WEBVTT
Region: id=rollup2 lines=2 scroll=up
00:24:33.906 --> 00:24:37.876 region:rollup2
MY TO GO AHEAD AND CALL THE
00:24:35.240 --> 00:24:40.079 region:rollup2
MEETING TO ORDER.
00:24:37.876 --> 00:24:42.381 region:rollup2
I WANT TO ANNOUNCE THAT --
00:24:40.079 --> 00:24:43.782 region:rollup2
WE WILL HAVE A TO WITNESSES PER
00:24:42.381 --> 00:24:45.517 region:rollup2
SIDE WITH A TIME LIMIT OF THREE
00:24:43.782 --> 00:24:46.719 region:rollup2
MINUTES EACH.
00:24:45.517 --> 00:24:47.686 region:rollup2
ADDITIONAL WITNESSES WILL BE
00:24:46.719 --> 00:24:48.320 region:rollup2
ASKED TO STATE THEIR NAME AND
00:24:47.686 --> 00:24:50.522 region:rollup2
ORGANIZATION ONLY FOR THE RECORD
00:24:48.320 --> 00:24:51.991 region:rollup2
--
00:24:50.522 --> 00:24:53.892 region:rollup2
FOR THOSE WHO HAVE A POSITION
00:24:51.991 --> 00:24:55.995 region:rollup2
SOMEWHERE BETWEEN SUPPORT OR
00:24:53.892 --> 00:24:56.962 region:rollup2
OPPOSE FOR THOSE WHO HAVE NO
00:24:55.995 --> 00:24:58.030 region:rollup2
PISH AT A POSITION BECAUSE OF
00:24:56.962 --> 00:24:59.698 region:rollup2
THE LENGTH OF OUR AGENDA PLEASE
00:24:58.030 --> 00:25:01.133 region:rollup2
GIVE YOUR NAME ORGANIZATION AND
00:24:59.698 --> 00:25:04.503 region:rollup2
VERY VERY BRIEFLY.
00:25:01.133 --> 00:25:07.840 region:rollup2
EXPLAIN YOUR POSITION WE HAVE A
00:25:04.503 --> 00:25:08.440 region:rollup2
SOME BILLS PROPOSE FOR CONSENT.
00:25:07.840 --> 00:25:10.509 region:rollup2
TWENTY THREE OF THEM NOT JUST
00:25:08.440 --> 00:25:11.110 region:rollup2
KIDDING --
00:25:10.509 --> 00:25:12.711 region:rollup2
SIX BILLS FOR THE PROPOSED FOR
00:25:11.110 --> 00:25:15.581 region:rollup2
CONSENT.
00:25:12.711 --> 00:25:17.349 region:rollup2
NUMBER ONE ITEM NUMBER ONE ACR
00:25:15.581 --> 00:25:20.085 region:rollup2
TO THIRTY FOUR BY MS RUBIO.
00:25:17.349 --> 00:25:21.353 region:rollup2
ITEM NUMBER FIVE S. B. NINE
00:25:20.085 --> 00:25:24.056 region:rollup2
THIRTY ONE SENATOR HERTZBERG
00:25:21.353 --> 00:25:25.324 region:rollup2
ITEM NUMBER NINE S. B. TEN FORTY
00:25:24.056 --> 00:25:27.659 region:rollup2
ONE BY SENATOR LEYVA.
00:25:25.324 --> 00:25:29.094 region:rollup2
ITEM NUMBER TWELVE S. B. TWELVE
00:25:27.659 --> 00:25:31.497 region:rollup2
ELEVEN OO NINE EXCUSE ME BY
00:25:29.094 --> 00:25:33.399 region:rollup2
SENATOR BATES ITEM NUMBER
00:25:31.497 --> 00:25:34.933 region:rollup2
THIRTEEN S. B. ELEVEN TWENTY
00:25:33.399 --> 00:25:38.237 region:rollup2
FIVE BY SENATOR ATKINS.
00:25:34.933 --> 00:25:39.004 region:rollup2
AND ITEM NUMBER TWENTY TWO SP
00:25:38.237 --> 00:25:40.706 region:rollup2
FOURTEEN SIXTY FOUR BY SENATOR
00:25:39.004 --> 00:25:42.241 region:rollup2
WIENER SO IF YOU'RE EXPECTING --
00:25:40.706 --> 00:25:43.075 region:rollup2
TO TESTIFY ON THOSE BILLS TODAY
00:25:42.241 --> 00:25:44.543 region:rollup2
THERE THERE WON'T BE AN
00:25:43.075 --> 00:25:45.110 region:rollup2
OPPORTUNITY UNLESS SOMEONE
00:25:44.543 --> 00:25:45.978 region:rollup2
REMOVES US FROM THE CONSENT
00:25:45.110 --> 00:25:47.613 region:rollup2
CALENDAR.
00:25:45.978 --> 00:25:49.915 region:rollup2
WE DO NOT HAVE A QUORUM HOWEVER
00:25:47.613 --> 00:25:52.518 region:rollup2
WE COULD START THAT MEETING IF
00:25:49.915 --> 00:25:54.119 region:rollup2
WE HAD AUTHORS TO PRESENT BILLS
00:25:52.518 --> 00:25:56.488 region:rollup2
WHICH WE DON'T CURRENTLY HAVE.
00:25:54.119 --> 00:25:57.656 region:rollup2
SO WE WILL WAIT UNTIL WE HAVE
00:25:56.488 --> 00:26:14.072 region:rollup2
SOME AUTHORS PRESENT BILLS.
00:25:57.656 --> 00:26:14.072 region:rollup2
THANK YOU FOR YOUR PATIENCE
00:28:09.621 --> 00:28:10.989 region:rollup2
.
00:28:09.755 --> 00:28:15.761 region:rollup2
THANK YOU SENATOR THANKS FOR
00:28:10.989 --> 00:28:17.129 region:rollup2
JOINING OUR LITTLE PARTY.
00:28:15.761 --> 00:28:18.430 region:rollup2
THING RIGHT --
00:28:17.129 --> 00:28:19.565 region:rollup2
I'D LIKE TO BEGIN BY THANKING
00:28:18.430 --> 00:28:21.066 region:rollup2
YOU IN YOUR COMMITTEE STAFFER
00:28:19.565 --> 00:28:22.601 region:rollup2
WORKING DILIGENTLY --
00:28:21.066 --> 00:28:24.937 region:rollup2
WITH MY STAFF ON THIS IMPORTANT
00:28:22.601 --> 00:28:26.305 region:rollup2
ISSUE WE'D LIKE TO STATE FOR THE
00:28:24.937 --> 00:28:27.506 region:rollup2
RECORD THAT I'LL BE ACCEPTING
00:28:26.305 --> 00:28:29.741 region:rollup2
THE COMMITTEES AMENDMENTS THANK
00:28:27.506 --> 00:28:30.175 region:rollup2
YOU OUT TODAY I AM PRESENTING SP
00:28:29.741 --> 00:28:31.276 region:rollup2
TWO SEVEN FIVE WHICH
00:28:30.175 --> 00:28:32.344 region:rollup2
ESTABLISHES.
00:28:31.276 --> 00:28:33.812 region:rollup2
THE CHILDREN ADOLESCENTS AND
00:28:32.344 --> 00:28:34.913 region:rollup2
YOUNG ADULTS SUBSTANCE USE
00:28:33.812 --> 00:28:35.547 region:rollup2
DISORDER TREATMENT EARLY
00:28:34.913 --> 00:28:38.150 region:rollup2
INTERVENTION AND PREVENTION ACT
00:28:35.547 --> 00:28:39.818 region:rollup2
--
00:28:38.150 --> 00:28:40.352 region:rollup2
SP TWO SEVENTY FIVE REQUIRES
00:28:39.818 --> 00:28:42.621 region:rollup2
DEPARTMENT OF HEALTH CARE
00:28:40.352 --> 00:28:45.857 region:rollup2
SERVICES. TO CONVENE AN EXPERT
00:28:42.621 --> 00:28:47.226 region:rollup2
PANEL TO ADVISE D. H. C. S..
00:28:45.857 --> 00:28:48.994 region:rollup2
ON THE DEVELOPMENT OF YOUTH
00:28:47.226 --> 00:28:49.962 region:rollup2
SUBSTANCE DISORDER TREATMENT OUR
00:28:48.994 --> 00:28:51.763 region:rollup2
EARLY INTERVENTION AND
00:28:49.962 --> 00:28:53.599 region:rollup2
PREVENTION QUALITY STANDARDS THE
00:28:51.763 --> 00:28:54.933 region:rollup2
BILL ALSO DEFINES.
00:28:53.599 --> 00:28:56.335 region:rollup2
YOUTH -- ES
00:28:54.933 --> 00:28:57.803 region:rollup2
YOU DE TREATMENT SERVICES TO
00:28:56.335 --> 00:28:59.371 region:rollup2
INCLUDE ANY PUBLICLY FUNDED
00:28:57.803 --> 00:29:01.373 region:rollup2
DIRECT SERVICE INTENDED TO
00:28:59.371 --> 00:29:04.209 region:rollup2
ADDRESS OR TREAT S. YOU DIS FOR
00:29:01.373 --> 00:29:05.277 region:rollup2
INDIVIDUALS FROM BIRTH --
00:29:04.209 --> 00:29:07.145 region:rollup2
TO TWENTY SIX CALIFORNIA'S MADE
00:29:05.277 --> 00:29:08.981 region:rollup2
NUMEROUS ATTEMPTS TO ADDRESS.
00:29:07.145 --> 00:29:10.415 region:rollup2
THE COMPLEX NOT OF ISSUES
00:29:08.981 --> 00:29:11.917 region:rollup2
RELATED TO MENTAL HEALTH AND
00:29:10.415 --> 00:29:13.352 region:rollup2
SUBSTANCE ABUSE AND IN OUR
00:29:11.917 --> 00:29:15.087 region:rollup2
SYSTEM AND PROGRAMS DON'T SEEM
00:29:13.352 --> 00:29:16.822 region:rollup2
TO CARRY OUT OUR INTENTIONS.
00:29:15.087 --> 00:29:18.390 region:rollup2
WE SEE THE RESULTS AROUND US ON
00:29:16.822 --> 00:29:19.858 region:rollup2
THE STREETS IN OUR SCHOOLS AND
00:29:18.390 --> 00:29:21.126 region:rollup2
IN THE CRIMINAL JUSTICE SYSTEM
00:29:19.858 --> 00:29:22.828 region:rollup2
MULTIPLE STUDIES HAVE
00:29:21.126 --> 00:29:23.996 region:rollup2
ESTABLISHED THAT ADOLESCENTS ARE
00:29:22.828 --> 00:29:25.530 region:rollup2
MORE VULNERABLE THAN ADULTS TO
00:29:23.996 --> 00:29:26.765 region:rollup2
ALCOHOL CANNABIS TOBACCO AND
00:29:25.530 --> 00:29:28.266 region:rollup2
OTHER DRUG RELATED.
00:29:26.765 --> 00:29:29.668 region:rollup2
PROBLEMS SERVICES FOR YOUTH NEED
00:29:28.266 --> 00:29:31.737 region:rollup2
TO BE INTEGRATED AND WRAPAROUND
00:29:29.668 --> 00:29:33.005 region:rollup2
SERVICES ARE NECESSARY AYE THIS
00:29:31.737 --> 00:29:34.339 region:rollup2
BILL SEEKS TO ADDRESS ALL OF
00:29:33.005 --> 00:29:35.240 region:rollup2
THESE ISSUES TO THE DEVELOPMENT
00:29:34.339 --> 00:29:36.208 region:rollup2
OF A YOUTH INTERVENTION
00:29:35.240 --> 00:29:37.709 region:rollup2
PREVENTION AND TREATMENT
00:29:36.208 --> 00:29:40.112 region:rollup2
STANDARDS FOR CHILDREN.
00:29:37.709 --> 00:29:44.783 region:rollup2
TODAY I HAVE WITH ME AND NUMBER
00:29:40.112 --> 00:29:45.584 region:rollup2
FOLKS ONE SPEAKING IN SUPPORT.
00:29:44.783 --> 00:29:46.818 region:rollup2
WE DON'T HAVE A QUORUM
00:29:45.584 --> 00:29:50.155 region:rollup2
UNFORTUNATELY BUT I APPRECIATE
00:29:46.818 --> 00:29:51.690 region:rollup2
YOUR ENTHUSIASM.
00:29:50.155 --> 00:29:53.025 region:rollup2
I LOVE THAT SHOW IS READY --
00:29:51.690 --> 00:29:55.327 region:rollup2
TO WE HAVE TO WITNESSES --
00:29:53.025 --> 00:29:56.161 region:rollup2
THREE MINUTES EACH PLEASE.
00:29:55.327 --> 00:29:57.696 region:rollup2
THANK YOU --
00:29:56.161 --> 00:29:58.497 region:rollup2
MEMBERS ASSEMBLY HEALTH
00:29:57.696 --> 00:30:00.198 region:rollup2
COMMITTEE THANK YOU CHAIRMAN
00:29:58.497 --> 00:30:01.433 region:rollup2
WOULD -- MY
00:30:00.198 --> 00:30:02.234 region:rollup2
NAME IS DOCTOR DAVID CONN AND
00:30:01.433 --> 00:30:04.002 region:rollup2
THEN THE PRESIDENT OF THE
00:30:02.234 --> 00:30:05.170 region:rollup2
CALIFORNIA SOCIETY OF ADDICTION
00:30:04.002 --> 00:30:05.804 region:rollup2
MEDICINE.
00:30:05.170 --> 00:30:07.105 region:rollup2
I WANTED TO START WITH THE STORY
00:30:05.804 --> 00:30:08.740 region:rollup2
--
00:30:07.105 --> 00:30:09.875 region:rollup2
JACK FROM NORTHERN CALIFORNIA
00:30:08.740 --> 00:30:11.443 region:rollup2
WAS TWELVE YEARS OLD WHEN HE
00:30:09.875 --> 00:30:12.911 region:rollup2
BEGAN TO SMOKE CANNABIS DRINK
00:30:11.443 --> 00:30:13.512 region:rollup2
ALCOHOL REGULARLY.
00:30:12.911 --> 00:30:16.181 region:rollup2
HIS SUBSTANCE USE HELP MUFFLE
00:30:13.512 --> 00:30:17.749 region:rollup2
THE EMOTIONAL TURMOIL BECAUSE BY
00:30:16.181 --> 00:30:19.251 region:rollup2
DIFFICULT FAMILY LIFE YOU BEGIN
00:30:17.749 --> 00:30:20.485 region:rollup2
USING OXYCODONE.
00:30:19.251 --> 00:30:21.887 region:rollup2
AND SHORTLY THEREAFTER BY HIS
00:30:20.485 --> 00:30:23.588 region:rollup2
FRESHMAN YEAR IN HIGH SCHOOL HE
00:30:21.887 --> 00:30:24.623 region:rollup2
BEGAN INJECTING HEROIN.
00:30:23.588 --> 00:30:25.857 region:rollup2
IF YOU THINK YOU TO HELP WHERE
00:30:24.623 --> 00:30:27.793 region:rollup2
THE STORY IS HEADED YOU MIGHT BE
00:30:25.857 --> 00:30:29.094 region:rollup2
SURPRISED NOW IS TWENTIES AFTER
00:30:27.793 --> 00:30:30.562 region:rollup2
YEARS OF ADDICTION JACK IS NOT
00:30:29.094 --> 00:30:31.930 region:rollup2
ONLY IT STILL ALIVE HE'S
00:30:30.562 --> 00:30:33.598 region:rollup2
RECLAIMING ITS LIFE.
00:30:31.930 --> 00:30:35.233 region:rollup2
IN A PROCESS OF INCREDIBLE
00:30:33.598 --> 00:30:36.034 region:rollup2
DEDICATION AND COURAGE.
00:30:35.233 --> 00:30:36.835 region:rollup2
RECOVERY THROUGH MEDICAL
00:30:36.034 --> 00:30:38.403 region:rollup2
TREATMENT WHICH PROVIDES
00:30:36.835 --> 00:30:39.438 region:rollup2
BEHAVIORAL THERAPY SOCIAL
00:30:38.403 --> 00:30:40.839 region:rollup2
SUPPORT.
00:30:39.438 --> 00:30:42.007 region:rollup2
IN CRITICALLY MEDICINE TO MANAGE
00:30:40.839 --> 00:30:44.009 region:rollup2
ADDICTION.
00:30:42.007 --> 00:30:45.310 region:rollup2
JACK WAS LUCKY.
00:30:44.009 --> 00:30:46.812 region:rollup2
FINDING TREATMENT IS A CHALLENGE
00:30:45.310 --> 00:30:48.180 region:rollup2
BUT FINDING EFFECTIVE TREATMENT
00:30:46.812 --> 00:30:49.581 region:rollup2
EVEN MORE SO.
00:30:48.180 --> 00:30:51.516 region:rollup2
IS CALIFORNIA IS POISED TO
00:30:49.581 --> 00:30:53.018 region:rollup2
INVEST NEW MONIES INTO YOU
00:30:51.516 --> 00:30:54.286 region:rollup2
SUBSTANCE USE DISORDER.
00:30:53.018 --> 00:30:55.554 region:rollup2
PREVENTION EARLY INTERVENTION
00:30:54.286 --> 00:30:57.622 region:rollup2
TREATMENT WE NEED TO LOOK AT THE
00:30:55.554 --> 00:31:00.425 region:rollup2
SUCCESS OF JACK AND OTHER PEOPLE
00:30:57.622 --> 00:31:01.727 region:rollup2
TO GUIDE SOUND DECISION MAKING.
00:31:00.425 --> 00:31:03.061 region:rollup2
NEW SOURCE OF FUNDING PROMISE
00:31:01.727 --> 00:31:05.030 region:rollup2
AUGMENT YOU SUBSTANCE USE
00:31:03.061 --> 00:31:06.898 region:rollup2
DISORDER TREATMENT BY HUNDREDS
00:31:05.030 --> 00:31:07.933 region:rollup2
OF MILLIONS OF DOLLARS ANNUALLY.
00:31:06.898 --> 00:31:09.968 region:rollup2
THIS NEW SURGE OF FUNDING
00:31:07.933 --> 00:31:11.403 region:rollup2
ADDRESSES ONE OF TWO PROBLEMS WE
00:31:09.968 --> 00:31:13.739 region:rollup2
FACE IN CALIFORNIA THE FIRST
00:31:11.403 --> 00:31:15.507 region:rollup2
PROBLEM IS ACCESS TO TREATMENT.
00:31:13.739 --> 00:31:16.308 region:rollup2
NEARLY ONE HUNDRED AND FIFTY
00:31:15.507 --> 00:31:18.143 region:rollup2
THOUSAND CALIFORNIA YOUNG PEOPLE
00:31:16.308 --> 00:31:18.977 region:rollup2
BETWEEN THE AGES OF TWELVE AND
00:31:18.143 --> 00:31:19.878 region:rollup2
SEVENTEEN REPORTED THAT THEY
00:31:18.977 --> 00:31:20.946 region:rollup2
NEEDED.
00:31:19.878 --> 00:31:22.247 region:rollup2
BUT DID NOT GET AS YOU DE
00:31:20.946 --> 00:31:25.117 region:rollup2
TREATMENT.
00:31:22.247 --> 00:31:25.584 region:rollup2
IN TWENTY SIXTEEN FOUR HUNDRED
00:31:25.117 --> 00:31:26.985 region:rollup2
EIGHTY THOUSAND YOUNG
00:31:25.584 --> 00:31:28.387 region:rollup2
CALIFORNIANS BETWEEN THE AGE OF
00:31:26.985 --> 00:31:30.155 region:rollup2
TWELVE AND TWENTY FIVE MISUSED
00:31:28.387 --> 00:31:32.257 region:rollup2
OPIOIDS AND SYNTHETIC OPIOIDS
00:31:30.155 --> 00:31:34.426 region:rollup2
SUCH AS FENTANYL.
00:31:32.257 --> 00:31:37.262 region:rollup2
AND THOSE FENTANYL'S ARE ADDING
00:31:34.426 --> 00:31:38.263 region:rollup2
A TWIST IN A STORY IN THAT IT IS
00:31:37.262 --> 00:31:40.298 region:rollup2
DANGEROUS IT IS THAT.
00:31:38.263 --> 00:31:41.900 region:rollup2
OUR PEOPLE ARE DYING.
00:31:40.298 --> 00:31:43.335 region:rollup2
BUT THERE'S A SECOND FUNDAMENTAL
00:31:41.900 --> 00:31:45.070 region:rollup2
PROBLEM THAT WE NEED TO ADDRESS
00:31:43.335 --> 00:31:47.706 region:rollup2
ACCESS TO TREATMENT ALONE IS NOT
00:31:45.070 --> 00:31:48.974 region:rollup2
ENOUGH JACK FOR EXAMPLE CYCLE IN
00:31:47.706 --> 00:31:50.409 region:rollup2
AND OUT OF THE SYSTEM HALF DOES
00:31:48.974 --> 00:31:51.343 region:rollup2
WITH YOUR HALF DOZEN TREATMENT
00:31:50.409 --> 00:31:53.145 region:rollup2
PROGRAMS.
00:31:51.343 --> 00:31:55.213 region:rollup2
THAT DIDN'T USE EVIDENCE BASED
00:31:53.145 --> 00:31:56.815 region:rollup2
BACK BEST PRACTICES.
00:31:55.213 --> 00:31:58.316 region:rollup2
NON EVIDENCE BASED TREATMENTS
00:31:56.815 --> 00:31:59.518 region:rollup2
FAILED HIM THAT COULD HAVE COST
00:31:58.316 --> 00:32:00.986 region:rollup2
HIM HIS LIFE.
00:31:59.518 --> 00:32:02.454 region:rollup2
INSTEAD WE MUST PROVIDE ACCESS
00:32:00.986 --> 00:32:03.822 region:rollup2
TO EFFECTIVE RESULTS BASED
00:32:02.454 --> 00:32:05.257 region:rollup2
TREATMENT THAT IS APPROPRIATE
00:32:03.822 --> 00:32:06.892 region:rollup2
FOR YOUNG PEOPLE WHO ARE SPECIAL
00:32:05.257 --> 00:32:08.226 region:rollup2
AND DIFFERENT NEEDS PHYSICALLY.
00:32:06.892 --> 00:32:10.729 region:rollup2
EMOTIONALLY SOCIALLY AND
00:32:08.226 --> 00:32:13.031 region:rollup2
ACADEMICALLY.
00:32:10.729 --> 00:32:14.933 region:rollup2
DEVELOPMENTALLY A YOUNG PERSONS
00:32:13.031 --> 00:32:16.835 region:rollup2
BRAIN IS SIMPLY DIFFERENT YOUNG
00:32:14.933 --> 00:32:18.503 region:rollup2
BRAIN FINISHES DEVELOPING AT THE
00:32:16.835 --> 00:32:20.272 region:rollup2
AGE OF TWENTY FIVE ADDICTION
00:32:18.503 --> 00:32:22.040 region:rollup2
CHANGES THE BRAIN IN INTERRUPTS
00:32:20.272 --> 00:32:23.975 region:rollup2
DECISION MAKING PROCESSES.
00:32:22.040 --> 00:32:25.844 region:rollup2
NOT RELATED TO JUDGMENT GOOD
00:32:23.975 --> 00:32:27.345 region:rollup2
JUDGMENT AND DECISION MAKING.
00:32:25.844 --> 00:32:28.814 region:rollup2
IT HAVE ADDICTION HAMPER OCIAL
00:32:27.345 --> 00:32:29.714 region:rollup2
DEVELOPMENT AND DERAILS THE
00:32:28.814 --> 00:32:31.216 region:rollup2
CRUCIAL FINAL YEARS OF
00:32:29.714 --> 00:32:32.918 region:rollup2
MATURATION.
00:32:31.216 --> 00:32:33.952 region:rollup2
YOUNG PERSON WHO IS STRUGGLING
00:32:32.918 --> 00:32:35.520 region:rollup2
WITH ADDICTIONS ALSO PART OF THE
00:32:33.952 --> 00:32:37.456 region:rollup2
FAMILY AND THE ENTIRE FAMILY MAY
00:32:35.520 --> 00:32:38.790 region:rollup2
NEED HELP AS WELL.
00:32:37.456 --> 00:32:40.158 region:rollup2
FINALLY MUST WE MEET MUST BE THE
00:32:38.790 --> 00:32:41.893 region:rollup2
EVER WEAR THAT CHILDREN AND
00:32:40.158 --> 00:32:43.328 region:rollup2
TEENS ARE JUST HAVE NOT EXPOSE A
00:32:41.893 --> 00:32:44.262 region:rollup2
PROBLEM IN THE PAST BUT THEY
00:32:43.328 --> 00:32:45.230 region:rollup2
COULD BE EXPOSED TO TRAUMA
00:32:44.262 --> 00:32:47.165 region:rollup2
CURRENTLY SO WE NEED TO ADDRESS
00:32:45.230 --> 00:32:48.967 region:rollup2
THOSE ISSUES.
00:32:47.165 --> 00:32:49.935 region:rollup2
THAT IS WHY MY ORGANIZATION THE
00:32:48.967 --> 00:32:51.469 region:rollup2
CALIFORNIA SOCIETY OF ADDICTION
00:32:49.935 --> 00:32:54.172 region:rollup2
MEDICINE.
00:32:51.469 --> 00:32:55.273 region:rollup2
IS SPONSORING LEGISLATION S. B.
00:32:54.172 --> 00:32:57.142 region:rollup2
TWO SEVENTY FIVE TO CREATE CLEAR
00:32:55.273 --> 00:32:58.677 region:rollup2
STANDARDS FOR USE SUBSTANCE USE
00:32:57.142 --> 00:32:59.144 region:rollup2
DISORDER PREVENTION.
00:32:58.677 --> 00:33:00.812 region:rollup2
EARLY INTERVENTION AND
00:32:59.144 --> 00:33:01.279 region:rollup2
TREATMENT.
00:33:00.812 --> 00:33:02.814 region:rollup2
THE BILL WOULD INVOLVE
00:33:01.279 --> 00:33:04.649 region:rollup2
PEDIATRICIANS PSYCHIATRISTS
00:33:02.814 --> 00:33:05.617 region:rollup2
SOCIAL SERVICES EDUCATIONAL
00:33:04.649 --> 00:33:07.185 region:rollup2
EXPERTS AS WELL AS YOU THINK
00:33:05.617 --> 00:33:08.620 region:rollup2
PARENTS.
00:33:07.185 --> 00:33:10.689 region:rollup2
SO IN SUMMARY I APPRECIATE YOUR
00:33:08.620 --> 00:33:11.289 region:rollup2
SUPPORT FOR S. B. TWO SEVENTY
00:33:10.689 --> 00:33:12.390 region:rollup2
FIVE TO CREATE.
00:33:11.289 --> 00:33:13.225 region:rollup2
A TREATMENT SYSTEM THAT WORKS
00:33:12.390 --> 00:33:16.194 region:rollup2
THANK YOU.
00:33:13.225 --> 00:33:17.762 region:rollup2
VERY MUCH DOCTOR.
00:33:16.194 --> 00:33:19.197 region:rollup2
MISTER CHAIRMAN MEMBERS ROBERT
00:33:17.762 --> 00:33:20.832 region:rollup2
HARRIS ON BEHALF OF BESSIE AYE
00:33:19.197 --> 00:33:23.034 region:rollup2
YOU CALIFORNIA.
00:33:20.832 --> 00:33:24.970 region:rollup2
WE'VE BEEN WORKING WITH SEE SAM
00:33:23.034 --> 00:33:27.105 region:rollup2
TO DEVELOP THIS BILL FOR ALMOST
00:33:24.970 --> 00:33:28.273 region:rollup2
A YEAR IT TOOK A LONG TIME TO
00:33:27.105 --> 00:33:30.075 region:rollup2
FIGURE OUT.
00:33:28.273 --> 00:33:31.576 region:rollup2
WHAT'S THE BEST APPROACH BUT WE
00:33:30.075 --> 00:33:33.478 region:rollup2
KNOW WE ALL KNOW THAT THIS
00:33:31.576 --> 00:33:35.080 region:rollup2
SOMETHING MUST BE DONE BECAUSE
00:33:33.478 --> 00:33:36.481 region:rollup2
WE CAN'T LET CHILDREN SUFFER
00:33:35.080 --> 00:33:37.949 region:rollup2
WITH BAD TREATMENT WHEN WE
00:33:36.481 --> 00:33:39.084 region:rollup2
FINALLY HAVE MONEY TO GIVE THEM
00:33:37.949 --> 00:33:40.785 region:rollup2
GOOD TREATMENT.
00:33:39.084 --> 00:33:43.455 region:rollup2
SO STANDARDS ARE THE CRITICAL
00:33:40.785 --> 00:33:44.422 region:rollup2
THING THAT SPLIT THE BILLS HELPS
00:33:43.455 --> 00:33:45.824 region:rollup2
CREATE.
00:33:44.422 --> 00:33:49.261 region:rollup2
AND WE WOULD APPRECIATE YOUR
00:33:45.824 --> 00:33:50.495 region:rollup2
SUPPORT FOR THE BILL THANK YOU.
00:33:49.261 --> 00:33:51.530 region:rollup2
MISTER CHAIRMAN RANDALL HAGER
00:33:50.495 --> 00:33:52.898 region:rollup2
FOR THE CALIFORNIA PSYCHIATRIC
00:33:51.530 --> 00:33:53.765 region:rollup2
ASSOCIATION WERE VERY HAPPY TO
00:33:52.898 --> 00:33:54.933 region:rollup2
CO SPONSOR THIS BILL HERE TO
00:33:53.765 --> 00:33:57.369 region:rollup2
ANSWER ANY.
00:33:54.933 --> 00:33:58.270 region:rollup2
THANK YOU VERY MUCH OTHER
00:33:57.369 --> 00:34:00.105 region:rollup2
SUPPORT JUST YOUR NAME AND
00:33:58.270 --> 00:34:01.239 region:rollup2
ORGANIZATION PLEASE.
00:34:00.105 --> 00:34:01.840 region:rollup2
OF MARKET DATA BY HALF
00:34:01.239 --> 00:34:05.877 region:rollup2
SHATTERPROOF IN SUPPORT OF THE
00:34:01.840 --> 00:34:06.945 region:rollup2
BILL.
00:34:05.877 --> 00:34:07.646 region:rollup2
THANK YOU MISTER CHAIRMAN FIRST
00:34:06.945 --> 00:34:09.214 region:rollup2
MY CONSUMERS ON BEHALF OF
00:34:07.646 --> 00:34:10.415 region:rollup2
CALIFORNIA HEALTH PLUS ADVOCATES
00:34:09.214 --> 00:34:11.650 region:rollup2
IN THE THIRTEEN HUNDRED
00:34:10.415 --> 00:34:12.217 region:rollup2
COMMUNITY HEALTH CENTERS IN
00:34:11.650 --> 00:34:14.586 region:rollup2
CALIFORNIA AND SUPPORT THANK
00:34:12.217 --> 00:34:15.186 region:rollup2
YOU.
00:34:14.586 --> 00:34:16.087 region:rollup2
THAT'S YOUR ANSWER WITH THE
00:34:15.186 --> 00:34:16.988 region:rollup2
COUNTY HEALTH EXECUTIVES
00:34:16.087 --> 00:34:17.289 region:rollup2
ASSOCIATION IN SUPPORT
00:34:16.988 --> 00:34:19.824 region:rollup2
[inaudible]
00:34:17.289 --> 00:34:20.725 region:rollup2
Q..
00:34:19.824 --> 00:34:21.760 region:rollup2
KELLY BROKE SOME BEHALF OF THE
00:34:20.725 --> 00:34:22.694 region:rollup2
COUNTY WELFARE DIRECTORS
00:34:21.760 --> 00:34:25.196 region:rollup2
ASSOCIATION PLEASED APPEARANCE
00:34:22.694 --> 00:34:26.097 region:rollup2
PARTY GIVE.
00:34:25.196 --> 00:34:27.065 region:rollup2
TOM RENT FREE WITH THE COUNTY
00:34:26.097 --> 00:34:28.500 region:rollup2
BEHAVIORAL HEALTH DIRECTORS
00:34:27.065 --> 00:34:31.269 region:rollup2
ASSOCIATION OF CALIFORNIA IN
00:34:28.500 --> 00:34:32.470 region:rollup2
SUPPORT.
00:34:31.269 --> 00:34:34.306 region:rollup2
FAIR MCDADE TING ON BEHALF OF
00:34:32.470 --> 00:34:36.908 region:rollup2
THE CALIFORNIA STATE ASSOCIATION
00:34:34.306 --> 00:34:38.043 region:rollup2
OF COUNTIES IN SUPPORT.
00:34:36.908 --> 00:34:40.111 region:rollup2
JERRY DAILY WITH THE CALIFORNIA
00:34:38.043 --> 00:34:40.679 region:rollup2
CONSORTIUM OF ADDICTION PROGRAMS
00:34:40.111 --> 00:34:43.048 region:rollup2
AND PROFESSIONALS IN SUPPORT
00:34:40.679 --> 00:34:44.416 region:rollup2
THANK YOU.
00:34:43.048 --> 00:34:45.817 region:rollup2
MISTER CHAIRMAN MEMBERS HOME A
00:34:44.416 --> 00:34:47.786 region:rollup2
HAVE WITH CALIFORNIA ASSOCIATION
00:34:45.817 --> 00:34:49.287 region:rollup2
OF ALCOHOL AND DRUG PROGRAM
00:34:47.786 --> 00:34:51.222 region:rollup2
EXECUTIVES CAT PEE.
00:34:49.287 --> 00:34:52.857 region:rollup2
รณ WE GENERALLY ARE SUPPORTIVE
00:34:51.222 --> 00:34:54.526 region:rollup2
OF THE DIRECTION OF THIS BILL
00:34:52.857 --> 00:34:55.727 region:rollup2
BUT WE DO HAVE SOME CONCERNS AND
00:34:54.526 --> 00:34:58.496 region:rollup2
WE'VE --
00:34:55.727 --> 00:34:59.965 region:rollup2
DISCUSS THOSE WITH.
00:34:58.496 --> 00:35:02.367 region:rollup2
SIR AND WE LOOK FORWARD TO
00:34:59.965 --> 00:35:03.001 region:rollup2
CONTINUING TO WORK AS THIS BILL
00:35:02.367 --> 00:35:06.771 region:rollup2
MOVES THROUGH THE PROCESS THANK
00:35:03.001 --> 00:35:08.273 region:rollup2
YOU.
00:35:06.771 --> 00:35:10.108 region:rollup2
HELEN ROTH HADN'T HE JUST FOR
00:35:08.273 --> 00:35:11.776 region:rollup2
HEALTHY KIDS WERE FINE WITH THE
00:35:10.108 --> 00:35:13.278 region:rollup2
TREATMENT STANDARDS BUT WE HAVE
00:35:11.776 --> 00:35:15.113 region:rollup2
A A PROVINCE WITH THE EARLY
00:35:13.278 --> 00:35:16.281 region:rollup2
INTERVENTION AND PREVENTION.
00:35:15.113 --> 00:35:18.883 region:rollup2
THIS IS REALLY --
00:35:16.281 --> 00:35:20.018 region:rollup2
AWAY TOWARDS PROP SIXTY FOUR
00:35:18.883 --> 00:35:22.454 region:rollup2
IT'S BEEN A WHOLE STAKEHOLDERS
00:35:20.018 --> 00:35:23.989 region:rollup2
PROCESS THAT THIS IS BY PASSING.
00:35:22.454 --> 00:35:26.791 region:rollup2
IN WERE REALLY CONCERNED ABOUT
00:35:23.989 --> 00:35:28.193 region:rollup2
THAT ON BOTH THE PROP SIXTY FOUR
00:35:26.791 --> 00:35:29.294 region:rollup2
AND EARLY INTERVENTION AND
00:35:28.193 --> 00:35:30.462 region:rollup2
PREVENTION WE THINK ARE VERY
00:35:29.294 --> 00:35:31.663 region:rollup2
DIFFERENT THAN.
00:35:30.462 --> 00:35:34.566 region:rollup2
THE TREATMENT STANDARDS THAT
00:35:31.663 --> 00:35:35.600 region:rollup2
WOULD BE SET UP THAT'S FINE IT'S
00:35:34.566 --> 00:35:37.602 region:rollup2
JUST TOO BROAD THANK YOU.
00:35:35.600 --> 00:35:38.837 region:rollup2
GIVE.
00:35:37.602 --> 00:35:39.838 region:rollup2
MISTER CHAIR TONY TRIGGER ON THE
00:35:38.837 --> 00:35:41.673 region:rollup2
HAVE THE CALIFORNIA TEACHERS
00:35:39.838 --> 00:35:42.941 region:rollup2
ASSOCIATION WE APPRECIATE THE
00:35:41.673 --> 00:35:44.376 region:rollup2
WORK THAT THE COMMITTEE
00:35:42.941 --> 00:35:45.910 region:rollup2
CONSULTANT ON THE BILL WE HAVE
00:35:44.376 --> 00:35:47.178 region:rollup2
AN OPPOSING LESS AMENDED WE'LL
00:35:45.910 --> 00:35:48.446 region:rollup2
LOOK AT THE AMENDMENTS WHEN
00:35:47.178 --> 00:35:49.414 region:rollup2
THEY'RE IN PRINT AND WE'LL GO
00:35:48.446 --> 00:35:50.982 region:rollup2
FROM THERE.
00:35:49.414 --> 00:35:51.616 region:rollup2
THANK YOU APPRECIATE IT.
00:35:50.982 --> 00:35:53.251 region:rollup2
WE'RE GONNA PAUSE FOR A MINUTE
00:35:51.616 --> 00:35:54.386 region:rollup2
AND THEN.
00:35:53.251 --> 00:35:56.454 region:rollup2
WE HAVE TO GROW THINK WE MAY
00:35:54.386 --> 00:35:56.988 region:rollup2
HAVE A QUORUM.
00:35:56.454 --> 00:35:59.658 region:rollup2
WOULD HERE MAYES HERE AGAR
00:35:56.988 --> 00:36:04.529 region:rollup2
CURRY.
00:35:59.658 --> 00:36:09.134 region:rollup2
BIGELOW.
00:36:04.529 --> 00:36:09.434 region:rollup2
BONTA BURKE CARILLO FLORA
00:36:09.134 --> 00:36:11.403 region:rollup2
[inaudible]
00:36:09.434 --> 00:36:14.139 region:rollup2
LIMON MCCARTY.
00:36:11.403 --> 00:36:16.107 region:rollup2
THIS AREA RODRIGUEZ [inaudible]
00:36:14.139 --> 00:36:21.479 region:rollup2
SANTIAGO BERMAN [inaudible]
00:36:16.107 --> 00:36:24.749 region:rollup2
WALDRON.
00:36:21.479 --> 00:36:26.351 region:rollup2
WE HAVE A QUORUM LEVEL.
00:36:24.749 --> 00:36:27.318 region:rollup2
OKAY LIVE MOTION.
00:36:26.351 --> 00:36:29.688 region:rollup2
AND THE SECOND IS THEIR
00:36:27.318 --> 00:36:32.657 region:rollup2
OPPOSITION TO THE BILL.
00:36:29.688 --> 00:36:33.892 region:rollup2
WE HEARD FROM SUPPORT AND US A
00:36:32.657 --> 00:36:36.394 region:rollup2
COUPLE OF TWEENER SEPARATELY AND
00:36:33.892 --> 00:36:38.596 region:rollup2
ONE OPPOSITION ANYONE ELSE.
00:36:36.394 --> 00:36:40.231 region:rollup2
SEE NO ONE QUESTIONS OR COMMENTS
00:36:38.596 --> 00:36:41.533 region:rollup2
FROM THAT SCIENCE MR MCCARTY
00:36:40.231 --> 00:36:42.600 region:rollup2
THANK YOU I I JUST CAME IN SO I
00:36:41.533 --> 00:36:44.335 region:rollup2
MISSED THE FIRST PART OF THE
00:36:42.600 --> 00:36:45.470 region:rollup2
PRESENTATION BUT I SUPPORT THE
00:36:44.335 --> 00:36:47.505 region:rollup2
EFFORT WE'RE TRYING TO
00:36:45.470 --> 00:36:48.573 region:rollup2
ACCOMPLISH HERE JUST A FEW.
00:36:47.505 --> 00:36:50.875 region:rollup2
I QUESTIONS MAYBE CAN YOU CAN
00:36:48.573 --> 00:36:53.945 region:rollup2
HELP ME HERE SO I I KNOW FROM
00:36:50.875 --> 00:36:55.747 region:rollup2
THE PEOPLE IN BETWEEN THAT.
00:36:53.945 --> 00:36:57.115 region:rollup2
KIND OF A DEBATE AS FAR AS
00:36:55.747 --> 00:36:58.383 region:rollup2
TREATMENT AND PREVENTION AND WE
00:36:57.115 --> 00:36:59.417 region:rollup2
WANT TO DO THEM BOTH HERE IN
00:36:58.383 --> 00:37:00.885 region:rollup2
CALIFORNIA SO I JUST WANTED TO
00:36:59.417 --> 00:37:02.420 region:rollup2
ASK.
00:37:00.885 --> 00:37:04.055 region:rollup2
KIND OF YOUR VIEWS ON THAT AND
00:37:02.420 --> 00:37:05.690 region:rollup2
HOW YOU KIND OF SEE THIS PLAYING
00:37:04.055 --> 00:37:07.392 region:rollup2
OUT WITH.
00:37:05.690 --> 00:37:08.827 region:rollup2
POTENTIAL PROP SIXTY FOUR
00:37:07.392 --> 00:37:10.128 region:rollup2
REVENUES DOWN THE ROAD AND I
00:37:08.827 --> 00:37:12.597 region:rollup2
KNOW YOU MENTIONED PROP SIXTY
00:37:10.128 --> 00:37:13.264 region:rollup2
FOUR AND POTENTIALLY GENERAL
00:37:12.597 --> 00:37:14.365 region:rollup2
FUND.
00:37:13.264 --> 00:37:15.400 region:rollup2
BUT THAT WHAT'S YOUR WHAT'S YOUR
00:37:14.365 --> 00:37:18.870 region:rollup2
INTENT ON THAT.
00:37:15.400 --> 00:37:21.339 region:rollup2
HE'S GONNA GO FIRST [inaudible]
00:37:18.870 --> 00:37:23.608 region:rollup2
JUST ABOUT.
00:37:21.339 --> 00:37:26.144 region:rollup2
THROUGH THE CHAIR ARM.
00:37:23.608 --> 00:37:27.178 region:rollup2
SO THE BILL MANTON IS UP
00:37:26.144 --> 00:37:29.547 region:rollup2
PREVENTION AND EARLY
00:37:27.178 --> 00:37:31.015 region:rollup2
INTERVENTION AND IT ASKS.
00:37:29.547 --> 00:37:32.617 region:rollup2
THE COUNTY OFFICE EDUCATION TO
00:37:31.015 --> 00:37:34.085 region:rollup2
WORK CLOSELY WITH THE COUNTY
00:37:32.617 --> 00:37:34.085 region:rollup2
OFFICE THAT DOES TREATMENT TO
00:37:34.252 --> 00:37:36.154 region:rollup2
MAKE SURE THAT.
00:37:36.221 --> 00:37:39.991 region:rollup2
BECAUSE YOU CAN'T DO PREVENTION
00:37:38.590 --> 00:37:41.559 region:rollup2
WITHOUT.
00:37:39.991 --> 00:37:42.827 region:rollup2
HEMINGWAY TO TREATMENT FOR
00:37:41.559 --> 00:37:44.195 region:rollup2
PEOPLE WHO THEATER EARLY AND A
00:37:42.827 --> 00:37:45.530 region:rollup2
PASSION ARE FRENCH AND DOESN'T
00:37:44.195 --> 00:37:46.931 region:rollup2
WORK.
00:37:45.530 --> 00:37:48.233 region:rollup2
FOR THE SAME THING WHEN PEOPLE
00:37:46.931 --> 00:37:49.767 region:rollup2
DRIVE IN THE PEOPLE WHO.
00:37:48.233 --> 00:37:51.236 region:rollup2
IN THE TREATMENT COMMUNITY AND
00:37:49.767 --> 00:37:52.637 region:rollup2
THEY MIGHT NOT NEED.
00:37:51.236 --> 00:37:54.606 region:rollup2
THE DEPTH THE TREATMENT THEY
00:37:52.637 --> 00:37:55.840 region:rollup2
OFFER BUT THEY CAN GET THE EARLY
00:37:54.606 --> 00:37:57.342 region:rollup2
INTERVENTION THE SCHOOLS.
00:37:55.840 --> 00:37:59.377 region:rollup2
SO THAT'S WHY THE BILL SO THEY
00:37:57.342 --> 00:38:01.012 region:rollup2
SHOULD WORK TOGETHER. TO MAKE
00:37:59.377 --> 00:38:03.148 region:rollup2
SURE THAT WE DON'T HAVE STAND
00:38:01.012 --> 00:38:04.883 region:rollup2
THE LOANS LITTLE FILO.
00:38:03.148 --> 00:38:06.417 region:rollup2
THINGS THAT WE ACTUALLY WORKED
00:38:04.883 --> 00:38:07.852 region:rollup2
TOGETHER.
00:38:06.417 --> 00:38:08.286 region:rollup2
ACROSS THE BOARD WE DON'T SET
00:38:07.852 --> 00:38:10.522 region:rollup2
STANDARDS FOR EARLY
00:38:08.286 --> 00:38:11.923 region:rollup2
INTERVENTION.
00:38:10.522 --> 00:38:13.424 region:rollup2
WE SET STANDARDS FOR TREATMENT
00:38:11.923 --> 00:38:14.759 region:rollup2
WHICH IS A CRITICAL THING
00:38:13.424 --> 00:38:15.860 region:rollup2
BECAUSE IT'S TOTALLY MISSING
00:38:14.759 --> 00:38:18.296 region:rollup2
RIGHT NOW BECAUSE WE HAVE BEEN
00:38:15.860 --> 00:38:20.431 region:rollup2
DOING TREATMENT FOR KIDS.
00:38:18.296 --> 00:38:23.635 region:rollup2
OKAY SO IT IS THE IDEA THAT
00:38:20.431 --> 00:38:26.805 region:rollup2
THOUGH THIS WOULD BE THE THE
00:38:23.635 --> 00:38:27.906 region:rollup2
VESSEL TO HELP SHAPE PROP SIXTY
00:38:26.805 --> 00:38:29.407 region:rollup2
FOUR FUNDING.
00:38:27.906 --> 00:38:31.009 region:rollup2
WHERE WE WE OPENED TO THAT WOULD
00:38:29.407 --> 00:38:32.143 region:rollup2
BE LOOKING AT SENATOR?
00:38:31.009 --> 00:38:33.645 region:rollup2
I THINK THAT'S A CONVERSATION
00:38:32.143 --> 00:38:35.046 region:rollup2
THAT PASSED THE CONTINUE I THINK
00:38:33.645 --> 00:38:37.982 region:rollup2
THIS PRESENTS A FRAMEWORK TO
00:38:35.046 --> 00:38:38.616 region:rollup2
INTEGRATE AND SORT OF MAKE
00:38:37.982 --> 00:38:39.484 region:rollup2
EVERYTHING WORK MORE EFFICIENTLY
00:38:38.616 --> 00:38:39.951 region:rollup2
--
00:38:39.484 --> 00:38:42.620 region:rollup2
AND I THINK THAT'S THE
00:38:39.951 --> 00:38:44.222 region:rollup2
CONVERSATION YOU NEED TO GO ON I
00:38:42.620 --> 00:38:45.924 region:rollup2
THINK THAT THE WORKING GROUP
00:38:44.222 --> 00:38:48.026 region:rollup2
WITH ALL STAKEHOLDERS I THINK IS
00:38:45.924 --> 00:38:48.626 region:rollup2
A PRAGMATIC STEP TO TRY TO HELP
00:38:48.026 --> 00:38:49.627 region:rollup2
INTEGRATE ALL OF THE PROGRAMS
00:38:48.626 --> 00:38:50.461 region:rollup2
OUT THERE.
00:38:49.627 --> 00:38:52.630 region:rollup2
SO.
00:38:50.461 --> 00:38:54.065 region:rollup2
I DON'T SEE THIS AS A HIERARCHAL
00:38:52.630 --> 00:38:54.532 region:rollup2
THING I SEE IT AS AN INTEGRATED
00:38:54.065 --> 00:38:55.934 region:rollup2
THING.
00:38:54.532 --> 00:38:57.669 region:rollup2
FAIR ENOUGH HE KNOWS I KNOW IS A
00:38:55.934 --> 00:38:58.970 region:rollup2
VERY DIFFERENT BUT SIMILAR TO
00:38:57.669 --> 00:39:02.540 region:rollup2
OUR CAP AND TRADE PROGRAM.
00:38:58.970 --> 00:39:04.275 region:rollup2
POT OF MONEY SCARCE POT LOT A
00:39:02.540 --> 00:39:05.210 region:rollup2
GREAT IDEAS AND A LOT OF A
00:39:04.275 --> 00:39:07.412 region:rollup2
COMPETITIONS WAS TO MAKE SURE
00:39:05.210 --> 00:39:09.847 region:rollup2
THAT.
00:39:07.412 --> 00:39:11.916 region:rollup2
WE PLEASE BUT FOCUS ON ON THE
00:39:09.847 --> 00:39:13.084 region:rollup2
INTENT OF THE VOTERS AND SIXTY
00:39:11.916 --> 00:39:14.886 region:rollup2
FOUR I'M.
00:39:13.084 --> 00:39:17.121 region:rollup2
AND THEN LASTLY.
00:39:14.886 --> 00:39:19.123 region:rollup2
THIS THE THE APPOINTMENTS ON
00:39:17.121 --> 00:39:21.092 region:rollup2
HERE ARE PRETTY MUCH ALL WEEK ON
00:39:19.123 --> 00:39:21.860 region:rollup2
THE HEALTH SIDE WHICH ISN'T A
00:39:21.092 --> 00:39:22.660 region:rollup2
BAD THING REPORTS THE HEALTH
00:39:21.860 --> 00:39:24.863 region:rollup2
COMMITTEE.
00:39:22.660 --> 00:39:27.899 region:rollup2
BUT ON THE PREVENTION SIDE THERE
00:39:24.863 --> 00:39:29.200 region:rollup2
WASN'T A LOT OF EDUCATOR AND THE
00:39:27.899 --> 00:39:30.268 region:rollup2
I THINK THERE'S ONE OR TWO FROM
00:39:29.200 --> 00:39:32.237 region:rollup2
THE S. P. AYE.
00:39:30.268 --> 00:39:34.806 region:rollup2
AND THE MAJORITY ARE FROM.
00:39:32.237 --> 00:39:36.407 region:rollup2
THE THAT HEALTH SIDE IS THAT.
00:39:34.806 --> 00:39:38.309 region:rollup2
YOUR YOUR INTENT HAVE A MORE
00:39:36.407 --> 00:39:39.444 region:rollup2
FOCUSED ON THAT TREATMENT SIDE
00:39:38.309 --> 00:39:41.379 region:rollup2
BECAUSE IF YOU WANT TO TALK
00:39:39.444 --> 00:39:43.014 region:rollup2
ABOUT PREVENTION.
00:39:41.379 --> 00:39:45.583 region:rollup2
THE ENTITY THAT DOES PREVENTION.
00:39:43.014 --> 00:39:47.151 region:rollup2
IS THE PUBLIC EDUCATION.
00:39:45.583 --> 00:39:48.419 region:rollup2
A A VENUE MAINLY IN CALIFORNIA
00:39:47.151 --> 00:39:50.588 region:rollup2
AND THROUGH OUR PUBLIC SCHOOL
00:39:48.419 --> 00:39:52.957 region:rollup2
SYSTEM IN THROUGH OUR NOT.
00:39:50.588 --> 00:39:53.992 region:rollup2
EARLY EDUCATION AND SO FORTH.
00:39:52.957 --> 00:39:55.593 region:rollup2
SO I THINK IT'S A VALID POINT
00:39:53.992 --> 00:39:56.761 region:rollup2
AND WE CAN HAVE A FURTHER
00:39:55.593 --> 00:39:58.529 region:rollup2
CONVERSATION ON THAT --
00:39:56.761 --> 00:39:59.497 region:rollup2
BY THE THAT'S A GOOD POINT.
00:39:58.529 --> 00:40:00.465 region:rollup2
THAT'S A WILL LOOK AT THE MAKE
00:39:59.497 --> 00:40:02.166 region:rollup2
UP.
00:40:00.465 --> 00:40:03.434 region:rollup2
AND YOU AND I CAN TALK ABOUT IT.
00:40:02.166 --> 00:40:03.735 region:rollup2
IF THAT'S OKAY WITH THE CHAIR
00:40:03.434 --> 00:40:05.470 region:rollup2
[inaudible]
00:40:03.735 --> 00:40:10.408 region:rollup2
YOU KNOW.
00:40:05.470 --> 00:40:11.809 region:rollup2
I THINK YOU.
00:40:10.408 --> 00:40:12.010 region:rollup2
I RESPECTFULLY ASK FOR AN AYE
00:40:11.809 --> 00:40:14.145 region:rollup2
VOTE.
00:40:12.010 --> 00:40:14.746 region:rollup2
TOOK.
00:40:14.145 --> 00:40:16.314 region:rollup2
SO GOODNESS MISSING HER NOW I
00:40:14.746 --> 00:40:17.582 region:rollup2
JUST WANT TO COMMENT I REALLY
00:40:16.314 --> 00:40:18.283 region:rollup2
APPRECIATE BEING THIS FOR ONE OF
00:40:17.582 --> 00:40:20.118 region:rollup2
MY GOALS.
00:40:18.283 --> 00:40:22.120 region:rollup2
IS WHATEVER WE CAN DO FOR MENTAL
00:40:20.118 --> 00:40:24.322 region:rollup2
HEALTH HELP YOU ARE YOUNGSTERS
00:40:22.120 --> 00:40:24.856 region:rollup2
AND I WOULD BE HONORED IF I CAN
00:40:24.322 --> 00:40:26.324 region:rollup2
BE A CO AUTHOR [inaudible]
00:40:24.856 --> 00:40:30.395 region:rollup2
SO [inaudible]
00:40:26.324 --> 00:40:31.596 region:rollup2
ANYONE ELSE.
00:40:30.395 --> 00:40:32.163 region:rollup2
SEE NO ONE WOULD YOU LIKE CLOSER
00:40:31.596 --> 00:40:32.530 region:rollup2
RESPECTFULLY ASK FOR AN AYE
00:40:32.163 --> 00:40:33.631 region:rollup2
VOTE.
00:40:32.530 --> 00:40:35.566 region:rollup2
WELL THANK YOU VERY MUCH I
00:40:33.631 --> 00:40:36.701 region:rollup2
APPRECIATE.
00:40:35.566 --> 00:40:39.470 region:rollup2
VERY MUCH YOU BRING THIS THIS
00:40:36.701 --> 00:40:40.004 region:rollup2
FORWARD AND TACKLING A VERY VERY
00:40:39.470 --> 00:40:41.606 region:rollup2
DIFFICULT SUBJECT DOWN.
00:40:40.004 --> 00:40:42.874 region:rollup2
AS I UNDERSTAND THAT THIS IS MY
00:40:41.606 --> 00:40:44.542 region:rollup2
UNDERSTAND IS THIS THE SEXY SETS
00:40:42.874 --> 00:40:46.511 region:rollup2
THE STANDARDS AND THAT'S AND
00:40:44.542 --> 00:40:48.146 region:rollup2
THAT'S ABSOLUTELY CRITICAL --
00:40:46.511 --> 00:40:49.881 region:rollup2
ULTIMATELY HOW WE FUND THIS AND
00:40:48.146 --> 00:40:51.249 region:rollup2
IT WILL BE PLAYED OUT LATER
00:40:49.881 --> 00:40:52.350 region:rollup2
WHETHER IT'S PROP SIXTY FOUR
00:40:51.249 --> 00:40:55.153 region:rollup2
GENERAL FUND WHATEVER --
00:40:52.350 --> 00:40:55.787 region:rollup2
BUT THAT IS NOT.
00:40:55.153 --> 00:40:57.155 region:rollup2
THE SCOPE OF THIS BILL AT THIS
00:40:55.787 --> 00:40:59.157 region:rollup2
POINT IT IS ABOUT THE STANDARD
00:40:57.155 --> 00:41:00.858 region:rollup2
SO SO I APPRECIATE THAT THOUGH
00:40:59.157 --> 00:41:02.226 region:rollup2
THE BILL DOES ENJOY A DO PASS
00:41:00.858 --> 00:41:03.328 region:rollup2
RECOMMENDATION I THINK YOU FOR
00:41:02.226 --> 00:41:04.896 region:rollup2
THAT AND THEN THAT.
00:41:03.328 --> 00:41:06.864 region:rollup2
THE I THINK YOU FOR ACCEPTING
00:41:04.896 --> 00:41:08.032 region:rollup2
THE AMENDMENTS THAT MOTION IS TO
00:41:06.864 --> 00:41:09.934 region:rollup2
PASS AS AMENDED TO
00:41:08.032 --> 00:41:11.803 region:rollup2
APPROPRIATIONS A MOTION WAS MADE
00:41:09.934 --> 00:41:14.038 region:rollup2
BY MISTER MAYES AND SECONDED BY
00:41:11.803 --> 00:41:15.506 region:rollup2
SOMEBODY.
00:41:14.038 --> 00:41:18.943 region:rollup2
MISTER BIGELOW --
00:41:15.506 --> 00:41:19.711 region:rollup2
ALWAYS HERE ACTUALLY MUCH CAN.
00:41:18.943 --> 00:41:20.311 region:rollup2
SO THOSE THAT WE HAVE A MOTION
00:41:19.711 --> 00:41:22.146 region:rollup2
AND A SECOND MADAM SECRETARY
00:41:20.311 --> 00:41:24.349 region:rollup2
PLEASE CALL THE ROLL.
00:41:22.146 --> 00:41:26.250 region:rollup2
WHAT I WOULD AYE MAYES AYE MAYES
00:41:24.349 --> 00:41:27.285 region:rollup2
AYE AGAR CURRY?
00:41:26.250 --> 00:41:27.585 region:rollup2
ANGER CURRY I BIGELOW
00:41:27.285 --> 00:41:32.957 region:rollup2
[inaudible]
00:41:27.585 --> 00:41:33.257 region:rollup2
BUT I BIGELOW AYE BONTA
00:41:32.957 --> 00:41:35.059 region:rollup2
[inaudible]
00:41:33.257 --> 00:41:36.060 region:rollup2
BURKE CARILLO.
00:41:35.059 --> 00:41:37.962 region:rollup2
FLORA.
00:41:36.060 --> 00:41:40.465 region:rollup2
FLORA I LOW MOAN.
00:41:37.962 --> 00:41:40.865 region:rollup2
MCCARTY TYPE MCCARTY AYE THIS
00:41:40.465 --> 00:41:41.933 region:rollup2
AREA.
00:41:40.865 --> 00:41:44.235 region:rollup2
RODRIGUEZ.
00:41:41.933 --> 00:41:45.169 region:rollup2
RODRIGUEZ AYE.
00:41:44.235 --> 00:41:46.204 region:rollup2
SANTIAGO.
00:41:45.169 --> 00:41:46.437 region:rollup2
THURMOND.
00:41:46.204 --> 00:41:50.441 region:rollup2
WALDRON.
00:41:46.437 --> 00:41:51.042 region:rollup2
WALDRON AYE.
00:41:50.441 --> 00:41:52.510 region:rollup2
IT.
00:41:51.042 --> 00:41:53.678 region:rollup2
HAS GREAT EIGHT VOTES YOUR BILLS
00:41:52.510 --> 00:41:54.212 region:rollup2
OUT WILL LEAVE IT OPEN FOR OTHER
00:41:53.678 --> 00:42:00.451 region:rollup2
SAT ON THANK YOU VERY MUCH
00:41:54.212 --> 00:42:09.427 region:rollup2
SENATOR [inaudible]
00:42:00.451 --> 00:42:10.862 region:rollup2
I SEE [inaudible]
00:42:09.427 --> 00:42:12.263 region:rollup2
RIGHT.
00:42:10.862 --> 00:42:13.531 region:rollup2
THE CENTER HUESO ARE YOU ARE YOU
00:42:12.263 --> 00:42:18.035 region:rollup2
PRESENTING ON YOUR OWN OR WITH
00:42:13.531 --> 00:42:19.137 region:rollup2
CENTER LARA OR OKAY [inaudible]
00:42:18.035 --> 00:42:27.111 region:rollup2
PLEASE [inaudible]
00:42:19.137 --> 00:42:31.983 region:rollup2
THANK YOU.
00:42:27.111 --> 00:42:32.583 region:rollup2
PLEASE AS A ABOUT PERCENT.
00:42:31.983 --> 00:42:33.384 region:rollup2
BUT THIS IS A VERY IMPORTANT
00:42:32.583 --> 00:42:35.086 region:rollup2
BILL FOR MY DISTRICT THAT IT
00:42:33.384 --> 00:42:37.255 region:rollup2
EXPANDS ACCESSIBILITY TO QUALITY
00:42:35.086 --> 00:42:39.023 region:rollup2
AFFORDABLE HEALTH CARE. FOR
00:42:37.255 --> 00:42:41.025 region:rollup2
INDIVIDUALS WORKING.
00:42:39.023 --> 00:42:43.561 region:rollup2
IN THE SAN DIEGO AND IMPERIAL
00:42:41.025 --> 00:42:44.762 region:rollup2
COUNTIES THIS IS OUR OF IS
00:42:43.561 --> 00:42:46.030 region:rollup2
PARTICULARLY.
00:42:44.762 --> 00:42:48.032 region:rollup2
ABOUT THE BORDER REGION WHICH
00:42:46.030 --> 00:42:49.500 region:rollup2
HAS A VERY INTERESTING AND VERY
00:42:48.032 --> 00:42:51.169 region:rollup2
DIFFERENT DIE NAPA SOCIAL
00:42:49.500 --> 00:42:51.936 region:rollup2
DYNAMIC THAN THE OTHER PARTS OF
00:42:51.169 --> 00:42:54.138 region:rollup2
THE STATE.
00:42:51.936 --> 00:42:55.273 region:rollup2
WE HAVE -- A
00:42:54.138 --> 00:42:56.974 region:rollup2
VERY IMPORTANT PROGRAM THAT WAS
00:42:55.273 --> 00:42:59.844 region:rollup2
IMPLEMENTED ALONG THE BORDER
00:42:56.974 --> 00:43:01.813 region:rollup2
THAT ALLOWS --
00:42:59.844 --> 00:43:03.881 region:rollup2
PEOPLE ARE THAT LIVE IN THE
00:43:01.813 --> 00:43:06.250 region:rollup2
BORDER AREA TO ACCESS QUALITY
00:43:03.881 --> 00:43:07.018 region:rollup2
COULD MEDICAL HIT CARE THAT IT'S
00:43:06.250 --> 00:43:09.821 region:rollup2
LOCATED.
00:43:07.018 --> 00:43:10.421 region:rollup2
IN THAT RIGHT AT THE BORDER.
00:43:09.821 --> 00:43:11.756 region:rollup2
THE BORDER OF CALIFORNIA WITH
00:43:10.421 --> 00:43:15.560 region:rollup2
MEXICO.
00:43:11.756 --> 00:43:16.494 region:rollup2
YOU KNOW WE PRIDE OURSELVES IN
00:43:15.560 --> 00:43:18.162 region:rollup2
CALIFORNIA HAS BEEN A VERY
00:43:16.494 --> 00:43:20.398 region:rollup2
DIVERSE STATE.
00:43:18.162 --> 00:43:22.333 region:rollup2
AND THE STATE THAT --
00:43:20.398 --> 00:43:24.869 region:rollup2
CELEBRATES OUR DIVERSITY.
00:43:22.333 --> 00:43:27.371 region:rollup2
WE HAVE --
00:43:24.869 --> 00:43:29.040 region:rollup2
YOU KNOW TODAY IN IN THE BORDER
00:43:27.371 --> 00:43:30.441 region:rollup2
AREA WE'RE STRUGGLING WITH SOME.
00:43:29.040 --> 00:43:31.409 region:rollup2
ISSUES THAT --
00:43:30.441 --> 00:43:33.478 region:rollup2
MAKE.
00:43:31.409 --> 00:43:35.346 region:rollup2
ACCESS TO HEALTH CARE VERY VERY
00:43:33.478 --> 00:43:37.315 region:rollup2
DIFFICULT LONG BORDER --
00:43:35.346 --> 00:43:38.516 region:rollup2
THIS BILL HAS ARISEN FROM SOME
00:43:37.315 --> 00:43:41.853 region:rollup2
OF OUR WORK THAT WE'VE DONE
00:43:38.516 --> 00:43:43.855 region:rollup2
LOCALLY AT WITH OUR WITH OUR
00:43:41.853 --> 00:43:45.022 region:rollup2
SELECT COMMITTEE ON ON
00:43:43.855 --> 00:43:46.624 region:rollup2
COOPERATION WITH CALIFORNIA
00:43:45.022 --> 00:43:48.960 region:rollup2
MEXICO.
00:43:46.624 --> 00:43:50.695 region:rollup2
WE WE'VE WE DID --
00:43:48.960 --> 00:43:53.798 region:rollup2
A RECENT --
00:43:50.695 --> 00:43:55.600 region:rollup2
HEARING AT THE BORDER TO ADDRESS
00:43:53.798 --> 00:43:57.335 region:rollup2
HEALTH ISSUES AND WE FIND THAT.
00:43:55.600 --> 00:43:59.137 region:rollup2
SOME OF THE STATE'S MOST
00:43:57.335 --> 00:44:01.272 region:rollup2
PRESSING HEALTH ISSUES ARE FOUND
00:43:59.137 --> 00:44:04.242 region:rollup2
AT THE BORDER SIMPLY BECAUSE OF
00:44:01.272 --> 00:44:07.178 region:rollup2
THE OF THE OF THE THAT THE
00:44:04.242 --> 00:44:10.515 region:rollup2
DYNAMICS OF OTHER VERY FLUID AND
00:44:07.178 --> 00:44:13.284 region:rollup2
AND A VERY ACTIVE BORDER.
00:44:10.515 --> 00:44:14.785 region:rollup2
WE I HAD A BILL THAT --
00:44:13.284 --> 00:44:16.187 region:rollup2
WAS TRYING TO GET THAT THE
00:44:14.785 --> 00:44:18.122 region:rollup2
OFFICE OF BORDER BI NATIONAL
00:44:16.187 --> 00:44:20.424 region:rollup2
HELPED WORK ON A STRATEGY ON
00:44:18.122 --> 00:44:22.026 region:rollup2
IMPROVING HEALTH AT THE BORDER.
00:44:20.424 --> 00:44:23.728 region:rollup2
BUT THIS BILL IT IS MUCH BETTER
00:44:22.026 --> 00:44:29.634 region:rollup2
THIS BILL OF WHAT IT WOULD
00:44:23.728 --> 00:44:32.103 region:rollup2
EXPAND OF THE SCOPE OF OF BUT OF
00:44:29.634 --> 00:44:34.338 region:rollup2
ACCESS OF ELIGIBILITY FOR PEOPLE
00:44:32.103 --> 00:44:36.707 region:rollup2
LIVING LONG BORDER [inaudible]
00:44:34.338 --> 00:44:38.876 region:rollup2
TO TO QUALIFY. FOR A A
00:44:36.707 --> 00:44:39.911 region:rollup2
HEALTHCARE PROGRAM THAT IT WAS A
00:44:38.876 --> 00:44:41.746 region:rollup2
CREATED BY OUR STATE SEVERAL
00:44:39.911 --> 00:44:44.882 region:rollup2
YEARS BACK.
00:44:41.746 --> 00:44:45.182 region:rollup2
IN PARTICULAR THIS BILL
00:44:44.882 --> 00:44:52.990 region:rollup2
[inaudible]
00:44:45.182 --> 00:44:55.159 region:rollup2
WOULD OF THIS BILL WOULD YEAH.
00:44:52.990 --> 00:44:57.028 region:rollup2
HELP HER TO MAKE SURE THAT --
00:44:55.159 --> 00:44:58.196 region:rollup2
A PROGRAM CALLED SIMPSON WHICH
00:44:57.028 --> 00:45:00.531 region:rollup2
OFFERS HEALTH CARE AND BROKE
00:44:58.196 --> 00:45:01.632 region:rollup2
BORDER IS MADE MORE AVAILABLE TO
00:45:00.531 --> 00:45:02.900 region:rollup2
ANYBODY.
00:45:01.632 --> 00:45:04.602 region:rollup2
THAT WANTS TO ACCESS THAT
00:45:02.900 --> 00:45:06.771 region:rollup2
PROGRAM CURRENTLY.
00:45:04.602 --> 00:45:09.340 region:rollup2
THIS PROGRAM EXISTS IT'S ONLY
00:45:06.771 --> 00:45:09.807 region:rollup2
ACCESSIBLE TO PEOPLE THAT HAVE I
00:45:09.340 --> 00:45:11.943 region:rollup2
HAVE --
00:45:09.807 --> 00:45:15.246 region:rollup2
MEXICAN --
00:45:11.943 --> 00:45:16.948 region:rollup2
NATIONALITY OR MEXICAN --
00:45:15.246 --> 00:45:18.282 region:rollup2
OF OF MEXICAN ORIGIN LIVING IN
00:45:16.948 --> 00:45:20.051 region:rollup2
THE UNITED STATES WORKING IN THE
00:45:18.282 --> 00:45:21.619 region:rollup2
UNITED STATES --
00:45:20.051 --> 00:45:23.220 region:rollup2
AND THIS WOULD EXPAND IT BEYOND
00:45:21.619 --> 00:45:24.855 region:rollup2
THAT TO PEOPLE THAT ARE LIVE
00:45:23.220 --> 00:45:27.291 region:rollup2
ALONG THE BORDER REGION THAT ONE
00:45:24.855 --> 00:45:27.825 region:rollup2
APART TO SPEND PROGRAM. ONE OF
00:45:27.291 --> 00:45:29.126 region:rollup2
THE THINGS THAT MAKES THIS
00:45:27.825 --> 00:45:29.760 region:rollup2
EXCITING.
00:45:29.126 --> 00:45:32.730 region:rollup2
IS THAT SAMSUNG OFFERS A A VERY
00:45:29.760 --> 00:45:34.732 region:rollup2
--
00:45:32.730 --> 00:45:37.001 region:rollup2
WIDE ARRAY OF OF PROGRAMS
00:45:34.732 --> 00:45:37.835 region:rollup2
TREATMENTS.
00:45:37.001 --> 00:45:39.170 region:rollup2
I THOUGHT THAT OFTEN ARE NOT
00:45:37.835 --> 00:45:40.571 region:rollup2
AVAILABLE ON ON OUR SIDE OF THE
00:45:39.170 --> 00:45:42.907 region:rollup2
BORDER.
00:45:40.571 --> 00:45:46.210 region:rollup2
BUT THEY ALSO PROVIDE --
00:45:42.907 --> 00:45:47.845 region:rollup2
HIGH QUALITY SERVICE AT A VERY
00:45:46.210 --> 00:45:49.714 region:rollup2
AFFORDABLE RATE.
00:45:47.845 --> 00:45:51.315 region:rollup2
SO WE HAVE SOME TESTIMONY HERE
00:45:49.714 --> 00:45:53.317 region:rollup2
THAT ARE SPEAK --
00:45:51.315 --> 00:45:55.720 region:rollup2
TO WHY WHY THIS IS THIS BILLS
00:45:53.317 --> 00:45:57.888 region:rollup2
NECESSARY WHY IT'S IMPORTANT TO
00:45:55.720 --> 00:45:59.156 region:rollup2
OFFER IT TO THE PEOPLE OF OF
00:45:57.888 --> 00:46:00.992 region:rollup2
THOSE TWO COUNTIES ALONG THE
00:45:59.156 --> 00:46:03.694 region:rollup2
BORDER [inaudible]
00:46:00.992 --> 00:46:05.296 region:rollup2
AND WHY --
00:46:03.694 --> 00:46:06.831 region:rollup2
THIS WOULD BE A GOOD BILL TO
00:46:05.296 --> 00:46:09.367 region:rollup2
SUPPORT. FO THE BENEFIT OF
00:46:06.831 --> 00:46:10.868 region:rollup2
CALIFORNIANS --
00:46:09.367 --> 00:46:11.902 region:rollup2
THIS BILL SEEKS TO EXPAND HEALTH
00:46:10.868 --> 00:46:13.504 region:rollup2
CARE OPTIONS AND SEND YOU ON A
00:46:11.902 --> 00:46:15.539 region:rollup2
PER COUNTIES.
00:46:13.504 --> 00:46:16.807 region:rollup2
BY ALLOWING EMPLOYERS.
00:46:15.539 --> 00:46:18.476 region:rollup2
IN THOSE REGIONS TO PARTNER WITH
00:46:16.807 --> 00:46:19.710 region:rollup2
SIMPSON.
00:46:18.476 --> 00:46:20.978 region:rollup2
OF THE SIMPSON HEALTH PLAN FOR
00:46:19.710 --> 00:46:23.414 region:rollup2
THEIR EMPLOYER.
00:46:20.978 --> 00:46:25.049 region:rollup2
SPONSORED HEALTH GROUPS BEYOND
00:46:23.414 --> 00:46:26.517 region:rollup2
JUST MEXICAN NATIONALS AND THEIR
00:46:25.049 --> 00:46:28.085 region:rollup2
DEPENDENTS.
00:46:26.517 --> 00:46:29.387 region:rollup2
SOME SAYS ONE OF THE LEADING
00:46:28.085 --> 00:46:31.822 region:rollup2
HEALTH MAINTENANCE ORGANIZATIONS
00:46:29.387 --> 00:46:34.058 region:rollup2
IN NORTHERN MEXICO AND SINCE TWO
00:46:31.822 --> 00:46:35.293 region:rollup2
THOUSAND HAS PROVIDED OVER FORTY
00:46:34.058 --> 00:46:37.428 region:rollup2
SEVEN THOUSAND INDIVIDUALS WITH
00:46:35.293 --> 00:46:39.330 region:rollup2
AFFORDABLE QUALITY ALTERNATIVE.
00:46:37.428 --> 00:46:41.032 region:rollup2
TO THE TRADITIONAL HMO.
00:46:39.330 --> 00:46:43.167 region:rollup2
WE HAVE CHI MAK.
00:46:41.032 --> 00:46:45.303 region:rollup2
MARIAMA HE'S A LITTLE BIT TO
00:46:43.167 --> 00:46:47.738 region:rollup2
COUNSEL FIRST SIMPSON.
00:46:45.303 --> 00:46:50.241 region:rollup2
I JAMIE MARIAMA SORRY.
00:46:47.738 --> 00:46:52.143 region:rollup2
WE CALL THE I JUST CHANGE YOUR
00:46:50.241 --> 00:46:54.211 region:rollup2
YOUR GENDER THERE SORRY.
00:46:52.143 --> 00:46:55.913 region:rollup2
JAMIE I'M MEADOW YAMASKA LEGAL
00:46:54.211 --> 00:46:57.214 region:rollup2
COUNSEL WITH SOME SUCH IS HERE
00:46:55.913 --> 00:46:58.482 region:rollup2
TO ANSWER TECH TECHNICAL
00:46:57.214 --> 00:46:59.283 region:rollup2
QUESTIONS OF COMMITTEE MEMBERS
00:46:58.482 --> 00:47:00.851 region:rollup2
SHOULD HAVE ANY.
00:46:59.283 --> 00:47:02.219 region:rollup2
WE HAVE WILLIAM BECAUSE HE CAN'T
00:47:00.851 --> 00:47:03.821 region:rollup2
CAMPBELL WHO IS AND WHO IS
00:47:02.219 --> 00:47:05.256 region:rollup2
EMPLOYED AT A CAR DEALERSHIP IN
00:47:03.821 --> 00:47:07.658 region:rollup2
MY DISTRICT AND HE IS.
00:47:05.256 --> 00:47:09.427 region:rollup2
HERE TO SPEAK ON HIS EXPERIENCES
00:47:07.658 --> 00:47:12.329 region:rollup2
WITH SIMPSON.
00:47:09.427 --> 00:47:13.731 region:rollup2
AND WE ALSO HAVE A
00:47:12.329 --> 00:47:17.234 region:rollup2
REPRESENTATIVE FROM SINCE --
00:47:13.731 --> 00:47:19.403 region:rollup2
HERE OF TO ANSWER ANY QUESTIONS
00:47:17.234 --> 00:47:21.972 region:rollup2
IF ANY SHOULD HAPPEN IF --
00:47:19.403 --> 00:47:24.341 region:rollup2
LOW WHO DID YOU WANT US SURE BUT
00:47:21.972 --> 00:47:25.309 region:rollup2
A GOOD AFTERNOON TWO WITNESSES
00:47:24.341 --> 00:47:26.544 region:rollup2
THREE MINUTES EACH SO.
00:47:25.309 --> 00:47:28.312 region:rollup2
GOOD AFTERNOON MISTER CHAIRMAN
00:47:26.544 --> 00:47:30.381 region:rollup2
OF MIGHT AND COMMITTEE MEMBERS
00:47:28.312 --> 00:47:30.948 region:rollup2
MY NAME'S JAMIE MORIYAMA AND I'M
00:47:30.381 --> 00:47:32.049 region:rollup2
HERE ON BEHALF OF SINCE THE
00:47:30.948 --> 00:47:33.751 region:rollup2
HEALTH PLAN.
00:47:32.049 --> 00:47:34.919 region:rollup2
BUT IN A FEW MINUTES YOU'LL HEAR
00:47:33.751 --> 00:47:37.021 region:rollup2
FROM MR --
00:47:34.919 --> 00:47:38.589 region:rollup2
CAMPBELL AND THE REASON WHY WE
00:47:37.021 --> 00:47:40.624 region:rollup2
ARE SPONSORING THIS BILL.
00:47:38.589 --> 00:47:42.860 region:rollup2
OUR PLAN IS UNIQUE OUR NETWORK
00:47:40.624 --> 00:47:44.428 region:rollup2
IS IN MEXICO AND MEMBERS WHO
00:47:42.860 --> 00:47:45.896 region:rollup2
ELECT OUR PLAN ARE CHOOSING TO
00:47:44.428 --> 00:47:47.798 region:rollup2
RECEIVE PRIMARY CARE FROM
00:47:45.896 --> 00:47:49.467 region:rollup2
PROVIDERS IN MEXICO.
00:47:47.798 --> 00:47:50.801 region:rollup2
WHEN THIRTEEN FIFTY ONE POINT
00:47:49.467 --> 00:47:53.370 region:rollup2
TWO WAS FIRST PASS AND THAT'S
00:47:50.801 --> 00:47:54.672 region:rollup2
HOW WE'RE LICENSE IT WAS LIMITED
00:47:53.370 --> 00:47:56.340 region:rollup2
FOR THE BENEFIT OF MEXICAN
00:47:54.672 --> 00:47:57.374 region:rollup2
CITIZENS LEGALLY EMPLOYED IN
00:47:56.340 --> 00:47:58.876 region:rollup2
CALIFORNIA?
00:47:57.374 --> 00:48:00.311 region:rollup2
DUE TO THE IMMIGRATION LAWS
00:47:58.876 --> 00:48:01.245 region:rollup2
THOSE MEXICAN CITIZENS WERE
00:48:00.311 --> 00:48:02.680 region:rollup2
THREATENED WITH THE LOSS OF
00:48:01.245 --> 00:48:04.048 region:rollup2
COVERAGE.
00:48:02.680 --> 00:48:05.850 region:rollup2
UPON BECOMING A NATURALIZED U.
00:48:04.048 --> 00:48:07.385 region:rollup2
S. CITIZEN.
00:48:05.850 --> 00:48:08.886 region:rollup2
DUAL CITIZENSHIP WAS NOT ALLOWED
00:48:07.385 --> 00:48:10.321 region:rollup2
AT THE TIME HENCE THE CHANGE TO
00:48:08.886 --> 00:48:13.290 region:rollup2
MEXICAN NATIONAL WHERE WE'RE AT
00:48:10.321 --> 00:48:15.359 region:rollup2
TODAY.
00:48:13.290 --> 00:48:16.727 region:rollup2
WE ARE A UNIQUE PLAN AND WE'RE
00:48:15.359 --> 00:48:18.529 region:rollup2
NOT GONNA BE FOR EVERYONE
00:48:16.727 --> 00:48:20.331 region:rollup2
HOWEVER IF SOMEONE LIKE MR
00:48:18.529 --> 00:48:21.165 region:rollup2
CAMPBELL WHO WANTS AN AFFORDABLE
00:48:20.331 --> 00:48:22.433 region:rollup2
OPTION.
00:48:21.165 --> 00:48:24.869 region:rollup2
AND IS WILLING TO RECEIVE CARE
00:48:22.433 --> 00:48:26.604 region:rollup2
MEXICO WANTS TO JOIN THE PLAN WE
00:48:24.869 --> 00:48:31.275 region:rollup2
DO NOT WANT TO HAVE TO TURN HIM
00:48:26.604 --> 00:48:32.343 region:rollup2
AWAY DUE TO HIS NATIONALITY.
00:48:31.275 --> 00:48:34.311 region:rollup2
OUR CURRENT MEMBERSHIP TOTALS
00:48:32.343 --> 00:48:35.446 region:rollup2
APPROXIMATELY FORTY SEVEN
00:48:34.311 --> 00:48:35.913 region:rollup2
THOUSAND WHICH INCLUDES PRIMARY
00:48:35.446 --> 00:48:37.581 region:rollup2
SUBSCRIBERS AND THEIR
00:48:35.913 --> 00:48:38.949 region:rollup2
DEPENDENTS.
00:48:37.581 --> 00:48:40.351 region:rollup2
SHOULD SHOULD SIMPSON MEMBERSHIP
00:48:38.949 --> 00:48:42.520 region:rollup2
GROWTH DUE TO THE CHANGING
00:48:40.351 --> 00:48:44.722 region:rollup2
NATIONALITY REQUIREMENTS.
00:48:42.520 --> 00:48:47.558 region:rollup2
SINCE THE HOUSE ABILITY TO MEET
00:48:44.722 --> 00:48:49.427 region:rollup2
THAT NEED WE ARE NOT DECO TIMELY
00:48:47.558 --> 00:48:51.162 region:rollup2
ACCESS REQUIREMENTS HOWEVER WE
00:48:49.427 --> 00:48:52.363 region:rollup2
TRACK NETWORK ADEQUACY ON THEIR
00:48:51.162 --> 00:48:53.531 region:rollup2
OWN ACCORD.
00:48:52.363 --> 00:48:55.166 region:rollup2
WE DO THIS THROUGH OUR GRIEVANCE
00:48:53.531 --> 00:48:57.067 region:rollup2
DEPARTMENT IN MEXICO.
00:48:55.166 --> 00:48:58.969 region:rollup2
AND WE ALSO MONITOR UTILIZATION
00:48:57.067 --> 00:49:00.271 region:rollup2
ON A MONTHLY BASIS TO TRACK
00:48:58.969 --> 00:49:02.206 region:rollup2
POSITION APPOINTMENT USAGE AND
00:49:00.271 --> 00:49:03.841 region:rollup2
ENROLLMENT NUMBERS TO ANTICIPATE
00:49:02.206 --> 00:49:05.543 region:rollup2
NETWORK NEEDS WE LSO HAVE A
00:49:03.841 --> 00:49:09.113 region:rollup2
WAIT LIST OF POSITIONS WAITING
00:49:05.543 --> 00:49:10.848 region:rollup2
TO JOIN OUR NETWORK IN MEXICO.
00:49:09.113 --> 00:49:13.050 region:rollup2
I THINK HERE'S A MISCONCEPTION
00:49:10.848 --> 00:49:14.785 region:rollup2
ABOUT SENSA BECAUSE WE ARE
00:49:13.050 --> 00:49:16.754 region:rollup2
UNIQUE IN WE ARE A MEXICAN
00:49:14.785 --> 00:49:19.490 region:rollup2
HEALTHCARE PLAN THAT WE DO NOT
00:49:16.754 --> 00:49:21.392 region:rollup2
COMPLY WITH THE REGULATIONS AND
00:49:19.490 --> 00:49:23.294 region:rollup2
THE LAWS WHICH IS INCORRECT.
00:49:21.392 --> 00:49:24.028 region:rollup2
WE COMPLY WITH ALL KNOCKS KEEN
00:49:23.294 --> 00:49:25.429 region:rollup2
REQUIREMENTS IN A CA
00:49:24.028 --> 00:49:26.931 region:rollup2
REQUIREMENTS TO THE EXTENT THAT
00:49:25.429 --> 00:49:28.732 region:rollup2
WE CAN.
00:49:26.931 --> 00:49:31.635 region:rollup2
I'D LIKE TO GIVE AN EXAMPLE IT
00:49:28.732 --> 00:49:33.404 region:rollup2
MAY CLARIFY THE ISSUE --
00:49:31.635 --> 00:49:35.339 region:rollup2
WHEN THE A CA WAS IMPLEMENTED WE
00:49:33.404 --> 00:49:37.107 region:rollup2
MET WITH OUR ACTUARIES?
00:49:35.339 --> 00:49:38.509 region:rollup2
AND USE TO FEDERAL CALCULATOR TO
00:49:37.107 --> 00:49:39.710 region:rollup2
TRY TO CREATE SMALL GROUP
00:49:38.509 --> 00:49:41.812 region:rollup2
PRODUCTS THAT WOULD MEET THE
00:49:39.710 --> 00:49:42.079 region:rollup2
METAL LEVER LEVELS IN NEAR THE
00:49:41.812 --> 00:49:43.647 region:rollup2
STANDARD.
00:49:42.079 --> 00:49:45.616 region:rollup2
PRODUCTS.
00:49:43.647 --> 00:49:47.318 region:rollup2
DOING SO PROVED IMPOSSIBLE
00:49:45.616 --> 00:49:49.854 region:rollup2
WITHOUT THE IMPLEMENTATION OF
00:49:47.318 --> 00:49:50.821 region:rollup2
COPAYS THAT FAR EXCEEDED 50% OF
00:49:49.854 --> 00:49:52.723 region:rollup2
THE ACTUAL COST OF SERVICE TO
00:49:50.821 --> 00:49:54.558 region:rollup2
THE PLAN.
00:49:52.723 --> 00:49:56.827 region:rollup2
SO WE RECEIVED AN EXEMPTION AND
00:49:54.558 --> 00:49:57.828 region:rollup2
WE HAVE TO ALTERNATE PLANS FOR
00:49:56.827 --> 00:50:00.631 region:rollup2
SMALL GROUPS AND BOTH OF THEM
00:49:57.828 --> 00:50:02.833 region:rollup2
EXCEED 90% IN VALUE.
00:50:00.631 --> 00:50:04.935 region:rollup2
THEY'RE VERY RICH PLANS.
00:50:02.833 --> 00:50:06.036 region:rollup2
SO SIMPSON IS UNIQUE.
00:50:04.935 --> 00:50:07.905 region:rollup2
WE ARE NOT ANY BETTER OR ANY
00:50:06.036 --> 00:50:09.740 region:rollup2
WORSE THAN ANY CALIFORNIA BASED
00:50:07.905 --> 00:50:11.442 region:rollup2
HEALTH PLAN WERE JUST DIFFERENT.
00:50:09.740 --> 00:50:12.810 region:rollup2
SENATE BILL SIX FORTY ONE WILL
00:50:11.442 --> 00:50:14.678 region:rollup2
PROVIDE CONSUMERS WITH ANOTHER
00:50:12.810 --> 00:50:16.013 region:rollup2
OPTION FOR HEALTH CARE.
00:50:14.678 --> 00:50:17.615 region:rollup2
SINCE EXPRESSES ITS STRONG
00:50:16.013 --> 00:50:18.749 region:rollup2
SUPPORT FOR THIS BILL AND WE
00:50:17.615 --> 00:50:19.650 region:rollup2
RESPECTFULLY REQUEST THE SAME
00:50:18.749 --> 00:50:21.418 region:rollup2
FROM THIS COMMITTEE [inaudible]
00:50:19.650 --> 00:50:24.755 region:rollup2
THANK YOU [inaudible]
00:50:21.418 --> 00:50:26.290 region:rollup2
CAMPBELL.
00:50:24.755 --> 00:50:27.791 region:rollup2
GOOD AFTERNOON EVERYBODY MONIES
00:50:26.290 --> 00:50:29.526 region:rollup2
WHEN COFFEE CAMPBELL MOST SINGLE
00:50:27.791 --> 00:50:31.095 region:rollup2
FILE FROM SENEGAL CALIFORNIA OR
00:50:29.526 --> 00:50:33.497 region:rollup2
WORK FOR FRANK AUTO GROUP I'M
00:50:31.095 --> 00:50:35.299 region:rollup2
HERE ON BEHALF OF SOME SO HEALTH
00:50:33.497 --> 00:50:36.133 region:rollup2
PLAN AND CRISTINA CARRILLO.
00:50:35.299 --> 00:50:38.369 region:rollup2
WITH A GOOD CLIENT OF MINE
00:50:36.133 --> 00:50:38.869 region:rollup2
AMENDMENTS CRUEL BACK IN TWO
00:50:38.369 --> 00:50:39.737 region:rollup2
THOUSAND THIRTEEN OF OUR
00:50:38.869 --> 00:50:40.971 region:rollup2
PREVIOUS EMPLOYMENT.
00:50:39.737 --> 00:50:44.074 region:rollup2
AND SINCE THEN WE'VE BUILT A
00:50:40.971 --> 00:50:46.810 region:rollup2
RELATIONSHIP TO WHERE SHE HAS.
00:50:44.074 --> 00:50:47.778 region:rollup2
ALSO VEHICLES FROM ME.
00:50:46.810 --> 00:50:49.546 region:rollup2
SO WHEN KNOW CHRISTINA AND
00:50:47.778 --> 00:50:51.448 region:rollup2
FINDING OUT WHO SHE IS IN THE
00:50:49.546 --> 00:50:52.349 region:rollup2
LINE OF WORK SHE'S INVOLVED IN.
00:50:51.448 --> 00:50:53.884 region:rollup2
A LETTER NO I TO DENY HAVE
00:50:52.349 --> 00:50:55.185 region:rollup2
INSURANCE I WAS LOOKING FOR
00:50:53.884 --> 00:50:55.753 region:rollup2
INSURANCE BUT SHE EXPLAINED TO
00:50:55.185 --> 00:50:56.954 region:rollup2
ME.
00:50:55.753 --> 00:50:58.622 region:rollup2
THAT IT WASN'T AVAILABLE FOR ME
00:50:56.954 --> 00:51:00.291 region:rollup2
BECAUSE I WOULD HAVE TO BE OF
00:50:58.622 --> 00:51:02.927 region:rollup2
MIXED XIN CITIZENSHIP.
00:51:00.291 --> 00:51:04.495 region:rollup2
I'M NEVER AND AGAIN INSURANCE
00:51:02.927 --> 00:51:06.263 region:rollup2
FOR ME MY SON BECAUSE OF THE
00:51:04.495 --> 00:51:07.564 region:rollup2
COST WOULD JUST NOT AFFORDABLE.
00:51:06.263 --> 00:51:08.532 region:rollup2
I BELIEVE.
00:51:07.564 --> 00:51:09.733 region:rollup2
MONTH BOTH WOULD HAVE BEEN A
00:51:08.532 --> 00:51:10.568 region:rollup2
ROUGHLY AROUND FOUR DOLLARS.
00:51:09.733 --> 00:51:12.002 region:rollup2
I WITH COST OF LIVING AT ALL
00:51:10.568 --> 00:51:12.970 region:rollup2
TIME HIGH.
00:51:12.002 --> 00:51:14.838 region:rollup2
IT JUST DIDN'T MAKE ANY SENSE
00:51:12.970 --> 00:51:16.106 region:rollup2
FOR ME FINANCIALLY.
00:51:14.838 --> 00:51:16.540 region:rollup2
I WASN'T ABLE TO AFFORD
00:51:16.106 --> 00:51:17.875 region:rollup2
INSURANCE IT'LL MOVE
00:51:16.540 --> 00:51:19.376 region:rollup2
DEALERSHIPS.
00:51:17.875 --> 00:51:20.411 region:rollup2
I FOUND OUT THAT MY CURRENT
00:51:19.376 --> 00:51:22.079 region:rollup2
EMPLOYER PAYS HALF A MORE
00:51:20.411 --> 00:51:23.981 region:rollup2
PREMIUM.
00:51:22.079 --> 00:51:25.416 region:rollup2
SO WHEN IT CAME TIME TO CHOOSE
00:51:23.981 --> 00:51:27.051 region:rollup2
WHICH INSURANCE PLAN OR ONE OF
00:51:25.416 --> 00:51:28.953 region:rollup2
THE GOAL WITH.
00:51:27.051 --> 00:51:29.753 region:rollup2
I WANTED TO CHOOSE SENSIBLE ONCE
00:51:28.953 --> 00:51:31.488 region:rollup2
AGAIN.
00:51:29.753 --> 00:51:33.023 region:rollup2
IT WASN'T AVAILABLE FOR ME.
00:51:31.488 --> 00:51:34.558 region:rollup2
EVEN WITH MY EMPLOYER PAIN HAVE
00:51:33.023 --> 00:51:36.193 region:rollup2
SINCE OF STILL WOULD HAVE BEEN
00:51:34.558 --> 00:51:37.962 region:rollup2
CHEAPER TOOL.
00:51:36.193 --> 00:51:41.365 region:rollup2
FOR BEING A SINGLE PARENT LIVING
00:51:37.962 --> 00:51:42.866 region:rollup2
SENEGAL'S DEFTLY NOT EASY.
00:51:41.365 --> 00:51:44.268 region:rollup2
WHEN TIMES ARE HARD WE SCRAMBLE
00:51:42.866 --> 00:51:46.103 region:rollup2
IN THIS WORLD TO TRY TO SAVE A
00:51:44.268 --> 00:51:47.538 region:rollup2
BUCK OR?
00:51:46.103 --> 00:51:48.939 region:rollup2
TWO ALLOWING AMERICANS WHO WANT
00:51:47.538 --> 00:51:50.407 region:rollup2
TO CHOOSE AN AFFORDABLE HEALTH
00:51:48.939 --> 00:51:53.243 region:rollup2
PLAN AND GO OVER THE BORDER FOR
00:51:50.407 --> 00:51:55.279 region:rollup2
CARE IT JUST MAKES SENSE.
00:51:53.243 --> 00:51:57.648 region:rollup2
IT'S ARROGANT ACT AS THE THERE
00:51:55.279 --> 00:51:59.650 region:rollup2
ARE VIABLE SOLUTIONS OUT THERE
00:51:57.648 --> 00:52:01.619 region:rollup2
THAT BENEFIT AMERICAN CITIZENS.
00:51:59.650 --> 00:52:02.786 region:rollup2
MEDICAL TRAVEL TOURISM ISRAEL
00:52:01.619 --> 00:52:05.022 region:rollup2
AND FOR SOME WHO CAN'T AFFORD
00:52:02.786 --> 00:52:06.724 region:rollup2
HEALTHCARE.
00:52:05.022 --> 00:52:07.758 region:rollup2
HERE IN UNITED STATES IT COULD
00:52:06.724 --> 00:52:08.058 region:rollup2
BE A LIFESAVING NECESSITY
00:52:07.758 --> 00:52:10.094 region:rollup2
[inaudible]
00:52:08.058 --> 00:52:12.496 region:rollup2
THANK YOU.
00:52:10.094 --> 00:52:14.298 region:rollup2
TAKE YOUR PICK YOU VERY MUCH.
00:52:12.496 --> 00:52:14.898 region:rollup2
OTHERS IN SUPPORT TO OUR JUST
00:52:14.298 --> 00:52:17.201 region:rollup2
PUT YOUR NAME AND ORGANIZATION
00:52:14.898 --> 00:52:19.303 region:rollup2
PLEASE.
00:52:17.201 --> 00:52:20.137 region:rollup2
SOME OF THINGS HE DECIDED AND
00:52:19.303 --> 00:52:21.372 region:rollup2
OPERATE.
00:52:20.137 --> 00:52:26.410 region:rollup2
AND HERE TO ANSWER ANY QUESTIONS
00:52:21.372 --> 00:52:27.644 region:rollup2
THAT YOU MAY HAVE FOR ME.
00:52:26.410 --> 00:52:28.879 region:rollup2
SO ROBERT GOOD IN THIS ARE
00:52:27.644 --> 00:52:30.114 region:rollup2
REPRESENTING THE BOILERMAKERS
00:52:28.879 --> 00:52:32.016 region:rollup2
INTERNATIONAL UNION --
00:52:30.114 --> 00:52:33.550 region:rollup2
REPRESENTING THE THOUSANDS OF
00:52:32.016 --> 00:52:35.919 region:rollup2
WORKERS AT THE LARGER SHIPYARD
00:52:33.550 --> 00:52:40.357 region:rollup2
IN SAN DIEGO AND WERE IN SUPPORT
00:52:35.919 --> 00:52:41.425 region:rollup2
OF THE SEEMS A PLAN.
00:52:40.357 --> 00:52:42.626 region:rollup2
THE CHAIRMAN MEMBERS MIKE
00:52:41.425 --> 00:52:43.560 region:rollup2
MONTGOMERY CONGRESS OF
00:52:42.626 --> 00:52:44.128 region:rollup2
CALIFORNIA SENIORS WE SUPPORT
00:52:43.560 --> 00:52:47.398 region:rollup2
THE BILL [inaudible]
00:52:44.128 --> 00:52:49.199 region:rollup2
IF.
00:52:47.398 --> 00:52:51.735 region:rollup2
AFTER A MISTER CHAIR BEVERLY ON
00:52:49.199 --> 00:52:52.336 region:rollup2
BEHALF OF YOU W. ASKS ME LOCAL
00:52:51.735 --> 00:52:53.937 region:rollup2
THREE NINE THIRTY WE REPRESENT
00:52:52.336 --> 00:52:55.039 region:rollup2
ALMOST THIRTY THREE THOUSAND IN
00:52:53.937 --> 00:52:56.373 region:rollup2
HOME SUPPORT SERVICES PROVIDERS
00:52:55.039 --> 00:52:57.274 region:rollup2
AND IMPERIAL AND SAN DIEGO
00:52:56.373 --> 00:52:58.208 region:rollup2
COUNTIES.
00:52:57.274 --> 00:53:02.613 region:rollup2
IN THIS WAY INCREASE ACCESS TO
00:52:58.208 --> 00:53:14.491 region:rollup2
HEALTHCARE FOR THE THREE ONE IN
00:53:02.613 --> 00:53:15.659 region:rollup2
OPPOSITION.
00:53:14.491 --> 00:53:16.927 region:rollup2
GOOD AFTERNOON MISTER CHAIRMAN
00:53:15.659 --> 00:53:18.962 region:rollup2
AMBER'S MARRIAGES FORESTS ON
00:53:16.927 --> 00:53:19.897 region:rollup2
BEHALF OF HEALTHAXIS CALIFORNIA
00:53:18.962 --> 00:53:22.299 region:rollup2
THE STATE WIDE HEALTH CARE
00:53:19.897 --> 00:53:24.435 region:rollup2
CONSUMER ADVOCACY COALITION WE
00:53:22.299 --> 00:53:27.304 region:rollup2
ARE HERE TO OPPOSE UNLESS --
00:53:24.435 --> 00:53:27.838 region:rollup2
AMENDED S. B. --
00:53:27.304 --> 00:53:30.007 region:rollup2
SIX FOUR ONE UNLESS IT IS
00:53:27.838 --> 00:53:31.508 region:rollup2
AMENDED TO LIMIT THE EXEMPTIONS
00:53:30.007 --> 00:53:33.444 region:rollup2
FROM THE CONSUMER PROTECTIONS
00:53:31.508 --> 00:53:35.779 region:rollup2
THAT APPLY TO OTHER COVERAGE
00:53:33.444 --> 00:53:37.014 region:rollup2
REGULATED UNDER TO KNOCK SKEEN
00:53:35.779 --> 00:53:38.816 region:rollup2
ACT AND THE AFFORDABLE CARE ACT.
00:53:37.014 --> 00:53:40.384 region:rollup2
AS YOU KNOW THIS BILL WAS X.
00:53:38.816 --> 00:53:41.852 region:rollup2
EXTENSIVELY AND RECENTLY
00:53:40.384 --> 00:53:43.687 region:rollup2
AMENDMENT WE APPRECIATE THE
00:53:41.852 --> 00:53:45.923 region:rollup2
ONGOING CONVERSATIONS THAT WE'VE
00:53:43.687 --> 00:53:47.357 region:rollup2
HAD WITH YOUR OFFICE AS WELL AS
00:53:45.923 --> 00:53:49.960 region:rollup2
THE AUTHOR AND THE SPONSORS.
00:53:47.357 --> 00:53:51.562 region:rollup2
AND WE HAVE OFFERED AMENDMENTS.
00:53:49.960 --> 00:53:53.931 region:rollup2
IN THE LAST FEW DAYS WE HAVE
00:53:51.562 --> 00:53:55.733 region:rollup2
BEEN TROUBLE TO LEARN THAT THESE
00:53:53.931 --> 00:53:58.102 region:rollup2
PREPAID MEXICAN HOW PLANS.
00:53:55.733 --> 00:53:59.870 region:rollup2
HAVE BEEN ACCEPTED EXEMPTED FROM
00:53:58.102 --> 00:54:01.238 region:rollup2
VARIOUS CONSUMER PROTECTIONS AND
00:53:59.870 --> 00:54:02.973 region:rollup2
WE ARE EVEN MORE TROUBLE TO
00:54:01.238 --> 00:54:04.308 region:rollup2
LEARN THAT WE CAN'T TELL EXACTLY
00:54:02.973 --> 00:54:06.944 region:rollup2
WHAT PROTECTIONS APPLY AND WHAT
00:54:04.308 --> 00:54:08.712 region:rollup2
DO NOT. FOR EXAMPLE THIS
00:54:06.944 --> 00:54:09.947 region:rollup2
MONSTERS DID SHARE A DOCUMENT
00:54:08.712 --> 00:54:11.081 region:rollup2
WHAT DOES THAT MAKES IT APPEAR
00:54:09.947 --> 00:54:13.050 region:rollup2
THAT THIS PLAN.
00:54:11.081 --> 00:54:15.052 region:rollup2
IS EXEMPT FROM PROVIDING
00:54:13.050 --> 00:54:16.520 region:rollup2
GRIEVANCE AN APPEALS PROCEDURES
00:54:15.052 --> 00:54:19.056 region:rollup2
INCLUDING INDEPENDENT MEDICAL
00:54:16.520 --> 00:54:21.091 region:rollup2
REVIEW BUT WE CAN SEE ON THE D.
00:54:19.056 --> 00:54:22.793 region:rollup2
MHC WEBSITE THAT THERE ARE
00:54:21.091 --> 00:54:24.561 region:rollup2
GRIEVANCES IN APPEALS.
00:54:22.793 --> 00:54:26.330 region:rollup2
AND IN THE BED INDEPENDENT
00:54:24.561 --> 00:54:28.232 region:rollup2
MEDICAL REVIEW CASES WE
00:54:26.330 --> 00:54:29.600 region:rollup2
RECOGNIZE THAT THESE CROSS
00:54:28.232 --> 00:54:31.401 region:rollup2
BORDER PLANS ARE UNIQUE AND
00:54:29.600 --> 00:54:33.604 region:rollup2
UNUSUAL AND HAVE PLAYED A ROLE
00:54:31.401 --> 00:54:35.038 region:rollup2
IN BORDER COMMUNITIES IN
00:54:33.604 --> 00:54:36.807 region:rollup2
IMPERIAL AND SAN DIEGO CONNIE.
00:54:35.038 --> 00:54:38.575 region:rollup2
TO REMOVE OUR OPPOSITION WE ARE
00:54:36.807 --> 00:54:40.511 region:rollup2
ASKING FOR A SET OF AMENDMENTS
00:54:38.575 --> 00:54:42.513 region:rollup2
THAT TO THE FOLLOWING FIRST THAT
00:54:40.511 --> 00:54:43.547 region:rollup2
IT WOULD CREATE A PUBLIC PROCESS
00:54:42.513 --> 00:54:45.516 region:rollup2
FOR EXEMPTIONS FROM CONSUMER
00:54:43.547 --> 00:54:47.451 region:rollup2
PROTECTIONS.
00:54:45.516 --> 00:54:49.386 region:rollup2
SECOND APPLYING THE SAME FISCAL
00:54:47.451 --> 00:54:50.988 region:rollup2
SOLVENCY STANDARDS THAT ALL
00:54:49.386 --> 00:54:52.723 region:rollup2
OTHER HEALTH PLANS MEET CALL
00:54:50.988 --> 00:54:54.258 region:rollup2
TANGIBLE NET EQUITY.
00:54:52.723 --> 00:54:56.393 region:rollup2
AND LASTLY REQUIRING EMPLOYER
00:54:54.258 --> 00:54:57.361 region:rollup2
MUST OFFER A FULLY AC COMPLIANCE
00:54:56.393 --> 00:54:59.062 region:rollup2
PLAN.
00:54:57.361 --> 00:55:00.864 region:rollup2
AND KNOCKS CAN PLAN IF A PREPAID
00:54:59.062 --> 00:55:03.934 region:rollup2
HEALTH PLAN IS OFFERED FOR THESE
00:55:00.864 --> 00:55:04.468 region:rollup2
REASON WE ARE OPPOSE UP TO S. B.
00:55:03.934 --> 00:55:07.004 region:rollup2
SIX FOUR ONE UNLESS IT IS
00:55:04.468 --> 00:55:07.671 region:rollup2
AMENDED.
00:55:07.004 --> 00:55:12.342 region:rollup2
IF YOU ARE THERE OTHERS IN
00:55:07.671 --> 00:55:14.144 region:rollup2
OPPOSITION.
00:55:12.342 --> 00:55:15.646 region:rollup2
SEEING NONE PREFECT ARE YOU
00:55:14.144 --> 00:55:17.181 region:rollup2
ACCEPTING COMMITTEE AMENDMENT
00:55:15.646 --> 00:55:19.416 region:rollup2
SENATOR HUESO.
00:55:17.181 --> 00:55:20.484 region:rollup2
AND I WANNA I WANNA EXCEPT THE
00:55:19.416 --> 00:55:21.785 region:rollup2
SPIRIT OF THE MEN MINUTES BUT I
00:55:20.484 --> 00:55:23.187 region:rollup2
WANNA HAVE ALSO WORKED WITH YOU
00:55:21.785 --> 00:55:24.388 region:rollup2
MISTER CHAIR ON MAKING SURE THAT
00:55:23.187 --> 00:55:25.556 region:rollup2
WE CAN WORK.
00:55:24.388 --> 00:55:26.757 region:rollup2
WITH WITH THE THE STATE
00:55:25.556 --> 00:55:28.058 region:rollup2
DEPARTMENT.
00:55:26.757 --> 00:55:30.494 region:rollup2
THAT OVERSEES HIS PLAN TO MAKE
00:55:28.058 --> 00:55:31.628 region:rollup2
SURE I MEAN THE WE'VE SEEN THREE
00:55:30.494 --> 00:55:33.630 region:rollup2
SETS OF AMENDMENTS THAT --
00:55:31.628 --> 00:55:35.566 region:rollup2
ARE.
00:55:33.630 --> 00:55:37.601 region:rollup2
ARE NOT --
00:55:35.566 --> 00:55:38.869 region:rollup2
THAT THEY'RE ALL DIFFERENT.
00:55:37.601 --> 00:55:39.970 region:rollup2
BUT I THINK WE SHARE THE
00:55:38.869 --> 00:55:42.706 region:rollup2
CONCERNS THAT --
00:55:39.970 --> 00:55:44.007 region:rollup2
HEALTH THAT SHARES I DO MYSELF.
00:55:42.706 --> 00:55:45.709 region:rollup2
I WANT TO GET --
00:55:44.007 --> 00:55:47.744 region:rollup2
TO THAT POINT WHERE WE CAN --
00:55:45.709 --> 00:55:49.079 region:rollup2
SATISFY THOSE CONCERNS.
00:55:47.744 --> 00:55:50.247 region:rollup2
AND I'M GONNA ASK YOU MISTER
00:55:49.079 --> 00:55:51.648 region:rollup2
CHAIR IF WE CAN THINK OF THE
00:55:50.247 --> 00:55:53.217 region:rollup2
OPTION TO WORK TOGETHER JUST
00:55:51.648 --> 00:55:54.952 region:rollup2
WORK ON THE DETAILS OF THOSE.
00:55:53.217 --> 00:55:56.987 region:rollup2
SO WE CAN FULLY UNDERSTAND THE
00:55:54.952 --> 00:55:57.621 region:rollup2
THE THE AMENDMENTS AND GET TO
00:55:56.987 --> 00:56:03.227 region:rollup2
THE GOALS THAT WE'RE BOTH TRYING
00:55:57.621 --> 00:56:05.262 region:rollup2
TO ACHIEVE --
00:56:03.227 --> 00:56:07.698 region:rollup2
APPRECIATE APPRECIATE THAT --
00:56:05.262 --> 00:56:08.966 region:rollup2
THIS IS A GUT AND AMEND SO.
00:56:07.698 --> 00:56:10.067 region:rollup2
YEAH I HAD THIS GONE TO A NORMAL
00:56:08.966 --> 00:56:11.435 region:rollup2
PROCESS WE WOULD HAVE HAD MORE
00:56:10.067 --> 00:56:12.736 region:rollup2
TIME.
00:56:11.435 --> 00:56:14.972 region:rollup2
WE'VE WE HAVE BEEN SOMEWHAT
00:56:12.736 --> 00:56:16.874 region:rollup2
RUSHED TO DO THIS YEAH SO MY
00:56:14.972 --> 00:56:18.375 region:rollup2
OFFER IS ARE IF IF YOU ACCEPT MY
00:56:16.874 --> 00:56:20.744 region:rollup2
AMENDMENTS WE WILL HAVE A DO
00:56:18.375 --> 00:56:22.312 region:rollup2
PASS RECOMMENDATION.
00:56:20.744 --> 00:56:23.714 region:rollup2
IF YOU DO NOT IT WILL BE ENOUGH.
00:56:22.312 --> 00:56:26.683 region:rollup2
I'LL I'LL I'LL I'LL ACCEPT THEM
00:56:23.714 --> 00:56:27.918 region:rollup2
BUT ALSO WE MIGHT GET SOME.
00:56:26.683 --> 00:56:30.087 region:rollup2
SOME PUSH BACK FROM THE
00:56:27.918 --> 00:56:32.990 region:rollup2
DEPARTMENT IN TERMS OF WHETHER
00:56:30.087 --> 00:56:34.691 region:rollup2
THAT THAT THE SPIRIT OF THAT.
00:56:32.990 --> 00:56:35.959 region:rollup2
THE LANGUAGES OF THE PLANET
00:56:34.691 --> 00:56:37.361 region:rollup2
IMPLEMENTABLE SELF AND MY LOOK
00:56:35.959 --> 00:56:38.662 region:rollup2
SEMI DOORS ALWAYS OPEN I'M HAPPY
00:56:37.361 --> 00:56:40.464 region:rollup2
TO WORK WITH YOU GOING FORWARD
00:56:38.662 --> 00:56:45.235 region:rollup2
FANTASTIC THAT'S ALL I WANTED TO
00:56:40.464 --> 00:56:47.204 region:rollup2
HEAR MISTER CHAIR.
00:56:45.235 --> 00:56:48.038 region:rollup2
YEAH JUST BECAUSE THE THE THE
00:56:47.204 --> 00:56:49.539 region:rollup2
AUTHOR IS TAKE TAKING THOSE
00:56:48.038 --> 00:56:50.073 region:rollup2
AMENDMENTS ARE TO CONTINUE WORK
00:56:49.539 --> 00:56:54.311 region:rollup2
TOGETHER ALL OF THE BILL.
00:56:50.073 --> 00:56:55.178 region:rollup2
THANK YOU. THREE MOTION AND A
00:56:54.311 --> 00:56:57.047 region:rollup2
AND A SECOND OR ANY OTHER
00:56:55.178 --> 00:56:58.315 region:rollup2
QUESTIONS OR COMMENTS.
00:56:57.047 --> 00:56:59.082 region:rollup2
SOME RISK ON DISK A JUST
00:56:58.315 --> 00:57:00.817 region:rollup2
REITERATE --
00:56:59.082 --> 00:57:01.985 region:rollup2
SOME OF THE SOME OF THE CONCERNS
00:57:00.817 --> 00:57:03.520 region:rollup2
THAT WE HAVE --
00:57:01.985 --> 00:57:04.688 region:rollup2
AND THAT'S THAT WE GET WE NEED
00:57:03.520 --> 00:57:06.156 region:rollup2
TO MAKE SURE THAT EMPLOYEES HAVE
00:57:04.688 --> 00:57:07.090 region:rollup2
THE SAME CONSUMER PROTECTIONS
00:57:06.156 --> 00:57:09.059 region:rollup2
THAT ARE AFFORDED TO HEALTH PLAN
00:57:07.090 --> 00:57:10.327 region:rollup2
HIM AND RELEASE. TO THE EXTENT
00:57:09.059 --> 00:57:11.995 region:rollup2
THAT THERE ARE WAIVERS OF
00:57:10.327 --> 00:57:13.063 region:rollup2
EXISTING CONSUMER PROTECTIONS OR
00:57:11.995 --> 00:57:14.731 region:rollup2
ANY OTHER REQUIREMENTS ON HEALTH
00:57:13.063 --> 00:57:16.099 region:rollup2
PLANS WE NEED TO ENSURE THESE
00:57:14.731 --> 00:57:17.668 region:rollup2
TYPES OF DECISIONS ARE ANALYZE
00:57:16.099 --> 00:57:18.335 region:rollup2
IN THE BEST INTERESTS OF
00:57:17.668 --> 00:57:20.103 region:rollup2
ENROLLEES.
00:57:18.335 --> 00:57:21.605 region:rollup2
ALSO HE MAKES FOR EMPLOYERS ALSO
00:57:20.103 --> 00:57:22.506 region:rollup2
PROVIDE AN OPTION TO ITS
00:57:21.605 --> 00:57:23.206 region:rollup2
EMPLOYEES OF HEALTH PLAN OUR
00:57:22.506 --> 00:57:23.941 region:rollup2
FRIENDS.
00:57:23.206 --> 00:57:25.976 region:rollup2
THERE FULLY COMPLIANT WITH
00:57:23.941 --> 00:57:27.611 region:rollup2
CALIFORNIA LAW [inaudible]
00:57:25.976 --> 00:57:29.446 region:rollup2
SO.
00:57:27.611 --> 00:57:30.714 region:rollup2
I WILL ABSOLUTELY WORK WITH YOU
00:57:29.446 --> 00:57:31.281 region:rollup2
ARE GOING FOR ON THIS AND WITH
00:57:30.714 --> 00:57:36.219 region:rollup2
THOSE AMENDMENTS ARE I WILL
00:57:31.281 --> 00:57:37.821 region:rollup2
SUPPLY THE BILL TODAY.
00:57:36.219 --> 00:57:40.123 region:rollup2
MISS WALDRON ANSWERED.
00:57:37.821 --> 00:57:41.091 region:rollup2
JUST BRIEFLY ARM COMING FROM SAN
00:57:40.123 --> 00:57:43.393 region:rollup2
DIEGO.
00:57:41.091 --> 00:57:43.961 region:rollup2
I WAS VERY INTERESTED IN THIS
00:57:43.393 --> 00:57:47.230 region:rollup2
BILL AND JUST UNDERSTANDING
00:57:43.961 --> 00:57:49.333 region:rollup2
THAT.
00:57:47.230 --> 00:57:51.101 region:rollup2
YOU KNOW I COULD SEE AN EMPLOYER
00:57:49.333 --> 00:57:53.203 region:rollup2
WHO IS EMPLOYING FOLKS WHO COME
00:57:51.101 --> 00:57:55.272 region:rollup2
OVER EVERY DAY FROM MEXICO WHO
00:57:53.203 --> 00:57:56.139 region:rollup2
LIVE IN MEXICO WORK THERE GO
00:57:55.272 --> 00:57:57.274 region:rollup2
HOME.
00:57:56.139 --> 00:57:59.710 region:rollup2
AND THEN THEY HAVE OTHER PEOPLE
00:57:57.274 --> 00:58:01.945 region:rollup2
WHO WORK THERE WHO ARE CITIZENS
00:57:59.710 --> 00:58:03.380 region:rollup2
SO WHY CAN'T THIS EMPLOYER OFFER
00:58:01.945 --> 00:58:04.748 region:rollup2
THE SAME INSURANCE TO ALL
00:58:03.380 --> 00:58:06.083 region:rollup2
EMPLOYEES.
00:58:04.748 --> 00:58:08.452 region:rollup2
I MEAN SEEMS TO ME AWAY THAT
00:58:06.083 --> 00:58:09.853 region:rollup2
HELP EMPLOYERS AND I UNDERSTAND
00:58:08.452 --> 00:58:13.190 region:rollup2
TRIBAL GOVERNMENTS.
00:58:09.853 --> 00:58:15.359 region:rollup2
ALSO ARE PART OF THIS PLAN --
00:58:13.190 --> 00:58:17.794 region:rollup2
AS WE HEARD NASCO THE HIGH IT A
00:58:15.359 --> 00:58:19.463 region:rollup2
LOT OF DIFFERENT CORPORATION SO.
00:58:17.794 --> 00:58:20.564 region:rollup2
YOU KNOW BEING FROM A BORDER
00:58:19.463 --> 00:58:22.165 region:rollup2
TOWN I CAN TOTALLY UNDERSTAND
00:58:20.564 --> 00:58:25.535 region:rollup2
WHY.
00:58:22.165 --> 00:58:29.339 region:rollup2
SO THANK YOU FOR BRINGING IT.
00:58:25.535 --> 00:58:30.707 region:rollup2
THANK YOU TO ANYONE ELSE.
00:58:29.339 --> 00:58:31.842 region:rollup2
SO WOULD YO LIKE TO CLOSE ARE
00:58:30.707 --> 00:58:33.610 region:rollup2
YOU WILL WASN'T IT YEAH JUST
00:58:31.842 --> 00:58:34.678 region:rollup2
VERY BRIEFLY AND IN TERMS OF THE
00:58:33.610 --> 00:58:36.213 region:rollup2
SPIRIT OF THE OF WHAT WE'RE
00:58:34.678 --> 00:58:37.214 region:rollup2
TALKING ABOUT HERE.
00:58:36.213 --> 00:58:39.149 region:rollup2
RIGHT NOW THERE'S A CO OP
00:58:37.214 --> 00:58:41.017 region:rollup2
PROCESS THAT ALREADY EXIST OF
00:58:39.149 --> 00:58:42.753 region:rollup2
THE WAIVER PROCESS THAT EXIST
00:58:41.017 --> 00:58:45.188 region:rollup2
WAS ONLY INTENDED [inaudible]
00:58:42.753 --> 00:58:47.190 region:rollup2
CHU CHU. TO MAKE SURE THAT YOU
00:58:45.188 --> 00:58:48.959 region:rollup2
CAN -- YOU
00:58:47.190 --> 00:58:50.293 region:rollup2
KNOW THERE'S SOME REGULATIONS
00:58:48.959 --> 00:58:51.661 region:rollup2
AND AND MEXICO THERE DEFERRED
00:58:50.293 --> 00:58:52.763 region:rollup2
THE CALIFORNIA AND SO THE WAIVER
00:58:51.661 --> 00:58:54.464 region:rollup2
PROCESS.
00:58:52.763 --> 00:58:56.299 region:rollup2
IS IS ONLY --
00:58:54.464 --> 00:58:57.901 region:rollup2
CREATED TO CORRECT.
00:58:56.299 --> 00:58:59.569 region:rollup2
THOSE DIFFERENCES TO MAKE SURE
00:58:57.901 --> 00:59:01.571 region:rollup2
THAT THAT PROGRAM STILL
00:58:59.569 --> 00:59:03.206 region:rollup2
COMPLYING WITH ALL THE STATE
00:59:01.571 --> 00:59:06.176 region:rollup2
REGULATIONS THAT.
00:59:03.206 --> 00:59:06.810 region:rollup2
APPLY TO EVERY SINGLE OTHER HMO
00:59:06.176 --> 00:59:08.178 region:rollup2
SO THE PROTECTIONS ARE CURRENTLY
00:59:06.810 --> 00:59:09.513 region:rollup2
THERE.
00:59:08.178 --> 00:59:11.214 region:rollup2
AND THEY WILL CONTINUE TO BE
00:59:09.513 --> 00:59:12.416 region:rollup2
THERE UNDER THIS BILL.
00:59:11.214 --> 00:59:13.850 region:rollup2
MAN SO THAT'S WHY IT'S VERY
00:59:12.416 --> 00:59:15.218 region:rollup2
IMPORTANT THAT WE WE YOU ALLOW
00:59:13.850 --> 00:59:16.753 region:rollup2
US AT LEAST A LITTLE TINY
00:59:15.218 --> 00:59:17.921 region:rollup2
FLEXIBILITY TO WORK.
00:59:16.753 --> 00:59:19.489 region:rollup2
WITH THE STATE DEPARTMENT TO
00:59:17.921 --> 00:59:23.126 region:rollup2
ENSURE THAT THAT.
00:59:19.489 --> 00:59:25.362 region:rollup2
PROGRAM STAYS UP IN PLACE.
00:59:23.126 --> 00:59:27.230 region:rollup2
AND AND IT QUICKLY CONTINUES TO
00:59:25.362 --> 00:59:28.632 region:rollup2
SERVE ITS PURPOSE TO MAKE SURE.
00:59:27.230 --> 00:59:30.167 region:rollup2
THAT THEY'RE OPERATING UNDER ALL
00:59:28.632 --> 00:59:31.835 region:rollup2
THE CODES OF STATE LAW THAT.
00:59:30.167 --> 00:59:32.869 region:rollup2
ARE YOU SURE THAT ALL THE PEOPLE
00:59:31.835 --> 00:59:34.671 region:rollup2
THAT GO THERE THEY GET THE SAME
00:59:32.869 --> 00:59:35.839 region:rollup2
SERVICE AND SAY PROTECTIONS THAT
00:59:34.671 --> 00:59:37.140 region:rollup2
THE WHAT HAPPENED A CALIFORNIA
00:59:35.839 --> 00:59:38.241 region:rollup2
TOMORROW AND THAT'S THAT'S MY
00:59:37.140 --> 00:59:39.376 region:rollup2
INTENTION I THINK THAT'S ALL OF
00:59:38.241 --> 00:59:40.510 region:rollup2
OUR INTENTIONS.
00:59:39.376 --> 00:59:42.179 region:rollup2
AND WE WANT TO GET THERE IN THE
00:59:40.510 --> 00:59:44.081 region:rollup2
DEVIL'S ALWAYS IN THE DE AND I
00:59:42.179 --> 00:59:45.849 region:rollup2
APPRECIATE.
00:59:44.081 --> 00:59:47.350 region:rollup2
HOW HARD YOU'VE WORKED TO ENSURE
00:59:45.849 --> 00:59:49.086 region:rollup2
THAT WE HAVE THE RIGHT AMENDMENT
00:59:47.350 --> 00:59:50.787 region:rollup2
I THINK I THINK THE AMENDMENT
00:59:49.086 --> 00:59:51.621 region:rollup2
YOU APROPOS PROPOSED WILL GET US
00:59:50.787 --> 00:59:53.323 region:rollup2
THERE?
00:59:51.621 --> 00:59:55.058 region:rollup2
BUT JUST IN CASE THERE'S JOB OF
00:59:53.323 --> 00:59:55.859 region:rollup2
MINOR TWEAK I I WANNA MAKE SURE
00:59:55.058 --> 00:59:56.760 region:rollup2
THAT YOU CONTINUE TO STAY AT THE
00:59:55.859 --> 00:59:57.260 region:rollup2
TABLE.
00:59:56.760 --> 00:59:58.829 region:rollup2
AND THAT WE CONTINUE TO
00:59:57.260 --> 00:59:59.996 region:rollup2
COMMUNICATE BECAUSE WE'RE GOING
00:59:58.829 --> 01:00:01.465 region:rollup2
TO TRY TO GET THIS BILL.
00:59:59.996 --> 01:00:03.200 region:rollup2
SO THE GOVERNOR'S DESK THIS YEAR
01:00:01.465 --> 01:00:05.035 region:rollup2
WE NEED ALL YOUR HELP HAS A VERY
01:00:03.200 --> 01:00:06.536 region:rollup2
IMPORTANT TO HELP HELP LET'S
01:00:05.035 --> 01:00:08.071 region:rollup2
ACHIEVE THAT OUR GOALS OF
01:00:06.536 --> 01:00:09.439 region:rollup2
IMPROVING.
01:00:08.071 --> 01:00:10.607 region:rollup2
ACCESS TO HEALTH CARE.
01:00:09.439 --> 01:00:11.875 region:rollup2
THE BORDER REGION THANK YOU VERY
01:00:10.607 --> 01:00:13.076 region:rollup2
MUCH TO SHARE THANK YOU VERY
01:00:11.875 --> 01:00:15.345 region:rollup2
MUCH SENATOR HUESO AND YOU'RE
01:00:13.076 --> 01:00:16.413 region:rollup2
ALWAYS WELCOME AT MY TABLE.
01:00:15.345 --> 01:00:17.881 region:rollup2
AND THEN AND LIKE THAT --
01:00:16.413 --> 01:00:22.352 region:rollup2
WE WILL WE HAVE A MOTION BY
01:00:17.881 --> 01:00:23.987 region:rollup2
MISTER MISTER MAYES SECOND BY.
01:00:22.352 --> 01:00:25.856 region:rollup2
MISS WALDRON EXCUSE ME ON THE
01:00:23.987 --> 01:00:27.023 region:rollup2
MOTION IS TO PASS AS AMENDED TO
01:00:25.856 --> 01:00:28.925 region:rollup2
APPROPRIATIONS AND MADAM
01:00:27.023 --> 01:00:31.228 region:rollup2
SECRETARY PLEASE CALL THE ROLL.
01:00:28.925 --> 01:00:34.397 region:rollup2
WHAT I WHAT I MAY HIS MAYES AYE
01:00:31.228 --> 01:00:35.532 region:rollup2
AGUIAR-CURRY?
01:00:34.397 --> 01:00:35.832 region:rollup2
HACKER CURRY NOT VOTING
01:00:35.532 --> 01:00:38.602 region:rollup2
[inaudible]
01:00:35.832 --> 01:00:40.337 region:rollup2
BIGELOW [inaudible]
01:00:38.602 --> 01:00:41.438 region:rollup2
BIGELOW AYE [inaudible]
01:00:40.337 --> 01:00:43.874 region:rollup2
BONTA [inaudible]
01:00:41.438 --> 01:00:45.408 region:rollup2
BURKE [inaudible]
01:00:43.874 --> 01:00:49.679 region:rollup2
CARILLO [inaudible]
01:00:45.408 --> 01:00:53.583 region:rollup2
CARILLO I FLORA.
01:00:49.679 --> 01:00:55.385 region:rollup2
FLORA AYE AMONG.
01:00:53.583 --> 01:00:58.288 region:rollup2
MCCARTY MCCARTY AYE NAZARIAN.
01:00:55.385 --> 01:00:59.789 region:rollup2
RODRIGUEZ I'M SORRY NAZARIAN AYE
01:00:58.288 --> 01:01:00.824 region:rollup2
RODRIGUEZ AYE [inaudible]
01:00:59.789 --> 01:01:02.159 region:rollup2
SANTIAGO [inaudible]
01:01:00.824 --> 01:01:03.927 region:rollup2
THURMOND [inaudible]
01:01:02.159 --> 01:01:09.499 region:rollup2
WALDRON [inaudible]
01:01:03.927 --> 01:01:11.001 region:rollup2
WALDRON AYE.
01:01:09.499 --> 01:01:12.536 region:rollup2
THE BILL THE BILL HAS NINE VOTES
01:01:11.001 --> 01:01:13.937 region:rollup2
IT'S OUT WILL LEAVE IT ON FIVE
01:01:12.536 --> 01:01:16.039 region:rollup2
THANK SURE OTHERS THAT VERY HOW
01:01:13.937 --> 01:01:16.506 region:rollup2
AYE AYE SHE OPENED THE ROLE OF
01:01:16.039 --> 01:01:32.822 region:rollup2
EXCUSE ME [inaudible]
01:01:16.506 --> 01:01:33.890 region:rollup2
SENATOR HEALTH.
01:01:32.822 --> 01:01:36.026 region:rollup2
GOOD AFTERNOON.
01:01:33.890 --> 01:01:37.394 region:rollup2
MISTER CHAIR AND THAT COLLEAGUES
01:01:36.026 --> 01:01:38.028 region:rollup2
S. B..
01:01:37.394 --> 01:01:38.995 region:rollup2
EIGHT TWENTY THREE REQUIRES THE
01:01:38.028 --> 01:01:40.430 region:rollup2
DEPARTMENT OF HEALTH CARE
01:01:38.995 --> 01:01:42.399 region:rollup2
SERVICES TO ADOPT THE AMERICAN
01:01:40.430 --> 01:01:44.968 region:rollup2
SOCIETY.
01:01:42.399 --> 01:01:45.869 region:rollup2
AND I APPRECIATE YOUR SUPPORT
01:01:44.968 --> 01:01:47.771 region:rollup2
INTO.
01:01:45.869 --> 01:01:48.371 region:rollup2
REFRESHER AYE VOTE I HAVE
01:01:47.771 --> 01:01:50.407 region:rollup2
WITNESSES IN SUPPORT THANK YOU
01:01:48.371 --> 01:01:51.708 region:rollup2
--
01:01:50.407 --> 01:01:53.843 region:rollup2
MARK AGAIN ON BEHALF OF
01:01:51.708 --> 01:01:55.845 region:rollup2
SHATTERPROOF WERE NATIONWIDE --
01:01:53.843 --> 01:01:57.213 region:rollup2
OPIOID ADDICTION TREATMENT A
01:01:55.845 --> 01:01:58.548 region:rollup2
NONPROFIT --
01:01:57.213 --> 01:02:01.151 region:rollup2
THIS IS A BILL THAT WE THINK
01:01:58.548 --> 01:02:03.453 region:rollup2
PROVIDES CERTAINTY TO PATIENTS
01:02:01.151 --> 01:02:04.921 region:rollup2
OF FAMILIES AS WELL AS INSURERS
01:02:03.453 --> 01:02:06.756 region:rollup2
THAT WHAT HAPPENS INSIDE OF A
01:02:04.921 --> 01:02:08.959 region:rollup2
LICENSED CALIFORNIA TREATMENT
01:02:06.756 --> 01:02:10.727 region:rollup2
FACILITY IS EVIDENCE BASED
01:02:08.959 --> 01:02:12.028 region:rollup2
OUTCOMES BASED --
01:02:10.727 --> 01:02:13.330 region:rollup2
WE UNDERSTAND THAT MANY COUNTIES
01:02:12.028 --> 01:02:14.297 region:rollup2
WERE RE DOING THIS ARE WE
01:02:13.330 --> 01:02:15.699 region:rollup2
UNDERSTAND THAT A LOT OF GROUPS
01:02:14.297 --> 01:02:17.033 region:rollup2
HAVE MOVED TOWARDS THIS THIS
01:02:15.699 --> 01:02:19.035 region:rollup2
ACTUALLY.
