WEBVTT
00:24:08.079 --> 00:24:08.613
AHEAD AND GET STARTED WITH OUR
00:24:08.680 --> 00:24:16.788
HEARING.
00:24:16.855 --> 00:24:18.323
GOOD AFTERNOON THANK YOU VERY
00:24:18.390 --> 00:24:20.192
MUCH.
00:24:20.258 --> 00:24:22.060
THIS IS OUR FIRST.
00:24:22.127 --> 00:24:24.162
FIRST FIRST HEARING OF THE YEAR
00:24:24.229 --> 00:24:26.131
OF THE ASSEMBLY HEALTH COMMITTEE
00:24:26.198 --> 00:24:28.633
WERE WE WE ARE HEARING BILLS.
00:24:28.700 --> 00:24:30.468
HAVE NINE BILLS BEFORE US TODAY.
00:24:30.535 --> 00:24:32.237
WE DO HAVE SOME TIME LIMITS --
00:24:32.304 --> 00:24:34.139
WE WILL BE HERE TO WITNESSES PER
00:24:34.206 --> 00:24:36.241
SIDE WITH A TIME LIMIT OF THREE
00:24:36.308 --> 00:24:37.475
MINUTES EACH.%
00:24:37.542 --> 00:24:38.743
ADDITIONAL WITNESSES WILL BE
00:24:38.810 --> 00:24:40.512
ASKED TO STATE ONLY YOUR NAME
00:24:40.579 --> 00:24:43.014
AND ORGANIZATION FOR THE RECORD
00:24:43.081 --> 00:24:44.683
AND YOUR POSITION ON THE MEASURE.
00:24:44.749 --> 00:24:45.817
FOR THOSE WHO HAVE A POSITION
00:24:45.884 --> 00:24:46.952
SOMEWHERE BETWEEN SUPPORT AND
00:24:47.018 --> 00:24:48.854
OPPOSE OR HAVE NO POSITION
00:24:48.920 --> 00:24:50.455
BECAUSE OF THE LENGTH OF OUR
00:24:50.522 --> 00:24:52.023
AGENDA PLEASE GIVE YOUR NAME.
00:24:52.090 --> 00:24:53.391
ORGANIZATION VERY BRIEFLY
00:24:53.458 --> 00:24:54.926
EXPLAIN YOUR POSITION.
00:24:54.993 --> 00:24:56.561
THERE ARE NO BILL SCHEDULE FOR
00:24:56.628 --> 00:24:57.762
CONSENT TODAY.
00:24:57.829 --> 00:24:59.297
WE HAVE A SUBSTITUTE MEMBER
00:24:59.364 --> 00:25:01.366
MISTER KANSEN CHU IS JOINING US
00:25:01.433 --> 00:25:03.635
TDAY INTEREST RESPECT REPLACE --
00:25:03.702 --> 00:25:05.871
FREDDIE RODRIGUEZ FOR TODAY'S
00:25:05.937 --> 00:25:07.172
HEARING ONLY.
00:25:07.239 --> 00:25:08.340
THEIR PRIDE LIKE TO THANK THE
00:25:08.406 --> 00:25:10.041
MEMBERS OF THE HEALTH COMMITTEE
00:25:10.108 --> 00:25:11.710
FOR HELPING US TO BE. TO BE ONE
00:25:11.776 --> 00:25:13.411
OF THE FIRST POLICY COMMUNITY
00:25:13.478 --> 00:25:15.146
COMMITTEES TO GO PAPERLESS.
00:25:15.213 --> 00:25:17.415
AND TO AT TO EVERYONE WHO'S BEEN
00:25:17.482 --> 00:25:20.085
USING THE APPLICANT PORTAL TO
00:25:20.151 --> 00:25:21.853
SUBMIT POSITION LETTERS --
00:25:21.920 --> 00:25:22.587
AT THIS POINT --
00:25:22.654 --> 00:25:25.624
WE WE DO NOT HAVE A CORE WE'LL
00:25:25.690 --> 00:25:27.125
BE OPERATE AS A SUB COMMITTEE.
00:25:27.192 --> 00:25:29.527
AND AS A CUSTOMER THE COMMITTEE --
00:25:29.594 --> 00:25:31.263
BILLS BY COMMITTEE MEMBERS WILL
00:25:31.329 --> 00:25:32.931
BE HEARD AT THE END OF COMMITTEE.
00:25:32.998 --> 00:25:34.566
SO THE FIRST BILL BEFORE US IT
00:25:34.633 --> 00:25:37.702
WILL BE ITEM NUMBER THREE AB TWO
00:25:37.769 --> 00:25:39.037
SIXTY TWO BY ASSEMBLYMEMBER
00:25:39.104 --> 00:25:55.587
GLORIA PLEASE COME FORWARD
00:25:55.654 --> 00:25:55.720
.
00:25:55.720 --> 00:25:56.955
GOOD AFTERNOON MISTER CHAIRMAN
00:25:57.022 --> 00:25:58.156
GOOD AFTERNOON SIR.
00:25:58.223 --> 00:25:58.890
THANK YOU SO MUCH FOR THE
00:25:58.957 --> 00:26:00.926
OPPORTUNITY PERCENT EIGHTY TWO
00:26:00.992 --> 00:26:01.326
SIXTY TWO TODAY.
00:26:01.393 --> 00:26:02.894
FIRST OFF I WOULD LIKE TO START
00:26:02.961 --> 00:26:04.396
BY ACCEPTING OTHER THREE
00:26:04.462 --> 00:26:05.931
AMENDMENTS OUTLINED ON PAGE SIX
00:26:05.997 --> 00:26:07.499
OF THE COMMITTEES ANALYSIS WITH
00:26:07.565 --> 00:26:09.334
APPRECIATION TO STAFF FOR THEIR
00:26:09.401 --> 00:26:10.535
WORK ON THIS BILL --
00:26:10.602 --> 00:26:11.903
MEMBERS OF THE COMMITTEE SHOULD
00:26:11.970 --> 00:26:13.538
HAVE A MOCK UP OF THOSE
00:26:13.605 --> 00:26:14.940
AMENDMENTS BEFORE YOU --
00:26:15.006 --> 00:26:16.908
IN TWENTY SEVENTEEN SAN DIEGO
00:26:16.975 --> 00:26:17.876
EXPERIENCE ONE OF THE DEADLIEST
00:26:17.943 --> 00:26:20.078
OUTBREAK OF HEPATITIS A VIRUS --
00:26:20.145 --> 00:26:21.313
SINCE THE VACCINE FOR THE
00:26:21.379 --> 00:26:23.148
DISEASE BECAME AVAILABLE IN THE
00:26:23.214 --> 00:26:24.482
YEAR.
00:26:24.549 --> 00:26:24.983
NINETEEN NINETY SIX THE
00:26:25.050 --> 00:26:26.284
OTHERWISE ENTIRELY PREVENTABLE
00:26:26.351 --> 00:26:29.087
DISEASE BEGAN TO SPREAD IT DID
00:26:29.154 --> 00:26:30.789
SO AT AN UNBELIEVABLE RATE.
00:26:30.855 --> 00:26:32.157
REACHES FAR AS ORANGE LOS
00:26:32.223 --> 00:26:34.292
ANGELES AND ACTUALLY SANTA CRUZ
00:26:34.359 --> 00:26:35.060
COUNTIES.
00:26:35.126 --> 00:26:36.227
STATE INTERVENTION BECAME
00:26:36.294 --> 00:26:38.096
DESPERATELY NEEDED AS A RESULT
00:26:38.163 --> 00:26:39.531
OF THE H. B. H. A. B. C..
00:26:39.597 --> 00:26:41.833
OUTBREAK ORIGINATING IN SAN
00:26:41.900 --> 00:26:46.104
DIEGO THE PROCLAMATION OCTOBER
00:26:46.171 --> 00:26:47.539
THIRTEENTH.
00:26:47.605 --> 00:26:48.406
TWENTY SEVENTEEN AS OF APRIL
00:26:48.473 --> 00:26:49.741
ELEVENTH TWENTY EIGHTEEN THE
00:26:49.808 --> 00:26:50.675
CALIFORNIA DEPARTMENT OF PUBLIC
00:26:50.742 --> 00:26:52.377
HEALTH REPORTED SEVEN HUNDRED
00:26:52.444 --> 00:26:54.212
AND FOUR CASES OF HEPATITIS A BY
00:26:54.279 --> 00:26:55.480
VIRUS.
00:26:55.547 --> 00:26:56.481
BORN IN SIXTY ONE
00:26:56.548 --> 00:26:58.516
HOSPITALIZATIONS AND TWENTY ONE
00:26:58.583 --> 00:27:00.952
DEATHS RELATED TO THIS OUTBREAK.
00:27:01.019 --> 00:27:02.020
FOLLOWING THE CONTAINMENT OF THE
00:27:02.087 --> 00:27:03.221
OUTBREAK I REQUESTED THAT OUR
00:27:03.288 --> 00:27:04.622
STATE AUDITOR REVIEW THE
00:27:04.689 --> 00:27:06.491
MANAGEMENT OF THE H. A. B. C. H.
00:27:06.558 --> 00:27:07.625
A. V. OUTBREAK.
00:27:07.692 --> 00:27:08.560
SHE PROVIDED A NUMBER OF
00:27:08.626 --> 00:27:09.961
RECOMMENDATIONS TO ALL THE
00:27:10.028 --> 00:27:11.529
GOVERNMENT ENTITIES INVOLVED IN
00:27:11.596 --> 00:27:13.131
THIS BILL IS A DIRECT PRODUCT OF
00:27:13.198 --> 00:27:14.866
THOSE RECOMMENDATIONS.
00:27:14.933 --> 00:27:16.401
AB TWO SIXTY TWO MAKES CLEAR THE
00:27:16.468 --> 00:27:17.535
RESPONSIBILITIES OF LOCAL
00:27:17.602 --> 00:27:19.004
GOVERNMENT AND PUBLIC HEALTH
00:27:19.070 --> 00:27:20.972
OFFICERS TO PROTECT THE PUBLIC
00:27:21.039 --> 00:27:22.340
AGAINST FUTURE COMMUNICABLE
00:27:22.407 --> 00:27:23.641
DISEASE OUTBREAKS.
00:27:23.708 --> 00:27:24.976
SPECIFICALLY THIS BILL DOES TWO
00:27:25.043 --> 00:27:27.479
THINGS ONE IT CLARIFIES A LOCAL
00:27:27.545 --> 00:27:29.014
HEALTH OFFICERS AUTHORITY TO
00:27:29.080 --> 00:27:30.648
ISSUE ORDERS TO LOCAL
00:27:30.715 --> 00:27:32.150
JURISDICTIONS IN RESPONSE TO A
00:27:32.217 --> 00:27:33.752
COMMUNICABLE DISEASE DISEASE
00:27:33.818 --> 00:27:34.486
OUTBREAK.
00:27:34.552 --> 00:27:36.221
AND SECONDLY IT REQUIRES A LOCAL
00:27:36.287 --> 00:27:37.922
HEALTH OFFICER TO MAKE RELEVANT
00:27:37.989 --> 00:27:39.758
INFORMATION SPECIFICALLY THE
00:27:39.824 --> 00:27:41.026
LOCATIONS IN CONCENTRATIONS OF
00:27:41.092 --> 00:27:42.827
CASES RELATED TO COMMUNICABLE
00:27:42.894 --> 00:27:44.195
DISEASE OUTBREAKS AVAILABLE TO
00:27:44.262 --> 00:27:46.531
THE LOCAL JURISDICTIONS WITHIN
00:27:46.598 --> 00:27:47.699
THE COUNTY.
00:27:47.766 --> 00:27:48.933
WHEN THIS IS WITH ME TODAY ARE
00:27:49.000 --> 00:27:49.567
JONATHAN CLAY ON BEHALF OF THE
00:27:49.634 --> 00:27:50.468
SAN DIEGO COUNTY BOARD OF
00:27:50.535 --> 00:27:53.438
SUPERVISORS AND WEBER TOP ON
00:27:53.505 --> 00:27:57.609
BEHALF OF THE CITY OF SAN DIEGO?
00:27:57.675 --> 00:27:58.476
GOOD AFTERNOON SURE WOULD
00:27:58.543 --> 00:27:59.310
COMMITTEE MEMBERS JONATHAN CLAY
00:27:59.377 --> 00:28:00.211
HER ABOUT THE COUNTY SAN DIEGO
00:28:00.278 --> 00:28:00.979
WE'RE PLEASED TO BE HERE WITH
00:28:01.046 --> 00:28:04.416
ASSEMBLYMEMBER GLORIA SPONSORING.
00:28:04.482 --> 00:28:06.384
EIGHTY TWO SIX TWO AB TWO TWO
00:28:06.451 --> 00:28:07.652
SIX TWO SIX TO CLARIFY AND
00:28:07.719 --> 00:28:08.987
STRENGTHEN LOCAL HELP OFFICERS A
00:28:09.054 --> 00:28:10.422
TORY SPECIFICALLY RELATED.
00:28:10.488 --> 00:28:11.856
TO SHARING PERSON INFORMATION
00:28:11.923 --> 00:28:13.024
WITH OTHER LOCAL GOVERNMENT
00:28:13.091 --> 00:28:14.526
ENTITIES RELATING TO
00:28:14.592 --> 00:28:16.194
COMMUNICABLE DISEASES THAT MAY
00:28:16.261 --> 00:28:17.395
AFFECT THEM.
00:28:17.462 --> 00:28:19.464
AND TO STRENGTHEN THE ABILITY OF
00:28:19.531 --> 00:28:21.933
A HEALTH OFFICER TO ORDER ACTION
00:28:22.000 --> 00:28:22.834
OF AN AFFECTED LOCAL GOVERNMENT
00:28:22.901 --> 00:28:24.836
IT TO CONTROL THE SPREAD OF THE
00:28:24.903 --> 00:28:25.970
COMMUNICABLE DISEASE.
00:28:26.037 --> 00:28:27.572
IN SHORT THE COUNTY BELIEVES OF
00:28:27.639 --> 00:28:28.840
THESE ACTIONS THESE AUTHORITIES
00:28:28.907 --> 00:28:31.209
WERE -- IN
00:28:31.276 --> 00:28:34.913
PLACE TWO YEARS AGO BUT THAT
00:28:34.979 --> 00:28:36.648
ALSO INCLUDE MY TESTIMONY.
00:28:36.714 --> 00:28:37.282
THANK YOU MISTER CHAIRMAN AND
00:28:37.348 --> 00:28:38.817
MEMBERS WHERE A TOP ON BEHALF OF
00:28:38.883 --> 00:28:40.552
THE CITY OF SAN DIEGO WHICH
00:28:40.618 --> 00:28:41.386
YOU'RE IN STRONG SUPPORT OF THIS
00:28:41.453 --> 00:28:43.154
BILL THE CITY WITH AT THE TIP OF
00:28:43.221 --> 00:28:46.157
THE SPEAR OF THE HAPPY CRISIS --
00:28:46.224 --> 00:28:47.859
A YEAR AND A HALF AGO I WE WERE
00:28:47.926 --> 00:28:49.494
CATAPULTED INTO ACTION --
00:28:49.561 --> 00:28:53.031
VERY QUICKLY AND AND IT WAS --
00:28:53.098 --> 00:28:54.866
IT WAS VERY DIFFICULT TIME FOR
00:28:54.933 --> 00:28:56.434
THE CITY --
00:28:56.501 --> 00:28:58.069
WE WE LEARNED A LOT OF LESSONS
00:28:58.136 --> 00:29:00.038
HOWEVER THROUGH THE PROCESS AND
00:29:00.105 --> 00:29:03.374
ARE VERY APPRECIATIVE OF OF THE
00:29:03.441 --> 00:29:04.943
AUDIT THAT WAS THAT TOOK PLACE
00:29:05.009 --> 00:29:07.479
AND AND MISTER GLORIOUS BILL
00:29:07.545 --> 00:29:08.813
HERE -- WILL
00:29:08.880 --> 00:29:10.682
HELP IMPLEMENT AND HOPEFULLY
00:29:10.748 --> 00:29:11.749
HELP OTHER CITIES THAT OTHER
00:29:11.816 --> 00:29:13.585
THAT ALSO FACE --
00:29:13.651 --> 00:29:15.086
THE SAME SITUATION WE DID A YEAR
00:29:15.153 --> 00:29:18.223
AND A HALF AGO SO WITH THAT WE
00:29:18.289 --> 00:29:19.224
ASK FOR YOUR SUPPORT.
00:29:19.290 --> 00:29:20.058
VERY MUCH AT THIS POINT WAS STOP
00:29:20.125 --> 00:29:20.725
AND TAKE --
00:29:20.792 --> 00:29:21.626
WE HAVE A QUORUM SO I SAID MADAM
00:29:21.693 --> 00:29:24.062
SECRETARY PLEASE TAKE THE ROLE
00:29:24.129 --> 00:29:26.431
WHAT I HEAR [inaudible]
00:29:26.498 --> 00:29:30.635
MAYES.
00:29:30.702 --> 00:29:32.904
I HURRY YEAH.
00:29:32.971 --> 00:29:33.138
BIGELOW.
00:29:33.204 --> 00:29:34.839
BONTA.
00:29:34.906 --> 00:29:36.007
BURKE CARRILLO.
00:29:36.074 --> 00:29:37.041
FLORA [inaudible]
00:29:37.108 --> 00:29:38.510
MON [inaudible]
00:29:38.576 --> 00:29:42.847
MCCARTY [inaudible]
00:29:42.914 --> 00:29:44.749
NAZARIAN [inaudible]
00:29:44.816 --> 00:29:48.253
RAMOS [inaudible] TWO SANTIAGO
00:29:48.319 --> 00:29:48.553
[inaudible]
00:29:48.620 --> 00:29:54.092
WALDRON.
00:29:54.159 --> 00:29:55.393
SO WE ACTUALLY DO HAVE A QUORUM
00:29:55.460 --> 00:29:56.094
SO.
00:29:56.161 --> 00:29:57.362
THANK YOU VERY MUCH --
00:29:57.428 --> 00:29:58.897
AT THIS POINT --
00:29:58.963 --> 00:30:04.202
OTHERS IN SUPPORT [inaudible]
00:30:04.269 --> 00:30:06.638
PLEASE.
00:30:06.704 --> 00:30:09.908
A ONE OF OKAY.
00:30:09.974 --> 00:30:11.609
SEEING NO --
00:30:11.676 --> 00:30:12.210
ONE IS THERE ARE --
00:30:12.277 --> 00:30:22.287
OPPOSITION TESTIFY.
00:30:22.353 --> 00:30:23.988
THIS IS THE FOURTH ONE SORRY
00:30:24.055 --> 00:30:25.156
THIS.
00:30:25.223 --> 00:30:25.924
THIS ARE SO IS THERE SUPPORT I'M
00:30:25.990 --> 00:30:28.993
SORRY DID.
00:30:29.060 --> 00:30:30.195
MISTER CHAIR MEMBERS OF ALL
00:30:30.261 --> 00:30:31.296
USERS A LINE OUTSIDE ALL OF IRAQ
00:30:31.362 --> 00:30:32.897
RIGHT CALIFORNIA LIKE SCIENCES
00:30:32.964 --> 00:30:34.132
ASSOCIATION IN STRONG SUPPORT
00:30:34.199 --> 00:30:37.535
THANK YOU.
00:30:37.602 --> 00:30:39.938
OKAY OPPOSITION SO WITH THREE
00:30:40.004 --> 00:30:41.039
MINUTES EACH THANK YOU.
00:30:41.105 --> 00:30:42.574
THANK YOU FOR YOUR TIMEMY NAME
00:30:42.640 --> 00:30:43.575
IS NICHOLAS JOHNSON AND I'M HERE
00:30:43.641 --> 00:30:46.044
ARMED SPEAKING ON BEHALF OF
00:30:46.110 --> 00:30:49.080
PARENTS UNITED FOR KIDS. ONE OF
00:30:49.147 --> 00:30:49.614
THE THINGS THAT NEED TO BE
00:30:49.681 --> 00:30:50.348
ADDRESSES THAT.
00:30:50.415 --> 00:30:51.583
WE'RE HERE TODAY BECAUSE
00:30:51.649 --> 00:30:54.919
AGENCIES FAILED TO DO THEIR JOB.
00:30:54.986 --> 00:30:56.087
AND NOW WE'RE ASKING TO GIVE
00:30:56.154 --> 00:30:59.157
THEM UNLIMITED POWER.
00:30:59.224 --> 00:31:00.892
DURING THE PRESS CONFERENCE.
00:31:00.959 --> 00:31:02.594
THERE WAS INTRODUCED WHILE THIS
00:31:02.660 --> 00:31:06.130
BILL WAS COMING OUT.
00:31:06.197 --> 00:31:08.366
SUPERVISOR FLETCHER MENTIONED
00:31:08.433 --> 00:31:10.134
THAT DURING THE H. ONE N. ONE
00:31:10.201 --> 00:31:11.603
SITUATION.
00:31:11.669 --> 00:31:12.971
THAT THEY DIDN'T HAVE THE
00:31:13.037 --> 00:31:15.440
AUTHORITY TO MASS VACCINATE
00:31:15.506 --> 00:31:15.740
[inaudible]
00:31:15.807 --> 00:31:17.475
SCHOOL CHILDREN [inaudible]
00:31:17.542 --> 00:31:19.177
NOW.
00:31:19.244 --> 00:31:21.412
THERE'S A LOT OF PROBLEMS HERE
00:31:21.479 --> 00:31:21.879
BUT IN THAT SAME PRESS
00:31:21.946 --> 00:31:23.581
CONFERENCE.
00:31:23.648 --> 00:31:24.816
ARE REPRESENTATIVE GLORIA.
00:31:24.882 --> 00:31:27.385
ALSO MENTION HE WANTED TO HEAR
00:31:27.452 --> 00:31:29.621
THE VOICES OF THE PEOPLE.
00:31:29.687 --> 00:31:31.189
I HOPE YOU IN YOUR MIND TODAY.
00:31:31.256 --> 00:31:32.724
THOUSANDS OF PARENTS HAVE BEEN
00:31:32.790 --> 00:31:35.560
TO THIS CAPITAL. TO SPEAK WHEN
00:31:35.627 --> 00:31:38.029
SB TWO SEVEN SEVEN CAME UP AND
00:31:38.096 --> 00:31:38.596
ONE OF THE THINGS THAT WE
00:31:38.663 --> 00:31:40.531
ADDRESSED WAS THE CDC
00:31:40.598 --> 00:31:43.935
WHISTLEBLOWER WILLIAM THOMPSON.
00:31:44.002 --> 00:31:45.703
WHO CAME OUT AND SAID THAT IN
00:31:45.770 --> 00:31:47.205
THE CDC THEY HAVE BEEN
00:31:47.272 --> 00:31:49.240
COMMITTING FRAUD IN TERMS OF OUR
00:31:49.307 --> 00:31:51.109
VACCINATION PROGRAM?
00:31:51.175 --> 00:31:53.945
OUR CONCERN OF THOR TARIAN THIS.
00:31:54.012 --> 00:31:55.613
AND I HOPE THAT THIS MEASURE IS
00:31:55.680 --> 00:31:57.348
RELEASED TAILORED TO MEET THAT
00:31:57.415 --> 00:31:59.817
SPECIFIC NEEDS DURING THE AUDIT
00:31:59.884 --> 00:32:01.719
FOR EXAMPLE.
00:32:01.786 --> 00:32:03.421
ARE IT WAS MENTIONED THAT.
00:32:03.488 --> 00:32:05.323
SOME OF THE SUGGESTIONS WERE
00:32:05.390 --> 00:32:06.958
THAT YOU CAN USE HAND WASHING
00:32:07.025 --> 00:32:09.861
STATIONS ACCESS TO RUSH ROOMS.
00:32:09.927 --> 00:32:11.596
THAT STREET CLEANING THESE WERE
00:32:11.663 --> 00:32:13.031
MEASURES THAT WE ABSOLUTELY
00:32:13.097 --> 00:32:14.332
SUPPORT.
00:32:14.399 --> 00:32:15.833
WE HAVE HOMELESS CAMPS ACROSS
00:32:15.900 --> 00:32:18.169
THIS COUNTRY AND THE SITUATIONS
00:32:18.236 --> 00:32:20.505
ARE ABSOLUTELY A DIRE TRUTH THAT
00:32:20.571 --> 00:32:22.040
THIS IS A SITUATION THAT COULD
00:32:22.106 --> 00:32:24.876
CAUSE A PLAGUE.
00:32:24.942 --> 00:32:26.010
WE HAVE TO ASK YOURSELF WHY DO
00:32:26.077 --> 00:32:27.979
WE HAVE SUCH A HOMELESS EPIDEMIC
00:32:28.046 --> 00:32:29.981
IN THISCOUNTRY.
00:32:30.048 --> 00:32:31.349
AND I WOULD VENTURE TO SAY THAT
00:32:31.416 --> 00:32:32.550
ONE OF THE BIG THINGS IS WE ARE
00:32:32.617 --> 00:32:34.585
OVERLY TAXED.
00:32:34.652 --> 00:32:36.054
WE HAVE THE HIGHEST COST OF
00:32:36.120 --> 00:32:37.989
LIVING INSIDE OF THE UNITED
00:32:38.056 --> 00:32:39.357
STATES AND WE HAVE TO REALLY
00:32:39.424 --> 00:32:41.159
ADDRESS THIS I'M WITH YOU IN
00:32:41.225 --> 00:32:42.593
FULL SUPPORT THAT WE NEED TO
00:32:42.660 --> 00:32:43.995
TREAT THESE PEOPLE NOT AS RATS
00:32:44.062 --> 00:32:45.363
IN THE STREETS THESE ARE HUMAN
00:32:45.430 --> 00:32:47.131
BEINGS.
00:32:47.198 --> 00:32:48.199
SO WHAT I'M ASKING IS SIMPLY
00:32:48.266 --> 00:32:50.101
THAT WHEN WE LOOK AT WHAT WE'RE
00:32:50.168 --> 00:32:52.203
GOING TO DO MOVING FORWARD THAT.
00:32:52.270 --> 00:32:53.604
SENATOR PHIL I'M SORRY
00:32:53.671 --> 00:32:55.139
REPRESENTATIVE FLETCHER AT MY TO
00:32:55.206 --> 00:32:56.808
COMMENT ALSO THAT THIS WAS --
00:32:56.874 --> 00:32:59.277
HUMANITY ISSUE AND I AGREE WITH
00:32:59.344 --> 00:33:00.645
THAT STATEMENT FOR FOR A FULL
00:33:00.712 --> 00:33:02.580
FULL HEARTEDLY THIS IS A
00:33:02.647 --> 00:33:03.614
HUMANITY ISSUE.
00:33:03.681 --> 00:33:05.550
THAT REQUIRES A HUMANE APPROACH
00:33:05.616 --> 00:33:06.451
DOES NOT REQUIRE
00:33:06.517 --> 00:33:08.152
AUTHORITARIANISM NOW I WOULD
00:33:08.219 --> 00:33:09.821
ALSO JUST US THAT WE'RE DEALING
00:33:09.887 --> 00:33:11.089
WITH THESE LEGISLATIVE BILLS
00:33:11.155 --> 00:33:12.056
THAT AFFECTS SO MANY
00:33:12.123 --> 00:33:13.825
CALIFORNIANS.
00:33:13.891 --> 00:33:15.226
YOU MENTIONED CENTER ARE
00:33:15.293 --> 00:33:16.594
REPRESENTED GLORIA THAT.
00:33:16.661 --> 00:33:17.729
YOU KNOW YOU WANT TO HEAR THE
00:33:17.795 --> 00:33:19.063
VOICE OF THE PEOPLE I WOULD ASK
00:33:19.130 --> 00:33:20.064
THAT WE ALSO INTRODUCE
00:33:20.131 --> 00:33:21.766
LEGISLATION THAT GIVES US MORE
00:33:21.833 --> 00:33:23.201
THAN THREE MINUTES TO SPEAK ON
00:33:23.267 --> 00:33:24.635
SUCH MATTERS THAT AFFECTS SO
00:33:24.702 --> 00:33:26.471
MANY CALIFORNIANS EVERY SINGLE
00:33:26.537 --> 00:33:39.417
DAY THANK YOU FOR YOUR TIME.
00:33:39.484 --> 00:33:40.785
BEFORE WE GO AHEAD IT IS THE
00:33:40.852 --> 00:33:42.387
CUSTOM OF THIS HOUSE THAT WE DO
00:33:42.453 --> 00:33:43.888
NOT ALLOW REPLIES OR
00:33:43.955 --> 00:33:46.491
DEMONSTRATIONS OF OF ANYTHING.
00:33:46.557 --> 00:33:47.759
UNLESS YOU WANT TO WEIGH YOUR
00:33:47.825 --> 00:33:49.160
FINGERS OR SOMETHING LIKE THAT
00:33:49.227 --> 00:33:50.528
BUT PLEASE NO APPLAUSE NO
00:33:50.595 --> 00:33:52.697
JEERING NO CAT CALLS NOTHING
00:33:52.764 --> 00:33:53.998
PLEASE THAT'S THE CUSTOM OF OUR
00:33:54.065 --> 00:33:55.900
HOUSE AND WE ASK THAT YOU
00:33:55.967 --> 00:33:56.534
RESPECT THAT WHEN YOU'RE IN OUR
00:33:56.601 --> 00:33:58.102
HOUSE.
00:33:58.169 --> 00:33:58.703
WILL OUT HERE A SECOND WITNESS
00:33:58.770 --> 00:33:59.570
THANK YOU.
00:33:59.637 --> 00:34:02.240
I THANK YOU AMEND ASSEMBLY
00:34:02.306 --> 00:34:02.874
MEMBER WITHIN THE OTHER MEMBERS
00:34:02.940 --> 00:34:06.978
OF ADDRESS ADVOCACY I'M I THINK
00:34:07.044 --> 00:34:08.379
ASSEMBLY MEMBER DORIES OFFICE
00:34:08.446 --> 00:34:09.347
FOR BEING OPEN TO HAVING
00:34:09.414 --> 00:34:10.681
CONVERSATIONS ABOUT AMENDMENTS
00:34:10.748 --> 00:34:12.116
THAT WE'VE REQUESTED I DID SEND
00:34:12.183 --> 00:34:13.484
ALL OF THOSE TO EACH OF YOUR
00:34:13.551 --> 00:34:14.552
OFFICES AS WELL.
00:34:14.619 --> 00:34:16.421
MY WE AGREE WITH THE INTENTION
00:34:16.487 --> 00:34:17.655
OF THIS BILL WHICH IS TO A LOT
00:34:17.722 --> 00:34:19.424
PUBLIC OF COMMUNICABLE DISEASE
00:34:19.490 --> 00:34:20.358
AND ENSURE THAT IT'S DRESSED
00:34:20.425 --> 00:34:21.726
QUICKLY AND EFFECTIVELY IS
00:34:21.793 --> 00:34:22.894
CURRENTLY WORDED --
00:34:22.960 --> 00:34:25.163
THIS BILL IS OVERLY BROAD AND
00:34:25.229 --> 00:34:26.030
COULD RESULT IN THE ABUSE OF
00:34:26.097 --> 00:34:26.697
POWER.
00:34:26.764 --> 00:34:28.232
I GIVES YOU NATURAL BLANKET
00:34:28.299 --> 00:34:29.734
AUTHORITY TO THE HEALTH OFFICER
00:34:29.801 --> 00:34:31.969
TISSUE QUOTE UNQUOTE DIRECTIVES
00:34:32.036 --> 00:34:33.271
TO OTHER GOVERNMENTAL ENTITIES
00:34:33.337 --> 00:34:35.039
WITHIN THAT JURISDICTION TO TAKE
00:34:35.106 --> 00:34:36.707
ANY ACTION.
00:34:36.774 --> 00:34:37.208
THE HEALTH OFFICER DEEMS
00:34:37.275 --> 00:34:39.477
NECESSARY IT'S THAT WOULD ANY
00:34:39.544 --> 00:34:41.045
THAT WE HAVE A ISSUE.
00:34:41.112 --> 00:34:43.181
WITH -- IT
00:34:43.247 --> 00:34:45.249
ALSO IN THE AMENDMENTS MAKE IT
00:34:45.316 --> 00:34:46.784
EVEN MORE BROAD THAT SAY THAT
00:34:46.851 --> 00:34:48.186
DURING AN OUTBREAK OF
00:34:48.252 --> 00:34:49.654
COMMUNICABLE DISEASE OR UPON
00:34:49.720 --> 00:34:51.489
IMMINENT AND PROXIMATE THREAT OF
00:34:51.556 --> 00:34:53.825
A COMMUNICABLE DISEASE --
00:34:53.891 --> 00:34:55.927
THE THE BACK ACTION SHOULD BE
00:34:55.993 --> 00:34:56.627
TAKEN.
00:34:56.694 --> 00:34:59.197
ON AN OUTBREAK IN CALIFORNIA AND
00:34:59.263 --> 00:35:00.865
ACCORDING TO THE CDC IS THREE
00:35:00.932 --> 00:35:02.834
PEOPLE AN EPIDEMIC IS SEVEN
00:35:02.900 --> 00:35:04.068
PEOPLE SO LET'S JUST BE CLEAR
00:35:04.135 --> 00:35:05.703
WHEN WE SAY OUTBREAK IT'S NOT
00:35:05.770 --> 00:35:07.338
HUNDREDS OF PEOPLE WERE TALKING
00:35:07.405 --> 00:35:11.676
ABOUT FOR THREE PEOPLE --
00:35:11.742 --> 00:35:13.344
YOUR AS LEGISLATORS TOSSED WITH
00:35:13.411 --> 00:35:13.911
MAKING LAWS THAT A NARROWLY
00:35:13.978 --> 00:35:15.880
TAILORED AND SPECIFIC THIS BILL
00:35:15.947 --> 00:35:16.881
IS NOT.
00:35:16.948 --> 00:35:17.982
BOTH FROM THE ACTION OF THE
00:35:18.049 --> 00:35:19.917
LOCAL HEALTH OFFICE CAN DIMOND
00:35:19.984 --> 00:35:21.619
AND ALSO FROM A FISCAL
00:35:21.686 --> 00:35:23.988
RESPONSIBILITY SO THIS ALLOWS A
00:35:24.055 --> 00:35:25.423
HEALTH OFFICER TO TAKE ANY
00:35:25.490 --> 00:35:29.026
ACTION REGARDLESS OF COST --
00:35:29.093 --> 00:35:30.628
YOU BROUGHT THIS BILL FORWARD IN
00:35:30.695 --> 00:35:32.163
RESPONSE TO THE HEPATITIS A
00:35:32.230 --> 00:35:33.965
OUTBREAK IN SAN DIEGO HOWEVER
00:35:34.031 --> 00:35:35.299
THE AUDIT REPORT MAKES IT CLEAR
00:35:35.366 --> 00:35:36.834
THAT THIS ISSUE IS NOT WHAT
00:35:36.901 --> 00:35:38.903
ACTION WAS ACTUALLY HAPPENED BUT
00:35:38.970 --> 00:35:40.271
HOW QUICKLY AND EFFECTIVELY THAT
00:35:40.338 --> 00:35:41.772
ACTION WAS TAKEN.
00:35:41.839 --> 00:35:43.140
THIS BILL DOESN'T FULLY ADDRESS
00:35:43.207 --> 00:35:44.709
THAT AND INSTEAD GIVES THE LOCAL
00:35:44.775 --> 00:35:46.244
HEALTH OFFICER JUST MORE POLICE
00:35:46.310 --> 00:35:47.245
POWERS.
00:35:47.311 --> 00:35:48.112
WHILE WE MAY BELIEVE THAT
00:35:48.179 --> 00:35:49.547
TODAY'S HEALTH OFFICES WOULD DO
00:35:49.614 --> 00:35:51.315
THE RIGHT THING WE'VE ALL LIVED
00:35:51.382 --> 00:35:52.950
IN A TIME WHERE WE DON'T AGREE
00:35:53.017 --> 00:35:54.852
WITH THE FED OFFICIALS IN POWER.
00:35:54.919 --> 00:35:56.487
CALIFORNIA HAS A LONG HIS
00:35:56.554 --> 00:35:57.955
BRECHER OF MEDICAL ABUSE ON ITS
00:35:58.022 --> 00:35:59.757
PEOPLE SO WHAT COULD THIS BILL
00:35:59.824 --> 00:36:01.325
LEAD TO THE SEPARATION OF
00:36:01.392 --> 00:36:02.660
CHILDREN AND PARENTS IF THEY
00:36:02.727 --> 00:36:04.161
REFUSE MEDICAL TREATMENT
00:36:04.228 --> 00:36:05.663
QUARANTINE OF EVERY MEMBER IN A
00:36:05.730 --> 00:36:06.764
SUDDEN ZIP CODE.
00:36:06.831 --> 00:36:08.065
WHAT WOULD HAPPEN IF IF AN
00:36:08.132 --> 00:36:09.534
OFFICIAL WHO DECIDED THAT THE
00:36:09.600 --> 00:36:11.168
NAME OF COMMON GOOD IN
00:36:11.235 --> 00:36:12.103
PROTECTING OTHERS THAT THEY
00:36:12.169 --> 00:36:13.070
COULD MARRY METAPHORICALLY
00:36:13.137 --> 00:36:14.872
INVADE OUR BEDROOMS AND MANDATE
00:36:14.939 --> 00:36:16.440
THAT EVERYONE HAD PROTECTED SEX
00:36:16.507 --> 00:36:19.510
SO IT'S NICE TO DE EPIDEMIC
00:36:19.577 --> 00:36:20.511
DOESN'T SPREAD?
00:36:20.578 --> 00:36:21.479
THE LEGISLATURE IS TOSSED IT
00:36:21.546 --> 00:36:23.447
DRAWING LINES THIS BILL DOES NOT
00:36:23.514 --> 00:36:25.583
DRAW A LINE TO GIVE A SPECIFIC
00:36:25.650 --> 00:36:27.418
EXAMPLE IN THE UNITED KINGDOM
00:36:27.485 --> 00:36:28.352
WHERE I GREW UP THERE WAS A
00:36:28.419 --> 00:36:30.521
SWINE FLU OUTBREAK IN TWO
00:36:30.588 --> 00:36:32.590
THOUSAND AND NINE ON THE
00:36:32.657 --> 00:36:33.791
CONSTITUTIONAL RIGHTS THAT WE
00:36:33.858 --> 00:36:35.426
HAVEN'T SO THE SOLUTION WAS TO
00:36:35.493 --> 00:36:35.793
SIMPLY.
00:36:35.860 --> 00:36:38.763
VACCINATE SIX MILLION PEOPLE RAM
00:36:38.829 --> 00:36:40.631
UNPRECEDENTED FOR IT SCOTT SCALE
00:36:40.698 --> 00:36:42.733
AND ITS SIZE IT TURNS OUT BUT
00:36:42.800 --> 00:36:44.735
ONE IN EVERY FIFTY THOUSAND
00:36:44.802 --> 00:36:45.570
PEOPLE WHO WERE GIVEN THAT
00:36:45.636 --> 00:36:46.337
VACCINE.
00:36:46.404 --> 00:36:48.205
IT CAUSED AN IMMUNE SYSTEM TO
00:36:48.272 --> 00:36:49.774
ATTACK THE WHOLE CLASSED AS A
00:36:49.840 --> 00:36:51.242
VENUE RUNS IN THEIR BRAIN.
00:36:51.309 --> 00:36:52.977
PEOPLE GENETICALLY PREDISPOSED
00:36:53.044 --> 00:36:54.478
THE VACCINE ACTUALLY TRIGGERS
00:36:54.545 --> 00:36:56.247
THEIR OWN BODIES TO GIVE THEIR
00:36:56.314 --> 00:36:57.615
BRAINS A PARTIAL LOBOTOMY.
00:36:57.682 --> 00:36:58.716
NOW THE BEST SCIENTIST IN THE U.
00:36:58.783 --> 00:37:00.685
K. STUDIED THIS FOR SIX YEARS
00:37:00.751 --> 00:37:01.986
AND IN TWO THOUSAND AND FIFTEEN
00:37:02.053 --> 00:37:03.054
THE BRITISH GOVERNMENT AGAIN
00:37:03.120 --> 00:37:04.755
OFFICIALLY ACKNOWLEDGE PUBLICLY.
00:37:04.822 --> 00:37:05.923
BUT IT WAS TRUE AND THAT THEY
00:37:05.990 --> 00:37:07.792
EXPECT TO BE PAYING HUNDREDS OF
00:37:07.858 --> 00:37:09.794
PEOPLE OVER ONE POINT FIVE
00:37:09.860 --> 00:37:10.695
MILLION DOLLARS.
00:37:10.761 --> 00:37:12.263
THAT SUMS NOT SUFFICIENT TO
00:37:12.330 --> 00:37:14.699
COMPENSATE WHAT HAPPENS TO THOSE
00:37:14.765 --> 00:37:16.167
PEOPLE THAT HAD THAT EFFECT.
00:37:16.233 --> 00:37:17.101
THIS BILL MAY BE MORE
00:37:17.168 --> 00:37:19.236
RESTRICTIVE STE THIS BILL HAS TO
00:37:19.303 --> 00:37:20.671
BE MORE RESTRICTIVE SO THAT LESS
00:37:20.738 --> 00:37:21.839
INTRUSIVE BUT EFFECTIVE AND
00:37:21.906 --> 00:37:23.240
QUICKLY ACTIONABLE POLICIES A
00:37:23.307 --> 00:37:23.975
TAKEN.
00:37:24.041 --> 00:37:25.943
BEFORE THE MOST RESTRICTIVE
00:37:26.010 --> 00:37:27.511
INVASIVE --
00:37:27.578 --> 00:37:28.813
OUT ONES ARE --
00:37:28.879 --> 00:37:30.281
AND THAT IT DOESN'T INFRINGE ON
00:37:30.348 --> 00:37:31.215
A PERSON'S FUNDAMENTAL
00:37:31.282 --> 00:37:33.084
CONSTITUTIONAL RIGHTS WHEN
00:37:33.150 --> 00:37:34.285
DEALING WITH SOMEONE AS
00:37:34.352 --> 00:37:35.419
SOMETHING AS PRECIOUS OCCUR AS
00:37:35.486 --> 00:37:37.088
FUNDAMENTAL RIGHT IT REQUIRES
00:37:37.154 --> 00:37:39.323
THE LEGISLATURE TO BE MINDFUL.
00:37:39.390 --> 00:37:42.727
OF AN EQUAL ANCIENT CONCEPT OF
00:37:42.793 --> 00:37:44.528
HUBRIS THANK YOU.
00:37:44.595 --> 00:37:46.063
I HAVE ONE MORE PART OF WE ALSO
00:37:46.130 --> 00:37:47.298
BELIEVE WE WOULD LIKE TO HAVE AN
00:37:47.365 --> 00:37:48.399
AMENDMENT THAT.
00:37:48.466 --> 00:37:52.236
ENSURE IS THAT AFTER A PUBLIC
00:37:52.303 --> 00:37:56.073
HEALTH WHICH TO THE ORDER THAT
00:37:56.140 --> 00:37:57.642
WAS DONE SAID THAT.
00:37:57.708 --> 00:37:59.510
THE PLAN FOR RESPONSE --
00:37:59.577 --> 00:38:00.978
SHOULD BE AMENDED IN THE FUTURE
00:38:01.045 --> 00:38:02.246
I'M I WOULD CONTINUE TO WORK
00:38:02.313 --> 00:38:03.414
WITH THE WITH HIS OFFICE I'M
00:38:03.481 --> 00:38:04.782
STAND THIS BILL WILL BE VOTED
00:38:04.849 --> 00:38:06.050
OUT OF THIS COMMITTEE BUT WE
00:38:06.117 --> 00:38:07.685
ALSO THAT YOU'RE REQUIRE THE
00:38:07.752 --> 00:38:09.153
WHAT ANY BE STEPS.
00:38:09.220 --> 00:38:10.488
TO TEN SUBSTITUTED FOR SOMETHING
00:38:10.554 --> 00:38:11.922
MORE NARROWLY TAILORED PRIOR TO
00:38:11.989 --> 00:38:13.524
PASSING IT OUT OF THE COMMITTEE
00:38:13.591 --> 00:38:14.692
AND THAT THE HEALTH OFFICER IS
00:38:14.759 --> 00:38:16.293
RESPONSIBLE FOR POST OUTBREAK
00:38:16.360 --> 00:38:17.028
ANALYSIS.
00:38:17.094 --> 00:38:19.263
THANK YOU THANK YOU THANK YOU
00:38:19.330 --> 00:38:20.665
VERY MUCH.
00:38:20.731 --> 00:38:22.633
THANK YOU THANK YOU UP.
00:38:22.700 --> 00:38:27.371
OTHERS IN OPPOSITION
00:38:27.438 --> 00:38:27.672
[inaudible]
00:38:27.738 --> 00:38:32.877
ANYONE ELSE.
00:38:32.943 --> 00:38:34.245
YOUR YOU ARE ALLOWED --
00:38:34.311 --> 00:38:35.246
YOU'RE JUST ALLOWED TO STATE
00:38:35.312 --> 00:38:36.881
YOUR NAME AND POSITION THERE'S
00:38:36.947 --> 00:38:44.188
NO FURTHER TESTIMONY
00:38:44.255 --> 00:38:44.488
[inaudible]
00:38:44.555 --> 00:38:47.992
THANK.
00:38:48.059 --> 00:38:48.559
PLEASE GO AHEAD WHEN YOU'RE
00:38:48.626 --> 00:38:54.598
READY. TO JUST YOUR NAME.
00:38:54.665 --> 00:38:56.300
YOUR NAME IN YOUR POSITION IF
00:38:56.367 --> 00:38:58.502
YOU REPRESENT AN ORGANIZATION
00:38:58.569 --> 00:39:01.405
THE TITLE OF THE ORGANIZATION SO.
00:39:01.472 --> 00:39:02.006
NO DON'T TESTIMONY OTHER THAN
00:39:02.073 --> 00:39:02.840
THAT [inaudible]
00:39:02.907 --> 00:39:05.142
NOW.
00:39:05.209 --> 00:39:06.277
HI -- MY
00:39:06.343 --> 00:39:08.145
NAME'S DR PAUL CAN GUESS AND I
00:39:08.212 --> 00:39:12.083
AM OPPOSED TO THE LEGISLATION --
00:39:12.149 --> 00:39:13.517
I'M FROM SAN FRANCISCO.
00:39:13.584 --> 00:39:17.555
AND IT NEEDS TO BE CAREFULLY USE
00:39:17.621 --> 00:39:19.990
YOUR NAME FROM AND YOUR AND YOUR
00:39:20.057 --> 00:39:21.125
POSITION THANK YOU.
00:39:21.192 --> 00:39:22.226
GOOD AFTERNOON MY NAME IS
00:39:22.293 --> 00:39:23.861
MICHELLE FORD WITH THE VACCINE
00:39:23.928 --> 00:39:26.063
INJURY AWARENESS LEAGUE BASED IN
00:39:26.130 --> 00:39:28.132
THE LOS ANGELES AREA AND WE'RE
00:39:28.199 --> 00:39:30.901
OPPOSED TO THIS BILL.
00:39:30.968 --> 00:39:33.237
KARNATAKA STEEL MOTHER OF SEVEN
00:39:33.304 --> 00:39:37.675
FOR VACCINE INJURED CHILDREN --
00:39:37.742 --> 00:39:38.809
PLASTER COUNTY.
00:39:38.876 --> 00:39:41.345
THANK YOU.
00:39:41.412 --> 00:39:42.446
MY NAME IS JESSICA VAN HILL
00:39:42.513 --> 00:39:45.049
HEART IN HERE FROM MODESTO AND I
00:39:45.116 --> 00:39:47.651
OPPOSE THIS BILL THANK YOU.
00:39:47.718 --> 00:39:48.953
WHITNEY MELLOW FROM LINKING
00:39:49.019 --> 00:39:50.955
CALIFORNIA AND I OPPOSE THIS
00:39:51.021 --> 00:39:53.190
BILL THANK YOU.
00:39:53.257 --> 00:39:54.892
GINA SALMON FROM ROSEVILLE
00:39:54.959 --> 00:39:56.026
CALIFORNIA AND I POSE THIS BILL
00:39:56.093 --> 00:40:00.798
THANK YOU.
00:40:00.865 --> 00:40:03.300
TERRACE MUNOZ SMITH FROM FREMONT
00:40:03.367 --> 00:40:06.937
AND I OPPOSE THIS BILL THINKING.
00:40:07.004 --> 00:40:08.072
MY NAME IS SANDY OLSEN I'M FROM
00:40:08.139 --> 00:40:10.641
TURLOCK CALIFORNIA I'M AN
00:40:10.708 --> 00:40:13.344
EDUCATOR AND I OPPOSE THIS BILL.
00:40:13.410 --> 00:40:14.445
CASE TAYLOR MOTHER OF TWO YOUNG
00:40:14.512 --> 00:40:15.613
FROM PLACERVILLE CALIFORNIA AND
00:40:15.679 --> 00:40:17.381
I OPPOSE THIS BILL STRONGLY
00:40:17.448 --> 00:40:19.316
THANK YOU.
00:40:19.383 --> 00:40:20.918
RACHEL SIZE INJURE FROM PLASTER
00:40:20.985 --> 00:40:22.753
COUNTY AND I OPPOSE THIS BILL
00:40:22.820 --> 00:40:25.289
STRONGLY.
00:40:25.356 --> 00:40:26.423
MY NAME IS JACQUELINE I AM DAWN
00:40:26.490 --> 00:40:27.992
I'M FROM SAN JOSE AND I OPPOSE
00:40:28.058 --> 00:40:30.628
THIS BILL THANK YOU.
00:40:30.694 --> 00:40:31.729
MY NAME IS RACHEL WILLIAMS I'M
00:40:31.796 --> 00:40:33.831
FROM MODESTO CALIFORNIA AND I
00:40:33.898 --> 00:40:39.937
STRONGLY OPPOSE THIS BILL.
00:40:40.004 --> 00:40:41.238
RON KENNEDY PHYSICIANS ARE ROSA
00:40:41.305 --> 00:40:44.475
CALIFORNIA OPPOSE THIS BILL IN
00:40:44.542 --> 00:40:46.777
ITS PRESENT FORM.
00:40:46.844 --> 00:40:48.445
LARA NOR SACRAMENTO CALIFORNIA I
00:40:48.512 --> 00:40:49.346
OPPOSE THIS BILL THANK YOU THANK
00:40:49.413 --> 00:40:51.982
YOU.
00:40:52.049 --> 00:40:53.884
I'M JONATHAN NORRIS --
00:40:53.951 --> 00:40:55.452
NAY [inaudible]
00:40:55.519 --> 00:40:58.722
THANK YOU.
00:40:58.789 --> 00:41:00.791
AND CECILIA DEVIN FROM NEWCASTLE
00:41:00.858 --> 00:41:02.126
CALIFORNIAN AYE POSES VIA THANK
00:41:02.193 --> 00:41:04.228
YOU.
00:41:04.295 --> 00:41:06.263
SORRY HEART MODESTO CALIFORNIA I
00:41:06.330 --> 00:41:08.799
OPPOSE THIS BILL STRONG.
00:41:08.866 --> 00:41:10.968
MILEY CYRUS GO FAR FROM OF THIS
00:41:11.035 --> 00:41:12.570
THOUGH AND I OPPOSE THIS BILL
00:41:12.636 --> 00:41:13.671
THANK YOU.
00:41:13.737 --> 00:41:14.238
TRAVIS MENDOZA FROM HAYWARD
00:41:14.305 --> 00:41:15.906
CALIFORNIA AND I OPPOSE THIS
00:41:15.973 --> 00:41:18.008
BILL THANK YOU. TWENTY
00:41:18.075 --> 00:41:18.943
PELLEGRINI FOR RUN APART
00:41:19.009 --> 00:41:20.678
CALIFORNIA AND I OPPOSE THIS
00:41:20.744 --> 00:41:23.180
BILL.
00:41:23.247 --> 00:41:24.815
MY NAME IS HERE AT AB A TWELVE
00:41:24.882 --> 00:41:27.518
YEAR OLD STUDENT AND MY BODY MY
00:41:27.585 --> 00:41:29.420
RIGHT AND I OPPOSE THIS BILL.
00:41:29.486 --> 00:41:31.055
MY NAME IS KENDALL FONG I'M FROM
00:41:31.121 --> 00:41:32.923
THE ROSE VAL I OPPOSE THIS BILL
00:41:32.990 --> 00:41:34.158
I HAVE MEDICAL.
00:41:34.225 --> 00:41:35.459
FROM THE BEGINNING MY SON WAS
00:41:35.526 --> 00:41:37.194
INJURED AND HE'S DEALING WITH
00:41:37.261 --> 00:41:38.963
DOCTORS SO I TOTALLY OPPOSE
00:41:39.029 --> 00:41:40.865
SYSTEM.
00:41:40.931 --> 00:41:43.067
I'M SENTE RISER DEVIN'S FROM
00:41:43.133 --> 00:41:44.735
WILLITS CALIFORNIA.
00:41:44.802 --> 00:41:46.770
I A STRONGLY OPPOSE THIS BILL
00:41:46.837 --> 00:41:51.342
FIRST DO NO HARM.
00:41:51.408 --> 00:41:53.077
MY NAME IS NOT ON MADISON I'M A
00:41:53.143 --> 00:41:54.345
REGISTERED NURSE FROM FRESNO
00:41:54.411 --> 00:41:56.780
CALIFORNIA I STRONGLY OPPOSES
00:41:56.847 --> 00:41:59.049
BUILT.
00:41:59.116 --> 00:42:00.284
MY NAME IS HANNAH SMITH I'M A
00:42:00.351 --> 00:42:02.086
PEDIATRIC NURSE FROM LOS GATOS
00:42:02.152 --> 00:42:04.221
CALIFORNIA AND I OPPOSE THE
00:42:04.288 --> 00:42:06.056
INCREDIBLY VAGUE STIPULATIONS OF
00:42:06.123 --> 00:42:09.059
THIS BILL.
00:42:09.126 --> 00:42:11.328
STEPHEN REFRAINING FROM CINEMA
00:42:11.395 --> 00:42:14.999
CALIFORNIA OPPOSE THIS BILL.
00:42:15.065 --> 00:42:16.400
POPPY DARBY FROM SONORA
00:42:16.467 --> 00:42:18.068
CALIFORNIA BECAUSE THIS BILL
00:42:18.135 --> 00:42:19.937
THANK YOU.
00:42:20.004 --> 00:42:22.473
ALTHOUGH CRAFT CHECK MOTHER OF
00:42:22.539 --> 00:42:25.809
ONE AND I OPPOSE THIS BILL.
00:42:25.876 --> 00:42:26.810
MARINA CISCO --
00:42:26.877 --> 00:42:28.879
FROM SISTERS CITRUS HEIGHTS AND
00:42:28.946 --> 00:42:30.915
I POSSIBLE.
00:42:30.981 --> 00:42:31.749
MY NAME IS DEAR GERMICIDAL I'M
00:42:31.815 --> 00:42:32.549
FROM AUBURN CALIFORNIA MY
00:42:32.616 --> 00:42:33.918
DAUGHTER AND I BOTH HAVE THE
00:42:33.984 --> 00:42:37.588
GENETIC COMPONENTS MENTIONED AND
00:42:37.655 --> 00:42:40.658
I OPPOSE THIS BILL.
00:42:40.724 --> 00:42:41.892
I'M CLEAN ALLEN AND I'M FROM
00:42:41.959 --> 00:42:43.160
CINEMA I HAVE ONE VACCINE
00:42:43.227 --> 00:42:45.062
INJURED KID AND I HAVE ONE
00:42:45.129 --> 00:42:48.365
THAT'S NEVER BEEN VACCINATED.
00:42:48.432 --> 00:42:50.334
AND I OPPOSE THIS BILL.
00:42:50.401 --> 00:42:52.870
JASON ALLEN FROM CINEMA
00:42:52.937 --> 00:42:56.573
CALIFORNIA WE OPPOSE THIS BILL.
00:42:56.640 --> 00:42:57.741
JENNIFER LOLLY FROM MENDOCINO
00:42:57.808 --> 00:43:02.646
COUNTY I OPPOSE THIS BILL.
00:43:02.713 --> 00:43:04.114
MY NAME IS MERRIAM ON FAR SOME
00:43:04.181 --> 00:43:06.283
FROM SAN JOSE CALIFORNIA AND I
00:43:06.350 --> 00:43:06.684
OPPOSE THIS BILL.
00:43:06.750 --> 00:43:08.752
THANK YOU.
00:43:08.819 --> 00:43:09.620
MY NAME'S COURTNEY THE YOUNGEST
00:43:09.687 --> 00:43:11.956
IN CITRUS HEIGHTS TWIN BOYS
00:43:12.022 --> 00:43:15.225
VACCINE DAMAGE AND I SEVERELY
00:43:15.292 --> 00:43:19.563
OPPOSE THIS BILL.
00:43:19.630 --> 00:43:21.465
MY NAME IS CRYSTAL SO VALVE FROM
00:43:21.532 --> 00:43:25.135
ROSEVILLE CALIFORNIA MOTHER OF
00:43:25.202 --> 00:43:25.703
THREE I STRONGLY OPPOSE THIS
00:43:25.769 --> 00:43:28.739
BILL.
00:43:28.806 --> 00:43:30.607
JOHN MAGINNIS FROM POTTER VALLEY
00:43:30.674 --> 00:43:33.110
CALIFORNIA I PPOSE THIS BILL IN
00:43:33.177 --> 00:43:37.114
ITS CURRENT FORM THANK YOU.
00:43:37.181 --> 00:43:38.215
HEATHER FERRIS --
00:43:38.282 --> 00:43:39.817
GONNA BE CALIFORNIA'S SMALL
00:43:39.883 --> 00:43:42.586
BUSINESS OWNER MOTHER OF FOUR
00:43:42.653 --> 00:43:46.290
AND I OPPOSE THIS BILL.
00:43:46.357 --> 00:43:48.125
THE WAY TO CATCH A MOTHER OF
00:43:48.192 --> 00:43:50.461
FIVE AND I OPPOSE THIS BILL FROM
00:43:50.527 --> 00:43:53.430
SACRAMENTO CALIFORNIA.
00:43:53.497 --> 00:43:54.398
MY KNEES YOU NEVER LAW COME FROM
00:43:54.465 --> 00:43:56.633
CAL PARK CALIFORNIA MOTHER FIVE
00:43:56.700 --> 00:44:00.604
IN IT ONE IS SEVERELY INJURED.
00:44:00.671 --> 00:44:02.072
STRONGLY STRONGLY OPPOSES.
00:44:02.139 --> 00:44:05.909
THANK YOU.
00:44:05.976 --> 00:44:07.311
MY NAME IS AMANDA BELKNAP I'M
00:44:07.378 --> 00:44:08.979
FROM RIO AND THE CALIFORNIA I
00:44:09.046 --> 00:44:10.280
HAVE A VACCINE INJURED SIGN.
00:44:10.347 --> 00:44:12.683
AND I A SEVERELY I DO OPPOSE
00:44:12.750 --> 00:44:18.922
THIS FAIL THIS BILL THANK YOU.
00:44:18.989 --> 00:44:19.957
JOY JOHNSON MOTHERED TWO
00:44:20.024 --> 00:44:21.825
MILITARY SPOUSE AND I STRONGLY
00:44:21.892 --> 00:44:25.062
OPPOSE THIS BILL.
00:44:25.129 --> 00:44:26.897
HI MY NAME IS GINA GROOM I'M
00:44:26.964 --> 00:44:30.701
FROM A HOTEL I'M A MOTHER FOR IN
00:44:30.768 --> 00:44:36.640
A STRONGLY OPPOSE THIS BILL.
00:44:36.707 --> 00:44:38.342
MONIQUE PAN OUT SHE MOTHER OF
00:44:38.409 --> 00:44:40.411
FOUR CNA IN THE MEDICAL FIELD
00:44:40.477 --> 00:44:42.880
STRONGLY OPPOSE.
00:44:42.946 --> 00:44:44.548
RACHEL PICARDO SPECIAL EDUCATION
00:44:44.615 --> 00:44:46.917
TEACHER SACRAMENTO CALIFORNIA
00:44:46.984 --> 00:44:49.586
STRONGLY OPPOSE THE SPELL.
00:44:49.653 --> 00:44:51.789
CLOUT ECHO CAN OUR MIDWIFE BACK
00:44:51.855 --> 00:44:56.126
AVAIL STRONGLY OPPOSE THE BILL.
00:44:56.193 --> 00:44:57.828
GABRIEL BIRD AT PETALUMA
00:44:57.895 --> 00:45:00.130
CALIFORNIA I STRONGLY OPPOSE
00:45:00.197 --> 00:45:01.598
THIS BILL.
00:45:01.665 --> 00:45:03.167
ZACHARY BIRD FROM PETALUMA
00:45:03.233 --> 00:45:04.968
CALIFORNIA HAD I STRONGLY OPPOSE
00:45:05.035 --> 00:45:07.004
THIS BILL.
00:45:07.071 --> 00:45:08.505
HI MY NAME'S KATHLEEN CLIFFORD I
00:45:08.572 --> 00:45:10.107
HAVE SIX CHILDREN I LIVE IN
00:45:10.174 --> 00:45:11.275
AUBURN CALIFORNIA --
00:45:11.341 --> 00:45:13.911
DISTRICT SIX AND I HAVE A MY
00:45:13.977 --> 00:45:15.012
OLDEST IS.
00:45:15.079 --> 00:45:17.815
VACCINE INJURED AND I STRONGLY
00:45:17.881 --> 00:45:20.517
OPPOSE THIS BILL THANK YOU.
00:45:20.584 --> 00:45:21.952
MY NAME'S KATIE HAD TO AND I'M
00:45:22.019 --> 00:45:24.455
IN DISTRICT ONE OF APPLEGATE AND
00:45:24.521 --> 00:45:27.057
I STRONGLY OPPOSE THIS BILL.
00:45:27.124 --> 00:45:28.258
MY NAME IS THERE A HOSKING I'M
00:45:28.325 --> 00:45:29.993
FROM PLACERVILLE CALIFORNIA I
00:45:30.060 --> 00:45:31.728
HAVE TWO CHILDREN ONE IS VACCINE
00:45:31.795 --> 00:45:34.731
INJURED AND I STRONGLY OPPOSE
00:45:34.798 --> 00:45:35.232
THIS BILL THANK YOU FOR
00:45:35.299 --> 00:45:37.701
LISTENING.
00:45:37.768 --> 00:45:39.203
HI I'M JENNIFER GILBRETH I HAVE
00:45:39.269 --> 00:45:41.705
THREE LITTLE GIRLS IN MY MIDDLE
00:45:41.772 --> 00:45:45.175
CHILD IS VACCINATED INJURY.
00:45:45.242 --> 00:45:46.543
MY NAME IS NAOMI HARRISON I'M
00:45:46.610 --> 00:45:49.480
FROM SACRAMENTO AND I STRONGLY
00:45:49.546 --> 00:45:51.915
OPPOSE THIS BILL THANK YOU.
00:45:51.982 --> 00:45:53.317
HI MY NAME IS AMY WILDE I'M FROM
00:45:53.383 --> 00:45:55.752
SACRAMENTO COUNTY AND I STRONGLY
00:45:55.819 --> 00:45:58.188
OPPOSE THIS BILL.
00:45:58.255 --> 00:45:59.523
HELLO MY NAME IS KIM BURNER I'M
00:45:59.590 --> 00:46:01.091
AN EDUCATOR AND A MOTHER OF A
00:46:01.158 --> 00:46:04.027
VACCINE INJURED CHILD AND I
00:46:04.094 --> 00:46:07.698
STRONGLY OPPOSE THIS BILL.
00:46:07.764 --> 00:46:09.533
I AM SEVERE PELLEGRINI FROM
00:46:09.600 --> 00:46:12.102
RUNNER PARK.
00:46:12.169 --> 00:46:14.805
IN A OPPOSE THIS BILL.
00:46:14.872 --> 00:46:15.906
HI MY NAME IS AMANDA CARRILLO
00:46:15.973 --> 00:46:17.407
I'M FROM FRANK BIGELOW THOSE
00:46:17.474 --> 00:46:19.309
DISTRICT FOR I OPPOSE THIS BILL
00:46:19.376 --> 00:46:22.045
BECAUSE A CONSENSUS AND ALSO
00:46:22.112 --> 00:46:23.780
VERY VAGUE IT DOESN'T SAY WHAT
00:46:23.847 --> 00:46:27.851
YOU [inaudible]
00:46:27.918 --> 00:46:29.052
MY NAME.
00:46:29.119 --> 00:46:32.422
MY NAME IS SCARLET LANE.
00:46:32.489 --> 00:46:39.029
I LIVE IN DISTRICT SEVEN I KNOW.
00:46:39.096 --> 00:46:39.663
MY NAME'S QUINCY A PENGUIN AND I
00:46:39.730 --> 00:46:40.964
LIVE IN DISTRICT SEVEN I HAVE
00:46:41.031 --> 00:46:42.766
THREE CHILDREN AND I VOTE NO FOR
00:46:42.833 --> 00:46:45.435
THIS BILL.
00:46:45.502 --> 00:46:46.637
MY NAME IS GREG GLAZER ON A
00:46:46.703 --> 00:46:47.871
CONSTITUTIONAL LAWYER AND HEALTH
00:46:47.938 --> 00:46:49.439
CARE LAWYER THIS BILL IS
00:46:49.506 --> 00:46:53.243
UNCONSTITUTIONAL.
00:46:53.310 --> 00:46:54.945
MY NAME'S MARIE CEELO NAME LIVE
00:46:55.012 --> 00:46:56.613
IN ROSEVILLE CALIFORNIA FIVE
00:46:56.680 --> 00:46:57.714
KIDDOS MYSELF AND WORK AND
00:46:57.781 --> 00:47:00.317
CHILDHOOD EDUCATION AND I
00:47:00.384 --> 00:47:02.152
STRONGLY OPPOSE THIS BILL.
00:47:02.219 --> 00:47:03.287
MY NAME IS JULIE I'M AGAIN S. I
00:47:03.353 --> 00:47:05.722
LIVE IN SACRAMENTO COUNTY AND I
00:47:05.789 --> 00:47:07.424
STRONGLY OPPOSE OPPOSE THIS BILL
00:47:07.491 --> 00:47:09.326
THANK YOU.
00:47:09.393 --> 00:47:10.561
MY NAME IS ADRIANA MOSES I'M A
00:47:10.627 --> 00:47:12.896
MOTHER OF FIVE AND I STRONGLY
00:47:12.963 --> 00:47:15.098
OPPOSE THIS.
00:47:15.165 --> 00:47:17.000
HI MY NAME IS CHRISTINA WAS GONE
00:47:17.067 --> 00:47:18.569
FOR MONTEREY COUNTY I HAVE FOUR
00:47:18.635 --> 00:47:20.437
CHILDREN AND I STRONGLY OPPOSE
00:47:20.504 --> 00:47:25.275
THIS BILL.
00:47:25.342 --> 00:47:25.943
HI THIS IS STEPHANIE PER
00:47:26.009 --> 00:47:27.444
HOMEOWNER FROM LOS ANGELES
00:47:27.511 --> 00:47:30.547
COUNTY I HAVE THREE KIDS NIGHT
00:47:30.614 --> 00:47:37.454
OPPOSE THIS BILL.
00:47:37.521 --> 00:47:38.322
MY NAME IS KATHLEEN YOUNG I'M
00:47:38.388 --> 00:47:40.357
FROM SAN JOAQUIN COUNTY AND I
00:47:40.424 --> 00:47:44.962
STRONGLY OPPOSE THIS BILL.
00:47:45.028 --> 00:47:45.762
MY NAME IS CASEY ONE SHOT FROM
00:47:45.829 --> 00:47:47.731
STOCKTON CALIFORNIA AND I
00:47:47.798 --> 00:47:50.234
STRONGLY OPPOSE THIS BILL.
00:47:50.300 --> 00:47:51.068
MY NAME IS NICOLE COLLINS FROM
00:47:51.134 --> 00:47:52.536
SACRAMENTO I WORK FOR THE
00:47:52.603 --> 00:47:53.870
DEPARTMENT OF MOTOR VEHICLES AND
00:47:53.937 --> 00:47:56.006
THE MOTHER OF THREE CHILDREN AND
00:47:56.073 --> 00:47:58.375
I STRONGLY OPPOSE THIS BILL.
00:47:58.442 --> 00:48:00.077
MY NAME IS TERRY ROBINSON FROM
00:48:00.143 --> 00:48:01.545
CITRUS HEIGHTS CALIFORNIA
00:48:01.612 --> 00:48:03.680
CHEMICALLY SENSITIVE BEING AND I
00:48:03.747 --> 00:48:07.017
STRONGLY OPPOSE THIS BILL.
00:48:07.084 --> 00:48:07.951
MY NAME'S JULIA CAN'T TELL FROM
00:48:08.018 --> 00:48:10.587
SAN JOSE CALIFORNIA FATHER THIS
00:48:10.654 --> 00:48:11.221
BEAUTIFUL GIRL AND I OPPOSE THIS
00:48:11.288 --> 00:48:13.924
BILL.
00:48:13.991 --> 00:48:15.359
I AM JUST A CANTALOUPE FROM SAN
00:48:15.425 --> 00:48:17.327
JOSE CALIFORNIA STRONGLY OPPOSE
00:48:17.394 --> 00:48:19.730
THIS BILL.
00:48:19.796 --> 00:48:21.031
MY NAME'S LISA JENKINS I FROM
00:48:21.098 --> 00:48:22.599
SACRAMENTO CALIFORNIA I WITH
00:48:22.666 --> 00:48:25.035
PARENTS UNITED FOR KIDS AND I
00:48:25.102 --> 00:48:25.669
STRONGLY OPPOSE THIS BILL THANK
00:48:25.736 --> 00:48:27.738
YOU.
00:48:27.804 --> 00:48:28.839
HI MY NAME'S MEGAN FROM
00:48:28.905 --> 00:48:30.707
SEVASTOPOL AND I STRONGLY
00:48:30.774 --> 00:48:32.276
OPPOSES THOUGH I AM PREGNANT
00:48:32.342 --> 00:48:34.511
WITH MY SECOND CHILD AND I URGE
00:48:34.578 --> 00:48:35.846
YOU TO REALLY LOOK INTO THAT
00:48:35.912 --> 00:48:37.681
THIS DECISION YOU GUYS ARE GOING
00:48:37.748 --> 00:48:39.750
TO MAKE THANK YOU.
00:48:39.816 --> 00:48:41.151
MY NAME'S MANY MILLER I'M ALSO
00:48:41.218 --> 00:48:44.421
FROM CINEMA COUNTY AND I ALSO
00:48:44.488 --> 00:48:45.055
STRONGLY OPPOSE THIS BILL THANK
00:48:45.122 --> 00:48:46.523
YOU.
00:48:46.590 --> 00:48:48.325
MY NAME IS MY NAME IS CARISSA CO
00:48:48.392 --> 00:48:50.260
AND I'M FROM CORONA AND I OPPOSE
00:48:50.327 --> 00:48:53.030
THIS BILL.
00:48:53.096 --> 00:48:54.631
MY NAME IS DELIVER TEEN I'M FROM
00:48:54.698 --> 00:48:56.600
LOS ANGELES AND I STRONGLY
00:48:56.667 --> 00:48:58.902
OPPOSE THIS BILL THANK YOU.
00:48:58.969 --> 00:49:00.771
MY NAME IS SKYLER MOSER AND I'M
00:49:00.837 --> 00:49:03.240
FROM WOODLAND CALIFORNIA AND I
00:49:03.307 --> 00:49:06.510
STRONGLY OPPOSE THIS BILL.
00:49:06.576 --> 00:49:07.944
MY NAME IS TELEGRAPH I'M FROM
00:49:08.011 --> 00:49:09.446
SACRAMENTO CALIFORNIA AND I
00:49:09.513 --> 00:49:13.784
STRONGLY OPPOSE THIS BILL.
00:49:13.850 --> 00:49:15.118
MY NAME IS JENNA BACKER IT FROM
00:49:15.185 --> 00:49:17.954
FROM SACRAMENTO AND I STRONGLY
00:49:18.021 --> 00:49:20.557
OPPOSE THIS BILL.
00:49:20.624 --> 00:49:21.792
HELLO MY NAME IS JESSE HOW OTHER
00:49:21.858 --> 00:49:24.895
STUDENTS TAX DATE AND I STRONGLY
00:49:24.961 --> 00:49:28.198
OPPOSE THIS BILL THANK YOU.
