
07:06:14.549 --> 07:06:19.687 region:rollup2
I AM THE KNEES OF OF. MY AUNT
07:06:17.552 --> 07:06:21.389 region:rollup2
WHO HAD A DOUBLE MASTECTOMY AND
07:06:19.687 --> 07:06:23.224 region:rollup2
DIED OF BREAST CANCER.
07:06:21.389 --> 07:06:24.793 region:rollup2
TO MY AUNTS HAVE HAD ADDITIONAL
07:06:23.224 --> 07:06:26.861 region:rollup2
DEVELOPMENTS UPSWINGS.
07:06:24.793 --> 07:06:29.297 region:rollup2
AND LIKELY THERE.
07:06:26.861 --> 07:06:29.998 region:rollup2
THEIR HEALTH IS OKAY.
07:06:29.297 --> 07:06:34.302 region:rollup2
AND I THINK THIS IS AN
07:06:29.998 --> 07:06:35.970 region:rollup2
INCREDIBLY CRITICAL CRITICAL.
07:06:34.302 --> 07:06:38.506 region:rollup2
MEASURE TO THINK ABOUT IN TERMS
07:06:35.970 --> 07:06:39.340 region:rollup2
OF THE HEALTH. AND WELFARE OF
07:06:38.506 --> 07:06:42.110 region:rollup2
CALIFORNIANS ACROSS OUR STATES I
07:06:39.340 --> 07:06:44.012 region:rollup2
THINK YOU.
07:06:42.110 --> 07:06:44.879 region:rollup2
ANYONE ELSE ESTIMATES.
07:06:44.012 --> 07:06:46.147 region:rollup2
DID A MUCH OF I HEARD YOU
07:06:44.879 --> 07:06:47.048 region:rollup2
CORRECTLY WAS A ROOM.
07:06:46.147 --> 07:06:48.850 region:rollup2
FOR.
07:06:47.048 --> 07:06:50.051 region:rollup2
FTA HEALTH PLANS FOR AN
07:06:48.850 --> 07:06:51.586 region:rollup2
AMENDMENT THAT WOULD GET YOU HAS
07:06:50.051 --> 07:06:52.987 region:rollup2
THIRTY TWO TO BE SUPPORTIVE FOR
07:06:51.586 --> 07:06:54.622 region:rollup2
NOW.
07:06:52.987 --> 07:06:56.191 region:rollup2
SOME SOME OF THE OTHER HEALTH
07:06:54.622 --> 07:06:57.459 region:rollup2
PLANS SO SHE ASIANS HAVE AN
07:06:56.191 --> 07:06:58.726 region:rollup2
OPPOSING WAS A MINUTE POSITION
07:06:57.459 --> 07:06:59.994 region:rollup2
ON IT AND THEY'VE LIKE THAT I
07:06:58.726 --> 07:07:01.095 region:rollup2
BELIEVE THERE ASK IS THAT THE
07:06:59.994 --> 07:07:02.330 region:rollup2
COST.
07:07:01.095 --> 07:07:05.066 region:rollup2
DESCRIPTION COST CAP HE SAID IT
07:07:02.330 --> 07:07:05.667 region:rollup2
TO FIFTY SO MIR'S WHAT'S IN
07:07:05.066 --> 07:07:08.837 region:rollup2
PLACE FOR ALL OTHER OUTPATIENT
07:07:05.667 --> 07:07:13.007 region:rollup2
DRUGS.
07:07:08.837 --> 07:07:14.609 region:rollup2
BIGELOW.
07:07:13.007 --> 07:07:15.610 region:rollup2
SO IT SEEMS LIKE THERE'S SOME
07:07:14.609 --> 07:07:17.145 region:rollup2
ROOM FOR AGREEMENT HERE.
07:07:15.610 --> 07:07:20.915 region:rollup2
AND MOVEMENT.
07:07:17.145 --> 07:07:21.683 region:rollup2
THERE'S TWO COURSES.
07:07:20.915 --> 07:07:24.953 region:rollup2
THE PLANS CAN MOVE TO THE TWO
07:07:21.683 --> 07:07:25.520 region:rollup2
FIFTY.
07:07:24.953 --> 07:07:27.956 region:rollup2
AND MAYBE WORK WITH YOU AND
07:07:25.520 --> 07:07:28.823 region:rollup2
HAVE.
07:07:27.956 --> 07:07:30.825 region:rollup2
SOME SOLIDARITY ON THIS VERY
07:07:28.823 --> 07:07:33.261 region:rollup2
IMPORTANT ISSUE.
07:07:30.825 --> 07:07:34.229 region:rollup2
LAKE SECOND COURSES.
07:07:33.261 --> 07:07:36.097 region:rollup2
WE REDUCE EVERYTHING TO TWO
07:07:34.229 --> 07:07:38.967 region:rollup2
HUNDRED.
07:07:36.097 --> 07:07:41.169 region:rollup2
AND MAKE IT ACROSS THE BOARD.
07:07:38.967 --> 07:07:42.036 region:rollup2
WHAT CHOICE?
07:07:41.169 --> 07:07:43.538 region:rollup2
OF THOSE TWO WOULD YOU LIKE TO
07:07:42.036 --> 07:07:45.740 region:rollup2
HAVE.
07:07:43.538 --> 07:07:47.775 region:rollup2
AS AN OPPORTUNITY SO I A
07:07:45.740 --> 07:07:49.544 region:rollup2
ACTUALLY WOULD LIKE TO CLARIFY
07:07:47.775 --> 07:07:51.579 region:rollup2
THAT THERE IS A PRICE INDEX
07:07:49.544 --> 07:07:52.447 region:rollup2
INCLUDED IN THIS AND SO. I'M
07:07:51.579 --> 07:07:53.448 region:rollup2
GONNA HAVE.
07:07:52.447 --> 07:07:54.382 region:rollup2
WITH. A LOT OF THE TO THIS
07:07:53.448 --> 07:07:56.618 region:rollup2
PLACE.
07:07:54.382 --> 07:07:57.886 region:rollup2
I THINK IT SO WHEN THIS BILL WAS
07:07:56.618 --> 07:07:59.787 region:rollup2
PASSED FIVE YEARS AGO.
07:07:57.886 --> 07:08:01.890 region:rollup2
IT WAS A HARD NEGOTIATION AND
07:07:59.787 --> 07:08:04.225 region:rollup2
WE DID AND OF HAVING A CPI INDEX
07:08:01.890 --> 07:08:05.960 region:rollup2
ADDED TO THE BILL. AND IT HAS
07:08:04.225 --> 07:08:07.362 region:rollup2
NOT BEEN UTILIZED BY THE HEALTH
07:08:05.960 --> 07:08:09.664 region:rollup2
PLANS.
07:08:07.362 --> 07:08:09.864 region:rollup2
AND WHEN YOU LOOK AT THE CPI FOR
07:08:09.664 --> 07:08:12.400 region:rollup2
THE.
07:08:09.864 --> 07:08:14.536 region:rollup2
MEDICAL PRICE INDEX UNDER THAT
07:08:12.400 --> 07:08:16.404 region:rollup2
COMES IN THE E. CATEGORIES.
07:08:14.536 --> 07:08:17.939 region:rollup2
AND YOU AVERAGE A COSTS THEY
07:08:16.404 --> 07:08:19.207 region:rollup2
COULD OF BEEN IT ABOUT TWO
07:08:17.939 --> 07:08:21.075 region:rollup2
HUNDRED TWENTY DOLLARS AND IT
07:08:19.207 --> 07:08:23.178 region:rollup2
WILL CONTINUE TO INCREASE OVER
07:08:21.075 --> 07:08:24.145 region:rollup2
THE YEARS AS THE PRICE INDEX
07:08:23.178 --> 07:08:25.780 region:rollup2
GOES UP SO THEY CAN UTILIZE IT
07:08:24.145 --> 07:08:26.147 region:rollup2
OR NOT UTILIZE IT AS THEY SEE
07:08:25.780 --> 07:08:27.815 region:rollup2
FIT AND IF NOT.
07:08:26.147 --> 07:08:31.786 region:rollup2
SAU.
07:08:27.815 --> 07:08:33.588 region:rollup2
HAVING HEARD THAT.
07:08:31.786 --> 07:08:35.356 region:rollup2
YOU'RE STILL AT GROUND ZERO.
07:08:33.588 --> 07:08:37.458 region:rollup2
AND YOU'RE ALSO ASKING FOR THE
07:08:35.356 --> 07:08:39.961 region:rollup2
SUNSET TO BE REMOVED.
07:08:37.458 --> 07:08:41.329 region:rollup2
SO WHY NOT TAKE THE OPPORTUNITY.
07:08:39.961 --> 07:08:43.198 region:rollup2
TO NEGOTIATE A REALLY GOOD DEAL
07:08:41.329 --> 07:08:45.199 region:rollup2
HERE.
