WEBVTT
00:05:14.047 --> 00:05:18.384
GOOD AFTERNOON.
00:05:18.451 --> 00:05:19.285
GOOD AFTERNOON WE'D LIKE TO GO
00:05:19.352 --> 00:05:20.620
AHEAD AND GET STARTED WITH OUR
00:05:20.687 --> 00:05:22.722
HEARING THIS AFTERNOON THIS IS
00:05:22.789 --> 00:05:23.289
THE HEARING OF THE ASSEMBLY
00:05:23.356 --> 00:05:24.557
HEALTH COMMITTEE.
00:05:24.624 --> 00:05:26.626
WE HAVE A A VERY LONG AGENDA
00:05:26.693 --> 00:05:29.062
TODAY.
00:05:29.128 --> 00:05:31.330
WE WILL BE HEARING. TWO
00:05:31.397 --> 00:05:33.566
WITNESSES PER SIDE -- THREE
00:05:33.633 --> 00:05:36.269
MINUTES EACH TOTAL -- AND THEN
00:05:36.335 --> 00:05:38.237
WE'LL HAVE ADDITIONAL ADDITIONAL
00:05:38.304 --> 00:05:39.572
WITNESS WILL BE ASKED JUST TO
00:05:39.639 --> 00:05:41.340
GET THEIR NAME AND POSITION ON A
00:05:41.407 --> 00:05:42.408
BILL.
00:05:42.475 --> 00:05:44.343
WE DO HAVE A NUMBER OF BILLS
00:05:44.410 --> 00:05:46.279
THAT ARE RECOMMENDED FOR CONSENT --
00:05:46.345 --> 00:05:49.115
THE BILLS ARE IF YOU'RE
00:05:49.182 --> 00:05:50.817
FOLLOWING AND HAVE A SCORECARD --
00:05:50.883 --> 00:05:53.419
ITEM NUMBER TWO AB FOR FORTY
00:05:53.486 --> 00:05:54.721
THREE BY MR GLORIA.
00:05:54.787 --> 00:05:57.190
ITEM NUMBER FIVE AB TWO THIRTY
00:05:57.256 --> 00:05:58.925
TWO BYE BYE MISTER MONTH DAIS
00:05:58.991 --> 00:06:01.360
ITEM NUMBER SIX AB TWO FIFTY
00:06:01.427 --> 00:06:02.662
FOUR BY MISS QUIRK SILVA.
00:06:02.729 --> 00:06:04.964
ITEM NUMBER TEN AB FIVE FIFTEEN
00:06:05.031 --> 00:06:06.899
BY MISTER MATHIS.
00:06:06.966 --> 00:06:10.236
ITEM NUMBER -- FOURTEEN AB SIX
00:06:10.303 --> 00:06:11.471
SEVENTEEN BY MR MULLIN.
00:06:11.537 --> 00:06:14.640
ITEM NUMBER EIGHTEEN A. B. SEVEN
00:06:14.707 --> 00:06:16.042
FORTY SEVEN OR SEVEN FORTY ONE
00:06:16.109 --> 00:06:17.577
SEES ME BY MISTER KALRA.
00:06:17.643 --> 00:06:20.346
ITEM NUMBER TWENTY I A. B. SEVEN
00:06:20.413 --> 00:06:21.414
FORTY SIX BY WOOD.
00:06:21.481 --> 00:06:23.916
ITEM NUMBER TWENTY SIX AB EIGHT
00:06:23.983 --> 00:06:25.351
NINETY EIGHT BY MISS WICKS ITEM
00:06:25.418 --> 00:06:28.054
NUMBER TWENTY SEVEN EIGHTY NINE
00:06:28.121 --> 00:06:29.288
NINETEEN BY MISS PETRIE-NORRIS.
00:06:29.355 --> 00:06:31.924
ITEM NUMBER THIRTY ONE A. B.
00:06:31.991 --> 00:06:33.259
ELEVEN TWENTY TWO BY MISS IRWIN.
00:06:33.326 --> 00:06:36.062
ITEM NUMBER THIRTY THREE AB
00:06:36.129 --> 00:06:36.629
ELEVEN TWENTY EIGHT BY MISS
00:06:36.696 --> 00:06:39.031
PETRIE-NORRIS ITEM NUMBER THIRTY
00:06:39.098 --> 00:06:40.733
FOUR MISSED ELEVEN THIRTY ONE BY
00:06:40.800 --> 00:06:42.168
MR GLORIA.
00:06:42.235 --> 00:06:45.071
ITEM NUMBER THIRTY FIVE AB
00:06:45.138 --> 00:06:46.172
ELEVEN FIFTY TWO BY MR HOLDEN
00:06:46.239 --> 00:06:48.941
ITEM NUMBER THIRTY EIGHT AB
00:06:49.008 --> 00:06:49.542
TWELVE TWENTY SEVEN BY MISTER
00:06:49.609 --> 00:06:50.643
OBERNOLTE.
00:06:50.710 --> 00:06:53.045
ITEM NUMBER FORTY TWO A. B.
00:06:53.112 --> 00:06:53.613
THIRTEEN FIFTY TWO BY MISS
00:06:53.679 --> 00:06:54.413
WALDRON.
00:06:54.480 --> 00:06:57.116
ITEM NUMBER FORTY THREE A. B.
00:06:57.183 --> 00:06:57.650
FOURTEEN OH FOUR BY MISTER
00:06:57.717 --> 00:07:00.019
SANTIAGO ITEM NUMBER FIFTY THREE
00:07:00.086 --> 00:07:01.687
AB SEVENTEEN ELEVEN BY MISTER
00:07:01.754 --> 00:07:02.722
SANTIAGO.
00:07:02.789 --> 00:07:06.159
ITEM NUMBER FIFTY SEVEN AB
00:07:06.225 --> 00:07:06.793
EIGHTEEN OH TWO IT'S AN ASSEMBLY
00:07:06.859 --> 00:07:07.794
HEALTH COMMITTEE BILL.
00:07:07.860 --> 00:07:10.163
ITEM NUMBER FIFTY EIGHT AB
00:07:10.229 --> 00:07:10.897
EIGHTEEN OH THREE ALSO IN
00:07:10.963 --> 00:07:13.533
ASSEMBLY HEALTH COMMITTEE BILL.
00:07:13.599 --> 00:07:14.834
THE FOLLOWING ITEMS HAVE BEEN
00:07:14.901 --> 00:07:16.803
PULLED FROM THE AGENDA TODAY.
00:07:16.869 --> 00:07:19.539
ITEM NUMBER EIGHT AB THREE
00:07:19.605 --> 00:07:21.207
SEVENTY BY MR VOEPEL.
00:07:21.274 --> 00:07:24.710
ITEM NUMBER. THIRTEEN AB SIX OH
00:07:24.777 --> 00:07:26.078
ONE BY MISTER BIGELOW.
00:07:26.145 --> 00:07:28.981
ITEM NUMBER TWENTY TWO A. B.
00:07:29.048 --> 00:07:30.483
SEVEN SIXTY FIVE BY MISS WICKS.
00:07:30.550 --> 00:07:34.353
AND ITEM NUMBER FORTY NINE AB
00:07:34.420 --> 00:07:34.954
SIXTEEN THIRTY FOUR BY MISTER
00:07:35.021 --> 00:07:35.721
GLORIA.
00:07:35.788 --> 00:07:37.023
WILL TAKE A COUPLE OF THINGS OUT
00:07:37.089 --> 00:07:38.591
OF A LITTLE OUT OF ORDER TODAY
00:07:38.658 --> 00:07:40.159
OTHERWISE THIS IS IN FILE ORDER.
00:07:40.226 --> 00:07:41.460
THE FIRST BILL WILL BE HEARING
00:07:41.527 --> 00:07:42.895
BY WILL BE BY MR BLOOM FOLLOWED
00:07:42.962 --> 00:07:46.566
BY A BILL BY MISTER CALDERON SO.
00:07:46.632 --> 00:07:47.133
MISTER BLOOM WHENEVER YOU'RE
00:07:47.200 --> 00:07:48.034
READY.
00:07:48.100 --> 00:07:48.968
WE'LL BE STARTING AS A
00:07:49.035 --> 00:07:50.503
SUBCOMMITTEE OBVIOUSLY -- WE
00:07:50.570 --> 00:07:52.471
DON'T HAVE A QUORUM -- WILL HAVE
00:07:52.538 --> 00:07:53.506
MEMBERS COMING AND GOING THIS IS
00:07:53.573 --> 00:07:55.775
A BUSY BUSY DAY IN THE CAPITAL
00:07:55.842 --> 00:07:58.778
SO -- NO FURTHER DO MISTER BLOOM
00:07:58.845 --> 00:08:01.013
GOOD AFTERNOON -- MISTER CHAIR
00:08:01.080 --> 00:08:03.649
AND AND MEMBERS OF A CHILD'S
00:08:03.716 --> 00:08:05.284
ABILITY TO HEAR SHOULD NOT BE
00:08:05.351 --> 00:08:06.953
DETERMINED BY THEIR FAMILY
00:08:07.019 --> 00:08:08.688
INCOME YET HERE IN CALIFORNIA
00:08:08.754 --> 00:08:10.790
THOUSANDS OF FAMILIES HAVE TO
00:08:10.857 --> 00:08:11.724
PAY FOR THEIR CHILD'S HEARING
00:08:11.791 --> 00:08:14.460
AIDS OUT OF POCKET OR SIMPLY.
00:08:14.527 --> 00:08:16.229
HAVE TO FOREGO THEM ALL TOGETHER
00:08:16.295 --> 00:08:18.030
A. B. FIVE NINETY EIGHT
00:08:18.097 --> 00:08:19.265
ADDRESSES THIS GAP IN COVERAGE
00:08:19.332 --> 00:08:21.667
BY REQUIRING HEALTH CARE SERVICE
00:08:21.734 --> 00:08:23.436
PLANS AND HEALTH INSURANCE
00:08:23.502 --> 00:08:26.806
POLICIES. TO INCLUDE COVERAGE
00:08:26.873 --> 00:08:28.107
FOR CHILDREN'S HEARING AIDS.
00:08:28.174 --> 00:08:28.941
BIRDS INCLUDE THE INITIAL
00:08:29.008 --> 00:08:30.743
HEARING ASSESSMENT NEW HEARING
00:08:30.810 --> 00:08:32.511
AIDS AT LEAST EVERY FIVE YEARS
00:08:32.578 --> 00:08:34.413
NEW ERA MOLDS AND A NEW HEARING
00:08:34.480 --> 00:08:35.715
AID IF THE EXISTING ONE IS NO
00:08:35.781 --> 00:08:37.083
LONGER WORKING.
00:08:37.149 --> 00:08:38.317
THE COST OF A HEARING IT IS THE
00:08:38.384 --> 00:08:40.686
MOST SIGNIFICANT BARRIER TO
00:08:40.753 --> 00:08:42.188
PARENTS OBTAINING PEDIATRIC
00:08:42.255 --> 00:08:43.489
HEARING AIDS.
00:08:43.556 --> 00:08:45.825
HEARING AIDS CAN COST UP TO SIX
00:08:45.892 --> 00:08:47.159
THOUSAND DOLLARS FOR A PAIR AND
00:08:47.226 --> 00:08:48.527
GROWING CHILDREN NEED THESE
00:08:48.594 --> 00:08:49.462
DEVICES.
00:08:49.528 --> 00:08:52.198
REPLACED FREQUENTLY AB FIVE
00:08:52.265 --> 00:08:52.832
NINETY EIGHT WILL ENSURE THAT
00:08:52.899 --> 00:08:53.933
ALL CALIFORNIA CHILDREN
00:08:54.000 --> 00:08:55.401
REGARDLESS OF INCOME OR
00:08:55.468 --> 00:08:57.036
BACKGROUND HAVE HEALTH INSURANCE
00:08:57.103 --> 00:08:59.372
COVERAGE FOR THEIR HEARING AIDS.
00:08:59.438 --> 00:09:00.873
AND HEARING AID SERVICES AND I
00:09:00.940 --> 00:09:02.642
WANT TO THANK THE CHAIR FOR HIS
00:09:02.708 --> 00:09:04.377
CONTINUED SUPPORT ON THIS BILL
00:09:04.443 --> 00:09:05.912
AND ALSO EXPRESSED MY COMMITMENT
00:09:05.978 --> 00:09:07.280
TO ADDRESS CONCERNS THAT HAVE
00:09:07.346 --> 00:09:08.314
BEEN RAISED.
00:09:08.381 --> 00:09:09.916
ABOUT COST CONTAINMENT.
00:09:09.982 --> 00:09:11.050
TESTIFYING IN SUPPORT OF THE
00:09:11.117 --> 00:09:12.585
BILL ARE ANY GOOD FRIEND THE
00:09:12.652 --> 00:09:13.920
MOTHER OF THE DEAF AND HARD OF
00:09:13.986 --> 00:09:15.922
HEARING CHILD AND DOCTOR
00:09:15.988 --> 00:09:17.223
DANNIELLA CARVALLO.
00:09:17.290 --> 00:09:19.191
DEPARTMENT OF SURGERY CHAIR AND
00:09:19.258 --> 00:09:20.393
DIRECTOR OF THE HEARING PROGRAM
00:09:20.459 --> 00:09:23.596
AT RADIS AT RADY CHILDREN'S
00:09:23.663 --> 00:09:24.797
HOSPITAL IN SAN DIEGO
00:09:24.864 --> 00:09:25.097
[inaudible]
00:09:25.164 --> 00:09:29.268
PLEASE [inaudible]
00:09:29.335 --> 00:09:32.305
OKAY.
00:09:32.371 --> 00:09:33.539
HI MY NAME IS AMY GOOD FRIEND
00:09:33.606 --> 00:09:34.941
NUSSBAUM THIS IS MY SON MAKE
00:09:35.007 --> 00:09:37.910
NUSSBAUM THIRTEEN YEARS OLD.
00:09:37.977 --> 00:09:39.211
IMAGINE FINDING OUT THAT YOUR
00:09:39.278 --> 00:09:42.782
NEWBORN CHILD IS HARD OF HEARING.
00:09:42.848 --> 00:09:44.884
IMAGINE FINDING OUT THAT YOUR
00:09:44.951 --> 00:09:47.353
CHILD NEEDS HEARING IN.
00:09:47.420 --> 00:09:50.256
AND THEN FINDING OUT.
00:09:50.323 --> 00:09:51.691
WILL PAY FOR ONE DOLLAR
00:09:51.757 --> 00:09:51.991
[inaudible]
00:09:52.058 --> 00:09:54.727
PLEASE [inaudible]
00:09:54.794 --> 00:09:57.997
BEING.
00:09:58.064 --> 00:10:00.766
OKAY THE MICROPHONE THE GOOD
00:10:00.833 --> 00:10:01.000
SISTER.
00:10:01.067 --> 00:10:02.034
YES.
00:10:02.101 --> 00:10:03.002
HELLO ONCE AGAIN.
00:10:03.069 --> 00:10:03.536
MY NAME IS AMY GOOD FRIEND
00:10:03.602 --> 00:10:03.803
NUSSBAUM.
00:10:03.869 --> 00:10:04.804
THIS IS MY SON NICK.
00:10:04.870 --> 00:10:06.872
IS THIRTEEN YEARS OLD.
00:10:06.939 --> 00:10:08.207
IMAGINE FINDING OUT THAT YOUR
00:10:08.274 --> 00:10:11.277
NEWBORN CHILD IS HARD OF HEARING.
00:10:11.344 --> 00:10:12.278
IMAGINE FINDING OUT THAT YOUR
00:10:12.345 --> 00:10:13.646
NEWBORN CHILD IS GOING TO NEED
00:10:13.713 --> 00:10:15.147
HEARING AIDS.
00:10:15.214 --> 00:10:16.582
AND THEN IMAGINE FINDING OUT
00:10:16.649 --> 00:10:17.817
THAT INSURANCE WON'T GIVE YOU
00:10:17.883 --> 00:10:19.151
ONE DIME TOWARDS THE COST OF
00:10:19.218 --> 00:10:21.120
THOSE HEARING AIDS.
00:10:21.187 --> 00:10:22.455
FIRST PAIR OF HEARING AIDS WAS
00:10:22.521 --> 00:10:23.789
APPROXIMATELY FIVE THOUSAND
00:10:23.856 --> 00:10:25.558
DOLLARS.
00:10:25.624 --> 00:10:26.492
WE HAVE TO GET A NEW PAIR
00:10:26.559 --> 00:10:27.760
APPROXIMATELY EVERY THREE TO
00:10:27.827 --> 00:10:32.031
FOUR YEARS.
00:10:32.098 --> 00:10:33.065
ALONG WITH THE COST OF THE
00:10:33.132 --> 00:10:34.300
HEARING AIDS WE ALSO HAVE TO PAY
00:10:34.367 --> 00:10:35.601
FOR MOLDS [inaudible]
00:10:35.668 --> 00:10:37.370
CHECKS.
00:10:37.436 --> 00:10:38.804
WHEN SOMETHING BREAKS OR IF YOU
00:10:38.871 --> 00:10:41.507
LOSE?
00:10:41.574 --> 00:10:42.875
ONE WORKING CLASS CALIFORNIANS
00:10:42.942 --> 00:10:44.643
MAKING MORE THAN FORTY FIVE
00:10:44.710 --> 00:10:46.746
THOUSAND DOLLARS PER YEAR.
00:10:46.812 --> 00:10:48.781
DO NOT GET ANY ASSISTANCE FOR
00:10:48.848 --> 00:10:49.348
THEIR HEARING AIDS FOR THEIR
00:10:49.415 --> 00:10:51.717
CHILD.
00:10:51.784 --> 00:10:55.955
THAT BECAME OFFICIAL IN.
00:10:56.022 --> 00:10:56.555
NINETEEN SEVENTY FIVE THAT HAS
00:10:56.622 --> 00:10:58.424
TO CHANGE.
00:10:58.491 --> 00:11:00.659
BECAUSE NICK WAS AMPLIFIED.
00:11:00.726 --> 00:11:02.461
BY EIGHT WEEKS OF AGE.
00:11:02.528 --> 00:11:04.463
HE HAD IMMEDIATE ACCESS TO CEASE
00:11:04.530 --> 00:11:06.232
TO SPOKEN LANGUAGE AND NEVER
00:11:06.298 --> 00:11:08.667
NEEDED ANY SPECIAL EDUCATION.
00:11:08.734 --> 00:11:12.405
OR ANY SERVICES FROM THE STATE.
00:11:12.471 --> 00:11:14.640
WITHOUT IS HEARING AIDS.
00:11:14.707 --> 00:11:16.175
NIKKI WOULD HERE BELOW THE
00:11:16.242 --> 00:11:22.782
SPEECH LEVEL [inaudible]
00:11:22.848 --> 00:11:24.016
NO.
00:11:24.083 --> 00:11:26.585
HELLO MY NAME IS NICK LAST BOMB.
00:11:26.652 --> 00:11:28.387
I AM THIRTEEN YEARS OLD I PLAYED
00:11:28.454 --> 00:11:30.156
DRUMS IN A BAND I LOVE THE LA
00:11:30.222 --> 00:11:32.658
RAMS AND I GOT MY FIRST PAIR OF
00:11:32.725 --> 00:11:33.826
HEARING AIDS WHEN I WAS
00:11:33.893 --> 00:11:34.126
[inaudible]
00:11:34.193 --> 00:11:36.028
TO MUSCLE.
00:11:36.095 --> 00:11:37.496
I THINK IT IS CRAZY THAT HEALTH
00:11:37.563 --> 00:11:40.499
INSURANCE COMPANIES WILL PAY FOR
00:11:40.566 --> 00:11:42.334
WEIGHT LOSS SURGERY AND WIGS FOR
00:11:42.401 --> 00:11:43.669
CANCER PATIENTS.
00:11:43.736 --> 00:11:45.237
BUT WON'T PAY ANYTHING FOR
00:11:45.304 --> 00:11:46.672
HEARING AIDS THIS NEEDS TO
00:11:46.739 --> 00:11:49.408
CHANGE IT'S TIME TO LET
00:11:49.475 --> 00:11:53.913
CALIFORNIA KIDS HERE.
00:11:53.979 --> 00:11:55.047
MY NAME IS THE NOW PROVIDE HOLE
00:11:55.114 --> 00:11:56.182
AND I'M A PEDIATRIC
00:11:56.248 --> 00:11:57.917
OTOLARYNGOLOGY IS THE DIRECTOR
00:11:57.983 --> 00:11:59.151
OF THE HEARING IN COOL CLAIM
00:11:59.218 --> 00:12:00.753
PLANNED PROGRAM THAT READ EACH
00:12:00.820 --> 00:12:03.255
ONE AS HOSPITAL SAN DIEGO -- UC
00:12:03.322 --> 00:12:05.091
SAN DIEGO PROFESSOR.
00:12:05.157 --> 00:12:06.525
AND I'M ALSO THE CALIFORNIA
00:12:06.592 --> 00:12:08.227
CHAPTER CHAMPION FOR THE EARLY
00:12:08.294 --> 00:12:09.295
HEARING DETECTION AND
00:12:09.361 --> 00:12:10.729
INTERVENTION PROGRAM.
00:12:10.796 --> 00:12:11.797
I'M HERE REPRESENTING THE
00:12:11.864 --> 00:12:12.932
CALIFORNIA CHAPTER OF THE
00:12:12.998 --> 00:12:14.900
AMERICAN ACADEMY OF PEDIATRICS
00:12:14.967 --> 00:12:16.836
REGIONAL HOSPITAL SAN DIEGO UC
00:12:16.902 --> 00:12:19.138
SAN DIEGO AND ALSO SPEAKING ON
00:12:19.205 --> 00:12:20.806
BEHALF OF LET CALIFORNIA HERE
00:12:20.873 --> 00:12:22.274
INITIATIVE IN OVER THIRTY
00:12:22.341 --> 00:12:26.145
ORGANIZATIONS IN SUPPORT OF AB.
00:12:26.212 --> 00:12:26.812
FIVE NINE EIGHT THE FIRST MONTHS
00:12:26.879 --> 00:12:28.347
AND YEARS OF OUR LIVES ARE
00:12:28.414 --> 00:12:29.882
CRUCIAL IN DEVELOPING THE
00:12:29.949 --> 00:12:32.051
HEARING PATHWAYS IN OUR BRAINS.
00:12:32.118 --> 00:12:34.320
AND HENCE OUR ORAL LANGUAGE.
00:12:34.386 --> 00:12:35.821
THERE'S OVERWHELMING EVIDENCE
00:12:35.888 --> 00:12:37.289
THAT CHILDREN DEPRIVE THE NORMAL
00:12:37.356 --> 00:12:38.457
ACCESS TO HEARING HAVE
00:12:38.524 --> 00:12:40.259
SIGNIFICANT SPEECH AN ORAL
00:12:40.326 --> 00:12:41.927
LANGUAGE THE LACE.
00:12:41.994 --> 00:12:43.496
THE IMPACT THIS WILL IMPACT YOUR
00:12:43.562 --> 00:12:46.132
ACADEMIC LIFE THEIR SOCIAL LIFE.
00:12:46.198 --> 00:12:47.533
THEY WILL HAVE ISSUES WITH
00:12:47.600 --> 00:12:48.968
EMOTIONAL AND PSYCHOLOGICAL
00:12:49.034 --> 00:12:50.136
PROBLEMS AS WELL.
00:12:50.202 --> 00:12:51.704
DEVON HARD OF HEARING CHILDREN
00:12:51.770 --> 00:12:53.439
WHO GO UNTREATED COSTS ARE
00:12:53.506 --> 00:12:55.341
TAXPAYERS UP TO ONE MILLION
00:12:55.407 --> 00:12:58.177
DOLLARS IN SPECIAL EDUCATION A
00:12:58.244 --> 00:12:58.978
LOSS OF PRODUCTIVITY.
00:12:59.044 --> 00:13:00.212
BECAUSE OF THE IMPORTANCE OF
00:13:00.279 --> 00:13:01.580
HEARING AIDS IN THE EARLY MONTHS
00:13:01.647 --> 00:13:02.848
OF LIFE.
00:13:02.915 --> 00:13:04.116
THE EARLY HEARING DETECTION AND
00:13:04.183 --> 00:13:05.784
INTERVENTION PROGRAMHAS
00:13:05.851 --> 00:13:07.486
INSTITUTED THE ONE THREE SIX
00:13:07.553 --> 00:13:09.155
GUIDELINES.
00:13:09.221 --> 00:13:10.589
SCREENING BY ONE MONTH OF AGE
00:13:10.656 --> 00:13:12.958
DIAGNOSING OF BY THREE MONTHS OF
00:13:13.025 --> 00:13:14.760
AGE AN INTERVENTION AND
00:13:14.827 --> 00:13:16.929
TREATMENT BY SIX MONTHS OF AGE.
00:13:16.996 --> 00:13:19.098
CALIFORNIA DOES A BEAUTIFUL JOB
00:13:19.165 --> 00:13:20.466
IN SCREENING AND IDENTIFYING
00:13:20.533 --> 00:13:22.234
YOUR CHILDREN WITH HEARING LOSS
00:13:22.301 --> 00:13:23.769
BUT FEELS MISERABLY.
00:13:23.836 --> 00:13:25.638
WHEN IT COMES TO TREATING THEM I
00:13:25.704 --> 00:13:27.406
SEE THIS EVERY DAY WHEN I TAKE
00:13:27.473 --> 00:13:28.908
CARE CHILDREN WHO ARE HARD OF
00:13:28.974 --> 00:13:29.508
HEARING IT READ THE CHILDREN'S
00:13:29.575 --> 00:13:30.409
HOSPITAL?
00:13:30.476 --> 00:13:31.544
I SEE THE DIFFERENCE IN A
00:13:31.610 --> 00:13:32.811
HEARING AID MAKES ANALYZE AND
00:13:32.878 --> 00:13:34.013
EARLY DEVELOPMENT OF THESE
00:13:34.079 --> 00:13:35.247
CHILDREN.
00:13:35.314 --> 00:13:36.815
HOWEVER BECAUSE ONLY ONE
00:13:36.882 --> 00:13:38.184
INTELLIGENCE TEN CHILDREN HAVE
00:13:38.250 --> 00:13:39.852
HEARING AIDS COVERED BUTTER PRO
00:13:39.919 --> 00:13:41.654
WITH HEALTH PLAN IN CALIFORNIA.
00:13:41.720 --> 00:13:44.456
I ALSO SEE HOW DEVASTATING IT IS
00:13:44.523 --> 00:13:46.458
FOR PARENTS WHO KNOW WHO ARE
00:13:46.525 --> 00:13:47.893
UNABLE TO AFFORD THE TREATMENT
00:13:47.960 --> 00:13:49.328
THEY KNOW THEIR CHILD NEEDS.
00:13:49.395 --> 00:13:50.596
CURATE COVERAGE IS ALREADY
00:13:50.663 --> 00:13:52.798
MANDATED IN TWENTY FOUR OTHER
00:13:52.865 --> 00:13:55.568
STATES AND IT'S TIME TO LET
00:13:55.634 --> 00:13:56.335
CALIFORNIA KIDS HERE
00:13:56.402 --> 00:13:56.635
[inaudible]
00:13:56.702 --> 00:13:57.736
THANK YOU.
00:13:57.803 --> 00:13:59.038
THANK YOU VERY MUCH.
00:13:59.104 --> 00:14:04.009
OTHERS IN SUPPORT.
00:14:04.076 --> 00:14:05.711
AND PLEASE JUST YOUR NAME AND
00:14:05.778 --> 00:14:08.013
ORGANIZATION PLEASE.
00:14:08.080 --> 00:14:09.048
HI NEAR MORTON YOU'RE WITH THE
00:14:09.114 --> 00:14:10.616
CALIFORNIA CHILDREN'S HOSPITAL
00:14:10.683 --> 00:14:12.151
CESSATION IN STRONG SUPPORT
00:14:12.218 --> 00:14:12.418
THANK YOU.
00:14:12.484 --> 00:14:14.787
THANK YOU. ONE REPRESENTS JOB
00:14:14.853 --> 00:14:15.754
REPRESENTING THE AMERICAN
00:14:15.821 --> 00:14:17.556
ACADEMY OF PEDIATRICS AND
00:14:17.623 --> 00:14:18.624
SUPPORT THANK YOU.
00:14:18.691 --> 00:14:19.925
I'M MICHELLE MARCINIAK OF LET
00:14:19.992 --> 00:14:22.962
CALIFORNIA KIDS HERE -- IT'S
00:14:23.028 --> 00:14:26.999
TIME TO LET CALIFORNIA KIDS HERE.
00:14:27.066 --> 00:14:28.734
THIS IS MY DAUGHTER MARIE ASH
00:14:28.801 --> 00:14:31.103
TRICK AND SHE WEARS HEARING AIDS
00:14:31.170 --> 00:14:34.006
SHE'S EIGHT YEARS OLD.
00:14:34.073 --> 00:14:35.874
MR TURN MEMBERS I'M ERIN EVANS
00:14:35.941 --> 00:14:37.076
ON BEHALF OF THE CELL BUT
00:14:37.142 --> 00:14:39.278
ADMINISTRATORS OF CALIFORNIA
00:14:39.345 --> 00:14:41.680
ALSO IN SUPPORT THANK YOU.
00:14:41.747 --> 00:14:42.915
I'M LARA COMPELLED EXECUTIVE
00:14:42.982 --> 00:14:44.950
DIRECTOR AT THE CHAT CENTER HERE
00:14:45.017 --> 00:14:46.485
IN SACRAMENTO AND WHERE IT'S FOR
00:14:46.552 --> 00:14:46.752
THE BILL.
00:14:46.819 --> 00:14:48.120
THANK YOU VERY MUCH.
00:14:48.187 --> 00:14:49.088
KATHLEEN SORIANO WITH THE
00:14:49.154 --> 00:14:50.089
UNIVERSITY OF SOUTHERN
00:14:50.155 --> 00:14:52.658
CALIFORNIA AND SUPPORT THANK YOU.
00:14:52.725 --> 00:14:54.093
HI MY NAME'S LADY ASSESSMENT I'M
00:14:54.159 --> 00:14:55.527
A RETIRED UP AND HARD OF HEARING
00:14:55.594 --> 00:14:57.296
IN FIN TEACHER AND A PROFESSOR
00:14:57.363 --> 00:14:58.931
AT CAL LOSING UNIVERSITY AND
00:14:58.998 --> 00:15:01.533
IT'S TIME TO THAT CALIFORNIA
00:15:01.600 --> 00:15:01.800
KIDS HERE.
00:15:01.867 --> 00:15:03.669
THANK YOU.
00:15:03.736 --> 00:15:04.837
GOOD AFTERNOON KELLY MAC MILLAN
00:15:04.903 --> 00:15:05.971
ON BEHALF OF CHILDREN'S CARE
00:15:06.038 --> 00:15:07.773
SPECIALLY COALITION AND SUPPORT
00:15:07.840 --> 00:15:09.842
THANK YOU.
00:15:09.908 --> 00:15:11.410
HI MY NAME IS TANYA AND THIS IS
00:15:11.477 --> 00:15:13.178
MY DAUGHTER KIRA AND SHE IS HARD
00:15:13.245 --> 00:15:14.580
OF HEARING.
00:15:14.647 --> 00:15:15.748
AND WE SUPPORT AB FIVE NINE
00:15:15.814 --> 00:15:18.484
EIGHT THANK YOU.
00:15:18.550 --> 00:15:20.419
HI AM CLEAR HAZLETT OUR PARENT
00:15:20.486 --> 00:15:22.588
TAXPAYER -- I GOT.
00:15:22.655 --> 00:15:23.889
TO TELL HIS HARD OF HEARING AND
00:15:23.956 --> 00:15:25.324
ONE WAS GOING TO BE HARD OF
00:15:25.391 --> 00:15:27.293
HEARING AND WE VERY MUCH SUPPORT
00:15:27.359 --> 00:15:27.493
THIS.
00:15:27.559 --> 00:15:32.231
THANK YOU.
00:15:32.298 --> 00:15:33.699
HELLO THERE MY NAME IS COVINA
00:15:33.766 --> 00:15:35.334
MILLER.
00:15:35.401 --> 00:15:36.702
AND I'M A TEACHER FOR THE DEAF
00:15:36.769 --> 00:15:38.470
AND HARD OF HEARING IN THE
00:15:38.537 --> 00:15:40.272
SACRAMENTO COMMUNITY.
00:15:40.339 --> 00:15:41.640
AND I SUPPORT EIGHTY FIVE NINE
00:15:41.707 --> 00:15:43.409
AIDS.
00:15:43.475 --> 00:15:44.043
IT'S TIME TO LET CALIFORNIA KIDS
00:15:44.109 --> 00:15:46.679
HERE [inaudible]
00:15:46.745 --> 00:15:49.948
THANK YOU.
00:15:50.015 --> 00:15:52.051
HELLO MY NAME IN KIMBALL ANYWAY
00:15:52.117 --> 00:15:53.786
AND I'M WITHOUT MOM WITH.
00:15:53.852 --> 00:15:57.156
HARD OF HEARING CHILDREN.
00:15:57.222 --> 00:15:59.158
FROM SACRAMENTO.
00:15:59.224 --> 00:16:01.794
AB FIVE NINE EIGHT IT'S TIME TO
00:16:01.860 --> 00:16:02.394
LET THE CALIFORNIA [inaudible]
00:16:02.461 --> 00:16:04.463
THANK YOU.
00:16:04.530 --> 00:16:05.931
HELLO MY NAME IS DR CHRISTOPHER
00:16:05.998 --> 00:16:07.433
CAM THIS IS EMILY CAME WHOSE
00:16:07.499 --> 00:16:08.701
HARD OF HEARING.
00:16:08.767 --> 00:16:10.269
WE ARE FROM DAVIS CALIFORNIA AND
00:16:10.336 --> 00:16:11.070
WE'RE HERE IN SUPPORT OF THE
00:16:11.136 --> 00:16:13.372
BILL IT'S TIME TO LET CALIFORNIA
00:16:13.439 --> 00:16:19.611
KIDS HERE THANK YOU.
00:16:19.678 --> 00:16:22.014
MY NAME IS NANCY SACRE -- I AM
00:16:22.081 --> 00:16:24.149
HERE REPRESENTING CALIFORNIA AND
00:16:24.216 --> 00:16:25.884
FAMILIES FOR HANDS AND VOICES
00:16:25.951 --> 00:16:27.319
THIS IS BY LITTLE HARD OF
00:16:27.386 --> 00:16:29.955
HEARING FRIEND CASSIE AND WE ARE
00:16:30.022 --> 00:16:32.591
HERE TO SUPPORT.
00:16:32.658 --> 00:16:33.192
EIGHTY FIVE NINETY EIGHT THANK
00:16:33.258 --> 00:16:37.096
YOU.
00:16:37.162 --> 00:16:38.230
MY NAME IS BROOKE PHILLIPS I'M A
00:16:38.297 --> 00:16:39.832
PEDIATRIC CARDIOLOGIST FROM LOS
00:16:39.898 --> 00:16:40.866
ANGELES AND A MEMBER OF THE
00:16:40.933 --> 00:16:42.735
CALIFORNIA ACADEMY OF AUDIOLOGY
00:16:42.801 --> 00:16:45.504
AND WE SUPPORT.
00:16:45.571 --> 00:16:48.574
CAT LIKE CALIFORNIA KIDS HERE.
00:16:48.640 --> 00:16:49.875
MY NAME IS KATIE RIGHT THIS IS
00:16:49.942 --> 00:16:51.610
MY GRANDSON CONNOR WE BOTH WEAR
00:16:51.677 --> 00:16:52.945
HEARING AIDS I AM HERE
00:16:53.011 --> 00:16:54.580
REPRESENTING HEARING LOSS
00:16:54.646 --> 00:16:56.115
ASSOCIATION OF AMERICA
00:16:56.181 --> 00:16:57.583
CALIFORNIA STATE ASSOCIATION.
00:16:57.649 --> 00:17:00.486
PLEASE SUPPORT EIGHTY FIVE
00:17:00.552 --> 00:17:01.120
NINETY EIGHT BUT CALIFORNIA KIDS
00:17:01.186 --> 00:17:11.730
HERE.
00:17:11.797 --> 00:17:13.031
HI MY NAME IS JOHN A WONDERFULLY
00:17:13.098 --> 00:17:14.400
THESE ARE MY THREE HARD OF
00:17:14.466 --> 00:17:15.734
HEARING DAUGHTERS.
00:17:15.801 --> 00:17:17.970
CAITLYN AGE ONE CASSIE AGE FIVE
00:17:18.036 --> 00:17:19.538
IN CARE AT AGE TWO AND WE ARE
00:17:19.605 --> 00:17:22.708
HERE IN SUPPORT OF EIGHTY FIVE
00:17:22.775 --> 00:17:32.551
NINETY EIGHT THANK YOU.
00:17:32.618 --> 00:17:34.086
RESIDENTS ALSO WE HAVE OF THE
00:17:34.153 --> 00:17:36.255
NATIONAL ASSOCIATION OF SOCIAL
00:17:36.321 --> 00:17:36.889
WORKERS IN STRONG SUPPORT THANK
00:17:36.955 --> 00:17:39.324
YOU.
00:17:39.391 --> 00:17:40.559
HI I'M DOCTOR ROBIN HANSON I'M
00:17:40.626 --> 00:17:42.127
FROM CINEMA COUNTY AND THIS IS
00:17:42.194 --> 00:17:43.996
MY DAUGHTER WHO WON'T SAY HER
00:17:44.062 --> 00:17:45.564
NAME SHE'S COR HANSON -- WE'RE
00:17:45.631 --> 00:17:48.734
HERE JUST REPRESENTED OURSELVES
00:17:48.801 --> 00:17:53.038
FROM CINEMA COUNTY THANK YOU.
00:17:53.105 --> 00:17:54.673
HI AM JAMES THE CAFE AND I'M A
00:17:54.740 --> 00:17:56.408
TEACHER AT THE DOCTOR LAST
00:17:56.475 --> 00:17:57.910
ACTIVITY YOU FIVE CORTES STOCK.
00:17:57.976 --> 00:18:02.181
AND A TIME TO THAT THE DOCTRINE
00:18:02.247 --> 00:18:02.748
HIGH TELLING HOW [inaudible]
00:18:02.815 --> 00:18:03.816
THANK YOU.
00:18:03.882 --> 00:18:04.349
GOOD AFTERNOON MY NAME IS
00:18:04.416 --> 00:18:06.018
CHRISTINA COLUMN ALSO HERE WITH
00:18:06.084 --> 00:18:07.486
MY DAUGHTER WHO IS NINE YEARS
00:18:07.553 --> 00:18:08.887
OLD SHE'S HARD OF HEARING
00:18:08.954 --> 00:18:10.456
JENNIFER TO BIRTH AND SHE'S USE
00:18:10.522 --> 00:18:11.957
BOTH -- AMERICAN SIGN LANGUAGE
00:18:12.024 --> 00:18:13.559
AND HER HEARING AIDS SINCE SHE
00:18:13.625 --> 00:18:15.894
WAS A BABY AND WORST IN STRONG
00:18:15.961 --> 00:18:17.296
SUPPORT OF AB FIVE NINETY EIGHT
00:18:17.362 --> 00:18:20.532
SO ALL CHILDREN CAN ALSO ACCESS
00:18:20.599 --> 00:18:23.302
THE WORLD AROUND THEM THANK YOU.
00:18:23.368 --> 00:18:25.270
HI MY NAME'S CAPRI SURE THIS IS
00:18:25.337 --> 00:18:27.973
MY DAUGHTER. THREE EIGHT THREE
00:18:28.040 --> 00:18:29.141
AVERY SHE'S FOUR YEARS OLD AND
00:18:29.208 --> 00:18:31.543
WE'RE HERE IN SUPPORT OF AB.
00:18:31.610 --> 00:18:33.946
FIVE NINETY EIGHT THANK YOU.
00:18:34.012 --> 00:18:35.314
MY NAME IS CHERYL ASSN AND I'M A
00:18:35.380 --> 00:18:36.582
TEACHER OF THE DEATH FOR A LOCAL
00:18:36.648 --> 00:18:38.784
INTENT PROGRAM AND I'M IN STRONG
00:18:38.851 --> 00:18:39.017
SUPPORT.
00:18:39.084 --> 00:18:42.988
THANK YOU.
00:18:43.055 --> 00:18:44.590
YOU CAN RAISE THAT UP YEAH HELLO
00:18:44.656 --> 00:18:47.493
MY NAME IS SHINING NINE GAP AND
00:18:47.559 --> 00:18:48.861
I'M STUDIES YOU BECOME A TEACH
00:18:48.927 --> 00:18:49.428
IN THE DEATH.
00:18:49.495 --> 00:18:51.563
OF FAMILY GAP COSTA PLAQUE TO
00:18:51.630 --> 00:18:53.398
CARRY YOU PATIENTS COMING UP I
00:18:53.465 --> 00:18:57.669
CHARLIE TO POINT TO SPEAK OUT.
00:18:57.736 --> 00:18:59.571
THANK YOU THANK YOU.
00:18:59.638 --> 00:19:00.672
HI MY NAME IS NIKKI FINE.
00:19:00.739 --> 00:19:01.907
THIS IS MY DAUGHTER AMERI WHO
00:19:01.974 --> 00:19:03.475
WILL BE TWO NEXT WEEK AND SHE
00:19:03.542 --> 00:19:04.977
WEARS HEARING AIDS AND WE'RE
00:19:05.043 --> 00:19:07.980
HERE IN SUPPORT OF AB.
00:19:08.046 --> 00:19:09.648
FIVE NINETY EIGHT THANKS.
00:19:09.715 --> 00:19:13.519
FOR AND I SHADES.
00:19:13.585 --> 00:19:16.054
OTHER -- ANYONE ELSE ANYONE ELSE
00:19:16.121 --> 00:19:17.022
TO SUPPORT [inaudible]
00:19:17.089 --> 00:19:19.892
OPPOSITION.
00:19:19.958 --> 00:19:22.828
PLEASE PLEASE COME ON UP.
00:19:22.895 --> 00:19:23.962
ONLY TO MAKE ROOM FOR THEM AT
00:19:24.029 --> 00:19:38.644
THE TABLE THERE.
00:19:38.710 --> 00:19:40.779
GOOD AFTERNOON I'M JENNIFER ONLY
00:19:40.846 --> 00:19:41.880
WITH THE CALIFORNIA ASSOCIATION
00:19:41.947 --> 00:19:43.882
OF HEALTH PLANS REPRESENTING
00:19:43.949 --> 00:19:44.917
FORTY FIVE PUBLIC AND PRIVATE
00:19:44.983 --> 00:19:46.318
ORGANIZATIONS THAT.
00:19:46.385 --> 00:19:47.819
COLLECTIVELY DELIVER HEALTHCARE
00:19:47.886 --> 00:19:49.288
SERVICES TO TWENTY FIVE MILLION
00:19:49.354 --> 00:19:51.423
CALIFORNIANS -- CAP MUST OPPOSE
00:19:51.490 --> 00:19:52.491
THIS BILL BECAUSE IT IN
00:19:52.558 --> 00:19:55.160
INCREASES CONSUMER PREMIUMS WELL
00:19:55.227 --> 00:19:56.662
WE SYMPATHIZE WITH THIS ISSUE
00:19:56.728 --> 00:19:58.196
FEDERAL AND STATE LAW CURRENTLY
00:19:58.263 --> 00:19:59.498
DEFINED HOW STATES COVER
00:19:59.565 --> 00:20:00.732
BENEFITS.
00:20:00.799 --> 00:20:02.334
UNDER THE AFFORDABLE CARE ACT
00:20:02.401 --> 00:20:04.102
STATES REQUIRE DISLIKE A
00:20:04.169 --> 00:20:05.404
BENCHMARK PLAN.
00:20:05.470 --> 00:20:06.905
THAT DEFINES DEFINES HEALTH
00:20:06.972 --> 00:20:08.507
RELATED SERVICES AND EQUIPMENT
00:20:08.574 --> 00:20:10.075
REFER TO IS ESSENTIAL HEALTH
00:20:10.142 --> 00:20:11.009
BENEFITS.
00:20:11.076 --> 00:20:12.311
THE BENCHMARK PLANTS THAT
00:20:12.377 --> 00:20:13.679
OUTLINES THE ESSENTIAL HEALTH
00:20:13.745 --> 00:20:16.548
BENEFITS IN CALIFORNIA DOES NOT
00:20:16.615 --> 00:20:17.549
INCLUDE THIS DEVICE.
00:20:17.616 --> 00:20:18.984
THE ACA REQUIRES A STATE TO
00:20:19.051 --> 00:20:20.419
COVER BENEFITS WOULD EXCEED THE
00:20:20.485 --> 00:20:22.321
H. BEES AND ACCORDING TO THE
00:20:22.387 --> 00:20:24.222
CALIFORNIA HEALTH BENEFITS
00:20:24.289 --> 00:20:27.225
REVIEW BOARD TO BURKE -- EIGHTY
00:20:27.292 --> 00:20:27.893
FIVE NINETY EIGHT EXCEEDS THE H.
00:20:27.960 --> 00:20:29.861
BEASON TRIGGERS ADDITIONAL COSTS
00:20:29.928 --> 00:20:31.129
FOR THE STATE BETWEEN TWO AND
00:20:31.196 --> 00:20:33.565
THREE MILLION DOLLARS -- AND
00:20:33.632 --> 00:20:35.033
ACCORDING TO TO BURKE THIS
00:20:35.100 --> 00:20:36.668
MANDATE WILL INCREASE HEALTHCARE
00:20:36.735 --> 00:20:38.270
PREMIUMS BY OVER THIRTEEN
00:20:38.337 --> 00:20:39.338
MILLION DOLLARS.
00:20:39.404 --> 00:20:40.472
AND THIS IS JUST SIMPLY THE
00:20:40.539 --> 00:20:44.109
WRONG TIME TO PASS NEW MANDATES --
00:20:44.176 --> 00:20:45.410
SEVERAL BENEFIT MANDATES HAVE
00:20:45.477 --> 00:20:46.778
BEEN PROPOSED IN THE LEGISLATURE
00:20:46.845 --> 00:20:48.647
IN RECENT YEARS AND HAVE
00:20:48.714 --> 00:20:49.948
RETURNEDTHIS YEAR.
00:20:50.015 --> 00:20:51.483
OUR MEMBERS REMAIN CONCERNED
00:20:51.550 --> 00:20:54.219
ABOUT THE CUMULATIVE IMPACT OF
00:20:54.286 --> 00:20:55.687
BENEFIT MANDATES ON PREMIUMS.
00:20:55.754 --> 00:20:57.756
PARTICULARLY AS WE FACE -- THE
00:20:57.823 --> 00:20:59.658
IN HERE PRESSURES ON INVOLVING
00:20:59.725 --> 00:21:00.926
MY INSURANCE MARKET.
00:21:00.993 --> 00:21:02.427
THE TOTALITY OF MANDATES BEFORE
00:21:02.494 --> 00:21:04.696
THE LEGISLATURE EQUALS MORE THAN
00:21:04.763 --> 00:21:05.263
EIGHT HUNDRED FIFTY MILLION
00:21:05.330 --> 00:21:06.398
DOLLARS THIS YEAR.
00:21:06.465 --> 00:21:07.833
THE COST OF THE MONTHLY PREMIUM
00:21:07.899 --> 00:21:10.235
AS THE PRIMARY CONSIDERATION FOR
00:21:10.302 --> 00:21:11.536
CONSUMERS WHEN SELECTING A PLAN.
00:21:11.603 --> 00:21:13.138
THUS FAR CALIFORNIA HAS DONE A
00:21:13.205 --> 00:21:14.272
BETTER JOB COMPARED TO MOST
00:21:14.339 --> 00:21:15.707
STATES IN KEEPING COVERAGE
00:21:15.774 --> 00:21:17.609
AFFORDABLE WELL AVERAGE PREMIUM
00:21:17.676 --> 00:21:20.045
INCREASES BELOW OTHER STATES.
00:21:20.112 --> 00:21:21.647
MAINTAINING A FOR A PREMIUMS AS
00:21:21.713 --> 00:21:23.248
CRITICAL AS POLICY MAKERS STRIVE
00:21:23.315 --> 00:21:24.016
TO DECREASE THE NUMBER OF
00:21:24.082 --> 00:21:26.218
UNINSURED IN CALIFORNIA.
00:21:26.284 --> 00:21:27.419
THIS IS NOT THE TIME FOR NEW
00:21:27.486 --> 00:21:30.155
BENEFIT MANDATES THAT DRIVE UP
00:21:30.222 --> 00:21:31.356
THE COST OF CARE. FOR THESE
00:21:31.423 --> 00:21:32.791
REASONS WE RESPECTFULLY OPPOSE
00:21:32.858 --> 00:21:33.659
THIS BILL.
00:21:33.725 --> 00:21:33.859
OKAY.
00:21:33.925 --> 00:21:36.495
THANK YOU.
00:21:36.561 --> 00:21:37.663
STEPHANIE WHAT CAN SOME WE HAVE
00:21:37.729 --> 00:21:39.598
THE ASSOCIATION OF CALIFORNIA
00:21:39.665 --> 00:21:40.499
LIFE AND HEALTH INSURANCE
00:21:40.565 --> 00:21:42.567
COMPANIES UNFORTUNATELY WE ARE
00:21:42.634 --> 00:21:44.269
TO HEAR TODAY IN OPPOSITION I
00:21:44.336 --> 00:21:45.470
THINK EVERYONE AT THIS TABLE
00:21:45.537 --> 00:21:46.972
INCLUDING EVERYONE IN THIS ROOM
00:21:47.039 --> 00:21:48.640
IS SYMPATHETIC TO THIS ISSUE.
00:21:48.707 --> 00:21:50.609
UNFORTUNATELY THIS WAS NOT A
00:21:50.676 --> 00:21:52.344
PART OF THE ORIGINAL BENCHMARK
00:21:52.411 --> 00:21:53.578
PLAN THAT WAS CHOSEN BY THE
00:21:53.645 --> 00:21:55.047
LEGISLATURE.
00:21:55.113 --> 00:21:57.649
IT WILL BE RE AUTHORIZED -- NEXT
00:21:57.716 --> 00:21:58.984
YEAR AND WE WOULD SUGGEST THAT
00:21:59.051 --> 00:22:00.919
THAT MAY BE A BETTER OPPORTUNITY
00:22:00.986 --> 00:22:01.953
TO HAVE A CONVERSATION ABOUT
00:22:02.020 --> 00:22:03.388
WHETHER OR NOT.
00:22:03.455 --> 00:22:05.157
THE INITIAL KAISER THIRTY PLUS
00:22:05.223 --> 00:22:06.658
PLAN SHOULD BE THE BENCHMARK OR
00:22:06.725 --> 00:22:07.993
WE SHOULD CONSIDER ALTERNATIVE
00:22:08.060 --> 00:22:10.095
OPTIONS THAT DO COVER OTHER
00:22:10.162 --> 00:22:11.830
BENEFITS BUT UNFORTUNATELY AS
00:22:11.897 --> 00:22:12.531
THIS.
00:22:12.597 --> 00:22:14.700
BILL WOULD EXCEEDS THE H. PIECES
00:22:14.766 --> 00:22:16.968
WOULD BE ADDITIONAL STATE COST
00:22:17.035 --> 00:22:18.470
TO THE SYSTEM AT A TIME WHEN
00:22:18.537 --> 00:22:20.172
WE'RE LOOKING AT IMPOSING AN
00:22:20.238 --> 00:22:21.640
INDIVIDUAL MANDATE.
00:22:21.707 --> 00:22:23.375
AT THE CALIFORNIA LEVEL AND ALSO
00:22:23.442 --> 00:22:24.976
LOOKING AT INCREASING SUBSIDIES
00:22:25.043 --> 00:22:26.478
TO HELP PEOPLE AFFORD THEIR
00:22:26.545 --> 00:22:27.579
CURRENT HEALTHCARE.
00:22:27.646 --> 00:22:28.880
WE'RE CONCERNED ABOUT ADDING
00:22:28.947 --> 00:22:30.015
ADDITIONAL COSTS THAT WOULD
00:22:30.082 --> 00:22:31.483
IMPACT THE GREATER CONSUMER
00:22:31.550 --> 00:22:33.518
POPULATION SO FOR THOSE REASONS
00:22:33.585 --> 00:22:35.187
WE REMAIN OPPOSED TO THE BILL
00:22:35.253 --> 00:22:36.254
BUT CERTAINLY DO LOOK FORWARD TO
00:22:36.321 --> 00:22:37.689
HAVING A CONVERSATION WITH THE
00:22:37.756 --> 00:22:38.623
LEGISLATURE.
00:22:38.690 --> 00:22:42.194
NEXT YEAR AS WE LOOK AT RE
00:22:42.260 --> 00:22:44.529
AUTHORIZING THE BENCHMARK PLAN.
00:22:44.596 --> 00:22:45.297
ANYONE ELSE.
00:22:45.363 --> 00:22:46.264
JOHN WINGER ON BEHALF AMERICA'S
00:22:46.331 --> 00:22:47.666
HEALTH INSURANCE PLANS WITH ECHO
00:22:47.733 --> 00:22:50.435
CAPEN ACT LOOKS COMMENTS -- LOOK
00:22:50.502 --> 00:22:51.970
FOR TO HAVE IN THE CONVERSATION --
00:22:52.037 --> 00:22:54.573
DURING THE H. B. CONVERSATION
00:22:54.639 --> 00:22:54.840
NEXT YEAR.
00:22:54.906 --> 00:22:57.142
THANK YOU.
00:22:57.209 --> 00:22:58.810
ANYONE ANYONE ELSE CASEY KNOWN
00:22:58.877 --> 00:22:59.978
BRING BACK TO THE COMMITTEE FOR
00:23:00.045 --> 00:23:02.280
QUESTIONS OR COMMENTS QUESTIONS
00:23:02.347 --> 00:23:02.848
OR COMMENTS FROM CAN MISTER
00:23:02.914 --> 00:23:03.782
BIGELOW.
00:23:03.849 --> 00:23:05.584
THANK YOU THIS IS. FOR THE
00:23:05.650 --> 00:23:08.520
AUTHOR -- HAVING HEARD THE
00:23:08.587 --> 00:23:11.123
OPPOSITION'S COMPONENTS IS THERE
00:23:11.189 --> 00:23:12.891
A WAY THAT YOU COULD.
00:23:12.958 --> 00:23:14.226
AS THIS BILL MOVES FORWARD
00:23:14.292 --> 00:23:16.628
CONTINUE WORKING. TO RESOLVE
00:23:16.695 --> 00:23:18.130
SOME OF THAT ISSUE AND ALSO
00:23:18.196 --> 00:23:21.266
COULD YOU ADDRESS -- HURT HER
00:23:21.333 --> 00:23:23.301
ISSUES ABOUT NEXT YEAR WHEN IT'S
00:23:23.368 --> 00:23:27.606
GOING TO BE UP FOR RENEWAL --
00:23:27.672 --> 00:23:28.640
FIRST OF COURSE OF COURSE I'M
00:23:28.707 --> 00:23:30.575
ALWAYS WILLING TO DISCUSS ISSUES
00:23:30.642 --> 00:23:32.444
WITH OPPOSITION AND THE DOORS
00:23:32.511 --> 00:23:36.014
OPEN -- TO CONTINUING TO DO THAT --
00:23:36.081 --> 00:23:41.052
IN SO FAR AS NEXT YEAR -- IF WE
00:23:41.119 --> 00:23:42.854
CAN DO IT NEXT YEAR WHY CAN'T WE
00:23:42.921 --> 00:23:44.156
DO IF THE ISSUE IS THE RATES ARE
00:23:44.222 --> 00:23:45.557
GOING TO GO UP A LITTLE BIT AND
00:23:45.624 --> 00:23:46.525
WE'RE TALKING ABOUT.
00:23:46.591 --> 00:23:49.828
PENNIES ON THE ON THE POLICY --
00:23:49.895 --> 00:23:52.531
IF WE CAN IF WE CAN DO THAT NEXT
00:23:52.597 --> 00:23:54.332
YEAR WHY NOT DO IT THIS YEAR.
00:23:54.399 --> 00:23:55.867
HIDETHE SOONER WE DO THIS TO
00:23:55.934 --> 00:23:57.302
SENIOR THE SOONER CALIFORNIA
00:23:57.369 --> 00:23:59.938
KIDS ARE PROTECTED ON THIS ISSUE --
00:24:00.005 --> 00:24:02.007
APPROXIMATELY FIVE HUNDRED
00:24:02.073 --> 00:24:04.142
CHILDREN EVERY YEAR ARE NOT
00:24:04.209 --> 00:24:06.178
GETTING HEARING AIDS BECAUSE OF
00:24:06.244 --> 00:24:08.380
THIS ISSUE -- AND COUNTLESS
00:24:08.446 --> 00:24:10.081
MOORE'S ARE PAYING OUT MORE ARE
00:24:10.148 --> 00:24:11.817
PAYING OUT OF THEIR POCKETS IN
00:24:11.883 --> 00:24:14.986
ADDITION THERE ARE PARENTS WHO
00:24:15.053 --> 00:24:17.389
BECAUSE THEY CAN -- RECEIVE
00:24:17.455 --> 00:24:19.324
HEARING AIDS UNDER MEDICARE AL
00:24:19.391 --> 00:24:21.359
WHO ARE WORKING WHO ARE LEAVING
00:24:21.426 --> 00:24:22.661
THEIR JOBS.
00:24:22.727 --> 00:24:23.962
SO THAT THEIR CHILDREN CAN GET
00:24:24.029 --> 00:24:25.530
MEDI CAL BENEFITS IN ORDER TO
00:24:25.597 --> 00:24:27.933
COVER THIS -- SO IN MY VIEW
00:24:27.999 --> 00:24:29.301
THERE IS AN IMPERATIVE THAT WE
00:24:29.367 --> 00:24:31.670
DO THIS NOW AND NOT WAIT ANOTHER
00:24:31.736 --> 00:24:33.605
YEAR HAD WE DONE THIS TWO YEARS
00:24:33.672 --> 00:24:35.740
AGO WHEN I FIRST STARTED ON THIS
00:24:35.807 --> 00:24:38.109
BILL ANOTHER THOUSAND CHILDREN
00:24:38.176 --> 00:24:39.578
WOULD HAVE HAD HEARING AIDS IN A
00:24:39.644 --> 00:24:41.847
TIMELY FASHION -- THIS IS TOO
00:24:41.913 --> 00:24:43.982
IMPORTANT AN ISSUE FOR THESE
00:24:44.049 --> 00:24:45.951
YOUNG CHILDREN INFANTS IN MANY
00:24:46.017 --> 00:24:48.987
CASES WHO ARE DIAGNOSED AND DO
00:24:49.054 --> 00:24:50.789
NOT GET HEARING AIDS THEIR
00:24:50.856 --> 00:24:54.092
OUTCOMES ARE DELAYED -- THEIR
00:24:54.159 --> 00:24:55.694
OUTCOMES AS THE AS THE THE
00:24:55.760 --> 00:24:59.397
PROFESSOR MENTIONED -- ARE NOT
00:24:59.464 --> 00:25:00.932
WHAT WE WANT TO SEE FOR CHILDREN
00:25:00.999 --> 00:25:04.469
AND ALL FOR THE LACK OF A
00:25:04.536 --> 00:25:05.637
HEARING AID.
00:25:05.704 --> 00:25:06.071
THANK YOU -- THIS.
00:25:06.137 --> 00:25:08.139
LAST QUESTION UP.
00:25:08.206 --> 00:25:09.774
AS THIS BILL MOVES FORWARD AND
00:25:09.841 --> 00:25:10.809
MOST LIKELY.
00:25:10.876 --> 00:25:12.644
WE LOOK AT THE TIMING OF IT AND
00:25:12.711 --> 00:25:14.779
IT BECOMING -- SIGNED AND THEN
00:25:14.846 --> 00:25:16.348
ENACTED.
00:25:16.414 --> 00:25:17.749
DOES THE TIMING ACTUALLY WORK
00:25:17.816 --> 00:25:18.516
OUT.
00:25:18.583 --> 00:25:21.152
ALMOST THE SAME AS IT HAPPENING
00:25:21.219 --> 00:25:22.888
NEXT YEAR NO BECAUSE THAT
00:25:22.954 --> 00:25:24.723
PROCESS WILL TAKE TIME THAT
00:25:24.789 --> 00:25:26.691
PROCESS STARTS NEXT YEAR BUT IT
00:25:26.758 --> 00:25:27.959
DOES DOESN'T NECESSARILY AND
00:25:28.026 --> 00:25:28.660
NEXT YEAR.
00:25:28.727 --> 00:25:30.662
SO IT WOULD BE NEXT PROTRACTED
00:25:30.729 --> 00:25:32.864
PERIOD OF TIME BEFORE WE EVER
00:25:32.931 --> 00:25:34.599
SEE ANY RESULTS I'M VERY SIMPLE.
00:25:34.666 --> 00:25:36.935
THAT IT TO THE TO THE ISSUE HERE --
00:25:37.002 --> 00:25:38.203
AND RECOGNIZE IT BUT I ALSO
00:25:38.270 --> 00:25:39.604
RECOGNIZE THERE'S A PART A
00:25:39.671 --> 00:25:41.539
SECOND PART OF THIS. TO MAKE IT
00:25:41.606 --> 00:25:43.642
HELP FULLY FUNCTIONAL AND THAT'S
00:25:43.708 --> 00:25:46.011
THE PLANS SO WE NEED.
00:25:46.077 --> 00:25:48.179
TO FIGURE OUT HOW TO BALANCE IT
00:25:48.246 --> 00:25:50.048
THAT ISSUES SO I APPRECIATE YOUR
00:25:50.115 --> 00:25:51.750
RESPONSE AND WILLINGNESS TO WORK
00:25:51.816 --> 00:25:52.884
ON THIS AS IT CONTINUES MOVING
00:25:52.951 --> 00:25:54.586
THANK YOU.
00:25:54.653 --> 00:25:56.288
THE SECULAR KERR -- THANK YOU
00:25:56.354 --> 00:25:57.956
FOR BRINGING THIS FORWARD -- I
00:25:58.023 --> 00:25:59.057
THINK THERE'S A COME AND MADE IT
00:25:59.124 --> 00:26:02.394
HAS MEANT -- SINCE NINETEEN
00:26:02.460 --> 00:26:03.228
SEVENTY FIVE THE FUNDING HAS NOT
00:26:03.295 --> 00:26:05.430
GONE UPSET.
00:26:05.497 --> 00:26:07.132
TOO DID I HEAR THAT.
00:26:07.198 --> 00:26:09.334
MY UNDERSTANDING IS THAT
00:26:09.401 --> 00:26:09.901
NINETEEN SEVENTY FIVE IT WAS
00:26:09.968 --> 00:26:11.069
DETERMINED THAT.
00:26:11.136 --> 00:26:13.071
A IN INCOME OF FORTY FIVE
00:26:13.138 --> 00:26:14.639
THOUSAND DOLLARS OR LESS PER
00:26:14.706 --> 00:26:16.274
YEAR IT WAS THE ONLY WAY TO HAVE
00:26:16.341 --> 00:26:18.877
THE STATE PAY FOR HEARING AIDS.
00:26:18.944 --> 00:26:20.145
ANY ASSISTANCE FOR HER.
00:26:20.211 --> 00:26:21.579
BUT FIRST I WANT TO THANK YOU I
00:26:21.646 --> 00:26:23.214
WANT TO THANK YOUR SON FOR A
00:26:23.281 --> 00:26:24.749
PARTICIPATING TODAY BECAUSE THIS
00:26:24.816 --> 00:26:27.319
IS A LITTLE BIT -- BUT NERVOUS
00:26:27.385 --> 00:26:29.154
AND SCARY BUT YOU DID A GREAT
00:26:29.220 --> 00:26:30.655
JOB AND I WANT TO THANK FIRST OF
00:26:30.722 --> 00:26:31.856
ALL THE FAMILIES THAT SHOWED UP
00:26:31.923 --> 00:26:32.924
I DON'T KNOW HOW MANY FAMILIES
00:26:32.991 --> 00:26:34.225
CAME IN MY OFFICE.
00:26:34.292 --> 00:26:35.927
AND SHARE WITH ME THEIR FAMILY
00:26:35.994 --> 00:26:37.462
EXPERIENCES WHICH IS VERY
00:26:37.529 --> 00:26:39.297
IMPORTANT TO US -- THIS IS A
00:26:39.364 --> 00:26:40.665
GOOD FEELING BILL TO ME.
00:26:40.732 --> 00:26:43.068
AND IT YOU SHOULDN'T WAIT THE
00:26:43.134 --> 00:26:45.804
THING I DON'T LIKE IS HOW LONG
00:26:45.870 --> 00:26:47.639
DO WE ASK FAMILIES TO WAIT.
00:26:47.706 --> 00:26:48.773
ASSEMBLY MEMBER BLOOM I
00:26:48.840 --> 00:26:50.308
APPRECIATE YOU TRYING TO MOVE
00:26:50.375 --> 00:26:51.776
THIS ALONG FOR AND I'LL BE IN
00:26:51.843 --> 00:26:54.879
SUPPORT OF YOUR BILL TODAY WHEN
00:26:54.946 --> 00:26:56.281
WE GET TO THAT POINT
00:26:56.348 --> 00:26:56.581
[inaudible]
00:26:56.648 --> 00:26:57.782
ANYONE ELSE.
00:26:57.849 --> 00:26:59.551
I JUST WANNA SAY THANK YOU FOR
00:26:59.617 --> 00:27:00.752
ONCE AGAIN BRINGING THIS BILL
00:27:00.819 --> 00:27:02.721
FORWARD -- REALLY APPRECIATE
00:27:02.787 --> 00:27:04.155
YOUR PERSISTENCE I SAID I SAID
00:27:04.222 --> 00:27:05.190
THIS A COUPLE WEEKS AGO AND I
00:27:05.256 --> 00:27:06.591
MEAN IT I ACTUALLY ACT REALLY
00:27:06.658 --> 00:27:09.661
MEAN IT -- I THINK WHEN -- THE I
00:27:09.728 --> 00:27:11.363
THINK THE TOTAL POTENTIAL IMPACT
00:27:11.429 --> 00:27:12.897
OF THIS I THINK WE HEARD WAS
00:27:12.964 --> 00:27:15.100
ABOUT THIRTEEN MILLION DOLLARS.
00:27:15.166 --> 00:27:15.967
SIX WE ALSO HEARD THAT THE
00:27:16.034 --> 00:27:17.635
POTENTIAL PRODUCTIVITY LOSS FOR
00:27:17.702 --> 00:27:18.837
SOMEONE WHO DOESN'T HAVE HEARING
00:27:18.903 --> 00:27:20.171
AIDS MIGHT BE AS MUCH AS A
00:27:20.238 --> 00:27:21.706
MILLION DOLLARS A PERSON.
00:27:21.773 --> 00:27:23.375
WE GOT ABOUT FIVE HUNDRED KIDS
00:27:23.441 --> 00:27:24.943
WHO NEED HEARING AIDS THAT'S A
00:27:25.010 --> 00:27:27.412
POTENTIAL ECONOMIC LOSS OF FIVE
00:27:27.479 --> 00:27:28.980
HUNDRED MILLION DOLLARS VERSUS A
00:27:29.047 --> 00:27:29.481
THIRTEEN MILLION DOLLAR
00:27:29.547 --> 00:27:30.515
EXPENDITURE.
00:27:30.582 --> 00:27:31.750
I'M SORRY THAT FEELS LIKE A NO
00:27:31.816 --> 00:27:33.985
BRAINER TO ME -- AND I THINK AND
00:27:34.052 --> 00:27:35.687
I'M AS I'M HAPPY TO SUPPORT YOUR
00:27:35.754 --> 00:27:37.522
BILL TO HEAR TODAY -- WHILE I I
00:27:37.589 --> 00:27:39.491
RECOGNIZE IT IS NOT PART OF THE
00:27:39.557 --> 00:27:41.626
MANDATE OF FOR THOSE PEOPLE WHO
00:27:41.693 --> 00:27:42.594
HAVE HEARING LOSS FOR THOSE
00:27:42.660 --> 00:27:44.062
PEOPLE HAVE VISION LOSS FOR A
00:27:44.129 --> 00:27:45.563
VARIETY OF DIFFERENT THINGS.
00:27:45.630 --> 00:27:47.732
IT IS AN ESSENTIAL BENEFIT AND
00:27:47.799 --> 00:27:49.234
SO I I LOOK FORWARD TO HOPEFULLY
00:27:49.300 --> 00:27:51.069
IN THE FUTURE HELPING TO RECTIFY
00:27:51.136 --> 00:27:53.071
THAT SO THAT THIS IS PART OF A
00:27:53.138 --> 00:27:54.539
PART OF THE GREATER COVERAGE --
00:27:54.606 --> 00:27:56.341
FOR KIDS GOING FORWARD SO I
00:27:56.408 --> 00:27:56.775
THANK YOU VERY MUCH
00:27:56.841 --> 00:27:59.110
UNFORTUNATELY WE DON'T HAVE A
00:27:59.177 --> 00:28:01.513
QUORUM -- BUT IN THIS YEAR CREE
00:28:01.579 --> 00:28:02.881
WANTS TO SAY SOMETHING MORE I
00:28:02.947 --> 00:28:04.916
FORGOT I WOULD ALSO LIKE A ****
00:28:04.983 --> 00:28:05.950
IF I CAN BE A CO AUTHOR OF THE
00:28:06.017 --> 00:28:09.687
BILL OF COURSE THANK YOU.
00:28:09.754 --> 00:28:11.289
LIKE ONCE OR TWICE OKAY -- WE
00:28:11.356 --> 00:28:11.823
DON'T HAVE A QUORUM SO I'M
00:28:11.890 --> 00:28:13.425
FORCING WE CAN'T TAKE IT UP FOR
00:28:13.491 --> 00:28:13.992
BUT WOULD YOU LIKE TO CLOSE
00:28:14.059 --> 00:28:14.325
MISTER BLOOM.
00:28:14.392 --> 00:28:15.660
AS YOU'VE HEARD FROM -- AT THE
00:28:15.727 --> 00:28:17.729
WITNESSES AND SUPPORT TODAY IT'S
00:28:17.796 --> 00:28:19.330
TIME TO LET CALIFORNIA KIDS HERE
00:28:19.397 --> 00:28:20.532
AND I RESPECTFULLY ASK FOR YOUR
00:28:20.598 --> 00:28:21.433
IPHONE.
00:28:21.499 --> 00:28:23.068
THANK YOU THANK YOU VERY MUCH SO
00:28:23.134 --> 00:28:25.070
BRING THAT AS SOON AS WE HAVE --
00:28:25.136 --> 00:28:25.970
WE HAVE A VOTE WILL BRING IT UP
00:28:26.037 --> 00:28:27.772
FOR A OR HAVE QUORUM WILL BRING
00:28:27.839 --> 00:28:30.675
IT UP FOR A VOTE.
00:28:30.742 --> 00:28:32.410
OUR NEXT -- NEXT YEAR WILL BE
00:28:32.477 --> 00:28:37.382
MISTER [inaudible]
00:28:37.449 --> 00:28:53.565
CALDERON
00:28:55.066 --> 00:28:55.133
.
00:28:55.133 --> 00:28:56.034
I'M SORRY THIS MAY BE THE FIRST
00:28:56.101 --> 00:28:57.969
TIME ANYBODY'S EVER HAD WALK AT
00:28:58.036 --> 00:29:03.575
MUSIC MISTER CALDERON.
00:29:03.641 --> 00:29:05.276
IT'S NOT THE ONLY FIRST I'VE --
00:29:05.343 --> 00:29:06.911
SAID IN THIS BUILDING.
00:29:06.978 --> 00:29:07.812
IN ORDER THE BILL YOU'RE
00:29:07.879 --> 00:29:09.314
PRESENTING TODAY OF COURSE THANK
00:29:09.380 --> 00:29:12.383
YOU MISTER CHAIR AND MEMBERS AB
00:29:12.450 --> 00:29:12.951
ELEVEN SIXTY ONE WILL CREATE
00:29:13.017 --> 00:29:14.419
SPECIFIC REGULATORY REQUIREMENTS
00:29:14.486 --> 00:29:15.854
IN OVERSIGHT FOR THE OPERATION
00:29:15.920 --> 00:29:16.421
OF WAVE.
00:29:16.488 --> 00:29:17.889
BASINS WE NOW HAVE THE
00:29:17.956 --> 00:29:19.491
TECHNOLOGY TO CREATE THE PERFECT
00:29:19.557 --> 00:29:20.859
WAVE RIGHT IN THE CENTRAL VALLEY
00:29:20.925 --> 00:29:22.527
WHILE ALSO BOOSTING ECONOMIC
00:29:22.594 --> 00:29:23.495
ADVANTAGES.
00:29:23.561 --> 00:29:25.163
AND TOURISM FOR THIS AREA THERE
00:29:25.230 --> 00:29:26.598
IS ONLY ONE SURFING RANCH OF ITS
00:29:26.664 --> 00:29:29.467
KIND IN CALIFORNIA WHILE OTHERS
00:29:29.534 --> 00:29:30.869
ARE BEING CONTEMPLATED AND WANT
00:29:30.935 --> 00:29:32.704
TO AND WE WANT TO ENSURE THAT
00:29:32.770 --> 00:29:34.272
THEY ARE REGULATED APPROPRIATELY.
00:29:34.339 --> 00:29:35.473
BY DEVELOPING NEW APPROPRIATE
00:29:35.540 --> 00:29:36.441
SANDERS AND OVERSIGHT
00:29:36.508 --> 00:29:37.675
REQUIREMENTS SPECIFICALLY MEANT
00:29:37.742 --> 00:29:39.844
FOR THE FOR WAY BASINS WE CAN
00:29:39.911 --> 00:29:41.980
ADDRESS THE AND THE VOID IN
00:29:42.046 --> 00:29:43.381
CURRENT REGULATIONS SURROUNDING
00:29:43.448 --> 00:29:44.816
THIS EMERGING INDUSTRY.
00:29:44.883 --> 00:29:45.617
CURRENT SWIMMING POOL
00:29:45.683 --> 00:29:46.985
CONSTRUCTION AND OPERATION
00:29:47.051 --> 00:29:48.586
REGULATION IS NOT DIRECTLY
00:29:48.653 --> 00:29:50.155
APPLICABLE APPLICABLE TO WAY
00:29:50.221 --> 00:29:51.322
BASS IS DUE TO THE DIFFERENT
00:29:51.389 --> 00:29:52.690
CHARACTERISTICS OF CONSTRUCTIVE
00:29:52.757 --> 00:29:53.825
WAY BASIN.
00:29:53.892 --> 00:29:55.126
DESIGN AND THE VARYING
00:29:55.193 --> 00:29:56.294
DIFFERENCES AND OPERATIONAL
00:29:56.361 --> 00:29:58.029
PRACTICES AND STANDARDS.
00:29:58.096 --> 00:29:59.297
AB ELEVEN SIXTY ONE INTENDS TO
00:29:59.364 --> 00:30:01.099
CREATE AN NEW REGULATIONS FOR
00:30:01.166 --> 00:30:02.767
THIS INDUSTRY AS IT DIFFERS FROM
00:30:02.834 --> 00:30:04.269
TRADITIONAL SWIMMING POOL
00:30:04.335 --> 00:30:06.171
CONSTRUCTION AND OPERATION.
00:30:06.237 --> 00:30:08.306
HERE WITH ME TO TESTIFY IN
00:30:08.373 --> 00:30:09.641
SUPPORT OF THIS BILL IS MADE
00:30:09.707 --> 00:30:11.409
WHALEY CHIEF FINANCIAL OFFICER
00:30:11.476 --> 00:30:13.678
FOR THE KELLY SLATER WAVE PARK
00:30:13.745 --> 00:30:16.614
THANK YOU AND I RESPECTFULLY ASK
00:30:16.681 --> 00:30:16.981
FOR AN AYE VOTE.
00:30:17.048 --> 00:30:18.816
PLEASE GO AHEAD.
00:30:18.883 --> 00:30:20.051
HI NAY WAILING WITH KELLY SLATER
00:30:20.118 --> 00:30:21.319
WAVE COMPANYI THINK THANK YOU
00:30:21.386 --> 00:30:23.188
ASSEMBLYMEMBER CALDERON.
00:30:23.254 --> 00:30:24.722
AS HE SAID WE'VE GOT SOMETHING --
00:30:24.789 --> 00:30:27.125
RICK REALLY COOL -- WOULD BE IF
00:30:27.192 --> 00:30:29.260
WE REALLY DO -- BUT IT'S AT SUCH
00:30:29.327 --> 00:30:31.496
A SCALE AT TEN ACRES OVER TEN
00:30:31.563 --> 00:30:33.498
ACRES OF WATER IT'S OVER HALF MY
00:30:33.565 --> 00:30:34.933
ALMOST A HALF MILE LONG.
00:30:34.999 --> 00:30:36.367
IT JUST DOESN'T FIT WITHIN THE
00:30:36.434 --> 00:30:37.936
CURRENT CONSTRUCT AND WE LOOK
00:30:38.002 --> 00:30:40.538
FORWARD TO WORKING AT TOWARDS
00:30:40.605 --> 00:30:41.472
BRINGING SOME.
00:30:41.539 --> 00:30:43.841
INTENSE REGULATION TO IT.
00:30:43.908 --> 00:30:45.577
THANK YOU VERY MUCH OTHER OTHER
00:30:45.643 --> 00:30:47.912
SINCE SUPPORT.
00:30:47.979 --> 00:30:50.782
IS THERE ANYONE IN OPPOSITION.
00:30:50.848 --> 00:30:52.150
SEEN KNOWN A BRING BACK TO THE
00:30:52.217 --> 00:30:53.218
COMMITTEE FOR QUESTIONS OR
00:30:53.284 --> 00:30:54.118
COMMENTS QUESTIONS OR COMMENTS
00:30:54.185 --> 00:30:56.321
FOR THE MANY.
00:30:56.387 --> 00:30:58.256
SEEING NONE -- WHICH LIKE TO
00:30:58.323 --> 00:30:59.490
CLOSE THIS CONGRESS I WANT TO
00:30:59.557 --> 00:31:00.491
THANK YOU AND YOUR COMMITTEE
00:31:00.558 --> 00:31:02.293
STAFF -- FOR THE HELP ON THIS
00:31:02.360 --> 00:31:03.027
BILL WE'RE GONNA CONTINUE TO
00:31:03.094 --> 00:31:04.262
WORK OUT SOME OF THIS MORE
00:31:04.329 --> 00:31:06.030
SPECIFIC DETAILS WELL ABSOLUTELY
00:31:06.097 --> 00:31:07.298
KEEP YOU ENGAGE AS WELL AS YOUR
00:31:07.365 --> 00:31:09.100
STAFF BUT RESPECTFULLY ASK FOR
00:31:09.167 --> 00:31:10.101
AN AYE VOTE ON THIS BILL IN AS A
00:31:10.168 --> 00:31:10.602
QUORUM.
00:31:10.668 --> 00:31:12.403
THANK YOU VERY MUCH -- YOU SO
00:31:12.470 --> 00:31:13.471
YOU LOOKS YOU'LL ACCEPT OUR
00:31:13.538 --> 00:31:14.505
AMENDMENTS I TAKE IT FROM THERE
00:31:14.572 --> 00:31:15.940
YEAH OKAY SUPER THANK YOU VERY
00:31:16.007 --> 00:31:17.442
MUCH APPRECIATE SOON AS THE BILL
00:31:17.508 --> 00:31:18.243
COMES.
00:31:18.309 --> 00:31:19.978
AS IS WE HAVE A QUORUM A WILL TO
00:31:20.044 --> 00:31:21.346
TO BEGIN TO TAKE VOTES IT
00:31:21.412 --> 00:31:22.046
DOESN'T CHOI TO PASS
00:31:22.113 --> 00:31:24.249
RECOMMENDATION THANK YOU VERY
00:31:24.315 --> 00:31:25.450
MUCH THANK YOU MEMBERS OKAY
00:31:25.516 --> 00:31:28.720
THANK YOU.
00:31:28.786 --> 00:31:31.556
BECAUSE WE WITNESS.
00:31:31.623 --> 00:31:47.905
TO SO MISTER CHIU
00:32:06.157 --> 00:32:06.224
.
00:32:06.224 --> 00:32:08.192
THANK YOU VERY MUCH OF A TO A
00:32:08.259 --> 00:32:09.527
CHAIR AND MEMBERS.
00:32:09.594 --> 00:32:12.530
I'M HERE TO PRESENT AB.
00:32:12.597 --> 00:32:14.532
EIGHT A BILL AIMED TO PLACE ONE
00:32:14.599 --> 00:32:16.167
OR MORE MENTAL HEALTH
00:32:16.234 --> 00:32:18.803
PROFESSIONALS ALL ALL K. TO
00:32:18.870 --> 00:32:20.238
TWELVE SCHOOL CAMPUSES.
00:32:20.305 --> 00:32:23.041
AND ESTABLISH A RACIAL OF ONE
00:32:23.107 --> 00:32:25.543
MENTAL HEALTH PROFESSIONALS.
00:32:25.610 --> 00:32:27.712
EVERY FOUR HUNDRED STUDENTS.
00:32:27.779 --> 00:32:29.013
THIS BILL ALSO PROVIDE
00:32:29.080 --> 00:32:31.716
FLEXIBILITY FOR SMALLER SCHOOLS
00:32:31.783 --> 00:32:33.251
A SIMILAR BILL PASSED HIS COMEY
00:32:33.318 --> 00:32:36.254
LAST YEAR. TO PROVIDE FUNDING
00:32:36.321 --> 00:32:38.556
FOR A. B. EIGHT ASSEMBLY MEMBER
00:32:38.623 --> 00:32:41.125
GARCIA AND I IT BECAUSE TO NONE
00:32:41.192 --> 00:32:43.361
PROPOSITION NINETY EIGHT GENERAL
00:32:43.428 --> 00:32:44.629
FUND DOLLARS.
00:32:44.696 --> 00:32:46.064
THROUGH THE BUDGET PROCESS TO
00:32:46.130 --> 00:32:48.199
PROVIDE DIRECT FUNDING TO BRING
00:32:48.266 --> 00:32:49.934
MENTAL HEALTH SUPPORT TO
00:32:50.001 --> 00:32:51.269
STUDENTS.
00:32:51.336 --> 00:32:54.672
IN CALIFORNIA THREE HUNDRED
00:32:54.739 --> 00:32:56.207
THOUSAND CHILDREN SPURTING EIGHT
00:32:56.274 --> 00:32:58.476
FOUR AND ELEVEN HAVE MENTAL
00:32:58.543 --> 00:32:59.544
HEALTH NEEDS.
00:32:59.610 --> 00:33:01.112
AND RESEARCH TOLD US EARLY
00:33:01.179 --> 00:33:02.780
INTERVENTION AND PREVENTION
00:33:02.847 --> 00:33:04.916
SERVICES ARE CRUCIAL.
00:33:04.982 --> 00:33:07.251
IN CALIFORNIA STUDENTS FACE.
00:33:07.318 --> 00:33:09.620
AREAS TO ASSESS A MENTAL HEALTH
00:33:09.687 --> 00:33:11.255
SERVICES INCLUDING
00:33:11.322 --> 00:33:13.524
TRANSPORTATION CALLS INSURANCE
00:33:13.591 --> 00:33:18.229
COVERAGE LANGRIDGE AS STIGMA.
00:33:18.296 --> 00:33:20.331
THIS OFTEN MEANS CHILDREN NEVER
00:33:20.398 --> 00:33:21.999
REACHED SERVICES AT ALL WHICH
00:33:22.066 --> 00:33:24.469
CAN SIGNIFICANTLY AFFECT
00:33:24.535 --> 00:33:26.504
STUDENTS WILL BRING AND DO OF
00:33:26.571 --> 00:33:28.172
FUTURES.
00:33:28.239 --> 00:33:29.073
SCHOOL.
00:33:29.140 --> 00:33:31.476
HAVE A BEING IDENTIFY ESTA BASS
00:33:31.542 --> 00:33:34.212
SACKING TO PROVIDE SERVICE.
00:33:34.278 --> 00:33:36.147
SERVICES ESPECIALLY FOR OTHER
00:33:36.214 --> 00:33:39.417
REACHING CHILDREN OF COLORS AND
00:33:39.484 --> 00:33:41.319
UNDERSERVED COMMUNITIES.
00:33:41.386 --> 00:33:43.054
HOWEVER CALL THE FINER RANKS
00:33:43.121 --> 00:33:45.223
CLOSE TO LOSE LAST IN EVERY
00:33:45.289 --> 00:33:48.760
SCHOOL SUPPORT STAFF CATEGORY.
00:33:48.826 --> 00:33:50.461
I AM VERY FEELS COOPER BY A
00:33:50.528 --> 00:33:51.963
MENTAL HEALTH PROFESSIONALS ON
00:33:52.029 --> 00:33:54.365
CAMPUS.
00:33:54.432 --> 00:33:56.868
AND WHEN THEY DO THIS DIFFICULT
00:33:56.934 --> 00:33:59.971
FOR STUDENT TO HALF TIME BE ****.
00:34:00.037 --> 00:34:02.507
AB A WILL PROVIDE A BASELINE
00:34:02.573 --> 00:34:04.242
REQUIREMENTS FOR MENTAL HEALTH
00:34:04.308 --> 00:34:06.344
SUPPORT IN SCHOOL. FOR
00:34:06.411 --> 00:34:08.746
CHILDREN'S AND YOUNG AND USED TO
00:34:08.813 --> 00:34:10.415
ACROSS THE STATE.
00:34:10.481 --> 00:34:12.884
THROUGH THE LEGISLATIVE PROCESS
00:34:12.950 --> 00:34:15.486
I'M COMMITTED TO WORK WAS.
00:34:15.553 --> 00:34:17.522
ENGAGED IN THIS AS CHAIR AS THE
00:34:17.588 --> 00:34:18.823
STAKEHOLDERS.
00:34:18.890 --> 00:34:21.025
UNDER CONCERNS IN ORDER TO BRING
00:34:21.092 --> 00:34:23.961
THOSE INVALUABLE SERVICES TO OUR
00:34:24.028 --> 00:34:25.062
CHILDREN.
00:34:25.129 --> 00:34:28.032
WAS TO ME HERE TODAY I OF ZEMA
00:34:28.099 --> 00:34:29.200
CHRISTIAN.
00:34:29.267 --> 00:34:31.903
THE PRESIDENT AND CEO OF MENTAL
00:34:31.969 --> 00:34:35.039
HEALTH AMERICAN OF CALIFORNIA.
00:34:35.106 --> 00:34:37.642
AND SORROW MICHAEL GUSMAN FROM
00:34:37.708 --> 00:34:40.144
THE USE FORWARD TO TESTIFY TO
00:34:40.211 --> 00:34:42.547
TESTIFY IN SUPPORT.
00:34:42.613 --> 00:34:46.117
SO.
00:34:46.184 --> 00:34:47.852
FIRST.
00:34:47.919 --> 00:34:49.420
GOOD AFTERNOON AGAIN I'M ZIVA
00:34:49.487 --> 00:34:51.289
CREASING PRESIDENT AND CEO OF
00:34:51.355 --> 00:34:51.956
MENTAL HEALTH AMERICA OF
00:34:52.023 --> 00:34:54.492
CALIFORNIA MHC IS A SIXTY YEAR
00:34:54.559 --> 00:34:56.260
OLD GRASSROOTS ADVOCACY
00:34:56.327 --> 00:34:57.962
ORGANIZATION ORGANIZATION
00:34:58.029 --> 00:34:59.630
FOCUSED ON POLICY ADVOCACY OF
00:34:59.697 --> 00:35:01.032
PUBLIC EDUCATION.
00:35:01.098 --> 00:35:02.467
THE IDEA THAT LED TO AB EIGHT
00:35:02.533 --> 00:35:04.135
CAME FROM CHI YET THE CALIFORNIA
00:35:04.202 --> 00:35:06.604
YOUTH EMPOWERMENT NETWORK WHICH
00:35:06.671 --> 00:35:07.672
IS A PROGRAM OF MHC.
00:35:07.738 --> 00:35:09.373
CLIENTS PRIORITIES AND DIRECTION
00:35:09.440 --> 00:35:11.409
IS A 100% DETERMINED BY THE
00:35:11.476 --> 00:35:13.845
YOUTH LEADERS AGES RANGE I
00:35:13.911 --> 00:35:15.379
RANGING FROM.
00:35:15.446 --> 00:35:15.980
FIFTEEN TO TWENTY SIX CLIENTS
00:35:16.047 --> 00:35:17.348
USE LEADERS IDENTIFIED HAVING
00:35:17.415 --> 00:35:18.983
ACCESS TO MENTAL HEALTH SUPPORT
00:35:19.050 --> 00:35:20.551
AT SCHOOL AS A KEY TO THEIR ON
00:35:20.618 --> 00:35:21.953
GOING MENTAL WELLNESS.
00:35:22.019 --> 00:35:23.287
THE ABILITY TO ACCESS MENTAL
00:35:23.354 --> 00:35:24.589
HEALTH SERVICES AND SUPPORT
00:35:24.655 --> 00:35:25.890
WHERE YOUNG PEOPLE SPEND THE
00:35:25.957 --> 00:35:27.258
MAJORITY OF THEIR TIME WILL BE
00:35:27.325 --> 00:35:29.093
INSTRUMENTAL IN PREVENTION AND
00:35:29.160 --> 00:35:30.628
EARLY INTERVENTION WHICH IS
00:35:30.695 --> 00:35:32.129
PROVEN TO FOSTER POSITIVE
00:35:32.196 --> 00:35:33.197
OUTCOMES.
00:35:33.264 --> 00:35:34.499
IN MY ROLE AS A GOVERNING BOARD
00:35:34.565 --> 00:35:36.234
MEMBER OF THAT SAN JUAN UNIFIED
00:35:36.300 --> 00:35:37.134
SCHOOL DISTRICT HRE IN
00:35:37.201 --> 00:35:39.103
SACRAMENTO COUNTY I RECENTLY
00:35:39.170 --> 00:35:41.005
HEARD AN UPDATE ON IN TSS MULTI
00:35:41.072 --> 00:35:42.673
TIERED SYSTEMS OF SUPPORT.
00:35:42.740 --> 00:35:43.474
AND IT'S ROOTED IN THE
00:35:43.541 --> 00:35:46.210
IDENTIFICATION MODEL IN A 100%
00:35:46.277 --> 00:35:46.611
THERE'S A ROLE FOR
00:35:46.677 --> 00:35:47.745
IDENTIFICATION.
00:35:47.812 --> 00:35:49.146
BY IN THERE'S MANY INITIATIVES
00:35:49.213 --> 00:35:50.948
FOCUSED ON IDENTIFICATION BUT
00:35:51.015 --> 00:35:52.316
WHAT ABOUT HELP SEEKING YOUTH
00:35:52.383 --> 00:35:53.618
ARE LOOKING FOR A PLACE TO GO
00:35:53.684 --> 00:35:55.253
WHEN THEY NEED HELP AND WHERE TO
00:35:55.319 --> 00:35:56.721
GO WITH THEIR FRIENDS NEED HELP.
00:35:56.787 --> 00:35:58.055
AND THEY CAN'T WAIT TO BE
00:35:58.122 --> 00:35:59.123
IDENTIFIED.
00:35:59.190 --> 00:36:00.658
WE WANT BETTER OUTCOMES FOR
00:36:00.725 --> 00:36:02.660
ADULTS WE MUST BE MUST DO BETTER
00:36:02.727 --> 00:36:04.762
WITH OUR KIDS CALIFORNIA HAS ONE
00:36:04.829 --> 00:36:05.930
OF THE LARGEST ECONOMIES IN THE
00:36:05.997 --> 00:36:07.164
WORLD YET WE'RE TOWARDS THE
00:36:07.231 --> 00:36:07.798
BOTTOM.
00:36:07.865 --> 00:36:09.166
OF THE LIST IN PRAYER PEOPLE
00:36:09.233 --> 00:36:11.168
SPENDING AND TOWARDS THE TOP OF
00:36:11.235 --> 00:36:12.336
THE LIST IN PEER PRISONER
00:36:12.403 --> 00:36:14.805
SPENDING I RESPECTFULLY ASK FOR
00:36:14.872 --> 00:36:16.407
YOU TO HONOR THE USE REQUEST. TO
00:36:16.474 --> 00:36:17.775
HAVE MENTAL HEALTH SUPPORT IN
00:36:17.842 --> 00:36:22.513
CHOOL WE ASK FOR YOUR AYE VOTE
00:36:22.580 --> 00:36:25.316
THANK YOU.
00:36:25.383 --> 00:36:25.950
THANK YOU SIMPLY HEALTH
00:36:26.017 --> 00:36:27.084
COMMITTEE OF FOR YOUR TIME TODAY
00:36:27.151 --> 00:36:27.752
MY NAME IS SERRA MICHAEL GAST IN
00:36:27.818 --> 00:36:29.153
AND I'M A POLICY ADVOCATE WITH
00:36:29.220 --> 00:36:30.655
YOU FORWARD.
00:36:30.721 --> 00:36:33.891
AND I'M HERE TO SUPPORT -- AB
00:36:33.958 --> 00:36:34.959
EIGHT YOU FOR IT IS A POLICY
00:36:35.026 --> 00:36:37.061
ADVOCACY NONPROFIT BASED IN
00:36:37.128 --> 00:36:38.496
SACRAMENTO THAT FOCUSES ON
00:36:38.563 --> 00:36:39.931
SUPPORTING THE HEALTH AND WELL
00:36:39.997 --> 00:36:41.165
BEING OF OUR MOST VULNERABLE
00:36:41.232 --> 00:36:42.466
CHILDREN AND YOUTH.
00:36:42.533 --> 00:36:44.168
WE ARE WORKING WITH YOUTH
00:36:44.235 --> 00:36:45.536
ORGANIZATIONS ACROSS THE STATE
00:36:45.603 --> 00:36:47.271
IN EFFORTS TO INCREASE RESOURCES
00:36:47.338 --> 00:36:48.739
FOR YOUTH DEVELOPMENT.
00:36:48.806 --> 00:36:50.308
EVERYWHERE WE GO WE HEAR THAT
00:36:50.374 --> 00:36:52.109
THE NEED FOR INCREASED -- MENTAL
00:36:52.176 --> 00:36:55.479
HEALTH SUPPORTS ARE NECESSARY.
00:36:55.546 --> 00:36:56.847
FOR EXAMPLE LAST YEAR AND SOLANO
00:36:56.914 --> 00:36:58.649
COUNTY YOUTH LEADERS CONDUCTED A
00:36:58.716 --> 00:37:00.418
SURVEY OF OVER SEVEN HUNDRED
00:37:00.484 --> 00:37:01.686
YOUTH AND NEEDS YOU.
00:37:01.752 --> 00:37:03.354
PEOPLE YOUNG PEOPLE IDENTIFIED
00:37:03.421 --> 00:37:05.056
MENTAL HEALTH AS ONE OF THEIR
00:37:05.122 --> 00:37:06.624
TOP THREE CONCERNS.
00:37:06.691 --> 00:37:07.992
THIS ORGANIZATION SOLANO YOUTH
00:37:08.059 --> 00:37:10.127
VOICES IS NOW ORGANIZING TO
00:37:10.194 --> 00:37:12.296
BRING MORE MENTAL HEALTH
00:37:12.363 --> 00:37:13.564
SUPPORTS TO SCHOOL CAMPUSES.
00:37:13.631 --> 00:37:14.765
ULTIMATELY WE BELIEVE THAT
00:37:14.832 --> 00:37:16.233
PROVIDING AT LEAST ONE MENTAL
00:37:16.300 --> 00:37:17.435
HEALTH PROFESSIONAL ON ALL
00:37:17.501 --> 00:37:18.669
ELEMENTARY AND SECONDARY SCHOOL
00:37:18.736 --> 00:37:20.237
CAMPUSES WILL CONTRIBUTE TO THE
00:37:20.304 --> 00:37:22.640
OVERALL WELLNESS AND SUCCESS OF
00:37:22.707 --> 00:37:25.376
YOUNG PEOPLE IN SCHOOL. THREE
00:37:25.443 --> 00:37:25.943
HUNDRED THOUSAND CHILDREN IN
00:37:26.010 --> 00:37:27.578
CALIFORNIA BETWEEN FOR ELEVEN
00:37:27.645 --> 00:37:28.412
YEARS OF AGE HAVE MENTAL HEALTH
00:37:28.479 --> 00:37:30.781
NEEDS BUT OVER 70% OF THEM NEVER
00:37:30.848 --> 00:37:32.250
RECEIVED TREATMENT.
00:37:32.316 --> 00:37:33.050
THAT'S THE CYSTIC IS
00:37:33.117 --> 00:37:35.052
UNACCEPTABLE WE ARE LOSING OUR
00:37:35.119 --> 00:37:37.288
KIDS TO MENTAL ILLNESS THEY'RE
00:37:37.355 --> 00:37:38.623
SUFFERING FROM TRAUMA.
00:37:38.689 --> 00:37:41.192
DEPRESSION ANXIETY SUICIDE AND
00:37:41.258 --> 00:37:42.927
THE LEGISLATURE NEEDS TO STEP IN
00:37:42.994 --> 00:37:44.295
AND PROVIDE SOLUTIONS.
00:37:44.362 --> 00:37:46.163
RIGHT NOW THERE ARE MORE POLICE
00:37:46.230 --> 00:37:47.865
OFFICERS IN CALIFORNIA SCHOOLS
00:37:47.932 --> 00:37:49.467
THAN THERE ARE COUNSELORS.
00:37:49.533 --> 00:37:51.135
NEARLY FOUR HUNDRED THOUSAND K.
00:37:51.202 --> 00:37:52.303
THROUGH TWELVE STUDENTS IN THE
00:37:52.370 --> 00:37:54.005
STATE ATTEND A SCHOOL THAT HAS A
00:37:54.071 --> 00:37:55.940
POLICE OR RESOURCE OFFICER BUT
00:37:56.007 --> 00:37:57.308
NO COUNSELOR.
00:37:57.375 --> 00:37:58.309
ACCORDING TO THE NATION IN THE
00:37:58.376 --> 00:38:01.045
NATION RIGHT REPORT BY THE ACLU.
00:38:01.112 --> 00:38:03.080
THAT'S ALARMING THE PRESENCE OF
00:38:03.147 --> 00:38:04.348
LAW ENFORCEMENT SHOULD NEVER
00:38:04.415 --> 00:38:05.850
OUTWEIGH MENTAL HEALTH.
00:38:05.916 --> 00:38:08.052
SERVICES IN SCHOOLS THIS ONLY
00:38:08.119 --> 00:38:09.654
SERVES TO INCREASE STUDENT.
00:38:09.720 --> 00:38:11.455
ANXIETY AND HIDING DISCIPLINE
00:38:11.522 --> 00:38:12.823
DISPARITIES AMONG STUDENTS AND
00:38:12.890 --> 00:38:14.358
THOSE WITH DISABILITIES.
00:38:14.425 --> 00:38:15.559
WHICH FURTHER TRAUMATIZE A
00:38:15.626 --> 00:38:17.828
STUDENTS BUT ALSO DETERIORATES A
00:38:17.895 --> 00:38:19.664
HEALTHY SCHOOL ENVIRONMENT.
00:38:19.730 --> 00:38:20.798
IT'S TIME TO FLIP THIS NARRATIVE
00:38:20.865 --> 00:38:22.600
OUR SCHOOLS ARE THE BEST PLACES
00:38:22.667 --> 00:38:23.634
TO PROVIDE MENTAL HEALTH
00:38:23.701 --> 00:38:26.537
PREVENTION AND TREATMENT.
00:38:26.604 --> 00:38:27.405
SERVICES.
00:38:27.471 --> 00:38:28.739
IN ORDER TO ADDRESS THIS PROBLEM
00:38:28.806 --> 00:38:30.775
WE NEED TO ENSURE THERE ARE MORE
00:38:30.841 --> 00:38:32.043
MENTAL HEALTH SUPPORT.
00:38:32.109 --> 00:38:34.178
SOAP SUPPORTS ON SCHOOL CAMPUSES
00:38:34.245 --> 00:38:35.546
THAT PROVIDE TIMELY.
00:38:35.613 --> 00:38:37.982
AND EQUITABLE ACCESS TO SERVICES.
00:38:38.049 --> 00:38:40.384
AB EIGHT IS A FIRST STEP TOWARDS
00:38:40.451 --> 00:38:42.586
THIS MISSION I BELIEVE THAT IF
00:38:42.653 --> 00:38:44.088
WE DO NOT TAKE ACTION NOW OUR
00:38:44.155 --> 00:38:45.656
YOUTH WILL CONTINUE TO SUFFER IN
00:38:45.723 --> 00:38:46.624
SILENCE.
00:38:46.691 --> 00:38:48.559
AND DEVELOP SEVERE OR
00:38:48.626 --> 00:38:50.461
DEBILITATING MENTAL ILLNESS WE
00:38:50.528 --> 00:38:52.430
ASK FOR YOUR A VOTE TODAY THANK
00:38:52.496 --> 00:38:54.665
YOU.
00:38:54.732 --> 00:38:55.299
THANK YOU VERY MUCH OTHER SINCE
00:38:55.366 --> 00:38:55.733
SUPPORT.
00:38:55.800 --> 00:38:57.401
JUST YOUR NAME AND ORGANIZATION
00:38:57.468 --> 00:38:58.903
PLEASE THANK YOU.
00:38:58.969 --> 00:39:00.237
DONNA ARE TO CONVINCE
00:39:00.304 --> 00:39:01.505
REPRESENTING THE CALIFORNIA
00:39:01.572 --> 00:39:03.274
STATE PTA IN STRONG SUPPORT
00:39:03.340 --> 00:39:05.643
THANK YOU.
00:39:05.710 --> 00:39:07.011
I'LL HAVE ANOTHER RUN WITH THE
00:39:07.078 --> 00:39:08.345
WIDENING GROUP ON BEHALF OF NEXT
00:39:08.412 --> 00:39:12.616
AND CALIFORNIANS SUPPORT IF YOU.
00:39:12.683 --> 00:39:14.218
FOR CHILDREN'S RIGHTS AND
00:39:14.285 --> 00:39:16.053
SUPPORT THANK YOU THANK YOU --
00:39:16.120 --> 00:39:17.855
CHILD DISABILITY RIGHTS
00:39:17.922 --> 00:39:20.458
CALIFORNIANS SUPPORT THANK YOU.
00:39:20.524 --> 00:39:22.293
KELLY BROOKS THE ASSOCIATION OF
00:39:22.359 --> 00:39:23.094
CALIFORNIA HEALTH CARE DISTRICTS
00:39:23.160 --> 00:39:25.262
IN SUPPORT THANK YOU.
00:39:25.329 --> 00:39:27.164
RENDON MARCH WITH THE CALIFORNIA
00:39:27.231 --> 00:39:27.732
MEDICAL ASSOCIATION ALSO IN
00:39:27.798 --> 00:39:29.266
SUPPORT.
00:39:29.333 --> 00:39:31.736
DR PAUL BEKENSTEIN PEDIATRICIAN
00:39:31.802 --> 00:39:34.705
LOS ANGELES AND SUPPORT.
00:39:34.772 --> 00:39:36.040
ROBERT HARRIS ON BEHALF OF THE
00:39:36.107 --> 00:39:38.509
CALIFORNIA SOCIETY OF ADDICTION
00:39:38.576 --> 00:39:40.878
MEDICINE SUPPORT THANK YOU.
00:39:40.945 --> 00:39:43.647
DR NO FOUR ACHERAL PEDIATRICIAN
00:39:43.714 --> 00:39:46.183
LOS ANGELES AND SUPPORT.
00:39:46.250 --> 00:39:49.320
DR LISA GANZ PEDIATRICIAN IN LOS
00:39:49.386 --> 00:39:52.623
ANGELES CALIFORNIA IN SUPPORT.
00:39:52.690 --> 00:39:54.091
DANNY OFFER FROM PLATINUM VISORS
00:39:54.158 --> 00:39:55.126
REPRESENTING THE NATIONAL
00:39:55.192 --> 00:39:56.594
ALLIANCE ON MENTAL ILLNESS
00:39:56.660 --> 00:40:00.731
CALIFORNIA IN SUPPORT THANK YOU.
00:40:00.798 --> 00:40:01.599
ROCK SINGLE WITH THE AMERICAN
00:40:01.665 --> 00:40:03.267
NURSES ASSOCIATION CALIFORNIA
00:40:03.334 --> 00:40:03.934
AND SUPPORT [inaudible]
00:40:04.001 --> 00:40:05.503
MUCH [inaudible]
00:40:05.569 --> 00:40:07.338
ANYONE ELSE. THREE ONE IN
00:40:07.404 --> 00:40:09.106
OPPOSITION.
00:40:09.173 --> 00:40:21.886
PLEASE COME FORWARD.
00:40:21.952 --> 00:40:23.120
MISTER CHAIR MEMBERS OF THE
00:40:23.187 --> 00:40:24.355
COMMITTEE TONY TO ERR ON THE
00:40:24.421 --> 00:40:25.422
HAVE THE CALIFORNIA TEACHERS
00:40:25.489 --> 00:40:27.291
ASSOCIATION WE COULDN'T AGREE
00:40:27.358 --> 00:40:29.160
MORE WITH THE BOTH PREVIOUS
00:40:29.226 --> 00:40:30.161
SPEAKERS WHO ARE IN SUPPORT OF
00:40:30.227 --> 00:40:31.595
THE BILL OUR ISSUE IS THE
00:40:31.662 --> 00:40:32.863
DEFINITION OF MENTAL HEALTH
00:40:32.930 --> 00:40:33.731
PROFESSIONALS.
00:40:33.798 --> 00:40:36.767
WE SUPPORT THE INCLUSION OF
00:40:36.834 --> 00:40:39.537
CREDENTIALED SCHOOL PSYCHOLOGIST
00:40:39.603 --> 00:40:42.573
NURSES SOCIAL WORKERS -- AND WE
00:40:42.640 --> 00:40:44.809
HAVE AN ISSUE FOR EXAMPLE IF YOU
00:40:44.875 --> 00:40:46.477
HAVE A SCHOOL WITH THE HOT LARGE
00:40:46.544 --> 00:40:47.711
POPULATION OF SPECIAL ED
00:40:47.778 --> 00:40:49.480
STUDENTS.
00:40:49.547 --> 00:40:51.348
THEIR I EP REQUIRES THERE TO BE
00:40:51.415 --> 00:40:53.317
A SCHOOL PSYCHOLOGIST SO IN SOME
00:40:53.384 --> 00:40:55.219
SITUATION SHE WOULD HAVE SCHOOL
00:40:55.286 --> 00:40:56.854
PSYCHOLOGIST MEETING THAT.
00:40:56.921 --> 00:40:58.589
RATIO BUT NOT PROVIDING ANY
00:40:58.656 --> 00:41:00.324
MENTAL HEALTH SERVICES SO WE
00:41:00.391 --> 00:41:01.458
LOOK FORWARD TO CONTINUING
00:41:01.525 --> 00:41:02.693
WORKING WITH THE AUTHOR IN
00:41:02.760 --> 00:41:03.460
TRYING.
00:41:03.527 --> 00:41:06.096
TO FIND THE PERFECT LINE DOWN
00:41:06.163 --> 00:41:06.730
THE MIDDLE OF THIS CONVERSATION
00:41:06.797 --> 00:41:10.234
AND WE ASK FOR YOUR NOTEBOOK.
00:41:10.301 --> 00:41:12.503
THANK YOU.
00:41:12.570 --> 00:41:12.970
IT'S OR ANYONE ELSE IN
00:41:13.037 --> 00:41:15.339
OPPOSITION.
00:41:15.406 --> 00:41:16.740
SEE NO ONE BRING BACK TO THE
00:41:16.807 --> 00:41:17.741
COMMITTEE FOR QUESTIONS OR
00:41:17.808 --> 00:41:18.776
COMMENTS QUESTIONS OR COMMENTS
00:41:18.843 --> 00:41:22.513
FROM THE COMMITTEE -- I JUST
00:41:22.580 --> 00:41:26.750
LIKE TO SAY -- ONCE OR DID YOU.
00:41:26.817 --> 00:41:27.818
WANT.
00:41:27.885 --> 00:41:29.186
TO LOOK AHEAD IF YOU'RE.
00:41:29.253 --> 00:41:31.522
SERGEANTS I DIDN'T SEE HIM FOR
00:41:31.589 --> 00:41:32.489
HIS CAREER.
00:41:32.556 --> 00:41:33.357
THANK YOU MISTER CHAIR I WANT TO
00:41:33.424 --> 00:41:34.825
THANK THE AUTHOR FOR BRINGING.
00:41:34.892 --> 00:41:37.127
THIS BILL -- TO THIS COMMITTEE I
00:41:37.194 --> 00:41:39.163
AM PROUD TO BE A CO AUTHOR OF
00:41:39.230 --> 00:41:41.365
THIS BILL I KNOW THAT -- THERE'S
00:41:41.432 --> 00:41:42.433
A LOT OF THINGS THAT WE NEED TO
00:41:42.499 --> 00:41:43.601
RESOLVE WHEN IT COMES TO MENTAL
00:41:43.667 --> 00:41:45.603
HEALTH -- ESPECIALLY IN OUR
00:41:45.669 --> 00:41:47.271
SCHOOLS.
00:41:47.338 --> 00:41:48.739
WE OFTEN TALK ABOUT THERE NOT
00:41:48.806 --> 00:41:50.274
BEING ENOUGH FUNDING THERE'S
00:41:50.341 --> 00:41:52.076
NEVER ENOUGH RESOURCES SCHOOLS
00:41:52.142 --> 00:41:53.811
ARE OVERCROWDED WE HAVE RUN DOWN
00:41:53.878 --> 00:41:56.180
FACILITIES ALL OF THIS IS ALL
00:41:56.247 --> 00:41:57.147
TRUE.
00:41:57.214 --> 00:41:59.183
BUT WE NEED TO FIGURE OUT HOW DO
00:41:59.250 --> 00:42:00.684
WE HELP CHILDREN.
00:42:00.751 --> 00:42:02.686
ESPECIALLY IN THIS MOMENT IN
00:42:02.753 --> 00:42:05.656
TIME I I WANT TO SHARE THAT I
00:42:05.723 --> 00:42:07.157
CONVENE THE MEETING WITH HIGH
00:42:07.224 --> 00:42:08.626
SCHOOL STUDENTS IN MY DISTRICT
00:42:08.692 --> 00:42:11.495
ALL OF WHOM THEIR BIGGEST FEAR.
00:42:11.562 --> 00:42:12.730
IS THAT SOMEONE IS GONNA COME
00:42:12.796 --> 00:42:15.299
INTO THEIR SCHOOL AND SHOOT THEM
00:42:15.366 --> 00:42:17.768
MY THIS IS THE REALITY.
00:42:17.835 --> 00:42:18.903
IT IS A NEW REALITY.
00:42:18.969 --> 00:42:21.005
THAT IS IS FOR A LOT OF US VERY
00:42:21.071 --> 00:42:22.606
HARD TO GRAPPLE WITH WHEN IT
00:42:22.673 --> 00:42:25.676
COMES TO GUN VIOLENCE AND
00:42:25.743 --> 00:42:27.444
SOMETHING GOING WRONG AND AND
00:42:27.511 --> 00:42:29.146
CHILDREN NOT GETTING THE MENTAL
00:42:29.213 --> 00:42:30.180
HEALTH.
00:42:30.247 --> 00:42:31.649
THAT THEY DESERVE OR MENTAL
00:42:31.715 --> 00:42:32.549
HEALTH ASSISTANCE THAT THEY
00:42:32.616 --> 00:42:34.184
DESERVE AND SO I THINK IT'S
00:42:34.251 --> 00:42:35.586
CRITICAL AND I HOPE THAT WE
00:42:35.653 --> 00:42:36.754
CONTINUE AND THEN YOU'VE GOT
00:42:36.820 --> 00:42:37.922
YOUR OFFICE CONTINUES TO WORK
00:42:37.988 --> 00:42:39.223
WITH THE OPPOSITION TO COME UP
00:42:39.290 --> 00:42:40.457
WITH AN AGREEMENT.
00:42:40.524 --> 00:42:41.759
AS TO WHAT IS RIGHT AND WHAT IS
00:42:41.825 --> 00:42:43.127
RESPONSIBLE.
00:42:43.193 --> 00:42:44.695
WHEN IT COMES TO THE WELL BEING
00:42:44.762 --> 00:42:45.596
AND THE HEALTH CARE OF OF OUR
00:42:45.663 --> 00:42:47.097
STUDENTS?
00:42:47.164 --> 00:42:49.166
THANK YOU THANK YOU.
00:42:49.233 --> 00:42:51.235
THANK YOU ANYONE ELSE.
00:42:51.302 --> 00:42:53.404
SEE NO ONE OF HANG ON COULD YOU
00:42:53.470 --> 00:42:54.705
MISTER FLOOR COULD YOU WAIT ONE
00:42:54.772 --> 00:42:54.939
SECOND.
00:42:55.005 --> 00:42:55.906
WE CALL ROLE.
00:42:55.973 --> 00:42:57.808
WE HAVE A QUORUM IT'S A FLEETING
00:42:57.875 --> 00:42:59.877
THING SO I'M HAVE SURGERY PLEASE
00:42:59.944 --> 00:43:00.244
CALL THE ROLL.
00:43:00.311 --> 00:43:01.578
WOOD.
00:43:01.645 --> 00:43:05.215
HERE MAYES.
00:43:05.282 --> 00:43:06.717
AGUIAR-CURRY BIGELOW
00:43:06.784 --> 00:43:07.017
[inaudible]
00:43:07.084 --> 00:43:08.319
BONTA BURKE.
00:43:08.385 --> 00:43:09.486
CARILLO.
00:43:09.553 --> 00:43:10.955
FLORA HERE THE MOST.
00:43:11.021 --> 00:43:12.323
MCCARTY.
00:43:12.389 --> 00:43:15.526
THIS AREA FROM US RODRIGUEZ
00:43:15.592 --> 00:43:15.826
[inaudible]
00:43:15.893 --> 00:43:18.262
SORRY [inaudible]
00:43:18.329 --> 00:43:20.364
RODRIGUEZ [inaudible]
00:43:20.431 --> 00:43:23.834
SANTIAGO WALDRON.
00:43:23.901 --> 00:43:25.235
OKAY WE DO HAVE A QUORUM SO
00:43:25.302 --> 00:43:26.603
THAT'S THAT'S A GOOD THING SO
00:43:26.670 --> 00:43:28.072
ANY ANY OTHER ANY OTHER
00:43:28.138 --> 00:43:30.107
QUESTIONS OR COMMENTS.
00:43:30.174 --> 00:43:32.543
WOULD YOU LIKE TO CLOSE MR
00:43:32.609 --> 00:43:34.244
CHECKING WHERE MUCH -- THE
00:43:34.311 --> 00:43:35.846
SHERIN MENTIONED THAT THROUGH
00:43:35.913 --> 00:43:38.048
THIS MORE THAN 70% OFF THEIR
00:43:38.115 --> 00:43:40.050
CHILDREN DIED NEEDS MENTAL
00:43:40.117 --> 00:43:42.853
HEALTH SERVICES. TO DON'T THE
00:43:42.920 --> 00:43:46.090
DOOM TO NOT READ RECEIVE.
00:43:46.156 --> 00:43:47.491
ONE BUT IN MY STUDY SHOWS THAT
00:43:47.558 --> 00:43:49.793
IN THE MORE DISADVANTAGED AREA
00:43:49.860 --> 00:43:51.362
THAT NUMBER CAN SHIP SHOT UP TO
00:43:51.428 --> 00:43:54.698
OVER 80% OR EIGHTY PLUS PERCENT.
00:43:54.765 --> 00:43:57.334
SO THE I THINK YOU THIS IS A
00:43:57.401 --> 00:43:59.003
VERY IMPORTANT BILL.
00:43:59.069 --> 00:44:01.572
AND TO BE ABLE TO PROVIDE THIS --
00:44:01.638 --> 00:44:04.341
THE SERVICES TO OUR CHILDREN FOR
00:44:04.408 --> 00:44:05.976
NEXT GENERATION THANK YOU VERY
00:44:06.043 --> 00:44:08.178
MUCH I RESPECTFULLY ASK FOR YOUR
00:44:08.245 --> 00:44:09.213
SUPPORT.
00:44:09.279 --> 00:44:10.147
WELL I THINK HE WAS THE CHIEF
00:44:10.214 --> 00:44:11.415
ENTITIES IN THE BILL I WILL BE
00:44:11.482 --> 00:44:12.883
SUPPORTING THE BILL TODAY BUT I
00:44:12.950 --> 00:44:14.418
WANT TO HIGHLIGHT A FEW CRITICAL
00:44:14.485 --> 00:44:15.285
THINGS THAT I THINK ARE
00:44:15.352 --> 00:44:16.153
IMPORTANT.
00:44:16.220 --> 00:44:18.122
I SUPPORT A SIMILAR BILL LAST
00:44:18.188 --> 00:44:19.556
YEAR THAT CALLED FOR OF OF
00:44:19.623 --> 00:44:20.991
ESSENTIALLY RATIO ONE HEALTH
00:44:21.058 --> 00:44:23.394
MENTAL HEALTH PROVIDER FOR EVERY
00:44:23.460 --> 00:44:24.028
SIX HUNDRED AND HEARD HUNDREDS
00:44:24.094 --> 00:44:24.995
PUPILS.
00:44:25.062 --> 00:44:28.499
THIS BILL ESTABLISHES A RATIO OF
00:44:28.565 --> 00:44:29.133
ONE FOR FOUR HUNDRED I GUESS THE
00:44:29.199 --> 00:44:30.501
DIFFERENCES IN THE TWO BILLS NO
00:44:30.567 --> 00:44:32.202
SHOW WE REALLY DON'T KNOW WHAT
00:44:32.269 --> 00:44:33.771
THE APPROPRIATE RATIO IS IN MY
00:44:33.837 --> 00:44:36.440
MIND -- AND TO BE THAT WE SHOULD
00:44:36.507 --> 00:44:37.841
HAVE TO ENSURE EFFECTIVE
00:44:37.908 --> 00:44:39.543
BEHAVIORAL HEALTH PROGRAMS IN
00:44:39.610 --> 00:44:40.044
OUR STE FOR STUDENTS IN
00:44:40.110 --> 00:44:41.011
CALIFORNIA.
00:44:41.078 --> 00:44:42.546
I THINK WE NEED TO STEP BACK AND
00:44:42.613 --> 00:44:44.081
AND LOOK AT THE RELATIONSHIP
00:44:44.148 --> 00:44:48.252
BETWEEN SCHOOLS.
00:44:48.318 --> 00:44:49.453
AND HONEY MENTAL HEALTH PLANS.
00:44:49.520 --> 00:44:50.054
WE NEED TO FIGURE OUT WHAT'S
00:44:50.120 --> 00:44:50.687
WORKING WHAT ISN'T WORKING AND
00:44:50.754 --> 00:44:51.855
AND THEN FIGURE OUT HOW TO PAY
00:44:51.922 --> 00:44:54.024
FOR IT WHICH IS ALSO CRITICAL --
00:44:54.091 --> 00:44:55.559
AND RATHER THAN ESTABLISHING A
00:44:55.626 --> 00:44:57.928
RATIO STATE LAW BUT I I I WANT
00:44:57.995 --> 00:44:58.729
TO I WANT THE BILL TO CONTINUE
00:44:58.796 --> 00:44:59.563
TO MOVE FORWARD.
00:44:59.630 --> 00:45:01.932
I ALSO WILL SAY THAT I HAVE I
00:45:01.999 --> 00:45:03.834
HAVE CONCERNS AROUND WORKFORCE --
00:45:03.901 --> 00:45:07.704
WE HAVE A BIG CHALLENGE NOW.
00:45:07.771 --> 00:45:09.339
WITH PSYCHOLOGIST -- MENTAL
00:45:09.406 --> 00:45:10.407
HEALTH PROFESSIONALS WHO CAN
00:45:10.474 --> 00:45:11.575
WORK WITH CHILDREN.
00:45:11.642 --> 00:45:13.544
NOW WE'RE GOING TO BE ASKING FOR
00:45:13.610 --> 00:45:14.878
MORE AND MORE TO BE IN SCHOOLS
00:45:14.945 --> 00:45:16.914
WE HAVE A CRITICAL WORKFORCE
00:45:16.980 --> 00:45:18.482
SHORTAGE ISSUE ON THIS AND AND
00:45:18.549 --> 00:45:19.616
THAT'S SOMETHING THAT WE'RE
00:45:19.683 --> 00:45:20.784
GOING TO HAVE TO ADDRESS GOING
00:45:20.851 --> 00:45:22.920
FORWARD SO -- WE DO HAVE A
00:45:22.986 --> 00:45:25.756
QUORUM -- AND SO IF THERE IS A
00:45:25.823 --> 00:45:26.390
MOTION TO BE HAPPY TO ENTERTAIN
00:45:26.457 --> 00:45:27.257
A MOTION.
00:45:27.324 --> 00:45:28.625
WE HAVE A MOTION.
00:45:28.692 --> 00:45:30.861
AND MOTION BY MS BURKE -- THE
00:45:30.928 --> 00:45:32.529
SECOND BY MISS CARILLO THE
00:45:32.596 --> 00:45:34.765
MOTION IS TO PASS TO
00:45:34.832 --> 00:45:36.934
APPROPRIATIONS AMOUNT SECRETARY
00:45:37.000 --> 00:45:39.069
PLEASE CALL THE ROLL WHAT I
00:45:39.136 --> 00:45:41.738
WOULD AYE MAYES.
00:45:41.805 --> 00:45:43.807
OCCUR OCCUR CURRY.
00:45:43.874 --> 00:45:45.309
THANK AGREE NOT VOTING BIGELOW.
00:45:45.375 --> 00:45:47.144
BIGELOW NOT VOTING BONTA.
00:45:47.211 --> 00:45:50.047
BURKE HI BURKE I CARRILLO.
00:45:50.114 --> 00:45:51.682
CARILLO AYE FLORA [inaudible]
00:45:51.748 --> 00:45:53.050
LIMON [inaudible]
00:45:53.117 --> 00:45:54.751
MCCARTY.
00:45:54.818 --> 00:45:57.654
MCCARTY AYE NAZARIAN RAMOS.
00:45:57.721 --> 00:46:00.324
RAMOS I RODRIGUEZ RODRIGUEZ I
00:46:00.390 --> 00:46:05.629
SANTIAGO WALDRON [inaudible] SIX
00:46:05.696 --> 00:46:06.930
YOU HAVE SIX VOTES WILL LEAVE
00:46:06.997 --> 00:46:08.365
THE ROLE OPEN FOR I BELIEVE THE
00:46:08.432 --> 00:46:10.334
BY LONG CALL EXCUSE ME BROTHERS
00:46:10.400 --> 00:46:11.568
TO OTHERS WOULD AT A LATER POINT
00:46:11.635 --> 00:46:13.537
SO THANK YOU VERY MUCH BYE THANK
00:46:13.604 --> 00:46:18.742
YOU [inaudible]
00:46:18.809 --> 00:46:28.685
MISTER KALRA [inaudible]
00:46:28.752 --> 00:46:30.654
YEAH.
00:46:30.721 --> 00:46:31.288
SO IS YOUR CAR WE HAVE A COUPLE
00:46:31.355 --> 00:46:33.056
BILLS AND YOU'LL BE ENTERED
00:46:33.123 --> 00:46:35.792
DOING ONE FOR MR GARCIA AS WELL.
00:46:35.859 --> 00:46:36.126
THAT'S RIGHT.
00:46:36.193 --> 00:46:43.934
THANK YOU.
00:46:44.001 --> 00:46:46.537
AB FIFTY AB FIFTY YEAH THANK YOU
00:46:46.603 --> 00:46:47.804
THANK YOU MISTER CHAIR MEMBERS
00:46:47.871 --> 00:46:49.573
ASSEMBLY BILL FIFTY EXPANDS THE
00:46:49.640 --> 00:46:50.874
ASSISTED LIVING WAIVER PROGRAM
00:46:50.941 --> 00:46:52.476
TO MORE ELIGIBLE MEDI CAL
00:46:52.543 --> 00:46:53.343
ENROLLEES.
00:46:53.410 --> 00:46:54.778
WHO CAN BETTER IS OF BEASTS AND
00:46:54.845 --> 00:46:56.013
BE BETTER SERVING THE COMMUNITY
00:46:56.079 --> 00:46:59.516
BASED SETTING AT A COST SAVINGS
00:46:59.583 --> 00:47:00.817
TO THE STATE OF THE BILL?
00:47:00.884 --> 00:47:01.952
I WANT TO FIRST ACCEPT THE
00:47:02.019 --> 00:47:02.486
COMMITTEE AMENDMENTS AND
00:47:02.553 --> 00:47:04.188
APPRECIATE THE WORK OF STAFF TO
00:47:04.254 --> 00:47:05.756
RECONCILE THE 60% TRANSITION
00:47:05.822 --> 00:47:07.191
WILL FROM THE INSTITUTIONAL
00:47:07.257 --> 00:47:08.225
SETTING REQUIREMENTS.
00:47:08.292 --> 00:47:09.459
WITH THE AMOUNT OF DAYS RESIDENT
00:47:09.526 --> 00:47:11.328
MUST BE REQUIRED TO STAY BEFORE
00:47:11.395 --> 00:47:12.829
BEING ELIGIBLE FOR THE PROGRAM.
00:47:12.896 --> 00:47:14.331
OVER FOUR YEAR PERIOD AB FIFTY
00:47:14.398 --> 00:47:16.800
INCREASES THE WAIVER SLOTS FROM
00:47:16.867 --> 00:47:18.669
FIFTY SEVEN HUNDRED AND
00:47:18.735 --> 00:47:20.537
442-180-00500. TO KEEP PACE WITH
00:47:20.604 --> 00:47:22.606
OUR GROWING AGING POPULATION AND
00:47:22.673 --> 00:47:24.641
DEAL WITH THE OVER FOUR THOUSAND
00:47:24.708 --> 00:47:26.109
AND ROLL THE WAITING LIST.
00:47:26.176 --> 00:47:26.743
CURRENTLY.
00:47:26.810 --> 00:47:28.245
THIS IS LIVING WAIVER PROGRAM IS
00:47:28.312 --> 00:47:30.581
GROSSLY UNDER UTILIZED AS ONLY
00:47:30.647 --> 00:47:31.848
FIFTEEN COUNTIES A CONVERTED TO
00:47:31.915 --> 00:47:32.482
PAY.
00:47:32.549 --> 00:47:34.017
AB FIFTY MAKES THE PROGRAM
00:47:34.084 --> 00:47:35.252
STATEWIDE.
00:47:35.319 --> 00:47:37.454
AB FIFTY ALSO SETS OUT NEEDED
00:47:37.521 --> 00:47:39.356
ARE FAIR PROVIDER REIMBURSEMENT
00:47:39.423 --> 00:47:39.823
AND REQUIRES ENGAGING
00:47:39.890 --> 00:47:41.959
STAKEHOLDERS BUT APARTMENT OF
00:47:42.025 --> 00:47:43.293
HEALTH CARE SERVICES.
00:47:43.360 --> 00:47:44.761
THIS IS LEGAL DURING WAIVER
00:47:44.828 --> 00:47:45.829
PROGRAM PROVIDES A QUICK
00:47:45.896 --> 00:47:47.164
COMMUNITY BASED ALTERNATIVES TO
00:47:47.231 --> 00:47:48.498
INSTITUTIONALIZATION.
00:47:48.565 --> 00:47:50.567
ELIGIBLE OLDER ADULTS AND PEOPLE
00:47:50.634 --> 00:47:52.035
WITH DISABILITIES ON MEDI CAL.
00:47:52.102 --> 00:47:54.438
EXPANDING THE LW PROGRAM IS ALSO
00:47:54.504 --> 00:47:55.606
IN SUPPORT OF THE STATE'S
00:47:55.672 --> 00:47:56.306
COMMITMENT TO THE ONLY STATE
00:47:56.373 --> 00:47:57.374
DECISION.
00:47:57.441 --> 00:47:59.109
FIND AT THE UNNECESSARY INSTANT
00:47:59.176 --> 00:48:00.444
INSTITUTIONALIZATION OF PEOPLE
00:48:00.510 --> 00:48:01.945
WITH DISABILITIES AS A
00:48:02.012 --> 00:48:03.480
VIOLATIONS AMERICAN DISABILITIES
00:48:03.547 --> 00:48:05.015
ACT THEREBY ESTABLISHING THE
00:48:05.082 --> 00:48:05.983
RIGHT OF INDIVIDUALS WITH
00:48:06.049 --> 00:48:07.884
DISABILITIES RECEIVE SERVICES.
00:48:07.951 --> 00:48:09.586
IN THE MOST INTEGRATED SETTING.
00:48:09.653 --> 00:48:10.654
EVEN THOUGH THE DEPARTMENT RENEW
00:48:10.721 --> 00:48:12.089
THE WAIVER PROGRAM FOR ANOTHER
00:48:12.155 --> 00:48:13.123
FIVE YEARS THERE HAS BEEN
00:48:13.190 --> 00:48:14.258
DISCUSSION TO INTEGRATE THE
00:48:14.324 --> 00:48:15.626
PROGRAM WITH THE HOME AND
00:48:15.692 --> 00:48:17.194
COMMUNITY BASED SERVICES WAIVER.
00:48:17.261 --> 00:48:18.929
AND AB FIFTY INCLUDES LANGUAGE
00:48:18.996 --> 00:48:20.397
TO ACCOUNT FOR THAT TRANSITION
00:48:20.464 --> 00:48:21.665
AND ALLOWS THE DEPARTMENT A RAMP
00:48:21.732 --> 00:48:22.933
UP SERVICES.
00:48:23.000 --> 00:48:24.334
PRIOR TO THAT ARE OCCURRING.
00:48:24.401 --> 00:48:25.702
WITH ME TO PROVIDE SUPPORTING
00:48:25.769 --> 00:48:27.704
TESTIMONY IS GEORGE CANARIAN
00:48:27.771 --> 00:48:28.839
SENIOR VICE PRESIDENT OF SIX
00:48:28.905 --> 00:48:30.941
BEDS AND LISA COLEMAN EXECUTIVE
00:48:31.008 --> 00:48:36.480
DIRECTOR OF THE CALIFORNIA LONG
00:48:36.546 --> 00:48:38.315
TERM CARE OMBUDSMAN ASSOCIATION.
00:48:38.382 --> 00:48:39.283
THANK YOU TO CHAIR AND MEMBERS
00:48:39.349 --> 00:48:39.950
MY NAME IS GEORGE COULD NEAR AND
00:48:40.017 --> 00:48:40.550
I'M HERE A SIX BED WHICH IS A
00:48:40.617 --> 00:48:41.218
STATEWIDE TRADE ASSOCIATION THAT
00:48:41.285 --> 00:48:41.885
REPRESENTS BOARDING CARE HOMES A
00:48:41.952 --> 00:48:43.754
SORT OF ADULTS AND OLDER ADULTS.
00:48:43.820 --> 00:48:45.289
LIKE TO START OUT BY THINKING
00:48:45.355 --> 00:48:46.023
ASSEMBLY MEMBER KALRA FOR
00:48:46.089 --> 00:48:47.958
CONTINUING TO CHAMPION FOR
00:48:48.025 --> 00:48:49.426
IMPROVEMENT TO THE LW PROGRAM.
00:48:49.493 --> 00:48:51.295
THIS PROGRAM IS JUST SCRATCHING
00:48:51.361 --> 00:48:52.696
THE SURFACE OF ITS POTENTIAL AS
00:48:52.763 --> 00:48:53.764
A CAN HELP SIMULTANEOUSLY
00:48:53.830 --> 00:48:54.698
ADDRESS THE CHALLENGES OF AN
00:48:54.765 --> 00:48:56.933
AGING POPULATION HOMELESSNESS
00:48:57.000 --> 00:48:58.435
AND SEVERE MENTAL ILLNESS.
00:48:58.502 --> 00:48:59.836
YOU KNOW I HEAR TERMS SUCH AS
00:48:59.903 --> 00:49:01.104
LONG TERM SERVICES AND SUPPORTS
00:49:01.171 --> 00:49:03.040
A CONTINUUM OF CARE BUT GIVEN
00:49:03.106 --> 00:49:04.808
THAT SAN FRANCISCO HAS LOST 34%
00:49:04.875 --> 00:49:06.043
OF ITS IS ALL RESIDENTIAL
00:49:06.109 --> 00:49:07.678
FACILITIES AND 26%.
00:49:07.744 --> 00:49:09.579
WAS RESIDENTIAL CARE FACILITIES
00:49:09.646 --> 00:49:11.014
FOR THE ELDERLY SINCE TWO
00:49:11.081 --> 00:49:11.581
THOUSAND TWELVE IT BEGS THE
00:49:11.648 --> 00:49:12.849
QUESTION OF WHETHER WE TRULY
00:49:12.916 --> 00:49:14.284
HAVE A CONTINUUM OF CARE.
00:49:14.351 --> 00:49:15.485
THE FACT OF THE MATTER IS THAT
00:49:15.552 --> 00:49:16.753
FROM A MEDI CAL FUNDING
00:49:16.820 --> 00:49:18.188
PERSPECTIVE THERE IS NO TRUE
00:49:18.255 --> 00:49:20.290
CONTINUE ON WHAT WE HAVE INSTEAD
00:49:20.357 --> 00:49:21.725
IS A PATCHWORK OF SERVICES.
00:49:21.792 --> 00:49:22.859
ON ONE HAND WE HAVE A PROGRAM
00:49:22.926 --> 00:49:24.227
LIKE AYE HSS THE PROVIDE
00:49:24.294 --> 00:49:25.696
SERVICES AT HOME AND MIND YOU
00:49:25.762 --> 00:49:27.331
FOR CHRONICALLY HOMELESS THAT'S
00:49:27.397 --> 00:49:28.298
A VERY DIFFICULT SERVICE TO
00:49:28.365 --> 00:49:28.832
ACCESS.
00:49:28.899 --> 00:49:30.267
ON THE OTHER HAND WE HAVE
00:49:30.334 --> 00:49:31.702
INSTITUTIONAL SETTING SUCH AND
00:49:31.768 --> 00:49:33.270
SUCH A SNIFFS AND IN BETWEEN
00:49:33.337 --> 00:49:34.838
THESE TWO WE HAVE A GAPING HOLE
00:49:34.905 --> 00:49:36.106
THAT THE ALE W. WAS TRYING TO
00:49:36.173 --> 00:49:38.642
FILL WITH A MEAGER 500-070-0404
00:49:38.709 --> 00:49:40.110
SLOTS. TO PUT THAT IN
00:49:40.177 --> 00:49:41.311
PERSPECTIVE THAT JUST REPRESENTS
00:49:41.378 --> 00:49:42.879
2% OF THE TOTAL CAPACITY OF
00:49:42.946 --> 00:49:44.614
RESIDENTIAL CARE BEDS FOR OLDER
00:49:44.681 --> 00:49:46.850
ADULTS AND SKILLED NURSING BEDS
00:49:46.917 --> 00:49:47.451
HENCE THE GAPING HOLE IN OUR
00:49:47.517 --> 00:49:49.386
SYSTEM. FOR PERSONS LIVING IN A
00:49:49.453 --> 00:49:51.054
BOARDING CARE ON SS I SS BE
00:49:51.121 --> 00:49:52.189
FUNDING IS LIMITED TO THE NON
00:49:52.255 --> 00:49:53.657
MEDICAL OUT OF HOME CARE RATE
00:49:53.724 --> 00:49:55.092
WHICH IS ONE THOUSAND FIFTY
00:49:55.158 --> 00:49:55.859
EIGHT DOLLARS PER MONTH OR
00:49:55.926 --> 00:49:57.461
ROUGHLY THIRTY FIVE DOLLARS PER
00:49:57.527 --> 00:49:58.328
DAY.