00:49:28.265 --> 00:49:31.268
SAMANTHA SAROYAN MOTHER FOR AND
00:49:31.335 --> 00:49:31.835
I STRONGLY OPPOSE THIS BILL
00:49:31.902 --> 00:49:35.005
HELLO [inaudible]
00:49:35.072 --> 00:49:40.610
MY LONDON SAROYAN I STRONGLY
00:49:40.677 --> 00:49:42.346
OPPOSE THIS BILL I'M FROM
00:49:42.412 --> 00:49:44.548
VALLEJO AND A VACCINE GENDER
00:49:44.614 --> 00:49:46.750
INJURED ME.
00:49:46.817 --> 00:49:47.884
JUSTIN THEROUX ENVELOPE
00:49:47.951 --> 00:49:50.887
CALIFORNIA STRONGLY OPPOSE.
00:49:50.954 --> 00:49:52.389
MY NAME IS CANYON ONE S. I AM
00:49:52.456 --> 00:49:54.558
FROM AMERICAN CANYON AND I
00:49:54.624 --> 00:49:57.194
STRONGLY OPPOSE THIS BILL.
00:49:57.260 --> 00:49:58.528
CAMMIE ONE IS FROM AMERICAN
00:49:58.595 --> 00:50:00.263
CANYON A MOTHER OF A VACCINE
00:50:00.330 --> 00:50:01.865
INJURED CHILD.
00:50:01.932 --> 00:50:03.667
AND I STRONGLY OPPOSES BILL --
00:50:03.734 --> 00:50:06.136
ERIC ONENESS EDUCATOR FROM
00:50:06.203 --> 00:50:07.871
AMERICAN CANYON STRONGLY OPPOSE
00:50:07.938 --> 00:50:10.540
THIS BILL.
00:50:10.607 --> 00:50:11.942
MY NAME IS SOPHIA GOLLY ARDEN
00:50:12.008 --> 00:50:14.211
AND FROM WITH THE IN CALIFORNIA
00:50:14.277 --> 00:50:18.215
AND I STRONGLY OPPOSES.
00:50:18.281 --> 00:50:19.783
MY AND NICHOLS FROM CINEMA
00:50:19.850 --> 00:50:21.451
COUNTY I STRONGLY OPPOSE THIS
00:50:21.518 --> 00:50:24.020
BILL.
00:50:24.087 --> 00:50:25.122
BUT IF THEY'RE MOTORMAN ARTIST
00:50:25.188 --> 00:50:26.223
FROM RUN APART CALIFORNIA I'VE
00:50:26.289 --> 00:50:29.126
THREE HEALTHY CHILDREN WANTED TO
00:50:29.192 --> 00:50:33.830
STAY THAT WAY I STRONGLY OPPOSES.
00:50:33.897 --> 00:50:35.599
CHRIS CANTON CITY OF ROSEVILLE
00:50:35.665 --> 00:50:36.133
THIRTY YEARS FIRE SERVICE
00:50:36.199 --> 00:50:37.834
CALIFORNIA STRONGLY OPPOSE THIS
00:50:37.901 --> 00:50:40.137
BILL IN ITS CURRENT FORM PLEASE
00:50:40.203 --> 00:50:43.340
MAKE THE ADJUSTMENT THANK YOU.
00:50:43.407 --> 00:50:46.243
ELIZABETH MORALIS MOTHER OF FOUR
00:50:46.309 --> 00:50:47.844
THREE VACCINE INJURED.
00:50:47.911 --> 00:50:50.247
FROM LINK IN CALIFORNIA I
00:50:50.313 --> 00:50:53.717
STRONGLY OPPOSE THIS BILL.
00:50:53.784 --> 00:50:54.718
HERALD TANGLING IN FROM ELK
00:50:54.785 --> 00:50:56.820
GROVE CALIFORNIA I STRONGLY
00:50:56.887 --> 00:51:00.424
OPPOSES BILL.
00:51:00.490 --> 00:51:02.459
WOULD YOU PRICE FROM SAN JOSE I
00:51:02.526 --> 00:51:12.736
OPPOSE THIS BILL. TO ANYONE ELSE.
00:51:12.803 --> 00:51:13.403
CASEY KNOWN BRING IT BACK TO THE
00:51:13.470 --> 00:51:13.904
COMMITTEE FOR QUESTIONS
00:51:13.970 --> 00:51:24.548
QUESTIONS FROM THE COMMITTEE.
00:51:24.614 --> 00:51:25.582
THANK YOU MISTER CHAIR.
00:51:25.649 --> 00:51:26.583
YEAH I MISSED THE FIRST PART OF
00:51:26.650 --> 00:51:27.651
OF THE TESTIMONY.
00:51:27.717 --> 00:51:28.585
AND JUST HEARING THE PUBLIC
00:51:28.652 --> 00:51:29.453
COMMENT --
00:51:29.519 --> 00:51:30.253
AND I'M A LITTLE BIT.
00:51:30.320 --> 00:51:31.721
CONFUSED ABOUT BECAUSE AS I'M
00:51:31.788 --> 00:51:33.457
READING THE BILL TAX THE
00:51:33.523 --> 00:51:35.392
LANGUAGE HERE --
00:51:35.459 --> 00:51:36.726
I'M NOT SURE THAT I THAT I
00:51:36.793 --> 00:51:38.895
UNDERSTAND THIS IS AN ANTI VAX
00:51:38.962 --> 00:51:41.298
TYPE OF A OF A BILL AND SOME I'M
00:51:41.364 --> 00:51:42.265
WONDERING.
00:51:42.332 --> 00:51:43.567
IF YOU CAN PROVIDE A LITTLE BIT
00:51:43.633 --> 00:51:45.302
OF OF OF CLARIFICATION AND
00:51:45.368 --> 00:51:46.603
WHAT'S THE AND IN THE IN THE
00:51:46.670 --> 00:51:49.206
REAL INTENT OF OF THE BILL I
00:51:49.272 --> 00:51:50.040
JUST READING THIS SOME I DON'T
00:51:50.106 --> 00:51:51.541
KNOW.
00:51:51.608 --> 00:51:52.108
THE COMMENTS THAT I HEARD I
00:51:52.175 --> 00:51:56.746
DON'T SEE THAT ANY ANYWHERE HERE --
00:51:56.813 --> 00:51:57.914
BUT WHERE YOU ARE A COUPLE WEEKS
00:51:57.981 --> 00:51:59.983
AGO OR I WAS WHERE YOU ARE NOW A
00:52:00.050 --> 00:52:01.418
COUPLE WEEKS AGO --
00:52:01.485 --> 00:52:02.752
THE ORIGIN OF THIS BILLS THE
00:52:02.819 --> 00:52:04.287
STATE AUDIT IN RESPONSE THE
00:52:04.354 --> 00:52:05.589
APPETITE IS A CRISIS IT WAS IN
00:52:05.655 --> 00:52:07.524
SAN DIEGO COUNTY THIS BUDGET TO
00:52:07.591 --> 00:52:08.625
BE AT A COUNTIES.
00:52:08.692 --> 00:52:10.227
AND KILLED OVER.
00:52:10.293 --> 00:52:14.097
OVER TWENTY PEOPLE IN OUR STATE --
00:52:14.164 --> 00:52:15.499
ATION HAVE TO DO --
00:52:15.565 --> 00:52:18.702
WITH THE FIRST PORTION OF THIS
00:52:18.768 --> 00:52:20.570
TWO PART BILL WHICH IS PROVIDING
00:52:20.637 --> 00:52:21.838
LOCAL HEALTH OFFICERS AND
00:52:21.905 --> 00:52:23.440
AUTHORITY TO ISSUE ORDERS TO
00:52:23.507 --> 00:52:25.075
LOCAL JURISDICTIONS RESPONSE TO
00:52:25.141 --> 00:52:27.410
A COMMUNICABLE DISEASE OUTBREAK.
00:52:27.477 --> 00:52:29.212
HOW THAT WORKED IN SAN DIEGO WAS
00:52:29.279 --> 00:52:30.614
THAT THERE WAS A DISCONNECT
00:52:30.680 --> 00:52:31.815
BETWEEN THE COUNTY HEALTH
00:52:31.882 --> 00:52:33.617
OFFICER WHO WANT CERTAIN STEPS
00:52:33.683 --> 00:52:35.485
TAKEN TO CONTAIN THE SPREAD OF
00:52:35.552 --> 00:52:35.852
THE?
00:52:35.919 --> 00:52:37.220
DISEASE --
00:52:37.287 --> 00:52:39.723
THAT WAS GENERALLY POWER WASHING
00:52:39.789 --> 00:52:41.391
OF SIDEWALKS HAND WASHING
00:52:41.458 --> 00:52:41.925
STATIONS.
00:52:41.992 --> 00:52:43.460
SANITARY CONDITIONS AS WELL AS
00:52:43.527 --> 00:52:46.796
VACCINATIONS AND THAT DELAY --
00:52:46.863 --> 00:52:48.265
THAT IT ABILITY TO PROVIDE THAT
00:52:48.331 --> 00:52:50.333
DIRECTION RESULTED IN --
00:52:50.400 --> 00:52:52.102
THE NOTICING OF THE HEPATITIS
00:52:52.168 --> 00:52:53.603
OUTBREAK STARTED IN FEBRUARY OR
00:52:53.670 --> 00:52:55.705
MARCH OF TWENTY SEVENTEEN BUT NO
00:52:55.772 --> 00:52:57.140
DECLARATION OR FROM HAVE ACTIONS
00:52:57.207 --> 00:52:58.441
BEING TAKEN TO AUGUST OR
00:52:58.508 --> 00:52:59.543
SEPTEMBER.
00:52:59.609 --> 00:53:01.144
OF THAT SAME YEAR IN THAT LINK
00:53:01.211 --> 00:53:02.512
THE TIME HUNDREDS OF PEOPLE
00:53:02.579 --> 00:53:05.582
BECAME SICK AND MANY DIED AND SO --
00:53:05.649 --> 00:53:07.350
THE THE BECAUSE OF THAT
00:53:07.417 --> 00:53:08.451
VAGUENESS THAT THE AUDITOR
00:53:08.518 --> 00:53:10.120
DISCOVERED IN TERMS OF THE
00:53:10.186 --> 00:53:11.254
PUBLIC HEALTH OFFICERS SAN DIEGO
00:53:11.321 --> 00:53:12.155
FEELING AS THOUGH SHE DID NOT
00:53:12.222 --> 00:53:13.623
HAVE THE ABILITY TO SAY TO THE
00:53:13.690 --> 00:53:14.958
CITY OF SAN DIEGO THIS ACCOUNT
00:53:15.025 --> 00:53:16.092
EMPLOY.
00:53:16.159 --> 00:53:17.794
TALKING TO THE CITY TO SAY YOU
00:53:17.861 --> 00:53:19.462
MAY DO THIS ARE YOU MUST DO THIS --
00:53:19.529 --> 00:53:21.364
RESULTED IN A SLOW RESPONSE THAT
00:53:21.431 --> 00:53:25.135
WE THINK SEAN FACTIONS SO --
00:53:25.201 --> 00:53:26.236
WITH REGARD TO THE SPECIFIC
00:53:26.303 --> 00:53:27.637
ISSUE OF VACCINATIONS BECAUSE
00:53:27.704 --> 00:53:28.772
THIS OF COURSE IS ALWAYS A
00:53:28.838 --> 00:53:30.206
HIGHLY CHARGED ISSUE.
00:53:30.273 --> 00:53:31.207
I WANT TO JUST BE VERY CLEAR
00:53:31.274 --> 00:53:33.577
THERE'S NOTHING IN EIGHTY TWO
00:53:33.643 --> 00:53:34.177
SIXTY TWO THE PROVIDES FOR THE
00:53:34.244 --> 00:53:35.312
AUTHORITY FOR COMPULSORY
00:53:35.378 --> 00:53:36.713
VACCINATION.
00:53:36.780 --> 00:53:37.681
IN FACT RIGHT NOW THERE'S NO
00:53:37.747 --> 00:53:39.382
EXPRESS AT THE FORTY FOUR
00:53:39.449 --> 00:53:40.784
COMPULSORY VACCINATIONS ABSENT A
00:53:40.850 --> 00:53:42.752
COURT ORDER OR DECLARATION OF
00:53:42.819 --> 00:53:43.620
EMERGENCY.
00:53:43.687 --> 00:53:45.822
CALIFORNIA HAS EVEN GONE SO FAR
00:53:45.889 --> 00:53:47.557
MR MAYES AS NOT ADOPTING THE
00:53:47.624 --> 00:53:49.025
MODEL STATE HEALTH EMERGENCY
00:53:49.092 --> 00:53:50.493
POWERS ACT THE WAY THAT MANY
00:53:50.560 --> 00:53:52.128
OTHER STATES HAVE DONE WHICH
00:53:52.195 --> 00:53:53.330
AUTHORIZES COMPULSORY
00:53:53.396 --> 00:53:54.564
VACCINATION DURING STATES A
00:53:54.631 --> 00:53:56.633
PUBLIC EMERGENCY WHICH IS NOW
00:53:56.700 --> 00:53:58.168
SETTLED LAW.
00:53:58.234 --> 00:53:59.536
CALIFORNIA HAS SAID THAT THE
00:53:59.603 --> 00:54:00.637
CONSTITUTION IS CLEAR TO
00:54:00.704 --> 00:54:01.938
PROJECTS PROTECTION AFFORD CIVIL
00:54:02.005 --> 00:54:02.906
LIBERTIES TO ALL OF ITS
00:54:02.973 --> 00:54:04.207
RESIDENTS THIS BILL NO WAY
00:54:04.274 --> 00:54:06.009
CHANGES THAT TO JUST TO BE CLEAR
00:54:06.076 --> 00:54:07.611
THIS BILL IS NOT GOING TO ALLOW
00:54:07.677 --> 00:54:08.778
THE GOVERNMENT TO FORCE
00:54:08.845 --> 00:54:12.048
VACCINATIONS NO SIR.
00:54:12.115 --> 00:54:17.053
THANK YOU.
00:54:17.120 --> 00:54:21.658
EXCUSE ME A NOTE PLEASE PLEASE.
00:54:21.725 --> 00:54:22.125
THANK YOU.
00:54:22.192 --> 00:54:27.430
OTHER QUESTIONS FOR ME.
00:54:27.497 --> 00:54:28.798
MEMBERS NOT ACTUALLY A NOT
00:54:28.865 --> 00:54:31.101
UNLESS THE MEMBER ASKS DIRECTLY
00:54:31.167 --> 00:54:31.267
SO.
00:54:31.334 --> 00:54:33.236
THANK YOU.
00:54:33.303 --> 00:54:36.072
ANY OTHER TESTIMONY AND
00:54:36.139 --> 00:54:36.439
QUESTIONS FROM.
00:54:36.506 --> 00:54:39.342
LAST.
00:54:39.409 --> 00:54:40.710
ASK FOR EXTRA SKEWS ME --
00:54:40.777 --> 00:54:41.611
THE TESTIMONIES OVER THIS A
00:54:41.678 --> 00:54:43.046
QUESTIONS BETWEEN THE MEMBERS.
00:54:43.113 --> 00:54:44.714
AND THEN WE WILL AND WE WILL
00:54:44.781 --> 00:54:47.050
TAKE A VOTE SO THANK YOU THAT'S
00:54:47.117 --> 00:54:50.887
A WHERE PROCESS WORKS HERE.
00:54:50.954 --> 00:54:52.222
MR FLOOR.
00:54:52.288 --> 00:54:53.323
THAT SINCE I DID COME IN LATE I
00:54:53.390 --> 00:54:54.791
WOULD ACTUALLY WOULD APPRECIATE
00:54:54.858 --> 00:54:56.926
YOUR RESPONSE TO THAT IF YOU
00:54:56.993 --> 00:54:58.495
EVERYTHING THAT PLEASE.
00:54:58.561 --> 00:55:00.096
THANK YOU IT WAS PART OF MIND OR
00:55:00.163 --> 00:55:01.197
INTENT PART OF MY TESTIMONY SO
00:55:01.264 --> 00:55:02.999
OUR CONCERN IS THE WORD ANY --
00:55:03.066 --> 00:55:04.801
THE ACTION IT'S IT STATES THE
00:55:04.868 --> 00:55:05.435
LOCAL HEALTH AUTHORITY CAN OR
00:55:05.502 --> 00:55:07.103
THE OFFICER CAN TAKE ANY ACTION --
00:55:07.170 --> 00:55:08.304
WHILE CALIFORNIA IT IS CORRECT
00:55:08.371 --> 00:55:11.241
DOESN'T --
00:55:11.307 --> 00:55:13.276
VACCINATIONS COULD BE MANDATED
00:55:13.343 --> 00:55:15.912
SO DURING AN OUTBREAK OR FORCED
00:55:15.979 --> 00:55:17.213
SO TO SPEAK --
00:55:17.280 --> 00:55:18.748
AND SO OUR CONCERN IS OUR OUR
00:55:18.815 --> 00:55:20.784
REQUEST IS TO HAVE THE THE
00:55:20.850 --> 00:55:22.318
WEDDING CHANGED SO IT'S MORE
00:55:22.385 --> 00:55:23.453
NARROWLY TAILORED SAID FOR
00:55:23.520 --> 00:55:24.788
EXAMPLE THAT IT IS.
00:55:24.854 --> 00:55:26.589
THE MOST EFFECTIVE AND LEAST
00:55:26.656 --> 00:55:28.258
INVASIVE ACTION --
00:55:28.324 --> 00:55:30.927
AND SO WHILE VACCINATION ISN'T.
00:55:30.994 --> 00:55:31.728
YOU KNOW FOR THINGS LIKE
00:55:31.795 --> 00:55:33.997
HEPATITIS A THE MEASLES OUTBREAK
00:55:34.064 --> 00:55:35.799
ACROSS THE COUNTRY RIGHT NOW IS
00:55:35.865 --> 00:55:37.467
FORCING YOU KNOW MEASLES
00:55:37.534 --> 00:55:39.969
VACCINATIONS OR OR PUTTING THAT.
00:55:40.036 --> 00:55:41.204
OUT THERE --
00:55:41.271 --> 00:55:42.405
AND SO I THINK THAT'S THE
00:55:42.472 --> 00:55:44.841
CONCERN OF MANY OF THESE --
00:55:44.908 --> 00:55:46.109
CONSTITUENTS THAT HAVE COME
00:55:46.176 --> 00:55:47.577
TODAY -- IS
00:55:47.644 --> 00:55:49.579
THAT IT IT IS A POSSIBILITY THIS
00:55:49.646 --> 00:55:51.314
BILL DOESN'T SPECIFICALLY SAY
00:55:51.381 --> 00:55:53.917
THAT VACCINATIONS WOULD HAPPEN
00:55:53.983 --> 00:55:55.719
BUT FOR ANYTHING THAT IS.
00:55:55.785 --> 00:55:57.454
BACK SCENE HAS A VACCINE FOR IT
00:55:57.520 --> 00:56:00.090
IS LIKELY THAT THAT VACCINE
00:56:00.156 --> 00:56:00.690
WOULD BE PUSHED.
00:56:00.757 --> 00:56:04.394
AND THAT'S THE CONCERN.
00:56:04.461 --> 00:56:06.529
SO WOULD YOU LIKE TO RESPOND TO
00:56:06.596 --> 00:56:06.730
THAT.
00:56:06.796 --> 00:56:07.497
SHORT I..
00:56:07.564 --> 00:56:08.565
I THINK I THINK THAT THIS IS A
00:56:08.631 --> 00:56:10.633
POINT OF OF OF AGREEMENT.
00:56:10.700 --> 00:56:11.401
BETWEEN THE PARTS OF THIS BILL
00:56:11.468 --> 00:56:11.668
MYSELF --
00:56:11.735 --> 00:56:13.336
THAT THIS BILL DOES NOT
00:56:13.403 --> 00:56:15.839
PRESCRIBE COMPULSORY BACK.
00:56:15.905 --> 00:56:18.141
IN THIS PARTICULAR SITUATION --
00:56:18.208 --> 00:56:19.743
THAT THE BILL SPEAKS --
00:56:19.809 --> 00:56:20.343
TO IN TERMS OF THE AUTHORITY
00:56:20.410 --> 00:56:23.446
THAT'S GIVEN I MEAN WE'RE WITH
00:56:23.513 --> 00:56:24.614
THERE ARE ADDITIONAL AMENDMENTS
00:56:24.681 --> 00:56:25.715
AND WE'RE HAVING ONGOING
00:56:25.782 --> 00:56:27.217
CONVERSATIONS WITH PUBLIC HEALTH
00:56:27.283 --> 00:56:28.718
PROFESSIONALS TO MAKE SURE THAT.
00:56:28.785 --> 00:56:30.687
THE IN SOME CASES THIS IS TAYLOR --
00:56:30.754 --> 00:56:32.122
OUTBREAKS LIKE LIGHTS WOULD NOT
00:56:32.188 --> 00:56:33.189
REQUIRE THIS KIND OF
00:56:33.256 --> 00:56:34.924
INTERVENTION RIGHT --
00:56:34.991 --> 00:56:40.096
BUT IN TERMS OF THE THE THE MOST
00:56:40.163 --> 00:56:40.597
SUITED INTERVENTIONS --
00:56:40.663 --> 00:56:42.132
YOU KNOW WE'RE TALKING ABOUT NOT
00:56:42.198 --> 00:56:43.600
CONTINUE TO TO VACCINATIONS BUT
00:56:43.666 --> 00:56:44.868
VERY MUCH WHAT THE OPPONENTS ARE
00:56:44.934 --> 00:56:46.069
TALKING ABOUT YOU KNOW FOR
00:56:46.136 --> 00:56:47.303
PUBLIC HEALTH OFFICER TO TELL
00:56:47.370 --> 00:56:49.539
THE CITY AS THEY DID TO MINE --
00:56:49.606 --> 00:56:50.974
THAT YOU NEED TO START PUTTING --
00:56:51.040 --> 00:56:51.875
PORTA POTTIES --
00:56:51.941 --> 00:56:54.911
IN IN HIGHLY CONCENTRATED
00:56:54.978 --> 00:56:57.914
HOMELESS IS THERE XIN THAT WE
00:56:57.981 --> 00:56:59.282
WERE SEEN AND ACTUALLY SPREAD
00:56:59.349 --> 00:57:01.084
THIS DISEASE THAT'S WE'RE
00:57:01.151 --> 00:57:01.718
TALKING ABOUT TENS OF ANY TERMS
00:57:01.785 --> 00:57:03.186
OF PROVIDING THAT ADDITIONAL
00:57:03.253 --> 00:57:04.354
AUTHORITY AND TAILORING AND I
00:57:04.420 --> 00:57:05.922
THINK RISKS THE ABILITY OF BEING
00:57:05.989 --> 00:57:07.257
SO PRESCRIPTIVE THE POINT THE
00:57:07.323 --> 00:57:07.957
BILL DOES IT MAKE.
00:57:08.024 --> 00:57:09.259
DOES NOT ALLOW THE KINDS
00:57:09.325 --> 00:57:10.326
INTERVENTIONS WERE TALKING OUT
00:57:10.393 --> 00:57:11.127
WE'RE TALKING A HEPATITIS IN
00:57:11.194 --> 00:57:12.796
THIS CASE IT COULD BE ANOTHER
00:57:12.862 --> 00:57:14.164
COMMUNICABLE DISEASE --
00:57:14.230 --> 00:57:15.165
AND SO THIS PROVIDES THE
00:57:15.231 --> 00:57:16.733
PROFESSIONALS WHO ARE INVOLVED --
00:57:16.800 --> 00:57:18.401
THE LATITUDE THAT THEY NEED TO
00:57:18.468 --> 00:57:19.469
BE EFFECTIVE --
00:57:19.536 --> 00:57:20.403
A SPEAKING WITH THE
00:57:20.470 --> 00:57:21.905
PROFESSIONALS WHO DO THIS WORK
00:57:21.971 --> 00:57:23.273
NONE OF THEM ARE INTERESTED IN
00:57:23.339 --> 00:57:25.175
REACHING THE CONSTITUTION OR IN
00:57:25.241 --> 00:57:25.642
DOING.
00:57:25.708 --> 00:57:26.743
OTHER KINDS OF THINGS THAT ARE
00:57:26.810 --> 00:57:28.511
BEYOND THEIR SCOPE IF ANYTHING
00:57:28.578 --> 00:57:29.145
THAT EXPRESSED TO MEDIA STREAM
00:57:29.212 --> 00:57:30.847
RETICENCE ABOUT WHAT'S GOING ON
00:57:30.914 --> 00:57:32.448
BUT ALL OF THEM AGREE THAT NO
00:57:32.515 --> 00:57:33.049
WHERE IN THIS BILL DOES IT
00:57:33.116 --> 00:57:36.052
CONTAIN COMPULSORY VACCINATION
00:57:36.119 --> 00:57:37.821
REQUIREMENTS.
00:57:37.887 --> 00:57:41.057
MOVE THE BILL.
00:57:41.124 --> 00:57:42.425
BUSH'S SECOND ANY OTHER
00:57:42.492 --> 00:57:44.928
QUESTIONS OR COMMENTS.
00:57:44.994 --> 00:57:46.162
THE MOTION SECOND MISTER GLORY
00:57:46.229 --> 00:57:47.230
WOULD YOU LIKE TO CLOSE JUST FOR
00:57:47.297 --> 00:57:48.464
THE RECORD MISTER CHAIRMAN AND
00:57:48.531 --> 00:57:49.098
THANK YOU VERY MUCH FOR YOUR
00:57:49.165 --> 00:57:50.099
TIME OF YOUR COMMITTEE AND FOR
00:57:50.166 --> 00:57:51.534
YOUR MEMBERS I LIKE TO GIVE
00:57:51.601 --> 00:57:52.702
THANKS TO THE HELP OFFICERS
00:57:52.769 --> 00:57:54.304
ASSOCIATION OF CALIFORNIA.
00:57:54.370 --> 00:57:55.238
AS WELL AS THE CALIFORNIA HEALTH
00:57:55.305 --> 00:57:56.439
EXECUTIVES ASSOCIATION OF
00:57:56.506 --> 00:57:57.941
CALIFORNIA BOTH OF THESE GROUPS
00:57:58.007 --> 00:57:59.209
HAVE BEEN INSTRUMENTAL IN
00:57:59.275 --> 00:58:01.277
HELPING MYSELF AND MY STAFF A TO
00:58:01.344 --> 00:58:02.679
GET FEEDBACK ON THIS BILL TO
00:58:02.745 --> 00:58:03.413
MAKE SURE THAT WE GET INTO A
00:58:03.479 --> 00:58:04.948
CONDITION.
00:58:05.014 --> 00:58:05.882
THAT THE MEMBERS INVOLVED VERY
00:58:05.949 --> 00:58:06.649
TO PROFESSIONALS WERE TALKING
00:58:06.716 --> 00:58:08.318
ABOUT CAN ACTUALLY IMPLEMENT
00:58:08.384 --> 00:58:09.752
THIS LEGISLATION I LOOK FORWARD
00:58:09.819 --> 00:58:10.954
TO CONTINUING THE DIALOGUE WITH
00:58:11.020 --> 00:58:12.255
THOSE ORGANIZATIONS AS OTHERS AS
00:58:12.322 --> 00:58:13.356
THIS BILL MOVES THROUGH THE
00:58:13.423 --> 00:58:16.426
LEGISLATIVE PROCESS.
00:58:16.492 --> 00:58:17.060
AND I RESPECTFULLY ASK FOR YOUR
00:58:17.126 --> 00:58:17.794
IBM.
00:58:17.861 --> 00:58:18.394
I THANK YOU FOR BRINGING THE
00:58:18.461 --> 00:58:18.962
BILL FOR THANK YOU FOR YOUR
00:58:19.028 --> 00:58:19.829
CONCERN FOR THE HEALTH AND
00:58:19.896 --> 00:58:20.797
PUBLIC SAFETY OF YOUR
00:58:20.864 --> 00:58:22.198
CONSTITUENTS --
00:58:22.265 --> 00:58:23.566
THE BILL DOES ENJOY DO PASS
00:58:23.633 --> 00:58:25.201
RECOMMENDATION THEM THE MOTION
00:58:25.268 --> 00:58:27.537
IS TO PASS AS AMENDED TO
00:58:27.604 --> 00:58:29.939
APPROPRIATIONS.
00:58:30.006 --> 00:58:31.674
WITH THAT AS A LAST MINUTE SO IF
00:58:31.741 --> 00:58:32.742
YOU DID YOU HAVE ACCEPTED THE
00:58:32.809 --> 00:58:33.643
AMENDMENTS.
00:58:33.710 --> 00:58:35.345
WITHOUT OBJECTION PLEASE CALL
00:58:35.411 --> 00:58:36.012
THE ROLL.
00:58:36.079 --> 00:58:39.649
WHAT I'D WHAT I'D MAYES AYE
00:58:39.716 --> 00:58:42.151
MAYES AYE AGUIAR-CURRY?
00:58:42.218 --> 00:58:42.752
ANGER CURRY I BIGELOW
00:58:42.819 --> 00:58:43.052
[inaudible]
00:58:43.119 --> 00:58:43.453
BONTA [inaudible]
00:58:43.519 --> 00:58:46.823
BURKE.
00:58:46.890 --> 00:58:48.358
CARILLO.
00:58:48.424 --> 00:58:49.993
CARILLO AYE FLORA NOT LOADING
00:58:50.059 --> 00:58:50.960
FLOOR NOT LOADING [inaudible]
00:58:51.027 --> 00:58:52.462
LIMON [inaudible]
00:58:52.528 --> 00:58:54.797
MCCARTY [inaudible]
00:58:54.864 --> 00:58:58.101
NAZARIAN.
00:58:58.167 --> 00:59:03.106
RAMOS RAMOS I TO TO AYE SANTIAGO.
00:59:03.172 --> 00:59:04.240
WALDRON.
00:59:04.307 --> 00:59:08.478
WATER NOT VOTING.
00:59:08.544 --> 00:59:10.647
WE HAVE SIX VOTES WE NEED TWENTY
00:59:10.713 --> 00:59:12.115
TWO MORE WE STILL HAVE A A
00:59:12.181 --> 00:59:14.050
NUMBER MEMBERS WHO ARE NOT HERE
00:59:14.117 --> 00:59:15.184
AT THE DIED SO --
00:59:15.251 --> 00:59:16.920
FOR LEAVE THE OF WILL COME BACK
00:59:16.986 --> 00:59:19.022
WE HAVE OUR MEMBERS.
00:59:19.088 --> 00:59:19.589
BIGGEST CHAIR THANK YOU VERY
00:59:19.656 --> 00:59:22.191
MUCH.
00:59:22.258 --> 00:59:23.226
THAT WILL MOVE ON TO OUR NEXT
00:59:23.293 --> 00:59:28.431
BILL.
00:59:28.498 --> 00:59:38.141
ITEM SIX THIS WAS RUBIO HERE.
00:59:38.207 --> 00:59:39.609
THIS.
00:59:39.676 --> 00:59:42.979
IS ON THE COMMITTEE SO.
00:59:43.046 --> 00:59:44.047
WELL WAIT WILL WAIT A MOMENT IN
00:59:44.113 --> 00:59:45.949
CASE PEOPLE ARE PLANNING TO
00:59:46.015 --> 00:59:46.683
LEAVE SO.
00:59:46.749 --> 00:59:49.085
WITH THIS LIST GO AHEAD PER
00:59:49.152 --> 01:00:05.535
SECOND WAIT FOR A MINUTE
01:00:57.487 --> 01:00:57.553
.
01:00:57.553 --> 01:01:02.125
TOOK A TURN.
01:01:02.191 --> 01:01:18.408
SWEET JESUS OR
01:01:23.279 --> 01:01:25.915
DO YOU ARE YOU
01:01:25.982 --> 01:01:28.718
YOU HAVE YOUR WITNESSES RIO.
01:01:28.785 --> 01:01:31.821
IF YOU'RE A MEMBER OF THANK YOU
01:01:31.888 --> 01:01:33.289
MISTER CHURCH MEMBERS OF FOR SO
01:01:33.356 --> 01:01:35.525
FAR WILL THE THINK THE THE YOUR
01:01:35.591 --> 01:01:37.393
COMEY HIS STAFF FOR WORKING WITH
01:01:37.460 --> 01:01:38.694
US ON THIS BILL.
01:01:38.761 --> 01:01:41.030
AND I WILL HAPPILY OF SAP TO YOU
01:01:41.097 --> 01:01:42.565
COMMITMENT AMENDMENT. TO DEFINE
01:01:42.632 --> 01:01:46.102
THE TYPES OF MANAGED CARE PLAN
01:01:46.169 --> 01:01:48.404
THAT THIS BILL APPLIES.
01:01:48.471 --> 01:01:50.807
TO AB THREE EIGHTEEN INSURED
01:01:50.873 --> 01:01:51.474
READABILITY.
01:01:51.541 --> 01:01:53.643
ACCURACY AND CULTURAL
01:01:53.709 --> 01:01:56.646
APPROPRIATENESS OF MEDICARE
01:01:56.712 --> 01:01:58.347
DOCUMENTS SO THEIR MEDICARE
01:01:58.414 --> 01:02:04.187
RECEIVE HIM HAVE A FEAR **** TO
01:02:04.253 --> 01:02:05.288
THEIR BENEFIT.
01:02:05.354 --> 01:02:06.722
AT LEAST ONE IN THREE MEDICARE
01:02:06.789 --> 01:02:09.092
RECIPIENTS IN CALIFORNIA IS NOT
01:02:09.158 --> 01:02:10.493
A NATIVE.
01:02:10.560 --> 01:02:11.561
ENGLISH SPEAKER AS AN IMMIGRANT
01:02:11.627 --> 01:02:14.497
MYSELF I UNDERSTAND THE LANGUAGE.
01:02:14.564 --> 01:02:18.067
AREAS THAT EXISTS FOR MANY OF
01:02:18.134 --> 01:02:20.169
THESE INDIVIDUALS.
01:02:20.236 --> 01:02:20.470
THERE IS --
01:02:20.536 --> 01:02:24.207
THE TRANSLATED MATERIAL DE MEDIC
01:02:24.273 --> 01:02:27.510
ARE OFTEN WRITTEN AT TOO HIGH OF
01:02:27.577 --> 01:02:28.611
A LEVEL --
01:02:28.678 --> 01:02:30.012
BUT READABILITY.
01:02:30.079 --> 01:02:31.948
AND AND USE CONFUSION WORDS
01:02:32.014 --> 01:02:34.283
CHOICES AND THERE ARE NOT
01:02:34.350 --> 01:02:36.552
CULTURALLY SENSITIVE TO THE AT
01:02:36.619 --> 01:02:38.554
AT AND THIS IS TO USE AND DRUG
01:02:38.621 --> 01:02:41.724
LINGUISTICALLY DIVERSE MEDICARE.
01:02:41.791 --> 01:02:43.826
POPULATION AND THAT'S WHAT THIS
01:02:43.893 --> 01:02:44.927
BILL.
01:02:44.994 --> 01:02:46.596
IS ESTABLISH A GOOD READABILITY
01:02:46.662 --> 01:02:47.697
WORKSHOPS.
01:02:47.763 --> 01:02:50.166
AND DESIGNATE A READABILITY
01:02:50.233 --> 01:02:52.935
AXFORD TO REVIEW AND REVISE AT
01:02:53.002 --> 01:02:55.838
LEAST TEN KEY YOU MEDI CAL
01:02:55.905 --> 01:02:57.240
DOCUMENT. FIVE ALL THOSE
01:02:57.306 --> 01:03:00.343
DOCUMENTS ARE EXPLICITLY SPECIFY
01:03:00.409 --> 01:03:02.912
IN THIS BILL IN ORDER TO ENSURE
01:03:02.979 --> 01:03:04.313
THAT THE MOST IMPORTANT
01:03:04.380 --> 01:03:09.218
DOCUMENTS ARE INCLUDED.
01:03:09.285 --> 01:03:10.786
ENSURING THAT THE TRANSLATED
01:03:10.853 --> 01:03:12.155
DOCUMENTS ARE WRITTEN IN PLAIN
01:03:12.221 --> 01:03:14.857
SIMPLE AND CULTURALLY.
01:03:14.924 --> 01:03:16.192
APPROPRIATE LANGUAGE IS
01:03:16.259 --> 01:03:18.127
IMPERATIVE TO IMPROVING HEALTH
01:03:18.194 --> 01:03:21.164
**** TO ALL MEDICARE.
01:03:21.230 --> 01:03:23.499
MEDI CAL RECIPIENTS THANK YOU --
01:03:23.566 --> 01:03:24.934
TODAY WAS ME --
01:03:25.001 --> 01:03:27.970
TESTIFYING SUPPORT A JAM FLORI
01:03:28.037 --> 01:03:30.339
WAS THE WESTERN CENTER OF LAW
01:03:30.406 --> 01:03:32.041
IMPROPER D..
01:03:32.108 --> 01:03:37.513
M. MARCUS OF THIS COUNTRY JOHN.
01:03:37.580 --> 01:03:40.683
IT WAS THE A CALIFORNIA I'M.
01:03:40.750 --> 01:03:42.618
PAN ETHNIC HEALTH NETWORK
01:03:42.685 --> 01:03:42.919
[inaudible]
01:03:42.985 --> 01:03:44.287
THANK YOU.
01:03:44.353 --> 01:03:45.521
GOOD AFTERNOON CHEN FOR ON
01:03:45.588 --> 01:03:46.856
BEHALF OF WESTERN CENTER ON LAW
01:03:46.923 --> 01:03:47.657
AND POVERTY --
01:03:47.723 --> 01:03:48.224
I HAD BROUGHT SOME EXAMPLE
01:03:48.291 --> 01:03:49.659
TRANSLATIONS WITH ME TO SHOW YOU
01:03:49.725 --> 01:03:50.493
BUT I'VE BEEN TOLD WERE NOT
01:03:50.560 --> 01:03:52.328
SUPPOSED TO PASS THINGS OUT SO
01:03:52.395 --> 01:03:52.895
YOU HAVE TO BEAR WITH ME AND
01:03:52.962 --> 01:03:54.230
I'LL WALK YOU THROUGH --
01:03:54.297 --> 01:03:55.765
WESTERN CENTER NO LEGAL SERVICES
01:03:55.831 --> 01:03:56.899
PARTNERS HAVE COME ACROSS MANY
01:03:56.966 --> 01:03:58.401
EXAMPLES OF TRANSLATED MATERIALS
01:03:58.467 --> 01:03:59.769
THAT JUST AREN'T ACCESSIBLE FOR
01:03:59.835 --> 01:04:01.737
A VARIETY OF REASONS. ONE OF THE
01:04:01.804 --> 01:04:03.239
BIGGEST PROBLEMS THAT WE SEE IS
01:04:03.306 --> 01:04:04.640
SOME TRANSLATED MATERIAL SO
01:04:04.707 --> 01:04:06.209
WE'VE CERTAIN TERMS IN ENGLISH
01:04:06.275 --> 01:04:07.777
USUALLY PROPER NOUNS OFTEN
01:04:07.843 --> 01:04:09.378
ACRONYMS --
01:04:09.445 --> 01:04:11.013
SO YOU CAN IMAGINE SOMEBODY WILL
01:04:11.080 --> 01:04:12.582
BE READING SOMETHING AND IT WILL
01:04:12.648 --> 01:04:14.183
SAY A WHOLE BUNCH OF WORDS IN
01:04:14.250 --> 01:04:15.084
THEIR LANGUAGE AND THEN ALL THE
01:04:15.151 --> 01:04:16.652
SENATE SWITCHES TO ENGLISH AND
01:04:16.719 --> 01:04:17.553
THEN IT GOES BACK TO THEIR
01:04:17.620 --> 01:04:19.488
LANGUAGE --
01:04:19.555 --> 01:04:21.357
WHEN I WAS AT A GROUP?
01:04:21.424 --> 01:04:23.893
REPRESENTING CLIENTS DIRECTLY I
01:04:23.960 --> 01:04:25.595
DON'T KNOW WHAT THIS MEANS --
01:04:25.661 --> 01:04:27.230
MANY OF OUR LOCAL LEGAL SERVICES
01:04:27.296 --> 01:04:28.197
ACTUALLY HELP PEOPLE OVER THE
01:04:28.264 --> 01:04:29.599
PHONE SO THEN IT'S A BIGGER
01:04:29.665 --> 01:04:31.033
PROBLEM BECAUSE THE CLIENT IS
01:04:31.100 --> 01:04:32.668
SAYING I HAVE THIS NOTICE I
01:04:32.735 --> 01:04:34.036
DON'T WANT TO KNOW WHAT IT MEANS
01:04:34.103 --> 01:04:35.404
AND I CAN'T READ IT TO YOU
01:04:35.471 --> 01:04:36.672
BECAUSE IT'S IN.
01:04:36.739 --> 01:04:38.107
YOU KNOW PARTIALLY THEIR
01:04:38.174 --> 01:04:40.209
LANGUAGE AND PARTIALLY ENGLISH --
01:04:40.276 --> 01:04:41.677
MOST OF THIS COMES FROM JUST
01:04:41.744 --> 01:04:42.979
CONVICTIONS OF DECIDING THAT
01:04:43.045 --> 01:04:44.046
PROPER NOUNS DON'T NEED TO BE
01:04:44.113 --> 01:04:45.982
TRANSLATED OR THE ACRONYM SHOULD
01:04:46.048 --> 01:04:47.617
BE USED --
01:04:47.683 --> 01:04:49.285
LOOKING IN THIS FURTHER WE
01:04:49.352 --> 01:04:50.720
REALIZED THAT THE PROBLEM IS
01:04:50.786 --> 01:04:52.455
OFTEN THE BASE ENGLISH DOCUMENT
01:04:52.521 --> 01:04:53.789
THAT THE ENGLISH DOCUMENTS ARE
01:04:53.856 --> 01:04:55.258
UNDERSTANDABLE BY OUR CLIENTS
01:04:55.324 --> 01:04:56.225
EITHER -- SO
01:04:56.292 --> 01:04:58.060
AB THREE ONE EIGHT WOULD DEAL
01:04:58.127 --> 01:04:59.295
WITH BOTH FIELD TESTING
01:04:59.362 --> 01:05:00.930
TRANSLATIONS TO MAKE SURE THAT
01:05:00.997 --> 01:05:02.064
PEOPLE CAN ACTUALLY UNDERSTAND
01:05:02.131 --> 01:05:04.133
THEM AS WELL AS MAKE HE MEDI CAL
01:05:04.200 --> 01:05:05.935
DOCUMENTS MORE UNDERSTANDABLE TO
01:05:06.002 --> 01:05:07.036
BEGIN WITH.
01:05:07.103 --> 01:05:08.170
SOME OF THE OTHER PROBLEMS THAT
01:05:08.237 --> 01:05:08.971
WE'VE BEEN SEEN WITH
01:05:09.038 --> 01:05:10.506
TRANSLATIONS THAT WOULD BE HELP
01:05:10.573 --> 01:05:12.208
I FEEL TESTING IS SOME
01:05:12.275 --> 01:05:13.542
TRANSLATED MATERIALS ARE WRITTEN
01:05:13.609 --> 01:05:14.877
IN THE DIALECT OF THE LANGUAGE
01:05:14.944 --> 01:05:16.345
THAT'S NOT SPOKEN BY THE LOCAL
01:05:16.412 --> 01:05:18.247
COMMUNITY MEMBERS --
01:05:18.314 --> 01:05:19.582
SOME CONSUMERS ARE REPORTING
01:05:19.649 --> 01:05:21.183
RECEIVING MATERIALS THAT ARE TOO
01:05:21.250 --> 01:05:22.818
FORMAL THEY STILL HAVE TECHNICAL
01:05:22.885 --> 01:05:24.320
TERMS IN THEM THAT CONSUMERS
01:05:24.387 --> 01:05:26.122
DON'T UNDERSTAND --
01:05:26.188 --> 01:05:27.490
JUST AS READERS OF ENGLISH DON'T
01:05:27.556 --> 01:05:28.858
UNDERSTAND MATERIALS WRITTEN IN
01:05:28.924 --> 01:05:31.260
LEGALESE ARE LOTS OF TECHNICAL
01:05:31.327 --> 01:05:32.161
HEALTH INDUSTRY.
01:05:32.228 --> 01:05:33.696
LANGUAGE NEITHER DO READERS OF
01:05:33.763 --> 01:05:35.998
OTHER LANGUAGES TOO OFTEN MEDI
01:05:36.065 --> 01:05:38.301
CAL DOCUMENTS SEEK TO TEACH THE
01:05:38.367 --> 01:05:39.935
CONSUMERS ABOUT NEW TERMS THAT
01:05:40.002 --> 01:05:41.537
THEY SHOULD KNOW RATHER THAN
01:05:41.604 --> 01:05:43.005
USING PLAIN ENGLISH THAT THEY
01:05:43.072 --> 01:05:45.308
ALREADY KNOW. FOR EXAMPLE IF A
01:05:45.374 --> 01:05:46.709
CONSUMER WANTS TO KNOW ABOUT
01:05:46.776 --> 01:05:48.577
GETTING A RIDE TO THE DOCTOR
01:05:48.644 --> 01:05:49.812
THEY NEED TO LEARN ABOUT AND M.
01:05:49.879 --> 01:05:51.747
T. AND ANY M. T. WHY CAN'T WE
01:05:51.814 --> 01:05:52.915
JUST TALK ABOUT A RIDE TO THE
01:05:52.982 --> 01:05:54.917
DOCTOR OR RIGHT TO THE DOCTOR IF
01:05:54.984 --> 01:05:56.519
YOU NEED SPECIAL ACCOMMODATIONS.
01:05:56.585 --> 01:05:58.220
AND IN SOME TRANSLATIONS ARE TOO
01:05:58.287 --> 01:06:00.356
LITERAL BUT NOT UNDERSTANDABLE
01:06:00.423 --> 01:06:01.691
FOR EXAMPLE ONE TO HEALTH PLANS
01:06:01.757 --> 01:06:02.992
LANGUAGE ACCESS SHE GIVES A
01:06:03.059 --> 01:06:04.226
PHONE NUMBER TO CALL IN EACH
01:06:04.293 --> 01:06:05.594
LANGUAGE AND IT TELLS THE
01:06:05.661 --> 01:06:06.295
ENROLLEE SAID THEY SPEAK
01:06:06.362 --> 01:06:08.264
TRADITIONAL CHINESE.
01:06:08.331 --> 01:06:11.500
THEY CAN GET LANGUAGE ASSISTANCE
01:06:11.567 --> 01:06:14.670
I WILL TRANSFER LANGUAGE AS
01:06:14.737 --> 01:06:17.740
THESE.
01:06:17.807 --> 01:06:19.041
SOME OF THESE TRANSLATION PROMPT --
01:06:19.108 --> 01:06:20.376
PROBLEMS STEM FROM THE FACT THAT
01:06:20.443 --> 01:06:21.777
THE ORIGINAL DOCUMENT AS I
01:06:21.844 --> 01:06:23.112
MENTIONED BEFORE IT'S TOO HARD
01:06:23.179 --> 01:06:24.847
TO UNDERSTAND EVEN IN ENGLISH SO
01:06:24.914 --> 01:06:26.382
WHEN WE WENT BACK AND LOOKED AT
01:06:26.449 --> 01:06:27.316
THIS BILL WE THOUGHT A GREAT
01:06:27.383 --> 01:06:28.984
THING TO DO WOULD BE TO GET THE
01:06:29.051 --> 01:06:30.353
KEY MEDI CAL DOCUMENTS.
01:06:30.419 --> 01:06:31.654
TAKE THEM TO AN OUTSIDE
01:06:31.721 --> 01:06:33.656
READABILITY EXPERT AND ACTUALLY
01:06:33.723 --> 01:06:35.424
HAVE THEM PUT INTO PLAIN ENGLISH
01:06:35.491 --> 01:06:36.792
WHERE WE'RE NOT USING JARGON AND
01:06:36.859 --> 01:06:38.160
THINGS THAT PEOPLE DON'T
01:06:38.227 --> 01:06:40.062
UNDERSTAND.
01:06:40.129 --> 01:06:41.230
AND WITH THAT I'D JUST
01:06:41.297 --> 01:06:42.264
RESPECTFULLY ASK FOR YOUR AYE
01:06:42.331 --> 01:06:43.833
VOTE AND I'M GOING TO TURN IT
01:06:43.899 --> 01:06:45.634
OVER TO MY COLLEAGUE.
01:06:45.701 --> 01:06:48.871
MARKETS CUSTER.
01:06:48.938 --> 01:06:50.506
WELL MISTER CHAIR AND COMMITTEE
01:06:50.573 --> 01:06:51.507
MEMBERS MY NAME IS MARKETS GOT
01:06:51.574 --> 01:06:52.775
THROWN THE CALIFORNIA PAN ETHNIC
01:06:52.842 --> 01:06:54.143
HEALTH NETWORK --
01:06:54.210 --> 01:06:55.077
ALSO A PRODUCT --
01:06:55.144 --> 01:06:57.346
SPONSOR OF AB --
01:06:57.413 --> 01:06:58.280
THREE ONE EIGHT A C. PEN IS A
01:06:58.347 --> 01:06:59.382
STATE WIDE MULTICULTURAL HEALTH
01:06:59.448 --> 01:07:01.384
ADVOCACY ORGANIZATION THAT SEEKS
01:07:01.450 --> 01:07:03.586
TO IMPROVE ACCESS TO HEALTH CARE
01:07:03.652 --> 01:07:05.321
AND ELIMINATE HEALTH DISPARITIES --
01:07:05.388 --> 01:07:06.722
BY ADVOCATING FOR PUBLIC
01:07:06.789 --> 01:07:08.624
POLICIES AND RESOURCES --
01:07:08.691 --> 01:07:09.759
TO ADDRESS HEALTH NEEDS OF
01:07:09.825 --> 01:07:11.460
COMMUNITIES OF COLOR --
01:07:11.527 --> 01:07:12.728
ONE AREA FOCUS RECEIVE TEN HAS
01:07:12.795 --> 01:07:14.363
BEEN LANGUAGE ACCESS AND
01:07:14.430 --> 01:07:17.666
RECENTLY OUR COMMUNITY --
01:07:17.733 --> 01:07:20.569
PARTNERS HAVE BEEN VOICING FRESH
01:07:20.636 --> 01:07:22.204
ALL DOCUMENTS AS IT IS.
01:07:22.271 --> 01:07:23.739
WE RECENTLY SPOKE WITH A
01:07:23.806 --> 01:07:25.174
HEALTHCARE PROVIDER --
01:07:25.241 --> 01:07:26.409
AND DAY DETAILED THEIR
01:07:26.475 --> 01:07:27.777
EXPERIENCE WITH THE MEDICAL
01:07:27.843 --> 01:07:29.145
PROGRESS PROGRAM.
01:07:29.211 --> 01:07:30.780
THEY WERE OF REPRESENTATIVE OF A
01:07:30.846 --> 01:07:33.282
HEALTH CLINIC IN OAKLAND AND
01:07:33.349 --> 01:07:34.483
THEY HAVE A CONSUMER BASE OF
01:07:34.550 --> 01:07:37.553
WHERE 90% OF THEIR PATIENTS.
01:07:37.620 --> 01:07:39.622
ARE LIMITED ENGLISH PROFICIENT.
01:07:39.688 --> 01:07:40.990
THEY EXPLAIN THAT THEIR
01:07:41.056 --> 01:07:42.291
ELIGIBILITY STUFF.
01:07:42.358 --> 01:07:43.359
DO THEIR BEST TO WALK NEW
01:07:43.426 --> 01:07:44.693
PATIENTS THROUGH.
01:07:44.760 --> 01:07:46.796
THE PROCESS OF ENROLLMENT IN THE
01:07:46.862 --> 01:07:48.397
SCOPE OF BENEFITS THAT THEY ARE
01:07:48.464 --> 01:07:49.331
ENTITLED.
01:07:49.398 --> 01:07:50.833
TO BUT SMALLER CLINICS DON'T
01:07:50.900 --> 01:07:52.868
HAVE THE CAPACITY TO SPEND THAT
01:07:52.935 --> 01:07:54.170
AMOUNT OF TIME IT TAKES TO FULLY
01:07:54.236 --> 01:07:55.604
EXPLAIN --
01:07:55.671 --> 01:07:57.373
THE NUANCES OF MEDI CAL --
01:07:57.440 --> 01:07:58.307
SO THE OTHER OPTION THESE
01:07:58.374 --> 01:07:59.809
CLINICS HAVE IS TO PROVIDE
01:07:59.875 --> 01:08:01.310
INFORMATION MATERIAL TO THE
01:08:01.377 --> 01:08:02.278
BENEFICIARIES.
01:08:02.344 --> 01:08:03.879
HOWEVER BECAUSE THOSE TRANSLATE
01:08:03.946 --> 01:08:05.681
DOCUMENTS --
01:08:05.748 --> 01:08:06.315
THAT ARE AVAILABLE ARE NOT THAT
01:08:06.382 --> 01:08:09.852
ADEQUATE THOSE TO UNDERSTAND
01:08:09.919 --> 01:08:11.454
COMPLETELY THE SERVICES ARE
01:08:11.520 --> 01:08:13.722
AVAILABLE TO THEM --
01:08:13.789 --> 01:08:15.524
THE REPRESENT ALSO NOTED THAT
01:08:15.591 --> 01:08:16.859
WHILE LANGUAGE ACCESS IT YOU'RE
01:08:16.926 --> 01:08:18.494
VERY FOR MANY OF THEIR PATIENTS --
01:08:18.561 --> 01:08:19.762
IT.
01:08:19.829 --> 01:08:21.464
PEOPLE THAT SPEAK ENGLISH AS A
01:08:21.530 --> 01:08:22.798
PRIMARY LANGUAGE ALSO HAVE
01:08:22.865 --> 01:08:23.966
TROUBLE UNDERSTANDING THE
01:08:24.033 --> 01:08:26.035
DOCUMENTS THEMSELVES AS THE
01:08:26.101 --> 01:08:27.269
LANGUAGE THAT'S USED IN ON
01:08:27.336 --> 01:08:28.804
AREN'T REALLY FRIENDLY TO PEOPLE
01:08:28.871 --> 01:08:30.806
WHO ARE HEALTH LITERATE --
01:08:30.873 --> 01:08:32.174
I NOTICED BECAUSE IT THIS --
01:08:32.241 --> 01:08:33.375
RECENT REPORT FROM THE STATE
01:08:33.442 --> 01:08:34.677
AUDITOR NOTED THAT --
01:08:34.743 --> 01:08:36.111
MILLIONSOF CHILDREN MEDI CAL OR
01:08:36.178 --> 01:08:37.546
NOT RECEIVING PREVENTATIVE
01:08:37.613 --> 01:08:39.415
HEALTH SERVICES AND ONE OF THE
01:08:39.482 --> 01:08:42.218
KEY RECOMMENDATIONS FROM THAT
01:08:42.284 --> 01:08:43.686
CAME -- THAT
01:08:43.752 --> 01:08:44.286
CAME OUT THAT REPORT WAS A D.
01:08:44.353 --> 01:08:46.088
SHE HAS SHOULD ENSURE THAT PLANS
01:08:46.155 --> 01:08:48.123
ARE EFFECTIVELY MITIGATING.
01:08:48.190 --> 01:08:49.625
CHILD --
01:08:49.692 --> 01:08:50.793
HEALTH DISPARITIES RELATED TO
01:08:50.860 --> 01:08:52.661
CULTURAL AND LINGUISTIC NEEDS
01:08:52.728 --> 01:08:53.562
AND THAT THE ISSUE HAS TO
01:08:53.629 --> 01:08:55.598
PROVIDE INFORMATION. TO PLANTS
01:08:55.664 --> 01:08:57.066
PROVIDERS AND BENEFICIARIES
01:08:57.132 --> 01:08:58.033
ABOUT THE SERVICES THE
01:08:58.100 --> 01:08:59.869
DEPARTMENT EXPECTS CHILDREN TO
01:08:59.935 --> 01:09:00.836
RECEIVE.
01:09:00.903 --> 01:09:02.538
THE REPORT NOTED THAT THE
01:09:02.605 --> 01:09:03.239
DEPARTMENTS --
01:09:03.305 --> 01:09:04.740
CURRENT --
01:09:04.807 --> 01:09:08.511
INFORMATION MATERIALS --
01:09:08.577 --> 01:09:09.144
THAT THEY SENT TO BENEFICIARIES
01:09:09.211 --> 01:09:11.947
ARE -- WE
01:09:12.014 --> 01:09:13.282
LOOK TO SOLVE THOSE READABILITY
01:09:13.349 --> 01:09:14.917
ISSUES THROUGH THIS BILL AND FOR
01:09:14.984 --> 01:09:15.484
THAT REASON WE'RE PRACTICAL
01:09:15.551 --> 01:09:17.720
SPONSOR AND WE THINK THE AUTHOR
01:09:17.786 --> 01:09:19.655
FOR HIS LEADERSHIP ON THE ISSUE
01:09:19.722 --> 01:09:22.258
AND REQUEST AN IDOL.
01:09:22.324 --> 01:09:23.359
THANK YOU VERY MUCH OTHERS IN
01:09:23.425 --> 01:09:25.394
SUPPORT.
01:09:25.461 --> 01:09:27.029
GOOD AFTERNOON MR CHAIRS AT
01:09:27.096 --> 01:09:28.297
RECORD OVER THE CALIFORNIA DOWN
01:09:28.364 --> 01:09:29.899
ASSOCIATION WE ARE IN SUPPORT OF
01:09:29.965 --> 01:09:31.967
THIS ESPECIALLY APPRECIATE THE
01:09:32.034 --> 01:09:34.370
ANALYSIS NOTING.
01:09:34.436 --> 01:09:36.105
THE POSSIBLE EXPANSION INTO THE
01:09:36.171 --> 01:09:38.507
MEDI CAL DENTAL PROGRAM WE WOULD
01:09:38.574 --> 01:09:39.608
REALLY APPRECIATE LOOKING INTO
01:09:39.675 --> 01:09:41.377
THAT THANK YOU THINK. TO JUST
01:09:41.443 --> 01:09:43.479
JUST NAME AN ORGANIZATION PLEASE
01:09:43.546 --> 01:09:45.247
THANK YOU.
01:09:45.314 --> 01:09:47.049
JUST CAM RANH HOW TO ACCESS
01:09:47.116 --> 01:09:50.119
CALIFORNIA IN SUPPORT THANK YOU.
01:09:50.185 --> 01:09:51.186
MR CHAIRMAN MEMBERS MARK MENDOZA
01:09:51.253 --> 01:09:53.355
WITH US HERE YOU CALIFORNIA IN
01:09:53.422 --> 01:09:55.724
STRONG SUPPORT THANK YOU.
01:09:55.791 --> 01:09:56.525
GOOD AFTERNOON DEEPENED AGONIES
01:09:56.592 --> 01:09:58.294
OVER THE CALIFORNIA IMMIGRANT
01:09:58.360 --> 01:09:59.328
POLICY CENTER IN STRONG SUPPORT
01:09:59.395 --> 01:10:00.729
THANK YOU VERY MUCH.
01:10:00.796 --> 01:10:03.365
ANYONE ELSE'S SUPPORT.
01:10:03.432 --> 01:10:05.100
SEE NO ONE IS THE ANYONE IN
01:10:05.167 --> 01:10:21.483
OPPOSITION PLEASE COME FORWARD
01:10:21.550 --> 01:10:21.784
[inaudible]
01:10:21.850 --> 01:10:24.053
PLEASE [inaudible]
01:10:24.119 --> 01:10:25.588
THANK YOU.
01:10:25.654 --> 01:10:27.156
A GOOD AFTERNOON.
01:10:27.222 --> 01:10:27.723
MEMBERS OF THE COMMITTEE ON
01:10:27.790 --> 01:10:28.223
JENNIFER ALLEY WITH THE
01:10:28.290 --> 01:10:29.325
CALIFORNIA ASSOCIATION OF HEALTH
01:10:29.391 --> 01:10:31.226
PLANS REPRESENTING FORTY SIX
01:10:31.293 --> 01:10:32.561
PUBLIC AND PRIVATE ORGANIZATIONS
01:10:32.628 --> 01:10:33.696
THAT COLLECTIVELY PROVIDE
01:10:33.762 --> 01:10:35.965
HEALTHCARE COVERAGE TO MORE THAN
01:10:36.031 --> 01:10:37.533
TWENTY SIX MILLION CALIFORNIANS.
01:10:37.600 --> 01:10:39.068
I'M CAPS MEDICAL MANAGED CARE
01:10:39.134 --> 01:10:39.868
PLANS --
01:10:39.935 --> 01:10:41.136
CURRENTLY PROVIDE HEALTH PLAN
01:10:41.203 --> 01:10:43.205
MATERIALS INTO READABILITY
01:10:43.272 --> 01:10:44.673
FORMAT THAT MEANS THE DOCUMENTS
01:10:44.740 --> 01:10:46.942
ARE WRITTEN OUT OF SIX AT A
01:10:47.009 --> 01:10:48.611
WRITTEN APPLE AT OR BELOW A
01:10:48.677 --> 01:10:50.112
SIXTH GRADE READING LEVEL.
01:10:50.179 --> 01:10:51.547
THESE REQUIREMENTS ARE CONTAINED
01:10:51.614 --> 01:10:52.781
IN ALL PLAN LETTER AND IN
01:10:52.848 --> 01:10:53.816
CONTRACTS BETWEEN THE HEALTH
01:10:53.882 --> 01:10:55.351
PLANS IN THE DEPARTMENT HEALTH
01:10:55.417 --> 01:10:56.518
CARE SERVICES.
01:10:56.585 --> 01:10:58.053
BETWEEN THE CURRENT APL AND THEN
01:10:58.120 --> 01:11:00.055
THE AND THE CONTRACT WITH DH CS
01:11:00.122 --> 01:11:02.424
BOTH HEALTH EDUCATION MATERIALS
01:11:02.491 --> 01:11:04.493
AND INFORMING MATERIALS ARE TO
01:11:04.560 --> 01:11:06.061
BE AT OR BELOW THE SIX GRADE
01:11:06.128 --> 01:11:07.363
READING LEVEL --
01:11:07.429 --> 01:11:10.899
CAP HAS TAKEN AN OPPOSED HIS
01:11:10.966 --> 01:11:12.401
CLEATS UNNECESSARY AND COSTLY
01:11:12.468 --> 01:11:14.303
STEPS FOR DOCUMENTS ALREADY
01:11:14.370 --> 01:11:16.538
TRANSLATED BY HEALTH PLANS --
01:11:16.605 --> 01:11:17.573
EXISTING --
01:11:17.640 --> 01:11:19.274
ALL PLAN LETTERS ALSO INCLUDE
01:11:19.341 --> 01:11:20.943
TRANSLATION REQUIREMENTS AT MY
01:11:21.010 --> 01:11:23.646
MEMBERS ARE REQUIRED TO ADHERE --
01:11:23.712 --> 01:11:25.314
TO THE BILL'S REQUIREMENT FOR
01:11:25.381 --> 01:11:26.949
MANAGED CARE PLANS TO CONDUCT A
01:11:27.016 --> 01:11:28.717
ONE TIME TARGETED FIELD TESTING
01:11:28.784 --> 01:11:30.519
WITH A NATIVE SPEAKER OF HEALTH
01:11:30.586 --> 01:11:32.087
EDUCATION AND FOR ME MATERIALS
01:11:32.154 --> 01:11:33.722
IN ENGLISH AND IN EACH LANGUAGE
01:11:33.789 --> 01:11:34.957
IS EXTENSIVE.
01:11:35.024 --> 01:11:35.958
AND REQUIRE SIGNIFICANT
01:11:36.025 --> 01:11:37.159
EXPENDITURE OF TIME AND
01:11:37.226 --> 01:11:39.662
RESOURCES FOR MATERIALS THAT
01:11:39.728 --> 01:11:41.030
HAVE ALREADY BEEN TRANSLATED.
01:11:41.096 --> 01:11:42.264
OVERALL THIS BILL ADDS
01:11:42.331 --> 01:11:43.666
ADDITIONAL COSTS AND REQUIRE
01:11:43.732 --> 01:11:45.267
ADDITIONAL STATE IN MANAGED CARE
01:11:45.334 --> 01:11:46.769
PLAN RESOURCES AND OFFERS NO
01:11:46.835 --> 01:11:48.704
ASSURANCE THAT THE COMMUNITY
01:11:48.771 --> 01:11:50.272
REVIEWED MATERIALS WOULD BE MORE.
01:11:50.339 --> 01:11:53.175
EFFECTIVE FOR MEDI CAL MEMBERS
01:11:53.242 --> 01:11:53.742
AND THE MATERIALS CURRENTLY
01:11:53.809 --> 01:11:54.710
PRODUCED.
01:11:54.777 --> 01:11:56.378
THANK YOU I'M TELL A FRIEND
01:11:56.445 --> 01:11:57.846
QUESTION GREAT THANK YOU --
01:11:57.913 --> 01:11:58.647
MEMBERS KATHY MUST WITH THE
01:11:58.714 --> 01:11:59.748
LOCAL HEALTH PLANS THE SIXTEEN
01:11:59.815 --> 01:12:01.717
NONPROFIT LOCAL HEALTH PLANS --
01:12:01.784 --> 01:12:03.152
IN MANY OF YOUR COMMUNITIES I
01:12:03.218 --> 01:12:04.386
WOULD SAY WE REGRETFULLY OUR
01:12:04.453 --> 01:12:05.721
POST TODAY THIS IS SIMILAR TO
01:12:05.788 --> 01:12:08.691
BILL WE HAD WORKED ON LAST YEAR --
01:12:08.757 --> 01:12:10.392
WE HAVE TOLD THE AUTHORS OFFICE
01:12:10.459 --> 01:12:12.094
AND STAFF AS WELL AS THE
01:12:12.161 --> 01:12:13.228
SPONSORS WE DO WANT TO WORK WITH
01:12:13.295 --> 01:12:14.530
THEM ON THIS OUR ISSUE IS
01:12:14.596 --> 01:12:16.065
REGARDING THE FIELD TESTING.
01:12:16.131 --> 01:12:17.499
A LOT OF THE DOCUMENTS WE WOULD
01:12:17.566 --> 01:12:18.834
HAVE TO PUT OUT TO FIELD TEST OR
01:12:18.901 --> 01:12:20.969
DOCUMENTS WE GET FROM DH CS SO
01:12:21.036 --> 01:12:22.104
WE WOULD HAVE A DIFFICULT WE
01:12:22.171 --> 01:12:23.639
COULDN'T CHANGE THOSE.
01:12:23.706 --> 01:12:25.507
SO I THINK IN ADDITION TO
01:12:25.574 --> 01:12:28.644
ASSOCIATE MYSELF WITH GET CAP WE
01:12:28.711 --> 01:12:29.678
DO HAVE A LOT OF CONCERNS ABOUT
01:12:29.745 --> 01:12:31.280
THE TIME IT WOULD TAKE AND THE
01:12:31.346 --> 01:12:32.781
EXTENSIVE NATURE IT WOULD TAKE
01:12:32.848 --> 01:12:34.016
TO PRESS TO CHANGE THESE
01:12:34.083 --> 01:12:35.150
DOCUMENTS BUT IN ADDITION TO
01:12:35.217 --> 01:12:35.517
THAT.
01:12:35.584 --> 01:12:36.985
WANT TO JUST REITERATE MANY OF
01:12:37.052 --> 01:12:38.654
THESE WE CANNOT CHANGE BECAUSE
01:12:38.721 --> 01:12:40.322
THEY ARE DH CS DOCUMENTS WE
01:12:40.389 --> 01:12:41.890
CERTAINLY UNDERSTAND SECTION
01:12:41.957 --> 01:12:43.025
THREE OF THE BILL AND HAVING THE
01:12:43.092 --> 01:12:44.660
DEPARTMENT LOOK AT A NUMBER OF
01:12:44.727 --> 01:12:47.029
THEIR OF THEIR MATERIALS AND
01:12:47.096 --> 01:12:48.063
TRYING TO GET THOSE.
01:12:48.130 --> 01:12:49.798
IN A READABLE FORM FOR FOLKS AND
01:12:49.865 --> 01:12:50.933
WOULD SUPPORT THAT PIECE IT
01:12:50.999 --> 01:12:52.668
REALLY IS TRYING TO FIGURE OUT
01:12:52.735 --> 01:12:54.169
HOW WE WOULD FIELD TEST THIS
01:12:54.236 --> 01:12:56.405
EXTENSIVELY SO AGAIN WE REMAIN
01:12:56.472 --> 01:12:57.172
OPPOSED BUT HOPE TO WORK WITH
01:12:57.239 --> 01:12:59.274
THE AUTHOR AND AND THE SPONSORS
01:12:59.341 --> 01:13:00.509
ON THIS.
01:13:00.576 --> 01:13:02.177
THANK YOU VERY MUCH --
01:13:02.244 --> 01:13:05.948
SIR ANYONE ELSE IN OPPOSITION.
01:13:06.014 --> 01:13:08.250
SEE NO WILL BRING IT BACK TO
01:13:08.317 --> 01:13:08.884
COMMITTEE FOR QUESTIONS COMMENTS
01:13:08.951 --> 01:13:10.052
MISTER MAYES --
01:13:10.119 --> 01:13:11.820
MISS YOU I BUT THINK THIS --
01:13:11.887 --> 01:13:13.489
THE INTENT OF THIS BILL IS RIGHT --
01:13:13.555 --> 01:13:15.090
AND I WOULD BE SUPPORTIVE OF IT
01:13:15.157 --> 01:13:16.859
BUT SEEMS LIKE MAYBE OF THE
01:13:16.925 --> 01:13:18.460
OPPONENTS OF IT HAVE SOME GOOD
01:13:18.527 --> 01:13:20.229
POINTS THAT SOUNDS LIKE MAYBE.
01:13:20.295 --> 01:13:21.530
THIS IS DUPLICATING --
01:13:21.597 --> 01:13:23.499
SOME SOME REGULATIONS WE ALREADY
01:13:23.565 --> 01:13:25.534
HAVE IN PLACE --
01:13:25.601 --> 01:13:27.503
AND SO IT DOESN'T IT DOESN'T
01:13:27.569 --> 01:13:30.172
NEED TO BE MORE.
01:13:30.239 --> 01:13:31.907
IT IS CURRENTLY WRITTEN.
01:13:31.974 --> 01:13:33.442
I DO BELIEVE THERE IS ROOM FOR
01:13:33.509 --> 01:13:35.544
IMPROVEMENT AND I LIKE --
01:13:35.611 --> 01:13:38.113
TO ALSO IN INCLUDE MORE
01:13:38.180 --> 01:13:41.016
DOCUMENTS TO BE TRANSLATED.
01:13:41.083 --> 01:13:41.650
THEN I'LL BE SUPPORTIVE OF IT
01:13:41.717 --> 01:13:44.119
TODAY KNOWING THAT IS A WORK IN
01:13:44.186 --> 01:13:44.686
PROGRESS [inaudible]
01:13:44.753 --> 01:13:45.354
THANK YOU.
01:13:45.420 --> 01:13:49.658
ANY OTHER QUESTIONS.
01:13:49.725 --> 01:13:52.060
SO THEN IT HAS NOT.
01:13:52.127 --> 01:13:53.996
SO WE WERE MOTION. TO HAVE A
01:13:54.062 --> 01:13:56.098
SECOND.
01:13:56.165 --> 01:13:57.166
SECOND.
01:13:57.232 --> 01:13:59.601
THE MOTION AND A SECOND --
01:13:59.668 --> 01:14:01.003
MR CHIU WHICH I CLOSE.
01:14:01.069 --> 01:14:03.539
THANK YOU VERY MUCH AB THREE
01:14:03.605 --> 01:14:04.973
EIGHTEEN PROMOS FOR YEAR L.
01:14:05.040 --> 01:14:07.376
HEALTH ACCESS TO POSITIVE HELL'S
01:14:07.442 --> 01:14:08.110
ALL COME.
01:14:08.177 --> 01:14:09.511
VERY BREAKING UP DOWN LANGUAGE
01:14:09.578 --> 01:14:11.547
BERIA I RESPECTFULLY ASK FOR
01:14:11.613 --> 01:14:12.848
YOUR RIVAL.
01:14:12.915 --> 01:14:13.982
THANK YOU VERY MUCH MR CHIU
01:14:14.049 --> 01:14:15.350
THANK YOU FOR BRINGING THE BILL
01:14:15.417 --> 01:14:15.951
FORWARD AND THANK YOU TO YOUR
01:14:16.018 --> 01:14:17.419
WITNESSES --
01:14:17.486 --> 01:14:19.721
THE BILL ENJOYS A DO PASS AS
01:14:19.788 --> 01:14:22.324
AMENDED TO APPROPRIATIONS.
01:14:22.391 --> 01:14:23.659
A RECOMMENDATION WE HAVE A
01:14:23.725 --> 01:14:25.627
MOTION A SECOND WILL HAVE MADAM
01:14:25.694 --> 01:14:27.663
SECRETARY PLEASE TAKE THE ROLE.