07:08:43.198 --> 07:08:46.768 region:rollup2
IN ONE WAY BRING.
07:08:45.199 --> 07:08:48.503 region:rollup2
EVERYONE TO PARITY AT THE TWO
07:08:46.768 --> 07:08:49.804 region:rollup2
FIFTY AND LET THEM USE THE CPI
07:08:48.503 --> 07:08:51.472 region:rollup2
INDEXING.
07:08:49.804 --> 07:08:53.575 region:rollup2
OR REDUCE EVERYBODY DOWN TO THE
07:08:51.472 --> 07:08:56.277 region:rollup2
TWO HUNDRED AND LET THEM CAPTURE
07:08:53.575 --> 07:08:56.744 region:rollup2
THE CPI AT THAT LEVEL
07:08:56.277 --> 07:08:58.079 region:rollup2
SEEMS LIKE YOU HAVE AN
07:08:56.744 --> 07:09:00.148 region:rollup2
OPPORTUNITY TO WIN. AND GET
07:08:58.079 --> 07:09:02.750 region:rollup2
EVERYBODY WHAT THEY WANT.
07:09:00.148 --> 07:09:04.886 region:rollup2
WE HAVE AT TWO HUNDRED PLUS CPI
07:09:02.750 --> 07:09:07.522 region:rollup2
RIGHT NOW AND IF SOMEONE BRINGS
07:09:04.886 --> 07:09:08.489 region:rollup2
US CONSIDERATIONS AND AMENDMENTS
07:09:07.522 --> 07:09:10.491 region:rollup2
WILL CONSIDER THAT WE'VE. YET TO
07:09:08.489 --> 07:09:11.826 region:rollup2
SEE IT SO I'M I'M SUGGESTING
07:09:10.491 --> 07:09:12.694 region:rollup2
THAT RIGHT NOW APES FAVORITE
07:09:11.826 --> 07:09:14.062 region:rollup2
YEAH I APPRECIATE THE
07:09:12.694 --> 07:09:15.630 region:rollup2
SUGGESTIONS I DON'T KNOW THAT
07:09:14.062 --> 07:09:17.332 region:rollup2
THAT'S WHERE WE'RE AT THIS
07:09:15.630 --> 07:09:18.499 region:rollup2
MOMENT BUT I APPRECIATE IT. AND
07:09:17.332 --> 07:09:19.567 region:rollup2
I THINK WE'LL CONTINUE TO HAVE A
07:09:18.499 --> 07:09:21.502 region:rollup2
CONVERSATION.
07:09:19.567 --> 07:09:22.937 region:rollup2
BUT RIGHT NOW IT'S AT TWO
07:09:21.502 --> 07:09:23.905 region:rollup2
HUNDRED PLUS CPA I'M I DON'T
07:09:22.937 --> 07:09:25.640 region:rollup2
THINK I'M.
07:09:23.905 --> 07:09:27.408 region:rollup2
TOTALLY ARTICULATING
07:09:25.640 --> 07:09:29.010 region:rollup2
SINCE EVERYBODY IS ALREADY AT.
07:09:27.408 --> 07:09:30.578 region:rollup2
A TWO FIFTY ARE ALL THE OTHER
07:09:29.010 --> 07:09:32.513 region:rollup2
PRODUCTS OR TWO FIFTY.
07:09:30.578 --> 07:09:35.583 region:rollup2
AND YOU'RE ASKING THESE TO BE
07:09:32.513 --> 07:09:37.752 region:rollup2
SEPARATE AT TWO HUNDRED.
07:09:35.583 --> 07:09:39.587 region:rollup2
WOULD THAT NOT BE GOOD FOR YOU
07:09:37.752 --> 07:09:41.556 region:rollup2
TO HAVE EVERYBODY AT THE TWO
07:09:39.587 --> 07:09:43.691 region:rollup2
FIFTY WHERE THEY'RE ALL.
07:09:41.556 --> 07:09:46.361 region:rollup2
AT PARITY OR WOULD IT BE EASIER
07:09:43.691 --> 07:09:47.395 region:rollup2
FOR YOU TO REDUCE EVERYBODY.
07:09:46.361 --> 07:09:49.163 region:rollup2
FROM TWO FIFTY DOWN TO TWO
07:09:47.395 --> 07:09:51.266 region:rollup2
HUNDRED AND HAVE EVERYBODY AT
07:09:49.163 --> 07:09:55.036 region:rollup2
PARITY AND STILL ENJOY THE. THE
07:09:51.266 --> 07:09:55.903 region:rollup2
GROWTH OF CPI.
07:09:55.036 --> 07:09:57.405 region:rollup2
YEAH COULD IT GOOD BUSINESS AND
07:09:55.903 --> 07:09:58.606 region:rollup2
INTERVENE AS THE AS THE CHAIR
07:09:57.405 --> 07:10:00.975 region:rollup2
PROPITIATE WHY ARE YOU DOING
07:09:58.606 --> 07:10:01.809 region:rollup2
MISTER CHAIR I APPRECIATE WE'RE
07:10:00.975 --> 07:10:03.544 region:rollup2
GOING OUT OF THAT.
07:10:01.809 --> 07:10:05.079 region:rollup2
THE BILL DOESN'T CALL TO REDUCE
07:10:03.544 --> 07:10:05.680 region:rollup2
EVERYTHING TO TWO HUNDRED AND IT
07:10:05.079 --> 07:10:07.282 region:rollup2
TOTALLY NOT I'M TALKING AS AN
07:10:05.680 --> 07:10:09.317 region:rollup2
OPTION.
07:10:07.282 --> 07:10:10.318 region:rollup2
AND I'M SURE THEAUTHOR WOULD.
07:10:09.317 --> 07:10:12.053 region:rollup2
CONSIDER.
07:10:10.318 --> 07:10:13.087 region:rollup2
FURTHER DISCUSSIONS WITH BOTH
07:10:12.053 --> 07:10:15.156 region:rollup2
SIDES ON ON THIS PARTICULAR
07:10:13.087 --> 07:10:16.624 region:rollup2
ISSUE.
07:10:15.156 --> 07:10:18.626 region:rollup2
BUT SHE IS ASKING FOR THE
07:10:16.624 --> 07:10:19.761 region:rollup2
REMOVAL OF A SUNSET.
07:10:18.626 --> 07:10:21.996 region:rollup2
PRE EXISTING BILL BUT WAS IT
07:10:19.761 --> 07:10:24.032 region:rollup2
WORTH IT WAS SET AT TWO HUNDRED.
07:10:21.996 --> 07:10:26.567 region:rollup2
SO OF THAT IS THAT'S WHAT'S
07:10:24.032 --> 07:10:28.503 region:rollup2
BEFORE US WITH THE CP I.
07:10:26.567 --> 07:10:29.337 region:rollup2
THAT HASN'T BEEN UTILIZED.
07:10:28.503 --> 07:10:31.272 region:rollup2
SO.
07:10:29.337 --> 07:10:32.573 region:rollup2
I'M SURE THAT THE AUTHOR WOULD
07:10:31.272 --> 07:10:34.275 region:rollup2
BE HAPPY CONSIDER CONTINUE
07:10:32.573 --> 07:10:35.410 region:rollup2
DISCUSSIONS MOVING FORWARD AS IF
07:10:34.275 --> 07:10:36.844 region:rollup2
THE BILL MOST OUR COMMITTEE BUT
07:10:35.410 --> 07:10:38.313 region:rollup2
I APPRECIATE THE SPIRIT WHICH
07:10:36.844 --> 07:10:40.548 region:rollup2
YOU'RE PRESENTING THAT. AND.
07:10:38.313 --> 07:10:44.452 region:rollup2
I'M I'M SURE THAT SHE WILL TAKE
07:10:40.548 --> 07:10:51.826 region:rollup2
THAT CONSIDERATION.
07:10:44.452 --> 07:10:53.695 region:rollup2
IF ANYONE ELSE.
07:10:51.826 --> 07:10:54.896 region:rollup2
SAME SCENE NO ONE TO TO HAVE
07:10:53.695 --> 07:10:56.264 region:rollup2
MUCH.
07:10:54.896 --> 07:10:57.799 region:rollup2
WE HAVE A MOTION AND A SECOND
07:10:56.264 --> 07:10:58.366 region:rollup2
WOULD YOU LIKE TO CLOSE MISMA I
07:10:57.799 --> 07:10:59.867 region:rollup2
RESPECTFULLY ASK FOR AN AYE
07:10:58.366 --> 07:11:01.903 region:rollup2
VOTE.