00:49:58.395 --> 00:49:59.363
YOU CAN'T AFFORD A ROACH
00:49:59.429 --> 00:50:01.631
INFESTED MOTEL FOR THIRTY FIVE
00:50:01.698 --> 00:50:02.799
DOLLARS PER DAY THE BOARDING
00:50:02.866 --> 00:50:03.934
TEARS ARE SUPPOSED TO PROVIDE
00:50:04.000 --> 00:50:05.569
HOUSING UTILITIES.
00:50:05.635 --> 00:50:07.537
FOOD STAFF TO PROVIDE ASSISTANCE
00:50:07.604 --> 00:50:09.539
WITH ACTIVITIES OF DAILY LIVING
00:50:09.606 --> 00:50:11.141
AS WELL AS MEDICATION MANAGEMENT.
00:50:11.208 --> 00:50:12.609
OF A BOARDING CARE HAS SIX
00:50:12.676 --> 00:50:14.411
RESIDENTS ALL ON SS I SS P. AND
00:50:14.478 --> 00:50:15.579
HAVE TO CONTEND WITH THE MINIMUM
00:50:15.645 --> 00:50:16.980
WAGE OF THIRTEEN TWENTY FIVE OR
00:50:17.047 --> 00:50:18.148
MORE IT WOULD BE MATHEMATICALLY
00:50:18.215 --> 00:50:19.616
IMPOSSIBLE TO FULLY PAY STAFF
00:50:19.683 --> 00:50:20.617
MINIMUM WAGE.
00:50:20.684 --> 00:50:22.252
MUCH LESS PAY FOR PAYROLL TAXES
00:50:22.319 --> 00:50:23.887
WORKERS COMP INSURANCE LIABILITY
00:50:23.954 --> 00:50:25.389
INSURANCE PROPERTY TAXES AND
00:50:25.455 --> 00:50:26.123
MORE.
00:50:26.189 --> 00:50:27.391
IT SHOULDN'T BE A SURPRISE AND
00:50:27.457 --> 00:50:29.059
TO SEE THE RATE AT WHICH SAN
00:50:29.126 --> 00:50:30.427
FRANCISCO LOSING BOARDING CARES
00:50:30.494 --> 00:50:32.396
OR THE LA COUNTY HAS LOST OVER
00:50:32.462 --> 00:50:36.199
ONE THOUSAND A. R. F. BEDS OVER
00:50:36.266 --> 00:50:37.067
THE LAST TWENTY FOUR MONTHS.
00:50:37.134 --> 00:50:37.934
SO WHY SHOULD WE CARE ABOUT
00:50:38.001 --> 00:50:38.568
THESE HOMES CLOSING WHILE THESE
00:50:38.635 --> 00:50:39.436
LOSSES COME DISPLACEMENT OF MANY
00:50:39.503 --> 00:50:41.071
LOW INCOME ADULTS THERE ARE
00:50:41.138 --> 00:50:41.872
SUFFERING FROM SEVERE MENTAL
00:50:41.938 --> 00:50:43.407
ILLNESS PUTTING THEM AT RISK OF
00:50:43.473 --> 00:50:45.275
INSTITUTIONALIZATION OR WORSE
00:50:45.342 --> 00:50:46.476
YET HOMELESSNESS.
00:50:46.543 --> 00:50:47.978
OF A CONTINUUM OF CARE IS TRULY
00:50:48.044 --> 00:50:49.279
TO WORK IT SHOULD HELP PROVIDE
00:50:49.346 --> 00:50:50.847
THE RIGHT HOUSING AND THE RIGHT
00:50:50.914 --> 00:50:52.382
CARE AT THE RIGHT TIME.
00:50:52.449 --> 00:50:53.917
WE CAN'T DISENTANGLE HOUSING
00:50:53.984 --> 00:50:55.886
FROM HEALTH AS HOUSING OR A LACK
00:50:55.952 --> 00:50:57.654
LACK THERE OF HAS A DIRECT
00:50:57.721 --> 00:50:59.022
IMPACT ON HEALTH.
00:50:59.089 --> 00:50:59.890
THE REASON WHY THESE HOMES ARE
00:50:59.956 --> 00:51:01.591
SO IMPORTANT AND WORTH SAVING IS
00:51:01.658 --> 00:51:02.692
BECAUSE THEY SAID AT THE VERY
00:51:02.759 --> 00:51:05.095
INTERSECTION OF HOUSING AND CARE.
00:51:05.162 --> 00:51:06.363
WHAT WE'RE SEEING NOW HOWEVER IS
00:51:06.430 --> 00:51:07.130
THAT THESE HOMES CAN'T BE
00:51:07.197 --> 00:51:09.533
ACCESSED EFFECTIVELY FOR THAT
00:51:09.599 --> 00:51:10.434
ONE THOUSAND FIFTY EIGHT A MONTH?
00:51:10.500 --> 00:51:12.169
AB FIFTY CAN HELP BY INCREASING
00:51:12.235 --> 00:51:14.805
THE LWS CAPACITY TO EIGHTEEN
00:51:14.871 --> 00:51:15.539
THOUSAND FIVE HUNDRED SLOTS
00:51:15.605 --> 00:51:17.340
PROVIDE FOR GEOGRAPHIC EXPANSION
00:51:17.407 --> 00:51:18.875
AND INCREASING PROVIDER RATE
00:51:18.942 --> 00:51:20.377
THAT CAN AUGMENT THE SS I SS P.
00:51:20.444 --> 00:51:20.977
RATE.
00:51:21.044 --> 00:51:21.978
THEREBY RESULTING IN A MORE
00:51:22.045 --> 00:51:23.346
ROBUST PROGRAM THAT WILL BE
00:51:23.413 --> 00:51:24.681
BETTER POSITIONED TO ADDRESS
00:51:24.748 --> 00:51:25.649
CALIFORNIA'S CHALLENGES OF AN
00:51:25.715 --> 00:51:27.617
AGING POPULATION HOMELESSNESS
00:51:27.684 --> 00:51:29.152
AND MENTAL ILLNESS BY HELPING
00:51:29.219 --> 00:51:31.054
TRANSFORM MEDICALS PATCHWORK OF
00:51:31.121 --> 00:51:32.422
SERVICES AND TOOK IN TRUE
00:51:32.489 --> 00:51:33.857
CONTINUE OF CARE THAT DELIVERS
00:51:33.924 --> 00:51:34.825
THE RIGHT HOUSING.
00:51:34.891 --> 00:51:38.528
AND THE RIGHT CARE AT THE RIGHT
00:51:38.595 --> 00:51:39.162
TIME I RESPECTFULLY ASK FOR AYE
00:51:39.229 --> 00:51:39.396
VOTES.
00:51:39.463 --> 00:51:40.030
GOOD AFTERNOON MY NAME IS LISA
00:51:40.096 --> 00:51:41.731
COLEMAN WITH THE CALIFORNIA LONG
00:51:41.798 --> 00:51:43.233
TERM CARE OMBUDSMAN ASSOCIATION.
00:51:43.300 --> 00:51:45.402
BOB IT IS WITH INCREASING
00:51:45.469 --> 00:51:48.071
FRUSTRATION AND FRANTIC PHONE
00:51:48.138 --> 00:51:49.539
CALLS THAT WE'RE RECEIVING FROM
00:51:49.606 --> 00:51:51.107
OLDER ADULTS AND THEIR FAMILIES
00:51:51.174 --> 00:51:52.776
TRYING TO FIND A PLACE FOR THEIR
00:51:52.843 --> 00:51:54.244
LOVED.
00:51:54.311 --> 00:51:55.946
ONE IT IS A CRUEL FATE TO FIND
00:51:56.012 --> 00:51:58.448
YOURSELF NOT ILL ENOUGH FOR
00:51:58.515 --> 00:51:59.983
SKILLED NURSING.
00:52:00.050 --> 00:52:02.219
BUT NOT RESOURCE ENOUGH TO
00:52:02.285 --> 00:52:03.854
AFFORD THIRTY SEVEN HUNDRED
00:52:03.920 --> 00:52:05.422
DOLLARS A MONTH AS AN AVERAGE
00:52:05.489 --> 00:52:07.023
ASSISTED LIVING COST.
00:52:07.090 --> 00:52:09.092
OR THAT YOUR ACTIVITIES OF DAILY
00:52:09.159 --> 00:52:10.961
LIVING REQUIRE MORE THAN OUR
00:52:11.027 --> 00:52:12.395
CURRENT I IT JUST SAYS SYSTEM
00:52:12.462 --> 00:52:13.663
CAN ALLOW.
00:52:13.730 --> 00:52:15.832
AB FIFTY ADDRESSES THIS IN A
00:52:15.899 --> 00:52:18.602
COMMON SENSE IT IN A IN A GOOD
00:52:18.668 --> 00:52:21.271
LEGISLATION APPROACH.
00:52:21.338 --> 00:52:22.572
IT'S A WIN TO THE STATE THE
00:52:22.639 --> 00:52:24.040
DEPARTMENT OF FINANCE LAST YEAR
00:52:24.107 --> 00:52:26.576
SAID THAT THISPROGRAM SAVE THE
00:52:26.643 --> 00:52:28.378
STATE FORTY MILLION DOLLARS.
00:52:28.445 --> 00:52:30.146
IT'S A WIN TO OLDER ADULTS AND
00:52:30.213 --> 00:52:31.848
DISABLED ADULTS ALLOWING THEM
00:52:31.915 --> 00:52:33.917
THE DIGNITY TO LIVE IN AN
00:52:33.984 --> 00:52:35.552
ASSISTED LIVING ENVIRONMENT
00:52:35.619 --> 00:52:37.120
INSTEAD OF HAVING TO SHARE A
00:52:37.187 --> 00:52:37.821
ROOM.
00:52:37.888 --> 00:52:40.257
IN AN INSTITUTIONAL SETTING OF A
00:52:40.323 --> 00:52:41.958
SKILLED NURSING UNNECESSARILY.
00:52:42.025 --> 00:52:44.261
OUR PHONE CALLS ASKING FOR
00:52:44.327 --> 00:52:45.862
ASSISTANCE TO GET OUT OF A
00:52:45.929 --> 00:52:47.564
SKILLED NURSING INTO A LOWER
00:52:47.631 --> 00:52:49.432
LEVEL OF CARE OMBUDSMAN'S DO
00:52:49.499 --> 00:52:51.368
AMAZING THINGS BUT WE CANNOT
00:52:51.434 --> 00:52:54.137
FABRICATE LOW INCOME HOUSING.
00:52:54.204 --> 00:52:56.339
BUT THE LEGISLATION CAN WITH THE
00:52:56.406 --> 00:52:57.741
EXPANSION OF THIS BILL WE ASK
00:52:57.807 --> 00:53:00.410
FOR YOUR SUPPORT.
00:53:00.477 --> 00:53:01.511
THANK YOU VERY MUCH OTHERS IN
00:53:01.578 --> 00:53:04.948
SUPPORT.
00:53:05.015 --> 00:53:06.116
GOOD AFTERNOON MISTER CHAIR
00:53:06.182 --> 00:53:07.250
CLEANING COMMITTEE MEMBERS I'M
00:53:07.317 --> 00:53:08.885
JOE RODRIGUEZ THE CALIFORNIA
00:53:08.952 --> 00:53:10.654
STATE LONG TERM CARE OMBUDSMAN
00:53:10.720 --> 00:53:11.788
IN STRONG SUPPORT OF THIS BILL
00:53:11.855 --> 00:53:15.191
THANK YOU.
00:53:15.258 --> 00:53:16.960
CHARLES SOULE REPRESENTING THE
00:53:17.027 --> 00:53:18.562
CALIFORNIA COMMISSION ON AGING I
00:53:18.628 --> 00:53:19.763
JUST LIKE TO POINT OUT THAT THIS
00:53:19.829 --> 00:53:21.097
WILL BUILT THIS BILL WOULD ALSO
00:53:21.164 --> 00:53:24.267
CREATE A LOT OF HOUSING OPTIONS
00:53:24.334 --> 00:53:25.735
FOR PEOPLE IN RURAL COMMUNITIES.
00:53:25.802 --> 00:53:27.671
WHERE SKILLED NURSING CANNOT
00:53:27.737 --> 00:53:29.506
FUNCTION BECAUSE THEY JUST DON'T
00:53:29.573 --> 00:53:31.141
HAVE THE POPULATION BASE THERE'S
00:53:31.207 --> 00:53:32.309
NOTHING IN THOSE COMMUNITIES
00:53:32.375 --> 00:53:33.510
THAT WOULD ALLOW PEOPLE TO STAY
00:53:33.577 --> 00:53:34.878
IN THEIR HOMES?
00:53:34.945 --> 00:53:36.479
CLOSE TO HOME AND YOUR FAMILY
00:53:36.546 --> 00:53:37.414
THANK YOU.
00:53:37.480 --> 00:53:38.949
THANK YOU JUST JUST YOUR NAME
00:53:39.015 --> 00:53:40.250
AND ORGANIZATION PLEASE MICHELLE
00:53:40.317 --> 00:53:41.251
GIVEN TO THE COUNTY HEALTH
00:53:41.318 --> 00:53:44.020
EXECUTIVES ASSOCIATION OF
00:53:44.087 --> 00:53:45.922
CALIFORNIANS PART THANK YOU.
00:53:45.989 --> 00:53:47.023
GOOD AFTERNOON SUSAN DIVORCE ON
00:53:47.090 --> 00:53:48.491
BEHALF OF THE ALZHEIMER'S
00:53:48.558 --> 00:53:50.327
ASSOCIATION HERE IN SUPPORT ALSO
00:53:50.393 --> 00:53:51.761
I WAS ASKED ON BEHALF OF THE
00:53:51.828 --> 00:53:53.163
CALIFORNIA COLLABORATIVE FOR
00:53:53.229 --> 00:53:54.965
LONG TERM SERVICES AND SUPPORT
00:53:55.031 --> 00:53:56.466
TO LEND THEIR SERVICES AND
00:53:56.533 --> 00:53:58.335
SUPPORTS TO LEND THEIR SUPPORT.
00:53:58.401 --> 00:53:59.469
THANK YOU.
00:53:59.536 --> 00:54:00.904
THANK YOU ENTER LANGLEY ON
00:54:00.971 --> 00:54:02.205
BEHALF OF THE COUNTY OF SAN
00:54:02.272 --> 00:54:04.741
DIEGO SUPPORT THANK YOU.
00:54:04.808 --> 00:54:06.142
SELECT US HERE ON BEHALF OF THE
00:54:06.209 --> 00:54:07.844
CITY AND COUNTY OF SAN FRANCISCO
00:54:07.911 --> 00:54:10.714
IN SUPPORT.
00:54:10.780 --> 00:54:12.515
GEN HAMPTON ON BEHALF OF LEADING
00:54:12.582 --> 00:54:14.050
EDGE CALIFORNIA RESIDENTS SHOULD
00:54:14.117 --> 00:54:15.285
NOT FOR PROFIT PROVIDERS A
00:54:15.352 --> 00:54:17.387
SENIOR FOR WILL HOUSING CARE
00:54:17.454 --> 00:54:19.823
SERVICES AND SUPPORT THANK YOU.
00:54:19.889 --> 00:54:22.025
MOLLY BY ENEMY W. ASKED ME
00:54:22.092 --> 00:54:22.626
THIRTY NINE THIRTY IN SUPPORT
00:54:22.692 --> 00:54:24.461
THANK YOU.
00:54:24.527 --> 00:54:25.495
BARBARA GLAZER WITH THE
00:54:25.562 --> 00:54:27.163
CALIFORNIA HOSPITAL ASSOCIATION
00:54:27.230 --> 00:54:29.833
IN SUPPORT.
00:54:29.899 --> 00:54:30.900
KELLY BROOKS ON BEHALF OF THE
00:54:30.967 --> 00:54:31.835
COUNTY WELFARE DIRECTORS
00:54:31.901 --> 00:54:33.036
ASSOCIATION AND THE BOARD OF
00:54:33.103 --> 00:54:35.038
SUPERVISORS OF INTER COUNTY HERE
00:54:35.105 --> 00:54:35.338
IN SUPPORT.
00:54:35.405 --> 00:54:36.640
THANK YOU.
00:54:36.706 --> 00:54:38.408
LINDA WAY WITH WESTERN CENTER ON
00:54:38.475 --> 00:54:40.777
LAW AND POVERTY IN SUPPORT.
00:54:40.844 --> 00:54:42.145
GOOD AFTERNOON AIR LEVI WITH THE
00:54:42.212 --> 00:54:43.847
CALIFORNIA'S THIS LIVING
00:54:43.913 --> 00:54:46.216
ASSOCIATION IN SUPPORT THANK YOU --
00:54:46.282 --> 00:54:47.484
MICHAEL RIGHT AGAIN ABOUT THE
00:54:47.550 --> 00:54:49.185
BOARD OF SUPERVISORS SANTA CLARA
00:54:49.252 --> 00:54:51.521
COUNTY IN SUPPORT.
00:54:51.588 --> 00:54:52.822
MY SECONDS ALSO ME HALF OF THE
00:54:52.889 --> 00:54:55.191
NATIONAL ASSOCIATION OF SOCIAL
00:54:55.258 --> 00:54:55.625
WORKERS IN SUPPORT.
00:54:55.692 --> 00:54:56.826
THANK YOU [inaudible]
00:54:56.893 --> 00:54:59.129
ANYONE ELSE.
00:54:59.195 --> 00:55:02.999
IS THERE ANYONE IN OPPOSITION.
00:55:03.066 --> 00:55:04.401
SEE NO ONE BRING BACK TO THE
00:55:04.467 --> 00:55:05.201
COMMITTEE FOR QUESTIONS OR
00:55:05.268 --> 00:55:06.770
COMMENTS QUESTIONS OR COMMENTS
00:55:06.836 --> 00:55:09.839
FROM THE COMMITTEE.
00:55:09.906 --> 00:55:11.174
SEEING NONE WOULD YOU LIKE TO
00:55:11.241 --> 00:55:12.876
CLOSE MISTER KALRA.
00:55:12.942 --> 00:55:14.244
THANK YOU AND AND I REALLY WANT
00:55:14.310 --> 00:55:15.311
TO THANK YOU MISTER CHAIR I KNOW
00:55:15.378 --> 00:55:17.714
YOU'VE -- YUNIOR STAFF
00:55:17.781 --> 00:55:19.716
INCREDIBLY HELPFUL AND AND PAST
00:55:19.783 --> 00:55:20.850
YEARS AS WE BRING THIS BILL FOR
00:55:20.917 --> 00:55:21.918
EVEN VERY SUPPORT OF NON
00:55:21.985 --> 00:55:23.720
PRESSURE THAT AND I DO WANT TO
00:55:23.787 --> 00:55:25.021
REITERATE THE COMMENT MADE THAT
00:55:25.088 --> 00:55:26.589
THIS WILL EXPAND IT ALL COUNTIES.
00:55:26.656 --> 00:55:27.590
SO IN PARTICULARLY IN RURAL
00:55:27.657 --> 00:55:28.758
COMMUNITIES THAT RIGHT NOW I
00:55:28.825 --> 00:55:30.326
DON'T REALLY HAVE ACCESS THIS IS
00:55:30.393 --> 00:55:31.695
AN FOR THE FIRST TIME PROVIDE
00:55:31.761 --> 00:55:33.530
SOME KIND OF ACCESS TO CARE. FOR
00:55:33.596 --> 00:55:35.565
SOME OF OUR MORE MOST DESPERATE
00:55:35.632 --> 00:55:39.769
TO SENIORS PEOPLE DISABILITIES
00:55:39.836 --> 00:55:40.403
WITH THAT I RESPECTFULLY ASK FOR
00:55:40.470 --> 00:55:41.604
AN I PO.
00:55:41.671 --> 00:55:43.506
AND IF YOU ACCEPT -- AMENDMENTS
00:55:43.573 --> 00:55:44.374
YES OKAY SPAHN CLARIFY THAT TO
00:55:44.441 --> 00:55:46.076
THINK VERY MUCH SO -- THIS DOES
00:55:46.142 --> 00:55:47.811
ENJOY DO PASS RECOMMENDATION WE
00:55:47.877 --> 00:55:50.246
HAVE A MOTION BY MISS CARILLO A
00:55:50.313 --> 00:55:52.816
SECOND BY MISS AGUIARCURRY I'M
00:55:52.882 --> 00:55:53.983
SECRETARY PLEASE CALL THE ROLL.
00:55:54.050 --> 00:55:55.518
IS DO PASS AS AMENDED TO
00:55:55.585 --> 00:55:57.887
APPROPRIATIONS WHAT I WHAT I
00:55:57.954 --> 00:56:00.957
MAYES MAYES AYE AGUIAR-CURRY.
00:56:01.024 --> 00:56:02.559
AGUIAR-CURRY AYE BIGELOW
00:56:02.625 --> 00:56:02.859
[inaudible]
00:56:02.926 --> 00:56:05.295
BONTA BURKE.
00:56:05.361 --> 00:56:06.162
CARILLO.
00:56:06.229 --> 00:56:08.765
CARILLO AYE FLORA.
00:56:08.832 --> 00:56:09.332
LIMON.
00:56:09.399 --> 00:56:12.235
MCCARTY MCCARTY AYE NAZARIAN.
00:56:12.302 --> 00:56:14.604
RAMOS RAMOS AYE RODRIGUEZ
00:56:14.671 --> 00:56:22.779
RODRIGUEZ I SANTIAGO WALDRON.
00:56:22.846 --> 00:56:23.613
THAT IS SEVEN WILL LEAVE THE
00:56:23.680 --> 00:56:24.881
BILL ON CALL.
00:56:24.948 --> 00:56:27.050
YOUR NEXT BILL MISTER KALRA.
00:56:27.117 --> 00:56:29.619
THANK YOU MISTER CHAIR -- NEXT
00:56:29.686 --> 00:56:30.086
UP.
00:56:30.153 --> 00:56:34.023
AB.
00:56:34.090 --> 00:56:35.525
EIGHT EIGHT SEVEN AB.
00:56:35.592 --> 00:56:40.497
AND ME A SECOND HERE.
00:56:40.563 --> 00:56:42.198
AB.
00:56:42.265 --> 00:56:43.066
EIGHT EIGHT SEVEN AB CODIFIES
00:56:43.133 --> 00:56:44.400
POSITION OF CALIFORNIA SURGEON
00:56:44.467 --> 00:56:46.202
GENERAL AND PLACES THE OFFICE OF
00:56:46.269 --> 00:56:47.904
HEALTH EQUITY UNDER THE
00:56:47.971 --> 00:56:49.305
DIRECTION OF THE SURGEON GENERAL.
00:56:49.372 --> 00:56:50.607
THE COMPANY'S SURGEON GENERAL
00:56:50.673 --> 00:56:51.608
POSITION CREATED THROUGH
00:56:51.674 --> 00:56:52.909
EXECUTIVE ORDER ON JANUARY
00:56:52.976 --> 00:56:54.377
SEVENTH OF THIS YEAR BY GOVERNOR
00:56:54.444 --> 00:56:55.245
MUSEUM.
00:56:55.311 --> 00:56:56.713
PRESENTS AN ENORMOUS OPPORTUNITY
00:56:56.780 --> 00:56:58.615
TO ENSURE THAT HEALTH EQUITY IS
00:56:58.681 --> 00:57:00.650
CENTRAL TO CALIFORNIA. TO ALIGN
00:57:00.717 --> 00:57:02.018
EFFORTS TO ELIMINATE DISPARITIES
00:57:02.085 --> 00:57:04.220
INEQUITIES AND TO ADDRESS TRAUMA
00:57:04.287 --> 00:57:06.222
AND THE SOCIAL DETERMINANTS OF
00:57:06.289 --> 00:57:08.725
HEALTH.
00:57:08.792 --> 00:57:09.893
THE SURGEON GENERAL IS CHARGED
00:57:09.959 --> 00:57:10.860
ADVISING THE GOVERNOR ON A
00:57:10.927 --> 00:57:11.795
COMPREHENSIVE APPROACH TO
00:57:11.861 --> 00:57:12.962
ADDRESSING HEALTH RISKS AND
00:57:13.029 --> 00:57:14.030
CHALLENGES BY LEVERAGING THE
00:57:14.097 --> 00:57:15.431
INSIGHTS OF STAKEHOLDERS.
00:57:15.498 --> 00:57:16.833
AND SERVING AS A SPOKESPERSON ON
00:57:16.900 --> 00:57:18.535
PUBLIC HEALTH ISSUES.
00:57:18.601 --> 00:57:19.903
THIS BILL ENSURES THE POSITION
00:57:19.969 --> 00:57:21.337
OF SURGEON GENERAL EXIST LONG
00:57:21.404 --> 00:57:22.639
OPERA CURRENT SITTING GOVERNORS
00:57:22.705 --> 00:57:23.907
OUT OF OFFICE.
00:57:23.973 --> 00:57:25.775
THAT HIS LEGACY CONTINUES ON AND
00:57:25.842 --> 00:57:26.576
THE NEED A POSITION OF SURGEON
00:57:26.643 --> 00:57:28.812
GENERAL IS CODIFIED IN STATUTE.
00:57:28.878 --> 00:57:30.780
FURTHERMORE IN ORDER TO BUILD A
00:57:30.847 --> 00:57:32.115
LINE IT WITH ON GOING EFFORTS
00:57:32.182 --> 00:57:33.516
UNDER ALREADY UNDER THE
00:57:33.583 --> 00:57:34.584
DEPARTMENT OF PUBLIC HEALTH IN A
00:57:34.651 --> 00:57:37.353
COST EFFECTIVE MANNER AB EIGHTY
00:57:37.420 --> 00:57:38.321
SEVEN PROPOSES TO PLACE THE
00:57:38.388 --> 00:57:39.789
OFFICE OF HEALTH EQUITY UNDER
00:57:39.856 --> 00:57:40.623
THE DIRECTION THE SURGEON
00:57:40.690 --> 00:57:41.424
GENERAL.
00:57:41.491 --> 00:57:42.392
THE OFFICE OF HEALTH EQUITY WAS
00:57:42.458 --> 00:57:44.394
ESTABLISHED IN THE DEPARTMENT OF
00:57:44.460 --> 00:57:45.829
PUBLIC HEALTH IN.
00:57:45.895 --> 00:57:46.963
TWO THOUSAND TWELVE UP BY WITHIN
00:57:47.030 --> 00:57:48.431
THE DEPARTMENT OF HEALTH IN TWO
00:57:48.498 --> 00:57:49.032
THOUSAND TWELVE TO IMPROVE THE
00:57:49.098 --> 00:57:50.266
HEALTH STATUS OF ALL POPULATIONS%
00:57:50.333 --> 00:57:51.868
IN PLACES WITH THE PRIORITY IN
00:57:51.935 --> 00:57:53.036
ELIMINATING HEALTH AND MENTAL
00:57:53.102 --> 00:57:55.872
HEALTH DISPARITIES.
00:57:55.939 --> 00:57:56.840
AND INEQUITIES.
00:57:56.906 --> 00:57:57.707
I PROVIDING THE SURGEON GENERAL
00:57:57.774 --> 00:57:58.274
DIRECTION OF THE OFFICE OF
00:57:58.341 --> 00:57:59.776
HEALTH EQUITY NOT ONLY ARE WE
00:57:59.843 --> 00:58:00.977
ALIGNING NEW EFFORTS THE SURGEON
00:58:01.044 --> 00:58:02.345
GENERAL WITH EXISTING APRS UNDER
00:58:02.412 --> 00:58:03.413
DPH.
00:58:03.479 --> 00:58:04.914
BASED ON THEIR MISSION ALIGNMENT
00:58:04.981 --> 00:58:06.282
WILL BE MAKING A COST EFFECTIVE
00:58:06.349 --> 00:58:07.750
DECISION TO USE EXISTING STAFF
00:58:07.817 --> 00:58:09.319
AND RESOURCES RATHER THAN
00:58:09.385 --> 00:58:10.653
BUILDING OUT NEW POSITIONS MORE
00:58:10.720 --> 00:58:11.955
STATE DOLLARS.
00:58:12.021 --> 00:58:13.389
CALIFORNIA IS ONE OF THE MOST
00:58:13.456 --> 00:58:14.958
DIVERSE STATES IN THE NATION BUT
00:58:15.024 --> 00:58:16.693
THE MAJORITY OF ITS POPULATION
00:58:16.759 --> 00:58:17.694
OVER 60%.
00:58:17.760 --> 00:58:19.195
COMPRISES COMMUNITIES OF COLOR
00:58:19.262 --> 00:58:20.463
CALIFORNIA HAS BEEN A LEADER IN
00:58:20.530 --> 00:58:21.965
ADVANCING HEALTHEQUITY IT WE
00:58:22.031 --> 00:58:22.932
HAVE A LONG WAY TO GO TOWARDS
00:58:22.999 --> 00:58:24.934
LIVING UP TO OUR PROMISE OF
00:58:25.001 --> 00:58:25.768
HEALTH FOR ALL.
00:58:25.835 --> 00:58:26.736
BY KIND OF KIND OF BUYING NEW
00:58:26.803 --> 00:58:28.338
INNOVATIVE IDEAS SUCH AS THE
00:58:28.404 --> 00:58:29.706
POSITION OF SURGEON GENERAL AND
00:58:29.772 --> 00:58:31.140
OFFICIALLY USING ALREADY
00:58:31.207 --> 00:58:33.243
EXISTING RESOURCES WE CAN REACH
00:58:33.309 --> 00:58:33.776
OUR GOAL OF HEALTH EQUITY
00:58:33.843 --> 00:58:34.844
EFFECTIVELY.
00:58:34.911 --> 00:58:36.713
HERE TO TESTIFY IN SUPPORT IS
00:58:36.779 --> 00:58:38.848
LINDA TO TO NARROW ITS POLICY
00:58:38.915 --> 00:58:42.685
ADVOCATE CALIFORNIA PAN ETHNIC
00:58:42.752 --> 00:58:44.487
HEALTH NETWORK.
00:58:44.554 --> 00:58:45.455
THANK YOU CHAIR IN MEMBERS LINDA
00:58:45.521 --> 00:58:46.322
TEAR WHAT'S ON BEHALF OF THE
00:58:46.389 --> 00:58:47.390
CALIFORNIA PAN I THINK HEALTH
00:58:47.457 --> 00:58:49.225
NETWORK A PROUD CO SPONSOR OF
00:58:49.292 --> 00:58:50.026
THIS MEASURE.
00:58:50.093 --> 00:58:51.194
WE ARE A STATEWIDE HEALTH
00:58:51.261 --> 00:58:52.829
ADVOCACY ORGANIZATION COMMITTED
00:58:52.896 --> 00:58:54.397
TO PROMOTING HEALTH EQUITY FOR
00:58:54.464 --> 00:58:55.798
HISTORICALLY UNDERSERVED
00:58:55.865 --> 00:58:57.367
POPULATIONS.
00:58:57.433 --> 00:58:58.968
AS AN ORGANIZATION WHO HAS LONG
00:58:59.035 --> 00:59:00.503
CHAMPIONED THE OFFICE OF HEALTH
00:59:00.570 --> 00:59:01.804
EQUITY WE UNDERSTAND THE
00:59:01.871 --> 00:59:03.273
IMPORTANCE OF ALLEVIATING HEALTH
00:59:03.339 --> 00:59:04.741
DISPARITIES THROUGH INVESTMENT
00:59:04.807 --> 00:59:06.509
IN PREVENTION EFFORTS.
00:59:06.576 --> 00:59:07.911
THIS INCLUDES RESPONDING TO THE
00:59:07.977 --> 00:59:09.545
SOCIAL DETERMINANTS OF HEALTH
00:59:09.612 --> 00:59:11.114
SUCH AS HOW RACE CLASS AND
00:59:11.180 --> 00:59:13.483
GENDER BIAS AND PHYSICAL SOCIAL
00:59:13.549 --> 00:59:15.952
ENVIRONMENTS AFFECT THE HEALTH
00:59:16.019 --> 00:59:16.653
OF INDIVIDUALS.
00:59:16.719 --> 00:59:18.187
AB EIGHT EIGHT SEVEN ANCHORS THE
00:59:18.254 --> 00:59:19.856
IMPORTANT ROLE OF THE SURGEON
00:59:19.923 --> 00:59:21.691
GENERAL INTO STATE LAW SO THAT
00:59:21.758 --> 00:59:22.825
ISSUES OF HEALTH EQUITY AND
00:59:22.892 --> 00:59:25.461
SOCIAL DETERMINANTS ARE AT THE
00:59:25.528 --> 00:59:27.163
FOREFRONT OF POLICYMAKING.
00:59:27.230 --> 00:59:28.264
GIVEN EXISTING STATE
00:59:28.331 --> 00:59:29.599
INFRASTRUCTURE WITH THE
00:59:29.666 --> 00:59:30.500
CALIFORNIA OFFICE OF HEALTH
00:59:30.566 --> 00:59:32.302
EQUITY THE CITY IS UNIQUELY
00:59:32.368 --> 00:59:34.203
POSITIONED TO ALIGN THE OFFICES
00:59:34.270 --> 00:59:35.939
MISSION UNDER THE SURGEON
00:59:36.005 --> 00:59:37.707
GENERAL'S PURVIEW.
00:59:37.774 --> 00:59:38.975
ALIGNING BOTH THE OFFICE OF
00:59:39.042 --> 00:59:40.443
HEALTH EQUITY AND THE OFFICE OF
00:59:40.510 --> 00:59:42.145
THE SURGEON GENERAL WILL LEAD TO
00:59:42.211 --> 00:59:44.080
MORE COHESIVE STRATEGY MAKING
00:59:44.147 --> 00:59:45.982
AND INVITE GREATER CROSS SECTOR
00:59:46.049 --> 00:59:47.083
COLLABORATION TO REDUCE HEALTH
00:59:47.150 --> 00:59:48.584
DISPARITIES.
00:59:48.651 --> 00:59:50.053
IN FACT OTHER STATES SUCH AS
00:59:50.119 --> 00:59:52.488
ARKANSAS IN FLORIDA HAVE ALREADY
00:59:52.555 --> 00:59:54.290
BEEN STATED THEIR OWN SURGEONS
00:59:54.357 --> 00:59:55.925
GENERAL TO MEET THESE NEEDS.
00:59:55.992 --> 00:59:57.160
ARKANSAS FOR EXAMPLE HAS
00:59:57.226 --> 00:59:58.428
CODIFIED THE POSITION OF THE
00:59:58.494 --> 01:00:00.029
STATE'S SURGEON GENERAL WHO
01:00:00.096 --> 01:00:01.931
ADVISES THE GOVERNOR BY ENGAGING
01:00:01.998 --> 01:00:03.800
A VARIETY OF DIVERSE STATE
01:00:03.866 --> 01:00:05.234
AGENCIES ON HEALTH REFORM.
01:00:05.301 --> 01:00:07.503
SIMILARLY AB EIGHT EIGHT SEVEN
01:00:07.570 --> 01:00:08.738
WILL BUILD UPON THE WORK OF THE
01:00:08.805 --> 01:00:10.173
OFFICE OF HEALTH EQUITY BY
01:00:10.239 --> 01:00:11.841
ELIMINATING THE SILOS BETWEEN
01:00:11.908 --> 01:00:13.743
STATE ENTITIES IN ORDER TO
01:00:13.810 --> 01:00:15.378
ACHIEVE BETTER HEALTH OUTCOMES.
01:00:15.445 --> 01:00:16.079
FOR THESE REASONS WE
01:00:16.145 --> 01:00:18.247
RESPECTFULLY REQUEST YOUR
01:00:18.314 --> 01:00:20.016
SUPPORT.
01:00:20.083 --> 01:00:20.583
FOR EIGHTY EIGHT EIGHT SEVEN
01:00:20.650 --> 01:00:22.452
THANK YOU.
01:00:22.518 --> 01:00:23.653
ANGELA WILLIAMS CALIFORNIA BLACK
01:00:23.720 --> 01:00:27.223
HEALTH NO WORK IN SUPPORT OF AB.
01:00:27.290 --> 01:00:27.824
EIGHT EIGHT SEVEN PARTICULARLY
01:00:27.890 --> 01:00:28.524
WHEN IT COMES TO EQUITY THE
01:00:28.591 --> 01:00:30.159
QUESTIONS AROUND A COULD YOU
01:00:30.226 --> 01:00:31.527
REQUIRE.
01:00:31.594 --> 01:00:33.262
A VERY CONCERTED EFFORT ANNA
01:00:33.329 --> 01:00:35.932
DESIGNED EFFORT -- NOT ONLY WITH
01:00:35.999 --> 01:00:37.100
STAKEHOLDERS BUT ALSO WITH
01:00:37.166 --> 01:00:38.668
LAWMAKERS AND ALSO STATE
01:00:38.735 --> 01:00:39.936
AGENCIES.
01:00:40.003 --> 01:00:41.404
MOVING THE OFFICE OF HEALTH
01:00:41.471 --> 01:00:42.572
EQUITY UNDER THE STERN IN
01:00:42.638 --> 01:00:45.575
GENERAL ACTUALLY VOLUMIZING IS
01:00:45.641 --> 01:00:46.743
THE IMPACT THAT IT CAN HAVE.
01:00:46.809 --> 01:00:48.444
THERE ARE MANY -- AND YOU'LL
01:00:48.511 --> 01:00:50.880
HEAR FROM MANY OF THOSE IN
01:00:50.947 --> 01:00:52.348
SUPPORT OF THE BILL TODAY.
01:00:52.415 --> 01:00:54.117
EFFORTS TO DOING THINGS DIRECTLY
01:00:54.183 --> 01:00:55.284
IN COMMUNITIES THAT ARE EQUITY
01:00:55.351 --> 01:00:56.719
FOCUS PARTICULARLY ME AFTER
01:00:56.786 --> 01:00:58.321
AMERICAN COMMUNITY.
01:00:58.388 --> 01:01:00.023
AND HAVING THE OFFICE
01:01:00.089 --> 01:01:01.591
PARTICULARLY WITH THE LEADERSHIP
01:01:01.657 --> 01:01:02.458
OF THE SURGEON GENERAL FOCUSED
01:01:02.525 --> 01:01:05.128
ON TRAUMA TRAUMA INFORMED CARE
01:01:05.194 --> 01:01:06.496
IN TRAUMA SCREENING.
01:01:06.562 --> 01:01:07.663
IS EXTREMELY IMPORTANT TO THE
01:01:07.730 --> 01:01:09.132
CALIFORNIA LIKE HEALTH NO WORK
01:01:09.198 --> 01:01:10.700
AND FOR THESE REASONS WE ASK FOR
01:01:10.767 --> 01:01:12.001
YOUR RIVAL.
01:01:12.068 --> 01:01:14.570
VERY MUCH OTHER SUPPORT.
01:01:14.637 --> 01:01:16.172
CHAIR MEMBERS ALEX HAWTHORN WITH
01:01:16.239 --> 01:01:17.707
THE CALIFORNIA HOSPITAL
01:01:17.774 --> 01:01:20.376
ASSOCIATION IN SUPPORT THANK YOU.
01:01:20.443 --> 01:01:22.945
HI DOCTOR PERCIVAL PEDIATRICIAN
01:01:23.012 --> 01:01:25.448
IN OAKLAND THANK YOU.
01:01:25.515 --> 01:01:27.050
MARK FOR PART WITH POLICY MAKING
01:01:27.116 --> 01:01:28.618
THE ALLIANCE FOR BOYS AND MEN OF
01:01:28.684 --> 01:01:29.452
COLOR IN STRONG SUPPORT THANK
01:01:29.519 --> 01:01:33.189
YOU.
01:01:33.256 --> 01:01:33.790
I FIGURE REMAINS ON THE HAVE A
01:01:33.856 --> 01:01:36.559
LATINO COALITION FOR HEALTHY
01:01:36.626 --> 01:01:37.193
CALIFORNIA STRONG SUPPORT THANK
01:01:37.260 --> 01:01:38.728
YOU.
01:01:38.795 --> 01:01:39.796
ISRAEL VIA WITH ME PLAN SALINAS
01:01:39.862 --> 01:01:41.164
AND THE CALIFORNIA LINES FOR YOU
01:01:41.230 --> 01:01:42.665
THINK COMMUNITY JUSTICE IN
01:01:42.732 --> 01:01:44.233
STRONG SUPPORT THANK YOU
01:01:44.300 --> 01:01:44.534
[inaudible]
01:01:44.600 --> 01:01:46.936
ANYONE ELSE. THIRTY ONE IN
01:01:47.003 --> 01:01:49.739
OPPOSITION.
01:01:49.806 --> 01:01:51.107
SEE NOW WILL BRING IT BACK TO
01:01:51.174 --> 01:01:52.208
THE COMMITTEE FOR QUESTIONS OR
01:01:52.275 --> 01:01:53.609
COMMENTS QUESTIONS OR COMMENTS
01:01:53.676 --> 01:01:55.578
FROM THE COMMITTEE.
01:01:55.645 --> 01:01:56.779
CNN WHICH LIKE CLOSE MISTER
01:01:56.846 --> 01:01:58.347
KALRA THANK YOU MISTER CHAMBERS
01:01:58.414 --> 01:01:59.615
OF GAS FROM MY PHONE.
01:01:59.682 --> 01:02:00.917
YOUR BILL DOES ENJOY DO PASS
01:02:00.983 --> 01:02:02.318
RECOMMENDATION WE HAVE A MOTION
01:02:02.385 --> 01:02:04.353
BY MISTER -- MAYES A SECOND BY
01:02:04.420 --> 01:02:06.456
MISS CARILLO MA'AM SECRETARY OF
01:02:06.522 --> 01:02:07.457
MOTION IS TO PASS THROUGH
01:02:07.523 --> 01:02:09.325
PREPARATIONS MAN SECTOR PLEASE%
01:02:09.392 --> 01:02:11.060
CALL THE ROLL WHAT I WOULD AYE
01:02:11.127 --> 01:02:12.361
MAYES.
01:02:12.428 --> 01:02:13.329
MAYES AYE AGUIAR-CURRY AGAR
01:02:13.396 --> 01:02:17.500
CURRY I BIGELOW BONTA BURKE.
01:02:17.567 --> 01:02:18.734
CARILLO [inaudible]
01:02:18.801 --> 01:02:21.304
I FLORA. FOR NOT VOTING.
01:02:21.370 --> 01:02:23.106
LONG.
01:02:23.172 --> 01:02:24.607
MCCARTY.
01:02:24.674 --> 01:02:26.142
MCCARTY I IN THIS AREA.
01:02:26.209 --> 01:02:29.512
RAMOS ROTH IRA REGUS.
01:02:29.579 --> 01:02:30.246
RODRIGUEZ AYE SANTIAGO.
01:02:30.313 --> 01:02:36.652
WALDRON. SEVEN OF SEVEN BOTH
01:02:36.719 --> 01:02:37.720
BELIEVE THAT BILL ON CALL AS
01:02:37.787 --> 01:02:37.954
WELL SO.
01:02:38.020 --> 01:02:42.125
THANK YOU.
01:02:42.191 --> 01:02:44.961
THANK YOU MISTERCHAIR AND ON TO
01:02:45.027 --> 01:02:46.496
THE LAST ONE PRESENTING A WITH
01:02:46.562 --> 01:02:48.264
YOUR PERMISSION ON BEHALF OF
01:02:48.331 --> 01:02:50.666
SUMMER GARCIA EDUARDO GARCIA --
01:02:50.733 --> 01:02:59.942
AB.
01:03:00.009 --> 01:03:00.476
SIX FIFTY SIX THIS FEATURE
01:03:00.543 --> 01:03:01.611
MEMBERS THANK YOU FOR ALLOWING
01:03:01.677 --> 01:03:02.512
ME TO PRESENT THIS BILL ON
01:03:02.578 --> 01:03:04.080
BEHALF OF SUMMER GARCIA.
01:03:04.147 --> 01:03:05.748
AB SIXTY SIX HIGHLIGHTS
01:03:05.815 --> 01:03:06.482
HIGHLIGHTS THE NEED FOR
01:03:06.549 --> 01:03:08.151
COORDINATED AT INTERSECTIONAL
01:03:08.217 --> 01:03:09.385
STRATEGIES IN ORDER TO ADDRESS
01:03:09.452 --> 01:03:10.820
THE FACTORS THAT CONTRIBUTE TO
01:03:10.887 --> 01:03:13.689
VIOLENCE AND THE ENVIRONMENTS
01:03:13.756 --> 01:03:14.023
AND LISTENERS.
01:03:14.090 --> 01:03:15.324
SECOND.
01:03:15.391 --> 01:03:16.359
CURRENT POLICIES IN PUBLIC
01:03:16.425 --> 01:03:17.727
FUNDING RESPONDED BY LISTENER
01:03:17.793 --> 01:03:19.562
REACTIONARY FASHION RATHER THAN
01:03:19.629 --> 01:03:20.830
A PREVENTIVE.
01:03:20.897 --> 01:03:22.231
ONE THE PURPOSE OF THIS BILL TO
01:03:22.298 --> 01:03:23.232
TAKE A PROACTIVE APPROACH A
01:03:23.299 --> 01:03:24.967
VIOLENCE PREVENTION IT WILL DO
01:03:25.034 --> 01:03:26.469
THIS THROUGH THE CREATION OF AN
01:03:26.536 --> 01:03:27.637
OFFICE OF HEALTH.
01:03:27.703 --> 01:03:29.372
HEALTHY AND SAFE COMMUNITIES
01:03:29.438 --> 01:03:29.939
UNDER THE DIRECTION OF THE
01:03:30.006 --> 01:03:31.407
SURGEON GENERAL WITH THE GOAL OF
01:03:31.474 --> 01:03:32.475
ADDRESSING THE NEXUS BETWEEN
01:03:32.542 --> 01:03:34.076
VIOLENT BEHAVIOR AND PUBLIC
01:03:34.143 --> 01:03:35.344
HEALTH INEQUITIES.
01:03:35.411 --> 01:03:36.579
THIS NEW OFFICE WILL BE TASKED
01:03:36.646 --> 01:03:38.347
WITH DEVELOPING IMPLEMENTING AND
01:03:38.414 --> 01:03:40.816
MONITORING A CALIFORNIA VISION
01:03:40.883 --> 01:03:42.418
AND PLAN FOR VIOLENCE PREVENTION
01:03:42.485 --> 01:03:43.920
SAFETY AND HEALING BY.
01:03:43.986 --> 01:03:45.254
CONNECTING THE VISION AND PLAN
01:03:45.321 --> 01:03:46.656
TO THE GOVERNOR STRATEGIES FOR
01:03:46.722 --> 01:03:47.890
YOU DEVELOPMENT CRIMINAL
01:03:47.957 --> 01:03:49.458
JUVENILE JUSTICE REFORM
01:03:49.525 --> 01:03:50.893
HEALTHCARE SERVICES AND OTHER
01:03:50.960 --> 01:03:52.628
RELATED AREAS OPPORTUNITY.
01:03:52.695 --> 01:03:54.263
IDENTIFYING AND INTEGRATING
01:03:54.330 --> 01:03:56.432
TRAUMA CENTER DIAGNOSTIC TOOLS
01:03:56.499 --> 01:03:56.966
SUCH AS EARLY AND PERIODIC
01:03:57.033 --> 01:03:57.833
SCREENING.
01:03:57.900 --> 01:03:59.368
DIAGNOSIS AND TREATMENT TO
01:03:59.435 --> 01:04:00.469
SUPPORT BY THIS PREVENTION
01:04:00.536 --> 01:04:02.838
INTERVENTION AND HEALING AND
01:04:02.905 --> 01:04:04.373
CREATING AN INTERACTIVE
01:04:04.440 --> 01:04:05.708
COMMUNITY ENGAGEMENT STRATEGY
01:04:05.775 --> 01:04:07.743
THAT PRIORITIZES THE VOICES OF
01:04:07.810 --> 01:04:09.579
PEOPLE DIRECTLY IMPACTED AND
01:04:09.645 --> 01:04:10.780
DOING THE WORK TO PREVENT
01:04:10.846 --> 01:04:11.280
VIOLENCE.
01:04:11.347 --> 01:04:13.182
AT PROMOTE PEACE AND HEALING AND
01:04:13.249 --> 01:04:14.317
COMMUNITIES.
01:04:14.383 --> 01:04:15.751
ALONGSIDE THIS BILL IS A BUDGET
01:04:15.818 --> 01:04:17.053
REQUEST FOR A ONE TIME
01:04:17.119 --> 01:04:18.588
ALLOCATION SIX MILLION DOLLARS
01:04:18.654 --> 01:04:19.989
TO SUPPORT STAFF CONSULTANTS AND
01:04:20.056 --> 01:04:22.058
INITIAL EXPENSE ASSOCIATED WITH
01:04:22.124 --> 01:04:23.859
CARRYING OUT THE TASKS AND
01:04:23.926 --> 01:04:25.394
RESPONSIBILITY THE OFFICE.
01:04:25.461 --> 01:04:26.462
WITH ME TODAY TO SPEAK IN
01:04:26.529 --> 01:04:28.497
SUPPORTER DEANGELO MAC DIRECTORS
01:04:28.564 --> 01:04:30.466
STATE OF THE DIRECTOR STATE
01:04:30.533 --> 01:04:31.300
POLICY AND PUBLIC HEALTH
01:04:31.367 --> 01:04:32.535
ADVOCATES AND COME UP ALL
01:04:32.602 --> 01:04:33.936
DHALIWAL CO FOUNDER.
01:04:34.003 --> 01:04:37.573
AND ASSOCIATE DIRECTOR AT THE
01:04:37.640 --> 01:04:40.142
RISE CENTER.
01:04:40.209 --> 01:04:41.777
SHARE OUT THERE WE ARE.
01:04:41.844 --> 01:04:43.379
THANK YOU MISTER CHAIR AND
01:04:43.446 --> 01:04:45.815
MEMBERS MY NAME'S ANGELA MAC.
01:04:45.881 --> 01:04:47.717
I'M WITH PUBLIC HEALTH ADVOCATES
01:04:47.783 --> 01:04:50.386
AND THE STATE DIRECTOR -- THERE
01:04:50.453 --> 01:04:52.488
AND UP THERE PROCESS BONSOR THIS
01:04:52.555 --> 01:04:55.424
BILL.
01:04:55.491 --> 01:04:55.958
EIGHTY EIGHTY SIX FIVE SIX
01:04:56.025 --> 01:04:56.626
PUBLIC HEALTH ADVOCATES PROMOTES
01:04:56.692 --> 01:04:58.461
HEALTHY COMMUNITIES AND FOCUSES
01:04:58.527 --> 01:04:59.562
ON ELIMINATING HEALTH
01:04:59.629 --> 01:05:01.731
DISPARITIES BY TRANSFORMING
01:05:01.797 --> 01:05:03.266
NEIGHBORHOODS INTO PLACES THAT
01:05:03.332 --> 01:05:05.067
NURTURE WELL BEING.
01:05:05.134 --> 01:05:05.635
AND THIS INCLUDES STANDING
01:05:05.701 --> 01:05:07.470
BEHIND GOOD POLICY THAT MAKES
01:05:07.536 --> 01:05:09.805
HEALTH A REALITY FOR ALL.
01:05:09.872 --> 01:05:13.909
AB SIX FIVE SIX IS A GOOD POLICY.
01:05:13.976 --> 01:05:15.378
WE BELIEVE THAT VIOLENCE IS A
01:05:15.444 --> 01:05:16.612
PUBLIC HEALTH ISSUE OF GREAT
01:05:16.679 --> 01:05:19.815
MAGNITUDE VIOLENCE IS THE NUMBER
01:05:19.882 --> 01:05:21.150
ONE CAUSE OF DEATH FOR AFRICAN
01:05:21.217 --> 01:05:23.152
AMERICAN AND LATINO MALES.
01:05:23.219 --> 01:05:25.321
AGES FIFTEEN TO TWENTY FOUR
01:05:25.388 --> 01:05:27.490
YEARS OF AGE AND IN MANY CITIES
01:05:27.556 --> 01:05:29.191
IN CALIFORNIA AND ACROSS THE
01:05:29.258 --> 01:05:30.159
NATION.
01:05:30.226 --> 01:05:32.128
VIOLENCE IS THE LEADING CAUSE OF
01:05:32.194 --> 01:05:36.198
DEATH FOR PEOPLE UNDER THE AGE
01:05:36.265 --> 01:05:36.999
OF TWENTY FOUR YEARS OLD.
01:05:37.066 --> 01:05:38.467
THE INDIRECT EFFECTS OF VIOLENCE
01:05:38.534 --> 01:05:40.036
INCLUDE CHRONIC DISEASE SUCH AS
01:05:40.102 --> 01:05:42.238
HEART DISEASE CANCER STROKE
01:05:42.305 --> 01:05:44.473
ASTHMA AND MANY MORE.
01:05:44.540 --> 01:05:46.275
AS WELL AS MENTAL HEALTH ISSUES
01:05:46.342 --> 01:05:48.878
LIKE PTSD -- DEPRESSION AND
01:05:48.944 --> 01:05:51.314
ANXIETY INCREASED EXPOSURE TO
01:05:51.380 --> 01:05:52.748
VIOLENCE LOWERS EVERY DAY
01:05:52.815 --> 01:05:55.217
QUALITY OF LIFE AND INCREASES
01:05:55.284 --> 01:05:57.219
THE RISK OF PER PERPETRATING
01:05:57.286 --> 01:05:58.321
VIOLENCE.
01:05:58.387 --> 01:06:00.690
MENTAL TRAUMA FROM EXPOSURE TO
01:06:00.756 --> 01:06:02.458
VIOLENCE HAS BEEN SIGNATURE THAT
01:06:02.525 --> 01:06:04.694
SCIENTIFICALLY SHOWN TO INCREASE
01:06:04.760 --> 01:06:07.396
A PERSON'S RISK OF ADOPTING
01:06:07.463 --> 01:06:09.332
VIOLENT BEHAVIOR THEMSELVES --
01:06:09.398 --> 01:06:10.666
MEANING THAT VIOLENT BEHAVIOR
01:06:10.733 --> 01:06:13.402
TRANSMITS AND SPREADS BASED ON
01:06:13.469 --> 01:06:14.770
EXPOSURE JUST LIKE IN THE
01:06:14.837 --> 01:06:16.472
EPIDEMIC DISEASE.
01:06:16.539 --> 01:06:18.574
THE OFFICE OF HEALTHY AND SAFE
01:06:18.641 --> 01:06:20.176
COMMUNITIES WOULD HELP TO
01:06:20.242 --> 01:06:21.644
REVERSE THE EFFECTS OF TRAUMA
01:06:21.711 --> 01:06:23.412
DUE TO VIOLENCE BY ADDRESSING
01:06:23.479 --> 01:06:25.014
THE ROOT CAUSES OF VIOLENCE AND
01:06:25.081 --> 01:06:27.149
DEVELOPING IT AND IMPLEMENTING
01:06:27.216 --> 01:06:28.617
WITH THE HELP OF CULTURALLY
01:06:28.684 --> 01:06:29.952
COMPETENT COMMUNITY MINDED
01:06:30.019 --> 01:06:30.953
INDIVIDUALS.
01:06:31.020 --> 01:06:33.022
A CALIFORNIA PLAN FOR VIOLENCE
01:06:33.089 --> 01:06:34.623
PREVENTION SAFETY AND HEALING IN
01:06:34.690 --> 01:06:37.026
CONCLUSION -- I'M EXCITED TODAY
01:06:37.093 --> 01:06:38.661
THAT CALIFORNIA HAS THE
01:06:38.728 --> 01:06:40.529
OPPORTUNITY TO GET THIS RIGHT --
01:06:40.596 --> 01:06:42.531
IN MY PREVIOUS WORK I SERVED
01:06:42.598 --> 01:06:45.501
OVER HUNDREDS OF YOUNG MEN AND
01:06:45.568 --> 01:06:47.737
WOMEN -- AFFECTED BY VIOLENCE
01:06:47.803 --> 01:06:49.805
SHOT STABBED ASSAULTED AND I SIT
01:06:49.872 --> 01:06:52.875
BEFORE YOU AS THEIR VOICE SAYING
01:06:52.942 --> 01:06:53.676
PLEASE.
01:06:53.743 --> 01:06:55.845
PASS THIS BILL WE RESPECTFULLY
01:06:55.911 --> 01:06:57.079
ASK FOR YOUR AYE VOTE.
01:06:57.146 --> 01:07:00.449
THANK YOU VERY MUCH.
01:07:00.516 --> 01:07:02.184
GOOD AFTERNOON MY NAME IS KHAN
01:07:02.251 --> 01:07:03.886
RECALL DALI WALL AND ASSOCIATE
01:07:03.953 --> 01:07:05.488
DIRECTOR AND CO FOUNDER OF THE
01:07:05.554 --> 01:07:07.723
RISE YOU CENTER IN RICHMOND.
01:07:07.790 --> 01:07:09.892
MY PRONOUNS ARE SHE HER AND HERS
01:07:09.959 --> 01:07:14.530
ALLOWED I'M PROUD SPONSOR OF AB.
01:07:14.597 --> 01:07:15.164
SIX FIVE SIX RICE CREATE SAFE
01:07:15.231 --> 01:07:15.898
SPACES GROUNDED IN SOCIAL
01:07:15.965 --> 01:07:18.033
JUSTICE FOR YOUNG PEOPLE TO LOVE
01:07:18.100 --> 01:07:19.702
LEARN EDUCATE HE'LL AND
01:07:19.769 --> 01:07:22.238
TRANSFORMS LIVES AND COMMUNITIES.
01:07:22.304 --> 01:07:23.706
WE DO THIS THEIR PROGRAMMING IN
01:07:23.773 --> 01:07:25.040
AREAS OF COMMUNITY HEALTH
01:07:25.107 --> 01:07:26.575
EDUCATION AND JUSTICE YOUTH
01:07:26.642 --> 01:07:29.412
LEADERSHIP IN RGANIZING AND
01:07:29.478 --> 01:07:31.747
MEDIA ARTS AND CULTURE. TWENTY
01:07:31.814 --> 01:07:32.982
FOURTEEN YOUR TWENTY FOURTEEN
01:07:33.048 --> 01:07:34.884
RISING GAUGE OVER FIVE HUNDRED
01:07:34.950 --> 01:07:35.885
YOUNG PEOPLE ABOUT THEIR
01:07:35.951 --> 01:07:37.787
EXPERIENCES AND ARTICULATIONS OF
01:07:37.853 --> 01:07:39.555
TRAUMA VIOLENCE COPING AND
01:07:39.622 --> 01:07:40.756
HEALING.
01:07:40.823 --> 01:07:42.324
WHAT WE LEARNED IS THE FOLLOWING
01:07:42.391 --> 01:07:44.460
THAT TRAUMA IS PERVASIVE ASSUMED
01:07:44.527 --> 01:07:46.195
AND MULTI DIMENSIONAL?
01:07:46.262 --> 01:07:47.863
YET GETS TREATED LARGELY BY THE
01:07:47.930 --> 01:07:49.598
ADULTS AND SYSTEMS THAT WE WORK
01:07:49.665 --> 01:07:52.501
AND AS EPISODIC BEHAVIORAL AN
01:07:52.568 --> 01:07:53.869
INDIVIDUAL.
01:07:53.936 --> 01:07:55.571
TRAUMAS ORGANIZE THEIR SILENCING
01:07:55.638 --> 01:07:57.506
AND SHAMING MEDIATED THROUGH
01:07:57.573 --> 01:08:00.109
SUBSTANCE USE AS WELL AS HARM TO
01:08:00.176 --> 01:08:01.610
SELF AND OTHERS.
01:08:01.677 --> 01:08:03.245
IN A SUBSEQUENT YOUTH WEBINQUIRY
01:08:03.312 --> 01:08:05.114
IN TWENTY SIXTEEN WITH ALMOST
01:08:05.181 --> 01:08:07.016
TWO HUNDRED YOUNG PEOPLE -- WHO
01:08:07.082 --> 01:08:08.384
TALK TO THEIR PEERS ABOUT THEIR
01:08:08.451 --> 01:08:09.985
PRIMARY COPING STRATEGY WHICH
01:08:10.052 --> 01:08:12.054
WAS SMOKING WEED ONE OF THE MOST
01:08:12.121 --> 01:08:13.656
PAINFUL AND PROFOUND THINGS WE
01:08:13.722 --> 01:08:14.757
HEARD WAS THAT?
01:08:14.824 --> 01:08:17.359
YOUNG PEOPLE SHARE THE RISK OF
01:08:17.426 --> 01:08:18.494
GETTING CAUGHT WITH MARIJUANA.
01:08:18.561 --> 01:08:20.262
FELT LESS HARMFUL THAN THE RISK
01:08:20.329 --> 01:08:21.664
OF TRYING TO ACCESS AN ADULT WHO
01:08:21.730 --> 01:08:25.734
COULD HELP.
01:08:25.801 --> 01:08:28.103
SO THIS ATMOSPHERIC DISTRESS IS
01:08:28.170 --> 01:08:29.538
REFLECTED IN REINFORCED THROUGH
01:08:29.605 --> 01:08:31.073
ON EMPATHETIC AND JUDGMENTAL
01:08:31.140 --> 01:08:32.741
EXPERIENCES WITH ADULTS WHO ARE
01:08:32.808 --> 01:08:34.310
STEWARDS OF THE SYSTEMS
01:08:34.376 --> 01:08:35.845
RESPONSIBLE FOR THEM.
01:08:35.911 --> 01:08:37.046
SO RISE WE WORK WITH YOUNG
01:08:37.112 --> 01:08:38.714
PEOPLE WHO EXPERIENCE LEGAL
01:08:38.781 --> 01:08:40.683
INJURY AND TOO MANY TIMES MERE
01:08:40.749 --> 01:08:42.318
MY STAFF HAD TO INTERVENE THE
01:08:42.384 --> 01:08:43.986
LANGUAGE AND TONE OF HEALTH CARE
01:08:44.053 --> 01:08:46.155
STAFF WINNER FOR TO OUR YOUNG
01:08:46.222 --> 01:08:48.257
PEOPLE WEBER OVER A DOZEN BULLET
01:08:48.324 --> 01:08:50.826
HOLES IN THEM AS NON COMPLIANT --
01:08:50.893 --> 01:08:52.061
ACTING AS BABIES.
01:08:52.127 --> 01:08:53.095
WE HAVE TO DEAL WITH PUBLIC
01:08:53.162 --> 01:08:54.363
SAFETY AND SOCIAL SERVICE
01:08:54.430 --> 01:08:56.165
SYSTEMS THAT HOLD THEM CULPABLE
01:08:56.232 --> 01:08:57.633
FOR THEIR INJURY AND THEN LACK
01:08:57.700 --> 01:08:58.868
IN CONNECTING THEM TO THE
01:08:58.934 --> 01:09:01.470
RESOURCES AND SERVICES THAT ARE
01:09:01.537 --> 01:09:02.905
RIGHTFULLY AND LEGALLY BEARS.
01:09:02.972 --> 01:09:04.240
SO WHEN WE ASK YOUNG PEOPLE WHAT
01:09:04.306 --> 01:09:05.975
THEY NEEDED THE MOST RESPOND
01:09:06.041 --> 01:09:07.943
RESOUNDING RESPONSE WAS THE NEED
01:09:08.010 --> 01:09:09.678
DESIRE AND EXPECTATION FOR
01:09:09.745 --> 01:09:11.347
ADULTS AND A SYSTEMS.
01:09:11.413 --> 01:09:13.048
WHO CAN CARE A FIRM AND LOVE
01:09:13.115 --> 01:09:13.649
THEM?
01:09:13.716 --> 01:09:14.950
THEY SAID THEY NEED ADULTS AND
01:09:15.017 --> 01:09:16.719
SYSTEMS WHO CAN PROVIDE GUIDANCE
01:09:16.785 --> 01:09:19.188
AND STRUCTURE AND PREDICTABILITY.
01:09:19.255 --> 01:09:21.390
AN ADULT WHO CAN WORK TOGETHER
01:09:21.457 --> 01:09:22.958
BETTER WITHIN AND ACROSS THE
01:09:23.025 --> 01:09:24.593
SYSTEMS RESPONSIBLE FOR US FOR
01:09:24.660 --> 01:09:26.428
THEM.
01:09:26.495 --> 01:09:27.997
THE ESTABLISHMENT OF THE OFFICE
01:09:28.063 --> 01:09:29.164
OF HEALTHY AND SAFE COMMUNITIES
01:09:29.231 --> 01:09:31.233
AS EVER TIMELY IT'S A DIRECT
01:09:31.300 --> 01:09:32.701
CALL TO ACTION FROM OUR YOUNG
01:09:32.768 --> 01:09:33.769
PEOPLE.
01:09:33.836 --> 01:09:34.837
AND IN ORDER TO MEANINGFULLY
01:09:34.904 --> 01:09:36.372
CREATE HEALTHY COMMUNITIES WE
01:09:36.438 --> 01:09:37.740
MUST UNDERSTAND AND ADDRESS
01:09:37.806 --> 01:09:39.742
SAFETY AS OUR YOUNG PEOPLE DO
01:09:39.808 --> 01:09:41.176
AND ALL OF ITS DIMENSIONS.
01:09:41.243 --> 01:09:42.978
PHYSICAL EMOTIONAL SOCIAL
01:09:43.045 --> 01:09:44.513
ENVIRONMENTAL POLITICAL AND
01:09:44.580 --> 01:09:46.882
INSTITUTIONAL WE MUST UNDERSTAND
01:09:46.949 --> 01:09:48.951
THAT SAFETY LIES IN SANCTUARY
01:09:49.018 --> 01:09:50.653
NOT SURVEILLANCE THAT COMES
01:09:50.719 --> 01:09:52.354
THROUGH HEALING NOT JUST
01:09:52.421 --> 01:09:53.756
INTERVENING OR ENFORCING.
01:09:53.822 --> 01:09:55.724
AND THAT MY SAFETY IS CONNECTED
01:09:55.791 --> 01:09:58.160
TO THE ANGELOS HIS TO MINE HOURS
01:09:58.227 --> 01:10:00.529
TO YOURS AND YOURS TO OUR YOUNG
01:10:00.596 --> 01:10:01.397
PEOPLE'S AND TO EVERYONE IN THIS
01:10:01.463 --> 01:10:02.231
ROOM.
01:10:02.298 --> 01:10:04.233
THANK YOU AND WE HOPE TO HEAR
01:10:04.300 --> 01:10:05.301
AYE VOTE FOR SIX FIVE SIX THANK
01:10:05.367 --> 01:10:05.634
YOU.
01:10:05.701 --> 01:10:07.903
THANK YOU VERY MUCH OTHERS IN
01:10:07.970 --> 01:10:16.378
SUPPORT.
01:10:16.445 --> 01:10:18.380
JULIET SIMMS ON BEHALF OF
01:10:18.447 --> 01:10:19.248
PREVENTION INSTITUTE SUPPORT.
01:10:19.315 --> 01:10:22.351
THANK YOU.
01:10:22.418 --> 01:10:22.885
ISRAEL WE ARE WITH ME BY
01:10:22.952 --> 01:10:24.920
PROSKAUER PROCESS BECAUSE
01:10:24.987 --> 01:10:26.455
SPONSORS IN STRONG SUPPORT.
01:10:26.522 --> 01:10:28.357
THANK YOU.
01:10:28.424 --> 01:10:29.758
CHAIR MEMBERS AWESTRUCK HEM
01:10:29.825 --> 01:10:31.527
HAVE TO SEE IF SACRAMENTO IN
01:10:31.594 --> 01:10:33.095
SUPPORT THANK YOU.
01:10:33.162 --> 01:10:33.896
HAVING A RUMOR IS A WE HAVE A
01:10:33.963 --> 01:10:35.197
LATINO COALITION FOR HEALTHY
01:10:35.264 --> 01:10:38.033
CALIFORNIA ALSO CO SPONSORS A
01:10:38.100 --> 01:10:38.634
STRONG SUPPORT THINKING THANK
01:10:38.701 --> 01:10:39.168
YOU.
01:10:39.234 --> 01:10:40.202
AND IT'S NOW IT'S ON BEHALF OF
01:10:40.269 --> 01:10:41.370
THE CALIFORNIA PAN AT THE
01:10:41.437 --> 01:10:42.805
CATHOLIC WORK IN SUPPORT.
01:10:42.871 --> 01:10:43.872
THE KID.
01:10:43.939 --> 01:10:44.773
ARE YOU FOR LIKE ON BEHALF OF
01:10:44.840 --> 01:10:47.042
DIFFERENCE LAW CENTER TO PREVENT
01:10:47.109 --> 01:10:47.543
GUN VIOLENCE IN SUPPORT.
01:10:47.610 --> 01:10:49.211
THANK YOU.
01:10:49.278 --> 01:10:50.980
A SPONTANEOUS WITH ANTI
01:10:51.046 --> 01:10:52.781
RECIDIVISM COALITION IN SUPPORT.
01:10:52.848 --> 01:10:53.983
THANK YOU DOCTOR CARE PERSONAL
01:10:54.049 --> 01:10:55.651
PEDIATRICIAN OAKLAND AND STRONG
01:10:55.718 --> 01:10:57.620
SUPPORT.
01:10:57.686 --> 01:10:59.488
ANGELA WILLIAMS CALIFORNIA BLACK
01:10:59.555 --> 01:11:02.958
HEALTH NETWORK AND SUPPORT.
01:11:03.025 --> 01:11:04.727
SIR MICHAEL GAS IN WITH YOU
01:11:04.793 --> 01:11:07.696
FORWARD IN STRONG SUPPORT.
01:11:07.763 --> 01:11:09.365
ALEX PRISCO CALIFORNIA
01:11:09.431 --> 01:11:10.633
CHILDREN'S TRUST í
01:11:10.699 --> 01:11:12.868
THANK YOU. FOR SHALL DICKER WITH
01:11:12.935 --> 01:11:14.236
THE NATIONAL NETWORK OF HOSPITAL
01:11:14.303 --> 01:11:16.338
BASED VIOLENCE INTERVENTION
01:11:16.405 --> 01:11:16.872
PROGRAMS IN STRONG SUPPORT
01:11:16.939 --> 01:11:17.172
[inaudible]
01:11:17.239 --> 01:11:19.141
MUCH.
01:11:19.208 --> 01:11:22.845
IS THERE ANYONE IN OPPOSITION.
01:11:22.911 --> 01:11:23.912
TO KNOW WILL BRING BACK TO THE
01:11:23.979 --> 01:11:24.480
COMMITTEE FOR QUESTIONS OR
01:11:24.546 --> 01:11:28.250
COMMENTS QUESTIONS OR COMMENTS.
01:11:28.317 --> 01:11:31.654
SEE NONE WHICH I CLOSE WHICH CAR.
01:11:31.720 --> 01:11:32.287
THANK YOU MISTER SHARES OF GAS
01:11:32.354 --> 01:11:32.955
FROM ABOUT THANK YOU.
01:11:33.022 --> 01:11:34.056
THE BILL DOES ENJOYED DO PASS
01:11:34.123 --> 01:11:35.791
RECOMMENDATION WE HAVE A MOTION
01:11:35.858 --> 01:11:37.793
BY MISS AGUIAR-CURRY A SECOND BY
01:11:37.860 --> 01:11:39.395
MISS CARILLO THE MOTION IS TO
01:11:39.461 --> 01:11:40.996
PASS TO APPROPRIATIONS MADAM
01:11:41.063 --> 01:11:43.499
SECRETARY PLEASE CALL THE ROLL
01:11:43.565 --> 01:11:44.400
WHAT I WOULD AYE NAMES
01:11:44.466 --> 01:11:44.700
[inaudible]
01:11:44.767 --> 01:11:46.969
AGUIAR-CURRY [inaudible]
01:11:47.036 --> 01:11:48.737
BIGELOW [inaudible]
01:11:48.804 --> 01:11:50.706
BONTA BURKE [inaudible]
01:11:50.773 --> 01:11:52.641
CARILLO.
01:11:52.708 --> 01:11:54.343
I FLORA.
01:11:54.410 --> 01:11:56.712
FLOOR NOT VOTING LIMON.
01:11:56.779 --> 01:11:58.414
MCCARTY I IN THIS AREA.
01:11:58.480 --> 01:11:59.448
RAMOS.
01:11:59.515 --> 01:12:02.217
RAMOS I RODRIGUEZ RODRIGUEZ I
01:12:02.284 --> 01:12:08.390
SANTIAGO WALDRON.
01:12:08.457 --> 01:12:09.625
GIVE FIVE WILL BE THE BILL ON
01:12:09.692 --> 01:12:10.225
CALL THANK YOU VERY MUCH COULD
01:12:10.292 --> 01:12:11.627
MISTER KALRA [inaudible]
01:12:11.694 --> 01:12:27.843
MR GABRIEL
01:12:41.924 --> 01:12:41.990
.
01:12:41.990 --> 01:12:42.558
THANK YOU MR CHAIRMAN MEMBERS I
01:12:42.624 --> 01:12:46.195
AM PLEASED ONE SIX SIX A BILL TO
01:12:46.261 --> 01:12:47.863
PROVIDE MEDICARE REIMBURSEMENT
01:12:47.930 --> 01:12:49.465
FOR PROFESSIONAL VIOLENCE.
01:12:49.531 --> 01:12:51.166
PREVENTION SERVICES FOR VICTIMS
01:12:51.233 --> 01:12:52.568
OF GUN VIOLENCE AND OTHER
01:12:52.634 --> 01:12:54.169
VIOLENT INCIDENTS.
01:12:54.236 --> 01:12:54.670
I WILL BE ACCEPTING THE
01:12:54.737 --> 01:12:55.904
COMMITTEES AMENDMENTS AND WOULD
01:12:55.971 --> 01:12:56.839
LIKE TO THANK THE CHERRY
01:12:56.905 --> 01:12:58.407
COMMITTEE STAFF FOR WORKING WITH
01:12:58.474 --> 01:12:59.775
US ON THIS MEASURE.
01:12:59.842 --> 01:13:01.076
THIS LEGISLATION ADDRESSES THE
01:13:01.143 --> 01:13:02.711
UNFORTUNATE REALITY THAT FAR TOO
01:13:02.778 --> 01:13:03.946
MANY VICTIMS OF GUN VIOLENCE ARE
01:13:04.012 --> 01:13:05.881
AT HIGH RISK FOR RE INJURY AND
01:13:05.948 --> 01:13:06.882
RETALIATION.
01:13:06.949 --> 01:13:08.117
INDEED STUDIES HAVE ESTIMATED
01:13:08.183 --> 01:13:10.385
THAT IN URBAN AREAS OVER 40% OF
01:13:10.452 --> 01:13:11.720
PATIENTS TREATED FOR VIOLIN
01:13:11.787 --> 01:13:13.789
INJURY SUCH A SHOOTING ARE RE
01:13:13.856 --> 01:13:15.424
INTERRED WITHIN FIVE YEARS.
01:13:15.491 --> 01:13:16.458
IN RESPONSE TO THESE ALARMING
01:13:16.525 --> 01:13:18.026
TRENDS PUBLIC HEALTH RESEARCH
01:13:18.093 --> 01:13:20.028
HAS IDENTIFIED HOSPITAL BASED
01:13:20.095 --> 01:13:21.530
VIOLENCE INTERVENTION PROGRAMS
01:13:21.597 --> 01:13:22.898
AS ONE OF THE MOST INNOVATIVE
01:13:22.965 --> 01:13:24.733
AND EFFECTIVE STRATEGIES FOR
01:13:24.800 --> 01:13:25.968
REDUCING RATES OF FIND THE RE
01:13:26.034 --> 01:13:27.302
ENTRY.
01:13:27.369 --> 01:13:28.704
THESE PROGRAMS BRING SPECIALLY
01:13:28.771 --> 01:13:30.305
TRAINED AND CERTIFIED VIOLENCE
01:13:30.372 --> 01:13:32.341
INTERVENTION SPECIALISTS SO YOU
01:13:32.407 --> 01:13:33.242
TO THE HOSPITAL AND A UNIQUE
01:13:33.308 --> 01:13:34.777
MOMENT OF OPPORTUNITY TO WORK
01:13:34.843 --> 01:13:35.677
WITH PATIENTS WHO HAVE BEEN
01:13:35.744 --> 01:13:36.845
IDENTIFIED BY THEIR HEALTHCARE
01:13:36.912 --> 01:13:38.347
PROVIDERS.
01:13:38.413 --> 01:13:39.848
AS HIGH RISK FOR BINARY INJURIES.
01:13:39.915 --> 01:13:40.682
CITIES HAVE REPEATEDLY
01:13:40.749 --> 01:13:41.950
DEMONSTRATED THE SUCCESS OF SUCH
01:13:42.017 --> 01:13:44.052
PROGRAMS YET THESE PROGRAMS ARE
01:13:44.119 --> 01:13:45.721
CURRENTLY OPERATING IN A ONLY A
01:13:45.788 --> 01:13:47.523
FEW CALIFORNIA HOSPITALS LEADING
01:13:47.589 --> 01:13:48.357
TO THOUSANDS OF MISSED
01:13:48.423 --> 01:13:50.225
OPPORTUNITIES FOR EFFECTIVE
01:13:50.292 --> 01:13:51.560
INTERVENTIONS TO ADDRESS THE
01:13:51.627 --> 01:13:53.228
CYCLE OF GUN VIOLENCE IN
01:13:53.295 --> 01:13:53.962
CALIFORNIA COMMUNITIES EVERY
01:13:54.029 --> 01:13:54.830
YEAR.
01:13:54.897 --> 01:13:56.198
AB ONE SIX SIX WOULD LEVERAGE
01:13:56.265 --> 01:13:57.666
FEDERAL MEDICAID DOLLARS BY
01:13:57.733 --> 01:13:59.168
CREATING A SUSTAINABLE FUNDING
01:13:59.234 --> 01:14:00.602
STREAM FOR THESE PROGRAMS BY
01:14:00.669 --> 01:14:01.870
EXPANDING UTILIZATION OF THE
01:14:01.937 --> 01:14:03.505
SERVICES THIS LEGISLATION WOULD
01:14:03.572 --> 01:14:04.506
SAVE LIVES.
01:14:04.573 --> 01:14:06.475
PROTECT TAXPAYER FUNDS REDUCE
01:14:06.542 --> 01:14:07.876
BURDENS ON THE MEDICAL JUDICIAL
01:14:07.943 --> 01:14:09.444
SYSTEMS AND ADDRESS TROUBLING
01:14:09.511 --> 01:14:10.345
RACIAL DISPARITIES IN HEALTH
01:14:10.412 --> 01:14:11.780
OUTCOMES.
01:14:11.847 --> 01:14:12.915
WITH ME TODAY TO TESTIFY IN
01:14:12.981 --> 01:14:13.782
SUPPORT OF THIS LEGISLATION ARE
01:14:13.849 --> 01:14:15.317
ARI FRY LIKE THE CALIFORNIA
01:14:15.384 --> 01:14:16.985
LEGISLATIVE AFFAIRS TO RECORD
01:14:17.052 --> 01:14:18.020
WITH THE DIFFERENCE LAW CENTER
01:14:18.086 --> 01:14:19.321
TO PREVENT GUN VIOLENCE.
01:14:19.388 --> 01:14:21.123
AND SHALL DECKER VICE CHAIR OF
01:14:21.190 --> 01:14:21.723
THE DEPARTMENT OF SURGERY AT
01:14:21.790 --> 01:14:23.458
UCLA AND FOUNDING DIRECTOR OF
01:14:23.525 --> 01:14:24.927
THE UC SAN FRANCISCO WRAPAROUND
01:14:24.993 --> 01:14:28.363
PROJECT THANK YOU AGAIN
01:14:28.430 --> 01:14:28.964
RESPECTFULLY REQUEST YOUR AYE
01:14:29.031 --> 01:14:29.431
VOTE.
01:14:29.498 --> 01:14:30.532
THANK YOU VERY MUCH GOOD
01:14:30.599 --> 01:14:32.267
AFTERNOON CHARMAN WOULD AN
01:14:32.334 --> 01:14:33.569
HONORABLE ASSEMBLY MEMBERS.
01:14:33.635 --> 01:14:35.103
MY NAME'S ARE SHALL DECKER AM A
01:14:35.170 --> 01:14:36.839
TRAUMA SURGEON AND CURRENTLY THE
01:14:36.905 --> 01:14:38.674
ASSOCIATE DIRECTOR AT UCLA AND
01:14:38.740 --> 01:14:40.342
FOUNDING DIRECTOR -- AS
01:14:40.409 --> 01:14:41.443
REPRESENT OF GABRIEL HAD
01:14:41.510 --> 01:14:42.778
MENTIONED OF THE SAN FRANCISCO
01:14:42.845 --> 01:14:44.279
WRAPAROUND PROJECT A HOSPITAL
01:14:44.346 --> 01:14:45.514
BASED VIOLENCE INTERVENTION
01:14:45.581 --> 01:14:46.515
PROGRAM.
01:14:46.582 --> 01:14:47.783
I ALSO SERVED AS THE CHAIR OF
01:14:47.850 --> 01:14:49.017
THE ADVISORY BOARD FOR THE
01:14:49.084 --> 01:14:51.753
NATIONAL NETWORK OF POSSIBLE
01:14:51.820 --> 01:14:52.321
BASED VIOLENCE INTERVENTION
01:14:52.387 --> 01:14:52.588
PROGRAM.
01:14:52.654 --> 01:14:55.090
AT THE HOSPITAL BASED MODEL IS
01:14:55.157 --> 01:14:56.792
THAT OF PROGRAMS THAT WORK WITH
01:14:56.859 --> 01:14:58.560
AN UNDERSTANDING THAT VIOLENCE
01:14:58.627 --> 01:14:59.895
IN THIS COUNTRY AND CERTAINLY IN
01:14:59.962 --> 01:15:00.796
THE STATE.
01:15:00.863 --> 01:15:02.331
IS A PUBLIC HEALTH CRISIS
01:15:02.397 --> 01:15:04.967
CURRENTLY IT RIVALS OTHER PUBLIC
01:15:05.033 --> 01:15:06.735
HEALTH ISSUES THAT WE CONSIDER
01:15:06.802 --> 01:15:08.036
EPIDEMIC.
01:15:08.103 --> 01:15:09.738
VIOLENCE IS THE NUMBER ONE
01:15:09.805 --> 01:15:11.773
KILLER AS DEANGELO MAC HAD
01:15:11.840 --> 01:15:13.208
POINTED OUT OF YOUNG AFRICAN
01:15:13.275 --> 01:15:14.977
AMERICAN MEN AND NUMBER TWO
01:15:15.043 --> 01:15:16.278
AMONG LATINOS.
01:15:16.345 --> 01:15:17.346
APPROACHING IT THROUGH A PUBLIC
01:15:17.412 --> 01:15:19.348
HEALTH LENS ALLOWS US TO
01:15:19.414 --> 01:15:21.516
RECOGNIZE IF WE WORK TO MITIGATE
01:15:21.583 --> 01:15:23.085
RISK FACTORS ASSOCIATED WITH
01:15:23.151 --> 01:15:25.420
VIOLENCE WE CAN GET OUR ARMS
01:15:25.487 --> 01:15:26.788
AROUND THIS ISSUE.
01:15:26.855 --> 01:15:28.490
OVER SIXTY THOUSAND AMERICANS
01:15:28.557 --> 01:15:29.658
ARRIVING OR TRAUMA CENTERS
01:15:29.725 --> 01:15:31.426
ANNUALLY AND AS A RESULT OF
01:15:31.493 --> 01:15:33.262
GUNSHOT WOUNDS AND STAB WOUNDS
01:15:33.328 --> 01:15:35.430
FOR MANY OF THESE VICTIMS IT'S
01:15:35.497 --> 01:15:36.865
NOT THEIR FIRST INJURY.
01:15:36.932 --> 01:15:38.934
TRAUMA SYSTEMS HAVE TREMENDOUS
01:15:39.001 --> 01:15:40.602
RESOURCES THAT WE HAVE IN PLACE
01:15:40.669 --> 01:15:41.970
TO CARE FOR VICTIMS PHYSICAL
01:15:42.037 --> 01:15:43.105
WOUNDS.
01:15:43.171 --> 01:15:44.539
AFTER DAYS OR EVEN MONTHS OF
01:15:44.606 --> 01:15:46.275
RECOVERY THAT WE JUST CHARGE
01:15:46.341 --> 01:15:48.076
THESE PEOPLE ARE PEOPLE WITHOUT
01:15:48.143 --> 01:15:50.812
ADDRESSING WHY THEY GOT HURT.
01:15:50.879 --> 01:15:52.281
THE RESULT WE SEE THE SAME YOUNG
01:15:52.347 --> 01:15:54.683
FACES BACK IN OUR TRAUMA BAY.
01:15:54.750 --> 01:15:55.717
YOU CAN SEE HOW THIS IS TOTALLY
01:15:55.784 --> 01:15:58.186
INADEQUATE VIOLENCE IS A CHRONIC
01:15:58.253 --> 01:15:59.521
RECURRENT DISEASE PLAGUING OUR
01:15:59.588 --> 01:16:02.190
COMMUNITIES BUT WE CAN PROVIDE A
01:16:02.257 --> 01:16:03.725
WHOLE PERSON CARE.
01:16:03.792 --> 01:16:05.027
OUR TRAUMACENTERS CAN AND
01:16:05.093 --> 01:16:06.628
SHOULD BE THE PORTAL OF ENTRY
01:16:06.695 --> 01:16:08.430
INTO ADDRESSING THE ROOT CAUSES
01:16:08.497 --> 01:16:10.532
AND BUILD SOCIAL CAPITAL IN OUR
01:16:10.599 --> 01:16:11.566
COMMUNITIES.
01:16:11.633 --> 01:16:12.601
HOSPITAL BASED VIOLENCE
01:16:12.668 --> 01:16:14.336
INTERVENTION PROVIDES WHOLE
01:16:14.403 --> 01:16:15.938
PERSON CARE AT THIS CRITICAL
01:16:16.004 --> 01:16:17.572
MOMENT IN SOMEONE'S LIFE.
01:16:17.639 --> 01:16:19.074
IN A GROWING NUMBER CENTERS
01:16:19.141 --> 01:16:20.409
THESE PROGRAMS HAVE BECOME PART
01:16:20.475 --> 01:16:22.044
OF THE FABRIC OF THE TRAUMA
01:16:22.110 --> 01:16:23.779
CENTER IN THE TRAUMA SYSTEM.
01:16:23.845 --> 01:16:25.681
DESPITE THE STRUGGLE TO FUND THE
01:16:25.747 --> 01:16:27.049
WORK.
01:16:27.115 --> 01:16:28.250
CULTURALLY COMPETENT TRAINED
01:16:28.317 --> 01:16:30.152
PREVENTION PROFESSIONALS GO TO
01:16:30.218 --> 01:16:32.220
THE BAD SIDE OF AN INJURED
01:16:32.287 --> 01:16:33.488
PERSON JUST LIKE I DO.
01:16:33.555 --> 01:16:35.424
AND PROVIDED DURING THAT GOLDEN
01:16:35.490 --> 01:16:37.826
OPPORTUNITY AT A MENTOR SHIP
01:16:37.893 --> 01:16:40.262
THAT IS ABSOLUTELY INDELIBLE
01:16:40.329 --> 01:16:41.930
THIS PREVENTION PROFESSIONAL IS
01:16:41.997 --> 01:16:43.565
SOMEONE WHO HAS OVERCOME IRVINE
01:16:43.632 --> 01:16:44.633
VIOLENCE.
01:16:44.700 --> 01:16:45.934
AND THEY'RE THE BACKBONE OF
01:16:46.001 --> 01:16:48.136
THESE PROGRAMS THEY PROVIDE NOT
01:16:48.203 --> 01:16:49.004
ONLY MENTOR SHIP BUT
01:16:49.071 --> 01:16:51.340
OPPORTUNITIES FOR MENTAL HEALTH
01:16:51.406 --> 01:16:53.442
CARE EMPLOYMENT AND EDUCATION
01:16:53.508 --> 01:16:55.477
THAT TRADITIONALLY VICTIMS WOULD
01:16:55.544 --> 01:16:56.979
NOT SEEK OUT ON THEIR OWN.
01:16:57.045 --> 01:16:59.114
OUR RESEARCH PROVES THAT THIS
01:16:59.181 --> 01:17:01.316
APPROACH WORKS WE HAVE HAD
01:17:01.383 --> 01:17:03.452
SUCCESSES WITH REDUCING
01:17:03.518 --> 01:17:06.455
RECIDIVISM OF UP 23240% IN OUR
01:17:06.521 --> 01:17:08.890
TRAUMA CENTERS AND WE'RE ABLE TO
01:17:08.957 --> 01:17:10.225
GET PEOPLE TO MENTAL HEALTH
01:17:10.292 --> 01:17:11.560
SERVICES THAT THEY SO
01:17:11.626 --> 01:17:12.995
DESPERATELY NEED AND HAVE NOT
01:17:13.061 --> 01:17:14.429
SOUGHT OUT TRADITIONALLY ON
01:17:14.496 --> 01:17:15.864
THEIR OWN.
01:17:15.931 --> 01:17:17.165
IN ADDITION WE'VE BEEN ABLE TO
01:17:17.232 --> 01:17:19.167
PROVIDE THROUGH OUR LEVERAGE IN
01:17:19.234 --> 01:17:21.770
THE COMMUNITIES EDUCATION AND
01:17:21.837 --> 01:17:23.238
EMPLOYMENT OPPORTUNITIES.
01:17:23.305 --> 01:17:25.540
ALL WENT WITH THIS MIKE TEXADA
01:17:25.607 --> 01:17:28.076
IS -- PREVENTION PROFESSIONAL AT
01:17:28.143 --> 01:17:29.578
SAN FRANCISCO GENERAL HOSPITAL.
01:17:29.644 --> 01:17:31.046
WHEN I WORKED THERE'S A TRAUMA
01:17:31.113 --> 01:17:32.948
SURGEON I WOULD HAVE THIS MOMENT
01:17:33.015 --> 01:17:34.616
RIGHT BEFORE I MADE AN INCISION?
01:17:34.683 --> 01:17:35.717
WHEN I WOULD SILENTLY SAY TO
01:17:35.784 --> 01:17:38.553
MYSELF I JUST HAVE TO GET?
01:17:38.620 --> 01:17:40.122
THIS PATIENT OFF THE TABLE SO
01:17:40.188 --> 01:17:42.491
THAT MY CAN SAVE HIS LIFE.
01:17:42.557 --> 01:17:44.292
THE VALUE OF PREVENTION
01:17:44.359 --> 01:17:45.861
PROFESSIONALS IS PROFOUND.
01:17:45.927 --> 01:17:47.929
WE NEED TO CODIFY THAT IN AB ONE
01:17:47.996 --> 01:17:49.564
SIXTY SIX CAN DO IT.
01:17:49.631 --> 01:17:51.566
IT PROVIDES NOT ONLY MECHANISM
01:17:51.633 --> 01:17:53.068
TO SUSTAIN EXISTING PROGRAMS
01:17:53.135 --> 01:17:54.136
THAT WORK IT PROVIDES THE
01:17:54.202 --> 01:17:55.470
IMPETUS FOR NEW ONES AND
01:17:55.537 --> 01:17:58.006
SOLIDIFIES A PROCESS OF TRAINING.
01:17:58.073 --> 01:17:59.674
AND QUALITY ASSURANCE.
01:17:59.741 --> 01:18:00.842
THE ALTERNATIVE IS JUST TO
01:18:00.909 --> 01:18:02.110
CONTINUE TO PUT ON REALLY
01:18:02.177 --> 01:18:04.279
EXPENSIVE BANDAIDS WITHOUT
01:18:04.346 --> 01:18:05.580
ADDRESSING THE UNDERLYING
01:18:05.647 --> 01:18:06.681
MODIFIABLE RISK FACTORS
01:18:06.748 --> 01:18:08.350
ASSOCIATED WITH THE RISK OF
01:18:08.417 --> 01:18:09.618
VIOLIN INJURY.
01:18:09.684 --> 01:18:11.319
DISCHARGING INJURED PATIENTS
01:18:11.386 --> 01:18:12.721
WITHOUT ADDRESSING THE ROOT
01:18:12.788 --> 01:18:14.489
CAUSES IS A CAN TO DISCHARGING A
01:18:14.556 --> 01:18:15.624
PATIENT AFTER A HEART ATTACK
01:18:15.690 --> 01:18:17.059
WITHOUT ASPIRIN.
01:18:17.125 --> 01:18:19.161
OR ANY TYPE OF A OF HYPERTENSIVE
01:18:19.227 --> 01:18:21.830
BLOOD PRESSURE -- ADJUSTMENT FOR
01:18:21.897 --> 01:18:23.498
DIET AND EXERCISE.
01:18:23.565 --> 01:18:26.101
I I AM -- I AM HONORED TO BE
01:18:26.168 --> 01:18:28.437
HERE TO PROVIDE TO SUPPORT THIS
01:18:28.503 --> 01:18:29.671
BILL AND I'LL.
01:18:29.738 --> 01:18:31.573
ANSWER ANY QUESTIONS THAT YOU
01:18:31.640 --> 01:18:33.742
MAY HAVE THANK YOU.
01:18:33.809 --> 01:18:34.943
GOOD AFTERNOON MY NAME IS ARI
01:18:35.010 --> 01:18:36.511
FILE IT CAN LEGISLATIVE AFFAIRS
01:18:36.578 --> 01:18:37.179
DIRECTOR FOR DIFFERENT LAW
01:18:37.245 --> 01:18:39.014
CENTER TO PREVENT GUN VIOLENCE --
01:18:39.081 --> 01:18:40.282
WHICH IS THE WORKING CALIFORNIA
01:18:40.348 --> 01:18:41.416
FOR OVER TWENTY FIVE YEARS AND
01:18:41.483 --> 01:18:42.651
IS NOW CURRENTLY LED BY FORMER
01:18:42.717 --> 01:18:45.120
CONGRESSWOMAN AND GONE BALLOT
01:18:45.187 --> 01:18:46.855
SURVIVOR GABBY GIFFORDS.
01:18:46.922 --> 01:18:47.756
SO FOR TWENTY FIVE YEARS WE'VE
01:18:47.823 --> 01:18:48.323
TYPICALLY TESTIFIED IN THE
01:18:48.390 --> 01:18:49.891
PUBLIC SAFETY COMMITTEE -- ON
01:18:49.958 --> 01:18:51.460
EFFORTS PREVENT ANNOUNCED
01:18:51.526 --> 01:18:54.396
REGULATION OF FIREARM COMMERCE.
01:18:54.463 --> 01:18:55.363
SMART CARD ENFORCEMENT EFFORTS.
01:18:55.430 --> 01:18:56.598
AND WE BELIEVE THE TIME HAS COME
01:18:56.665 --> 01:18:58.400
TO RECOGNIZE THAT IT'S THE WORK
01:18:58.467 --> 01:18:59.534
OF THIS COMMITTEE.
01:18:59.601 --> 01:19:00.569
TO CHECK CALIFORNIA'S HEALTH AND
01:19:00.635 --> 01:19:02.104
WELL BEING IS AT LEAST AS
01:19:02.170 --> 01:19:03.071
IMPORTANT IN ADDRESSING THE
01:19:03.138 --> 01:19:04.172
CHALLENGE AN ENORMOUS HUMAN
01:19:04.239 --> 01:19:06.208
IMPACT OF COMMUNITY VIOLENCE IN
01:19:06.274 --> 01:19:07.442
THE STATE.
01:19:07.509 --> 01:19:08.977
MURDER IS NOT JUST LEADING CAUSE
01:19:09.044 --> 01:19:10.278
OF DEATH FOR YOUNG MEN OF COLOR
01:19:10.345 --> 01:19:11.480
YOUNG BLACK MEN IN THIS COUNTRY
01:19:11.546 --> 01:19:12.581
IS RESPONSIBLE FOR AS MANY
01:19:12.647 --> 01:19:14.282
DEATHS AS EVERY OTHER BECAUSE
01:19:14.349 --> 01:19:16.418
COMBINED AMONG YOUNG BLACK MEN --
01:19:16.485 --> 01:19:19.054
HUMAN NATURAL ACCIDENTAL SUICIDE
01:19:19.121 --> 01:19:21.623
COMBINED.
01:19:21.690 --> 01:19:22.624
AND THOSE WHO DO SURVIVE A
01:19:22.691 --> 01:19:23.825
SHOOTING RIGHT THAT'S THE HIGHER
01:19:23.892 --> 01:19:25.494
RISK OF RE INJURY ESPECIALLY
01:19:25.560 --> 01:19:26.561
WHEN BECOME EMBROILED IN CYCLES
01:19:26.628 --> 01:19:28.363
OF INJURY TRAUMA AND RETALIATION
01:19:28.430 --> 01:19:29.397
THAT CAN THE WHOLE COMMUNITIES
01:19:29.464 --> 01:19:31.233
SCARRED BY THE ACTIONS OF A
01:19:31.299 --> 01:19:32.567
RELATIVE FEW.
01:19:32.634 --> 01:19:34.336
REPORTER RATES OF PTSD AMONG
01:19:34.402 --> 01:19:34.903
YOUTH AND SOME OF OUR URBAN
01:19:34.970 --> 01:19:35.670
COMMUNITIES.
01:19:35.737 --> 01:19:36.638
AT NEARLY TWICE THE RATE
01:19:36.705 --> 01:19:38.306
REPORTED FOR TROOPS RETURNING
01:19:38.373 --> 01:19:39.908
FROM IRAQ.
01:19:39.975 --> 01:19:41.309
THIS IS A PUBLIC HEALTH ISSUE.
01:19:41.376 --> 01:19:42.944
THAT'S WHEN THAT MEDI CAL IS
01:19:43.011 --> 01:19:43.512
UNIQUELY WELL EQUIPPED TO
01:19:43.578 --> 01:19:46.448
ADDRESS SINCE EVEN BEFORE ECA
01:19:46.515 --> 01:19:47.415
EXPANSIONS OF MEDICAID IN THE
01:19:47.482 --> 01:19:49.751
STATE. TWO THIRDS OF ALL GONNA
01:19:49.818 --> 01:19:50.552
SOLVE HOSPITALIZATION PATIENTS
01:19:50.619 --> 01:19:52.654
IN CALIFORNIA WERE COVERED BY
01:19:52.721 --> 01:19:53.622
THE MEDICAID PROGRAM.
01:19:53.688 --> 01:19:54.689
WE COULDN'T MUST BE DOING SO
01:19:54.756 --> 01:19:56.224
MUCH MORE TO INVEST IN PROGRAMS
01:19:56.291 --> 01:19:57.559
THAT WORK FOR THE HIGHEST RATE
01:19:57.626 --> 01:19:58.727
HIGHEST RISK PATIENTS IN THIS
01:19:58.793 --> 01:20:00.295
POPULATION.
01:20:00.362 --> 01:20:01.163
THAT'S WHY WE'RE PROUD TO CO
01:20:01.229 --> 01:20:03.098
SPONSOR AB ONE SIXTY SIX TO
01:20:03.165 --> 01:20:04.332
EXPAND ACCESS TO EFFECTIVE
01:20:04.399 --> 01:20:05.967
AISLES PREVENTIVE SERVICES AND
01:20:06.034 --> 01:20:07.035
HELP MAKE CALIFORNIA A NATIONAL
01:20:07.102 --> 01:20:08.436
LEADER IN TREATING COMMUNITY
01:20:08.503 --> 01:20:09.905
VIOLENCE AS A SERIOUS
01:20:09.971 --> 01:20:11.740
INCREMENTAL PUBLIC HEALTH ISSUE.
01:20:11.806 --> 01:20:12.841
BECAUSE CAMINO VIOLENCE IMPOSES
01:20:12.908 --> 01:20:14.376
ENORMOUS FISCAL BURDENS ON THE
01:20:14.442 --> 01:20:15.944
MEDICAL SYSTEM WE ALSO ESTIMATED
01:20:16.011 --> 01:20:16.845
THAT THIS BILL WOULD RESULT IN
01:20:16.912 --> 01:20:18.947
DIRECT COST SAVINGS TO MEDICAL
01:20:19.014 --> 01:20:20.348
MANY WOULD PAY FOR ITSELF.
01:20:20.415 --> 01:20:21.616
IF IT IS ABLE TO CHEAT EVEN
01:20:21.683 --> 01:20:23.185
MINIMAL REDUCTIONS IN FARMS ALL
01:20:23.251 --> 01:20:24.419
RELATED INJURIES AMONG THE
01:20:24.486 --> 01:20:26.154
MEDICAID POPULATION. FOR THESE
01:20:26.221 --> 01:20:27.789
REASONS AND ESPECIALLY THE HUMAN
01:20:27.856 --> 01:20:31.226
IMPACT -- WE STRONGLY URGE YOU
01:20:31.293 --> 01:20:33.094
TO SUPPORT THIS BILL THANK.
01:20:33.161 --> 01:20:34.429
VERY MUCH OTHER SUPPORT.
01:20:34.496 --> 01:20:35.297
DEMAND REPRESENT CALIFORNIA
01:20:35.363 --> 01:20:36.698
CHAPTER OF THE AMERICAN COLLEGE
01:20:36.765 --> 01:20:37.666
OF EMERGENCY PHYSICIANS AND
01:20:37.732 --> 01:20:40.502
SPORT THANK YOU.
01:20:40.569 --> 01:20:41.870
DE ANGELO MAC PUBLIC HEALTH
01:20:41.937 --> 01:20:43.338
ADVOCATES AND WORKFORCE
01:20:43.405 --> 01:20:45.140
DEVELOPMENT CHAIR FOR THE
01:20:45.207 --> 01:20:46.441
NATIONAL NETWORK OF HOSPITAL
01:20:46.508 --> 01:20:48.843
BASED VIOLENCE INTERVENTION.
01:20:48.910 --> 01:20:50.712
SUPPORT THANK YOU.
01:20:50.779 --> 01:20:52.447
ANGELA WILLIAMS CALIFORNIA
01:20:52.514 --> 01:20:54.349
BLACKOUTS NETWORK AND SUPPORT.
01:20:54.416 --> 01:20:55.850
HARRISON ALTER EMERGENCY
01:20:55.917 --> 01:20:58.053
PHYSICIAN IN OAKLAND CALIFORNIA
01:20:58.119 --> 01:20:59.120
AND STRONG SUPPORT OF THIS BILL
01:20:59.187 --> 01:21:02.424
THANK YOU.
01:21:02.490 --> 01:21:03.992
CON REBUTTAL RISE YOU CENTER IN
01:21:04.059 --> 01:21:06.895
RICHMOND STRONG STRONG STRONG
01:21:06.962 --> 01:21:08.363
STRONG SUPPORT OF THIS BILL
01:21:08.430 --> 01:21:08.663
[inaudible]
01:21:08.730 --> 01:21:10.432
THANK YOU.
01:21:10.498 --> 01:21:11.299
MARK FILL PART WITH POLICY
01:21:11.366 --> 01:21:12.100
MAKING THE ALLIANCE FOR BOYS AND
01:21:12.167 --> 01:21:13.301
MEN OF COLOR STRONG SUPPORT
01:21:13.368 --> 01:21:14.436
THANK YOU.
01:21:14.502 --> 01:21:16.037
VERY MUCH BRING IT BACK TO THE
01:21:16.104 --> 01:21:18.173
ACTUALLY -- IS THERE ANY
01:21:18.240 --> 01:21:19.174
OPPOSITION EXCUSE ME
01:21:19.241 --> 01:21:19.474
[inaudible]
01:21:19.541 --> 01:21:21.710
APOLOGIES.
01:21:21.776 --> 01:21:22.244
BACK TO THE COMMITTEE FOR
01:21:22.310 --> 01:21:23.445
QUESTIONS OR COMMENTS QUESTIONS
01:21:23.511 --> 01:21:25.146
OR COMMENTS AND COMMITTEE MISTER
01:21:25.213 --> 01:21:27.015
MISS REGARDING.
01:21:27.082 --> 01:21:29.684
THANK YOU I WITH THE MOTION YET --
01:21:29.751 --> 01:21:31.486
YES YES MA'AM OKAY SECOND YEAH.
01:21:31.553 --> 01:21:33.555
ANOTHER MOTION SO -- THANK YOU
01:21:33.622 --> 01:21:34.990
SO I APPRECIATE YOU -- YOU
01:21:35.056 --> 01:21:37.292
DOCTOR STEPPING INTO THIS PLANE
01:21:37.359 --> 01:21:37.892
AS WELL AS THE PUBLIC SAFETY
01:21:37.959 --> 01:21:39.628
LINE.
01:21:39.694 --> 01:21:40.328
IT'S IMPORTANT TO TALK ABOUT
01:21:40.395 --> 01:21:42.264
THIS AND SO SO THANK YOU AND WE
01:21:42.330 --> 01:21:43.298
HAVE.
01:21:43.365 --> 01:21:44.933
STEPPED UP IN CALIFORNIA
01:21:45.000 --> 01:21:46.968
TREMENDOUSLY -- WITH THE
01:21:47.035 --> 01:21:48.770
LAWCENTER OVER THE YEARS AND
01:21:48.837 --> 01:21:50.538
OTHERS ON OUR LAWS ON THE BOOKS
01:21:50.605 --> 01:21:52.307
TO PREVENT GUN VIOLENCE BUT THIS
01:21:52.374 --> 01:21:53.708
IS AN AREA THAT WE HAVEN'T DONE
01:21:53.775 --> 01:21:54.943
SO IN OUR HEALTH WILL SO.
01:21:55.010 --> 01:21:56.511
I SEE THE OTHER STATES HAVE
01:21:56.578 --> 01:21:58.146
ALREADY DONE SO JUST WONDERED IF
01:21:58.213 --> 01:21:59.281
IF THERE'S ANY AND I KNOW.
01:21:59.347 --> 01:22:00.782
THEY DON'T THEY HAVE THEIR MEDI
01:22:00.849 --> 01:22:02.017
CAL EQUIVALENT TO SOME OF THE
01:22:02.083 --> 01:22:03.952
OTHERS JURISDICTIONS AND STATE
01:22:04.019 --> 01:22:04.719
TO MENTION.
01:22:04.786 --> 01:22:06.655
OTHER ANY -- ANALYSIS SEARCH
01:22:06.721 --> 01:22:09.024
RESULTS AS FAR AS THE IMPACT AND
01:22:09.090 --> 01:22:10.458
AND POTENTIALLY.
01:22:10.525 --> 01:22:15.897
THE INITIAL COST FOR THE
01:22:15.964 --> 01:22:18.933
BENEFITS DOWN THE ROAD.
01:22:19.000 --> 01:22:19.934
SOME MULTIPLE STATES HAVE TAKEN
01:22:20.001 --> 01:22:20.935
EFFORTS TO INVEST IN THE HOUSE
01:22:21.002 --> 01:22:21.469
WILL BE FOUND TO MENTION
01:22:21.536 --> 01:22:22.070
PROGRAMS THROUGH A VARIETY OF
01:22:22.137 --> 01:22:22.937
DIFFERENT FUNDING APPROACHES
01:22:23.004 --> 01:22:23.438
SOME THROUGH THE VICTIM
01:22:23.505 --> 01:22:25.073
COMPENSATION PROGRAMS OR VICTIMS.
01:22:25.140 --> 01:22:26.541
OF CRIME ACT ASSISTANCE GRANTS
01:22:26.608 --> 01:22:27.142
IN THE FEDERAL GOVERNMENT LEE
01:22:27.208 --> 01:22:28.443
PENNSYLVANIA IS THE ONLY STATE
01:22:28.510 --> 01:22:29.878
THAT IS THE HAS A SMALL PILOT
01:22:29.944 --> 01:22:32.013
PROGRAM CURRENTLY FUNDING THIS
01:22:32.080 --> 01:22:32.547
THROUGH MEDI CAL.
01:22:32.614 --> 01:22:34.482
I'D LIKE TO TAKE A COVERED
01:22:34.549 --> 01:22:35.950
BENEFIT IN THIS PROPOSAL.
01:22:36.017 --> 01:22:39.254
DOES THEIR JURISDICTIONS.
01:22:39.321 --> 01:22:40.555
COVERED BENEFITS.
01:22:40.622 --> 01:22:41.056
AS FAR AS WE KNOW ONLY
01:22:41.122 --> 01:22:42.324
PENNSYLVANIA AT THIS POINT --
01:22:42.390 --> 01:22:42.957
NEW JERSEY IS MOVING A NEARLY
01:22:43.024 --> 01:22:43.892
IDENTICAL BILL THIS YEAR AND WE
01:22:43.958 --> 01:22:45.293
HOPE THAT CALIFORNIA WILL HELP
01:22:45.360 --> 01:22:46.361
LEAD THE WAY TO MAKE THIS PART
01:22:46.428 --> 01:22:47.696
OF A A DEFINED COVER BENEFIT
01:22:47.762 --> 01:22:49.097
FROM MEDICAID POPULATIONS WOULD
01:22:49.164 --> 01:22:51.199
COULD NATIONWIDE ARE -- ARE THE
01:22:51.266 --> 01:22:54.269
MAJORITY OF GUNSHOT VICTIMS --
01:22:54.336 --> 01:22:56.237
THAT IS THEIR INSURANCE -- SO
01:22:56.304 --> 01:22:57.839
CALIFORNIA HAS CALIFORNIA AND
01:22:57.906 --> 01:22:59.074
OTHER JURISDICTIONS HAVE BEEN
01:22:59.140 --> 01:23:00.542
INVESTING -- IN HOUSE WILL BE
01:23:00.608 --> 01:23:01.676
FOUND TO THE BENCH PROGRAMS
01:23:01.743 --> 01:23:03.511
WHICH HAVE SHOWN EFFECTIVENESS --
01:23:03.578 --> 01:23:04.546
IT'S JUST A DIFFERENT FUNDER
01:23:04.612 --> 01:23:05.814
THAT MEDI CAL HAS NOT FUNDED
01:23:05.880 --> 01:23:08.683
THOSE OR COVER THOSE IS DEFINED
01:23:08.750 --> 01:23:11.553
BENEFIT.
01:23:11.619 --> 01:23:12.587
FOR YEAH RIGHT THANK YOU VERY
01:23:12.654 --> 01:23:13.254
FOR THAT ASSEMBLY MEMBER COULD I
01:23:13.321 --> 01:23:14.255
WOULD JUST ADD THAT THE THE COST
01:23:14.322 --> 01:23:16.091
OF THIS ARE SO SIGNIFICANT IN
01:23:16.157 --> 01:23:17.692
TERMS OF THE COST HIM A LIFE IN
01:23:17.759 --> 01:23:19.094
THE FINANCIAL COST OF THIS.
01:23:19.160 --> 01:23:20.395
CYCLE OF VIOLENCE THAT EVEN IF
01:23:20.462 --> 01:23:22.664
THERE'S A VERY SMALL REDUCTION --
01:23:22.731 --> 01:23:24.366
FROM IT IN IN RECIDIVISM AND
01:23:24.432 --> 01:23:25.300
VIOLENCE BECAUSE OF THIS PROGRAM
01:23:25.367 --> 01:23:27.068
I COULD GENERATE ENORMOUS COST
01:23:27.135 --> 01:23:28.002
SAVINGS FOR THE STATE.
01:23:28.069 --> 01:23:29.304
YEAH I DON'T I DON'T RECALL THE
01:23:29.371 --> 01:23:30.872
NUMBER BUT I'VE SEEN THAT COSTS
01:23:30.939 --> 01:23:32.273
OF A GUNSHOT.
01:23:32.340 --> 01:23:34.542
VICTIM THE OUR COSTS AND IT'S
01:23:34.609 --> 01:23:36.611
ASTRONOMICAL I DO IN REPEATS
01:23:36.678 --> 01:23:37.779
ITSELF OUT IT'S YOU KNOW
01:23:37.846 --> 01:23:39.080
RIDICULOUS.
01:23:39.147 --> 01:23:41.249
WHAT WHAT IS THE COST SO WE THIS
01:23:41.316 --> 01:23:42.917
WAS ABOUT TEN YEARS AGO THAT WE
01:23:42.984 --> 01:23:44.018
DID A STUDY IN SAM'S IS GOING ON
01:23:44.085 --> 01:23:46.821
AVERAGE IT WAS IT WAS ABOUT
01:23:46.888 --> 01:23:47.389
EIGHTY THOUSAND DOLLARS PER
01:23:47.455 --> 01:23:48.189
VICTIM?
01:23:48.256 --> 01:23:49.724
OF FOR GUNSHOT STAFF GOING A
01:23:49.791 --> 01:23:52.193
LITTLE BIT LESS EXPENSIVE BUT
01:23:52.260 --> 01:23:54.162
BUT THAT PUTS IT IN PERSPECTIVE
01:23:54.229 --> 01:23:54.763
AND WHAT WE FOUND WAS IF WE
01:23:54.829 --> 01:23:55.663
COULD.
01:23:55.730 --> 01:23:58.733
IF WE COULD REDUCE RECIDIVISM BY
01:23:58.800 --> 01:24:00.902
JUST TWO PEOPLE THAT THE THESE
01:24:00.969 --> 01:24:02.370
PROGRAMS WOULD PAY FOR
01:24:02.437 --> 01:24:03.505
THEMSELVES AND THOSE ARE FOR
01:24:03.571 --> 01:24:04.706
SURVIVORS.
01:24:04.773 --> 01:24:06.374
CORRECT YES YEAH AND I I MEAN
01:24:06.441 --> 01:24:07.409
I'VE SEEN ESTIMATES THAT HAVEN'T
01:24:07.475 --> 01:24:12.113
NORTH OF A HUNDRED THOUSAND
01:24:12.180 --> 01:24:12.580
DOLLARS FOR A TRAFFIC
01:24:12.647 --> 01:24:16.484
[inaudible] TO ONE ANYONE ELSE.
01:24:16.551 --> 01:24:16.985
WELL.
01:24:17.051 --> 01:24:18.720
AS WHICH WHAT CLOTHES ACT I
01:24:18.787 --> 01:24:19.354
RESPECTFULLY REQUEST AN AYE VOTE
01:24:19.421 --> 01:24:19.988
THANK YOU I SUPPOSE SAID THANK
01:24:20.054 --> 01:24:20.989
YOU THANK YOU FOR BRINGING THIS
01:24:21.055 --> 01:24:22.824
BILL FORWARD -- IT'S WE ACTUALLY
01:24:22.891 --> 01:24:24.192
HAVE AN OF AN ANALYSIS DONE BY
01:24:24.259 --> 01:24:25.927
THE CALIFORNIA HEALTH BENEFITS
01:24:25.994 --> 01:24:29.164
REVIEW PROGRAM -- OF ABOUT FIVE
01:24:29.230 --> 01:24:29.731
HUNDRED TWENTY FIVE THOUSAND
01:24:29.798 --> 01:24:32.000
DOLLARS ABOUT POINT.
01:24:32.066 --> 01:24:32.834
ZERO ZERO ZERO ONE OF OF MEDI
01:24:32.901 --> 01:24:34.135
CAL EXPENDITURES AND IF IF A
01:24:34.202 --> 01:24:36.171
GUNSHOT WOUND COSTS A HUNDRED
01:24:36.237 --> 01:24:36.971
THOUSAND DOLLARS TO TREAT.
01:24:37.038 --> 01:24:39.007
OF THIS THIS PROGRAM WILL MORE
01:24:39.073 --> 01:24:40.875
THAN PAY FOR ITSELF -- AND
01:24:40.942 --> 01:24:43.411
GENERATE HUGE SAVINGS OF LIFE
01:24:43.478 --> 01:24:44.846
AND RESOURCES SO I THANK YOU
01:24:44.913 --> 01:24:45.647
VERY MUCH FOR BRINGING THIS
01:24:45.713 --> 01:24:49.451
FORWARD -- THIS DOES ENJOY DO
01:24:49.517 --> 01:24:51.219
ACCEPT OUR AMENDMENTS I YES I
01:24:51.286 --> 01:24:52.220
HAVE OKAY ALL RIGHT -- SO THE
01:24:52.287 --> 01:24:53.655
BILL THE MOTION WE HAVE A MOTION
01:24:53.721 --> 01:24:55.857
BY -- MISS CARILLO SECOND MY
01:24:55.924 --> 01:24:57.225
MISS AGUIAR-CURRY THE MOTION IS
01:24:57.292 --> 01:24:58.460
TO PASS AS AMENDED TO
01:24:58.526 --> 01:25:00.161
APPROPRIATIONS MADAM SECRETARY
01:25:00.228 --> 01:25:01.663
PLEASE CALL.
01:25:01.729 --> 01:25:03.431
WHAT WOULD I MAYES?
01:25:03.498 --> 01:25:09.237
AGUIAR-CURRY BUT ANGER CURRY I
01:25:09.304 --> 01:25:09.471
BIGELOW.
01:25:09.537 --> 01:25:11.773
BONTA.
01:25:11.840 --> 01:25:14.209
I'M SORRY BIGELOW.
01:25:14.275 --> 01:25:14.943
NOT VOTING BIGELOW NOT VOTING
01:25:15.009 --> 01:25:16.444
BONTA.
01:25:16.511 --> 01:25:19.714
BURKE I BURKE I CARILLO.
01:25:19.781 --> 01:25:22.383
HI Là M<c.cyan> WE NEED A FLOOR.</c>
01:25:22.450 --> 01:25:24.652
FOR NOT VOTING FLOWN.
01:25:24.719 --> 01:25:26.020
MCCARTY AYE MCCARTY AYE THIS
01:25:26.087 --> 01:25:26.621
AREA.
01:25:26.688 --> 01:25:27.255
RAMOS.
01:25:27.322 --> 01:25:28.289
RAMOS SIGN.
01:25:28.356 --> 01:25:29.290
RODRIGUEZ.
01:25:29.357 --> 01:25:31.125
RODRIGUEZ I SANTIAGO.
01:25:31.192 --> 01:25:34.562
WALDRON.
01:25:34.629 --> 01:25:35.630
SEC.
01:25:35.697 --> 01:25:36.631
YOUR BILL HAS SEVEN BOTH BELIEVE
01:25:36.698 --> 01:25:38.233
THE BILL ON CALL WE STILL HAVE
01:25:38.299 --> 01:25:40.635
MEMBERS THAT ARE OUT AND ABOUT.
01:25:40.702 --> 01:25:41.236
I THANK YOU VERY MUCH YOU VERY
01:25:41.302 --> 01:25:42.337
MUCH THANK YOU.
01:25:42.403 --> 01:25:46.975
NEXT UP MISTER JONES SAWYER.
01:25:47.041 --> 01:26:01.556
JOE SORRY HAVE A COUPLE OF BILLS --
01:26:01.623 --> 01:26:11.366
PEOPLE HERE TODAY.
01:26:11.432 --> 01:26:14.269
WHICH GROUP WITH HEALTH PROGRAMS
01:26:14.335 --> 01:26:14.569
[inaudible]
01:26:14.636 --> 01:26:17.038
FOR I DO. SEVENTEEN OH NINE
01:26:17.105 --> 01:26:18.373
FIRST.
01:26:18.439 --> 01:26:20.675
WHICH DIFFER [inaudible]
01:26:20.742 --> 01:26:22.544
OKAY.
01:26:22.610 --> 01:26:23.177
THANK YOU.
01:26:23.244 --> 01:26:25.113
MISTER CHAIR MEMBERS I'M HERE TO
01:26:25.179 --> 01:26:27.682
RESENT AB TWO FIVE EIGHT A BILL
01:26:27.749 --> 01:26:29.717
THAT WOULD USE FUNDS FROM
01:26:29.784 --> 01:26:31.452
PROFITABILITY.
01:26:31.519 --> 01:26:33.454
PROJECT SUPPORT EARMARKED FOR
01:26:33.521 --> 01:26:35.123
TRAINED FOR TREATMENT AND
01:26:35.189 --> 01:26:36.724
PREVENTION TO FIND SUSTAIN WILL
01:26:36.791 --> 01:26:38.693
HELP THE MENTAL HEALTH PROGRAMS
01:26:38.760 --> 01:26:39.861
THE BILL ADDRESSES THE NEED FOR
01:26:39.928 --> 01:26:41.129
ADDITIONAL SCHOOL SUPPORT
01:26:41.195 --> 01:26:41.996
SERVICES.
01:26:42.063 --> 01:26:43.565
THE GRANTS CREATED BY THIS BILL
01:26:43.631 --> 01:26:44.866
WILL HELP FILL THE VOID AND
01:26:44.933 --> 01:26:46.401
NUMBER OF SUPPORTIVE SERVICES
01:26:46.467 --> 01:26:47.368
STAFF.
01:26:47.435 --> 01:26:48.403
ALLEVIATE THE WORKLOAD --
01:26:48.469 --> 01:26:50.572
ALREADY OVERWORKED TEACHERS AND
01:26:50.638 --> 01:26:52.240
CONNECT SCHOOLS TO EXISTING
01:26:52.307 --> 01:26:53.708
COMMUNITY RESOURCES.
01:26:53.775 --> 01:26:54.976
THIS BILL IS STRUCTURE SAID THAT
01:26:55.043 --> 01:26:56.611
GRANTS WILL LEVERAGE ADDITIONAL
01:26:56.678 --> 01:26:59.213
FEDERAL RESOURCES SPECIFICALLY A
01:26:59.280 --> 01:27:01.182
50% FEDERAL REIMBURSEMENT FOR
01:27:01.249 --> 01:27:03.685
MEDI CAL ELIGIBLE SERVICES.
01:27:03.751 --> 01:27:05.253
CURRENT RATIOS OF SUPPORT STAFF
01:27:05.320 --> 01:27:06.854
ARE TERRIBLE WITH ONE COUNSELOR
01:27:06.921 --> 01:27:09.023
FOR EVERY SIX HUNDRED AND EIGHTY
01:27:09.090 --> 01:27:12.160
ONE STUDENTS ONE NURSE FOR EVERY
01:27:12.226 --> 01:27:12.694
TWO THOUSAND FIVE HUNDRED
01:27:12.760 --> 01:27:13.194
STUDENTS.
01:27:13.261 --> 01:27:16.097
AND ONE SOCIAL WORKER FOR EVERY
01:27:16.164 --> 01:27:16.631
NINE THOUSAND TWO HUNDRED
01:27:16.698 --> 01:27:17.599
STUDENTS THIS BILL PROVIDES
01:27:17.665 --> 01:27:19.233
GRANTS TO ALLOW SCHOOLS TO MAKE
01:27:19.300 --> 01:27:20.101
THEIR OWN DECISIONS WHAT
01:27:20.168 --> 01:27:21.970
SERVICES BEST FIT THE NEEDS OF
01:27:22.036 --> 01:27:23.871
THEIR STUDENTS FOR THE FOR SOME
01:27:23.938 --> 01:27:24.906
THIS MAY MEAN TRAUMA INFORMED
01:27:24.973 --> 01:27:26.874
CARE. FOR OTHERS TRAINING FOR
01:27:26.941 --> 01:27:28.009
TEACHERS AND IDENTIFYING
01:27:28.076 --> 01:27:29.744
STUDENTS IN NEED OF TREATMENT
01:27:29.811 --> 01:27:30.979
FOR OTHER STILL THE CREATION OF
01:27:31.045 --> 01:27:32.447
A SCHOOL BASED HEALTH CENTER
01:27:32.513 --> 01:27:34.248
MIGHT BE MOST APPROPRIATE THIS
01:27:34.315 --> 01:27:35.550
PROGRAM IS MODELED AFTER A
01:27:35.617 --> 01:27:37.151
SIMILARLY.
01:27:37.218 --> 01:27:38.720
SUCCESSFUL PROGRAM IN COLORADO
01:27:38.786 --> 01:27:40.755
WHICH ALSO SAW EFFECTIVE HELP
01:27:40.822 --> 01:27:42.290
PROGRAMS RESULT IN IMPROVED
01:27:42.357 --> 01:27:43.658
STUDENT HEALTH AND ACADEMIC
01:27:43.725 --> 01:27:45.460
PERFORMANCE FOR THESE REASONS I
01:27:45.526 --> 01:27:47.061
RESPECTFULLY ASK FOR YOUR AYE
01:27:47.128 --> 01:27:49.464
BOAT WITH ME TODAY -- TO RIDE
01:27:49.530 --> 01:27:51.366
ADDITIONAL TESTIMONY I HAVE
01:27:51.432 --> 01:27:55.470
HELEN DOUBT IN FROM TEACHERS FOR
01:27:55.536 --> 01:27:56.771
HEALTHY.
01:27:56.838 --> 01:27:58.272
KIDS I HAVE TWO PEOPLE AND I
01:27:58.339 --> 01:27:59.574
ONLY HAVE ONE NAME BUT WE'RE
01:27:59.641 --> 01:28:02.377
GOING TO WORK IT OUT.
01:28:02.443 --> 01:28:03.945
BUT YOU'RE THOSE SELF IDENTIFY
01:28:04.012 --> 01:28:05.680
YES.
01:28:05.747 --> 01:28:07.315
I'M I'M HELEN DROPPED OUT IN IN
01:28:07.382 --> 01:28:08.583
WITH ME.
01:28:08.650 --> 01:28:09.884
TEACHERS FOR HEALTHY KIDS IS
01:28:09.951 --> 01:28:12.787
LYDIA BORN FROM -- THE SCHOOL
01:28:12.854 --> 01:28:16.024
NURSES ASSOCIATION AND HAS -- AS
01:28:16.090 --> 01:28:17.659
THE ASSEMBLY MEMBER SAID THIS
01:28:17.725 --> 01:28:20.294
WILL ACTUALLY PROVIDE A FUNDING
01:28:20.361 --> 01:28:22.263
SOURCE FOR SCHOOL NURSES
01:28:22.330 --> 01:28:24.732
PSYCHOLOGISTS AND SOCIAL WORKERS.
01:28:24.799 --> 01:28:25.600
BECAUSE WHAT WAS FOUND IN
01:28:25.667 --> 01:28:27.769
COLORADO AFTER THEY PASSED THEIR
01:28:27.835 --> 01:28:30.004
CANNABIS INITIATIVE THEY DID NOT
01:28:30.071 --> 01:28:32.940
SEE THE NUMBER OF KIDS -- THE
01:28:33.007 --> 01:28:35.009
NUMBER OF USERS GO UP AND THEY
01:28:35.076 --> 01:28:36.978
PROVIDE IT WITH IN THE SCHOOLS
01:28:37.045 --> 01:28:38.680
VERY SPECIFIC PROGRAMS THE COULD
01:28:38.746 --> 01:28:39.881
FIGURE OUT THE KIDS THAT NEEDED
01:28:39.947 --> 01:28:40.815
TREATMENT.
01:28:40.882 --> 01:28:42.183
SEND THEM IMMEDIATELY TO
01:28:42.250 --> 01:28:44.085
TREATMENT FOR THE REST OF THEM
01:28:44.152 --> 01:28:45.119
TO FIGURE OUT PARTICULARLY WITH
01:28:45.186 --> 01:28:46.854
MIDDLE SCHOOL STUDENTS THE
01:28:46.921 --> 01:28:48.322
PROGRAMS THAT WOULD COULD WITH
01:28:48.389 --> 01:28:49.657
THAT COULD BE CREATED.
01:28:49.724 --> 01:28:51.926
THE KIDS WOULD GO TO WHERE THEY
01:28:51.993 --> 01:28:54.195
WOULDN'T -- OVER USE -- AND DO
01:28:54.262 --> 01:28:56.164
SUBSTANCE ABUSE AND IT'S BEEN
01:28:56.230 --> 01:28:58.466
THEY'VE HIRED OVER TWO HUNDRED
01:28:58.533 --> 01:28:59.834
SCHOOL NURSES.
01:28:59.901 --> 01:29:01.569
OUT OF THEIR CANNABIS FUNDS AND
01:29:01.636 --> 01:29:03.137
THESE ARE ALL FIFTY FIFTY MATCH
01:29:03.204 --> 01:29:04.906
WITH MEDICAID AND THAT CANNABIS
01:29:04.972 --> 01:29:06.774
FUNDS WOULD PROVIDE THE MATCH SO
01:29:06.841 --> 01:29:08.042
WE THINK IT'S A REALLY EFFECTIVE
01:29:08.109 --> 01:29:10.211
USE OF THE CANNABIS MONEY WE
01:29:10.278 --> 01:29:12.447
KNOW -- THEIR OTHER BILLS THAT
01:29:12.513 --> 01:29:14.716
PEOPLE HAVE IN TERMS OF HOW
01:29:14.782 --> 01:29:16.517
OVERALL FOR THE CANNABIS BUT
01:29:16.584 --> 01:29:18.152
THIS RIGHT NOW IT'S SAYING GRANT
01:29:18.219 --> 01:29:20.588
SPECIFICALLY TO SCHOOL DISTRICTS
01:29:20.655 --> 01:29:21.923
AND THEY WOULD BE ABLE THROUGH
01:29:21.989 --> 01:29:23.758
THE DEPARTMENT OF EDUCATION. TO
01:29:23.825 --> 01:29:25.626
MAKE THE DECISION ON WHAT'S THE
01:29:25.693 --> 01:29:28.429
MOST USEFUL WAY OF USING THESE
01:29:28.496 --> 01:29:33.167
MONEY FOR KIDS.
01:29:33.234 --> 01:29:35.603
IN LYDIA CAN FINISH.
01:29:35.670 --> 01:29:37.505
MEDIA ONE REPRESENTED CALIFORNIA
01:29:37.572 --> 01:29:38.406
SCHOOL NURSES ORGANIZATION.
01:29:38.473 --> 01:29:39.073
SCHOOLS ALL THE HIDDEN
01:29:39.140 --> 01:29:39.507
HEALTHCARE SYSTEM.
01:29:39.574 --> 01:29:40.875
AND AS WITH ANY OTHER HEALTHCARE
01:29:40.942 --> 01:29:42.243
SYSTEM YOU NEED ADEQUATE
01:29:42.310 --> 01:29:43.678
PROVIDERS.
01:29:43.745 --> 01:29:45.012
CALIFORNIA DOES NOT MEET THE
01:29:45.079 --> 01:29:46.681
PROFESSIONAL RATIOS FOR THESE
01:29:46.748 --> 01:29:47.949
PROVIDERS.
01:29:48.015 --> 01:29:49.450
OUR CHILDREN DO NOT LEAVE THEIR
01:29:49.517 --> 01:29:50.785
HEALTH AND EMOTIONAL NEEDS AT
01:29:50.852 --> 01:29:53.921
THE SCHOOL FOR ABSENTEEISM
01:29:53.988 --> 01:29:55.356
CHRONIC DISEASE MANAGEMENT.
01:29:55.423 --> 01:29:57.725
PTSD ALL CAN BE MANAGED OUR
01:29:57.792 --> 01:29:58.860
SCHOOLS BUT WE NEED
01:29:58.926 --> 01:30:00.461
PROFESSIONALS IN ADEQUATE
01:30:00.528 --> 01:30:01.963
NUMBERS TO PROVIDE THE PROGRAMS
01:30:02.029 --> 01:30:04.332
AND SERVICES AS WELL AS TRAINED
01:30:04.398 --> 01:30:07.702
STAFF. TO RECOGNIZE AND REFER
01:30:07.769 --> 01:30:09.437
FOR THE EASTER THESE SERVICES.
01:30:09.504 --> 01:30:11.205
AB TWO FIFTY APRIL ALL SCHOOLS
01:30:11.272 --> 01:30:12.607
TO APPLY FOR GRANTS TO BEGIN TO
01:30:12.673 --> 01:30:14.142
ADDRESS THESE HEALTH AND THE
01:30:14.208 --> 01:30:15.777
HEALTH NEEDS OF OUR STUDENTS.
01:30:15.843 --> 01:30:17.445
SCHOOLS A WHERE THE KIDS ARE.
01:30:17.512 --> 01:30:18.746
AND HEALTHY STUDENTS LEARN
01:30:18.813 --> 01:30:21.783
BETTER WE ASK FOR AND I FELT.
01:30:21.849 --> 01:30:22.583
THANK YOU VERY MUCH OTHER
01:30:22.650 --> 01:30:24.352
SUPPORT TONY TOOK CARE ON THE AT
01:30:24.418 --> 01:30:25.253
THE CALIFORNIA TEACHERS
01:30:25.319 --> 01:30:26.854
ASSOCIATION WE'RE PROUD CO
01:30:26.921 --> 01:30:29.557
SPONSOR THE BILL THANK YOU THANK
01:30:29.624 --> 01:30:31.559
YOU.
01:30:31.626 --> 01:30:32.894
HI PATRICK MORE TEAR WITH FIGHT
01:30:32.960 --> 01:30:35.029
CRIME INVEST IN KIDS AND WE'RE
01:30:35.096 --> 01:30:37.899
IN SUPPORT THANK YOU.
01:30:37.965 --> 01:30:39.267
DONNA OUR TICKET WHICH
01:30:39.333 --> 01:30:41.502
CALIFORNIA STATE PTA IN STRONG
01:30:41.569 --> 01:30:44.205
SUPPORT.
01:30:44.272 --> 01:30:45.373
RESIDENTS ALSO WE HAVE THE
01:30:45.439 --> 01:30:47.608
NATIONAL ASSOCIATION OF SOCIAL
01:30:47.675 --> 01:30:48.743
WORKERS IS STRONG SUPPORT THANK
01:30:48.810 --> 01:30:48.943
YOU.
01:30:49.010 --> 01:30:49.510
VERY MUCH.
01:30:49.577 --> 01:30:51.145
ANYONE ELSE.
01:30:51.212 --> 01:30:54.248
SO ANYONE IN OPPOSITION.
01:30:54.315 --> 01:30:54.982
IN A ONE BRING BACK TO THE
01:30:55.049 --> 01:30:56.717
COMMITTEE FOR QUESTIONS OR
01:30:56.784 --> 01:30:57.351
COMMENTS QUESTIONS OR COMES AND
01:30:57.418 --> 01:30:59.453
COMMITTEE.
01:30:59.520 --> 01:31:00.755
MISTER JONES WE WOULD LIKE TO
01:31:00.822 --> 01:31:03.357
CLOSE YES ASK FOR YOUR HIGH VOTE
01:31:03.424 --> 01:31:04.792
WAS WHAT THANK YOU FOR BRINGING
01:31:04.859 --> 01:31:07.595
THIS BILL FORWARD AND DOES ENJOY
01:31:07.662 --> 01:31:09.664
DO PASS RECOMMENDATION -- MOTION
01:31:09.730 --> 01:31:12.600
IS -- DO PASS TO APPROPRIATIONS
01:31:12.667 --> 01:31:14.569
WE HAVE A MOTION BY MS CARILLO
01:31:14.635 --> 01:31:18.739
ON A SECOND BY MISTER BIGELOW --
01:31:18.806 --> 01:31:19.574
MEDITECH TRIP PLEASE CALL THE
01:31:19.640 --> 01:31:22.443
ROLL WHAT I WOULD AYE MAYES
01:31:22.510 --> 01:31:22.743
[inaudible]
01:31:22.810 --> 01:31:24.011
AGUIAR-CURRY [inaudible]
01:31:24.078 --> 01:31:26.247
BIGELOW.