01:14:27.729 --> 01:14:32.034
WHAT I WHAT I MAYES MAYES AYE
01:14:32.100 --> 01:14:33.702
AGUIAR-CURRY [inaudible]
01:14:33.769 --> 01:14:35.337
BIGELOW [inaudible]
01:14:35.404 --> 01:14:35.737
BONTA [inaudible]
01:14:35.804 --> 01:14:37.005
BURKE [inaudible]
01:14:37.072 --> 01:14:38.707
CARILLO [inaudible]
01:14:38.774 --> 01:14:40.576
I FLORA.
01:14:40.642 --> 01:14:42.077
FLORA NO LOW MOAN [inaudible]
01:14:42.144 --> 01:14:44.413
MCCARTY.
01:14:44.479 --> 01:14:46.114
NAZARIAN.
01:14:46.181 --> 01:14:49.084
NAZARIAN AYE RAMOS RAMOS I TO TO
01:14:49.151 --> 01:14:50.719
AYE SANTIAGO.
01:14:50.786 --> 01:14:51.753
WALDRON.
01:14:51.820 --> 01:14:56.358
WALDRON AYE.
01:14:56.425 --> 01:14:58.260
IF SEVEN VOTES WE YOUR ONE SHY
01:14:58.327 --> 01:14:58.894
THAT -- WE
01:14:58.961 --> 01:15:00.762
HAVE MANY MEMBERS MISSING --
01:15:00.829 --> 01:15:03.098
SO WE'LL LEAVE THAT ITEM OPEN.
01:15:03.165 --> 01:15:07.903
THANK YOU VERY MUCH [inaudible]
01:15:07.970 --> 01:15:10.906
MISS RUBIO.
01:15:10.973 --> 01:15:26.989
AB
01:15:36.531 --> 01:15:36.598
.
01:15:36.598 --> 01:15:37.132
THREE NINETEEN GOOD AFTERNOON
01:15:37.199 --> 01:15:38.166
COMMITTEE MEMBERS AND MISTER
01:15:38.233 --> 01:15:39.768
CHAIR TODAY I'M HERE TO PRESENT
01:15:39.835 --> 01:15:41.870
ASSEMBLY BILL --
01:15:41.937 --> 01:15:42.437
THREE NINETEEN A BILL WHICH
01:15:42.504 --> 01:15:43.739
EXPANDS MEDICATION TREATMENT
01:15:43.805 --> 01:15:45.641
OPTIONS AVAILABLE TO PROVIDERS --
01:15:45.707 --> 01:15:47.809
TREATING SUBSTANCE USE DISORDER
01:15:47.876 --> 01:15:49.011
I WOULD LIKE TO BEGIN BY
01:15:49.077 --> 01:15:50.479
ACCEPTING THE RECOMMENDED
01:15:50.545 --> 01:15:51.580
COMMITTEE AMENDMENTS LISTENING
01:15:51.647 --> 01:15:53.982
COMMENT SIX OF THE ANALYSIS AND
01:15:54.049 --> 01:15:56.084
BY THINKING THE COMMITTEE STAFF
01:15:56.151 --> 01:15:56.919
FOR ALL OF THE WORK ON THIS
01:15:56.985 --> 01:15:58.687
IMPORTANT MEASURE.
01:15:58.754 --> 01:16:00.355
THE BILL THE BILL [inaudible]
01:16:00.422 --> 01:16:02.057
SECOND.
01:16:02.124 --> 01:16:03.525
MOTION BY MISTER MAYES A SECOND
01:16:03.592 --> 01:16:05.360
BY MISS CARILLO THANK YOU.
01:16:05.427 --> 01:16:06.828
WELL THAT IS USUALLY A SIGNALED
01:16:06.895 --> 01:16:08.664
ME CUTTING IT SHORTER AS YOU
01:16:08.730 --> 01:16:09.731
WISH MATTER YES MA'AM.
01:16:09.798 --> 01:16:12.234
YES MISTER CHAIR AB THREE
01:16:12.301 --> 01:16:12.768
NINETEEN WILL HAVE TO HELP
01:16:12.834 --> 01:16:13.435
TACKLE --
01:16:13.502 --> 01:16:15.070
BUTTE ADDICTION WE ALL KNOW THAT
01:16:15.137 --> 01:16:17.005
IT'S AN EPIDEMIC CURRENTLY AND
01:16:17.072 --> 01:16:18.073
WE'RE TRYING TO DO EVERYTHING
01:16:18.140 --> 01:16:19.608
POSSIBLE IN THIS --
01:16:19.675 --> 01:16:21.476
BILL WILL HELP PROVIDE A
01:16:21.543 --> 01:16:23.245
WRAPAROUND SERVICES --
01:16:23.312 --> 01:16:28.517
ALONG WITH THE DRUG TREATMENT --
01:16:28.583 --> 01:16:31.119
PROGRAMS HERE WITH ME IS MICHAEL
01:16:31.186 --> 01:16:33.822
AND IS IT IS A BIPARTISAN BILL.
01:16:33.889 --> 01:16:36.425
THANK YOU.
01:16:36.491 --> 01:16:38.026
WITNESSES MISS WALDRON WELL I'LL
01:16:38.093 --> 01:16:39.861
JUST BE BRIEF --
01:16:39.928 --> 01:16:41.763
THANK YOU SO MUCH FOR YOUR
01:16:41.830 --> 01:16:44.066
MOTION AND SECOND AND BASICALLY
01:16:44.132 --> 01:16:46.301
THIS BILL DIRECTS DEPARTMENT OF
01:16:46.368 --> 01:16:47.970
HEALTH CARE SERVICES TO CREATE
01:16:48.036 --> 01:16:49.404
THE BUNDLE REIMBURSEMENT RATES
01:16:49.471 --> 01:16:51.640
AND BILLING CODES. TO REIMBURSE
01:16:51.707 --> 01:16:53.275
NARCOTIC TREATMENT PROGRAM
01:16:53.342 --> 01:16:55.344
PROVIDERS FOR SERVICES THAT ARE
01:16:55.410 --> 01:16:57.612
SO NEEDED FOR OUR NON CONTROLLED
01:16:57.679 --> 01:17:00.782
MATT PROGRAMS TO SUCCEED FOR
01:17:00.849 --> 01:17:02.417
SUBSTANCE USE DISORDER.
01:17:02.484 --> 01:17:03.051
THANK YOU AND WITH THAT MISTER
01:17:03.118 --> 01:17:04.619
CHAIR WE RESPECTFULLY REQUEST OF
01:17:04.686 --> 01:17:06.421
MY BOOK THANK YOU VERY MUCH
01:17:06.488 --> 01:17:07.689
OTHER OTHER SUPPORT.
01:17:07.756 --> 01:17:08.724
MR CHAIRMAN MEMBERS JOHN
01:17:08.790 --> 01:17:09.925
VALENCIA REPRESENTING ALL
01:17:09.992 --> 01:17:10.892
COMMITTEES MAKER OF THE LONG
01:17:10.959 --> 01:17:12.694
ACTING INJECTABLE THAT IS THE
01:17:12.761 --> 01:17:14.463
TOPIC OF THE MEASURE WE
01:17:14.529 --> 01:17:15.163
APPRECIATE STAFF WORK ON THE
01:17:15.230 --> 01:17:16.898
MEASURE AND ASK YOUR FOR YOUR
01:17:16.965 --> 01:17:18.166
SUPPORT.
01:17:18.233 --> 01:17:19.034
THANK YOU VERY MUCH OTHERS
01:17:19.101 --> 01:17:19.801
SUPPORT.
01:17:19.868 --> 01:17:20.969
STRUCTURE MEMBERS CONNIE DELGADO
01:17:21.036 --> 01:17:21.870
WITH THE COUNTY BEHAVIORAL
01:17:21.937 --> 01:17:24.773
HEALTH DIRECTORS ASSOCIATION
01:17:24.840 --> 01:17:25.374
PLEASED TO BE IN SUPPORT THANK
01:17:25.440 --> 01:17:27.075
YOU.
01:17:27.142 --> 01:17:27.843
HAULING MICHON BEHALF OF THE
01:17:27.909 --> 01:17:28.844
CALIFORNIA ASSOCIATION OF
01:17:28.910 --> 01:17:30.879
ALCOHOL DRUG PROGRAM EXECUTIVES
01:17:30.946 --> 01:17:32.247
WE ARE IN SUPPORT OF THE BILL
01:17:32.314 --> 01:17:33.515
WITH AMENDMENTS.
01:17:33.582 --> 01:17:34.783
AND WE HAVE BEEN DISCUSSING THE
01:17:34.850 --> 01:17:35.984
AMENDMENTS WITH THE SPONSORS AND
01:17:36.051 --> 01:17:37.719
WITH THE AUTHOR AND WE HOPE TO
01:17:37.786 --> 01:17:38.787
HAVE IT ALL RESOLVED BY THE TIME
01:17:38.854 --> 01:17:42.124
THE BILL GETS TO APPROPRIATIONS
01:17:42.190 --> 01:17:42.391
COMMITTEE.
01:17:42.457 --> 01:17:43.759
THANK YOU THANK YOU.
01:17:43.825 --> 01:17:45.093
MR MEMBERS ALL OVER OCTROI
01:17:45.160 --> 01:17:47.529
CALIFORNIA LIFE SCIENCES
01:17:47.596 --> 01:17:49.064
ASSOCIATION IN SUPPORT AND HERE.
01:17:49.131 --> 01:17:50.298
KELLY BEAM ON BEHALF OF THE
01:17:50.365 --> 01:17:51.800
CALIFORNIA MEDICAL ASSOCIATION
01:17:51.867 --> 01:17:53.602
IN SUPPORT.
01:17:53.668 --> 01:17:54.569
CODY BOILS AND WE HAVE TO
01:17:54.636 --> 01:17:56.438
CALIFORNIA CONSORTIUM DDICTION
01:17:56.505 --> 01:17:57.572
PROGRAMS PROFESSIONALS AND
01:17:57.639 --> 01:17:57.806
SUPPORT.
01:17:57.873 --> 01:18:01.443
THANK YOU VERY MUCH.
01:18:01.510 --> 01:18:02.944
I'M DOCTOR EVELYN LIAM INTERNAL
01:18:03.011 --> 01:18:05.447
MEDICINE AND A CARDIOLOGISTS AND
01:18:05.514 --> 01:18:07.716
I'M OPPOSE.
01:18:07.783 --> 01:18:08.917
OKAY -- WELL.
01:18:08.984 --> 01:18:10.252
IS THERE TO HAVE OPPOSITION TO
01:18:10.318 --> 01:18:11.820
THE BILL.
01:18:11.887 --> 01:18:14.356
ANYONE DISAPPEAR WHEN WISHING TO
01:18:14.423 --> 01:18:17.092
SPEAK UP AT THE AT THE DICE AND
01:18:17.159 --> 01:18:18.727
TO KNOW WHAT IS THERE ANYONE
01:18:18.794 --> 01:18:20.996
ELSE SUPPOSED TO THE BILL.
01:18:21.063 --> 01:18:22.764
SEE NO ONE BRING BACK TO
01:18:22.831 --> 01:18:23.598
COMMITTEE FOR QUESTIONS OR
01:18:23.665 --> 01:18:25.267
COMMENTS A MOTION AND A SECOND
01:18:25.333 --> 01:18:29.938
QUESTIONS ANYONE.
01:18:30.005 --> 01:18:31.339
SEEING NONE WHICH LIKE CLOSE.
01:18:31.406 --> 01:18:33.108
AGAIN THANK YOU FOR YOUR TIME
01:18:33.175 --> 01:18:33.708
AND I WE RESPECTFULLY ASK FOR
01:18:33.775 --> 01:18:34.609
YOUR AYE.
01:18:34.676 --> 01:18:36.011
THANK YOU VERY MUCH FOR BOTH OF
01:18:36.078 --> 01:18:38.780
YOU TO BOTH YOU FOR BRING SECOND
01:18:38.847 --> 01:18:39.848
IT DOES ENJOY A DO PASS
01:18:39.915 --> 01:18:42.317
RECOMMENDATION DEEP IT'S DO PASS
01:18:42.384 --> 01:18:43.685
AS AMENDED TO APPROPRIATIONS.
01:18:43.752 --> 01:18:44.953
WELL SECRETARY PLEASE CALL THE
01:18:45.020 --> 01:18:47.489
ROLL WHAT I WOULD AYE MAYES AYE
01:18:47.556 --> 01:18:50.826
MAYES AYE AGUIAR-CURRY.
01:18:50.892 --> 01:18:51.660
AGUIAR-CURRY AYE BIGELOW
01:18:51.726 --> 01:18:51.960
[inaudible]
01:18:52.027 --> 01:18:52.527
BONTA [inaudible]
01:18:52.594 --> 01:18:54.463
BURKE [inaudible]
01:18:54.529 --> 01:18:56.531
CARILLO.
01:18:56.598 --> 01:18:59.634
I FLORA FLOOR I'LL MOANED.
01:18:59.701 --> 01:19:01.236
MCCARTY NAZARIAN.
01:19:01.303 --> 01:19:04.673
NAZARIAN AYE RAMOS RAMOS I TO TO
01:19:04.739 --> 01:19:05.874
AYE SANTIAGO.
01:19:05.941 --> 01:19:07.275
WALDRON.
01:19:07.342 --> 01:19:11.480
WALDRON AYE.
01:19:11.546 --> 01:19:12.614
YOU HAVE NINE VOTES YOU HAVE THE
01:19:12.681 --> 01:19:14.583
HONOR OF THE FIRST BILL BELIEVE
01:19:14.649 --> 01:19:15.684
THE COMMITTEE THIS YEAR.
01:19:15.750 --> 01:19:17.185
SO WE'LL LEAVE IT OPEN FOR
01:19:17.252 --> 01:19:19.287
OTHERS TO ADD ON THANK YOU VERY
01:19:19.354 --> 01:19:20.755
MUCH MISS SEGMENT YOU HAVE TO
01:19:20.822 --> 01:19:25.794
BILLS BEFORE US.
01:19:25.861 --> 01:19:33.668
AB.
01:19:33.735 --> 01:19:34.302
THREE SIXTY TWO I RECOGNIZE YOUR
01:19:34.369 --> 01:19:38.507
WITNESS [inaudible]
01:19:38.573 --> 01:19:41.042
YOU HAVE.
01:19:41.109 --> 01:19:43.178
SO GOOD AFTERNOON MISTER CHAIR
01:19:43.245 --> 01:19:44.546
AND MEMBERS --
01:19:44.613 --> 01:19:46.381
I AM BACK HERE ON A ON AN ISSUE
01:19:46.448 --> 01:19:48.450
THAT WILL BE FAMILIAR TO MOST OF
01:19:48.517 --> 01:19:50.685
YOU -- AND I
01:19:50.752 --> 01:19:52.454
THANK YOU.
01:19:52.521 --> 01:19:54.289
AND I FROM THE LAST BILL I JUST
01:19:54.356 --> 01:19:55.991
WENT THROUGH WE HAVE A CLEAR
01:19:56.057 --> 01:19:57.325
INDICATION THAT WE DON'T.
01:19:57.392 --> 01:19:58.960
THERE'S NOT ONE A PANACEA THERE
01:19:59.027 --> 01:20:01.796
IS NOT ONE FIX OFFER ADDICTION --
01:20:01.863 --> 01:20:03.798
AND WE NEED TO HAVE A FULL RANGE
01:20:03.865 --> 01:20:06.234
OF OPTIONS TO KEEP PEOPLE LIVE
01:20:06.301 --> 01:20:08.270
LONG ENOUGH. TO GET THEM CLEAN
01:20:08.336 --> 01:20:10.605
AND TO GET BACK ON TRACK IN
01:20:10.672 --> 01:20:12.007
THEIR LIVES --
01:20:12.073 --> 01:20:13.942
THIS BILL.
01:20:14.009 --> 01:20:15.677
WILL ALLOW THIS YEAR TO SCALE
01:20:15.744 --> 01:20:16.945
DOWN FROM SOMETHING THAT YOU
01:20:17.012 --> 01:20:18.180
VOTED ON BEFORE.
01:20:18.246 --> 01:20:20.348
THIS BILL WILL JUST ALLOW SAN
01:20:20.415 --> 01:20:21.917
FRANCISCO TO OVERDOSE.
01:20:21.983 --> 01:20:24.886
PREVENTION PROGRAM PILOT SO
01:20:24.953 --> 01:20:26.388
OVERDOSE PREVENTION PROGRAM
01:20:26.454 --> 01:20:27.355
AGAIN THIS IS THE GOAL OF THIS
01:20:27.422 --> 01:20:29.257
BILL IS TO STOP PEOPLE FROM OVER
01:20:29.324 --> 01:20:31.393
DOSING. TO GIVE THEM ACCESS TO
01:20:31.459 --> 01:20:32.460
TREATMENT.
01:20:32.527 --> 01:20:34.429
SO THAT THEY CAN GET THEIR LIVES
01:20:34.496 --> 01:20:36.231
BACK TOGETHER --
01:20:36.298 --> 01:20:38.800
PROGRAMS UNDER THIS BY IT'S TO
01:20:38.867 --> 01:20:41.169
CONSUME CONTROLLED SUBSTANCE IN
01:20:41.236 --> 01:20:41.937
A CLINICAL SETTING WHERE THEY
01:20:42.003 --> 01:20:43.371
WERE WERE THEY ARE MEDICALLY
01:20:43.438 --> 01:20:44.706
SUPERVISED.
01:20:44.773 --> 01:20:46.474
WE KNOW FROM OVER A HUNDRED
01:20:46.541 --> 01:20:48.243
PROGRAMS AROUND THE WORLD THAT
01:20:48.310 --> 01:20:50.445
THIS IS AFFECTED IN REDUCING
01:20:50.512 --> 01:20:51.580
OVERDOSES.
01:20:51.646 --> 01:20:54.449
IN REDUCING RATES OF HIV.
01:20:54.516 --> 01:20:56.384
IN REDUCING H. RATES OF
01:20:56.451 --> 01:20:59.020
HEPATITIS C. IN REDUCING RATES
01:20:59.087 --> 01:21:00.956
OF NEEDLES BEING AND PARKS AND
01:21:01.022 --> 01:21:03.225
PLAYGROUNDS AND SCHOOL YARDS.
01:21:03.291 --> 01:21:05.160
I'M SURE EVERYONE OF YOU IN YOUR
01:21:05.227 --> 01:21:06.928
DISTRICTS HAVE HAD AREAS WHERE
01:21:06.995 --> 01:21:08.630
THE POLICE HAVE TO GO IN AND DO
01:21:08.697 --> 01:21:10.432
SWEEPS TO CLEAR OUT WE'RE HOMES
01:21:10.498 --> 01:21:11.800
ARE CONGREGATING AND WHERE.
01:21:11.866 --> 01:21:13.468
PEOPLE ARE PUBLICLY USING AND
01:21:13.535 --> 01:21:14.803
ONE OF THEBIGGEST AFTER EFFECTS
01:21:14.869 --> 01:21:16.238
IS THE AMOUNT OF NEEDLES THAT
01:21:16.304 --> 01:21:18.173
ARE FOUND IN PARKS AND PUBLIC
01:21:18.240 --> 01:21:20.141
SPACES AFTERWARDS WHERE CHILDREN
01:21:20.208 --> 01:21:21.476
HAVE ACCESS TO THEM.
01:21:21.543 --> 01:21:23.378
AND WHERE DISEASE CONTINUES TO
01:21:23.445 --> 01:21:24.546
SPREAD.
01:21:24.613 --> 01:21:26.715
THIS BILL HAS A SIX YEAR SUNSET
01:21:26.781 --> 01:21:28.650
WHICH REQUIRES ANNUAL REPORTING
01:21:28.717 --> 01:21:29.951
TO THE LOCAL GOVERNMENT ABOUT
01:21:30.018 --> 01:21:31.386
THE IMPACTS.
01:21:31.453 --> 01:21:32.354
ON THE NUMBER OF THE PEOPLE IN
01:21:32.420 --> 01:21:34.022
THE PROGRAM WHO'S USING THE
01:21:34.089 --> 01:21:35.490
PROGRAM AND HOW MANY PEOPLE ARE
01:21:35.557 --> 01:21:37.125
GETTING REFERRED TO TREATMENT SO
01:21:37.192 --> 01:21:38.493
WE CAN ACTUALLY.
01:21:38.560 --> 01:21:39.728
DEMONSTRATE THAT THIS IS AN
01:21:39.794 --> 01:21:41.029
EFFECTIVE WAY TO GET PEOPLE INTO
01:21:41.096 --> 01:21:42.631
TREATMENT --
01:21:42.697 --> 01:21:44.132
AS YOU KNOW THE PEOPLE WHO ARE
01:21:44.199 --> 01:21:45.400
BASICALLY LIVING IN USING ON THE
01:21:45.467 --> 01:21:47.636
STEEP STREETS HAVE A LOT OF
01:21:47.702 --> 01:21:49.271
MEDICAL ISSUES THAT GO ALONG
01:21:49.337 --> 01:21:50.605
WITH THAT OFTEN TIMES --
01:21:50.672 --> 01:21:52.440
ISSUES AROUND INFECTIONS ISSUES
01:21:52.507 --> 01:21:53.975
AROUND AGAIN TRANSMITTABLE
01:21:54.042 --> 01:21:55.777
DISEASES --
01:21:55.844 --> 01:21:57.912
SWELLING OFTENTIMES PEOPLE GET
01:21:57.979 --> 01:21:59.114
ABSCESSES --
01:21:59.180 --> 01:22:00.815
WHICH WHICH CAN RESULT IN LOSS
01:22:00.882 --> 01:22:05.220
OF WE KNOW OUR NINE ONE ONE OF
01:22:05.287 --> 01:22:06.688
FOLKS ARE OVERWHELMED WITH
01:22:06.755 --> 01:22:08.657
RESPONDING TO PEOPLE OVERDOSING
01:22:08.723 --> 01:22:11.059
WE KNOW OUR EMERGENCY ROOMS ARE
01:22:11.126 --> 01:22:11.693
OVERWHELMED WITH PEOPLE COMING
01:22:11.760 --> 01:22:12.227
IN.
01:22:12.294 --> 01:22:14.296
WITH THESE KINDS OF ISSUES SO
01:22:14.362 --> 01:22:16.031
THIS IS A COMMON SENSE OF
01:22:16.097 --> 01:22:18.400
RESEARCH INFORMED INTERVENTION
01:22:18.466 --> 01:22:19.868
THAT WE HAVE BEEN UNABLE TO TRY
01:22:19.934 --> 01:22:21.436
HERE IN IN --
01:22:21.503 --> 01:22:22.737
THIS DID UNITED STATES BUT WE
01:22:22.804 --> 01:22:24.272
HOPE THIS WILL BE THE FIRST ONE
01:22:24.339 --> 01:22:26.541
A PILOT AGAIN WE DON'T WE DON'T
01:22:26.608 --> 01:22:27.442
SAY IT'S THE ANSWER TO
01:22:27.509 --> 01:22:29.210
EVERYTHING BUT WE SAY IT'S THE
01:22:29.277 --> 01:22:30.912
ANSWER TO FOR SOME --
01:22:30.979 --> 01:22:32.280
AS YOU KNOW I'VE BEEN ON THIS
01:22:32.347 --> 01:22:33.515
JOURNEY FOR A COUPLE YEARS NOW
01:22:33.581 --> 01:22:34.849
FIRMLY BELIEVING IN HARM
01:22:34.916 --> 01:22:37.452
REDUCTION FIRMLY BELIEVING IN
01:22:37.519 --> 01:22:39.754
THAT EVERY LIFE MATTERS AND THAT
01:22:39.821 --> 01:22:42.791
IS MUCH AS WE CAN EXPAND ACCESS
01:22:42.857 --> 01:22:43.458
TO TO DIGNITY.
01:22:43.525 --> 01:22:45.293
AS MUCH AS WE CAN EXPAND ACCESS
01:22:45.360 --> 01:22:47.429
TO TREATMENT AS MUCH AS WE CAN
01:22:47.495 --> 01:22:49.364
ASK OF A TO TO TO BE ABLE TO
01:22:49.431 --> 01:22:50.332
TELL PEOPLE WE CARE ABOUT THEM
01:22:50.398 --> 01:22:51.333
BECOMING WITH A BLACK EYE.
01:22:51.399 --> 01:22:52.267
YOU MIGHT GET ASKED ABOUT
01:22:52.334 --> 01:22:54.135
DOMESTIC VIOLENCE YOU COMING
01:22:54.202 --> 01:22:56.071
CLEARLY HAVING NEEDING A SHOWER
01:22:56.137 --> 01:22:57.405
THAT MIGHT ALSO BE PROVIDED AS
01:22:57.472 --> 01:22:58.273
SOMEBODY WHO WORKED IN SOCIAL
01:22:58.340 --> 01:22:59.374
WORK IN A LONG TIME AND
01:22:59.441 --> 01:23:00.742
ADDICTIONS FOR A LONG TIME.
01:23:00.809 --> 01:23:01.810
I CAN TELL YOU THE NUMBER ONE
01:23:01.876 --> 01:23:02.711
THING THAT I WOULD TEACH
01:23:02.777 --> 01:23:03.345
STUDENTS AND I WOULD WORK WITH
01:23:03.411 --> 01:23:05.013
CLIENTS ON HIS IF YOU DON'T HAVE
01:23:05.080 --> 01:23:06.781
A RELATIONSHIP THEN IT'S REALLY
01:23:06.848 --> 01:23:08.083
HARD TO GET ANYBODY TO CHANGE
01:23:08.149 --> 01:23:09.117
BEHAVIOR.
01:23:09.184 --> 01:23:10.118
IF YOU THINK ABOUT YOURSELVES
01:23:10.185 --> 01:23:11.920
CHANGING ANY BEHAVIOR IS THE ONE
01:23:11.986 --> 01:23:13.521
OF THE MOST DIFFICULT THINGS SO
01:23:13.588 --> 01:23:15.190
THAT THAT EMPATHY THAT
01:23:15.256 --> 01:23:16.324
RELATIONSHIP THAT PEOPLE CAN
01:23:16.391 --> 01:23:17.225
ESTABLISH WHEN THEY'RE GOING
01:23:17.292 --> 01:23:18.860
INTO A MEDICALLY SUPERVISED
01:23:18.927 --> 01:23:19.828
SETTING --
01:23:19.894 --> 01:23:22.163
WE THINK IS THE BEST WAY AGAIN
01:23:22.230 --> 01:23:24.366
TO EXPRESS DIGNITY TO EXPRESSED
01:23:24.432 --> 01:23:26.201
EVERY LIFE MATTERS AND FOR
01:23:26.267 --> 01:23:27.969
PEOPLE TO BE ABLE TO GET INTO
01:23:28.036 --> 01:23:29.337
TREATMENT --
01:23:29.404 --> 01:23:31.106
AND FOR THOSE OF US WHO HAVE
01:23:31.172 --> 01:23:31.740
SERVED ON LOCAL.
01:23:31.806 --> 01:23:34.142
ELECTED OFFICE THIS IS THE THE
01:23:34.209 --> 01:23:36.978
HEIGHT OF OF LOCAL CONTROL WE
01:23:37.045 --> 01:23:38.246
ARE TELLING.
01:23:38.313 --> 01:23:41.983
THIS THIS CITY THAT IF THEY FEEL
01:23:42.050 --> 01:23:46.221
LIKE OUR ARE OKAY TO BE ABLE TO
01:23:46.287 --> 01:23:48.556
DO THAT THIS BILL ALSO REQUIRES
01:23:48.623 --> 01:23:49.557
LAW ENFORCEMENT TO BE AT THE
01:23:49.624 --> 01:23:50.425
TABLE.
01:23:50.492 --> 01:23:53.128
AND SO THE D. A. THE MAYOR THE
01:23:53.194 --> 01:23:55.029
DEPUTY THE SHERIFF EVERYBODY
01:23:55.096 --> 01:23:56.698
WILL HAVE TO BE AT THE TABLE --
01:23:56.765 --> 01:23:57.999
TO BE ABLE TO DECIDE IF THIS IS
01:23:58.066 --> 01:23:59.501
GONNA GO FORWARD OR NOT SO
01:23:59.567 --> 01:24:01.102
THAT'S WHAT THIS BILL DOES THIS
01:24:01.169 --> 01:24:02.203
YEAR --
01:24:02.270 --> 01:24:03.505
NOTHING IN THIS BILL SAYS THAT
01:24:03.571 --> 01:24:05.240
IT TO USE DRUGS IS OKAY BUT WE
01:24:05.306 --> 01:24:06.708
HAVE CERTAINLY LEARNED THAT JUST
01:24:06.775 --> 01:24:08.243
TELLING PEOPLE TO JUST SAY NOW.
01:24:08.309 --> 01:24:09.911
HAS NOT WORKED OUR APP DIMMICK
01:24:09.978 --> 01:24:11.913
IN TEN YEARS TO GROW AND IT
01:24:11.980 --> 01:24:13.515
FEELS LIKE IT'S TIME FOR US TO
01:24:13.581 --> 01:24:15.784
JUST AT LEAST TRY THIS APPROACH
01:24:15.850 --> 01:24:17.886
AS WELL AS EVERY OTHER APPROACH
01:24:17.952 --> 01:24:19.621
THAT WE HAVE IN OUR TOOLBOX.
01:24:19.687 --> 01:24:20.989
WITH ME TODAY ARE --
01:24:21.055 --> 01:24:23.892
WITNESSES DOCTOR DAVID KAHN AND
01:24:23.958 --> 01:24:25.193
THE CAT HE SOON.
01:24:25.260 --> 01:24:26.761
AND ALSO LARA THOMAS FROM DRUG
01:24:26.828 --> 01:24:29.531
POLICY ALLIANCE THANK YOU SO AS
01:24:29.597 --> 01:24:31.900
OUR CUSTOM HAVE TWO WITNESSES IF
01:24:31.966 --> 01:24:33.134
YOU WANT ALL THREE SPEAK YOU CAN.
01:24:33.201 --> 01:24:34.502
JUST DRUG POLICY ALLIANCE'S HERE
01:24:34.569 --> 01:24:36.438
FOR ANY KIND OF TECHNICAL
01:24:36.504 --> 01:24:38.673
QUESTIONS THANK YOU SO MUCH DR.
01:24:38.740 --> 01:24:39.374
PLEASE.
01:24:39.441 --> 01:24:40.108
THANK YOU --
01:24:40.175 --> 01:24:45.680
ASSEMBLY MEMBER WOULD AND MEMBER
01:24:45.747 --> 01:24:46.848
MY NAME'S DOCTOR DAVID KAHN AND
01:24:46.915 --> 01:24:48.516
I REPRESENT THE CALIFORNIA
01:24:48.583 --> 01:24:49.951
SOCIETY OF ADDICTION MEDICINE.
01:24:50.018 --> 01:24:51.386
SEE SAM FOR SHORT REPRESENTS
01:24:51.453 --> 01:24:53.021
OVER FIVE HUNDRED FIFTY
01:24:53.087 --> 01:24:54.122
PHYSICIANS AND ALLIED HEALTH
01:24:54.189 --> 01:24:55.290
PROFESSIONALS WE ARE THE VOICE
01:24:55.356 --> 01:24:56.658
OF ADDICTION TREATMENT FOR
01:24:56.724 --> 01:24:57.659
CALIFORNIA.
01:24:57.725 --> 01:25:00.495
WE'RE ALSO CO SPONSORS OF THIS
01:25:00.562 --> 01:25:02.030
VERY IMPORTANT LEGISLATION. ONE
01:25:02.096 --> 01:25:02.664
OF THE THINGS I'VE LEARNED THE
01:25:02.730 --> 01:25:03.932
PHYSICIANS THAT CHANGE TAKES
01:25:03.998 --> 01:25:05.066
TIME.
01:25:05.133 --> 01:25:06.201
AND IN ORDER TO MAKE CHANGE YOU
01:25:06.267 --> 01:25:07.335
NEED TO HAVE ENGAGEMENT WITH
01:25:07.402 --> 01:25:08.870
PEOPLE WHO CAN HELP YOU.
01:25:08.937 --> 01:25:11.272
WE NEED TO MATCH AVAILABILITY OF
01:25:11.339 --> 01:25:12.807
TREATMENT SERVICES WITH THE MAN.
01:25:12.874 --> 01:25:13.808
I'VE SAID ONCE BEFORE THAT I
01:25:13.875 --> 01:25:14.742
WORRY MUCH MORE ABOUT THE
01:25:14.809 --> 01:25:16.311
PATIENT THAT I DON'T SEE THAN
01:25:16.377 --> 01:25:17.612
THE ONE THAT I DO SEE.
01:25:17.679 --> 01:25:19.080
BECAUSE THE ONE THAT I DON'T SEE
01:25:19.147 --> 01:25:20.415
WE LOSE THE OPPORTUNITY TO
01:25:20.482 --> 01:25:22.750
COMMUNICATE TO IDENTIFY GOALS
01:25:22.817 --> 01:25:24.586
AND MAKE CHANGES IN THEIR LIVES.
01:25:24.652 --> 01:25:26.821
AND THIS UP OVERDOSE PREVENTION
01:25:26.888 --> 01:25:28.423
PROGRAM REPRESENTS A PART OF THE
01:25:28.490 --> 01:25:29.791
SPECTRUM OF CARE.
01:25:29.858 --> 01:25:30.758
AND CRITICALLY A PART OF THE
01:25:30.825 --> 01:25:32.527
SPECTRUM OF CARE OF THE PATIENTS
01:25:32.594 --> 01:25:34.729
THAT WE MISS THE ONES WHO ARE AT
01:25:34.796 --> 01:25:35.730
HIGHEST RATE FOR OVERDOSED.
01:25:35.797 --> 01:25:37.031
THE ONES WHO ARE MOST LIKELY TO
01:25:37.098 --> 01:25:38.199
SUFFER AS A RESULT OF THEIR
01:25:38.266 --> 01:25:39.400
ILLNESS.
01:25:39.467 --> 01:25:40.535
I PERSONALLY VISITED THE
01:25:40.602 --> 01:25:42.337
ENCYCLOPEDIA VANCOUVER WERE MUCH
01:25:42.403 --> 01:25:43.638
OF THE RESEARCH IS DERIVED IN IN
01:25:43.705 --> 01:25:46.140
THAT CLINIC I SAW A CLINIC THAT
01:25:46.207 --> 01:25:47.442
REMINDED ME OF MY SAN FRANCISCO.
01:25:47.509 --> 01:25:49.177
BE A METHADONE PROGRAM IT WAS A
01:25:49.244 --> 01:25:50.378
COMMUNITY WHERE PEOPLE CARED
01:25:50.445 --> 01:25:51.279
ABOUT IT.
01:25:51.346 --> 01:25:52.580
AND IT WAS IN THE INTEREST OF
01:25:52.647 --> 01:25:55.083
THE PATIENT STEP PARTICIPATED.
01:25:55.149 --> 01:25:57.051
IN ORDER TO GET THEM TO THEIR
01:25:57.118 --> 01:26:00.188
OPTIMAL OUR STATE IS VERY CLEAR
01:26:00.255 --> 01:26:00.989
WITH OVERDOSE PREVENTION
01:26:01.055 --> 01:26:03.291
PROGRAMS IT REDUCES OVERALL DRUG
01:26:03.358 --> 01:26:05.860
USE DISCARDED SYRINGES HIV AND
01:26:05.927 --> 01:26:07.395
HEPATITIS C. INFECTIONS.
01:26:07.462 --> 01:26:08.897
OVERDOSE DEATHS AND PEOPLE WHO
01:26:08.963 --> 01:26:10.265
PARTICIPATE IN OVERDOSE
01:26:10.331 --> 01:26:12.333
PREVENTION PROGRAMS ARE MUCH
01:26:12.400 --> 01:26:13.868
MORE LIKELY TO ENTER TREATMENT
01:26:13.935 --> 01:26:15.770
IF SOMEBODY PARTICIPATES WITH IN
01:26:15.837 --> 01:26:16.604
SUCH A PROGRAM.
01:26:16.671 --> 01:26:17.438
THEY HAVE ENCOUNTER WITH A
01:26:17.505 --> 01:26:19.207
HEALTH CARE PROFESSIONAL WHO
01:26:19.274 --> 01:26:20.875
CARES ABOUT THEM AS A PERSON.
01:26:20.942 --> 01:26:23.611
WE OFFER THE IDEA OF TREATMENT
01:26:23.678 --> 01:26:24.178
THEY'RE MUCH MORE LIKELY TO
01:26:24.245 --> 01:26:25.046
LISTEN.
01:26:25.113 --> 01:26:26.881
OVERDOSE PREVENTION PROGRAMS IS
01:26:26.948 --> 01:26:28.550
TREATMENT.
01:26:28.616 --> 01:26:29.584
THERE'S NO CONFLICT BETWEEN
01:26:29.651 --> 01:26:32.120
SUPERVISE USE AND STOPPING DRUGS
01:26:32.186 --> 01:26:33.021
IT'S PART OF THE CONTINUUM OF
01:26:33.087 --> 01:26:34.789
CARE AND I STRONGLY SUPPORT HARM
01:26:34.856 --> 01:26:36.357
REDUCTION BECAUSE WE THINK OF
01:26:36.424 --> 01:26:38.259
ABSTINENCE AS PART OF A HARM
01:26:38.326 --> 01:26:39.894
REDUCTION IT IS.
01:26:39.961 --> 01:26:41.062
BUT IT HAPPENS TO BE THE HARDEST
01:26:41.129 --> 01:26:42.864
WAY TO ACHIEVE IT WHEN YOU GET
01:26:42.931 --> 01:26:44.766
PEOPLE ENGAGE WITH AN OVERDOSE
01:26:44.832 --> 01:26:46.367
PREVENTION PROGRAMS YOUR
01:26:46.434 --> 01:26:48.102
OFFERING THEM TREATMENT.
01:26:48.169 --> 01:26:49.170
BOTH FOR THE ADDICTION ITSELF
01:26:49.237 --> 01:26:50.438
AND THE CO MORBID MEDICAL
01:26:50.505 --> 01:26:53.241
CONDITIONS THAT OCCUR AS
01:26:53.308 --> 01:26:54.709
ASSEMBLY MEMBER EGGMAN RIP
01:26:54.776 --> 01:26:56.177
REFERENCED ABSCESSES
01:26:56.244 --> 01:26:57.712
COMMUNICABLE DISEASES DOMESTIC
01:26:57.779 --> 01:26:59.247
VIOLENCE.
01:26:59.314 --> 01:27:00.448
AND SO IN SUMMARY I WOULD SAY
01:27:00.515 --> 01:27:01.683
THAT OVERDOSE PREVENTION
01:27:01.749 --> 01:27:04.519
PROGRAMS DO ALL OF THE ABOVE.
01:27:04.586 --> 01:27:06.054
IT ENGAGES PEOPLE IT GIVES THEM
01:27:06.120 --> 01:27:07.889
THE OPPORTUNITY CHANGE AND ROUTE
01:27:07.956 --> 01:27:09.290
AND SEAMLESSLY GETS THEM INTO
01:27:09.357 --> 01:27:10.825
THE TREATMENT THAT THEY NEED AT
01:27:10.892 --> 01:27:13.094
THE LEVEL THAT THE READY FOR
01:27:13.161 --> 01:27:13.761
THANK YOU FOR TAKING THE TIME TO
01:27:13.828 --> 01:27:16.431
LISTEN.
01:27:16.497 --> 01:27:19.200
THANK YOU VERY MUCH.
01:27:19.267 --> 01:27:20.435
GOOD AFTERNOON MY NAME IS VICTOR
01:27:20.501 --> 01:27:23.438
EYES IN AND I AM THE S. C. E. O.
01:27:23.504 --> 01:27:25.540
FOR HEALTH RIGHT THREE SIXTY
01:27:25.607 --> 01:27:26.975
WE'RE ONE OF THE LARGEST --
01:27:27.041 --> 01:27:28.209
COMMUNITY BASED SUBSTANCE USE
01:27:28.276 --> 01:27:29.677
DISORDER TREATMENT PROVIDER
01:27:29.744 --> 01:27:31.613
ORGANIZATION SERVING THE MEDICAL
01:27:31.679 --> 01:27:33.181
POPULATION IN CALIFORNIA WE
01:27:33.247 --> 01:27:34.649
OPERATE PROGRAMS IN SOME OF YOUR
01:27:34.716 --> 01:27:35.483
DISTRICTS --
01:27:35.550 --> 01:27:36.551
BUT WE ARE OUR HOME BASE IS SAN
01:27:36.618 --> 01:27:38.653
FRANCISCO WE'VE BEEN VERY ACTIVE
01:27:38.720 --> 01:27:41.656
IN IN THIS CONVERSATION.
01:27:41.723 --> 01:27:43.358
I'M ALSO REPRESENTING I CAN'T BE
01:27:43.424 --> 01:27:45.093
WHICH IS THE STATE ASSOCIATION
01:27:45.159 --> 01:27:46.861
OF TRIGGER PROVIDERS BOTH HEALTH
01:27:46.928 --> 01:27:48.363
RIGHT THREE SIXTY AND CAT PEE
01:27:48.429 --> 01:27:50.164
ARE STRONG SUPPORTERS AND
01:27:50.231 --> 01:27:51.432
SPONSORS.
01:27:51.499 --> 01:27:53.368
OF THIS LEGISLATION.
01:27:53.434 --> 01:27:57.372
I ALSO SPEAK HEROIN USER --
01:27:57.438 --> 01:27:58.539
AND I BRING THAT TO BEAR AND ALL
01:27:58.606 --> 01:27:59.741
OF MY THINKING ABOUT THE WORK
01:27:59.807 --> 01:28:01.242
THAT I DO EVERY DAY AND HAVE
01:28:01.309 --> 01:28:02.610
BEEN DOING FOR THE PAST THIRTY
01:28:02.677 --> 01:28:04.579
YEARS.
01:28:04.646 --> 01:28:05.647
I THINK YOU'RE WELL AWARE CAN
01:28:05.713 --> 01:28:07.415
OPEN NEWSPAPER TODAY AND NOT
01:28:07.482 --> 01:28:09.083
READ ABOUT THE OPIOID --
01:28:09.150 --> 01:28:10.818
OVERDOSE CRISIS IN OUR COUNTRY
01:28:10.885 --> 01:28:12.220
THAT CRISIS HAS NOT SKIP
01:28:12.286 --> 01:28:13.454
CALIFORNIA --
01:28:13.521 --> 01:28:14.989
NEARLY FIVE THOUSAND PEOPLE DIED
01:28:15.056 --> 01:28:17.392
OF AN OVERDOSE IN TWENTY
01:28:17.458 --> 01:28:18.159
SEVENTEEN AND SAN FRANCISCO
01:28:18.226 --> 01:28:19.394
WHICH IS WHERE WE'RE REALLY
01:28:19.460 --> 01:28:20.962
FOCUSING THIS PILOT --
01:28:21.029 --> 01:28:23.197
NEARLY A HUNDRED AND TWENTY FIVE
01:28:23.264 --> 01:28:24.198
DIED IN THE SAME YEAR.
01:28:24.265 --> 01:28:25.533
SO -- IN
01:28:25.600 --> 01:28:26.834
THIS PROJECT WERE REALLY
01:28:26.901 --> 01:28:28.503
THINKING ABOUT REACHING THE
01:28:28.569 --> 01:28:30.505
HARDEST TO REACH PEOPLE THAT
01:28:30.571 --> 01:28:32.440
THERE ARE TO REACH WE SERVE LOTS
01:28:32.507 --> 01:28:34.075
OF PEOPLE IN TREATMENT PROGRAMS.
01:28:34.142 --> 01:28:35.843
WE DO A GOOD JOB WE'RE VERY
01:28:35.910 --> 01:28:37.445
INVESTED IN CONTINUING THAT AND
01:28:37.512 --> 01:28:39.180
YET THERE ARE STILL A POPULATION
01:28:39.247 --> 01:28:40.548
OF PEOPLE FOR WHOM WE ARE NOT
01:28:40.615 --> 01:28:42.984
ABLE TO REACH AND WE SEE THIS IS
01:28:43.051 --> 01:28:43.484
THE AVENUE.
01:28:43.551 --> 01:28:44.686
AS DOCTOR CONCERT WE SEE THIS IS
01:28:44.752 --> 01:28:46.487
THE AVENUE TO HELP REACH THOSE
01:28:46.554 --> 01:28:47.989
PEOPLE I WOULD LIKE TO ADDRESS
01:28:48.056 --> 01:28:49.357
SOME OF THE MYTHS.
01:28:49.424 --> 01:28:51.292
AROUND THE OVERDOSE PREVENTION
01:28:51.359 --> 01:28:53.394
PROGRAMS THAT YOU MAY HAVE HEARD
01:28:53.461 --> 01:28:54.228
ABOUT OR THAT YOU MAY EVEN
01:28:54.295 --> 01:28:55.763
CONSIDERING YOUR OWN THINKING
01:28:55.830 --> 01:28:56.998
ONE IS THAT THESE PROGRAMS
01:28:57.065 --> 01:28:58.766
ENABLE DRUG USE --
01:28:58.833 --> 01:29:00.735
THERE IS A BELIEF THAT WE NEED
01:29:00.802 --> 01:29:02.537
TO MAKE THINGS REALLY REALLY
01:29:02.603 --> 01:29:04.105
DIFFICULT AND WE NEED.
01:29:04.172 --> 01:29:06.007
TO IMPOSE A CRIMINAL SANCTIONS
01:29:06.074 --> 01:29:07.442
AND BRING A GREAT DEAL OF MISERY
01:29:07.508 --> 01:29:09.243
TO PEOPLE SO THAT THEY STOP
01:29:09.310 --> 01:29:10.211
USING DRUGS AND THAT'S HOW THEY
01:29:10.278 --> 01:29:12.280
COME TO RECOVERY WHEN IN FACT
01:29:12.346 --> 01:29:13.181
HAVING DONE THIS WORK FOR A
01:29:13.247 --> 01:29:14.082
REALLY LONG TIME.
01:29:14.148 --> 01:29:15.349
THAT IS ACTUALLY NOT THE PATH
01:29:15.416 --> 01:29:17.151
FOR PEOPLE TO RECOVERY IT IS
01:29:17.218 --> 01:29:18.286
THROUGH RELATIONSHIP AND
01:29:18.352 --> 01:29:19.454
CONNECTION AND IT'S TO HOPE THAT
01:29:19.520 --> 01:29:20.855
PEOPLE MOVE TO RECOVERY THE
01:29:20.922 --> 01:29:22.290
PEOPLE THAT WE SEE.
01:29:22.356 --> 01:29:24.992
AND THE PEOPLE THAT WE WOULD
01:29:25.059 --> 01:29:27.495
FOCUS THIS PROJECT ON IT IS NO
01:29:27.562 --> 01:29:29.230
MORE DESPAIR THAT WE CAN BRING
01:29:29.297 --> 01:29:31.032
TO BEAR ON THEIR LIVES THERE'S
01:29:31.099 --> 01:29:31.833
ONLY DEATH THAT'S REALLY THE
01:29:31.899 --> 01:29:32.800
ONLY.
01:29:32.867 --> 01:29:35.169
OTHER OPTION LEFT SO SO THIS
01:29:35.236 --> 01:29:36.571
ISN'T ENABLE IT THIS JUST MAKES
01:29:36.637 --> 01:29:38.139
US HELPS US CONTACT PEOPLE WHO
01:29:38.206 --> 01:29:39.874
ARE THE HARDEST TO REACH.
01:29:39.941 --> 01:29:41.576
I THINK THE SECOND MATTHEW HERE
01:29:41.642 --> 01:29:43.444
IS THAT THESE ATTRACT THANK YOU
01:29:43.511 --> 01:29:44.912
BUT THIS ATTRACTS CRIME --
01:29:44.979 --> 01:29:46.314
AND THIS IS NOT BEEN PROVEN TRUE
01:29:46.380 --> 01:29:47.648
IN ANY SITE WHERE THEY'VE
01:29:47.715 --> 01:29:48.716
EXISTED OVER A HUNDRED OF THEM
01:29:48.783 --> 01:29:50.518
AROUND THE WORLD AND ACTUALLY WE
01:29:50.585 --> 01:29:51.152
ARE YOU KNOW IN HARM REDUCTION
01:29:51.219 --> 01:29:52.820
SITES THAT OPERATE CURRENTLY AND
01:29:52.887 --> 01:29:54.255
MANY OF OUR COMMUNITIES.
01:29:54.322 --> 01:29:55.323
IT'S NOT TRUE THERE IS WELL
01:29:55.389 --> 01:29:57.158
PEOPLE ARE DRUG DEALERS ARE NOT
01:29:57.225 --> 01:29:58.960
ATTRACTED TO COME TO NEEDLE
01:29:59.026 --> 01:30:00.128
EXCHANGE PROGRAMS BECAUSE THEY
01:30:00.194 --> 01:30:00.728
THINK THAT'S WHERE THE DRUG
01:30:00.795 --> 01:30:01.896
USERS ARE THAT HAS NOT BEEN
01:30:01.963 --> 01:30:02.997
PROVEN TO BE TRUE.
01:30:03.064 --> 01:30:04.665
IN HARM REDUCTION SITES AS WELL
01:30:04.732 --> 01:30:07.001
IN THE FINAL MYTH IS THAT THERE
01:30:07.068 --> 01:30:08.703
WERE WERE GIVEN A FALSE CHOICE
01:30:08.770 --> 01:30:10.371
THAT SAYS IT'S EITHER THIS OR
01:30:10.438 --> 01:30:11.806
TREATMENT.
01:30:11.873 --> 01:30:13.307
AND NOT NOTHING IN THIS BILL
01:30:13.374 --> 01:30:14.742
SAYS THAT WE DON'T SUPPORT
01:30:14.809 --> 01:30:15.810
TREATMENT THERE'S NOTHING IN
01:30:15.877 --> 01:30:17.245
HERE THAT SAYS WE'RE GONNA TAKE
01:30:17.311 --> 01:30:18.846
MONEY AWAY OR RESOURCES AWAY.
01:30:18.913 --> 01:30:20.214
FROM TREATMENT.
01:30:20.281 --> 01:30:21.749
IN FACT WE THINK THIS IS
01:30:21.816 --> 01:30:26.120
ACTUALLY A PART OF TREATMENT AND
01:30:26.187 --> 01:30:26.988
ALL I CAN SAY IS.
01:30:27.054 --> 01:30:28.556
IF A PERSON OVERDOSES THEY
01:30:28.623 --> 01:30:29.524
REALLY DO HAVE INADVERTENT THEY
01:30:29.590 --> 01:30:31.058
OVERDOSING DIE THEY NEVER HAVE
01:30:31.125 --> 01:30:32.193
ANOTHER CHANCE OF RECOVERY SO I
01:30:32.260 --> 01:30:34.295
STRONGLY URGE YOU TO CONSIDER
01:30:34.362 --> 01:30:35.429
SUPPORTING THIS BILL.
01:30:35.496 --> 01:30:36.397
THANK YOU VERY MUCH OTHER
01:30:36.464 --> 01:30:38.666
SUPPORT.
01:30:38.733 --> 01:30:39.934
MR CHAIRMAN MEMBERS OF THE
01:30:40.001 --> 01:30:40.601
COMMITTEE RENTAL HANG OVER THE
01:30:40.668 --> 01:30:41.869
CALIFORNIA PSYCHIATRIC
01:30:41.936 --> 01:30:43.504
ASSOCIATION WE STRONGLY SUPPORT
01:30:43.571 --> 01:30:45.873
THIS BILL AND WE COMMITTED TO
01:30:45.940 --> 01:30:48.643
YOUR SUPPORT THANK YOU THANK YOU.
01:30:48.709 --> 01:30:49.844
LIZZY BEACON OF THE ACLU OF
01:30:49.911 --> 01:30:53.981
CALIFORNIANS SUPPORT THANK YOU.
01:30:54.048 --> 01:30:55.183
JIM WOOD BURKE ON BEHALF OF THE
01:30:55.249 --> 01:30:57.985
FRIENDS COMMITTEE ON LEGISLATION
01:30:58.052 --> 01:31:01.022
A CALIFORNIA INSTRUCTS SUPPORT.
01:31:01.088 --> 01:31:02.056
KELLY BEAM ON BEHALF OF THE
01:31:02.123 --> 01:31:03.724
CALIFORNIA MEDICAL ASSOCIATION
01:31:03.791 --> 01:31:05.393
IN SUPPORT.
01:31:05.459 --> 01:31:06.694
KATHY MUST FOR SAN FRANCISCO
01:31:06.761 --> 01:31:08.930
AIDS FOUNDATION A CO SPONSOR AND
01:31:08.996 --> 01:31:10.531
STRONG SUPPORT THANK YOU.
01:31:10.598 --> 01:31:11.999
GOING BACK A CELL BAKER CENTER
01:31:12.066 --> 01:31:14.402
FOR HUMAN RIGHTS IN SUPPORT.
01:31:14.468 --> 01:31:15.703
SAVANNAH O'NEILL HARM REDUCTION
01:31:15.770 --> 01:31:17.705
COALITION CO SPONSOR IN STRONG
01:31:17.772 --> 01:31:18.973
SUPPORT THANK YOU.
01:31:19.040 --> 01:31:20.408
JENNA HEY WOULD HARM REDUCTION
01:31:20.474 --> 01:31:23.344
COALITION COSPONSORED STRONG
01:31:23.411 --> 01:31:24.645
SUPPORT THANK YOU.
01:31:24.712 --> 01:31:25.479
RESIDENTS HALLS WITH THE
01:31:25.546 --> 01:31:27.281
NATIONAL ASSOCIATION OF SOCIAL
01:31:27.348 --> 01:31:28.783
WORKERS STRONG SUPPORT OF EGGMAN
01:31:28.850 --> 01:31:30.351
STILL.
01:31:30.418 --> 01:31:31.285
CODY BOILS IN HALF THE
01:31:31.352 --> 01:31:33.154
CALIFORNIA CONSORTIUM ADDICTION
01:31:33.221 --> 01:31:34.522
PROGRAMS PROFESSIONALS AND
01:31:34.589 --> 01:31:35.957
SUPPORT THANK YOU.
01:31:36.023 --> 01:31:36.891
CAT TO BURKE WITH THE HEALTH
01:31:36.958 --> 01:31:38.793
OFFICER'S ASSOCIATION OF
01:31:38.860 --> 01:31:41.295
CALIFORNIANS SUPPORT THANK YOU.
01:31:41.362 --> 01:31:42.263
MR CHAIRMAN MEMBERS MARK WINDOWS
01:31:42.330 --> 01:31:44.098
WITH US HERE YOU CALIFORNIANS
01:31:44.165 --> 01:31:45.967
STRONG SUPPORT.
01:31:46.033 --> 01:31:47.501
MR MEMBERS PAUL YEUTTER
01:31:47.568 --> 01:31:48.669
SCHNEIDER AND TO IN BEHALF OF
01:31:48.736 --> 01:31:50.638
SAN FRANCISCO'S MARYLAND BREED
01:31:50.705 --> 01:31:53.074
THANK YOU SOMEONE EGGMAN.
01:31:53.140 --> 01:31:57.812
THANK YOU.
01:31:57.879 --> 01:32:01.215
SO IS THERE A TEST THE SECOND.
01:32:01.282 --> 01:32:03.484
A TESTIMONY IN OPPOSITION.
01:32:03.551 --> 01:32:04.585
I'M SORRY.
01:32:04.652 --> 01:32:08.256
I'M SORRY I'M SORRY PLEASE.
01:32:08.322 --> 01:32:09.056
OUR TIME IS WITH THE DRUG POLICY
01:32:09.123 --> 01:32:10.057
ALLIANCE PROUD TO CO SPONSOR
01:32:10.124 --> 01:32:12.860
THIS BILL IN STRONG SUPPORT
01:32:12.927 --> 01:32:13.127
THANK YOU.
01:32:13.194 --> 01:32:15.296
I'M SORRY ABOUT THAT
01:32:15.363 --> 01:32:15.596
[inaudible]
01:32:15.663 --> 01:32:28.809
OPPOSITION TESTIMONY.
01:32:28.876 --> 01:32:29.810
GOOD AFTERNOON MISTER CHAIRMAN
01:32:29.877 --> 01:32:30.745
VERSE CHORUS ALSO HERE ON BEHALF
01:32:30.811 --> 01:32:31.712
OF THE CALIFORNIA STATE SHERIFFS
01:32:31.779 --> 01:32:32.713
ASSOCIATION.
01:32:32.780 --> 01:32:33.781
RESPECTFULLY IN OPPOSITION TO
01:32:33.848 --> 01:32:35.816
THE BILL WE'RE OPPOSED --
01:32:35.883 --> 01:32:36.984
TO AB ONE EIGHTY SIX WHICH WAS
01:32:37.051 --> 01:32:38.986
VETOED LAST YEAR AND A REMAIN
01:32:39.053 --> 01:32:39.887
UNFORTUNATELY IN OPPOSITION TO
01:32:39.954 --> 01:32:41.355
THE BILL WE JUST FRANKLY HAVE A
01:32:41.422 --> 01:32:42.490
HARD TIME RECONCILING THE NOTION
01:32:42.556 --> 01:32:44.025
THAT PROTECTING AND ENCOURAGING
01:32:44.091 --> 01:32:45.293
DRUG USE --
01:32:45.359 --> 01:32:47.128
WILL HELP WITH OUR STATES MANY%
01:32:47.194 --> 01:32:48.429
DRUG PROBLEMS --
01:32:48.496 --> 01:32:50.231
I THINK THAT WAS EMBLEMATIC OF
01:32:50.298 --> 01:32:51.499
THE GOVERNOR'S VETO MESSAGE LAST
01:32:51.565 --> 01:32:52.466
YEAR I DON'T SPEAK FOR HIM
01:32:52.533 --> 01:32:54.468
OBVIOUSLY BUT HE HE MADE SOME
01:32:54.535 --> 01:32:55.169
PRETTY --
01:32:55.236 --> 01:32:57.605
COGENT ARGUMENTS AGAINST --
01:32:57.672 --> 01:33:00.708
THIS BILL FRANKLY MOST IF NOT
01:33:00.775 --> 01:33:01.976
ALL OF THE ACTIVITIES THAT ARE
01:33:02.043 --> 01:33:03.544
ABSOLVED FROM CRIMINAL LIABILITY
01:33:03.611 --> 01:33:04.779
UNDER THIS BILL.
01:33:04.845 --> 01:33:06.347
REMAIN ILLEGAL UNDER FEDERAL LAW
01:33:06.414 --> 01:33:07.448
SO WE'RE SETTING UP THE CITY AND
01:33:07.515 --> 01:33:07.915
COUNTY --
01:33:07.982 --> 01:33:09.784
AND MAYBE THEY DON'T MIND ABOUT
01:33:09.850 --> 01:33:11.218
THIS BUT YOU'RE SETTING UP THE
01:33:11.285 --> 01:33:12.520
CITY AND COUNTY --
01:33:12.586 --> 01:33:13.888
FOR INSTEAD FIGHT BETWEEN STATE
01:33:13.955 --> 01:33:15.523
AND FEDERAL LAW --
01:33:15.589 --> 01:33:16.624
AND THE CHALLENGES THAT WILL
01:33:16.691 --> 01:33:18.059
COME FROM THAT AND FRANKLY
01:33:18.125 --> 01:33:19.894
DESPITE THE BILL'S ATTEMPT TO
01:33:19.961 --> 01:33:20.528
PROTECT LOCAL GOVERNMENTS FROM
01:33:20.594 --> 01:33:21.362
LIABILITY.
01:33:21.429 --> 01:33:22.797
WE FEAR IT'S ONLY A MATTER OF
01:33:22.863 --> 01:33:24.632
TIME BEFORE PERSON WHO UTILIZES
01:33:24.699 --> 01:33:26.233
ONE OF THESE PLACES --
01:33:26.300 --> 01:33:28.502
WILL LEAVE THE FACILITY THERE IS
01:33:28.569 --> 01:33:30.004
NO REQUIREMENT THAT A PERSON WHO
01:33:30.071 --> 01:33:31.772
UTILIZES A SAFE INJECTION SITE
01:33:31.839 --> 01:33:33.107
OR AN OVERDOSE PREVENTION
01:33:33.174 --> 01:33:34.342
PROGRAM --
01:33:34.408 --> 01:33:36.310
WILL STAY UNTIL THEY ARE NO
01:33:36.377 --> 01:33:37.511
LONGER UNDER THE INFLUENCE AND
01:33:37.578 --> 01:33:38.579
SO -- THIS
01:33:38.646 --> 01:33:40.047
DOES NOT ABSOLVE A PERSON FROM
01:33:40.114 --> 01:33:41.215
DRIVING UNDER THE INFLUENCE
01:33:41.282 --> 01:33:42.650
ILLEGALLY BUT IT CERTAINLY
01:33:42.717 --> 01:33:43.918
CREATES A SITUATION WHERE WE
01:33:43.985 --> 01:33:45.186
THINK IT'S LIKELY THAT SOMEONE
01:33:45.252 --> 01:33:45.820
WILL COME TO THE ONE OF THESE
01:33:45.886 --> 01:33:47.154
FACILITIES --
01:33:47.221 --> 01:33:49.123
USED THEIR SUBSTANCES AND LEAVE
01:33:49.190 --> 01:33:50.458
WHILE STILL UNDER THE INFLUENCE
01:33:50.524 --> 01:33:51.359
PUTTING THE REST THE MOTORING
01:33:51.425 --> 01:33:52.626
PUBLIC AT RISK NECK THAT'S JUST
01:33:52.693 --> 01:33:53.828
ONE EXAMPLE OF OUR CONCERN IN
01:33:53.894 --> 01:33:55.830
THAT REGARD SO --
01:33:55.896 --> 01:33:59.166
FOR THOSE REASONS WE REMAIN
01:33:59.233 --> 01:34:01.402
OPPOSED TO THE THANK YOU.
01:34:01.469 --> 01:34:04.071
SO MY TWO WITNESSES AS YOU KNOW
01:34:04.138 --> 01:34:04.739
SO.
01:34:04.805 --> 01:34:06.574
WELL MY NAME IS FRANKLY I AM
01:34:06.640 --> 01:34:08.843
FROM THE SAN FRANCISCO BAY AREA
01:34:08.909 --> 01:34:11.045
OVER THE BAY AREA DIRECTOR OF
01:34:11.112 --> 01:34:13.581
CALIFORNIA COALITION AGAINST TWO
01:34:13.647 --> 01:34:14.982
THAT'S WHY WE GOT A WHOLE BUNCH
01:34:15.049 --> 01:34:16.550
OF RESIDENTS FROM SAN FRANCISCO
01:34:16.617 --> 01:34:18.052
BAY AREA. TO COME HERE ALL THE
01:34:18.119 --> 01:34:20.788
WAY TO SAY NO TO THIS BILL NO
01:34:20.855 --> 01:34:22.923
DATE THE MAIN REASON OF THE
01:34:22.990 --> 01:34:24.525
PROPONENT IS THAT THE WE WE DO
01:34:24.592 --> 01:34:24.992
USE.
01:34:25.059 --> 01:34:27.628
DRUG OVERDOSE DEATH CASES BUT
01:34:27.695 --> 01:34:29.830
ACTUALLY IS CERTAINLY WRONG YOU
01:34:29.897 --> 01:34:31.298
KNOW ACCORDING TO BRITISH
01:34:31.365 --> 01:34:34.402
COLUMBIA CORONERS SERVICES.
01:34:34.468 --> 01:34:38.005
THE OVERDOSE THE TRUCK OVERDOSE
01:34:38.072 --> 01:34:40.207
DEATH CASES ACTUALLY.
01:34:40.274 --> 01:34:42.143
INCREASE OUR HUNT THE HOUSE IN
01:34:42.209 --> 01:34:44.879
PERCENT OR ACTUALLY A TEN TIMES
01:34:44.945 --> 01:34:46.947
YOU KNOW IN THE TEN YEARS SELF
01:34:47.014 --> 01:34:49.850
OPERATIONS ALL OF THE INJECTION
01:34:49.917 --> 01:34:50.718
CENTER AND BE A MAKEOVER.
01:34:50.785 --> 01:34:52.586
THAT MEANS IS A BIG FAILURE AND
01:34:52.653 --> 01:34:54.488
ALSO THIS BILL DOES NOT BE
01:34:54.555 --> 01:34:55.856
CLAUDIA --
01:34:55.923 --> 01:34:57.658
THE ANY DRUG ADDICTS TO GOAL FOR
01:34:57.725 --> 01:34:59.460
TRUCK WE HABITATION RIGHT AFTER
01:34:59.527 --> 01:35:01.228
DOING INJECTION SO THAT MEANS IT
01:35:01.295 --> 01:35:09.136
JUST ENCOURAGES THEM --
01:35:09.203 --> 01:35:09.737
TO TO DO MORE INJECTION TO USE
01:35:09.804 --> 01:35:13.240
MY THE CAKE IT THIS BILL IS
01:35:13.307 --> 01:35:15.209
ACTUALLY TAILOR MADE FOR DRUG
01:35:15.276 --> 01:35:16.844
TRAFFICKING --
01:35:16.911 --> 01:35:18.379
GANGSTERS AND ALSO FOR DRUG
01:35:18.446 --> 01:35:20.915
ADDICTS SO WE STRONGLY OPPOSED --
01:35:20.981 --> 01:35:22.983
TO AB THREE SIXTY TWO AND
01:35:23.050 --> 01:35:25.186
ACCORDING TO THE GOVERNOR OF OF
01:35:25.252 --> 01:35:26.020
OF THE LAST --
01:35:26.087 --> 01:35:27.421
GOVERNOR BROWN WE NEED A
01:35:27.488 --> 01:35:28.856
COMPREHENSIVE APPROACH AT BOTH
01:35:28.923 --> 01:35:30.624
THE STATE AND LOCAL LEVEL AND
01:35:30.691 --> 01:35:32.493
THE DISADVANTAGES OF THIS BIãU
01:35:32.560 --> 01:35:35.830
FAR AWAY AND THE POSSIBLE
01:35:35.896 --> 01:35:36.097
BENEFITS.
01:35:36.163 --> 01:35:37.898
THANK YOU.
01:35:37.965 --> 01:35:39.133
JOHN LEVEL ON BEHALF OF THE
01:35:39.200 --> 01:35:40.768
CALIFORNIA NARCOTICS OFFICERS
01:35:40.835 --> 01:35:42.136
ASSOCIATION.
01:35:42.203 --> 01:35:45.072
WE WOULD COMMAND EVERYONE. TO A
01:35:45.139 --> 01:35:47.041
CLOSE EXAMINATION OF GOVERNOR
01:35:47.108 --> 01:35:49.777
BROWN'S VERY THOUGHTFUL VETO OF
01:35:49.844 --> 01:35:51.278
THIS BILL LAST YEAR.
01:35:51.345 --> 01:35:54.181
THE ISSUE WITH THIS BILL IS THAT
01:35:54.248 --> 01:35:57.118
IT DOES NOT PROVIDE A COG NICE
01:35:57.184 --> 01:35:59.353
SYBIL ROUTE TO TREATMENT.
01:35:59.420 --> 01:36:01.555
MISSING FROM THE BILL IS ANY
01:36:01.622 --> 01:36:03.023
DISCUSSION FOR EXAMPLE OF
01:36:03.090 --> 01:36:05.493
METHADONE ALTERNATIVES.
01:36:05.559 --> 01:36:07.761
MISSING FROM THE BILL IS SKINNY
01:36:07.828 --> 01:36:10.998
DIRECTIVE TO THE OPERATORS OF
01:36:11.065 --> 01:36:13.534
THE INJECTION CENTER. TO EXAMINE
01:36:13.601 --> 01:36:15.569
SOMEONE AFTER THEY SHOOTS UP
01:36:15.636 --> 01:36:17.071
SHOOT UP TO MAKE SURE THAT
01:36:17.138 --> 01:36:19.373
THEY'RE NOT SO IMPAIRED THAT
01:36:19.440 --> 01:36:21.242
THEY MIGHT DO HARM TO THEMSELVES
01:36:21.308 --> 01:36:22.409
OR OTHERS.
01:36:22.476 --> 01:36:24.245
WHEN THEY DEPART?
01:36:24.311 --> 01:36:26.347
MISSING FROM THE BILL IS HE ANY
01:36:26.413 --> 01:36:29.150
SIRIUS LOOK AT THE IN A AT THE
01:36:29.216 --> 01:36:32.286
LOW CITING AND LOCATION PROBLEMS.
01:36:32.353 --> 01:36:37.291
OF WHERE THE SITES THE
01:36:37.358 --> 01:36:39.460
EXPERIENCE WITH THE INSIGHT IN
01:36:39.527 --> 01:36:40.728
VANCOUVER.
01:36:40.794 --> 01:36:42.263
YOU WILL FIND A COUPLE OF THINGS
01:36:42.329 --> 01:36:46.400
YES THERE ARE PEOPLE WHO USE THE
01:36:46.467 --> 01:36:47.768
INJECTION SITE.
01:36:47.835 --> 01:36:50.304
BUT MOST OF THE PEOPLE ACTUALLY
01:36:50.371 --> 01:36:51.572
WHAT'S HAPPENED IS IS.
01:36:51.639 --> 01:36:55.409
INSIGHT HAS BECOME A MAGNET. FOR
01:36:55.476 --> 01:36:58.345
OF A DRAMATIC INCREASE IN STREET
01:36:58.412 --> 01:37:00.648
DRUG ACTIVITY AND IN FACT IS
01:37:00.714 --> 01:37:02.316
MISTER LEE INDICATED.
01:37:02.383 --> 01:37:05.186
THE NUMBER OF OVERDOSE DEATHS
01:37:05.252 --> 01:37:07.254
SINCE INSIDE HAS BEEN IN PLACE
01:37:07.321 --> 01:37:09.056
OF ACTUALLY GONE UP --
01:37:09.123 --> 01:37:11.091
IN THAT REGION GOVERNOR BROWN
01:37:11.158 --> 01:37:14.361
HAD IT RIGHT YOU CANNOT SIMPLY
01:37:14.428 --> 01:37:16.030
BE ENABLE.
01:37:16.096 --> 01:37:18.899
OF ADDICTIVE BEHAVIOR AND EXPECT
01:37:18.966 --> 01:37:22.937
TO GET A A A GOOD RESULT I
01:37:23.003 --> 01:37:24.438
PERMISSION TO SAY WHAT I'M ABOUT
01:37:24.505 --> 01:37:25.172
TO SAY.
01:37:25.239 --> 01:37:26.907
MY WIFE IS A RECOVERING
01:37:26.974 --> 01:37:29.476
ALCOHOLIC WITH SHE WILL HAVE
01:37:29.543 --> 01:37:30.911
THIRTY THREE YEARS OF SOBRIETY
01:37:30.978 --> 01:37:33.013
ON APRIL FOURTH.
01:37:33.080 --> 01:37:36.917
AND AND SHE IS A REAL EXPERT NOT
01:37:36.984 --> 01:37:39.053
AN ACADEMIC ON THIS WOULD SHE
01:37:39.119 --> 01:37:42.356
HAS SAID TO ME IS THAT YOU DON'T
01:37:42.423 --> 01:37:44.124
GET PEOPLE.
01:37:44.191 --> 01:37:46.660
CLEAN BY ENABLING THEM TO
01:37:46.727 --> 01:37:48.596
CONTINUE --
01:37:48.662 --> 01:37:51.031
TO USE THE DRUGS YOU HAVE TO
01:37:51.098 --> 01:37:54.835
HAVE ROBUST INTERVENTIONS TO GET
01:37:54.902 --> 01:37:57.004
PEOPLE INTO TREATMENT TO HELP
01:37:57.071 --> 01:37:58.672
GET PEOPLE SOBRE.
01:37:58.739 --> 01:38:01.008
THOSE ELEMENTS AS WELL
01:38:01.075 --> 01:38:02.743
INTENTIONED AS THIS BILL IS ARE
01:38:02.810 --> 01:38:04.011
MISSING --
01:38:04.078 --> 01:38:06.046
FROM FROM THE BILL AND THAT WAS
01:38:06.113 --> 01:38:07.748
THE GRAVEL MEN OF GOVERNOR
01:38:07.815 --> 01:38:10.451
BROWN'S EXCELLENT AND FOUGHT
01:38:10.517 --> 01:38:11.952
FULL VETO MESSAGE LAST YEAR
01:38:12.019 --> 01:38:14.355
WHICH WE WOULD STRONGLY COMMAND
01:38:14.421 --> 01:38:15.956
TO THIS COMMITTEE.