07:10:59.867 --> 07:11:04.439 region:rollup2
THE MOTION BY MS CARILLO A
07:11:01.903 --> 07:11:05.740 region:rollup2
SECOND BY MISS DURING HIS AREA
07:11:04.439 --> 07:11:06.974 region:rollup2
AND THAT THE MOTION IS TO PASS
07:11:05.740 --> 07:11:08.309 region:rollup2
TO APPROPRIATIONS MADAM
07:11:06.974 --> 07:11:10.912 region:rollup2
SECRETARY PLEASE CALL THE ROLL.
07:11:08.309 --> 07:11:13.014 region:rollup2
WOULD I WOULD AYE MAYES AYE
07:11:10.912 --> 07:11:14.682 region:rollup2
MAYES AYE AGUIAR-CURRY. ANCHOR
07:11:13.014 --> 07:11:16.517 region:rollup2
CURRY I BIGELOW.
07:11:14.682 --> 07:11:18.453 region:rollup2
BIGELOW NOT VOTING BONTA.
07:11:16.517 --> 07:11:20.555 region:rollup2
BURKE.
07:11:18.453 --> 07:11:23.157 region:rollup2
BURKE I CARILLO AYE CARILLO AYE
07:11:20.555 --> 07:11:25.960 region:rollup2
FLORA FLORA AYE LOW MOAN.
07:11:23.157 --> 07:11:28.062 region:rollup2
LOW MOAN AYE MCCARTY.
07:11:25.960 --> 07:11:29.764 region:rollup2
MCCARTY AYE NAZARIAN. IS THERE
07:11:28.062 --> 07:11:31.899 region:rollup2
AND I RODRIGUEZ.
07:11:29.764 --> 07:11:33.935 region:rollup2
RODRIGUEZ I SANTIAGO.
07:11:31.899 --> 07:11:44.378 region:rollup2
THURMOND.
07:11:33.935 --> 07:11:44.946 region:rollup2
THURMOND AYE WALDRON.
07:11:44.378 --> 07:11:46.481 region:rollup2
BUT ELEVEN ZERO YOUR BILL IS
07:11:44.946 --> 07:11:50.184 region:rollup2
OUT.
07:11:46.481 --> 07:11:50.918 region:rollup2
MISTER RODRIGUEZ.
07:11:50.184 --> 07:11:55.223 region:rollup2
HERE THE LAST BILL OF THE
07:11:50.918 --> 07:11:56.657 region:rollup2
EVENING.
07:11:55.223 --> 07:11:58.826 region:rollup2
WELL I MEAN YOU KNOW WE'VE GOT
07:11:56.657 --> 07:11:59.660 region:rollup2
SOME WORK TO DO BUT.
07:11:58.826 --> 07:12:01.963 region:rollup2
WE HAVE WORK TO DO BUT YOU ARE
07:11:59.660 --> 07:12:03.297 region:rollup2
THE LAST BILL.
07:12:01.963 --> 07:12:08.903 region:rollup2
SO MISTER RODRIGUEZ YOU HAVE
07:12:03.297 --> 07:12:09.771 region:rollup2
BEFORE US AB TWENTY ONE OH TO.
07:12:08.903 --> 07:12:10.638 region:rollup2
HAVE A MOTION AND A SECOND
07:12:09.771 --> 07:12:12.707 region:rollup2
MISTER RODRIGUEZ.
07:12:10.638 --> 07:12:15.009 region:rollup2
PLEASE PROCEED.
07:12:12.707 --> 07:12:16.477 region:rollup2
TARA MEMBERS.
07:12:15.009 --> 07:12:18.279 region:rollup2
MISTER CHAIR MEMBERS AB TWENTY
07:12:16.477 --> 07:12:19.280 region:rollup2
ONE OUGHT TO. CLARIFY THE
07:12:18.279 --> 07:12:20.915 region:rollup2
CALIFORNIA MERGING MEDICAL
07:12:19.280 --> 07:12:22.383 region:rollup2
SERVICES SORTIES ROLE IN
07:12:20.915 --> 07:12:23.951 region:rollup2
ALLOWING OUT OF STATE.
07:12:22.383 --> 07:12:25.086 region:rollup2
FIRE AND PARAMEDIC PERSONNEL TO
07:12:23.951 --> 07:12:27.155 region:rollup2
GIVE AID IN CALIFORNIA DURING
07:12:25.086 --> 07:12:28.589 region:rollup2
THE STATE OF EMERGENCY.
07:12:27.155 --> 07:12:29.490 region:rollup2
MEMBERS WE ALL KNOW LAST YEAR
07:12:28.589 --> 07:12:31.325 region:rollup2
CALIFORNIA EXPERIENCE TERRIBLE
07:12:29.490 --> 07:12:33.528 region:rollup2
FIRES.
07:12:31.325 --> 07:12:35.062 region:rollup2
WE RELIED ON CORPORATION.
07:12:33.528 --> 07:12:36.864 region:rollup2
FROM ACROSS STATE LINES TO HELP.
07:12:35.062 --> 07:12:38.065 region:rollup2
FOR FUTURE EMERGENCIES
07:12:36.864 --> 07:12:40.134 region:rollup2
STREAMING M. SAYS APPROVAL
07:12:38.065 --> 07:12:41.369 region:rollup2
PROCESS WILL ALLOW OUT OF STATE
07:12:40.134 --> 07:12:43.371 region:rollup2
FIRST RESPONDERS TO COME TO OUR
07:12:41.369 --> 07:12:44.205 region:rollup2
AID MORE QUICKLY.
07:12:43.371 --> 07:12:45.606 region:rollup2
I WILL BE WORKING WITH
07:12:44.205 --> 07:12:47.375 region:rollup2
STAKEHOLDERS AND MS ON LANGUAGE
07:12:45.606 --> 07:12:49.076 region:rollup2
TO SPEED UP THE APPROVAL PROCESS
07:12:47.375 --> 07:12:49.544 region:rollup2
FOR THESE FIRST RESPONDERS TO
07:12:49.076 --> 07:12:50.778 region:rollup2
PROVIDE MEDICAL AID IN
07:12:49.544 --> 07:12:52.013 region:rollup2
CALIFORNIA.
07:12:50.778 --> 07:12:52.613 region:rollup2
AND I'VE VOTE WILL HELP US
07:12:52.013 --> 07:12:56.918 region:rollup2
BETTER RESPOND TO EMERGENCIES
07:12:52.613 --> 07:12:59.754 region:rollup2
THANK YOU.
07:12:56.918 --> 07:13:02.056 region:rollup2
TO YOUR WITNESS HER.
07:12:59.754 --> 07:13:02.857 region:rollup2
IS THERE ANYONE TO SUPPORT.
07:13:02.056 --> 07:13:05.993 region:rollup2
THE ADDITIONAL PEOPLE IN SUPPORT
07:13:02.857 --> 07:13:06.594 region:rollup2
OF THE AUTHOR.
07:13:05.993 --> 07:13:10.064 region:rollup2
SEE NO ONE IS THERE ANYONE IN
07:13:06.594 --> 07:13:11.232 region:rollup2
OPPOSITION.
07:13:10.064 --> 07:13:12.033 region:rollup2
SEE KNOWN TO BRING BACK TO THE
07:13:11.232 --> 07:13:13.401 region:rollup2
COMMITTEE FOR QUESTIONS OR
07:13:12.033 --> 07:13:16.737 region:rollup2
COMMENTS ANY QUESTIONS OR
07:13:13.401 --> 07:13:17.772 region:rollup2
COMMENTS FROM THE COMMITTEE.
07:13:16.737 --> 07:13:19.841 region:rollup2
SEEN THAT WOULD LIKE TO CLOSE
07:13:17.772 --> 07:13:20.408 region:rollup2
MISTER RODRIGUEZ.
07:13:19.841 --> 07:13:22.376 region:rollup2
I RESPECTFULLY ASK YOUR FREE
07:13:20.408 --> 07:13:22.844 region:rollup2
IPAD THINKING WE HAVE A MOTION
07:13:22.376 --> 07:13:24.645 region:rollup2
BY.
07:13:22.844 --> 07:13:26.414 region:rollup2
MISS BURKE A SECOND BY MISS
07:13:24.645 --> 07:13:28.282 region:rollup2
CARILLO THE MOTION IS TO PASS TO
07:13:26.414 --> 07:13:30.017 region:rollup2
APPROPRIATIONS MADAM SECRETARY
07:13:28.282 --> 07:13:33.855 region:rollup2
PLEASE CALL THE ROLL. WOULD I
07:13:30.017 --> 07:13:35.623 region:rollup2
WOULD I MAYES.
07:13:33.855 --> 07:13:39.126 region:rollup2
I HURRY.
07:13:35.623 --> 07:13:41.128 region:rollup2
I CARE CURRY AYE BIGELOW.
07:13:39.126 --> 07:13:43.764 region:rollup2
BIGELOW AYE BONTA.
07:13:41.128 --> 07:13:45.132 region:rollup2
BURKE BURKE I CARILLO.