01:31:26.314 --> 01:31:29.483
HI BIGELOW AYE AYE BONTA
01:31:29.550 --> 01:31:29.784
[inaudible]
01:31:29.851 --> 01:31:31.052
BURKE.
01:31:31.118 --> 01:31:33.054
I CARILLO.
01:31:33.120 --> 01:31:35.156
HI.
01:31:35.223 --> 01:31:37.358
FLORA FLORA HI THE MOON
01:31:37.425 --> 01:31:37.658
[inaudible]
01:31:37.725 --> 01:31:40.294
MCCARTY.
01:31:40.361 --> 01:31:43.698
NAZARIAN RAMOS RAMOS.
01:31:43.764 --> 01:31:46.167
RODRIGUEZ AGAIN LOOPY SANTIAGO.
01:31:46.234 --> 01:31:50.905
WALDRON.
01:31:50.972 --> 01:31:51.539
YOU HAVE SIX THOSE WILL LEAVE
01:31:51.606 --> 01:31:53.207
THAT ONE ON CALL ONE WHEN SOME
01:31:53.274 --> 01:31:55.509
OF OUR OTHER MEMBERS RETURN.
01:31:55.576 --> 01:31:56.777
THANK YOU.
01:31:56.844 --> 01:31:58.579
ANOTHER CHANCE SO ANOTHER BILL --
01:31:58.646 --> 01:32:02.250
BILL NUMBER. SEVENTEEN OH NINE
01:32:02.316 --> 01:32:03.384
YES.
01:32:03.451 --> 01:32:04.986
ASSEMBLY BILL SEVENTY NO NIGHT
01:32:05.052 --> 01:32:06.387
CERTIFIED NURSE ASSISTANT
01:32:06.454 --> 01:32:08.489
ADMINISTRATIVE IN TRAINING --
01:32:08.556 --> 01:32:10.658
MOVE THE BILL SECOND.
01:32:10.725 --> 01:32:12.727
AB -- SEVENTEEN OH NINE PROVIDE
01:32:12.793 --> 01:32:14.662
SKILLED NURSING FACILITY ABILITY
01:32:14.729 --> 01:32:16.297
TO DEDICATE RESOURCES TO
01:32:16.364 --> 01:32:18.532
TRAINING THEIR SKILLED WORKFORCE
01:32:18.599 --> 01:32:20.134
STREAMLINED THE PROCESS FOR
01:32:20.201 --> 01:32:21.369
NURSING HOME ADMINISTRATORS
01:32:21.435 --> 01:32:23.237
RENEW THEIR LICENSES AND ENSURE
01:32:23.304 --> 01:32:24.405
STATE OVERSIGHT.
01:32:24.472 --> 01:32:26.641
OF LICENSURE EXAMS CURRENT LAW
01:32:26.707 --> 01:32:29.076
REQUIRES ONE PRECEPTOR PER
01:32:29.143 --> 01:32:30.845
SKILLED NURSING FACILITY SINCE
01:32:30.912 --> 01:32:32.546
THE PRECEPTOR IS OFTEN AN
01:32:32.613 --> 01:32:33.881
ADMINISTRATOR THE SKILLED
01:32:33.948 --> 01:32:35.816
FACILITY NURSING FACILITY THIS
01:32:35.883 --> 01:32:37.585
CAN BE UNNECESSARILY LIMITING
01:32:37.652 --> 01:32:39.387
FOR LICENSED FACILITIES WITH
01:32:39.453 --> 01:32:40.721
MORE THAN ONE LOCATION.
01:32:40.788 --> 01:32:42.323
THIS REQUIRES ADMINISTRATORS
01:32:42.390 --> 01:32:43.925
TAKE TIME AWAY FOR MANAGING A
01:32:43.991 --> 01:32:45.793
SKILLED NURSING FACILITY TO
01:32:45.860 --> 01:32:46.327
COMPLETE THEIR ROLE AS A
01:32:46.394 --> 01:32:48.129
PRECEPTOR AND TRAIN FUTURE
01:32:48.195 --> 01:32:49.330
ADMINISTRATORS.
01:32:49.397 --> 01:32:50.831
AB SEVENTEEN OH NINE ADDRESSES
01:32:50.898 --> 01:32:52.133
THIS ISSUE BY ALLOWING SKILLED
01:32:52.199 --> 01:32:53.901
NURSING FACILITIES THEY HAVE A
01:32:53.968 --> 01:32:55.903
DEDICATED PRECEPTOR THAT CAN
01:32:55.970 --> 01:32:57.905
SERVE AS A DESIGNATED TRAINER AT
01:32:57.972 --> 01:32:59.473
MULTIPLE FACILITIES.
01:32:59.540 --> 01:33:00.875
THIS LETS NURSING HOME
01:33:00.942 --> 01:33:02.476
ADMINISTRATORS FOCUS ON MANAGING
01:33:02.543 --> 01:33:04.011
THE FACILITY TO ENSURE ALL
01:33:04.078 --> 01:33:05.246
PATIENTS ARE RECEIVING THE CARE
01:33:05.313 --> 01:33:06.213
THEY DESERVE.
01:33:06.280 --> 01:33:07.615
THIS BILL ALSO STREAMLINED THE
01:33:07.682 --> 01:33:09.617
PROCESS FOR NURSING HOME
01:33:09.684 --> 01:33:10.384
ADMINISTRATORS TO RENEW THEIR
01:33:10.451 --> 01:33:12.453
LICENSE REQUIRES THE DEPARTMENT
01:33:12.520 --> 01:33:13.454
OF PUBLIC HEALTH REVIEW THE
01:33:13.521 --> 01:33:15.389
LICENSURE EXAMS FOR CERTIFIED
01:33:15.456 --> 01:33:16.791
NURSE ASSISTANTS.
01:33:16.857 --> 01:33:18.526
AND NURSING HOME ADMINISTRATORS
01:33:18.592 --> 01:33:21.228
WITH ME TODAY TO TESTIFY IS JED
01:33:21.295 --> 01:33:26.367
HAMPTON REPRESENTING LEADING
01:33:26.434 --> 01:33:27.335
EDGE CALIFORNIA.
01:33:27.401 --> 01:33:27.935
SPONSORS OF THE BILL MEMBERS I
01:33:28.002 --> 01:33:29.070
RESPECTFULLY ASK FOR YOUR AYE
01:33:29.136 --> 01:33:31.639
VOTE.
01:33:31.706 --> 01:33:32.707
THANK YOU AYE CHEN WITH MEMBERS
01:33:32.773 --> 01:33:33.941
THE COMMITTEE CHEN HAMPTON AT
01:33:34.008 --> 01:33:35.176
WITH THE LEADING IT'S CALIFORNIA
01:33:35.242 --> 01:33:36.978
REPRESENTING OVER SIX HUNDRED
01:33:37.044 --> 01:33:37.979
NOT FOR PROFIT PROVIDERS A
01:33:38.045 --> 01:33:39.547
SENIOR AFFORDABLE HOUSING
01:33:39.613 --> 01:33:41.082
ASSISTED LIVING SKILLED NURSING
01:33:41.148 --> 01:33:41.849
TOO MANY CARE TURNING
01:33:41.916 --> 01:33:42.783
COMMUNITIES.
01:33:42.850 --> 01:33:43.417
I'M VERY PROUD TO WORK WITH THE
01:33:43.484 --> 01:33:46.253
AUTHOR ON THE SIDE VERY
01:33:46.320 --> 01:33:47.054
IMPORTANT BILL IN REDUCING.
01:33:47.121 --> 01:33:48.823
HERE'S TO HIRING A SKILLED IN
01:33:48.889 --> 01:33:49.957
HIGHLY TRAINED LONG TERM CARE
01:33:50.024 --> 01:33:52.760
WORKFORCE AND I HERE FOR ANY
01:33:52.827 --> 01:33:53.361
TECHNICAL QUESTIONS SHOULD YOU
01:33:53.427 --> 01:33:55.296
HAVE.
01:33:55.363 --> 01:33:55.896
THANK YOU VERY MUCH OTHERS IN
01:33:55.963 --> 01:33:57.898
SUPPORT.
01:33:57.965 --> 01:33:59.867
FRED MADE ON BEHALF OF CAL PAYS
01:33:59.934 --> 01:34:01.569
THE PROGRAM FOR ALL INCLUSIVE
01:34:01.635 --> 01:34:03.170
CARE FOR THE ELDERLY IN SUPPORT
01:34:03.237 --> 01:34:06.173
THANK YOU.
01:34:06.240 --> 01:34:07.775
ANY BLOMBERG ON THE HOT ON
01:34:07.842 --> 01:34:08.642
BEHALF OF THE CALIFORNIA
01:34:08.709 --> 01:34:10.644
ASSOCIATION OF HEALTH FACILITIES
01:34:10.711 --> 01:34:13.547
ALSO IN SUPPORT THANK YOU.
01:34:13.614 --> 01:34:14.949
ANGELA WILLIAMS CALIFORNIA
01:34:15.016 --> 01:34:15.883
BLACKOUTS NO WORK IN SUPPORT
01:34:15.950 --> 01:34:18.252
THANK YOU VERY MUCH.
01:34:18.319 --> 01:34:19.987
ANYONE ELSE. THIRTY ONE IN
01:34:20.054 --> 01:34:22.089
OPPOSITION.
01:34:22.156 --> 01:34:23.057
SEE NUMBER BRING BACK TO THE
01:34:23.124 --> 01:34:24.091
COMMITTEE FOR QUESTIONS OR
01:34:24.158 --> 01:34:25.092
COMMENTS QUESTIONS OR COMMENTS
01:34:25.159 --> 01:34:28.129
FROM THE COMMITTEE.
01:34:28.195 --> 01:34:29.363
HAVE YOU ACCEPT THEIR AMENDMENTS
01:34:29.430 --> 01:34:30.664
MISTER JONES SAWYER.
01:34:30.731 --> 01:34:32.099
OF COURSE I ALWAYS APPEAR
01:34:32.166 --> 01:34:33.367
AMENDMENTS MISTER CHAIR THAT'S
01:34:33.434 --> 01:34:36.137
VERY KIND AND JUST JUST NEEDED
01:34:36.203 --> 01:34:37.438
TO HEAR IT FROM YOU [inaudible]
01:34:37.505 --> 01:34:40.841
A PERSON -- NO QUESTIONS OR
01:34:40.908 --> 01:34:43.377
COMMENTS -- WHICH LIKE CLOSER I
01:34:43.444 --> 01:34:45.212
RESPECTFULLY ASK FOR AYE VOTE.
01:34:45.279 --> 01:34:46.814
THE BILL DOESN'T DO A JOB IT
01:34:46.881 --> 01:34:47.648
DOESN'T.
01:34:47.715 --> 01:34:49.283
IT I DON'T KNOW WHAT IT MEAN I
01:34:49.350 --> 01:34:49.917
DON'T KNOW WHAT THIS BILL DOES
01:34:49.984 --> 01:34:50.117
NOT.
01:34:50.184 --> 01:34:52.953
ENJOYS A DO PASS RECOMMENDATION.
01:34:53.020 --> 01:34:55.022
THE MOTION IS DO PASS AS AMENDED
01:34:55.089 --> 01:34:56.390
TO APPROPRIATIONS WE HAVE A
01:34:56.457 --> 01:35:00.561
MOTION BY MISS CARILLO SECOND BY
01:35:00.628 --> 01:35:02.063
MISTER BIGELOW [inaudible]
01:35:02.129 --> 01:35:04.598
AGAIN -- SECTOR PLEASE CALL THE
01:35:04.665 --> 01:35:07.468
ROLL WHAT I WOULD AYE MAYES
01:35:07.535 --> 01:35:07.768
[inaudible]
01:35:07.835 --> 01:35:09.103
AGUIAR-CURRY.
01:35:09.170 --> 01:35:11.038
BIGELOW I'M BIGELOW AYE AYE
01:35:11.105 --> 01:35:12.006
BONTA [inaudible]
01:35:12.073 --> 01:35:14.108
BURKE.
01:35:14.175 --> 01:35:15.743
BURKE I CARILLO.
01:35:15.810 --> 01:35:19.947
HI CARILLO I FLORA [inaudible]
01:35:20.014 --> 01:35:22.116
LIMóN MCCARTY.
01:35:22.183 --> 01:35:24.085
THIS AREA RAMOS RAMOS I
01:35:24.151 --> 01:35:26.687
RODRIGUEZ SANTIAGO.
01:35:26.754 --> 01:35:30.424
WALDRON.
01:35:30.491 --> 01:35:31.092
YOUR FIVE VOTES WILL BE THE BILL
01:35:31.158 --> 01:35:32.193
ON COUGH.
01:35:32.259 --> 01:35:34.095
THANK YOU VERY MUCH APPRECIATED
01:35:34.161 --> 01:35:44.839
MR SALIS.
01:35:44.905 --> 01:35:47.908
THANK YOU MISTER CHAIR.
01:35:47.975 --> 01:35:49.276
THE SERVER LEYVA OF THREE
01:35:49.343 --> 01:35:51.345
MEASURES BEFORE YOU AND AS SUCH
01:35:51.412 --> 01:35:55.583
I'LL BE VERY BRIEF.
01:35:55.649 --> 01:35:57.351
WITH A WE JUST HAVE YOU COME
01:35:57.418 --> 01:36:00.254
BACK LATER FOR THE OTHERS.
01:36:00.321 --> 01:36:03.757
NO NOW OKAY ALL RIGHT.
01:36:03.824 --> 01:36:05.893
THE BILL SECOND FISHING THAT SO
01:36:05.960 --> 01:36:06.560
WE WILL FORTY WOULD ESTABLISH AN
01:36:06.627 --> 01:36:07.428
OLDER ADULT MENTAL HEALTH
01:36:07.495 --> 01:36:09.029
SERVICES ADMINISTRATOR TO
01:36:09.096 --> 01:36:10.531
OVERSEE MENTAL HEALTH SERVICES
01:36:10.598 --> 01:36:12.399
FOR OLDER ADULTS.
01:36:12.466 --> 01:36:13.367
ESTABLISH OUTCOME INDICATORS IN
01:36:13.434 --> 01:36:14.635
AN INTEGRATE CARE AND
01:36:14.702 --> 01:36:17.238
STANDARDIZED GERIATRICS TRAINING
01:36:17.304 --> 01:36:19.006
AND MENTAL HEALTH PROFESSIONALS.
01:36:19.073 --> 01:36:21.075
RESHAPE THE MOTION AND SECOND I
01:36:21.142 --> 01:36:23.410
HAVE -- WHAT THIS IS IN SUPPORT?
01:36:23.477 --> 01:36:27.681
THANK YOU.
01:36:27.748 --> 01:36:29.049
GOOD AFTERNOON MY NAME IS JANET
01:36:29.116 --> 01:36:30.751
FRANK AND I'M A FACULTY
01:36:30.818 --> 01:36:32.887
ASSOCIATE AT THE UCLA CENTER FOR
01:36:32.953 --> 01:36:34.555
HEALTH POLICY RESEARCH AND ON
01:36:34.622 --> 01:36:36.757
FACULTY AT THE UCLA FIELDING
01:36:36.824 --> 01:36:38.926
SCHOOL OF PUBLIC HEALTH.
01:36:38.993 --> 01:36:40.528
I AM PLEASED TO BE HERE TODAY TO
01:36:40.594 --> 01:36:42.263
SHARE FINDINGS FROM OUR STUDY ON
01:36:42.329 --> 01:36:43.497
THE MENTAL HEALTH SERVICES ACT
01:36:43.564 --> 01:36:45.132
IN OLDER ADULTS SPONSORED BY THE
01:36:45.199 --> 01:36:47.001
MENTAL HEALTH SERVICES OVERSIGHT
01:36:47.067 --> 01:36:49.036
ACCOUNTABILITY COMMISSION.
01:36:49.103 --> 01:36:50.905
IN OUR STUDY WE FOUND
01:36:50.971 --> 01:36:52.540
SIGNIFICANT UNMET NEEDS.
01:36:52.606 --> 01:36:54.508
ARE AND GEOGRAPHIC DISPARITIES
01:36:54.575 --> 01:36:56.110
ACROSS THE STATE.
01:36:56.177 --> 01:36:57.811
WE FOUND A FEW PROGRAMS OR
01:36:57.878 --> 01:36:58.879
OUTREACH EFFORTS THAT WERE
01:36:58.946 --> 01:37:00.748
SPECIFICALLY TAILORED TO OLDER
01:37:00.814 --> 01:37:02.483
ADULTS.
01:37:02.550 --> 01:37:04.818
OUTCOMES MEASUREMENT AND DATA
01:37:04.885 --> 01:37:06.687
WAS QUITE LIMITED SOURCE DATA
01:37:06.754 --> 01:37:09.056
REPORTING HOWEVER WE DID ALSO
01:37:09.123 --> 01:37:11.792
IDENTIFY PROMISING PROGRAMS TO
01:37:11.859 --> 01:37:13.294
ADDRESS THESE DEFICITS.
01:37:13.360 --> 01:37:15.029
BASED ON OUR FINDINGS WE MADE
01:37:15.095 --> 01:37:16.096
SEVERAL RECOMMENDATIONS
01:37:16.163 --> 01:37:17.731
INCLUDING TO ESTABLISH A FULL
01:37:17.798 --> 01:37:19.567
TIME ADMINISTRATIVE LEADERSHIP
01:37:19.633 --> 01:37:20.901
POSITION AT THE STATE LEVEL
01:37:20.968 --> 01:37:22.736
DEDICATED TO OLDER ADULT MENTAL
01:37:22.803 --> 01:37:24.004
HEALTH SERVICES.
01:37:24.071 --> 01:37:25.573
WITH THE PROPER AUTHORITY THE
01:37:25.639 --> 01:37:27.107
LEADERSHIP POSITION COULD
01:37:27.174 --> 01:37:28.876
CONTRIBUTE TO AN OVERSEE THE
01:37:28.943 --> 01:37:30.644
IMPLEMENTATION OF POLICIES TO
01:37:30.711 --> 01:37:32.213
IMPROVE SERVICES.
01:37:32.279 --> 01:37:33.747
PROVIDE NEEDED OVERSIGHT FOR
01:37:33.814 --> 01:37:35.049
MENTAL HEALTH SERVICES FOR OLDER
01:37:35.115 --> 01:37:37.785
ADULTS ESTABLISH STANDARDIZED
01:37:37.851 --> 01:37:39.253
DATA REPORTING REQUIREMENTS.
01:37:39.320 --> 01:37:42.056
GUIDE COUNTY EFFORTS TO ENHANCE
01:37:42.122 --> 01:37:43.424
OLDER ADULT OUTREACH AND
01:37:43.490 --> 01:37:45.559
DOCUMENT DOCUMENTATION OF UNMET
01:37:45.626 --> 01:37:46.827
NEED.
01:37:46.894 --> 01:37:48.395
PROMOTE STANDARDIZE GERIATRIC
01:37:48.462 --> 01:37:50.664
TRAINING AN INCREASE SERVICE
01:37:50.731 --> 01:37:52.600
INTEGRATION EFFORTS ESPECIALLY
01:37:52.666 --> 01:37:53.701
BETWEEN MEDICAL BEHAVIORAL
01:37:53.767 --> 01:37:55.603
HEALTH AGING AND SUBSTANCE ABUSE
01:37:55.669 --> 01:37:57.004
SERVICES. TO PROMOTE A
01:37:57.071 --> 01:37:59.373
COMPREHENSIVE MENTAL HEALTH
01:37:59.440 --> 01:38:00.774
SERVICE FOR OLDER ADULTS.
01:38:00.841 --> 01:38:02.276
IN CLOSING I WANT TO EMPHASIZE
01:38:02.343 --> 01:38:04.345
THE STRONG AN IMMEDIATE NEED FOR
01:38:04.411 --> 01:38:05.779
A FULL TIME LEADERSHIP POSITION
01:38:05.846 --> 01:38:07.948
TO OVERSEE BEHAVIORAL HEALTH AND
01:38:08.015 --> 01:38:09.250
MENTAL HEALTH SERVICES AT THE
01:38:09.316 --> 01:38:11.118
STATE LEVEL.
01:38:11.185 --> 01:38:11.685
OUR STUDY SHOWED THAT OLDER
01:38:11.752 --> 01:38:14.421
ADULTS HAD HIGH UNMET NEEDS BUT
01:38:14.488 --> 01:38:15.889
WE DID NOT QUANTIFY THAT NEED
01:38:15.956 --> 01:38:18.158
HOWEVER RECENT STATE DATA.
01:38:18.225 --> 01:38:19.293
PRESENTED AT LAST WEEK'S
01:38:19.360 --> 01:38:20.461
CALIFORNIA BEHAVIORAL HEALTH
01:38:20.527 --> 01:38:22.696
PLANNING COUNCIL MAY SHED SOME
01:38:22.763 --> 01:38:24.298
LIGHT ON THESE UNMET NEEDS.
01:38:24.365 --> 01:38:25.966
DATA WERE PRESENTED SHOWING THAT
01:38:26.033 --> 01:38:27.701
JUST OVER TWENTY SIX THOUSAND
01:38:27.768 --> 01:38:29.570
OLDER ADULTS THOSE SIXTY FIVE
01:38:29.637 --> 01:38:31.305
AND OVER WERE PROVIDED WITH
01:38:31.372 --> 01:38:32.673
BEHAVIORAL HEALTH MENTAL HEALTH
01:38:32.740 --> 01:38:34.008
SERVICES.
01:38:34.074 --> 01:38:35.042
CALIFORNIA'S OLDER ADULT
01:38:35.109 --> 01:38:36.844
POPULATION IS ABOUT SEVEN
01:38:36.910 --> 01:38:37.511
MILLION.
01:38:37.578 --> 01:38:39.446
IN MOST OLDER ADULT PREVALENCE
01:38:39.513 --> 01:38:42.016
STUDIES SHOW THAT ABOUT 20% OF
01:38:42.082 --> 01:38:43.951
OLDER ADULTS OFTEN SUFFER FROM A
01:38:44.018 --> 01:38:45.686
BEHAVIORAL HEALTH PROBLEM.
01:38:45.753 --> 01:38:46.487
BUT LET'S TAKE A MORE
01:38:46.553 --> 01:38:47.821
CONSERVATIVE NUMBER LET'S JUST
01:38:47.888 --> 01:38:51.125
SAY 10% OR ROUGHLY SEVEN HUNDRED
01:38:51.191 --> 01:38:51.925
THOUSAND OLDER ADULTS ARE IN
01:38:51.992 --> 01:38:53.193
NEED OF SERVICES.
01:38:53.260 --> 01:38:56.397
SO THE STATE SERVED TWENTY SIX
01:38:56.463 --> 01:38:57.498
THOUSAND REPRESENTING A VERY
01:38:57.564 --> 01:38:59.700
TIGHT TINY PROPORTION OF THOSE
01:38:59.767 --> 01:39:02.336
ARE IN NEED AND RIGHT NOW.
01:39:02.403 --> 01:39:04.438
NO ONE HAS RESPONSIBILITY TO
01:39:04.505 --> 01:39:06.073
MAKE THE SYSTEM BE MORE
01:39:06.140 --> 01:39:09.476
RESPONSIVE TO THE NEEDS OF OLDER
01:39:09.543 --> 01:39:09.810
CALIFORNIANS.
01:39:09.877 --> 01:39:10.944
THANK YOU.
01:39:11.011 --> 01:39:12.980
THANK YOU VERY MUCH.
01:39:13.047 --> 01:39:14.014
MY NAME IS.
01:39:14.081 --> 01:39:15.516
SURELY CRONE I'M A SENIOR
01:39:15.582 --> 01:39:16.417
ASSEMBLYMEMBERS WITH THE
01:39:16.483 --> 01:39:18.619
CALIFORNIA SENIOR LEGISLATURE
01:39:18.686 --> 01:39:20.321
AND I WAS HONORED TO HAVE
01:39:20.387 --> 01:39:22.790
ATTENDED A CONFERENCE DOWN IN
01:39:22.856 --> 01:39:24.191
LOS ANGELES.
01:39:24.258 --> 01:39:25.893
WHERE JANET AND HER COLLEAGUES
01:39:25.959 --> 01:39:27.428
FOR MAKING A PRESENTATION ABOUT
01:39:27.494 --> 01:39:29.296
THEIR STUDY?
01:39:29.363 --> 01:39:30.798
AND I SAID.
01:39:30.864 --> 01:39:31.932
THERE'S A BILL I'M GOING TO
01:39:31.999 --> 01:39:32.966
CARRY IT.
01:39:33.033 --> 01:39:34.702
AND I PROCEEDED TO PUT THAT BILL
01:39:34.768 --> 01:39:35.803
TOGETHER.
01:39:35.869 --> 01:39:38.872
AND THROUGH SOME CHANCES OF
01:39:38.939 --> 01:39:40.040
WHATEVER.
01:39:40.107 --> 01:39:42.576
THIS GUY HERE SAID A I WANT THAT.
01:39:42.643 --> 01:39:44.511
SO HE DID HE TOOK IN THE CITY'S
01:39:44.578 --> 01:39:45.946
GONNA AUTHOR IT.
01:39:46.013 --> 01:39:47.614
BUT I WOULD JUST TELL YOU THAT
01:39:47.681 --> 01:39:50.651
THE ORIGINAL VERSION OF THE BILL
01:39:50.718 --> 01:39:52.653
THAT WAS INTRODUCED A LACKED A
01:39:52.720 --> 01:39:56.023
WHOLE LOT OF DETAIL AND ALL OF
01:39:56.090 --> 01:39:57.991
THAT DETAIL HAS BEGUN TO COME
01:39:58.058 --> 01:39:58.892
TOGETHER.
01:39:58.959 --> 01:40:00.227
AND I WANT TO JUST POINT OUT A
01:40:00.294 --> 01:40:02.062
COUPLE OF THINGS THAT I'VE I
01:40:02.129 --> 01:40:03.263
THINK ARE IMPORTANT.
01:40:03.330 --> 01:40:04.732
WHEN WE WENT TO THE AGING
01:40:04.798 --> 01:40:09.069
COMMITTEE -- ONE OF THE MEMBERS.
01:40:09.136 --> 01:40:10.003
VEHEMENTLY I MEAN HE WAS SO
01:40:10.070 --> 01:40:11.739
STRONGLY IN SUPPORT OF THIS BUT
01:40:11.805 --> 01:40:13.640
HE SAYS YOU'VE GOT TO INCLUDE
01:40:13.707 --> 01:40:15.242
VETERANS.
01:40:15.309 --> 01:40:16.944
WITH THE HIGH SUICIDE RATES IN
01:40:17.010 --> 01:40:19.947
THE PTSD SITUATION YOU KNOW WITH
01:40:20.013 --> 01:40:21.648
VETERANS AND WHATNOT THEY NEED
01:40:21.715 --> 01:40:23.851
TO BE INCLUDED NOW CONSIDER THAT
01:40:23.917 --> 01:40:25.519
SOME OF OUR NOT IT NECESSARILY
01:40:25.586 --> 01:40:26.220
OLD.
01:40:26.286 --> 01:40:27.621
HERE THEY MAYBE FROM MORE
01:40:27.688 --> 01:40:30.424
COURAGE -- SITUATIONS BUT THEY
01:40:30.491 --> 01:40:32.693
STILL HAVE THE NEED FOR THESE
01:40:32.760 --> 01:40:37.164
SERVICES -- I SEE AN OPPORTUNITY
01:40:37.231 --> 01:40:38.432
TO ENGAGE AND ENCOURAGE
01:40:38.499 --> 01:40:40.901
STATEWIDE ORGANIZATIONS INTER
01:40:40.968 --> 01:40:43.237
PROVIDING INNOVATIVE AND
01:40:43.303 --> 01:40:44.705
CREATIVE PROGRAMS.
01:40:44.772 --> 01:40:45.973
THAT AT THAT ADDRESS SOME OF
01:40:46.039 --> 01:40:48.375
THEIR SPECIFIC ISSUES.
01:40:48.442 --> 01:40:50.344
THESE INNOVATIVE PROGRAMS CAN
01:40:50.411 --> 01:40:52.079
AND SHOULD BE BROUGHT TO THE
01:40:52.146 --> 01:40:54.348
ATTENTION OF OTHER AGENCIES FOR
01:40:54.415 --> 01:40:56.750
POSSIBLE IMPLEMENTATION.
01:40:56.817 --> 01:40:58.452
THIS IS WHERE I THINK ADVISORY
01:40:58.519 --> 01:41:00.053
BODIES SHOULD HAVE REGIONAL
01:41:00.120 --> 01:41:03.090
REPRESENTATION IN ADDITION TO
01:41:03.157 --> 01:41:04.425
STATE ORGANIZATIONS.
01:41:04.491 --> 01:41:07.127
SEEMS LIKE IF HE COUNTIES AROUND
01:41:07.194 --> 01:41:08.862
THE STATE HAVE BUILT SILOS
01:41:08.929 --> 01:41:11.331
AROUND WHAT THEY DO AND DON'T
01:41:11.398 --> 01:41:13.200
NECESSARILY SHARE WHAT THEY DO
01:41:13.267 --> 01:41:14.468
WITH OTHERS AND THERE'S A
01:41:14.535 --> 01:41:16.136
POSSIBILITY THAT THERE'S SOME
01:41:16.203 --> 01:41:18.338
INNOVATION AND CREATIVITY OUT
01:41:18.405 --> 01:41:18.939
THERE THAT WE'RE NOT HEARING
01:41:19.006 --> 01:41:19.606
ABOUT.
01:41:19.673 --> 01:41:22.476
THAT OTHERS COULD POSSIBLY USE.
01:41:22.543 --> 01:41:25.045
SO HOW OFTEN.
01:41:25.112 --> 01:41:26.947
ARE WE OR WILL THERE BE AN AUDIT
01:41:27.014 --> 01:41:28.882
LIKE INTERVENTION TO DETERMINE
01:41:28.949 --> 01:41:30.584
THE OUTCOME BEST PRACTICES
01:41:30.651 --> 01:41:33.754
EXPERIENCE LESSONS LEARNED NOT
01:41:33.821 --> 01:41:35.255
TO BE REPLICATED IN THE FUTURE.
01:41:35.322 --> 01:41:37.090
AND SPECIFICALLY HOW THE MONEY
01:41:37.157 --> 01:41:38.959
WAS ALLOCATED AND HOW IT WAS
01:41:39.026 --> 01:41:40.994
ACTUALLY USED ALONG WITH THE
01:41:41.061 --> 01:41:42.095
RESULTS.
01:41:42.162 --> 01:41:43.864
HAVING STATE LEVEL OVERSIGHT
01:41:43.931 --> 01:41:45.833
WILL ENSURE THAT THE BUDGET
01:41:45.899 --> 01:41:47.768
REQUESTED WAS ACTUALLY USED AS
01:41:47.835 --> 01:41:50.437
DESCRIBED IN THE REQUEST THIS IS
01:41:50.504 --> 01:41:52.639
WHERE AN OPPORTUNITY IS CREATED
01:41:52.706 --> 01:41:54.007
TO PUT THE SPOTLIGHT ON
01:41:54.074 --> 01:41:55.709
INNOVATIVE APPROACHES AND
01:41:55.776 --> 01:41:56.977
SUCCESSFUL AND CREATIVE
01:41:57.044 --> 01:41:59.046
IMPLEMENTATION. TO ADDRESS THIS
01:41:59.112 --> 01:42:00.481
ISSUE.
01:42:00.547 --> 01:42:03.517
I URGE YOU.
01:42:03.584 --> 01:42:04.785
TO GIVE US AN AYE VOTE ON THIS.
01:42:04.852 --> 01:42:06.253
THANK YOU VERY MUCH OF OTHERS IN
01:42:06.320 --> 01:42:07.488
SUPPORT.
01:42:07.554 --> 01:42:08.589
MISTER CHAIR MEMBERS OF THE
01:42:08.655 --> 01:42:09.490
COMMITTEE RENTAL HAGER WITH
01:42:09.556 --> 01:42:10.657
CALIFORNIA'S PSYCHIATRIC
01:42:10.724 --> 01:42:12.192
ASSOCIATION VERY PLEASED TO
01:42:12.259 --> 01:42:15.996
SUPPORT THIS BILL.
01:42:16.063 --> 01:42:18.565
CHAIR MEMBERS OUT SOUTHERN
01:42:18.632 --> 01:42:19.199
CALIFORNIA HOSPITAL ASSOCIATION
01:42:19.266 --> 01:42:20.334
OF SPORT.
01:42:20.400 --> 01:42:22.336
CUT TO MOST BURKE AREA AGENCIES
01:42:22.402 --> 01:42:25.205
ON AGING IN SPORTS.
01:42:25.272 --> 01:42:26.940
GEN HAMPTON MEETING IT'S
01:42:27.007 --> 01:42:29.142
CALIFORNIA IN SUPPORT
01:42:29.209 --> 01:42:29.443
[inaudible]
01:42:29.510 --> 01:42:32.112
ANYONE ELSE. THIRTY ONE IN
01:42:32.179 --> 01:42:34.481
OPPOSITION TO THE BILL.
01:42:34.548 --> 01:42:35.749
SEE KNOWN BRING BACK TO THE
01:42:35.816 --> 01:42:36.783
COMMITTEE FOR QUESTIONS OR
01:42:36.850 --> 01:42:38.051
COMMENTS.
01:42:38.118 --> 01:42:42.122
QUESTIONS OR COMMENTS -- RESPOND
01:42:42.189 --> 01:42:44.091
AS WELL SAVE.
01:42:44.157 --> 01:42:45.926
WHAT WOULD YOU LIKE TO CLOSE?
01:42:45.993 --> 01:42:47.227
NOT JUST THAT IT'S AN ALARMING
01:42:47.294 --> 01:42:48.395
RATE WHEN YOU LOOK AT THE
01:42:48.462 --> 01:42:50.597
INCREASE OF THE SUICIDES AT THAT
01:42:50.664 --> 01:42:51.798
TESTIMONY IN SUPPORT WAS
01:42:51.865 --> 01:42:53.200
ACTUALLY REFERRING TO AN
01:42:53.267 --> 01:42:54.501
APPRECIATE -- THE DO SUPPORT
01:42:54.568 --> 01:42:56.737
POSITION ON BOTH SIDES
01:42:56.803 --> 01:42:57.971
RESPECTFULLY ASK FOR AN AYE VOTE.
01:42:58.038 --> 01:42:59.273
THE BILL DOES ENJOY DO PASS
01:42:59.339 --> 01:43:00.974
RECOMMENDATION AND I WANNA THANK
01:43:01.041 --> 01:43:03.243
YOU FOR BRINGING IT FORWARD --
01:43:03.310 --> 01:43:04.912
COUPLE COMMENTS WELL WE DON'T
01:43:04.978 --> 01:43:05.812
YET KNOW WITH THE GOVERNOR'S
01:43:05.879 --> 01:43:07.447
MASTER PLAN ON EIGHTEEN WILL
01:43:07.514 --> 01:43:08.682
CALL FOR IT'S CLEAR THERE WILL
01:43:08.749 --> 01:43:09.883
BE RENEWED FOCUS.
01:43:09.950 --> 01:43:11.518
ON MANY OF THE ISSUES ADDRESSED
01:43:11.585 --> 01:43:12.452
IN YOUR BILL.
01:43:12.519 --> 01:43:14.321
AND THAT ARE INCLUDED AS DUTIES
01:43:14.388 --> 01:43:16.523
OF OF THE OLDER OLDER ADULT
01:43:16.590 --> 01:43:17.858
ADMINISTRATIVE POSITION CREATED
01:43:17.925 --> 01:43:19.993
BY YOU BY YOUR BILL AB.
01:43:20.060 --> 01:43:21.061
FOR EIGHTY AS A PLAN UNFOLDS WE
01:43:21.128 --> 01:43:22.829
MAKE IT CLEAR CONSENSUS ON
01:43:22.896 --> 01:43:23.797
WHETHER THIS POSITION SHOULD BE
01:43:23.864 --> 01:43:25.165
LOCATED IN DEPARTMENT OF HEALTH
01:43:25.232 --> 01:43:26.466
CARE SERVICES NUMBER DEPARTMENT
01:43:26.533 --> 01:43:27.968
OF AGING AND THAT'S STILL UP IN
01:43:28.035 --> 01:43:29.236
THE AIR AT THIS POINT OBVIOUSLY.
01:43:29.303 --> 01:43:30.237
TOOK THIS THE BILL WAS FOR THE
01:43:30.304 --> 01:43:31.939
EFFORTS -- EFFORTS WILL BE MADE
01:43:32.005 --> 01:43:35.576
TO ENSURE THAT THE PURPOSE OF
01:43:35.642 --> 01:43:36.343
THE BILL ALL LINES.
01:43:36.410 --> 01:43:37.177
WITH THE GOVERNORS OF PROPOSED
01:43:37.244 --> 01:43:38.145
MASTER PLAN -- TO MOST
01:43:38.211 --> 01:43:39.046
EFFECTIVELY MEET THE NEEDS OF
01:43:39.112 --> 01:43:40.447
OUR AGING POPULATION SO I KNOW
01:43:40.514 --> 01:43:41.682
YOU'LL CONTINUE TO WORK ON THAT
01:43:41.748 --> 01:43:43.450
ABSOLUTELY THE BILL DOES ENJOY A
01:43:43.517 --> 01:43:45.419
DO PASS RECOMMENDATION -- TO DO
01:43:45.485 --> 01:43:47.020
PASSED TO APPROPRIATIONS WE HAVE
01:43:47.087 --> 01:43:49.456
A MOTION BY MISTER BIGELOW IN
01:43:49.523 --> 01:43:50.457
THE SECOND BY MISS CARILLO
01:43:50.524 --> 01:43:52.593
UNLESS A MAN SECRETARY PLEASE
01:43:52.659 --> 01:43:53.594
CALL THE ROLL WHAT.
01:43:53.660 --> 01:43:55.662
WOULD I MAYES.
01:43:55.729 --> 01:43:57.831
AGUIAR-CURRY.
01:43:57.898 --> 01:43:59.399
BIGELOW BIGELOW AYE BONTA.
01:43:59.466 --> 01:44:00.634
BURKE.
01:44:00.701 --> 01:44:01.969
BURKE I CARILLO.
01:44:02.035 --> 01:44:03.937
CARILLO AYE FLORA.
01:44:04.004 --> 01:44:06.306
LIMóN MCCARTY.
01:44:06.373 --> 01:44:06.873
THIS AREA.
01:44:06.940 --> 01:44:08.909
RAMOS RAMOS AYE RODRIGUEZ
01:44:08.976 --> 01:44:13.847
SANTIAGO WALDRON.
01:44:13.914 --> 01:44:14.781
YOUR FIVE VOTES WILL BE THE BILL
01:44:14.848 --> 01:44:17.250
ON COFFEE Là MEMBERS OUT ABOUT
01:44:17.317 --> 01:44:18.752
THANK YOU FOR SHE THAT MISTER.
01:44:18.819 --> 01:44:24.124
X. A. B. [inaudible]
01:44:24.191 --> 01:44:24.825
TEN FIFTY EIGHT THE BILL
01:44:24.891 --> 01:44:25.125
[inaudible]
01:44:25.192 --> 01:44:26.627
SECOND.
01:44:26.693 --> 01:44:29.796
THANK YOU I APPRECIATE THAT.
01:44:29.863 --> 01:44:31.298
FIRST MISTER CHAIR FAVE MAY
01:44:31.365 --> 01:44:33.900
PROCEED.
01:44:33.967 --> 01:44:35.369
SELECT SURVEY AT THANKING YOU IN
01:44:35.435 --> 01:44:36.703
YOUR COMMITTEE STAFFER WORKING
01:44:36.770 --> 01:44:38.271
WITH OUR OFFICE ON THIS BILL TO
01:44:38.338 --> 01:44:39.673
HELP IDENTIFY THE BARRIERS.
01:44:39.740 --> 01:44:40.774
AT TO INTEGRATING TREATMENT
01:44:40.841 --> 01:44:42.409
MAYBE TEN FIFTY WOULD ESTABLISH
01:44:42.476 --> 01:44:44.044
A STAKEHOLDER PROCESS TO DEVELOP
01:44:44.111 --> 01:44:45.412
AND IDENTIFIED MINISTRY TO THE
01:44:45.479 --> 01:44:47.347
LEGAL BARRIERS. TO THE DELIVERY
01:44:47.414 --> 01:44:49.049
OF INTEGRATED BEHAVIORAL HEALTH
01:44:49.116 --> 01:44:49.983
SERVICES FOR BETTER.
01:44:50.050 --> 01:44:52.953
FISHERIES WITH CO OCCURRING
01:44:53.020 --> 01:44:53.854
SUBSTANCES.
01:44:53.920 --> 01:44:54.421
SUBSTANCE USE DISORDERS AND
01:44:54.488 --> 01:44:55.255
MENTAL HEALTH CONDITIONS AND
01:44:55.322 --> 01:44:56.690
REQUIRES THE H. YES TO PROVIDE
01:44:56.757 --> 01:44:58.025
RECOMMENDATIONS TO ADDRESS THOSE
01:44:58.091 --> 01:44:59.626
BARRIERS.
01:44:59.693 --> 01:45:01.194
IF YOU HAVE TESTIMONY HERE.
01:45:01.261 --> 01:45:02.396
THANK YOU MISTER CHAIRMAN WAS
01:45:02.462 --> 01:45:03.463
TOM RENT FREE WITH THE COUNTY
01:45:03.530 --> 01:45:04.531
BEHAVIORAL HEALTH DIRECTORS
01:45:04.598 --> 01:45:06.366
ASSOCIATION CALIFORNIA THAT WITH
01:45:06.433 --> 01:45:07.934
THE SPONSORS OF THIS BILL.
01:45:08.001 --> 01:45:09.503
MANY OF THE CLIENTS WE SERVE IN
01:45:09.569 --> 01:45:11.271
OUR BEHAVIORAL HEALTH PROGRAMS --
01:45:11.338 --> 01:45:12.606
COME TO US WITH CO OCCURRING
01:45:12.673 --> 01:45:14.241
MENTAL HEALTH AND SUBSTANCE USE
01:45:14.307 --> 01:45:15.909
DISORDERS AND YET THE SIR AND
01:45:15.976 --> 01:45:17.444
YET TO RECEIVE CARE THEY MUST
01:45:17.511 --> 01:45:18.979
OFTEN NAVIGATE BETWEEN SEPARATE
01:45:19.046 --> 01:45:20.647
SYSTEMS -- WHICH CAN BE
01:45:20.714 --> 01:45:22.949
CHALLENGING EVEN THOUGH MOST
01:45:23.016 --> 01:45:24.151
COUNTIES HAVE MERGED THE
01:45:24.217 --> 01:45:25.385
ADMINISTRATION OF MENTAL HEALTH
01:45:25.452 --> 01:45:26.520
AND SUBSTANCE USE DISORDER
01:45:26.586 --> 01:45:27.621
SERVICES.
01:45:27.688 --> 01:45:29.823
REIMBURSEMENT MECHANISMS COUNTY
01:45:29.890 --> 01:45:31.258
CONTRACTS WITH THE STATE
01:45:31.324 --> 01:45:32.893
DOCUMENTATION REPORTING
01:45:32.959 --> 01:45:34.728
REQUIREMENTS OVERSIGHT AND OTHER
01:45:34.795 --> 01:45:36.563
ADMINISTRATIVE REQUIREMENTS
01:45:36.630 --> 01:45:37.964
REMAIN BIFURCATED.
01:45:38.031 --> 01:45:39.666
AND THIS PRODUCES INEFFICIENCIES
01:45:39.733 --> 01:45:41.702
AND BARRIERS TO THE INTEGRATION
01:45:41.768 --> 01:45:42.769
OF THESE SERVICES.
01:45:42.836 --> 01:45:44.337
MOREOVER THE NEED FOR CLIENTS TO
01:45:44.404 --> 01:45:46.273
NAVIGATE TO DIFFERENT SYSTEMS
01:45:46.339 --> 01:45:47.607
AND WORK WITH SEPARATE CLINICAL
01:45:47.674 --> 01:45:50.243
TEAMS CAN INTERFERE WITH ACCESS
01:45:50.310 --> 01:45:51.344
TO APPROPRIATE CARE.
01:45:51.411 --> 01:45:52.979
OUR CLIENTS DON'T COME TO US
01:45:53.046 --> 01:45:54.414
BIFURCATED.
01:45:54.481 --> 01:45:55.415
NEITHER SERVE OUR BEHAVIORAL
01:45:55.482 --> 01:45:57.818
HEALTH SERVICES BE BIFURCATED IF
01:45:57.884 --> 01:45:59.286
WE'RE GOING TO EFFECTIVELY
01:45:59.352 --> 01:46:00.620
PROVIDE A WHOLE PERSON CARE.
01:46:00.687 --> 01:46:02.089
CLIENT CARE SHOULD BE SHAPED BY
01:46:02.155 --> 01:46:03.523
THE UNIQUE NEEDS OF EACH
01:46:03.590 --> 01:46:04.524
INDIVIDUAL NOT BY THE
01:46:04.591 --> 01:46:07.360
ADMINISTRATIVE REQUIREMENTS OF
01:46:07.427 --> 01:46:08.328
SEPARATE DELIVERY SYSTEMS. TO
01:46:08.395 --> 01:46:10.263
PROVIDE INTEGRATED SUBSTANCE USE
01:46:10.330 --> 01:46:11.531
AND MENTAL HEALTH CARE
01:46:11.598 --> 01:46:12.933
CALIFORNIA MUST IDENTIFY
01:46:12.999 --> 01:46:14.768
EFFECTIVE TREATMENT MODELS THAT
01:46:14.835 --> 01:46:16.269
SERVE THE WHOLE PERSON.
01:46:16.336 --> 01:46:18.171
THROUGH THIS STAKEHOLDER PROCESS --
01:46:18.238 --> 01:46:18.972
WE WOULD WORK WITH THE
01:46:19.039 --> 01:46:21.508
DEPARTMENT TO IDENTIFY BARRIERS
01:46:21.575 --> 01:46:22.609
TO PROVIDE A WHOLE A WHOLE
01:46:22.676 --> 01:46:24.277
PERSON CARE AND MAKE THE
01:46:24.344 --> 01:46:25.512
APPROPRIATE CHANGES IN
01:46:25.579 --> 01:46:27.214
REGULATION OR IN THE STATE PLAN
01:46:27.280 --> 01:46:28.749
IN ORDER TO BETTER INTEGRATE --
01:46:28.815 --> 01:46:30.283
THESE SERVICES FOR THE FOR THE
01:46:30.350 --> 01:46:32.252
BENEFIT OF OUR CLIENTS I THANK
01:46:32.319 --> 01:46:33.987
YOU FOR YOUR ATTENTION EVERY
01:46:34.054 --> 01:46:35.455
ARGYRIA VOTE.
01:46:35.522 --> 01:46:36.223
THANK YOU VERY MUCH OTHERS IN
01:46:36.289 --> 01:46:38.091
SUPPORT -- MR CHAIRMAN MEMBERS
01:46:38.158 --> 01:46:39.493
OF THE COMMITTEE RANDALL HAGER
01:46:39.559 --> 01:46:40.360
FOR THE CALIFORNIA SITE
01:46:40.427 --> 01:46:42.863
PSYCHIATRIC ASSOCIATION AND
01:46:42.929 --> 01:46:46.633
STRONG STRONG SUPPORT THANK YOU.
01:46:46.700 --> 01:46:48.068
MISTER CHAIR MEMBERS ROBERT
01:46:48.135 --> 01:46:49.302
HARRIS ON THE HALF OF
01:46:49.369 --> 01:46:51.071
CALIFORNIA'S SOCIETY VICTIMS NOT
01:46:51.138 --> 01:46:53.106
A SIN IN SUPPORT.
01:46:53.173 --> 01:46:54.241
THANK YOU VERY MUCH [inaudible]
01:46:54.307 --> 01:46:55.809
ANYONE ELSE.
01:46:55.876 --> 01:46:57.010
SEE NO ONE IS THERE ANYONE IN
01:46:57.077 --> 01:46:59.780
OPPOSITION.
01:46:59.846 --> 01:47:00.947
SEE KNOWN BRING BACK TO
01:47:01.014 --> 01:47:02.482
COMMITTEE FOR QUESTIONS OR
01:47:02.549 --> 01:47:03.083
COMMENTS QUESTIONS OR COMMENTS
01:47:03.150 --> 01:47:05.018
FROM THE COMMITTEE.
01:47:05.085 --> 01:47:06.553
SEEING NONE WHICH I CLOSE MISTER
01:47:06.620 --> 01:47:08.355
SALAS THIS RESPECTFULLY ASK
01:47:08.421 --> 01:47:08.822
PRIVATE.
01:47:08.889 --> 01:47:10.123
THANK YOU.
01:47:10.190 --> 01:47:11.291
THE BILL DOES ENJOY DO PASS
01:47:11.358 --> 01:47:12.959
RECOMMENDATION AND SAID DO
01:47:13.026 --> 01:47:14.594
PASSED TO APPROPRIATIONS WE HAVE
01:47:14.661 --> 01:47:16.429
A MOTION BY MISTER BIGELOW
01:47:16.496 --> 01:47:19.633
SECOND BY MISS KOREA.
01:47:19.699 --> 01:47:20.200
LAST MINUTE SECRETARY PLEASE
01:47:20.267 --> 01:47:22.135
CALL THE ROLL.
01:47:22.202 --> 01:47:24.571
WHAT I WOULD AYE MAYES?
01:47:24.638 --> 01:47:26.807
BIGELOW HI BIGELOW AYE BONTA
01:47:26.873 --> 01:47:30.243
BURKE BURKE HI CARILLO.
01:47:30.310 --> 01:47:32.279
CARILLO AYE FLORA.
01:47:32.345 --> 01:47:32.979
LIMóN.
01:47:33.046 --> 01:47:35.782
MCCARTY THIS AREA FROM US.
01:47:35.849 --> 01:47:37.818
RAMOS I RODRIGUEZ SANTIAGO
01:47:37.884 --> 01:47:43.456
WALDRON.
01:47:43.523 --> 01:47:45.325
YEAH FIVE FIVE AS BEFORE WE THAT
01:47:45.392 --> 01:47:46.793
BILL HUNT CAUGHT WE HAVE ONE
01:47:46.860 --> 01:47:49.196
MORE BILL ITEM NUMBER FIFTY FOUR
01:47:49.262 --> 01:47:51.965
AB [inaudible]
01:47:52.032 --> 01:47:53.400
SEVENTEEN FIFTY NINE SECOND.
01:47:53.466 --> 01:47:54.768
THAT A MOTION AND A SECOND SORRY
01:47:54.835 --> 01:47:56.970
THANK YOU MISTER AB SEVENTEEN
01:47:57.037 --> 01:47:57.904
FIFTY NINE WOULD HELP ADDRESS A
01:47:57.971 --> 01:47:59.206
SEVERE GROWING HEALTH CARE
01:47:59.272 --> 01:48:00.407
WORKFORCE SHORTAGE AND MEDICALLY
01:48:00.473 --> 01:48:01.675
UNDERSERVED COMMUNITIES BY
01:48:01.741 --> 01:48:02.709
APPROPRIATING.
01:48:02.776 --> 01:48:03.810
THE ADDITIONAL FIFTY MILLION
01:48:03.877 --> 01:48:05.212
FROM THE GENERAL FUND TO THE
01:48:05.278 --> 01:48:06.046
OFFICE OF STATEWIDE HEALTH
01:48:06.112 --> 01:48:07.814
PLANNING AND DEVELOPMENT.
01:48:07.881 --> 01:48:09.082
THIS IS A MEASURE THAT.
01:48:09.149 --> 01:48:10.250
MISTER CHAIRMAN THAT WE
01:48:10.317 --> 01:48:11.651
DISCUSSED YESTERDAY AND SUB
01:48:11.718 --> 01:48:14.955
TWEET IT IS A MATTER OF FACT
01:48:15.021 --> 01:48:15.388
BUDGET SUBCOMMITTEE.
01:48:15.455 --> 01:48:17.457
CORRECT.
01:48:17.524 --> 01:48:19.025
RESPECTFULLY ASK PRIVATE IDEA OF
01:48:19.092 --> 01:48:21.228
TESTIMONY IN SUPPORT.
01:48:21.294 --> 01:48:21.862
THANK YOU MISTER CHAIR MEMBERS
01:48:21.928 --> 01:48:23.263
MATT ROBERTS ON BEHALF OF KAISER
01:48:23.330 --> 01:48:24.965
PERMANENTE A WE ARE PLEASED TO
01:48:25.031 --> 01:48:26.299
SUPPORT AB.
01:48:26.366 --> 01:48:27.067
SEVENTEEN FIFTY NINE I THINK TO
01:48:27.133 --> 01:48:28.501
SOME MEMBERS ALSO BRING THIS
01:48:28.568 --> 01:48:30.170
BILL FOR TODAY AND ALSO -- IN
01:48:30.237 --> 01:48:31.438
FROM THE BUDGET SUBCOMMITTEE I
01:48:31.504 --> 01:48:33.440
YESTERDAY WHEN I SPOKE ON BEHALF
01:48:33.506 --> 01:48:35.041
OF YOU -- KAISER PERMANENTE A
01:48:35.108 --> 01:48:36.476
SURGE OF NINE MILLION MEMBERS IN
01:48:36.543 --> 01:48:38.278
CALIFORNIA WITH OVER THIRTY SIX
01:48:38.345 --> 01:48:41.114
HOSPITALS IN OVER FOUR HUNDRED
01:48:41.181 --> 01:48:41.781
SIXTY MEDICAL OFFICES THROUGHOUT
01:48:41.848 --> 01:48:42.449
THE STATE.
01:48:42.515 --> 01:48:43.884
IN ORDER TO PROVIDE QUALITY
01:48:43.950 --> 01:48:45.785
INAPPROPRIATE CARE IS IMPERATIVE
01:48:45.852 --> 01:48:47.754
TO TRACK A QUALIFIED ANSWER
01:48:47.821 --> 01:48:49.155
SINGLE WORK FORCE IN THE STATE.
01:48:49.222 --> 01:48:50.624
HAVE BEEN SHOWS THE EDUCATIONAL
01:48:50.690 --> 01:48:51.892
ATTAINMENT OFTEN LEADS TO BETTER
01:48:51.958 --> 01:48:54.261
HEALTH ANCHOR OUTCOMES BETTER
01:48:54.327 --> 01:48:55.762
JOBS HIGHER INCOME EARNINGS
01:48:55.829 --> 01:48:57.697
IMPROVE ACCESS RESOURCES THAT
01:48:57.764 --> 01:48:59.132
REINFORCE HEALTH.
01:48:59.199 --> 01:49:00.667
BECAUSE APARTMENT DAY IS HELPING
01:49:00.734 --> 01:49:01.668
TO IMPROVE MANY HELP INCREASING
01:49:01.735 --> 01:49:03.436
ACCESS EDUCATIONAL AND CAREER
01:49:03.503 --> 01:49:04.871
LEARNING OPPORTUNITIES THROUGH
01:49:04.938 --> 01:49:06.239
SCHOLARSHIPS INVESTMENTS IN
01:49:06.306 --> 01:49:07.641
WORKFORCE DEVELOPMENT.
01:49:07.707 --> 01:49:08.708
WE ALSO BELIEVE IN DEVELOPING A
01:49:08.775 --> 01:49:09.976
MORE CULTURALLY RESPONSIVE
01:49:10.043 --> 01:49:11.144
HEALTH CARE WORKFORCE THAT
01:49:11.211 --> 01:49:12.479
MIRRORS THE COMMUNITIES IT
01:49:12.545 --> 01:49:13.546
SERVES.
01:49:13.613 --> 01:49:15.015
WE START BUILDING THAT PIPELINE
01:49:15.081 --> 01:49:16.116
OF TALENTED AND DIVERSE HEALTH
01:49:16.182 --> 01:49:17.417
CARE PROFESSIONALS EARLY WITH
01:49:17.484 --> 01:49:18.618
PROGRAMS.
01:49:18.685 --> 01:49:20.120
THEY INTRODUCE UNDER REPRESENTED
01:49:20.186 --> 01:49:21.187
GRADE SCHOOL AND HIGH SCHOOL
01:49:21.254 --> 01:49:22.889
STUDENTS TO CAREERS AND HEALTH
01:49:22.956 --> 01:49:24.157
CARE.
01:49:24.224 --> 01:49:24.791
IN OUR HEALTH CARE SCHOLARSHIPS
01:49:24.858 --> 01:49:26.159
AND PREFER THAT PROVIDE
01:49:26.226 --> 01:49:27.694
FINANCIAL ASSISTANCE TO EMPOWER
01:49:27.761 --> 01:49:29.329
COMMITTEE MEMBERS TO ENSURE
01:49:29.396 --> 01:49:30.463
CAREERS IN HEALTHCARE.
01:49:30.530 --> 01:49:31.798
CONSISTENT WITH OUR VALUES AND
01:49:31.865 --> 01:49:34.134
PRAXIS AB SEVENTEEN FIFTY NINE
01:49:34.200 --> 01:49:34.701
WILL HELP UNDER REPRESENTED
01:49:34.768 --> 01:49:36.569
POPULATIONS IN THOSE UNDERSERVED
01:49:36.636 --> 01:49:38.238
GEOGRAPHIES AND WILL DIRECTLY
01:49:38.305 --> 01:49:40.040
ACCESS. TO MEET WILL DIRECTLY AT
01:49:40.106 --> 01:49:41.641
ADDRESS ACCESS TO CARE
01:49:41.708 --> 01:49:43.043
CHALLENGES WITH THE SEGMENTS
01:49:43.109 --> 01:49:44.611
THEREBY IMPROVING OVERALL HEALTH
01:49:44.678 --> 01:49:45.845
OUTCOMES WITH THAT WHERE AND
01:49:45.912 --> 01:49:48.515
PROUD SUPPORT OF AB TWO AB.
01:49:48.581 --> 01:49:49.349
SEVENTY FIFTY NINE THANK YOU
01:49:49.416 --> 01:49:50.784
VERY MUCH OTHERS IN SUPPORT.
01:49:50.850 --> 01:49:52.419
OUT SOUTHERN CALIFORNIA SPITTLE
01:49:52.485 --> 01:49:57.691
ASSOCIATION ALSO SUPPORT THANK
01:49:57.757 --> 01:49:59.092
YOU.
01:49:59.159 --> 01:49:59.693
GOOD AFTERNOON VICTOR CHRISTY
01:49:59.759 --> 01:50:00.226
CALVET HELPLESS ADVOCATES
01:50:00.293 --> 01:50:01.361
ADVOCATING ON BEHALF OF
01:50:01.428 --> 01:50:02.262
COMMUNITY HEALTH CENTERS AND
01:50:02.329 --> 01:50:03.797
SUPPORT THANK YOU.
01:50:03.863 --> 01:50:04.564
RESIDENTS ARE BEHALF OF THE
01:50:04.631 --> 01:50:05.365
AMERICAN COLLEGE OBG WHY
01:50:05.432 --> 01:50:06.933
INSTITUTE NINE AND THE
01:50:07.000 --> 01:50:09.002
CALIFORNIA ACADEMY OF FAMILY
01:50:09.069 --> 01:50:09.469
PHYSICIANS IN SUPPORT.
01:50:09.536 --> 01:50:11.137
THANK YOU.
01:50:11.204 --> 01:50:12.005
BRANDON MARCHING WITH THE
01:50:12.072 --> 01:50:13.740
CALIFORNIA MEDICAL ASSOCIATION
01:50:13.807 --> 01:50:16.343
IN SUPPORT THANK YOU.
01:50:16.409 --> 01:50:18.144
MONICA ARE LESS MODEST WITH THE
01:50:18.211 --> 01:50:20.213
LATINO COALITION FOR HEALTHY
01:50:20.280 --> 01:50:23.817
CALIFORNIA IN STRONG SUPPORT.
01:50:23.883 --> 01:50:24.884
KELLY BROOKS ON BEHALF OF THE
01:50:24.951 --> 01:50:26.386
ASSOCIATION CALIFORNIA
01:50:26.453 --> 01:50:26.953
HEALTHCARE DISTRICTS HERE IN
01:50:27.020 --> 01:50:29.356
SUPPORT.
01:50:29.422 --> 01:50:30.957
ANYONE ELSE THIRTY ONE IN
01:50:31.024 --> 01:50:32.559
OPPOSITION.
01:50:32.625 --> 01:50:34.794
SEE NO BRING BACK TO THE
01:50:34.861 --> 01:50:35.328
COMMITTEE FOR QUESTIONS OR
01:50:35.395 --> 01:50:36.463
COMMENTS.
01:50:36.529 --> 01:50:38.431
I JUST LIKE TO SAY THANK YOU FOR
01:50:38.498 --> 01:50:39.065
BRINGING TO GO FORWARD OBVIOUSLY
01:50:39.132 --> 01:50:40.166
WE WE KNOW WE HAVE A HUGE
01:50:40.233 --> 01:50:42.435
WORKFORCE SHORTAGE IN CALIFORNIA.
01:50:42.502 --> 01:50:44.604
AND THE CALIFORNIA HEALTH CARE
01:50:44.671 --> 01:50:46.473
WORKFORCE COMMISSION CAME UP
01:50:46.539 --> 01:50:48.041
WITH A VARIETY OF OUR
01:50:48.108 --> 01:50:49.876
RECOMMENDATIONS SO WITH THAT
01:50:49.943 --> 01:50:50.744
PRICE TAG ABOUT THREE BILLION
01:50:50.810 --> 01:50:51.344
DOLLARS.
01:50:51.411 --> 01:50:53.380
OVER A TEN YEAR PERIOD OF YOUR
01:50:53.446 --> 01:50:54.948
BILLS ASKING FOR FIFTY MILLION
01:50:55.015 --> 01:50:56.316
DOLLARS ON WHICH WOULD BE A NICE
01:50:56.383 --> 01:50:57.884
JUMP START ON SOME OF THE SOME
01:50:57.951 --> 01:50:59.319
OF THESE -- ISSUES THAT ARE
01:50:59.386 --> 01:51:02.389
IMPORTANT TO US -- I RESPECT IT
01:51:02.455 --> 01:51:03.923
I OBVIOUSLY YOU HAVE A DO PASS
01:51:03.990 --> 01:51:05.225
RECOMMENDATION THANK YOU ARE TO
01:51:05.291 --> 01:51:07.660
PASS UP TO APPROPRIATIONS --
01:51:07.727 --> 01:51:09.329
MADAM SECRETARY WELL JOINT TO
01:51:09.396 --> 01:51:11.965
CLOSE I RESPECTFULLY ASK PRIVATE
01:51:12.032 --> 01:51:12.532
THINKING THIS SHOW FOR THOSE
01:51:12.599 --> 01:51:13.400
COMMENTS.
01:51:13.466 --> 01:51:14.601
A MAN SECRETARY -- WE HAVE --
01:51:14.667 --> 01:51:16.703
PROMOTION BY MR BIGELOW SECOND
01:51:16.770 --> 01:51:18.405
BY MISS CARILLO MOTION IS PASSED
01:51:18.471 --> 01:51:22.776
TO PREPARATIONS SO PLEASE CALL
01:51:22.842 --> 01:51:24.611
THE ROLL.
01:51:24.677 --> 01:51:26.212
WHAT I WOULD AYE MAYES
01:51:26.279 --> 01:51:27.947
AGUIAR-CURRY?
01:51:28.014 --> 01:51:30.917
BIGELOW AYE BIGELOW AYE BONTA.
01:51:30.984 --> 01:51:31.851
BURKE.
01:51:31.918 --> 01:51:34.020
AND I CARILLO HI CARILLO I'VE
01:51:34.087 --> 01:51:34.554
FLORA.
01:51:34.621 --> 01:51:36.256
THE MOST MCCARTY.
01:51:36.322 --> 01:51:37.924
THIS AREA FROM US RAMOS I
01:51:37.991 --> 01:51:43.730
RODRIGUEZ SANTIAGO WALDRON.
01:51:43.797 --> 01:51:44.764
YOU HAVE FIVE VOTES WILL LEAVE
01:51:44.831 --> 01:51:45.765
THE BILL OKAY ALL AND MISTER
01:51:45.832 --> 01:51:46.933
CHAIR PERHAPS -- FOR THAT LAST
01:51:47.000 --> 01:51:47.467
BILL WHEN IT MOVES OUT OF
01:51:47.534 --> 01:51:48.668
COMMITTEE MISTER BIGELOW IS
01:51:48.735 --> 01:51:51.237
INDICATED HE'D LIKE TO BE ADDED
01:51:51.304 --> 01:51:53.139
AS A CO AUTHOR.
01:51:53.206 --> 01:51:54.607
GOT IT.
01:51:54.674 --> 01:51:55.241
AWESOME THANK YOU THANK YOU VERY
01:51:55.308 --> 01:51:56.643
MUCH.
01:51:56.709 --> 01:52:13.960
NEXT UP MISS QUIRK SILVA
01:52:20.233 --> 01:52:20.300
.
01:52:20.300 --> 01:52:36.583
COVER FOR SECOND
01:52:37.584 --> 01:52:37.650
.
01:52:37.650 --> 01:52:42.255
HI THE ITEM NUMBER.
01:52:42.322 --> 01:52:42.856
ELEVEN EIGHTY FIVE SIXTY THREE
01:52:42.922 --> 01:52:45.758
MEMBERSHIP QUIRK QUIRK SILVA.
01:52:45.825 --> 01:52:48.194
THAT'S ALREADY ON THE DAY I GOT
01:52:48.261 --> 01:52:50.130
A LONG WAY TO GO.
01:52:50.196 --> 01:52:52.499
THAT IS AWESOME YOU KNOW WHAT
01:52:52.565 --> 01:52:54.567
THAT MEANS IS THAT RIGHT -- BUT
01:52:54.634 --> 01:52:56.369
YOU CAN CALL ME QUICK SILVER IF
01:52:56.436 --> 01:52:59.472
YOU WANT [inaudible]
01:52:59.539 --> 01:53:00.406
ANY.
01:53:00.473 --> 01:53:01.040
THAT'S RIGHT I'M HERE TO PRISON
01:53:01.107 --> 01:53:02.208
AB -- FIVE SIXTY THREE AND THANK
01:53:02.275 --> 01:53:03.009
YOU MISTER CHAIR AND MEMBERS OF
01:53:03.076 --> 01:53:04.310
THE COMMITTEE.
01:53:04.377 --> 01:53:06.679
THIS IS A VERY PERSONAL BILL TO
01:53:06.746 --> 01:53:09.816
ME AS THE IT IS NO SECRET THAT
01:53:09.883 --> 01:53:11.718
NOT ONLY ORANGE COUNTY BUT OUR
01:53:11.784 --> 01:53:13.086
ENTIRE STATE.
01:53:13.153 --> 01:53:16.022
IS FACING A HOMELESSNESS CRISIS
01:53:16.089 --> 01:53:17.690
AND WHEN YOU ADD THAT IN WITH
01:53:17.757 --> 01:53:19.192
SOME OF THE ISSUES THAT WE SEE
01:53:19.259 --> 01:53:21.761
WITH OUR OWN HOMELESS -- FROM
01:53:21.828 --> 01:53:24.197
SOME OF OUR HOMELESS BEING --
01:53:24.264 --> 01:53:27.000
VETERANS -- TO SOME OF ARE
01:53:27.066 --> 01:53:29.102
HOMELESS BEING NOT ONLY FAMILIES
01:53:29.169 --> 01:53:30.270
BUT ALSO THOSE THAT ARE
01:53:30.336 --> 01:53:32.739
SUFFERING FROM SUBSTANCE ABUSE
01:53:32.805 --> 01:53:35.074
OR ADDICTION -- TO SEVERE MENTAL
01:53:35.141 --> 01:53:38.278
HEALTH ISSUES -- WE ALSO NOTE
01:53:38.344 --> 01:53:40.313
THAT AS WE ARE THIS YEAR
01:53:40.380 --> 01:53:42.649
FOCUSING ON HOUSING AND
01:53:42.715 --> 01:53:45.518
HOMELESSNESS AS A PRIORITY THAT
01:53:45.585 --> 01:53:47.754
WE HAVE TO NOT -- TO TACKLED ARE
01:53:47.820 --> 01:53:51.457
ISSUE OF MENTAL HEALTH RELATED
01:53:51.524 --> 01:53:53.793
TO HOMELESSNESS AND SADLY I
01:53:53.860 --> 01:53:56.229
PERSONALLY HAVE HAD MORE THAN A
01:53:56.296 --> 01:53:57.964
FOR A FEW INSTANCES ONE LEADING
01:53:58.031 --> 01:54:00.733
BACK TO TEN YEARS AGO WHEN -- IN
01:54:00.800 --> 01:54:03.069
THE CITY OF FULLER TEN AS A
01:54:03.136 --> 01:54:04.871
COUNCIL MEMBER.
01:54:04.938 --> 01:54:08.074
WE HAD A MAJOR INCIDENT ON THE
01:54:08.141 --> 01:54:09.809
STREETS OF FULLER TEN WITH THE
01:54:09.876 --> 01:54:12.712
DEATH OF ALL HOMELESS INDIVIDUAL
01:54:12.779 --> 01:54:14.480
WHO SUFFERED FROM SCHIZOPHRENIA
01:54:14.547 --> 01:54:17.350
KELLY THOMAS IN THIS CASE MADE.
01:54:17.417 --> 01:54:20.019
NEWS ACROSS NOT ONLY OF THE
01:54:20.086 --> 01:54:22.622
STATE BUT REALLY THE WORLD AND
01:54:22.689 --> 01:54:24.157
TEN YEARS LATER AND THE THIS
01:54:24.224 --> 01:54:27.894
FALL I OFF ALSO PERSONALLY HAND
01:54:27.961 --> 01:54:31.464
MY BROTHER -- BILLY J. SO DIE ON
01:54:31.531 --> 01:54:33.166
THE STREETS.
01:54:33.233 --> 01:54:35.168
AND WHAT A PARK -- WHO OFF ALSO
01:54:35.235 --> 01:54:39.005
SO THIRD -- SUBSTANCE ABUSE AND
01:54:39.072 --> 01:54:40.873
DEALT WITH HOMELESSNESS THAT
01:54:40.940 --> 01:54:44.577
BEING SAID ALL TOO OFTEN WE SEE --
01:54:44.644 --> 01:54:45.478
WHEN THESE?
01:54:45.545 --> 01:54:47.981
CASES ARE FIRST OUR PUBLIC
01:54:48.047 --> 01:54:51.184
SAFETY GET THE CALLS 911- CALLS
01:54:51.251 --> 01:54:53.386
AND WHEN THERE IS A NEED THEY
01:54:53.453 --> 01:54:58.825
ARE MANY TIMES AND UP IN OUR
01:54:58.891 --> 01:54:59.092
HOSPITALS.
01:54:59.158 --> 01:55:01.361
IN RG ALES AND WITHOUT HAVING
01:55:01.427 --> 01:55:02.895
PROPER CARE.
01:55:02.962 --> 01:55:03.763
THEY'RE DYING THEY ARE DYING OR
01:55:03.830 --> 01:55:05.565
STREETS IN ORANGE COUNTY AT THE
01:55:05.632 --> 01:55:07.300
RATE OF THREE HUNDRED AND THIRTY
01:55:07.367 --> 01:55:08.568
WHO HAVE DIED.
01:55:08.635 --> 01:55:10.870
THIS LAST YEAR INCLUDING THIRTY
01:55:10.937 --> 01:55:12.905
IN THE MONTH OF MARCH IN THE
01:55:12.972 --> 01:55:14.307
STREETS OF ORANGE COUNTY.
01:55:14.374 --> 01:55:15.608
AND THIS IS THE ORANGE COUNTY
01:55:15.675 --> 01:55:17.577
THAT IS HIGHLIGHTED WITH THE
01:55:17.644 --> 01:55:19.412
ORANGE COUNTY HOUSEWIVES OF THE
01:55:19.479 --> 01:55:21.481
STREETS THAT ARE PAVED IN GOLD
01:55:21.547 --> 01:55:23.249
AND THIS IS THE ORANGE COUNTY.
01:55:23.316 --> 01:55:24.384
THAT.
01:55:24.450 --> 01:55:26.753
PEOPLE COME TO FOR ENTERTAINMENT
01:55:26.819 --> 01:55:28.554
AND AT THE HAPPIEST PLACE DON
01:55:28.621 --> 01:55:31.891
MILLER ON OUR EARTH AND YET IN
01:55:31.958 --> 01:55:34.060
OUR ELOISE IN OUR PARKS IN OUR
01:55:34.127 --> 01:55:35.695
HOSPITALS WE SEE.
01:55:35.762 --> 01:55:37.297
THOSE WHO HAVE NOT RECEIVED THE
01:55:37.363 --> 01:55:40.266
CARE THAT THEY NEED DIE.
01:55:40.333 --> 01:55:42.302
AND IT'S NOT ACCEPTABLE.
01:55:42.368 --> 01:55:44.203
AND IT'S OUR MORAL OBLIGATION AS
01:55:44.270 --> 01:55:45.538
A STATE.
01:55:45.605 --> 01:55:48.374
AND AS A COUNTRY TO DO MORE AND
01:55:48.441 --> 01:55:52.712
WE CAN DO MORE -- IN AB SIX FIVE
01:55:52.779 --> 01:55:53.279
SIXTY THREE WOULD CREATE THE
01:55:53.346 --> 01:55:55.515
NORTH ORANGE COUNTY CRISIS
01:55:55.581 --> 01:55:57.583
NETWORK REPORT RESPONSE PILOT
01:55:57.650 --> 01:55:58.518
PROGRAM.
01:55:58.584 --> 01:56:00.953
A PUBLIC PRIVATE PARTNERSHIP
01:56:01.020 --> 01:56:02.288
DEDICATED TO PROVIDING A
01:56:02.355 --> 01:56:04.590
CONTINUUM OF CARE AND SERVICES
01:56:04.657 --> 01:56:06.859
FOCUSED ON PREVENTION.
01:56:06.926 --> 01:56:09.696
DIVERSION AND EARLY INTERVENTION
01:56:09.762 --> 01:56:11.197
FOR THOSE EXPERIENCING A
01:56:11.264 --> 01:56:14.634
BEHAVIORAL HEALTH OR MENTAL
01:56:14.701 --> 01:56:16.569
WELLNESS CRISIS.
01:56:16.636 --> 01:56:18.371
I'LL JUST LET MY GUESS HERE
01:56:18.438 --> 01:56:20.239
SPEAK FOR JUST A SHORT MOMENT
01:56:20.306 --> 01:56:21.741
BUT I WILL TELL YOU ONE OF THE
01:56:21.808 --> 01:56:23.776
THINGS THAT THIS MODEL ADDS IN
01:56:23.843 --> 01:56:25.845
THAT WE HAVE NOT SEEN BEFORE.
01:56:25.912 --> 01:56:28.314
IS OUR PUBLIC SAFETY BUT ALSO
01:56:28.381 --> 01:56:31.284
OUR HOSPITALS WORKING TOGETHER
01:56:31.351 --> 01:56:33.252
TO SOLVE THIS SO HERE WITH ME
01:56:33.319 --> 01:56:36.055
TODAY -- WORKING ON THE SYSTEM
01:56:36.122 --> 01:56:38.458
OF CARE WE HAVE DOT DAN YOUNG
01:56:38.524 --> 01:56:41.294
WITH MINE GO SEE OUR FULLER TEN
01:56:41.361 --> 01:56:42.795
POLICE CHIEF.
01:56:42.862 --> 01:56:45.131
ROBERT DONE IN TWO ONE ONE
01:56:45.198 --> 01:56:46.766
THAT'S A CRISIS NUMBER THAT YOU
01:56:46.833 --> 01:56:49.402
CAN CANNOT CALL KAREN WILLIAMS
01:56:49.469 --> 01:56:50.703
SO WE'LL START OVER HERE.
01:56:50.770 --> 01:56:53.239
THEN YOU HAVE TO KEEP YOUR
01:56:53.306 --> 01:56:55.174
REMARKS VERY BRIEF AS I KNOW.
01:56:55.241 --> 01:56:56.576
I CHAIR IS A VERY ADAMANT THANK
01:56:56.642 --> 01:56:57.877
YOU THANK YOU CHRIS I THINK
01:56:57.944 --> 01:56:59.812
WE'VE GOT SOME FIFTY SOME BILLS --
01:56:59.879 --> 01:57:02.081
TODAY THAT'S RIGHT SO -- START
01:57:02.148 --> 01:57:05.284
WITH US RIGHT OVER HERE MIND OC
01:57:05.351 --> 01:57:06.986
THANK YOU.
01:57:07.053 --> 01:57:08.154
AND MEMBERS OF THE COMMITTEE I I
01:57:08.221 --> 01:57:09.422
WILL BE VERY BRIEF MY NAME IS
01:57:09.489 --> 01:57:11.657
DAN YOUNG I SERVE ON THE BOARD
01:57:11.724 --> 01:57:14.026
OF DIRECTORS OF HOPE HOSPITAL.
01:57:14.093 --> 01:57:16.162
HAVING OME -- MANY YEARS AGO
01:57:16.229 --> 01:57:17.764
ALSO BEING -- THE MAYOR OF
01:57:17.830 --> 01:57:20.099
SANTANA AND I'M CURRENTLY ON THE
01:57:20.166 --> 01:57:22.802
BOARD OF OF MINE DOES SEE MY NO
01:57:22.869 --> 01:57:24.137
SEE IS PART OF THE MOVEMENT IN
01:57:24.203 --> 01:57:25.872
ORANGE COUNTY WE HAVE A UNIQUE
01:57:25.938 --> 01:57:28.074
JOURNEY THAT WE'RE ON A VERY
01:57:28.141 --> 01:57:29.375
EXCITING JOURNEY.
01:57:29.442 --> 01:57:31.344
WHERE WE INTEND TO CREATE A
01:57:31.411 --> 01:57:34.414
SYSTEM OF CARE IN ORANGE COUNTY?
01:57:34.480 --> 01:57:35.515
TO DEAL DIRECTLY AND
01:57:35.581 --> 01:57:37.550
COMPREHENSIVELY WITH MENTAL
01:57:37.617 --> 01:57:39.085
ILLNESS AND ADDICTION.
01:57:39.152 --> 01:57:41.487
THIS JOURNEY HAS TAKEN MORE THAN
01:57:41.554 --> 01:57:42.889
EIGHTY ORGANIZATIONS PUT HIM
01:57:42.955 --> 01:57:45.191
INTO A ROOM AND WE DECIDED AS A
01:57:45.258 --> 01:57:46.526
COLLECTIVE AS A MOVEMENT.
01:57:46.592 --> 01:57:47.894
THAT WE ARE GOING TO HAVE A
01:57:47.960 --> 01:57:50.163
SYSTEM OF CARE NO ONE WILL FALL
01:57:50.229 --> 01:57:51.798
BETWEEN THE CRACKS IT FOR SYSTEM
01:57:51.864 --> 01:57:52.932
IS CREATED.
01:57:52.999 --> 01:57:54.367
AND IMPLEMENTED AS WE ARE
01:57:54.434 --> 01:57:56.202
CURRENTLY DESIGNING AT THIS IS
01:57:56.269 --> 01:57:58.004
MORE THAN CONVERSATION OUR FIRST
01:57:58.070 --> 01:58:00.540
MAJOR PROJECT IS OUR FIRST BE
01:58:00.606 --> 01:58:01.641
WELL CLINIC.
01:58:01.707 --> 01:58:03.109
IT WILL OPEN IN ORANGE WILL
01:58:03.176 --> 01:58:04.610
START CONSTRUCTION ON IT NEXT
01:58:04.677 --> 01:58:05.945
MONTH IT'S A FORTY MILLION
01:58:06.012 --> 01:58:07.346
DOLLAR PROJECT.
01:58:07.413 --> 01:58:09.415
AND UNIQUELY THAT COMES FROM
01:58:09.482 --> 01:58:11.017
FUNDING FROM HOSPITALS.
01:58:11.083 --> 01:58:13.352
CAL OPTIMA IN THE COUNTY SO WE
01:58:13.419 --> 01:58:14.921
HAVE A UNIQUE PUBLIC PRIVATE
01:58:14.987 --> 01:58:16.956
PARTNERSHIP GOING THIS IS THE
01:58:17.023 --> 01:58:18.491
FRONT END OF THE SYSTEM THIS
01:58:18.558 --> 01:58:20.860
BILL WE NEED THIS BILL IN ORDER
01:58:20.927 --> 01:58:22.795
FOR THESE CLINICS TO WORK AND SO
01:58:22.862 --> 01:58:24.130
WE ASK YOU RESPECTFULLY IF YOU
01:58:24.197 --> 01:58:26.065
WOULD PLEASE -- GIVE US AN AYE
01:58:26.132 --> 01:58:27.800
VOTE ON THIS BILL AND HELP US TO
01:58:27.867 --> 01:58:30.136
CREATE A COMPREHENSIVE SYSTEM OF
01:58:30.203 --> 01:58:32.104
CARE TO DEAL WITH MENTAL ILLNESS.
01:58:32.171 --> 01:58:33.673
AND ADDICTION THROUGH A PUBLIC
01:58:33.739 --> 01:58:35.408
PRIVATE PARTNERSHIP I BELIEVE
01:58:35.475 --> 01:58:38.744
UNIQUE IN THE STATE OF
01:58:38.811 --> 01:58:40.813
CALIFORNIA THANK YOU.
01:58:40.880 --> 01:58:42.515
THANK YOU VERY MUCH AND THEN
01:58:42.582 --> 01:58:44.083
WE'LL GO WITH OUR POLICE CHIEF
01:58:44.150 --> 01:58:44.717
NEXT.
01:58:44.784 --> 01:58:46.986
AFTERNOON CHAIR IN MEMORY
01:58:47.053 --> 01:58:47.920
MEMBERS IF ME MY NAME'S BOB DONE
01:58:47.987 --> 01:58:49.155
TO PLEASE A CITY FOR TEN AND A
01:58:49.222 --> 01:58:50.256
MEMBER OF THE NORTH FORK I
01:58:50.323 --> 01:58:50.990
PUBLIC SAFETY TASK FORCE.
01:58:51.057 --> 01:58:53.426
TASK FORCE ESTABLISHED IN TWENTY
01:58:53.493 --> 01:58:54.026
SEVENTEEN WITH TEN CITIES IN
01:58:54.093 --> 01:58:54.994
NORTH WHICH COUNTY. TO
01:58:55.061 --> 01:58:55.628
COLLABORATE AND ADDRESS
01:58:55.695 --> 01:58:57.129
REGIONALLY OUR PUBLIC SAFETY
01:58:57.196 --> 01:59:02.168
CHALLENGES AMONG THAT THE FOCUS
01:59:02.235 --> 01:59:03.102
IS ON HOMELESSNESS.
01:59:03.169 --> 01:59:04.036
WE BELIEVE HOMELESSNESS SHOULD
01:59:04.103 --> 01:59:05.771
BE RARE BRIEF AND NON RECURRING
01:59:05.838 --> 01:59:06.906
AND THE NORTHRIDGE TYPE PUBLIC
01:59:06.973 --> 01:59:07.807
SAFETY TASK FORCE IS ACHIEVING
01:59:07.874 --> 01:59:08.674
RESULTS IN THAT DIRECTION.
01:59:08.741 --> 01:59:10.710
REGIONALLY ACROSS OUR TEN SEASON
01:59:10.776 --> 01:59:11.677
MEMBERSHIP.
01:59:11.744 --> 01:59:12.445
TASK FORCE RECENTLY COMPLETED A
01:59:12.512 --> 01:59:14.146
HOMELESS CENSUS REPORT IN THE
01:59:14.213 --> 01:59:16.449
SPRING OF TWENTY EIGHTEEN TWENTY
01:59:16.516 --> 01:59:17.517
FIVE BASE LINE OF INDIVIDUALS
01:59:17.583 --> 01:59:18.117
LIVING WITHOUT HOUSING IN OUR
01:59:18.184 --> 01:59:19.452
REGION.
01:59:19.519 --> 01:59:20.987
AND TO MEASURE OUR EFFORTS THUS
01:59:21.053 --> 01:59:22.421
FAR IN PREVENTION AND
01:59:22.488 --> 01:59:23.723
INTERVENTION.
01:59:23.789 --> 01:59:25.491
OUR REPORT IDENTIFIED THE
01:59:25.558 --> 01:59:26.058
FOLLOWING THE FOLLOWING KEY
01:59:26.125 --> 01:59:27.393
FINDINGS.
01:59:27.460 --> 01:59:29.095
WE'RE GONNA FIVE SEVENTEEN
01:59:29.161 --> 01:59:30.162
HUNDRED FOURTEEN HOMES ADULTS
01:59:30.229 --> 01:59:30.730
WITH A HUNDRED TWENTY THREE
01:59:30.796 --> 01:59:33.533
CHILDREN. 52% IDENTIFIED AS
01:59:33.599 --> 01:59:35.668
HOMELESS FOR OVER THREE YEARS
01:59:35.735 --> 01:59:37.770
41% REPORTED A PERSISTENT MENTAL
01:59:37.837 --> 01:59:40.740
HEALTH CONDITION. 37% REPORTED
01:59:40.806 --> 01:59:41.574
ACTIVE SUBSTANCE ABUSE
01:59:41.641 --> 01:59:43.943
CHALLENGES AND 54% OF WOMEN
01:59:44.010 --> 01:59:45.111
RESPONDING HAD EXPERIENCED
01:59:45.177 --> 01:59:47.046
DOMESTIC VIOLENCE WITHIN THE
01:59:47.113 --> 01:59:48.481
LAST YEAR.
01:59:48.548 --> 01:59:49.615
THE TASK FORCE NOT ONLY TRACKING
01:59:49.682 --> 01:59:51.517
EASY TENER EIGHTEEN HUNDRED
01:59:51.584 --> 01:59:52.885
THIRTY SEVEN INDIVIDUALS BUT WE
01:59:52.952 --> 01:59:54.120
ARE ALSO IN THE MANY TECHNOLOGY
01:59:54.186 --> 01:59:55.621
SO THAT WE CAN TRACK THESE
01:59:55.688 --> 01:59:56.155
INDIVIDUALS.
01:59:56.222 --> 01:59:58.524
AND OUR EFFORTS THAT WE GIVE TO
01:59:58.591 --> 02:00:00.626
THEM IN THE STREETS.
02:00:00.693 --> 02:00:02.728
WE ARE IN STRONG SUPPORT OF AB
02:00:02.795 --> 02:00:03.296
FIVE SIXTY THREE BECAUSE IT
02:00:03.362 --> 02:00:04.931
PROVIDES A SYSTEMATIC APPROACH
02:00:04.997 --> 02:00:05.698
TO CREATING BEHAVIOR BUT
02:00:05.765 --> 02:00:07.500
BEHAVIORAL PHYSICAL SOCIAL
02:00:07.567 --> 02:00:08.100
SAFETY NET.
02:00:08.167 --> 02:00:09.902
FOCUSED ON USER NAVIGATION THAT
02:00:09.969 --> 02:00:11.571
IS INTENDED TO DIVERT FROM OUR
02:00:11.637 --> 02:00:13.406
JAILS IN EMERGENCY ROOMS OFFER
02:00:13.472 --> 02:00:14.941
EARLY INTERVENTION WILL CHAPLAIN
02:00:15.007 --> 02:00:16.142
CHALLENGES OCCUR.
02:00:16.208 --> 02:00:17.310
EVERY EVENT INDIVIDUALS AND
02:00:17.376 --> 02:00:19.278
FAMILIES MENTORING INDUSTRY
02:00:19.345 --> 02:00:20.112
HOMELESSNESS [inaudible]
02:00:20.179 --> 02:00:25.518
THANK YOU.
02:00:25.585 --> 02:00:26.719
GOOD AFTERNOON CHAIR WOULD
02:00:26.786 --> 02:00:27.687
INAUDIBLE MEMBERS OF THE
02:00:27.753 --> 02:00:28.921
COMMITTEE MY NAME IS KAREN
02:00:28.988 --> 02:00:30.556
WILLIAMS AND I HAVE THE HONOR TO
02:00:30.623 --> 02:00:32.391
SERVICES CO TWO ONE ONE ORANGE
02:00:32.458 --> 02:00:33.359
COUNTY.
02:00:33.426 --> 02:00:35.361
IN JULY TWO THOUSAND THE FEDERAL
02:00:35.428 --> 02:00:36.662
COMMUNICATIONS COMMISSION
02:00:36.729 --> 02:00:38.664
RESERVE THE TWO ONE ONE DIALING
02:00:38.731 --> 02:00:40.299
CODE FOR COMMUNITY INFORMATION.
02:00:40.366 --> 02:00:42.635
AND REFERRAL SERVICES THE FCC
02:00:42.702 --> 02:00:44.570
INTENDED THE TWO ONE ONE CODE IS
02:00:44.637 --> 02:00:45.938
AN EASY TO REMEMBER AND A
02:00:46.005 --> 02:00:47.773
UNIVERSALLY RECOGNIZABLE NUMBER
02:00:47.840 --> 02:00:49.408
THAT WOULD ENABLE THE CRITICAL
02:00:49.475 --> 02:00:51.544
CONNECTION BETWEEN INDIVIDUALS.
02:00:51.611 --> 02:00:53.379
AND FAMILIES IN NEED AND THE
02:00:53.446 --> 02:00:54.380
APPROPRIATE COMMUNITY BASED
02:00:54.447 --> 02:00:56.015
ORGANIZATIONS AND GOVERNMENT
02:00:56.082 --> 02:00:58.751
AGENCIES CURRENTLY ACTIVE TWO
02:00:58.818 --> 02:01:00.119
ONE ONE SYSTEMS COVER ALL OR
02:01:00.186 --> 02:01:01.520
PART OF FIFTY STATES.
02:01:01.587 --> 02:01:03.889
PLUS WASHINGTON DC IMPORTER RICO
02:01:03.956 --> 02:01:04.957
I'M PLEASED TO SAY THAT IN
02:01:05.024 --> 02:01:06.959
CALIFORNIA TWO ONE ONE COVERAGE
02:01:07.026 --> 02:01:10.196
IS AT 96%.
02:01:10.262 --> 02:01:11.464
WE SERVE TO POINT WITH THE
02:01:11.530 --> 02:01:12.465
SERVER THREE POINT TWO MILLION
02:01:12.531 --> 02:01:14.233
ORANGE COUNTY RESIDENTS WE TAKE
02:01:14.300 --> 02:01:15.868
OVER NINETY THOUSAND CALLS A
02:01:15.935 --> 02:01:16.569
YEAR.
02:01:16.636 --> 02:01:18.270
PROVIDING ALMOST A QUARTER OF A
02:01:18.337 --> 02:01:20.806
MILLION REFERRALS AS WELL AS
02:01:20.873 --> 02:01:21.407
THREE HUNDRED THOUSAND WEBSITE
02:01:21.474 --> 02:01:23.743
REFERRALS IN TWO THOUSAND AND
02:01:23.809 --> 02:01:24.777
EIGHTEEN SO YOU CAN SEE THERE'S
02:01:24.844 --> 02:01:26.979
DEFINITELY A NEED. TO ONE ONE
02:01:27.046 --> 02:01:27.980
SEE PROVIDES CALL THIS WITH
02:01:28.047 --> 02:01:30.883
INFORMATION ABOUT AND REFERRALS
02:01:30.950 --> 02:01:32.385
TO SERVICES SERVICES.
02:01:32.451 --> 02:01:34.186
FOR EVERYDAY NEEDS IN TIMES OF
02:01:34.253 --> 02:01:35.621
CRISIS.
02:01:35.688 --> 02:01:38.124
THE CONSOLIDATION OF THIS --
02:01:38.190 --> 02:01:39.792
PROGRAM WILL LEAD TO MORE WARM
02:01:39.859 --> 02:01:41.293
AND HOT HAND OFFS ADDITIONAL
02:01:41.360 --> 02:01:43.496
CASE MANAGEMENT AND COORDINATED
02:01:43.562 --> 02:01:44.864
SYSTEM OF SERVICE NETWORK
02:01:44.930 --> 02:01:46.565
PROVIDERS DELIVERING ASSESSMENT
02:01:46.632 --> 02:01:47.266
CARE.
02:01:47.333 --> 02:01:49.602
BASED ON THE NEEDS OF THE
02:01:49.669 --> 02:01:50.936
INDIVIDUAL AND FAMILIES.
02:01:51.003 --> 02:01:52.938
VERSUS FORCING USER INTO A
02:01:53.005 --> 02:01:54.440
GOVERNMENT MANDATED SYSTEM THAT
02:01:54.507 --> 02:01:55.808
ISN'T AN EFFECTIVE FOR PERSONAL
02:01:55.875 --> 02:01:56.809
NEEDS.
02:01:56.876 --> 02:01:59.178
AB FIVE SIXTY THREE IS PARAMOUNT
02:01:59.245 --> 02:02:00.980
TO PARAMOUNT TO A STRENGTHENED
02:02:01.047 --> 02:02:05.184
CENTRALIZED NAVIGATION PROGRAM
02:02:05.251 --> 02:02:06.752
IN VISION FOR ORANGE COUNTY --
02:02:06.819 --> 02:02:07.319
AND I HUMBLY ASK FOR YOUR
02:02:07.386 --> 02:02:09.722
SUPPORT FOR EIGHTY FIVE SIXTY
02:02:09.789 --> 02:02:10.923
THREE THANK YOU VERY MUCH OTHERS
02:02:10.990 --> 02:02:13.292
IN SUPPORT.
02:02:13.359 --> 02:02:13.759
SIR RECEIVERS FOR THE
02:02:13.826 --> 02:02:16.362
ASSOCIATION OF CALIFORNIA CITIES
02:02:16.429 --> 02:02:16.896
IN ORANGE COUNTY IN STRONG
02:02:16.962 --> 02:02:18.497
SUPPORT.
02:02:18.564 --> 02:02:20.199
MICHAEL SO IT PROBABLY SEEN JUST
02:02:20.266 --> 02:02:21.634
OF HEALTH IN SUPPORT
02:02:21.701 --> 02:02:21.934
[inaudible]
02:02:22.001 --> 02:02:23.669
THE WINDOWS.
02:02:23.736 --> 02:02:26.439
ANYONE IN OPPOSITION.
02:02:26.505 --> 02:02:27.373
SEE NUMBER BRING BACK TO THE
02:02:27.440 --> 02:02:28.441
COMMITTEE FOR QUESTIONS OR
02:02:28.507 --> 02:02:29.875
COMMENTS QUESTIONS OR COMMENTS
02:02:29.942 --> 02:02:32.011
FROM THE COMMITTEE.
02:02:32.078 --> 02:02:33.245
CNN WHICH I CLOSE.
02:02:33.312 --> 02:02:36.782
BUT AGAIN JUST THE URGENCY AND
02:02:36.849 --> 02:02:39.752
THIS PILOT PROGRAM TO NOT ONLY
02:02:39.819 --> 02:02:43.255
US BASICALLY TO SAVE LIVES AND
02:02:43.322 --> 02:02:44.857
WE RESPECTFULLY ASK FOR AN AYE
02:02:44.924 --> 02:02:45.858
VOTE.
02:02:45.925 --> 02:02:46.959
THANK YOU VERY MUCH MISS QUIRK
02:02:47.026 --> 02:02:48.794
SILVA THE BILL DOES ENJOY DO
02:02:48.861 --> 02:02:50.396
PASS RECOMMENDATION -- WE HAVE A
02:02:50.463 --> 02:02:52.431
MOTION BY MISTER BIGELOW SECOND
02:02:52.498 --> 02:02:54.300
BY MISS CARILLO I'M SORRY TO SEE
02:02:54.366 --> 02:02:56.836
OPPOSITE MISS CARILLO MOTION A
02:02:56.902 --> 02:02:58.003
SECOND BY MISTER BIGELOW --
02:02:58.070 --> 02:03:00.139
MOTIONS TO PASS TO CORPORATIONS
02:03:00.206 --> 02:03:01.407
OUT OF MADAM SECRETARY PLEASE
02:03:01.474 --> 02:03:05.711
CALL THE ROLL WHAT WOULD I MAYES.
02:03:05.778 --> 02:03:06.178
MAYES AYE AGUIAR-CURRY
02:03:06.245 --> 02:03:06.479
[inaudible]
02:03:06.545 --> 02:03:07.079
BIGELOW [inaudible]
02:03:07.146 --> 02:03:08.214
BONTA [inaudible]
02:03:08.280 --> 02:03:09.849
BURKE[inaudible]
02:03:09.915 --> 02:03:11.817
CARILLO [inaudible]
02:03:11.884 --> 02:03:13.652
I FLORA [inaudible]
02:03:13.719 --> 02:03:14.854
LEVEL [inaudible]
02:03:14.920 --> 02:03:17.022
MCCARTY.
02:03:17.089 --> 02:03:18.390
THIS AREA RAMOS.
02:03:18.457 --> 02:03:21.494
RAMOS I RODRIGUEZ RODRIGUEZ AYE
02:03:21.560 --> 02:03:21.761
SANTIAGO.
02:03:21.827 --> 02:03:25.030
WALDRON.
02:03:25.097 --> 02:03:26.966
GET FIVE ZERO FIVE VOTES WILL
02:03:27.032 --> 02:03:28.567
LEAVE THE BILL ON CALL.
02:03:28.634 --> 02:03:29.635
THANK YOU THANK YOU MEMBERS
02:03:29.702 --> 02:03:32.338
MISTER CHAIR THINK IT YOUR
02:03:32.404 --> 02:03:48.721
WITNESSES MR GRAYSON
02:03:53.793 --> 02:03:53.859
.
02:03:53.859 --> 02:03:57.496
MISTER CHAIR AND MEMBERS -- AB
02:03:57.563 --> 02:03:58.164
SIX FIFTY ONE WILL INCREASE MEDI
02:03:58.230 --> 02:03:59.732
CAL REIMBURSEMENT RATES FOR
02:03:59.799 --> 02:04:01.000
EMERGENCY ERR AMBULANCE
02:04:01.066 --> 02:04:01.901
PROVIDERS.
02:04:01.967 --> 02:04:03.068
WITHOUT PASSAGE OF THIS
02:04:03.135 --> 02:04:05.471
LEGISLATION IN TWO THOUSAND
02:04:05.538 --> 02:04:06.705
NINETEEN REIMBURSEMENT WILL
02:04:06.772 --> 02:04:09.141
REVERT TO NINETEEN NINETY THREE
02:04:09.208 --> 02:04:10.442
LEVELS YOU MERCY AIR AMBULANCE
02:04:10.509 --> 02:04:11.977
PROVIDERS ARE AN ESSENTIAL PART
02:04:12.044 --> 02:04:12.912
OF THE STATEWIDE.
02:04:12.978 --> 02:04:14.413
EMS SYSTEM AND PROVIDE A
02:04:14.480 --> 02:04:16.682
CRITICAL LINK TO TRANSFER
02:04:16.749 --> 02:04:18.450
PATIENTS BETWEEN RURAL AREAS --
02:04:18.517 --> 02:04:19.685
SUCH AS HOSPITAL'S TRAUMA
02:04:19.752 --> 02:04:21.153
CENTERS BURNS CENTERS CARDIAC
02:04:21.220 --> 02:04:22.822
STROKES CENTERS AS WELL AS
02:04:22.888 --> 02:04:24.924
CHILDREN'S HOSPITALS.
02:04:24.990 --> 02:04:26.492
CURRENT MEDI CAL RATES -- PAY
02:04:26.559 --> 02:04:28.928
PROVIDERS FOR FAR BELOW THE RATE.
02:04:28.994 --> 02:04:30.396
THAT IS NEEDED TO PROVIDE THE
02:04:30.462 --> 02:04:32.865
SERVICES THE MEDIC COW BASS AND
02:04:32.932 --> 02:04:34.200
MILEAGE RATES HAVE NOT BEEN
02:04:34.266 --> 02:04:36.335
ADJUSTED FOR OVER TWENTY FIVE
02:04:36.402 --> 02:04:36.936
YEARS.
02:04:37.002 --> 02:04:38.838
SO AB SIX FIFTY ONE WILL REPLACE
02:04:38.904 --> 02:04:40.372
THE MEDI CAL RATE FOR AIR
02:04:40.439 --> 02:04:42.341
AMBULANCE PROVIDERS. TO THE RULE
02:04:42.408 --> 02:04:45.110
OF MEDICARE LEVEL AND SO I WILL --
02:04:45.177 --> 02:04:47.313
ASK FOR MY WITNESSES TO SELF
02:04:47.379 --> 02:04:49.715
INTRODUCE AND SAY -- IN A VERY
02:04:49.782 --> 02:04:53.719
EXPEDITIOUS WAY WHY THIS IS THE
02:04:53.786 --> 02:04:56.088
BEST BILL YOU'VE HEARD ALL DAY.
02:04:56.155 --> 02:04:57.923
THANK YOU ARE BILL BRYANT WITH
02:04:57.990 --> 02:04:59.658
THE CALIFORNIA ASSOCIATION OF
02:04:59.725 --> 02:05:02.161
CARE MEDICAL SERVICES -- AIR
02:05:02.228 --> 02:05:04.296
AMBULANCES DO NOT SELF DISPATCH
02:05:04.363 --> 02:05:06.966
WE RELY ON THE EMS FIRST
02:05:07.032 --> 02:05:09.168
RESPONDERS FIRE DEPARTMENTS LAW
02:05:09.235 --> 02:05:10.502
ENFORCEMENT TO MAKE THE
02:05:10.569 --> 02:05:12.538
DECISIONS IN THE FIELD WHEN THEY
02:05:12.605 --> 02:05:13.873
NEED WHEN THEY NEED US TO
02:05:13.939 --> 02:05:14.673
RESPOND.
02:05:14.740 --> 02:05:16.909
SAME FOR RURAL PHYSICIANS WHO
02:05:16.976 --> 02:05:18.544
NEED TO SEND THOSE PATIENTS TO
02:05:18.611 --> 02:05:20.679
TERTIARY CARE CENTERS -- IN THE
02:05:20.746 --> 02:05:23.682
MAJOR -- METROPOLITAN AREAS --
02:05:23.749 --> 02:05:25.017
WHEN THAT AIR AMBULANCES
02:05:25.084 --> 02:05:26.752
RESPONDING WE HAVE NO IDEA
02:05:26.819 --> 02:05:28.187
WHETHER THE PATIENT AS ANY FORM
02:05:28.254 --> 02:05:30.489
OF INSURANCE OR NOT?
02:05:30.556 --> 02:05:32.491
THEY CALL WE GO -- THIS IS
02:05:32.558 --> 02:05:35.094
ESSENTIALLY THE SAME BILL AS AB
02:05:35.160 --> 02:05:35.694
TWENTY FIVE NINETY THREE FROM
02:05:35.761 --> 02:05:36.795
LAST YEAR.
02:05:36.862 --> 02:05:38.464
AND IT DOES INCLUDE SOME PATIENT
02:05:38.530 --> 02:05:40.432
PROTECTION -- PROVISIONS AGAINST
02:05:40.499 --> 02:05:42.568
BOUNCE BILLION AND WE JUST LIKE
02:05:42.635 --> 02:05:44.169
TO THANK THE CALIFORNIA
02:05:44.236 --> 02:05:46.105
ASSOCIATION HEALTH PLANS AND
02:05:46.171 --> 02:05:48.007
HEALTH ACCESS TO WORK WITH US IN
02:05:48.073 --> 02:05:49.241
DEVELOPING THE STANDARDS.
02:05:49.308 --> 02:05:51.277
SO WITH THAT I RESPECTFULLY
02:05:51.343 --> 02:05:53.045
ENCOURAGE YOUR AYE VOTE IN THANK
02:05:53.112 --> 02:05:54.413
YOU [inaudible]
02:05:54.480 --> 02:05:56.615
SIR.
02:05:56.682 --> 02:05:57.416
CHAIRMAN WOULD MEMBERS OF THE
02:05:57.483 --> 02:05:58.517
COMMITTEE MY NAME'S CHRISTOPHER
02:05:58.584 --> 02:05:59.685
HALL AND THE DIRECTOR GOVERNOR
02:05:59.752 --> 02:06:01.553
FAIRS FOR PH I. R. MEDICAL WE
02:06:01.620 --> 02:06:02.821
SERVICES AND CALIFORNIA FROM
02:06:02.888 --> 02:06:05.024
BASES IN MODESTO SUSANVILLE
02:06:05.090 --> 02:06:05.891
READING.
02:06:05.958 --> 02:06:07.927
AND SONORA CALIFORNIA WE JOIN
02:06:07.993 --> 02:06:09.194
WITH OUR OTHER MEDICAL PROVIDERS
02:06:09.261 --> 02:06:10.229
AND PROVIDING SERVICES
02:06:10.296 --> 02:06:13.399
THROUGHOUT CALIFORNIA I
02:06:13.465 --> 02:06:15.234
RESPECTFULLY ASK YOUR AYE VOTE.
02:06:15.301 --> 02:06:16.302
THANK YOU VERY MUCH OF THE OTHER
02:06:16.368 --> 02:06:19.471
SINCE SUPPORT.
02:06:19.538 --> 02:06:21.807
AM J. D. AS HE ON BEHALF OF
02:06:21.874 --> 02:06:22.374
HEALTH ACCESS CALIFORNIA IN
02:06:22.441 --> 02:06:24.476
SUPPORT.
02:06:24.543 --> 02:06:25.411
MORTON ON BEHALF OF THE
02:06:25.477 --> 02:06:27.212
CALIFORNIA CHILDREN'S HOSPITAL
02:06:27.279 --> 02:06:27.813
ASSOCIATION AND SUPPORT THANK
02:06:27.880 --> 02:06:30.049
YOU.
02:06:30.115 --> 02:06:31.183
JENNIFER ALI FLIGHT PARAMEDIC
02:06:31.250 --> 02:06:32.017
FOR PH I CALIFORNIANS SUPPORT
02:06:32.084 --> 02:06:34.620
THANK YOU.
02:06:34.687 --> 02:06:36.655
KAREN FRIEND MET FOR THREE
02:06:36.722 --> 02:06:37.923
REDDING.
02:06:37.990 --> 02:06:40.326
IN SUPPORT GIVE.
02:06:40.392 --> 02:06:43.395
A ROBBER LYNCH AMER'S HERE SIXTY
02:06:43.462 --> 02:06:46.598
SIX BY PARAMEDIC IN SUPPORT.
02:06:46.665 --> 02:06:48.467
THE BILL IS A MONEY MERCIER
02:06:48.534 --> 02:06:50.536
STRONGLY SUPPORT THANK YOU.
02:06:50.602 --> 02:06:51.904
PRIME MENDEZ PROGRAM DIRECTOR
02:06:51.971 --> 02:06:53.772
CENTER FOR CALIFORNIA REACH A
02:06:53.839 --> 02:06:55.307
MEDICAL GROUP STRONGLY IN
02:06:55.374 --> 02:06:57.109
SUPPORT THANK YOU.
02:06:57.176 --> 02:06:58.510
DOT FLANDERS WITH -- METHODS
02:06:58.577 --> 02:07:00.112
SUPPORT.
02:07:00.179 --> 02:07:01.981
MARTY ARCUS REACHER MEDICAL
02:07:02.047 --> 02:07:02.982
SERVICES SUPPORT.
02:07:03.048 --> 02:07:04.683
THANK YOU.
02:07:04.750 --> 02:07:07.052
ROSS FAKE CALIFORNIA ASSOCIATION
02:07:07.119 --> 02:07:08.020
OF OUR MEDICAL SERVICES AND
02:07:08.087 --> 02:07:08.253
SUPPORT.
02:07:08.320 --> 02:07:10.389
THANK YOU.
02:07:10.456 --> 02:07:12.458
SERRA FLOCKS CALIFORNIA LABOR
02:07:12.524 --> 02:07:14.960
FEDERATION IN SUPPORT.
02:07:15.027 --> 02:07:16.161
NICK LOUISE'S CALIFORNIA
02:07:16.228 --> 02:07:17.796
ASSOCIATION OF HEALTH PLANS AND
02:07:17.863 --> 02:07:19.031
SUPPORT THANK YOU.
02:07:19.098 --> 02:07:24.303
GEN FLOOR STEPHANIE WHY CAN SOME
02:07:24.370 --> 02:07:24.837
WE HAVE THIS VISION OF
02:07:24.903 --> 02:07:26.605
CALIFORNIA LIFE AND HEALTH
02:07:26.672 --> 02:07:27.639
INSURANCE COMPANIES IN SUPPORT.
02:07:27.706 --> 02:07:29.241
THANK YOU VERY MUCH.
02:07:29.308 --> 02:07:30.943
ANYONE ELSE. TWENTY ONE
02:07:31.010 --> 02:07:33.278
OPPOSITION.
02:07:33.345 --> 02:07:35.447
SEEING NO ONE WILL BRING BACK TO
02:07:35.514 --> 02:07:36.048
THE COMMITTEE FOR QUESTIONS OR
02:07:36.115 --> 02:07:38.684
COMMENTS [inaudible]
02:07:38.751 --> 02:07:40.119
MISTER RODRIGUEZ.
02:07:40.185 --> 02:07:41.620
YES -- I THANK THE MEMBER FOR
02:07:41.687 --> 02:07:43.222
BRINGING THIS -- VERY IMPORTANT
02:07:43.288 --> 02:07:45.691
BILL -- FOR BUT I CAN JUST SPEAK
02:07:45.758 --> 02:07:47.126
FROM MY PERSONAL EXPERIENCE.
02:07:47.192 --> 02:07:49.728
IS WORKING IN THE M. S. INDUSTRY
02:07:49.795 --> 02:07:50.329
FOR OVER THIRTY YEARS THERE'S
02:07:50.396 --> 02:07:51.263
BEEN.
02:07:51.330 --> 02:07:53.732
HUNDREDS OF OCCASIONS OF OR I'VE --
02:07:53.799 --> 02:07:57.236
RAND MEDICAL CALLS WITH THE AND
02:07:57.302 --> 02:07:58.570
SERVICES IN SOUTHERN CALIFORNIA.
02:07:58.637 --> 02:08:01.473
AND I COULD BE SPEAKING FROM NOT
02:08:01.540 --> 02:08:02.808
ONLY FOR MY PERSONAL EXPERIENCES
02:08:02.875 --> 02:08:03.609
ABOUT.
02:08:03.675 --> 02:08:05.010
FROM THE CARE THAT THESE
02:08:05.077 --> 02:08:06.779
INDIVIDUALS GIVE TO PEOPLE ON A
02:08:06.845 --> 02:08:09.982
DAILY BASIS IS INCREDIBLE -- I
02:08:10.049 --> 02:08:11.550
THINK THE ONLY WAY YOU KNOW IT
02:08:11.617 --> 02:08:13.218
IS BY WORKING WITH THESE MEN AND
02:08:13.285 --> 02:08:15.154
WOMEN AND IF BY CHANCE SOMEBODY
02:08:15.220 --> 02:08:17.489
MAY HAVE BECOME A A PATIENT AND
02:08:17.556 --> 02:08:19.324
OR MAYBE A ROLL ERROR TRAUMA
02:08:19.391 --> 02:08:20.759
TYPE CARE PATIENTS THAT NEEDED
02:08:20.826 --> 02:08:21.760
THEIR SERVICE.
02:08:21.827 --> 02:08:23.162
IT'S A GODSEND TO SEE THESE
02:08:23.228 --> 02:08:24.229
FOLKS DOING THEIR JOB AND I
02:08:24.296 --> 02:08:25.330
THINK WHATEVER WE CAN DO TO HELP
02:08:25.397 --> 02:08:26.932
THEM -- TO KEEP THEM IN SERVICE
02:08:26.999 --> 02:08:28.534
BECAUSE THEY PROVIDE A VERY
02:08:28.600 --> 02:08:30.035
CRITICAL LINK IN THE EMAIL
02:08:30.102 --> 02:08:31.537
SERVICE HERE INSTEAD OF
02:08:31.603 --> 02:08:33.639
CALIFORNIA'S ON A THANK RING
02:08:33.705 --> 02:08:34.239
THIS.
02:08:34.306 --> 02:08:35.841
FOR LIKE SEE IF I CAN BE A CALL
02:08:35.908 --> 02:08:37.376
AUTHORS ON THIS BILL WITH YOU.
02:08:37.443 --> 02:08:41.980
THANK YOU LOOK FOR TO SUPPORT AS
02:08:42.047 --> 02:08:42.781
WELL THANKS.
02:08:42.848 --> 02:08:43.649
I TOO WOULD LIKE TO THANK YOU
02:08:43.715 --> 02:08:44.249
FOR BRINGING THIS BILL FORWARD
02:08:44.316 --> 02:08:45.417
IT'S CRITICAL LIFELINE IN A IN A
02:08:45.484 --> 02:08:46.652
LARGE RURAL DISTRICTS SUCH AS
02:08:46.718 --> 02:08:47.619
MYSELF BUT ALSO.
02:08:47.686 --> 02:08:49.054
IN A IN AN URBAN AREA AS WELL WE
02:08:49.121 --> 02:08:50.355
WERE MINUTES SO REALLY REALLY
02:08:50.422 --> 02:08:51.723
MATTER SO -- COULD ALONG
02:08:51.790 --> 02:08:54.093
SUPPORTER OF THIS OF THE OF THE
02:08:54.159 --> 02:08:55.928
AIR AMBULANCE SERVICE AND I TOO
02:08:55.994 --> 02:08:57.229
WOULD LIKE TO BE ADDED AS A CO
02:08:57.296 --> 02:08:58.597
AUTHOR TO YOUR BILL THANK YOU --
02:08:58.664 --> 02:09:00.232
AND WOULD YOU LIKE TO CLOSE YES
02:09:00.299 --> 02:09:01.867
PLEASE AND IF YOU WOULD MR
02:09:01.934 --> 02:09:03.102
CHAIRED DOCTOR WHAT.
02:09:03.168 --> 02:09:04.169
I WOULD LIKE TO BRING
02:09:04.236 --> 02:09:05.771
RECOGNITION TO THE THOSE IN
02:09:05.838 --> 02:09:07.473
FLIGHT SUITS THAT ARE HERE TODAY
02:09:07.539 --> 02:09:08.607
FOR THE WONDERFUL LIFESAVING
02:09:08.674 --> 02:09:10.476
SERVICES THEY PROVIDE TO US IN
02:09:10.542 --> 02:09:11.910
CALIFORNIA SO THANK YOU VERY
02:09:11.977 --> 02:09:13.078
MUCH FOR THAT.
02:09:13.145 --> 02:09:14.413
AND THEN ALSO JUST ONE
02:09:14.480 --> 02:09:15.647
RESPECTFULLY ASK FOR AN AYE VOTE
02:09:15.714 --> 02:09:17.082
THANK YOU VERY MUCH.
02:09:17.149 --> 02:09:18.851
THE BILL HAS A DO PASS
02:09:18.917 --> 02:09:21.220
RECOMMENDATION WE HAVE A MOTION
02:09:21.286 --> 02:09:23.856
FROM MISTER MISTER MAYES.
02:09:23.922 --> 02:09:25.290
A SECOND BY MS CARILLO THE
02:09:25.357 --> 02:09:26.458
MOTION IS TO PASS TO
02:09:26.525 --> 02:09:28.460
APPROPRIATIONS MADAM SECRETARY
02:09:28.527 --> 02:09:30.162
PLEASE CALL THE ROLL WHAT I
02:09:30.229 --> 02:09:31.396
WOULD AYE MAYES.
02:09:31.463 --> 02:09:36.268
MAYES I AGUIAR-CURRY BIGELOW.
02:09:36.335 --> 02:09:38.737
BONTA BURKE CARRILLO.
02:09:38.804 --> 02:09:39.471
NO I FLORA.
02:09:39.538 --> 02:09:42.141
LIMóN MCCARTY.
02:09:42.207 --> 02:09:43.709
THIS AREA RAMOS RAMOS I
02:09:43.775 --> 02:09:45.477
RODRIGUEZ RODRIGUEZ I SANTIAGO
02:09:45.544 --> 02:09:45.777
[inaudible]
02:09:45.844 --> 02:09:50.449
WALDRON.
02:09:50.516 --> 02:09:51.316
YOU HAVE FIVE VOTES WILL BE THE
02:09:51.383 --> 02:09:52.851
BILL ON CALL THANK YOU VERY MUCH
02:09:52.918 --> 02:09:53.886
TO YOU THANK YOU THANK YOU
02:09:53.952 --> 02:09:57.489
MISTER THANK YOU VERY MUCH
02:09:57.556 --> 02:09:57.789
[inaudible]
02:09:57.856 --> 02:10:13.972
MR DEEP
02:10:25.484 --> 02:10:25.551
.
02:10:25.551 --> 02:10:26.084
THIS CHAIRMAN YES PLEASE GO
02:10:26.151 --> 02:10:26.585
AHEAD.
02:10:26.652 --> 02:10:28.187
THANK YOU SIR THANK YOU MEMBERS --
02:10:28.253 --> 02:10:29.188
FOR YOUR TIME I'LL MAKE IT
02:10:29.254 --> 02:10:30.822
REALLY SHORT THE I'M HERE TO
02:10:30.889 --> 02:10:34.693
PRESENT AB A SEVEN ONE NINE MOVE
02:10:34.760 --> 02:10:37.362
THE BILL.
02:10:37.429 --> 02:10:44.503
ALL OF OF OKAY ILLITERATE I WOKE --
02:10:44.570 --> 02:10:46.638
PLEASE PROCEED.
02:10:46.705 --> 02:10:47.539
WITH THE GERMAN IN IN IN TWENTY
02:10:47.606 --> 02:10:48.240
ELEVEN THE THE LEGISLATURE
02:10:48.307 --> 02:10:50.042
PASSED THE BUDGET TRAILER BILL --
02:10:50.108 --> 02:10:51.944
AB NINETY SEVEN TO REDUCE MEDI
02:10:52.010 --> 02:10:53.679
CAL PAYMENT RATES TO HEALTH
02:10:53.745 --> 02:10:55.047
PLANS AND PROVIDER.
02:10:55.113 --> 02:10:56.281
OF THE LEGISLATURE MADE THESE
02:10:56.348 --> 02:10:58.150
CUTS IN ORDER TO HELP ADDRESS
02:10:58.217 --> 02:11:00.052
THE STATE BUDGET DEFICIT AT THAT
02:11:00.118 --> 02:11:03.155
TIME -- WE ARE NO LONGER -- IN
02:11:03.222 --> 02:11:05.324
IN SUCH A A DIRE SITUATION AND
02:11:05.390 --> 02:11:06.725
CALIFORNIA'S NO LONGER FACING A
02:11:06.792 --> 02:11:08.227
BUDGET DEFICIT RATHER THAN WE
02:11:08.293 --> 02:11:09.795
HAVE A BUDGET SURPLUS.
02:11:09.861 --> 02:11:10.929
AND AT THE TIME WHEN PEOPLE ARE
02:11:10.996 --> 02:11:12.731
STRUGGLING TO FIND ACCESS TO
02:11:12.798 --> 02:11:13.332
CARE.
02:11:13.398 --> 02:11:15.434
A WE SHOULD INCENTIVIZE MEDI CAL
02:11:15.500 --> 02:11:16.768
PROVIDERS TO TAKE ON MORE
02:11:16.835 --> 02:11:18.503
PATIENTS BY REMOVING THESE
02:11:18.570 --> 02:11:20.205
REDUCTIONS.
02:11:20.272 --> 02:11:20.872
OF THAT WERE MADE WHEN THE STATE
02:11:20.939 --> 02:11:24.243
WAS A FINANCIALLY STRUGGLING --
02:11:24.309 --> 02:11:26.078
I'M GOING -- TO CUT MIGHT COME
02:11:26.144 --> 02:11:27.813
ASHORE IN REQUESTS -- IT WITH
02:11:27.879 --> 02:11:28.814
RESPECTFULLY REQUEST FOR AN AYE
02:11:28.880 --> 02:11:31.149
VOTE AND WITH ME IS -- KELLY
02:11:31.216 --> 02:11:32.851
BEAM AND AND BOB ACKERMAN FROM
02:11:32.918 --> 02:11:34.152
THE CALIFORNIA MEDICAL
02:11:34.219 --> 02:11:38.624
ASSOCIATION IN CASE -- ANY OF
02:11:38.690 --> 02:11:40.525
YOU GUYS HAVE QUESTIONS.
02:11:40.592 --> 02:11:41.193
SO KELLY BEING HERE ON BEHALF OF
02:11:41.260 --> 02:11:41.660
THE CALIFORNIA MEDICAL
02:11:41.727 --> 02:11:42.261
ASSOCIATION YOU KNOW WHAT THE
02:11:42.327 --> 02:11:43.095
INCREASE IN ELIGIBILITY FOR
02:11:43.161 --> 02:11:44.630
MEDICARE BENEFICIARIES.
02:11:44.696 --> 02:11:45.831
CALIFORNIA SHOULD DO ALL IT CAN
02:11:45.897 --> 02:11:47.065
TO ENSURE THEIR PROVIDERS
02:11:47.132 --> 02:11:49.167
WILLING TO TREAT THESE PATIENTS --
02:11:49.234 --> 02:11:50.602
PROVIDER REIMBURSEMENT RATES ARE
02:11:50.669 --> 02:11:51.603
ALREADY AMONG THE LOWEST IN THE
02:11:51.670 --> 02:11:53.472
COUNTRY FOR MANY SERVICES -- AND
02:11:53.538 --> 02:11:55.674
FOR THESE REASONS WE SUPPORT
02:11:55.741 --> 02:11:58.510
EIGHTY SEVEN ONE NINE THANK YOU.
02:11:58.577 --> 02:12:00.212
MISTER CHAIR BY BACKGROUND I
02:12:00.279 --> 02:12:01.079
HAVE TWO OF OR ON BEHALF THREE
02:12:01.146 --> 02:12:02.080
PROVIDER TYPES RADIOLOGY
02:12:02.147 --> 02:12:04.483
PATHOLOGY AND DM ME -- ALL THESE
02:12:04.549 --> 02:12:06.151
SERVICES I HAVE INCREASING COSTS
02:12:06.218 --> 02:12:07.719
REFORMS OVER THE YEARS HAVE NO
02:12:07.786 --> 02:12:09.821
ADJUSTMENT FOR OVER A DECADE --
02:12:09.888 --> 02:12:11.123
AND NO ONE EVER DETERMINE THE
02:12:11.189 --> 02:12:11.757
RATES WERE TOO HIGH IN THE FIRST
02:12:11.823 --> 02:12:12.724
PLACE SO.
02:12:12.791 --> 02:12:15.327
REALLY ASK FOR YOUR SUPPORT.
02:12:15.394 --> 02:12:16.828
THANK YOU.
02:12:16.895 --> 02:12:18.764
OTHERS IN SUPPORT.
02:12:18.830 --> 02:12:19.531
JOHN WINGER ON BEHALF OF THE
02:12:19.598 --> 02:12:20.165
NATIONAL COALITION FOR ASSISTIVE
02:12:20.232 --> 02:12:21.967
IN REHAB TECHNOLOGY AND CART.
02:12:22.034 --> 02:12:24.202
WE ARE THE MANUFACTURES AND
02:12:24.269 --> 02:12:25.604
PROVIDERS OF COMPLEX REHAB
02:12:25.671 --> 02:12:27.873
TECHNOLOGY AND ARE CURRENTLY
02:12:27.939 --> 02:12:30.008
UNDER THESE CUTS AND WE
02:12:30.075 --> 02:12:30.909
APPRECIATE RIVA THANK YOU
02:12:30.976 --> 02:12:31.209
[inaudible]
02:12:31.276 --> 02:12:33.278
ANYONE ELSE.
02:12:33.345 --> 02:12:36.248
SO ANYONE IN OPPOSITION. TO
02:12:36.315 --> 02:12:37.416
NUMBER BRING IT BACK TO THE
02:12:37.482 --> 02:12:39.518
COMMITTEE FOR QUESTIONS OR
02:12:39.584 --> 02:12:41.286
COMMENTS QUESTIONS OR COMMENTS.
02:12:41.353 --> 02:12:42.254
I SAY THANK YOU FOR BRINGING
02:12:42.321 --> 02:12:44.022
THIS BILL FORWARD -- WE HEARD
02:12:44.089 --> 02:12:45.590
SOME OF THE TESTIMONY YESTERDAY
02:12:45.657 --> 02:12:46.992
IN OUR BUDGET SUBCOMMITTEE ABOUT
02:12:47.059 --> 02:12:48.527
THE SOME OF THE CHALLENGES AND
02:12:48.593 --> 02:12:50.962
AND AND VARIETY GROUPS THAT HAVE.
02:12:51.029 --> 02:12:52.297
BEEN LIVING UNDER THESE CUTS FOR
02:12:52.364 --> 02:12:53.665
A LONG TIME AND I COMPLETELY
02:12:53.732 --> 02:12:55.567
AGREE WITH YOU THAT -- IT'S TIME
02:12:55.634 --> 02:12:58.136
FOR THIS TO END -- AND FULLY
02:12:58.203 --> 02:12:59.705
SUPPORTIVE OF YOUR BILL I SHOULD
02:12:59.771 --> 02:13:00.806
THE BELIEVE THE COMMITTEE I
02:13:00.872 --> 02:13:01.640
WOULD LIKE TO BE ADDED AS A CO
02:13:01.707 --> 02:13:02.307
AUTHOR.
02:13:02.374 --> 02:13:04.309
AND I THANK YOU FOR BRINGING IN
02:13:04.376 --> 02:13:06.144
FOR WHAT WOULD YOU LIKE TO CLOSE --
02:13:06.211 --> 02:13:07.546
I WOULD RESPECTFULLY ASK FOR AND
02:13:07.612 --> 02:13:08.613
I WILL THANK YOU SIR THANK YOU.
02:13:08.680 --> 02:13:11.383
WE HAVE A MOTION IT WAS A CHORUS
02:13:11.450 --> 02:13:12.017
SO I'M NOT REALLY SURE WHO DID
02:13:12.084 --> 02:13:12.984
IT SO.
02:13:13.051 --> 02:13:14.586
I WILL CALL MISTER MAYES --
02:13:14.653 --> 02:13:16.922
MOTION MISTER MAYES A SECOND BY
02:13:16.988 --> 02:13:19.324
MISS CARILLO -- MOTIONS TO PASS
02:13:19.391 --> 02:13:21.126
TO PREPARATIONS MATTER SECRETARY
02:13:21.193 --> 02:13:22.794
PLEASE CALL THE ROLL.
02:13:22.861 --> 02:13:25.397
WHAT I WOULD AYE MAYES MAYES AYE
02:13:25.464 --> 02:13:29.835
AGUIAR-CURRY?
02:13:29.901 --> 02:13:31.536
AGUIAR-CURRY I BIGELOW.
02:13:31.603 --> 02:13:33.572
BONTA BURKE.
02:13:33.638 --> 02:13:35.974
HI CARILLO CARILLO AYE FLORA
02:13:36.041 --> 02:13:36.274
[inaudible]
02:13:36.341 --> 02:13:36.975
Là M<c.cyan> [inaudible]</c>
02:13:37.042 --> 02:13:39.144
MCCARTY.
02:13:39.211 --> 02:13:40.445
THIS AREA RAMOS RAMOS I
02:13:40.512 --> 02:13:42.447
RODRIGUEZ RODRIGUEZ AYE SANTIAGO
02:13:42.514 --> 02:13:46.985
WALDRON.
02:13:47.052 --> 02:13:47.619
IF SEVEN BOTH BELIEVE THE BILL
02:13:47.686 --> 02:13:49.621
ON CALL YOU'VE GOTTEN CLOSER
02:13:49.688 --> 02:13:50.622
THAN ANYONE ELSE TO GET IN THE
02:13:50.689 --> 02:13:52.391
BILL OUT SO I JUST MONEY YOU
02:13:52.457 --> 02:13:54.860
KNOW THE COURAGE IN THERE SO --
02:13:54.926 --> 02:13:57.162
MISTER GRAY.
02:13:57.229 --> 02:14:13.478
YEAH MR GRAPH
02:14:14.212 --> 02:14:14.279
.
02:14:14.279 --> 02:14:15.680
THANK YOU MISTER RIVERSIDE WITH
02:14:15.747 --> 02:14:17.749
THE RESPECT YOUR AGENDA I WILL
02:14:17.816 --> 02:14:20.452
KEEP THIS -- FAIRLY BRIEF -- AB
02:14:20.519 --> 02:14:23.021
SOME SIXTY THREE STANDARDIZES
02:14:23.088 --> 02:14:24.756
PAPERWORK THAT CAN -- SO AS TO
02:14:24.823 --> 02:14:26.525
ALLOW DOCTORS TO SPEND MORE TIME
02:14:26.591 --> 02:14:28.026
WITH KIDS IN LAST TIME WITH
02:14:28.093 --> 02:14:29.327
PAPERWORK.
02:14:29.394 --> 02:14:30.962
I RESPECTFULLY ASK DRIVE VOTE
02:14:31.029 --> 02:14:31.463
CERTAINLY ENTERTAIN ANY
02:14:31.530 --> 02:14:33.432
QUESTIONS FROM THE CHAIR OF THE
02:14:33.498 --> 02:14:34.633
COMMITTEE MEMBERS WE HAVE WITH
02:14:34.699 --> 02:14:39.771
US -- TO FOLKS TO TEST BY MISTER
02:14:39.838 --> 02:14:40.071
[inaudible]
02:14:40.138 --> 02:14:41.239
RED.
02:14:41.306 --> 02:14:41.840
GOOD AFTERNOON MEMBERS OF THE
02:14:41.907 --> 02:14:42.641
COMMITTEE ABOUT THAT ALSO IS
02:14:42.707 --> 02:14:43.909
DIRECTOR OF POLICY AND ADVOCACY
02:14:43.975 --> 02:14:45.310
AT A BLACK FAMILY SERVICES WERE
02:14:45.377 --> 02:14:47.179
STATEWIDE CHILDREN'S BEHAVIOR
02:14:47.245 --> 02:14:48.880
HEALTH AND CHILD WELFARE AGENCY.
02:14:48.947 --> 02:14:50.215
I'M PLEASED TO BE HERE TODAY TO
02:14:50.282 --> 02:14:52.350
SHARE WITH YOU THE BARRIERS ARE
02:14:52.417 --> 02:14:53.885
AGENCY PARTICULARLY OUR
02:14:53.952 --> 02:14:55.287
EMPLOYEES EXPERIENCE IN
02:14:55.353 --> 02:14:56.154
PROVIDING.
02:14:56.221 --> 02:14:57.956
DIRECT SERVICES TO CHILDREN AND
02:14:58.023 --> 02:15:00.425
FAMILIES DUE TO THE BURDEN SEND
02:15:00.492 --> 02:15:02.527
DOCUMENTATION REQUIREMENTS FOR
02:15:02.594 --> 02:15:04.229
CHILDREN COVERED UNDER MEDICARE.
02:15:04.296 --> 02:15:06.031
WHO ARE SEEKING THE PST T.
02:15:06.097 --> 02:15:08.500
SERVICES -- I SHOULD NOTE THAT
02:15:08.567 --> 02:15:09.901
IN TWENTY NINETEEN THE
02:15:09.968 --> 02:15:11.236
CALIFORNIA COUNCIL OF COMMUNITY
02:15:11.303 --> 02:15:12.204
BEHAVIOR HEALTH AGENCIES
02:15:12.270 --> 02:15:14.506
COMMISSIONED MTM SERVICES. TO
02:15:14.573 --> 02:15:16.775
CONDUCT AN ANALYSIS OF REQUIRED
02:15:16.842 --> 02:15:18.043
OUTPATIENT PROGRESS NO
02:15:18.109 --> 02:15:20.212
DOCUMENTATION STANDARDS FOR SIX
02:15:20.278 --> 02:15:22.414
COUNTIES IT INCLUDED ALAMEDA
02:15:22.481 --> 02:15:23.782
CONTRA COSTA ORANGE MARIN
02:15:23.849 --> 02:15:25.150
MONTEREY AND CINEMA.
02:15:25.217 --> 02:15:26.451
AS WELL AS THE DEPARTMENT OF
02:15:26.518 --> 02:15:27.786
HEALTH CARE SERVICES AND
02:15:27.853 --> 02:15:29.020
COMPARED IT TO THE STATES OF NEW
02:15:29.087 --> 02:15:30.856
YORK AND MASSACHUSETTS UNDER
02:15:30.922 --> 02:15:31.990
STATEWIDE DOCUMENTATION
02:15:32.057 --> 02:15:33.291
REQUIREMENTS.
02:15:33.358 --> 02:15:34.493
BASED ON THE RIGOROUS REVIEW
02:15:34.559 --> 02:15:35.961
PROCESS UNDERTAKEN BY THE
02:15:36.027 --> 02:15:38.230
CONSULTANTS THEY FOUND THAT
02:15:38.296 --> 02:15:40.098
QUOTE A RELIABLE PICTURE EMERGE
02:15:40.165 --> 02:15:41.233
OF EXCESSIVE.
02:15:41.299 --> 02:15:45.770
DOCUMENTATION -- REQUIREMENTS IN
02:15:45.837 --> 02:15:47.005
CALIFORNIA -- ACCORDING TO THE
02:15:47.072 --> 02:15:47.839
REPORT THE NATIONAL AVERAGE FOR
02:15:47.906 --> 02:15:49.241
COMPLETING PAPERWORK IS FIVE
02:15:49.307 --> 02:15:52.110
MINUTES AND IN CALIFORNIA IT IS
02:15:52.177 --> 02:15:53.111
TWENTY MINUTES.
02:15:53.178 --> 02:15:55.480
AS THE WHITE AGENCY WE WORK IN
02:15:55.547 --> 02:15:56.114
THIRTY TWO COUNTIES THROUGHOUT
02:15:56.181 --> 02:15:58.850
THE STATE AND MOST IF NOT ALL
02:15:58.917 --> 02:16:00.485
REQUIRE DIFFERENT FORMS.
02:16:00.552 --> 02:16:03.255
COUNTY PAPER REPORTING ACCOUNTS
02:16:03.321 --> 02:16:04.990
440255% OF THE PROVIDERS TIME
02:16:05.056 --> 02:16:06.291
AND THE SHEER VOLUME AND
02:16:06.358 --> 02:16:07.826
DUPLICATIVE NATURE OF REQUIRED
02:16:07.893 --> 02:16:09.561
DOCUMENTATION.
02:16:09.628 --> 02:16:11.363
HAS LED TO EMPLOYEE BURNOUT --
02:16:11.429 --> 02:16:13.298
INCREASED FRUSTRATION AND PEOPLE
02:16:13.365 --> 02:16:14.900
LEAVING THE FIELD JUST AS WE'RE
02:16:14.966 --> 02:16:16.735
EXPERIENCING A STATE WAGE WORK
02:16:16.801 --> 02:16:17.969
FOR SHORTAGE.