01:38:16.023 --> 01:38:17.625
THANK YOU VERY MUCH OF A LOT OF
01:38:17.691 --> 01:38:18.525
THE FACT THAT YOU THREE
01:38:18.592 --> 01:38:19.560
WITNESSES SPOKE --
01:38:19.627 --> 01:38:21.662
AND WE WERE STILL ABOUT A MINUTE
01:38:21.729 --> 01:38:22.463
LEFT AND WENT ALLOW IF MISS
01:38:22.529 --> 01:38:23.530
LAURA THOMAS IF YOU HAVE
01:38:23.597 --> 01:38:25.532
ANYTHING YOU'D LIKE TO SAVE
01:38:25.599 --> 01:38:26.233
ALLOW YOU TO TESTIFY. FOR A
01:38:26.300 --> 01:38:29.536
MINUTE.
01:38:29.603 --> 01:38:31.372
THANK YOU CHAIR WOULD.
01:38:31.438 --> 01:38:32.573
I THINK --
01:38:32.640 --> 01:38:35.242
AS BOTH OF THE THE EXPERT
01:38:35.309 --> 01:38:37.444
WITNESSES HERE HAVE STATED.
01:38:37.511 --> 01:38:39.880
THERE'S NOT ONLY A VERY STRONG
01:38:39.947 --> 01:38:42.016
RESEARCH BASIS FOR THESE
01:38:42.082 --> 01:38:44.084
PROGRAMS WITH A BàN EXTREMELY
01:38:44.151 --> 01:38:46.020
EFFECTIVE IN ESSENTIALLY ANY
01:38:46.086 --> 01:38:47.888
DEMAND THAT YOU CAN ADDRESS
01:38:47.955 --> 01:38:49.356
WHETHER IT'S AROUND.
01:38:49.423 --> 01:38:51.525
AND NEIGHBORHOOD CRIME OR
01:38:51.592 --> 01:38:52.826
CONNECTING PEOPLE TO TREATMENT
01:38:52.893 --> 01:38:54.995
OR JUST PROVIDING PEOPLE WITH
01:38:55.062 --> 01:38:57.665
SOME DIGNITY AND RESPECT --
01:38:57.731 --> 01:38:59.833
THAT THEY MAY NOT EASILY FIND --
01:38:59.900 --> 01:39:00.968
IN THEIR LIVES GIVEN THEIR
01:39:01.035 --> 01:39:04.004
CIRCUMSTANCES BUT IT'S ALSO TRUE
01:39:04.071 --> 01:39:05.139
THAT THIS IS SOMETHING THAT
01:39:05.205 --> 01:39:07.141
PEOPLE WHO FIND THEMSELVES
01:39:07.207 --> 01:39:08.842
INJECTING ON THE STREETS IN SAN
01:39:08.909 --> 01:39:11.378
FRANCISCO VERY MUCH WANT THEY DO
01:39:11.445 --> 01:39:12.880
NOT WANT TO BE INJECTING ON THE
01:39:12.946 --> 01:39:14.548
STREETS THEY WOULD LIKE TO HAVE.
01:39:14.615 --> 01:39:15.983
AN INDOOR PLACE --
01:39:16.050 --> 01:39:18.319
THEY WOULD LIKE TO BE THEY WOULD
01:39:18.385 --> 01:39:19.486
LIKE TO BE ABLE TO MAKE SOME
01:39:19.553 --> 01:39:21.889
CHANGES IN THEIR LIVES THIS IS A
01:39:21.955 --> 01:39:23.724
ISSUE THAT WE HAVE DISCUSSED AND
01:39:23.791 --> 01:39:25.392
DEBATED IN SAN FRANCISCO FOR
01:39:25.459 --> 01:39:26.460
OVER A DECADE.
01:39:26.527 --> 01:39:28.095
AT THIS POINT AND THE MOST
01:39:28.162 --> 01:39:29.830
RECENT POLLING FROM THE SAN
01:39:29.897 --> 01:39:31.332
FRANCISCO CHAMBER OF COMMERCE
01:39:31.398 --> 01:39:34.368
FOUND THAT 77% OF PEOPLE POLLED
01:39:34.435 --> 01:39:36.337
SUPPORTED THIS IN SAN FRANCISCO
01:39:36.403 --> 01:39:38.739
SO ON BEHALF OF MY FELLOW SAN
01:39:38.806 --> 01:39:40.274
FRANCISCO RESIDENTS --
01:39:40.341 --> 01:39:41.508
WE ASK FOR YOUR AYE VOTE ON THIS
01:39:41.575 --> 01:39:42.710
THANK YOU.
01:39:42.776 --> 01:39:43.944
THANK YOU VERY MUCH.
01:39:44.011 --> 01:39:45.679
SO OTHERS IN OPPOSITION JUST
01:39:45.746 --> 01:39:47.748
YOUR NAME AND ORGANIZATION.
01:39:47.815 --> 01:39:51.318
PLEASE.
01:39:51.385 --> 01:39:53.387
MY NAME IS LISA SAYING FROM SAN
01:39:53.454 --> 01:39:55.756
FRANCISCO I UP POLLS.
01:39:55.823 --> 01:39:57.958
AB THREE SIXTY TWO THANK YOU
01:39:58.025 --> 01:40:01.528
THANK YOU.
01:40:01.595 --> 01:40:04.298
I'M SHERRY FROM SAN FRANCISCO I
01:40:04.365 --> 01:40:06.800
OPPOSE THIS AB.
01:40:06.867 --> 01:40:10.304
THREE SIX TWO THANK YOU.
01:40:10.371 --> 01:40:13.474
I'M CHERRY FROM SAN FRANCISCO I
01:40:13.540 --> 01:40:17.478
OPPOSE AB THREE SIXTY TWO THANK
01:40:17.544 --> 01:40:20.547
YOU.
01:40:20.614 --> 01:40:22.116
MY NAME IS TWENTY ONE FROM SAN
01:40:22.182 --> 01:40:23.350
FRANCISCO COALITION FOR GOOD
01:40:23.417 --> 01:40:26.019
NEIGHBORHOODS I STRONGLY OPPOSE
01:40:26.086 --> 01:40:28.088
THE AB SIXTY TWO ILLEGAL TRUCK
01:40:28.155 --> 01:40:30.391
INJECTION I AM NOT ONE OF THE
01:40:30.457 --> 01:40:35.729
77%.
01:40:35.796 --> 01:40:36.930
JUST YOUR NAME IN JUST YOUR NAME
01:40:36.997 --> 01:40:38.365
AND YOUR POSITION PLEASE I'M
01:40:38.432 --> 01:40:39.900
DOCTOR EVELYN LEAD --
01:40:39.967 --> 01:40:41.969
INTERNIST CARDIOLOGISTS I AM A
01:40:42.035 --> 01:40:43.270
PRESIDENT OF THE COALITION OF
01:40:43.337 --> 01:40:44.705
PATIENT ADVOCATE I AM A
01:40:44.772 --> 01:40:46.507
LEGISLATIVE.
01:40:46.573 --> 01:40:47.908
REPRESENTATIVE FOR ALAMEDA
01:40:47.975 --> 01:40:52.546
MEDICAL ASSOCIATION AND
01:40:52.613 --> 01:40:54.648
LEGISLATIVE REPRESENTATIVE. FOR
01:40:54.715 --> 01:40:55.682
FOR AMERICAN CARDIOLOGY.
01:40:55.749 --> 01:40:57.518
COLLEGE OF CARDIOLOGY.
01:40:57.584 --> 01:41:01.054
AND I'M OPPOSING TO THIS AB
01:41:01.121 --> 01:41:06.126
THREE SIXTY TWO THANK YOU.
01:41:06.193 --> 01:41:09.563
I AM JENNY FIRST OFFICE FROM UPS
01:41:09.630 --> 01:41:11.331
I'M STRONG.
01:41:11.398 --> 01:41:14.401
OPPOSE THIS BILL AB THREE SIXTY
01:41:14.468 --> 01:41:16.270
TWO WELL WORK [inaudible]
01:41:16.336 --> 01:41:17.104
REMEMBER [inaudible]
01:41:17.171 --> 01:41:18.639
THANK YOU [inaudible]
01:41:18.705 --> 01:41:22.543
THANK YOU.
01:41:22.609 --> 01:41:25.279
WHEN IS THE HOLDEN --
01:41:25.345 --> 01:41:25.846
BROWN --
01:41:25.913 --> 01:41:26.747
MERE PETERS --
01:41:26.814 --> 01:41:28.916
BAY AREA I STRONGLY OPPOSE
01:41:28.982 --> 01:41:37.291
OPPOSE ABC SIXTY TWO THANK YOU.
01:41:37.357 --> 01:41:38.692
WILSON LATE PRONG SANTA CLARA
01:41:38.759 --> 01:41:39.927
COUNTY.
01:41:39.993 --> 01:41:42.863
STRONGLY OPPOSE AB.
01:41:42.930 --> 01:41:49.837
THREE SIXTY TWO THANK YOU.
01:41:49.903 --> 01:41:51.738
CHRISTY BROWN I'VE REPRESENT MOM
01:41:51.805 --> 01:41:54.441
STRONG PARENTS OF KIDS WHO.
01:41:54.508 --> 01:41:56.276
HAVE BEEN HARMED BY DRUGS MOTHER
01:41:56.343 --> 01:41:57.778
OF INJECTING HEROIN ADDICT IN
01:41:57.845 --> 01:42:01.014
RECOVERY FOR FIVE YEARS I OPPOSE
01:42:01.081 --> 01:42:03.383
THIS BILL.
01:42:03.450 --> 01:42:04.985
I AM SO LONG AND I'M FROM
01:42:05.052 --> 01:42:06.453
SACRAMENTO COUNTY AND I STRONGLY
01:42:06.520 --> 01:42:09.256
OPPOSED TO EIGHTY THREE SIXTY
01:42:09.323 --> 01:42:11.225
TWO THANK YOU --
01:42:11.291 --> 01:42:13.360
YOU WALL ABSENCE SACRAMENTO
01:42:13.427 --> 01:42:16.230
COUNTY AYE OPPOSED TO SPILL.
01:42:16.296 --> 01:42:18.599
THANK YOU.
01:42:18.665 --> 01:42:20.100
MY NAME IS THEIR BEADY ARM FROM
01:42:20.167 --> 01:42:23.570
SACRAMENTO I OPPOSE THE BILL
01:42:23.637 --> 01:42:28.408
THANK YOU. FIVE MAKE SURE YOU.
01:42:28.475 --> 01:42:30.110
AND US OF CISCO PROBABLY ORDER I
01:42:30.177 --> 01:42:32.479
SAW THAT POST AB SIXTY THANK YOU
01:42:32.546 --> 01:42:35.249
THANK YOU.
01:42:35.315 --> 01:42:36.450
I'M WEARING ISSUE A TEACHER A
01:42:36.517 --> 01:42:38.619
MOTHER --
01:42:38.685 --> 01:42:39.019
ELFISH --
01:42:39.086 --> 01:42:41.855
FROM ALAMEDA COUNTY I OPPOSE.
01:42:41.922 --> 01:42:45.092
A. B. THREE SIXTY TWO IT
01:42:45.158 --> 01:42:46.793
PROFESSIONAL FROM AMONG TO BE
01:42:46.860 --> 01:42:48.595
EVERY AND STRONGLY OPPOSED TO IT
01:42:48.662 --> 01:42:50.464
THANK YOU.
01:42:50.531 --> 01:42:52.599
A PHOTO SHOOT FROM.
01:42:52.666 --> 01:42:53.767
FREE LONG THE PASTOR AGAINST
01:42:53.834 --> 01:42:55.769
THESE FAKE KEY HUMANITARIAN
01:42:55.836 --> 01:42:59.373
EFFORTS WHICH READ DOES NOT LOOK
01:42:59.439 --> 01:43:00.407
GOOD THANK YOU [inaudible]
01:43:00.474 --> 01:43:01.575
THANK YOU.
01:43:01.642 --> 01:43:04.011
ANYONE ELSE IN OPPOSITION.
01:43:04.077 --> 01:43:05.045
SEE KNOWN A BRING BACK TO THE
01:43:05.112 --> 01:43:06.847
COMMITTEE FOR QUESTIONS OR
01:43:06.914 --> 01:43:08.815
COMMENTS [inaudible]
01:43:08.882 --> 01:43:11.118
MASON --
01:43:11.184 --> 01:43:12.085
SEGMENT YEAH.
01:43:12.152 --> 01:43:14.087
WE'VE GOT A CAUCUS
01:43:14.154 --> 01:43:16.757
RECOMMENDATION OF OF OPPOSING
01:43:16.823 --> 01:43:18.125
I'VE GOT STAFF --
01:43:18.191 --> 01:43:19.693
RECOMMENDATION OF OPPOSING --
01:43:19.760 --> 01:43:20.894
BECAUSE I'VE SERVED WITH YOU THE
01:43:20.961 --> 01:43:22.496
LAST FOUR YEARS AND YOU'VE TAKEN
01:43:22.563 --> 01:43:25.699
ON SOME VERY HEAVY ISSUES --
01:43:25.766 --> 01:43:27.434
THAT OTHERS WOULD NOT WANT TO
01:43:27.501 --> 01:43:28.702
TAKE ON A BECAUSE OF THE
01:43:28.769 --> 01:43:29.903
POLITICAL WEIGHT.
01:43:29.970 --> 01:43:31.071
AND THAT COMES ALONG WITH THEM I
01:43:31.138 --> 01:43:32.506
HAVE A IN A DEEP REGARD BECAUSE
01:43:32.573 --> 01:43:34.541
OF YOUR OF YOUR WORK I WANT TO
01:43:34.608 --> 01:43:34.875
TAKE A LOOK.
01:43:34.942 --> 01:43:37.110
AT THIS A LITTLE A LITTLE DEEPER
01:43:37.177 --> 01:43:41.181
THE THAT I WOULD OPPOSE AS WELL --
01:43:41.248 --> 01:43:42.316
BUT I KNOW THAT YOU WOULDN'T
01:43:42.382 --> 01:43:43.717
HAVE BROUGHT SOMETHING FORD IF
01:43:43.784 --> 01:43:45.953
YOU DIDN'T HAVE COMPASSION --
01:43:46.019 --> 01:43:47.254
FOR FOR INDIVIDUALS AND WANTED
01:43:47.321 --> 01:43:48.956
TO BE ABLE TO TO FIGURE OUT WAYS
01:43:49.022 --> 01:43:50.057
OF TRYING TO SAVE THEIR LIVES
01:43:50.123 --> 01:43:51.425
INSIDE THANK YOU.
01:43:51.491 --> 01:43:52.793
FOR BRINGING THIS FORWARD BUT
01:43:52.859 --> 01:43:54.394
THERE THERE WAS A QUESTION THAT
01:43:54.461 --> 01:43:57.364
I DID HAVE A IN REGARDS --
01:43:57.431 --> 01:43:58.665
TO THE GOVERNOR'S VETO MESSAGE
01:43:58.732 --> 01:44:00.334
IF IT'S OKAY FOR ME JUST TO READ
01:44:00.400 --> 01:44:02.269
THEM ONE QUICK LINE HERE HE HE
01:44:02.336 --> 01:44:03.570
SAID IN HIS VETO MESSAGE LAST
01:44:03.637 --> 01:44:04.905
YEAR AFTER GREAT REFLECTION I
01:44:04.972 --> 01:44:06.640
CONCLUDED THE DISADVANTAGES OF
01:44:06.707 --> 01:44:07.307
THIS BILL.
01:44:07.374 --> 01:44:08.609
FAR OUTWEIGH THE POSSIBLE
01:44:08.675 --> 01:44:10.377
BENEFITS FUNDAMENTALLY I DO NOT
01:44:10.444 --> 01:44:11.612
BELIEVE THAT ENABLING ILLEGAL
01:44:11.678 --> 01:44:13.013
DRUG USE AND GOVERNMENT
01:44:13.080 --> 01:44:14.414
SPONSORED OBJECTION CENTERS.
01:44:14.481 --> 01:44:16.016
WITH NO CORRESPONDING
01:44:16.083 --> 01:44:17.017
REQUIREMENT THAT THE USER UNDER
01:44:17.084 --> 01:44:18.919
GROW TREATMENT WILL REDUCE DRUG
01:44:18.986 --> 01:44:20.721
ADDICTION AND I THINK THAT
01:44:20.787 --> 01:44:22.556
THAT'S REALLY THE CRUX OF THE
01:44:22.623 --> 01:44:24.157
MATTER -- IF
01:44:24.224 --> 01:44:25.425
I WAS THE VOTE HI TO MOVE THIS
01:44:25.492 --> 01:44:26.660
BILL ALONG --
01:44:26.727 --> 01:44:28.195
I WOULD WANT SOME LEVEL OF
01:44:28.261 --> 01:44:30.864
CERTAINTY THAT THIS BILL WAS
01:44:30.931 --> 01:44:33.033
GOING TO PROVIDE THE GREATEST --
01:44:33.100 --> 01:44:34.701
POSSIBILITY FOR PEOPLE TO BE
01:44:34.768 --> 01:44:36.403
ABLE TO TO REGAIN THEIR LIVES
01:44:36.470 --> 01:44:37.738
FROM THE DRUG ADDICTION.
01:44:37.804 --> 01:44:39.239
BUT DO WE DOES THERE NEED TO BE
01:44:39.306 --> 01:44:40.507
MORE CONSTRAINTS LIKE THE
01:44:40.574 --> 01:44:41.908
GOVERNOR BROUGHT UP LAST YEAR TO
01:44:41.975 --> 01:44:46.380
MAKE SURE THAT THESE FOLKS ARE
01:44:46.446 --> 01:44:46.980
GOING TO MAKE SURE TO GET SOME
01:44:47.047 --> 01:44:48.215
HELP.
01:44:48.281 --> 01:44:49.449
THAT THANK YOU THANK YOU FOR
01:44:49.516 --> 01:44:50.617
YOUR THOUGHTFULNESS AND AND AND
01:44:50.684 --> 01:44:52.019
THANK YOU FOR HAVING AN OPEN
01:44:52.085 --> 01:44:53.553
MIND -- I
01:44:53.620 --> 01:44:55.422
THINK I THINK ONE OF THE THINGS
01:44:55.489 --> 01:44:56.723
THAT IS COMPELLING AND I YOU
01:44:56.790 --> 01:44:57.691
KNOW WE CERTAINLY DISAPPOINTED
01:44:57.758 --> 01:44:59.326
WITH THE GOVERNOR'S VETO MESSAGE
01:44:59.393 --> 01:45:01.695
LAST YEAR AND AND CERTAINLY --
01:45:01.762 --> 01:45:02.262
THAT THE OPPOSITION YOU KNOW
01:45:02.329 --> 01:45:05.132
THOSE WAS THERE THAT WAS THEIR
01:45:05.198 --> 01:45:07.567
MESSAGE TO HIM --
01:45:07.634 --> 01:45:09.636
BUT I THINK YOU HEARD FROM EVERY
01:45:09.703 --> 01:45:10.537
ADDICTION SPECIALIST IN THE
01:45:10.604 --> 01:45:12.205
STATE YOU'VE HEARD FROM
01:45:12.272 --> 01:45:13.907
EVERYBODY WHO WORKS IN THIS AREA
01:45:13.974 --> 01:45:15.475
YOU'VE HEARD FROM.
01:45:15.542 --> 01:45:15.942
THE CALIFORNIA MEDICAL
01:45:16.009 --> 01:45:17.678
ASSOCIATION.
01:45:17.744 --> 01:45:20.080
THAT THEY SUPPORT THIS APPROACH
01:45:20.147 --> 01:45:20.981
TO TREATMENT.
01:45:21.048 --> 01:45:23.150
AGAIN WE SEE THIS AS TREATMENT
01:45:23.216 --> 01:45:24.451
KEEPING SOMEBODY ALIVE ANOTHER
01:45:24.518 --> 01:45:26.953
DAY IS A FORM OF TREATMENT IF
01:45:27.020 --> 01:45:28.455
SOMEBODY OVERDOSES AND GO TO THE
01:45:28.522 --> 01:45:30.057
EMERGENCY ROOM WE DON'T SAY
01:45:30.123 --> 01:45:31.758
WE'RE NOT GOING TO REVIVE YOU.
01:45:31.825 --> 01:45:33.360
IN LESS YOU PROMISE RIGHT NOW
01:45:33.427 --> 01:45:34.728
YOU'RE GOING TO TREATMENT IF
01:45:34.795 --> 01:45:36.096
SOMEBODY GOES IN THE EMERGENCY
01:45:36.163 --> 01:45:37.531
ROOM AND THEY BEEN A VICTIM OF
01:45:37.597 --> 01:45:39.666
DOMESTIC VIOLENCE WE DON'T SAY
01:45:39.733 --> 01:45:40.667
WE'RE NOT GOING TO HELP YOU
01:45:40.734 --> 01:45:42.769
UNLESS YOU AGREE RIGHT NOW.
01:45:42.836 --> 01:45:43.370
THAT YOU'RE GONNA LEAVE LUKE
01:45:43.437 --> 01:45:45.138
LEAVE YOUR USER WE DON'T DO
01:45:45.205 --> 01:45:46.640
THINGS LIKE THAT BECAUSE WE
01:45:46.707 --> 01:45:48.742
UNDERSTAND THAT --
01:45:48.809 --> 01:45:50.811
THAT KIND OF COERCION AND THAT
01:45:50.877 --> 01:45:52.212
KIND OF HOLDING SOMEBODY'S LIFE
01:45:52.279 --> 01:45:53.814
IN THE PALM OF YOUR HAND FOR YOU
01:45:53.880 --> 01:45:54.448
TO BE ABLE TO DECIDE WHAT THEY
01:45:54.514 --> 01:45:55.549
SHOULD DO.
01:45:55.615 --> 01:45:58.318
IS NOT AFFECTED TO GET PEOPLE
01:45:58.385 --> 01:45:58.985
INTO TREATMENT.
01:45:59.052 --> 01:46:00.020
WITH THE RESEARCH HAS SHOWN US
01:46:00.087 --> 01:46:01.088
IS THAT PEOPLE WHO USUALLY
01:46:01.154 --> 01:46:02.789
CENTERS GOING TO TREATMENT MORE
01:46:02.856 --> 01:46:04.991
FREQUENTLY THAN PEOPLE WHO ARE
01:46:05.058 --> 01:46:07.194
JUST USING ON THE STREETS.
01:46:07.260 --> 01:46:10.163
AND THIS IS A PILOT PROJECT JUST
01:46:10.230 --> 01:46:11.364
IN THE CITY AND COUNTY OF SAN
01:46:11.431 --> 01:46:13.266
FRANCISCO IS THAT IS CORRECT AND
01:46:13.333 --> 01:46:14.301
IT IS LIKE AND THE CITY AND
01:46:14.367 --> 01:46:15.602
COUNTY --
01:46:15.669 --> 01:46:17.070
THE BOARD OF SUPERVISORS DID
01:46:17.137 --> 01:46:18.438
THEY TAKE A FORMAL POSITION ON
01:46:18.505 --> 01:46:21.041
THIS WAS THERE ANY OPPOSITION
01:46:21.108 --> 01:46:22.676
I'M FROM ANY OF THE THE THE BUT
01:46:22.743 --> 01:46:24.344
THE BOARD MEMBERS NOT TO NOT TO
01:46:24.411 --> 01:46:26.179
MY KNOWLEDGE IT WAS IT WAS IT
01:46:26.246 --> 01:46:26.947
WAS -- THEY
01:46:27.013 --> 01:46:28.448
THINK UNANIMOUS STATE THEY HAVE
01:46:28.515 --> 01:46:29.616
BEEN AT YOU KNOWS ANYBODY WHO'S
01:46:29.683 --> 01:46:30.784
CLOSE A SAN FRANCISCO RIGHT NOW
01:46:30.851 --> 01:46:32.219
THEY'RE THEY'RE THEY HAVE AN
01:46:32.285 --> 01:46:33.820
INCREASE PROBLEM RIGHT NOW AND
01:46:33.887 --> 01:46:34.821
AND YOU.
01:46:34.888 --> 01:46:37.324
KNOW I THINK 77% --
01:46:37.390 --> 01:46:41.194
I'VE HAD LATELY AND I'VE HEARD
01:46:41.261 --> 01:46:43.263
FROM YOU NURSES DOCTORS PEOPLE
01:46:43.330 --> 01:46:45.132
WHO SAY IT IS A DIFFICULT TO
01:46:45.198 --> 01:46:46.533
WALK OUTSIDE NOW WITHOUT
01:46:46.600 --> 01:46:47.868
STEPPING OVER A NEEDLE OR
01:46:47.934 --> 01:46:48.835
SOMETHING LIKE THAT.
01:46:48.902 --> 01:46:49.970
IT'S A PUBLIC HEALTH ISSUE THAT
01:46:50.036 --> 01:46:51.805
WERE THAT WERE FACING WITH SO
01:46:51.872 --> 01:46:52.539
NOT ONLY HOPEFULLY ARE WE
01:46:52.606 --> 01:46:54.508
PROVIDING COMPASSION AND A PATH
01:46:54.574 --> 01:46:56.009
TO TREATMENT A PATH TO DIGNITY
01:46:56.076 --> 01:46:57.511
FOR THOSE WHO ARE USING.
01:46:57.577 --> 01:46:58.745
BUT WE'RE ALSO PROVIDING SOME
01:46:58.812 --> 01:46:59.746
RELIEF HOPEFULLY TO
01:46:59.813 --> 01:47:01.715
NEIGHBORHOODS TO THE OVERWHELMED
01:47:01.782 --> 01:47:04.117
OFTENTIMES POLICE AND FIRE AND
01:47:04.184 --> 01:47:05.786
EMERGENCY ROOMS THAT ARE TAKING
01:47:05.852 --> 01:47:07.087
UP WAY TOO MUCH OF THEIR TIME.
01:47:07.154 --> 01:47:08.588
BEING CALLED TO OVERDOSE ON
01:47:08.655 --> 01:47:10.791
STREETS VERSUS BEING ABLE TO TO
01:47:10.857 --> 01:47:12.325
DO THE WORK THAT WE WANTED TO DO
01:47:12.392 --> 01:47:13.794
IT IN FIGHTING CRIME AND SAVING
01:47:13.860 --> 01:47:14.795
LIVES.
01:47:14.861 --> 01:47:16.329
IS THERE ANY FEAR AT ALL THAT
01:47:16.396 --> 01:47:17.397
THIS IS GOING TO HAVE ANY
01:47:17.464 --> 01:47:18.799
NEGATIVE CONSEQUENCES IT'LL
01:47:18.865 --> 01:47:22.202
ACTUALLY DO MORE HARM.
01:47:22.269 --> 01:47:23.003
THAN IT WOULD THEN IT WOULD GOOD.
01:47:23.069 --> 01:47:24.437
WHAT WE HAVE DECADES OF RESEARCH
01:47:24.504 --> 01:47:25.672
FROM AROUND THE WORLD THAT HAS
01:47:25.739 --> 01:47:27.340
SHOWN THAT THAT NOT THAT NOT TO
01:47:27.407 --> 01:47:28.308
BE TRUE --
01:47:28.375 --> 01:47:30.310
THAT PUBLIC USE TENDS TO GO DOWN
01:47:30.377 --> 01:47:31.478
THAT --
01:47:31.545 --> 01:47:32.979
POLICE OFFICERS OFTENTIMES
01:47:33.046 --> 01:47:34.581
PUBLIC SAFETY WILL ENGAGE IN
01:47:34.648 --> 01:47:35.882
RELATIONSHIP THEY SEE SOMEONE
01:47:35.949 --> 01:47:36.716
USING IT'LL SAY YOU KNOW THIS IS
01:47:36.783 --> 01:47:38.118
A SAFE PLACE OVER HERE THAT YOU
01:47:38.185 --> 01:47:39.586
CAN USE --
01:47:39.653 --> 01:47:40.720
YOU KNOW WHEN WE SAY IT'S
01:47:40.787 --> 01:47:42.856
ENABLING LETTING SOMEONE CHEWED
01:47:42.923 --> 01:47:44.891
UP IN A GUTTER OR IN A
01:47:44.958 --> 01:47:46.359
PLAYGROUND --
01:47:46.426 --> 01:47:47.594
THAT'S THAT'S THAT'S NOT AN
01:47:47.661 --> 01:47:49.129
OPTION I DON'T THINK THAT THAT
01:47:49.196 --> 01:47:50.564
ANYBODY WOULD WANT TO SAY THAT
01:47:50.630 --> 01:47:52.499
IS WHAT YOU NEED TO DO VERSUS
01:47:52.566 --> 01:47:53.667
GOING SOMEPLACE THAT IS
01:47:53.733 --> 01:47:55.235
MEDICALLY SUPERVISED WE CAN BE
01:47:55.302 --> 01:47:56.203
TREATED WITH DIGNITY.
01:47:56.269 --> 01:47:57.971
AND BEING REFERRED TO SERVICES
01:47:58.038 --> 01:47:59.773
REFER TO AGAIN DOMESTIC VIOLENCE
01:47:59.840 --> 01:48:01.441
YOU HAVE AN ABSCESS YOU KNOW A
01:48:01.508 --> 01:48:02.976
AN ABSCESS ON A ON A TOWER
01:48:03.043 --> 01:48:04.811
PEOPLE OFTEN TIMES USING THEY
01:48:04.878 --> 01:48:06.313
CAN'T FIND ANY OTHER VANS.
01:48:06.379 --> 01:48:06.913
THAT CAN LEAD TO A LOSS OF A
01:48:06.980 --> 01:48:07.881
FOOT.
01:48:07.948 --> 01:48:09.115
AND THEN YOU HAVE SOMEBODY IN A
01:48:09.182 --> 01:48:10.817
WHEELCHAIR ON THE STREETS
01:48:10.884 --> 01:48:12.485
STOPPING TRAFFIC I MEAN THE
01:48:12.552 --> 01:48:14.888
AMOUNT OF COMORBIDITY THAT GOES
01:48:14.955 --> 01:48:17.490
ALONG WITH IV DRUG USE AND AN
01:48:17.557 --> 01:48:21.895
ABJECT POVERTY AND LIVING THEY
01:48:21.962 --> 01:48:23.897
ARE ALREADY AT THE HIGHEST RISK
01:48:23.964 --> 01:48:25.065
FOR ALL KINDS.
01:48:25.131 --> 01:48:27.100
OF COMMUNICABLE DISEASES --
01:48:27.167 --> 01:48:28.902
AND JUSTICE DID COMORBIDITY THAT
01:48:28.969 --> 01:48:30.971
GOES ALONG WITH THAT SO AGAIN TO
01:48:31.037 --> 01:48:32.372
BE ABLE TO HAVE A RELATIONSHIP
01:48:32.439 --> 01:48:33.440
TO BE ABLE TO GET REFER TO A
01:48:33.506 --> 01:48:34.908
TREATMENT TO BE ABLE TO FIX AN
01:48:34.975 --> 01:48:36.509
ABSCESS ALL OF THOSE THINGS WE
01:48:36.576 --> 01:48:37.878
SEE AS POSITIVE.
01:48:37.944 --> 01:48:38.612
AND AGAIN YOU START THAT
01:48:38.678 --> 01:48:40.247
RELATIONSHIP PEOPLE ARE MUCH
01:48:40.313 --> 01:48:41.982
MORE LIKELY TO GET IN HE GOT THE
01:48:42.048 --> 01:48:42.616
DIRECTOR OF ONE OF THE BIGGEST
01:48:42.682 --> 01:48:43.817
PROGRAMS --
01:48:43.884 --> 01:48:44.951
IN SAN FRANCISCO IN THE STATE OF
01:48:45.018 --> 01:48:46.987
CALIFORNIA WAS SAYING THIS IS
01:48:47.053 --> 01:48:47.520
GOOD THIS IS THE KIND A
01:48:47.587 --> 01:48:49.789
WRAPAROUND SERVICE THAT WE NEED
01:48:49.856 --> 01:48:52.125
TO BE ABLE TO REACH THE VERY
01:48:52.192 --> 01:48:53.326
HARDEST TO REACH.
01:48:53.393 --> 01:48:54.394
I MEAN MAYBE JUST TELLING
01:48:54.461 --> 01:48:56.162
SOMEBODY JUST SAY NO MIGHT HAVE
01:48:56.229 --> 01:48:56.663
WORKED WHEN SOMEBODY'S A
01:48:56.730 --> 01:48:58.565
TEENAGER SMOKING A LITTLE WEED.
01:48:58.632 --> 01:49:00.600
BUT I THINK WHEN PEOPLE HAVE --
01:49:00.667 --> 01:49:01.768
GOT TO THE POINT WHERE THEY ARE
01:49:01.835 --> 01:49:03.470
LIVING ON THE STREETS USING ON
01:49:03.536 --> 01:49:05.038
THE STREETS --
01:49:05.105 --> 01:49:06.606
SELLING THEIR BODIES --
01:49:06.673 --> 01:49:07.974
TO BE ABLE TO TO GET THEIR NEXT
01:49:08.041 --> 01:49:10.110
FIX THAT IS SOMETHING I THINK AS
01:49:10.176 --> 01:49:12.145
IF WE'RE HUMANITARIANS WE WANT
01:49:12.212 --> 01:49:13.346
TO ENGAGE WITH THAT WE WANT TO
01:49:13.413 --> 01:49:14.881
SAY WE DON'T WANT TO SEE THAT
01:49:14.948 --> 01:49:16.416
NOT NOT ON OUR CITIES NOT ON OUR
01:49:16.483 --> 01:49:17.684
STREETS.
01:49:17.751 --> 01:49:18.485
WHEN THERE'S WHEN THERE ARE
01:49:18.551 --> 01:49:19.219
RESEARCH --
01:49:19.286 --> 01:49:21.187
DRIVEN OPTIONS THAT ARE
01:49:21.254 --> 01:49:22.656
AVAILABLE TO USE AND IN THE CITY
01:49:22.722 --> 01:49:23.757
AND COUNTY WILL PROVIDE
01:49:23.823 --> 01:49:24.925
SUPERVISION IS THAT IS THAT
01:49:24.991 --> 01:49:27.227
CORRECTAND THEY'RE READY FOR
01:49:27.294 --> 01:49:27.827
THAT THEY'RE GOING TO FUND IT
01:49:27.894 --> 01:49:28.795
THEY'RE GONNA.
01:49:28.862 --> 01:49:32.299
THAT'S CORRECT AND AS IT WILL
01:49:32.365 --> 01:49:33.900
SEE THIS AS SAVINGS TURNING
01:49:33.967 --> 01:49:36.803
ANOTHER THEY'RE ALL OF THE SING
01:49:36.870 --> 01:49:43.777
THAT THEY THIS PILOT THANK YOU.
01:49:43.843 --> 01:49:46.579
THANK YOU IS THAT I'M HAVING THE
01:49:46.646 --> 01:49:47.981
COURAGE OF YOUR CONVICTIONS TO
01:49:48.048 --> 01:49:49.549
BRING THIS BILL AGAIN CORRECT ME
01:49:49.616 --> 01:49:51.151
IF I'M WRONG LAST YEAR THIS WAS
01:49:51.217 --> 01:49:52.452
A STATEWIDE BILL.
01:49:52.519 --> 01:49:54.387
THAT WAS NARROWED DOWN TO THE
01:49:54.454 --> 01:49:55.488
COUNTY AND CITY OF SAN FRANCISCO
01:49:55.555 --> 01:49:58.925
LAST YEAR WE STARTED WITH A WITH
01:49:58.992 --> 01:50:01.261
A TRIAL OF WE'D NOT TO EXCEED
01:50:01.328 --> 01:50:02.829
TEN COUNTIES WHO WOULD OPT INTO
01:50:02.896 --> 01:50:04.564
AGAIN IT WAS NEVER TOP DOWN IT
01:50:04.631 --> 01:50:05.432
WAS ALWAYS SAYING.
01:50:05.498 --> 01:50:07.167
IF YOUR ISSUE FEELS LIKE THIS
01:50:07.233 --> 01:50:08.702
WOULD BE A GOOD OPTION FOR YOU
01:50:08.768 --> 01:50:10.203
THEN WITH YOUR LAW ENFORCEMENT
01:50:10.270 --> 01:50:11.171
WITH YOUR PUBLIC HEALTH WITH
01:50:11.237 --> 01:50:12.772
YOUR TREATMENT PROVIDERS YOU CAN
01:50:12.839 --> 01:50:13.773
ASSESS.
01:50:13.840 --> 01:50:15.976
IF THIS IS SOMETHING WE NARROWED
01:50:16.042 --> 01:50:18.311
IT DOWN EVEN FURTHER TO JUST THE
01:50:18.378 --> 01:50:19.913
CITY OF SAN FRANCISCO THE CITY
01:50:19.980 --> 01:50:21.247
AND COUNTY OF SAN FRANCISCO
01:50:21.314 --> 01:50:22.849
WHICH WAS ONE OF THE THINGS THAT
01:50:22.916 --> 01:50:24.117
THE GOVERNOR HER **** I MEAN CAN
01:50:24.184 --> 01:50:25.018
WE JUST DO IT SOME PLACE WHERE
01:50:25.085 --> 01:50:25.919
PEOPLE ARE GOING TO BE.
01:50:25.986 --> 01:50:27.587
OPPOSED TO IT WHICH IS WHICH IS
01:50:27.654 --> 01:50:29.122
WHERE WE GOT AND WHITE NOW WE'RE
01:50:29.189 --> 01:50:31.191
HERE AGAIN WITH JUST A SIX YEAR
01:50:31.257 --> 01:50:32.759
SUNSET AND WITH THE ANNUAL
01:50:32.826 --> 01:50:34.294
REPORT BACK.
01:50:34.361 --> 01:50:36.363
THANK YOU I I ASK BECAUSE IT'S A
01:50:36.429 --> 01:50:37.931
QUESTION THAT CAME UP --
01:50:37.998 --> 01:50:39.632
ONCE THE GOVERNOR HAD VETOED.
01:50:39.699 --> 01:50:41.101
LAST YEAR'S BILL THERE ARE SOME
01:50:41.167 --> 01:50:42.802
FOLKS IN AN ALLEY COUNTY THAT
01:50:42.869 --> 01:50:43.636
SAID WE ACTUALLY COULD REALLY
01:50:43.703 --> 01:50:45.572
USE A PILOT PROJECT JUST LIKE
01:50:45.638 --> 01:50:47.073
THIS BECAUSE AS YOU KNOW LA
01:50:47.140 --> 01:50:49.175
COUNTY SKID ROW.
01:50:49.242 --> 01:50:50.510
THERE'S A LOT OF ISSUES OF
01:50:50.577 --> 01:50:51.578
HOMELESSNESS AND YOUNG PEOPLE
01:50:51.644 --> 01:50:53.513
AND IF AND AND HAVING
01:50:53.580 --> 01:50:55.482
CONVERSATION WITH FOLKS INSANE I
01:50:55.548 --> 01:50:57.183
NEED HELP AND I CAN'T.
01:50:57.250 --> 01:50:59.219
DO THIS ON MY OWN I NEED A PLACE
01:50:59.285 --> 01:51:01.287
WHERE I CAN GET A FIX BUT ALSO
01:51:01.354 --> 01:51:03.723
HAVE SOMEBODY READILY AVAILABLE
01:51:03.790 --> 01:51:04.958
TO ME TO HELP ME GET THROUGH
01:51:05.025 --> 01:51:06.026
THIS PROCESS.
01:51:06.092 --> 01:51:08.795
AND I THINK THAT'S LOOKING AT
01:51:08.862 --> 01:51:11.798
THIS ISSUE FROM A VERY FULL WELL
01:51:11.865 --> 01:51:13.066
THAT WHAT WE HAVE DONE IN THE
01:51:13.133 --> 01:51:14.501
PAST HAS NOT WORKED.
01:51:14.567 --> 01:51:16.236
AND SO I JUST WANT TO COMMEND
01:51:16.302 --> 01:51:17.637
YOU FOR BRINGING THIS AGAIN UP
01:51:17.704 --> 01:51:19.139
TO US AND IT'S IT'S AN
01:51:19.205 --> 01:51:20.774
INCREDIBLY IMPORTANT BILL THANK
01:51:20.840 --> 01:51:22.542
YOU THANK YOU.
01:51:22.609 --> 01:51:23.143
THE SUMMATION OF THE QUESTION
01:51:23.209 --> 01:51:25.045
YEAH JUST TO MAKE SURE SO WITH
01:51:25.111 --> 01:51:26.079
PUBLIC SAFETY CHRIS WHO GOT THE
01:51:26.146 --> 01:51:27.881
NARCOTICS OFFICERS ASSOCIATION
01:51:27.947 --> 01:51:30.016
IS TEACHERS ASSOCIATION --
01:51:30.083 --> 01:51:32.152
IS THERE IS THERE SOME WAY TO BE
01:51:32.218 --> 01:51:33.319
ABLE TO GET THEM --
01:51:33.386 --> 01:51:34.788
IT THAT BECAUSE IT IS A PILOT
01:51:34.854 --> 01:51:36.389
PROJECT TO JUSTIN --
01:51:36.456 --> 01:51:37.323
ONE CITY AND COUNTY AND IF THIS
01:51:37.390 --> 01:51:39.025
IS GONNA HAVE BENEFITS WHY
01:51:39.092 --> 01:51:40.326
WOULDN'T --
01:51:40.393 --> 01:51:40.794
BUT THE PUBLIC SAFETY
01:51:40.860 --> 01:51:44.998
ORGANIZATIONS BE BE SUPPORTIVE.
01:51:45.065 --> 01:51:45.865
YOU KNOW SOMETIMES OLD IDEAS ARE
01:51:45.932 --> 01:51:46.666
HARD TO CHANGE AND OLD WAYS OF
01:51:46.733 --> 01:51:47.767
THINKING ABOUT THINGS ARE HARD
01:51:47.834 --> 01:51:49.135
TO CHANGE BUT CERTAINLY I THINK
01:51:49.202 --> 01:51:50.370
ONE OF THE THINGS THAT.
01:51:50.437 --> 01:51:51.704
THAT WE THAT WE SEE THAT WE HAVE
01:51:51.771 --> 01:51:53.540
EVIDENCE OF IS WHAT WE'RE
01:51:53.606 --> 01:51:55.175
CURRENTLY DOING.
01:51:55.241 --> 01:51:56.843
IS NOT REACHING EVERYBODY --
01:51:56.910 --> 01:51:58.812
SO WE DID TAKE AMENDMENTS INTO
01:51:58.878 --> 01:51:59.646
THE BILL OR WE DID DO THE BILL
01:51:59.712 --> 01:52:01.214
THIS YEAR THAT LAW ENFORCEMENT
01:52:01.281 --> 01:52:02.515
HAS TO BE AT THE TABLE.
01:52:02.582 --> 01:52:05.285
AND SO AND AND TO MISS CORREOS
01:52:05.351 --> 01:52:05.852
POINT --
01:52:05.919 --> 01:52:07.620
BLESS ANGEL CERTAINLY HAS ASKED
01:52:07.687 --> 01:52:09.422
ABOUT IT BUT THERE WAS STILL
01:52:09.489 --> 01:52:11.591
SOME RESISTANCE AND WE AGAIN WE
01:52:11.658 --> 01:52:12.258
CERTAINLY DON'T WANT IMPOSES ON
01:52:12.325 --> 01:52:14.194
ANYBODY IF ANOTHER COUNTY OR
01:52:14.260 --> 01:52:15.895
CITY WANTS TO COME FORWARD.
01:52:15.962 --> 01:52:16.396
AFTER THEY SEE WHAT SAN
01:52:16.463 --> 01:52:17.764
FRANCISCO'S DONE BECAUSE WE DO
01:52:17.831 --> 01:52:19.999
KNOW THAT THE LA COUNTY HAS
01:52:20.066 --> 01:52:21.634
SUBSISTENCE SEVERE --
01:52:21.701 --> 01:52:23.570
ISSUES THAT THEY'RE DEALING WITH
01:52:23.636 --> 01:52:26.206
ALSO THEY WOULD HAVE TO TO OPT
01:52:26.272 --> 01:52:28.241
INTO SOMETHING LIKE THIS SO WE
01:52:28.308 --> 01:52:29.742
FEEL LIKE WE'VE DONE.
01:52:29.809 --> 01:52:30.710
EVERYTHING THAT WE CAN TO BE
01:52:30.777 --> 01:52:32.078
ABLE -- TO
01:52:32.145 --> 01:52:33.646
GIVE LAW ENFORCEMENT A SEAT AT
01:52:33.713 --> 01:52:34.881
THE TABLE --
01:52:34.948 --> 01:52:36.916
AND AND SO SAN FRANCISCO FEELS
01:52:36.983 --> 01:52:38.952
LIKE THEY'RE THEY'VE HAD A SEAT
01:52:39.018 --> 01:52:41.287
AT THE TABLE NEVER TO GO FORWARD.
01:52:41.354 --> 01:52:41.921
THANK YOU IF YOU HAVE HEARD --
01:52:41.988 --> 01:52:43.690
YOU'VE CONVINCED ME AT TODAY TO
01:52:43.756 --> 01:52:45.391
MOVE THIS BILL THE FORD --
01:52:45.458 --> 01:52:45.925
I DO THINK BECAUSE IT'S A
01:52:45.992 --> 01:52:47.293
LIMITED A PILOT PROJECT THE
01:52:47.360 --> 01:52:48.828
SUPPORT OF LOCAL LOCAL
01:52:48.895 --> 01:52:50.296
GOVERNMENT AND WITH THE LOCAL
01:52:50.363 --> 01:52:51.464
LAW ENFORCEMENT BEING HAVING A
01:52:51.531 --> 01:52:52.599
SEAT AT THE TABLE --
01:52:52.665 --> 01:52:54.000
I THINK IT'S A WHERE THE IDEA TO
01:52:54.067 --> 01:52:56.703
BE ABLE TO MOVE FORWARD.
01:52:56.769 --> 01:52:58.972
THANK YOU MISTER MAYES.
01:52:59.038 --> 01:53:00.173
CAN I TAKE THAT AS A MOTION
01:53:00.240 --> 01:53:01.474
MISTER MISTRESS OKAY WE HAVE A
01:53:01.541 --> 01:53:03.510
MOTION BY MISTER MESA SECOND
01:53:03.576 --> 01:53:04.644
FIVE IS CARILLO.
01:53:04.711 --> 01:53:05.645
WHICH I CLOSER SEGMENT --
01:53:05.712 --> 01:53:06.479
JUST THANK EVERYBODY FOR THE FOB
01:53:06.546 --> 01:53:07.514
THOUGHTFUL DISCUSSION THE THE
01:53:07.580 --> 01:53:09.516
DEDICATION OF THE ACTIVISTS IN
01:53:09.582 --> 01:53:11.317
THE ADVOCATES --
01:53:11.384 --> 01:53:12.986
AND JUST JUST FOR YOU TO KNOW I
01:53:13.052 --> 01:53:14.420
MEAN THE THE CARDS AND LETTERS
01:53:14.487 --> 01:53:15.722
THAT I GET THAT JUST PEOPLE
01:53:15.788 --> 01:53:17.257
SAYING THANK YOU FOR SPEAKING
01:53:17.323 --> 01:53:18.291
FOR THOSE OF US WHO HAVE NO
01:53:18.358 --> 01:53:20.193
VOICE -- AND
01:53:20.260 --> 01:53:22.929
I'D CERTAINLY NOT AS ALIGNING
01:53:22.996 --> 01:53:24.464
MYSELF --
01:53:24.531 --> 01:53:26.966
FOR COMPARING MYSELF AT ALL --
01:53:27.033 --> 01:53:29.536
TO MOTHER TERESA BUT IF WE THINK
01:53:29.602 --> 01:53:30.370
SHOULDN'T JUST SAY I JUST WANT
01:53:30.436 --> 01:53:31.938
TO GO WORK WITH PEOPLE WHO ARE
01:53:32.005 --> 01:53:33.339
YOU KNOW AT JUST READY TO PULL
01:53:33.406 --> 01:53:34.240
THEMSELVES UP BY THEIR
01:53:34.307 --> 01:53:35.608
BOOTSTRAPS AND GET ON YOU HAVE
01:53:35.675 --> 01:53:36.910
TO GO OUT INTO THE STREET YOU
01:53:36.976 --> 01:53:37.944
HAVE TO MEET PEOPLE WHERE THEY
01:53:38.011 --> 01:53:38.444
ARE.
01:53:38.511 --> 01:53:39.946
IN ORDER TO AND TREAT THEM WITH
01:53:40.013 --> 01:53:41.347
LOVE AND COMPASSION AND THAT'S
01:53:41.414 --> 01:53:42.982
HOW WE CHANGE LIVES AND THAT'S
01:53:43.049 --> 01:53:44.817
HOW WE MAKE OUR COMMUNITIES
01:53:44.884 --> 01:53:46.419
BETTER I RESPECTFULLY ASK DR.
01:53:46.486 --> 01:53:47.287
THANK YOU VERY MUCH FOR SEGMENT
01:53:47.353 --> 01:53:48.087
AND I WANT TO THANK YOU FOR
01:53:48.154 --> 01:53:49.322
BRINGING THE BILL FOR IT I KNOW
01:53:49.389 --> 01:53:51.124
HOW HARD YOU WORKED ON THIS THE
01:53:51.191 --> 01:53:52.559
LAST COUPLE OF YEARS --
01:53:52.625 --> 01:53:55.528
I'D YOU KNOW AS YOU SAID SO SO
01:53:55.595 --> 01:53:57.363
ELOQUENTLY --
01:53:57.430 --> 01:53:59.098
WE CAN'T CONTINUE TO TO DO THE
01:53:59.165 --> 01:54:01.034
SAME THING AND EXPECT DIFFERENT
01:54:01.100 --> 01:54:02.402
RESULTS RIGHT I'M FREEZING MY
01:54:02.468 --> 01:54:03.803
OWN PRISON OF MY OWN WAY BUT THE
01:54:03.870 --> 01:54:05.004
CLEARLY WHAT WE'RE DOING IS NOT
01:54:05.071 --> 01:54:06.172
REACHING EVERYONE.
01:54:06.239 --> 01:54:07.974
AND IF THIS REACHES A FEW PEOPLE
01:54:08.041 --> 01:54:09.842
AND IT SAVE SOME LIVES THAN THAN
01:54:09.909 --> 01:54:11.844
I HAVE TO CONSIDER IT IS IT IS
01:54:11.911 --> 01:54:13.580
AS MORE THAN WORTHWHILE SO IF
01:54:13.646 --> 01:54:15.081
THIS BELIEVES A COMMITTEE TODAY
01:54:15.148 --> 01:54:16.416
I'D LIKE TO BE ADDED AS A CO
01:54:16.482 --> 01:54:19.719
AUTHOR AND I WANNA THANK YOU FOR
01:54:19.786 --> 01:54:20.053
YOUR EFFORTS.
01:54:20.119 --> 01:54:20.520
THANK YOU TALK TO IT.
01:54:20.587 --> 01:54:22.088
WE DO HAVE A MOTION AND A SECOND
01:54:22.155 --> 01:54:23.089
MOTION BY MISTER MAYES SECOND BY
01:54:23.156 --> 01:54:25.625
MISS CARILLO MADAM SECRETARY THE
01:54:25.692 --> 01:54:26.793
MOTION IS TO PASS TO PUBLIC
01:54:26.859 --> 01:54:27.560
SAFETY.
01:54:27.627 --> 01:54:30.163
I MISS MAGICALLY PLEASE CALL THE
01:54:30.230 --> 01:54:34.667
ROLL WHAT I WOULD AYE MAYES AYE
01:54:34.734 --> 01:54:36.569
MAYES AYE AGUIAR-CURRY
01:54:36.636 --> 01:54:36.869
[inaudible]
01:54:36.936 --> 01:54:38.404
I BIGELOW.
01:54:38.471 --> 01:54:38.638
BONTA.
01:54:38.705 --> 01:54:39.906
BURKE CARILLO.
01:54:39.973 --> 01:54:43.343
CARILLO AYE FLORA.
01:54:43.409 --> 01:54:44.077
THE LOAN.
01:54:44.143 --> 01:54:45.912
AMOUNT AYE MCCARTY [inaudible]
01:54:45.979 --> 01:54:47.880
NAZARIAN [inaudible]
01:54:47.947 --> 01:54:50.917
RAMOS.
01:54:50.984 --> 01:54:54.320
FROM OF SNOW. TO TO AYE SANTIAGO
01:54:54.387 --> 01:54:54.621
[inaudible]
01:54:54.687 --> 01:54:55.521
WALDRON [inaudible]
01:54:55.588 --> 01:55:01.094
WALDRON NO. TWO SIX VOTES --
01:55:01.160 --> 01:55:02.161
WE SO WE HAVE MANY MEMBERS
01:55:02.228 --> 01:55:03.696
MISSING SO WE'LL LEAVE THAT OPEN
01:55:03.763 --> 01:55:05.965
AND THANK YOU VERY MUCH THANK
01:55:06.032 --> 01:55:06.132
YOU.
01:55:06.199 --> 01:55:08.101
THANK YOU.
01:55:08.167 --> 01:55:09.702
YEAH ONE MORE.
01:55:09.769 --> 01:55:19.846
I DO HAVE ONE MORE.
01:55:19.912 --> 01:55:21.314
AB.
01:55:21.381 --> 01:55:21.914
FIVE SEVENTY SEVEN IS A BILL
01:55:21.981 --> 01:55:23.683
WHICH WOULD EXTEND MEDI CAL
01:55:23.750 --> 01:55:25.318
ELIGIBILITY FOR WOMEN POST
01:55:25.385 --> 01:55:27.086
PREGNANCY DEALING WITH PREGNANCY
01:55:27.153 --> 01:55:28.121
RELATED.
01:55:28.187 --> 01:55:30.156
OR POST PARTUM MENTAL HEALTH
01:55:30.223 --> 01:55:31.424
DIAGNOSIS IF THE BILL.
01:55:31.491 --> 01:55:32.625
THANK YOU CURRENTLY EIGHT STATE
01:55:32.692 --> 01:55:33.893
AND FEDERAL PROGRAMS --
01:55:33.960 --> 01:55:35.695
WOMEN WHO ARE PREGNANT ARE
01:55:35.762 --> 01:55:36.896
ELIGIBLE FOR MEDICARE --
01:55:36.963 --> 01:55:38.264
BUT OFTENTIMES THE CARE THAT
01:55:38.331 --> 01:55:40.133
THEY REQUIRE EXCEEDS THE AMOUNT
01:55:40.199 --> 01:55:41.634
OF TIME THAT THEY ARE ELIGIBLE
01:55:41.701 --> 01:55:42.802
AND WE CERTAINLY KNOW IT IS
01:55:42.869 --> 01:55:44.370
OBVIOUS THAT MATERNAL HEALTH IS
01:55:44.437 --> 01:55:45.571
AN IMPORTANT PART OF RAISING
01:55:45.638 --> 01:55:46.472
HEALTHY CHILDREN.
01:55:46.539 --> 01:55:48.141
AND A KEY ASPECT TO OUR SOCIAL
01:55:48.207 --> 01:55:49.409
SAFETY NET.
01:55:49.475 --> 01:55:51.277
THIS EGGMAN FORCE EXPANDED
01:55:51.344 --> 01:55:53.913
COVERAGE ONLY LAST MAKE ANYBODY
01:55:53.980 --> 01:55:55.548
CHOOSE MEDI CAL BUT THIS
01:55:55.615 --> 01:55:56.883
CERTAINLY SAYS THAT IF YOU'RE
01:55:56.949 --> 01:55:58.151
FOR DEALING WITH ISSUES THAT THE
01:55:58.217 --> 01:55:59.485
MEDIC HELP PERIOD SHOULD BE
01:55:59.552 --> 01:56:00.887
EXTENDED SO THAT YOU CAN TAKE
01:56:00.953 --> 01:56:02.021
CARE OF YOUR MENTAL HEALTH
01:56:02.088 --> 01:56:02.255
ISSUES.
01:56:02.322 --> 01:56:03.456
SO THAT YOU CAN.
01:56:03.523 --> 01:56:05.725
BE THE BEST YOU CAN BE FOR YOUR
01:56:05.792 --> 01:56:07.026
YOUNG CHILD --
01:56:07.093 --> 01:56:09.562
AND WITH ME TODAY --
01:56:09.629 --> 01:56:12.899
I HAVE WITNESSES IN SUPPORT.
01:56:12.965 --> 01:56:14.801
I THANK YOU MY NAME IS DR
01:56:14.867 --> 01:56:15.968
CHRISTOPHER BEATTY.
01:56:16.035 --> 01:56:17.537
I AM AN OBGYN IN FRESNO
01:56:17.603 --> 01:56:19.172
CALIFORNIA I AM THE DEPARTMENT
01:56:19.238 --> 01:56:20.573
CHAIR OF SPECIALLY MEDICINE FOR
01:56:20.640 --> 01:56:22.041
CALIFORNIA HEALTH SCIENCES
01:56:22.108 --> 01:56:23.576
UNIVERSITY.
01:56:23.643 --> 01:56:26.312
COLLEGE OF OSTEOPATHIC MEDICINE --
01:56:26.379 --> 01:56:28.247
I AM HERE --
01:56:28.314 --> 01:56:31.084
REPRESENTING A COG DISTRICT --
01:56:31.150 --> 01:56:33.753
NINE WE ARE SPONSORING THIS BILL.
01:56:33.820 --> 01:56:35.788
AND I JUST WANT TO SHARE SOME --
01:56:35.855 --> 01:56:38.124
INSIGHT TO WHAT OPG LANDS ARE
01:56:38.191 --> 01:56:40.393
SEEING ON A DAILY BASIS HERE IN
01:56:40.460 --> 01:56:41.861
CALIFORNIA --
01:56:41.928 --> 01:56:44.297
THE AMERICAN COLLEGE OF OBGYN
01:56:44.364 --> 01:56:45.798
ESTIMATES THAT OVER HALF A
01:56:45.865 --> 01:56:46.899
MILLION --
01:56:46.966 --> 01:56:48.468
PREGNANCIES --
01:56:48.534 --> 01:56:50.002
IN THIS COUNTRY EVERY YEAR ARE
01:56:50.069 --> 01:56:52.171
AFFECTED BY A PSYCHIATRIC
01:56:52.238 --> 01:56:53.439
ILLNESS --
01:56:53.506 --> 01:56:56.476
AND AS YOU ABOUT HALF OF ALL
01:56:56.542 --> 01:56:57.777
DELIVERIES IN CALIFORNIA EACH
01:56:57.844 --> 01:57:00.213
YEAR ARE TWO WOMEN WHO ARE
01:57:00.279 --> 01:57:02.582
COVERED BY MEDICARE.
01:57:02.648 --> 01:57:04.384
SO WITH THIS --
01:57:04.450 --> 01:57:05.818
LARGE NUMBER OF SITE CHECK
01:57:05.885 --> 01:57:07.353
PSYCHIATRIC ILLNESSES THAT WE'RE
01:57:07.420 --> 01:57:09.756
SEEING AS PHYSICIANS AND A LARGE
01:57:09.822 --> 01:57:11.591
NUMBER OF WOMEN ON MEDI CAL --
01:57:11.657 --> 01:57:12.825
THESE PATIENTS ARE COMING INTO
01:57:12.892 --> 01:57:15.328
OUR OFFICES WHO EITHER HAVE A
01:57:15.395 --> 01:57:16.662
PSYCHIATRIC.
01:57:16.729 --> 01:57:18.798
ILLNESS PRIOR TO PREGNANCY OR
01:57:18.865 --> 01:57:19.999
OFTENTIMES DEVELOPED IN
01:57:20.066 --> 01:57:22.702
PREGNANCY OR AFTER PREGNANCY AS
01:57:22.769 --> 01:57:24.170
YOU MAY KNOW POST PARTUM
01:57:24.237 --> 01:57:27.573
DEPRESSION IS A A PROBLEM THAT
01:57:27.640 --> 01:57:28.908
WE SEE QUITE OFTEN --
01:57:28.975 --> 01:57:30.543
WITH THESE ILLNESSES THESE
01:57:30.610 --> 01:57:32.178
PATIENTS ARE USUALLY TREATED IN
01:57:32.245 --> 01:57:34.914
JUST ONE VISIT TO THE POSITION I
01:57:34.981 --> 01:57:36.682
CAN'T PRESCRIBE A MEDICATION.
01:57:36.749 --> 01:57:38.017
AND GIVEN THE PANEL AND SAY
01:57:38.084 --> 01:57:39.652
YOU'RE GOING TO BE FINE AND NOT
01:57:39.719 --> 01:57:40.720
SEE HIM AGAIN.
01:57:40.787 --> 01:57:42.422
CURRENTLY THESE MEDICAL PATIENTS
01:57:42.488 --> 01:57:44.157
LOSE THEIR COVERAGE AFTER SIXTY
01:57:44.223 --> 01:57:45.825
DAYS AFTER DELIVERY.
01:57:45.892 --> 01:57:48.094
THESE WOMEN HAVE NOT ONLY ISSUES
01:57:48.161 --> 01:57:50.296
OF CARING FOR THEMSELVES AND
01:57:50.363 --> 01:57:52.498
TREATING THEIR THEIR ILLNESSES
01:57:52.565 --> 01:57:54.233
BUT THOSE THOSE SAME WOMEN GO
01:57:54.300 --> 01:57:57.003
HOME AND THEIR CHILDREN SUFFER.
01:57:57.069 --> 01:57:57.570
THEY'RE NOT ABLE TO CARE FOR
01:57:57.637 --> 01:57:58.838
THEIR OWN CHILDREN.
01:57:58.905 --> 01:58:00.173
THE CURRENT BABY THAT THEY HAD
01:58:00.239 --> 01:58:01.874
THEIR OTHER CHILDREN AND THEIR
01:58:01.941 --> 01:58:04.110
FAMILIES.
01:58:04.177 --> 01:58:06.212
THEIR JOBS SUFFER --
01:58:06.279 --> 01:58:08.114
SO WITH THIS BILL THAT WOULD
01:58:08.181 --> 01:58:09.449
ALLOW THEM TO HAVE HEALTH CARE
01:58:09.515 --> 01:58:11.517
FOR A YEAR THEY CAN COME BACK TO
01:58:11.584 --> 01:58:13.019
OUR OFFICE BECAUSE THESE WOMEN
01:58:13.085 --> 01:58:16.122
DO NOT COME BACK IN OUR OFFICES --
01:58:16.189 --> 01:58:17.890
THEY CAN COME BACK WE CAN GET
01:58:17.957 --> 01:58:18.925
THEM THE TREATMENT THEY NEED WE
01:58:18.991 --> 01:58:21.093
CAN FOLLOW UP MAKE SURE WE CAN
01:58:21.160 --> 01:58:23.162
ADJUST OUR MEDICATIONS AS NEEDED
01:58:23.229 --> 01:58:24.897
WE GET THEM COUNSELING --
01:58:24.964 --> 01:58:26.966
AND SO --
01:58:27.033 --> 01:58:29.035
AND AS WELL THERE'S INCREASE IN
01:58:29.101 --> 01:58:30.603
SUICIDE AS WELL AND I WANTED TO
01:58:30.670 --> 01:58:31.471
HIT ON THAT POINT QUICKLY AS
01:58:31.537 --> 01:58:32.071
WELL.
01:58:32.138 --> 01:58:36.075
THECDC DID A STUDY IN FROM
01:58:36.142 --> 01:58:36.576
NINETEEN NINETY SIXTEEN
01:58:36.642 --> 01:58:37.210
CALIFORNIA AN INCREASE IN THE
01:58:37.276 --> 01:58:39.011
SUICIDE RATE BY FOURTEEN POINT
01:58:39.078 --> 01:58:40.079
9%.
01:58:40.146 --> 01:58:42.215
AND ABOUT HALF OF THOSE SUICIDES
01:58:42.281 --> 01:58:44.016
ARE TWO WOMEN WHO ARE AFFECTED
01:58:44.083 --> 01:58:45.718
BY MENTAL HEALTH ISSUES.
01:58:45.785 --> 01:58:47.086
SO -- IF WE
01:58:47.153 --> 01:58:49.455
RESPECTFULLY ASK YOUR REQUEST
01:58:49.522 --> 01:58:51.491
THAT YOU SUPPORT THIS BILL.
01:58:51.557 --> 01:58:54.227
THANK YOU VERY MUCH NEXT WITNESS.
01:58:54.293 --> 01:58:55.328
MISTER CHAIR AND MEMBERS OF THE
01:58:55.394 --> 01:58:57.096
COMMITTEE GOOD AFTERNOON ARLENE
01:58:57.163 --> 01:58:58.831
CALLUM DIRECTOR OF WOMEN'S AND
01:58:58.898 --> 01:59:00.800
CHILDREN'S AMBULATORY SERVICES
01:59:00.867 --> 01:59:01.334
FOR CENTER MEDICAL CENTER
01:59:01.400 --> 01:59:02.235
SACRAMENTO.
01:59:02.301 --> 01:59:03.736
HERE ON BEHALF OF THE MARCH OF
01:59:03.803 --> 01:59:06.038
DIMES IN SUPPORT OF ASSEMBLY
01:59:06.105 --> 01:59:07.440
BILL.
01:59:07.507 --> 01:59:08.074
FIVE SEVENTY SEVEN ALTHOUGH THE
01:59:08.140 --> 01:59:09.108
AFFAIR AFFORDABLE CARE ACT
01:59:09.175 --> 01:59:10.409
EXPANDED THE AVAILABILITY OF
01:59:10.476 --> 01:59:11.777
MATERNITY MATERNITY CARE
01:59:11.844 --> 01:59:13.446
COVERAGE FOR WOMEN BOTH THROUGH
01:59:13.513 --> 01:59:15.081
EXCHANGE PLANS AND MEDICAID
01:59:15.147 --> 01:59:16.516
EXPANSION.
01:59:16.582 --> 01:59:17.617
THERE REMAIN SIGNIFICANT
01:59:17.683 --> 01:59:19.819
LIMITATIONS ON COVERAGE FOR POST
01:59:19.886 --> 01:59:21.020
PARTUM CARE.
01:59:21.087 --> 01:59:23.122
TRADITIONALLY WOMEN RECEIVE ONLY
01:59:23.189 --> 01:59:25.157
ONE POST PARTUM CHECK UP AT FOUR
01:59:25.224 --> 01:59:26.459
TO SIX WEEKS POST DELIVERY AND
01:59:26.526 --> 01:59:27.927
THESE ROUTINE VISITS TYPICALLY
01:59:27.994 --> 01:59:29.161
PROVIDE A LIMITED ARRAY OF
01:59:29.228 --> 01:59:31.397
SERVICES AND LIMITED COUNSELING
01:59:31.464 --> 01:59:33.065
ON YOUR CONCEPTION CARE.
01:59:33.132 --> 01:59:34.367
HOWEVER ADEQUATE POSTPARTUM
01:59:34.433 --> 01:59:36.102
COVERAGE SHOULD ENABLE NEW
01:59:36.168 --> 01:59:37.403
MOTHERS TO OBTAIN THE SERVICES
01:59:37.470 --> 01:59:38.771
THEY NEED TO ENSURE A FULL
01:59:38.838 --> 01:59:40.706
RECOVERY AND TO ENSURE THEIR
01:59:40.773 --> 01:59:42.542
NEXT PREGNANCY IF ANY CAN BE
01:59:42.608 --> 01:59:43.776
HEALTHY.
01:59:43.843 --> 01:59:45.077
THIS INCLUDES POSTPARTUM VISITS
01:59:45.144 --> 01:59:46.679
WHERE THEIR PHYSICAL EMOTIONAL
01:59:46.746 --> 01:59:48.681
AND PSYCHOSOCIAL WELL BEING CAN
01:59:48.748 --> 01:59:50.016
BE EVALUATED.
01:59:50.082 --> 01:59:51.250
UNFORTUNATELY POST PARTUM
01:59:51.317 --> 01:59:52.585
DEPRESSION AND MATERNAL MENTAL
01:59:52.652 --> 01:59:54.153
HEALTH DISORDERS HAVE BECOME
01:59:54.220 --> 01:59:56.489
INCREASINGLY SIGNIFICANT HEALTH
01:59:56.556 --> 01:59:57.723
CONCERNS.
01:59:57.790 --> 01:59:58.991
MATERNAL MENTAL HEALTH DISORDERS
01:59:59.058 --> 02:00:00.493
INCLUDE A RANGE OF CONDITIONS
02:00:00.560 --> 02:00:02.328
SUCH AS DEPRESSION AND ANXIETY
02:00:02.395 --> 02:00:04.096
DISORDERS AND THEY CAN CAUSE
02:00:04.163 --> 02:00:05.932
SERIOUS COMPLICATIONS DURING AND
02:00:05.998 --> 02:00:07.800
AFTER PREGNANCY THAT CAN IMPACT
02:00:07.867 --> 02:00:09.335
THE HEALTH.
02:00:09.402 --> 02:00:11.003
OF MOTHERS AND THEIR NEWBORNS.
02:00:11.070 --> 02:00:14.574
MATERNAL SOME WOMEN INFANTS AND
02:00:14.640 --> 02:00:16.676
FAMILIES INCLUDING PERPETUATING
02:00:16.742 --> 02:00:18.611
ADVERSE BIRTH OUTCOMES.
02:00:18.678 --> 02:00:19.912
IN CALIFORNIA THE DEPARTMENT OF
02:00:19.979 --> 02:00:21.113
PUBLIC HEALTH MATERNAL AND
02:00:21.180 --> 02:00:22.915
INFANT HEALTH ASSESSMENT OR ME
02:00:22.982 --> 02:00:25.117
HIGH DOCUMENTS THE PREVALENCE OF
02:00:25.184 --> 02:00:26.218
THESE CONDITIONS.
02:00:26.285 --> 02:00:28.854
ACCORDING TO THE 200-013-2152 ME
02:00:28.921 --> 02:00:30.256
HOW DATA SNAPSHOT WHICH WAS
02:00:30.323 --> 02:00:33.693
RELEASED IN JULY OF TWO THOUSAND
02:00:33.759 --> 02:00:34.560
EIGHTEEN FOURTEEN POINT 1% OF
02:00:34.627 --> 02:00:35.761
PREGNANT WOMEN EXPERIENCE
02:00:35.828 --> 02:00:38.097
PRENATAL DEPRESSIVE SYMPTOMS AND
02:00:38.164 --> 02:00:39.966
13% EXPERIENCE POSTPARTUM
02:00:40.032 --> 02:00:41.434
DEPRESSIVE SYMPTOMS.
02:00:41.500 --> 02:00:42.668
PREVALENCE RATES ARE HIGHER
02:00:42.735 --> 02:00:45.137
AMONG BLACK WOMEN NINETEEN POINT
02:00:45.204 --> 02:00:47.273
FOR PRENATAL FOURTEEN POINT SIX
02:00:47.340 --> 02:00:49.976
POST PARTUM HISPANIC WOMEN
02:00:50.042 --> 02:00:51.510
SEVENTEEN POINT NINE PRENATAL
02:00:51.577 --> 02:00:52.812
FIFTEEN POINT ONE POST PARTUM
02:00:52.878 --> 02:00:55.915
AND WOMEN UTILIZING MEDI CAL.
02:00:55.982 --> 02:00:57.550
NINETEEN PRENATAL AND SIXTEEN
02:00:57.617 --> 02:00:59.151
POINT SEVEN POST PARTUM WELL
02:00:59.218 --> 02:01:00.953
THESE CONDITIONS ARE COMMON ONLY
02:01:01.020 --> 02:01:03.155
ABOUT 15% OF WOMEN WITH POST
02:01:03.222 --> 02:01:05.291
PARTUM DEPRESSION RECEIVE
02:01:05.358 --> 02:01:05.891
TREATMENT I MEAN TO SAY THAT
02:01:05.958 --> 02:01:06.726
OVER AGAIN.
02:01:06.792 --> 02:01:08.427
WELL THESE CONDITIONS ARE COMMON
02:01:08.494 --> 02:01:10.830
ONLY ABOUT 15% OF WOMEN WITH
02:01:10.896 --> 02:01:12.198
POST PARTUM DEPRESSION RECEIVE
02:01:12.264 --> 02:01:14.367
TREATMENT EVEN THOUGH ABOUT 90%
02:01:14.433 --> 02:01:15.701
OF WOMEN CAN BE SUCCESSFULLY
02:01:15.768 --> 02:01:16.636
TREATED.
02:01:16.702 --> 02:01:18.304
MORE WORK IS NEEDED TO ENSURE
02:01:18.371 --> 02:01:19.805
THAT THE WOMEN ARE SUCCESSFULLY
02:01:19.872 --> 02:01:21.207
SCREEN PREFERRED AND TREATED FOR
02:01:21.273 --> 02:01:22.942
MATERNAL MENTAL HEALTH DISORDERS.