07:13:43.764 --> 07:13:47.068 region:rollup2
CARILLO AYE FLORA. FLORA AYE LOW
07:13:45.132 --> 07:13:49.704 region:rollup2
MOAN.
07:13:47.068 --> 07:13:52.139 region:rollup2
LIMON AYE MCCARTY.
07:13:49.704 --> 07:13:54.008 region:rollup2
MCCARTY I IN THIS AREA IN. THIS
07:13:52.139 --> 07:13:56.911 region:rollup2
AREA AYE RODRIGUEZ AYE.
07:13:54.008 --> 07:14:01.916 region:rollup2
RODRIGUEZ AYE SANTIAGO.
07:13:56.911 --> 07:14:03.651 region:rollup2
THURMAN. THERE AND I'VE WALDRON.
07:14:01.916 --> 07:14:04.886 region:rollup2
SELECT.
07:14:03.651 --> 07:14:05.720 region:rollup2
SO THAT HAS ELEVEN.
07:14:04.886 --> 07:14:07.121 region:rollup2
ELEVEN ZERO.
07:14:05.720 --> 07:14:09.857 region:rollup2
IF THERE WAS OUT MISTER
07:14:07.121 --> 07:14:12.093 region:rollup2
RODRIGUEZ SO.
07:14:09.857 --> 07:14:13.794 region:rollup2
SO. I WOULD ASK THAT MEMBERS
07:14:12.093 --> 07:14:15.196 region:rollup2
COME BACK SO THAT WE COULD.
07:14:13.794 --> 07:14:17.365 region:rollup2
FINISH OUR VOTING.
07:14:15.196 --> 07:14:19.367 region:rollup2
PLEASE COME BACK.
07:14:17.365 --> 07:14:20.735 region:rollup2
PLEASE.
07:14:19.367 --> 07:14:23.504 region:rollup2
SO WE CAN ALL GO HAVE DINNER
07:14:20.735 --> 07:14:25.973 region:rollup2
SOMETIME.
07:14:23.504 --> 07:14:28.276 region:rollup2
PARDON.
07:14:25.973 --> 07:14:34.081 region:rollup2
AND ARE IN BE SOMEPLACE WE CAN
07:14:28.276 --> 07:14:37.485 region:rollup2
HAVE DINNER SOMETIME. OKAY.
07:14:34.081 --> 07:14:38.419 region:rollup2
OKAY.
07:14:37.485 --> 07:14:40.321 region:rollup2
WE'RE GONNA WAIT TWO OR THREE
07:14:38.419 --> 07:14:42.089 region:rollup2
MINUTES ARE UP.
07:14:40.321 --> 07:14:42.757 region:rollup2
LISA. WAS MISSING.
07:14:42.089 --> 07:14:45.493 region:rollup2
ONE TWO
07:14:42.757 --> 07:14:49.564 region:rollup2
RE.
07:14:45.493 --> 07:14:52.099 region:rollup2
.
07:14:49.564 --> 07:14:59.707 region:rollup2
SO WE GOT TO.
07:14:52.099 --> 07:15:09.517 region:rollup2
SO MISTER BONTA MISTER SANTIAGO.
07:14:59.707 --> 07:15:11.552 region:rollup2
MISTER MAY MISTER MAYES IS BAD.
07:15:09.517 --> 07:15:13.254 region:rollup2
YEAH.
07:15:11.552 --> 07:15:14.255 region:rollup2
A COUPLE MINUTES AND.
07:15:13.254 --> 07:15:18.192 region:rollup2
ANYBODY HAVE MISTER BONTA ON
07:15:14.255 --> 07:15:20.328 region:rollup2
SPEED DIAL.
07:15:18.192 --> 07:15:22.530 region:rollup2
ONLY FOR CULTURE.
07:15:20.328 --> 07:15:33.307 region:rollup2
NO.
07:15:22.530 --> 07:15:42.516 region:rollup2
WE GO. AGAIN MUST BE DEATH.
07:15:33.307 --> 07:15:44.485 region:rollup2
THAT'S WHAT HEREBY SKINNER.
07:15:42.516 --> 07:15:53.894 region:rollup2
SAN.
07:15:44.485 --> 07:16:10.378 region:rollup2
I HEAR SOMEBODY.
07:15:53.894 --> 07:16:10.378 region:rollup2
PLEASE WAIT NINE MISTER BONTA
07:16:16.317 --> 07:16:29.397 region:rollup2
.
07:16:16.450 --> 07:16:32.633 region:rollup2
AND.
07:16:29.397 --> 07:16:35.102 region:rollup2
ALRIGHT PART IT. WAS LAST PERSON
07:16:32.633 --> 07:16:37.705 region:rollup2
BY TEN BY SINNERS WHEN I'M WITH
07:16:35.102 --> 07:16:40.007 region:rollup2
I THINK THAT WAS WHO HE SAID. BY
07:16:37.705 --> 07:16:41.642 region:rollup2
THING MISS RUNS BY DINNER.
07:16:40.007 --> 07:16:42.543 region:rollup2
BUT ANYWAY.
07:16:41.642 --> 07:16:43.110 region:rollup2
SO WE'RE JUST UP THE SORT THE
07:16:42.543 --> 07:16:44.145 region:rollup2
TOP OF THE ORDER.
07:16:43.110 --> 07:16:45.079 region:rollup2
ITEM NUMBER ONE EIGHTY THIRTY
07:16:44.145 --> 07:16:46.047 region:rollup2
EIGHTY SEVEN PLEASE OPEN THE
07:16:45.079 --> 07:16:48.149 region:rollup2
ROLL CALL THE ABSENT MEMBERS
07:16:46.047 --> 07:16:50.451 region:rollup2
BURKE.
07:16:48.149 --> 07:16:50.885 region:rollup2
I BURKE I. LIMON AYE THURMOND
07:16:50.451 --> 07:16:52.253 region:rollup2
AYE.
07:16:50.885 --> 07:16:53.354 region:rollup2
RODRIGUEZ.
07:16:52.253 --> 07:16:55.256 region:rollup2
RODRIGUEZ I
07:16:53.354 --> 07:16:56.657 region:rollup2
SELECT.
07:16:55.256 --> 07:16:58.392 region:rollup2
THAT IS ELEVEN FOR.
07:16:56.657 --> 07:17:00.261 region:rollup2
ITEM NUMBER TWO AB SEVENTEEN
07:16:58.392 --> 07:17:01.228 region:rollup2
FORTY FOUR MCCARTY PLEASE OPEN
07:17:00.261 --> 07:17:07.635 region:rollup2
THE ROLL CALL THE ABSENT MEMBERS
07:17:01.228 --> 07:17:08.936 region:rollup2
MAYES.
07:17:07.635 --> 07:17:12.940 region:rollup2
MAYES I.
07:17:08.936 --> 07:17:13.507 region:rollup2
CARILLO.
07:17:12.940 --> 07:17:15.209 region:rollup2
I'M SORRY WITNESSES BY THE
07:17:13.507 --> 07:17:16.243 region:rollup2
MEMBER TWO SEVENTEEN FORTY FOUR
07:17:15.209 --> 07:17:18.079 region:rollup2
MISTER MCCARTY.
07:17:16.243 --> 07:17:20.781 region:rollup2
I.
07:17:18.079 --> 07:17:22.750 region:rollup2
CARILLO I'M LIMON.
07:17:20.781 --> 07:17:24.652 region:rollup2
LIMON AYE THIS AREA.
07:17:22.750 --> 07:17:27.488 region:rollup2
NAZARIAN AYE RODRIGUEZ RODRIGUEZ
07:17:24.652 --> 07:17:28.823 region:rollup2
AYE WALDRON WALDRON AYE FIFTEEN.
07:17:27.488 --> 07:17:30.925 region:rollup2
THAT'S FIFTEEN ZERO ITEM NUMBER
07:17:28.823 --> 07:17:32.259 region:rollup2
THREE AB EIGHTEEN SIXTY MUSLIM
07:17:30.925 --> 07:17:34.028 region:rollup2
OWNED PLEASE OPEN THE ROLL CALL
07:17:32.259 --> 07:17:36.097 region:rollup2
THE ABSENT MEMBERS.
07:17:34.028 --> 07:17:37.331 region:rollup2
BONTA.
07:17:36.097 --> 07:17:39.433 region:rollup2
I THOUGHT I.
07:17:37.331 --> 07:17:41.635 region:rollup2
SANTIAGO.
07:17:39.433 --> 07:17:43.270 region:rollup2
WELL I SANTIAGO AYE.
07:17:41.635 --> 07:17:47.441 region:rollup2
THURMOND. BERMAN I'M SORRY
07:17:43.270 --> 07:17:48.008 region:rollup2
WALDRON.