02:16:18.036 --> 02:16:19.804
ON THE COUNTIES IN WHICH WE
02:16:19.871 --> 02:16:22.974
PROVIDE SERVICES -- TWO CHILDREN --
02:16:23.041 --> 02:16:24.175
HAVE THEIR OWN UNIQUE
02:16:24.242 --> 02:16:26.011
DOCUMENTATION DATA REQUIREMENTS
02:16:26.077 --> 02:16:27.379
THERE ARE NO TWO COUNTIES THAT
02:16:27.445 --> 02:16:28.747
HAVE IDENTICAL DOCUMENTATION
02:16:28.813 --> 02:16:30.181
PACKAGES.
02:16:30.248 --> 02:16:31.283
THE COUNTIES ARE THE REQUIRE
02:16:31.349 --> 02:16:33.118
THEIR OWN FORMS OR A PRESCRIBED
02:16:33.184 --> 02:16:35.520
LIST OF DATA REQUIREMENTS. FOR
02:16:35.587 --> 02:16:36.955
AN AGENCY THAT OPERATES IN
02:16:37.022 --> 02:16:39.424
MULTIPLE COUNTIES THIS LEADS TO
02:16:39.491 --> 02:16:42.160
INEFFICIENCIES WITH DUNDON SEES
02:16:42.227 --> 02:16:45.263
AND COSTLY SERVICES -- WE KNOW
02:16:45.330 --> 02:16:46.765
THAT ARE TALENTED AND
02:16:46.831 --> 02:16:48.533
PROFESSIONAL STAFF -- CAME INTO
02:16:48.600 --> 02:16:49.668
THE FIELD OF SOCIAL WORK IN
02:16:49.734 --> 02:16:50.802
PSYCHOLOGY TO PROVIDE THE
02:16:50.869 --> 02:16:52.404
HIGHEST QUALITY OF CARE FOR
02:16:52.470 --> 02:16:53.171
PEOPLE IN CRISIS.
02:16:53.238 --> 02:16:54.205
YET THE BURDEN SOME
02:16:54.272 --> 02:16:55.640
DOCUMENTATION REQUIREMENTS HAS
02:16:55.707 --> 02:16:56.875
RESULTED IN CHILDREN AND
02:16:56.942 --> 02:16:59.277
ADOLESCENTS NOT GETTING ACCESS
02:16:59.344 --> 02:17:00.745
TO CRITICAL MENTAL HEARST HEALTH
02:17:00.812 --> 02:17:03.381
SERVICES AND TO LOW MORE --
02:17:03.448 --> 02:17:08.720
STAFF MORALE AND BURN OUT -- WE
02:17:08.787 --> 02:17:11.389
APPRECIATE YOUR RIFLE.
02:17:11.456 --> 02:17:12.490
HI GOOD AFTERNOON.
02:17:12.557 --> 02:17:13.525
GOOD AFTERNOON TO THE COMMITTEE
02:17:13.592 --> 02:17:15.327
IN THE CHAIR THANK YOU -- I
02:17:15.393 --> 02:17:16.828
WANTED A URGED THE SUPPORT OF AB
02:17:16.895 --> 02:17:17.295
SEVEN SIXTY THREE AS A
02:17:17.362 --> 02:17:18.663
PRACTICING PSYCHOLOGIST I'M THE
02:17:18.730 --> 02:17:20.031
CHIEF OF PSYCHOLOGY AT TALK
02:17:20.098 --> 02:17:22.834
CHILDREN'S HOSPITAL -- I WANTED
02:17:22.901 --> 02:17:24.302
ADD JUST REVIEW THAT AS YOU
02:17:24.369 --> 02:17:25.437
PROBABLY KNOW ONE IN FIVE
02:17:25.503 --> 02:17:26.438
CHILDREN SUFFER FROM A
02:17:26.504 --> 02:17:28.006
DIAGNOSABLE MENTAL HEALTH
02:17:28.073 --> 02:17:29.541
DISORDER DURING THEIR CHILDHOOD.
02:17:29.608 --> 02:17:31.343
AND CURRENTLY SUICIDE SERVES AS
02:17:31.409 --> 02:17:32.577
THE SECOND LEADING CAUSE OF
02:17:32.644 --> 02:17:34.879
DEATH OF CHILDREN TEN TO
02:17:34.946 --> 02:17:36.615
FOURTEEN AS WELL AS FIFTEEN TO
02:17:36.681 --> 02:17:37.415
TWENTY FOUR YEARS OF AGE.
02:17:37.482 --> 02:17:38.683
AS CHAIRMAN WOULD POINTED OUT WE
02:17:38.750 --> 02:17:40.752
ARE -- IN A SHORTAGE OF MENTAL
02:17:40.819 --> 02:17:42.921
HEALTH PROVIDERS -- AND WHEN YOU
02:17:42.988 --> 02:17:44.222
THINK ABOUT THE FACT THAT MENTAL
02:17:44.289 --> 02:17:45.890
HEALTH PROVIDERS -- LIKE CHILD
02:17:45.957 --> 02:17:47.926
PSYCHOLOGIST TRAIN FOR ELEVEN
02:17:47.993 --> 02:17:50.595
YEARS -- FAMOUS PEDIATRICIANS --
02:17:50.662 --> 02:17:51.596
THERE IS A SHORTAGE THERE AND
02:17:51.663 --> 02:17:54.399
THERE'S ONLY ABOUT -- TEN
02:17:54.466 --> 02:17:55.266
THOUSAND LICENSE CHILD
02:17:55.333 --> 02:17:58.336
PSYCHOLOGIST IN THE COUNTRY --
02:17:58.403 --> 02:18:00.538
IT'S A IT'S A IT'S A A RESOURCE
02:18:00.605 --> 02:18:04.809
THAT WE REALLY NEED TO RETAIN
02:18:04.876 --> 02:18:06.645
AND YET WHEN WE HAVE AS ARE MY
02:18:06.711 --> 02:18:07.846
MY COLLEAGUE AS SAID -- WHEN WE
02:18:07.912 --> 02:18:08.513
HAVE ALL OF THIS PAPERWORK IT'S
02:18:08.580 --> 02:18:09.514
SO HARD TO GET PEOPLE TO GO INTO
02:18:09.581 --> 02:18:12.484
PUBLIC SERVICE -- BECAUSE WE THE
02:18:12.550 --> 02:18:14.286
REIMBURSEMENT RATES ARE LOW --
02:18:14.352 --> 02:18:17.889
AND I HAVE ALL THIS PAPERWORK ON
02:18:17.956 --> 02:18:19.057
THERE ARE -- I'M JUST.
02:18:19.124 --> 02:18:20.625
POINTING OUT THESE ARE JUST THE
02:18:20.692 --> 02:18:22.027
ADMINISTRATIVE FORMS IT TAKES TO
02:18:22.093 --> 02:18:24.162
ENROLL SOMEONE INTO TREATMENT IT
02:18:24.229 --> 02:18:25.830
TAKES ABOUT TWO AND A HALF HOURS --
02:18:25.897 --> 02:18:27.832
JUST TO FIND OUT IF SOMEONE AS
02:18:27.899 --> 02:18:29.601
QUALIFIES FOR TREATMENT.
02:18:29.668 --> 02:18:31.136
AND AS A CHILD PSYCHOLOGIST AS I
02:18:31.202 --> 02:18:33.538
SEE A CHILD -- IN IN TREATMENT
02:18:33.605 --> 02:18:35.674
AND DO WHAT IS THE THE EVIDENCE
02:18:35.740 --> 02:18:37.275
BASED THING TALK TO THE CHILD TO
02:18:37.342 --> 02:18:39.411
SUFFER DEPRESSION -- TALK TO THE
02:18:39.477 --> 02:18:41.479
PARENTS TALKED WITH THE SCHOOL
02:18:41.546 --> 02:18:43.181
TALK WITH THAT I HAVE -- WITH
02:18:43.248 --> 02:18:44.215
THEIR DOCTORS IF THEY HAVE A
02:18:44.282 --> 02:18:45.684
MEDICAL ILLNESS I HAVE TO FILL
02:18:45.750 --> 02:18:48.186
OUT SIX DIFFERENT NOTES FOR THAT
02:18:48.253 --> 02:18:50.855
ONE SESSION -- AND IF I GET ONE
02:18:50.922 --> 02:18:51.990
WORD WRONG ON THOSE NOTES IT
02:18:52.057 --> 02:18:53.625
DISQUALIFIES ALL OF THEM AND I'M
02:18:53.692 --> 02:18:56.294
NOT PAID -- AND IN FACT ONE OF
02:18:56.361 --> 02:18:57.829
MY COLLEAGUES IN ANOTHER COUNTY
02:18:57.896 --> 02:18:59.597
GOT ONE OF THEIR BILLS TONIGHT
02:18:59.664 --> 02:19:00.765
BECAUSE THEY BUILD FOR THE TIME
02:19:00.832 --> 02:19:01.900
THEY SPENT LISTENING TO THE
02:19:01.966 --> 02:19:06.571
PATIENT AND NOT JUST THE TIME
02:19:06.638 --> 02:19:07.105
THEY SPENT TALKING TO THE
02:19:07.172 --> 02:19:08.473
PATIENT.
02:19:08.540 --> 02:19:09.741
SO -- WHEN WE TALK ABOUT
02:19:09.808 --> 02:19:10.709
TRAINING NEW NEW PROVIDERS WHICH
02:19:10.775 --> 02:19:13.445
IS -- IMPORTANCE WE ALSO FIND --
02:19:13.511 --> 02:19:15.046
IT THAT WE'RE SPENDING TWICE AS
02:19:15.113 --> 02:19:17.248
LONG -- JUST TRAINING THEM HOW
02:19:17.315 --> 02:19:18.783
TO FILL OUT PAPERWORK THIS IS
02:19:18.850 --> 02:19:20.552
OUR MANUAL OF TEACHING THEM HOW
02:19:20.618 --> 02:19:22.754
TO DO PAPERWORK ALONE -- IN THE
02:19:22.821 --> 02:19:24.756
END I THINK WHAT WE FIND IS THE
02:19:24.823 --> 02:19:26.024
PROVIDERS SPENDING TIME
02:19:26.091 --> 02:19:27.659
SERVICING THE CHART INSTEAD OF
02:19:27.726 --> 02:19:29.160
SERVICING THE PATIENT.
02:19:29.227 --> 02:19:30.662
AND IF WE COULD REDUCE THE PAPER
02:19:30.729 --> 02:19:32.931
WORK WITHOUT EVEN INCREASING THE
02:19:32.997 --> 02:19:34.666
WORK FORCE WE COULD SERVE 30%
02:19:34.733 --> 02:19:35.734
MORE CHILDREN.
02:19:35.800 --> 02:19:36.968
I HAVE FIFTY KIDS ON THE WAITING
02:19:37.035 --> 02:19:39.270
LIST RIGHT NOW -- AS YOUNG AS
02:19:39.337 --> 02:19:40.638
SEVEN CHILDREN WITH CANCER WITH
02:19:40.705 --> 02:19:42.307
EPILEPSY WHO ARE NEEDING
02:19:42.373 --> 02:19:44.342
SERVICES DESPERATELY I COULD SEE
02:19:44.409 --> 02:19:46.211
THE MALL IF I COULD REDUCE THAT
02:19:46.277 --> 02:19:47.579
PAPERWORK THANK YOU SO MUCH I
02:19:47.645 --> 02:19:48.713
URGE A VOTE.
02:19:48.780 --> 02:19:50.515
YES ON THIS BILL.
02:19:50.582 --> 02:19:51.049
THANK YOU VERY MUCH OTHER
02:19:51.116 --> 02:19:52.751
SUPPORT THANK YOU MAYOR MARTIN
02:19:52.817 --> 02:19:53.785
HERE BEHALF OF THE CALIFORNIA
02:19:53.852 --> 02:19:56.921
CHILDREN'S HOSPITAL CESSATION IN
02:19:56.988 --> 02:19:58.623
STRONG SUPPORT.
02:19:58.690 --> 02:19:59.524
DANIELLE MAILLET CALIFORNIA
02:19:59.591 --> 02:20:01.092
LINES OF CHILD AND FAMILY
02:20:01.159 --> 02:20:02.560
SERVICES AND SUPPORT THANK YOU.
02:20:02.627 --> 02:20:03.661
THE UNDERCARD KARBI ON BEHALF OF
02:20:03.728 --> 02:20:04.996
THE CALIFORNIA COUNCIL OF
02:20:05.063 --> 02:20:07.832
COMMUNITY BEHAVIOR HOPING TO
02:20:07.899 --> 02:20:08.933
SEASON TO PORT.
02:20:09.000 --> 02:20:09.501
KAMALA TRADER WITH REDWOOD
02:20:09.567 --> 02:20:12.070
COMMUNITY SERVICES LIKE MENACING
02:20:12.137 --> 02:20:15.640
ON HUBBLE COUNTIES IN SUPPORT.
02:20:15.707 --> 02:20:16.775
GOOD AFTERNOON KELLY MAC MILLAN
02:20:16.841 --> 02:20:19.310
ON BEHALF OF CHILDREN ESPECIALLY
02:20:19.377 --> 02:20:21.980
CARE COALITION IN SUPPORT.
02:20:22.046 --> 02:20:24.149
LINDA WAY WITH WESTERN CENTER ON
02:20:24.215 --> 02:20:26.718
LAW AND POVERTY IN SUPPORT.
02:20:26.785 --> 02:20:27.852
PER SE BECAUSE HERE ON BEHALF OF
02:20:27.919 --> 02:20:30.922
OF CALIFORNIA ACADEMY OF CHILD
02:20:30.989 --> 02:20:31.489
AND ADOLESCENT PSYCHIATRY IN
02:20:31.556 --> 02:20:32.423
SUPPORT.
02:20:32.490 --> 02:20:35.393
IS THERE ANYONE ELSE. THIRTY ONE
02:20:35.460 --> 02:20:37.829
IN OPPOSITION.
02:20:37.896 --> 02:20:41.065
SEE NO ONE WILL BRING BACK TO
02:20:41.132 --> 02:20:41.666
THE COMMITTEE FOR QUESTIONS OR
02:20:41.733 --> 02:20:45.103
COMMENTS.
02:20:45.170 --> 02:20:45.670
IT'S GOOD TO SEE THE BILL.
02:20:45.737 --> 02:20:48.807
SEEING NONE WE HAVE A MOTION.
02:20:48.873 --> 02:20:50.575
FIVE MISTER MISTER MAYES A
02:20:50.642 --> 02:20:53.144
SECOND I WAS TAKE YOUR CRUISE
02:20:53.211 --> 02:20:55.647
LIKE CLOSE MISTER GRAY.
02:20:55.713 --> 02:20:56.247
I JUST LIKE FAST DRIVER THANK
02:20:56.314 --> 02:20:56.414
YOU.
02:20:56.481 --> 02:20:57.882
THANK YOU THE BUSH THE THE BILL
02:20:57.949 --> 02:20:59.751
HAS THE THE QUESTION IS TO PASS
02:20:59.818 --> 02:21:00.652
A PURPOSE I JUST WANNA SAY THAT
02:21:00.718 --> 02:21:01.553
I THINK YOU WITH BEING THIS BILL
02:21:01.619 --> 02:21:02.053
FORD.
02:21:02.120 --> 02:21:03.254
OF THERE'S A POINT WHICH WE CAN
02:21:03.321 --> 02:21:05.423
DO THIS FOR ADULTS AS WELL --
02:21:05.490 --> 02:21:07.492
BECAUSE I'M I'M I'M FAIRLY
02:21:07.559 --> 02:21:08.092
CERTAIN THE PAPERWORK BURDEN
02:21:08.159 --> 02:21:11.229
DOESN'T.
02:21:11.296 --> 02:21:14.399
STOP WHEN YOU TURN.
02:21:14.465 --> 02:21:15.433
EIGHTEEN QUESTION RIGHT RIGHT --
02:21:15.500 --> 02:21:17.035
I SHOULD ENTERTAIN THAT IN MY
02:21:17.101 --> 02:21:17.702
CLOTHES.
02:21:17.769 --> 02:21:19.604
WITH RESPECT TO THE ANALYSIS AND
02:21:19.671 --> 02:21:21.206
THE COMES ON THE ADULT
02:21:21.272 --> 02:21:21.873
POPULATION THAT MAKES LAWCENTER.
02:21:21.940 --> 02:21:22.507
THE ONLY CONCERN I WOULD HAVE IS
02:21:22.574 --> 02:21:24.676
THAT WE INSURE THAT WE GET THIS
02:21:24.742 --> 02:21:26.010
DONE IT MIGHT BE TWO SEPARATE
02:21:26.077 --> 02:21:26.978
WORKING GROUPS IT MIGHT BE A
02:21:27.045 --> 02:21:29.113
MATTER OF TIMING -- BUT I THINK
02:21:29.180 --> 02:21:30.648
YOU MAKE AN EXCELLENT POINT --
02:21:30.715 --> 02:21:32.317
AND WE SHOULD EMBRACE THAT COULD
02:21:32.383 --> 02:21:34.552
WORK ON A POTENTIALLY THIS BILL
02:21:34.619 --> 02:21:35.520
OR TOGETHER LATER DATE.
02:21:35.587 --> 02:21:36.788
BUT YEAH NOT ASKING YOU TO TAKE
02:21:36.855 --> 02:21:38.489
IT AMENDMENT JUST HOPE FOR THE
02:21:38.556 --> 02:21:39.524
FUTURE.
02:21:39.591 --> 02:21:41.759
FOR THOSE MAY FLOWERS TREATING
02:21:41.826 --> 02:21:44.028
IT ALSO OKAY THANK YOU THANK YOU
02:21:44.095 --> 02:21:45.563
BETTER SECRETARY PLEASE CALL THE
02:21:45.630 --> 02:21:46.464
ROLL.
02:21:46.531 --> 02:21:49.133
WOULD I WOULD I MAYES MAYES AYE
02:21:49.200 --> 02:21:54.405
ANCHOR CURRY.
02:21:54.472 --> 02:21:56.474
I GOT CURRY I BIGELOW.
02:21:56.541 --> 02:21:57.542
BONTA BURKE.
02:21:57.609 --> 02:21:59.377
BURKE I CARILLO [inaudible]
02:21:59.444 --> 02:22:00.378
I FLORA [inaudible]
02:22:00.445 --> 02:22:01.179
THE MOST [inaudible]
02:22:01.246 --> 02:22:03.781
MCCARTY.
02:22:03.848 --> 02:22:05.250
NEWS AREA RAMOS.
02:22:05.316 --> 02:22:06.918
ROSS AYE RODRIGUEZ RODRIGUEZ AYE
02:22:06.985 --> 02:22:08.486
SANTIAGO [inaudible]
02:22:08.553 --> 02:22:12.590
WALDRON.
02:22:12.657 --> 02:22:13.925
YES SEVEN VOTES WILL THE BILL ON
02:22:13.992 --> 02:22:15.927
TOP DAY MISTER THANK YOU MEMBERS
02:22:15.994 --> 02:22:21.266
THANK YOU -- SEE THIS IN THIS
02:22:21.332 --> 02:22:27.071
WAY [inaudible] SIX IT WAS
02:22:27.138 --> 02:22:29.140
REASONS.
02:22:29.207 --> 02:22:36.047
I DO SEE WAS PETRIE-NORRIS.
02:22:36.114 --> 02:22:38.549
HELLO CHAIR AND MEMBERS.
02:22:38.616 --> 02:22:40.051
I AM HERE TODAY TO ASK FOR YOUR
02:22:40.118 --> 02:22:42.787
SUPPORT FOR AB NINE TWENTY THE
02:22:42.854 --> 02:22:43.888
PURPOSE.
02:22:43.955 --> 02:22:45.023
OF THIS SPELL IS PROTECT
02:22:45.089 --> 02:22:47.058
PATIENTS WHO ARE IN RECOVERY FOR
02:22:47.125 --> 02:22:48.693
SUBSTANCE ABUSE TREATMENT.
02:22:48.760 --> 02:22:49.627
THE SCOPE AND SCALE OF
02:22:49.694 --> 02:22:51.729
CALIFORNIA'S AS AMERICANS
02:22:51.796 --> 02:22:53.731
DEPLETE CRISIS IS TRULY
02:22:53.798 --> 02:22:55.934
STAGGERING ACCORDING TO THE CDC
02:22:56.000 --> 02:22:58.369
A HUNDRED AND THIRTY PEOPLE DIE
02:22:58.436 --> 02:22:59.304
IN THE UNITED STATES FROM
02:22:59.370 --> 02:23:02.407
OPIOIDS EVERY SINGLE DAY.
02:23:02.473 --> 02:23:04.108
THIS NOW MAKES OPIATE OVERDOSE A
02:23:04.175 --> 02:23:05.610
TOP FIVE CAUSE OF DEATH.
02:23:05.677 --> 02:23:07.245
IT'S HEARTBREAKING AND IT EVERY
02:23:07.312 --> 02:23:09.180
SINGLE STEP IT SEEMS THERE ARE
02:23:09.247 --> 02:23:10.281
UNSCRUPULOUS ACTORS WHO ARE
02:23:10.348 --> 02:23:11.549
PROFITEERING FROM THE SUFFERING
02:23:11.616 --> 02:23:12.483
OF OTHERS.
02:23:12.550 --> 02:23:13.818
PHARMACEUTICAL COMPANIES HAVE
02:23:13.885 --> 02:23:15.119
ENGAGED IN DECEPTIVE MARKETING
02:23:15.186 --> 02:23:16.721
PRACTICES DOCTORS WHO HAVE
02:23:16.788 --> 02:23:18.089
KNOWINGLY OVER PRESCRIBED THESE
02:23:18.156 --> 02:23:19.223
DRUGS.
02:23:19.290 --> 02:23:20.591
AN UNLICENSED RAPE
02:23:20.658 --> 02:23:22.360
REHABILITATION CENTER OPERATORS
02:23:22.427 --> 02:23:24.362
WHO ARE EXPLOITING PATIENTS FOR
02:23:24.429 --> 02:23:25.496
PROFIT.
02:23:25.563 --> 02:23:26.864
THERE IS MUCH THAT NEEDS TO BE
02:23:26.931 --> 02:23:28.199
DONE IN THIS AREA AND THERE ARE
02:23:28.266 --> 02:23:29.467
A NUMBER OF BILLS MOVING THROUGH
02:23:29.534 --> 02:23:30.301
THE LEGISLATURE.
02:23:30.368 --> 02:23:32.203
THAT ADDRESSING VARIOUS ASPECTS
02:23:32.270 --> 02:23:34.072
OF THIS ISSUE I THIS BILL
02:23:34.138 --> 02:23:35.573
SPECIFICALLY ADDRESSES THE NEED
02:23:35.640 --> 02:23:37.208
FOR PRO APPROPRIATE LICENSING
02:23:37.275 --> 02:23:40.244
AND OVERSIGHT OF FOR PROFIT DRUG
02:23:40.311 --> 02:23:41.946
REHABILITATION CENTERS WELL
02:23:42.013 --> 02:23:43.314
THERE ARE GOOD ACTORS IN THIS
02:23:43.381 --> 02:23:44.916
SPACE THAT ARE DOING POSITIVE
02:23:44.983 --> 02:23:46.551
WORK FOR THOSE SEEKING RECOVERY.
02:23:46.617 --> 02:23:48.086
UNSCRUPULOUS OPERATORS HAVE BEEN
02:23:48.152 --> 02:23:49.721
EXPLOITING PATIENTS TO READ HIGH
02:23:49.787 --> 02:23:50.621
PROFITS.
02:23:50.688 --> 02:23:52.623
THIS HORROR STORY PLAYS OUT TIME
02:23:52.690 --> 02:23:53.458
AND AGAIN THE PATIENT IS
02:23:53.524 --> 02:23:55.460
RECRUITED OUT OF STATE BY A BODY
02:23:55.526 --> 02:23:56.694
BROKER.
02:23:56.761 --> 02:23:57.929
OUT OF NETWORK INSURANCE
02:23:57.996 --> 02:23:59.364
POLICIES ARE PURCHASED FOR THE
02:23:59.430 --> 02:24:01.032
PATIENT AND THEN RUN UP TO THE
02:24:01.099 --> 02:24:02.433
TUNE OF HUNDREDS OF THOUSANDS OF
02:24:02.500 --> 02:24:03.267
DOLLARS.
02:24:03.334 --> 02:24:05.136
AFTER THIRTY SIXTY OR NINETY
02:24:05.203 --> 02:24:06.270
DAYS.
02:24:06.337 --> 02:24:07.939
THE I. INSURANCE RUNS OUT
02:24:08.006 --> 02:24:09.741
PATIENT IS CURBED TURN OUT IN
02:24:09.807 --> 02:24:12.243
THE STREETS AND EXACERBATING
02:24:12.310 --> 02:24:13.611
CALIFORNIA'S HOMELESSNESS CRISIS.
02:24:13.678 --> 02:24:14.946
SOMETIMES PATIENTS ARE EVEN
02:24:15.013 --> 02:24:16.781
ENCOURAGED TO RELAPSE IN ORDER
02:24:16.848 --> 02:24:19.417
FOR THE CYCLE TO BEGIN AGAIN.
02:24:19.484 --> 02:24:21.185
AND THE REASON THAT THE CYCLE IS
02:24:21.252 --> 02:24:22.720
POSSIBLE IS BECAUSE THERE'S A
02:24:22.787 --> 02:24:24.889
TOTAL LACK OF REGULATION AND
02:24:24.956 --> 02:24:25.790
OVERSIGHT.
02:24:25.857 --> 02:24:27.258
CURRENTLY REHAB CENTERS THAT
02:24:27.325 --> 02:24:29.660
SERVE SIX OR FEWER CLIENTS ARE
02:24:29.727 --> 02:24:32.230
AND LICENSED AND ENTIRELY
02:24:32.296 --> 02:24:33.297
UNREGULATED.
02:24:33.364 --> 02:24:34.699
UNDER CURRENT CALIFORNIA STATE
02:24:34.766 --> 02:24:36.034
LAW THESE FACILITIES ARE
02:24:36.100 --> 02:24:38.903
SPECIFICALLY TREATED AS SINGLE
02:24:38.970 --> 02:24:40.605
FAMILY RESIDENCE.
02:24:40.671 --> 02:24:42.273
I WENT SIX PEOPLE DECIDE TO LIVE
02:24:42.340 --> 02:24:43.975
TOGETHER IN A SOBER ENVIRONMENT
02:24:44.042 --> 02:24:45.276
IN ORDER TO FURTHER THEIR
02:24:45.343 --> 02:24:46.811
RECOVERY IT IS TOTALLY
02:24:46.878 --> 02:24:48.546
APPROPRIATE TO TREAT THIS AS A
02:24:48.613 --> 02:24:49.847
SINGLE FAMILY RESIDENCE.
02:24:49.914 --> 02:24:51.315
BUT WHEN A NETWORK EVERY HAVE
02:24:51.382 --> 02:24:53.184
HOMES ARE OWNED AND OPERATED BY
02:24:53.251 --> 02:24:55.520
A FOR PROFIT CORPORATION.
02:24:55.586 --> 02:24:57.855
THIS IS NOT A HOME THIS IS NOT A
02:24:57.922 --> 02:25:04.162
RESIDENTS THIS IS A BUSINESS.
02:25:04.228 --> 02:25:05.463
EIGHTY NINE TWENTY AIMS TO
02:25:05.530 --> 02:25:06.497
ADDRESS THE COMMERCIAL INCENTIVE
02:25:06.564 --> 02:25:07.231
DRIVING THESE UNSCRUPULOUS
02:25:07.298 --> 02:25:08.566
OPERATORS SPECIFICALLY AB NINE
02:25:08.633 --> 02:25:09.167
TWENTY CLARIFIES THAT SIX AND
02:25:09.233 --> 02:25:10.368
UNDER TREATMENT FACILITIES THAT
02:25:10.435 --> 02:25:12.103
ARE PART OF A LARGER BUSINESS
02:25:12.170 --> 02:25:12.804
NETWORK.
02:25:12.870 --> 02:25:14.305
I EAT IN AND ECONOMIC
02:25:14.372 --> 02:25:15.306
RELATIONSHIP WITH A TREATMENT
02:25:15.373 --> 02:25:16.941
PROVIDER THAT OWNS OR OPERATES
02:25:17.008 --> 02:25:18.876
TWO OR MORE FACILITIES.
02:25:18.943 --> 02:25:20.044
IS A BUSINESS IN A RESIDENTIAL
02:25:20.111 --> 02:25:21.012
HOME.
02:25:21.079 --> 02:25:22.680
I RESPECTFULLY REQUEST THE
02:25:22.747 --> 02:25:24.282
COMMITTEE SUPPORT FOR THIS
02:25:24.348 --> 02:25:26.250
MEASURE AND TO AS A SIDE.
02:25:26.317 --> 02:25:28.286
LOOK FOR TO WORKING WITH YOU ON
02:25:28.352 --> 02:25:29.821
ADDRESSING MANY ASPECTS AS THE
02:25:29.887 --> 02:25:32.123
AGREED CRISIS HERE IN CALIFORNIA.
02:25:32.190 --> 02:25:33.391
THANK YOU [inaudible]
02:25:33.458 --> 02:25:36.294
THANK YOU.
02:25:36.360 --> 02:25:39.697
THERE'S A SUPPORT.
02:25:39.764 --> 02:25:40.865
OUR TIME IT DID NOT [inaudible]
02:25:40.932 --> 02:25:42.200
OKAY.
02:25:42.266 --> 02:25:57.582
IS THERE ANY OPPOSITION.
02:25:57.648 --> 02:25:59.283
GOOD AFTERNOON HONORABLE CHAIR
02:25:59.350 --> 02:26:00.451
MEMBERS SHARE DATA FOR
02:26:00.518 --> 02:26:02.053
CALIFORNIA CONSORTIUM OF
02:26:02.120 --> 02:26:02.520
ADDICTION PROGRAMS AND
02:26:02.587 --> 02:26:03.488
PROFESSIONALS.
02:26:03.554 --> 02:26:05.423
REPRESENTING OVER TWENTY
02:26:05.490 --> 02:26:05.923
THOUSAND DICTION FOCUSED
02:26:05.990 --> 02:26:06.891
COUNSELORS.
02:26:06.958 --> 02:26:08.392
AND OVER FIVE HUNDRED TRIP
02:26:08.459 --> 02:26:09.127
PROGRAMS AND SOBER LIVING
02:26:09.193 --> 02:26:10.962
THROUGHOUT THE STATE ALTHOUGH WE
02:26:11.028 --> 02:26:12.497
ARE RESPECTFULLY AGREE WITH THE
02:26:12.563 --> 02:26:15.099
AUTHOR ON THE CONTENTIONS THAT.
02:26:15.166 --> 02:26:16.534
THERE ARE ABUSES IN THE PATIENT
02:26:16.601 --> 02:26:19.103
BROKERING ASPECT OF THE BUSINESS
02:26:19.170 --> 02:26:21.539
THAT NEED TO BE TAKEN CARE OF
02:26:21.606 --> 02:26:22.106
EIGHTY NINE TWENTY DOES NOT
02:26:22.173 --> 02:26:23.074
ADDRESS THOSE CONCERNS.
02:26:23.141 --> 02:26:24.909
WE MUST RESPECTFULLY OPPOSE THE
02:26:24.976 --> 02:26:31.349
BILL WE CREATE OUR MEMBERS AND
02:26:31.415 --> 02:26:32.116
FOUND THAT OVER 90% OF THEM.
02:26:32.183 --> 02:26:33.751
OWN MORE THAN.
02:26:33.818 --> 02:26:35.953
ONE FACILITY OR TYPE OF FACILITY
02:26:36.020 --> 02:26:37.788
SO IF THIS WERE TO GO INTO A
02:26:37.855 --> 02:26:39.524
FACT WE WOULD BE LOOKING AT A
02:26:39.590 --> 02:26:41.425
MAJOR CATASTROPHE OF
02:26:41.492 --> 02:26:42.326
CONSTRUCTION.
02:26:42.393 --> 02:26:45.930
AND ACCESS TO THOSE SERVICES --
02:26:45.997 --> 02:26:47.465
IT DOES MAKE SENSE FOR
02:26:47.532 --> 02:26:49.667
BUSINESSES TO OWN MORE THAN ONE
02:26:49.734 --> 02:26:50.768
TREATMENT PROGRAM.
02:26:50.835 --> 02:26:51.836
IF THEY'RE GOOD AT IT IF THEY'RE
02:26:51.903 --> 02:26:53.804
EFFECTIVE THERE SHOULD BE NO
02:26:53.871 --> 02:26:54.405
REASON WHY THEY SHOULDN'T BE
02:26:54.472 --> 02:26:55.973
ABLE TO OWN.
02:26:56.040 --> 02:26:57.441
MORE THAN.
02:26:57.508 --> 02:26:57.975
ONE REMOVING THEIR EIGHTY
02:26:58.042 --> 02:26:59.911
PROTECTION IN MANY COMMUNITIES
02:26:59.977 --> 02:27:01.412
WOULD BASICALLY PUT THEM OUT OF
02:27:01.479 --> 02:27:02.446
BUSINESS.
02:27:02.513 --> 02:27:04.448
SO -- THAT WOULD NOT BE A GOOD
02:27:04.515 --> 02:27:06.851
IDEA ALSO THE CONSORTIUM OF CARE
02:27:06.918 --> 02:27:09.520
IS A CONTINUUM SO IT MAKES SENSE
02:27:09.587 --> 02:27:12.056
FOR A COMPANY.
02:27:12.123 --> 02:27:16.260
TO OWN A A DETOXIFICATION CENTER
02:27:16.327 --> 02:27:17.562
AND THEN PERHAPS AN INPATIENT
02:27:17.628 --> 02:27:19.564
CENTER AND THEN AN OUTPATIENT
02:27:19.630 --> 02:27:20.698
TREATMENT PROGRAM AND MAYBE A
02:27:20.765 --> 02:27:22.133
SOBER LIVING SO THAT THEY COULD
02:27:22.200 --> 02:27:23.935
GUIDE PATIENTS THROUGH THEIR
02:27:24.001 --> 02:27:26.337
CARE -- IN ORGANIZATIONS THEY
02:27:26.404 --> 02:27:27.572
TRUST.
02:27:27.638 --> 02:27:29.440
THERE'S BEEN NO STUDY TO SHOW.
02:27:29.507 --> 02:27:32.143
THAT DO OWNERSHIP OF PROGRAMS OR
02:27:32.210 --> 02:27:33.711
DIFFERENT TYPES OF MODALITIES IS
02:27:33.778 --> 02:27:35.446
A HARM TO THE CUSTOMERS.
02:27:35.513 --> 02:27:36.781
WE WOULD WELCOME -- WORKING WITH
02:27:36.847 --> 02:27:38.316
THE AUTHOR ON ADDRESSING SOME OF
02:27:38.382 --> 02:27:39.483
THE CONCERNS THAT SHE HAS
02:27:39.550 --> 02:27:43.888
PRESENTED TODAY BUT AS IT IS
02:27:43.955 --> 02:27:45.890
WRITTEN WE MUST POST THANK YOU.
02:27:45.957 --> 02:27:47.992
OR ANYONE ELSE IN OPPOSITION.
02:27:48.059 --> 02:27:49.260
IN OUR PRE PACKED THE COMMITTEE
02:27:49.327 --> 02:27:51.095
FOR QUESTIONS OR COMMENTS
02:27:51.162 --> 02:27:52.663
MISTAKE OCCUR.
02:27:52.730 --> 02:27:53.831
THANK YOU FOR BRINGING THIS
02:27:53.898 --> 02:27:55.967
FORWARD -- SO I I AGREE THAT
02:27:56.033 --> 02:27:57.868
THERE'S PROBABLY GOOD ACTORS OUT
02:27:57.935 --> 02:27:58.269
THERE.
02:27:58.336 --> 02:27:59.637
BUT THE BAD ACTORS ARE TAKING
02:27:59.704 --> 02:28:01.038
ADVANTAGE OF THE SYSTEM PUTTING
02:28:01.105 --> 02:28:03.875
PATIENTS CALL IT OF CARE AT RISK.
02:28:03.941 --> 02:28:05.810
I DO HAVE SOME CONCERNS -- THAT
02:28:05.876 --> 02:28:07.712
MAY BE UNINTENDED CONSEQUENCES
02:28:07.778 --> 02:28:09.413
IN THIS BILL THAT COULD LIMIT
02:28:09.480 --> 02:28:10.681
ACCESS TO HOUSING FOR THESE
02:28:10.748 --> 02:28:12.250
VULNERABLE PEOPLE.
02:28:12.316 --> 02:28:13.484
WE DON'T WANT TO HAVE TO EMPOWER
02:28:13.551 --> 02:28:15.086
ANY LOCAL GROUPS THAT ARE IN
02:28:15.152 --> 02:28:17.121
OPPOSITION TO HAVING THESE TYPES
02:28:17.188 --> 02:28:17.622
OF FACILITIES IN THEIR
02:28:17.688 --> 02:28:18.322
COMMUNITIES.
02:28:18.389 --> 02:28:19.824
I'LL BE SUPPORTING THIS BILL BUT
02:28:19.890 --> 02:28:21.425
I HOPE YOU CONSIDER HOW WE MIGHT
02:28:21.492 --> 02:28:23.527
ADDRESS THAT ACCESS ISSUE MOVING
02:28:23.594 --> 02:28:24.962
FORWARD.
02:28:25.029 --> 02:28:26.631
THANK YOU ABSOLUTELY.
02:28:26.697 --> 02:28:28.666
JUST RUMORS THANK YOU MISTER
02:28:28.733 --> 02:28:30.101
CHAIR IN AND READ THE BILL HERE
02:28:30.167 --> 02:28:31.769
IS SOME OF THE TESTIMONY AS FAR
02:28:31.836 --> 02:28:32.370
AS SOME OF THE LOCAL
02:28:32.436 --> 02:28:33.738
JURISDICTIONS A SOME OF THE
02:28:33.804 --> 02:28:35.039
ORDINANCES THAT PUT.
02:28:35.106 --> 02:28:36.574
CONSTRAINTS ON THE NUMBER OF
02:28:36.641 --> 02:28:38.609
SIZES THAT ARE THERE -- STARS TO
02:28:38.676 --> 02:28:40.211
LOOK AT HOW SOME OF THE
02:28:40.278 --> 02:28:43.114
DIFFERENT -- AREAS ARE SPARSELY --
02:28:43.180 --> 02:28:44.982
IN THE DIFFERENT AREAS OF THE
02:28:45.049 --> 02:28:46.117
JURISDICTIONS OF THE CITIES THAT
02:28:46.183 --> 02:28:46.817
ARE THERE.
02:28:46.884 --> 02:28:50.221
AND SEEING THAT -- AND KNOWING.
02:28:50.288 --> 02:28:50.821
THE CONCERN THAT'S THERE IS
02:28:50.888 --> 02:28:52.056
MAKING SURE THAT THERE IS
02:28:52.123 --> 02:28:53.557
SOMEWHERE FOR SOMEONE TO GO FOR
02:28:53.624 --> 02:28:55.126
THE REHABILITATION SERVICES ARE
02:28:55.192 --> 02:28:56.794
THERE IN THE ONGOING --
02:28:56.861 --> 02:28:59.930
REHABILITATION SERVICES FOR THEM --
02:28:59.997 --> 02:29:01.098
IT'S ENCOURAGING TO HEAR THAT
02:29:01.165 --> 02:29:02.867
YOU ARE IN DIALOGUE WITH THE THE
02:29:02.933 --> 02:29:05.703
INDUSTRY -- TRYING.
02:29:05.770 --> 02:29:06.470
TO COME TO TERMS OF SOME OF
02:29:06.537 --> 02:29:08.739
THOSE -- QUESTIONS ARE THERE BUT
02:29:08.806 --> 02:29:09.173
I THINK AT THE LOCAL
02:29:09.240 --> 02:29:11.542
JURISDICTION THE ORDINANCES THAT
02:29:11.609 --> 02:29:12.443
ARE THERE ARE SOME OF THOSE
02:29:12.510 --> 02:29:15.046
ORDINANCES A START TO PUSH --
02:29:15.112 --> 02:29:16.047
HOUSE YOU KNOW TRANCE --
02:29:16.113 --> 02:29:18.115
TRANSFORMATION HOUSING -- OUT
02:29:18.182 --> 02:29:19.950
INTO SOME AREAS I THINK NEEDS TO
02:29:20.017 --> 02:29:21.686
BE LOOKED AT TO I WAS SUPPORTED
02:29:21.752 --> 02:29:23.688
TODAY -- BUT HOPEFULLY HERE THAT
02:29:23.754 --> 02:29:25.556
THERE'S ONGOING DIALOGUE.
02:29:25.623 --> 02:29:26.590
THANK YOU ABSOLUTELY AND I'LL
02:29:26.657 --> 02:29:27.491
CERTAINLY TAKE THAT ON BOARD AND
02:29:27.558 --> 02:29:30.227
I THINK WHAT I WOULD SAY IS.
02:29:30.294 --> 02:29:32.396
THAT THE AIM OF THIS BILL IS
02:29:32.463 --> 02:29:34.131
CERTAINLY NOT TO PUT GOOD
02:29:34.198 --> 02:29:36.701
OPERATORS OUT OF BUSINESS SO IN
02:29:36.767 --> 02:29:38.769
THE SAME WAY THAT WHEN WE HAVE
02:29:38.836 --> 02:29:40.338
REGULATIONS AS IN PROVIDE
02:29:40.404 --> 02:29:41.939
OVERSIGHT FOR EVERYTHING FROM
02:29:42.006 --> 02:29:44.875
RESTAURANTS. TO HEAR SIGNS.
02:29:44.942 --> 02:29:46.510
TO DOCTORS OFFICES THE GOAL IS
02:29:46.577 --> 02:29:48.946
NOT TO PUT THE GOOD ACTORS OUT
02:29:49.013 --> 02:29:50.314
OF BUSINESS THE GOAL IS TO
02:29:50.381 --> 02:29:51.415
PROTECT.
02:29:51.482 --> 02:29:52.616
THE PUBLIC AND I ABSOLUTELY
02:29:52.683 --> 02:29:54.151
AGREE THAT WE NEED TO MAKE SURE
02:29:54.218 --> 02:29:55.119
THAT WE HAVE.
02:29:55.186 --> 02:29:57.421
CAPACITY FOR TREATMENT SERVICES
02:29:57.488 --> 02:29:59.256
IS THIS CRISIS IS NOT YET IS NOT
02:29:59.323 --> 02:30:00.791
GETTING BETTER AND WE NEED TO
02:30:00.858 --> 02:30:07.465
MAKE SURE THAT WE HAVE GOOD
02:30:07.531 --> 02:30:09.433
CAPACITY. FOR TREATMENT SERVICES
02:30:09.500 --> 02:30:10.067
NOT JUST SOMETHING WHERE PEOPLE
02:30:10.134 --> 02:30:12.002
GET TRAPPED IN A CYCLE.
02:30:12.069 --> 02:30:12.636
I JUST WANT TO THANK THE OTHER
02:30:12.703 --> 02:30:13.371
FOR BRINGING THIS FOR THIS IS
02:30:13.437 --> 02:30:14.572
THAT TH LORD'S WORK -- IT IS --
02:30:14.638 --> 02:30:16.874
INCREDIBLY DIFFICULT -- I CAN
02:30:16.941 --> 02:30:18.776
ATTEST I WITH MY COLLEAGUE FROM
02:30:18.843 --> 02:30:20.544
SAN WOULD YOU KNOW -- MY COUNTY --
02:30:20.611 --> 02:30:22.213
WE HAD WORKED ON THIS -- YEARS
02:30:22.279 --> 02:30:24.548
AGO -- AND I KNOW THAT AN ORANGE
02:30:24.615 --> 02:30:26.484
COUNTY IT'S ALSO -- QUITE THE
02:30:26.550 --> 02:30:27.852
QUITE THE PROBLEM ON THE QUITE
02:30:27.918 --> 02:30:30.154
THE ISSUE -- AND SO KNOWING THAT
02:30:30.221 --> 02:30:31.422
YOU'RE CONTINUE TO WORK ON THIS
02:30:31.489 --> 02:30:33.457
I JUST WANT TO THANK YOU -- FOR
02:30:33.524 --> 02:30:36.060
FOR TAKING IT IT UP -- AND AND
02:30:36.127 --> 02:30:37.628
GOOD LUCK TO YOU AND IS THAT IF
02:30:37.695 --> 02:30:40.030
I CAN BE SUPPORTIVE IN ANY WAY --
02:30:40.097 --> 02:30:41.899
AND ANY INFORMATION -- I WOULD
02:30:41.966 --> 02:30:44.735
LOVE TO I'M SURE -- THIS IS --
02:30:44.802 --> 02:30:45.970
BUT I STILL WANT TO CALL YOU
02:30:46.036 --> 02:30:47.738
SUPERVISOR RAMOS SO BUT MY AT
02:30:47.805 --> 02:30:49.106
THE SUMMIT MY MY COLLEAGUE FROM
02:30:49.173 --> 02:30:54.578
FROM SAM YOU KNOW COUNTY IT'LL
02:30:54.645 --> 02:30:55.079
SUPPORT THE BILL TODAY.
02:30:55.146 --> 02:30:55.946
THANK YOU [inaudible]
02:30:56.013 --> 02:30:57.648
ANYONE ELSE.
02:30:57.715 --> 02:31:00.117
I JUST WANT TO SAY A THANK YOU.
02:31:00.184 --> 02:31:00.718
FOR BRINGING A MORE FOR BILL
02:31:00.785 --> 02:31:01.619
FORD I'M SYMPATHETIC TO CONCERNS
02:31:01.685 --> 02:31:02.186
YOU'RE TRYING TO ADDRESS --
02:31:02.253 --> 02:31:02.720
THERE'S NO DOUBT THAT THE
02:31:02.787 --> 02:31:04.321
INDUSTRY HAS SOME PROBLEMS THAT
02:31:04.388 --> 02:31:05.589
NEED TO BE ADDRESSED I'M WE SEEM
02:31:05.656 --> 02:31:07.458
PROGRESS THOUGH -- WITH THE
02:31:07.525 --> 02:31:08.859
PATIENT -- PROGRAM BILL WAS THAT
02:31:08.926 --> 02:31:11.262
FROM LAST YEAR AND YOUR BILL OF
02:31:11.328 --> 02:31:12.730
AB NINE NINETEEN THIS YEAR
02:31:12.797 --> 02:31:14.665
SEEKING ACTIVE ENFORCEMENT WAS
02:31:14.732 --> 02:31:16.033
PATIENT BROKERING.
02:31:16.100 --> 02:31:17.501
A LAWS AND THAT BILL WAS THAT
02:31:17.568 --> 02:31:18.769
THOSE ON CONSENT TONIGHT HOWEVER
02:31:18.836 --> 02:31:19.737
I FIND MYSELF IN THE SAME
02:31:19.804 --> 02:31:21.238
POSITION I HAVE BEEN OVER THE
02:31:21.305 --> 02:31:22.273
PAST SEVERAL YEARS.
02:31:22.339 --> 02:31:24.742
ON SIMILAR BILLS I CAN'T IGNORE
02:31:24.809 --> 02:31:25.743
THE FACT THAT INDIVIDUALS
02:31:25.810 --> 02:31:27.211
RECOVERY FROM ALCOHOL AND DRUG
02:31:27.278 --> 02:31:28.679
DEPENDENCY PROBLEMS ARE
02:31:28.746 --> 02:31:30.147
PROTECTED UNDER THE FEDERAL
02:31:30.214 --> 02:31:31.882
AMERICANS WITH DISABILITIES ACT
02:31:31.949 --> 02:31:34.485
AND OF AND FAIR HOUSING ACTS AS
02:31:34.552 --> 02:31:36.020
WELL AS THE STATE'S FAIR HOUSING
02:31:36.086 --> 02:31:37.188
AND EMPLOYMENT LAWS.
02:31:37.254 --> 02:31:38.656
SO FOR THIS REASON I CAN'T
02:31:38.722 --> 02:31:40.458
SUPPORT THE BILL TODAY -- BUT I
02:31:40.524 --> 02:31:41.859
ENCOURAGE ALL OF THIS CONTINUE
02:31:41.926 --> 02:31:43.561
LOOKING FOR WAYS TO BETTER
02:31:43.627 --> 02:31:45.129
ENSURE THE SAFETY AND PROTECTION.
02:31:45.196 --> 02:31:46.597
OF OF RECOVERY CLIENTS WERE
02:31:46.664 --> 02:31:48.232
PROTECTING THE CIVIL RIGHTS OF
02:31:48.299 --> 02:31:50.034
THOSE SUFFERING FROM SUBSTANCE
02:31:50.100 --> 02:31:52.403
ABUSE DISORDERS -- WHICH LIKE TO
02:31:52.470 --> 02:31:54.271
CLOSE ABSOLUTELY SO I I'VE JUST
02:31:54.338 --> 02:31:55.206
FIRST ADDRESSING THE CONCERNS
02:31:55.272 --> 02:31:57.107
YOU RAISED IN TERMS OF POTENTIAL
02:31:57.174 --> 02:31:58.442
CONFLICT WITH.
02:31:58.509 --> 02:32:00.711
AND THE EIGHTY A AN FHA AND SO
02:32:00.778 --> 02:32:02.379
WE HAS REACHED OUT TO
02:32:02.446 --> 02:32:03.814
LEGISLATIVE COUNSEL WE KNOW WITH
02:32:03.881 --> 02:32:05.216
THAT VERY QUESTION BECAUSE
02:32:05.282 --> 02:32:06.350
OBVIOUSLY WHEN IT CROSSED
02:32:06.417 --> 02:32:07.751
SOMETHING THAT.
02:32:07.818 --> 02:32:11.288
I IS IN LINE WITH THE ADA AND
02:32:11.355 --> 02:32:13.123
THE FHA ARE THEY SO FAR GIVEN AS
02:32:13.190 --> 02:32:16.093
AN INFORMAL OPINION THAT EIGHTY
02:32:16.160 --> 02:32:17.228
NINE TWENTY HAS BEEN CRAFTED.
02:32:17.294 --> 02:32:18.696
SPECIFICALLY TO AVOID POTENTIAL
02:32:18.762 --> 02:32:20.698
ISSUES IT'S BEEN CRAFTED VERY
02:32:20.764 --> 02:32:23.767
NARROWLY FOCUSED ON ALCOHOL AND
02:32:23.834 --> 02:32:25.169
AND DRUG ABUSE RECOVERY
02:32:25.236 --> 02:32:26.637
FACILITIES.
02:32:26.704 --> 02:32:28.906
THAT DO YOU HAVE -- THE RECOVERY
02:32:28.973 --> 02:32:31.475
ASPECT NOT YOU'RE JUST A HOME SO
02:32:31.542 --> 02:32:33.611
FOR THAT REASONTHEY THINK THAT
02:32:33.677 --> 02:32:34.512
BECAUSE WE'RE WE'RE FOCUSED ON
02:32:34.578 --> 02:32:36.213
THAT PARTICULAR ECONOMIC
02:32:36.280 --> 02:32:37.248
RELATIONSHIP.
02:32:37.314 --> 02:32:39.984
THAT THIS WILL IN FACT BE IN
02:32:40.050 --> 02:32:41.051
LINE WITH THE ADA AN FHA AND
02:32:41.118 --> 02:32:42.086
WE'RE JUST WAITING FOR THEIR
02:32:42.152 --> 02:32:43.354
FORMAL OPINION.
02:32:43.420 --> 02:32:50.461
TO DISSONANT THOUGHT AND
02:32:50.528 --> 02:32:52.029
OBVIOUSLY WILL CONTINUE.
02:32:52.096 --> 02:32:52.963
TO AS THIS BILL HOPEFULLY MOVES
02:32:53.030 --> 02:32:54.164
THROUGH -- TO INSURE THAT WE
02:32:54.231 --> 02:32:55.332
TAKE ON ANY NECESSARY AMENDMENTS
02:32:55.399 --> 02:32:56.967
SO THAT IT'S NOT IN CONFLICT
02:32:57.034 --> 02:32:57.167
WITH.
02:32:57.234 --> 02:32:57.835
EXISTING LAW.
02:32:57.902 --> 02:32:58.669
I'M AND I THINK WHAT I WOULD
02:32:58.736 --> 02:32:59.003
JUST SAY IS.
02:32:59.069 --> 02:32:59.904
I THINK THEY'RE REALLY SIMPLE
02:32:59.970 --> 02:33:02.573
FACT IS THAT IN SO MANY WAYS I
02:33:02.640 --> 02:33:04.174
JUST FEEL LIKE.
02:33:04.241 --> 02:33:05.643
OUR FRAMEWORKS.
02:33:05.709 --> 02:33:07.378
FOR TREATMENT ARE FRAMEWORKS FOR
02:33:07.444 --> 02:33:08.946
REGULATION ARE FRAMEWORKS FOR
02:33:09.013 --> 02:33:11.382
DEALING WITH THIS CRISIS ACROSS
02:33:11.448 --> 02:33:13.350
THE BOARD HAVE NOT CAUGHT UP TO
02:33:13.417 --> 02:33:14.885
THE REALITY OF WHAT WE'RE WHAT
02:33:14.952 --> 02:33:16.186
WE'RE FACING AND WHAT WE'RE
02:33:16.253 --> 02:33:17.288
CONFRONTING.
02:33:17.354 --> 02:33:18.789
I'M AND I APPRECIATE THAT THE
02:33:18.856 --> 02:33:20.391
CONCERNS THAT YOU RAISED AND I
02:33:20.457 --> 02:33:22.092
REALLY DO LOOK FORWARD TO
02:33:22.159 --> 02:33:24.862
WORKING WITH YOU TO CRAFT A
02:33:24.929 --> 02:33:26.363
SOLUTION THAT.
02:33:26.430 --> 02:33:26.997
ULTIMATELY DOING WE ALL WANT TO
02:33:27.064 --> 02:33:28.699
DO WHICH IS MAKE SURE THAT WE'RE
02:33:28.766 --> 02:33:30.401
HELPING AS MANY PEOPLE AS
02:33:30.467 --> 02:33:32.336
POSSIBLE GET GET WELL AND GET
02:33:32.403 --> 02:33:34.004
THEIR LIVES BACK ON TRACK SO.
02:33:34.071 --> 02:33:35.706
I'M IT WITH THAT I REALLY DO
02:33:35.773 --> 02:33:37.007
BELIEVE THAT IT'S TIME TO ENACT
02:33:37.074 --> 02:33:38.108
THE SAME KIND OF LEGISLATIVE
02:33:38.175 --> 02:33:39.877
PROTECTIONS. FOR PEOPLE BATTLING
02:33:39.944 --> 02:33:42.313
ADDICTION THAT ARE IN PLACE FOR
02:33:42.379 --> 02:33:44.081
PATIENTS FACING ANY OTHER
02:33:44.148 --> 02:33:47.051
MEDICAL CHALLENGE ON AN EIGHTY
02:33:47.117 --> 02:33:48.586
RESPECTFULLY ASK FOR YOUR I'VE.
02:33:48.652 --> 02:33:52.556
THANK YOU -- THERE IS A MOTION
02:33:52.623 --> 02:33:54.525
BY MISTER MAYES A SECOND BY MISS
02:33:54.592 --> 02:33:57.595
BURKE THE MOTION IS TO PASS --
02:33:57.661 --> 02:34:00.264
CHAIR HAS A NINE RECOMMENDATION --
02:34:00.331 --> 02:34:01.732
MEN SECRETARY PLEASE CALL THE
02:34:01.799 --> 02:34:02.266
ROLL.
02:34:02.333 --> 02:34:03.701
WOULD NOT VOTING WOULD NOT
02:34:03.767 --> 02:34:05.502
VOTING MAYES MAYES AYE
02:34:05.569 --> 02:34:08.472
AGUIAR-CURRY.
02:34:08.539 --> 02:34:09.873
AGAR CURRY I BIGELOW.
02:34:09.940 --> 02:34:12.209
BONTA BURKE BURKE I CARILLO
02:34:12.276 --> 02:34:14.144
CARILLO AYE FLORA.
02:34:14.211 --> 02:34:16.680
THE MOST MCCARTY.
02:34:16.747 --> 02:34:18.082
THIS AREA.
02:34:18.148 --> 02:34:19.316
RAMOS.
02:34:19.383 --> 02:34:21.318
RAMOS I RODRIGUEZ.
02:34:21.385 --> 02:34:22.720
RODRIGUEZ HI SANTIAGO.
02:34:22.786 --> 02:34:27.992
WALDRON.
02:34:28.058 --> 02:34:29.827
YOU HAVE SIX VOTES THE BILLS ON
02:34:29.893 --> 02:34:32.129
CALL ALL RIGHT THANK YOU SO MUCH --
02:34:32.196 --> 02:34:34.331
MISS RAMOS I'M SORRY MISS WICKS
02:34:34.398 --> 02:34:36.433
EXCUSE ME I'M SORRY I DIDN'T SEE
02:34:36.500 --> 02:34:37.968
POP IN THERE.
02:34:38.035 --> 02:34:55.386
THIS CASE IS W. W. BEFORE OUR
02:34:59.657 --> 02:35:01.792
HI.
02:35:01.859 --> 02:35:07.498
WELCOME THANKS FOR COMING.
02:35:07.564 --> 02:35:08.999
READY THANK YOU THANK YOU MISTER
02:35:09.066 --> 02:35:10.601
CHAIR AND MEMBERS FOR ALLOWING
02:35:10.668 --> 02:35:12.102
ME TO BE HERE TODAY.
02:35:12.169 --> 02:35:13.837
I WANT TO BEGIN BY ACCEPTING THE
02:35:13.904 --> 02:35:16.006
AMENDMENTS -- REQUESTED BY THE
02:35:16.073 --> 02:35:17.207
COMMITTEE WHICH WOULD BE ONE
02:35:17.274 --> 02:35:18.509
NICK EXCLUDING MEDI CAL FROM THE
02:35:18.575 --> 02:35:20.778
BILL. TO DELETING REFERENCES TO
02:35:20.844 --> 02:35:22.713
SMALL GROUP TO EXPLICITLY APPLY
02:35:22.780 --> 02:35:23.213
THIS BILL TO LARGE GROUP
02:35:23.280 --> 02:35:25.516
COVERAGE. THREE ADDING ADDING
02:35:25.582 --> 02:35:27.518
THREE IVF CYCLES AND UP TO
02:35:27.584 --> 02:35:28.786
SEVENTY FIVE THOUSAND DOLLARS --
02:35:28.852 --> 02:35:31.221
COVERAGE LIMITATION -- FOURTH
02:35:31.288 --> 02:35:32.723
ADDING A LIFETIME LIMITATION AND
02:35:32.790 --> 02:35:35.125
LASTLY -- MAKE THESE CHANGES TO
02:35:35.192 --> 02:35:36.593
BOTH HEALTH AND SAFETY INSURANCE
02:35:36.660 --> 02:35:38.195
CODE SO I WILL BE ACCEPTING
02:35:38.262 --> 02:35:40.064
THOSE MOMENTS.
02:35:40.130 --> 02:35:42.032
AS REQUESTED BY THE COMMITTEE.
02:35:42.099 --> 02:35:43.367
SO WHAT WHEN I WAS IN MY EARLY
02:35:43.434 --> 02:35:44.702
THIRTIES.
02:35:44.768 --> 02:35:47.204
I WAS WORKING A HUNDRED HOURS A
02:35:47.271 --> 02:35:48.639
WEEK YEAH [inaudible]
02:35:48.706 --> 02:35:52.409
THANKS -- TWENTY WORKING A
02:35:52.476 --> 02:35:53.110
HUNDRED HOURS A WEEK HELPED
02:35:53.177 --> 02:35:55.079
ELECT PRESIDENT OBAMA AND THE
02:35:55.145 --> 02:35:56.513
LAST THING ON MY MIND WAS ON IT
02:35:56.580 --> 02:35:57.848
WHEN I WANTED TO HAVE A FAMILY.
02:35:57.915 --> 02:35:59.183
BUT NEVERTHELESS I VISITED A
02:35:59.249 --> 02:36:00.684
FERTILITY DOCTOR AT THE ADVICE
02:36:00.751 --> 02:36:04.021
OF A FRIEND -- AND I GOT THE
02:36:04.088 --> 02:36:06.090
NEWS THAT MY FOLLICLE COUNT WAS
02:36:06.156 --> 02:36:07.324
LOW.
02:36:07.391 --> 02:36:08.959
AND I HAVE BEEN DIAGNOSED WITH
02:36:09.026 --> 02:36:10.227
OVARIAN DYSFUNCTION.
02:36:10.294 --> 02:36:12.296
AND KNOWING THAT I WAS YEARS
02:36:12.362 --> 02:36:14.364
AWAY -- FROM WANTING TO HAVE A
02:36:14.431 --> 02:36:16.366
FAMILY MIGHT MY DOCTOR HAD
02:36:16.433 --> 02:36:18.502
RECOMMEND FREEZING MY EGGS.
02:36:18.569 --> 02:36:19.069
BECAUSE I WAS LIVING IN THE
02:36:19.136 --> 02:36:19.970
STATE OF ILLINOIS.
02:36:20.037 --> 02:36:22.039
WHICH REQUIRES I'VE YOU HAVE TO
02:36:22.106 --> 02:36:24.141
BE COVERED BY LAW -- MY
02:36:24.208 --> 02:36:25.676
INSURANCE WAS REQUIRED TO COVER
02:36:25.743 --> 02:36:27.544
SALANDER WENT EGG FREEZING I WAS
02:36:27.611 --> 02:36:30.280
LUCKY BUT NOT MANY CALIFORNIANS
02:36:30.347 --> 02:36:32.082
HERE IN THE STATE ARE LUCKY. FOR
02:36:32.149 --> 02:36:32.883
THOUSANDS OF CALIFORNIANS WHO
02:36:32.950 --> 02:36:34.852
SUFFER FROM INFERTILITY OPTIONS
02:36:34.918 --> 02:36:35.385
ARE LIMITED ARE EXTREMELY
02:36:35.452 --> 02:36:37.654
EXPENSIVE.
02:36:37.721 --> 02:36:38.222
AND THIS BILL AIMS TO CHANGE
02:36:38.288 --> 02:36:38.856
THAT.
02:36:38.922 --> 02:36:40.090
IN MOST CLINICAL CONTEXT
02:36:40.157 --> 02:36:41.225
INFERTILITY IS DEFINED AS THE
02:36:41.291 --> 02:36:42.292
INABILITY TO BECOME PREGNANT
02:36:42.359 --> 02:36:44.228
AFTER TWELVE MONTHS OF TRYING TO
02:36:44.294 --> 02:36:45.629
CONCEIVE WITHOUT CONTRACEPTIVES.
02:36:45.696 --> 02:36:46.897
THE AMERICAN MEDICAL ASSOCIATION
02:36:46.964 --> 02:36:48.632
THE AMERICAN SOCIETY FOR
02:36:48.699 --> 02:36:49.666
REPRODUCTIVE MEDICINE THE
02:36:49.733 --> 02:36:51.101
AMERICAN COLLEGE OF
02:36:51.168 --> 02:36:52.169
GYNECOLOGISTS AND THE WORLD
02:36:52.236 --> 02:36:53.837
HEALTH ORGANIZATION ALL
02:36:53.904 --> 02:36:54.404
RECOGNIZE INFERTILITY IS A
02:36:54.471 --> 02:36:55.305
DISEASE.
02:36:55.372 --> 02:36:56.640
WELL ONE IN EIGHT COUPLES ARE
02:36:56.707 --> 02:36:57.775
IMPACTED BY THE DISEASE AND HAVE
02:36:57.841 --> 02:36:59.042
DIFFICULTY GETTING PREGNANT OR
02:36:59.109 --> 02:37:00.310
SUSTAINING A PREGNANCY EXISTING
02:37:00.377 --> 02:37:01.645
STATE LAW LIMITS THE OPTIONS
02:37:01.712 --> 02:37:02.980
AVAILABLE TO THOSE SUFFERING
02:37:03.046 --> 02:37:04.214
FROM INFERTILITY.
02:37:04.281 --> 02:37:06.016
BY SPECIFICALLY EXCLUDING IVF
02:37:06.083 --> 02:37:07.417
TREATMENTS.
02:37:07.484 --> 02:37:08.886
THE STATE MANDATED EXCLUSION
02:37:08.952 --> 02:37:10.654
EXIST DESPITE A MULTITUDE OF
02:37:10.721 --> 02:37:12.089
EVIDENCE THAT SUGGEST THAT IVF
02:37:12.156 --> 02:37:13.290
IS AN EFFECTIVE TREATMENT FOR
02:37:13.357 --> 02:37:14.324
INFERTILITY INFERTILITY THAT
02:37:14.391 --> 02:37:15.759
RESULTS IN INCREASED PREGNANCY
02:37:15.826 --> 02:37:17.327
RATES AND LIVE BIRTH RATES.
02:37:17.394 --> 02:37:19.763
CALIFORNIA IS ONE OF TWO STATES
02:37:19.830 --> 02:37:21.265
IN THE NATION TO EXPLICITLY
02:37:21.331 --> 02:37:24.034
EXCLUDE IVF FOR COVERAGE.
02:37:24.101 --> 02:37:25.969
LOUISIANA IS THE OTHER STATE.
02:37:26.036 --> 02:37:27.204
NINE OTHER STATES INCLUDE SOME
02:37:27.271 --> 02:37:30.240
FORM OF IVF COVERAGE WE CAN JOIN
02:37:30.307 --> 02:37:30.774
THOSE NINE STATES IN THIS
02:37:30.841 --> 02:37:32.075
COUNTRY.
02:37:32.142 --> 02:37:33.644
THIS BILL WOULD CHANGE THIS BY
02:37:33.710 --> 02:37:34.978
REQUIRING LARGE GROUP PLANS TO
02:37:35.045 --> 02:37:36.446
COVER IVF TREATMENT.
02:37:36.513 --> 02:37:37.314
THE AMENDMENTS THAT I HAVE
02:37:37.381 --> 02:37:39.116
AGREED TO TAKE WILL HELP ADDRESS
02:37:39.183 --> 02:37:40.317
THE COST THAT WAS RAISED IN THE
02:37:40.384 --> 02:37:41.985
CHAMBER OF ANALYSIS WE BELIEVE
02:37:42.052 --> 02:37:43.320
SO SIGNIFICANTLY.
02:37:43.387 --> 02:37:44.254
AND I'M COMMITTED TO WORKING
02:37:44.321 --> 02:37:45.856
WITH THE OPPOSITION TO THIS BILL
02:37:45.923 --> 02:37:46.456
MOVE FORWARD TO ADDRESS THEIR
02:37:46.523 --> 02:37:47.324
CONCERNS.
02:37:47.391 --> 02:37:49.860
WITH THESE NARROW PROVISIONS AB
02:37:49.927 --> 02:37:50.427
SEVEN SIXTY SEVEN WILL HELP
02:37:50.494 --> 02:37:51.461
HUNDREDS OF THOUSANDS OF WOMEN
02:37:51.528 --> 02:37:53.130
WHO ARE SUFFERING FROM.
02:37:53.197 --> 02:37:55.265
INFERTILITY ACCESS INFERTILITY
02:37:55.332 --> 02:37:57.067
IVF TREATMENT -- THROUGH THEIR
02:37:57.134 --> 02:37:58.402
HEALTH INSURANCE PLANS AND WHILE
02:37:58.468 --> 02:38:00.070
THIS BILL IS NOT PERFECT I IT'S
02:38:00.137 --> 02:38:01.371
A STEP IN THE RIGHT DIRECTION TO
02:38:01.438 --> 02:38:02.005
HELP FAMILIES THAT SO
02:38:02.072 --> 02:38:03.373
DESPERATELY NEEDED FAMILIES THAT
02:38:03.440 --> 02:38:04.374
WANT TO HAVE CHILDREN AND I DO
02:38:04.441 --> 02:38:04.908
BELIEVE.
02:38:04.975 --> 02:38:05.809
FAMILIES COME IN ALL SHAPES AND
02:38:05.876 --> 02:38:07.678
SIZES BLENDED FAMILIES ADOPTED
02:38:07.744 --> 02:38:10.147
CHILDREN -- ALL KINDS OF WAYS
02:38:10.214 --> 02:38:12.316
BUT IVF IS ONE WAY THAT WE CAN --
02:38:12.382 --> 02:38:13.650
ALLOW FOLKS TO HAVE.
02:38:13.717 --> 02:38:15.219
A FAMILY HAVE CHILDREN SO I
02:38:15.285 --> 02:38:17.020
WOULD RESPECTIVELY RESPECTFULLY
02:38:17.087 --> 02:38:20.424
ASK FOR YOUR AYE VOTE AND I WILL
02:38:20.490 --> 02:38:22.226
LET ME WITNESSES SELF INTRODUCE.
02:38:22.292 --> 02:38:24.261
GOOD AFTERNOON MY NAME IS DOCTOR
02:38:24.328 --> 02:38:25.796
SUSAN WOMAN AND I'M PLEASED TO
02:38:25.863 --> 02:38:29.032
SPEAK TODAY IN SUPPORT OF AB.
02:38:29.099 --> 02:38:29.666
SEVEN SIX SEVEN I'VE HAD TWENTY
02:38:29.733 --> 02:38:31.368
EIGHT YEARS OF EXPERIENCE IN
02:38:31.435 --> 02:38:32.903
PROVIDING FERTILITY CARE.
02:38:32.970 --> 02:38:34.304
I RECENTLY RETIRED FROM THE REAP
02:38:34.371 --> 02:38:35.472
AT THE SCIENCE CENTER IN SAN
02:38:35.539 --> 02:38:36.740
RAMON WHICH IS ONE OF THE
02:38:36.807 --> 02:38:38.075
LARGEST AND MOST SUCCESSFUL IVF
02:38:38.141 --> 02:38:39.743
CLINICS IN CALIFORNIA.
02:38:39.810 --> 02:38:41.545
AND NOW FUNCTION IN PART TIME
02:38:41.612 --> 02:38:43.413
CRACKED A PART TIME OF ROLE AS A
02:38:43.480 --> 02:38:44.815
CONSULTANT FOR THE CONTRA COSTA
02:38:44.882 --> 02:38:46.483
COUNTY REGIONAL MEDICAL CENTER.
02:38:46.550 --> 02:38:47.751
I SPEAK TODAY AS A MEMBER OF THE
02:38:47.818 --> 02:38:49.219
AMERICAN SOCIETY FOR
02:38:49.286 --> 02:38:51.455
REPRODUCTIVE MEDICINE AND A
02:38:51.521 --> 02:38:52.556
PROFESSIONAL MEMBER OF RESOLVE.
02:38:52.623 --> 02:38:54.558
AND I'M HERE TODAY TO EDUCATE
02:38:54.625 --> 02:38:56.827
THE MEMBERS ON SOME BASIC FACTS.
02:38:56.894 --> 02:38:58.996
FIRST INFERTILITY IS A
02:38:59.062 --> 02:39:00.864
RECOGNIZED DISEASE OF THE
02:39:00.931 --> 02:39:02.299
REPRODUCTIVE SYSTEM.
02:39:02.366 --> 02:39:03.967
SECOND THE INFERTILITY IS
02:39:04.034 --> 02:39:05.969
PREVALENT IN THE UNITED STATES
02:39:06.036 --> 02:39:07.504
INFERTILITY AFFECTS ABOUT SEVEN
02:39:07.571 --> 02:39:09.606
POINT THREE MILLION PEOPLE OR
02:39:09.673 --> 02:39:12.342
12% OF THE REPRODUCTIVE AGE
02:39:12.409 --> 02:39:13.243
POPULATION.
02:39:13.310 --> 02:39:14.378
THERE IS AN EXTENSIVE LIST OF
02:39:14.444 --> 02:39:15.412
CONDITIONS THAT CAUSE
02:39:15.479 --> 02:39:18.081
INFERTILITY AFFECTING BOTH MEN.
02:39:18.148 --> 02:39:19.483
AND WOMEN.
02:39:19.549 --> 02:39:20.951
AND THEY HAVE A WIDE RANGING
02:39:21.018 --> 02:39:23.420
IMPLICATIONS OF HEALTH ISSUES
02:39:23.487 --> 02:39:25.756
THAT OVERLAP WITH INFERTILITY.
02:39:25.822 --> 02:39:27.090
THE PRESENT STATE OF OUR HEALTH
02:39:27.157 --> 02:39:28.792
INSURANCE COVERAGE IS THAT IT
02:39:28.859 --> 02:39:31.361
TREATS SOME MEDICAL CONSEQUENCES
02:39:31.428 --> 02:39:32.796
OF THESE CONDITIONS.
02:39:32.863 --> 02:39:34.631
BUT WHEN IT COMES TO INFERTILITY
02:39:34.698 --> 02:39:36.667
IT EXCLUDES THAT TREATMENT.
02:39:36.733 --> 02:39:37.834
IT IS IMPORTANT THAT YOU KNOW
02:39:37.901 --> 02:39:40.370
THAT IN VITRO FERTILIZATION IS
02:39:40.437 --> 02:39:42.239
THE STANDARD CARE FOR MEDICAL
02:39:42.306 --> 02:39:43.607
TREATMENT OF REFRACTORY
02:39:43.674 --> 02:39:44.708
INFERTILITY.
02:39:44.775 --> 02:39:47.177
AND IT IS HIGHLY SUCCESSFUL. FOR
02:39:47.244 --> 02:39:49.012
EXAMPLE FOR THIRTY YEAR OLD
02:39:49.079 --> 02:39:50.847
WOMAN WHO UNDERGOES IVF SHE HAS
02:39:50.914 --> 02:39:53.984
A 49% CHANCE OF LIFE BIRTH.
02:39:54.051 --> 02:39:56.653
IN THE SECOND TREATMENT CYCLE
02:39:56.720 --> 02:40:00.090
6169% AND A THIRD 81%.
02:40:00.157 --> 02:40:01.325
THERE ARE FEW MEDICAL
02:40:01.391 --> 02:40:03.593
INTERVENTIONS THAT REPORT SUCH A
02:40:03.660 --> 02:40:05.295
HIGH SUCCESS RATE.
02:40:05.362 --> 02:40:07.297
HOWEVER LACK INSURANCE FOR THIS
02:40:07.364 --> 02:40:09.266
MEDICAL CONDITION RELAYS THE
02:40:09.333 --> 02:40:11.501
RESULT IN A DELAY OF EFFECTIVE
02:40:11.568 --> 02:40:12.235
TREATMENT.
02:40:12.302 --> 02:40:13.503
BECAUSE A WOMAN'S REPRODUCTIVE
02:40:13.570 --> 02:40:15.772
POTENTIAL DECREASES WITH AGE
02:40:15.839 --> 02:40:17.374
DELAYING INTERVENTION DUE TO
02:40:17.441 --> 02:40:19.509
PERSONAL FINANCES RESULT IN A
02:40:19.576 --> 02:40:20.844
LOWER SUCCESS RATE AND AN
02:40:20.911 --> 02:40:22.512
OVERALL HIGHER COST PER LIVE
02:40:22.579 --> 02:40:23.814
BIRTH.
02:40:23.880 --> 02:40:25.015
WITHOUT INSURANCE COVERAGE
02:40:25.082 --> 02:40:26.550
PATIENTS OPERA LESS EXPENSIVE
02:40:26.616 --> 02:40:27.718
TREATMENTS BUT SINCE
02:40:27.784 --> 02:40:30.420
SIGNIFICANTLY LESS EFFECTIVE AND
02:40:30.487 --> 02:40:31.788
THOSE SECONDARY OPTIONS -- SO
02:40:31.855 --> 02:40:32.622
SEE WITH HIGHER RISK OF
02:40:32.689 --> 02:40:34.925
COMPLICATIONS SUCH AS THE TOPIC
02:40:34.992 --> 02:40:36.460
PREGNANCY AND MULTIPLE BIRTH.
02:40:36.526 --> 02:40:37.928
FINALLY INSURANCE COVERAGE IS
02:40:37.995 --> 02:40:39.329
ASSOCIATED WITH BETTER PREGNANCY
02:40:39.396 --> 02:40:41.431
OUTCOMES LOWER HEALTH CARE COSTS
02:40:41.498 --> 02:40:42.799
RELATED TO DELIVERY AN INFANT
02:40:42.866 --> 02:40:44.501
CARE PRIMARILY BY FOSTERING
02:40:44.568 --> 02:40:46.269
BETTER AND SOUND MEDICAL
02:40:46.336 --> 02:40:48.038
PRACTICES SUCH AS SINGLE EMBRYO
02:40:48.105 --> 02:40:51.341
TRANSFER WHICH REDUCES PRETERM
02:40:51.408 --> 02:40:52.776
DELIVERY RATES [inaudible]
02:40:52.843 --> 02:40:54.311
NOT.
02:40:54.378 --> 02:40:54.945
N. MANDATED STATES WOMEN UNDER
02:40:55.012 --> 02:40:57.314
THE AGE OF THIRTY FIVE YEARS OUR
02:40:57.381 --> 02:40:58.749
160% MORE LIKELY TO HAVE A
02:40:58.815 --> 02:41:00.884
SINGLE EMBRYO TRANSFER THAT A
02:41:00.951 --> 02:41:02.753
WOMAN IN A NON MANDATED STATE.
02:41:02.819 --> 02:41:04.087
INFERTILITY PHYSICIANS AND THE
02:41:04.154 --> 02:41:05.322
AMERICAN SOCIETY FOR
02:41:05.389 --> 02:41:07.290
REPRODUCTIVE MEDICINE SUPPORT
02:41:07.357 --> 02:41:08.158
INSURANCE COVERAGE FOR
02:41:08.225 --> 02:41:09.926
INFERTILITY JUST LIKE ANY OTHER
02:41:09.993 --> 02:41:11.094
MEDICAL CONDITION.
02:41:11.161 --> 02:41:15.432
I URGE THE COMMITTEE TO PASS
02:41:15.499 --> 02:41:15.732
[inaudible]
02:41:15.799 --> 02:41:18.335
EIGHTY SEVEN SIX SEVEN THIS.
02:41:18.402 --> 02:41:19.803
GOOD AFTERNOON -- MY NAME IS
02:41:19.870 --> 02:41:20.704
CINDY.
02:41:20.771 --> 02:41:22.105
GOOD AFTERNOON MY NAME IS CINDY
02:41:22.172 --> 02:41:24.775
FLAN HI I AM HERE TODAY AS A
02:41:24.841 --> 02:41:26.143
PATIENT.
02:41:26.209 --> 02:41:29.946
IN TWO THOUSAND FOUR WHEN I WAS.
02:41:30.013 --> 02:41:30.814
TWENTY SIX MY HUSBAND I BEGAN TO
02:41:30.881 --> 02:41:32.482
START BEGAN TRYING TO START A
02:41:32.549 --> 02:41:33.417
FAMILY.
02:41:33.483 --> 02:41:34.951
WE TRIED TO CONCEIVE FOR NEARLY
02:41:35.018 --> 02:41:36.053
A YEAR AND A HALF WITHOUT
02:41:36.119 --> 02:41:38.355
SUCCESS BEFORE MY DOCTOR TESTED
02:41:38.422 --> 02:41:39.823
US FOR INFERTILITY.
02:41:39.890 --> 02:41:41.892
IT TURNED OUT THAT THE MEDICAL
02:41:41.958 --> 02:41:44.061
CONDITION WAS IN WITH ME.
02:41:44.127 --> 02:41:45.629
IT WAS WITH MY HUSBAND.
02:41:45.695 --> 02:41:47.364
WE HAD EXCELLENT INSURANCE AND
02:41:47.431 --> 02:41:48.598
ASSUME THAT BECAUSE WE'RE
02:41:48.665 --> 02:41:50.267
TREATING A MEDICAL CONDITION OR
02:41:50.333 --> 02:41:51.568
DISEASE.
02:41:51.635 --> 02:41:53.170
EVERYTHING WOULD BE COVERED.
02:41:53.236 --> 02:41:54.738
I WAKE UP CALL CAME SOON AFTER
02:41:54.805 --> 02:41:55.739
THAT.
02:41:55.806 --> 02:41:57.607
ONCE OUR CONDITION WAS COATED IN
02:41:57.674 --> 02:41:59.276
THE SYSTEM AS INFERTILITY WE
02:41:59.342 --> 02:42:01.511
WERE DONE.
02:42:01.578 --> 02:42:03.947
OUR HEALTH PLAN.
02:42:04.014 --> 02:42:05.615
IMMEDIATELY DID AN ABOUT FACE
02:42:05.682 --> 02:42:07.250
AND DENIED COVERAGE TELLING US
02:42:07.317 --> 02:42:08.618
THAT SINCE THEY DIDN'T COVER
02:42:08.685 --> 02:42:10.954
INFERTILITY WE WOULD HAVE TO PAY
02:42:11.021 --> 02:42:12.756
FOR ALL TREATMENTS OUT OF POCKET.
02:42:12.823 --> 02:42:14.057
WE WERE REFERRED TO REPRODUCTIVE
02:42:14.124 --> 02:42:15.892
AND ENDOCRINOLOGIST BUT EVEN
02:42:15.959 --> 02:42:17.594
WITH THE REFERRAL OUR INSURANCE
02:42:17.661 --> 02:42:19.896
WOULD NOT COVER EVEN THE COST OF
02:42:19.963 --> 02:42:21.164
THE CONSULTATION.
02:42:21.231 --> 02:42:23.333
EVERY TEST NEEDED FROM NOW ON
02:42:23.400 --> 02:42:24.101
WOULD HAVE TO BE PAID OUT OF
02:42:24.167 --> 02:42:25.168
POCKET.
02:42:25.235 --> 02:42:27.070
EVEN IF IT WAS A TEST THAT
02:42:27.137 --> 02:42:28.905
INSURANCE WOULD NORMALLY COVER.
02:42:28.972 --> 02:42:30.574
BEFORE WE EVEN AT THE SPECIALIST
02:42:30.640 --> 02:42:31.908
WE HAD ALREADY SPENT THOUSANDS
02:42:31.975 --> 02:42:33.276
OF DOLLARS.
02:42:33.343 --> 02:42:35.445
THEN CAME THE TREATMENT OPTIONS.
02:42:35.512 --> 02:42:37.414
ALL OF WHICH WOULD HAVE TO BE
02:42:37.481 --> 02:42:38.815
PAID FOR OUT OF POCKET.
02:42:38.882 --> 02:42:40.484
IN VITRO FERTILIZATION WHICH HAS
02:42:40.550 --> 02:42:41.651
THE HIGHEST LIKELIHOOD OF
02:42:41.718 --> 02:42:44.321
SUCCESS WOULD COST ABOUT
02:42:44.387 --> 02:42:44.921
EIGHTEEN THOUSAND FIVE HUNDRED
02:42:44.988 --> 02:42:46.156
DOLLARS.
02:42:46.223 --> 02:42:47.524
WE SPENT THE NEXT THREE YEARS
02:42:47.591 --> 02:42:49.359
SCRAPING TOGETHER THE MONEY TO
02:42:49.426 --> 02:42:51.361
PAY FOR FERTILITY TREATMENTS.
02:42:51.428 --> 02:42:53.096
EVEN THOUGH THE LINE TREATMENT
02:42:53.163 --> 02:42:54.731
PUT US EVEN MORE AT RISK.
02:42:54.798 --> 02:42:57.467
AFTER FOR TEN USING INTRAUTERINE
02:42:57.534 --> 02:42:59.870
INSEMINATION AND EIGHTEEN
02:42:59.936 --> 02:43:00.804
THOUSAND DOLLARS IN ADDITIONAL
02:43:00.871 --> 02:43:01.938
COSTS.
02:43:02.005 --> 02:43:04.074
ARE DOCTOR SUGGESTED WE MOVE ON
02:43:04.141 --> 02:43:05.475
TO IN VITRO.
02:43:05.542 --> 02:43:06.643
I REMEMBER LOOKING AT OUR DOCTOR
02:43:06.710 --> 02:43:09.112
THAT DAY.
02:43:09.179 --> 02:43:10.180
AND SAYING THIS IS IT WE'RE OUT
02:43:10.247 --> 02:43:12.916
OF MONEY.
02:43:12.983 --> 02:43:14.484
WE'RE LITERALLY GIVING YOU ALL
02:43:14.551 --> 02:43:16.987
THE MONEY WE HAVE.
02:43:17.053 --> 02:43:18.688
WE HAD SPENT FIFTY THOUSAND
02:43:18.755 --> 02:43:19.990
DOLLARS OVER THE SIX YEARS WE
02:43:20.056 --> 02:43:22.359
HAVE BEEN TRYING. TO HAVE A BABY
02:43:22.425 --> 02:43:24.194
AND WE WERE BROKE.
02:43:24.261 --> 02:43:28.231
OUR INSURANCE COVER NOTHING.
02:43:28.298 --> 02:43:29.866
WE WERE LUCKY BECAUSE I LAST
02:43:29.933 --> 02:43:31.768
CYCLE WAS SUCCESSFUL.
02:43:31.835 --> 02:43:34.437
MY SON IS SEVEN YEARS OLD TODAY.
02:43:34.504 --> 02:43:35.338
AND I CAN'T TELL YOU HOW
02:43:35.405 --> 02:43:38.308
GRATEFUL I AM THAT WE HAVE HIM.
02:43:38.375 --> 02:43:40.310
STILL TODAY MY SON OFTEN ASKS
02:43:40.377 --> 02:43:42.078
WHY HE DOESN'T HAVE BROTHERS AND
02:43:42.145 --> 02:43:45.215
SISTERS.
02:43:45.282 --> 02:43:47.884
AND WHILE YES THE ANSWER IS THAT
02:43:47.951 --> 02:43:49.686
IT'S BECAUSE WERE INFERTILE.
02:43:49.753 --> 02:43:51.721
THE TRUTH IS THAT WE CAN'T.
02:43:51.788 --> 02:43:53.657
WE CAN'T AFFORD TO TREAT WHAT IS
02:43:53.723 --> 02:43:55.392
A TREATABLE DISEASE BECAUSE
02:43:55.458 --> 02:43:59.362
INSURANCE WON'T COVER IT.
02:43:59.429 --> 02:44:00.630
MY STORY IS NOT UNIQUE.
02:44:00.697 --> 02:44:02.199
OVER THE FIFTEEN YEARS I'VE BEEN
02:44:02.265 --> 02:44:04.501
A PART OF MANY OVER THE LAST
02:44:04.568 --> 02:44:05.468
FIFTEEN YEARS.
02:44:05.535 --> 02:44:06.670
I'VE BEEN A PART OF MANY
02:44:06.736 --> 02:44:08.772
INFERTILITY SUPPORT GROUPS BOTH
02:44:08.838 --> 02:44:10.340
VIRTUAL IN PERSON.
02:44:10.407 --> 02:44:12.776
I HAD THE HONOR TO SUPPORT OTHER
02:44:12.842 --> 02:44:14.277
STRIVING FOR PARENTHOOD.
02:44:14.344 --> 02:44:15.845
MANY WHO OF WALK THE SAME PATH
02:44:15.912 --> 02:44:16.646
AS ME.
02:44:16.713 --> 02:44:18.348
AND HAVE NOT ENDED UP AS A
02:44:18.415 --> 02:44:22.219
MOTHER OR FATHER.
02:44:22.285 --> 02:44:23.753
I'VE WATCHED COUPLE SELL THEIR
02:44:23.820 --> 02:44:25.622
HOMES.
02:44:25.689 --> 02:44:28.925
LOSE THEIR HOMES.
02:44:28.992 --> 02:44:31.261
BORROW FROM FAMILY.
02:44:31.328 --> 02:44:32.562
START GO FIND THESE.
02:44:32.629 --> 02:44:34.197
WHOLE FUNDRAISERS AND GARAGE
02:44:34.264 --> 02:44:38.335
SALES WORK MULTIPLE JOBS.
02:44:38.401 --> 02:44:39.936
WHEN I TOLD MY ONLINE SUPPORT
02:44:40.003 --> 02:44:41.271
GROUPS THAT I WOULD BE
02:44:41.338 --> 02:44:42.572
TESTIFYING TODAY?
02:44:42.639 --> 02:44:44.674
RESPONSES INCLUDED WE WOULD NOT
02:44:44.741 --> 02:44:46.643
HAVE THE FAMILY WE DO IF NOT FOR
02:44:46.710 --> 02:44:48.144
MANDATED COVERAGE IN
02:44:48.211 --> 02:44:49.212
MASSACHUSETTS.
02:44:49.279 --> 02:44:50.880
AND THE ONLY REASON I HAVE MY
02:44:50.947 --> 02:44:52.649
KIDS IS BECAUSE ILLINOIS AS A
02:44:52.716 --> 02:44:54.818
MANDATE STATE.
02:44:54.884 --> 02:44:56.653
CALIFORNIANS WONDER IF PEOPLE IN
02:44:56.720 --> 02:44:59.289
MASSACHUSETTS AND ILLINOIS CAN
02:44:59.356 --> 02:45:01.558
HAVE A FAMILY WHY CAN'T WE FOR I
02:45:01.625 --> 02:45:03.226
HOPE THE CALIFORNIA LEGISLATURE
02:45:03.293 --> 02:45:05.428
WILL STAND UP FOR US TODAY FOR
02:45:05.495 --> 02:45:06.863
OUR DREAMS OUR HOPES.
02:45:06.930 --> 02:45:09.599
AND YES OUR RIGHT TO HAVE A
02:45:09.666 --> 02:45:09.833
FAMILY.
02:45:09.899 --> 02:45:12.402
THANK YOU.
02:45:12.469 --> 02:45:14.604
THANK YOU OTHERS A SUPPORT.
02:45:14.671 --> 02:45:15.639
ORGANIZATION PLEASE SHANNON
02:45:15.705 --> 02:45:16.206
SMITH CROWLEY REPRESENTING
02:45:16.273 --> 02:45:17.107
AMERICAN SOCIETY FOR
02:45:17.173 --> 02:45:20.810
REPRODUCTIVE MEDICINE WE SUPPORT
02:45:20.877 --> 02:45:23.880
THIS BILL WERE CO SPONSOR.
02:45:23.947 --> 02:45:25.282
MY NAME IS PAUL FLYNN I AM A
02:45:25.348 --> 02:45:26.249
PATIENT AND I'M IN STRONG
02:45:26.316 --> 02:45:29.419
SUPPORT THANK YOU.
02:45:29.486 --> 02:45:30.787
ANGELA WILLIAMS CALIFORNIA BLACK
02:45:30.854 --> 02:45:32.889
HEALTH NETWORK WERE IN SUPPORT
02:45:32.956 --> 02:45:34.491
WE ALSO HOPE THEY FUTURE BILLS
02:45:34.557 --> 02:45:36.860
WILL COVER MEDICARE RECIPIENTS.
02:45:36.926 --> 02:45:38.461
THANK YOU.
02:45:38.528 --> 02:45:39.763
I ALWAYS IT ALL WITH AMERICAN
02:45:39.829 --> 02:45:41.298
ASSOCIATION OF UNIVERSITY WOMEN
02:45:41.364 --> 02:45:43.333
AND CALIFORNIA CHRONIC CARE
02:45:43.400 --> 02:45:45.502
COALITION SUPPORT.
02:45:45.568 --> 02:45:47.470
HI MY NAME IS ANDREA WILLIAMS
02:45:47.537 --> 02:45:49.639
I'M AN IVF PATIENT AND I'M IN
02:45:49.706 --> 02:45:49.873
SUPPORT.
02:45:49.939 --> 02:45:52.909
THANK YOU.
02:45:52.976 --> 02:45:54.010
LINDA DINNER WITH WITH THE
02:45:54.077 --> 02:45:55.812
CALIFORNIA PAN ETHNIC HEALTH
02:45:55.879 --> 02:45:58.048
NETWORK IN SUPPORT THANK YOU.
02:45:58.114 --> 02:46:00.083
CHILLINGLY BERMAN ON BEHALF OF
02:46:00.150 --> 02:46:01.117
THE CALIFORNIA STATE TREASURER
02:46:01.184 --> 02:46:03.453
FIALLO MáS OFFICE WE'RE IN
02:46:03.520 --> 02:46:05.555
SUPPORT OF THIS BILL.
02:46:05.622 --> 02:46:07.090
NO I BOTTOM -- WITH CALIFORNIA
02:46:07.157 --> 02:46:08.291
RURAL LEGAL ASSISTANCE
02:46:08.358 --> 02:46:11.528
FOUNDATION IN SUPPORT THANK YOU.
02:46:11.594 --> 02:46:12.962
REBECCA GONZALEZ NATIONAL
02:46:13.029 --> 02:46:14.898
ASSOCIATION OF SOCIAL WORKERS
02:46:14.964 --> 02:46:15.865
CALIFORNIA CHAPTER IN SUPPORT.
02:46:15.932 --> 02:46:17.167
THANK YOU [inaudible]
02:46:17.233 --> 02:46:19.269
ANYONE ELSE.
02:46:19.336 --> 02:46:35.719
SIR ANYONE IN OPPOSITION
02:46:40.590 --> 02:46:40.657
.
02:46:40.657 --> 02:46:41.658
GOOD AFTERNOON I'M JENNIFER
02:46:41.725 --> 02:46:42.459
ALLEY WITH CALIFORNIA
02:46:42.525 --> 02:46:43.760
ASSOCIATION HEALTH PLANS
02:46:43.827 --> 02:46:45.328
REPRESENTING FORTY FIVE PUBLIC
02:46:45.395 --> 02:46:46.996
AND PRIVATE ORGANIZATIONS THAT
02:46:47.063 --> 02:46:47.964
COLLECTIVELY.
02:46:48.031 --> 02:46:49.466
DELIVER HEALTH PROVIDE HEALTH
02:46:49.532 --> 02:46:50.934
CARE COVERAGE TO TWENTY FIVE
02:46:51.000 --> 02:46:53.737
MILLION CALIFORNIANS -- CAP MUST
02:46:53.803 --> 02:46:54.471
OPPOSE THIS BILL BECAUSE IT
02:46:54.537 --> 02:46:56.206
INCREASE WILL INCREASE THE COST
02:46:56.272 --> 02:46:58.541
OF LARGE CHECK GROUP PREMIUMS
02:46:58.608 --> 02:47:00.910
WELL WE SYMPATHIZE WITH THIS
02:47:00.977 --> 02:47:04.214
ISSUE -- YEAH WE HAVE A EXTREME
02:47:04.280 --> 02:47:07.050
PRICE SENSITIVITY TO OF THE COST
02:47:07.117 --> 02:47:08.418
OF NEW MANDATES AND WHILE WE
02:47:08.485 --> 02:47:09.819
APPRECIATE.
02:47:09.886 --> 02:47:10.687
THE AMENDMENTS TO NARROW THIS
02:47:10.754 --> 02:47:13.690
BILL WE DO REMAIN OPPOSED --
02:47:13.757 --> 02:47:15.291
CURRENT LAW REQUIRES LARGE GROUP
02:47:15.358 --> 02:47:17.093
PLANS TO OFFER COVERAGE FOR
02:47:17.160 --> 02:47:19.062
INFERTILITY THIS APPROACH ALLOWS
02:47:19.129 --> 02:47:22.098
EMPLOYERS -- TO PROVIDE THIS
02:47:22.165 --> 02:47:23.400
COVERAGE TO THEIR MERRILEES IF
02:47:23.466 --> 02:47:25.635
THEY CHOOSE -- TO YOU KNOW AND
02:47:25.702 --> 02:47:27.570
IF IF THE AUTHOR ACCEPTS THE
02:47:27.637 --> 02:47:29.439
COMMITTEE AMENDMENTS -- THERE
02:47:29.506 --> 02:47:30.607
WOULD NEED TO BE ADDITIONAL
02:47:30.673 --> 02:47:34.344
ANALYSIS -- TO ESTIMATE THE COST
02:47:34.411 --> 02:47:36.045
IMPACT ON THE LARGE GROUP MARKET --
02:47:36.112 --> 02:47:37.714
AND AS SAID EARLIER WITH OTHER
02:47:37.781 --> 02:47:39.015
MANDATE BILLS WE JUST REALLY
02:47:39.082 --> 02:47:40.550
BELIEVE THAT THIS IS IS THE
02:47:40.617 --> 02:47:44.154
WRONG TIME TO ESTABLISH NEW
02:47:44.220 --> 02:47:47.590
MANDATES FOR COVERAGE THANK YOU.
02:47:47.657 --> 02:47:48.224
STEPHANIE WATKINS ON BEHALF OF
02:47:48.291 --> 02:47:49.426
THE ASSOCIATION OF CALIFORNIA
02:47:49.492 --> 02:47:50.593
LIFE AND HEALTH INSURANCE
02:47:50.660 --> 02:47:52.495
COMPANIES WE TO WERE OPPOSED TO
02:47:52.562 --> 02:47:53.797
THE BILL AND FORTUNATELY.
02:47:53.863 --> 02:47:54.898
WELL WE HAVE A GREAT DEAL OF
02:47:54.964 --> 02:47:56.366
EMPATHY FOR THE STORIES THAT
02:47:56.433 --> 02:47:57.600
WE'VE ALL HEARD.
02:47:57.667 --> 02:47:58.635
I THINK PUTTING AN ADDITIONAL
02:47:58.701 --> 02:48:00.603
MANDATE ON LARGE GROUP EMPLOYERS
02:48:00.670 --> 02:48:01.938
WHO VOLUNTARILY CHOOSE TO
02:48:02.005 --> 02:48:03.406
PROVIDE HEALTHCARE TO THEIR
02:48:03.473 --> 02:48:04.340
EMPLOYEES.
02:48:04.407 --> 02:48:05.942
IS CERTAINLY AT THE WRONG TIME
02:48:06.009 --> 02:48:07.143
TO DO THAT I THINK THE ALSO
02:48:07.210 --> 02:48:08.478
THING THAT WE'D LIKE TO POINT
02:48:08.545 --> 02:48:09.479
OUT IS.
02:48:09.546 --> 02:48:11.781
IT ME ADDITIONALLY SUBJECT THEM
02:48:11.848 --> 02:48:13.750
TO THE EXCISE TAX IT'S DUE TO BE
02:48:13.817 --> 02:48:16.286
IMPLEMENTED IN TWENTY TWENTY TWO
02:48:16.352 --> 02:48:17.520
IT HAS BEEN DELAYED SEVERAL
02:48:17.587 --> 02:48:19.222
TIMES BUT THERE'S CERTAINLY A
02:48:19.289 --> 02:48:22.192
40% EXCISE TAX IN ADDITION TO
02:48:22.258 --> 02:48:23.359
THE CURRENT PRICES OF HEALTH
02:48:23.426 --> 02:48:24.894
CARE IN THE LARGE GROUP MARKET.
02:48:24.961 --> 02:48:26.429
WOULD FURTHER ENCOURAGE LARGE
02:48:26.496 --> 02:48:27.797
EMPLOYERS TO CONSIDER SELF
02:48:27.864 --> 02:48:29.699
INSURING AND THAT WOULD TAKE
02:48:29.766 --> 02:48:31.267
THEM OUT OF THE OVERSIGHT OF
02:48:31.334 --> 02:48:32.836
CALIFORNIAN PUT THEM UNDER THE
02:48:32.902 --> 02:48:34.037
FEDERAL RESERVE RULES SO
02:48:34.103 --> 02:48:35.371
CERTAINLY FOR THOSE REASONS WERE
02:48:35.438 --> 02:48:36.773
CONCERNED.
02:48:36.840 --> 02:48:37.307
WE'RE CONCERNED THAT LARGE
02:48:37.373 --> 02:48:39.642
EMPLOYERS OFTEN DO CHOOSE TO
02:48:39.709 --> 02:48:41.711
HAVE VERY ROBUST COVERAGE AND DO
02:48:41.778 --> 02:48:43.646
YOU AS AS THIS IS A MANDATORY
02:48:43.713 --> 02:48:45.281
OFFERING CAN OFFER THIS IN
02:48:45.348 --> 02:48:49.486
ADDITION TO YOU AS A WRITER ON
02:48:49.552 --> 02:48:50.286
THEIR POLICY.
02:48:50.353 --> 02:48:51.087
WE WILL BE HAPPY TO CONTINUE TO
02:48:51.154 --> 02:48:51.688
HAVE CONVERSATIONS AND SEE IF
02:48:51.754 --> 02:48:54.491
THERE'S SOME OPPORTUNITY FOR US
02:48:54.557 --> 02:48:55.492
TO COME TO SOME COMMON GROUND
02:48:55.558 --> 02:48:57.527
BUT RIGHT NOW AS IT AS A MANDATE
02:48:57.594 --> 02:48:58.828
ON LARGE EMPLOYERS CERTAINLY A
02:48:58.895 --> 02:49:01.231
CONCERN IN A PRICE SENSITIVITY.
02:49:01.297 --> 02:49:02.365
AS WE MOVE FORWARD WITH IN IT
02:49:02.432 --> 02:49:03.633
INDIVIDUAL MANDATE AND ALSO
02:49:03.700 --> 02:49:05.034
TALKING ABOUT ADDITIONAL
02:49:05.101 --> 02:49:07.070
SUBSIDIES FOR THOSE INDIVIDUALS
02:49:07.136 --> 02:49:08.238
TRYING TO PURCHASE HEALTH CARE.
02:49:08.304 --> 02:49:09.606
WE'RE INCREDIBLY PRICE SENSITIVE
02:49:09.672 --> 02:49:10.473
AND WANT TO MAKE SURE THAT WE
02:49:10.540 --> 02:49:12.809
MAKE HEALTHCARE AFFORDABLE FOR
02:49:12.876 --> 02:49:15.812
EVERYONE.
02:49:15.879 --> 02:49:17.247
OTHERS AND OTHERS IN OPPOSITION.
02:49:17.313 --> 02:49:18.448
KAREN CIRCUITS IN WITH THE
02:49:18.515 --> 02:49:20.083
CALIFORNIA CHAMBER OF COMMERCE
02:49:20.149 --> 02:49:24.621
AND IN UP AS OPPOSITION.
02:49:24.687 --> 02:49:25.622
JOHN WHEN YOU'RE ON THE F.
02:49:25.688 --> 02:49:27.023
AMERICA'S HEALTH INSURANCE PLANS
02:49:27.090 --> 02:49:28.291
WE'D SHARE THE CONCERNS ON THE
02:49:28.358 --> 02:49:30.693
CUMULATIVE IMPACT OF ALL THE
02:49:30.760 --> 02:49:32.562
MANDATES THANKS THANK YOU.
02:49:32.629 --> 02:49:34.030
MARIA JOSE FERNANDEZ FLORES WITH
02:49:34.097 --> 02:49:35.565
THE CALIFORNIA CATHOLIC
02:49:35.632 --> 02:49:36.499
CONFERENCE IN OPPOSITION THANK
02:49:36.566 --> 02:49:38.101
YOU [inaudible]
02:49:38.167 --> 02:49:41.004
ANYONE ELSE.
02:49:41.070 --> 02:49:43.706
GIVE BRING IT BACK TO THE
02:49:43.773 --> 02:49:44.240
COMMITTEE FOR QUESTIONS OR
02:49:44.307 --> 02:49:45.742
COMMENTS MISS BURKE.
02:49:45.808 --> 02:49:48.912
SURPRISE SURPRISE I AM.
02:49:48.978 --> 02:49:51.347
TWENTY YEAH SIGN AUTHOR AND AND
02:49:51.414 --> 02:49:53.216
ALWAYS THE ONE TO MAKE COMMENTS
02:49:53.283 --> 02:49:54.684
ON THESE ISSUES AND QUITE
02:49:54.751 --> 02:49:57.120
FRANKLY CRY ABOUT THEM BECAUSE I
02:49:57.186 --> 02:49:59.155
HAVE HAS.
02:49:59.222 --> 02:50:01.658
VIA AN GREAT I'VE BEEN BLESSED
02:50:01.724 --> 02:50:03.326
TO HAVE MY DAUGHTER AS A RESULT
02:50:03.393 --> 02:50:06.663
OF FOR IT AS A RESULT OF IVF AND
02:50:06.729 --> 02:50:08.698
AND LOTS OF OTHER THINGS AND
02:50:08.765 --> 02:50:09.933
THERE IS NOT AS THEY SIT HERE
02:50:09.999 --> 02:50:11.167
ACTUALLY WAITING FOR HER TO COME
02:50:11.234 --> 02:50:12.368
ACROSS THE STREET FROM SCHOOL TO
02:50:12.435 --> 02:50:13.269
SAY HI TO HER.
02:50:13.336 --> 02:50:14.571
MONEY BECAUSE WE'RE GOING TO BE
02:50:14.637 --> 02:50:17.607
HERE SO LATE TODAY -- I KNOW
02:50:17.674 --> 02:50:19.809
WHAT IT MEANS TO A FAMILY NEED
02:50:19.876 --> 02:50:21.210
TO BE ABLE TO HAVE A CHILD THAT
02:50:21.277 --> 02:50:22.078
WANTS.
02:50:22.145 --> 02:50:23.680
ONE AND I KNOW THE STRUGGLES OF
02:50:23.746 --> 02:50:25.048
WANTING TO HAVE A SECOND CHILD
02:50:25.114 --> 02:50:26.749
AND NOT BEING ABLE TO MAYBE A
02:50:26.816 --> 02:50:29.552
FOR THAT -- BECAUSE THE COST IS
02:50:29.619 --> 02:50:32.488
SO HIGH JUST TO GET THEIR I
02:50:32.555 --> 02:50:34.057
OBVIOUSLY SUPPORT THIS BILL I
02:50:34.123 --> 02:50:35.692
KNOW IT IS YOU HAD TO TAKE SOME
02:50:35.758 --> 02:50:37.093
DIFFICULT AMENDMENTS.
02:50:37.160 --> 02:50:38.595
AND I APPRECIATE YOUR CONTENT
02:50:38.661 --> 02:50:40.163
CONSIDER CONTINUING TO WORK WITH
02:50:40.229 --> 02:50:41.798
THE OPPOSITION ON THIS I THINK
02:50:41.864 --> 02:50:43.499
THIS IS INCREDIBLY IMPORTANT FOR
02:50:43.566 --> 02:50:44.734
CALIFORNIA FAMILIES.
02:50:44.801 --> 02:50:46.135
AND GOD KNOWS THAT IF I HAD
02:50:46.202 --> 02:50:47.236
KNOWN I COULD MOVE TO ANOTHER
02:50:47.303 --> 02:50:49.138
STATE AND HAVE THEM PAY FOR IT I
02:50:49.205 --> 02:50:49.772
PROBABLY WOULD HAVE [inaudible]
02:50:49.839 --> 02:50:54.077
ON BUT BUT IT IS IMPORTANTAND
02:50:54.143 --> 02:50:55.945
IT IS A QUALITY OF LIFE AND I
02:50:56.012 --> 02:50:57.313
KNOW THAT WE ARE COST SENSITIVE
02:50:57.380 --> 02:50:58.381
HERE BUT WE SHOULD ALSO BE
02:50:58.448 --> 02:51:00.116
FAMILY SENSITIVE AND SENSITIVE
02:51:00.183 --> 02:51:01.784
TO THE STRUGGLES OF OF OF THE
02:51:01.851 --> 02:51:03.419
CALIFORNIA FAMILIES AND OF OTHER
02:51:03.486 --> 02:51:05.054
STATES CAN AFFORD IT I'M SURE WE
02:51:05.121 --> 02:51:05.254
CAN.
02:51:05.321 --> 02:51:07.657
FIND A WAY -- TO IT'S A GREAT
02:51:07.724 --> 02:51:09.092
HONOR TO BE A MOM.
02:51:09.158 --> 02:51:10.760
AND AND NO ONE UNDERSTANDS THAT
02:51:10.827 --> 02:51:12.795
BETTER THAN I DO I STRUGGLED FOR
02:51:12.862 --> 02:51:14.631
TEN YEARS TO BE HERE SO I THANK
02:51:14.697 --> 02:51:15.765
YOU FOR YOUR WORK ON THIS.
02:51:15.832 --> 02:51:17.200
THANK YOU FOR COMING AND
02:51:17.266 --> 02:51:20.403
SPEAKING IN SUPPORT AN OUTLOOK
02:51:20.470 --> 02:51:22.538
FOR DEVOTING ON THE THANK YOU
02:51:22.605 --> 02:51:23.172
FOR YOUR SUPPORT AND AUTHORSHIP
02:51:23.239 --> 02:51:24.474
ON THIS AS WELL [inaudible]
02:51:24.540 --> 02:51:26.142
ANYONE ELSE.
02:51:26.209 --> 02:51:28.478
STRUGGLES THANK YOU MISTER
02:51:28.544 --> 02:51:29.445
CHAIRMAN THANK YOU FOR THIS BILL
02:51:29.512 --> 02:51:32.582
AND THIS IS THE ONE AREA THAT --
02:51:32.649 --> 02:51:34.250
I WANTED.
02:51:34.317 --> 02:51:35.518
TO GET SOME CLARITY ON THIS IS
02:51:35.585 --> 02:51:36.786
THAT THIS BILL DELETE SOME
02:51:36.853 --> 02:51:39.822
EXEMPTIONS FOR THE RELIGIOUS --
02:51:39.889 --> 02:51:41.591
ORGANIZATIONS AND FREEDOM ON
02:51:41.658 --> 02:51:43.092
THOSE AREAS IS THERE STILL
02:51:43.159 --> 02:51:45.795
ONGOING DIALOGUE AS FAR AS
02:51:45.862 --> 02:51:46.829
TRYING TO ADDRESS THAT COMPONENT
02:51:46.896 --> 02:51:48.398
OF IT.
02:51:48.464 --> 02:51:48.598
HAPPY.
02:51:48.665 --> 02:51:50.233
TO WELL.
02:51:50.299 --> 02:51:51.234
HAVE YOU TO WORK WITH YOU ON
02:51:51.300 --> 02:51:53.036
YOUR AND YOUR OFFICE ON AND CHAT
02:51:53.102 --> 02:51:54.470
MORE ABOUT IT THANK YOU AND LOOK
02:51:54.537 --> 02:51:56.572
FORWARD TO DISCUSSING THAT WITH
02:51:56.639 --> 02:51:56.806
SHARKS.
02:51:56.873 --> 02:51:58.541
THANK YOU [inaudible]
02:51:58.608 --> 02:51:59.776
ANYONE ELSE.
02:51:59.842 --> 02:52:02.178
I JUST A COUPLE OF COMMENTS -- I
02:52:02.245 --> 02:52:04.113
WILL I WILL TELL YOU IN PRACTICE
02:52:04.180 --> 02:52:05.214
OF THAT THE BILL DOES ENJOY DO
02:52:05.281 --> 02:52:06.349
PASS RECOMMENDATION BUT I DO
02:52:06.416 --> 02:52:07.817
HAVE SOME QUESTIONS AND SOME
02:52:07.884 --> 02:52:09.519
CONCERNS -- I'D VERY MUCH
02:52:09.585 --> 02:52:11.320
PPRECIATE YOUR WITNESSES AND
02:52:11.387 --> 02:52:11.988
APPRECIATE WHAT YOU'RE TRYING TO
02:52:12.055 --> 02:52:13.990
ACCOMPLISH AND AND AND THIS AND
02:52:14.057 --> 02:52:16.125
THE TESTIMONY THAT GOES ALONG
02:52:16.192 --> 02:52:17.527
WITH THAT I I KNOW.
02:52:17.593 --> 02:52:20.296
AS A PARENT -- HOW VALUABLE WITH --
02:52:20.363 --> 02:52:22.432
THE VALUABLE BUT HOW AMAZING IT
02:52:22.498 --> 02:52:24.801
IS TO BE A PARENT -- AND THAT'S
02:52:24.867 --> 02:52:26.736
WHY I VERY MUCH APPRECIATE WHAT
02:52:26.803 --> 02:52:28.337
YOU'RE TRYING TO ACCOMPLISH HERE --
02:52:28.404 --> 02:52:29.305
I THINK YOU'VE HEARD SOME
02:52:29.372 --> 02:52:31.741
CONCERNS ABOUT COST AND AND I
02:52:31.808 --> 02:52:34.343
TOPSY COSTLY TO PROVIDE -- TO
02:52:34.410 --> 02:52:35.611
PAY FOR THIS CARE BUT THERE'S
02:52:35.678 --> 02:52:37.814
ALSO OTHER OTHER COSTS AND AND
02:52:37.880 --> 02:52:40.116
AND A LITTLE CONCERNED ABOUT THE
02:52:40.183 --> 02:52:42.452
UNFORESEEN COSTS THAT MAY BE
02:52:42.518 --> 02:52:45.388
ASSOCIATED WITH WITH A BENEFIT
02:52:45.455 --> 02:52:47.323
LIKE THIS -- THERE YOU KNOW
02:52:47.390 --> 02:52:48.925
THERE ARE RISKS OF A HIGH RISK
02:52:48.991 --> 02:52:51.561
OF MULTIPLE PREGNANCY MULTIPLE --
02:52:51.627 --> 02:52:54.097
HIGH RISK PREGNANCIES --
02:52:54.163 --> 02:52:56.065
MULTIPLE BIRTHS -- PREMATURE
02:52:56.132 --> 02:53:02.071
BIRTHS AS THE CALIFORNIA.
02:53:02.138 --> 02:53:03.706
BENEFITS REVIEW -- PROGRAM
02:53:03.773 --> 02:53:05.208
POINTS OUT A PARTICULAR I WITH
02:53:05.274 --> 02:53:05.808
IVF AN OVULATION STIMULATING
02:53:05.875 --> 02:53:07.744
MEDICATIONS INCREASE RISK OF
02:53:07.810 --> 02:53:10.213
MULTIPLE GESTATION PREGNANCIES.
02:53:10.279 --> 02:53:11.280
WHICH ASSOCIATE WITH AN
02:53:11.347 --> 02:53:13.649
INCREASED RISK OF MATERNAL --
02:53:13.716 --> 02:53:16.052
AND PERINATAL CON COMPLICATIONS
02:53:16.119 --> 02:53:17.920
INCLUDING PER CLAMP SCEA PRETERM
02:53:17.987 --> 02:53:20.323
BIRTH AND LOW BIRTH WEIGHT SO
02:53:20.389 --> 02:53:21.190
THOSE.
02:53:21.257 --> 02:53:23.526
ADD ADDITIONAL POTENTIAL COSTS
02:53:23.593 --> 02:53:25.695
AND I'M I ONLY SEE THAT TO POINT
02:53:25.762 --> 02:53:27.330
IT OUT BUT BUT AS I THINK.
02:53:27.396 --> 02:53:29.465
WE CAN'T IGNORE THAT YEAH NO I I
02:53:29.532 --> 02:53:34.137
I WOULD LET MY WITNESS BECAUSE
02:53:34.203 --> 02:53:36.506
THE HEALTH CARE EXPERT.
02:53:36.572 --> 02:53:37.707
THERE ARE PUBLISHED STUDIES THAT
02:53:37.774 --> 02:53:38.174
DEMONSTRATE THE COST
02:53:38.241 --> 02:53:38.741
EFFECTIVENESS OF INSURANCE
02:53:38.808 --> 02:53:40.109
MANDAED COVERAGE FOR
02:53:40.176 --> 02:53:41.177
INFERTILITY.
02:53:41.244 --> 02:53:42.545
BECAUSE WHEN YOU HAVE IDEA OF
02:53:42.612 --> 02:53:44.580
COVERAGE THEN YOU MAKE SOUND
02:53:44.647 --> 02:53:46.482
MEDICAL DECISIONS IN IDEA
02:53:46.549 --> 02:53:47.817
PRACTICING YOU HAVE.
02:53:47.884 --> 02:53:49.819
A LOWER INCIDENCE OF MULTIPLE
02:53:49.886 --> 02:53:51.454
BIRTHS A LOWER INCIDENCE OF
02:53:51.521 --> 02:53:52.922
PRETERM BIRTH AND A LOWER
02:53:52.989 --> 02:53:53.890
INCIDENCE OF MATERNAL
02:53:53.956 --> 02:53:55.057
COMPLICATIONS.
02:53:55.124 --> 02:53:56.793
SO WHAT HAPPENED OVER THE YEARS
02:53:56.859 --> 02:53:58.427
HIS IDEA PREGNANCY RATES HAVE
02:53:58.494 --> 02:54:00.263
INCREASED THE NUMBER OF EMBRYOS
02:54:00.329 --> 02:54:02.632
TRANSFERRED HAS DECREASED.
02:54:02.698 --> 02:54:05.568
BUT IN NON MANDATED STATES OKAY
02:54:05.635 --> 02:54:07.303
THERE'S IT'S VERY DIFFICULT FOR
02:54:07.370 --> 02:54:09.705
A POSITION TO WORK AGAINST THAT
02:54:09.772 --> 02:54:11.274
PRESSURE FROM THE PATIENT WHO
02:54:11.340 --> 02:54:12.375
THINKS THAT.
02:54:12.441 --> 02:54:14.010
PUTTING TWO EMBRYOS BUT BACK IN
02:54:14.076 --> 02:54:15.478
THE UNIVERSE IS BETTER THAN.
02:54:15.545 --> 02:54:17.380
ONE BECAUSE THEY WANT THAT EXTRA
02:54:17.446 --> 02:54:19.382
FIVE OR 7% PREGNANCY RATE WHEN
02:54:19.448 --> 02:54:20.583
THEY'VE GOT INSURANCE COVERAGE
02:54:20.650 --> 02:54:22.051
AND THEY KNOW THAT THEY CAN TRY
02:54:22.118 --> 02:54:22.785
AGAIN.
02:54:22.852 --> 02:54:25.021
THEY'RE MUCH MORE WILLING TO
02:54:25.087 --> 02:54:26.289
SPACE OUT THOSE.
02:54:26.355 --> 02:54:28.291
THAT THAT TREATMENT OVER TIME
02:54:28.357 --> 02:54:29.992
BECAUSE THEY KNOW ULTIMATELY
02:54:30.059 --> 02:54:31.360
THEY'LL BECOME SUCCESSFUL.
02:54:31.427 --> 02:54:33.029
SEVERAL PUBLISHED REPORTS THAT
02:54:33.095 --> 02:54:35.264
CHAU PREGNANCY COMPLICATIONS ARE
02:54:35.331 --> 02:54:37.600
REDUCE HEALTHCARE COSTS REDUCE
02:54:37.667 --> 02:54:39.468
DIRECT DO.
02:54:39.535 --> 02:54:40.269
TO DECREASED RISK OF PRETERM
02:54:40.336 --> 02:54:42.805
DELIVERY AND THERE IS ADVANCE
02:54:42.872 --> 02:54:43.639
ADVANCES MADE WITH EMBRYO
02:54:43.706 --> 02:54:45.141
FREEZING.
02:54:45.208 --> 02:54:46.375
AND WE'RE FINDING IS THAT IF WE
02:54:46.442 --> 02:54:48.144
CAN FREE SURPLUS EMBRYOS
02:54:48.211 --> 02:54:49.178
ENTRANCE AND THEN FROZEN CYCLE
02:54:49.245 --> 02:54:54.283
LOWER RISK OF COMPLICATIONS IN
02:54:54.350 --> 02:54:55.618
PREGNANCY AS WELL.
02:54:55.685 --> 02:54:56.719
SO ARE THERE IS EXISTING STATE
02:54:56.786 --> 02:54:57.954
REGULATIONS AROUND IVF.
02:54:58.020 --> 02:54:59.021
THERE ARE NOT EXISTING STATE
02:54:59.088 --> 02:55:00.256
REGULATIONS I KNOW ABOUT NUMBERS
02:55:00.323 --> 02:55:01.390
OF ANDREAS TO TRANSFER THE
02:55:01.457 --> 02:55:03.059
MEDICAL COMMUNITY IS VERY
02:55:03.125 --> 02:55:04.560
SENSITIVE IT TO IT AND THEY
02:55:04.627 --> 02:55:07.330
PROMOTED AND WANTED VERY MUCH.
02:55:07.396 --> 02:55:09.332
AND WHEN THEY HAVE THE THE
02:55:09.398 --> 02:55:12.235
ABILITY TO ADVOCATE FOR THAT WAS
02:55:12.301 --> 02:55:13.469
SOUND MEDICAL PRACTICE THROUGH
02:55:13.536 --> 02:55:15.671
BETTER ABLE TO CONVINCE PATIENTS
02:55:15.738 --> 02:55:16.472
FOLLOW THAT.
02:55:16.539 --> 02:55:18.674
THAT SOUND MEDICAL ADVICE.
02:55:18.741 --> 02:55:22.245
SO THEY'RE ACTUALLY LOWER RISK.
02:55:22.311 --> 02:55:23.012
WHEN YOU HAVE A MANDATE COVERAGE
02:55:23.079 --> 02:55:25.014
FOR IDEA?
02:55:25.081 --> 02:55:27.950
THAT WILL TAKE TIME THOUGH --
02:55:28.017 --> 02:55:29.218
FOUR FOUR BEHAVIORS TO CHANGE
02:55:29.285 --> 02:55:31.454
NOW IT LOOKS IT DOESN'T IT
02:55:31.520 --> 02:55:33.890
DOESN'T TAKE TIME AT ALL.
02:55:33.956 --> 02:55:34.523
YEAH BUT THE FINISH OF YOU DON'T
02:55:34.590 --> 02:55:36.092
WANT -- SO I SO I'M ASKING YOU
02:55:36.158 --> 02:55:37.360
KNOW I KNOW THE SPONSORS OF THE
02:55:37.426 --> 02:55:39.562
BILL -- HAVE RECOMMENDED
02:55:39.629 --> 02:55:41.964
GUIDELINES SO YOU HAVE
02:55:42.031 --> 02:55:43.266
RECOMMENDED GUIDELINES FOR THIS.
02:55:43.332 --> 02:55:44.867
ARE THERE IS THERE ANY STATE
02:55:44.934 --> 02:55:48.304
OVERSIGHT -- FOR EXISTING --
02:55:48.371 --> 02:55:50.339
EXISTING FOR FERTILITY CLINICS
02:55:50.406 --> 02:55:52.275
AND CALIFORNIA BECAUSE I LOOK AT
02:55:52.341 --> 02:55:56.112
THE CASE WE HAD YOU KNOW. EIGHT
02:55:56.178 --> 02:55:57.346
EIGHT EIGHT BIRTH IN A A A BIRTH
02:55:57.413 --> 02:55:59.015
OF A BABY SO YOU KNOW.
02:55:59.081 --> 02:56:00.516
I JUST THINK YEAH SHE HAD
02:56:00.583 --> 02:56:02.184
INSURANCE COVERAGE -- BUT NO
02:56:02.251 --> 02:56:03.853
THIS IS ONE OF THE FEW AREAS OF
02:56:03.920 --> 02:56:04.854
MEDICINE THAT ACTUALLY IS
02:56:04.921 --> 02:56:08.658
REGULATED AT THE FEDERAL LEVEL.
02:56:08.724 --> 02:56:10.726
EVERY CYCLE OF IVF THAT THE
02:56:10.793 --> 02:56:12.795
START IS REPORTED TO THE CENTERS
02:56:12.862 --> 02:56:14.530
FOR DISEASE CONTROL WE HAVE A
02:56:14.597 --> 02:56:16.198
SISTER ORGANIZATION THE SOCIETY
02:56:16.265 --> 02:56:17.433
FOR ASSISTED REPRODUCTIVE
02:56:17.500 --> 02:56:18.567
TECHNOLOGY.
02:56:18.634 --> 02:56:20.169
THAT MONITORS ALL THIS AND IT IS
02:56:20.236 --> 02:56:21.771
AMAZING BECAUSE THAT THE DOCTORS
02:56:21.837 --> 02:56:23.472
IN THIS FIELD SPECIALIZED IN
02:56:23.539 --> 02:56:24.206
THIS.
02:56:24.273 --> 02:56:26.475
SO THE LEARNING CURVE IS SO
02:56:26.542 --> 02:56:28.110
DIFFERENT IN THIS AREA AND THE
02:56:28.177 --> 02:56:29.879
ACCEPTANCE AND THAT THE CHANGE
02:56:29.946 --> 02:56:31.047
IN PRACTICE.
02:56:31.113 --> 02:56:32.915
IS IS SO GREAT COMPARED TO OTHER
02:56:32.982 --> 02:56:34.250
AREAS OF MEDICINE IT DOESN'T
02:56:34.317 --> 02:56:36.319
TAKE TEN YEARS TO MAKE A CHANGE
02:56:36.385 --> 02:56:37.486
IN THEM THE PROFESSIONAL
02:56:37.553 --> 02:56:38.988
GUIDELINES SO THERE REALLY.
02:56:39.055 --> 02:56:40.790
PROBABLY ONE OF THE MORE DATA
02:56:40.856 --> 02:56:45.828
DRIVEN AREAS OF MEDICINE.
02:56:45.895 --> 02:56:47.430
THERE ARE THERE ARE RECOMMENDED
02:56:47.496 --> 02:56:49.332
GUIDELINES BY A SURROUND LIKE
02:56:49.398 --> 02:56:49.799
PERSONALLY.
02:56:49.865 --> 02:56:50.833
YEAH I WAS I BUT I WAS LOOKING
02:56:50.900 --> 02:56:52.635
ARE THERE ANY STATE REGULATIONS
02:56:52.702 --> 02:56:53.769
OR THE RAINY AND AND SORT YOUR
02:56:53.836 --> 02:56:55.037
FEDERAL.
02:56:55.104 --> 02:56:57.373
AND SO THAT MAKES ME GO BACK AND
02:56:57.440 --> 02:56:58.808
WONDER AT SOME POINT IF.
02:56:58.874 --> 02:57:00.176
YOU KNOW WE MOVE FORWARD WITH
02:57:00.242 --> 02:57:03.379
THIS -- THAT WE DO -- LOOK AT
02:57:03.446 --> 02:57:06.549
POTENTIAL STATE STATE GUIDELINES
02:57:06.615 --> 02:57:08.184
ON THIS.
02:57:08.250 --> 02:57:09.352
I'M SORRY I THIS THIS IS THE
02:57:09.418 --> 02:57:09.952
STATE OF CALIFORNIA WITH MY
02:57:10.019 --> 02:57:11.020
FAITH COMPLETELY IN THE FEDERAL
02:57:11.087 --> 02:57:12.955
GOVERNMENT -- SPECIALLY RIGHT
02:57:13.022 --> 02:57:14.523
NOW THE WELL.
02:57:14.590 --> 02:57:15.191
AND AND WE'RE ALSO HAPPY TO LOOK
02:57:15.257 --> 02:57:15.791
AT OTHER STATES AND SEE WHAT
02:57:15.858 --> 02:57:16.392
THEY'VE ADOPTED AND AND KEEP
02:57:16.459 --> 02:57:18.227
TALKING WITH YOUR STAFF AND YOUR
02:57:18.294 --> 02:57:18.861
AYE NEWS YOURSELF ABOUT SOME OF
02:57:18.928 --> 02:57:19.495
THE STUFF.
02:57:19.562 --> 02:57:20.396
AND I GUESS AND I GUESS IT GOES
02:57:20.463 --> 02:57:22.064
BACK TO MY ORIGINAL COMMENTS
02:57:22.131 --> 02:57:24.333
ABOUT THE THE UNFORESEEN
02:57:24.400 --> 02:57:25.668
POTENTIAL COST OF CARE.
02:57:25.735 --> 02:57:27.036
OF OF OTHER CARE AS WE'RE
02:57:27.103 --> 02:57:29.739
TRANSITIONING TO A POINT WHERE
02:57:29.805 --> 02:57:31.607
YOU ACTUALLY HAVE MORE -- WE
02:57:31.674 --> 02:57:34.176
HAVE COVERAGE FOR THIS -- IT'S
02:57:34.243 --> 02:57:35.511
STILL GOING TO TAKE AWHILE
02:57:35.578 --> 02:57:36.779
BEHAVIOR DOESN'T TRACK.
02:57:36.846 --> 02:57:38.347
MEDICAL BEHAVIOR ISN'T CHANGED
02:57:38.414 --> 02:57:40.149
QUICKLY I WILL TELL YOU THAT
02:57:40.216 --> 02:57:41.884
FROM FROM PERSONAL EXPERIENCE
02:57:41.951 --> 02:57:42.718
AND SO.
02:57:42.785 --> 02:57:44.020
SO THEY'RE STILL WILL BE THE
02:57:44.086 --> 02:57:46.655
POTENTIAL FOR SOME OF THESE ON
02:57:46.722 --> 02:57:48.624
FOR SEEING COSTS THAT THAT WILL
02:57:48.691 --> 02:57:50.026
BE A PART OF THE SYSTEM.
02:57:50.092 --> 02:57:52.395
AND SO I'M SAYING THIS I'M
02:57:52.461 --> 02:57:53.763
SUPPORTING THE BILL TODAY BUT
02:57:53.829 --> 02:57:55.498
I'M SAYING THIS BECAUSE I THINK
02:57:55.564 --> 02:57:56.932
THERE'S FURTHER WORK TO DO HERE
02:57:56.999 --> 02:57:58.167
AND AND THERE ARE CONCERNS ABOUT
02:57:58.234 --> 02:58:01.670
COSTS AND I APPRECIATE THAT AND
02:58:01.737 --> 02:58:02.304
COMMITTED TO CONTINUE TO WORK ON
02:58:02.371 --> 02:58:03.973
THIS.
02:58:04.040 --> 02:58:05.741
OKAY ALL RIGHT -- FOR ANY OTHER
02:58:05.808 --> 02:58:08.444
COME -- THE BILL DOES HAVE A DO
02:58:08.511 --> 02:58:10.212
PASS RECOMMENDATION IS TO PASS
02:58:10.279 --> 02:58:11.947
AS AMENDED TO APPROPRIATIONS
02:58:12.014 --> 02:58:13.949
WHICH LIKE TO CLOSE JUST
02:58:14.016 --> 02:58:16.052
RESPECTFULLY ASK FOR AN AYE VOTE.
02:58:16.118 --> 02:58:17.686
SO WE HAVE A MOTION BY MISS
02:58:17.753 --> 02:58:19.522
CARILLO AND A SECOND BY MISS
02:58:19.588 --> 02:58:21.724
BURKE -- MA'AM SECRETARY PLEASE
02:58:21.791 --> 02:58:22.558
CALL THE ROLL.
02:58:22.625 --> 02:58:25.961
WHAT I WOULD AYE MAYES?
02:58:26.028 --> 02:58:27.563
AGUIAR-CURRY AGUIAR-CURRY I
02:58:27.630 --> 02:58:28.531
BIGELOW [inaudible]
02:58:28.597 --> 02:58:30.032
BONTA BURKE [inaudible]
02:58:30.099 --> 02:58:32.968
CARILLO [inaudible]
02:58:33.035 --> 02:58:34.937
FLORA [inaudible]
02:58:35.004 --> 02:58:38.407
LIMON [inaudible] THIRTY THIS
02:58:38.474 --> 02:58:39.708
AREA RAMOS.
02:58:39.775 --> 02:58:41.710
RAMOS I RODRIGUEZ RODRIGUEZ I
02:58:41.777 --> 02:58:47.216
SANTIAGO SANTIAGO AYE WALDRON.
02:58:47.283 --> 02:58:48.484
YOUR FIVE VOTES WILL LEAVE THE
02:58:48.551 --> 02:58:49.585
BILL ON CALL.
02:58:49.652 --> 02:58:50.786
GOT A LOT OF PEOPLE OUT THANK
02:58:50.853 --> 02:58:52.388
YOU VERY MUCH THANK YOU.
02:58:52.455 --> 02:59:08.604
THIS RACE
02:59:12.541 --> 02:59:12.608
.
02:59:12.608 --> 02:59:13.742
THANK YOU MISTER CHAIR AND
02:59:13.809 --> 02:59:15.611
MEMBERS.
02:59:15.678 --> 02:59:18.481
TODAY I PRESENT AB EIGHT TWENTY
02:59:18.547 --> 02:59:19.348
SIX WHICH ENSURES ADEQUATE AND
02:59:19.415 --> 02:59:21.350
TIMELY ACCESS TO SPECIALTY
02:59:21.417 --> 02:59:23.185
MENTAL HEALTH SERVICES FOR
02:59:23.252 --> 02:59:24.887
FOSTER YOUTH WERE PLACED OUT OF
02:59:24.954 --> 02:59:26.856
COUNTY YOU SHORT TERM
02:59:26.922 --> 02:59:29.525
RESIDENTIAL THERAPEUTIC PROGRAMS
02:59:29.592 --> 02:59:32.061
KNOWN AS S. T. R. T. PEAS.
02:59:32.128 --> 02:59:33.095
BUT BEFORE I START I WANT TO
02:59:33.162 --> 02:59:34.864
THANK THIS COMMITTEE AS WELL AS
02:59:34.930 --> 02:59:36.732
OUR COUNTY PARTNERS FOR WORKING
02:59:36.799 --> 02:59:38.267
TO MAKE THIS BILL BETTER I'M
02:59:38.334 --> 02:59:39.835
HAPPY TO BE AMENDING.
02:59:39.902 --> 02:59:41.137
THE BILL.
02:59:41.203 --> 02:59:41.871
AS A RESULT OF THESE
02:59:41.937 --> 02:59:43.139
CONVERSATIONS AND I LOOK FORWARD
02:59:43.205 --> 02:59:45.341
TO CONTINUING DISCUSSIONS WITH
02:59:45.407 --> 02:59:46.408
STAKEHOLDERS.
02:59:46.475 --> 02:59:48.077
OVER THE PAST YEAR THE SAM
02:59:48.144 --> 02:59:50.112
ASSEMBLY HUMAN SERVICES SCOPE A
02:59:50.179 --> 02:59:51.680
COMMITTEE WHICH I SHARE HAS BEEN
02:59:51.747 --> 02:59:52.915
FOCUSING ON THE PROVISION OF
02:59:52.982 --> 02:59:54.583
MENTAL HEALTH SERVICES FOR
02:59:54.650 --> 02:59:55.851
FOSTER YOUTH.
02:59:55.918 --> 02:59:58.020
IN EBRUARY OF THIS YEAR OUR
02:59:58.087 --> 02:59:59.355
COMMITTEE HELD AN INFORMATIONAL
02:59:59.421 --> 03:00:01.590
HEARING TO TAKE A CLOSE LOOK AT
03:00:01.657 --> 03:00:02.791
THE ISSUE OF PRESUMPTIVE
03:00:02.858 --> 03:00:04.059
TRANSFER.
03:00:04.126 --> 03:00:05.261
WHICH OCCURS WHEN A YOUTH IS
03:00:05.327 --> 03:00:07.930
PLACED OUTSIDE OF THEIR COUNTY
03:00:07.997 --> 03:00:09.064
OF ORIGINAL JURISDICTION.
03:00:09.131 --> 03:00:10.366
SPECIFICALLY PRESUMPTIVE
03:00:10.432 --> 03:00:12.134
TRANSFER IS A PROCESS BY WHICH
03:00:12.201 --> 03:00:14.003
THE RESPONSIBILITY FOR
03:00:14.069 --> 03:00:15.871
ARRANGEMENT AND PROVISION OF
03:00:15.938 --> 03:00:17.973
SPECIALTY MENTAL HEALTH SERVICES
03:00:18.040 --> 03:00:19.708
TO FOSTER USE.