01:02:17.033 --> 01:02:19.869 region:rollup2
THOUGH WILL SET THE STANDARD --
01:02:19.035 --> 01:02:22.105 region:rollup2
YET --
01:02:19.869 --> 01:02:23.773 region:rollup2
REQUIRES THAT EVERYTHING IN
01:02:22.105 --> 01:02:25.809 region:rollup2
BASED ON EVIDENCE BASED IN ORDER
01:02:23.773 --> 01:02:27.477 region:rollup2
TO OBTAIN A LICENSE --
01:02:25.809 --> 01:02:29.145 region:rollup2
AND IT REALLY SENDS A MESSAGE TO
01:02:27.477 --> 01:02:30.113 region:rollup2
THE REST OF THE NATION WE DO
01:02:29.145 --> 01:02:32.249 region:rollup2
KNOW THAT BACK IN --
01:02:30.113 --> 01:02:33.750 region:rollup2
WASHINGTON DC THERE'S A GROUP
01:02:32.249 --> 01:02:35.385 region:rollup2
WITH THE SURGEON GENERAL --
01:02:33.750 --> 01:02:35.919 region:rollup2
OUR ORGANIZATION SHATTERPROOF
01:02:35.385 --> 01:02:37.254 region:rollup2
SOME OF THE HEALTH CARE
01:02:35.919 --> 01:02:38.455 region:rollup2
FACILITIES AND MANY OF THE
01:02:37.254 --> 01:02:40.790 region:rollup2
TREATMENT GROUPS --
01:02:38.455 --> 01:02:42.759 region:rollup2
THERE ARE CURRENTLY OUT WORKING
01:02:40.790 --> 01:02:44.060 region:rollup2
TO UPDATE OF THE CURRENT AYE AYE
01:02:42.759 --> 01:02:44.628 region:rollup2
EVIDENCE BASED GUIDELINES TO
01:02:44.060 --> 01:02:45.528 region:rollup2
COME OUT WITH SOME OFFICIAL
01:02:44.628 --> 01:02:46.630 region:rollup2
ONES.
01:02:45.528 --> 01:02:48.698 region:rollup2
THERE ARE MANY --
01:02:46.630 --> 01:02:49.299 region:rollup2
INCLUDING THE A SAM REGULATION
01:02:48.698 --> 01:02:51.768 region:rollup2
OR CRITERIA THAT ARE OUT THERE
01:02:49.299 --> 01:02:52.369 region:rollup2
--
01:02:51.768 --> 01:02:54.170 region:rollup2
AND WE ASK FOR YOUR SUPPORT OF
01:02:52.369 --> 01:02:54.704 region:rollup2
THIS BILL.
01:02:54.170 --> 01:02:57.807 region:rollup2
THANK YOU VERY MUCH OF THE
01:02:54.704 --> 01:03:02.445 region:rollup2
OTERS IN SUPPORT. FOR CONSUMER
01:02:57.807 --> 01:03:04.014 region:rollup2
WATCHDOG IN THAT SUPPORT.
01:03:02.445 --> 01:03:05.382 region:rollup2
SHERRI DAILY WITH CALIFORNIA
01:03:04.014 --> 01:03:05.982 region:rollup2
CONSORTIUM OF ADDICTION PROGRAMS
01:03:05.382 --> 01:03:08.685 region:rollup2
AND PROFESSIONALS AND SUPPORT
01:03:05.982 --> 01:03:09.886 region:rollup2
THANK YOU.
01:03:08.685 --> 01:03:11.287 region:rollup2
MISTER CHAIRMAN MEMBERS HAULING
01:03:09.886 --> 01:03:12.856 region:rollup2
MEASURE BEHALF OF THE CALIFORNIA
01:03:11.287 --> 01:03:14.324 region:rollup2
ASSOCIATION OF ALCOHOL DRUG
01:03:12.856 --> 01:03:15.692 region:rollup2
PROGRAM EXECUTIVES.
01:03:14.324 --> 01:03:17.093 region:rollup2
WHICH GENERALLY SUPPORT THE
01:03:15.692 --> 01:03:18.695 region:rollup2
DIRECTION OF THIS BILL BUT WE DO
01:03:17.093 --> 01:03:21.431 region:rollup2
HAVE SOME CONCERNS ABOUT
01:03:18.695 --> 01:03:23.333 region:rollup2
LIMITING CAPACITY THROUGH THE OF
01:03:21.431 --> 01:03:25.268 region:rollup2
THE STATUTES THAT ARE THE
01:03:23.333 --> 01:03:26.636 region:rollup2
PROPOSALS AND I THIS IS
01:03:25.268 --> 01:03:29.072 region:rollup2
SOMETHING THAT --
01:03:26.636 --> 01:03:31.274 region:rollup2
WE HAVE SPENT SOME TIME TALKING
01:03:29.072 --> 01:03:33.677 region:rollup2
TO A THE SPONSORS AND THE AUTHOR
01:03:31.274 --> 01:03:35.378 region:rollup2
ABOUT MICKEY WE HOPE TO CONTINUE
01:03:33.677 --> 01:03:36.780 region:rollup2
TO WORK WITH BOTH AUTHOR IN THE
01:03:35.378 --> 01:03:37.947 region:rollup2
SPONSORS AS THIS BILL MOVES
01:03:36.780 --> 01:03:41.151 region:rollup2
THROUGH THE PROCESS THANK YOU.
01:03:37.947 --> 01:03:42.786 region:rollup2
PICKED HIM.
01:03:41.151 --> 01:03:43.653 region:rollup2
DOCTOR DAVID KAHN ON BEHALF OF
01:03:42.786 --> 01:03:44.688 region:rollup2
THE CALIFORNIA SOCIETY OF
01:03:43.653 --> 01:03:46.690 region:rollup2
ADDICTION MEDICINE IN SUPPORT OF
01:03:44.688 --> 01:03:48.091 region:rollup2
THE BILL.
01:03:46.690 --> 01:03:49.025 region:rollup2
YOU VERY MUCH CAN ALSO AND I'VE
01:03:48.091 --> 01:03:50.427 region:rollup2
BEEN ASKED ABOUT TO OFFER
01:03:49.025 --> 01:03:52.595 region:rollup2
SUPPORT FROM THE CALIFORNIA
01:03:50.427 --> 01:03:56.1000 region:rollup2
CONSUMER ATTORNEYS.
01:03:52.595 --> 01:03:58.501 region:rollup2
IS THERE ANYONE IN OPPOSITION.
01:03:56.1000 --> 01:03:59.369 region:rollup2
SEE KNOWN BRING IT BACK TO THE
01:03:58.501 --> 01:04:00.203 region:rollup2
COMMITTEE FOR QUESTIONS OR
01:03:59.369 --> 01:04:03.440 region:rollup2
COMMENTS QUESTION ANYONE
01:04:00.203 --> 01:04:05.108 region:rollup2
COMMITTEE.
01:04:03.440 --> 01:04:06.476 region:rollup2
THE NIGHT I I DON'T THINK YOU
01:04:05.108 --> 01:04:07.377 region:rollup2
SET A CENTER BUILT PERSON HILL
01:04:06.476 --> 01:04:08.378 region:rollup2
FOR BRINGING THIS.
01:04:07.377 --> 01:04:09.579 region:rollup2
FORWARD --
01:04:08.378 --> 01:04:11.147 region:rollup2
GIVING GIVEN OPPORTUNITY CLOSE
01:04:09.579 --> 01:04:13.216 region:rollup2
AS WELL BUT I APPRECIATE PRETTY
01:04:11.147 --> 01:04:14.818 region:rollup2
REFERENCE IN THIS IT'S VERY.
01:04:13.216 --> 01:04:16.553 region:rollup2
VERY NECESSARY BILL IN IT.
01:04:14.818 --> 01:04:17.721 region:rollup2
JOYS A TO PASS APARTMENT THANK
01:04:16.553 --> 01:04:19.656 region:rollup2
YOU VERY MUCH I APPRECIATE YOUR
01:04:17.721 --> 01:04:20.623 region:rollup2
SUPPORT RESPECTFULLY ASK FOR AYE
01:04:19.656 --> 01:04:22.192 region:rollup2
VOTES THANK YOU VERY MUCH.
01:04:20.623 --> 01:04:24.361 region:rollup2
SHARE AMEND TACTIC WE DO HAVE A
01:04:22.192 --> 01:04:26.262 region:rollup2
MOTION THE MASSIVE MOTION IS A
01:04:24.361 --> 01:04:28.231 region:rollup2
DO PASS AS AMENDED TO
01:04:26.262 --> 01:04:31.601 region:rollup2
PREPARATIONS A MOTION BY WAS MET
01:04:28.231 --> 01:04:33.036 region:rollup2
BY WAS WELL. FIVE WEST.
01:04:31.601 --> 01:04:34.471 region:rollup2
MR MAYES THE SECOND BY MR
01:04:33.036 --> 01:04:35.071 region:rollup2
MCCARTY.
01:04:34.471 --> 01:04:37.307 region:rollup2
HOME SECRETARY PLEASE CALL THE
01:04:35.071 --> 01:04:40.577 region:rollup2
ROLL.
01:04:37.307 --> 01:04:42.011 region:rollup2
WOULD I WOULD I MAYES.
01:04:40.577 --> 01:04:44.614 region:rollup2
EGGER CURRY.
01:04:42.011 --> 01:04:45.381 region:rollup2
AGAR CURRY I'M BIGELOW.%
01:04:44.614 --> 01:04:45.682 region:rollup2
BIGELOW AYE SHRINK BONTA
01:04:45.381 --> 01:04:47.984 region:rollup2
[inaudible]
01:04:45.682 --> 01:04:49.619 region:rollup2
BURKE [inaudible]
01:04:47.984 --> 01:04:51.187 region:rollup2
CARILLO.
01:04:49.619 --> 01:04:52.589 region:rollup2
RIO AYE FLORA.
01:04:51.187 --> 01:04:54.691 region:rollup2
FLORA I THE MOST [inaudible]
01:04:52.589 --> 01:04:56.960 region:rollup2
MCCARTY.
01:04:54.691 --> 01:04:58.628 region:rollup2
MCCARTY I NAZARIAN.
01:04:56.960 --> 01:05:00.363 region:rollup2
NAZARIAN AYE RODRIGUEZ.
01:04:58.628 --> 01:05:00.663 region:rollup2
RODRIGUEZ I SANTIAGO
01:05:00.363 --> 01:05:03.600 region:rollup2
[inaudible]
01:05:00.663 --> 01:05:03.833 region:rollup2
BERMAN.
01:05:03.600 --> 01:05:08.838 region:rollup2
WALDRON.
01:05:03.833 --> 01:05:10.039 region:rollup2
WALDRON AYE.
01:05:08.838 --> 01:05:11.174 region:rollup2
YOUR DOES NINE VOTES IS MORE
01:05:10.039 --> 01:05:12.876 region:rollup2
THANA FEW OUT COMMITTEE WILL
01:05:11.174 --> 01:05:15.211 region:rollup2
LEAVE IT OPEN FOR OTHERS THAT ON
01:05:12.876 --> 01:05:16.546 region:rollup2
THANK YOU SENATOR.
01:05:15.211 --> 01:05:17.380 region:rollup2
THIS POINT WE DON'T HAVE ANY
01:05:16.546 --> 01:05:19.215 region:rollup2
ADDITIONAL OFFERS BUT WE DO HAVE
01:05:17.380 --> 01:05:20.650 region:rollup2
A CONSECUTIVE SOMEONE WOULD LIKE
01:05:19.215 --> 01:05:22.352 region:rollup2
TO MOVE THAT CONCERN COUNTY.
01:05:20.650 --> 01:05:23.686 region:rollup2
THANK YOU SO MUCH THE AND THE
01:05:22.352 --> 01:05:26.289 region:rollup2
MOTION WAS BY MISTER BIGELOW THE
01:05:23.686 --> 01:05:28.291 region:rollup2
SECOND BY MR MCCARTY EMILY --
01:05:26.289 --> 01:05:30.693 region:rollup2
THEM THE CONSECUTIVE CONSISTS OF
01:05:28.291 --> 01:05:33.830 region:rollup2
ITEM NUMBER ONE ACR TO THIRTY
01:05:30.693 --> 01:05:34.631 region:rollup2
FOUR ITEM NUMBER FIVE S. B. NINE
01:05:33.830 --> 01:05:38.201 region:rollup2
THIRTY ONE ITEM NUMBER NINE S.
01:05:34.631 --> 01:05:39.936 region:rollup2
B.. TEN FORTY ONE ITEM NUMBER
01:05:38.201 --> 01:05:42.639 region:rollup2
TWELVE S. B. ELEVEN OH NINE ITEM
01:05:39.936 --> 01:05:43.506 region:rollup2
NUMBER THIRTEEN SP.
01:05:42.639 --> 01:05:46.810 region:rollup2
ELEVEN TWENTY FIVE AND NUMBER
01:05:43.506 --> 01:05:47.443 region:rollup2
ITEM NUMBER TWENTY TWO S. B.
01:05:46.810 --> 01:05:48.578 region:rollup2
FOURTEEN SIXTY FOUR AT A MOTION
01:05:47.443 --> 01:05:50.280 region:rollup2
BY MISTER BIGELOW SECOND AYE MR
01:05:48.578 --> 01:05:51.681 region:rollup2
MCCARTY BETTER SECRETARY PLEASE
01:05:50.280 --> 01:05:54.017 region:rollup2
CALL THE ROLL.
01:05:51.681 --> 01:05:54.951 region:rollup2
WHAT I WOULD AYE MAYES?
01:05:54.017 --> 01:05:56.519 region:rollup2
AGAR CURRY.
01:05:54.951 --> 01:05:58.488 region:rollup2
AGAR CURRY I BIGELOW.
01:05:56.519 --> 01:05:59.789 region:rollup2
BIGELOW AYE BONTA [inaudible]
01:05:58.488 --> 01:06:02.625 region:rollup2
BURKE CARILLO [inaudible]
01:05:59.789 --> 01:06:03.760 region:rollup2
CARILLO I FLORA.
01:06:02.625 --> 01:06:05.728 region:rollup2
FLORA AYE LOW MOAN [inaudible]
01:06:03.760 --> 01:06:07.997 region:rollup2
MCCARTY.
01:06:05.728 --> 01:06:09.666 region:rollup2
MCCARTY AYE THIS AREA.
01:06:07.997 --> 01:06:11.968 region:rollup2
MISSOURI AND I RODRIGUEZ.
01:06:09.666 --> 01:06:12.268 region:rollup2
RODRIGUEZ I SANTIAGO
01:06:11.968 --> 01:06:14.370 region:rollup2
[inaudible]
01:06:12.268 --> 01:06:14.604 region:rollup2
THURMOND.
01:06:14.370 --> 01:06:19.142 region:rollup2
WALDRON.
01:06:14.604 --> 01:06:20.443 region:rollup2
WALDRON AYE.
01:06:19.142 --> 01:06:21.978 region:rollup2
THAT HAS NINE VOTES OF THE
01:06:20.443 --> 01:06:23.379 region:rollup2
CONSENT CALENDAR IS OUT SO AT
01:06:21.978 --> 01:06:39.629 region:rollup2
THIS POINT WE'RE WAITING FOR
01:06:23.379 --> 01:06:39.629 region:rollup2
SOME SENATORS
01:11:02.024 --> 01:11:02.758 region:rollup2
.
01:11:02.158 --> 01:11:10.800 region:rollup2
WHENEVER HERE WITH EVERY LIKE
01:11:02.758 --> 01:11:13.069 region:rollup2
SENATOR.
01:11:10.800 --> 01:11:16.205 region:rollup2
ANYONE IN ORDERED AS A MATTER
01:11:13.069 --> 01:11:17.874 region:rollup2
WHICH ONE YOU PICK CAN YOU JUST
01:11:16.205 --> 01:11:20.042 region:rollup2
TELL ME WHERE YOU WANT TO GO --
01:11:17.874 --> 01:11:21.110 region:rollup2
I GOT TO TEN TWENTY THREE HAVE
01:11:20.042 --> 01:11:22.411 region:rollup2
TO HAVE THEM IN A NUMERICAL
01:11:21.110 --> 01:11:23.045 region:rollup2
ORDER PUT JUST WILL GO AND
01:11:22.411 --> 01:11:35.992 region:rollup2
NUMERICAL ORDER OF START WITH
01:11:23.045 --> 01:11:36.626 region:rollup2
WITH TEN TWENTY THREE PERFECT.
01:11:35.992 --> 01:11:39.061 region:rollup2
CAN'T THINK OF GOVERNMENT ORDER
01:11:36.626 --> 01:11:39.695 region:rollup2
TOOK.
01:11:39.061 --> 01:11:40.530 region:rollup2
OKAY WE'RE GONNA START OFF WITH
01:11:39.695 --> 01:11:42.965 region:rollup2
--
01:11:40.530 --> 01:11:43.766 region:rollup2
SP TEN TWENTY THREE PERFECT.
01:11:42.965 --> 01:11:45.401 region:rollup2
THANK YOU MISTER CHAIR AND
01:11:43.766 --> 01:11:46.802 region:rollup2
MEMBERS HIGH HORIA --
01:11:45.401 --> 01:11:48.404 region:rollup2
TELEHEALTH IS EXPANDING ITS A
01:11:46.802 --> 01:11:49.272 region:rollup2
VITAL PART OF OUR HEALTHCARE
01:11:48.404 --> 01:11:52.842 region:rollup2
SYSTEM.
01:11:49.272 --> 01:11:54.043 region:rollup2
THAT INCREASES ACCESS TO CARE.
01:11:52.842 --> 01:11:55.311 region:rollup2
TO AND LOWERS THE COST
01:11:54.043 --> 01:11:56.179 region:rollup2
ESPECIALLY RURAL UNDERSERVED
01:11:55.311 --> 01:11:58.581 region:rollup2
AREAS OF OUR STATE.
01:11:56.179 --> 01:11:59.782 region:rollup2
PLANO CALIFORNIA THERE AT LEAST
01:11:58.581 --> 01:12:01.617 region:rollup2
FIVE WEBSITES OR MOBILE APPS
01:11:59.782 --> 01:12:03.419 region:rollup2
THAT PATIENTS CAN USE REQUEST
01:12:01.617 --> 01:12:04.720 region:rollup2
HAS FOR CERTAIN STDS OR HORMONAL
01:12:03.419 --> 01:12:05.721 region:rollup2
BIRTH CONTROL WITHOUT AN OFFICE
01:12:04.720 --> 01:12:07.857 region:rollup2
VISIT.
01:12:05.721 --> 01:12:08.691 region:rollup2
WHOEVER THE SPONSOR OF THIS BILL
01:12:07.857 --> 01:12:10.059 region:rollup2
FOUND THAT IN SOME AREAS THE
01:12:08.691 --> 01:12:11.561 region:rollup2
STATE HEALTH INSURANCE
01:12:10.059 --> 01:12:12.061 region:rollup2
REIMBURSEMENTS FOR THESE TYPES
01:12:11.561 --> 01:12:13.996 region:rollup2
OF TELEHEALTH SERVICE IS
01:12:12.061 --> 01:12:15.698 region:rollup2
LIMITED.
01:12:13.996 --> 01:12:16.732 region:rollup2
THIS BILL CLARIFIES INSURANCE
01:12:15.698 --> 01:12:18.534 region:rollup2
COVERAGE IS AVAILABLE FOR
01:12:16.732 --> 01:12:19.836 region:rollup2
CERTAIN REPRODUCTIVE SERVICES
01:12:18.534 --> 01:12:21.404 region:rollup2
DELIVERED TO TELL HEALTH.
01:12:19.836 --> 01:12:23.840 region:rollup2
POLICY REQUIRES THAT OUR FAMILY
01:12:21.404 --> 01:12:25.341 region:rollup2
PACK PROGRAM TO COVER IT I WITH
01:12:23.840 --> 01:12:27.210 region:rollup2
THAT MEMBERS I RESPECTFULLY ASK
01:12:25.341 --> 01:12:27.810 region:rollup2
THAT I WOULD HAVE INTERVIEWS
01:12:27.210 --> 01:12:28.311 region:rollup2
HERE LIKE TO SPEAK IN SUPPORT
01:12:27.810 --> 01:12:29.445 region:rollup2
THE MEASURE [inaudible]
01:12:28.311 --> 01:12:30.746 region:rollup2
GO AHEAD.
01:12:29.445 --> 01:12:31.847 region:rollup2
GOOD AFTERNOON MISTER CHAIRMAN
01:12:30.746 --> 01:12:33.182 region:rollup2
AND MEMBERS OF THE COMMITTEE MY
01:12:31.847 --> 01:12:35.084 region:rollup2
NAME IS AMY MORE AND I'M VICE
01:12:33.182 --> 01:12:36.352 region:rollup2
PRESIDENT OF PUBLIC AFFAIRS AT
01:12:35.084 --> 01:12:37.987 region:rollup2
ESSENTIAL ACCESS HEALTH.
01:12:36.352 --> 01:12:40.623 region:rollup2
AND ESSENTIAL ACCESS IS PROUD TO
01:12:37.987 --> 01:12:41.257 region:rollup2
SPONSOR SB.
01:12:40.623 --> 01:12:42.859 region:rollup2
TEN TWENTY THREE THIS BILL I'M
01:12:41.257 --> 01:12:44.293 region:rollup2
AS THE SENATOR MENTIONED SEEKS
01:12:42.859 --> 01:12:45.595 region:rollup2
TO EXPAND ACCESS TO ESSENTIAL
01:12:44.293 --> 01:12:47.597 region:rollup2
SEXUAL AND REPRODUCTIVE HEALTH
01:12:45.595 --> 01:12:49.332 region:rollup2
SERVICES INCLUDING BIRTH CONTROL
01:12:47.597 --> 01:12:50.266 region:rollup2
AN STD TESTING PREVENTION AND
01:12:49.332 --> 01:12:51.634 region:rollup2
TREATMENT.
01:12:50.266 --> 01:12:53.603 region:rollup2
BY ENHANCING COVERAGE FOR THE
01:12:51.634 --> 01:12:55.838 region:rollup2
SERVICES PROVIDED TO MOBILE HOW
01:12:53.603 --> 01:12:57.073 region:rollup2
TECHNOLOGIES LIKE VIDEO PHONE
01:12:55.838 --> 01:12:58.407 region:rollup2
AND SMARTPHONE APPLICATIONS.
01:12:57.073 --> 01:12:59.709 region:rollup2
WE THANK SENATOR HERNANDEZ FOR
01:12:58.407 --> 01:13:01.477 region:rollup2
HIS LEADERSHIP ON THIS ISSUE AND
01:12:59.709 --> 01:13:02.812 region:rollup2
FOR BEING A CHAMPION FOR WOMEN'S
01:13:01.477 --> 01:13:04.347 region:rollup2
HEALTH ESPECIALLY DURING THESE
01:13:02.812 --> 01:13:05.615 region:rollup2
TIMES.
01:13:04.347 --> 01:13:07.149 region:rollup2
CALIFORNIA HAS SIGNIFICANTLY
01:13:05.615 --> 01:13:08.751 region:rollup2
REDUCED UNINTENDED PREGNANCY
01:13:07.149 --> 01:13:09.886 region:rollup2
RATES IN OUR STATE SINCE THE
01:13:08.751 --> 01:13:12.488 region:rollup2
NINETEEN NINETIES THANKS TO
01:13:09.886 --> 01:13:13.923 region:rollup2
POLICY AND PROGRAM INNOVATIONS.
01:13:12.488 --> 01:13:15.124 region:rollup2
THAT HAVE ADVANCE OR AT REDUCE
01:13:13.923 --> 01:13:16.292 region:rollup2
BARRIERS TO ACCESSING
01:13:15.124 --> 01:13:18.027 region:rollup2
REPRODUCTIVE HEALTH CARE BUT
01:13:16.292 --> 01:13:20.830 region:rollup2
DESPITE THIS PROGRESS.
01:13:18.027 --> 01:13:22.932 region:rollup2
IN CALIFORNIA DISPARITIES REMAIN
01:13:20.830 --> 01:13:24.133 region:rollup2
AND ARE UNINTENDED PREGNANCY
01:13:22.932 --> 01:13:25.835 region:rollup2
RATES REMAIN DOUBLE THOSE AND
01:13:24.133 --> 01:13:26.402 region:rollup2
OTHER DEVELOPED COUNTRIES AND
01:13:25.835 --> 01:13:30.139 region:rollup2
STD RATES ARE AT A HISTORIC
01:13:26.402 --> 01:13:31.274 region:rollup2
HIGH.
01:13:30.139 --> 01:13:31.741 region:rollup2
DISPROPORTIONATELY OF BONE.
01:13:31.274 --> 01:13:32.041 region:rollup2
RELATIONS IN OUR STATE
01:13:31.741 --> 01:13:35.845 region:rollup2
[inaudible]
01:13:32.041 --> 01:13:37.213 region:rollup2
AS A AREAS AND I'M LOW INCOME
01:13:35.845 --> 01:13:38.948 region:rollup2
COMMUNITIES STILL FACE BARRIERS
01:13:37.213 --> 01:13:39.548 region:rollup2
IN ACCESSING TIME SENSITIVE
01:13:38.948 --> 01:13:40.950 region:rollup2
SEXUAL AND REPRODUCTIVE HEALTH
01:13:39.548 --> 01:13:42.718 region:rollup2
CARE.
01:13:40.950 --> 01:13:43.953 region:rollup2
AND WE HAVE MANY SEXUAL
01:13:42.718 --> 01:13:45.388 region:rollup2
REPRODUCTIVE HEALTH CARE DESERT
01:13:43.953 --> 01:13:46.722 region:rollup2
REGIONS THAT EXPERIENCE THE
01:13:45.388 --> 01:13:48.858 region:rollup2
HIGHEST RATES OF UNINTENDED
01:13:46.722 --> 01:13:50.860 region:rollup2
PREGNANCY AND STDS.
01:13:48.858 --> 01:13:52.828 region:rollup2
AND ON WHAT WE NOW WIDESPREAD
01:13:50.860 --> 01:13:54.897 region:rollup2
SMARTPHONE USE OFFERS NEW
01:13:52.828 --> 01:13:55.498 region:rollup2
PATHWAYS FOR EXPANDING ACCESS TO
01:13:54.897 --> 01:13:57.033 region:rollup2
HEALTH CARE.
01:13:55.498 --> 01:13:58.534 region:rollup2
AND IN TURN AN OPPORTUNITY TO
01:13:57.033 --> 01:14:01.203 region:rollup2
IMPROVE PUBLIC HEALTH OUTCOMES
01:13:58.534 --> 01:14:02.505 region:rollup2
AND SAVE PUBLIC RESOURCES.
01:14:01.203 --> 01:14:03.773 region:rollup2
THIS BILL SEEKS TO ELIMINATE
01:14:02.505 --> 01:14:04.907 region:rollup2
BARRIERS AS THE SENATOR
01:14:03.773 --> 01:14:05.541 region:rollup2
MENTIONED BY ALLOWING OUT
01:14:04.907 --> 01:14:07.310 region:rollup2
EXPLICITLY PLANS TO COVER THESE
01:14:05.541 --> 01:14:08.711 region:rollup2
--
01:14:07.310 --> 01:14:10.246 region:rollup2
SERVICES DELIVERED TO MOBILE
01:14:08.711 --> 01:14:11.213 region:rollup2
TELEHEALTH AND ALSO REQUIRE
01:14:10.246 --> 01:14:12.548 region:rollup2
FAMILY PACK TO COVER THESE
01:14:11.213 --> 01:14:13.916 region:rollup2
SERVICES.
01:14:12.548 --> 01:14:15.952 region:rollup2
AND IN THESE DAYS --
01:14:13.916 --> 01:14:17.320 region:rollup2
WITH WOMEN'S AND REPRODUCTIVE
01:14:15.952 --> 01:14:18.954 region:rollup2
HEALTH UNDER ATTACK AT THE
01:14:17.320 --> 01:14:20.923 region:rollup2
FEDERAL LEVEL WE HAVE TO HEARING
01:14:18.954 --> 01:14:22.591 region:rollup2
CALIFORNIA DO EVERYTHING THAT WE
01:14:20.923 --> 01:14:24.026 region:rollup2
CANNOT ONLY TO HOLD THE LINE.
01:14:22.591 --> 01:14:25.561 region:rollup2
AND PROTECT THE ACCESS THAT
01:14:24.026 --> 01:14:27.163 region:rollup2
CALIFORNIANS HAVE NOW BUT TO
01:14:25.561 --> 01:14:28.597 region:rollup2
KEEP PUSHING FORWARD ALSO WITH
01:14:27.163 --> 01:14:29.832 region:rollup2
NEW POLICY INNOVATIONS IN NEW
01:14:28.597 --> 01:14:31.634 region:rollup2
PATHWAYS TO HEALTH.
01:14:29.832 --> 01:14:32.268 region:rollup2
SO FOR THESE REASONS WE ASK FOR
01:14:31.634 --> 01:14:37.473 region:rollup2
YOUR SUPPORT.
01:14:32.268 --> 01:14:39.241 region:rollup2
THANK YOU VERY MUCH.
01:14:37.473 --> 01:14:40.409 region:rollup2
SO GOOD AFTERNOON I'M DOCTOR
01:14:39.241 --> 01:14:42.311 region:rollup2
ALLEN HARSH WORDS I AM A BOARD
01:14:40.409 --> 01:14:43.879 region:rollup2
CERTIFIED INTERNIST A FELLOW OF
01:14:42.311 --> 01:14:44.980 region:rollup2
THE SOCIETY FAMILY PLANNING.
01:14:43.879 --> 01:14:46.215 region:rollup2
AND A TENURED PROFESSOR OF
01:14:44.980 --> 01:14:47.383 region:rollup2
MEDICINE AT THE UNIVERSITY OF
01:14:46.215 --> 01:14:50.319 region:rollup2
CALIFORNIA DAVIS.
01:14:47.383 --> 01:14:51.120 region:rollup2
I'M INTO TWO THOUSAND AND
01:14:50.319 --> 01:14:52.154 region:rollup2
SIXTEEN I WORK WITH OUR STATE
01:14:51.120 --> 01:14:53.589 region:rollup2
DEPARTMENT OF HEALTH CARE
01:14:52.154 --> 01:14:54.090 region:rollup2
SERVICES OFFICE OF FAMILY
01:14:53.589 --> 01:14:54.957 region:rollup2
PLANNING IS THERE SENIOR
01:14:54.090 --> 01:14:57.093 region:rollup2
MEDICAL.
01:14:54.957 --> 01:14:58.928 region:rollup2
CONSULTANT HOWEVER I'M SPEAKING
01:14:57.093 --> 01:14:59.995 region:rollup2
TODAY AS A PRIVATE CITIZEN NOT
01:14:58.928 --> 01:15:01.263 region:rollup2
AS A REPRESENTATIVE OF BY THE
01:14:59.995 --> 01:15:02.431 region:rollup2
UNIVERSITY OF CALIFORNIA AT THE
01:15:01.263 --> 01:15:04.567 region:rollup2
STATE DEPARTMENT OF HEALTH CARE
01:15:02.431 --> 01:15:06.302 region:rollup2
SERVICES.
01:15:04.567 --> 01:15:08.804 region:rollup2
I'M HERE TODAY TO URGE YOU TO
01:15:06.302 --> 01:15:09.338 region:rollup2
SUPPORT S. B..
01:15:08.804 --> 01:15:10.539 region:rollup2
TEN TWENTY THREE WHICH IS
01:15:09.338 --> 01:15:11.941 region:rollup2
DESIGNED TO EXPAND THE USE
01:15:10.539 --> 01:15:13.809 region:rollup2
TELEHEALTH FOR THE PROVISION OF
01:15:11.941 --> 01:15:15.478 region:rollup2
FAMILY PLANNING SERVICES.
01:15:13.809 --> 01:15:17.313 region:rollup2
I FIRST BECAME INVOLVED IN
01:15:15.478 --> 01:15:18.581 region:rollup2
TELEHEALTH OVER A DECADE AGO AS
01:15:17.313 --> 01:15:20.249 region:rollup2
FACULTY AT THE UNIVERSITY OF
01:15:18.581 --> 01:15:21.150 region:rollup2
PITTSBURGH MEDICAL CENTER IN
01:15:20.249 --> 01:15:22.251 region:rollup2
PENNSYLVANIA.
01:15:21.150 --> 01:15:24.387 region:rollup2
I WORKED WITH COLLEAGUES TO
01:15:22.251 --> 01:15:26.422 region:rollup2
DEVELOP A PROGRAM WE CALLED YOU
01:15:24.387 --> 01:15:27.957 region:rollup2
VISITS AND IS NOW A PROGRAM
01:15:26.422 --> 01:15:29.392 region:rollup2
CALLED ANYWHERE CARE.
01:15:27.957 --> 01:15:31.193 region:rollup2
THIS PROGRAM OFFERS PATIENTS
01:15:29.392 --> 01:15:33.863 region:rollup2
WITH NON EMERGENCY SYMPTOMS
01:15:31.193 --> 01:15:35.564 region:rollup2
QUALITY CARE ONLINE QUICKLY WITH
01:15:33.863 --> 01:15:36.532 region:rollup2
THE EXPLICIT GOAL OF NOT HAVING
01:15:35.564 --> 01:15:38.467 region:rollup2
TO WAIT.
01:15:36.532 --> 01:15:39.769 region:rollup2
IN AN EMERGENCY ROOM OR A
01:15:38.467 --> 01:15:41.570 region:rollup2
WAITING ROOM OR DEAL WITH
01:15:39.769 --> 01:15:42.605 region:rollup2
PARKING HASSLES.
01:15:41.570 --> 01:15:43.973 region:rollup2
SUCH CONVENIENCE IS REALLY
01:15:42.605 --> 01:15:45.508 region:rollup2
BECOMING THE STANDARD OF CARE
01:15:43.973 --> 01:15:46.809 region:rollup2
AND PRIVATE HEALTH CARE.
01:15:45.508 --> 01:15:47.910 region:rollup2
SUCH PROGRAMS ARE ESPECIALLY
01:15:46.809 --> 01:15:49.145 region:rollup2
IMPORTANT TO MAINTAINING THE
01:15:47.910 --> 01:15:51.414 region:rollup2
HEALTH PEOPLE LIVING IN RURAL
01:15:49.145 --> 01:15:52.681 region:rollup2
AREAS ESPECIALLY DURING SNOWY
01:15:51.414 --> 01:15:54.917 region:rollup2
WINTERS WHEN ROAD CONDITIONS CAN
01:15:52.681 --> 01:15:56.452 region:rollup2
BE HAZARDOUS.
01:15:54.917 --> 01:15:57.953 region:rollup2
OF PARTICULAR RELEVANCE TO
01:15:56.452 --> 01:15:59.989 region:rollup2
TODAY'S CONVERSATION I LED
01:15:57.953 --> 01:16:01.824 region:rollup2
UPMC'S LAUNCH OF A CONTRACEPTIVE
01:15:59.989 --> 01:16:03.259 region:rollup2
YOU VISIT WHICH ALLOWED WOMEN TO
01:16:01.824 --> 01:16:05.327 region:rollup2
REQUEST A PRESCRIPTION FOR
01:16:03.259 --> 01:16:06.962 region:rollup2
HORMONAL CONTRACEPTION.
01:16:05.327 --> 01:16:08.397 region:rollup2
AS WE PREVIOUSLY PUBLISHED IN
01:16:06.962 --> 01:16:09.465 region:rollup2
PEER REVIEW JOURNALS WOMEN WHO
01:16:08.397 --> 01:16:11.100 region:rollup2
USED A CONTRACEPTIVE
01:16:09.465 --> 01:16:12.535 region:rollup2
QUESTIONNAIRE TO SELF SCREEN FOR
01:16:11.100 --> 01:16:14.837 region:rollup2
CONTRAINDICATED INSTALL HARMONIC
01:16:12.535 --> 01:16:16.472 region:rollup2
CONTRACEPTION OR LESS LIKELY THE
01:16:14.837 --> 01:16:18.107 region:rollup2
WOMEN WHO SAW CLINICIAN DURING
01:16:16.472 --> 01:16:19.108 region:rollup2
THE REGULAR OFFICE VISIT. TO
01:16:18.107 --> 01:16:21.310 region:rollup2
RECEIVE INAPPROPRIATE
01:16:19.108 --> 01:16:22.545 region:rollup2
PRESCRIPTIONS MEANING USING
01:16:21.310 --> 01:16:24.580 region:rollup2
TELEHEALTH PROVIDE HORMONAL
01:16:22.545 --> 01:16:26.549 region:rollup2
CONTRACEPTION HAS BEEN PROVEN TO
01:16:24.580 --> 01:16:27.683 region:rollup2
BE BOTH SAFE AND EFFECTIVE.
01:16:26.549 --> 01:16:29.285 region:rollup2
MY CURRENT CLINICAL PRACTICE
01:16:27.683 --> 01:16:31.120 region:rollup2
HERE IN SACRAMENTO I GET TO SEE
01:16:29.285 --> 01:16:31.720 region:rollup2
FIRSTHAND THE WAYS ACCESS TO
01:16:31.120 --> 01:16:33.589 region:rollup2
TELEHEALTH IMPROVE MY PATIENTS
01:16:31.720 --> 01:16:34.590 region:rollup2
LIVES.
01:16:33.589 --> 01:16:36.025 region:rollup2
I TAKE CARE OF A GOOD NUMBER OF
01:16:34.590 --> 01:16:38.093 region:rollup2
PATIENTS WHO LIVE A COUPLE HOURS
01:16:36.025 --> 01:16:39.428 region:rollup2
NORTH OF SACRAMENTO. FOR THOSE
01:16:38.093 --> 01:16:40.930 region:rollup2
LIVING IN RURAL AREAS AND
01:16:39.428 --> 01:16:42.431 region:rollup2
PARTICULARLY THOSE WITHOUT GAS
01:16:40.930 --> 01:16:42.965 region:rollup2
MONEY TO DRIVE TO A CLINIC RIGHT
01:16:42.431 --> 01:16:43.566 region:rollup2
NOW.
01:16:42.965 --> 01:16:46.435 region:rollup2
THE OPTION OF TELEHEALTH IS A
01:16:43.566 --> 01:16:48.337 region:rollup2
GOD SO.
01:16:46.435 --> 01:16:49.705 region:rollup2
ESPECIALLY THOSE WHO WORK NIGHTS
01:16:48.337 --> 01:16:51.574 region:rollup2
OFTEN FIND IT HARD TO GET TO
01:16:49.705 --> 01:16:52.241 region:rollup2
CLINIC DURING USUAL BUSINESS
01:16:51.574 --> 01:16:53.642 region:rollup2
HOURS.
01:16:52.241 --> 01:16:55.578 region:rollup2
IN ALL OF THE SITUATIONS THE
01:16:53.642 --> 01:16:57.713 region:rollup2
OPTION OF USING TELE HEALTH TO
01:16:55.578 --> 01:16:59.114 region:rollup2
DISCUSS CONCERNS BUT ABOUT
01:16:57.713 --> 01:17:00.382 region:rollup2
POSSIBLE SIDE EFFECTS ROUTINE
01:16:59.114 --> 01:17:01.517 region:rollup2
REFILLS WHEN NEEDED CAN MEAN THE
01:17:00.382 --> 01:17:03.219 region:rollup2
DIFFERENCE BETWEEN.
01:17:01.517 --> 01:17:05.855 region:rollup2
DISEASE AND HEALTH FOR ALL THESE
01:17:03.219 --> 01:17:07.223 region:rollup2
REASONS I STRONGLY ENCOURAGE YOU
01:17:05.855 --> 01:17:09.024 region:rollup2
TO HELP THE STATE OF CALIFORNIA
01:17:07.223 --> 01:17:10.259 region:rollup2
EXPAND THEIR USE OF TELEHEALTH
01:17:09.024 --> 01:17:13.162 region:rollup2
TO EXPAND ACCESS TO PUBLICLY
01:17:10.259 --> 01:17:13.796 region:rollup2
FUNDED FAMILY PLANNING SERVICES.
01:17:13.162 --> 01:17:15.798 region:rollup2
THANKS VERY MUCH DOCTOR OTHER IS
01:17:13.796 --> 01:17:16.465 region:rollup2
IN SUPPORT.
01:17:15.798 --> 01:17:17.199 region:rollup2
THANK YOU MISTER CHAIRMAN FIRST
01:17:16.465 --> 01:17:18.801 region:rollup2
MEGAN SUPERS ON BEHALF OF
01:17:17.199 --> 01:17:22.037 region:rollup2
CALIFORNIA HEALTH PLUS ADVOCATES
01:17:18.801 --> 01:17:24.039 region:rollup2
IN SUPPORT THANK YOU.
01:17:22.037 --> 01:17:24.773 region:rollup2
RESIDENTS ARE ON BEHALF OF THE
01:17:24.039 --> 01:17:26.876 region:rollup2
CALIFORNIA ACADEMY DAMAGE
01:17:24.773 --> 01:17:30.146 region:rollup2
POSITIONS AND AMERICAN COLLEGE
01:17:26.876 --> 01:17:30.946 region:rollup2
OBGYN STRYCHNINE SUPPORT IF YOU.
01:17:30.146 --> 01:17:32.248 region:rollup2
RIGHT NEXT CALIFORNIA'S
01:17:30.946 --> 01:17:33.415 region:rollup2
DISABILITY RIGHTS CALIFORNIA
01:17:32.248 --> 01:17:33.949 region:rollup2
ALLIANCE RETIRED AMERICANS IN
01:17:33.415 --> 01:17:35.818 region:rollup2
STRONG SUPPORT.
01:17:33.949 --> 01:17:39.989 region:rollup2
YOU VERY MUCH.
01:17:35.818 --> 01:17:41.557 region:rollup2
SO ANYONE IN OPPOSITION.
01:17:39.989 --> 01:17:42.958 region:rollup2
SEEING NO ONE WILL BRING IT BACK
01:17:41.557 --> 01:17:44.026 region:rollup2
TO THE COMMITTEE FOR QUESTIONS
01:17:42.958 --> 01:17:45.961 region:rollup2
OR COMMENTS MISS AGUIAR-CURRY.
01:17:44.026 --> 01:17:46.996 region:rollup2
THANK YOUS THANK YOU THANK YOU
01:17:45.961 --> 01:17:48.297 region:rollup2
FOR BRINGING THIS BILL FOUR THIS
01:17:46.996 --> 01:17:49.765 region:rollup2
IS A REALLY GREAT BILL I
01:17:48.297 --> 01:17:51.467 region:rollup2
APPRECIATE I'VE BEEN WORKING ON
01:17:49.765 --> 01:17:53.602 region:rollup2
TRYING TO FIGURE OUT TELEHEALTH.
01:17:51.467 --> 01:17:54.603 region:rollup2
IN OUR RURAL AREAS DEMOCRACY WE
01:17:53.602 --> 01:17:56.172 region:rollup2
NEED TO GET SOME INTERNET OUT
01:17:54.603 --> 01:17:57.640 region:rollup2
THERE WHICH SHOULD BE HELPFUL.
01:17:56.172 --> 01:17:59.542 region:rollup2
BUT I FOUND OUT MY WHEN MY
01:17:57.640 --> 01:18:01.310 region:rollup2
COUNTIES IS NUMBER ONE WITH STD
01:17:59.542 --> 01:18:02.845 region:rollup2
RATES AND I CANNOT PUT UP
01:18:01.310 --> 01:18:04.446 region:rollup2
WITHOUT SO EVERITT DOES WE CAN
01:18:02.845 --> 01:18:06.115 region:rollup2
DO TO MOVE THIS FORWARD I AM I
01:18:04.446 --> 01:18:09.118 region:rollup2
REALLY APPRECIATE THE BALLOT
01:18:06.115 --> 01:18:11.854 region:rollup2
THANK YOU VERY MUCH.
01:18:09.118 --> 01:18:13.322 region:rollup2
I ALSO OR IF YOU HAVE A GOOD
01:18:11.854 --> 01:18:14.490 region:rollup2
VEHICLE AUTHOR --
01:18:13.322 --> 01:18:15.791 region:rollup2
THEM SO WE CAN MANY HERE IN THIS
01:18:14.490 --> 01:18:20.329 region:rollup2
COMMITTEE BUT YEAH.
01:18:15.791 --> 01:18:21.564 region:rollup2
BUT NOT TO EDITORS OR IF WE CAN
01:18:20.329 --> 01:18:23.566 region:rollup2
DO THAT APPARENTLY YEAH THANK
01:18:21.564 --> 01:18:25.668 region:rollup2
YOU APPRECIATE IT.
01:18:23.566 --> 01:18:26.468 region:rollup2
I DO KNOW WE HAVE THAT POWER
01:18:25.668 --> 01:18:27.069 region:rollup2
WELL MEANING SHE ASKING.
01:18:26.468 --> 01:18:28.971 region:rollup2
THANK YOU THANK YOU THANK YOU
01:18:27.069 --> 01:18:32.374 region:rollup2
VERY MUCH --
01:18:28.971 --> 01:18:33.943 region:rollup2
ANY OTHER COMMENTS OR QUESTIONS.
01:18:32.374 --> 01:18:34.810 region:rollup2
WOULD CENTER WHICH I TO GO ASK
01:18:33.943 --> 01:18:35.744 region:rollup2
FOR AN ITEM PLEASE TAKE THANK
01:18:34.810 --> 01:18:37.112 region:rollup2
YOU VERY MUCH REALLY PRETTY
01:18:35.744 --> 01:18:38.647 region:rollup2
BRING THIS FOR NOW ACTUALLY.
01:18:37.112 --> 01:18:39.615 region:rollup2
IF WELL RADICAL WE HAD ME IS
01:18:38.647 --> 01:18:41.750 region:rollup2
COOPER.
01:18:39.615 --> 01:18:43.619 region:rollup2
TO KNOW IT IT IS IT IS IT IS AN
01:18:41.750 --> 01:18:46.455 region:rollup2
ISSUE IT IS IT IS IT IS SERIOUS
01:18:43.619 --> 01:18:47.523 region:rollup2
ISSUE IN AN ESPECIALLY --
01:18:46.455 --> 01:18:48.591 region:rollup2
AND AND I WILL I WILL ALSO PUT
01:18:47.523 --> 01:18:49.658 region:rollup2
AN EXCLAMATION POINT ON ON THE
01:18:48.591 --> 01:18:50.826 region:rollup2
CHALLENGES WE HAVE WITH PEROT
01:18:49.658 --> 01:18:52.294 region:rollup2
BROADBAND TO TRULY MAKE THIS
01:18:50.826 --> 01:18:55.864 region:rollup2
THING WORK SO --
01:18:52.294 --> 01:18:57.266 region:rollup2
SO APPRECIATE PRETTY RING THE
01:18:55.864 --> 01:18:58.734 region:rollup2
BELL FORWARD AND IT DOES ENJOY
01:18:57.266 --> 01:19:00.736 region:rollup2
DO PASS RECOMMENDATION.
01:18:58.734 --> 01:19:01.804 region:rollup2
BUT WE NEED A MOTION.
01:19:00.736 --> 01:19:03.439 region:rollup2
OKAY AND WHERE MOST OF A MISSILE
01:19:01.804 --> 01:19:05.207 region:rollup2
YEAR CURRY AND A SECOND BY MISS
01:19:03.439 --> 01:19:06.542 region:rollup2
CARILLO MADAM SECRETARY PLEASE
01:19:05.207 --> 01:19:08.210 region:rollup2
CALL THE ROLL.
01:19:06.542 --> 01:19:11.680 region:rollup2
MOSHE'S DO PASSED APPROPRIATIONS
01:19:08.210 --> 01:19:12.748 region:rollup2
WOULD I WOULD I MAYES.
01:19:11.680 --> 01:19:15.084 region:rollup2
ACTOR CURRY.
01:19:12.748 --> 01:19:15.517 region:rollup2
ANCHOR CURRY I BIGELOW.
01:19:15.084 --> 01:19:17.453 region:rollup2
BIGELOW AYE BONTA.
01:19:15.517 --> 01:19:18.053 region:rollup2
BURKE.
01:19:17.453 --> 01:19:21.123 region:rollup2
CARILLO.
01:19:18.053 --> 01:19:23.792 region:rollup2
CARILLO AYE FLORA [inaudible]
01:19:21.123 --> 01:19:24.226 region:rollup2
LIMON [inaudible]
01:19:23.792 --> 01:19:26.128 region:rollup2
MCCARTY [inaudible]
01:19:24.226 --> 01:19:27.863 region:rollup2
NAZARIAN.
01:19:26.128 --> 01:19:31.867 region:rollup2
RODRIGUEZ SANTIAGO BERMAN
01:19:27.863 --> 01:19:33.269 region:rollup2
WALDRON.
01:19:31.867 --> 01:19:35.771 region:rollup2
HERE FOR WE NEED SOME MORE VOTES
01:19:33.269 --> 01:19:38.073 region:rollup2
YOU MISSED IT THERE WHERE WE HAD
01:19:35.771 --> 01:19:40.876 region:rollup2
ENOUGH VOTES HERE WHILE MY EYES
01:19:38.073 --> 01:19:42.478 region:rollup2
IS AMAZING SURE I'M SURE THEY
01:19:40.876 --> 01:19:43.112 region:rollup2
DON'T NAY BARRACKS CINNAMON.
01:19:42.478 --> 01:19:45.381 region:rollup2
SO ANYWAY YEARS YOUR NEXT BILL
01:19:43.112 --> 01:19:45.914 region:rollup2
SENATE YEAH SP ONE ONE ZERO
01:19:45.381 --> 01:19:46.682 region:rollup2
EIGHT PERFECT THINKING.
01:19:45.914 --> 01:19:47.149 region:rollup2
THINGS CHAIR MEMBERS IN JANUARY
01:19:46.682 --> 01:19:47.783 region:rollup2
AS WE KNOW THE FEDERAL
01:19:47.149 --> 01:19:49.985 region:rollup2
GOVERNMENT ANNOUNCED A DRAMATIC
01:19:47.783 --> 01:19:51.587 region:rollup2
CHANGE IN POLICY BY ALLOWING
01:19:49.985 --> 01:19:52.955 region:rollup2
STATES TO CONDITION.
01:19:51.587 --> 01:19:54.590 region:rollup2
MEDICAID COVERAGE AND WORK AND
01:19:52.955 --> 01:19:56.558 region:rollup2
COMMUTING GAUGE MEN FOR CERTAIN
01:19:54.590 --> 01:19:58.060 region:rollup2
BENEFICIARIES THE UNDERLYING
01:19:56.558 --> 01:19:59.228 region:rollup2
THEORY BEHIND REQUIREMENTS IS
01:19:58.060 --> 01:20:00.663 region:rollup2
THAT INDIVIDUALS WHO ARE NOT
01:19:59.228 --> 01:20:01.964 region:rollup2
WORKING CHOOSE NOT TO BE
01:20:00.663 --> 01:20:03.432 region:rollup2
EMPLOYED --
01:20:01.964 --> 01:20:05.067 region:rollup2
BUT THERE ARE MAJOR FLAWS IN
01:20:03.432 --> 01:20:06.802 region:rollup2
THIS STINKING FIRST OFF MEDICAID
01:20:05.067 --> 01:20:13.776 region:rollup2
BENEFICIARIES WHO CAN WORK.
01:20:06.802 --> 01:20:14.410 region:rollup2
DO WORK SECOND IMPOSING WORKERS
01:20:13.776 --> 01:20:15.010 region:rollup2
LAWSON COVERAGE FOR INDIVIDUALS
01:20:14.410 --> 01:20:15.644 region:rollup2
WHO WERE ACTUALLY IN NEED OF
01:20:15.010 --> 01:20:16.211 region:rollup2
COVERAGE TO WORK OR PEOPLE WHO
01:20:15.644 --> 01:20:18.247 region:rollup2
CAN'T WORK BECAUSE THERE.
01:20:16.211 --> 01:20:20.215 region:rollup2
HAVE FAMILY CAREGIVERS OR IN
01:20:18.247 --> 01:20:21.750 region:rollup2
FULL TIME STUDENTS FINALLY A
01:20:20.215 --> 01:20:23.085 region:rollup2
WORK REQUIREMENT WILL LEAD TO AN
01:20:21.750 --> 01:20:25.020 region:rollup2
OVERLY BURDENSOME PAPERWORK AND
01:20:23.085 --> 01:20:26.989 region:rollup2
RESULT IN HIGHER STATE AND
01:20:25.020 --> 01:20:28.791 region:rollup2
COUNTY ADMINISTRATIVE COSTS.
01:20:26.989 --> 01:20:30.492 region:rollup2
CALIFORNIA HAS BEEN A LEADER IN
01:20:28.791 --> 01:20:31.760 region:rollup2
IMPLEMENTATION INLAND TAMING THE
01:20:30.492 --> 01:20:33.095 region:rollup2
AFFORDABLE CARE ACT.
01:20:31.760 --> 01:20:35.197 region:rollup2
ENCOURAGING ENROLLMENT IN
01:20:33.095 --> 01:20:36.699 region:rollup2
COVERAGE MAKING MEDI CAL
01:20:35.197 --> 01:20:38.934 region:rollup2
CONTINGENT OUR WORK REQUIREMENTS
01:20:36.699 --> 01:20:41.103 region:rollup2
IS A STEP BACKWARDS MEMBERS.
01:20:38.934 --> 01:20:42.771 region:rollup2
THIS BILL PUTS CALIFORNIA RECORD
01:20:41.103 --> 01:20:44.373 region:rollup2
IS REJECTING MISGUIDED AND MEAN
01:20:42.771 --> 01:20:45.841 region:rollup2
SPIRITED ATTEMPTS TO MAKE TAKE
01:20:44.373 --> 01:20:47.342 region:rollup2
MEDICARE COVERAGE AWAY FROM
01:20:45.841 --> 01:20:48.744 region:rollup2
THOSE WHO NEED IT MOST.
01:20:47.342 --> 01:20:49.912 region:rollup2
AYE ASPIRIN AYE VOTE AND I HAVE
01:20:48.744 --> 01:20:51.146 region:rollup2
INDIVIDUALS HERE LIKE TO SPEAK
01:20:49.912 --> 01:20:52.715 region:rollup2
IN SUPPORT OF THE MEASURE MISTER
01:20:51.146 --> 01:20:53.916 region:rollup2
CHAIR MEMBERS.
01:20:52.715 --> 01:20:54.783 region:rollup2
GOOD AFTERNOON I'M CHEN FLOYD
01:20:53.916 --> 01:20:56.552 region:rollup2
FROM THE WESTERN CENTER ON LAW
01:20:54.783 --> 01:20:57.886 region:rollup2
AND POVERTY AND ARE PROUD TO
01:20:56.552 --> 01:20:59.188 region:rollup2
SPONSOR S. B. ELEVEN AWAY.
01:20:57.886 --> 01:21:00.322 region:rollup2
WHEN CONGRESS FAILED TO REPEAL
01:20:59.188 --> 01:21:01.957 region:rollup2
THE AFFORDABLE CARE ACT LAST
01:21:00.322 --> 01:21:03.692 region:rollup2
YEAR THE FEDERAL MEDICAID AGENCY
01:21:01.957 --> 01:21:04.593 region:rollup2
BEGAN ADVISING STATES ON CHANGES
01:21:03.692 --> 01:21:05.761 region:rollup2
THEY COULD MAKE TO REDUCE
01:21:04.593 --> 01:21:07.963 region:rollup2
ENROLLMENT IN THEIR STATE
01:21:05.761 --> 01:21:09.331 region:rollup2
MEDICAID PROGRAMS? FOUR STATES
01:21:07.963 --> 01:21:10.833 region:rollup2
ALREADY HAVE WAIVERS REAP
01:21:09.331 --> 01:21:11.900 region:rollup2
APPROVED WITH WORK REQUIREMENTS
01:21:10.833 --> 01:21:13.802 region:rollup2
FOR ADULTS WHO ARE NOT ELDERLY
01:21:11.900 --> 01:21:15.904 region:rollup2
OR DISABLED WELL EIGHT MORE HAVE
01:21:13.802 --> 01:21:17.139 region:rollup2
PENDING APPLICATIONS. THREE OF
01:21:15.904 --> 01:21:18.640 region:rollup2
THOSE APPROVED WAIVERS ALSO
01:21:17.139 --> 01:21:19.441 region:rollup2
INCLUDE A LOCK OUT PERIOD THAT
01:21:18.640 --> 01:21:20.409 region:rollup2
BARS AN INDIVIDUAL FROM
01:21:19.441 --> 01:21:22.311 region:rollup2
RECEIVING MEDICAID COVERAGE
01:21:20.409 --> 01:21:23.545 region:rollup2
SEVERAL MONTHS --
01:21:22.311 --> 01:21:24.646 region:rollup2
FOR FAILING TO TURN IN PAPERWORK
01:21:23.545 --> 01:21:26.515 region:rollup2
PAY PREMIUMS OR MEET THOSE WORK
01:21:24.646 --> 01:21:27.816 region:rollup2
REQUIREMENTS.
01:21:26.515 --> 01:21:28.984 region:rollup2
STATES ALSO OF A NUMBER OF OTHER
01:21:27.816 --> 01:21:30.185 region:rollup2
REQUESTS AND PENDING WAIVER
01:21:28.984 --> 01:21:31.420 region:rollup2
APPLICATIONS TO RESTRICT
01:21:30.185 --> 01:21:32.821 region:rollup2
ELIGIBILITY SUCH AS TOTAL
01:21:31.420 --> 01:21:33.956 region:rollup2
ENROLLMENT CAPS TIME LIMITS
01:21:32.821 --> 01:21:35.424 region:rollup2
LOWERING OF THE INCOME
01:21:33.956 --> 01:21:35.991 region:rollup2
ELIGIBILITY THRESHOLD AND
01:21:35.424 --> 01:21:37.292 region:rollup2
REINTRODUCTION OF THE ASSETS
01:21:35.991 --> 01:21:38.527 region:rollup2
TEST.
01:21:37.292 --> 01:21:40.095 region:rollup2
IT'S NOT YET KNOWN HOW MANY OF
01:21:38.527 --> 01:21:41.697 region:rollup2
THESE REQUESTS WILL BE APPROVED.
01:21:40.095 --> 01:21:43.298 region:rollup2
WE RECOGNIZE THESE ATTEMPTS FOR
01:21:41.697 --> 01:21:44.967 region:rollup2
WHAT THEY ARE A RETURN TO THE
01:21:43.298 --> 01:21:46.468 region:rollup2
IDEA THAT SO SOME LOW INCOME
01:21:44.967 --> 01:21:48.036 region:rollup2
PEOPLE ARE MORE DESERVING OF
01:21:46.468 --> 01:21:49.805 region:rollup2
HEALTH CARE THAN OTHERS.
01:21:48.036 --> 01:21:50.939 region:rollup2
PRIOR TO OUR MEDI CAL EXPANSION
01:21:49.805 --> 01:21:52.174 region:rollup2
MANY PEOPLE WHO NEEDED HEALTH
01:21:50.939 --> 01:21:53.776 region:rollup2
CARE OFTEN HAD TO WAIT UNTIL
01:21:52.174 --> 01:21:54.843 region:rollup2
THEIR HEALTH HAD DETERIORATED TO
01:21:53.776 --> 01:21:56.311 region:rollup2
THE POINT THAT THEY WOULD BECOME
01:21:54.843 --> 01:21:57.946 region:rollup2
ELIGIBLE FOR MEDICARE ALL.
01:21:56.311 --> 01:21:59.448 region:rollup2
ON THE BASIS OF A DISABILITY.
01:21:57.946 --> 01:22:01.216 region:rollup2
IN OTHER WORDS LOW INCOME PEOPLE
01:21:59.448 --> 01:22:02.518 region:rollup2
HAD TO BECOME MEDICALLY UNABLE
01:22:01.216 --> 01:22:04.153 region:rollup2
TO WORK IN ORDER TO GET THE
01:22:02.518 --> 01:22:05.788 region:rollup2
NEEDED HEALTH SERVICES.
01:22:04.153 --> 01:22:08.023 region:rollup2
THAT WOULD ALLOW THEM TO WORK
01:22:05.788 --> 01:22:09.224 region:rollup2
THIS IS NOT GOOD HEALTH POLICY.
01:22:08.023 --> 01:22:11.093 region:rollup2
FURTHERMORE WE HAVE LEARNED IN
01:22:09.224 --> 01:22:12.227 region:rollup2
CALIFORNIA THAT ANY PAPERWORK
01:22:11.093 --> 01:22:13.829 region:rollup2
REQUIREMENTS BECAUSE ELIGIBLE
01:22:12.227 --> 01:22:15.097 region:rollup2
PEOPLE TO LOSE COVERAGE.
01:22:13.829 --> 01:22:16.231 region:rollup2
AS A RESULT WE HAVE TAKEN THE
01:22:15.097 --> 01:22:18.167 region:rollup2
STEPS TO REDUCE SUCH
01:22:16.231 --> 01:22:19.968 region:rollup2
REQUIREMENTS IN OTHER WORDS WORK
01:22:18.167 --> 01:22:21.503 region:rollup2
REQUIREMENTS WILL CAUSE WORKING
01:22:19.968 --> 01:22:23.272 region:rollup2
PEOPLE TO LOSE COVERAGE FOR
01:22:21.503 --> 01:22:25.007 region:rollup2
FAILURE TO CERTIFY REGULARLY
01:22:23.272 --> 01:22:26.909 region:rollup2
THAT THEY ARE INDEED WORKING.
01:22:25.007 --> 01:22:27.810 region:rollup2
THE VAST MAJORITY OF MEDI CAL
01:22:26.909 --> 01:22:29.445 region:rollup2
BENEFICIARIES WHO ARE NOT HELD
01:22:27.810 --> 01:22:32.014 region:rollup2
EARLIER DISABLED ARE IN WORKING
01:22:29.445 --> 01:22:33.015 region:rollup2
FAMILIES AS A SENATOR MENTIONS.
01:22:32.014 --> 01:22:34.716 region:rollup2
THOSE WHO DO NOT WORK HAVE
01:22:33.015 --> 01:22:36.218 region:rollup2
LEGITIMATE REASONS CHRONIC
01:22:34.716 --> 01:22:37.686 region:rollup2
ILLNESS FAMILY CAREGIVING
01:22:36.218 --> 01:22:39.021 region:rollup2
RESPONSIBILITIES FULL TIME
01:22:37.686 --> 01:22:40.689 region:rollup2
SCHOOL OR WORK IS SIMPLY NOT
01:22:39.021 --> 01:22:42.391 region:rollup2
AVAILABLE TO THEM.
01:22:40.689 --> 01:22:43.859 region:rollup2
SIMILARLY RESTRICTIONS ON WHEN
01:22:42.391 --> 01:22:45.227 region:rollup2
AND HOW LONG A PERSON MAY ACCESS
01:22:43.859 --> 01:22:46.462 region:rollup2
MEDICAID DENIES IN HUMANITY OF
01:22:45.227 --> 01:22:48.964 region:rollup2
WITHHOLDING NEEDED HEALTH CARE
01:22:46.462 --> 01:22:50.032 region:rollup2
FOR BUREAUCRATIC PURPOSES.
01:22:48.964 --> 01:22:50.732 region:rollup2
WELL IT MAY BE THAT NO ONE IN
01:22:50.032 --> 01:22:52.367 region:rollup2
OUR CURRENT ADMINISTRATION
01:22:50.732 --> 01:22:54.236 region:rollup2
EXPECTS IMPOSE NEW RESTRICTIONS
01:22:52.367 --> 01:22:55.304 region:rollup2
ON ELIGIBILITY LEGISLATION MUST
01:22:54.236 --> 01:22:56.839 region:rollup2
BE CONSIDERED NOT ON BEST
01:22:55.304 --> 01:22:58.006 region:rollup2
INTENTIONS BUT I'M POTENTIAL
01:22:56.839 --> 01:22:58.941 region:rollup2
CONSEQUENCES.
01:22:58.006 --> 01:22:59.741 region:rollup2
SHOULD OUR ADMINISTRATION
01:22:58.941 --> 01:23:01.276 region:rollup2
CHANGES SHOULD THE FEDERAL
01:22:59.741 --> 01:23:02.377 region:rollup2
GOVERNMENT SEEK TO IMPOSE SUCH
01:23:01.276 --> 01:23:04.112 region:rollup2
REQUIREMENTS ON AN EXISTING
01:23:02.377 --> 01:23:05.681 region:rollup2
WAIVER APPLICATION WE WILL NEED
01:23:04.112 --> 01:23:06.181 region:rollup2
THE PROTECTION OF A STATE
01:23:05.681 --> 01:23:07.449 region:rollup2
STATUTE THAT REQUIRES
01:23:06.181 --> 01:23:08.717 region:rollup2
LEGISLATIVE OVERSIGHT.
01:23:07.449 --> 01:23:11.220 region:rollup2
PRIOR TO REDUCING ELIGIBILITY
01:23:08.717 --> 01:23:12.921 region:rollup2
FOR MEDICAL. FOR THESE REASONS
01:23:11.220 --> 01:23:13.989 region:rollup2
WE'RE PROUD TO SPONSOR SB ELEVEN
01:23:12.921 --> 01:23:15.691 region:rollup2
AWAIT WE THINK THE AUTHOR PURRS
01:23:13.989 --> 01:23:17.359 region:rollup2
LEADERSHIP AND RESPECTFULLY
01:23:15.691 --> 01:23:18.393 region:rollup2
REQUEST YOUR AYE VOTE AND NOW I
01:23:17.359 --> 01:23:20.062 region:rollup2
HAVE MY COLLEAGUE LIES ATTENTION
01:23:18.393 --> 01:23:20.696 region:rollup2
ON FROM LEGAL SERVICES IN
01:23:20.062 --> 01:23:21.063 region:rollup2
NORTHERN CALIFORNIA TO GIVE YOU
01:23:20.696 --> 01:23:22.397 region:rollup2
SOME.
01:23:21.063 --> 01:23:24.333 region:rollup2
EXAMPLES OF SOME MEDICARE
01:23:22.397 --> 01:23:24.933 region:rollup2
RECIPIENTS THAT WOULD BE HARMED
01:23:24.333 --> 01:23:30.939 region:rollup2
BY SUCH REQUIREMENTS MOVE THE
01:23:24.933 --> 01:23:32.040 region:rollup2
BILL.
01:23:30.939 --> 01:23:32.541 region:rollup2
GOOD AFTERNOON MISTER CHAIRMAN
01:23:32.040 --> 01:23:34.109 region:rollup2
THERE'S MY NAME IS LIES
01:23:32.541 --> 01:23:35.010 region:rollup2
ATTENTION ON A MANAGING ATTORNEY
01:23:34.109 --> 01:23:36.645 region:rollup2
AT LEGAL SERVICES OF NORTHERN
01:23:35.010 --> 01:23:37.846 region:rollup2
CALIFORNIA OUR OFFICE PROVIDES
01:23:36.645 --> 01:23:39.414 region:rollup2
DIRECT LEGAL SERVICES TO HELP
01:23:37.846 --> 01:23:40.849 region:rollup2
CONSUMERS IN THIRTY TWO NORTHERN
01:23:39.414 --> 01:23:41.984 region:rollup2
CALIFORNIA COUNTIES.
01:23:40.849 --> 01:23:42.918 region:rollup2
WE BELIEVE WORK REQUIREMENTS AS
01:23:41.984 --> 01:23:44.353 region:rollup2
A CONDITION OF MEDI CAL
01:23:42.918 --> 01:23:45.120 region:rollup2
ELIGIBILITY WOULD HAVE A VERY
01:23:44.353 --> 01:23:47.456 region:rollup2
DETRIMENTAL EFFECT ON OUR LOW
01:23:45.120 --> 01:23:48.524 region:rollup2
INCOME CLIENTS. FOR SO MANY OF
01:23:47.456 --> 01:23:49.558 region:rollup2
THEM ACCESS TO NECESSARY
01:23:48.524 --> 01:23:51.026 region:rollup2
HEALTHCARE SERVICES TO THE
01:23:49.558 --> 01:23:51.960 region:rollup2
MEDICARE PROGRAM IS ESSENTIAL TO
01:23:51.026 --> 01:23:53.529 region:rollup2
BEING ABLE TO EVENTUALLY
01:23:51.960 --> 01:23:55.030 region:rollup2
REJOINED THE WORK FORCE. ONE OF
01:23:53.529 --> 01:23:56.532 region:rollup2
OUR RECENT CLIENTS AS A FIFTY
01:23:55.030 --> 01:23:57.432 region:rollup2
SEVEN YEAR OLD MAN A FATHER OF
01:23:56.532 --> 01:23:59.001 region:rollup2
TWO HERE IN SACRAMENTO HE
01:23:57.432 --> 01:23:59.635 region:rollup2
USUALLY WORKS AS AN INDEPENDENT
01:23:59.001 --> 01:24:01.403 region:rollup2
CONTRACTOR BUT INJURED HIS BACK
01:23:59.635 --> 01:24:03.305 region:rollup2
THIS AS FAR AND SUBSEQUENTLY HAD
01:24:01.403 --> 01:24:04.673 region:rollup2
TWO HEART ATTACKS.
01:24:03.305 --> 01:24:05.541 region:rollup2
I HE WAS UNABLE TO WORK DURING
01:24:04.673 --> 01:24:06.341 region:rollup2
THIS TIME PERIOD IN COULD NOT
01:24:05.541 --> 01:24:07.609 region:rollup2
HAVE COMPLIED WITH WORK
01:24:06.341 --> 01:24:09.211 region:rollup2
REQUIREMENTS HOWEVER SINCE HE'S
01:24:07.609 --> 01:24:11.013 region:rollup2
HAD CONSISTENT ACCESS TO HEALTH
01:24:09.211 --> 01:24:11.613 region:rollup2
CARE SERVICES TO MEDI CAL HE'S
01:24:11.013 --> 01:24:12.614 region:rollup2
RECOVERING WELL AND GOING BACK
01:24:11.613 --> 01:24:14.483 region:rollup2
TO WORK.
01:24:12.614 --> 01:24:15.517 region:rollup2
ANOTHER CLIENT WE HAD WAS A
01:24:14.483 --> 01:24:16.351 region:rollup2
THIRTY SEVEN YEAR OLD SINGLE MOM
01:24:15.517 --> 01:24:18.086 region:rollup2
WITH THREE KIDS FROM SHASTA
01:24:16.351 --> 01:24:19.454 region:rollup2
COUNTY SHE WAS WORKING AS A
01:24:18.086 --> 01:24:20.656 region:rollup2
REGISTERED NURSE AND HER
01:24:19.454 --> 01:24:21.690 region:rollup2
THIRTEEN YEAR OLD DAUGHTER.
01:24:20.656 --> 01:24:22.691 region:rollup2
BEGIN HAVING SEIZURES DURING
01:24:21.690 --> 01:24:24.326 region:rollup2
WHICH SHE WOULD SOIL HERSELF
01:24:22.691 --> 01:24:24.960 region:rollup2
EXPERIENCE INTENSE PAIN IN ONE
01:24:24.326 --> 01:24:26.161 region:rollup2
SIDE.
01:24:24.960 --> 01:24:27.563 region:rollup2
HER DOCTOR SUSPECTED SHE MIGHT
01:24:26.161 --> 01:24:29.231 region:rollup2
HAVE A BRAIN TUMOR BEGAN SENDING
01:24:27.563 --> 01:24:30.699 region:rollup2
HER TO SPECIALIST APPOINTMENTS
01:24:29.231 --> 01:24:32.434 region:rollup2
HERE IN SACRAMENTO SOMETIMES UP
01:24:30.699 --> 01:24:33.769 region:rollup2
TO THREE TIMES A MONTH.
01:24:32.434 --> 01:24:35.003 region:rollup2
HIS MOM HAD TO QUIT HER NURSING
01:24:33.769 --> 01:24:35.971 region:rollup2
JOB TO CARE FOR HER DAUGHTER AND
01:24:35.003 --> 01:24:37.639 region:rollup2
TO ACCOMMODATE THE FREQUENT
01:24:35.971 --> 01:24:38.473 region:rollup2
TRIPS TO SACRAMENTO.
01:24:37.639 --> 01:24:39.708 region:rollup2
IF WORK REQUIREMENTS WE
01:24:38.473 --> 01:24:41.209 region:rollup2
IMPLEMENTED AS A CONDITION OF
01:24:39.708 --> 01:24:42.177 region:rollup2
MEDI CAL ELIGIBILITY THIS WOMAN
01:24:41.209 --> 01:24:43.245 region:rollup2
WOULD NOT HAVE BEEN ABLE TO
01:24:42.177 --> 01:24:44.212 region:rollup2
COMPLY IT WOULD HAVE BEEN
01:24:43.245 --> 01:24:45.647 region:rollup2
WITHOUT ACCESS TO HEALTH CARE
01:24:44.212 --> 01:24:46.648 region:rollup2
SERVICES HERSELF.
01:24:45.647 --> 01:24:48.216 region:rollup2
MANY THE PEOPLE IN THE MEDICAL
01:24:46.648 --> 01:24:49.985 region:rollup2
EXPANSION POPULATION ARE PEOPLE
01:24:48.216 --> 01:24:50.786 region:rollup2
WHO HAVE DISABILITIES AND CANNOT
01:24:49.985 --> 01:24:52.654 region:rollup2
WORK IN OUR AWAITING A
01:24:50.786 --> 01:24:53.789 region:rollup2
DISABILITY DETERMINATION IN THE
01:24:52.654 --> 01:24:54.389 region:rollup2
DAYS BEFORE THE AFFORDABLE CARE
01:24:53.789 --> 01:24:55.424 region:rollup2
ACT.
01:24:54.389 --> 01:24:56.758 region:rollup2
GETTING A PROPER DISABILITY
01:24:55.424 --> 01:24:58.593 region:rollup2
DETERMINATION TO GET ON TO MDI
01:24:56.758 --> 01:25:00.629 region:rollup2
CAL COULD TAKE MONTHS I HAD ONE
01:24:58.593 --> 01:25:01.296 region:rollup2
CLIENT COULD ADVANCE RECTAL
01:25:00.629 --> 01:25:02.397 region:rollup2
CANCER AS WELL AS MAJOR
01:25:01.296 --> 01:25:03.899 region:rollup2
DEPRESSION.
01:25:02.397 --> 01:25:05.500 region:rollup2
BUT HIS DISABILITY DETERMINATION
01:25:03.899 --> 01:25:06.802 region:rollup2
WAS STILL DENIED THAT DENIAL WAS
01:25:05.500 --> 01:25:08.437 region:rollup2
EVENTUALLY OVERTURNED IT TOOK US
01:25:06.802 --> 01:25:09.271 region:rollup2
SEVERAL MONTHS TO APPEAL AND
01:25:08.437 --> 01:25:10.739 region:rollup2
THAT MEANT UNFORTUNATELY WENT
01:25:09.271 --> 01:25:11.840 region:rollup2
WITH THE ACCESS TO MEDICAL
01:25:10.739 --> 01:25:12.608 region:rollup2
DURING THAT TIME.
01:25:11.840 --> 01:25:13.742 region:rollup2
WHILE MOST MEDICARE
01:25:12.608 --> 01:25:15.444 region:rollup2
BENEFICIARIES ARE IN WORKING
01:25:13.742 --> 01:25:16.578 region:rollup2
FAMILIES ARE ALSO MANY PEOPLE
01:25:15.444 --> 01:25:18.046 region:rollup2
WHO ARE UNABLE TO WORK DUE TO
01:25:16.578 --> 01:25:19.915 region:rollup2
MEDICAL CONDITIONS CAREGIVING
01:25:18.046 --> 01:25:21.283 region:rollup2
RESPONSIBILITIES OR DISABILITIES
01:25:19.915 --> 01:25:22.417 region:rollup2
THE IMPLEMENTATION OF WORK
01:25:21.283 --> 01:25:23.218 region:rollup2
REQUIREMENTS IN THE MEDICAL
01:25:22.417 --> 01:25:23.785 region:rollup2
PROGRAM.
01:25:23.218 --> 01:25:26.154 region:rollup2
WOULD LEAVE THESE GROUPS OF
01:25:23.785 --> 01:25:27.189 region:rollup2
PEOPLE WITHOUT NEEDED HELP FOR
01:25:26.154 --> 01:25:28.824 region:rollup2
THESE REASONS WE SUPPORT THE
01:25:27.189 --> 01:25:30.192 region:rollup2
BILL THANK YOU.
01:25:28.824 --> 01:25:31.059 region:rollup2
THANK YOU VERY MUCH OTHERS IN
01:25:30.192 --> 01:25:33.161 region:rollup2
SUPPORT JUST YOUR NAME AND
01:25:31.059 --> 01:25:34.529 region:rollup2
ORGANIZATION PLACE.
01:25:33.161 --> 01:25:35.097 region:rollup2
EMILY CHEN ON HALF THE
01:25:34.529 --> 01:25:37.265 region:rollup2
CALIFORNIA PAN ETHNIC HEALTH
01:25:35.097 --> 01:25:38.600 region:rollup2
THAT WE CAN SUPPORT.
01:25:37.265 --> 01:25:41.169 region:rollup2
MARY VALDEZ HEALTHAXIS
01:25:38.600 --> 01:25:42.270 region:rollup2
CALIFORNIANS SUPPORT.
01:25:41.169 --> 01:25:43.338 region:rollup2
DIFFERENT ON THE ON BEHALF OF
01:25:42.270 --> 01:25:46.074 region:rollup2
THE CALIFORNIA IMMIGRANT POLICY
01:25:43.338 --> 01:25:47.509 region:rollup2
CENTER IN SUPPORT.
01:25:46.074 --> 01:25:50.679 region:rollup2
SARAH FLUX CALIFORNIA LABOR
01:25:47.509 --> 01:25:52.347 region:rollup2
FEDERATION IN SUPPORT.
01:25:50.679 --> 01:25:54.883 region:rollup2
FINESCALE HIM ON BEHALF MANNERS
01:25:52.347 --> 01:25:56.251 region:rollup2
FAMILY PARTNERSHIP IN SUPPORT.
01:25:54.883 --> 01:25:57.452 region:rollup2
THE SET SHORT ON BEHALF OF THE
01:25:56.251 --> 01:26:01.590 region:rollup2
PRIVATE ESSENTIAL ACCESS
01:25:57.452 --> 01:26:02.124 region:rollup2
COMMUNITY HOSPITALS IN SUPPORT.
01:26:01.590 --> 01:26:04.092 region:rollup2
DIVIDENDS OF THE AMERICAN
01:26:02.124 --> 01:26:04.693 region:rollup2
DIABETES ASSOCIATION AS WELL AS
01:26:04.092 --> 01:26:08.196 region:rollup2
AMERICA'S POSITION GROUPS AND
01:26:04.693 --> 01:26:09.765 region:rollup2
SUPPORT.
01:26:08.196 --> 01:26:13.201 region:rollup2
WHEN EXPENSE OR THE CALIFORNIA
01:26:09.765 --> 01:26:14.403 region:rollup2
CADMIUM FAMILY PHYSICIANS SPORT?
01:26:13.201 --> 01:26:15.837 region:rollup2
MIKE MONTGOMERY CONGRESS OF
01:26:14.403 --> 01:26:18.440 region:rollup2
CALIFORNIA SENIORS WE SUPPORT
01:26:15.837 --> 01:26:19.641 region:rollup2
THE BILL THANK YOU.
01:26:18.440 --> 01:26:20.409 region:rollup2
VIDEO BORN AMERICAN ACADEMY OF
01:26:19.641 --> 01:26:20.709 region:rollup2
PEDIATRICS AND SUPPORT
01:26:20.409 --> 01:26:23.545 region:rollup2
[inaudible]
01:26:20.709 --> 01:26:24.446 region:rollup2
IF YOU.
01:26:23.545 --> 01:26:25.247 region:rollup2
ERICA SOME HAVE MORE TO DANCE IN
01:26:24.446 --> 01:26:27.315 region:rollup2
SUPPORT [inaudible]
01:26:25.247 --> 01:26:28.784 region:rollup2
IF YOU.
01:26:27.315 --> 01:26:29.384 region:rollup2
HIS READING OF ASIAN AMERICANS
01:26:28.784 --> 01:26:30.986 region:rollup2
ADVANCING JUSTICE CALIFORNIANS
01:26:29.384 --> 01:26:32.954 region:rollup2
ON SPORT.
01:26:30.986 --> 01:26:36.425 region:rollup2
THAT BROUGHT DISABILITY RIGHTS
01:26:32.954 --> 01:26:37.626 region:rollup2
CALIFORNIA SUPPORT.
01:26:36.425 --> 01:26:38.226 region:rollup2
BECAUSE UNDER RESTLESS AND A
01:26:37.626 --> 01:26:42.130 region:rollup2
FULL TIME GRADUATE STUDENT IN
01:26:38.226 --> 01:26:42.998 region:rollup2
SUPPORT.
01:26:42.130 --> 01:26:44.466 region:rollup2
DEFINITIONS WITH GROWING A
01:26:42.998 --> 01:26:45.200 region:rollup2
BEHALF THE CALIFORNIA CHRONIC
01:26:44.466 --> 01:26:47.669 region:rollup2
CARE COALITION IN SUPPORT.
01:26:45.200 --> 01:26:49.704 region:rollup2
YOU VERY MUCH [inaudible]
01:26:47.669 --> 01:26:53.708 region:rollup2
ANYONE ELSE.
01:26:49.704 --> 01:26:54.576 region:rollup2
ANYONE IN OPPOSITION.
01:26:53.708 --> 01:26:57.913 region:rollup2
C. KNOW WERE BRING BACK TO THE
01:26:54.576 --> 01:26:58.480 region:rollup2
COMMITTEE QUESTIONS OR COMMENTS.
01:26:57.913 --> 01:27:01.383 region:rollup2
IN THE SENATE WOULD LIKE TO
01:26:58.480 --> 01:27:01.983 region:rollup2
CLOSE.
01:27:01.383 --> 01:27:03.151 region:rollup2
THAT'S WHAT I'VE ALWAYS CHAIR
01:27:01.983 --> 01:27:04.386 region:rollup2
MEMBERS THANK YOU VERY MUCH
01:27:03.151 --> 01:27:05.220 region:rollup2
SENATOR OF FOR BRINGING THIS
01:27:04.386 --> 01:27:06.121 region:rollup2
FORWARD VERY IMPORTANT GO
01:27:05.220 --> 01:27:07.456 region:rollup2
FORWARD --
01:27:06.121 --> 01:27:09.591 region:rollup2
WE HAVE A MOTION BY
01:27:07.456 --> 01:27:11.893 region:rollup2
ASSEMBLYMEMBER CURRY I HAD YOUR
01:27:09.591 --> 01:27:13.328 region:rollup2
CURRY A SECOND BY A MISS CARILLO
01:27:11.893 --> 01:27:15.030 region:rollup2
MOTION IS TO PASS TO
01:27:13.328 --> 01:27:16.998 region:rollup2
APPROPRIATIONS MADAM SECRETARY
01:27:15.030 --> 01:27:19.201 region:rollup2
PLEASE KALRA.
01:27:16.998 --> 01:27:20.435 region:rollup2
WHAT FIVE WENT AYE MAYES?
01:27:19.201 --> 01:27:21.603 region:rollup2
AND YOUR GREAT.
01:27:20.435 --> 01:27:23.171 region:rollup2
AGUIAR-CURRY AYE.
01:27:21.603 --> 01:27:25.273 region:rollup2
BIGELOW.
01:27:23.171 --> 01:27:27.876 region:rollup2
BIGELOW AYE BONTA [inaudible]
01:27:25.273 --> 01:27:30.846 region:rollup2
BURKE CARILLO [inaudible]
01:27:27.876 --> 01:27:33.815 region:rollup2
FLORA.
01:27:30.846 --> 01:27:35.250 region:rollup2
FLOOR NOT VOTING [inaudible]
01:27:33.815 --> 01:27:36.485 region:rollup2
AMONG [inaudible]
01:27:35.250 --> 01:27:40.756 region:rollup2
MCCARTY [inaudible]
01:27:36.485 --> 01:27:42.457 region:rollup2
MCCARTY I NAZARIAN.
01:27:40.756 --> 01:27:49.598 region:rollup2
RODRIGUEZ SANTIAGO THURMOND
01:27:42.457 --> 01:27:56.738 region:rollup2
WALDRON.
01:27:49.598 --> 01:27:59.407 region:rollup2
BIGELOW I DUNNO.
01:27:56.738 --> 01:28:01.209 region:rollup2
IT'S A THREE ONE SO WILL WILL
01:27:59.407 --> 01:28:02.043 region:rollup2
LEFT LEAVE WHO LIVED ON COFFEE
01:28:01.209 --> 01:28:04.546 region:rollup2
THANK YOU MISTER CHAIRMAN
01:28:02.043 --> 01:28:05.514 region:rollup2
VERSONIX WHEN IS ESPY ONE ONE
01:28:04.546 --> 01:28:05.914 region:rollup2
FIVE TWO CORRECT.
01:28:05.514 --> 01:28:07.482 region:rollup2
CHAIR MEMBERS --
01:28:05.914 --> 01:28:09.518 region:rollup2
WE ARE ALL AWARE OF THE GROWING
01:28:07.482 --> 01:28:11.219 region:rollup2
HOMELESS CRISIS IN CALIFORNIA.
01:28:09.518 --> 01:28:13.488 region:rollup2
THIS BILL IS TRYING TO TACKLE
01:28:11.219 --> 01:28:14.556 region:rollup2
JUST ONE ASPECT OF THIS PROBLEM.
01:28:13.488 --> 01:28:15.924 region:rollup2
WHAT HAPPENS WHEN HOMELESS
01:28:14.556 --> 01:28:17.759 region:rollup2
INDIVIDUALS ARE DISCHARGED FROM
01:28:15.924 --> 01:28:18.960 region:rollup2
THE HOSPITAL?
01:28:17.759 --> 01:28:21.129 region:rollup2
I WANT TO BE CLEAR.
01:28:18.960 --> 01:28:22.464 region:rollup2
THAT HOSPITALS ARE NOT THE CAUSE
01:28:21.129 --> 01:28:23.031 region:rollup2
OF THE PROBLEM.
01:28:22.464 --> 01:28:25.967 region:rollup2
AND IN MANY CASES HAVE BEEN
01:28:23.031 --> 01:28:27.969 region:rollup2
DOING ALL THE BILL IS ASKING
01:28:25.967 --> 01:28:29.137 region:rollup2
THEM TO DO AND MORE.
01:28:27.969 --> 01:28:30.806 region:rollup2
BUT THERE HAVE BEEN A NUMBER OF
01:28:29.137 --> 01:28:32.474 region:rollup2
HIGH PROFILE CASES WHERE
01:28:30.806 --> 01:28:34.376 region:rollup2
PATIENTS HAVE BEEN DISCHARGED IN
01:28:32.474 --> 01:28:36.077 region:rollup2
AN UNSAFE MANNER.
01:28:34.376 --> 01:28:37.612 region:rollup2
FEEDBACK FROM HOMELESS SHELTERS
01:28:36.077 --> 01:28:39.147 region:rollup2
MAKES IT CLEAR THAT WE NEED
01:28:37.612 --> 01:28:40.949 region:rollup2
BETTER CAN COORDINATION BETWEEN
01:28:39.147 --> 01:28:42.717 region:rollup2
THE HOSPITALS AND THE HOMELESS
01:28:40.949 --> 01:28:44.286 region:rollup2
SERVICES PROVIDERS.
01:28:42.717 --> 01:28:45.554 region:rollup2
MY STAFF AND SPONSORS BEEN
01:28:44.286 --> 01:28:47.489 region:rollup2
WORKING CLOSELY WITH A HOT SPOT
01:28:45.554 --> 01:28:48.857 region:rollup2
COMMUNITY ADDRESS MANY OF THE
01:28:47.489 --> 01:28:50.592 region:rollup2
CONCERNS AS WE CAN.
01:28:48.857 --> 01:28:51.760 region:rollup2
WITH PRIOR AMENDMENTS EVERY MOVE
01:28:50.592 --> 01:28:53.361 region:rollup2
REQUIREMENTS TO KEEP PATIENTS IN
01:28:51.760 --> 01:28:54.829 region:rollup2
THE HOSPITAL UNTIL DAYLIGHT
01:28:53.361 --> 01:28:56.565 region:rollup2
HOURS OR DURING IN.
01:28:54.829 --> 01:28:58.466 region:rollup2
INCLEMENT WEATHER AND DELETED
01:28:56.565 --> 01:29:00.335 region:rollup2
CHANGES TO THE COMMUNITY BENEFIT
01:28:58.466 --> 01:29:01.703 region:rollup2
LAW AMONGST OTHER THINGS.
01:29:00.335 --> 01:29:03.405 region:rollup2
AS YOU ANALYSIS DESCRIBES I'M
01:29:01.703 --> 01:29:04.806 region:rollup2
OFFERING ADDITIONAL AMENDMENTS
01:29:03.405 --> 01:29:06.474 region:rollup2
TODAY AS WE CONTINUE WORK TO
01:29:04.806 --> 01:29:08.076 region:rollup2
ADDRESS THESE CONCERNS.
01:29:06.474 --> 01:29:09.411 region:rollup2
I MATT HAPPY TO ALSO TAKE
01:29:08.076 --> 01:29:11.947 region:rollup2
ADDITIONAL MEMBERS SUGGESTED IN
01:29:09.411 --> 01:29:12.847 region:rollup2
YOUR ANALYSIS IN COMMENT NUMBER.
01:29:11.947 --> 01:29:15.016 region:rollup2
SEVEN WITH THESE CHANGES I
01:29:12.847 --> 01:29:15.917 region:rollup2
BELIEVE WE'RE VERY MUCH CLOSER
01:29:15.016 --> 01:29:17.686 region:rollup2
TO POSITION WITH THE HOSPITAL
01:29:15.917 --> 01:29:19.254 region:rollup2
AND PHYSICIAN COMMUNITY ALTHOUGH
01:29:17.686 --> 01:29:20.989 region:rollup2
AS ALWAYS WE WILL CONTINUE
01:29:19.254 --> 01:29:22.357 region:rollup2
NEGOTIATE IN GOOD FAITH.
01:29:20.989 --> 01:29:24.125 region:rollup2
I WILL NOTE THAT THE HOSPITAL
01:29:22.357 --> 01:29:25.961 region:rollup2
COMMUNITY CONTINUES TO OBJECT TO
01:29:24.125 --> 01:29:27.963 region:rollup2
LANGUAGE THAT ENSURES THAT THIS
01:29:25.961 --> 01:29:29.798 region:rollup2
BILL DOES NOT PREEMPT LOCAL
01:29:27.963 --> 01:29:31.266 region:rollup2
ORDINANCE OR SETTLEMENTS.
01:29:29.798 --> 01:29:33.635 region:rollup2
ALL ALONG OR INTENT WITH THIS
01:29:31.266 --> 01:29:35.637 region:rollup2
BILL WAS TO SET A FLOOR AND NOT
01:29:33.635 --> 01:29:37.572 region:rollup2
INTERFERE IF LOCAL JURISDICTIONS
01:29:35.637 --> 01:29:39.407 region:rollup2
HAVE THEIR OWN LOCAL ORDINANCES.
01:29:37.572 --> 01:29:40.709 region:rollup2
CITY OF LOS ANGELES FOR EXAMPLE
01:29:39.407 --> 01:29:42.143 region:rollup2
HAS GROWN ANNA AND TAKE PATIENT
01:29:40.709 --> 01:29:43.678 region:rollup2
DUMPING BILL FOR A NUMBER OF
01:29:42.143 --> 01:29:44.379 region:rollup2
YEARS IN THE CITY ATTORNEY OF
01:29:43.678 --> 01:29:45.914 region:rollup2
LOS ANGELES.
01:29:44.379 --> 01:29:47.182 region:rollup2
REQUESTED A LANGUAGE THAT IS IN
01:29:45.914 --> 01:29:49.351 region:rollup2
THIS BILL ENSURE THAT IT DOES
01:29:47.182 --> 01:29:50.819 region:rollup2
NOT INTERFERE WITH OUR EFFORTS
01:29:49.351 --> 01:29:52.153 region:rollup2
IN LOS ANGELES.
01:29:50.819 --> 01:29:53.321 region:rollup2
THIS IS ONE AREA WHERE THE
01:29:52.153 --> 01:29:54.923 region:rollup2
HOSPITALS I WOULD GUESS WE'LL
01:29:53.321 --> 01:29:56.891 region:rollup2
HAVE TO AGREE TO DISAGREE BUT
01:29:54.923 --> 01:29:58.226 region:rollup2
MEMBERS WITH THAT I RESPECTFULLY
01:29:56.891 --> 01:29:59.928 region:rollup2
ASK WHEN I'M.
01:29:58.226 --> 01:30:02.597 region:rollup2
Q. WE HAVE TWO WITNESSES THREE
01:29:59.928 --> 01:30:05.367 region:rollup2
MINUTES EACH I SEE. FIVE PEOPLE
01:30:02.597 --> 01:30:08.336 region:rollup2
SO WHAT'S YOUR PLEASURE.
01:30:05.367 --> 01:30:08.970 region:rollup2
YOUR SIX YEAR OKAY OKAY SO TO
01:30:08.336 --> 01:30:11.072 region:rollup2
WITNESSES THREE MINUTES IT TOOK
01:30:08.970 --> 01:30:12.807 region:rollup2
PLACE.
01:30:11.072 --> 01:30:14.209 region:rollup2
A MY NAME IS STEVE WATERS ON THE
01:30:12.807 --> 01:30:16.244 region:rollup2
EXECUTIVE DIRECTOR OF FIRST UP
01:30:14.209 --> 01:30:18.079 region:rollup2
COMMUNITIES --
01:30:16.244 --> 01:30:19.481 region:rollup2
MY ORGANIZATIONAL RAN FOR THE
01:30:18.079 --> 01:30:21.516 region:rollup2
COUNTY OF SACRAMENTO THE WINNER
01:30:19.481 --> 01:30:23.485 region:rollup2
SANCTUARY EMERGENCY SHELTER
01:30:21.516 --> 01:30:24.753 region:rollup2
PROGRAM THE LAST FEW YEARS.
01:30:23.485 --> 01:30:27.055 region:rollup2
I'D LIKE TO SHARE SOME OF THOSE
01:30:24.753 --> 01:30:28.423 region:rollup2
EXPERIENCES FIRST THE PROGRAM IS
01:30:27.055 --> 01:30:29.691 region:rollup2
AN EMERGENCY SHELTER BUT MEANS
01:30:28.423 --> 01:30:31.693 region:rollup2
WE TAKE A HUNDRED PEOPLE PER
01:30:29.691 --> 01:30:34.996 region:rollup2
NIGHT.
01:30:31.693 --> 01:30:36.665 region:rollup2
I AND AND WE WE RUN NIGHTLY FROM
01:30:34.996 --> 01:30:38.266 region:rollup2
APRIL THROUGH NOVEMBER.
01:30:36.665 --> 01:30:39.567 region:rollup2
SO FOR ABOUT A HUNDRED AND
01:30:38.266 --> 01:30:40.402 region:rollup2
THIRTY FIVE NIGHTS STRAIGHT.
01:30:39.567 --> 01:30:43.138 region:rollup2
IT'S WE HAVE THREE AND TAKE
01:30:40.402 --> 01:30:44.572 region:rollup2
SITES PEOPLE ARE ALLOWED TO WALK
01:30:43.138 --> 01:30:46.741 region:rollup2
UP AND CHECK IN IN THE MID
01:30:44.572 --> 01:30:48.009 region:rollup2
AFTERNOON.
01:30:46.741 --> 01:30:49.878 region:rollup2
WE PROVIDE THEM DINNER SHELTER
01:30:48.009 --> 01:30:51.179 region:rollup2
FOR THE NIGHT.
01:30:49.878 --> 01:30:52.914 region:rollup2
AND THIS SURE WE'VE BROUGHT IN
01:30:51.179 --> 01:30:54.783 region:rollup2
MORE AND MORE HOW COLLABORATIVE
01:30:52.914 --> 01:30:56.484 region:rollup2
PARTNERSHIPS TO BRING IN MEDICAL
01:30:54.783 --> 01:30:58.253 region:rollup2
CARE HOUSING COUNSELING AND
01:30:56.484 --> 01:31:00.288 region:rollup2
OTHER SERVICES.
01:30:58.253 --> 01:31:01.890 region:rollup2
WE THEN TRANSPORT THEM TO A
01:31:00.288 --> 01:31:03.391 region:rollup2
HOSTING CHURCH FOR THE NIGHT.
01:31:01.890 --> 01:31:04.559 region:rollup2
YOU HAVE OVER FORTY CHURCHES IN
01:31:03.391 --> 01:31:07.028 region:rollup2
SACRAMENTO COUNTY THE
01:31:04.559 --> 01:31:07.662 region:rollup2
PARTICIPATED THIS YEAR.
01:31:07.028 --> 01:31:08.930 region:rollup2
THEY USUALLY SLEEP ON THE FLOOR
01:31:07.662 --> 01:31:11.766 region:rollup2
--
01:31:08.930 --> 01:31:12.867 region:rollup2
WE GIVE HIM SLEEPING BAGS.
01:31:11.766 --> 01:31:14.936 region:rollup2
WE ALLOW THEM TO BRING ALONG A A
01:31:12.867 --> 01:31:20.041 region:rollup2
BAG OF BELONGINGS [inaudible]
01:31:14.936 --> 01:31:23.044 region:rollup2
I HIM A FEW OF THE OUR CHURCHES
01:31:20.041 --> 01:31:24.512 region:rollup2
HAVE COTS BUT VERY FEW --
01:31:23.044 --> 01:31:25.880 region:rollup2
THE EXTRA SERVICES WE OUT WE'RE
01:31:24.512 --> 01:31:28.216 region:rollup2
WE WERE ABLE TO HOUSE OVER FIFTY
01:31:25.880 --> 01:31:31.119 region:rollup2
THIS YEAR SO IT'S EXPANDED THE
01:31:28.216 --> 01:31:34.356 region:rollup2
SCOPE OF THE EMERGENCY --
01:31:31.119 --> 01:31:35.657 region:rollup2
SHELTER.
01:31:34.356 --> 01:31:37.392 region:rollup2
IN TERMS OF THE UNSCHEDULED DROP
01:31:35.657 --> 01:31:38.727 region:rollup2
OFFS THAT WE SAW WE SAW MANY
01:31:37.392 --> 01:31:40.161 region:rollup2
MORE THIS YEAR THAN IN PREVIOUS
01:31:38.727 --> 01:31:42.030 region:rollup2
YEARS.
01:31:40.161 --> 01:31:44.499 region:rollup2
MUCH LARGER PROBLEM FOR SOME
01:31:42.030 --> 01:31:46.468 region:rollup2
REASON ALL SEASON LONG.
01:31:44.499 --> 01:31:47.902 region:rollup2
WE SAW SEVERAL PROF PER WEEK AND
01:31:46.468 --> 01:31:50.638 region:rollup2
IN SOME CASES EVERY DAY OF THE
01:31:47.902 --> 01:31:51.906 region:rollup2
WEEK.
01:31:50.638 --> 01:31:53.074 region:rollup2
REALLY RECEIVE PATIENTS FROM
01:31:51.906 --> 01:31:55.010 region:rollup2
HOSPITALS MENTAL HEALTH
01:31:53.074 --> 01:31:56.144 region:rollup2
FACILITIES AND OTHER AGENCIES
01:31:55.010 --> 01:31:57.645 region:rollup2
PRETTY MUCH IN THAT ORDER
01:31:56.144 --> 01:31:58.980 region:rollup2
HOSPITALS BEING THE ONES WE SEE
01:31:57.645 --> 01:32:01.483 region:rollup2
THE MOST FROM.
01:31:58.980 --> 01:32:04.119 region:rollup2
MY PLACE BECAME VERY SENSITIVE
01:32:01.483 --> 01:32:05.720 region:rollup2
TO ANY TAXI RIVER DRIVER.
01:32:04.119 --> 01:32:07.522 region:rollup2
PLEASE SIR OTHER OFFICIAL
01:32:05.720 --> 01:32:08.423 region:rollup2
VEHICLE DRIVING UP OUT FRONT
01:32:07.522 --> 01:32:08.723 region:rollup2
STARTING TO UNLOAD SOMEBODY
01:32:08.423 --> 01:32:11.393 region:rollup2
[inaudible]
01:32:08.723 --> 01:32:12.293 region:rollup2
ESPECIALLY TO SINCE WE VERY
01:32:11.393 --> 01:32:16.064 region:rollup2
SELDOM WERE CONTACTED AND
01:32:12.293 --> 01:32:18.466 region:rollup2
ADVANCE.
01:32:16.064 --> 01:32:20.468 region:rollup2
I HAVE SUPERVISORS OR REPLACE IT
01:32:18.466 --> 01:32:21.302 region:rollup2
SUPERVISE ALL NIGHT LONG BUT
01:32:20.468 --> 01:32:25.640 region:rollup2
THEY'RE NOT SKILLED HEALTH CARE
01:32:21.302 --> 01:32:27.876 region:rollup2
PROVIDERS --
01:32:25.640 --> 01:32:31.079 region:rollup2
OF THE SITUATION OF PEOPLE
01:32:27.876 --> 01:32:33.281 region:rollup2
COMING. TO US WITH MENTAL HEALTH
01:32:31.079 --> 01:32:34.549 region:rollup2
ISSUES AND OTHER PHYSICAL ISSUES
01:32:33.281 --> 01:32:36.184 region:rollup2
COULD BE VERY STRESSFUL NOT JUST
01:32:34.549 --> 01:32:37.685 region:rollup2
FROM MY STAFF.
01:32:36.184 --> 01:32:39.354 region:rollup2
BUT FOR THE OTHER PATIENTS OR
01:32:37.685 --> 01:32:42.624 region:rollup2
OTHER CLIENTS WHO WERE TAKING
01:32:39.354 --> 01:32:43.792 region:rollup2
CARE OF ALSO.
01:32:42.624 --> 01:32:44.959 region:rollup2
SEE I'M SHORT ON TIME WHEN YOU
01:32:43.792 --> 01:32:46.461 region:rollup2
SKIP DOWN.
01:32:44.959 --> 01:32:48.530 region:rollup2
WE ESTABLISHED A RELATIONSHIP
01:32:46.461 --> 01:32:50.799 region:rollup2
WITH SEVERAL HOSPITALS.
01:32:48.530 --> 01:32:52.734 region:rollup2
ESPECIALLY AFTER THIS --
01:32:50.799 --> 01:32:55.070 region:rollup2
TOPIC KEPT THAT THE MEDIA WORK
01:32:52.734 --> 01:32:56.538 region:rollup2
PRIMARILY WITH SUTTER AND KAISER
01:32:55.070 --> 01:32:58.006 region:rollup2
ON THIS UNDERTAKING LEAD.
01:32:56.538 --> 01:32:59.707 region:rollup2
WE ESTABLISHED A LINE OF
01:32:58.006 --> 01:33:01.075 region:rollup2
COMMUNICATION THAT SEEM TO MAKE
01:32:59.707 --> 01:33:03.378 region:rollup2
ALL THE DIFFERENCE IN THE WORLD
01:33:01.075 --> 01:33:05.747 region:rollup2
IN COORDINATING AND CONTROLLING
01:33:03.378 --> 01:33:06.915 region:rollup2
THE OUTCOME.
01:33:05.747 --> 01:33:08.483 region:rollup2
I'D IMPROVES THE CHANCES FOR THE
01:33:06.915 --> 01:33:10.485 region:rollup2
CLIENT TO SUCCEED IF THEY
01:33:08.483 --> 01:33:12.687 region:rollup2
UNDERSTAND WHAT OUR SYSTEM HAS
01:33:10.485 --> 01:33:14.556 region:rollup2
THE CAPABILITY OF PROVIDING IN
01:33:12.687 --> 01:33:16.257 region:rollup2
THE WAY OF CARE.
01:33:14.556 --> 01:33:18.460 region:rollup2
THEY ALSO WORK ARE CLOSELY WITH
01:33:16.257 --> 01:33:19.994 region:rollup2
KAISER IN SOME CASES BRINGING IN
01:33:18.460 --> 01:33:24.132 region:rollup2
CLIENTS THAT NEED OF SPECIAL
01:33:19.994 --> 01:33:27.435 region:rollup2
EQUIPMENT FOR OXYGEN.
01:33:24.132 --> 01:33:28.102 region:rollup2
FIRST A COMMUNITY SUPPORTS SP
01:33:27.435 --> 01:33:29.604 region:rollup2
ELEVEN FIFTY TWO WE BELIEVE THAT
01:33:28.102 --> 01:33:31.573 region:rollup2
HOSPITAL RELEASES SHOULD DROP
01:33:29.604 --> 01:33:32.607 region:rollup2
PATIENTS AT SHELTERS ONLY WITH
01:33:31.573 --> 01:33:34.242 region:rollup2
APPROPRIATE NOTICE IN
01:33:32.607 --> 01:33:35.543 region:rollup2
COORDINATION.
01:33:34.242 --> 01:33:36.978 region:rollup2
WE THINK THE PROTOCOL SHOULD BE
01:33:35.543 --> 01:33:38.613 region:rollup2
IN PLACE IN ADVANCE OF THE
01:33:36.978 --> 01:33:40.615 region:rollup2
PATIENTS ARRIVING.
01:33:38.613 --> 01:33:41.749 region:rollup2
IN CASES WHERE THE PATIENT HAS
01:33:40.615 --> 01:33:43.351 region:rollup2
NO PLACE TO SLEEP AND
01:33:41.749 --> 01:33:44.352 region:rollup2
SIGNIFICANT MENTAL OR CHRONIC
01:33:43.351 --> 01:33:45.520 region:rollup2
HEALTH ISSUES.
01:33:44.352 --> 01:33:47.522 region:rollup2
THEY MUST BE DIRECTED TO
01:33:45.520 --> 01:33:49.691 region:rollup2
APPROPRIATE CARE RATHER THAN AN
01:33:47.522 --> 01:33:51.426 region:rollup2
EMERGENCY SHELTER.
01:33:49.691 --> 01:33:52.460 region:rollup2
AGAIN NOW WE ARE IN SUPPORT OF
01:33:51.426 --> 01:33:55.396 region:rollup2
THIS AND WE THINK THAT WITH THE
01:33:52.460 --> 01:33:55.864 region:rollup2
RIGHT PROCESS SEASON PROTOCOLS
01:33:55.396 --> 01:33:59.367 region:rollup2
HE COULD BE MADE VERY
01:33:55.864 --> 01:34:00.268 region:rollup2
SUCCESSFUL.
01:33:59.367 --> 01:34:01.436 region:rollup2
MISTER CHAIRMAN MEMBERS MARK
01:34:00.268 --> 01:34:03.972 region:rollup2
WINDOWS WITH S. YEAH YOU
01:34:01.436 --> 01:34:05.273 region:rollup2
CALIFORNIA S. B. ELEVEN FIFTY
01:34:03.972 --> 01:34:06.541 region:rollup2
TWO TAKES A FAIR AND APPROPRIATE
01:34:05.273 --> 01:34:07.942 region:rollup2
APPROACH TO ENSURE HOMELESS
01:34:06.541 --> 01:34:08.776 region:rollup2
PATIENTS ARE DISCHARGED WITH
01:34:07.942 --> 01:34:09.711 region:rollup2
DIGNITY.
01:34:08.776 --> 01:34:11.212 region:rollup2
PROPER CARE AND DISCHARGE
01:34:09.711 --> 01:34:12.247 region:rollup2
PLANNING.
01:34:11.212 --> 01:34:13.348 region:rollup2
AS MENTIONED IN THE SENATE
01:34:12.247 --> 01:34:14.782 region:rollup2
COMMITTEE ON HEALTH OF SAN
01:34:13.348 --> 01:34:17.151 region:rollup2
FRANCISCO RESIDENT DOCTOR
01:34:14.782 --> 01:34:17.886 region:rollup2
TESTIFIED HOW HIS HOSPITAL
01:34:17.151 --> 01:34:19.554 region:rollup2
RECOMMENDED DISCHARGING A
01:34:17.886 --> 01:34:21.756 region:rollup2
HOMELESS PATIENT IN THE RAIN
01:34:19.554 --> 01:34:22.657 region:rollup2
WITH PLASTIC BAGS DESPITE THE
01:34:21.756 --> 01:34:24.592 region:rollup2
PATIENT HAVING SEVERE SKIN
01:34:22.657 --> 01:34:26.094 region:rollup2
INFECTIONS.
01:34:24.592 --> 01:34:28.429 region:rollup2
ALSO AFTER SERVING OUR OUR INS
01:34:26.094 --> 01:34:29.898 region:rollup2
IN HOSPITALS MEMBERS REPORTED
01:34:28.429 --> 01:34:31.533 region:rollup2
THAT MOST HOSPITALS DO NOT HAVE
01:34:29.898 --> 01:34:32.634 region:rollup2
A UNIFORM STANDARD IN PLACE.
01:34:31.533 --> 01:34:35.169 region:rollup2
EVEN WITHIN THE SAME HOSPITAL
01:34:32.634 --> 01:34:36.504 region:rollup2
SYSTEM. TO ENSURE HOMELESS
01:34:35.169 --> 01:34:38.106 region:rollup2
PATIENTS ARE DISCHARGED SAFELY
01:34:36.504 --> 01:34:40.141 region:rollup2
WITH RESPECT AND DIGNITY THE
01:34:38.106 --> 01:34:41.609 region:rollup2
BILL SIMPLY CREATES A MINIMUM
01:34:40.141 --> 01:34:43.077 region:rollup2
HUMANE STANDARD FOR HOSPITALS
01:34:41.609 --> 01:34:44.646 region:rollup2
DISCHARGING HOMELESS PATIENTS
01:34:43.077 --> 01:34:45.680 region:rollup2
AND AIMS TO FILL A GAP.
01:34:44.646 --> 01:34:47.682 region:rollup2
IN CURRENT LAW THAT DOES NOT
01:34:45.680 --> 01:34:48.750 region:rollup2
EXPLICITLY OUTLINED STANDARDS
01:34:47.682 --> 01:34:50.618 region:rollup2
WHEN TREATING THIS VULNERABLE
01:34:48.750 --> 01:34:51.419 region:rollup2
POPULATION.
01:34:50.618 --> 01:34:52.754 region:rollup2
THESE TYPES OF STANDARDS
01:34:51.419 --> 01:34:54.355 region:rollup2
PROPOSED ARE ALSO NOT
01:34:52.754 --> 01:34:56.057 region:rollup2
UNPRECEDENTED AS WE HAVE SEEN
01:34:54.355 --> 01:34:58.092 region:rollup2
SIMILAR POLICIES CREATED WITHIN
01:34:56.057 --> 01:34:58.626 region:rollup2
THE VA HOSPITAL SYSTEM.
01:34:58.092 --> 01:35:00.128 region:rollup2
AND THE WHOLE PERSON CARE
01:34:58.626 --> 01:35:01.162 region:rollup2
PILOTS.
01:35:00.128 --> 01:35:02.497 region:rollup2
IT IS IMPORTANT TO NOTE THAT
01:35:01.162 --> 01:35:03.965 region:rollup2
WHILE SOME HOSPITALS CURRENTLY
01:35:02.497 --> 01:35:05.066 region:rollup2
GO ABOVE THE PROPOSED STANDARDS
01:35:03.965 --> 01:35:05.633 region:rollup2
IN THIS BILL WHEN DISCHARGING
01:35:05.066 --> 01:35:08.570 region:rollup2
PATIENTS MANY IF NOT MOST DO
01:35:05.633 --> 01:35:09.971 region:rollup2
NOT.
01:35:08.570 --> 01:35:11.272 region:rollup2
THE BILL ALSO ENSURE AGAIN
01:35:09.971 --> 01:35:13.474 region:rollup2
ESTATE RIGHT STANDARD FOR ALL
01:35:11.272 --> 01:35:15.777 region:rollup2
HOSPITALS TO FOLLOW.
01:35:13.474 --> 01:35:17.645 region:rollup2
LASTLY SEIU REPRESENTS OVER TEN
01:35:15.777 --> 01:35:19.213 region:rollup2
THOUSAND SOCIAL WORKERS ALONG
01:35:17.645 --> 01:35:20.381 region:rollup2
WITH NUMEROUS ARE AND WHO ARE.
01:35:19.213 --> 01:35:22.116 region:rollup2
DOING THE DISCHARGE PLANNING FOR
01:35:20.381 --> 01:35:23.217 region:rollup2
THESE PATIENTS.
01:35:22.116 --> 01:35:24.485 region:rollup2
THIS MEASURE WOULD FURTHER
01:35:23.217 --> 01:35:26.254 region:rollup2
EMPOWER THEM TO DO WHAT THEY
01:35:24.485 --> 01:35:28.256 region:rollup2
NEED TO DO WHEN DISCHARGING
01:35:26.254 --> 01:35:29.824 region:rollup2
PATIENTS FROM THE HOSPITAL.
01:35:28.256 --> 01:35:31.259 region:rollup2
BOTH SEIU AND SEE PAN HAVE MADE
01:35:29.824 --> 01:35:32.093 region:rollup2
A GOOD FAITH EFFORT TO WORK WITH
01:35:31.259 --> 01:35:33.661 region:rollup2
OPPOSITION TO ADDRESS THEIR
01:35:32.093 --> 01:35:35.129 region:rollup2
CONCERNS.
01:35:33.661 --> 01:35:36.531 region:rollup2
NOTABLY WE TOOK THREE LARGELY
01:35:35.129 --> 01:35:37.465 region:rollup2
SUBSTANTIVE AMENDMENTS TO EASE
01:35:36.531 --> 01:35:39.300 region:rollup2
THE HOSPITAL'S ISSUES ON THE
01:35:37.465 --> 01:35:40.501 region:rollup2
SENATE FLOOR.
01:35:39.300 --> 01:35:41.636 region:rollup2
WE HOPE TO CONTINUE TO HAVE
01:35:40.501 --> 01:35:42.804 region:rollup2
PRODUCTIVE CONVERSATIONS WITH
01:35:41.636 --> 01:35:44.105 region:rollup2
THE HOSPITAL ASSOCIATION AND
01:35:42.804 --> 01:35:44.672 region:rollup2
CALLIE SAP.
01:35:44.105 --> 01:35:46.341 region:rollup2
AND ENSURE THAT THIS MOST
01:35:44.672 --> 01:35:47.542 region:rollup2
VULNERABLE POPULATION RECEIVES
01:35:46.341 --> 01:35:50.678 region:rollup2
THE HIGHEST QUALITY OF CARE AT
01:35:47.542 --> 01:35:52.247 region:rollup2
ALL TIMES THINK YOU.
01:35:50.678 --> 01:35:52.580 region:rollup2
KAREN SAVAGE CALIFORNIA PAN I
01:35:52.247 --> 01:35:53.948 region:rollup2
THINK HELP.
01:35:52.580 --> 01:35:54.248 region:rollup2
WHERE PROUD SPONSOR DISCOVERED
01:35:53.948 --> 01:35:56.985 region:rollup2
[inaudible]
01:35:54.248 --> 01:35:57.919 region:rollup2
THANK YOU LISTEN SUPPORT JUST
01:35:56.985 --> 01:36:00.355 region:rollup2
YOUR NAME AND ORGANIZATION
01:35:57.919 --> 01:36:01.889 region:rollup2
PLEASE.
01:36:00.355 --> 01:36:03.725 region:rollup2
RAIN X. CALIFORNIA DISABILITY
01:36:01.889 --> 01:36:06.461 region:rollup2
RIGHTS CALIFORNIA LINES RETIRED
01:36:03.725 --> 01:36:07.862 region:rollup2
AMERICANS IN STRONG SUPPORT.
01:36:06.461 --> 01:36:10.531 region:rollup2
MARY VALDEZ HEALTHAXIS
01:36:07.862 --> 01:36:12.166 region:rollup2
CALIFORNIANS SUPPORT.
01:36:10.531 --> 01:36:12.767 region:rollup2
GEN FLORI WESTERN CENTER ON LAW
01:36:12.166 --> 01:36:14.435 region:rollup2
AND POVERTY AND SUPPORT THANK
01:36:12.767 --> 01:36:15.637 region:rollup2
YOU.
01:36:14.435 --> 01:36:18.606 region:rollup2
J. CLIN WITH DECEMBER INSTITUTE
01:36:15.637 --> 01:36:19.474 region:rollup2
IN SUPPORT.
01:36:18.606 --> 01:36:21.342 region:rollup2
AND YOU READING OF ASIAN
01:36:19.474 --> 01:36:21.843 region:rollup2
AMERICANS ADVANCING JUSTICE
01:36:21.342 --> 01:36:23.511 region:rollup2
CALIFORNIA CHUNKS POINT.
01:36:21.843 --> 01:36:24.345 region:rollup2
HERE.
01:36:23.511 --> 01:36:25.513 region:rollup2
CHRISTINE BAUM BEHALF THE
01:36:24.345 --> 01:36:27.649 region:rollup2
CALIFORNIA PROFESSIONAL
01:36:25.513 --> 01:36:28.950 region:rollup2
FIREFIGHTERS IN SUPPORT.
01:36:27.649 --> 01:36:30.184 region:rollup2
CHRISTOPHER GO IN ON BEHALF OF
01:36:28.950 --> 01:36:33.087 region:rollup2
THE CALIFORNIA IMMIGRANT POLICY
01:36:30.184 --> 01:36:34.856 region:rollup2
CENTER IN SUPPORT.
01:36:33.087 --> 01:36:38.293 region:rollup2
GEBRACHT DISABILITY RIGHTS
01:36:34.856 --> 01:36:38.793 region:rollup2
CALIFORNIA SPORT.
01:36:38.293 --> 01:36:39.961 region:rollup2
STEVE SMITH CALIFORNIA
01:36:38.793 --> 01:36:43.297 region:rollup2
PARTNERSHIP TO A DOMESTIC
01:36:39.961 --> 01:36:44.799 region:rollup2
VIOLENCE IN SUPPORT.
01:36:43.297 --> 01:36:47.835 region:rollup2
MIKE MONTGOMERY CONGRESS OF
01:36:44.799 --> 01:36:49.170 region:rollup2
CALIFORNIA SENIORS IN SUPPORT.
01:36:47.835 --> 01:36:49.671 region:rollup2
TOM REILLY AMERICAN COLLEGE OF
01:36:49.170 --> 01:36:53.741 region:rollup2
PHYSICIANS CALIFORNIA IN
01:36:49.671 --> 01:36:56.044 region:rollup2
SUPPORT.
01:36:53.741 --> 01:36:56.611 region:rollup2
PAUL THE OTHER CITY SANTA MONICA
01:36:56.044 --> 01:36:58.046 region:rollup2
LA CITY ATTORNEY MIKE FUERAN
01:36:56.611 --> 01:36:59.580 region:rollup2
SPORT.
01:36:58.046 --> 01:37:06.788 region:rollup2
WE WERE HOUSE.
01:36:59.580 --> 01:37:09.223 region:rollup2
ANYONE IN OPPOSITION.
01:37:06.788 --> 01:37:10.692 region:rollup2
GOOD AFTERNOON CHAIRMAN MEMBERS.
01:37:09.223 --> 01:37:11.893 region:rollup2
MY NAME IS PEGGY BROUSSARD
01:37:10.692 --> 01:37:13.928 region:rollup2
WHEELER.
01:37:11.893 --> 01:37:15.163 region:rollup2
AND I SERVICE THE VICE PRESIDENT
01:37:13.928 --> 01:37:16.998 region:rollup2
FOR RURAL HEALTH CARE AND
01:37:15.163 --> 01:37:19.133 region:rollup2
GOVERNANCE AT THE CALIFORNIA
01:37:16.998 --> 01:37:21.269 region:rollup2
HOSPITAL ASSOCIATION.
01:37:19.133 --> 01:37:22.804 region:rollup2
AT C. H. A. I HAVE WORKED ON THE
01:37:21.269 --> 01:37:23.338 region:rollup2
ISSUES RELATED TO HOMELESS
01:37:22.804 --> 01:37:26.007 region:rollup2
PATIENT DISCHARGE FOR MANY
01:37:23.338 --> 01:37:29.110 region:rollup2
YEARS.
01:37:26.007 --> 01:37:30.845 region:rollup2
CH A REMAINS SOME LAST AMENDED
01:37:29.110 --> 01:37:31.879 region:rollup2
WE HAVE WORKED DILIGENTLY AS
01:37:30.845 --> 01:37:34.115 region:rollup2
YOU'VE HEARD WITH THE AUTHOR
01:37:31.879 --> 01:37:35.416 region:rollup2
STAFF IN THE BILL'S SPONSORS TO
01:37:34.115 --> 01:37:37.185 region:rollup2
NEGOTIATE REASONABLE
01:37:35.416 --> 01:37:38.286 region:rollup2
REQUIREMENTS IN THE BILL.
01:37:37.185 --> 01:37:39.387 region:rollup2
AND WE THANK THEM FOR THEIR
01:37:38.286 --> 01:37:41.989 region:rollup2
WILLINGNESS AND COMMITMENT IN
01:37:39.387 --> 01:37:43.958 region:rollup2
THAT PROCESS.
01:37:41.989 --> 01:37:45.593 region:rollup2
HAS THE AUTHOR HAS ACKNOWLEDGED
01:37:43.958 --> 01:37:47.729 region:rollup2
HOSPITAL'S DID NOT CREATE THE
01:37:45.593 --> 01:37:49.030 region:rollup2
HOMELESS CRISIS AND WITHOUT
01:37:47.729 --> 01:37:51.232 region:rollup2
ADEQUATE AND APPROPRIATE
01:37:49.030 --> 01:37:54.068 region:rollup2
COMMUNITY RESOURCE AS HOSPITAL'S
01:37:51.232 --> 01:37:56.471 region:rollup2
CANNOT SOLVE THE PROBLEM ALONE.
01:37:54.068 --> 01:37:58.072 region:rollup2
WE REMAIN OPPOSED PRIMARILY DUE
01:37:56.471 --> 01:37:59.674 region:rollup2
TO THE PREEMPTION LANGUAGE IN
01:37:58.072 --> 01:38:01.542 region:rollup2
THE BILL WE BELIEVE IT SETS A
01:37:59.674 --> 01:38:03.277 region:rollup2
CONDITION THAT HAS THE POTENTIAL
01:38:01.542 --> 01:38:05.279 region:rollup2
TO FRACTURE THE WORK WE HAVE
01:38:03.277 --> 01:38:07.515 region:rollup2
CAREFULLY NEGOTIATED.
01:38:05.279 --> 01:38:08.816 region:rollup2
ALLOWING LOCAL JURISDICTIONS TO
01:38:07.515 --> 01:38:10.752 region:rollup2
IMPOSE MORE BURDENSOME
01:38:08.816 --> 01:38:12.987 region:rollup2
REQUIREMENTS ON HOSPITALS THAN
01:38:10.752 --> 01:38:14.555 region:rollup2
IT'S REQUIRED UNDER STATE LAW.
01:38:12.987 --> 01:38:16.290 region:rollup2
WILL CREATE A PATCHWORK
01:38:14.555 --> 01:38:18.025 region:rollup2
REGULATORY SYSTEM.
01:38:16.290 --> 01:38:19.660 region:rollup2
ADDITIONALLY THE BILL IGNORES
01:38:18.025 --> 01:38:22.230 region:rollup2
THE RESPONSIBILITY OF OTHER
01:38:19.660 --> 01:38:24.065 region:rollup2
ORGANIZATIONS IN OUR COMMUNITIES
01:38:22.230 --> 01:38:24.565 region:rollup2
TO STEP UP AND PARTNER WITH
01:38:24.065 --> 01:38:25.199 region:rollup2
COMMUNITY HOSPITALS. TO
01:38:24.565 --> 01:38:28.336 region:rollup2
PROVIDE-THOSE SERVICES NEEDED BY
01:38:25.199 --> 01:38:30.405 region:rollup2
THIS
01:38:28.336 --> 01:38:32.607 region:rollup2
VULNERABLE POPULATION.
01:38:30.405 --> 01:38:34.942 region:rollup2
THE HOMELESS CRISIS IS A STATE
01:38:32.607 --> 01:38:36.744 region:rollup2
WIDE PROBLEM TO EFFECT REAL
01:38:34.942 --> 01:38:38.746 region:rollup2
CHANGE WE DO WHAT WE NEED A
01:38:36.744 --> 01:38:40.915 region:rollup2
COMMITMENT BY MANY INCLUDING THE
01:38:38.746 --> 01:38:42.617 region:rollup2
HOSPITAL'S I'D LIKE TO INTRODUCE
01:38:40.915 --> 01:38:43.618 region:rollup2
AMANDA WILKINSON.
01:38:42.617 --> 01:38:45.486 region:rollup2
HERE FROM AND LOW HOSPITAL IN
01:38:43.618 --> 01:38:47.755 region:rollup2
CHICO [inaudible]
01:38:45.486 --> 01:38:49.357 region:rollup2
NO.
01:38:47.755 --> 01:38:51.225 region:rollup2
HELLO GOOD AFTERNOON MISTER
01:38:49.357 --> 01:38:53.094 region:rollup2
CHAIRMAN MEMBERS --
01:38:51.225 --> 01:38:54.128 region:rollup2
THANK YOU FOR THE OPPORTUNITY.
01:38:53.094 --> 01:38:56.831 region:rollup2
TO PRESENT TO YOU TODAY AND
01:38:54.128 --> 01:38:57.665 region:rollup2
SENATE BILL.
01:38:56.831 --> 01:38:59.167 region:rollup2
ELEVEN FIFTY TWO MY NAME IS
01:38:57.665 --> 01:39:00.735 region:rollup2
AMANDA WILKINSON I AM A CASE
01:38:59.167 --> 01:39:01.636 region:rollup2
MANAGER AT AND LOW MEDICAL
01:39:00.735 --> 01:39:04.105 region:rollup2
CENTER.
01:39:01.636 --> 01:39:05.773 region:rollup2
I'VE SERVED IN THIS CAPACITY FOR
01:39:04.105 --> 01:39:08.176 region:rollup2
TWELVE YEARS AND I AM --
01:39:05.773 --> 01:39:09.510 region:rollup2
LCSW LICENSE GONNA CALL SOCIAL
01:39:08.176 --> 01:39:11.646 region:rollup2
WORKER BY TRAINING.
01:39:09.510 --> 01:39:13.581 region:rollup2
WE DO SUPPORT THE REQUIREMENT IN
01:39:11.646 --> 01:39:14.115 region:rollup2
SB ELEVEN FIFTY TWO TO HAVE A
01:39:13.581 --> 01:39:16.217 region:rollup2
WRITTEN PATIENT DISCHARGE
01:39:14.115 --> 01:39:18.186 region:rollup2
POLICY.
01:39:16.217 --> 01:39:20.154 region:rollup2
UP FOR HOMELESS PATIENTS AS A
01:39:18.186 --> 01:39:21.622 region:rollup2
HOSPITAL CASE MANAGER I AM
01:39:20.154 --> 01:39:23.491 region:rollup2
RESPONSIBLE FOR PUTTING TOGETHER
01:39:21.622 --> 01:39:25.359 region:rollup2
THE CARE PLAN OUR PATIENTS NEED
01:39:23.491 --> 01:39:27.528 region:rollup2
WHEN THEY LEAVE OUR HOSPITAL.
01:39:25.359 --> 01:39:28.830 region:rollup2
A WE WANNA DO EVERYTHING WE CAN
01:39:27.528 --> 01:39:30.398 region:rollup2
TO MAKE SURE THAT THE STEPS OUR
01:39:28.830 --> 01:39:32.667 region:rollup2
PATIENTS TAKE HELP THEM
01:39:30.398 --> 01:39:34.168 region:rollup2
TRANSITION TO HOME OR THE NEXT
01:39:32.667 --> 01:39:35.636 region:rollup2
LEVEL OF CARE AND BEGIN THE
01:39:34.168 --> 01:39:37.271 region:rollup2
HEALING PROCESS AFTER
01:39:35.636 --> 01:39:39.040 region:rollup2
HOSPITALIZATION.
01:39:37.271 --> 01:39:40.942 region:rollup2
WE ARE ACUTELY AWARE THAT NOT
01:39:39.040 --> 01:39:44.078 region:rollup2
EVERY PATIENT HAS A HOME TO
01:39:40.942 --> 01:39:45.246 region:rollup2
RETURN TO A IN LOW HAS NEARLY
01:39:44.078 --> 01:39:47.648 region:rollup2
FIVE THOUSAND HOMELESS PATIENT
01:39:45.246 --> 01:39:49.083 region:rollup2
ENCOUNTERS EVERY YEAR --
01:39:47.648 --> 01:39:52.119 region:rollup2
AT TEN HOMELESS PATIENTS IN THE
01:39:49.083 --> 01:39:55.790 region:rollup2
ER ON A DAILY BASIS AND IN ONE
01:39:52.119 --> 01:39:57.692 region:rollup2
PATIENT CASE --
01:39:55.790 --> 01:39:59.026 region:rollup2
OVER FORD --
01:39:57.692 --> 01:40:01.996 region:rollup2
FIFTY FIFTY VISITS TO THE IRAQI
01:39:59.026 --> 01:40:03.698 region:rollup2
ARE IN A THREE WEEK PERIOD.
01:40:01.996 --> 01:40:05.266 region:rollup2
SUPPORTING A PATIENT IN ENSURING
01:40:03.698 --> 01:40:06.300 region:rollup2
THE STAY HEALTHY ISN'T JUST
01:40:05.266 --> 01:40:06.767 region:rollup2
ABOUT HELPING THEM FOLLOW
01:40:06.300 --> 01:40:09.670 region:rollup2
MEDICAL ADVICE THAT WE
01:40:06.767 --> 01:40:11.305 region:rollup2
PRESCRIBE.
01:40:09.670 --> 01:40:11.906 region:rollup2
THERE'S SO MUCH MORE THAT'S
01:40:11.305 --> 01:40:13.140 region:rollup2
NEEDED ON THE ROAD TO RECOVERY
01:40:11.906 --> 01:40:15.343 region:rollup2
--
01:40:13.140 --> 01:40:17.411 region:rollup2
THE CHALLENGE THAT WE FACE IS
01:40:15.343 --> 01:40:19.747 region:rollup2
IDENTIFYING AND COORDINATING THE
01:40:17.411 --> 01:40:21.949 region:rollup2
APPROPRIATE RESOURCES FOR THESE
01:40:19.747 --> 01:40:23.284 region:rollup2
PEOPLE IN THE COMMUNITY --
01:40:21.949 --> 01:40:24.886 region:rollup2
IF WE CAN BETTER ADDRESS THESE
01:40:23.284 --> 01:40:26.787 region:rollup2
CHALLENGES WE HAVE MORE OF AN
01:40:24.886 --> 01:40:28.990 region:rollup2
OPPORTUNITY. TO MAKE A
01:40:26.787 --> 01:40:31.225 region:rollup2
DIFFERENCE IN PATIENTS LIVES WHO
01:40:28.990 --> 01:40:33.027 region:rollup2
ARE EXPERIENCING HOMELESSNESS.
01:40:31.225 --> 01:40:33.895 region:rollup2
THIS COULD BE A PIVOTAL MOMENT
01:40:33.027 --> 01:40:35.496 region:rollup2
FOR THAT PATIENT TO MAKE A
01:40:33.895 --> 01:40:37.198 region:rollup2
CHANGE AND GET THE RESOURCES
01:40:35.496 --> 01:40:38.733 region:rollup2
THAT THEY NEED --
01:40:37.198 --> 01:40:40.902 region:rollup2
AND WE APPROACH EVERY DAY
01:40:38.733 --> 01:40:42.703 region:rollup2
WITHOUT PERSPECTIVE BELIEVING IN
01:40:40.902 --> 01:40:44.872 region:rollup2
THE IDEAL --
01:40:42.703 --> 01:40:46.908 region:rollup2
THAT WE CAN SUPPORT PATIENTS --
01:40:44.872 --> 01:40:48.276 region:rollup2
AND WE THANK YOU THE THANK YOU
01:40:46.908 --> 01:40:48.576 region:rollup2
FOR THE OPPORTUNITY FOR ME TO
01:40:48.276 --> 01:40:51.045 region:rollup2
TELL THIS --
01:40:48.576 --> 01:40:53.214 region:rollup2
STORY.
01:40:51.045 --> 01:40:54.415 region:rollup2
I AM GONNA DVM ALLOWED MR MAD TO
01:40:53.214 --> 01:40:56.417 region:rollup2
PRESENT.
01:40:54.415 --> 01:40:58.085 region:rollup2
WITHIN OUR SIX MINUTES SO PLEASE
01:40:56.417 --> 01:40:58.920 region:rollup2
MISTER CHAIR MEMBERS TO MADDEN
01:40:58.085 --> 01:40:59.820 region:rollup2
FOR OUR REPS AND CALTRAIN
01:40:58.920 --> 01:41:00.821 region:rollup2
CHAPTER IN AMERICAN BECAUSE
01:40:59.820 --> 01:41:02.123 region:rollup2
MERCY PETITIONS I APPRECIATE
01:41:00.821 --> 01:41:03.724 region:rollup2
YOUR INDULGENCE ALL KEEP MY
01:41:02.123 --> 01:41:04.559 region:rollup2
COMMENTS BRIEF.