02:01:23.009 --> 02:01:24.110
CALIFORNIA CAN TAKE SEVERAL
02:01:24.176 --> 02:01:25.411
STEPS IN THE RIGHT DIRECTION BY
02:01:25.478 --> 02:01:28.247
ADOPTING AB FIVE SEVENTY SEVEN
02:01:28.314 --> 02:01:29.315
TO EXPAND MEDICAL COVERAGE OF
02:01:29.382 --> 02:01:31.584
POST PARTUM CARE. TO A FULL YEAR
02:01:31.651 --> 02:01:32.918
AFTER GIVING BIRTH RATHER THAN
02:01:32.985 --> 02:01:34.720
THE CURRENT LIMIT OF SIXTY DAYS
02:01:34.787 --> 02:01:35.988
FROM THE END OF PREGNANCY.
02:01:36.055 --> 02:01:37.223
THANK YOU SO MUCH FOR THE
02:01:37.289 --> 02:01:38.557
OPPORTUNITY TO PROVIDE TESTIMONY
02:01:38.624 --> 02:01:39.959
IN SUPPORT OF THIS MEASURE TODAY
02:01:40.026 --> 02:01:43.863
AND I URGE YOUR SUPPORT OF THIS
02:01:43.929 --> 02:01:45.731
INCREDIBLY IMPORTANT PROPOSAL.
02:01:45.798 --> 02:01:46.332
VERY MUCH OTHERS IN SUPPORT.
02:01:46.399 --> 02:01:46.899
MISTER CHAIR MEMBERS OF THE
02:01:46.966 --> 02:01:48.467
COMMITTEE RANDALL HAGER AGAIN
02:01:48.534 --> 02:01:50.636
FOR THE PSYCHIATRIC ASSOCIATION
02:01:50.703 --> 02:01:51.270
WERE IN SUPPORT THANK YOU THANK
02:01:51.337 --> 02:01:53.572
YOU.
02:01:53.639 --> 02:01:54.707
KELLY BEAM ON BEHALF OF THE
02:01:54.774 --> 02:01:56.876
CALIFORNIA MEDICAL ASSOCIATION
02:01:56.942 --> 02:01:59.211
AND SUPPORT THANK YOU. EIGHTY
02:01:59.278 --> 02:01:59.745
ONE REPRESENTING AMERICAN
02:01:59.812 --> 02:02:02.281
ACADEMY OF PEDIATRICS CALIFORNIA
02:02:02.348 --> 02:02:05.317
DIVISION IN SUPPORT.
02:02:05.384 --> 02:02:06.986
IN A SCAN ON BEHALF WINTERS
02:02:07.053 --> 02:02:08.421
FAMILY PARTNERSHIP PARENTS
02:02:08.487 --> 02:02:09.889
SUPPORT THANK YOU.
02:02:09.955 --> 02:02:11.157
MICHELLE GIVENS OF THE COUNTY
02:02:11.223 --> 02:02:12.692
HEALTH EXECUTIVES ASSOCIATION IN
02:02:12.758 --> 02:02:15.161
SUPPORT.
02:02:15.227 --> 02:02:16.529
RESIDENTS ALSO ON BEHALF OF
02:02:16.595 --> 02:02:18.097
NATIONAL ASSOCIATION OF SOCIAL
02:02:18.164 --> 02:02:19.432
WORKERS IN SUPPORT.
02:02:19.498 --> 02:02:21.400
THANK YOU VERY MUCH JERRY WANTED
02:02:21.467 --> 02:02:24.003
OPPOSITION.
02:02:24.070 --> 02:02:25.171
SEE NO ONE WILL BRING IT BACK TO
02:02:25.237 --> 02:02:27.206
COMMITTEE FOR QUESTIONS
02:02:27.273 --> 02:02:28.808
QUESTIONS OR COMMENTS MISS BURKE.
02:02:28.874 --> 02:02:30.176
MY DOCTOR CAN I JUST WHAT I WANT
02:02:30.242 --> 02:02:30.676
TO THANK YOU THIS IS AN
02:02:30.743 --> 02:02:32.645
IMPORTANT BILL AND WHEN THE TIME
02:02:32.712 --> 02:02:34.747
IS APPROPRIATE LIKE TO BE OUT OF
02:02:34.814 --> 02:02:37.717
THIS CALL CERTAINLY.
02:02:37.783 --> 02:02:39.151
ANYONE ELSE MISS WALDRON --
02:02:39.218 --> 02:02:40.419
THANK YOU ALSO FOR BRINGING THIS
02:02:40.486 --> 02:02:41.887
BILL FORWARD YOU KNOW WE'VE
02:02:41.954 --> 02:02:43.489
LEARNED QUITE A BIT OVER THE
02:02:43.556 --> 02:02:45.091
LAST FEW YEARS ABOUT MATERNAL
02:02:45.157 --> 02:02:46.392
MENTAL HEALTH.
02:02:46.459 --> 02:02:49.161
AND THE STIGMA OR THE FACT THAT
02:02:49.228 --> 02:02:50.863
PEOPLE DON'T EVEN RECOGNIZE IT.
02:02:50.930 --> 02:02:52.364
A LOT OF TIMES MOMS ARE KIND OF
02:02:52.431 --> 02:02:53.599
ON THEIR OWN TRYING TO FIGURE IT
02:02:53.666 --> 02:02:55.167
OUT SO AND WE SEE THE
02:02:55.234 --> 02:02:56.836
DEVASTATING EFFECTS OF THAT ON
02:02:56.902 --> 02:02:58.370
THEIR FAMILIES AND THE CHILDREN
02:02:58.437 --> 02:02:59.972
SO --
02:03:00.039 --> 02:03:02.408
DEFINITELY A GOOD BILL THANK
02:03:02.475 --> 02:03:04.543
ANYONE ELSE [inaudible]
02:03:04.610 --> 02:03:10.549
SO. TO HEAR MOTION ANYWHERE --
02:03:10.616 --> 02:03:11.283
TO WE HAVE A WE DID MUCH I'M
02:03:11.350 --> 02:03:12.918
SORRY OKAY MISTAKE WHEN WOULD
02:03:12.985 --> 02:03:14.720
YOU LIKE TO CLOSE A JUST A TO
02:03:14.787 --> 02:03:15.287
SAY I ACCEPT THE COMMITTEES
02:03:15.354 --> 02:03:16.589
AMENDMENTS THANK YOU VERY MUCH
02:03:16.655 --> 02:03:17.923
FOR WORKING WITH ME ON THIS.
02:03:17.990 --> 02:03:19.558
AND AND THANK YOU FOR JOINING ME
02:03:19.625 --> 02:03:20.826
IN IMPROVING.
02:03:20.893 --> 02:03:23.429
THE HEALTH OF NEW MOTHERS AND
02:03:23.496 --> 02:03:25.698
THEIR GROWING FAMILIES.
02:03:25.765 --> 02:03:26.732
AND IN ON THE PREVIOUS BILL YOU
02:03:26.799 --> 02:03:27.833
EXCEPT.
02:03:27.900 --> 02:03:28.934
I DIDN'T MISS AS WELL THANK YOU.
02:03:29.001 --> 02:03:29.869
OKAY THANK YOU SO WE HAVE A
02:03:29.935 --> 02:03:35.241
MOTION AND I LOST TRACK OF MADE
02:03:35.307 --> 02:03:36.842
MOTION.
02:03:36.909 --> 02:03:38.677
AND MISS MISS MISS AGUIAR-CURRY
02:03:38.744 --> 02:03:40.546
MISS OF MOTION MY MISTAKE YOUR
02:03:40.613 --> 02:03:41.147
CURRENT SECOND BY MISS CARILLO
02:03:41.213 --> 02:03:42.615
MOTION IS DO PASS AS AMENDED TO
02:03:42.681 --> 02:03:44.016
APPROPRIATIONS.
02:03:44.083 --> 02:03:45.151
THEN SECRETARY PLEASE CALL THE
02:03:45.217 --> 02:03:49.121
ROLL WHAT I WOULD AYE MAYES
02:03:49.188 --> 02:03:51.423
MAYES I THANK YOUR CURRY.
02:03:51.490 --> 02:03:53.692
CURRY I BIGELOW.
02:03:53.759 --> 02:03:55.361
BONTA BURKE.
02:03:55.427 --> 02:03:57.062
BURKE AYE CARILLO.
02:03:57.129 --> 02:03:59.765
CARILLO AYE FLORA.
02:03:59.832 --> 02:04:02.134
LIMON I LIMóN I MCCARTY
02:04:02.201 --> 02:04:02.434
[inaudible]
02:04:02.501 --> 02:04:04.170
NAZARIAN.
02:04:04.236 --> 02:04:07.039
RAMOS RUMORS ARE. TO TO AYE
02:04:07.106 --> 02:04:09.175
SANTIAGO.
02:04:09.241 --> 02:04:09.575
WALDRON.
02:04:09.642 --> 02:04:14.013
WALDRON AYE. TO GET [inaudible]
02:04:14.079 --> 02:04:18.117
FOR FLORA I'D.
02:04:18.184 --> 02:04:19.718
THAT HAS TEN VOTES SO THAT'S OUT
02:04:19.785 --> 02:04:20.719
WILL LEAVE IT OPEN FOR OTHER
02:04:20.786 --> 02:04:22.655
MEMBERS TO ADD ON THANK YOU SO
02:04:22.721 --> 02:04:25.057
VERY MUCH [inaudible]
02:04:25.124 --> 02:04:41.440
WITH AGUIAR-CURRY
02:04:44.543 --> 02:04:44.610
.
02:04:44.610 --> 02:04:45.377
THIS WAS AGUIAR-CURRY YOU HAVE
02:04:45.444 --> 02:04:55.888
AB [inaudible]
02:04:55.955 --> 02:04:57.456
TWO TWO EIGHT MR.
02:04:57.523 --> 02:05:00.526
MISTER CHAIR AND MEMBERS AB TWO
02:05:00.593 --> 02:05:02.061
TWO EIGHT CLARIFIES THAT A FOOD
02:05:02.127 --> 02:05:03.562
BEVERAGE OR COSMETIC THE
02:05:03.629 --> 02:05:04.997
CONTAINS CB DE.
02:05:05.064 --> 02:05:07.533
DERIVE FROM INDUSTRIAL HELP HIM
02:05:07.600 --> 02:05:08.834
IS NOT ADULTERATED.
02:05:08.901 --> 02:05:10.736
THIS BILL PROHIBITS RESTRICTIONS
02:05:10.803 --> 02:05:12.304
ON THESE PRODUCTS BASED SOLELY
02:05:12.371 --> 02:05:13.672
ON THE FACT THAT THEY CAN DATE
02:05:13.739 --> 02:05:15.741
CONTAIN CB DE THAT IS DERIVED
02:05:15.808 --> 02:05:16.775
FROM HIM.
02:05:16.842 --> 02:05:20.980
NOW HOW DID WE GET HERE WELL.
02:05:21.046 --> 02:05:23.415
BILL REMOVED HIM FROM ALL FTA
02:05:23.482 --> 02:05:25.517
SCHEDULES EVERY CLASSIFIED HIM
02:05:25.584 --> 02:05:27.086
AS AN AGRICULTURAL PRODUCT.
02:05:27.152 --> 02:05:28.354
THIS IS OPEN THE DOORS FOR
02:05:28.420 --> 02:05:30.155
FARMERS TO CULTIVATE HIM AND AS
02:05:30.222 --> 02:05:31.457
PRESENTED CONSUMERS OF THE
02:05:31.523 --> 02:05:33.692
OPPORTUNITY TO IT X. ACCESS.
02:05:33.759 --> 02:05:35.427
CBD THAT WILL NOT RESULT IN A
02:05:35.494 --> 02:05:36.795
HIGH.
02:05:36.862 --> 02:05:38.998
LET ME CLARIFY HIM IS NOT
02:05:39.064 --> 02:05:39.932
MARIJUANA.
02:05:39.999 --> 02:05:41.967
DOES CBD CAN BE EXTRACTED FROM
02:05:42.034 --> 02:05:44.103
BOTH WHEN IS PRODUCED FROM HEMP
02:05:44.169 --> 02:05:46.872
THERE ARE NO PSYCHO.
02:05:46.939 --> 02:05:47.706
EFFECTS.
02:05:47.773 --> 02:05:49.708
THIS IS BECAUSE BY DEFINITION
02:05:49.775 --> 02:05:50.809
INDUSTRIAL HEMP ONLY CONTAINS.
02:05:50.876 --> 02:05:53.479
POINT 003% THC WHICH IS A PSYCHO
02:05:53.545 --> 02:05:55.014
ACTIVE COMPONENT IN MARIJUANA
02:05:55.080 --> 02:05:55.848
PRODUCTS.
02:05:55.915 --> 02:05:57.216
SO WE HAVE FOUND OURSELVES IN A
02:05:57.283 --> 02:05:58.350
CONUNDRUM.
02:05:58.417 --> 02:06:00.519
CALIFORNIA LEGALIZE CANNABIS
02:06:00.586 --> 02:06:01.820
NOTWITHSTANDING THE FEDERAL
02:06:01.887 --> 02:06:03.155
GOVERNMENT'S POSITION THAT
02:06:03.222 --> 02:06:04.690
CANNABIS IS ILLEGAL BUT
02:06:04.757 --> 02:06:05.991
IRONICALLY WHILE THE FEDERAL
02:06:06.058 --> 02:06:07.693
GOVERNMENT HAS REMOVED BARRIERS
02:06:07.760 --> 02:06:09.461
TO THE LEGAL SALE AND USE OF HIM.
02:06:09.528 --> 02:06:11.997
DRIVE PRODUCTS CALIFORNIA LAGS
02:06:12.064 --> 02:06:13.198
BEHIND.
02:06:13.265 --> 02:06:14.700
THE MANUFACTURE AND SALE OF CB
02:06:14.767 --> 02:06:16.468
DID DERIVED FROM HIM IS RAPIDLY
02:06:16.535 --> 02:06:17.903
EXPANDING BUSINESS IN CALIFORNIA
02:06:17.970 --> 02:06:19.471
WITH OVER A THOUSAND EMPLOYEES
02:06:19.538 --> 02:06:20.940
THE MILLIONS OF DOLLARS OF
02:06:21.006 --> 02:06:22.341
ECONOMIC PRODUCTIVITY.
02:06:22.408 --> 02:06:24.243
SHOULD THE STATE CHOOSE NOT TO
02:06:24.310 --> 02:06:25.744
CLARIFY THAT HIM SEE BEAUTY
02:06:25.811 --> 02:06:26.912
PRODUCTS ARE LEGAL FOR SALE AND
02:06:26.979 --> 02:06:27.846
CONSUMPTION.
02:06:27.913 --> 02:06:29.581
THESE JOBS AND BUSINESSES WILL
02:06:29.648 --> 02:06:30.416
BE LOST.
02:06:30.482 --> 02:06:32.518
FURTHER THE MANY CALIFORNIA
02:06:32.584 --> 02:06:35.521
CONSUMERS ALEX WILL FACE A NEW
02:06:35.587 --> 02:06:38.090
BEAR IN OBTAINING THE PRODUCT.
02:06:38.157 --> 02:06:39.458
I'M ACCEPTING THE COMMITTEES
02:06:39.525 --> 02:06:41.193
AMENDMENTS AND I'M ALSO ADDING
02:06:41.260 --> 02:06:42.962
IT URGENCY CLAUSE TO THIS BILL.
02:06:43.028 --> 02:06:44.096
WE CANNOT LEAVE OUR SAID US
02:06:44.163 --> 02:06:45.998
CITIZENS FARMERS AND BUSINESSES
02:06:46.065 --> 02:06:47.766
WITH UNCERTAINTY TO THE WEATHER
02:06:47.833 --> 02:06:51.103
HIM BASED CBT MAY CONTINUE TO BE
02:06:51.170 --> 02:06:52.671
SOLD IN PURCHASING CALIFORNIA.
02:06:52.738 --> 02:06:55.074
I ASK FOR YOUR AYE VOTE FOR AB
02:06:55.140 --> 02:06:55.674
TWO TWO EIGHT AND I HAVE TWO
02:06:55.741 --> 02:06:59.244
WITNESSES WITH ME ON BEHALF OF
02:06:59.311 --> 02:07:01.847
SUPPORTING THE BILL.
02:07:01.914 --> 02:07:02.614
THANK YOU MISTER CHAIR MEMBERS
02:07:02.681 --> 02:07:03.949
JIM GROSS ON BEHALF OF THE US
02:07:04.016 --> 02:07:04.984
HEMP ROUNDTABLE FIRST I WANT TO
02:07:05.050 --> 02:07:05.684
THANK THE AUTHOR.
02:07:05.751 --> 02:07:07.052
NOT ONLY ISSUE MOVE THIS BILL
02:07:07.119 --> 02:07:09.488
FORWARD BUT SHE HAS WORKED
02:07:09.555 --> 02:07:11.523
DILIGENTLY TO TRY TO ADDRESS THE
02:07:11.590 --> 02:07:11.924
CURRENT.
02:07:11.991 --> 02:07:14.193
ACTIVITIES OF THE STATE WITH
02:07:14.259 --> 02:07:16.628
RESPECT TO HOW THEY VIEW THE
02:07:16.695 --> 02:07:19.431
LEGALITY OF C. B. D. U. S. HEMP
02:07:19.498 --> 02:07:21.000
ROUNDTABLE REPRESENTS --
02:07:21.066 --> 02:07:23.068
HUNDREDS OF ORGANIZATIONS THERE
02:07:23.135 --> 02:07:25.137
IN ALL LEVELS OF THE SUPPLY
02:07:25.204 --> 02:07:26.505
CHAIN -- AS
02:07:26.572 --> 02:07:29.541
MS AGUIAR-CURRY INDICATED --
02:07:29.608 --> 02:07:31.043
HAMP IS ONE OF THE FASTEST
02:07:31.110 --> 02:07:33.112
GROWING INDUSTRIES IN THE UNITED
02:07:33.178 --> 02:07:34.079
STATES.
02:07:34.146 --> 02:07:36.548
AND CBT OR CANNABIS OIL IS ONE
02:07:36.615 --> 02:07:37.649
OF THE PRODUCTS THAT --
02:07:37.716 --> 02:07:40.285
CONSUMERS ARE MOST INTERESTED IN --
02:07:40.352 --> 02:07:41.820
WE MAKE NO HEALTH CLAIMS WITH
02:07:41.887 --> 02:07:43.756
RESPECT TO THESE PRODUCTS
02:07:43.822 --> 02:07:45.958
HOWEVER CONSUMERS HAVE SAID THAT
02:07:46.025 --> 02:07:50.396
FROM A WELLNESS STANDPOINT --
02:07:50.462 --> 02:07:53.365
THEY BELIEVE CB DE SPEWED
02:07:53.432 --> 02:07:55.534
OVERREACH LOCALITY IN CALIFORNIA
02:07:55.601 --> 02:07:57.636
RIGHT NOW A SIMILAR DISPUTE
02:07:57.703 --> 02:07:59.805
EXISTED IN OTHER STATES EXISTING
02:07:59.872 --> 02:08:01.040
OF THE STATE SOME STATES HAVE
02:08:01.106 --> 02:08:02.207
CLARIFIED THAT INCLUDING.
02:08:02.274 --> 02:08:03.976
COLORADO AND OREGON THAT IS WHAT
02:08:04.043 --> 02:08:06.445
WE SEEK TO DO HERE IS TO CLARIFY
02:08:06.512 --> 02:08:08.313
THAT SIMPLY BECAUSE OF AN FDA
02:08:08.380 --> 02:08:10.549
DETERMINATION ABOUT ONE DRUG
02:08:10.616 --> 02:08:11.884
HAVING CBD.
02:08:11.950 --> 02:08:14.086
ARE YOU SHOULD NOT HAVE THE
02:08:14.153 --> 02:08:15.854
RESULT THAT THE PRODUCT IS
02:08:15.921 --> 02:08:17.356
OTHERWISE ILLEGAL IN CALIFORNIA
02:08:17.423 --> 02:08:18.957
WITH THESE CHANGES WE WILL
02:08:19.024 --> 02:08:20.959
ACCOMPLISH THAT.
02:08:21.026 --> 02:08:22.061
AND WE ASK FOR YOUR AYE VOTE
02:08:22.127 --> 02:08:22.361
[inaudible]
02:08:22.428 --> 02:08:23.262
THANK YOU.
02:08:23.328 --> 02:08:24.696
GOOD AFTERNOON MISTER CHAIRMAN
02:08:24.763 --> 02:08:26.365
AND MEMBERS AMY JENKINS ON
02:08:26.432 --> 02:08:27.433
BEHALF OF THE CALIFORNIA
02:08:27.499 --> 02:08:29.902
CANNABIS INDUSTRY ASSOCIATION WE
02:08:29.968 --> 02:08:31.403
REPRESENT FIVE HUNDRED MEMBERS
02:08:31.470 --> 02:08:33.405
APPROXIMATELY SIX HUNDRED BRANDS
02:08:33.472 --> 02:08:35.874
AND FIFTEEN THOUSAND EMPLOYEES.
02:08:35.941 --> 02:08:37.810
WE ARE VERY PLEASED TO JOIN THE
02:08:37.876 --> 02:08:39.878
HEMP INDUSTRY IN SUPPORTING THIS
02:08:39.945 --> 02:08:41.380
BILL AND WE THINK THE AUTHOR FOR
02:08:41.447 --> 02:08:42.614
HER LEADERSHIP --
02:08:42.681 --> 02:08:44.616
THIS PROVIDES A VERY SIGNIFICANT
02:08:44.683 --> 02:08:46.318
OPPORTUNITY IN FACT FOR THE
02:08:46.385 --> 02:08:47.820
CANNABIS INDUSTRY AS WELL THEY
02:08:47.886 --> 02:08:49.054
HAVE ALREADY BEEN.
02:08:49.121 --> 02:08:51.123
CULTIVATING MANUFACTURING AND
02:08:51.190 --> 02:08:52.758
SELLING THESE PRODUCTS --
02:08:52.825 --> 02:08:54.526
UNFORTUNATELY DUE TO SOME OF THE
02:08:54.593 --> 02:08:56.862
THE LACK OF CLARITY IN EXISTING
02:08:56.929 --> 02:08:57.763
LAW -- THERE
02:08:57.830 --> 02:08:59.932
HAVE BEEN RECENT EFFORTS TO
02:08:59.998 --> 02:09:01.366
PRECLUDE THIS TYPE OF ACTIVITY
02:09:01.433 --> 02:09:02.668
AND I WOULD JUST NOTE THAT AT A
02:09:02.734 --> 02:09:05.404
TIME WHEN THE CANNABIS INDUSTRY
02:09:05.471 --> 02:09:07.606
IS STRUGGLING. TO TO GROW
02:09:07.673 --> 02:09:09.775
ACCUSTOMED TO AND ADJUST TO OUR
02:09:09.842 --> 02:09:12.111
NEW REGULATORY REALITY --
02:09:12.177 --> 02:09:13.278
THESE PRODUCTS ARE --
02:09:13.345 --> 02:09:14.847
ALTERNATIVES THAT ARE WIDELY
02:09:14.913 --> 02:09:17.082
UTILIZED BY OUR CUSTOMERS AND SO
02:09:17.149 --> 02:09:18.283
WE ARE IN STRONG SUPPORT WHEN I
02:09:18.350 --> 02:09:20.152
THINK THE AUTHOR FOR HER WORK.
02:09:20.219 --> 02:09:21.820
AND I WOULD NOTE APPROXIMATELY
02:09:21.887 --> 02:09:23.155
TWELVE OTHER STATES HAVE ALREADY
02:09:23.222 --> 02:09:25.357
DEVELOPED REGULATIONS AROUND THE
02:09:25.424 --> 02:09:27.092
PRODUCTION AND SALE OF HIM AND
02:09:27.159 --> 02:09:28.961
HIM TO RIGHT PRODUCTS AND AS THE
02:09:29.027 --> 02:09:30.162
AUTHOR NOTED ARE MOVING
02:09:30.229 --> 02:09:32.164
AGGRESSIVELY TO TAKE ADVANTAGE
02:09:32.231 --> 02:09:33.732
OF THIS NEW AND EMERGING
02:09:33.799 --> 02:09:34.867
ECONOMIC ACTIVITY.
02:09:34.933 --> 02:09:37.469
IT'S REALLY TIME FOR CALIFORNIA
02:09:37.536 --> 02:09:40.839
TO DO THE TODAY.
02:09:40.906 --> 02:09:42.608
THANK YOU VERY MUCH ARE THERE
02:09:42.674 --> 02:09:44.209
OTHER SUPPORT.
02:09:44.276 --> 02:09:45.077
AIR MARIN ON BEHALF OF THE
02:09:45.144 --> 02:09:46.812
CALIFORNIA GROCERS ASSOCIATION
02:09:46.879 --> 02:09:47.946
INSTRUCTOR FOR THIS MEASURE
02:09:48.013 --> 02:09:50.315
THANK YOU.
02:09:50.382 --> 02:09:52.317
NICCOLO DELUCA HERE ON BEHALF OF
02:09:52.384 --> 02:09:53.886
THE CITY OF EMERYVILLE THE
02:09:53.952 --> 02:09:55.420
COUNTY OF IMPERIAL MOXIE
02:09:55.487 --> 02:09:57.456
EXTRACTS INTERESTS ALEUTIANS IN
02:09:57.523 --> 02:09:58.557
STRONG SUPPORT.
02:09:58.624 --> 02:09:59.591
WE WANT TO THANK THE AUTHOR IN
02:09:59.658 --> 02:10:01.193
YOUR OFFICE FOR ALL OF THEIR
02:10:01.260 --> 02:10:02.361
WORK IN THOSE AMENDMENTS THANK
02:10:02.427 --> 02:10:04.696
YOU THANK YOU.
02:10:04.763 --> 02:10:06.131
MR MEMBERS BRETT BEAR WITH A
02:10:06.198 --> 02:10:07.499
CALIFORNIA HIM COUNCIL VOTE HIM
02:10:07.566 --> 02:10:08.834
AND ALL HIGH ENERGETICS HERE IN
02:10:08.901 --> 02:10:10.169
STRONG SUPPORT OF THE BILL THANK
02:10:10.235 --> 02:10:13.605
YOU THANK YOU.
02:10:13.672 --> 02:10:14.706
MISTER CHAIR KATHY VAN AUSTIN
02:10:14.773 --> 02:10:16.141
REPRESENTING KHALIFA
02:10:16.208 --> 02:10:18.310
HEADQUARTERED OUT OF SAN JOSE IN
02:10:18.377 --> 02:10:20.179
STRONG SUPPORT THANK YOU.
02:10:20.245 --> 02:10:22.047
LEAH SO REFORM CALIFORNIA
02:10:22.114 --> 02:10:23.482
CHAMBER OF COMMERCE IN SUPPORT.
02:10:23.549 --> 02:10:25.083
THANK YOU.
02:10:25.150 --> 02:10:26.818
GOOD AFTERNOON MELANIE CUEVAS ON
02:10:26.885 --> 02:10:28.120
BEHALF OF THE CALIFORNIA CAN OF
02:10:28.187 --> 02:10:29.721
CANNABIS MANUFACTURERS
02:10:29.788 --> 02:10:31.323
ASSOCIATION ALSO IN SUPPORT
02:10:31.390 --> 02:10:32.891
THANK YOU THANK YOU VERY MUCH.
02:10:32.958 --> 02:10:38.197
THREE ONE IN OPPOSITION.
02:10:38.263 --> 02:10:40.465
SEE NO ONE WILL BRING IT BACK TO
02:10:40.532 --> 02:10:41.266
THE COMMITTEE FOR QUESTIONS OR
02:10:41.333 --> 02:10:43.468
COMMENTS.
02:10:43.535 --> 02:10:45.704
ON THIS THIS WOMAN.
02:10:45.771 --> 02:10:46.805
THANK YOU A AS A MEMBER FOR
02:10:46.872 --> 02:10:47.406
BRINGING THIS FORWARD IT'S AN
02:10:47.472 --> 02:10:48.874
ISSUE THINK SEVERAL OF OUR
02:10:48.941 --> 02:10:50.776
OFFICE HEARD OF A PARTICULARLY
02:10:50.842 --> 02:10:52.377
DURING.
02:10:52.444 --> 02:10:54.046
THIS PROCESS FOR THIS YEAR WHERE
02:10:54.112 --> 02:10:55.380
ARE DEPARTMENT OF HEALTH HAS
02:10:55.447 --> 02:10:57.015
BEEN TRYING TO DETERMINE WHAT TO
02:10:57.082 --> 02:10:59.718
DO AND TARGETING SOME OF THESE --
02:10:59.785 --> 02:11:03.388
ENTITIES WITH A BILL IN PLACE.
02:11:03.455 --> 02:11:06.525
THAT HAS AN URGENCY CLAUSE I
02:11:06.592 --> 02:11:08.493
HAVE THERE BEEN CONVERSATIONS OF
02:11:08.560 --> 02:11:09.261
WITH -- OUR
02:11:09.328 --> 02:11:11.330
HEALTH DEPARTMENT ON PERHAPS
02:11:11.396 --> 02:11:13.999
PAUSING OR RE THINKING THEIR
02:11:14.066 --> 02:11:16.868
STRATEGY AT THE MOMENT --
02:11:16.935 --> 02:11:17.502
I JUST DON'T KNOW IF THERE'S ANY
02:11:17.569 --> 02:11:19.671
COMMUNITY.
02:11:19.738 --> 02:11:20.806
I'M WE HAVE MET WITH THE
02:11:20.872 --> 02:11:22.241
DEPARTMENT OF HEALTH AS WELL AS
02:11:22.307 --> 02:11:23.208
THE GOVERNOR'S OFFICE REGARDING
02:11:23.275 --> 02:11:25.043
THIS THEM.
02:11:25.110 --> 02:11:26.945
OBVIOUSLY THERE WAS SOME --
02:11:27.012 --> 02:11:28.380
RATES IF YOU WILL HAVE IT --
02:11:28.447 --> 02:11:30.015
AT SOME LOCATIONS --
02:11:30.082 --> 02:11:31.416
THEY WERE QUITE SURPRISED ABOUT
02:11:31.483 --> 02:11:33.051
THAT BECAUSE THEY WERE NOT
02:11:33.118 --> 02:11:34.820
NECESSARILY DEEMED OKAY TO DO
02:11:34.886 --> 02:11:35.721
THAT.
02:11:35.787 --> 02:11:36.388
SO -- IT'S
02:11:36.455 --> 02:11:37.656
BEEN BROUGHT A LOT OF THIRTY TO
02:11:37.723 --> 02:11:39.591
ALL OF US I'M TRYING TO MOVE
02:11:39.658 --> 02:11:40.993
THIS FORWARD SO AGAIN --
02:11:41.059 --> 02:11:43.228
THEY SUPPORT WHAT WE'RE GOING TO
02:11:43.295 --> 02:11:43.929
DO.
02:11:43.996 --> 02:11:45.797
JUST ADDITIONALLY BUT OBVIOUSLY
02:11:45.864 --> 02:11:47.499
WE DO HAVE OTHER THINGS TO DO IN
02:11:47.566 --> 02:11:48.333
THE FUTURE --
02:11:48.400 --> 02:11:49.801
ALONG THIS ON ALONG THESE LINES
02:11:49.868 --> 02:11:51.370
WE'RE NOT HERE TO UNDERMINE THE
02:11:51.436 --> 02:11:53.305
DEPARTMENT OF HEALTH ABSOLUTELY
02:11:53.372 --> 02:11:54.306
GREAT THANK YOU.
02:11:54.373 --> 02:11:56.475
AND WITH THAT I'M OF THE BILL.
02:11:56.541 --> 02:12:00.712
THANK YOU. SIX BEEN MOVED A
02:12:00.779 --> 02:12:03.548
COUPLE TIMES WITH THAT'S OKAY WE
02:12:03.615 --> 02:12:07.219
CAN PLEDGE ON THEIR THIS WALDRON.
02:12:07.286 --> 02:12:08.186
I SUPPORT THE BILL AND I JUST
02:12:08.253 --> 02:12:08.620
FOR CLARIFICATION.
02:12:08.687 --> 02:12:09.888
RIGHT NOW IF YOU WILL GROWING OR
02:12:09.955 --> 02:12:11.890
INTERESTED IN GROWING INDUSTRIAL
02:12:11.957 --> 02:12:14.026
HEMP OR CV CVD --
02:12:14.092 --> 02:12:15.127
YOU WOULD STILL BE GETTING A
02:12:15.193 --> 02:12:16.461
LICENSE TO THE CALIFORNIA
02:12:16.528 --> 02:12:17.663
DEPARTMENT OF FOOD AND
02:12:17.729 --> 02:12:18.630
AGRICULTURE.
02:12:18.697 --> 02:12:21.300
WITH ANYTHING CHANGE WITH THAT
02:12:21.366 --> 02:12:22.434
SINCE.
02:12:22.501 --> 02:12:26.271
STILL AFFECTED WITH RESPECT --
02:12:26.338 --> 02:12:29.308
TO THE ROLE THAT THE DEPARTMENT
02:12:29.374 --> 02:12:32.444
TO NAG.
02:12:32.511 --> 02:12:35.714
ANY OTHER QUESTIONS.
02:12:35.781 --> 02:12:37.849
TINA BRING BACK TO YOU MISTER
02:12:37.916 --> 02:12:39.618
YORKER WHICH I RESPECTFULLY ASK
02:12:39.685 --> 02:12:40.218
FOR YOUR VOTE.
02:12:40.285 --> 02:12:44.189
THANK YOU SO WE HAVE A MOTION BY.
02:12:44.256 --> 02:12:46.491
MISTER MAYES A SECOND BY MISTER
02:12:46.558 --> 02:12:47.959
CHU I BELIEVE THAT CORRECT.
02:12:48.026 --> 02:12:49.528
OKAY -- AND
02:12:49.594 --> 02:12:52.364
MOTIONS DO PASS AS AMENDED TO
02:12:52.431 --> 02:12:53.932
BUSINESS AND PROFESSIONS WITH
02:12:53.999 --> 02:12:56.201
THE ADDITION OF AN URGENCY COSTS
02:12:56.268 --> 02:12:58.470
YES VERY GOOD THANK YOU MA'AM
02:12:58.537 --> 02:12:58.704
SECTOR.
02:12:58.770 --> 02:12:59.671
AS THIS DOES ENJOY DO PASS
02:12:59.738 --> 02:13:01.006
RECOMMENDATION BY THE CHAIR
02:13:01.073 --> 02:13:02.507
THANK YOU SO --
02:13:02.574 --> 02:13:04.643
MA'AM SIXTY PLEASE CALL THE ROLL.
02:13:04.710 --> 02:13:07.946
WHAT I WOULD AYE MAYES MAYES AYE
02:13:08.013 --> 02:13:09.448
AGUIAR-CURRY?
02:13:09.514 --> 02:13:14.653
AGUIAR-CURRY I BIGELOW.
02:13:14.720 --> 02:13:16.722
BONTA.
02:13:16.788 --> 02:13:17.889
BURKE.
02:13:17.956 --> 02:13:20.192
BURKE I CARILLO.
02:13:20.258 --> 02:13:22.694
NO I FLORA.
02:13:22.761 --> 02:13:24.730
FLORA AYE LIMOS.
02:13:24.796 --> 02:13:25.964
MON I MCCARTY [inaudible]
02:13:26.031 --> 02:13:27.833
THIS AREA.
02:13:27.899 --> 02:13:32.904
RAMOS RAMOS I TO TO AYE SANTIAGO.
02:13:32.971 --> 02:13:35.273
WALDRON.
02:13:35.340 --> 02:13:39.378
WALDRON AYE.
02:13:39.444 --> 02:13:39.978
GET TEN VOTES IT'S ENOUGH TO
02:13:40.045 --> 02:13:40.846
MOVE FROM THE COMMITTEE WILL
02:13:40.912 --> 02:13:41.980
LEAVE IT OPEN FOR OTHERS TO ADD
02:13:42.047 --> 02:13:44.449
ON GREAT THANK YOU VERY MUCH
02:13:44.516 --> 02:13:46.785
PROVISIONS [inaudible]
02:13:46.852 --> 02:14:03.034
MISTER MOM
02:14:10.342 --> 02:14:10.409
.
02:14:10.409 --> 02:14:12.944
THANK YOU SHERYL THANK YOU.
02:14:13.011 --> 02:14:13.211
THANK YOU.
02:14:13.278 --> 02:14:14.379
AT THE IN CALIFORNIA ALZHEIMER'S
02:14:14.446 --> 02:14:14.980
DISEASE IS THE THIRD LEADING
02:14:15.046 --> 02:14:15.647
CAUSE OF DEATH IMPACTING
02:14:15.714 --> 02:14:16.515
MILLIONS OF LIFE THROUGHOUT THE
02:14:16.581 --> 02:14:16.915
STATE.
02:14:16.982 --> 02:14:17.682
TODAY AT THIS BILL IS
02:14:17.749 --> 02:14:18.483
PARTICULARLY IMPORTANT TO ME AS
02:14:18.550 --> 02:14:20.152
I LOST MY GRANDMOTHER FOUR DAYS
02:14:20.218 --> 02:14:21.286
AGO -- WHO
02:14:21.353 --> 02:14:22.287
SUFFERED FROM ALZHEIMER'S
02:14:22.354 --> 02:14:23.822
DIMENSION FOR OVER A DECADE?
02:14:23.889 --> 02:14:26.191
AT WITH THAT I WOULD LIKE TO
02:14:26.258 --> 02:14:28.660
HAVE BOB YOUR FEET AT WHO IS A
02:14:28.727 --> 02:14:30.128
RETIRED CHIEF OF THE US SIMILAR
02:14:30.195 --> 02:14:31.229
PENINSULA FIRE DISTRICT AND
02:14:31.296 --> 02:14:32.230
SUSAN TO ROSS.
02:14:32.297 --> 02:14:35.033
FROM THE ALZHEIMER'S ASSOCIATION
02:14:35.100 --> 02:14:36.701
SPEAK IN SUPPORT OF THE BILL.
02:14:36.768 --> 02:14:39.204
REMOTE GOOD AFTERNOON MY NAME IS
02:14:39.271 --> 02:14:40.705
POPULAR THING [inaudible]
02:14:40.772 --> 02:14:45.677
AND I'VE WORKED.
02:14:45.744 --> 02:14:49.247
A FEW MINUTES.
02:14:49.314 --> 02:14:53.018
I AM VERY TIRED.
02:14:53.084 --> 02:14:54.486
MY NAME IS BOB THEY'RE FREE AND
02:14:54.553 --> 02:14:57.255
I AM A RETIRED FIRE CHIEF.
02:14:57.322 --> 02:14:58.623
AND I HAVE ALZHEIMER'S AWARENESS
02:14:58.690 --> 02:15:00.392
UNIFORM TODAY. TO LET YOU KNOW
02:15:00.459 --> 02:15:02.394
THIS DISEASE CAN STRIKE ANYBODY.
02:15:02.461 --> 02:15:03.495
IT DOESN'T MATTER IF THEY SPENT
02:15:03.562 --> 02:15:05.363
THEIR WHOLE LIFE.
02:15:05.430 --> 02:15:08.600
PUTTING UP PEOPLE'S FIRES.
02:15:08.667 --> 02:15:12.037
AND ANYBODY ELSE CAN AND SO THIS
02:15:12.103 --> 02:15:14.272
NEEDS TO BE ADDRESSED.
02:15:14.339 --> 02:15:16.007
I REFUSE TO BE A VICTIM IN THIS
02:15:16.074 --> 02:15:17.375
IS TO SEE IF.
02:15:17.442 --> 02:15:20.245
I AM HERE TO ENCOURAGE YOU TO
02:15:20.312 --> 02:15:22.280
MOVE THIS BILL FORWARD.
02:15:22.347 --> 02:15:24.049
ADD TO FUND THE REQUEST FOR
02:15:24.115 --> 02:15:26.852
PUBLIC HEALTH TO BE INCLUDED IN
02:15:26.918 --> 02:15:28.753
EL TIME A SCREENING AND
02:15:28.820 --> 02:15:31.423
EDUCATION. TO OUR MEDICAL
02:15:31.490 --> 02:15:35.026
COMMUNITIES. TOO FEW WANT TO
02:15:35.093 --> 02:15:37.095
DISCUSS EL TIMERS BECAUSE
02:15:37.162 --> 02:15:39.664
THERE'S NO CURE.
02:15:39.731 --> 02:15:41.466
IT MAY SEEM EASIER TO CURL UP IN
02:15:41.533 --> 02:15:42.968
A BALL.
02:15:43.034 --> 02:15:44.636
AND WAIT FOR THE INEVITABLE BUT
02:15:44.703 --> 02:15:46.972
WITHOUT DISCUSSION ON QUALITY OF
02:15:47.038 --> 02:15:48.607
LIFE FAILS.
02:15:48.673 --> 02:15:50.642
WE NEED TO ENCOURAGE EVERYONE TO
02:15:50.709 --> 02:15:52.143
PARTICIPATE.
02:15:52.210 --> 02:15:55.113
AND BE ABLE. FOR AS LONG AS WE
02:15:55.180 --> 02:15:56.948
ARE ABLE.
02:15:57.015 --> 02:15:59.985
IN THAT WAY THAT WE ARE ALL
02:16:00.051 --> 02:16:04.089
WORKING TOWARD A CURE.
02:16:04.155 --> 02:16:05.390
I'VE SPENT.
02:16:05.457 --> 02:16:07.425
ALMOST FIFTY YEARS IN THE FIRE
02:16:07.492 --> 02:16:08.326
SERVICE IN HUMBOLDT COUNTY
02:16:08.393 --> 02:16:09.728
CALIFORNIA.
02:16:09.794 --> 02:16:11.296
I WAS A CAREER FIREFIGHTER FOR
02:16:11.363 --> 02:16:13.331
ALMOST TWENTY OF THOSE YEARS.
02:16:13.398 --> 02:16:14.966
AND ARE. FOR THE REST I WAS A
02:16:15.033 --> 02:16:18.837
VOLUNTEER.
02:16:18.904 --> 02:16:20.438
AFTER ALL THE VOLUNTEER HUMBOLDT
02:16:20.505 --> 02:16:22.107
COUNTY.
02:16:22.173 --> 02:16:23.875
AFTER ALL.
02:16:23.942 --> 02:16:24.876
VOLUNTEERING IN HUMBOLDT COUNTY
02:16:24.943 --> 02:16:27.612
IS PRETTY COMMON.
02:16:27.679 --> 02:16:27.779
ALL.
02:16:27.846 --> 02:16:31.049
WE HAVE ARE.
02:16:31.116 --> 02:16:32.551
WE ARE NOT RICH.
02:16:32.617 --> 02:16:35.186
COUNTY IN MONEY BUT WE ARE RICH
02:16:35.253 --> 02:16:37.556
IN CARING FOR EACH OTHER.
02:16:37.622 --> 02:16:40.225
THERE ARE ALWAYS EMERGENCIES
02:16:40.292 --> 02:16:40.725
THAT.
02:16:40.792 --> 02:16:43.995
BRING IN MANY DOLLARS.
02:16:44.062 --> 02:16:45.664
AND VOLUNTEERS FROM OUR
02:16:45.730 --> 02:16:46.765
COMMUNITIES.
02:16:46.831 --> 02:16:49.935
AS WELL AS OUR USUAL SUPPORT FOR
02:16:50.001 --> 02:16:52.070
THE REGULAR.
02:16:52.137 --> 02:16:57.409
REGULARLY FUNDING CHARITY EVENTS.
02:16:57.475 --> 02:16:58.543
BECAUSE OF HOW MORE COUNTIES
02:16:58.610 --> 02:17:01.413
CARING FOR OTHERS ATTITUDE WE
02:17:01.479 --> 02:17:02.847
ENCOURAGE YOU TO DESIGNATE
02:17:02.914 --> 02:17:04.816
HUMBOLDT COUNTY AS A PUBLIC
02:17:04.883 --> 02:17:07.252
HEALTH. ONE OF THE PILOT
02:17:07.319 --> 02:17:09.220
PROGRAMS.
02:17:09.287 --> 02:17:13.925
ON HOW THIS WORK IN RURAL AREAS.
02:17:13.992 --> 02:17:15.360
AND WHAT CITIES.
02:17:15.427 --> 02:17:16.795
PLEASE HELP US LEARN HOW TO
02:17:16.861 --> 02:17:18.830
EXTINGUISH THIS FIRESTORM OF A
02:17:18.897 --> 02:17:19.631
DISEASE.
02:17:19.698 --> 02:17:23.001
I WANT TO THANK YOU FOR YOUR A
02:17:23.068 --> 02:17:23.535
LISTENING.
02:17:23.602 --> 02:17:26.905
AND THIS IS SOMETHING THAT IS
02:17:26.972 --> 02:17:30.175
CRITICAL BECAUSE NOBODY KNOWS
02:17:30.241 --> 02:17:32.877
WHEN IT'S GOING TO CALL ON THEM.
02:17:32.944 --> 02:17:33.812
THANK YOU VERY MUCH THANK YOU
02:17:33.878 --> 02:17:39.117
VERY MUCH CHIEF.
02:17:39.184 --> 02:17:41.386
GOOD AFTERMATHS OF MORRIS
02:17:41.453 --> 02:17:42.420
REPRESENTING THE ALZHEIMER'S
02:17:42.487 --> 02:17:43.688
ASSOCIATION WE ARE PROUD
02:17:43.755 --> 02:17:45.056
SPONSORS OF THIS BILL I WANT TO
02:17:45.123 --> 02:17:45.790
THANK.
02:17:45.857 --> 02:17:47.092
THE AUTHOR FOR HER LEADERSHIP
02:17:47.158 --> 02:17:48.526
AND MY CONDOLENCES ON THE LOSS
02:17:48.593 --> 02:17:50.629
OF YOUR GRANDMOTHER AND TO THE
02:17:50.695 --> 02:17:52.397
THREE CO AUTHORS WHO SIT ON THIS
02:17:52.464 --> 02:17:54.933
COMMITTEE WE THANK YOU AS WELL.
02:17:55.000 --> 02:17:55.934
THANK YOU VERY MUCH OTHERS IN
02:17:56.001 --> 02:17:58.536
SUPPORT.
02:17:58.603 --> 02:17:59.804
YES MY NAME IS MARK QUITE AN
02:17:59.871 --> 02:18:01.272
ALZHEIMER'S ASSOCIATION
02:18:01.339 --> 02:18:07.045
VOLUNTEER MY WIFE DIED TWO DAYS.
02:18:07.112 --> 02:18:07.812
BEFORE BEFORE THANKSGIVING. ONE
02:18:07.879 --> 02:18:08.813
OF THE IMPORTANT CONCEPTS IN
02:18:08.880 --> 02:18:11.416
THIS BILL IS EARLY DIAGNOSIS.
02:18:11.483 --> 02:18:12.984
TURNS OUT THAT IF YOU DON'T HAVE
02:18:13.051 --> 02:18:14.686
ANYBODY IN YOUR FAMILY THAT HAD
02:18:14.753 --> 02:18:16.287
ALZHEIMER'S YOU STILL COULD GET
02:18:16.354 --> 02:18:16.788
IT.
02:18:16.855 --> 02:18:18.390
IF YOU HAD SOMEBODY IN YOUR
02:18:18.456 --> 02:18:19.858
FAMILY THAT HAD IT ONE PERSON
02:18:19.924 --> 02:18:20.692
YOU MUCH GREATER CHANCE OF
02:18:20.759 --> 02:18:21.593
GETTING IT.
02:18:21.660 --> 02:18:23.228
IF YOU HAD MORE THAN ONE IT'S
02:18:23.295 --> 02:18:24.596
EVEN GREATER CHANCE SO ALL YOUR
02:18:24.663 --> 02:18:26.831
CONSTITUENTS AND YOUR FAMILY'S
02:18:26.898 --> 02:18:28.767
VERY WELL COULD BENEFIT DIRECTLY
02:18:28.833 --> 02:18:31.236
FROM THE PROVISIONS OF THIS BILL
02:18:31.302 --> 02:18:32.303
AND I URGE AN AYE VOTE.
02:18:32.370 --> 02:18:33.605
THANK YOU VERY MUCH I JUST ASK
02:18:33.672 --> 02:18:36.374
YOUR NAME AN ORGANIZATION OR
02:18:36.441 --> 02:18:37.676
HIGH TIME HOWARD POSENER I'M A
02:18:37.742 --> 02:18:38.309
VOLUNTEER WITH THE ALZHEIMER'S
02:18:38.376 --> 02:18:39.778
ASSOCIATION --
02:18:39.844 --> 02:18:41.713
I'VE LOST THREE IMMEDIATE FAMILY
02:18:41.780 --> 02:18:43.915
MEMBERS TO THIS DISEASE AND I
02:18:43.982 --> 02:18:45.984
URGE YOUR SUPPORT OF THE BILL.
02:18:46.051 --> 02:18:48.219
THANKS SO MUCH THANK YOU.
02:18:48.286 --> 02:18:49.020
GOTTEN SHARE MEMBERS ALL OF IRAQ
02:18:49.087 --> 02:18:50.722
ROY CALIFORNIA LIFE SCIENCES
02:18:50.789 --> 02:18:52.757
ASSOCIATION IN SUPPORT.
02:18:52.824 --> 02:18:55.126
THANK YOU.
02:18:55.193 --> 02:18:56.261
MISTER CHAIR AND MEMBERS MARIN
02:18:56.327 --> 02:18:58.163
HIGGINS REPRESENTING BY A COMMON
02:18:58.229 --> 02:18:59.931
SUPPORT.
02:18:59.998 --> 02:19:01.700
KIM MORE UNITED DOMESTIC WORKERS
02:19:01.766 --> 02:19:02.801
ASKED ME LOCAL THIRTY NINE
02:19:02.867 --> 02:19:04.769
THIRTY IN SUPPORT THANK YOU.
02:19:04.836 --> 02:19:06.738
HI AND JACQUI COLEMAN.
02:19:06.805 --> 02:19:08.973
I DO HAVE DEMENTIA.
02:19:09.040 --> 02:19:12.010
AND I AM A VOLUNTEER OF A. A. R.
02:19:12.077 --> 02:19:13.445
P..
02:19:13.511 --> 02:19:16.181
AND WE STRONGLY IN SUPPORT OF
02:19:16.247 --> 02:19:20.151
THIS THANK YOU THANK YOU.
02:19:20.218 --> 02:19:21.052
GOOD AFTERNOON MICHELLE GIVENS
02:19:21.119 --> 02:19:21.986
OF THE COUNTY HEALTH EXECUTIVES
02:19:22.053 --> 02:19:23.955
ASSOCIATION A CALIFORNIA WE
02:19:24.022 --> 02:19:24.923
REPRESENT THE LOCAL HEALTH
02:19:24.989 --> 02:19:26.157
DEPARTMENTS THROUGHOUT THE STATE
02:19:26.224 --> 02:19:27.559
WE'RE PLEASED TO BE HERE IN
02:19:27.625 --> 02:19:27.792
SUPPORT.
02:19:27.859 --> 02:19:29.494
THANK YOU.
02:19:29.561 --> 02:19:30.128
GOOD AFTERNOON FARADAY TING ON
02:19:30.195 --> 02:19:31.596
BEHALF OF THE CALIFORNIA STATE
02:19:31.663 --> 02:19:33.098
ASSOCIATION OF COUNTIES IN
02:19:33.164 --> 02:19:34.299
SUPPORT THANK YOU.
02:19:34.365 --> 02:19:35.100
HEATHER HARRISON WITH A
02:19:35.166 --> 02:19:36.634
CALIFORNIA ASSISTED LIVING
02:19:36.701 --> 02:19:39.337
ASSOCIATION IN SUPPORT THANK YOU.
02:19:39.404 --> 02:19:40.605
JIM GROSS ABOUT THE COUNTY OF
02:19:40.672 --> 02:19:41.706
SAN DIEGO IN STRONG SUPPORT.
02:19:41.773 --> 02:19:44.509
THANK YOU.
02:19:44.576 --> 02:19:45.944
ROBERT HARRIS ON BEHALF I'LL SEE
02:19:46.010 --> 02:19:47.545
I CALIFORNIA ON OUR SEVEN AND
02:19:47.612 --> 02:19:49.781
OVER SEVEN HUNDRED THOUSAND
02:19:49.848 --> 02:19:51.416
MEMBERS AND THEIR FAMILIES
02:19:51.483 --> 02:19:52.917
SUPPORT THANK YOU.
02:19:52.984 --> 02:19:53.685
KELLY BEAM ON BEHALF OF THE
02:19:53.752 --> 02:19:55.353
CALIFORNIA MEDICAL ASSOCIATION
02:19:55.420 --> 02:19:57.222
IN SUPPORT.
02:19:57.288 --> 02:19:58.990
ELIZABETH SANTOS I'M A STATE AND
02:19:59.057 --> 02:20:00.325
CONGRESSIONAL ADVOCATE FOR
02:20:00.391 --> 02:20:03.094
DULCIMERS ASSOCIATION I AGE I
02:20:03.161 --> 02:20:04.863
URGE YOU TO SUPPORT THIS BILL ON
02:20:04.929 --> 02:20:06.798
BEHALF OF THE PEOPLE WHO IS
02:20:06.865 --> 02:20:09.734
AFFECTED AND WHO CANNOT SPEAK
02:20:09.801 --> 02:20:10.101
FOR THEMSELVES.
02:20:10.168 --> 02:20:12.871
THANK YOU.
02:20:12.937 --> 02:20:15.573
IS THERE ANYONE ELSE.
02:20:15.640 --> 02:20:18.009
SEE NO ONE IS THERE ANYONE WHO'D
02:20:18.076 --> 02:20:18.610
LIKE TO SPEAK IN OPPOSITION TO
02:20:18.676 --> 02:20:21.012
THIS BILL.
02:20:21.079 --> 02:20:23.414
SEE NO ONE WILL BRING IT BACK TO
02:20:23.481 --> 02:20:24.015
THE COMMITTEE FOR QUESTIONS OR
02:20:24.082 --> 02:20:28.153
COMMENTS.
02:20:28.219 --> 02:20:29.120
WITH I GUESS --
02:20:29.187 --> 02:20:30.054
I'M HONORED TO BE A CO AUTHOR ON
02:20:30.121 --> 02:20:30.922
THIS BILL AS WE KNOW --
02:20:30.989 --> 02:20:32.991
I DO TO HAVE A VERY GOOD FRIEND
02:20:33.057 --> 02:20:34.559
I'VE HAD A FRIEND PASSED AWAY
02:20:34.626 --> 02:20:35.827
FROM THE SAME DISEASE BEING VERY
02:20:35.894 --> 02:20:37.128
YOUNG -- AND
02:20:37.195 --> 02:20:38.897
IT'S ALL ABOUT AWARENESS IT'S
02:20:38.963 --> 02:20:40.198
ALL ABOUT CATCHING IT EARLY IT'S
02:20:40.265 --> 02:20:40.999
ALL ABOUT HAVING THE COME TO
02:20:41.065 --> 02:20:42.300
DIFFICULT CONVERSATIONS AND
02:20:42.367 --> 02:20:44.402
NOBODY WANTS TO HAVE.
02:20:44.469 --> 02:20:46.204
AND BY YOU BRING THIS FOR FOR
02:20:46.271 --> 02:20:47.872
ALL OF US THAT ARE IN THIS ROOM.
02:20:47.939 --> 02:20:49.774
I REALLY APPRECIATE IT BECAUSE
02:20:49.841 --> 02:20:53.311
IF WE CAN THAT THEY CAN GO
02:20:53.378 --> 02:20:53.945
THROUGH.
02:20:54.012 --> 02:20:55.613
THAT IS SO IMPORTANT --
02:20:55.680 --> 02:20:57.515
MY FRIEND PAM WAS NOT HERE BUT
02:20:57.582 --> 02:20:58.716
SHE WOULD BE THE FIRST ONE TO
02:20:58.783 --> 02:20:59.350
SAY IF I WOULD HAVE CAUGHT IT
02:20:59.417 --> 02:21:00.051
EARLY.
02:21:00.118 --> 02:21:00.985
THEY COULD HAVE HAD THESE
02:21:01.052 --> 02:21:02.787
CONVERSATIONS IF I COULD HAVE
02:21:02.854 --> 02:21:04.389
HAD DIRECTION HOW MUCH THAT
02:21:04.455 --> 02:21:06.124
WOULD HAVE HELPED ME.
02:21:06.191 --> 02:21:08.326
AND SHE'S DOING WELL.
02:21:08.393 --> 02:21:09.494
BUT YOU KNOW BLESS YOUR HEART
02:21:09.561 --> 02:21:10.829
SHE'S LIKE A PHENOMENAL ADVOCATE
02:21:10.895 --> 02:21:12.130
SO I'M GLAD TO BE A CO AUTHOR OF
02:21:12.197 --> 02:21:14.499
YOUR BILL.
02:21:14.566 --> 02:21:15.066
AND AGAIN I'M SORRY FOR YOUR
02:21:15.133 --> 02:21:20.738
LOSS.
02:21:20.805 --> 02:21:23.241
WHEN I'M STRESSED CARE?
02:21:23.308 --> 02:21:23.842
THANK YOU ASSEMBLY MEMBER FOR
02:21:23.908 --> 02:21:25.043
BRINGING THIS --
02:21:25.109 --> 02:21:26.277
TO THIS COMMITTEE AND I'M ALSO
02:21:26.344 --> 02:21:27.478
PROUD TO BE A CO AUTHOR.
02:21:27.545 --> 02:21:27.812
OF THIS BILL.
02:21:27.879 --> 02:21:29.380
I I OFFER MY CONDOLENCES TO YOU
02:21:29.447 --> 02:21:30.815
I KNOW THAT WHAT WHAT THAT'S
02:21:30.882 --> 02:21:31.916
LIKE FIRST HAND LOST MY
02:21:31.983 --> 02:21:33.918
GRANDMOTHER IN MARCH OF LAST
02:21:33.985 --> 02:21:37.255
YEAR. TO DEMENTIA AND TO EARLY
02:21:37.322 --> 02:21:39.224
ALZHEIMER'S AND MY FAMILY AND I
02:21:39.290 --> 02:21:41.993
ALWAYS THINK.
02:21:42.060 --> 02:21:42.627
IF ONLY WE WOULD HAVE CAUGHT IT
02:21:42.694 --> 02:21:43.895
EARLY.
02:21:43.962 --> 02:21:44.529
IF ONLY WE WOULD HAVE KNOWN THE
02:21:44.596 --> 02:21:45.830
SIGN.
02:21:45.897 --> 02:21:47.198
AND THAT SPEAKS VOLUMES NOT ONLY
02:21:47.265 --> 02:21:50.301
IN TERMS OF PUBLIC AWARENESS BUT
02:21:50.368 --> 02:21:51.436
ALSO AWARENESS WITHIN THE LATINO
02:21:51.502 --> 02:21:52.370
COMMUNITY IN.
02:21:52.437 --> 02:21:54.539
LANGUAGE AND CULTURAL COMPETENCY
02:21:54.606 --> 02:21:56.107
ON WHAT IT'S LIKE TO HAVE THE
02:21:56.174 --> 02:21:58.209
DISEASE AND WHAT WE CAN DO EARLY
02:21:58.276 --> 02:22:00.278
ON FOR THE LOVE ONE SO GRATEFUL
02:22:00.345 --> 02:22:03.648
TO YOU THANK YOU.
02:22:03.715 --> 02:22:04.749
SERVICE.
02:22:04.816 --> 02:22:06.150
I JUST WANNA A THING THIS LOAN
02:22:06.217 --> 02:22:07.418
FOR FOR AUTHORING THIS --
02:22:07.485 --> 02:22:08.519
AND IF YOU'D BE SO INCLINED I
02:22:08.586 --> 02:22:09.320
WOULD LOVE TO COOPERATE --
02:22:09.387 --> 02:22:10.588
IT IS WELL --
02:22:10.655 --> 02:22:12.657
BOTH THAT I'VE HAD --
02:22:12.724 --> 02:22:15.059
TO GRANDMOTHERS --
02:22:15.126 --> 02:22:17.762
NOT FUN NOT FUN FOR ANYONE I
02:22:17.829 --> 02:22:18.796
JUST WANTED TO SAY AT TO THE
02:22:18.863 --> 02:22:19.864
CHIEF --
02:22:19.931 --> 02:22:21.232
THAT'S AMAZING TO SEE.
02:22:21.299 --> 02:22:23.067
HOW STRONG --
02:22:23.134 --> 02:22:24.502
AND PROUD THAT YOU ARE IN
02:22:24.569 --> 02:22:26.304
CONFRONTING CONFRONTING THIS
02:22:26.371 --> 02:22:27.472
SUMMER THANK YOU FOR BEING HERE
02:22:27.538 --> 02:22:33.011
AS WELL AND AGAIN THANK YOU --
02:22:33.077 --> 02:22:33.645
FOR TO THE AUTHOR FOR ABOUT THE
02:22:33.711 --> 02:22:37.482
FOR A THANK YOU.
02:22:37.548 --> 02:22:39.817
I WOULD LIKE TO THANK ALL OF YOU
02:22:39.884 --> 02:22:41.486
FOR LISTENING ARE IN IT THAT'S
02:22:41.552 --> 02:22:42.153
WHAT WE NEED.
02:22:42.220 --> 02:22:42.420
THANK YOU.
02:22:42.487 --> 02:22:43.187
SIR inaudible]
02:22:43.254 --> 02:22:45.223
MR.
02:22:45.290 --> 02:22:45.823
FOR THANK YOU SUMMER AT CHIEF
02:22:45.890 --> 02:22:47.792
THANK YOU FOR BEING HERE --
02:22:47.859 --> 02:22:48.393
I CAME OUT THE FIRE SERVICES
02:22:48.459 --> 02:22:49.394
WELL.
02:22:49.460 --> 02:22:51.062
AND IT'S IT'S REMARKABLE FIFTY
02:22:51.129 --> 02:22:52.397
YEARS IN THE SERVICE BATTLING
02:22:52.463 --> 02:22:54.265
THIS BATTLE THAT YOU'RE FIGHTING
02:22:54.332 --> 02:22:55.166
NOW I'M SURE IT'S PROBABLY ONE
02:22:55.233 --> 02:22:56.034
OF TOUGHEST BITES YOU HAD IN
02:22:56.100 --> 02:22:56.834
YOUR CAREER.
02:22:56.901 --> 02:22:59.904
BUT WE APPLAUD YOUR COURAGE AND
02:22:59.971 --> 02:23:00.538
WE LOVE YOU FOR IT THANK YOU FOR
02:23:00.605 --> 02:23:02.140
BEING HERE.
02:23:02.206 --> 02:23:03.641
THANK YOU VERY MUCH ANY OTHER
02:23:03.708 --> 02:23:05.877
QUESTIONS OR COMMENTS.
02:23:05.944 --> 02:23:07.412
CNN -- I
02:23:07.478 --> 02:23:08.313
WOULD LIKE TO FIRST OF ALL THE
02:23:08.379 --> 02:23:10.515
THE BILL --
02:23:10.581 --> 02:23:11.149
DOES.
02:23:11.215 --> 02:23:12.483
THE BILL HAS A DO PASS
02:23:12.550 --> 02:23:13.885
RECOMMENDATION I WOULD LIKE TO
02:23:13.952 --> 02:23:15.086
BE ADDED AS A CO AUTHOR AS WELL.
02:23:15.153 --> 02:23:16.988
AS WAS A THANK YOU AGAIN TO THE
02:23:17.055 --> 02:23:17.956
CHIEF FOR COME FROM HUMBLE
02:23:18.022 --> 02:23:20.124
COUNTY I KNOW I KNOW THAT DRIVE
02:23:20.191 --> 02:23:21.592
WELL AND I APPRECIATE THAT.
02:23:21.659 --> 02:23:22.694
ELIZABETH I SAW YOU OUT THERE
02:23:22.760 --> 02:23:25.630
AND AND TESTIMONY FOR COMING
02:23:25.697 --> 02:23:26.764
DOWN -- WITH
02:23:26.831 --> 02:23:28.499
TO SUPPORT AS WELL --
02:23:28.566 --> 02:23:29.300
I WOULD LIKE TO HAVE YOU
02:23:29.367 --> 02:23:31.169
CONSIDER AS YOU MOVE FORWARD
02:23:31.235 --> 02:23:34.605
SPECIFYING THAT THAT COUNTIES
02:23:34.672 --> 02:23:35.506
ELIGIBLE FOR THIS SERVER LIKE
02:23:35.573 --> 02:23:36.908
RURAL COUNTIES --
02:23:36.975 --> 02:23:38.509
AND PROTECT AND AND THERE IS
02:23:38.576 --> 02:23:39.711
ELIGIBILITY AND AND COASTAL
02:23:39.777 --> 02:23:41.379
COUNTY AS WELL --
02:23:41.446 --> 02:23:43.982
THAT WOULD BE MUCH APPRECIATED
02:23:44.048 --> 02:23:45.016
HE WOULD CONSIDER THAT GOING.
02:23:45.083 --> 02:23:46.150
FOR YES AND I DO ACCEPT THE
02:23:46.217 --> 02:23:47.819
COMMITTEES A AMENDMENTS THANK
02:23:47.885 --> 02:23:49.387
YOU THANK YOU SO MUCH THANK YOU.
02:23:49.454 --> 02:23:52.123
SO WOULD YOU LIKE TO CLOSE NO
02:23:52.190 --> 02:23:52.724
PRESSURE I MEAN SORRY JUST YOU
02:23:52.790 --> 02:23:54.125
KNOW.
02:23:54.192 --> 02:23:55.126
I RESPECTFULLY ASK FOR AND I
02:23:55.193 --> 02:23:56.427
THANK YOU THANK YOU SO MUCH
02:23:56.494 --> 02:23:58.363
MA'AM SECRETARY WE HAVE A MOTION --
02:23:58.429 --> 02:24:01.833
MODE AT FIVE BY MR MAYES WE HAVE
02:24:01.899 --> 02:24:03.201
WE NEED A SECOND.
02:24:03.267 --> 02:24:04.802
WE HAVE SECOND WE HAD A SECOND
02:24:04.869 --> 02:24:06.471
BUT WELL THAT'S WE HAD A SECOND
02:24:06.537 --> 02:24:12.010
ME OKAY --
02:24:12.076 --> 02:24:15.113
DID YOU MAKE A MOTION MISTER.
02:24:15.179 --> 02:24:18.716
FOR I THINK I DO.
02:24:18.783 --> 02:24:20.151
ALL TOGETHER NOW THIS IS A WELL
02:24:20.218 --> 02:24:21.285
OILED MACHINE HERE TODAY FOR
02:24:21.352 --> 02:24:22.754
SYRIAN SO OKAY I'M THAT I'M
02:24:22.820 --> 02:24:24.122
REALLY WELL IT WILL GO THE OF MR
02:24:24.188 --> 02:24:25.123
MAYES AS THE MOTION MISS
02:24:25.189 --> 02:24:27.925
AGUIAR-CURRY AS THE SECOND.
02:24:27.992 --> 02:24:31.129
MAN SECTOR PLEASE CALL THE ROLL.
02:24:31.195 --> 02:24:32.663
IS TO PASS AS AMENDED TO
02:24:32.730 --> 02:24:34.832
APPROPRIATIONS.
02:24:34.899 --> 02:24:37.635
WHAT I WOULD AYE MAYES MAYES AYE
02:24:37.702 --> 02:24:39.137
AYE GEAR CURRY?
02:24:39.203 --> 02:24:41.539
CURRY I BIGELOW.
02:24:41.606 --> 02:24:42.707
BONTA.
02:24:42.774 --> 02:24:45.410
BONTA AYE BURKE BURKE I CARILLO.
02:24:45.476 --> 02:24:50.515
CARILLO AYE FLORA FLORA ISLA MON.
02:24:50.581 --> 02:24:52.216
LIMON AYE MCCARTY [inaudible]
02:24:52.283 --> 02:24:54.218
NAZARIAN.
02:24:54.285 --> 02:24:55.787
RAMOS.
02:24:55.853 --> 02:24:59.390
RAMESSIDE. TO TO AYE SANTIAGO.
02:24:59.457 --> 02:25:06.664
SANTIAGO AYE WALDRON. ELEVEN
02:25:06.731 --> 02:25:08.800
VOTES MORE THAN ENOUGH TO TO
02:25:08.866 --> 02:25:09.600
LEAVE LEAVE THIS OPEN FOR OTHERS
02:25:09.667 --> 02:25:11.235
TO ADD ONTO A THANK YOU SO MUCH
02:25:11.302 --> 02:25:11.736
THANK YOU TEAR WITNESSES
02:25:11.803 --> 02:25:13.671
SPECIALLY. FOR THE LONG TRIP
02:25:13.738 --> 02:25:17.075
CHIEF THANK YOU SO MUCH.
02:25:17.141 --> 02:25:18.342
SO WE HAVE TO BILLS REMAINING --
02:25:18.409 --> 02:25:20.645
THEIR MIND SO I WILL --
02:25:20.711 --> 02:25:20.978
I WILL TAKE --
02:25:21.045 --> 02:25:22.947
TAKE OF AN ICE MISTER MAYES TO
02:25:23.014 --> 02:25:27.251
TAKE OVER OF TO ADOPT SO --
02:25:27.318 --> 02:25:30.054
GROUP COMMITTEE RULES.
02:25:30.121 --> 02:25:32.190
AS IT MOVED BY MISS CARILLO
02:25:32.256 --> 02:25:33.458
SECOND BY MISTAKE YEAR CURRY.
02:25:33.524 --> 02:25:35.760
A MAN SEXUALLY PLEASE CALL THE
02:25:35.827 --> 02:25:37.762
ROLL ON THE RULES.
02:25:37.829 --> 02:25:39.363
AVOID HI.
02:25:39.430 --> 02:25:41.365
WHEN I MAYES MAYES AYE
02:25:41.432 --> 02:25:43.835
AGUIAR-CURRY?
02:25:43.901 --> 02:25:45.002
AGUIAR-CURRY AYE BIGELOW
02:25:45.069 --> 02:25:45.303
[inaudible]
02:25:45.369 --> 02:25:47.238
BONTA.
02:25:47.305 --> 02:25:52.443
BONTA AYE BURKE BURKE HI CARILLO
02:25:52.510 --> 02:25:52.743
[inaudible]
02:25:52.810 --> 02:25:56.347
CARILLO.
02:25:56.414 --> 02:25:56.514
HI.
02:25:56.581 --> 02:26:03.421
I FLORA FLOOR AYE LIMóN.
02:26:03.488 --> 02:26:06.958
I LIVE ON AYE MCCARTY.
02:26:07.024 --> 02:26:08.259
THE VARIANT.
02:26:08.326 --> 02:26:13.831
RAMOS ROTH IRA RICK I'M SORRY
02:26:13.898 --> 02:26:14.132
[inaudible]
02:26:14.198 --> 02:26:15.032
TO CHIU I'D [inaudible]
02:26:15.099 --> 02:26:17.368
SANTIAGO [inaudible]
02:26:17.435 --> 02:26:20.705
WALDRON.
02:26:20.771 --> 02:26:23.541
IN THE PAST.
02:26:23.608 --> 02:26:27.411
I THE RULES OF THE RULES PASSED
02:26:27.478 --> 02:26:28.980
CURRENT OPTED FOR ADOPTED.
02:26:29.046 --> 02:26:30.414
ALL RIGHT WE HAVE --
02:26:30.481 --> 02:26:31.816
TO BILLS THAT BEFORE US AB TO A
02:26:31.883 --> 02:26:33.751
FOREIGN AB TWO NINETY WHAT'S
02:26:33.818 --> 02:26:34.385
YOUR PLEASURE AND TAKE TO A FOR
02:26:34.452 --> 02:26:36.120
FIRST OR AT THE PERFECT THANK
02:26:36.187 --> 02:26:37.255
YOU MISTER CHAIR OKAY.
02:26:37.321 --> 02:26:37.788
THANK YOU MISTER CHAIR AND
02:26:37.855 --> 02:26:38.589
MEMBERS.
02:26:38.656 --> 02:26:39.957
COMMUNITY BENEFITS ARE THE
02:26:40.024 --> 02:26:41.759
SERVICES NONPROFIT HOSPITALS
02:26:41.826 --> 02:26:44.362
PROVIDE TO TO ADDRESS COMMUNITY
02:26:44.428 --> 02:26:45.796
NEEDS AND CAN INCLUDE SERVICES --
02:26:45.863 --> 02:26:46.831
PROVIDED TO VULNERABLE
02:26:46.898 --> 02:26:49.467
POPULATIONS CHARITY CARE SUPPORT
02:26:49.534 --> 02:26:51.302
OF PUBLIC HEALTH PROGRAMS AND
02:26:51.369 --> 02:26:52.904
DONATIONS OF FUNDS A RESOURCES
02:26:52.970 --> 02:26:54.172
THAT CONTRIBUTE TO A COMMUNITY
02:26:54.238 --> 02:26:55.907
PRIORITY.
02:26:55.973 --> 02:26:56.974
SUCH AS HOUSING.