03:00:19.775 --> 03:00:20.509
PLACED OUT OF COUNTY IS
03:00:20.576 --> 03:00:21.810
TRANSFERRED FROM THE COUNTY OF
03:00:21.877 --> 03:00:23.812
ORIGINAL JURISDICTION TO THE
03:00:23.879 --> 03:00:25.014
COUNTY IN WHICH A YOUTH IS
03:00:25.080 --> 03:00:26.248
PLACED.
03:00:26.315 --> 03:00:30.186
KNOWN AS THE COUNTY OF RESIDENCE.
03:00:30.252 --> 03:00:32.755
OVER THE PAST FOUR YEARS THE
03:00:32.821 --> 03:00:35.157
LEGISLATURE WITH OUR YOUTH STATE
03:00:35.224 --> 03:00:36.792
COUNTY AND COMMUNITY PARTNERS
03:00:36.859 --> 03:00:37.927
HAS BEEN TREMENDOUS WORK TO
03:00:37.993 --> 03:00:40.296
TRANSFORM THE FOSTER CARE SYSTEM.
03:00:40.362 --> 03:00:42.631
THROUGH CONTINUUM OF CARE REFORM
03:00:42.698 --> 03:00:44.900
OR C. C. R..
03:00:44.967 --> 03:00:46.635
A KEY TENET OF CCAR'S TO ENSURE
03:00:46.702 --> 03:00:47.970
THAT ALL YOU'D HAVE THE
03:00:48.037 --> 03:00:50.005
OPPORTUNITY TO GROW UP NOT IN AN
03:00:50.072 --> 03:00:51.740
INSTITUTIONAL SETTING BUT IN A
03:00:51.807 --> 03:00:54.810
LOVING FAMILY HOME THAT MEETS
03:00:54.877 --> 03:00:58.681
THEIR INDIVIDUAL NEEDS. TO
03:00:58.747 --> 03:01:00.716
ADDRESS THE MENTAL HEALTH.
03:01:00.783 --> 03:01:02.551
NEEDS OF FOSTER YOUTH PLACED AN
03:01:02.618 --> 03:01:04.119
OUT OF COUNTY CONGREGATE CARE
03:01:04.186 --> 03:01:06.255
SETTINGS AB EIGHT TO SIX
03:01:06.322 --> 03:01:08.457
ACCOMPLISHES SEVERAL THINGS.
03:01:08.524 --> 03:01:10.693
FIRST IT ENSURES ADEQUATE AND
03:01:10.759 --> 03:01:12.561
TIMELY PROVISION OF MENTAL
03:01:12.628 --> 03:01:14.196
HEALTH SERVICES TO FOSTER YOU.
03:01:14.263 --> 03:01:16.732
BY PROVIDING FOR PRESUMPTIVE
03:01:16.799 --> 03:01:18.367
TRANSFER ONLY IN CERTAIN.
03:01:18.434 --> 03:01:20.069
SITUATIONS AND BASED ON
03:01:20.135 --> 03:01:21.403
APPROPRIATENESS FOR THE YOUTH
03:01:21.470 --> 03:01:23.305
SECOND IT PROVIDES A MORE
03:01:23.372 --> 03:01:25.074
STRUCTURED UNIFORM PROCESS
03:01:25.140 --> 03:01:26.475
THROUGHOUT THE STATE WHEN A
03:01:26.542 --> 03:01:28.711
COUNTY PROVIDES MENTAL HEALTH
03:01:28.777 --> 03:01:29.812
SERVICES TO FOSTER YOU.
03:01:29.878 --> 03:01:31.747
BY REQUIRING THE DEVELOPMENT OF
03:01:31.814 --> 03:01:33.882
STANDARDIZED FORMS IMPOSING
03:01:33.949 --> 03:01:36.118
NOTIFICATION REQUIREMENTS AND
03:01:36.185 --> 03:01:38.087
IMPLEMENTING TIME LINES BY WHICH
03:01:38.153 --> 03:01:39.655
CERTAIN TASKS MUST BE
03:01:39.722 --> 03:01:40.990
ACCOMPLISHED.
03:01:41.056 --> 03:01:42.191
AND THIRD IT PROMOTES
03:01:42.258 --> 03:01:45.794
TRANSPARENCY BY REQUIRING DH CS
03:01:45.861 --> 03:01:47.296
IN COLLABORATION WITH THE
03:01:47.363 --> 03:01:48.931
DEPARTMENT OF SOCIAL SERVICES.
03:01:48.998 --> 03:01:50.065
TO COLLECTED MAKE AVAILABLE
03:01:50.132 --> 03:01:51.767
CERTAIN DATA REGARDING THE
03:01:51.834 --> 03:01:53.135
PROVISION OF SPECIALTY MENTAL
03:01:53.202 --> 03:01:55.771
HEALTH SERVICES TO FOSTER YOUTH
03:01:55.838 --> 03:01:57.673
PLACED OUT OF COUNTY.
03:01:57.740 --> 03:02:01.877
THE PURPOSE VULNERABLE YOU WITH
03:02:01.944 --> 03:02:04.780
THE SERVICES SUPPORTS AND CARE
03:02:04.847 --> 03:02:06.415
THAT THEY NEED TO TRANSITION TO
03:02:06.482 --> 03:02:07.650
ADULTHOOD.
03:02:07.716 --> 03:02:08.951
THAT AND LEAVE SUCCESSFUL
03:02:09.018 --> 03:02:12.588
FULFILLING LIVES AB EIGHT TWENTY
03:02:12.655 --> 03:02:13.956
SIX FURTHERS THIS PURPOSE.
03:02:14.023 --> 03:02:15.124
I WANT TO THANK YOU AND I WANT
03:02:15.190 --> 03:02:17.693
NO ONE TO TURN A TURNED IT OVER
03:02:17.760 --> 03:02:19.094
TO THE WITNESS WITNESSES.
03:02:19.161 --> 03:02:22.531
AN ELSE THAT THE SELF INTRODUCE
03:02:22.598 --> 03:02:24.900
THE BILL.
03:02:24.967 --> 03:02:25.868
GREAT THANK YOU MISTER CHAIR
03:02:25.934 --> 03:02:27.169
MEMBERS KATHY CENTER L<c.cyan>G WITH</c>
03:02:27.236 --> 03:02:28.337
THE COUNTY WELFARE DIRECTORS
03:02:28.404 --> 03:02:29.905
ASSOCIATION.
03:02:29.972 --> 03:02:31.974
IN SUPPORT OF THE AMENDMENTS AND
03:02:32.041 --> 03:02:32.941
THE DIRECTION THE BILL IS HEADED
03:02:33.008 --> 03:02:34.810
AND REALLY APPRECIATE THE AUTHOR
03:02:34.877 --> 03:02:36.545
YOUR STAFF AND THAT COMMITTEE --
03:02:36.612 --> 03:02:38.747
STAFFER HUMAN SERVICES AS WELL
03:02:38.814 --> 03:02:39.515
FOR WORKING THROUGH THAT
03:02:39.581 --> 03:02:41.417
AMENDMENTS WITH OUR GROUP OF
03:02:41.483 --> 03:02:43.052
COUNTY ASSOCIATIONS.
03:02:43.118 --> 03:02:44.219
IT'S A REALLY CRITICAL ISSUE TO
03:02:44.286 --> 03:02:45.654
ENSURE THAT OUR CHILDREN AND
03:02:45.721 --> 03:02:47.589
YOUTH IN THE FOSTER CARE SYSTEM
03:02:47.656 --> 03:02:48.691
RECEIVE TIMELY AND EFFECTIVE
03:02:48.757 --> 03:02:50.359
MENTAL HEALTH SERVICES THEY ALL
03:02:50.426 --> 03:02:51.760
HAVE SUFFERED TRAUMA AND NOT
03:02:51.827 --> 03:02:52.561
JUST BECAUSE OF THE ABUSE OR
03:02:52.628 --> 03:02:54.063
NEGLECT EVEN JUST THE REMOVAL
03:02:54.129 --> 03:02:55.164
FROM THE HOME.
03:02:55.230 --> 03:02:56.765
SO WE WERE PART OF THE GROUP
03:02:56.832 --> 03:02:58.667
THAT WORKED ON AB TWELVE NINETY
03:02:58.734 --> 03:02:59.935
NINE SEVERAL YEARS AGO AND
03:03:00.002 --> 03:03:01.704
SUPPORTED THAT BILL.
03:03:01.770 --> 03:03:03.706
AND IT AFFECTS BOTH FOSTER
03:03:03.772 --> 03:03:04.707
FAMILY HOME PLACEMENTS AND
03:03:04.773 --> 03:03:06.909
RELATIVE PLACEMENTS AND ALSO THE
03:03:06.975 --> 03:03:08.410
S. T. R. T. P. PLACEMENTS THAT
03:03:08.477 --> 03:03:09.812
THIS BILL IS FOCUSED ON THAT'S
03:03:09.878 --> 03:03:11.513
THE AREA WHERE WE REALLY HEARD
03:03:11.580 --> 03:03:13.048
THE CONCERNS ABOUT TIMELINESS.
03:03:13.115 --> 03:03:15.084
AND ABOUT COMMUNICATION SO THIS
03:03:15.150 --> 03:03:16.151
BILL REALLY SEEKS TO ADDRESS
03:03:16.218 --> 03:03:17.886
THAT LEVEL OF ISSUE THE
03:03:17.953 --> 03:03:19.855
AMENDMENTS -- SORT OF PUT THE
03:03:19.922 --> 03:03:21.423
PRESUMPTION THEY MAKE SURE THAT
03:03:21.490 --> 03:03:21.990
THERE'S A CLEAR REASON TO
03:03:22.057 --> 03:03:24.293
TRANSFER THE RESPONSIBILITY TO
03:03:24.360 --> 03:03:26.662
THAT NEW COUNTY AND THEY ENHANCE
03:03:26.729 --> 03:03:28.297
THE COMMUNICATION BETWEEN COUNTY --
03:03:28.364 --> 03:03:29.264
CHILD WELFARE AGENCIES AND
03:03:29.331 --> 03:03:30.399
MENTAL HEALTH FACILITY --
03:03:30.466 --> 03:03:32.601
AGENCIES AND ALSO THE CONGREGATE
03:03:32.668 --> 03:03:34.603
CARE FACILITIES THEMSELVES --
03:03:34.670 --> 03:03:36.238
WE'RE GLAD TO BE ABLE TO SUPPORT
03:03:36.305 --> 03:03:40.042
THE BILL AS PROPOSED TO BE
03:03:40.109 --> 03:03:40.442
AMENDED THANK YOU.
03:03:40.509 --> 03:03:41.477
THANK YOU.
03:03:41.543 --> 03:03:42.678
GOOD AFTERNOON MISTER CHAIR
03:03:42.745 --> 03:03:43.712
MEMBERS I'M FIRMLY DATING ON
03:03:43.779 --> 03:03:44.713
BEHALF OF THE CALIFORNIA STATE
03:03:44.780 --> 03:03:46.648
ASSOCIATION OF COUNTIES AS MISS
03:03:46.715 --> 03:03:48.016
SUNDERLAND INDICATED ON THE
03:03:48.083 --> 03:03:48.650
COUNTY WELFARE DIRECTORS
03:03:48.717 --> 03:03:49.918
ASSOCIATION.
03:03:49.985 --> 03:03:51.487
THE CHIEF PROBATION OFFICERS OF
03:03:51.553 --> 03:03:52.988
CALIFORNIA AND THE COUNTY
03:03:53.055 --> 03:03:53.856
BEHAVIORAL HEALTH DIRECTORS
03:03:53.922 --> 03:03:55.524
ASSOCIATION ALL OF OUR GROUPS
03:03:55.591 --> 03:03:56.258
GOT TOGETHER WORKED ON THESE
03:03:56.325 --> 03:03:57.826
AMENDMENTS WE WANT TO THANK THE
03:03:57.893 --> 03:03:59.661
AUTHOR AS WELL AS HUMAN SERVICES
03:03:59.728 --> 03:04:01.764
COMMITTEE STAFF -- AND ASTHMA
03:04:01.830 --> 03:04:03.332
CENTRALLY MENTIONED IT ALSO WILL
03:04:03.399 --> 03:04:04.600
HELP WITH THE COMMUNICATION
03:04:04.666 --> 03:04:06.435
BETWEEN COUNTIES ARE MAKE SURE
03:04:06.502 --> 03:04:07.302
THAT CHILDREN GET TIMELY
03:04:07.369 --> 03:04:09.238
ASSESSMENTS AND THEN THERE'S A
03:04:09.304 --> 03:04:10.172
DATA COMPONENT THAT'S AN
03:04:10.239 --> 03:04:11.306
ORIGINAL PART OF THE BILL THAT
03:04:11.373 --> 03:04:12.808
WE ALL STRONGLY SUPPORT WE WANT
03:04:12.875 --> 03:04:14.576
TO KNOW WHAT'S HAPPENING WITH
03:04:14.643 --> 03:04:15.210
THESE TRANSFERS AND HOW THEY'RE
03:04:15.277 --> 03:04:17.646
GOING -- SO WE ARE SO IN SUPPORT
03:04:17.713 --> 03:04:18.847
OF THE BILL WE SUPPORT AS
03:04:18.914 --> 03:04:20.416
AMENDED AND WE LOOK FORWARD TO
03:04:20.482 --> 03:04:21.683
WORKING WITH MISS RAISES THE
03:04:21.750 --> 03:04:22.518
MOVES FORWARD.
03:04:22.584 --> 03:04:24.119
THANK YOU VERY MUCH OTHERS IN
03:04:24.186 --> 03:04:25.988
SUPPORT GOOD AFTERNOON MISTER
03:04:26.054 --> 03:04:26.889
CHAIR AND MEMBERS COUNTY DELGADO
03:04:26.955 --> 03:04:27.923
ON BEHALF OF THE COUNTY
03:04:27.990 --> 03:04:28.690
BEHAVIORAL HEALTH DIRECTORS
03:04:28.757 --> 03:04:30.426
ASSOCIATION WANT TO THANK THE
03:04:30.492 --> 03:04:31.894
AUTHOR AND THE STAFF IN A LINE
03:04:31.960 --> 03:04:35.731
MY COMMENTS WITH THE PREVIOUS
03:04:35.798 --> 03:04:35.998
SPEAKERS.
03:04:36.064 --> 03:04:38.400
THANK YOU.
03:04:38.467 --> 03:04:39.134
HI MY NAME IS LEE UNDER OUR
03:04:39.201 --> 03:04:40.536
STATE AND THEN AS A FOSTER
03:04:40.602 --> 03:04:41.170
PARENT.
03:04:41.236 --> 03:04:43.472
IN ADOPTIVE PARENTS I SUPPORT
03:04:43.539 --> 03:04:43.739
YOUR BILL.
03:04:43.806 --> 03:04:45.240
THANK [inaudible]
03:04:45.307 --> 03:04:47.242
ANYONE ELSE.
03:04:47.309 --> 03:04:51.079
IS THERE ANYONE IN OPPOSITION.
03:04:51.146 --> 03:04:52.381
SEE KNOWN A BRING BACK TO THE
03:04:52.448 --> 03:04:54.082
COMMITTEE FOR QUESTIONS OR
03:04:54.149 --> 03:04:54.683
COMMENTS QUESTIONS OR COMMENTS
03:04:54.750 --> 03:04:56.618
FROM COMMITTEE.
03:04:56.685 --> 03:04:58.253
THE NONE OF THAT -- THE BILL
03:04:58.320 --> 03:04:59.588
DOES ENJOY DO PASS
03:04:59.655 --> 03:05:01.757
RECOMMENDATION -- FOR SHADE YOUR
03:05:01.824 --> 03:05:03.492
WORK ON THIS AND SOME OF THE
03:05:03.559 --> 03:05:04.860
MANY ISSUES WE'VE BEEN WHAT LOOK
03:05:04.927 --> 03:05:07.362
LOOKING AT STRIVE A STRONGLY IN
03:05:07.429 --> 03:05:11.867
OUR BUDGET SUBCOMMITTEE AS WELL --
03:05:11.934 --> 03:05:12.734
WHICH LIKE TO CLOSE.
03:05:12.801 --> 03:05:14.102
I RESPECTFULLY ASK FOR YOUR AYE
03:05:14.169 --> 03:05:15.804
VOTE THANK YOU.
03:05:15.871 --> 03:05:17.506
OF THE MOTION WE HAVE A MOTION
03:05:17.573 --> 03:05:20.008
BY MS BURKE A SECOND BY MISS
03:05:20.075 --> 03:05:21.610
AGUIAR-CURRY BUSH'S DO PASS AS
03:05:21.677 --> 03:05:23.378
AMENDED TO APPROPRIATIONS AND
03:05:23.445 --> 03:05:24.646
MADAM SECRETARY PLEASE CALL THE
03:05:24.713 --> 03:05:25.180
ROLL.
03:05:25.247 --> 03:05:28.116
WOULD I WOULD I MAYES.
03:05:28.183 --> 03:05:30.719
AGUIAR-CURRY AGAR CURRY I
03:05:30.786 --> 03:05:33.355
BIGELOW.
03:05:33.422 --> 03:05:34.256
BONTA.
03:05:34.323 --> 03:05:34.890
BURKE.
03:05:34.957 --> 03:05:36.758
BURKE I CARILLO.
03:05:36.825 --> 03:05:36.992
FLORA.
03:05:37.059 --> 03:05:39.061
LIMóN MCCARTY.
03:05:39.127 --> 03:05:40.863
THIS AREA RAMOS RAMOS I
03:05:40.929 --> 03:05:42.598
RODRIGUEZ.
03:05:42.664 --> 03:05:45.000
RODRIGUEZ SANTIAGO.
03:05:45.067 --> 03:05:46.502
SANTIAGO AYE WALDRON
03:05:46.568 --> 03:05:46.802
[inaudible]
03:05:46.869 --> 03:05:52.808
WALDRON AYE. SEVEN WE'RE STILL
03:05:52.875 --> 03:05:54.042
ONE SHORT OF LEAVE THE BILL ON
03:05:54.109 --> 03:05:56.745
CALL THANK YOU VERY MUCH MISS
03:05:56.812 --> 03:05:58.113
REYES READING CLOSER THERE.
03:05:58.180 --> 03:05:59.515
WE COULD JUST KEEP PEOPLE HERE
03:05:59.581 --> 03:06:02.150
FOR A LITTLE WHILE LONGER
03:06:02.217 --> 03:06:02.451
[inaudible]
03:06:02.518 --> 03:06:14.796
MR MAIENSCHEIN.
03:06:14.863 --> 03:06:15.697
THANK YOU VERY MUCH MISTER
03:06:15.764 --> 03:06:16.798
CHAIRMAN YOU ALWAYS START WITH
03:06:16.865 --> 03:06:18.467
JUST GOING AMERICORPS ONTO WITH
03:06:18.534 --> 03:06:19.801
AB.
03:06:19.868 --> 03:06:20.769
TEN SIXTEEN THANK YOU MISTER
03:06:20.836 --> 03:06:22.371
CHAIR MEMBERS A. B. TEN SIXTEEN
03:06:22.437 --> 03:06:23.505
WILL CREATE THE RARE DISEASE
03:06:23.572 --> 03:06:24.706
ADVISORY COUNCIL ON THE
03:06:24.773 --> 03:06:27.943
CALIFORNIA HEALTH AND HUMAN
03:06:28.010 --> 03:06:29.845
SERVICES AGENCY MOVE THE BILL --
03:06:29.912 --> 03:06:31.213
OKAY IN LIGHT OF THAT THANK YOU
03:06:31.280 --> 03:06:32.080
VERY MUCH FOR THAT AND I'LL BE
03:06:32.147 --> 03:06:33.448
BRIEF -- CALIFORNIA WITH
03:06:33.515 --> 03:06:34.650
ENJOYING A NUMBER OF OTHER
03:06:34.716 --> 03:06:35.651
STATES THAT HAVE CREATED RARE
03:06:35.717 --> 03:06:37.486
DISEASE ADVISORY COUNCILS TO
03:06:37.553 --> 03:06:38.987
ADVISE A STATE ON RARE DISEASES
03:06:39.054 --> 03:06:40.222
THE COUNCIL WOULD ALSO CONDUCT
03:06:40.289 --> 03:06:41.290
RESEARCH TO INCREASE THE STATE
03:06:41.356 --> 03:06:42.958
UNDERSTANDING OF RARE DISEASE AN
03:06:43.025 --> 03:06:46.061
IMPROVED BUT ACCESS. TO AND
03:06:46.128 --> 03:06:48.430
QUALITY OF CARE [inaudible]
03:06:48.497 --> 03:07:08.050
AND WITNESSES IN SUPPORT
03:07:09.484 --> 03:07:09.551
.
03:07:09.551 --> 03:07:11.987
AHEAD IN START FIRST HI MY NAME
03:07:12.054 --> 03:07:13.522
IS LEE AND ARCHDEACON.
03:07:13.589 --> 03:07:14.957
AND I'M FROM EL DORADO HILLS.
03:07:15.023 --> 03:07:16.825
I LIVE THERE WITH MY THREE
03:07:16.892 --> 03:07:19.728
CHILDREN. FOR THIRTEEN YEARS MY
03:07:19.795 --> 03:07:22.931
HUSBAND AND I WANTED TO START A
03:07:22.998 --> 03:07:25.634
FAMILY BY MEANS OF ADOPTION.
03:07:25.701 --> 03:07:27.069
AFTER MANY CLASSES BACKGROUND
03:07:27.135 --> 03:07:28.170
CHECKS FROM STUDIES WE FINALLY
03:07:28.236 --> 03:07:29.204
RECEIVED THE CALL FROM THE
03:07:29.271 --> 03:07:30.472
SOCIAL WORKER THAT CHANGED OUR
03:07:30.539 --> 03:07:32.174
LIVES FOREVER.
03:07:32.240 --> 03:07:33.609
ABOUT A MONTH LATER WE FOUND
03:07:33.675 --> 03:07:34.643
OURSELVES IN A HOSPITAL ROOM
03:07:34.710 --> 03:07:36.945
HOLDING OUR ADOPTED NEWBORN.
03:07:37.012 --> 03:07:37.980
BABY BOY.
03:07:38.046 --> 03:07:39.548
WHO MEET TOGETHER NAMES AS AN
03:07:39.615 --> 03:07:40.916
ADOPTIVE FAMILY?
03:07:40.983 --> 03:07:43.151
ALONG WITH -- THE BIOLOGICAL
03:07:43.218 --> 03:07:45.320
MOTHER NICOLAS.
03:07:45.387 --> 03:07:47.723
NICOLAS CRIED UNCONTROLLABLY
03:07:47.789 --> 03:07:49.758
WHEN THE HOSPITAL AND HE SEEMS
03:07:49.825 --> 03:07:51.259
SLIGHTLY YELLOW.
03:07:51.326 --> 03:07:52.427
BUT WE WERE SURE THAT THIS IS
03:07:52.494 --> 03:07:54.329
NORMAL.
03:07:54.396 --> 03:07:55.764
ABOUT THREE MONTHS AFTER HE WAS
03:07:55.831 --> 03:07:56.531
BORN.
03:07:56.598 --> 03:07:58.300
NICHOLAS GOT REALLY SICK WITH A
03:07:58.367 --> 03:08:00.035
RESPIRATORY VIRUS.
03:08:00.102 --> 03:08:01.470
HE SEEMED TO HAVE NEVER FULLY
03:08:01.536 --> 03:08:03.639
RECOVERED AND CONTINUOUSLY BEING
03:08:03.705 --> 03:08:05.107
PRESCRIBED READING TREATMENTS.
03:08:05.173 --> 03:08:06.408
AS WELL AS NEVER ENDING
03:08:06.475 --> 03:08:09.111
ANTIBIOTICS.
03:08:09.177 --> 03:08:10.612
ORAL STEROIDS SEEM TO BE ENERGY
03:08:10.679 --> 03:08:12.314
SHORTLY AFTER AND IT SEEMED TO
03:08:12.381 --> 03:08:13.882
MAKE HIM MORE COMFORTABLE BUT
03:08:13.949 --> 03:08:15.183
THE CRYING AND SCREAMING
03:08:15.250 --> 03:08:17.552
CONTINUED.
03:08:17.619 --> 03:08:18.854
I CONTINUE TO QUESTION
03:08:18.920 --> 03:08:21.289
PEDIATRICIANS NURSES AND ANYONE
03:08:21.356 --> 03:08:23.091
WHO WOULD JUST LISTEN TO MY
03:08:23.158 --> 03:08:25.127
STORY.
03:08:25.193 --> 03:08:26.795
I WAS ADVISED THAT BECAUSE I'M A
03:08:26.862 --> 03:08:28.063
FIRST TIME MOM.
03:08:28.130 --> 03:08:31.533
THAT THIS IS NORMAL.
03:08:31.600 --> 03:08:33.201
WHEN NICHOLAS WAS CLOSE TO THREE
03:08:33.268 --> 03:08:34.036
YEARS OLD?
03:08:34.102 --> 03:08:36.371
I MADE THE DECISION TO FINALLY
03:08:36.438 --> 03:08:38.006
SWITCHED PEDIATRICIANS.
03:08:38.073 --> 03:08:40.075
IT WASN'T VERY LONG AFTER THAT
03:08:40.142 --> 03:08:44.613
WE FINALLY HEARD.
03:08:44.680 --> 03:08:46.314
A DIFFERENT DIAGNOSIS.
03:08:46.381 --> 03:08:47.783
HIS PEDIATRICIANS RAN LABS MADE
03:08:47.849 --> 03:08:49.418
CALLS TO HIS COLLEAGUES AND THEN
03:08:49.484 --> 03:08:50.385
REFERRED.
03:08:50.452 --> 03:08:52.654
US TO A GASTRO INTERNALLY JUST
03:08:52.721 --> 03:08:53.855
IN PALO ALTO.
03:08:53.922 --> 03:08:55.023
NICHOLAS WAS ADMITTED TO THE
03:08:55.090 --> 03:08:56.658
GOOD SAMARITAN HOSPITAL.
03:08:56.725 --> 03:08:58.360
INTEL HIS OXYGEN LEVELS BEGIN
03:08:58.427 --> 03:09:01.129
STABLE AND THEN WAS REFER TO
03:09:01.196 --> 03:09:01.697
LUCILLE PACKARD CHILDREN'S
03:09:01.763 --> 03:09:03.465
HOSPITAL.
03:09:03.532 --> 03:09:06.668
ONCOLOGY AND HEMATOLOGY.
03:09:06.735 --> 03:09:07.736
NICHOLAS WAS DIAGNOSED SOON
03:09:07.803 --> 03:09:09.104
AFTER WITH BETA THALASSEMIA
03:09:09.171 --> 03:09:11.173
INTERMEDIA A BLOOD DISORDER THAT
03:09:11.239 --> 03:09:12.774
IMPAIRS THE ABILITY.
03:09:12.841 --> 03:09:16.344
OF THE BODY TO DELIVER OXYGEN'S
03:09:16.411 --> 03:09:17.612
SELLS TO ITS TISSUES.
03:09:17.679 --> 03:09:19.214
BUT WE WERE TOLD THAT SOMETHING
03:09:19.281 --> 03:09:21.016
ELSE WASN'T RIGHT.
03:09:21.083 --> 03:09:22.117
WE WERE ASKED TO TAKE HIM BACK
03:09:22.184 --> 03:09:23.418
TO THE HOSPITAL FOR A LIVER
03:09:23.485 --> 03:09:24.986
BIOPSY.
03:09:25.053 --> 03:09:26.922
AND ANOTHER BLOOD DRAW DUE TO
03:09:26.988 --> 03:09:28.290
HIS HIGH ENZYMES.
03:09:28.356 --> 03:09:39.034
INTERESTINGLY ENOUGH HE WAS
03:09:39.101 --> 03:09:40.736
DIAGNOSED WITH JOE BEAR SYNDROME.
03:09:40.802 --> 03:09:45.207
BOB IS CAME BACK IN THREE DAYS.
03:09:45.273 --> 03:09:46.641
IT SHOULD HAVE BEEN DONE FIRST
03:09:46.708 --> 03:09:49.344
IT REVEALED THAT HE HAD SOME
03:09:49.411 --> 03:09:51.012
SORT OF MUSCULAR DYSTROPHY.
03:09:51.079 --> 03:09:52.714
SO NOT CLEAR WHICH KIND HE'D
03:09:52.781 --> 03:09:55.250
BEEN REFERRED TO THE MDA CLINIC.
03:09:55.317 --> 03:09:57.853
FOR FURTHER TESTING WHICH INTEL
03:09:57.919 --> 03:09:59.287
GENETIC SEQUENCING.
03:09:59.354 --> 03:10:01.656
AT THAT TIME TO CLOSE WAS THREE
03:10:01.723 --> 03:10:02.991
AND A HALF YEARS OLD TO THE DATE.
03:10:03.058 --> 03:10:04.559
HE WAS FEELING BETTER BACK TO
03:10:04.626 --> 03:10:05.727
DAY CARE.
03:10:05.794 --> 03:10:07.295
AND I FOUND MYSELF GROCERY
03:10:07.362 --> 03:10:08.663
SHOPPING AND SAFE WAY.
03:10:08.730 --> 03:10:10.866
AND MY PHONE RANG.
03:10:10.932 --> 03:10:12.100
IT WAS THE NEUROLOGISTS TELLING
03:10:12.167 --> 03:10:14.603
ME MRS ARCHDEACON.
03:10:14.669 --> 03:10:15.937
YOUR SON HAS CHEN SKEWER
03:10:16.004 --> 03:10:17.639
DYSTROPHY.
03:10:17.706 --> 03:10:19.574
HE WILL START TO LOSE THE
03:10:19.641 --> 03:10:21.576
ABILITY TO WALK.
03:10:21.643 --> 03:10:24.279
HIS RESPIRATORY HOPE WILL FADE
03:10:24.346 --> 03:10:24.579
[inaudible]
03:10:24.646 --> 03:10:26.681
AND EVENTUALLY.
03:10:26.748 --> 03:10:27.282
HIS HEART WE'RE GOING TO FILL
03:10:27.349 --> 03:10:30.418
YOUR THERE IS NO CURE THERE'S NO
03:10:30.485 --> 03:10:31.353
THERAPY.
03:10:31.419 --> 03:10:33.321
AND ALL I CAN DO IS REFER YOU TO
03:10:33.388 --> 03:10:34.556
CCS.
03:10:34.623 --> 03:10:36.992
WITH THE HOPES TO BEGIN PHYSICAL
03:10:37.058 --> 03:10:38.059
THERAPY.
03:10:38.126 --> 03:10:40.095
JUST GO HOME AND ENJOY THE TIME
03:10:40.162 --> 03:10:41.496
YOU HAVE WITH THEM.
03:10:41.563 --> 03:10:43.598
THE AVERAGE LIFESPAN IS INTO THE
03:10:43.665 --> 03:10:45.167
LATE TEENS.
03:10:45.233 --> 03:10:46.668
CAN YOU IMAGINE BEING IN THE
03:10:46.735 --> 03:10:48.270
MIDDLE OF THE GROCERY STORE IN
03:10:48.336 --> 03:10:51.273
GETTING THAT CALL.
03:10:51.339 --> 03:10:53.074
I IMMEDIATELY FELT A LOSS FOR MY
03:10:53.141 --> 03:10:55.110
CHILD.
03:10:55.177 --> 03:10:57.045
AND THEN INGER.
03:10:57.112 --> 03:10:59.481
SO LONG BECAUSE I WAS DISMISSED
03:10:59.548 --> 03:11:03.018
AS BEING A FIRST TIME MOM.
03:11:03.084 --> 03:11:05.220
I WENT HOME TOGETHER MY THOUGHTS
03:11:05.287 --> 03:11:06.755
AND SORT OUT THE BEST YOU XIN
03:11:06.822 --> 03:11:08.623
NEUROLOGISTS WHO IS LOCATED UP
03:11:08.690 --> 03:11:10.425
ALL THE WAY ACROSS THE COUNTRY
03:11:10.492 --> 03:11:12.260
IN CINCINNATI.
03:11:12.327 --> 03:11:13.461
WE WERE GIVEN A WEALTH OF
03:11:13.528 --> 03:11:14.796
KNOWLEDGE AND HELP.
03:11:14.863 --> 03:11:16.164
BUT NOT EVERYONE HAS THE OPTION
03:11:16.231 --> 03:11:17.699
TO TRAVEL ACROSS THE UNITED
03:11:17.766 --> 03:11:19.267
STATES FOR CARE.
03:11:19.334 --> 03:11:20.569
MANY THINGS HAVE CHANGED OVER
03:11:20.635 --> 03:11:22.904
THE LAST FEW YEARS IN CALIFORNIA
03:11:22.971 --> 03:11:24.306
BUT IT'S STILL SLOW PROCESS.
03:11:24.372 --> 03:11:26.074
MANY SERVICES ARE DENIED BECAUSE
03:11:26.141 --> 03:11:28.443
OF LACK OF KNOWLEDGE.
03:11:28.510 --> 03:11:30.011
OF HIS COMPLEX MEDICAL NEEDS.
03:11:30.078 --> 03:11:31.680
NICHOLAS HAS A MULTIPLE
03:11:31.746 --> 03:11:32.881
SPECIALIST.
03:11:32.948 --> 03:11:34.516
WHO WERE NOT EASY TO FIND DUE TO
03:11:34.583 --> 03:11:36.318
LACK OF UNDERSTANDING OF THE
03:11:36.384 --> 03:11:37.786
NEEDS OF RARE DISEASE?
03:11:37.853 --> 03:11:39.187
AND DUE TO HIS NEVER ENDING
03:11:39.254 --> 03:11:40.188
PROCESS.
03:11:40.255 --> 03:11:41.723
IN THE NEVER ENDING PERSISTENCE
03:11:41.790 --> 03:11:43.825
AND CARE NICHOLAS IS DOING MUCH
03:11:43.892 --> 03:11:45.493
BETTER THAN THE AVERAGE CHILD
03:11:45.560 --> 03:11:46.595
WITH TO SHINE.
03:11:46.661 --> 03:11:48.230
WE WERE ACTUALLY TOLD BY THE
03:11:48.296 --> 03:11:49.798
TIME HE WAS TWELVE YEARS OLD HE
03:11:49.865 --> 03:11:52.467
WOULD BE ENOUGH POWER CHAIR FULL
03:11:52.534 --> 03:11:53.034
TIME.
03:11:53.101 --> 03:11:54.169
HE WOULD NEVER BE ABLE TO RUN
03:11:54.236 --> 03:11:55.704
JUMPERS GET.
03:11:55.770 --> 03:11:57.706
WITH EARLY INTERVENTION AND
03:11:57.772 --> 03:12:00.709
CONTINUE THERAPY NECKLACES
03:12:00.775 --> 03:12:01.309
TWELVE YEARS OLD TODAY AND CAN
03:12:01.376 --> 03:12:02.611
STILL WALK.
03:12:02.677 --> 03:12:05.113
HE CAN RUN HE CAN SKIP HE CAN
03:12:05.180 --> 03:12:06.214
JUMP.
03:12:06.281 --> 03:12:07.849
AND WE WERE EXTREMELY CAUTIOUS
03:12:07.916 --> 03:12:10.285
AS WE ARE WHERE WHAT TO LOOK FOR
03:12:10.352 --> 03:12:11.820
WHEN HE'S.
03:12:11.887 --> 03:12:13.388
FIFTEEN NEEDING CONSTANT BREAKS.
03:12:13.455 --> 03:12:14.956
WHAT THIS HE HAS LAST MEDICAL
03:12:15.023 --> 03:12:16.925
VISITS LESS NEED FOR IN HELD
03:12:16.992 --> 03:12:18.927
MEDICATIONS AND A STABLE WITH
03:12:18.994 --> 03:12:21.529
HIS WITH JUST A FEW MEDICATIONS?
03:12:21.596 --> 03:12:23.999
I OFTEN THINK ABOUT WHAT IF I
03:12:24.065 --> 03:12:26.434
WASN'T SO PERSISTENT.
03:12:26.501 --> 03:12:27.903
WHAT IF I HAD WAITED AND WHAT IF
03:12:27.969 --> 03:12:29.704
I LISTEN TO THESE MEDICAL
03:12:29.771 --> 03:12:31.606
PROFESSIONALS?
03:12:31.673 --> 03:12:33.708
WOULD HE BE ALIVE TODAY.
03:12:33.775 --> 03:12:34.976
WOULD HE BE WALKING.
03:12:35.043 --> 03:12:37.145
MOST LIKELY NOT.
03:12:37.212 --> 03:12:38.580
HAVING A CHILD WITH MULTIPLE
03:12:38.647 --> 03:12:40.081
RARE DISEASES IS EXTREMELY
03:12:40.148 --> 03:12:41.316
DIFFICULT WHEN THOSE WHO ARE
03:12:41.383 --> 03:12:42.817
MAKING THE DECISIONS.
03:12:42.884 --> 03:12:44.386
DO NOT UNDERSTAND THE MEDICAL
03:12:44.452 --> 03:12:45.954
COMPLEXITY OF LIVING WITH A RARE
03:12:46.021 --> 03:12:47.422
DISEASE.
03:12:47.489 --> 03:12:49.057
WE'VE BEEN TOLD MANY TIMES OVER
03:12:49.124 --> 03:12:50.592
AND OVER THAT IF THEY CAN'T SEE
03:12:50.659 --> 03:12:53.628
IMPROVEMENT HE WILL NO LONGER BE.
03:12:53.695 --> 03:12:54.529
WILL NO LONGER QUALIFY FOR
03:12:54.596 --> 03:12:56.698
THERAPY.
03:12:56.765 --> 03:12:58.066
HIS DISEASES ARE PROGRESSIVE
03:12:58.133 --> 03:13:00.001
THEY'RE NOT CURABLE BUT HE
03:13:00.068 --> 03:13:01.870
DESERVES A QUALITY LIFE LIKE
03:13:01.937 --> 03:13:03.538
EVERY OTHER PERSON.
03:13:03.605 --> 03:13:05.440
I'VE OFTEN WISHED THAT THERE WAS
03:13:05.507 --> 03:13:07.242
ANOTHER VOICE FOR MY SON.
03:13:07.309 --> 03:13:09.311
AND OTHERS WHEN MAKING DECISIONS
03:13:09.377 --> 03:13:11.880
ON SERVICES AND PROVIDED CARE.
03:13:11.947 --> 03:13:14.015
AND I TRULY HOPE THAT WE CAN SEE
03:13:14.082 --> 03:13:16.117
A DAY VERY SOON WHEN WE WILL
03:13:16.184 --> 03:13:17.552
HAVE A VOICE OF UNDERSTANDING
03:13:17.619 --> 03:13:18.753
THAT CHILDREN LIKE MINE ARE
03:13:18.820 --> 03:13:20.355
COOKIE CUTTER.
03:13:20.422 --> 03:13:21.856
MY HOPES ARE THAT WE CAN HAVE A
03:13:21.923 --> 03:13:23.124
RARE DISEASE.
03:13:23.191 --> 03:13:24.826
ADVISORY COUNCIL IN CALIFORNIA
03:13:24.893 --> 03:13:26.628
TO HELP THE STATE UNDERSTAND THE
03:13:26.695 --> 03:13:27.929
UNIQUE NEEDS FOR PATIENT ACCESS
03:13:27.996 --> 03:13:29.998
TO QUALITY OF CARE AND ACCESS TO
03:13:30.065 --> 03:13:32.067
SERVICES THAT ENSURE THE HIGHEST
03:13:32.133 --> 03:13:33.234
POSSIBLE QUALITY OF LIFE FOR
03:13:33.301 --> 03:13:35.136
THESE PATIENTS.
03:13:35.203 --> 03:13:36.705
THANK YOU SO MUCH FOR YOUR TIME.
03:13:36.771 --> 03:13:38.340
YOUR PUBLIC SERVICE.
03:13:38.406 --> 03:13:39.307
ON BEHALF OF THE RARE DISEASE
03:13:39.374 --> 03:13:42.711
PATIENTS IN YOUR CONSIDERATION
03:13:42.777 --> 03:13:45.647
OF AB.
03:13:45.714 --> 03:13:46.548
TEN SIXTEEN CHAIRMAN MEMBERS ALL
03:13:46.614 --> 03:13:47.082
OF IRAQ RIGHT CALIFORNIA
03:13:47.148 --> 03:13:48.683
LICENSES ASSOCIATION WITH PROP
03:13:48.750 --> 03:13:50.885
SPONSORED LEGISLATION AND IF I
03:13:50.952 --> 03:13:51.886
COULD HELP SEAT THE REST OF MY
03:13:51.953 --> 03:13:54.055
TIME AND WE HAVE.
03:13:54.122 --> 03:13:56.124
VERY LITTLE TO IS ABOUT
03:13:56.191 --> 03:13:56.424
[inaudible]
03:13:56.491 --> 03:14:00.829
HEY.
03:14:00.895 --> 03:14:03.598
MY NAME IS A BLESSING I LIVE
03:14:03.665 --> 03:14:06.301
WITH A RATED SCENES.
03:14:06.368 --> 03:14:08.003
ALONG WITH AND BE IF THEY AIM AT
03:14:08.069 --> 03:14:10.772
THE MULLIN DISORDER PEOPLE WITH
03:14:10.839 --> 03:14:11.506
AND BE A DAY.
03:14:11.573 --> 03:14:12.774
YOU'RE NOT GOING TO THAT
03:14:12.841 --> 03:14:14.309
PARTICULAR ENZYME IN YOUR BODY.
03:14:14.376 --> 03:14:19.014
COCKING PROGRESSIVE DAMAGING ALL
03:14:19.080 --> 03:14:22.183
ORGANS AND THE SEVERITY OF THE
03:14:22.250 --> 03:14:25.487
DISEASE IS DEMAND.
03:14:25.553 --> 03:14:26.087
FOR PEOPLE I THINK THAT WOULD
03:14:26.154 --> 03:14:26.955
AND BE AT STAKE.
03:14:27.022 --> 03:14:29.891
LIVE AT THE SHORE FOR ME MY
03:14:29.958 --> 03:14:30.925
GRILL.
03:14:30.992 --> 03:14:33.528
GREEN HEART AYE BINDS LIVE WORK
03:14:33.595 --> 03:14:34.596
JOINT.
03:14:34.662 --> 03:14:37.065
CAN'T HEAR THE IN GAME HAVE BEEN
03:14:37.132 --> 03:14:38.099
AFFECTED.
03:14:38.166 --> 03:14:41.736
THERE'S NO CARE BRAND BE AT SIX
03:14:41.803 --> 03:14:47.642
FOURTEEN TO GET TREATMENT THAT
03:14:47.709 --> 03:14:49.611
THAT FLOW.
03:14:49.677 --> 03:14:53.048
NO THE PROGRESSION OF TRAVEL TO
03:14:53.114 --> 03:14:54.015
DIFFERENT.
03:14:54.082 --> 03:14:55.583
LOCATIONS TO RAISE A WARRANT A
03:14:55.650 --> 03:14:57.018
RARE DISEASE.
03:14:57.085 --> 03:14:58.420
I'M NOT STUDENTS AND EDUCATORS
03:14:58.486 --> 03:15:01.389
I'VE BEEN I'VE BEEN HELPING THE
03:15:01.456 --> 03:15:02.690
RATE AT THIS COMMUNITY BY FANNIE.
03:15:02.757 --> 03:15:04.292
A WARRANT A LOT OTHER BUT WE
03:15:04.359 --> 03:15:05.293
NEED A STRONGER VOICE.
03:15:05.360 --> 03:15:07.629
HAVING A BILL TO ESTABLISH.
03:15:07.695 --> 03:15:09.064
A BASELINE CABALLERO ON RARE
03:15:09.130 --> 03:15:16.037
DISEASE WILL KEEP A STRONG.
03:15:16.104 --> 03:15:18.339
LONGER VOICE ALL PAIN FOR
03:15:18.406 --> 03:15:19.974
FIGHTING RENDON SEES.
03:15:20.041 --> 03:15:22.644
HOW THEY ALSO FAMILIES TO GET A
03:15:22.710 --> 03:15:23.978
FACTOR THEY NOTE? EIGHT TO FIND
03:15:24.045 --> 03:15:25.180
THE BEST PRACTICE FOR THEIR
03:15:25.246 --> 03:15:25.713
LOVED ONES.
03:15:25.780 --> 03:15:27.482
IT BREAKS MY HEART THAT NEARLY
03:15:27.549 --> 03:15:28.383
FOUR MILLION PEOPLE IN
03:15:28.450 --> 03:15:29.717
CALIFORNIA.
03:15:29.784 --> 03:15:31.319
ARE AFFECTED.
03:15:31.386 --> 03:15:32.921
BY READ THE SCENE I ALSO BELIEVE
03:15:32.987 --> 03:15:34.122
DIRECT TO SEE THAT THAT DURING
03:15:34.189 --> 03:15:35.123
COUNCIL.
03:15:35.190 --> 03:15:36.724
WILL BE THE START TO RACE THE
03:15:36.791 --> 03:15:38.059
CONVERSATION ABOUT.
03:15:38.126 --> 03:15:39.294
PREGNANCY THEN PROBABLY WILL
03:15:39.360 --> 03:15:40.862
SUPPORT TO PROMOTE.
03:15:40.929 --> 03:15:42.464
MORE FAVORABLE ENVIRONMENT
03:15:42.530 --> 03:15:43.565
ACCESS TO TREATMENT.
03:15:43.631 --> 03:15:45.467
INDIVIDUAL.
03:15:45.533 --> 03:15:47.635
LIVING LIVER DISEASE.
03:15:47.702 --> 03:15:49.938
I PROBABLY KNOW THAT THIS BILL
03:15:50.004 --> 03:15:50.638
AND THE RATE IS SEEN.
03:15:50.705 --> 03:15:52.273
AND I THINK I WILL HAVE THE
03:15:52.340 --> 03:15:53.842
OUTSTANDING.
03:15:53.908 --> 03:15:55.543
TENSION.
03:15:55.610 --> 03:15:57.212
CREATING EIGHT FRAME MORE OF
03:15:57.278 --> 03:15:58.079
THEIR FAITH.
03:15:58.146 --> 03:16:09.190
ALREADY SEES PATIENTS THANK YOU.
03:16:09.257 --> 03:16:10.258
THANK YOU VERY MUCH A OTHERS IN
03:16:10.325 --> 03:16:13.428
SUPPORT.
03:16:13.495 --> 03:16:13.962
HELLO ANGELA RAMIREZ HOMES
03:16:14.028 --> 03:16:14.762
FOUNDER PRESIDENT OF CALIFORNIA
03:16:14.829 --> 03:16:16.564
ACTUALLY FOR RARE DISEASES ARE
03:16:16.631 --> 03:16:19.400
CAL RARE WHEN SUPPORT.
03:16:19.467 --> 03:16:19.934
MR CHAIRMAN MEMBERS TONY
03:16:20.001 --> 03:16:20.935
GONZALEZ ON BEHALF OF THE SICKLE
03:16:21.002 --> 03:16:22.537
CELL DISEASE FOUNDATION
03:16:22.604 --> 03:16:28.209
CALIFORNIA IN SUPPORT THE BILL.
03:16:28.276 --> 03:16:29.577
DO IT BECAUSE GROUP GARCIA --
03:16:29.644 --> 03:16:30.812
MOTHER OF NICOLAS GARCIA TWENTY
03:16:30.879 --> 03:16:31.446
SEVEN YEARS OLD WITH DUCHENNE
03:16:31.513 --> 03:16:32.714
MUSCULAR DYSTROPHY IN SUPPORT
03:16:32.780 --> 03:16:34.549
ALSO CURE DO XIN IN SUPPORT.
03:16:34.616 --> 03:16:35.150
AND ALSO ON BEHALF OF PARENT
03:16:35.216 --> 03:16:37.585
PROJECT MUSCULAR DYSTROPHY THANK
03:16:37.652 --> 03:16:39.854
YOU.
03:16:39.921 --> 03:16:41.923
SIR ANYONE ELSE. THIRTY ONE IN
03:16:41.990 --> 03:16:44.292
OPPOSITION.
03:16:44.359 --> 03:16:45.460
SEE NUMBER BRING BACK TO THE
03:16:45.527 --> 03:16:46.794
COMMITTEE FOR QUESTIONS OR
03:16:46.861 --> 03:16:52.333
COMMENTS -- SPOTS A THANK YOU
03:16:52.400 --> 03:16:53.668
FOR BRINGING THIS BILL FORWARD --
03:16:53.735 --> 03:16:54.936
IT DOES ENJOYED DO PASS
03:16:55.003 --> 03:16:56.504
RECOMMENDATION WHICH YOU WOULD
03:16:56.571 --> 03:16:57.739
LIKE TO CLOSE THANK YOU VERY
03:16:57.805 --> 03:16:59.240
MUCH I MISTER CHAIR AND MEMBERS
03:16:59.307 --> 03:17:00.775
THANK YOU MY WITNESSES
03:17:00.842 --> 03:17:02.610
RESPECTFULLY REQUEST AND I ABOUT.
03:17:02.677 --> 03:17:04.145
WELL THANK YOU THANK YOU TO
03:17:04.212 --> 03:17:05.146
WITNESSES WELL PROCEED CREATE
03:17:05.213 --> 03:17:07.448
THAT -- THE WE HAVE A MODE.
03:17:07.515 --> 03:17:08.550
WE HAVE A MOTION BY MISTER
03:17:08.616 --> 03:17:10.552
AGUILAR CURRY A SECOND BY MISTER
03:17:10.618 --> 03:17:14.088
SANTIAGO THE MOTION IS TO PASS
03:17:14.155 --> 03:17:16.224
TO APPROPRIATIONS.
03:17:16.291 --> 03:17:17.325
A MAN SECRETARY PLEASE CALL THE
03:17:17.392 --> 03:17:20.028
ROLL WHAT I WOULD AYE MAYES.
03:17:20.094 --> 03:17:21.062
AGUIAR-CURRY AGUIAR-CURRY I
03:17:21.129 --> 03:17:22.830
BIGELOW.
03:17:22.897 --> 03:17:24.265
BONTA BURKE.
03:17:24.332 --> 03:17:25.633
BURKE I CARILLO [inaudible]
03:17:25.700 --> 03:17:27.835
I FLORA.
03:17:27.902 --> 03:17:31.906
THE MOON MCCARTY NAZARIAN RAMOS.
03:17:31.973 --> 03:17:33.675
I RODRIGUEZ.
03:17:33.741 --> 03:17:35.743
RODRIGUEZ AYE SANTIAGO.
03:17:35.810 --> 03:17:37.011
SANTIAGO AYE WALDRON.
03:17:37.078 --> 03:17:42.483
WALDRON AYE.
03:17:42.550 --> 03:17:44.452
YOUR BILL HAS EIGHT VOTES IS THE
03:17:44.519 --> 03:17:52.293
FIRST ONE OUT OF COMMITTEE TODAY.
03:17:52.360 --> 03:17:54.095
THANK YOU LET'S KEEP IT GOING ON
03:17:54.162 --> 03:17:59.934
ALL RIGHT I GOT TO MARK YOU DO.
03:18:00.001 --> 03:18:06.574
THANK YOU BOTH VERY MUCH.
03:18:06.641 --> 03:18:08.209
I THANK YOU MISTER CHAIR -- I AM
03:18:08.276 --> 03:18:11.713
PLEASED TO PRESENT AB.
03:18:11.779 --> 03:18:12.347
TWELVE FORTY NINE AND I WANT TO
03:18:12.413 --> 03:18:13.114
BEGIN -- AS MY WITNESSES ARE
03:18:13.181 --> 03:18:14.015
COMING FORWARD BY ACCEPTING THE
03:18:14.082 --> 03:18:15.650
AMENDMENTS AS BEFORE THE
03:18:15.717 --> 03:18:17.885
COMMITTEE IN MOSCOW FORM I WANT
03:18:17.952 --> 03:18:19.187
TO THANK THE BILL.
03:18:19.254 --> 03:18:20.255
THANK YOU THANK YOU VERY MUCH I
03:18:20.321 --> 03:18:20.822
WANT TO THANK THE COMMITTEE
03:18:20.888 --> 03:18:21.389
STAFF IN THE CHAIR FOR THEIR
03:18:21.456 --> 03:18:22.890
WORK -- I ALSO WANT TO TAKE THE
03:18:22.957 --> 03:18:24.959
VARIOUS STAKEHOLDERS TO FIVE
03:18:25.026 --> 03:18:25.960
WORKED ON THIS BILL AND IT'S
03:18:26.027 --> 03:18:27.962
BECAUSE OF THEIR INPUT THAT YOU
03:18:28.029 --> 03:18:29.797
SEE THE MOCK UP BEFORE YOU TODAY.
03:18:29.864 --> 03:18:32.367
WHICH PROVIDES A FOUNDATION FOR
03:18:32.433 --> 03:18:33.001
PROGRAMS TO BUILD UPON IN THE
03:18:33.067 --> 03:18:34.135
FUTURE.
03:18:34.202 --> 03:18:35.370
AB TWELVE FORTY NINE REPRESENTS
03:18:35.436 --> 03:18:36.938
AN INNOVATIVE APPROACH TO
03:18:37.005 --> 03:18:39.040
CONTAIN SKYROCKETING HEALTHCARE
03:18:39.107 --> 03:18:41.109
COSTS EMPLOYERS THAT PROVIDE
03:18:41.175 --> 03:18:42.310
HEALTH CARE BENEFITS TO THEIR
03:18:42.377 --> 03:18:43.678
EMPLOYEES STRUGGLE TO CONTAIN
03:18:43.745 --> 03:18:45.013
COSTS AND OBTAIN THE BEST
03:18:45.079 --> 03:18:46.114
QUALITY OF CARE.
03:18:46.180 --> 03:18:47.348
THERE IS A GROWING MOVEMENT
03:18:47.415 --> 03:18:48.650
ACROSS THE NATION A PAIR AND
03:18:48.716 --> 03:18:50.184
PLAYER HEALTH BENEFIT PLANS WITH
03:18:50.251 --> 03:18:52.186
ORGANIZED INTEGRATED PROVIDERS.
03:18:52.253 --> 03:18:53.821
IN A MORE ALIGNED RELATIONSHIP
03:18:53.888 --> 03:18:55.590
TO PRODUCE BETTER CARE AT LOWER
03:18:55.657 --> 03:18:57.825
COST THIS BILL WOULD PROVIDE TWO
03:18:57.892 --> 03:18:59.027
PILOTS ONE IN THE SOUTHERN
03:18:59.093 --> 03:19:00.528
PORTION OF THE STATE AND THE
03:19:00.595 --> 03:19:01.763
OTHER IN THE NORTHERN SECTION.
03:19:01.829 --> 03:19:03.164
THAT WOULD OPERATE FOR A PERIOD
03:19:03.231 --> 03:19:04.899
OF FIVE YEARS THE PILOTS WOULD
03:19:04.966 --> 03:19:06.134
INCLUDE RISK BEARING PROVIDERS
03:19:06.200 --> 03:19:07.702
THAT ARE MONITORED BY THE
03:19:07.769 --> 03:19:09.203
DEPARTMENT OF MANAGED HEALTHCARE.
03:19:09.270 --> 03:19:12.240
FOR FINANCIAL SOLVENCY IN
03:19:12.307 --> 03:19:13.107
OPERATIONS.
03:19:13.174 --> 03:19:14.042
SELF FUNDED EMPLOYER PLANS WOULD
03:19:14.108 --> 03:19:15.576
USE REST BASED PAYMENT
03:19:15.643 --> 03:19:16.944
MECHANISMS WITH THE HEALTH CARE
03:19:17.011 --> 03:19:18.479
PROVIDERS FOR THEIR SERVICES
03:19:18.546 --> 03:19:20.214
RATHER THAN PURE FEE FOR SERVICE
03:19:20.281 --> 03:19:21.316
COMPENSATION.
03:19:21.382 --> 03:19:22.216
AT THE END OF THE PERIOD THE
03:19:22.283 --> 03:19:23.518
PARTICIPANTS WOULD REPORT ON THE
03:19:23.584 --> 03:19:24.752
OUTCOMES CAN FORM THE
03:19:24.819 --> 03:19:26.654
LEGISLATURE -- ON PROMISING
03:19:26.721 --> 03:19:28.189
MODELS OF HEALTH CARE FINANCING
03:19:28.256 --> 03:19:29.824
AND DELIVERY A STUDY BY THE UC
03:19:29.891 --> 03:19:31.826
BERKELEY SCHOOL OF PUBLIC HEALTH
03:19:31.893 --> 03:19:32.660
PREDICTED THAT THIS TYPE OF
03:19:32.727 --> 03:19:33.261
MODEL.
03:19:33.328 --> 03:19:34.395
COULD REDUCE HEALTHCARE
03:19:34.462 --> 03:19:36.731
EXPENDITURES BY AN ESTIMATED A
03:19:36.798 --> 03:19:37.999
HUNDRED AND TEN BILLION DOLLARS
03:19:38.066 --> 03:19:40.401
OVER TEN YEARS IT ALSO PROVIDES
03:19:40.468 --> 03:19:42.236
PROTECTION FOR CONSUMERS LAYING
03:19:42.303 --> 03:19:43.571
OUT A NUMBER OF IMPORTANT
03:19:43.638 --> 03:19:45.673
CONSUMER PROTECTION COMPONENTS
03:19:45.740 --> 03:19:47.108
SUCH AS ACCESS TO SPECIALISTS.
03:19:47.175 --> 03:19:48.509
PRESCRIPTION BENEFITS IN A
03:19:48.576 --> 03:19:50.478
COMPLAINTS PROCESS THAT MUST BE
03:19:50.545 --> 03:19:51.412
CONSIDERED AS PART OF THE
03:19:51.479 --> 03:19:53.915
CONTRACTING PARK PROCESS FOR THE
03:19:53.981 --> 03:19:54.949
PILOT PROGRAMS.
03:19:55.016 --> 03:19:56.484
BIRDS COMBATING THE RISING COST
03:19:56.551 --> 03:19:58.019
OF HEALTHCARE REQUIRES A NEW WAY
03:19:58.086 --> 03:19:58.886
OF THINKING AND THIS PILOT
03:19:58.953 --> 03:20:00.088
PROJECT.
03:20:00.154 --> 03:20:01.356
AUTHORIZED BY THIS BILL CAN
03:20:01.422 --> 03:20:02.390
CHANGE THE WAY WE APPROACH
03:20:02.457 --> 03:20:03.991
HEALTH CARE DELIVERY I WOULD
03:20:04.058 --> 03:20:07.228
RESPECTFULLY REQUEST AN AYE VOTE.
03:20:07.295 --> 03:20:09.497
BECAUSE HE OF THREE WITNESSES SO
03:20:09.564 --> 03:20:11.933
YES THE MINUTES EACH OR YOU HAVE
03:20:11.999 --> 03:20:13.534
SIX MINUTES TOTAL SO.
03:20:13.601 --> 03:20:14.635
SEARCH REMEMBER SCOTT WHICH I'D
03:20:14.702 --> 03:20:15.937
LIKE TO DEFER FIRST TO GEORGE
03:20:16.003 --> 03:20:17.505
MCGREGOR REPRESENTING.
03:20:17.572 --> 03:20:19.507
MY CLIENT VIVA VOLUNTARY
03:20:19.574 --> 03:20:21.142
EMPLOYEE BENEFIT ASSOCIATION
03:20:21.209 --> 03:20:23.811
WHICH IS MADE UP OF CTA CSEA A.
03:20:23.878 --> 03:20:25.079
F. T..
03:20:25.146 --> 03:20:27.915
AND SIXTY FIVE SCHOOL DISTRICTS
03:20:27.982 --> 03:20:29.951
LOCAL GOVERNMENT AGENCIES.
03:20:30.017 --> 03:20:31.486
MISTER CHAIRMAN COMMITTEE THANK
03:20:31.552 --> 03:20:34.021
YOU FOR YOUR TIME TODAY.
03:20:34.088 --> 03:20:35.623
THE CALIFORNIA SCHOOLS FEVER IS
03:20:35.690 --> 03:20:38.192
LIKE YOUR SISTER'S KIDS IT'S A
03:20:38.259 --> 03:20:38.760
LITTLE THEY'RE JUST A LITTLE
03:20:38.826 --> 03:20:39.327
DIFFERENT.
03:20:39.394 --> 03:20:41.162
A I REPRESENT A HUNDRED AND
03:20:41.229 --> 03:20:42.363
FIFTY THOUSAND TEACHERS
03:20:42.430 --> 03:20:45.366
CUSTODIANS BUS DRIVERS.
03:20:45.433 --> 03:20:47.201
CONSUMERS OF HEALTH CARE FOR THE
03:20:47.268 --> 03:20:49.303
PURPOSE OF PROVIDING THEM HIGHER
03:20:49.370 --> 03:20:51.506
VALUE AT LOWER COST.
03:20:51.572 --> 03:20:52.740
A LOT OF THESE PEOPLE STRUGGLE
03:20:52.807 --> 03:20:55.376
WITH EVERYDAY LIFE IN THIS AREA
03:20:55.443 --> 03:20:57.278
AND THEY NEED AS MUCH HELP AS
03:20:57.345 --> 03:20:58.212
THEY CAN GET.
03:20:58.279 --> 03:20:59.814
DEALING IN THE AREA OF HEALTH
03:20:59.881 --> 03:21:03.785
CARE WHICH IS ONE OF MY CLIENT.
03:21:03.851 --> 03:21:06.154
SPECIALIZES IN DOING. HUNDRED
03:21:06.220 --> 03:21:08.523
AND FIFTY THOUSAND PEOPLE
03:21:08.589 --> 03:21:09.023
HUNDRED AND THIRTY TWO
03:21:09.090 --> 03:21:11.859
BARGAINING UNITS SIXTY FIVE
03:21:11.926 --> 03:21:12.960
SCHOOL DISTRICTS.
03:21:13.027 --> 03:21:15.863
WE HAVE -- FORM SINCE NINETEEN
03:21:15.930 --> 03:21:17.031
NINETY TWO WE HAVE OVER THIRTY
03:21:17.098 --> 03:21:19.634
MILLION MEMBER MONTHS OF MEDICAL
03:21:19.700 --> 03:21:23.371
COVERAGE -- UNDER OUR BELT THE
03:21:23.438 --> 03:21:25.006
BOARD BOARD OF DIRECTORS.
03:21:25.072 --> 03:21:26.040
OUT OF ALL OF THAT THERE IS A
03:21:26.107 --> 03:21:27.775
BEEN ONE PHYSICIAN BANKRUPTCY
03:21:27.842 --> 03:21:29.477
THERE ISN'T AN ONE MEMBER.
03:21:29.544 --> 03:21:32.046
BUILD FOR CLAIMS WE INTERVENE ON
03:21:32.113 --> 03:21:34.015
BEHALF OF THE MEMBERS AND WE
03:21:34.081 --> 03:21:35.783
HAVE AN IDEA FOR THE NEXT
03:21:35.850 --> 03:21:37.552
GENERATION OF PLAN DESIGN WHICH
03:21:37.618 --> 03:21:39.687
WILL SIGNIFICANTLY LOWER THE
03:21:39.754 --> 03:21:40.788
COST OF HEALTHCARE.
03:21:40.855 --> 03:21:43.891
BY IMPROVING THE QUALITY LEADING
03:21:43.958 --> 03:21:45.359
HIGH PERFORMING PHYSICIANS
03:21:45.426 --> 03:21:47.462
ACTORS PHYSICIANS AND GETTING A
03:21:47.528 --> 03:21:53.034
LOT OF MIDDLE MAN OUT OF THE WAY.
03:21:53.100 --> 03:21:54.435
ON TO THAT CONCLUSION WE HAVE A
03:21:54.502 --> 03:21:56.204
HISTORY OF OUR TEST PILOT
03:21:56.270 --> 03:21:57.472
PROJECTS PAYING OFF.
03:21:57.538 --> 03:21:58.673
OUR LAST ONE WAS THE DEVELOPMENT
03:21:58.739 --> 03:22:00.308
OF PERFORMANCE NETWORK.
03:22:00.374 --> 03:22:02.643
USING THE OFFICE OF PATIENT
03:22:02.710 --> 03:22:04.278
ADVOCATE DATA.
03:22:04.345 --> 03:22:05.446
THAT MEASURES THE QUALITY OF
03:22:05.513 --> 03:22:07.215
PHYSICIANS GROUP WE INCENTIVIZE
03:22:07.281 --> 03:22:09.183
FOR MEMBERS TO GO TO HIGH
03:22:09.250 --> 03:22:10.585
PERFORMING GROUPS.
03:22:10.651 --> 03:22:14.188
GROUPS ABOVE 90% COMPLIANCE WITH
03:22:14.255 --> 03:22:16.023
APPROVED MEDICAL PROTOCOL.
03:22:16.090 --> 03:22:17.558
THE FIRST YOU SAVINGS FOR THIS
03:22:17.625 --> 03:22:20.094
POPULATION WAS FIFTY TWO MILLION
03:22:20.161 --> 03:22:23.531
DOLLARS OR 11% OF PREMIUM.
03:22:23.598 --> 03:22:24.532
THERE ARE CURRENT PROVISIONS OF
03:22:24.599 --> 03:22:26.100
THE KNOX KEEN ACT WHICH PROHIBIT
03:22:26.167 --> 03:22:27.235
US.
03:22:27.301 --> 03:22:28.569
FROM MOVING FORWARD WITH THE
03:22:28.636 --> 03:22:30.338
NEXT GENERATION AND THE BILL
03:22:30.404 --> 03:22:32.773
WERE ASKING YOUR SUPPORT ON
03:22:32.840 --> 03:22:34.141
WOULD GIVE US THE ABILITY IN A
03:22:34.208 --> 03:22:35.710
CONTROLLED ENVIRONMENT TO MOVE
03:22:35.776 --> 03:22:37.411
FORWARD.
03:22:37.478 --> 03:22:40.081
THANK YOU FOR YOUR CONSIDERATION.
03:22:40.147 --> 03:22:40.715
MISTER CHAIRMAN AND MEMBERS GOT
03:22:40.781 --> 03:22:42.383
WHICH ON BEHALF OF THE
03:22:42.450 --> 03:22:43.417
CALIFORNIA STATE PATRIOTS
03:22:43.484 --> 03:22:45.019
COUNCIL THE STATE ASSOCIATION OF
03:22:45.086 --> 03:22:47.355
ELECTRICAL WORKERS THE WESTERN
03:22:47.421 --> 03:22:47.955
STATES COUNCIL OF SHEET METAL
03:22:48.022 --> 03:22:48.990
WORKERS.
03:22:49.056 --> 03:22:49.857
AND THE STATE BUILDING AND
03:22:49.924 --> 03:22:51.292
CONSTRUCTION TRADES COUNCIL
03:22:51.359 --> 03:22:54.195
TODAY PROBABLY CO SPONSORING
03:22:54.262 --> 03:22:57.064
THIS BILL WITH A VIVA. FOR FOR
03:22:57.131 --> 03:22:58.266
THOSE OF YOU ARE AWARE.
03:22:58.332 --> 03:23:00.334
OUR TRUST FUNDS TO PROVIDE
03:23:00.401 --> 03:23:02.003
HEALTH CARE TO OUR MEMBERS.
03:23:02.069 --> 03:23:05.239
DO SO IN ONE OF TWO WAYS.
03:23:05.306 --> 03:23:07.375
EITHER PURCHASE PRODUCTS OFF THE
03:23:07.441 --> 03:23:09.911
SHELF FROM AGE YOU MOST.
03:23:09.977 --> 03:23:12.947
OR SINCE.
03:23:13.014 --> 03:23:13.447
NINETEEN SEVENTY FOUR WE
03:23:13.514 --> 03:23:15.783
DIRECTLY CONTRACT WITH PROVIDER
03:23:15.850 --> 03:23:17.652
GROUPS IN HOSPITALS.
03:23:17.718 --> 03:23:19.153
BUILDER -- NETWORKS.
03:23:19.220 --> 03:23:21.455
BEEN DOING IT FOR FORTY SIX
03:23:21.522 --> 03:23:22.990
YEARS.
03:23:23.057 --> 03:23:24.825
SUCCESSFULLY BUT UNFORTUNATELY
03:23:24.892 --> 03:23:26.861
WE CAN ONLY DO THAT ON A FEE FOR
03:23:26.928 --> 03:23:28.262
SERVICE BASIS.
03:23:28.329 --> 03:23:30.798
PROVIDER GROUPS LIKE THE ONES
03:23:30.865 --> 03:23:31.899
REPRESENTED BY MISTER BARCELONA.
03:23:31.966 --> 03:23:34.001
ARE PROHIBITED FROM DIRECTLY
03:23:34.068 --> 03:23:36.203
CONTRACTING WITH US ON A
03:23:36.270 --> 03:23:37.638
CAPITATED BASIS.
03:23:37.705 --> 03:23:39.373
THIS BILL WOULD GIVE US GREATER
03:23:39.440 --> 03:23:41.809
FLEXIBILITY TO ENSURE GREATER
03:23:41.876 --> 03:23:43.678
SAVINGS TO BE ABLE TO DESIGN OUR
03:23:43.744 --> 03:23:46.180
OWN BENEFIT DESIGNS. TO UTILIZE
03:23:46.247 --> 03:23:48.382
TO TAKE OUR OWN UTILIZATION DATA
03:23:48.449 --> 03:23:50.952
AND MANAGE TO BRING THE BEST
03:23:51.018 --> 03:23:52.186
COST OUTCOMES.
03:23:52.253 --> 03:23:53.821
THERE'S BEEN TWO OBJECTIONS TO
03:23:53.888 --> 03:23:55.256
THIS BILL THAT HAVE BEEN RAISED
03:23:55.323 --> 03:23:57.825
BY HEALTH ACCESS AN ORGANIZATION
03:23:57.892 --> 03:24:00.595
ALL OF MY UNION STRONGLY SUPPORT.
03:24:00.661 --> 03:24:02.797
FEW OF THEM SUPPORTING THIS BILL
03:24:02.863 --> 03:24:05.433
EVEN SIT ON THE BOARD. ONE IS
03:24:05.499 --> 03:24:06.601
THAT THE BILL DOESN'T GO FAR
03:24:06.667 --> 03:24:08.102
ENOUGH IN REGARDS TO CONSUMER
03:24:08.169 --> 03:24:09.937
PROTECTIONS [inaudible]
03:24:10.004 --> 03:24:11.238
MEMBERS.
03:24:11.305 --> 03:24:12.807
THESE HEALTH CARE TRUSTS ARE
03:24:12.873 --> 03:24:15.943
MANAGED BY THE UNION LEADERSHIP
03:24:16.010 --> 03:24:18.012
OF THE LOCAL UNIONS FROM YOUR
03:24:18.079 --> 03:24:20.915
DISTRICTS. TO SUGGEST THAT THEY
03:24:20.982 --> 03:24:22.783
DON'T LOOK AFTER THE BEST
03:24:22.850 --> 03:24:24.719
INTERESTS OF THEIR MEMBERS AND
03:24:24.785 --> 03:24:26.787
DO THE VERY BEST THAT THEY CAN
03:24:26.854 --> 03:24:28.422
TO ENSURE THAT THEY'RE PROTECTED
03:24:28.489 --> 03:24:29.757
IN EVERY WAY.
03:24:29.824 --> 03:24:31.892
JUST SIMPLY ISN'T THE CASE I
03:24:31.959 --> 03:24:33.461
THINK YOU KNOW THAT.
03:24:33.527 --> 03:24:35.096
SECONDLY THERE'S BEEN AN
03:24:35.162 --> 03:24:36.464
OBJECTION SAYING THAT THE BILL
03:24:36.530 --> 03:24:39.533
DOES NOT PROVIDE ADEQUATELY IN
03:24:39.600 --> 03:24:40.534
THE EVENT THAT YOU HAVE A
03:24:40.601 --> 03:24:43.571
PROVIDER GROUP LIKE A HOSPITAL.
03:24:43.638 --> 03:24:45.640
GO INSOLVENT.
03:24:45.706 --> 03:24:47.541
UNDER FEDERAL LAW.
03:24:47.608 --> 03:24:49.510
NGUYEN A SELF INSURED TAFT
03:24:49.577 --> 03:24:51.512
HARTLEY TRUST FUND.
03:24:51.579 --> 03:24:53.881
GOES OUT AND DIRECTLY CONTRACTS
03:24:53.948 --> 03:24:56.150
UNDER FEDERAL LAW WE MUST
03:24:56.217 --> 03:25:00.187
INDEMNIFY ALL OF THOSE PROVIDERS.
03:25:00.254 --> 03:25:02.456
THAT ARGUMENT IS THE REST OF
03:25:02.523 --> 03:25:04.525
HARRY'S.
03:25:04.592 --> 03:25:06.460
IT DOES NOT EXIST.
03:25:06.527 --> 03:25:08.796
WE HAVE TO INDEMNIFY THE
03:25:08.863 --> 03:25:10.531
PROVIDERS.
03:25:10.598 --> 03:25:12.600
PLEASE VOTE YES IN THIS VERY
03:25:12.667 --> 03:25:16.003
INNOVATIVE PILOT PROGRAM.
03:25:16.070 --> 03:25:17.038
KITTY CHAIR MEMBERS OF THE
03:25:17.104 --> 03:25:17.972
COMMITTEE HELD OUR SALONA FOR
03:25:18.039 --> 03:25:19.974
AMERICA'S POSITION GROUPS ASKING
03:25:20.041 --> 03:25:23.110
FOR YOUR SUPPORT ON THE BILL AND
03:25:23.177 --> 03:25:23.744
I'M HERE TO ANSWER ANY QUESTIONS
03:25:23.811 --> 03:25:24.912
THANK YOU.
03:25:24.979 --> 03:25:25.813
THERE'S A SUPPORT.
03:25:25.880 --> 03:25:27.181
MISTER CHAIR MEMBER SERRA FLOCKS
03:25:27.248 --> 03:25:28.749
CALIFORNIA LABOR FEDERATION AND
03:25:28.816 --> 03:25:30.251
WE JUST WANT TO THANK THE AUTHOR
03:25:30.317 --> 03:25:31.385
AND THE SPONSORS AND THE
03:25:31.452 --> 03:25:32.653
COMMITTEE FOR THEIR HARD WORK
03:25:32.720 --> 03:25:34.889
AND WITH THE AMENDMENTS WE ARE
03:25:34.955 --> 03:25:37.124
IN SUPPORT THANK YOU.
03:25:37.191 --> 03:25:38.659
SEC BREMBO HERE ON BEHALF OF
03:25:38.726 --> 03:25:41.162
MORE THAN THREE HUNDRED TWENTY
03:25:41.228 --> 03:25:41.729
FIVE THOUSAND MEMBERS OF THE
03:25:41.796 --> 03:25:43.197
CALIFORNIA TEACHERS ASSOCIATION
03:25:43.264 --> 03:25:46.434
AND STRONG SUPPORT THANK YOU.
03:25:46.500 --> 03:25:47.401
KATIE DEXTER VICE PRESIDENT
03:25:47.468 --> 03:25:48.869
LIMóN GIRLS SCHOOL DISTRICT
03:25:48.936 --> 03:25:50.471
BOARD OF TRUSTEES DIRECTOR FOR
03:25:50.538 --> 03:25:51.205
CALIFORNIA SCHOOL BOARDS
03:25:51.272 --> 03:25:52.540
ASSOCIATION.
03:25:52.606 --> 03:25:54.408
AND VICE CHAIR OF THE CALIFORNIA
03:25:54.475 --> 03:25:56.043
SCHOOLS BEAVER STRONGLY
03:25:56.110 --> 03:25:57.511
ENCOURAGING YOUR SUPPORT THANK
03:25:57.578 --> 03:25:59.013
YOU.
03:25:59.080 --> 03:26:00.681
MICHAEL SO WHAT PROVINCE INCHES
03:26:00.748 --> 03:26:02.083
OF HEALTH AND SUPPORT
03:26:02.149 --> 03:26:02.383
[inaudible]
03:26:02.450 --> 03:26:04.318
ANYONE ELSE.
03:26:04.385 --> 03:26:16.030
THE ONE IN OPPOSITION.
03:26:16.097 --> 03:26:18.566
HELL FOR HEALTHAXIS CALIFORNIA.
03:26:18.632 --> 03:26:20.201
WE APPRECIATE MISTER WHICH IS
03:26:20.267 --> 03:26:21.802
KIND WORDS ABOUT THE IMPORTANCE
03:26:21.869 --> 03:26:24.405
OF THE WORK ORGANIZATION DOES.
03:26:24.472 --> 03:26:25.740
WE WOULD LIKE TO NOTE THAT FROM
03:26:25.806 --> 03:26:27.241
THE BEGINNING OUR POSITION HAS
03:26:27.308 --> 03:26:29.210
BEEN OPPOSE UNLESS AMENDED WE
03:26:29.276 --> 03:26:30.444
WERE NOT OPPOSED TO DIRECT
03:26:30.511 --> 03:26:33.047
CONTRACTING WE HOWEVER WANTED TO
03:26:33.114 --> 03:26:34.348
ASSURE.
03:26:34.415 --> 03:26:36.150
THAT THE PHYSICIAN GROUPS THAT
03:26:36.217 --> 03:26:38.018
WERE ALSO PARTY TO THIS PILOT
03:26:38.085 --> 03:26:40.121
PROJECT WOULD CONTINUE TO BE
03:26:40.187 --> 03:26:42.156
SUBJECT TO THE REQUIREMENTS OF
03:26:42.223 --> 03:26:43.791
THE KNOX KEEN ACT.
03:26:43.858 --> 03:26:46.293
THOSE HUNDREDS OF PAGES OF
03:26:46.360 --> 03:26:47.528
CONSUMER PROTECTIONS.
03:26:47.595 --> 03:26:49.563
AS WE UNDERSTAND THE AMENDMENTS
03:26:49.630 --> 03:26:52.099
THAT ARE BEFORE YOU THAT IS WHAT
03:26:52.166 --> 03:26:55.402
THE AMENDMENTS WOULD ACCOMPLISH.
03:26:55.469 --> 03:26:56.971
WE LOOK FORWARD TO SEEING THE
03:26:57.037 --> 03:26:58.305
VERSION THAT COMES BACK FROM
03:26:58.372 --> 03:27:00.441
COUNSEL TO MAKE SURE THAT IT IS
03:27:00.508 --> 03:27:01.142
CLEAR.
03:27:01.208 --> 03:27:02.943
THAT THE CONSUMER PROTECTIONS
03:27:03.010 --> 03:27:04.712
MANY OF WHICH WE HAVE FOUGHT FOR
03:27:04.779 --> 03:27:05.713
AND MANY MEMBERS OF THIS
03:27:05.780 --> 03:27:07.214
COMMITTEE HAVE SUPPORTED OVER
03:27:07.281 --> 03:27:09.984
THE YEARS WILL CONTINUE TO BE IN
03:27:10.050 --> 03:27:11.619
PLACE.
03:27:11.685 --> 03:27:14.255
OUR BEEF IS IF WE HAVE ONE IS
03:27:14.321 --> 03:27:16.323
NOT WITH THE V. BOOK OR THE
03:27:16.390 --> 03:27:17.291
TRUST FUNDS.
03:27:17.358 --> 03:27:19.160
IT'S WITH A PHYSICIAN GROUPS WHO
03:27:19.226 --> 03:27:20.895
HAVE OFTEN FAILED TO PROVIDE
03:27:20.961 --> 03:27:22.229
CONSUMERS WITH THE CONSUMER
03:27:22.296 --> 03:27:24.732
PROTECTIONS THEY SHOULD HAVE.
03:27:24.799 --> 03:27:26.133
AND SO WE ARE PLEASED WITH THE
03:27:26.200 --> 03:27:27.902
AMENDMENTS AND LOOK FORWARD TO
03:27:27.968 --> 03:27:30.237
WORKING WITH THE AUTHOR AND THE
03:27:30.304 --> 03:27:32.540
SPONSORS AS THE BILL MOVES FOR
03:27:32.606 --> 03:27:34.842
THANK YOU.
03:27:34.909 --> 03:27:35.910
THANK YOU MISTER MEMBER --
03:27:35.976 --> 03:27:36.877
MISTER CHAIR AND MEMBERS EXCUSE
03:27:36.944 --> 03:27:38.379
ME NICK LOUISE US ON BEHALF OF
03:27:38.445 --> 03:27:39.547
THE CALIFORNIA ASSOCIATION OF
03:27:39.613 --> 03:27:40.981
HEALTH PLANS -- WE DO HAVE AN
03:27:41.048 --> 03:27:42.917
OPPOSE POSITION ON THE VERSION
03:27:42.983 --> 03:27:44.685
OF THE BILL THAT IS IN PRINT --
03:27:44.752 --> 03:27:47.288
THE REASON THAT WE OPPOSE -- THE
03:27:47.354 --> 03:27:49.156
BILL IN PRINT IS BECAUSE IT DOES
03:27:49.223 --> 03:27:51.358
EXEMPT ENTITIES OPERATING IN TWO
03:27:51.425 --> 03:27:52.493
PILOT COUNTIES FROM THE
03:27:52.560 --> 03:27:53.994
PROVISIONS OF THE KNOX KEEN ACT.
03:27:54.061 --> 03:27:56.230
WHICH WE VIEW -- AS YOU KNOW
03:27:56.297 --> 03:27:57.431
PUTTING ARE FULLY LICENSED
03:27:57.498 --> 03:27:58.299
MEMBER HEALTH PLANS AT A
03:27:58.365 --> 03:28:00.267
COMPETITIVE DISADVANTAGE -- VIS
03:28:00.334 --> 03:28:01.902
A VIS OF THOSE OTHER ENTITIES
03:28:01.969 --> 03:28:03.737
NOW THERE ARE AS THE PREVIOUS
03:28:03.804 --> 03:28:05.873
WITNESS STATED AND THE AUTHORS
03:28:05.940 --> 03:28:07.341
ACCEPTING EXTENSIVE AMENDMENTS
03:28:07.408 --> 03:28:08.642
WHICH ARE OUTLINED I'M IN THE
03:28:08.709 --> 03:28:10.878
ANALYSIS -- WE HAVEN'T SEEN THE
03:28:10.945 --> 03:28:12.079
LANGUAGE YET SO WE'D LIKE THE
03:28:12.146 --> 03:28:14.748
OPPORTUNITY -- TO DO THAT -- WE
03:28:14.815 --> 03:28:16.450
MAY MAINTAIN OUR OPPOSE POSITION
03:28:16.517 --> 03:28:17.952
OR WE MADE CHANGES BASED ON A
03:28:18.018 --> 03:28:19.854
REVIEW OF THAT LANGUAGE.
03:28:19.920 --> 03:28:22.022
AND SO -- WE RETAIN A RIGHT TO
03:28:22.089 --> 03:28:24.725
DO SO -- AND I DO WANT TO THANK
03:28:24.792 --> 03:28:25.593
YOU KNOW THE SPONSORS OF THE
03:28:25.659 --> 03:28:26.660
BILL FOR GIVING US CONSIDERABLE
03:28:26.727 --> 03:28:29.897
TIME GOING OVER -- THE INTENT OF
03:28:29.964 --> 03:28:32.633
THE BILL AND THE THE LANGUAGE --
03:28:32.700 --> 03:28:34.034
BUT WE'RE WE'RE OPPOSED TO THE
03:28:34.101 --> 03:28:35.269
CURRENT VERSION LOOK FORWARD TO
03:28:35.336 --> 03:28:38.839
SEEING THE AMENDED VERSION OF
03:28:38.906 --> 03:28:41.675
THE BILL THANK YOU.
03:28:41.742 --> 03:28:42.743
THANK YOU ANYONE ELSE.
03:28:42.810 --> 03:28:43.377
STEPHANIE WALK INS ON THE HAVE
03:28:43.444 --> 03:28:44.011
AN ASSOCIATION CALIFORNIA LIFE
03:28:44.078 --> 03:28:44.645
AND HEALTH INSURANCE COMPANIES
03:28:44.712 --> 03:28:45.346
WE DO APPRECIATE THE TIME OF THE
03:28:45.412 --> 03:28:46.547
SPONSOR AND THE AUTHOR OF GOING
03:28:46.614 --> 03:28:48.916
THROUGH THE BILL WITH US WE ARE
03:28:48.983 --> 03:28:50.251
LOOKING FORWARD TO SEEING THE
03:28:50.317 --> 03:28:52.620
AMENDMENTS AND POTENTIALLY.
03:28:52.686 --> 03:28:54.722
REMOVING OPPOSITION BUT THIS
03:28:54.788 --> 03:28:56.457
TIME WE'RE SUPPOSED THANK YOU
03:28:56.523 --> 03:28:57.858
THANK YOU.
03:28:57.925 --> 03:28:58.726
BACK TO THE COMMITTEE FOR
03:28:58.792 --> 03:29:00.394
QUESTIONS OR COMMENTS QUESTIONS
03:29:00.461 --> 03:29:02.529
OR COMMENTS FROM THE COMMITTEE
03:29:02.596 --> 03:29:02.830
[inaudible]
03:29:02.897 --> 03:29:05.666
THIS WATER.
03:29:05.733 --> 03:29:06.734
WHAT HAPPENS IF THE PUBLIC
03:29:06.800 --> 03:29:09.069
DOESN'T WORK?
03:29:09.136 --> 03:29:10.304
AT OUT AT THE END OF FIVE YEARS
03:29:10.371 --> 03:29:12.907
WE'LL WE'LL HAVE THAT DATA THEN --
03:29:12.973 --> 03:29:14.842
MISTER BONTA AND WE WOULD KNOW
03:29:14.909 --> 03:29:16.010
THAT THIS IS.
03:29:16.076 --> 03:29:17.444
NOT GONNA BE A LONG TERM
03:29:17.511 --> 03:29:18.946
SOLUTION ON HEALTHCARE COSTS I
03:29:19.013 --> 03:29:20.781
MEAN THAT THE IDEA BEHIND THAT.
03:29:20.848 --> 03:29:23.350
THE IS THIS PART PROBABLY ANY
03:29:23.417 --> 03:29:25.719
PILOT PROGRAM -- INCLUDING THE
03:29:25.786 --> 03:29:26.687
PROVISIONS WE HAVE ON DATA
03:29:26.754 --> 03:29:28.389
COLLECTION WOULD BE TO REPORT
03:29:28.455 --> 03:29:30.024
BACK TO THE LEGISLATURE AND AND
03:29:30.090 --> 03:29:32.559
AND PROVE WITH THIS.
03:29:32.626 --> 03:29:34.495
DATA WHAT THIS PROGRAM DID OR
03:29:34.561 --> 03:29:36.196
DID NOT DO AND IF IT DIDN'T
03:29:36.263 --> 03:29:36.730
DELIVER.
03:29:36.797 --> 03:29:38.265
THAT THENWE KNOW BUT WE'VE
03:29:38.332 --> 03:29:40.267
TRIED SOMETHING THAT I THINK IN
03:29:40.334 --> 03:29:41.502
A WEATHER IS THE UC BERKUS I
03:29:41.568 --> 03:29:42.903
MEAN I THINK THERE'S A LOT OF
03:29:42.970 --> 03:29:44.138
PEOPLE IN THIS YEAR WHO.
03:29:44.204 --> 03:29:45.172
BELIEVE THAT THIS IS GOING TO
03:29:45.239 --> 03:29:46.740
WORK BUT ASSUMING NOT AND IT'S A
03:29:46.807 --> 03:29:49.610
SOLUTION THAT WE WON'T THE
03:29:49.677 --> 03:29:52.446
LEGISLATURE WON'T CONTINUE 2%.
03:29:52.513 --> 03:29:53.347
GREAT THANK YOU.
03:29:53.414 --> 03:29:54.348
AND I WILL TEACHERS COVERED BY
03:29:54.415 --> 03:29:55.950
THE RUN PLANS BE MANDATED
03:29:56.016 --> 03:29:57.718
DEPARTS PARTICIPATE THE PILOT OR
03:29:57.785 --> 03:29:59.520
IS IT IS IT.
03:29:59.586 --> 03:30:01.155
NOT MANDATED [inaudible]
03:30:01.221 --> 03:30:04.024
CONCERNS.
03:30:04.091 --> 03:30:05.359
IT'S A COLLECTIVE WORKING
03:30:05.426 --> 03:30:06.994
PROGRAM AND IT'S VOLUNTARY IF
03:30:07.061 --> 03:30:08.395
THE TEACHERS.
03:30:08.462 --> 03:30:10.064
DON'T WANT TO SELECT A PLAN THAT
03:30:10.130 --> 03:30:11.465
SIMPLY CHOOSE A DIFFERENT.
03:30:11.532 --> 03:30:14.301
PLAN IT'S COMPLETELY VOLUNTARY
03:30:14.368 --> 03:30:15.970
PROGRAM.
03:30:16.036 --> 03:30:16.704
THANK YOU I APPRECIATE
03:30:16.770 --> 03:30:17.538
LEADERSHIP ON THIS IS A MEMBER
03:30:17.604 --> 03:30:18.439
MAIENSCHEIN PROUD TO SUPPORT
03:30:18.505 --> 03:30:20.040
THIS BILL I THINK IT'S A REALLY
03:30:20.107 --> 03:30:21.608
INNOVATIVE APPROACH.
03:30:21.675 --> 03:30:23.243
TO REDUCE COSTS AND BOB WILL
03:30:23.310 --> 03:30:24.311
HAVE A LOT OF BENEFITTED WILL
03:30:24.378 --> 03:30:26.447
KNOW WHEN THE DATA COMES BACK IF
03:30:26.513 --> 03:30:27.247
THAT'S TRUE THANK YOU
03:30:27.314 --> 03:30:27.548
[inaudible]
03:30:27.614 --> 03:30:29.783
ANYONE ELSE.
03:30:29.850 --> 03:30:30.951
YOU KNOW AS WELL THANK YOU FOR
03:30:31.018 --> 03:30:32.653
BRINGING THIS FORWARD -- THIS IS
03:30:32.720 --> 03:30:33.320
A THIS IS AN INNOVATIVE APPROACH
03:30:33.387 --> 03:30:36.857
AND AS WE STRUGGLE -- TO CONTROL
03:30:36.924 --> 03:30:40.027
COSTS OF HEALTH -- I'M HOPEFUL
03:30:40.094 --> 03:30:41.862
THAT THIS THIS APPROACH -- AND
03:30:41.929 --> 03:30:43.831
THAT DOES EXACTLY THAT AND CAN
03:30:43.897 --> 03:30:45.766
BE A MODEL FOR FUTURE PROGRAM SO
03:30:45.833 --> 03:30:46.367
THANK YOU VERY MUCH FOR BRING
03:30:46.433 --> 03:30:48.635
THIS FORWARD -- THE BILL DOES
03:30:48.702 --> 03:30:51.071
ENJOY TO PASS -- RECOMMENDATION
03:30:51.138 --> 03:30:52.106
TO PASS AS AMENDED TO
03:30:52.172 --> 03:30:54.742
APPROPRIATIONS IT'S BEEN HEAVILY
03:30:54.808 --> 03:30:56.443
AMENDED OBVIOUSLY -- AND THAT
03:30:56.510 --> 03:30:57.378
WILL BE IN PRINT -- VERY SOON
03:30:57.444 --> 03:30:59.613
FOR EVERYONE -- IT HAS A MOTION
03:30:59.680 --> 03:31:01.482
FROM MISS BURKE A SECOND FROM
03:31:01.548 --> 03:31:02.783
MISS -- MISS KOREA WHICH LIKE TO
03:31:02.850 --> 03:31:04.151
CLOSE YET THANK YOU VERY MUCH
03:31:04.218 --> 03:31:05.452
MISTER CHAIRMAN AND MEMBERS I
03:31:05.519 --> 03:31:06.553
MEAN I'M VERY EXCITED ABOUT THIS
03:31:06.620 --> 03:31:07.921
I THINK THIS HAS AN OPPORTUNITY
03:31:07.988 --> 03:31:09.323
TO REALLY BE A GAME CHANGER I'M
03:31:09.390 --> 03:31:10.657
EXCITED TO SEE WHAT THE STATUS
03:31:10.724 --> 03:31:11.658
SHOWS.
03:31:11.725 --> 03:31:12.726
I THINK WE'RE GONNA SEE A HUGE
03:31:12.793 --> 03:31:13.627
SUCCESS AND I THINK THE
03:31:13.694 --> 03:31:15.095
LEGISLATURE BE VERY PROUD OF
03:31:15.162 --> 03:31:16.930
WHAT THIS INCEPTION POINTS OUT
03:31:16.997 --> 03:31:17.998
WITHOUT RESPECT TO REQUEST AN
03:31:18.065 --> 03:31:20.200
IBM THANK YOU VERY MUCH -- MADAM
03:31:20.267 --> 03:31:21.969
SECRETARY PLEASE CALL THE ROLL
03:31:22.036 --> 03:31:26.240
WHAT WOULD I MAYES.
03:31:26.306 --> 03:31:28.208
AGUIAR-CURRY [inaudible]
03:31:28.275 --> 03:31:30.911
I BIGELOW.
03:31:30.978 --> 03:31:32.946
BONTA.
03:31:33.013 --> 03:31:33.113
HI.
03:31:33.180 --> 03:31:36.150
I WORK. FOR HI CARILLO HI
03:31:36.216 --> 03:31:38.118
CARILLO AYE FLORA.
03:31:38.185 --> 03:31:39.520
FLORA I LIVE ALONE [inaudible]
03:31:39.586 --> 03:31:40.754
MCCARTY.
03:31:40.821 --> 03:31:43.090
NAZARIAN RAMOS.
03:31:43.157 --> 03:31:44.091
FROM MOST AYE RODRIGUEZ
03:31:44.158 --> 03:31:45.626
RODRIGUEZ AYE SANTIAGO.
03:31:45.692 --> 03:31:47.361
SANTIAGO AYE WALDRON.
03:31:47.428 --> 03:31:51.532
WALDRON AYE.
03:31:51.598 --> 03:31:52.466
YOU HAVE TEN VOTES THE BILL IS
03:31:52.533 --> 03:31:57.438
OUT ON A ROLL TO AROUND. ONE
03:31:57.504 --> 03:32:01.575
MORE YEAH ONE MORE.
03:32:01.642 --> 03:32:06.046
SO GET OVER CONFIDENT HERE OKAY.
03:32:06.113 --> 03:32:10.284
I KNOW I EXACTLY I THANK YOU
03:32:10.350 --> 03:32:10.851
MISTER CHAIRMAN AND MEMBERS
03:32:10.918 --> 03:32:12.186
MENTAL HEALTH IS AN IMPORTANT
03:32:12.252 --> 03:32:13.287
ASPECT OF HEALTH CARE THAT IS
03:32:13.353 --> 03:32:14.521
OFTEN OVERLOOKED ESPECIALLY
03:32:14.588 --> 03:32:16.156
CHILDREN AND MOMS WERE WE CAN
03:32:16.223 --> 03:32:18.792
MITIGATE -- MORE SEVERE MENTAL
03:32:18.859 --> 03:32:22.996
ILLNESS THE BILL -- THANK YOU
03:32:23.063 --> 03:32:25.032
ASKED ME MEMBERS AB SIXTEEN
03:32:25.099 --> 03:32:25.666
SEVENTY SIX IN LIGHT OF THAT ARE
03:32:25.732 --> 03:32:26.767
CUT THIS SHORT WOULD ADDRESS THE
03:32:26.834 --> 03:32:28.102
SHORTAGE OF PSYCHIATRISTS IN
03:32:28.168 --> 03:32:29.269
INCREASING PREVALENCE OF MENTAL
03:32:29.336 --> 03:32:30.938
HEALTH DISORDERS AND MOMS AND
03:32:31.004 --> 03:32:33.373
CHILDREN -- AND WITH ME I HAVE
03:32:33.440 --> 03:32:34.675
KELLY CAVE MATERNAL HEALTH
03:32:34.741 --> 03:32:36.009
MENTAL HEALTH NOW AND MELANIE
03:32:36.076 --> 03:32:37.478
THOMAS OF PSYCHIATRISTS WITH
03:32:37.544 --> 03:32:41.081
UCSF WILL GIVE A BRIEF TESTIMONY
03:32:41.148 --> 03:32:43.016
AND BE ABLE TO ANSWER ANY
03:32:43.083 --> 03:32:43.283
QUESTIONS.
03:32:43.350 --> 03:32:45.886
THANK YOU.
03:32:45.953 --> 03:32:46.920
GOOD AFTERNOON I'M KELLY
03:32:46.987 --> 03:32:48.489
O'CONNOR QUE EXECUTIVE DIRECTOR
03:32:48.555 --> 03:32:49.123
OF MATERNAL MENTAL HEALTH NOW.
03:32:49.189 --> 03:32:49.790
MENTAL HEALTH DISORDERS SUCH AS
03:32:49.857 --> 03:32:51.625
DEPRESSION AND ANXIETY AFFECT
03:32:51.692 --> 03:32:53.127
NEARLY HALF A MILLION CHILDREN
03:32:53.193 --> 03:32:54.628
THE HUNDRED THOUSAND NEW MOTHERS
03:32:54.695 --> 03:32:56.430
IN CALIFORNIA EACHYEAR.
03:32:56.497 --> 03:32:57.464
AS YOU KNOW SUICIDE RATES ARE
03:32:57.531 --> 03:32:58.866
REACHING EPIDEMIC LEVELS ACROSS
03:32:58.932 --> 03:33:02.035
THE COUNTRY.
03:33:02.102 --> 03:33:02.669
OUR CHILDREN AND MOTHERS ARE NOT
03:33:02.736 --> 03:33:02.903
IMMUNE.
03:33:02.970 --> 03:33:03.604
PART OF THE PROBLEM IS A
03:33:03.670 --> 03:33:04.705
SHORTAGE OF MENTAL HEALTH CARE
03:33:04.771 --> 03:33:05.939
PROVIDERS IN PARTICULAR
03:33:06.006 --> 03:33:07.508
PSYCHIATRISTS.
03:33:07.574 --> 03:33:08.976
THE KAISER FAMILY FOUNDATION
03:33:09.042 --> 03:33:10.077
REPORTS OF THAT HERE IN
03:33:10.144 --> 03:33:11.845
CALIFORNIA WE HAVE THE HIGHEST
03:33:11.912 --> 03:33:13.914
NUMBER OF PSYCHIATRIC SHORTAGE
03:33:13.981 --> 03:33:15.616
AREAS IN THE NATION.
03:33:15.682 --> 03:33:17.918
AB SIXTEEN SEVENTY SIX SIX
03:33:17.985 --> 03:33:19.119
ADDRESS OF PUBLIC HEALTH CRISIS
03:33:19.186 --> 03:33:20.120
BY BUILDING THE CAPACITY OF
03:33:20.187 --> 03:33:21.555
FRONT LINE PROVIDERS INCLUDING
03:33:21.622 --> 03:33:23.991
PEDIATRICIANS AND OBSTETRICIANS.
03:33:24.057 --> 03:33:26.493
TO ASSESS AND TREAT THE MOST
03:33:26.560 --> 03:33:28.228
COMMON MENTAL HEALTH DISORDERS.
03:33:28.295 --> 03:33:29.196
AS HIGHLIGHTED IN A LETTER OF
03:33:29.263 --> 03:33:30.130
SUPPORT FROM THE CENTER FOR
03:33:30.197 --> 03:33:31.798
YOUTH WELLNESS FOUNDED BY
03:33:31.865 --> 03:33:33.167
SURGEON GENERAL DOCTOR IN THE
03:33:33.233 --> 03:33:34.301
NINETEEN BURKE HARRIS.
03:33:34.368 --> 03:33:36.270
CALIFORNIA'S LEADING THE NATION
03:33:36.336 --> 03:33:37.337
BY FOCUSING ON CHILD AND FAMILY
03:33:37.404 --> 03:33:39.139
MENTAL HEALTH.
03:33:39.206 --> 03:33:40.307
AS WE BEGIN SCREENING ALL
03:33:40.374 --> 03:33:41.909
CHILDREN FOR TRAUMA.
03:33:41.975 --> 03:33:44.044
AND SCREENING -- MOTHERS FROM
03:33:44.111 --> 03:33:45.279
INTERNAL MENTAL HEALTH DISORDERS
03:33:45.345 --> 03:33:47.114
WOMEN AND CHILDREN WHO NEED
03:33:47.181 --> 03:33:48.148
ACCESS TO MENTAL HEALTH SERVICES
03:33:48.215 --> 03:33:50.851
WILL MOST DEFINITELY INCREASE.
03:33:50.918 --> 03:33:52.085
WHEN EARLY INTERVENTION AND
03:33:52.152 --> 03:33:53.020
TREATMENT FOR MENTAL HEALTH
03:33:53.086 --> 03:33:54.755
ISSUES IS NOT AVAILABLE OR
03:33:54.821 --> 03:33:55.422
SENSIBLE TO MOTHERS AND
03:33:55.489 --> 03:33:56.323
CHILDREN'S?
03:33:56.390 --> 03:33:58.592
FALCONS CAN BE DEVASTATING. FOR
03:33:58.659 --> 03:34:00.227
EXAMPLE MARKET A SAND OF ALL OF
03:34:00.294 --> 03:34:02.496
ONTARIO CALIFORNIA EXHIBIT SIGNS
03:34:02.563 --> 03:34:03.931
OF DEPRESSION AND ANXIETY DURING
03:34:03.997 --> 03:34:05.566
HER SECOND PREGNANCY.
03:34:05.632 --> 03:34:06.934
DESPITE REPEATEDLY ASKING HER
03:34:07.000 --> 03:34:08.769
DOCTOR FOR HELP.
03:34:08.835 --> 03:34:10.637
SHE NEVER RECEIVE SERVICES.
03:34:10.704 --> 03:34:12.506
AFTER DELIVERY HER SISTER HER
03:34:12.573 --> 03:34:14.007
SYMPTOMS WORSEN.
03:34:14.074 --> 03:34:15.142
WHEN SHE FINALLY RECEIVED A
03:34:15.209 --> 03:34:16.743
REFERRAL TO A PSYCHIATRIST AT
03:34:16.810 --> 03:34:18.078
TWO MONTHS POSTPARTUM?
03:34:18.145 --> 03:34:19.580
SHOULD WE THREE WEEKS FOR HER
03:34:19.646 --> 03:34:21.114
APPOINTMENT.
03:34:21.181 --> 03:34:22.149
DURING THOSE THREE WEEKS FOR
03:34:22.216 --> 03:34:24.418
SYMPTOMS INTENSIFIED THE POINT
03:34:24.484 --> 03:34:24.952
WHERE SHE HAD THOUGHTS OF
03:34:25.018 --> 03:34:25.786
HARMING HERSELF.
03:34:25.852 --> 03:34:27.621
AND OTHERS.
03:34:27.688 --> 03:34:29.356
IF MARKETS OBSTETRICIAN HAD BEEN
03:34:29.423 --> 03:34:30.290
ABLE TO CONSULT WITH THE
03:34:30.357 --> 03:34:31.558
PSYCHIATRIST DURING HER
03:34:31.625 --> 03:34:33.093
PREGNANCY.
03:34:33.160 --> 03:34:34.261
SHE WOULD HAVE BEEN EMPOWERED TO
03:34:34.328 --> 03:34:36.263
DIAGNOSE AND TREAT MARQUITA FOR
03:34:36.330 --> 03:34:37.764
MATERNAL DEPRESSION AVOIDING
03:34:37.831 --> 03:34:40.767
OVER HERE SIGNIFICANT SUFFERING
03:34:40.834 --> 03:34:42.202
FOR HER FOR HER AND HER FAMILY.
03:34:42.269 --> 03:34:43.170
CALIFORNIA'S FAMILIES ARE
03:34:43.237 --> 03:34:44.705
COUNTING ON YOU TO PASS AB
03:34:44.771 --> 03:34:48.275
SIXTEEN SEVENTY SIX THANK YOU.
03:34:48.342 --> 03:34:50.043
GOOD AFTERNOON MY NAME IS DOCTOR
03:34:50.110 --> 03:34:51.712
MELANIE THOMAS AND A PRACTICING
03:34:51.778 --> 03:34:53.614
PSYCHIATRIST AND A FACULTY
03:34:53.680 --> 03:34:55.215
MEMBER AT UCSF.
03:34:55.282 --> 03:34:56.516
I'M HERE TODAY BECAUSE I BELIEVE
03:34:56.583 --> 03:34:58.318
THE PROBLEMATIC SHORTAGE OF
03:34:58.385 --> 03:35:00.654
PSYCHIATRISTS IN CALIFORNIA MUST
03:35:00.721 --> 03:35:02.122
INVOLVE INNOVATIVE SOLUTIONS.
03:35:02.189 --> 03:35:04.591
THIS BILL AB SIXTEEN SEVENTY SIX
03:35:04.658 --> 03:35:05.959
IS MODELED AFTER THE TELEPHONE
03:35:06.026 --> 03:35:07.194
PROVIDER TO PROVIDER
03:35:07.261 --> 03:35:08.929
CONSULTATION PROGRAM.
03:35:08.996 --> 03:35:10.731
IN MASSACHUSETTS REFERRED TO AS
03:35:10.797 --> 03:35:12.366
THE MASSES HEAT MASSACHUSETTS
03:35:12.432 --> 03:35:14.901
CHILD PSYCHIATRY ACCESS PROGRAM
03:35:14.968 --> 03:35:16.236
CALLED MAKE PAPPA MAKE PAP FOR
03:35:16.303 --> 03:35:17.137
MOMS.
03:35:17.204 --> 03:35:18.772
THE MID CAP PROGRAMS HAVE PROVEN
03:35:18.839 --> 03:35:20.507
OUTCOMES WHICH ARE PUBLISHED IN
03:35:20.574 --> 03:35:21.408
THE ABSTRACT TRICKS IN
03:35:21.475 --> 03:35:23.010
GYNECOLOGY JOURNAL JUST LAST
03:35:23.076 --> 03:35:23.877
YEAR.
03:35:23.944 --> 03:35:24.711
THE JOURNAL NOTES THAT A
03:35:24.778 --> 03:35:26.613
PROVIDER TO PROVIDER TRIAGE AND
03:35:26.680 --> 03:35:29.082
PSYCHIATRIC CONSULTATION MODEL
03:35:29.149 --> 03:35:31.385
IS A QUOTE FEASIBLE ACCEPTABLE
03:35:31.451 --> 03:35:33.353
AND SUSTAINABLE APPROACH TO
03:35:33.420 --> 03:35:34.921
INCREASING ACCESS TO EVIDENCE
03:35:34.988 --> 03:35:37.090
BASED TREATMENTS FOR MOTHERS AND
03:35:37.157 --> 03:35:37.791
CHILDREN.
03:35:37.858 --> 03:35:39.726
FRONT LIGHTER FRONTLINE PROVIDER
03:35:39.793 --> 03:35:41.695
TRADE ORGANIZATIONS ALSO
03:35:41.762 --> 03:35:43.930
RECOGNIZE THE ROLE IN EARLY
03:35:43.997 --> 03:35:45.399
IDENTIFICATION AND TREATMENT.
03:35:45.465 --> 03:35:47.067
AND THE NEED FOR ADDITIONAL
03:35:47.134 --> 03:35:48.035
SUPPORT.
03:35:48.101 --> 03:35:49.336
THE AMERICAN ACADEMY OF
03:35:49.403 --> 03:35:51.838
PEDIATRICS GUIDELINES NOTE THE
03:35:51.905 --> 03:35:53.573
PEDIATRICIAN SHOULD LEARN WHAT
03:35:53.640 --> 03:35:55.208
PSYCHIATRIC CONSULTATION IS
03:35:55.275 --> 03:35:57.778
AVAILABLE TO THEM IN THEIR STATE.
03:35:57.844 --> 03:35:59.913
EARLY TREATMENT BY THESE PRIMARY
03:35:59.980 --> 03:36:02.149
CARE PROVIDERS IS CRITICAL TO
03:36:02.215 --> 03:36:04.084
MITIGATE THE LONG TERM EFFECTS
03:36:04.151 --> 03:36:06.353
OF UNTREATED MENTAL ILLNESS.
03:36:06.420 --> 03:36:08.488
INCLUDING CHRONIC DEBILITATING
03:36:08.555 --> 03:36:13.360
DISEASE AND SOMETIMES SUICIDE.
03:36:13.427 --> 03:36:14.594
FURTHERMORE MANY OF OUR MOMS AND
03:36:14.661 --> 03:36:15.162
CHILDREN IT WOULD ACTUALLY
03:36:15.228 --> 03:36:17.197
PREFERRED TO CONFRONT AND
03:36:17.264 --> 03:36:18.632
ADDRESS THEIR MENTAL ILLNESS
03:36:18.699 --> 03:36:21.134
WITHIN THEIR ESTABLISHED PRIMARY
03:36:21.201 --> 03:36:22.636
MEDICAL HOME.
03:36:22.703 --> 03:36:24.304
IN MY PRACTICE I HAVE WEEKLY IF
03:36:24.371 --> 03:36:25.939
NOT DAILY EVIDENCE FOR THE
03:36:26.006 --> 03:36:27.941
IMPACT THAT IMMEDIATE ACCESS TO
03:36:28.008 --> 03:36:29.676
A PSYCHIATRIST CAN MAKE FOR
03:36:29.743 --> 03:36:31.411
PRIMARY CARE PROVIDERS IN THE
03:36:31.478 --> 03:36:32.713
PATIENTS THEY SERVE.
03:36:32.779 --> 03:36:34.881
JUST YESTERDAY AN OBGYN CALLING
03:36:34.948 --> 03:36:36.883
CONTACTED ME ABOUT AN EIGHTEEN
03:36:36.950 --> 03:36:38.218
YEAR OLD PATIENT.
03:36:38.285 --> 03:36:39.086
WHO HAD JUST DISCOVERED THAT
03:36:39.152 --> 03:36:41.488
SHE'S PREGNANT ALREADY IN HER
03:36:41.555 --> 03:36:43.023
THIRD TRIMESTER AND WAS QUITE
03:36:43.090 --> 03:36:44.224
DEPRESSED?
03:36:44.291 --> 03:36:45.959
I WAS ABLE TO PROVIDE REAL TIME
03:36:46.026 --> 03:36:47.494
CONSULTATION RESULTING IN THE
03:36:47.561 --> 03:36:49.863
OBSTETRICIAN FEELING EMPOWERED
03:36:49.930 --> 03:36:51.898
TO FURTHER ASSESS AND THEN OFFER
03:36:51.965 --> 03:36:53.567
MENTAL HEALTH TREATMENT FOR THIS
03:36:53.633 --> 03:36:54.534
YOUNG MOM.
03:36:54.601 --> 03:36:56.470
UNFORTUNATELY THESE SITUATIONS
03:36:56.536 --> 03:36:58.038
ARE ALL TOO COMMON AND OUR
03:36:58.105 --> 03:36:59.639
CURRENT APPROACH IS FAILING THE%
03:36:59.706 --> 03:37:01.174
MOTHERS AND CHILDREN OF
03:37:01.241 --> 03:37:03.543
CALIFORNIA WE REQUEST YOUR
03:37:03.610 --> 03:37:05.011
SUPPORT.
03:37:05.078 --> 03:37:06.313
THANK YOU VERY MUCH OTHERS A
03:37:06.380 --> 03:37:07.547
SUPPORT PLEASE.
03:37:07.614 --> 03:37:09.116
CUSTOMER CALLING WITH TWENTY
03:37:09.182 --> 03:37:10.650
TWENTY MOM AND NAPA MOMS AND
03:37:10.717 --> 03:37:13.653
SUPPORT.
03:37:13.720 --> 03:37:15.622
LISA CUT OFF WITH YOUR STATE TO
03:37:15.689 --> 03:37:18.325
A PROGRAM IN SUPPORT.
03:37:18.392 --> 03:37:19.526
BETH STEVEN TENNESSEE THE
03:37:19.593 --> 03:37:20.660
CALIFORNIA SECTION FOR THE
03:37:20.727 --> 03:37:22.062
ASSOCIATION OF WOMEN'S HEALTH
03:37:22.129 --> 03:37:24.865
OBSTETRIC AND NEONATAL NURSING
03:37:24.931 --> 03:37:26.800
WERE IN SUPPORT.
03:37:26.867 --> 03:37:28.135
BROUGH PRESERVATION CHILD
03:37:28.201 --> 03:37:30.604
PSYCHOLOGIST AND BOARD MEMBER OF
03:37:30.670 --> 03:37:32.839
TWENTY TWENTY MOM.
03:37:32.906 --> 03:37:34.374
DOCTOR PATRICIA ROBERTS AND
03:37:34.441 --> 03:37:37.444
GIVING OB CARE FOR FORTY THREE
03:37:37.511 --> 03:37:38.512
YEARS TO THE WOMEN IN CALIFORNIA.
03:37:38.578 --> 03:37:39.946
WHO DESPERATELY NEED THESE
03:37:40.013 --> 03:37:41.681
SERVICES AS PART OF MY JOB AT
03:37:41.748 --> 03:37:43.316
UCSF A MATERNAL FETAL MEDICINE
03:37:43.383 --> 03:37:44.484
SPECIALIST?
03:37:44.551 --> 03:37:45.919
I TRAVELED TO NORTHERN
03:37:45.986 --> 03:37:47.821
CALIFORNIA REAL COUNTIES WERE
03:37:47.888 --> 03:37:49.289
OFTEN PREGNANT WOMEN OR TAKEN
03:37:49.356 --> 03:37:51.024
OFF THE MEDICATIONS BECAUSE THE
03:37:51.091 --> 03:37:52.492
PRIMARY CARE PROVIDERS ARE STILL
03:37:52.559 --> 03:37:54.327
SCARED TO CONTINUE IT.
03:37:54.394 --> 03:37:55.495
AND THEN THEY'RE NOT ABLE TO
03:37:55.562 --> 03:37:57.731
FIND PSYCHIATRY HELP POST PARTUM
03:37:57.798 --> 03:38:00.901
WE DESPERATELY NEED THIS VIDEO
03:38:00.967 --> 03:38:01.468
HEALTH.
03:38:01.535 --> 03:38:02.235
IS IN TUNE WITH THE NEXT
03:38:02.302 --> 03:38:03.303
GENERATION.
03:38:03.370 --> 03:38:04.638
AND THEY WILL BENEFIT
03:38:04.704 --> 03:38:06.973
TREMENDOUSLY I STRONGLY SUPPORT
03:38:07.040 --> 03:38:07.974
THIS BILL THANK YOU THANK YOU
03:38:08.041 --> 03:38:10.610
VERY MUCH.
03:38:10.677 --> 03:38:11.778
GOOD AFTERNOON KELLY MAC MILLAN
03:38:11.845 --> 03:38:14.181
BEHALF OF MARCH OF DIMES THANK
03:38:14.247 --> 03:38:17.617
YOU. THIRTY ONE REPRESENTING
03:38:17.684 --> 03:38:18.618
AMERICAN CANYON PEDIATRICS AND
03:38:18.685 --> 03:38:20.954
SUPPORT THANK YOU VERY MUCH
03:38:21.021 --> 03:38:21.254
[inaudible]
03:38:21.321 --> 03:38:23.256
ANYONE ELSE. THREE ONE IN
03:38:23.323 --> 03:38:25.592
OPPOSITION.
03:38:25.659 --> 03:38:27.627
SEE KNOWN BRING IT BACK TO THE
03:38:27.694 --> 03:38:29.329
COMMITTEE FOR QUESTIONS -- I'M
03:38:29.396 --> 03:38:38.338
SO SORRY I'M SORRY [inaudible]
03:38:38.405 --> 03:38:41.975
I CAN'T.
03:38:42.042 --> 03:38:42.843
GOOD AFTERNOON JENNIFER ALLEY
03:38:42.909 --> 03:38:44.311
WITH CALIFORNIA ASSOCIATION OF
03:38:44.377 --> 03:38:46.246
HEALTH PLANS -- AND WE ARE
03:38:46.313 --> 03:38:48.448
OPPOSED TO THIS BILL -- YOU KNOW
03:38:48.515 --> 03:38:50.150
CAPS MEMBER COMPANIES CURRENTLY
03:38:50.217 --> 03:38:51.218
PROVIDE COVERAGE FOR MENTAL
03:38:51.284 --> 03:38:54.354
HEALTH SERVICES AND MEDICATIONS --
03:38:54.421 --> 03:38:55.689
AND THAT INCLUDES MATERNAL
03:38:55.755 --> 03:38:57.524
MENTAL HEALTH -- IN JANUARY OF
03:38:57.591 --> 03:38:58.592
THIS YEAR.
03:38:58.658 --> 03:38:59.759
A NEW REQUIREMENT WENT INTO
03:38:59.826 --> 03:39:00.861
EFFECT REQUIRING HEALTH PLANS
03:39:00.927 --> 03:39:02.329
AND INSURERS TO HAVE A PROGRAM
03:39:02.395 --> 03:39:05.098
IN PLACE. FOR A WOMAN TO DEAL
03:39:05.165 --> 03:39:06.566
WITH MATERNAL MENTAL HEALTH WHEN
03:39:06.633 --> 03:39:08.001
ONE CALLS THEIR THEIR PLAN WITH
03:39:08.068 --> 03:39:09.769
AN ISSUE IN THOSE PROGRAMS ARE
03:39:09.836 --> 03:39:11.938
UP AND RUNNING NOW -- ACCORDING
03:39:12.005 --> 03:39:14.040
TO THE CALIFORNIA HEALTH BENEFIT
03:39:14.107 --> 03:39:16.510
REVIEW BOARD CHIPPER. 75% HEALTH
03:39:16.576 --> 03:39:17.711
PLANS CURRENTLY HAVE AN EASY
03:39:17.777 --> 03:39:20.080
CONSUL PROGRAM AVAILABLE FOR
03:39:20.146 --> 03:39:21.648
PHYSICIANS TO ACCESS THAT THEY
03:39:21.715 --> 03:39:23.016
NEED.
03:39:23.083 --> 03:39:23.783
TO THE DIFFERENCE BETWEEN THE
03:39:23.850 --> 03:39:25.785
ECON SOUL PROP PROGRAM THAT MY
03:39:25.852 --> 03:39:27.654
MEMBERS CURRENTLY UTILIZE AND
03:39:27.721 --> 03:39:29.523
THIS BILLS THAT REQUIRES HEALTH
03:39:29.589 --> 03:39:30.757
PLANS TO HAVE SOMEBODY.
03:39:30.824 --> 03:39:32.459
OUR READERS AND HOUSE TO PROVIDE
03:39:32.526 --> 03:39:34.160
THAT SERVICE AND SO WE JUST
03:39:34.227 --> 03:39:35.028
DON'T THINK THAT THAT'S
03:39:35.095 --> 03:39:37.264
APPROPRIATE USE OF OF RESOURCES
03:39:37.330 --> 03:39:38.832
IN THE MENTAL HEALTH RESOURCES
03:39:38.899 --> 03:39:39.900
IN THE STATE. TO HAVE
03:39:39.966 --> 03:39:43.503
PSYCHIATRISTS AVAILABLE --
03:39:43.570 --> 03:39:44.137
TWENTY FOUR SEVEN FOR PHYSICIANS
03:39:44.204 --> 03:39:46.239
TO CALL -- WITH QUESTIONS THAT
03:39:46.306 --> 03:39:47.807
THEY HAVE WE DON'T UNDERSTAND
03:39:47.874 --> 03:39:49.576
HOW THAT DIFFERS FROM PLANTS ARE
03:39:49.643 --> 03:39:50.977
CURRENT PROGRAMS IMPLANTS OR
03:39:51.044 --> 03:39:52.445
THAT PLANTS CURRENTLY HAVE IN
03:39:52.512 --> 03:39:54.314
PLACE -- AND SO FOR THIS REASON
03:39:54.381 --> 03:39:59.119
WE JUST WE JUST DO NOT SUPPORT
03:39:59.185 --> 03:40:02.589
THIS BILL THANK YOU. SEVENTY ONE
03:40:02.656 --> 03:40:03.056
CAN SOME WE HAVE A THE
03:40:03.123 --> 03:40:03.990
ASSOCIATION OF CALIFORNIA LIFE
03:40:04.057 --> 03:40:04.591
AND HEALTH INSURANCE COMPANIES
03:40:04.658 --> 03:40:05.191
WE TO OUR OPPOSE WE APPRECIATE
03:40:05.258 --> 03:40:06.293
LAST YEAR WE WORKED WITH THE
03:40:06.359 --> 03:40:08.094
AUTHOR AND THE SPONSORS TO COME
03:40:08.161 --> 03:40:09.229
UP WITH WHAT WE FELT LIKE WAS A
03:40:09.296 --> 03:40:11.131
GOOD PLAN OF ACTION. FOR THE
03:40:11.197 --> 03:40:12.432
PLANS TO COME UP WITH INTERNAL
03:40:12.499 --> 03:40:14.034
PROCESSES THAT THEY WOULD
03:40:14.100 --> 03:40:16.336
PROVIDE -- TO PROVIDERS SO THAT
03:40:16.403 --> 03:40:18.071
WE COULD MAKE SURE PEOPLE HAD
03:40:18.138 --> 03:40:19.940
APPROPRIATE ACCESS WITH BEST
03:40:20.006 --> 03:40:21.608
PRACTICES IN PLACE.
03:40:21.675 --> 03:40:22.475
WE THINK THAT THIS IS A LITTLE
03:40:22.542 --> 03:40:23.877
PREMATURE WHAT WE'RE DOING RIGHT
03:40:23.944 --> 03:40:25.045
NOW IS THE MEMBERS ARE JUST IN
03:40:25.111 --> 03:40:27.314
THE PROCESS OF PUTTING THOSE IN
03:40:27.380 --> 03:40:28.915
PLACE WE'D LIKE TO SEE.
03:40:28.982 --> 03:40:30.517
WHAT THE BEST PRACTICES ARE AND
03:40:30.584 --> 03:40:32.352
MAYBE BEGIN A CONVERSATION GOING
03:40:32.419 --> 03:40:33.453
FORWARD ABOUT?
03:40:33.520 --> 03:40:35.088
WHAT CAN BE IMPLEMENTED WHAT
03:40:35.155 --> 03:40:36.456
THEY'VE SEEN WHAT THE OUTCOMES
03:40:36.523 --> 03:40:37.857
THAT THEY'VE SEEN PROVIDING
03:40:37.924 --> 03:40:39.326
PROVIDERS WITH MORE INFORMATION
03:40:39.392 --> 03:40:43.463
AND ACCESS SO FOR THOSE REASONS
03:40:43.530 --> 03:40:46.066
TODAY WE ARE OPPOSED TO THE BILL?
03:40:46.132 --> 03:40:47.634
FOR MUCH OTHERS IN OPPOSITION.
03:40:47.701 --> 03:40:48.468
JOHN WINGER ON BEHALF AMERICA'S
03:40:48.535 --> 03:40:49.035
HEALTH INSURANCE PLANS WOULD
03:40:49.102 --> 03:40:49.903
SHARE THE CONCERNS OF CAP
03:40:49.970 --> 03:40:51.972
NECKLACE AND LOOK FORWARD TO
03:40:52.038 --> 03:40:54.007
FUTURE CONVERSATIONS.
03:40:54.074 --> 03:40:55.075
KAREN CIRCUITS YOU WITH THE
03:40:55.141 --> 03:40:57.277
CALIFORNIA CHAMBER OF COMMERCE
03:40:57.344 --> 03:40:59.179
WHERE [inaudible]
03:40:59.245 --> 03:41:02.916
ANYONE ELSE.
03:41:02.983 --> 03:41:03.683
NOW BRING BACK TO COMMITTEE
03:41:03.750 --> 03:41:04.751
APOLOGIZE SO.
03:41:04.818 --> 03:41:05.352
QUESTIONS OR COMMENTS FROM THE
03:41:05.418 --> 03:41:08.288
QUEEN.
03:41:08.355 --> 03:41:08.855
THIS ROSA THANK YOU MISTER
03:41:08.922 --> 03:41:10.490
CHAIRMAN AND THANK YOU FOR
03:41:10.557 --> 03:41:12.058
BRINGING THIS -- ISSUE FOR SEARS
03:41:12.125 --> 03:41:13.193
ARE THERE STILL SOME DIALOGUE
03:41:13.259 --> 03:41:15.061
GOING ON ARE YOU STILL
03:41:15.128 --> 03:41:16.162
CONTINUING TO WORK WITH THEM THE
03:41:16.229 --> 03:41:17.897
THE OPPOSITION AS FAR AS TRYING
03:41:17.964 --> 03:41:19.332
TO BRING SOME RESOLVE TO IT YEAH
03:41:19.399 --> 03:41:21.034
WE ARE -- MISTRESS WERE WE'VE
03:41:21.101 --> 03:41:22.969
WORKED REALLY WELL LAST YEAR --
03:41:23.036 --> 03:41:24.304
TOGETHER AND I THINK WE GOT TO A
03:41:24.371 --> 03:41:26.473
GOOD PLACE AND WILL CONTINUE TO
03:41:26.539 --> 03:41:27.507
DO THAT WE MADE SOME.
03:41:27.574 --> 03:41:29.376
IT STOPS AND DEFINITELY A GREAT
03:41:29.442 --> 03:41:30.577
GREAT RELATIONSHIP WITH THE
03:41:30.644 --> 03:41:32.979
OPPONENTS AND AS WE MOVE FOR
03:41:33.046 --> 03:41:34.381
WITH THE BILL THANK YOU AND
03:41:34.447 --> 03:41:35.382
OTHER SUPPORT TODAY AND AND
03:41:35.448 --> 03:41:36.750
LOOKING FORWARD TO HEARING THE
03:41:36.816 --> 03:41:41.721
RESULTS OF SOME OF THAT ONGOING
03:41:41.788 --> 03:41:42.055
DIALOGUE GRAY.
03:41:42.122 --> 03:41:42.856
THANK YOU.
03:41:42.922 --> 03:41:45.325
THANK THANK YOU VERY MUCH OF
03:41:45.392 --> 03:41:46.292
MISS ROBERSON AND THANK YOU WAS
03:41:46.359 --> 03:41:46.960
MAJOR BRING THIS BEFORE AND KNOW
03:41:47.027 --> 03:41:47.894
THAT THIS IS AN AREA THAT YOU'VE
03:41:47.961 --> 03:41:48.695
BEEN WORKING ON FOR MANY YEARS
03:41:48.762 --> 03:41:49.829
I'M HAPPY TO SPILLED SPORT YOU
03:41:49.896 --> 03:41:52.399
TODAY -- THE BILL DOESN'T DO IT
03:41:52.465 --> 03:41:53.867
ENJOYED DO PASS RECOMMENDATION
03:41:53.933 --> 03:41:55.101
WOULD BE DO PASSED TO
03:41:55.168 --> 03:41:56.903
APPROPRIATIONS I HAVE A MOTION
03:41:56.970 --> 03:41:58.638
FOR MISS AGUILAR CURRY A SECOND
03:41:58.705 --> 03:41:59.606
FOR MISS CARILLO WOULD YOU LIKE
03:41:59.673 --> 03:42:00.140
TO CLOSE.
03:42:00.206 --> 03:42:02.142
THANK YOU VERY MUCH MISTER CHAN
03:42:02.208 --> 03:42:04.110
MEMBERS RESPECTFULLY REQUEST
03:42:04.177 --> 03:42:06.946
TONIGHT -- THEN SECRETARY PLEASE
03:42:07.013 --> 03:42:07.681
CALL THE ROLL.
03:42:07.747 --> 03:42:13.353
WHAT I WOULD AYE MAYES?
03:42:13.420 --> 03:42:15.755
AGUIAR-CURRY THANK YOU VERY AYE
03:42:15.822 --> 03:42:16.389
BIGELOW.
03:42:16.456 --> 03:42:18.191
BONTA.
03:42:18.258 --> 03:42:20.293
BONTA AYE BURKE [inaudible]
03:42:20.360 --> 03:42:21.761
HI CARILLO [inaudible]
03:42:21.828 --> 03:42:24.297
FLORA.
03:42:24.364 --> 03:42:25.432
FLORA NOT VOTING LIMóN.
03:42:25.498 --> 03:42:27.567
MCCARTY NAZARIAN.
03:42:27.634 --> 03:42:28.101
RAMOS.
03:42:28.168 --> 03:42:29.235
RAMOS I RODRIGUEZ [inaudible]
03:42:29.302 --> 03:42:30.770
SANTIAGO [inaudible]
03:42:30.837 --> 03:42:34.874
WATER.
03:42:34.941 --> 03:42:37.177
YOUR FIVE LEAVE THE BILL ON CALL
03:42:37.243 --> 03:42:37.744
THANK YOU MISTER THANKS VERY
03:42:37.811 --> 03:42:40.914
MUCH.
03:42:40.980 --> 03:42:54.928
NEXT MISTER O'DONNELL. ELEVEN
03:42:54.994 --> 03:42:55.495
TWENTY SIX THANK YOU MISTER
03:42:55.562 --> 03:42:56.463
CHAIR AND COMMITTEE MEMBERS I AM
03:42:56.529 --> 03:42:59.065
PLEASED TO PRESENT AB.
03:42:59.132 --> 03:42:59.666
ELEVEN TWENTY SIX WHICH WILL
03:42:59.733 --> 03:43:00.633
FACILITATE THE DELIVERY OF
03:43:00.700 --> 03:43:02.035
MENTAL HEALTH SERVICES TO
03:43:02.102 --> 03:43:03.636
CHILDREN AND YOUTH BY ENSURING
03:43:03.703 --> 03:43:05.839
THAT AVAILABLE MENTAL HEALTH
03:43:05.905 --> 03:43:07.407
FUNDS ARE USED EFFECTIVELY.
03:43:07.474 --> 03:43:08.508
WE KNOW THAT YOUTH WITH MENTAL
03:43:08.575 --> 03:43:10.043
HEALTH PROBLEMS ARE MORE LIKELY
03:43:10.110 --> 03:43:11.778
TO DROP OUT OF SCHOOL TO ENGAGE
03:43:11.845 --> 03:43:14.314
IN SUBSTANCE ABUSE AND OTHER
03:43:14.380 --> 03:43:15.815
RISK TAKING BEHAVIORS.
03:43:15.882 --> 03:43:17.383
SCHOOLS RECOGNIZE THE NEED FOR
03:43:17.450 --> 03:43:18.651
MENTAL HEALTH SERVICES FOR
03:43:18.718 --> 03:43:20.153
STUDENTS BUT GENERALLY LACK
03:43:20.220 --> 03:43:22.889
ACCESS TO THE NECESSARY FUNDING
03:43:22.956 --> 03:43:24.557
TO PROVIDE THOSE SERVICES.
03:43:24.624 --> 03:43:25.658
THE MENTAL HEALTH SERVICES
03:43:25.725 --> 03:43:27.160
COMMISSION OVERSEES THE MENTAL
03:43:27.227 --> 03:43:29.896
HEALTH SERVICES ACT OR MH ACE MH
03:43:29.963 --> 03:43:31.998
ACE M. H. S. A. WHICH FUNDS
03:43:32.065 --> 03:43:33.199
MENTAL HEALTH SERVICES AT THE
03:43:33.266 --> 03:43:35.568
COUNTY LEVEL THROUGH A 1% TAX.
03:43:35.635 --> 03:43:37.337
ON PERSONAL INCOMES ABOVE ONE
03:43:37.403 --> 03:43:38.772
MILLION DOLLARS.
03:43:38.838 --> 03:43:41.474
A PORTION OF THE MH AS A FUNDS
03:43:41.541 --> 03:43:43.276
ARE TO BE USED FOR PREVENTION
03:43:43.343 --> 03:43:44.677
AND EARLY INTERVENTION FOR
03:43:44.744 --> 03:43:46.012
CHILDREN AND YOUTH.
03:43:46.079 --> 03:43:47.480
AND MANY CASES SCHOOLS ARE
03:43:47.547 --> 03:43:49.249
UNAWARE OF THE UNAVAILABILITY OF
03:43:49.315 --> 03:43:50.717
THESE FUNDS OR HAVE BEEN UNABLE
03:43:50.784 --> 03:43:52.352
TO ACCESS THEM TO MEET THE
03:43:52.418 --> 03:43:53.620
MENTAL HEALTH NEEDS.
03:43:53.686 --> 03:43:56.022
OF THEIR STUDENTS THIS BILL WILL
03:43:56.089 --> 03:43:57.590
ESTABLISH TECHNICAL ASSISTANCE
03:43:57.657 --> 03:43:59.826
CENTERS. TO SUPPORT COUNTIES IN
03:43:59.893 --> 03:44:01.194
ADDRESSING KEY MENTAL HEALTH
03:44:01.261 --> 03:44:03.296
ISSUES INCLUDING SCHOOL MENTAL
03:44:03.363 --> 03:44:03.897
HEALTH.
03:44:03.963 --> 03:44:04.831
THIS BILL ALL THOSE ALSO
03:44:04.898 --> 03:44:05.999
REQUIRES THE COMMISSION TO
03:44:06.065 --> 03:44:07.667
DEVELOP TOOLS TO INCREASE THE
03:44:07.734 --> 03:44:09.669
TRANSPARENCY AND ACCOUNTABILITY
03:44:09.736 --> 03:44:11.271
A MENTAL HEALTH EXPENDITURES
03:44:11.337 --> 03:44:12.972
ACROSS OUR STATE.
03:44:13.039 --> 03:44:14.307
THIS BILL WILL ALLOW LOCAL
03:44:14.374 --> 03:44:15.708
COMMUNITIES TO UNDERSTAND MORE
03:44:15.775 --> 03:44:17.110
ABOUT MENTAL HEALTH SERVICES IN
03:44:17.177 --> 03:44:18.044
THEIR COMMUNITIES AND THE
03:44:18.111 --> 03:44:20.413
FUNDING AVAILABLE. TO MEET LOCAL
03:44:20.480 --> 03:44:22.816
NEEDS FINALLY AB ELEVEN TWENTY
03:44:22.882 --> 03:44:23.750
SIX WILL ESTABLISH AN INNOVATION
03:44:23.817 --> 03:44:26.186
INCUBATOR. TO PROVIDE GUIDANCE
03:44:26.252 --> 03:44:27.887
TO INNOVATIVE COUNTY SCHOOL
03:44:27.954 --> 03:44:29.155
PARTNERSHIPS PROVIDING MENTAL
03:44:29.222 --> 03:44:31.658
HEALTH SERVICES TO STUDENTS WITH
03:44:31.724 --> 03:44:33.726
ME TODAY TO TESTIFY IN SUPPORT
03:44:33.793 --> 03:44:34.794
OF THIS BILL IS DOCTOR.
03:44:34.861 --> 03:44:36.329
TOBY EWING EXECUTIVE DIRECTOR OF
03:44:36.396 --> 03:44:39.999
THE MENTAL HEALTH OVERSIGHT AND
03:44:40.066 --> 03:44:41.668
ACCOUNTABILITY COMMISSION.
03:44:41.734 --> 03:44:42.669
THANKS VERY MUCH MR CHAIRMAN
03:44:42.735 --> 03:44:44.003
MEMBERS -- TO BE DOING ON BEHALF
03:44:44.070 --> 03:44:44.871
OF THE STATE'S NO HEALTH
03:44:44.938 --> 03:44:46.840
COMMISSION -- THIS IS A A BILL
03:44:46.906 --> 03:44:48.675
THAT REALLY PUTS IN PLACE THREE
03:44:48.741 --> 03:44:49.542
STRATEGIES THAT WE THINK ARE
03:44:49.609 --> 03:44:51.177
VERY IMPORTANT IN TERMS OF OUR
03:44:51.244 --> 03:44:52.612
ABILITY TO SUPPORT THE
03:44:52.679 --> 03:44:54.514
TRANSFORMATIONAL CHANGE THAT WE
03:44:54.581 --> 03:44:55.915
NEED OUR MENTAL HEALTH SYSTEM.