01:41:03.724 --> 01:41:05.059 region:rollup2
I'M WE HAVE --
01:41:04.559 --> 01:41:06.093 region:rollup2
AND OPPOSE LISTS AMENDED
01:41:05.059 --> 01:41:07.528 region:rollup2
POSITION FIRST I'D LIKE TO THANK
01:41:06.093 --> 01:41:08.996 region:rollup2
THE AUTHOR HIS STAFF AND
01:41:07.528 --> 01:41:10.464 region:rollup2
SPONSORS FOR WORKING WITH
01:41:08.996 --> 01:41:11.065 region:rollup2
THOUGHTS WITH US ON SOME OF OUR
01:41:10.464 --> 01:41:13.367 region:rollup2
CONCERNS.
01:41:11.065 --> 01:41:16.237 region:rollup2
ON A NUMBER OF THEM ARE DRESSED
01:41:13.367 --> 01:41:18.439 region:rollup2
IN THE AMENDMENT IS THAT IF THE
01:41:16.237 --> 01:41:19.740 region:rollup2
SERVICES ARE GOING TO BE OFFERED
01:41:18.439 --> 01:41:20.808 region:rollup2
TO A PATIENT --
01:41:19.740 --> 01:41:23.444 region:rollup2
WE WOULD REQUEST THAT THEY BE
01:41:20.808 --> 01:41:24.845 region:rollup2
DONE IN A NON PATIENT CARE AREA
01:41:23.444 --> 01:41:25.913 region:rollup2
ONE OF OUR BIGGEST CHALLENGES IN
01:41:24.845 --> 01:41:27.682 region:rollup2
WORKING THE MERCY DEPARTMENT IS
01:41:25.913 --> 01:41:29.450 region:rollup2
THAT WHENEVER AT THE POINT.
01:41:27.682 --> 01:41:30.685 region:rollup2
OF HAVING FINISHED UP PROVIDING
01:41:29.450 --> 01:41:32.219 region:rollup2
MEDICAL TREATMENT TO A PATIENT
01:41:30.685 --> 01:41:34.622 region:rollup2
WERE READY TO DISCHARGE I
01:41:32.219 --> 01:41:35.923 region:rollup2
PATIENTS ON GET NEXT TO THE NEXT
01:41:34.622 --> 01:41:37.391 region:rollup2
PATIENT WHO'S WAITING TO GET
01:41:35.923 --> 01:41:38.292 region:rollup2
INTO THE MARIN CITY DEPARTMENTS.
01:41:37.391 --> 01:41:39.694 region:rollup2
I'M A WE LOOK AT THE LIST OF
01:41:38.292 --> 01:41:42.129 region:rollup2
SERVICES WHETHER IT BE PROVIDING
01:41:39.694 --> 01:41:43.364 region:rollup2
FOOD PROVIDING CLOTHING --
01:41:42.129 --> 01:41:44.799 region:rollup2
PROVIDING TRANSPORTATION ARE
01:41:43.364 --> 01:41:45.933 region:rollup2
COORDINATING FOLLOW UP CARE
01:41:44.799 --> 01:41:47.401 region:rollup2
WE'VE YOU THESE ARE SERVICES
01:41:45.933 --> 01:41:49.236 region:rollup2
THAT COULD BE PROVIDED OUTSIDE
01:41:47.401 --> 01:41:51.238 region:rollup2
THE MERCY DEPARTMENT OR OUTSIDE
01:41:49.236 --> 01:41:52.840 region:rollup2
OF AN IMPATIENT AREA AND WE
01:41:51.238 --> 01:41:53.474 region:rollup2
REQUESTED AMENDMENT THAT BE DONE
01:41:52.840 --> 01:41:54.675 region:rollup2
IN THAT FASHION THAT WAY WE CAN
01:41:53.474 --> 01:41:56.243 region:rollup2
--
01:41:54.675 --> 01:41:57.578 region:rollup2
GET PATIENT TO A DIFFERENT AREA
01:41:56.243 --> 01:41:58.713 region:rollup2
AND MOVE ON TO OTHER PATIENTS
01:41:57.578 --> 01:42:00.247 region:rollup2
WHO ARE WAITING TO GET INTO THE
01:41:58.713 --> 01:42:01.749 region:rollup2
MERCY DEPARTMENTS --
01:42:00.247 --> 01:42:02.383 region:rollup2
WE APPRECIATE CONVERSATIONS TO
01:42:01.749 --> 01:42:06.687 region:rollup2
DATE AND LOOK FORWARD TO
01:42:02.383 --> 01:42:09.523 region:rollup2
CONTINUING THE THANK YOU OTHERS
01:42:06.687 --> 01:42:10.591 region:rollup2
IN OPPOSITION.
01:42:09.523 --> 01:42:11.125 region:rollup2
CAPTION HOUSE IS COVERED IN A
01:42:10.591 --> 01:42:12.193 region:rollup2
DISTRICT HOSPITAL LEISURE
01:42:11.125 --> 01:42:13.294 region:rollup2
FOREMAN UNITED HOSPITAL
01:42:12.193 --> 01:42:14.462 region:rollup2
ASSOCIATION.
01:42:13.294 --> 01:42:16.130 region:rollup2
I'LL LIKE IN OUR COMMENTS WITH
01:42:14.462 --> 01:42:18.1000 region:rollup2
THE THOUGHT OF CJ AND REMAIN
01:42:16.130 --> 01:42:20.635 region:rollup2
OPPOSED.
01:42:18.1000 --> 01:42:24.572 region:rollup2
SHAWN FLANAGAN RESENT HOSPITAL
01:42:20.635 --> 01:42:25.606 region:rollup2
CORPORATION OF AMERICA OPPOSE.
01:42:24.572 --> 01:42:26.540 region:rollup2
MISTER CHAIRMAN MISTER THOMAS
01:42:25.606 --> 01:42:27.808 region:rollup2
ABOUT THE CALIFORNIA MEDICAL
01:42:26.540 --> 01:42:29.377 region:rollup2
ASSOCIATION LIKE THAT THINK THE
01:42:27.808 --> 01:42:30.611 region:rollup2
AUTHOR AND SPONSOR UP FOR
01:42:29.377 --> 01:42:31.946 region:rollup2
WORKING WITH US WE DO AGREE WITH
01:42:30.611 --> 01:42:32.580 region:rollup2
THE SPIRIT OF THIS BILL BUT LIKE
01:42:31.946 --> 01:42:34.615 region:rollup2
TO ASSOCIATE OUR COMMENTS WITH
01:42:32.580 --> 01:42:35.182 region:rollup2
WITH THE MATTER OF THE EMERGENCY
01:42:34.615 --> 01:42:37.752 region:rollup2
PHYSICIANS SICK IN THE SAME
01:42:35.182 --> 01:42:39.120 region:rollup2
MOMENT THANK YOU.
01:42:37.752 --> 01:42:40.521 region:rollup2
MISTER CHAIRMAN MEMBERS THE OUR
01:42:39.120 --> 01:42:42.356 region:rollup2
PASTOR WAS INTENDED ALTHOUGH.
01:42:40.521 --> 01:42:44.058 region:rollup2
SOME PROGRESS WAS MADE ON
01:42:42.356 --> 01:42:45.459 region:rollup2
AMENDMENTS WOULD LIKE TO THANK.
01:42:44.058 --> 01:42:47.094 region:rollup2
COMMITTEE STAFF AS WELL AS A
01:42:45.459 --> 01:42:49.430 region:rollup2
SPONSOR STATUS BUSINESS AS WELL
01:42:47.094 --> 01:42:50.664 region:rollup2
AS A MISS HERNANDEZ TO STAFF WE
01:42:49.430 --> 01:42:52.166 region:rollup2
STILL HAVE PROBLEMS.
01:42:50.664 --> 01:42:52.767 region:rollup2
THE PREEMPTION LANGUAGE A COUPLE
01:42:52.166 --> 01:42:53.668 region:rollup2
OF THE PROVISIONS OF THE BILL
01:42:52.767 --> 01:42:55.469 region:rollup2
THANK YOU.
01:42:53.668 --> 01:42:57.872 region:rollup2
YOU VERY MUCH --
01:42:55.469 --> 01:42:59.473 region:rollup2
ANYONE ELSE.
01:42:57.872 --> 01:43:01.409 region:rollup2
BRING BACK TO THE COMMITTEE FOR
01:42:59.473 --> 01:43:03.778 region:rollup2
QUESTIONS OR COMMENTS.
01:43:01.409 --> 01:43:04.078 region:rollup2
SHOWS ARE COMING FROM COMMITTEE
01:43:03.778 --> 01:43:06.514 region:rollup2
[inaudible]
01:43:04.078 --> 01:43:08.449 region:rollup2
MCCARTY.
01:43:06.514 --> 01:43:10.451 region:rollup2
YEAH I'D I AM VERY FAMILIAR WITH
01:43:08.449 --> 01:43:11.786 region:rollup2
THIS ISSUE THAT TRY TO DO
01:43:10.451 --> 01:43:13.521 region:rollup2
ORDINANCE HAS THAT COUNCIL
01:43:11.786 --> 01:43:15.256 region:rollup2
MEMBER TEN YEARS AGO.
01:43:13.521 --> 01:43:16.791 region:rollup2
AFTER A FEW HIGH PROFILE
01:43:15.256 --> 01:43:19.660 region:rollup2
INCIDENTS AND I I ADMIT IT'S NOT
01:43:16.791 --> 01:43:20.928 region:rollup2
THE HOSPITAL'S FAULT PER SE BUT
01:43:19.660 --> 01:43:22.196 region:rollup2
THINGS HAPPEN PEOPLE DROP PEOPLE
01:43:20.928 --> 01:43:23.731 region:rollup2
OFF MILLION NIGHT BUT THEY'RE
01:43:22.196 --> 01:43:25.599 region:rollup2
THERE.
01:43:23.731 --> 01:43:28.235 region:rollup2
TAXI DRIVERS OR SOCIAL SERVICE
01:43:25.599 --> 01:43:30.471 region:rollup2
ENTITIES BUT NOT HAVING SOLID
01:43:28.235 --> 01:43:33.340 region:rollup2
PLANS IS NOT GOOD FOR ANYBODY.
01:43:30.471 --> 01:43:34.742 region:rollup2
AND SO I I APPLIED YOU FOR FOR
01:43:33.340 --> 01:43:36.010 region:rollup2
WORKING ON THIS ON THIS ISSUE.
01:43:34.742 --> 01:43:37.978 region:rollup2
I I DIDN'T KNOW THEN THE
01:43:36.010 --> 01:43:39.980 region:rollup2
OPPOSITION I HEARD CHI TWO
01:43:37.978 --> 01:43:41.282 region:rollup2
ARGUMENTS ONE DOES FROM THAT.
01:43:39.980 --> 01:43:43.217 region:rollup2
IN THE MEDICAL COMMUNITY THAT
01:43:41.282 --> 01:43:45.786 region:rollup2
PERFECT PROVIDERS FARCE CAPACITY
01:43:43.217 --> 01:43:47.154 region:rollup2
AND WORKLOAD ONE AS FAR AS THAT.
01:43:45.786 --> 01:43:48.989 region:rollup2
THE PREEMPTION ISSUE SO I WANTED
01:43:47.154 --> 01:43:50.858 region:rollup2
TO ASK YOU IF YOU TRIP RESPONDED
01:43:48.989 --> 01:43:52.426 region:rollup2
THOSE TUITION SURE I'D BE MORE
01:43:50.858 --> 01:43:54.528 region:rollup2
THAN HAPPY FIRST LET ME JUST.
01:43:52.426 --> 01:43:55.930 region:rollup2
TELL YOU THAT I AGREE AND WHEN
01:43:54.528 --> 01:43:57.231 region:rollup2
YOU SAID TEN YEARS AGO WHEN YOU
01:43:55.930 --> 01:43:58.165 region:rollup2
DID IT WHEN YOU WERE A CITY
01:43:57.231 --> 01:43:59.734 region:rollup2
COUNCIL MEMBER.
01:43:58.165 --> 01:44:01.268 region:rollup2
I BELIEVE IS ROUGHLY AROUND TEN
01:43:59.734 --> 01:44:02.536 region:rollup2
YEARS ARE ELEVEN YEARS AGO WHEN
01:44:01.268 --> 01:44:03.671 region:rollup2
I WAS ELECTED TO THE STATE
01:44:02.536 --> 01:44:05.973 region:rollup2
ASSEMBLY ACTUALLY SAT IN THIS
01:44:03.671 --> 01:44:07.908 region:rollup2
COMMITTEE AND SENATOR STUDIO AT
01:44:05.973 --> 01:44:08.576 region:rollup2
THE TIME HAD ONE VERY SIMILAR TO
01:44:07.908 --> 01:44:10.978 region:rollup2
WHAT I THINK.
01:44:08.576 --> 01:44:12.179 region:rollup2
LA HAS RIGHT NOW TO THIS PROBLEM
01:44:10.978 --> 01:44:12.980 region:rollup2
HAS BEEN AROUND FOR AWHILE.
01:44:12.179 --> 01:44:15.015 region:rollup2
WITH REGARD TO THE PREEMPTION AS
01:44:12.980 --> 01:44:16.851 region:rollup2
I MENTION [inaudible]
01:44:15.015 --> 01:44:18.419 region:rollup2
FLOOR.
01:44:16.851 --> 01:44:20.588 region:rollup2
AND NOT THE CEILING.
01:44:18.419 --> 01:44:21.956 region:rollup2
AND LET'S SAY THAT WE AGREE TO
01:44:20.588 --> 01:44:23.224 region:rollup2
DISAGREE ON THIS BILL THAT
01:44:21.956 --> 01:44:25.359 region:rollup2
EITHER DOESN'T GET SIGNED OR IF
01:44:23.224 --> 01:44:25.960 region:rollup2
IT.
01:44:25.359 --> 01:44:28.095 region:rollup2
IT DOESN'T AFFORD AFTER THIS
01:44:25.960 --> 01:44:29.630 region:rollup2
COMMITTEE. THIRTY SET AT A
01:44:28.095 --> 01:44:32.066 region:rollup2
HIGHER LEVEL IN THE CITY OF LOS
01:44:29.630 --> 01:44:33.734 region:rollup2
ANGELES SO IT IS ALREADY THERE I
01:44:32.066 --> 01:44:35.202 region:rollup2
DON'T WANNA --
01:44:33.734 --> 01:44:36.437 region:rollup2
CHANGE WHAT IS ALREADY KIND OF
01:44:35.202 --> 01:44:38.072 region:rollup2
IN STATUTE.
01:44:36.437 --> 01:44:39.907 region:rollup2
WITH REGARD TO THE NOT PATIENT
01:44:38.072 --> 01:44:42.042 region:rollup2
CARE AREA I MEAN WE'RE MORE THAN
01:44:39.907 --> 01:44:43.244 region:rollup2
WILLING TO TALK TO YOU KNOW THE
01:44:42.042 --> 01:44:47.114 region:rollup2
E. OURS OF THE HOSPITALS BUT
01:44:43.244 --> 01:44:48.716 region:rollup2
PROMISED NOT EVERY HOSPITAL HAS.
01:44:47.114 --> 01:44:50.317 region:rollup2
NINE PATIENT CARE AREAS SO.
01:44:48.716 --> 01:44:51.685 region:rollup2
YES BY ALL MEANS ARE WILLING TO
01:44:50.317 --> 01:44:53.087 region:rollup2
CONTINUE THE CONVERSATION SO
01:44:51.685 --> 01:44:53.687 region:rollup2
THAT'S WHY WE HAVE BEEN ABLE TO
01:44:53.087 --> 01:44:54.054 region:rollup2
PUT THAT INTO THE BILL AT THIS
01:44:53.687 --> 01:44:56.056 region:rollup2
TIME [inaudible]
01:44:54.054 --> 01:44:59.093 region:rollup2
THANK YOU.
01:44:56.056 --> 01:45:00.761 region:rollup2
ANYONE ELSE YOUR MOTION.
01:44:59.093 --> 01:45:03.230 region:rollup2
THERE IS NO MOHAMMED ABOUT.
01:45:00.761 --> 01:45:05.499 region:rollup2
MOTION ON OF MY MR MCCARTY A
01:45:03.230 --> 01:45:07.067 region:rollup2
SECOND BY MATTEL YEAR CURRY --
01:45:05.499 --> 01:45:10.738 region:rollup2
I JUST A QUESTION OF THE
01:45:07.067 --> 01:45:12.540 region:rollup2
HOSPITAL ASSOCIATION --
01:45:10.738 --> 01:45:14.208 region:rollup2
DO YOU.
01:45:12.540 --> 01:45:14.775 region:rollup2
I'M FOR GOING TO PLUG THE AUTHOR
01:45:14.208 --> 01:45:16.310 region:rollup2
FOR BRINGING THIS FORWARD IS
01:45:14.775 --> 01:45:18.012 region:rollup2
OBVIOUSLY.
01:45:16.310 --> 01:45:19.680 region:rollup2
HEARING FROM MR MCCARTY NOW HE'S
01:45:18.012 --> 01:45:20.815 region:rollup2
WHERE HE DID TEN YEARS AGO THIS
01:45:19.680 --> 01:45:21.916 region:rollup2
THIS PROBLEMS GET ANY BETTER
01:45:20.815 --> 01:45:23.250 region:rollup2
ACTUALLY I WOULD ARGUE IS
01:45:21.916 --> 01:45:25.186 region:rollup2
ACTUALLY GETTING WORSE.
01:45:23.250 --> 01:45:26.921 region:rollup2
AND SO YOU FEW SAID WE NEED
01:45:25.186 --> 01:45:28.556 region:rollup2
RESOURCES WHATEVER.
01:45:26.921 --> 01:45:29.890 region:rollup2
BUT I DON'T HEAR SOLUTIONS ARE
01:45:28.556 --> 01:45:31.759 region:rollup2
ALTERNATIVES DO YOU HAVE AN
01:45:29.890 --> 01:45:32.993 region:rollup2
ALTERNATIVE FOR A SOLUTION THAT
01:45:31.759 --> 01:45:33.994 region:rollup2
YOU COULD OFFER HERE BECAUSE I'M
01:45:32.993 --> 01:45:34.962 region:rollup2
NOT ON THE HEARING THAT I'M JUST
01:45:33.994 --> 01:45:37.798 region:rollup2
HEARING.
01:45:34.962 --> 01:45:39.300 region:rollup2
WE CAN'T DO IT.
01:45:37.798 --> 01:45:41.302 region:rollup2
WELL WE THINK THAT WE HAVE
01:45:39.300 --> 01:45:43.504 region:rollup2
WORKED DILIGENTLY WITH THE
01:45:41.302 --> 01:45:44.138 region:rollup2
AUTHORS OFFICE AND THE BILL'S
01:45:43.504 --> 01:45:47.007 region:rollup2
SPONSORS TO TRY TO COME UP WITH
01:45:44.138 --> 01:45:49.243 region:rollup2
--
01:45:47.007 --> 01:45:50.744 region:rollup2
THE FAULT THE INTENT OF THE BILL
01:45:49.243 --> 01:45:53.013 region:rollup2
WHICH IS TO CREATE A HOMELESS
01:45:50.744 --> 01:45:55.182 region:rollup2
PATIENT DISCHARGE POLICY OUR
01:45:53.013 --> 01:45:56.984 region:rollup2
HOSPITALS WORK UNDER DISCHARGED
01:45:55.182 --> 01:45:58.586 region:rollup2
POLICIES AND WE HAVE AGREED.
01:45:56.984 --> 01:46:00.221 region:rollup2
THAT THIS IS A UNIQUE ENOUGH
01:45:58.586 --> 01:46:02.289 region:rollup2
PROBLEM THAT ISN'T GOING AWAY
01:46:00.221 --> 01:46:03.757 region:rollup2
THAT SEEMS TO BE GROWING THAT WE
01:46:02.289 --> 01:46:06.293 region:rollup2
NEED TO CREATE THAT HOMELESS.
01:46:03.757 --> 01:46:09.663 region:rollup2
PATIENT DISCHARGE POLICY I THINK
01:46:06.293 --> 01:46:12.399 region:rollup2
AMANDA CAN CAN SPEAK TO JUST HOW
01:46:09.663 --> 01:46:14.735 region:rollup2
GRAVE THE ISSUE HAS BECOME AND
01:46:12.399 --> 01:46:17.838 region:rollup2
SOME OF OUR HOSPITALS --
01:46:14.735 --> 01:46:19.907 region:rollup2
WHAT WHAT WE ARE SAYING IS THAT
01:46:17.838 --> 01:46:21.542 region:rollup2
IN ORDER FOR HOSPITALS TO
01:46:19.907 --> 01:46:23.344 region:rollup2
CONTINUE TO DO THE WORK THAT
01:46:21.542 --> 01:46:25.012 region:rollup2
THEY'RE DOING AND AMANDA DOES
01:46:23.344 --> 01:46:26.413 region:rollup2
THIS WORK EVERYDAY IN HER
01:46:25.012 --> 01:46:29.883 region:rollup2
HOSPITAL?
01:46:26.413 --> 01:46:32.086 region:rollup2
WE NEED MORE RESOURCES FUNDED
01:46:29.883 --> 01:46:33.520 region:rollup2
AND APPROPRIATE IN THE COMMUNITY
01:46:32.086 --> 01:46:35.856 region:rollup2
TO HELP US WHEN WE'RE READY TO
01:46:33.520 --> 01:46:37.858 region:rollup2
DISCHARGE THAT PERSON WHO NEEDS
01:46:35.856 --> 01:46:39.894 region:rollup2
RESPITE CARE OR TEMPORARY
01:46:37.858 --> 01:46:41.395 region:rollup2
SHELTER OR EVEN A PATHWAY TO
01:46:39.894 --> 01:46:42.730 region:rollup2
AFFORDABLE HOUSING.
01:46:41.395 --> 01:46:44.865 region:rollup2
THAT SOMETHING HOSPITALS ARE
01:46:42.730 --> 01:46:46.667 region:rollup2
WILLING AND ARE CURRENTLY TRYING
01:46:44.865 --> 01:46:48.369 region:rollup2
TO DO BUT WE NEED ADDITIONAL
01:46:46.667 --> 01:46:50.404 region:rollup2
RESOURCES IN THE COMMUNITY AND
01:46:48.369 --> 01:46:52.273 region:rollup2
WE THINK THAT THE BILL --
01:46:50.404 --> 01:46:59.647 region:rollup2
WOULD WOULD SHOULD CALL OUT THAT
01:46:52.273 --> 01:47:01.849 region:rollup2
MEET.
01:46:59.647 --> 01:47:03.884 region:rollup2
I ONE OF THE CHALLENGES THAT WE
01:47:01.849 --> 01:47:06.153 region:rollup2
SEE AS THE BEST JOB THAT WE
01:47:03.884 --> 01:47:07.955 region:rollup2
COULD POSSIBLY DO EVERYDAY IS TO
01:47:06.153 --> 01:47:10.391 region:rollup2
SET UP A GREAT RESOURCE LIST AND
01:47:07.955 --> 01:47:11.992 region:rollup2
GET SOME CONNECTIONS AND PROVIDE
01:47:10.391 --> 01:47:12.993 region:rollup2
A WARM HAND OFF TO AGENCIES.
01:47:11.992 --> 01:47:14.795 region:rollup2
WHERE WE THINK WE'RE
01:47:12.993 --> 01:47:16.297 region:rollup2
FACILITATING THE BEST CASE
01:47:14.795 --> 01:47:17.998 region:rollup2
SCENARIO PLAN FOR THE PATIENT
01:47:16.297 --> 01:47:19.500 region:rollup2
PROVIDING MADS PROVIDING
01:47:17.998 --> 01:47:21.268 region:rollup2
EQUIPMENT --
01:47:19.500 --> 01:47:23.037 region:rollup2
THE TRANSPORTATION.
01:47:21.268 --> 01:47:25.306 region:rollup2
THE CHALLENGES WHEN YOU HAVE A
01:47:23.037 --> 01:47:26.907 region:rollup2
PATIENT WHO MAY HAVE A HISTORY
01:47:25.306 --> 01:47:28.442 region:rollup2
OF TRAUMA OR
01:47:26.907 --> 01:47:31.278 region:rollup2
INSTITUTIONALIZATION.
01:47:28.442 --> 01:47:33.147 region:rollup2
AND WE RUN INTO --
01:47:31.278 --> 01:47:34.381 region:rollup2
PATIENTS THAT LEAVE BEFORE WE
01:47:33.147 --> 01:47:34.982 region:rollup2
CAN COMPLETE THE PLAN --
01:47:34.381 --> 01:47:38.452 region:rollup2
AND THOSE ARE THOSE ARE GREAT
01:47:34.982 --> 01:47:40.120 region:rollup2
CHALLENGE. TWO NAVY WHERE IF WE
01:47:38.452 --> 01:47:41.288 region:rollup2
HAD SOMEONE ON THE RECEIVING END
01:47:40.120 --> 01:47:42.756 region:rollup2
IN THE COMMUNITY WHERE WE CAN
01:47:41.288 --> 01:47:44.491 region:rollup2
PARTNER.
01:47:42.756 --> 01:47:45.859 region:rollup2
IN CENTRAL ISAM SUPPORT OUT IN
01:47:44.491 --> 01:47:47.661 region:rollup2
THE COMMUNITY WITH EITHER
01:47:45.859 --> 01:47:49.697 region:rollup2
SHELTER AGENCIES OR COUNTY
01:47:47.661 --> 01:47:50.965 region:rollup2
AGENCIES.
01:47:49.697 --> 01:47:52.499 region:rollup2
THERE THERE ARE --
01:47:50.965 --> 01:47:53.067 region:rollup2
MOMENTS THAT SOMETIMES WE JUST
01:47:52.499 --> 01:47:54.902 region:rollup2
SIMPLY CAN'T CAPTURE IN THE
01:47:53.067 --> 01:47:56.704 region:rollup2
HOSPITAL.
01:47:54.902 --> 01:47:58.005 region:rollup2
AND SO THAT IS THAT IS ONE OF
01:47:56.704 --> 01:48:00.040 region:rollup2
THE AREAS WHERE I COULD SEE A
01:47:58.005 --> 01:48:01.475 region:rollup2
SOLUTION HAPPENING IS HOSPITALS
01:48:00.040 --> 01:48:03.344 region:rollup2
COLLABORATING.
01:48:01.475 --> 01:48:04.778 region:rollup2
IN THE COMMUNITY.
01:48:03.344 --> 01:48:06.580 region:rollup2
AFTER THE DISCHARGED OR EVEN
01:48:04.778 --> 01:48:07.648 region:rollup2
ONCE A PATIENT YOU KNOW IF THEY
01:48:06.580 --> 01:48:09.416 region:rollup2
LEAVE IN THE MIDDLE OF A
01:48:07.648 --> 01:48:12.553 region:rollup2
DISCHARGE PLAN --
01:48:09.416 --> 01:48:13.854 region:rollup2
SO WE COULD FOSTER SOME SUCCESS.
01:48:12.553 --> 01:48:16.523 region:rollup2
I THINK THAT'S WHAT WE SEE AS A
01:48:13.854 --> 01:48:17.758 region:rollup2
BARRIER MOST OFTEN.
01:48:16.523 --> 01:48:19.093 region:rollup2
IT WASN'T THERE PROGRAM AT SOME
01:48:17.758 --> 01:48:20.194 region:rollup2
POINT WHERE HOSPITAL'S REXY
01:48:19.093 --> 01:48:22.262 region:rollup2
DOING CHARITY CARE AND
01:48:20.194 --> 01:48:23.364 region:rollup2
COMMUNITIES.
01:48:22.262 --> 01:48:24.932 region:rollup2
WELL I THINK THERE'S A LOT OF
01:48:23.364 --> 01:48:27.835 region:rollup2
VARIATIONS ON THAT THROUGHOUT
01:48:24.932 --> 01:48:29.370 region:rollup2
THE STATE AND AT CURRENT
01:48:27.835 --> 01:48:31.338 region:rollup2
CURRENTLY IN CHICO WE DON'T HAVE
01:48:29.370 --> 01:48:32.339 region:rollup2
ANY A PROGRAM LIKE THAT AND SO
01:48:31.338 --> 01:48:33.640 region:rollup2
BUT I THINK THERE ARE DIFFERENT.
01:48:32.339 --> 01:48:34.742 region:rollup2
HOSPITALS ARE DOING DIFFERENT
01:48:33.640 --> 01:48:35.876 region:rollup2
PROGRAMS THAT ARE MEETING
01:48:34.742 --> 01:48:39.847 region:rollup2
DIFFERENT NEEDS FOR HOUSING AND
01:48:35.876 --> 01:48:43.851 region:rollup2
STUFF LIKE THAT --
01:48:39.847 --> 01:48:44.885 region:rollup2
ANY OTHER QUESTIONS OR COMMENTS.
01:48:43.851 --> 01:48:46.220 region:rollup2
CNN WHICH I TO CLOSE TALK YES
01:48:44.885 --> 01:48:46.887 region:rollup2
I'M SURE I WOULD LIKE TO ARM YOU
01:48:46.220 --> 01:48:49.456 region:rollup2
KNOW.
01:48:46.887 --> 01:48:50.891 region:rollup2
SINCE I GOT ELECTED IN TWO
01:48:49.456 --> 01:48:52.292 region:rollup2
THOUSAND SIX UP UNTIL NOW.
01:48:50.891 --> 01:48:53.761 region:rollup2
WHEN I INTERACT WITH IT WAS IN
01:48:52.292 --> 01:48:54.461 region:rollup2
THE ASSEMBLY OR MY SENATE
01:48:53.761 --> 01:48:55.996 region:rollup2
DISTRICT?
01:48:54.461 --> 01:48:57.364 region:rollup2
THERE IS A INCREASE OF
01:48:55.996 --> 01:48:58.766 region:rollup2
HOMELESSNESS WITHIN OUR
01:48:57.364 --> 01:49:00.501 region:rollup2
COMMUNITIES WE SEE IT.
01:48:58.766 --> 01:49:02.569 region:rollup2
AND IT SPILLING OVER INTO OUR
01:49:00.501 --> 01:49:05.372 region:rollup2
HEALTHCARE SYSTEM HOSPITAL'S
01:49:02.569 --> 01:49:06.140 region:rollup2
EMERGENCY ROOMS ETCETERA.
01:49:05.372 --> 01:49:08.208 region:rollup2
LET ME JUST REITERATE LIKE A
01:49:06.140 --> 01:49:09.343 region:rollup2
SEMI OPEN STATEMENTS.
01:49:08.208 --> 01:49:10.844 region:rollup2
THE HOSPITALS ARE DOING AN
01:49:09.343 --> 01:49:12.079 region:rollup2
INCREDIBLE JOB AND THEY'RE DOING
01:49:10.844 --> 01:49:13.781 region:rollup2
EVERYTHING THEY CAN BUT THERE
01:49:12.079 --> 01:49:15.282 region:rollup2
ARE STILL INSTANCES WHERE YOU
01:49:13.781 --> 01:49:17.017 region:rollup2
HAVE SOMEBODY IT'S LEFT IN THE
01:49:15.282 --> 01:49:18.152 region:rollup2
STREET WITH THEIR HOSPITAL GOWN
01:49:17.017 --> 01:49:20.788 region:rollup2
AN IV IN THERE.
01:49:18.152 --> 01:49:21.955 region:rollup2
THIS IS NOT HUMANE THIS IS WEIRD
01:49:20.788 --> 01:49:23.457 region:rollup2
THIS IS NOT WHAT THIS COUNTRY'S
01:49:21.955 --> 01:49:26.193 region:rollup2
ABOUT WHAT CALIFORNIA'S ABOUT.
01:49:23.457 --> 01:49:27.761 region:rollup2
AND I KNOW WHEN I STARTED TO SIT
01:49:26.193 --> 01:49:30.097 region:rollup2
THERE WOULD BE SOME CONCERNS BUT
01:49:27.761 --> 01:49:31.398 region:rollup2
WE'VE SCALED US BACK WAY WAY
01:49:30.097 --> 01:49:33.133 region:rollup2
BACK TO WORK WITH THE OPPOSITION
01:49:31.398 --> 01:49:34.168 region:rollup2
I MEAN LET ME ALSO STATE OF WITH
01:49:33.133 --> 01:49:35.269 region:rollup2
REGARD TO WHAT.
01:49:34.168 --> 01:49:36.670 region:rollup2
THE THE COMMENT THAT THE DEMAND
01:49:35.269 --> 01:49:37.604 region:rollup2
THE OPPOSITION.
01:49:36.670 --> 01:49:39.873 region:rollup2
THAT YES THE AGREE WITH THE
01:49:37.604 --> 01:49:40.541 region:rollup2
DISCHARGE POLICY WHICH IS IN
01:49:39.873 --> 01:49:41.208 region:rollup2
THIS BILL WHICH WE ARE GOING TO
01:49:40.541 --> 01:49:43.310 region:rollup2
HAVE.
01:49:41.208 --> 01:49:45.546 region:rollup2
YES WE DO NEED MORE RESOURCE
01:49:43.310 --> 01:49:48.015 region:rollup2
AREN'T ENOUGH RESOURCES HERE'S
01:49:45.546 --> 01:49:49.083 region:rollup2
WHAT I DID DO IN THIS BILL.
01:49:48.015 --> 01:49:50.918 region:rollup2
OTHER ME REPHRASE THAT WHAT I
01:49:49.083 --> 01:49:52.219 region:rollup2
DIDN'T DO IN THIS BILL THAT WAS
01:49:50.918 --> 01:49:54.154 region:rollup2
IN THE STUDIO BILL WHEN I WAS IN
01:49:52.219 --> 01:49:55.355 region:rollup2
IN THE ASSEMBLY.
01:49:54.154 --> 01:49:57.424 region:rollup2
SEE IT'S A DEAL BILL HAD
01:49:55.355 --> 01:50:00.527 region:rollup2
EXTENSIVE PENALTIES.
01:49:57.424 --> 01:50:01.762 region:rollup2
IF THE HOSPITAL'S DIDN'T ABIDE.
01:50:00.527 --> 01:50:03.597 region:rollup2
AND I DON'T MEAN LIKE I RECALL I
01:50:01.762 --> 01:50:04.231 region:rollup2
DON'T THINK I VOTED FOR THE BILL
01:50:03.597 --> 01:50:06.400 region:rollup2
JUST BECAUSE I DON'T WANT TO PUT
01:50:04.231 --> 01:50:06.900 region:rollup2
A A PENALTY IN THE HOSPITAL SO
01:50:06.400 --> 01:50:09.036 region:rollup2
THIS.
01:50:06.900 --> 01:50:11.038 region:rollup2
BILL HAS NO PENALTIES WHATSOEVER
01:50:09.036 --> 01:50:11.538 region:rollup2
IT'S A BILL DESIGNED TO BE ABLE
01:50:11.038 --> 01:50:13.474 region:rollup2
TO WORK.
01:50:11.538 --> 01:50:14.942 region:rollup2
THE HOSPITAL'S.
01:50:13.474 --> 01:50:16.643 region:rollup2
WITH THE COMMUNITIES AND THE
01:50:14.942 --> 01:50:18.378 region:rollup2
AVAILABLE RESOURCES WE HAVE OUT
01:50:16.643 --> 01:50:19.947 region:rollup2
THERE AND I I REALLY BELIEVE WE
01:50:18.378 --> 01:50:22.082 region:rollup2
NEED TO DO SOMETHING TO THE
01:50:19.947 --> 01:50:22.716 region:rollup2
ABSOLUTE MORAL PATIENTS AND WITH
01:50:22.082 --> 01:50:24.017 region:rollup2
THAT MEMBERS ARE RESPECT LASSEN
01:50:22.716 --> 01:50:25.252 region:rollup2
I'VE.
01:50:24.017 --> 01:50:27.187 region:rollup2
THANK YOU VERY MUCH DOCTOR NAN
01:50:25.252 --> 01:50:29.089 region:rollup2
AS FOR BRINGING THIS FORWARD --
01:50:27.187 --> 01:50:30.624 region:rollup2
THE BILL HAS A DO PASS
01:50:29.089 --> 01:50:33.594 region:rollup2
RECOMMENDATION WE HAVE A MOTION
01:50:30.624 --> 01:50:34.461 region:rollup2
BY MISTER AGUILAR CURRY A SECOND
01:50:33.594 --> 01:50:36.096 region:rollup2
FIVE MR MCCARTY.
01:50:34.461 --> 01:50:37.764 region:rollup2
BLAST MEN SECRETARY CALL THE
01:50:36.096 --> 01:50:39.633 region:rollup2
ROLL THE WORLD THE MOTION IS TO
01:50:37.764 --> 01:50:42.603 region:rollup2
PASS AS AMENDED TO PREPARATIONS.
01:50:39.633 --> 01:50:44.271 region:rollup2
WHAT I WOULD AYE MAYES?
01:50:42.603 --> 01:50:46.540 region:rollup2
MAYES NO ANCHOR CURRY.
01:50:44.271 --> 01:50:46.840 region:rollup2
I CARE CURRY AYE BIGELOW.
01:50:46.540 --> 01:50:47.508 region:rollup2
BIGELOW NO.
01:50:46.840 --> 01:50:49.510 region:rollup2
BONTA [inaudible]
01:50:47.508 --> 01:50:51.245 region:rollup2
BURKE [inaudible]
01:50:49.510 --> 01:50:54.581 region:rollup2
CARILLO [inaudible]
01:50:51.245 --> 01:50:56.116 region:rollup2
FLORA [inaudible]
01:50:54.581 --> 01:50:58.619 region:rollup2
LIMON [inaudible]
01:50:56.116 --> 01:51:00.087 region:rollup2
MCCARTY.
01:50:58.619 --> 01:51:02.456 region:rollup2
MCCARTY I'M THIS AREA.
01:51:00.087 --> 01:51:04.158 region:rollup2
NAZARIAN AYE RODRIGUEZ.
01:51:02.456 --> 01:51:10.297 region:rollup2
RODRIGUEZ I SANTIAGO.
01:51:04.158 --> 01:51:12.099 region:rollup2
THURMOND WALTER.
01:51:10.297 --> 01:51:12.766 region:rollup2
THAT'S FIVE VOTES WILL HAVE
01:51:12.099 --> 01:51:13.967 region:rollup2
OTHER MEMBERS TO I DON'T BELIEVE
01:51:12.766 --> 01:51:17.204 region:rollup2
THAT ON CALL THANK YOU MISTER
01:51:13.967 --> 01:51:17.804 region:rollup2
CHAIRMAN DOES NOT EXPEL AS I SP
01:51:17.204 --> 01:51:18.071 region:rollup2
TWELVE FIFTY FIVE THAT'S OKAY
01:51:17.804 --> 01:51:18.639 region:rollup2
WITH YOU.
01:51:18.071 --> 01:51:19.973 region:rollup2
PRETTY.
01:51:18.639 --> 01:51:21.742 region:rollup2
AS YOU KNOW CALIFORNIA'S BEEN
01:51:19.973 --> 01:51:23.343 region:rollup2
VERY SUCCESSFUL AT IMPLEMENTING
01:51:21.742 --> 01:51:26.146 region:rollup2
THE AFFORDABLE CARE ACT WE HAVE
01:51:23.343 --> 01:51:28.482 region:rollup2
BROUGHT ARE UNINSURED RATE DOWN
01:51:26.146 --> 01:51:29.783 region:rollup2
TO SIX POINT 8%.
01:51:28.482 --> 01:51:30.517 region:rollup2
WITH UNCERTAINTIES CREATED IN
01:51:29.783 --> 01:51:32.019 region:rollup2
THIS CURRENT FEDERAL
01:51:30.517 --> 01:51:33.520 region:rollup2
ADMINISTRATION PREMIUMS ARE TO
01:51:32.019 --> 01:51:35.822 region:rollup2
SPEED IT GO UP BETWEEN TWELVE
01:51:33.520 --> 01:51:36.823 region:rollup2
AND 32%.
01:51:35.822 --> 01:51:38.358 region:rollup2
I HAVE AUTHOR OTHER BILLS
01:51:36.823 --> 01:51:39.893 region:rollup2
INTENDED TO KEEP CALIFORNIA'S
01:51:38.358 --> 01:51:42.329 region:rollup2
HEALTH INSURANCE MARKETS STABLE.
01:51:39.893 --> 01:51:43.163 region:rollup2
BUT I KNOW YOU AGREE THAT WE CAN
01:51:42.329 --> 01:51:44.565 region:rollup2
DO MORE TO MAKE INSURANCE MORE
01:51:43.163 --> 01:51:46.033 region:rollup2
AFFORDABLE IN CALIFORNIA BY
01:51:44.565 --> 01:51:47.200 region:rollup2
CREATING SUBSIDIES FOR THOSE WHO
01:51:46.033 --> 01:51:48.268 region:rollup2
CAN'T CURRENTLY.
01:51:47.200 --> 01:51:49.836 region:rollup2
OR ELIGIBLE FOR FEDERAL
01:51:48.268 --> 01:51:50.470 region:rollup2
ASSISTANCE AND HELP LOWER THE
01:51:49.836 --> 01:51:52.105 region:rollup2
INCOME.
01:51:50.470 --> 01:51:53.707 region:rollup2
OF PEOPLE WHO ARE ELIGIBLE FOR
01:51:52.105 --> 01:51:54.908 region:rollup2
FEDERAL SUBSIDIES FOR PROVIDING
01:51:53.707 --> 01:51:56.643 region:rollup2
MORE HELP THROUGH STATE
01:51:54.908 --> 01:51:58.745 region:rollup2
SUBSIDIES.
01:51:56.643 --> 01:51:59.346 region:rollup2
THERE ARE FIVE HUNDRED FIFTY
01:51:58.745 --> 01:52:00.948 region:rollup2
THOUSAND WHO DON'T QUALIFY FOR
01:51:59.346 --> 01:52:03.550 region:rollup2
THE FEDERAL COURT ARE --
01:52:00.948 --> 01:52:04.751 region:rollup2
ECA SUBSIDIES ARE ANOTHER --
01:52:03.550 --> 01:52:06.320 region:rollup2
CALIFORNIA'S WHO DO QUALIFY BUT
01:52:04.751 --> 01:52:08.855 region:rollup2
REMAIN UNSURE BECAUSE PREMIUMS
01:52:06.320 --> 01:52:09.489 region:rollup2
ARE STILL HIGH AND WITH THAT
01:52:08.855 --> 01:52:10.657 region:rollup2
MEMBERS I RESPECTFULLY ASK WHEN
01:52:09.489 --> 01:52:12.492 region:rollup2
I'M ON VERY MUCH [inaudible]
01:52:10.657 --> 01:52:13.794 region:rollup2
WITNESSES.
01:52:12.492 --> 01:52:15.562 region:rollup2
BEST PAL ON BEHALF OF HEALTH
01:52:13.794 --> 01:52:17.331 region:rollup2
ACCESS CALIFORNIA PLEASED TO BE
01:52:15.562 --> 01:52:18.398 region:rollup2
HERE IN SUPPORT OF THE MEMBERS
01:52:17.331 --> 01:52:19.700 region:rollup2
OF THIS COMMITTEE KNOW.
01:52:18.398 --> 01:52:21.001 region:rollup2
BILLIONS OF CALIFORNIANS HAVE
01:52:19.700 --> 01:52:23.136 region:rollup2
BENEFITTED FROM THE AFFORDABLE
01:52:21.001 --> 01:52:24.605 region:rollup2
CARE ACT BUT WE HAVE MORE TO DO
01:52:23.136 --> 01:52:26.673 region:rollup2
TO MAKE COVERAGE AFFORDABLE.
01:52:24.605 --> 01:52:28.141 region:rollup2
SP TWELVE FIFTY FIVE IS
01:52:26.673 --> 01:52:29.276 region:rollup2
COMPLIMENTS THE PACKAGE OF
01:52:28.141 --> 01:52:31.144 region:rollup2
ASSEMBLY BILLS THAT THIS
01:52:29.276 --> 01:52:31.845 region:rollup2
COMMITTEE VOTED FOR EARLIER THIS
01:52:31.144 --> 01:52:33.380 region:rollup2
YEAR.
01:52:31.845 --> 01:52:34.948 region:rollup2
WHETHER TO MARRIED COUPLE IN
01:52:33.380 --> 01:52:37.084 region:rollup2
THEIR EARLY SIXTIES IN YOUR
01:52:34.948 --> 01:52:37.818 region:rollup2
DISTRICT MISTER CHAREST PAYING
01:52:37.084 --> 01:52:39.319 region:rollup2
NINETEEN THOUSAND DOLLARS FOR
01:52:37.818 --> 01:52:40.487 region:rollup2
COVERAGE WITH THE SIX THOUSAND
01:52:39.319 --> 01:52:42.155 region:rollup2
DOLLAR DEDUCTIBLE.
01:52:40.487 --> 01:52:43.590 region:rollup2
AND HOW THEY AFFORD THAT ON
01:52:42.155 --> 01:52:44.858 region:rollup2
SIXTY FIVE OR SEVENTY THOUSAND
01:52:43.590 --> 01:52:47.294 region:rollup2
DOLLARS I HAVE NO IDEA.
01:52:44.858 --> 01:52:48.362 region:rollup2
OR SOMEBODY TRYING TO LIVE ON
01:52:47.294 --> 01:52:49.663 region:rollup2
EIGHTEEN OR TWENTY THOUSAND
01:52:48.362 --> 01:52:51.298 region:rollup2
DOLLARS BEING ASKED TO SPEND
01:52:49.663 --> 01:52:52.399 region:rollup2
THREE OR 4% OF THEIR INCOME FOR
01:52:51.298 --> 01:52:55.435 region:rollup2
PREMIUMS.
01:52:52.399 --> 01:52:56.436 region:rollup2
COVERAGE IS NOT AS AFFORDABLE
01:52:55.435 --> 01:52:59.106 region:rollup2
THE BILL WOULD MOVE US IN THAT
01:52:56.436 --> 01:53:00.274 region:rollup2
DIRECTION THANK YOU.
01:52:59.106 --> 01:53:01.642 region:rollup2
GOOD AFTERNOON CHEN FOR AN
01:53:00.274 --> 01:53:03.010 region:rollup2
BEHALF OF WESTERN CENTER ON LAW
01:53:01.642 --> 01:53:04.444 region:rollup2
AND POVERTY --
01:53:03.010 --> 01:53:05.045 region:rollup2
I DON'T SHE JUST LIKE TO POINT
01:53:04.444 --> 01:53:06.046 region:rollup2
TO ONE OF THE WITNESSES IN A
01:53:05.045 --> 01:53:07.581 region:rollup2
PREVIOUS BILL THAT YOU JUST
01:53:06.046 --> 01:53:08.548 region:rollup2
HEARD ON THE MEXICAN PREPAID
01:53:07.581 --> 01:53:10.083 region:rollup2
HEALTH PLANS.
01:53:08.548 --> 01:53:11.018 region:rollup2
THAT WHEN THIS WAS EXACTLY IS
01:53:10.083 --> 01:53:12.686 region:rollup2
EXACTLY THE PERSON THAT WE'RE
01:53:11.018 --> 01:53:14.254 region:rollup2
TALKING ABOUT HE SAID HIS FAMILY
01:53:12.686 --> 01:53:16.223 region:rollup2
WOULD HAVE TO PAY FOUR HUNDRED
01:53:14.254 --> 01:53:17.557 region:rollup2
DOLLARS A MONTH TO GET. TO GET
01:53:16.223 --> 01:53:19.359 region:rollup2
COVERED THROUGH THE EXISTING
01:53:17.557 --> 01:53:20.260 region:rollup2
COVERAGE AVAILABLE TO HIM AND
01:53:19.359 --> 01:53:21.628 region:rollup2
THAT'S JUST NOT AFFORDABLE TO
01:53:20.260 --> 01:53:23.063 region:rollup2
SOME PEOPLE AND MOST OF THE
01:53:21.628 --> 01:53:24.631 region:rollup2
STATE NOT ON THE BORDERS DOES
01:53:23.063 --> 01:53:25.699 region:rollup2
NOT HAVE THE OPTION TO GO TO
01:53:24.631 --> 01:53:27.000 region:rollup2
MEXICO TO GET THEIR HEALTH CARE.
01:53:25.699 --> 01:53:28.201 region:rollup2
WE SHOULD BE ABLE TO OFFER
01:53:27.000 --> 01:53:30.337 region:rollup2
AFFORDABLE HEALTH CARE HERE IN
01:53:28.201 --> 01:53:31.872 region:rollup2
CALIFORNIA AND THIS BILL WOULD
01:53:30.337 --> 01:53:33.707 region:rollup2
ADD ADDITIONAL PREMIUM HELP.
01:53:31.872 --> 01:53:35.309 region:rollup2
IT TO IN ORDER TO ENABLE US TO
01:53:33.707 --> 01:53:37.878 region:rollup2
DO THAT AS WELL AS ADDITIONAL
01:53:35.309 --> 01:53:39.112 region:rollup2
OUT OF POCKET EXPENSES.
01:53:37.878 --> 01:53:41.315 region:rollup2
OTHER WITNESSES --
01:53:39.112 --> 01:53:42.516 region:rollup2
NAME ORGANIZATIONALLY PLEASE.
01:53:41.315 --> 01:53:44.184 region:rollup2
TIM VALDERRAMA WITH THE WHITEMAN
01:53:42.516 --> 01:53:47.320 region:rollup2
GROUP ON BEHALF OF NEXT GEN
01:53:44.184 --> 01:53:48.655 region:rollup2
AMERICAN SUPPORT THANK YOU.
01:53:47.320 --> 01:53:50.490 region:rollup2
MAXINE MENTALITY HALF THE
01:53:48.655 --> 01:53:52.993 region:rollup2
NATIONAL MULTIPLE SCLEROSIS
01:53:50.490 --> 01:53:54.328 region:rollup2
SOCIETY IN SUPPORT MCCUE.
01:53:52.993 --> 01:53:57.431 region:rollup2
SARAH FLOCKS CALIFORNIA LABOR
01:53:54.328 --> 01:53:58.532 region:rollup2
FEDERATION IN SUPPORT.
01:53:57.431 --> 01:54:00.834 region:rollup2
MARK ROBERTS SMALL BUSINESS
01:53:58.532 --> 01:54:01.935 region:rollup2
MAJORITY IN SUPPORT THANK YOU.
01:54:00.834 --> 01:54:03.503 region:rollup2
RAN HICKS CALIFORNIA LINES
01:54:01.935 --> 01:54:04.071 region:rollup2
RETIRED AMERICANS CALIFORNIA
01:54:03.503 --> 01:54:07.007 region:rollup2
DISABILITY RIGHTS IN STRONG
01:54:04.071 --> 01:54:08.375 region:rollup2
SUPPORT.
01:54:07.007 --> 01:54:08.942 region:rollup2
KIMBERLY SHALL HAVE CALIFORNIA
01:54:08.375 --> 01:54:11.411 region:rollup2
BENEFIT BECAUSE THAT WORK IN
01:54:08.942 --> 01:54:12.679 region:rollup2
SPORT.
01:54:11.411 --> 01:54:14.514 region:rollup2
THERESA STARK HAS A PERMANENT IN
01:54:12.679 --> 01:54:15.248 region:rollup2
SUPPORT BECAME.
01:54:14.514 --> 01:54:18.185 region:rollup2
VIDEO BORN AMERICAN KENNARD
01:54:15.248 --> 01:54:19.086 region:rollup2
PEDIATRICS IN SUPPORT.
01:54:18.185 --> 01:54:20.253 region:rollup2
FIRST AMICORE BOTTOMING UP
01:54:19.086 --> 01:54:22.956 region:rollup2
ALAMEDA COUNTY BOARD OF
01:54:20.253 --> 01:54:24.691 region:rollup2
SUPERVISORS ALSO IN SUPPORT.
01:54:22.956 --> 01:54:25.292 region:rollup2
MIKE MONTGOMERY CONGRESS OF
01:54:24.691 --> 01:54:27.961 region:rollup2
CALIFORNIA SENIORS SUPPORT THE
01:54:25.292 --> 01:54:29.196 region:rollup2
BILL.
01:54:27.961 --> 01:54:30.497 region:rollup2
CHRISTOPHER GO AND ON BEHALF OF
01:54:29.196 --> 01:54:32.332 region:rollup2
THE CALIFORNIA IMMIGRANT POLICY
01:54:30.497 --> 01:54:34.868 region:rollup2
CENTER IN SUPPORT [inaudible]
01:54:32.332 --> 01:54:38.338 region:rollup2
ANYONE ELSE.
01:54:34.868 --> 01:54:39.272 region:rollup2
WE WENT IN OPPOSITE.
01:54:38.338 --> 01:54:44.311 region:rollup2
NO ONE BRING BACK TO MAYBE FOR
01:54:39.272 --> 01:54:45.412 region:rollup2
QUESTIONS.
01:54:44.311 --> 01:54:47.180 region:rollup2
BUT THANK YOU AGAIN FOR BRING
01:54:45.412 --> 01:54:47.781 region:rollup2
THIS FORWARD AT WE COMPLIMENTS
01:54:47.180 --> 01:54:50.283 region:rollup2
THE WORK WE'VE BEEN DOING HERE
01:54:47.781 --> 01:54:52.018 region:rollup2
IN -- WHICH
01:54:50.283 --> 01:54:53.787 region:rollup2
LIKE CLOSE DR ASPIRIN ITEMS
01:54:52.018 --> 01:54:54.821 region:rollup2
CHAIR MAKES MUCH OF A MOTION
01:54:53.787 --> 01:54:55.989 region:rollup2
MOTION IS TO PASS TO
01:54:54.821 --> 01:54:57.457 region:rollup2
APPROPRIATIONS MOTION BY MISS
01:54:55.989 --> 01:54:59.025 region:rollup2
AGUIAR-CURRY SECOND BY MISTER
01:54:57.457 --> 01:55:01.795 region:rollup2
HIS HEARING ABOUT OF SECRETARY
01:54:59.025 --> 01:55:03.597 region:rollup2
PLEASE CALL THE ROLL.
01:55:01.795 --> 01:55:05.332 region:rollup2
WOULD I WOULD I MAYES.
01:55:03.597 --> 01:55:06.633 region:rollup2
MAYES NO ANCHOR CURRY.
01:55:05.332 --> 01:55:07.701 region:rollup2
I CARE CURRY AYE BIGELOW.
01:55:06.633 --> 01:55:09.936 region:rollup2
BIGELOW NO BONTA [inaudible]
01:55:07.701 --> 01:55:12.773 region:rollup2
BURKE [inaudible]
01:55:09.936 --> 01:55:15.275 region:rollup2
CARILLO [inaudible]
01:55:12.773 --> 01:55:17.010 region:rollup2
FLORA [inaudible]
01:55:15.275 --> 01:55:18.512 region:rollup2
LIMON.
01:55:17.010 --> 01:55:20.113 region:rollup2
MCCARTY.
01:55:18.512 --> 01:55:22.682 region:rollup2
MCCARTY I'M THIS AREA.
01:55:20.113 --> 01:55:23.750 region:rollup2
NAZARIAN AYE RODRIGUEZ CRITICIZE
01:55:22.682 --> 01:55:27.320 region:rollup2
SANTIAGO BERMAN.
01:55:23.750 --> 01:55:28.955 region:rollup2
WALDRON.
01:55:27.320 --> 01:55:32.225 region:rollup2
I HAVE FIVE WILL LEAVE THAT ON
01:55:28.955 --> 01:55:33.493 region:rollup2
CALL THANK YOU VERY MUCH SIR.
01:55:32.225 --> 01:55:34.427 region:rollup2
EDU NO MAN WILL DO TWELVE EIGHTY
01:55:33.493 --> 01:55:35.095 region:rollup2
SEVEN RESEARCHER THANK YOU SIR
01:55:34.427 --> 01:55:36.363 region:rollup2
THANK YOU --
01:55:35.095 --> 01:55:38.098 region:rollup2
THIS MEASURE PUTS IN THE STATE
01:55:36.363 --> 01:55:39.800 region:rollup2
LAW EITHER CORRECT MEDICAL
01:55:38.098 --> 01:55:40.767 region:rollup2
NECESSITY STANDARD FOR CHILDREN
01:55:39.800 --> 01:55:42.102 region:rollup2
A ROMANTIC CAO.
01:55:40.767 --> 01:55:43.837 region:rollup2
CHILDREN MEDICARE RECEIVE
01:55:42.102 --> 01:55:45.172 region:rollup2
BENEFITS TO WHAT IS CALLED THE
01:55:43.837 --> 01:55:46.573 region:rollup2
EARLY CHILD AND PERIODIC
01:55:45.172 --> 01:55:47.841 region:rollup2
SCREENING DIAGNOSIS AND
01:55:46.573 --> 01:55:52.045 region:rollup2
TREATMENT SERVICES.
01:55:47.841 --> 01:55:53.447 region:rollup2
BENEFIT OR E. P. S. A LOT IF.
01:55:52.045 --> 01:55:55.215 region:rollup2
FOR MEDICALLY NECESSARY
01:55:53.447 --> 01:55:56.583 region:rollup2
NECESSITY IS NOT CONSISTENT WITH
01:55:55.215 --> 01:55:59.019 region:rollup2
FEDERAL MEDICAID LAW.
01:55:56.583 --> 01:56:00.353 region:rollup2
THE EPS TV MEDICAL NECESSITY
01:55:59.019 --> 01:56:01.488 region:rollup2
SANDERS COVERAGE WHICH IS
01:56:00.353 --> 01:56:03.690 region:rollup2
REQUIRED.
01:56:01.488 --> 01:56:04.558 region:rollup2
CORRECT AND AMELIORATE ILLNESS
01:56:03.690 --> 01:56:06.159 region:rollup2
AND MEDICAL CONDITIONS THAT
01:56:04.558 --> 01:56:08.061 region:rollup2
WOULD CODIFY IN STATE LAW THE
01:56:06.159 --> 01:56:09.729 region:rollup2
CREEK MEDICAL NECESSITY STANDARD
01:56:08.061 --> 01:56:10.363 region:rollup2
FOR CHILDREN'S HEALTH COVERAGE
01:56:09.729 --> 01:56:12.365 region:rollup2
AND WITH THAT I RESPECTFULLY ASK
01:56:10.363 --> 01:56:13.800 region:rollup2
WHENEVER.
01:56:12.365 --> 01:56:15.969 region:rollup2
GOOD AFTERNOON SHARE MEMBERS
01:56:13.800 --> 01:56:16.837 region:rollup2
LINDA WAY WITH WESTERN CENTER ON
01:56:15.969 --> 01:56:18.405 region:rollup2
LAW AND POVERTY PROUD CO
01:56:16.837 --> 01:56:19.372 region:rollup2
SPONSORS OF THIS IMPORTANT
01:56:18.405 --> 01:56:20.874 region:rollup2
MEASURE ALONG WITH THE NATIONAL
01:56:19.372 --> 01:56:22.108 region:rollup2
HEALTH LAW PROGRAM.
01:56:20.874 --> 01:56:23.443 region:rollup2
THE STATE DINNER PROBABLY
01:56:22.108 --> 01:56:25.378 region:rollup2
APPLIES AND NARROW MEDICAL
01:56:23.443 --> 01:56:27.414 region:rollup2
NECESSITY STANDARD WHEN
01:56:25.378 --> 01:56:29.082 region:rollup2
DETERMINING STE OUT ELIGIBILITY
01:56:27.414 --> 01:56:31.351 region:rollup2
FOR SERVICES SAVE FOR CHILDREN
01:56:29.082 --> 01:56:33.486 region:rollup2
ON MEDI CAL UNLESS I HEALTH
01:56:31.351 --> 01:56:35.755 region:rollup2
PROVIDER KNOWS. TO SPECIFICALLY
01:56:33.486 --> 01:56:37.724 region:rollup2
REQUEST THE MEDICAL NECESSITY
01:56:35.755 --> 01:56:39.626 region:rollup2
STANDARD FOR CHILDREN KNOWN AS
01:56:37.724 --> 01:56:41.795 region:rollup2
EARLY PERIODIC SCREENING
01:56:39.626 --> 01:56:43.263 region:rollup2
DIAGNOSIS AND TREATMENT EP STT.
01:56:41.795 --> 01:56:44.431 region:rollup2
SOME HEALTH PROVIDERS ARE AWARE
01:56:43.263 --> 01:56:45.832 region:rollup2
THAT THERE ARE DIFFERENT MEDICAL
01:56:44.431 --> 01:56:47.667 region:rollup2
NECESSITY STANDARDS FOR ADULTS
01:56:45.832 --> 01:56:49.002 region:rollup2
AND CHILDREN. FOR HEALTH
01:56:47.667 --> 01:56:51.171 region:rollup2
PROVIDERS WHO ARE WHO ARE
01:56:49.002 --> 01:56:52.772 region:rollup2
INFORMED MANY DO NOT KNOW THAT
01:56:51.171 --> 01:56:55.642 region:rollup2
THEY MUST EXPLICITLY REQUEST
01:56:52.772 --> 01:56:56.943 region:rollup2
THIS BROADER EPS DE T. STANDARD.
01:56:55.642 --> 01:56:58.311 region:rollup2
THROUGH THIS RESULTS IN MANY
01:56:56.943 --> 01:57:00.080 region:rollup2
CHILDREN AND YOUTH BEING DENIED
01:56:58.311 --> 01:57:01.515 region:rollup2
ACCESS TO HEALTH SERVICES THAT
01:57:00.080 --> 01:57:04.251 region:rollup2
THEY SHOULD BE RECEIVING.
01:57:01.515 --> 01:57:04.851 region:rollup2
AS SEEN IN THE CASE OF A SIXTEEN
01:57:04.251 --> 01:57:06.520 region:rollup2
YEAR OLD IN LA.
01:57:04.851 --> 01:57:08.588 region:rollup2
THE CHILD CRIES AND COMPLAINS OF
01:57:06.520 --> 01:57:10.757 region:rollup2
TOOTH PAIN EVERYDAY AND DO DID
01:57:08.588 --> 01:57:12.025 region:rollup2
THE CHILD VISIBLE NEED FOR MAJOR
01:57:10.757 --> 01:57:13.693 region:rollup2
DENTAL WORK SHE HAS BEEN
01:57:12.025 --> 01:57:15.495 region:rollup2
CONTINUALLY BULLIED AND
01:57:13.693 --> 01:57:17.197 region:rollup2
HUMILIATED BY HER PEERS.
01:57:15.495 --> 01:57:18.665 region:rollup2
THE CHILD'S DENTIST ADVISED
01:57:17.197 --> 01:57:20.300 region:rollup2
AGAINST REMOVING THE TEETH AND
01:57:18.665 --> 01:57:21.801 region:rollup2
TELL THEM UNTIL MEDI CAL
01:57:20.300 --> 01:57:23.703 region:rollup2
APPROVED THE CHILD'S RACES
01:57:21.801 --> 01:57:24.905 region:rollup2
WORRIED THAT ANY IMPROVEMENTS TO
01:57:23.703 --> 01:57:26.673 region:rollup2
THE CHILD'S CURRENT TEETH WOULD
01:57:24.905 --> 01:57:28.608 region:rollup2
LESSEN THE LIKELIHOOD.
01:57:26.673 --> 01:57:29.576 region:rollup2
OF APPROVAL FOR BRACES HOWEVER
01:57:28.608 --> 01:57:31.244 region:rollup2
THE PROBLEM WAS NOT THAT THE
01:57:29.576 --> 01:57:31.678 region:rollup2
CHILD'S TEETH WERE NOT BAD
01:57:31.244 --> 01:57:32.979 region:rollup2
ENOUGH.
01:57:31.678 --> 01:57:34.547 region:rollup2
RATHER IT WAS AT THE DENTIST
01:57:32.979 --> 01:57:37.150 region:rollup2
DIDN'T KNOW TO MAKE THE REQUEST
01:57:34.547 --> 01:57:38.785 region:rollup2
USING THE EP SDT STANDARD.
01:57:37.150 --> 01:57:40.520 region:rollup2
OUR LEGAL WAY PARTNERS REPORT A
01:57:38.785 --> 01:57:41.988 region:rollup2
NUMBER OF THE STORIES WERE CARE
01:57:40.520 --> 01:57:44.391 region:rollup2
WAS DENIED BECAUSE THE MAGIC
01:57:41.988 --> 01:57:45.959 region:rollup2
WORDS OF EP STT WAS NOT IN USE.
01:57:44.391 --> 01:57:47.527 region:rollup2
THEREFORE WE URGE YOUR AYE VOTE
01:57:45.959 --> 01:57:48.395 region:rollup2
ON THIS BILL THAT PASSED OUT OF
01:57:47.527 --> 01:57:51.998 region:rollup2
THE ASSEMBLY.
01:57:48.395 --> 01:57:52.299 region:rollup2
BY WITH BIPARTISAN SUPPORT
01:57:51.998 --> 01:57:56.836 region:rollup2
[inaudible]
01:57:52.299 --> 01:57:58.004 region:rollup2
UNANIMOUSLY SAFETY.
01:57:56.836 --> 01:57:59.906 region:rollup2
GOOD AFTERNOON MISTER CHAIRMAN
01:57:58.004 --> 01:58:01.308 region:rollup2
THERE'S OF THE COMMITTEE I'VE
01:57:59.906 --> 01:58:02.309 region:rollup2
GALIEN WITH CHILDREN NOW AND WE
01:58:01.308 --> 01:58:04.544 region:rollup2
RESPECTFULLY REQUEST YOUR
01:58:02.309 --> 01:58:05.111 region:rollup2
SUPPORT ON S. B..
01:58:04.544 --> 01:58:06.546 region:rollup2
TWELVE EIGHTY SEVEN MEDICARE
01:58:05.111 --> 01:58:07.747 region:rollup2
PROVIDES COMPREHENSIVE HEALTH
01:58:06.546 --> 01:58:09.349 region:rollup2
COVERAGE FOR OVER HALF OF ALL
01:58:07.747 --> 01:58:11.084 region:rollup2
CHILDREN CALIFORNIA IT IS
01:58:09.349 --> 01:58:12.018 region:rollup2
CRITICAL THAT MEDI CAL DELIVERS
01:58:11.084 --> 01:58:13.620 region:rollup2
THE HEALTH SERVICES AT CHILDREN
01:58:12.018 --> 01:58:15.322 region:rollup2
NEEDS.
01:58:13.620 --> 01:58:16.122 region:rollup2
S. B. TWELVE EIGHTY SEVEN WILL
01:58:15.322 --> 01:58:18.058 region:rollup2
HELP ENSURE THAT CHILDREN
01:58:16.122 --> 01:58:19.960 region:rollup2
MEDICAL COVERAGE ARE RECEIVING
01:58:18.058 --> 01:58:21.494 region:rollup2
THE SERVICES THEY ARE ENTITLED.
01:58:19.960 --> 01:58:23.396 region:rollup2
TO AS FAR OF THE FEDERAL EPA STT
01:58:21.494 --> 01:58:24.531 region:rollup2
BENEFIT WHICH IS BROADER AND
01:58:23.396 --> 01:58:26.733 region:rollup2
INCORPORATES MORE MEDICALLY
01:58:24.531 --> 01:58:28.535 region:rollup2
NECESSARY HEALTH SERVICES THAT
01:58:26.733 --> 01:58:29.836 region:rollup2
ARE STATES CURRENT DEFINITION OF
01:58:28.535 --> 01:58:31.338 region:rollup2
EP STT.
01:58:29.836 --> 01:58:32.872 region:rollup2
AS WE TALK EIGHTY SEVEN IS
01:58:31.338 --> 01:58:34.641 region:rollup2
NEEDED SO THAT CHILDREN ARE NOT
01:58:32.872 --> 01:58:35.809 region:rollup2
DENIED IMPORTANT SERVICES SUCH
01:58:34.641 --> 01:58:37.377 region:rollup2
AS DENTAL CARE AND MENTAL HEALTH
01:58:35.809 --> 01:58:38.278 region:rollup2
SERVICES.
01:58:37.377 --> 01:58:40.981 region:rollup2
THAT INCLUDED AS PART OF THE
01:58:38.278 --> 01:58:41.982 region:rollup2
ROBUST FEDERAL EPA STT STANDARD.
01:58:40.981 --> 01:58:44.184 region:rollup2
HE RESPECTFULLY REQUEST YOUR AYE
01:58:41.982 --> 01:58:44.718 region:rollup2
VOTE THINK YOU.
01:58:44.184 --> 01:58:48.755 region:rollup2
THANK YOU VERY MUCH OTHER
01:58:44.718 --> 01:58:49.723 region:rollup2
SUPPORT.
01:58:48.755 --> 01:58:50.991 region:rollup2
CAN RELIGION ON BEHALF THE
01:58:49.723 --> 01:58:53.927 region:rollup2
CALIFORNIA PAN ETHNIC HEALTH
01:58:50.991 --> 01:58:56.363 region:rollup2
ORGAN SUPPORT THANK YOU.
01:58:53.927 --> 01:58:58.898 region:rollup2
DEBORAH DISABILITY RIGHTS
01:58:56.363 --> 01:59:00.734 region:rollup2
CALIFORNIA IN SUPPORT.
01:58:58.898 --> 01:59:02.702 region:rollup2
MARY VALDEZ HEALTHAXIS
01:59:00.734 --> 01:59:03.703 region:rollup2
CALIFORNIANS SUPPORT SECURE.
01:59:02.702 --> 01:59:05.438 region:rollup2
MAYOR MARTIN ON BEHALF OF THE
01:59:03.703 --> 01:59:08.508 region:rollup2
CALIFORNIA CHILDREN'S HOSPITAL
01:59:05.438 --> 01:59:09.776 region:rollup2
ASSOCIATION IN SUPPORT.
01:59:08.508 --> 01:59:11.311 region:rollup2
KATIE LADEN ON BEHALF OF THE
01:59:09.776 --> 01:59:14.314 region:rollup2
CHILDREN SPECIALTY CARE
01:59:11.311 --> 01:59:15.749 region:rollup2
COALITION AND SUPPORT.
01:59:14.314 --> 01:59:17.183 region:rollup2
MELISSA CORTES ROTH ON BEHALF OF
01:59:15.749 --> 01:59:17.951 region:rollup2
AUTISM SPEAKS AND THE CENTER FOR
01:59:17.183 --> 01:59:19.819 region:rollup2
AUTISM AND RELATED DISORDERS IN
01:59:17.951 --> 01:59:21.254 region:rollup2
SUPPORT.
01:59:19.819 --> 01:59:23.757 region:rollup2
MANY EX CALIFORNIA DISABILITY
01:59:21.254 --> 01:59:24.658 region:rollup2
RIGHTS AND STRONG SUPPORT.
01:59:23.757 --> 01:59:29.462 region:rollup2
VIDEO PORN AMERICAN ACADEMY OF
01:59:24.658 --> 01:59:29.996 region:rollup2
PEDIATRICS AND AIR CARE SO THEY
01:59:29.462 --> 01:59:31.965 region:rollup2
HAVE A MARCH OF DIMES AND
01:59:29.996 --> 01:59:32.766 region:rollup2
SUPPORT.
01:59:31.965 --> 01:59:34.668 region:rollup2
MARRIED THERE WITH THE COUNTY
01:59:32.766 --> 01:59:38.138 region:rollup2
BEHAVIORAL HEALTH DIRECTORS
01:59:34.668 --> 01:59:39.272 region:rollup2
ASSOCIATION IN SUPPORT.
01:59:38.138 --> 01:59:40.006 region:rollup2
BRAND OF HAPPENSTANCE ARE WITH
01:59:39.272 --> 01:59:44.077 region:rollup2
THE CALIFORNIA DENTAL
01:59:40.006 --> 01:59:45.278 region:rollup2
ASSOCIATION HERE IN SUPPORT.
01:59:44.077 --> 01:59:46.813 region:rollup2
MIKE MONTGOMERY --
01:59:45.278 --> 01:59:47.847 region:rollup2
CONGRESS OF CALIFORNIA C.
01:59:46.813 --> 01:59:50.583 region:rollup2
SENIORS WE SUPPORT THE BILL
01:59:47.847 --> 01:59:52.252 region:rollup2
THANK YOU.
01:59:50.583 --> 01:59:53.186 region:rollup2
I WEST SANDS UNITED WAYS OF
01:59:52.252 --> 01:59:53.486 region:rollup2
CALIFORNIA IN SUPPORT
01:59:53.186 --> 01:59:55.655 region:rollup2
[inaudible]
01:59:53.486 --> 01:59:58.758 region:rollup2
VERY MUCH. THREE ONE IN
01:59:55.655 --> 01:59:59.859 region:rollup2
OPPOSITION.
01:59:58.758 --> 02:00:01.094 region:rollup2
IT'S YOU KNOW ONE BRING BACK TO
01:59:59.859 --> 02:00:01.594 region:rollup2
THE COMMITTEE FOR QUESTIONS OR
02:00:01.094 --> 02:00:04.798 region:rollup2
COMMENTS ANYONE FROM THE
02:00:01.594 --> 02:00:06.966 region:rollup2
COMMITTEE.
02:00:04.798 --> 02:00:07.967 region:rollup2
SEE NONE SENATOR WHICH OUGHT TO
02:00:06.966 --> 02:00:08.902 region:rollup2
CLOSE AS FURNITURE ITEMS TO
02:00:07.967 --> 02:00:09.202 region:rollup2
CHAIR MEMBERS THANK YOU VERY
02:00:08.902 --> 02:00:11.004 region:rollup2
MUCH -- WE
02:00:09.202 --> 02:00:13.473 region:rollup2
HAVE A MOTION BY MISTER BIGELOW
02:00:11.004 --> 02:00:16.109 region:rollup2
SECOND BYMISTER MAYES EMOTIONS
02:00:13.473 --> 02:00:17.143 region:rollup2
TO PASS TO APPROPRIATIONS.
02:00:16.109 --> 02:00:19.779 region:rollup2
THAT'S A TRICK PLEASE CALL THE
02:00:17.143 --> 02:00:22.449 region:rollup2
ROLL WOULD I WOULD I MAYES MAYES
02:00:19.779 --> 02:00:23.950 region:rollup2
I AM HERE AGAR CURRY.
02:00:22.449 --> 02:00:25.151 region:rollup2
I CARE CURRY AYE BIGELOW.
02:00:23.950 --> 02:00:26.052 region:rollup2
BIGELOW AYE.
02:00:25.151 --> 02:00:29.389 region:rollup2
BONTA.
02:00:26.052 --> 02:00:30.790 region:rollup2
BURKE CARILLO.
02:00:29.389 --> 02:00:31.024 region:rollup2
FLORA.
02:00:30.790 --> 02:00:31.558 region:rollup2
LIMON.
02:00:31.024 --> 02:00:33.893 region:rollup2
MCCARTY.
02:00:31.558 --> 02:00:36.596 region:rollup2
MCCARTY AYE.
02:00:33.893 --> 02:00:38.765 region:rollup2
NAZARIAN LIFE NAZARIAN AYE.
02:00:36.596 --> 02:00:39.065 region:rollup2
RODRIGUEZ RODRIGUEZ AYE SANTIAGO
02:00:38.765 --> 02:00:40.500 region:rollup2
[inaudible]
02:00:39.065 --> 02:00:45.772 region:rollup2
THURMAN [inaudible]
02:00:40.500 --> 02:00:48.074 region:rollup2
WALDRON.
02:00:45.772 --> 02:00:48.408 region:rollup2
IF SEVEN YOU GET CLOSER TO THE
02:00:48.074 --> 02:00:50.043 region:rollup2
MAGIC NUMBER.
02:00:48.408 --> 02:00:51.377 region:rollup2
THANK YOU.
02:00:50.043 --> 02:00:54.280 region:rollup2
WHAT GOT ONE MORE LEFT
02:00:51.377 --> 02:00:55.014 region:rollup2
[inaudible] ONE MORE.
02:00:54.280 --> 02:00:55.582 region:rollup2
WILL BE --
02:00:55.014 --> 02:00:56.483 region:rollup2
THIRTEEN SEVENTY FIVE MISTER
02:00:55.582 --> 02:01:00.687 region:rollup2
CHAIR.
02:00:56.483 --> 02:01:02.322 region:rollup2
NOW THE HEALTH.
02:01:00.687 --> 02:01:03.857 region:rollup2
I I'VE GOT ONE MORE HE HAS ONE
02:01:02.322 --> 02:01:04.157 region:rollup2
MORE YES I KNOW YOU KNOW ME
02:01:03.857 --> 02:01:08.294 region:rollup2
[inaudible]
02:01:04.157 --> 02:01:09.095 region:rollup2
WELL.
02:01:08.294 --> 02:01:11.197 region:rollup2
MISTER CHAIR MEMBERS THIS BILL
02:01:09.095 --> 02:01:12.899 region:rollup2
MAKES CALIFORNIA'S DEFINITION OF
02:01:11.197 --> 02:01:13.833 region:rollup2
EMPLOYER EMPLOYEE CONSISTENT.
02:01:12.899 --> 02:01:15.602 region:rollup2
FOR THE PURPOSE OF HEALTH
02:01:13.833 --> 02:01:17.303 region:rollup2
INSURANCE FINAL FEDERAL RULES
02:01:15.602 --> 02:01:18.838 region:rollup2
AND ASSOCIATION HEALTH PLANS
02:01:17.303 --> 02:01:20.106 region:rollup2
HAVE RECENTLY BEEN ISSUED AND
02:01:18.838 --> 02:01:21.474 region:rollup2
THEY MAKE IT CLEAR THAT STATES
02:01:20.106 --> 02:01:22.108 region:rollup2
ARE NOT PREEMPTED.
02:01:21.474 --> 02:01:23.643 region:rollup2
CALIFORNIA LAW ALREADY PREVENTS
02:01:22.108 --> 02:01:25.145 region:rollup2
--
02:01:23.643 --> 02:01:27.080 region:rollup2
ASSOCIATE HEALTH PLANS TO SPILL
02:01:25.145 --> 02:01:29.082 region:rollup2
JUST CLEANS UP OUR LAWS TO MAKE
02:01:27.080 --> 02:01:29.916 region:rollup2
IT CLEAR AND CONSISTENT WITH
02:01:29.082 --> 02:01:37.657 region:rollup2
THAT I RESPECTFULLY ASK
02:01:29.916 --> 02:01:38.591 region:rollup2
MONOGAMOUS CHAIR MEMBERS.
02:01:37.657 --> 02:01:39.159 region:rollup2
GOOD AFTERNOON MARRIAGES FORCE
02:01:38.591 --> 02:01:40.560 region:rollup2
ON BEHALF OF HEALTH ACCESS
02:01:39.159 --> 02:01:43.096 region:rollup2
CALIFORNIA WE ARE HERE IN
02:01:40.560 --> 02:01:43.596 region:rollup2
SUPPORT OF SB.
02:01:43.096 --> 02:01:45.498 region:rollup2
THIRTEEN SEVENTY FIVE AS
02:01:43.596 --> 02:01:46.666 region:rollup2
PERMITTED BY FEDERAL LAW AS THE
02:01:45.498 --> 02:01:48.334 region:rollup2
THIRTEENTH SEMIS BY WILL RETAIN
02:01:46.666 --> 02:01:49.802 region:rollup2
THE STATE'S AUTHORITIES TO
02:01:48.334 --> 02:01:51.337 region:rollup2
REGULATE ASSOCIATION HEALTH
02:01:49.802 --> 02:01:52.939 region:rollup2
PLANS AND WHO IS ELIGIBLE FOR
02:01:51.337 --> 02:01:54.574 region:rollup2
THEM.
02:01:52.939 --> 02:01:55.875 region:rollup2
BECAUSE OF THIS --
02:01:54.574 --> 02:01:57.410 region:rollup2
S. B. THIRTEEN SEMI FI WILL
02:01:55.875 --> 02:01:59.913 region:rollup2
ENSURE THAT ANY SMALL EMPLOYER
02:01:57.410 --> 02:02:01.548 region:rollup2
PLAN ISSUED EITHER THROUGH AN H.
02:01:59.913 --> 02:02:03.349 region:rollup2
P. OR ANY OTHER ARRANGEMENT.
02:02:01.548 --> 02:02:04.250 region:rollup2
ACTUALLY COMPLY WITH A CA MARKET
02:02:03.349 --> 02:02:06.352 region:rollup2
RULES FOR THESE REASON WE ASK
02:02:04.250 --> 02:02:09.055 region:rollup2
FOR YOUR AYE VOTE.
02:02:06.352 --> 02:02:10.356 region:rollup2
YOU VERY MUCH OTHERS IN SUPPORT.
02:02:09.055 --> 02:02:11.991 region:rollup2
ANYONE WITH THE ASSOCIATION OF
02:02:10.356 --> 02:02:14.327 region:rollup2
CALIFORNIA LIFE AND HEALTH
02:02:11.991 --> 02:02:15.762 region:rollup2
INSURANCE COMPANIES IN SUPPORT.
02:02:14.327 --> 02:02:18.031 region:rollup2
TERESA START WITH KAISER
02:02:15.762 --> 02:02:19.632 region:rollup2
PERMANENTE IN SUPPORT THANK YOU.
02:02:18.031 --> 02:02:22.402 region:rollup2
BECAUSE SUPPORT OF A BLUE SHIELD
02:02:19.632 --> 02:02:23.570 region:rollup2
OF CALIFORNIA IN SUPPORT.
02:02:22.402 --> 02:02:26.639 region:rollup2
MARK OF A SMALL BUSINESS
02:02:23.570 --> 02:02:27.674 region:rollup2
MAJORITY IN SUPPORT.
02:02:26.639 --> 02:02:28.775 region:rollup2
AS FOR CALLING ON BEHALF OF THE
02:02:27.674 --> 02:02:31.177 region:rollup2
CALIFORNIA IMMIGRANT POLICY
02:02:28.775 --> 02:02:32.245 region:rollup2
CENTER IN SUPPORT.
02:02:31.177 --> 02:02:35.448 region:rollup2
RIGHT NEXT CALIFORNIA LANCE
02:02:32.245 --> 02:02:37.016 region:rollup2
RETIRED AMERICANS SUPPORT.
02:02:35.448 --> 02:02:39.319 region:rollup2
MIKE MONTGOMERY CONGRESS OF
02:02:37.016 --> 02:02:39.619 region:rollup2
CALIFORNIA SENIORS SUPPORT
02:02:39.319 --> 02:02:41.588 region:rollup2
[inaudible]
02:02:39.619 --> 02:02:44.791 region:rollup2
ANYONE ELSE.
02:02:41.588 --> 02:02:46.359 region:rollup2
SO ANYONE IN OPPOSITION.
02:02:44.791 --> 02:02:47.360 region:rollup2
SEEN KNOWN OF BRINGING BACK TO
02:02:46.359 --> 02:02:47.860 region:rollup2
THE COMMITTEE FOR QUESTIONS OR
02:02:47.360 --> 02:02:49.863 region:rollup2
COMMENTS IN IT FROM THE
02:02:47.860 --> 02:02:51.864 region:rollup2
COMMITTEE.
02:02:49.863 --> 02:02:54.267 region:rollup2
SEEING NONE BEFORE YOU CLOSE --
02:02:51.864 --> 02:02:55.368 region:rollup2
I SPECIFIC YOU --
02:02:54.267 --> 02:02:56.970 region:rollup2
I DON'T KNOW THAT WE'LL SEE YOU
02:02:55.368 --> 02:02:59.038 region:rollup2
IN FOR THIS COMMITTEE AGAIN I
02:02:56.970 --> 02:03:01.341 region:rollup2
THINK THAT'S IT IS MY LAST BILL.
02:02:59.038 --> 02:03:02.675 region:rollup2
AND I WANNA THANK YOU I THINK --
02:03:01.341 --> 02:03:04.344 region:rollup2
MILLIONS OF CALIFORNIANS OWE YOU
02:03:02.675 --> 02:03:06.045 region:rollup2
A DEBT OF GRATITUDE FOR THE WORK
02:03:04.344 --> 02:03:07.247 region:rollup2
YOU'VE DONE FOR THE A CIA
02:03:06.045 --> 02:03:09.549 region:rollup2
RECOVERED CALIFORNIA.
02:03:07.247 --> 02:03:10.183 region:rollup2
AS A CHAMPION FOR HEALTHCARE IN
02:03:09.549 --> 02:03:21.194 region:rollup2
CALIFORNIA AND I WANNA THANK YOU
02:03:10.183 --> 02:03:22.829 region:rollup2
VERY MUCH.
02:03:21.194 --> 02:03:23.696 region:rollup2
THANK YOU VERY MUCH MR CHAIR OF
02:03:22.829 --> 02:03:26.432 region:rollup2
YOU DON'T MIND I'D LIKE TO JUST
02:03:23.696 --> 02:03:28.368 region:rollup2
MAKE A COMMENT --
02:03:26.432 --> 02:03:30.570 region:rollup2
I WOULD LIKE TO THANK SOME VERY
02:03:28.368 --> 02:03:30.870 region:rollup2
VERY VERY SPECIAL PEOPLE
02:03:30.570 --> 02:03:39.646 region:rollup2
[inaudible]
02:03:30.870 --> 02:03:42.649 region:rollup2
MY STAFF.
02:03:39.646 --> 02:03:44.717 region:rollup2
I HAVE HAD THE ABSOLUTE MOST.
02:03:42.649 --> 02:03:46.486 region:rollup2
INCREDIBLE EXPERIENCE DEALING
02:03:44.717 --> 02:03:48.821 region:rollup2
WITH THE SENATE HEALTH STAFF I
02:03:46.486 --> 02:03:50.156 region:rollup2
KNOW YOU GUYS GOOD STAFF BUT
02:03:48.821 --> 02:03:51.524 region:rollup2
THESE GUYS ARE JUST [inaudible]
02:03:50.156 --> 02:03:53.026 region:rollup2
TOP.
02:03:51.524 --> 02:03:54.694 region:rollup2
SO I'D LIKE TO PERSONALLY THANK
02:03:53.026 --> 02:03:56.396 region:rollup2
ALL OF THEM P. BECAUSE THEY ARE
02:03:54.694 --> 02:03:57.730 region:rollup2
INCREDIBLE THEY MADE WHO I AM.
02:03:56.396 --> 02:04:00.900 region:rollup2
AND LEAST SUCCESSFUL BECAUSE OF
02:03:57.730 --> 02:04:01.501 region:rollup2
THEM THANK YOU GUYS.
02:04:00.900 --> 02:04:04.671 region:rollup2
AND WITH THAT I ASK FOR AN AYE
02:04:01.501 --> 02:04:06.973 region:rollup2
VOTE.
02:04:04.671 --> 02:04:08.608 region:rollup2
AND WE HAVE A MOTION BY MISTER
02:04:06.973 --> 02:04:10.343 region:rollup2
AS ARIANNA SECOND BY MISS
02:04:08.608 --> 02:04:12.145 region:rollup2
AGUIAR-CURRY MADAM SECRETARY
02:04:10.343 --> 02:04:14.948 region:rollup2
PLEASE CALL THE ROLL WOULD I
02:04:12.145 --> 02:04:17.450 region:rollup2
WOULD I MAYES.
02:04:14.948 --> 02:04:19.686 region:rollup2
REYES NOT VOTING ACKER CURRY.
02:04:17.450 --> 02:04:21.587 region:rollup2
AGAR CURRY I BIGELOW.
02:04:19.686 --> 02:04:25.858 region:rollup2
BIGELOW NOT VOTING BONTA.
02:04:21.587 --> 02:04:27.727 region:rollup2
BURKE CARILLO FLORA.
02:04:25.858 --> 02:04:29.362 region:rollup2
AMONG MCCARTY.
02:04:27.727 --> 02:04:31.364 region:rollup2
MCCARTY AYE THIS AREA.
02:04:29.362 --> 02:04:33.066 region:rollup2
NAZARIAN AYE RODRIGUEZ.
02:04:31.364 --> 02:04:39.672 region:rollup2
RODRIGUEZ I SANTIAGO THURMOND
02:04:33.066 --> 02:04:41.107 region:rollup2
WILDER. FIVE ZERO WE WERE STILL
02:04:39.672 --> 02:04:42.742 region:rollup2
LACKING A BUNCH OF PEOPLE HERE
02:04:41.107 --> 02:04:44.644 region:rollup2
BUT I WANT TO THANK YOU SO MUCH
02:04:42.742 --> 02:04:45.611 region:rollup2
SENATOR FOR FOR EVERYTHING ANTI
02:04:44.644 --> 02:04:46.212 region:rollup2
THANK YOU VERY MUCH MISTER
02:04:45.611 --> 02:04:46.879 region:rollup2
CHAIRMAN THERE'S IT'S BEEN AN
02:04:46.212 --> 02:04:59.525 region:rollup2
HONOR. TO HAVE A GREAT AFTERNOON
02:04:46.879 --> 02:05:00.660 region:rollup2
THINK.
02:04:59.525 --> 02:05:01.494 region:rollup2
IF YOU HAVE FIVE OR SIX MORE
02:05:00.660 --> 02:05:02.695 region:rollup2
BILL'S YOU'D LIKE TO PRESENT
02:05:01.494 --> 02:05:03.529 region:rollup2
THAT WOULD KEEP US BUSY I I YOU
02:05:02.695 --> 02:05:07.467 region:rollup2
KNOW [inaudible]
02:05:03.529 --> 02:05:08.001 region:rollup2
THE PRIEST.
02:05:07.467 --> 02:05:11.304 region:rollup2
YOU ON TO SOME OTHER BILLS
02:05:08.001 --> 02:05:14.474 region:rollup2
FOREST [inaudible]
02:05:11.304 --> 02:05:14.974 region:rollup2
SENATOR STONE.
02:05:14.474 --> 02:05:17.710 region:rollup2
WE'RE HAPPY TO HAPPY TO
02:05:14.974 --> 02:05:18.011 region:rollup2
ENTERTAIN YOU APPEAR
02:05:17.710 --> 02:05:30.156 region:rollup2
[inaudible]
02:05:18.011 --> 02:05:34.227 region:rollup2
PLEASE.
02:05:30.156 --> 02:05:36.596 region:rollup2
PRETTY CHAIR ON WILL MEMBERS.
02:05:34.227 --> 02:05:38.898 region:rollup2
I APPLAUD YOU FOR YOUR OF YOUR
02:05:36.596 --> 02:05:39.932 region:rollup2
YOUR INSURANCE TODAY.
02:05:38.898 --> 02:05:41.367 region:rollup2
AS I'M RUNNING UP AND DOWN THE
02:05:39.932 --> 02:05:43.169 region:rollup2
STAIRS TODAY PROCESS EARLY READY
02:05:41.367 --> 02:05:44.404 region:rollup2
TALKING ABOUT.
02:05:43.169 --> 02:05:45.271 region:rollup2
MISTER CHAIR FELLOW MEMBERS OF
02:05:44.404 --> 02:05:46.572 region:rollup2
THE COMMITTEE ON PRESENTING S.
02:05:45.271 --> 02:05:48.307 region:rollup2
B. TWELVE FIFTY FOUR WHICH
02:05:46.572 --> 02:05:49.642 region:rollup2
REQUIRE A PHARMACIST AT A
02:05:48.307 --> 02:05:51.144 region:rollup2
HOSPITAL PHARMACY TO CONFIRM.
02:05:49.642 --> 02:05:53.312 region:rollup2
AN ACCURATE PATIENT MEDICATION
02:05:51.144 --> 02:05:54.680 region:rollup2
PROFILE FOR EACH HIGH RISK
02:05:53.312 --> 02:05:56.482 region:rollup2
PATIENTS UPON ADMISSION.
02:05:54.680 --> 02:05:57.650 region:rollup2
OF THAT PATIENT.
02:05:56.482 --> 02:05:59.052 region:rollup2
I WOULD LIKE TO THANK THE CHAIR
02:05:57.650 --> 02:06:00.219 region:rollup2
AND THE COMMITTEE FOR WORKING
02:05:59.052 --> 02:06:01.421 region:rollup2
WITH US ON S. B. TWELVE FIFTY
02:06:00.219 --> 02:06:02.989 region:rollup2
FOUR AND I'M HAPPY TO BE TAKEN
02:06:01.421 --> 02:06:05.291 region:rollup2
THE COMMITTEE AMENDMENTS TODAY.
02:06:02.989 --> 02:06:07.060 region:rollup2
IT'S STARTLING COLLEAGUES AT UP
02:06:05.291 --> 02:06:08.327 region:rollup2
270% OF PATIENTS HAVE ERRORS.
02:06:07.060 --> 02:06:11.230 region:rollup2
ON THEIR MEDICATION LESS UPON
02:06:08.327 --> 02:06:12.065 region:rollup2
ADMISSION TO HOSPITAL NOT 259%.
02:06:11.230 --> 02:06:13.332 region:rollup2
OF THESE AREAS HAVE THE
02:06:12.065 --> 02:06:17.336 region:rollup2
POTENTIAL TO CAUSE MODERATE TO
02:06:13.332 --> 02:06:18.838 region:rollup2
SEVERE HARM.
02:06:17.336 --> 02:06:19.572 region:rollup2
THANK YOU SIR THERE IS CURRENTLY
02:06:18.838 --> 02:06:21.374 region:rollup2
A LACK.
02:06:19.572 --> 02:06:22.508 region:rollup2
OF OVERSIGHT FOR ENSURING SUCH
02:06:21.374 --> 02:06:24.377 region:rollup2
MEDICAL LISTS ARE ACCURATE A
02:06:22.508 --> 02:06:25.745 region:rollup2
PUNDIT HOSPITAL ADMISSION.
02:06:24.377 --> 02:06:26.279 region:rollup2
THIS LACK OF DEFINED
02:06:25.745 --> 02:06:28.848 region:rollup2
RESPONSIBILITY RESULTS AND
02:06:26.279 --> 02:06:29.415 region:rollup2
HERE'S IN THE LESS ANY ERRORS IN
02:06:28.848 --> 02:06:31.350 region:rollup2
THE MEDICATION ORDERS WHEN
02:06:29.415 --> 02:06:33.486 region:rollup2
PATIENTS ARE IN THE HOSPITAL AND
02:06:31.350 --> 02:06:34.087 region:rollup2
FACT WHEN THEIR DISCHARGE.
02:06:33.486 --> 02:06:35.354 region:rollup2
NOT ONLY DOES THIS LEAD TO
02:06:34.087 --> 02:06:36.722 region:rollup2
SIGNIFICANT HARM TO THE PATIENT
02:06:35.354 --> 02:06:38.091 region:rollup2
BUT STUDIES HAVE SHOWN.
02:06:36.722 --> 02:06:39.459 region:rollup2
THAT THIS PROBLEM ALSO COST
02:06:38.091 --> 02:06:40.960 region:rollup2
BILLIONS OF DOLLARS DUE TO
02:06:39.459 --> 02:06:42.762 region:rollup2
MEDICATION RELATED READMISSIONS.
02:06:40.960 --> 02:06:43.696 region:rollup2
AND ADVERSE DRUG EVENTS THIS
02:06:42.762 --> 02:06:44.730 region:rollup2
BILL WILL BETTER ENSURE THE
02:06:43.696 --> 02:06:45.998 region:rollup2
ACCURACY OF WHAT A PATIENT
02:06:44.730 --> 02:06:47.533 region:rollup2
MEDICATION PROFILE IS AN
02:06:45.998 --> 02:06:48.668 region:rollup2
ADMISSION.
02:06:47.533 --> 02:06:49.936 region:rollup2
THEREBY POTENTIALLY STOPPING ANY
02:06:48.668 --> 02:06:50.470 region:rollup2
ERRORS WHICH WILL ENHANCE
02:06:49.936 --> 02:06:51.671 region:rollup2
PATIENT SAFETY AND REDUCE
02:06:50.470 --> 02:06:53.673 region:rollup2
POSITION.
02:06:51.671 --> 02:06:54.807 region:rollup2
AND HOSPITAL LIABILITY INCLUDING
02:06:53.673 --> 02:06:56.242 region:rollup2
AFTER THE PATIENTS DISCHARGE I
02:06:54.807 --> 02:06:57.743 region:rollup2
WOULD LIKE TO INTRODUCE DOCTOR
02:06:56.242 --> 02:06:59.445 region:rollup2
RIEDERS CHANGING PHARMACY
02:06:57.743 --> 02:07:00.847 region:rollup2
OFFICER PROFESSOR OF MEDICINE.
02:06:59.445 --> 02:07:01.848 region:rollup2
FOR CEDAR SINAI AN ASSISTANT
02:07:00.847 --> 02:07:05.685 region:rollup2
DEAN OF CLINICAL PHARMACY AT
02:07:01.848 --> 02:07:07.920 region:rollup2
UCSF.
02:07:05.685 --> 02:07:08.421 region:rollup2
THEY APPEAR ON BOTH CENTER STONE
02:07:07.920 --> 02:07:09.489 region:rollup2
AND THANK YOU TO THAT --
02:07:08.421 --> 02:07:11.123 region:rollup2
TO THAT.
02:07:09.489 --> 02:07:12.692 region:rollup2
FAMILY COMMITTEE ON HEALTH --
02:07:11.123 --> 02:07:14.293 region:rollup2
COMMUNITY SHARE A PERSONAL STORY
02:07:12.692 --> 02:07:15.661 region:rollup2
AND AND AND FROM MY PROFESSIONAL
02:07:14.293 --> 02:07:17.263 region:rollup2
PERSPECTIVE HAVING BEEN.
02:07:15.661 --> 02:07:18.998 region:rollup2
A PHARMACIST FOR MANY MANY YEARS
02:07:17.263 --> 02:07:20.700 region:rollup2
AND DO IT VERY QUICKLY --
02:07:18.998 --> 02:07:22.168 region:rollup2
FROM A PERSONAL PERSPECTIVE
02:07:20.700 --> 02:07:23.536 region:rollup2
ABOUT TWENTY YEARS AGO ACTUALLY
02:07:22.168 --> 02:07:25.505 region:rollup2
LAST MONTH MY FATHER WAS
02:07:23.536 --> 02:07:27.573 region:rollup2
DIAGNOSED WITH A BRAIN TUMOR
02:07:25.505 --> 02:07:28.641 region:rollup2
FROM MY METASTATIC LUNG CANCER.
02:07:27.573 --> 02:07:31.277 region:rollup2
WHEN HE WAS DISCHARGED FROM HOT
02:07:28.641 --> 02:07:32.245 region:rollup2
ONE HAAS I NOTICED THAT THEY
02:07:31.277 --> 02:07:33.379 region:rollup2
DISCONTINUED ONE OF THE
02:07:32.245 --> 02:07:34.981 region:rollup2
MEDICATIONS THAT WAS TO REDUCE
02:07:33.379 --> 02:07:36.616 region:rollup2
THE SWELLING IN HIS BRAIN?
02:07:34.981 --> 02:07:37.984 region:rollup2
I AND SO I HAD TO MAKE SURE THAT
02:07:36.616 --> 02:07:39.185 region:rollup2
GOT TAKEN CARE WHEN HE WAS
02:07:37.984 --> 02:07:41.120 region:rollup2
READMITTED TO THE HOSPITAL OR
02:07:39.185 --> 02:07:43.022 region:rollup2
OTHER MEDICATIONS THAT WERE --
02:07:41.120 --> 02:07:44.557 region:rollup2
UNDEAD I SWEAR THEN THAT IT
02:07:43.022 --> 02:07:47.026 region:rollup2
WOULD MAKE IT MY HEART CAREER
02:07:44.557 --> 02:07:48.461 region:rollup2
GOAL TO TO FIX THIS SOMEHOW.
02:07:47.026 --> 02:07:50.163 region:rollup2
MORE RECENTLY MY NINETY YEAR OLD
02:07:48.461 --> 02:07:51.697 region:rollup2
HAND WAS HOSPITALIZED I WAS I
02:07:50.163 --> 02:07:54.367 region:rollup2
WAS TAKING CARE OF HER.
02:07:51.697 --> 02:07:56.035 region:rollup2
AND UPON ADMISSION --
02:07:54.367 --> 02:07:57.470 region:rollup2
THEY DISCONTINUED HER HER MATS
02:07:56.035 --> 02:07:59.305 region:rollup2
FOR HER BREAST CANCER THEY WERE
02:07:57.470 --> 02:08:00.439 region:rollup2
ALSO DISCONTINUED SUBSEQUENTLY
02:07:59.305 --> 02:08:01.741 region:rollup2
AND THEN SHE WAS.
02:08:00.439 --> 02:08:03.042 region:rollup2
START ON MULTIPLE --
02:08:01.741 --> 02:08:04.143 region:rollup2
BLOOD PRESSURE MEDS SHE WAS
02:08:03.042 --> 02:08:06.178 region:rollup2
NINETY POUNDS SHE WAS ADMITTED
02:08:04.143 --> 02:08:07.046 region:rollup2
FALLS AND I NEEDED TO CORRECT A
02:08:06.178 --> 02:08:08.347 region:rollup2
MEDALIST.
02:08:07.046 --> 02:08:09.715 region:rollup2
PERFECT PROFESSIONAL PERSPECTIVE
02:08:08.347 --> 02:08:11.284 region:rollup2
I'VE ALWAYS BELIEVED THAT THE
02:08:09.715 --> 02:08:12.518 region:rollup2
BEST CARE IS PROVIDED WHEN THE
02:08:11.284 --> 02:08:14.253 region:rollup2
HEALTH CARE TEAM WORKS TOGETHER.
02:08:12.518 --> 02:08:15.321 region:rollup2
PHYSICIANS AND NURSES ARE INTENT
02:08:14.253 --> 02:08:16.489 region:rollup2
ON STABILIZING THE PATIENT AT
02:08:15.321 --> 02:08:17.523 region:rollup2
THE TIME OF ADMISSION TO MAKE
02:08:16.489 --> 02:08:19.125 region:rollup2
SURE WHATEVER CONDITION ARE
02:08:17.523 --> 02:08:21.394 region:rollup2
BEING ADMITTED FOREST IS TAKEN
02:08:19.125 --> 02:08:22.828 region:rollup2
CARE OF PHARMACISTS ARE TRAINED
02:08:21.394 --> 02:08:24.096 region:rollup2
TO UNDERSTAND MEDICATIONS AND
02:08:22.828 --> 02:08:25.331 region:rollup2
HOW THEY'RE USED IN THAT EVERY
02:08:24.096 --> 02:08:26.532 region:rollup2
MEDICATION ORDER HOUSE TO BE A
02:08:25.331 --> 02:08:26.732 region:rollup2
COMPLETE SENTENCE JUST AS WE
02:08:26.532 --> 02:08:28.768 region:rollup2
SPEAK.
02:08:26.732 --> 02:08:29.669 region:rollup2
IN ENGLISH SO WE'VE CONDUCTED A
02:08:28.768 --> 02:08:30.736 region:rollup2
RESEARCH STUDY THAT WAS
02:08:29.669 --> 02:08:31.971 region:rollup2
PUBLISHED IN THE PEER REVIEWED
02:08:30.736 --> 02:08:33.139 region:rollup2
LITERATURE ALONG WITH MANY OTHER
02:08:31.971 --> 02:08:34.507 region:rollup2
ORGANIZATIONS IN OUR STUDY WE
02:08:33.139 --> 02:08:36.008 region:rollup2
FOUND THAT.
02:08:34.507 --> 02:08:37.643 region:rollup2
PHARMACY STAFF TO COMMIT THAT
02:08:36.008 --> 02:08:40.279 region:rollup2
TOOK A MEDICATION RISK.
02:08:37.643 --> 02:08:41.914 region:rollup2
LEST I RESULTED IN 80% REDUCTION
02:08:40.279 --> 02:08:43.249 region:rollup2
IN MEDICATION ERRORS HAD THOSE
02:08:41.914 --> 02:08:44.517 region:rollup2
THERE IS NOT BEEN CORRECTED TO
02:08:43.249 --> 02:08:45.585 region:rollup2
STUDY DEMONSTRATED THAT THERE
02:08:44.517 --> 02:08:46.953 region:rollup2
WOULD HAVE AN AVERAGE OF THREE
02:08:45.585 --> 02:08:48.187 region:rollup2
AREAS PER PATIENT.
02:08:46.953 --> 02:08:49.655 region:rollup2
OF WHICH ONE POINT TWO WOULD
02:08:48.187 --> 02:08:50.823 region:rollup2
HAVE IN YRIA SERIOUS OR LIFE
02:08:49.655 --> 02:08:52.525 region:rollup2
THREATENING THIS WAS DONE BY
02:08:50.823 --> 02:08:53.859 region:rollup2
PHYSICIAN PERRY VIEW OF THE OF
02:08:52.525 --> 02:08:55.428 region:rollup2
THE AREAS THEMSELVES TO
02:08:53.859 --> 02:08:56.362 region:rollup2
DEMONSTRATE THE POTENTIAL HARM.
02:08:55.428 --> 02:08:58.030 region:rollup2
THE ISSUE IS THE MEDICATION
02:08:56.362 --> 02:08:59.065 region:rollup2
LISTS ARE ARE OBTAINED BY RIGHT
02:08:58.030 --> 02:09:00.099 region:rollup2
OF INDIVIDUALS AND DIFFERENT
02:08:59.065 --> 02:09:01.601 region:rollup2
HEALTH CARE SETTINGS WHEN ONE
02:09:00.099 --> 02:09:02.935 region:rollup2
GOES TO A DOCTOR'S OFFICE IS
02:09:01.601 --> 02:09:04.036 region:rollup2
OFTEN A MEDICAL ASSISTANT.
02:09:02.935 --> 02:09:05.304 region:rollup2
GIVEN THE COMPLEXITY OF
02:09:04.036 --> 02:09:06.906 region:rollup2
MEDICATIONS THAT I'M GOING
02:09:05.304 --> 02:09:08.207 region:rollup2
RELEASE OF NEW MEDICATIONS THAT
02:09:06.906 --> 02:09:09.842 region:rollup2
ARE VERY VERY CHALLENGING TO
02:09:08.207 --> 02:09:11.444 region:rollup2
UNDERSTAND THE NUMBER OF
02:09:09.842 --> 02:09:12.244 region:rollup2
PATIENTS WITH CHRONIC DISEASES
02:09:11.444 --> 02:09:13.846 region:rollup2
AS WELL AS THE NUMBER OF
02:09:12.244 --> 02:09:14.780 region:rollup2
PHYSICIANS PATIENTS ARE OFTEN
02:09:13.846 --> 02:09:16.916 region:rollup2
SEEN.
02:09:14.780 --> 02:09:18.050 region:rollup2
THESE LISTS ARE PROBLEM PRONE IN
02:09:16.916 --> 02:09:19.585 region:rollup2
THE POTENTIAL FOR HARM IS REAL
02:09:18.050 --> 02:09:20.653 region:rollup2
FOR THE PURPOSE OF THIS BILL IS
02:09:19.585 --> 02:09:22.321 region:rollup2
TO ENSURE THAT A QUALITY
02:09:20.653 --> 02:09:23.823 region:rollup2
IMPROVEMENT PROCESS WITH
02:09:22.321 --> 02:09:25.224 region:rollup2
PHARMACISTS AND PHARMACY STAFF
02:09:23.823 --> 02:09:26.258 region:rollup2
WERE TRAINED IN THIS AREA.
02:09:25.224 --> 02:09:29.962 region:rollup2
ENSURE THE ACTRESS IN THE
02:09:26.258 --> 02:09:30.596 region:rollup2
MEDALIST WHEN OUR PATIENTS ARE.
02:09:29.962 --> 02:09:32.565 region:rollup2
THANK YOU FOR THE OPPORTUNITY TO
02:09:30.596 --> 02:09:33.633 region:rollup2
SHARE THIS WITH.
02:09:32.565 --> 02:09:36.135 region:rollup2
THANK YOU VERY MUCH OF THEIR
02:09:33.633 --> 02:09:37.370 region:rollup2
OTHER WITNESSES AND SUPPORT.
02:09:36.135 --> 02:09:38.804 region:rollup2
WE A PARADIGM MAP CALIFORNIA
02:09:37.370 --> 02:09:41.874 region:rollup2
LIFE SCIENCES ASSOCIATION IN
02:09:38.804 --> 02:09:43.209 region:rollup2
SUPPORT BECUZ.
02:09:41.874 --> 02:09:43.843 region:rollup2
CONNIE DELGADO WITH A CALIFORNIA
02:09:43.209 --> 02:09:46.679 region:rollup2
HOSPITAL ASSOCIATION IN SUPPORT.
02:09:43.843 --> 02:09:47.847 region:rollup2
IF YOU.
02:09:46.679 --> 02:09:49.248 region:rollup2
TIM VALDERRAMA WITH THE WHITEMAN
02:09:47.847 --> 02:09:50.616 region:rollup2
GROUP ON BEHALF OF THE
02:09:49.248 --> 02:09:51.450 region:rollup2
CALIFORNIA SOCIETY OF HEALTH
02:09:50.616 --> 02:09:51.751 region:rollup2
SYSTEM PHARMACISTS IN SUPPORT
02:09:51.450 --> 02:09:53.953 region:rollup2
[inaudible]
02:09:51.751 --> 02:09:58.591 region:rollup2
VERY MUCH.
02:09:53.953 --> 02:10:00.559 region:rollup2
SO ANYONE IN OPPOSITION.
02:09:58.591 --> 02:10:01.494 region:rollup2
MR MEMBERS TO MAD RIBS IN
02:10:00.559 --> 02:10:03.362 region:rollup2
CALIFORNIA CHAPTER THE MURDER
02:10:01.494 --> 02:10:04.130 region:rollup2
BECAUSE EMERGENCY PHYSICIANS ARE
02:10:03.362 --> 02:10:06.232 region:rollup2
WITH THE AMENDMENT --
02:10:04.130 --> 02:10:07.199 region:rollup2
IN THE ANALYSIS WE ARE REMOVING
02:10:06.232 --> 02:10:09.135 region:rollup2
OPPOSITION WE WANT TO THANK THE
02:10:07.199 --> 02:10:10.302 region:rollup2
SENATOR FOR ITS HELP IN THE
02:10:09.135 --> 02:10:13.973 region:rollup2
ASSISTANCE OF YOUR COMMITTEE
02:10:10.302 --> 02:10:14.974 region:rollup2
STAFF THANK YOU.
02:10:13.973 --> 02:10:16.175 region:rollup2
GOOD MORNING MISTER CHAIRMAN
02:10:14.974 --> 02:10:17.777 region:rollup2
MEMBERS PAT WHALEN ELLIS MOST
02:10:16.175 --> 02:10:19.979 region:rollup2
NAPA SEE HERE ON BEHALF OF
02:10:17.777 --> 02:10:21.814 region:rollup2
UNITED NURSES ASSOCIATION ALSO
02:10:19.979 --> 02:10:23.616 region:rollup2
REMOVING OUR OPPOSITION WE DO
02:10:21.814 --> 02:10:25.785 region:rollup2
STILL HAVE CONCERNS ABOUT THE
02:10:23.616 --> 02:10:27.086 region:rollup2
FACT THAT THE BILL ALLOWS --
02:10:25.785 --> 02:10:28.487 region:rollup2
THE GATHERING OF THE MEDICATION
02:10:27.086 --> 02:10:29.889 region:rollup2
PROFILE TO BE DELEGATED TO
02:10:28.487 --> 02:10:30.923 region:rollup2
PHARMACY TECHNICIANS AND WE'RE
02:10:29.889 --> 02:10:32.591 region:rollup2
NOT COMFORTABLE THAT THEY HAVE
02:10:30.923 --> 02:10:33.926 region:rollup2
THE EXPERIENCE --
02:10:32.591 --> 02:10:34.860 region:rollup2
TO TAKE ACCURATELY BECAUSE OTHER
02:10:33.926 --> 02:10:37.830 region:rollup2
MEDICAL PROFESSIONALS HAVE TO
02:10:34.860 --> 02:10:38.397 region:rollup2
RELY ON THAT DOWN THE LINE --
02:10:37.830 --> 02:10:39.632 region:rollup2
BUT WE ARE MOVING TO NEUTRAL
02:10:38.397 --> 02:10:43.002 region:rollup2
THANK YOU [inaudible]
02:10:39.632 --> 02:10:44.270 region:rollup2
ANYONE ELSE.
02:10:43.002 --> 02:10:44.870 region:rollup2
SEEING NO ONE WILL BRING IT BACK
02:10:44.270 --> 02:10:46.872 region:rollup2
TO THE COMMITTEE FOR QUESTIONS
02:10:44.870 --> 02:10:50.443 region:rollup2
OR COMMENTS THE WORKING
02:10:46.872 --> 02:10:52.978 region:rollup2
COMMITTEE --
02:10:50.443 --> 02:10:53.979 region:rollup2
IS WAS A OF THANK YOU FOR
02:10:52.978 --> 02:10:54.613 region:rollup2
BRINGING TO GO FORWARD.
02:10:53.979 --> 02:10:55.581 region:rollup2
THINK FOR WORKING ARE COMMITTEE
02:10:54.613 --> 02:10:56.849 region:rollup2
--
02:10:55.581 --> 02:10:57.817 region:rollup2
YOU JUST ENJOY DO PASS
02:10:56.849 --> 02:10:59.118 region:rollup2
RECOMMENDATION AND WHICH ELECT
02:10:57.817 --> 02:11:00.019 region:rollup2
CLOSE UNDER.
02:10:59.118 --> 02:11:01.287 region:rollup2
RESPECT LAST TRIBAL THANK YOU
02:11:00.019 --> 02:11:03.189 region:rollup2
MISTER CHAIRMAN FOR YOUR STAFF
02:11:01.287 --> 02:11:05.057 region:rollup2
THANK YOU I WE HAVE A MOTION BY
02:11:03.189 --> 02:11:06.125 region:rollup2
MISTER BIGELOW WAS SECOND BY MR
02:11:05.057 --> 02:11:07.793 region:rollup2
MCCARTY.
02:11:06.125 --> 02:11:09.495 region:rollup2
ARE THE MOTIONS TO PASS AS
02:11:07.793 --> 02:11:10.463 region:rollup2
AMENDED TO APPROPRIATIONS SPENT
02:11:09.495 --> 02:11:13.032 region:rollup2
SECRETARY PLEASE CALL THE ROLL
02:11:10.463 --> 02:11:14.633 region:rollup2
WOULD I WOULD I MAYES.
02:11:13.032 --> 02:11:19.705 region:rollup2
MAYES AYE AGUIAR-CURRY AGAR
02:11:14.633 --> 02:11:21.474 region:rollup2
KOREA.
02:11:19.705 --> 02:11:23.075 region:rollup2
BIGELOW AYE BONTA.
02:11:21.474 --> 02:11:23.642 region:rollup2
BURKE.
02:11:23.075 --> 02:11:27.146 region:rollup2
CARILLO.
02:11:23.642 --> 02:11:28.981 region:rollup2
CARILLO I FLORA.
02:11:27.146 --> 02:11:31.917 region:rollup2
LOW MOAN MCCARTY.
02:11:28.981 --> 02:11:32.218 region:rollup2
MCCARTY AYE NOSE AREA
02:11:31.917 --> 02:11:34.820 region:rollup2
[inaudible]
02:11:32.218 --> 02:11:37.056 region:rollup2
RODRIGUEZ.
02:11:34.820 --> 02:11:37.356 region:rollup2
SANTIAGO THURMAN WALTER
02:11:37.056 --> 02:11:43.763 region:rollup2
[inaudible]
02:11:37.356 --> 02:11:45.064 region:rollup2
WALDRON AYE. SEVENTY NEED ONE
02:11:43.763 --> 02:11:46.899 region:rollup2
MORE BUT YOU'LL SEE WERE LITTLE
02:11:45.064 --> 02:11:49.368 region:rollup2
SHY OF MEMBERS HERE SO WE'LL PUT
02:11:46.899 --> 02:11:50.936 region:rollup2
THAT ON CULTURE PARTICULARLY.
02:11:49.368 --> 02:11:52.505 region:rollup2
WHEN I ASK A A CENTER LABOR
02:11:50.936 --> 02:11:54.106 region:rollup2
WOULD YOU MIND IF WE ASK TALKED
02:11:52.505 --> 02:11:56.075 region:rollup2
OF MISTER ROTH TO TAKE HIS BILL
02:11:54.106 --> 02:11:57.510 region:rollup2
FORGET HIS WEEK SIGNIFICANTLY
02:11:56.075 --> 02:11:58.511 region:rollup2
SHORTER?
02:11:57.510 --> 02:12:07.419 region:rollup2
NO PROBLEM THANK YOU THANK YOU
02:11:58.511 --> 02:12:08.854 region:rollup2
SENATOR ROTH.
02:12:07.419 --> 02:12:10.556 region:rollup2
THANK YOU MISTER CHAIR OF HOPE
02:12:08.854 --> 02:12:14.693 region:rollup2
SPRINGS ETERNAL ON THE SHORTER
02:12:10.556 --> 02:12:17.029 region:rollup2
PIECE BUT THANK YOU.
02:12:14.693 --> 02:12:17.830 region:rollup2
I'M ALWAYS HOPEFUL SENATOR.
02:12:17.029 --> 02:12:19.265 region:rollup2
THANK YOU MISTER CHAIR FIRST LET
02:12:17.830 --> 02:12:20.800 region:rollup2
ME JUST TO THANK YOU PERSONALLY
02:12:19.265 --> 02:12:22.368 region:rollup2
AND YOUR STAFF FOR MEETING WITH
02:12:20.800 --> 02:12:23.702 region:rollup2
ME AND WITH MY STAFF ON THIS
02:12:22.368 --> 02:12:24.970 region:rollup2
BILL -- TO
02:12:23.702 --> 02:12:26.172 region:rollup2
ATTEMPT TO WORK OUT SOME OF THE
02:12:24.970 --> 02:12:27.173 region:rollup2
ISSUES.
02:12:26.172 --> 02:12:28.440 region:rollup2
OF THE BILL IS --
02:12:27.173 --> 02:12:29.642 region:rollup2
SIMPLY DESIGNED TO ENSURE THAT
02:12:28.440 --> 02:12:30.576 region:rollup2
PATIENTS HAVE THE RIGHT TO
02:12:29.642 --> 02:12:32.311 region:rollup2
RETRIEVE AND PRESERVE THEIR
02:12:30.576 --> 02:12:33.913 region:rollup2
MEDICAL RECORDS PURCHASE
02:12:32.311 --> 02:12:35.314 region:rollup2
DESTRUCTION IF THE PATIENTS
02:12:33.913 --> 02:12:36.615 region:rollup2
DECIDE TO DO SO.
02:12:35.314 --> 02:12:38.417 region:rollup2
OF THIS PARTICULAR BILL AT THIS
02:12:36.615 --> 02:12:39.785 region:rollup2
POINT IN TIME REQUIRES THAT
02:12:38.417 --> 02:12:41.253 region:rollup2
SPECIFIED HEALTH CARE PROVIDERS
02:12:39.785 --> 02:12:43.656 region:rollup2
SEND A SINGLE NOTICE.
02:12:41.253 --> 02:12:46.158 region:rollup2
VIA EMAIL OR POST.
02:12:43.656 --> 02:12:48.961 region:rollup2
MALE. TO THE PATIENTS LAST KNOWN
02:12:46.158 --> 02:12:50.029 region:rollup2
ADDRESS EMAIL OR POST NOTIFYING
02:12:48.961 --> 02:12:51.130 region:rollup2
THE PATIENT AND HIS OR HER
02:12:50.029 --> 02:12:53.032 region:rollup2
PERSONAL HEALTH CARE RECORD WILL
02:12:51.130 --> 02:12:53.999 region:rollup2
BE DESTROYED IF IT'S GOING TO BE
02:12:53.032 --> 02:12:55.301 region:rollup2
DESTROYED.
02:12:53.999 --> 02:12:55.868 region:rollup2
AND WHEN AND GIVES THE PATIENT
02:12:55.301 --> 02:12:57.770 region:rollup2
T. OPPORTUNITY TO REQUEST A
02:12:55.868 --> 02:12:58.404 region:rollup2
COPY.
02:12:57.770 --> 02:13:00.439 region:rollup2
BEFORE THE RECORDS ARE DESTROYED
02:12:58.404 --> 02:13:02.107 region:rollup2
--
02:13:00.439 --> 02:13:03.476 region:rollup2
I JUST WANT TO SAY I RECOGNIZE
02:13:02.107 --> 02:13:04.910 region:rollup2
IS THE ANALYSIS POINTS OUT THAT
02:13:03.476 --> 02:13:06.612 region:rollup2
MEDICAL RECORDS ARE NOT THE
02:13:04.910 --> 02:13:08.113 region:rollup2
PROPERTY OF THE PATIENT.
02:13:06.612 --> 02:13:09.815 region:rollup2
BUT MY PURPOSE IN MOVING THIS
02:13:08.113 --> 02:13:11.884 region:rollup2
BILL WAS TO ENSURE THAT PATIENTS
02:13:09.815 --> 02:13:13.586 region:rollup2
RECEIVE A CLEAR NOTIFICATION.
02:13:11.884 --> 02:13:14.954 region:rollup2
WHEN MEDICAL RECORDS ARE GOING
02:13:13.586 --> 02:13:16.489 region:rollup2
TO BE DESTROYED AND GIVEN AN
02:13:14.954 --> 02:13:17.823 region:rollup2
OPPORTUNITY TO PRESERVE THOSE
02:13:16.489 --> 02:13:19.725 region:rollup2
RECORDS IF THE PATIENT IS OURS
02:13:17.823 --> 02:13:20.793 region:rollup2
TO DO SO?
02:13:19.725 --> 02:13:22.428 region:rollup2
FUTURE OF AN OPPORTUNITY TO
02:13:20.793 --> 02:13:24.129 region:rollup2
REVIEW AT LEAST SOME MOCK UPPER
02:13:22.428 --> 02:13:26.765 region:rollup2
DRAFT AMENDMENTS THAT --
02:13:24.129 --> 02:13:29.969 region:rollup2
YOUR STAFF HAS PROVIDED TO ME --
02:13:26.765 --> 02:13:31.637 region:rollup2
THAT PROVIDE A NOTIFICATION.
02:13:29.969 --> 02:13:33.572 region:rollup2
TERM RECORD RETENTION PERIOD AT
02:13:31.637 --> 02:13:34.740 region:rollup2
THE BEGINNING OF THE A HEALTH
02:13:33.572 --> 02:13:36.976 region:rollup2
CARE PROVIDER PATIENT
02:13:34.740 --> 02:13:38.377 region:rollup2
RELATIONSHIP AND AS WE DISCUSSED
02:13:36.976 --> 02:13:39.178 region:rollup2
I HAVE SOME CONCERNS THE
02:13:38.377 --> 02:13:41.080 region:rollup2
PROVIDING.
02:13:39.178 --> 02:13:42.147 region:rollup2
PATIENTS WITH INFORMATION AT THE
02:13:41.080 --> 02:13:43.516 region:rollup2
BEGINNING OF THE DOCTOR PATIENT
02:13:42.147 --> 02:13:45.317 region:rollup2
RELATIONSHIP WHEN THE PATIENT IS
02:13:43.516 --> 02:13:47.119 region:rollup2
FOCUSED ON SECURING MEDICAL
02:13:45.317 --> 02:13:48.721 region:rollup2
TREATMENT OR PAIN RELIEF MAY NOT
02:13:47.119 --> 02:13:50.022 region:rollup2
BE THE MOST EFFECTIVE.
02:13:48.721 --> 02:13:51.156 region:rollup2
NOTIFICATION METHOD TO THE
02:13:50.022 --> 02:13:52.658 region:rollup2
PATIENT --
02:13:51.156 --> 02:13:54.526 region:rollup2
AS YOU KNOW AND WE DISCUSSED I'M
02:13:52.658 --> 02:13:55.728 region:rollup2
ALSO CONCERNED THAT PROVIDING
02:13:54.526 --> 02:13:57.496 region:rollup2
PATIENTS WITH THE MEDICAL
02:13:55.728 --> 02:13:59.098 region:rollup2
RETENTION PERIOD WHETHER IT'S
02:13:57.496 --> 02:14:00.799 region:rollup2
SEVEN YEARS OR FIVE YEARS.
02:13:59.098 --> 02:14:02.368 region:rollup2
MAY NOT ACTUALLY.
02:14:00.799 --> 02:14:03.102 region:rollup2
TELL THE PATIENT WHEN THOSE
02:14:02.368 --> 02:14:04.503 region:rollup2
RECORDS ARE GOING TO BE
02:14:03.102 --> 02:14:06.238 region:rollup2
DESTROYED AND TRIGGER IN THE
02:14:04.503 --> 02:14:07.606 region:rollup2
PATIENT'S MIND ASSUMING THEY
02:14:06.238 --> 02:14:09.542 region:rollup2
REMEMBER THAT NOTIFICATION.
02:14:07.606 --> 02:14:11.377 region:rollup2
THAT FAR DOWNSTREAM EXACTLY WHEN
02:14:09.542 --> 02:14:13.345 region:rollup2
THEY NEED TO PROVIDE.
02:14:11.377 --> 02:14:15.281 region:rollup2
THE NOTIFICATION TO THE OF
02:14:13.345 --> 02:14:17.950 region:rollup2
MEDICAL --
02:14:15.281 --> 02:14:19.919 region:rollup2
PROVIDERS OFFICE BUT I ALSO
02:14:17.950 --> 02:14:20.552 region:rollup2
RECOGNIZE THAT THERE CERTAINLY
02:14:19.919 --> 02:14:21.186 region:rollup2
ARE ARGUMENTS ON THE OTHER SIDE
02:14:20.552 --> 02:14:22.855 region:rollup2
--
02:14:21.186 --> 02:14:24.356 region:rollup2
AND POINTS TO BE MADE ON THE
02:14:22.855 --> 02:14:25.891 region:rollup2
OTHER SIDE OF THIS DISCUSSION.
02:14:24.356 --> 02:14:27.126 region:rollup2
AND SHOULD THIS BILL HAPPEN TO
02:14:25.891 --> 02:14:28.928 region:rollup2
MOVE FORWARD OF FROM THIS
02:14:27.126 --> 02:14:30.663 region:rollup2
COMMITTEE I HAVE PERSONALLY
02:14:28.928 --> 02:14:32.064 region:rollup2
COMMITTED TO WORK WITH YOU AND
02:14:30.663 --> 02:14:33.332 region:rollup2
WORK WITH YOUR STAFF TO TRY TO
02:14:32.064 --> 02:14:34.733 region:rollup2
COME UP WITH A WORKABLE
02:14:33.332 --> 02:14:36.669 region:rollup2
ALTERNATIVE --
02:14:34.733 --> 02:14:38.404 region:rollup2
ACCEPTABLE TO BOTH OF US --
02:14:36.669 --> 02:14:39.505 region:rollup2
AGAIN ASSUMING THE BILL HAPPENS
02:14:38.404 --> 02:14:41.006 region:rollup2
TO MOVE OUT OF THIS COMMITTEE
02:14:39.505 --> 02:14:43.008 region:rollup2
AND ASSUMING --
02:14:41.006 --> 02:14:44.577 region:rollup2
IF IT'S AN APPROPRIATION ISN'T
02:14:43.008 --> 02:14:45.978 region:rollup2
THAT IT SHOULD HAPPEN TO MOVE
02:14:44.577 --> 02:14:47.780 region:rollup2
OUT OF APPROPRIATIONS AND I
02:14:45.978 --> 02:14:49.248 region:rollup2
INTEND TO OF FULLY HONOR THAT
02:14:47.780 --> 02:14:51.617 region:rollup2
COMMITMENT AND AGAIN I WANT TO
02:14:49.248 --> 02:14:52.618 region:rollup2
EXPRESS MY APPRECIATION. TO YOU
02:14:51.617 --> 02:14:55.120 region:rollup2
FOR TAKING YOUR TIME IN THIS
02:14:52.618 --> 02:14:56.322 region:rollup2
BUSY WEEK TO MEET WITH ME ON THE
02:14:55.120 --> 02:14:57.990 region:rollup2
DETAIL OF THE BILL.
02:14:56.322 --> 02:14:59.825 region:rollup2
I HAVE A COUPLE OF FOLKS HERE
02:14:57.990 --> 02:15:01.060 region:rollup2
WHO MAY WANT TO BRIEFLY --
02:14:59.825 --> 02:15:03.395 region:rollup2
ADDRESS SOME ISSUES MISTER ALLEN
02:15:01.060 --> 02:15:06.165 region:rollup2
BONUS AND AND CHEN FLORI WAS I
02:15:03.395 --> 02:15:07.166 region:rollup2
CAN WESTERN CENTER THINK.
02:15:06.165 --> 02:15:09.234 region:rollup2
GOOD AFTERNOON CHAIR AND
02:15:07.166 --> 02:15:10.502 region:rollup2
COMMITTEE.
02:15:09.234 --> 02:15:12.504 region:rollup2
I'M ALAN POINT US PRIVATE
02:15:10.502 --> 02:15:12.805 region:rollup2
CITIZEN FROM LAGUNA BEACH
02:15:12.504 --> 02:15:14.707 region:rollup2
[inaudible]
02:15:12.805 --> 02:15:15.774 region:rollup2
IN SUPPORT.
02:15:14.707 --> 02:15:17.276 region:rollup2
I'VE BEEN WORKING ON RELATED
02:15:15.774 --> 02:15:19.678 region:rollup2
LEGISLATION FOR MORE THAN TWELVE
02:15:17.276 --> 02:15:20.946 region:rollup2
YEARS STEMMING FROM MY WIFE'S
02:15:19.678 --> 02:15:23.015 region:rollup2
PERSONAL BATTLES WITH BREAST
02:15:20.946 --> 02:15:25.117 region:rollup2
CANCER.
02:15:23.015 --> 02:15:26.218 region:rollup2
WE FACE SKINNER DEAL NOT JUST
02:15:25.117 --> 02:15:28.620 region:rollup2
WITH THE DISEASE BUT WITH AN
02:15:26.218 --> 02:15:31.323 region:rollup2
ARCANE SYSTEM OF LAWS THAT ARE
02:15:28.620 --> 02:15:33.659 region:rollup2
CONFUSING AT BEST.
02:15:31.323 --> 02:15:35.361 region:rollup2
SPEAK YOU ASLI BSENT WORST WHEN
02:15:33.659 --> 02:15:37.096 region:rollup2
IT COMES TO PROTECTING PATIENT
02:15:35.361 --> 02:15:39.164 region:rollup2
MEDICAL RECORDS FROM PREMATURE
02:15:37.096 --> 02:15:40.833 region:rollup2
DESTRUCTION.
02:15:39.164 --> 02:15:43.035 region:rollup2
THIS IS WHAT DRIVES ME TO THIS
02:15:40.833 --> 02:15:45.838 region:rollup2
DAY WHAT HAPPENS MY WIFE SHOULD
02:15:43.035 --> 02:15:47.940 region:rollup2
NOT HAPPEN TO ANYONE ELSE.
02:15:45.838 --> 02:15:49.808 region:rollup2
PEOPLE PAY DOCTORS FOR VITAL
02:15:47.940 --> 02:15:52.344 region:rollup2
SERVICE WHICH INCLUDES STORING
02:15:49.808 --> 02:15:54.513 region:rollup2
MEDICAL RECORDS.
02:15:52.344 --> 02:15:56.015 region:rollup2
WELL CURRENT LAW ALLOWS PATIENTS
02:15:54.513 --> 02:15:58.550 region:rollup2
TO ACCESS THEIR MEDICAL RECORDS
02:15:56.015 --> 02:16:00.219 region:rollup2
MOST WOULD BE SHOCKED TO LEARN.
02:15:58.550 --> 02:16:01.620 region:rollup2
DOCTORS ARE FREE TO SHRED
02:16:00.219 --> 02:16:02.121 region:rollup2
PATIENT RECORDS WITH NO
02:16:01.620 --> 02:16:04.223 region:rollup2
OBLIGATION TO INFORM THE
02:16:02.121 --> 02:16:05.891 region:rollup2
PATIENT.
02:16:04.223 --> 02:16:07.726 region:rollup2
IN THE CASE OF CANCER AND OTHER
02:16:05.891 --> 02:16:09.094 region:rollup2
DISEASE.
02:16:07.726 --> 02:16:12.097 region:rollup2
THAT GO INTO REMISSION FOR
02:16:09.094 --> 02:16:13.832 region:rollup2
PERHAPS DECADES TREATMENT PLANS
02:16:12.097 --> 02:16:15.467 region:rollup2
ARE DEPENDENT ON WHAT HAS
02:16:13.832 --> 02:16:17.369 region:rollup2
HAPPENED BEFORE.
02:16:15.467 --> 02:16:18.871 region:rollup2
MY WIFE SUFFERED FROM BREAST
02:16:17.369 --> 02:16:20.272 region:rollup2
CANCER TWICE OVER FOURTEEN YEAR
02:16:18.871 --> 02:16:21.840 region:rollup2
PERIOD.