02:26:57.041 --> 02:26:59.110
CURRENTLY HOSPITAL SUBMIT THE
02:26:59.177 --> 02:27:00.344
PLANS ARE SPENT AND I SPENT
02:27:00.411 --> 02:27:02.513
REVIEWS THE PLANS TO ENSURE THE
02:27:02.580 --> 02:27:03.948
HOSPITALS ARE REPORTING DATA
02:27:04.015 --> 02:27:05.183
CONSISTENTLY.
02:27:05.249 --> 02:27:07.118
HOWEVER HOSPITAL CHARGES VARY
02:27:07.185 --> 02:27:08.953
FROM REGION TO REGION SO THERE
02:27:09.020 --> 02:27:10.421
IS NO TRULY STANDARDIZED
02:27:10.488 --> 02:27:11.956
REQUIREMENT FOR CALCULATING AND
02:27:12.023 --> 02:27:13.491
RECORDING THE VALUE OF COMMUNITY
02:27:13.558 --> 02:27:14.492
BENEFITS.
02:27:14.559 --> 02:27:15.560
THIS MAKES IT DIFFICULT FOR
02:27:15.626 --> 02:27:17.495
COMMUNITIES TO KNOW THE VALUE OF
02:27:17.562 --> 02:27:18.763
THE COMMUNITY BENEFITS BEING
02:27:18.829 --> 02:27:20.431
PROVIDED BY THE HOSPITAL IN
02:27:20.498 --> 02:27:21.832
EXCHANGE FOR ITS TAX EXEMPT
02:27:21.899 --> 02:27:23.167
STATUS.
02:27:23.234 --> 02:27:24.335
AB TWO OH FOUR REQUIRES ARE
02:27:24.402 --> 02:27:26.704
SPREAD TO DEVELOP REGULATIONS
02:27:26.771 --> 02:27:28.139
STANDARDIZING THE CALCULATION
02:27:28.206 --> 02:27:29.907
AND REPORTING OF COMMUNITY
02:27:29.974 --> 02:27:31.642
BENEFITS. TO REPORT THE AMOUNT
02:27:31.709 --> 02:27:33.644
EACH HOSPITAL SINCE THE SPENDS
02:27:33.711 --> 02:27:35.046
ON COMMUNITY BENEFITS.
02:27:35.112 --> 02:27:36.514
AND AUTHORIZES ARE SPREAD TO
02:27:36.581 --> 02:27:38.749
FIND HOSPITALS IT FAILED TO FILE
02:27:38.816 --> 02:27:40.418
THEIR COMMUNITY BENEFIT PLANS.
02:27:40.484 --> 02:27:42.520
THE BILL REQUIRES HOSPITALS TO
02:27:42.587 --> 02:27:45.089
REPORT THE KEY TO THEIR
02:27:45.156 --> 02:27:47.058
COMMUNITY RATHER THAN US A
02:27:47.124 --> 02:27:48.426
HOSPITAL SYSTEM.
02:27:48.492 --> 02:27:49.827
IS THERE COMMUNITY BENEFIT PLANS
02:27:49.894 --> 02:27:51.262
ON THEIR WEBSITE.
02:27:51.329 --> 02:27:52.730
AND APPLY COMMUNITY BENEFIT
02:27:52.797 --> 02:27:54.498
REPORTING REQUIREMENTS TO ALL
02:27:54.565 --> 02:27:55.800
HOSPITALS THAT ARE A PART OF THE
02:27:55.866 --> 02:27:57.468
SYSTEM INCLUDING SMALL AND RURAL
02:27:57.535 --> 02:27:58.603
HOSPITALS.
02:27:58.669 --> 02:28:00.371
THIS BILL IS INTENDED TO ASSURE
02:28:00.438 --> 02:28:01.639
THAT AS A HOSPITAL SYSTEM MAY
02:28:01.706 --> 02:28:03.674
GROW IN SIZE THE INDIVIDUAL
02:28:03.741 --> 02:28:05.376
HOSPITALS IN THE SYSTEM REMAIN
02:28:05.443 --> 02:28:07.545
MEANINGFUL COMMUNITY PARTNERS.
02:28:07.612 --> 02:28:09.213
I'M WORKING WITH CH A TO ADDRESS
02:28:09.280 --> 02:28:10.748
THEIR CONCERNS THE ANALYSIS
02:28:10.815 --> 02:28:12.149
DESCRIBES AMENDMENTS WELL TAKEN
02:28:12.216 --> 02:28:14.018
APPROPRIATIONS TO ADDRESS A
02:28:14.085 --> 02:28:15.720
PORTION OF THOSE CONCERNS.
02:28:15.786 --> 02:28:16.887
I RESPECTFULLY ASK FOR AN AYE
02:28:16.954 --> 02:28:19.857
VOTE I HAVE TWO WITNESSES WITH
02:28:19.924 --> 02:28:22.393
ME HERE MOVE THE BILL
02:28:22.460 --> 02:28:22.693
[inaudible]
02:28:22.760 --> 02:28:24.562
THANK YOU.
02:28:24.629 --> 02:28:25.396
GOOD AFTERNOON AND JDS HERE ON
02:28:25.463 --> 02:28:26.230
BEHALF OF HEALTH ACCESS
02:28:26.297 --> 02:28:27.398
CALIFORNIA THE STATE WIDE HEALTH
02:28:27.465 --> 02:28:29.567
CARE CONSUMER ADVOCACY COALITION
02:28:29.634 --> 02:28:30.701
WORKING ON AFFORDABLE AND
02:28:30.768 --> 02:28:32.036
QUALITY HEALTHCARE FOR ALL
02:28:32.103 --> 02:28:32.937
CALIFORNIANS.
02:28:33.004 --> 02:28:36.307
AND WE ARE HERE IN SUPPORT OF AB --
02:28:36.374 --> 02:28:37.675
TWO OH FOR JUST REAL FAST HELP
02:28:37.742 --> 02:28:39.176
ACCESS CALIFORNIA HAS LONG
02:28:39.243 --> 02:28:41.846
SUPPORTED THE STANDARDIZATION OF
02:28:41.912 --> 02:28:43.748
COMMUNITY BENEFIT REPORTING --
02:28:43.814 --> 02:28:45.549
BUT SINCE NINETEEN NINETY SIX
02:28:45.616 --> 02:28:47.251
CALIFORNIA HAS PROHIBITED THIS
02:28:47.318 --> 02:28:50.454
PRACTICE AND AB TOOL FOR WHICH
02:28:50.521 --> 02:28:51.656
FIX THAT PROBLEM.
02:28:51.722 --> 02:28:53.391
WHAT COMMUNITY BENEFITS MAY BE
02:28:53.457 --> 02:28:55.760
EXPRESSIONS OF THE HOSPITAL'S
02:28:55.826 --> 02:28:58.462
CHARITABLE MISSIONS AND GOAL IT
02:28:58.529 --> 02:29:01.065
IS ALSO USED AS JUSTIFICATION
02:29:01.132 --> 02:29:02.400
FOR THE HOSPITALS NOW --
02:29:02.466 --> 02:29:04.869
TAX EXEMPT STATUS.
02:29:04.935 --> 02:29:06.570
AB TOOL FOR ISN'T IMPORTANT
02:29:06.637 --> 02:29:07.838
MEASURED THAT INSURERS TAX
02:29:07.905 --> 02:29:09.707
EXEMPT PRIVATE NONPROFIT
02:29:09.774 --> 02:29:10.975
HOSPITALS ARE PROVING THEIR
02:29:11.042 --> 02:29:11.876
WORTH.
02:29:11.942 --> 02:29:13.878
AND ARE ACTUALLY PROVIDING
02:29:13.944 --> 02:29:15.980
MEASURABLE COMMUNITY BENEFITS TO
02:29:16.047 --> 02:29:17.214
THE LOCAL COMMUNITIES THAT THEY
02:29:17.281 --> 02:29:18.149
SERVE.
02:29:18.215 --> 02:29:19.884
THIS IS ESPECIALLY IMPORTANT
02:29:19.950 --> 02:29:21.419
AFTER THE ACA WORD THERE ARE
02:29:21.485 --> 02:29:23.321
STILL THREE MILLION CALIFORNIANS
02:29:23.387 --> 02:29:25.222
WHO REMAIN UNINSURED AND MANY
02:29:25.289 --> 02:29:26.657
MORE CALIFORNIANS WERE UNDER
02:29:26.724 --> 02:29:28.693
INSURED AND CANNOT AFFORD THEIR
02:29:28.759 --> 02:29:29.260
COVERAGE.
02:29:29.327 --> 02:29:30.628
THROUGH PREMIUMS AND COST
02:29:30.695 --> 02:29:32.897
SHARING FOR THESE REASONS WE
02:29:32.963 --> 02:29:35.666
SUPPORT THE BILL AND WE REQUEST
02:29:35.733 --> 02:29:38.636
ARRIVAL THANK YOU.
02:29:38.703 --> 02:29:41.372
THANK YOU SO MUCH.
02:29:41.439 --> 02:29:43.007
MR CHAIRMAN MEMBERS MARK WINDOWS
02:29:43.074 --> 02:29:43.607
WITH US HERE YOU CALIFORNIA.
02:29:43.674 --> 02:29:44.108
THIS BILL IS ESPECIALLY
02:29:44.175 --> 02:29:44.709
IMPORTANT GIVEN LAST YEAR'S
02:29:44.775 --> 02:29:45.910
TREND OF HOSPITALS REQUESTING
02:29:45.976 --> 02:29:48.079
WAIVERS FROM AG BESET US OFFICE
02:29:48.145 --> 02:29:48.746
FOR CHECK A CHARITY CARE
02:29:48.813 --> 02:29:49.980
CONDITIONS PLACED ON NONPROFIT
02:29:50.047 --> 02:29:52.049
HOSPITAL TRANSACTIONS --
02:29:52.116 --> 02:29:54.985
BY FORMER AT AG DUE TO A DROP IN
02:29:55.052 --> 02:29:56.520
THE UNINSURED RATES THESE WAIVER
02:29:56.587 --> 02:29:58.389
REQUEST COME FROM THROUGHOUT THE
02:29:58.456 --> 02:29:59.523
STATE INCLUDING THE CENTRAL
02:29:59.590 --> 02:30:01.325
VALLEY CITING LAST NEED.
02:30:01.392 --> 02:30:04.295
DUE TO GREATER NUMBERS OF
02:30:04.362 --> 02:30:07.031
INSURED THINGS TAKE IN A LOT TO
02:30:07.098 --> 02:30:08.265
IMPROVE AND SAVE LIVES THROUGH
02:30:08.332 --> 02:30:09.266
NEW AFFORDABLE COVERAGE
02:30:09.333 --> 02:30:10.801
OPPORTUNITY SIGNIFICANT NEEDS
02:30:10.868 --> 02:30:12.470
CONTINUE TO EXIST. FOR
02:30:12.536 --> 02:30:13.671
AFFORDABILITY AND ACCESS
02:30:13.738 --> 02:30:15.973
PARTICULARLY IN UNDERSERVED
02:30:16.040 --> 02:30:16.907
COMMUNITIES SUCH AS THE CENTRAL
02:30:16.974 --> 02:30:17.575
VALLEY.
02:30:17.641 --> 02:30:18.943
SEIU BELIEVES THIS THIS REPORT
02:30:19.009 --> 02:30:20.077
ALIGNMENT AND GUIDANCE THAT
02:30:20.144 --> 02:30:22.446
WOULD BE PROVIDED UNDER EIGHTY
02:30:22.513 --> 02:30:23.414
TWO OH FOUR IS LONG OVERDUE FOR
02:30:23.481 --> 02:30:25.216
THESE REASONS WE'RE PLEASED TO
02:30:25.282 --> 02:30:26.550
SUPPORT THE MEASURE THANK YOU.
02:30:26.617 --> 02:30:29.286
THANK YOU SO MUCH ANY ADDITIONAL
02:30:29.353 --> 02:30:30.488
WITNESSES IN SUPPORT.
02:30:30.554 --> 02:30:31.589
MISTER CHAIR MEMBERS THEIR
02:30:31.655 --> 02:30:33.758
FLOCKS CALIFORNIA LABOR
02:30:33.824 --> 02:30:36.494
FEDERATION IN SUPPORT.
02:30:36.560 --> 02:30:37.628
GOOD AFTERNOON CHRISTIE WE SAW
02:30:37.695 --> 02:30:38.829
ON BEHALF OF THE CALIFORNIA
02:30:38.896 --> 02:30:40.931
HOSPITAL ASSOCIATION WE DO HAVE
02:30:40.998 --> 02:30:42.633
SOME CONCERNS IN THE BILL WHICH
02:30:42.700 --> 02:30:44.535
ARE REFLECTED IN THE ANALYSIS --
02:30:44.602 --> 02:30:45.469
WE HAVE BEEN HAVING VERY
02:30:45.536 --> 02:30:46.971
PRODUCTIVE CONVERSATIONS WITH
02:30:47.037 --> 02:30:48.506
THE AUTHOR AND STAFF THANK YOU
02:30:48.572 --> 02:30:50.207
FOR THAT AND WE ARE OPTIMISTIC
02:30:50.274 --> 02:30:51.776
THAT WE WILL BE ABLE TO RESOLVE
02:30:51.842 --> 02:30:53.344
OUR CONCERNS.
02:30:53.411 --> 02:30:55.279
ARE WE APPRECIATE YOUR DRESSING
02:30:55.346 --> 02:30:56.347
ONE OF THOSE WITH ONE OF THE
02:30:56.414 --> 02:30:58.716
AMENDMENT TO BE TAKING TING
02:30:58.783 --> 02:30:58.983
COMMITTEE.
02:30:59.049 --> 02:31:00.084
THANK YOU [inaudible]
02:31:00.151 --> 02:31:01.886
THANK YOU.
02:31:01.952 --> 02:31:03.053
MISTER CHAIR COMMITTEE MEMBERS
02:31:03.120 --> 02:31:03.821
MY NAME IS ERICA BROWN I AM A
02:31:03.888 --> 02:31:05.723
DOCTORAL STUDENT AT THE BERKELEY
02:31:05.790 --> 02:31:07.324
SCHOOL PUBLIC HEALTH STUDIES
02:31:07.391 --> 02:31:08.659
HOSPITAL COMMUNITY BENEFITS I'M
02:31:08.726 --> 02:31:09.360
A FORMER COMMUNITY BENEFIT
02:31:09.427 --> 02:31:10.361
MANAGER ALAMEDA.
02:31:10.428 --> 02:31:11.962
AND CONTRA COSTA COUNTIES IN
02:31:12.029 --> 02:31:13.664
STRONG SUPPORT OF THIS BILL
02:31:13.731 --> 02:31:14.865
THANK YOU FOR YOUR LEADERSHIP.
02:31:14.932 --> 02:31:17.134
THANK YOU SO MUCH IS ARE THERE
02:31:17.201 --> 02:31:21.305
ANY WITNESSES IN OPPOSITION.
02:31:21.372 --> 02:31:22.339
THERE ARE NO WITNESSES
02:31:22.406 --> 02:31:24.008
OPPOSITION WILL COME BACK TO THE
02:31:24.074 --> 02:31:25.910
COMMITTEE ARE THERE ANY
02:31:25.976 --> 02:31:29.213
QUESTIONS FROM MEMBERS.
02:31:29.280 --> 02:31:30.748
DOCTOR WOULD YOU LIKE TO CLOSE.
02:31:30.815 --> 02:31:32.216
I RESPECTFULLY ASK YOUR AYE VOTE
02:31:32.283 --> 02:31:33.684
I JUST WOULD WOULD NOTE THAT --
02:31:33.751 --> 02:31:35.286
THIS ACTUALLY CAME TO ME FROM MY
02:31:35.352 --> 02:31:37.087
DISTRICT --
02:31:37.154 --> 02:31:39.290
AND JUST HOSPITAL ABOUT FOLKS IN
02:31:39.356 --> 02:31:40.057
THE COMMUNITY WANTED TO KNOW
02:31:40.124 --> 02:31:41.992
ABOUT A HOSPITAL PART OF A LARGE
02:31:42.059 --> 02:31:43.127
HOSPITAL SYSTEMS.
02:31:43.194 --> 02:31:44.061
AND THEY HEAR ALL THE TIME THAT
02:31:44.128 --> 02:31:45.095
WE'RE BENEFITING YOUR COMMUTE
02:31:45.162 --> 02:31:46.096
THEY JUST WANT TO KNOW AT WHAT
02:31:46.163 --> 02:31:47.498
LEVEL YOU BENEFITING OUR
02:31:47.565 --> 02:31:48.732
COMMUNITY SO --
02:31:48.799 --> 02:31:50.401
IT'S A SIMPLE AS THAT SO THANK
02:31:50.468 --> 02:31:53.337
YOU VERY MUCH FOR THE MOTION
02:31:53.404 --> 02:31:54.638
FROM THE AGAR OCCURRING AND A
02:31:54.705 --> 02:31:56.607
SECOND BY CHIU THE MOTION IS TO
02:31:56.674 --> 02:31:58.576
PASSED APPROPRIATIONS PLEASE
02:31:58.642 --> 02:31:59.577
CALL THE ROLL.
02:31:59.643 --> 02:32:03.581
WHAT I WOULD AYE MAYES AYE MAYES
02:32:03.647 --> 02:32:06.684
AYE AGAR CURRY?
02:32:06.750 --> 02:32:09.353
I CARE CREE AYE BIGELOW.
02:32:09.420 --> 02:32:10.721
BONTA BONTA AYE BURKE BURKE I
02:32:10.788 --> 02:32:11.622
CARILLO.
02:32:11.689 --> 02:32:13.858
CARILLO AYE FLORA.
02:32:13.924 --> 02:32:15.359
FLORA I LOVE MON.
02:32:15.426 --> 02:32:18.195
LIMóN AYE MCCARTY.
02:32:18.262 --> 02:32:19.363
NAZARIAN.
02:32:19.430 --> 02:32:21.632
NAZARIAN AYE RAMOS.
02:32:21.699 --> 02:32:24.902
RAMOS I TO TO AYE SANTIAGO
02:32:24.969 --> 02:32:25.202
[inaudible]
02:32:25.269 --> 02:32:26.971
WALDRON [inaudible]
02:32:27.037 --> 02:32:31.141
WALDRON AYE.
02:32:31.208 --> 02:32:36.313
WE HAVE THIRTEEN VOTES --
02:32:36.380 --> 02:32:39.483
I BELIEVE BELIEVE IT OPEN. TWO
02:32:39.550 --> 02:32:40.918
TWO I'M SORRY STIRS TWELVE
02:32:40.985 --> 02:32:41.919
POLITICAL LEAVE IT OPEN AND THEN
02:32:41.986 --> 02:32:43.454
ON YOUR NEXT BILL GREAT THANK
02:32:43.521 --> 02:32:48.125
YOU VERY MUCH.
02:32:48.192 --> 02:32:49.326
GOOD AFTERNOON MAYOR MISTER
02:32:49.393 --> 02:32:50.528
CHAIR AND MEMBERS.
02:32:50.594 --> 02:32:53.230
AB.
02:32:53.297 --> 02:32:54.465
TWO NINETY THE PROPOSAL BEFORE
02:32:54.532 --> 02:32:56.033
YOU IS NOT A NEW.
02:32:56.100 --> 02:32:57.902
ONE AB TWO NINETY IS SIMILAR TO
02:32:57.968 --> 02:33:00.771
SB ELEVEN FIFTY SIX OF LAST YEAR
02:33:00.838 --> 02:33:02.139
CARRIED BY SENATOR LEYVA.
02:33:02.206 --> 02:33:04.108
SENATOR LABORS BILL MADE IT TO
02:33:04.174 --> 02:33:04.675
THE GOVERNOR'S DESK BUT WAS
02:33:04.742 --> 02:33:05.676
VETOED.
02:33:05.743 --> 02:33:06.644
IN MY BILL I'VE INCLUDED
02:33:06.710 --> 02:33:08.212
LANGUAGE TO ADDRESS THE VERY
02:33:08.279 --> 02:33:09.213
CONCERNS EXPRESSED BY THEN
02:33:09.280 --> 02:33:11.115
GOVERNOR BROWN.
02:33:11.181 --> 02:33:13.017
HEALTHCARE PREMIUMS ARE ALREADY
02:33:13.083 --> 02:33:15.019
TOO EXPENSIVE FOR MANY PEOPLE
02:33:15.085 --> 02:33:16.320
AND WHEN GIMMICKS BY PROVIDERS
02:33:16.387 --> 02:33:17.321
ARE USED TO ENSURE THAT
02:33:17.388 --> 02:33:19.189
REIMBURSEMENT RATES ARE HIGHER
02:33:19.256 --> 02:33:20.457
THAN THEY SHOULD BE.
02:33:20.524 --> 02:33:22.526
IT'S TIME TO DO SOMETHING.
02:33:22.593 --> 02:33:24.228
THIS BILL WILL PREVENT PROVIDERS
02:33:24.295 --> 02:33:25.596
FROM GAMING THE SYSTEM AS A
02:33:25.663 --> 02:33:26.897
MECHANISM TO ARTIFICIALLY
02:33:26.964 --> 02:33:28.566
GENERATES THREE TO FOUR TIMES
02:33:28.632 --> 02:33:30.100
THE MEDICARE RATE FOR PROVIDING
02:33:30.167 --> 02:33:31.802
THE EXACT SAME CARE.
02:33:31.869 --> 02:33:32.736
WELL YOU PROBABLY HEARD
02:33:32.803 --> 02:33:34.438
ARGUMENTS AND HE EVEN ADDS A%
02:33:34.505 --> 02:33:35.639
SCARE PATIENTS ABOUT HOW THE
02:33:35.706 --> 02:33:37.274
SYSTEM OF CARE WILL COLLAPSE OR
02:33:37.341 --> 02:33:38.576
CLINICS WILL CLOSE.
02:33:38.642 --> 02:33:40.945
THE COMMERCIAL MARKET MOVES TO A
02:33:41.011 --> 02:33:42.179
MEDICARE REIMBURSEMENT LEVEL.
02:33:42.246 --> 02:33:44.014
I CAN TELL YOU THAT OF A LOOK AT
02:33:44.081 --> 02:33:44.648
THIS CAREFULLY AND I QUESTIONED
02:33:44.715 --> 02:33:45.416
IT.
02:33:45.482 --> 02:33:47.117
I REMAIN UNCONVINCED THAT THE
02:33:47.184 --> 02:33:47.985
LIMITED NUMBER OF PATIENTS
02:33:48.052 --> 02:33:49.420
RECEIVING ASSISTANCE UNDER THIS
02:33:49.486 --> 02:33:51.322
PROGRAM WILL FUNDAMENTALLY
02:33:51.388 --> 02:33:52.489
DISRUPT THE CARE THAT PATIENTS
02:33:52.556 --> 02:33:54.658
RECEIVE.
02:33:54.725 --> 02:33:56.160
THE GAMING OF THE SYSTEM IS
02:33:56.226 --> 02:33:57.861
HARMFUL IN MANY WAYS BUT OUR
02:33:57.928 --> 02:33:59.597
PRIMARY CONCERN IS HOW IT DRIVES
02:33:59.663 --> 02:34:01.298
UP THE COST FOR EVERYONE BY
02:34:01.365 --> 02:34:03.701
SHIFTING RISK TO A FRAGILE AND
02:34:03.767 --> 02:34:05.169
COSTLY INDIVIDUAL MARKET.
02:34:05.235 --> 02:34:06.303
HEALTHCARE PREMIUMS IN THE
02:34:06.370 --> 02:34:07.538
COMMERCIAL MARKET ARE
02:34:07.605 --> 02:34:09.206
INCREASINGLY COSTLY AND THAT
02:34:09.273 --> 02:34:11.241
MUST CHANGE THAT'S WHY AUTHORED
02:34:11.308 --> 02:34:13.344
A A. B. TWO TO NINETY AS WELL AS
02:34:13.410 --> 02:34:15.479
MY OTHER BILL AB ONE SEVENTY
02:34:15.546 --> 02:34:16.880
FOUR WHICH PROPOSES SUBSIDIES TO
02:34:16.947 --> 02:34:17.514
PROVIDE.
02:34:17.581 --> 02:34:19.383
A BROADER NUMBER OF PEOPLE TO
02:34:19.450 --> 02:34:19.783
MAKE --
02:34:19.850 --> 02:34:21.585
PROVIDED SUBSIDIES TO A BROADER
02:34:21.652 --> 02:34:23.687
NUMBER OF PEOPLE TO MAKE ACA
02:34:23.754 --> 02:34:25.322
COVERAGE MORE AFFORDABLE.
02:34:25.389 --> 02:34:27.024
THIS BILL IS ABOUT HELPING ABOUT
02:34:27.091 --> 02:34:28.258
MAKING THE HEALTHCARE MARKET
02:34:28.325 --> 02:34:30.260
WORK WITHOUT UNDUE DISTORTIONS
02:34:30.327 --> 02:34:32.162
DRIVEN STRICTLY BY PROFIT
02:34:32.229 --> 02:34:33.697
MOTIVATED COMPANIES.
02:34:33.764 --> 02:34:35.232
WHY YOU MAY HAVE HEARD ARGUMENTS
02:34:35.299 --> 02:34:37.067
IS THIS ISN'T ABOUT PART IT'S IT
02:34:37.134 --> 02:34:38.902
IS NOT?
02:34:38.969 --> 02:34:40.404
THEIR PROFITS ARE ALREADY HIGHLY
02:34:40.471 --> 02:34:42.006
REGULATED AND THIS BILL SIMPLY
02:34:42.072 --> 02:34:43.707
LIMITS REIMBURSEMENT FOR ONE
02:34:43.774 --> 02:34:45.109
ASPECT OF COVERAGE.
02:34:45.175 --> 02:34:46.410
IT DOESN'T RELIEVE INSURANCE
02:34:46.477 --> 02:34:47.645
COMPANIES OF THEIR
02:34:47.711 --> 02:34:49.380
RESPONSIBILITY TO COST --
02:34:49.446 --> 02:34:50.347
TO COVER COSTLY DRUG MATT
02:34:50.414 --> 02:34:51.682
REGIMENS OR OTHER RELATED
02:34:51.749 --> 02:34:53.384
TREATMENT.
02:34:53.450 --> 02:34:55.619
AB TWO NINETY PROTECT LEGITIMATE
02:34:55.686 --> 02:34:58.188
THIRD PARTY PAYMENT MECHANISMS.
02:34:58.255 --> 02:35:00.057
REMOVES THE INCENTIVE PROVIDERS
02:35:00.124 --> 02:35:01.692
TO GAME THE SYSTEM AND ESTABLISH
02:35:01.759 --> 02:35:03.127
THE SAFEGUARDS TO WHOLE PATIENTS
02:35:03.193 --> 02:35:04.461
WHO MAY HAVE INADVERTENTLY BEEN
02:35:04.528 --> 02:35:05.996
CAUGHT UP IN ONE OF THESE
02:35:06.063 --> 02:35:07.598
PAYMENT SCHEMES HARMLESS.
02:35:07.665 --> 02:35:09.166
THE BILL DOES NOT PRECLUDE ANY
02:35:09.233 --> 02:35:10.701
ENTITY FROM CONTRIBUTING TO A
02:35:10.768 --> 02:35:12.102
CHARITABLE ORGANIZATION FOR THE
02:35:12.169 --> 02:35:13.671
PURPOSE OF HELPING A PATIENT TO
02:35:13.737 --> 02:35:14.972
PAY FOR THEIR CARE WERE THERE
02:35:15.039 --> 02:35:15.939
COVERAGE.
02:35:16.006 --> 02:35:17.541
IT ONLY PREVENTS THE ENTITY FROM
02:35:17.608 --> 02:35:19.643
INCREASING THEIR PROFITS BY
02:35:19.710 --> 02:35:20.978
MAKING THOSE CONTRIBUTIONS.
02:35:21.045 --> 02:35:22.446
WHETHER THEY CONTINUE TO MAKE
02:35:22.513 --> 02:35:24.415
THESE CONTRIBUTIONS MAYBE THE
02:35:24.481 --> 02:35:25.816
REAL INDICATION OF WHETHER THE
02:35:25.883 --> 02:35:28.419
CONTRIBUTIONS ARE ABOUT PATIENTS.
02:35:28.485 --> 02:35:29.987
OR ABOUT PROFITS.
02:35:30.054 --> 02:35:31.488
HERE IN SUPPORT WITH ME TODAY
02:35:31.555 --> 02:35:32.723
STEPHANIE WATKINS OF THE
02:35:32.790 --> 02:35:35.259
ASSOCIATION CALIFORNIA LIFE AND
02:35:35.325 --> 02:35:36.593
INSURANCE COMPANIES.
02:35:36.660 --> 02:35:37.828
AND SERRA FLOCKS WITH THE
02:35:37.895 --> 02:35:41.198
CALIFORNIA LABOR FEDERATION.
02:35:41.265 --> 02:35:42.332
MISTER CHAIR MEMBERS THEIR
02:35:42.399 --> 02:35:43.834
FLOCKS CALIFORNIA LABOR
02:35:43.901 --> 02:35:45.235
FEDERATION --
02:35:45.302 --> 02:35:47.071
OUR AFFILIATES NEGOTIATE FOR AND
02:35:47.137 --> 02:35:48.972
PURCHASE HEALTH BENEFITS ON
02:35:49.039 --> 02:35:50.607
BEHALF OF TWO MILLION UNIVERSE
02:35:50.674 --> 02:35:51.975
IN CALIFORNIA.
02:35:52.042 --> 02:35:54.044
AND WE ARE FEELING THE IMPACTS
02:35:54.111 --> 02:35:55.646
OF THE SCHEME THAT DOCTOR WOULD
02:35:55.713 --> 02:35:57.314
DESCRIBED --
02:35:57.381 --> 02:35:58.949
WHICH IS UNNECESSARY THERE'S A
02:35:59.016 --> 02:36:01.018
FEW PROVIDERS IN THE STATE THAT
02:36:01.085 --> 02:36:02.419
ARE EXPLOITING THE CONSUMER
02:36:02.486 --> 02:36:04.188
PROTECTIONS IN THE AFFORDABLE
02:36:04.254 --> 02:36:06.056
CARE ACT. TO CHARGE HIGHER
02:36:06.123 --> 02:36:10.027
REIMBURSEMENT RATE FEELING IT --
02:36:10.094 --> 02:36:11.595
IN TWENTY SEVENTEEN THERE WAS A
02:36:11.662 --> 02:36:13.797
LEADING DIALYSIS COMPANY THAT
02:36:13.864 --> 02:36:17.134
HAD A DISCLOSURE THAT FOUR
02:36:17.201 --> 02:36:18.635
THOUSAND OF THEIR PATIENTS WE'RE
02:36:18.702 --> 02:36:20.471
GETTING CHARITABLE PREMIUM MAKE --
02:36:20.537 --> 02:36:23.507
ASSISTANCE FROM THE A. K. F. TO
02:36:23.574 --> 02:36:26.677
COVER THEIR GROUP COVERAGE THEIR
02:36:26.744 --> 02:36:30.948
COBRA OR THE THE PLAN THAT THEIR
02:36:31.014 --> 02:36:31.715
EMPLOYER PROVIDE IT.
02:36:31.782 --> 02:36:34.017
THAT MEANS THAT THERE ARE FOUR
02:36:34.084 --> 02:36:35.619
THOUSAND PATIENTS WHOSE
02:36:35.686 --> 02:36:37.020
EMPLOYERS ARE PAYING AN
02:36:37.087 --> 02:36:39.289
ARTIFICIALLY INFLATED RATE FOR
02:36:39.356 --> 02:36:41.658
THEIR DIALYSIS CARE.
02:36:41.725 --> 02:36:44.628
THAT MEANS THERE ARE FOUR
02:36:44.695 --> 02:36:46.497
THOUSAND WORKERS WHO ARE ALSO
02:36:46.563 --> 02:36:48.599
HAVING TO COVER THE COST OF THAT
02:36:48.665 --> 02:36:51.135
CARE UNNECESSARILY.
02:36:51.201 --> 02:36:53.003
WHEN THAT GETS BUILT INTO THEIR
02:36:53.070 --> 02:36:55.506
PREMIUMS THIS IS SOMETHING THAT
02:36:55.572 --> 02:36:57.741
DRIVES UP THE COST OF CARE IT
02:36:57.808 --> 02:36:59.376
TAKES MONEY OUT OF THE POCKETS
02:36:59.443 --> 02:37:00.611
OF WORKERS IN THE STATE OF
02:37:00.677 --> 02:37:03.514
CALIFORNIA AND IS UNNECESSARY?
02:37:03.580 --> 02:37:05.916
AB TWO NINETY IS A BILL THAT WE
02:37:05.983 --> 02:37:08.719
CAN USE THAT WILL PROTECT
02:37:08.786 --> 02:37:10.387
PATIENTS AND MAKE SURE THAT THEY
02:37:10.454 --> 02:37:11.588
GET THE CARE THEY NEED.
02:37:11.655 --> 02:37:13.157
BUT A LIMóN EIGHT WHAT IS
02:37:13.223 --> 02:37:15.826
BASICALLY WASTE IN THE SYSTEM.
02:37:15.893 --> 02:37:17.761
AND SO WE CAN MAKE SURE THAT
02:37:17.828 --> 02:37:20.197
THOSE FOUR THOUSAND PATIENTS ARE
02:37:20.264 --> 02:37:21.498
STILL GETTING THE CARE THEY NEED
02:37:21.565 --> 02:37:23.000
BUT THEY'RE NOT TAKING MONEY OUT
02:37:23.066 --> 02:37:24.935
OF THE POCKETS OF WORKERS AND
02:37:25.002 --> 02:37:25.502
EMPLOYERS IN THE STATE OF
02:37:25.569 --> 02:37:26.403
CALIFORNIA.
02:37:26.470 --> 02:37:28.238
AND FOR THAT REASON WE URGE YOUR
02:37:28.305 --> 02:37:30.707
SUPPORT THANK YOU.
02:37:30.774 --> 02:37:33.177
THANK YOU NEXT WITNESS.
02:37:33.243 --> 02:37:33.777
ANY WALK INS ON BEHALF OF THE
02:37:33.844 --> 02:37:34.444
ASSOCIATION OF CALIFORNIA LIFE
02:37:34.511 --> 02:37:35.746
AND HEALTH INSURANCE COMPANIES
02:37:35.813 --> 02:37:36.914
FIRST WE'D LIKE TO THANK THE
02:37:36.980 --> 02:37:38.749
AUTHOR FOR TAKING ON THIS REALLY
02:37:38.816 --> 02:37:40.284
IMPORTANT ISSUE.
02:37:40.350 --> 02:37:41.185
AND FOR THE MEMBERS AND ALL THE
02:37:41.251 --> 02:37:42.786
TIME THAT WE SPENT WITH A LOT OF
02:37:42.853 --> 02:37:44.922
YOU TRYING TO EXPLAIN --
02:37:44.988 --> 02:37:46.723
WHAT THIS DOES TO THE SYSTEM AND
02:37:46.790 --> 02:37:48.692
HOW IT REALLY HARMS PREMIUM
02:37:48.759 --> 02:37:50.627
PAYERS AND I'D I'D FIRST LIKE TO
02:37:50.694 --> 02:37:52.196
START UP WITH SAYING THAT AND NO
02:37:52.262 --> 02:37:53.430
WAY -- IS
02:37:53.497 --> 02:37:55.098
THIS BILL INTENDED TO DISPARAGE
02:37:55.165 --> 02:37:57.401
THE GOOD WORKS OF NON PROFITS I
02:37:57.467 --> 02:37:59.269
THINK WE ALL SEE A ROLE FOR THEM
02:37:59.336 --> 02:38:00.971
TO PLAY IN IT CERTAINLY.
02:38:01.038 --> 02:38:02.372
ONE THAT WE SUPPORT
02:38:02.439 --> 02:38:03.540
UNFORTUNATELY WHAT WE'VE SEEN IS
02:38:03.607 --> 02:38:05.809
A SMALL SUBSET OF PROVIDERS.
02:38:05.876 --> 02:38:08.345
USING THE GUARANTEED ISSUE --
02:38:08.412 --> 02:38:10.681
PROVISIONS THAT WERE ESTABLISHED
02:38:10.747 --> 02:38:13.984
IN THE A. C. THE SHIFT PEOPLE
02:38:14.051 --> 02:38:15.886
FROM OTHERWISE BE MEDICARE
02:38:15.953 --> 02:38:17.721
MEDICAID ELIGIBLE INTO
02:38:17.788 --> 02:38:19.223
COMMERCIAL ALLIANCE OF COVERAGE.
02:38:19.289 --> 02:38:21.491
AND WHAT THAT REALLY DOES IS IT
02:38:21.558 --> 02:38:23.527
NOT ONLY PUTS THAT PATIENT AT
02:38:23.594 --> 02:38:25.062
RISK IN SOME SENSES BECAUSE TO
02:38:25.128 --> 02:38:26.697
REALLY UNDERSTAND THAT IF YOU'RE
02:38:26.763 --> 02:38:28.832
ON A COMMERCIAL PLAN EVEN A PPO
02:38:28.899 --> 02:38:30.701
PLATINUM PLAN YOU MAY BE --
02:38:30.767 --> 02:38:32.369
HAVE TO PAY OTHER COPAYS
02:38:32.436 --> 02:38:34.571
COINSURANCE MANY OF THESE PEOPLE
02:38:34.638 --> 02:38:35.606
ARE INCREDIBLY SICK THEY HAVE
02:38:35.672 --> 02:38:37.207
COMORBIDITIES THEY OFTEN END UP
02:38:37.274 --> 02:38:39.209
IN THE HOSPITAL WITH THAT COMES
02:38:39.276 --> 02:38:40.577
THOUSANDS OF DOLLARS OF EXTRA
02:38:40.644 --> 02:38:42.079
COSTS THAT THEY MAY NOT
02:38:42.145 --> 02:38:44.314
NECESSARILY UNDERSTAND OR EXPECT.
02:38:44.381 --> 02:38:45.582
I THINK THE OTHER THING IS IS
02:38:45.649 --> 02:38:47.351
THAT WE'VE TRIED REALLY HARD
02:38:47.417 --> 02:38:49.019
WITH THIS BILL TO THREAD A
02:38:49.086 --> 02:38:50.320
NEEDLE OF PROTECTING THOSE
02:38:50.387 --> 02:38:52.055
FORMAL PATIENTS AND ALLOWING
02:38:52.122 --> 02:38:53.323
THESE NONPROFIT.
02:38:53.390 --> 02:38:55.058
IF IF IT IS IN THE BEST INTEREST
02:38:55.125 --> 02:38:57.094
OF THE PATIENT TO ACTUALLY PAY
02:38:57.160 --> 02:38:59.162
THEIR PREMIUMS BUT WHAT WE WANT
02:38:59.229 --> 02:39:00.330
TO DO IS MAKE SURE THAT THOSE
02:39:00.397 --> 02:39:01.431
DECISIONS ARE BEING MADE ON THE
02:39:01.498 --> 02:39:03.200
BEST INTEREST OF THE PATIENT AND
02:39:03.267 --> 02:39:05.135
NOT BASED ON THE BEST INTEREST
02:39:05.202 --> 02:39:06.069
OF THE PROVIDER.
02:39:06.136 --> 02:39:07.337
AND SO WE'VE WE'VE TRIED TO DO
02:39:07.404 --> 02:39:09.139
IS TAKE OUT THE FINANCIAL
02:39:09.206 --> 02:39:10.974
INCENTIVE OF THAT AND LIKE
02:39:11.041 --> 02:39:13.343
DOCTOR WOULD MENTIONED WE ALSO
02:39:13.410 --> 02:39:15.112
PUT IN PROVISIONS TO ENSURE THAT
02:39:15.178 --> 02:39:16.413
THIS IS NO WAY TO DO UNDER
02:39:16.480 --> 02:39:17.881
WRITING THIS IS IN A WAY TO
02:39:17.948 --> 02:39:19.283
SHIFT PEOPLE OFF OF OUR ROLES.
02:39:19.349 --> 02:39:21.051
THIS IS SIMPLY A WAY TO MAKE
02:39:21.118 --> 02:39:22.819
SURE THAT THOSE INDIVIDUALS WHO
02:39:22.886 --> 02:39:24.554
ARE BEING SUPPORTED WHO ARE
02:39:24.621 --> 02:39:26.790
BEING SPONSORED TRULY UNDERSTAND
02:39:26.857 --> 02:39:28.392
THE RAMIFICATIONS OF THE PRODUCT
02:39:28.458 --> 02:39:30.694
THEY'RE ON THEY THEY ARE COVERED
02:39:30.761 --> 02:39:32.362
FOR A FULL TWELVE MONTHS OF THE
02:39:32.429 --> 02:39:33.363
PLAN YEAR.
02:39:33.430 --> 02:39:35.666
THAT THE PLANS ARE NOTIFIED WHEN
02:39:35.732 --> 02:39:36.934
THIS HAPPENS WHEN THERE IS A
02:39:37.000 --> 02:39:38.535
THIRD OF FINANCIALLY INTERESTED
02:39:38.602 --> 02:39:39.870
THIRD PARTY PAYER.
02:39:39.937 --> 02:39:42.072
AND ALSO LASTLY THAT WE DO YOU
02:39:42.139 --> 02:39:43.640
ADDRESS THE REIMBURSEMENT RATE
02:39:43.707 --> 02:39:44.942
TO ENSURE THAT.
02:39:45.008 --> 02:39:47.010
THOSE WHO WERE WHO WERE ADVISING
02:39:47.077 --> 02:39:48.979
CONSULTING AND HELPING THESE
02:39:49.046 --> 02:39:50.714
PATIENTS ARE DOING IT OUT OF THE
02:39:50.781 --> 02:39:52.316
BEST INTEREST OF THE PATIENT AND
02:39:52.382 --> 02:39:53.717
NOT BECAUSE THERE'S A FINANCIAL
02:39:53.784 --> 02:39:55.018
INTEREST TO THEM.
02:39:55.085 --> 02:39:58.755
AND A PERFECT EXAMPLE AS MANY OF
02:39:58.822 --> 02:40:01.558
YOU GUYS HAVE BEEN AROUND FOR IS
02:40:01.625 --> 02:40:02.526
HIGHLIGHTED THAT.
02:40:02.592 --> 02:40:03.860
BECAUSE THEY ARE COMMISSION BASE
02:40:03.927 --> 02:40:04.962
BECAUSE WE WANT TO MAKE SURE
02:40:05.028 --> 02:40:05.996
THAT THEY WERE ADVISING PEOPLE
02:40:06.063 --> 02:40:07.831
IN THE BEST INTEREST IF SOMEONE
02:40:07.898 --> 02:40:09.366
WAS OTHERWISE ELIGIBLE FOR MEDIC
02:40:09.433 --> 02:40:11.335
HOW THAT CHOSE TO BE IN A
02:40:11.401 --> 02:40:12.402
COMMERCIAL PLAN.
02:40:12.469 --> 02:40:13.704
THAT AGENT OR BROKER DIDN'T
02:40:13.770 --> 02:40:14.705
RECEIVE A COMMISSION BASED ON
02:40:14.771 --> 02:40:16.239
THAT TO ENSURE THAT THEY WERE
02:40:16.306 --> 02:40:18.141
REALLY ADVISING PEOPLE BASED ON
02:40:18.208 --> 02:40:19.509
THEIR OWN PERSONAL AND BEST
02:40:19.576 --> 02:40:20.377
INTERESTS.
02:40:20.444 --> 02:40:21.611
AND REALLY WE'VE TRIED REALLY
02:40:21.678 --> 02:40:23.146
HARD TO WORK WITH OUR PARTNERS
02:40:23.213 --> 02:40:25.649
AND WITH THE WITH THE DOCTOR
02:40:25.716 --> 02:40:26.850
WOULD TO MAKE SURE THAT THIS
02:40:26.917 --> 02:40:28.652
BILL STRIKE THAT BALANCE AND
02:40:28.719 --> 02:40:29.820
PROTECTS WONDERFUL PATIENTS
02:40:29.886 --> 02:40:30.921
WHILE ALSO.
02:40:30.988 --> 02:40:34.124
ENSURING THE INTEGRITY OF THE
02:40:34.191 --> 02:40:35.425
SYSTEM GOING FORWARD.
02:40:35.492 --> 02:40:37.394
THANK YOU THINK WE GOT ABOUT A
02:40:37.461 --> 02:40:39.763
MILLION HALF LEFT.
02:40:39.830 --> 02:40:40.697
HI JOAN ALLEN WITH US YEAH YOU
02:40:40.764 --> 02:40:41.331
UNITED HEALTHCARE WORKERS HERE
02:40:41.398 --> 02:40:42.833
TO AVAILABLE TO ANSWER TECHNICAL
02:40:42.899 --> 02:40:47.771
QUESTIONS.
02:40:47.838 --> 02:40:48.338
ANY ADDITIONAL WITNESSES IN
02:40:48.405 --> 02:40:50.007
SUPPORT.
02:40:50.073 --> 02:40:51.408
GOOD AFTERNOON TIM VALDERRAMA
02:40:51.475 --> 02:40:52.442
WITH THE WHITEMAN GROUP ON
02:40:52.509 --> 02:40:53.744
BEHALF OF THIS YEAH YOU
02:40:53.810 --> 02:40:54.678
CALIFORNIANS STRONG SUPPORT
02:40:54.745 --> 02:40:54.978
[inaudible]
02:40:55.045 --> 02:40:57.447
THANK YOU.
02:40:57.514 --> 02:40:59.416
M. JDS ON BEHALF OF HEALTH
02:40:59.483 --> 02:41:00.984
ACCESS CALIFORNIA IN SUPPORT.
02:41:01.051 --> 02:41:02.419
THANK YOU.
02:41:02.486 --> 02:41:05.422
SHARIF ALI DIALYSIS PATIENT I'M
02:41:05.489 --> 02:41:07.924
A SUPPORT OF THE BILL THANK YOU.
02:41:07.991 --> 02:41:09.026
NICK LOUISA'S ON BEHALF OF THE
02:41:09.092 --> 02:41:10.794
CALIFORNIA ASSOCIATION OF HEALTH
02:41:10.861 --> 02:41:13.597
PLANS IN SUPPORT THANK YOU.
02:41:13.663 --> 02:41:15.699
CARL SUPPORT OF A BLUE SHIELD OF
02:41:15.766 --> 02:41:17.934
CALIFORNIA AND SUPPORT.
02:41:18.001 --> 02:41:19.336
JOANNE CAMPBELL ON BEHALF OF LA
02:41:19.403 --> 02:41:22.506
KAREN SUPPORT.
02:41:22.572 --> 02:41:23.106
THE AND CHECK ON THE OFF THE
02:41:23.173 --> 02:41:24.875
HELP THAT CALIFORNIA HEALTH AND
02:41:24.941 --> 02:41:28.145
WELLNESS IN SUPPORT.
02:41:28.211 --> 02:41:30.347
ADRIAN GARCIA FROM FRESNO THREE
02:41:30.414 --> 02:41:34.651
YEAR DIALYSIS PATIENT IN SUPPORT.
02:41:34.718 --> 02:41:37.554
HI MY NAME COULD SOLO EXIA.
02:41:37.621 --> 02:41:41.158
AND SOBER IN.
02:41:41.224 --> 02:41:44.161
I BE TWO NINE THANK YOU
02:41:44.227 --> 02:41:44.461
[inaudible]
02:41:44.528 --> 02:41:47.431
THANK YOU.
02:41:47.497 --> 02:41:48.031
EMAIL GONZALEZ --
02:41:48.098 --> 02:41:49.299
FATHER'S BEEN ANALYSIS TWENTY
02:41:49.366 --> 02:41:49.966
ONE YEARS I'VE BEEN A DOUBTS IS
02:41:50.033 --> 02:41:51.535
WORKING FOR FIVE YEARS IN STRONG
02:41:51.601 --> 02:41:53.003
SUPPORT OF THIS BILL.
02:41:53.070 --> 02:41:57.140
THANK YOU.
02:41:57.207 --> 02:41:57.808
HI.
02:41:57.874 --> 02:42:03.413
MALINA IN --
02:42:03.480 --> 02:42:06.249
BEING HERE AND THANK ROOM.
02:42:06.316 --> 02:42:07.551
NASA BEACH IN FORT [inaudible]
02:42:07.617 --> 02:42:09.119
EIGHT YEARS [inaudible]
02:42:09.186 --> 02:42:14.024
THANK YOU.
02:42:14.091 --> 02:42:15.625
THANK YOU HI MY NAME IS MAGELLAN
02:42:15.692 --> 02:42:16.493
HANFORD I'M A DIALYSIS NURSE
02:42:16.560 --> 02:42:18.562
I'VE BEEN A DALLAS NURSE FOR
02:42:18.628 --> 02:42:19.129
NINETEEN YEARS AND I'VE SEEN
02:42:19.196 --> 02:42:21.832
THIS.
02:42:21.898 --> 02:42:23.867
I'VE SEEN THIS SCAM --
02:42:23.934 --> 02:42:25.869
FULLY IN FULL EFFECT ON THE
02:42:25.936 --> 02:42:28.371
DALLAS IS FLOOR AND IT IS A SCAM
02:42:28.438 --> 02:42:30.173
AND WE NEED TO MAKE SURE --
02:42:30.240 --> 02:42:32.008
THAT WE STOP THIS THANK YOU THIS
02:42:32.075 --> 02:42:33.143
JUST AS A REMINDER INITIATIVE
02:42:33.210 --> 02:42:34.711
SAID THIS JUST STATE YOUR NAME
02:42:34.778 --> 02:42:35.779
AND YOUR ORGANIZATION AND THEN
02:42:35.846 --> 02:42:36.847
YOUR POSITION WITH YOUR SUPPORT
02:42:36.913 --> 02:42:39.249
OR OPPOSITION YES MY NAME IS AND
02:42:39.316 --> 02:42:41.284
I'M MORE ITEM FOR VENTURA AND
02:42:41.351 --> 02:42:44.187
STRONGLY SUPPORT AND IS A BILL.
02:42:44.254 --> 02:42:46.189
TO NINETY THANKS.
02:42:46.256 --> 02:42:47.023
MY NAME IS WHAT I LOOK AT DAIS
02:42:47.090 --> 02:42:48.492
I'M A DIALYSIS NURSE AND I
02:42:48.558 --> 02:42:51.661
SUPPORT THIS BILL.
02:42:51.728 --> 02:42:53.096
GOOD AFTERNOON --
02:42:53.163 --> 02:42:54.664
MY NAME IS ROBERT BEEN WAIVER
02:42:54.731 --> 02:42:56.967
DALLAS IS PATIENT AND I'M IN
02:42:57.033 --> 02:42:59.069
SUPPORT OF THE LAW AB.
02:42:59.136 --> 02:43:00.504
TWO NINETY THANK YOU.
02:43:00.570 --> 02:43:01.605
GOOD EVENING MY NAME IS AS
02:43:01.671 --> 02:43:02.873
ROBUST SEE I'M OF THE HOUSES
02:43:02.939 --> 02:43:06.309
WORKER IN THE LAST TWENTY YEARS.
02:43:06.376 --> 02:43:09.112
AND I'M IN SUPPORT OF THIS BILL.
02:43:09.179 --> 02:43:10.514
MY NAME IS PATRICIA BRADY --
02:43:10.580 --> 02:43:11.448
OUT DIALYSIS WORKER FROM
02:43:11.515 --> 02:43:13.150
INTERRUPT COUNTY AND I'M THE
02:43:13.216 --> 02:43:15.952
SUPPORT OF THE BILL.
02:43:16.019 --> 02:43:18.622
GIVEN PLANET DIALYSIS NURSE OR
02:43:18.688 --> 02:43:21.591
STOCKTON HAMMOND SUPPORT.
02:43:21.658 --> 02:43:24.094
PATRICIA HERRERA FROM LOS GATOS
02:43:24.161 --> 02:43:25.462
I'M IN A HUMAN TECH AND I
02:43:25.529 --> 02:43:28.999
SUPPORT THIS BILL.
02:43:29.065 --> 02:43:31.334
SHUTTLE CHAO'S IMPATIENT
02:43:31.401 --> 02:43:34.337
DIALYSIS.
02:43:34.404 --> 02:43:38.241
SENATORS APPROVED BILL.
02:43:38.308 --> 02:43:40.810
THE ONE THAT IS HE HAVING LITTLE
02:43:40.877 --> 02:43:43.680
LIKE CALIFORNIA.
02:43:43.747 --> 02:43:48.585
THE SURPLUS INTO THE LIST.
02:43:48.652 --> 02:43:49.819
WHAT IS THE WHAT THE PAULA HI
02:43:49.886 --> 02:43:52.322
THERE [inaudible]
02:43:52.389 --> 02:43:53.023
THOSE CRESCENTA [inaudible]
02:43:53.089 --> 02:43:54.090
THANK YOU.
02:43:54.157 --> 02:43:56.426
HI MY NAME IS MARIA THE MAIN
02:43:56.493 --> 02:44:00.597
GUESS -- THE
02:44:00.664 --> 02:44:02.532
I AM THAT I'M FRESNO.
02:44:02.599 --> 02:44:07.571
AND A BILLION HAVE BOTH MOM AND
02:44:07.637 --> 02:44:10.073
ELIZABETH MAN AND I'M FOR FRESNO
02:44:10.140 --> 02:44:12.008
CALIFORNIA AND I SUPPOSE AND I
02:44:12.075 --> 02:44:14.144
SUPPORT THIS BILL.
02:44:14.211 --> 02:44:15.879
HELLO MY NAME IS MONEY JOSE VEDA
02:44:15.946 --> 02:44:17.113
I'M A DAUGHTER OF A DIALYSIS
02:44:17.180 --> 02:44:18.748
PATIENT AS SHE ATTENDS THE B.
02:44:18.815 --> 02:44:19.783
DOWN LOS ANGELES AND I IN
02:44:19.849 --> 02:44:21.885
SUPPORT OF AB.
02:44:21.952 --> 02:44:27.357
TWO NINETY THANK YOU.
02:44:27.424 --> 02:44:29.893
HI MY NAME IS LORRAINE LEWIS AND
02:44:29.960 --> 02:44:31.861
I AM SUPPORT IN APPROVED THIS
02:44:31.928 --> 02:44:34.064
BILL I AM A DIALYSIS PATIENT I
02:44:34.130 --> 02:44:36.399
HAVE BEEN ONE FOR SEVEN YEARS
02:44:36.466 --> 02:44:38.602
WITH THE BEAT IT.
02:44:38.668 --> 02:44:38.868
THANK YOU.
02:44:38.935 --> 02:44:42.739
THANK YOU [inaudible]
02:44:42.806 --> 02:44:47.177
ALL.
02:44:47.244 --> 02:44:47.978
A GENTLE TO LOCAL FOR PARAMOUNT
02:44:48.044 --> 02:44:49.779
CALIFORNIA I'M A PATIENT I
02:44:49.846 --> 02:44:53.250
SUPPORT AB.
02:44:53.316 --> 02:44:53.917
TWO NINETY MY NAME IS TO SET THE
02:44:53.984 --> 02:44:55.452
MEN ARE AMONG OUR GUESTS THIS
02:44:55.518 --> 02:44:56.853
PATIENT HAVE FROM POP IN
02:44:56.920 --> 02:44:58.855
CALIFORNIA.
02:44:58.922 --> 02:45:06.963
AND I SUPPORT AB --
02:45:07.030 --> 02:45:07.631
SIXTY TO NINETY THE NUMBER IF IT
02:45:07.697 --> 02:45:09.566
WORKED JUST FIVE ASKING FOR US
02:45:09.633 --> 02:45:12.269
INTO THE ALLEY SIZZLING LITTLE
02:45:12.335 --> 02:45:13.103
SCIENTISTS.
02:45:13.169 --> 02:45:14.437
BUT UP WE ASK.
02:45:14.504 --> 02:45:24.481
THAT IS Vì TOTALING. SIX SEVEN
02:45:24.547 --> 02:45:26.883
THANK YOU.
02:45:26.950 --> 02:45:28.118
MY NAME IS SHARON BROOKS BOYD
02:45:28.184 --> 02:45:36.760
AND I SUPPORT CENTER AB.
02:45:36.826 --> 02:45:37.661
TWO NINETY MY NAME IS TOM MAYES
02:45:37.727 --> 02:45:38.528
I'M FROM --
02:45:38.595 --> 02:45:40.630
LOS ANGELES AND I SUPPORT THIS
02:45:40.697 --> 02:45:49.005
BILL.
02:45:49.072 --> 02:45:52.042
YOLANDA VILLANUEVA I SUPPORT AB.
02:45:52.108 --> 02:45:53.109
TWO NINETY I LOST A LOVED ONE
02:45:53.176 --> 02:45:54.611
DUE TO IT SO.
02:45:54.678 --> 02:45:55.979
WE NEED WE NEED TO GET CONTROL.
02:45:56.046 --> 02:45:57.947
YOU CAN HELP US WITH THAT PASSED
02:45:58.014 --> 02:45:59.749
THE TWO NINETY WE CAN.
02:45:59.816 --> 02:46:00.984
GET THIS HEALTHCARE UNDER
02:46:01.051 --> 02:46:10.460
CONTROL.
02:46:10.527 --> 02:46:15.465
THE BUT IN THE END THE FIFTH
02:46:15.532 --> 02:46:15.765
[inaudible]
02:46:15.832 --> 02:46:26.710
THANK YOU.
02:46:26.776 --> 02:46:28.812
HELLO MY NAME IS RELENTLESS MINE
02:46:28.878 --> 02:46:30.246
WHICH THEY SAY ARE YOU WE WHICH
02:46:30.313 --> 02:46:32.115
ARE YOU I AM IN STRONG SUPPORTER
02:46:32.182 --> 02:46:33.350
OF THE STATE.
02:46:33.416 --> 02:46:35.185
THANK YOU THANK YOU.
02:46:35.251 --> 02:46:36.619
YOU KNOW BUT THERE'S CRISTINA
02:46:36.686 --> 02:46:38.121
CASTELL --
02:46:38.188 --> 02:46:40.690
SO IF I MEDIA THEY IT WILL PASS
02:46:40.757 --> 02:46:41.791
INTO THE ALLEY SEES THAT THERE
02:46:41.858 --> 02:46:48.598
SAID THAT IF THE ANNUAL EAT UP
02:46:48.665 --> 02:46:49.099
ALL YOUR LACK OF THE THE
02:46:49.165 --> 02:46:49.699
SCANDALS NO IN.
02:46:49.766 --> 02:46:51.935
THANK YOU SO MUCH IS THERE ANY.
02:46:52.001 --> 02:46:53.069
ANY ADDITIONAL WITNESSES IN
02:46:53.136 --> 02:46:54.537
OPPOSITION SAYING NONE.
02:46:54.604 --> 02:46:56.239
I'M SORRY OF SUPPORT I APOLOGIZE --
02:46:56.306 --> 02:46:58.108
AND BRING UP THOSE --
02:46:58.174 --> 02:47:11.421
THE WITNESSES IN OPPOSITION.
02:47:11.488 --> 02:47:12.288
MISTER CHAIR WILL HAVE THREE
02:47:12.355 --> 02:47:14.657
WITNESSES THE DAY BUT WE WILL
02:47:14.724 --> 02:47:15.291
STAY WITHIN THE SIX MINUTES HAVE
02:47:15.358 --> 02:47:31.474
A GREAT
02:47:43.186 --> 02:47:43.253
.
02:47:43.253 --> 02:47:44.487
MISTER CHAIR MEMBERS MY NAME'S
02:47:44.554 --> 02:47:45.588
MICHAEL ARNOLD I'M HERE TO
02:47:45.655 --> 02:47:47.424
TESTIFY ON BEHALF OF THE
02:47:47.490 --> 02:47:49.859
CALIFORNIA DIALYSIS COUNCIL IN
02:47:49.926 --> 02:47:51.461
OPPOSITION TO AB.
02:47:51.528 --> 02:47:52.128
TWO NINETY I WOULD FIRST LIKE TO
02:47:52.195 --> 02:47:54.731
SAY HOW MUCH RESPECT WE HAVE FOR
02:47:54.798 --> 02:47:55.965
CHAIRMAN WOULD.
02:47:56.032 --> 02:47:57.367
HE HAS BEEN VERY HELPFUL TO THE
02:47:57.434 --> 02:47:59.169
DIALYSIS COMMUNITY ON MANY PAST
02:47:59.235 --> 02:48:00.904
OCCASIONS --
02:48:00.970 --> 02:48:01.538
AND WE WANT TO ACKNOWLEDGE THAT
02:48:01.604 --> 02:48:02.605
FACT.
02:48:02.672 --> 02:48:03.540
HOWEVER.
02:48:03.606 --> 02:48:05.575
WE FEAR THAT THERE WILL BE MANY
02:48:05.642 --> 02:48:07.110
UNINTENDED CONSEQUENCES.
02:48:07.177 --> 02:48:10.180
ARISING FOR PATIENTS FROM THE
02:48:10.246 --> 02:48:12.615
ENACTMENT OF AB.
02:48:12.682 --> 02:48:15.251
TWO NINETY ON BEHALF OF OF BOTH.
02:48:15.318 --> 02:48:16.986
NOT FOR PROFIT AND FOR PROFIT
02:48:17.053 --> 02:48:19.389
DIALYSIS PROVIDERS THAT OPERATES
02:48:19.456 --> 02:48:20.356
SIX HUNDRED AND FIFTY CLINICS IN
02:48:20.423 --> 02:48:21.825
CALIFORNIA.
02:48:21.891 --> 02:48:24.060
AND SEE SEVENTY THOUSAND
02:48:24.127 --> 02:48:26.396
PATIENTS WE ARE STRONGLY OPPOSED
02:48:26.463 --> 02:48:27.897
TO AB.
02:48:27.964 --> 02:48:28.665
TWO NINETY I WILL SUMMARIZE OUR
02:48:28.731 --> 02:48:30.667
OUR OBJECTIONS AND WE'LL BE
02:48:30.733 --> 02:48:32.268
HAPPY TO ANSWER QUESTIONS.
02:48:32.335 --> 02:48:34.604
FIRST AND FOREMOST AB TWO NINETY
02:48:34.671 --> 02:48:36.372
COULD JEOPARDIZE.
02:48:36.439 --> 02:48:37.941
THE VARIABILITY.
02:48:38.007 --> 02:48:39.509
OF VULNERABLE LOW INCOME
02:48:39.576 --> 02:48:41.244
PATIENTS TO RECEIVE TERRIBLE
02:48:41.311 --> 02:48:42.612
PREMIUM ASSISTANCE.
02:48:42.679 --> 02:48:44.547
ACCORDING TO THE LETTER FILED
02:48:44.614 --> 02:48:45.949
WITH THE COMMITTEE.
02:48:46.015 --> 02:48:49.419
BY THE AMERICAN KIDNEY FUND AND
02:48:49.486 --> 02:48:51.020
I QUOTE IF AB TWO NINETY IS
02:48:51.087 --> 02:48:52.355
PASSED IT WILL QUICKLY FORCE IT
02:48:52.422 --> 02:48:54.023
QUE OF TO STOP HELPING LOW
02:48:54.090 --> 02:48:56.092
INCOME CALIFORNIANS LIVING WITH
02:48:56.159 --> 02:48:58.027
KIDNEY FAILURE.
02:48:58.094 --> 02:48:59.629
ACCORDING TO THE A. K. F. A. B.
02:48:59.696 --> 02:49:00.230
TWO NINETY WOULD PUT THE A. K.
02:49:00.296 --> 02:49:01.664
F. OUT OF COMPLIANCE WITH THE
02:49:01.731 --> 02:49:03.199
OFFICE OF THE INSPECTOR GENERAL
02:49:03.266 --> 02:49:04.334
GUIDANCE.
02:49:04.400 --> 02:49:05.668
RATHER THAN RISK THE ENTIRE
02:49:05.735 --> 02:49:07.170
NATION WIDE PATIENT BASE THAT
02:49:07.237 --> 02:49:08.505
THEY SERVE.
02:49:08.571 --> 02:49:09.572
THEY WERE CLEAR THAT THEY'D
02:49:09.639 --> 02:49:12.408
LIKELY STOP PROVIDING ASSISTANCE
02:49:12.475 --> 02:49:13.576
IN CALIFORNIA.
02:49:13.643 --> 02:49:14.744
THAT MEANS AB TWO NIGHT
02:49:14.811 --> 02:49:16.179
IMMEDIATELY PUTS AT RISK PREMIUM
02:49:16.246 --> 02:49:18.181
ASSISTANCE FOR NINETY FOUR
02:49:18.248 --> 02:49:19.682
THOUSAND PATIENTS THE MAJORITY
02:49:19.749 --> 02:49:21.084
OF THESE PATIENTS ARE MINORITY.
02:49:21.150 --> 02:49:22.752
AND ALMOST ALL OF THEM ARE LOW
02:49:22.819 --> 02:49:24.153
INCOME.
02:49:24.220 --> 02:49:25.788
AB TWO NINETY AS A GIFT TO THE
02:49:25.855 --> 02:49:27.724
INSURANCE INDUSTRY.
02:49:27.790 --> 02:49:28.925
WITH NO REQUIREMENTS THAT
02:49:28.992 --> 02:49:30.193
INSURERS PASS ON ANY OF THE
02:49:30.260 --> 02:49:32.128
SAVINGS.
02:49:32.195 --> 02:49:33.696
IT ALLOWS INSURERS TO ME THE
02:49:33.763 --> 02:49:36.566
MEDICARE RATE. FOR PATIENTS ON
02:49:36.633 --> 02:49:38.001
JOURNAL PREMIUM ASSISTANCE.
02:49:38.067 --> 02:49:41.070
WHICH IS BELOW THE COST OF CARE.
02:49:41.137 --> 02:49:42.872
AB TWO NINETY COULD JEOPARDIZE
02:49:42.939 --> 02:49:46.509
ACCESS FOR ALL PATIENTS. 90% OF
02:49:46.576 --> 02:49:48.044
THE PATIENTS.
02:49:48.111 --> 02:49:49.679
ON DIALYSIS.
02:49:49.746 --> 02:49:51.614
HAVE INSURANCE FUNDED BY THE
02:49:51.681 --> 02:49:53.816
GOVERNMENT THAT DOES NOT PAY THE
02:49:53.883 --> 02:49:55.418
COST OF CARE.
02:49:55.485 --> 02:49:57.320
IF WE START REDUCING PAYMENTS
02:49:57.387 --> 02:49:58.688
FOR A PORTION OF THE REMAINING
02:49:58.755 --> 02:50:00.857
10% PATIENTS ON PRIVATE PAY.
02:50:00.924 --> 02:50:02.358
IT DISRUPTS THE ENTIRE ECO
02:50:02.425 --> 02:50:03.760
SYSTEM JEOPARDIZING THE
02:50:03.826 --> 02:50:07.230
FINANCIAL VIABILITY OF CLINICS.
02:50:07.297 --> 02:50:08.731
WELL PROVIDERS WOULD WORK HARD
02:50:08.798 --> 02:50:10.466
TO PREVENT CLINIC CLOSURES AND
02:50:10.533 --> 02:50:11.501
CUTBACKS.
02:50:11.568 --> 02:50:12.936
DIALYSIS PROVIDERS ARE ALREADY
02:50:13.002 --> 02:50:15.204
SLOWING FUTURE EXPANSION PLANS
02:50:15.271 --> 02:50:16.773
IN CALIFORNIA DUE TO THE
02:50:16.839 --> 02:50:19.842
CONSTANT ATTACK BY INSURERS AND
02:50:19.909 --> 02:50:21.844
OTHER SPECIAL INTERESTS.
02:50:21.911 --> 02:50:23.513
IT TAKES ABOUT FIVE YEARS.
02:50:23.580 --> 02:50:25.515
FROM THE IDEA TO GET A DIALYSIS
02:50:25.582 --> 02:50:28.418
CLINIC ON LINE AND OPERATING.
02:50:28.484 --> 02:50:29.686
THE DEMAND FOR DIALYSIS IS
02:50:29.752 --> 02:50:31.888
GROWING IN CALIFORNIA AT 5% PER
02:50:31.955 --> 02:50:34.557
YEAR OVER THE NEXT TEN YEARS.
02:50:34.624 --> 02:50:35.959
WE WILL NEED AN ADDITIONAL THREE
02:50:36.025 --> 02:50:37.360
HUNDRED AND FIFTY DIALYSIS
02:50:37.427 --> 02:50:38.828
CLINICS.
02:50:38.895 --> 02:50:39.896
IF AB TWO AND IDEAS PASSED
02:50:39.963 --> 02:50:41.631
PATIENTS IN THE FUTURE WILL HAVE
02:50:41.698 --> 02:50:43.833
A HARDER TIME GETTING CONVENIENT
02:50:43.900 --> 02:50:44.400
ACCESS TO THE TREATMENT THEY
02:50:44.467 --> 02:50:47.236
NEED. THREE DAYS A WEEK FOUR
02:50:47.303 --> 02:50:49.205
HOURS OF TIME. FOR THESE AND
02:50:49.272 --> 02:50:50.640
OTHER REASONS WE STRONGLY OPPOSE
02:50:50.707 --> 02:50:54.177
THE BILL.
02:50:54.243 --> 02:50:55.411
KELLY BEING HERE ON BEHALF OF
02:50:55.478 --> 02:50:56.012
THE CALIFORNIA MEDICAL
02:50:56.079 --> 02:50:57.647
ASSOCIATION REPRESENTING MORE
02:50:57.714 --> 02:50:58.848
THAN FORTY FOUR THOUSAND
02:50:58.915 --> 02:50:59.916
PHYSICIAN MEMBERS INCLUDING
02:50:59.983 --> 02:51:01.250
HUNDREDS OF MEDICAL DIRECTORS
02:51:01.317 --> 02:51:03.219
THAT OVERSEE PATIENT KEREN
02:51:03.286 --> 02:51:03.853
DIALYSIS CLINICS THROUGHOUT THE
02:51:03.920 --> 02:51:04.754
STATE.
02:51:04.821 --> 02:51:05.888
OUR MEMBERS HAVE EXPRESSED
02:51:05.955 --> 02:51:08.958
SIGNIFICANT CONCERNS WITH AB.
02:51:09.025 --> 02:51:09.792
TWO NINE ZERO AB TWO NINE ZERO
02:51:09.859 --> 02:51:10.893
IS FUNDAMENTALLY A RATE SETTING
02:51:10.960 --> 02:51:12.295
BILL FOR PRIVATE INSURANCE
02:51:12.362 --> 02:51:13.796
PAYMENTS TO PROVIDERS.
02:51:13.863 --> 02:51:15.264
IT SETS REIMBURSEMENTS THAT THE
02:51:15.331 --> 02:51:16.933
MEDICARE RATE WHICH MICHAEL
02:51:17.000 --> 02:51:17.567
MENTIONED THIS BLOW THE COST OF
02:51:17.634 --> 02:51:18.334
CARE.
02:51:18.401 --> 02:51:19.402
WE ARE CONCERNED THE BILL WILL
02:51:19.469 --> 02:51:21.604
CREATE LONG TERM ACCESS ISSUES
02:51:21.671 --> 02:51:22.772
FOR PATIENTS LIKE RENEE HERE.
02:51:22.839 --> 02:51:24.273
NEW CLINIC GROWTH HAS ALREADY
02:51:24.340 --> 02:51:26.809
SLOWED BY AS MUCH AS ONE THIRD
02:51:26.876 --> 02:51:28.144
DEPENDING ON THE PROVIDER.
02:51:28.211 --> 02:51:29.512
WITHOUT RELIABLE ACCESS TO LIFE
02:51:29.579 --> 02:51:31.080
SAVING TREATMENT DIALYSIS
02:51:31.147 --> 02:51:32.382
PATIENTS WILL END UP IN IMPACT
02:51:32.448 --> 02:51:33.916
OF HOSPITAL EMERGENCY ROOMS
02:51:33.983 --> 02:51:35.251
LIKELY WITH ADDITIONAL HEALTH
02:51:35.318 --> 02:51:36.386
COMPLICATIONS.
02:51:36.452 --> 02:51:38.054
THIS WILL BE A MUCH HIGHER COST
02:51:38.121 --> 02:51:38.955
TO THE HEALTHCARE SYSTEM THAN
02:51:39.022 --> 02:51:40.556
THE SAVINGS THIS BILL REALIZE
02:51:40.623 --> 02:51:42.692
FOR EVERYONE. FOR THESE REASONS
02:51:42.759 --> 02:51:45.361
CMA'S IN OPPOSITION TO AB
02:51:45.428 --> 02:51:45.662
[inaudible]
02:51:45.728 --> 02:51:49.265
TWO NINE ZERO THANK YOU.