03:44:55.982 --> 03:44:58.218
FIRST IT REQUIRES THE COMMISSION
03:44:58.284 --> 03:44:59.219
TO PUT IN PLACE A PRETTY
03:44:59.285 --> 03:45:01.487
COMPREHENSIVE ACCOUNTABILITY AND
03:45:01.554 --> 03:45:04.224
TRANSPARENCY -- STRATEGY WE'VE
03:45:04.290 --> 03:45:05.625
BEGUN THAT WORK BUT IT'S WHAT
03:45:05.692 --> 03:45:07.393
WE'VE DONE IS VERY LIMITED TO
03:45:07.460 --> 03:45:09.462
THE M. HSA PORTION OF THE MENTAL
03:45:09.529 --> 03:45:10.363
HEALTH CERTAIN MENTAL HEALTH
03:45:10.430 --> 03:45:12.532
SYSTEM THAT'S ABOUT 25% OF OUR
03:45:12.599 --> 03:45:13.933
SYSTEM WE KNOW VERY LITTLE.
03:45:14.000 --> 03:45:16.102
ABOUT THE OTHER THREE QUARTERS
03:45:16.169 --> 03:45:17.203
OF OUR MENTAL HEALTH SYSTEM.
03:45:17.270 --> 03:45:20.073
BUT IN ADDITION TO HAVING US --
03:45:20.139 --> 03:45:21.975
IMPROVE OUR ABILITY TO INFORM
03:45:22.041 --> 03:45:24.043
YOU AND THE PUBLIC ABOUT WHAT'S
03:45:24.110 --> 03:45:25.245
WORKING WHAT'S NOT WORKING IN
03:45:25.311 --> 03:45:26.446
THE MENTAL HEALTH SYSTEM.
03:45:26.512 --> 03:45:29.048
IT ALSO EMPOWERS THE COMMISSION.
03:45:29.115 --> 03:45:30.617
TO PUT IN PLACE STRATEGIES TO
03:45:30.683 --> 03:45:32.185
DRIVE IMPROVEMENT.
03:45:32.252 --> 03:45:34.153
BY FIRST SUPPORTING OUR ABILITY
03:45:34.220 --> 03:45:35.922
TO FACILITATE INNOVATION ACROSS
03:45:35.989 --> 03:45:37.423
COUNTY SOMETHING THAT WE STARTED
03:45:37.490 --> 03:45:39.192
BUT THAT WE HAVE LIMITED ABILITY
03:45:39.259 --> 03:45:40.660
TO DO IN THIS BILL WOULD EXPAND
03:45:40.727 --> 03:45:41.628
UPON THAT.
03:45:41.694 --> 03:45:43.129
AND AND IN MANY WAYS MORE
03:45:43.196 --> 03:45:45.198
IMPORTANTLY -- IT WOULD PUT IN
03:45:45.265 --> 03:45:46.466
PLACE STRATEGIES FOR TECHNICAL
03:45:46.532 --> 03:45:47.767
ASSISTANCE FOR THE COUNTIES WE
03:45:47.834 --> 03:45:49.569
SPENT TIME LAST YEAR TALKING
03:45:49.636 --> 03:45:51.537
WITH CITY COUNTY AND COMMUNITY
03:45:51.604 --> 03:45:52.805
LEADERS ABOUT THE GREATEST
03:45:52.872 --> 03:45:54.107
CHALLENGES FACING OUR MENTAL
03:45:54.173 --> 03:45:55.141
HEALTH SYSTEM.
03:45:55.208 --> 03:45:56.109
AND WHAT MANY OF THOSE OFFICIALS
03:45:56.175 --> 03:45:58.511
SAID IS THAT THE STATE NEEDS TO
03:45:58.578 --> 03:45:59.445
PUT IN PLACE A TECHNICAL
03:45:59.512 --> 03:46:00.813
ASSISTANCE STRATEGY THAT CAN
03:46:00.880 --> 03:46:03.049
HELP THEM BUILD UPON SUCCESSES
03:46:03.116 --> 03:46:04.584
IN SOME PARTS OF THE STATE AND
03:46:04.651 --> 03:46:05.585
EXTENT OF SUCCESSES TO OTHER
03:46:05.652 --> 03:46:06.519
AREAS.
03:46:06.586 --> 03:46:07.854
SO WE REALLY LIKE THIS BILL
03:46:07.921 --> 03:46:09.255
BECAUSE IT COMBINES THE
03:46:09.322 --> 03:46:10.823
COMMISSION'S ABILITY TO REALLY
03:46:10.890 --> 03:46:12.191
OUTLINED WHAT'S WORKING AND
03:46:12.258 --> 03:46:13.359
WHAT'S NOT WORKING.
03:46:13.426 --> 03:46:15.061
BUT ALSO TO PUT IN PLACE THE
03:46:15.128 --> 03:46:16.596
STRATEGIES FOR IMPROVEMENTS IN
03:46:16.663 --> 03:46:17.563
WITH THAT WE ASK FOR YOUR
03:46:17.630 --> 03:46:21.234
SUPPORT HAPPY TO ANSWER ANY
03:46:21.301 --> 03:46:24.470
QUESTIONS YOU MIGHT HAVE.
03:46:24.537 --> 03:46:25.138
VERY MUCH OTHER SUPPORT TONY TO
03:46:25.204 --> 03:46:25.738
CARE ON BEHALF THE CALIFORNIA
03:46:25.805 --> 03:46:27.373
TEACHERS ASSOCIATION AND SUPPORT.
03:46:27.440 --> 03:46:28.975
THANK YOU.
03:46:29.042 --> 03:46:30.510
OLGA SHILOH LOS ANGELES UNIFIED
03:46:30.576 --> 03:46:31.911
SCHOOL DISTRICT AND SUPPORT.
03:46:31.978 --> 03:46:33.613
THANK YOU. EIGHTY ONE
03:46:33.680 --> 03:46:34.881
REPRESENTING CALIFORNIA SCHOOL
03:46:34.948 --> 03:46:36.449
NURSES ORGANIZATION AND SUPPORT.
03:46:36.516 --> 03:46:37.951
I DIDN'T GET A LETTER IN BUT
03:46:38.017 --> 03:46:39.319
IT'S ON THE WAY.
03:46:39.385 --> 03:46:41.721
THANK YOU.
03:46:41.788 --> 03:46:43.056
IS THE CHAIR ON THE LITTLE IN
03:46:43.122 --> 03:46:44.691
BETWEEN HERE CONNIE DELGADO ON
03:46:44.757 --> 03:46:45.658
BEHALF OF THE COUNTY BEHAVIORAL
03:46:45.725 --> 03:46:47.193
HEALTH DIRECTORS ASSOCIATION WE
03:46:47.260 --> 03:46:48.661
WANT TO THANK THE AUTHOR IN THE
03:46:48.728 --> 03:46:50.129
STAKEHOLDERS -- WE'VE BEEN
03:46:50.196 --> 03:46:51.664
HAVING CONVERSATIONS AND WE DO
03:46:51.731 --> 03:46:53.399
HAVE SOME CONCERNS AND HOW THE
03:46:53.466 --> 03:46:54.867
IMPLEMENTATION OF THIS BILL WORK
03:46:54.934 --> 03:46:56.836
AND WE HOPE TO WORK WITH
03:46:56.903 --> 03:46:58.304
EVERYBODY MOVING FORWARD THANK
03:46:58.371 --> 03:46:58.471
YOU.
03:46:58.538 --> 03:46:59.605
VERY MUCH.
03:46:59.672 --> 03:47:03.476
IS THERE ANYONE IN OPPOSITION.
03:47:03.543 --> 03:47:04.644
THE NUMBER BRING IT BACK TO THE
03:47:04.711 --> 03:47:06.646
COMMITTEE FOR QUESTIONS OR
03:47:06.713 --> 03:47:07.180
COMMENTS AND QUESTIONS OR
03:47:07.246 --> 03:47:08.047
COMMENTS.
03:47:08.114 --> 03:47:09.382
THE BILL ENJOYS A DO PASS
03:47:09.449 --> 03:47:12.051
RECOMMENDATION OF MISTER MISTER
03:47:12.118 --> 03:47:13.553
O'DONNELL WOULD YOU LIKE TO
03:47:13.619 --> 03:47:14.821
CLOSE THAT'S WHEN I VOTE.
03:47:14.887 --> 03:47:16.723
VERY MUCH WE HAVE A MOTION -- BY
03:47:16.789 --> 03:47:18.958
MISS AGUIAR-CURRY A SECOND BY
03:47:19.025 --> 03:47:21.594
MISTER FLORA AND MADAM SECRETARY
03:47:21.661 --> 03:47:23.229
PLEASE CALL THE ROLL.
03:47:23.296 --> 03:47:27.533
WHAT I WHAT I MAYES?
03:47:27.600 --> 03:47:28.668
AFTER CURRY.
03:47:28.735 --> 03:47:29.302
HEY HURRY I BIGELOW [inaudible]
03:47:29.369 --> 03:47:30.970
BONTA [inaudible]
03:47:31.037 --> 03:47:32.705
BURKE [inaudible]
03:47:32.772 --> 03:47:35.274
CARILLO [inaudible]
03:47:35.341 --> 03:47:37.343
FLORA.
03:47:37.410 --> 03:47:38.411
FLORA AYE LIMóN [inaudible]
03:47:38.478 --> 03:47:39.812
MCCARTY [inaudible]
03:47:39.879 --> 03:47:41.981
NAZARIAN.
03:47:42.048 --> 03:47:44.884
RAMOS ROSS I RODRIGUEZ
03:47:44.951 --> 03:47:45.184
[inaudible]
03:47:45.251 --> 03:47:47.453
SANTIAGO [inaudible]
03:47:47.520 --> 03:47:52.525
WALDRON.
03:47:52.592 --> 03:47:54.394
IF YOU HAVE FOUR VOTES WITH A
03:47:54.460 --> 03:47:55.928
LOT OF MEMBERS THAT ARE OUT AND
03:47:55.995 --> 03:47:56.696
ABOUT SO WILL BE THE BILL ON
03:47:56.763 --> 03:47:58.564
CALL.
03:47:58.631 --> 03:47:59.198
THANK YOU MISTER THANK YOU VERY
03:47:59.265 --> 03:48:06.239
MUCH [inaudible]
03:48:06.305 --> 03:48:19.318
MR.
03:48:19.385 --> 03:48:19.952
TO THANK YOU MISTER CHAIRMAN --
03:48:20.019 --> 03:48:20.887
I WILL FIRST PRESENT AB FIFTEEN
03:48:20.953 --> 03:48:21.354
TWENTY FOUR PER SHARE
03:48:21.421 --> 03:48:21.988
CONSIDERATION OF THIS BILL TO
03:48:22.055 --> 03:48:22.789
EXPEDITE MEDI CAL APPROVAL FOR
03:48:22.855 --> 03:48:23.489
STUDENT HEALTH CENTERS.
03:48:23.556 --> 03:48:24.090
THESE ARE HEALTH CENTERS THAT
03:48:24.157 --> 03:48:25.124
ARE GENERALLY LOCATED ON A
03:48:25.191 --> 03:48:26.893
CAMPUS THAT PROVIDE PREVENTIVE
03:48:26.959 --> 03:48:28.694
AND PRIMARY CARE SERVICES --
03:48:28.761 --> 03:48:30.530
HOWEVER DESPITE THE LARGE NUMBER
03:48:30.596 --> 03:48:32.365
OF STUDENTS WERE ELIGIBLE OR
03:48:32.432 --> 03:48:33.433
CURRENTLY COVERED BY MEDICARE.
03:48:33.499 --> 03:48:35.535
ONLY A SMALL PERCENTAGE OF THESE
03:48:35.601 --> 03:48:36.736
HEALTH CENTERS ARE AND ROLLED
03:48:36.803 --> 03:48:39.172
MEDI CAL PROVIDERS THIS PROVIDES
03:48:39.238 --> 03:48:40.907
THIS POSES A BARRIER TO STUDENTS
03:48:40.973 --> 03:48:42.308
WHO HAVE TO GO OFF CAMPUS TO
03:48:42.375 --> 03:48:43.876
FIND A MEDICAL PROVIDER.
03:48:43.943 --> 03:48:45.311
IN ADDITION STERN HEALTH CENTERS
03:48:45.378 --> 03:48:47.480
ARE PERMITTED TO PARTICIPATE IN
03:48:47.547 --> 03:48:48.815
PROGRAMS THAT PROVIDE LOW INCOME
03:48:48.881 --> 03:48:50.516
INDIVIDUALS WITH ACCESS TO
03:48:50.583 --> 03:48:51.884
FAMILY PLANNING AND TIME
03:48:51.951 --> 03:48:53.619
SENSITIVE PREGNANCY SERVICES.
03:48:53.686 --> 03:48:54.587
BUT TO BECOME A PROVIDER OF
03:48:54.654 --> 03:48:56.789
THOSE SERVICES THE CENTERS MUST
03:48:56.856 --> 03:48:59.959
FIRST AND ROLE IN MEDICAL.
03:49:00.026 --> 03:49:01.527
CURRENT LONGER THIS BILL.
03:49:01.594 --> 03:49:02.528
THANK YOU -- I'LL BE VERY BRIEF
03:49:02.595 --> 03:49:03.596
CURRENT LAW ESTABLISHES A
03:49:03.663 --> 03:49:04.530
HUNDRED EIGHTY DAY TIME FRAME
03:49:04.597 --> 03:49:06.866
BUT OFTENTIMES THAT PROCESS
03:49:06.933 --> 03:49:08.234
TAKES NINE TO EIGHTEEN MONTHS.
03:49:08.301 --> 03:49:09.268
GIVEN THE IMPORTANCE OF ENSURING
03:49:09.335 --> 03:49:10.369
IMMEDIATE ACCESS TO MEDICAL
03:49:10.436 --> 03:49:11.737
SERVICES PARTICULARLY IN RURAL
03:49:11.804 --> 03:49:13.806
COMMUNITIES CALIFORNIA CREATED A
03:49:13.873 --> 03:49:15.441
FAST TRACK ENROLLMENT PROCESS
03:49:15.508 --> 03:49:17.009
FOR QUALIFIED PRIMARY CARE
03:49:17.076 --> 03:49:17.677
CLINICS.
03:49:17.743 --> 03:49:18.978
THIS BILL WOULD SIMPLY PUT
03:49:19.045 --> 03:49:20.580
STUDENT HEALTH CENTERS ON PAR
03:49:20.646 --> 03:49:22.081
WITH SIMILARLY SITUATED
03:49:22.148 --> 03:49:23.883
AFFILIATE PRIMARY CARE CLINICS
03:49:23.950 --> 03:49:25.051
REQUIRED APPLICATIONS TO BE
03:49:25.118 --> 03:49:27.487
PROVED WITHIN THIRTY DAYS.
03:49:27.553 --> 03:49:29.255
WITH THAT I WANT TO TURN IT OVER
03:49:29.322 --> 03:49:29.655
TO OUR WITNESSES.
03:49:29.722 --> 03:49:30.423
THANK YOU.
03:49:30.490 --> 03:49:32.291
GOOD AFTERNOON MY NAME IS LAUREN
03:49:32.358 --> 03:49:34.160
CAM HANNAH I'M THE NURSE
03:49:34.227 --> 03:49:35.495
PRACTITIONER COORDINATOR OF
03:49:35.561 --> 03:49:37.163
STUDENT HEALTH SERVICES AT
03:49:37.230 --> 03:49:38.664
COLUMBIA COLLEGE.
03:49:38.731 --> 03:49:40.733
A PAST PRESIDENT OF AND CURRENT
03:49:40.800 --> 03:49:42.602
EXECUTIVE BOARD MEMBER OF THE
03:49:42.668 --> 03:49:44.337
HEALTH SERVICES ASSOCIATION OF
03:49:44.403 --> 03:49:46.506
CALIFORNIA COMMUNITY COLLEGES.
03:49:46.572 --> 03:49:48.007
I SPEAK FOR THIS ASSOCIATION
03:49:48.074 --> 03:49:49.509
WHICH REPRESENTS MORE THAN A
03:49:49.575 --> 03:49:50.610
HUNDRED AND FORTY STUDENT HEALTH
03:49:50.676 --> 03:49:52.812
CENTER DIRECTORS AND STAFF FROM
03:49:52.879 --> 03:49:54.580
OUR ONE HUNDRED FOURTEEN
03:49:54.647 --> 03:49:55.915
CALIFORNIA COMMUNITY COLLEGES.
03:49:55.982 --> 03:49:57.283
ARE ORGANIZATIONS MISSION IS TO
03:49:57.350 --> 03:49:58.751
SUPPORT AND FOSTER STUDENT
03:49:58.818 --> 03:50:00.353
ACCESS TO QUALITY HEALTH SERVICE
03:50:00.419 --> 03:50:01.921
PROGRAMS WITHIN THE CALIFORNIA
03:50:01.988 --> 03:50:03.189
COMMUNITY COLLEGE SYSTEM.
03:50:03.256 --> 03:50:05.358
OUR WORK ADDRESSING PHYSICAL
03:50:05.424 --> 03:50:06.759
MENTAL AND SOCIAL HEALTH IS
03:50:06.826 --> 03:50:08.694
CRITICAL TO THE ACADEMIC SUCCESS
03:50:08.761 --> 03:50:10.496
OF MORE THAN TWO POINT ONE
03:50:10.563 --> 03:50:11.931
MILLION.
03:50:11.998 --> 03:50:13.566
COMMUNITY COLLEGE STUDENTS WE
03:50:13.633 --> 03:50:14.734
ARE VERY PLEASED TO BE THE
03:50:14.800 --> 03:50:17.770
SPONSOR OF AB.
03:50:17.837 --> 03:50:18.404
FIFTEEN TWENTY FOUR PROVIDING A
03:50:18.471 --> 03:50:20.106
FAST TRACK MEDI CAL AND FAMILY
03:50:20.173 --> 03:50:21.607
CLAPPING ROLE IN THE PROCESS OF
03:50:21.674 --> 03:50:23.509
ABOUT THIRTY DAYS. FOR
03:50:23.576 --> 03:50:24.644
PARTICIPATING CALIFORNIA
03:50:24.710 --> 03:50:25.411
COMMUNITY HEALTH SERVICE
03:50:25.478 --> 03:50:26.946
PROGRAMS WILL INCENTIVIZE
03:50:27.013 --> 03:50:28.447
CURRENT NON PARTICIPATING
03:50:28.514 --> 03:50:29.782
COLLEGES TO ENGAGE IN THE
03:50:29.849 --> 03:50:31.117
APPLICATION PROCESS
03:50:31.184 --> 03:50:32.451
THIS REMOVES A SIGNIFICANT
03:50:32.518 --> 03:50:35.054
BARRIER TO PROVIDING CARE NOT
03:50:35.121 --> 03:50:36.389
LEAVING DESPERATELY NEEDED
03:50:36.455 --> 03:50:37.957
REIMBURSEMENT OPPORTUNITIES ON
03:50:38.024 --> 03:50:39.759
THE TABLE FOR SERVICES WE
03:50:39.825 --> 03:50:41.394
ALREADY PROVIDE.
03:50:41.460 --> 03:50:42.562
MEDIC CALIBAN WE PACKED OUR
03:50:42.628 --> 03:50:44.297
CRITICAL FUNDING STREAMS FOR OUR
03:50:44.363 --> 03:50:46.566
PROGRAMS WHICH STRUGGLE WITH AN
03:50:46.632 --> 03:50:47.667
UNSTABLE FUNDING MODEL.
03:50:47.733 --> 03:50:49.202
AS A SUPPORT PROGRAM THAT DOES
03:50:49.268 --> 03:50:51.003
NOT RECEIVE STATE OR FEDERAL
03:50:51.070 --> 03:50:53.105
BASELINE CATEGORICAL FUNDING
03:50:53.172 --> 03:50:54.540
MAINTAINING BEST PRACTICE MODELS
03:50:54.607 --> 03:50:56.542
IS CHALLENGING WITH FLUCTUATING
03:50:56.609 --> 03:50:58.010
STUDENT HEALTH FEES WHICH ARE
03:50:58.077 --> 03:50:59.579
NOW TWENTY ONE DOLLARS PER
03:50:59.645 --> 03:51:01.147
SEMESTER PER STUDENT.
03:51:01.214 --> 03:51:03.249
DUE TO VARYING ROLAND NUMBERS
03:51:03.316 --> 03:51:04.917
THOSE FEES VARY WE HAVE I'M
03:51:04.984 --> 03:51:06.586
GUARANTEED GRANTS I'M GUARANTEED
03:51:06.652 --> 03:51:08.821
GENERAL FUND OR EQUITY FUND
03:51:08.888 --> 03:51:10.856
CONTRIBUTIONS SHORTENING THE
03:51:10.923 --> 03:51:12.391
APPLICATION PROCESS FROM UPWARDS
03:51:12.458 --> 03:51:13.759
OF EIGHTEEN MONTHS AND THE
03:51:13.826 --> 03:51:15.928
COMPLICATIONS THAT TIME FRAME
03:51:15.995 --> 03:51:17.463
PRESENTS TO ABOUT THIRTY DAYS.
03:51:17.530 --> 03:51:19.065
WELL INCENTIVIZE MORE CENTERS TO
03:51:19.131 --> 03:51:20.399
PARTICIPATE AND RECEIVE VITAL
03:51:20.466 --> 03:51:22.201
FUNDING TO PROVIDE ESSENTIAL
03:51:22.268 --> 03:51:23.936
PRIMARY CARE AND PREVENTIVE
03:51:24.003 --> 03:51:25.771
SERVICES ON THEIR CAMPUSES
03:51:25.838 --> 03:51:28.107
ESPECIALLY PREGNANCY RELATED AND
03:51:28.174 --> 03:51:29.775
FAMILY PLANNING.
03:51:29.842 --> 03:51:32.278
APPROXIMATELY THIRTY CALIFORNIA
03:51:32.345 --> 03:51:33.446
COMMUNITY COLLEGES.
03:51:33.512 --> 03:51:34.580
POTENTIALLY REPRESENTING
03:51:34.647 --> 03:51:35.748
HUNDREDS OF THOUSANDS OF
03:51:35.815 --> 03:51:40.052
STUDENTS DO NOT HAVE A HEALTH
03:51:40.119 --> 03:51:40.419
CENTER PROGRAM.
03:51:40.486 --> 03:51:42.588
IN A SCENARIO OF UNSTABLE
03:51:42.655 --> 03:51:43.923
FUNDING AB FIFTEEN TWENTY FOUR
03:51:43.990 --> 03:51:44.523
MAY ENCOURAGE THEM. TO SEE A
03:51:44.590 --> 03:51:45.925
PATH TO INITIATE THIS VITAL
03:51:45.992 --> 03:51:47.560
SERVICE.
03:51:47.627 --> 03:51:53.065
AGAIN HSA CCC GLADLY SPONSORS AB
03:51:53.132 --> 03:51:53.366
[inaudible]
03:51:53.432 --> 03:51:56.369
FIFTEEN TWENTY FOUR TERMINATION.
03:51:56.435 --> 03:51:57.870
GOOD AFTERNOON MY NAME IS
03:51:57.937 --> 03:51:59.071
DEBORAH ROME BURKE I'M THE OWNER
03:51:59.138 --> 03:52:00.539
AND FOUNDER OF DJ ARE HEALTH
03:52:00.606 --> 03:52:02.074
LONG CONSULTING WHICH IS A
03:52:02.141 --> 03:52:03.042
BOUTIQUE LAW FIRM THAT
03:52:03.109 --> 03:52:04.910
SPECIALIZES IN HEALTH CARE
03:52:04.977 --> 03:52:06.178
REGULATORY COMPLIANCE.
03:52:06.245 --> 03:52:07.413
OUR CLIENTS INCLUDE MANY
03:52:07.480 --> 03:52:09.081
HEALTHCARE PROVIDERS INCLUDING
03:52:09.148 --> 03:52:09.782
REPRODUCTIVE HEALTH CARE
03:52:09.849 --> 03:52:11.751
PROVIDERS THAT OPERATE AFFILIATE
03:52:11.817 --> 03:52:13.552
PRIMARY CARE CLINICS THAT
03:52:13.619 --> 03:52:14.120
PARTICIPATE IN THE MEDICARE
03:52:14.186 --> 03:52:15.087
PROGRAM.
03:52:15.154 --> 03:52:16.289
WE ALSO CONSULT WITH GROUPS LIKE
03:52:16.355 --> 03:52:17.390
THE WOMEN'S FOUNDATION OF
03:52:17.456 --> 03:52:18.924
CALIFORNIA ON POLICY
03:52:18.991 --> 03:52:20.393
IMPLEMENTATION STRATEGIES
03:52:20.459 --> 03:52:21.961
RELATED TO MEDI CAL ENROLLMENT
03:52:22.028 --> 03:52:23.195
AND LICENSURE.
03:52:23.262 --> 03:52:24.730
SO I'M HERE TODAY SOLELY AS A
03:52:24.797 --> 03:52:26.866
SUBJECT MATTER EXPERT AND HERE
03:52:26.932 --> 03:52:28.634
TO ANSWER ANY QUESTIONS.
03:52:28.701 --> 03:52:29.969
THANK YOU VERY MUCH OTHERS IN A
03:52:30.036 --> 03:52:32.138
SUPPORT.
03:52:32.204 --> 03:52:33.472
RESIDENTS ALSO ON BEHALF OF THE
03:52:33.539 --> 03:52:36.275
NATIONAL ASSOCIATION OF SOCIAL
03:52:36.342 --> 03:52:36.909
WORKERS IN STRONG SUPPORT THANK
03:52:36.976 --> 03:52:38.077
YOU.
03:52:38.144 --> 03:52:40.112
KIM CRAIG ON BEHALF OF PLANNED
03:52:40.179 --> 03:52:42.515
PARENTHOOD IN SUPPORT.
03:52:42.581 --> 03:52:44.483
I ANGER MAYES FAILURE OF
03:52:44.550 --> 03:52:46.285
CALIFORNIANS SUPPORT.
03:52:46.352 --> 03:52:47.720
SHANNON HOVIS NARAL PRO CHOICE
03:52:47.787 --> 03:52:49.522
CALIFORNIA IN SUPPORT AND ALSO
03:52:49.588 --> 03:52:51.457
ON BEHALF OF CALIFORNIA LATINAS
03:52:51.524 --> 03:52:52.591
FOR REPRODUCTIVE JUSTICE IN
03:52:52.658 --> 03:52:54.727
SUPPORT THANK YOU.
03:52:54.794 --> 03:52:55.895
SONYA COACH IVAYLO CAMPUS
03:52:55.961 --> 03:52:56.996
ORGANIZER FOR THE JUST CARE
03:52:57.063 --> 03:52:59.031
CAMPAIGN IN STRONG SUPPORT AND
03:52:59.098 --> 03:53:00.533
ALSO ON BEHALF OF FORTY FIVE
03:53:00.599 --> 03:53:01.834
STUDENTS FROM UC DAVIS THAT WERE
03:53:01.901 --> 03:53:03.069
HERE EARLIER AND HAD TO LEAVE
03:53:03.135 --> 03:53:05.905
BACK FOR CAMPUS -- ALSO IN
03:53:05.971 --> 03:53:07.907
STRONG SUPPORT THANK YOU.
03:53:07.973 --> 03:53:09.542
LIBBY BENEDICT OF REPRESENTING
03:53:09.608 --> 03:53:10.876
THE WOMEN'S FOUNDATION OF
03:53:10.943 --> 03:53:12.311
CALIFORNIA IN STRONG SUPPORT
03:53:12.378 --> 03:53:14.547
THANK YOU. TO ANYONE IN
03:53:14.613 --> 03:53:17.416
OPPOSITION.
03:53:17.483 --> 03:53:18.617
SEE NO ONE WILL BRING BACK TO
03:53:18.684 --> 03:53:20.519
THE COMMITTEE FOR QUESTIONS OR
03:53:20.586 --> 03:53:22.021
COMMENTS QUESTIONS OR COMMENTS.
03:53:22.088 --> 03:53:24.156
SEEING NONE -- THE BILL DOES
03:53:24.223 --> 03:53:25.191
ENJOY DEUCE DO PASS
03:53:25.257 --> 03:53:27.026
RECOMMENDATION BE DO PASSED TO
03:53:27.093 --> 03:53:31.297
APPROPRIATIONS -- WE HAVE A
03:53:31.364 --> 03:53:34.834
MOTION.
03:53:34.900 --> 03:53:35.701
THE MOST MEMBERS I GEAR CURRY.
03:53:35.768 --> 03:53:37.069
SECOND BY MISTER RAMOS WHICH
03:53:37.136 --> 03:53:38.003
LIKE CLOSE I JUST APPRECIATE ALL
03:53:38.070 --> 03:53:38.838
FOLKS WERE HERE EARLIER ONE ABLE
03:53:38.904 --> 03:53:40.072
TO STAY GIVEN THE INCREDIBLE
03:53:40.139 --> 03:53:41.707
LINK THAT THIS YEAR IN AND
03:53:41.774 --> 03:53:43.309
RESPECTFULLY ASK RIVAL.
03:53:43.376 --> 03:53:45.678
THANK YOU VERY MUCH -- THEM
03:53:45.745 --> 03:53:47.012
SECTOR PLEASE CALL THE ROLL
03:53:47.079 --> 03:53:48.280
MOTIONS TO PASS TO
03:53:48.347 --> 03:53:50.983
APPROPRIATIONS WHAT I WOULD AYE
03:53:51.050 --> 03:53:53.886
MAYES AGUIAR-CURRY THANK A THREE
03:53:53.953 --> 03:53:56.489
AYE BIGELOW.
03:53:56.555 --> 03:53:58.190
BONTA BURKE [inaudible]
03:53:58.257 --> 03:53:59.692
CARILLO [inaudible]
03:53:59.759 --> 03:54:00.793
FLORA [inaudible]
03:54:00.860 --> 03:54:03.796
FLORA NO.
03:54:03.863 --> 03:54:04.363
THE MOST.
03:54:04.430 --> 03:54:06.198
MCCARTY.
03:54:06.265 --> 03:54:07.066
NAZARIAN RAMOS.
03:54:07.133 --> 03:54:09.335
RAMOS I RODRIGUEZ SANTIAGO
03:54:09.402 --> 03:54:13.339
WALDRON. THREE WE HAVE -- THREE
03:54:13.406 --> 03:54:14.740
WE'VE GOT A LOT OF MEMBERS.
03:54:14.807 --> 03:54:16.642
SOMEWHERE IN THE BUILDING.
03:54:16.709 --> 03:54:18.244
AND I'M SURE THEY'LL COME BACK
03:54:18.310 --> 03:54:19.345
AT SOME POINT SO.
03:54:19.412 --> 03:54:21.180
YOUR NEXT BILL SIR GREAT THANK
03:54:21.247 --> 03:54:24.116
YOU VERY MUCH.
03:54:24.183 --> 03:54:24.984
THANK YOU MISTER CHAIR AND
03:54:25.050 --> 03:54:26.218
APPRECIATE YOUR CONSIDERATION OF
03:54:26.285 --> 03:54:28.320
AB SIXTEEN ELEVEN TO END
03:54:28.387 --> 03:54:30.089
SURPRISE BILLING AND EMERGENCY
03:54:30.156 --> 03:54:31.056
ROOMS ON THE FIRST START BY
03:54:31.123 --> 03:54:32.158
THANKING THE CHAIR IN YOUR
03:54:32.224 --> 03:54:33.592
COMMITTEE STAFF FOR YOUR
03:54:33.659 --> 03:54:35.094
DILIGENT WORK WITH OUR OFFICE ON
03:54:35.161 --> 03:54:36.328
AMENDMENTS.
03:54:36.395 --> 03:54:37.997
WHICH I'M HAPPY TO ACCEPT TODAY.
03:54:38.063 --> 03:54:39.432
RECENTLY POLICY MEMBERS AND THE
03:54:39.498 --> 03:54:41.534
PUBLIC LEARNED ABOUT MANY MANY
03:54:41.600 --> 03:54:42.835
STORIES OF PATIENTS AND
03:54:42.902 --> 03:54:44.503
EMERGENCY ROOMS IN MY CITY AND
03:54:44.570 --> 03:54:46.138
OTHERS WHO'VE BEEN CHARGED WITH
03:54:46.205 --> 03:54:48.908
EXORBITANT BILLS DESPITE HAVING
03:54:48.974 --> 03:54:50.509
HEALTH INSURANCE. ONE IS IF YOU
03:54:50.576 --> 03:54:51.410
HAVE HEALTH INSURANCE YOU'D
03:54:51.477 --> 03:54:53.145
THINK THAT IF YOU NEED EMERGENCY
03:54:53.212 --> 03:54:54.613
ROOM CARE YOU BE COVERED.
03:54:54.680 --> 03:54:56.215
TURNS OUT THAT HAS NOT BEEN TRUE
03:54:56.282 --> 03:54:57.416
IN.
03:54:57.483 --> 03:54:59.318
MANY OF OUR EMERGENCY ROOMS IN
03:54:59.385 --> 03:55:01.187
CALIFORNIA IF YOU HAPPEN TO BE
03:55:01.253 --> 03:55:02.588
BROUGHT TO THE WRONG HOSPITAL
03:55:02.655 --> 03:55:04.089
YOU COULD BE SURPRISED BY
03:55:04.156 --> 03:55:05.458
EXORBITANT SURPRISE BILLS
03:55:05.524 --> 03:55:06.158
BILLING.
03:55:06.225 --> 03:55:07.560
THE BILL BEING SENT TO YOU FOR
03:55:07.626 --> 03:55:08.627
THE BALANCE BETWEEN WHAT A
03:55:08.694 --> 03:55:09.929
HOSPITAL WANTS TO PAY WHAT
03:55:09.995 --> 03:55:11.430
INSURANCE HAS PAID.
03:55:11.497 --> 03:55:12.765
IF YOU'RE INCAPACITATED OR
03:55:12.832 --> 03:55:14.033
UNDERGOING A LIFE THREATENING
03:55:14.099 --> 03:55:15.568
CONDITION YOU DON'T HAVE THE
03:55:15.634 --> 03:55:16.802
WHERE WITH ALL TO DECIDE WHAT
03:55:16.869 --> 03:55:18.037
HOSPITAL TO GO.
03:55:18.103 --> 03:55:19.171
TO WHEN YOU'RE IN THE AMBULANCE
03:55:19.238 --> 03:55:20.372
YOU DON'T HAVE A CHOICE OF REAR
03:55:20.439 --> 03:55:21.807
TRANSPORTED.
03:55:21.874 --> 03:55:22.975
TO BUT UNTIL THE STORY SURFACED
03:55:23.042 --> 03:55:24.143
WE THOUGHT THE PRACTICE ABOUNDS
03:55:24.210 --> 03:55:25.744
BILLING HAD BEEN ADDRESSED BY A
03:55:25.811 --> 03:55:27.379
DECADE OLD CALIFORNIA SUPREME
03:55:27.446 --> 03:55:28.380
COURT CASE.
03:55:28.447 --> 03:55:30.115
AND A TWO THOUSAND SIXTEEN
03:55:30.182 --> 03:55:32.618
CALIFORNIA LAW THAT WE PASSED AB.
03:55:32.685 --> 03:55:33.686
SEVENTY TWO TURNS OUT THERE ARE
03:55:33.752 --> 03:55:34.987
STILL MAJOR HOLES IN THE LAW
03:55:35.054 --> 03:55:36.522
POTENTIALLY IMPACTING MILLIONS
03:55:36.589 --> 03:55:37.823
OF CALIFORNIANS WITH DIFFERENT
03:55:37.890 --> 03:55:40.059
TYPES OF INSURANCE. SIX MILLION
03:55:40.125 --> 03:55:42.061
CALIFORNIANS WHO HAVE INSURANCE
03:55:42.127 --> 03:55:43.662
UNDER FEDERALLY REGULATED SELF
03:55:43.729 --> 03:55:45.030
INSURED PLANTS.
03:55:45.097 --> 03:55:48.601
UP TO A MILLION WHO HAVE PLANS
03:55:48.667 --> 03:55:50.002
THAT ARE REGULATED BY CDI.
03:55:50.069 --> 03:55:50.836
OUR BILL WOULD PROTECT PATIENTS
03:55:50.903 --> 03:55:51.737
IN ALL CIRCUMSTANCES FROM
03:55:51.804 --> 03:55:53.439
SURPRISE BOUNCE BILLING RELATED
03:55:53.506 --> 03:55:56.775
TO EMERGENCY ROOM VISITS.
03:55:56.842 --> 03:55:58.911
INSURED PATIENTS REGARDLESS OF
03:55:58.978 --> 03:55:59.879
THEIR INSURANCE WOULD ONLY --
03:55:59.945 --> 03:56:00.913
WITH THEIR CO PAYMENT OR
03:56:00.980 --> 03:56:02.214
DEDUCTIBLE WHEN RECEIVING
03:56:02.281 --> 03:56:04.383
EMERGENCY CARE EVEN IF THE
03:56:04.450 --> 03:56:05.851
HOSPITAL IS OUT OF NETWORK.
03:56:05.918 --> 03:56:07.052
HOSPITALS WOULD NOT BE ALLOWED
03:56:07.119 --> 03:56:08.287
TO SEND THE PATIENT AN
03:56:08.354 --> 03:56:10.356
EXORBITANT BILL AND WAR SEND
03:56:10.422 --> 03:56:12.591
THEM TO COLLECTIONS FOR ANYTHING
03:56:12.658 --> 03:56:13.125
BEYOND THE CO PAYMENT OR
03:56:13.192 --> 03:56:14.960
DEDUCTIBLE. TO RECOUP OTHER CASA
03:56:15.027 --> 03:56:16.262
HOSPITAL WOULD HAVE TO WORK IT
03:56:16.328 --> 03:56:17.396
OUT WITH THE INSURANCE COMPANY
03:56:17.463 --> 03:56:18.998
OUR BILL ALSO PROPOSES
03:56:19.064 --> 03:56:21.066
STANDARDIZING THOSE NEGOTIATIONS
03:56:21.133 --> 03:56:21.534
SO THAT THERE IS SOME
03:56:21.600 --> 03:56:22.735
PREDICTABILITY.
03:56:22.801 --> 03:56:24.036
AMENDMENTS TAKEN IN THIS
03:56:24.103 --> 03:56:25.337
COMMITTEE WERE MEANT TO CLARIFY
03:56:25.404 --> 03:56:26.939
THAT THE BILL DOES NOT APPLY TO
03:56:27.006 --> 03:56:28.607
PROVIDERS AS THAT ISSUE WAS
03:56:28.674 --> 03:56:30.209
HANDLED IN PREVIOUS LEGISLATION.
03:56:30.276 --> 03:56:31.277
I UNDERSTAND THERE ARE STILL
03:56:31.343 --> 03:56:32.344
SOME QUESTIONS ABOUT SOME
03:56:32.411 --> 03:56:33.913
TECHNICAL DRAFTING ISSUES AND I
03:56:33.979 --> 03:56:36.482
AM COMMITTED TO REMOVING DOCTORS
03:56:36.549 --> 03:56:37.683
OUT OF THIS BILL.
03:56:37.750 --> 03:56:39.018
ADDITIONALLY A MINUTES TAKEN IN
03:56:39.084 --> 03:56:40.119
THIS COMMITTEE WILL REMOVE THE
03:56:40.185 --> 03:56:41.587
MEDICARE RIGHT FROM THE BILL
03:56:41.654 --> 03:56:42.922
WHICH MEANS THE INITIAL PAYMENT
03:56:42.988 --> 03:56:44.023
TO ANY HOSPITAL WILL BE THE
03:56:44.089 --> 03:56:45.624
AVERAGE CONTRACTED RATES FOR
03:56:45.691 --> 03:56:46.926
THAT REGION.
03:56:46.992 --> 03:56:48.994
AFTER A MEDICAL EMERGENCY THE
03:56:49.061 --> 03:56:50.429
ONLY THING A PATIENT SHOULD
03:56:50.496 --> 03:56:51.764
WORRY ABOUT IS HOW TO GET BETTER
03:56:51.830 --> 03:56:53.465
NOT WHETHER HOSPITAL BILL COULD
03:56:53.532 --> 03:56:55.267
LEAD TO FINANCIAL RUIN.
03:56:55.334 --> 03:56:56.835
WITH THAT APPRECIATE OUR
03:56:56.902 --> 03:56:58.470
WITNESSES WERE HERE SIR FLOCKS
03:56:58.537 --> 03:56:59.204
FROM THE CALIFORNIA LABOR
03:56:59.271 --> 03:57:01.173
FEDERATION AND BETH CAPELL WITH
03:57:01.240 --> 03:57:02.207
HEALTH ACCESS.
03:57:02.274 --> 03:57:03.943
THANK YOU VERY MUCH PLEASE.
03:57:04.009 --> 03:57:04.977
BEST HELL ON BEHALF OF HEALTH
03:57:05.044 --> 03:57:06.445
TEXAS CALIFORNIA PLEASED TO BE
03:57:06.512 --> 03:57:08.380
HERE IN SUPPORT MY MORE NORMAL
03:57:08.447 --> 03:57:10.783
ROLE OF THIS MEASURE TO PROTECT
03:57:10.849 --> 03:57:12.184
CONSUMERS FROM BALANCE BILLING
03:57:12.251 --> 03:57:13.752
WHEN THEY GO TO AN EMERGENCY
03:57:13.819 --> 03:57:15.020
ROOM.
03:57:15.087 --> 03:57:16.722
THAT MAY BE OUT OF NETWORK.
03:57:16.789 --> 03:57:19.325
AS OUR AUTHOR MISS CHIU SAID WE
03:57:19.391 --> 03:57:20.793
HAD THOUGHT THAT THE PROSPECT
03:57:20.859 --> 03:57:21.994
DECISION PROTECTED MOST
03:57:22.061 --> 03:57:23.729
CONSUMERS BUT WE HAVE DISCOVERED
03:57:23.796 --> 03:57:24.463
OVER THE YEARS THAT EVEN
03:57:24.530 --> 03:57:26.231
CONSUMERS WHO CANNOT BE BALANCE
03:57:26.298 --> 03:57:28.968
BUILD CAN IN FACT BE BILLED.
03:57:29.034 --> 03:57:30.970
AND TAKEN TO COLLECTIONS EVEN IF
03:57:31.036 --> 03:57:32.671
THEY'RE AMONG THE TEN OR TWELVE
03:57:32.738 --> 03:57:33.973
MILLION OF US WHO HAVE COVERAGE
03:57:34.039 --> 03:57:35.641
REGULATED BY THE DEPARTMENT OF
03:57:35.708 --> 03:57:37.009
MANAGED HEALTHCARE.
03:57:37.076 --> 03:57:38.143
IN ADDITION AS YOU MENTIONED
03:57:38.210 --> 03:57:39.211
THERE SEVEN MILLION OTHER
03:57:39.278 --> 03:57:40.779
CALIFORNIANS WHO HAVE COVERAGE
03:57:40.846 --> 03:57:42.915
REGULATED BY THE DEPARTMENT OF
03:57:42.982 --> 03:57:45.351
INSURANCE OR THERE ARE FEDERAL
03:57:45.417 --> 03:57:46.885
FEDERALLY REGULATED IN THE
03:57:46.952 --> 03:57:47.953
DEPARTMENT OF LABOR.
03:57:48.020 --> 03:57:49.989
WHO DO NOT HAVE PROTECTION ON
03:57:50.055 --> 03:57:52.358
FROM BALANCE BILLING INDEED THE
03:57:52.424 --> 03:57:54.960
AFFORDABLE CARE ACT EXPRESSLY
03:57:55.027 --> 03:57:57.196
REQUIRES COVERAGE FOR EMERGENCY
03:57:57.262 --> 03:57:58.497
CARE AND THEN?
03:57:58.564 --> 03:58:01.066
EXPLICITLY ALLOWS BALANCE
03:58:01.133 --> 03:58:03.869
BILLING FOR EMERGENCY SERVICES
03:58:03.936 --> 03:58:06.338
AND LAST THERE IS A STATE LAW IN
03:58:06.405 --> 03:58:08.707
PLACE TO PROTECT CONSUMERS.
03:58:08.774 --> 03:58:11.076
THIS IS THAT BUILT TO PROTECT
03:58:11.143 --> 03:58:12.244
CONSUMERS.
03:58:12.311 --> 03:58:14.513
AND WE WANT TO PROTECT CONSUMERS
03:58:14.580 --> 03:58:16.048
NOT ONLY.
03:58:16.115 --> 03:58:18.117
WHEN THEY GET THAT INITIAL BILL
03:58:18.183 --> 03:58:19.418
AND MAKE SURE THEY ONLY -- THEIR
03:58:19.485 --> 03:58:21.954
CO PAY AND DEDUCTIBLES EXACTLY
03:58:22.021 --> 03:58:24.823
THE SAME LANGUAGE WE HADN'T AB.
03:58:24.890 --> 03:58:26.358
SEVENTY TWO BUT ALSO MAKE SURE
03:58:26.425 --> 03:58:28.327
THAT THE REQUIREMENT THAT
03:58:28.394 --> 03:58:30.596
EMERGENCY CARE BE COVERED IS NOT
03:58:30.663 --> 03:58:33.632
USED TO DRIVE UP PREMIUMS IN AN
03:58:33.699 --> 03:58:34.733
UNTOWARD WAY.
03:58:34.800 --> 03:58:39.138
HENCE THE USE OF THE AVERAGE
03:58:39.204 --> 03:58:40.939
CONTRA ACTED RATE FOR THAT
03:58:41.006 --> 03:58:42.107
SERVICE FOR THAT HEALTH PLAN FOR
03:58:42.174 --> 03:58:42.675
THAT REGION AS THE INTERIM
03:58:42.741 --> 03:58:43.575
STANDARD.
03:58:43.642 --> 03:58:45.044
THE AMENDMENTS THAT ARE IN PRINT
03:58:45.110 --> 03:58:46.779
ALSO CLARIFIED THAT HOSPITALS
03:58:46.845 --> 03:58:49.014
CONTINUE TO RETAIN THE AUTHORITY
03:58:49.081 --> 03:58:50.516
TO ARBITRATOR LITIGATE AS THEY
03:58:50.582 --> 03:58:52.451
CURRENTLY DO AGAINST HEALTH
03:58:52.518 --> 03:58:53.218
PLANS.
03:58:53.285 --> 03:58:55.554
THESE PROTECTIONS GO HAND IN
03:58:55.621 --> 03:58:56.955
HAND WITHOUT.
03:58:57.022 --> 03:58:58.857
WITHOUT THE SECOND PART OF IT
03:58:58.924 --> 03:59:00.926
THE PROTECTION FROM CONSUMERS
03:59:00.993 --> 03:59:03.295
BEING BALANCED BUILD COULD HAVE
03:59:03.362 --> 03:59:04.163
OTHER UNTOWARD.
03:59:04.229 --> 03:59:06.365
IMPACTS ON OUR HEALTH CARE
03:59:06.432 --> 03:59:10.536
SYSTEM PLEASED TO BE IN SUPPORT.
03:59:10.602 --> 03:59:11.670
MISTER CHAIR MEMBERS THEIR
03:59:11.737 --> 03:59:12.871
FLOCKS CALIFORNIA LABOR
03:59:12.938 --> 03:59:15.040
FEDERATION PROUD TO BE A CO
03:59:15.107 --> 03:59:17.109
SPONSOR OF THIS BILL -- AND I
03:59:17.176 --> 03:59:19.545
WANTED TO BUILD A LITTLE BIT ON
03:59:19.611 --> 03:59:21.413
WHAT -- HEALTHAXIS WAS SAYING
03:59:21.480 --> 03:59:22.448
I'M GLAD THAT WE HAVE A GROWING
03:59:22.514 --> 03:59:24.083
CONSENSUS AND YOU'LL HEAR THIS
03:59:24.149 --> 03:59:25.984
FROM THE OPPOSITION THAT WE NEED
03:59:26.051 --> 03:59:27.886
TO PROTECT CONSUMERS AND
03:59:27.953 --> 03:59:29.655
PATIENTS FROM SURPRISE BILLS IN
03:59:29.722 --> 03:59:31.223
THE ER.
03:59:31.290 --> 03:59:32.191
I WANTED TO ADDRESS THE
03:59:32.257 --> 03:59:34.927
OPPOSITION CONCERN AROUND THE
03:59:34.993 --> 03:59:35.828
DEFAULT PAYMENT RATE.
03:59:35.894 --> 03:59:37.096
AS I SAID OVER AND OVER AGAIN
03:59:37.162 --> 03:59:38.731
EVERY DOLLAR THAT IS SPENT ON
03:59:38.797 --> 03:59:40.632
HEALTHCARE IS A DOLLAR THAT
03:59:40.699 --> 03:59:41.834
COMES OUT OF THE POCKET OF A
03:59:41.900 --> 03:59:43.335
WORKER FROM A PATIENT AT
03:59:43.402 --> 03:59:45.771
TAXPAYER OR AN EMPLOYER.
03:59:45.838 --> 03:59:47.005
AND HEALTHCARE IS A LOT LIKE A
03:59:47.072 --> 03:59:49.708
BALLOON IF YOU SQUEEZE ONE END
03:59:49.775 --> 03:59:51.210
OF THE BALLOON AND PROTECT
03:59:51.276 --> 03:59:52.544
PATIENTS FROM SURPRISE MEDICAL
03:59:52.611 --> 03:59:54.446
BILLS IT'S GOING TO BLOW UP THE
03:59:54.513 --> 03:59:55.981
OTHER SIDE OF THE BALLOON.
03:59:56.048 --> 03:59:57.916
AND THOSE THAT OTHER SIDE OF THE
03:59:57.983 --> 03:59:59.585
BALLOON IS OUR PREMIUMS.
03:59:59.651 --> 04:00:02.688
FROM 200-022-2000.
04:00:02.755 --> 04:00:04.223
SIXTEEN THE AVERAGE HOSPITAL
04:00:04.289 --> 04:00:08.794
PRICES PAID INCREASED 2100%.
04:00:08.861 --> 04:00:09.695
THOSE ARE PRICES THAT ARE
04:00:09.762 --> 04:00:12.030
DRIVING OUR PREMIUMS WE NEED
04:00:12.097 --> 04:00:14.199
SOME KIND OF PROTECTION A VERY
04:00:14.266 --> 04:00:16.368
REASONABLE BALANCE SO THAT WHEN
04:00:16.435 --> 04:00:17.836
WE'RE PROTECTING PATIENTS WERE
04:00:17.903 --> 04:00:19.371
PROTECTING THEM IN THE EMERGENCY
04:00:19.438 --> 04:00:20.172
ROOM.
04:00:20.239 --> 04:00:21.774
BUT WE'RE ALSO PROTECTING THEM
04:00:21.840 --> 04:00:23.375
WHEN THEY GO TO PAY THEIR
04:00:23.442 --> 04:00:24.710
MONTHLY PREMIUM.
04:00:24.777 --> 04:00:26.879
AND SO THIS BILL I THINK THANKS
04:00:26.945 --> 04:00:28.313
TO THE COMMITTEES AMENDMENTS THE
04:00:28.380 --> 04:00:31.116
AUTHORS AMENDMENTS HAS REACHED A
04:00:31.183 --> 04:00:32.985
REASONABLE BALANCE WHERE WE
04:00:33.051 --> 04:00:34.953
PROTECT PATIENTS WE MAKE SURE
04:00:35.020 --> 04:00:37.222
HOSPITALS ARE ABLE TO OPERATE
04:00:37.289 --> 04:00:39.057
AND KEEP TREATING PATIENTS.
04:00:39.124 --> 04:00:40.893
BUT WE ALSO PROTECT THE
04:00:40.959 --> 04:00:42.694
EMPLOYERS THE WORKERS THE
04:00:42.761 --> 04:00:44.263
INDIVIDUALS WHO ARE REALLY
04:00:44.329 --> 04:00:45.931
STRUGGLING THE INCREASING COST
04:00:45.998 --> 04:00:47.132
OF HEALTHCARE.
04:00:47.199 --> 04:00:49.501
AND FOR THOSE REASONS WE URGE
04:00:49.568 --> 04:00:50.302
YOUR SUPPORT ON THIS BILL THANK
04:00:50.369 --> 04:00:52.404
YOU.
04:00:52.471 --> 04:00:52.938
THANK YOU VERY MUCH OTHER
04:00:53.005 --> 04:00:54.039
SUPPORT.
04:00:54.106 --> 04:00:54.907
LINDA TO NARROW ITS ON BEHALF OF
04:00:54.973 --> 04:00:56.708
THE CALIFORNIA PAN ETHNIC HEALTH
04:00:56.775 --> 04:00:58.811
NETWORK IN SUPPORT.
04:00:58.877 --> 04:01:00.345
PERSON I COULD ALSO ON BEHALF OF
04:01:00.412 --> 04:01:02.181
CITY AND COUNTY SAN FRANCISCO IS
04:01:02.247 --> 04:01:02.381
PART.
04:01:02.447 --> 04:01:03.782
THANK YOU.
04:01:03.849 --> 04:01:04.716
MISTER CHAIR MEMBERS NICK LOUISE
04:01:04.783 --> 04:01:05.484
US ON BEHALF OF THE CALIFORNIA
04:01:05.551 --> 04:01:06.752
ASSOCIATION OF HEALTH PLANS WE
04:01:06.819 --> 04:01:08.187
HAVE A SUPPORT OF IF AMENDED
04:01:08.253 --> 04:01:09.354
POSITION ON THE BILL.
04:01:09.421 --> 04:01:10.622
WE THINK THE UNDERLYING POLICY
04:01:10.689 --> 04:01:12.257
IS VERY IMPORTANT LOOK FOR THE
04:01:12.324 --> 04:01:13.992
BILL MOVING -- THE AUTHOR IN THE
04:01:14.059 --> 04:01:15.761
U. SPONSORS HAVE BEEN VERY OPEN
04:01:15.828 --> 04:01:17.329
WITH US ABOUT ON DISCUSSING
04:01:17.396 --> 04:01:17.930
IMPLEMENTATION ISSUE THAT MY
04:01:17.996 --> 04:01:19.832
MEMBERS OF RACE BUT LOOK FOR TO
04:01:19.898 --> 04:01:23.435
HAVING THOSE TALKS AND IT'S
04:01:23.502 --> 04:01:23.969
IMPORTANT BILL THANK YOU.
04:01:24.036 --> 04:01:25.337
THANK YOU. SEVENTY WALKEN'S ON
04:01:25.404 --> 04:01:25.938
BEHALF OF THE ASSOCIATION OF
04:01:26.004 --> 04:01:26.672
CALIFORNIA LIFE AND HEALTH
04:01:26.738 --> 04:01:27.673
INSURANCE COMPANIES WE TO HAVE A
04:01:27.739 --> 04:01:28.674
SUPPORTIVE AMENDED WE LOOK
04:01:28.740 --> 04:01:29.708
FORWARD TO WORKING WITH THE
04:01:29.775 --> 04:01:32.110
AUTHOR AND SPONSOR THE DEMOS FOR
04:01:32.177 --> 04:01:32.444
IT THANK YOU.
04:01:32.511 --> 04:01:33.745
THANK YOU.
04:01:33.812 --> 04:01:34.713
TAYLOR JACK SOME OF THE
04:01:34.780 --> 04:01:36.081
CALIFORNIA NURSES ASSOCIATION IN
04:01:36.148 --> 04:01:37.616
STRONG SUPPORT OF AB SIXTEEN
04:01:37.683 --> 04:01:40.319
ELEVEN THANK YOU.
04:01:40.385 --> 04:01:41.486
RESIDENTS ALSO WE HAVE A THE
04:01:41.553 --> 04:01:43.422
NATIONAL ASSOCIATION OF SOCIAL
04:01:43.488 --> 04:01:44.356
WORKERS WE STAND STRONG SUPPORT
04:01:44.423 --> 04:01:46.358
THANK YOU THANK YOU.
04:01:46.425 --> 04:01:47.759
GEN FLOOR IN BEHALF OF WESTERN
04:01:47.826 --> 04:01:49.228
CENTER ON LAW AND POVERTY IN
04:01:49.294 --> 04:01:51.029
SUPPORT THANK YOU.
04:01:51.096 --> 04:01:52.564
STEVEN SCHULTZ ARTHRITIS
04:01:52.631 --> 04:01:53.298
FOUNDATION IN SUPPORT.
04:01:53.365 --> 04:01:55.300
THANK YOU.
04:01:55.367 --> 04:01:57.369
TIFFANY WHITEN SEIU CALIFORNIA
04:01:57.436 --> 04:01:59.204
AND SUPPORT.
04:01:59.271 --> 04:02:00.305
JOHN WINGER ON THE F. AMERICA'S
04:02:00.372 --> 04:02:01.240
HEALTH INSURANCE PLANS
04:02:01.306 --> 04:02:02.641
APOLOGIZED LOG IN OUR LETTER AND
04:02:02.708 --> 04:02:04.209
ON TIME BUT WE HAVE A SIMILAR
04:02:04.276 --> 04:02:06.511
POSTURES CAP ANAK LOOK IN OUR
04:02:06.578 --> 04:02:08.247
SUPPORT FOR MEDI THANKS.
04:02:08.313 --> 04:02:10.082
THANK YOU.
04:02:10.148 --> 04:02:10.716
EVERY ARE MERITS ON BEHALF OF
04:02:10.782 --> 04:02:12.784
THE LATINO COALITION FOR HEALTHY
04:02:12.851 --> 04:02:13.385
CALIFORNIA AND STRONG SUPPORT
04:02:13.452 --> 04:02:14.887
THANK YOU.
04:02:14.953 --> 04:02:15.554
THANK YOU MISTER CHAIRMAN VERS
04:02:15.621 --> 04:02:16.688
MEGAN SUPERS ON BEHALF OF THE
04:02:16.755 --> 04:02:17.689
CALIFORNIA PROFESSIONAL
04:02:17.756 --> 04:02:18.824
FIREFIGHTERS AND THE WRITERS
04:02:18.891 --> 04:02:21.226
GUILD OF AMERICA WEST IN SUPPORT
04:02:21.293 --> 04:02:23.495
THANK YOU.
04:02:23.562 --> 04:02:24.630
MAUREEN MAHONEY ON BEHALF OF
04:02:24.696 --> 04:02:26.865
CONSUMER REPORTS IN STRONG
04:02:26.932 --> 04:02:29.201
SUPPORT THANK YOU THANK YOU
04:02:29.268 --> 04:02:29.501
[inaudible]
04:02:29.568 --> 04:02:31.470
ANYONE ELSE.
04:02:31.536 --> 04:02:45.017
SEE NO ONE OPPOSITION
04:02:45.083 --> 04:02:45.317
[inaudible]
04:02:45.384 --> 04:02:47.286
YEAH.
04:02:47.352 --> 04:02:49.087
EVENING MISTER CHAIR AND MEMBERS
04:02:49.154 --> 04:02:52.157
IS IT IT IS EVENING.
04:02:52.224 --> 04:02:53.592
SOON CATHERINE ALSO IT'S GOT
04:02:53.659 --> 04:02:55.127
RISEN CALIFORNIA HOSPITAL
04:02:55.193 --> 04:02:57.996
ASSOCIATION -- WE LIKE OTHERS AT
04:02:58.063 --> 04:02:59.331
THE TABLE AS THIS SUPPORTERS
04:02:59.398 --> 04:03:01.800
MENTIONED AND WE ARE IN SUPPORT
04:03:01.867 --> 04:03:03.535
OF IN SUPPORT OF OF REMOVING THE
04:03:03.602 --> 04:03:05.170
PATIENT FROM THE MIDDLE.
04:03:05.237 --> 04:03:07.506
OF THE BALANCE BILLING --
04:03:07.572 --> 04:03:09.675
SITUATION OUT WE WOULD DO
04:03:09.741 --> 04:03:10.842
BELIEVE THAT WHEN PEOPLE ARE IN
04:03:10.909 --> 04:03:11.910
HOSPITAL THEY SHOULDN'T HAVE TO
04:03:11.977 --> 04:03:13.078
WORRY ABOUT THE BILL THEY'RE
04:03:13.145 --> 04:03:16.782
GOING TO RECEIVE THEY SHOULD
04:03:16.848 --> 04:03:17.349
WORRY ABOUT THE CARE THEY'RE
04:03:17.416 --> 04:03:18.016
GOING TO GOT.
04:03:18.083 --> 04:03:18.684
AND THE SIMPLEST WAY TO DO THAT
04:03:18.750 --> 04:03:21.386
IS TO LEAVE THE BILL -- TO JUST
04:03:21.453 --> 04:03:23.555
REMOVE THAT PREVENT PROVISION --
04:03:23.622 --> 04:03:26.391
AND NOT CONTINUE NOT TO INCLUDE
04:03:26.458 --> 04:03:28.293
THE DEFAULT RATE WE ARE
04:03:28.360 --> 04:03:30.195
CONCERNED ABOUT THE CONSEQUENCES
04:03:30.262 --> 04:03:30.696
OF THE DEFAULT RATE FOR
04:03:30.762 --> 04:03:32.965
HOSPITALS -- AS WE SAW IN
04:03:33.031 --> 04:03:36.134
PREVIOUS COMMITTEES AB SEVENTY
04:03:36.201 --> 04:03:38.103
TWO MADE SOME I'D CHANGES IN THE
04:03:38.170 --> 04:03:39.871
SYSTEM CREATED DEFAULT RATE AND
04:03:39.938 --> 04:03:41.707
UNFORTUNATELY CRATED -- SOME
04:03:41.773 --> 04:03:43.742
ISSUES FOR PROVIDERS WE ARE
04:03:43.809 --> 04:03:45.544
TALKING ABOUT OUR FOUR HUNDRED
04:03:45.610 --> 04:03:46.979
HOSPITALS AND SYSTEM SO WE ARE
04:03:47.045 --> 04:03:48.413
CONCERNED THAT THE DEFAULT RATE
04:03:48.480 --> 04:03:49.648
COULD HAVE.
04:03:49.715 --> 04:03:51.950
CONSEQUENCES FOR THOSE HOSPITALS
04:03:52.017 --> 04:03:53.919
AS IT ROLLS FORWARD.
04:03:53.986 --> 04:03:56.088
WE AS AS WE STE -- SAID THOSE
04:03:56.154 --> 04:03:57.556
SERIOUS CONSEQUENCES COULD
04:03:57.622 --> 04:03:59.324
CREATE AT A RATE THAT COULD
04:03:59.391 --> 04:04:03.729
DECREASE OVER TIME I'M IN -- FOR
04:04:03.795 --> 04:04:05.330
FOR OUR HOSPITALS WERE 38% OF
04:04:05.397 --> 04:04:06.298
THEM ARE IN THE RED THAT'S ABOUT
04:04:06.365 --> 04:04:07.733
A HUNDRED AND FIFTY HOSPITALS WE
04:04:07.799 --> 04:04:09.768
ARE CONCERNED ABOUT THE LONG
04:04:09.835 --> 04:04:11.837
TERM CONSEQUENCES OF THAT -- WE
04:04:11.903 --> 04:04:13.438
DO HAVE A WELL ESTABLISHED
04:04:13.505 --> 04:04:15.707
SYSTEM. TO MANAGE THE RATE
04:04:15.774 --> 04:04:18.210
NEGOTIATIONS THAT RELIES ON THE
04:04:18.276 --> 04:04:19.177
REASONABLE AND CUSTOMARY
04:04:19.244 --> 04:04:21.246
STANDARDS DEVELOPED OVER YEARS
04:04:21.313 --> 04:04:23.281
OF COURT CASES -- AND THAT IS
04:04:23.348 --> 04:04:25.150
USED CURRENTLY BETWEEN OUR
04:04:25.217 --> 04:04:26.685
INSURERS AND OUR HOSPITALS THESE
04:04:26.752 --> 04:04:28.954
ARE VERY SOPHISTICATED ENTITIES
04:04:29.021 --> 04:04:30.622
AND WE BELIEVE CONTINUING THAT
04:04:30.689 --> 04:04:32.624
WILL PROVIDE THE CONTINUITY
04:04:32.691 --> 04:04:36.328
WHILE STILL GETTING THE PATIENT
04:04:36.395 --> 04:04:37.262
OUT OF THE MIDDLE.
04:04:37.329 --> 04:04:38.263
WE DO UNDERSTAND THAT TAKING THE
04:04:38.330 --> 04:04:40.265
BENCH MARK MEDICARE RATE OUT --
04:04:40.332 --> 04:04:43.335
WAS -- HELPFUL BUT THE AVERAGE
04:04:43.402 --> 04:04:45.237
CONTRACT RATE REMAINING --
04:04:45.303 --> 04:04:47.172
UNFORTUNATELY COULD CONTINUE
04:04:47.239 --> 04:04:50.175
COULD DISCOURAGE HEALTH PLANS --
04:04:50.242 --> 04:04:51.977
FROM CONTRACTING ON A GOING
04:04:52.044 --> 04:04:54.379
FORWARD BASIS I'M AND WE ARE
04:04:54.446 --> 04:04:55.714
CONCERNED ABOUT THAT -- OUR
04:04:55.781 --> 04:04:57.616
HOSPITALS NEGOTIATE DISCOUNT
04:04:57.682 --> 04:04:59.317
RATES BASED ON PATIENT VOLUME
04:04:59.384 --> 04:05:01.219
BROUGHT BY THE PLAN -- AND WE
04:05:01.286 --> 04:05:03.922
WILL IN THIS BILL COULD ALLOW
04:05:03.989 --> 04:05:05.590
THOSE HOSPITALS I'M RIGHT IT
04:05:05.657 --> 04:05:09.394
COULD DISCONTINUE THAT -- SORRY
04:05:09.461 --> 04:05:11.763
COULD DISCONTINUE THE INCENTIVE
04:05:11.830 --> 04:05:13.165
FOR PLANS TO COME TO THE TABLE
04:05:13.231 --> 04:05:14.833
AND NEGOTIATE THOSE RATES BY
04:05:14.900 --> 04:05:17.102
DRIVING THAT RATE DOWN --
04:05:17.169 --> 04:05:19.137
UNFORTUNATELY SIX ELEVEN ALSO
04:05:19.204 --> 04:05:21.273
INCLUDES POST STABILIZATION
04:05:21.339 --> 04:05:22.941
RATES UP TO THE POST ABLE
04:05:23.008 --> 04:05:24.109
EDUCATION SERVICES THESE OF THE
04:05:24.176 --> 04:05:25.944
SERVICES AFTER THE PATIENT IS
04:05:26.011 --> 04:05:27.779
STABILIZED AND THEN OFTEN MOVES
04:05:27.846 --> 04:05:29.181
INTO THEIR OWN PLAN WE ARE
04:05:29.247 --> 04:05:30.348
CONCERNED ABOUT WHAT THOSE
04:05:30.415 --> 04:05:31.383
CONTRACTED.
04:05:31.450 --> 04:05:33.518
OR NON CONTRACTED RATES COULD DO
04:05:33.585 --> 04:05:35.787
AS WELL -- AS WELL AS IT DOES
04:05:35.854 --> 04:05:36.855
INCLUDE A RISA PLANS AS
04:05:36.922 --> 04:05:38.090
MENTIONED AND WE DO HAVE
04:05:38.156 --> 04:05:40.058
CONCERNS ABOUT THE LEGALITY OF
04:05:40.125 --> 04:05:41.860
THAT WE ARE WORKING WITH
04:05:41.927 --> 04:05:43.228
CONGRESS TO ADDRESS THAT SOME
04:05:43.295 --> 04:05:44.696
BIPARTISAN EFFORT.
04:05:44.763 --> 04:05:46.598
STRANGELY ENOUGH IN DC -- AND WE
04:05:46.665 --> 04:05:48.333
ARE WORKING ON THOSE EFFORTS AS
04:05:48.400 --> 04:05:49.401
WELL THAT ARE CONCERNED ABOUT
04:05:49.468 --> 04:05:51.236
THE OF PIECES WELL AS THERE
04:05:51.303 --> 04:05:53.138
AREN'T PROTECTIONS FOR PROVIDERS
04:05:53.205 --> 04:05:54.072
AND THEY WERE SO PLANS AND WE
04:05:54.139 --> 04:05:55.574
CONCERT WE ARE CONCERNED ABOUT
04:05:55.640 --> 04:05:57.509
OUR ABILITY. TO FOR PROMPT
04:05:57.576 --> 04:05:59.177
PAYMENT EXCEPT TRACK I'M THAT WE
04:05:59.244 --> 04:06:01.847
ENJOY A THROUGH THE RICH DE MHC
04:06:01.913 --> 04:06:04.216
SYSTEM SO -- FOR THOSE REASONS
04:06:04.282 --> 04:06:06.118
WE CONTINUE TO BE OPPOSED -- AND
04:06:06.184 --> 04:06:12.057
LESS THE DEFAULT RATE IS TAKEN
04:06:12.124 --> 04:06:14.259
OUT OF THE BILL THANK YOU --
04:06:14.326 --> 04:06:15.127
SOUTHERN CALIFORNIA HOSPITAL
04:06:15.193 --> 04:06:16.595
ASSOCIATION IS HERE TO HELP WITH
04:06:16.661 --> 04:06:18.964
ANY TECHNICAL QUESTIONS.
04:06:19.030 --> 04:06:20.298
MR CHAIRMAN MEMBERS THE PALES
04:06:20.365 --> 04:06:21.266
REPRESENTING. TEN HOSPITALS WE
04:06:21.333 --> 04:06:22.100
HAVE THIRTEEN HOSPITALS
04:06:22.167 --> 04:06:22.667
THROUGHOUT THE STATE WHERE A
04:06:22.734 --> 04:06:24.202
MAJOR PROVIDER OF SERVICES TO
04:06:24.269 --> 04:06:25.704
MEDI CAL POPULATION ONE OF THE
04:06:25.770 --> 04:06:28.406
LARGEST IN THE STATE -- AND WE
04:06:28.473 --> 04:06:30.208
DO A PLAY A LOT IN THE SELF
04:06:30.275 --> 04:06:32.377
INSURED SPACE THAT JUST TO BE
04:06:32.444 --> 04:06:34.779
CLEAR THESE ARE -- STATE EXAM
04:06:34.846 --> 04:06:36.248
PLANNED SO MUCH OF WHAT.
04:06:36.314 --> 04:06:37.549
YOU DO HERE AND HEALTH COMMITTEE
04:06:37.616 --> 04:06:40.418
THEY ARE COMPLETELY EXEMPT FROM --
04:06:40.485 --> 04:06:42.521
NOT ALL SELF INSURED PLANS ARE
04:06:42.587 --> 04:06:43.889
THE SAME SUMMER VERY
04:06:43.955 --> 04:06:45.490
SOPHISTICATED OPERATORS.
04:06:45.557 --> 04:06:46.858
IN WORK VERY MUCH OCCUPATIONAL
04:06:46.925 --> 04:06:49.361
HEALTH PLAN THEY JOIN NETWORKS
04:06:49.427 --> 04:06:50.962
THAT HEALTH PLANS ALREADY HAVE.
04:06:51.029 --> 04:06:52.898
PAYMENT IN THOSE SITUATIONS CAN
04:06:52.964 --> 04:06:55.467
BE SEAMLESS IN OTHER SITUATIONS
04:06:55.534 --> 04:06:56.935
HOWEVER IT'S MUCH DIFFERENT
04:06:57.002 --> 04:06:59.337
WHERE WE WILL ACTUALLY HAVE A
04:06:59.404 --> 04:07:00.739
PATIENT COM PRESENT.
04:07:00.805 --> 04:07:02.140
SHOW WAS THE CARD THAT THEY'RE
04:07:02.207 --> 04:07:04.609
PART OF THIS -- NETWORK THERE WE
04:07:04.676 --> 04:07:06.711
GO THEN COLLECT FROM THE PAIR
04:07:06.778 --> 04:07:09.314
AND THE PAY REFUSE TO PAY OUT
04:07:09.381 --> 04:07:11.750
THAT WHAT WE BELIEVE TO BE A PRE.
04:07:11.816 --> 04:07:14.553
NEGOTIATED RATE SO THIS IS STILL
04:07:14.619 --> 04:07:16.221
SORT OF A BLACK BOX FOR US IN
04:07:16.288 --> 04:07:17.255
THERE THEREFORE WE'RE VERY
04:07:17.322 --> 04:07:18.957
UNCOMFORTABLE WITH THE RATE
04:07:19.024 --> 04:07:20.659
WHAT'S LEFT OF THE RATE SETTING
04:07:20.725 --> 04:07:21.826
PORTION OF THE BILL.
04:07:21.893 --> 04:07:23.528
LIKE THE PREVIOUS WITNESSES WE
04:07:23.595 --> 04:07:25.230
ARE VERY WILLING TO SOLVE THE
04:07:25.297 --> 04:07:26.831
PROBLEM FOR THE PATIENT WE WILL
04:07:26.898 --> 04:07:29.000
AGREED TO GIVE THE PATIENT THE
04:07:29.067 --> 04:07:30.435
SAME PROTECTIONS THEY HAVE.
04:07:30.502 --> 04:07:32.504
UNDER KNOCKS KEEN AND WE WILL
04:07:32.571 --> 04:07:34.139
ACTUALLY TAKE THAT OBLIGATION ON
04:07:34.206 --> 04:07:36.508
OURSELVES SO THAT WE WILL HAVE
04:07:36.575 --> 04:07:37.909
TO GO FIND THE PAIR.
04:07:37.976 --> 04:07:39.744
FIND OUT WHAT THEY WOULD HAVE
04:07:39.811 --> 04:07:41.780
PAID IF THEY WERE IN NETWORK.
04:07:41.846 --> 04:07:43.515
BILL THEM JUST FOR THAT AND THEN
04:07:43.582 --> 04:07:45.383
COLLECTED THE REST OF THE FUND
04:07:45.450 --> 04:07:47.152
FROM THESE THE EXEMPTS SELF
04:07:47.219 --> 04:07:49.955
INSURED PAIR -- BUT WE STOP
04:07:50.021 --> 04:07:52.324
SHORT OF THAT WE DON'T WANT THAT
04:07:52.390 --> 04:07:54.125
WE WE WHILE WE'RE CERTAINLY
04:07:54.192 --> 04:07:55.327
WILLING TO GET THE PATIENT THOSE
04:07:55.393 --> 04:07:56.661
TYPE OF PROTECTIONS.
04:07:56.728 --> 04:07:58.263
WE DON'T WANT TO GIVE
04:07:58.330 --> 04:08:00.799
ESSENTIALLY A FREEBIE TO WHAT
04:08:00.865 --> 04:08:03.268
WOULD BE THE EXAM -- HEALTH AND
04:08:03.335 --> 04:08:04.069
TO THE HEALTH HEALTH INSURER
04:08:04.135 --> 04:08:05.403
THAT'S TAKES ADVANTAGE OF THE
04:08:05.470 --> 04:08:12.677
SERVICES SO AGAIN -- WE'RE FINE
04:08:12.744 --> 04:08:13.278
WITH THE PORTION THAT TAKE THE
04:08:13.345 --> 04:08:14.246
PATIENT OUT OF THE BILLING
04:08:14.312 --> 04:08:15.080
DISPUTE AND OFFER THEM THE SAME
04:08:15.146 --> 04:08:15.413
PROTECTIONS.
04:08:15.480 --> 04:08:16.181
AS CURRENT LAW BUT WE ARE VERY
04:08:16.248 --> 04:08:17.882
UNCOMFORTABLE WITH THE RATE
04:08:17.949 --> 04:08:19.985
SETTING PORTION OF THIS BILL
04:08:20.051 --> 04:08:21.620
GIVEN THIS PAYERS PROFILE AND
04:08:21.686 --> 04:08:22.954
FOR THOSEREASONS WE STILL
04:08:23.021 --> 04:08:26.891
REMAIN OPPOSED.
04:08:26.958 --> 04:08:27.158
THANK YOU.
04:08:27.225 --> 04:08:28.927
OTHER SET OFF.
04:08:28.994 --> 04:08:30.095
SHERMAN MEMBERS TOTAL SLOPE OF
04:08:30.161 --> 04:08:31.796
THE UNITED HOSPITAL ASSOCIATION
04:08:31.863 --> 04:08:34.499
WE ARE CO MISS CAUGHT AND OF MR
04:08:34.566 --> 04:08:38.570
FULL ONTO PURPOSES ARE COMMENTS
04:08:38.637 --> 04:08:41.106
WE REMAIN OPPOSED THANK YOU.
04:08:41.172 --> 04:08:41.740
SEAN FLANIGAN ON BEHALF OF THE
04:08:41.806 --> 04:08:43.441
HOSPITAL CORPORATION OF AMERICA --
04:08:43.508 --> 04:08:45.410
ABOUT FOUR HOSPITALS AND JOSE
04:08:45.477 --> 04:08:47.412
LOS ANGELES AND RIVERSIDE -- WE
04:08:47.479 --> 04:08:48.713
SHARE THE SAME COMMENTS AS THE
04:08:48.780 --> 04:08:50.248
OPPONENTS.
04:08:50.315 --> 04:08:53.618
OF HIS BILL AND OR OPPOSE IN
04:08:53.685 --> 04:08:56.388
THIS MESSAGE THANK YOU THANK YOU.
04:08:56.454 --> 04:08:57.022
PERCENT SHORT ON BEHALF OF THE
04:08:57.088 --> 04:08:58.256
LINES OF CATHOLIC HEALTH CARE
04:08:58.323 --> 04:08:59.557
AND STANFORD HEALTH CARE IN
04:08:59.624 --> 04:09:01.660
OPPOSE LESS AMENDED POSITION.
04:09:01.726 --> 04:09:03.595
VERY MUCH ANYONE ELSE.
04:09:03.662 --> 04:09:04.229
SEE KNOWN BRING IT BACK TO THE
04:09:04.296 --> 04:09:05.830
COMMITTEE FOR QUESTIONS OR
04:09:05.897 --> 04:09:07.432
COMMENTS.
04:09:07.499 --> 04:09:09.668
RESTAURANTS.
04:09:09.734 --> 04:09:11.703
THANK YOU THANK YOU MISTER CHAIR --
04:09:11.770 --> 04:09:13.004
SPRINGING UP SOME OF THE THE
04:09:13.071 --> 04:09:14.873
COMMENTS IN THIS YOU KNOW IT
04:09:14.939 --> 04:09:15.440
SEEMS TO BE A A BILL THAT'S
04:09:15.507 --> 04:09:16.541
MOVING.
04:09:16.608 --> 04:09:18.143
IN THE RIGHT DIRECTION --
04:09:18.209 --> 04:09:19.844
HOWEVER THERE STILL SEEMS TO BE
04:09:19.911 --> 04:09:21.046
A LOT OF DISCUSSION OVER THE
04:09:21.112 --> 04:09:23.181
RATE SETTING -- ANDTHE
04:09:23.248 --> 04:09:23.815
DIFFERENT DEFAULT RATE THAT'S
04:09:23.882 --> 04:09:24.949
THERE.
04:09:25.016 --> 04:09:30.689
IS THEIR CONTINUING DIALOGUE --
04:09:30.755 --> 04:09:32.657
RATE SETTING WOULD BE AT MAKING
04:09:32.724 --> 04:09:35.427
SURE THAT IT'S SOMETHING THAT'S
04:09:35.493 --> 04:09:37.228
RING SOME TYPE OF STABILITY TO
04:09:37.295 --> 04:09:38.330
THOSE AREAS.
04:09:38.396 --> 04:09:39.998
QUESTION IS ABSOLUTELY -- ET ME
04:09:40.065 --> 04:09:43.335
START BY GIVING A LITTLE HISTORY
04:09:43.401 --> 04:09:44.402
TWO THOUSAND FIFTEEN AND TWO
04:09:44.469 --> 04:09:45.036
THOUSAND SIXTEEN THIS COMMITTEE
04:09:45.103 --> 04:09:46.004
IN OUR LEGISLATURE HAD A VERY
04:09:46.071 --> 04:09:47.672
INTENSE CONVERSATION ABOUT HOW
04:09:47.739 --> 04:09:48.406
TO DEAL WITH.
04:09:48.473 --> 04:09:50.241
SURPRISE BOUNCE BILLION IN THE
04:09:50.308 --> 04:09:51.876
NON EMERGENCY CONTACTS AND CAME
04:09:51.943 --> 04:09:53.278
UP WITH THE STRUCTURE THAT WAS
04:09:53.345 --> 04:09:55.513
EMBODIED IN AB -- SEVENTY TWO
04:09:55.580 --> 04:09:57.382
WHICH IS THE MODEL THAT WE
04:09:57.449 --> 04:09:58.616
ATTEMPTED TO EMULATE FOR THIS
04:09:58.683 --> 04:10:00.785
BILL -- AND SO WHAT WE WANT TO
04:10:00.852 --> 04:10:02.487
DO IS TO PROTECT THE PATIENT BUT
04:10:02.554 --> 04:10:04.155
ALSO ENSURE THAT THERE WAS SOME
04:10:04.222 --> 04:10:06.157
PREDICTABILITY AS TO WITH
04:10:06.224 --> 04:10:07.058
REGARDS TO WHAT THE PAYMENTS
04:10:07.125 --> 04:10:09.594
WOULD BE -- WITH THE CHANGES
04:10:09.661 --> 04:10:11.262
THAT THE CHAIRMAN HAS ASKED AND
04:10:11.329 --> 04:10:12.497
AND BY THE WAY I WOULD SAY THAT
04:10:12.564 --> 04:10:13.598
WHEN WE STRUCTURED IT WE
04:10:13.665 --> 04:10:14.566
STRUCTURE TO TO GIVE THE
04:10:14.632 --> 04:10:16.000
HOSPITAL'S MORE THAN WHAT WAS
04:10:16.067 --> 04:10:18.036
PROVIDED IN AB.
04:10:18.103 --> 04:10:18.770
SEVENTY TWO WITH THE CHANGES
04:10:18.837 --> 04:10:20.638
THAT -- DOCTOR WOULD HAS ASKED
04:10:20.705 --> 04:10:21.940
US TO TAKE THAT WE HAVE AMENDED
04:10:22.006 --> 04:10:23.308
AND THIS COMMITTEE WE'VE EVEN
04:10:23.375 --> 04:10:25.977
MOVE FARTHER -- CLOSER TO WHERE
04:10:26.044 --> 04:10:26.911
I THINK THE HOSPITAL'S WANT TO
04:10:26.978 --> 04:10:28.646
GO I AM ABSOLUTE COMMITTED TO
04:10:28.713 --> 04:10:29.781
CONTINUE THE CONVERSATIONS WILL
04:10:29.848 --> 04:10:30.982
LIKELY NEED TO CONTINUE THOSE
04:10:31.049 --> 04:10:32.784
CONVERSATIONS BUT IT'S AN
04:10:32.851 --> 04:10:34.519
IMPORTANT CONVERSATION IN PART
04:10:34.586 --> 04:10:36.788
BECAUSE WE'VE HAD.
04:10:36.855 --> 04:10:38.289
LITERALLY AS I SAID BEFORE IN MY
04:10:38.356 --> 04:10:39.958
CITY ALONE THOUSANDS OF
04:10:40.024 --> 04:10:41.559
INDIVIDUALS WHO RECEIVE.
04:10:41.626 --> 04:10:44.362
BILLS AFTER -- AFTER AN ACCIDENT
04:10:44.429 --> 04:10:45.930
PEOPLE WHO ARE INSURED HE WENT
04:10:45.997 --> 04:10:47.699
TO THE EMERGENCY ROOM WHO HAD A
04:10:47.766 --> 04:10:48.900
HUNDRED THOUSAND DOLLARS TO A
04:10:48.967 --> 04:10:51.102
THOUSAND DOLLARS OR MORE -- BUT
04:10:51.169 --> 04:10:52.103
YOU KNOW AND ULTIMATELY IN THE
04:10:52.170 --> 04:10:54.172
STATE OF CALIFORNIA THERE ARE
04:10:54.239 --> 04:10:55.640
SEVEN MILLION INDIVIDUALS WHO
04:10:55.707 --> 04:10:57.142
WHO MAY LIKELY FALL INTO THIS
04:10:57.208 --> 04:10:58.309
SITUATION AND WE NEED TO ADDRESS
04:10:58.376 --> 04:11:00.211
IT FOR THAT BUT THAT THE QUICK
04:11:00.278 --> 04:11:01.346
ANSWER QUESTION IS YES IT.
04:11:01.413 --> 04:11:02.547
IS THANK YOU IN A AND I DO SEE
04:11:02.614 --> 04:11:03.915
THE PROMISE OF IT AS FAR AS THE
04:11:03.982 --> 04:11:05.350
BILL IN AND AND AND THOSE.
04:11:05.417 --> 04:11:07.452
COSTS COMING TO THE PATIENTS
04:11:07.519 --> 04:11:08.086
THEIR WHEN THEY SEE THAT BILL
04:11:08.153 --> 04:11:09.754
COMING ORWARD IT'S MORE ON THE
04:11:09.821 --> 04:11:11.890
RATE SETTING ASPECT OF IT THAT I
04:11:11.956 --> 04:11:13.024
THINK THERE SHOULD BE -- MORE
04:11:13.091 --> 04:11:14.659
DIALOGUE ON AND LOOKING FORWARD
04:11:14.726 --> 04:11:16.995
TO SEEING THAT -- COMING UP IN
04:11:17.061 --> 04:11:18.463
THE FUTURE AND GETTING UPDATES
04:11:18.530 --> 04:11:21.232
ON IT -- YOU KNOW TODAY IS IS IT.
04:11:21.299 --> 04:11:22.467
IT'S LOOKING LIKE -- I WILL BE
04:11:22.534 --> 04:11:24.002
SUPPORTED BUT I WANT TO SEE SOME
04:11:24.068 --> 04:11:25.136
OF THAT DIALOGUE GOING ON A
04:11:25.203 --> 04:11:26.471
KEEPING ME UPDATE OR MY OFFICE
04:11:26.538 --> 04:11:27.372
UPDATED.
04:11:27.439 --> 04:11:29.073
AS FAR AS HOW FAR WE'RE MOVING
04:11:29.140 --> 04:11:30.842
FORWARD ON THE RACING COMPONENT
04:11:30.909 --> 04:11:33.011
OF IT THE THE ASPECT IN THE
04:11:33.077 --> 04:11:37.682
PREMISE AS FAR AS THE PATIENT
04:11:37.749 --> 04:11:37.882
SEEN.
04:11:37.949 --> 04:11:39.551
OUR THIS AMOUNT AFTER BEING
04:11:39.617 --> 04:11:40.852
TREATED IS SOMETHING THAT THAT
04:11:40.919 --> 04:11:41.886
WE'VE ALREADY THAT'S A PART THAT
04:11:41.953 --> 04:11:43.455
I AGREE -- THE PART THAT WE WANT
04:11:43.521 --> 04:11:45.256
TO LOOK AT IS THE RATE SETTING
04:11:45.323 --> 04:11:47.192
AND LOOKING AT THAT DEFAULT AND
04:11:47.258 --> 04:11:48.493
THEIR MEMBERS THAT WERE OFFERED
04:11:48.560 --> 04:11:50.195
AS FAR AS TAKING TAKING THAT
04:11:50.261 --> 04:11:51.095
BENCHMARK IN THOSE TYPES OF
04:11:51.162 --> 04:11:51.863
THINGS OUT.
04:11:51.930 --> 04:11:52.363
THING GOES IN THE RIGHT
04:11:52.430 --> 04:11:54.833
DIRECTION BUT CONTINUING TO LOOK
04:11:54.899 --> 04:11:55.967
AT THE DIALOGUE MOVING FORWARD.
04:11:56.034 --> 04:11:57.735
GREAT AND ONE OTHER THING I WANT
04:11:57.802 --> 04:11:58.736
TO MENTION -- WE'VE AMENDMENTS
04:11:58.803 --> 04:12:00.104
TO MAKE CLEAR THAT QUOTE IF
04:12:00.171 --> 04:12:02.073
DISSATISFIED EITHER PARTY MAY
04:12:02.140 --> 04:12:03.374
PURSUE ANY RIGHT REMEDY OR
04:12:03.441 --> 04:12:05.243
PENALTY ESTABLISH UNDER ANY
04:12:05.310 --> 04:12:06.478
OTHER APPLICABLE LAW SO IN OTHER
04:12:06.544 --> 04:12:06.945
WORDS.
04:12:07.011 --> 04:12:08.880
WE ENVISION IF THERE ARE ISSUES
04:12:08.947 --> 04:12:10.548
THAT THESE COULD BE RESOLVED IN
04:12:10.615 --> 04:12:11.216
A DIFFERENT SETTING BUT OUR HOPE
04:12:11.282 --> 04:12:12.717
IS AGAIN THIS CREATES A
04:12:12.784 --> 04:12:14.686
STRUCTURE -- TO RESOLVE THESE
04:12:14.752 --> 04:12:16.421
ISSUES QUICKLY BUT AGAIN POINT
04:12:16.488 --> 04:12:19.357
WELL TAKEN AND I WILL ABSOLUTELY --
04:12:19.424 --> 04:12:22.193
MAKE SURE THAT I KEEP YOU
04:12:22.260 --> 04:12:25.230
INFORMED THANK YOU.
04:12:25.296 --> 04:12:27.332
THANK YOU ALSO REMEMBER. FOR
04:12:27.398 --> 04:12:27.932
BRINGING THIS FORWARD I'LL BE
04:12:27.999 --> 04:12:29.901
VOTING FOR YOUR BILL TODAY --
04:12:29.968 --> 04:12:31.669
I'M A STRONG PROPONENT OF STRAW
04:12:31.736 --> 04:12:33.571
A STRONG SUPPORTER OF PROVISIONS
04:12:33.638 --> 04:12:35.306
TO PREVENT -- PROHIBIT BALANCE
04:12:35.373 --> 04:12:36.875
BILLING PROTECT PATIENTS FROM
04:12:36.941 --> 04:12:38.376
UNEXPECTED BILLS.
04:12:38.443 --> 04:12:40.078
I DO HAVE CONCERNS OF THE RAPE
04:12:40.144 --> 04:12:42.313
BILLING -- PIECE OF THE BILL
04:12:42.380 --> 04:12:43.448
HOWEVER THEN AMENDMENTS ARE NEW
04:12:43.515 --> 04:12:44.749
AND I REALLY WANT TO SPEND SOME
04:12:44.816 --> 04:12:46.217
TIME WITH MY LOCALS TO MAKE SURE
04:12:46.284 --> 04:12:47.886
THAT THEY FEEL COMFORTABLE WITH
04:12:47.952 --> 04:12:49.621
THOSE BEFORE.
04:12:49.687 --> 04:12:50.255
I MOVE ONCE ONCE WE GET TO THE
04:12:50.321 --> 04:12:51.923
FLOOR I WILL HAVE TO HAVE A
04:12:51.990 --> 04:12:53.057
DISCUSSION AT THAT POINT.
04:12:53.124 --> 04:12:57.762
I WILL ADD YOU TO THAT LIST
04:12:57.829 --> 04:13:03.268
THANK YOU.
04:13:03.334 --> 04:13:04.536
WE CAN WE CAN HEAR YOUR VOICE
04:13:04.602 --> 04:13:04.836
[inaudible]
04:13:04.903 --> 04:13:05.503
FOR CLEARLY.
04:13:05.570 --> 04:13:06.371
I DON'T WANT TO BELABOR THE
04:13:06.437 --> 04:13:07.038
POINT ANYTHING I JUST WILL THANK
04:13:07.105 --> 04:13:08.172
YOU FOR BEING WILLING TO
04:13:08.239 --> 04:13:09.674
CONSIDER A CONVERSATION ON THE
04:13:09.741 --> 04:13:10.875
RATE SETTING OUT I'LL JUST A
04:13:10.942 --> 04:13:13.177
LINE MY COMMENTS WITH MY
04:13:13.244 --> 04:13:14.812
COLLEAGUES HAVE ALREADY SPOKEN
04:13:14.879 --> 04:13:15.113
[inaudible]
04:13:15.179 --> 04:13:18.983
ANYONE ELSE -- JUST JUST COMMENT
04:13:19.050 --> 04:13:20.118
OR QUESTION YOU KNOW QUESTION
04:13:20.184 --> 04:13:22.420
HERE AND OBVIOUSLY WE WORK
04:13:22.487 --> 04:13:23.655
CLOSELY WITH YOU IN THIS BILL IS
04:13:23.721 --> 04:13:25.290
NOW SIGNIFICANTLY DIFFERENT IN
04:13:25.356 --> 04:13:26.591
IN A COUPLE OF AREAS.
04:13:26.658 --> 04:13:28.493
SO I HEARD FROM MISTER PALES
04:13:28.560 --> 04:13:30.094
REGARDING TEN HOSPITALS IN THAT
04:13:30.161 --> 04:13:31.429
THE DESIRE TO TAKE THE PATIENT
04:13:31.496 --> 04:13:32.897
OUT OF THIS AND SOUNDS LIKE THE
04:13:32.964 --> 04:13:35.667
HOSPITAL THEN GOES AFTER WHOEVER
04:13:35.733 --> 04:13:36.634
TO GET PAID.
04:13:36.701 --> 04:13:37.535
IS THAT THE SAME GONNA BE THE
04:13:37.602 --> 04:13:39.771
SAME FOR ALL FOUR HUNDRED AND
04:13:39.837 --> 04:13:40.705
SOMETHING OTHER HOSPITALS IN
04:13:40.772 --> 04:13:42.073
CALIFORNIA WAS THAT COULD BE
04:13:42.140 --> 04:13:46.678
JUST PECULIAR -- TO MISTER TO
04:13:46.744 --> 04:13:47.011
MISTER THERE.
04:13:47.078 --> 04:13:48.846
THIS IS [inaudible]
04:13:48.913 --> 04:13:50.148
LANCE.
04:13:50.214 --> 04:13:51.749
SO AND SO AND IF WE IF THERE IS
04:13:51.816 --> 04:13:53.184
NO RATE COMPONENT.
04:13:53.251 --> 04:13:54.018
HOW AND HOW DO YOU TAKE THE
04:13:54.085 --> 04:13:55.486
PATIENT OUT TO PROTECT THE
04:13:55.553 --> 04:13:57.689
PATIENT?
04:13:57.755 --> 04:13:59.057
HOW DO YOU SO OUR OUR HOSPITALS
04:13:59.123 --> 04:14:01.392
WOULD GO AFTER THE INSURERS I
04:14:01.459 --> 04:14:04.629
THINK THAT QUESTION WE HAVE IN --
04:14:04.696 --> 04:14:06.197
TENANTS AMENDMENTS IS HOW YOU
04:14:06.264 --> 04:14:08.132
FIGURE OUT WHO THE INSURER IS IF
04:14:08.199 --> 04:14:09.500
THE PATIENT ISN'T AVAILABLE TO
04:14:09.567 --> 04:14:11.369
TELL YOU THAT SO I THINK WE NEED
04:14:11.436 --> 04:14:12.971
TO WORK THROUGH THAT TECHNICALLY
04:14:13.037 --> 04:14:14.138
AND I THINK WE'VE.
04:14:14.205 --> 04:14:16.474
SEEN OTHER BILLS IN THAT SPACE --
04:14:16.541 --> 04:14:19.444
BUT WE NOW GO AFTER.
04:14:19.510 --> 04:14:22.313
YOU KNOW IF WE HAVE IF WE HAVE A
04:14:22.380 --> 04:14:24.349
PLACE WHERE WE'RE NOT BILLING --
04:14:24.415 --> 04:14:25.984
THE PATIENTS WHICH THERE ARE
04:14:26.050 --> 04:14:27.085
THERE ARE THERE'S EXISTING LAW
04:14:27.151 --> 04:14:29.087
THEN WE GO TO THE INSURER AND
04:14:29.153 --> 04:14:30.855
USE THE CURRENT SYSTEM TO WORK
04:14:30.922 --> 04:14:31.422
THAT I THINK I'M TRYING TO
04:14:31.489 --> 04:14:32.390
UNDERSTAND.
04:14:32.457 --> 04:14:33.658
WHICH PATIENTS WERE TALKING
04:14:33.725 --> 04:14:34.792
ABOUT HERE AND THE ARREST SO WE
04:14:34.859 --> 04:14:36.127
WOULD GO AFTER THE PATIENT
04:14:36.194 --> 04:14:37.729
PROVIDES US WITH THEIR PLAN
04:14:37.795 --> 04:14:38.963
INFORMATION WE WOULD GO AFTER
04:14:39.030 --> 04:14:40.832
THAT BUT IF WE CAN'T BILL THE
04:14:40.898 --> 04:14:42.233
PATIENT AT ALL.
04:14:42.300 --> 04:14:44.369
THEN I GUESS I HAVE THE SAME
04:14:44.435 --> 04:14:46.037
QUESTION IS HOW DO YOU.
04:14:46.104 --> 04:14:47.105
HOW DO YOU FIND OUT WHO THE
04:14:47.171 --> 04:14:50.475
INSURED IT SURE IS?
04:14:50.541 --> 04:14:52.677
OTHER THAN THE PATIENT JUST
04:14:52.744 --> 04:14:54.078
LETTING YOU NOW.
04:14:54.145 --> 04:14:55.113
THE SERVICE AND THEN AND IN THIS
04:14:55.179 --> 04:14:56.214
CAPACITY I THINK THERE'SWAYS TO
04:14:56.280 --> 04:14:56.681
DO THAT.
04:14:56.748 --> 04:14:58.483
YEAH SO I THINK GENERALLY THE
04:14:58.549 --> 04:15:00.585
THE WAY WE ENVISION OPERATE AND
04:15:00.652 --> 04:15:02.353
BY THE WAY THIS IS THE WAY WE
04:15:02.420 --> 04:15:03.788
OPERATE CURRENTLY.
04:15:03.855 --> 04:15:06.057
IS WHAT WE'LL DO IS WE'LL HAVE
04:15:06.124 --> 04:15:09.360
TO FIND OUT FROM THE PATIENT.
04:15:09.427 --> 04:15:11.062
WHO THAT -- PAYER AS WE WILL
04:15:11.129 --> 04:15:12.196
FIND THE PAIR WE WILL FIND THE
04:15:12.263 --> 04:15:14.632
POLICY WE'LL FIND OUT WHAT
04:15:14.699 --> 04:15:16.467
RIGHTS THE PATIENT HAS.
04:15:16.534 --> 04:15:18.036
UNDER THAT POLICY RELATIVE TO
04:15:18.102 --> 04:15:20.405
EMERGENCY ROOM COVERAGE WE WILL
04:15:20.471 --> 04:15:24.909
BAND JUST BILL -- THAT PORTION
04:15:24.976 --> 04:15:27.378
THAT WOULD BE SPECIFIED IN THEIR
04:15:27.445 --> 04:15:28.746
POLICY IN OTHER WORDS IF THERE
04:15:28.813 --> 04:15:30.381
POLICY PROVIDES FOR AN IN
04:15:30.448 --> 04:15:33.951
NETWORK CHARGE NOT TO EXCEED.
04:15:34.018 --> 04:15:34.552
SEVEN FIFTY DOLLARS THAT'S ALL
04:15:34.619 --> 04:15:35.887
WE WOULD BILL.
04:15:35.953 --> 04:15:37.588
AND THEN WHAT WAS WE DON'T HAVE
04:15:37.655 --> 04:15:39.590
A PROBLEM WITH THAT BECAUSE WHAT
04:15:39.657 --> 04:15:41.125
WE WANT TO STILL BE ABLE TO DO.
04:15:41.192 --> 04:15:43.161
IS GO AFTER THE PAIR FOR EVER
04:15:43.227 --> 04:15:45.129
AMOUNTS WE BELIEVE ARE CURRENTLY
04:15:45.196 --> 04:15:46.664
DRIVEN BY THE GUIDELINES THE
04:15:46.731 --> 04:15:48.332
DIFFERENCE BETWEEN AB SEVENTY
04:15:48.399 --> 04:15:50.068
TWO IN THE DEFAULT RATE SENT SET
04:15:50.134 --> 04:15:50.802
THERE.
04:15:50.868 --> 04:15:52.003
IS THAT MATIN VARMINT YOU TALK
04:15:52.070 --> 04:15:53.471
ABOUT KNOCKS KEEN REGULATED
04:15:53.538 --> 04:15:54.672
PLANS.
04:15:54.739 --> 04:15:57.008
SO THOSE THOSE HALF OR OR
04:15:57.075 --> 04:15:58.509
PROVIDER SO THERE THERE YOU
04:15:58.576 --> 04:16:00.244
HAPPEN NETWORK OUT US ADEQUACY
04:16:00.311 --> 04:16:02.146
REQUIREMENTS. FOR A FOR EXAMPLE
04:16:02.213 --> 04:16:04.115
A RISA PLAN THERE'S NO NETWORK
04:16:04.182 --> 04:16:07.952
ADEQUACY REQUIREMENTS SO WITHOUT
04:16:08.019 --> 04:16:09.587
THAT STICK.
04:16:09.654 --> 04:16:10.321
WE WE DON'T BELIEVE THAT THE
04:16:10.388 --> 04:16:11.556
DEFAULT RATE IS.
04:16:11.622 --> 04:16:13.357
IS EFFECTIVE IN ENSURING THAT
04:16:13.424 --> 04:16:14.992
THERE'S CONTRACT CONTRACTS GOING
04:16:15.059 --> 04:16:17.795
BOTH WAYS WHICH ULTIMATELY ON
04:16:17.862 --> 04:16:20.398
THE BEST INTEREST OF THE PATIENT.
04:16:20.465 --> 04:16:21.365
SKIP.
04:16:21.432 --> 04:16:22.300
MISTER CHAIR IF I MAY.
04:16:22.366 --> 04:16:26.104
UM SEVERAL POINTS MUD BUT TO
04:16:26.170 --> 04:16:29.240
WOVEN TOGETHER HERE LET ME SAY
04:16:29.307 --> 04:16:31.676
IT THAT WAY -- MOST AS YOU
04:16:31.743 --> 04:16:33.244
PROBABLY KNOW BETTER THAN WE
04:16:33.311 --> 04:16:34.345
WE'VE DISCOVERED THAT MOST
04:16:34.412 --> 04:16:35.980
BILLING DONE.
04:16:36.047 --> 04:16:37.115
IN HEALTH CARE IS DONE
04:16:37.181 --> 04:16:39.984
ELECTRONICALLY AND IS DONE BY A
04:16:40.051 --> 04:16:41.319
HANDFUL OF COMPANIES.
04:16:41.385 --> 04:16:43.521
THERE IT IS POSSIBLE TO KNOW IF
04:16:43.588 --> 04:16:44.822
YOU KNOW SOMETHING ABOUT THE
04:16:44.889 --> 04:16:46.324
PATIENT WHO THEIR COVERAGE IS
04:16:46.390 --> 04:16:48.126
THROUGH SO I THINK THAT'S A
04:16:48.192 --> 04:16:49.761
WORKABLE PROBLEM BUT WE ARE
04:16:49.827 --> 04:16:51.863
ALWAYS WILLING TO SIT DOWN AND
04:16:51.929 --> 04:16:53.364
WORK THROUGH PRACTICAL PROBLEMS.
04:16:53.431 --> 04:16:57.935
WITH RESPECT TO THE DEFAULT RATE
04:16:58.002 --> 04:17:00.705
I THINK YOUR QUESTION WENT TO
04:17:00.772 --> 04:17:02.540
THE ISSUE OF WHAT IS THE LEAST
04:17:02.607 --> 04:17:04.108
IN A PIECE THE ONE OF THE THINGS
04:17:04.175 --> 04:17:05.676
WE DISCOVERED IN AB SEVENTY TWO
04:17:05.743 --> 04:17:06.711
THIS IS IN FACT.
04:17:06.778 --> 04:17:07.912
THAT THERE IS A LOT OF LUCK
04:17:07.979 --> 04:17:09.113
TRYING TO BILLING GOING ON
04:17:09.180 --> 04:17:12.784
ALREADY IN THE BILLING COMPANIES
04:17:12.850 --> 04:17:14.285
WITH RESPECT TO THE DEFAULT RATE
04:17:14.352 --> 04:17:16.254
IS WE'VE INVOKED AB SEVENTY TWO
04:17:16.320 --> 04:17:17.321
THE RATE THERE WAS A HUNDRED THE
04:17:17.388 --> 04:17:20.758
GREATER OF A 125% OF MEDICARE OR
04:17:20.825 --> 04:17:22.226
THE AVERAGE CONTRACTED RATE.
04:17:22.293 --> 04:17:23.728
WE ARE PROPOSED TO USE THE SAME
04:17:23.795 --> 04:17:25.062
METHODOLOGY FOR THE AVERAGE
04:17:25.129 --> 04:17:27.165
CONTRACTED RATE HERE WHICH IS
04:17:27.231 --> 04:17:29.133
THE AVERAGE CONTRACTED RATE. FOR
04:17:29.200 --> 04:17:30.701
THAT SERVICE FOR THAT HEALTH
04:17:30.768 --> 04:17:33.237
PLAN FOR THAT GEOGRAPHIC AREA WE
04:17:33.304 --> 04:17:34.605
ARE OF COURSE ALWAYS WILLING TO
04:17:34.672 --> 04:17:36.941
HAVE FURTHER CONVERSATION --
04:17:37.008 --> 04:17:39.577
WITH THE OPPOSITION ABOUT YOU
04:17:39.644 --> 04:17:44.515
KNOW AS WE MOVE FORWARD AS OUR
04:17:44.582 --> 04:17:47.518
AUTHOR HAS SENT.
04:17:47.585 --> 04:17:48.753
I'M STILL AND IN OBVIOUS IS A
04:17:48.820 --> 04:17:51.122
WORK IN PROGRESS AND IT'S IT'S
04:17:51.189 --> 04:17:52.456
COMPLICATED I'VE.
04:17:52.523 --> 04:17:53.958
LOOK I WE LIVE TO AB SEVENTY TWO
04:17:54.025 --> 04:17:55.493
THIS IS LIKE THE GIFT THAT KEEPS
04:17:55.560 --> 04:17:57.128
ON GIVING QUITE FRANKLY --
04:17:57.195 --> 04:17:58.329
BECAUSE IT IT IS HAS BECOME
04:17:58.396 --> 04:18:00.264
INCREDIBLY COMPLICATED AND THERE
04:18:00.331 --> 04:18:02.200
ARE OTHER CHALLENGES AND AND NOW
04:18:02.266 --> 04:18:03.634
WE'RE NOW WE'RE LOOKING AT THAT
04:18:03.701 --> 04:18:05.503
THIS ASPECT OF IT RELATED TO
04:18:05.570 --> 04:18:10.908
EMERGENCY CARE -- I'M JUST STILL.
04:18:10.975 --> 04:18:12.510
MAYBE IT'S LATE AB I MY BLOOD
04:18:12.577 --> 04:18:13.544
SUGAR IS LOW -- ALL OF THOSE
04:18:13.611 --> 04:18:15.513
THINGS BUT I'M STILL A LITTLE
04:18:15.580 --> 04:18:17.849
PUZZLED THAT YOU KNOW I I GUESS
04:18:17.915 --> 04:18:19.217
I WOULD LIKE TO KNOW.
04:18:19.283 --> 04:18:20.284
THAT.
04:18:20.351 --> 04:18:22.320
EVERY HOSPITAL IS GOING TO DO
04:18:22.386 --> 04:18:24.155
LIKEWISE.
04:18:24.222 --> 04:18:25.690
REGARDLESS AND TAKE THE PATIENT
04:18:25.756 --> 04:18:27.058
OUT OF THIS THAT'S THAT WILL
04:18:27.124 --> 04:18:28.526
THAT WOULD BE THE INTENT YES
04:18:28.593 --> 04:18:31.362
EXACTLY INTENT BUT IT BUT WHAT
04:18:31.429 --> 04:18:32.763
WE DON'T KNOW THAT ALL ALL
04:18:32.830 --> 04:18:34.265
HOSPITALS WILL ACTUALLY DO THAT.
04:18:34.332 --> 04:18:36.267
I I THINK THAT TO BOTH --
04:18:36.334 --> 04:18:38.302
SPONSORED BOTH THE SPONSOR AND
04:18:38.369 --> 04:18:39.670
THE OWES PERSPECTIVE AND THEN ON
04:18:39.737 --> 04:18:41.505
PREVIOUS WORK WE'VE DONE -- I
04:18:41.572 --> 04:18:43.307
DON'T KNOW MY HOSPITALS ALL OF
04:18:43.374 --> 04:18:45.543
THEIR ELECTRONIC SYSTEMS BUT THE
04:18:45.610 --> 04:18:46.878
IDEA WOULD YOU YOU KNOW THERE'S
04:18:46.944 --> 04:18:48.212
DIFFERENT WAYS IN WHICH YOU CAN
04:18:48.279 --> 04:18:50.581
FIGURE OUT IF THE PATIENT.
04:18:50.648 --> 04:18:52.450
HAS INSURANCE.
04:18:52.516 --> 04:18:53.684
SO AND IF THEY DON'T HAVE
04:18:53.751 --> 04:18:54.652
INSURANCE AND THERE'S CHARITY
04:18:54.719 --> 04:18:55.920
CARE POLITIES POLICIES THAT THEY
04:18:55.987 --> 04:18:57.455
CAN THEN VISIT BUT IF THERE
04:18:57.521 --> 04:18:58.589
THERE'S WAYS TO FIGURE I THINK
04:18:58.656 --> 04:19:00.091
WE WOULD WORK TO FIND THOSE WAYS
04:19:00.157 --> 04:19:01.692
OUT I I JUST CAN'T SPEAK FOR
04:19:01.759 --> 04:19:05.396
EVERY ELECTRONIC SYSTEM IN THAT --
04:19:05.463 --> 04:19:07.198
TO TO ASSURE YOU TODAY THAT THEY
04:19:07.265 --> 04:19:07.965
COULD LOOK AT ALTERNATIVE
04:19:08.032 --> 04:19:09.533
OPTIONS LIKE TEN IT DOES BUT I'M
04:19:09.600 --> 04:19:11.135
SURE MANY OF THEM BEHIND ME
04:19:11.202 --> 04:19:15.106
RIGHT NOW ARE NODDING THAT THEY
04:19:15.172 --> 04:19:16.607
DO THAT ALREADY.
04:19:16.674 --> 04:19:17.642
I GUESS BECAUSE THE INTENT OF
04:19:17.708 --> 04:19:19.010
THE BILL WE'RE TRYING TO ENSURE
04:19:19.076 --> 04:19:20.711
IS TO GET THE PAY IS NOT MAKE
04:19:20.778 --> 04:19:22.013
SURE THAT THE PAIN WE ARE OUT OF
04:19:22.079 --> 04:19:23.714
THIS AND AND SO -- SO I HEAR
04:19:23.781 --> 04:19:25.249
THAT ONE HOSPITAL SYSTEM.
04:19:25.316 --> 04:19:26.017
KIND OF DOES THAT ALREADY.
04:19:26.083 --> 04:19:26.584
YEAH SOUNDS LIKE IT I JUST
04:19:26.651 --> 04:19:28.052
DIDN'T HAVE ASSURANCE FROM EVERY
04:19:28.119 --> 04:19:30.021
SYSTEM AS I WALKED UP HERE THAT
04:19:30.087 --> 04:19:31.622
THEY HAVE THE SYSTEM BUT I I
04:19:31.689 --> 04:19:32.657
HAVE A HARD TIME BELIEVING THAT
04:19:32.723 --> 04:19:33.858
THEY HAVE THEY COULDN'T FIGURE
04:19:33.925 --> 04:19:35.226
IT OUT SO TO GET THE PATIENT ON
04:19:35.293 --> 04:19:35.760
THE METAL.
04:19:35.826 --> 04:19:36.961
I THINK OUR BIGGEST STRUGGLE
04:19:37.028 --> 04:19:38.296
LIKE WE SAID IS THAT DEFAULT
04:19:38.362 --> 04:19:39.764
RATE SO THEN WHEN SO NOW YOU'RE
04:19:39.830 --> 04:19:41.332
TALKING ABOUT THE HOSPITAL NOW
04:19:41.399 --> 04:19:42.333
TO FIGURE OUT WHAT THEIR
04:19:42.400 --> 04:19:46.070
REGIONAL RATE IS -- FOR THE PLAN
04:19:46.137 --> 04:19:48.239
AND THEN FIGURE OUT WHAT THAT
04:19:48.306 --> 04:19:49.840
BUILDING IS GOING TO BE IN A
04:19:49.907 --> 04:19:50.474
SIMILAR KNOWLEDGE I THINK THERE
04:19:50.541 --> 04:19:52.009
IS A MYTH METHODOLOGY FOR THAT
04:19:52.076 --> 04:19:54.111
AND AND I THINK OUR CONCERN IS
04:19:54.178 --> 04:19:54.745
THAT IT'S GOING TO DRIVE THREE
04:19:54.812 --> 04:20:00.184
TIMES BUT WE WE DON'T HAVE TO
04:20:00.251 --> 04:20:02.753
REHASH THAT.
04:20:02.820 --> 04:20:05.623
ONE SO OKAY WELL.
04:20:05.690 --> 04:20:06.223
BUT ALSO CASH OBVIOUSLY THERE
04:20:06.290 --> 04:20:07.591
ISN'T ANY RESIDUE AYE I KNOW THE
04:20:07.658 --> 04:20:09.126
AUTHORS COMMITTED TO AND I KNOW
04:20:09.193 --> 04:20:09.694
THAT THEIR WE CONTINUE COULD
04:20:09.760 --> 04:20:10.027
DISCUSSIONS.
04:20:10.094 --> 04:20:12.830
AND I PLAN TO FOLLOW THEM VERY
04:20:12.897 --> 04:20:14.231
CLOSELY.
04:20:14.298 --> 04:20:16.567
SO -- SO I THEBILL DOES HAVE A
04:20:16.634 --> 04:20:17.068
TO PASS AS AMENDED TO
04:20:17.134 --> 04:20:23.040
APPROPRIATIONS RECOMMENDATION --
04:20:23.107 --> 04:20:25.042
DOUBLE OR QUESTIONS.
04:20:25.109 --> 04:20:26.877
WE DON'T HAVE A MOTION YET AS
04:20:26.944 --> 04:20:28.879
FAR AS OF MOTION.
04:20:28.946 --> 04:20:31.716
OKAY MOTION BY MISTER MCCARTY
04:20:31.782 --> 04:20:34.418
SECOND BY MISS CARILLO -- MADAM
04:20:34.485 --> 04:20:35.586
SECRETARY.
04:20:35.653 --> 04:20:37.455
WELL WELL WAIT A SECOND.
04:20:37.521 --> 04:20:39.090
MR TO WOULD YOU LIKE TO CLOSE
04:20:39.156 --> 04:20:40.558
I'M SORRY IT'S HOURS ARE.
04:20:40.624 --> 04:20:41.058
VERY MUCH APPRECIATE THE
04:20:41.125 --> 04:20:42.660
CONSIDERATION THE COMMITTEE --
04:20:42.727 --> 04:20:44.362
ALSO VERY MUCH WANT TO THANK THE
04:20:44.428 --> 04:20:47.231
CHAIR FOR YOUR INVOLVING OF THIS --
04:20:47.298 --> 04:20:48.532
OVER THE RECESS LAST WEEK WHAT
04:20:48.599 --> 04:20:51.035
WE ABOUT TRAVELING -- AND I ALSO
04:20:51.102 --> 04:20:54.205
APPRECIATE YOUR QUESTION -- TO
04:20:54.271 --> 04:20:55.740
TO THE HOSPITAL WORLD I ACTUALLY
04:20:55.806 --> 04:20:56.841
HAD THIS VERY CONVERSATION WITH
04:20:56.907 --> 04:20:59.143
MR PASSED YESTERDAY I THINK WHAT
04:20:59.210 --> 04:21:01.012
TEN IT IS DOING IS A GOOD MODEL --
04:21:01.078 --> 04:21:02.546
AND IT WOULD BE GOOD TO KNOW IF
04:21:02.613 --> 04:21:04.281
IF OTHERS WOULD BE ABLE -- TO TO
04:21:04.348 --> 04:21:06.217
ABIDE BY THAT BUT VERY MUCH LOOK
04:21:06.283 --> 04:21:07.251
FOR TO OTHER CONVERSATIONS I
04:21:07.318 --> 04:21:08.386
WOULD JUST SAY THE END OF THE
04:21:08.452 --> 04:21:09.887
DAY WHAT WE'RE WHAT WE I THINK
04:21:09.954 --> 04:21:12.123
WE CAN ALL AGREE ON IS THAT THE
04:21:12.189 --> 04:21:13.190
POTENTIAL SEVEN MILLION
04:21:13.257 --> 04:21:14.392
CALIFORNIANS WHO COULD BE IN
04:21:14.458 --> 04:21:15.760
THIS SITUATION BECAUSE THEY GET
04:21:15.826 --> 04:21:16.127
INTO THE WRONG.
04:21:16.193 --> 04:21:17.528
AMBULANCE AND UP IN THE WRONG
04:21:17.595 --> 04:21:18.696
EMERGENCY ROOM THEY HAPPEN TO
04:21:18.763 --> 04:21:20.331
HAVE THE WRONG INSURANCE THAT
04:21:20.398 --> 04:21:21.298
DOESN'T ALLOW THEM TO GET
04:21:21.365 --> 04:21:22.199
COVERAGE THAT'S WERE TRYING TO
04:21:22.266 --> 04:21:24.001
HELP HERE AND I KNOW WE ALL
04:21:24.068 --> 04:21:25.269
AGREE ON THAT AND OUR HOPE IS --
04:21:25.336 --> 04:21:26.504
IN THE COMING WEEKS AND MONTHS
04:21:26.570 --> 04:21:27.972
WE CAN FIGURE OUT THE OTHER
04:21:28.039 --> 04:21:29.206
DETAILS TO IT TO GET THE STOCK
04:21:29.273 --> 04:21:31.275
SO WITH THAT VERY MUCH.
04:21:31.342 --> 04:21:32.176
AS FOR YOUR SUPPORT AND THANK
04:21:32.243 --> 04:21:33.077
YOU.
04:21:33.144 --> 04:21:34.011
THANK YOU THANK YOU VERY MUCH
04:21:34.078 --> 04:21:35.646
AND WITHOUT MADAM SECRETARY THE
04:21:35.713 --> 04:21:37.648
MOTION IS TO PASS AS A MINUTE TO
04:21:37.715 --> 04:21:39.150
APPROPRIATIONS AND PLEASE CALL
04:21:39.216 --> 04:21:40.384
THE ROLL.
04:21:40.451 --> 04:21:42.820
WHAT WOULD I MAYES?
04:21:42.887 --> 04:21:46.824
MAYES NOT VOTING AGUIAR-CURRY.
04:21:46.891 --> 04:21:48.459
AGAR CURRY I BIGELOW.
04:21:48.526 --> 04:21:49.593
BIGELOW NOT VOTING BONTA
04:21:49.660 --> 04:21:49.894
[inaudible]
04:21:49.960 --> 04:21:51.629
BURKE [inaudible]
04:21:51.695 --> 04:21:53.330
I CARILLO [inaudible]
04:21:53.397 --> 04:21:55.032
I FLORA.
04:21:55.099 --> 04:21:55.966
LARA NOT VOTING Là M<c.cyan></c>
04:21:56.033 --> 04:21:56.267
[inaudible]
04:21:56.333 --> 04:21:57.735
MCCARTY.
04:21:57.802 --> 04:21:59.637
THE I. IN THIS AREA.
04:21:59.703 --> 04:22:00.805
RAMOS.
04:22:00.871 --> 04:22:03.808
PROMISE I RODRIGUEZ RODRIGUEZ.
04:22:03.874 --> 04:22:04.642
FIVE SANTIAGO [inaudible]
04:22:04.708 --> 04:22:13.217
OLDER.
04:22:13.284 --> 04:22:15.453
YES SEVEN VOTES WILL BE THE BILL
04:22:15.519 --> 04:22:28.365
ON CALL THANK YOU VERY MUCH
04:22:28.432 --> 04:22:28.666
[inaudible]
04:22:28.732 --> 04:22:32.670
WHAT?
04:22:32.736 --> 04:22:34.638
NOT SEEING IT MISTER KILEY WE
04:22:34.705 --> 04:22:37.174
ARE GOING TO MOVE ON TO ITEM
04:22:37.241 --> 04:22:38.976
FORTY EIGHT A. B..
04:22:39.043 --> 04:22:55.493
SIXTEEN NINETEEN DOT TO EVER
04:22:59.864 --> 04:22:59.930
.
04:22:59.930 --> 04:23:01.031
TALK TO EVER THE FLOOR IS YOURS
04:23:01.098 --> 04:23:02.500
THANK YOU VERY MUCH I CAN'T
04:23:02.566 --> 04:23:04.568
BELIEVE THAT I WALKED IN AT THE
04:23:04.635 --> 04:23:06.036
OPPORTUNE TIME.
04:23:06.103 --> 04:23:06.904
WE'VE BEEN WAITING IN A
04:23:06.971 --> 04:23:09.173
COMMITTEE FOR QUORUM ALL DAY --
04:23:09.240 --> 04:23:11.108
AB SIXTY NINETY MISTER CHAIR AND
04:23:11.175 --> 04:23:12.476
MEMBERS THANK YOU VERY MUCH FOR
04:23:12.543 --> 04:23:13.777
THE PRESIDENT OF THE OPPORTUNITY
04:23:13.844 --> 04:23:16.113
PRESENT. SIXTEEN NINETEEN MENTAL
04:23:16.180 --> 04:23:17.748
HEALTH CAREERS UNDERSERVED
04:23:17.815 --> 04:23:19.049
COMMUNITIES FUNDING.
04:23:19.116 --> 04:23:21.318
AND AB SIXTEEN NINETEEN
04:23:21.385 --> 04:23:22.119
APPROPRIATES TWENTY MILLION
04:23:22.186 --> 04:23:23.487
DOLLARS FROM THE GENERAL FUND TO
04:23:23.554 --> 04:23:24.755
THE OFFICE OF STATEWIDE HEALTH
04:23:24.822 --> 04:23:26.390
PLANNING AND DEVELOPMENT. FOR
04:23:26.457 --> 04:23:27.558
THE PURPOSE OF REDUCING THE
04:23:27.625 --> 04:23:29.627
SHORTAGE OF ANNA DISPARITY IN
04:23:29.693 --> 04:23:30.961
MENTAL HEALTH SERVICES ACROSS
04:23:31.028 --> 04:23:31.829
THE STATE.
04:23:31.896 --> 04:23:33.531
WELL ACCESS TO BEHAVIORAL HEALTH
04:23:33.597 --> 04:23:35.466
CARE IN CALIFORNIA WAS BOLSTERED
04:23:35.533 --> 04:23:37.067
BY THE PASSAGE OF THE ACA MANY
04:23:37.134 --> 04:23:38.836
PATIENTS ARE STILL LEFT UNSERVED
04:23:38.903 --> 04:23:40.337
DUE TO THE DRASTIC SHORTAGE OF
04:23:40.404 --> 04:23:42.239
MENTAL HEALTH CARE PROVIDERS.
04:23:42.306 --> 04:23:42.740
CURRENTLY PRACTICING IN
04:23:42.806 --> 04:23:44.375
CALIFORNIA THE NUMBER BECOMES
04:23:44.441 --> 04:23:45.943
EVEN FEWER WHEN IDENTIFYING
04:23:46.010 --> 04:23:46.810
MENTAL HEALTH.
04:23:46.877 --> 04:23:48.345
PROVIDERS OF COLOR THAT GREW UP
04:23:48.412 --> 04:23:49.747
IN LOW INCOME OR RULE
04:23:49.813 --> 04:23:51.582
COMMUNITIES STUDIES SHOW THAT
04:23:51.649 --> 04:23:52.449
STUDENTS WHO GREW UP IN
04:23:52.516 --> 04:23:53.884
UNDERSERVED AREAS ARE MORE
04:23:53.951 --> 04:23:55.085
LIKELY TO SET UP.
04:23:55.152 --> 04:23:56.320
PRACTICE IN THE AREA WHERE THEY
04:23:56.387 --> 04:23:57.788
BECOME PHYSICIANS DENTIST OR
04:23:57.855 --> 04:23:59.356
OTHER HEALTH PROFESSIONALS.
04:23:59.423 --> 04:24:01.525
AB SIXTY NINETEEN CAPITALIZE ON
04:24:01.592 --> 04:24:02.359
THIS TRAIN BY CREATING AN
04:24:02.426 --> 04:24:04.361
OUTREACH PROGRAM TO ATTRACTED
04:24:04.428 --> 04:24:05.763
RECOUP STUDENTS FROM LOW INCOME
04:24:05.829 --> 04:24:07.131
AN UNDER REPRESENTED COMMUNITIES
04:24:07.198 --> 04:24:07.932
AND TO THE MENTAL HEALTH
04:24:07.998 --> 04:24:09.333
PROFESSION AND INCREASING
04:24:09.400 --> 04:24:10.334
FUNDING OPPORTUNITIES FOR THOSE
04:24:10.401 --> 04:24:11.835
STUDENTS WHO WANT TO GIVE BACK
04:24:11.902 --> 04:24:13.237
TO THEIR COMMUNITIES.
04:24:13.304 --> 04:24:14.972
I HAVE WITH ME JEFF AUSTIN DON
04:24:15.039 --> 04:24:16.040
WHO'S A CO DIRECTOR OF THE
04:24:16.106 --> 04:24:17.141
CALIFORNIA FUTURE HEALTH
04:24:17.208 --> 04:24:22.146
WORKFORCE COMMISSION HERE TO
04:24:22.213 --> 04:24:23.814
TESTIFY ON BEHALF OF THIS BILL.
04:24:23.881 --> 04:24:25.349
GOOD AFTERNOON THANK YOU FOR
04:24:25.416 --> 04:24:27.418
HAVING ME I'M JEFF OXEN NINE AM --
04:24:27.484 --> 04:24:28.285
HAS SERVED AS THE CO DIRECTOR
04:24:28.352 --> 04:24:29.553
THE FUTURE CALIFORNIA HEALTH
04:24:29.620 --> 04:24:30.487
WORKFORCE COMMISSION THE
04:24:30.554 --> 04:24:32.089
COMMERCIAL COMMISSION WAS FUNDED%
04:24:32.156 --> 04:24:33.624
BY THE STATE'S FIVE LARGEST
04:24:33.691 --> 04:24:35.459
HEALTH FOUNDATIONS AND SPENT
04:24:35.526 --> 04:24:36.794
EIGHTEEN MONTHS.
04:24:36.860 --> 04:24:38.329
DEVELOPING RECOMMENDATIONS TO ME
04:24:38.395 --> 04:24:38.963
CALIFORNIA'S CURRENT AND
04:24:39.029 --> 04:24:41.065
EMERGING HEALTH WORKFORCE NEEDS
04:24:41.131 --> 04:24:43.000
THE COMMISSION WAS CHAIRED BY
04:24:43.067 --> 04:24:44.201
JANET POLITICIAN OF THE
04:24:44.268 --> 04:24:45.970
PRESIDENT OF THE UC SYSTEM IN
04:24:46.036 --> 04:24:47.805
LLOYD DEAN THAT CEO OF DIGNITY
04:24:47.871 --> 04:24:48.572
HEALTH AND HAD.
04:24:48.639 --> 04:24:51.475
TWENTY FOUR THIS TEAM LEADERS
04:24:51.542 --> 04:24:52.876
INCLUDING ASSEMBLY MEMBER WOULD --
04:24:52.943 --> 04:24:53.444
THE COMMISSION COMPLETED ITS
04:24:53.510 --> 04:24:54.511
REPORT WITH A COMPREHENSIVE
04:24:54.578 --> 04:24:56.747
STRATEGY TO ADDRESS THE HEALTH
04:24:56.814 --> 04:24:57.648
WORKFORCE NEEDS OF CALIFORNIA
04:24:57.715 --> 04:24:59.750
AND FILL GAPS BY TWENTY THIRTY
04:24:59.817 --> 04:25:00.951
IN THE REPORT WAS COMPLETED IN
04:25:01.018 --> 04:25:02.286
FEBRUARY.
04:25:02.353 --> 04:25:03.287
THE COMMISSION DID NOT TAKE A
04:25:03.354 --> 04:25:05.022
POSITION ON LEGISLATION AND I'M
04:25:05.089 --> 04:25:06.257
NOT HERE SPEAKING ON BEHALF THE
04:25:06.323 --> 04:25:07.091
COMMISSION I'M HERE TODAY TO
04:25:07.157 --> 04:25:07.858
PROVIDE.
04:25:07.925 --> 04:25:10.461
TECHNICAL EXPERTISE BASED ON MY
04:25:10.527 --> 04:25:11.695
WORK WITH THE COMMISSION.
04:25:11.762 --> 04:25:14.999
AND MY OVER THIRTY YEARS OF WORK --
04:25:15.065 --> 04:25:16.133
LEADING A NEW STATEWIDE HEALTH
04:25:16.200 --> 04:25:17.434
PIPELINE PROGRAM FOR COLLEGE
04:25:17.501 --> 04:25:18.469
STUDENTS GETTING IN THE HEALTH
04:25:18.535 --> 04:25:19.670
CAREERS AS WELL AS BEING A
04:25:19.737 --> 04:25:21.105
FACULTY MEMBER AT UC BERKELEY
04:25:21.171 --> 04:25:22.273
AND A STATE WIDE.
04:25:22.339 --> 04:25:23.774
HEALTH WORKFORCE DIVERSITY
04:25:23.841 --> 04:25:26.010
COALITION LEADER -- BECAUSE OF
04:25:26.076 --> 04:25:28.045
THE SEVERE AND GROWING SHORTAGES
04:25:28.112 --> 04:25:28.979
IN OUR BEHAVIORAL HEALTH WORK
04:25:29.046 --> 04:25:31.982
FORCE THE COMMISSION PRIORITIZED --
04:25:32.049 --> 04:25:33.217
MEETING OR MENTAL HEALTH WORK
04:25:33.284 --> 04:25:35.653
FORCE NEEDS AS ONE THE TOP --
04:25:35.719 --> 04:25:38.856
THREE PRIORITIES AMONG ALL THE
04:25:38.922 --> 04:25:40.124
DIFFERENT HEALTH PROFESSIONS.
04:25:40.190 --> 04:25:42.693
AND WE APPLAUD AND THE AUTHOR
04:25:42.760 --> 04:25:44.595
FOR TAKING ACTION TO ADDRESS
04:25:44.662 --> 04:25:46.096
THIS BEHAVIOR HEALTH CRISIS.
04:25:46.163 --> 04:25:48.032
IT WILL NOT SELF CORRECT AND WE
04:25:48.098 --> 04:25:49.099
NEED SIGNIFICANT ACTION
04:25:49.166 --> 04:25:51.135
INVESTMENT NOW IN ORDER TO MEET
04:25:51.201 --> 04:25:53.203
OUR FUTURE NEEDS -- THESE THIS
04:25:53.270 --> 04:25:54.805
CRISIS HAS BEEN AROUND FOR A
04:25:54.872 --> 04:25:56.540
LONG TIME IT'S ONLY WORSENING --
04:25:56.607 --> 04:25:58.976
WE HAVE SEVERE SHORTAGES SUPPLY
04:25:59.043 --> 04:26:01.612
DISTRIBUTION -- DIVERSITY --
04:26:01.679 --> 04:26:02.613
CHALLENGES THAT ARE ONLY
04:26:02.680 --> 04:26:04.281
PROJECTED TO WORSEN THE NEXT
04:26:04.348 --> 04:26:05.783
DECADE AND BEYOND.
04:26:05.849 --> 04:26:07.217
WE ONLY HAVE TWO THIRDS OF THE
04:26:07.284 --> 04:26:10.487
PSYCHIATRISTS.
04:26:10.554 --> 04:26:11.588
THAT WE NEED OVERALL.
04:26:11.655 --> 04:26:12.623
I ALSO HAVE GROWING NEEDS AND
04:26:12.690 --> 04:26:14.825
PSYCHOLOGISTS SOCIAL WORK OTHER
04:26:14.892 --> 04:26:16.794
MANY OTHER AT THERAPISTS. EIGHT
04:26:16.860 --> 04:26:18.028
MILLION CALIFORNIANS LIVE IN THE
04:26:18.095 --> 04:26:19.730
MENTAL HEALTH PROFESSION
04:26:19.797 --> 04:26:21.598
SHORTAGE AREAS -- AND THE NEED
04:26:21.665 --> 04:26:23.167
IS GREATER THROUGHOUT CALIFORNIA
04:26:23.233 --> 04:26:25.569
BUT IN PARTICULAR IN THE CENTRAL
04:26:25.636 --> 04:26:27.004
VALLEY THE INLAND EMPIRE.
04:26:27.071 --> 04:26:29.406
A LOS ANGELES IN IN ALL OF THE
04:26:29.473 --> 04:26:31.775
RURAL AREAS AND DIVERSITY IN
04:26:31.842 --> 04:26:33.110
CULTURAL LINGUISTIC COMPETENCE.
04:26:33.177 --> 04:26:35.879
ARE REALLY A KEY CHALLENGE --
04:26:35.946 --> 04:26:38.682
ONLY 5% OF PSYCHIATRISTS IN THE
04:26:38.749 --> 04:26:40.718
LA AREA FOR EXAMPLE ARE LATINO
04:26:40.784 --> 04:26:43.454
ALMOST 50% OF THE POPULATION.
04:26:43.520 --> 04:26:44.722
AN AFRICAN AMERICANS NATIVE
04:26:44.788 --> 04:26:46.256
AMERICANS AND MANY OTHER
04:26:46.323 --> 04:26:48.926
POPULATIONS ARE DEFINITELY UNDER
04:26:48.992 --> 04:26:50.928
REPRESENTED -- SO THE THE BOTTOM
04:26:50.994 --> 04:26:52.730
LINE HERE IS THAT WE HAVE ALMOST
04:26:52.796 --> 04:26:53.831
TWO THIRDS OF CALIFORNIANS YOU
04:26:53.897 --> 04:26:55.566
AREN'T GETTING THE TREATMENT
04:26:55.632 --> 04:26:56.266
THAT THEY NEED IN BEHAVIORAL
04:26:56.333 --> 04:26:58.001
HEALTH -- ARE FAR CANCER
04:26:58.068 --> 04:26:59.903
FOUNDATION A POLL IN JANUARY
04:26:59.970 --> 04:27:03.173
IDENTIFIED THAT. NINE OUT OF TEN
04:27:03.240 --> 04:27:03.741
PEOPLE.
04:27:03.807 --> 04:27:05.175
SAY THE GETTING MENTAL HEALTH
04:27:05.242 --> 04:27:06.744
TREATMENT A POLICY PRIORITY.
04:27:06.810 --> 04:27:08.112
AND HAVE THE CALIFORNIANS DON'T
04:27:08.178 --> 04:27:08.779
BELIEVE THEY HAVE ENOUGH WORKERS
04:27:08.846 --> 04:27:10.247
IN THERE CAN BE SO THIS THIS
04:27:10.314 --> 04:27:11.148
PROPOSAL IS REALLY.