07:17:47.441 --> 07:17:49.643 region:rollup2
NUMBER EIGHTEEN SIXTY MUSLIM
07:17:48.008 --> 07:17:50.611 region:rollup2
OWN.
07:17:49.643 --> 07:17:53.414 region:rollup2
NOT VOTE.
07:17:50.611 --> 07:17:57.218 region:rollup2
NOT VOTING.
07:17:53.414 --> 07:17:59.086 region:rollup2
WHAT ARE NOT VOTING?
07:17:57.218 --> 07:17:59.787 region:rollup2
THAT'S THIRTEEN ZERO A LONG TIME
07:17:59.086 --> 07:18:01.889 region:rollup2
AGO.
07:17:59.787 --> 07:18:03.491 region:rollup2
ITEM NUMBER FOUR WAS PRESENTED
07:18:01.889 --> 07:18:05.826 region:rollup2
AB TWENTY TWO TWO THOUSAND
07:18:03.491 --> 07:18:07.828 region:rollup2
TICKETS AND WE DON'T HAVE A
07:18:05.826 --> 07:18:09.263 region:rollup2
MOTIONS I WOULD LET TO HAVE A
07:18:07.828 --> 07:18:10.765 region:rollup2
SUPER. SOME OBJECT.
07:18:09.263 --> 07:18:12.233 region:rollup2
THIS MISTER THURMAN MOVES MISTER
07:18:10.765 --> 07:18:13.968 region:rollup2
BONTA SECONDS.
07:18:12.233 --> 07:18:15.536 region:rollup2
AB TWO ZERO TWO TWO.
07:18:13.968 --> 07:18:17.404 region:rollup2
MEDICINE THIS A MATH MOTION IS
07:18:15.536 --> 07:18:19.507 region:rollup2
TO PASS APPROPRIATIONS MADAM
07:18:17.404 --> 07:18:21.542 region:rollup2
SECRETARY PLEASE CALL THE ROLL
07:18:19.507 --> 07:18:24.078 region:rollup2
WOULD I WOULD I MAYES. MAYES NOT
07:18:21.542 --> 07:18:25.312 region:rollup2
VOTING AGAR CURRY ACTOR CURRY I
07:18:24.078 --> 07:18:29.416 region:rollup2
BIGELOW.
07:18:25.312 --> 07:18:30.885 region:rollup2
BIGELOW NO BONTA BONSAI BURKE.
07:18:29.416 --> 07:18:33.954 region:rollup2
BURKE I CARILLO. CARILLO AYE
07:18:30.885 --> 07:18:37.758 region:rollup2
FLORA.
07:18:33.954 --> 07:18:39.727 region:rollup2
FLORA NOT VOTING LIMON.
07:18:37.758 --> 07:18:40.194 region:rollup2
THOUGHT I MCCARTY. MCCARTY AYE
07:18:39.727 --> 07:18:43.063 region:rollup2
NAZARIAN. NAZARIAN AYE
07:18:40.194 --> 07:18:45.232 region:rollup2
RODRIGUEZ.
07:18:43.063 --> 07:18:47.535 region:rollup2
RODRIGUEZ I SANTIAGO. SANTIAGO
07:18:45.232 --> 07:18:55.442 region:rollup2
THURMAN. THURMOND AYE WALDRON.
07:18:47.535 --> 07:18:57.144 region:rollup2
WATER NO.
07:18:55.442 --> 07:18:58.646 region:rollup2
THAT'S ELEVEN TO TO ITEM NUMBER
07:18:57.144 --> 07:19:00.548 region:rollup2
SIX AB TWENTY ONE OUT TO
07:18:58.646 --> 07:19:02.583 region:rollup2
RODRIGUEZ.
07:19:00.548 --> 07:19:04.585 region:rollup2
HOUSE OR NEED THAT CAN SCAN SEC
07:19:02.583 --> 07:19:05.686 region:rollup2
COUNTER DISCO BACK TO THAT.
07:19:04.585 --> 07:19:07.087 region:rollup2
OUT THAT THAT'S ITEMS NUMBER
07:19:05.686 --> 07:19:10.524 region:rollup2
FIVE.
07:19:07.087 --> 07:19:12.193 region:rollup2
SEVEN FOURTEEN FIFTEEN TWENTY
07:19:10.524 --> 07:19:14.762 region:rollup2
TWENTY THREE.
07:19:12.193 --> 07:19:15.329 region:rollup2
TWENTY SEVEN. TWENTY NINE THIRTY
07:19:14.762 --> 07:19:17.932 region:rollup2
TWO THIRTY THREE AND THIRTY
07:19:15.329 --> 07:19:19.934 region:rollup2
FIVE.
07:19:17.932 --> 07:19:21.769 region:rollup2
PLEASE OPEN THE ROLL CALL THE
07:19:19.934 --> 07:19:23.604 region:rollup2
ABSENT MEMBERS POCKETS ACCOUNT
07:19:21.769 --> 07:19:25.372 region:rollup2
BONTA. BONTA AYE.
07:19:23.604 --> 07:19:27.641 region:rollup2
NAZARIAN.
07:19:25.372 --> 07:19:28.809 region:rollup2
I WAS THERE AND I.
07:19:27.641 --> 07:19:30.778 region:rollup2
SO IT'S FIFTEEN ZERO SO WE'RE
07:19:28.809 --> 07:19:31.278 region:rollup2
BACK TO ITEM NUMBER SIX AB
07:19:30.778 --> 07:19:33.948 region:rollup2
TWENTY ONE OH TO MISTER
07:19:31.278 --> 07:19:34.782 region:rollup2
RODRIGUEZ.
07:19:33.948 --> 07:19:39.053 region:rollup2
OPEN THE ROLL CALL THE ABSENT
07:19:34.782 --> 07:19:45.659 region:rollup2
MEMBERS.
07:19:39.053 --> 07:19:48.429 region:rollup2
MAYES.
07:19:45.659 --> 07:19:51.432 region:rollup2
MAYES NOT VOTING.
07:19:48.429 --> 07:19:54.235 region:rollup2
BONTA AYE BONTA AYE SANTIAGO.
07:19:51.432 --> 07:19:55.769 region:rollup2
SANTIAGO AYE THURMOND.
07:19:54.235 --> 07:20:03.010 region:rollup2
I'M SORRY EC.
07:19:55.769 --> 07:20:07.114 region:rollup2
WALDRON.
07:20:03.010 --> 07:20:09.016 region:rollup2
WALDRON NOT VOTING.
07:20:07.114 --> 07:20:13.387 region:rollup2
OH SORRY I'M SORRY WALDRON I'D.
07:20:09.016 --> 07:20:15.522 region:rollup2
SORRY.
07:20:13.387 --> 07:20:18.058 region:rollup2
MAYES NOT VOTING AYE.
07:20:15.522 --> 07:20:18.492 region:rollup2
THAT'S FIFTEEN ZERO.
07:20:18.058 --> 07:20:21.462 region:rollup2
ITEM NUMBER EIGHT.
07:20:18.492 --> 07:20:22.630 region:rollup2
AB TWENTY ONE FORTY THREE OF US
07:20:21.462 --> 07:20:23.197 region:rollup2
CABALLERO OF LOOKING FOR A
07:20:22.630 --> 07:20:26.100 region:rollup2
MOTION
07:20:23.197 --> 07:20:28.369 region:rollup2
SO MOVED.
07:20:26.100 --> 07:20:30.404 region:rollup2
THAT MOTION BY MISS CARILLO
07:20:28.369 --> 07:20:31.839 region:rollup2
SECOND BY MISTER SANTIAGO MEN
07:20:30.404 --> 07:20:33.607 region:rollup2
SECRETARY PLEASE CALL THE ROLL
07:20:31.839 --> 07:20:35.042 region:rollup2
MOTION IS TO PASS TO
07:20:33.607 --> 07:20:39.346 region:rollup2
APPROPRIATIONS.
07:20:35.042 --> 07:20:42.283 region:rollup2
AS AMENDED TO APPROPRIATIONS.
07:20:39.346 --> 07:20:43.684 region:rollup2
SO WHAT ARE I WOULD AYE MAYES
07:20:42.283 --> 07:20:45.386 region:rollup2
MAYES AYE AGAR CURRY
07:20:43.684 --> 07:20:47.521 region:rollup2
AGUIAR-CURRY AYE PICCOLO.
07:20:45.386 --> 07:20:49.690 region:rollup2
BIGELOW AYE BONTA. BONTA AYE
07:20:47.521 --> 07:20:50.224 region:rollup2
BURKE AYE BURKE AYE CARILLO AYE
07:20:49.690 --> 07:20:52.559 region:rollup2
CARILLO AYE FLORA. FLOOR I
07:20:50.224 --> 07:20:54.728 region:rollup2
LIMON.