02:16:20.272 --> 02:16:23.909 region:rollup2
WHEN SHE WAS STRICKEN THE SECOND
02:16:21.840 --> 02:16:25.944 region:rollup2
TIME I TRY TO RETRIEVE HER
02:16:23.909 --> 02:16:27.713 region:rollup2
ORIGINAL TUMOR SLIDES AND
02:16:25.944 --> 02:16:28.981 region:rollup2
RADIATION RECORDS TO LEARN
02:16:27.713 --> 02:16:30.249 region:rollup2
WHETHER HER CANCER WAS NEW OR
02:16:28.981 --> 02:16:31.717 region:rollup2
RECURRENT?
02:16:30.249 --> 02:16:33.719 region:rollup2
AND WHETHER SHE WAS A CANDIDATE
02:16:31.717 --> 02:16:34.753 region:rollup2
FOR MORE RADIATION.
02:16:33.719 --> 02:16:36.488 region:rollup2
BUT THE SLIDES HAD BEEN
02:16:34.753 --> 02:16:38.757 region:rollup2
DESTROYED AND THE RADIATION
02:16:36.488 --> 02:16:41.160 region:rollup2
RECORDS WERE MISSING.
02:16:38.757 --> 02:16:42.628 region:rollup2
IN THE MAD RUSH TO TREAT DOCTORS
02:16:41.160 --> 02:16:44.263 region:rollup2
RECOMMEND MY WIFE BE RADIATED
02:16:42.628 --> 02:16:45.564 region:rollup2
AGAIN.
02:16:44.263 --> 02:16:47.566 region:rollup2
BUT WITHOUT THE RADIATION
02:16:45.564 --> 02:16:49.201 region:rollup2
RECORDS THERE WAS NO WAY OF
02:16:47.566 --> 02:16:51.937 region:rollup2
KNOWING WHETHER SHE HAD REACHED
02:16:49.201 --> 02:16:52.971 region:rollup2
A LIFETIME MAXIMUM OF RADIATION
02:16:51.937 --> 02:16:54.606 region:rollup2
FROM HER FIRST BATTLES WITH
02:16:52.971 --> 02:16:56.809 region:rollup2
CANCER.
02:16:54.606 --> 02:16:59.645 region:rollup2
RADIATION TREATMENT CAN BE BOTH
02:16:56.809 --> 02:17:01.046 region:rollup2
THE QUEUE OR AND CURSE.
02:16:59.645 --> 02:17:02.614 region:rollup2
WITHOUT THE NOTIFICATION
02:17:01.046 --> 02:17:04.116 region:rollup2
REQUIREMENT IN THIS BILL
02:17:02.614 --> 02:17:05.150 region:rollup2
PATIENTS WILL CONTINUE TO BE IN
02:17:04.116 --> 02:17:06.652 region:rollup2
THE DARK.
02:17:05.150 --> 02:17:08.987 region:rollup2
NEVER KNOWING WHETHER THE DOCTOR
02:17:06.652 --> 02:17:10.823 region:rollup2
PATIENT RELATIONSHIP HAS ENDED.
02:17:08.987 --> 02:17:12.491 region:rollup2
OR WHETHER THEIR RECORDS EVEN
02:17:10.823 --> 02:17:14.193 region:rollup2
CONTINUE TO EXIST.
02:17:12.491 --> 02:17:15.994 region:rollup2
KNOWING ONE PATIENT MEDICAL
02:17:14.193 --> 02:17:17.896 region:rollup2
RECORDS MAY BE DESTROYED.
02:17:15.994 --> 02:17:19.364 region:rollup2
IT'S NOT THE SAME AS KNOWING
02:17:17.896 --> 02:17:21.433 region:rollup2
WHEN PATIENT RECORDS WILL BE
02:17:19.364 --> 02:17:23.435 region:rollup2
DESTROYED.
02:17:21.433 --> 02:17:25.170 region:rollup2
IT WAS PURE CHANCE THEN MY
02:17:23.435 --> 02:17:27.606 region:rollup2
WIFE'S TUMOR SLIDES WERE
02:17:25.170 --> 02:17:29.441 region:rollup2
DESTROYED AND RADIATION RECORDS
02:17:27.606 --> 02:17:31.477 region:rollup2
WERE EVENTUALLY FOUND.
02:17:29.441 --> 02:17:32.678 region:rollup2
THE CHANCE IS NOT HOW WE SHOULD
02:17:31.477 --> 02:17:33.979 region:rollup2
BE RUNNING HEALTH CARE IN THIS
02:17:32.678 --> 02:17:34.813 region:rollup2
STATE.
02:17:33.979 --> 02:17:37.983 region:rollup2
AND I HEARD YOUR SUPPORT THANK
02:17:34.813 --> 02:17:39.485 region:rollup2
YOU.
02:17:37.983 --> 02:17:40.686 region:rollup2
GOOD AFTERNOON CHEN FOR ON
02:17:39.485 --> 02:17:41.687 region:rollup2
BEHALF OF WESTERN CENTER ON LAW
02:17:40.686 --> 02:17:43.055 region:rollup2
AND POVERTY.
02:17:41.687 --> 02:17:44.022 region:rollup2
MANY OF THE LOW INCOME PEOPLE
02:17:43.055 --> 02:17:45.591 region:rollup2
THAT WESTERN CENTER AND OUR
02:17:44.022 --> 02:17:47.226 region:rollup2
PARTNERS SERVE HAVE COMPLICATED
02:17:45.591 --> 02:17:48.694 region:rollup2
MEDICAL HISTORIES WHEN MEDICAL
02:17:47.226 --> 02:17:50.095 region:rollup2
RECORDS ON AVAILABLE PROVIDERS
02:17:48.694 --> 02:17:50.996 region:rollup2
CAN MAKE APPROPRIATE TREATMENT
02:17:50.095 --> 02:17:52.531 region:rollup2
DECISIONS BASED ON WHAT'S BEEN
02:17:50.996 --> 02:17:54.166 region:rollup2
TRIED IN THE PAST.
02:17:52.531 --> 02:17:55.667 region:rollup2
ADDITIONALLY MANY PUBLIC
02:17:54.166 --> 02:17:57.302 region:rollup2
BENEFITS PROGRAMS RELY ON
02:17:55.667 --> 02:17:58.871 region:rollup2
MEDICAL RECORDS FOR PROGRAM
02:17:57.302 --> 02:18:00.806 region:rollup2
ELIGIBILITY DETERMINATION SUCH
02:17:58.871 --> 02:18:02.474 region:rollup2
AS ARE SSI PROGRAM MEDI CAL
02:18:00.806 --> 02:18:04.109 region:rollup2
PROGRAMS BASED ON DISABILITY AND
02:18:02.474 --> 02:18:05.644 region:rollup2
CERTAIN VETERANS BENEFITS.
02:18:04.109 --> 02:18:06.979 region:rollup2
OTHER PROGRAMS RELY ON MEDICAL
02:18:05.644 --> 02:18:08.313 region:rollup2
RECORDS TO DETERMINE WHETHER A
02:18:06.979 --> 02:18:09.948 region:rollup2
BENEFICIARY SHOULD BE SUBJECT TO
02:18:08.313 --> 02:18:11.416 region:rollup2
WORK REQUIREMENTS SUCH AS CAL
02:18:09.948 --> 02:18:12.718 region:rollup2
WORKS AND CAL FRESH NOT YET MEDI
02:18:11.416 --> 02:18:15.187 region:rollup2
CAL.
02:18:12.718 --> 02:18:16.121 region:rollup2
AS SUCH WE SPONSORED S. B. FIVE
02:18:15.187 --> 02:18:17.222 region:rollup2
SEVENTY FIVE LAST YEAR TO ENSURE
02:18:16.121 --> 02:18:18.457 region:rollup2
THAT PEOPLE WHO RELY ON THESE
02:18:17.222 --> 02:18:19.691 region:rollup2
RECORDS COULD ACCESS AND FOR
02:18:18.457 --> 02:18:21.260 region:rollup2
FREE WHEN NEEDED FOR VARIOUS
02:18:19.691 --> 02:18:24.363 region:rollup2
PROGRAM DETERMINATIONS.
02:18:21.260 --> 02:18:25.731 region:rollup2
HOWEVER WITHOUT THE PROTECTIONS.
02:18:24.363 --> 02:18:27.499 region:rollup2
A BIT OF PROTECTING THE
02:18:25.731 --> 02:18:29.501 region:rollup2
UNDERLYING MEDICAL RECORDS THE
02:18:27.499 --> 02:18:30.502 region:rollup2
PROTECTIONS IN S. B. FIVE
02:18:29.501 --> 02:18:31.837 region:rollup2
SEVENTY FIVE R. POINTLESS IT YOU
02:18:30.502 --> 02:18:33.438 region:rollup2
KNOW WE'VE WHEN I WAS IN LEGAL
02:18:31.837 --> 02:18:34.406 region:rollup2
SERVICES PREVIOUSLY I HELP MANY
02:18:33.438 --> 02:18:35.541 region:rollup2
PEOPLE WHO WERE TRYING TO PROVE
02:18:34.406 --> 02:18:36.975 region:rollup2
THEIR DISABILITY AND THEY COULD
02:18:35.541 --> 02:18:37.309 region:rollup2
NOT ACTUALLY GET THE RECORDS TO
02:18:36.975 --> 02:18:38.677 region:rollup2
PROVE THAT.
02:18:37.309 --> 02:18:40.212 region:rollup2
DISABILITY BECAUSE THE RECORDS
02:18:38.677 --> 02:18:41.547 region:rollup2
WERE GONE.
02:18:40.212 --> 02:18:43.048 region:rollup2
MEDICAL RECORDS ARE ALSO USED IN
02:18:41.547 --> 02:18:44.416 region:rollup2
A VARIETY OF LEGAL PROCEEDINGS
02:18:43.048 --> 02:18:45.617 region:rollup2
AND CAN HELP DETERMINE WHO HAS
02:18:44.416 --> 02:18:47.286 region:rollup2
CUSTODY OF A CHILD WHETHER
02:18:45.617 --> 02:18:48.587 region:rollup2
COMPANY IS LIABLE FOR HARM OR
02:18:47.286 --> 02:18:50.055 region:rollup2
WHETHER AN EMPLOYEE HAS A CLAIM
02:18:48.587 --> 02:18:51.590 region:rollup2
AGAINST AN EMPLOYER.
02:18:50.055 --> 02:18:52.624 region:rollup2
CONSUMERS MUST BE INFORMED WHEN
02:18:51.590 --> 02:18:53.592 region:rollup2
THEIR MEDICAL RECORDS ARE IN
02:18:52.624 --> 02:18:54.827 region:rollup2
JEOPARDY SO THEY CAN PRESERVE
02:18:53.592 --> 02:18:56.662 region:rollup2
THE DOCUMENTS THAT MAY DICTATE
02:18:54.827 --> 02:18:58.130 region:rollup2
THEIR RIGHTS IN THE FUTURE --
02:18:56.662 --> 02:18:59.665 region:rollup2
FINALLY IN OUR LOCAL LEGAL
02:18:58.130 --> 02:19:00.899 region:rollup2
SERVICES ADVOCATES SAY ALSO HELP
02:18:59.665 --> 02:19:02.100 region:rollup2
A LOT OF PEOPLE WITH MEDICAL TO
02:19:00.899 --> 02:19:04.036 region:rollup2
AT AND ALL TO SAY THAT MANY
02:19:02.100 --> 02:19:05.337 region:rollup2
PROVIDERS DO GO TO GREAT LENGTHS
02:19:04.036 --> 02:19:06.605 region:rollup2
TO FIND SOMEBODY ONE A BILL IS
02:19:05.337 --> 02:19:08.106 region:rollup2
OWED AND WE WOULD HOPE THAT THEY
02:19:06.605 --> 02:19:09.408 region:rollup2
WOULD GO TO AT LEAST THOSE.
02:19:08.106 --> 02:19:10.342 region:rollup2
SIMILAR LINKS TO FIND SOMEBODY
02:19:09.408 --> 02:19:11.677 region:rollup2
WHEN THEY'RE GOING TO DESTROY
02:19:10.342 --> 02:19:13.178 region:rollup2
THEIR MEDICAL RECORDS I
02:19:11.677 --> 02:19:14.246 region:rollup2
PERSONALLY FOUND OUT WHEN I WAS
02:19:13.178 --> 02:19:15.447 region:rollup2
APPLYING TO LAW SCHOOL AS A
02:19:14.246 --> 02:19:16.682 region:rollup2
YOUNG ADULT THAT ALL OF MY
02:19:15.447 --> 02:19:17.616 region:rollup2
PEDIATRIC RECORDS HAD BEEN
02:19:16.682 --> 02:19:18.750 region:rollup2
DESTROYED.
02:19:17.616 --> 02:19:20.052 region:rollup2
AND LATER IN LIFE IT WAS
02:19:18.750 --> 02:19:21.720 region:rollup2
ACTUALLY THE FACT THAT MY MOM
02:19:20.052 --> 02:19:23.088 region:rollup2
DID HAVE GOOD MEDICAL RECORDS
02:19:21.720 --> 02:19:24.590 region:rollup2
ABOUT HER BREAST CANCER THAT I
02:19:23.088 --> 02:19:25.924 region:rollup2
WAS ABLE TO MAKE DECISIONS ABOUT
02:19:24.590 --> 02:19:27.626 region:rollup2
MY CARE AND MY COUSIN WAS ABLE
02:19:25.924 --> 02:19:29.394 region:rollup2
TO MAKE DECISIONS ABOUT HER.
02:19:27.626 --> 02:19:30.596 region:rollup2
SO FOR THIS WE URGE YOUR AYE
02:19:29.394 --> 02:19:32.164 region:rollup2
VOTE AND WE URGE TO CONTINUE TO
02:19:30.596 --> 02:19:32.998 region:rollup2
WORK TOGETHER TO FIGURE OUT WHAT
02:19:32.164 --> 02:19:35.033 region:rollup2
THE BEST NOTIFICATION IS FOR
02:19:32.998 --> 02:19:36.034 region:rollup2
CONSUMERS.
02:19:35.033 --> 02:19:37.135 region:rollup2
THANK YOU VERY MUCH OTHERS IN
02:19:36.034 --> 02:19:39.504 region:rollup2
SUPPORT I JUST YOUR NAME AND
02:19:37.135 --> 02:19:40.672 region:rollup2
ORGANIZATION PLEASE.
02:19:39.504 --> 02:19:43.442 region:rollup2
MARY JANE FOR IS HEALTH ACCESS
02:19:40.672 --> 02:19:45.444 region:rollup2
CALIFORNIA IN SUPPORT.
02:19:43.442 --> 02:19:46.712 region:rollup2
THE MIKE MONTGOMERY CONGRESS OF
02:19:45.444 --> 02:19:49.915 region:rollup2
CALIFORNIA SENIORS WHO SUPPORT
02:19:46.712 --> 02:19:51.783 region:rollup2
THE BILL THANK YOU.
02:19:49.915 --> 02:19:54.720 region:rollup2
SARAH FLOCKS CALIFORNIA LABOR
02:19:51.783 --> 02:19:55.220 region:rollup2
FEDERATION IN SUPPORT THANK YOU.
02:19:54.720 --> 02:19:57.022 region:rollup2
TAYLOR DOT SOME OF THE
02:19:55.220 --> 02:19:59.791 region:rollup2
CALIFORNIA NURSES ASSOCIATION IN
02:19:57.022 --> 02:20:00.892 region:rollup2
STRONG SUPPORT.
02:19:59.791 --> 02:20:02.327 region:rollup2
JEFFERSON MOST OF THE MEDICAL
02:20:00.892 --> 02:20:03.695 region:rollup2
BOARDOF CALIFORNIA THE BOARD
02:20:02.327 --> 02:20:04.329 region:rollup2
SUPPORTS THE CONCEPT OF THIS
02:20:03.695 --> 02:20:06.198 region:rollup2
BILL EVEN WORKING WITH AUTHORS
02:20:04.329 --> 02:20:09.434 region:rollup2
OFFICE IN WILL BE BRINGING IT
02:20:06.198 --> 02:20:10.369 region:rollup2
BACK TO OUR BORN JULY THANK YOU.
02:20:09.434 --> 02:20:11.770 region:rollup2
PANCAKES CALIFORNIA ALLIANCE OF
02:20:10.369 --> 02:20:13.205 region:rollup2
TOUGH RETIRED AMERICANS STRONG
02:20:11.770 --> 02:20:17.909 region:rollup2
SUPPORT CALIFORNIA'S DISABILITY
02:20:13.205 --> 02:20:33.592 region:rollup2
RIGHTS IN STRONG SUPPORT.
02:20:17.909 --> 02:20:34.493 region:rollup2
IS ANYONE IN OPPOSITION.
02:20:33.592 --> 02:20:35.227 region:rollup2
THANK YOU MISTER CHAIR AND
02:20:34.493 --> 02:20:37.663 region:rollup2
MEMBERS AMY DUGGAR NOT THE
02:20:35.227 --> 02:20:39.298 region:rollup2
CALIFORNIA MEDICAL ASSOCIATION
02:20:37.663 --> 02:20:40.933 region:rollup2
SEEMAYER REMAINS OPPOSED TO S.
02:20:39.298 --> 02:20:42.234 region:rollup2
B. TWELVE THIRTY EIGHT AND MUST
02:20:40.933 --> 02:20:43.835 region:rollup2
AMENDED TO ADDRESS THE
02:20:42.234 --> 02:20:44.403 region:rollup2
PROBLEMATIC SECOND NOTICE
02:20:43.835 --> 02:20:45.337 region:rollup2
REQUIRED CURRENTLY UNDER THE
02:20:44.403 --> 02:20:47.072 region:rollup2
BELL.
02:20:45.337 --> 02:20:48.607 region:rollup2
WITHIN SIXTY DAYS OF DESTRUCTION
02:20:47.072 --> 02:20:49.675 region:rollup2
OF THE MEDICAL RECORDS TO THE
02:20:48.607 --> 02:20:50.776 region:rollup2
PATIENTS LAST KNOWN MAILING
02:20:49.675 --> 02:20:52.010 region:rollup2
ADDRESS AND EMAIL.
02:20:50.776 --> 02:20:53.845 region:rollup2
THE SECOND NOTICE ASSEMBLY AND
02:20:52.010 --> 02:20:55.881 region:rollup2
WORKABLE AS DRAFTED IN CREATES
02:20:53.845 --> 02:20:57.849 region:rollup2
NUMERO NUMEROUS OPERATIONAL ON
02:20:55.881 --> 02:20:58.884 region:rollup2
PRIVACY CONCERNS IT
02:20:57.849 --> 02:20:59.918 region:rollup2
FUNDAMENTALLY DOES REGARDS AWAY
02:20:58.884 --> 02:21:01.953 region:rollup2
THE HEALTHCARE SYSTEM CURRENTLY
02:20:59.918 --> 02:21:02.554 region:rollup2
WORKS AND THAT MANY HEALTH
02:21:01.953 --> 02:21:05.023 region:rollup2
FACILITIES AND HEALTH
02:21:02.554 --> 02:21:05.490 region:rollup2
INFORMATION EXCHANGES NOW GOVERN
02:21:05.023 --> 02:21:06.725 region:rollup2
RECORD MAINTENANCE ND
02:21:05.490 --> 02:21:07.559 region:rollup2
DESTRUCTION.
02:21:06.725 --> 02:21:08.660 region:rollup2
DEPENDING ON HOW THE HEALTH
02:21:07.559 --> 02:21:10.095 region:rollup2
SYSTEM IS INTEGRATED IN THE
02:21:08.660 --> 02:21:11.997 region:rollup2
ELECTRONIC HEALTH RECORD SYSTEM
02:21:10.095 --> 02:21:12.965 region:rollup2
USED THIS BILL AS WRITTEN DOES
02:21:11.997 --> 02:21:14.566 region:rollup2
NOT ACKNOWLEDGE THAT INSTEAD
02:21:12.965 --> 02:21:17.169 region:rollup2
PUTS A POSITION IN A POSITION OF
02:21:14.566 --> 02:21:17.636 region:rollup2
HAVING TO COMPLY WITH THE
02:21:17.169 --> 02:21:18.303 region:rollup2
DESTRUCTION NOTICED.
02:21:17.636 --> 02:21:19.237 region:rollup2
THAT THEY DO NOT CONTROL IN MANY
02:21:18.303 --> 02:21:20.972 region:rollup2
INSTANCES.
02:21:19.237 --> 02:21:22.140 region:rollup2
THERE FOR A RAISES OPERATIONAL
02:21:20.972 --> 02:21:23.208 region:rollup2
CONCERNS OF HOW THE NOTICE WOULD
02:21:22.140 --> 02:21:24.810 region:rollup2
WORK FOR PROVIDERS THAT MAY
02:21:23.208 --> 02:21:25.844 region:rollup2
PRACTICE IN MULTIPLE SETTINGS
02:21:24.810 --> 02:21:27.579 region:rollup2
GIVEN THE RECORDS ARE MAINTAINED
02:21:25.844 --> 02:21:29.414 region:rollup2
IN THOSE INTERNAL SYSTEMS AND DO
02:21:27.579 --> 02:21:30.549 region:rollup2
NOT FOLLOW THE PROVIDER.
02:21:29.414 --> 02:21:32.384 region:rollup2
THE HEALTHCARE SETTINGS ARE NOT
02:21:30.549 --> 02:21:33.819 region:rollup2
OBLIGATED UNDER THE BELL YET THE
02:21:32.384 --> 02:21:35.787 region:rollup2
PROVIDERS THAT THE CONTRACT WITH
02:21:33.819 --> 02:21:37.889 region:rollup2
ARE OBLIGATED UNDER THE BELT.
02:21:35.787 --> 02:21:38.990 region:rollup2
IN ADDITION MEDICAL PRIVACY LAWS
02:21:37.889 --> 02:21:41.326 region:rollup2
ENSURE THAT PATIENTS COME ACROSS
02:21:38.990 --> 02:21:42.461 region:rollup2
LIMITATIONS ON COMMUNICATIONS
02:21:41.326 --> 02:21:44.296 region:rollup2
NOW WHEN A PATIENT MAY HAVE BEEN
02:21:42.461 --> 02:21:45.630 region:rollup2
SEEN PERCENT OF MEDICAL SERVICES
02:21:44.296 --> 02:21:46.164 region:rollup2
FOR EXAMPLE DOMESTIC VIOLENCE
02:21:45.630 --> 02:21:47.666 region:rollup2
SERVICES ARE REPRODUCTIVE
02:21:46.164 --> 02:21:49.001 region:rollup2
ISSUES.
02:21:47.666 --> 02:21:50.936 region:rollup2
THE BILL WILL REQUIRE AN ACROSS
02:21:49.001 --> 02:21:51.903 region:rollup2
THE BOARD NOTICE TO BE CENTER
02:21:50.936 --> 02:21:54.005 region:rollup2
ADDRESS SHOWING THAT THEY
02:21:51.903 --> 02:21:55.273 region:rollup2
RECEIVE THE SERVICE AS A WITH NO
02:21:54.005 --> 02:21:57.242 region:rollup2
EXCEPTIONS EVEN IF THE PATIENT.
02:21:55.273 --> 02:21:58.910 region:rollup2
THEY ONLY BECAUSE AT A CERTAIN
02:21:57.242 --> 02:21:59.811 region:rollup2
NUMBER.
02:21:58.910 --> 02:22:00.979 region:rollup2
THEY INFORMATION IN THE NOTICE
02:21:59.811 --> 02:22:02.581 region:rollup2
IS CAPTURED AND THE LAWS MEDICAL
02:22:00.979 --> 02:22:04.249 region:rollup2
INFORMATION WHICH MEANS THAT
02:22:02.581 --> 02:22:05.984 region:rollup2
THERE MAY BE A PRIVACY BREACH OF
02:22:04.249 --> 02:22:07.386 region:rollup2
OPEN BY A DIFFERENT INDIVIDUAL.
02:22:05.984 --> 02:22:08.820 region:rollup2
FOR PATIENTS IN DECADES AGO IT
02:22:07.386 --> 02:22:10.455 region:rollup2
IS VERY LIKELY THAT THE CONTACT
02:22:08.820 --> 02:22:12.124 region:rollup2
INFORMATION ON FILE WILL NO
02:22:10.455 --> 02:22:13.792 region:rollup2
LONGER BE ACCURATE THERE FOR THE
02:22:12.124 --> 02:22:16.094 region:rollup2
MAJORITY OF THE NOTICES WILL NOT
02:22:13.792 --> 02:22:17.229 region:rollup2
REACHING THE WRONG INDIVIDUALS.
02:22:16.094 --> 02:22:18.597 region:rollup2
SO THE SECOND US IN THE BOW WE
02:22:17.229 --> 02:22:19.664 region:rollup2
THINK WILL ONLY CREATE CONFUSION
02:22:18.597 --> 02:22:22.100 region:rollup2
AND LITIGATION AND A MASSIVE
02:22:19.664 --> 02:22:23.335 region:rollup2
BURDEN ON MEDICAL PRACTICES THAT
02:22:22.100 --> 02:22:24.336 region:rollup2
YOU MAY HAVE OFFERED AMENDMENTS
02:22:23.335 --> 02:22:25.837 region:rollup2
THAT WE THINK WOULD ADDRESS
02:22:24.336 --> 02:22:27.672 region:rollup2
THESE CONCERNS AND QUESTIONS
02:22:25.837 --> 02:22:29.574 region:rollup2
WHILE ALSO ENSURING PATIENTS ARE
02:22:27.672 --> 02:22:30.575 region:rollup2
AWARE OF THE RETENTION RECORD
02:22:29.574 --> 02:22:32.744 region:rollup2
POLICY.
02:22:30.575 --> 02:22:34.179 region:rollup2
WHICH IS THE UNDERLYING ISSUE --
02:22:32.744 --> 02:22:35.547 region:rollup2
WE ALSO APPRECIATE THE CHAIR IN
02:22:34.179 --> 02:22:36.748 region:rollup2
THE COMMITTEE'S WORK ON THAT
02:22:35.547 --> 02:22:37.983 region:rollup2
BELL IN THEIR EFFORTS AND
02:22:36.748 --> 02:22:40.018 region:rollup2
WILLINGNESS TO WORK WITH THE OUT
02:22:37.983 --> 02:22:41.052 region:rollup2
THERE AND THE CONCERNS --
02:22:40.018 --> 02:22:42.220 region:rollup2
BUT WE REMAIN OPPOSED LAST
02:22:41.052 --> 02:22:43.488 region:rollup2
MINUTE AT THIS TIME WE LOOK
02:22:42.220 --> 02:22:45.557 region:rollup2
FORWARD TO CONTINUING
02:22:43.488 --> 02:22:46.691 region:rollup2
CONVERSATIONS --
02:22:45.557 --> 02:22:49.060 region:rollup2
BUT WILL BE CONTAINED US FOR NO
02:22:46.691 --> 02:22:49.661 region:rollup2
VOTE OF THESE ISSUES ARE
02:22:49.060 --> 02:22:54.266 region:rollup2
ADDRESSED IN THE FUTURE THANK
02:22:49.661 --> 02:22:55.734 region:rollup2
YOU.
02:22:54.266 --> 02:22:57.502 region:rollup2
MY NAME IS LIZ ALLAN AND I'M
02:22:55.734 --> 02:22:59.337 region:rollup2
HERE REPRESENTING THE CALIFORNIA
02:22:57.502 --> 02:23:00.806 region:rollup2
HEALTH INFORMATION ASSOCIATION.
02:22:59.337 --> 02:23:04.342 region:rollup2
I'D -- THIS
02:23:00.806 --> 02:23:04.976 region:rollup2
ASSOCIATION REPRESENTS --
02:23:04.342 --> 02:23:06.645 region:rollup2
NINE THOUSAND HEALTH INFORMATION
02:23:04.976 --> 02:23:09.147 region:rollup2
MANAGERS IN THE STATE OF
02:23:06.645 --> 02:23:10.782 region:rollup2
CALIFORNIA AND PRIMARILY WE ARE
02:23:09.147 --> 02:23:12.484 region:rollup2
THE PEOPLE WHO DEAL WITH THE
02:23:10.782 --> 02:23:14.286 region:rollup2
MEDICAL RECORDS WHEN PATIENTS
02:23:12.484 --> 02:23:16.588 region:rollup2
COME IN REQUEST FOR THEM OR WE
02:23:14.286 --> 02:23:18.623 region:rollup2
WORK WITH THE PRACTITIONERS WHO
02:23:16.588 --> 02:23:19.224 region:rollup2
OWN THE RECORDS AND AND MAKE
02:23:18.623 --> 02:23:21.126 region:rollup2
THEM AVAILABLE TO THE PATIENTS
02:23:19.224 --> 02:23:23.161 region:rollup2
--
02:23:21.126 --> 02:23:24.196 region:rollup2
WE STRONGLY SUPPORT PATIENT
02:23:23.161 --> 02:23:25.864 region:rollup2
ACCESS TO THEIR HEALTH
02:23:24.196 --> 02:23:27.966 region:rollup2
INFORMATION AND TO THEIR MEDICAL
02:23:25.864 --> 02:23:29.201 region:rollup2
RECORDS BUT WE CANNOT SUPPORT
02:23:27.966 --> 02:23:30.569 region:rollup2
THIS BILL.
02:23:29.201 --> 02:23:33.572 region:rollup2
ARE IN LESS AMENDMENTS ARE MADE
02:23:30.569 --> 02:23:35.307 region:rollup2
TO IT -- WE
02:23:33.572 --> 02:23:37.576 region:rollup2
SUPPORT THE FACT THAT PATIENTS
02:23:35.307 --> 02:23:39.177 region:rollup2
SHOULD BE INFORMED AT THE TIME
02:23:37.576 --> 02:23:40.612 region:rollup2
THEY ENCOUNTER THEIR PROVIDERS
02:23:39.177 --> 02:23:41.112 region:rollup2
THAT THE LENGTH OF TIME THE
02:23:40.612 --> 02:23:42.414 region:rollup2
PROVIDER WILL KEEP THEIR
02:23:41.112 --> 02:23:44.416 region:rollup2
RECORDS.
02:23:42.414 --> 02:23:46.818 region:rollup2
AND HOW THE PATIENT MAY OBTAIN
02:23:44.416 --> 02:23:49.020 region:rollup2
COPIES OF THOSE RECORDS.
02:23:46.818 --> 02:23:51.389 region:rollup2
BUT THE WAY THAT THIS --
02:23:49.020 --> 02:23:52.757 region:rollup2
THE BILL WORKS WITH THIS IS NOT
02:23:51.389 --> 02:23:54.826 region:rollup2
REALLY GOING TO WORK IN.
02:23:52.757 --> 02:23:56.361 region:rollup2
IN THE REAL WORLD --
02:23:54.826 --> 02:23:58.029 region:rollup2
ARE MAJOR CONCERNS ARE THE
02:23:56.361 --> 02:23:59.998 region:rollup2
POTENTIAL BREACHES OF PROTECTED
02:23:58.029 --> 02:24:02.434 region:rollup2
HEALTH INFORMATION BY SENDING
02:23:59.998 --> 02:24:04.669 region:rollup2
LETTERS OR EMAILS TO THE LAST
02:24:02.434 --> 02:24:06.671 region:rollup2
KNOWN ADDRESS OF PATIENTS WHO
02:24:04.669 --> 02:24:08.807 region:rollup2
YOU MAY HAVE NOT SEEN FOR FIVE
02:24:06.671 --> 02:24:10.542 region:rollup2
OR TEN OR FIFTEEN YEARS --
02:24:08.807 --> 02:24:11.543 region:rollup2
IT TOO AND MAYBE HUNDREDS OF
02:24:10.542 --> 02:24:14.379 region:rollup2
PATIENTS ARE THOUSANDS OF
02:24:11.543 --> 02:24:16.681 region:rollup2
PATIENTS --
02:24:14.379 --> 02:24:18.917 region:rollup2
THERE'S A LOT OF UNFORESEEN AND
02:24:16.681 --> 02:24:19.951 region:rollup2
POTENTIALLY EXTENSIVE BREACHES
02:24:18.917 --> 02:24:21.786 region:rollup2
OF UP PROTECTED HEALTH
02:24:19.951 --> 02:24:23.588 region:rollup2
INFORMATION.
02:24:21.786 --> 02:24:25.323 region:rollup2
IT'S IN A EXTENSIVE
02:24:23.588 --> 02:24:28.193 region:rollup2
ADMINISTRATIVE BURDEN
02:24:25.323 --> 02:24:30.595 region:rollup2
[inaudible] FOR PHYSICIANS AND
02:24:28.193 --> 02:24:32.731 region:rollup2
MEDICAL GROUPS WHO MAY ROUTINELY
02:24:30.595 --> 02:24:34.166 region:rollup2
DESTROY.
02:24:32.731 --> 02:24:35.467 region:rollup2
UP TO THIRTY THOUSAND RECORDS A
02:24:34.166 --> 02:24:36.067 region:rollup2
YEAR.
02:24:35.467 --> 02:24:39.171 region:rollup2
ARE OF PATIENTS THAT HAVE BEEN
02:24:36.067 --> 02:24:40.672 region:rollup2
--
02:24:39.171 --> 02:24:42.841 region:rollup2
DOT HAVE EXCEEDED THEIR
02:24:40.672 --> 02:24:45.110 region:rollup2
RETENTION POLICIES --
02:24:42.841 --> 02:24:46.878 region:rollup2
IT'S A LACK OF STANDARDIZED
02:24:45.110 --> 02:24:47.779 region:rollup2
MEDICAL RECORD RETENTION LAWS
02:24:46.878 --> 02:24:48.780 region:rollup2
THAT IS --
02:24:47.779 --> 02:24:50.215 region:rollup2
UNDERNEATH THAT UNDERLIES ALL
02:24:48.780 --> 02:24:53.218 region:rollup2
THIS.
02:24:50.215 --> 02:24:55.720 region:rollup2
HOSPITALS AND CLINICS MAY HAVE
02:24:53.218 --> 02:24:57.889 region:rollup2
TO OFFER MAY HAVE LAWS THAT.
02:24:55.720 --> 02:24:59.457 region:rollup2
SPECIFY HOW LONG THEY HAVE TO
02:24:57.889 --> 02:25:02.460 region:rollup2
KEEP THE RECORDS INDIVIDUAL
02:24:59.457 --> 02:25:04.629 region:rollup2
PHYSICIAN PRACTITIONERS DO NOT.
02:25:02.460 --> 02:25:05.997 region:rollup2
A HYBRID MEDICAL RECORDS AND
02:25:04.629 --> 02:25:08.033 region:rollup2
ELECTRONIC --
02:25:05.997 --> 02:25:10.368 region:rollup2
MEDICAL RECORDS AREN'T ISSUE FOR
02:25:08.033 --> 02:25:11.903 region:rollup2
EVERYBODY WERE IT IN ELECTRONIC
02:25:10.368 --> 02:25:14.072 region:rollup2
RECORDS BUT THERE ARE STILL A
02:25:11.903 --> 02:25:16.508 region:rollup2
LOT OF PAPER RECORDS REMAINING
02:25:14.072 --> 02:25:17.042 region:rollup2
SO WHAT IS THE ORIGINAL RECORD
02:25:16.508 --> 02:25:20.245 region:rollup2
THAT WOULD BE GIVEN TO THE
02:25:17.042 --> 02:25:22.113 region:rollup2
PATIENT.
02:25:20.245 --> 02:25:24.349 region:rollup2
SO UNLESS THERE ARE --
02:25:22.113 --> 02:25:26.251 region:rollup2
AMENDMENTS THAT ADDRESS THESE
02:25:24.349 --> 02:25:27.519 region:rollup2
ISSUES THAT CALIFORNIA HEALTH
02:25:26.251 --> 02:25:30.522 region:rollup2
INFORMATION ASSOCIATION STRONGLY
02:25:27.519 --> 02:25:31.423 region:rollup2
OPPOSES THE BILL.
02:25:30.522 --> 02:25:35.860 region:rollup2
OTHER WITNESSES IS JUST NAME AN
02:25:31.423 --> 02:25:36.761 region:rollup2
ORGANIZATION PLEASE.
02:25:35.860 --> 02:25:38.129 region:rollup2
AS THAT RECORD WITH THE
02:25:36.761 --> 02:25:40.131 region:rollup2
CALIFORNIA DALLAS ASSOCIATION
02:25:38.129 --> 02:25:41.233 region:rollup2
REPRESENTING TWENTY SEVEN
02:25:40.131 --> 02:25:43.702 region:rollup2
THOUSAND MEMBER DENNIS WE ARE
02:25:41.233 --> 02:25:44.736 region:rollup2
POSTED ON SOME ENDED.
02:25:43.702 --> 02:25:46.338 region:rollup2
MISTER CHAIR MEMBERS TO MATT
02:25:44.736 --> 02:25:46.805 region:rollup2
REPRESENT THE CALIFORNIA SOCIETY
02:25:46.338 --> 02:25:47.505 region:rollup2
OF PLASTIC SURGEONS IN
02:25:46.805 --> 02:25:51.276 region:rollup2
OPPOSITION [inaudible]
02:25:47.505 --> 02:25:52.344 region:rollup2
VERY MUCH ANYONE ELSE.
02:25:51.276 --> 02:25:56.815 region:rollup2
BRING BACK TO THE COMMITTEE
02:25:52.344 --> 02:25:58.016 region:rollup2
QUESTIONS OR COMMENTS.
02:25:56.815 --> 02:26:00.318 region:rollup2
WITH BIGGER YEAH THANK YOU
02:25:58.016 --> 02:26:02.254 region:rollup2
CENTER OFFERING THIS FOR AND
02:26:00.318 --> 02:26:03.421 region:rollup2
COMMITTEE TO WORK --
02:26:02.254 --> 02:26:04.889 region:rollup2
TO GET THE IMPLEMENTATION PIECE
02:26:03.421 --> 02:26:06.291 region:rollup2
DOWN THAT THE OPPOSITION DOESN'T
02:26:04.889 --> 02:26:07.692 region:rollup2
APPRECIATE AT THIS POINT.
02:26:06.291 --> 02:26:08.593 region:rollup2
ALL SUPPORT YOUR BILL TODAY AND
02:26:07.692 --> 02:26:10.161 region:rollup2
I LOOK FORWARD TO SEEING THE
02:26:08.593 --> 02:26:12.297 region:rollup2
AMENDMENTS IN THE CHANGES AND
02:26:10.161 --> 02:26:12.631 region:rollup2
HOPEFULLY I CAN VOTE FOR TO GET
02:26:12.297 --> 02:26:13.932 region:rollup2
ON THE FLOOR.
02:26:12.631 --> 02:26:16.901 region:rollup2
THINKING [inaudible]
02:26:13.932 --> 02:26:18.270 region:rollup2
ANYONE ELSE.
02:26:16.901 --> 02:26:18.803 region:rollup2
I DON'T THINK EVER THINK YOU I
02:26:18.270 --> 02:26:20.338 region:rollup2
THINK -- I
02:26:18.803 --> 02:26:22.841 region:rollup2
APPRECIATE OUR CONVERSATION THIS
02:26:20.338 --> 02:26:23.908 region:rollup2
MORNING AS WELL SENATOR I THINK
02:26:22.841 --> 02:26:26.511 region:rollup2
ONE OF THE THINGS THAT HAS --
02:26:23.908 --> 02:26:28.313 region:rollup2
BECOME GLARINGLY CLEAR TO ME IS
02:26:26.511 --> 02:26:28.780 region:rollup2
THAT THERE IS HUGE INCONSISTENCY
02:26:28.313 --> 02:26:30.215 region:rollup2
THROUGHOUT THE MEDICAL
02:26:28.780 --> 02:26:31.716 region:rollup2
PROFESSION AND HOW RECORDS ARE
02:26:30.215 --> 02:26:33.284 region:rollup2
RETAINED.
02:26:31.716 --> 02:26:35.287 region:rollup2
I'M REALLY OLD SCHOOL I KEPT
02:26:33.284 --> 02:26:36.755 region:rollup2
EVERY RECORD FROM EVERY PATIENT
02:26:35.287 --> 02:26:38.623 region:rollup2
EXCEPT THOSE WHO WHO I KNEW HAD
02:26:36.755 --> 02:26:39.858 region:rollup2
TO SEE WERE DECEASED --
02:26:38.623 --> 02:26:40.492 region:rollup2
IN A PERFECT WORLD I THINK
02:26:39.858 --> 02:26:42.360 region:rollup2
THAT'S THE WAY IT SHOULD BE DONE
02:26:40.492 --> 02:26:43.728 region:rollup2
--
02:26:42.360 --> 02:26:45.196 region:rollup2
AND DEATH YOU WOULDN'T HAVE WE
02:26:43.728 --> 02:26:46.631 region:rollup2
WOULDN'T HAVE THIS ISSUE WE'RE
02:26:45.196 --> 02:26:48.466 region:rollup2
ALSO MOVING INTO THE AGE OF
02:26:46.631 --> 02:26:50.068 region:rollup2
ELECTRONIC RECORDS SO STORAGE
02:26:48.466 --> 02:26:52.237 region:rollup2
WILL BE DIFFERENT AND UP
02:26:50.068 --> 02:26:54.773 region:rollup2
POTENTIALLY EASIER TO MAINTAIN.
02:26:52.237 --> 02:26:55.440 region:rollup2
AND IT COULD BE A POINT IN THE
02:26:54.773 --> 02:26:57.242 region:rollup2
NOT TOO DISTANT FUTURE WHERE WE
02:26:55.440 --> 02:26:59.044 region:rollup2
DON'T HAVE THIS ISSUE BECAUSE IT
02:26:57.242 --> 02:27:01.446 region:rollup2
IS ELECTRONIC AND IT'S IN THE
02:26:59.044 --> 02:27:03.114 region:rollup2
CLOUD WHERE THE HECK THAT IS --
02:27:01.446 --> 02:27:04.949 region:rollup2
BUT BUT YOU KNOW I MEAN JUST
02:27:03.114 --> 02:27:06.551 region:rollup2
JUST JUST LISTEN TO LISTEN TO
02:27:04.949 --> 02:27:07.986 region:rollup2
THE INCONSISTENCY HERE.
02:27:06.551 --> 02:27:09.487 region:rollup2
PROVIDERS TREATING MEDI CAL
02:27:07.986 --> 02:27:10.088 region:rollup2
PATIENTS ARE REQUIRED TO KEEP
02:27:09.487 --> 02:27:11.189 region:rollup2
THEIR RECORDS FOR A MINIMUM OF
02:27:10.088 --> 02:27:13.658 region:rollup2
TEN YEARS.
02:27:11.189 --> 02:27:14.693 region:rollup2
OPTOMETRISTS FOR SEVEN YEARS.
02:27:13.658 --> 02:27:16.027 region:rollup2
DEPARTMENT OF MANAGED HEALTHCARE
02:27:14.693 --> 02:27:17.328 region:rollup2
REQUIRES CONTRACTS BETWEEN
02:27:16.027 --> 02:27:19.297 region:rollup2
HEALTH PLANS AND PROVIDERS WHO
02:27:17.328 --> 02:27:20.565 region:rollup2
REGULARLY FURNISH SERVICES UNDER
02:27:19.297 --> 02:27:21.733 region:rollup2
THE PLANT --
02:27:20.565 --> 02:27:24.169 region:rollup2
TO REQUIRED PROVIDES RICK
02:27:21.733 --> 02:27:25.870 region:rollup2
MAINTAIN RECORDS FOR TWO YEARS.
02:27:24.169 --> 02:27:27.772 region:rollup2
HMO MEDICAL RECORDS MUST BE
02:27:25.870 --> 02:27:29.274 region:rollup2
RETAINED FOR TWO YEARS.
02:27:27.772 --> 02:27:31.810 region:rollup2
POSITIONS TO DISPENSE OF A
02:27:29.274 --> 02:27:33.978 region:rollup2
SCHEDULE ONE TWO AND FORD OR FOR
02:27:31.810 --> 02:27:34.312 region:rollup2
DRUGS A MUST KEEP RECORDS FOR
02:27:33.978 --> 02:27:37.215 region:rollup2
THREE YEARS.
02:27:34.312 --> 02:27:38.683 region:rollup2
WORKERS COMP GUY CASES PER FIVE
02:27:37.215 --> 02:27:39.718 region:rollup2
YEARS THERE IS HUGE
02:27:38.683 --> 02:27:42.187 region:rollup2
INCONSISTENCY HERE AND I WOULD
02:27:39.718 --> 02:27:43.254 region:rollup2
BET THE YOU COULD PROBABLY ASK.
02:27:42.187 --> 02:27:44.189 region:rollup2
HALF THE PHYSICIANS WOULD GET IT
02:27:43.254 --> 02:27:45.990 region:rollup2
WRONG THEY DON'T KNOW HOW LONG
02:27:44.189 --> 02:27:47.826 region:rollup2
THIS WAS TO KEEP RECORDS.
02:27:45.990 --> 02:27:49.427 region:rollup2
AND SO YOU YEAR THIS IS A MUCH
02:27:47.826 --> 02:27:50.295 region:rollup2
BIGGER ISSUE --
02:27:49.427 --> 02:27:52.097 region:rollup2
OUT THERE --
02:27:50.295 --> 02:27:53.865 region:rollup2
AND I APPRECIATE YOU BRINGING
02:27:52.097 --> 02:27:55.567 region:rollup2
THIS FORWARD I THINK WE'VE
02:27:53.865 --> 02:27:57.001 region:rollup2
ACCEPTED OUR FIRST AMENDMENT --
02:27:55.567 --> 02:27:58.069 region:rollup2
THERE AND I THINK WE'RE WHICH IS
02:27:57.001 --> 02:27:59.037 region:rollup2
THAT WERE CLARIFYING AND
02:27:58.069 --> 02:28:00.705 region:rollup2
TECHNICAL AMENDMENTS TO ALLOW
02:27:59.037 --> 02:28:01.973 region:rollup2
THE NOTIFICATION.
02:28:00.705 --> 02:28:02.941 region:rollup2
OTHER RETENTION --
02:28:01.973 --> 02:28:05.110 region:rollup2
APPEARED TO APPEAR IN ANOTHER
02:28:02.941 --> 02:28:06.845 region:rollup2
FORM RECEIVING GIVEN SO THAT'S
02:28:05.110 --> 02:28:08.580 region:rollup2
THE EARLY PART S. --
02:28:06.845 --> 02:28:10.115 region:rollup2
WE'RE STILL TRYING TO FIGURE OUT
02:28:08.580 --> 02:28:11.483 region:rollup2
HOW THIS THE SECOND THAT WHAT
02:28:10.115 --> 02:28:13.318 region:rollup2
HOW THE SECOND NOTIFICATION WORK
02:28:11.483 --> 02:28:15.053 region:rollup2
TONIGHT COMMITTED. TO TO WORK
02:28:13.318 --> 02:28:16.621 region:rollup2
WITH YOU THROUGH THAT --
02:28:15.053 --> 02:28:18.056 region:rollup2
IN AYE I AGREE --
02:28:16.621 --> 02:28:20.258 region:rollup2
I THINK MAINTAINING RECORDS IS
02:28:18.056 --> 02:28:21.860 region:rollup2
IS IMPORTANT ARE FOR PATIENTS
02:28:20.258 --> 02:28:22.560 region:rollup2
AND SO AND WE ALSO BUT NEED TO
02:28:21.860 --> 02:28:23.395 region:rollup2
FIND A WAY TO KEEP PATIENTS
02:28:22.560 --> 02:28:24.629 region:rollup2
INFORMED.
02:28:23.395 --> 02:28:26.798 region:rollup2
AT SOME POINT PATIENTS NEED TO
02:28:24.629 --> 02:28:28.933 region:rollup2
TAKE SOME RESPONSIBILITY --
02:28:26.798 --> 02:28:30.802 region:rollup2
AS WELL FOR THE THE THE
02:28:28.933 --> 02:28:32.170 region:rollup2
DISPOSITION OF OF THEIR RECORD
02:28:30.802 --> 02:28:33.371 region:rollup2
SO -- SO WE
02:28:32.170 --> 02:28:34.005 region:rollup2
WILL CONTINUE --
02:28:33.371 --> 02:28:36.007 region:rollup2
TO WORK I WORK WITH YOU ON THIS
02:28:34.005 --> 02:28:37.175 region:rollup2
--
02:28:36.007 --> 02:28:38.810 region:rollup2
AND I APPRECIATE THE SPIRIT
02:28:37.175 --> 02:28:40.145 region:rollup2
WHICH YOU COME FORWARD ON TRYING
02:28:38.810 --> 02:28:41.946 region:rollup2
TO SOLVE OF A REAL PROBLEM I
02:28:40.145 --> 02:28:45.483 region:rollup2
THINK I BELIEVE --
02:28:41.946 --> 02:28:46.317 region:rollup2
AND THAT THIS THIS DOES SO
02:28:45.483 --> 02:28:47.585 region:rollup2
SUPPORT ARE YOU TO HAVE A
02:28:46.317 --> 02:28:48.887 region:rollup2
SUPPORT RECOMMENDATION FOR ME
02:28:47.585 --> 02:28:49.687 region:rollup2
AND AT THIS POINT I WOULD YOU
02:28:48.887 --> 02:28:51.222 region:rollup2
LIKE TO CLOSE.
02:28:49.687 --> 02:28:52.524 region:rollup2
WELL LET ME JUST ASSURE THE LOOK
02:28:51.222 --> 02:28:54.058 region:rollup2
FIRST FOR MISTER CHAIR THANK YOU
02:28:52.524 --> 02:28:54.626 region:rollup2
VERY VERY MUCH FOR THOSE
02:28:54.058 --> 02:28:55.493 region:rollup2
COMMENTS AND FOR YOUR HELP
02:28:54.626 --> 02:28:56.594 region:rollup2
EARLIER.
02:28:55.493 --> 02:28:58.363 region:rollup2
LET ME JUST ASSURE THE COMMITTEE
02:28:56.594 --> 02:29:00.031 region:rollup2
THAT THERE IS NO INTENT HERE TO
02:28:58.363 --> 02:29:00.465 region:rollup2
VIOLATE ANYONE'S PRIVACY OR
02:29:00.031 --> 02:29:01.833 region:rollup2
DISCLOSE ANY MEDICAL
02:29:00.465 --> 02:29:03.868 region:rollup2
INFORMATION.
02:29:01.833 --> 02:29:05.603 region:rollup2
AND I I DON'T BELIEVE A A
02:29:03.868 --> 02:29:07.505 region:rollup2
NOTIFICATION IN A IN A EITHER A
02:29:05.603 --> 02:29:08.440 region:rollup2
SHORT LETTER OR AN EMAIL THAT
02:29:07.505 --> 02:29:10.041 region:rollup2
SIMPLY SAYS --
02:29:08.440 --> 02:29:12.377 region:rollup2
WE HAVE YOUR RECORDS WE'RE GOING
02:29:10.041 --> 02:29:12.977 region:rollup2
TO DESTROY THE MONEY MAY
02:29:12.377 --> 02:29:13.878 region:rollup2
NINETEEN TWO THOUSAND NINETEEN
02:29:12.977 --> 02:29:16.114 region:rollup2
IF YOU WANT THEM GIVE US A CALL
02:29:13.878 --> 02:29:18.049 region:rollup2
OR CONTACT US AT HACKS.
02:29:16.114 --> 02:29:19.784 region:rollup2
VIOLATES OUR DISCLOSES ANYONE'S
02:29:18.049 --> 02:29:21.052 region:rollup2
MEDICAL INFORMATION UNDER ANY
02:29:19.784 --> 02:29:22.320 region:rollup2
DEFINITION WHETHER IT'S THE
02:29:21.052 --> 02:29:23.555 region:rollup2
CONFIDENTIALITY OF MEDICAL
02:29:22.320 --> 02:29:25.223 region:rollup2
INFORMATION ACT THAT WE DEAL
02:29:23.555 --> 02:29:26.858 region:rollup2
WITH HERE IN CALIFORNIA.
02:29:25.223 --> 02:29:28.126 region:rollup2
OR OF FEDERAL HIPPA.
02:29:26.858 --> 02:29:30.028 region:rollup2
OF SECONDLY REPRODUCTIVE
02:29:28.126 --> 02:29:30.995 region:rollup2
SERVICES THERE'S NO INTENT HERE
02:29:30.028 --> 02:29:32.597 region:rollup2
TO DISCLOSE THAT SORT OF
02:29:30.995 --> 02:29:33.097 region:rollup2
INFORMATION AND IN FACT THE
02:29:32.597 --> 02:29:33.898 region:rollup2
CLINICS TO PROVIDE THOSE
02:29:33.097 --> 02:29:36.000 region:rollup2
SERVICES.
02:29:33.898 --> 02:29:37.135 region:rollup2
ARE EXEMPT UNDER THE BILL AND
02:29:36.000 --> 02:29:38.336 region:rollup2
OBVIOUSLY I THINK THE COMMITTEE
02:29:37.135 --> 02:29:40.305 region:rollup2
MEMBERS KNOW THAT IT'S THE
02:29:38.336 --> 02:29:42.574 region:rollup2
HEALTH CARE PROVIDER HIMSELF
02:29:40.305 --> 02:29:43.074 region:rollup2
HERSELF FOR ITSELF IN THE CASE
02:29:42.574 --> 02:29:44.943 region:rollup2
OF A GROUP.
02:29:43.074 --> 02:29:46.478 region:rollup2
THAT DECIDES WHETHER MEDICAL
02:29:44.943 --> 02:29:48.246 region:rollup2
RECORDS ARE DESTROYED AFTER THE
02:29:46.478 --> 02:29:49.047 region:rollup2
RETENTION RECORD RETENTION
02:29:48.246 --> 02:29:51.216 region:rollup2
PERIOD --
02:29:49.047 --> 02:29:52.450 region:rollup2
AND WHEN AND I DO RECOGNIZE THAT
02:29:51.216 --> 02:29:54.219 region:rollup2
THERE MAY BE SOME ADMINISTRATIVE
02:29:52.450 --> 02:29:56.120 region:rollup2
KOSTER INCONVENIENCE IT'S OCCUR
02:29:54.219 --> 02:29:57.956 region:rollup2
INCURRED HERE BY THE HEALTH CARE
02:29:56.120 --> 02:29:59.390 region:rollup2
PROVIDER OR THE GROUP DEPENDING
02:29:57.956 --> 02:30:00.758 region:rollup2
ON THE WAY THE PROVIDER DECIDES
02:29:59.390 --> 02:30:03.828 region:rollup2
TO IMPLEMENT THE PROVISIONS OF
02:30:00.758 --> 02:30:05.797 region:rollup2
THIS PARTICULAR BILL FRANKLY IF
02:30:03.828 --> 02:30:08.199 region:rollup2
THIS BILL PREVENTS AND ON
02:30:05.797 --> 02:30:09.968 region:rollup2
UNNECESSARY PROCEDURE PROVIDES.
02:30:08.199 --> 02:30:11.603 region:rollup2
FOR MORE EFFECTIVE TREATMENT FOR
02:30:09.968 --> 02:30:13.004 region:rollup2
A PATIENT OR IN.
02:30:11.603 --> 02:30:15.039 region:rollup2
AND HOPEFULLY THE RARE CASE
02:30:13.004 --> 02:30:16.641 region:rollup2
SAVES THE LIFE I THINK THOSE
02:30:15.039 --> 02:30:18.076 region:rollup2
ADMINISTRATIVE COSTS OF THAT
02:30:16.641 --> 02:30:18.810 region:rollup2
INCONVENIENCE CERTAINLY ARE WELL
02:30:18.076 --> 02:30:20.144 region:rollup2
WORTH IT.
02:30:18.810 --> 02:30:21.746 region:rollup2
AGAIN I THANK YOU MISTER CHAIR I
02:30:20.144 --> 02:30:23.715 region:rollup2
APPRECIATE THE COMMITTEE
02:30:21.746 --> 02:30:28.820 region:rollup2
COMMITTEE'S CONSIDERATION --
02:30:23.715 --> 02:30:29.387 region:rollup2
AND I WOULD CERTAINLY
02:30:28.820 --> 02:30:30.421 region:rollup2
RESPECTFULLY ASK FOR AN AYE
02:30:29.387 --> 02:30:32.590 region:rollup2
VOTE.
02:30:30.421 --> 02:30:35.827 region:rollup2
WE HAVE A MOTION [inaudible]
02:30:32.590 --> 02:30:37.495 region:rollup2
MOTION.
02:30:35.827 --> 02:30:38.997 region:rollup2
MUCH MR MCCARTY.
02:30:37.495 --> 02:30:42.667 region:rollup2
SECOND BY MISTER RODRIGUEZ PUT
02:30:38.997 --> 02:30:43.268 region:rollup2
THEM TO SLEEP.
02:30:42.667 --> 02:30:45.670 region:rollup2
I I'M SURE WILL BE AWAKE IN A
02:30:43.268 --> 02:30:47.138 region:rollup2
MOMENT.
02:30:45.670 --> 02:30:48.806 region:rollup2
A TO THE MOTION IS TO PASS AS
02:30:47.138 --> 02:30:49.374 region:rollup2
AMENDED TWO PROBES --
02:30:48.806 --> 02:30:51.509 region:rollup2
MEMSIC TRIP PLEASE CALL THE
02:30:49.374 --> 02:30:53.945 region:rollup2
ROLL.
02:30:51.509 --> 02:30:55.480 region:rollup2
WOULD I WOULD I MAYES.
02:30:53.945 --> 02:30:57.448 region:rollup2
IS NO AGUIAR-CURRY.
02:30:55.480 --> 02:30:57.749 region:rollup2
BIGGER CURRY AYE BIGELOW.
02:30:57.448 --> 02:30:58.149 region:rollup2
BIGELOW NO.
02:30:57.749 --> 02:31:00.485 region:rollup2
BONTA [inaudible]
02:30:58.149 --> 02:31:02.053 region:rollup2
BURKE [inaudible]
02:31:00.485 --> 02:31:05.890 region:rollup2
CARILLO [inaudible]
02:31:02.053 --> 02:31:07.725 region:rollup2
CARILLO I FLORA [inaudible]
02:31:05.890 --> 02:31:08.726 region:rollup2
THE MONK.
02:31:07.725 --> 02:31:11.963 region:rollup2
MCCARTY.
02:31:08.726 --> 02:31:12.263 region:rollup2
MCCARTY AYE NAZARIAN
02:31:11.963 --> 02:31:13.865 region:rollup2
[inaudible]
02:31:12.263 --> 02:31:15.600 region:rollup2
RODRIGUEZ.
02:31:13.865 --> 02:31:16.935 region:rollup2
RODRIGUEZ AYE SANTIAGO.
02:31:15.600 --> 02:31:21.406 region:rollup2
THURMOND WALTER [inaudible]
02:31:16.935 --> 02:31:22.407 region:rollup2
WILDER KNOW.
02:31:21.406 --> 02:31:25.109 region:rollup2
YOU'RE FIVE VOTES --
02:31:22.407 --> 02:31:25.743 region:rollup2
WE HAVE SOME MEMBERS MISSING
02:31:25.109 --> 02:31:27.812 region:rollup2
WILL LEAVE THE ROLE WILL LEAVE
02:31:25.743 --> 02:31:28.313 region:rollup2
IT ALONE HALL THANK YOU MISTER
02:31:27.812 --> 02:31:28.613 region:rollup2
CHAIR THINK THINK CENTER
02:31:28.313 --> 02:31:44.829 region:rollup2
[inaudible]
02:31:28.613 --> 02:31:44.829 region:rollup2
SENATOR LEYVA
02:31:51.169 --> 02:31:52.804 region:rollup2
.
02:31:51.302 --> 02:31:54.372 region:rollup2
THANK YOU MISTER CHAIR.
02:31:52.804 --> 02:31:55.707 region:rollup2
GOOD AFTERNOON MEMBERS TO BEGIN
02:31:54.372 --> 02:31:57.308 region:rollup2
I WOULD LIKE TO THANK YOU AND
02:31:55.707 --> 02:31:58.910 region:rollup2
YOUR COMMITTEE STAFF BEFORE THE
02:31:57.308 --> 02:32:01.279 region:rollup2
TIME USE THAT WORKING WITH ME
02:31:58.910 --> 02:32:01.946 region:rollup2
AND MY STAFF ON THIS BILL.
02:32:01.279 --> 02:32:02.847 region:rollup2
I'M PLEASED TO ACCEPT THE
02:32:01.946 --> 02:32:04.415 region:rollup2
CHAIR'S RECOMMENDATION
02:32:02.847 --> 02:32:06.918 region:rollup2
RECOMMENDED AMENDMENTS THAT
02:32:04.415 --> 02:32:08.686 region:rollup2
SIMPLIFY THE ILL SIGNIFICANTLY.
02:32:06.918 --> 02:32:10.755 region:rollup2
AMONG OTHER THINGS THESE
02:32:08.686 --> 02:32:12.290 region:rollup2
AMENDMENTS REMOVE THE SIXTY DAY
02:32:10.755 --> 02:32:13.624 region:rollup2
NOTICE REQUIREMENT.
02:32:12.290 --> 02:32:15.793 region:rollup2
STIPULATE THAT FINANCIAL
02:32:13.624 --> 02:32:17.962 region:rollup2
ASSISTANT CAN ASSISTANCE CAN BE
02:32:15.793 --> 02:32:19.297 region:rollup2
DISCONTINUED IF A PATIENT DIES
02:32:17.962 --> 02:32:20.865 region:rollup2
OR OBTAINS OTHER HEALTH
02:32:19.297 --> 02:32:23.167 region:rollup2
INSURANCE COVERAGE.
02:32:20.865 --> 02:32:25.103 region:rollup2
PROHIBITS PROVIDERS FROM BALANCE
02:32:23.167 --> 02:32:26.471 region:rollup2
BILLING PATIENTS.
02:32:25.103 --> 02:32:28.373 region:rollup2
REMOVES COMPLICATED REVIEW
02:32:26.471 --> 02:32:30.475 region:rollup2
DETERMINATIONS.
02:32:28.373 --> 02:32:31.743 region:rollup2
IMPOSE ON REGULATORS AND
02:32:30.475 --> 02:32:34.078 region:rollup2
SPECIFIES THE PAYMENT RATE FOR
02:32:31.743 --> 02:32:35.813 region:rollup2
FINANCIALLY INTERESTED ENTITIES.
02:32:34.078 --> 02:32:37.582 region:rollup2
THIS BILL WILL PREVENT PROVIDERS
02:32:35.813 --> 02:32:39.083 region:rollup2
FROM GAMING THE SYSTEM AS A
02:32:37.582 --> 02:32:41.152 region:rollup2
MECHANISM TO ARTIFICIALLY
02:32:39.083 --> 02:32:43.154 region:rollup2
GENERATE THREE TO FOUR TIMES THE
02:32:41.152 --> 02:32:45.323 region:rollup2
MEDICARE REIMBURSEMENT RATE FOR
02:32:43.154 --> 02:32:46.791 region:rollup2
PROVIDING THE EXACT SAME CARE.
02:32:45.323 --> 02:32:49.427 region:rollup2
THIS GAMING OF THE SYSTEM IS
02:32:46.791 --> 02:32:50.495 region:rollup2
HARMFUL AND A COUPLE OF WAYS.
02:32:49.427 --> 02:32:53.164 region:rollup2
IT CAN EXPOSE THE PATIENT TO AN
02:32:50.495 --> 02:32:54.732 region:rollup2
INCREASED SHARE OF COSTS WITH
02:32:53.164 --> 02:32:56.100 region:rollup2
COPAYS AND DEDUCTIBLES AND A
02:32:54.732 --> 02:32:58.736 region:rollup2
COMMERCIAL PLAN.
02:32:56.100 --> 02:33:00.538 region:rollup2
IT PUTS PUTS PATIENTS AT RISK OF
02:32:58.736 --> 02:33:02.273 region:rollup2
LOSING COVERAGE IF THE PROVIDER
02:33:00.538 --> 02:33:04.042 region:rollup2
STOPS MAKING THEIR PAYMENTS.
02:33:02.273 --> 02:33:06.477 region:rollup2
IT DRIVES UP COSTS FOR EVERYONE
02:33:04.042 --> 02:33:07.945 region:rollup2
ELSE BY SHIFTING RISK TO FRAGILE
02:33:06.477 --> 02:33:09.947 region:rollup2
INDIVIDUAL MARKET.
02:33:07.945 --> 02:33:11.482 region:rollup2
S. B. ELEVEN FIFTY SIX PROTECTS
02:33:09.947 --> 02:33:14.919 region:rollup2
LEGITIMATE THIRD PARTY PAYMENT
02:33:11.482 --> 02:33:16.421 region:rollup2
MECHANISMS REMOVES THE INCENTIVE
02:33:14.919 --> 02:33:17.922 region:rollup2
FOR PROVIDERS TO GAME THE SYSTEM
02:33:16.421 --> 02:33:19.290 region:rollup2
AND ESTABLISHES SAFEGUARDS TO
02:33:17.922 --> 02:33:20.725 region:rollup2
HOLD PATIENTS.
02:33:19.290 --> 02:33:21.759 region:rollup2
WHO MAY HAVE INADVERTENTLY BEEN
02:33:20.725 --> 02:33:24.362 region:rollup2
CAUGHT UP IN ONE OF THESE
02:33:21.759 --> 02:33:26.230 region:rollup2
PAYMENT SCHEMES HARMLESS HERE IN
02:33:24.362 --> 02:33:28.166 region:rollup2
SUPPORT WITH ME TODAY?
02:33:26.230 --> 02:33:29.300 region:rollup2
AND YOU ONE FROM THE ASSOCIATION
02:33:28.166 --> 02:33:31.069 region:rollup2
OF CALIFORNIA HEALTH AND
02:33:29.300 --> 02:33:32.437 region:rollup2
INSURANCE COMPANIES ENGLAND
02:33:31.069 --> 02:33:34.572 region:rollup2
BACCHUS FROM DRUG POLICY
02:33:32.437 --> 02:33:36.274 region:rollup2
ALLIANCE.
02:33:34.572 --> 02:33:37.241 region:rollup2
THANK YOU MISTER CHAIRMAN AND
02:33:36.274 --> 02:33:38.810 region:rollup2
MEMBERS AND YOU ONE WITH THE
02:33:37.241 --> 02:33:40.144 region:rollup2
ASSOCIATION OF CALIFORNIA LIFE
02:33:38.810 --> 02:33:43.014 region:rollup2
AND HEALTH INSURANCE COMPANIES
02:33:40.144 --> 02:33:43.815 region:rollup2
WERE STRONGLY IN SUPPORT OF SB
02:33:43.014 --> 02:33:45.049 region:rollup2
ELEVEN FIFTY SIX WE SEE THIS IS
02:33:43.815 --> 02:33:46.217 region:rollup2
A MODEST.
02:33:45.049 --> 02:33:47.552 region:rollup2
BUT IMPORTANT EFFORT TO ADDRESS
02:33:46.217 --> 02:33:50.388 region:rollup2
THE SITUATION THAT WE'VE SEEN
02:33:47.552 --> 02:33:51.956 region:rollup2
OCCUR IN JUST THE LAST FEW YEARS
02:33:50.388 --> 02:33:53.491 region:rollup2
SINCE THE PASSAGE OF THE ACA.
02:33:51.956 --> 02:33:54.859 region:rollup2
WHAT IS HAPPENING IS THAT SOME
02:33:53.491 --> 02:33:55.927 region:rollup2
PROVIDERS OF TAKING ADVANTAGE OF
02:33:54.859 --> 02:33:58.062 region:rollup2
THE GUARANTEED ISSUE ONCE
02:33:55.927 --> 02:33:59.564 region:rollup2
REQUIREMENTS OF THE ACA TO STEER
02:33:58.062 --> 02:34:00.998 region:rollup2
PATIENTS INTO COMMERCIAL HEALTH
02:33:59.564 --> 02:34:02.100 region:rollup2
INSURANCE MARKET?
02:34:00.998 --> 02:34:03.868 region:rollup2
BY OFFERING TO PAY FOR THE
02:34:02.100 --> 02:34:05.803 region:rollup2
PATIENTS PREMIUMS WHEN THE
02:34:03.868 --> 02:34:07.605 region:rollup2
PATIENT MAY BE ELIGIBLE FOR
02:34:05.803 --> 02:34:09.307 region:rollup2
MEDICARE ALLEN MEDICARE.
02:34:07.605 --> 02:34:10.608 region:rollup2
THEY DO THIS BECAUSE IT IS IN
02:34:09.307 --> 02:34:12.643 region:rollup2
THEIR FINANCIAL INTEREST TO DO
02:34:10.608 --> 02:34:14.412 region:rollup2
SO THEY KNOW THEY WILL MAKE MUCH
02:34:12.643 --> 02:34:15.146 region:rollup2
MORE FROM INSURANCE PAYMENTS TO
02:34:14.412 --> 02:34:16.647 region:rollup2
OUTWEIGH THE COST OF THE
02:34:15.146 --> 02:34:18.683 region:rollup2
PREMIUMS.
02:34:16.647 --> 02:34:19.617 region:rollup2
NOW MANY TIMES IS NOT IN THE
02:34:18.683 --> 02:34:20.518 region:rollup2
BEST INTEREST OF THE PATIENTS
02:34:19.617 --> 02:34:21.686 region:rollup2
AND CERTAINLY NOT IN THE BEST
02:34:20.518 --> 02:34:22.887 region:rollup2
INTEREST OF INDIVIDUALS AND
02:34:21.686 --> 02:34:24.222 region:rollup2
SMALL GROUPS STRUGGLING TO PAY
02:34:22.887 --> 02:34:26.090 region:rollup2
THEIR PREMIUMS.
02:34:24.222 --> 02:34:27.191 region:rollup2
IN THOSE MARKETS.
02:34:26.090 --> 02:34:28.893 region:rollup2
OTHER THAN A LOT OF PRESS
02:34:27.191 --> 02:34:30.194 region:rollup2
COVERAGE ABOUT AFINANCIALLY
02:34:28.893 --> 02:34:31.529 region:rollup2
INTERESTED OUT OF NETWORK
02:34:30.194 --> 02:34:33.097 region:rollup2
SUBSTANCE ABUSE DISORDER
02:34:31.529 --> 02:34:35.066 region:rollup2
TREATMENT FACILITIES.
02:34:33.097 --> 02:34:36.801 region:rollup2
AND HOW THEIR PRACTICES ARE
02:34:35.066 --> 02:34:38.703 region:rollup2
CAUSING HUGE BILLS FOR INSURERS
02:34:36.801 --> 02:34:40.204 region:rollup2
AND NOT PROVIDING SUBSTANTIVE
02:34:38.703 --> 02:34:41.939 region:rollup2
HELP FOR THE ADDICTED.
02:34:40.204 --> 02:34:43.107 region:rollup2
BUT I BELIEVE MY COLLEAGUE HERE
02:34:41.939 --> 02:34:45.176 region:rollup2
WILL PROVIDE MORE DETAIL ABOUT
02:34:43.107 --> 02:34:46.477 region:rollup2
THAT PRACTICE SO I WILL JUST
02:34:45.176 --> 02:34:48.079 region:rollup2
CONCENTRATE PERHAPS IN ANOTHER
02:34:46.477 --> 02:34:49.247 region:rollup2
AREA OF CONCERN.
02:34:48.079 --> 02:34:51.582 region:rollup2
WHICH IS WITH IN NETWORK
02:34:49.247 --> 02:34:52.450 region:rollup2
DIALYSIS CENTERS.
02:34:51.582 --> 02:34:54.218 region:rollup2
THE ISSUE THAT WE'RE SEEING
02:34:52.450 --> 02:34:56.154 region:rollup2
OCCURS WHEN THE DIALYSIS CLINIC
02:34:54.218 --> 02:34:57.522 region:rollup2
STAFF FIND PATIENTS WITHIN THEIR
02:34:56.154 --> 02:34:58.890 region:rollup2
CLINICS AND THEN STEER THEM INTO
02:34:57.522 --> 02:35:00.424 region:rollup2
COMMERCIAL COVERAGE WHEN THEY
02:34:58.890 --> 02:35:01.626 region:rollup2
WOULD OTHERWISE BE ABLE TO BE
02:35:00.424 --> 02:35:04.662 region:rollup2
ELIGIBLE FOR MEDICARE OUT WITH
02:35:01.626 --> 02:35:05.897 region:rollup2
NO SHARE OF KOSTER MEDICARE.
02:35:04.662 --> 02:35:07.198 region:rollup2
THE DIALYSIS PROVIDER THINK
02:35:05.897 --> 02:35:08.766 region:rollup2
CONNECTS THE PATIENT WITH THE
02:35:07.198 --> 02:35:09.800 region:rollup2
AMERICAN KIDNEY FUND WHICH IS
02:35:08.766 --> 02:35:11.469 region:rollup2
THE RECIPIENT OF CHARITABLE
02:35:09.800 --> 02:35:13.271 region:rollup2
CONTRIBUTIONS FROM THE PROVIDER
02:35:11.469 --> 02:35:14.172 region:rollup2
TO PAY FOR THE PATIENTS PREMIUM.
02:35:13.271 --> 02:35:16.140 region:rollup2
SO IT'S BASICALLY JUST A PASSED
02:35:14.172 --> 02:35:17.942 region:rollup2
THROUGH.
02:35:16.140 --> 02:35:19.777 region:rollup2
THE DIALYSIS PROVIDER THEN BILLS
02:35:17.942 --> 02:35:22.380 region:rollup2
INSURERS THREE TO FOUR TIMES THE
02:35:19.777 --> 02:35:23.548 region:rollup2
AMOUNTS THAT MEDICARE WOULD PAY.
02:35:22.380 --> 02:35:24.549 region:rollup2
FOR THREE TREATMENTS A WEEK FOR
02:35:23.548 --> 02:35:27.485 region:rollup2
MONTHS OR YEARS ON AND THE
02:35:24.549 --> 02:35:28.819 region:rollup2
FINANCIAL INCENTIVE IS OBVIOUS.
02:35:27.485 --> 02:35:29.921 region:rollup2
AND THIS IS NOT JUST A BILLING
02:35:28.819 --> 02:35:32.256 region:rollup2
DISPUTE BETWEEN HEALTH PLANS AND
02:35:29.921 --> 02:35:33.324 region:rollup2
PROVIDERS A CENTER LEYVA POINTED
02:35:32.256 --> 02:35:36.294 region:rollup2
OUT THERE ARE SOME REAL HARM TO
02:35:33.324 --> 02:35:38.329 region:rollup2
CONSUMERS.
02:35:36.294 --> 02:35:39.897 region:rollup2
SO WHAT DOES SQ ELEVEN FIFTY SIX
02:35:38.329 --> 02:35:41.432 region:rollup2
DO TO ADDRESS THE PROBLEM THE
02:35:39.897 --> 02:35:43.067 region:rollup2
BILL SIMPLY REQUIRES A FINANCIAL
02:35:41.432 --> 02:35:43.801 region:rollup2
INTERESTED THIRD PARTY PAYERS DO
02:35:43.067 --> 02:35:45.703 region:rollup2
THE RIGHT THING BY THEIR
02:35:43.801 --> 02:35:47.405 region:rollup2
PATIENTS BY KEEPING THEM ON
02:35:45.703 --> 02:35:48.773 region:rollup2
COVERAGE FOR A FULL YEAR.
02:35:47.405 --> 02:35:50.441 region:rollup2
RATHER THAN KICKING THEM OFF
02:35:48.773 --> 02:35:52.510 region:rollup2
WHEN HEALTH INSURANCE CAN NO
02:35:50.441 --> 02:35:54.011 region:rollup2
LONGER BE BUILT THEY MUST NOTIFY
02:35:52.510 --> 02:35:55.446 region:rollup2
PATIENTS OF THEIR OPTIONS AND
02:35:54.011 --> 02:35:56.314 region:rollup2
NOT STEER THEM INTO A PARTICULAR
02:35:55.446 --> 02:35:57.849 region:rollup2
PLAN.
02:35:56.314 --> 02:35:59.584 region:rollup2
AS WE CURRENTLY CHOIR OF OTHER
02:35:57.849 --> 02:36:00.952 region:rollup2
AGENTS AND BROKERS AND THEY MUST
02:35:59.584 --> 02:36:01.919 region:rollup2
LET HEALTH PLANS KNOW THAT THEY
02:36:00.952 --> 02:36:03.321 region:rollup2
ARE PAYING FOR THESE PREMIUMS
02:36:01.919 --> 02:36:04.455 region:rollup2
AND WHETHER THEY'D MET THESE
02:36:03.321 --> 02:36:05.723 region:rollup2
OBLIGATIONS.
02:36:04.455 --> 02:36:06.958 region:rollup2
NOW YOU MAY HAVE HEARD THAT THIS
02:36:05.723 --> 02:36:08.226 region:rollup2
BILL WILL FORCE PEOPLE INTO
02:36:06.958 --> 02:36:10.428 region:rollup2
MEDICARE TAKE AWAY THEIR
02:36:08.226 --> 02:36:11.662 region:rollup2
COMMERCIAL COVERAGE NOTHING IN
02:36:10.428 --> 02:36:12.863 region:rollup2
THIS BILL.
02:36:11.662 --> 02:36:14.498 region:rollup2
REQUIRES ANYONE TO BE ON
02:36:12.863 --> 02:36:15.766 region:rollup2
MEDICARE OR PROHIBITS A
02:36:14.498 --> 02:36:17.101 region:rollup2
FINANCIALLY INTERESTED PROVIDER
02:36:15.766 --> 02:36:19.337 region:rollup2
FROM PAYING THE PREMIUMS FOR
02:36:17.101 --> 02:36:20.304 region:rollup2
COMMERCIAL COVERAGE.
02:36:19.337 --> 02:36:22.039 region:rollup2
THE BILL SIMPLY TAKES THE
02:36:20.304 --> 02:36:23.708 region:rollup2
FINANCIAL INCENTIVE FOR DOING SO
02:36:22.039 --> 02:36:24.976 region:rollup2
WAY BY AUTHOR REYES NAY INSURED
02:36:23.708 --> 02:36:26.444 region:rollup2
TO PAY THE MEDICARE RATE WHERE
02:36:24.976 --> 02:36:28.212 region:rollup2
THE CONTRACT TREAT WHATEVER IS
02:36:26.444 --> 02:36:30.081 region:rollup2
LOWER.
02:36:28.212 --> 02:36:30.881 region:rollup2
WE AGREE WITH THIS COMMITTEE AND
02:36:30.081 --> 02:36:32.917 region:rollup2
MEMONS HE THINK MEET THEY
02:36:30.881 --> 02:36:34.452 region:rollup2
FURTHER STREAMLINE THIS PROCESS
02:36:32.917 --> 02:36:35.920 region:rollup2
AND MAKE IT MORE WORKABLE.
02:36:34.452 --> 02:36:38.756 region:rollup2
AND WE WOULD ASK YOUR AYE VOTE
02:36:35.920 --> 02:36:40.258 region:rollup2
ON THIS IMPORTANT MEASURE.
02:36:38.756 --> 02:36:40.958 region:rollup2
GOOD AFTERNOON MISTER CHAIRMAN
02:36:40.258 --> 02:36:42.827 region:rollup2
COMMITTEE GOING BACK IS FOR DRUG
02:36:40.958 --> 02:36:44.061 region:rollup2
POLICY ALLIANCE DRUG POLICY
02:36:42.827 --> 02:36:45.396 region:rollup2
ALLIANCE IS A NATIONAL ADVOCACY
02:36:44.061 --> 02:36:46.898 region:rollup2
ORGANIZATION.
02:36:45.396 --> 02:36:48.399 region:rollup2
WORKING TO END THE DRUG WAR AND
02:36:46.898 --> 02:36:50.801 region:rollup2
REPLACE IT WITH POLICIES THEIR
02:36:48.399 --> 02:36:51.602 region:rollup2
BALLOT BASED ON HEALTH PUBLIC
02:36:50.801 --> 02:36:53.337 region:rollup2
HEALTH COMPASSION AND HUMAN
02:36:51.602 --> 02:36:55.239 region:rollup2
RIGHTS.
02:36:53.337 --> 02:36:57.108 region:rollup2
OUR INTEREST IN THIS BILL GOES
02:36:55.239 --> 02:36:59.143 region:rollup2
TO THE ISSUE OF ALL THE WORK
02:36:57.108 --> 02:37:01.279 region:rollup2
THAT WE AND OTHER ADVOCATES DID
02:36:59.143 --> 02:37:01.913 region:rollup2
TO ENSURE THE SUBSIDY USE
02:37:01.279 --> 02:37:03.814 region:rollup2
DISORDER TREATMENT WAS IN THE A
02:37:01.913 --> 02:37:05.182 region:rollup2
CS.
02:37:03.814 --> 02:37:06.584 region:rollup2
WE DO NOT FORESEE HOWEVER
02:37:05.182 --> 02:37:08.085 region:rollup2
UNSCRUPULOUS PROVIDERS WOULD
02:37:06.584 --> 02:37:10.321 region:rollup2
SHOW UP IN CALIFORNIA AND TRYING
02:37:08.085 --> 02:37:12.723 region:rollup2
TO GET VANTAGE OF THE ACA BY
02:37:10.321 --> 02:37:13.324 region:rollup2
RECRUITING PATIENTS WITH
02:37:12.723 --> 02:37:14.659 region:rollup2
SUBSIDIES DISORDER FROM OUT OF
02:37:13.324 --> 02:37:15.493 region:rollup2
STATE.
02:37:14.659 --> 02:37:16.794 region:rollup2
MOVING TO CALIFORNIA AND THEN
02:37:15.493 --> 02:37:19.730 region:rollup2
ROLLING THEM IN THE HIGHEST
02:37:16.794 --> 02:37:21.065 region:rollup2
RETURN PAY PLAN THAT THEY COULD.
02:37:19.730 --> 02:37:22.133 region:rollup2
THIS WAS NOT MOTIVATED BY
02:37:21.065 --> 02:37:23.467 region:rollup2
CONCERN FOR THE PATIENT OR THE
02:37:22.133 --> 02:37:25.536 region:rollup2
FAMILY OF THE COMMUNITY BUT BY
02:37:23.467 --> 02:37:27.405 region:rollup2
GREED.
02:37:25.536 --> 02:37:29.206 region:rollup2
AND SO WE WANT TO SEE THAT.
02:37:27.405 --> 02:37:30.207 region:rollup2
PATIENTS ARE GUARANTEED.
02:37:29.206 --> 02:37:31.609 region:rollup2
IF THEY ARE RECRUITED INTO
02:37:30.207 --> 02:37:33.144 region:rollup2
TREATMENT THAT FIRST OFF THEIR
02:37:31.609 --> 02:37:34.712 region:rollup2
FULLY INFORMED OF THEIR OPTIONS
02:37:33.144 --> 02:37:35.646 region:rollup2
WHICH IS FAIR FOR EVERY PATIENT
02:37:34.712 --> 02:37:36.213 region:rollup2
INCLUDING A PERSON WITH THE
02:37:35.646 --> 02:37:38.115 region:rollup2
SUBSIDIES DISORDER AND THEIR
02:37:36.213 --> 02:37:39.050 region:rollup2
FAMILY.
02:37:38.115 --> 02:37:41.218 region:rollup2
THEY'RE GUARANTEED TO YEARS
02:37:39.050 --> 02:37:43.688 region:rollup2
COVERAGE IS OUR PRIMARY INTEREST
02:37:41.218 --> 02:37:44.822 region:rollup2
AS MANY OF YOU KNOW THERE WAS A
02:37:43.688 --> 02:37:46.090 region:rollup2
LOT OF COVERAGE OF THIS PICKED
02:37:44.822 --> 02:37:48.259 region:rollup2
OUT OF ORANGE COUNTY.
02:37:46.090 --> 02:37:50.127 region:rollup2
THAT PEOPLE RECRUITED FROM OUT
02:37:48.259 --> 02:37:51.595 region:rollup2
OF STATE BROUGHT TO CALIFORNIA.
02:37:50.127 --> 02:37:53.397 region:rollup2
THEY RAN THE INSURANCE PREMIUM
02:37:51.595 --> 02:37:54.098 region:rollup2
UP TO ITS MAXIMUM PAYMENT.
02:37:53.397 --> 02:37:57.234 region:rollup2
AND THEN THEY KICKED THEM TO THE
02:37:54.098 --> 02:37:57.868 region:rollup2
CURB QUITE LITERALLY TO THE CURB
02:37:57.234 --> 02:37:59.804 region:rollup2
WHERE THEY WERE THEN HOMELESS IN
02:37:57.868 --> 02:38:01.472 region:rollup2
ORANGE COUNTY.
02:37:59.804 --> 02:38:03.407 region:rollup2
THEY WERE PENDANT ON STREET
02:38:01.472 --> 02:38:04.675 region:rollup2
SERVICES E. OURS AND THEY HAD NO
02:38:03.407 --> 02:38:05.710 region:rollup2
WAY TO GET HOME WITH THAT HOME
02:38:04.675 --> 02:38:08.179 region:rollup2
WAS OHIO WHERE I WORK SOMEPLACE
02:38:05.710 --> 02:38:09.480 region:rollup2
ELSE. FOR THESE REASONS WE LIKE
02:38:08.179 --> 02:38:10.214 region:rollup2
TO MAKE SURE THAT FAMILIES OF
02:38:09.480 --> 02:38:11.582 region:rollup2
ADDICTED PERSONS PEOPLE
02:38:10.214 --> 02:38:12.917 region:rollup2
SUBSTANCE ABUSE DISORDERS.
02:38:11.582 --> 02:38:14.418 region:rollup2
ARE FULLY INFORMED AND HAVE
02:38:12.917 --> 02:38:16.087 region:rollup2
ACCESS TO THE HEALTH CARE
02:38:14.418 --> 02:38:18.689 region:rollup2
INSURANCE IS APPROPRIATE TO
02:38:16.087 --> 02:38:20.224 region:rollup2
THEIR NEED THANK YOU.
02:38:18.689 --> 02:38:23.060 region:rollup2
Q. OTHER WITNESSES IN SUPPORT
02:38:20.224 --> 02:38:24.328 region:rollup2
JUST YOUR NAME AND ORGANIZATION.
02:38:23.060 --> 02:38:25.830 region:rollup2
MISTER CHAIR MEMBERS TERAFLOPS
02:38:24.328 --> 02:38:28.866 region:rollup2
CALIFORNIA LABOR FEDERATION IN
02:38:25.830 --> 02:38:30.334 region:rollup2
SUPPORT THANK YOU.
02:38:28.866 --> 02:38:31.268 region:rollup2
GOOD AFTERNOON TIM VALDERRAMA
02:38:30.334 --> 02:38:32.870 region:rollup2
WITH THE WHITEMAN GROUP ON
02:38:31.268 --> 02:38:33.604 region:rollup2
BEHALF OF SEIU STATE COUNCIL IN
02:38:32.870 --> 02:38:36.774 region:rollup2
STRONG SUPPORT [inaudible]
02:38:33.604 --> 02:38:38.075 region:rollup2
IF YOU.
02:38:36.774 --> 02:38:41.479 region:rollup2
CARLA SUPPORTER BLUESHIELD OF
02:38:38.075 --> 02:38:42.413 region:rollup2
CALIFORNIA AND SUPPORT.
02:38:41.479 --> 02:38:43.948 region:rollup2
JENNIFER I CALIFORNIA
02:38:42.413 --> 02:38:46.517 region:rollup2
ASSOCIATION HEALTH PLANS IN
02:38:43.948 --> 02:38:48.319 region:rollup2
SUPPORT.
02:38:46.517 --> 02:38:48.853 region:rollup2
JOHN WINGER OF F. AMERICA'S
02:38:48.319 --> 02:38:51.455 region:rollup2
HEALTH INSURANCE PLANS AND
02:38:48.853 --> 02:38:52.723 region:rollup2
SPORT.
02:38:51.455 --> 02:38:54.125 region:rollup2
SHERRI DAILY CALIFORNIA
02:38:52.723 --> 02:38:58.529 region:rollup2
CONSORTIUM OF ADDICTION PROGRAMS
02:38:54.125 --> 02:38:59.330 region:rollup2
AND PROFESSIONS AND SUPPORT.
02:38:58.529 --> 02:39:01.132 region:rollup2
MARY THERE THE COUNTY BEHAVIORAL
02:38:59.330 --> 02:39:03.300 region:rollup2
HEALTH DIRECTORS ASSOCIATION IN
02:39:01.132 --> 02:39:04.268 region:rollup2
SUPPORT.
02:39:03.300 --> 02:39:07.671 region:rollup2
THERESA START WITH KAISER
02:39:04.268 --> 02:39:08.773 region:rollup2
PERMANENTE IN SUPPORT.
02:39:07.671 --> 02:39:09.940 region:rollup2
MENU GONZALEZ DIALS'S WORKER A
02:39:08.773 --> 02:39:11.442 region:rollup2
CARETAKER FOR MY FATHER WHO'S
02:39:09.940 --> 02:39:14.945 region:rollup2
BEEN ON DIALYSIS TWENTY ONE
02:39:11.442 --> 02:39:16.113 region:rollup2
YEARS IN STRONG SUPPORT.
02:39:14.945 --> 02:39:19.950 region:rollup2
IF YOU SEE WHAT DIFFICULT ROAD
02:39:16.113 --> 02:39:21.452 region:rollup2
WITH SUPPORT THE ELEVEN FIFTY
02:39:19.950 --> 02:39:21.952 region:rollup2
SIX LOW PROTEST DIALYSIS NURSE
02:39:21.452 --> 02:39:25.322 region:rollup2
FOR TWENTY FIVE YEARS IN
02:39:21.952 --> 02:39:26.757 region:rollup2
SUPPORT.
02:39:25.322 --> 02:39:29.693 region:rollup2
IT'S AND THE MAGICAL DAY HOUSES
02:39:26.757 --> 02:39:30.728 region:rollup2
WORKER IN STRONG SUPPORT.
02:39:29.693 --> 02:39:34.765 region:rollup2
THEN THE GUY NO PATIENT CARE
02:39:30.728 --> 02:39:36.233 region:rollup2
PROVIDER I SUPPORT.
02:39:34.765 --> 02:39:38.903 region:rollup2
YOLANDA VILLANUEVA.
02:39:36.233 --> 02:39:40.004 region:rollup2
MY FAMILY HAS DIED OF KIDNEY
02:39:38.903 --> 02:39:41.806 region:rollup2
DIALYSIS DUE TO ELUDE THE LACK
02:39:40.004 --> 02:39:46.010 region:rollup2
OF CARE.
02:39:41.806 --> 02:39:47.945 region:rollup2
I'M IN SUPPORT.
02:39:46.010 --> 02:39:49.246 region:rollup2
FRED LAKE DIALYSIS WORKER FOR
02:39:47.945 --> 02:39:52.416 region:rollup2
TWENTY YEARS [inaudible]
02:39:49.246 --> 02:39:55.920 region:rollup2
I SUPPORT.
02:39:52.416 --> 02:39:59.623 region:rollup2
SHERRY ACHES A DIALYSIS CHECK
02:39:55.920 --> 02:40:01.325 region:rollup2
FOR SEVENTEEN YEARS I SUPPORT.
02:39:59.623 --> 02:40:04.295 region:rollup2
PAUL MERCHANT BIOMEDICAL DOWSERS
02:40:01.325 --> 02:40:06.230 region:rollup2
WORKER AND SUPPORT.
02:40:04.295 --> 02:40:07.631 region:rollup2
SURE AMBER EXPLOIT COMMUNITY
02:40:06.230 --> 02:40:09.800 region:rollup2
TEAM LEADER.
02:40:07.631 --> 02:40:12.470 region:rollup2
SACRAMENTO SEIU HW AND I AM IN
02:40:09.800 --> 02:40:14.171 region:rollup2
SUPPORT.
02:40:12.470 --> 02:40:16.941 region:rollup2
AS OUR BOSSY AMADEUS'S WORKER
02:40:14.171 --> 02:40:18.542 region:rollup2
AND I AM SUPPORT.
02:40:16.941 --> 02:40:19.577 region:rollup2
MY NAME ITS A MAGELLAN HANFORD
02:40:18.542 --> 02:40:21.112 region:rollup2
DIALYSIS NURSE FOR SEVENTEEN
02:40:19.577 --> 02:40:22.913 region:rollup2
YEARS.
02:40:21.112 --> 02:40:24.281 region:rollup2
I JUST WANNA LET THIS COMMITTEE
02:40:22.913 --> 02:40:26.517 region:rollup2
KNOW THAT I'VE SEEN THIS SCHEME
02:40:24.281 --> 02:40:28.185 region:rollup2
IN FULL EFFECT FOR YEARS NOW
02:40:26.517 --> 02:40:30.921 region:rollup2
JUST AND I'M ROSE DEADLY AND
02:40:28.185 --> 02:40:32.490 region:rollup2
CLOSE SUPPORT.
02:40:30.921 --> 02:40:35.559 region:rollup2
REPIX CALIFORNIA DISABILITY
02:40:32.490 --> 02:40:40.965 region:rollup2
RIGHTS STRONG SUPPORT
02:40:35.559 --> 02:40:42.066 region:rollup2
[inaudible] ONE OUNCE.
02:40:40.965 --> 02:40:42.666 region:rollup2
THE KNOW WILL BRING IN A BRIEF
02:40:42.066 --> 02:40:59.083 region:rollup2
BACK -- IS
02:40:42.666 --> 02:40:59.083 region:rollup2
THERE ANYONE IN OPPOSITE
02:41:00.784 --> 02:41:01.552 region:rollup2
.
02:41:00.918 --> 02:41:02.820 region:rollup2
MISTER CHAIRMAN THE MEMBER SCOTT
02:41:01.552 --> 02:41:03.954 region:rollup2
WORSHIP HAVE TO CALIFORNIA STATE
02:41:02.820 --> 02:41:05.189 region:rollup2
ASSOCIATION OF ELECTRICAL
02:41:03.954 --> 02:41:06.924 region:rollup2
WORKERS TO CALIFORNIA STATE
02:41:05.189 --> 02:41:07.558 region:rollup2
PATRIOTS COUNCIL.
02:41:06.924 --> 02:41:09.059 region:rollup2
AND THE WESTERN STATES COUNCIL
02:41:07.558 --> 02:41:11.128 region:rollup2
SHEET METAL WORKERS.
02:41:09.059 --> 02:41:13.397 region:rollup2
THE ISSUE THAT MY HEALTH TRUST
02:41:11.128 --> 02:41:14.598 region:rollup2
FUNDS HAVE WITH THIS BILL IS ON
02:41:13.397 --> 02:41:17.801 region:rollup2
THE DIALYSIS SIDE NOT ON THE
02:41:14.598 --> 02:41:18.836 region:rollup2
DRUG TREATMENT SIDE.
02:41:17.801 --> 02:41:20.905 region:rollup2
EVEN WITH THE LAST THEIR
02:41:18.836 --> 02:41:22.573 region:rollup2
AMENDMENTS AS I UNDERSTAND WHICH
02:41:20.905 --> 02:41:24.942 region:rollup2
I THINK IMPROVES UPON THE BILL.
02:41:22.573 --> 02:41:25.242 region:rollup2
IT STILL IS BEYOND ME WHY
02:41:24.942 --> 02:41:26.744 region:rollup2
[inaudible]
02:41:25.242 --> 02:41:29.613 region:rollup2
THIS LEGISLATURE.
02:41:26.744 --> 02:41:32.483 region:rollup2
WE WANT TO TAKE WORKERS.
02:41:29.613 --> 02:41:35.619 region:rollup2
WHO HAVE FALLEN ON HARD TIMES?
02:41:32.483 --> 02:41:37.221 region:rollup2
WHO ARE GROSSLY ILL?
02:41:35.619 --> 02:41:39.323 region:rollup2
AND PUSH ALLOW EACH YOU MOST TO
02:41:37.221 --> 02:41:40.824 region:rollup2
PUSH THEM ON TO MEDICARE.
02:41:39.323 --> 02:41:42.593 region:rollup2
SO THAT THEIR FAMILY MEMBERS.
02:41:40.824 --> 02:41:44.361 region:rollup2
ARE THEN LEFT WITHOUT HEALTH
02:41:42.593 --> 02:41:46.497 region:rollup2
INSURANCE.
02:41:44.361 --> 02:41:49.033 region:rollup2
LET ME GIVE YOU AN EXAMPLE.
02:41:46.497 --> 02:41:50.801 region:rollup2
IT IS IN A UNION TRUST FUND
02:41:49.033 --> 02:41:52.336 region:rollup2
MULTI EMPLOYER TRUST FUND.
02:41:50.801 --> 02:41:54.438 region:rollup2
AND EMPLOYER PAYS A CERTAIN
02:41:52.336 --> 02:41:57.508 region:rollup2
AMOUNT PER HOUR TO A MEMBERS
02:41:54.438 --> 02:41:58.576 region:rollup2
HEALTH CARE ACCOUNT.
02:41:57.508 --> 02:42:01.345 region:rollup2
THEY DRAW DOWN THAT ACCOUNT ON A
02:41:58.576 --> 02:42:02.546 region:rollup2
MONTHLY BASIS.
02:42:01.345 --> 02:42:03.747 region:rollup2
WHEN THEY GET TOO IF THEY GET
02:42:02.546 --> 02:42:05.516 region:rollup2
UNEMPLOYED AS WE DO AND
02:42:03.747 --> 02:42:06.717 region:rollup2
CONSTRUCTION ON A REGULAR BASIS
02:42:05.516 --> 02:42:08.786 region:rollup2
MY MEMBERS WILL BE OUT OF WORK
02:42:06.717 --> 02:42:10.988 region:rollup2
SOMETIMES A YEAR OR TWO YEARS?
02:42:08.786 --> 02:42:13.424 region:rollup2
WHEN THEY RUN THEIR COUNT DOWN?
02:42:10.988 --> 02:42:14.225 region:rollup2
TO ZERO THEY GET COBRA.
02:42:13.424 --> 02:42:17.127 region:rollup2
MEANING THEY HAVE TO PAY OUT OF
02:42:14.225 --> 02:42:18.262 region:rollup2
THEIR POCKET. TO MAINTAIN THEIR
02:42:17.127 --> 02:42:20.197 region:rollup2
HEALTH INSURANCE NOT JUST FOR
02:42:18.262 --> 02:42:22.299 region:rollup2
THEM.
02:42:20.197 --> 02:42:24.034 region:rollup2
BUT FOR THEIR FAMILY.
02:42:22.299 --> 02:42:25.736 region:rollup2
I KNOW OF TWO INSTANCES WHERE
02:42:24.034 --> 02:42:27.771 region:rollup2
MEMBERS OF MINE HAVE RECEIVED
02:42:25.736 --> 02:42:30.207 region:rollup2
GRANTS THAT HAVE HELPED THEM
02:42:27.771 --> 02:42:31.875 region:rollup2
MAINTAIN THEIR HEALTH INSURANCE.
02:42:30.207 --> 02:42:33.210 region:rollup2
NOT FOR THEMSELVES BECAUSE THEY
02:42:31.875 --> 02:42:36.046 region:rollup2
COULD GOING TO MEDICARE.
02:42:33.210 --> 02:42:38.082 region:rollup2
BUT FOR THEIR FAMILY.
02:42:36.046 --> 02:42:40.150 region:rollup2
SO IT IS BEYOND ME WHY.
02:42:38.082 --> 02:42:42.653 region:rollup2
IT'S A DEMOCRATIC PRINCIPLE THAT
02:42:40.150 --> 02:42:44.255 region:rollup2
WE WANT TO FORCE WORKERS.
02:42:42.653 --> 02:42:46.156 region:rollup2
OUT OF THEIR HEALTH INSURANCE
02:42:44.255 --> 02:42:47.157 region:rollup2
FOR THEIR FAMILIES SO THAT.
02:42:46.156 --> 02:42:48.826 region:rollup2
H. YOU MODES CAN SAVE A FEW
02:42:47.157 --> 02:42:49.827 region:rollup2
MONTHS WORTH THE MONEY.
02:42:48.826 --> 02:42:52.696 region:rollup2
BECAUSE REMEMBER THERE ARE THE
02:42:49.827 --> 02:42:53.364 region:rollup2
CAPTIVE THIRTY MONTHS.
02:42:52.696 --> 02:42:54.732 region:rollup2
BEFORE SOMEBODY WITH ON DIALYSIS
02:42:53.364 --> 02:42:56.800 region:rollup2
GETS PUSHED.
02:42:54.732 --> 02:42:58.102 region:rollup2
I TO MEDICARE.
02:42:56.800 --> 02:42:59.603 region:rollup2
SO IS THAT REALLY WHAT WE WANT
02:42:58.102 --> 02:43:00.738 region:rollup2
TO DO.
02:42:59.603 --> 02:43:01.805 region:rollup2
TAKE HEALTHCARE AWAY FROM
02:43:00.738 --> 02:43:03.540 region:rollup2
FAMILIES KNOW THEY COULD GOING
02:43:01.805 --> 02:43:05.476 region:rollup2
TO MEDI CAL.
02:43:03.540 --> 02:43:06.510 region:rollup2
IF THE SPEND DOWN THEIR ASSETS
02:43:05.476 --> 02:43:07.978 region:rollup2
ALL THE WAY DOWN TO TWO THOUSAND
02:43:06.510 --> 02:43:09.213 region:rollup2
DOLLARS.
02:43:07.978 --> 02:43:10.848 region:rollup2
SO I DON'T WANT TO PUT MY MEMBER
02:43:09.213 --> 02:43:13.350 region:rollup2
IN A POSITION OF HAVING TO SAY
02:43:10.848 --> 02:43:14.818 region:rollup2
YOU HAVE TO SELL YOUR HOUSE.
02:43:13.350 --> 02:43:16.553 region:rollup2
AND SPENT EVERY PENNY OF IT.
02:43:14.818 --> 02:43:17.921 region:rollup2
ON HEALTH CARE.
02:43:16.553 --> 02:43:19.790 region:rollup2
SO YOUR FAMILY CAN GET ON MEDI
02:43:17.921 --> 02:43:21.925 region:rollup2
CAL WHEN YOU COULD JUST BE IN
02:43:19.790 --> 02:43:24.194 region:rollup2
OUR UNION TRUST FUND.
02:43:21.925 --> 02:43:25.729 region:rollup2
UP BLUE SHIELD OR A BLUE CROSS
02:43:24.194 --> 02:43:27.665 region:rollup2
THE HEALTH PLAN THROUGH THOSE
02:43:25.729 --> 02:43:28.732 region:rollup2
REASONS I THINK THIS BILL IS
02:43:27.665 --> 02:43:30.868 region:rollup2
FLAWED ON THE DIALYSIS.
02:43:28.732 --> 02:43:31.869 region:rollup2
THANK YOU.
02:43:30.868 --> 02:43:32.736 region:rollup2
BY BY EARLY AGREEMENT WE'D
02:43:31.869 --> 02:43:34.571 region:rollup2
AGREED FOR THREE WITNESSES A TWO
02:43:32.736 --> 02:43:37.541 region:rollup2
MINUTE SCENE SO.
02:43:34.571 --> 02:43:38.742 region:rollup2
SO YOU KNOW WHERE.
02:43:37.541 --> 02:43:39.710 region:rollup2
SO SO THAT EVERYBODY IN THE
02:43:38.742 --> 02:43:41.311 region:rollup2
AUDIENCE NOW SO YOU'VE GOT A
02:43:39.710 --> 02:43:42.880 region:rollup2
COUPLE MINUTES.
02:43:41.311 --> 02:43:44.481 region:rollup2
GOOD AFTERNOON CHAIRMAN WOOD AND
02:43:42.880 --> 02:43:46.216 region:rollup2
MEMBERS OF THE ASSEMBLY HEALTH.
02:43:44.481 --> 02:43:48.852 region:rollup2
I'M LEVINE BURDEN PRESIDENT AND
02:43:46.216 --> 02:43:50.954 region:rollup2
CEO OF THE AMERICAN KIDNEY FUND
02:43:48.852 --> 02:43:51.388 region:rollup2
LAST YEAR WE HELPED OVER FOUR
02:43:50.954 --> 02:43:52.589 region:rollup2
THOUSAND LOW INCOME
02:43:51.388 --> 02:43:54.391 region:rollup2
CALIFORNIANS.
02:43:52.589 --> 02:43:55.726 region:rollup2
OUGHT TO PAY FOR THEIR HEALTH
02:43:54.391 --> 02:43:58.195 region:rollup2
INSURANCE PREMIUMS.
02:43:55.726 --> 02:44:00.030 region:rollup2
I'M HERE TODAY IN OPPOSITION TO
02:43:58.195 --> 02:44:01.432 region:rollup2
SB ELEVEN FIFTY SIX DUE TO SOME
02:44:00.030 --> 02:44:02.966 region:rollup2
CHALLENGES THAT REMAIN IN THE
02:44:01.432 --> 02:44:04.768 region:rollup2
CURRENT VERSION.
02:44:02.966 --> 02:44:05.969 region:rollup2
WE ARE EXTREMELY GRATEFUL TO YOU
02:44:04.768 --> 02:44:08.005 region:rollup2
CHAIRMAN WOULD MD ASSEMBLY
02:44:05.969 --> 02:44:08.772 region:rollup2
HEALTH COMMITTEE FOR INTRODUCING
02:44:08.005 --> 02:44:10.407 region:rollup2
SIGNIFICANT AMENDMENTS TO THE
02:44:08.772 --> 02:44:11.775 region:rollup2
BILL.
02:44:10.407 --> 02:44:13.077 region:rollup2
THESE AMENDMENTS WILL ELIMINATE
02:44:11.775 --> 02:44:14.845 region:rollup2
MANY OF THE PROVISIONS THAT
02:44:13.077 --> 02:44:17.247 region:rollup2
WOULD HARM COVERAGE AND CARE FOR
02:44:14.845 --> 02:44:18.515 region:rollup2
CALIFORNIA DIALYSIS PATIENTS
02:44:17.247 --> 02:44:20.351 region:rollup2
THAT WOULD HAVE BEEN CAUSED BY
02:44:18.515 --> 02:44:21.719 region:rollup2
THE SENATE VERSION OF THE BILL.
02:44:20.351 --> 02:44:23.454 region:rollup2
WE THANK EACH MEMBER FOR
02:44:21.719 --> 02:44:24.455 region:rollup2
SPENDING THE TIME THAT YOU HAVE
02:44:23.454 --> 02:44:25.089 region:rollup2
WITH PATIENTS FROM YOUR
02:44:24.455 --> 02:44:26.523 region:rollup2
DISTRICTS OVER THE LAST SEVERAL
02:44:25.089 --> 02:44:27.891 region:rollup2
WEEKS.
02:44:26.523 --> 02:44:29.293 region:rollup2
WE THANK THE CHAIRMAN AND THE
02:44:27.891 --> 02:44:30.694 region:rollup2
COMMITTEE FOR PUTTING FORTH
02:44:29.293 --> 02:44:32.129 region:rollup2
AMENDMENTS TO ELIMINATE THE
02:44:30.694 --> 02:44:33.597 region:rollup2
REQUIREMENT THAT PATIENTS
02:44:32.129 --> 02:44:34.631 region:rollup2
RECEIVING CHARITABLE PREMIUM
02:44:33.597 --> 02:44:36.567 region:rollup2
ASSISTANCE.
02:44:34.631 --> 02:44:38.669 region:rollup2
MUST FIRST APPLY FOR MEDICARE
02:44:36.567 --> 02:44:39.970 region:rollup2
AND MEDICAID OBVIOUS AND WAIT
02:44:38.669 --> 02:44:41.305 region:rollup2
SIXTY DAYS BEFORE THEY COULD
02:44:39.970 --> 02:44:42.606 region:rollup2
RECEIVE ASSISTANCE.
02:44:41.305 --> 02:44:44.441 region:rollup2
WE BELIEVE THAT THE CHANGES THAT
02:44:42.606 --> 02:44:45.576 region:rollup2
HAVE BEEN ACTIVE GO A LONG WAY
02:44:44.441 --> 02:44:45.876 region:rollup2
IN IMPROVING THE BILL
02:44:45.576 --> 02:44:47.811 region:rollup2
[inaudible]
02:44:45.876 --> 02:44:49.546 region:rollup2
HOWEVER.
02:44:47.811 --> 02:44:51.381 region:rollup2
WE ARE UP WE REMAIN CONCERNED
02:44:49.546 --> 02:44:53.417 region:rollup2
ABOUT ISSUES THAT MAKE IT
02:44:51.381 --> 02:44:55.552 region:rollup2
DIFFICULT FOR US TO SUPPORT THIS
02:44:53.417 --> 02:44:57.621 region:rollup2
BILL IN ITS CURRENT FORM.
02:44:55.552 --> 02:44:59.356 region:rollup2
LET ME BE ABSOLUTELY CLEAR OUR
02:44:57.621 --> 02:45:01.959 region:rollup2
CONCERN IS NOT ABOUT
02:44:59.356 --> 02:45:03.961 region:rollup2
REIMBURSEMENT RATES WE ADAMANTLY
02:45:01.959 --> 02:45:05.496 region:rollup2
BELIEVE THAT RACE SHOULD BE
02:45:03.961 --> 02:45:07.164 region:rollup2
NEGOTIATED BETWEEN INSURERS AND
02:45:05.496 --> 02:45:09.700 region:rollup2
PROVIDERS.
02:45:07.164 --> 02:45:11.468 region:rollup2
OUR CONCERN IS ABOUT MAINTAINING
02:45:09.700 --> 02:45:13.003 region:rollup2
SUFFICIENT BALANCE IN THE SYSTEM
02:45:11.468 --> 02:45:14.671 region:rollup2
TO ENSURE ACCESS FOR PEOPLE WHO
02:45:13.003 --> 02:45:16.907 region:rollup2
ARE ON DIALYSIS.
02:45:14.671 --> 02:45:18.509 region:rollup2
WHILE WE THINK THAT IT WAS NOT
02:45:16.907 --> 02:45:20.344 region:rollup2
THE INTENTION OF THE COMMITTEE.
02:45:18.509 --> 02:45:22.880 region:rollup2
THE REWRITE POTENTIALLY CAUSES
02:45:20.344 --> 02:45:24.581 region:rollup2
NEW ISSUES FOR PATIENT ACCESS.
02:45:22.880 --> 02:45:25.616 region:rollup2
ESPECIALLY FOR THOSE PEOPLE WHO
02:45:24.581 --> 02:45:27.017 region:rollup2
LIVE IN INNER CITY AND RURAL
02:45:25.616 --> 02:45:29.186 region:rollup2
AREAS.
02:45:27.017 --> 02:45:31.021 region:rollup2
CHARITABLE PREMIUM ASSISTANCE
02:45:29.186 --> 02:45:32.923 region:rollup2
DOES NOT HAVE A VALUE OF
02:45:31.021 --> 02:45:34.024 region:rollup2
PATIENTS IN THESE AREAS CANNOT
02:45:32.923 --> 02:45:35.359 region:rollup2
FIND A PLACE TO RECEIVE THEIR
02:45:34.024 --> 02:45:38.929 region:rollup2
CARE.
02:45:35.359 --> 02:45:41.131 region:rollup2
OUR CONCERN IS THAT ELEVEN FIFTY
02:45:38.929 --> 02:45:42.332 region:rollup2
SIX SB ELEVEN FIFTY SIX AS
02:45:41.131 --> 02:45:43.734 region:rollup2
CURRENTLY WRITTEN.
02:45:42.332 --> 02:45:46.236 region:rollup2
COULD LEAD TO THE CLOSURE OF
02:45:43.734 --> 02:45:48.338 region:rollup2
DIALYSIS CENTERS AND THEY ARE
02:45:46.236 --> 02:45:50.240 region:rollup2
FIVE THREATEN PATIENT ACCESS.
02:45:48.338 --> 02:45:52.042 region:rollup2
IT IS CRITICALLY IMPORTANT THAT
02:45:50.240 --> 02:45:54.311 region:rollup2
THE COMMITTEE ANALYZE THIS ISSUE
02:45:52.042 --> 02:45:56.613 region:rollup2
BEFORE PASSING LEGISLATION THAT
02:45:54.311 --> 02:45:58.782 region:rollup2
HAS THE POTENTIAL TO DISRUPT THE
02:45:56.613 --> 02:46:00.951 region:rollup2
AVAILABILITY OF CARE FOR SOME OF
02:45:58.782 --> 02:46:03.053 region:rollup2
CALIFORNIA'S MOST MEDICALLY
02:46:00.951 --> 02:46:04.988 region:rollup2
VULNERABLE CITIZENS.
02:46:03.053 --> 02:46:06.490 region:rollup2
I PATIENTS CANNOT GET TO CARE
02:46:04.988 --> 02:46:08.525 region:rollup2
BECOME THE CLINIC IS CLOSE
02:46:06.490 --> 02:46:09.960 region:rollup2
THEY'RE HELPFUL SUFFERED GREATLY
02:46:08.525 --> 02:46:11.628 region:rollup2
AND THE COST OF CARE WILL
02:46:09.960 --> 02:46:13.630 region:rollup2
INCREASE AS THEY WILL BE
02:46:11.628 --> 02:46:14.598 region:rollup2
HOSPITALIZED MORE AND WILL SEEK.
02:46:13.630 --> 02:46:16.366 region:rollup2
ARE CURATIVE CARE AND OTHER
02:46:14.598 --> 02:46:18.001 region:rollup2
TREATMENTS.
02:46:16.366 --> 02:46:20.838 region:rollup2
WE CAN ALSO TELL YOU THAT THERE
02:46:18.001 --> 02:46:22.172 region:rollup2
IS A LONG HISTORY AND MEDICARE.
02:46:20.838 --> 02:46:24.208 region:rollup2
ABOUT ESTABLISHING A BALANCE
02:46:22.172 --> 02:46:25.742 region:rollup2
BETWEEN PUBLIC AND PRIVATE
02:46:24.208 --> 02:46:27.811 region:rollup2
REIMBURSEMENTS AND THAT IS
02:46:25.742 --> 02:46:29.279 region:rollup2
ABSOLUTELY ESSENTIAL TO MAKE THE
02:46:27.811 --> 02:46:30.614 region:rollup2
ENTIRE SYSTEM WORK.
02:46:29.279 --> 02:46:32.549 region:rollup2
OUR PROGRAM AT THE AMERICAN
02:46:30.614 --> 02:46:34.117 region:rollup2
KIDNEY FUND WAS ESTABLISHED
02:46:32.549 --> 02:46:35.652 region:rollup2
TWENTY ONE YEARS AGO UNDER
02:46:34.117 --> 02:46:37.221 region:rollup2
FEDERAL ADVISORY OPINION TO
02:46:35.652 --> 02:46:39.056 region:rollup2
ENSURE THAT WE WOULD BE ABLE TO
02:46:37.221 --> 02:46:39.890 region:rollup2
SUPPORT PATIENTS ABILITY. TO
02:46:39.056 --> 02:46:43.727 region:rollup2
CHOOSE THE INSURANCE THAT BEST
02:46:39.890 --> 02:46:44.361 region:rollup2
MEETS THEIR FINANCIAL NEEDS THIS
02:46:43.727 --> 02:46:46.463 region:rollup2
IS THE COMBINATION OF PUBLIC AND
02:46:44.361 --> 02:46:47.898 region:rollup2
PRIVATE.
02:46:46.463 --> 02:46:49.833 region:rollup2
PASSING LEGISLATION THAT SAYS
02:46:47.898 --> 02:46:51.468 region:rollup2
PROVIDERS WILL BE A REIMBURSED
02:46:49.833 --> 02:46:52.669 region:rollup2
AT THE MEDICARE RIGHT FOR
02:46:51.468 --> 02:46:55.806 region:rollup2
PATIENTS WHO RECEIVED CHARITABLE
02:46:52.669 --> 02:46:57.174 region:rollup2
ASSISTANCE SEEMS TO RUN CONTRARY
02:46:55.806 --> 02:46:58.075 region:rollup2
TO THREE DECADES A STATUTE AND
02:46:57.174 --> 02:46:59.643 region:rollup2
REGULATION.
02:46:58.075 --> 02:47:01.078 region:rollup2
AT THE FEDERAL LEVEL.
02:46:59.643 --> 02:47:03.347 region:rollup2
THIS WELL ESTABLISHED HISTORY
02:47:01.078 --> 02:47:05.048 region:rollup2
RECOGNIZES THE REALITY THAT
02:47:03.347 --> 02:47:07.517 region:rollup2
PUBLIC PROGRAMS AND PRIVATE
02:47:05.048 --> 02:47:09.520 region:rollup2
INSURERS MUCH SHARE THE BURDEN
02:47:07.517 --> 02:47:11.021 region:rollup2
OF COVERING THIS POPULATION.
02:47:09.520 --> 02:47:12.389 region:rollup2
I WOULD THEREFORE URGE THE
02:47:11.021 --> 02:47:14.524 region:rollup2
COMMITTEE TO CONSIDER THE
02:47:12.389 --> 02:47:15.492 region:rollup2
POTENTIAL BROADER IMPLICATIONS
02:47:14.524 --> 02:47:16.760 region:rollup2
OF THE PAVEMENT MEASURES OF THE
02:47:15.492 --> 02:47:18.128 region:rollup2
BILL.
02:47:16.760 --> 02:47:20.130 region:rollup2
IN ADDITION WE ARE ALSO
02:47:18.128 --> 02:47:21.732 region:rollup2
CONCERNED ABOUT ISSUES ARE
02:47:20.130 --> 02:47:24.568 region:rollup2
PROVISIONS IN THE BILL THAT
02:47:21.732 --> 02:47:26.470 region:rollup2
WOULD MAKE IT IMPOSSIBLE FOR US.
02:47:24.568 --> 02:47:28.005 region:rollup2
TO PROVIDE CHARITABLE ASSISTANCE
02:47:26.470 --> 02:47:29.106 region:rollup2
BASED UPON OUR MISSION AS IT
02:47:28.005 --> 02:47:31.275 region:rollup2
WOULD BE LIMITED ONLY TO
02:47:29.106 --> 02:47:32.976 region:rollup2
FINANCIAL NEED WE HAVE TO LOOK
02:47:31.275 --> 02:47:34.311 region:rollup2
AT THE FACT THAT THE AMERICAN
02:47:32.976 --> 02:47:35.679 region:rollup2
KIDNEY FUND FOR ALMOST HALF A
02:47:34.311 --> 02:47:37.314 region:rollup2
CENTURY.
02:47:35.679 --> 02:47:39.316 region:rollup2
HAS BEEN ESTABLISHED NOW TO
02:47:37.314 --> 02:47:41.585 region:rollup2
PROVIDE ASSISTANCE TO PEOPLE WHO
02:47:39.316 --> 02:47:44.354 region:rollup2
ARE HAVE TRANSPLANTS OR WHO ARE
02:47:41.585 --> 02:47:45.923 region:rollup2
ON DIALYSIS MAKING SURE THAT
02:47:44.354 --> 02:47:47.190 region:rollup2
THEY GET THE CARE THEY NEED.
02:47:45.923 --> 02:47:48.792 region:rollup2
I WOULD ALSO URGE YOU TO
02:47:47.190 --> 02:47:50.827 region:rollup2
REMEMBER THAT YOU CAN SAY IT AS
02:47:48.792 --> 02:47:52.596 region:rollup2
MANY TIMES AS YOU WISH BUT
02:47:50.827 --> 02:47:53.764 region:rollup2
AMERICA KIDNEY FUND NOT A
02:47:52.596 --> 02:47:55.799 region:rollup2
FINANCIALLY INTERESTED
02:47:53.764 --> 02:47:57.568 region:rollup2
ORGANIZATION WE URGE YOU TO TAKE
02:47:55.799 --> 02:47:59.903 region:rollup2
A LOOK AT THE IMPLICATIONS OF
02:47:57.568 --> 02:48:01.705 region:rollup2
THIS BILL BEFORE YOU PASS IT.
02:47:59.903 --> 02:48:02.739 region:rollup2
IF YOU WE HAVE NOW EXCEEDED
02:48:01.705 --> 02:48:05.075 region:rollup2
SEVEN MINUTES MIGHT BE GREEN IT
02:48:02.739 --> 02:48:06.710 region:rollup2
WAS THREE THREE WITNESSES TWO
02:48:05.075 --> 02:48:08.478 region:rollup2
MINUTES EACH SO I'M GONNA ASK.
02:48:06.710 --> 02:48:10.180 region:rollup2
FOR THE WITNESSES THEIR NAME AND
02:48:08.478 --> 02:48:11.315 region:rollup2
POSITION ON THE BILL ONLY HOUSE
02:48:10.180 --> 02:48:12.816 region:rollup2
ONE POINT OUT TO THE COMMITTEE
02:48:11.315 --> 02:48:14.685 region:rollup2
THAT THIS MOCKUP IS NOT
02:48:12.816 --> 02:48:15.218 region:rollup2
COMMITTEE MARKUP THIS IS A MOCK
02:48:14.685 --> 02:48:16.820 region:rollup2
UP.
02:48:15.218 --> 02:48:18.755 region:rollup2
FROM THE FROM THE CALIFORNIA
02:48:16.820 --> 02:48:20.123 region:rollup2
DIALYSIS COUNCIL SO IT LOOKS
02:48:18.755 --> 02:48:21.224 region:rollup2
VERY MUCH LIKE OUR MOCK UP AND
02:48:20.123 --> 02:48:22.526 region:rollup2
JUST WANT TO POINT OUT THAT
02:48:21.224 --> 02:48:23.927 region:rollup2
THERE IS A MARKET THAT IS.
02:48:22.526 --> 02:48:26.229 region:rollup2
FROM THEM WITH SUGGESTED
02:48:23.927 --> 02:48:27.731 region:rollup2
AMENDMENTS SO WITH THAT --
02:48:26.229 --> 02:48:28.365 region:rollup2
I APOLOGIZE WE WERE PRETTY CLEAR
02:48:27.731 --> 02:48:30.734 region:rollup2
ABOUT WHAT WE WERE WE WE WE ASK
02:48:28.365 --> 02:48:32.269 region:rollup2
--
02:48:30.734 --> 02:48:33.637 region:rollup2
WE WERE ASKED THREE WE WERE
02:48:32.269 --> 02:48:35.939 region:rollup2
GIVEN THREE WITNESSES TWO
02:48:33.637 --> 02:48:38.275 region:rollup2
MINUTES EACH WE WENT PAST THAT
02:48:35.939 --> 02:48:39.943 region:rollup2
WENT TO SEVEN MINUTES AND SO
02:48:38.275 --> 02:48:40.510 region:rollup2
JUST ASKING NOW.
02:48:39.943 --> 02:48:43.714 region:rollup2
FOR NAME AND POSITION ON THE
02:48:40.510 --> 02:48:45.482 region:rollup2
BILL PLEASE.
02:48:43.714 --> 02:48:47.784 region:rollup2
JAN THE WALL IS A PATIENT.
02:48:45.482 --> 02:48:49.886 region:rollup2
YES GOOD AFTERNOON CHAIRMAN
02:48:47.784 --> 02:48:52.189 region:rollup2
WOULD AND COMMITTEE MEMBERS.
02:48:49.886 --> 02:48:54.691 region:rollup2
YEAH I THINK YOU VERY MUCH FOR
02:48:52.189 --> 02:48:56.293 region:rollup2
THE OPPORTUNITY TO SPEAK TO YOU.
02:48:54.691 --> 02:48:57.361 region:rollup2
I'D LIKE TO SPEAK ADDITION.
02:48:56.293 --> 02:48:58.395 region:rollup2
PARDON YOU JUST YOUR NAME AND
02:48:57.361 --> 02:48:59.896 region:rollup2
POSITION ON THE PREVIOUS
02:48:58.395 --> 02:49:02.065 region:rollup2
WITNESSES TOOK YOUR TESTIMONY
02:48:59.896 --> 02:49:05.769 region:rollup2
TIME AND MY NAME IS JANET DEWALD
02:49:02.065 --> 02:49:09.606 region:rollup2
AND I AM A DIALYSIS PATIENT --
02:49:05.769 --> 02:49:14.011 region:rollup2
I AM A DIALYSIS PATIENT BECAUSE
02:49:09.606 --> 02:49:17.481 region:rollup2
EVER YEARS BUT I'M.
02:49:14.011 --> 02:49:21.418 region:rollup2
AGAIN AND I OPPOSE A THEY LET US
02:49:17.481 --> 02:49:22.719 region:rollup2
SENATE BILL [inaudible]
02:49:21.418 --> 02:49:25.389 region:rollup2
ELEVEN FIFTY SIX OTHERS.
02:49:22.719 --> 02:49:26.023 region:rollup2
YOUR NAME AND POSITION.
02:49:25.389 --> 02:49:27.424 region:rollup2
HI GOOD AFTERNOON SHANNON SMITH
02:49:26.023 --> 02:49:29.359 region:rollup2
CROWLEY REPRESENTING THE
02:49:27.424 --> 02:49:30.794 region:rollup2
CALIFORNIA COALITION.
02:49:29.359 --> 02:49:32.362 region:rollup2
OF ACCOUNT CALIFORNIA CHRONIC
02:49:30.794 --> 02:49:36.366 region:rollup2
CARE COALITION WITH IMPOSE LESS
02:49:32.362 --> 02:49:37.134 region:rollup2
AMENDED POSITION.
02:49:36.366 --> 02:49:38.468 region:rollup2
A MISTER CHAIR AND MEMBERS
02:49:37.134 --> 02:49:41.038 region:rollup2
MICHAEL ARNOLD REPRESENTING THE
02:49:38.468 --> 02:49:42.673 region:rollup2
CALIFORNIA DIALYSIS COUNCIL AND
02:49:41.038 --> 02:49:42.939 region:rollup2
WE DID PASS OUT THE AMENDMENTS
02:49:42.673 --> 02:49:44.107 region:rollup2
FOR YOU.
02:49:42.939 --> 02:49:45.375 region:rollup2
OUR PROBLEM WITH THE AMENDMENTS
02:49:44.107 --> 02:49:47.344 region:rollup2
PROPOSED BY THE COMMITTEE IS
02:49:45.375 --> 02:49:49.279 region:rollup2
SIMPLY THAT IT BECOMES A RATE
02:49:47.344 --> 02:49:51.114 region:rollup2
SETTING BILL.
02:49:49.279 --> 02:49:52.683 region:rollup2
THE SETTING MEDICARE AS THE RATE
02:49:51.114 --> 02:49:53.250 region:rollup2
THAT WOULD BE PAID AND WE THINK
02:49:52.683 --> 02:49:56.319 region:rollup2
THAT'S A VERY SLIPPERY SLOPE
02:49:53.250 --> 02:49:58.321 region:rollup2
THANK YOU.
02:49:56.319 --> 02:49:59.222 region:rollup2
NAY NAY HAD AFTER SURGERY TOSSED
02:49:58.321 --> 02:50:00.557 region:rollup2
OUT A LICENSED CLINICAL SOCIAL
02:49:59.222 --> 02:50:03.727 region:rollup2
WORKER TWENTY SIX YEARS AN
02:50:00.557 --> 02:50:05.028 region:rollup2
APOLOGY AND I OPPOSE THANK YOU.
02:50:03.727 --> 02:50:06.530 region:rollup2
CHRIS PROBABLY LICENSED CLINICAL
02:50:05.028 --> 02:50:09.499 region:rollup2
SOCIAL WORKER FOR THIRTY YEARS
02:50:06.530 --> 02:50:10.600 region:rollup2
AND I OPPOSE THINK --
02:50:09.499 --> 02:50:11.835 region:rollup2
MISTER CHAIR MEMBERS WANT TOM
02:50:10.600 --> 02:50:14.838 region:rollup2
CERTAIN CALIFORNIA MEDICAL
02:50:11.835 --> 02:50:16.673 region:rollup2
ASSOCIATION ON THE AMENDMENTS --
02:50:14.838 --> 02:50:18.108 region:rollup2
WELL I GUESS THERE'S NEW MEMBERS
02:50:16.673 --> 02:50:19.643 region:rollup2
SO WE HAVEN'T SEEN OF THE
02:50:18.108 --> 02:50:21.311 region:rollup2
MEMBERS THAT WE HAVE SEEN OUR WE
02:50:19.643 --> 02:50:23.680 region:rollup2
HAVE CONCERNS ABOUT LINKING
02:50:21.311 --> 02:50:24.948 region:rollup2
MEDICARE TO COMMERCIAL PRODUCTS.
02:50:23.680 --> 02:50:25.916 region:rollup2
OTHER NOW WE THINK TO MAKE THEM
02:50:24.948 --> 02:50:27.417 region:rollup2
SO WE HAVE SEEN MOVE IN THE
02:50:25.916 --> 02:50:27.851 region:rollup2
RIGHT DIRECTION AND WE LOOK
02:50:27.417 --> 02:50:28.585 region:rollup2
FORWARD TO CONTINUE
02:50:27.851 --> 02:50:34.357 region:rollup2
CONVERSATION.
02:50:28.585 --> 02:50:35.592 region:rollup2
YOU'RE A TWEENER.
02:50:34.357 --> 02:50:36.893 region:rollup2
MISTER CHAIRMAN RESULT SOUTH OF
02:50:35.592 --> 02:50:38.795 region:rollup2
THE CALIFORNIA ASSOCIATION AND
02:50:36.893 --> 02:50:40.297 region:rollup2
WE APPRECIATE THE AUTHOR'S WORK
02:50:38.795 --> 02:50:40.897 region:rollup2
ON WITH THE COMMITMENTS WE
02:50:40.297 --> 02:50:44.234 region:rollup2
REMAIN IN OPPOSITION LOOK FOR
02:50:40.897 --> 02:50:47.704 region:rollup2
CONTINUING.
02:50:44.234 --> 02:50:49.172 region:rollup2
KEVIN BEAT MEN OPPOSED.
02:50:47.704 --> 02:50:52.175 region:rollup2
CASSANDRA ARMY DIALYSIS WORKER
02:50:49.172 --> 02:50:54.144 region:rollup2
AND I OPPOSE.
02:50:52.175 --> 02:50:54.678 region:rollup2
I'M ANGELA CHรกVEZ SEVENTEEN
02:50:54.144 --> 02:50:57.047 region:rollup2
YEARS IN A FRAWLEY GI POST
02:50:54.678 --> 02:50:57.948 region:rollup2
ACUTE.
02:50:57.047 --> 02:51:00.951 region:rollup2
JOHN ON OPPOSED.
02:50:57.948 --> 02:51:03.920 region:rollup2
THINK HERE.
02:51:00.951 --> 02:51:08.024 region:rollup2
CHRISTY CASEY OPPOSED.
02:51:03.920 --> 02:51:09.259 region:rollup2
I CAN'T JOHNSON OPPOSED.
02:51:08.024 --> 02:51:11.128 region:rollup2
NGUYEN SINCE OUTSIDE OF DALLAS
02:51:09.259 --> 02:51:12.763 region:rollup2
IS NOT FIVE BOOKS.
02:51:11.128 --> 02:51:17.367 region:rollup2
SIGN ESCOBAR PATIENT CARE FOR
02:51:12.763 --> 02:51:18.435 region:rollup2
EIGHTEEN YEARS OPPOSE. FOR
02:51:17.367 --> 02:51:19.836 region:rollup2
DARIUS --
02:51:18.435 --> 02:51:21.972 region:rollup2
REGISTERED NURSE FOR ABOUT TEN
02:51:19.836 --> 02:51:23.974 region:rollup2
YEARS NOW AND OPPOSE THIS BILL.
02:51:21.972 --> 02:51:26.510 region:rollup2
MARYLAND THESE SIGNS DIALYSIS
02:51:23.974 --> 02:51:29.146 region:rollup2
ARE AND FOR EIGHTEEN YEARS AND I
02:51:26.510 --> 02:51:30.046 region:rollup2
OPPOSE THINK YOU.
02:51:29.146 --> 02:51:32.482 region:rollup2
BERNADETTE RALLY I OPPOSE CLICK
02:51:30.046 --> 02:51:36.586 region:rollup2
HERE.
02:51:32.482 --> 02:51:37.420 region:rollup2
SHEILA SIMON PCT I OPPOSE.
02:51:36.586 --> 02:51:39.122 region:rollup2
AARON LEVI FOR SATELLITE
02:51:37.420 --> 02:51:40.991 region:rollup2
HEALTHCARE BECAUSE JOSEPHINE
02:51:39.122 --> 02:51:44.961 region:rollup2
COMMONERS FOR FIFTEEN YEARS FROM
02:51:40.991 --> 02:51:46.396 region:rollup2
YOUR POST.