04:27:11.215 --> 04:27:13.951
A CRITICAL TO BUILD THE PIPELINE --
04:27:14.017 --> 04:27:15.886
STARTING K. THROUGH TWELVE
04:27:15.953 --> 04:27:16.653
COMMUNICABLE EDGE FOR YOUR
04:27:16.720 --> 04:27:18.489
COLLEGE TO ENABLE STUDENTS TO
04:27:18.555 --> 04:27:20.224
GET INTO THE SELF CAREERS AND BE
04:27:20.290 --> 04:27:22.126
THAT FUTURE HEALTH PROFESSIONAL
04:27:22.192 --> 04:27:23.494
AND AS THE ASSEMBLY MEMBER
04:27:23.560 --> 04:27:24.361
MENTIONED STUDENTS ARE MORE
04:27:24.428 --> 04:27:26.630
LIKELY TO COME BACK AND SERVE IN
04:27:26.697 --> 04:27:28.132
THE AREAS THAT THEY ARE FROM.
04:27:28.198 --> 04:27:30.334
A FINAL EXAMPLE DOCTOR
04:27:30.401 --> 04:27:32.302
IMMEDIATELY MON RUCKER IS THE
04:27:32.369 --> 04:27:33.404
PRODUCT OF PIPELINE PROGRAMS.
04:27:33.470 --> 04:27:35.305
LIKE THE ONES BEING PROPOSED
04:27:35.372 --> 04:27:36.106
HERE.
04:27:36.173 --> 04:27:42.813
WHO IS NOW A CHILD PSYCHOLOGIST
04:27:42.880 --> 04:27:44.515
AND?
04:27:44.581 --> 04:27:45.382
SHOWS.
04:27:45.449 --> 04:27:47.017
TO COME BACK AFTER COMPLETELY
04:27:47.084 --> 04:27:47.885
WRECK WRAP UP OKAY THANK YOU.
04:27:47.951 --> 04:27:51.155
THANK YOU.
04:27:51.221 --> 04:27:51.789
THAT WAS GREAT THOSE QUICK THOSE
04:27:51.855 --> 04:27:54.358
OKAY.
04:27:54.425 --> 04:27:55.359
YOU KNOW SO.
04:27:55.426 --> 04:27:57.394
ANYWAY.
04:27:57.461 --> 04:27:58.028
EASY EXAMPLE OF WHAT WE REALLY
04:27:58.095 --> 04:28:00.464
WANT.
04:28:00.531 --> 04:28:01.064
THIS IS A COMEBACK CONCERT FOR
04:28:01.131 --> 04:28:01.265
THIS.
04:28:01.331 --> 04:28:02.633
THIS IS FOR THIS IS A SUPPORT
04:28:02.699 --> 04:28:03.801
SUPPORT WE'RE GOING TO GO ON TO
04:28:03.867 --> 04:28:06.937
WITH OTHER WITNESSES -- IN
04:28:07.004 --> 04:28:10.040
SUPPORT [inaudible] FOR THANK
04:28:10.107 --> 04:28:11.341
YOU.
04:28:11.408 --> 04:28:12.242
RENDON MARCH WITH THE CALIFORNIA
04:28:12.309 --> 04:28:13.210
MEDICAL ASSOCIATION IN SUPPORT
04:28:13.277 --> 04:28:13.510
[inaudible]
04:28:13.577 --> 04:28:15.279
THANK YOU.
04:28:15.345 --> 04:28:15.913
DOES HERE WE HAVE THE CALIFORNIA
04:28:15.979 --> 04:28:16.947
ACADEMY OF CHILD AND ADOLESCENT
04:28:17.014 --> 04:28:17.881
PSYCHIATRY IN SUPPORT THANK YOU
04:28:17.948 --> 04:28:18.549
SO MUCH AND THEY WERE GONNA MOVE
04:28:18.615 --> 04:28:19.783
ON TO ANY WITNESSES IN
04:28:19.850 --> 04:28:22.319
OPPOSITION.
04:28:22.386 --> 04:28:23.387
SAME NUMBER COME BACK TO THE
04:28:23.454 --> 04:28:24.621
COMMITTEE ARE THERE ANY
04:28:24.688 --> 04:28:26.423
QUESTIONS OR COMMENTS FROM
04:28:26.490 --> 04:28:28.392
MEMBERS.
04:28:28.459 --> 04:28:29.993
SEEING NONE WE DID HAVE A MOTION
04:28:30.060 --> 04:28:31.728
FROM MISTER FLORA WOULD DO WE
04:28:31.795 --> 04:28:35.332
HAVE A SECOND.
04:28:35.399 --> 04:28:37.634
OF SECOND FROM -- REPUBLICAN
04:28:37.701 --> 04:28:39.069
LEADER WALDRON AND THE DOCTOR
04:28:39.136 --> 04:28:40.637
WOULD LIKE TO CLOSE JUST SIMPLY
04:28:40.704 --> 04:28:41.738
RESPECTFULLY ASK FOR YEAH I VOTE
04:28:41.805 --> 04:28:43.474
IT'S A VERY IMPORTANT EFFORT TO
04:28:43.540 --> 04:28:44.541
RECRUIT INDIVIDUALS INTO THIS
04:28:44.608 --> 04:28:46.210
FIELD AND I THINK WE ALL BENEFIT
04:28:46.276 --> 04:28:47.544
FROM HAVING THEM.
04:28:47.611 --> 04:28:48.345
SERVE THE VARIOUS COMMUNITIES A
04:28:48.412 --> 04:28:49.947
GIVEN THE MENTAL HEALTH CRISIS
04:28:50.013 --> 04:28:51.315
THAT WE'RE IN RIGHT NOW THANK
04:28:51.381 --> 04:28:52.883
YOU DOCTOR.
04:28:52.950 --> 04:28:54.852
AT SECRETARY PLEASE CALL THE
04:28:54.918 --> 04:28:55.886
ROLL.
04:28:55.953 --> 04:28:57.855
THE MOTION IS TO PASTOR
04:28:57.921 --> 04:28:59.523
PROCREATION WOULD.
04:28:59.590 --> 04:29:02.226
MAYES AYE MAYES AYE ANGER HURRY.
04:29:02.292 --> 04:29:04.161
BIGELOW BONTA BURKE CARRILLO.
04:29:04.228 --> 04:29:07.197
FLORA.
04:29:07.264 --> 04:29:10.267
FLORA I LIMóN MCCARTY.
04:29:10.334 --> 04:29:12.436
THE I NAZARIAN ROSS.
04:29:12.503 --> 04:29:14.605
RODRIGUEZ RODRIGUEZ AYE SANTIAGO
04:29:14.671 --> 04:29:15.939
WALDRON [inaudible]
04:29:16.006 --> 04:29:19.243
WALDRON AYE [inaudible]
04:29:19.309 --> 04:29:21.845
OKAY.
04:29:21.912 --> 04:29:22.679
THANK YOU.
04:29:22.746 --> 04:29:24.481
WE GOT FIVE THOSE WE'RE GONNA
04:29:24.548 --> 04:29:24.915
LEAVE THIS ON CALL.
04:29:24.982 --> 04:29:25.849
THANK YOU DOCTOR WEBER MOVING ON
04:29:25.916 --> 04:29:27.751
TO MISTER FRAZIER -- ON ITEM
04:29:27.818 --> 04:29:41.465
NUMBER FIFTY FIVE AB.
04:29:41.532 --> 04:29:42.099
SEVENTEEN SIXTY NINE AND MISTER
04:29:42.165 --> 04:29:43.767
FRAZIER JUST BECAUSE OF THE TIME
04:29:43.834 --> 04:29:45.402
AND KNOWING THAT FOLKS IT'S
04:29:45.469 --> 04:29:47.404
WAITED FOR A LONG LONG TIME FOR
04:29:47.471 --> 04:29:49.239
YOUR WITNESSES -- MAKING SURE
04:29:49.306 --> 04:29:52.276
THAT -- WE DON'T WE ARE TOO LONG
04:29:52.342 --> 04:29:54.545
WINDED -- THIS THIS EVENING.
04:29:54.611 --> 04:29:55.679
BUT THE FLOOR IS YOURS.
04:29:55.746 --> 04:29:57.481
MR MAYS I ABSOLUTELY UNDERSTAND
04:29:57.548 --> 04:29:59.750
I'LL PARAPHRASE MY FIFTEEN
04:29:59.816 --> 04:30:01.952
MINUTES OF NOTES.
04:30:02.019 --> 04:30:05.022
OF MR MEMBERS.
04:30:05.088 --> 04:30:06.456
AB SEVENTEEN SIXTY NINE WILL
04:30:06.523 --> 04:30:07.891
ALLOW SOLANO COUNTY TO CONSTRUCT
04:30:07.958 --> 04:30:08.859
AND OPERATE TO BOARDING CARE
04:30:08.926 --> 04:30:10.727
FACILITIES ON THE COUNTY'S
04:30:10.794 --> 04:30:11.261
HEALTH AND SOCIAL SERVICES
04:30:11.328 --> 04:30:12.629
CAMPUS.
04:30:12.696 --> 04:30:13.530
THIS WOULD FACILITATE SURE
04:30:13.597 --> 04:30:15.232
HOSPITALIZATION STAYS WHILE
04:30:15.299 --> 04:30:16.433
PROVIDING MORE SUPPORT OF
04:30:16.500 --> 04:30:18.135
DISCHARGE PLACEMENTS ARE CURRENT
04:30:18.201 --> 04:30:20.170
MENTAL HEALTH TREATMENT SYSTEM
04:30:20.237 --> 04:30:21.371
DOES NOT PROVIDE ENOUGH.
04:30:21.438 --> 04:30:23.106
COMMUNITY PLACEMENTS FOR
04:30:23.173 --> 04:30:24.107
INDIVIDUALS READY TO LEAVE
04:30:24.174 --> 04:30:26.343
LOCKED FACILITIES AND IF A LOCAL
04:30:26.410 --> 04:30:27.878
BETTIS FOUND THERE'S LITTLE TO
04:30:27.945 --> 04:30:29.379
NO INTEGRATION OF CRITICAL
04:30:29.446 --> 04:30:31.782
SERVICES TO PROPERLY MONITOR
04:30:31.848 --> 04:30:32.983
SUPPORT THEM.
04:30:33.050 --> 04:30:34.384
AND SUPPORT THEM WITH THE GOAL
04:30:34.451 --> 04:30:37.354
OF PREVENTING RELAPSE RE
04:30:37.421 --> 04:30:39.222
HOSPITALIZATION.
04:30:39.289 --> 04:30:40.557
AND POTENTIAL RING CAR SICK.
04:30:40.624 --> 04:30:43.226
REINCARNATION.
04:30:43.293 --> 04:30:45.262
AND I WILL NOW SHARE IT WITH MY
04:30:45.329 --> 04:30:46.563
WITNESSES.
04:30:46.630 --> 04:30:50.133
THANK YOU PLEASE.
04:30:50.200 --> 04:30:52.002
THANK YOU VERY MUCH -- I I'M
04:30:52.069 --> 04:30:52.803
DOCTOR BILL MUCH CASH ON THE
04:30:52.869 --> 04:30:53.804
HEALTH OF SERVICE ON A COUNTY
04:30:53.870 --> 04:30:54.938
WHERE I OVERSEE THE PUBLIC
04:30:55.005 --> 04:30:56.473
HEALTH PROGRAMS IN THE UP THE
04:30:56.540 --> 04:30:57.574
MEDICAL CLINICS.
04:30:57.641 --> 04:30:59.509
I THINK IT'S IMPORTANT TO NOTE
04:30:59.576 --> 04:31:00.677
THAT THE CARE AT PRESENT FOR
04:31:00.744 --> 04:31:02.179
PERSONS WHO HAVE SEVERE MENTAL
04:31:02.245 --> 04:31:04.481
ILLNESSES IS SILENT IN IS
04:31:04.548 --> 04:31:06.083
FREQUENTLY VERY FRAGMENTED --
04:31:06.149 --> 04:31:07.117
SEVERELY MENTALLY ILL PATIENTS
04:31:07.184 --> 04:31:09.386
AS A GROUP REQUIRE A CONTINUUM
04:31:09.453 --> 04:31:10.787
OF CARE FOR THEIR MENTAL HEALTH
04:31:10.854 --> 04:31:12.155
ISSUES FROM OUTPATIENT TO
04:31:12.222 --> 04:31:13.657
BOARDING CARE TO AUGMENTED
04:31:13.724 --> 04:31:15.692
BOARDING CARE TOO IMPATIENT. TO
04:31:15.759 --> 04:31:17.194
CRISIS STABILIZATION.
04:31:17.260 --> 04:31:19.363
IN ADDITION CLIENTS WITH SEVERE
04:31:19.429 --> 04:31:20.497
MENTAL ILLNESSES ALSO NEED
04:31:20.564 --> 04:31:22.165
INFORMED COORDINATED PHYSICAL
04:31:22.232 --> 04:31:24.468
CARE AS WELL AS PROPERLY CASE
04:31:24.534 --> 04:31:25.636
MANAGE SOCIAL SERVICES AND
04:31:25.702 --> 04:31:27.437
ASSISTANCE WITH HOUSING IN ORDER
04:31:27.504 --> 04:31:28.972
TO BE ABLE TO INTEGRATE
04:31:29.039 --> 04:31:30.273
SUCCESSFULLY KNOW THE COMMUNITY.
04:31:30.340 --> 04:31:32.142
AT THE PRESENT TIME THE ELEMENTS
04:31:32.209 --> 04:31:33.443
ON THE CONTINUE OF AN OF MENTAL
04:31:33.510 --> 04:31:35.012
HEALTH CARE GENERALLY OPERATE AS
04:31:35.078 --> 04:31:36.947
ISOLATED ENEMY AS ISOLATED
04:31:37.014 --> 04:31:37.848
ENTITIES.
04:31:37.914 --> 04:31:39.716
IN THE CURRENT SYSTEM ALSO VERY
04:31:39.783 --> 04:31:41.351
OFTEN RESULTS IN A FAILURE TO
04:31:41.418 --> 04:31:43.787
ASSURE PROPER PHYSICAL CARE FOR
04:31:43.854 --> 04:31:45.422
MENTAL HEALTH CLIENTS AND AS A
04:31:45.489 --> 04:31:46.657
CONSEQUENCE.
04:31:46.723 --> 04:31:48.058
SEVERELY MENTALLY ILL PATIENTS
04:31:48.125 --> 04:31:50.293
TYPICALLY DIE OF TWENTY TO
04:31:50.360 --> 04:31:51.461
TWENTY FIVE YEARS EARLIER THAN
04:31:51.528 --> 04:31:52.863
THOSE WHO DON'T HAVE SEVERE
04:31:52.929 --> 04:31:54.131
MENTAL ILLNESSES IN THEIR DEATHS
04:31:54.197 --> 04:31:56.333
ARE LARGELY FROM PREVENTABLE AND
04:31:56.400 --> 04:31:58.135
MANAGEABLE CHRONIC CONDITIONS.
04:31:58.201 --> 04:31:59.503
AB SEVENTEEN SIXTY NINE BY
04:31:59.569 --> 04:32:00.704
SUMMER FRAZIER PROVIDES FOR A
04:32:00.771 --> 04:32:03.006
UNIQUE PILOT TO ADDRESS THE
04:32:03.073 --> 04:32:04.041
NEEDS OF SEVERELY MENTALLY ILL
04:32:04.107 --> 04:32:05.809
CLIENTS IN A MUCH MORE
04:32:05.876 --> 04:32:06.410
COMPREHENSIVE AND COORDINATED
04:32:06.476 --> 04:32:07.844
FASHION.
04:32:07.911 --> 04:32:08.445
WITH FUNDS PROVIDED BY THIS
04:32:08.512 --> 04:32:10.647
PILOT SOLANO COUNTY PROPOSES TO
04:32:10.714 --> 04:32:12.582
BUILD A MENTAL HEALTH FACILITY
04:32:12.649 --> 04:32:14.051
THAT OFFERS BOTH BOARDING CARE
04:32:14.117 --> 04:32:15.485
AN AUGMENTED BOARDING CARE
04:32:15.552 --> 04:32:17.387
SERVICES FOR UP TO THIRTY TWO
04:32:17.454 --> 04:32:18.488
CLIENTS IT'S THEM ON THE SAME
04:32:18.555 --> 04:32:19.389
CAMPUS.
04:32:19.456 --> 04:32:20.957
AND WHICH WE OFFER AT THE
04:32:21.024 --> 04:32:22.592
PRESENT TIME OUTPATIENT HEALTH
04:32:22.659 --> 04:32:24.061
TREATMENT CRISIS MENTAL HEALTH
04:32:24.127 --> 04:32:26.163
SERVICES SOCIAL SERVICES SUCH AS
04:32:26.229 --> 04:32:28.298
MEDICARE ON FOOD ASSISTANCE.
04:32:28.365 --> 04:32:29.966
PRIMARY CARE AND DENTAL HEALTH.
04:32:30.033 --> 04:32:31.435
IN CASE MANAGEMENT SERVICES HELP
04:32:31.501 --> 04:32:33.036
THESE CLIENTS NAVIGATE HOUSING
04:32:33.103 --> 04:32:34.071
OPTIONS AND ACCESS THE SUPPORT
04:32:34.137 --> 04:32:35.405
SERVICES THAT THEY NEED SO IN
04:32:35.472 --> 04:32:36.707
ESSENCE.
04:32:36.773 --> 04:32:38.775
THE PILOT WILL PROVIDE FOR MOST
04:32:38.842 --> 04:32:40.277
OF THE CONTINUUM OF THE MENTAL
04:32:40.343 --> 04:32:41.812
HEALTH CARE TO BE PRESENT ON OUR
04:32:41.878 --> 04:32:43.246
CURRENT CAMPUS.
04:32:43.313 --> 04:32:44.681
WHICH IS ALSO THE SAME CAMPUS
04:32:44.748 --> 04:32:45.982
WHERE WE WILL BE ABLE TO
04:32:46.049 --> 04:32:50.220
COORDINATE THEIR MENTAL HEALTH
04:32:50.287 --> 04:32:51.521
CARE AND THEIR NEED FOR SOCIAL
04:32:51.588 --> 04:32:52.589
SERVICES AND THEN IN ADDITION
04:32:52.656 --> 04:32:53.423
WITH THE INVOLVEMENT OF PUBLIC
04:32:53.490 --> 04:32:53.857
HEALTH WILL MAKE IT.
04:32:53.924 --> 04:32:54.324
A POINT TO ASSESS THE
04:32:54.391 --> 04:32:55.525
FEASIBILITY AND THE SUCCESS OF
04:32:55.592 --> 04:32:56.593
THE COMPREHENSIVE INTEGRATED
04:32:56.660 --> 04:32:58.028
CARE MODEL THAT SPRINT THAT'S
04:32:58.095 --> 04:32:59.996
PROPOSED BY THIS PILOT.
04:33:00.063 --> 04:33:01.131
THANK YOU SO MUCH JIM OTHER
04:33:01.198 --> 04:33:02.499
WITNESS.
04:33:02.566 --> 04:33:03.100
YES GOOD EVENING I'M SEEING
04:33:03.166 --> 04:33:04.234
PERSONS ON THE BEHAVIORAL HEALTH
04:33:04.301 --> 04:33:06.136
DIRECTOR AT SOLANO COUNTY THANK
04:33:06.203 --> 04:33:07.471
YOU FOR THE OPPORTUNITY HERE.
04:33:07.537 --> 04:33:08.739
ARE THE THE AS MENTIONED THE
04:33:08.805 --> 04:33:10.507
PROPOSAL IS TO ADD THIRTY TWO
04:33:10.574 --> 04:33:13.076
UNLOCKED BOARDING CARE BEDS --
04:33:13.143 --> 04:33:14.611
ON OUR COMPREHENSIVE SERVICE
04:33:14.678 --> 04:33:16.113
LIGHT WHICH WE THINK BEST.
04:33:16.179 --> 04:33:17.848
BRIDGES THE GAP BETWEEN LOCKED
04:33:17.914 --> 04:33:19.349
TO CARE AND COMMUNITY
04:33:19.416 --> 04:33:22.953
INDEPENDENCE OR PERMANENT
04:33:23.019 --> 04:33:25.188
SUPPORTIVE HOUSING.
04:33:25.255 --> 04:33:26.022
MINUTES BOARD HOUSING IS ALSO A
04:33:26.089 --> 04:33:26.590
HUGE NEED AND WHEN THAT IS
04:33:26.656 --> 04:33:27.224
ACTUALLY BEING WORKED ON IN OUR
04:33:27.290 --> 04:33:28.692
JURISDICTION ACROSS THE COUNTY --
04:33:28.759 --> 04:33:30.627
WITH THE ASSISTANCE OF NO PLACE
04:33:30.694 --> 04:33:32.629
LIKE HOME FUNDS -- BUT WHAT
04:33:32.696 --> 04:33:33.697
NEEDS TO HAPPEN BEFORE PEOPLE
04:33:33.764 --> 04:33:36.366
CAN GET TO THAT SPACE IS A SKILL
04:33:36.433 --> 04:33:37.834
BUILDING TO BE ABLE TO LIVE MORE
04:33:37.901 --> 04:33:39.469
INDEPENDENTLY.
04:33:39.536 --> 04:33:43.840
AND TO GET EXTRA SUPPORT IN THE
04:33:43.907 --> 04:33:45.142
MENTAL HEALTH RECOVERY SO THAT
04:33:45.208 --> 04:33:47.711
THEY CAN GO ON TO LIVE FULL AND
04:33:47.778 --> 04:33:49.346
MEANINGFUL LIVES.
04:33:49.412 --> 04:33:50.580
SO THIS WOULD BE SIXTEEN BEDS
04:33:50.647 --> 04:33:51.715
THAT WE WOULD CONSIDER AUGMENTED
04:33:51.782 --> 04:33:53.250
BORDEN CARE SETTING WHICH IS
04:33:53.316 --> 04:33:54.651
BASICALLY A RESIDENTIAL
04:33:54.718 --> 04:33:56.186
TREATMENT PROGRAM.
04:33:56.253 --> 04:33:57.220
FOR PEOPLE WITH MENTAL ILLNESS
04:33:57.287 --> 04:33:58.522
AND THEN SIXTEEN BEDS THAT WOULD
04:33:58.588 --> 04:33:59.856
BE CONSIDERED A LOWER LEVEL OF
04:33:59.923 --> 04:34:00.824
KERR.
04:34:00.891 --> 04:34:04.127
REGULAR BOARDING CARE -- WITH --
04:34:04.194 --> 04:34:08.465
WITH A LIGHTER -- STAFFING.
04:34:08.532 --> 04:34:10.667
RATIO -- SO WHAT WHAT WE THINK
04:34:10.734 --> 04:34:12.068
IS REALLY IMPORTANT ABOUT THIS
04:34:12.135 --> 04:34:14.304
CONCEPT IS THAT IS VERY FLEXIBLE
04:34:14.371 --> 04:34:16.173
WITHIN THE SYSTEM OF CARE SO IT
04:34:16.239 --> 04:34:17.274
CAN IT CAN MEET THE NEEDS
04:34:17.340 --> 04:34:19.209
BETWEEN THE ACUTE AND THE
04:34:19.276 --> 04:34:20.110
COMMUNITY.
04:34:20.177 --> 04:34:24.414
AND N. A FLEXIBLE WAY AND AS
04:34:24.481 --> 04:34:27.984
WELL AS PREVENT.
04:34:28.051 --> 04:34:28.852
LIFT USING.
04:34:28.919 --> 04:34:32.189
AS A STEP DOWN FROM THE CUTE HI
04:34:32.255 --> 04:34:34.057
HIGHLY RESTRICTIVE ENVIRONMENTS --
04:34:34.124 --> 04:34:36.526
OR AS A PREVENTION TO THAT LEVEL
04:34:36.593 --> 04:34:38.195
OF CARE THAT SO WE SEE IT
04:34:38.261 --> 04:34:39.462
HAPPENING IN BOTH IN BOTH
04:34:39.529 --> 04:34:41.498
DIRECTIONS FOR INTERVENTION AND
04:34:41.565 --> 04:34:42.966
PREVENTION.
04:34:43.033 --> 04:34:43.900
AND THE PLAN THAT PRINCIPLE
04:34:43.967 --> 04:34:45.869
REALLY IS SUPPORTED.
04:34:45.936 --> 04:34:46.436
BY FEDERAL GOVERNMENT THAT
04:34:46.503 --> 04:34:49.272
REQUIRES OF US TO KEEP PEOPLE
04:34:49.339 --> 04:34:51.241
OUT THERE PLEASE RESEARCH OF
04:34:51.308 --> 04:34:52.375
LEVEL OF CARE POSSIBLE.
04:34:52.442 --> 04:34:54.911
SO -- WE THANK YOU FOR OUR
04:34:54.978 --> 04:34:57.147
CONSIDERING THIS BILL AND ARE.
04:34:57.214 --> 04:34:58.782
OPEN TO ANY QUESTIONS FANTASTIC
04:34:58.849 --> 04:35:01.952
WILL MOVE TO ANY ADDITIONAL
04:35:02.018 --> 04:35:04.054
WITNESSES IN SUPPORT.
04:35:04.120 --> 04:35:06.089
SEEING NONE IS ARE THERE ANY
04:35:06.156 --> 04:35:07.657
WITNESSES IN OPPOSITION TO THIS
04:35:07.724 --> 04:35:09.392
BILL.
04:35:09.459 --> 04:35:11.027
SEE NOW WILL COME BACK TO A
04:35:11.094 --> 04:35:13.630
MEMBERS OF FOR ANY QUESTIONS OR
04:35:13.697 --> 04:35:15.599
COMMENTS.
04:35:15.665 --> 04:35:17.334
WE DO HAVE A MOTION BY MISTER
04:35:17.400 --> 04:35:19.236
FLOOR I THINK THAT SECOND WAS
04:35:19.302 --> 04:35:21.805
MISS CARILLO OR THE IS THAT
04:35:21.872 --> 04:35:22.806
RIGHT MISSING.
04:35:22.873 --> 04:35:23.974
THE OKAY WELL FANTASTIC --
04:35:24.040 --> 04:35:25.876
MISTER FRAZIER WOULD YOU LIKE TO
04:35:25.942 --> 04:35:28.612
CLOSE RESPECTFULLY ASK FOREVER.
04:35:28.678 --> 04:35:29.613
THANK YOU SO MUCH SO SECRETARY
04:35:29.679 --> 04:35:31.648
PLEASE CALL THE ROLL.
04:35:31.715 --> 04:35:33.683
THE MOTION IS TO PASS TO
04:35:33.750 --> 04:35:35.652
APPROPRIATIONS WHAT
04:35:35.719 --> 04:35:38.922
MAYES HI MAYES AYE AGUIAR-CURRY
04:35:38.989 --> 04:35:40.590
AGUIAR-CURRY AYE BIGELOW.
04:35:40.657 --> 04:35:41.358
BONTA.
04:35:41.424 --> 04:35:43.627
BURKE CARRILLO.
04:35:43.693 --> 04:35:46.529
I FLORA FLORA I LIVE ALONE.
04:35:46.596 --> 04:35:49.199
MCCARTY. THIRTY AYE IN THIS AREA.
04:35:49.266 --> 04:35:51.067
RAMOS RODRIGUEZ RODRIGUEZ AYE
04:35:51.134 --> 04:35:53.203
SANTIAGO.
04:35:53.270 --> 04:35:53.703
WALDRON.
04:35:53.770 --> 04:35:58.275
WALDRON AYE.
04:35:58.341 --> 04:36:00.343
SEVENTIES WAS WE GOT SEVEN VOTES
04:36:00.410 --> 04:36:01.311
FOR NOW WILL LEAVE THOSE THAT
04:36:01.378 --> 04:36:03.313
THE ON CALL AND I'M SURE WILL BE
04:36:03.380 --> 04:36:03.947
A PROBLEM GET NOW.
04:36:04.014 --> 04:36:05.282
THANK YOU MISTER CHAIRMAN THANK
04:36:05.348 --> 04:36:06.016
YOU OLD MEMBERS FOR YOUR
04:36:06.082 --> 04:36:07.384
MARATHON WORK -- THANK YOU
04:36:07.450 --> 04:36:10.654
MISTER FRAZIER I'M MOVING ON TO
04:36:10.720 --> 04:36:16.326
ITEM NUMBER FIFTY SIX AB --
04:36:16.393 --> 04:36:28.805
SEVENTEEN SEVENTY NINE DAILY.
04:36:28.872 --> 04:36:30.573
AND MR DAILY THIS ALSO HAS A
04:36:30.640 --> 04:36:32.375
SUPPORT SUPPORT --
04:36:32.442 --> 04:36:34.878
RECOMMENDATION I GET IT ALL
04:36:34.945 --> 04:36:36.680
RIGHT I GET IT [inaudible]
04:36:36.746 --> 04:36:40.617
MOVE THE THANK YOU.
04:36:40.684 --> 04:36:41.451
I KNOW I LIKE HIS ROOMMATE IS.
04:36:41.518 --> 04:36:45.488
MY FAVORITE COMMITTEE -- I WILL
04:36:45.555 --> 04:36:48.124
RESPECTFULLY REQUEST YOUR AYE
04:36:48.191 --> 04:36:49.626
VOTE I DO HAVE.
04:36:49.693 --> 04:36:52.362
TO EXPERT WITNESSES SO IN CASE
04:36:52.429 --> 04:36:54.264
THERE ARE ANY QUESTIONS OR IF
04:36:54.331 --> 04:36:54.764
YOU NEED ANY ADDITIONAL
04:36:54.831 --> 04:36:59.135
BACKGROUND.
04:36:59.202 --> 04:37:01.204
THANK IF YOU DO HAVE ANY -- ANY
04:37:01.271 --> 04:37:03.807
COMMENTS YOU CAN BE VERY VERY
04:37:03.873 --> 04:37:04.474
BRIEF LIKE I'M NOT SURE A NEEDED
04:37:04.541 --> 04:37:06.876
I AM I WAS LISTENING CAREFULLY --
04:37:06.943 --> 04:37:08.311
BASICALLY THE BILL REQUIRES THE
04:37:08.378 --> 04:37:09.312
DEPARTMENT OF HEALTH CARE
04:37:09.379 --> 04:37:12.115
SERVICES TO ADOPT BEST PRACTICES
04:37:12.182 --> 04:37:14.784
FOR RECOVERY HOUSING -- RIGHT
04:37:14.851 --> 04:37:16.186
NOW IN OUR STATE THERE'S NO
04:37:16.252 --> 04:37:17.220
AUTHORITATIVE SOURCE OF
04:37:17.287 --> 04:37:19.489
INFORMATION FOR FINDING RECOVERY
04:37:19.556 --> 04:37:20.623
RESIDENCES THAT ARE SAFE FOR
04:37:20.690 --> 04:37:23.159
ESIDENTS AND COMMUNITIES ALIKE.
04:37:23.226 --> 04:37:25.195
BY ADOPTING BEST PRACTICES FOR
04:37:25.261 --> 04:37:27.163
RECOVERY RESIDENCES OUR STATE
04:37:27.230 --> 04:37:28.732
WILL TAKE A SIGNIFICANT STEP
04:37:28.798 --> 04:37:30.200
TOWARD INCREASING THE NUMBER OF
04:37:30.266 --> 04:37:32.402
SAFE RESIDENCES FOR PEOPLE.
04:37:32.469 --> 04:37:34.938
SEEKING RECOVERY SERVICES.
04:37:35.005 --> 04:37:36.773
MY TWO WITNESSES ARE SHERRY
04:37:36.840 --> 04:37:37.874
DAILY FROM THE CALIFORNIA
04:37:37.941 --> 04:37:40.143
CONSORTIUM OF ADDICTION PROGRAMS
04:37:40.210 --> 04:37:42.012
AND PROFESSIONALS NO RELATION BY
04:37:42.078 --> 04:37:43.546
THE WAY DIFFERENT SPELLING OF
04:37:43.613 --> 04:37:45.415
DAILY.
04:37:45.482 --> 04:37:46.750
SHE SPELLS AT THE CHICAGO WAY.
04:37:46.816 --> 04:37:48.718
AND RYAN HAMPTON A RECOVERY
04:37:48.785 --> 04:37:50.420
ADVOCATE WHO IS HIMSELF AND
04:37:50.487 --> 04:37:53.656
RECOVERY FROM OPIOID ADDICTION.
04:37:53.723 --> 04:37:54.524
SO THAT IS THE ESSENCE OF THE
04:37:54.591 --> 04:37:56.793
BILL -- BEST PRACTICES ARE WHAT
04:37:56.860 --> 04:37:59.596
WE ARE SEEKING.
04:37:59.662 --> 04:38:00.797
AND IF THE WITNESS IS SUPPORT
04:38:00.864 --> 04:38:01.998
JUST WANNA BE QUICK THAT WOULD
04:38:02.065 --> 04:38:03.700
BE GREAT EMMA PASSES BACK OVER
04:38:03.767 --> 04:38:08.238
TO THE CHAIR.
04:38:08.304 --> 04:38:09.706
GREAT HE'S TOUGH SO GO AHEAD.
04:38:09.773 --> 04:38:10.607
THANK YOU SO MUCH MY NAME IS
04:38:10.673 --> 04:38:11.775
RYAN HAMPTON I'M A PERSON
04:38:11.841 --> 04:38:13.643
RECOVERY FROM A SUBSTANCE USE
04:38:13.710 --> 04:38:14.911
DISORDER I'D LIKE.
04:38:14.978 --> 04:38:15.912
TO THANK THE CHAIRMAN OF THE
04:38:15.979 --> 04:38:17.180
MEMBERS OF THE COMMITTEE FOR
04:38:17.247 --> 04:38:19.082
INVITING ME TO TESTIFY TODAY --
04:38:19.149 --> 04:38:20.817
I PROMISE I WILL BE BRIEF -- IT
04:38:20.884 --> 04:38:22.519
IS AN HONOR TO SPEAK ABOUT THE
04:38:22.585 --> 04:38:25.088
IMPACT THE AB. SEVENTEEN SEVENTY
04:38:25.155 --> 04:38:26.156
NINE WILL HAVE ON CALIFORNIANS
04:38:26.222 --> 04:38:27.957
WITH SUBSTANCE USE DISORDER.
04:38:28.024 --> 04:38:29.426
AND I MUST SAY IT IS LONG PAST
04:38:29.492 --> 04:38:30.627
TIME THAT THE LEGISLATURE
04:38:30.693 --> 04:38:32.529
ADDRESSES THE PROBLEM OF BROKE
04:38:32.595 --> 04:38:33.863
SOBRE HOMES IN OUR STATE.
04:38:33.930 --> 04:38:35.965
WELL AB SEVENTEEN SEVENTY NINE
04:38:36.032 --> 04:38:36.833
IS NOT A COMPLETE FIX TO THE
04:38:36.900 --> 04:38:39.069
PROBLEM IT IS A POSITIVE STEP IN
04:38:39.135 --> 04:38:40.537
THE RIGHT DIRECTION.
04:38:40.603 --> 04:38:42.472
I AM HERE TODAY BECAUSE A SAFE
04:38:42.539 --> 04:38:45.308
RECOVERY RESIDENTS SAVE MY LIFE
04:38:45.375 --> 04:38:47.043
BUT I AM ALSO HERE TODAY.
04:38:47.110 --> 04:38:48.645
BECAUSE MY FRIEND TYLER DIED OF
04:38:48.711 --> 04:38:51.047
A HEROIN OVERDOSE -- IN A SOBER
04:38:51.114 --> 04:38:52.715
HOME BECAUSE THERE WAS NO NO
04:38:52.782 --> 04:38:54.384
LOCKS AND ON SITE BECAUSE THE
04:38:54.451 --> 04:38:56.619
HOME STAFF WORK TRAINED TO DEAL
04:38:56.686 --> 04:38:58.321
WITH OVERDOSES MY FRIEND.
04:38:58.388 --> 04:38:59.622
LOST HIS LIFE.
04:38:59.689 --> 04:39:00.890
COMMON SENSE MEASURES LIKE
04:39:00.957 --> 04:39:02.926
NALOXONE ETHICAL STANDARDS AND
04:39:02.992 --> 04:39:04.727
PROTECTIONS FOR PROOF FOR PEOPLE
04:39:04.794 --> 04:39:06.129
WHO ARE TRYING TO RECOVER ARE
04:39:06.196 --> 04:39:08.364
CRUCIAL IF WE WANT TO SAVE LIVES.
04:39:08.431 --> 04:39:10.800
MY FRIEND'S DEATH WAS 1100%
04:39:10.867 --> 04:39:14.003
PREVENTABLE AND AB SEVENTEEN
04:39:14.070 --> 04:39:14.637
SEVENTY NINE BEGINS TO ADDRESS
04:39:14.704 --> 04:39:16.606
THE CHANGES WE NEED IN ORDER TO
04:39:16.673 --> 04:39:17.574
ENSURE.
04:39:17.640 --> 04:39:19.142
THAT RECOVERY HOMES ARE SAVING
04:39:19.209 --> 04:39:21.611
LIVES NOT ENDANGERING THEM WE
04:39:21.678 --> 04:39:23.513
MUST HAVE BEST PRACTICES IN
04:39:23.580 --> 04:39:26.015
RECOVERY HOUSING IMPLEMENTED.
04:39:26.082 --> 04:39:27.617
AS I SIT HERE CALIFORNIANS ARE
04:39:27.684 --> 04:39:30.253
BEING EXPLOITED AND LOWERED INTO
04:39:30.320 --> 04:39:31.454
UNSAFE RESIDENCES.
04:39:31.521 --> 04:39:32.822
FAMILIES HAVE NO WAY OF
04:39:32.889 --> 04:39:34.491
IDENTIFYING SAFE RELIABLE
04:39:34.557 --> 04:39:35.859
OPERATORS AND OUR STATE
04:39:35.925 --> 04:39:38.161
CONTINUES TO LOSE OVER FIVE
04:39:38.228 --> 04:39:39.596
THOUSAND PEOPLE PER YEAR TO
04:39:39.662 --> 04:39:40.964
OVERDOSE DEATHS.
04:39:41.030 --> 04:39:42.732
THERE IS NO DOUBT THAT THIS IS A
04:39:42.799 --> 04:39:44.601
CRISIS AND THIS LEGISLATURE AND
04:39:44.667 --> 04:39:46.703
THIS COMMITTEE HAS A MANDATE TO
04:39:46.769 --> 04:39:49.439
DO THEIR JOB AND PROTECT THE
04:39:49.506 --> 04:39:50.240
MOST VULNERABLE.
04:39:50.306 --> 04:39:50.773
WE HAVE GOT TO END THIS
04:39:50.840 --> 04:39:52.075
EXPLOITATION AND ENSURE THAT
04:39:52.142 --> 04:39:53.476
PEOPLE HAVE A WAY TO TELL THE
04:39:53.543 --> 04:39:55.612
REPUTABLE FROM THE PREDATORY
04:39:55.678 --> 04:39:57.380
WITHOUT THESE MEASURES IN PLACE
04:39:57.447 --> 04:39:59.449
WE WILL CONTINUE. TO LOSE PEOPLE
04:39:59.516 --> 04:40:01.618
LIKE MY FRIEND TYLER.
04:40:01.684 --> 04:40:03.019
PEOPLE WHO ACCESS CONTINUING
04:40:03.086 --> 04:40:04.454
CARE.
04:40:04.521 --> 04:40:06.422
ASK FOR HELP IN GOOD FAITH AND
04:40:06.489 --> 04:40:08.291
WE MUST ENSURE THAT THEIR SAFETY
04:40:08.358 --> 04:40:11.895
NET IS STRONG SAFE AND READY TO
04:40:11.961 --> 04:40:15.064
CATCH THEM THANK YOU SO MUCH.
04:40:15.131 --> 04:40:17.800
SHERRIE TAYLOR SEE CAP I WON'T
04:40:17.867 --> 04:40:20.303
TALK OF A SPORT SPORT THANK YOU.
04:40:20.370 --> 04:40:22.505
OTHERS IN SUPPORT.
04:40:22.572 --> 04:40:35.919
IS THERE ANYONE IN OPPOSITION.
04:40:35.985 --> 04:40:37.787
MISTER CHAIR MEMBERS KERR CHILD
04:40:37.854 --> 04:40:39.222
DISABILITY RIGHTS CALIFORNIA
04:40:39.289 --> 04:40:42.892
UNFORTUNATELY WE MUST -- OPPOSE
04:40:42.959 --> 04:40:45.128
THIS LEGISLATION FOR THE SAME
04:40:45.195 --> 04:40:47.564
REASON WE USUALLY OPPOSE THESE --
04:40:47.630 --> 04:40:50.233
BILLS THAT THE TEMP -- TO DEFINE
04:40:50.300 --> 04:40:53.903
TO RESTRICT -- THE RECOVERY
04:40:53.970 --> 04:40:56.806
RESIDENCES -- THE SCOPE OF THE
04:40:56.873 --> 04:40:59.375
OF THE RESTRICTIONS THAT THIS
04:40:59.442 --> 04:41:01.177
BILL PUTS ON RECOVERY --
04:41:01.244 --> 04:41:02.745
RESIDENCES PRETTY
04:41:02.812 --> 04:41:04.480
EXTRAORDINARILY BROAD CREATES A
04:41:04.547 --> 04:41:06.049
VAST SCHEME OF CERTIFICATION
04:41:06.115 --> 04:41:08.785
REQUIREMENTS OF A PRIVATE ENTITY.
04:41:08.851 --> 04:41:12.255
AND REALLY LAUNDERS BY REQUIRING
04:41:12.322 --> 04:41:14.157
DH CS TO AND TO ADOPT THEM
04:41:14.224 --> 04:41:17.026
AUTHORIZES LOCAL GOVERNMENTS --
04:41:17.093 --> 04:41:19.395
TO REPORT THE LACK OF COMPLIANCE
04:41:19.462 --> 04:41:22.265
TO DH CS IT ALLOWS THE REALLY
04:41:22.332 --> 04:41:25.268
THE PUBLIC SHAMING -- OF
04:41:25.335 --> 04:41:27.604
RECOVERY RESIDENCES THAT HAVEN'T
04:41:27.670 --> 04:41:29.639
MET THE THE REQUIREMENTS WITH
04:41:29.706 --> 04:41:32.041
THE ULTIMATE RESULT IS THAT WE
04:41:32.108 --> 04:41:36.512
LOSE THOSE RESIDENCES.
04:41:36.579 --> 04:41:38.114
AS BEING AVAILABLE -- FOR FOR
04:41:38.181 --> 04:41:39.148
THE INDIVIDUALS THAT ACTUALLY
04:41:39.215 --> 04:41:41.884
NEED THEM BUT IMPORTANTLY I I
04:41:41.951 --> 04:41:43.219
THINK AS YOU'VE HEARD ME SAY
04:41:43.286 --> 04:41:44.887
BEFORE THE BOTTOM LINE IS THAT
04:41:44.954 --> 04:41:47.523
THE BOAT BILL -- IMPOSES ON
04:41:47.590 --> 04:41:49.726
INDIVIDUALS IN NON CERTIFIED
04:41:49.792 --> 04:41:52.095
RECOVERY RESIDENCES RESTRICTIONS
04:41:52.161 --> 04:41:55.064
THAT ARE NOT IMPOSED ON FAMILIES --
04:41:55.131 --> 04:41:58.468
OR GROUPS OF A SIMILAR SIZE --
04:41:58.534 --> 04:42:00.270
OUR POSITION IS BANNED WHERE A
04:42:00.336 --> 04:42:01.804
HOUSEHOLD WHERE TWO OR MORE
04:42:01.871 --> 04:42:03.506
PERSONS WITH DISABILITIES CHOOSE
04:42:03.573 --> 04:42:05.642
TO LIVE TOGETHER -- THEY MAY NOT
04:42:05.708 --> 04:42:07.710
BE SUBJECTED TO REQUIREMENTS OR
04:42:07.777 --> 04:42:10.280
CONDITIONS THAT ARE -- IMPOSED
04:42:10.346 --> 04:42:11.948
ON A HOUSEHOLDS CONSISTING OF
04:42:12.015 --> 04:42:13.583
PERSONS WITH -- WITH
04:42:13.650 --> 04:42:17.854
DISABILITIES BOTH -- REQUIRED BY --
04:42:17.920 --> 04:42:18.855
THE FAIR HOUSING ACT THE
04:42:18.921 --> 04:42:22.292
AMERICANS WITH DISABILITIES ACT.
04:42:22.358 --> 04:42:23.459
WE HAVE CURRENTLY A SEVERE
04:42:23.526 --> 04:42:25.495
HOUSING SHORTAGE IN CALIFORNIA I
04:42:25.561 --> 04:42:27.530
DON'T NEED -- TO TELL YOU ALL
04:42:27.597 --> 04:42:30.533
THAT AND THERE'S A DRAMATIC NEED --
04:42:30.600 --> 04:42:32.302
FOR SOBER LIVING PAT CERTAINLY
04:42:32.368 --> 04:42:34.437
IN THE STATE AS WELL WE THINK
04:42:34.504 --> 04:42:36.005
THE EFFECT OF THIS BILL WILL
04:42:36.072 --> 04:42:39.575
EXASPERATED -- THOSE --
04:42:39.642 --> 04:42:41.944
DEFICIENCIES AND AND MAKE IT
04:42:42.011 --> 04:42:43.813
ACTUALLY EASIER FOR LOCAL
04:42:43.880 --> 04:42:46.349
GOVERNMENTS TO NIMBY THEM OUT OF
04:42:46.416 --> 04:42:49.652
THEIR COMMUNITIES FOR THAT
04:42:49.719 --> 04:42:51.154
REASON WE POST.
04:42:51.220 --> 04:42:52.155
THANK YOU VERY MUCH IS THERE
04:42:52.221 --> 04:42:54.457
ANYONE ELSE IN OPPOSITION.
04:42:54.524 --> 04:42:55.591
SEE NUMBER BRING BACK TO THE
04:42:55.658 --> 04:42:56.793
COMMITTEE FOR QUESTIONS OR
04:42:56.859 --> 04:42:58.261
COMMENTS ANY QUESTIONS OR
04:42:58.328 --> 04:43:01.064
COMMENTS FROM THE COMMITTEE.
04:43:01.130 --> 04:43:02.699
SEEING NONE THE BILL DOES ENJOY
04:43:02.765 --> 04:43:04.634
DO PASS RECOMMENDATION MISTER
04:43:04.701 --> 04:43:05.835
DALY WHICH YOU LIKE.
04:43:05.902 --> 04:43:07.270
THANK YOU THANK YOU WHILE I
04:43:07.337 --> 04:43:09.739
RESPECT THE CONCERNS OF THE
04:43:09.806 --> 04:43:11.674
DISABILITY RIGHTS --
04:43:11.741 --> 04:43:13.609
ORGANIZATION I THINK THERE'S TOO
04:43:13.676 --> 04:43:17.013
MUCH AT STAKE -- ON THIS SUBJECT --
04:43:17.080 --> 04:43:18.681
WITH ADDICTION AND THE GROWING
04:43:18.748 --> 04:43:20.283
PROBLEM OF DICTION IS TOO MUCH
04:43:20.350 --> 04:43:22.452
AT STAKE NOT TO HAVE -- AT LEAST
04:43:22.518 --> 04:43:24.387
MINIMAL STANDARDS IN THE STATE
04:43:24.454 --> 04:43:26.322
OF CALIFORNIA SO I RESPECTFULLY
04:43:26.389 --> 04:43:28.024
REQUEST AN AYE VOTE.
04:43:28.091 --> 04:43:29.926
THANK YOU VERY MUCH -- WE HAVE A
04:43:29.992 --> 04:43:32.061
MOTION BY MISTER FLORA SECOND BY
04:43:32.128 --> 04:43:33.262
MISS CARILLO THE MOTION IS TO
04:43:33.329 --> 04:43:35.565
PASS TO APPROPRIATIONS MADAM
04:43:35.631 --> 04:43:37.667
SECRETARY PLEASE CALL THE ROLL
04:43:37.734 --> 04:43:38.201
WHERE.
04:43:38.267 --> 04:43:39.969
WOULD I MAYES MAYES AYE
04:43:40.036 --> 04:43:40.970
AGUIAR-CURRY.
04:43:41.037 --> 04:43:43.539
AGUIAR-CURRY I BIGELOW BONTA
04:43:43.606 --> 04:43:45.074
BURKE [inaudible]
04:43:45.141 --> 04:43:47.410
CARILLO.
04:43:47.477 --> 04:43:48.378
I FLORA FLORA AYE LIMóN
04:43:48.444 --> 04:43:48.678
[inaudible]
04:43:48.745 --> 04:43:51.381
MCCARTY.
04:43:51.447 --> 04:43:54.150
THIS AREA RAMOS RODRIGUEZ
04:43:54.217 --> 04:43:55.451
RODRIGUEZ AYE SANTIAGO
04:43:55.518 --> 04:43:55.752
[inaudible]
04:43:55.818 --> 04:43:57.720
WALDRON [inaudible]
04:43:57.787 --> 04:44:01.591
HI.
04:44:01.657 --> 04:44:02.392
YES SEVEN VOTES WITH THE BILL ON
04:44:02.458 --> 04:44:04.394
CALL THANK YOU TO IT TO ALL
04:44:04.460 --> 04:44:08.030
THANK YOU VERY MUCH.
04:44:08.097 --> 04:44:09.165
OKAY -- LET'S SEE THIS OF
04:44:09.232 --> 04:44:14.704
COMMITTEE MEMBERS -- BESIDE YOUR
04:44:14.771 --> 04:44:22.145
KERR. TO GET DOWN THERE FOR
04:44:22.211 --> 04:44:23.579
MINIMUM DOWN.
04:44:23.646 --> 04:44:25.481
MOVE THE BILL [inaudible]
04:44:25.548 --> 04:44:28.551
SEC.
04:44:28.618 --> 04:44:39.929
KEVIN MOTION MOTION AND A SECOND.
04:44:39.996 --> 04:44:43.800
SURE THAT THERE'S WITH THE
04:44:43.866 --> 04:44:46.002
MESSAGE OF THE MOST RISK.
04:44:46.068 --> 04:44:46.502
THEY DO IT THE SECOND.
04:44:46.569 --> 04:44:47.069
OKAY THANK YOU MISTER CHAIR
04:44:47.136 --> 04:44:49.038
MEMBERS AB SEVEN FOUR FOUR
04:44:49.105 --> 04:44:49.705
CREATES TRUE TELL HEALTH PARITY
04:44:49.772 --> 04:44:50.339
SO THAT ALL CALIFORNIANS HAVE
04:44:50.406 --> 04:44:50.840
ACCESS TO HEALTH CARE.
04:44:50.907 --> 04:44:51.441
REGARDLESS OF THE LOCATION AND
04:44:51.507 --> 04:44:52.074
PROVIDERS CAN EXPAND THE REACH
04:44:52.141 --> 04:44:52.675
TO SERVE THOSE THAT MAY BE OUT
04:44:52.742 --> 04:44:53.376
OF RANGE.
04:44:53.443 --> 04:44:53.976
THIS BILL STRENGTHENS
04:44:54.043 --> 04:44:55.978
NONDISCRIMINATION STATUTES IN
04:44:56.045 --> 04:44:57.547
EXISTING LAW TO ENSURE THAT A
04:44:57.613 --> 04:44:59.081
HEALTH CARE PROVIDER IS
04:44:59.148 --> 04:45:00.616
REIMBURSED FOR SERVICES
04:45:00.683 --> 04:45:02.151
DELIVERED TO AN ENROLLEE TO
04:45:02.218 --> 04:45:03.719
TELEHEALTH IF THOSE SAME
04:45:03.786 --> 04:45:05.021
SERVICES ARE COVERED WHEN
04:45:05.087 --> 04:45:06.522
PROVIDED IN PERSON.
04:45:06.589 --> 04:45:08.858
THIS BILL DOES NOT EXPAND ANY
04:45:08.925 --> 04:45:10.326
SERVICES THAT ARE COVERED IT
04:45:10.393 --> 04:45:13.029
ONLY ADDRESSES THEM MODALITY USE
04:45:13.095 --> 04:45:14.730
IT TO PROVIDE THOSE COVERED
04:45:14.797 --> 04:45:15.765
SERVICES.
04:45:15.832 --> 04:45:16.532
BY UPDATING TELEHEALTH
04:45:16.599 --> 04:45:18.367
DEFINITIONS AND CONTRACTING Là
04:45:18.434 --> 04:45:20.336
AB SEVEN FORTY FOUR WILL ENSURE
04:45:20.403 --> 04:45:21.604
THAT CALIFORNIANS IN RURAL
04:45:21.671 --> 04:45:23.406
COMMUNITIES MEDICALLY
04:45:23.473 --> 04:45:25.174
UNDERSERVED AREAS OR WHO HAVE
04:45:25.241 --> 04:45:26.509
BEEN DISPLACED BY NATURAL
04:45:26.576 --> 04:45:28.044
DISASTERS OF ACCESS TO ESSENTIAL
04:45:28.110 --> 04:45:29.345
HEALTH CARE.
04:45:29.412 --> 04:45:30.413
I'M GOING TO PASS IT OFF TO MY
04:45:30.480 --> 04:45:31.914
SUPPORTERS NOW WHO CAN SPEAK OF
04:45:31.981 --> 04:45:36.185
THE CURRENT SITUATION WITH TELL
04:45:36.252 --> 04:45:36.752
HEALTH AND THE IMPORTANCE OF
04:45:36.819 --> 04:45:38.087
THIS BILL.
04:45:38.154 --> 04:45:38.654
THANK YOU MISTER CHAIR AND
04:45:38.721 --> 04:45:39.255
MEMBERS ANY DURBIN WITH THE
04:45:39.322 --> 04:45:40.323
CALIFORNIA MEDICAL ASSOCIATION
04:45:40.389 --> 04:45:42.625
PROUD TO SPONSOR THIS BELL I'M
04:45:42.692 --> 04:45:46.496
JUST BRIEFLY IN 200-011-8415 WAS
04:45:46.562 --> 04:45:47.463
PASSED TO ESTABLISH THE
04:45:47.530 --> 04:45:49.165
TELEHEALTH ADVANCEMENT ACT TO
04:45:49.232 --> 04:45:50.533
REVISE AND UPDATE EXISTING LAW
04:45:50.600 --> 04:45:51.634
TO FACILITATE ADVANCEMENT OF
04:45:51.701 --> 04:45:52.835
TELEHEALTH HAS A SERVICE
04:45:52.902 --> 04:45:54.470
DELIVERY MODEL. FOR THE MANAGED
04:45:54.537 --> 04:45:56.038
CARE AND MEDICAL PROGRAM ONE OF
04:45:56.105 --> 04:45:56.806
THE MAIN GOALS OF THAT
04:45:56.873 --> 04:45:58.474
LEGISLATION WAS TO ENSURE THAT
04:45:58.541 --> 04:45:59.275
SERVICES PROVIDED THREE TELL
04:45:59.342 --> 04:46:00.843
HEALTH WOULD NOT BE TREATED ANY
04:46:00.910 --> 04:46:02.979
DIFFERENTLY BY PAIRS -- THAN
04:46:03.045 --> 04:46:04.413
THOSE PROVIDED IN PERSON.
04:46:04.480 --> 04:46:06.649
UNFORTUNATELY AT TODAY AS A
04:46:06.716 --> 04:46:07.750
RECENT STUDY BY THE CENTER FOR
04:46:07.817 --> 04:46:09.318
CONNECTED HEALTH POLICY HAS
04:46:09.385 --> 04:46:11.320
SHOWN ALL PAIRS DO CONTINUE TO
04:46:11.387 --> 04:46:12.855
LIMIT TELEHEALTH REIMBURSEMENT
04:46:12.922 --> 04:46:14.390
IN SOME WAY SUCH AS TYPES OF
04:46:14.457 --> 04:46:15.858
SERVICES REIMBURSED.
04:46:15.925 --> 04:46:17.560
AND MODALITY USE WITH ONLY FEW
04:46:17.627 --> 04:46:19.629
OFFERING COVERAGE FOR CERTAIN
04:46:19.695 --> 04:46:21.697
TYPES OF TELEHEALTH MODALITIES --
04:46:21.764 --> 04:46:23.599
OUT OF THAT STUDY STATED IT IT
04:46:23.666 --> 04:46:24.500
MAKES CLEAR THAT THERE'S A BROAD
04:46:24.567 --> 04:46:26.269
MISCONCEPTION THAT BECAUSE
04:46:26.335 --> 04:46:27.937
PRIVATE HERE LAWS ARE IN PLACE.
04:46:28.004 --> 04:46:29.539
THAT WERE ACTUALLY ACHIEVING THE
04:46:29.605 --> 04:46:32.375
PROMISE OF THOSE PARITY BENEFITS --
04:46:32.441 --> 04:46:35.645
WITH IN PERSON CARE AND SO THERE
04:46:35.711 --> 04:46:36.212
FOR EIGHTY SEVEN FORTY FOUR
04:46:36.279 --> 04:46:37.146
SEEKS TO PROVIDE THAT CLARITY BY
04:46:37.213 --> 04:46:43.286
STRENGTHENING THAT EXISTING LAW
04:46:43.352 --> 04:46:43.886
PROPERTY ANSWER ANY QUESTIONS
04:46:43.953 --> 04:46:46.923
THANK YOU.
04:46:46.989 --> 04:46:48.090
AFTERNOON CHAIRMAN WHAT
04:46:48.157 --> 04:46:49.191
ASSEMBLYMEMBERS I'M DAN PETERSON
04:46:49.258 --> 04:46:50.560
CHIEF ADMINISTRATIVE OFFICER FOR
04:46:50.626 --> 04:46:51.527
SUTTER LAKESIDE HOSPITAL.
04:46:51.594 --> 04:46:52.128
I'M HERE ON BEHALF OF SUTTER
04:46:52.194 --> 04:46:53.696
HEALTH IN SUPPORT OF AB.
04:46:53.763 --> 04:46:54.230
SEVEN FORTY FOUR I SUTTER
04:46:54.297 --> 04:46:55.431
LAKESIDE HOSPITALS A TWENTY FIVE
04:46:55.498 --> 04:46:56.499
BED CRITICAL ACCESS HOSPITAL
04:46:56.566 --> 04:46:58.034
PART OF THE SUTTER HEALTH
04:46:58.100 --> 04:46:59.468
NETWORK AT TWENTY FOUR HOSPITALS.
04:46:59.535 --> 04:47:00.937
OUT WE'RE LOCATED IN LAKE COUNTY
04:47:01.003 --> 04:47:03.039
WERE THE ONLY CERTIFIED STROKE
04:47:03.105 --> 04:47:04.674
CENTER TRAUMA CENTER LAKE COUNTY.
04:47:04.740 --> 04:47:06.909
LAKE COUNTY RECENTLY RANKED
04:47:06.976 --> 04:47:07.510
FIFTY EIGHT OUT OF FIFTY EIGHT
04:47:07.577 --> 04:47:09.211
ON OUR OUR STATES COUNTY HEALTH
04:47:09.278 --> 04:47:10.446
RANKINGS.
04:47:10.513 --> 04:47:12.548
WE HAVE 25% OF OUR RESIDENTS
04:47:12.615 --> 04:47:13.916
UNDER THE NATIONAL POVERTY LEVEL.
04:47:13.983 --> 04:47:15.618
NOW WE ARE SIGNIFICANTLY
04:47:15.685 --> 04:47:17.853
CHALLENGE COUNTY -- WE HAVE MANY
04:47:17.920 --> 04:47:18.955
CHALLENGES AROUND HEALTH
04:47:19.021 --> 04:47:21.023
PARTICULARLY AROUND ACCESS TO
04:47:21.090 --> 04:47:22.558
CARE AND ACCESS TO SPECIALTY
04:47:22.625 --> 04:47:23.726
CARE IN PARTICULAR I CAN TELL
04:47:23.793 --> 04:47:25.161
YOU SOMEONE TRYING TO RECRUIT
04:47:25.227 --> 04:47:27.396
PHYSICIANS TO THE AREA -- IT IS
04:47:27.463 --> 04:47:29.165
NO EASY TASK AT PARTICULAR GIVEN
04:47:29.231 --> 04:47:30.933
THE NATURE OF THE COMMUNITY IN
04:47:31.000 --> 04:47:35.037
THE RURAL AREA -- I EXPECT I
04:47:35.104 --> 04:47:35.938
EXPERIENCE THIS LACK OF
04:47:36.005 --> 04:47:37.640
SPECIALIST FIRST HAND SEVERAL
04:47:37.707 --> 04:47:38.774
YEARS AGO WITH MY ONE YEAR OLD
04:47:38.841 --> 04:47:40.376
SON -- WHO IS DIAGNOSED OF THE
04:47:40.443 --> 04:47:42.345
GASTROINTESTINAL ISSUE? FOR
04:47:42.411 --> 04:47:43.379
WHICH WE HAD TO TRAVEL THREE
04:47:43.446 --> 04:47:45.414
HOURS TO SAN FRANCISCO -- FOR
04:47:45.481 --> 04:47:46.449
ROUTINE INTRODUCTORY
04:47:46.515 --> 04:47:48.284
APPOINTMENTS WHICH COULD HAVE
04:47:48.351 --> 04:47:48.851
EASILY BEEN HANDLED THROUGH
04:47:48.918 --> 04:47:50.519
TELEHEALTH THERE'S NOTHING ABOUT
04:47:50.586 --> 04:47:51.654
THE NATURE OF THIS APPOINTMENT
04:47:51.721 --> 04:47:53.055
THAT COULD NOT HAVE BEEN --
04:47:53.122 --> 04:47:53.489
THROUGH THE EXISTING
04:47:53.556 --> 04:47:55.124
TECHNOLOGIES OUT WE WERE
04:47:55.191 --> 04:47:56.359
FORTUNATE TO HAVE THE MEANS TO
04:47:56.425 --> 04:47:57.460
BE ABLE TO DO THAT BUT I CAN
04:47:57.526 --> 04:47:58.594
TELL YOU THE MAJORITY MY
04:47:58.661 --> 04:48:01.364
COMMUNITY DOES NOT -- IN
04:48:01.430 --> 04:48:02.698
ADDITION TO THE SYSTEMIC ISSUES
04:48:02.765 --> 04:48:03.366
THAT.
04:48:03.432 --> 04:48:06.936
THAT PREVENT ACCESS TO CARE --
04:48:07.003 --> 04:48:08.437
WE WERE DEVASTATED IN OUR
04:48:08.504 --> 04:48:09.605
COMMUNITY WITH THE WILD FIRES
04:48:09.672 --> 04:48:11.007
LAST LAST FALL IN RIGHT
04:48:11.073 --> 04:48:12.575
CALIFORNIA -- WE EVACUATE OUR
04:48:12.642 --> 04:48:14.343
HOSPITAL FOR TWO WEEKS DUE TO
04:48:14.410 --> 04:48:16.412
THE MEDICINE -- COMPLEX FIRE.
04:48:16.479 --> 04:48:17.947
AND DURING THIS TIME.
04:48:18.014 --> 04:48:19.515
WE WERE ABLE TO FORTUNATELY LEAN
04:48:19.582 --> 04:48:20.950
UPON THE SUTTER HEALTH NETWORK
04:48:21.017 --> 04:48:23.219
OF FOURTEEN THOUSAND AFFILIATED
04:48:23.286 --> 04:48:25.354
CLINICIANS -- TO PROVIDE VIDEO
04:48:25.421 --> 04:48:26.722
VISITS ANOTHER TELEHEALTH
04:48:26.789 --> 04:48:28.557
SERVICES TO MANY OF OUR PATIENTS
04:48:28.624 --> 04:48:29.859
AND THEIR GREATEST TIME WE NEED.
04:48:29.925 --> 04:48:31.060
WE MADE THE CONSCIOUS DECISION
04:48:31.127 --> 04:48:32.895
TO DO SO NOT KNOWING WHETHER OR
04:48:32.962 --> 04:48:33.562
NOT.
04:48:33.629 --> 04:48:35.264
THESE PEOPLE WOULD BE REIMBURSED
04:48:35.331 --> 04:48:35.898
FOR THE WORK THAT THEY DID AT
04:48:35.965 --> 04:48:36.732
THAT TIME.
04:48:36.799 --> 04:48:37.867
THAT IS NOT AN EASY DECISION
04:48:37.933 --> 04:48:39.702
MAKE BUT IS IT WAS THE RIGHT
04:48:39.769 --> 04:48:40.603
DECISION FOR OUR COMMUNITY AT
04:48:40.670 --> 04:48:44.607
THE TIME I SIMILARLY FEEL A. B.
04:48:44.674 --> 04:48:45.207
SEVEN FORTY FOUR IS THE RIGHT
04:48:45.274 --> 04:48:46.375
DECISION FOR OUR COMMUNITIES.
04:48:46.442 --> 04:48:47.109
THANK YOU.
04:48:47.176 --> 04:48:48.577
THANK YOU VERY MUCH.
04:48:48.644 --> 04:48:50.413
OTHER SUPPORT.
04:48:50.479 --> 04:48:51.047
NEAR MARTIN HERE ON BEHALF OF
04:48:51.113 --> 04:48:52.748
THE CALIFORNIA CHILDREN'S
04:48:52.815 --> 04:48:55.151
HOSPITAL CESSATION IN SUPPORT.
04:48:55.217 --> 04:48:56.819
KIM CRACK ON BEHALF OF PLANNED
04:48:56.886 --> 04:48:59.388
PARENTHOOD IN SUPPORT THANK YOU.
04:48:59.455 --> 04:49:01.090
GARY COOPER ON BEHALF OF CAL
04:49:01.157 --> 04:49:04.360
GERMAN SUPPORT THANK YOU.
04:49:04.427 --> 04:49:06.062
HI KELLY MAC MILLAN ON BEHALF OF
04:49:06.128 --> 04:49:08.064
CHILDREN'S CARE SPECIALLY CALL
04:49:08.130 --> 04:49:08.330
THE SENSE.
04:49:08.397 --> 04:49:10.132
THANK YOU.
04:49:10.199 --> 04:49:12.268
RENTS SPENCER PAP THE CALIFORNIA
04:49:12.334 --> 04:49:13.803
ACADEMY OF FAMILY PHYSICIANS AND
04:49:13.869 --> 04:49:16.338
SPORT THANK YOU.
04:49:16.405 --> 04:49:17.740
HI MELISSA CORTEZ ROTH ON BEHALF
04:49:17.807 --> 04:49:19.508
OF AUTISM SPEAKS AND THE CENTER
04:49:19.575 --> 04:49:21.043
FOR AUTISM RELATED DISORDERS I'M
04:49:21.110 --> 04:49:22.945
A LITTLE BIT OF A TWEENER WE
04:49:23.012 --> 04:49:24.413
HAVE A SUPPORT OF AMEND POSITION.
04:49:24.480 --> 04:49:26.082
AS DRAFTED THE BILL RIGHT NOW
04:49:26.148 --> 04:49:26.982
WOULD NOT INCLUDE CERTAIN
04:49:27.049 --> 04:49:28.117
QUALIFIED AUTISM SERVICE
04:49:28.184 --> 04:49:30.386
PROVIDERS WHO COULD YOU DO TELL
04:49:30.453 --> 04:49:31.487
HEALTH SERVICES -- THAT'S
04:49:31.554 --> 04:49:32.822
BECAUSE THEY'RE NOT LICENSED BY
04:49:32.888 --> 04:49:33.989
THE STATE WE ARE WORKING WITH
04:49:34.056 --> 04:49:36.225
THE AUTHORS OFFICE AND EXPECT TO
04:49:36.292 --> 04:49:38.694
RESOLVE THE ISSUE [inaudible]
04:49:38.761 --> 04:49:55.044
ZURICH OPPOSITION
04:49:56.645 --> 04:49:56.712
.
04:49:56.712 --> 04:49:57.847
GOOD EVENING JENNIFER ONLY WITH
04:49:57.913 --> 04:49:59.548
CALIFORNIA ASSOCIATION HEALTH
04:49:59.615 --> 04:50:01.851
PLANS -- AND CAP MUST IMPOSE
04:50:01.917 --> 04:50:03.085
THIS BILL BECAUSE IT IT WILL
04:50:03.152 --> 04:50:04.420
INCREASE RESULT IN AN INCREASE
04:50:04.487 --> 04:50:06.956
AND CONSUMER PREMIUMS AND OUT OF
04:50:07.022 --> 04:50:08.958
POCKET EXPENSES -- IN OUR
04:50:09.024 --> 04:50:10.326
OPINION THIS BILL SIMPLY IS NOT
04:50:10.393 --> 04:50:12.194
NECESSARY -- TELEHEALTH IS
04:50:12.261 --> 04:50:14.196
ALREADY ALLOWED IN HEALTH PLANS
04:50:14.263 --> 04:50:16.198
AND INSURERS BUILD TELL HEALTH
04:50:16.265 --> 04:50:17.399
INTO THEIR NETWORKS WITHIN THE
04:50:17.466 --> 04:50:19.902
EXISTING STATUTE REGULATIONS.
04:50:19.969 --> 04:50:21.303
THESE EXISTING STATUTORY
04:50:21.370 --> 04:50:23.005
REGULATIONS ALSO INCLUDE
04:50:23.072 --> 04:50:24.740
CONSUMER PROTECTION REGARDING
04:50:24.807 --> 04:50:26.609
TELL HEALTH SERVICES -- PATIENTS
04:50:26.675 --> 04:50:28.344
CANNOT BE COERCED INTO USING
04:50:28.411 --> 04:50:29.779
TELEHEALTH BY THE PROVIDER OR
04:50:29.845 --> 04:50:31.647
HEALTH PLAN AND THERE IS PAYMENT
04:50:31.714 --> 04:50:34.350
PARITY PAYMENT PARITY MEANING
04:50:34.416 --> 04:50:35.785
COPAYMENTS DEDUCTIBLES.
04:50:35.851 --> 04:50:37.586
ARE THE SAME FOR TELEHEALTH AS
04:50:37.653 --> 04:50:39.622
AN IN PERSON VISIT.
04:50:39.688 --> 04:50:40.956
OUR MEMBER COMPANIES COMPANIES.
04:50:41.023 --> 04:50:42.758
EXCUSE ME CANNOT DO ALLOW FOR
04:50:42.825 --> 04:50:44.693
THE USE OF TELEHEALTH FOR THEIR
04:50:44.760 --> 04:50:45.561
ENROLLEES IN INSURANCE IS
04:50:45.628 --> 04:50:47.096
DEFINED IN STATUTE.
04:50:47.163 --> 04:50:48.097
HEALTH PLANS AND INSURERS HAVE
04:50:48.164 --> 04:50:49.698
THE AUTHORITY AND RESPONSIBILITY
04:50:49.765 --> 04:50:52.401
TO CREATE A ROBUST ROBUST
04:50:52.468 --> 04:50:54.036
NETWORK OF PROVIDERS.
04:50:54.103 --> 04:50:55.204
IN IN BUILDING THESE NETWORKS
04:50:55.271 --> 04:50:56.605
TELL HEALTH PROVIDERS ARE USING
04:50:56.672 --> 04:50:58.908
CURRENTLY CONTRACT HEALTH PLANS.
04:50:58.974 --> 04:51:00.276
THE PROBLEM WITH THIS BILLS THAT
04:51:00.342 --> 04:51:01.744
CIRCUMVENTS THE PROVIDER
04:51:01.811 --> 04:51:04.013
CONTRACTING PROCESS BY DICTATING
04:51:04.079 --> 04:51:05.414
WHAT THE REIMBURSEMENT RATE FOR
04:51:05.481 --> 04:51:07.917
TELEHEALTH SERVICES SHALL BE.
04:51:07.983 --> 04:51:08.984
REIMBURSEMENT RATES FOR
04:51:09.051 --> 04:51:09.952
PROVIDERS ARE TYPICALLY
04:51:10.019 --> 04:51:12.021
INAPPROPRIATELY DETERMINED IN
04:51:12.087 --> 04:51:13.455
CONTRACT NEGOTIATIONS WHEN
04:51:13.522 --> 04:51:14.857
CONTRACTING WITH PROVIDERS FOR
04:51:14.924 --> 04:51:16.125
SERVICES.
04:51:16.192 --> 04:51:17.760
MULTIPLE FACTORS ARE TAKEN INTO
04:51:17.827 --> 04:51:19.261
CONSIDERATION BY THE PLANT AND
04:51:19.328 --> 04:51:20.496
THIS BILL FAILS TO TAKE INTO
04:51:20.563 --> 04:51:21.297
ACCOUNT THE REDUCTION OF
04:51:21.363 --> 04:51:25.568
FACILITY ADMINISTRATIVE AND
04:51:25.634 --> 04:51:26.669
OTHER.
04:51:26.735 --> 04:51:28.270
OVERHEAD COSTS WHEN COMPARED TO
04:51:28.337 --> 04:51:29.605
TELEHEALTH.
04:51:29.672 --> 04:51:30.906
AND SO IT AS I PRESENTED WITH
04:51:30.973 --> 04:51:31.407
EARLIER.
04:51:31.473 --> 04:51:32.575
BILLS EARLIER TODAY WE JUST
04:51:32.641 --> 04:51:33.175
DON'T SUPPORT.
04:51:33.242 --> 04:51:34.210
ON ANY BILLS ARE GOING TO
04:51:34.276 --> 04:51:35.511
INCREASE THE PREMIUMS ARE --
04:51:35.578 --> 04:51:37.413
COPAYMENTS FOR PARMALEE THANK
04:51:37.479 --> 04:51:41.150
YOU. SEVENTY ONE CAN FINALLY
04:51:41.217 --> 04:51:41.784
HAPPENED THE ASSOCIATION
04:51:41.851 --> 04:51:42.885
CALIFORNIA LIFE AND HEALTH
04:51:42.952 --> 04:51:44.620
INSURANCE COMPANIES WITH ECHO
04:51:44.687 --> 04:51:45.221
MANY OF THE COMMENTS FROM MY
04:51:45.287 --> 04:51:46.989
COLLEAGUE I THINK OUR MEMBERS
04:51:47.056 --> 04:51:48.591
ABSOLUTELY SUPPORT TELEHEALTH WE
04:51:48.657 --> 04:51:50.226
SEE IT AS A VITAL.
04:51:50.292 --> 04:51:52.995
INNOVATIVE OPTION FOR PATIENTS
04:51:53.062 --> 04:51:54.630
TO GET THEM A LOT OF TIME.
04:51:54.697 --> 04:51:55.831
A LOT OF FLEXIBILITY WITH PEOPLE
04:51:55.898 --> 04:51:57.600
WITH FAMILIES AND OTHER OPTIONS
04:51:57.666 --> 04:51:59.501
TO USE THAT UNFORTUNATELY THIS
04:51:59.568 --> 04:52:00.769
BILL REALLY DOES MANDATE
04:52:00.836 --> 04:52:02.938
CONTRACT NEGOTIATION TERMS IN
04:52:03.005 --> 04:52:04.306
STATUTE.
04:52:04.373 --> 04:52:05.674
AND WE WOULD LIKE TO ALSO POINT
04:52:05.741 --> 04:52:07.610
OUT THAT IT DOES PREVENT US FROM
04:52:07.676 --> 04:52:09.078
SO SOURCE CONTRACTING SOME OF
04:52:09.144 --> 04:52:10.412
OUR MEMBERS DO YOU USE THIRD
04:52:10.479 --> 04:52:11.947
PARTY VENDORS THEY'RE ABLE TO
04:52:12.014 --> 04:52:12.948
NEGOTIATE BETTER RATES WITH
04:52:13.015 --> 04:52:14.350
THOSE VENDORS PROVIDE THESE
04:52:14.416 --> 04:52:15.518
VITAL SERVICES.
04:52:15.584 --> 04:52:16.886
WHICH THEN EQUATES TO LOWER
04:52:16.952 --> 04:52:18.554
PREMIUMS FOR OUR MEMBERS SO YET
04:52:18.621 --> 04:52:20.189
AGAIN IN A TIME WHEN WE ARE
04:52:20.256 --> 04:52:23.158
INCREDIBLY PRICE SENSITIVE.
04:52:23.225 --> 04:52:24.126
WE WOULD LIKE TO POINT OUT THAT.
04:52:24.193 --> 04:52:26.362
THESE OPTIONS OF NEGOTIATING
04:52:26.428 --> 04:52:28.597
THESE PRICES DO. FOR WAR AT THAT
04:52:28.664 --> 04:52:31.934
CONSUMERS WITH LOWER PREMIUMS
04:52:32.001 --> 04:52:32.501
AND FOR THOSE REASONS WE ARE
04:52:32.568 --> 04:52:35.137
OPPOSED THE BILL.
04:52:35.204 --> 04:52:36.672
THANK YOU OTHERS IN OPPOSITION.
04:52:36.739 --> 04:52:37.473
JOHN WINGER ON BEHALF AMERICA'S
04:52:37.539 --> 04:52:39.074
HEALTH INSURANCE PLANS WOULD
04:52:39.141 --> 04:52:40.209
ECHO THE COMMENTS THAT CAPITA
04:52:40.276 --> 04:52:40.409
CLICK.
04:52:40.476 --> 04:52:42.378
HERE.
04:52:42.444 --> 04:52:43.812
KAREN SIR KISSING WITH THE
04:52:43.879 --> 04:52:45.180
CALIFORNIA CHAMBER OF COMMERCE
04:52:45.247 --> 04:52:46.548
IN A BOOK IN OPPOSITION THANK
04:52:46.615 --> 04:52:47.516
YOU [inaudible]
04:52:47.583 --> 04:52:49.018
ANYONE ELSE.
04:52:49.084 --> 04:52:50.286
BRING BACK TO THE COMMITTEE FOR
04:52:50.352 --> 04:52:52.621
QUESTIONS OR COMMENTS QUESTIONS
04:52:52.688 --> 04:52:56.825
COMES FROM COMING.
04:52:56.892 --> 04:52:58.460
MIKE I GUESS MY QUESTION IS I'M
04:52:58.527 --> 04:52:59.828
I I GUESS I'M STILL A LITTLE
04:52:59.895 --> 04:53:00.829
PUZZLED AS TO WHY.
04:53:00.896 --> 04:53:02.364
YOU THE HEALTH PLANS FEEL THIS
04:53:02.431 --> 04:53:06.602
IS GOING TO INCREASE COSTS.
04:53:06.669 --> 04:53:07.770
ON THE WAY THAT THE BILL WAS
04:53:07.836 --> 04:53:09.104
DRAFTED ACCORDING TO THE CHEAPER
04:53:09.171 --> 04:53:10.906
BUT NOW SAYS DO THE INCREASE
04:53:10.973 --> 04:53:12.675
UTILIZATION TELL HEALTH SERVICES
04:53:12.741 --> 04:53:14.310
AT THE RATE SPECIFIED IN THE
04:53:14.376 --> 04:53:14.944
BILL.
04:53:15.010 --> 04:53:16.312
IT'S ANTICIPATED INCREASE
04:53:16.378 --> 04:53:18.013
PREMIUMS BY TWO HUNDRED MILLION
04:53:18.080 --> 04:53:20.349
AN OUT OF POCKET EXPENSES FOR
04:53:20.416 --> 04:53:21.383
ENROLLEES FIFTY MILLION.
04:53:21.450 --> 04:53:22.918
SO THIS INCREASED UTILIZATION
04:53:22.985 --> 04:53:25.020
MIGHT BE FROM PEOPLE WHO MIGHT
04:53:25.087 --> 04:53:26.889
APPEAL TO ACCESS A DOCTOR.
04:53:26.956 --> 04:53:28.624
BECAUSE THEY LIVE IN A REALLY
04:53:28.691 --> 04:53:29.658
POOR COMMUNITY.
04:53:29.725 --> 04:53:30.693
OR THEY CAN'T THEY DON'T HAVE
04:53:30.759 --> 04:53:32.394
THE RESOURCES TO DRIVE TO THREE
04:53:32.461 --> 04:53:35.064
HOURS LIKE OUR HOSPITAL CEO DID.
04:53:35.130 --> 04:53:36.598
SO.
04:53:36.665 --> 04:53:40.235
IS THIS NOT POTENTIALLY.
04:53:40.302 --> 04:53:41.971
KIND OF A DIAL OF CARE.
04:53:42.037 --> 04:53:43.305
I'M I THINK OUR MEMBERS WOULD
04:53:43.372 --> 04:53:44.606
ABSOLUTELY SUGGEST THE THE
04:53:44.673 --> 04:53:46.542
INTENT IS NOT TO DENY CARE NOT
04:53:46.608 --> 04:53:47.743
TO GIVE PEOPLE ACCESS I MEAN WE
04:53:47.810 --> 04:53:48.911
REALLY APPRECIATE THE
04:53:48.978 --> 04:53:50.112
FLEXIBILITY THAT TELL HEALTH
04:53:50.179 --> 04:53:50.813
KIDS.
04:53:50.879 --> 04:53:52.214
I THINK THE CONCERN WOULD BE FOR
04:53:52.281 --> 04:53:54.883
US IS THAT AS WE NEGOTIATE THE
04:53:54.950 --> 04:53:56.085
CONTRACTS.
04:53:56.151 --> 04:53:57.653
SO SAFE WE USE A THIRD PARTY
04:53:57.720 --> 04:53:59.555
VENDOR AS AN OPTION WERE ABLE TO
04:53:59.621 --> 04:54:01.223
NEGOTIATE A BETTER CONTRACT IN
04:54:01.290 --> 04:54:02.825
THE CONTEXT THAT YOU'RE ACTUALLY
04:54:02.891 --> 04:54:04.126
GUARANTEEING THEM A CERTAIN SET
04:54:04.193 --> 04:54:05.327
OF ENROLLEES.
04:54:05.394 --> 04:54:06.562
THIS BILL WOULD TAKE AWAY THAT
04:54:06.628 --> 04:54:08.263
FLEXIBILITY FOR US TO DO THAT
04:54:08.330 --> 04:54:09.965
AND TÁI S. TO AN ESTABLISHED
04:54:10.032 --> 04:54:10.599
RATE.
04:54:10.666 --> 04:54:12.468
VERSUS US BEING ABLE TO
04:54:12.534 --> 04:54:14.103
NEGOTIATE A SECONDARY RATE WITH
04:54:14.169 --> 04:54:16.305
THE PROVIDER AND SO THAT THAT'S
04:54:16.372 --> 04:54:17.973
OUR CONCERN IS THAT WE THINK
04:54:18.040 --> 04:54:18.974
THAT THIS BILL REALLY DOES LIMIT
04:54:19.041 --> 04:54:20.976
OUR ABILITY TO NEGOTIATE RATES
04:54:21.043 --> 04:54:23.846
AND AND LOWER RATES FOR
04:54:23.912 --> 04:54:26.081
CONSUMERS.
04:54:26.148 --> 04:54:27.349
YOUR THOUGHTS ON THAT.
04:54:27.416 --> 04:54:28.851
WELL -- SO THERE'S NO IN THE
04:54:28.917 --> 04:54:30.919
BILL LANGUAGE AB SEVEN FORTY
04:54:30.986 --> 04:54:32.388
FOUR ACTUALLY SET THE TELEHEALTH
04:54:32.454 --> 04:54:34.023
RATE REQUIRE THAT THE RATE BE --
04:54:34.089 --> 04:54:36.358
THE SAME AS AN IN PERSON RATE
04:54:36.425 --> 04:54:37.860
THIS BILL SEEKS TO ENSURE TELE
04:54:37.926 --> 04:54:39.661
HEALTH PARITY IT DOES NOT
04:54:39.728 --> 04:54:41.397
DICTATE RATE FOR SERVICES.
04:54:41.463 --> 04:54:43.565
SO.
04:54:43.632 --> 04:54:44.633
SOUNDS LIKE YOU AGREE TO
04:54:44.700 --> 04:54:48.804
DISAGREE YEAH REGULATORS.
04:54:48.871 --> 04:54:49.571
YOU KNOW IT'S YOU KNOW I IF
04:54:49.638 --> 04:54:50.372
YOU'RE GONNA MAKE PEOPLE IF
04:54:50.439 --> 04:54:51.807
PEOPLE HAVE THE OPPORTUNITY TO
04:54:51.874 --> 04:54:52.941
HAVE HEALTH CARE.
04:54:53.008 --> 04:54:54.510
WHY NOT YEAH THERE MIGHT BE A
04:54:54.576 --> 04:54:58.447
PRICE INCREASES? FOR CRIME ANY
04:54:58.514 --> 04:54:59.048
SIX EVERYBODY DESERVES TO HAVE
04:54:59.114 --> 04:55:00.549
HEALTH CARE.
04:55:00.616 --> 04:55:03.052
THANK YOU PRIME ANY SIX THAT'S A
04:55:03.118 --> 04:55:04.987
THAT'S A THAT'S A NAGS THAT'S AN
04:55:05.054 --> 04:55:07.222
EGG.
04:55:07.289 --> 04:55:08.624
THING YOU KNEW IT.
04:55:08.690 --> 04:55:14.129
LARA TO SIX TWENTY FIVE AT NIGHT.
04:55:14.196 --> 04:55:19.768
CAN YOU EXPLAIN THAT FOR US.
04:55:19.835 --> 04:55:20.369
WHAT DOES THAT MEAN IF YOU'RE
04:55:20.436 --> 04:55:21.970
FROM LOS ANGELES?
04:55:22.037 --> 04:55:24.173
YOU TO RURAL DICTIONARY BECAUSE
04:55:24.239 --> 04:55:24.807
WE GOT THE URBAN DICTIONARY WILL
04:55:24.873 --> 04:55:26.608
GIVE.
04:55:26.675 --> 04:55:27.242
YEAH.
04:55:27.309 --> 04:55:28.811
BUT YOU KNOW WHAT IT WAS WHEN.
04:55:28.877 --> 04:55:30.546
HE WAS CHAIR OF THIS ONE I THINK
04:55:30.612 --> 04:55:31.480
THE AUTHOR FOR BRINGING THIS
04:55:31.547 --> 04:55:32.281
FORWARD SEEMS TO ME.
04:55:32.347 --> 04:55:32.848
FOR THE FOR THOSE OF US THAT
04:55:32.915 --> 04:55:33.916
THAT REPRESENT RURAL AREAS THAT
04:55:33.982 --> 04:55:34.783
ARE UNDER SERVED THEY DO NOT
04:55:34.850 --> 04:55:36.185
HAVE ENOUGH PROVIDERS.
04:55:36.251 --> 04:55:38.787
ANY OPPORTUNITY THAT WE HAVE. TO
04:55:38.854 --> 04:55:41.256
TO BE ABLE TO TO INCREASE ACCESS
04:55:41.323 --> 04:55:42.424
TO THOSE PROVIDERS IS GOING TO
04:55:42.491 --> 04:55:44.893
BE -- HELPFUL AND SO MAYBE THE
04:55:44.960 --> 04:55:46.862
BILL ISN'T PERFECT CONTINUE WORK
04:55:46.929 --> 04:55:47.830
BUT I'M TO SUPPORT THIS BILL
04:55:47.896 --> 04:55:48.397
TODAY SO.
04:55:48.464 --> 04:55:50.099
THANKS FOR BEING A FORD THANK
04:55:50.165 --> 04:55:53.102
YOU VERY MUCH THANK YOU.
04:55:53.168 --> 04:55:55.637
ANYWAY ANYONE ELSE.
04:55:55.704 --> 04:55:57.172
JUST JUST AS WAS THERE BOB THIS
04:55:57.239 --> 04:55:57.906
HAS A DO PASS RECOMMENDATION
04:55:57.973 --> 04:55:58.540
SUPPORT WHAT YOU'RE TRYING TO DO
04:55:58.607 --> 04:56:00.876
I HOPE THAT YOU CONTINUE WORKING --
04:56:00.943 --> 04:56:03.078
IN THE IDEA.
04:56:03.145 --> 04:56:03.645
YOU KNOW WE OBVIOUSLY I CAN
04:56:03.712 --> 04:56:05.013
UNDERSTAND WANTING TO GET THE
04:56:05.080 --> 04:56:06.782
INSURANCE COMES ONE TO GET A
04:56:06.849 --> 04:56:08.283
BETTER CONTRACTED RATE BUT IT.
04:56:08.350 --> 04:56:09.651
SOUNDS LIKE THERE'S NOT
04:56:09.718 --> 04:56:13.055
AGREEMENT ON WHAT YOUR BILL.
04:56:13.122 --> 04:56:15.324
OR NOT IF YOU'RE NOT YOU GUYS
04:56:15.390 --> 04:56:16.458
ARE NOT BOTH ON THE SAME PAGE SO --
04:56:16.525 --> 04:56:18.193
YOU KNOW I I WANT TO THANK
04:56:18.260 --> 04:56:19.061
EVERYBODY THIS WORKED ON THIS
04:56:19.128 --> 04:56:23.432
BILL AND I WANT TO THINK -- ARE.
04:56:23.499 --> 04:56:24.366
A REPRESENTATIVE FROM LAKE
04:56:24.433 --> 04:56:26.001
COUNTY THE CAME ALL THE WAY HERE
04:56:26.068 --> 04:56:27.836
HE'S HE'S HE'S SEEN THIS HAPPEN
04:56:27.903 --> 04:56:29.705
RIGHT HE SPENDS HIS TIME DOING
04:56:29.771 --> 04:56:31.974
THIS -- I WOULD REMIND ALL OF
04:56:32.040 --> 04:56:32.875
YOU THAT ARE SITTING UP HERE
04:56:32.941 --> 04:56:34.476
THAT NATIONAL DOT DISASTERS
04:56:34.543 --> 04:56:35.344
HAPPEN.
04:56:35.410 --> 04:56:37.546
AND THIS BILL IS LIKE A VISION I
04:56:37.613 --> 04:56:38.780
THINK THAT WE ALL SHOULD BE
04:56:38.847 --> 04:56:40.149
REALLY HAPPY THIS TYPE OF BILL
04:56:40.215 --> 04:56:41.083
GOES THROUGH.
04:56:41.150 --> 04:56:42.818
BECAUSE WE NEVER KNOW WHAT THE
04:56:42.885 --> 04:56:44.319
NEXT NATURAL TO DISASTROUS AND
04:56:44.386 --> 04:56:46.021
YOU WANT TO MAKE SURE OUR PEOPLE
04:56:46.088 --> 04:56:48.123
HAVE HEALTH CARE THEY ARE AXIS
04:56:48.190 --> 04:56:50.492
WHETHER IT'S FLOOD FIREOR NEXT
04:56:50.559 --> 04:56:51.393
EARTHQUAKE.
04:56:51.460 --> 04:56:53.162
IT WILL HAPPEN IN ONE OF YOUR
04:56:53.228 --> 04:56:54.696
COMMUNITIES IS SITTING HERE IT'S
04:56:54.763 --> 04:56:57.199
NOT JUST THE RURAL AREAS SO TELL
04:56:57.266 --> 04:56:58.700
HEALTH IS REALLY IMPORTANT.
04:56:58.767 --> 04:57:00.736
AND I REALLY IT WOULD APPRECIATE
04:57:00.802 --> 04:57:01.737
YOUR AYE VOTE TODAY.
04:57:01.803 --> 04:57:03.505
YOU'RE TAKING CARE OF A LOT OF
04:57:03.572 --> 04:57:07.409
THOSE PEOPLE THAT DON'T HAVE
04:57:07.476 --> 04:57:08.710
ACCESS SO THANK YOU VERY MUCH.
04:57:08.777 --> 04:57:10.412
WHICH WE HAVE A MOTION BY MISS
04:57:10.479 --> 04:57:12.447
CARILLO SECOND BY MISTER RAMOS --
04:57:12.514 --> 04:57:14.016
MOTION IS TO PASS TO
04:57:14.082 --> 04:57:15.484
APPROPRIATIONS -- MADAM
04:57:15.551 --> 04:57:17.419
SECRETARY PLEASE CALL THE ROLL
04:57:17.486 --> 04:57:20.355
WHAT I WHAT I MAYES MAYES AYE
04:57:20.422 --> 04:57:22.457
AGUIAR-CURRY.
04:57:22.524 --> 04:57:25.227
AFTER CURRY I BIGELOW.
04:57:25.294 --> 04:57:26.061
BONTA.
04:57:26.128 --> 04:57:30.199
BURKE BURKE I CARILLO.
04:57:30.265 --> 04:57:32.935
CARILLO NOT VOTING [inaudible]
04:57:33.001 --> 04:57:37.506
CARILLO I FLORA.
04:57:37.573 --> 04:57:38.807
FLORA NONVOTING Là MON.
04:57:38.874 --> 04:57:40.209
Là MON I MCCARTY.
04:57:40.275 --> 04:57:41.810
MCCARTY I IN THIS AREA.
04:57:41.877 --> 04:57:44.146
RAMOS REBELS AYE RODRIGUEZ
04:57:44.213 --> 04:57:46.014
RODRIGUEZ AYE.
04:57:46.081 --> 04:57:47.416
SANTIAGO [inaudible]
04:57:47.482 --> 04:57:49.251
WALDRON [inaudible]
04:57:49.318 --> 04:57:54.089
HI.
04:57:54.156 --> 04:57:57.826
GIVE TEN VOTE YOUR BILL IS OUT
04:57:57.893 --> 04:57:58.460
AND UP I AM MY OWN UP THERE WITH
04:57:58.527 --> 04:57:59.328
YOU.
04:57:59.394 --> 04:58:01.797
I THOUGHT SO.
04:58:01.863 --> 04:58:04.967
ALL RIGHT THAT'S ONE MAKE SURE.
04:58:05.033 --> 04:58:06.501
ANOTHER ONE SEE WE NUCLEAR
04:58:06.568 --> 04:58:09.071
DICTIONARY OUT HERE SO -- OUR
04:58:09.137 --> 04:58:13.141
NEXT MR FLORA -- I'M SORRY I
04:58:13.208 --> 04:58:13.976
DIDN'T SEE YOU THERE.
04:58:14.042 --> 04:58:29.391
MR CALLING.
04:58:29.458 --> 04:58:30.359
GOOD EVENING MISTER CHAIR
04:58:30.425 --> 04:58:31.460
MEMBERS THANK YOU FOR THE
04:58:31.526 --> 04:58:33.428
OPPORTUNITY TO PRESENT AB
04:58:33.495 --> 04:58:34.563
FIFTEEN FORTY SIX WHICH SEEKS TO
04:58:34.630 --> 04:58:35.597
IMPROVE MENTAL HEALTH SERVICES
04:58:35.664 --> 04:58:36.832
IN CALIFORNIA'S K. THROUGH
04:58:36.898 --> 04:58:37.833
TWELVE SCHOOLS BY AUTHORIZING
04:58:37.899 --> 04:58:39.268
LOCAL EDUCATION.
04:58:39.334 --> 04:58:40.702
AGENCIES INCLUDE INCLUDING
04:58:40.769 --> 04:58:42.904
SPECIAL EDUCATION -- LOCAL PLAN
04:58:42.971 --> 04:58:44.673
AREAS TO PROVIDE EARLY PERIODIC
04:58:44.740 --> 04:58:45.807
SCREENING DIAGNOSIS AND
04:58:45.874 --> 04:58:47.476
TREATMENT SERVICES -- TO MEDI
04:58:47.542 --> 04:58:48.844
CAL ELIGIBLE STUDENTS MAKE
04:58:48.910 --> 04:58:49.845
DIRECT CLAIMS FOR FEDERAL
04:58:49.911 --> 04:58:51.913
MATCHING FUNDS THE RATE THE ACSI
04:58:51.980 --> 04:58:53.315
THIS WILL BE A BRIEF
04:58:53.382 --> 04:58:54.850
PRESENTATION FOR THE SAKE OF FOR
04:58:54.916 --> 04:58:56.518
THE BREVITY OF YOUR FRIEND TO
04:58:56.585 --> 04:58:58.120
LOCAL EDUCATIONAL AGENCIES AS L.
04:58:58.186 --> 04:58:58.620
ET.
04:58:58.687 --> 04:59:00.555
AL YEAH IS SPECIAL EDUCATION
04:59:00.622 --> 04:59:02.090
LOCAL PLANNER IS A SELF AS AN
04:59:02.157 --> 04:59:03.125
EARLY PERIODIC SCREENING
04:59:03.191 --> 04:59:04.826
DIAGNOSIS AND TREATMENT AS THE
04:59:04.893 --> 04:59:06.228
P. S. D. T..
04:59:06.295 --> 04:59:08.430
NOW THIS SIZE ONE OF TWO BILLS
04:59:08.497 --> 04:59:09.765
THAT -- THE CHAIR OF THE
04:59:09.831 --> 04:59:11.233
EDUCATION COMMITTEE PATRICK
04:59:11.300 --> 04:59:11.800
O'DONNELL AND I OR JOINTLY
04:59:11.867 --> 04:59:13.969
OFFERING -- IN RESPONSE TO AN
04:59:14.036 --> 04:59:15.337
INFORMATIONAL HEARING WE HAD A
04:59:15.404 --> 04:59:16.305
MENTAL HEALTH SERVICES IN
04:59:16.371 --> 04:59:18.040
CALIFORNIA'S K. THROUGH TWELVE
04:59:18.106 --> 04:59:19.474
SCHOOLS AND CONVERSATIONS WITH
04:59:19.541 --> 04:59:20.676
TEACHERS ADMINISTRATORS AND
04:59:20.742 --> 04:59:22.477
PARENTS IN MY DISTRICT ONE TOPIC
04:59:22.544 --> 04:59:23.745
THAT CONSISTENTLY ARISES.
04:59:23.812 --> 04:59:25.681
AS AN AREA OF NEED AS MENTAL
04:59:25.747 --> 04:59:26.782
HEALTH AND STUDENT WELLNESS A
04:59:26.848 --> 04:59:27.549
REVIEW OF THE RESEARCH ON THE
04:59:27.616 --> 04:59:29.184
TOPIC DEMONSTRATES WHY THE
04:59:29.251 --> 04:59:30.652
PROBLEM HAS BECOME SO CUTE.
04:59:30.719 --> 04:59:32.120
YOU'VE SUICIDE RATES ARE RISING
04:59:32.187 --> 04:59:33.522
NEARLY EVERY YEAR AND ARE NOW AT
04:59:33.588 --> 04:59:36.325
THE HIGHEST LEVEL SINCE NINETEEN
04:59:36.391 --> 04:59:37.092
NINETY SIX IN A WORLD WHERE IN
04:59:37.159 --> 04:59:38.960
RURAL CAROL CALIFORNIA WHERE
04:59:39.027 --> 04:59:39.861
MENTAL HEALTH SERVICES ARE MOST
04:59:39.928 --> 04:59:40.562
LIMITED.
04:59:40.629 --> 04:59:42.030
THE SUICIDE RATE IS OFTEN TRIPLE
04:59:42.097 --> 04:59:43.532
THE STATE AVERAGE FURTHERMORE
04:59:43.598 --> 04:59:44.933
CALIFORNIA'S MOST RECENT HEALTHY
04:59:45.000 --> 04:59:47.336
KIDS SURVEY FOUND THAT 34% OF
04:59:47.402 --> 04:59:48.370
ELEVENTH GRADERS EXPERIENCE
04:59:48.437 --> 04:59:50.772
CHRONIC SADNESS AND 16% HAVE
04:59:50.839 --> 04:59:53.408
SERIOUSLY CONTEMPLATED SUICIDE.
04:59:53.475 --> 04:59:54.976
UNFORTUNATELY CALIFORNIA DOES
04:59:55.043 --> 04:59:56.611
NOT APPEAR TO BE PREPARED TO
04:59:56.678 --> 04:59:58.213
RESPOND TO THESE ALARMING TRENDS.
04:59:58.280 --> 04:59:59.147
ACCORDING TO STANFORD
04:59:59.214 --> 05:00:00.549
UNIVERSITY'S MOST RECENT GETTING
05:00:00.615 --> 05:00:06.321
DOWN THE FACTS OF THE A MENTAL
05:00:06.388 --> 05:00:07.923
HEALTH AND PUBLIC SCHOOLS. FORTY
05:00:07.989 --> 05:00:08.657
RENTS OUT OR NEAR THE BOTTOM
05:00:08.724 --> 05:00:09.591
NATIONALLY FOR STUDENT ACCESS TO
05:00:09.658 --> 05:00:10.392
MENTAL HEALTH SERVICES. ONE
05:00:10.459 --> 05:00:11.526
MAJOR BARRIER TO IMPROVE IN THIS
05:00:11.593 --> 05:00:12.127
IS THAT ELOISE AND SELF WAS
05:00:12.194 --> 05:00:13.261
CURRENTLY HAVE VERY LIMITED
05:00:13.328 --> 05:00:14.963
ACCESS TO EAT T. S. T. T.
05:00:15.030 --> 05:00:15.397
FUNDING.
05:00:15.464 --> 05:00:17.065
WELL DISTRICTS AND LEDS ARE WELL
05:00:17.132 --> 05:00:18.633
POSITIONED TO DELIVER SERVICES
05:00:18.700 --> 05:00:20.302
COVERED BY UPS TV THERE IS
05:00:20.369 --> 05:00:21.703
CURRENTLY NO WAY FOR ELEAZAR
05:00:21.770 --> 05:00:23.739
SELF AS TO DIRECTLY ACCESS THOSE
05:00:23.805 --> 05:00:24.773
DOLLARS.
05:00:24.840 --> 05:00:25.674
COUNTY BEHAVIOR HEALTH
05:00:25.741 --> 05:00:27.008
DEPARTMENTS READ RECEIVE FUND
05:00:27.075 --> 05:00:28.477
DISTRIBUTIONS TO PROVIDE
05:00:28.543 --> 05:00:29.878
CHILDREN WITH THE PST T.
05:00:29.945 --> 05:00:32.347
SERVICES BUT ARE NOT REQUIRED TO
05:00:32.414 --> 05:00:34.049
WORK WITH ELEAZAR SELF AS TO
05:00:34.116 --> 05:00:35.183
PROVIDE SERVICES AT SCHOOL SITES
05:00:35.250 --> 05:00:36.485
OR THROUGH SCHOOL DISTRICTS.
05:00:36.551 --> 05:00:37.819
THIS CREATES AN UNNECESSARY
05:00:37.886 --> 05:00:42.624
HURDLE FOR MANY ELEAZAR AND SELF
05:00:42.691 --> 05:00:43.358
WAS ACROSS THE STATE.
05:00:43.425 --> 05:00:43.992
IN TWO THOUSAND ELEVEN THE STATE
05:00:44.059 --> 05:00:45.093
SHIFTED 1100% OF THE MENTAL
05:00:45.160 --> 05:00:46.094
HEALTH SERVICES WANTS ABILITY
05:00:46.161 --> 05:00:47.996
FROM COUNTY BEHAVIORAL HEALTH
05:00:48.063 --> 05:00:49.765
DEPARTMENTS TO ELLIE ACE NOW IN
05:00:49.831 --> 05:00:51.233
MAKING THIS CHANGE.
05:00:51.299 --> 05:00:53.068
THE STATE SHIFTED MORE THAN FOUR
05:00:53.135 --> 05:00:53.668
HUNDRED MILLION A FEDERAL AND
05:00:53.735 --> 05:00:55.537
STATE DOLLARS TO THE PROP NINETY
05:00:55.604 --> 05:00:56.738
EIGHT SIDE OF THE STATE BUDGET.
05:00:56.805 --> 05:00:58.173
TO SERVE THE MENTAL HEALTH NEEDS
05:00:58.240 --> 05:00:59.508
OF STUDENTS BUT DID NOT PROVIDE
05:00:59.574 --> 05:01:01.910
ELEAZAR WITH DIRECT ACCESS TO
05:01:01.977 --> 05:01:03.378
EAT P. S. T. D. FUNDING.
05:01:03.445 --> 05:01:05.313
THIS IS PROBLEMATIC BECAUSE EPS
05:01:05.380 --> 05:01:06.615
DD FUNDS IN THE STORE AT THE
05:01:06.681 --> 05:01:08.150
BEEN PART OF THE FUNDING SOURCE
05:01:08.216 --> 05:01:09.284
TO SERVE STUDENTS WITH MENTAL
05:01:09.351 --> 05:01:10.819
HEALTH NEEDS.
05:01:10.886 --> 05:01:12.421
AS A RESULT STATE FUNDS ARE
05:01:12.487 --> 05:01:14.156
OFTEN USED FOR SERVICES PROVIDED
05:01:14.222 --> 05:01:15.690
BY ELEAZAR L. SELF AS THAT MIGHT
05:01:15.757 --> 05:01:17.692
OTHERWISE HAVE BEEN FUNDED
05:01:17.759 --> 05:01:19.494
FEDERALLY THREE PST T..
05:01:19.561 --> 05:01:21.363
THIS BILL AUTHORIZES AN ALLEY A
05:01:21.430 --> 05:01:23.031
INCLUDING SELF AS WHICH IS NOT
05:01:23.098 --> 05:01:23.765
CONTRACT WITH A MEANT COUNTY
05:01:23.832 --> 05:01:25.333
WHICH DO NOT CONTRACT WITH THE
05:01:25.400 --> 05:01:26.735
COUNTY MENTAL HEALTH PLAN TO
05:01:26.802 --> 05:01:28.303
MAKE A DIRECT CLAIM FOR FEDERAL
05:01:28.370 --> 05:01:30.739
EPS DD FUNDING THROUGH THE ACS.
05:01:30.806 --> 05:01:31.773
IN ORDER TO RECEIVE FEDERAL
05:01:31.840 --> 05:01:33.375
DOLLARS THE L. E. WOULD NEED TO
05:01:33.442 --> 05:01:35.210
PUT UP MATCHING FUNDS -- FOR THE
05:01:35.277 --> 05:01:37.279
EXPENDITURES I HAVE MET WITH ME --
05:01:37.345 --> 05:01:38.547
THIS -- THIS EVENING LARA WASCO
05:01:38.613 --> 05:01:40.515
FROM THE BALL FROST GROUP AS
05:01:40.582 --> 05:01:46.421
WELL AS A TONY TO GROW WITH THE
05:01:46.488 --> 05:01:49.791
CALIFORNIA TEACHERS ASSOCIATION.
05:01:49.858 --> 05:01:51.426
GOOD EVENING -- CHAIR MEMBERS
05:01:51.493 --> 05:01:52.694
LARA MOSCOW WITH THE BALL FROST
05:01:52.761 --> 05:01:53.495
GROUP AND I'M REPRESENTING
05:01:53.562 --> 05:01:54.663
CALIFORNIA ASSOCIATION OF
05:01:54.729 --> 05:01:57.098
SUBURBAN SCHOOL DISTRICTS -- HAS
05:01:57.165 --> 05:01:59.434
THE AUTHOR INDICATED -- ELEAZAR
05:01:59.501 --> 05:02:01.703
DO NOT HAVE DIRECT ACCESS TO THE
05:02:01.770 --> 05:02:03.872
EASY PST T. FUNDS IT DOESN'T
05:02:03.939 --> 05:02:05.974
CAUSE A HURDLE -- WE BELIEVE
05:02:06.041 --> 05:02:08.743
THAT WE ARE -- IN THE RIGHT
05:02:08.810 --> 05:02:10.912
POSITION TO SERVE ALL OF THE
05:02:10.979 --> 05:02:13.381
STUDENTS AT THE SCHOOL SITE WE
05:02:13.448 --> 05:02:14.449
MAY NOT HAVE ALL THE
05:02:14.516 --> 05:02:15.750
PROFESSIONALS ON SITE.
05:02:15.817 --> 05:02:17.886
BUT WE ARE HIRING MORE AND MORE
05:02:17.953 --> 05:02:19.721
SOCIAL WORKERS AS WELL AS
05:02:19.788 --> 05:02:21.590
MARRIAGE AND FAMILY COUNSELORS --
05:02:21.656 --> 05:02:22.691
TO HELP PROVIDE ALL OF THESE
05:02:22.757 --> 05:02:25.260
SERVICES THE KEY PART IS WHEN WE
05:02:25.327 --> 05:02:26.962
DON'T HAVE THAT ADDITIONAL
05:02:27.028 --> 05:02:28.630
FUNDING COMING FROM.
05:02:28.697 --> 05:02:29.831
SOME OTHER FUNDING SOURCE WERE
05:02:29.898 --> 05:02:32.200
USING PROP NINETY EIGHT DOLLARS --
05:02:32.267 --> 05:02:33.768
THAT WOULD OTHERWISE BE USE FOR
05:02:33.835 --> 05:02:37.005
THE GENERAL ED POPULATION --
05:02:37.072 --> 05:02:38.473
WE'RE REQUESTING A YOUR I BET ON
05:02:38.540 --> 05:02:39.875
THIS BILL IF YOU HAVE TECHNICAL
05:02:39.941 --> 05:02:44.179
QUESTIONS I'D BE HAPPY TO ANSWER
05:02:44.246 --> 05:02:47.816
ANY. TWENTY TWO ZERO THEY HAVE
05:02:47.883 --> 05:02:49.251
ASSOCIATES SO STATION OVER THE
05:02:49.317 --> 05:02:50.018
LAST THREE YEARS CTA'S WORKED
05:02:50.085 --> 05:02:50.886
DILIGENTLY TO IMPROVE THE
05:02:50.952 --> 05:02:52.554
DELIVERY OF HEALTH SERVICES TO
05:02:52.621 --> 05:02:53.221
STUDENTS.
05:02:53.288 --> 05:02:54.723
AT THE SCHOOL SITE WE MET
05:02:54.789 --> 05:02:55.891
SEVERAL TIMES WITH STAFF AT THE
05:02:55.957 --> 05:02:56.992
DEPARTMENT OF HEALTH CARE
05:02:57.058 --> 05:03:00.028
SERVICES ASKING FOR THEIR
05:03:00.095 --> 05:03:00.595
ASSISTANCE AND INVOLVEMENT.
05:03:00.662 --> 05:03:02.597
THE MARCH FOURTEENTH TWENTY
05:03:02.664 --> 05:03:03.732
NINETEEN REPORT BY OUR STATE
05:03:03.798 --> 05:03:05.934
AUDITOR CITED DO DEPARTMENT OF
05:03:06.001 --> 05:03:07.669
HEALTH CARE SERVICES DEFICIENT.
05:03:07.736 --> 05:03:09.404
DEFICIENT OVERSIGHT OF THE
05:03:09.471 --> 05:03:11.373
MANAGED CARE PLANS THROUGH WHICH
05:03:11.439 --> 05:03:13.074
90% OF THE CHILDREN AND MEDI CAL
05:03:13.141 --> 05:03:14.042
AND ROLL.
05:03:14.109 --> 05:03:15.677
THE REPORT RECOMMENDED A VARIETY
05:03:15.744 --> 05:03:17.812
OF ACTIONS FOR D. H. C. S. TO
05:03:17.879 --> 05:03:19.414
INCREASE.
05:03:19.481 --> 05:03:21.416
CHILDREN'S USE.
05:03:21.483 --> 05:03:23.418
A MEDI CAL PROVIDED PREVENTIVE
05:03:23.485 --> 05:03:25.253
SERVICES AND THEREBY IMPROVE THE
05:03:25.320 --> 05:03:26.922
HEALTH OF CHILDREN AND REDUCE
05:03:26.988 --> 05:03:29.324
LONG TERM HEALTH CARE COSTS.
05:03:29.391 --> 05:03:31.192
ALLOWING LOCAL EDUCATION
05:03:31.259 --> 05:03:33.495
AGENCIES TO MAKE CLAIMS DIRECTLY
05:03:33.562 --> 05:03:36.231
TO DH CS FOR E. P. S. D. T.
05:03:36.298 --> 05:03:38.333
SERVICES WILL BENEFIT STUDENTS
05:03:38.400 --> 05:03:39.734
AT ALL LEVELS AND IS THE REASON
05:03:39.801 --> 05:03:43.038
CDA SUPPORTS AB.
05:03:43.104 --> 05:03:43.672
FIFTEEN FORTY SIX AND URGES AND
05:03:43.738 --> 05:03:49.945
I BOTH.
05:03:50.011 --> 05:03:51.780
THANK YOU -- OTHERS IN SUPPORT
05:03:51.846 --> 05:03:54.282
OLDER SHILOH LOS ANGELES UNIFIED
05:03:54.349 --> 05:03:57.285
SCHOOL DISTRICT AND SUPPORT.
05:03:57.352 --> 05:03:58.219
CHRIS LIKE HILLS HERE ON BEHALF
05:03:58.286 --> 05:03:59.554
THE CALIFORNIA ACADEMY OF CHILD
05:03:59.621 --> 05:04:01.222
AND ADOLESCENT PSYCHIATRY IN
05:04:01.289 --> 05:04:03.391
SUPPORT THANK YOU.
05:04:03.458 --> 05:04:04.693
AARON EVANS ON BEHALF OF THE
05:04:04.759 --> 05:04:08.863
SELF ADMINISTRATORS.
05:04:08.930 --> 05:04:10.632
VIDEO BORN CALIFORNIA SCHOOL
05:04:10.699 --> 05:04:11.666
NURSES ORGANIZATION IN SUPPORT
05:04:11.733 --> 05:04:14.069
THANK YOU. THREE ONE IN
05:04:14.135 --> 05:04:17.405
OPPOSITION.
05:04:17.472 --> 05:04:18.440
NO TO BRING IT BACK TO THE
05:04:18.506 --> 05:04:19.574
COMMITTEE FOR QUESTIONS OR
05:04:19.641 --> 05:04:23.745
COMMENTS -- I HAVE SOME COMMENTS
05:04:23.812 --> 05:04:25.080
AND QUESTIONS AND IS THE THIRD
05:04:25.146 --> 05:04:27.015
TIME THAT SOMEONE'S ATTEMPTED TO
05:04:27.082 --> 05:04:29.484
DO THIS BILL -- I'M KIND OF
05:04:29.551 --> 05:04:30.752
AMBIVALENT ABOUT THE BILL QUITE
05:04:30.819 --> 05:04:32.954
FRANKLY -- ON THE ONE HAND I
05:04:33.021 --> 05:04:35.323
UNDERSTAND THE NEED -- ACTUALLY
05:04:35.390 --> 05:04:36.891
I WAS THE ONE WHO COMMISSION THE
05:04:36.958 --> 05:04:38.994
AUDIT THAT WAS REFERENCED BY.
05:04:39.060 --> 05:04:40.929
BY BY HER BUT THAT ACTUALLY THAT
05:04:40.996 --> 05:04:42.998
ONLY YOUR POINTS WERE GERMANE TO
05:04:43.064 --> 05:04:44.799
THE AUTO SIDE OF TAKE EXCEPTION
05:04:44.866 --> 05:04:48.003
WITH YOU ON BUT RIGHT NOW WE PST
05:04:48.069 --> 05:04:48.837
MENTAL HEALTH SERVICES ARE
05:04:48.903 --> 05:04:51.072
DELIVERED TO COUNTY MENTAL
05:04:51.139 --> 05:04:52.007
HEALTH PLANS.
05:04:52.073 --> 05:04:53.842
THAT'S HOW IT'S DONE -- COUNTIES
05:04:53.908 --> 05:04:54.976
RECEIVE DEDICATED REALIGNMENT
05:04:55.043 --> 05:04:56.811
REVENUE FOR THIS -- FOR THIS
05:04:56.878 --> 05:04:58.480
PURPOSE I KNOW THIS BILL LOCAL
05:04:58.546 --> 05:05:00.281
EDUCATION AGENCIES COULD ALSO
05:05:00.348 --> 05:05:01.616
USE PROP NINETY EIGHT MONEY
05:05:01.683 --> 05:05:03.652
WHICH WE TALKED ABOUT -- TO
05:05:03.718 --> 05:05:05.387
BUILD THE ACS THROUGH FEE FOR
05:05:05.453 --> 05:05:08.289
SERVICE OUTSIDE OF THE COUNTY
05:05:08.356 --> 05:05:09.658
MENTAL HEALTH PLAN STRUCTURE.
05:05:09.724 --> 05:05:10.258
SO MONEY IS SUPPOSED TO GO FOR
05:05:10.325 --> 05:05:12.027
EDUCATION WOULD GO FOR MENTAL
05:05:12.093 --> 05:05:13.061
HEALTH SERVICES AND MEDI CAL.
05:05:13.128 --> 05:05:14.863
AND THAT WERE ALREADY FUNDING
05:05:14.929 --> 05:05:16.598
WITH REALIGNMENT REVENUE.
05:05:16.665 --> 05:05:17.799
I UNDERSTAND SCHOOLS HAVE TO
05:05:17.866 --> 05:05:19.467
COMPLY WITH FEDERAL LAW AND
05:05:19.534 --> 05:05:21.302
ENCOURAGE THAT -- THAT REQUIRES
05:05:21.369 --> 05:05:22.103
MENTAL HEALTH SERVICES BE
05:05:22.170 --> 05:05:24.072
PROVIDED BUT I'DLIKE TO SEE A
05:05:24.139 --> 05:05:25.273
FIX ON THE ISSUE.
05:05:25.340 --> 05:05:28.143
AT ADDRESSES WHY SCHOOLS AND
05:05:28.209 --> 05:05:28.677
MENTAL HEALTH PLANS DON'T
05:05:28.743 --> 05:05:30.245
CONTRACT NOW.
05:05:30.311 --> 05:05:31.146
THAT WOULD BE MUCH SIMPLER.
05:05:31.212 --> 05:05:33.481
RATHER THAN SET UP A SEPARATE
05:05:33.548 --> 05:05:34.282
BILLING STRUCTURE.
05:05:34.349 --> 05:05:36.818
IN WHAT'S ALREADY A FRAGMENTED
05:05:36.885 --> 05:05:38.153
MENTAL HEALTH DELIVERY SYSTEM
05:05:38.219 --> 05:05:39.754
TRUST ME AS SOMEONE WHO BILL
05:05:39.821 --> 05:05:40.622
MEDI CAL.
05:05:40.689 --> 05:05:42.757
IT'S NOT EASY.
05:05:42.824 --> 05:05:44.359
IT'S NOT GONNA BE EASY I DON'T
05:05:44.426 --> 05:05:45.627
KNOW THAT THIS IS REALLY THE
05:05:45.694 --> 05:05:47.829
SOLUTION O HAVE SCHOOLS DO THIS.
05:05:47.896 --> 05:05:49.864
QUITE FRANKLY AND SO I I WON'T
05:05:49.931 --> 05:05:51.266
BE SUPPORTING THE BILL TODAY I
05:05:51.332 --> 05:05:52.634
APPRECIATE THE INTENT.
05:05:52.701 --> 05:05:53.635
BUT I THINK WHAT WE'D REALLY
05:05:53.702 --> 05:05:55.136
LIKE TO SEE IS THAT SCHOOLS AND
05:05:55.203 --> 05:05:56.171
MENTAL HEALTH AND THE COUNTIES
05:05:56.237 --> 05:05:57.972
ACTUALLY WORK THIS OUT THE RIGHT
05:05:58.039 --> 05:06:01.142
WAY -- BUT THAT'S THAT THAT'S
05:06:01.209 --> 05:06:02.510
GONNA BE MY POSITION ON THE BILL
05:06:02.577 --> 05:06:06.414
TONIGHT SO.
05:06:06.481 --> 05:06:07.449
ANYBODY ELSE THE ACCOUNT
05:06:07.515 --> 05:06:07.749
[inaudible]
05:06:07.816 --> 05:06:09.751
RESPOND.
05:06:09.818 --> 05:06:10.752
IF I MAY ADD MISTER CHAIR I
05:06:10.819 --> 05:06:11.319
APPRECIATE THE THE CONCERN I
05:06:11.386 --> 05:06:12.253
THINK WHAT WE'RE FINDING WITH
05:06:12.320 --> 05:06:14.222
EXPERIENCE IS THAT -- THE
05:06:14.289 --> 05:06:15.290
ADDITIONAL HURDLE THAT IS
05:06:15.356 --> 05:06:17.158
REQUIRED BY CURRENT LAW IS
05:06:17.225 --> 05:06:18.626
SERVING AS A BARRIER TO ON
05:06:18.693 --> 05:06:20.862
WALKING FEDERAL FUNDS -- THAT
05:06:20.929 --> 05:06:22.097
THAT COULD BE AVAILABLE TO
05:06:22.163 --> 05:06:23.264
ACTUALLY HELP KIDS ARE K.
05:06:23.331 --> 05:06:25.667
THROUGH TWELVE SCHOOLS BUT IF IF
05:06:25.734 --> 05:06:26.835
YOU'LL ALLOW ME I'LL DEFER TO MY
05:06:26.901 --> 05:06:28.770
WITNESSES WATERSHED A LITTLE
05:06:28.837 --> 05:06:29.704
MORE COLOR WHITE ON THAT.
05:06:29.771 --> 05:06:31.439
CHAIR UNFORTUNATELY WHEN --
05:06:31.506 --> 05:06:33.141
COUNTY MENTAL HEALTH WORK COUNTY
05:06:33.208 --> 05:06:34.409
BEHAVIORAL HEALTH AND SCHOOL
05:06:34.476 --> 05:06:36.678
DISTRICTS DO NOT AGREED.
05:06:36.745 --> 05:06:37.946
THEM BASICALLY THERE IS NO
05:06:38.012 --> 05:06:40.148
APPEALS PROCESS SO.
05:06:40.215 --> 05:06:41.683
IF THERE IS NOT AGREEMENT
05:06:41.750 --> 05:06:43.885
BECAUSE YOU CAN'T AGREE ON THE
05:06:43.952 --> 05:06:45.987
YOUR IN -- DIRECT OF FEES YOU'RE
05:06:46.054 --> 05:06:47.856
GONNA CHARGE OR WHETHER -- THE
05:06:47.922 --> 05:06:50.058
STAFFING IS GOING TO BE OR ALL
05:06:50.125 --> 05:06:52.494
OF THOSE AREAS THAT YOU LOOK AT
05:06:52.560 --> 05:06:53.962
AN ANIMAL YOU.
05:06:54.028 --> 05:06:55.930
THEN THERE IS NO APPEALS SO
05:06:55.997 --> 05:06:58.767
BASICALLY THE TWO AGENCIES WALK
05:06:58.833 --> 05:07:00.935
AWAY AND UNFORTUNATELY THE KIDS
05:07:01.002 --> 05:07:03.238
IN THE MIDDLE ARE WHAT'S HURT.
05:07:03.304 --> 05:07:04.606
I AGREE WITH I THOUGHT I WE
05:07:04.672 --> 05:07:05.673
WOULD LOVE TO HAVE BETTER
05:07:05.740 --> 05:07:07.675
PARTNERSHIPS BUT WE HAVE HEARD
05:07:07.742 --> 05:07:09.711
OF UNFORTUNATELY VERY HIGH
05:07:09.778 --> 05:07:11.379
INDIRECT COSTS BEING CHARGED BY
05:07:11.446 --> 05:07:13.948
SOME COUNTIES OR PROPOSED TO BE
05:07:14.015 --> 05:07:15.416
CHARGED BY SOME COUNTIES.
05:07:15.483 --> 05:07:16.718
WE'VE HEARD OF ALSO THE
05:07:16.785 --> 05:07:18.186
REQUIREMENT THAT.
05:07:18.253 --> 05:07:19.888
VENDOR CERTAIN VENDORS BE USED
05:07:19.954 --> 05:07:21.556
TO COME INTO THE SCHOOLS THAT
05:07:21.623 --> 05:07:22.657
ISN'T THAT MAY NOT BE
05:07:22.724 --> 05:07:24.592
APPROPRIATE IT MAY NOT BE COST
05:07:24.659 --> 05:07:26.194
EFFECTIVE FOR THE DISTRICT TO TO
05:07:26.261 --> 05:07:28.396
FOLLOW THROUGH WITH THAT -- SO
05:07:28.463 --> 05:07:28.897
FROM A SCHOOL DISTRICT
05:07:28.963 --> 05:07:30.965
PERSPECTIVE WE HAVE TO LOOK AT
05:07:31.032 --> 05:07:32.534
THE LIMITED RESOURCES THAT WE
05:07:32.600 --> 05:07:35.470
HAVE AND HOW WE CAN USE THOSE
05:07:35.537 --> 05:07:37.272
BEST TO SERVE THOSE STUDENTS.
05:07:37.338 --> 05:07:38.606
I'M WORDY USING PROP NINETY
05:07:38.673 --> 05:07:39.674
EIGHT DOLLARS TO SERVE THOSE
05:07:39.741 --> 05:07:41.943
KIDS IN THIS AREA UNFORTUNATELY
05:07:42.010 --> 05:07:43.111
WE'RE NOT GETTING THAT EXTRA
05:07:43.178 --> 05:07:45.146
LITTLE MATCH TO GO WITH THE MEDI
05:07:45.213 --> 05:07:46.214
CAL.
05:07:46.281 --> 05:07:47.482
AND THE REASON WHY YOU PST TEA
05:07:47.549 --> 05:07:49.951
IS SO CRITICAL FOR SCHOOLS IS
05:07:50.018 --> 05:07:51.219
BECAUSE THEY'RE ABLE TO BILL FOR
05:07:51.286 --> 05:07:53.788
CERTAIN SERVICES RESIDENTIAL
05:07:53.855 --> 05:07:56.724
TREATMENT DAY -- SERVICES
05:07:56.791 --> 05:07:58.593
ADVANCED COUNSELING SERVICES AND
05:07:58.660 --> 05:08:00.061
OTHERS THAT ARE NOT ALLOWED
05:08:00.128 --> 05:08:02.197
UNDER THE ONLY A BILLING PROCESS
05:08:02.263 --> 05:08:04.132
THAT SCHOOLS CURRENTLY USE SO
05:08:04.199 --> 05:08:10.171
BASICALLY WHEN YOU HAVE THOSE
05:08:10.238 --> 05:08:12.173
HIGH COST PROGRAMS THAT I JUST
05:08:12.240 --> 05:08:12.740
LISTED.
05:08:12.807 --> 05:08:13.341
THOSE HIGH DOLLARS WHICH COULD
05:08:13.408 --> 05:08:14.242
BE UP TO A HUNDRED THOUSAND
05:08:14.309 --> 05:08:14.776
DOLLARS FOR A RESIDENTIAL
05:08:14.843 --> 05:08:15.443
TREATMENT ARE COMING OUT OF YOUR
05:08:15.510 --> 05:08:16.177
GENERAL FUND DOLLARS FOR THE
05:08:16.244 --> 05:08:16.578
SCHOOL DISTRICT.
05:08:16.644 --> 05:08:18.580
SO UNFORTUNATELY I AGREE THAT
05:08:18.646 --> 05:08:19.914
THE TWO AGENCIES AREN'T WORKING
05:08:19.981 --> 05:08:21.816
IT OUT THERE ARE A HANDFUL OF
05:08:21.883 --> 05:08:24.018
AGENCIES THAT DO HAVE AMMO USE
05:08:24.085 --> 05:08:25.553
AND THEY SEEM TO BE GOING WELL
05:08:25.620 --> 05:08:27.322
BUT THERE IS NO RECOURSE FOR
05:08:27.388 --> 05:08:30.024
SCHOOL DISTRICT TO GO FORWARD.
05:08:30.091 --> 05:08:32.994
AND GET ADDITIONAL DOLLARS IF
05:08:33.061 --> 05:08:34.896
THEY CAN AGREE WITH OUR COUNTY.
05:08:34.963 --> 05:08:36.998
SO I I GUESS I GUESS MY YOU
05:08:37.065 --> 05:08:39.200
KINDA ILLUSTRATED MY POINT A
05:08:39.267 --> 05:08:41.569
LITTLE BIT -- WHY ISN'T THE BILL
05:08:41.636 --> 05:08:43.771
FOCUSED ON THE AN APPEALS
05:08:43.838 --> 05:08:45.039
PROCESS WHY ISN'T THAT BECAUSE
05:08:45.106 --> 05:08:46.574
SETTING UP A SEPARATE BILLING
05:08:46.641 --> 05:08:49.277
SYSTEM TRUST ME BE CAREFUL WHAT
05:08:49.344 --> 05:08:50.545
YOU WISH?
05:08:50.612 --> 05:08:52.180
FOR IT'S REALLY DIFFICULT.
05:08:52.247 --> 05:08:53.514
AND YOU MIGHT FIND THAT IT'S
05:08:53.581 --> 05:08:55.083
ACTUALLY WORSE THAN WHAT YOU'RE
05:08:55.149 --> 05:08:56.084
DEALING WITH NOW BECAUSE YOU
05:08:56.150 --> 05:08:57.018
WANT TO SPEND MONEY ON
05:08:57.085 --> 05:08:58.519
ADMINISTRATIVE COSTS TO TRY TO
05:08:58.586 --> 05:08:59.687
BILL MEDICARE ON THESE
05:08:59.754 --> 05:09:01.589
COMPLICATED CASES.
05:09:01.656 --> 05:09:02.657
WE'VE HAD HEARINGS ON MENTAL
05:09:02.724 --> 05:09:04.225
HEALTH -- THROUGH THIS COMMITTEE
05:09:04.292 --> 05:09:05.727
AND FROM THIS COMMITTEE AND
05:09:05.793 --> 05:09:07.962
QUITE FRANKLY -- IT'S DIFFICULT
05:09:08.029 --> 05:09:09.130
ME WE'RE TRYING TO REDUCE
05:09:09.197 --> 05:09:10.665
PAPERWORK AND TRY TO FIND WAYS
05:09:10.732 --> 05:09:12.400
TO MAKE TO EXPEDITE SERVICES WE
05:09:12.467 --> 05:09:13.635
HAD A BILL ABOUT THAT EARLIER
05:09:13.701 --> 05:09:14.702
TODAY.
05:09:14.769 --> 05:09:16.170
I DO I JUST THINK I THINK THE
05:09:16.237 --> 05:09:17.639
BILLS AIMED AT THE WRONG PLACE
05:09:17.705 --> 05:09:18.907
QUITE FRANKLY TO SET UP A
05:09:18.973 --> 05:09:21.142
SEPARATE BILLING SYSTEM -- TO DO
05:09:21.209 --> 05:09:23.177
THIS DOESN'T MAKE SENSE WHEN THE
05:09:23.244 --> 05:09:25.179
PROBLEM APPEARS THAT THE THE THE
05:09:25.246 --> 05:09:27.015
THE THE TO PETE THE TWO PARTIES
05:09:27.081 --> 05:09:28.449
DON'T WANT TO DO THIS SO WHY
05:09:28.516 --> 05:09:29.784
ISN'T THIS BILL FOCUSED.
05:09:29.851 --> 05:09:32.620
ON A PROCESS AN APPEALS PROCESS
05:09:32.687 --> 05:09:34.722
SO THAT THE TWO PARTIES CAN WORK
05:09:34.789 --> 05:09:36.524
TOGETHER TO SOLVE THIS PROBLEM.
05:09:36.591 --> 05:09:38.293
HELP ME UNDERSTAND WHY WHY IS
05:09:38.359 --> 05:09:42.030
THE FOCUS JUST SEEMS WRONG AND
05:09:42.096 --> 05:09:42.664
SO THAT'S WHY CAN'T SUPPORT THE
05:09:42.730 --> 05:09:43.331
BILL.
05:09:43.398 --> 05:09:45.133
DO YOU HAVE AN ANSWER FOR THAT.
05:09:45.199 --> 05:09:46.034
I'M.
05:09:46.100 --> 05:09:47.535
WE HAVE A TRIED IN IN PRIOR
05:09:47.602 --> 05:09:50.038
VERSIONS OF THE BILL THERE WAS A
05:09:50.104 --> 05:09:51.506
SUGGESTION OF APPEALS PROCESS
05:09:51.572 --> 05:09:53.675
UNFORTUNATELY THAT DIDN'T GO
05:09:53.741 --> 05:09:56.644
FORWARD EITHER.
05:09:56.711 --> 05:09:59.080
SO I YOU KNOW I I I I AGREE WITH
05:09:59.147 --> 05:10:00.748
YOU AND I AGREE THAT THE BILLING
05:10:00.815 --> 05:10:02.984
PROCESS IS A DIFFICULT THING IT
05:10:03.051 --> 05:10:04.585
IT DIFFICULT IS IT WOULD BE AN
05:10:04.652 --> 05:10:05.954
UNDERSTAND HUGE UNDERTAKING IT
05:10:06.020 --> 05:10:07.255
WOULD IT WOULD AND I THINK AT
05:10:07.322 --> 05:10:07.889
THE END OF THE DAY IS GOING TO
05:10:07.956 --> 05:10:08.756
CAUGHT THE YOU'RE.
05:10:08.823 --> 05:10:09.657
GOING TO FIND IT WOULD COST YOU
05:10:09.724 --> 05:10:11.392
MORE -- THEN YOU THINK IT'S
05:10:11.459 --> 05:10:12.627
GOING TO COST I DON'T THINK
05:10:12.694 --> 05:10:13.895
YOU'LL SOLVE THE PROBLEM YOU'RE
05:10:13.962 --> 05:10:16.264
TRYING TO SOLVE -- AND I JUST
05:10:16.331 --> 05:10:17.932
I'M SYMPATHETIC I HAVE HUGE
05:10:17.999 --> 05:10:19.567
ISSUES WITH THIS IN MY DISTRICT.
05:10:19.634 --> 05:10:21.469
I HAVE I HAVE HUGE HUGE
05:10:21.536 --> 05:10:24.339
CHALLENGES AND I GET IT I GET IT
05:10:24.405 --> 05:10:28.943
BUT I THINK THE THE THE SOLUTION
05:10:29.010 --> 05:10:30.044
IS ACTUALLY COOPERATION.
05:10:30.111 --> 05:10:30.678
BETTER CORPORATION AND LIKE THE
05:10:30.745 --> 05:10:31.879
BIKE I SAID THE BILL PROBABLY
05:10:31.946 --> 05:10:33.614
SHOULD BE MANDATING AN APPEALS
05:10:33.681 --> 05:10:35.550
PROCESS THAT'S FAIR FOR ALL.
05:10:35.616 --> 05:10:38.119
RIGHT IN IN PART OF THE THE IF
05:10:38.186 --> 05:10:41.089
YOU DON'T MIND ME RESPONDING NOT.
05:10:41.155 --> 05:10:42.523
WHEN I WAS SENATOR BELL IN THE
05:10:42.590 --> 05:10:45.193
AUDIT CAME FORWARD THERE WAS A --
05:10:45.259 --> 05:10:47.628
AUDIT RECOMMENDATION THAT --
05:10:47.695 --> 05:10:49.130
COUNTY MENTAL HEALTH AND SCHOOL
05:10:49.197 --> 05:10:52.066
DISTRICTS BE MANDATED TO PARTNER
05:10:52.133 --> 05:10:53.634
IN THESE SERVICES.
05:10:53.701 --> 05:10:54.869
UNFORTUNATELY SENATOR BUILDING
05:10:54.936 --> 05:10:56.671
GO FORWARD WITH THAT
05:10:56.738 --> 05:10:57.672
RECOMMENDATION HE LOOKED AT A
05:10:57.739 --> 05:10:59.807
DIFFERENT APPROACH TRY NOT TO
05:10:59.874 --> 05:11:01.309
CREATE A MANDATE.