07:20:52.559 --> 07:20:56.430 region:rollup2
LIMON AYE MCCARTY MCCARTY AYE
07:20:54.728 --> 07:20:58.132 region:rollup2
NAZARIAN.
07:20:56.430 --> 07:21:00.334 region:rollup2
THIS AREA AND I RODRIGUEZ
07:20:58.132 --> 07:21:03.070 region:rollup2
RODRIGUEZ AYE SANTIAGO. SANTIAGO
07:21:00.334 --> 07:21:05.239 region:rollup2
AYE THURMOND. THURMOND AYE
07:21:03.070 --> 07:21:07.308 region:rollup2
WALDRON. WALDRON AYE.
07:21:05.239 --> 07:21:08.108 region:rollup2
IT'S FIFTEEN ZERO ITEM NUMBER
07:21:07.308 --> 07:21:10.511 region:rollup2
NINE.
07:21:08.108 --> 07:21:11.278 region:rollup2
AB TWENTY ONE NINETY PLEASE
07:21:10.511 --> 07:21:12.813 region:rollup2
OPEN THE ROLL CALL THE ABSENT
07:21:11.278 --> 07:21:16.350 region:rollup2
MEMBERS.
07:21:12.813 --> 07:21:17.918 region:rollup2
BONTA. BONTA AYE BURKE.
07:21:16.350 --> 07:21:19.620 region:rollup2
BURKE I LIMON LOW MOAN AYE
07:21:17.918 --> 07:21:22.790 region:rollup2
MCCARTY.
07:21:19.620 --> 07:21:24.458 region:rollup2
MCCARTY I NAZARIAN.
07:21:22.790 --> 07:21:25.926 region:rollup2
NAZARIAN AYE SANTIAGO.
07:21:24.458 --> 07:21:27.328 region:rollup2
WHAT?
07:21:25.926 --> 07:21:29.863 region:rollup2
ITEM NUMBER I. AB TWENTY ONE
07:21:27.328 --> 07:21:31.498 region:rollup2
NINETY.
07:21:29.863 --> 07:21:33.267 region:rollup2
SANTIAGO AYE THURMOND. BERMAN
07:21:31.498 --> 07:21:35.002 region:rollup2
AYE FIFTEEN.
07:21:33.267 --> 07:21:36.937 region:rollup2
THAT'S FIFTEEN ZERO ITEM NUMBER
07:21:35.002 --> 07:21:38.505 region:rollup2
TEN PLEASE LIFT THE CALL CALL
07:21:36.937 --> 07:21:40.975 region:rollup2
THE ABSENT MEMBERS AB TWENTY ONE
07:21:38.505 --> 07:21:44.011 region:rollup2
NINETY THREE MAIENSCHEIN.
07:21:40.975 --> 07:21:46.246 region:rollup2
AGUIAR-CURRY. AGAR CURRY I.
07:21:44.011 --> 07:21:49.483 region:rollup2
NAZARIAN.
07:21:46.246 --> 07:21:51.018 region:rollup2
I'VE.
07:21:49.483 --> 07:21:53.053 region:rollup2
WAS THERE AND I RODRIGUEZ.
07:21:51.018 --> 07:21:54.421 region:rollup2
RODRIGUEZ AYE SANTIAGO AYE AYE
07:21:53.053 --> 07:21:57.191 region:rollup2
SANTIAGO AYE THURMAN. THURMOND
07:21:54.421 --> 07:21:59.360 region:rollup2
AYE.
07:21:57.191 --> 07:22:00.828 region:rollup2
ONE.
07:21:59.360 --> 07:22:02.997 region:rollup2
THAT'S TWELVE TO ONE ITEM NUMBER
07:22:00.828 --> 07:22:05.666 region:rollup2
ELEVEN AB TWENTY TWO EIGHTY
07:22:02.997 --> 07:22:06.266 region:rollup2
SEVEN MISTER KILEY PLEASE OF
07:22:05.666 --> 07:22:08.068 region:rollup2
LIFT THE CALL CALL THE ABSENT
07:22:06.266 --> 07:22:09.937 region:rollup2
MEMBERS.
07:22:08.068 --> 07:22:11.505 region:rollup2
MAYES AYE AYE MAYES AYE.
07:22:09.937 --> 07:22:14.074 region:rollup2
BONTA.
07:22:11.505 --> 07:22:17.745 region:rollup2
BONTA AYE.
07:22:14.074 --> 07:22:20.781 region:rollup2
CARILLO AYE KOREA AYE. LOW MOAN.
07:22:17.745 --> 07:22:24.485 region:rollup2
SOLANO AYE. NAZARIAN. NAZARIAN
07:22:20.781 --> 07:22:26.687 region:rollup2
AYE RODRIGUEZ.
07:22:24.485 --> 07:22:27.955 region:rollup2
ROAD.
07:22:26.687 --> 07:22:29.323 region:rollup2
RODRIGUEZ NOT VOTING.
07:22:27.955 --> 07:22:32.359 region:rollup2
THURMOND.
07:22:29.323 --> 07:22:34.061 region:rollup2
THURMOND I.
07:22:32.359 --> 07:22:42.736 region:rollup2
WOULD CHANGE VOTE TO I WOULD NOT
07:22:34.061 --> 07:22:44.238 region:rollup2
VOTING AYE.
07:22:42.736 --> 07:22:46.807 region:rollup2
THAT'S TWELVE ZERO.
07:22:44.238 --> 07:22:48.675 region:rollup2
ITEM NUMBER TWELVE AB TWENTY
07:22:46.807 --> 07:22:49.810 region:rollup2
TWO NINETY THREE MISS RAY S. UP
07:22:48.675 --> 07:22:51.745 region:rollup2
PLEASE LIFT THE CALL CALL THE
07:22:49.810 --> 07:22:54.748 region:rollup2
ABSENT MEMBERS.
07:22:51.745 --> 07:22:58.352 region:rollup2
BONTA BONTA AYE.
07:22:54.748 --> 07:23:00.854 region:rollup2
LEARN. ABOUT AYE NAZARIAN.
07:22:58.352 --> 07:23:02.923 region:rollup2
HI NAZARIAN AYE RODRIGUEZ.
07:23:00.854 --> 07:23:11.031 region:rollup2
RODRIGUEZ AYE SANTIAGO. SANTIAGO
07:23:02.923 --> 07:23:13.067 region:rollup2
AYE THURMAN THURMOND AYE.
07:23:11.031 --> 07:23:14.401 region:rollup2
TWELFTH NPOS TWELVE TO THREE
07:23:13.067 --> 07:23:17.104 region:rollup2
ITEM NUMBER THIRTEEN.
07:23:14.401 --> 07:23:18.272 region:rollup2
AB TWENTY THREE FIFTEEN MISS
07:23:17.104 --> 07:23:20.374 region:rollup2
QUIRK SILVA AND SEARCH OF
07:23:18.272 --> 07:23:22.543 region:rollup2
EMOTION.
07:23:20.374 --> 07:23:24.344 region:rollup2
SECOND MOTION BY MISS CARILLO
07:23:22.543 --> 07:23:26.013 region:rollup2
SECOND BY MISS WALDRON.
07:23:24.344 --> 07:23:27.881 region:rollup2
MADAM SECRETARY THE MOTION IS TO
07:23:26.013 --> 07:23:28.982 region:rollup2
PASS TO APPROPRIATIONS BEEN
07:23:27.881 --> 07:23:31.251 region:rollup2
SECRETARY PLEASE CALL THE ROLL
07:23:28.982 --> 07:23:33.420 region:rollup2
WOULD I WOULD I MAYES MAYES AYE
07:23:31.251 --> 07:23:35.856 region:rollup2
ACTOR CURRY. TIGER CURRY I
07:23:33.420 --> 07:23:39.092 region:rollup2
BIGELOW. BIGELOW I'VE FOUGHT SO.
07:23:35.856 --> 07:23:40.961 region:rollup2
BONTA AYE BURKE BURKE I CARILLO
07:23:39.092 --> 07:23:43.430 region:rollup2
AYE THREO AYE FLORA.
07:23:40.961 --> 07:23:45.766 region:rollup2
FLORA I LIVE ON.
07:23:43.430 --> 07:23:47.868 region:rollup2
LIMON AYE MCCARTY. MCCARTY AYE
07:23:45.766 --> 07:23:49.403 region:rollup2
NAZARIAN LIKE THIS AREA AND I
07:23:47.868 --> 07:23:51.605 region:rollup2
RODRIGUEZ.
07:23:49.403 --> 07:23:53.240 region:rollup2
RODRIGUEZ I SANTIAGO. SANTIAGO
07:23:51.605 --> 07:23:55.776 region:rollup2
AYE THURMAN AYE BERMAN AYE
07:23:53.240 --> 07:23:57.711 region:rollup2
WALDRON. WALDRON AYE FIFTEEN.