02:51:44.961 --> 02:51:49.166 region:rollup2
GARY FOR CHEAP PERSON IS KIDNEY
02:51:46.396 --> 02:51:51.334 region:rollup2
CARE I OPPOSE.
02:51:49.166 --> 02:51:53.937 region:rollup2
STACY MARTIN DIALYSIS ARE AND
02:51:51.334 --> 02:51:55.639 region:rollup2
FOR NINE YEARS AND I OPPOSE.
02:51:53.937 --> 02:51:58.975 region:rollup2
AND KNOW BONTA THIRTY YEAR
02:51:55.639 --> 02:52:00.076 region:rollup2
DIALYSIS NURSE AND I OPPOSE.
02:51:58.975 --> 02:52:01.745 region:rollup2
I DON'T KNOW SEEING FIFTEEN
02:52:00.076 --> 02:52:03.880 region:rollup2
YEARS OF DOZENS TECHNICIAN
02:52:01.745 --> 02:52:06.049 region:rollup2
APPLES.
02:52:03.880 --> 02:52:08.752 region:rollup2
BILL MAHER NET DIABLES.
02:52:06.049 --> 02:52:11.087 region:rollup2
VERONICA FLORES MCGREAL CSW --
02:52:08.752 --> 02:52:15.659 region:rollup2
AND AYE OPPOSED.
02:52:11.087 --> 02:52:16.459 region:rollup2
AND MAKE HELL LCSW AND I OPPOSE.
02:52:15.659 --> 02:52:17.427 region:rollup2
ANGELIC UP WHEN THEY'RE
02:52:16.459 --> 02:52:20.096 region:rollup2
REGISTERED NURSE [inaudible]
02:52:17.427 --> 02:52:22.232 region:rollup2
I OPPOSE.
02:52:20.096 --> 02:52:23.400 region:rollup2
ANGELA RETALIATED TWENTY THREE
02:52:22.232 --> 02:52:23.867 region:rollup2
YEARS ARE REGISTERED NURSE
02:52:23.400 --> 02:52:26.703 region:rollup2
DIALYSIS --
02:52:23.867 --> 02:52:28.104 region:rollup2
I POSE.
02:52:26.703 --> 02:52:30.240 region:rollup2
CEREMONIES STYLES HIS SOCIAL
02:52:28.104 --> 02:52:31.775 region:rollup2
WORKER AND I OPPOSE.
02:52:30.240 --> 02:52:34.377 region:rollup2
HEARING HAMMER LICENSED CLINICAL
02:52:31.775 --> 02:52:34.678 region:rollup2
SOCIAL WORKER AND I OPPOSE
02:52:34.377 --> 02:52:38.114 region:rollup2
[inaudible]
02:52:34.678 --> 02:52:39.115 region:rollup2
SORRY.
02:52:38.114 --> 02:52:40.350 region:rollup2
ANDREA GOMEZ DIALYSIS
02:52:39.115 --> 02:52:43.687 region:rollup2
TECHNICIANS LASH ADMINISTRATIVE
02:52:40.350 --> 02:52:46.790 region:rollup2
ASSISTANT AND DAUGHTER OF A TEN
02:52:43.687 --> 02:52:49.626 region:rollup2
YEARS DIALYSIS PATIENT.
02:52:46.790 --> 02:52:51.895 region:rollup2
AND I OPPOSE.
02:52:49.626 --> 02:52:53.263 region:rollup2
CAROLINE MEMBACA WHEN LCSW FOR
02:52:51.895 --> 02:52:57.734 region:rollup2
THE PAST EIGHTEEN YEARS AND
02:52:53.263 --> 02:52:58.602 region:rollup2
DIALYSIS AND I OPPOSE.
02:52:57.734 --> 02:53:00.570 region:rollup2
KENDER BLANCHETTE I'M A
02:52:58.602 --> 02:53:02.105 region:rollup2
REGISTERED DIETITIAN FOR TWENTY
02:53:00.570 --> 02:53:05.208 region:rollup2
FIVE YEARS AND I'LL ASSIST CARE
02:53:02.105 --> 02:53:06.276 region:rollup2
GIVER AND I OPPOSE.
02:53:05.208 --> 02:53:09.679 region:rollup2
DATA MICHELLE REGISTERED NURSE I
02:53:06.276 --> 02:53:12.816 region:rollup2
OPPOSE.
02:53:09.679 --> 02:53:15.452 region:rollup2
ASHLEY SLOAN I OPPOSE.
02:53:12.816 --> 02:53:16.853 region:rollup2
WILBUR OUR AYE OPPOSE.
02:53:15.452 --> 02:53:21.057 region:rollup2
DINI SIMPSON LICENSED CLINICAL
02:53:16.853 --> 02:53:22.692 region:rollup2
SOCIAL WORKER AND I OPPOSE.
02:53:21.057 --> 02:53:26.129 region:rollup2
TINA CRITICAL PATIENT CARE
02:53:22.692 --> 02:53:27.564 region:rollup2
TECHNICIAN I STRONGLY OPPOSE.
02:53:26.129 --> 02:53:30.767 region:rollup2
KIM MOLOT FORTY YEAR CARE
02:53:27.564 --> 02:53:31.901 region:rollup2
PROVIDER I OPPOSE.
02:53:30.767 --> 02:53:34.738 region:rollup2
MARIO AVIVA'S AND I STRONGLY
02:53:31.901 --> 02:53:36.706 region:rollup2
OPPOSE.
02:53:34.738 --> 02:53:40.977 region:rollup2
SHARON JONES EIGHTEEN YEAR
02:53:36.706 --> 02:53:42.412 region:rollup2
DIALYSIS PATIENT AND I OPPOSE.
02:53:40.977 --> 02:53:44.581 region:rollup2
KIMBERLY BAILEY THIRTY YEAR OLD
02:53:42.412 --> 02:53:48.318 region:rollup2
DIALYSIS NURSE INNER CITY I
02:53:44.581 --> 02:53:49.185 region:rollup2
STRONGLY OPPOSE.
02:53:48.318 --> 02:53:49.719 region:rollup2
HOW ACTION AND IT'S REGISTERED
02:53:49.185 --> 02:53:52.856 region:rollup2
NURSE I OPPOSE [inaudible]
02:53:49.719 --> 02:53:54.291 region:rollup2
YOU.
02:53:52.856 --> 02:53:58.261 region:rollup2
SHEILA NOW DIALYSIS DIETITIAN
02:53:54.291 --> 02:54:00.530 region:rollup2
AND I OPPOSE.
02:53:58.261 --> 02:54:02.933 region:rollup2
MARIN HER ADHA DIALYSIS SOCIAL
02:54:00.530 --> 02:54:07.170 region:rollup2
WORKER AND I OPPOSE Q..
02:54:02.933 --> 02:54:10.540 region:rollup2
SETH MILLER I OPPOSE.
02:54:07.170 --> 02:54:13.777 region:rollup2
TELL HER I'LL POST.
02:54:10.540 --> 02:54:18.181 region:rollup2
JORDAN GERSHMAN I OPPOSE.
02:54:13.777 --> 02:54:21.751 region:rollup2
ERIK MENENDEZ I OPPOSE.
02:54:18.181 --> 02:54:23.219 region:rollup2
DANIELLE LEWIS I OPPOSE.
02:54:21.751 --> 02:54:27.123 region:rollup2
RUSSELL DESMOND CURRENT DIALYSIS
02:54:23.219 --> 02:54:30.794 region:rollup2
PATIENT AND I POST.
02:54:27.123 --> 02:54:34.331 region:rollup2
JACKSONMALINOWSKI I OPPOSE.
02:54:30.794 --> 02:54:35.432 region:rollup2
TIES ATTORNEY CAN NOW POST.
02:54:34.331 --> 02:54:36.1000 region:rollup2
BELIEVE ME POINTERS ON BEHALF OF
02:54:35.432 --> 02:54:38.301 region:rollup2
THE PERCENT IS MEDICAL CARE --
02:54:36.1000 --> 02:54:39.970 region:rollup2
IN OPPOSITION UNLESS THE
02:54:38.301 --> 02:54:44.374 region:rollup2
CALIFORNIA DIALYSIS COUNCIL
02:54:39.970 --> 02:54:45.075 region:rollup2
AMENDMENTS WERE ADOPTED.
02:54:44.374 --> 02:54:46.910 region:rollup2
YES ECONOMY BASS --
02:54:45.075 --> 02:54:47.877 region:rollup2
PATIENT CARE TECHNICIAN FOR
02:54:46.910 --> 02:54:49.679 region:rollup2
SEVENTEEN YEARS AND FAMILY
02:54:47.877 --> 02:54:54.250 region:rollup2
MEMBER OF THREE DIALYSIS PATIENT
02:54:49.679 --> 02:54:55.285 region:rollup2
I OPPOSE.
02:54:54.250 --> 02:54:56.052 region:rollup2
GREAT COME UNDONE AYE OPPOSED TO
02:54:55.285 --> 02:54:59.723 region:rollup2
BE [inaudible]
02:54:56.052 --> 02:55:00.557 region:rollup2
ANYONE ELSE.
02:54:59.723 --> 02:55:01.124 region:rollup2
SEE KNOWINGLY BRING IT BACK TO
02:55:00.557 --> 02:55:05.328 region:rollup2
THE COMMITTEE FOR QUESTIONS
02:55:01.124 --> 02:55:07.997 region:rollup2
COMMENTS [inaudible]
02:55:05.328 --> 02:55:10.633 region:rollup2
DETERMINE.
02:55:07.997 --> 02:55:13.236 region:rollup2
CAUSE ARE MISSING HERE CURRY.
02:55:10.633 --> 02:55:15.739 region:rollup2
HARVEST CARILLO QUICK DEBATING
02:55:13.236 --> 02:55:16.806 region:rollup2
WAS GONNA GO FIRST.
02:55:15.739 --> 02:55:17.640 region:rollup2
OKAY MISS KOREA THANK YOU.
02:55:16.806 --> 02:55:18.375 region:rollup2
THANK YOU SENATOR FOR BRINGING
02:55:17.640 --> 02:55:18.975 region:rollup2
THIS TO OR ATTENTION AND THANK
02:55:18.375 --> 02:55:19.809 region:rollup2
YOU TO ALL THE WITNESSES THAT
02:55:18.975 --> 02:55:20.443 region:rollup2
HAVE.
02:55:19.809 --> 02:55:21.611 region:rollup2
TESTIFIED TODAY BOTH IN SUPPORT
02:55:20.443 --> 02:55:23.580 region:rollup2
AND OFFICES.
02:55:21.611 --> 02:55:25.115 region:rollup2
I'VE HAD THE GREAT OPPORTUNITY
02:55:23.580 --> 02:55:26.950 region:rollup2
TO ACTUALLY MEET WITH SEVERAL
02:55:25.115 --> 02:55:27.450 region:rollup2
FOLKS THAT ARE IN SUPPORT AND
02:55:26.950 --> 02:55:29.152 region:rollup2
OPPOSITION AND TRYING TO
02:55:27.450 --> 02:55:30.720 region:rollup2
UNDERSTAND.
02:55:29.152 --> 02:55:32.389 region:rollup2
THE PURPOSE OF YOUR BILL.
02:55:30.720 --> 02:55:34.457 region:rollup2
AND I UNDERSTAND THAT THERE ARE
02:55:32.389 --> 02:55:35.158 region:rollup2
REAL ISSUES OF MANIPULATIONS
02:55:34.457 --> 02:55:36.593 region:rollup2
WITH SOME SUBSTANCE ABUSE
02:55:35.158 --> 02:55:37.660 region:rollup2
PROVIDERS ESPECIALLY THOSE THAT
02:55:36.593 --> 02:55:38.428 region:rollup2
IMPORT.
02:55:37.660 --> 02:55:41.131 region:rollup2
PEOPLE THAT NEED REAL CARE TO
02:55:38.428 --> 02:55:42.332 region:rollup2
OUR STATE UNFORTUNATELY LEFT
02:55:41.131 --> 02:55:44.100 region:rollup2
BEHIND AND I THINK THAT'S A REAL
02:55:42.332 --> 02:55:46.403 region:rollup2
CONCERN.
02:55:44.100 --> 02:55:48.772 region:rollup2
THIS ACTUALLY HITS REALLY CLOSE
02:55:46.403 --> 02:55:50.273 region:rollup2
TO HOME FOR ME MY AUNT IS A
02:55:48.772 --> 02:55:51.975 region:rollup2
RECIPIENT OF DIALYSIS CARE.
02:55:50.273 --> 02:55:52.876 region:rollup2
AND I'M TRYING TO UNDERSTAND
02:55:51.975 --> 02:55:54.144 region:rollup2
WHAT SHE GOES THROUGH EVERY DAY
02:55:52.876 --> 02:55:56.479 region:rollup2
AS I TRY TO UNDERSTAND WHAT THE
02:55:54.144 --> 02:55:58.014 region:rollup2
WORKERS GO THROUGH PAIN TERMS OF
02:55:56.479 --> 02:55:59.749 region:rollup2
ENSURING THAT THERE ARE STAFF TO
02:55:58.014 --> 02:56:01.584 region:rollup2
PATIENT RATIOS THAT ARE.
02:55:59.749 --> 02:56:02.952 region:rollup2
GOOD FOR ALL THE ENVIRONMENT AND
02:56:01.584 --> 02:56:04.554 region:rollup2
THOSE INVOLVED.
02:56:02.952 --> 02:56:05.355 region:rollup2
LET ME --
02:56:04.554 --> 02:56:07.490 region:rollup2
GIVE SOME PAUSE AS TO SOME OF MY
02:56:05.355 --> 02:56:08.525 region:rollup2
CONCERNS --
02:56:07.490 --> 02:56:10.160 region:rollup2
I'M CONCERNED HOW THIS
02:56:08.525 --> 02:56:11.094 region:rollup2
LEGISLATION WHAT IMPACT SOME ARE
02:56:10.160 --> 02:56:13.830 region:rollup2
OUR MOST VULNERABLE COMMUNITIES
02:56:11.094 --> 02:56:15.331 region:rollup2
TERMS OF THE POOR.
02:56:13.830 --> 02:56:17.333 region:rollup2
AND THE UNDOCUMENTED WHO DON'T
02:56:15.331 --> 02:56:19.669 region:rollup2
HAVE ACCESS TO MEDICARE.
02:56:17.333 --> 02:56:21.438 region:rollup2
AND MEDICAID FOR THAT REASON.
02:56:19.669 --> 02:56:22.939 region:rollup2
ADDITIONALLY IMAX IMAX THE
02:56:21.438 --> 02:56:24.674 region:rollup2
CONCERNED THAT THE HOUSE OF
02:56:22.939 --> 02:56:25.975 region:rollup2
LABOR HASN'T COME TOGETHER TO
02:56:24.674 --> 02:56:27.177 region:rollup2
FIGURE OUT HOW WE'RE GONNA HAVE
02:56:25.975 --> 02:56:28.111 region:rollup2
OR HOW UGLY PURSE GONNA WORK
02:56:27.177 --> 02:56:29.946 region:rollup2
TOGETHER TO ENSURE THAT ALL
02:56:28.111 --> 02:56:31.981 region:rollup2
WORKERS --
02:56:29.946 --> 02:56:34.350 region:rollup2
HAVE ACCESS TO HEALTHCARE AND IN
02:56:31.981 --> 02:56:35.318 region:rollup2
THE TESTIMONY TODAY.
02:56:34.350 --> 02:56:36.453 region:rollup2
BY THE REPRESENTATIVE FOR THE
02:56:35.318 --> 02:56:37.520 region:rollup2
CALIFORNIA STATE ASSOCIATION OF
02:56:36.453 --> 02:56:39.322 region:rollup2
ELECTRICAL WORKERS THE
02:56:37.520 --> 02:56:40.290 region:rollup2
CALIFORNIA STATE PRIDE PATRIOTS
02:56:39.322 --> 02:56:41.658 region:rollup2
COUNCIL IN THE WESTERN STATE
02:56:40.290 --> 02:56:43.026 region:rollup2
COUNCILS OF SHEET METAL WORKERS
02:56:41.658 --> 02:56:44.327 region:rollup2
I AM HOPING THAT THERE'S AN
02:56:43.026 --> 02:56:45.528 region:rollup2
OPPORTUNITY TO COME TO THE TABLE
02:56:44.327 --> 02:56:46.996 region:rollup2
AND ACTUALLY RESOLVE SOME OF THE
02:56:45.528 --> 02:56:48.298 region:rollup2
CONCERNS.
02:56:46.996 --> 02:56:49.466 region:rollup2
HOW MUCH LIKE THE TERRIBLE
02:56:48.298 --> 02:56:50.967 region:rollup2
FOUNDATIONS AND THE AMERICAN
02:56:49.466 --> 02:56:51.634 region:rollup2
KIDNEY FUND WHICH TESTIFIED
02:56:50.967 --> 02:56:53.236 region:rollup2
TODAY?
02:56:51.634 --> 02:56:54.637 region:rollup2
SEVERAL UNIONS HAVE HEALTH CARE
02:56:53.236 --> 02:56:56.172 region:rollup2
TRUST THAT ACTUALLY ENABLE THE
02:56:54.637 --> 02:56:57.774 region:rollup2
WORKERS AND THEIR FAMILIES TO
02:56:56.172 --> 02:56:59.075 region:rollup2
CONTINUE TO HAVE HEALTHCARE AND
02:56:57.774 --> 02:57:00.643 region:rollup2
THIS IS ESPECIALLY IMPORTANT FOR
02:56:59.075 --> 02:57:02.512 region:rollup2
CONSTRUCTION WORKERS.
02:57:00.643 --> 02:57:04.948 region:rollup2
WHOSE WORK IS OFTEN IN FLUX AND
02:57:02.512 --> 02:57:05.782 region:rollup2
I WORRY THAT IF A WORKER GOES ON
02:57:04.948 --> 02:57:07.383 region:rollup2
MEDICARE THEIR FAMILIES ALSO
02:57:05.782 --> 02:57:08.184 region:rollup2
LOSE HOT.
02:57:07.383 --> 02:57:10.987 region:rollup2
SO I LIKE TO ADDRESS SOME OF
02:57:08.184 --> 02:57:12.355 region:rollup2
THOSE CONCERNS AS WELL --
02:57:10.987 --> 02:57:13.656 region:rollup2
I LOOK FORWARD TO WORKING WITH
02:57:12.355 --> 02:57:14.657 region:rollup2
HIM ON A QUALIFY MAY VOTE TODAY
02:57:13.656 --> 02:57:16.059 region:rollup2
AND HOPEFULLY WERE ABLE TO
02:57:14.657 --> 02:57:17.193 region:rollup2
FACILITATE A CONVERSATION TO
02:57:16.059 --> 02:57:20.363 region:rollup2
BRING EVERYONE INVOLVED TO
02:57:17.193 --> 02:57:21.431 region:rollup2
RESOLVE SOME.
02:57:20.363 --> 02:57:22.532 region:rollup2
THANK YOU SUMA MEMBER DO ALREADY
02:57:21.431 --> 02:57:24.100 region:rollup2
ANSWERED OUR IN MY CLOTHES WOULD
02:57:22.532 --> 02:57:25.068 region:rollup2
IF YOU'RE COMFORTABLE WITH OKAY
02:57:24.100 --> 02:57:27.170 region:rollup2
VERY GOOD THANK YOU VERY MUCH
02:57:25.068 --> 02:57:29.005 region:rollup2
FOR YOUR QUESTIONS IT IS A
02:57:27.170 --> 02:57:29.973 region:rollup2
CONFUSING BILL OR CAN BE OF
02:57:29.005 --> 02:57:30.907 region:rollup2
COMPUTING BILL.
02:57:29.973 --> 02:57:32.709 region:rollup2
BOMB I JUST WANT TO BE VERY
02:57:30.907 --> 02:57:34.511 region:rollup2
CLEAR THAT NO ONE WOULD LOSE
02:57:32.709 --> 02:57:36.412 region:rollup2
ACCESS TO DIALYSIS BECAUSE OF
02:57:34.511 --> 02:57:38.448 region:rollup2
THIS BILL THIS IS SIMPLY ABOUT
02:57:36.412 --> 02:57:40.717 region:rollup2
MAKING SURE NO ONE IS PROFITING.
02:57:38.448 --> 02:57:41.918 region:rollup2
OFF OF SOMEONE ELSE'S MISERY SO
02:57:40.717 --> 02:57:44.020 region:rollup2
TO SPEAK --
02:57:41.918 --> 02:57:44.821 region:rollup2
MISTER WET SHOE CAME IN AND KIND
02:57:44.020 --> 02:57:46.890 region:rollup2
OF DROPPED HIS BOMB AND THEN
02:57:44.821 --> 02:57:48.758 region:rollup2
LEFT HAS NEVER MET WITH ME --
02:57:46.890 --> 02:57:50.293 region:rollup2
I ASKED TO MEET WITH HIM AND HE
02:57:48.758 --> 02:57:51.928 region:rollup2
NEVER MET WITH ME SO I HEARD HIS
02:57:50.293 --> 02:57:52.795 region:rollup2
CONCERNS FOR THE VERY FIRST TIME
02:57:51.928 --> 02:57:56.900 region:rollup2
TODAY.
02:57:52.795 --> 02:57:57.500 region:rollup2
I SAT ON A LABOR TRUST FUND FOR
02:57:56.900 --> 02:57:58.868 region:rollup2
TWELVE VERY AWARE OF HOW THAT
02:57:57.500 --> 02:58:00.336 region:rollup2
WORKS.
02:57:58.868 --> 02:58:03.773 region:rollup2
IF THE MEMBER HE IS TALKING
02:58:00.336 --> 02:58:05.475 region:rollup2
ABOUT NEEDED THE DIALYSIS THEY
02:58:03.773 --> 02:58:06.976 region:rollup2
WOULD NOT BE DENIED DEL DIALYSIS
02:58:05.475 --> 02:58:08.778 region:rollup2
CARE.
02:58:06.976 --> 02:58:10.880 region:rollup2
THIS BILL WOULD NOT IN ANY WAY
02:58:08.778 --> 02:58:12.515 region:rollup2
SHAPE OR FORM HELP OR HURT HIS
02:58:10.880 --> 02:58:14.551 region:rollup2
FOR THE FAMILY MEMBER BUT THE
02:58:12.515 --> 02:58:15.852 region:rollup2
DIALYSIS WORKER IF THEY WERE ON
02:58:14.551 --> 02:58:17.353 region:rollup2
COBRA OR NOT AND COOPER WOULD
02:58:15.852 --> 02:58:19.055 region:rollup2
STILL HAVE ACCESS.
02:58:17.353 --> 02:58:20.924 region:rollup2
THIRD PARTY PAYERS CAN STILL BE
02:58:19.055 --> 02:58:22.158 region:rollup2
A PART OF THIS AND PAY WE JUST
02:58:20.924 --> 02:58:25.228 region:rollup2
DON'T WANT THEM TO BE ABLE TO
02:58:22.158 --> 02:58:25.728 region:rollup2
PROFIT FROM IT --
02:58:25.228 --> 02:58:30.133 region:rollup2
THAT ANSWER ALL OF YOUR
02:58:25.728 --> 02:58:30.700 region:rollup2
QUESTIONS.
02:58:30.133 --> 02:58:37.807 region:rollup2
OKAY COME ON UP HERE MISTER
02:58:30.700 --> 02:58:38.675 region:rollup2
WHICH AND ALSO MISTER CHAIR I AM
02:58:37.807 --> 02:58:40.610 region:rollup2
SIR FLOCKS FROM THE CALIFORNIA
02:58:38.675 --> 02:58:42.478 region:rollup2
LABOR FEDERATION CAN ALSO SHARE
02:58:40.610 --> 02:58:47.417 region:rollup2
LAVERS VIEWPOINT [inaudible]
02:58:42.478 --> 02:58:49.085 region:rollup2
A A SIMILAR CREEL I I I DON'T
02:58:47.417 --> 02:58:50.186 region:rollup2
DISAGREE WITH THE SENATOR'S
02:58:49.085 --> 02:58:51.955 region:rollup2
CONTENTION.
02:58:50.186 --> 02:58:53.990 region:rollup2
THAT ONE OF MY MEMBERS WHO NEEDS
02:58:51.955 --> 02:58:54.490 region:rollup2
DIALYSIS WOULDN'T CONTINUE TO
02:58:53.990 --> 02:58:58.027 region:rollup2
GET DIALYSIS [inaudible]
02:58:54.490 --> 02:58:59.796 region:rollup2
BUT EVERY TRUST FUND WOULD SOME
02:58:58.027 --> 02:59:01.097 region:rollup2
BECOMES ELIGIBLE FOR MEDICARE
02:58:59.796 --> 02:59:03.433 region:rollup2
BECAUSE OF AGE OR BECAUSE OF
02:59:01.097 --> 02:59:06.469 region:rollup2
SOME OTHER QUALIFYING FACTOR.
02:59:03.433 --> 02:59:08.071 region:rollup2
IN THEY ARE THE IN ROLE WE AND
02:59:06.469 --> 02:59:09.372 region:rollup2
THEY GOING TO MEDICARE.
02:59:08.071 --> 02:59:11.140 region:rollup2
THEIR FAMILY IS THEN DROPPED
02:59:09.372 --> 02:59:12.342 region:rollup2
FROM COVERAGE BECAUSE THERE ARE
02:59:11.140 --> 02:59:13.910 region:rollup2
NO LONGER AN ACTIVE PARTICIPANT
02:59:12.342 --> 02:59:14.911 region:rollup2
IN THE TRUST.
02:59:13.910 --> 02:59:15.478 region:rollup2
THERE ARE NO LONGER RECEIVING
02:59:14.911 --> 02:59:19.515 region:rollup2
THEIR HEALTHCARE THROUGH THE
02:59:15.478 --> 02:59:20.650 region:rollup2
TRUST SO THEN THE FAMILY MEMBERS
02:59:19.515 --> 02:59:22.185 region:rollup2
ARE GOING TO BE LEFT.
02:59:20.650 --> 02:59:24.187 region:rollup2
IN YOU AT THIS IS AN ISSUE JUST
02:59:22.185 --> 02:59:25.922 region:rollup2
FOR MY MEMBERS ANY WORKER YOU
02:59:24.187 --> 02:59:27.757 region:rollup2
CARE ABOUT OTHER WORKERS.
02:59:25.922 --> 02:59:29.759 region:rollup2
IF ANY IF IF THE OF A WORKER
02:59:27.757 --> 02:59:30.860 region:rollup2
WHOSE OBTAINING PRIVATE HEALTH
02:59:29.759 --> 02:59:33.062 region:rollup2
INSURANCE EITHER THROUGH THEIR
02:59:30.860 --> 02:59:34.597 region:rollup2
AMP THROUGH THEIR EMPLOYER.
02:59:33.062 --> 02:59:36.733 region:rollup2
IS FORCED ON A MEDICARE.
02:59:34.597 --> 02:59:37.400 region:rollup2
THEY LOSE COVERAGE FOR THEIR FOR
02:59:36.733 --> 02:59:39.369 region:rollup2
FOR THEIR WIVES THEIR BABIES AND
02:59:37.400 --> 02:59:41.871 region:rollup2
THEY AND THEY THEN HAVE TO GO ON
02:59:39.369 --> 02:59:43.539 region:rollup2
MEDI CAL BUT YOU DON'T QUALIFY.
02:59:41.871 --> 02:59:44.440 region:rollup2
ON MEDI CAL INTO YOU HAVE ASSETS
02:59:43.539 --> 02:59:46.676 region:rollup2
OF NO MORE THAN TWO THOUSAND
02:59:44.440 --> 02:59:48.278 region:rollup2
DOLLARS SO YOU'RE FORCING THAT
02:59:46.676 --> 02:59:50.079 region:rollup2
WORKER TO HAVE TO SPEND DOWN
02:59:48.278 --> 02:59:51.414 region:rollup2
THEIR ASSETS SO THEY QUALIFY FOR
02:59:50.079 --> 02:59:53.016 region:rollup2
MEDICAID.
02:59:51.414 --> 02:59:54.050 region:rollup2
AND THAT'S WHAT I OBJECT IT IF I
02:59:53.016 --> 02:59:55.585 region:rollup2
MAY MISTER CHAIR WHAT YOU SAID
02:59:54.050 --> 02:59:56.853 region:rollup2
INITIALLY IS WHEN ONE OF YOUR
02:59:55.585 --> 02:59:58.221 region:rollup2
MEMBERS WHO ARE MANY TIMES OUT
02:59:56.853 --> 02:59:59.155 region:rollup2
OF WORK FOR MANY MONTHS AT A
02:59:58.221 --> 03:00:00.923 region:rollup2
TIME.
02:59:59.155 --> 03:00:02.225 region:rollup2
AND HOUSE TO GOING COBRAR THEN
03:00:00.923 --> 03:00:03.926 region:rollup2
LOOSES COBRA WOULD LOSE THEIR
03:00:02.225 --> 03:00:05.561 region:rollup2
COVERAGE SO WHAT I WAS
03:00:03.926 --> 03:00:07.530 region:rollup2
RESPONDING TO WAS YOUR INITIAL
03:00:05.561 --> 03:00:09.332 region:rollup2
ASSERTION THAT YOUR MEMBER WOULD
03:00:07.530 --> 03:00:10.733 region:rollup2
LOSE COVERAGE WHAT YOU JUST SAID
03:00:09.332 --> 03:00:12.268 region:rollup2
ABOUT MEDICARE.
03:00:10.733 --> 03:00:14.170 region:rollup2
IS CORRECT BUT THAT WAS NOT YOUR
03:00:12.268 --> 03:00:15.638 region:rollup2
FIRST ASSERTION.
03:00:14.170 --> 03:00:17.540 region:rollup2
I APOLOGIZE MY LETTER TO THE
03:00:15.638 --> 03:00:19.208 region:rollup2
COMMITTEE WAS CLEAR I THOUGHT MY
03:00:17.540 --> 03:00:20.943 region:rollup2
TESTIMONY WAS CLEAR I'M NOT
03:00:19.208 --> 03:00:23.112 region:rollup2
DISPUTING THE FACT THAT THE THAT
03:00:20.943 --> 03:00:24.781 region:rollup2
THE WORKER WILL GO ON MEDICARE
03:00:23.112 --> 03:00:25.982 region:rollup2
AND WILL GET IS DIALYSIS.
03:00:24.781 --> 03:00:27.850 region:rollup2
I'M WORRIED ABOUT THE FAMILY
03:00:25.982 --> 03:00:29.585 region:rollup2
MEMBERS WHO HAVE TO LOSE THEIR
03:00:27.850 --> 03:00:31.821 region:rollup2
HEALTHCARE SO NAY CHAMO CAN SAVE
03:00:29.585 --> 03:00:32.655 region:rollup2
A LITTLE BIT OF MONEY.
03:00:31.821 --> 03:00:33.690 region:rollup2
IT'S ACTUALLY NOT WHAT THE BILL
03:00:32.655 --> 03:00:37.193 region:rollup2
DOES BUT WE APPRECIATE YOUR
03:00:33.690 --> 03:00:39.228 region:rollup2
OPINION.
03:00:37.193 --> 03:00:41.831 region:rollup2
PLEASE NO NO [inaudible]
03:00:39.228 --> 03:00:45.668 region:rollup2
WHO WIENER [inaudible]
03:00:41.831 --> 03:00:47.904 region:rollup2
OTHER.
03:00:45.668 --> 03:00:48.538 region:rollup2
I SUB COUPLE COMES SO --
03:00:47.904 --> 03:00:50.139 region:rollup2
THANK YOU SENATOR LIVE FOR BRAIN
03:00:48.538 --> 03:00:51.541 region:rollup2
FOREIGN AS YOU KNOW THE COST OF
03:00:50.139 --> 03:00:53.876 region:rollup2
HEALTHCARE IS CONTINUALLY GO UP.
03:00:51.541 --> 03:00:54.477 region:rollup2
AND THE TYPES OF PAYMENTS SINCE
03:00:53.876 --> 03:00:57.380 region:rollup2
RELATIONSHIPS PLAY A PART OF
03:00:54.477 --> 03:00:58.748 region:rollup2
THAT -- AYE
03:00:57.380 --> 03:01:00.049 region:rollup2
I REALLY APPRECIATE YOU GONNA DO
03:00:58.748 --> 03:01:01.517 region:rollup2
SOME AMENDMENTS IT TAKES MORE
03:01:00.049 --> 03:01:03.619 region:rollup2
TIME ON THIS.
03:01:01.517 --> 03:01:05.288 region:rollup2
I'M CONCERNED ABOUT MY RURAL
03:01:03.619 --> 03:01:06.589 region:rollup2
PEOPLE I'M CONCERNED CONSUMERS
03:01:05.288 --> 03:01:07.223 region:rollup2
THE MAY SUFFER UNINTENDED
03:01:06.589 --> 03:01:09.192 region:rollup2
CONSEQUENCES AS A RESULT OF THIS
03:01:07.223 --> 03:01:10.860 region:rollup2
--
03:01:09.192 --> 03:01:12.261 region:rollup2
SO I DON'T WANT THE NEW LANGUAGE
03:01:10.860 --> 03:01:13.996 region:rollup2
TO BE ANY WIDER IMPACT ON
03:01:12.261 --> 03:01:14.597 region:rollup2
PATIENTS AND PROVIDERS THAT ARE
03:01:13.996 --> 03:01:15.665 region:rollup2
GOOD ACTORS BECAUSE THERE ARE
03:01:14.597 --> 03:01:16.199 region:rollup2
SOME GOOD ONES THAT ARE OUT
03:01:15.665 --> 03:01:17.767 region:rollup2
THERE.
03:01:16.199 --> 03:01:19.202 region:rollup2
AND TRULY PROVIDING NECESSARY
03:01:17.767 --> 03:01:20.536 region:rollup2
ASSISTANCE SO ALSO PUT YOUR BILL
03:01:19.202 --> 03:01:22.472 region:rollup2
TODAY --
03:01:20.536 --> 03:01:24.207 region:rollup2
HOWEVER I HOPE TO SEE IT
03:01:22.472 --> 03:01:25.475 region:rollup2
CHANGING IT ONLY BETTER BY THE
03:01:24.207 --> 03:01:26.309 region:rollup2
TIME IT COMES TO THE FLOOR.
03:01:25.475 --> 03:01:28.111 region:rollup2
I APPRECIATE THAT ASSEMBLY
03:01:26.309 --> 03:01:29.212 region:rollup2
MEMBER WE ARE ALWAYS LOOKING FOR
03:01:28.111 --> 03:01:30.446 region:rollup2
OUR BILLS TO GET BETTER AND IF
03:01:29.212 --> 03:01:31.981 region:rollup2
YOU HAVE ANY SPECIFIC --
03:01:30.446 --> 03:01:32.749 region:rollup2
ISSUES OR IDEAS PLEASE LET ME
03:01:31.981 --> 03:01:35.752 region:rollup2
KNOW.
03:01:32.749 --> 03:01:37.286 region:rollup2
AND AND I WOULD JUST SAY THAT --
03:01:35.752 --> 03:01:39.455 region:rollup2
KF THAT THIS BILL COULD CAUSE
03:01:37.286 --> 03:01:41.090 region:rollup2
THE CLOSURE OF DIALYSIS CLINICS
03:01:39.455 --> 03:01:42.358 region:rollup2
WHICH I THINK MIGHT GO TO TO
03:01:41.090 --> 03:01:43.059 region:rollup2
YOUR CONCERN ABOUT YOUR RURAL
03:01:42.358 --> 03:01:44.494 region:rollup2
FOLKS.
03:01:43.059 --> 03:01:46.195 region:rollup2
BEFORE EVER INTRODUCED THIS BILL
03:01:44.494 --> 03:01:48.064 region:rollup2
I HAD AN OPPORTUNITY TO MEET
03:01:46.195 --> 03:01:50.233 region:rollup2
WITH TO THE BIGGEST --
03:01:48.064 --> 03:01:51.768 region:rollup2
PROVIDE DIALYSIS PROVIDERS AND
03:01:50.233 --> 03:01:52.769 region:rollup2
ONE OF THEM LET ME KNOW THAT
03:01:51.768 --> 03:01:54.370 region:rollup2
THEY WERE GOING TO CONTINUE TO
03:01:52.769 --> 03:01:55.671 region:rollup2
OPEN DIALYSIS --
03:01:54.370 --> 03:01:57.740 region:rollup2
CLINICS BECAUSE THEY WERE SO
03:01:55.671 --> 03:01:58.641 region:rollup2
PROFITABLE SO I DON'T KNOW THAT
03:01:57.740 --> 03:02:00.109 region:rollup2
WE NEED TO WORRY ABOUT THIS IN
03:01:58.641 --> 03:02:02.979 region:rollup2
THIS BILL [inaudible]
03:02:00.109 --> 03:02:05.047 region:rollup2
THANK YOU.
03:02:02.979 --> 03:02:05.415 region:rollup2
IT'S MY RATIOS I ALWAYS HAVE TO
03:02:05.047 --> 03:02:10.419 region:rollup2
WORRY ABOUT IT.
03:02:05.415 --> 03:02:12.255 region:rollup2
FAIR ENOUGH.
03:02:10.419 --> 03:02:13.890 region:rollup2
MAY WAS CHAIR OF IN JUST A FEW
03:02:12.255 --> 03:02:15.792 region:rollup2
QUESTIONS THAT I THINK THERE ARE
03:02:13.890 --> 03:02:17.927 region:rollup2
COMPLEXITIES THIS BILL OF
03:02:15.792 --> 03:02:19.562 region:rollup2
REGARDLESS OF WHERE PERSON.
03:02:17.927 --> 03:02:20.897 region:rollup2
YOU KNOW LANDS ON IT CAN TURN TO
03:02:19.562 --> 03:02:23.666 region:rollup2
THEIR OPINION.
03:02:20.897 --> 03:02:24.901 region:rollup2
TODAY WE HEARD FROM PATIENTS
03:02:23.666 --> 03:02:26.769 region:rollup2
SOME WHO SAID THEY SUPPORT AND
03:02:24.901 --> 03:02:28.938 region:rollup2
SOME SAY THEY OPPOSE AND I THINK
03:02:26.769 --> 03:02:30.339 region:rollup2
THAT WE OWE IT. TO THE PUBLIC
03:02:28.938 --> 03:02:32.408 region:rollup2
HEALTH TO HAVE A ROBUST
03:02:30.339 --> 03:02:34.510 region:rollup2
CONVERSATION ABOUT WHAT IS TRUE
03:02:32.408 --> 03:02:35.878 region:rollup2
AND WHAT IS NOT --
03:02:34.510 --> 03:02:37.613 region:rollup2
SO THAT WE GET ALL --
03:02:35.878 --> 03:02:39.515 region:rollup2
YOU KNOW MAKE A VOTE TODAY WITH
03:02:37.613 --> 03:02:40.917 region:rollup2
CONFIDENCE THAT WHAT WE'RE DOING
03:02:39.515 --> 03:02:41.784 region:rollup2
IS IN THE BEST INTEREST OF THE
03:02:40.917 --> 03:02:42.852 region:rollup2
PUBLIC HEALTH AND I KNOW THAT'S
03:02:41.784 --> 03:02:44.020 region:rollup2
YOUR ATTENTION SENATOR NIGHT
03:02:42.852 --> 03:02:45.188 region:rollup2
RESHAPE THAT.
03:02:44.020 --> 03:02:46.923 region:rollup2
YOU AND YOUR STAFF TO MAKE
03:02:45.188 --> 03:02:47.523 region:rollup2
YOURSELF AVAILABLE TO MEDIAN
03:02:46.923 --> 03:02:48.157 region:rollup2
OTHERS OF THE MEMBERS OF THIS
03:02:47.523 --> 03:02:50.493 region:rollup2
COMMITTEE AND I APPRECIATE THAT
03:02:48.157 --> 03:02:51.994 region:rollup2
--
03:02:50.493 --> 03:02:53.963 region:rollup2
THAT SIDE I DON'T KNOW WHAT'S
03:02:51.994 --> 03:02:56.032 region:rollup2
GOING ON IN THIS.
03:02:53.963 --> 03:02:59.101 region:rollup2
YEAH -- IN
03:02:56.032 --> 03:03:00.470 region:rollup2
SO YOU KNOW IF YOU USE WITH THE
03:02:59.101 --> 03:03:01.037 region:rollup2
CHAIR SUPPORT UNLIKE DOES*
03:03:00.470 --> 03:03:02.505 region:rollup2
WE MAKE IT PLAIN AND WE JUST
03:03:01.037 --> 03:03:03.039 region:rollup2
SAY.
03:03:02.505 --> 03:03:04.407 region:rollup2
WHY WE'RE DOING WHAT WE'RE
03:03:03.039 --> 03:03:06.175 region:rollup2
DOING?
03:03:04.407 --> 03:03:08.711 region:rollup2
AND WHY WE OPPOSE IT KNOW WHAT
03:03:06.175 --> 03:03:10.780 region:rollup2
WILL HAPPEN IF AND WHEN WE DO IT
03:03:08.711 --> 03:03:13.349 region:rollup2
RANK THIS BREAKDOWN RIGHT.
03:03:10.780 --> 03:03:15.184 region:rollup2
SO.
03:03:13.349 --> 03:03:16.953 region:rollup2
IF I HAD IT WRONG SISTANI BUT AS
03:03:15.184 --> 03:03:18.454 region:rollup2
I UNDERSTAND IT --
03:03:16.953 --> 03:03:19.956 region:rollup2
THAT THERE ARE SOME COMPANIES
03:03:18.454 --> 03:03:21.257 region:rollup2
THAT PROVIDE DIALYSIS THAT GET
03:03:19.956 --> 03:03:22.959 region:rollup2
UP BASICALLY [inaudible]
03:03:21.257 --> 03:03:25.061 region:rollup2
PROFIT.
03:03:22.959 --> 03:03:25.728 region:rollup2
BY USING THIRD PARTY PAYERS TEND
03:03:25.061 --> 03:03:27.029 region:rollup2
TO HELP.
03:03:25.728 --> 03:03:28.598 region:rollup2
THOSE WHO NEED DIALYSIS
03:03:27.029 --> 03:03:29.966 region:rollup2
TREATMENT AND THEY'RE ABLE TO
03:03:28.598 --> 03:03:31.667 region:rollup2
GET THERE BUT A BILL AT A MUCH
03:03:29.966 --> 03:03:33.569 region:rollup2
HIGHER RATE THAN THEY WOULD IF
03:03:31.667 --> 03:03:34.937 region:rollup2
THOSE INDIVIDUALS WERE SERVED BY
03:03:33.569 --> 03:03:36.205 region:rollup2
MEG CAO.
03:03:34.937 --> 03:03:38.474 region:rollup2
COME I DON'T HOW MUCH DOES SO
03:03:36.205 --> 03:03:41.444 region:rollup2
YOU'RE LEARN JUST RIGHT IRAQ I
03:03:38.474 --> 03:03:43.312 region:rollup2
GOTTA GO SLOW MY AND SO --
03:03:41.444 --> 03:03:44.881 region:rollup2
THIS BILL WOULD SAY THAT YOU
03:03:43.312 --> 03:03:46.148 region:rollup2
HAVE TO VERIFY THAT SOMEONE IS
03:03:44.881 --> 03:03:47.917 region:rollup2
ELIGIBLE FOR MEDICARE THAT IS
03:03:46.148 --> 03:03:48.818 region:rollup2
CORRECT AND DOES IT ALSO MEAN
03:03:47.917 --> 03:03:50.453 region:rollup2
THAT.
03:03:48.818 --> 03:03:51.654 region:rollup2
IF THAT PERSON IS ELIGIBLE THEY
03:03:50.453 --> 03:03:53.623 region:rollup2
CAN NO LONGER ACCEPT THAT THIRD
03:03:51.654 --> 03:03:55.958 region:rollup2
PARTY PAYMENT THAT DONATION BUT
03:03:53.623 --> 03:03:57.860 region:rollup2
THAT THEY MUST IN FACT.
03:03:55.958 --> 03:03:58.694 region:rollup2
BECOME A MEDIC CAO PATIENT NO
03:03:57.860 --> 03:04:00.429 region:rollup2
THE WOULD JUST BE THE A
03:03:58.694 --> 03:04:02.331 region:rollup2
REIMBURSEMENT RATE WOULD JUST BE
03:04:00.429 --> 03:04:04.066 region:rollup2
AT THE MEDI CAL RATE. FOR
03:04:02.331 --> 03:04:07.136 region:rollup2
MEDICARE RIGHT SO THEY CAN
03:04:04.066 --> 03:04:09.138 region:rollup2
CONTINUE TO RECEIVE THE DONATION
03:04:07.136 --> 03:04:11.340 region:rollup2
FROM THE CHARITABLE ENTITY YEAH
03:04:09.138 --> 03:04:12.842 region:rollup2
UP BUT THE PROVIDER WHO PROVIDES
03:04:11.340 --> 03:04:14.543 region:rollup2
THE DIALYSIS HAST ONLY BE
03:04:12.842 --> 03:04:15.845 region:rollup2
REIMBURSED AT THE RATE THAT THEY
03:04:14.543 --> 03:04:16.045 region:rollup2
WOULD IF THIS PERSON WAS ON MEDI
03:04:15.845 --> 03:04:17.813 region:rollup2
CAL.
03:04:16.045 --> 03:04:19.382 region:rollup2
THAT IS CORRECT GLAD THAT'S BEEN
03:04:17.813 --> 03:04:20.650 region:rollup2
CLARIFIED --
03:04:19.382 --> 03:04:22.451 region:rollup2
IN I WANT TO HEAR FROM THE
03:04:20.650 --> 03:04:24.153 region:rollup2
OPPOSITION IF ANYONE IF IF
03:04:22.451 --> 03:04:26.355 region:rollup2
ANYTHING THAT WE ARE SAYING.
03:04:24.153 --> 03:04:28.958 region:rollup2
IS DIFFERENT YES MA'AM.
03:04:26.355 --> 03:04:30.459 region:rollup2
THANK YOU VERY MUCH --
03:04:28.958 --> 03:04:32.194 region:rollup2
THANK YOU SO MUCH.
03:04:30.459 --> 03:04:34.130 region:rollup2
THAT THE ISSUE HERE.
03:04:32.194 --> 03:04:36.065 region:rollup2
IS THAT PROVIDED THE THE THE
03:04:34.130 --> 03:04:38.401 region:rollup2
SYSTEM.
03:04:36.065 --> 03:04:40.970 region:rollup2
THAT ALLOWS DIALYSIS SERVICES TO
03:04:38.401 --> 03:04:41.504 region:rollup2
BE PROVIDED HAS ALWAYS ASSUMED
03:04:40.970 --> 03:04:42.872 region:rollup2
FROM THE BEGINNING OF THE
03:04:41.504 --> 03:04:44.040 region:rollup2
PROGRAM.
03:04:42.872 --> 03:04:45.374 region:rollup2
THAT THEY ARE OUR PUBLIC
03:04:44.040 --> 03:04:47.109 region:rollup2
PROGRAMS THAT ARE AVAILABLE AND
03:04:45.374 --> 03:04:48.644 region:rollup2
MOST PEOPLE USE THOSE AND THEY
03:04:47.109 --> 03:04:50.613 region:rollup2
WORK WELL FOR MOST PEOPLE.
03:04:48.644 --> 03:04:52.148 region:rollup2
ECONOMIC ASSIST SYSTEM ALSO
03:04:50.613 --> 03:04:53.983 region:rollup2
ASSUMES AND THERE'S A WHOLE
03:04:52.148 --> 03:04:55.785 region:rollup2
HISTORY OF FEDERAL LEGISLATION
03:04:53.983 --> 03:04:56.285 region:rollup2
THAT THERE WOULD ALSO BE SOME
03:04:55.785 --> 03:04:57.486 region:rollup2
FOLKS WOULD USE PRIVATE
03:04:56.285 --> 03:04:59.155 region:rollup2
INSURANCE.
03:04:57.486 --> 03:05:00.723 region:rollup2
IT TAKES THE COMBINATION OF
03:04:59.155 --> 03:05:02.825 region:rollup2
THOSE THINGS TO MAKE THE SYSTEM
03:05:00.723 --> 03:05:05.127 region:rollup2
WORK WHEN THAT COMBINATION DOES
03:05:02.825 --> 03:05:06.762 region:rollup2
NOT WORK DIALYSIS CENTERS WILL
03:05:05.127 --> 03:05:08.931 region:rollup2
BEGIN TO CLOSE.
03:05:06.762 --> 03:05:11.701 region:rollup2
SOME OF THEM ALREADY LOSING
03:05:08.931 --> 03:05:13.269 region:rollup2
MONEY AND THE WHEN WHEN THAT
03:05:11.701 --> 03:05:13.869 region:rollup2
HAPPENS WHEN THOSE REIMBURSEMENT
03:05:13.269 --> 03:05:15.271 region:rollup2
RATES WHEN THAT BALANCE IS NOT
03:05:13.869 --> 03:05:18.274 region:rollup2
--
03:05:15.271 --> 03:05:20.076 region:rollup2
ESTABLISH MORE OF THEM WILL LOSE
03:05:18.274 --> 03:05:21.243 region:rollup2
AND SOME OF THEM WILL CLOSE THE
03:05:20.076 --> 03:05:23.245 region:rollup2
PROBLEM IS THE PEOPLE WHO ARE ON
03:05:21.243 --> 03:05:25.848 region:rollup2
DIALYSIS HAVE TO GO THREE TIMES
03:05:23.245 --> 03:05:27.016 region:rollup2
A WEEK THREE OF FOUR HOURS --
03:05:25.848 --> 03:05:28.718 region:rollup2
MY FRIEND HERE WHO HAS THE
03:05:27.016 --> 03:05:30.519 region:rollup2
DIALYSIS PATIENT UNDERSTANDS
03:05:28.718 --> 03:05:32.488 region:rollup2
THAT VERY WELL SHE NOW GOES TO
03:05:30.519 --> 03:05:33.522 region:rollup2
DIALYSIS CENTER THAT'S CLOSE TO
03:05:32.488 --> 03:05:35.391 region:rollup2
HER HOME.
03:05:33.522 --> 03:05:37.827 region:rollup2
IF CENTERS CLOSE THOSE DIALYSIS
03:05:35.391 --> 03:05:39.662 region:rollup2
CENTERS MAY INVOLVE A MUCH
03:05:37.827 --> 03:05:42.365 region:rollup2
LONGER DISTANCE OF TRAVEL WE'RE
03:05:39.662 --> 03:05:44.367 region:rollup2
TALKING ABOUT PEOPLE 75280% OF
03:05:42.365 --> 03:05:45.635 region:rollup2
WHOM ARE UNEMPLOYED BECAUSE OF
03:05:44.367 --> 03:05:46.602 region:rollup2
THE TREATMENT BECAUSE OF THE
03:05:45.635 --> 03:05:48.304 region:rollup2
DISEASE.
03:05:46.602 --> 03:05:50.072 region:rollup2
THEY DON'T HAVE THE MONEY.
03:05:48.304 --> 03:05:51.907 region:rollup2
THEY DON'T OFTEN DON'T HAVE
03:05:50.072 --> 03:05:53.676 region:rollup2
PRIVATE TRANSPORTATION CANNOT
03:05:51.907 --> 03:05:55.378 region:rollup2
AFFORD PUBLIC TRANSPORTATION DO
03:05:53.676 --> 03:05:56.912 region:rollup2
NOT HAVE SOMEBODY TO TAKE THEM
03:05:55.378 --> 03:05:57.813 region:rollup2
HOW WILL THEY GET TO THE CARE
03:05:56.912 --> 03:05:59.548 region:rollup2
THAT THEY NEED THAT IS THE
03:05:57.813 --> 03:06:00.583 region:rollup2
ACCESS ISSUE SO LET ME ASK YOU
03:05:59.548 --> 03:06:03.519 region:rollup2
THIS I AGREE.
03:06:00.583 --> 03:06:04.186 region:rollup2
I THINK WE AGREE.
03:06:03.519 --> 03:06:04.787 region:rollup2
AND TELL ME IF I'M WRONG I WANT
03:06:04.186 --> 03:06:05.888 region:rollup2
IT IS OPTIONS THAT MEDICARE
03:06:04.787 --> 03:06:06.956 region:rollup2
RATES ARE LOW.
03:06:05.888 --> 03:06:08.290 region:rollup2
AND THAT IT MAKES IT DIFFICULT
03:06:06.956 --> 03:06:10.593 region:rollup2
TO SERVE PEOPLE IN EVERY
03:06:08.290 --> 03:06:11.861 region:rollup2
SPECTRUM OF HEALTH CARE DELIVERY
03:06:10.593 --> 03:06:13.763 region:rollup2
BECAUSE OF THOSE RATES BEING LOW
03:06:11.861 --> 03:06:15.731 region:rollup2
IT MAKES A HARPER PROVIDERS. TO
03:06:13.763 --> 03:06:16.799 region:rollup2
SERVE EVERYONE I I THINK WE
03:06:15.731 --> 03:06:18.167 region:rollup2
AGREE ON THAT I THINK THAT'S A
03:06:16.799 --> 03:06:19.301 region:rollup2
MATTER THAT WE HAVE TO WORK ON
03:06:18.167 --> 03:06:21.871 region:rollup2
HOW TO INCREASE MEDICARE
03:06:19.301 --> 03:06:23.472 region:rollup2
REIMBURSEMENT RATES --
03:06:21.871 --> 03:06:25.141 region:rollup2
AND IT'S MEDICARE I STEERED YOU
03:06:23.472 --> 03:06:26.008 region:rollup2
WRONG BY SAYING MEDI CAL I
03:06:25.141 --> 03:06:27.376 region:rollup2
APOLOGIZE.
03:06:26.008 --> 03:06:28.411 region:rollup2
THAT OKAY --
03:06:27.376 --> 03:06:30.312 region:rollup2
BUT WHAT I HEARD IS THAT A
03:06:28.411 --> 03:06:31.614 region:rollup2
PERSON DOESN'T LOSE THE ABILITY
03:06:30.312 --> 03:06:32.848 region:rollup2
TO TAKE THE THIRD PARTY PAYMENTS
03:06:31.614 --> 03:06:35.851 region:rollup2
UNDER THIS BILL.
03:06:32.848 --> 03:06:36.786 region:rollup2
DO YOU DISAGREE WITH THAT DC I
03:06:35.851 --> 03:06:37.753 region:rollup2
YEAH YOU MISTER CHAIR DESTRUCTOR
03:06:36.786 --> 03:06:39.121 region:rollup2
MUCH.
03:06:37.753 --> 03:06:41.490 region:rollup2
AYE AYE MISS WHAT I DO HAVE SOME
03:06:39.121 --> 03:06:41.691 region:rollup2
QUESTIONS FOR YOU THE US LET
03:06:41.490 --> 03:06:42.591 region:rollup2
THEM.
03:06:41.691 --> 03:06:44.627 region:rollup2
GIVE PERSON WILL NOT LOSE THE
03:06:42.591 --> 03:06:46.195 region:rollup2
MEDICARE WILL NOT LOSE THE THIRD
03:06:44.627 --> 03:06:48.064 region:rollup2
PARTY REIMBURSEMENT BUT THE
03:06:46.195 --> 03:06:49.765 region:rollup2
THIRD PARTY REIMBURSEMENT IS OF
03:06:48.064 --> 03:06:50.966 region:rollup2
NO USE IF YOU DON'T HAVE A
03:06:49.765 --> 03:06:51.934 region:rollup2
CENTER WHERE YOU CAN GO TO GET
03:06:50.966 --> 03:06:54.236 region:rollup2
DIE OUT UNDERSTOOD.
03:06:51.934 --> 03:06:55.838 region:rollup2
UNDERSTOOD THAT AND SO I THINK
03:06:54.236 --> 03:06:57.506 region:rollup2
AT LEAST FOR NOW FEELS LIKE THIS
03:06:55.838 --> 03:06:58.474 region:rollup2
CLARITY ABOUT THAT PART OF THE
03:06:57.506 --> 03:06:59.442 region:rollup2
BILL.
03:06:58.474 --> 03:07:01.477 region:rollup2
IN ITS COMPLEXITIES THE SECOND
03:06:59.442 --> 03:07:02.812 region:rollup2
PART IS THE PART THAT HAS TO DO
03:07:01.477 --> 03:07:04.280 region:rollup2
WITH THOSE --
03:07:02.812 --> 03:07:06.315 region:rollup2
FOLKS WHO WORK IN LABOR WHO
03:07:04.280 --> 03:07:07.717 region:rollup2
SOMETIMES HAVE SEASONAL WORK AND
03:07:06.315 --> 03:07:09.151 region:rollup2
SOMETIMES --
03:07:07.717 --> 03:07:12.321 region:rollup2
HAVE TO GO --
03:07:09.151 --> 03:07:14.957 region:rollup2
ON COBRA AND YOU KNOW I I WAS
03:07:12.321 --> 03:07:16.425 region:rollup2
CONCERNED HEAR THAT SOMEONE
03:07:14.957 --> 03:07:19.695 region:rollup2
WOULD BASICALLY HAVE TO GIVE UP
03:07:16.425 --> 03:07:20.162 region:rollup2
THEIR INSURANCE OR FOR THEIR
03:07:19.695 --> 03:07:21.363 region:rollup2
DEPENDENTS.
03:07:20.162 --> 03:07:21.964 region:rollup2
IN ORDER TO RECEIVE BENEFITS
03:07:21.363 --> 03:07:24.600 region:rollup2
BECAUSE REQUIREMENTS OF THIS
03:07:21.964 --> 03:07:25.534 region:rollup2
BILL.
03:07:24.600 --> 03:07:27.069 region:rollup2
THAT IS THAT IS NOT WHAT WOULD
03:07:25.534 --> 03:07:29.071 region:rollup2
HAPPEN IF SOMEONE HIT THE THAT
03:07:27.069 --> 03:07:30.272 region:rollup2
MEMBER.
03:07:29.071 --> 03:07:33.509 region:rollup2
YOU KNOW BETTER THAN I MISTER
03:07:30.272 --> 03:07:37.580 region:rollup2
WHICH PLEASE ANSWER [inaudible]
03:07:33.509 --> 03:07:41.283 region:rollup2
MISTER CHAIRMAN --
03:07:37.580 --> 03:07:43.452 region:rollup2
IT WOULD WHEN YOU ARE CO BRED.
03:07:41.283 --> 03:07:45.087 region:rollup2
AND YOU ARE PAYING AND YOU CAN'T
03:07:43.452 --> 03:07:47.189 region:rollup2
AFFORD TO PAY THAT ANY LONGER.
03:07:45.087 --> 03:07:49.458 region:rollup2
AND YOU FALL OUT OF YOUR HEALTH
03:07:47.189 --> 03:07:51.227 region:rollup2
CARE YOU GOING TO MEDICARE --
03:07:49.458 --> 03:07:53.395 region:rollup2
YOUR FAMILY MEMBERS DON'T FOLLOW
03:07:51.227 --> 03:07:55.030 region:rollup2
WITH YOU OKAY MEDICARE'S GOING
03:07:53.395 --> 03:07:57.166 region:rollup2
TO BE FOR THE FOR THE PERSON
03:07:55.030 --> 03:07:58.400 region:rollup2
WITH THE REAL DISEASE THEY'RE
03:07:57.166 --> 03:08:00.269 region:rollup2
GONNA GO ON MEDICARE THEIR
03:07:58.400 --> 03:08:02.071 region:rollup2
FAMILY WHICH WAS GETTING THEIR
03:08:00.269 --> 03:08:03.806 region:rollup2
EMPLOYER HEALTH CARE.
03:08:02.071 --> 03:08:06.108 region:rollup2
ARE GONNA BE DROPPED RIGHT.
03:08:03.806 --> 03:08:07.109 region:rollup2
THAT'S IN IT IN.
03:08:06.108 --> 03:08:08.110 region:rollup2
I'M STILL TRYING LOOK AT THE
03:08:07.109 --> 03:08:10.146 region:rollup2
AMENDMENTS WERE TAKEN AT THE
03:08:08.110 --> 03:08:11.247 region:rollup2
BACK BUT MY UNDERSTANDING PLEASE
03:08:10.146 --> 03:08:12.381 region:rollup2
CORRECT ME IF I'M WRONG.
03:08:11.247 --> 03:08:14.116 region:rollup2
IS THAT THE BILL IS STILL
03:08:12.381 --> 03:08:15.718 region:rollup2
PERMISSIVE FOR THE HEALTH PLAN
03:08:14.116 --> 03:08:16.252 region:rollup2
TO ACCEPT THE GRANTS THAT HAS
03:08:15.718 --> 03:08:17.386 region:rollup2
NOT CHANGED TO YOUR FIRST
03:08:16.252 --> 03:08:19.155 region:rollup2
QUESTION.
03:08:17.386 --> 03:08:20.422 region:rollup2
MEANING IF YOU VOTE FOR THIS
03:08:19.155 --> 03:08:23.192 region:rollup2
BILL YOU'RE GIVING THE
03:08:20.422 --> 03:08:24.093 region:rollup2
FLEXIBILITY TO THE HMO TO SAY NO
03:08:23.192 --> 03:08:27.163 region:rollup2
WE'RE NOT GONNA TAKE THE GRANTS
03:08:24.093 --> 03:08:27.930 region:rollup2
AND THAT'S THAT'S IT MUST BE
03:08:27.163 --> 03:08:29.131 region:rollup2
AMENDMENTS THAT WERE TAKEN
03:08:27.930 --> 03:08:30.466 region:rollup2
EARLIER.
03:08:29.131 --> 03:08:32.468 region:rollup2
CHANGE THAT THE BILL AS WRITTEN
03:08:30.466 --> 03:08:33.269 region:rollup2
IS STILL MAY.
03:08:32.468 --> 03:08:35.037 region:rollup2
OKAY SO WE'RE GONNA GO TO THAT
03:08:33.269 --> 03:08:36.071 region:rollup2
BUT BEFORE WE DO I LIKE TO ASK
03:08:35.037 --> 03:08:37.439 region:rollup2
YOU MISTER WHICH AND THEN THE
03:08:36.071 --> 03:08:41.310 region:rollup2
AUTHOR.
03:08:37.439 --> 03:08:43.612 region:rollup2
I I I I FAMILIAR WITH COBRA.
03:08:41.310 --> 03:08:45.447 region:rollup2
AND I'M FAMILIAR WITH SOME OF
03:08:43.612 --> 03:08:46.882 region:rollup2
THE WORK THAT YOU MEMBERS DO AND
03:08:45.447 --> 03:08:49.385 region:rollup2
THAT IT CAN BE SEASONAL.
03:08:46.882 --> 03:08:50.119 region:rollup2
AND IT WOULD BE A CONCERN TO ME
03:08:49.385 --> 03:08:51.687 region:rollup2
IF SOMEONE WAS ESSENTIALLY
03:08:50.119 --> 03:08:53.789 region:rollup2
FORCED TO GIVE UP THEIR
03:08:51.687 --> 03:08:55.491 region:rollup2
INSURANCE FOR THEIR FAMILY
03:08:53.789 --> 03:08:57.459 region:rollup2
MEMBERS FOR THEIR DEPENDENTS.
03:08:55.491 --> 03:09:00.262 region:rollup2
I WANT TO ASK THE AUTHOR HOW THE
03:08:57.459 --> 03:09:01.430 region:rollup2
BILL SPEAKS TO THAT BECAUSE I
03:09:00.262 --> 03:09:02.231 region:rollup2
UNDERSTAND THAT THE BILL WAS STE
03:09:01.430 --> 03:09:03.065 region:rollup2
WHO AT LEAST ATTEMPTING TO
03:09:02.231 --> 03:09:06.001 region:rollup2
CREATE.
03:09:03.065 --> 03:09:08.304 region:rollup2
SOME WORKAROUNDS --
03:09:06.001 --> 03:09:08.904 region:rollup2
FOR FOLKS WHO FALL IN A UNIQUE
03:09:08.304 --> 03:09:10.339 region:rollup2
SITUATION LIKE THOSE THAT YOU
03:09:08.904 --> 03:09:12.007 region:rollup2
READ
03:09:10.339 --> 03:09:13.309 region:rollup2
BUT BEFORE BEFORE YES APPRECIATE
03:09:12.007 --> 03:09:14.543 region:rollup2
I APPRECIATE THE QUESTION THE
03:09:13.309 --> 03:09:15.778 region:rollup2
OFFER SOMETHING THAT MAYBE THAT
03:09:14.543 --> 03:09:16.579 region:rollup2
TERRIFIES AND MAYBE DOES AND I'M
03:09:15.778 --> 03:09:19.582 region:rollup2
NOT TRYING TO MUDDY THE WATER
03:09:16.579 --> 03:09:20.149 region:rollup2
WHICH IS ALREADY REALLY.
03:09:19.582 --> 03:09:21.851 region:rollup2
WHY NOT LET'S PUT SOME MORE
03:09:20.149 --> 03:09:23.586 region:rollup2
MONEY?
03:09:21.851 --> 03:09:24.086 region:rollup2
LOOK MY AMENDMENTS WERE INTENDED
03:09:23.586 --> 03:09:26.021 region:rollup2
TO AVOID DISRUPTION FOR
03:09:24.086 --> 03:09:27.323 region:rollup2
PATIENTS.
03:09:26.021 --> 03:09:29.425 region:rollup2
BUT ELIMINATE THE FINANCIAL
03:09:27.323 --> 03:09:31.360 region:rollup2
INCENTIVES.
03:09:29.425 --> 03:09:32.695 region:rollup2
THAT WAS MY INTENTION NOTHING IN
03:09:31.360 --> 03:09:34.697 region:rollup2
THE BILL WILL TO PROHIBIT THE
03:09:32.695 --> 03:09:35.898 region:rollup2
COMPANIES FROM CONTINUING TO
03:09:34.697 --> 03:09:37.733 region:rollup2
DONATE TO FOUNDATION SET UP TO
03:09:35.898 --> 03:09:38.767 region:rollup2
HELP PATIENTS.
03:09:37.733 --> 03:09:39.869 region:rollup2
BUT THIS WILL TEST WHETHER
03:09:38.767 --> 03:09:41.837 region:rollup2
COMPANIES ARE MAKING THE
03:09:39.869 --> 03:09:43.739 region:rollup2
DONATIONS TO TRULY HELP PEOPLE
03:09:41.837 --> 03:09:44.473 region:rollup2
OR JUST TO AUGMENT THEIR BOTTOM
03:09:43.739 --> 03:09:47.543 region:rollup2
LINE.
03:09:44.473 --> 03:09:49.745 region:rollup2
SO SYMPATHETIC AS PEOPLE --
03:09:47.543 --> 03:09:50.346 region:rollup2
ARE HERE YOU KNOW ABOUT I MEAN I
03:09:49.745 --> 03:09:51.280 region:rollup2
CAN APPRECIATE WHERE YOU'RE
03:09:50.346 --> 03:09:53.315 region:rollup2
COMING FROM --
03:09:51.280 --> 03:09:55.584 region:rollup2
MISTER WET WE ALL HAVE TO DEAL
03:09:53.315 --> 03:09:57.186 region:rollup2
WITH THAT IT WITH COBRA AT SOME
03:09:55.584 --> 03:09:58.721 region:rollup2
POINT YES IT IT IS A IT IS IT IS
03:09:57.186 --> 03:09:59.822 region:rollup2
IT IS AN ISSUE SO.
03:09:58.721 --> 03:10:00.990 region:rollup2
I DON'T KNOW IF I MADE IT CLEAR
03:09:59.822 --> 03:10:04.627 region:rollup2
ARE MADE HERE NO NO I THINK
03:10:00.990 --> 03:10:05.628 region:rollup2
MISTER CHAIR YOUR YOUR RE
03:10:04.627 --> 03:10:06.495 region:rollup2
STATEMENT ABOUT THE AMENDMENTS
03:10:05.628 --> 03:10:07.129 region:rollup2
IS HELPFUL.
03:10:06.495 --> 03:10:09.798 region:rollup2
I THINK WE HAVE ESTABLISHED THAT
03:10:07.129 --> 03:10:13.736 region:rollup2
--
03:10:09.798 --> 03:10:14.703 region:rollup2
EVEN IF THIS BILL PASSES THAT --
03:10:13.736 --> 03:10:16.438 region:rollup2
A THIRD PARTY CAN STILL MAKE A
03:10:14.703 --> 03:10:18.240 region:rollup2
DONATION.
03:10:16.438 --> 03:10:20.442 region:rollup2
AND AND OF THE REPRESENTATIVE
03:10:18.240 --> 03:10:21.543 region:rollup2
FROM THE AMERICAN CAN FUN ALSO
03:10:20.442 --> 03:10:22.945 region:rollup2
AGREED THAT THAT IS STILL THE
03:10:21.543 --> 03:10:24.713 region:rollup2
CASE THAT NOW THEY HAVE A
03:10:22.945 --> 03:10:26.181 region:rollup2
DIFFERENT ARGUMENT.
03:10:24.713 --> 03:10:27.850 region:rollup2
THEIR THEIR ARGUMENT IS THAT.
03:10:26.181 --> 03:10:29.652 region:rollup2
THEY'LL BE LESS REVENUE OVERALL
03:10:27.850 --> 03:10:30.786 region:rollup2
TO SUPPORT THE INFRASTRUCTURE
03:10:29.652 --> 03:10:32.021 region:rollup2
NEEDED TO SUPPORT EVERYBODY WHO
03:10:30.786 --> 03:10:34.290 region:rollup2
NEED SERVICE THAT'S A DIFFERENT
03:10:32.021 --> 03:10:34.957 region:rollup2
QUESTION BUT AT LEAST ON THIS I
03:10:34.290 --> 03:10:35.691 region:rollup2
THINK WE HAVE AGREEMENT AND YOUR
03:10:34.957 --> 03:10:37.359 region:rollup2
AMENDMENTS.
03:10:35.691 --> 03:10:38.827 region:rollup2
REALLY POINT THAT OUT CLEARLY
03:10:37.359 --> 03:10:40.863 region:rollup2
THAT NOTHING ABOUT THIS BILL
03:10:38.827 --> 03:10:41.897 region:rollup2
SAYS THAT THIRD PARTIES CANNOT
03:10:40.863 --> 03:10:43.666 region:rollup2
CONTINUE TO CONTRIBUTE TO
03:10:41.897 --> 03:10:44.566 region:rollup2
SUPPORT THE HEALTH CARE NEEDS A
03:10:43.666 --> 03:10:45.934 region:rollup2
SOMEWHAT DIALYSIS.
03:10:44.566 --> 03:10:47.436 region:rollup2
I THINK WHAT WE ARE IN THE
03:10:45.934 --> 03:10:49.872 region:rollup2
MOMENT --
03:10:47.436 --> 03:10:51.373 region:rollup2
DEALING WITH SOME --
03:10:49.872 --> 03:10:53.242 region:rollup2
NEED FOR MORE CLARITY I'LL SAY
03:10:51.373 --> 03:10:54.543 region:rollup2
IT THAT WAY IS ON THIS ISSUE OF
03:10:53.242 --> 03:10:56.912 region:rollup2
THOSE WHO --
03:10:54.543 --> 03:10:58.547 region:rollup2
ARE REPRESENTED BY THE TRUSTS
03:10:56.912 --> 03:11:01.417 region:rollup2
WHO COULD BE SEASONALLY Y.
03:10:58.547 --> 03:11:03.552 region:rollup2
WORKING AND WOULD THEY BE FORCED
03:11:01.417 --> 03:11:05.854 region:rollup2
TO GIVE UP THEIR ASSETS. TO
03:11:03.552 --> 03:11:07.790 region:rollup2
ESSENTIALLY BECOME ELIGIBLE--
03:11:05.854 --> 03:11:10.426 region:rollup2
FOR MEDICARE --
03:11:07.790 --> 03:11:11.026 region:rollup2
IT IF I MAY MISTER CHARITIES I'D
03:11:10.426 --> 03:11:13.562 region:rollup2
LIKE TO ASK JOHN FROM SEIU TO
03:11:11.026 --> 03:11:15.197 region:rollup2
RESPOND.
03:11:13.562 --> 03:11:16.999 region:rollup2
THANK YOU JOHN ALLEN SEIU UNITED
03:11:15.197 --> 03:11:18.434 region:rollup2
HEALTHCARE WORKERS ALSO HERE
03:11:16.999 --> 03:11:21.337 region:rollup2
WITH LABOR IN STRONG SUPPORT OF
03:11:18.434 --> 03:11:22.705 region:rollup2
THIS BILL SPEAKING DIRECTLY TO
03:11:21.337 --> 03:11:25.007 region:rollup2
THE COBRA ISSUE.
03:11:22.705 --> 03:11:26.542 region:rollup2
TO A A SEASONAL WORKER WHO WOULD
03:11:25.007 --> 03:11:29.078 region:rollup2
SOMETIMES BE ON COBRA AND
03:11:26.542 --> 03:11:30.813 region:rollup2
SOMETIMES BE COVERED BY --
03:11:29.078 --> 03:11:32.314 region:rollup2
BY A TRUSTS HEALTH INSURER NO
03:11:30.813 --> 03:11:34.683 region:rollup2
DIFFERENT.
03:11:32.314 --> 03:11:36.819 region:rollup2
ANY OTHER PATIENT AND AS THE
03:11:34.683 --> 03:11:38.020 region:rollup2
CHAIR SAID --
03:11:36.819 --> 03:11:39.621 region:rollup2
THERE IS NOTHING IN THE BILL
03:11:38.020 --> 03:11:42.725 region:rollup2
THAT PROHIBITS A THIRD PARTY
03:11:39.621 --> 03:11:43.726 region:rollup2
FROM MAKING THOSE PAYMENTS TO
03:11:42.725 --> 03:11:44.526 region:rollup2
PROVIDE HEALTH INSURANCE
03:11:43.726 --> 03:11:48.697 region:rollup2
COVERAGE TO PAY THAT COBRA
03:11:44.526 --> 03:11:50.232 region:rollup2
PREMIUM. FOR EXACTLY THE THE
03:11:48.697 --> 03:11:51.567 region:rollup2
WORKER THAT WAS DESCRIBED
03:11:50.232 --> 03:11:52.868 region:rollup2
NOTHING IN THE BILL PROHIBITS
03:11:51.567 --> 03:11:54.737 region:rollup2
THAT COBRA PAYMENT.
03:11:52.868 --> 03:11:56.205 region:rollup2
ALL THAT WOULD HAPPEN IS THAT IF
03:11:54.737 --> 03:11:57.706 region:rollup2
IT IS A FINANCIALLY INTERESTED
03:11:56.205 --> 03:11:58.974 region:rollup2
PAVEMENT BY FINANCIALLY
03:11:57.706 --> 03:12:00.876 region:rollup2
INTERESTED CITY.
03:11:58.974 --> 03:12:01.777 region:rollup2
THEN IT WOULD TRIGGER THAT MEDIC
03:12:00.876 --> 03:12:04.213 region:rollup2
ABOUT LOWER OF THE MEDICARE
03:12:01.777 --> 03:12:07.216 region:rollup2
RATES OR THE CONTRACTED RATE.
03:12:04.213 --> 03:12:10.019 region:rollup2
SO THERE IS.
03:12:07.216 --> 03:12:11.487 region:rollup2
NO REASON WHY A PERSON WOULD BE
03:12:10.019 --> 03:12:13.188 region:rollup2
FORCED OFF OF COBRA.
03:12:11.487 --> 03:12:15.657 region:rollup2
AND ON TO MEDICARE [inaudible]
03:12:13.188 --> 03:12:17.393 region:rollup2
IN LESS.
03:12:15.657 --> 03:12:19.795 region:rollup2
THE THIRD PARTY ENTITY IS
03:12:17.393 --> 03:12:22.264 region:rollup2
CHOOSING TO TO NO LONGER MAKE
03:12:19.795 --> 03:12:24.299 region:rollup2
THOSE PAYMENTS BECAUSE THE
03:12:22.264 --> 03:12:25.768 region:rollup2
PROVIDER WOULD RECEIVE A LOWER
03:12:24.299 --> 03:12:27.336 region:rollup2
REIMBURSEMENT RATE SO THE
03:12:25.768 --> 03:12:27.903 region:rollup2
MESSAGE I THINK I FOLLOWED THAT
03:12:27.336 --> 03:12:29.805 region:rollup2
AND I THINK WHAT I HEARD YOU
03:12:27.903 --> 03:12:32.141 region:rollup2
SAY.
03:12:29.805 --> 03:12:33.742 region:rollup2
IS THAT -- A
03:12:32.141 --> 03:12:35.577 region:rollup2
THIRD PARTY ENTITY COULD MAKE A
03:12:33.742 --> 03:12:37.379 region:rollup2
CONTRIBUTION TO HELP SOMEONE WHO
03:12:35.577 --> 03:12:38.981 region:rollup2
IS A CORPORATE STYLE HEALTH
03:12:37.379 --> 03:12:40.349 region:rollup2
INSURANCE THEY CAN CONTINUE ON
03:12:38.981 --> 03:12:41.550 region:rollup2
THAT FORM OF HEALTH INSURANCE
03:12:40.349 --> 03:12:43.786 region:rollup2
AND CONTINUE TO GET.
03:12:41.550 --> 03:12:44.420 region:rollup2
TREATMENT DO.
03:12:43.786 --> 03:12:49.858 region:rollup2
THE ASSURANCE THAT THEY HAVE THE
03:12:44.420 --> 03:12:51.560 region:rollup2
COOPER THAT IS CORRECT IN SO OF
03:12:49.858 --> 03:12:54.530 region:rollup2
MR WHICH JUST SO I'M CLEAR.
03:12:51.560 --> 03:12:55.964 region:rollup2
ARE THERE SCENARIOS WHERE.
03:12:54.530 --> 03:12:58.167 region:rollup2
HAVE WE MISSED ANYTHING TO THE
03:12:55.964 --> 03:12:59.935 region:rollup2
ASSERTION THAT THE THIRD PARTY
03:12:58.167 --> 03:13:01.336 region:rollup2
SURE THIS BILL DOES NOT PROHIBIT
03:12:59.935 --> 03:13:02.204 region:rollup2
THE THIRD PARTY INSURERS.
03:13:01.336 --> 03:13:03.806 region:rollup2
FROM PAYING FOR SAY WHEN YOU'RE
03:13:02.204 --> 03:13:05.107 region:rollup2
MEMBERS WHO HAS CORPORATE TO
03:13:03.806 --> 03:13:06.341 region:rollup2
CONTINUE IN THAT SAME LINE OF
03:13:05.107 --> 03:13:08.010 region:rollup2
INSURANCE WE MISS ANYTHING ON
03:13:06.341 --> 03:13:09.545 region:rollup2
THAT NOW I NEED TO LOOK AT THE
03:13:08.010 --> 03:13:11.213 region:rollup2
AMENDMENTS AS ARE TAKEN THEY
03:13:09.545 --> 03:13:12.815 region:rollup2
WERE REFLECTED IN THE ANALYSIS
03:13:11.213 --> 03:13:13.682 region:rollup2
SELECT AFTER LOOKING OKAY SENT
03:13:12.815 --> 03:13:14.683 region:rollup2
BACK TO OUR LAWYERS THE TRUCK.
03:13:13.682 --> 03:13:16.285 region:rollup2
ITEMS AND SEE IF THERE'S A
03:13:14.683 --> 03:13:18.687 region:rollup2
IMPACT GOT A QUESTION TO THE
03:13:16.285 --> 03:13:19.521 region:rollup2
AUTHOR INTO THE PROPONENTS ARE
03:13:18.687 --> 03:13:21.156 region:rollup2
IT -- MAY BE
03:13:19.521 --> 03:13:23.192 region:rollup2
OPPONENTS IS THERE NYTHING
03:13:21.156 --> 03:13:24.560 region:rollup2
ABOUT THIS BILL THAT SAYS IF
03:13:23.192 --> 03:13:27.062 region:rollup2
TWENTY THREE MINUTES A MEMBER.
03:13:24.560 --> 03:13:29.731 region:rollup2
OF ONE OF THESE GROUPS AND IS
03:13:27.062 --> 03:13:33.335 region:rollup2
ALL CORPORA --
03:13:29.731 --> 03:13:34.903 region:rollup2
THAT HE HAS TO GIVE ME.
03:13:33.335 --> 03:13:37.172 region:rollup2
THAT SOMEONE WHO IS --
03:13:34.903 --> 03:13:39.141 region:rollup2
A SEASONAL WORKER AND CORPORATE
03:13:37.172 --> 03:13:41.009 region:rollup2
WOULD NOT QUALIFY.
03:13:39.141 --> 03:13:42.144 region:rollup2
FROM MEDICARE --
03:13:41.009 --> 03:13:43.946 region:rollup2
IN THEIR CURRENT FINANCIAL
03:13:42.144 --> 03:13:45.214 region:rollup2
SITUATION AND THAT OF THE THIRD
03:13:43.946 --> 03:13:48.250 region:rollup2
PARTY GROUP WAS GOING TO
03:13:45.214 --> 03:13:49.451 region:rollup2
CONTINUE TO SUPPORT THEIR CARE
03:13:48.250 --> 03:13:50.786 region:rollup2
THAT THERE WOULD BE NO REASON
03:13:49.451 --> 03:13:51.353 region:rollup2
UNDER THIS BILL FOR THAT TO
03:13:50.786 --> 03:13:53.388 region:rollup2
CHANGE BUT I DON'T MAKE ANY
03:13:51.353 --> 03:13:55.691 region:rollup2
ASSUMPTIONS.
03:13:53.388 --> 03:13:56.859 region:rollup2
THAT IS CORRECT THE I THINK THE
03:13:55.691 --> 03:13:58.827 region:rollup2
ONLY REASON THAT SOMEONE WOULD
03:13:56.859 --> 03:13:59.962 region:rollup2
NOT NO LONGER BE A COBRA IS IF
03:13:58.827 --> 03:14:00.929 region:rollup2
THEIR TIME RAN OUT MOST THE TIME
03:13:59.962 --> 03:14:02.130 region:rollup2
YOU'RE ONLY ENTITLED TO BE ON
03:14:00.929 --> 03:14:02.431 region:rollup2
COVER FOR EIGHTEEN MONTHS
03:14:02.130 --> 03:14:04.533 region:rollup2
[inaudible]
03:14:02.431 --> 03:14:06.568 region:rollup2
GOT IT --
03:14:04.533 --> 03:14:08.137 region:rollup2
ANYHOW THIS ASK FROM THOSE OF
03:14:06.568 --> 03:14:08.971 region:rollup2
FROM AMERICA KIDNEY FUND OR
03:14:08.137 --> 03:14:10.539 region:rollup2
OTHERS.
03:14:08.971 --> 03:14:12.441 region:rollup2
IS THERE ANYTHING THAT YOU SEE
03:14:10.539 --> 03:14:14.109 region:rollup2
DIFFERENTLY THAT THIS BILL SAYS
03:14:12.441 --> 03:14:15.577 region:rollup2
THAT A PERSON'S OWN COBRA WHO
03:14:14.109 --> 03:14:17.379 region:rollup2
WANT TO STAY ON COBRA WHO REALLY
03:14:15.577 --> 03:14:18.780 region:rollup2
DOESN'T QUALIFY FOR MEDICARE.
03:14:17.379 --> 03:14:20.349 region:rollup2
IN ALL LIKELIHOOD --
03:14:18.780 --> 03:14:21.550 region:rollup2
WOULD IT BE ABLE TO CONTINUE
03:14:20.349 --> 03:14:24.119 region:rollup2
RECEIVING THEIR CARE THROUGH
03:14:21.550 --> 03:14:25.187 region:rollup2
THEIR CORPORATE ARRANGEMENT WITH
03:14:24.119 --> 03:14:25.754 region:rollup2
THE SUPPORT OF A THIRD PARTY.
03:14:25.187 --> 03:14:27.289 region:rollup2
IS THERE ANYTHING THAT WE'VE
03:14:25.754 --> 03:14:29.024 region:rollup2
MISSED.
03:14:27.289 --> 03:14:30.592 region:rollup2
SO LONG AS WE HAD RESOURCES WE
03:14:29.024 --> 03:14:31.960 region:rollup2
COULD HELP THAT PERSON ARE
03:14:30.592 --> 03:14:33.529 region:rollup2
CONCERNED AS I MENTIONED BEFORE
03:14:31.960 --> 03:14:35.397 region:rollup2
IS THAT.
03:14:33.529 --> 03:14:37.499 region:rollup2
THE IN IN LOOKING AT THIS
03:14:35.397 --> 03:14:38.467 region:rollup2
LEGISLATION AS REVISED ALTHOUGH
03:14:37.499 --> 03:14:40.269 region:rollup2
THERE ARE A LOT OF IMPROVEMENTS
03:14:38.467 --> 03:14:42.204 region:rollup2
IN IT WE'RE CONCERNED THAT THERE
03:14:40.269 --> 03:14:44.606 region:rollup2
ARE GRAVE IMPLICATIONS FOR THE
03:14:42.204 --> 03:14:46.008 region:rollup2
AVAILABILITY OF DIALYSIS CARE
03:14:44.606 --> 03:14:47.476 region:rollup2
THAT HAVE NOT BEEN LOOK THAT
03:14:46.008 --> 03:14:48.944 region:rollup2
HAVE NOT BEEN CONSIDERED.
03:14:47.476 --> 03:14:51.013 region:rollup2
AND WE THINK THAT IN THE
03:14:48.944 --> 03:14:52.748 region:rollup2
INTEREST OF PATIENTS IN THE CITY
03:14:51.013 --> 03:14:54.016 region:rollup2
AND IN THIS CUT IN THE STATE
03:14:52.748 --> 03:14:55.951 region:rollup2
THAT IT IS REALLY IMPORTANT TO
03:14:54.016 --> 03:14:57.419 region:rollup2
UNDERSTAND ALL THE IMPLICATIONS
03:14:55.951 --> 03:14:58.720 region:rollup2
FOR ACCESS BEFORE THIS BILL IS
03:14:57.419 --> 03:14:59.955 region:rollup2
ACTED ON AYE I THINK YOU'RE
03:14:58.720 --> 03:15:00.522 region:rollup2
RIGHT THAT WE HAVE TO HAVE A
03:14:59.955 --> 03:15:01.790 region:rollup2
COMPETITION BUT THE LONG.
03:15:00.522 --> 03:15:03.959 region:rollup2
TERM --
03:15:01.790 --> 03:15:05.894 region:rollup2
ABILITY OF OUR STATE AND NATION
03:15:03.959 --> 03:15:07.462 region:rollup2
TO SERVE A DIALYSIS PATIENTS IN
03:15:05.894 --> 03:15:09.131 region:rollup2
PATIENTS WITH OTHER OTHER
03:15:07.462 --> 03:15:09.698 region:rollup2
CONDITIONS I AM IN TERMS OF
03:15:09.131 --> 03:15:10.399 region:rollup2
WHAT'S RIGHT IN FRONT OF US
03:15:09.698 --> 03:15:12.501 region:rollup2
TODAY.
03:15:10.399 --> 03:15:14.136 region:rollup2
AND IT SEEMS TO ME THAT IN THIS
03:15:12.501 --> 03:15:16.038 region:rollup2
CONVERSATION WITH BEEN LIFTED UP
03:15:14.136 --> 03:15:17.472 region:rollup2
HIS AT THIS BILL DOES NOT FOR
03:15:16.038 --> 03:15:18.707 region:rollup2
SOMEONE TO GIVE UP THEIR COOPER
03:15:17.472 --> 03:15:22.044 region:rollup2
ARRANGEMENT.
03:15:18.707 --> 03:15:23.979 region:rollup2
ARM AND AND IT DOESN'T A THIRD
03:15:22.044 --> 03:15:24.613 region:rollup2
PARTY.
03:15:23.979 --> 03:15:26.982 region:rollup2
PORTER TO SUPPORT SOMEONE SCARE
03:15:24.613 --> 03:15:28.517 region:rollup2
--
03:15:26.982 --> 03:15:31.753 region:rollup2
WHICH SEEM TO HAVE BEEN THE TWO
03:15:28.517 --> 03:15:32.721 region:rollup2
MAJOR ISSUES I AT HIM I I WOULD
03:15:31.753 --> 03:15:34.089 region:rollup2
SAY THAT THAT IS TRUE BUT WHAT I
03:15:32.721 --> 03:15:35.624 region:rollup2
WOULD WHAT I WOULD RESPECTFULLY
03:15:34.089 --> 03:15:38.093 region:rollup2
DISAGREE WITH IS THAT THIS
03:15:35.624 --> 03:15:38.627 region:rollup2
REALLY IS NOT A LONG TERM ISSUE
03:15:38.093 --> 03:15:39.595 region:rollup2
IT REALLY IS AN IMMEDIATE
03:15:38.627 --> 03:15:41.330 region:rollup2
IMPACT.
03:15:39.595 --> 03:15:42.264 region:rollup2
AND THAT IS THE CONCERN I YOU
03:15:41.330 --> 03:15:43.966 region:rollup2
KNOW WHAT I STAND CORRECTED
03:15:42.264 --> 03:15:46.134 region:rollup2
YOU'RE RIGHT HE HAS SHORT TERM
03:15:43.966 --> 03:15:46.868 region:rollup2
URGENCY AND I THINK WE HAVE TO
03:15:46.134 --> 03:15:48.837 region:rollup2
FIGURE OUT HUESO ADDRESS.
03:15:46.868 --> 03:15:49.805 region:rollup2
THANK YOU THANK YOU I THINK I
03:15:48.837 --> 03:15:51.340 region:rollup2
THINK THAT'S IT FOR MY QUESTIONS
03:15:49.805 --> 03:15:53.242 region:rollup2
MISTER THANK YOU FOR THE
03:15:51.340 --> 03:15:55.877 region:rollup2
LATITUDE COURSE.
03:15:53.242 --> 03:15:58.146 region:rollup2
THANK YOU VERY MUCH THINK --
03:15:55.877 --> 03:15:59.181 region:rollup2
ESTIMATES.
03:15:58.146 --> 03:15:59.781 region:rollup2
NOTHING WAS CHAIR --
03:15:59.181 --> 03:16:01.917 region:rollup2
IT'S INTERESTING LISTEN TO THE
03:15:59.781 --> 03:16:03.752 region:rollup2
CONVERSATION HERE AND I'VE ONLY
03:16:01.917 --> 03:16:05.454 region:rollup2
BEEN A LEGISLATURE FOR FOUR
03:16:03.752 --> 03:16:06.355 region:rollup2
YEARS BUT I CAN TELL YOU THAT
03:16:05.454 --> 03:16:07.356 region:rollup2
THERE'S A LOT OF DECISIONS THAT
03:16:06.355 --> 03:16:08.624 region:rollup2
ARE.
03:16:07.356 --> 03:16:11.627 region:rollup2
MADE HERE BASED UPON YOUR INNATE
03:16:08.624 --> 03:16:12.127 region:rollup2
BIASES --
03:16:11.627 --> 03:16:13.395 region:rollup2
SOMETIMES --
03:16:12.127 --> 03:16:15.097 region:rollup2
YOU MAY HAVE YOU KNOW
03:16:13.395 --> 03:16:15.731 region:rollup2
CONFIRMATION BIAS WHERE IT'S
03:16:15.097 --> 03:16:18.166 region:rollup2
LIKE WELL IF IT'S THIS PERSON'S
03:16:15.731 --> 03:16:19.401 region:rollup2
THEN I'M ADAMANTLY OPPOSE OF ITS
03:16:18.166 --> 03:16:21.937 region:rollup2
US PERSONS AYE MADLY AYE I'M I'M
03:16:19.401 --> 03:16:22.838 region:rollup2
IN SUPPORT OF TO BE FAIR OUT TO
03:16:21.937 --> 03:16:25.540 region:rollup2
THE AUTHOR.
03:16:22.838 --> 03:16:28.610 region:rollup2
I WHEN I FIRST SAW YOUR NAME I
03:16:25.540 --> 03:16:30.345 region:rollup2
WAS LIKE I'M GONNA BE OPPOSED.
03:16:28.610 --> 03:16:31.546 region:rollup2
YEAH I WEAR THAT AS A BADGE OF
03:16:30.345 --> 03:16:37.052 region:rollup2
HONOR THE WELL.
03:16:31.546 --> 03:16:39.321 region:rollup2
SO DO I SO DO I BUT GOT GREAT
03:16:37.052 --> 03:16:39.888 region:rollup2
REGARD FOR YOU AND WE DO
03:16:39.321 --> 03:16:40.489 region:rollup2
REPRESENT THE SAME THE SAME
03:16:39.888 --> 03:16:41.323 region:rollup2
COUNTIES.
03:16:40.489 --> 03:16:41.990 region:rollup2
SURE THERE ARE SOME THINGS THAT
03:16:41.323 --> 03:16:42.591 region:rollup2
WILL BE ABLE TO TO WORK ON BUT
03:16:41.990 --> 03:16:43.425 region:rollup2
I'LL TELL YOU WHEN I FIRST SAW
03:16:42.591 --> 03:16:43.859 region:rollup2
THIS -- MODE
03:16:43.425 --> 03:16:45.794 region:rollup2
LIKE OF COURSE I'M.
03:16:43.859 --> 03:16:47.329 region:rollup2
I'M I'M OPPOSED.
03:16:45.794 --> 03:16:48.864 region:rollup2
WHEN I HEARD THAT --
03:16:47.329 --> 03:16:50.899 region:rollup2
WE'RE GOING TO BAN NON NON
03:16:48.864 --> 03:16:52.634 region:rollup2
PROFITS FROM BEING ABLE TO GIVE
03:16:50.899 --> 03:16:54.803 region:rollup2
PREVIOUS PREMIUM ASSISTANCE.
03:16:52.634 --> 03:16:56.405 region:rollup2
I JUST SOME OF MY COMMUNITY I
03:16:54.803 --> 03:16:57.005 region:rollup2
WAS LIKE NO ABSOLUTELY NOT
03:16:56.405 --> 03:16:58.340 region:rollup2
THERE'S NOTHING WRONG WITH NON
03:16:57.005 --> 03:16:59.975 region:rollup2
PROFITS.
03:16:58.340 --> 03:17:01.376 region:rollup2
THAT BEING ABLE TO THAT TO GET
03:16:59.975 --> 03:17:03.512 region:rollup2
PREMIUM ASSISTANCE ABOUT FOLKS
03:17:01.376 --> 03:17:05.080 region:rollup2
IN MY HOMETOWN THAT ARE BARELY
03:17:03.512 --> 03:17:05.914 region:rollup2
ABLE TO MAKE ENDS MEET MOM AND
03:17:05.080 --> 03:17:07.949 region:rollup2
WE'VE GOT --
03:17:05.914 --> 03:17:08.250 region:rollup2
DIALYSIS FACILITY IN MY HOME
03:17:07.949 --> 03:17:10.886 region:rollup2
[inaudible]
03:17:08.250 --> 03:17:12.087 region:rollup2
TO LAST A COUPLE OF YEARS AND I
03:17:10.886 --> 03:17:14.089 region:rollup2
WANNA MAKE SURE THOSE FOLKS I'M
03:17:12.087 --> 03:17:15.891 region:rollup2
STILL HAVE SERVICE AND I KNOW
03:17:14.089 --> 03:17:17.426 region:rollup2
THAT ALL OF US IN OUR I'M
03:17:15.891 --> 03:17:17.893 region:rollup2
OFFICES OF HAD FOLKS IS SHOWING
03:17:17.426 --> 03:17:19.361 region:rollup2
UP.
03:17:17.893 --> 03:17:19.995 region:rollup2
NAM AND SAYING YOU KNOW WE'RE
03:17:19.361 --> 03:17:21.430 region:rollup2
NOT GOING TO BE ABLE TO HAVE THE
03:17:19.995 --> 03:17:22.064 region:rollup2
SERVICE.
03:17:21.430 --> 03:17:24.333 region:rollup2
IGNORANCE CAN BE BLISS SOMETIMES
03:17:22.064 --> 03:17:25.767 region:rollup2
--
03:17:24.333 --> 03:17:27.869 region:rollup2
AND FOR ME IT WAS AND HOW I
03:17:25.767 --> 03:17:29.337 region:rollup2
STARTED TO DIG INTO THIS MORE
03:17:27.869 --> 03:17:31.206 region:rollup2
AND MORE AND MORE.
03:17:29.337 --> 03:17:33.041 region:rollup2
AND THE THING THAT I BEGAN TO
03:17:31.206 --> 03:17:34.943 region:rollup2
REALIZE WAS.
03:17:33.041 --> 03:17:36.978 region:rollup2
MY GOODNESS THEIR GAME IN THE
03:17:34.943 --> 03:17:38.747 region:rollup2
SYSTEM HERE.
03:17:36.978 --> 03:17:40.549 region:rollup2
THERE WAS ONE PARTICULAR --
03:17:38.747 --> 03:17:43.352 region:rollup2
TERM I'M WHEN I ASKED THE
03:17:40.549 --> 03:17:43.952 region:rollup2
QUESTION OF WHAT WOULD HAPPEN --
03:17:43.352 --> 03:17:44.553 region:rollup2
IF FOLKS STOPPING IN THIS YOU
03:17:43.952 --> 03:17:46.154 region:rollup2
KNOW WE WENT BILL TO PROVIDE
03:17:44.553 --> 03:17:47.923 region:rollup2
THAT SERVICE ANYMORE.
03:17:46.154 --> 03:17:49.291 region:rollup2
NOW SO COUPLE QUESTIONS JUST TO
03:17:47.923 --> 03:17:50.125 region:rollup2
MAKE SURE THAT I'M THAT BACK TO
03:17:49.291 --> 03:17:51.426 region:rollup2
MR THURMAN'S --
03:17:50.125 --> 03:17:51.727 region:rollup2
QUESTIONS ON TO MAKE SURE WE GET
03:17:51.426 --> 03:17:53.095 region:rollup2
THIS -- THIS
03:17:51.727 --> 03:17:55.363 region:rollup2
CORRECT.
03:17:53.095 --> 03:17:56.565 region:rollup2
IF MY MOM IF I WAS ON A FIVE
03:17:55.363 --> 03:17:57.532 region:rollup2
THAT IF A RELATIVE --
03:17:56.565 --> 03:17:59.101 region:rollup2
WANTED TO PAY FOR PREMIUM
03:17:57.532 --> 03:18:00.535 region:rollup2
ASSISTANCE.
03:17:59.101 --> 03:18:01.403 region:rollup2
WOULD ANYTHING CHANGE IF THEY
03:18:00.535 --> 03:18:03.805 region:rollup2
CONTINUE TO KEEP PAYMENT
03:18:01.403 --> 03:18:05.540 region:rollup2
PREMIUMS PREMIUM ASSISTANCE NO.
03:18:03.805 --> 03:18:07.376 region:rollup2
SO IT'S ONLY FOR THOSE PEOPLE
03:18:05.540 --> 03:18:08.510 region:rollup2
WHO A FINANCIAL INCENTIVE --
03:18:07.376 --> 03:18:11.213 region:rollup2
THAT'S THE ONLY THE ONLY
03:18:08.510 --> 03:18:11.847 region:rollup2
DIFFERENCES CORRECT.
03:18:11.213 --> 03:18:13.348 region:rollup2
SO THERE'S A QUESTION THAT THEN
03:18:11.847 --> 03:18:15.717 region:rollup2
POPS UP.
03:18:13.348 --> 03:18:17.519 region:rollup2
IS WHY WHY DO WE DO THIS
03:18:15.717 --> 03:18:19.955 region:rollup2
ARBITRAGE THAT'S WHAT IT LOOKS
03:18:17.519 --> 03:18:21.022 region:rollup2
LIKE TO ME WE HAVE AYE NONPROFIT
03:18:19.955 --> 03:18:23.125 region:rollup2
THAT'S OUT HERE THAT FOLKS ARE.
03:18:21.022 --> 03:18:25.026 region:rollup2
BY WRITING CONTRIBUTIONS TO TO
03:18:23.125 --> 03:18:26.361 region:rollup2
BE ABLE TO PROP UP THOSE.
03:18:25.026 --> 03:18:27.963 region:rollup2
OF THIS PREMIUM PAYMENTS BECAUSE
03:18:26.361 --> 03:18:30.599 region:rollup2
MY GUESS IS IS THAT THE PRIVATE
03:18:27.963 --> 03:18:32.367 region:rollup2
PAYERS PAY SIGNIFICANTLY HIGHER
03:18:30.599 --> 03:18:32.701 region:rollup2
THAN WHAT MEDICARE A CITIES ON
03:18:32.367 --> 03:18:33.735 region:rollup2
THE GROUND.
03:18:32.701 --> 03:18:34.836 region:rollup2
SO LIKE TO MAYBE DIG INTO THAT
03:18:33.735 --> 03:18:35.470 region:rollup2
QUESTION.
03:18:34.836 --> 03:18:37.439 region:rollup2
A LITTLE BIT WHAT'S THE
03:18:35.470 --> 03:18:38.507 region:rollup2
DIFFERENCE SO IF I'M BECAUSE I
03:18:37.439 --> 03:18:40.475 region:rollup2
DON'T KNOW FOR WHAT WE'RE
03:18:38.507 --> 03:18:41.810 region:rollup2
TALKING ABOUT DIALYSIS.
03:18:40.475 --> 03:18:43.879 region:rollup2
SO IF I GO ON MONDAY WEDNESDAY
03:18:41.810 --> 03:18:45.514 region:rollup2
FRIDAY WHAT IS MEDICARE PAY FOR
03:18:43.879 --> 03:18:46.515 region:rollup2
THAT ONE PARTICULAR SERVICE ON
03:18:45.514 --> 03:18:49.084 region:rollup2
ON A MONDAY WHAT'S WHAT IS
03:18:46.515 --> 03:18:50.652 region:rollup2
MEDICARE PAY.
03:18:49.084 --> 03:18:52.521 region:rollup2
I LOWER MY EXPERTS ANSWER --
03:18:50.652 --> 03:18:53.155 region:rollup2
MEDICARE PAYS BETWEEN TWO
03:18:52.521 --> 03:18:55.390 region:rollup2
HUNDRED FIFTY AND THREE HUNDRED
03:18:53.155 --> 03:18:58.160 region:rollup2
DOLLARS PER TREATMENT MCKENNA.
03:18:55.390 --> 03:19:00.195 region:rollup2
AND COMMERCIAL RATES FOR THE
03:18:58.160 --> 03:19:01.797 region:rollup2
LARGE FOR PROFIT DIALYSIS
03:19:00.195 --> 03:19:04.399 region:rollup2
CENTERS ARE GENERALLY AROUND A
03:19:01.797 --> 03:19:06.401 region:rollup2
THOUSAND DOLLARS PER TREATMENT.
03:19:04.399 --> 03:19:07.836 region:rollup2
AND YOU HAVE TO HOW MANY TIMES A
03:19:06.401 --> 03:19:08.470 region:rollup2
DAY OR A WEEK SOMETIMES A WEEK.
03:19:07.836 --> 03:19:10.272 region:rollup2
HUNDRED AND FIFTY TREATMENTS PER
03:19:08.470 --> 03:19:11.239 region:rollup2
YEAR SO WE'RE TALKING ABOUT
03:19:10.272 --> 03:19:12.207 region:rollup2
WHAT'S THE DIFFERENCE THEN NOT
03:19:11.239 --> 03:19:14.676 region:rollup2
SO.
03:19:12.207 --> 03:19:15.710 region:rollup2
YOU'RE LOOKING AT EASILY A
03:19:14.676 --> 03:19:17.646 region:rollup2
HUNDRED THOUSAND DOLLARS IN
03:19:15.710 --> 03:19:19.014 region:rollup2
DIFFERENCE BETWEEN.
03:19:17.646 --> 03:19:20.215 region:rollup2
COMMERCIAL AND MEDICARE RIGHT
03:19:19.014 --> 03:19:21.283 region:rollup2
AND HOW MUCH WITH THE PREMIUM
03:19:20.215 --> 03:19:22.951 region:rollup2
PAYMENT BE THE PREMIUM
03:19:21.283 --> 03:19:24.052 region:rollup2
ASSISTANCE ARE BEING PAID.
03:19:22.951 --> 03:19:26.021 region:rollup2
A BY THE NONPROFIT FOR THAT YEAR
03:19:24.052 --> 03:19:28.190 region:rollup2
HOW MUCH.
03:19:26.021 --> 03:19:29.558 region:rollup2
IT WOULD THOUSAND FIFTEEN
03:19:28.190 --> 03:19:30.358 region:rollup2
HUNDRED SO MAYBE FIFTEEN
03:19:29.558 --> 03:19:31.660 region:rollup2
THOUSAND SO DO PRETTY WELL WE
03:19:30.358 --> 03:19:34.996 region:rollup2
WERE TALKING ABOUT A SIGNIFICANT
03:19:31.660 --> 03:19:35.597 region:rollup2
AMOUNT OF MONEY. SEVENTY FIVE
03:19:34.996 --> 03:19:36.231 region:rollup2
EIGHTY EIGHTY THOUSAND DOLLARS
03:19:35.597 --> 03:19:38.233 region:rollup2
MY GOODNESS THAT'S THAT'S SMART
03:19:36.231 --> 03:19:39.568 region:rollup2
BUSINESS.
03:19:38.233 --> 03:19:42.070 region:rollup2
THE PROBLEM IS.
03:19:39.568 --> 03:19:43.405 region:rollup2
THE PROBLEM IS.
03:19:42.070 --> 03:19:44.739 region:rollup2
IS THAT IN OUR HEALTHCARE SYSTEM
03:19:43.405 --> 03:19:45.640 region:rollup2
IS ONE THING THAT I'VE LEARNED
03:19:44.739 --> 03:19:47.275 region:rollup2
IS THAT WERE GAME IN EVERYBODY'S
03:19:45.640 --> 03:19:48.910 region:rollup2
GAME EVERYBODY.
03:19:47.275 --> 03:19:50.345 region:rollup2
AND WE HERE HAVE THESE THESE
03:19:48.910 --> 03:19:51.780 region:rollup2
COMMITTEE HEARINGS AND YOU GOT
03:19:50.345 --> 03:19:52.380 region:rollup2
THE DOCKS TRYING TO GAME THE
03:19:51.780 --> 03:19:53.682 region:rollup2
HOSPITAL'S TRYING TO GAME THE
03:19:52.380 --> 03:19:54.349 region:rollup2
PROVIDERS.
03:19:53.682 --> 03:19:55.550 region:rollup2
AND THE REASON THAT OUR
03:19:54.349 --> 03:19:57.352 region:rollup2
HEALTHCARE COSTS CONTINUE TO
03:19:55.550 --> 03:20:00.488 region:rollup2
KEEP ESCALATING IS BECAUSE
03:19:57.352 --> 03:20:02.557 region:rollup2
EVERYBODY'S GAME AND EVERYBODY.
03:20:00.488 --> 03:20:03.758 region:rollup2
AT SOME POINT IN TIME THAT HOUSE
03:20:02.557 --> 03:20:05.293 region:rollup2
TO STOP NOW.
03:20:03.758 --> 03:20:06.728 region:rollup2
AS THE VICE CHAIR I MET WITH
03:20:05.293 --> 03:20:08.463 region:rollup2
LOTS OF DIFFERENT FOLKS SAYING
03:20:06.728 --> 03:20:10.131 region:rollup2
LOOK WE GOTTA FIGURE OUT A WAY.
03:20:08.463 --> 03:20:11.499 region:rollup2
TO BE ABLE TO COME UP WITH --
03:20:10.131 --> 03:20:12.968 region:rollup2
MAYBE IN THE MIDDLE OF THE ROAD
03:20:11.499 --> 03:20:13.535 region:rollup2
AND WE WORKED WITH THAT THE
03:20:12.968 --> 03:20:14.936 region:rollup2
CHAIR TO TRY TO COME UP WITH
03:20:13.535 --> 03:20:15.670 region:rollup2
THAT.
03:20:14.936 --> 03:20:17.706 region:rollup2
AND THEY WANT TO FIND OUT THE
03:20:15.670 --> 03:20:18.573 region:rollup2
AMENDMENT WAS IS JUST APPLY THAT
03:20:17.706 --> 03:20:19.241 region:rollup2
THE MEDICARE RIGHT I THOUGHT
03:20:18.573 --> 03:20:21.142 region:rollup2
WELL.
03:20:19.241 --> 03:20:23.378 region:rollup2
I REMEMBER EFFECTS I MEMBER THIS
03:20:21.142 --> 03:20:24.813 region:rollup2
DISCUSSION JUST A FEW WEEKS AGO
03:20:23.378 --> 03:20:26.615 region:rollup2
180% OF THOSE TELL ME IF I'M
03:20:24.813 --> 03:20:27.983 region:rollup2
WRONG BUT 80% OF OUR PATIENTS
03:20:26.615 --> 03:20:29.918 region:rollup2
ARE ALREADY ON MEDICARE IS
03:20:27.983 --> 03:20:30.852 region:rollup2
ALREADY PAINT.
03:20:29.918 --> 03:20:33.421 region:rollup2
TO SO IT'S ONLY THE EXTRA 20% OF
03:20:30.852 --> 03:20:34.656 region:rollup2
PATIENTS AND THAT ARE THAT ARE
03:20:33.421 --> 03:20:36.124 region:rollup2
BUT THAT THAT THE THAT THE
03:20:34.656 --> 03:20:37.792 region:rollup2
PRIVATE PROVIDERS ARE ARE PAYING
03:20:36.124 --> 03:20:38.994 region:rollup2
THAT INCREASED THAT INCREASED
03:20:37.792 --> 03:20:41.196 region:rollup2
AMOUNT WHAT'S WRONG WITH.
03:20:38.994 --> 03:20:42.597 region:rollup2
SAYING LOOK YOU CAN STILL GIVE
03:20:41.196 --> 03:20:44.499 region:rollup2
TO AMERICA KIDNEY FUND YOU CAN
03:20:42.597 --> 03:20:45.667 region:rollup2
GIVE TO A NONPROFIT.
03:20:44.499 --> 03:20:46.668 region:rollup2
BUT IF THERE'S STUFF BUT
03:20:45.667 --> 03:20:48.470 region:rollup2
ELIMINATE THE FINANCIAL
03:20:46.668 --> 03:20:50.005 region:rollup2
INCENTIVE YOU JUST ARE GOING TO
03:20:48.470 --> 03:20:51.206 region:rollup2
HAVE TO PAY THE MEDICARE RATE.
03:20:50.005 --> 03:20:53.408 region:rollup2
I THINK THAT TAKES MOST OF ALL
03:20:51.206 --> 03:20:54.809 region:rollup2
THE ARGUMENTS.
03:20:53.408 --> 03:20:56.912 region:rollup2
OFF THE TABLE AND SO I THINK
03:20:54.809 --> 03:20:57.946 region:rollup2
WHEN I SAW THOSE AMENDS BETWEEN
03:20:56.912 --> 03:20:59.848 region:rollup2
THECHAIR OF THE COMMITTEE IN
03:20:57.946 --> 03:21:01.383 region:rollup2
THE THE AUTHOR I'M NOT QUITE
03:20:59.848 --> 03:21:02.651 region:rollup2
SURE MORE OF WHAT WE CAN DEAL.
03:21:01.383 --> 03:21:05.553 region:rollup2
NOW I CAN CHOOSE --
03:21:02.651 --> 03:21:07.622 region:rollup2
BECAUSE I'VE HAD THOSE PATIENTS
03:21:05.553 --> 03:21:08.523 region:rollup2
IN MY ARE IN MY OFFICE AND I'VE
03:21:07.622 --> 03:21:10.458 region:rollup2
HAD THOSE PHONE CALLS INTO MY
03:21:08.523 --> 03:21:12.294 region:rollup2
DISTRICT OFFICE IN. TO THE
03:21:10.458 --> 03:21:14.462 region:rollup2
CAPITOL OFFICE I CAN CHOOSE TO
03:21:12.294 --> 03:21:16.364 region:rollup2
TO TURN A BLIND EYE. TO THAT BUT
03:21:14.462 --> 03:21:17.365 region:rollup2
THE FACT IS FOLKS ARE GAME IN
03:21:16.364 --> 03:21:17.933 region:rollup2
THE SYSTEM.
03:21:17.365 --> 03:21:20.368 region:rollup2
WE GOTTA DO SOMETHING ABOUT
03:21:17.933 --> 03:21:20.902 region:rollup2
THAT.
03:21:20.368 --> 03:21:22.170 region:rollup2
SO I'LL BE SUPPORTING THIS
03:21:20.902 --> 03:21:25.574 region:rollup2
TODAY.
03:21:22.170 --> 03:21:26.775 region:rollup2
THANK YOU SO WHENEVER.
03:21:25.574 --> 03:21:30.278 region:rollup2
ANY OTHER QUESTIONS OR COMMENTS
03:21:26.775 --> 03:21:31.413 region:rollup2
WAS WELCOME.
03:21:30.278 --> 03:21:32.647 region:rollup2
IT'S TOUGH IT'S HARD WHEN WE
03:21:31.413 --> 03:21:34.349 region:rollup2
HAVE SO MANY PEOPLE ON BOTH
03:21:32.647 --> 03:21:35.417 region:rollup2
SIDES IN THE SO MANY ISSUES.
03:21:34.349 --> 03:21:36.251 region:rollup2
AND NOT YOU KNOW I JUST WANT
03:21:35.417 --> 03:21:37.686 region:rollup2
TALK A LITTLE BIT ABOUT THE
03:21:36.251 --> 03:21:38.687 region:rollup2
SUBSTANCE USE.
03:21:37.686 --> 03:21:40.322 region:rollup2
ISSUE BECAUSE I'M VERY CONCERNED
03:21:38.687 --> 03:21:42.657 region:rollup2
ABOUT THAT [inaudible]
03:21:40.322 --> 03:21:43.725 region:rollup2
ALSO PALM.
03:21:42.657 --> 03:21:45.694 region:rollup2
SOME TRYING TO FIGURE OUT HOW
03:21:43.725 --> 03:21:47.629 region:rollup2
THE RATES COULD EVEN BE.
03:21:45.694 --> 03:21:49.397 region:rollup2
AFFECTED OR CHANGED.
03:21:47.629 --> 03:21:51.099 region:rollup2
BECAUSE WHEN WE LOOKED AT
03:21:49.397 --> 03:21:53.602 region:rollup2
SUBSTANCE USE DISORDER.
03:21:51.099 --> 03:21:55.303 region:rollup2
RAISING REIMBURSEMENT RATES TO
03:21:53.602 --> 03:21:56.972 region:rollup2
HER TO HELP FOR TREATMENT.
03:21:55.303 --> 03:21:58.673 region:rollup2
WE WERE TOLD BY THE DEPARTMENT
03:21:56.972 --> 03:22:00.008 region:rollup2
OF HEALTH CARE SERVICES ON THE
03:21:58.673 --> 03:22:00.609 region:rollup2
RECORD AND I HAVE THE TRANSCRIPT
03:22:00.008 --> 03:22:03.244 region:rollup2
OF COURSE I DON'T HAVE WITH ME
03:22:00.609 --> 03:22:05.413 region:rollup2
BUT THAT THAT.
03:22:03.244 --> 03:22:07.315 region:rollup2
THAT THEY DON'T SET RATES.
03:22:05.413 --> 03:22:09.150 region:rollup2
SENATE STONE THROUGH ODS AND THE
03:22:07.315 --> 03:22:10.018 region:rollup2
WAIVERS ON THAT THE COUNTIES OF
03:22:09.150 --> 03:22:13.355 region:rollup2
SENDING THE RATES FOR THOSE
03:22:10.018 --> 03:22:14.689 region:rollup2
TREATMENTS SO IF WE COULDN'T.
03:22:13.355 --> 03:22:15.824 region:rollup2
REYES THE REIMBURSEMENT RATES
03:22:14.689 --> 03:22:17.125 region:rollup2
HOW WOULD YOU BE ABLE TO LOWER
03:22:15.824 --> 03:22:18.259 region:rollup2
THEM.
03:22:17.125 --> 03:22:21.196 region:rollup2
WITHOUT GOING COUNTY BY COUNTY
03:22:18.259 --> 03:22:23.398 region:rollup2
BY COUNTY.
03:22:21.196 --> 03:22:23.598 region:rollup2
A SIMILAR BERMAN ASK AND RESPOND
03:22:23.398 --> 03:22:25.266 region:rollup2
ABOUT.
03:22:23.598 --> 03:22:27.369 region:rollup2
YES THANK YOU.
03:22:25.266 --> 03:22:29.237 region:rollup2
I THINK WHAT WE'RE SEEING THIS
03:22:27.369 --> 03:22:30.005 region:rollup2
OCCUR AN IS THAT --
03:22:29.237 --> 03:22:31.873 region:rollup2
COMMERCIAL HEALTH INSURANCE
03:22:30.005 --> 03:22:33.842 region:rollup2
MARKET.
03:22:31.873 --> 03:22:34.843 region:rollup2
SO WHAT THIS BILL DOES IS
03:22:33.842 --> 03:22:37.445 region:rollup2
ADDRESS JUST THE COMMERCIAL
03:22:34.843 --> 03:22:39.280 region:rollup2
MARKET AND WHAT WE'VE SEEN IN
03:22:37.445 --> 03:22:40.682 region:rollup2
THE SUBSTANCE ABUSE SPACE IS
03:22:39.280 --> 03:22:42.851 region:rollup2
THAT IT'S GENERALLY OUT OF
03:22:40.682 --> 03:22:44.619 region:rollup2
NETWORK SUCH A SUPERUSER
03:22:42.851 --> 03:22:44.886 region:rollup2
TREATMENT CENTERS THEIR ADAM
03:22:44.619 --> 03:22:45.887 region:rollup2
NETWORK.
03:22:44.886 --> 03:22:49.090 region:rollup2
SO YOU DON'T HAVE A CONTRACT
03:22:45.887 --> 03:22:50.091 region:rollup2
WITH THEM FOR A PARTICULAR RATE.
03:22:49.090 --> 03:22:51.426 region:rollup2
WHAT THEIR THEN I'M NOT
03:22:50.091 --> 03:22:52.961 region:rollup2
PAINTBRUSH IN ALL OF THEM THIS
03:22:51.426 --> 03:22:54.696 region:rollup2
IS JUST SOME OF THE BAD ACTORS
03:22:52.961 --> 03:22:57.799 region:rollup2
BUT WHAT THEY'LL DO IS THEY'LL
03:22:54.696 --> 03:23:00.068 region:rollup2
GO AND GET PEOPLE TO COME IN BY
03:22:57.799 --> 03:23:01.436 region:rollup2
USING A BODY WHAT THEY CALL BY
03:23:00.068 --> 03:23:02.037 region:rollup2
THE BROKERS WE'VE HEARD?
03:23:01.436 --> 03:23:04.205 region:rollup2
THOSE BILLS IN THIS COMMITTEE
03:23:02.037 --> 03:23:05.440 region:rollup2
AND AND THEY'LL GO AND GET
03:23:04.205 --> 03:23:06.941 region:rollup2
PEOPLE TO JOIN GIVING THEM
03:23:05.440 --> 03:23:08.176 region:rollup2
INCENTIVES LIKE WE'RE GOING TO
03:23:06.941 --> 03:23:09.477 region:rollup2
GIVE YOU A SCHOLARSHIP ALLIANCE
03:23:08.176 --> 03:23:10.445 region:rollup2
PEOPLE DON'T EVEN KNOW THEY'RE
03:23:09.477 --> 03:23:11.646 region:rollup2
BEING SIGNED UP FOR HEALTH
03:23:10.445 --> 03:23:12.547 region:rollup2
INSURANCE THEY'RE ADDICTED
03:23:11.646 --> 03:23:14.783 region:rollup2
PEOPLE.
03:23:12.547 --> 03:23:16.718 region:rollup2
AND VULNERABLE THEY BRING THEM
03:23:14.783 --> 03:23:17.652 region:rollup2
INTO THESE TREATMENT CENTERS.
03:23:16.718 --> 03:23:19.287 region:rollup2
AND THEN THEY SIGN HIM UP FOR
03:23:17.652 --> 03:23:20.655 region:rollup2
HEALTH INSURANCE BECAUSE THEY
03:23:19.287 --> 03:23:21.790 region:rollup2
KNOW THAT THEY CAN BUILD THE
03:23:20.655 --> 03:23:22.691 region:rollup2
HEALTH INSURANCE FOR FAR MORE
03:23:21.790 --> 03:23:24.926 region:rollup2
THAN THEY'RE GOING TO PAY IN
03:23:22.691 --> 03:23:26.661 region:rollup2
PREMIUM PAYMENTS.
03:23:24.926 --> 03:23:28.730 region:rollup2
THEN AFTER THE NINETY DAY
03:23:26.661 --> 03:23:29.531 region:rollup2
TREATMENT PLAN IS OVER AND THEY
03:23:28.730 --> 03:23:31.132 region:rollup2
KNOW THEY'RE GOING TO BE
03:23:29.531 --> 03:23:32.767 region:rollup2
QUESTIONED ABOUT WHY THIS PERSON
03:23:31.132 --> 03:23:34.502 region:rollup2
STILL.
03:23:32.767 --> 03:23:36.004 region:rollup2
TERRIBLY ADDICTED THE DAILY AS
03:23:34.502 --> 03:23:36.971 region:rollup2
MY COLLEAGUE SAID THEY LITERALLY
03:23:36.004 --> 03:23:38.973 region:rollup2
KICKING TO THE CURB.
03:23:36.971 --> 03:23:40.875 region:rollup2
WHERE THINGS THAT THIS BILL DOES
03:23:38.973 --> 03:23:42.277 region:rollup2
IS IT REQUIRES A THIRD PARTY --
03:23:40.875 --> 03:23:44.646 region:rollup2
PAYER WHOSE FINANCIALLY
03:23:42.277 --> 03:23:46.381 region:rollup2
INTERESTED IN PAYING FOR A FULL
03:23:44.646 --> 03:23:48.083 region:rollup2
YEAR OF OF PREMIUMS INSTEAD OF
03:23:46.381 --> 03:23:49.718 region:rollup2
THIS KICKING HIM TO THE CURB
03:23:48.083 --> 03:23:51.920 region:rollup2
WHEN YOU CAN'T BILL HEALTH
03:23:49.718 --> 03:23:53.188 region:rollup2
INSURERS ANYMORE.
03:23:51.920 --> 03:23:54.656 region:rollup2
DURING THAT TIME CARRY BECAUSE
03:23:53.188 --> 03:23:57.592 region:rollup2
THEY'RE OUT OF NETWORK THEIR
03:23:54.656 --> 03:23:59.027 region:rollup2
BILL CHARGES ARE EX IS PART.
03:23:57.592 --> 03:24:01.329 region:rollup2
THOUSANDS UPON THOUSANDS UPON
03:23:59.027 --> 03:24:03.765 region:rollup2
THOUSANDS OF DOLLARS.
03:24:01.329 --> 03:24:05.333 region:rollup2
AND SO YOU CAN TRY AND NEGOTIATE
03:24:03.765 --> 03:24:07.068 region:rollup2
THAT WITH THEM BUT YOU'RE PAYING
03:24:05.333 --> 03:24:09.137 region:rollup2
FAR MORE IN ADDED NETWORK
03:24:07.068 --> 03:24:10.839 region:rollup2
COVERAGE IN YOUR PAIN IN NETWORK
03:24:09.137 --> 03:24:12.140 region:rollup2
WITH THE CONTRACTED PROVIDER.
03:24:10.839 --> 03:24:13.374 region:rollup2
AND OF COURSE IT'S IN THE
03:24:12.140 --> 03:24:14.442 region:rollup2
PATIENT'S BEST INTEREST TO GO TO
03:24:13.374 --> 03:24:15.877 region:rollup2
CREDENTIAL PROVIDERS WITHIN A
03:24:14.442 --> 03:24:18.046 region:rollup2
NETWORK.
03:24:15.877 --> 03:24:20.248 region:rollup2
AND SO THIS BILL DOES NOT SAY
03:24:18.046 --> 03:24:21.850 region:rollup2
YOU CANNOT CONTINUE TO PAY THOSE
03:24:20.248 --> 03:24:23.818 region:rollup2
PREMIUMS BUT YOU'RE GONNA HAVE
03:24:21.850 --> 03:24:25.286 region:rollup2
TO DO SOME --
03:24:23.818 --> 03:24:26.721 region:rollup2
SOME THINGS TO MAKE SURE THAT
03:24:25.286 --> 03:24:27.355 region:rollup2
THAT PATIENTS PROTECTED DURING
03:24:26.721 --> 03:24:29.290 region:rollup2
HAVE TO LET THEM KNOW WHAT THEIR
03:24:27.355 --> 03:24:30.925 region:rollup2
OPTIONS ARE.
03:24:29.290 --> 03:24:32.894 region:rollup2
AND IF YOU CONTINUE TO PAY THOSE
03:24:30.925 --> 03:24:34.095 region:rollup2
PREMIUMS FOR THEM.
03:24:32.894 --> 03:24:35.497 region:rollup2
YOU'RE GONNA HAVE TO MEET THOSE
03:24:34.095 --> 03:24:37.265 region:rollup2
STANDARDS LIKE PAYING FOR A FULL
03:24:35.497 --> 03:24:39.400 region:rollup2
YEAR LEADING THE HEALTH LAN
03:24:37.265 --> 03:24:41.035 region:rollup2
KNOW THAT THAT YOU ARE PAYING
03:24:39.400 --> 03:24:43.171 region:rollup2
THESE THIRD PARTY PAYMENTS.
03:24:41.035 --> 03:24:44.939 region:rollup2
AND THEN AS YOU SAID THEY TAKE
03:24:43.171 --> 03:24:46.074 region:rollup2
THE FINANCIAL INCENTIVE AWAY.
03:24:44.939 --> 03:24:48.209 region:rollup2
BY MAKING SURE THAT THEY'RE
03:24:46.074 --> 03:24:50.812 region:rollup2
GONNA PAY THE MEDICARE RATE.
03:24:48.209 --> 03:24:52.981 region:rollup2
NOT MEDI CAL MEDICARE.
03:24:50.812 --> 03:24:55.250 region:rollup2
SO THAT'S ON THE SUBSTANCE ABUSE
03:24:52.981 --> 03:24:57.385 region:rollup2
SPACE THAT'S THAT THE ANSWER
03:24:55.250 --> 03:24:58.787 region:rollup2
THAT QUESTION WHERE WERE NOT
03:24:57.385 --> 03:25:00.355 region:rollup2
PROHIBITING IT IN FACT THE FIRST
03:24:58.787 --> 03:25:02.190 region:rollup2
SENTENCE OF THIS BILL SAYS YOU
03:25:00.355 --> 03:25:04.292 region:rollup2
HAVE TO ACCEPT THOSE PAYMENTS
03:25:02.190 --> 03:25:06.294 region:rollup2
HEALTH PLANS HEALTH INSURERS.
03:25:04.292 --> 03:25:08.163 region:rollup2
BUT THE FINANCIAL INCENTIVE TO
03:25:06.294 --> 03:25:09.898 region:rollup2
DO THE WRONG THING IS TAKEN AWAY
03:25:08.163 --> 03:25:11.566 region:rollup2
IN THAT AND THEY REQUIRED TO DO
03:25:09.898 --> 03:25:14.135 region:rollup2
THE RIGHT THING BY THE PATIENT
03:25:11.566 --> 03:25:14.736 region:rollup2
IS IS SET OUT IN THE BILL.
03:25:14.135 --> 03:25:18.773 region:rollup2
IT'S A VERY SIMPLE BUILT THAT
03:25:14.736 --> 03:25:21.242 region:rollup2
WAY.
03:25:18.773 --> 03:25:23.211 region:rollup2
THAT HANS I GUESS BUT THE FUNNY
03:25:21.242 --> 03:25:28.817 region:rollup2
IS THAT I DO HAVE IS ABOUT THE
03:25:23.211 --> 03:25:30.285 region:rollup2
RACE SENDING PART OF IT --
03:25:28.817 --> 03:25:32.954 region:rollup2
HE IT I UNDERSTAND YOU KNOW THE
03:25:30.285 --> 03:25:34.389 region:rollup2
BUSINESS PAR VERSUS THE YOU KNOW
03:25:32.954 --> 03:25:34.689 region:rollup2
A MORE GOVERNMENT RUN
03:25:34.389 --> 03:25:38.293 region:rollup2
[inaudible]
03:25:34.689 --> 03:25:39.727 region:rollup2
THE MIDDLE COMPARING ONE TYPE OF
03:25:38.293 --> 03:25:40.795 region:rollup2
PLAN TO ANOTHER.
03:25:39.727 --> 03:25:42.530 region:rollup2
AND I JUST I'M JUST CONCERNED
03:25:40.795 --> 03:25:43.965 region:rollup2
ABOUT.
03:25:42.530 --> 03:25:46.367 region:rollup2
AND MAYBE SOMEONE CAN RESPOND TO
03:25:43.965 --> 03:25:47.769 region:rollup2
THAT THAT.
03:25:46.367 --> 03:25:49.170 region:rollup2
YOU KNOW WE'RE TALKING IT IF
03:25:47.769 --> 03:25:50.738 region:rollup2
THERE'S A LOT OF PROBLEMS WITH
03:25:49.170 --> 03:25:52.941 region:rollup2
IN A DUMPY PEOPLE ON THE CURB.
03:25:50.738 --> 03:25:54.042 region:rollup2
SHORT TERM YOU KNOW PEOPLE
03:25:52.941 --> 03:25:54.642 region:rollup2
SIGNED UP THINK IN THE GETTING
03:25:54.042 --> 03:25:56.544 region:rollup2
YEAR THEY GET THREE MONTHS OR
03:25:54.642 --> 03:25:57.045 region:rollup2
WHATEVER.
03:25:56.544 --> 03:25:57.612 region:rollup2
AND I'M LOOKING AT THESE
03:25:57.045 --> 03:26:01.049 region:rollup2
AMENDMENTS ON THESE OR WHAT
03:25:57.612 --> 03:26:02.150 region:rollup2
PART.
03:26:01.049 --> 03:26:03.785 region:rollup2
THESE PUT HE HOOKED IT SAYING IN
03:26:02.150 --> 03:26:05.887 region:rollup2
HERE THAT THEY ARE COMMITTING TO
03:26:03.785 --> 03:26:08.823 region:rollup2
PROVIDE PREMIUM ASSISTANCE.
03:26:05.887 --> 03:26:09.991 region:rollup2
FOR A FULL YEAR'S. FOR THE
03:26:08.823 --> 03:26:11.159 region:rollup2
REMAINDER ASSEMBLY MEMBER THOSE
03:26:09.991 --> 03:26:12.560 region:rollup2
ARE PASSED OUT BY THE OPPOSITION
03:26:11.159 --> 03:26:13.628 region:rollup2
I BELIEVE.
03:26:12.560 --> 03:26:16.497 region:rollup2
THOSE ARE NOT THE AMENDMENTS
03:26:13.628 --> 03:26:17.632 region:rollup2
THAT THE COMMITTEE TOOK.
03:26:16.497 --> 03:26:19.968 region:rollup2
SO THAT'S THAT'S WHERE I'M
03:26:17.632 --> 03:26:20.568 region:rollup2
HAVING UNSETTLING.
03:26:19.968 --> 03:26:23.538 region:rollup2
RIGHT NOW WITH THE THE WEIGHT
03:26:20.568 --> 03:26:24.272 region:rollup2
REDUCTION.
03:26:23.538 --> 03:26:25.840 region:rollup2
THINK YOU.
03:26:24.272 --> 03:26:28.610 region:rollup2
IT DID YOU I'M GETTING QUITE WAS
03:26:25.840 --> 03:26:29.744 region:rollup2
YOUR QUESTION.
03:26:28.610 --> 03:26:31.112 region:rollup2
WELL IT'S JUST I MEAN THERE'S A
03:26:29.744 --> 03:26:32.313 region:rollup2
LOT OF THINGS GOING ON THAT ARE
03:26:31.112 --> 03:26:33.448 region:rollup2
WRONG.
03:26:32.313 --> 03:26:35.583 region:rollup2
AND I'M THINKING THERE MIGHT BE
03:26:33.448 --> 03:26:37.118 region:rollup2
OTHER WAYS TO LOOK AT IT AS WELL
03:26:35.583 --> 03:26:38.186 region:rollup2
BESIDES JUST LOOKING AT THAT
03:26:37.118 --> 03:26:40.555 region:rollup2
RATE ISSUE [inaudible]
03:26:38.186 --> 03:26:41.522 region:rollup2
TOM.