02:51:49.332 --> 02:51:49.799
THE WE GOT JUST ABOUT TWO
02:51:49.866 --> 02:51:51.100
MINUTES GOOD AFTERNOON MY NAME
02:51:51.167 --> 02:51:53.603
IS RENEE BLUE I CAME HERE TODAY
02:51:53.670 --> 02:51:54.637
FROM AUBURN.
02:51:54.704 --> 02:51:57.073
I AM A DAYLIGHT DIALYSIS PATIENT
02:51:57.140 --> 02:51:58.975
AND I GET HELP FROM THE AMERICAN
02:51:59.042 --> 02:52:00.643
KIDNEY FUND I URGE YOU TO VOTE
02:52:00.710 --> 02:52:03.746
NO ON AB.
02:52:03.813 --> 02:52:04.280
TWO NINETY I CRASHED INTO
02:52:04.347 --> 02:52:07.350
DIALYSIS IN JULY.
02:52:07.417 --> 02:52:07.884
TWO THOUSAND EIGHTEEN THE
02:52:07.950 --> 02:52:09.152
HOSPITAL IMMEDIATELY ME STARTED
02:52:09.218 --> 02:52:11.387
ME ON DIALYSIS AND THEN TWO
02:52:11.454 --> 02:52:13.289
WEEKS LATER I LEFT THE HOSPITAL
02:52:13.356 --> 02:52:15.758
AND STARTED OUTPATIENT DIALYSIS.
02:52:15.825 --> 02:52:17.694
I HOPE TO EVENTUALLY GO BACK TO
02:52:17.760 --> 02:52:20.263
WORK BUT AS OF NOW I AM UNABLE
02:52:20.329 --> 02:52:21.497
TO DO SO.
02:52:21.564 --> 02:52:22.465
I WAS AN HR DIRECTOR OF MY
02:52:22.532 --> 02:52:25.168
EMPLOYER.
02:52:25.234 --> 02:52:26.602
TO AND THE PHYSICAL MENTAL
02:52:26.669 --> 02:52:28.638
EMOTIONAL CHALLENGES THAT COME
02:52:28.705 --> 02:52:30.139
WITH DIALYSIS TREATMENTS BUT
02:52:30.206 --> 02:52:31.808
THEY HAD TO LET ME GO BECAUSE I
02:52:31.874 --> 02:52:33.576
COULD ONLY WORK TWO DAYS A WEEK.
02:52:33.643 --> 02:52:34.977
AND THEY NEEDED SOMEBODY FULL
02:52:35.044 --> 02:52:37.880
TIME I WAS ON COBRA BUT IT RAN
02:52:37.947 --> 02:52:38.581
OUT.
02:52:38.648 --> 02:52:40.049
I NEED TO CONTINUE WITH MY
02:52:40.116 --> 02:52:42.518
CURRENT HEALTH PLAN BECAUSE I
02:52:42.585 --> 02:52:43.686
WANTED TO KEEP THE SPECIALISTS.
02:52:43.753 --> 02:52:45.021
WHO ARE TREATING A BLOOD DISEASE
02:52:45.088 --> 02:52:47.190
THAT I HAVE I WAS ALSO EXPOSED
02:52:47.256 --> 02:52:48.825
TO HEPATITIS C.?
02:52:48.891 --> 02:52:50.526
I HAVE FIVE OTHER DOCTORS
02:52:50.593 --> 02:52:52.228
BESIDES MY NOW FOR ALL AGES AND
02:52:52.295 --> 02:52:53.563
EVERY WEEK I HAVE ONE OR TWO
02:52:53.629 --> 02:52:54.731
DOCTORS APPOINTMENTS.
02:52:54.797 --> 02:52:56.599
IN ADDITION TO MY THREE TIMES A
02:52:56.666 --> 02:52:57.967
WEEK DIALYSIS TREATMENTS.
02:52:58.034 --> 02:52:59.235
WITH CHARITABLE PREMIUM
02:52:59.302 --> 02:53:01.437
ASSISTANCE I AM ABLE TO KEEP MY
02:53:01.504 --> 02:53:04.574
INSURANCE AND MY PREMIUM IS PAID.
02:53:04.640 --> 02:53:06.309
FOR THE BEST THING IS PEACE OF
02:53:06.375 --> 02:53:07.910
MIND KNOWING I CAN KEEP MY
02:53:07.977 --> 02:53:09.378
HEALTH COVERAGE.
02:53:09.445 --> 02:53:11.514
AND THE DOCTORS WHO ARE TREATING
02:53:11.581 --> 02:53:12.882
MY OTHER HEALTH ISSUES.
02:53:12.949 --> 02:53:14.851
WITHOUT THE AMERICAN KIDNEY FUND
02:53:14.917 --> 02:53:16.252
I DON'T KNOW WHAT I WOULD HAVE
02:53:16.319 --> 02:53:17.053
DONE.
02:53:17.120 --> 02:53:19.021
I AM NOW ABLE TO PAY MY BILLS
02:53:19.088 --> 02:53:20.456
AND HOUSING.
02:53:20.523 --> 02:53:21.424
I READ THE LETTER FROM THE
02:53:21.491 --> 02:53:23.025
AMERICAN KIDNEY FUND OPPOSING
02:53:23.092 --> 02:53:24.494
THIS BILL THEY SAID IF THIS
02:53:24.560 --> 02:53:26.596
PASSES THEY WON'T BE ABLE TO
02:53:26.662 --> 02:53:28.064
OPERATE IN CALIFORNIA.
02:53:28.131 --> 02:53:30.533
HERE'S A QUOTE FROM THEIR LETTER
02:53:30.600 --> 02:53:34.337
IF IN LOW INCOME DIALYSIS AND
02:53:34.403 --> 02:53:35.772
TRANSPLANT PATIENTS IN
02:53:35.838 --> 02:53:37.907
CALIFORNIA NO MATTER WHAT KIND
02:53:37.974 --> 02:53:39.308
OF INSURANCE THEY HAVE.
02:53:39.375 --> 02:53:41.944
MEDICARE OR PRIVATE THAT SCARES
02:53:42.011 --> 02:53:42.345
ME.
02:53:42.411 --> 02:53:43.913
AND I'M SURE IT WILL SCARE
02:53:43.980 --> 02:53:45.615
OTHERS WHEN THEY HEAR THIS THE
02:53:45.681 --> 02:53:47.383
WAY I SEE IT.
02:53:47.450 --> 02:53:48.851
AB TWO NINETY HEALTH INSURANCE
02:53:48.918 --> 02:53:50.386
COMPANIES BUT HURTS PATIENTS
02:53:50.453 --> 02:53:51.721
LIKE ME.
02:53:51.788 --> 02:53:53.489
I DON'T UNDERSTAND WHY INSURANCE
02:53:53.556 --> 02:53:55.691
COMPANY PROFITS ARE MORE
02:53:55.758 --> 02:53:57.226
IMPORTANT TO THE WELL.
02:53:57.293 --> 02:53:58.995
THEN THE WELFARE OF DIALYSIS
02:53:59.061 --> 02:54:00.429
PATIENTS.
02:54:00.496 --> 02:54:04.100
PLEASE VOTE NO ON AB.
02:54:04.167 --> 02:54:04.700
TWO NINETY THANK YOU THANK YOU
02:54:04.767 --> 02:54:06.903
AND WILL GO TO ADDITIONAL
02:54:06.969 --> 02:54:08.571
WITNESSES IN OPPOSITION JUST
02:54:08.638 --> 02:54:10.606
YOUR NAME ORGANIZATION
02:54:10.673 --> 02:54:13.876
ORGANIZATION THAT POSITION.
02:54:13.943 --> 02:54:14.710
ALSO SHE ASIAN CALIFORNIA
02:54:14.777 --> 02:54:16.479
HOSPITAL ASSOCIATION HERE IN
02:54:16.546 --> 02:54:19.282
OPPOSITION.
02:54:19.348 --> 02:54:20.449
BELIEVE IF ONE DOES HERE ON
02:54:20.516 --> 02:54:22.318
BEHALF OF PERCENT AS MEDICAL
02:54:22.385 --> 02:54:24.220
CARE IN OPPOSITION THANK YOU.
02:54:24.287 --> 02:54:25.922
GOOD AFTERNOON JUSTIN FANS ALL
02:54:25.988 --> 02:54:27.557
ON BEHALF OF DEFEAT --
02:54:27.623 --> 02:54:29.392
IN OPPOSITION THANK YOU.
02:54:29.458 --> 02:54:30.927
ERIN LEAVE I AM I HAVE A
02:54:30.993 --> 02:54:33.429
SATELLITE HEALTHCARE POST.
02:54:33.496 --> 02:54:34.463
PETER TELL US ON BEHALF OF THE
02:54:34.530 --> 02:54:35.598
U. S. RENAL CARE WHICH IS
02:54:35.665 --> 02:54:36.766
CONSIDERED A MODERATE SIZED
02:54:36.833 --> 02:54:39.602
FACILITY IN THE STATE HAS --
02:54:39.669 --> 02:54:40.903
FORTY THREE FACILITIES ALSO IN
02:54:40.970 --> 02:54:42.872
OPPOSITION THANK YOU.
02:54:42.939 --> 02:54:45.308
SUZANNE DOLAN REGISTERED NURSE --
02:54:45.374 --> 02:54:47.510
IN DIALYSIS FOR NINE YEARS
02:54:47.577 --> 02:54:51.914
OPPOSED THANK YOU.
02:54:51.981 --> 02:54:53.115
HAS SHOWN HOW DUMB FROM ROCKLAND
02:54:53.182 --> 02:54:57.153
AND I OPPOSE THIS.
02:54:57.220 --> 02:54:58.821
HEY GLORIA FROM SUTTER COUNTY
02:54:58.888 --> 02:55:01.290
AND OPPOSE THIS BILL.
02:55:01.357 --> 02:55:02.425
SERGIO MORELLI FROM THE SAME
02:55:02.491 --> 02:55:04.160
MIGUEL CALIFORNIA ON BEHALF OF
02:55:04.227 --> 02:55:05.061
CAROLINE --
02:55:05.127 --> 02:55:06.963
RODRIGUEZ MARTINEZ AND RONALD
02:55:07.029 --> 02:55:09.498
FOSTER WE OPPOSE THIS BILL ME
02:55:09.565 --> 02:55:10.466
QUESTOR NO VOTE.
02:55:10.533 --> 02:55:12.034
I HAVE THOUGHT TO LETTER FROM
02:55:12.101 --> 02:55:18.474
THEM THANK YOU YEP SERGEANT.
02:55:18.541 --> 02:55:19.876
HELLO MY NAME IS MARGARITA SO
02:55:19.942 --> 02:55:21.444
YOU TO AND I WORK FOR FOR SYDNEY
02:55:21.510 --> 02:55:23.946
AS WOODLAND EIGHTEEN YEARS.
02:55:24.013 --> 02:55:25.948
I'M ALSO A PATIENT OF A PASS
02:55:26.015 --> 02:55:30.253
KIDNEY PATIENT AND I OPPOSE AB
02:55:30.319 --> 02:55:32.889
TWO NINETY THANK YOU THANK YOU.
02:55:32.955 --> 02:55:34.657
HELLO MY NAME IS ANGELO WAIT MEN
02:55:34.724 --> 02:55:37.059
I'M A DIALYSIS CARE GIVER FOR
02:55:37.126 --> 02:55:37.593
TWENTY SIX YEARS CURRENTLY
02:55:37.660 --> 02:55:38.995
WORKING FOR FOR SENIORS WOODLAND
02:55:39.061 --> 02:55:41.964
AND I OPPOSE AB TWO NINETY THANK
02:55:42.031 --> 02:55:42.131
YOU.
02:55:42.198 --> 02:55:44.200
THANK YOU.
02:55:44.267 --> 02:55:45.301
MICHAEL LONG.
02:55:45.368 --> 02:55:46.435
SACRAMENTO FOURTEEN YEARS
02:55:46.502 --> 02:55:48.037
PATIENT CARE TECHNICIAN AYE
02:55:48.104 --> 02:55:50.439
OPPOSED.
02:55:50.506 --> 02:55:51.574
TO NINETY JORDAN GROSSMAN
02:55:51.641 --> 02:55:54.911
VENTURA COUNTY I STRONGLY OPPOSE.
02:55:54.977 --> 02:55:56.846
CHRISTY CAPRI FROM WHAT I
02:55:56.913 --> 02:55:57.513
CALIFORNIA --
02:55:57.580 --> 02:55:59.982
PATIENT CARE TECHNICIAN FOR OVER
02:56:00.049 --> 02:56:02.852
NINETEEN YEARS AND I OPPOSE.
02:56:02.919 --> 02:56:04.120
KERRY GREEN FROM SACRAMENTO
02:56:04.186 --> 02:56:07.957
CALIFORNIA AND I OPPOSE AB.
02:56:08.024 --> 02:56:09.525
TWO NINETY GREAT ANY OTHER
02:56:09.592 --> 02:56:11.761
WITNESSES IN OPPOSITION.
02:56:11.827 --> 02:56:13.462
SAYING NOW WILL COME BACK ARE
02:56:13.529 --> 02:56:16.666
THERE ANY QUESTIONS FROM MEMBERS
02:56:16.732 --> 02:56:19.402
YES I AGREE --
02:56:19.468 --> 02:56:20.870
THANK YOU DOCTOR WOULD --
02:56:20.937 --> 02:56:22.338
BRING THIS FORWARD IN SHINING A
02:56:22.405 --> 02:56:23.806
LIGHT ON IT THAT I HADN'T
02:56:23.873 --> 02:56:25.875
THOUGHT ABOUT BEFORE BUT SO HOW
02:56:25.942 --> 02:56:27.877
MUCH MONEY WE'RE TALKING HERE.
02:56:27.944 --> 02:56:30.446
I'M HONESTLY NOT QUITE SURE --
02:56:30.513 --> 02:56:32.415
I THINK THAT --
02:56:32.481 --> 02:56:34.016
THIS IS AN INDUSTRY THAT MAKES
02:56:34.083 --> 02:56:35.184
BILLIONS OF DOLLARS.
02:56:35.251 --> 02:56:36.752
WE'RE TALKING ABOUT A LIMITED
02:56:36.819 --> 02:56:38.187
NUMBER OF PATIENTS HERE IN
02:56:38.254 --> 02:56:40.089
CALIFORNIA. SEVENTY THOUSAND
02:56:40.156 --> 02:56:41.657
PATIENTS GET TREATMENT FOUR
02:56:41.724 --> 02:56:42.825
THOUSAND GET SOME ASSISTANCE
02:56:42.892 --> 02:56:45.328
THROUGH THE AMERICAN KIDNEY FINE
02:56:45.394 --> 02:56:47.997
FOR THE YEAH A CALF --
02:56:48.064 --> 02:56:51.167
HALF OF THOSE --
02:56:51.233 --> 02:56:52.702
HELPING WITH THEIR MEDICARE --
02:56:52.768 --> 02:56:54.203
MEDICARE ADVANTAGE --
02:56:54.270 --> 02:56:55.504
THOSE KINDS OF THINGS THE OTHER
02:56:55.571 --> 02:56:57.106
HALF GET THE THE PREMIUM
02:56:57.173 --> 02:56:59.175
ASSISTANCE SO IN ESSENCE WE'RE
02:56:59.241 --> 02:57:01.877
TALKING ABOUT TWO THOUSAND TWO
02:57:01.944 --> 02:57:03.779
THOUSAND PEOPLE HERE --
02:57:03.846 --> 02:57:05.848
WHICH HOW MUCH MONEY IS GOING TO
02:57:05.915 --> 02:57:09.418
SAVE DO WE HAVE ANY IDEA.
02:57:09.485 --> 02:57:13.222
SHE SHE MIGHT THANK YOU I DON'T
02:57:13.289 --> 02:57:14.457
HAVE IT SORRY I KNOW IT'S A GOOD --
02:57:14.523 --> 02:57:15.691
IN THE MOST RECENT QUARTERLY
02:57:15.758 --> 02:57:17.393
ANALYST CALL DIVVIED UP WHICH
02:57:17.460 --> 02:57:18.427
REPRESENTS HALF OF THE MARKET
02:57:18.494 --> 02:57:19.528
HERE IN CALIFORNIA FOR DIALYSIS
02:57:19.595 --> 02:57:20.196
CLINICS.
02:57:20.262 --> 02:57:21.864
INFORM SHAREHOLDERS THAT THE
02:57:21.931 --> 02:57:23.466
IMPACT OF AB TWO NINETY
02:57:23.532 --> 02:57:25.501
SPECIFICALLY WOULD BE SOMEWHERE
02:57:25.568 --> 02:57:27.003
BETWEEN TWENTY FIVE AND FORTY
02:57:27.069 --> 02:57:28.637
MILLION DOLLARS ANNUALLY.
02:57:28.704 --> 02:57:31.507
IN PROFIT FOR DA VIDA SO
02:57:31.574 --> 02:57:33.142
EXTRAPOLATING THAT OUT IF THE
02:57:33.209 --> 02:57:34.377
ENTIRE INDUSTRY WERE TO
02:57:34.443 --> 02:57:35.611
PARTICIPATE.
02:57:35.678 --> 02:57:37.113
IN AN EQUAL AMOUNT THAT WOULD BE
02:57:37.179 --> 02:57:38.514
A HIGH END OF EIGHTY MILLION
02:57:38.581 --> 02:57:40.649
DOLLARS IN DIALYSIS INDUSTRY
02:57:40.716 --> 02:57:41.817
PROFIT.
02:57:41.884 --> 02:57:43.085
BY COMPARISON THE DIALYSIS
02:57:43.152 --> 02:57:45.021
INDUSTRY MADE MORE THAN FIVE
02:57:45.087 --> 02:57:45.688
HUNDRED AND FIFTY MILLION
02:57:45.755 --> 02:57:48.090
DOLLARS IN PROFIT IN CALIFORNIA.
02:57:48.157 --> 02:57:49.692
IN.
02:57:49.759 --> 02:57:50.226
TWENTY SEVENTEEN A ON THE
02:57:50.292 --> 02:57:52.128
SAVINGS TO THE ENTIRE MARKET GO
02:57:52.194 --> 02:57:53.729
WELL BEYOND THAT EIGHTY MILLION
02:57:53.796 --> 02:57:54.563
DOLLARS.
02:57:54.630 --> 02:57:56.098
BECAUSE THERE ARE THE OTHER
02:57:56.165 --> 02:57:59.235
LOSSES FOR ODD THAT INSURANCE
02:57:59.301 --> 02:58:00.169
PLANS.
02:58:00.236 --> 02:58:01.971
EXPERIENCE WHEN THESE PATIENTS
02:58:02.038 --> 02:58:03.105
GO TO HOSPITALS AND OTHER
02:58:03.172 --> 02:58:04.874
PROVIDERS AS WELL AS THE
02:58:04.940 --> 02:58:06.108
DIALYSIS INDUSTRY IS NOT THE
02:58:06.175 --> 02:58:08.611
ONLY GROUP PARTICIPATING IN THIS.
02:58:08.677 --> 02:58:10.112
WE SEE THIS PRACTICE IN
02:58:10.179 --> 02:58:11.781
SUBSTANCE USE DISORDER CLINICS
02:58:11.847 --> 02:58:13.682
AS WELL FOR THEIR FAN VERY HIGH
02:58:13.749 --> 02:58:16.285
LOSSES EXPERIENCED BY PLANS.
02:58:16.352 --> 02:58:20.756
SO WILL THE PATIENT SEES SAVINGS
02:58:20.823 --> 02:58:23.559
RATE PAYERS WITH REPAIRS EXCUSE
02:58:23.626 --> 02:58:24.560
ME THE REPAIR SEE A SAVINGS.
02:58:24.627 --> 02:58:25.895
THAT WOULD YES GIVEN THE MEDICAL
02:58:25.961 --> 02:58:28.464
LOSS RATIO REQUIREMENTS.
02:58:28.531 --> 02:58:29.899
HERE IN IN BOTH NATIONALLY AND
02:58:29.965 --> 02:58:31.834
HERE IN CALIFORNIA.
02:58:31.901 --> 02:58:34.937
A SAVINGS EXPERIENCED BY PLANS
02:58:35.004 --> 02:58:37.239
WOULD THEN BE.
02:58:37.306 --> 02:58:40.943
CONSIDERED LOWER CLAIMS BY --
02:58:41.010 --> 02:58:42.611
BY PLANTS AND WITHOUT STEPHANIE
02:58:42.678 --> 02:58:43.579
GO FURTHER.
02:58:43.646 --> 02:58:45.614
CALIFORNIA ADOPTED VERY ROBUST
02:58:45.681 --> 02:58:47.383
RATE REVIEW AND AM ALL OUR
02:58:47.450 --> 02:58:49.685
REQUIREMENTS WE ALSO DO
02:58:49.752 --> 02:58:51.554
DISCLOSURES SPA AND LARGE GROUP
02:58:51.620 --> 02:58:53.989
FILINGS SO WITH THOSE YOU WOULD
02:58:54.056 --> 02:58:54.924
SEE.
02:58:54.990 --> 02:58:56.659
IF YOU SAW DIRECTORS OLD AND
02:58:56.725 --> 02:58:58.160
REDUCTION OF CLAIMS THAT WOULD
02:58:58.227 --> 02:59:00.129
BE COOL THEN TO WITHIN OUR RATE
02:59:00.196 --> 02:59:01.730
REVIEW PROCESS THE REGULATOR
02:59:01.797 --> 02:59:03.799
WOULD LOOK AT THAT WOULD REDUCE
02:59:03.866 --> 02:59:05.534
WE BELIEVE PREMIUMS TO BOTH RATE
02:59:05.601 --> 02:59:07.470
PAYERS AND CONSUMERS.
02:59:07.536 --> 02:59:09.238
AND THEN YOU WOULD ALSO SEE --
02:59:09.305 --> 02:59:11.173
AS A PART OF THAT I THINK ONE OF
02:59:11.240 --> 02:59:13.476
MY PLANS HAS IDENTIFIED THIS AS
02:59:13.542 --> 02:59:16.045
POTENTIALLY A 1% INCREASE IN
02:59:16.112 --> 02:59:17.480
PREMIUMS.
02:59:17.546 --> 02:59:19.482
I ALSO HAVE ANOTHER PLAN SIMILAR
02:59:19.548 --> 02:59:21.217
TO THE SUBSTANCE ABUSE THAT --
02:59:21.283 --> 02:59:23.886
WE USE AN EXAMPLE AS OF ABOUT
02:59:23.953 --> 02:59:24.420
TWO HUNDRED FIFTY MILLION
02:59:24.487 --> 02:59:25.788
DOLLARS OF UNDER WRITTEN PREMIUM
02:59:25.855 --> 02:59:26.789
THAT WAS THE TOTAL THAT THEY
02:59:26.856 --> 02:59:28.390
COLLECTED TO TO COVER FROM
02:59:28.457 --> 02:59:33.162
MATERNITY. TO CANCER TREATMENT
02:59:33.229 --> 02:59:36.232
TO PREVENT IT IS FACE IN A
02:59:36.298 --> 02:59:37.233
SINGLE YEAR.
02:59:37.299 --> 02:59:38.934
SO WITH THAT KIND OF GIVES YOU
02:59:39.001 --> 02:59:40.336
THE REASON WHY THIS IS SUCH A
02:59:40.402 --> 02:59:42.872
HUGE IMPACT TO THE SYSTEM AND TO
02:59:42.938 --> 02:59:44.406
RATE PAYERS.
02:59:44.473 --> 02:59:45.741
I THINK OUR GOAL ALL HERE'S WERE
02:59:45.808 --> 02:59:47.309
VERY PRICE SENSITIVE AND SO WE
02:59:47.376 --> 02:59:48.811
WANT TO MAKE SURE THAT TO THE
02:59:48.878 --> 02:59:51.046
DEGREE WE CAN IDENTIFY AREAS
02:59:51.113 --> 02:59:52.381
WHERE THERE IS MANIPULATION OF
02:59:52.448 --> 02:59:53.582
THE SYSTEM --
02:59:53.649 --> 02:59:55.084
WE WANT TO BRING IT TO FOCUS
02:59:55.151 --> 02:59:55.985
ATTENTION AND MAKE SURE THAT WE
02:59:56.051 --> 02:59:57.419
ADDRESS THAT BECAUSE THEY'RE
02:59:57.486 --> 02:59:58.587
REAL PEOPLE IN YOUR DISTRICTS.
02:59:58.654 --> 03:00:00.623
THAT ARE TRYING TO PAY FOR
03:00:00.689 --> 03:00:01.790
HEALTH INSURANCE AND ARE
03:00:01.857 --> 03:00:03.259
STRUGGLING AND WE WANT TO MAKE
03:00:03.325 --> 03:00:05.427
SURE THAT WERE THOUGHTFUL AND
03:00:05.494 --> 03:00:06.862
SENSITIVE TO THAT.
03:00:06.929 --> 03:00:07.830
HELLO QUITE SENSITIVE TO THIS
03:00:07.897 --> 03:00:10.166
BECAUSE WE RURAL AREAS THE LAST
03:00:10.232 --> 03:00:12.635
THING I WANT TO SEE IS AXIS --
03:00:12.701 --> 03:00:14.403
DIMINISHED I'VE BEEN TOLD PRETTY
03:00:14.470 --> 03:00:16.172
CLEARLY THAT TAXES WOULDN'T BE
03:00:16.238 --> 03:00:17.373
DIMINISHED.
03:00:17.439 --> 03:00:18.073
AND SO I'M SITTING HERE
03:00:18.140 --> 03:00:19.942
WONDERING YOU KNOW THIS COST
03:00:20.009 --> 03:00:21.877
SHIFT WHERE WARY REALLY GOING
03:00:21.944 --> 03:00:23.312
WITH THIS I MEAN WHO IS IT
03:00:23.379 --> 03:00:24.914
REALLY GOING TO BENEFIT --
03:00:24.980 --> 03:00:26.348
IT REALLY AT THE LOWER RATES ARE
03:00:26.415 --> 03:00:28.217
WE GOING TO MAKE SURE BENEFIT
03:00:28.284 --> 03:00:30.886
OUR RURAL COMMUNITIES --
03:00:30.953 --> 03:00:32.788
THERE'S SO MANY QUESTIONS STILL
03:00:32.855 --> 03:00:34.156
HERE BECAUSE I DO FEEL LIKE
03:00:34.223 --> 03:00:36.659
WE'RE KIND OF GOING.
03:00:36.725 --> 03:00:38.527
WAS A GAME WE HIT THE BALL IT
03:00:38.594 --> 03:00:40.729
OVER HERE.
03:00:40.796 --> 03:00:41.931
AND SO -- I
03:00:41.997 --> 03:00:42.698
JUST WANT TO MAKE SURE THAT THE
03:00:42.765 --> 03:00:45.201
RE HAVE ARE PEOPLE TAKING CARE
03:00:45.267 --> 03:00:48.204
OF AND THE CONUNDRUM FOR ME
03:00:48.270 --> 03:00:49.104
RIGHT NOW.
03:00:49.171 --> 03:00:50.339
ASSEMBLY MEMBER I CAN COMMENT ON
03:00:50.406 --> 03:00:54.276
THAT IF YOU WOULD LIKE ME --
03:00:54.343 --> 03:00:54.810
TO ONE OF ONE OF THE MAJOR
03:00:54.877 --> 03:00:55.844
DRIVING.
03:00:55.911 --> 03:00:57.746
FACTORS THAT CREATES THIS
03:00:57.813 --> 03:01:00.382
PROBLEM IS THE FINANCING FOR
03:01:00.449 --> 03:01:02.117
DIALYSIS IN THIS COUNTRY.
03:01:02.184 --> 03:01:04.687
THE MEDICARE SYSTEM REIMBURSES
03:01:04.753 --> 03:01:06.355
AT A RATE THAT IS LESS THAN.
03:01:06.422 --> 03:01:07.756
THE COST OF THE DIALYSIS
03:01:07.823 --> 03:01:10.192
TREATMENT. FOR THOSE PATIENTS
03:01:10.259 --> 03:01:12.728
WHO ARE MEDI CAL ONLY AND IN
03:01:12.795 --> 03:01:13.996
PARTICULAR --
03:01:14.063 --> 03:01:16.865
THE THE UNDOCUMENTED PATIENTS
03:01:16.932 --> 03:01:18.734
WHO ARE ON EMERGENCY MEDICAL.
03:01:18.801 --> 03:01:20.469
THAT REIMBURSEMENT RATE IS ONLY
03:01:20.536 --> 03:01:22.404
ABOUT A HUNDRED AND FORTY FIVE
03:01:22.471 --> 03:01:23.339
OR A HUNDRED AND FIFTY DOLLARS
03:01:23.405 --> 03:01:24.807
PER TREATMENT THE MEDICARE RATE
03:01:24.873 --> 03:01:26.575
IS TWO HUNDRED AND SEVENTY FIVE
03:01:26.642 --> 03:01:27.343
DOLLARS PER.
03:01:27.409 --> 03:01:28.777
PER TREATMENT AVERAGE.
03:01:28.844 --> 03:01:30.246
SO YOU CAN SEE THAT IF WE HAVE A
03:01:30.312 --> 03:01:32.448
MEDI CAL PATIENTS. THREE TIMES A
03:01:32.514 --> 03:01:34.683
WEEK WE'RE LOSING SIGNIFICANT
03:01:34.750 --> 03:01:36.452
AMOUNT OF A SIGNIFICANT AMOUNT
03:01:36.518 --> 03:01:38.120
OF DOLLARS TO TREAT THAT PATIENT
03:01:38.187 --> 03:01:43.559
AND SO. ONE OR TWO PATIENTS IN A
03:01:43.626 --> 03:01:45.327
DIALYSIS CLINIC TO TAKE USUALLY
03:01:45.394 --> 03:01:47.730
IN THE RURAL AREAS OR IN THE
03:01:47.796 --> 03:01:49.932
URBAN CORE WELL WE HAVE A LOT OF
03:01:49.999 --> 03:01:51.533
UNINSURED PATIENTS A LOT OF MEDI
03:01:51.600 --> 03:01:53.302
CAL PATIENTS.
03:01:53.369 --> 03:01:55.404
CAN MAKE THE DIFFERENCE.
03:01:55.471 --> 03:01:58.040
AS TO WHETHER OR NOT THAT CLINIC.
03:01:58.107 --> 03:01:59.842
HE CAN REMAIN OPEN --
03:01:59.908 --> 03:02:01.510
OR WILL NOT REMAIN OPEN OR LET'S
03:02:01.577 --> 03:02:04.146
LET'S SAY THEY HAVE REVENUES IN
03:02:04.213 --> 03:02:05.848
EXCESS OF THEIR EXPENSES.
03:02:05.914 --> 03:02:08.384
UNDER THE CURRENT STRUCTURE.
03:02:08.450 --> 03:02:10.119
OUR COMPANIES THE NOT FOR PROFIT
03:02:10.185 --> 03:02:11.420
COMPANIES AND THE FOR PROFIT
03:02:11.487 --> 03:02:13.155
COMPANIES CAN USE SOME OF THE
03:02:13.222 --> 03:02:14.523
MONEY THAT THEY MAKE IN OTHER
03:02:14.590 --> 03:02:16.959
AREAS OF THE STATE. TO SUPPORT
03:02:17.026 --> 03:02:18.761
THE IN THE CLINICS IN YOUR
03:02:18.827 --> 03:02:20.262
DISTRICT FRANKLY.
03:02:20.329 --> 03:02:22.331
UP UNDER THIS BILL THEY WOULD
03:02:22.398 --> 03:02:23.832
LOSE THOSE.
03:02:23.899 --> 03:02:25.267
PATIENTS THAT --
03:02:25.334 --> 03:02:27.336
BEING REIMBURSED AT THE PRIVATE
03:02:27.403 --> 03:02:27.670
SECTOR RATES.
03:02:27.736 --> 03:02:31.573
WHICH I THOUGHT I MUST ALSO SAY
03:02:31.640 --> 03:02:33.609
ME YOUR BUSINESS PLAN I'M JUST
03:02:33.676 --> 03:02:34.677
YEAH I WAS QUESTION NOT.
03:02:34.743 --> 03:02:36.679
NONE OF THAT'S FINE YOUR
03:02:36.745 --> 03:02:37.913
BUSINESS PLAN PIE TAKES IT INTO
03:02:37.980 --> 03:02:39.315
CONSIDERATION DOESN'T IT I MEAN
03:02:39.381 --> 03:02:40.516
YOU'RE GOING TO HAVE SO MANY
03:02:40.582 --> 03:02:41.617
THAT ARE GOING TO BE MAYBE
03:02:41.684 --> 03:02:42.751
UNDOCUMENTED SOME YOU CAN BE
03:02:42.818 --> 03:02:46.055
MEDICARE I MEAN.
03:02:46.121 --> 03:02:46.822
THERE'S A FORMULA THAT YOU.
03:02:46.889 --> 03:02:48.190
THERE IS AN EXISTING STRUCTURE.
03:02:48.257 --> 03:02:49.291
THAT THAT THIS BILL WOULD TEAR
03:02:49.358 --> 03:02:51.927
APART.
03:02:51.994 --> 03:02:53.696
CAN WE CHANGE INSTRUCTION.
03:02:53.762 --> 03:02:55.230
WELL WE CAN WE CAN INCREASE
03:02:55.297 --> 03:02:56.699
REIMBURSEMENT RATES UNDER THE
03:02:56.765 --> 03:02:58.734
MEDI CAL PROGRAM THAT WOULD BE
03:02:58.801 --> 03:03:01.370
ONE IMPORTANT FIRST STEP --
03:03:01.437 --> 03:03:03.872
TO TAKE AND IT.
03:03:03.939 --> 03:03:05.207
YOU KNOW IT'S A SERIOUS PROBLEM
03:03:05.274 --> 03:03:06.675
WE THOUGHT A WHOLE LOT ABOUT.
03:03:06.742 --> 03:03:08.610
THIS YEAR'S BILL AND AND WE
03:03:08.677 --> 03:03:09.978
DON'T WANT TO OPPOSE THE CHAIRS
03:03:10.045 --> 03:03:11.680
BILL BUT WE SEEM WE FEEL THAT WE
03:03:11.747 --> 03:03:13.015
JUST HAVE NO CHOICE BASED ON THE
03:03:13.082 --> 03:03:15.651
PATIENTS AND THE REAL ISSUE IS
03:03:15.718 --> 03:03:15.851
THAT.
03:03:15.918 --> 03:03:18.987
WE'RE CREATING I MEAN BASED UPON
03:03:19.054 --> 03:03:21.357
ALL OF THE DIFFICULTIES WE'VE
03:03:21.423 --> 03:03:23.959
HAD OVER THE LAST TWO YEARS.
03:03:24.026 --> 03:03:26.128
THE DIALYSIS PROVIDERS.
03:03:26.195 --> 03:03:27.663
OR LOOKING AT BUILDING
03:03:27.730 --> 03:03:29.798
FACILITIES NOT IN CALIFORNIA
03:03:29.865 --> 03:03:30.833
ANYMORE BUT THEY'RE BUILDING
03:03:30.899 --> 03:03:31.934
THEM IN.
03:03:32.000 --> 03:03:33.836
OTHER STATES --
03:03:33.902 --> 03:03:36.772
AND SO WE REALLY I MEAN I THINK
03:03:36.839 --> 03:03:38.607
OR OR ARE --
03:03:38.674 --> 03:03:39.742
PROVIDERS ARE GOING TO BE ABLE
03:03:39.808 --> 03:03:42.044
TO KEEP CLINICS OPEN I DON'T I
03:03:42.111 --> 03:03:43.011
DON'T SEE ANY ANY CLINICS THAT
03:03:43.078 --> 03:03:44.380
ARE GONNA CLOSE AUTOMATICALLY
03:03:44.446 --> 03:03:45.914
BUT YOU KNOW YOU NEVER KNOW I
03:03:45.981 --> 03:03:47.182
CAN NEVER I CAN ASSURE THAT.
03:03:47.249 --> 03:03:48.550
BUT WE THINK THEY CAN KEEP THEM
03:03:48.617 --> 03:03:49.985
OPEN HOWEVER.
03:03:50.052 --> 03:03:51.220
WE'RE GOING TO CREATE A TICKING
03:03:51.286 --> 03:03:52.354
TIME BOMB WHERE.
03:03:52.421 --> 03:03:54.423
COMPANIES ARE NOT GOING TO SPEND
03:03:54.490 --> 03:03:57.659
DOLLARS IN CALIFORNIA SO FIVE
03:03:57.726 --> 03:03:58.727
SIX SEVEN YEARS FROM NOW.
03:03:58.794 --> 03:04:01.430
WHEN WE DON'T HAVE ACCESS? FOR
03:04:01.497 --> 03:04:03.198
ALL OF THE DIALYSIS PATIENTS AND
03:04:03.265 --> 03:04:05.634
BY THE WAY OUR POPULATION
03:04:05.701 --> 03:04:06.735
CALIFORNIA IS A MISTRIAL IN A
03:04:06.802 --> 03:04:07.870
YEAR I THINK YOU'VE ANSWERED
03:04:07.936 --> 03:04:09.605
MISS AYE GARCIA CURRY'S QUESTION
03:04:09.671 --> 03:04:11.573
GIVE ANOTHER QUESTION.
03:04:11.640 --> 03:04:12.207
DID YOU WANT TO ANSWER AYE AYE
03:04:12.274 --> 03:04:13.675
YEAH I'D LIKE I'D LIKE TO DRESS
03:04:13.742 --> 03:04:14.777
I'D LIKE TO DRESS UP ON ON A
03:04:14.843 --> 03:04:16.445
COUPLE OF LEVELS FIRST OF ALL.
03:04:16.512 --> 03:04:17.413
I THINK WE'VE HEARD THAT THE
03:04:17.479 --> 03:04:19.181
PROFIT FOR DIALYSIS COMPANIES IN
03:04:19.248 --> 03:04:20.816
CALIFORNIA'S ABOUT FIVE HUNDRED
03:04:20.883 --> 03:04:22.151
MILLION DOLLARS.
03:04:22.217 --> 03:04:26.622
IF WE USE THE THE NUMBERS THAT
03:04:26.688 --> 03:04:29.892
WE HER PROFIT OF FOUR HUNDRED
03:04:29.958 --> 03:04:31.627
AND TWENTY MILLION DOLLARS IN
03:04:31.693 --> 03:04:32.995
CALIFORNIA ALONE.
03:04:33.061 --> 03:04:35.397
SO I DON'T SEE HOW THAT.
03:04:35.464 --> 03:04:37.166
STILL PROFITABLE FOUR HUNDRED
03:04:37.232 --> 03:04:38.801
TWENTY MILLION DOLLARS LEADS TO
03:04:38.867 --> 03:04:40.636
THE CLOSURE OF OF CLINICS I
03:04:40.702 --> 03:04:42.204
DON'T AYE AYE THAT NO ONE HAS
03:04:42.271 --> 03:04:43.772
REALLY EXPLAIN THAT TO ME.
03:04:43.839 --> 03:04:46.608
AS FAR AS THE EXPANSION PLANS --
03:04:46.675 --> 03:04:49.478
FOR THE FUTURE CMS IN IN
03:04:49.545 --> 03:04:52.448
WASHINGTON IS LOOKING AT THE
03:04:52.514 --> 03:04:53.615
COST OF DIED OF DELIVERING
03:04:53.682 --> 03:04:55.184
DIALYSIS CARE IS ACTUALLY
03:04:55.250 --> 03:04:56.485
LOOKING AT OTHER WAYS OF
03:04:56.552 --> 03:04:58.420
PROVIDING CARE TO PEOPLE WHO
03:04:58.487 --> 03:04:59.888
HAVE END STAGE RENAL DISEASE.
03:04:59.955 --> 03:05:01.890
THAT MAY NOT INVOLVE --
03:05:01.957 --> 03:05:04.226
DIALYSIS AND ALSO I BELIEVE WE
03:05:04.293 --> 03:05:05.527
OUGHT TO BE REALLY FOCUSING ON
03:05:05.594 --> 03:05:07.830
HOW WE GET MORE PEOPLE TO
03:05:07.896 --> 03:05:08.964
TRANSPLANTS.
03:05:09.031 --> 03:05:10.632
KIDNEY TRANSPLANTS MAKING SURE
03:05:10.699 --> 03:05:13.469
THEY KNOW THEIR OPTIONS UP FRONT
03:05:13.535 --> 03:05:18.407
EARLY ON BECAUSE TRANSPLANTS.
03:05:18.474 --> 03:05:19.141
SAVE LIVES.
03:05:19.208 --> 03:05:19.875
YOU CAN EVEN YOU HAVE TO YOU
03:05:19.942 --> 03:05:20.642
COULD GET OUT MUCH HEALTHIER
03:05:20.709 --> 03:05:22.444
LIFE FOR FOR TEN OR MORE YEARS --
03:05:22.511 --> 03:05:24.313
FROM A KIDNEY TRANSPLANT AT A
03:05:24.379 --> 03:05:26.315
READ AT A STATE A SIMILAR COST
03:05:26.381 --> 03:05:27.749
OR EVEN LESS THAN WHAT WE WENT
03:05:27.816 --> 03:05:29.251
WITH THE WITH DIALYSIS AND THAT
03:05:29.318 --> 03:05:30.652
PERSON WOULD NOT HAVE.
03:05:30.719 --> 03:05:32.721
TO HAVE TO BE HAVE TREATMENT
03:05:32.788 --> 03:05:34.523
THREE TIMES A WEEK SO SO THERE
03:05:34.590 --> 03:05:36.091
ARE OTHER THINGS AT PLAY HERE
03:05:36.158 --> 03:05:37.392
AND SO AS FAR AS THE FUTURE
03:05:37.459 --> 03:05:39.261
EXPANSION PLANS SOME OF THAT I
03:05:39.328 --> 03:05:40.829
BELIEVE IS BEING DRIVEN BY THE
03:05:40.896 --> 03:05:42.297
FACT THAT CMS IS LOOKING.
03:05:42.364 --> 03:05:43.665
AT ALTERNATIVE WAYS OF DOING
03:05:43.732 --> 03:05:44.900
TREATMENT --
03:05:44.967 --> 03:05:47.870
IN HONG KONG FOR EXAMPLE 70% OF
03:05:47.936 --> 03:05:50.606
THE PEOPLE WHO RECEIVE DIALYSIS
03:05:50.672 --> 03:05:51.773
RECEIVE IT AT HOME.
03:05:51.840 --> 03:05:53.509
NOT IN A CLINIC AND THERE ARE
03:05:53.575 --> 03:05:54.977
MANY OTHER EXAMPLES OF WAYS THE
03:05:55.043 --> 03:05:56.512
WAY THE TREATMENT OF END STAGE
03:05:56.578 --> 03:05:58.080
RENAL DISEASE IS CHANGING AND
03:05:58.146 --> 03:05:58.947
AND IN THE UNITED STATES AND
03:05:59.014 --> 03:06:01.917
ACROSS THE AND THAT'S AND THAT
03:06:01.984 --> 03:06:03.252
SO I BELIEVE THAT HAS A HAS A
03:06:03.318 --> 03:06:04.853
FACTOR OF WHY THESE ARE.
03:06:04.920 --> 03:06:06.688
THESE THESE PLANS THESE
03:06:06.755 --> 03:06:08.090
EXPANSION PLANS MAY BE SLOWING
03:06:08.156 --> 03:06:08.290
DOWN.
03:06:08.357 --> 03:06:09.324
AS WELL.
03:06:09.391 --> 03:06:10.659
THANK YOU VERY MUCH REALLY GOOD
03:06:10.726 --> 03:06:11.493
TO SOME MEMBER --
03:06:11.560 --> 03:06:12.761
CARILLO AND THEN TO SOME OF OUR
03:06:12.828 --> 03:06:16.398
WORK.
03:06:16.465 --> 03:06:18.133
FORGET IT TURNED THE SUN THANK
03:06:18.200 --> 03:06:19.968
YOU MISTER CHAIR THANK YOU --
03:06:20.035 --> 03:06:21.904
I HAVE TWENTY NINE PEOPLE IN MY
03:06:21.970 --> 03:06:22.371
DISTRICT --
03:06:22.437 --> 03:06:23.839
RECEIVE HERBAL PREMIUM
03:06:23.906 --> 03:06:25.274
ASSISTANCE FOR THEIR DIALYSIS
03:06:25.340 --> 03:06:27.476
TREATMENT WHO EXPRESSED CONCERN
03:06:27.543 --> 03:06:29.711
FOR LAST YEAR'S BILL BUT HOPE
03:06:29.778 --> 03:06:31.547
FOR A RESOLUTION --
03:06:31.613 --> 03:06:33.582
THE BILL PREVIOUS BILL WENT
03:06:33.649 --> 03:06:34.383
PASSED BOTH HOUSES THE CAPITAL
03:06:34.449 --> 03:06:36.285
BY THE GOVERNOR. TO BE QUITE
03:06:36.351 --> 03:06:38.654
FRANK SOME ARE QUITE HAPPY ABOUT
03:06:38.720 --> 03:06:40.455
THAT -- SO
03:06:40.522 --> 03:06:42.224
MY COMMENTS AND QUESTIONS TO
03:06:42.291 --> 03:06:44.726
DATE ARE WITH THEM IN MIND AS
03:06:44.793 --> 03:06:46.662
WELL AS THE HEALTH NEEDS OF OUR
03:06:46.728 --> 03:06:48.163
MOST VULNERABLE COMMUNITIES
03:06:48.230 --> 03:06:49.464
UNDOCUMENTED COMMUNITIES LOW
03:06:49.531 --> 03:06:50.532
INCOME.
03:06:50.599 --> 03:06:53.402
PEOPLE OF COLOR WHO GENERALLY
03:06:53.468 --> 03:06:55.103
LACK ACCESS TO HEALTH CARE.
03:06:55.170 --> 03:06:56.705
AND IN GRATITUDE TOWARDS THE
03:06:56.772 --> 03:06:57.940
WORKERS THAT ARE HERE TODAY TO
03:06:58.006 --> 03:06:59.708
PROVIDE THE SERVICE AND THANK
03:06:59.775 --> 03:07:00.776
YOU TO THE WITNESS I DID I'M
03:07:00.842 --> 03:07:05.013
SORRY I DIDN'T CATCH YOUR NAME.
03:07:05.080 --> 03:07:06.648
FOR COMING AND TESTIFYING.
03:07:06.715 --> 03:07:08.216
RENEE THANK YOU MY AUNT --
03:07:08.283 --> 03:07:09.151
RECEIVES DIALYSIS AND I KNOW HOW
03:07:09.217 --> 03:07:10.852
TIRED SHE IS AFTER RECEIVING HER
03:07:10.919 --> 03:07:12.187
TREATMENT.
03:07:12.254 --> 03:07:13.989
SO -- I WANT
03:07:14.056 --> 03:07:17.192
TO ADDRESS THE ISSUE OF A PROFIT.
03:07:17.259 --> 03:07:19.094
SO IF DIALYSIS CLINICS CLAIM
03:07:19.161 --> 03:07:20.996
THAT 10% OF THEIR PATIENTS
03:07:21.063 --> 03:07:21.964
COVERED BY COMMERCIAL HEALTH
03:07:22.030 --> 03:07:24.199
PLANS EFFECTIVELY SUBSIDIZE.
03:07:24.266 --> 03:07:26.735
THE REMAINING 90% BY MEDICARE
03:07:26.802 --> 03:07:27.903
HOW WILL CAPPING THE
03:07:27.970 --> 03:07:30.005
REIMBURSEMENT RATES AT A LOWER
03:07:30.072 --> 03:07:31.640
COST AND THE SERVICES RENDERED
03:07:31.707 --> 03:07:34.242
ARE WORTH OR BENEFIT CONSUMERS
03:07:34.309 --> 03:07:35.544
IN GENERAL THAT'S ONE
03:07:35.611 --> 03:07:36.912
ADDITIONALLY.
03:07:36.979 --> 03:07:38.280
UNDER THE FEDERAL
03:07:38.347 --> 03:07:39.982
ADMINISTRATIONS MOST RECENT TAX
03:07:40.048 --> 03:07:41.016
REFUNDS HEALTH CARE SERVICES
03:07:41.083 --> 03:07:42.751
CORPORATION WHICH IS THE PARENT
03:07:42.818 --> 03:07:44.820
COMPANY TO BLUESHIELD RECEIVED A
03:07:44.886 --> 03:07:46.588
ONE POINT SEVEN BILLION DOLLAR
03:07:46.655 --> 03:07:47.923
TAX REFUND.
03:07:47.990 --> 03:07:49.591
I'M WONDERING IF WE CAN GET SOME
03:07:49.658 --> 03:07:50.826
CLARITY.
03:07:50.892 --> 03:07:52.561
AS TO WHAT IS THE PATHWAY THAT
03:07:52.628 --> 03:07:54.529
ENSURES THAT THE PROFITS EARNED
03:07:54.596 --> 03:07:56.131
BY HEALTH PLANS ARE ACTUALLY
03:07:56.198 --> 03:07:58.734
BEING IMPLEMENTED AND BEING
03:07:58.800 --> 03:08:01.003
BROUGHT BACK TO CONSUMERS --
03:08:01.069 --> 03:08:02.571
YEAH GREAT QUESTION RIGHT AND
03:08:02.638 --> 03:08:03.238
YOU KNOW WITH.
03:08:03.305 --> 03:08:04.773
I GO BACK TO TOO LONG QUESTIONS
03:08:04.840 --> 03:08:05.907
ARE SO --
03:08:05.974 --> 03:08:07.376
THE FIRST QUESTION IN TWENTY
03:08:07.442 --> 03:08:08.877
NINE PATIENTS --
03:08:08.944 --> 03:08:10.612
TO HAVE OR GETTING SOME SOME
03:08:10.679 --> 03:08:12.147
COVERAGE FIRST OF ALL --
03:08:12.214 --> 03:08:13.615
BACK UP A LITTLE BIT --
03:08:13.682 --> 03:08:15.617
IN STAGE RENAL DISEASE IS THE
03:08:15.684 --> 03:08:17.552
ONE DISEASE THAT ASSURES THAT
03:08:17.619 --> 03:08:18.887
PEOPLE WHO ARE --
03:08:18.954 --> 03:08:21.356
THAT THAT YOU COULD BE COVERED
03:08:21.423 --> 03:08:22.524
BY MEDICARE --
03:08:22.591 --> 03:08:24.426
AT ANY AGE.
03:08:24.493 --> 03:08:26.662
AT ANY AGE FULL SCOPE MEDICARE
03:08:26.728 --> 03:08:28.497
SERVICES AT ANY AGE.
03:08:28.563 --> 03:08:30.832
THE SAFETY NET EXIST TO PROTECT
03:08:30.899 --> 03:08:32.567
PEOPLE JUST LIKE YOU'RE JUST
03:08:32.634 --> 03:08:34.102
LIKE YOUR YOUR CONSTITUENTS --
03:08:34.169 --> 03:08:35.270
WHETHER IT'S MEDI CAL OR
03:08:35.337 --> 03:08:36.938
MEDICARE NOTHING IN THE BILL
03:08:37.005 --> 03:08:38.907
PROHIBITS --
03:08:38.974 --> 03:08:40.308
THE AMERICAN KIDNEY FIND FROM
03:08:40.375 --> 03:08:42.444
CONTINUING TO CONTRIBUTE TO HELP
03:08:42.511 --> 03:08:44.413
PATIENTS --
03:08:44.479 --> 03:08:45.580
THEY SAY THEY'RE NOT GOING TO
03:08:45.647 --> 03:08:47.716
BASED ON AN OFFICE OF INSPECTOR
03:08:47.783 --> 03:08:49.484
GENERAL DECISION THAT WAS MADE
03:08:49.551 --> 03:08:51.053
IN.
03:08:51.119 --> 03:08:51.687
NINETEEN NINETY SEVEN THAT IS AN
03:08:51.753 --> 03:08:52.888
ARGUMENT THAT DID NOT COME UP
03:08:52.954 --> 03:08:54.623
LAST YEAR AND WE JUST LEARNED OF
03:08:54.690 --> 03:08:56.825
THAT RECENTLY AND I STILL AM TO
03:08:56.892 --> 03:08:58.093
THIS DAY DON'T UNDERSTAND HOW
03:08:58.160 --> 03:08:58.860
THAT TWENTY TWO YEAR OLD
03:08:58.927 --> 03:09:00.162
DECISION.
03:09:00.228 --> 03:09:01.830
AFFECTS THIS BILL BECAUSE AS FAR
03:09:01.897 --> 03:09:03.031
AS I KNOW THE AG IS NOT WEIGHED
03:09:03.098 --> 03:09:05.600
IN ON WHAT WE'RE DOING --
03:09:05.667 --> 03:09:08.036
I AS FAR AS PROFITS FOR
03:09:08.103 --> 03:09:09.838
INSURANCE PLANS INSURANCE PLANS
03:09:09.905 --> 03:09:11.540
ARE HIGHLY REGULATED --
03:09:11.606 --> 03:09:15.043
THEY HAVE A CAP ON THEIR PROFITS --
03:09:15.110 --> 03:09:17.846
AND THE DIALYSIS INDUSTRY HAS A
03:09:17.913 --> 03:09:19.514
VERY HIGH PROFIT MARGIN IT'S
03:09:19.581 --> 03:09:21.583
ACTUALLY HIGHER THAN MANY MANY
03:09:21.650 --> 03:09:22.851
SECTORS OF THE OF THE HEALTH
03:09:22.918 --> 03:09:24.019
CARE SPACE RIGHT NOW.
03:09:24.086 --> 03:09:25.587
SO THEY ARE MAKING BILLIONS OF
03:09:25.654 --> 03:09:26.655
DOLLARS --
03:09:26.722 --> 03:09:31.093
AND AND AND PARTICULAR INSTANCE.
03:09:31.159 --> 03:09:33.862
THEY'RE MAKING A CONTRIBUTION.
03:09:33.929 --> 03:09:35.097
TO THE AMERICAN CAN BE FUN FOR
03:09:35.163 --> 03:09:36.798
WHICH THEY'RE GETTING A TAX
03:09:36.865 --> 03:09:37.099
[inaudible]
03:09:37.165 --> 03:09:39.501
DEDUCTION.
03:09:39.568 --> 03:09:41.103
AND THEY'RE GETTING THROUGH THE
03:09:41.169 --> 03:09:42.170
AMERICAN CAN BE FUN.
03:09:42.237 --> 03:09:43.572
PAYING FOR INSURANCE PREMIUMS
03:09:43.638 --> 03:09:45.207
THAT REIMBURSE THEM AT THREE OR
03:09:45.273 --> 03:09:46.341
FOUR TIMES THE RATE FOR MEDI CAL
03:09:46.408 --> 03:09:48.343
SO THEY'RE GETTING TO KIND OF
03:09:48.410 --> 03:09:49.778
DOUBLE DIPPING [inaudible]
03:09:49.845 --> 03:09:52.914
MY OPINION.
03:09:52.981 --> 03:09:54.816
THANK YOU ARE MISSED BURKE.
03:09:54.883 --> 03:09:57.486
OKAY SO ON WHAT YOU JUST SAID SO.
03:09:57.552 --> 03:09:58.820
CAN THE FUN CAN STILL PAY
03:09:58.887 --> 03:10:01.022
WHATEVER THAT 20% THAT MEDICARE
03:10:01.089 --> 03:10:02.891
AND THE PHONE WILL STILL BE ABLE
03:10:02.958 --> 03:10:04.493
TO DO ABSOLUTELY NOTHING THERE'S
03:10:04.559 --> 03:10:05.193
NOTHING PREVENTS THEM FROM DOING
03:10:05.260 --> 03:10:06.995
THAT I THINK SO I WON IT FIRST
03:10:07.062 --> 03:10:07.996
OF ALL THANK YOU BECAUSE YOU
03:10:08.063 --> 03:10:08.930
HAVE SPENT.
03:10:08.997 --> 03:10:10.632
SOME TIME WITH ME AND ADDRESSED
03:10:10.699 --> 03:10:11.967
A LOT OF MY CONCERNS BECAUSE I
03:10:12.033 --> 03:10:14.202
DO HAVE OVER HALF MY DISTRICT IS
03:10:14.269 --> 03:10:16.938
ON MEDI CAL. 60% OF MY DISTRICT
03:10:17.005 --> 03:10:18.340
IS AFRICAN AMERICAN AND WE
03:10:18.406 --> 03:10:20.142
SUFFER GREATLY I HAVE THREE
03:10:20.208 --> 03:10:22.310
TIMES THE AMOUNT OF PEOPLE --
03:10:22.377 --> 03:10:23.678
ASSEMBLY MEMBER CREEL HAS --
03:10:23.745 --> 03:10:25.881
IN HER DISTRICT ON THIS PROGRAM
03:10:25.947 --> 03:10:29.484
SO THE THOSE FOLKS BUT FOR ME AS
03:10:29.551 --> 03:10:31.486
I HAVE EXPRESSED TO YOU AND TO
03:10:31.553 --> 03:10:35.357
THE SUPPORTERS AND OPPOSITION --
03:10:35.423 --> 03:10:37.559
LISTEN I I KNOW THERE IS SOME I
03:10:37.626 --> 03:10:38.927
HATE TO SAY THIS I KNOW THERE IS
03:10:38.994 --> 03:10:41.062
SOME DISDAIN FOR THE OWNERS OF
03:10:41.129 --> 03:10:42.964
SOME OF THESE CLINICS AND I
03:10:43.031 --> 03:10:44.933
DON'T ACTUALLY CARE ABOUT THAT --
03:10:45.000 --> 03:10:46.001
AND I DO KNOW THAT THERE ARE
03:10:46.067 --> 03:10:47.502
BEEN ATTACKS ON SEVERAL LEVELS
03:10:47.569 --> 03:10:49.271
ON THE CLINICS I ACTUALLY DON'T
03:10:49.337 --> 03:10:50.605
CARE ABOUT THAT EITHER.
03:10:50.672 --> 03:10:52.507
WHAT I DO CARE VERY MUCH ABOUT
03:10:52.574 --> 03:10:53.775
IS I LIVE IN A DISTRICT WHERE
03:10:53.842 --> 03:10:56.044
PEOPLE ARE CHALLENGED AND AS
03:10:56.111 --> 03:10:57.913
THIS AS RENEE CAN TELL YOU CHECK
03:10:57.979 --> 03:10:58.914
IT'S ONE THING TO BE FISCALLY
03:10:58.980 --> 03:11:00.382
CHALLENGED IT'S ANOTHER THING TO
03:11:00.448 --> 03:11:02.350
DO THAT AND THEN DO YOUR
03:11:02.417 --> 03:11:03.819
DIALYSIS OVERNIGHT?
03:11:03.885 --> 03:11:05.086
A BECAUSE YOU CAN'T THAT'S THE
03:11:05.153 --> 03:11:06.555
ONLY TIME YOU'RE ABLE TO DO IT
03:11:06.621 --> 03:11:08.990
AND THAT'S AND RIGHT NOW MY
03:11:09.057 --> 03:11:10.392
FOLKS HAVE ACCESS TO CLINICS.
03:11:10.458 --> 03:11:11.526
SO I AM VERY VERY CONCERNED
03:11:11.593 --> 03:11:13.495
ABOUT THE CONSISTENT ATTACKS ON
03:11:13.562 --> 03:11:15.363
THE DIALYSIS CLINICS BECAUSE MY
03:11:15.430 --> 03:11:16.765
FOLKS CAN'T GO SOMEWHERE ELSE
03:11:16.832 --> 03:11:18.333
THEY CAN'T TAKE THREE BUSES THEY
03:11:18.400 --> 03:11:19.868
LOSE THEIR JOB AND QUITE FRANKLY
03:11:19.935 --> 03:11:21.236
WITH THE TRANSPLANT THEY LOSE
03:11:21.303 --> 03:11:22.337
THEIR JOB.
03:11:22.404 --> 03:11:24.906
AND SO I JUST MY CONCERN AND
03:11:24.973 --> 03:11:26.007
IT'S MORE OF A STATEMENT THAN
03:11:26.074 --> 03:11:27.776
ANYTHING ELSE IS AS WE CONTINUE
03:11:27.843 --> 03:11:31.813
I I LOOK FORWARD TO ALTERNATIVE
03:11:31.880 --> 03:11:32.714
METHODS OF TREATING.
03:11:32.781 --> 03:11:34.149
END STAGE RENAL DISEASE I REALLY
03:11:34.216 --> 03:11:36.618
DO BUT UNTIL THAT TIME I JUST
03:11:36.685 --> 03:11:38.587
WANT TO BE VERY VERY CLEAR WITH
03:11:38.653 --> 03:11:40.755
EVERYBODY OF THE SUPPORTERS AND
03:11:40.822 --> 03:11:42.757
THE OPPOSITION THAT. FOR ME I
03:11:42.824 --> 03:11:44.392
WILL SUPPORT THIS BILL TODAY BUT
03:11:44.459 --> 03:11:46.261
I AM I GO TO MY REAL CLINICS
03:11:46.328 --> 03:11:47.662
BECAUSE WE HAVE SO MANY AND
03:11:47.729 --> 03:11:49.297
BECAUSE SO MANY PEOPLE IN MY
03:11:49.364 --> 03:11:50.031
DISTRICT HAVE TO USE THEM.
03:11:50.098 --> 03:11:51.766
I GO REGULARLY DURING MY BREAK I
03:11:51.833 --> 03:11:55.837
GO TO TWO OR THREE AND I I WILL
03:11:55.904 --> 03:11:57.973
FIND IT VERY OFFENSIVE THE IF AT
03:11:58.039 --> 03:12:00.408
ANY POINT THAT I FIND I BELIEVE
03:12:00.475 --> 03:12:00.942
IN THE SHORT TERM THEY'RE
03:12:01.009 --> 03:12:01.443
KNOCKING CLOSE.
03:12:01.509 --> 03:12:02.777
BUT I AM CONCERNED ABOUT THE
03:12:02.844 --> 03:12:05.146
LONG TERM AND I A WILL WATCH ALL
03:12:05.213 --> 03:12:07.382
OF THESE BILLS CAREFULLY THAT
03:12:07.449 --> 03:12:08.884
HAVE TO DO WITH EIGHT AND STAGE
03:12:08.950 --> 03:12:10.585
RENAL DISEASE BECAUSE MY
03:12:10.652 --> 03:12:12.654
DISTRICTS AWFUL SO BAD FROM IT --
03:12:12.721 --> 03:12:15.023
IF I START TO SEE DISTRICTS SEE
03:12:15.090 --> 03:12:16.291
RENAL IF I SEARCH SEE SOME OF
03:12:16.358 --> 03:12:17.225
THESE PLACES BECAUSE OF MY
03:12:17.292 --> 03:12:18.159
DISTRICT I BELIEVE THAT WE ARE
03:12:18.226 --> 03:12:19.494
GOING TO HAVE A VERY SERIOUS
03:12:19.561 --> 03:12:20.996
DIFFERENT CONVERSATION --
03:12:21.062 --> 03:12:22.697
I APPRECIATE THE WORK YOU HAVE
03:12:22.764 --> 03:12:24.132
DONE SO FAR I APPRECIATE THE
03:12:24.199 --> 03:12:25.267
TIME YOU'VE SPENT TO HAVE THIS
03:12:25.333 --> 03:12:26.801
CONVERSATION WITH ME AND I KNOW
03:12:26.868 --> 03:12:28.670
YOU KNOW I AM I AM VERY SERIOUS
03:12:28.737 --> 03:12:29.371
ABOUT THIS.
03:12:29.437 --> 03:12:30.505
BUT I STATE ABOUT THE SUPPORT
03:12:30.572 --> 03:12:32.574
OPPOSITION I JUST TRY I JUST
03:12:32.641 --> 03:12:34.075
WANT YOU TO THINK ABOUT SOME
03:12:34.142 --> 03:12:35.343
PEOPLE LIKE RENE.
03:12:35.410 --> 03:12:37.879
WHO WHO REALLY THIS IS THE NEXT
03:12:37.946 --> 03:12:39.848
LEVEL OF SUFFERING TO WORK IN
03:12:39.915 --> 03:12:41.016
SOME OF THE CONDITIONS THEY WORK
03:12:41.082 --> 03:12:42.717
AND AND THEN TO HAVE TO GO? TO
03:12:42.784 --> 03:12:47.122
SIT FOR FOUR HOURS OR OVERNIGHT
03:12:47.188 --> 03:12:48.556
FOR IT'S EXHAUSTING.
03:12:48.623 --> 03:12:49.658
AND I JUST HOPE FOR THINKING
03:12:49.724 --> 03:12:51.259
ABOUT SOME OF THOSE FOLKS FAR
03:12:51.326 --> 03:12:52.460
BEFORE THE TIME WE'RE THINKING
03:12:52.527 --> 03:12:53.929
ABOUT WHETHER --
03:12:53.995 --> 03:12:55.030
ANY OF THESE FACILITIES ARE
03:12:55.096 --> 03:12:57.966
PROFITABLE OR WHETHER YOU ARE
03:12:58.033 --> 03:13:01.369
PROFITABLE INSURANCE AGENCY.
03:13:01.436 --> 03:13:03.605
ANY FURTHER QUESTIONS AT ALL --
03:13:03.672 --> 03:13:05.573
MISTER RAMOS.
03:13:05.640 --> 03:13:07.309
THANK YOU MISTER CHAIR STILL A
03:13:07.375 --> 03:13:09.077
COUPLE QUESTIONS ON ANALYSIS
03:13:09.144 --> 03:13:10.245
THAT -- CAME
03:13:10.312 --> 03:13:11.880
OUT FROM THE COMMITTEE ON ON ON
03:13:11.947 --> 03:13:13.048
HOW.
03:13:13.114 --> 03:13:14.816
ON PAGE FIVE THERE'S A A
03:13:14.883 --> 03:13:17.185
STATEMENT OF PURPOSE OF THE BILL.
03:13:17.252 --> 03:13:18.586
IT SAYS THAT --
03:13:18.653 --> 03:13:20.188
MAY BE VERY PATIENTS AWAY FROM
03:13:20.255 --> 03:13:22.490
MEDICARE AND THAT STATEMENT MAY
03:13:22.557 --> 03:13:23.992
BE HAVE WE SOLIDIFIED OUR
03:13:24.059 --> 03:13:27.162
VALIDATED THAT STATEMENT AT ALL
03:13:27.228 --> 03:13:27.462
[inaudible]
03:13:27.529 --> 03:13:28.296
UGH.
03:13:28.363 --> 03:13:30.031
IT'S DIFFICULT IT'S DIFFICULT TO
03:13:30.098 --> 03:13:32.033
KNOW EXACTLY WHAT'S HAPPENING IN
03:13:32.100 --> 03:13:35.570
CLINICS AND BUT WE N A SOMEBODY
03:13:35.637 --> 03:13:39.240
ELSE WANTS TO SPEAK TO THAT BUT
03:13:39.307 --> 03:13:40.875
THAT'S PARTIALLY JUST A
03:13:40.942 --> 03:13:42.444
TECHNICAL LANGUAGE THAT IN NOT
03:13:42.510 --> 03:13:43.878
ALL CASES IS ITS STEERING A
03:13:43.945 --> 03:13:44.579
PATIENT.
03:13:44.646 --> 03:13:46.047
OFF OF A GOVERNMENT PROGRAM
03:13:46.114 --> 03:13:48.416
OFTEN WHAT HAPPENS IS THAT IF A
03:13:48.483 --> 03:13:50.785
PATIENT IS STILL EMPLOYED ONE
03:13:50.852 --> 03:13:52.320
THEY START DIALYSIS.
03:13:52.387 --> 03:13:54.322
THEN SOMEONE FROM THE CLINIC
03:13:54.389 --> 03:13:55.924
WILL GO TO THAT PATIENT.
03:13:55.991 --> 03:13:59.294
AND SAY TO THEM YOU CAN APPLY
03:13:59.361 --> 03:14:00.295
FOR A GRANT FROM THE FROM THE
03:14:00.362 --> 03:14:01.663
AMERICAN KIDNEY FUND TO PAY YOUR
03:14:01.730 --> 03:14:04.332
PREMIUMS INSTEAD OF GOING ON TO
03:14:04.399 --> 03:14:06.067
A PUBLIC PROGRAM.
03:14:06.134 --> 03:14:07.335
AND SO IT'S IT'S HOLDING
03:14:07.402 --> 03:14:09.437
PATIENTS ON COMMERCIAL COVERAGE
03:14:09.504 --> 03:14:10.505
WHEN OTHERWISE THEY WOULD HAVE
03:14:10.572 --> 03:14:11.973
BEEN EL ELIGIBLE TO GO ON TO
03:14:12.040 --> 03:14:13.108
MEDICARE.
03:14:13.174 --> 03:14:15.443
AND AND SO THAT'S WHERE THE LINE
03:14:15.510 --> 03:14:17.078
GETS A LITTLE BIT BLURRED BUT WE
03:14:17.145 --> 03:14:19.280
HAVE DOCUMENTED CASES.
03:14:19.347 --> 03:14:20.782
WHERE PATIENTS WHO ARE CURRENTLY
03:14:20.849 --> 03:14:23.151
ENROLLED IN FULL SCOPE MEDIC HAL?
03:14:23.218 --> 03:14:24.085
WERE.
03:14:24.152 --> 03:14:28.556
ENROLLED IN COMMERCIAL COVERAGE --
03:14:28.623 --> 03:14:30.492
WHILE THEY WERE STILL IT IN SO
03:14:30.558 --> 03:14:32.027
ADDING A FULL SCOPE COVERAGE
03:14:32.093 --> 03:14:34.796
PLAN ON TOP OF THEIR MEDI CAL.
03:14:34.863 --> 03:14:36.898
SO WE'VE SEEN BOTH HOLDING
03:14:36.965 --> 03:14:38.433
PATIENTS FROM GOING ON TO
03:14:38.500 --> 03:14:39.701
GOVERNMENT PLANS.
03:14:39.768 --> 03:14:41.703
AS WELL AS MOVING PATIENTS FROM
03:14:41.770 --> 03:14:44.005
A GOVERNMENT PLAN ON TO A
03:14:44.072 --> 03:14:45.073
COMMERCIAL PLAN.
03:14:45.140 --> 03:14:47.208
SO WITH THAT STATEMENT AS FAR AS
03:14:47.275 --> 03:14:48.743
MAY BE VERY PATIENT TO SAY IT'S
03:14:48.810 --> 03:14:50.945
NOT A 100% SO THERE IS SOME.
03:14:51.012 --> 03:14:52.347
SOME.
03:14:52.414 --> 03:14:56.051
WAY AS FAR AND PROFIT NUMBERS
03:14:56.117 --> 03:14:57.285
THAT WERE JUST QUOTED --
03:14:57.352 --> 03:14:59.120
BY THE AUTHOR THEN IF THAT'S THE
03:14:59.187 --> 03:15:00.455
CASE OF SOME OF THOSE --
03:15:00.522 --> 03:15:02.057
NUMBERS THAT WERE QUOTED WOULD
03:15:02.123 --> 03:15:04.426
BE FLUID ALSO BECAUSE IT'S NOT A
03:15:04.492 --> 03:15:05.794
100% RIGHT.
03:15:05.860 --> 03:15:08.763
IF I'M SEEING IT RIGHT.
03:15:08.830 --> 03:15:09.898
I THINK IT THE THE PROFIT NUMBER
03:15:09.964 --> 03:15:11.066
CERTAINLY THE THE PROFIT NUMBER
03:15:11.132 --> 03:15:14.035
THAT THE COMPANY REPORTS IS --
03:15:14.102 --> 03:15:16.538
FOR THE STATE IS IS IS AVAILABLE
03:15:16.604 --> 03:15:17.005
TO THEIR SCHOOL THEIR
03:15:17.072 --> 03:15:17.972
SHAREHOLDERS.
03:15:18.039 --> 03:15:19.007
OUT THERE --
03:15:19.074 --> 03:15:20.308
THE AMOUNT OF MONEY THAT WOULD
03:15:20.375 --> 03:15:22.243
ACTUALLY POTENTIALLY BE SAVED
03:15:22.310 --> 03:15:24.512
HERE IS IS PART OF WHAT IS WE'RE
03:15:24.579 --> 03:15:26.815
NOT EXACTLY SURE OF BUT BECAUSE
03:15:26.881 --> 03:15:30.051
YOU'RE EXTRAPOLATING THE NUMBERS --
03:15:30.118 --> 03:15:31.820
BASED ON WHAT WE'VE HEARD FROM
03:15:31.886 --> 03:15:33.321
ONE COMPANY TALK TO THEIR TALK
03:15:33.388 --> 03:15:35.090
TO THEIR SHAREHOLDERS SO SO IT
03:15:35.156 --> 03:15:36.691
IS A IT IS DIFFICULT TO GET
03:15:36.758 --> 03:15:38.026
EXACT PANEL ON THAT.