07:23:55.776 --> 07:23:59.780 region:rollup2
THAT'S FIFTEEN ZERO. ITEM NUMBER
07:23:57.711 --> 07:24:02.382 region:rollup2
SIXTEEN AB TWENTY THREE FORTY
07:23:59.780 --> 07:24:03.550 region:rollup2
TWO MISS BURKE PLEASE LIFT THE
07:24:02.382 --> 07:24:04.551 region:rollup2
CALL AYE MISSY HAS HE USED TO
07:24:03.550 --> 07:24:07.221 region:rollup2
OPEN THE ROLL CALL THE ABSENT
07:24:04.551 --> 07:24:09.590 region:rollup2
MEMBERS BONTA. BONTA AYE
07:24:07.221 --> 07:24:13.627 region:rollup2
NAZARIAN AYE MASURIAN AYE
07:24:09.590 --> 07:24:14.895 region:rollup2
SANTIAGO ON SANTIAGO AYE.
07:24:13.627 --> 07:24:17.464 region:rollup2
IT'S FIFTEEN ZERO ITEM NUMBER
07:24:14.895 --> 07:24:19.700 region:rollup2
SEVENTEEN AB TWO THREE EIGHT
07:24:17.464 --> 07:24:21.368 region:rollup2
FOUR DOCTOR ARAMBULA PLEASE LIFT
07:24:19.700 --> 07:24:23.704 region:rollup2
THE CALL CALL THE ABSENT MEMBERS
07:24:21.368 --> 07:24:25.272 region:rollup2
BONTA. SPONSOR AYE BURKE. BURKE
07:24:23.704 --> 07:24:27.040 region:rollup2
I.
07:24:25.272 --> 07:24:28.909 region:rollup2
NAZARIAN TYPED IN THIS AREA AND
07:24:27.040 --> 07:24:31.845 region:rollup2
I RODRIGUEZ RODRIGUEZ AYE
07:24:28.909 --> 07:24:37.050 region:rollup2
SANTIAGO. SANTIAGO AYE THURMAN.
07:24:31.845 --> 07:24:38.619 region:rollup2
THURMOND AYE.
07:24:37.050 --> 07:24:40.654 region:rollup2
THAT IS TWELVE TO THREE ITEM
07:24:38.619 --> 07:24:42.389 region:rollup2
NUMBER EIGHTEEN AB TWENTY FOUR
07:24:40.654 --> 07:24:43.790 region:rollup2
SIXTEEN WOULD PLEASE LIFT THE
07:24:42.389 --> 07:24:46.894 region:rollup2
CALL AND CALL THE ABSENT MEMBERS
07:24:43.790 --> 07:24:49.696 region:rollup2
BONTA. BONTA AYE CARILLO AYE
07:24:46.894 --> 07:24:52.065 region:rollup2
CARILLO. LOW MOAN LIMON AYE
07:24:49.696 --> 07:24:55.335 region:rollup2
MCCARTY. MCCARTY AYE IN THIS
07:24:52.065 --> 07:24:57.404 region:rollup2
AREA. THIS AREA AYE RODRIGUEZ.
07:24:55.335 --> 07:24:57.804 region:rollup2
RODRIGUEZ AYE WALDRON WALDRON
07:24:57.404 --> 07:24:59.806 region:rollup2
AYE.
07:24:57.804 --> 07:25:01.508 region:rollup2
FOURTEEN.
07:24:59.806 --> 07:25:03.644 region:rollup2
THAT'S FOURTEEN ZERO ITEM NUMBER
07:25:01.508 --> 07:25:05.012 region:rollup2
NINETEEN AB TWO FOUR TWO SEVEN
07:25:03.644 --> 07:25:07.014 region:rollup2
WOULD PLEASE LIFT CALL CALLED
07:25:05.012 --> 07:25:09.850 region:rollup2
THE ABSENT MEMBERS.
07:25:07.014 --> 07:25:13.754 region:rollup2
BONTA. BONTA AYE.
07:25:09.850 --> 07:25:15.822 region:rollup2
CARILLO AYE KOREA AYE LOW MOAN.
07:25:13.754 --> 07:25:17.558 region:rollup2
THE WORD I MCCARTY. MCCARTY AYE
07:25:15.822 --> 07:25:23.897 region:rollup2
IN THIS AREA. NAZARIAN AYE
07:25:17.558 --> 07:25:25.699 region:rollup2
RODRIGUEZ RODRIGUEZ AYE.
07:25:23.897 --> 07:25:27.334 region:rollup2
IT'S ELEVEN TO FOUR ITEM NUMBER
07:25:25.699 --> 07:25:29.136 region:rollup2
TWENTY ONE AB TWENTY FOUR
07:25:27.334 --> 07:25:29.636 region:rollup2
SEVENTY TWO WOULD PLEASE OPEN
07:25:29.136 --> 07:25:30.938 region:rollup2
THE ROLL CALL THE ABSENT
07:25:29.636 --> 07:25:33.774 region:rollup2
MEMBERS.
07:25:30.938 --> 07:25:35.142 region:rollup2
BONTA. BONTA AYE CARILLO AYE
07:25:33.774 --> 07:25:37.311 region:rollup2
CARILLO AYE LEVINE. LIMON AYE
07:25:35.142 --> 07:25:39.680 region:rollup2
MCCARTY.
07:25:37.311 --> 07:25:43.650 region:rollup2
MCCARTY I NAZARIAN. NAZARIAN AYE
07:25:39.680 --> 07:25:44.618 region:rollup2
RODRIGUEZ RODRIGUEZ AYE COOKING
07:25:43.650 --> 07:25:45.485 region:rollup2
ZERO.
07:25:44.618 --> 07:25:47.654 region:rollup2
IT'S FIFTEEN ZERO ITEM NUMBER
07:25:45.485 --> 07:25:49.990 region:rollup2
TWENTY TWO. AB TWENTY FOUR
07:25:47.654 --> 07:25:51.625 region:rollup2
EIGHTY SIX MCCARTY PLEASE. OPEN
07:25:49.990 --> 07:25:54.695 region:rollup2
THE ROLL CALL THE ABSENT MEMBERS
07:25:51.625 --> 07:25:56.797 region:rollup2
BONTA BONTA AYE CARILLO AYE
07:25:54.695 --> 07:25:59.099 region:rollup2
CARILLO AYE. NAZARIAN.
07:25:56.797 --> 07:26:01.635 region:rollup2
IS THERE AND I.
07:25:59.099 --> 07:26:11.278 region:rollup2
HE'S NOT GOING TO.
07:26:01.635 --> 07:26:13.347 region:rollup2
MAYES NOT VOTING TO KNOW.
07:26:11.278 --> 07:26:14.948 region:rollup2
BOB STARED AT THIS TWELVE TO TO.
07:26:13.347 --> 07:26:17.184 region:rollup2
ITEM NUMBER TWENTY FOUR AB
07:26:14.948 --> 07:26:19.186 region:rollup2
TWENTY FIVE TO WOOD. PLEASE OF
07:26:17.184 --> 07:26:24.057 region:rollup2
OPEN THE ROLL CALL THE ABSENT
07:26:19.186 --> 07:26:25.626 region:rollup2
MEMBERS BONTA. BONTA AYE CARILLO
07:26:24.057 --> 07:26:27.127 region:rollup2
AYE CARILLO I LIMON. LIMON AYE
07:26:25.626 --> 07:26:28.862 region:rollup2
MCCARTY.
07:26:27.127 --> 07:26:30.330 region:rollup2
MCCARTY AYE NAZARIAN. AYE
07:26:28.862 --> 07:26:34.401 region:rollup2
NAZARIAN AYE RODRIGUEZ RODRIGUEZ
07:26:30.330 --> 07:26:35.836 region:rollup2
AYE.
07:26:34.401 --> 07:26:37.704 region:rollup2
THIS FOURTEEN ZERO ITEM NUMBER
07:26:35.836 --> 07:26:40.207 region:rollup2
TWENTY FIVE AB TWO FIVE ONE
07:26:37.704 --> 07:26:43.076 region:rollup2
SEVEN WOULD. PLEASE LIFT THE
07:26:40.207 --> 07:26:47.781 region:rollup2
CALL CALLED THE ABSENT MEMBERS.
07:26:43.076 --> 07:26:49.249 region:rollup2
BONTA. BONTA AYE BURKE BURKE I.
07:26:47.781 --> 07:26:51.184 region:rollup2
THIS AREA IN. THIS AREA AND I
07:26:49.249 --> 07:26:53.186 region:rollup2
RODRIGUEZ
07:26:51.184 --> 07:26:54.354 region:rollup2
RODRIGUEZ SIZE SANTIAGO.