03:26:40.555 --> 03:26:44.359 region:rollup2
FEAR ME SUGGESTIONS WERE ALWAYS
03:26:41.522 --> 03:26:46.828 region:rollup2
OPEN TO SUGGESTIONS BUT MAY I
03:26:44.359 --> 03:26:48.596 region:rollup2
MISTER CHAIRMAN MAY I RESPOND.
03:26:46.828 --> 03:26:49.197 region:rollup2
ACTUALLY NOT LISTA UNLESS THE
03:26:48.596 --> 03:26:53.134 region:rollup2
UNLESS THE WITNESS.
03:26:49.197 --> 03:26:53.701 region:rollup2
DO YOU HAVE.
03:26:53.134 --> 03:26:55.970 region:rollup2
YEAH ANY RESPONSE REGARDING
03:26:53.701 --> 03:26:56.871 region:rollup2
THAT.
03:26:55.970 --> 03:26:58.439 region:rollup2
YEAH UP THANKS VERY MUCH AND
03:26:56.871 --> 03:27:00.174 region:rollup2
I'LL BE VERY BRIEF UP THERE ARE
03:26:58.439 --> 03:27:02.243 region:rollup2
WAYS TO CONTROL THESE ISSUES AND
03:27:00.174 --> 03:27:04.078 region:rollup2
THOSE WAYS HAVE A LOT TO DO WITH
03:27:02.243 --> 03:27:05.280 region:rollup2
THEIR NUMBER GUARDRAILS THAT WE
03:27:04.078 --> 03:27:06.214 region:rollup2
HAVE SUGGESTED THAT OTHERS WORTH
03:27:05.280 --> 03:27:07.682 region:rollup2
ETHIC.
03:27:06.214 --> 03:27:09.450 region:rollup2
SUGGESTED AND THAT HAVE BEEN AND
03:27:07.682 --> 03:27:11.185 region:rollup2
IN VARIOUS BROUGH VERSIONS OF
03:27:09.450 --> 03:27:13.421 region:rollup2
THE BILL ALTHOUGH THE GUARDRAIL
03:27:11.185 --> 03:27:15.323 region:rollup2
THAT WE DO IN FACT FOLLOW WE
03:27:13.421 --> 03:27:17.025 region:rollup2
ALSO OPERATE OUR PROGRAM UNDER
03:27:15.323 --> 03:27:18.660 region:rollup2
THE ADVISORY OPINION.
03:27:17.025 --> 03:27:20.028 region:rollup2
FROM THE HHS INSPECTOR GENERAL
03:27:18.660 --> 03:27:21.562 region:rollup2
WHICH WE HAVE DONE FOR THE LAST
03:27:20.028 --> 03:27:24.432 region:rollup2
COUPLE OF DECADES SO THERE ARE
03:27:21.562 --> 03:27:25.500 region:rollup2
THINGS TO TO CONTROL THOSE AND
03:27:24.432 --> 03:27:27.402 region:rollup2
TO MAKE SURE THAT THE
03:27:25.500 --> 03:27:29.070 region:rollup2
ORGANIZATION PROVIDING THE THIRD
03:27:27.402 --> 03:27:30.738 region:rollup2
PARTY IS A ASSISTANCE.
03:27:29.070 --> 03:27:32.307 region:rollup2
IS A YACHT AND INDEPENDENT
03:27:30.738 --> 03:27:33.641 region:rollup2
CHARITY WITH AN INDEPENDENT
03:27:32.307 --> 03:27:36.711 region:rollup2
BOARD WITH NO INTEREST
03:27:33.641 --> 03:27:38.313 region:rollup2
WHATSOEVER IN NAY IN A PROVIDER
03:27:36.711 --> 03:27:39.180 region:rollup2
TO ASSURE THAT CARE IS NOT
03:27:38.313 --> 03:27:41.115 region:rollup2
PROVIDED.
03:27:39.180 --> 03:27:42.583 region:rollup2
US SUPPORT IS NOT PROVIDED ON A
03:27:41.115 --> 03:27:44.185 region:rollup2
SHORT TERM BASIS BUT IT'S
03:27:42.583 --> 03:27:45.887 region:rollup2
PROVIDED ON A FULL PREMIUM YOUR
03:27:44.185 --> 03:27:47.855 region:rollup2
BASIS ALL OF THOSE THINGS TO
03:27:45.887 --> 03:27:49.757 region:rollup2
SHOULD ENSURE THAT THERE IS NOT
03:27:47.855 --> 03:27:51.492 region:rollup2
COST DURING THOSE ARE THINGS
03:27:49.757 --> 03:27:53.328 region:rollup2
THAT WE STRONGLY BELIEVE IN.
03:27:51.492 --> 03:27:54.729 region:rollup2
THAT WE STRONGLY SUPPORT AND WE
03:27:53.328 --> 03:27:56.531 region:rollup2
BELIEVE WOULD ADDRESS MANY OF
03:27:54.729 --> 03:27:57.565 region:rollup2
THE ISSUES HERE WE HAVE BEEN
03:27:56.531 --> 03:28:00.201 region:rollup2
PROMOTING THOSE THINGS
03:27:57.565 --> 03:28:00.768 region:rollup2
THROUGHOUT THE COUNTRY --
03:28:00.201 --> 03:28:02.937 region:rollup2
IN MANY STATES IN SUGGESTING
03:28:00.768 --> 03:28:04.038 region:rollup2
THAT.
03:28:02.937 --> 03:28:07.542 region:rollup2
SOME OF THE THINGS THAT WE HAVE
03:28:04.038 --> 03:28:13.748 region:rollup2
ALWAYS FOLLOW [inaudible]
03:28:07.542 --> 03:28:14.849 region:rollup2
THE QUESTIONS.
03:28:13.748 --> 03:28:16.651 region:rollup2
SENATE I KIND OF FROM LIVING
03:28:14.849 --> 03:28:18.853 region:rollup2
YOUR BILL SINCE BEFORE YOU GOT
03:28:16.651 --> 03:28:21.022 region:rollup2
OUT OF OUR COMMITTEE --
03:28:18.853 --> 03:28:23.024 region:rollup2
ALL YEARS MATTER FACT --
03:28:21.022 --> 03:28:24.559 region:rollup2
BUT YOU KNOW THIS BILLS ABOUT
03:28:23.024 --> 03:28:26.427 region:rollup2
PREMIUM ASSISTANCE OF FOR
03:28:24.559 --> 03:28:28.663 region:rollup2
FINANCIALLY FROM FINANCIALLY
03:28:26.427 --> 03:28:29.163 region:rollup2
INTERESTED ENTITIES.
03:28:28.663 --> 03:28:30.431 region:rollup2
STEERING PATIENTS IN THE
03:28:29.163 --> 03:28:32.367 region:rollup2
COVERAGE.
03:28:30.431 --> 03:28:34.369 region:rollup2
THAT HAVE POTENTIAL REIMBURSING
03:28:32.367 --> 03:28:34.936 region:rollup2
AT A HIGHER RATE.
03:28:34.369 --> 03:28:36.337 region:rollup2
WE UNDERSTAND THIS PRACTICE
03:28:34.936 --> 03:28:37.872 region:rollup2
EXISTS.
03:28:36.337 --> 03:28:38.373 region:rollup2
AND THIS BILL ATTEMPTS TO SET
03:28:37.872 --> 03:28:40.108 region:rollup2
SOME PARAMETERS FOR THE
03:28:38.373 --> 03:28:41.776 region:rollup2
PRACTICE.
03:28:40.108 --> 03:28:43.211 region:rollup2
AS IMPORTANT THAT IN DOING SO WE
03:28:41.776 --> 03:28:44.946 region:rollup2
DON'T PLACE A BURDEN ON PATIENTS
03:28:43.211 --> 03:28:47.382 region:rollup2
DISRUPT THEIR CARE.
03:28:44.946 --> 03:28:49.317 region:rollup2
A RESULT IN LAPSING COVERAGES.
03:28:47.382 --> 03:28:50.918 region:rollup2
WITH THESE AMENDMENTS WE REMOVE
03:28:49.317 --> 03:28:52.153 region:rollup2
THE FINANCIAL INCENTIVE TO
03:28:50.918 --> 03:28:53.521 region:rollup2
ENGAGE IN BEHAVIOR THAT TAKES
03:28:52.153 --> 03:28:55.923 region:rollup2
ADVANTAGE OF THE SYSTEM THAT'S
03:28:53.521 --> 03:28:56.991 region:rollup2
THE CORE OF THE AMENDMENTS.
03:28:55.923 --> 03:28:58.826 region:rollup2
I BELIEVE THE AMENDMENT
03:28:56.991 --> 03:29:00.495 region:rollup2
STREAMLINED THE PROCESS WILL NOT
03:28:58.826 --> 03:29:02.230 region:rollup2
PLACE A BURDEN ON PATIENTS PLANS
03:29:00.495 --> 03:29:03.865 region:rollup2
OR REGULATORS.
03:29:02.230 --> 03:29:04.766 region:rollup2
THE AMENDMENTS ALLOW ASSISTANCE
03:29:03.865 --> 03:29:06.501 region:rollup2
TO CONTINUE TO PROVIDE BE
03:29:04.766 --> 03:29:07.635 region:rollup2
PROVIDED BY THOSE CHARITIES.
03:29:06.501 --> 03:29:08.903 region:rollup2
THAT HAVE THE PATIENT'S
03:29:07.635 --> 03:29:09.771 region:rollup2
INTERESTS AT HEART.
03:29:08.903 --> 03:29:10.872 region:rollup2
AND ALLOW THESE PATIENTS
03:29:09.771 --> 03:29:12.673 region:rollup2
CONTINUE WITH THEIR COMMERCIAL
03:29:10.872 --> 03:29:14.041 region:rollup2
COVERAGE EVEN THOUGH THEY MAY
03:29:12.673 --> 03:29:15.510 region:rollup2
QUALIFY UNDER MEDI CAL OR
03:29:14.041 --> 03:29:18.112 region:rollup2
MEDICARE.
03:29:15.510 --> 03:29:20.248 region:rollup2
NOTHING PROHIBITS THAT --
03:29:18.112 --> 03:29:23.050 region:rollup2
AND THAT IS THAT IS THE HEART
03:29:20.248 --> 03:29:24.752 region:rollup2
THAT IS THE HEART OF THE BILL.
03:29:23.050 --> 03:29:27.655 region:rollup2
THE BILL.
03:29:24.752 --> 03:29:28.689 region:rollup2
ENJOYS A DO PASS RECOMMENDATION.
03:29:27.655 --> 03:29:30.992 region:rollup2
YOU'VE ALSO HEARD FROM PEOPLE
03:29:28.689 --> 03:29:31.592 region:rollup2
THAT THEY WANT TO CONTINUE TO
03:29:30.992 --> 03:29:32.160 region:rollup2
WORK ON THAT I WOULD ENCOURAGE
03:29:31.592 --> 03:29:34.996 region:rollup2
THAT -- THIS
03:29:32.160 --> 03:29:36.664 region:rollup2
OF THE DEBATE HAS BEEN VERY
03:29:34.996 --> 03:29:38.766 region:rollup2
ROBUST YOU CAN ONLY IMAGINE HOW
03:29:36.664 --> 03:29:39.233 region:rollup2
IT WILL ROBUST IT WILL BE WHEN
03:29:38.766 --> 03:29:41.035 region:rollup2
HE GETS TO OUR FLOOR.
03:29:39.233 --> 03:29:45.173 region:rollup2
IF.
03:29:41.035 --> 03:29:47.842 region:rollup2
ON THIS PARTICULAR ISSUE --
03:29:45.173 --> 03:29:50.144 region:rollup2
WITH THAT I WITH BUT WE DO HAVE
03:29:47.842 --> 03:29:56.617 region:rollup2
WE DO NOT HAVE MOTION.
03:29:50.144 --> 03:29:58.686 region:rollup2
WE DO NOT HAVE A PROMOTION.
03:29:56.617 --> 03:30:00.254 region:rollup2
THE SECOND BY MISTER MAYES
03:29:58.686 --> 03:30:01.189 region:rollup2
WITHOUT WOULD LIKE TO CLOSE
03:30:00.254 --> 03:30:02.990 region:rollup2
SENATOR LET ME THINK RESEARCHER.
03:30:01.189 --> 03:30:03.825 region:rollup2
AND I REALLY DO APPRECIATE ALL
03:30:02.990 --> 03:30:05.326 region:rollup2
OF THE HELP THAT YOU AND YOUR
03:30:03.825 --> 03:30:06.661 region:rollup2
COMMITTEE STAFF GAVE US ON THIS
03:30:05.326 --> 03:30:08.062 region:rollup2
BILL.
03:30:06.661 --> 03:30:09.197 region:rollup2
AND I THINK YOU SAID IT BETTER
03:30:08.062 --> 03:30:10.965 region:rollup2
THAN I COULD BUT I WOULD JUST
03:30:09.197 --> 03:30:12.533 region:rollup2
END WITH THIS MOST OF YOU DIDN'T
03:30:10.965 --> 03:30:13.634 region:rollup2
KNOW ME BEFORE I CAME HERE TO
03:30:12.533 --> 03:30:15.570 region:rollup2
THE LEGISLATURE.
03:30:13.634 --> 03:30:16.904 region:rollup2
I SPENT TWENTY YEARS WORKING ON
03:30:15.570 --> 03:30:19.173 region:rollup2
HEALTH CARE FOR YOUR AVERAGE
03:30:16.904 --> 03:30:21.442 region:rollup2
WORKER MAKING SURE THAT THEY HAD
03:30:19.173 --> 03:30:23.044 region:rollup2
ACCESS AND THAT THEY HAD ACCESS
03:30:21.442 --> 03:30:25.079 region:rollup2
AND IT WAS AFFORDABLE.
03:30:23.044 --> 03:30:27.281 region:rollup2
I WOULD NEVER EVER AFTER A BILL
03:30:25.079 --> 03:30:28.983 region:rollup2
THAT WOULD HARM SOMEONE'S ACCESS
03:30:27.281 --> 03:30:30.451 region:rollup2
TO HEALTH CARE BUT WHAT WE
03:30:28.983 --> 03:30:32.553 region:rollup2
ALWAYS RAN UP AGAINST WHEN WE'RE
03:30:30.451 --> 03:30:33.187 region:rollup2
NEGOTIATING THOSE BENEFITS WAR
03:30:32.553 --> 03:30:34.789 region:rollup2
WERE PEOPLE WHO WANT TO MAKE A
03:30:33.187 --> 03:30:36.324 region:rollup2
PROFIT AND THEY WERE MORE
03:30:34.789 --> 03:30:37.558 region:rollup2
WORRIED ABOUT THE PROFIT.
03:30:36.324 --> 03:30:39.093 region:rollup2
THAN THEY WERE ABOUT THE CARE
03:30:37.558 --> 03:30:41.562 region:rollup2
THAT THE WORKER OR THE MEMBER
03:30:39.093 --> 03:30:42.130 region:rollup2
WAS GOING TO GET SO WITH THAT I
03:30:41.562 --> 03:30:43.664 region:rollup2
RESPECTFULLY ASK FOR AN AYE
03:30:42.130 --> 03:30:45.299 region:rollup2
VOTE.
03:30:43.664 --> 03:30:47.135 region:rollup2
SO WE HAVE A MOTION AND A SECOND
03:30:45.299 --> 03:30:48.736 region:rollup2
THE MOTION IS TO PASS AS AMENDED
03:30:47.135 --> 03:30:50.204 region:rollup2
TO APPROPRIATIONS MADAM
03:30:48.736 --> 03:30:53.074 region:rollup2
SECRETARY PLEASE CALL THE ROLL
03:30:50.204 --> 03:30:55.042 region:rollup2
WOULD I WOULD I HAVE MAYES.
03:30:53.074 --> 03:30:57.011 region:rollup2
MAYES AYE AGUIAR-CURRY.
03:30:55.042 --> 03:30:58.212 region:rollup2
AGUIAR-CURRY AYE BIGELOW.
03:30:57.011 --> 03:30:59.580 region:rollup2
BIGELOW NO BONTA [inaudible]
03:30:58.212 --> 03:31:02.917 region:rollup2
BURKE [inaudible]
03:30:59.580 --> 03:31:04.619 region:rollup2
BURKE I CARILLO.
03:31:02.917 --> 03:31:05.786 region:rollup2
CARILLO AYE FLORA [inaudible]
03:31:04.619 --> 03:31:06.988 region:rollup2
FLORA NO [inaudible]
03:31:05.786 --> 03:31:09.490 region:rollup2
LIMON [inaudible]
03:31:06.988 --> 03:31:11.225 region:rollup2
MCCARTY [inaudible]
03:31:09.490 --> 03:31:14.529 region:rollup2
NAZARIAN [inaudible]
03:31:11.225 --> 03:31:15.897 region:rollup2
RODRIGUEZ [inaudible]
03:31:14.529 --> 03:31:17.365 region:rollup2
SANTIAGO THURMAN.
03:31:15.897 --> 03:31:17.665 region:rollup2
THURMOND AYE WALDRON
03:31:17.365 --> 03:31:23.004 region:rollup2
[inaudible]
03:31:17.665 --> 03:31:24.839 region:rollup2
MULDER NO.
03:31:23.004 --> 03:31:26.774 region:rollup2
HE OF SIX VOTES WE HAVE A BUNCH
03:31:24.839 --> 03:31:28.075 region:rollup2
OF MISSING MEMBERS --
03:31:26.774 --> 03:31:28.643 region:rollup2
BELIEF THE BILL ON COSTS VERY
03:31:28.075 --> 03:31:44.926 region:rollup2
GOOD THANK YOU MISTER CHAIR
03:31:28.643 --> 03:31:44.926 region:rollup2
THANK YOU MEMBERS
03:33:00.768 --> 03:33:17.051 region:rollup2
[inaudible]
03:33:01.068 --> 03:33:17.051 region:rollup2
THIS
03:33:55.089 --> 03:33:56.924 region:rollup2
[inaudible]
03:33:55.389 --> 03:34:05.933 region:rollup2
SENATOR.
03:33:56.924 --> 03:34:06.233 region:rollup2
YOU'RE WELCOME PLEASE
03:34:05.933 --> 03:34:22.316 region:rollup2
[inaudible]
03:34:06.233 --> 03:34:22.316 region:rollup2
ONCE A
03:35:21.776 --> 03:35:37.858 region:rollup2
DOGS COME
03:35:53.207 --> 03:36:09.523 region:rollup2
[inaudible]
03:35:53.507 --> 03:36:09.523 region:rollup2
RAINY
03:36:55.002 --> 03:37:11.285 region:rollup2
[inaudible]
03:36:55.302 --> 03:37:11.285 region:rollup2
YEAH
03:39:11.071 --> 03:39:12.906 region:rollup2
[inaudible]
03:39:11.372 --> 03:39:18.178 region:rollup2
CENTER BRADFORD.
03:39:12.906 --> 03:39:21.515 region:rollup2
GOT A BILL --
03:39:18.178 --> 03:39:22.983 region:rollup2
S. B. [inaudible]
03:39:21.515 --> 03:39:23.283 region:rollup2
TWELVE SIXTY EIGHT THE BILL
03:39:22.983 --> 03:39:25.719 region:rollup2
[inaudible]
03:39:23.283 --> 03:39:30.257 region:rollup2
THANK YOU.
03:39:25.719 --> 03:39:31.291 region:rollup2
I LIKE THAT AND I RESPECT THAT'S
03:39:30.257 --> 03:39:32.393 region:rollup2
RIGHT VOTE.
03:39:31.291 --> 03:39:33.694 region:rollup2
WILL NOT TO US.
03:39:32.393 --> 03:39:34.862 region:rollup2
OF THANK YOU MEMBERS MISS CHAIR
03:39:33.694 --> 03:39:35.696 region:rollup2
I'M HERE TO PRESENT --
03:39:34.862 --> 03:39:36.764 region:rollup2
TWELVE SIXTY A WHICH WILL
03:39:35.696 --> 03:39:39.199 region:rollup2
PROHIBIT PATIENT FOR BRAIN AND
03:39:36.764 --> 03:39:40.501 region:rollup2
ALCOHOL AND DRUG ADDICTION
03:39:39.199 --> 03:39:42.569 region:rollup2
TREATMENT SAID SYSTEMS.
03:39:40.501 --> 03:39:43.704 region:rollup2
PACIFIC LEE SP TWELVE SIXTY
03:39:42.569 --> 03:39:45.606 region:rollup2
EIGHT WOULD MAKE IT --
03:39:43.704 --> 03:39:47.908 region:rollup2
MISDEMEANOR PUNISHABLE BY TWENTY
03:39:45.606 --> 03:39:48.509 region:rollup2
FIVE HUNDRED DOLLAR FINE.
03:39:47.908 --> 03:39:49.643 region:rollup2
THE PACER BURKE GREEN AS YOU
03:39:48.509 --> 03:39:50.778 region:rollup2
KNOW -- IS
03:39:49.643 --> 03:39:53.147 region:rollup2
ALSO KNOWN AS BODY BROKERING
03:39:50.778 --> 03:39:54.982 region:rollup2
OCCURS WHEN A PERSON ADDS PAID
03:39:53.147 --> 03:39:57.184 region:rollup2
COMPENSATION FOR REFERRING A AT
03:39:54.982 --> 03:39:57.785 region:rollup2
PATIENT TO ALCOHOL TREATMENT
03:39:57.184 --> 03:39:59.686 region:rollup2
CENTER.
03:39:57.785 --> 03:40:00.821 region:rollup2
OF THIS IS ST FORT MEASURE WE
03:39:59.686 --> 03:40:02.256 region:rollup2
KNOW ABOUT ALL THE UNETHICAL A
03:40:00.821 --> 03:40:03.023 region:rollup2
PRACTICE THAT ARE HAPPENING
03:40:02.256 --> 03:40:04.525 region:rollup2
THROUGHOUT THE STATE OF
03:40:03.023 --> 03:40:06.660 region:rollup2
CALIFORNIA ACROSS THE COUNTRY
03:40:04.525 --> 03:40:07.261 region:rollup2
SPACE IN THIS OPIOID EPIDEMIC
03:40:06.660 --> 03:40:08.462 region:rollup2
CRISIS THAT WE FIND OURSELVES
03:40:07.261 --> 03:40:09.730 region:rollup2
IN.
03:40:08.462 --> 03:40:11.799 region:rollup2
HERE WITH ME THE DAY AS DANIEL
03:40:09.730 --> 03:40:13.434 region:rollup2
FORUMS WERE STOPPED DIRECTOR OF
03:40:11.799 --> 03:40:15.335 region:rollup2
REALIZATION REVIEW AND RISK
03:40:13.434 --> 03:40:17.304 region:rollup2
MANAGEMENT REPRESENTING SOBER
03:40:15.335 --> 03:40:19.339 region:rollup2
LIVING BY THE SEA AND SHERRY
03:40:17.304 --> 03:40:20.374 region:rollup2
DALY SENIOR GOVERNMENTAL AFFAIRS
03:40:19.339 --> 03:40:20.874 region:rollup2
DIRECTOR FOR THE CALIFORNIA
03:40:20.374 --> 03:40:22.976 region:rollup2
CONSORTIUM ON ADDICTION
03:40:20.874 --> 03:40:25.312 region:rollup2
PROGRAMS.
03:40:22.976 --> 03:40:27.781 region:rollup2
AND PROFESSIONALISM AND AND WE
03:40:25.312 --> 03:40:28.749 region:rollup2
RESPECT LESS RIVAL SO MY WOODS
03:40:27.781 --> 03:40:29.383 region:rollup2
ISSUES.
03:40:28.749 --> 03:40:31.685 region:rollup2
SO SENATOR FUND THE COURSE WITH
03:40:29.383 --> 03:40:32.920 region:rollup2
THAT WITH WITNESSES.
03:40:31.685 --> 03:40:33.554 region:rollup2
I CAN ONCE PEOPLE ARE COMING UP
03:40:32.920 --> 03:40:34.788 region:rollup2
HERE THAT MEANS THAT THEY WANNA
03:40:33.554 --> 03:40:37.124 region:rollup2
MOVE ALONG AT HIS SUPPORT
03:40:34.788 --> 03:40:39.927 region:rollup2
SUPPORT SO WELL QUICK A QUICK
03:40:37.124 --> 03:40:41.528 region:rollup2
COMMENTS AGREEMENTS.
03:40:39.927 --> 03:40:42.896 region:rollup2
LAST YEAR I DON'T THINK YOU.
03:40:41.528 --> 03:40:43.997 region:rollup2
ON BEHALF OF THE TWENTY THOUSAND
03:40:42.896 --> 03:40:45.499 region:rollup2
PRACTITIONERS WHO REPRESENT AND
03:40:43.997 --> 03:40:46.066 region:rollup2
THE FIVE HUNDRED PROGRAMS AND SO
03:40:45.499 --> 03:40:47.668 region:rollup2
RELEASE WE ASK YOUR SUPPORT
03:40:46.066 --> 03:40:50.204 region:rollup2
THANK YOU.
03:40:47.668 --> 03:40:52.473 region:rollup2
NICELY DONE ANY OTHER WITNESSES
03:40:50.204 --> 03:40:55.342 region:rollup2
IN SUPPORT SHAWN FLANAGAN ABOUT
03:40:52.473 --> 03:40:56.143 region:rollup2
HALF OF A SEEDS OR THANK YOU.
03:40:55.342 --> 03:40:57.644 region:rollup2
DOCTOR DAVID KAHN WITH THE
03:40:56.143 --> 03:40:58.712 region:rollup2
CALIFORNIA SOCIETY OF ADDICTION
03:40:57.644 --> 03:41:01.615 region:rollup2
MEDICINE STRONGLY SUPPORT THANK
03:40:58.712 --> 03:41:03.283 region:rollup2
YOU.
03:41:01.615 --> 03:41:03.851 region:rollup2
JAMES JACK ON BEHALF OF AMERICAN
03:41:03.283 --> 03:41:04.151 region:rollup2
ADDICTION CENTERS IN SUPPORT
03:41:03.851 --> 03:41:06.854 region:rollup2
[inaudible]
03:41:04.151 --> 03:41:08.789 region:rollup2
DO YOU.
03:41:06.854 --> 03:41:10.657 region:rollup2
PAULA LEON BEHALF OF KATIE
03:41:08.789 --> 03:41:11.758 region:rollup2
CALIFORNIA ASSOCIATION OF
03:41:10.657 --> 03:41:13.560 region:rollup2
ALCOHOL AND DRUG EDUCATORS IN
03:41:11.758 --> 03:41:15.262 region:rollup2
SUPPORT.
03:41:13.560 --> 03:41:16.463 region:rollup2
THANK YOU AND THEN MOVING ON TO
03:41:15.262 --> 03:41:19.566 region:rollup2
OPPOSITION ARE THERE ANY ANY
03:41:16.463 --> 03:41:19.867 region:rollup2
WITNESSES IN OPPOSITION
03:41:19.566 --> 03:41:21.135 region:rollup2
[inaudible]
03:41:19.867 --> 03:41:23.337 region:rollup2
LAST CALL [inaudible]
03:41:21.135 --> 03:41:24.738 region:rollup2
ANY.
03:41:23.337 --> 03:41:25.372 region:rollup2
ANYBODY WANT TO ADD NOPE.
03:41:24.738 --> 03:41:26.406 region:rollup2
ARE IT WILL BRING BACK TO THE
03:41:25.372 --> 03:41:29.910 region:rollup2
COMMITTEE ON ANY QUESTIONS OR
03:41:26.406 --> 03:41:31.011 region:rollup2
COMMENTS.
03:41:29.910 --> 03:41:33.147 region:rollup2
SEEING NONE SENATOR WOULD YOU
03:41:31.011 --> 03:41:33.881 region:rollup2
LIKE TO CLOSE I RESPECTFULLY ASK
03:41:33.147 --> 03:41:34.481 region:rollup2
JAGO.
03:41:33.881 --> 03:41:35.816 region:rollup2
THANK YOU IT'S PLEASE CALL THE
03:41:34.481 --> 03:41:37.651 region:rollup2
ROLL.
03:41:35.816 --> 03:41:39.853 region:rollup2
OTHERS THE MOTION IS DO YOU PASS
03:41:37.651 --> 03:41:42.589 region:rollup2
A TO APPROPRIATIONS I GUESS WE
03:41:39.853 --> 03:41:44.758 region:rollup2
NEED A MOTION KNOWING WE ARE DO
03:41:42.589 --> 03:41:45.359 region:rollup2
WE HAVE IT WITH HAS BEEN WILL
03:41:44.758 --> 03:41:46.927 region:rollup2
THAT'S RIGHT NAY THAT WE MOVE
03:41:45.359 --> 03:41:47.661 region:rollup2
AREA.
03:41:46.927 --> 03:41:48.128 region:rollup2
GOT THAT SO WE'RE GONNA WE'RE
03:41:47.661 --> 03:41:49.229 region:rollup2
GOOD TO GO [inaudible]
03:41:48.128 --> 03:41:54.701 region:rollup2
WOULD.
03:41:49.229 --> 03:41:55.669 region:rollup2
MAYES YES MAYES AYE AGAR CURRY.
03:41:54.701 --> 03:41:56.303 region:rollup2
BIGELOW.
03:41:55.669 --> 03:41:58.438 region:rollup2
BIGELOW AYE BONTA.
03:41:56.303 --> 03:42:00.007 region:rollup2
BURKE.
03:41:58.438 --> 03:42:01.241 region:rollup2
BURKE I CARILLO.
03:42:00.007 --> 03:42:03.277 region:rollup2
CREEL AYE FLORA.
03:42:01.241 --> 03:42:05.379 region:rollup2
FLOOR I LIMON [inaudible]
03:42:03.277 --> 03:42:06.613 region:rollup2
MCCARTY [inaudible]
03:42:05.379 --> 03:42:08.816 region:rollup2
NAZARIAN [inaudible]
03:42:06.613 --> 03:42:11.318 region:rollup2
RODRIGUEZ [inaudible]
03:42:08.816 --> 03:42:16.657 region:rollup2
SANTIAGO THURMAN.
03:42:11.318 --> 03:42:18.158 region:rollup2
WALDRON WALDRON AYE.
03:42:16.657 --> 03:42:19.626 region:rollup2
YOU'VE GOT SIX VOTES YOU NEED TO
03:42:18.158 --> 03:42:21.728 region:rollup2
MORE CIVIL WILL KEEP ON CALL I
03:42:19.626 --> 03:42:27.167 region:rollup2
APPRECIATE MISTER MEMBERS THANK
03:42:21.728 --> 03:42:27.467 region:rollup2
YOU THANK YOU SO MUCH SENATOR
03:42:27.167 --> 03:42:31.972 region:rollup2
[inaudible]
03:42:27.467 --> 03:42:34.408 region:rollup2
DOCTOR PAN.
03:42:31.972 --> 03:42:35.475 region:rollup2
THIS IS S. B. FOURTEEN NINETY
03:42:34.408 --> 03:42:36.977 region:rollup2
FIVE YES SIR THANK YOU MISTER
03:42:35.475 --> 03:42:38.278 region:rollup2
CHAIR MEMBERS THAT THIS IS THE
03:42:36.977 --> 03:42:39.913 region:rollup2
ANNUAL SENATE HEALTH COMMITTEE
03:42:38.278 --> 03:42:41.815 region:rollup2
OMNIBUS BILL WHICH MAKES NON
03:42:39.913 --> 03:42:42.749 region:rollup2
CONTROVERSIAL CHANGES TO VARIOUS
03:42:41.815 --> 03:42:44.117 region:rollup2
PROVISIONS OF HEALTH LAW
03:42:42.749 --> 03:42:45.185 region:rollup2
INCLUDING REVISING THE REPORTING
03:42:44.117 --> 03:42:46.753 region:rollup2
STRUCTURE OF LAW ENFORCEMENT
03:42:45.185 --> 03:42:48.322 region:rollup2
PERSONALITY HOSPITALS.
03:42:46.753 --> 03:42:49.056 region:rollup2
REVISING MENTAL HEALTH SERVICE
03:42:48.322 --> 03:42:50.591 region:rollup2
PERFORMANCE CONTRACT
03:42:49.056 --> 03:42:52.192 region:rollup2
REQUIREMENTS AND MAKING CLEAN UP
03:42:50.591 --> 03:42:54.061 region:rollup2
CHANGES TO TO RECENTLY ENACTED
03:42:52.192 --> 03:42:54.862 region:rollup2
BILLS RECENT AMENDMENTS ADDED
03:42:54.061 --> 03:42:56.396 region:rollup2
LANGUAGE AT THE REQUEST OF THE
03:42:54.862 --> 03:42:57.731 region:rollup2
PART OF A PUBLIC HEALTH TO GIVE
03:42:56.396 --> 03:42:59.499 region:rollup2
THEM THE BELIEVE ISSUE HOSPICE
03:42:57.731 --> 03:43:00.601 region:rollup2
PROVIDER LICENSE BASED ON AN
03:42:59.499 --> 03:43:02.269 region:rollup2
APPLICANT BEING ACCREDITED BY
03:43:00.601 --> 03:43:03.737 region:rollup2
ESTIMATES APPROVED.
03:43:02.269 --> 03:43:04.838 region:rollup2
NATIONAL CREATING ORGANIZATION
03:43:03.737 --> 03:43:06.306 region:rollup2
THE PART PUBLIC HEALTH REQUESTED
03:43:04.838 --> 03:43:07.674 region:rollup2
THIS LANGUAGE BASED ON A GROWING
03:43:06.306 --> 03:43:09.409 region:rollup2
BACKLOG OF HOSPICE PROVIDER
03:43:07.674 --> 03:43:10.510 region:rollup2
LICENSE APPLICATIONS AND HAS
03:43:09.409 --> 03:43:11.011 region:rollup2
RECENTLY IMPLEMENTED SIMILAR
03:43:10.510 --> 03:43:12.279 region:rollup2
PROGRAM FOR HOME HEALTH
03:43:11.011 --> 03:43:13.580 region:rollup2
AGENCIES.
03:43:12.279 --> 03:43:14.681 region:rollup2
AS ALWAYS AS A COMMITTEE BILL
03:43:13.580 --> 03:43:16.350 region:rollup2
ITEMS MUST REMAIN NON
03:43:14.681 --> 03:43:17.784 region:rollup2
CONTROVERSIAL AND THIS LANGUAGE
03:43:16.350 --> 03:43:19.219 region:rollup2
WAS VETTED WITH HOSPICE PROVIDER
03:43:17.784 --> 03:43:20.554 region:rollup2
ORGANIZATIONS OF ANY ENTITY
03:43:19.219 --> 03:43:21.188 region:rollup2
OPPOSES ANYTHING IN THIS BILL
03:43:20.554 --> 03:43:22.089 region:rollup2
THAT CANNOT BE ADDRESSED WITH
03:43:21.188 --> 03:43:24.057 region:rollup2
AMENDMENTS.
03:43:22.089 --> 03:43:25.492 region:rollup2
THAT PROVISION BE REMOVED OR
03:43:24.057 --> 03:43:26.693 region:rollup2
EXPECT WE ASK FOR A KNIFE IT.
03:43:25.492 --> 03:43:27.761 region:rollup2
THANK YOU DOCTOR PAN ANY
03:43:26.693 --> 03:43:28.829 region:rollup2
WITNESSES IN SUPPORT BETSEY
03:43:27.761 --> 03:43:29.830 region:rollup2
ARMSTRONG ON BEHALF OF THE
03:43:28.829 --> 03:43:31.431 region:rollup2
COUNTY HEALTH EXECUTIVES
03:43:29.830 --> 03:43:32.799 region:rollup2
ASSOCIATION IN SUPPORT OF THE
03:43:31.431 --> 03:43:33.567 region:rollup2
SPECIFIC PROVISIONS EXTENDING
03:43:32.799 --> 03:43:33.867 region:rollup2
PUBLIC HEALTH EMERGENCY
03:43:33.567 --> 03:43:36.069 region:rollup2
[inaudible]
03:43:33.867 --> 03:43:37.571 region:rollup2
THANK YOU.
03:43:36.069 --> 03:43:38.605 region:rollup2
MELISSA CORTES ROTH ON BEHALF OF
03:43:37.571 --> 03:43:42.609 region:rollup2
MY MEDICS IN SUPPORT OF THE STEM
03:43:38.605 --> 03:43:44.111 region:rollup2
CELL THERAPY PROVISIONS.
03:43:42.609 --> 03:43:45.045 region:rollup2
CHILDREN SCHOOL DEPARTMENT OF
03:43:44.111 --> 03:43:47.481 region:rollup2
PUBLIC HEALTH IN SUPPORT OF THE
03:43:45.045 --> 03:43:47.981 region:rollup2
HOSPICE PROVISIONS.
03:43:47.481 --> 03:43:50.017 region:rollup2
ANY FURTHER WITNESSES IN
03:43:47.981 --> 03:43:51.818 region:rollup2
SUPPORT.
03:43:50.017 --> 03:43:54.488 region:rollup2
MOVING TO OPPOSITION ARE THERE
03:43:51.818 --> 03:43:55.789 region:rollup2
ANY WITNESSES IN OPPOSITION.
03:43:54.488 --> 03:43:58.125 region:rollup2
SEE NINE BACK TO A QUESTION TO
03:43:55.789 --> 03:44:00.160 region:rollup2
COMMENTS FROM THE COMMITTEE.
03:43:58.125 --> 03:44:00.794 region:rollup2
THIS BIG WELL THANK YOU AND THE
03:44:00.160 --> 03:44:02.296 region:rollup2
DOCTOR AND THAT YOU CAN HELP US
03:44:00.794 --> 03:44:03.297 region:rollup2
--
03:44:02.296 --> 03:44:04.564 region:rollup2
THERE'S GONNA CONCERN RAISED
03:44:03.297 --> 03:44:07.067 region:rollup2
ABOUT PROVISIONS IN THIS BILL
03:44:04.564 --> 03:44:08.935 region:rollup2
APPEAR TO BE SUBSTANTIAL AND IN
03:44:07.067 --> 03:44:11.505 region:rollup2
THEIR SUBSTANTIATED.
03:44:08.935 --> 03:44:14.441 region:rollup2
IN THE POLICY CHANGE ON THEY'RE
03:44:11.505 --> 03:44:15.309 region:rollup2
NOT JUST THE NORMAL TECHNICAL --
03:44:14.441 --> 03:44:17.644 region:rollup2
TYPE OF NON CONTROVERSIAL
03:44:15.309 --> 03:44:19.346 region:rollup2
CHANGES.
03:44:17.644 --> 03:44:21.081 region:rollup2
SHOULDN'T THIS.
03:44:19.346 --> 03:44:22.149 region:rollup2
HAD BEEN ADDRESSED IN A MORE.
03:44:21.081 --> 03:44:24.885 region:rollup2
APPROPRIATE WAY GOING THROUGH
03:44:22.149 --> 03:44:25.452 region:rollup2
THE POLICY COMMITTEE OF PROCESS.
03:44:24.885 --> 03:44:27.120 region:rollup2
MAYBE YOU COULD ADDRESS THAT
03:44:25.452 --> 03:44:28.488 region:rollup2
FOREST'S.
03:44:27.120 --> 03:44:30.590 region:rollup2
SO I GUESS I'LL BE HELPFUL IF
03:44:28.488 --> 03:44:33.360 region:rollup2
YOU COULD INDICATE WHICH PORTION
03:44:30.590 --> 03:44:34.628 region:rollup2
THE BILL YOU FEEL A SUBSTANTIVE
03:44:33.360 --> 03:44:37.097 region:rollup2
OKAY SO IS BEING RELEASED
03:44:34.628 --> 03:44:39.099 region:rollup2
SPECIFIC THE HOSPICE CARE OKAY.
03:44:37.097 --> 03:44:40.667 region:rollup2
IF YOU COULD ADDRESS THAT ON HOW
03:44:39.099 --> 03:44:42.269 region:rollup2
DOES THE DP H. INTEND TO ENSURE
03:44:40.667 --> 03:44:43.503 region:rollup2
QUALITY COMPASSIONATE CARE FOR
03:44:42.269 --> 03:44:44.938 region:rollup2
PEOPLE FACING LIFE.
03:44:43.503 --> 03:44:47.074 region:rollup2
LIMITING ILLNESS AND INJURY
03:44:44.938 --> 03:44:48.809 region:rollup2
INCLUDING EXPERT MEDICAL CARE
03:44:47.074 --> 03:44:50.410 region:rollup2
PAIN MANAGEMENT EMOTIONAL AND
03:44:48.809 --> 03:44:52.312 region:rollup2
SPIRITUAL SUPPORT EXPRESSLY
03:44:50.410 --> 03:44:53.947 region:rollup2
TAILORED. TO THE PATIENT'S NEEDS
03:44:52.312 --> 03:44:54.514 region:rollup2
AND WISHES.
03:44:53.947 --> 03:44:56.516 region:rollup2
THIS SEEMS TO BE A CHANGE IN
03:44:54.514 --> 03:44:57.050 region:rollup2
DEVIATION.
03:44:56.516 --> 03:45:00.921 region:rollup2
FROM THE NORMAL PROCESS BY
03:44:57.050 --> 03:45:03.123 region:rollup2
ADDING SUCH A IN DEPTH OKAY.
03:45:00.921 --> 03:45:05.392 region:rollup2
OKAY SO ACTUALLY --
03:45:03.123 --> 03:45:06.026 region:rollup2
THAT I KNOW THAT I WILL TALK.
03:45:05.392 --> 03:45:06.760 region:rollup2
I DON'T KNOW THAT THEY AYE I'VE
03:45:06.026 --> 03:45:07.494 region:rollup2
--
03:45:06.760 --> 03:45:08.328 region:rollup2
MAY HAVE ACTUALLY --
03:45:07.494 --> 03:45:10.430 region:rollup2
WE HAVE TO FUND PUBLIC HEALTH
03:45:08.328 --> 03:45:11.898 region:rollup2
ADDRESS ADDRESS THAT TO THE
03:45:10.430 --> 03:45:12.366 region:rollup2
POLICE TO CHANGE [inaudible]
03:45:11.898 --> 03:45:14.768 region:rollup2
PLEASE DO [inaudible]
03:45:12.366 --> 03:45:16.236 region:rollup2
OKAY UP TILL SUGGEST BOTH
03:45:14.768 --> 03:45:17.637 region:rollup2
DEPARTMENT OF PUBLIC HEALTH --
03:45:16.236 --> 03:45:20.507 region:rollup2
I MAY HAVE MISSED A PART OF YOUR
03:45:17.637 --> 03:45:21.041 region:rollup2
QUESTION SO I DON'T ANSWER FULLY
03:45:20.507 --> 03:45:21.341 region:rollup2
THAT'S WHEN I LET ME KNOW
03:45:21.041 --> 03:45:24.144 region:rollup2
[inaudible]
03:45:21.341 --> 03:45:26.813 region:rollup2
AND THE DEPARTMENT OF BELIEVES
03:45:24.144 --> 03:45:28.415 region:rollup2
THAT THE SAFETY PROTECTIONS ARE
03:45:26.813 --> 03:45:29.483 region:rollup2
STILL INTACT BECAUSE THE
03:45:28.415 --> 03:45:30.951 region:rollup2
ORGANIZATIONS THAT WILL BE
03:45:29.483 --> 03:45:32.419 region:rollup2
PERFORMING THE INITIAL LICENSING
03:45:30.951 --> 03:45:33.720 region:rollup2
A SURVEY.
03:45:32.419 --> 03:45:35.222 region:rollup2
ARE APPROVED BY THE CENTER FOR
03:45:33.720 --> 03:45:36.990 region:rollup2
MEDICARE AND MEDICAID.
03:45:35.222 --> 03:45:38.158 region:rollup2
AND THE CENTER FOR MATTER
03:45:36.990 --> 03:45:39.726 region:rollup2
MEDICARE MEDICAID ONLY APPROVES
03:45:38.158 --> 03:45:41.128 region:rollup2
THOSE.
03:45:39.726 --> 03:45:42.662 region:rollup2
ACCREDITING ORGANIZATIONS THAT
03:45:41.128 --> 03:45:43.397 region:rollup2
STANDARDS MEET THE FEDERAL
03:45:42.662 --> 03:45:45.465 region:rollup2
REQUIREMENTS OR EXCEED THOSE
03:45:43.397 --> 03:45:47.167 region:rollup2
REQUIREMENTS.
03:45:45.465 --> 03:45:49.903 region:rollup2
IN ADDITION THE DEPARTMENT
03:45:47.167 --> 03:45:51.705 region:rollup2
INTENDS TO FULLY WORK WITH THE
03:45:49.903 --> 03:45:53.206 region:rollup2
ACCREDITING ORGANIZATIONS TO
03:45:51.705 --> 03:45:54.474 region:rollup2
ENSURE THAT ANY STATE SPECIFIC
03:45:53.206 --> 03:45:55.409 region:rollup2
REQUIREMENTS WE HAVE FOR HOSPICE
03:45:54.474 --> 03:45:57.310 region:rollup2
PROVIDERS [inaudible]
03:45:55.409 --> 03:45:58.979 region:rollup2
ARE ADDRESSED BY THE
03:45:57.310 --> 03:45:59.846 region:rollup2
ACCREDITATION STANDARDS AND IF
03:45:58.979 --> 03:46:00.847 region:rollup2
NOT WE WILL WORK WITH THOSE
03:45:59.846 --> 03:46:02.249 region:rollup2
ACCREDITING ORGANIZATIONS TO
03:46:00.847 --> 03:46:03.050 region:rollup2
MAKE SURE OF THAT.
03:46:02.249 --> 03:46:05.619 region:rollup2
THE FACILITIES MEET THOSE
03:46:03.050 --> 03:46:06.653 region:rollup2
REQUIREMENTS SO HELP US TO
03:46:05.619 --> 03:46:07.921 region:rollup2
UNDERSTAND BECAUSE THE ASSEMBLY
03:46:06.653 --> 03:46:09.122 region:rollup2
HEALTH COMMITTEE ANNOUNCES
03:46:07.921 --> 03:46:10.924 region:rollup2
STATED THAT.
03:46:09.122 --> 03:46:11.491 region:rollup2
AS OF OCTOBER TWENTY FIFTH
03:46:10.924 --> 03:46:13.260 region:rollup2
TWENTY SEVENTEEN THERE WERE
03:46:11.491 --> 03:46:15.862 region:rollup2
SEVENTY TWO HOSPICE APPLICANTS
03:46:13.260 --> 03:46:17.297 region:rollup2
AWAITING INITIAL LICENSE SURVEYS
03:46:15.862 --> 03:46:18.765 region:rollup2
AND IT DEVIATES STATES THAT.
03:46:17.297 --> 03:46:20.700 region:rollup2
IN FACT THEY STATED ON JUNE
03:46:18.765 --> 03:46:21.802 region:rollup2
TWENTIETH SUPPORT A SUPPORT
03:46:20.700 --> 03:46:23.670 region:rollup2
LETTER THAT THE DEVIATES
03:46:21.802 --> 03:46:25.405 region:rollup2
ANTICIPATES THAT THE CONTINUAL
03:46:23.670 --> 03:46:26.640 region:rollup2
GROWTH IN THE NEW OPERATING
03:46:25.405 --> 03:46:29.976 region:rollup2
HOSPICES WILL FURTHER DELAY.
03:46:26.640 --> 03:46:30.944 region:rollup2
WAIT TIMES SO HOW WE HOW DO WE
03:46:29.976 --> 03:46:32.813 region:rollup2
JUSTIFY THIS IN THIS OMNIBUS
03:46:30.944 --> 03:46:34.214 region:rollup2
BILL.
03:46:32.813 --> 03:46:34.781 region:rollup2
AND RECOGNIZE MAYBE.
03:46:34.214 --> 03:46:37.517 region:rollup2
YOU COULD HELP ME UNDERSTAND
03:46:34.781 --> 03:46:39.719 region:rollup2
THAT.
03:46:37.517 --> 03:46:42.322 region:rollup2
SO I IT'S WHY CLARIFY SO THE
03:46:39.719 --> 03:46:45.258 region:rollup2
ISSUE IS IS THAT THE DEFINITIONS
03:46:42.322 --> 03:46:47.260 region:rollup2
INCREASING THE BACKLOG. ONE YES.
03:46:45.258 --> 03:46:49.095 region:rollup2
BY CREATING THE DEFINITION ARE
03:46:47.260 --> 03:46:51.164 region:rollup2
WHERE INCREASING.
03:46:49.095 --> 03:46:51.765 region:rollup2
A NUMBER OF BACKLOGS FOR THE
03:46:51.164 --> 03:46:53.166 region:rollup2
DEPARTMENT OF HEALTH TO TO NOT
03:46:51.765 --> 03:46:54.301 region:rollup2
BE ABLE.
03:46:53.166 --> 03:46:56.837 region:rollup2
TO FACILITATE MEETING THE NEEDS
03:46:54.301 --> 03:46:59.039 region:rollup2
STILL.
03:46:56.837 --> 03:47:02.843 region:rollup2
SO IN RESPECT TO THE SERVICE.
03:46:59.039 --> 03:47:05.979 region:rollup2
IT'S REALLY ABOUT THE SURVEYS.
03:47:02.843 --> 03:47:07.347 region:rollup2
OKAY SO DAMNED IF I MAY --
03:47:05.979 --> 03:47:10.350 region:rollup2
THE I KNOW IS NORMALLY THE SHE
03:47:07.347 --> 03:47:11.885 region:rollup2
REAL SIMPLE BILL WE ALL YOU KNOW
03:47:10.350 --> 03:47:13.153 region:rollup2
GATHER AROUND A LOT BUT THIS HAD
03:47:11.885 --> 03:47:14.287 region:rollup2
A SUBSTANTIAL.
03:47:13.153 --> 03:47:14.955 region:rollup2
CHANGES AND SO ON THAT'S WHEN
03:47:14.287 --> 03:47:15.889 region:rollup2
TRYING TO GET TO THE BOTTOM OF
03:47:14.955 --> 03:47:17.524 region:rollup2
IT SO THE APPLICANTS WILL STILL
03:47:15.889 --> 03:47:18.525 region:rollup2
GO THROUGH THE REGULAR PAPER
03:47:17.524 --> 03:47:19.860 region:rollup2
APPLICATION PROCESS WHERE
03:47:18.525 --> 03:47:21.528 region:rollup2
THEY'RE REVIEWED BY OUR
03:47:19.860 --> 03:47:23.296 region:rollup2
CENTRALIZED APPLICATIONS UNIT.
03:47:21.528 --> 03:47:24.998 region:rollup2
AND THEN THE PROVIDER HAS THE
03:47:23.296 --> 03:47:27.300 region:rollup2
OPTION TO GO TO ONE OF THESE
03:47:24.998 --> 03:47:27.534 region:rollup2
ACCREDITING BODIES TO RECEIVE A
03:47:27.300 --> 03:47:29.603 region:rollup2
SURVEY.
03:47:27.534 --> 03:47:30.971 region:rollup2
THOSE ACCREDITING BODIES MAY
03:47:29.603 --> 03:47:32.539 region:rollup2
HAVE THE ABILITY.
03:47:30.971 --> 03:47:33.874 region:rollup2
TO AND CONDUCT THE SURVEY AHEAD
03:47:32.539 --> 03:47:35.275 region:rollup2
OF THE SCHEDULE WHERE THE
03:47:33.874 --> 03:47:36.676 region:rollup2
DEPARTMENT NORMALLY WOULD WHERE
03:47:35.275 --> 03:47:38.612 region:rollup2
THEY WOULD BE WAITING IN LINE
03:47:36.676 --> 03:47:39.246 region:rollup2
POTENTIALLY.
03:47:38.612 --> 03:47:41.481 region:rollup2
FOR A COUPLE OF MONTHS TO GET A
03:47:39.246 --> 03:47:43.049 region:rollup2
SURVEY.
03:47:41.481 --> 03:47:44.751 region:rollup2
AND SO WE THINK THAT HAVING THIS
03:47:43.049 --> 03:47:46.219 region:rollup2
OPTION MAY IMPROVE THEIR ABILITY
03:47:44.751 --> 03:47:47.387 region:rollup2
TO BECOME LICENSE.
03:47:46.219 --> 03:47:49.823 region:rollup2
SO ESSENTIALLY WHAT'S GOING TO
03:47:47.387 --> 03:47:51.024 region:rollup2
HAPPEN AS THEIR HANDS ARE GOING.
03:47:49.823 --> 03:47:52.092 region:rollup2
TO GET FULL AND ARE NOT GONNA
03:47:51.024 --> 03:47:53.059 region:rollup2
BUILD WHAT DO THERE'D THIS
03:47:52.092 --> 03:47:57.297 region:rollup2
SURVEY [inaudible]
03:47:53.059 --> 03:47:58.298 region:rollup2
POTENTIALLY.
03:47:57.297 --> 03:48:00.233 region:rollup2
I AM NOT SURE THIS IS YOUR
03:47:58.298 --> 03:48:01.968 region:rollup2
QUESTION CAME QUE REPEAT THE
03:48:00.233 --> 03:48:03.436 region:rollup2
QUESTION AGAIN SORRY PRICE IT.
03:48:01.968 --> 03:48:04.905 region:rollup2
SO FROM FROM FROM APPEARANCE
03:48:03.436 --> 03:48:06.239 region:rollup2
THINKS IT LOOKS LIKE THE
03:48:04.905 --> 03:48:07.541 region:rollup2
DEPARTMENT OF HEALTH.
03:48:06.239 --> 03:48:09.276 region:rollup2
WILL PROBABLY HAVE THEIR HANDS
03:48:07.541 --> 03:48:10.176 region:rollup2
FULL AND WON'T BE ABLE.
03:48:09.276 --> 03:48:12.512 region:rollup2
TO REALLY GO OUT AND DO ALL OF
03:48:10.176 --> 03:48:13.346 region:rollup2
THE SURVEYS BECAUSE THERE.
03:48:12.512 --> 03:48:15.715 region:rollup2
THERE'S NOT ENOUGH TO GO AROUND
03:48:13.346 --> 03:48:18.051 region:rollup2
FOR THEM. TO MAKE IT HAPPEN ON A
03:48:15.715 --> 03:48:19.352 region:rollup2
FUNDING NOT ENOUGH ACT.
03:48:18.051 --> 03:48:20.186 region:rollup2
SUPPORT THIS IS SO WHAT WE'RE
03:48:19.352 --> 03:48:20.954 region:rollup2
TRYING TO DO IS ACTUALLY A
03:48:20.186 --> 03:48:22.455 region:rollup2
LITTLE --
03:48:20.954 --> 03:48:23.423 region:rollup2
DECREASE THE BACKLOG I
03:48:22.455 --> 03:48:25.592 region:rollup2
UNDERSTAND YEAH [inaudible]
03:48:23.423 --> 03:48:26.893 region:rollup2
SO -- BUT IT
03:48:25.592 --> 03:48:29.029 region:rollup2
DOESN'T APPEAR THAT THAT'S THE
03:48:26.893 --> 03:48:30.197 region:rollup2
WAY IT'S GONNA HAPPEN.
03:48:29.029 --> 03:48:32.065 region:rollup2
MAYBE HAVE FRAMED THE QUESTION
03:48:30.197 --> 03:48:34.768 region:rollup2
WRONG I AND I APOLOGIZE KNOCKED
03:48:32.065 --> 03:48:36.570 region:rollup2
HIM BUT I IT'S A REAL CONCERN
03:48:34.768 --> 03:48:37.470 region:rollup2
THAT THAT THAT'S THAT'S BEING
03:48:36.570 --> 03:48:39.873 region:rollup2
RAISED SO.
03:48:37.470 --> 03:48:42.409 region:rollup2
OKAY WELL AS AS AS I INDICATED
03:48:39.873 --> 03:48:44.377 region:rollup2
BEFORE MY TESTIMONY --
03:48:42.409 --> 03:48:46.112 region:rollup2
IF THE YEAH THERE ISN'T OUT AS A
03:48:44.377 --> 03:48:48.148 region:rollup2
COMMITTEE BILL IF THERE IS A
03:48:46.112 --> 03:48:49.649 region:rollup2
PORTION THAT IS --
03:48:48.148 --> 03:48:51.318 region:rollup2
THAT'S A STICKING POINT WE WILL
03:48:49.649 --> 03:48:54.854 region:rollup2
REMOVE THAT FROM THE BILL --
03:48:51.318 --> 03:48:56.489 region:rollup2
SO -- SO WE
03:48:54.854 --> 03:48:59.426 region:rollup2
CAN'T TRY TO ADDRESS YOUR
03:48:56.489 --> 03:49:00.860 region:rollup2
CONCERNS ADAM AND THEN --
03:48:59.426 --> 03:49:02.162 region:rollup2
WILL THEN IF WE WILL LOOK TO
03:49:00.860 --> 03:49:03.630 region:rollup2
REMOVE THAT PROVISION FROM THE
03:49:02.162 --> 03:49:04.664 region:rollup2
BILL I I GUESS WHAT I WOULD SAY
03:49:03.630 --> 03:49:06.633 region:rollup2
IS THAT.
03:49:04.664 --> 03:49:08.134 region:rollup2
WE'RE TRYING TO LIVE REMOVES THE
03:49:06.633 --> 03:49:09.703 region:rollup2
BACKLOG BY GIVING THEM SO WHAT
03:49:08.134 --> 03:49:10.870 region:rollup2
THAT MEANT WHAT THE BILL DOES
03:49:09.703 --> 03:49:12.572 region:rollup2
INCLUDE.
03:49:10.870 --> 03:49:14.574 region:rollup2
IS IS THAT --
03:49:12.572 --> 03:49:16.309 region:rollup2
THERE IS AN AMEND THEIR BASIC IS
03:49:14.574 --> 03:49:18.878 region:rollup2
LANGUAGE GIVING THE PART PUBLIC
03:49:16.309 --> 03:49:20.080 region:rollup2
HEALTH THE ABILITY TO ISSUE A
03:49:18.878 --> 03:49:21.748 region:rollup2
HOSPICE PROVIDER LICENSE.
03:49:20.080 --> 03:49:23.216 region:rollup2
BASED ON THE FACT THAT BEING
03:49:21.748 --> 03:49:24.417 region:rollup2
CREDITED BY CMS APPROVED
03:49:23.216 --> 03:49:25.986 region:rollup2
NATIONAL TRADING ORGANIZATION
03:49:24.417 --> 03:49:27.354 region:rollup2
THEREFORE THAT THE PART PUBLIC
03:49:25.986 --> 03:49:30.156 region:rollup2
HEALTH --
03:49:27.354 --> 03:49:31.124 region:rollup2
WOULD BE ABLE TO MORE RAPIDLY --
03:49:30.156 --> 03:49:32.792 region:rollup2
APPROVE IT BECAUSE THEY CAN THEN
03:49:31.124 --> 03:49:35.295 region:rollup2
THE FOR TO THE CREDITING AGENCY
03:49:32.792 --> 03:49:36.062 region:rollup2
WHICH AGAIN IS A CMS APPROVED
03:49:35.295 --> 03:49:37.163 region:rollup2
ACCREDITING ORGANIZATION AND
03:49:36.062 --> 03:49:40.867 region:rollup2
THAT WOULD --
03:49:37.163 --> 03:49:42.035 region:rollup2
THEREFORE ALLOW THEM --
03:49:40.867 --> 03:49:43.169 region:rollup2
TO APPROVED THE MORE QUICKLY
03:49:42.035 --> 03:49:45.038 region:rollup2
WITHOUT HAVING TO SEND THEIR OWN
03:49:43.169 --> 03:49:46.573 region:rollup2
PEOPLE BASICALLY BECAUSE
03:49:45.038 --> 03:49:48.775 region:rollup2
ACCREDITING BODY HAS READY --
03:49:46.573 --> 03:49:50.443 region:rollup2
ACCREDITED THAT ENTITY.
03:49:48.775 --> 03:49:51.811 region:rollup2
OKAY SO THAT VERY WELL MAY BE
03:49:50.443 --> 03:49:53.780 region:rollup2
THE CRUX OF THE ENTIRE.
03:49:51.811 --> 03:49:55.048 region:rollup2
ISSUE RIGHT THERE.
03:49:53.780 --> 03:49:56.349 region:rollup2
THE DEPARTMENT OF HEALTH --
03:49:55.048 --> 03:49:58.418 region:rollup2
INTENDING TO TRANSFER THEIR
03:49:56.349 --> 03:49:59.152 region:rollup2
RESPONSIBILITIES OVER TO A
03:49:58.418 --> 03:50:01.221 region:rollup2
NATIONAL ACCREDITED ORGANISE
03:49:59.152 --> 03:50:01.955 region:rollup2
OKAY AND THAT VERY WELL MAY BE
03:50:01.221 --> 03:50:03.990 region:rollup2
THE ISSUE.
03:50:01.955 --> 03:50:05.525 region:rollup2
OBJECT AT HEART HERE IS THAT
03:50:03.990 --> 03:50:06.660 region:rollup2
WERE ACTUALLY PASSING THAT OFF
03:50:05.525 --> 03:50:08.094 region:rollup2
FROM THE STATE TO A NATIONAL
03:50:06.660 --> 03:50:09.229 region:rollup2
ORGANIZATION.
03:50:08.094 --> 03:50:12.365 region:rollup2
WHICH IS I BELIEVE WE'RE ALL
03:50:09.229 --> 03:50:13.733 region:rollup2
GONNA PROBABLY KNOW MORE ABOUT.
03:50:12.365 --> 03:50:16.436 region:rollup2
OKAY SO --
03:50:13.733 --> 03:50:17.904 region:rollup2
SO AGAIN IF I'D THAT REMAINS IN
03:50:16.436 --> 03:50:19.706 region:rollup2
ISSUE SAID IT THIS IT THESE ARE
03:50:17.904 --> 03:50:22.275 region:rollup2
CMS APPROVED NATIONAL GRADING
03:50:19.706 --> 03:50:24.377 region:rollup2
BUYS HOWEVER IF THAT IS --
03:50:22.275 --> 03:50:26.880 region:rollup2
CONTINUES IS THAT IS AN ISSUE
03:50:24.377 --> 03:50:28.014 region:rollup2
FOR FOR YOU AND OTHERS THAT AND
03:50:26.880 --> 03:50:29.849 region:rollup2
WE WILL REMOVE THAT PROVISION
03:50:28.014 --> 03:50:32.218 region:rollup2
FROM THE BILL.
03:50:29.849 --> 03:50:33.319 region:rollup2
OKAY GOTTA HOPEFULLY WE CAN WORK
03:50:32.218 --> 03:50:34.654 region:rollup2
IT OUT.
03:50:33.319 --> 03:50:35.989 region:rollup2
THEY BEAT THAT BUT BEGAN IF IN
03:50:34.654 --> 03:50:39.893 region:rollup2
THE END YOU STILL THE SIDE
03:50:35.989 --> 03:50:40.093 region:rollup2
THAT'S A PROBLEM SO WE MOVED
03:50:39.893 --> 03:50:41.861 region:rollup2
BILL.
03:50:40.093 --> 03:50:43.096 region:rollup2
CRUCIATE THANK YOU.
03:50:41.861 --> 03:50:44.564 region:rollup2
I JUST WANNA MAKE SURE WE GET
03:50:43.096 --> 03:50:46.499 region:rollup2
THIS RIGHT DOUGLASS DR BEN YOUR
03:50:44.564 --> 03:50:47.767 region:rollup2
DOCTOR PAN YOU ARE --
03:50:46.499 --> 03:50:48.768 region:rollup2
ACTING AS THE AUTHOR ON THIS --
03:50:47.767 --> 03:50:50.003 region:rollup2
ON THIS YET COMMITTEE ON BILL
03:50:48.768 --> 03:50:51.671 region:rollup2
WE'RE TALKING ABOUT THEM
03:50:50.003 --> 03:50:53.173 region:rollup2
REMOVING LANGUAGE ON THIS
03:50:51.671 --> 03:50:54.574 region:rollup2
BIGELOW AYE ARE YOU OR ARE YOU
03:50:53.173 --> 03:50:56.109 region:rollup2
COMFORTABLE WITH THAT AS IT
03:50:54.574 --> 03:50:56.876 region:rollup2
CURRENTLY SITS ARE YOU
03:50:56.109 --> 03:50:57.877 region:rollup2
SUGGESTING THAT HE'S BEEN
03:50:56.876 --> 03:50:59.179 region:rollup2
LANGUAGE.
03:50:57.877 --> 03:51:01.014 region:rollup2
REMOVED RIGHT NOW WORD OR IS
03:50:59.179 --> 03:51:01.614 region:rollup2
THIS AFTER THIS COMMITTEES DOWN
03:51:01.014 --> 03:51:03.983 region:rollup2
WE CAN CONTINUE TO WORK ON AT
03:51:01.614 --> 03:51:05.118 region:rollup2
THIS POINT.
03:51:03.983 --> 03:51:06.886 region:rollup2
AT THIS POINT I JUST WANTED A
03:51:05.118 --> 03:51:08.455 region:rollup2
CLARIFICATION OKAY I THINK WE
03:51:06.886 --> 03:51:09.289 region:rollup2
WALKED INTO.
03:51:08.455 --> 03:51:09.889 region:rollup2
YOU KNOW A LONG WAY AROUND THE
03:51:09.289 --> 03:51:11.925 region:rollup2
TREE BUT WE GOT TO THE THE P.
03:51:09.889 --> 03:51:12.525 region:rollup2
H..
03:51:11.925 --> 03:51:15.795 region:rollup2
INTENDING TO TRANSFER TO THE
03:51:12.525 --> 03:51:16.663 region:rollup2
NATIONAL ORGANIZATION I JUST
03:51:15.795 --> 03:51:18.598 region:rollup2
WANT TO MAKE SURE THAT'S ON THE
03:51:16.663 --> 03:51:19.132 region:rollup2
RECORD WHAT WE'RE DOING HERE
03:51:18.598 --> 03:51:20.333 region:rollup2
GETS.
03:51:19.132 --> 03:51:22.235 region:rollup2
ADDED AND SO BUT THAT'S A
03:51:20.333 --> 03:51:23.503 region:rollup2
SUBSTANTIAL CHANGE FROM OUTSIDE
03:51:22.235 --> 03:51:25.138 region:rollup2
THE NORM OF WHAT WE'VE DONE IN
03:51:23.503 --> 03:51:26.506 region:rollup2
THE PAST WELL WE'VE WE'VE DONE
03:51:25.138 --> 03:51:28.108 region:rollup2
SIMILAR THINGS LIKE THIS FOR
03:51:26.506 --> 03:51:29.509 region:rollup2
OTHER PROGRAMS LIKE HOME HEALTH
03:51:28.108 --> 03:51:30.810 region:rollup2
AGENCIES SO THIS IS NOT THE
03:51:29.509 --> 03:51:32.245 region:rollup2
FIRST TIME WE'VE.
03:51:30.810 --> 03:51:34.781 region:rollup2
DONE RIGHT HERE WHERE LONELY
03:51:32.245 --> 03:51:35.381 region:rollup2
SOUND POLICY PRIOR OKAY THAT'S
03:51:34.781 --> 03:51:36.382 region:rollup2
WHAT I'M.
03:51:35.381 --> 03:51:37.784 region:rollup2
TALKING ABOUT IS ONLY THROUGH
03:51:36.382 --> 03:51:39.486 region:rollup2
THE POLICY COMMITTEE OKAY NOT
03:51:37.784 --> 03:51:41.521 region:rollup2
THROUGH THE HONEST.
03:51:39.486 --> 03:51:43.957 region:rollup2
ALRIGHT WELL --
03:51:41.521 --> 03:51:45.792 region:rollup2
I WILL DEFER TO YOU WHETHER YOU
03:51:43.957 --> 03:51:47.527 region:rollup2
FEEL THAT WE SHOULD REMOVE IT BY
03:51:45.792 --> 03:51:49.229 region:rollup2
THE TIME IT HITS THE FLOOR ARE
03:51:47.527 --> 03:51:50.163 region:rollup2
IF YOU WILL BE COMFORTABLE NOW
03:51:49.229 --> 03:51:50.964 region:rollup2
OF THE DISCUSSION WITH THAT PART
03:51:50.163 --> 03:51:52.399 region:rollup2
OF THE CULT THAT THIS
03:51:50.964 --> 03:51:53.900 region:rollup2
INAPPROPRIATE PEOPLE.
03:51:52.399 --> 03:51:55.168 region:rollup2
SO PLEASE GIVE ME DIRECTIONS TO
03:51:53.900 --> 03:51:58.271 region:rollup2
GET.
03:51:55.168 --> 03:51:59.239 region:rollup2
I I I IF I CAN MR.
03:51:58.271 --> 03:52:00.940 region:rollup2
I'M GOOD WITH THAT WITH A
03:51:59.239 --> 03:52:03.977 region:rollup2
RESPONSE I BELIEVE ANSWER THE
03:52:00.940 --> 03:52:05.345 region:rollup2
QUESTION FOR CLARITY PURPOSES.
03:52:03.977 --> 03:52:06.546 region:rollup2
ALRIGHT SO YOU LEAVE IT IN THERE
03:52:05.345 --> 03:52:07.447 region:rollup2
LOS ANGELES HOUSE AS AN
03:52:06.546 --> 03:52:08.381 region:rollup2
OBJECTION BY APPRECIATE THE
03:52:07.447 --> 03:52:09.149 region:rollup2
QUESTION THANK YOU.
03:52:08.381 --> 03:52:10.049 region:rollup2
THANK YOU DOCTOR PAN --
03:52:09.149 --> 03:52:10.817 region:rollup2
ANY FURTHER QUESTIONS OR
03:52:10.049 --> 03:52:13.353 region:rollup2
COMMENTS --
03:52:10.817 --> 03:52:15.522 region:rollup2
MISS WALDRON JUST A COMMENT --
03:52:13.353 --> 03:52:17.257 region:rollup2
THE WORLD COUNTY REPRESENTATIVES
03:52:15.522 --> 03:52:18.057 region:rollup2
ARE SUPPORT OF THE BILL AND I
03:52:17.257 --> 03:52:19.359 region:rollup2
HAVE.
03:52:18.057 --> 03:52:22.796 region:rollup2
QUITE A LARGE WORLD AREA MY
03:52:19.359 --> 03:52:24.230 region:rollup2
COUNTY SO I APPRECIATE THAT AND
03:52:22.796 --> 03:52:27.700 region:rollup2
BY EXTENDING.
03:52:24.230 --> 03:52:28.668 region:rollup2
THE EMERGENCY REVIEW FROM
03:52:27.700 --> 03:52:32.071 region:rollup2
FOURTEEN DAYS AT THIRTY IS
03:52:28.668 --> 03:52:32.672 region:rollup2
CERTAINLY HELPFUL.
03:52:32.071 --> 03:52:34.507 region:rollup2
OKAY WELL THANK YOU THINGS IN
03:52:32.672 --> 03:52:36.543 region:rollup2
OUR WATER.
03:52:34.507 --> 03:52:39.679 region:rollup2
I WOULD THINK ZERO THAT AIM
03:52:36.543 --> 03:52:42.582 region:rollup2
THERE'S IS NOT NEW TO DO ITEM --
03:52:39.679 --> 03:52:44.384 region:rollup2
MEANT A MOTION BY A SWIMMER CREO
03:52:42.582 --> 03:52:45.385 region:rollup2
AND SECOND BY WALDRON.
03:52:44.384 --> 03:52:46.853 region:rollup2
AND WITH THAT PLEASE CALL THE
03:52:45.385 --> 03:52:47.620 region:rollup2
REPUBLIC THE MOTION IS TO PASS
03:52:46.853 --> 03:52:47.921 region:rollup2
APPROPRIATIONS FISCAL
03:52:47.620 --> 03:52:50.256 region:rollup2
[inaudible]
03:52:47.921 --> 03:52:55.962 region:rollup2
WOULD.
03:52:50.256 --> 03:52:56.696 region:rollup2
MAYES I MAYES AYE AGUIAR-CURRY.
03:52:55.962 --> 03:52:57.530 region:rollup2
BIGELOW.
03:52:56.696 --> 03:52:59.032 region:rollup2
BIGELOW AYE BONTA.
03:52:57.530 --> 03:53:01.000 region:rollup2
BURKE [inaudible]
03:52:59.032 --> 03:53:02.268 region:rollup2
CARILLO.
03:53:01.000 --> 03:53:04.571 region:rollup2
CARILLO AYE FLORA.
03:53:02.268 --> 03:53:07.907 region:rollup2
FLORA AYE LOW MOAN.
03:53:04.571 --> 03:53:09.609 region:rollup2
MCCARTY NAZARIAN RODRIGUEZ.
03:53:07.907 --> 03:53:09.909 region:rollup2
RODRIGUEZ I SANTIAGO
03:53:09.609 --> 03:53:14.214 region:rollup2
[inaudible]
03:53:09.909 --> 03:53:16.015 region:rollup2
THURMOND [inaudible]
03:53:14.214 --> 03:53:21.788 region:rollup2
WALDRON [inaudible]
03:53:16.015 --> 03:53:24.023 region:rollup2
MODERN HIGH.
03:53:21.788 --> 03:53:25.291 region:rollup2
SAID SIX VOTES WILL KEEP ON CALL
03:53:24.023 --> 03:53:31.831 region:rollup2
OKAY THANK YOU THINK ERECTION
03:53:25.291 --> 03:53:32.131 region:rollup2
ACCELERATES THANK YOU
03:53:31.831 --> 03:53:41.074 region:rollup2
[inaudible]
03:53:32.131 --> 03:53:47.647 region:rollup2
NO [inaudible]
03:53:41.074 --> 03:53:54.687 region:rollup2
SKIP [inaudible]
03:53:47.647 --> 03:53:58.224 region:rollup2
YEAH [inaudible]
03:53:54.687 --> 03:54:14.607 region:rollup2
HERTZBERG.
03:53:58.224 --> 03:54:14.607 region:rollup2
WE SKINNER AND WIENER
03:58:14.347 --> 03:58:15.381 region:rollup2
.
03:58:14.480 --> 03:58:18.117 region:rollup2
WE'RE JUST GONNA OPEN UP REAL
03:58:15.381 --> 03:58:18.951 region:rollup2
QUICK THOSE TO ADD ON FOR ON THE
03:58:18.117 --> 03:58:22.388 region:rollup2
CONSENT AGENDA [inaudible]
03:58:18.951 --> 03:58:22.688 region:rollup2
THE COUGH ABSENT MEMBERS
03:58:22.388 --> 03:58:24.690 region:rollup2
[inaudible]
03:58:22.688 --> 03:58:26.792 region:rollup2
MAYES.
03:58:24.690 --> 03:58:28.294 region:rollup2
BY MAYES AYE [inaudible]
03:58:26.792 --> 03:58:30.296 region:rollup2
BONTA BURKE [inaudible]
03:58:28.294 --> 03:58:46.579 region:rollup2
LOW MOAN [inaudible]
03:58:30.296 --> 03:58:46.579 region:rollup2
SANTIAGO THURMOND
04:04:08.868 --> 04:04:10.102 region:rollup2
AND SINCE WE
04:04:09.268 --> 04:04:11.003 region:rollup2
HAVE A COUPLE MORE MEMBERS HERE
04:04:10.102 --> 04:04:12.037 region:rollup2
WERE STILL AWAITING WORK GOING
04:04:11.003 --> 04:04:14.106 region:rollup2
TO GO THROUGH AND DO SOME I'M
04:04:12.037 --> 04:04:15.274 region:rollup2
ADD ONS SO WE ARE GOING TO START
04:04:14.106 --> 04:04:16.942 region:rollup2
THEM WILL.
04:04:15.274 --> 04:04:17.243 region:rollup2
OPEN BACK UP THAT THE CONSENT
04:04:16.942 --> 04:04:19.478 region:rollup2
[inaudible]
04:04:17.243 --> 04:04:22.615 region:rollup2
NAM.
04:04:19.478 --> 04:04:24.083 region:rollup2
AGENDA ITEMS THAT SPIDERS ONE
04:04:22.615 --> 04:04:24.683 region:rollup2
FIVE NINE TWELVE THIRTEEN AND
04:04:24.083 --> 04:04:26.619 region:rollup2
TWENTY TWO UNIT CALLED ABSENT
04:04:24.683 --> 04:04:27.019 region:rollup2
MEMBERS [inaudible]
04:04:26.619 --> 04:04:29.088 region:rollup2
BONTA [inaudible]
04:04:27.019 --> 04:04:29.455 region:rollup2
BURKE.
04:04:29.088 --> 04:04:39.932 region:rollup2
LIMON.
04:04:29.455 --> 04:04:42.301 region:rollup2
LIMON I SANTIAGO THURMAN.
04:04:39.932 --> 04:04:44.537 region:rollup2
RATHER IT MOVE ON TO ITEM NUMBER
04:04:42.301 --> 04:04:45.704 region:rollup2
CHIU SP.
04:04:44.537 --> 04:04:48.207 region:rollup2
TWO SEVEN FIVE BONTA BURKE
04:04:45.704 --> 04:04:50.276 region:rollup2
CARILLO.
04:04:48.207 --> 04:04:52.044 region:rollup2
CARILLO AYE FLOOR FROM SORRY LOW
04:04:50.276 --> 04:04:53.078 region:rollup2
MOAN.
04:04:52.044 --> 04:04:56.549 region:rollup2
LIMON AYE NAZARIAN SANTIAGO
04:04:53.078 --> 04:05:01.353 region:rollup2
THURMOND [inaudible]
04:04:56.549 --> 04:05:02.221 region:rollup2
I NEVER.
04:05:01.353 --> 04:05:04.456 region:rollup2
IT'S THAT STANDS AT TEN NINE TEN
04:05:02.221 --> 04:05:06.358 region:rollup2
VOTES.
04:05:04.456 --> 04:05:09.929 region:rollup2
WE HAD ITEM NUMBER.
04:05:06.358 --> 04:05:11.130 region:rollup2
THREE SB [inaudible]
04:05:09.929 --> 04:05:15.701 region:rollup2
SIX FORTY ONE BONTA [inaudible]
04:05:11.130 --> 04:05:16.001 region:rollup2
BURKE LOW MOAN AYE LAWN AYE
04:05:15.701 --> 04:05:18.837 region:rollup2
[inaudible]
04:05:16.001 --> 04:05:20.806 region:rollup2
SANTIAGO THURMAN [inaudible] TEN
04:05:18.837 --> 04:05:24.176 region:rollup2
VOTES --
04:05:20.806 --> 04:05:27.680 region:rollup2
ITEM NUMBER. FOR THAT MAKE IT ON
04:05:24.176 --> 04:05:33.285 region:rollup2
THE CAN.
04:05:27.680 --> 04:05:34.920 region:rollup2
THIS ITEM NUMBER FOUR OKAY.
04:05:33.285 --> 04:05:35.220 region:rollup2
MAYES HIGH MAYES AYE BONTA
04:05:34.920 --> 04:05:36.388 region:rollup2
[inaudible]
04:05:35.220 --> 04:05:38.290 region:rollup2
BURKE [inaudible]
04:05:36.388 --> 04:05:43.295 region:rollup2
LOW MOAN.
04:05:38.290 --> 04:05:47.967 region:rollup2
THE MOTOR AYE SANTIAGO THURMAN.
04:05:43.295 --> 04:05:48.534 region:rollup2
IT'S ZERO ITEM NUMBER SIX S. B..
04:05:47.967 --> 04:05:50.202 region:rollup2
NINE FORTY FOUR I'M SORRY TO
04:05:48.534 --> 04:05:52.738 region:rollup2
DUMP MAXIM.
04:05:50.202 --> 04:05:56.342 region:rollup2
MOVING ON ITEM NUMBER. SIX EIGHT
04:05:52.738 --> 04:06:01.280 region:rollup2
YEARS WHEREAS.
04:05:56.342 --> 04:06:03.415 region:rollup2
THAT'S ON EX ON COLLEGE
04:06:01.280 --> 04:06:04.016 region:rollup2
INITIATIVE THROUGH.
04:06:03.415 --> 04:06:04.316 region:rollup2
SO THIS LEPRECHAUN ITEM NUMBER
04:06:04.016 --> 04:06:04.817 region:rollup2
[inaudible]
04:06:04.316 --> 04:06:05.851 region:rollup2
EIGHT MAYES [inaudible]
04:06:04.817 --> 04:06:07.386 region:rollup2
OPPOSED NO [inaudible]
04:06:05.851 --> 04:06:08.454 region:rollup2
MAKES NO [inaudible]
04:06:07.386 --> 04:06:09.788 region:rollup2
BONTA [inaudible]
04:06:08.454 --> 04:06:12.424 region:rollup2
BURKE [inaudible]
04:06:09.788 --> 04:06:14.193 region:rollup2
FLORA.
04:06:12.424 --> 04:06:15.094 region:rollup2
WE'RE NOT VOTING.
04:06:14.193 --> 04:06:17.263 region:rollup2
AMONG.
04:06:15.094 --> 04:06:19.164 region:rollup2
THE MODE AYE MCCARTY.
04:06:17.263 --> 04:06:20.599 region:rollup2
MCCARTY I NAZARIAN.
04:06:19.164 --> 04:06:28.374 region:rollup2
RODRIGUEZ SANTIAGO THURMAN
04:06:20.599 --> 04:06:35.948 region:rollup2
WALDRON [inaudible]
04:06:28.374 --> 04:06:41.220 region:rollup2
SO.
04:06:35.948 --> 04:06:42.655 region:rollup2
WELL FOR NOT VOTING.
04:06:41.220 --> 04:06:47.192 region:rollup2
STOLEN SO SO SIX ONE WILL BE
04:06:42.655 --> 04:06:48.861 region:rollup2
THAT ON CALL [inaudible]
04:06:47.192 --> 04:06:50.262 region:rollup2
THIS -- TO
04:06:48.861 --> 04:06:51.964 region:rollup2
ITEM NUMBER ELEVEN SP ELEVEN
04:06:50.262 --> 04:06:53.666 region:rollup2
KNOWING.
04:06:51.964 --> 04:06:57.269 region:rollup2
I LEFT THE CALL [inaudible]
04:06:53.666 --> 04:06:59.805 region:rollup2
MAYES.
04:06:57.269 --> 04:07:00.906 region:rollup2
NO MAYES NO [inaudible]
04:06:59.805 --> 04:07:03.742 region:rollup2
BONTA BURKE [inaudible]
04:07:00.906 --> 04:07:05.878 region:rollup2
CARILLO.
04:07:03.742 --> 04:07:08.681 region:rollup2
CARILLO I FLORA I'M SORRY FLORA
04:07:05.878 --> 04:07:09.948 region:rollup2
HAVE IS NOT VOTING [inaudible]
04:07:08.681 --> 04:07:13.519 region:rollup2
LOW MOAN [inaudible]
04:07:09.948 --> 04:07:14.753 region:rollup2
LIMON I NAZARIAN.
04:07:13.519 --> 04:07:16.322 region:rollup2
RODRIGUEZ SANTIAGO THURMAN
04:07:14.753 --> 04:07:20.559 region:rollup2
WALDRON [inaudible]
04:07:16.322 --> 04:07:23.862 region:rollup2
WALTER NO.
04:07:20.559 --> 04:07:25.331 region:rollup2
IT'S FIVE THREE WILL.
04:07:23.862 --> 04:07:28.167 region:rollup2
WE'LL KEEP THE CALM THAT OF CALM
04:07:25.331 --> 04:07:29.501 region:rollup2
AND THEN.
04:07:28.167 --> 04:07:31.370 region:rollup2
OR IF.
04:07:29.501 --> 04:07:33.472 region:rollup2
FOURTEEN OF FOURTEEN I ASK
04:07:31.370 --> 04:07:33.772 region:rollup2
ELEVEN FIFTY TWO HERNANDEZ
04:07:33.472 --> 04:07:36.642 region:rollup2
[inaudible]
04:07:33.772 --> 04:07:38.677 region:rollup2
BONTA BURKE CARILLO.
04:07:36.642 --> 04:07:40.913 region:rollup2
CARILLO AYE FLORA.
04:07:38.677 --> 04:07:42.648 region:rollup2
FLORA NO LIMON.
04:07:40.913 --> 04:07:44.583 region:rollup2
LIMON AYE.
04:07:42.648 --> 04:07:44.983 region:rollup2
SANTIAGO THURMOND.
04:07:44.583 --> 04:07:50.723 region:rollup2
WALDRON.
04:07:44.983 --> 04:07:52.224 region:rollup2
WALDRON AYE.
04:07:50.723 --> 04:07:54.393 region:rollup2
SO EIGHTY THREE THE BILL AS IS
04:07:52.224 --> 04:07:58.564 region:rollup2
OUT LEAVING ON CALL.
04:07:54.393 --> 04:08:03.502 region:rollup2
COM FOR MEMBERS THAT ON I DON'T
04:07:58.564 --> 04:08:06.138 region:rollup2
[inaudible] EIGHTEEN SPONSOR A
04:08:03.502 --> 04:08:08.373 region:rollup2
TING.
04:08:06.138 --> 04:08:12.177 region:rollup2
SO ITEM NUMBER --
04:08:08.373 --> 04:08:12.378 region:rollup2
FIFTEEN LEVITY SIX LEYVA.
04:08:12.177 --> 04:08:14.380 region:rollup2
BONTA.
04:08:12.378 --> 04:08:17.916 region:rollup2
LET ALONE.
04:08:14.380 --> 04:08:20.586 region:rollup2
THE MOMENT I MCCARTY.
04:08:17.916 --> 04:08:20.886 region:rollup2
I MCCARTY AYE NAZARIAN
04:08:20.586 --> 04:08:27.025 region:rollup2
[inaudible]
04:08:20.886 --> 04:08:27.626 region:rollup2
RODRIGUEZ SANTIAGO [inaudible]
04:08:27.025 --> 04:08:28.193 region:rollup2
EIGHT THREE LET'S EIGHT THREE
04:08:27.626 --> 04:08:30.429 region:rollup2
IT'S PASSABLE LEAVE IT OPEN
04:08:28.193 --> 04:08:31.196 region:rollup2
FORUM.
04:08:30.429 --> 04:08:32.731 region:rollup2
PLEASE LEAVE ON CALL FOR ABSENT
04:08:31.196 --> 04:08:36.835 region:rollup2
MEMBERS [inaudible]
04:08:32.731 --> 04:08:38.103 region:rollup2
KNOWN.
04:08:36.835 --> 04:08:40.472 region:rollup2
TO ITEM NUMBER SIXTEEN ROTH S.
04:08:38.103 --> 04:08:41.073 region:rollup2
B..
04:08:40.472 --> 04:08:42.808 region:rollup2
TWELVE THIRTY EIGHT I LEFT THE
04:08:41.073 --> 04:08:44.777 region:rollup2
CALL [inaudible]
04:08:42.808 --> 04:08:47.112 region:rollup2
BONTA BURKE [inaudible]
04:08:44.777 --> 04:08:49.081 region:rollup2
FLORA.
04:08:47.112 --> 04:08:53.819 region:rollup2
FLORA NO LOW MOAN [inaudible]
04:08:49.081 --> 04:08:59.491 region:rollup2
LARA I NAZARIAN [inaudible]
04:08:53.819 --> 04:09:03.462 region:rollup2
SANTIAGO THURMAN.
04:08:59.491 --> 04:09:07.499 region:rollup2
IT'S FOR WILL OF EFFECT ON CALL
04:09:03.462 --> 04:09:10.469 region:rollup2
AND THAT WE ARE [inaudible]
04:09:07.499 --> 04:09:11.069 region:rollup2
SEVENTEEN STONE.
04:09:10.469 --> 04:09:12.938 region:rollup2
TWELVE FIFTY FOUR L. LIFT THE
04:09:11.069 --> 04:09:13.338 region:rollup2
CALL [inaudible]
04:09:12.938 --> 04:09:15.774 region:rollup2
BONTA [inaudible]
04:09:13.338 --> 04:09:18.143 region:rollup2
BURKE FLORA.
04:09:15.774 --> 04:09:19.678 region:rollup2
FLORA I LIVE MON.
04:09:18.143 --> 04:09:21.713 region:rollup2
LIMON I NAZARIAN.
04:09:19.678 --> 04:09:26.151 region:rollup2
RODRIGUEZ [inaudible]
04:09:21.713 --> 04:09:27.219 region:rollup2
SANTIAGO THURMAN.
04:09:26.151 --> 04:09:28.954 region:rollup2
THAT'S NINE ZEROS THAT BUILDS UP
04:09:27.219 --> 04:09:31.957 region:rollup2
IT WILL --
04:09:28.954 --> 04:09:35.060 region:rollup2
EVEN UNCALLED FOR ADAMS.
04:09:31.957 --> 04:09:37.629 region:rollup2
AND EIGHTEEN S. B..
04:09:35.060 --> 04:09:38.530 region:rollup2
TWELVE FIFTY FIVE LIFT THE CALL.
04:09:37.629 --> 04:09:42.701 region:rollup2
BONTA.
04:09:38.530 --> 04:09:47.139 region:rollup2
BURKE CARILLO.
04:09:42.701 --> 04:09:47.739 region:rollup2
STUDY EIGHTEEN S. B..
04:09:47.139 --> 04:09:49.274 region:rollup2
TWELVE FIFTY FIVE CARILLO I'VE
04:09:47.739 --> 04:09:51.109 region:rollup2
LARA.
04:09:49.274 --> 04:09:54.746 region:rollup2
FLORA I LOW MOANS.
04:09:51.109 --> 04:09:55.047 region:rollup2
LIMON I SANTIAGO THURMAN WALDRON
04:09:54.746 --> 04:10:05.157 region:rollup2
[inaudible]
04:09:55.047 --> 04:10:09.628 region:rollup2
WALDRON AYE.
04:10:05.157 --> 04:10:12.130 region:rollup2
RIGHT HERE ON THIS.
04:10:09.628 --> 04:10:13.465 region:rollup2
SO THAT IS A NINE TO THAT BILL
04:10:12.130 --> 04:10:14.700 region:rollup2
IS I'LL --
04:10:13.465 --> 04:10:16.368 region:rollup2
BUT WILL STILL I'M OF THE CALL
04:10:14.700 --> 04:10:18.403 region:rollup2
AND LEAVE IT OPEN.
04:10:16.368 --> 04:10:18.971 region:rollup2
AND THEN --
04:10:18.403 --> 04:10:22.441 region:rollup2
NINETEEN S. B. TWELVE SIXTY
04:10:18.971 --> 04:10:23.876 region:rollup2
EIGHT BRADFORD [inaudible]
04:10:22.441 --> 04:10:26.211 region:rollup2
WOULD.
04:10:23.876 --> 04:10:28.180 region:rollup2
ARE YOUR CURRY.
04:10:26.211 --> 04:10:29.982 region:rollup2
ACTOR CURRY I BONTA.
04:10:28.180 --> 04:10:32.451 region:rollup2
LOW MOAN.
04:10:29.982 --> 04:10:34.186 region:rollup2
LIMON AYE MCCARTY.
04:10:32.451 --> 04:10:40.292 region:rollup2
I MCCARTY AYE NOSE AREA
04:10:34.186 --> 04:10:41.894 region:rollup2
RODRIGUEZ SANTIAGO THURMAN.
04:10:40.292 --> 04:10:43.195 region:rollup2
SO THAT IS NICE THAT BILL IS OUT
04:10:41.894 --> 04:10:45.197 region:rollup2
BELIEVE THAT LEAVE IT OPEN FOR
04:10:43.195 --> 04:10:48.267 region:rollup2
ADD ONS.
04:10:45.197 --> 04:10:48.901 region:rollup2
AND I'D ITEM TWENTY SP.
04:10:48.267 --> 04:10:50.402 region:rollup2
TWELVE EIGHTY SEVEN AND LEFT THE
04:10:48.901 --> 04:10:51.904 region:rollup2
CALL [inaudible]
04:10:50.402 --> 04:10:53.772 region:rollup2
BONTA FIRST [inaudible]
04:10:51.904 --> 04:10:55.607 region:rollup2
CARILLO.
04:10:53.772 --> 04:10:57.442 region:rollup2
CARILLO AYE FLORA.
04:10:55.607 --> 04:11:00.479 region:rollup2
FLORA I LOW MOAN [inaudible]
04:10:57.442 --> 04:11:00.879 region:rollup2
LAMONT I SANTIAGO THURMOND
04:11:00.479 --> 04:11:03.916 region:rollup2
WALDRON.
04:11:00.879 --> 04:11:05.717 region:rollup2
WALDRON AYE [inaudible]
04:11:03.916 --> 04:11:07.152 region:rollup2
LIVE.
04:11:05.717 --> 04:11:08.453 region:rollup2
SO LET ME KNOW THAT BILLS OUT
04:11:07.152 --> 04:11:09.555 region:rollup2
BUT WE'LL LEAVE IT OPEN AS WELL
04:11:08.453 --> 04:11:14.860 region:rollup2
FRAT ARMS --
04:11:09.555 --> 04:11:15.494 region:rollup2
ITEM TWENTY ONE SP.
04:11:14.860 --> 04:11:17.496 region:rollup2
THIRTEEN SEVENTY FIVE I LEFT THE
04:11:15.494 --> 04:11:20.766 region:rollup2
CALL.
04:11:17.496 --> 04:11:23.368 region:rollup2
BONTA BURKE CARILLO.
04:11:20.766 --> 04:11:24.770 region:rollup2
CARILLO AYE FLORA [inaudible]
04:11:23.368 --> 04:11:27.005 region:rollup2
FLORIDA VOTING [inaudible]
04:11:24.770 --> 04:11:28.874 region:rollup2
LOW MOAN.
04:11:27.005 --> 04:11:30.175 region:rollup2
LEVINE I SANTIAGO THURMAN
04:11:28.874 --> 04:11:35.847 region:rollup2
WALDRON [inaudible]
04:11:30.175 --> 04:11:39.151 region:rollup2
WALDRON THOUGH.
04:11:35.847 --> 04:11:41.453 region:rollup2
SO IT SEVEN ONE SO LOVE WILL
04:11:39.151 --> 04:11:43.021 region:rollup2
LEAVE THAT OPEN.
04:11:41.453 --> 04:11:44.690 region:rollup2
AND WILL PLACE A BACK ON CALL.
04:11:43.021 --> 04:11:49.561 region:rollup2
AND THEN ITEM NUMBER TWENTY
04:11:44.690 --> 04:11:50.662 region:rollup2
THREE SB. FOURTEEN NINETY FIVE
04:11:49.561 --> 04:11:52.431 region:rollup2
LIFT THE CALL [inaudible]
04:11:50.662 --> 04:11:53.398 region:rollup2
WOULD.
04:11:52.431 --> 04:11:55.500 region:rollup2
EGGER CURRY.
04:11:53.398 --> 04:11:55.801 region:rollup2
FIGURE CURRY I BONTA
04:11:55.500 --> 04:11:57.936 region:rollup2
[inaudible]
04:11:55.801 --> 04:11:59.705 region:rollup2
BURKE [inaudible]
04:11:57.936 --> 04:12:01.773 region:rollup2
LOW MOAN.
04:11:59.705 --> 04:12:03.408 region:rollup2
THE MOMENT I MCCARTY.
04:12:01.773 --> 04:12:03.709 region:rollup2
MCCARTY I KNOW THIS AREA
04:12:03.408 --> 04:12:09.548 region:rollup2
[inaudible]
04:12:03.709 --> 04:12:11.450 region:rollup2
SANTIAGO THURMAN.
04:12:09.548 --> 04:12:12.084 region:rollup2
THAT IS NINE ZERO THAT'S OUT BUT
04:12:11.450 --> 04:12:28.200 region:rollup2
WE'LL LEAVE THAT OPEN I'M FOR AN
04:12:12.084 --> 04:12:28.200 region:rollup2
OUNCE OF
04:12:28.633 --> 04:12:33.839 region:rollup2
SWITCH WASN'T.
04:12:32.571 --> 04:12:37.175 region:rollup2
SO YOU WANNA VOTE YOU HAD NOT
04:12:33.839 --> 04:12:39.811 region:rollup2
VOTING BEHIND.
04:12:37.175 --> 04:12:40.612 region:rollup2
YEAH GO AHEAD.
04:12:39.811 --> 04:12:44.349 region:rollup2
SERENA BACK TO ITEM OR THREE SB
04:12:40.612 --> 04:12:51.623 region:rollup2
SIX IT'S FORTY ONE AGUIAR-CURRY
04:12:44.349 --> 04:12:52.190 region:rollup2
NOT VOTING TIME I SO ELEVEN
04:12:51.623 --> 04:13:08.240 region:rollup2
ELEVEN ZERO ON THAT LEAVE IT
04:12:52.190 --> 04:13:08.240 region:rollup2
OPEN
04:18:16.114 --> 04:18:18.583 region:rollup2
.
04:18:16.247 --> 04:18:20.552 region:rollup2
SO WE ARE MOVING ALONG DUH
04:18:18.583 --> 04:18:21.953 region:rollup2
SENATOR SKINNER IS --
04:18:20.552 --> 04:18:23.221 region:rollup2
IS HERE SO WE'RE GONNA MOVE
04:18:21.953 --> 04:18:29.627 region:rollup2
ALONG TO S. B..
04:18:23.221 --> 04:18:39.137 region:rollup2
THAT -- ONE
04:18:29.627 --> 04:18:40.305 region:rollup2
ZERO ZERO EIGHT THE BILL.
04:18:39.137 --> 04:18:41.439 region:rollup2
I GOOD AFTERNOON BREAD OF HEAVEN
04:18:40.305 --> 04:18:42.807 region:rollup2
SPENCER WITH THE CALIFORNIA
04:18:41.439 --> 04:18:44.309 region:rollup2
DALLAS ASSOCIATION HERE --
04:18:42.807 --> 04:18:46.011 region:rollup2
AS THE SPONSOR OF THE BILL VERY
04:18:44.309 --> 04:18:47.045 region:rollup2
PLEASED TO WORK WITH THE SENATOR
04:18:46.011 --> 04:18:48.279 region:rollup2
ON THIS.
04:18:47.045 --> 04:18:49.447 region:rollup2
TIME THIS IS BILLED BUILD OFF OF
04:18:48.279 --> 04:18:51.583 region:rollup2
AN EFFORT THAT WE HAVE A
04:18:49.447 --> 04:18:52.150 region:rollup2
PREVIOUS LEGISLATION WE RAN IN
04:18:51.583 --> 04:18:53.385 region:rollup2
TWENTY FOURTEEN TO INCREASE
04:18:52.150 --> 04:18:54.285 region:rollup2
DENTAL PLAN TRANSPARENCY IN
04:18:53.385 --> 04:18:55.253 region:rollup2
VALUE.
04:18:54.285 --> 04:18:56.888 region:rollup2
I'M ONE OF THE THINGS ARE
04:18:55.253 --> 04:18:57.622 region:rollup2
MEMBERS HERE FROM THEIR PATIENTS
04:18:56.888 --> 04:18:59.491 region:rollup2
IS THAT THEY DON'T REALLY
04:18:57.622 --> 04:19:00.959 region:rollup2
UNDERSTAND THEIR PLAN BENEFITS
04:18:59.491 --> 04:19:01.693 region:rollup2
AND THAT ALSO I'M WHEN THEY'RE
04:19:00.959 --> 04:19:02.994 region:rollup2
IN THE MIDDLE TREATMENT THEY
04:19:01.693 --> 04:19:04.429 region:rollup2
OFTEN DON'T UNDERSTAND WHAT THE
04:19:02.994 --> 04:19:05.663 region:rollup2
PLAN IS GOING TO COVER.
04:19:04.429 --> 04:19:07.132 region:rollup2
AND THEN SOMETIMES AFTER THE
04:19:05.663 --> 04:19:08.500 region:rollup2
FACT WHAT THEY'LL BE ON THE HOOK
04:19:07.132 --> 04:19:09.834 region:rollup2
FOR SO WHERE THIS TO PROVISIONS
04:19:08.500 --> 04:19:11.369 region:rollup2
IN THE BILL ONE IS CREATING A
04:19:09.834 --> 04:19:12.971 region:rollup2
STANDARDIZED MATRIX THAT WOULD
04:19:11.369 --> 04:19:14.305 region:rollup2
ALLOW PATIENTS TO BETTER
04:19:12.971 --> 04:19:15.507 region:rollup2
UNDERSTAND THEIR PLAN BENEFITS.
04:19:14.305 --> 04:19:17.375 region:rollup2
AND THE SECOND IS REQUIRING
04:19:15.507 --> 04:19:18.777 region:rollup2
PLANS TO MORE FULLY COMMUNICATE
04:19:17.375 --> 04:19:19.878 region:rollup2
WITH OUT OF NETWORK PROVIDERS SO
04:19:18.777 --> 04:19:21.913 region:rollup2
THAT THEY CAN EDUCATE THEIR
04:19:19.878 --> 04:19:22.847 region:rollup2
PATIENTS ABOUT THE TRUE COST AND
04:19:21.913 --> 04:19:23.882 region:rollup2
WE REALLY APPRECIATE THE
04:19:22.847 --> 04:19:25.483 region:rollup2
WILLINGNESS OF THE DENTAL PLANS
04:19:23.882 --> 04:19:27.318 region:rollup2
TO WORK WITH US WE KNOW IT'S
04:19:25.483 --> 04:19:28.553 region:rollup2
BEEN A LONG PROCESS --
04:19:27.318 --> 04:19:29.788 region:rollup2
WE ARE TAKING SOME AMENDMENTS I
04:19:28.553 --> 04:19:32.290 region:rollup2
BELIEVE IN COMMITTEE TODAY THAT
04:19:29.788 --> 04:19:32.924 region:rollup2
WOULD REMOVE I'M ONE OF THAT ONE
04:19:32.290 --> 04:19:34.125 region:rollup2
OF THEIR PIECES OF OPPOSITION
04:19:32.924 --> 04:19:34.859 region:rollup2
AND WE'RE GONNA BE WORKING WITH
04:19:34.125 --> 04:19:37.061 region:rollup2
THEM.
04:19:34.859 --> 04:19:40.098 region:rollup2
IN THE FALL ON FURTHER
04:19:37.061 --> 04:19:41.499 region:rollup2
DISCUSSIONS AROUND.
04:19:40.098 --> 04:19:42.200 region:rollup2
THE GOAL OF CDA AND WE THINK
04:19:41.499 --> 04:19:43.735 region:rollup2
THAT THERE'S A POTENTIAL
04:19:42.200 --> 04:19:45.203 region:rollup2
REASONABLE DEAL I THAT WE CAN
04:19:43.735 --> 04:19:46.504 region:rollup2
GET YOU AND ARE HOPEFUL THAT WE
04:19:45.203 --> 04:19:47.739 region:rollup2
CAN HAVE SOME DISCUSSIONS
04:19:46.504 --> 04:19:49.707 region:rollup2
ALTHOUGH DEATHLY NO COMMITMENT
04:19:47.739 --> 04:19:50.775 region:rollup2
THERE -- SO
04:19:49.707 --> 04:19:54.012 region:rollup2
WITH THAT I WOULD JUST URGE YOUR
04:19:50.775 --> 04:19:56.648 region:rollup2
AYE VOTE THANK YOU.
04:19:54.012 --> 04:19:57.182 region:rollup2
SWEAR TO MAKE SURE THAT YOUR
04:19:56.648 --> 04:19:57.916 region:rollup2
EXCEPT I COMMITTEE RIGHT.
04:19:57.182 --> 04:19:59.984 region:rollup2
I WAS GOING TO REFERENCE THE
04:19:57.916 --> 04:20:01.886 region:rollup2
AMENDMENTS AND IN MY CLOTHES BUT
04:19:59.984 --> 04:20:03.388 region:rollup2
I AM HAPPY TO NOW YES WE ARE
04:20:01.886 --> 04:20:05.290 region:rollup2
TAKING THE AMENDMENTS OUTLINED
04:20:03.388 --> 04:20:07.559 region:rollup2
IN THE COMMITTEE ANALYSIS.
04:20:05.290 --> 04:20:09.027 region:rollup2
THAT AND WE ARE ALSO TAKING THE
04:20:07.559 --> 04:20:10.929 region:rollup2
ADDITIONAL AMENDMENT THAT THE
04:20:09.027 --> 04:20:12.664 region:rollup2
SPONSOR JUST MENTION TO REMOVE
04:20:10.929 --> 04:20:16.000 region:rollup2
DISCLOSURE OF DENTAL LOSS RATIO
04:20:12.664 --> 04:20:17.469 region:rollup2
FROM THE SUMMARY.
04:20:16.000 --> 04:20:20.038 region:rollup2
GREAT THANK YOU ANY NAM OTHER
04:20:17.469 --> 04:20:21.039 region:rollup2
WITNESSES IN SUPPORT.
04:20:20.038 --> 04:20:22.841 region:rollup2
MARRIAGES ARE IS ON BEHALF OF
04:20:21.039 --> 04:20:25.143 region:rollup2
HEALTH ACCESS CALIFORNIA WE ARE
04:20:22.841 --> 04:20:26.177 region:rollup2
PIECES SUPPORT S. B. TEN NO WAIT
04:20:25.143 --> 04:20:27.779 region:rollup2
AS PROPOSED TO BE AMENDED.
04:20:26.177 --> 04:20:29.414 region:rollup2
AYE YOU FOR IT UNIFORMITY IN
04:20:27.779 --> 04:20:30.048 region:rollup2
SUMMARY OF BENEFITS AND COVERAGE
04:20:29.414 --> 04:20:31.950 region:rollup2
WILL MAKE IT EASIER FOR
04:20:30.048 --> 04:20:33.218 region:rollup2
CONSUMERS TO COMPARE ACROSS
04:20:31.950 --> 04:20:35.954 region:rollup2
DIFFERENT DENTAL PLANS AND
04:20:33.218 --> 04:20:36.554 region:rollup2
ACROSS DIFFERENT MARKETS. FOR
04:20:35.954 --> 04:20:38.156 region:rollup2
THIS REASON WE ARE IN SUPPORT
04:20:36.554 --> 04:20:39.924 region:rollup2
THANK YOU.
04:20:38.156 --> 04:20:41.059 region:rollup2
GREAT ANY DISTURBANCES SUPPORT.
04:20:39.924 --> 04:20:44.329 region:rollup2
LINDA WAY WITH WESTERN CENTER ON
04:20:41.059 --> 04:20:46.364 region:rollup2
LAW AND POVERTY IN SUPPORT.
04:20:44.329 --> 04:20:46.931 region:rollup2
KIMBERLY TIME HAVE TO CALIFORNIA
04:20:46.364 --> 04:20:47.365 region:rollup2
PAN ETHNIC HEALTH NETWORK IN
04:20:46.931 --> 04:20:53.505 region:rollup2
SUPPORT [inaudible]
04:20:47.365 --> 04:20:54.506 region:rollup2
THANK YOU.
04:20:53.505 --> 04:20:55.106 region:rollup2
MAKE IT ALRIGHT ON BEHALF OF THE
04:20:54.506 --> 04:20:55.573 region:rollup2
CALIFORNIA MEDICAL ASSOCIATION
04:20:55.106 --> 04:20:58.343 region:rollup2
IN SUPPORT [inaudible]
04:20:55.573 --> 04:21:01.479 region:rollup2
YOU.
04:20:58.343 --> 04:21:02.380 region:rollup2
ANYMORE WITNESSES IN SUPPORT.
04:21:01.479 --> 04:21:15.960 region:rollup2
IT'S MOVED TO WITNESSES IN
04:21:02.380 --> 04:21:16.761 region:rollup2
OPPOSITION.
04:21:15.960 --> 04:21:17.495 region:rollup2
GOOD EVENING CHRISTY WE SAW
04:21:16.761 --> 04:21:19.264 region:rollup2
BEHALF OF THE CALIFORNIA
04:21:17.495 --> 04:21:22.300 region:rollup2
ASSOCIATION OF DENTAL PLANS WE
04:21:19.264 --> 04:21:24.235 region:rollup2
DO HAVE BEEN OPPOSED POSITION --
04:21:22.300 --> 04:21:25.870 region:rollup2
WE WANT TO ACKNOWLEDGE AND THANK
04:21:24.235 --> 04:21:28.039 region:rollup2
SENATOR SKINNER'S COMMITMENT TO
04:21:25.870 --> 04:21:30.108 region:rollup2
REMOVE THE PROVISION IN THE BILL
04:21:28.039 --> 04:21:31.843 region:rollup2
THAT WOULD REQUIRE THE LOSS
04:21:30.108 --> 04:21:32.877 region:rollup2
RATIO TO BE INCLUDED ON THE THE
04:21:31.843 --> 04:21:34.546 region:rollup2
MATRIX AT THE BILL CREATES
04:21:32.877 --> 04:21:36.080 region:rollup2
THAT'S OF TO SIGNIFICANT ISSUE
04:21:34.546 --> 04:21:38.149 region:rollup2
FOR US AND WE HAVE BEEN IN
04:21:36.080 --> 04:21:40.251 region:rollup2
DISCUSSIONS WITH THE AUTHOR.
04:21:38.149 --> 04:21:41.886 region:rollup2
HERSELF IN THE SPONSOR AND SO
04:21:40.251 --> 04:21:43.555 region:rollup2
THE REMOVAL.
04:21:41.886 --> 04:21:45.190 region:rollup2
OF THAT PROVISION WILL GO A LONG
04:21:43.555 --> 04:21:46.658 region:rollup2
WAY TOWARD HELPING US.
04:21:45.190 --> 04:21:49.160 region:rollup2
GET TO A PLACE WHERE WE CAN WORK
04:21:46.658 --> 04:21:51.129 region:rollup2
THROUGH THE REMAINING ISSUES
04:21:49.160 --> 04:21:52.430 region:rollup2
THERE IN THE BILL --
04:21:51.129 --> 04:21:54.532 region:rollup2
THE DENTAL PLANS OBVIOUSLY SHARE
04:21:52.430 --> 04:21:55.466 region:rollup2
THE INTEREST OF THE DENTISTS TO
04:21:54.532 --> 04:21:57.368 region:rollup2
MAKE SURE THAT CONSUMERS
04:21:55.466 --> 04:21:59.103 region:rollup2
UNDERSTAND HOW THEIR COVERAGE
04:21:57.368 --> 04:22:00.471 region:rollup2
WORKS AND SO WE THINK WITH SOME
04:21:59.103 --> 04:22:01.806 region:rollup2
ADDITIONAL DISCUSSIONS WE CAN
04:22:00.471 --> 04:22:03.875 region:rollup2
GET THERE AND RESOLVE OR
04:22:01.806 --> 04:22:04.442 region:rollup2
REMEDIATE ISSUES.
04:22:03.875 --> 04:22:05.076 region:rollup2
IN THE BILL THAT WE ARE ON
04:22:04.442 --> 04:22:06.678 region:rollup2
RECORD.
04:22:05.076 --> 04:22:08.913 region:rollup2
AS OPPOSED TODAY BUT WERE
04:22:06.678 --> 04:22:09.714 region:rollup2
OPPOSED TO GETTING THERE.
04:22:08.913 --> 04:22:12.183 region:rollup2
GREAT ANYMORE WITNESSES IN
04:22:09.714 --> 04:22:13.084 region:rollup2
OPPOSITION.
04:22:12.183 --> 04:22:14.586 region:rollup2
AND ANYONE WITH THE ASSOCIATION
04:22:13.084 --> 04:22:16.387 region:rollup2
OF CALIFORNIA LIFE AND HEALTH
04:22:14.586 --> 04:22:18.189 region:rollup2
INSURANCE COMPANIES WE HAVE AN
04:22:16.387 --> 04:22:21.226 region:rollup2
OPPOSING LESS AMENDED AIRLINER
04:22:18.189 --> 04:22:22.527 region:rollup2
COMMENTS WITH MISS WHEEZE.
04:22:21.226 --> 04:22:24.062 region:rollup2
THANK YOU MISTER CHAIRMAN MARINO
04:22:22.527 --> 04:22:25.830 region:rollup2
HERE REPRESENTING DELTA DENTAL
04:22:24.062 --> 04:22:28.466 region:rollup2
OF CALIFORNIA WE ALSO HAVE AN
04:22:25.830 --> 04:22:30.235 region:rollup2
OPPOSE LESS AMENDED POSITION BUT
04:22:28.466 --> 04:22:31.035 region:rollup2
AGAIN THANK THE AUTHOR.
04:22:30.235 --> 04:22:33.171 region:rollup2
HAS PURSUE WE SAID WE'RE
04:22:31.035 --> 04:22:35.073 region:rollup2
COMMITTED TO SITTING DOWN WITH A
04:22:33.171 --> 04:22:37.041 region:rollup2
DENTAL PLANS FALL VERY COMMITTED
04:22:35.073 --> 04:22:38.076 region:rollup2
TO WORKING SOMETHING OUT --
04:22:37.041 --> 04:22:41.679 region:rollup2
IN THE MEANTIME ON THE BILL
04:22:38.076 --> 04:22:43.314 region:rollup2
THANKS VERY MUCH.
04:22:41.679 --> 04:22:44.415 region:rollup2
JOHN WINGER ON BEHALF AMERICA'S
04:22:43.314 --> 04:22:45.550 region:rollup2
HEALTH INSURANCE PLANS WOULD
04:22:44.415 --> 04:22:46.251 region:rollup2
ALSO LINER COMMENTS WAS CAP
04:22:45.550 --> 04:22:48.953 region:rollup2
THINGS [inaudible]
04:22:46.251 --> 04:22:50.088 region:rollup2
Q..
04:22:48.953 --> 04:22:52.523 region:rollup2
JENNIFER I WITH CALIFORNIA
04:22:50.088 --> 04:22:53.691 region:rollup2
ASSOCIATION OF HEALTH PLANS ALSO
04:22:52.523 --> 04:22:54.158 region:rollup2
ALIGNING OUR OUR COMMENTS WITH
04:22:53.691 --> 04:22:56.894 region:rollup2
THIS WEEK [inaudible]
04:22:54.158 --> 04:22:58.496 region:rollup2
THANK YOU.
04:22:56.894 --> 04:23:00.265 region:rollup2
JERRY MCKEE REPRESENT CALIFORNIA
04:22:58.496 --> 04:23:00.898 region:rollup2
CHAMBER OF COMMERCE WE TO ALIGN
04:23:00.265 --> 04:23:02.667 region:rollup2
OUR COMMENTS WITH MY COLLEAGUES
04:23:00.898 --> 04:23:04.302 region:rollup2
THANK YOU.
04:23:02.667 --> 04:23:05.470 region:rollup2
THANK YOU COME BACK TO KNOW THE
04:23:04.302 --> 04:23:09.407 region:rollup2
COMMITTEE ANY QUESTIONS OR
04:23:05.470 --> 04:23:11.943 region:rollup2
COMMENTS.
04:23:09.407 --> 04:23:13.011 region:rollup2
SEEING NONE I DO BELIEVE THAT WE
04:23:11.943 --> 04:23:16.648 region:rollup2
HAVE A MOTION --
04:23:13.011 --> 04:23:17.482 region:rollup2
BY MR MCCARTY AND THEN SEC.
04:23:16.648 --> 04:23:19.317 region:rollup2
WAS OUR SECOND WAS THAT I QUIRK
04:23:17.482 --> 04:23:21.319 region:rollup2
CURRY --
04:23:19.317 --> 04:23:22.220 region:rollup2
SENATOR WOULD YOU LIKE TO CLOSE
04:23:21.319 --> 04:23:23.721 region:rollup2
AS I ALREADY OUTLINED THE
04:23:22.220 --> 04:23:25.456 region:rollup2
AMENDMENTS AND AS YOU HAVE A
04:23:23.721 --> 04:23:26.057 region:rollup2
MOTION BEFORE YOU I WILL
04:23:25.456 --> 04:23:28.359 region:rollup2
RESPECTFULLY ASK FOR YOUR AYE
04:23:26.057 --> 04:23:29.527 region:rollup2
VOTE.
04:23:28.359 --> 04:23:31.963 region:rollup2
GREAT WILL THEN --
04:23:29.527 --> 04:23:32.597 region:rollup2
THE MOTION IS TO PASS AS AMENDED
04:23:31.963 --> 04:23:33.197 region:rollup2
INTO APPROPRIATIONS PLEASE CALL
04:23:32.597 --> 04:23:35.466 region:rollup2
THE ROLL [inaudible]
04:23:33.197 --> 04:23:39.404 region:rollup2
WOULD.
04:23:35.466 --> 04:23:41.639 region:rollup2
MAYES I MAYES AYE AGAR CURRY.
04:23:39.404 --> 04:23:42.340 region:rollup2
ACTOR CURRY I BIGELOW.
04:23:41.639 --> 04:23:43.474 region:rollup2
I'VE BIGELOW AYE.
04:23:42.340 --> 04:23:44.809 region:rollup2
BONTA [inaudible]
04:23:43.474 --> 04:23:48.179 region:rollup2
BURKE [inaudible]
04:23:44.809 --> 04:23:49.147 region:rollup2
CARILLO.
04:23:48.179 --> 04:23:51.549 region:rollup2
FLORA.
04:23:49.147 --> 04:23:52.917 region:rollup2
FLORA I LOVE BOTH.
04:23:51.549 --> 04:23:53.685 region:rollup2
LIMON I MCCARTY.
04:23:52.917 --> 04:23:56.254 region:rollup2
MCCARTY I IN THIS AREA.
04:23:53.685 --> 04:23:58.089 region:rollup2
RODRIGUEZ [inaudible]
04:23:56.254 --> 04:23:59.557 region:rollup2
SANTIAGO.
04:23:58.089 --> 04:23:59.857 region:rollup2
SANTIAGO AYE THURMAN
04:23:59.557 --> 04:24:01.125 region:rollup2
[inaudible]
04:23:59.857 --> 04:24:08.199 region:rollup2
WALDRON [inaudible]
04:24:01.125 --> 04:24:09.367 region:rollup2
WALDRON AYE.
04:24:08.199 --> 04:24:10.535 region:rollup2
SCOTT EIGHT VOTES SO THAT BILL
04:24:09.367 --> 04:24:13.538 region:rollup2
IS OUT WE'RE GONNA LEAVE IT OPEN
04:24:10.535 --> 04:24:16.307 region:rollup2
FOR A FRAT ONS THANK THANK YOU.
04:24:13.538 --> 04:24:18.109 region:rollup2
AND THEN EYES DID YOU SEE.
04:24:16.307 --> 04:24:20.244 region:rollup2
SENATOR WIENER HERE SO WE'RE
04:24:18.109 --> 04:24:23.381 region:rollup2
GOING TO MOVE --
04:24:20.244 --> 04:24:23.981 region:rollup2
TO S. B..
04:24:23.381 --> 04:24:32.090 region:rollup2
TEN FORTY FIVE LEE THAT'S ITEM
04:24:23.981 --> 04:24:37.895 region:rollup2
NUMBER [inaudible] TEN BILL.
04:24:32.090 --> 04:24:40.865 region:rollup2
WITH NO AMENDMENTS [inaudible]
04:24:37.895 --> 04:24:41.933 region:rollup2
NNOVA.
04:24:40.865 --> 04:24:43.768 region:rollup2
THIS IS LIKE THE THIRD TIME
04:24:41.933 --> 04:24:48.606 region:rollup2
TODAY WE HAD THIS DOG AND PONY
04:24:43.768 --> 04:24:52.009 region:rollup2
SHOW GOING ON SENATOR THE FLOOR
04:24:48.606 --> 04:24:53.611 region:rollup2
IS YOURS.
04:24:52.009 --> 04:24:55.346 region:rollup2
OKAY THANK YOU --
04:24:53.611 --> 04:24:56.013 region:rollup2
MISTER VICE CHAIR.
04:24:55.346 --> 04:24:58.349 region:rollup2
LIKE COLLEAGUES I'M PRESENTING A
04:24:56.013 --> 04:25:00.084 region:rollup2
SPEED TEN FORTY FIVE TODAY --
04:24:58.349 --> 04:25:02.186 region:rollup2
WHICH IS --
04:25:00.084 --> 04:25:05.156 region:rollup2
A CONSERVATORSHIP DEL --
04:25:02.186 --> 04:25:08.793 region:rollup2
TO HELP US SOME OF THE MOST ARE
04:25:05.156 --> 04:25:10.528 region:rollup2
DEBILITATED AND OUR PEOPLE ON
04:25:08.793 --> 04:25:11.963 region:rollup2
OUR STREETS --
04:25:10.528 --> 04:25:14.198 region:rollup2
TO TO MENTAL ILLNESS AND
04:25:11.963 --> 04:25:16.234 region:rollup2
SUBSTANCE ABUSE DISORDER ARE
04:25:14.198 --> 04:25:18.102 region:rollup2
GOING TO START BY THANKING THE
04:25:16.234 --> 04:25:19.237 region:rollup2
THAT CHAIR DOES NOT HERE AND
04:25:18.102 --> 04:25:20.304 region:rollup2
AUDIT COMMITTEE STAFF ARE FOR
04:25:19.237 --> 04:25:22.073 region:rollup2
WORKING WITH US --
04:25:20.304 --> 04:25:23.574 region:rollup2
AS WELL AS WITH THE JUDICIARY
04:25:22.073 --> 04:25:24.675 region:rollup2
COMMITTEE WE ALL WORK TOGETHER
04:25:23.574 --> 04:25:27.178 region:rollup2
ON AMENDMENTS --
04:25:24.675 --> 04:25:28.446 region:rollup2
AND I DO ACCEPT THOSE AMENDMENTS
04:25:27.178 --> 04:25:31.015 region:rollup2
ON I BELIEVE WILL BE ADOPTING
04:25:28.446 --> 04:25:33.050 region:rollup2
THEM IN THE JUDICIARY COMMITTEE.
04:25:31.015 --> 04:25:34.285 region:rollup2
OF LATER THIS WEEK --
04:25:33.050 --> 04:25:37.121 region:rollup2
SO THANK YOU FOR THAT.
04:25:34.285 --> 04:25:39.390 region:rollup2
ON THIS BILL --
04:25:37.121 --> 04:25:40.558 region:rollup2
IS IS REALLY ABOUT A SMALL US
04:25:39.390 --> 04:25:42.727 region:rollup2
SUBSET OF OUR HOMELESS
04:25:40.558 --> 04:25:44.495 region:rollup2
POPULATION NO ON OUR STREETS NOT
04:25:42.727 --> 04:25:45.797 region:rollup2
JUST IN SAN FRANCISCO --
04:25:44.495 --> 04:25:47.532 region:rollup2
BUT IN LOS ANGELES AND FRANKLY
04:25:45.797 --> 04:25:49.534 region:rollup2
IN OTHER PARTS OF THE STATE
04:25:47.532 --> 04:25:51.435 region:rollup2
ALTHOUGH THIS BILL IS LIMITED --
04:25:49.534 --> 04:25:53.404 region:rollup2
TO SAN FRANCISCO AND LOS ANGELES
04:25:51.435 --> 04:25:56.407 region:rollup2
IS A PILOT PROGRAM WHO ARE
04:25:53.404 --> 04:25:57.241 region:rollup2
UNRAVELLING AND AND UNFORTUNATE
04:25:56.407 --> 04:25:58.509 region:rollup2
DYING.
04:25:57.241 --> 04:26:00.111 region:rollup2
PEOPLE HER SEVERELY DRUG
04:25:58.509 --> 04:26:04.449 region:rollup2
ADDICTED --
04:26:00.111 --> 04:26:06.017 region:rollup2
SEVERELY MENTALLY ILL ARE IN SO
04:26:04.449 --> 04:26:08.886 region:rollup2
ALTHOUGH WE ALL WANT TO SEE MORE
04:26:06.017 --> 04:26:10.188 region:rollup2
ON SERVICES OFFERED HOUSING.
04:26:08.886 --> 04:26:12.990 region:rollup2
TREATMENT --
04:26:10.188 --> 04:26:14.358 region:rollup2
TOTALLY IN FAVOR OF THAT --
04:26:12.990 --> 04:26:15.860 region:rollup2
YOU THESE ARE PEOPLE YOU CAN'T
04:26:14.358 --> 04:26:18.729 region:rollup2
REACH SIMPLY BY OFFERING
04:26:15.860 --> 04:26:20.264 region:rollup2
SERVICES AYE AND RIGHT NOW.
04:26:18.729 --> 04:26:21.732 region:rollup2
NOW THE TOOLS THAT ARE COUNTIES
04:26:20.264 --> 04:26:22.900 region:rollup2
HAVE --
04:26:21.732 --> 04:26:25.002 region:rollup2
UNDER THE LPS ARE AYE
04:26:22.900 --> 04:26:26.504 region:rollup2
INSUFFICIENT TO REGION'S
04:26:25.002 --> 04:26:28.139 region:rollup2
POPULATION IN FOR TYPICALLY. FOR
04:26:26.504 --> 04:26:29.440 region:rollup2
PEOPLE WHO ARE --
04:26:28.139 --> 04:26:30.875 region:rollup2
ADDICTED --
04:26:29.440 --> 04:26:32.743 region:rollup2
THEY GOT HELD IN A SEVENTY TWO
04:26:30.875 --> 04:26:34.178 region:rollup2
HOUR HOLD AND BY THE END OF THE
04:26:32.743 --> 04:26:35.513 region:rollup2
SEVENTY TWO HOURS WHEN THEY GO
04:26:34.178 --> 04:26:38.182 region:rollup2
BEFORE A JUDGE --
04:26:35.513 --> 04:26:39.917 region:rollup2
THEY SEEM SOBER AND NORMAL AND
04:26:38.182 --> 04:26:42.186 region:rollup2
THE JUDGE SAYS WELL THERE'S NO
04:26:39.917 --> 04:26:43.120 region:rollup2
BASIS TO HOLD THIS PERSON SEEMS
04:26:42.186 --> 04:26:45.990 region:rollup2
FINE TO ME --
04:26:43.120 --> 04:26:46.624 region:rollup2
AND NEVER MIND THAT THEY'VE BEEN
04:26:45.990 --> 04:26:48.860 region:rollup2
FIFTY ONE FIFTY FIVE OR SIX OR
04:26:46.624 --> 04:26:50.061 region:rollup2
SEVEN TIMES IN THE LAST YEAR.
04:26:48.860 --> 04:26:52.463 region:rollup2
AND SO WHAT ENDS UP HAPPENING
04:26:50.061 --> 04:26:53.431 region:rollup2
THESE PEOPLE ARE THEY DO END UP
04:26:52.463 --> 04:26:54.699 region:rollup2
GETTING CONSERVE.
04:26:53.431 --> 04:26:55.900 region:rollup2
BUT IT'S CALLED IT'S A DIFFERENT
04:26:54.699 --> 04:26:58.336 region:rollup2
KIND OF CONSERVATORSHIP CALLED
04:26:55.900 --> 04:26:59.070 region:rollup2
JAIL BECAUSE THEY END UP CYCLING
04:26:58.336 --> 04:26:59.971 region:rollup2
THROUGH THE CRIMINAL JUSTICE
04:26:59.070 --> 04:27:00.671 region:rollup2
SYSTEM.
04:26:59.971 --> 04:27:02.640 region:rollup2
OTHER FIRST THEIR MAIN
04:27:00.671 --> 04:27:04.008 region:rollup2
INTERACTIONS WITH POLICE
04:27:02.640 --> 04:27:05.109 region:rollup2
OFFICERS NOTS NOT.
04:27:04.008 --> 04:27:06.644 region:rollup2
WHAT WE WANT TO HAVE HAPPEN
04:27:05.109 --> 04:27:07.879 region:rollup2
PEOPLE CONSTANTLY INTERACTING
04:27:06.644 --> 04:27:10.114 region:rollup2
WITH POLICE OFFICERS?
04:27:07.879 --> 04:27:11.816 region:rollup2
GOING TO JAIL GETTING THEIR
04:27:10.114 --> 04:27:13.351 region:rollup2
TREATMENT IN JAIL WE WANT TO
04:27:11.816 --> 04:27:14.352 region:rollup2
GIVE PEOPLE A DIFFERENT CITING.
04:27:13.351 --> 04:27:16.687 region:rollup2
AND THIS TOOL OF WHICH WILL
04:27:14.352 --> 04:27:17.588 region:rollup2
ALLOW.
04:27:16.687 --> 04:27:19.190 region:rollup2
PLACE PEOPLE INTO A
04:27:17.588 --> 04:27:21.325 region:rollup2
CONSERVATORSHIP UNDER VERY
04:27:19.190 --> 04:27:22.894 region:rollup2
NARROW CIRCUMSTANCES IN TERMS OF
04:27:21.325 --> 04:27:25.763 region:rollup2
LOOKING AT THEIR TRACK RECORD
04:27:22.894 --> 04:27:26.330 region:rollup2
HOW MANY TIMES HAVE THEY BEEN.
04:27:25.763 --> 04:27:26.898 region:rollup2
FIFTY ONE FIFTY EIGHT OF FOR
04:27:26.330 --> 04:27:28.900 region:rollup2
EXAMPLE --
04:27:26.898 --> 04:27:30.301 region:rollup2
THEIR DIAGNOSIS THEIR INABILITY
04:27:28.900 --> 04:27:32.270 region:rollup2
CARE FOR THEMSELVES.
04:27:30.301 --> 04:27:34.705 region:rollup2
I'D THE BILL RETAINS ALL OF THE
04:27:32.270 --> 04:27:35.840 region:rollup2
STRONG DUE PROCESS PROTECTIONS
04:27:34.705 --> 04:27:37.475 region:rollup2
ARE CURRENTLY IN OUR
04:27:35.840 --> 04:27:39.243 region:rollup2
CONSERVATIVE SHIP LAWS YOU I
04:27:37.475 --> 04:27:41.045 region:rollup2
HAVE TO GO BEFORE A JUDGE.
04:27:39.243 --> 04:27:42.380 region:rollup2
UNION TRIAL BY JURY --
04:27:41.045 --> 04:27:43.548 region:rollup2
YOU GOT A RIGHT TO AN ATTORNEY
04:27:42.380 --> 04:27:45.650 region:rollup2
IN SAN FRANCISCO WE PROVIDE A
04:27:43.548 --> 04:27:48.486 region:rollup2
FULL PUBLIC DEFENDER --
04:27:45.650 --> 04:27:49.687 region:rollup2
AND YOU GET PERIODIC A REVIEW
04:27:48.486 --> 04:27:51.923 region:rollup2
EYES YOU KNOW THERE'S AN
04:27:49.687 --> 04:27:53.658 region:rollup2
ESCALATION IN TERMS OF THE PEER
04:27:51.923 --> 04:27:55.293 region:rollup2
TIME IT NEVER IS MORE.
04:27:53.658 --> 04:27:56.394 region:rollup2
ABOUT IN ONE YEAR BY THE BILL
04:27:55.293 --> 04:27:57.929 region:rollup2
HAS BEEN --
04:27:56.394 --> 04:27:58.563 region:rollup2
AMENDED OVERTIME AS HAS
04:27:57.929 --> 04:27:59.864 region:rollup2
ASSEMBLYMAN AYE SANTIAGO'S WERE
04:27:58.563 --> 04:28:00.998 region:rollup2
--
04:27:59.864 --> 04:28:03.568 region:rollup2
WE'RE BOTH ON THIS PARALLEL
04:28:00.998 --> 04:28:05.469 region:rollup2
TRACK AND LOTS OF AMENDMENTS TO
04:28:03.568 --> 04:28:08.072 region:rollup2
MAKE SURE THAT WE ARE REALLY
04:28:05.469 --> 04:28:10.641 region:rollup2
PROVIDING WRAPAROUND SERVICES --
04:28:08.072 --> 04:28:13.110 region:rollup2
WHETHER WE WANT TO USE I LEAST
04:28:10.641 --> 04:28:14.979 region:rollup2
RESTRICT --
04:28:13.110 --> 04:28:16.414 region:rollup2
WE HAVE PEOPLE WHO ARE CONSERVE
04:28:14.979 --> 04:28:17.949 region:rollup2
TO LIVING IN SUPPORT OF HOUSING
04:28:16.414 --> 04:28:18.783 region:rollup2
IS NOT JUST ABOUT PUTTING
04:28:17.949 --> 04:28:20.418 region:rollup2
EVERYONE.
04:28:18.783 --> 04:28:21.986 region:rollup2
IN A LOCKED FACILITY THAT MAY BE
04:28:20.418 --> 04:28:23.554 region:rollup2
NECESSARY FOR SOME PEOPLE BUT
04:28:21.986 --> 04:28:25.256 region:rollup2
THE PREFERENCE THE STRONG
04:28:23.554 --> 04:28:26.390 region:rollup2
PREFERENCE I IS TO HAVE PEOPLE
04:28:25.256 --> 04:28:27.458 region:rollup2
IN.