03:15:38.093 --> 03:15:40.495
BUT BUT IF THAT IS ONE OF THE
03:15:40.562 --> 03:15:41.930
MAJOR PLAYERS IN THE INDUSTRY
03:15:41.996 --> 03:15:44.666
AND THAT BEING THE CASE IT'S I
03:15:44.732 --> 03:15:46.067
THINK IT'S FAIRLY REASONABLE TO
03:15:46.134 --> 03:15:48.002
EXTRACT BUT YOU ALSO HAVE.
03:15:48.069 --> 03:15:49.370
NONPROFIT CLINICS THAT ARE
03:15:49.437 --> 03:15:52.073
PROVIDING SERVICES WELL SO I
03:15:52.140 --> 03:15:53.541
THINK BELIEVE THE TWO MAJOR --
03:15:53.608 --> 03:15:54.976
COMMERCIAL --
03:15:55.043 --> 03:15:57.345
PUBLICLY TRADED COMPANIES --
03:15:57.412 --> 03:16:00.949
ARE -- SAID
03:16:01.015 --> 03:16:01.749
OF THE MARKET ROUGHLY
03:16:01.816 --> 03:16:02.050
[inaudible]
03:16:02.117 --> 03:16:05.687
SO.
03:16:05.753 --> 03:16:07.355
HI IF I MIGHT --
03:16:07.422 --> 03:16:09.090
ASSEMBLY MEMBER.
03:16:09.157 --> 03:16:10.792
THE QUESTION OF STEERING HAS
03:16:10.859 --> 03:16:13.428
BEEN RAISED.
03:16:13.495 --> 03:16:15.763
THE DIALYSIS INDUSTRY IS ONE OF
03:16:15.830 --> 03:16:17.365
THE MOST HEAVILY REGULATED
03:16:17.432 --> 03:16:18.500
INDUSTRIES IN THE NATION.
03:16:18.566 --> 03:16:20.535
ERROR HERE ARE THE CONDITIONS
03:16:20.602 --> 03:16:21.636
FOR COVERAGE.
03:16:21.703 --> 03:16:23.371
THAT WERE ADOPTED AT THE FEDERAL
03:16:23.438 --> 03:16:24.906
LEVEL BY CMS.
03:16:24.973 --> 03:16:26.374
IN ORDER TO QUALIFY AS A
03:16:26.441 --> 03:16:28.309
MEDICARE PROVIDER AND 80% OF OUR
03:16:28.376 --> 03:16:30.512
PATIENTS ARE MEDICARE PATIENTS
03:16:30.578 --> 03:16:31.479
SO YOU HAVE TO BE A MEDICARE
03:16:31.546 --> 03:16:32.647
PROVIDER IN ORDER TO BE
03:16:32.714 --> 03:16:33.815
SUCCESSFUL.
03:16:33.882 --> 03:16:35.016
YOU HAVE TO COMPLY WITH THE
03:16:35.083 --> 03:16:36.784
CONDITIONS FOR COVERAGE THE
03:16:36.851 --> 03:16:38.086
CONDITIONS FOR COVERAGE HAVE
03:16:38.153 --> 03:16:39.387
MANY MANY --
03:16:39.454 --> 03:16:42.857
PROVISIONS RELATING.
03:16:42.924 --> 03:16:44.192
TO MANDATES THAT YOU PROVIDE
03:16:44.259 --> 03:16:47.228
YOUR PATIENTS WITH INFORMATION
03:16:47.295 --> 03:16:48.429
ABOUT INSURANCE OPTIONS.
03:16:48.496 --> 03:16:50.765
BUT ALSO PROHIBITING ANY
03:16:50.832 --> 03:16:52.600
STEERING ACTIVITY BY THE
03:16:52.667 --> 03:16:55.703
DIALYSIS FACILITIES SO WE FLATLY
03:16:55.770 --> 03:16:57.372
REJECT THE IDEA THAT WE'RE
03:16:57.438 --> 03:16:59.574
STEERING PATIENTS AND AND IN
03:16:59.641 --> 03:17:00.742
PARTICULAR WE WOULD NEVER STEER
03:17:00.808 --> 03:17:02.610
PATIENT OFF OF A MEDICARE
03:17:02.677 --> 03:17:04.078
PROGRAM BECAUSE THE COST OF
03:17:04.145 --> 03:17:05.413
MONEY IF THEY EVER GET BACK ON
03:17:05.480 --> 03:17:07.015
IT'S IT'S ONE OF THE PROBLEMS.
03:17:07.081 --> 03:17:10.251
WE FACE IS A VERY COMPLICATED
03:17:10.318 --> 03:17:12.020
REGULATIONS AND REQUIREMENTS AND
03:17:12.086 --> 03:17:13.821
SO YOU SORT OF TO SORT THROUGH
03:17:13.888 --> 03:17:15.390
THE MALL BUT WHEN YOU TAKE WHEN
03:17:15.456 --> 03:17:16.491
YOU TAKE.
03:17:16.558 --> 03:17:17.926
WHEN YOU PULL THE PIECES STRING
03:17:17.992 --> 03:17:20.328
AND AND TAKE ALL THIS MONEY AWAY
03:17:20.395 --> 03:17:22.030
FROM PROVIDERS AND PUT IT IN THE
03:17:22.096 --> 03:17:24.299
HANDS OF THE INSURANCE INDUSTRY?
03:17:24.365 --> 03:17:25.533
YOU HAVE TO ASSUME THAT THERE'S
03:17:25.600 --> 03:17:26.801
GOING TO BE SOME KIND OF ADVERSE
03:17:26.868 --> 03:17:28.536
AFFECT ON PATIENTS AND THAT'S
03:17:28.603 --> 03:17:30.038
OUR CONCERN THANK YOU MISTER
03:17:30.104 --> 03:17:31.673
CHAIRMAN MORE QUESTIONS WAS ROSS
03:17:31.739 --> 03:17:32.874
YEAH I HAVE A RATHER MISTER
03:17:32.941 --> 03:17:33.875
CHAIR -- AND
03:17:33.942 --> 03:17:35.343
ALSO IN THE BACK OF MATERIAL IT
03:17:35.410 --> 03:17:36.411
TALKS ABOUT --
03:17:36.477 --> 03:17:38.846
CMS AND AND A RULING --
03:17:38.913 --> 03:17:41.583
THERE WAS MOVING FORWARD BUT
03:17:41.649 --> 03:17:43.051
THEN --
03:17:43.117 --> 03:17:44.018
ENDED UP BEING --
03:17:44.085 --> 03:17:45.119
CHALLENGED --
03:17:45.186 --> 03:17:47.121
AND IT'S UNCLEAR WHETHER CMX
03:17:47.188 --> 03:17:48.690
WILL MOVE FOR WITH THIS RULE IS
03:17:48.756 --> 03:17:50.058
THERE AN UPDATE ON THAT AND
03:17:50.124 --> 03:17:52.460
THAT'S ON PAGE SIX THE SECOND
03:17:52.527 --> 03:17:53.728
PARAGRAPH.
03:17:53.795 --> 03:17:54.929
YES THAT SAID THE IT APPEARS
03:17:54.996 --> 03:17:56.197
THAT THE THE THE CURRENT
03:17:56.264 --> 03:17:57.298
ADMINISTRATION FUHRMAN'S RATIONS
03:17:57.365 --> 03:17:58.933
ACTUALLY MOVING IN THE OPPOSITE
03:17:59.000 --> 03:18:00.635
DIRECTION AWAY FROM.
03:18:00.702 --> 03:18:01.769
AWAY FROM THAT.
03:18:01.836 --> 03:18:03.271
BUT THOSE THAT BROUGHT THAT IN
03:18:03.338 --> 03:18:04.939
THE INDUSTRY THAT'S THERE IS OUR
03:18:05.006 --> 03:18:06.174
WILLINGNESS TO BE ABLE TO TALK
03:18:06.241 --> 03:18:09.010
OR EVEN DISCUSS EVEN OF THOSE
03:18:09.077 --> 03:18:10.278
PARAMETERS THAT WERE THERE.
03:18:10.345 --> 03:18:13.715
POSSIBLY AFTER.
03:18:13.781 --> 03:18:14.249
TWENTY TWENTY WELL THE THE
03:18:14.315 --> 03:18:16.751
THERE'S NOW A MYSTERY AUTHOR AS
03:18:16.818 --> 03:18:17.352
FAR AS TRYING TO SEE OF THE
03:18:17.418 --> 03:18:18.019
INDUSTRY.
03:18:18.086 --> 03:18:21.256
IS LOOKING AT SOME OF THOSE --
03:18:21.322 --> 03:18:23.258
AREAS THAT WERE IDENTIFIED UNDER
03:18:23.324 --> 03:18:24.826
THIS RULE --
03:18:24.892 --> 03:18:26.794
GET OUT I DON'T I'M NOT REALLY
03:18:26.861 --> 03:18:28.162
PREPARED TO I I I HAVE I HAVEN'T
03:18:28.229 --> 03:18:29.530
SPOKE WITH ANYBODY AT CMS ON
03:18:29.597 --> 03:18:31.733
THAT HAPPY TO GET BACK TO YOU ON
03:18:31.799 --> 03:18:32.734
THAT WAY YOU TO DO MORE RESEARCH
03:18:32.800 --> 03:18:33.434
ON THAT.
03:18:33.501 --> 03:18:38.239
THANK YOU AND GET INTO THE THE
03:18:38.306 --> 03:18:39.741
THE AVAILABILITY.
03:18:39.807 --> 03:18:41.976
OF AS FAR AS THOSE THAT THAT ARE
03:18:42.043 --> 03:18:43.444
IN THIS PROCESS YOU KNOW.
03:18:43.511 --> 03:18:45.580
WE HAVE PERSONAL EXPERIENCE WITH
03:18:45.647 --> 03:18:47.115
THAT WITH A MEMBER OF MY FAMILY.
03:18:47.181 --> 03:18:49.417
WHO FIRST IT WAS DIAGNOSED LIFE
03:18:49.484 --> 03:18:51.019
CHANGES RIGHT NOW AND YOU HAVE
03:18:51.085 --> 03:18:52.720
TO GO THROUGH THE WHOLE FAMILY
03:18:52.787 --> 03:18:54.889
COMES IN AND AND TO GET SOME?
03:18:54.956 --> 03:18:56.491
THE CONSULTATION THAT'S THERE
03:18:56.557 --> 03:18:57.892
AND HE GOES THROUGH THE
03:18:57.959 --> 03:18:59.160
DIFFERENT --
03:18:59.227 --> 03:19:01.029
ASPECTS THE EFFECTS ON LIFE THE
03:19:01.095 --> 03:19:02.964
EATING THE THE DIETARY ALL THOSE
03:19:03.031 --> 03:19:05.233
THINGS --
03:19:05.300 --> 03:19:08.603
AND THEN YOU HAVE TO HAS TO GO
03:19:08.670 --> 03:19:10.638
TO ONE OF THESE CLINICS --
03:19:10.705 --> 03:19:12.206
THREE TIMES A WEEK.
03:19:12.273 --> 03:19:15.910
AND IF YOU MISS THAT APPOINTMENT.
03:19:15.977 --> 03:19:17.412
YOU HAVE TO EITHER MAKE IT UP
03:19:17.478 --> 03:19:19.213
ANOTHER DAY OR THIS OR SOMETIMES
03:19:19.280 --> 03:19:21.582
YOU HAVE TO GO FROM ONE PLACE TO
03:19:21.649 --> 03:19:22.984
ANOTHER.
03:19:23.051 --> 03:19:26.054
RIGHT SO THAT THE THE QUESTION
03:19:26.120 --> 03:19:28.122
THAT HAS BEEN RAISED AS FAR AS
03:19:28.189 --> 03:19:29.490
WILL THIS AFFECT --
03:19:29.557 --> 03:19:32.126
THOSE FACILITIES THAT PEOPLE ARE
03:19:32.193 --> 03:19:33.561
BEING ABLE TO GO TO DURING THAT
03:19:33.628 --> 03:19:34.696
TIME.
03:19:34.762 --> 03:19:36.531
IS SOMETHING OF A CONCERN --
03:19:36.597 --> 03:19:38.132
ALSO TO MYSELF.
03:19:38.199 --> 03:19:39.634
GOING THROUGH THAT AND MAKING
03:19:39.701 --> 03:19:40.968
SURE THAT AND IF YOU MISS THE
03:19:41.035 --> 03:19:42.804
APPOINTMENT YOU GOTTA GO AND TRY
03:19:42.870 --> 03:19:44.739
TO FIND ANOTHER PLACE.
03:19:44.806 --> 03:19:46.641
OR BECAUSE LIFE IS ON THE LINE.
03:19:46.708 --> 03:19:48.142
THEN AFTER THAT MOVES FOR IF
03:19:48.209 --> 03:19:50.311
YOU'RE LUCKY ENOUGH YOU'RE ABLE
03:19:50.378 --> 03:19:52.146
TO GET THE EQUIPMENT AND START
03:19:52.213 --> 03:19:53.781
TO HAVE THE PROCESS DONE AT HOME.
03:19:53.848 --> 03:19:55.316
OVER NIGHT OR SOMETIME DURING
03:19:55.383 --> 03:19:56.584
THE DAY.
03:19:56.651 --> 03:19:59.887
AND YOUR HONOR A LIST --
03:19:59.954 --> 03:20:03.057
FOR KIDNEY TRANSPLANT THINGS ARE
03:20:03.124 --> 03:20:04.892
BEING WAITED IN MY MIND AS FAR
03:20:04.959 --> 03:20:06.794
AS WHICH DIRECTION I WILL GO ON
03:20:06.861 --> 03:20:08.096
THIS BILL.
03:20:08.162 --> 03:20:09.597
BECAUSE I'VE SEEN THAT WHEN WE
03:20:09.664 --> 03:20:12.100
START TALKING ABOUT THE AFFECT
03:20:12.166 --> 03:20:13.634
OF POSSIBLY CLOSING.
03:20:13.701 --> 03:20:17.438
ANY OF THE AREAS THAT SERVICES --
03:20:17.505 --> 03:20:19.741
BECOMES A CONCERN FOR ME AND SEE
03:20:19.807 --> 03:20:21.109
THAT THERE WAS SOMETHING MOVING
03:20:21.175 --> 03:20:22.744
FORWARD --
03:20:22.810 --> 03:20:24.345
BUT THEN SITTING BACK DOWN WITH
03:20:24.412 --> 03:20:26.013
THE INDUSTRY TO TRY TO SEE IF
03:20:26.080 --> 03:20:27.915
THERE IS SOMETHING THAT COULD BE
03:20:27.982 --> 03:20:30.318
LOOKED AT AS FAR AS MOVING
03:20:30.385 --> 03:20:31.819
FORWARD --
03:20:31.886 --> 03:20:32.854
TO WEAR THIS BILL COULD OFF
03:20:32.920 --> 03:20:34.222
ULTIMATELY BE.
03:20:34.288 --> 03:20:35.757
ALSO -- WAY
03:20:35.823 --> 03:20:37.725
STRONG AND IN MY POSITION SO I
03:20:37.792 --> 03:20:39.060
CONTINUE TO LOOK FORWARD TO
03:20:39.127 --> 03:20:40.294
HEARING ANY FURTHER QUESTIONS
03:20:40.361 --> 03:20:42.063
FROM THIS COMMITTEE AND OTHERS
03:20:42.130 --> 03:20:44.332
THAT ARE OUT THERE BUT I'M STILL.
03:20:44.399 --> 03:20:44.966
THINKING PRETTY HARD ABOUT THIS
03:20:45.032 --> 03:20:48.770
BILL.
03:20:48.836 --> 03:20:51.439
THE US ROMANCE --
03:20:51.506 --> 03:20:53.608
SOME MEMBER WALDRON.
03:20:53.674 --> 03:20:55.843
THANK YOU --
03:20:55.910 --> 03:20:56.477
THIS IS ONE OF THOSE BILLS THAT
03:20:56.544 --> 03:20:57.545
SERIOUSLY WE SPEND A LOT OF TIME
03:20:57.612 --> 03:20:59.981
ON BECAUSE THERE'S PROS THERE'S
03:21:00.047 --> 03:21:00.748
CONS.
03:21:00.815 --> 03:21:02.316
I MEAN BACK AND FORTH YOU CAN'T
03:21:02.383 --> 03:21:05.253
REALLY COME TO A SOLID DECISION
03:21:05.319 --> 03:21:07.855
A LOT OF TIMES BECAUSE ONE PART
03:21:07.922 --> 03:21:09.357
ONE GROUP SAYS ONE THING AND
03:21:09.424 --> 03:21:10.792
SOMEONE ELSE'S ANOTHER.
03:21:10.858 --> 03:21:12.627
AND I'VE I'VE GOT KIND OF A LIST
03:21:12.693 --> 03:21:14.395
OF THINGS AND I WON'T GO THROUGH
03:21:14.462 --> 03:21:16.664
ALL OF THEM BECAUSE WE OFFER
03:21:16.731 --> 03:21:17.899
PRETTY FAMILIAR WITH THEM BUT
03:21:17.965 --> 03:21:19.867
YOU KNOW. ONE OF THE ARGUMENTS
03:21:19.934 --> 03:21:21.969
WAS DIALYSIS ON THE PRO SIDE
03:21:22.036 --> 03:21:23.938
DIALYSIS PROVIDERS A STEERING
03:21:24.005 --> 03:21:25.840
PEOPLE AWAY FROM MEDICARE AND
03:21:25.907 --> 03:21:28.676
ALL TO PRIVATE PLANS. TO
03:21:28.743 --> 03:21:30.411
BASICALLY BENEFIT PROCESS.
03:21:30.478 --> 03:21:32.113
ON THE OPPOSITION SIDE --
03:21:32.180 --> 03:21:32.680
THEY'RE SAYING THEY'RE NOT
03:21:32.747 --> 03:21:34.248
STEERING WHEEL WORKING WITH
03:21:34.315 --> 03:21:36.384
PATIENTS TO IDENTIFY THE BEST
03:21:36.451 --> 03:21:36.918
PATH FOR THE PATIENT GOING
03:21:36.984 --> 03:21:38.419
FORWARD.
03:21:38.486 --> 03:21:40.488
ON THE PRO SIDE YOU KNOW ONCE A
03:21:40.555 --> 03:21:42.757
PATIENT RUNS OUT OF THEIR THIRTY
03:21:42.824 --> 03:21:44.525
MONTHS OF PRIVATE INSURANCE.
03:21:44.592 --> 03:21:46.561
THE CLINIC WILL KICK THEM OUT ON
03:21:46.627 --> 03:21:48.262
THE STREET WITH NO TREATMENT.
03:21:48.329 --> 03:21:49.964
THE OTHER SIDE SAYS NO BECAUSE
03:21:50.031 --> 03:21:51.065
THEY GET ON TO MEDICARE WITH
03:21:51.132 --> 03:21:53.301
THEM THAT'S A PROMISE SO WE'RE
03:21:53.367 --> 03:21:54.435
YOU KNOW.
03:21:54.502 --> 03:21:56.370
I'M THINKING OKAY WELL THEY
03:21:56.437 --> 03:21:58.139
WOULD BE ON MEDICARE --
03:21:58.206 --> 03:22:01.042
AT SOME POINT --
03:22:01.108 --> 03:22:04.612
THE PRO SIDE SAYS THAT OF THE
03:22:04.679 --> 03:22:06.481
AMERICAN KIDNEY FUNDS IS ABUSING
03:22:06.547 --> 03:22:08.015
ITS AUTHORITY.
03:22:08.082 --> 03:22:09.584
SHOULD ONLY BE PAYING COPAYS NOW
03:22:09.650 --> 03:22:10.685
PREMIUMS.
03:22:10.751 --> 03:22:11.986
AMERICAN KIDNEY FUND HAS THE
03:22:12.053 --> 03:22:14.222
AUTHORITY ON THE OPPOSITION SIDE
03:22:14.288 --> 03:22:16.023
TO PAY PREMIUMS UNDER FEDERAL
03:22:16.090 --> 03:22:17.492
REGULATIONS.
03:22:17.558 --> 03:22:18.626
AND I'M LISTENING TO TESTIMONY
03:22:18.693 --> 03:22:20.461
TODAY.
03:22:20.528 --> 03:22:23.431
AND SAYING THAT --
03:22:23.498 --> 03:22:24.799
YOU KNOW MEDICAL LOSS RATIO
03:22:24.866 --> 03:22:26.167
WOULD BE LOWER.
03:22:26.234 --> 03:22:28.402
POSSIBLY YOU KNOW 1% INCREASE IN
03:22:28.469 --> 03:22:30.271
PREMIUMS.
03:22:30.338 --> 03:22:32.907
UP THERE'S NOT A COMMITMENT THAT
03:22:32.974 --> 03:22:34.075
PATIENT PREMIUMS WOULD BE
03:22:34.141 --> 03:22:38.079
LOWERED WHICH IS A CONCERN --
03:22:38.145 --> 03:22:39.313
ANY SAVINGS ACHIEVED BY PAYING
03:22:39.380 --> 03:22:40.915
MEDICARE RATES IS BUILT INTO
03:22:40.982 --> 03:22:43.150
FUTURE PREMIUM MODELS ON THE PRO
03:22:43.217 --> 03:22:44.118
SIDE.
03:22:44.185 --> 03:22:45.987
HEALTH PLANS WILL CO A WINDFALL
03:22:46.053 --> 03:22:46.988
OF SAVINGS.
03:22:47.054 --> 03:22:48.523
NOT REDUCING THE COST OF
03:22:48.589 --> 03:22:52.226
TREATMENT.
03:22:52.293 --> 03:22:52.860
ONE FOUR THOUSAND ENROLLEES ARE
03:22:52.927 --> 03:22:54.695
OFF SO IT'S LIKE.
03:22:54.762 --> 03:22:57.198
BACK AND FORTH BUT LIKE TENNIS I
03:22:57.265 --> 03:22:59.367
MEAN LITERALLY YOU CAN SEE BOTH
03:22:59.433 --> 03:23:00.701
SIDES OF THE ARGUMENT.
03:23:00.768 --> 03:23:02.570
AND THE CONCERN OBVIOUSLY FROM
03:23:02.637 --> 03:23:05.239
ALL OF US IS FOR THE PATIENT AND
03:23:05.306 --> 03:23:06.474
FOR THEIR ACCESS.
03:23:06.541 --> 03:23:08.776
SO THE WAY I'M LOOKING AT IT --
03:23:08.843 --> 03:23:09.744
AND ONE OF THE POINTS YOU KNOW
03:23:09.810 --> 03:23:12.513
I'VE RUN A BUSINESS I UNDERSTAND.
03:23:12.580 --> 03:23:15.182
PROFIT AND ISSUES WITH THAT.
03:23:15.249 --> 03:23:16.417
LOTS OF TIMES WE RUN A BUSINESS
03:23:16.484 --> 03:23:17.852
GET A PROFIT BUT THAT DOESN'T
03:23:17.919 --> 03:23:19.086
MEAN THAT THE OWNERS OF
03:23:19.153 --> 03:23:20.288
POCKETING IT.
03:23:20.354 --> 03:23:22.023
BECAUSE IT REALLY GOES INTO THE
03:23:22.089 --> 03:23:24.292
COST OF RUNNING THE BUSINESS
03:23:24.358 --> 03:23:26.327
EXPANDING THE BUSINESS --
03:23:26.394 --> 03:23:29.230
YOU KNOW.
03:23:29.297 --> 03:23:32.800
IT CAME UP IN THE HEARING THAT --
03:23:32.867 --> 03:23:35.202
FOR THE 10% THAT WOULD BE
03:23:35.269 --> 03:23:36.671
AFFECTED.
03:23:36.737 --> 03:23:39.807
THE LOSE AROUND TWENTY FIVE TO
03:23:39.874 --> 03:23:40.908
FORTY MILLION DOLLARS IN PROFIT.
03:23:40.975 --> 03:23:43.144
OF FIVE HUNDRED MILLION THAT WAS
03:23:43.210 --> 03:23:45.079
REPORTED.
03:23:45.146 --> 03:23:46.347
BUT SINCE MEDICARE'S ONLY
03:23:46.414 --> 03:23:48.749
COVERING 6280% OF THE COST OF
03:23:48.816 --> 03:23:50.985
THE TREATMENT.
03:23:51.052 --> 03:23:54.589
THAT LEAVES 2240% OF TREATMENT
03:23:54.655 --> 03:23:55.890
490% OF THE PATIENTS NOT BEING
03:23:55.957 --> 03:23:58.659
COVERED.
03:23:58.726 --> 03:24:00.494
IF I'M UNDERSTANDING IT RIGHT.
03:24:00.561 --> 03:24:02.496
SO WHAT IS THE COST OF THAT
03:24:02.563 --> 03:24:03.764
DIFFERENCE.
03:24:03.831 --> 03:24:05.766
AND THE MONEY MUST COME OUT OF
03:24:05.833 --> 03:24:08.436
THE PROFITS.
03:24:08.502 --> 03:24:09.036
WHERE ELSE WOULD IT BE COMING
03:24:09.103 --> 03:24:09.236
FROM?
03:24:09.303 --> 03:24:10.705
SO I MEAN I'M LOOKING AT THIS
03:24:10.771 --> 03:24:12.340
WALL LOOKED AT IT.
03:24:12.406 --> 03:24:13.774
THE SITUATION BASICALLY IS AN
03:24:13.841 --> 03:24:17.111
INDIVIDUAL ON EMPLOYER INSURANCE.
03:24:17.178 --> 03:24:18.913
THEY END UP YOU KNOW OVER TIME
03:24:18.980 --> 03:24:21.349
GETTING END STAGE RENAL DISEASE
03:24:21.415 --> 03:24:22.783
THEY LOSE THEIR JOB BECAUSE OF
03:24:22.850 --> 03:24:24.452
THE TIME COMMITMENT IT TAKES. TO
03:24:24.518 --> 03:24:25.853
TREAT.
03:24:25.920 --> 03:24:28.022
THE DISEASE GOING INTO DIALYSIS
03:24:28.089 --> 03:24:29.657
THREE TIMES A WEEK OR MORE.
03:24:29.724 --> 03:24:30.458
THEY WANT TO KEEP THEIR
03:24:30.524 --> 03:24:32.126
INSURANCE THEY WANT TO KEEP THE
03:24:32.193 --> 03:24:33.294
CONTINUITY.
03:24:33.361 --> 03:24:35.329
THE KIDNEY FUND PAYS PREMIUMS
03:24:35.396 --> 03:24:37.531
FOR UP TO THIRTY MONTHS.
03:24:37.598 --> 03:24:39.000
AT THE END OF THIRTY MONTHS THEY
03:24:39.066 --> 03:24:40.935
CAN AUTOMATICALLY BE ENROLLED IN
03:24:41.002 --> 03:24:42.370
MEDICARE.
03:24:42.436 --> 03:24:44.739
MEDICARE PAYS 6280% OF THE COST
03:24:44.805 --> 03:24:47.742
OF DIALYSIS TREATMENT FOR THE
03:24:47.808 --> 03:24:47.942
90%.
03:24:48.009 --> 03:24:49.910
OF PATIENTS.
03:24:49.977 --> 03:24:51.078
PRIVATE INSURANCE IS ABOUT
03:24:51.145 --> 03:24:55.116
FAVORITE TAKE TIM --
03:24:55.182 --> 03:24:56.884
PAYS A HIGHER COST WHICH
03:24:56.951 --> 03:24:58.552
BASICALLY SUBSIDIZES.
03:24:58.619 --> 03:25:00.755
THE OTHER PATIENTS.
03:25:00.821 --> 03:25:02.623
WHO ARE GETTING THE TILES SO
03:25:02.690 --> 03:25:05.092
THAT'S THE MODEL AT LEAST THE
03:25:05.159 --> 03:25:06.894
WAY THAT I'M SEEING IT SO?
03:25:06.961 --> 03:25:08.362
IF THE PATIENT IS WEALTHY AND
03:25:08.429 --> 03:25:10.164
COMPARE THEIR OWN PREMIUMS THEY
03:25:10.231 --> 03:25:11.866
DON'T NEED PREMIUM ASSISTANCE
03:25:11.932 --> 03:25:13.267
THIS BILL DOESN'T AFFECT THEM.
03:25:13.334 --> 03:25:14.869
SO WE'RE ONLY REALLY TALKING
03:25:14.935 --> 03:25:16.937
ABOUT THOSE FOLKS WHO ARE LOW
03:25:17.004 --> 03:25:19.240
INCOME.
03:25:19.306 --> 03:25:20.207
WHICH IS KIND OF AN UNINTENDED
03:25:20.274 --> 03:25:23.411
CONSEQUENCE --
03:25:23.477 --> 03:25:25.446
I HAVE THREE DIALYSIS CLINICS IN
03:25:25.513 --> 03:25:26.914
MY DISTRICT.
03:25:26.981 --> 03:25:28.916
IF THIS BILL PASSES YOU KNOW THE
03:25:28.983 --> 03:25:31.285
CONCERN IS ABOUT THEM POSSIBLY
03:25:31.352 --> 03:25:33.387
CLOSING EVEN IF ONE OF THE THREE
03:25:33.454 --> 03:25:34.689
CLOSE.
03:25:34.755 --> 03:25:36.090
YEAH THEY'RE SPREAD ALL OVER OF
03:25:36.157 --> 03:25:38.059
A LARGE DISTRICT AS YOU KNOW YOU
03:25:38.125 --> 03:25:39.593
DO AND OTHERS --
03:25:39.660 --> 03:25:40.594
THAT MEANS SOME PEOPLE HAVE TO
03:25:40.661 --> 03:25:43.264
TRAVEL OVER FIFTY MILES TO GET
03:25:43.330 --> 03:25:44.532
TO A DIALYSIS CLINIC.
03:25:44.598 --> 03:25:48.836
THAT'S A CONCERN --
03:25:48.903 --> 03:25:50.705
ACCESS TO THE HOSPITAL'S KNOW
03:25:50.771 --> 03:25:51.906
THAT THAT'S WHERE EVERYONE'S
03:25:51.972 --> 03:25:53.641
GOING TO GO BECAUSE OF WHERE
03:25:53.708 --> 03:25:56.010
ELSE SOMETHING AND GO --
03:25:56.077 --> 03:25:57.978
SO AT THIS POINT I DON'T FEEL
03:25:58.045 --> 03:25:59.980
COMFORTABLE WITH CONTROLLING THE
03:26:00.047 --> 03:26:01.615
COSTS OF BASICALLY RATE SETTING
03:26:01.682 --> 03:26:03.184
BECAUSE EVERY TIME WE BRING UP
03:26:03.250 --> 03:26:04.819
THESE RATE SETTING NO MATTER IF
03:26:04.885 --> 03:26:07.755
IT'S PHARMACEUTICALS OR OTHER
03:26:07.822 --> 03:26:08.723
THINGS.
03:26:08.789 --> 03:26:10.458
WHICH COULD PUT LIVES AND HEALTH
03:26:10.524 --> 03:26:11.826
OF PEOPLE IN JEOPARDY BY
03:26:11.892 --> 03:26:13.894
REDUCING ACCESS SO I'M GOING TO
03:26:13.961 --> 03:26:15.229
BE LAYING OFF THE BILL.
03:26:15.296 --> 03:26:17.164
TODAY BECAUSE THIS DISCUSSION IS
03:26:17.231 --> 03:26:19.066
VERY DEEP.
03:26:19.133 --> 03:26:21.335
AND I JUST WANNA SEE WORK GOALS
03:26:21.402 --> 03:26:24.872
FOR US FOR OUR PATIENTS.
03:26:24.939 --> 03:26:27.875
ANY FURTHER QUESTIONS.
03:26:27.942 --> 03:26:28.976
I JUST --
03:26:29.043 --> 03:26:31.445
MAYBE QUICK COMMENT AND THEN --
03:26:31.512 --> 03:26:32.680
I DON'T KNOW YOUR QUESTION WILL
03:26:32.747 --> 03:26:33.647
POP UP --
03:26:33.714 --> 03:26:35.349
POP UP AS I'M THINKING HERE --
03:26:35.416 --> 03:26:36.450
LAST YEAR --
03:26:36.517 --> 03:26:38.219
WHEN THIS BILL CAME UP THEN IT
03:26:38.285 --> 03:26:39.887
WAS SENATOR LEYVA AS A BILL?
03:26:39.954 --> 03:26:43.290
AND I HAD I DON'T KNOW HOW MANY
03:26:43.357 --> 03:26:45.426
THIS LAST YEAR AND AND STARTING
03:26:45.493 --> 03:26:46.894
OFF WITH THIS I WAS --
03:26:46.961 --> 03:26:49.897
ADAMANTLY OPPOSED TO THE BILL
03:26:49.964 --> 03:26:51.365
THAT AND MOVE FORWARD AND I GOT
03:26:51.432 --> 03:26:52.633
TO MAYBE MY SEVENTH OR EIGHTH
03:26:52.700 --> 03:26:53.934
MEETING --
03:26:54.001 --> 03:26:55.402
ON THIS ISSUE.
03:26:55.469 --> 03:26:56.871
AND THE CRUX FOR ME WHERE I
03:26:56.937 --> 03:26:58.472
BEGAN TO TURN --
03:26:58.539 --> 03:26:59.607
WAS WHEN SOMEONE WAS SITTING IN
03:26:59.673 --> 03:27:01.776
MY OFFICE AND THEY SAID THAT
03:27:01.842 --> 03:27:03.077
THEY WOULD NOT THE AMERICAN
03:27:03.144 --> 03:27:05.179
KIDNEY FUND WOULD NOT BE ABLE TO
03:27:05.246 --> 03:27:06.714
CONTINUE THEIR PREMIUM
03:27:06.781 --> 03:27:07.915
ASSISTANCE PROGRAM.
03:27:07.982 --> 03:27:09.049
IF THEY WERE NOT GETTING
03:27:09.116 --> 03:27:12.119
CONTRIBUTIONS FROM THE TWO MAJOR --
03:27:12.186 --> 03:27:14.722
BUT ASK DASS SOME COMPANIES.
03:27:14.789 --> 03:27:16.123
AND IS AT THAT MOMENT THAT I
03:27:16.190 --> 03:27:18.125
THOUGHT.
03:27:18.192 --> 03:27:20.227
WHAT'S GOING ON HERE THAT
03:27:20.294 --> 03:27:21.796
DOESN'T MAKE ANY SENSE AT ALL.
03:27:21.862 --> 03:27:24.498
IF THERE IS --
03:27:24.565 --> 03:27:26.066
SIXTY THOUSAND CONTRIBUTORS TO
03:27:26.133 --> 03:27:27.535
THE AMERICAN KIDNEY FUND WHY.
03:27:27.601 --> 03:27:28.969
CAN'T THEY PROVIDE THIS PREMIUM
03:27:29.036 --> 03:27:30.704
ASSISTANCE WITH THOSE SIXTY
03:27:30.771 --> 03:27:32.139
THOUSAND MEMBERS THAT THEY HAVE
03:27:32.206 --> 03:27:33.440
WHY DO THEY NEED.
03:27:33.507 --> 03:27:34.909
THE CONTRIBUTIONS FROM JUST A
03:27:34.975 --> 03:27:36.610
COUPLE OF OF DIFFERENT DIALYSIS
03:27:36.677 --> 03:27:37.778
CLINICS TO BE ABLE TO MAKE THE
03:27:37.845 --> 03:27:39.814
PROGRAM WORK AND THAT'S WHEN I
03:27:39.880 --> 03:27:40.481
WENT -- I
03:27:40.548 --> 03:27:43.851
NEED TO DIG IN A LITTLE BIT MORE.
03:27:43.918 --> 03:27:45.085
THAT WE HEARD TODAY --
03:27:45.152 --> 03:27:48.489
FROM PHùIT'S ARE BAD I
03:27:48.556 --> 03:27:50.224
ACTUALLY DON'T BELIEVE THAT
03:27:50.291 --> 03:27:51.292
PROFITS ARE BAD --
03:27:51.358 --> 03:27:54.195
WE LIVE NOT IN A PROFIT SYSTEM --
03:27:54.261 --> 03:27:55.529
CAPITALISM IS NOT A PROFIT
03:27:55.596 --> 03:27:57.898
SYSTEM DOES A PROFIT AND LOSS
03:27:57.965 --> 03:27:59.033
SYSTEM AND WHEN YOU HAVE.
03:27:59.099 --> 03:28:00.734
A FEW UNDERSTAND ECONOMICS
03:28:00.801 --> 03:28:02.102
PROFITS MEAN THAT YOU'RE
03:28:02.169 --> 03:28:03.671
PROVIDING VALUE --
03:28:03.737 --> 03:28:05.306
TO TO FOLKS IF YOU HAVE A LOSS
03:28:05.372 --> 03:28:06.073
THAT MEANS THAT YOU GOT TO RUN
03:28:06.140 --> 03:28:06.974
YOUR COMPANY A LITTLE BIT BETTER
03:28:07.041 --> 03:28:08.676
TO TRY TO GET TO BE ABLE TO GET
03:28:08.742 --> 03:28:09.977
TO A PROFIT.
03:28:10.044 --> 03:28:10.845
WHICH ARE TO TALK ABOUT HEALTH
03:28:10.911 --> 03:28:12.713
CARE HEALTHCARE IS NOT A PURE
03:28:12.780 --> 03:28:14.448
PROFIT LOSS SYSTEM YOU DON'T
03:28:14.515 --> 03:28:15.282
HAVE -- A A
03:28:15.349 --> 03:28:17.484
A PURE MARKET THERE ARE FOLKS
03:28:17.551 --> 03:28:19.153
THAT ARE GAMING THE SYSTEM WE
03:28:19.220 --> 03:28:20.154
TALKED ABOUT THIS.
03:28:20.221 --> 03:28:22.623
A LITTLE BIT A LITTLE BIT LAST
03:28:22.690 --> 03:28:23.090
YEAR.
03:28:23.157 --> 03:28:24.358
I AM ALSO CONCERNED BECAUSE I
03:28:24.425 --> 03:28:27.161
WAS MADE AWARE TODAY THAT I HAVE --
03:28:27.228 --> 03:28:28.929
SIXTY INDIVIDUALS IN MY DISTRICT --
03:28:28.996 --> 03:28:29.363
THAT ARE --
03:28:29.430 --> 03:28:31.565
ON THIS PREMIUM ASSISTANCE PLAN
03:28:31.632 --> 03:28:34.001
AND I I'M SURE THAT THOSE FOLKS
03:28:34.068 --> 03:28:35.202
WANT TO CONTINUE --
03:28:35.269 --> 03:28:37.638
ON ON THAT PLAN WE HAVE A MAN A
03:28:37.705 --> 03:28:40.207
MUCH BIGGER PROBLEM WITHIN OUR
03:28:40.274 --> 03:28:41.709
SYSTEM OUR HEALTHCARE SYSTEM
03:28:41.775 --> 03:28:45.212
THAT DOUBLE WE KNOW.
03:28:45.279 --> 03:28:46.814
THAT UP AS A PERCENTAGE OF OUR
03:28:46.881 --> 03:28:48.349
GDP IN THE UNITED STATES AND IN
03:28:48.415 --> 03:28:50.017
HERE IN CALIFORNIA --
03:28:50.084 --> 03:28:52.319
WE SPEND MORE PER GDP PER CAPITA
03:28:52.386 --> 03:28:53.787
THAN VIRTUALLY EVERYWHERE ELSE
03:28:53.854 --> 03:28:55.389
WHY IS THAT BECAUSE WE DON'T
03:28:55.456 --> 03:28:57.758
HAVE A A PURE --
03:28:57.825 --> 03:28:59.960
BUT COMPETITIVE OF HEALTH CARE A
03:29:00.027 --> 03:29:02.062
MARKET SO WE'VE GOT FOLKS THAT
03:29:02.129 --> 03:29:03.564
ARE COMING TO US IN THEIRS THE
03:29:03.631 --> 03:29:05.032
TERM OF RENT SEEKING FOLKS ARE
03:29:05.099 --> 03:29:06.767
COMING TO US ASKING US TO BE
03:29:06.834 --> 03:29:09.069
ABLE TO MAKE DECISIONS.
03:29:09.136 --> 03:29:10.504
AND IT IS IT OESN'T IT JUST AT
03:29:10.571 --> 03:29:12.706
ITS CORE IT DOESN'T SEEM RIGHT
03:29:12.773 --> 03:29:14.141
THAT FOR A COMPANY TO SAY FOR
03:29:14.208 --> 03:29:14.942
THEM TO CONTINUE TO BE
03:29:15.009 --> 03:29:16.777
PROFITABLE THERE HAS TO BE A
03:29:16.844 --> 03:29:17.978
SCHEME IN WHICH IS A NONPROFIT
03:29:18.045 --> 03:29:19.446
ORGANIZATION ON THE SIDE THAT
03:29:19.513 --> 03:29:21.949
THEY HAVE TO MAKE CONTRIBUTIONS.
03:29:22.016 --> 03:29:22.850
TO TO BE ABLE TO MAKE THEIR
03:29:22.917 --> 03:29:25.019
SYSTEM WORK THAT'S NOT DEFEAT AS
03:29:25.085 --> 03:29:26.320
FAULT THAT'S NOT FOR SINISE'S
03:29:26.387 --> 03:29:27.688
FAULT THAT'S THE FACT THAT OUR
03:29:27.755 --> 03:29:29.690
SYSTEM ISN'T BUILT PROPERLY TO
03:29:29.757 --> 03:29:31.358
MAKE SURE THAT THEY CAN CONTINUE.
03:29:31.425 --> 03:29:32.259
TO OPERATE AND THEN WITH THE
03:29:32.326 --> 03:29:33.827
AFFORDABLE CARE ACT WHEN THEY
03:29:33.894 --> 03:29:35.262
CAME IN WITH MAKING SURE THAT
03:29:35.329 --> 03:29:36.897
THERE'S GUARANTEED ISSUE THAT
03:29:36.964 --> 03:29:38.399
THROUGH ANOTHER WRENCH IN INTO
03:29:38.465 --> 03:29:39.466
THE SYSTEM.
03:29:39.533 --> 03:29:41.035
AND SO I THINK IT'S INCUMBENT
03:29:41.101 --> 03:29:43.137
UPON US AS LEGISLATORS TO
03:29:43.203 --> 03:29:44.939
CONTINUE TO KEEP DOING THIS WORK
03:29:45.005 --> 03:29:45.673
THIS ISN'T GOING TO SOLVE THE
03:29:45.739 --> 03:29:46.974
PROBLEM.
03:29:47.041 --> 03:29:47.808
BUT I DO THINK THAT WE HAVE TO
03:29:47.875 --> 03:29:50.144
LOOK AT OUR HEALTHCARE SYSTEM
03:29:50.210 --> 03:29:51.845
COMPREHENSIVELY AND WHEN WE SEE
03:29:51.912 --> 03:29:53.414
THESE INEFFICIENCIES BECAUSE
03:29:53.480 --> 03:29:54.949
THAT'S WHAT THIS IS IT IS
03:29:55.015 --> 03:29:56.150
INEFFICIENT.
03:29:56.216 --> 03:29:57.418
IT'S NOT WRONG IT'S NOT
03:29:57.484 --> 03:30:00.354
NEFARIOUS IT'S NOT EVIL IT'S NOT
03:30:00.421 --> 03:30:02.122
OF ALL ABOUT PROFIT MONGERING
03:30:02.189 --> 03:30:03.724
BUT WHAT IT IS ABOUT IS APT IS
03:30:03.791 --> 03:30:05.859
INEFFICIENCY THE WE'VE GOT TO
03:30:05.926 --> 03:30:07.828
FIGURE OUT HOW TO SOLVE.
03:30:07.895 --> 03:30:09.496
AND SO FOR TODAY I KNOW THIS
03:30:09.563 --> 03:30:10.664
ISN'T THIS ISN'T IT THIS IS IN
03:30:10.731 --> 03:30:12.099
THE THE SOLUTION FOR ALL BUT IT
03:30:12.166 --> 03:30:13.400
IS A PART OF THE SOLUTION THAT
03:30:13.467 --> 03:30:14.601
WE HAVE TO CONTINUE TO KEEP.
03:30:14.668 --> 03:30:17.004
TALKING ABOUT I GUESS I DON'T
03:30:17.071 --> 03:30:18.305
HAVE A QUESTION THERE --
03:30:18.372 --> 03:30:22.409
Là MISTER CHAIR --
03:30:22.476 --> 03:30:23.844
IN THE IN SO WITH THAT I WOULD
03:30:23.911 --> 03:30:27.214
AND FOR THE THE ROBUST
03:30:27.281 --> 03:30:29.616
DISCUSSION LOOK THIS BILL IS NOT
03:30:29.683 --> 03:30:31.251
INCONSISTENT WITH ALL THE WORK
03:30:31.318 --> 03:30:31.852
I'VE BEEN DOING FOR THE LAST
03:30:31.919 --> 03:30:32.753
SEVERAL YEARS.
03:30:32.820 --> 03:30:34.588
BUT YEAR WE DO WE WORK ON A BILL
03:30:34.655 --> 03:30:35.956
RELATED TO DRUG COUPONS.
03:30:36.023 --> 03:30:37.191
WHAT ARE THAT BILL DO
03:30:37.257 --> 03:30:38.359
PHARMACEUTICAL COMPANIES FOR
03:30:38.425 --> 03:30:39.860
USING COUPONS AS A WAY TO KEEP
03:30:39.927 --> 03:30:41.462
PEOPLE ON THEIR HIGHER PRICED
03:30:41.528 --> 03:30:43.330
MEDICATIONS FOR LONGER WHEN
03:30:43.397 --> 03:30:44.798
THERE WAS A GENERIC AVAILABLE?
03:30:44.865 --> 03:30:46.300
INTERESTING WE WE ASK THE
03:30:46.367 --> 03:30:48.002
COUPONS TO GO AWAY WHAT HAVE WE
03:30:48.068 --> 03:30:50.537
ASK FOR THAT TO NOT HAPPEN --
03:30:50.604 --> 03:30:51.939
THE COUPONS DISAPPEARED EVEN
03:30:52.006 --> 03:30:53.007
FROM IN THOSE CASES WHERE THEY
03:30:53.073 --> 03:30:54.508
COULD BE LEGITIMATELY USED IN
03:30:54.575 --> 03:30:55.509
MANY CASES.
03:30:55.576 --> 03:30:57.044
WE LOOK AT PHARMACY BENEFIT
03:30:57.111 --> 03:30:58.579
MANAGERS AND TRANSPARENCY AROUND
03:30:58.645 --> 03:30:59.713
A MIDDLE MAN.
03:30:59.780 --> 03:31:01.915
THAT GENERATES TWO HUNDRED AND
03:31:01.982 --> 03:31:03.150
SEVENTY BILLION DOLLARS A YEAR
03:31:03.217 --> 03:31:04.485
PROFIT --
03:31:04.551 --> 03:31:06.453
WITH THREE COME THIS SENSUALLY
03:31:06.520 --> 03:31:07.955
THREE COMPANIES 80% OF THE
03:31:08.022 --> 03:31:08.889
MARKET -- TO
03:31:08.956 --> 03:31:10.257
THE TWENTY SEVEN BILLION DOLLARS
03:31:10.324 --> 03:31:11.358
AS A MIDDLE MAN.
03:31:11.425 --> 03:31:12.626
WE HEARD SOME REALLY INTERESTING
03:31:12.693 --> 03:31:14.561
STORIES ABOUT HOW THEY GENERATE
03:31:14.628 --> 03:31:16.030
THAT THROUGH P. THROUGH REBATES
03:31:16.096 --> 03:31:18.165
AND SO ON AND WE GOT A
03:31:18.232 --> 03:31:20.334
TRANSPARENCY BILL PASSED WE HAD
03:31:20.401 --> 03:31:21.702
SB SEVENTEEN LOOKED AT
03:31:21.769 --> 03:31:23.971
TRANSPARENCY FOR DRUG PRICE
03:31:24.038 --> 03:31:24.972
INCREASES.
03:31:25.039 --> 03:31:26.907
AND THAT BILL AFTER MUCH DEBATE
03:31:26.974 --> 03:31:28.675
MUCH DISCUSSION OVER TWO YEARS
03:31:28.742 --> 03:31:30.577
PAST LOOKING AT HOW DO WEEK
03:31:30.644 --> 03:31:32.012
WE'RE TRYING TO SAVE CONSUMERS.
03:31:32.079 --> 03:31:33.347
MONEY HERE TRYING TO SAVE THE
03:31:33.414 --> 03:31:35.582
SYSTEM MONEY WE HAD A BILL LAST
03:31:35.649 --> 03:31:36.817
YEAR THAT LOOKED AT HEALTH PLAN
03:31:36.884 --> 03:31:38.085
MERGERS AND OVERSIGHT OVER
03:31:38.152 --> 03:31:39.720
HEALTH PLAN MERGERS BECAUSE I
03:31:39.787 --> 03:31:42.756
DON'T NECESSARILY BELIEVE THAT
03:31:42.823 --> 03:31:45.125
BIGGER IS GOING TO RESULT
03:31:45.192 --> 03:31:48.996
POSITIVE FOR OUR COMMUNITIES.
03:31:49.063 --> 03:31:51.832
SO WITH REGARDS TO THIS WITH
03:31:51.899 --> 03:31:53.700
RELATED TO DIALYSIS THE ONE
03:31:53.767 --> 03:31:55.803
CONDITION THAT I'M AWARE OF
03:31:55.869 --> 03:31:57.271
THEIR MAYBE OTHERS IF I'M WRONG
03:31:57.337 --> 03:31:58.639
I'LL I'LL I'LL DO MORE STUDY.
03:31:58.705 --> 03:32:00.707
WHERE THERE IS PRESUMPTIVE
03:32:00.774 --> 03:32:01.742
ELIGIBILITY FOR MEDICARE
03:32:01.809 --> 03:32:02.042
[inaudible]
03:32:02.109 --> 03:32:04.144
IMMEDIATELY.
03:32:04.211 --> 03:32:05.512
YOU DON'T HAVE TO WAIT THIRTY
03:32:05.579 --> 03:32:06.780
MONTHS TO GET ON MEDICARE
03:32:06.847 --> 03:32:07.081
[inaudible]
03:32:07.147 --> 03:32:08.649
AND SO.
03:32:08.715 --> 03:32:10.884
THIS THIS PAIN FOR A PLAN TO
03:32:10.951 --> 03:32:11.819
KEEP SOMEBODY ON COMMERCIAL
03:32:11.885 --> 03:32:13.420
INSURANCE FOR UP TO THIRTY
03:32:13.487 --> 03:32:14.721
MONTHS --
03:32:14.788 --> 03:32:16.256
WHEN THEY COULD BE ON SOMETHING
03:32:16.323 --> 03:32:18.392
ELSE DOESN'T PROHIBIT SOMEONE
03:32:18.459 --> 03:32:21.195
WHO WANTS TO STAY ON THEIR PLAN --
03:32:21.261 --> 03:32:22.763
DOESN'T PROHIBIT THAT AT ALL BUT
03:32:22.830 --> 03:32:24.298
WE'RE TALKING ABOUT MY
03:32:24.364 --> 03:32:25.599
CONVERSATIONS LAST YEAR WITH THE
03:32:25.666 --> 03:32:26.800
AMERICAN KINNEY FIND WORK THAT
03:32:26.867 --> 03:32:28.435
THE PEOPLE WHO WERE ACTUALLY
03:32:28.502 --> 03:32:29.803
GETTING THIS ASSISTANCE WERE
03:32:29.870 --> 03:32:32.039
MAKING TWENTY THOUSAND DOLLARS A
03:32:32.106 --> 03:32:33.807
YEAR OR LAST.
03:32:33.874 --> 03:32:35.209
NOW HELP ME TO UNDERSTAND AND IF
03:32:35.275 --> 03:32:36.577
AND AS I HEARD TODAY AND I WANT
03:32:36.643 --> 03:32:38.178
TO LEARN MORE ABOUT THAT ABOUT
03:32:38.245 --> 03:32:39.179
THIS.
03:32:39.246 --> 03:32:39.880
HELP ME TO UNDERSTAND HOW
03:32:39.947 --> 03:32:42.783
SOMEONE WHO IS WHO'S MAKING
03:32:42.850 --> 03:32:43.383
TWENTY THOUSAND DOLLARS A YEAR
03:32:43.450 --> 03:32:44.218
OR LESS.
03:32:44.284 --> 03:32:45.552
CAN PAY FOR ALL OF THE
03:32:45.619 --> 03:32:47.855
COMPLICATIONS THAT MIGHT ARISE
03:32:47.921 --> 03:32:50.324
FROM FROM THEIR PLANT FROM FROM
03:32:50.390 --> 03:32:52.259
THEIR DISEASE.
03:32:52.326 --> 03:32:53.894
WITH THEIR PRIVATE PLAN.
03:32:53.961 --> 03:32:55.729
ALL THE CO PAYS FOR
03:32:55.796 --> 03:32:58.465
HOSPITALIZATION --
03:32:58.532 --> 03:32:59.800
FOR OTHER SPECIALISTS THAT MIGHT
03:32:59.867 --> 03:33:01.268
BE RELATED HOW DO THEY PAY FOR
03:33:01.335 --> 03:33:03.070
THAT.
03:33:03.137 --> 03:33:04.238
AND IS IS THE AMERICAN CAN YOU
03:33:04.304 --> 03:33:06.073
FIND PAY ALL THEIR COPAYS AS
03:33:06.140 --> 03:33:08.909
WELL. FOR THESE FOR THIS.
03:33:08.976 --> 03:33:10.777
I'M NOT AWARE THAT THEY DO.
03:33:10.844 --> 03:33:12.513
HALF OF THE PATIENTS IN CUTTER
03:33:12.579 --> 03:33:14.548
HERE TWO THOUSAND ARE GETTING
03:33:14.615 --> 03:33:16.283
HELP WITH MEDICARE ADVANTAGE
03:33:16.350 --> 03:33:17.818
WHICH WHICH BECOMES AN ALL
03:33:17.885 --> 03:33:19.686
INCLUSIVE PLAN AT THAT POINT.
03:33:19.753 --> 03:33:21.822
BUT TWO THOUSAND OR NOT HOW DO
03:33:21.889 --> 03:33:23.657
THOSE TWO THOUSAND PEOPLE PAY
03:33:23.724 --> 03:33:25.092
THEIR COPAYS FOR OTHER
03:33:25.159 --> 03:33:27.995
CONDITIONS THAT ARE UNRELATED TO
03:33:28.061 --> 03:33:29.229
THEIR DIALYSIS.
03:33:29.296 --> 03:33:31.165
WHAT WHEN THEY COULD BE ELIGIBLE
03:33:31.231 --> 03:33:32.633
FOR MEDICARE OR MEDIC CAL?
03:33:32.699 --> 03:33:33.934
AT THE END OF THE DAY IF WE'RE
03:33:34.001 --> 03:33:36.537
RELYING ON ONE OR TWO ENTITIES
03:33:36.603 --> 03:33:39.506
TO FUND THE AMERICAN KIDNEY FUND --
03:33:39.573 --> 03:33:41.175
IS THIS AND AND AND AND WE'RE
03:33:41.241 --> 03:33:42.476
BEING TOLD THAT THAT WILL GO
03:33:42.543 --> 03:33:45.879
AWAY IF THIS BILL PASSES.
03:33:45.946 --> 03:33:47.881
WHAT DOES THAT MEAN IS THAT IS
03:33:47.948 --> 03:33:49.416
THAT IS THAT TRULY IT WHEN I
03:33:49.483 --> 03:33:51.185
GIVE MONEY TO A FIVE OH ONE C.
03:33:51.251 --> 03:33:52.252
THREE AS A CHARITABLE DONATION I
03:33:52.319 --> 03:33:54.221
CONSIDERED A TERRIBLE DONATION?
03:33:54.288 --> 03:33:55.055
IS IT NO LONGER CHARITABLE
03:33:55.122 --> 03:33:56.790
ANYMORE IF BY MAKING THAT
03:33:56.857 --> 03:33:58.859
CONTRIBUTION I'M NOT MAKING
03:33:58.926 --> 03:34:00.627
MONEY ON THE OTHER END.
03:34:00.694 --> 03:34:01.929
THAT'S THE POINT THAT'S THE
03:34:01.995 --> 03:34:03.931
POINT IT'S ABOUT THE BIGGER
03:34:03.997 --> 03:34:04.565
SYSTEM AND WHAT IT'S GOING TO
03:34:04.631 --> 03:34:05.165
COST US ALL.
03:34:05.232 --> 03:34:06.533
IT'S CONSIST WITH EVERYTHING
03:34:06.600 --> 03:34:07.301
I'VE BEEN DOING FOR THE LAST
03:34:07.367 --> 03:34:08.669
SEVERAL YEARS AS CAN BE
03:34:08.735 --> 03:34:10.404
CONSISTENT WITH THE OTHER THINGS
03:34:10.470 --> 03:34:13.774
I LOOK AT IN THE FUTURE.
03:34:13.840 --> 03:34:14.408
WHAT THAT RESPECTFULLY ASK YOUR
03:34:14.474 --> 03:34:15.008
I. BUT?
03:34:15.075 --> 03:34:15.809
THANK YOU --
03:34:15.876 --> 03:34:19.646
DOCTOR WOULD HAVE AND WITH THAT
03:34:19.713 --> 03:34:24.084
I AM WILL ENTERTAIN A MOTION.
03:34:24.151 --> 03:34:25.786
UGH IT IS A MOTION BY BONTA
03:34:25.852 --> 03:34:27.688
SECOND BY MCCARTY SECRETARY
03:34:27.754 --> 03:34:29.223
PLEASE CALL THE ROLL.
03:34:29.289 --> 03:34:30.757
AND THE OF THE THE MOTION IS TO
03:34:30.824 --> 03:34:34.695
PASS OUR PREPARATIONS WHAT.
03:34:34.761 --> 03:34:36.530
WHAT I'D MAYES AYE MAYES AYE
03:34:36.597 --> 03:34:38.932
AGUIAR-CURRY AGUIAR-CURRY I
03:34:38.999 --> 03:34:41.368
BIGELOW?
03:34:41.435 --> 03:34:44.338
BIGELOW NO BONTA BONTA AYE BURKE
03:34:44.404 --> 03:34:45.739
BURKE I CARILLO.
03:34:45.806 --> 03:34:47.407
CARILLO AYE FLORA [inaudible]
03:34:47.474 --> 03:34:50.611
LOW MOAN.
03:34:50.677 --> 03:34:54.548
MCCARTY BY MCCARTY AYE NAZARIAN.
03:34:54.615 --> 03:34:56.450
NAZARIAN AYE RAMOS.
03:34:56.516 --> 03:35:00.587
BROWN'S LOW. TO TO AYE SANTIAGO
03:35:00.654 --> 03:35:01.922
SANTIAGO AYE WALDRON.
03:35:01.989 --> 03:35:06.560
WATER NOT VOTING.
03:35:06.627 --> 03:35:08.362
TEND.
03:35:08.428 --> 03:35:10.797
TO THE MOTION PASSES ARE
03:35:10.864 --> 03:35:11.398
INTENDED TO AND WILL LEAVE IT
03:35:11.465 --> 03:35:27.547
OPEN
03:35:35.856 --> 03:35:35.922
.
03:35:35.922 --> 03:35:38.558
OKAY MEMBERS WE STILL HAVE --
03:35:38.625 --> 03:35:39.593
BILLS.
03:35:39.660 --> 03:35:41.361
TO GO THROUGH AND AND WE SAW
03:35:41.428 --> 03:35:47.301
SOME THAT OURS ON ON CALL
03:35:47.367 --> 03:35:47.601
[inaudible]
03:35:47.668 --> 03:35:52.339
THE CALL OKAY.
03:35:52.406 --> 03:35:56.076
FROM THE START.
03:35:56.143 --> 03:35:57.277
START AT THE TOP THAT SAYS YES.
03:35:57.344 --> 03:35:57.477
OKAY.
03:35:57.544 --> 03:35:59.913
SO WE JUST VOTED ON AB --
03:35:59.980 --> 03:36:00.547
TWO OH FOR ITEM NUMBER ONE ITEM
03:36:00.614 --> 03:36:01.715
NUMBER TWO A. B..
03:36:01.782 --> 03:36:03.083
TWO TWO EIGHT WE'RE GOING TO
03:36:03.150 --> 03:36:05.919
OPEN THE ROLE AN ADD ON AS
03:36:05.986 --> 03:36:08.955
TRADITIONAL.
03:36:09.022 --> 03:36:10.791
BIGELOW AYE BONTA.
03:36:10.857 --> 03:36:13.026
BONTA AYE MCCARTY AYE MCCARTY
03:36:13.093 --> 03:36:15.462
AYE.
03:36:15.529 --> 03:36:17.497
FIFTEEN THAT'S FIFTEEN ZERO I'M
03:36:17.564 --> 03:36:19.633
SORRY SANTIAGO.
03:36:19.700 --> 03:36:22.369
SANTIAGO I FIFTEEN THAT'S
03:36:22.436 --> 03:36:25.439
FIFTEEN ZERO AB TWO SIXTY TWO
03:36:25.505 --> 03:36:27.040
WOULD LIKE TO LIFT THE CALL AND
03:36:27.107 --> 03:36:29.509
ALL THE ABSENT MEMBERS BIGELOW.
03:36:29.576 --> 03:36:30.877
BIGELOW AYE BONTA.
03:36:30.944 --> 03:36:39.086
BONTA AYE BURKE BURKE AYE FLORA.
03:36:39.152 --> 03:36:41.955
HOW FAR IS NOT PUTTING THE MON?
03:36:42.022 --> 03:36:46.193
MCCARTY MCCARTY AYE NAZARIAN
03:36:46.259 --> 03:36:46.493
[inaudible]
03:36:46.560 --> 03:36:48.095
NAZARIAN AYE [inaudible]
03:36:48.161 --> 03:36:49.529
SANTIAGO [inaudible]
03:36:49.596 --> 03:36:59.673
SANTIAGO I'D.
03:36:59.740 --> 03:37:01.041
THAT'S TWELVE ZERO WILL LEAVE
03:37:01.108 --> 03:37:02.109
THE ROLE OPEN AND WHILE OTHER
03:37:02.175 --> 03:37:05.312
MEMBERS TO ADD ON AB TWO NINETY
03:37:05.379 --> 03:37:08.882
I DON'T KNOW IF ANYBODY CAME AND
03:37:08.949 --> 03:37:10.851
LARA WILL WILL OPEN THE ROLE IN
03:37:10.917 --> 03:37:13.720
AT AND AND AT ADDITIONAL VOTES.
03:37:13.787 --> 03:37:16.790
NO OKAY WE WON'T DO THAT THEN.
03:37:16.857 --> 03:37:18.425
AB.
03:37:18.492 --> 03:37:19.860
HE P. THREE EIGHTEEN WILL LIFT
03:37:19.926 --> 03:37:21.628
THE CALL AND CALL THE ABSENT
03:37:21.695 --> 03:37:21.862
MEMBERS.
03:37:21.928 --> 03:37:23.497
AGUIAR-CURRY AGUIAR-CURRY AYE
03:37:23.563 --> 03:37:26.933
BIGELOW.
03:37:27.000 --> 03:37:28.268
BIGELOW NO.
03:37:28.335 --> 03:37:30.871
BONTA BONTA AYE BURKE BURKE I
03:37:30.937 --> 03:37:31.171
FLOOR -- Là
03:37:31.238 --> 03:37:32.706
MON.
03:37:32.773 --> 03:37:35.308
MCCARTY AYE MCCARTY AYE SANTIAGO
03:37:35.375 --> 03:37:41.081
SANTIAGO I TWENTY TWO THAT'S
03:37:41.148 --> 03:37:42.916
TWELVE TO TO HAVE BILLS OUT --
03:37:42.983 --> 03:37:45.018
ITEM NUMBER.
03:37:45.085 --> 03:37:46.920
SIX WILL LOW OPEN THE ROLE IN AT
03:37:46.987 --> 03:37:49.523
AND AT THE CALLED THE ABSENT
03:37:49.589 --> 03:37:50.991
MEMBERS [inaudible]
03:37:51.057 --> 03:37:52.492
BIGELOW [inaudible]
03:37:52.559 --> 03:37:54.461
BIGELOW AYE.
03:37:54.528 --> 03:37:55.862
BIGELOW AYE BONTA.
03:37:55.929 --> 03:37:58.265
BONTA AYE BURKE.
03:37:58.331 --> 03:37:59.533
HI Là M<c.cyan>.</c>
03:37:59.599 --> 03:38:02.869
MCCARTY AYE MCCARTY AYE SANTIAGO.
03:38:02.936 --> 03:38:06.306
SANTIAGO HI FOURTEEN ZERO THAT'S
03:38:06.373 --> 03:38:08.475
FOURTEEN ZERO ON ITEM NUMBER --
03:38:08.542 --> 03:38:10.243
SEVEN AB THREE SIXTY TWO WILL
03:38:10.310 --> 03:38:12.646
LIFT THE CALL AND CALL THE
03:38:12.712 --> 03:38:14.881
ABSENT MEMBERS BIGELOW.
03:38:14.948 --> 03:38:15.549
LOOKING.
03:38:15.615 --> 03:38:20.020
AT ITEM SEVEN AB.
03:38:20.086 --> 03:38:21.721
THREE SIXTY TWO BIGELOW NO BONTA.
03:38:21.788 --> 03:38:23.557
BONTA AYE BURKE BURKE HI
03:38:23.623 --> 03:38:23.857
[inaudible]
03:38:23.924 --> 03:38:24.991
FLORA [inaudible]
03:38:25.058 --> 03:38:27.127
MCCARTY.
03:38:27.194 --> 03:38:28.995
MCCARTY I IN THIS AREA.
03:38:29.062 --> 03:38:31.565
NAZARIAN AYE SANTIAGO
03:38:31.631 --> 03:38:31.865
[inaudible]
03:38:31.932 --> 03:38:39.105
SANTIAGO I THREE THAT'S ELEVEN
03:38:39.172 --> 03:38:40.073
TO THREE THAT BILL WAS OUT.
03:38:40.140 --> 03:38:41.441
ON THE ITEM NUMBER EIGHT WE'RE
03:38:41.508 --> 03:38:42.709
GONNA LIVE THEY ACTUALLY OPEN
03:38:42.776 --> 03:38:44.644
THE ROLE AND CALL THE ABSENT
03:38:44.711 --> 03:38:45.545
MEMBERS [inaudible]
03:38:45.612 --> 03:38:48.415
BIGELOW.
03:38:48.482 --> 03:38:50.684
BIGELOW AYE MCCARTY.
03:38:50.750 --> 03:38:50.851
AYE.
03:38:50.917 --> 03:38:53.820
PARTY I WALDRON [inaudible]
03:38:53.887 --> 03:38:55.989
WALDRON AYE.
03:38:56.056 --> 03:38:57.924
THAT'S FIFTEEN ZERO ITEM NUMBER
03:38:57.991 --> 03:39:00.460
NINE A. B. --
03:39:00.527 --> 03:39:02.562
FIVE SEVENTY SEVEN OPEN THE ROLL
03:39:02.629 --> 03:39:05.298
CALL THE ABSENT MEMBERS BIGELOW.
03:39:05.365 --> 03:39:07.667
BIGELOW AYE BONTA.
03:39:07.734 --> 03:39:10.370
ON TIME MCCARTY.
03:39:10.437 --> 03:39:12.005
MCCARTY I SANTIAGO [inaudible]
03:39:12.072 --> 03:39:15.208
HI.
03:39:15.275 --> 03:39:19.045
THAT'S FIFTEEN ZERO AND SO WILL
03:39:19.112 --> 03:39:19.646
LEAVE THE ROLE OPEN FOR OTHER
03:39:19.713 --> 03:39:20.447
MEMBERS TO ADD ON TO BILLS FOR
03:39:20.514 --> 03:39:25.385
THE NEXT. FIVE MINUTES
03:39:25.452 --> 03:39:29.956
[inaudible] TWO ONE TO FOR WE
03:39:30.023 --> 03:39:32.759
DID A WILL OPEN THE ROLE ON
03:39:32.826 --> 03:39:39.266
EITHER ON TO THAT WAS
03:39:39.332 --> 03:39:39.566
[inaudible]
03:39:39.633 --> 03:39:41.535
YEAH.
03:39:41.601 --> 03:39:43.069
OKAY SO WE'RE OPEN THE ROLE ON
03:39:43.136 --> 03:39:45.906
ITEM NUMBER ONE AB TWO OH FOUR
03:39:45.972 --> 03:39:47.507
MADAM SECRETARY CALL THE ABSENT
03:39:47.574 --> 03:39:48.942
MEMBERS BIGELOW.
03:39:49.009 --> 03:39:50.677
BIGELOW AYE.
03:39:50.744 --> 03:39:53.079
MCCARTY.
03:39:53.146 --> 03:39:55.849
MCCARTY I SANTIAGO [inaudible]
03:39:55.916 --> 03:39:59.753
SANTIAGO AYE. FIFTEEN FIFTEEN
03:39:59.819 --> 03:40:00.053
ZERO OKAY.
03:40:00.120 --> 03:40:05.091
MISS LOAN IS HERE SO WITH WHAT I
03:40:05.158 --> 03:40:07.193
MR FLOOR IS HERE SO.
03:40:07.260 --> 03:40:09.029
LET'S GO TO ITEM NUMBER TWO
03:40:09.095 --> 03:40:10.697
WHICH IS FIFTEEN ZERO ITEM
03:40:10.764 --> 03:40:12.299
NUMBER.
03:40:12.365 --> 03:40:15.001
THREE OPEN THE ROLE ON ITEM
03:40:15.068 --> 03:40:18.004
NUMBER THREE LARA [inaudible]
03:40:18.071 --> 03:40:22.409
LIMóN I AS THIRTEEN ZERO ITEM
03:40:22.475 --> 03:40:23.810
NUMBER.
03:40:23.877 --> 03:40:25.078
FOUR OPEN THE ROLL CALL THE
03:40:25.145 --> 03:40:28.882
ABSENT MEMBERS IN MARIN.
03:40:28.949 --> 03:40:30.250
NINETY WHAT WAS THAT.
03:40:30.317 --> 03:40:31.952
AB TWO NINETY I REMEMBER
03:40:32.018 --> 03:40:32.252
[inaudible]
03:40:32.319 --> 03:40:35.522
FOR NO.
03:40:35.589 --> 03:40:40.126
I'M SORRY NOT REALLY SOLDIERS
03:40:40.193 --> 03:40:42.495
FOR NOT VOTING.
03:40:42.562 --> 03:40:42.762
LOW MOAN.
03:40:42.829 --> 03:40:46.733
Là M<c.cyan> ÁI. ELEVEN TO</c>
03:40:46.800 --> 03:40:47.367
ELEVEN TO AND ITEM NUMBER FIVE
03:40:47.434 --> 03:40:48.668
AB THREE EIGHTEEN WILL OPEN THE
03:40:48.735 --> 03:40:52.906
ROLL CALL THE ABSENT MEMBERS.
03:40:52.973 --> 03:40:57.744
LIMON I'M NOT I THAT'S THIRTEEN
03:40:57.811 --> 03:40:59.012
TO ITEM NUMBER SIX AB THREE
03:40:59.079 --> 03:41:01.348
NINETEEN OPEN THE ROLL CALL THE
03:41:01.414 --> 03:41:02.082
ABSENT MEMBERS AMONG.
03:41:02.148 --> 03:41:07.253
THEM I FIFTEEN ZERO ITEM NUMBER --
03:41:07.320 --> 03:41:09.589
SEVEN OPEN THE ROLL CALL THE
03:41:09.656 --> 03:41:11.424
ABSENT MEMBERS LARA [inaudible]
03:41:11.491 --> 03:41:15.195
LARA NOW [inaudible] ELEVEN FOR
03:41:15.261 --> 03:41:17.931
ITEM NUMBER. EIGHT FIFTEEN
03:41:17.998 --> 03:41:20.300
FIFTEENS ARE ALREADY AND ITEM
03:41:20.367 --> 03:41:22.369
NUMBER NINE FIFTEEN ZERO OKAY
03:41:22.435 --> 03:41:22.669
[inaudible]
03:41:22.736 --> 03:41:27.540
THANK YOU [inaudible]
03:41:27.607 --> 03:41:33.079
THAT'S THANK.
03:41:33.146 --> 03:41:37.317
DOES PRESENT VOTING.
03:41:37.384 --> 03:41:40.420
DOESN'T RECORDING SO YOU COULD.
03:41:40.487 --> 03:41:41.421
IS.
03:41:41.488 --> 03:41:46.059
THAT RIGHT.
03:41:46.126 --> 03:41:55.835
IT DOESN'T GET.
03:41:55.902 --> 03:41:56.469
YES YES.
03:41:56.536 --> 03:41:59.005
SIR.
03:41:59.072 --> 03:42:01.274
BUT THAT WE'RE GOING TO GO AHEAD
03:42:01.341 --> 03:42:17.857
AND CLOSE THE MEETING THANK YOU