07:26:53.186 --> 07:26:59.259 region:rollup2
SANTIAGO AYE THURMOND. THURMOND
07:26:54.354 --> 07:27:00.794 region:rollup2
AYE.
07:26:59.259 --> 07:27:03.230 region:rollup2
ELEVEN TO THREE ITEM NUMBER
07:27:00.794 --> 07:27:05.465 region:rollup2
TWENTY SIX AB TWO SIX FOUR THREE
07:27:03.230 --> 07:27:08.068 region:rollup2
IRWIN PLEASE OPEN THE ROLL CALL
07:27:05.465 --> 07:27:10.671 region:rollup2
THE ABSENT MEMBERS BONTA. BONTA
07:27:08.068 --> 07:27:12.205 region:rollup2
AYE. BECAUSE AREAS LIKE THIS
07:27:10.671 --> 07:27:13.907 region:rollup2
AREA AND I'M SANTIAGO. SANTIAGO
07:27:12.205 --> 07:27:14.908 region:rollup2
AYE.
07:27:13.907 --> 07:27:15.976 region:rollup2
BUT ONE OF THE.
07:27:14.908 --> 07:27:16.610 region:rollup2
YES.
07:27:15.976 --> 07:27:27.254 region:rollup2
YOU KNOW FLORA FROM HIGH TO. LOW
07:27:16.610 --> 07:27:29.690 region:rollup2
VOTING.
07:27:27.254 --> 07:27:32.225 region:rollup2
YOU THINK. I AM TWENTY SIX FLORA
07:27:29.690 --> 07:27:36.730 region:rollup2
TWELVE SIX YET NOT VOTING YOU
07:27:32.225 --> 07:27:38.732 region:rollup2
COMING UP. WE DO AS I.
07:27:36.730 --> 07:27:39.700 region:rollup2
SO LET'S A PUBLIC EVENT. ONE THE
07:27:38.732 --> 07:27:41.968 region:rollup2
LEVEL TWO ONE. ITEM NUMBER
07:27:39.700 --> 07:27:43.804 region:rollup2
TWENTY EIGHT AB TWO SIX NINE ONE
07:27:41.968 --> 07:27:44.037 region:rollup2
MISTER JONES SAWYER.
07:27:43.804 --> 07:27:45.072 region:rollup2
PLEASE.
07:27:44.037 --> 07:27:47.407 region:rollup2
OPEN THE ROLL CALL THE ABSENT
07:27:45.072 --> 07:27:49.976 region:rollup2
MEMBERS.
07:27:47.407 --> 07:27:51.378 region:rollup2
BONTA BONTA I CARILLO I'M
07:27:49.976 --> 07:27:53.246 region:rollup2
CARILLO I LIMON. LIMON AYE
07:27:51.378 --> 07:27:55.349 region:rollup2
MCCARTY.
07:27:53.246 --> 07:27:56.883 region:rollup2
MCCARTY I IN THIS AREA.
07:27:55.349 --> 07:27:59.853 region:rollup2
NAZARIAN AYE RODRIGUEZ.
07:27:56.883 --> 07:28:01.455 region:rollup2
RODRIGUEZ AYE WALDRON.
07:27:59.853 --> 07:28:02.723 region:rollup2
WALDRON AYE FIFTEEN.
07:28:01.455 --> 07:28:04.491 region:rollup2
FIFTEEN ZERO.
07:28:02.723 --> 07:28:06.793 region:rollup2
ITEM NUMBER THIRTY AB TWO EIGHT
07:28:04.491 --> 07:28:08.295 region:rollup2
FIVE ZERO ISS RUBIO PLEASE OPEN
07:28:06.793 --> 07:28:11.198 region:rollup2
THE ROLL CALL THE ABSENT MEMBERS
07:28:08.295 --> 07:28:14.067 region:rollup2
BONTA. BONTA AYE CARILLO AYE
07:28:11.198 --> 07:28:16.636 region:rollup2
CARILLO AYE NAZARIAN.
07:28:14.067 --> 07:28:17.938 region:rollup2
NAZARIAN AYE RODRIGUEZ.
07:28:16.636 --> 07:28:20.006 region:rollup2
RODRIGUEZ I FIFTEEN THAT'S
07:28:17.938 --> 07:28:22.642 region:rollup2
FIFTEEN ZERO ITEM NUMBER. THIRTY
07:28:20.006 --> 07:28:24.277 region:rollup2
ONE AB TWO EIGHT SIX ONE SALAS
07:28:22.642 --> 07:28:26.646 region:rollup2
PLEASE OPEN THE ROLL CALL THE
07:28:24.277 --> 07:28:30.150 region:rollup2
ABSENT MEMBERS BONTA. BONTA AYE
07:28:26.646 --> 07:28:33.053 region:rollup2
CARILLO AYE KOREA AYE WILL MOAN.
07:28:30.150 --> 07:28:34.721 region:rollup2
LIVE ON AYE MCCARTY. MCCARTY AYE
07:28:33.053 --> 07:28:35.255 region:rollup2
NAZARIAN.
07:28:34.721 --> 07:28:36.790 region:rollup2
THIS AREA AYE RODRIGUEZ.
07:28:35.255 --> 07:28:37.891 region:rollup2
RODRIGUEZ AYE.
07:28:36.790 --> 07:28:40.093 region:rollup2
AND FINALLY ITEM NUMBER THIRTY
07:28:37.891 --> 07:28:41.495 region:rollup2
FOUR AB THREE ZERO THREE TWO
07:28:40.093 --> 07:28:43.864 region:rollup2
FRAZIER PLEASE OPEN THE ROLL
07:28:41.495 --> 07:28:46.199 region:rollup2
CALL THE ABSENT MEMBERS BONTA.
07:28:43.864 --> 07:28:47.534 region:rollup2
PLOTS I CARILLO. CARILLO I
07:28:46.199 --> 07:28:49.403 region:rollup2
LIVE ALONE.
07:28:47.534 --> 07:28:51.204 region:rollup2
LIMON AYE MCCARTY.
07:28:49.403 --> 07:28:55.175 region:rollup2
MCCARTY I KNOWS AREA. NAZARIAN
07:28:51.204 --> 07:28:56.877 region:rollup2
AYE RODRIGUEZ. RODRIGUEZ AYE.
07:28:55.175 --> 07:29:03.150 region:rollup2
FIFTEENTH ZERO.
07:28:56.877 --> 07:29:11.892 region:rollup2
AT FIFTEEN ZERO.
07:29:03.150 --> 07:29:24.838 region:rollup2
AND IN ONE OF MY TWO FIVE SEVEN.
07:29:11.892 --> 07:29:26.506 region:rollup2
OKAY.
07:29:24.838 --> 07:29:30.043 region:rollup2
I DON'T.
07:29:26.506 --> 07:29:34.381 region:rollup2
TO TELL.
07:29:30.043 --> 07:29:36.616 region:rollup2
THAT WAS A HABITUAL CHAIR.
07:29:34.381 --> 07:29:38.418 region:rollup2
THAT'S HOW.
07:29:36.616 --> 07:29:40.954 region:rollup2
HE'S GOT A.
07:29:38.418 --> 07:29:43.957 region:rollup2
SO.
07:29:40.954 --> 07:29:44.991 region:rollup2
PLEASE SEVENTEEN IS. GREAT. SO I
07:29:43.957 --> 07:29:46.359 region:rollup2
JUST JUST A CLARIFYING AB TWO
07:29:44.991 --> 07:29:46.693 region:rollup2
FIVE ONE SEVEN THE FINAL VOTE IS
07:29:46.359 --> 07:29:54.134 region:rollup2
TWELVE THREE.
07:29:46.693 --> 07:29:55.836 region:rollup2
AND WITH THAT.
07:29:54.134 --> 07:29:58.038 region:rollup2
FROM NOVELTY.
07:29:55.836 --> 07:29:59.573 region:rollup2
NOT YOU MISTER.
07:29:58.038 --> 07:30:02.442 region:rollup2
WE GOES FROM I WAS RODRIGUEZ
07:29:59.573 --> 07:30:05.145 region:rollup2
GOES FROM. NOW VOTING TO.
07:30:02.442 --> 07:30:07.547 region:rollup2
YEAH I IT TWO TWO TWO. EIGHT
07:30:05.145 --> 07:30:11.685 region:rollup2
SEVEN RODRIGUEZ NOT VOTING TIME
07:30:07.547 --> 07:30:27.934 region:rollup2
I.
07:30:11.685 --> 07:30:27.934 region:rollup2
WHICH IS WHAT
07:30:45.218 --> 07:30:47.888 region:rollup2
THAT WOULD GO AHEAD IN A CHAIR
07:30:46.486 --> 07:31:04.237 region:rollup2
IN THE MEETING THANK YOU VERY
07:30:47.888 --> 07:31:04.237 region:rollup2
MUCH MEETING ADJOURNED