04:28:26.390 --> 04:28:29.860 region:rollup2
MY SUPPORT OF HOUSING AND OF
04:28:27.458 --> 04:28:31.595 region:rollup2
COURSE THE ULTIMATE GOAL IS TO
04:28:29.860 --> 04:28:34.465 region:rollup2
GET PEOPLE HEALTHY AGAIN --
04:28:31.595 --> 04:28:36.133 region:rollup2
IT'S NOT HUMANE OR PROGRESSIVE.
04:28:34.465 --> 04:28:38.035 region:rollup2
TO HAVE PEOPLE DYING ON OUR
04:28:36.133 --> 04:28:39.670 region:rollup2
STREETS AND TO JUST WALK BY AND
04:28:38.035 --> 04:28:40.871 region:rollup2
SAY WELL IT WOULD BE GREAT IF WE
04:28:39.670 --> 04:28:42.473 region:rollup2
COULD DO SOMETHING ABOUT IT.
04:28:40.871 --> 04:28:43.741 region:rollup2
WERE TRYING TO DO SOMETHING
04:28:42.473 --> 04:28:45.276 region:rollup2
ABOUT IT --
04:28:43.741 --> 04:28:47.144 region:rollup2
SAN FRANCISCO AND LOS ANGELES
04:28:45.276 --> 04:28:48.245 region:rollup2
ARE BOTH COMING TO THIS
04:28:47.144 --> 04:28:49.680 region:rollup2
LEGISLATURE ASKING FOR THESE
04:28:48.245 --> 04:28:50.815 region:rollup2
TOOLS THERE OTHER COUNTIES
04:28:49.680 --> 04:28:51.882 region:rollup2
INTERESTED AS WELL.
04:28:50.815 --> 04:28:53.484 region:rollup2
AND THE ORIGINAL BILL DID
04:28:51.882 --> 04:28:54.652 region:rollup2
INCLUDE ALL FIFTY EIGHT COUNTIES
04:28:53.484 --> 04:28:56.287 region:rollup2
IT'S BEEN NARROWED TO TWO
04:28:54.652 --> 04:28:58.923 region:rollup2
COUNTIES IN THE PILOT PROGRAM.
04:28:56.287 --> 04:29:00.491 region:rollup2
AYE IT'S A GOOD BILL AND I
04:28:58.923 --> 04:29:02.560 region:rollup2
RESPECTFULLY ASK YOUR I DON'T.
04:29:00.491 --> 04:29:03.661 region:rollup2
WITH ME TODAY ARE KELLEHER MOTO
04:29:02.560 --> 04:29:05.363 region:rollup2
NAM WHO IS THE DIRECTOR OF
04:29:03.661 --> 04:29:06.998 region:rollup2
TRANSITIONS FROM SAN FRANCISCO
04:29:05.363 --> 04:29:08.132 region:rollup2
TO PART IN PUBLIC HEALTH.
04:29:06.998 --> 04:29:10.201 region:rollup2
AND JILL NELSON --
04:29:08.132 --> 04:29:11.936 region:rollup2
WHO IS THE DEPUTY DIRECTOR OF
04:29:10.201 --> 04:29:14.138 region:rollup2
PROGRAMS AFTER THE SAN FRANCISCO
04:29:11.936 --> 04:29:14.639 region:rollup2
DEPARTMENT OF AGING?
04:29:14.138 --> 04:29:14.939 region:rollup2
ADULT SERVICES THANK YOU
04:29:14.639 --> 04:29:15.940 region:rollup2
[inaudible]
04:29:14.939 --> 04:29:21.712 region:rollup2
THANK YOU.
04:29:15.940 --> 04:29:22.747 region:rollup2
WHEN IT'S IN SUPPORT?
04:29:21.712 --> 04:29:24.348 region:rollup2
I'M JOHN YELTSIN AND DEPUTY
04:29:22.747 --> 04:29:25.583 region:rollup2
DIRECTOR PROGRAMS THE DEPARTMENT
04:29:24.348 --> 04:29:27.084 region:rollup2
OF AGING ADULT SERVICE SAYS OUR
04:29:25.583 --> 04:29:30.921 region:rollup2
DEPARTMENT OPERATE SAN
04:29:27.084 --> 04:29:30.921 region:rollup2
FRANCISCO'S OFFICE OF THE PUBLIC
04:29:30.988 --> 04:29:33.457 region:rollup2
SENATOR WIENER FOR HIS
04:29:32.223 --> 04:29:36.127 region:rollup2
LEADERSHIP ON THIS REALLY
04:29:33.457 --> 04:29:37.828 region:rollup2
IMPORTANT ISSUE AND THANK ALL OF
04:29:36.127 --> 04:29:39.864 region:rollup2
YOU FOR YOUR TIME TODAY --
04:29:37.828 --> 04:29:40.431 region:rollup2
SAVVY AS YOU'VE HEARD SP TEN
04:29:39.864 --> 04:29:42.767 region:rollup2
FORTY FIVE WOULD CREATE AN
04:29:40.431 --> 04:29:44.835 region:rollup2
OPTIONAL NEW CONSERVATORSHIP TO
04:29:42.767 --> 04:29:46.170 region:rollup2
SERVE OUR MOST AT RISK RESIDENTS
04:29:44.835 --> 04:29:48.005 region:rollup2
THOSE EXPERIENCING MENTAL
04:29:46.170 --> 04:29:49.473 region:rollup2
ILLNESS AND SUBSTANCE USE
04:29:48.005 --> 04:29:51.275 region:rollup2
DISORDER.
04:29:49.473 --> 04:29:53.878 region:rollup2
LIMITING AND ADULTS CIVIL
04:29:51.275 --> 04:29:55.179 region:rollup2
LIBERTIES IS A SERIOUS MATTER
04:29:53.878 --> 04:29:57.381 region:rollup2
AND CONSERVATORSHIP IS
04:29:55.179 --> 04:30:00.084 region:rollup2
ABSOLUTELY CONSIDERED TO BE AN
04:29:57.381 --> 04:30:01.752 region:rollup2
INTERVENTION OF LAST RESORT.
04:30:00.084 --> 04:30:03.354 region:rollup2
BUT THE FACT REMAINS THAT THERE
04:30:01.752 --> 04:30:05.656 region:rollup2
IS A SMALL SUBSET OF OUR
04:30:03.354 --> 04:30:07.758 region:rollup2
POPULATION THAT FACE.
04:30:05.656 --> 04:30:09.693 region:rollup2
PROFOUND CHALLENGES OUT AND
04:30:07.758 --> 04:30:12.930 region:rollup2
THEY'RE NOT ABLE TO ENGAGE IN
04:30:09.693 --> 04:30:15.266 region:rollup2
SERVICES ON A VOLUNTARY BASIS.
04:30:12.930 --> 04:30:18.502 region:rollup2
WE SEE THEIR HEALTH DETERIORATE
04:30:15.266 --> 04:30:19.236 region:rollup2
WITH EACH CRISIS S. B. TEN FORTY
04:30:18.502 --> 04:30:21.172 region:rollup2
FIVE WOULD OFFER US A WAY TO
04:30:19.236 --> 04:30:23.808 region:rollup2
HELP BREAK THE CYCLE OF STREETS
04:30:21.172 --> 04:30:25.509 region:rollup2
HOSPITALS IN JAIL A CYCLE THAT
04:30:23.808 --> 04:30:27.278 region:rollup2
ABSOLUTELY DOES NOT.
04:30:25.509 --> 04:30:28.512 region:rollup2
FACILITATE OR PROMOTE THEIR
04:30:27.278 --> 04:30:29.580 region:rollup2
RECOVERY.
04:30:28.512 --> 04:30:31.248 region:rollup2
WE BELIEVE THAT THE PROVISIONS
04:30:29.580 --> 04:30:32.550 region:rollup2
IN SB TEN FORTY FIVE WOULD
04:30:31.248 --> 04:30:33.084 region:rollup2
PROVIDE US WITH A TOOL THAT CAN
04:30:32.550 --> 04:30:34.852 region:rollup2
HELP TO SAVE THE LIVES OF
04:30:33.084 --> 04:30:36.320 region:rollup2
PEOPLE.
04:30:34.852 --> 04:30:37.822 region:rollup2
THAT CANNOT ACCESS HELP TO OUR
04:30:36.320 --> 04:30:40.024 region:rollup2
CURRENT LAWS.
04:30:37.822 --> 04:30:41.625 region:rollup2
THE LPS ACTS IN LAURA'S LAW OR
04:30:40.024 --> 04:30:43.494 region:rollup2
ASSISTED OUTPATIENT TREATMENT
04:30:41.625 --> 04:30:44.495 region:rollup2
BOTH HAVE NARROW ELIGIBILITY
04:30:43.494 --> 04:30:46.330 region:rollup2
CRITERIA.
04:30:44.495 --> 04:30:49.433 region:rollup2
AND NEITHER CONSIDER SUBSTANCE
04:30:46.330 --> 04:30:51.001 region:rollup2
USE EXCEPT FOR ALCOHOL AS A
04:30:49.433 --> 04:30:52.203 region:rollup2
SPECIFIC CONTRIBUTOR TO GRAY
04:30:51.001 --> 04:30:53.938 region:rollup2
DISABILITY.
04:30:52.203 --> 04:30:55.272 region:rollup2
THE REALITY IS THOUGH THAT ON
04:30:53.938 --> 04:30:59.243 region:rollup2
THE STREETS TODAY.
04:30:55.272 --> 04:31:01.479 region:rollup2
METHAMPHETAMINES AND HARRY DRUGS
04:30:59.243 --> 04:31:03.280 region:rollup2
ARE RAVAGING OUR STREETS AS SUCH
04:31:01.479 --> 04:31:04.949 region:rollup2
WE HAVE INDIVIDUALS OR TWO ELDER
04:31:03.280 --> 04:31:06.117 region:rollup2
ACCEPT VOLUNTARY SERVICES UNDER
04:31:04.949 --> 04:31:07.752 region:rollup2
LAURA SAW.
04:31:06.117 --> 04:31:09.820 region:rollup2
BUT THEY DON'T PRESENT WITH THE
04:31:07.752 --> 04:31:12.423 region:rollup2
OVERWHELMING LEVEL OF DISABILITY
04:31:09.820 --> 04:31:13.724 region:rollup2
REQUIRED TO SATISFY THE LPS
04:31:12.423 --> 04:31:14.391 region:rollup2
INVOLUNTARY HOLDS ESPECIALLY
04:31:13.724 --> 04:31:16.694 region:rollup2
ONCE THEY'VE BEEN IN THE
04:31:14.391 --> 04:31:18.062 region:rollup2
HOSPITAL FOR A COUPLE OF DAYS.
04:31:16.694 --> 04:31:19.463 region:rollup2
BECAUSE SUBSTANCE USE A MENTAL
04:31:18.062 --> 04:31:20.931 region:rollup2
ILLNESS OR CHRONIC CONDITIONS
04:31:19.463 --> 04:31:23.767 region:rollup2
IT'S ACTUALLY POSSIBLE THAT THE
04:31:20.931 --> 04:31:27.004 region:rollup2
DIFFERENT POSSESS PROVISIONS.
04:31:23.767 --> 04:31:28.105 region:rollup2
IS LARA'S LAW LPS IN S. B. TEN
04:31:27.004 --> 04:31:30.374 region:rollup2
FORTY FIVE CONSERVATORSHIP COULD
04:31:28.105 --> 04:31:32.309 region:rollup2
SERVE THE SAME INDIVIDUAL BUT AT
04:31:30.374 --> 04:31:33.744 region:rollup2
DIFFERENT POINTS IN TIME.
04:31:32.309 --> 04:31:35.312 region:rollup2
WE THINK THAT S. B. TEN FORTY
04:31:33.744 --> 04:31:37.681 region:rollup2
FIVE WOULD HELP TO FILL A GAP.
04:31:35.312 --> 04:31:40.217 region:rollup2
AND WE SEE A REAL OPPORTUNITY TO
04:31:37.681 --> 04:31:41.886 region:rollup2
HELP STABILIZE PEOPLE WHO ARE IN
04:31:40.217 --> 04:31:43.721 region:rollup2
CRISIS AND HELP THEM TO ACCESS
04:31:41.886 --> 04:31:45.222 region:rollup2
SERVICES THAT THEY MAY NOT BE
04:31:43.721 --> 04:31:47.158 region:rollup2
AWARE THAT THEY ACTUALLY NEED.
04:31:45.222 --> 04:31:50.060 region:rollup2
AND WE STAND READY TO PROVIDE
04:31:47.158 --> 04:31:52.129 region:rollup2
THEM WITH SERVICE RICH HOUSING
04:31:50.060 --> 04:31:54.865 region:rollup2
IN PLACEMENT --
04:31:52.129 --> 04:31:57.434 region:rollup2
A WE DO DISAGREE WITH THE
04:31:54.865 --> 04:31:59.737 region:rollup2
SUGGESTION THAT S. B. TEN FORTY
04:31:57.434 --> 04:32:01.071 region:rollup2
FIVE WOULD GREATLY EXPAND.
04:31:59.737 --> 04:32:02.173 region:rollup2
THE POTENTIAL NUMBER OF
04:32:01.071 --> 04:32:04.141 region:rollup2
INDIVIDUALS WHO WOULD BE UNDER A
04:32:02.173 --> 04:32:05.376 region:rollup2
CONSERVATORSHIP WE FEEL THAT WE
04:32:04.141 --> 04:32:06.844 region:rollup2
WOULD BE --
04:32:05.376 --> 04:32:10.948 region:rollup2
USING THE VERY NARROW
04:32:06.844 --> 04:32:11.448 region:rollup2
ELIGIBILITY CRITERIA IN SP. TEN
04:32:10.948 --> 04:32:12.716 region:rollup2
FORTY FIVE TO REACH THE
04:32:11.448 --> 04:32:14.018 region:rollup2
INDIVIDUALS --
04:32:12.716 --> 04:32:14.885 region:rollup2
WHO WE ACTUALLY ALREADY KNOW
04:32:14.018 --> 04:32:15.786 region:rollup2
BECAUSE THEY ARE IN OUR
04:32:14.885 --> 04:32:17.288 region:rollup2
DEPARTMENT OF PUBLIC HEALTH
04:32:15.786 --> 04:32:19.957 region:rollup2
SYSTEMS AND OUR --
04:32:17.288 --> 04:32:21.725 region:rollup2
CRIMINAL JUSTICE SYSTEMS.
04:32:19.957 --> 04:32:23.761 region:rollup2
SO WE SUPPORT THE NARROW
04:32:21.725 --> 04:32:24.495 region:rollup2
ELIGIBILITY CRITERIA SP TEN
04:32:23.761 --> 04:32:26.430 region:rollup2
FORTY FIVE PROPOSES AND WE
04:32:24.495 --> 04:32:27.932 region:rollup2
REALLY APPRECIATE THE SAFEGUARDS
04:32:26.430 --> 04:32:28.799 region:rollup2
IN PROTECTIONS.
04:32:27.932 --> 04:32:30.067 region:rollup2
THAT WOULD SUPPORT AN
04:32:28.799 --> 04:32:32.002 region:rollup2
INDIVIDUAL'S RIGHT TO CONTEST
04:32:30.067 --> 04:32:33.204 region:rollup2
CONSERVATORSHIP WITH LEGAL
04:32:32.002 --> 04:32:34.371 region:rollup2
REPRESENTATION.
04:32:33.204 --> 04:32:35.239 region:rollup2
SOME HAPPY TO ANSWER ANY
04:32:34.371 --> 04:32:39.810 region:rollup2
QUESTIONS THAT YOU MIGHT HAVE
04:32:35.239 --> 04:32:41.812 region:rollup2
THANK YOU.
04:32:39.810 --> 04:32:43.180 region:rollup2
IN SHARING TRAIN MEMBERS MY NAME
04:32:41.812 --> 04:32:44.148 region:rollup2
IS KELLY HOW ABOUT ON I'M THE
04:32:43.180 --> 04:32:45.049 region:rollup2
DIRECTOR TRANSITIONS AT THE
04:32:44.148 --> 04:32:46.417 region:rollup2
SARASOTA PART OF PUBLIC HEALTH.
04:32:45.049 --> 04:32:47.651 region:rollup2
MY TEAM IS RESPONSIBLE FOR
04:32:46.417 --> 04:32:49.019 region:rollup2
PROVIDING APPROPRIATE PLACEMENT
04:32:47.651 --> 04:32:50.020 region:rollup2
FOR INDIVIDUALS WHO ARE PLACED
04:32:49.019 --> 04:32:51.488 region:rollup2
ON CONSERVATORSHIP SO WE DO NOT
04:32:50.020 --> 04:32:52.623 region:rollup2
HAVE A PLACE TO GO AFTER LEAVING
04:32:51.488 --> 04:32:54.058 region:rollup2
THE HOSPITAL.
04:32:52.623 --> 04:32:57.094 region:rollup2
AS YOU'VE HEARD S. B. TEN FORTY
04:32:54.058 --> 04:32:58.162 region:rollup2
FIVE IS INTENDED.
04:32:57.094 --> 04:32:59.230 region:rollup2
THESE INDIVIDUALS ARE NOW BUT A
04:32:58.162 --> 04:33:01.665 region:rollup2
SYSTEM OF CARE BUT ARE CURRENTLY
04:32:59.230 --> 04:33:03.234 region:rollup2
HARD TO REACH I'D LIKE TO OFFER
04:33:01.665 --> 04:33:04.935 region:rollup2
AN EXAMPLE OF WHO THAT MIGHT BE.
04:33:03.234 --> 04:33:06.170 region:rollup2
MR JOHNSON IS A FIFTY SIX YEAR
04:33:04.935 --> 04:33:07.404 region:rollup2
OLD MAN WITH A LONG HISTORY
04:33:06.170 --> 04:33:08.672 region:rollup2
WITHIN THE CITY SYSTEM OF CARE
04:33:07.404 --> 04:33:09.807 region:rollup2
BUT ONLY WITH CRISIS SERVICES
04:33:08.672 --> 04:33:10.941 region:rollup2
ARE JAIL.
04:33:09.807 --> 04:33:12.943 region:rollup2
IN THE PAST YEAR HE HAS BEEN
04:33:10.941 --> 04:33:14.011 region:rollup2
BROUGHT TO PS FIFTEEN TIMES HE
04:33:12.943 --> 04:33:15.613 region:rollup2
HAS HAD TEN ENCOUNTERS WITH THE
04:33:14.011 --> 04:33:16.947 region:rollup2
SAN FRANCISCO POLICE DEPARTMENT.
04:33:15.613 --> 04:33:18.649 region:rollup2
HE IS KNOWN TO BE HOMELESS HAS A
04:33:16.947 --> 04:33:19.717 region:rollup2
MAJOR DEPRESSION DIAGNOSIS IS
04:33:18.649 --> 04:33:21.085 region:rollup2
NOT ENGAGE IN ANY TREATMENT
04:33:19.717 --> 04:33:22.119 region:rollup2
SERVICES ARE BEING OFFERED ANY
04:33:21.085 --> 04:33:23.387 region:rollup2
CURRENT HOUSING OPPORTUNITIES
04:33:22.119 --> 04:33:24.922 region:rollup2
BECAUSE OF ITS ACT OF SUBSTANCE
04:33:23.387 --> 04:33:26.056 region:rollup2
ABUSE.
04:33:24.922 --> 04:33:28.058 region:rollup2
METHAMPHETAMINE USE IS OBSERVED
04:33:26.056 --> 04:33:29.226 region:rollup2
AS A PRIMARY ISSUE DURING HIS PS
04:33:28.058 --> 04:33:30.828 region:rollup2
VISITS IN AFTER A TWELVE HOUR
04:33:29.226 --> 04:33:31.895 region:rollup2
STAY HE TENDS TO CLEAR UP ENOUGH
04:33:30.828 --> 04:33:33.530 region:rollup2
TO NO LONGER MEET MEDICAL
04:33:31.895 --> 04:33:40.604 region:rollup2
NECESSITY IN ITS RELEASED.
04:33:33.530 --> 04:33:41.205 region:rollup2
HE RETURNS TO PS LATER THAT WEEK
04:33:40.604 --> 04:33:41.739 region:rollup2
HAVING THEN PICKED UP BY THE
04:33:41.205 --> 04:33:42.373 region:rollup2
POLICE FOR BEING UNDER THE
04:33:41.739 --> 04:33:43.007 region:rollup2
INFLUENCE ADDRESSING IN PUBLIC
04:33:42.373 --> 04:33:43.674 region:rollup2
IN EXITING AGGRESSIVE BEHAVIORS
04:33:43.007 --> 04:33:44.308 region:rollup2
TOWARDS OTHERS ON THE STREET.
04:33:43.674 --> 04:33:45.009 region:rollup2
HE ONCE AGAIN CLEARS AFTER AN
04:33:44.308 --> 04:33:45.676 region:rollup2
OVERNIGHT STAY IN IS RELEASED IN
04:33:45.009 --> 04:33:47.645 region:rollup2
THE MORNING BECAUSE HE NO LONGER
04:33:45.676 --> 04:33:48.245 region:rollup2
MEETS GAVE DISABILITY CRITERIA
04:33:47.645 --> 04:33:49.513 region:rollup2
SITTING YOU WILL GO TO SAINT
04:33:48.245 --> 04:33:51.015 region:rollup2
ANTHONY'S FOR LUNCH AND WE'LL GO
04:33:49.513 --> 04:33:51.849 region:rollup2
TO THE SHELTER AFTER THAT TO
04:33:51.015 --> 04:33:53.417 region:rollup2
WAIT FOR A BED.
04:33:51.849 --> 04:33:54.251 region:rollup2
WHEN HE IS DISCHARGED HE STARTS
04:33:53.417 --> 04:33:56.954 region:rollup2
OUT FOR SAINT AND SAINT
04:33:54.251 --> 04:33:57.855 region:rollup2
ANTHONY'S BUT ENDS UP LOOKING
04:33:56.954 --> 04:33:58.455 region:rollup2
FOR DRUGS ON THE WAY?
04:33:57.855 --> 04:33:59.323 region:rollup2
AND FORTUNATELY I COULD SHARE
04:33:58.455 --> 04:34:00.457 region:rollup2
MORE EXAMPLES LIKE THIS
04:33:59.323 --> 04:34:01.692 region:rollup2
INCLUDING ONES OF AGING
04:34:00.457 --> 04:34:02.860 region:rollup2
INDIVIDUALS WHO HAVE SERIOUS
04:34:01.692 --> 04:34:05.429 region:rollup2
MENTAL ILLNESS SUBSTANCE USE
04:34:02.860 --> 04:34:06.797 region:rollup2
DISORDER AND OTHER CONDITIONS
04:34:05.429 --> 04:34:08.365 region:rollup2
LIKE DIABETES OR HIV.
04:34:06.797 --> 04:34:10.034 region:rollup2
SERVICES GOES A LONG HISTORY OF
04:34:08.365 --> 04:34:11.435 region:rollup2
PROVIDING COMPASSIONATE CARE
04:34:10.034 --> 04:34:13.003 region:rollup2
FONG A COVER GRANTED MODEL.
04:34:11.435 --> 04:34:14.271 region:rollup2
RECENTLY WE STARTED AN INTER
04:34:13.003 --> 04:34:16.240 region:rollup2
AGENCY WORKING GROUP TO CREATE
04:34:14.271 --> 04:34:17.007 region:rollup2
CARE PLANS FOR THE FORTY TO
04:34:16.240 --> 04:34:18.676 region:rollup2
FIFTY OF OUR HIGHEST UTILIZE
04:34:17.007 --> 04:34:19.977 region:rollup2
YEARS OF MULTIPLE SYSTEMS.
04:34:18.676 --> 04:34:21.946 region:rollup2
SOME AMONG THIS GROUP HAVE BEEN
04:34:19.977 --> 04:34:22.546 region:rollup2
KNOWN TO THE CITY FOR YEARS AND
04:34:21.946 --> 04:34:23.380 region:rollup2
WE HAVE NOT BEEN ABLE TO HELP
04:34:22.546 --> 04:34:24.815 region:rollup2
THEM.
04:34:23.380 --> 04:34:26.116 region:rollup2
STABILIZE NOT BECAUSE WE HAVEN'T
04:34:24.815 --> 04:34:27.251 region:rollup2
TRIED THAT BECAUSE THEIR ABILITY
04:34:26.116 --> 04:34:29.219 region:rollup2
FOR SELF CARE IS DETERIORATED
04:34:27.251 --> 04:34:30.087 region:rollup2
OVER TIME AND VOLUNTARY SERVICES
04:34:29.219 --> 04:34:32.523 region:rollup2
ARE HARDER AND HARDER FOR THEM
04:34:30.087 --> 04:34:33.991 region:rollup2
TO ACCEPT. FOR THEM IT'S BECOME
04:34:32.523 --> 04:34:35.259 region:rollup2
FREE FIVE CAN BE A PATH TO
04:34:33.991 --> 04:34:37.261 region:rollup2
STABILITY HOUSING IN A VASTLY
04:34:35.259 --> 04:34:37.828 region:rollup2
IMPROVED QUALITY OF LIFE THANK
04:34:37.261 --> 04:34:39.863 region:rollup2
YOU AND HAPPY TO ANSWER ANY
04:34:37.828 --> 04:34:41.899 region:rollup2
QUESTIONS.
04:34:39.863 --> 04:34:42.566 region:rollup2
THANK YOU OTHERS AND SUPPORT.
04:34:41.899 --> 04:34:44.201 region:rollup2
MISTER CHAIRMAN WAS ALEX
04:34:42.566 --> 04:34:48.439 region:rollup2
HAWTHORN CALIFORNIA HOSPITAL
04:34:44.201 --> 04:34:49.606 region:rollup2
ASSOCIATION HERE IN SUPPORT.
04:34:48.439 --> 04:34:50.474 region:rollup2
MISTER CHAIRMAN THERE'S MORE
04:34:49.606 --> 04:34:51.675 region:rollup2
ASSEMBLE WHICH I OR ANTI ON
04:34:50.474 --> 04:34:54.445 region:rollup2
BEHALF OF MAYOR GARCETTI IN THE
04:34:51.675 --> 04:34:54.979 region:rollup2
CITY OF LOS ANGELES AND THE CITY
04:34:54.445 --> 04:34:56.680 region:rollup2
OF SANTA MONICA AND SPORT.
04:34:54.979 --> 04:34:57.915 region:rollup2
SECURE.
04:34:56.680 --> 04:34:59.283 region:rollup2
NICOLE WATERMAN ON BEHALF OF THE
04:34:57.915 --> 04:35:02.920 region:rollup2
ORANGE COUNTY BOARD OF
04:34:59.283 --> 04:35:19.269 region:rollup2
SUPERVISORS AND SUPPORT.
04:35:02.920 --> 04:35:19.269 region:rollup2
SO ANYONE IN OPPOSITION
04:35:19.336 --> 04:35:20.704 region:rollup2
.
04:35:19.470 --> 04:35:21.872 region:rollup2
MISTER CHAIR MEMBERS SUCKER
04:35:20.704 --> 04:35:23.574 region:rollup2
CHILD DISABILITY RIGHTS
04:35:21.872 --> 04:35:27.044 region:rollup2
CALIFORNIA I'M HERE ON BEHALF OF
04:35:23.574 --> 04:35:27.878 region:rollup2
A COALITION OF MENTAL HEALTH
04:35:27.044 --> 04:35:30.381 region:rollup2
ADVOCATES.
04:35:27.878 --> 04:35:33.384 region:rollup2
HEALTH ADVOCATES --
04:35:30.381 --> 04:35:35.552 region:rollup2
AND CIVIL RIGHTS ADVOCATES DO UP
04:35:33.384 --> 04:35:38.655 region:rollup2
UNFORTUNATELY IN REGRETFULLY
04:35:35.552 --> 04:35:40.491 region:rollup2
OPPOSE THIS BILL --
04:35:38.655 --> 04:35:42.025 region:rollup2
WITH THAT BEING SAID I WOULD I
04:35:40.491 --> 04:35:44.294 region:rollup2
WOULD LIKE TO SAY THAT.
04:35:42.025 --> 04:35:45.729 region:rollup2
THE A I THINK THE COMMITTEE
04:35:44.294 --> 04:35:47.398 region:rollup2
CONSULTANT OF THE COMMITTEE
04:35:45.729 --> 04:35:49.099 region:rollup2
ANALYSIS REALLY DRILL DOWN TO
04:35:47.398 --> 04:35:50.567 region:rollup2
WHAT ARE THE SIGNIFICANT ISSUES
04:35:49.099 --> 04:35:52.836 region:rollup2
THAT WE'VE HAD.
04:35:50.567 --> 04:35:56.140 region:rollup2
IN ARE CONCERNED WITH THIS BILL
04:35:52.836 --> 04:35:58.175 region:rollup2
OUR OPPOSITION REMAINS BECAUSE
04:35:56.140 --> 04:36:00.310 region:rollup2
INVOLUNTARY EXPANSION OF
04:35:58.175 --> 04:36:02.079 region:rollup2
INVOLUNTARY CARE IS GOING
04:36:00.310 --> 04:36:04.048 region:rollup2
DIRECTLY COUNTER TO WHERE WE'VE
04:36:02.079 --> 04:36:04.515 region:rollup2
BEEN FOR THE LAST TWENTY THIRTY
04:36:04.048 --> 04:36:06.216 region:rollup2
YEARS.
04:36:04.515 --> 04:36:08.585 region:rollup2
ON MOVING MORE DIRECTLY
04:36:06.216 --> 04:36:10.054 region:rollup2
INDIVIDUALS OUT OF INSTITUTIONS
04:36:08.585 --> 04:36:11.989 region:rollup2
AND INTO A COMMUNITY BASED
04:36:10.054 --> 04:36:14.191 region:rollup2
SETTINGS FROM COMMUNITY BASED
04:36:11.989 --> 04:36:15.959 region:rollup2
CARE WHEN WE START IMPOSING
04:36:14.191 --> 04:36:18.829 region:rollup2
AGAIN INVOLUNTARY CARE.
04:36:15.959 --> 04:36:21.031 region:rollup2
YEAH OF PROVISIONS WE END UP
04:36:18.829 --> 04:36:23.167 region:rollup2
GOING IN THE WRONG DIRECTION --
04:36:21.031 --> 04:36:24.601 region:rollup2
BUT I WOULD LIKE TO SAY THAT THE
04:36:23.167 --> 04:36:26.537 region:rollup2
AMENDMENT TO THAT HAVE BEEN
04:36:24.601 --> 04:36:28.005 region:rollup2
PROPOSED HERE NARROW I THINK THE
04:36:26.537 --> 04:36:29.573 region:rollup2
STANDARD AND THE REST THAT ARE
04:36:28.005 --> 04:36:30.274 region:rollup2
OPPOSE THAT YOU WILL PULL INTO
04:36:29.573 --> 04:36:32.242 region:rollup2
THOSE.
04:36:30.274 --> 04:36:34.077 region:rollup2
PERSONS WHO --
04:36:32.242 --> 04:36:36.180 region:rollup2
WOULD BE MORE BROADLY DEFINED
04:36:34.077 --> 04:36:37.881 region:rollup2
AND NOT NECESSARILY --
04:36:36.180 --> 04:36:41.919 region:rollup2
REQUIRED TO BE --
04:36:37.881 --> 04:36:43.654 region:rollup2
ENVELOPED IN HELD.
04:36:41.919 --> 04:36:45.622 region:rollup2
AND AT ADDITIONALLY WHAT IS
04:36:43.654 --> 04:36:47.991 region:rollup2
CENTRAL --
04:36:45.622 --> 04:36:49.793 region:rollup2
TO OUR POSITION IS THAT IF WE
04:36:47.991 --> 04:36:51.995 region:rollup2
ARE PULLING INDIVIDUALS AND ON
04:36:49.793 --> 04:36:53.997 region:rollup2
THE INVOLUNTARY HOLDS THAT THAT
04:36:51.995 --> 04:36:55.399 region:rollup2
HAS TO BE TIED DIRECTLY TO
04:36:53.997 --> 04:36:59.736 region:rollup2
SERVICES.
04:36:55.399 --> 04:37:01.505 region:rollup2
WE HAVE IN MANY MANY PLACES --
04:36:59.736 --> 04:37:03.874 region:rollup2
INCLUDING THIS A. B. A MENTAL
04:37:01.505 --> 04:37:05.442 region:rollup2
HEALTH SYSTEM THAT IS FAILING
04:37:03.874 --> 04:37:08.545 region:rollup2
INDIVIDUALS.
04:37:05.442 --> 04:37:11.248 region:rollup2
AND TO PUT MORE PEOPLE INTO THAT
04:37:08.545 --> 04:37:13.183 region:rollup2
SYSTEM IS THE WRONG DIRECTION WE
04:37:11.248 --> 04:37:14.384 region:rollup2
NEED TO BUILD THAT BACK AND FOR
04:37:13.183 --> 04:37:17.054 region:rollup2
INDIVIDUAL SO THAT THOSE
04:37:14.384 --> 04:37:18.622 region:rollup2
SERVICES ARE AVAILABLE --
04:37:17.054 --> 04:37:21.125 region:rollup2
FOR THEM AND WHEN I SAY SERVICES
04:37:18.622 --> 04:37:22.793 region:rollup2
THAT IS SUPPORTIVE HOUSING
04:37:21.125 --> 04:37:25.629 region:rollup2
LOCATED IN THE COMMUNITY --
04:37:22.793 --> 04:37:27.931 region:rollup2
IT WRAPAROUND SERVICES --
04:37:25.629 --> 04:37:30.467 region:rollup2
AVAILABLE FOR THOSE INDIVIDUALS
04:37:27.931 --> 04:37:33.770 region:rollup2
PHYSICAL CARE AND MENTAL HEALTH
04:37:30.467 --> 04:37:35.572 region:rollup2
AND BEHAVIORAL HEALTH CARE --
04:37:33.770 --> 04:37:37.574 region:rollup2
FOR FOR THEM IF THOSE ARE --
04:37:35.572 --> 04:37:39.276 region:rollup2
ASSURED TO THESE INDIVIDUALS WE
04:37:37.574 --> 04:37:41.945 region:rollup2
BELIEVE THAT THAT THEN BECOMES
04:37:39.276 --> 04:37:43.780 region:rollup2
PROGRESS IN TREATING THE THE
04:37:41.945 --> 04:37:45.582 region:rollup2
INDIVIDUALS THAT I THINK --
04:37:43.780 --> 04:37:47.684 region:rollup2
THE AUTHOR AND THE SPONSORS OF
04:37:45.582 --> 04:37:51.155 region:rollup2
THIS BILL ARE SEEKING --
04:37:47.684 --> 04:37:52.356 region:rollup2
TO PROVIDE FOR THANK YOU.
04:37:51.155 --> 04:37:53.157 region:rollup2
GOOD EVENING CHEN FLOYER IS
04:37:52.356 --> 04:37:54.558 region:rollup2
WESTERN CENTER ON LAW AND
04:37:53.157 --> 04:37:55.392 region:rollup2
POVERTY I TOO WOULD LIKE TO
04:37:54.558 --> 04:37:56.627 region:rollup2
ACKNOWLEDGE --
04:37:55.392 --> 04:37:57.661 region:rollup2
THE PROGRESS THAT HAS BEEN MADE
04:37:56.627 --> 04:37:59.796 region:rollup2
IN THE AMENDMENTS WERE
04:37:57.661 --> 04:38:01.798 region:rollup2
PARTICULARLY GRATEFUL TO SEE
04:37:59.796 --> 04:38:03.400 region:rollup2
WHAT WE THOUGHT OF OR INCENTIVES
04:38:01.798 --> 04:38:05.335 region:rollup2
TO CONTINUE ARRESTING PEOPLE
04:38:03.400 --> 04:38:06.737 region:rollup2
LIVING ON THE STREETS AND SOME
04:38:05.335 --> 04:38:06.937 region:rollup2
OF THE THINGS THAT WE FELT TAT
04:38:06.737 --> 04:38:08.605 region:rollup2
WORK.
04:38:06.937 --> 04:38:10.107 region:rollup2
THAT COULD HAVE.
04:38:08.605 --> 04:38:11.675 region:rollup2
UNINTENDED CONSEQUENCES THE
04:38:10.107 --> 04:38:12.576 region:rollup2
AMENDMENTS SEEM TO BE ADDRESSING
04:38:11.675 --> 04:38:14.111 region:rollup2
THOSE -- AND
04:38:12.576 --> 04:38:15.212 region:rollup2
WE ALSO DO APPRECIATE THE
04:38:14.111 --> 04:38:16.947 region:rollup2
ADDITIONAL DUE PROCESS
04:38:15.212 --> 04:38:19.249 region:rollup2
PROTECTIONS --
04:38:16.947 --> 04:38:21.318 region:rollup2
AND THE INTENT TO LINK PEOPLE
04:38:19.249 --> 04:38:23.287 region:rollup2
TOWARD SERVICES WE DO REMAIN
04:38:21.318 --> 04:38:24.621 region:rollup2
OPPOSED MAINLY BECAUSE WE JUST
04:38:23.287 --> 04:38:25.956 region:rollup2
YOU KNOW THE PROMISES OF DE
04:38:24.621 --> 04:38:27.524 region:rollup2
INSTITUTIONALIZATION TO PROVIDE
04:38:25.956 --> 04:38:28.825 region:rollup2
COMMUNITY BASED SERVICES AND THE
04:38:27.524 --> 04:38:29.726 region:rollup2
PROMISES OF THE MENTAL HEALTH
04:38:28.825 --> 04:38:30.460 region:rollup2
SERVICES ACT.
04:38:29.726 --> 04:38:33.030 region:rollup2
JUST HAVE NEVER BEEN FULLY
04:38:30.460 --> 04:38:34.364 region:rollup2
FULFILLED.
04:38:33.030 --> 04:38:36.500 region:rollup2
PLACE WERE STILL GOING TO BE
04:38:34.364 --> 04:38:37.768 region:rollup2
CREATING THE SITUATIONS BUT WE
04:38:36.500 --> 04:38:38.402 region:rollup2
WE ARE APPRECIATIVE OF THE
04:38:37.768 --> 04:38:40.971 region:rollup2
MOVEMENT THAT HAS HAPPENED WITH
04:38:38.402 --> 04:38:42.105 region:rollup2
THIS BILL.
04:38:40.971 --> 04:38:45.809 region:rollup2
THANK YOU VERY MUCH OTHERS IN
04:38:42.105 --> 04:38:47.244 region:rollup2
OPPOSITION.
04:38:45.809 --> 04:38:49.046 region:rollup2
PLAIN X. CALIFORNIA THE
04:38:47.244 --> 04:38:49.746 region:rollup2
DISABILITY RIGHTS CALIFORNIA
04:38:49.046 --> 04:38:51.248 region:rollup2
LINES RETIRED AMERICANS OF
04:38:49.746 --> 04:38:52.482 region:rollup2
STRONG UP CLOSE.
04:38:51.248 --> 04:38:57.120 region:rollup2
AND AS A CLIENT.
04:38:52.482 --> 04:38:57.821 region:rollup2
I OPPOSE.
04:38:57.120 --> 04:38:59.823 region:rollup2
HIGHLY STRUNG WITH THE
04:38:57.821 --> 04:39:01.225 region:rollup2
CALIFORNIA ASSOCIATION OF SOCIAL
04:38:59.823 --> 04:39:04.828 region:rollup2
REHABILITATION AGENCIES IN
04:39:01.225 --> 04:39:05.529 region:rollup2
OPPOSITION.
04:39:04.828 --> 04:39:07.064 region:rollup2
KIMBERLY CHANNEL BEHALF THE
04:39:05.529 --> 04:39:08.832 region:rollup2
CALIFORNIA PAN ETHNIC HEALTH
04:39:07.064 --> 04:39:09.600 region:rollup2
NETWORK WE DO HAVE A OPPOSE
04:39:08.832 --> 04:39:11.001 region:rollup2
UNLESS AMENDED --
04:39:09.600 --> 04:39:12.269 region:rollup2
POSITION RIGHT NOW WE LOOK
04:39:11.001 --> 04:39:13.503 region:rollup2
FORWARD TO REVIEWING THE
04:39:12.269 --> 04:39:16.239 region:rollup2
PROPOSED AMENDMENTS IN DETAIL
04:39:13.503 --> 04:39:17.441 region:rollup2
AND APPRECIATE THE CONVERSATIONS
04:39:16.239 --> 04:39:18.075 region:rollup2
THAT HAVE --
04:39:17.441 --> 04:39:21.411 region:rollup2
OCCURRED THIS FOR THANK YOU PICK
04:39:18.075 --> 04:39:23.046 region:rollup2
YOU.
04:39:21.411 --> 04:39:23.680 region:rollup2
JERRY BROWN AROUND BEHALF SEIU
04:39:23.046 --> 04:39:25.649 region:rollup2
CALIFORNIA --
04:39:23.680 --> 04:39:26.216 region:rollup2
IN.
04:39:25.649 --> 04:39:29.953 region:rollup2
YEAH OPPOSE WITH OUR ALLIES
04:39:26.216 --> 04:39:32.756 region:rollup2
THINK [inaudible]
04:39:29.953 --> 04:39:35.292 region:rollup2
ANYONE ELSE [inaudible]
04:39:32.756 --> 04:39:36.994 region:rollup2
AFFORDABLE.
04:39:35.292 --> 04:39:38.729 region:rollup2
CENTER APPRECIATE YOU BRINGING
04:39:36.994 --> 04:39:39.997 region:rollup2
THIS UP IT'S A IT'S TIME THAT WE
04:39:38.729 --> 04:39:41.098 region:rollup2
DO SOMETHING AND ONE OF OUR
04:39:39.997 --> 04:39:41.665 region:rollup2
COUNTIES AND IN THE CENTRAL
04:39:41.098 --> 04:39:42.799 region:rollup2
VALLEY STANISLAUS COUNTY IS
04:39:41.665 --> 04:39:44.935 region:rollup2
ACTUALLY.
04:39:42.799 --> 04:39:46.103 region:rollup2
BEEN VERY ACTIVE AND ADDRESSING
04:39:44.935 --> 04:39:46.803 region:rollup2
THIS HOMELESS POPULATIONS I
04:39:46.103 --> 04:39:48.505 region:rollup2
WOULD LOVE TO CONTINUE THE
04:39:46.803 --> 04:39:49.840 region:rollup2
CONVERSATION ON PROUD TO SUPPORT
04:39:48.505 --> 04:39:50.807 region:rollup2
THIS BILL TODAY AND TING TING IN
04:39:49.840 --> 04:39:51.575 region:rollup2
THE CONVERSATION.
04:39:50.807 --> 04:39:53.176 region:rollup2
TRYING YOU MAY BE RURAL
04:39:51.575 --> 04:39:53.744 region:rollup2
STANISLAUS COUNTY INVOLVED IN
04:39:53.176 --> 04:39:55.779 region:rollup2
THIS IS ALSO APPRECIATE VERY
04:39:53.744 --> 04:39:56.880 region:rollup2
MUCH.
04:39:55.779 --> 04:39:58.915 region:rollup2
I THANK YOU AND AND STANISLAUS
04:39:56.880 --> 04:40:00.517 region:rollup2
COUNTY BOARD OF SUPERVISORS THIS
04:39:58.915 --> 04:40:02.185 region:rollup2
ACTUALLY IDEA OF I THINK
04:40:00.517 --> 04:40:04.187 region:rollup2
ORIGINATED --
04:40:02.185 --> 04:40:05.155 region:rollup2
THEY WERE INVOLVED IN THEN WE
04:40:04.187 --> 04:40:06.423 region:rollup2
HAVE THAT ON MOVIE AND SAN
04:40:05.155 --> 04:40:07.624 region:rollup2
FRANCISCO --
04:40:06.423 --> 04:40:09.860 region:rollup2
THEY DID SEND A LETTER ASKING TO
04:40:07.624 --> 04:40:10.861 region:rollup2
BE INCLUDED THE BILL STARTED IS
04:40:09.860 --> 04:40:12.029 region:rollup2
IMMENSE WITH ALL FIFTY EIGHT
04:40:10.861 --> 04:40:13.797 region:rollup2
COUNTIES --
04:40:12.029 --> 04:40:17.334 region:rollup2
SENATOR JACKSON AYE ASSETS TO
04:40:13.797 --> 04:40:18.735 region:rollup2
NARROW ITS TO COUNTIES WE DID --
04:40:17.334 --> 04:40:20.270 region:rollup2
I THINK THAT THERE ARE AYE.
04:40:18.735 --> 04:40:22.039 region:rollup2
PERSONALLY I THINK ANY COUNTY
04:40:20.270 --> 04:40:23.473 region:rollup2
THAT ONCE OFTEN IF THEY'RE ABLE
04:40:22.039 --> 04:40:24.675 region:rollup2
TO OFFER THE SERVICES AND MAKE
04:40:23.473 --> 04:40:26.576 region:rollup2
CERTAIN SHOWINGS.
04:40:24.675 --> 04:40:29.846 region:rollup2
THEY SHOULD BE ABLE TO SO I'M
04:40:26.576 --> 04:40:31.181 region:rollup2
OPEN TO TRYING TO RESOLVE OUT BY
04:40:29.846 --> 04:40:31.348 region:rollup2
STANISLAUS COUNTY WILL NEED TO
04:40:31.181 --> 04:40:32.482 region:rollup2
GO.
04:40:31.348 --> 04:40:35.552 region:rollup2
BUY MORE ACTIVE THROUGH ITS
04:40:32.482 --> 04:40:35.852 region:rollup2
NUMBERS TO MAKE THOSE REQUESTS
04:40:35.552 --> 04:40:37.754 region:rollup2
[inaudible]
04:40:35.852 --> 04:40:38.722 region:rollup2
SUCH.
04:40:37.754 --> 04:40:39.656 region:rollup2
ALL I DON'T THINK THE AUTHOR
04:40:38.722 --> 04:40:41.758 region:rollup2
BECAUSE HE HE AND I HAVE BEEN
04:40:39.656 --> 04:40:43.393 region:rollup2
WORKING ON THIS ISSUE FROM FROM
04:40:41.758 --> 04:40:44.027 region:rollup2
DIFFERENT HOUSES FOR DEBATE AND
04:40:43.393 --> 04:40:45.962 region:rollup2
IT'S LIKE A LITTLE BIT DIFFERENT
04:40:44.027 --> 04:40:46.830 region:rollup2
BUT NOT REMIND.
04:40:45.962 --> 04:40:48.365 region:rollup2
THE COMMITTEE THAT WHEN WE'VE
04:40:46.830 --> 04:40:49.866 region:rollup2
SUPPORT OUR BILL HOW NOW MY
04:40:48.365 --> 04:40:51.168 region:rollup2
BILLS HAD THE SAME FATE ON THE
04:40:49.866 --> 04:40:52.402 region:rollup2
ON THE OP ON THE OTHER HOUSE
04:40:51.168 --> 04:40:53.837 region:rollup2
WHERE IT'S BEEN NARROWED TO ONE
04:40:52.402 --> 04:40:54.871 region:rollup2
COUNTY THIS AFTERNOON I
04:40:53.837 --> 04:40:57.040 region:rollup2
UNDERSTAND IT'S BEEN NEARLY DID
04:40:54.871 --> 04:40:58.875 region:rollup2
NOW TO COUNTIES --
04:40:57.040 --> 04:40:59.576 region:rollup2
SAN FRANCISCO LOS ANGELES BUT I
04:40:58.875 --> 04:41:01.878 region:rollup2
THINK IT'S A WORTHWHILE
04:40:59.576 --> 04:41:02.813 region:rollup2
CONVERSATION AND I'VE MET WITH
04:41:01.878 --> 04:41:04.247 region:rollup2
THE OPPOSITION --
04:41:02.813 --> 04:41:05.415 region:rollup2
BRIEFLY HOW MY WAY OUT FROM THE
04:41:04.247 --> 04:41:07.417 region:rollup2
LAST MEETING.
04:41:05.415 --> 04:41:10.854 region:rollup2
AND THERE IS AMERICA ARGUING
04:41:07.417 --> 04:41:11.521 region:rollup2
ABOUT PEOPLE HAVING SERVICES --
04:41:10.854 --> 04:41:13.223 region:rollup2
TODAY.
04:41:11.521 --> 04:41:15.425 region:rollup2
BUT IT MAY BE A STRETCH TO FIND
04:41:13.223 --> 04:41:17.227 region:rollup2
BETTER LANGUAGE WHEN A JUDGE OR
04:41:15.425 --> 04:41:18.695 region:rollup2
A COURT IS CONSIDERING.
04:41:17.227 --> 04:41:20.630 region:rollup2
A CONSERVATIVE BECAUSE EVERY
04:41:18.695 --> 04:41:22.032 region:rollup2
THERE'S EVERY EFFORT AND WHAT
04:41:20.630 --> 04:41:23.300 region:rollup2
WE'RE TRYING TO DO AND WHAT I
04:41:22.032 --> 04:41:25.035 region:rollup2
THINK I HEARD --
04:41:23.300 --> 04:41:26.837 region:rollup2
MISTER A WINNER PRESENT --
04:41:25.035 --> 04:41:28.305 region:rollup2
THERE'S EVERY EFFORT THAT THIS
04:41:26.837 --> 04:41:30.307 region:rollup2
PROCESS GET SOMEBODY TO A BETTER
04:41:28.305 --> 04:41:31.708 region:rollup2
LIFE.
04:41:30.307 --> 04:41:32.909 region:rollup2
AND THAT'S THE MORE HUMANE THING
04:41:31.708 --> 04:41:35.378 region:rollup2
TO DO I THINK THAT'S WHAT WE
04:41:32.909 --> 04:41:37.581 region:rollup2
CAN'T LOSE IN THIS PROCESS AND I
04:41:35.378 --> 04:41:38.749 region:rollup2
I I WON'T REPEAT THIS THOUGH THE
04:41:37.581 --> 04:41:39.449 region:rollup2
LONG SPEECH ENABLED WE TALKED
04:41:38.749 --> 04:41:40.951 region:rollup2
ABOUT A KAZOO IT'S IT'S
04:41:39.449 --> 04:41:41.752 region:rollup2
DIFFICULT. TO DIFFICULT SUBJECT
04:41:40.951 --> 04:41:43.687 region:rollup2
THAT THINK THAT YOU CAN PICK
04:41:41.752 --> 04:41:44.354 region:rollup2
SOMEBODY UP AGAINST THEIR OWN
04:41:43.687 --> 04:41:45.055 region:rollup2
WILL BUT IT BUT AT THE VERY END
04:41:44.354 --> 04:41:47.657 region:rollup2
OF THE DAY.
04:41:45.055 --> 04:41:49.393 region:rollup2
IT IS ABSOLUTELY THE MORE HUMANE
04:41:47.657 --> 04:41:50.427 region:rollup2
THING TO DO THAN TO WATCH --
04:41:49.393 --> 04:41:51.728 region:rollup2
SOMEBODY POTENTIALLY DIE ON THE
04:41:50.427 --> 04:41:53.964 region:rollup2
STREET --
04:41:51.728 --> 04:41:55.732 region:rollup2
.
04:41:53.964 --> 04:41:58.101 region:rollup2
THERE ARE LITERALLY PEOPLE ON
04:41:55.732 --> 04:41:59.436 region:rollup2
THE STREETS AND AND I I I I KNOW
04:41:58.101 --> 04:42:01.605 region:rollup2
YOU KNOW THIS BUT THEY WHO.
04:41:59.436 --> 04:42:03.440 region:rollup2
HAVE NO TOES.
04:42:01.605 --> 04:42:07.878 region:rollup2
OR FEET OR RAPED [inaudible]
04:42:03.440 --> 04:42:10.447 region:rollup2
AND YOU TO TURN A BLIND EYE AND
04:42:07.878 --> 04:42:14.451 region:rollup2
NOT CHALLENGE THE CURRENT LAWS.
04:42:10.447 --> 04:42:16.820 region:rollup2
IT IS ABSOLUTELY IN HUMANE ARM.
04:42:14.451 --> 04:42:17.454 region:rollup2
ALL BE OF STOP NOW GENERAL.
04:42:16.820 --> 04:42:19.222 region:rollup2
MAKING A LOT MEETING LONGER BUT
04:42:17.454 --> 04:42:21.191 region:rollup2
I CANNOT EMPHASIZE ENOUGH HOW
04:42:19.222 --> 04:42:22.392 region:rollup2
MUCH WE NEED TO CHALLENGE --
04:42:21.191 --> 04:42:23.393 region:rollup2
THE LAWS THAT WE HAVE TODAY
04:42:22.392 --> 04:42:25.295 region:rollup2
BECAUSE THEY'VE RESULTED IN SOME
04:42:23.393 --> 04:42:27.497 region:rollup2
PRETTY HORRIFIC --
04:42:25.295 --> 04:42:29.065 region:rollup2
OUTCOMES AND WHEN WE HAVE THE
04:42:27.497 --> 04:42:30.534 region:rollup2
LOS ANGELES COUNTY EIGHT HUNDRED
04:42:29.065 --> 04:42:31.568 region:rollup2
PEOPLE DIED AND I CAN'T GIVE YOU
04:42:30.534 --> 04:42:33.170 region:rollup2
THE EXACT NUMBER OF THE PEOPLE
04:42:31.568 --> 04:42:33.937 region:rollup2
WHO WANT TO BENEFIT FROM THIS
04:42:33.170 --> 04:42:35.739 region:rollup2
LAW.
04:42:33.937 --> 04:42:37.641 region:rollup2
BUT EIGHT HUNDRED PEOPLE DIED ON
04:42:35.739 --> 04:42:39.042 region:rollup2
THE STREETS LAST YEAR ALONE.
04:42:37.641 --> 04:42:40.811 region:rollup2
IN THE END I GUESS AND AND I GOT
04:42:39.042 --> 04:42:42.245 region:rollup2
IMAGINE THAT THERE ARE.
04:42:40.811 --> 04:42:43.079 region:rollup2
THERE ARE PLENTY OF EXAMPLES
04:42:42.245 --> 04:42:45.048 region:rollup2
THAT WE KNOW IN EACH OF OUR
04:42:43.079 --> 04:42:46.850 region:rollup2
DISTRICTS.
04:42:45.048 --> 04:42:48.185 region:rollup2
I WISH IT WERE STATEWIDE.
04:42:46.850 --> 04:42:49.653 region:rollup2
ARM AYE I WISH IT WAS MORE
04:42:48.185 --> 04:42:51.087 region:rollup2
AGGRESSIVE QUITE FRANKLY.
04:42:49.653 --> 04:42:51.688 region:rollup2
OF THE IN THE SENSE THAT THE IN
04:42:51.087 --> 04:42:53.056 region:rollup2
THE SENSE OF GETTING PEOPLE
04:42:51.688 --> 04:42:54.424 region:rollup2
TOWARDS A BETTER RECOVERY BUT
04:42:53.056 --> 04:42:55.358 region:rollup2
ALSO REMIND PEOPLE THAT.
04:42:54.424 --> 04:42:57.627 region:rollup2
THAT THERE'S NOTHING THAT STOPS
04:42:55.358 --> 04:42:59.095 region:rollup2
THIS FROM BE.
04:42:57.627 --> 04:43:00.931 region:rollup2
UP PROCESS WHERE THEY END UP IN
04:42:59.095 --> 04:43:03.800 region:rollup2
SOMEBODY'S HOME --
04:43:00.931 --> 04:43:04.334 region:rollup2
IF IT WAS YOUR CHILD.
04:43:03.800 --> 04:43:05.969 region:rollup2
IF IT WAS YOUR UNCLES YOUR
04:43:04.334 --> 04:43:07.270 region:rollup2
MOTHER.
04:43:05.969 --> 04:43:08.338 region:rollup2
WHEN YOU WANT TO FIGHT FOR THEM
04:43:07.270 --> 04:43:10.140 region:rollup2
AND BE ABLE TO PICK THEM OFF THE
04:43:08.338 --> 04:43:10.674 region:rollup2
STREET BRING AMEND YOUR HOME AND
04:43:10.140 --> 04:43:12.142 region:rollup2
DO EVERYTHING YOU POSSIBLY
04:43:10.674 --> 04:43:12.809 region:rollup2
COULD?
04:43:12.142 --> 04:43:14.211 region:rollup2
TIM.
04:43:12.809 --> 04:43:16.213 region:rollup2
SO THAT THEY HAVE A HEALTHY
04:43:14.211 --> 04:43:17.047 region:rollup2
HAPPY AND PRODUCTIVE LIFE.
04:43:16.213 --> 04:43:18.682 region:rollup2
AND I THINK THAT WHAT WE'RE
04:43:17.047 --> 04:43:20.584 region:rollup2
WAITING HERE AND IT'S A
04:43:18.682 --> 04:43:21.718 region:rollup2
CHALLENGE BUT WE'VE GOT TO DO
04:43:20.584 --> 04:43:27.357 region:rollup2
THIS.
04:43:21.718 --> 04:43:29.259 region:rollup2
FISA NOT SUPPORT YOUR EFFORTS.
04:43:27.357 --> 04:43:30.260 region:rollup2
I'LL MAKE IT QUICK AYE TO ISSUES
04:43:29.259 --> 04:43:31.528 region:rollup2
GOING STATEWIDE I'M WHO WE'VE
04:43:30.260 --> 04:43:32.362 region:rollup2
HAD NUMEROUS CONVERSATIONS WITH
04:43:31.528 --> 04:43:34.030 region:rollup2
FAMILIES AND THEY'RE JUST BEING
04:43:32.362 --> 04:43:35.365 region:rollup2
TORN APART AND NOT KNOWING WHAT
04:43:34.030 --> 04:43:37.501 region:rollup2
TO DO WITH A LOVED.
04:43:35.365 --> 04:43:39.236 region:rollup2
ONE AND THEY'VE TRIED EVERY
04:43:37.501 --> 04:43:40.203 region:rollup2
AVENUE FOR CONSERVATORSHIP SO
04:43:39.236 --> 04:43:42.472 region:rollup2
I'M HOPING WE CAN GET ON TRACK
04:43:40.203 --> 04:43:45.342 region:rollup2
WITH THIS HOPE THIS WORKS --
04:43:42.472 --> 04:43:47.477 region:rollup2
AND YOU KNOWIF YOU CAN OFTEN
04:43:45.342 --> 04:43:47.911 region:rollup2
OTHER COUNTIES OR LET THEM DO
04:43:47.477 --> 04:43:50.146 region:rollup2
THAT THAT BE GREAT.
04:43:47.911 --> 04:43:52.015 region:rollup2
THANK YOU.
04:43:50.146 --> 04:43:52.549 region:rollup2
THANK I WOULD SAY IS THERE IS.
04:43:52.015 --> 04:43:52.849 region:rollup2
TIME REMAINING OF MEMBERS
04:43:52.549 --> 04:43:53.283 region:rollup2
[inaudible]
04:43:52.849 --> 04:43:56.920 region:rollup2
ADVOCATE [inaudible]
04:43:53.283 --> 04:43:58.421 region:rollup2
YOU KNOW.
04:43:56.920 --> 04:43:59.389 region:rollup2
IT IF I IF IT'S JUST ME THEN.
04:43:58.421 --> 04:44:00.390 region:rollup2
IT'S IT'S HARDER BUT OF PEOPLE
04:43:59.389 --> 04:44:01.424 region:rollup2
FROM DIFFERENT PARTS OF THE
04:44:00.390 --> 04:44:02.125 region:rollup2
STATE GRAVITATING IT'S MORE
04:44:01.424 --> 04:44:05.862 region:rollup2
POWERFUL.
04:44:02.125 --> 04:44:07.163 region:rollup2
BUT THANK YOU FOR THAT.
04:44:05.862 --> 04:44:09.432 region:rollup2
THANK YOU MISTER CHAIRMAN --
04:44:07.163 --> 04:44:10.367 region:rollup2
YOU KNOW WAS AS MR SANTIAGO
04:44:09.432 --> 04:44:11.535 region:rollup2
SAYING AND IT'S ABOUT THE
04:44:10.367 --> 04:44:13.603 region:rollup2
DIGNITY.
04:44:11.535 --> 04:44:15.605 region:rollup2
AND THE MANATEE OF THESE PEOPLE
04:44:13.603 --> 04:44:18.041 region:rollup2
ON IT'S JUST SEEMS LIKE.
04:44:15.605 --> 04:44:19.509 region:rollup2
THERE'S MORE AND MORE AND I WAS
04:44:18.041 --> 04:44:21.678 region:rollup2
JUST IN SAN FRANCISCO.
04:44:19.509 --> 04:44:22.245 region:rollup2
ON FRIDAY AND YOU KNOW I HADN'T
04:44:21.678 --> 04:44:23.580 region:rollup2
BEEN THERE IN THE VERY LONG
04:44:22.245 --> 04:44:25.815 region:rollup2
TIME.
04:44:23.580 --> 04:44:27.350 region:rollup2
SHOCKED TO SEE.
04:44:25.815 --> 04:44:29.319 region:rollup2
THE FOLKS OUT ON THE STREET AND
04:44:27.350 --> 04:44:31.721 region:rollup2
YOU KNOW I SEE IT IN SAN DIEGO
04:44:29.319 --> 04:44:34.157 region:rollup2
BUT I'M NOT IN THE CITY'S AREA
04:44:31.721 --> 04:44:36.793 region:rollup2
MORE RURAL AREAS SO I DON'T GET.
04:44:34.157 --> 04:44:39.296 region:rollup2
TO SEE YOU KNOW AS MUCH BOMB.
04:44:36.793 --> 04:44:40.931 region:rollup2
WHAT YOU SAID ABOUT THESE?
04:44:39.296 --> 04:44:42.699 region:rollup2
YOU KNOW PEOPLE WHO ARE GOING
04:44:40.931 --> 04:44:44.668 region:rollup2
THROUGH THE CRIMINAL JUSTICE
04:44:42.699 --> 04:44:46.603 region:rollup2
SYSTEM TIME AND TIME AND TIME
04:44:44.668 --> 04:44:47.504 region:rollup2
AND TIME AND TIME AGAIN --
04:44:46.603 --> 04:44:48.672 region:rollup2
I WISH I HAD THE CHART I DIDN'T
04:44:47.504 --> 04:44:50.840 region:rollup2
KNOW THIS WOULD COME UP BUT I
04:44:48.672 --> 04:44:52.042 region:rollup2
HAVE A CHART THAT SHOWS HOW MUCH
04:44:50.840 --> 04:44:54.344 region:rollup2
ALL THE DIFFERENT TYPES OF
04:44:52.042 --> 04:44:55.712 region:rollup2
TREATMENTS AND HOUSING IN THINGS
04:44:54.344 --> 04:44:57.981 region:rollup2
BECAUSE VERSUS INCARCERATION
04:44:55.712 --> 04:44:58.815 region:rollup2
WITCHES [inaudible]
04:44:57.981 --> 04:45:00.884 region:rollup2
DOLLARS MORE [inaudible]
04:44:58.815 --> 04:45:02.719 region:rollup2
PATIENT.
04:45:00.884 --> 04:45:03.820 region:rollup2
AND THAT'S YOU KNOW THAT'S WHERE
04:45:02.719 --> 04:45:05.555 region:rollup2
WE'RE SPENDING MONEY WHEN WE
04:45:03.820 --> 04:45:07.223 region:rollup2
SHOULD BE HELPING PEOPLE GET
04:45:05.555 --> 04:45:08.658 region:rollup2
INTO HOUSING GET AND HAVE
04:45:07.223 --> 04:45:10.493 region:rollup2
SOMEONE WHO CAN ACTUALLY SPEAK
04:45:08.658 --> 04:45:11.728 region:rollup2
FOR THEM --
04:45:10.493 --> 04:45:13.596 region:rollup2
YOU KNOW WHICH IS WHAT YOUR BILL
04:45:11.728 --> 04:45:15.799 region:rollup2
DOES -- BUT
04:45:13.596 --> 04:45:19.402 region:rollup2
I DID HAVE SOME QUESTIONS FOR
04:45:15.799 --> 04:45:21.371 region:rollup2
CLARIFICATION IF I MIGHT PHAM.
04:45:19.402 --> 04:45:23.006 region:rollup2
SO HOW HOW DO YOU IDENTIFY
04:45:21.371 --> 04:45:24.674 region:rollup2
PEOPLE WHO WOULD QUALIFY FOR THE
04:45:23.006 --> 04:45:26.876 region:rollup2
CONSERVATORSHIP.
04:45:24.674 --> 04:45:29.312 region:rollup2
AND HOW ARE THEY MONITORED HOW
04:45:26.876 --> 04:45:30.380 region:rollup2
HAS THE DUE PROCESS PROTECTED WE
04:45:29.312 --> 04:45:32.148 region:rollup2
KNOW SAN FRANCISCO YOU KNOW DOES
04:45:30.380 --> 04:45:34.084 region:rollup2
A GOOD JOB WITH.
04:45:32.148 --> 04:45:36.786 region:rollup2
WITH CIVIL LIBERTIES AND YEAH
04:45:34.084 --> 04:45:38.421 region:rollup2
HOW WOULD THAT TRANSLATE INTO
04:45:36.786 --> 04:45:40.323 region:rollup2
HOW YOU ACTUALLY.
04:45:38.421 --> 04:45:44.627 region:rollup2
DEVELOP THE CONSERVATIVE SHIP
04:45:40.323 --> 04:45:46.129 region:rollup2
PROGRAM AND WHAT YOU LOOK.
04:45:44.627 --> 04:45:47.297 region:rollup2
FOR SO ARE MAYOR ELECT BONE
04:45:46.129 --> 04:45:51.501 region:rollup2
MARROW LOOKED BREED HAS ACTUALLY
04:45:47.297 --> 04:45:53.203 region:rollup2
SUBMITTED A A LOCAL ORDINANCE --
04:45:51.501 --> 04:45:56.272 region:rollup2
IT'S THE MENTAL HEALTH CARE
04:45:53.203 --> 04:45:58.274 region:rollup2
COORDINATION PILOT PROGRAM AND
04:45:56.272 --> 04:46:00.276 region:rollup2
THIS ORDINANCE WOULD ESSENTIALLY
04:45:58.274 --> 04:46:01.845 region:rollup2
ESTABLISH A MULTI DISCIPLINARY
04:46:00.276 --> 04:46:02.912 region:rollup2
TEAM -- IT
04:46:01.845 --> 04:46:04.180 region:rollup2
WOULD CODIFY A MULTI
04:46:02.912 --> 04:46:05.315 region:rollup2
DISCIPLINARY TEAM IS NOT TO SAY
04:46:04.180 --> 04:46:06.683 region:rollup2
THAT WE DON'T HAVE OTHER MULTI
04:46:05.315 --> 04:46:08.018 region:rollup2
DISCIPLINARY TEAMS ALREADY IN
04:46:06.683 --> 04:46:11.287 region:rollup2
EXISTENCE.
04:46:08.018 --> 04:46:12.989 region:rollup2
THROUGH THAT TEAM WE WOULD BE
04:46:11.287 --> 04:46:15.892 region:rollup2
WORKING --
04:46:12.989 --> 04:46:18.528 region:rollup2
THROUGH A MULTI DEPARTMENTAL AND
04:46:15.892 --> 04:46:20.830 region:rollup2
ALSO INCLUDING LAW ENFORCEMENT
04:46:18.528 --> 04:46:22.499 region:rollup2
AND LAUNCH THE PARK POLICE.
04:46:20.830 --> 04:46:23.900 region:rollup2
FOR A BAY AREA RAPID TRANSIT FOR
04:46:22.499 --> 04:46:25.835 region:rollup2
PEOPLE FAMILIAR WITH OUR
04:46:23.900 --> 04:46:27.737 region:rollup2
TRANSPORTATION SYSTEM --
04:46:25.835 --> 04:46:29.339 region:rollup2
THE POLICE THAT A LOT OF OUR
04:46:27.737 --> 04:46:31.708 region:rollup2
HOMELESS INDIVIDUALS THAT HAVE
04:46:29.339 --> 04:46:32.375 region:rollup2
ACUMINATE MAY ACTUALLY BE
04:46:31.708 --> 04:46:32.676 region:rollup2
RESIDING DOWN ON THE PART
04:46:32.375 --> 04:46:34.577 region:rollup2
[inaudible]
04:46:32.676 --> 04:46:36.312 region:rollup2
TUNNELS --
04:46:34.577 --> 04:46:38.581 region:rollup2
SO BRINGING THAT GROUP TOGETHER
04:46:36.312 --> 04:46:40.083 region:rollup2
SO THAT WE CAN IDENTIFY THOSE
04:46:38.581 --> 04:46:41.451 region:rollup2
INDIVIDUALS THAT ARE COMING INTO
04:46:40.083 --> 04:46:42.886 region:rollup2
OUR SYSTEMS THE DEPARTMENT OF
04:46:41.451 --> 04:46:44.554 region:rollup2
PUBLIC HEALTH BE THE PRIMARY
04:46:42.886 --> 04:46:47.957 region:rollup2
SYSTEM --
04:46:44.554 --> 04:46:48.591 region:rollup2
AND IN TRYING TO COORDINATE OURS
04:46:47.957 --> 04:46:50.860 region:rollup2
IS STRATEGIES AND INTERVENTIONS
04:46:48.591 --> 04:46:52.829 region:rollup2
--
04:46:50.860 --> 04:46:54.831 region:rollup2
IS SO THAT WE CAN MAKE SURE THAT
04:46:52.829 --> 04:46:56.199 region:rollup2
IF WE ARE MOVING TOWARDS
04:46:54.831 --> 04:46:57.667 region:rollup2
CONSERVATORSHIP.
04:46:56.199 --> 04:46:59.869 region:rollup2
THAT WE HAVE ATTEMPTED EVERY
04:46:57.667 --> 04:47:01.604 region:rollup2
OTHER INTERVENTION FIRST ON A
04:46:59.869 --> 04:47:03.406 region:rollup2
VOLUNTARY BASIS AND THAT WOULD
04:47:01.604 --> 04:47:04.908 region:rollup2
BE INCLUDING LOOKING AT ASSISTED
04:47:03.406 --> 04:47:05.842 region:rollup2
OUTPATIENT TREATMENT TO SEE THAT
04:47:04.908 --> 04:47:07.944 region:rollup2
THAT WOULD BE.
04:47:05.842 --> 04:47:08.912 region:rollup2
IF THAT'S APPROPRIATE --
04:47:07.944 --> 04:47:10.180 region:rollup2
AND SO THESE ARE GONNA O.
04:47:08.912 --> 04:47:12.015 region:rollup2
GENERALLY SPEAKING INDIVIDUALS
04:47:10.180 --> 04:47:13.616 region:rollup2
THAT WE KNOW BECAUSE WE ARE
04:47:12.015 --> 04:47:15.351 region:rollup2
TRACKING THEM AS ARE COMING INTO
04:47:13.616 --> 04:47:18.855 region:rollup2
OUR PSYCHIATRIC EMERGENCY ROOM.
04:47:15.351 --> 04:47:20.457 region:rollup2
INTO OUR AND A MERGER WELL
04:47:18.855 --> 04:47:22.292 region:rollup2
ISSUES WERE TRACKING THEM AS
04:47:20.457 --> 04:47:23.259 region:rollup2
THEY'RE COMING INTO OUR JAIL IN
04:47:22.292 --> 04:47:24.961 region:rollup2
THEIR BE TREATED BY JAIL
04:47:23.259 --> 04:47:26.996 region:rollup2
PSYCHIATRY --
04:47:24.961 --> 04:47:28.898 region:rollup2
ENDS IT WE ARE WORKING TO
04:47:26.996 --> 04:47:31.734 region:rollup2
COORDINATE OUR INFORMATION
04:47:28.898 --> 04:47:33.103 region:rollup2
SHARING TO TO BETTER.
04:47:31.734 --> 04:47:34.838 region:rollup2
BETTER INTERVENE EL
04:47:33.103 --> 04:47:37.173 region:rollup2
STRATEGICALLY AND IN A MORE
04:47:34.838 --> 04:47:39.809 region:rollup2
TIMELY MANNER SO IN TERMS THE
04:47:37.173 --> 04:47:40.410 region:rollup2
DUE PROCESS QUESTION --
04:47:39.809 --> 04:47:43.413 region:rollup2
EVERY ARE PROPOSED CONSERVANCY
04:47:40.410 --> 04:47:46.082 region:rollup2
--
04:47:43.413 --> 04:47:48.218 region:rollup2
WOULD HAVE A PUBLIC DEFENDER --
04:47:46.082 --> 04:47:49.686 region:rollup2
ASSIGNED TO THEM AND THEY HAVE
04:47:48.218 --> 04:47:52.088 region:rollup2
THE ABILITY TO REQUEST A JURY
04:47:49.686 --> 04:47:53.690 region:rollup2
TRIAL -- OUR
04:47:52.088 --> 04:47:54.290 region:rollup2
OFFICE THE OFFICE OF THE PUBLIC
04:47:53.690 --> 04:47:55.625 region:rollup2
CONSERVATIVE WOULD BE DOING IT
04:47:54.290 --> 04:47:56.860 region:rollup2
--
04:47:55.625 --> 04:47:58.094 region:rollup2
AND THOROUGH INVESTIGATION
04:47:56.860 --> 04:47:59.329 region:rollup2
REALLY NEED TO PRESENT TO THE
04:47:58.094 --> 04:48:01.464 region:rollup2
COURT.
04:47:59.329 --> 04:48:05.635 region:rollup2
ON THE ARRAY OF ISSUES THAT ARE
04:48:01.464 --> 04:48:08.338 region:rollup2
LISTED IN THE SP TEN FORTY FIVE
04:48:05.635 --> 04:48:10.173 region:rollup2
AND PART OF OUR BURDEN WOULD BE
04:48:08.338 --> 04:48:12.308 region:rollup2
TO DEMONSTRATE TO THE COURT THAT
04:48:10.173 --> 04:48:14.043 region:rollup2
WE HAVE EXHAUSTED EVERY OTHER
04:48:12.308 --> 04:48:14.811 region:rollup2
POSSIBLE ALTERNATIVE.
04:48:14.043 --> 04:48:17.247 region:rollup2
THAT COULD BE CONSIDERED ON A
04:48:14.811 --> 04:48:19.649 region:rollup2
VOLUNTARY BASIS [inaudible]
04:48:17.247 --> 04:48:21.151 region:rollup2
OKAY -- AND
04:48:19.649 --> 04:48:24.854 region:rollup2
WE KNOW YOU KNOW SOMETIMES LAWS
04:48:21.151 --> 04:48:26.823 region:rollup2
LAW ISN'T ENOUGH --
04:48:24.854 --> 04:48:28.725 region:rollup2
CAN YOU EXPLAIN WHY YOU KNOW THE
04:48:26.823 --> 04:48:31.227 region:rollup2
A OR T. PROCESS DOESN'T HELP THE
04:48:28.725 --> 04:48:33.596 region:rollup2
POPULATION WE'RE TRYING TO HELP.
04:48:31.227 --> 04:48:34.964 region:rollup2
SO LOWER IF YOU THINK ABOUT --
04:48:33.596 --> 04:48:36.933 region:rollup2
THESE THREE TYPES OF
04:48:34.964 --> 04:48:38.468 region:rollup2
CONSERVATORSHIP SERVICES ON A
04:48:36.933 --> 04:48:42.839 region:rollup2
SPECTRUM --
04:48:38.468 --> 04:48:45.008 region:rollup2
YOU CAN THINK OF THE LAURA'S LA
04:48:42.839 --> 04:48:47.510 region:rollup2
ASSISTED OUTPATIENT TREATMENT ON
04:48:45.008 --> 04:48:48.378 region:rollup2
THE BOARD VOLUNTARY SIDE OF THE
04:48:47.510 --> 04:48:49.012 region:rollup2
SPECTRUM.
04:48:48.378 --> 04:48:50.814 region:rollup2
SO ASSISTED OUTPATIENT TREATMENT
04:48:49.012 --> 04:48:52.515 region:rollup2
--
04:48:50.814 --> 04:48:55.351 region:rollup2
YOU SINCE SAN FRANCISCO
04:48:52.515 --> 04:48:57.353 region:rollup2
IMPLEMENTED IN TWO THOUSAND
04:48:55.351 --> 04:49:00.156 region:rollup2
FIFTEEN WE HAVE ASSISTED NINETY
04:48:57.353 --> 04:49:01.357 region:rollup2
FOUR INDIVIDUALS ONLY THIRTEEN
04:49:00.156 --> 04:49:02.959 region:rollup2
OF THOSE INDIVIDUALS ACTUALLY
04:49:01.357 --> 04:49:05.395 region:rollup2
REQUIRED IS TO GO TO COURT AND
04:49:02.959 --> 04:49:07.630 region:rollup2
GET PETITIONS FROM THE COURT.
04:49:05.395 --> 04:49:09.666 region:rollup2
THROUGH THAT PROCESS WE ARE
04:49:07.630 --> 04:49:10.200 region:rollup2
GENERALLY SPEAKING ENGAGING
04:49:09.666 --> 04:49:13.036 region:rollup2
INDIVIDUALS ON A VOLUNTARY
04:49:10.200 --> 04:49:15.839 region:rollup2
BASIS.
04:49:13.036 --> 04:49:18.341 region:rollup2
AND AGAIN THE LAURA'S LAW IS --
04:49:15.839 --> 04:49:20.009 region:rollup2
A LESS RESTRICTIVE FORM --
04:49:18.341 --> 04:49:22.745 region:rollup2
INSISTED OUTPATIENT TREATMENT IT
04:49:20.009 --> 04:49:24.581 region:rollup2
DOES NOT ALLOW US TO PROVIDE FOR
04:49:22.745 --> 04:49:25.949 region:rollup2
IT INPATIENT TREATMENT WHEN THAT
04:49:24.581 --> 04:49:29.018 region:rollup2
MIGHT BE REQUIRED.
04:49:25.949 --> 04:49:31.187 region:rollup2
AND SO WITH S. B..
04:49:29.018 --> 04:49:32.322 region:rollup2
TEN FORTY FIVE IF IMPATIENT --
04:49:31.187 --> 04:49:35.058 region:rollup2
PLACEMENT IS THE MOST
04:49:32.322 --> 04:49:37.160 region:rollup2
APPROPRIATE LEVEL OF PLACEMENT.
04:49:35.058 --> 04:49:38.828 region:rollup2
THEN WE WOULD HAVE THE ABILITY
04:49:37.160 --> 04:49:40.296 region:rollup2
TO TO DEMONSTRATE A REQUEST THAT
04:49:38.828 --> 04:49:41.731 region:rollup2
AUTHORITY FROM THE COURT WHERE
04:49:40.296 --> 04:49:42.899 region:rollup2
YOU DON'T HAVE THAT WITH THE
04:49:41.731 --> 04:49:45.368 region:rollup2
ASSISTED OUTPATIENT TREATMENT OR
04:49:42.899 --> 04:49:47.937 region:rollup2
LAURA'S LA.
04:49:45.368 --> 04:49:50.273 region:rollup2
WELL IT'S ACTUALLY NAM --
04:49:47.937 --> 04:49:52.041 region:rollup2
ENCOURAGING TO HEAR FROM.
04:49:50.273 --> 04:49:54.210 region:rollup2
REAL WORLD MORE REAL WORLD
04:49:52.041 --> 04:49:55.011 region:rollup2
PRACTITIONERS WHO ARE OUT ON THE
04:49:54.210 --> 04:49:56.679 region:rollup2
STREET.
04:49:55.011 --> 04:49:57.247 region:rollup2
YOU KNOW TRYING TO MAKE A
04:49:56.679 --> 04:49:57.780 region:rollup2
DIFFERENCE IN PEOPLE'S LIVES
04:49:57.247 --> 04:50:00.216 region:rollup2
WHO.
04:49:57.780 --> 04:50:02.418 region:rollup2
ARE.
04:50:00.216 --> 04:50:04.787 region:rollup2
JUST IN SUCH A OF THE
04:50:02.418 --> 04:50:05.989 region:rollup2
DEVASTATING PLACE --
04:50:04.787 --> 04:50:09.192 region:rollup2
YOU KNOW THAT YOU DEAL WITH
04:50:05.989 --> 04:50:10.727 region:rollup2
PEOPLE ON A DAILY BASIS.
04:50:09.192 --> 04:50:11.928 region:rollup2
AND KNOW WHAT KIND OF TREATMENT
04:50:10.727 --> 04:50:13.730 region:rollup2
THEY NEED ITEM WE WILL WINS AND
04:50:11.928 --> 04:50:14.631 region:rollup2
REALIZE HOW INVOLVED IT WAS SO.
04:50:13.730 --> 04:50:21.104 region:rollup2
THANK YOU [inaudible]
04:50:14.631 --> 04:50:23.172 region:rollup2
THE X.. TO ANYONE ELSE.
04:50:21.104 --> 04:50:24.073 region:rollup2
THERE IS ONE THANK YOU.
04:50:23.172 --> 04:50:26.342 region:rollup2
FOR TACKLING THIS THEN THIS
04:50:24.073 --> 04:50:29.012 region:rollup2
INCREDIBLY COMPLICATED TOPIC AND
04:50:26.342 --> 04:50:29.545 region:rollup2
AND YOUR YOUR DILIGENCE IN AND
04:50:29.012 --> 04:50:30.680 region:rollup2
TRYING TO MOVE A SOLUTION
04:50:29.545 --> 04:50:32.682 region:rollup2
FORWARD.
04:50:30.680 --> 04:50:34.384 region:rollup2
I THINK I THINK WE'VE MADE
04:50:32.682 --> 04:50:35.618 region:rollup2
TREMENDOUS PROGRESS NIGHT SOUNDS
04:50:34.384 --> 04:50:36.853 region:rollup2
LIKE THEY'RE STILL STILL SOME
04:50:35.618 --> 04:50:38.021 region:rollup2
OUTSTANDING ISSUES AND I
04:50:36.853 --> 04:50:39.289 region:rollup2
APPRECIATE YOU APPRECIATE THAT I
04:50:38.021 --> 04:50:41.157 region:rollup2
KNOW THAT YOU'LL CONTINUE
04:50:39.289 --> 04:50:42.492 region:rollup2
WORKING WORKING WITHOUT --
04:50:41.157 --> 04:50:45.795 region:rollup2
THE BILL DOES ENJOY DO PASS
04:50:42.492 --> 04:50:47.463 region:rollup2
RECOMMENDATION --
04:50:45.795 --> 04:50:48.665 region:rollup2
DON'T KNOW WHO WE DO HAVE A WE
04:50:47.463 --> 04:50:51.000 region:rollup2
DO HAVE A MOTION BY FROM MISTER
04:50:48.665 --> 04:50:53.369 region:rollup2
SANTIAGO A SECOND FROM MISTER
04:50:51.000 --> 04:50:55.271 region:rollup2
FLORA --
04:50:53.369 --> 04:50:56.272 region:rollup2
WHICH LIKE CLOTHES ARE.
04:50:55.271 --> 04:50:58.207 region:rollup2
THANK YOU VERY MUCH I PLAY
04:50:56.272 --> 04:50:58.775 region:rollup2
PRESHEAF THOUGHTFUL I DISCUSSION
04:50:58.207 --> 04:51:00.276 region:rollup2
ALSO SO I KNOW IT'S REALLY
04:50:58.775 --> 04:51:00.944 region:rollup2
AWKWARD IT'S BEEN OFFERED
04:51:00.276 --> 04:51:02.845 region:rollup2
THROUGHOUT THIS BILL IT IS NOW
04:51:00.944 --> 04:51:04.781 region:rollup2
OUR FOURTH OR FIFTH HEARING ON
04:51:02.845 --> 04:51:06.149 region:rollup2
THE BILL --
04:51:04.781 --> 04:51:07.250 region:rollup2
TO I'VE THE OPPOSITE THE
04:51:06.149 --> 04:51:08.451 region:rollup2
OPPONENTS OF THIS FOCUS THESE
04:51:07.250 --> 04:51:09.919 region:rollup2
ARE NORMALLY GROUPS THAT I'M A
04:51:08.451 --> 04:51:11.654 region:rollup2
VERY MUCH ALIVE WITH --
04:51:09.919 --> 04:51:13.856 region:rollup2
AND I AM --
04:51:11.654 --> 04:51:16.059 region:rollup2
SOMEONE WHO BOTH MY TIME AS A
04:51:13.856 --> 04:51:20.730 region:rollup2
COUNTY SUPERVISOR HERE ON A HUGE
04:51:16.059 --> 04:51:23.533 region:rollup2
BELIEVER AND EXPANDING ACCESS.
04:51:20.730 --> 04:51:24.167 region:rollup2
TO SERVICE SERVICES OF ALSO BUT
04:51:23.533 --> 04:51:25.568 region:rollup2
EVERYTHING I KNOW THAT WE SHARE
04:51:24.167 --> 04:51:26.536 region:rollup2
--
04:51:25.568 --> 04:51:27.970 region:rollup2
DIED -- THAT
04:51:26.536 --> 04:51:29.739 region:rollup2
GOAL -- BUT
04:51:27.970 --> 04:51:32.742 region:rollup2
THERE YOU KNOW FOR THIS SMALL
04:51:29.739 --> 04:51:34.310 region:rollup2
SUBSET OF THE POPULATION AYE
04:51:32.742 --> 04:51:34.510 region:rollup2
IT'S JUST NOT WORKING AND WHEN
04:51:34.310 --> 04:51:36.279 region:rollup2
YOU.
04:51:34.510 --> 04:51:37.981 region:rollup2
YOU KNOW THAT I I TOOK A WALK
04:51:36.279 --> 04:51:39.415 region:rollup2
THROUGH SKID ROW --
04:51:37.981 --> 04:51:41.551 region:rollup2
WAS LAST YEAR WHEN I WAS IN LA
04:51:39.415 --> 04:51:42.819 region:rollup2
IT'S NEXT TIME AND WALK THROUGH
04:51:41.551 --> 04:51:44.721 region:rollup2
AND ON MY OWN JUST.
04:51:42.819 --> 04:51:45.688 region:rollup2
TO LOOK AT IT I WALKED THROUGH
04:51:44.721 --> 04:51:47.357 region:rollup2
YOU KNOW IN THE TENDERLOIN A
04:51:45.688 --> 04:51:48.224 region:rollup2
PARTS OF SOUTH OF MARKET IN THE
04:51:47.357 --> 04:51:50.626 region:rollup2
MISSION --
04:51:48.224 --> 04:51:52.962 region:rollup2
AND WHAT MRS ON THE ALGO
04:51:50.626 --> 04:51:54.831 region:rollup2
DESCRIBE SOME WITH NO TOES.
04:51:52.962 --> 04:51:55.565 region:rollup2
ON WHAT THAT THE THINGS THAT.
04:51:54.831 --> 04:51:57.033 region:rollup2
WE SEE.
04:51:55.565 --> 04:51:59.836 region:rollup2
IN TERMS AND AND YOU JUST WONDER
04:51:57.033 --> 04:52:01.404 region:rollup2
HOW. ONE EARTH.
04:51:59.836 --> 04:52:02.538 region:rollup2
IS THIS HAPPENING.
04:52:01.404 --> 04:52:03.673 region:rollup2
HOW ON EARTH IS ANYONE ALLOWING
04:52:02.538 --> 04:52:05.208 region:rollup2
THIS TO HAPPEN AND FOR THIS
04:52:03.673 --> 04:52:06.642 region:rollup2
POPULATION?
04:52:05.208 --> 04:52:09.245 region:rollup2
SIMPLY OFFERING SERVICES
04:52:06.642 --> 04:52:11.748 region:rollup2
UNFORTUNATELY IS NOT ALWAYS
04:52:09.245 --> 04:52:13.616 region:rollup2
ENOUGH AND SO I'D APPRECIATE THE
04:52:11.748 --> 04:52:14.183 region:rollup2
WORK IN THE COLLABORATION I
04:52:13.616 --> 04:52:15.418 region:rollup2
RESPECTFULLY ASK FOR AN AYE
04:52:14.183 --> 04:52:16.619 region:rollup2
VOTE.
04:52:15.418 --> 04:52:18.488 region:rollup2
THANK YOU VERY MUCH SENATOR
04:52:16.619 --> 04:52:20.223 region:rollup2
MADAM SECRETARY WE HAVE A MOTION
04:52:18.488 --> 04:52:21.391 region:rollup2
THIS EMOTION IS TO PASSED YOU DO
04:52:20.223 --> 04:52:23.292 region:rollup2
JUDICIARY --
04:52:21.391 --> 04:52:26.863 region:rollup2
PLEASE CALL THE ROLL.
04:52:23.292 --> 04:52:29.298 region:rollup2
WOULD HIGH WITH I MAYES MAYES
04:52:26.863 --> 04:52:30.700 region:rollup2
AYE AYE YOUR CURRY.
04:52:29.298 --> 04:52:32.168 region:rollup2
* CURRY AREN'T PICCOLO.
04:52:30.700 --> 04:52:33.736 region:rollup2
BIGELOW AYE BONTA.
04:52:32.168 --> 04:52:35.405 region:rollup2
AYE BONTA AYE BURKE.
04:52:33.736 --> 04:52:36.806 region:rollup2
BURKE I CARILLO.
04:52:35.405 --> 04:52:41.677 region:rollup2
CREEL AYE FLORA.
04:52:36.806 --> 04:52:43.212 region:rollup2
FLORA ISLA MON.
04:52:41.677 --> 04:52:44.781 region:rollup2
MCCARTY.
04:52:43.212 --> 04:52:45.081 region:rollup2
MCCARTY AYE THIS AREA
04:52:44.781 --> 04:52:47.316 region:rollup2
[inaudible]
04:52:45.081 --> 04:52:48.351 region:rollup2
RODRIGUEZ.
04:52:47.316 --> 04:52:50.853 region:rollup2
SANTIAGO.
04:52:48.351 --> 04:52:52.255 region:rollup2
SANTIAGO AYE BERMAN [inaudible]
04:52:50.853 --> 04:52:54.924 region:rollup2
WALDRON [inaudible]
04:52:52.255 --> 04:52:57.794 region:rollup2
WALDRON AYE.
04:52:54.924 --> 04:53:06.235 region:rollup2
THANK YOU BECAUSE THANK YOU VERY
04:52:57.794 --> 04:53:09.238 region:rollup2
MUCH BILLS OUT SIR THANK YOU
04:53:06.235 --> 04:53:10.039 region:rollup2
[inaudible] TEN HERTZBERG.
04:53:09.238 --> 04:53:12.775 region:rollup2
I THINK WE'RE JUST GONNA CALL
04:53:10.039 --> 04:53:16.479 region:rollup2
RECESSED FOR THE NEXT HOUR WOULD
04:53:12.775 --> 04:53:18.514 region:rollup2
YOU THINK.
04:53:16.479 --> 04:53:19.048 region:rollup2
IT IS ASSN FUNDS ARE THAT WAS
04:53:18.514 --> 04:53:21.317 region:rollup2
DEBT THAT'S THE DOWNSTAIRS
04:53:19.048 --> 04:53:23.086 region:rollup2
COMMITTEE EXCUSE ME.
04:53:21.317 --> 04:53:25.521 region:rollup2
THE ONLY THINGS GOING ON TIME
04:53:23.086 --> 04:53:26.089 region:rollup2
ISN'T HEALING.
04:53:25.521 --> 04:53:27.356 region:rollup2
TOMORROW IMMEDIATE SUCCESSOR
04:53:26.089 --> 04:53:36.265 region:rollup2
MATHIS [inaudible]
04:53:27.356 --> 04:53:39.902 region:rollup2
SURVEYS MERE.
04:53:36.265 --> 04:53:42.839 region:rollup2
WHERE TO GO MUCH CHAIRMAN?
04:53:39.902 --> 04:53:43.973 region:rollup2
JESSE MARVIN UNRRA.
04:53:42.839 --> 04:53:44.707 region:rollup2
LET'S ADMIT HAPPEN THIS BILL
04:53:43.973 --> 04:53:47.677 region:rollup2
THEM.
04:53:44.707 --> 04:53:51.247 region:rollup2
SO THIS IS THE THIS IS THE
04:53:47.677 --> 04:53:51.881 region:rollup2
COMMITTEE PER MEDICINE ACT OF
04:53:51.247 --> 04:53:52.849 region:rollup2
TWO THOUSAND EIGHTEEN AND THEN
04:53:51.881 --> 04:53:54.484 region:rollup2
WE'LL TALK ABOUT AMENDMENTS TO
04:53:52.849 --> 04:53:55.651 region:rollup2
THE MINUTE BUT BASICALLY IN A
04:53:54.484 --> 04:53:57.353 region:rollup2
NUTSHELL MEMBERS.
04:53:55.651 --> 04:53:59.622 region:rollup2
WHAT WE'RE TALKING ABOUT HERE IS
04:53:57.353 --> 04:54:02.258 region:rollup2
THAT IN TWO THOUSAND AND TEN
04:53:59.622 --> 04:54:04.360 region:rollup2
RAND CORPORATION DID A STUDY?
04:54:02.258 --> 04:54:06.028 region:rollup2
THEY INDICATED HE FORTUNE 27% OF
04:54:04.360 --> 04:54:09.298 region:rollup2
ALL -- E. D.
04:54:06.028 --> 04:54:16.506 region:rollup2
VISITS WHERE NON URGENT CARE TO
04:54:09.298 --> 04:54:18.040 region:rollup2
TAKE PLACE IN DIFFERENT SETTINGS
04:54:16.506 --> 04:54:20.343 region:rollup2
SUBSEQUENT.
04:54:18.040 --> 04:54:23.012 region:rollup2
S. COMPRISE FOUR POINT 528% OF
04:54:20.343 --> 04:54:25.581 region:rollup2
ALL THE P. PATIENTS YET. 21228%
04:54:23.012 --> 04:54:26.415 region:rollup2
OF ALL VISITS WEREN'T NECESSARY.
04:54:25.581 --> 04:54:28.150 region:rollup2
IN OTHER WORDS WHAT WE'RE DOING
04:54:26.415 --> 04:54:30.153 region:rollup2
THANK YOU SIR.
04:54:28.150 --> 04:54:32.255 region:rollup2
WHAT WE'RE DOING IS WE'VE GOT
04:54:30.153 --> 04:54:34.790 region:rollup2
THIS CHALLENGE WILL WHICH WE'VE
04:54:32.255 --> 04:54:37.160 region:rollup2
GOT THIS EXTRA MENDER SIXPENCE?
04:54:34.790 --> 04:54:39.128 region:rollup2
IN HEALTH CARE DELIVERY AND HOW
04:54:37.160 --> 04:54:43.699 region:rollup2
DO WE APPROPRIATELY WITH THE
04:54:39.128 --> 04:54:44.033 region:rollup2
APPROPRIATE LEVEL OF AND HERE
04:54:43.699 --> 04:54:47.670 region:rollup2
HERE I CAN'T.
04:54:44.033 --> 04:54:49.272 region:rollup2
SIT IT'S NO SAID --
04:54:47.670 --> 04:54:49.906 region:rollup2
THE THEY SAW HIM GO EACH OTHER
04:54:49.272 --> 04:54:50.806 region:rollup2
FOR A LONG TIME SO IT TOOK ME A
04:54:49.906 --> 04:54:51.374 region:rollup2
SECOND.
04:54:50.806 --> 04:54:52.942 region:rollup2
BUT IN ANY OF AT HOW DO WE
04:54:51.374 --> 04:54:54.243 region:rollup2
PROVIDE THAT LEVEL OF SERVICE
04:54:52.942 --> 04:54:55.811 region:rollup2
AND SO WHAT WE'VE DONE HERE WITH
04:54:54.243 --> 04:54:57.346 region:rollup2
RESPECT TO THIS ACTING OR CUT TO
04:54:55.811 --> 04:54:58.347 region:rollup2
THE CHASE HERE.
04:54:57.346 --> 04:54:59.549 region:rollup2
IS TO COME UP WITH THIS
04:54:58.347 --> 04:55:01.918 region:rollup2
COMMITTEE PER MEDICINE THERE'S
04:54:59.549 --> 04:55:03.152 region:rollup2
BEEN SOME PILOT PROJECTS THERE'S
04:55:01.918 --> 04:55:04.687 region:rollup2
DIFFERENCE OF OPINIONS WITH
04:55:03.152 --> 04:55:06.022 region:rollup2
RESPECT TO IT.
04:55:04.687 --> 04:55:07.857 region:rollup2
OUT WE'VE COMMITTED TO TAKING
04:55:06.022 --> 04:55:10.426 region:rollup2
THE AMENDMENTS NOTED AND
04:55:07.857 --> 04:55:12.495 region:rollup2
SUGGESTION A IN THE ANALYSIS.
04:55:10.426 --> 04:55:14.096 region:rollup2
AND WE APPRECIATE THOSE SET
04:55:12.495 --> 04:55:14.964 region:rollup2
FORTH IN BE BUT WE ARE BUT
04:55:14.096 --> 04:55:17.300 region:rollup2
THERE'S CERTAIN OVERLAPPING
04:55:14.964 --> 04:55:19.068 region:rollup2
QUALIFICATIONS OF THIS MEASURES.
04:55:17.300 --> 04:55:20.603 region:rollup2
OVERSIGHT COMMISSION EXISTING
04:55:19.068 --> 04:55:22.038 region:rollup2
INVEST COMMISSIONS AND WE
04:55:20.603 --> 04:55:23.306 region:rollup2
CERTAINLY COMMIT TO WORK WITH
04:55:22.038 --> 04:55:24.974 region:rollup2
THE M. DOCTORS.
04:55:23.306 --> 04:55:26.943 region:rollup2
OUR NURSES AND OTHERS AND WE'D
04:55:24.974 --> 04:55:28.578 region:rollup2
HAVE BEEN TRYING TO FIGURE OUT
04:55:26.943 --> 04:55:31.480 region:rollup2
WHERE WE CAN FIND SOME SOME
04:55:28.578 --> 04:55:32.081 region:rollup2
COMMON GROUND IN THIS REGARD AND
04:55:31.480 --> 04:55:34.116 region:rollup2
SO.
04:55:32.081 --> 04:55:36.752 region:rollup2
OF TURNOVER URGE CHRISTY BALMA
04:55:34.116 --> 04:55:39.155 region:rollup2
BUT BUT WHAT WE'RE TRYING TO DO
04:55:36.752 --> 04:55:40.723 region:rollup2
IS TO BE SMART ABOUT THIS ISSUE
04:55:39.155 --> 04:55:42.058 region:rollup2
AND THERE ARE.
04:55:40.723 --> 04:55:44.327 region:rollup2
LEGITIMATE MITCHELL HERE FROM
04:55:42.058 --> 04:55:45.761 region:rollup2
THE OPPOSITION ISSUES WITH
04:55:44.327 --> 04:55:47.129 region:rollup2
RESPECT TO SCOPE OF PRACTICE
04:55:45.761 --> 04:55:48.631 region:rollup2
WITH RESPECT TO THE LEVEL OF
04:55:47.129 --> 04:55:49.732 region:rollup2
PATIENT CARE
04:55:48.631 --> 04:55:51.234 region:rollup2
THAT WE SPENT A LOT OF TIME
04:55:49.732 --> 04:55:52.335 region:rollup2
TRYING TO FIGURE OUT AND WE'RE
04:55:51.234 --> 04:55:53.636 region:rollup2
NOT DONE YET [inaudible]
04:55:52.335 --> 04:55:55.404 region:rollup2
BUT THAT [inaudible]
04:55:53.636 --> 04:55:56.772 region:rollup2
DUO.
04:55:55.404 --> 04:55:57.707 region:rollup2
MR CHAIRMAN MEMBERS THE
04:55:56.772 --> 04:55:58.774 region:rollup2
COMMITTEE CHRISTY MOMMY HAVE THE
04:55:57.707 --> 04:56:00.443 region:rollup2
CALIFORNIA FICTIONAL
04:55:58.774 --> 04:56:01.277 region:rollup2
FIREFIGHTERS THE THINK THE
04:56:00.443 --> 04:56:02.345 region:rollup2
COMMITTEE AND STAFF FOR THE
04:56:01.277 --> 04:56:03.846 region:rollup2
THIRD ANALYSIS IN THE
04:56:02.345 --> 04:56:05.181 region:rollup2
RECOMMENDATIONS.
04:56:03.846 --> 04:56:07.617 region:rollup2
OF THAT WE WILL ENDEAVOR TO
04:56:05.181 --> 04:56:08.784 region:rollup2
ACCOMPLISH IN OUR NEXT STOP THIS
04:56:07.617 --> 04:56:10.553 region:rollup2
BILL SIMPLY LEVERAGES THE
04:56:08.784 --> 04:56:12.455 region:rollup2
TRUSTED COMMUNITY RESOURCE.
04:56:10.553 --> 04:56:13.489 region:rollup2
CONNECTING UP PATIENTS TO THE
04:56:12.455 --> 04:56:14.657 region:rollup2
RIGHT SERVICES AT THE RIGHT TIME
04:56:13.489 --> 04:56:17.627 region:rollup2
AND THE OTHER FIREFIGHTERS AND
04:56:14.657 --> 04:56:19.862 region:rollup2
PARAMEDICS IN YOUR COMMUNITIES.
04:56:17.627 --> 04:56:21.097 region:rollup2
A THIS BILL BECAUSE THIS ISSUE
04:56:19.862 --> 04:56:22.665 region:rollup2
HAS COME TO THIS COMMITTEE
04:56:21.097 --> 04:56:24.066 region:rollup2
MULTIPLE TIMES SO I WOULD SAY
04:56:22.665 --> 04:56:25.735 region:rollup2
THAT THIS BILL SPECIFICALLY IS
04:56:24.066 --> 04:56:26.302 region:rollup2
DESIGNED TO BE VERY PATIENT
04:56:25.735 --> 04:56:29.105 region:rollup2
FORWARD.
04:56:26.302 --> 04:56:30.373 region:rollup2
TAPPING THE EXPERTISE.
04:56:29.105 --> 04:56:32.008 region:rollup2
FEEDBACK AND DIRECTION OF MENTAL
04:56:30.373 --> 04:56:33.242 region:rollup2
HEALTH.
04:56:32.008 --> 04:56:35.878 region:rollup2
BEHAVIORAL HEALTH AND MEDICAL
04:56:33.242 --> 04:56:37.713 region:rollup2
EXPERTS --
04:56:35.878 --> 04:56:39.482 region:rollup2
THE THE STUDIES THE PILOTS THAT
04:56:37.713 --> 04:56:41.417 region:rollup2
HAVE GONE ON HAVE BEEN.
04:56:39.482 --> 04:56:42.918 region:rollup2
EVALUATED BY AN INDEPENDENT
04:56:41.417 --> 04:56:44.587 region:rollup2
THIRD PARTY THESE YOU CASF
04:56:42.918 --> 04:56:46.589 region:rollup2
STUDIES MULTIPLE STUDIES
04:56:44.587 --> 04:56:49.659 region:rollup2
RELEASED IDENTIFYING THIS IS AN
04:56:46.589 --> 04:56:51.193 region:rollup2
EFFECTIVE PROGRAM WITH.
04:56:49.659 --> 04:56:52.895 region:rollup2
ZERO NEGATIVE OR ADVERSE PATIENT
04:56:51.193 --> 04:56:54.830 region:rollup2
OUTCOMES.
04:56:52.895 --> 04:56:56.465 region:rollup2
OF THIS BILL CONTAINS ROBUST
04:56:54.830 --> 04:56:58.401 region:rollup2
REPORTING REQUIREMENTS TO MAKE
04:56:56.465 --> 04:57:00.269 region:rollup2
SURE THAT WE CONTINUE TO MONITOR
04:56:58.401 --> 04:57:02.171 region:rollup2
EVALUATE THESE PROGRAMS AND ALSO
04:57:00.269 --> 04:57:02.638 region:rollup2
A SUNSET SO THAT WE HAVE A
04:57:02.171 --> 04:57:04.273 region:rollup2
CHANCE TO DEMONSTRATE
04:57:02.638 --> 04:57:04.907 region:rollup2
EFFECTIVENESS --
04:57:04.273 --> 04:57:06.942 region:rollup2
OVER THE COURSE OF ITS LIFETIME
04:57:04.907 --> 04:57:08.544 region:rollup2
--
04:57:06.942 --> 04:57:10.012 region:rollup2
I THINK THIS IS ONE SOLUTION ON
04:57:08.544 --> 04:57:11.480 region:rollup2
MANY AND I'VE EVEN HEARD ABOUT
04:57:10.012 --> 04:57:13.349 region:rollup2
AND COMMITTEE TODAY --
04:57:11.480 --> 04:57:14.884 region:rollup2
AND ON BEHALF OF MY FIREFIGHTERS
04:57:13.349 --> 04:57:17.186 region:rollup2
WHO FEEL LIKE THEY'RE IN CRISIS
04:57:14.884 --> 04:57:19.488 region:rollup2
MODE IN THE FIELD WITH THESE
04:57:17.186 --> 04:57:20.856 region:rollup2
PATIENTS THAT NEED SERVICES THEY
04:57:19.488 --> 04:57:22.792 region:rollup2
ARE NOT GETTING.
04:57:20.856 --> 04:57:24.827 region:rollup2
WE WILL STICK TO OUR GOALS OF
04:57:22.792 --> 04:57:26.429 region:rollup2
MAKING SURE THERE'S MORE SAFE
04:57:24.827 --> 04:57:27.096 region:rollup2
AND MORE COMFORTED.
04:57:26.429 --> 04:57:30.399 region:rollup2
AFTER WE'VE ARRIVED ON SCENE BUT
04:57:27.096 --> 04:57:31.600 region:rollup2
REALLY WE WE COULD GET THEM TO
04:57:30.399 --> 04:57:33.002 region:rollup2
THE SERVICES THEY NEED THIS BILL
04:57:31.600 --> 04:57:35.805 region:rollup2
MAKES THAT A POSSIBLE WE URGE
04:57:33.002 --> 04:57:36.672 region:rollup2
YOUR SUPPORT TODAY.
04:57:35.805 --> 04:57:38.274 region:rollup2
AS CHAIR MEMBERS TIM AND
04:57:36.672 --> 04:57:38.774 region:rollup2
REPRESENT THE CALIFORNIA CHAPTER
04:57:38.274 --> 04:57:40.076 region:rollup2
OF THE AMERICAN BECAUSE
04:57:38.774 --> 04:57:41.377 region:rollup2
EMERGENCY PHYSICIANS AND WE ARE
04:57:40.076 --> 04:57:43.612 region:rollup2
SUPPORT OF THIS BILL.
04:57:41.377 --> 04:57:45.047 region:rollup2
ON IT'S KIND OF A BIG MOMENT FOR
04:57:43.612 --> 04:57:46.382 region:rollup2
ORGANIZATION BECAUSE WE HAVE
04:57:45.047 --> 04:57:48.284 region:rollup2
BEEN OPPOSED TO THE IDEA OF
04:57:46.382 --> 04:57:48.918 region:rollup2
COMMUTE PARA MEDICINE GOING BACK
04:57:48.284 --> 04:57:49.919 region:rollup2
TO THE INTRODUCTION OF THE PILOT
04:57:48.918 --> 04:57:50.786 region:rollup2
PROGRAMS.
04:57:49.919 --> 04:57:52.655 region:rollup2
WE HAD EXPRESSED IN NUMBER
04:57:50.786 --> 04:57:54.090 region:rollup2
CONCERNS AROUND THE SAFETY OF
04:57:52.655 --> 04:57:55.725 region:rollup2
THE PROGRAMS ON THEIR WHETHER
04:57:54.090 --> 04:57:57.159 region:rollup2
PATIENTS WILL BE TREATED EQUALLY
04:57:55.725 --> 04:57:58.327 region:rollup2
AND THIS TYPE OF A SYSTEM.
04:57:57.159 --> 04:58:00.296 region:rollup2
IN WORKING WITH THE SPONSOR AND
04:57:58.327 --> 04:58:01.564 region:rollup2
THE AUTHOR WE HAVE --
04:58:00.296 --> 04:58:02.698 region:rollup2
COME UP WITH SOME LANGUAGE IN
04:58:01.564 --> 04:58:04.400 region:rollup2
ASKING NINE FORTY FORCE YOU SEE
04:58:02.698 --> 04:58:06.335 region:rollup2
TODAY WHICH GETS TO A SUPPORT
04:58:04.400 --> 04:58:07.570 region:rollup2
POSITION WE THINK ARE PROPER
04:58:06.335 --> 04:58:09.372 region:rollup2
PATIENT PROTECTIONS IN THERE.
04:58:07.570 --> 04:58:10.439 region:rollup2
ON THE DATA COLLECTION IS GOOD
04:58:09.372 --> 04:58:11.640 region:rollup2
AND ALONG WITH THE SUNSET THAT
04:58:10.439 --> 04:58:13.008 region:rollup2
IS TO MENTION LOUD SINCE THE
04:58:11.640 --> 04:58:14.310 region:rollup2
CHANCE TO CHECK IT.
04:58:13.008 --> 04:58:15.711 region:rollup2
IN THERE ARE SPLIT THEIR
04:58:14.310 --> 04:58:17.747 region:rollup2
SPECIFIC LANGUAGE ON THE
04:58:15.711 --> 04:58:19.215 region:rollup2
RELEASED FROM TALA WHICH ENSURES
04:58:17.747 --> 04:58:20.683 region:rollup2
THAT ALL PATIENTS ARE TREATED
04:58:19.215 --> 04:58:22.084 region:rollup2
EQUALLY AND FOR THESE REASONS
04:58:20.683 --> 04:58:24.053 region:rollup2
RENTS AFFORDABLE RESPECT LAST
04:58:22.084 --> 04:58:24.787 region:rollup2
DRIVER.
04:58:24.053 --> 04:58:25.888 region:rollup2
YOU VERY MUCH --
04:58:24.787 --> 04:58:27.490 region:rollup2
OTHERS IN SUPPORT JUST YOUR NAME
04:58:25.888 --> 04:58:28.124 region:rollup2
AND ORGANIZATION.
04:58:27.490 --> 04:58:29.291 region:rollup2
THANK YOU MISTER CHAIRMAN VERSE
04:58:28.124 --> 04:58:30.626 region:rollup2
--
04:58:29.291 --> 04:58:31.794 region:rollup2
THE REPRESENTATIVE FROM THE
04:58:30.626 --> 04:58:33.062 region:rollup2
BOARD OF SUPERVISORS FOR THE
04:58:31.794 --> 04:58:34.263 region:rollup2
COUNTY OF SANTA CLARA ASKED ME
04:58:33.062 --> 04:58:37.233 region:rollup2
TO CONVEY THAT COUNTY SPUR THANK
04:58:34.263 --> 04:58:38.968 region:rollup2
YOU THANK YOU.
04:58:37.233 --> 04:58:39.602 region:rollup2
CHAIR MEMBERS KEPT US FOR THE
04:58:38.968 --> 04:58:41.203 region:rollup2
LOCAL HEALTH PLANS CALIFORNIANS
04:58:39.602 --> 04:58:42.605 region:rollup2
SUPPORT.
04:58:41.203 --> 04:58:43.205 region:rollup2
MISTER CHAIRMAN MEMBERS DAVID
04:58:42.605 --> 04:58:43.606 region:rollup2
JONES ABOUT THE CITY MYRIAD ON
04:58:43.205 --> 04:58:47.576 region:rollup2
SPORT [inaudible]
04:58:43.606 --> 04:58:58.721 region:rollup2
VERY MUCH ANYONE ELSE.
04:58:47.576 --> 04:58:59.021 region:rollup2
SEEING NO ONE WE HAVE OPPOSITION
04:58:58.721 --> 04:59:06.695 region:rollup2
[inaudible]
04:58:59.021 --> 04:59:08.864 region:rollup2
THE CHAIR.
04:59:06.695 --> 04:59:10.399 region:rollup2
THE TWO WITNESSES THREE MINUTES.
04:59:08.864 --> 04:59:11.634 region:rollup2
MISTER CHAIRMAN MEMBERS OF THE
04:59:10.399 --> 04:59:12.568 region:rollup2
COMMITTEE STEPHANIE ROBERSON ON
04:59:11.634 --> 04:59:13.969 region:rollup2
BEHALF OF THE CALIFORNIA NURSES
04:59:12.568 --> 04:59:15.404 region:rollup2
ASSOCIATION IN OPPOSITION TO
04:59:13.969 --> 04:59:16.338 region:rollup2
THIS BILL --
04:59:15.404 --> 04:59:19.108 region:rollup2
MEMBERS WE BELIEVE THAT THIS
04:59:16.338 --> 04:59:20.376 region:rollup2
BILL IS BASED ON WHAT PILOTS WE
04:59:19.108 --> 04:59:22.311 region:rollup2
BELIEVE THAT FLOOD PILOTS WILL
04:59:20.376 --> 04:59:24.013 region:rollup2
LEAD TO FLAWED POLICY AND WILL
04:59:22.311 --> 04:59:25.314 region:rollup2
PUT PATIENTS IN HARM'S WAY.
04:59:24.013 --> 04:59:27.116 region:rollup2
AND WE ALSO BELIEVE THAT THE
04:59:25.314 --> 04:59:28.717 region:rollup2
JURY IS OUT ON THESE PILOTS.
04:59:27.116 --> 04:59:29.451 region:rollup2
THEY HAVE BEEN EXTENDED FOUR
04:59:28.717 --> 04:59:32.288 region:rollup2
TIMES AND THE DATA HAS NOT
04:59:29.451 --> 04:59:32.288 region:rollup2
CHANGED.
04:59:32.354 --> 04:59:35.791 region:rollup2
DELIVERING SERVICES IN THE AREA
04:59:34.223 --> 04:59:37.460 region:rollup2
OF POST DISCHARGE FOLLOW UP
04:59:35.791 --> 04:59:38.527 region:rollup2
WHICH IS MOST PROBLEMATIC TO US.
04:59:37.460 --> 04:59:42.331 region:rollup2
IN THE BIGGEST COHORT OF
04:59:38.527 --> 04:59:43.232 region:rollup2
PATIENTS 25% OF THEM --
04:59:42.331 --> 04:59:44.466 region:rollup2
NINE HUNDRED TWENTY TWO PATIENTS
04:59:43.232 --> 04:59:45.568 region:rollup2
25% OF THOSE ENROLLED IN THOSE
04:59:44.466 --> 04:59:47.102 region:rollup2
PILOTS RETURNED TO THE E. D. IN
04:59:45.568 --> 04:59:51.707 region:rollup2
THIRTY DAYS.
04:59:47.102 --> 04:59:52.341 region:rollup2
IN YEAR 231% OF A FOUR HUNDRED
04:59:51.707 --> 04:59:53.742 region:rollup2
EIGHTY TWO POST DISCHARGE FROM
04:59:52.341 --> 04:59:55.244 region:rollup2
RELEASE A TWO HUNDRED FORTY NINE
04:59:53.742 --> 04:59:56.378 region:rollup2
PATIENTS RETURN TO THE EATING IN
04:59:55.244 --> 04:59:58.681 region:rollup2
THIRTY DAYS.
04:59:56.378 --> 05:00:00.115 region:rollup2
AND AT THE POINT THIS POINT THE
04:59:58.681 --> 05:00:01.817 region:rollup2
PILOTS ARE TO DECREASE
05:00:00.115 --> 05:00:03.385 region:rollup2
ADMISSIONS THAT'S THE POINT OF
05:00:01.817 --> 05:00:05.020 region:rollup2
THE POST DISCHARGE PILOT.
05:00:03.385 --> 05:00:07.223 region:rollup2
THESE PILOTS OCCURRED IN LA AND
05:00:05.020 --> 05:00:10.326 region:rollup2
YOU COUNTIES IS IMPORTANT TO
05:00:07.223 --> 05:00:10.926 region:rollup2
KNOW THAT AN ADDITIONAL TWO
05:00:10.326 --> 05:00:11.594 region:rollup2
THOUSAND NINE HUNDRED SEVENTY
05:00:10.926 --> 05:00:13.162 region:rollup2
FIVE PEOPLE THAT WERE ELIGIBLE
05:00:11.594 --> 05:00:13.762 region:rollup2
FOR THE POST DISCHARGE PROUD OF
05:00:13.162 --> 05:00:16.398 region:rollup2
PROJECT.
05:00:13.762 --> 05:00:17.233 region:rollup2
DID NOT ENROLL EIGHT HUNDRED AND
05:00:16.398 --> 05:00:18.901 region:rollup2
TWENTY THREE PATIENTS DID NOT
05:00:17.233 --> 05:00:20.202 region:rollup2
CONSENT.
05:00:18.901 --> 05:00:21.871 region:rollup2
PEOPLE WHO WERE ELIGIBLE BUT NOT
05:00:20.202 --> 05:00:23.973 region:rollup2
ROLL OVER HISPANIC AFRICAN
05:00:21.871 --> 05:00:25.808 region:rollup2
AMERICAN IN PREFERRED TO RECEIVE
05:00:23.973 --> 05:00:27.643 region:rollup2
THE ANYWHERE INFORMATION IN A
05:00:25.808 --> 05:00:29.612 region:rollup2
LANGUAGE OTHER THAN ENGLISH.
05:00:27.643 --> 05:00:31.113 region:rollup2
THE MAJORITY WHERE I'M MEDI CAL
05:00:29.612 --> 05:00:32.681 region:rollup2
BENEFICIARIES IN OVERALL THIS
05:00:31.113 --> 05:00:34.250 region:rollup2
PILOT SERVE MOSTLY WHITE ENGLISH
05:00:32.681 --> 05:00:37.086 region:rollup2
SPEAKING MALES.
05:00:34.250 --> 05:00:39.788 region:rollup2
INDIA TRIAGE INFREQUENT EMS USER
05:00:37.086 --> 05:00:41.957 region:rollup2
CASE IN ALAMEDA AND SAN DIEGO.
05:00:39.788 --> 05:00:43.492 region:rollup2
A SMALL COHORT WITH LESS THAN
05:00:41.957 --> 05:00:44.994 region:rollup2
EIGHTY PATIENTS OVER FORTY FIVE
05:00:43.492 --> 05:00:46.996 region:rollup2
PATIENTS WERE ABANDONED AND
05:00:44.994 --> 05:00:48.531 region:rollup2
FOLLOWED UP BY ACTUAL LICENSE
05:00:46.996 --> 05:00:49.999 region:rollup2
PERSONNEL DOCTORS.
05:00:48.531 --> 05:00:52.067 region:rollup2
WHEN THE PARAMEDICS AND TRAINEES
05:00:49.999 --> 05:00:53.235 region:rollup2
WERE REMOVED FROM THE PILOT --
05:00:52.067 --> 05:00:53.869 region:rollup2
THEY WERE REMOVED FROM THE PILOT
05:00:53.235 --> 05:00:55.271 region:rollup2
TO MEET THEIR NINE ONE ONE NEEDS
05:00:53.869 --> 05:00:57.439 region:rollup2
--
05:00:55.271 --> 05:00:58.774 region:rollup2
FROM THE AMBULANCE PROVIDER. ONE
05:00:57.439 --> 05:01:00.075 region:rollup2
MORE INSTANCE ALTERNATE
05:00:58.774 --> 05:01:01.577 region:rollup2
DESTINATION MENTAL HEALTH I WANT
05:01:00.075 --> 05:01:03.145 region:rollup2
TO NOTE THAT 99% OF THOSE
05:01:01.577 --> 05:01:04.847 region:rollup2
PATIENTS WERE DIVERTED TO THE
05:01:03.145 --> 05:01:08.050 region:rollup2
PILOT BECAUSE THEY WERE MEDI CAL
05:01:04.847 --> 05:01:10.152 region:rollup2
RECIPIENTS. 1% OF THOSE PATIENTS
05:01:08.050 --> 05:01:11.720 region:rollup2
STATE IN THE E. D. BECAUSE OF
05:01:10.152 --> 05:01:13.188 region:rollup2
PATIENTS WERE PRIVATE PAY.
05:01:11.720 --> 05:01:14.523 region:rollup2
I'M GONNA MOVE TO SOME SOLUTIONS
05:01:13.188 --> 05:01:16.025 region:rollup2
AND I'M SENDING AROUND TO ALL OF
05:01:14.523 --> 05:01:18.027 region:rollup2
YOU AND I HAVE MANY MORE --
05:01:16.025 --> 05:01:19.795 region:rollup2
PATIENT --
05:01:18.027 --> 05:01:20.930 region:rollup2
STATS THAT I CAN SHARE WITH YOU
05:01:19.795 --> 05:01:22.698 region:rollup2
BUT THIS DOESN'T PAINT A PRETTY
05:01:20.930 --> 05:01:24.099 region:rollup2
PICTURE NINE FOUR FOUR IS BASED
05:01:22.698 --> 05:01:26.201 region:rollup2
ON FACT FAILED OUTCOMES CROSS
05:01:24.099 --> 05:01:28.637 region:rollup2
ALL CONCEPTS FORTY PRE 3% OR
05:01:26.201 --> 05:01:31.607 region:rollup2
MEDI CAL BENEFICIARIES. 20% MEDI
05:01:28.637 --> 05:01:33.442 region:rollup2
CAL 50% AN INCH THE GOAL IS TO
05:01:31.607 --> 05:01:34.743 region:rollup2
ALLEVIATE YOUR PRESSURE.
05:01:33.442 --> 05:01:35.611 region:rollup2
WITH PATIENTS WHO DO NOT NEED TO
05:01:34.743 --> 05:01:37.146 region:rollup2
BE IN THE E. R. DECREASE WALL
05:01:35.611 --> 05:01:38.681 region:rollup2
TIME AND MAKE SURE THAT PATIENTS
05:01:37.146 --> 05:01:39.915 region:rollup2
ARE SAFELY TRIAGE I PASSED
05:01:38.681 --> 05:01:41.050 region:rollup2
AROUND TO YOU SOMETHING THAT'S
05:01:39.915 --> 05:01:42.885 region:rollup2
ALREADY HAPPENING.
05:01:41.050 --> 05:01:44.520 region:rollup2
IN OUR CALIFORNIA SYSTEMS YOU
05:01:42.885 --> 05:01:46.322 region:rollup2
CAN HAVE A RAPID A VALUE ADD
05:01:44.520 --> 05:01:47.890 region:rollup2
VALUATION THAT COULD HAPPEN SORT
05:01:46.322 --> 05:01:49.892 region:rollup2
OF RAPID EMR.
05:01:47.890 --> 05:01:51.160 region:rollup2
AND WHAT HAPPENS IS A DOCTOR --
05:01:49.892 --> 05:01:52.861 region:rollup2
COMBINED WITH NURSES NURSE
05:01:51.160 --> 05:01:55.497 region:rollup2
PRACTITIONERS MPS RIGHT NOW IN
05:01:52.861 --> 05:01:56.932 region:rollup2
OUR SYSTEM OUR TRIAGE ING THOSE
05:01:55.497 --> 05:01:58.300 region:rollup2
LOW ACUITY PATIENTS SO WHEN A
05:01:56.932 --> 05:01:59.335 region:rollup2
PARAMEDIC CALLS INTO THE OUR
05:01:58.300 --> 05:02:00.569 region:rollup2
LIKE THEY DO RIGHT NOW THEY SAY
05:01:59.335 --> 05:02:02.171 region:rollup2
THEY HAVE A PATIENT.
05:02:00.569 --> 05:02:03.839 region:rollup2
THEY HAVE THESE RAPID EVALUATION
05:02:02.171 --> 05:02:05.608 region:rollup2
UNITS WHERE THESE.
05:02:03.839 --> 05:02:07.509 region:rollup2
COM COLD BLUE TEAMS COME TO THE
05:02:05.608 --> 05:02:10.546 region:rollup2
SITE COME TO WHERE THE PATIENT
05:02:07.509 --> 05:02:12.481 region:rollup2
IS AND DISCHARGES THEM OR THEY
05:02:10.546 --> 05:02:14.049 region:rollup2
CAN GO TO THE LOCAL PARAMEDIC
05:02:12.481 --> 05:02:15.818 region:rollup2
AND SAY YOU CAN TAKE THEM TO AN
05:02:14.049 --> 05:02:16.852 region:rollup2
ALTERNATE DESTINATION CENTER.
05:02:15.818 --> 05:02:18.954 region:rollup2
AND BASED ON SOME OF THOSE
05:02:16.852 --> 05:02:20.122 region:rollup2
PILOTS THE OF DECREASE WALL TIME
05:02:18.954 --> 05:02:21.423 region:rollup2
AND DECREASED --
05:02:20.122 --> 05:02:23.025 region:rollup2
TIME IN THE E. R. FOR EACH
05:02:21.423 --> 05:02:24.426 region:rollup2
PATIENT SO WE URGE THAT YOU LOOK
05:02:23.025 --> 05:02:26.261 region:rollup2
AT THESE OTHER ALTERNATIVES
05:02:24.426 --> 05:02:28.030 region:rollup2
MEMBERS THINK YOU.
05:02:26.261 --> 05:02:28.931 region:rollup2
PETER CALLISON ON BEHALF OF TO
05:02:28.030 --> 05:02:30.165 region:rollup2
CLIENTS ONE WOULD BE THE
05:02:28.931 --> 05:02:31.500 region:rollup2
CALIFORNIA ASSOCIATION FOR
05:02:30.165 --> 05:02:33.035 region:rollup2
HEALTH SERVICES AT HOME WHICH A
05:02:31.500 --> 05:02:34.470 region:rollup2
HOME HEALTH AGENCIES THEIR
05:02:33.035 --> 05:02:35.070 region:rollup2
OPPOSITION IS SIMILAR TO WHAT
05:02:34.470 --> 05:02:36.772 region:rollup2
WAS ARTICULATED BY THE NURSES
05:02:35.070 --> 05:02:38.273 region:rollup2
ASSOCIATION.
05:02:36.772 --> 05:02:39.642 region:rollup2
SECOND CLIENT HAS THE CALIFORNIA
05:02:38.273 --> 05:02:41.944 region:rollup2
HOSPICE AND PALLIATIVE CARE
05:02:39.642 --> 05:02:42.978 region:rollup2
ASSOCIATION I'D LIKE TO FOCUS MY
05:02:41.944 --> 05:02:44.546 region:rollup2
COMMENTS UPON THE IMPACT ON
05:02:42.978 --> 05:02:45.414 region:rollup2
HOSPICE.
05:02:44.546 --> 05:02:47.716 region:rollup2
WITH THIS --
05:02:45.414 --> 05:02:48.517 region:rollup2
WITH THIS LEGISLATION IT'S OUR
05:02:47.716 --> 05:02:50.285 region:rollup2
UNDERSTANDING THAT UNDER THE
05:02:48.517 --> 05:02:51.453 region:rollup2
PILOT PROGRAMS THAT THE ONLY
05:02:50.285 --> 05:02:53.288 region:rollup2
HOSPICE PARTICIPANT WAS IN
05:02:51.453 --> 05:02:54.623 region:rollup2
VENTURA COUNTY.
05:02:53.288 --> 05:02:55.391 region:rollup2
A GOOGLE SEARCH REVEALED THAT
05:02:54.623 --> 05:02:56.992 region:rollup2
THERE'S ABOUT ELEVEN HIGHER
05:02:55.391 --> 05:02:58.761 region:rollup2
HOSPICE PROGRAMS IN VENTURA
05:02:56.992 --> 05:02:59.928 region:rollup2
COUNTY IT'S OUR UNDERSTANDING
05:02:58.761 --> 05:03:01.463 region:rollup2
THAT ONE HOSPICE PROGRAM
05:02:59.928 --> 05:03:03.365 region:rollup2
PARTICIPATED IN THAT PILOT THAT
05:03:01.463 --> 05:03:05.000 region:rollup2
WOULD MEAN THAT. TEN OF THE
05:03:03.365 --> 05:03:06.668 region:rollup2
HOSPICES DECLINED TO PARTICIPATE
05:03:05.000 --> 05:03:08.671 region:rollup2
BECAUSE THEY DID NOT FIND THAT
05:03:06.668 --> 05:03:10.472 region:rollup2
TO BE USEFUL FOR THEIR PATIENTS
05:03:08.671 --> 05:03:12.775 region:rollup2
OR FOR THEIR PROGRAMS.
05:03:10.472 --> 05:03:13.842 region:rollup2
HAVING SAID THAT.
05:03:12.775 --> 05:03:16.812 region:rollup2
THE DILEMMA WITH HOSPICE IS THAT
05:03:13.842 --> 05:03:17.746 region:rollup2
THE IT'S FOR THE TERMINALLY ILL.
05:03:16.812 --> 05:03:19.715 region:rollup2
IT'S NOT --
05:03:17.746 --> 05:03:21.450 region:rollup2
THAT PAYMENT SYSTEM FOR HOSPICES
05:03:19.715 --> 05:03:22.051 region:rollup2
CAPITATED IT'S LIKE A MANAGED
05:03:21.450 --> 05:03:23.252 region:rollup2
CARE SYSTEM FOR THE TERMINALLY
05:03:22.051 --> 05:03:25.387 region:rollup2
ILL.
05:03:23.252 --> 05:03:27.122 region:rollup2
BECAUSE OF THAT IF A NON LICENSE
05:03:25.387 --> 05:03:28.691 region:rollup2
A NON HOSPICE LICENSE PERSONNEL
05:03:27.122 --> 05:03:30.325 region:rollup2
AS INSINUATED INTO THE CARE OR
05:03:28.691 --> 05:03:32.227 region:rollup2
PER FILE PERFECT PROVIDES CARE
05:03:30.325 --> 05:03:32.761 region:rollup2
OF SOME WAY SHAPE OR FORM.
05:03:32.227 --> 05:03:35.097 region:rollup2
THAN THAT IMPACTS HOW THE
05:03:32.761 --> 05:03:37.332 region:rollup2
HOSPICE IS REIMBURSED IT IMPACTS
05:03:35.097 --> 05:03:38.400 region:rollup2
HOW WHO PAYS FOR SHOULD A
05:03:37.332 --> 05:03:39.868 region:rollup2
PATIENT BE.
05:03:38.400 --> 05:03:41.537 region:rollup2
TRANSFERRED TO AN EMERGENCY ROOM
05:03:39.868 --> 05:03:42.404 region:rollup2
IS THE HOSPICE RESPONSIBLE FOR
05:03:41.537 --> 05:03:44.239 region:rollup2
THE PAYMENT OF FOR THE
05:03:42.404 --> 05:03:45.374 region:rollup2
REIMBURSEMENT IS THE FAMILY IS
05:03:44.239 --> 05:03:46.809 region:rollup2
THE FAMILY IS THE PATIENT IT'S
05:03:45.374 --> 05:03:48.210 region:rollup2
UNCERTAIN.
05:03:46.809 --> 05:03:49.645 region:rollup2
SO THAT WE BELIEVE THAT THE
05:03:48.210 --> 05:03:51.580 region:rollup2
TERMINALLY ILL SECTION OF THE
05:03:49.645 --> 05:03:54.817 region:rollup2
BILL SHOULD BE COMMENDED TO
05:03:51.580 --> 05:03:56.585 region:rollup2
EXCLUDE HOSPICE PARTICIPATION --
05:03:54.817 --> 05:03:57.886 region:rollup2
HAPPY TO TALK WITH THAT FURTHER
05:03:56.585 --> 05:03:58.821 region:rollup2
WITH THE SPONSORED OR WHAT THE
05:03:57.886 --> 05:04:01.123 region:rollup2
AUTHOR WE JUST DON'T THINK THAT
05:03:58.821 --> 05:04:02.458 region:rollup2
IT'S COMPATIBLE FOR HOW HOSPICES
05:04:01.123 --> 05:04:04.827 region:rollup2
STRUCTURED FOR THE PURPOSE
05:04:02.458 --> 05:04:06.261 region:rollup2
AUSPICES SERVED --
05:04:04.827 --> 05:04:08.831 region:rollup2
AND RESPECTFULLY REQUEST THAT
05:04:06.261 --> 05:04:09.798 region:rollup2
FROM FOR YOUR CONSIDERATION.
05:04:08.831 --> 05:04:12.534 region:rollup2
OTHERS IN OPPOSITION JUST YOUR
05:04:09.798 --> 05:04:13.802 region:rollup2
NAME AND ORGANIZATION.
05:04:12.534 --> 05:04:15.204 region:rollup2
I MISTER CHAIR CHRIS MCKAY LEON
05:04:13.802 --> 05:04:16.205 region:rollup2
WE HAVE THE CALIFORNIA AMBULANCE
05:04:15.204 --> 05:04:19.374 region:rollup2
ASSOCIATION WE ARE OPPOSE FOR
05:04:16.205 --> 05:04:20.476 region:rollup2
OTHER REASONS.
05:04:19.374 --> 05:04:22.111 region:rollup2
THAT'S YOU ARMSTRONG ON BEHALF
05:04:20.476 --> 05:04:23.512 region:rollup2
OF THE MS ADMINISTRATORS
05:04:22.111 --> 05:04:24.480 region:rollup2
ASSOCIATION AN EMERGENCY MEDICAL
05:04:23.512 --> 05:04:25.481 region:rollup2
DIRECTORS ASSOCIATION
05:04:24.480 --> 05:04:27.683 region:rollup2
REGRETFULLY A POST [inaudible]
05:04:25.481 --> 05:04:28.951 region:rollup2
YOU.
05:04:27.683 --> 05:04:30.152 region:rollup2
THE DEPARTMENT THE CALIFORNIA
05:04:28.951 --> 05:04:32.554 region:rollup2
HOSPITAL ASSOCIATION AND
05:04:30.152 --> 05:04:32.855 region:rollup2
OPPOSITION OF THE BILL
05:04:32.554 --> 05:04:35.657 region:rollup2
[inaudible]
05:04:32.855 --> 05:04:36.325 region:rollup2
ANYONE ELSE.
05:04:35.657 --> 05:04:37.126 region:rollup2
SEE KNOWN BRING BACK TO
05:04:36.325 --> 05:04:39.495 region:rollup2
COMMITTEE FOR QUESTIONS OR
05:04:37.126 --> 05:04:41.029 region:rollup2
COMMENTS COMMENTS QUESTIONS FROM
05:04:39.495 --> 05:04:42.865 region:rollup2
ME.
05:04:41.029 --> 05:04:43.465 region:rollup2
I'M SORRY MR.
05:04:42.865 --> 05:04:45.768 region:rollup2
YEAH MISTER BIG JUST TO TALK
05:04:43.465 --> 05:04:47.069 region:rollup2
ABOUT THE OF THE AMENDMENTS --
05:04:45.768 --> 05:04:49.838 region:rollup2
THAT SPECIFIC SPECIFICALLY BE
05:04:47.069 --> 05:04:50.739 region:rollup2
SEE YOUR GONNA TAKE THE A A BUT
05:04:49.838 --> 05:04:52.274 region:rollup2
NOT.
05:04:50.739 --> 05:04:53.675 region:rollup2
BE CORRECTED AND THEN THE
05:04:52.274 --> 05:04:54.943 region:rollup2
COMMITTEE ANALYSIS HERE IT'S IS
05:04:53.675 --> 05:04:55.778 region:rollup2
GIVEN THE OVERLAP THE TWO
05:04:54.943 --> 05:04:57.146 region:rollup2
ENTITIES THE OVERSIGHT
05:04:55.778 --> 05:04:59.248 region:rollup2
COMMITTEES HOUSE WAS BUILT PEERS
05:04:57.146 --> 05:05:01.083 region:rollup2
UNNECESSARY.
05:04:59.248 --> 05:05:01.683 region:rollup2
AND DUPLICATIVE.
05:05:01.083 --> 05:05:03.585 region:rollup2
DO YOU NOT BELIEVE THAT TO BE
05:05:01.683 --> 05:05:04.486 region:rollup2
TRUE.
05:05:03.585 --> 05:05:05.621 region:rollup2
WELL I THINK WE NEED TO CONSULT
05:05:04.486 --> 05:05:07.422 region:rollup2
WITH ALL THE VARIOUS FOLKS TO
05:05:05.621 --> 05:05:09.158 region:rollup2
FIND OUT I MEAN WE IS THIS
05:05:07.422 --> 05:05:10.692 region:rollup2
PROCESS WHO DO READ THE BILL
05:05:09.158 --> 05:05:12.961 region:rollup2
IT'S KIND OF AMAZING TO ME.
05:05:10.692 --> 05:05:14.496 region:rollup2
IT BASICALLY SETS FORTH LOCAL
05:05:12.961 --> 05:05:16.031 region:rollup2
ABOUT OUR AUTONOMY TO MAKE A
05:05:14.496 --> 05:05:17.232 region:rollup2
DETERMINATION AND SETS FORTH
05:05:16.031 --> 05:05:18.300 region:rollup2
WITH THAT FRAME LOOKS LIKE.
05:05:17.232 --> 05:05:20.302 region:rollup2
THEY GOT REQUIRES A BIT MORE
05:05:18.300 --> 05:05:20.969 region:rollup2
HOMEWORK TALK AND EVERYBODY TO
05:05:20.302 --> 05:05:21.603 region:rollup2
FIGURE OUT THOSE COMMITTEES LOOK
05:05:20.969 --> 05:05:23.105 region:rollup2
LIKE OR HAVE.
05:05:21.603 --> 05:05:24.339 region:rollup2
THEY SUGGESTED THAT WE'RE HAPPY
05:05:23.105 --> 05:05:25.974 region:rollup2
TO TAKE THE TIME TO DO THE PUT A
05:05:24.339 --> 05:05:27.709 region:rollup2
HUGE AMOUNT TIMES MEASURE SO FAR
05:05:25.974 --> 05:05:29.144 region:rollup2
AND COMMITTED TO KEEP WORKING ON
05:05:27.709 --> 05:05:30.479 region:rollup2
IT UNFORTUNATELY THAT'S ONE OF
05:05:29.144 --> 05:05:32.114 region:rollup2
THE CHALLENGES WITH THIS
05:05:30.479 --> 05:05:33.849 region:rollup2
LEGISLATIVE PROCESS HAS BEEN.
05:05:32.114 --> 05:05:34.883 region:rollup2
PERFORMED ABOUT THIRTY FIVE
05:05:33.849 --> 05:05:36.251 region:rollup2
YEARS AGO TED.
05:05:34.883 --> 05:05:37.586 region:rollup2
HAS THESE VEHICLES RUN THROUGH
05:05:36.251 --> 05:05:39.488 region:rollup2
COMMITTEES RATHER THAN AMENDING
05:05:37.586 --> 05:05:40.455 region:rollup2
IMAGE GO ALONG SO WHAT'S.
05:05:39.488 --> 05:05:42.524 region:rollup2
WE WILL WILL WORK WILL CONTINUE
05:05:40.455 --> 05:05:42.824 region:rollup2
WORK ON YOU THAT COMMITMENTS ARE
05:05:42.524 --> 05:05:46.562 region:rollup2
[inaudible]
05:05:42.824 --> 05:05:47.196 region:rollup2
I JERRY JUST WANTED. TO HAVE A
05:05:46.562 --> 05:05:49.264 region:rollup2
CONVERSATION WITH MY FIRE CHIEF
05:05:47.196 --> 05:05:51.800 region:rollup2
IN MY COUNTY TODAY I'M WHOSE.
05:05:49.264 --> 05:05:52.868 region:rollup2
PORTER OF OF THIS --
05:05:51.800 --> 05:05:54.436 region:rollup2
AND I'M GONNA SUPPORT THIS TODAY
05:05:52.868 --> 05:05:55.003 region:rollup2
ALTHOUGH I DO HAVE SOME CONCERNS
05:05:54.436 --> 05:05:56.805 region:rollup2
ON A NUMBER OF OF DIFFERENT
05:05:55.003 --> 05:05:59.208 region:rollup2
THINGS HELP TO BUILD A CONTINUE
05:05:56.805 --> 05:06:00.342 region:rollup2
WORKING ON IT BUT I AM I WILL --
05:05:59.208 --> 05:06:01.977 region:rollup2
I WILL REGRET IT WILL SUPPORT IT
05:06:00.342 --> 05:06:03.378 region:rollup2
AND I DO THINK THIS SORT OF
05:06:01.977 --> 05:06:05.147 region:rollup2
INNOVATIVE APPROACH AS WE
05:06:03.378 --> 05:06:06.014 region:rollup2
CONTINUE ON IS GOING TO BE VERY
05:06:05.147 --> 05:06:07.783 region:rollup2
HELPFUL --
05:06:06.014 --> 05:06:09.284 region:rollup2
ABOUT FOR THE FIRE SERVICE AND
05:06:07.783 --> 05:06:10.686 region:rollup2
FOR PREPARE MEDICINE MATURE NAM
05:06:09.284 --> 05:06:11.987 region:rollup2
GOING FOR IT IT'S HARD LOOK THE
05:06:10.686 --> 05:06:13.522 region:rollup2
THESE THINGS ARE CHALLENGING BUT
05:06:11.987 --> 05:06:14.723 region:rollup2
WE'VE GOT UNBELIEVABLE COST
05:06:13.522 --> 05:06:16.391 region:rollup2
PRESSURE.
05:06:14.723 --> 05:06:17.960 region:rollup2
ON YOU KNOW WITH THAT THAT THAT
05:06:16.391 --> 05:06:19.061 region:rollup2
SOMEBODY BECAUSE NINE ONE ONE IN
05:06:17.960 --> 05:06:21.396 region:rollup2
A FIRE.
05:06:19.061 --> 05:06:22.331 region:rollup2
DE OFFICIAL WHO DID SHOWS UP
05:06:21.396 --> 05:06:23.999 region:rollup2
COMES DIFFERENT COUNTIES A
05:06:22.331 --> 05:06:27.836 region:rollup2
DIFFERENT KIND OF EQUIPMENT.
05:06:23.999 --> 05:06:28.437 region:rollup2
AND SOMETIMES A PERSON IS CALLED
05:06:27.836 --> 05:06:30.239 region:rollup2
THIRTY FIVE BUT CERTAINLY YOU
05:06:28.437 --> 05:06:31.273 region:rollup2
NEED THE PROFESSIONS OF DOCTORS
05:06:30.239 --> 05:06:32.875 region:rollup2
AND NURSES AND MAKING SOME OF
05:06:31.273 --> 05:06:34.977 region:rollup2
THESE DETERMINATIONS.
05:06:32.875 --> 05:06:36.111 region:rollup2
BUT IT TOOK THESE ARE TOUGH
05:06:34.977 --> 05:06:37.112 region:rollup2
DECISIONS AND SO.
05:06:36.111 --> 05:06:39.348 region:rollup2
YOU KNOW WE MAKE GOVERNMENT WORK
05:06:37.112 --> 05:06:40.315 region:rollup2
BETTER IS TO DO THE HOMEWORK TO
05:06:39.348 --> 05:06:41.049 region:rollup2
FIGURE IT OUT THAT'S WILLING TO
05:06:40.315 --> 05:06:43.719 region:rollup2
DO.
05:06:41.049 --> 05:06:45.020 region:rollup2
MISTER CHARLES SECOND MOTION.
05:06:43.719 --> 05:06:46.955 region:rollup2
BIGELOW THANK YOU VERY MUCH BEE
05:06:45.020 --> 05:06:48.156 region:rollup2
BEE -- I'M
05:06:46.955 --> 05:06:50.525 region:rollup2
GLAD TO HEAR THAT YOU'RE A
05:06:48.156 --> 05:06:53.428 region:rollup2
ENTERTAINING THE AMENDMENT ON A
05:06:50.525 --> 05:06:54.730 region:rollup2
I APPRECIATE THAT AND I ALSO.
05:06:53.428 --> 05:06:55.564 region:rollup2
WAS WONDERING IF YOU COULD MAYBE
05:06:54.730 --> 05:06:59.167 region:rollup2
ADDRESS SOME OF THE CONCERNS
05:06:55.564 --> 05:07:00.636 region:rollup2
THAT WERE RAISED ABOUT THE
05:06:59.167 --> 05:07:02.204 region:rollup2
PRIVATE COMMENTS THAT WERE MADE
05:07:00.636 --> 05:07:05.107 region:rollup2
HERE A MOMENT AGO.
05:07:02.204 --> 05:07:06.408 region:rollup2
AND I HAVE ANOTHER QUESTION OF
05:07:05.107 --> 05:07:07.309 region:rollup2
WELL THE BIG ISSUE IS A BIG
05:07:06.408 --> 05:07:08.777 region:rollup2
ISSUE IF FACING.
05:07:07.309 --> 05:07:10.412 region:rollup2
A WITH RESPECT TO ON THIS ISSUE
05:07:08.777 --> 05:07:11.980 region:rollup2
IS THE IDEA THAT PUBLIC AGENCY
05:07:10.412 --> 05:07:13.849 region:rollup2
PREFER PREFERENCE IN OUR
05:07:11.980 --> 05:07:14.650 region:rollup2
JUDGMENT REALLY PRESERVES THE
05:07:13.849 --> 05:07:15.717 region:rollup2
RIGHT OF LOCAL GOVERNMENTS TO
05:07:14.650 --> 05:07:17.252 region:rollup2
MANAGE --
05:07:15.717 --> 05:07:18.553 region:rollup2
EMERGENCY RESPONSE SYSTEMS
05:07:17.252 --> 05:07:20.188 region:rollup2
INTEGRATE THOSE A CRITICAL
05:07:18.553 --> 05:07:21.623 region:rollup2
SERVICES GENDER EXISTING PLANTS
05:07:20.188 --> 05:07:22.925 region:rollup2
RIGHT IF YOU LOOK AT THE
05:07:21.623 --> 05:07:24.159 region:rollup2
FRAMEWORK OF THIS.
05:07:22.925 --> 05:07:25.794 region:rollup2
I THINK IN THE LARGER
05:07:24.159 --> 05:07:27.763 region:rollup2
ARCHITECTURE DE AND WILL LOOK TO
05:07:25.794 --> 05:07:28.664 region:rollup2
YOU WORK ON IT IT'S ALL ABOUT
05:07:27.763 --> 05:07:30.932 region:rollup2
TRYING TO SET A FRAMEWORK FOR
05:07:28.664 --> 05:07:31.867 region:rollup2
LOCAL OPTIONS RIGHT IF YOU READ
05:07:30.932 --> 05:07:33.268 region:rollup2
THIS IF A LOCAL AGENCY WITH THE
05:07:31.867 --> 05:07:35.203 region:rollup2
COUNTY ELECTS TO DEVELOP.
05:07:33.268 --> 05:07:35.771 region:rollup2
HERE'S HOW TO DO THIS AND GOES
05:07:35.203 --> 05:07:37.306 region:rollup2
THROUGH AND SETS FORTH THAT
05:07:35.771 --> 05:07:38.740 region:rollup2
PLANTS SO I THINK THERE IS
05:07:37.306 --> 05:07:40.275 region:rollup2
PARTICULARLY FLEXIBILITY CERTAIN
05:07:38.740 --> 05:07:41.243 region:rollup2
AND CERTAINLY.
05:07:40.275 --> 05:07:43.011 region:rollup2
THE GOVERNMENT SHOULD BE THE
05:07:41.243 --> 05:07:44.313 region:rollup2
FIRST RESPONDER IF YOU WILL IN
05:07:43.011 --> 05:07:44.947 region:rollup2
THOSE COUNTIES WHERE THEY DON'T
05:07:44.313 --> 05:07:48.417 region:rollup2
HAVE A I THINK GOVERNMENT WILL
05:07:44.947 --> 05:07:48.984 region:rollup2
HAVE THE ABILITY TO TO DO
05:07:48.417 --> 05:07:49.284 region:rollup2
WITHOUT A CAR APPROPRIATELY
05:07:48.984 --> 05:07:51.253 region:rollup2
[inaudible]
05:07:49.284 --> 05:07:53.522 region:rollup2
AND BEING SOMEONE WHO IS ON THE
05:07:51.253 --> 05:07:55.624 region:rollup2
FRONTLINE WHO DOES RESPOND ON A
05:07:53.522 --> 05:07:56.892 region:rollup2
REGULAR BASIS AS AN EMT --
05:07:55.624 --> 05:07:59.461 region:rollup2
I COULD SEE THE SAME PATIENT
05:07:56.892 --> 05:08:01.763 region:rollup2
OVER AND OVER.
05:07:59.461 --> 05:08:04.733 region:rollup2
OVER AND OVER RIGHT IT'S
05:08:01.763 --> 05:08:05.701 region:rollup2
GROUNDHOG DAY IN MANY CASES --
05:08:04.733 --> 05:08:07.736 region:rollup2
IN THAT THIS THE SCENARIO NEVER
05:08:05.701 --> 05:08:08.537 region:rollup2
CHANGES.
05:08:07.736 --> 05:08:10.539 region:rollup2
I CAN'T CITE ONE WHERE DID
05:08:08.537 --> 05:08:12.274 region:rollup2
CHANGE.
05:08:10.539 --> 05:08:13.408 region:rollup2
REALLY YEAH THE THIRD TIME THERE
05:08:12.274 --> 05:08:15.877 region:rollup2
YOU ASSUMED YOU WERE NOT GOING
05:08:13.408 --> 05:08:16.745 region:rollup2
TO STAGE OUTSIDE.
05:08:15.877 --> 05:08:18.547 region:rollup2
I WALKED IN AND IT'S ILLEGALLY
05:08:16.745 --> 05:08:21.950 region:rollup2
SHOT FIVE TIMES.
05:08:18.547 --> 05:08:23.185 region:rollup2
THAT WAS A TIME TO TAKE YOUR
05:08:21.950 --> 05:08:25.087 region:rollup2
SIGN AND LEAVE.
05:08:23.185 --> 05:08:26.588 region:rollup2
IT SO ANY DID HE DID DESTRUCTIVE
05:08:25.087 --> 05:08:27.756 region:rollup2
WEAPON --
05:08:26.588 --> 05:08:30.392 region:rollup2
DON'T THE REALITY THE REAL ISSUE
05:08:27.756 --> 05:08:32.894 region:rollup2
IS.
05:08:30.392 --> 05:08:34.396 region:rollup2
FIREMAN GET THEIR FIRST.
05:08:32.894 --> 05:08:36.298 region:rollup2
IN THE RURAL AREA RIGHT BUT THE
05:08:34.396 --> 05:08:37.899 region:rollup2
TRUTH IS.
05:08:36.298 --> 05:08:39.634 region:rollup2
WE DON'T HAVE PARAMEDICS IN A
05:08:37.899 --> 05:08:41.236 region:rollup2
FIRE SYSTEM IN RURAL AREAS FOR
05:08:39.634 --> 05:08:42.471 region:rollup2
THE VAST MAJORITY NOT IN ALL
05:08:41.236 --> 05:08:43.739 region:rollup2
AREAS BUT IF FOR THE VAST
05:08:42.471 --> 05:08:44.373 region:rollup2
MAJORITY AT LEAST THE DISTRICT
05:08:43.739 --> 05:08:46.074 region:rollup2
THAT I CAN SAY.
05:08:44.373 --> 05:08:48.677 region:rollup2
I REPRESENT.
05:08:46.074 --> 05:08:50.645 region:rollup2
IN MOST CASES IS THE LOCALEMS
05:08:48.677 --> 05:08:52.414 region:rollup2
AMBULANCE CARRIERS.
05:08:50.645 --> 05:08:53.415 region:rollup2
THERE THE FIRST PEOPLE THERE IN
05:08:52.414 --> 05:08:55.017 region:rollup2
MANY CASES THEY'RE NONPROFIT
05:08:53.415 --> 05:08:57.052 region:rollup2
ORGANIZATIONS [inaudible]
05:08:55.017 --> 05:08:58.487 region:rollup2
SO HOPEFULLY WE WON'T BE STE
05:08:57.052 --> 05:09:01.456 region:rollup2
TRADING [inaudible]
05:08:58.487 --> 05:09:02.924 region:rollup2
AND HARMING THOSE FOLKS WHO ARE
05:09:01.456 --> 05:09:05.093 region:rollup2
IN PRIVATE ENTERPRISE WILL BE
05:09:02.924 --> 05:09:05.694 region:rollup2
DOING OF VALUE JOB.
05:09:05.093 --> 05:09:08.130 region:rollup2
IN OUR COMMUNITIES AS WE MOVE
05:09:05.694 --> 05:09:10.799 region:rollup2
FORWARD ON BUT AT THE SAME TIME
05:09:08.130 --> 05:09:12.034 region:rollup2
WORKING IN RESPECTING --
05:09:10.799 --> 05:09:14.036 region:rollup2
WHAT WHAT THE LOCAL GOVERNMENTS
05:09:12.034 --> 05:09:15.103 region:rollup2
CAN AND CAN'T DO AND I THINK
05:09:14.036 --> 05:09:16.138 region:rollup2
THIS MEMO COVERS A GREAT DEAL OF
05:09:15.103 --> 05:09:18.073 region:rollup2
THAT?
05:09:16.138 --> 05:09:19.207 region:rollup2
PERSPECTIVE OF THEIR LIKE IT I
05:09:18.073 --> 05:09:19.708 region:rollup2
ENJOY TO SEE IF I COULD COULD IF
05:09:19.207 --> 05:09:20.609 region:rollup2
I COULD JUST ADD TO YOUR
05:09:19.708 --> 05:09:21.810 region:rollup2
THOUGHT.
05:09:20.609 --> 05:09:24.713 region:rollup2
WITH THE WHOLE THING SURE IT IN
05:09:21.810 --> 05:09:27.249 region:rollup2
SECTION SEVENTY NINE ONE SEVEN
05:09:24.713 --> 05:09:27.649 region:rollup2
NINE SEVEN POINT TO THE SEVEN
05:09:27.249 --> 05:09:29.184 region:rollup2
SEVEN TWO IT SAYS.
05:09:27.649 --> 05:09:30.852 region:rollup2
THAT THE REPORTER SUPERVISOR
05:09:29.184 --> 05:09:32.687 region:rollup2
ESTABLISH EMERGENCY MEDICAL CARE
05:09:30.852 --> 05:09:33.889 region:rollup2
COMMITTEE AND SO ALSO INCLUDE
05:09:32.687 --> 05:09:35.791 region:rollup2
THE FOLLOWING MEMBERS.
05:09:33.889 --> 05:09:36.958 region:rollup2
THAT ADVISE EMS AGENCY ON THE
05:09:35.791 --> 05:09:38.493 region:rollup2
DEVELOPMENT OF COMMITTEE
05:09:36.958 --> 05:09:39.961 region:rollup2
PARAMEDICS PROGRAMS SO THAT THE
05:09:38.493 --> 05:09:41.496 region:rollup2
WHOLE IDEA.
05:09:39.961 --> 05:09:42.764 region:rollup2
I THINK IN THE STATE IS BIGGEST
05:09:41.496 --> 05:09:44.933 region:rollup2
CALIFORNIA'S LONGER STILL OF ONE
05:09:42.764 --> 05:09:45.200 region:rollup2
CALIFORNIANS SET OF THREE OR SIX
05:09:44.933 --> 05:09:47.135 region:rollup2
WHATEVER.
05:09:45.200 --> 05:09:47.869 region:rollup2
THE NUMBERS THAT HAVE BEEN
05:09:47.135 --> 05:09:49.638 region:rollup2
PROPOSED OVER THE YEARS.
05:09:47.869 --> 05:09:51.807 region:rollup2
THE IDEA IS TO MARRY THE
05:09:49.638 --> 05:09:53.341 region:rollup2
PROFESSIONALISM BY REQUIRING TWO
05:09:51.807 --> 05:09:54.309 region:rollup2
REGISTERED NURSES RECORDING TO
05:09:53.341 --> 05:09:56.244 region:rollup2
E. R..
05:09:54.309 --> 05:09:58.747 region:rollup2
DOCKS REQUIRING A NUMBER OF
05:09:56.244 --> 05:10:00.582 region:rollup2
OTHER FOLKS IN THE PROCESS THAT
05:09:58.747 --> 05:10:01.583 region:rollup2
THAT THE STANDARDS BE SAD.
05:10:00.582 --> 05:10:02.217 region:rollup2
THE BOARD OF SUPERVISORS TO MAKE
05:10:01.583 --> 05:10:04.086 region:rollup2
THOSE DETERMINATIONS WITH THE
05:10:02.217 --> 05:10:05.220 region:rollup2
ADVICE.
05:10:04.086 --> 05:10:07.422 region:rollup2
BECAUSE NOT EVERY CA I SUSPECT
05:10:05.220 --> 05:10:08.290 region:rollup2
YOU KNOW ALPINE COUNTY AND THAT
05:10:07.422 --> 05:10:10.692 region:rollup2
WE CITIES --
05:10:08.290 --> 05:10:11.760 region:rollup2
OR TRINITY COUNTY WEAVERVILLE IT
05:10:10.692 --> 05:10:13.295 region:rollup2
WILL HAVE DIFFERENT STANDARDS IN
05:10:11.760 --> 05:10:13.695 region:rollup2
LOS ANGELES OR SAN DIEGO AND
05:10:13.295 --> 05:10:15.096 region:rollup2
THEY'LL MAKE THOSE
05:10:13.695 --> 05:10:16.431 region:rollup2
DETERMINATIONS WITH THE ADVICE
05:10:15.096 --> 05:10:18.633 region:rollup2
OF EXPERTS [inaudible]
05:10:16.431 --> 05:10:20.702 region:rollup2
ACTUALLY IT.
05:10:18.633 --> 05:10:22.871 region:rollup2
AS FAR AS THE MPS GO.
05:10:20.702 --> 05:10:25.407 region:rollup2
IT'S ONE STANDARD NATIONWIDE.
05:10:22.871 --> 05:10:27.042 region:rollup2
AND WERE ON A NATIONALIST AND
05:10:25.407 --> 05:10:29.110 region:rollup2
AND WE DO HAVE STATED CALIFORNIA
05:10:27.042 --> 05:10:30.078 region:rollup2
STANDARD ARE THAT WE ACT ON AND
05:10:29.110 --> 05:10:33.281 region:rollup2
THEN EACH BOARD OF SUPERVISORS
05:10:30.078 --> 05:10:34.249 region:rollup2
ADOPTS THE IN MANY CASES THOSE
05:10:33.281 --> 05:10:35.817 region:rollup2
FORTY SUPERVISORS.
05:10:34.249 --> 05:10:37.619 region:rollup2
TURN IT OVER TO A JOINT.
05:10:35.817 --> 05:10:39.654 region:rollup2
OPERATION LIKE THE FRESNO MADERA
05:10:37.619 --> 05:10:40.989 region:rollup2
MARIN MERCED AGENCY WHICH IS
05:10:39.654 --> 05:10:42.424 region:rollup2
BASED ON A FRESNO.
05:10:40.989 --> 05:10:43.925 region:rollup2
WE WORK UNDER THOSE STANDARDS
05:10:42.424 --> 05:10:45.494 region:rollup2
AND THE SCOPE OF PRACTICE THAT'S
05:10:43.925 --> 05:10:47.496 region:rollup2
PLACED HIM IN IN.
05:10:45.494 --> 05:10:49.731 region:rollup2
IN ACTION AND THAT HAPPENS
05:10:47.496 --> 05:10:51.333 region:rollup2
THROUGHOUT THIS MY DISTRICT.
05:10:49.731 --> 05:10:54.069 region:rollup2
LIKE COUNTIES COMBINED AND WORK
05:10:51.333 --> 05:10:55.971 region:rollup2
TOGETHER IN A MULTI AGENCY ARE A
05:10:54.069 --> 05:10:58.640 region:rollup2
WORLD SO IT BECOMES A LITTLE
05:10:55.971 --> 05:11:00.408 region:rollup2
MORE COMPLICATED IN THE CONTEXT
05:10:58.640 --> 05:11:02.377 region:rollup2
OF WHAT EVERYONE'S DOING.
05:11:00.408 --> 05:11:03.411 region:rollup2
ROSETTA POLLEN TWIRL A TO RURAL
05:11:02.377 --> 05:11:04.746 region:rollup2
FROM THAT URBANIZED THOUGHT
05:11:03.411 --> 05:11:05.313 region:rollup2
PROCESS THAT MAYBE YOU'RE
05:11:04.746 --> 05:11:08.016 region:rollup2
ACCLIMATED TO FOUR I'M MORE
05:11:05.313 --> 05:11:09.584 region:rollup2
RULE.
05:11:08.016 --> 05:11:11.086 region:rollup2
ACCLIMATED.
05:11:09.584 --> 05:11:12.154 region:rollup2
TO GIVEN THAT SAID I THINK I'M
05:11:11.086 --> 05:11:12.587 region:rollup2
IN A PLACE WHERE I UNDERSTAND
05:11:12.154 --> 05:11:14.556 region:rollup2
WHERE YOU'RE GOING.
05:11:12.587 --> 05:11:16.625 region:rollup2
AND THAT THIS IS SOMETHING THAT
05:11:14.556 --> 05:11:18.360 region:rollup2
WE CAN SUPPORT OUR TODAY BUT I
05:11:16.625 --> 05:11:20.929 region:rollup2
DO HAVE ONE FINAL CONCERT.
05:11:18.360 --> 05:11:23.431 region:rollup2
YOU TALKED ABOUT THE AGED --
05:11:20.929 --> 05:11:23.899 region:rollup2
COMMUNITY AND HOW WE CAN HANDLE
05:11:23.431 --> 05:11:24.966 region:rollup2
THAT.
05:11:23.899 --> 05:11:25.567 region:rollup2
BECAUSE IT IS IT'S DIFFERENT
05:11:24.966 --> 05:11:27.869 region:rollup2
SCOPE IN A DIFFERENT MECHANISM
05:11:25.567 --> 05:11:30.472 region:rollup2
--
05:11:27.869 --> 05:11:33.308 region:rollup2
FOR HANDLING OF PATIENTS.
05:11:30.472 --> 05:11:33.575 region:rollup2
MAYBE THAT CONVERSATION CAN
05:11:33.308 --> 05:11:35.377 region:rollup2
CONTINUE.
05:11:33.575 --> 05:11:36.611 region:rollup2
ULCER --
05:11:35.377 --> 05:11:37.913 region:rollup2
GREAT DEAL.
05:11:36.611 --> 05:11:39.714 region:rollup2
BECAUSE AS WE GO THAT'S JUST A
05:11:37.913 --> 05:11:42.217 region:rollup2
SEPARATE ENTITY THAT MOVES THE
05:11:39.714 --> 05:11:45.954 region:rollup2
PATIENT NOT ALWAYS IS THAT.
05:11:42.217 --> 05:11:48.823 region:rollup2
CALLED AN ADVANCED LIFE CALL.
05:11:45.954 --> 05:11:49.124 region:rollup2
ALRIGHT APPRECIATE IT THANK YOU
05:11:48.823 --> 05:11:51.626 region:rollup2
[inaudible]
05:11:49.124 --> 05:11:55.430 region:rollup2
ANYONE ELSE [inaudible]
05:11:51.626 --> 05:11:56.798 region:rollup2
BERMAN.
05:11:55.430 --> 05:11:59.134 region:rollup2
THANK YOU MISTER CHAIR --
05:11:56.798 --> 05:12:01.102 region:rollup2
DESPICABLE QUESTIONS SO --
05:11:59.134 --> 05:12:02.671 region:rollup2
I WOULD START WITH --
05:12:01.102 --> 05:12:05.307 region:rollup2
THE EMERGENCY ROOM PHYSICIANS
05:12:02.671 --> 05:12:06.541 region:rollup2
REPRESENTATIVE VALUE YOU
05:12:05.307 --> 05:12:08.543 region:rollup2
OUTLINED THAT PREVIOUS SEE.
05:12:06.541 --> 05:12:10.378 region:rollup2
THERE WAS OPPOSITION AND I DO
05:12:08.543 --> 05:12:11.346 region:rollup2
REMEMBER HEARING ON A SIMILAR
05:12:10.378 --> 05:12:12.881 region:rollup2
BILL.
05:12:11.346 --> 05:12:15.250 region:rollup2
HEARING A CONCERN ABOUT WHO
05:12:12.881 --> 05:12:17.319 region:rollup2
SHOULD ASSESS SOMEONE'S --
05:12:15.250 --> 05:12:18.753 region:rollup2
MEDICAL CONDITION AND I GUESS I
05:12:17.319 --> 05:12:18.920 region:rollup2
WOULD ASK THAT QUESTION TO YOU
05:12:18.753 --> 05:12:22.357 region:rollup2
IN.
05:12:18.920 --> 05:12:24.960 region:rollup2
AND I GUESS ON BEHALF OF YOUR
05:12:22.357 --> 05:12:27.929 region:rollup2
MEMBERS AND NURSES --
05:12:24.960 --> 05:12:28.597 region:rollup2
YOU KNOW BOMB Y. THE CHANGE --
05:12:27.929 --> 05:12:29.731 region:rollup2
I GUESS IN YOUR POSITION WHAT'S
05:12:28.597 --> 05:12:31.199 region:rollup2
DIFFERENT --
05:12:29.731 --> 05:12:33.768 region:rollup2
GIVEN THE CONCERN EXPRESSED
05:12:31.199 --> 05:12:35.070 region:rollup2
BEFORE ARM INTO AND WHY SHOULD
05:12:33.768 --> 05:12:38.840 region:rollup2
THIS.
05:12:35.070 --> 05:12:40.809 region:rollup2
WHY SHOULD WE BE CONCERNED IF --
05:12:38.840 --> 05:12:43.144 region:rollup2
THE ASSESSMENTS ARE HAPPENING --
05:12:40.809 --> 05:12:46.481 region:rollup2
BY A PHYSICIAN AND A NURSE IN IN
05:12:43.144 --> 05:12:47.882 region:rollup2
AN EMERGENCY ROOM SET.
05:12:46.481 --> 05:12:49.284 region:rollup2
I THINK YOUR SERMON.
05:12:47.882 --> 05:12:51.653 region:rollup2
ON BEHALF EMERGENCY PHYSICIANS
05:12:49.284 --> 05:12:52.320 region:rollup2
WE FEEL THAT AND ASKING NINE
05:12:51.653 --> 05:12:53.788 region:rollup2
FORTY FOUR THERE SOME GUARDRAILS
05:12:52.320 --> 05:12:55.457 region:rollup2
THEY'VE BEEN PUT IN PLACE TO
05:12:53.788 --> 05:12:57.158 region:rollup2
ENSURE THAT WHEN THE DEVELOPMENT
05:12:55.457 --> 05:12:58.026 region:rollup2
OF THE PROTOCOLS THAT WILL BE
05:12:57.158 --> 05:12:58.827 region:rollup2
USED BY THE PARAMEDICS IN THE
05:12:58.026 --> 05:12:59.761 region:rollup2
FIELD.
05:12:58.827 --> 05:13:02.764 region:rollup2
THEY'LL HAVE SOME ADDITIONAL
05:12:59.761 --> 05:13:06.201 region:rollup2
OVERSIGHTS YOU BOTH AT THE LOCAL
05:13:02.764 --> 05:13:07.569 region:rollup2
LEVEL AND AT THE STATE LEVEL AND
05:13:06.201 --> 05:13:09.304 region:rollup2
GETTING TO A KIND OF SENATE
05:13:07.569 --> 05:13:11.239 region:rollup2
AROUND THE AMENDMENT THAT WAS
05:13:09.304 --> 05:13:14.509 region:rollup2
DESCRIBED IN AND AND BE IN THE
05:13:11.239 --> 05:13:16.378 region:rollup2
ANALYSIS. ONE OF THE VALUES THAT
05:13:14.509 --> 05:13:17.479 region:rollup2
WE SEE IN THAT COMMITTEE IS THAT
05:13:16.378 --> 05:13:19.614 region:rollup2
IT WOULD BE COMPRISED OF PEOPLE
05:13:17.479 --> 05:13:22.050 region:rollup2
WHO ARE MORE FAMILIAR WITH
05:13:19.614 --> 05:13:23.618 region:rollup2
DEVELOPING PRODUCT BECAUSE FOR
05:13:22.050 --> 05:13:25.220 region:rollup2
IT ADDRESSING PATIENTS OF THAT.
05:13:23.618 --> 05:13:27.589 region:rollup2
KIND SO SOMEONE WHO IS A LOWER
05:13:25.220 --> 05:13:29.891 region:rollup2
CUTIE PATIENT TODAY M. SAYS MORE
05:13:27.589 --> 05:13:31.626 region:rollup2
GEARED TOWARDS TRUMPCARE.
05:13:29.891 --> 05:13:33.528 region:rollup2
IT'S MORE GEARED TOWARDS SETTING
05:13:31.626 --> 05:13:35.263 region:rollup2
UP SYSTEMS FOR ESTABLISHING
05:13:33.528 --> 05:13:36.831 region:rollup2
CRITERIA FOR A STROKES AND OR
05:13:35.263 --> 05:13:38.667 region:rollup2
STOP ME CENTERS ALSO A VERY
05:13:36.831 --> 05:13:40.368 region:rollup2
DIFFERENT TYPE OF THE PATIENT.
05:13:38.667 --> 05:13:41.503 region:rollup2
ARE CONCERNED WITH THE CURRENT
05:13:40.368 --> 05:13:43.271 region:rollup2
STRUCTURE OF THEM SAYS THAT IT
05:13:41.503 --> 05:13:47.075 region:rollup2
MAY NOT BE COMPRISED OF ENOUGH
05:13:43.271 --> 05:13:48.109 region:rollup2
EXPERTS. TO BEST EVALUATE
05:13:47.075 --> 05:13:50.478 region:rollup2
WHETHER THE PROTOCOLS BEING
05:13:48.109 --> 05:13:52.747 region:rollup2
DEVELOPED ARE APPROPRIATE FOR A
05:13:50.478 --> 05:13:53.315 region:rollup2
DIFFERENT TYPE OF THE PATIENT.
05:13:52.747 --> 05:13:55.583 region:rollup2
SO US WITH SENATOR HERTZBERG
05:13:53.315 --> 05:13:56.484 region:rollup2
TALKING ABOUT TRYING --
05:13:55.583 --> 05:13:58.420 region:rollup2
TO TO THROUGHOUT WHAT THE
05:13:56.484 --> 05:13:59.587 region:rollup2
COMPOSITION OF THAT IS SO WE
05:13:58.420 --> 05:14:01.756 region:rollup2
FELT THAT WAS ANOTHER IMPORTANT
05:13:59.587 --> 05:14:03.024 region:rollup2
PART OF S. B. NINE FORTY FOUR
05:14:01.756 --> 05:14:03.958 region:rollup2
THAT WE HAD NOT SEEN ANOTHER
05:14:03.024 --> 05:14:05.694 region:rollup2
LEGISLATION.
05:14:03.958 --> 05:14:07.762 region:rollup2
FOUND WE ALSO FELT IT WAS
05:14:05.694 --> 05:14:09.964 region:rollup2
IMPORTANT TO HAVE WHATEVER WE
05:14:07.762 --> 05:14:11.299 region:rollup2
PUT INTO LAW IS LARGELY BASED ON
05:14:09.964 --> 05:14:12.834 region:rollup2
THE PILOTS THAT HAVE BEEN TESTED
05:14:11.299 --> 05:14:13.868 region:rollup2
SO OUR PERSPECTIVE IS DIFFERENT
05:14:12.834 --> 05:14:16.137 region:rollup2
TEST SOMETHING.
05:14:13.868 --> 05:14:17.806 region:rollup2
WE FEEL THAT IT HAS SHOWN THAT
05:14:16.137 --> 05:14:19.307 region:rollup2
THAT THIS CAN BE DONE THAT WE
05:14:17.806 --> 05:14:20.275 region:rollup2
SHOULD MODEL LEGISLATION AROUND
05:14:19.307 --> 05:14:21.943 region:rollup2
THAT.
05:14:20.275 --> 05:14:24.179 region:rollup2
IN THE ONE THE MOST IMPORTANT
05:14:21.943 --> 05:14:25.246 region:rollup2
ONES IS THAT WE INCLUDE LANGUAGE
05:14:24.179 --> 05:14:26.514 region:rollup2
TO ENSURE THAT ALL PATIENTS ARE
05:14:25.246 --> 05:14:28.583 region:rollup2
TREATED EQUALLY.
05:14:26.514 --> 05:14:30.418 region:rollup2
SO WE WORRY THAT IF YOU SET UP A
05:14:28.583 --> 05:14:31.686 region:rollup2
SYSTEM WHERE POTENTIALLY ONLY
05:14:30.418 --> 05:14:32.921 region:rollup2
CERTAIN PATIENTS GO TO A
05:14:31.686 --> 05:14:34.789 region:rollup2
SOBERING CENTER SO MAYBE YOU'RE
05:14:32.921 --> 05:14:37.525 region:rollup2
HOMELESS PATIENTS --
05:14:34.789 --> 05:14:38.393 region:rollup2
ARE MORE LIKELY TO END UP IN
05:14:37.525 --> 05:14:40.195 region:rollup2
THAT SITUATION WHERE IT'S A
05:14:38.393 --> 05:14:42.230 region:rollup2
BETTER PAYING PAY SHOULD BE MORE
05:14:40.195 --> 05:14:44.065 region:rollup2
LIKELY THAN UP AT THE HOSPITAL.
05:14:42.230 --> 05:14:45.100 region:rollup2
AYE WE WANT TO MAKE SURE THAT.
05:14:44.065 --> 05:14:46.568 region:rollup2
THE SPIRIT OF PROVIDING
05:14:45.100 --> 05:14:47.802 region:rollup2
EMERGENCY MEDICAL SERVICES THAT
05:14:46.568 --> 05:14:49.237 region:rollup2
WE TREAT EVERYONE THE SAME
05:14:47.802 --> 05:14:50.872 region:rollup2
THAT'S EQUAL ACCESS SO THOSE
05:14:49.237 --> 05:14:52.807 region:rollup2
THINGS WERE INCLUDED WHICH GOT
05:14:50.872 --> 05:14:54.075 region:rollup2
OUR ORGANIZATION TO MORE.
05:14:52.807 --> 05:14:56.077 region:rollup2
COMFORTABLE LEVEL CLASSES
05:14:54.075 --> 05:14:58.113 region:rollup2
QUESTION --
05:14:56.077 --> 05:15:00.048 region:rollup2
TO THAT PROPONENTS AND OPPONENTS
05:14:58.113 --> 05:15:02.083 region:rollup2
YOU KNOW IS THIS IS ABOUT SCOPE
05:15:00.048 --> 05:15:03.351 region:rollup2
OF PRACTICE MEANING WE HAVE TWO
05:15:02.083 --> 05:15:05.720 region:rollup2
GROUPS SAID --
05:15:03.351 --> 05:15:06.755 region:rollup2
FROM MY EXPERIENCE SERVICE WELL
05:15:05.720 --> 05:15:08.289 region:rollup2
YOU KNOW I'VE BEEN SERVED WELL
05:15:06.755 --> 05:15:10.258 region:rollup2
BY PARAMEDICS HAD BEEN SERVED
05:15:08.289 --> 05:15:12.160 region:rollup2
WELL BY NURSES --
05:15:10.258 --> 05:15:14.729 region:rollup2
EXISTE CASE GORGEOUS SWAPPING
05:15:12.160 --> 05:15:16.431 region:rollup2
ONE GROUP FOR ANOTHER --
05:15:14.729 --> 05:15:19.701 region:rollup2
IS A CISCO POSITION CISCO
05:15:16.431 --> 05:15:20.668 region:rollup2
CONVERSATION.
05:15:19.701 --> 05:15:21.669 region:rollup2
STEPHANIE WITH THE STEPHANIE
05:15:20.668 --> 05:15:23.104 region:rollup2
ROBERSON WITH CALIFORNIA NURSES
05:15:21.669 --> 05:15:24.639 region:rollup2
ASSOCIATION WE FULLY BELIEVE
05:15:23.104 --> 05:15:25.940 region:rollup2
THAT THIS IS A SCOPE ISSUE WE
05:15:24.639 --> 05:15:26.674 region:rollup2
FELT THAT THIS ISSUE SHOULD WANT
05:15:25.940 --> 05:15:27.642 region:rollup2
TO BUSINESS AND PROFESSIONS
05:15:26.674 --> 05:15:28.376 region:rollup2
COMMITTEE.
05:15:27.642 --> 05:15:31.546 region:rollup2
WE BELIEVE AND AT AN
05:15:28.376 --> 05:15:34.082 region:rollup2
APPROPRIATELY TRAINED GREAT PRE
05:15:31.546 --> 05:15:35.416 region:rollup2
HOSPITAL CARE PARAMEDIC THOUGHTS
05:15:34.082 --> 05:15:37.085 region:rollup2
THE LANE THAT PARAMEDICS ARE IN
05:15:35.416 --> 05:15:39.020 region:rollup2
AND THEY DO THE HAND OFF --
05:15:37.085 --> 05:15:39.621 region:rollup2
TO OUR PHYSICIANS NURSES
05:15:39.020 --> 05:15:43.291 region:rollup2
AND AND OTHER LICENSE PERSONAL
05:15:39.621 --> 05:15:44.325 region:rollup2
--
05:15:43.291 --> 05:15:45.593 region:rollup2
YOU KNOW I WANT TO GO BACK A
05:15:44.325 --> 05:15:46.795 region:rollup2
LITTLE BIT TO THE TWO TIERED
05:15:45.593 --> 05:15:48.096 region:rollup2
ISSUE WE HAVEN'T SEEN THE
05:15:46.795 --> 05:15:49.697 region:rollup2
LANGUAGE BUT WE HAVE BEEN
05:15:48.096 --> 05:15:51.266 region:rollup2
RAILING ON THAT ISSUE SINCE THE
05:15:49.697 --> 05:15:52.967 region:rollup2
INCEPTION OF THIS BILL.
05:15:51.266 --> 05:15:55.770 region:rollup2
WHAT YOU HAVE --
05:15:52.967 --> 05:15:56.805 region:rollup2
IN IN IN BETTER THAN THIS BILL.
05:15:55.770 --> 05:15:58.706 region:rollup2
ARE --
05:15:56.805 --> 05:16:00.141 region:rollup2
AMBITION BASICALLY CONSORTIUMS
05:15:58.706 --> 05:16:01.576 region:rollup2
WITH HOSPITALS IN THE SO BRING
05:16:00.141 --> 05:16:03.211 region:rollup2
IN BEHAVIORAL HEALTH CENTERS
05:16:01.576 --> 05:16:04.612 region:rollup2
THAT ONLY TAKE MEDI CAL.
05:16:03.211 --> 05:16:06.981 region:rollup2
RECIPIENTS.
05:16:04.612 --> 05:16:08.483 region:rollup2
THAT BY DEFINITION IS EMBEDDED
05:16:06.981 --> 05:16:10.151 region:rollup2
IN THIS BILL THAT HAS NOT BEEN
05:16:08.483 --> 05:16:11.553 region:rollup2
FIXED WE DID NOT GET ANY
05:16:10.151 --> 05:16:13.087 region:rollup2
AMENDMENTS ON THAT ISSUE SO IF
05:16:11.553 --> 05:16:14.789 region:rollup2
YOU CARE ABOUT IF YOU CARE ABOUT
05:16:13.087 --> 05:16:15.690 region:rollup2
THE TWO TIRED STANDARD CARE.
05:16:14.789 --> 05:16:17.325 region:rollup2
HE WOULD WANT TO LOOK AT OUR
05:16:15.690 --> 05:16:18.893 region:rollup2
AMENDMENTS I BELIEVE ON PAGE
05:16:17.325 --> 05:16:19.961 region:rollup2
FIVE OR SIX OF OUR OPPOSE LETTER
05:16:18.893 --> 05:16:23.231 region:rollup2
I'M SORRY AND PASS IT OUT.
05:16:19.961 --> 05:16:24.599 region:rollup2
SO ABSOLUTELY WE DON'T FEEL THAT
05:16:23.231 --> 05:16:26.501 region:rollup2
THESE ARE GOOD MODELS IF I HAD
05:16:24.599 --> 05:16:28.136 region:rollup2
MORE TIME I WOULD LAY OUT ALL OF
05:16:26.501 --> 05:16:29.204 region:rollup2
THAT YOU KNOW ADVERSE EVENTS
05:16:28.136 --> 05:16:30.939 region:rollup2
THAT HAVE HAPPENED.
05:16:29.204 --> 05:16:31.973 region:rollup2
WITH THE PILOTS THERE'S DATA
05:16:30.939 --> 05:16:32.740 region:rollup2
THAT WE ACTUALLY CAN'T COMPARE
05:16:31.973 --> 05:16:42.684 region:rollup2
THAT.
05:16:32.740 --> 05:16:43.351 region:rollup2
UCSF IS HIDING FROM US THAT INSA
05:16:42.684 --> 05:16:43.952 region:rollup2
IS HIDING FROM US WE ARE ASKING
05:16:43.351 --> 05:16:44.619 region:rollup2
FOR THE RAW DATA TO COMPARE
05:16:43.952 --> 05:16:45.153 region:rollup2
THOSE NUMBERS THEY'RE NOT GIVING
05:16:44.619 --> 05:16:45.386 region:rollup2
IT TO US SO WHAT ARE THEY
05:16:45.153 --> 05:16:45.954 region:rollup2
HIDING.
05:16:45.386 --> 05:16:46.588 region:rollup2
SO NOT ONLY DO WE LEAVE THAT
05:16:45.954 --> 05:16:47.255 region:rollup2
THIS IS A SCHOOL FOR PROPOSITION
05:16:46.588 --> 05:16:47.922 region:rollup2
THAT PATIENTS HAVE BEEN DIVERTED
05:16:47.255 --> 05:16:49.891 region:rollup2
TO THE SOBERING CENTERS AND THEN
05:16:47.922 --> 05:16:50.859 region:rollup2
GO BACK TO THE E. R. BECAUSE THE
05:16:49.891 --> 05:16:52.026 region:rollup2
PARAMEDICS THAT ARE OUT IN THE
05:16:50.859 --> 05:16:53.228 region:rollup2
FIELD ARE ASSESSING THESE
05:16:52.026 --> 05:16:54.395 region:rollup2
PATIENTS --
05:16:53.228 --> 05:16:56.564 region:rollup2
ADEQUATELY.
05:16:54.395 --> 05:16:58.867 region:rollup2
WHEN YOU LOOK AT A A PATIENT WHO
05:16:56.564 --> 05:17:00.768 region:rollup2
IS IS YOU KNOW ON HOW THE
05:16:58.867 --> 05:17:03.905 region:rollup2
SOBERING ISSUE WHOSE INEBRIATED
05:17:00.768 --> 05:17:04.606 region:rollup2
OFTENTIMES YOU KNOW THAT DOESN'T
05:17:03.905 --> 05:17:07.075 region:rollup2
ALWAYS PRESENT AS SUCH?
05:17:04.606 --> 05:17:08.576 region:rollup2
THESE PATIENTS MAY HAVE FALLEN
05:17:07.075 --> 05:17:10.278 region:rollup2
WE'VE SEEN THOSE ISSUES AND
05:17:08.576 --> 05:17:11.212 region:rollup2
THERE ARE LAYERED ISSUES AND IN.
05:17:10.278 --> 05:17:13.581 region:rollup2
EMSA IN YOU SEE A STEPS ONLY
05:17:11.212 --> 05:17:16.050 region:rollup2
DATA.
05:17:13.581 --> 05:17:17.552 region:rollup2
TROUBLE IN THE FIELD.
05:17:16.050 --> 05:17:19.220 region:rollup2
UNDERSTANDING IF IT'S DRUGS
05:17:17.552 --> 05:17:20.321 region:rollup2
OPIATES AND ALCOHOL THOSE ARE
05:17:19.220 --> 05:17:22.357 region:rollup2
LAYERED ISSUES AND THOSE ARE
05:17:20.321 --> 05:17:23.391 region:rollup2
VERY COMPLEX SITUATIONS SO THAT
05:17:22.357 --> 05:17:24.659 region:rollup2
WAS ALSO CAPTURED IN THE DATA
05:17:23.391 --> 05:17:26.261 region:rollup2
THAT THE PROPONENTS ARE TALKING
05:17:24.659 --> 05:17:27.128 region:rollup2
ABOUT TODAY.
05:17:26.261 --> 05:17:29.397 region:rollup2
SLIGHTLY DIFFERENT ANSWER ON
05:17:27.128 --> 05:17:30.665 region:rollup2
BEHALF OF HOSPICE IN THAT THE
05:17:29.397 --> 05:17:32.433 region:rollup2
ISSUE FOR THE HOSPICE PROGRAMS
05:17:30.665 --> 05:17:33.067 region:rollup2
IS.
05:17:32.433 --> 05:17:34.903 region:rollup2
THE CONTINUITY OF CARE FOR THE
05:17:33.067 --> 05:17:36.271 region:rollup2
PATIENT A PLAN OF CARE FOR
05:17:34.903 --> 05:17:38.406 region:rollup2
HOSPICE PATIENTS THE AVERAGE
05:17:36.271 --> 05:17:39.140 region:rollup2
STATE LIKE OF STATE FOR HOSPICE.
05:17:38.406 --> 05:17:40.942 region:rollup2
SEVENTEEN DAYS SO THIS IS A
05:17:39.140 --> 05:17:42.410 region:rollup2
PATIENT POPULATION IN THE WANING
05:17:40.942 --> 05:17:45.113 region:rollup2
DAYS OF THEIR LIFE SO ENSURING
05:17:42.410 --> 05:17:46.481 region:rollup2
THAT THEIR CARE IS CONDUCTED AS
05:17:45.113 --> 05:17:48.750 region:rollup2
THEY HAVE ARRANGED WHEN DAVE'S
05:17:46.481 --> 05:17:50.518 region:rollup2
SECURED HOSPICE CARE --
05:17:48.750 --> 05:17:51.886 region:rollup2
TO ENSURE THAT IF THERE ARE --
05:17:50.518 --> 05:17:53.154 region:rollup2
ADVANCE DIRECTIVES THAT THERE
05:17:51.886 --> 05:17:56.391 region:rollup2
HONORED BUT THERE'S ALSO THE
05:17:53.154 --> 05:17:58.026 region:rollup2
ECONOMIC ELEMENT OF IN INCLUDING
05:17:56.391 --> 05:17:59.661 region:rollup2
INTO HOW THAT PATIENT IS TREATED
05:17:58.026 --> 05:18:01.229 region:rollup2
AND NON LICENSED HOSPICE
05:17:59.661 --> 05:18:02.230 region:rollup2
PERSONNEL ISSUE.
05:18:01.229 --> 05:18:03.932 region:rollup2
THAT COULD PUT THE HOSPICE
05:18:02.230 --> 05:18:05.333 region:rollup2
PROGRAM AT RISK FINANCIALLY OR
05:18:03.932 --> 05:18:07.468 region:rollup2
THE PATIENT'S FAMILY AT RISK
05:18:05.333 --> 05:18:09.003 region:rollup2
COULD YOU JUST TELL US WHAT THE
05:18:07.468 --> 05:18:11.039 region:rollup2
BASELINE IS FOR EMERGENCY --
05:18:09.003 --> 05:18:11.606 region:rollup2
SUPPORT FOR SOMEONE IN A HOSPICE
05:18:11.039 --> 05:18:13.808 region:rollup2
ENVIRONMENT JUST LIKE AND
05:18:11.606 --> 05:18:15.143 region:rollup2
UNDERSTAND WHAT IT IS NOW IN
05:18:13.808 --> 05:18:16.744 region:rollup2
WHAT WOULD BE UNDER THE PARA
05:18:15.143 --> 05:18:18.146 region:rollup2
MEDICINE PROGRAM THE REASON I I
05:18:16.744 --> 05:18:18.680 region:rollup2
AND I SHOULD KNOW THIS BUT
05:18:18.146 --> 05:18:19.647 region:rollup2
BECAUSE I WAS ALSO SOCIAL
05:18:18.680 --> 05:18:20.915 region:rollup2
WORKER.
05:18:19.647 --> 05:18:23.518 region:rollup2
AND I PROVIDED HOSPICE SOCIAL
05:18:20.915 --> 05:18:26.020 region:rollup2
WORK SERVICES IN.
05:18:23.518 --> 05:18:27.522 region:rollup2
IN HOMES. FOR PATIENTS BUT I
05:18:26.020 --> 05:18:30.525 region:rollup2
DON'T UNDERSTAND WHAT THE ROLE
05:18:27.522 --> 05:18:31.526 region:rollup2
IS FOR THAT IMPAIR MEDICINE --
05:18:30.525 --> 05:18:33.594 region:rollup2
IN THE HOSPICE SO WHAT WE TALK
05:18:31.526 --> 05:18:35.263 region:rollup2
ABOUT WHAT'S THE CONCERN THAT
05:18:33.594 --> 05:18:37.432 region:rollup2
MIGHT HAPPEN.
05:18:35.263 --> 05:18:39.767 region:rollup2
WELL I GOT A CONCERN --
05:18:37.432 --> 05:18:41.903 region:rollup2
ONE CONCERN IS FOR EXAMPLE --
05:18:39.767 --> 05:18:43.504 region:rollup2
IF A PATIENT DOES NEED TO
05:18:41.903 --> 05:18:44.939 region:rollup2
LEGITIMATELY A HOSPICE PATIENT
05:18:43.504 --> 05:18:46.441 region:rollup2
NEED TO BE TRANSFERRED TO AN
05:18:44.939 --> 05:18:48.376 region:rollup2
EMERGENCY ROOM.
05:18:46.441 --> 05:18:49.911 region:rollup2
WHICH GIVEN THAT HOSPICE CARE IS
05:18:48.376 --> 05:18:51.346 region:rollup2
CARE THAT IS PROVIDED FOR THOSE
05:18:49.911 --> 05:18:51.946 region:rollup2
WHO HAVE --
05:18:51.346 --> 05:18:55.483 region:rollup2
NO LONGER ARE SEEKING CURED OF
05:18:51.946 --> 05:18:58.519 region:rollup2
CARE AND THAT OFTEN.
05:18:55.483 --> 05:19:00.221 region:rollup2
BUT WHEN IT DOES IF A THE WAY IT
05:18:58.519 --> 05:19:02.023 region:rollup2
WORKS CURRENTLY IS IF A HOSPICE
05:19:00.221 --> 05:19:03.891 region:rollup2
PERSONNEL IS THE ONE WHO MAKES
05:19:02.023 --> 05:19:05.927 region:rollup2
THE CALL TO HAVE.
05:19:03.891 --> 05:19:07.095 region:rollup2
EMERGENCY MEDICAL TRANSPORT THEN
05:19:05.927 --> 05:19:09.430 region:rollup2
THAT IS DEALT WITH THROUGH THE
05:19:07.095 --> 05:19:11.399 region:rollup2
HOSPICES CAPITATED PAYMENT.
05:19:09.430 --> 05:19:12.467 region:rollup2
AND THE HOSPICE Y. --
05:19:11.399 --> 05:19:15.403 region:rollup2
WINDS UP IT BECOMES PART OF
05:19:12.467 --> 05:19:16.938 region:rollup2
THEIR REIMBURSEMENT BUT IF A NON
05:19:15.403 --> 05:19:17.839 region:rollup2
HOSPICE PERSONNEL MAKES THAT
05:19:16.938 --> 05:19:19.807 region:rollup2
CALL.
05:19:17.839 --> 05:19:21.776 region:rollup2
AND THE PATIENT IS TRANSFERRED
05:19:19.807 --> 05:19:23.211 region:rollup2
THEN EITHER THE HOSPICE PROGRAM
05:19:21.776 --> 05:19:24.712 region:rollup2
HAVE TO EAT THE COST OF THAT.
05:19:23.211 --> 05:19:26.614 region:rollup2
THEMSELVES.
05:19:24.712 --> 05:19:28.016 region:rollup2
OR THE PATIENT'S FAMILY MAYBE
05:19:26.614 --> 05:19:29.484 region:rollup2
WIND UP HAVING TO BEAR THE
05:19:28.016 --> 05:19:31.753 region:rollup2
BURDEN OF IT INTERFERE IT JUST
05:19:29.484 --> 05:19:33.454 region:rollup2
INTERFERES WITH THE FLOW OF CARE
05:19:31.753 --> 05:19:34.389 region:rollup2
FOR THE FOR THE PATIENT'S FAMILY
05:19:33.454 --> 05:19:36.090 region:rollup2
THE PATIENT.
05:19:34.389 --> 05:19:37.325 region:rollup2
AND ULTIMATELY FOR THE THE
05:19:36.090 --> 05:19:39.427 region:rollup2
ECONOMICS OF THE HOSPICE PROGRAM
05:19:37.325 --> 05:19:40.495 region:rollup2
ITSELF.
05:19:39.427 --> 05:19:44.165 region:rollup2
I THINK THE AUTHOR WANTED TO
05:19:40.495 --> 05:19:45.767 region:rollup2
ADDRESS THE SCOPE QUESTION.
05:19:44.165 --> 05:19:47.735 region:rollup2
BUT AS I HAVE AN ANSWER
05:19:45.767 --> 05:19:50.138 region:rollup2
[inaudible] TO ME.
05:19:47.735 --> 05:19:52.006 region:rollup2
O. WAY ORDER OR YOU WITNESSES
05:19:50.138 --> 05:19:53.174 region:rollup2
YOU KNOW I BASICALLY WHAT LOOK
05:19:52.006 --> 05:19:55.009 region:rollup2
WEEKLY WE DRESS THIS.
05:19:53.174 --> 05:19:55.610 region:rollup2
AND I'LL SHOW TWO SECTIONS IF
05:19:55.009 --> 05:19:56.611 region:rollup2
YOU LOOK AT PAGE TWELVE OF THE
05:19:55.610 --> 05:19:59.280 region:rollup2
MEASURE.
05:19:56.611 --> 05:20:00.848 region:rollup2
A SUB PARAGRAPH TWO IT SAYS.
05:19:59.280 --> 05:20:02.116 region:rollup2
MY TALKS ABOUT THE PROTOCOL IT'S
05:20:00.848 --> 05:20:03.384 region:rollup2
IS THE FACILITY NOT BE BASED
05:20:02.116 --> 05:20:04.452 region:rollup2
UPON ARE AFFECTED BY THE
05:20:03.384 --> 05:20:06.387 region:rollup2
PATIENTS AT THIS CITY
05:20:04.452 --> 05:20:07.155 region:rollup2
CITIZENSHIP AGE PRE EXISTING
05:20:06.387 --> 05:20:07.855 region:rollup2
MEDICAL ADDITIONS INSURANCE
05:20:07.155 --> 05:20:09.691 region:rollup2
STATUS.
05:20:07.855 --> 05:20:11.192 region:rollup2
ECONOMIC STATUS ABILITY TO PAY
05:20:09.691 --> 05:20:13.628 region:rollup2
MEDICAL SERVICES OR ANY OTHER
05:20:11.192 --> 05:20:15.096 region:rollup2
CHARACTERISTIC LISTS IS DEFINED
05:20:13.628 --> 05:20:17.031 region:rollup2
SECTION FIFTY ONE US OF A CALL
05:20:15.096 --> 05:20:18.699 region:rollup2
THAT'S GENERAL CIVIL RIGHTS ACT
05:20:17.031 --> 05:20:19.300 region:rollup2
PASSED.
05:20:18.699 --> 05:20:20.968 region:rollup2
NINETY FOUR I REMEMBER THAT.
05:20:19.300 --> 05:20:22.804 region:rollup2
AND IN ADDITION THE IF YOU LOOK
05:20:20.968 --> 05:20:24.572 region:rollup2
AT PAGE THIRTEEN REGIONAL
05:20:22.804 --> 05:20:25.807 region:rollup2
LANGUAGE WAS ANY AGREEMENT WITH
05:20:24.572 --> 05:20:26.974 region:rollup2
AN ALTERNATE DESTINATION
05:20:25.807 --> 05:20:29.343 region:rollup2
FACILITY.
05:20:26.974 --> 05:20:31.746 region:rollup2
HAS TO BE A PROVIDE THAT IF IT
05:20:29.343 --> 05:20:32.413 region:rollup2
FAILS TO PUT OPERATE RECORDS OF
05:20:31.746 --> 05:20:33.448 region:rollup2
SIX THIRTEEN SEVENTEEN THAT'S M.
05:20:32.413 --> 05:20:35.216 region:rollup2
TAUGHT WHICH IS THE BOTH FEDERAL
05:20:33.448 --> 05:20:37.151 region:rollup2
AND STATE EMERGENCY MEDICAL
05:20:35.216 --> 05:20:38.786 region:rollup2
TREATMENT LABOR I IT WILL RESULT
05:20:37.151 --> 05:20:40.321 region:rollup2
IN THE IMMEDIATE TERMINATION OF
05:20:38.786 --> 05:20:40.721 region:rollup2
THE USE THE FACILITIES FOR THE
05:20:40.321 --> 05:20:42.223 region:rollup2
COMMITTEE AMERICA.
05:20:40.721 --> 05:20:43.224 region:rollup2
PERMISSION PROFILE.
05:20:42.223 --> 05:20:43.858 region:rollup2
SO BOTH WITH RESPECT TO THE
05:20:43.224 --> 05:20:46.027 region:rollup2
FACILITY IN WITH RESPECT TO THE
05:20:43.858 --> 05:20:47.295 region:rollup2
TREATMENT.
05:20:46.027 --> 05:20:48.196 region:rollup2
BUT HE CRACKED WHEAT AND ONE
05:20:47.295 --> 05:20:50.398 region:rollup2
THAT WE HAD THE BILL IN THE
05:20:48.196 --> 05:20:51.766 region:rollup2
OTHER ONLY AT THE MAN.
05:20:50.398 --> 05:20:52.400 region:rollup2
I GUESS I SAY RACED US WE
05:20:51.766 --> 05:20:53.501 region:rollup2
THOUGHT IT WAS APPROPRIATE ON
05:20:52.400 --> 05:20:55.069 region:rollup2
HOW TO SENSE IT THIS WAY BECAUSE
05:20:53.501 --> 05:20:57.138 region:rollup2
YOU'RE IN SO FORTUNATE THERE TOO
05:20:55.069 --> 05:20:58.840 region:rollup2
IMPORTANT GROUPS BEFORE US --
05:20:57.138 --> 05:21:00.508 region:rollup2
WHO EACH PROVIDING INCREDIBLE
05:20:58.840 --> 05:21:02.977 region:rollup2
SERVICE TO OUR COMMUNITY SAID
05:21:00.508 --> 05:21:03.945 region:rollup2
ABSOLUTE WHAT I WANT TO BE A TO
05:21:02.977 --> 05:21:04.612 region:rollup2
BE A TO SAY IS ONE OF THE
05:21:03.945 --> 05:21:05.179 region:rollup2
TONIGHT'S ON SUPPORTING WHAT'S
05:21:04.612 --> 05:21:06.314 region:rollup2
IN THE INTERESTS OF THE BEST
05:21:05.179 --> 05:21:08.149 region:rollup2
PUBLIC HEALTH?
05:21:06.314 --> 05:21:09.817 region:rollup2
AND SO I GUESS I'M GONNA BOIL IT
05:21:08.149 --> 05:21:11.085 region:rollup2
DOWN TO THE PROPONENTS WILL SAY
05:21:09.817 --> 05:21:12.053 region:rollup2
WHY THIS IS IN THE BEST INTEREST
05:21:11.085 --> 05:21:13.788 region:rollup2
OF THE PUBLIC HEALTH.
05:21:12.053 --> 05:21:16.824 region:rollup2
IN THE OPPONENTS WILL SAY WHY
05:21:13.788 --> 05:21:17.492 region:rollup2
IT'S NOT BE AND YOU KNOW I I'M
05:21:16.824 --> 05:21:18.960 region:rollup2
NOT GOING TO GO TO SOME THAT'S A
05:21:17.492 --> 05:21:20.628 region:rollup2
SCOPE ISSUE BUT IT'S ABOUT.
05:21:18.960 --> 05:21:22.663 region:rollup2
PROMOTING THE PUBLIC HEALTH I'M
05:21:20.628 --> 05:21:25.166 region:rollup2
ABOUT IT WHY IS THIS IN THE BEST
05:21:22.663 --> 05:21:27.068 region:rollup2
OF PUBLIC HEALTH AND FOR THOSE
05:21:25.166 --> 05:21:28.236 region:rollup2
WHO DON'T AGREE WHY WHY WHAT
05:21:27.068 --> 05:21:31.772 region:rollup2
IMPACTS OR NEGATIVE IMPACTS.
05:21:28.236 --> 05:21:32.240 region:rollup2
DO YOU THINK YOU CAN OCCUR.
05:21:31.772 --> 05:21:35.576 region:rollup2
I CAN ANSWER MIGHT THE
05:21:32.240 --> 05:21:37.445 region:rollup2
LITERATURE.
05:21:35.576 --> 05:21:38.045 region:rollup2
HOW THROUGH THE CHAIR HE'S ONE
05:21:37.445 --> 05:21:38.713 region:rollup2
OF THE GROUPS BECAUSE THAT'S
05:21:38.045 --> 05:21:39.347 region:rollup2
WHAT HE WAS ARE THURMOND YOU'RE
05:21:38.713 --> 05:21:40.448 region:rollup2
RIGHT ON THE MONEY THIS IS ABOUT
05:21:39.347 --> 05:21:42.450 region:rollup2
--
05:21:40.448 --> 05:21:43.050 region:rollup2
THE BENEFIT TO PUBLIC HEALTH IS
05:21:42.450 --> 05:21:44.952 region:rollup2
NOT OF THE SCOPE FIGHT AND THE
05:21:43.050 --> 05:21:46.654 region:rollup2
LOCALLY MISS AGENCIES TALK ABOUT
05:21:44.952 --> 05:21:48.089 region:rollup2
LOCAL OPTIONAL SCOPES OF
05:21:46.654 --> 05:21:49.690 region:rollup2
PRACTICE THAT ARE AUTHORIZED NOW
05:21:48.089 --> 05:21:51.626 region:rollup2
FOR EMTS.
05:21:49.690 --> 05:21:52.627 region:rollup2
WANTS TO THE PARAMEDICS ABSENT
05:21:51.626 --> 05:21:54.262 region:rollup2
ANY LEGISLATIVE AUTHORIZATION
05:21:52.627 --> 05:21:57.465 region:rollup2
BECAUSE THEY'RE ALWAYS OPERATING
05:21:54.262 --> 05:21:58.566 region:rollup2
UNDER MEDICAL CONTROL OF MEDICAL
05:21:57.465 --> 05:22:00.034 region:rollup2
DIRECTOR IN THE COUNTIES --
05:21:58.566 --> 05:22:01.202 region:rollup2
BUT THIS IS A PROMOTION OF
05:22:00.034 --> 05:22:04.105 region:rollup2
PUBLIC HEALTH BECAUSE IT
05:22:01.202 --> 05:22:06.274 region:rollup2
WHAT WE'RE SUGGESTING IS THAT IF
05:22:04.105 --> 05:22:08.509 region:rollup2
WE CONTINUE TO RESPOND ON THE
05:22:06.274 --> 05:22:09.810 region:rollup2
SAME POPULATION OF FOLKS?
05:22:08.509 --> 05:22:11.646 region:rollup2
OF ORAL HOSPITALS ARE
05:22:09.810 --> 05:22:13.281 region:rollup2
DISCHARGING PATIENTS WHO END
05:22:11.646 --> 05:22:15.383 region:rollup2
RIGHT BACK UP IN THE ER BECAUSE
05:22:13.281 --> 05:22:16.784 region:rollup2
OF A FAILURE OF CONFORMANCE WITH
05:22:15.383 --> 05:22:18.586 region:rollup2
THEIR MEDICATIONS OR WHAT HAVE
05:22:16.784 --> 05:22:20.388 region:rollup2
YOU THE HOSPICE.
05:22:18.586 --> 05:22:21.422 region:rollup2
IS IS SIMPLY ABOUT.
05:22:20.388 --> 05:22:23.858 region:rollup2
MAKING SURE THAT [inaudible]
05:22:21.422 --> 05:22:25.793 region:rollup2
WE'RE NOT TRANSPORTING THEM
05:22:23.858 --> 05:22:27.995 region:rollup2
AGAINST THEIR WISHES THAT IS THE
05:22:25.793 --> 05:22:29.363 region:rollup2
WHOLE POINT OF THE HOSPICE A
05:22:27.995 --> 05:22:30.965 region:rollup2
PILOT PROJECT IN THE
05:22:29.363 --> 05:22:31.532 region:rollup2
AUTHORIZATION OF THIS BILL SO
05:22:30.965 --> 05:22:33.267 region:rollup2
THIS IS A PROMOTIONAL PUBLIC
05:22:31.532 --> 05:22:35.036 region:rollup2
HEALTH.
05:22:33.267 --> 05:22:36.871 region:rollup2
THIS IS THIS IS A SERVICE THAT
05:22:35.036 --> 05:22:37.471 region:rollup2
DOESN'T EXIST FOR PATIENTS WHICH
05:22:36.871 --> 05:22:38.973 region:rollup2
IS WHY THEY'RE FALLING THROUGH
05:22:37.471 --> 05:22:39.874 region:rollup2
THE CRACKS.
05:22:38.973 --> 05:22:42.643 region:rollup2
AND I ONE MORE THING I JUST
05:22:39.874 --> 05:22:43.511 region:rollup2
IDENTIFY BECAUSE IN THE CONTEXT
05:22:42.643 --> 05:22:46.147 region:rollup2
OF YOUR QUESTION.
05:22:43.511 --> 05:22:47.181 region:rollup2
IT WAS REVISITED MAYBE --
05:22:46.147 --> 05:22:49.650 region:rollup2
REPEATEDLY.
05:22:47.181 --> 05:22:50.685 region:rollup2
THESE PILOTS WERE VOLUNTARY SO
05:22:49.650 --> 05:22:52.820 region:rollup2
YOU GOT FACILITIES THAT
05:22:50.685 --> 05:22:54.655 region:rollup2
VOLUNTEERED TO PARTICIPATE IN
05:22:52.820 --> 05:22:56.257 region:rollup2
TESSA'S PROGRAM YOU CAN'T JUDGE
05:22:54.655 --> 05:22:58.392 region:rollup2
THE PROGRAM.
05:22:56.257 --> 05:23:00.027 region:rollup2
THAT HAD ALMOST EXCLUSIVELY MEDI
05:22:58.392 --> 05:23:01.362 region:rollup2
CAL PATIENTS BECAUSE THEIR
05:23:00.027 --> 05:23:02.863 region:rollup2
ACCOUNT OF HIS COUNTY FACILITY
05:23:01.362 --> 05:23:04.832 region:rollup2
AND THAT'S WHO THEY ACCEPTED IT
05:23:02.863 --> 05:23:06.434 region:rollup2
WASN'T BECAUSE THEY WERE MAKING
05:23:04.832 --> 05:23:08.135 region:rollup2
SOME SELECTION THE FIELD AND
05:23:06.434 --> 05:23:09.170 region:rollup2
DIVERTED THAT PATIENT POPULATION
05:23:08.135 --> 05:23:10.638 region:rollup2
SO THE DATA CAN TELL LOTS OF
05:23:09.170 --> 05:23:12.640 region:rollup2
STORIES.
05:23:10.638 --> 05:23:14.675 region:rollup2
BUT I CAN ASSURE YOU THAT.
05:23:12.640 --> 05:23:16.410 region:rollup2
THE THE INDEPENDENT EVALUATOR
05:23:14.675 --> 05:23:18.379 region:rollup2
HAS NO INTEREST IN THIS PROJECT
05:23:16.410 --> 05:23:19.947 region:rollup2
EXCEPT TO SUGGEST IS THIS THE
05:23:18.379 --> 05:23:21.983 region:rollup2
RIGHT THING FOR A COMMUNITY
05:23:19.947 --> 05:23:23.351 region:rollup2
HEALTH CENTER COMMUNITY BENEFIT.
05:23:21.983 --> 05:23:23.951 region:rollup2
AND THE FIREFIGHTERS BELIEVE IT
05:23:23.351 --> 05:23:25.152 region:rollup2
IS WHICH IS WHY WE ARE BEFORE
05:23:23.951 --> 05:23:35.129 region:rollup2
YOU.
05:23:25.152 --> 05:23:36.063 region:rollup2
AFTERNOON EVENING NIGHT.
05:23:35.129 --> 05:23:37.932 region:rollup2
I UNDERSTAND WHAT --
05:23:36.063 --> 05:23:39.400 region:rollup2
THIS MOMENT JUST SAID ABOUT YOU
05:23:37.932 --> 05:23:40.901 region:rollup2
KNOW THESE FACILITIES ONLY
05:23:39.400 --> 05:23:42.236 region:rollup2
ACCEPT MEDICAL PATIENTS BUT I
05:23:40.901 --> 05:23:43.537 region:rollup2
WOULD ARGUE THAT THAT IS DONE BY
05:23:42.236 --> 05:23:45.439 region:rollup2
DESIGN.
05:23:43.537 --> 05:23:46.407 region:rollup2
SO YOU HAVE IN YOU CAN TREAT
05:23:45.439 --> 05:23:49.010 region:rollup2
SYSTEM.
05:23:46.407 --> 05:23:50.578 region:rollup2
THAT BASICALLY ONLY ACCEPTS MEDI
05:23:49.010 --> 05:23:52.013 region:rollup2
CAL PATIENTS AND IF THAT'S NOT
05:23:50.578 --> 05:23:54.348 region:rollup2
THE CASE IN THIS WAS OPEN TO
05:23:52.013 --> 05:23:55.950 region:rollup2
EVERYONE WE LOOKED AT THE DATA
05:23:54.348 --> 05:23:58.486 region:rollup2
1% OF THAT POPULATION.
05:23:55.950 --> 05:24:00.154 region:rollup2
GOT A BIT THE ARE PRIVATE PAY.
05:23:58.486 --> 05:24:00.721 region:rollup2
EVERYBODY ELSE WOULD TO THESE
05:24:00.154 --> 05:24:02.857 region:rollup2
FACILITIES SO IT'S DONE BY
05:24:00.721 --> 05:24:04.492 region:rollup2
DESIGN WHETHER IT'S NOT THE
05:24:02.857 --> 05:24:06.260 region:rollup2
CHARGER THAT'S NOT THE INTENT IS
05:24:04.492 --> 05:24:07.995 region:rollup2
DONEBY DESIGNS WITH INHERENT IN
05:24:06.260 --> 05:24:08.963 region:rollup2
THE PROCESS THAT'S NOT RIGHT.
05:24:07.995 --> 05:24:10.731 region:rollup2
WE ALSO UNDERSTAND THAT THERE'S
05:24:08.963 --> 05:24:11.365 region:rollup2
A LOOPHOLE IN SECTION THIRTEEN
05:24:10.731 --> 05:24:12.867 region:rollup2
SEVENTEEN THAT NEEDS TO BE FIXED
05:24:11.365 --> 05:24:14.101 region:rollup2
WE HAVEN'T SEEN THE LANGUAGE
05:24:12.867 --> 05:24:17.138 region:rollup2
IT'S NOT A TOTAL FIX.
05:24:14.101 --> 05:24:19.140 region:rollup2
SO THIS DOES NOT PROMOTE PUBLIC
05:24:17.138 --> 05:24:21.442 region:rollup2
HEALTH WE BELIEVE WE BELIEVE
05:24:19.140 --> 05:24:23.444 region:rollup2
THAT YOU HAD WHOLESALE PATIENTS
05:24:21.442 --> 05:24:24.478 region:rollup2
DECIDING YOU KNOW BY THEIR OWN
05:24:23.444 --> 05:24:26.013 region:rollup2
VOLITION THAT THEY'D WANT TO
05:24:24.478 --> 05:24:27.181 region:rollup2
TAKE PART OF THESE PILOTS WHO
05:24:26.013 --> 05:24:29.016 region:rollup2
HAD HOLE SO COMMUNITIES.
05:24:27.181 --> 05:24:31.118 region:rollup2
PERMANENTLY FOLKS OF COLOR THAT
05:24:29.016 --> 05:24:32.553 region:rollup2
DECLINED THESE PILOTS IT'S NOT
05:24:31.118 --> 05:24:33.587 region:rollup2
REFER REFLECTIVE OF CALIFORNIA
05:24:32.553 --> 05:24:34.922 region:rollup2
AND I DON'T BELIEVE THAT WE
05:24:33.587 --> 05:24:36.724 region:rollup2
SHOULD MOVE PUBLIC POLICY IN A
05:24:34.922 --> 05:24:37.892 region:rollup2
FASHION THAT'S NOT REFLECTIVE OF
05:24:36.724 --> 05:24:38.926 region:rollup2
CALIFORNIA.
05:24:37.892 --> 05:24:40.061 region:rollup2
WE ALL KNOW ABOUT SOCIAL
05:24:38.926 --> 05:24:41.529 region:rollup2
DETERMINANTS OF HEALTH.
05:24:40.061 --> 05:24:42.930 region:rollup2
WE ALL KNOW THAT IF YOU ARE
05:24:41.529 --> 05:24:43.497 region:rollup2
AFRICAN AMERICAN YOU PRESENT
05:24:42.930 --> 05:24:45.299 region:rollup2
WITH SICKLE CELL AND OTHER
05:24:43.497 --> 05:24:47.268 region:rollup2
ISSUES SO FOR ABOUT PUBLIC
05:24:45.299 --> 05:24:49.303 region:rollup2
HEALTH WE NEED TO BE MOVING
05:24:47.268 --> 05:24:49.970 region:rollup2
POLICIES THAT BEST.
05:24:49.303 --> 05:24:52.807 region:rollup2
YOU KNOW SUIT THE PATIENT AND WE
05:24:49.970 --> 05:24:53.841 region:rollup2
JUST DON'T THE RIGHT WAY WE'VE
05:24:52.807 --> 05:24:55.343 region:rollup2
AGAIN SHOWED YOU SOME MODELS
05:24:53.841 --> 05:24:56.944 region:rollup2
THAT WORK.
05:24:55.343 --> 05:24:58.412 region:rollup2
OUR MEMBERS ARE DOING THIS THIS
05:24:56.944 --> 05:25:00.614 region:rollup2
THIS TRIAGE AND WE WOULD BE OUT
05:24:58.412 --> 05:25:01.716 region:rollup2
A RATIO SO IF WE CAN PUT A NURSE
05:25:00.614 --> 05:25:02.116 region:rollup2
ON THE TRUCK WE WOULD BUT WE
05:25:01.716 --> 05:25:03.317 region:rollup2
CAN'T.
05:25:02.116 --> 05:25:04.752 region:rollup2
THAT IS THAT IS SOMETHING THAT
05:25:03.317 --> 05:25:06.253 region:rollup2
IS A NON STARTER FOR US AND THAT
05:25:04.752 --> 05:25:07.755 region:rollup2
WOULD BE BAD FOR PATIENT SAFETY
05:25:06.253 --> 05:25:09.156 region:rollup2
WE CAN'T HAVE AN RN JUMP ON THE
05:25:07.755 --> 05:25:11.025 region:rollup2
TRUCK INTO THE ASSESSMENT BUT
05:25:09.156 --> 05:25:12.360 region:rollup2
WHAT WE HAVE SAID IS.
05:25:11.025 --> 05:25:14.261 region:rollup2
IN THE LOT OF THESE CASES IN
05:25:12.360 --> 05:25:16.030 region:rollup2
CALIFORNIA HOSPITALS TODAY THERE
05:25:14.261 --> 05:25:18.432 region:rollup2
ARE SYSTEMS THAT WORK THAT
05:25:16.030 --> 05:25:20.434 region:rollup2
REDUCE WAIT TIME THAT REDUCE
05:25:18.432 --> 05:25:21.602 region:rollup2
WALL TIME AND THEN YOU ALSO HAVE
05:25:20.434 --> 05:25:23.070 region:rollup2
THE APPROPRIATE PRACTITIONER
05:25:21.602 --> 05:25:24.105 region:rollup2
DOING THE ASSESSMENTS THAT TO
05:25:23.070 --> 05:25:25.639 region:rollup2
TRIPLE WHEN.
05:25:24.105 --> 05:25:27.241 region:rollup2
WE PASS THOSE THINGS AROUND THAT
05:25:25.639 --> 05:25:28.242 region:rollup2
JUST BECAUSE THE PROPONENTS AND
05:25:27.241 --> 05:25:29.744 region:rollup2
COME UP WITH IT DOESN'T MEAN
05:25:28.242 --> 05:25:31.579 region:rollup2
IT'S NOT A GOOD THING.
05:25:29.744 --> 05:25:33.714 region:rollup2
SO I THINK THAT'S SOMETHING THAT
05:25:31.579 --> 05:25:35.182 region:rollup2
WE SHOULD MODEL AND TESTED IN
05:25:33.714 --> 05:25:37.551 region:rollup2
SOME CASES COMBAT KAISER MARINO
05:25:35.182 --> 05:25:39.186 region:rollup2
VALLEY SIXTY SEVEN MINUTES TO
05:25:37.551 --> 05:25:40.354 region:rollup2
TWELVE MINUTES USING POSITION
05:25:39.186 --> 05:25:43.290 region:rollup2
ARE IN MODEL.
05:25:40.354 --> 05:25:44.625 region:rollup2
IN OTHER CASES FOUR TO SIXHOURS
05:25:43.290 --> 05:25:47.395 region:rollup2
WERE REDUCED TO ONE TO TO THAT.
05:25:44.625 --> 05:25:48.963 region:rollup2
DOOR TO PHYSICIAN AND OUT THE
05:25:47.395 --> 05:25:51.298 region:rollup2
DOOR I THINK I THINK THAT'S
05:25:48.963 --> 05:25:52.133 region:rollup2
SOMETHING WE OUGHT TO LOOK AT
05:25:51.298 --> 05:25:53.701 region:rollup2
THANKS TO THE PARTICIPANTS THANK
05:25:52.133 --> 05:25:57.638 region:rollup2
YOU MISTER CHAIR.
05:25:53.701 --> 05:25:59.740 region:rollup2
IF YOU VERY MUCH ANYONE ELSE.
05:25:57.638 --> 05:26:01.308 region:rollup2
SEEING NO.
05:25:59.740 --> 05:26:03.811 region:rollup2
ONE JUST TO CLOSE ALL WILL SAY
05:26:01.308 --> 05:26:05.546 region:rollup2
IN CLOSING IS THE TERROR.
05:26:03.811 --> 05:26:07.248 region:rollup2
BERMAN MADE A POINT ABOUT.
05:26:05.546 --> 05:26:10.384 region:rollup2
GROUPS THAT CARE DEEPLY ABOUT
05:26:07.248 --> 05:26:12.153 region:rollup2
THE PUBLIC HEALTH OF CALIFORNIA.
05:26:10.384 --> 05:26:14.021 region:rollup2
THIS HAS CAUSED ATTENTION.
05:26:12.153 --> 05:26:17.158 region:rollup2
WHICH I DON'T LIKE.
05:26:14.021 --> 05:26:18.058 region:rollup2
THE MEETING IN MY OFFICE.
05:26:17.158 --> 05:26:19.026 region:rollup2
THIS WEEK WAS AT LAST WEEK A
05:26:18.058 --> 05:26:20.127 region:rollup2
CAMERA PURSUANT.
05:26:19.026 --> 05:26:23.130 region:rollup2
AND TRYING TO GET AND LISTEN TO
05:26:20.127 --> 05:26:24.131 region:rollup2
THE POINTS THAT WERE MADE.
05:26:23.130 --> 05:26:25.900 region:rollup2
TRYING TO GET THE PARTIES TO
05:26:24.131 --> 05:26:27.368 region:rollup2
FIGURE IS A PLACE.
05:26:25.900 --> 05:26:28.769 region:rollup2
THEY'RE MUCH SMARTER ON THIS
05:26:27.368 --> 05:26:30.404 region:rollup2
ISSUE THAT I DON'T APPEAR BEFORE
05:26:28.769 --> 05:26:31.038 region:rollup2
HEALTH COMMITTEE OFTEN.
05:26:30.404 --> 05:26:33.240 region:rollup2
BUT I THOUGHT THAT WAS COMMON
05:26:31.038 --> 05:26:34.842 region:rollup2
SENSE IN THE NOTION OF TRYING TO
05:26:33.240 --> 05:26:37.144 region:rollup2
DO EVERYTHING POSSIBLE TO
05:26:34.842 --> 05:26:38.779 region:rollup2
PROMOTE COMMUNITY PARA MEDICINE.
05:26:37.144 --> 05:26:40.081 region:rollup2
AND AVOIDING THIS PROBLEM
05:26:38.779 --> 05:26:42.316 region:rollup2
BECAUSE IT WILL TIME OR WHATEVER
05:26:40.081 --> 05:26:44.552 region:rollup2
BUT JUST BASIC GOVERNMENT COST
05:26:42.316 --> 05:26:45.920 region:rollup2
WHERE WE CAN GET STUFF DONE IN A
05:26:44.552 --> 05:26:47.321 region:rollup2
MORE INTELLIGENT WAY.
05:26:45.920 --> 05:26:48.889 region:rollup2
I THOUGHT THAT THAT WAS
05:26:47.321 --> 05:26:51.225 region:rollup2
FLEXIBILITY IN THE PROPOSAL.
05:26:48.889 --> 05:26:52.526 region:rollup2
LOCALS CONTROL IN THE PROPOSAL
05:26:51.225 --> 05:26:54.595 region:rollup2
TO DO THAT CLEARLY THERE'S SOME
05:26:52.526 --> 05:26:56.430 region:rollup2
CERTAIN CHALLENGES WITH RESPECT
05:26:54.595 --> 05:26:57.665 region:rollup2
TO INTERPRETATION OF WHAT THAT
05:26:56.430 --> 05:26:59.834 region:rollup2
MEANS IS.
05:26:57.665 --> 05:27:01.302 region:rollup2
TO ARM THE PROPER LEVEL OF CARE
05:26:59.834 --> 05:27:03.037 region:rollup2
I'M NOT STOPPED WORKING ON THIS
05:27:01.302 --> 05:27:04.972 region:rollup2
BILL.
05:27:03.037 --> 05:27:06.440 region:rollup2
WHETHER THIS THING KEEPS PASSING
05:27:04.972 --> 05:27:07.741 region:rollup2
OR NOT I'M CONTINUING TO LISTEN
05:27:06.440 --> 05:27:08.943 region:rollup2
AND TO TRY TO LEARN AND TO TRY
05:27:07.741 --> 05:27:11.178 region:rollup2
TO MAKE IT BETTER. TO
05:27:08.943 --> 05:27:12.813 region:rollup2
INCORPORATE THE ISSUES THAT ARE.
05:27:11.178 --> 05:27:13.681 region:rollup2
LEGITIMATE WITH RESPECT TO THAT
05:27:12.813 --> 05:27:14.648 region:rollup2
INCLUDING THE ISSUES THAT WERE
05:27:13.681 --> 05:27:16.250 region:rollup2
JUST RAISED HERE TODAY IN THIS
05:27:14.648 --> 05:27:16.851 region:rollup2
COMMITTEE.
05:27:16.250 --> 05:27:18.886 region:rollup2
AND WITH THAT I WOULD ASK FOR
05:27:16.851 --> 05:27:19.487 region:rollup2
NIVEAU.
05:27:18.886 --> 05:27:21.422 region:rollup2
NO THANK YOU SENATOR HERTZBERG
05:27:19.487 --> 05:27:22.923 region:rollup2
--
05:27:21.422 --> 05:27:24.758 region:rollup2
THIS IS THE THIRD COMMUNITY PARA
05:27:22.923 --> 05:27:26.093 region:rollup2
MEDICINE FILL THIS COMMITTEE IS
05:27:24.758 --> 05:27:26.727 region:rollup2
CONSIDERED IN THE LAST TWO YEARS
05:27:26.093 --> 05:27:27.828 region:rollup2
AND I APPRECIATE ALL THE HARD
05:27:26.727 --> 05:27:29.296 region:rollup2
WORK THAT'S GONE INTO MOVING
05:27:27.828 --> 05:27:30.598 region:rollup2
THIS ISSUE FORWARD.
05:27:29.296 --> 05:27:31.131 region:rollup2
UNDERSTAND THE STAKEHOLDERS
05:27:30.598 --> 05:27:32.433 region:rollup2
CONCERN FOR PUBLIC PATIENT
05:27:31.131 --> 05:27:33.734 region:rollup2
SAFETY.
05:27:32.433 --> 05:27:35.236 region:rollup2
WHEN THEIR INNOVATIONS IN HOW
05:27:33.734 --> 05:27:36.670 region:rollup2
HEALTH CARE IS PROVIDED USUALLY
05:27:35.236 --> 05:27:38.606 region:rollup2
TAKES AWHILE FOR THE POLICY TO
05:27:36.670 --> 05:27:39.907 region:rollup2
CATCH UP WITH THE PRACTICE?
05:27:38.606 --> 05:27:41.909 region:rollup2
TERRIBLY THE PROCESS FOR
05:27:39.907 --> 05:27:43.577 region:rollup2
DEVELOPING PROGRAMS AT THE LOCAL
05:27:41.909 --> 05:27:45.546 region:rollup2
LEVEL WITH OVERSIGHT REGULATIONS
05:27:43.577 --> 05:27:46.046 region:rollup2
PRIDE PROVIDED BY EMSA ALLOWS
05:27:45.546 --> 05:27:47.481 region:rollup2
FOR SIGNIFICANT INPUT NO
05:27:46.046 --> 05:27:49.250 region:rollup2
OVERSIGHT.
05:27:47.481 --> 05:27:49.850 region:rollup2
WELL THANK YOU FOR ACCEPTING OUR
05:27:49.250 --> 05:27:51.919 region:rollup2
CLARIFYING AMENDMENT WHICH IS
05:27:49.850 --> 05:27:53.554 region:rollup2
PART A AS WELL AS AGREED TO WORK
05:27:51.919 --> 05:27:54.655 region:rollup2
ON LANGUAGE THAT WILL REMOVE THE
05:27:53.554 --> 05:27:57.158 region:rollup2
OVERSIGHT COMMISSION.
05:27:54.655 --> 05:27:59.193 region:rollup2
TRIBALLY DUPLICATES THE WORK OF
05:27:57.158 --> 05:28:00.794 region:rollup2
OF THE COMMISSION ON EM --
05:27:59.193 --> 05:28:02.429 region:rollup2
THAT DICK AND TO CHANGE THE
05:28:00.794 --> 05:28:04.198 region:rollup2
COMMISSION'S MEMBERSHIP TO
05:28:02.429 --> 05:28:07.568 region:rollup2
PROVIDE NECESSARY EXPERTISE TO
05:28:04.198 --> 05:28:09.069 region:rollup2
OVERSEE COMMUNITY PARA MEDICINE.
05:28:07.568 --> 05:28:11.438 region:rollup2
WITH THAT LIKE TAG MADAM
05:28:09.069 --> 05:28:14.241 region:rollup2
SECRETARY TO CALL THE ROLE WE
05:28:11.438 --> 05:28:16.677 region:rollup2
HAVE A MOTION BY MISTER FLORA
05:28:14.241 --> 05:28:18.846 region:rollup2
SECOND BY MISTER MAYES MOTION IS
05:28:16.677 --> 05:28:19.446 region:rollup2
TO PASS TO APPROPRIATIONS.
05:28:18.846 --> 05:28:22.650 region:rollup2
TAKE AMENDMENTS WILL BE TAKEN
05:28:19.446 --> 05:28:25.719 region:rollup2
APPROPRIATIONS.
05:28:22.650 --> 05:28:27.688 region:rollup2
WHAT I WOULD AYE MAYES PLAYS AYE
05:28:25.719 --> 05:28:28.489 region:rollup2
AGUIAR-CURRY HAGGAR CURRY I
05:28:27.688 --> 05:28:30.724 region:rollup2
BIGELOW?
05:28:28.489 --> 05:28:30.925 region:rollup2
BIGELOW AYE BONTA BONTA AYE
05:28:30.724 --> 05:28:33.060 region:rollup2
BURKE.
05:28:30.925 --> 05:28:34.495 region:rollup2
BURKE I CARILLO.
05:28:33.060 --> 05:28:36.197 region:rollup2
CARILLO AYE FLORA.
05:28:34.495 --> 05:28:37.965 region:rollup2
FLORA AYE LOW MOAN.
05:28:36.197 --> 05:28:39.266 region:rollup2
LIMON AYE MCCARTY MCCARTY AYE
05:28:37.965 --> 05:28:41.468 region:rollup2
NOSE AREA [inaudible]
05:28:39.266 --> 05:28:44.872 region:rollup2
RODRIGUEZ [inaudible]
05:28:41.468 --> 05:28:46.073 region:rollup2
SANTIAGO.
05:28:44.872 --> 05:28:48.209 region:rollup2
SANTIAGO AYE.
05:28:46.073 --> 05:28:49.610 region:rollup2
THURMAN.
05:28:48.209 --> 05:28:57.051 region:rollup2
BERMAN I WALDRON [inaudible]
05:28:49.610 --> 05:28:58.886 region:rollup2
WALDRON AYE. THIRTEEN ZERO THE
05:28:57.051 --> 05:29:01.055 region:rollup2
BILL IS OUT.
05:28:58.886 --> 05:29:02.456 region:rollup2
WE HAVE NOW.
05:29:01.055 --> 05:29:04.291 region:rollup2
I HEARD ALL THE BILL SO WE WILL
05:29:02.456 --> 05:29:08.128 region:rollup2
GO BACK THROUGH THE ROLE WE DO
05:29:04.291 --> 05:29:10.231 region:rollup2
HAVE SOME MEASURES ON CALL.
05:29:08.128 --> 05:29:12.099 region:rollup2
SO WE WILL --
05:29:10.231 --> 05:29:13.601 region:rollup2
S. MADAM SECRETARY AND WE STILL
05:29:12.099 --> 05:29:15.135 region:rollup2
HAVE MEMBERS THAT ARE MISSING SO
05:29:13.601 --> 05:29:16.437 region:rollup2
MANY OF THOSE MEMBERS BACK TO
05:29:15.135 --> 05:29:19.573 region:rollup2
VOTE.
05:29:16.437 --> 05:29:20.674 region:rollup2
ON ALLRECIPES MEASURES --
05:29:19.573 --> 05:29:24.111 region:rollup2
AND SO WILL GO THROUGH --
05:29:20.674 --> 05:29:25.346 region:rollup2
ITEM NUMBER. EIGHT S. B. TEN
05:29:24.111 --> 05:29:26.513 region:rollup2
TWENTY THREE HERNANDEZ.
05:29:25.346 --> 05:29:32.686 region:rollup2
LIFT THE CALL AND CALL THE
05:29:26.513 --> 05:29:34.254 region:rollup2
ABSENT MEMBERS [inaudible]
05:29:32.686 --> 05:29:39.593 region:rollup2
BONTA.
05:29:34.254 --> 05:29:39.893 region:rollup2
BONTA AYE BURKE BURKE I NAZARIAN
05:29:39.593 --> 05:29:42.463 region:rollup2
[inaudible]
05:29:39.893 --> 05:29:44.898 region:rollup2
RODRIGUEZ [inaudible]
05:29:42.463 --> 05:29:46.066 region:rollup2
SANTIAGO.
05:29:44.898 --> 05:29:47.635 region:rollup2
A NUMBER TEN TWENTY THREE
05:29:46.066 --> 05:29:52.439 region:rollup2
HERNANDEZ.
05:29:47.635 --> 05:29:53.507 region:rollup2
I NEVER A SANTIAGO AYE THURMAN.
05:29:52.439 --> 05:30:01.682 region:rollup2
THURMOND AYE WALDRON.
05:29:53.507 --> 05:30:03.183 region:rollup2
WALDRON AYE.
05:30:01.682 --> 05:30:05.019 region:rollup2
THAT IS ELEVEN TO ONE THAT BILL
05:30:03.183 --> 05:30:07.488 region:rollup2
WAS OUT --
05:30:05.019 --> 05:30:09.456 region:rollup2
ITEM NUMBER --
05:30:07.488 --> 05:30:11.392 region:rollup2
ELEVEN SP ELEVEN AWAY DOCTOR
05:30:09.456 --> 05:30:12.793 region:rollup2
HERNANDEZ MADAM SECRETARY WITH
05:30:11.392 --> 05:30:14.028 region:rollup2
THE CALL CALL THE ABSENT MEMBERS
05:30:12.793 --> 05:30:15.462 region:rollup2
BONTA.
05:30:14.028 --> 05:30:18.299 region:rollup2
BONTA AYE BURKE.
05:30:15.462 --> 05:30:20.034 region:rollup2
BURKE I'VE [inaudible]
05:30:18.299 --> 05:30:22.269 region:rollup2
THIS AREA [inaudible]
05:30:20.034 --> 05:30:25.272 region:rollup2
RODRIGUEZ [inaudible]
05:30:22.269 --> 05:30:26.473 region:rollup2
SANTIAGO.
05:30:25.272 --> 05:30:26.774 region:rollup2
SANTIAGO AYE THURMOND
05:30:26.473 --> 05:30:33.113 region:rollup2
[inaudible]
05:30:26.774 --> 05:30:34.815 region:rollup2
THURMOND I THAT HAS NINE VOTES
05:30:33.113 --> 05:30:39.119 region:rollup2
NINETY THREE THAT GOES OUT.
05:30:34.815 --> 05:30:40.287 region:rollup2
ITEM NUMBER SIX TEEN SP TWELVE
05:30:39.119 --> 05:30:41.221 region:rollup2
THIRTY EIGHT SENATOR ROTH WITH
05:30:40.287 --> 05:30:44.091 region:rollup2
THE CALL CALL THE ABSENT MEMBERS
05:30:41.221 --> 05:30:44.692 region:rollup2
PLEASE BONTA.
05:30:44.091 --> 05:30:46.493 region:rollup2
BONTA NOT VOTING.
05:30:44.692 --> 05:30:49.263 region:rollup2
BURKE.
05:30:46.493 --> 05:30:59.540 region:rollup2
BURKE NOT VOTING [inaudible]
05:30:49.263 --> 05:31:02.443 region:rollup2
SANTIAGO. TO VOTE SHORT.
05:30:59.540 --> 05:31:04.678 region:rollup2
SANTIAGO NOT VOTING THURMAN.
05:31:02.443 --> 05:31:09.183 region:rollup2
SANTIAGO I'VE TERMINATE CAN'T GO
05:31:04.678 --> 05:31:10.250 region:rollup2
AYE THURMOND AYE.
05:31:09.183 --> 05:31:13.120 region:rollup2
THAT IS OUT [inaudible]
05:31:10.250 --> 05:31:17.691 region:rollup2
EIGHT TO FOUR THANK YOU.
05:31:13.120 --> 05:31:20.427 region:rollup2
ITEM NUMBER. EIGHTEEN SP TWELVE
05:31:17.691 --> 05:31:22.796 region:rollup2
FIFTY FIVE HERNANDEZ.
05:31:20.427 --> 05:31:23.597 region:rollup2
ORDINANCE.
05:31:22.796 --> 05:31:25.332 region:rollup2
I'M SURE THAT'S AND THAT'S OUT
05:31:23.597 --> 05:31:25.833 region:rollup2
I'M SORRY ITEM NUMBER TWENTY ONE
05:31:25.332 --> 05:31:27.000 region:rollup2
SP THIRTEEN SEVENTY FIVE
05:31:25.833 --> 05:31:27.601 region:rollup2
HERNANDEZ.
05:31:27.000 --> 05:31:29.770 region:rollup2
LET THE CALL CALL THE ABSENT
05:31:27.601 --> 05:31:32.506 region:rollup2
MEMBERS PLEASE [inaudible]
05:31:29.770 --> 05:31:34.174 region:rollup2
BONTA.
05:31:32.506 --> 05:31:39.379 region:rollup2
BONTA I'VE BURKE [inaudible]
05:31:34.174 --> 05:31:40.547 region:rollup2
BURKE I SANTIAGO.
05:31:39.379 --> 05:31:47.254 region:rollup2
SANTIAGO AYE PARENT [inaudible]
05:31:40.547 --> 05:31:49.323 region:rollup2
THURMOND I POLITICAL ONES.
05:31:47.254 --> 05:31:50.391 region:rollup2
SO WE NOW HAVE NO BILLS ON CALL.
05:31:49.323 --> 05:31:54.194 region:rollup2
IT'S A REGULAR TOP THE ORDER AND
05:31:50.391 --> 05:31:54.695 region:rollup2
RUN THROUGH AN AD FOR AT ARMS.
05:31:54.194 --> 05:31:56.897 region:rollup2
JUST FOR THOSE THAT ARE
05:31:54.695 --> 05:32:00.067 region:rollup2
LISTENING OUT THERE WE WILL
05:31:56.897 --> 05:32:00.734 region:rollup2
AFTER THIS WE WILL WAIT. FIVE
05:32:00.067 --> 05:32:01.969 region:rollup2
MINUTES AND THEN WE'LL CLOSE THE
05:32:00.734 --> 05:32:03.804 region:rollup2
MEETING OKAY [inaudible]
05:32:01.969 --> 05:32:05.172 region:rollup2
IT TOOK.
05:32:03.804 --> 05:32:06.407 region:rollup2
SO WHAT'S SO THE CONSENT
05:32:05.172 --> 05:32:11.311 region:rollup2
CALENDAR WHICH IS CLOSE ITEMS
05:32:06.407 --> 05:32:12.646 region:rollup2
NUMBER [inaudible] ONE FIVE NINE
05:32:11.311 --> 05:32:13.480 region:rollup2
TWELVE THIRTEEN AND TWENTY TWO
05:32:12.646 --> 05:32:14.448 region:rollup2
PLEASE OPEN THE ROLL CALL THE
05:32:13.480 --> 05:32:16.049 region:rollup2
ABSENT MEMBERS [inaudible]
05:32:14.448 --> 05:32:17.251 region:rollup2
BONTA.
05:32:16.049 --> 05:32:20.654 region:rollup2
BONTA AYE BURKE.
05:32:17.251 --> 05:32:21.955 region:rollup2
BURKE I SANTIAGO.
05:32:20.654 --> 05:32:22.256 region:rollup2
SANTIAGO AYE THURMAN
05:32:21.955 --> 05:32:26.827 region:rollup2
[inaudible]
05:32:22.256 --> 05:32:29.163 region:rollup2
THURMOND I THAT'S FIFTEEN ZERO
05:32:26.827 --> 05:32:30.297 region:rollup2
ITEM NUMBER TWO S. B. SEVEN TO
05:32:29.163 --> 05:32:31.098 region:rollup2
SEVENTY FIVE PORTANTINO PLEASE
05:32:30.297 --> 05:32:32.099 region:rollup2
OPEN THE ROLL CALL THE ABSENT
05:32:31.098 --> 05:32:34.201 region:rollup2
MEMBERS [inaudible]
05:32:32.099 --> 05:32:34.902 region:rollup2
BONTA.
05:32:34.201 --> 05:32:39.606 region:rollup2
BONTA AYE BURKE.
05:32:34.902 --> 05:32:42.075 region:rollup2
BURKE I NAZARIAN [inaudible]
05:32:39.606 --> 05:32:43.310 region:rollup2
SANTIAGO.
05:32:42.075 --> 05:32:43.610 region:rollup2
SANTIAGO AYE THURMAN
05:32:43.310 --> 05:32:50.217 region:rollup2
[inaudible]
05:32:43.610 --> 05:32:52.352 region:rollup2
THURMOND I FOURTEEN ZERO ITEM
05:32:50.217 --> 05:32:53.954 region:rollup2
NUMBER THREE SB SIX FORTY ONE
05:32:52.352 --> 05:32:55.622 region:rollup2
LARA PLEASE OPEN THE ROLL CALL
05:32:53.954 --> 05:32:57.157 region:rollup2
THE ABSENT MEMBERS BONTA.
05:32:55.622 --> 05:33:00.894 region:rollup2
BONTA AYE BURKE [inaudible]
05:32:57.157 --> 05:33:03.630 region:rollup2
BURKE I SANTIAGO.
05:33:00.894 --> 05:33:06.533 region:rollup2
SANTIAGO AYE THURMAN.
05:33:03.630 --> 05:33:08.402 region:rollup2
THURMOND AYE FIFTEEN FIFTEEN
05:33:06.533 --> 05:33:09.570 region:rollup2
ZERO ITEM NUMBER FOUR SP EIGHT
05:33:08.402 --> 05:33:10.070 region:rollup2
TWENTY THREE HILL PLEASE OPEN
05:33:09.570 --> 05:33:12.472 region:rollup2
THE ROLL CALL THE ABSENT
05:33:10.070 --> 05:33:13.307 region:rollup2
MEMBERS.
05:33:12.472 --> 05:33:15.209 region:rollup2
BONTA.
05:33:13.307 --> 05:33:18.545 region:rollup2
BONTA AYE BURKE [inaudible]
05:33:15.209 --> 05:33:19.813 region:rollup2
BURKE I SANTIAGO.
05:33:18.545 --> 05:33:20.113 region:rollup2
SANTIAGO AYE THURMOND
05:33:19.813 --> 05:33:37.130 region:rollup2
[inaudible]
05:33:20.113 --> 05:33:40.968 region:rollup2
THURMOND I FIFTEEN ZERO OFTEN
05:33:37.130 --> 05:33:46.773 region:rollup2
[inaudible] SIXTEEN QUIRK SILVA
05:33:40.968 --> 05:33:49.109 region:rollup2
BACK TO EVERYTHING.
05:33:46.773 --> 05:33:51.078 region:rollup2
ITEM NUMBER --
05:33:49.109 --> 05:33:51.645 region:rollup2
SIX SP.
05:33:51.078 --> 05:33:53.514 region:rollup2
NINE FORTY FOUR IT JUST RAN
05:33:51.645 --> 05:33:54.982 region:rollup2
THROUGH THAT BILL --
05:33:53.514 --> 05:33:56.483 region:rollup2
BUT I WILL UP THE ROLL CALL THE
05:33:54.982 --> 05:33:57.651 region:rollup2
ABSENT MEMBERS MISSED I THINK
05:33:56.483 --> 05:34:03.190 region:rollup2
THIS RODRIGUEZ WAS NOT NAZARIAN
05:33:57.651 --> 05:34:05.025 region:rollup2
RODRIGUEZ.
05:34:03.190 --> 05:34:06.727 region:rollup2
RODRIGUEZ HAPPENING STILL
05:34:05.025 --> 05:34:08.562 region:rollup2
EIGHTEEN STILL THIRTEEN ZERO
05:34:06.727 --> 05:34:10.397 region:rollup2
ITEM NUMBER SEVEN SP ONE ZERO
05:34:08.562 --> 05:34:11.498 region:rollup2
ZERO EIGHT SKINNER.
05:34:10.397 --> 05:34:13.133 region:rollup2
OPEN THE ROLL CALL THE ABSENT
05:34:11.498 --> 05:34:16.670 region:rollup2
MEMBERS WOULD.
05:34:13.133 --> 05:34:17.537 region:rollup2
I WENT I BONTA.
05:34:16.670 --> 05:34:19.006 region:rollup2
BONTA AYE BURKE BURKE HIGH
05:34:17.537 --> 05:34:21.375 region:rollup2
CARILLO [inaudible]
05:34:19.006 --> 05:34:24.077 region:rollup2
CARILLO I NAZARIAN [inaudible]
05:34:21.375 --> 05:34:24.978 region:rollup2
RODRIGUEZ.
05:34:24.077 --> 05:34:30.117 region:rollup2
RODRIGUEZ AYE THURMAN.
05:34:24.978 --> 05:34:32.319 region:rollup2
THURMOND AYE [inaudible]
05:34:30.117 --> 05:34:34.688 region:rollup2
NAZARIAN.
05:34:32.319 --> 05:34:37.457 region:rollup2
ITEM NUMBER EIGHT SP TEN TWENTY
05:34:34.688 --> 05:34:38.959 region:rollup2
THREE HERNANDEZ.
05:34:37.457 --> 05:34:39.927 region:rollup2
TENNIS IS ONE ZERO ZERO EIGHT
05:34:38.959 --> 05:34:41.295 region:rollup2
SCHEMES ARE.
05:34:39.927 --> 05:34:42.596 region:rollup2
ONE ZERO ZERO EIGHT NAM ARE IT
05:34:41.295 --> 05:34:55.042 region:rollup2
WAS ONE ZERO ZERO EIGHT SORRY.
05:34:42.596 --> 05:34:58.312 region:rollup2
MY BAD SKINNER.
05:34:55.042 --> 05:34:59.413 region:rollup2
OKAY SIR AND I NOW WILL YOU
05:34:58.312 --> 05:35:00.347 region:rollup2
AFTER FIFTEENTH THIS FIFTEEN
05:34:59.413 --> 05:35:01.315 region:rollup2
ZERO NOW WE'LL MOVE TO ITEM
05:35:00.347 --> 05:35:03.317 region:rollup2
NUMBER.
05:35:01.315 --> 05:35:04.685 region:rollup2
EIGHT S. B. TEN TWENTY THREE
05:35:03.317 --> 05:35:08.755 region:rollup2
HERNANDEZ OPEN THE ROLL CALL THE
05:35:04.685 --> 05:35:12.392 region:rollup2
ABSENT MEMBERS [inaudible]
05:35:08.755 --> 05:35:13.994 region:rollup2
NAZARIAN.
05:35:12.392 --> 05:35:15.329 region:rollup2
NO ANSWER.
05:35:13.994 --> 05:35:17.764 region:rollup2
YEAH NAZARIAN [inaudible]
05:35:15.329 --> 05:35:19.333 region:rollup2
CORRECT I'D NAZARIAN AYE
05:35:17.764 --> 05:35:23.570 region:rollup2
RODRIGUEZ [inaudible]
05:35:19.333 --> 05:35:26.273 region:rollup2
RODRIGUEZ I THIRTEEN ONE
05:35:23.570 --> 05:35:27.441 region:rollup2
THIRTEEN ONE ITEM NUMBER TEN SP
05:35:26.273 --> 05:35:29.343 region:rollup2
TEN FORTY FIVE WIENER OPEN THE
05:35:27.441 --> 05:35:31.745 region:rollup2
ROLL CALL THE ABSENT MEMBERS THE
05:35:29.343 --> 05:35:32.913 region:rollup2
MONTH.
05:35:31.745 --> 05:35:34.848 region:rollup2
THE MONEY I KNOWS AREA.
05:35:32.913 --> 05:35:36.016 region:rollup2
NAZARIAN AYE RODRIGUEZ RODRIGUEZ
05:35:34.848 --> 05:35:40.420 region:rollup2
AYE THURMOND [inaudible]
05:35:36.016 --> 05:35:43.690 region:rollup2
BERMAN I TEAM.
05:35:40.420 --> 05:35:44.825 region:rollup2
ZERO ITEM NUMBER. ELEVEN S. B.
05:35:43.690 --> 05:35:45.859 region:rollup2
ELEVEN AWAY HERNANDEZ OPEN THE
05:35:44.825 --> 05:35:47.227 region:rollup2
ROLL CALL THE ABSENT MEMBERS
05:35:45.859 --> 05:35:53.233 region:rollup2
PLEASE.
05:35:47.227 --> 05:35:54.935 region:rollup2
IN THIS AREA.
05:35:53.233 --> 05:35:56.203 region:rollup2
SILICON VALLEY ELEVEN AWAY.
05:35:54.935 --> 05:35:56.503 region:rollup2
NAZARIAN AYE RODRIGUEZ
05:35:56.203 --> 05:36:01.441 region:rollup2
[inaudible]
05:35:56.503 --> 05:36:04.411 region:rollup2
RODRIGUEZ I LEVINE ELEVEN TO
05:36:01.441 --> 05:36:05.212 region:rollup2
THREE ITEM NUMBER FOURTEEN S. B.
05:36:04.411 --> 05:36:06.113 region:rollup2
ELEVEN FIFTY TWO HERNANDEZ
05:36:05.212 --> 05:36:08.215 region:rollup2
PLEASE OPEN THE ROLL CALL THE
05:36:06.113 --> 05:36:09.049 region:rollup2
ABSENT MEMBERS.
05:36:08.215 --> 05:36:10.751 region:rollup2
BONTA.
05:36:09.049 --> 05:36:15.522 region:rollup2
BONTA AYE BURKE [inaudible]
05:36:10.751 --> 05:36:17.591 region:rollup2
BURKE I SANTIAGO [inaudible]
05:36:15.522 --> 05:36:19.726 region:rollup2
YES CORRECT.
05:36:17.591 --> 05:36:26.199 region:rollup2
SANTIAGO AYE BERMAN [inaudible]
05:36:19.726 --> 05:36:29.636 region:rollup2
THURMOND I TWELVE THREE ITEM
05:36:26.199 --> 05:36:31.071 region:rollup2
NUMBER. FIFTEEN S. B. ELEVEN
05:36:29.636 --> 05:36:32.105 region:rollup2
FIFTY SIX LEYVA OPEN THE ROLL
05:36:31.071 --> 05:36:35.108 region:rollup2
CALL THE ABSENT MEMBERS PLEASE
05:36:32.105 --> 05:36:37.844 region:rollup2
BONTA [inaudible]
05:36:35.108 --> 05:36:44.317 region:rollup2
BONTA AYE [inaudible]
05:36:37.844 --> 05:36:45.519 region:rollup2
THIS AREA.
05:36:44.317 --> 05:36:49.723 region:rollup2
RODRIGUEZ.
05:36:45.519 --> 05:37:02.769 region:rollup2
RODRIGUEZ AYE SANTIAGO.
05:36:49.723 --> 05:37:07.974 region:rollup2
SO TERRIBLE I THIS AREA NOT
05:37:02.769 --> 05:37:10.010 region:rollup2
VOTING.
05:37:07.974 --> 05:37:11.745 region:rollup2
THAT VOTE IS.
05:37:10.010 --> 05:37:12.679 region:rollup2
ELEVEN TO THREE ITEM NUMBER
05:37:11.745 --> 05:37:13.580 region:rollup2
SIXTEEN S. B. TWELVE THIRTY A
05:37:12.679 --> 05:37:14.948 region:rollup2
MUST THE ROOM --
05:37:13.580 --> 05:37:15.549 region:rollup2
MISTER ROTH --
05:37:14.948 --> 05:37:17.350 region:rollup2
OPEN THE ROLL CALL THE ABSENT
05:37:15.549 --> 05:37:17.617 region:rollup2
MEMBERS.
05:37:17.350 --> 05:37:23.924 region:rollup2
NICE AREA.
05:37:17.617 --> 05:37:27.027 region:rollup2
I'D NAZARIAN AYE [inaudible]
05:37:23.924 --> 05:37:32.165 region:rollup2
STEAM [inaudible]
05:37:27.027 --> 05:37:40.774 region:rollup2
ITEMS.
05:37:32.165 --> 05:37:41.074 region:rollup2
SANTIAGO I'D TO NOT VOTING
05:37:40.774 --> 05:37:42.876 region:rollup2
[inaudible]
05:37:41.074 --> 05:37:43.910 region:rollup2
SELECT.
05:37:42.876 --> 05:37:45.345 region:rollup2
IT FOR THE MEASURE CHANGE DOES
05:37:43.910 --> 05:37:48.482 region:rollup2
NOT CHANGE.
05:37:45.345 --> 05:37:49.516 region:rollup2
MOM ITEM NUMBER SEVENTEEN SP
05:37:48.482 --> 05:37:50.484 region:rollup2
TWELVE FIFTY FOUR STONE OF
05:37:49.516 --> 05:37:51.585 region:rollup2
PLEASE OPEN THE ROLL CALL THE
05:37:50.484 --> 05:37:53.420 region:rollup2
ABSENT MEMBERS [inaudible]
05:37:51.585 --> 05:37:53.920 region:rollup2
BONTA.
05:37:53.420 --> 05:37:57.390 region:rollup2
BONTA AYE BURKE BURKE I
05:37:53.920 --> 05:37:59.259 region:rollup2
NAZARIAN.
05:37:57.390 --> 05:38:01.394 region:rollup2
NAZARIAN AYE RODRIGUEZ.
05:37:59.259 --> 05:38:01.695 region:rollup2
RODRIGUEZ I SANTIAGO
05:38:01.394 --> 05:38:04.498 region:rollup2
[inaudible]
05:38:01.695 --> 05:38:05.398 region:rollup2
CORRECT.
05:38:04.498 --> 05:38:09.536 region:rollup2
SANTIAGO I THURMOND.
05:38:05.398 --> 05:38:12.906 region:rollup2
THURMAN I TEAM.
05:38:09.536 --> 05:38:13.473 region:rollup2
ZERO ITEM NUMBER EIGHTEEN SP
05:38:12.906 --> 05:38:14.741 region:rollup2
TWELVE FIFTY FIVE HERNANDEZ
05:38:13.473 --> 05:38:15.942 region:rollup2
PLEASE OPEN THE ROLL CALL THE
05:38:14.741 --> 05:38:17.744 region:rollup2
ABSENT MEMBERS FOR HARD SORRY
05:38:15.942 --> 05:38:19.446 region:rollup2
BONTA.
05:38:17.744 --> 05:38:22.582 region:rollup2
BONTA AYE BURKE [inaudible]
05:38:19.446 --> 05:38:24.050 region:rollup2
BURKE I SANTIAGO.
05:38:22.582 --> 05:38:24.351 region:rollup2
SANTIAGO AYE THURMAN
05:38:24.050 --> 05:38:30.757 region:rollup2
[inaudible]
05:38:24.351 --> 05:38:31.391 region:rollup2
THURMOND I THIRTEEN TO TO ITEM
05:38:30.757 --> 05:38:32.826 region:rollup2
NUMBER NINETEEN MISTER BRADFORD
05:38:31.391 --> 05:38:35.095 region:rollup2
--
05:38:32.826 --> 05:38:35.829 region:rollup2
SP TWELVE SIXTY EIGHT PLEASE
05:38:35.095 --> 05:38:38.799 region:rollup2
OPEN THE ROLL CALL THE ABSENT
05:38:35.829 --> 05:38:39.099 region:rollup2
MEMBERS WOULD I WOULD I BONTA
05:38:38.799 --> 05:38:40.767 region:rollup2
[inaudible]
05:38:39.099 --> 05:38:42.803 region:rollup2
BONTA AYE [inaudible]
05:38:40.767 --> 05:38:45.672 region:rollup2
NAZARIAN.
05:38:42.803 --> 05:38:47.107 region:rollup2
NAZARIAN AYE RODRIGUEZ RODRIGUEZ
05:38:45.672 --> 05:38:47.941 region:rollup2
I SANTIAGO.
05:38:47.107 --> 05:38:50.243 region:rollup2
SANTIAGO AYE THURMOND.
05:38:47.941 --> 05:38:52.145 region:rollup2
THURMOND AYE.
05:38:50.243 --> 05:38:53.947 region:rollup2
TEEN ZERO ITEM NUMBER TWENTY S.
05:38:52.145 --> 05:38:54.915 region:rollup2
B. TWELVE EIGHTY SEVEN HERNANDEZ
05:38:53.947 --> 05:38:56.583 region:rollup2
PLEASE OPEN THE ROLL CALL THE
05:38:54.915 --> 05:39:00.420 region:rollup2
ABSENT MEMBERS.
05:38:56.583 --> 05:39:03.657 region:rollup2
BONTA BONTA AYE BURKE BURKE I
05:39:00.420 --> 05:39:04.324 region:rollup2
SANTIAGO.
05:39:03.657 --> 05:39:04.624 region:rollup2
SANTIAGO AYE THURMAN
05:39:04.324 --> 05:39:08.562 region:rollup2
[inaudible]
05:39:04.624 --> 05:39:11.531 region:rollup2
BERMAN I FIFTEEN ZERO ITEM
05:39:08.562 --> 05:39:12.132 region:rollup2
NUMBER TWENTY ONE SP THIRTEEN
05:39:11.531 --> 05:39:17.704 region:rollup2
SEVENTY FIVE PLEASE OPEN THE
05:39:12.132 --> 05:39:18.939 region:rollup2
ROLL CALL THE ABSENT MEMBERS.
05:39:17.704 --> 05:39:20.874 region:rollup2
NO ABSENT MEMBERS OKAY THAT WAS
05:39:18.939 --> 05:39:22.876 region:rollup2
QUICK ITEM NUMBER TWENTY THREE
05:39:20.874 --> 05:39:23.510 region:rollup2
SB FOURTEEN NINETY FIVE THE
05:39:22.876 --> 05:39:25.212 region:rollup2
HEALTH SENATE HEALTH COMMITTEE
05:39:23.510 --> 05:39:26.513 region:rollup2
BILL PLEASE OPEN THE ROLL CALL
05:39:25.212 --> 05:39:28.949 region:rollup2
THE ABSENT MEMBERS WOULD I WOULD
05:39:26.513 --> 05:39:31.218 region:rollup2
I BONTA AYE.
05:39:28.949 --> 05:39:31.885 region:rollup2
BONTA AYE BURKE.
05:39:31.218 --> 05:39:34.187 region:rollup2
BURKE AYE.
05:39:31.885 --> 05:39:35.488 region:rollup2
NAZARIAN.
05:39:34.187 --> 05:39:36.523 region:rollup2
NAZARIAN AYE SANTIAGO.
05:39:35.488 --> 05:39:36.823 region:rollup2
SANTIAGO AYE THURMAN
05:39:36.523 --> 05:39:41.061 region:rollup2
[inaudible]
05:39:36.823 --> 05:39:43.296 region:rollup2
THURMAN I TEAM [inaudible]
05:39:41.061 --> 05:39:45.532 region:rollup2
ZERO SO THAT.
05:39:43.296 --> 05:39:47.100 region:rollup2
DOES CONCLUDE ALTHOUGH WE HAVE
05:39:45.532 --> 05:39:49.402 region:rollup2
SOME YOU HAVE SOME OF THE ANY
05:39:47.100 --> 05:39:51.771 region:rollup2
TED ONTO.
05:39:49.402 --> 05:39:52.939 region:rollup2
YOU HAVE TO FOCUS WILL.
05:39:51.771 --> 05:39:53.874 region:rollup2
KILEY GO THROUGH IT WILL GO
05:39:52.939 --> 05:39:54.574 region:rollup2
THROUGH THESE AND SEE WHERE THEY
05:39:53.874 --> 05:39:57.210 region:rollup2
ARE.
05:39:54.574 --> 05:39:57.777 region:rollup2
SP TWO SEVENTY FIVE SP TWO
05:39:57.210 --> 05:39:58.845 region:rollup2
SEVENTY FIVE PLEASE OPEN THE
05:39:57.777 --> 05:40:03.149 region:rollup2
ROLE [inaudible]
05:39:58.845 --> 05:40:06.386 region:rollup2
THIS AREA.
05:40:03.149 --> 05:40:06.686 region:rollup2
ITEM NUMBER NAZARIAN AYE
05:40:06.386 --> 05:40:12.859 region:rollup2
[inaudible]
05:40:06.686 --> 05:40:13.493 region:rollup2
TEAM.
05:40:12.859 --> 05:40:18.398 region:rollup2
ZERO I WHAT IS PART A CASSETTE
05:40:13.493 --> 05:40:20.200 region:rollup2
COUNTER OF SO.
05:40:18.398 --> 05:40:21.968 region:rollup2
EVERYTHING DIDN'T HAVE MANY
05:40:20.200 --> 05:40:28.108 region:rollup2
THINK EVERYBODY'S VOTED ON
05:40:21.968 --> 05:40:30.710 region:rollup2
CONSENT BUT I THINK YOU COULD
05:40:28.108 --> 05:40:31.745 region:rollup2
YOU JUST KNOW YOU DID.
05:40:30.710 --> 05:40:39.719 region:rollup2
THEY DIVIDE.
05:40:31.745 --> 05:40:40.887 region:rollup2
UP. FIFTEEN FIVE YEARS TO LIFE.
05:40:39.719 --> 05:40:44.925 region:rollup2
YOU THINK YOU'RE MISSING OUT
05:40:40.887 --> 05:40:45.225 region:rollup2
THIS CARILLO PLEASE USE WITH
05:40:44.925 --> 05:40:47.093 region:rollup2
[inaudible]
05:40:45.225 --> 05:40:50.530 region:rollup2
OF THAT.
05:40:47.093 --> 05:40:52.599 region:rollup2
I FORTY FOUR NINE FORTY FOUR PM
05:40:50.530 --> 05:40:54.834 region:rollup2
SORRY.
05:40:52.599 --> 05:40:56.569 region:rollup2
I WASN'T HERE SO I'M NOT SURE
05:40:54.834 --> 05:40:57.938 region:rollup2
WHO WAS BEFORE CENTER WIENER WAS
05:40:56.569 --> 05:40:59.940 region:rollup2
AT SENATOR ANDERSON SO WHAT.
05:40:57.938 --> 05:41:00.507 region:rollup2
WAS THAT CENTER BRADFORD WHOSE
05:40:59.940 --> 05:41:01.374 region:rollup2
BEFORE CENTER WAITER WHO WAS
05:41:00.507 --> 05:41:01.808 region:rollup2
BEFORE [inaudible]
05:41:01.374 --> 05:41:07.580 region:rollup2
SKINNER [inaudible]
05:41:01.808 --> 05:41:09.282 region:rollup2
SKINNER. OH PLAY NOT ITEM NUMBER
05:41:07.580 --> 05:41:13.186 region:rollup2
SEVEN I DON'T HAVE TO STAND ON
05:41:09.282 --> 05:41:13.753 region:rollup2
MY FORTY FOUR OKAY ALRIGHT.
05:41:13.186 --> 05:41:15.055 region:rollup2
WITH SO MANY THINGS GOING ON
05:41:13.753 --> 05:41:17.023 region:rollup2
HERE -- NINE
05:41:15.055 --> 05:41:19.092 region:rollup2
AND I DON'T EVER.
05:41:17.023 --> 05:41:19.859 region:rollup2
SIX S. B..
05:41:19.092 --> 05:41:23.263 region:rollup2
NINE FORTY FOUR CONSIDER
05:41:19.859 --> 05:41:26.032 region:rollup2
HERTZBERG NOSE AREA.
05:41:23.263 --> 05:41:32.405 region:rollup2
WELL THAT TO ENSURE.
05:41:26.032 --> 05:41:35.809 region:rollup2
IT'S CONSENT OUT OF ALSO --
05:41:32.405 --> 05:41:36.676 region:rollup2
COMMUNITY PARA MEDICINE.
05:41:35.809 --> 05:41:37.744 region:rollup2
THE LAST ONE WE JUST HEARD AYE
05:41:36.676 --> 05:41:42.382 region:rollup2
AYE.
05:41:37.744 --> 05:41:43.216 region:rollup2
AS AARON I TEAMED.
05:41:42.382 --> 05:41:45.085 region:rollup2
FOURTEEN ZERO SKINNER AND
05:41:43.216 --> 05:41:50.056 region:rollup2
SKINNER IS ITEM NUMBER SEVEN ONE
05:41:45.085 --> 05:41:50.657 region:rollup2
ZERO ZERO ME.
05:41:50.056 --> 05:41:55.028 region:rollup2
MY HAPPINESS AND WE HAVE YEARS
05:41:50.657 --> 05:41:56.396 region:rollup2
AND I NOT OUT OF THE ARE YOU AND
05:41:55.028 --> 05:41:56.696 region:rollup2
I YOU ARE AND I HOPE
05:41:56.396 --> 05:42:04.771 region:rollup2
[inaudible]
05:41:56.696 --> 05:42:05.972 region:rollup2
BUT ITEM NUMBER --
05:42:04.771 --> 05:42:09.175 region:rollup2
EIGHT STERN IS HARRY WANTS TO
05:42:05.972 --> 05:42:12.812 region:rollup2
CHANGE HIS VOTE TO NOT VOTING.
05:42:09.175 --> 05:42:15.482 region:rollup2
I MEAN I'M SORRY ITEM NUMBER.
05:42:12.812 --> 05:42:16.616 region:rollup2
SIX TELL SIMPLE NONE AS NOON
05:42:15.482 --> 05:42:21.921 region:rollup2
NINE FORTY FOUR IN THIS AREA AND
05:42:16.616 --> 05:42:25.158 region:rollup2
I TO NOT NOTE I DO NOT VOTING.
05:42:21.921 --> 05:42:33.033 region:rollup2
THAT LOOKS AT THIRTEEN YES THERE
05:42:25.158 --> 05:42:33.600 region:rollup2
ARE --
05:42:33.033 --> 05:42:38.872 region:rollup2
EIGHTEEN THIRTEEN ZERO ZERO
05:42:33.600 --> 05:42:40.340 region:rollup2
THANK YOU.
05:42:38.872 --> 05:42:43.109 region:rollup2
AND CERTAINLY.
05:42:40.340 --> 05:42:46.579 region:rollup2
HAVING IT'S EVERYTHING STRANGER
05:42:43.109 --> 05:42:48.782 region:rollup2
EXACTLY --
05:42:46.579 --> 05:42:53.586 region:rollup2
EVERYWHERE EVERYBODY I CONSULT.
05:42:48.782 --> 05:42:58.591 region:rollup2
NUMBER [inaudible] ONE FIVE NINE
05:42:53.586 --> 05:43:10.770 region:rollup2
TWELVE THIRTEEN AND TWENTY TWO
05:42:58.591 --> 05:43:12.906 region:rollup2
PICK YOUR I THINK WHAT.
05:43:10.770 --> 05:43:18.244 region:rollup2
I THINK WORD OF GOD [inaudible]
05:43:12.906 --> 05:43:18.244 region:rollup2
FINISH YOUR