05:11:01.376 --> 05:11:03.077
I MEAN WE'D BE WILLING TO GO
05:11:03.144 --> 05:11:05.246
FORWARD WITH THE MANDATE BUT
05:11:05.313 --> 05:11:06.814
WITH THAT KILL THE BILL IN THE
05:11:06.881 --> 05:11:09.317
IN APPROPRIATIONS CAUSING A NEW
05:11:09.384 --> 05:11:12.487
MANDATE -- IT HELPED THAT THINK
05:11:12.553 --> 05:11:14.389
THE MANDATE IS ACTUALLY ASKING
05:11:14.455 --> 05:11:14.889
THE TWO ENTITIES TO WORK
05:11:14.956 --> 05:11:16.791
TOGETHER I SO I WOULD I JUST
05:11:16.858 --> 05:11:17.959
HAPPY WITH THE MANDATE I JUST
05:11:18.026 --> 05:11:18.926
DON'T I JUST DON'T BELIEVE AS
05:11:18.993 --> 05:11:20.194
I'VE SAID I DON'T BELIEVE THIS
05:11:20.261 --> 05:11:21.596
ACTUALLY SOLVES THE PROBLEM THE
05:11:21.662 --> 05:11:24.432
WAY YOU'RE TRYING.
05:11:24.499 --> 05:11:24.999
THE WAY YOU'RE LOOKING FOR I
05:11:25.066 --> 05:11:26.601
THINK YOU'RE.
05:11:26.667 --> 05:11:27.168
POTENTIALLY CREATING A MUCH
05:11:27.235 --> 05:11:28.236
ANOTHER PROBLEM THAT'S OF A
05:11:28.302 --> 05:11:29.237
DIFFERENT MAGNITUDE SO.
05:11:29.303 --> 05:11:30.872
SO THAT'S MY POSITION AND THAT'S
05:11:30.938 --> 05:11:32.173
WHY I'M NOT GOING TO SUPPORT THE
05:11:32.240 --> 05:11:33.508
BILL TODAY SO -- ANY OTHER
05:11:33.574 --> 05:11:36.644
COMMENTS.
05:11:36.711 --> 05:11:38.913
WE DO HAVE A MOTION -- MY MISTER
05:11:38.980 --> 05:11:41.582
FLORA SECOND BY MISTER MAZEN.
05:11:41.649 --> 05:11:45.186
BELIEVE THE MOTION IS -- TO PASS
05:11:45.253 --> 05:11:50.024
TO APPROPRIATIONS -- WILL -- Là
05:11:50.091 --> 05:11:52.126
MADAM SECRETARY CALLED COVER.
05:11:52.193 --> 05:11:53.561
WHAT?
05:11:53.628 --> 05:11:54.962
WOULD NOBODY'S MAYES AYE
05:11:55.029 --> 05:11:57.432
AGUIAR-CURRY.
05:11:57.498 --> 05:11:58.633
AFTER CURRY NOT VOTING BIGELOW
05:11:58.699 --> 05:11:58.933
[inaudible]
05:11:59.000 --> 05:11:59.734
BONTA [inaudible]
05:11:59.801 --> 05:12:01.702
BURKE [inaudible]
05:12:01.769 --> 05:12:03.704
CARILLO [inaudible]
05:12:03.771 --> 05:12:07.909
I FLORA -- I LOW MOAN.
05:12:07.975 --> 05:12:10.378
NO NOT VOTING MCCARTY.
05:12:10.445 --> 05:12:11.279
MCCARTY AYE NAZARIAN
05:12:11.345 --> 05:12:11.579
[inaudible]
05:12:11.646 --> 05:12:14.849
RAMOS.
05:12:14.916 --> 05:12:16.317
RAMOS NOW VOTING RODRIGUEZ
05:12:16.384 --> 05:12:16.617
[inaudible]
05:12:16.684 --> 05:12:19.287
SANTIAGO.
05:12:19.353 --> 05:12:19.520
WALDRON.
05:12:19.587 --> 05:12:26.360
WALDRON AYE.
05:12:26.427 --> 05:12:29.130
THOSE WITH THE BILL ON TOP
05:12:29.197 --> 05:12:29.430
[inaudible]
05:12:29.497 --> 05:12:45.513
MR
05:12:47.181 --> 05:12:47.248
.
05:12:47.248 --> 05:12:49.550
FOR YES THE SERGEANTS TO CALL
05:12:49.617 --> 05:12:50.084
THEM IN THE ABSENT MEMBERS
05:12:50.151 --> 05:13:00.962
PLEASE.
05:13:01.028 --> 05:13:01.496
ALL RIGHT THANK YOU CHAIR
05:13:01.562 --> 05:13:03.464
MEMBERS WAS START BY ACCEPTING
05:13:03.531 --> 05:13:04.298
THE COMMITTEE'S PROPOSED
05:13:04.365 --> 05:13:06.801
AMENDMENTS AND THINK THE CHAIR
05:13:06.868 --> 05:13:07.401
IN THE STAFF FOR THEIR WORK ON
05:13:07.468 --> 05:13:08.703
HERE.
05:13:08.769 --> 05:13:11.239
I'M HERE TO PRESENT AB TWELVE
05:13:11.305 --> 05:13:11.873
TWENTY TWO WHICH WOULD AUTHORIZE
05:13:11.939 --> 05:13:12.840
LICENSE SUBSTANCE ABUSE RECOVERY
05:13:12.907 --> 05:13:14.375
TREATMENT FACILITIES TO OFFER
05:13:14.442 --> 05:13:16.144
AND PROVIDE SERVICES IN AN
05:13:16.210 --> 05:13:18.646
OFFSITE OUTPATIENT FACILITY.
05:13:18.713 --> 05:13:19.614
I KNOW IT'S GETTING LATE SO
05:13:19.680 --> 05:13:21.649
WE'LL JUST -- MAYBE TURN IT OVER
05:13:21.716 --> 05:13:23.684
TO MY EXPERT WITNESSES WE HAVE
05:13:23.751 --> 05:13:24.852
SURE DALY SENIOR GOVERNMENT
05:13:24.919 --> 05:13:25.553
AFFAIRS OF CORPORATE
05:13:25.620 --> 05:13:26.554
COMMUNICATIONS DIRECTOR FOR
05:13:26.621 --> 05:13:28.022
CALIFORNIA SORT OF ADDICTION
05:13:28.089 --> 05:13:29.123
PROGRAMS.
05:13:29.190 --> 05:13:30.525
AND DR MEGHAN MARKHAM EXECUTIVE
05:13:30.591 --> 05:13:33.161
CLINICAL DIRECTOR FOR A BETTER
05:13:33.227 --> 05:13:33.895
LIFE RECOVERY.
05:13:33.961 --> 05:13:34.729
THANK YOU I'LL MAKE IT QUICK
05:13:34.795 --> 05:13:36.397
THIS BILL COMES FROM THE LAND OF
05:13:36.464 --> 05:13:37.732
UNINTENDED CONSEQUENCES.
05:13:37.798 --> 05:13:40.201
ASSEMBLY BILL -- THIRTY ONE
05:13:40.268 --> 05:13:41.102
SIXTY TWO BY SOME OF ONE
05:13:41.169 --> 05:13:42.837
FRIEDMAN WAS PASSED LAST YEAR IT
05:13:42.904 --> 05:13:44.305
REQUIRED SOME TRANSPARENCY SO
05:13:44.372 --> 05:13:45.907
THAT IMPATIENT WOULD LIST ALL OF
05:13:45.973 --> 05:13:47.475
THE PLACES WHERE ANY TYPE OF
05:13:47.542 --> 05:13:49.243
TREATMENT WAS GOING ON AND
05:13:49.310 --> 05:13:50.178
UNFORTUNATELY THE DEPARTMENT
05:13:50.244 --> 05:13:51.412
FOUND IT UNABLE TO BE
05:13:51.479 --> 05:13:53.080
IMPLEMENTED SO BECAUSE THEY
05:13:53.147 --> 05:13:54.682
CANNOT PUT A CERTIFIED.
05:13:54.749 --> 05:13:56.350
OUTPATIENT WHICH IS NOT LICENSED
05:13:56.417 --> 05:13:59.387
ON A LICENSE SO WE'RE ASKING YOU
05:13:59.453 --> 05:14:01.022
TO REPAIR THAT DAMAGE SO THAT --
05:14:01.088 --> 05:14:03.324
INPATIENT WHO OFTEN WILL HAVE A
05:14:03.391 --> 05:14:04.792
LIKE A SIX BED WITH.
05:14:04.859 --> 05:14:06.394
WITH WOMEN AND ONE MIGHT HAVE
05:14:06.460 --> 05:14:07.828
CHILDREN THAT SHE'S TRYING TO
05:14:07.895 --> 05:14:09.397
UNITE WITH ONE MIGHT HAVE A
05:14:09.463 --> 05:14:10.898
TRAUMA ISSUE ANOTHER ONE MIGHT
05:14:10.965 --> 05:14:13.568
BE -- TRANS GENDER OR LESBIAN
05:14:13.634 --> 05:14:14.735
AND THEY WOULD ALL HAVE
05:14:14.802 --> 05:14:16.204
DIFFERENT GROUPS THAT MIGHT MEET
05:14:16.270 --> 05:14:17.505
THEIR NEEDS NOW THEY'RE TRAPPED
05:14:17.572 --> 05:14:19.073
WITHIN THEIR THE RESIDENTIAL
05:14:19.140 --> 05:14:21.742
FACILITIES DUE TO THIS.
05:14:21.809 --> 05:14:25.213
I'M TECHNICAL PROBLEM PLASTERS
05:14:25.279 --> 05:14:25.413
BILL.
05:14:25.479 --> 05:14:28.749
I ASK FOR YOUR AYE.
05:14:28.816 --> 05:14:29.317
HI MY NAME'S DOCTOR MAKE IN
05:14:29.383 --> 05:14:29.850
MARKHAM A BOARD CERTIFIED
05:14:29.917 --> 05:14:31.385
CLINICAL PSYCHOLOGIST AND I ASK
05:14:31.452 --> 05:14:32.386
FOR YOUR SUPPORT AND I'M ALSO
05:14:32.453 --> 05:14:34.088
JUST HERE TO ANSWER ANY
05:14:34.155 --> 05:14:36.891
QUESTIONS THAT YOU MAY HAVE.
05:14:36.958 --> 05:14:40.895
OTHERS IN SUPPORT -- ANYONE IN
05:14:40.962 --> 05:14:43.531
OPPOSITION.
05:14:43.598 --> 05:14:44.932
SAME NUMBER BRING BACK TO THE
05:14:44.999 --> 05:14:46.167
COMMITTEE FOR QUESTIONS OR
05:14:46.234 --> 05:14:47.568
COMMENTS QUESTIONS OR COMMENTS
05:14:47.635 --> 05:14:49.003
OF MISTER FLORA.
05:14:49.070 --> 05:14:50.638
YOUR BILL ENJOYS A TO PASS AS
05:14:50.705 --> 05:14:52.707
AMENDED WRECK OF RECOMMENDATION
05:14:52.773 --> 05:14:53.975
APPROPRIATIONS AND YOU'VE
05:14:54.041 --> 05:14:55.810
ACCEPTED THE AMENDMENTS.
05:14:55.876 --> 05:14:58.512
THANKS YES WE ARE -- WHICH I TO
05:14:58.579 --> 05:14:59.814
CLOSE JUST RESPECTFULLY ASK
05:14:59.880 --> 05:15:02.717
RIVAL PRETTY GOOD -- WE NEED A
05:15:02.783 --> 05:15:04.852
MOTION FOR STUFF I'M SORRY WE
05:15:04.919 --> 05:15:07.321
GOT ONE NOW.
05:15:07.388 --> 05:15:09.790
AND A SECOND OF AYE MISC MISSILE.
05:15:09.857 --> 05:15:12.159
SO MA'AM SECTOR PLEASE CALL THE
05:15:12.226 --> 05:15:14.228
ROLL.
05:15:14.295 --> 05:15:16.264
A TO PASS AS AMENDED TO
05:15:16.330 --> 05:15:17.965
APPROPRIATIONS WHAT I WHAT I
05:15:18.032 --> 05:15:19.433
MAYES.
05:15:19.500 --> 05:15:20.935
MAYES AYE AGUIAR-CURRY I AGREE I
05:15:21.002 --> 05:15:23.004
BIGELOW BONTA.
05:15:23.070 --> 05:15:24.505
BURKE [inaudible]
05:15:24.572 --> 05:15:27.074
CARILLO.
05:15:27.141 --> 05:15:28.142
I FLORA.
05:15:28.209 --> 05:15:29.510
FLORA AYE LIMóN.
05:15:29.577 --> 05:15:31.045
LIMON AYE MCCARTY.
05:15:31.112 --> 05:15:32.346
MCCARTY I IN THIS AREA.
05:15:32.413 --> 05:15:34.415
RAMOS RAMOS I RODRIGUEZ
05:15:34.482 --> 05:15:34.715
[inaudible]
05:15:34.782 --> 05:15:36.717
SANTIAGO.
05:15:36.784 --> 05:15:36.984
WALDRON.
05:15:37.051 --> 05:15:43.424
WALDRON AYE. NINE YOUR BILL IS
05:15:43.491 --> 05:15:43.958
OUT.
05:15:44.025 --> 05:15:46.761
THANK YOU SIR THANK YOU --
05:15:46.827 --> 05:15:48.863
ANOTHER MEMBERS MISS CAREER
05:15:48.929 --> 05:16:05.279
WOULD YOU LIKE TO PLAY
05:16:05.980 --> 05:16:06.047
.
05:16:06.047 --> 05:16:09.216
SOMEBODY LEFT THEIR SUITCASE.
05:16:09.283 --> 05:16:11.218
OKAY THIS TODAY [inaudible]
05:16:11.285 --> 05:16:13.254
PARDON ME.
05:16:13.321 --> 05:16:15.656
ARE MY EXPERT.
05:16:15.723 --> 05:16:20.761
IN THE HOUSE.
05:16:20.828 --> 05:16:21.796
MOVE THE BILL [inaudible]
05:16:21.862 --> 05:16:24.699
THANK YOU.
05:16:24.765 --> 05:16:26.267
THANK YOU MISTER CHAIR AND
05:16:26.334 --> 05:16:28.969
MEMBERS MY TALKING POINTS A GOOD
05:16:29.036 --> 05:16:29.203
MORNING.
05:16:29.270 --> 05:16:34.141
BUT GOOD EVENING.
05:16:34.208 --> 05:16:38.512
I'M HERE TO PRESENT AB IS
05:16:38.579 --> 05:16:39.146
SIXTEEN NINETY FIVE WHICH MAKES
05:16:39.213 --> 05:16:40.314
IT NECESSARY.
05:16:40.381 --> 05:16:41.749
REFORMS TO THE NURSING HOME
05:16:41.816 --> 05:16:43.284
INDUSTRY WHEN A CHANGE OF
05:16:43.351 --> 05:16:45.219
OWNERSHIP OF KURDS TO ADDRESS
05:16:45.286 --> 05:16:47.088
ISSUES WITH TRANSPARENCY AND
05:16:47.154 --> 05:16:48.222
ACCOUNTABILITY.
05:16:48.289 --> 05:16:49.590
THIS BILL WILL ENSURE THE
05:16:49.657 --> 05:16:51.559
CONTINUED THE CONTINUITY OF CARE
05:16:51.625 --> 05:16:52.827
FOR NURSING HOME RESIDENTS AS
05:16:52.893 --> 05:16:53.928
WELL AS THE EMPLOYMENT
05:16:53.994 --> 05:16:56.197
PROTECTIONS. FOR WORKERS --
05:16:56.263 --> 05:16:58.766
DURING THIS PROCESS I WOULD LIKE
05:16:58.833 --> 05:17:00.267
TO THANK THE COMMITTEE STAFF FOR
05:17:00.334 --> 05:17:01.635
WORKING WITH MY OFFICE AND WILL
05:17:01.702 --> 05:17:02.770
BE ACCEPTING THE COMMITTEE
05:17:02.837 --> 05:17:04.105
SUGGESTED AMENDMENTS.
05:17:04.171 --> 05:17:06.507
AS NOTED IN THE ANALYSIS.
05:17:06.574 --> 05:17:07.675
THE CALIFORNIA DEPARTMENT OF
05:17:07.742 --> 05:17:09.377
PUBLIC HEALTH IS RESPONSIBLE FOR
05:17:09.443 --> 05:17:10.945
LICENSING CERTIFYING AND
05:17:11.011 --> 05:17:12.213
ENFORCING.
05:17:12.279 --> 05:17:14.048
REGULATORY STANDARDS RELATED TO
05:17:14.115 --> 05:17:15.516
THE QUALITY CARE PROVIDED IN
05:17:15.583 --> 05:17:18.085
SKILLED NURSING HOME FACILITIES
05:17:18.152 --> 05:17:19.520
AND OTHER HEALTH CARE FACILITIES.
05:17:19.587 --> 05:17:21.655
DUE TO THE NUMBER OF FORMS AND
05:17:21.722 --> 05:17:23.124
DOCUMENTS NEEDED TO OBTAIN A
05:17:23.190 --> 05:17:24.625
LICENSE TO OPERATE A NURSING
05:17:24.692 --> 05:17:25.626
HOME.
05:17:25.693 --> 05:17:27.194
THE CHANGE OF OWNERSHIP APPROVAL
05:17:27.261 --> 05:17:29.196
PROCESS MAY TAKE AT LEAST FOUR
05:17:29.263 --> 05:17:30.698
MONTHS OR LONGER.
05:17:30.765 --> 05:17:32.233
UNFORTUNATELY CURRENT PRACTICES
05:17:32.299 --> 05:17:33.968
CONTRIBUTE TO THE LACK OF
05:17:34.034 --> 05:17:34.602
TRANSPARENCY IN NURSING HOME IN
05:17:34.668 --> 05:17:35.469
THE STREET.
05:17:35.536 --> 05:17:37.471
LEAVING RESIDENTS THE MOST
05:17:37.538 --> 05:17:38.973
VULNERABLE IN OUR COMMUNITY AS
05:17:39.039 --> 05:17:40.274
WELL AS THE NURSING HOME STAFF
05:17:40.341 --> 05:17:42.209
VULNERABLE TO ABRUPT CHANGES IN
05:17:42.276 --> 05:17:43.477
OWNERSHIP IN OPERATIONS.
05:17:43.544 --> 05:17:45.146
THAT NOT ONLY DISRUPT THE
05:17:45.212 --> 05:17:47.348
QUALITY OF CARE BUT IT PUTS A
05:17:47.415 --> 05:17:49.817
STRAIN ON CARE GIVERS WORKING
05:17:49.884 --> 05:17:51.452
WORKING CONDITIONS.
05:17:51.519 --> 05:17:54.288
AB A SIXTEEN NINETY FIVE WILL DO
05:17:54.355 --> 05:17:58.459
THE FOLLOWING THREE THINGS.
05:17:58.526 --> 05:18:00.060
IT WOULD -- IT WOULD REQUIRE
05:18:00.127 --> 05:18:00.828
THAT A LICENSEE NOTIFIED THE
05:18:00.895 --> 05:18:02.163
CALIFORNIA DEPARTMENT OF PUBLIC
05:18:02.229 --> 05:18:03.898
HEALTH AND ALL RESIDENTS AND
05:18:03.964 --> 05:18:05.666
REPRESENTATIVES NO LATER THAN
05:18:05.733 --> 05:18:07.401
NINETY DAYS PRIOR TO THE SALE OF
05:18:07.468 --> 05:18:08.369
TRANSFER.
05:18:08.436 --> 05:18:09.904
IT WORK -- CLARIFY REPORTING
05:18:09.970 --> 05:18:11.172
REQUIREMENTS FOR ENTITIES THAT
05:18:11.238 --> 05:18:13.574
ACT AS MANAGEMENT COMPANIES AND
05:18:13.641 --> 05:18:15.276
IT WOULD REQUIRE A SIXTY DAY
05:18:15.342 --> 05:18:16.644
RETENTION.
05:18:16.710 --> 05:18:18.279
PERIOD OF STAFF WITH NO
05:18:18.345 --> 05:18:20.281
REDUCTION IN WAGES TO ALLOW THE
05:18:20.347 --> 05:18:22.149
RESIDENTS TO EXPERIENCE A
05:18:22.216 --> 05:18:23.784
CONTINUITY OF CARE.
05:18:23.851 --> 05:18:26.320
AND PREVENT DISRUPTIVE TURNOVERS
05:18:26.387 --> 05:18:28.022
HERE WE NEED -- TO TESTIFIED
05:18:28.088 --> 05:18:29.223
TODAY.
05:18:29.290 --> 05:18:31.292
IS STOSSEL LAMPERT WITH SCO YOU
05:18:31.358 --> 05:18:35.629
LOCAL TWENTY FIFTEEN AND CORY
05:18:35.696 --> 05:18:37.298
BOOKER RUBIO CARPOOL.
05:18:37.364 --> 05:18:38.466
HI A MEMBER OF A CA YOU TWENTY
05:18:38.532 --> 05:18:39.934
FIFTEEN AND A NURSING HOME
05:18:40.000 --> 05:18:43.304
WORKER FROM THE RICHMOND AREA.
05:18:43.370 --> 05:18:44.972
PLEASE THANK YOU I THANK YOU SO
05:18:45.039 --> 05:18:46.340
THE COMMITTEE -- MY NAME IS
05:18:46.407 --> 05:18:49.710
RACHEL EFFORT -- AND SO.
05:18:49.777 --> 05:18:51.011
NURSING HOMES OFTEN USE ARE
05:18:51.078 --> 05:18:52.746
COMPLEX MANAGEMENT RELATIONSHIPS
05:18:52.813 --> 05:18:54.748
THAT PARTITION OFFICERS ASPECTS
05:18:54.815 --> 05:18:56.617
OF OPERATIONS ADMINISTRATION
05:18:56.684 --> 05:18:58.152
LICENSURE AND OWNERSHIP AND
05:18:58.219 --> 05:18:59.987
CURRENTLY THERE'S NO -- PRIOR
05:19:00.054 --> 05:19:01.522
NOTICE OF ANY OF THESE CHANGES
05:19:01.589 --> 05:19:02.890
REQUIRED TO BE SENT TO THE
05:19:02.957 --> 05:19:04.024
DEPARTMENT OR ANY OF THE
05:19:04.091 --> 05:19:05.493
STAKEHOLDERS OR ANYONE WHO WOULD
05:19:05.559 --> 05:19:06.760
BE.
05:19:06.827 --> 05:19:08.562
AFFECTED BY THOSE CHANGES --
05:19:08.629 --> 05:19:09.897
THESE LAYERED RELATIONSHIPS
05:19:09.964 --> 05:19:11.832
INTRODUCED A LAPSE IN OVERSIGHT
05:19:11.899 --> 05:19:13.334
WITH REGARDS TO WHO IS RUNNING
05:19:13.400 --> 05:19:14.502
CALIFORNIA SKILLED NURSING
05:19:14.568 --> 05:19:16.770
FACILITIES AT ANY GIVEN POINT IN
05:19:16.837 --> 05:19:19.473
TIME -- IN THAT LEAVES SURVEYORS
05:19:19.540 --> 05:19:21.575
WORKERS RESIDENTS CONSUMER
05:19:21.642 --> 05:19:23.644
ADVOCATES UNION REPRESENTATIVES
05:19:23.711 --> 05:19:25.412
AND OTHER STAKEHOLDERS WONDERING.
05:19:25.479 --> 05:19:27.147
WHO DO WE -- ENFORCE QUALITY
05:19:27.214 --> 05:19:28.816
STANDARDS WITH -- WHO'S
05:19:28.883 --> 05:19:30.184
RESPONSIBLE FOR UPHOLDING
05:19:30.251 --> 05:19:31.986
COLLECTIVE BARGAINING AGREEMENTS
05:19:32.052 --> 05:19:33.854
WHICH OUR LAWS WHO WE CHARGE IS
05:19:33.921 --> 05:19:35.456
RESPONSIBLE RESIDENTS WELL BEING
05:19:35.523 --> 05:19:39.360
OR THE FAILURE TO ENSURE HIGH
05:19:39.426 --> 05:19:41.629
QUALITY CARE. ONE OF THE LARGEST
05:19:41.695 --> 05:19:42.596
NURSING HOME -- OPERATORS IN
05:19:42.663 --> 05:19:44.798
CALIFORNIA ARE CURRENTLY IS
05:19:44.865 --> 05:19:47.368
OPERATING -- EIGHTEEN SKILLED
05:19:47.434 --> 05:19:49.537
NURSING FACILITIES -- THAT HE
05:19:49.603 --> 05:19:52.239
SUBMITTED A CHILD FOR IN TWENTY
05:19:52.306 --> 05:19:53.240
FIFTEEN AND THEY'VE BEEN PENDING
05:19:53.307 --> 05:19:54.975
WITH THE DEPARTMENT EVER SINCE
05:19:55.042 --> 05:19:56.777
THEN -- THE SAME YEAR THAT HE
05:19:56.844 --> 05:19:58.546
SUBMITTED THOSE CHAO'S HE ALSO
05:19:58.612 --> 05:20:00.114
HAD THREE HOMES SUFFERED
05:20:00.180 --> 05:20:01.348
TERMINATIONS OF THEIR META
05:20:01.415 --> 05:20:02.550
MEDICARE AND MEDICAL
05:20:02.616 --> 05:20:04.084
CERTIFICATIONS AS WELL AS
05:20:04.151 --> 05:20:05.719
LICENSE.
05:20:05.786 --> 05:20:07.321
SUSPENSIONS FROM THE STATE --
05:20:07.388 --> 05:20:09.089
AND HE'S ABLE TO OPERATE THOSE
05:20:09.156 --> 05:20:11.959
FACILITIES USING THE PRIOR --
05:20:12.026 --> 05:20:14.161
OWNERS LICENSE -- THROUGH AND
05:20:14.228 --> 05:20:18.132
HE'S USING AN INTERIM MANAGEMENT
05:20:18.198 --> 05:20:19.466
AGREEMENT WITH THE PRIOR OWNER.
05:20:19.533 --> 05:20:20.301
ARE CURRENTLY WE ALSO HAVE
05:20:20.367 --> 05:20:22.770
AWESOME MEMBERS IN FRESNO WHEN --
05:20:22.836 --> 05:20:25.739
STOCKTON WHO UNDER THE SAME
05:20:25.806 --> 05:20:27.508
OWNER -- ARE.
05:20:27.575 --> 05:20:28.676
SUDDENLY GETTING NOTICED THAT
05:20:28.742 --> 05:20:30.210
OWNERSHIP IS CHANGING OVER BUT
05:20:30.277 --> 05:20:31.946
THEY DON'T HAVE ANY IDEA WHO IS
05:20:32.012 --> 05:20:32.947
GOING TO BE TAKING OVER THE
05:20:33.013 --> 05:20:34.982
FACILITY -- NOTICE WAS REALLY
05:20:35.049 --> 05:20:36.417
SIDE IN THE ONLY WAY THAT THEY
05:20:36.483 --> 05:20:37.751
REALLY HEARD ABOUT IT WAS BEING
05:20:37.818 --> 05:20:38.752
TOLD THAT THEIR PAYCHECKS WOULD
05:20:38.819 --> 05:20:39.920
BOUNCE IF THEY TRIED TO CASH
05:20:39.987 --> 05:20:41.322
THEM IN SO THEY SHOULD HOLD ON
05:20:41.388 --> 05:20:42.156
TO THEM AND WAIT.
05:20:42.222 --> 05:20:43.624
FOR A PAYCHECK THAT COME CAME IN
05:20:43.691 --> 05:20:44.858
THAT WOULD BE GOOD AND SO THEY
05:20:44.925 --> 05:20:46.327
ENDED UP GETTING PAID LATE AND
05:20:46.393 --> 05:20:47.161
THEY DON'T KNOW IF THEIR NEXT
05:20:47.227 --> 05:20:47.995
PAYCHECKS ARE GOING TO BE
05:20:48.062 --> 05:20:49.830
SUBJECT TO THE SAME SORT OF
05:20:49.897 --> 05:20:52.666
INSTABILITY -- SO WITH THIS BILL
05:20:52.733 --> 05:20:53.968
WERE ATTEMPTING TO ADDRESS A LOT
05:20:54.034 --> 05:20:55.369
OF KEY PROBLEMS THAT OUR MEMBERS
05:20:55.436 --> 05:20:57.071
HAVE BEEN EXPERIENCING IN TERMS
05:20:57.137 --> 05:20:59.139
OF INSTABILITY AND JUST THE LACK
05:20:59.206 --> 05:21:00.641
OF TRANSPARENCY AROUND.
05:21:00.708 --> 05:21:02.209
WHAT'S HAPPENING WHEN CHANGES OF
05:21:02.276 --> 05:21:03.911
OWNERSHIP ARE HAPPENING AND SO
05:21:03.978 --> 05:21:05.713
WE'RE HOPING THAT BY CODIFYING
05:21:05.779 --> 05:21:07.114
SOME STABILITY AND WHATEVER
05:21:07.181 --> 05:21:08.449
TRANSITION MAY TAKE PLACE WILL
05:21:08.515 --> 05:21:11.518
ALLOW -- WORKERS TO PLAN AHEAD
05:21:11.585 --> 05:21:13.621
HAVE SOME JOB SECURITY -- AND
05:21:13.687 --> 05:21:14.855
HAVE RESIDENTS BE ABLE TO
05:21:14.922 --> 05:21:16.023
EXPERIENCE CONTINUITY OF CARE
05:21:16.090 --> 05:21:17.725
AND PLAN AHEAD FOR THEIR FUTURES
05:21:17.791 --> 05:21:19.093
AS WELL WITH PERMANENT UP TO
05:21:19.159 --> 05:21:20.527
DATE INFORMATION AVAILABLE TO
05:21:20.594 --> 05:21:21.795
THEM REGARDING WHOSE CARE THE
05:21:21.862 --> 05:21:23.697
RESIDING UNDER.
05:21:23.764 --> 05:21:24.732
THANK YOU.
05:21:24.798 --> 05:21:27.034
THANK YOU VERY MUCH MY NAME IS
05:21:27.101 --> 05:21:28.769
COREY BUCKLE RUBIO I'M CURRENTLY
05:21:28.836 --> 05:21:30.537
IS CERTIFIED NURSE ASSISTANT AT
05:21:30.604 --> 05:21:31.739
THE NURSING HOME FACILITY
05:21:31.805 --> 05:21:33.307
LOCATED IN SAN LEANDRO
05:21:33.374 --> 05:21:34.508
CALIFORNIA.
05:21:34.575 --> 05:21:36.910
I'VE BEEN A CNA FOR TREES AND
05:21:36.977 --> 05:21:37.811
I'M A PROBLEM MEMBER OF S. YEAH
05:21:37.878 --> 05:21:40.447
YOU LOCAL.
05:21:40.514 --> 05:21:41.215
TWENTY FIFTEEN I'M HERE TODAY
05:21:41.281 --> 05:21:42.650
BECAUSE THE CURRENT SYSTEM IS
05:21:42.716 --> 05:21:44.251
FAILING TO PROTECT BOOK
05:21:44.318 --> 05:21:45.819
RESIDENTS AND NURSING HOME
05:21:45.886 --> 05:21:48.455
WORKERS WHEN IT FACILITIES BEING
05:21:48.522 --> 05:21:51.325
SOLD TO A NO THOUGH PRE.
05:21:51.392 --> 05:21:52.559
TO LAST YEAH WELL THE SEE AN
05:21:52.626 --> 05:21:53.694
ACTIVE FACILITY IN HAYWARD
05:21:53.761 --> 05:21:54.828
CALIFORNIA.
05:21:54.895 --> 05:21:56.397
THAT WINTRY SUDDEN CHANGE OF
05:21:56.463 --> 05:21:59.233
OWNERSHIP WE BECAME AWARE OF THE
05:21:59.299 --> 05:22:00.200
CHANGE OF OWNERSHIP AFTER HE
05:22:00.267 --> 05:22:01.769
DIED BALL DOWN DURING THE
05:22:01.835 --> 05:22:02.970
TRANSITION PERIOD.
05:22:03.037 --> 05:22:05.205
SO WE HAVE CUTS OF BETWEEN WHO
05:22:05.272 --> 05:22:07.541
CARRIES OUT DO YOU DO YOU DO NEW
05:22:07.608 --> 05:22:09.510
OWNER -- THE OLD OWNER BECAUSE
05:22:09.576 --> 05:22:10.878
OF THE NEW TERMS AND CONDITIONS
05:22:10.944 --> 05:22:12.246
THE NEW OWNERS WERE OFFERING.
05:22:12.312 --> 05:22:13.814
THERE WAS A MASSIVE TURNOVER OF
05:22:13.881 --> 05:22:16.183
STAFF WHO LEFT THE FACILITY.
05:22:16.250 --> 05:22:18.018
IT WAS A FIFTY BED FACILITY AND
05:22:18.085 --> 05:22:19.553
THE NEW OWNERS ARE TRYING TO
05:22:19.620 --> 05:22:21.689
TURN IT INTO EIGHT SEVEN TWO ONE
05:22:21.755 --> 05:22:22.756
BED FACILITY.
05:22:22.823 --> 05:22:24.625
DURING THE TRANSITION I WOULD
05:22:24.692 --> 05:22:25.959
WALK ON THE NIGHT SHIFT AND BE
05:22:26.026 --> 05:22:27.628
THE ONLY SEE ANY ON THE FLOOR
05:22:27.695 --> 05:22:29.797
FOR THE ENTIRE NINE FOR ALL
05:22:29.863 --> 05:22:31.065
FIFTY BIDS.
05:22:31.131 --> 05:22:32.099
OF COURSE THE REQUIRED LEVEL OF
05:22:32.166 --> 05:22:33.834
CARE CANNOT BE GIVEN TO PATIENTS
05:22:33.901 --> 05:22:43.143
UNDER SUCH CIRCUMSTANCES.
05:22:43.210 --> 05:22:44.278
THERE WAS AN AGGRESSIVE INCREASE
05:22:44.344 --> 05:22:45.846
IN THE NUMBER OF PATIENTS TO
05:22:45.913 --> 05:22:47.014
FEEL THE SEVEN TWO ONE BIDS BED
05:22:47.081 --> 05:22:47.915
THERE WAS NOT A COMMENSURATE
05:22:47.981 --> 05:22:49.383
INCREASE THE NUMBER OF CDNAS
05:22:49.450 --> 05:22:50.751
ANOTHER STUFF NEEDED.
05:22:50.818 --> 05:22:52.686
SOME PROVIDING YOU LEVELS OF KID.
05:22:52.753 --> 05:22:53.754
THIS RESULTED OF CODES IN THIS
05:22:53.821 --> 05:22:54.321
WELCOME NOT BEING ABLE TO
05:22:54.388 --> 05:22:56.457
PROVIDE A LEVEL OF QUE WE WANT
05:22:56.523 --> 05:22:58.425
AND WE KNOW WE A COUPLE OF GIVEN.
05:22:58.492 --> 05:22:59.093
FOR THESE REASONS I URGE YOU ON
05:22:59.159 --> 05:23:00.394
BEHALF OF NURSING HOME WORKERS
05:23:00.461 --> 05:23:03.997
LIKE ME TO SUPPORT AB SIXTY
05:23:04.064 --> 05:23:05.199
NINETY FIVE BECAUSE RESIDENTS IN
05:23:05.265 --> 05:23:06.266
NURSING HOME WORKERS WHO ARE
05:23:06.333 --> 05:23:07.735
DIRECTLY IMPACTED BY THE
05:23:07.801 --> 05:23:09.103
BUSINESS TRANSACTIONS.
05:23:09.169 --> 05:23:11.205
SHOULD BE PROTECTED AND DESERVE
05:23:11.271 --> 05:23:13.407
STABILITY AND SMOOTH TRANSITION
05:23:13.474 --> 05:23:17.911
WHEN A TRANSFER OF OWNERSHIP
05:23:17.978 --> 05:23:18.145
OPPOSE.
05:23:18.212 --> 05:23:19.580
THANK YOU.
05:23:19.646 --> 05:23:20.114
THANK YOU VERY MUCH OTHER
05:23:20.180 --> 05:23:23.484
SUPPORT.
05:23:23.550 --> 05:23:24.618
JUST YOUR NAME AND ORGANIZATION
05:23:24.685 --> 05:23:26.854
PLEASE GOOD EVENING MY NAME IS
05:23:26.920 --> 05:23:30.290
CLOUDY ACCOUNTS AND I AM A CNA --
05:23:30.357 --> 05:23:31.391
DOWN NURSING HOME FACILITY
05:23:31.458 --> 05:23:33.727
EMPLOYS A COUNTY AND I'M A
05:23:33.794 --> 05:23:35.195
MEMBER OF A CA YOU.
05:23:35.262 --> 05:23:39.366
AND I SUPPORT THE SAW.
05:23:39.433 --> 05:23:39.633
THIS BILL.
05:23:39.700 --> 05:23:41.568
THANK YOU.
05:23:41.635 --> 05:23:43.270
ANYONE ELSE THREE ONE IN
05:23:43.337 --> 05:23:58.585
OPPOSITION.
05:23:58.652 --> 05:23:59.820
JENNIFER SNYDER ON BEHALF OF THE
05:23:59.887 --> 05:24:02.022
CALIFORNIA ASSOCIATION OF HEALTH
05:24:02.089 --> 05:24:03.624
FACILITIES -- PERSON LIKE TO
05:24:03.690 --> 05:24:05.492
START BY SAYING THAT WE VERY
05:24:05.559 --> 05:24:08.395
MUCH SUPPORT -- THE THE INTENT
05:24:08.462 --> 05:24:09.897
AND MANY OF THE PROVISIONS IN
05:24:09.963 --> 05:24:11.965
THE BILL THAT -- ESSAY YOU IN
05:24:12.032 --> 05:24:13.333
THE AUTHOR WANT TO PUT FORWARD
05:24:13.400 --> 05:24:15.369
AND WE'VE EXPRESSED THAT SUPPORT
05:24:15.435 --> 05:24:17.271
TO THE AUTHOR STAFF AND TO THE
05:24:17.337 --> 05:24:19.640
SPONSORS -- WE SUPPORT THE
05:24:19.706 --> 05:24:21.108
NOTICE REQUIREMENTS IN THE BILL
05:24:21.175 --> 05:24:22.976
WE ARE SUPPORTIVE OF PUTTING
05:24:23.043 --> 05:24:24.711
SOME TYPE OF A TRANSPARENCY AND
05:24:24.778 --> 05:24:27.147
CLARITY OF CRITERIA AND THEN.
05:24:27.214 --> 05:24:28.482
THE ITEMS THAT THE DEPARTMENT
05:24:28.549 --> 05:24:29.817
SHOULD BE LOOKING AT WE'RE VERY
05:24:29.883 --> 05:24:31.518
SUPPORTIVE OF MAKING SURE THAT --
05:24:31.585 --> 05:24:33.153
THAT THERE ARE RETENTION
05:24:33.220 --> 05:24:34.955
PROVISIONS IN THE BILL A NUMBER
05:24:35.022 --> 05:24:36.456
OF ITEMS IN THE BILL THAT AND I
05:24:36.523 --> 05:24:38.926
THINK THE CORE ITEMS OF WHAT I
05:24:38.992 --> 05:24:39.726
SEE ARE YOU WOULD LIKE AND I AM
05:24:39.793 --> 05:24:40.861
THE AUTHOR WOULD LIKE WE ARE
05:24:40.928 --> 05:24:42.396
VERY SUPPORTIVE.
05:24:42.462 --> 05:24:44.731
OUR CONCERN IS THAT WE AND ART
05:24:44.798 --> 05:24:46.099
IN THE MIDDLE OF IT A PROCESS
05:24:46.166 --> 05:24:47.634
WITH THE DEPARTMENT OF PUBLIC
05:24:47.701 --> 05:24:48.869
HEALTH IT -- THE CHANGE OF
05:24:48.936 --> 05:24:50.304
OWNERSHIP PROCESS THAT WE FEEL
05:24:50.370 --> 05:24:52.673
IS COMPLETELY BROKEN -- THE AND
05:24:52.739 --> 05:24:54.308
NOW SAYS POINTS OUT THAT RIGHT
05:24:54.374 --> 05:24:55.709
NOW THE AVERAGE TIME THAT IT
05:24:55.776 --> 05:24:57.010
TAKES FOR AN OWNER TO CHANGE
05:24:57.077 --> 05:24:59.379
OWNERSHIPS IS FOUR HUNDRED
05:24:59.446 --> 05:25:00.013
NINETY TWO DAYS AND THAT'S THE
05:25:00.080 --> 05:25:02.583
AVERAGE -- IT'S UNSPEAKABLE THAT
05:25:02.649 --> 05:25:04.718
THAT ARE OWNERS THAT WANT TO
05:25:04.785 --> 05:25:05.419
TAKE OVER FACILITY THAT ACTUALLY
05:25:05.485 --> 05:25:07.921
ARE GOOD GOOD OWNERS AND WANT TO
05:25:07.988 --> 05:25:09.790
DO THAT -- AREN'T ABLE TO DO
05:25:09.857 --> 05:25:11.658
THAT IN A TIMELY PROCESS AND AND
05:25:11.725 --> 05:25:15.963
WE BELIEVE THAT'S HONESTLY
05:25:16.029 --> 05:25:16.396
REALLY.
05:25:16.463 --> 05:25:17.598
THE LARGEST PROBLEM THAT WE'RE
05:25:17.664 --> 05:25:18.999
DEALING WITH RIGHT NOW -- AND SO
05:25:19.066 --> 05:25:20.500
WEWOULD VERY MUCH LIKE AND WE
05:25:20.567 --> 05:25:21.468
FED HAVE WE'VE EXPRESSES TO
05:25:21.535 --> 05:25:22.035
SPONSORS WE EXPRESS IS THE
05:25:22.102 --> 05:25:23.637
AUTHOR THAT WE VERY MUCH WANT TO
05:25:23.704 --> 05:25:24.805
WORK WITH THEM.
05:25:24.872 --> 05:25:26.773
AND TO FIGURE OUT HOW WE SOLVE
05:25:26.840 --> 05:25:28.809
THIS BROKEN PROCESS WHEN WE HAVE
05:25:28.876 --> 05:25:31.178
OWNERS THAT ARE WAITING -- UP TO
05:25:31.245 --> 05:25:33.380
FOUR YEARS I MEAN THE FOLKS JUST
05:25:33.447 --> 05:25:34.314
TESTIFIED TO THE FACT THAT WE
05:25:34.381 --> 05:25:36.283
HAVE -- ONE IN PARTICULAR THAT'S
05:25:36.350 --> 05:25:37.150
WAITING THREE YEARS IF IT'S A
05:25:37.217 --> 05:25:39.786
KNOW IT NEEDS TO BE A NO QUICKLY --
05:25:39.853 --> 05:25:41.488
SO THE CURRENT OWNERS CAN FIND
05:25:41.555 --> 05:25:42.890
ANOTHER PERSON TO TAKE OVER THAT
05:25:42.956 --> 05:25:44.858
FACILITY -- WE THINK THAT THE
05:25:44.925 --> 05:25:46.693
PROCESS AND NEEDS TO BE FIXED
05:25:46.760 --> 05:25:47.995
AND WE WOULD HOPE TO WORK WITH
05:25:48.061 --> 05:25:49.496
THE AUTHOR AND THE SPONSORS TO
05:25:49.563 --> 05:25:52.699
DO THAT -- AS WE ALL KNOW WE WE
05:25:52.766 --> 05:25:54.568
HAVE AN AGING POPULATION WE HAVE
05:25:54.635 --> 05:25:56.303
A LONG TERM CARE SYSTEM THAT'S
05:25:56.370 --> 05:25:58.805
THAT'S FRAGILE THAT NEEDS -- THE
05:25:58.872 --> 05:26:01.375
ABILITY TO CHANGE OWNERS A
05:26:01.441 --> 05:26:02.809
QUICKLY IF THERE'S A STRUGGLING
05:26:02.876 --> 05:26:04.244
FACILITY AND THE DEPARTMENT OF
05:26:04.311 --> 05:26:05.345
PUBLIC HEALTH DOES NOT HAVE THE
05:26:05.412 --> 05:26:06.647
CAPACITY TO STEP IN AND TAKE
05:26:06.713 --> 05:26:08.181
OVER THOSE FACILITIES.
05:26:08.248 --> 05:26:10.217
AND SO I THINK WE NEED TO ALL
05:26:10.284 --> 05:26:11.752
WORK COLLABORATIVELY TO FIND A A
05:26:11.818 --> 05:26:15.155
SOLUTION -- TO REQUIRE CITY PH
05:26:15.222 --> 05:26:16.256
TO COME UP WIH A GOOD
05:26:16.323 --> 05:26:18.258
TRANSPARENT A DECISION MAKING
05:26:18.325 --> 05:26:19.760
PROCESS THAT MAKE SURE THAT
05:26:19.826 --> 05:26:22.896
EVERYBODY IS -- INFORMED AND
05:26:22.963 --> 05:26:24.398
AVAILABLE TO TAKE OVER OWNERSHIP --
05:26:24.464 --> 05:26:26.500
WE NEED IT -- SO WE AT THIS
05:26:26.566 --> 05:26:27.734
POINT ARE IN OPPOSITION TO THE
05:26:27.801 --> 05:26:29.069
BILL BUT AM VERY MUCH HOPE THAT
05:26:29.136 --> 05:26:33.440
WE CAN CONTINUE TO WORK WITH THE
05:26:33.507 --> 05:26:35.742
OFTEN THE SPONSORS ON THANK YOU.
05:26:35.809 --> 05:26:36.710
CHAIR AND MEMBERS BARBARA GLAZER
05:26:36.777 --> 05:26:37.311
WITH THE CALIFORNIA HOSPITAL
05:26:37.377 --> 05:26:40.380
ASSOCIATION WE TO ARE OPPOSED TO
05:26:40.447 --> 05:26:42.783
THE BILL -- BUT WE HOPE TO WORK
05:26:42.849 --> 05:26:44.551
WITH THE AUTHOR ON SOME
05:26:44.618 --> 05:26:46.820
AMENDMENTS WE DO WE DON'T HAVE
05:26:46.887 --> 05:26:48.388
ANY PROBLEM WITH A NOTICE BEING
05:26:48.455 --> 05:26:49.756
PROVIDED WE THINK THAT'S
05:26:49.823 --> 05:26:51.491
PROBABLY A GOOD IDEA BUT WE ARE
05:26:51.558 --> 05:26:52.759
CONCERNED WITH THE LENGTH OF
05:26:52.826 --> 05:26:53.427
TIME.
05:26:53.493 --> 05:26:55.395
WE ALSO HAVE ONE MORE CONCERNED
05:26:55.462 --> 05:26:56.964
WITH WE WOULD LIKE TO REYES AND
05:26:57.030 --> 05:26:58.465
THAT IS WE THINK THE DEFINITION
05:26:58.532 --> 05:27:00.233
OF MANAGING THE BILL IS BROADER
05:27:00.300 --> 05:27:01.935
THAN IT REALLY NEEDS TO BE AND I
05:27:02.002 --> 05:27:03.337
THINK IT WILL IMPACT.
05:27:03.403 --> 05:27:04.438
SOME OF THE CONTRACTING
05:27:04.504 --> 05:27:06.139
ARRANGEMENTS THAT MANY OF OUR
05:27:06.206 --> 05:27:08.008
SKILLED NURSING FACILITIES -- GO
05:27:08.075 --> 05:27:09.876
THROUGH TODAY SO WE LOOK FORWARD
05:27:09.943 --> 05:27:11.311
TO WORKING WITH THE AUTHOR AND
05:27:11.378 --> 05:27:13.380
THE SPONSORS ON THE BILL GOING
05:27:13.447 --> 05:27:15.215
FORWARD.
05:27:15.282 --> 05:27:16.616
THANK YOU VERY MUCH.
05:27:16.683 --> 05:27:19.486
ANYONE ELSE IN OPPOSITION.
05:27:19.553 --> 05:27:20.354
NUMBER BRING BACK TO THE
05:27:20.420 --> 05:27:21.688
COMMITTEE FOR QUESTIONS OR
05:27:21.755 --> 05:27:23.490
COMMENTS QUESTIONS OR COMMENTS
05:27:23.557 --> 05:27:25.459
FROM THE COMMITTEE.
05:27:25.525 --> 05:27:27.461
SEEING NONE -- THE BILL WOULD
05:27:27.527 --> 05:27:29.262
ENJOYS A TO PASS AS AMENDED
05:27:29.329 --> 05:27:31.298
RECOMMENDATION -- WHICH LIKE
05:27:31.365 --> 05:27:31.965
CLOTHES.
05:27:32.032 --> 05:27:33.567
THANK YOU MISTER CHAIR AND AGAIN
05:27:33.633 --> 05:27:35.402
THANK YOU TO THE COMMITTEE STAFF
05:27:35.469 --> 05:27:36.670
FOR THE WORK ON THIS BILL AND WE
05:27:36.737 --> 05:27:38.105
WILL CONTINUE TO WORK.
05:27:38.171 --> 05:27:39.439
WITH THE SUPPORTERS IN
05:27:39.506 --> 05:27:41.241
OPPOSITION TO COME.
05:27:41.308 --> 05:27:42.609
TO AN AGREEMENT ON THIS BILL AND
05:27:42.676 --> 05:27:43.410
WHAT WORKS.
05:27:43.477 --> 05:27:45.779
BEST AS STATED WE DO HAVE AN AN
05:27:45.846 --> 05:27:47.681
AGING POPULATION AND WE WANT TO
05:27:47.748 --> 05:27:48.348
MAKE SURE THAT THE MOST
05:27:48.415 --> 05:27:50.617
VULNERABLE IN OUR COMMUNITY ARE
05:27:50.684 --> 05:27:52.352
PROTECTED INCLUDING SOMEONE ON
05:27:52.419 --> 05:27:55.789
ON THIS COMMITTEE WHO.
05:27:55.856 --> 05:27:58.525
ARE TURNING OLDER EVERY DAY
05:27:58.592 --> 05:27:58.825
[inaudible]
05:27:58.892 --> 05:28:01.161
OUCH [inaudible]
05:28:01.228 --> 05:28:03.063
THE BRIDGE.
05:28:03.130 --> 05:28:03.864
I RESPECTFULLY REQUEST AND I
05:28:03.930 --> 05:28:05.332
HAVE A YOU SHOULD YOU SHOULD
05:28:05.399 --> 05:28:17.911
AWAITED.
05:28:17.978 --> 05:28:19.179
MEN SECRETARY THE THE THE
05:28:19.246 --> 05:28:21.214
MEASURE MOTION IS TO PASS AS
05:28:21.281 --> 05:28:24.451
AMENDED TO APPROPRIATIONS.
05:28:24.518 --> 05:28:27.120
PLEASE CALL THE ROLL WHAT
05:28:27.187 --> 05:28:27.421
[inaudible]
05:28:27.487 --> 05:28:31.258
I WITH [inaudible]
05:28:31.324 --> 05:28:35.595
MAYES NO.
05:28:35.662 --> 05:28:43.270
MAYES NO AGUIAR-CURRY.
05:28:43.336 --> 05:28:45.772
AND YOUR CURRY I BIGELOW
05:28:45.839 --> 05:28:46.073
[inaudible]
05:28:46.139 --> 05:28:49.676
BONTA [inaudible]
05:28:49.743 --> 05:28:50.077
BONTA [inaudible]
05:28:50.143 --> 05:28:51.745
BURKE.
05:28:51.812 --> 05:28:52.946
CARILLO HI.
05:28:53.013 --> 05:28:56.083
I FLORA.
05:28:56.149 --> 05:28:57.617
LOW.
05:28:57.684 --> 05:29:00.454
LEVEL HI MCCARTY.
05:29:00.520 --> 05:29:02.689
MCCARTY AYE THIS AREA.
05:29:02.756 --> 05:29:06.126
I WAS THERE AND I RAMOS.
05:29:06.193 --> 05:29:09.863
REBEL SIDE RODRIGUEZ.
05:29:09.930 --> 05:29:12.165
RODRIGUEZ I SANTIAGO.
05:29:12.232 --> 05:29:16.503
MONTERO AYE WALDRON.
05:29:16.570 --> 05:29:17.471
ENTER.
05:29:17.537 --> 05:29:20.140
YOUR OLDER COLLEAGUES HAVE
05:29:20.207 --> 05:29:25.879
APPROVED. ONE THANK YOU --
05:29:25.946 --> 05:29:26.480
MISTER WE'RE GONNA LET MISTER
05:29:26.546 --> 05:29:30.050
SANTIAGO TO GO NEXT WEEK -- IF I
05:29:30.117 --> 05:29:31.418
IS -- IF HE'S READY.
05:29:31.485 --> 05:29:33.787
OKAY I THINK YOU.
05:29:33.854 --> 05:29:49.269
AND THEN MISTER RODRIGUEZ.
05:29:49.336 --> 05:29:50.370
THANK YOU MISTER CHAIR KNOWS
05:29:50.437 --> 05:29:52.706
BILL LONG DAY -- BUT THIS IS AN
05:29:52.772 --> 05:29:55.175
IMPORTANT BILL AND ALL OF THE
05:29:55.242 --> 05:29:57.777
BRIEF THANK YOU.
05:29:57.844 --> 05:29:58.345
SELECT SIX UP THE COMMITTEE
05:29:58.411 --> 05:29:58.945
AMENDMENTS AND THANK YOU VERY
05:29:59.012 --> 05:29:59.980
MUCH FOR YOUR HARD WORKING YOU
05:30:00.046 --> 05:30:02.249
COMMITTEE STAFF.
05:30:02.315 --> 05:30:04.351
WHICH I IN IN SHORT AB TWELVE
05:30:04.417 --> 05:30:04.985
SEVENTY FIVE WOULD ESTABLISH OUT
05:30:05.051 --> 05:30:05.852
REACH TEAMS TASK WITHOUT
05:30:05.919 --> 05:30:06.586
REACHING FOR THE HOMELESS
05:30:06.653 --> 05:30:08.255
POPULATION -- WITH A HISTORY OF
05:30:08.321 --> 05:30:09.789
MENTAL ILLNESS ONE AND AND ABLE
05:30:09.856 --> 05:30:11.525
TO ACCESS MEDICAL CARE THE BILL
05:30:11.591 --> 05:30:12.893
WOULD ALSO APPROPRIATE SIXTY
05:30:12.959 --> 05:30:13.793
EIGHT MILLION IMPROVE SERVICES
05:30:13.860 --> 05:30:15.896
FOR HOMELESS INDIVIDUALS UNDER
05:30:15.962 --> 05:30:17.764
CONSERVATIVE -- MISTER CHAIR I
05:30:17.831 --> 05:30:21.234
RESPECTFULLY ASK FOR AN AYE VOTE
05:30:21.301 --> 05:30:21.801
HAVE WITNESSES WILL ALSO BE
05:30:21.868 --> 05:30:24.004
BRIEF THANK YOU.
05:30:24.070 --> 05:30:25.705
HELLO MISTER CHAIR AND MEMBERS
05:30:25.772 --> 05:30:27.407
MY NAME'S MULLIN WHEN YOU'RE
05:30:27.474 --> 05:30:28.975
LISTENING HERE TODAY AS A MEMBER
05:30:29.042 --> 05:30:31.912
OF SEE I YOU LOCAL.
05:30:31.978 --> 05:30:32.546
SEVEN TO TWENTY ONE I CURRENTLY
05:30:32.612 --> 05:30:34.080
WORK FOR THE ASSISTED OUTPATIENT
05:30:34.147 --> 05:30:36.149
TREATMENT PROGRAM UNDER LAWRENCE
05:30:36.216 --> 05:30:38.485
Là FOR LA COUNTY -- DOING OUR
05:30:38.552 --> 05:30:39.920
REGION DETERMINE AND LINKAGE TO
05:30:39.986 --> 05:30:42.322
RESOURCES -- FOR INDIVIDUALS FOR
05:30:42.389 --> 05:30:43.590
SEVERELY MENTALLY ILL.
05:30:43.657 --> 05:30:44.891
ALMOST HALF OF THE INDIVIDUALS
05:30:44.958 --> 05:30:46.426
THAT I WORK WITH ARE
05:30:46.493 --> 05:30:48.528
EXPERIENCING HOMELESSNESS AND
05:30:48.595 --> 05:30:50.230
BECAUSE OF THESE INDIVIDUALS --
05:30:50.297 --> 05:30:51.565
IN BECAUSE THESE INDIVIDUALS ARE
05:30:51.631 --> 05:30:53.466
SOMETIMES HARD TO LOCATE I WORK
05:30:53.533 --> 05:30:55.502
ALONG SIDE -- HOMELESS I REACH
05:30:55.569 --> 05:30:57.304
PROGRAMS WHO HELP FIND THESE
05:30:57.370 --> 05:30:59.039
INDIVIDUALS ON THE STREET.
05:30:59.105 --> 05:30:59.573
THESE HOMELESS ARE REACH
05:30:59.639 --> 05:31:00.674
PROGRAMS HAVE ESTABLISHED
05:31:00.740 --> 05:31:02.442
RELATIONSHIPS WITH THE HOMELESS
05:31:02.509 --> 05:31:03.944
POPULATION WILL MAKE THE WHICH
05:31:04.010 --> 05:31:05.612
MAKES IT EASIER FOR THEM. TO
05:31:05.679 --> 05:31:06.546
TRUST.
05:31:06.613 --> 05:31:09.349
US ONCE WE ARE INTRODUCED BY
05:31:09.416 --> 05:31:11.851
THEM. FOR EXAMPLE IN ONE CASE
05:31:11.918 --> 05:31:13.086
THAT INDIVIDUAL THAT WAS
05:31:13.153 --> 05:31:14.921
REFERRED TO OUR PROGRAM.
05:31:14.988 --> 05:31:16.022
IN WAS EXHIBITING PARANOID
05:31:16.089 --> 05:31:17.457
SYMPTOMS WAS WILLING TO WORK
05:31:17.524 --> 05:31:18.925
WITH OUR AOTI TEAM AFTER BEING
05:31:18.992 --> 05:31:20.393
INTRODUCED BY HOMELESS ARE EACH
05:31:20.460 --> 05:31:21.394
WORKER.
05:31:21.461 --> 05:31:26.866
WHO HE HAD BEEN WORKING WITH FOR
05:31:26.933 --> 05:31:27.934
SEVERAL WEEKS?
05:31:28.001 --> 05:31:29.669
DUE TO THIS ESTABLISHED RAPPORT
05:31:29.736 --> 05:31:30.637
WITH THE HOMELESS I REACH WORKER
05:31:30.704 --> 05:31:31.538
THE INDIVIDUAL WAS MORE TRUSTING
05:31:31.605 --> 05:31:32.339
OF OUR TEAM AND EVENTUALLY
05:31:32.405 --> 05:31:33.173
ALLOWED US TO HELP HIM WITH
05:31:33.240 --> 05:31:33.740
GETTING CONNECTED TO MENTAL
05:31:33.807 --> 05:31:34.674
HEALTH SERVICES.
05:31:34.741 --> 05:31:37.177
INCLUDING GETTING PLACE IN A
05:31:37.244 --> 05:31:38.345
RESIDENTIAL PROGRAM.
05:31:38.411 --> 05:31:39.813
IN OTHER CIRCUMSTANCES WHEN OUR
05:31:39.879 --> 05:31:41.381
CLIENTS ARE NOT ABLE TO GET
05:31:41.448 --> 05:31:42.482
CONNECTED TO SERVICES
05:31:42.549 --> 05:31:45.352
VOLUNTARILY WE'VE HAD. TO GO THE
05:31:45.418 --> 05:31:47.020
PETITION ROUTE AND GET THE
05:31:47.087 --> 05:31:47.554
MANDATED TO MENTAL HEALTH
05:31:47.621 --> 05:31:48.588
TREATMENT.
05:31:48.655 --> 05:31:50.223
HOWEVER IF THEY CONTINUE TO TO
05:31:50.290 --> 05:31:51.791
COMPENSATE AND GET HOSPITALIZED
05:31:51.858 --> 05:31:53.727
EVENTUALLY END UP GETTING
05:31:53.793 --> 05:31:55.495
CONSERVE.
05:31:55.562 --> 05:31:57.163
IN THE FOUR YEARS THAT I'VE BEEN
05:31:57.230 --> 05:31:58.865
WORKING IN THIS PROGRAM I'VE HAD
05:31:58.932 --> 05:32:00.033
TWO DIFFERENT CLIENTS THAT HAVE
05:32:00.100 --> 05:32:01.501
BEEN CONSERVED ON TWO DIFFERENT
05:32:01.568 --> 05:32:03.536
OCCASIONS.
05:32:03.603 --> 05:32:04.671
ONE OF THESE CLIENTS WHAT'S
05:32:04.738 --> 05:32:05.105
HOMELESS.
05:32:05.171 --> 05:32:07.240
GOT CONSERVE AND BECAUSE HE GOT
05:32:07.307 --> 05:32:08.475
BETTER IN THAT YEAR.
05:32:08.541 --> 05:32:10.210
THE JUDGE DID NOT RENEW HIS
05:32:10.277 --> 05:32:12.145
CONSERVATORSHIP HOWEVER SHORTLY
05:32:12.212 --> 05:32:13.546
AFTER THE CONSERVATORSHIP WAS
05:32:13.613 --> 05:32:16.650
TERMINATED HE WAS BACK TO LIVING
05:32:16.716 --> 05:32:17.951
ON THE STREETS AND GETTING WORSE.
05:32:18.018 --> 05:32:19.653
HE EVENTUALLY GOT REFERRED BACK
05:32:19.719 --> 05:32:21.254
TO OUR PROGRAM HOSPITALIZED IN
05:32:21.321 --> 05:32:23.290
CONCERT FOR A SECOND TIME WITHIN
05:32:23.356 --> 05:32:24.758
LESS THAN A YEAR AFTER HIS FIRST
05:32:24.824 --> 05:32:25.825
CONSERVATORSHIP HAD BEEN
05:32:25.892 --> 05:32:27.494
TERMINATED.
05:32:27.560 --> 05:32:29.195
BECAUSE OF THE WORK I DO I KNOW
05:32:29.262 --> 05:32:31.231
HOW IMPORTANT BOTH ELEMENTS OF
05:32:31.298 --> 05:32:33.900
THIS BILL ARE. ONE THE NECESSITY
05:32:33.967 --> 05:32:35.168
FOR AFFIRMATIVE OUT REACH TO
05:32:35.235 --> 05:32:36.870
INDIVIDUALS WERE LIVING ON THE
05:32:36.936 --> 05:32:37.937
STREETS. TO CONNECT THEM WITH
05:32:38.004 --> 05:32:39.973
SERVICES AND RESOURCES INCLUDING
05:32:40.040 --> 05:32:41.107
HOUSING.
05:32:41.174 --> 05:32:42.442
AND TO THE NEED TO SUPPORT THE
05:32:42.509 --> 05:32:43.910
LEGAL PUBLIC GUARDIAN'S OFFICE
05:32:43.977 --> 05:32:45.145
SO THAT THEY CAN PROVIDE THE
05:32:45.211 --> 05:32:47.380
NECESSARY SERVICES I THE LAR LAS
05:32:47.447 --> 05:32:49.516
RESORT FOR PUBLIC CONSERVATISM
05:32:49.582 --> 05:32:51.985
TO THOSE INDIVIDUALS ARE MOST AT
05:32:52.052 --> 05:32:53.453
RISK AND UNABLE TO HELP.
05:32:53.520 --> 05:32:55.488
GET HELP VOLUNTARILY.
05:32:55.555 --> 05:32:57.123
THIS BILL WOULD TARGET OUR REACH
05:32:57.190 --> 05:32:59.526
TEAMS TO THOSE COUNTIES OF
05:32:59.592 --> 05:33:01.895
GREATEST NEED AND AND WOULD HAVE
05:33:01.961 --> 05:33:03.229
TO POPULATION STRUGGLING WITH
05:33:03.296 --> 05:33:05.365
THEIR MENTAL ILLNESS OR
05:33:05.432 --> 05:33:06.833
SUBSTANCE USE DISORDERS.
05:33:06.900 --> 05:33:08.535
AS WELL AS THAT KNOWLEDGE TO
05:33:08.601 --> 05:33:10.403
INCREASE IN CASE LOADS.
05:33:10.470 --> 05:33:11.638
AT THE PUBLIC GUARDIAN'S OFFICE
05:33:11.705 --> 05:33:12.972
AND MAKE SURE THAT.
05:33:13.039 --> 05:33:14.908
THE INDIVIDUALS WHO ARE BEING
05:33:14.974 --> 05:33:16.376
REFERRED FOR CONSERVATORSHIP ARE
05:33:16.443 --> 05:33:17.877
ADEQUATE.
05:33:17.944 --> 05:33:19.779
HE SERVED BY THE SYSTEM.
05:33:19.846 --> 05:33:22.482
I CONTINUE TO SEE FIRSTHAND HOW
05:33:22.549 --> 05:33:23.516
BOTH ASSERTIVE.
05:33:23.583 --> 05:33:25.485
OUT REACH AND CONSERVATORSHIP
05:33:25.552 --> 05:33:26.720
WHEN APPROPRIATE CAN HELP SAVE
05:33:26.786 --> 05:33:29.289
LIVES BY CONNECTING PEOPLE WITH
05:33:29.356 --> 05:33:29.823
THE APPROPRIATE LEVEL OF
05:33:29.889 --> 05:33:30.557
SERVICES.
05:33:30.623 --> 05:33:33.693
NOT ON MENTALLY ILL INDIVIDUALS
05:33:33.760 --> 05:33:35.161
IN CRISIS [inaudible]
05:33:35.228 --> 05:33:37.497
UP.
05:33:37.564 --> 05:33:40.166
SO IT IS IT IS FOR THOSE REASONS
05:33:40.233 --> 05:33:42.902
THAT THE THE I. YOU IS PROUD TO
05:33:42.969 --> 05:33:44.637
SUPPORT THIS BILL TO BELT OUT
05:33:44.704 --> 05:33:45.705
OUR STATE'S RESPONSE THE
05:33:45.772 --> 05:33:47.540
HOMELESSNESS CRISIS BY INVESTING
05:33:47.607 --> 05:33:48.108
MORE.
05:33:48.174 --> 05:33:50.410
IN HOMELESS OUR REGION PUBLIC
05:33:50.477 --> 05:33:53.046
GUARDIANS THANK YOU.
05:33:53.113 --> 05:33:54.047
MICHELLE CABINET WITH A CA YOU
05:33:54.114 --> 05:33:55.415
CALIFORNIA AND WE I RESPECTFULLY
05:33:55.482 --> 05:33:57.917
REQUEST YOUR SUPPORT FOR THIS
05:33:57.984 --> 05:33:58.351
MISSION THANK YOU.
05:33:58.418 --> 05:33:59.185
THANK YOU.
05:33:59.252 --> 05:34:02.989
OTHERS IN SUPPORT.
05:34:03.056 --> 05:34:03.523
NO ONE IS THERE ANYONE IN
05:34:03.590 --> 05:34:05.959
OPPOSITION.
05:34:06.025 --> 05:34:07.060
SONORA BRING BACK TO THE
05:34:07.127 --> 05:34:09.195
COMMITTEE FOR QUESTIONS OR
05:34:09.262 --> 05:34:09.796
COMMENTS QUESTIONS OR COMMENTS
05:34:09.863 --> 05:34:13.433
FROM THE COMMITTEE.
05:34:13.500 --> 05:34:14.734
SEEING NONE.
05:34:14.801 --> 05:34:16.002
WOULD GO I'M SORRY MR MCCARTY.
05:34:16.069 --> 05:34:16.970
I THANK YOU THAT MR SUBJECT I
05:34:17.036 --> 05:34:19.339
KNOW YOU WORKED ON THIS ISSUE
05:34:19.406 --> 05:34:21.608
LAST YEAR AND A BIT MORE BOLD --
05:34:21.674 --> 05:34:23.076
THE PROPOSAL.
05:34:23.143 --> 05:34:25.078
AND DIDN'T QUITE GET AS FAR AS
05:34:25.145 --> 05:34:26.813
YOU WANT TO GO -- LAST YEAR BUT
05:34:26.880 --> 05:34:28.548
THIS IS THIS IS DESPERATELY
05:34:28.615 --> 05:34:29.816
NEEDED.
05:34:29.883 --> 05:34:31.551
IN YOUR DISTRICT AND RIGHT OUT
05:34:31.618 --> 05:34:33.720
HERE ON THE STREETS SACRAMENTO
05:34:33.787 --> 05:34:36.222
SO -- YOU KNOW PLEASED TO
05:34:36.289 --> 05:34:38.925
SUPPORT THIS MEASURE.
05:34:38.992 --> 05:34:42.328
KEEP AT IT THE OF THE RECEPTOR
05:34:42.395 --> 05:34:44.431
AMENDMENTS CORRECT YES OKAY
05:34:44.497 --> 05:34:47.000
THANK YOU JUST DOUBLE CHECKING --
05:34:47.066 --> 05:34:48.067
THE THERE IS A TO PASS
05:34:48.134 --> 05:34:49.402
RECOMMENDATION -- WE HAVE A
05:34:49.469 --> 05:34:52.472
MOTION BY MISTER MAYES A SECOND
05:34:52.539 --> 05:34:53.973
BY MISS CARILLO THE MOTION BE DO
05:34:54.040 --> 05:34:55.208
PASS AS AMENDED TO
05:34:55.275 --> 05:34:57.177
APPROPRIATIONS WHICH I TO CLOSE.
05:34:57.243 --> 05:34:59.979
SURE THANK YOU AND JOSE BRIEFLY
05:35:00.046 --> 05:35:02.382
BECAUSE IT'S REALLY IMPORTANT
05:35:02.449 --> 05:35:04.250
BUILT -- TO ME.
05:35:04.317 --> 05:35:05.118
PART OF IT -- WHAT WAS THE FACT
05:35:05.185 --> 05:35:05.952
THAT WHEN WE LEARNED A LOT IN
05:35:06.019 --> 05:35:06.953
THE PROCESS OF TRYING TO DO LAST
05:35:07.020 --> 05:35:08.388
YEAR AND THERE WAS SOME HOLES IN
05:35:08.455 --> 05:35:09.522
OUR ARGUMENTS AND?
05:35:09.589 --> 05:35:11.458
AT THE END -- WE FELT WE COULD
05:35:11.524 --> 05:35:12.425
GO TO THE GOVERNOR'S DESK BUT WE
05:35:12.492 --> 05:35:14.561
FELT TO TABLE IT IN INSTEAD DO A
05:35:14.627 --> 05:35:15.228
STAKEHOLDER GROUP OVER A PERIOD
05:35:15.295 --> 05:35:16.963
OF TIME AND IDENTIFY A BETTER
05:35:17.030 --> 05:35:19.399
WAY -- TO ACTUALLY ADDRESS THE
05:35:19.466 --> 05:35:20.800
ISSUE THAT WE WANTED TO TAKING
05:35:20.867 --> 05:35:21.701
PEOPLE OFF THE STREET.
05:35:21.768 --> 05:35:22.969
AND GIVEN THE CARE THAT THEY
05:35:23.036 --> 05:35:24.337
ACTUALLY NEED THIS IS A MUCH
05:35:24.404 --> 05:35:26.806
BETTER WAY I THINK -- SO I
05:35:26.873 --> 05:35:30.343
RESPECTFULLY ASK FOR NOBLE BUT
05:35:30.410 --> 05:35:34.280
LET'S LEAVE PROCESS WORKED.
05:35:34.347 --> 05:35:35.315
THANK YOU VERY MUCH WITHOUT A
05:35:35.381 --> 05:35:36.683
MADAM SECRETARY THE MOTION IS TO
05:35:36.749 --> 05:35:38.818
PASS AS A MANAGER APPROPRIATIONS
05:35:38.885 --> 05:35:40.253
PLEASE CALL THE ROLL.
05:35:40.320 --> 05:35:44.123
WHAT I WOULD AYE MAYES?
05:35:44.190 --> 05:35:47.160
MAYES AYE AGUIAR-CURRY.
05:35:47.227 --> 05:35:50.129
I GOT CURRY I BIGELOW.
05:35:50.196 --> 05:35:52.131
BIGELOW AYE BONTA AYE BONTA AYE
05:35:52.198 --> 05:35:53.833
BURKE [inaudible]
05:35:53.900 --> 05:35:55.301
CARILLO [inaudible]
05:35:55.368 --> 05:35:59.239
I FLORA.
05:35:59.305 --> 05:36:00.406
LIMóN.
05:36:00.473 --> 05:36:02.675
<c.cyan>WI THE LOAN I MCCARTY.</c>
05:36:02.742 --> 05:36:04.110
MCCARTY AYE NAZARIAN AYE
05:36:04.177 --> 05:36:05.545
NAZARIAN AYE RAMOS.
05:36:05.612 --> 05:36:07.814
RAMOS AYE RODRIGUEZ RODRIGUEZ
05:36:07.881 --> 05:36:11.017
AYE SANTIAGO.
05:36:11.084 --> 05:36:16.456
TERRIBLE I AND WALDRON.
05:36:16.523 --> 05:36:17.090
WE HAVE TWELVE VOTES YOUR BILL
05:36:17.156 --> 05:36:17.323
IS OUT.
05:36:17.390 --> 05:36:18.558
THANK YOU VERY MUCH MISTER
05:36:18.625 --> 05:36:34.741
RODRIGUEZ
05:36:34.807 --> 05:36:34.974
[inaudible]
05:36:35.041 --> 05:36:39.712
PLEASE.
05:36:39.779 --> 05:36:41.180
THE BILL.
05:36:41.247 --> 05:36:42.415
EXCEPT IN THE COMMITTEES --
05:36:42.482 --> 05:36:43.816
AMENDMENTS AND THANK THE
05:36:43.883 --> 05:36:44.651
COMMITTEE FOR THE HELP ON AS
05:36:44.717 --> 05:36:45.318
WELL.
05:36:45.385 --> 05:36:47.053
AB TWELVE SIXTY EIGHT REQUIRE
05:36:47.120 --> 05:36:48.621
HEALTH CARE SERVICE PLANS AND
05:36:48.688 --> 05:36:50.490
INSURERS. TO REPORT TO THE
05:36:50.557 --> 05:36:51.624
DEPARTMENT OF MANAGED HEALTHCARE
05:36:51.691 --> 05:36:53.393
OR DEPARTMENT OF INSURANCE
05:36:53.459 --> 05:36:55.194
APPROVAL AND DENIAL RATES. FOR
05:36:55.261 --> 05:36:56.195
THE THIRTY MOST YOU'D LIKE
05:36:56.262 --> 05:36:57.630
SERVICES AND TREATMENTS THAT
05:36:57.697 --> 05:36:59.766
REQUIRE A PRIOR AUTHORIZATION
05:36:59.832 --> 05:37:01.367
FROM A PROVIDER.
05:37:01.434 --> 05:37:02.602
HEALTH CARE SERVICE PLANS AND
05:37:02.669 --> 05:37:03.736
INSURERS REQUIRE PRIOR
05:37:03.803 --> 05:37:05.638
AUTHORIZATION FOR MANY TREATMENT
05:37:05.705 --> 05:37:08.575
OPTIONS INCLUDING TEST THEIR
05:37:08.641 --> 05:37:10.877
PRES REFERRALS AND SURGERIES.
05:37:10.944 --> 05:37:12.045
I'M NOT OF TIME SECOND.
05:37:12.111 --> 05:37:13.580
IT TAKES LARGER PROCESS THESE
05:37:13.646 --> 05:37:15.515
REQUEST CAN YOU CORD DAY'S WORK
05:37:15.582 --> 05:37:17.183
WITH ME TO TESTIFY TODAY ON
05:37:17.250 --> 05:37:18.585
BEHALF OF THE CALIFORNIA MEDICAL
05:37:18.651 --> 05:37:19.652
ASSOCIATION.
05:37:19.719 --> 05:37:23.423
THE SPONSORS OF THE BILL IS
05:37:23.489 --> 05:37:25.325
BRAND MCCARTY.
05:37:25.391 --> 05:37:26.159
HI GOOD EVENING -- MISTER CHAIR
05:37:26.225 --> 05:37:26.793
MEMBERS OF THE COMMITTEE BRANDON
05:37:26.859 --> 05:37:27.427
MARCHING WITH CALIFORNIA MEDICAL
05:37:27.493 --> 05:37:30.330
ASSOCIATION -- SPONSORING -- AT
05:37:30.396 --> 05:37:32.799
AB TWELVE SIXTY EIGHT ON I WANT
05:37:32.865 --> 05:37:34.133
TO THANK SOME REMEMBER RODRIGUEZ
05:37:34.200 --> 05:37:35.201
FOR AUTHORING THE BILL AND I
05:37:35.268 --> 05:37:36.636
ALSO WANT TO THANK YOU AND YOUR
05:37:36.703 --> 05:37:39.205
STAFF -- FOR HELPING OUT WITH
05:37:39.272 --> 05:37:40.640
THE BILL AS WELL AND THE
05:37:40.707 --> 05:37:43.343
PROPOSED AMENDMENTS -- THE DATA
05:37:43.409 --> 05:37:44.978
THAT'S BEEN COLLECTED WILL HELP
05:37:45.044 --> 05:37:46.412
INFORM STAKEHOLDER CONVERSATIONS
05:37:46.479 --> 05:37:47.580
THAT ARE TAKING PLACE ON THE
05:37:47.647 --> 05:37:48.881
NATIONAL LEVEL AND BEGINNING TO
05:37:48.948 --> 05:37:49.916
TAKE PLACE.
05:37:49.983 --> 05:37:51.351
ON A STATE LEVEL TO STREAMLINE
05:37:51.417 --> 05:37:53.019
THE PRIOR AUTHORIZATION PROCESS.
05:37:53.086 --> 05:37:54.554
INTO ANY EIGHTEEN AN AMERICAN
05:37:54.621 --> 05:37:56.422
MEDICAL ASSOCIATION SURVEY FOUND
05:37:56.489 --> 05:37:58.057
THAT 91% OF PATIENTS WHOSE
05:37:58.124 --> 05:37:59.225
TREATMENT REQUIRES A PRIOR
05:37:59.292 --> 05:38:00.660
AUTHORIZATION EXPERIENCE DELAYS
05:38:00.727 --> 05:38:01.628
AND TREATMENT.
05:38:01.694 --> 05:38:04.397
AND 20% OF THOSE EXPERIENCED
05:38:04.464 --> 05:38:07.600
SERIOUS ADVERSE EVENTS DUE TO
05:38:07.667 --> 05:38:09.502
THOSE DELAYS.
05:38:09.569 --> 05:38:10.737
AT NEARLY TWO ACTUALLY MADE THIS
05:38:10.803 --> 05:38:11.704
BILL IS A NEEDED STEP WHICH WILL
05:38:11.771 --> 05:38:13.706
ENSURE ANY DECISION MADE TO
05:38:13.773 --> 05:38:14.941
STREAMLINE THE PRIORITIZATION
05:38:15.008 --> 05:38:16.409
PROCESS DOWN THE LINE IS DATA
05:38:16.476 --> 05:38:17.977
DRIVEN AND EFFECTIVE I
05:38:18.044 --> 05:38:20.346
RESPECTFULLY REQUEST YOUR
05:38:20.413 --> 05:38:24.550
SUPPORT ON AB.
05:38:24.617 --> 05:38:25.918
TWELVE SIXTY EIGHT THANK YOU.
05:38:25.985 --> 05:38:27.620
OTHERS A SUPPORT I'M SORRY.
05:38:27.687 --> 05:38:28.521
I'D IMAGINE REPRESENT THE
05:38:28.588 --> 05:38:29.055
CALIFORNIA CHAPTER OF THE
05:38:29.122 --> 05:38:30.156
AMERICAN COLLEGE OF EMERGENCY
05:38:30.223 --> 05:38:31.491
PHYSICIANS THE CALIFORNIA
05:38:31.557 --> 05:38:33.426
RHEUMATOLOGY ALLIANCE CALIFORNIA
05:38:33.493 --> 05:38:35.128
SOCIETY OF PLASTIC SURGEONS AND
05:38:35.194 --> 05:38:36.162
THE CALIFORNIA CHAPTER OF
05:38:36.229 --> 05:38:39.599
AMERICAN COLLEGE OF CARDIOLOGY
05:38:39.666 --> 05:38:39.966
ALL IN SUPPORT.
05:38:40.033 --> 05:38:41.234
THE KIDS.
05:38:41.300 --> 05:38:42.001
STEVEN SCHULTZ ARTHRITIS
05:38:42.068 --> 05:38:44.504
FOUNDATION IN SUPPORT THANK YOU.
05:38:44.570 --> 05:38:46.339
GARY COOPER REPRESENTING CALDERA
05:38:46.406 --> 05:38:48.741
AND THE CALIFORNIA ACADEMY OF P.
05:38:48.808 --> 05:38:51.811
A.'S IN SUPPORT THANK YOU.
05:38:51.878 --> 05:38:52.812
RIGHT SPENT ON BEHALF OF THE
05:38:52.879 --> 05:38:54.614
CALIFORNIA ACADEMY OF FAMILY
05:38:54.681 --> 05:38:57.517
PHYSICIANS IN SUPPORT THANK YOU.
05:38:57.583 --> 05:38:58.885
ANYONE ELSE.
05:38:58.951 --> 05:39:10.263
SEE WHAT IT OPPOSITION.
05:39:10.329 --> 05:39:11.397
THANK YOU MISTER CHAIR AND
05:39:11.464 --> 05:39:12.265
MEMBERS NICKEL RESOURCE ON
05:39:12.331 --> 05:39:14.200
BEHALF OF THE CALIFORNIA
05:39:14.267 --> 05:39:15.034
ASSOCIATION OF HEALTH PLANS.
05:39:15.101 --> 05:39:16.736
WHEN WE ARE IN OPPOSITION TO
05:39:16.803 --> 05:39:18.471
ASSEMBLY BILL TWELVE SIXTY EIGHT
05:39:18.538 --> 05:39:19.439
WE DO APPRECIATE THE AMENDMENTS
05:39:19.505 --> 05:39:20.339
THAT ARE?
05:39:20.406 --> 05:39:22.508
BEING PROPOSED IN THE ANALYSIS --
05:39:22.575 --> 05:39:24.210
IN AN EFFORT TO LIMIT THE BILL
05:39:24.277 --> 05:39:26.512
BUT REGRETTABLY -- WE STILL
05:39:26.579 --> 05:39:28.381
MAINTAIN OUR OPPOSE POSITION --
05:39:28.448 --> 05:39:30.249
MEMBERS THE THIS BILL IS --
05:39:30.316 --> 05:39:31.718
ANOTHER IN A LONG LIST OF NEW
05:39:31.784 --> 05:39:33.052
ADMINISTRATIVE REQUIREMENTS ON
05:39:33.119 --> 05:39:34.253
PLANS IT OF INTERNET USE THIS
05:39:34.320 --> 05:39:35.521
YEAR AND FROM OUR PERSPECTIVE
05:39:35.588 --> 05:39:37.323
WILL DO LITTLE TO PROMOTE ACCESS
05:39:37.390 --> 05:39:38.658
TO COVERAGE OR IMPROVE
05:39:38.725 --> 05:39:39.826
AFFORDABILITY.
05:39:39.892 --> 05:39:41.728
ON IT IS A HEALTH PLANS --
05:39:41.794 --> 05:39:43.229
MISSION IF YOU WILL TO ENSURE
05:39:43.296 --> 05:39:43.730
THAT ENROLLEES ARE BEING
05:39:43.796 --> 05:39:45.498
DELIVERED THE RIGHT CARE AT THE
05:39:45.565 --> 05:39:46.299
RIGHT TIME FROM THE RIGHT
05:39:46.365 --> 05:39:47.633
PROVIDER.
05:39:47.700 --> 05:39:50.303
IN A WORLD OF FINITE RESOURCES
05:39:50.369 --> 05:39:52.305
PREMIUM DOLLARS MUST BE INVESTED
05:39:52.371 --> 05:39:53.372
ACCORDINGLY.
05:39:53.439 --> 05:39:54.874
MEDICAL IN UTILIZATION
05:39:54.941 --> 05:39:56.509
MANAGEMENT TOOLS ARE VITAL TO
05:39:56.576 --> 05:39:58.211
PROMOTING SAFE EFFECTIVE IN
05:39:58.277 --> 05:39:59.645
SMART HEALTH CARE OF FOR A PLAN
05:39:59.712 --> 05:40:00.613
ENROLLEES.
05:40:00.680 --> 05:40:03.149
NO EXISTING LAW AND PRACTICE
05:40:03.216 --> 05:40:05.351
DOES PROVIDED BUNDY PROTECTION
05:40:05.418 --> 05:40:07.120
FOR CONSUMERS CURRENTLY -- IN
05:40:07.186 --> 05:40:08.821
DEVELOPING THESE POLICIES PLANS
05:40:08.888 --> 05:40:10.156
MEDICAL PROFESSIONALS USE THE
05:40:10.223 --> 05:40:11.390
LATEST DATA IT HEARINGS TO
05:40:11.457 --> 05:40:13.626
MEDICAL -- BASED EVIDENCE
05:40:13.693 --> 05:40:15.561
INFORMATION ON SAFETY CONCERNS
05:40:15.628 --> 05:40:17.830
AND OTHER RELEVANT FACTORS TO
05:40:17.897 --> 05:40:19.298
DETERMINE WHAT SERVICES WILL BE
05:40:19.365 --> 05:40:21.000
SUBJECT TO AUTHORIZATION
05:40:21.067 --> 05:40:23.803
REQUIREMENTS AND THE LIKE -- NOT
05:40:23.870 --> 05:40:25.171
ONLY ARE POLICIES WILL VETTED
05:40:25.238 --> 05:40:26.472
BASED ON THE LITERATURE IN
05:40:26.539 --> 05:40:28.174
UPDATED FREQUENTLY PLANS ARE
05:40:28.241 --> 05:40:29.142
REQUIRED TO SUBMIT THESE
05:40:29.208 --> 05:40:34.947
POLICIES AND PROCEDURES AND MANY
05:40:35.014 --> 05:40:35.948
OF THE SIMILAR TOOLS WITH THE
05:40:36.015 --> 05:40:36.582
DEPARTMENT OF MANAGED HEALTHCARE
05:40:36.649 --> 05:40:37.784
DIRECTOR FOR REVIEW AND APPROVAL.
05:40:37.850 --> 05:40:38.584
AND THESE ARE TO BE DISCLOSED
05:40:38.651 --> 05:40:41.087
PROVIDERS ENROLLEES UPON REQUEST.
05:40:41.154 --> 05:40:43.189
AUTHORIZATION IS ALSO REQUIRED
05:40:43.256 --> 05:40:43.790
TO BE COMPLETED IN A TIMELY
05:40:43.856 --> 05:40:45.958
MANNER -- AND PLANS ARE REQUIRED
05:40:46.025 --> 05:40:47.226
TO HAVE FULL GRIEVANCE AN
05:40:47.293 --> 05:40:49.595
APPEALS RIGHTS -- WHEN A OUR
05:40:49.662 --> 05:40:51.964
PRIOR AUTHORIZATION -- OR OTHER
05:40:52.031 --> 05:40:54.033
DETERMINATION -- HE'S HE'S HE'S
05:40:54.100 --> 05:40:56.169
CHALLENGED -- IN ANALYZING THIS
05:40:56.235 --> 05:40:57.537
BILL OF US WE ASKED WHETHER THE
05:40:57.603 --> 05:40:58.938
NEW ADMINISTRATIVE IN PAPERWORK
05:40:59.005 --> 05:41:01.307
REQUIREMENTS REQUIRED UNDER AB
05:41:01.374 --> 05:41:02.642
TWELVE SIXTY EIGHT ADD ANY VALUE
05:41:02.708 --> 05:41:04.076
TO THE CURRENT PROCESS.
05:41:04.143 --> 05:41:05.745
AND FROM OUR PERSPECTIVE THE
05:41:05.812 --> 05:41:07.480
ANSWER'S NO -- THE STORY THAT'S
05:41:07.547 --> 05:41:09.015
GOING TO BE TOLD BY THIS DATA
05:41:09.081 --> 05:41:11.217
WILL BE INCONCLUSIVE AT BEST.
05:41:11.284 --> 05:41:12.518
ON BECAUSE IT DOES NOT CAPTURE
05:41:12.585 --> 05:41:14.353
THE NATURE OF THE PROCESS AND
05:41:14.420 --> 05:41:15.454
WILL BE AN ACCURATE.
05:41:15.521 --> 05:41:16.956
NOR DOES THE BILL CONTAIN ANY
05:41:17.023 --> 05:41:18.691
LEVEL OF SHARED RESPONSIBILITY
05:41:18.758 --> 05:41:20.226
ON THE PART OF THE PROVIDER.
05:41:20.293 --> 05:41:21.794
FIRST THE BILL DOESN'T CAPTURE
05:41:21.861 --> 05:41:22.829
ANY INFORMATION THAT WOULD
05:41:22.895 --> 05:41:24.664
INDICATE TO DENY OR DELAY THAT
05:41:24.730 --> 05:41:26.199
WAS BASED UPON THE PROVIDER
05:41:26.265 --> 05:41:27.400
FEELING TO PROVIDE THE PLAN WITH
05:41:27.466 --> 05:41:28.935
THE ADEQUATE INFORMATION TO
05:41:29.001 --> 05:41:29.969
AUTHORIZE THE CARE.
05:41:30.036 --> 05:41:31.237
I MEAN FOR MY PLANTS PERSPECTIVE
05:41:31.304 --> 05:41:33.039
THIS HAPPENS -- DURING THE
05:41:33.105 --> 05:41:34.073
PROCESS.
05:41:34.140 --> 05:41:36.375
IN MANY OCCASIONS -- IN ADDITION
05:41:36.442 --> 05:41:37.376
THERE'S NO ACCOMMODATION FOR THE
05:41:37.443 --> 05:41:38.945
DELEGATED NATURE OF CALIFORNIA'S
05:41:39.011 --> 05:41:40.313
HEALTH CARE MODEL.
05:41:40.379 --> 05:41:41.414
WHERE HEALTH CARE SERVICES AND
05:41:41.480 --> 05:41:42.782
UTILIZATION MANAGEMENT OF THOSE
05:41:42.849 --> 05:41:44.617
SERVICES -- CAN BE DIRECTLY
05:41:44.684 --> 05:41:48.454
MANAGED BY PROVIDER GROUPS VIA
05:41:48.521 --> 05:41:49.589
CONTRACT.
05:41:49.655 --> 05:41:50.623
THUS A PLAN IS GONNA HAVE TO
05:41:50.690 --> 05:41:51.224
SURVEY ITS PROVIDER GROUPS FOR
05:41:51.290 --> 05:41:52.191
THE INFORMATION REQUIRED BY THIS
05:41:52.258 --> 05:41:53.993
BILL IN THE RATE OF RESPONSE BY
05:41:54.060 --> 05:41:55.228
THOSE PROVIDERS GONNA DICTATE
05:41:55.294 --> 05:41:56.863
WHETHER THE HEALTH PLAN CAN.
05:41:56.929 --> 05:41:59.532
PERFORM AN ACCURATE --
05:41:59.599 --> 05:42:01.300
INCOMPLETE SURVEY -- NO HEALTH
05:42:01.367 --> 05:42:02.668
PLAN DATA REQUESTS ARE NOT
05:42:02.735 --> 05:42:04.837
PARTICULARLY POPULAR AMONG OUR
05:42:04.904 --> 05:42:06.305
PROVIDERS IN PROVIDER GROUPS.
05:42:06.372 --> 05:42:07.840
ON AND PROVIDE A RESPONSIVENESS
05:42:07.907 --> 05:42:09.642
HAS BEEN A PROBLEM IN PAST
05:42:09.709 --> 05:42:11.410
EXPERIENCES WHEN ATTEMPTING TO
05:42:11.477 --> 05:42:12.511
COMPLY WITH REPORTING MANDATES
05:42:12.578 --> 05:42:14.113
THAT HAVE BEEN -- ENACTED BY THE
05:42:14.180 --> 05:42:15.815
LEGISLATURE AND THE BEST EXAMPLE
05:42:15.882 --> 05:42:17.483
OF THIS IS THE INFORMATION
05:42:17.550 --> 05:42:18.751
THAT'S REQUIRED TO BE COLLECTED
05:42:18.818 --> 05:42:19.986
RIVER RELATED TO PROVIDER
05:42:20.052 --> 05:42:21.954
DIRECTORIES -- AND IN
05:42:22.021 --> 05:42:23.155
RECOGNITION OF THIS PROBLEM
05:42:23.222 --> 05:42:24.790
PRIOR LEGISLATION RELATED TO
05:42:24.857 --> 05:42:25.725
PROVIDER DIRECTORIES ALLOWS
05:42:25.791 --> 05:42:27.193
PLANS TO DELAY PAYMENT TO
05:42:27.260 --> 05:42:28.461
PROVIDER GROUP.
05:42:28.527 --> 05:42:29.929
IF THERE IS A FOR FAILURE TO
05:42:29.996 --> 05:42:31.163
PROVIDE THE INFORMATION NEEDED
05:42:31.230 --> 05:42:32.999
TO COMPLETE THOSE DIRECTORIES.
05:42:33.065 --> 05:42:34.367
IN THIS BILL DOES NOT INCLUDE
05:42:34.433 --> 05:42:36.335
THAT -- SHARED RESPONSIBILITY
05:42:36.402 --> 05:42:40.172
COMPONENTS SO FOR THOSE REASONS
05:42:40.239 --> 05:42:44.310
WE OPPOSE THE BILL THANK YOU.
05:42:44.377 --> 05:42:44.944
SEVENTY WATKINS ON BEHALF OF THE
05:42:45.011 --> 05:42:45.578
ASSOCIATION OF CALIFORNIA LIFE
05:42:45.645 --> 05:42:46.579
AND HEALTH INSURANCE COMPANIES I
05:42:46.646 --> 05:42:48.481
WON'T -- REPEAT WHAT MY
05:42:48.547 --> 05:42:49.749
COLLEAGUE BROUGHT IT BUT WE
05:42:49.815 --> 05:42:51.350
WOULD LIKE TO POINT OUT AND THE
05:42:51.417 --> 05:42:52.652
ANALYSIS DID A WONDERFUL JOB OF
05:42:52.718 --> 05:42:53.953
KIND OF SPELLING OUT.
05:42:54.020 --> 05:42:54.854
SOME OF THE WORK THAT'S BEEN
05:42:54.921 --> 05:42:56.389
DONE ON THE FEDERAL LEVEL
05:42:56.455 --> 05:42:58.190
THROUGH A HIP OR NATIONAL TRADE
05:42:58.257 --> 05:42:59.892
AND THROUGH THE AN AC. TO COME
05:42:59.959 --> 05:43:02.194
UP WITH A WORK GROUP THERE
05:43:02.261 --> 05:43:03.229
WORKING WITH PHYSICIANS
05:43:03.296 --> 05:43:05.631
HOSPITALS PROVIDER GROUPS TO
05:43:05.698 --> 05:43:06.866
LOOK AT THIS ISSUE.
05:43:06.933 --> 05:43:09.001
HOW TO HOW TO BETTER BRING
05:43:09.068 --> 05:43:11.103
ACCESS AND QUALITY CARE TO
05:43:11.170 --> 05:43:13.539
INDIVIDUALS AND DO IN A FASTER
05:43:13.606 --> 05:43:14.941
MORE PRODUCTIVE WAY AND WE THINK
05:43:15.007 --> 05:43:17.176
THAT THAT MIGHT BE A BETTER WAY
05:43:17.243 --> 05:43:18.844
TO LOOK AT THIS ISSUE VERSES?
05:43:18.911 --> 05:43:19.879
DOING SOMETHING ON THE STATE
05:43:19.946 --> 05:43:21.881
LEVEL AS MY COLLEAGUE MENTIONED
05:43:21.948 --> 05:43:23.349
THE INFORMATION IF YOU'RE NOT
05:43:23.416 --> 05:43:25.017
LOOKING AT THE RATIONALE FOR WHY
05:43:25.084 --> 05:43:26.552
SOMETHING WAS DENIED OR MODIFIED
05:43:26.619 --> 05:43:27.520
YOU'RE NOT REALLY GOING TO
05:43:27.586 --> 05:43:29.488
UNDERSTAND THE FULL SCOPE OF
05:43:29.555 --> 05:43:30.856
WHAT'S HAPPENING WITHIN THE
05:43:30.923 --> 05:43:32.158
PROVIDER SYSTEM.
05:43:32.224 --> 05:43:33.426
AND UNLESS YOU MAKE SHE'S GONNA
05:43:33.492 --> 05:43:34.660
DO YOUR CD I IS GOING TO DO THAT
05:43:34.727 --> 05:43:36.963
REAL HOLISTIC EVALUATION WE
05:43:37.029 --> 05:43:37.797
THINK THIS IS A LOT OF
05:43:37.863 --> 05:43:39.065
INFORMATION THAT'S NOT ACTUALLY
05:43:39.131 --> 05:43:40.099
GOING TO BE VALUE BASE TO THE
05:43:40.166 --> 05:43:41.067
CONSUMER.
05:43:41.133 --> 05:43:42.902
SO WE WOULD LOOK FORWARD TO
05:43:42.969 --> 05:43:44.437
WORKING WITH THE AUTHOR AND THE
05:43:44.503 --> 05:43:45.938
SPONSORS WE THINK WE SHOULD LOOK
05:43:46.005 --> 05:43:47.740
TO A HIP IS A NATIONAL TRADE AND
05:43:47.807 --> 05:43:49.408
IS A LEADER IN THIS AREA AS WELL
05:43:49.475 --> 05:43:50.309
AS AN AC.
05:43:50.376 --> 05:43:51.811
AND SEE IF WE MIGHT BE ABLE TO
05:43:51.877 --> 05:43:52.979
COME UP WITH.
05:43:53.045 --> 05:43:54.280
NOT ONLY A STATE BUT A NATIONAL
05:43:54.347 --> 05:43:55.715
MODEL IN ORDER TO HELP
05:43:55.781 --> 05:43:57.149
PHYSICIANS AND CONSUMERS AND
05:43:57.216 --> 05:44:01.654
PLANTS MAKE SURE THAT EVERYONE
05:44:01.721 --> 05:44:06.625
HAS ACCESS TO CARE.
05:44:06.692 --> 05:44:07.126
IS THERE ANYONE ELSE IN
05:44:07.193 --> 05:44:09.195
OPPOSITION.
05:44:09.261 --> 05:44:10.162
SEN KNOWN BRING BACK TO
05:44:10.229 --> 05:44:10.696
COMMITTEE FOR QUESTIONS OR
05:44:10.763 --> 05:44:13.532
COMMENTS.
05:44:13.599 --> 05:44:15.534
QUESTION BECAUSE I I GUESS I
05:44:15.601 --> 05:44:17.536
WOULD JUST LIKE TO ONE MAKE A
05:44:17.603 --> 05:44:19.071
COMMENT I THINK I THINK WHAT.
05:44:19.138 --> 05:44:20.506
I THINK WHAT YOU'RE SEEING.
05:44:20.573 --> 05:44:23.109
YOU KNOW FROM THE SPONSORS.
05:44:23.175 --> 05:44:26.779
IS IS A FRUSTRATION OVER THE
05:44:26.846 --> 05:44:29.048
NILES FOR CERTAIN.
05:44:29.115 --> 05:44:30.783
ABOUT OF AT CERTAIN PROCEDURES
05:44:30.850 --> 05:44:34.053
AND AND SO -- IN THE ABSENCE OF
05:44:34.120 --> 05:44:37.456
OF THE DATA IT'S DIFFICULT. TO
05:44:37.523 --> 05:44:38.657
TO TO BE ABLE TO GET A HANDLE ON
05:44:38.724 --> 05:44:41.127
ON ON IS THAT A PERVASIVE
05:44:41.193 --> 05:44:43.095
PROBLEM OR IS AT ANECDOTAL.
05:44:43.162 --> 05:44:46.399
VOTE BY BY PROVIDER -- AND IF
05:44:46.465 --> 05:44:48.100
THERE IS A DENIAL OF CARE WHEN
05:44:48.167 --> 05:44:50.503
THERE SHOULD BE -- SHOULD BE
05:44:50.569 --> 05:44:53.039
APPROVED -- THEN THEN MAYBE
05:44:53.105 --> 05:44:54.273
THERE'S A MISCOMMUNICATION
05:44:54.340 --> 05:44:55.741
BETWEEN THE PLAN AND THE AND THE
05:44:55.808 --> 05:44:57.576
PROVIDER TO BE ABLE TO DO THAT
05:44:57.643 --> 05:45:00.513
SO SO I'M KIND OF A BELIEVER.
05:45:00.579 --> 05:45:01.781
ACTUALLY NOT I'M KIND OF I AM A
05:45:01.847 --> 05:45:03.382
FIRM BELIEVER IN DATA AND I
05:45:03.449 --> 05:45:05.084
THINK THAT SO I THINK THE
05:45:05.151 --> 05:45:06.919
PURPOSE OF THIS IS IS TO TRY TO
05:45:06.986 --> 05:45:09.422
FIND HIS IS JUST ANECDOTAL OR IS
05:45:09.488 --> 05:45:11.157
THIS A REAL PROBLEM AND IN THIS
05:45:11.223 --> 05:45:12.658
AREA AND IF IT IS.
05:45:12.725 --> 05:45:14.427
HOW DO WE GET THE PARTIES
05:45:14.493 --> 05:45:15.828
TOGETHER TO GET MAKE SURE THAT
05:45:15.895 --> 05:45:17.997
WE'RE NOT PREVENTING PEOPLE FROM
05:45:18.064 --> 05:45:19.098
GETTING CARE?
05:45:19.165 --> 05:45:20.299
THAT THEY'RE ENTITLED.
05:45:20.366 --> 05:45:21.200
TO BECAUSE OF THE
05:45:21.267 --> 05:45:25.604
MISCOMMUNICATION OR OR WHATEVER.
05:45:25.671 --> 05:45:26.238
SO I UNDERSTAND IT'S I
05:45:26.305 --> 05:45:27.807
UNDERSTAND.
05:45:27.873 --> 05:45:29.708
BOTH SIDES OF THIS AND I I KNOW
05:45:29.775 --> 05:45:32.044
THAT THE AUTHOR WILL CONTINUE
05:45:32.111 --> 05:45:33.579
WORKING WORKING THROUGH.
05:45:33.646 --> 05:45:35.848
AS WE GO FORWARD ON THIS -- THE
05:45:35.915 --> 05:45:37.416
BILL DOES ENJOY -- A DO PASS
05:45:37.483 --> 05:45:40.953
RECOMMENDATION -- WOULD YOU LIKE
05:45:41.020 --> 05:45:43.689
TO CLOSE MISTER I RESPECTFULLY
05:45:43.756 --> 05:45:46.058
ASK PRIVATE.
05:45:46.125 --> 05:45:47.793
HE DID ACCEPT THE MINUTES SO ARE
05:45:47.860 --> 05:45:49.361
THE BILL AS A DO PASS AS AMENDED
05:45:49.428 --> 05:45:51.464
TO APPROPRIATIONS -- MATTER
05:45:51.530 --> 05:45:54.300
SECRETARY PLEASE CALL THE ROLL
05:45:54.366 --> 05:45:56.702
WHEN I WHEN I MAYES MAYES AYE
05:45:56.769 --> 05:45:59.738
AGUIAR-CURRY.
05:45:59.805 --> 05:46:01.640
AGAR CURRY I BIGELOW.
05:46:01.707 --> 05:46:03.209
BIGELOW NOT VOTING BONTA.
05:46:03.275 --> 05:46:05.144
BONTA AYE BURKE.
05:46:05.211 --> 05:46:09.215
CARILLO I GREW AYE FLORA
05:46:09.281 --> 05:46:09.515
[inaudible]
05:46:09.582 --> 05:46:11.250
LIMON.
05:46:11.317 --> 05:46:13.552
LIMON ONLINE MCCARTY.
05:46:13.619 --> 05:46:15.087
PARTY AYE NAZARIAN.
05:46:15.154 --> 05:46:18.524
NAZARIAN AYE ROSS FROM US I
05:46:18.591 --> 05:46:21.293
RODRIGUEZ.
05:46:21.360 --> 05:46:24.897
RODRIGUEZ AYE SANTIAGO.
05:46:24.964 --> 05:46:29.568
SANTIAGO AYE WALDRON.
05:46:29.635 --> 05:46:31.604
SO THAT HAS TWELVE VOTE YOUR
05:46:31.670 --> 05:46:33.272
BILL GOES OUT ON THE ROLE OF
05:46:33.339 --> 05:46:36.842
OPEN FOR OTHER STAT ON MR BONTA
05:46:36.909 --> 05:46:53.225
LAST BUT NOT LEAST
05:46:54.593 --> 05:46:54.660
.
05:46:54.660 --> 05:46:56.428
MOVE THE BILL.
05:46:56.495 --> 05:46:57.429
THANK YOU MISTER CHAIR AND
05:46:57.496 --> 05:46:58.197
COLLEAGUES FOR THE OPPORTUNITY
05:46:58.264 --> 05:46:58.764
TO PRESENT AB FIFTEEN FIFTY
05:46:58.831 --> 05:46:59.598
TODAY THIS IS A COMMON SENSE
05:46:59.665 --> 05:47:00.132
BILL THAT WOULD EXTEND THE
05:47:00.199 --> 05:47:00.499
AMOUNT OF TIME.
05:47:00.566 --> 05:47:01.667
SOMEONE IN A MENTAL HEALTH
05:47:01.734 --> 05:47:03.969
CRISIS CAN RECEIVE TREATMENT AT
05:47:04.036 --> 05:47:04.703
A CRISIS STABILIZATION UNIT
05:47:04.770 --> 05:47:06.105
INSTEAD OF PREMATURELY CUTTING
05:47:06.172 --> 05:47:07.673
OFF SERVICE BECAUSE OF AN
05:47:07.740 --> 05:47:09.074
ARBITRARY TWENTY FOUR HOUR.
05:47:09.141 --> 05:47:10.543
LIMIT I RESPCTFULLY ASK FOR
05:47:10.609 --> 05:47:12.645
YOUR AYE VOTE WITH ME TO TESTIFY
05:47:12.711 --> 05:47:15.281
IN SUPPORT IS.
05:47:15.347 --> 05:47:18.450
BARBARA JONES FROM TENET HEALTH.
05:47:18.517 --> 05:47:20.719
GETTING TURN MEMBERS I WILL MAKE
05:47:20.786 --> 05:47:22.588
THIS BRIEF -- MY NAME IS BARBARA
05:47:22.655 --> 05:47:24.423
JONES I'M WITH TEN AND HEALTH
05:47:24.490 --> 05:47:26.926
CARE -- TENANT OWNS AND OPERATES
05:47:26.992 --> 05:47:28.294
THIRTEEN HOSPITALS WITHIN THE
05:47:28.360 --> 05:47:30.162
STATE OF CALIFORNIA INCLUDING.
05:47:30.229 --> 05:47:32.932
A SIXTY SEVEN BAD INPATIENT
05:47:32.998 --> 05:47:35.334
PSYCHIATRIC UNIT -- TEN IT ALSO
05:47:35.401 --> 05:47:37.036
PROVIDES A DISPROPORTIONATE
05:47:37.102 --> 05:47:39.939
SHARE OF MEDI CAL -- SERVICES AS
05:47:40.005 --> 05:47:43.943
WELL AS SERVICES TO THE UNDER
05:47:44.009 --> 05:47:45.077
INSURED AND UNINSURED.
05:47:45.144 --> 05:47:46.111
ACROSS THE STATE WERE STRUGGLING
05:47:46.178 --> 05:47:47.580
TO MEET THE NEEDS OF BEHAVIORAL
05:47:47.646 --> 05:47:49.181
HEALTH PATIENTS AND CRISES.
05:47:49.248 --> 05:47:50.716
UNFORTUNATELY THE DELIVERY
05:47:50.783 --> 05:47:52.218
SYSTEM IS FRACTURED AND THE
05:47:52.284 --> 05:47:54.019
RIGIDITY OF THE LAW PUTS US IN A
05:47:54.086 --> 05:47:55.621
POSITION OF TRADING OFF ONE
05:47:55.688 --> 05:47:58.190
COMPLIANCE ISSUE FOR ANOTHER.
05:47:58.257 --> 05:47:59.491
OUTPATIENT SERVICES ARE
05:47:59.558 --> 05:48:01.760
RESTRICTED TO TWENTY FOUR HOURS
05:48:01.827 --> 05:48:03.495
SO TWENTY FOUR HOURS WILL COME
05:48:03.562 --> 05:48:05.030
AND GO AND WE ARE WITHOUT A
05:48:05.097 --> 05:48:08.067
PLACEMENT FOR A PATIENT AND
05:48:08.133 --> 05:48:10.536
POSSIBLY NOT HAVING RESOLVED
05:48:10.603 --> 05:48:12.504
THEIR CRISES.
05:48:12.571 --> 05:48:13.839
WE RECOGNIZE THAT WE NEED MORE
05:48:13.906 --> 05:48:15.841
FACILITIES WE NEED MORE TOOLS
05:48:15.908 --> 05:48:16.842
FOR PROVIDING MENTAL HEALTH
05:48:16.909 --> 05:48:18.677
NEEDS IN THE STATE AND THAT
05:48:18.744 --> 05:48:20.212
TAKES TIME AND MONEY.
05:48:20.279 --> 05:48:21.780
THIS BILL MAY NOT SOLVE ALL OF
05:48:21.847 --> 05:48:23.515
THE PROBLEMS BUT BY PERMITTING
05:48:23.582 --> 05:48:25.451
THE CRISIS STABILIZATION UNITS
05:48:25.517 --> 05:48:27.620
TO FLEX THEIR TIME BEYOND TWENTY
05:48:27.686 --> 05:48:29.455
FOUR HOURS WE'RE REMOVING SOME
05:48:29.521 --> 05:48:31.023
OF THE PRESSURE.
05:48:31.090 --> 05:48:33.425
AND IMMEDIATELY THAT MIGHT BE
05:48:33.492 --> 05:48:35.794
THE BEST THAT WE CAN HOPE.
05:48:35.861 --> 05:48:37.763
FOR WE APPRECIATE YOUR TIME AND
05:48:37.830 --> 05:48:39.531
ASK FOR AN AYE VOTE.
05:48:39.598 --> 05:48:40.432
IMAGE.
05:48:40.499 --> 05:48:42.234
OTHERS IN SUPPORT.
05:48:42.301 --> 05:48:43.135
CHRIS THE CHAOS HERE ON BEHALF
05:48:43.202 --> 05:48:45.037
CALIFORNIA ACADEMY OF CHILD AND
05:48:45.104 --> 05:48:46.772
ADOLESCENT PSYCHIATRY SPORT.
05:48:46.839 --> 05:48:48.574
THANK YOU.
05:48:48.641 --> 05:48:50.509
SIR ANYONE ELSE'S SUPPORT ANYONE
05:48:50.576 --> 05:48:52.811
OPPOSITION.
05:48:52.878 --> 05:48:54.380
CHAIR MEMBERS OUT SOUTH OF THE
05:48:54.446 --> 05:48:55.814
CALIFORNIA SCHOOL ASSOCIATION IS
05:48:55.881 --> 05:48:57.583
VERY BRIEFLY WE HAD AN OPPOSE
05:48:57.650 --> 05:48:58.984
UNLESS EMINENT POSITION SOME
05:48:59.051 --> 05:49:01.220
CONCERNS AROUND PATIENT SAFETY
05:49:01.287 --> 05:49:02.521
THE AMENDMENTS TAKEN COMMITTEE.
05:49:02.588 --> 05:49:03.822
BRING US A LONG WAY TOWARDS
05:49:03.889 --> 05:49:05.291
WHERE WE WANT TO GO WE CERTAINLY
05:49:05.357 --> 05:49:06.425
SHARE THE GOAL OF GETTING
05:49:06.492 --> 05:49:08.327
PATIENTS ACCESS TO SERVICES AND
05:49:08.394 --> 05:49:09.762
I THINK WE CAN GET THERE.
05:49:09.828 --> 05:49:12.097
WITH THIS BILL SO HOPING TO GO
05:49:12.164 --> 05:49:12.731
NEUTRAL IN THE LITTLE TIME TO
05:49:12.798 --> 05:49:16.602
RECEIVE IMMENSE IF NOT SUPPORT
05:49:16.669 --> 05:49:19.238
AT SOME POINT.
05:49:19.305 --> 05:49:20.939
ANY ANY HAVE ANYONE ELSE THERE
05:49:21.006 --> 05:49:22.174
ANY COMMENTSOR QUESTIONS FROM
05:49:22.241 --> 05:49:23.842
THE DESK OF MISTER RAMOS THANK
05:49:23.909 --> 05:49:25.477
YOU MISTER CHAIRMAN AND THANK
05:49:25.544 --> 05:49:26.679
YOU TO YOU OFFER THOSE BRING IN
05:49:26.745 --> 05:49:28.681
A CRISIS STABILIZATION UNITS. TO
05:49:28.747 --> 05:49:30.949
THE FOR FROM THE DISCUSSION --
05:49:31.016 --> 05:49:32.785
IN SEMINOLE COUNTY WE WORK
05:49:32.851 --> 05:49:34.153
FORWARD ON ON CRISIS
05:49:34.219 --> 05:49:36.555
STABILIZATION UNITS -- TO SHOW
05:49:36.622 --> 05:49:38.657
THAT WE CAN ACTUALLY HAVE AN
05:49:38.724 --> 05:49:40.192
IMPACT ON THE EMERGENCY ROOM --
05:49:40.259 --> 05:49:41.960
OVERCROWDING AS WELL AS AND
05:49:42.027 --> 05:49:43.295
TRANSPORTATION TO TO COUNTY
05:49:43.362 --> 05:49:44.663
JAILS FOR THOSE THAT ARE
05:49:44.730 --> 05:49:46.865
SUFFERING FROM CERTAIN MENTAL
05:49:46.932 --> 05:49:49.368
MENTAL -- EPISODES OVER THERE SO
05:49:49.435 --> 05:49:51.904
THE CRISIS STABILIZATION UNITS --
05:49:51.970 --> 05:49:53.672
SERVE THAT PURPOSE AND BEING
05:49:53.739 --> 05:49:55.074
ABLE TO THEN GET SOMEBODY
05:49:55.140 --> 05:49:57.109
STABILIZED -- TO WHERE THEY NEED
05:49:57.176 --> 05:49:59.044
TO BE -- IS SOMETHING THAT I
05:49:59.111 --> 05:50:00.679
THINK WE NEED TO HAVE MORE
05:50:00.746 --> 05:50:02.981
DIALOGUE AROUND SO THIS IS
05:50:03.048 --> 05:50:03.816
SOMETHING MOVING IN THAT
05:50:03.882 --> 05:50:05.017
DIRECTION THIS IS.
05:50:05.084 --> 05:50:06.518
AN AREA THAT I WHOLEHEARTEDLY
05:50:06.585 --> 05:50:10.956
SUPPORT SO -- I LOOK FOR TO
05:50:11.023 --> 05:50:13.192
SUPPORT YOUR BILL.
05:50:13.258 --> 05:50:13.959
THANK YOU MISTER ROBERTS.
05:50:14.026 --> 05:50:15.627
ANYONE ELSE.
05:50:15.694 --> 05:50:17.329
SEE NO ONE THE BILL DOES -- YOU
05:50:17.396 --> 05:50:19.331
HAVE ACCEPTED THE AMENDMENTS I
05:50:19.398 --> 05:50:22.234
HAVE THANKS I'D SAY THAT A TOP
05:50:22.301 --> 05:50:24.370
AND WANT TO CLARIFY THAT I DO.
05:50:24.436 --> 05:50:26.505
YES SIR YES SO -- THANK YOU I
05:50:26.572 --> 05:50:28.273
THINK IT'S I CAN'T REMEMBER IF
05:50:28.340 --> 05:50:30.542
YOU DID OR YOU DIDN'T -- SO --
05:50:30.609 --> 05:50:31.777
THE BILL DOES ENJOY DO PASS
05:50:31.844 --> 05:50:33.479
RECOMMENDATION IS TO PASS AS
05:50:33.545 --> 05:50:35.614
AMENDED TO APPROPRIATIONS --
05:50:35.681 --> 05:50:38.083
WHICH LIKE TO CROSS ASPECTS WE
05:50:38.150 --> 05:50:39.351
ASK YOUR AYE ABOUT THANK YOU.
05:50:39.418 --> 05:50:40.886
THANK YOU MISTER BONTA --
05:50:40.953 --> 05:50:42.020
SECRETARY.
05:50:42.087 --> 05:50:42.955
WE HAVE A MOTION.
05:50:43.021 --> 05:50:45.124
BY MISS CARILLO SECOND BY MISTER
05:50:45.190 --> 05:50:48.394
RAMOS -- PLEASE CALL THE ROLL.
05:50:48.460 --> 05:50:53.098
WHAT AS A YES WHAT I?
05:50:53.165 --> 05:50:56.034
MAYES.
05:50:56.101 --> 05:50:57.503
NOT VOTING MEANS NOT VOTING
05:50:57.569 --> 05:51:00.372
AGUIAR-CURRY I AGREE I BIGELOW.
05:51:00.439 --> 05:51:03.142
BIGELOW AYE BONTA.
05:51:03.208 --> 05:51:05.544
HI BUT I BURKE.
05:51:05.611 --> 05:51:08.247
BURKE I CARILLO.
05:51:08.313 --> 05:51:10.983
CARILLO AYE FLORA FOR I LEVEL.
05:51:11.049 --> 05:51:12.885
LEVINE I MCCARTY.
05:51:12.951 --> 05:51:15.254
MCCARTY I NAZARIAN.
05:51:15.320 --> 05:51:17.423
NAZARIAN AYE RAMOS.
05:51:17.489 --> 05:51:19.324
RAMOS I RODRIGUEZRODRIGUEZ AYE
05:51:19.391 --> 05:51:22.261
SANTIAGO [inaudible]
05:51:22.327 --> 05:51:25.831
WALDRON.
05:51:25.898 --> 05:51:27.533
WE HAVE TWELVE OF TWELVE VOTES
05:51:27.599 --> 05:51:29.234
YOUR BILL IS OUT -- WILL LEAVE
05:51:29.301 --> 05:51:30.536
THE DOOR OPEN FOR OTHERS TO ADD
05:51:30.602 --> 05:51:32.137
ON THANK YOU MISTER CHAIR THANK
05:51:32.204 --> 05:51:33.038
YOU COLLEAGUES THANK YOU STUFF.
05:51:33.105 --> 05:51:37.910
OKAY SO -- WHAT WILL WE?
05:51:37.976 --> 05:51:38.510
WERE ONLY GOING TO GO THROUGH
05:51:38.577 --> 05:51:39.778
THE BILL'S ONE TIME SO WE NEED
05:51:39.845 --> 05:51:41.447
TO HAVE WE'RE GONNA WAIT FOR A
05:51:41.513 --> 05:51:44.483
MOMENT FOR MISS WALDRON TO COME.
05:51:44.550 --> 05:51:45.417
THE MEANTIME.
05:51:45.484 --> 05:51:46.985
WE HAVE A BIRTHDAY TO CELEBRATE.
05:51:47.052 --> 05:51:50.122
OUR VICE CHAIR.
05:51:50.189 --> 05:51:59.998
MR MAYS I THINK -- THE FOR DAY
05:52:00.065 --> 05:52:00.299
[inaudible]
05:52:00.365 --> 05:52:24.857
HAVE --
05:52:25.224 --> 05:52:25.457
AND THAT AGING
05:52:25.524 --> 05:52:30.295
POPULATION.
05:52:30.362 --> 05:52:32.798
WELL SOME OF LEFT WILL HAVE
05:52:32.865 --> 05:52:34.066
SOMEBODY HELP WITH CANADA.
05:52:34.132 --> 05:52:35.100
CLEARLY THERE'S NO BLOOD SUGAR
05:52:35.167 --> 05:52:36.702
APPEARS SO WE NEED TO HAVE
05:52:36.768 --> 05:52:38.437
SOMEONE CUT THAT OUT.
05:52:38.504 --> 05:52:40.405
SO WE CAN BEGIN IN JUST A SECOND --
05:52:40.472 --> 05:52:41.306
PATTY WILL BE RIGHT BACK WHEELS
05:52:41.373 --> 05:52:42.107
WILL START GOING THROUGH THIS SO
05:52:42.174 --> 05:52:44.610
WE CAN ONLY GOES WILL HAVE TO GO
05:52:44.676 --> 05:52:45.010
TO THIS ONE TIME.
05:52:45.077 --> 05:52:46.745
SO.
05:52:46.812 --> 05:52:48.647
HANG TIGHT JUST ONE MINUTE.
05:52:48.714 --> 05:52:49.515
HIS BACK.
05:52:49.581 --> 05:52:50.516
THAT WE'RE ALL HERE WE JUST NEED
05:52:50.582 --> 05:52:57.289
WE CAN'T DO THIS WITHOUT PATTY.
05:52:57.356 --> 05:52:57.489
OKAY.
05:52:57.556 --> 05:53:00.192
ALL RIGHT.
05:53:00.259 --> 05:53:03.161
THESE.
05:53:03.228 --> 05:53:06.131
TO OKAY WE DON'T HAVE A POOR MAN
05:53:06.198 --> 05:53:09.902
YOU HAVE A GOOD CONSENT.
05:53:09.968 --> 05:53:11.136
IS THE FOURTEENTH GREEN PASSED
05:53:11.203 --> 05:53:11.336
OKAY.
05:53:11.403 --> 05:53:12.271
SO WE HAVE A CONSENT CALENDAR
05:53:12.337 --> 05:53:13.238
WITH.
05:53:13.305 --> 05:53:20.279
A BUNCH OF BILLS ON IT -- I CAN --
05:53:20.345 --> 05:53:22.347
IT'S AB FORTY THREE AB TWO
05:53:22.414 --> 05:53:22.981
THIRTY TWO A. B. TWO FIFTY FOUR
05:53:23.048 --> 05:53:24.216
AB.
05:53:24.283 --> 05:53:26.118
FIVE FIFTEEN AB.
05:53:26.184 --> 05:53:28.253
SIX SEVENTEEN AB SEVEN FORTY SIX
05:53:28.320 --> 05:53:29.655
AB.
05:53:29.721 --> 05:53:31.456
EIGHT NINETY EIGHT AB NINE
05:53:31.523 --> 05:53:34.927
NINETEEN SB ELEVEN TWENTY TWO AB.
05:53:34.993 --> 05:53:36.929
ELEVEN TWENTY EIGHT A. B. ELEVEN
05:53:36.995 --> 05:53:38.830
THIRTY ONE A. B..
05:53:38.897 --> 05:53:41.266
ELEVEN FIFTY TWO AB TWELVE
05:53:41.333 --> 05:53:43.135
TWENTY SEVEN A. B..
05:53:43.201 --> 05:53:44.703
THIRTEEN FIFTY TWO A B. FORTINO
05:53:44.770 --> 05:53:47.673
FOR AB SEVENTEEN ELEVEN AND AB
05:53:47.739 --> 05:53:48.273
EIGHTEEN OH TWO BY THE HEALTH
05:53:48.340 --> 05:53:50.242
COMMITTEE AND AB EIGHTEEN OH
05:53:50.309 --> 05:53:50.842
THREE BY THE HEALTH COMMITTEE
05:53:50.909 --> 05:53:53.211
AND WE'VE GOT LIKE. THIRTEEN
05:53:53.278 --> 05:53:55.047
AUTHORS.
05:53:55.113 --> 05:53:56.214
AND I MISTER SEVEN FOUR OKAY AND
05:53:56.281 --> 05:53:58.183
AB SEVEN FOUR ONE I WAS ALSO ON
05:53:58.250 --> 05:54:01.520
CONSENT -- SO WE'RE LOOKING FOR
05:54:01.587 --> 05:54:06.191
A MOTION -- MOTION BY MISS BURKE.
05:54:06.258 --> 05:54:08.560
AND A CHORUS OF SECONDS.
05:54:08.627 --> 05:54:10.028
MISTER MESS.
05:54:10.095 --> 05:54:11.763
SO MADAM SECRETARY PLEASE CALL
05:54:11.830 --> 05:54:13.465
THE ROLL ON THE CONSENT CALENDAR
05:54:13.532 --> 05:54:15.734
WHEN I WOULD AYE MAYES MAYES AYE
05:54:15.801 --> 05:54:17.603
AGUIAR-CURRY.
05:54:17.669 --> 05:54:18.837
I GOT CURRY I BIGELOW.
05:54:18.904 --> 05:54:21.940
BIGELOW AYE BONTA BONTA AYE
05:54:22.007 --> 05:54:23.976
BURKE BURKE I CARILLO.
05:54:24.042 --> 05:54:26.979
I FLORA LARA AYE LIMóN.
05:54:27.045 --> 05:54:28.847
LOAN AYE MCCARTY.
05:54:28.914 --> 05:54:31.717
I IN THIS AREA.
05:54:31.783 --> 05:54:32.784
NAZARIAN AYE RAMOS.
05:54:32.851 --> 05:54:34.620
RAMOS I RODRIGUEZ RODRIGUEZ I
05:54:34.686 --> 05:54:35.988
SANTIAGO.
05:54:36.054 --> 05:54:38.957
SANTIAGO AYE WALDRON WATER HIGH.
05:54:39.024 --> 05:54:40.892
FIFTIES HAS.
05:54:40.959 --> 05:54:41.460
FIFTEEN ZERO SO GO TO ITEM
05:54:41.526 --> 05:54:46.732
NUMBER ONE AB EIGHT BY MISTER --
05:54:46.798 --> 05:54:49.201
TO PLEASE OPEN THE ROLL CALL
05:54:49.267 --> 05:54:51.436
GULP LIFT THE CALL AND CALL THE
05:54:51.503 --> 05:54:53.372
ABSENT MEMBERS.
05:54:53.438 --> 05:54:54.940
MAYES.
05:54:55.007 --> 05:54:57.009
MAYES NOT VOTING.
05:54:57.075 --> 05:55:00.779
BONTA BONTA AYE FLORA OF FLORIDA
05:55:00.846 --> 05:55:02.981
VOTING LIMóN [inaudible]
05:55:03.048 --> 05:55:07.819
LOAN I THIS AREA.
05:55:07.886 --> 05:55:12.057
NAZARIAN AYE SANTIAGO.
05:55:12.124 --> 05:55:13.358
AYE AYE SANTIAGO AYE
05:55:13.425 --> 05:55:13.659
[inaudible]
05:55:13.725 --> 05:55:14.426
WALDRON [inaudible]
05:55:14.493 --> 05:55:21.133
WATER NOW. TEN ONE THAT'S TEN TO
05:55:21.199 --> 05:55:23.635
ONE ITEM NUMBER.
05:55:23.702 --> 05:55:24.302
THREE SYSTEM TO ONE EXCUSE ME --
05:55:24.369 --> 05:55:26.238
ITEM NUMBER -- THREE AB FIFTY BY
05:55:26.304 --> 05:55:29.241
MISTER KALRA PLEASE A LIFT THE
05:55:29.307 --> 05:55:30.676
CALL OF THE ABSENT MEMBERS.
05:55:30.742 --> 05:55:32.844
BIGELOW.
05:55:32.911 --> 05:55:35.814
I BIGELOW AYE BONTA AYE BONTA
05:55:35.881 --> 05:55:37.215
AYE BURKE.
05:55:37.282 --> 05:55:42.354
BURKE AYE FLORA FLORA AYE LEVEL.
05:55:42.421 --> 05:55:45.991
LEMONT HIGH IN THIS AREA.
05:55:46.058 --> 05:55:48.326
NAZARIAN EYEING SANTIAGO.
05:55:48.393 --> 05:55:50.829
SANTIAGO AYE WALDRON.
05:55:50.896 --> 05:55:52.864
WALDRON AYE FIFTEEN ZERO THAT'S
05:55:52.931 --> 05:55:54.466
FIFTEEN ZERO ITEM NUMBER FOUR AB
05:55:54.533 --> 05:55:55.400
ONE SIXTY SIX BY MR GABRIEL
05:55:55.467 --> 05:55:57.035
PLEASE LIFT THE CALL CALL THE
05:55:57.102 --> 05:56:00.038
ABSENT MEMBERS MAYES.
05:56:00.105 --> 05:56:03.041
MAYES AYE BIGELOW.
05:56:03.108 --> 05:56:04.776
BIGELOW NOT VOTING I'M SORRY
05:56:04.843 --> 05:56:05.877
YOUR HONOR BONTA.
05:56:05.944 --> 05:56:09.047
BONTA I LIMON.
05:56:09.114 --> 05:56:13.318
LEVINE AYE THIS AREA.
05:56:13.385 --> 05:56:16.254
THE ONES IS THIS YES HI.
05:56:16.321 --> 05:56:19.658
THEY'RE I SANTIAGO.
05:56:19.725 --> 05:56:20.459
SANTIAGO AYE WALDRON
05:56:20.525 --> 05:56:20.759
[inaudible]
05:56:20.826 --> 05:56:22.928
WATER NO.
05:56:22.994 --> 05:56:25.497
12-1 THAT IS TWELVE TO ONE THAT
05:56:25.564 --> 05:56:26.765
PASSES.
05:56:26.832 --> 05:56:28.667
TWELVE TO ONE ITEM NUMBER --
05:56:28.734 --> 05:56:30.836
SEVEN A. B. TWO FIFTY EIGHT
05:56:30.902 --> 05:56:32.270
PLEASE LIST THE KHôNG CALL THE
05:56:32.337 --> 05:56:33.638
ABSENT MEMBERS [inaudible]
05:56:33.705 --> 05:56:37.042
MAYES.
05:56:37.109 --> 05:56:38.677
HI THIS TO FIFTY TO FIFTY EIGHT
05:56:38.744 --> 05:56:41.947
JONES SAWYER [inaudible] FIVE
05:56:42.013 --> 05:56:44.216
MAYES AYE AGUIAR-CURRY AGAR
05:56:44.282 --> 05:56:45.517
CURRY AYE BONTA.
05:56:45.584 --> 05:56:48.019
AYE BONTA AYE LEVEL.
05:56:48.086 --> 05:56:50.088
LOAN AYE MCCARTY. THIRTY AYE
05:56:50.155 --> 05:56:52.691
NAZARIAN.
05:56:52.758 --> 05:56:55.093
NAZARIAN AYE RODRIGUEZ.
05:56:55.160 --> 05:56:57.395
RODRIGUEZ I SANTIAGO SANTIAGO
05:56:57.462 --> 05:56:58.597
AYE WALDRON [inaudible]
05:56:58.663 --> 05:57:02.100
WALDRON AYE. FIFTEEN ZERO THAT'S
05:57:02.167 --> 05:57:02.701
FIFTEEN ZERO I REMEMBER EIGHT
05:57:02.768 --> 05:57:04.202
WAS PULLED UP BY THE AUTHOR ITEM
05:57:04.269 --> 05:57:07.172
NUMBER -- NINE MISTER SOLACE --
05:57:07.239 --> 05:57:09.674
PLEASE LET THE CALL CALL THE
05:57:09.741 --> 05:57:12.043
ABSENT MEMBERS MAYES.
05:57:12.110 --> 05:57:14.079
HI.
05:57:14.146 --> 05:57:16.014
MAYES AYE ANGER CURRY.
05:57:16.081 --> 05:57:17.182
I BONTA.
05:57:17.249 --> 05:57:20.452
BONSAI FLORA FLORA I LEVEL.
05:57:20.519 --> 05:57:22.454
THE MODE AYE MCCARTY.
05:57:22.521 --> 05:57:25.023
MCCARTY I NAZARIAN.
05:57:25.090 --> 05:57:27.259
NAZARIAN AYE RODRIGUEZ.
05:57:27.325 --> 05:57:28.660
RODRIGUEZ AYE SANTIAGO.
05:57:28.727 --> 05:57:30.061
SANTIAGO AYE.
05:57:30.128 --> 05:57:32.831
WALDRON.
05:57:32.898 --> 05:57:34.499
ORDER NOW.
05:57:34.566 --> 05:57:37.769
A MODERN AYE.
05:57:37.836 --> 05:57:41.339
THAT'S FIFTEEN ZERO ITEM NUMBER.
05:57:41.406 --> 05:57:43.475
TEN TENNIS TENS AND TENS SENATOR
05:57:43.542 --> 05:57:45.844
MODEL CONSENT A NUMBER ELEVEN AB
05:57:45.911 --> 05:57:47.813
FIVE SIXTY THREE PLEASE LET THE
05:57:47.879 --> 05:57:49.714
CALL AND CALL THE ABSENT MEMBERS.
05:57:49.781 --> 05:57:51.483
AGUIAR-CURRY.
05:57:51.550 --> 05:57:52.851
AGUIAR-CURRY I BIGELOW.
05:57:52.918 --> 05:57:54.486
BIGELOW AYE BONTA BONTA AYE
05:57:54.553 --> 05:57:55.987
BURKE.
05:57:56.054 --> 05:57:59.057
BURKE I FLORA FLORA AYE LIMóN.
05:57:59.124 --> 05:58:01.193
LOAN AYE MCCARTY.
05:58:01.259 --> 05:58:03.028
MCCARTY I IN THIS AREA.
05:58:03.094 --> 05:58:04.696
NAZARIAN AYE SANTIAGO SANTIAGO
05:58:04.763 --> 05:58:06.031
AYE WALDRON.
05:58:06.097 --> 05:58:08.700
WALDRON AYE FIFTEEN THAT'S
05:58:08.767 --> 05:58:10.702
FIFTEEN ZERO ITEM NUMBER TEN A.
05:58:10.769 --> 05:58:13.471
B. -- FIVE NINETY EIGHT IN
05:58:13.538 --> 05:58:14.272
SEARCH OF A MOTION.
05:58:14.339 --> 05:58:16.174
IT'S NOT TWELVE I'M SORRY NUMBER
05:58:16.241 --> 05:58:17.843
TWELVE SEES ME I REMEMBER TWELVE
05:58:17.909 --> 05:58:20.679
A. B. -- FIVE NINETY EIGHT
05:58:20.745 --> 05:58:21.346
MISTER BLOOM IN SEARCH OF MOTION
05:58:21.413 --> 05:58:22.380
AHEAD OF I DID HEAR MOTION BY
05:58:22.447 --> 05:58:27.285
MISTER SANTIAGO.
05:58:27.352 --> 05:58:31.957
THE SECOND BY MISTER FLORA. TO
05:58:32.023 --> 05:58:33.859
DO PASSED THE MOTION IS TO PASS
05:58:33.925 --> 05:58:37.229
TO APPROPRIATIONS.
05:58:37.295 --> 05:58:38.697
SECRETARY PLEASE CALL THE ROLL
05:58:38.763 --> 05:58:41.199
WHAT I WOULD AYE MAYES THINGS
05:58:41.266 --> 05:58:48.673
AYE ANGER CURRY I FLORA.
05:58:48.740 --> 05:58:50.308
FLORA AYE LIMóN.
05:58:50.375 --> 05:58:52.577
LOAN AYE MCCARTY.
05:58:52.644 --> 05:58:55.981
THE I. IN THIS AREA.
05:58:56.047 --> 05:58:57.782
THIS AREA AND I RAMOS.
05:58:57.849 --> 05:58:59.084
AB FIVE NINETY EIGHT MISTER
05:58:59.150 --> 05:59:01.186
BLOOM.
05:59:01.253 --> 05:59:03.321
FROM US I RODRIGUEZ RODRIGUEZ
05:59:03.388 --> 05:59:05.924
AYE SANTIAGO SANTIAGO AYE
05:59:05.991 --> 05:59:07.025
WALDRON.
05:59:07.092 --> 05:59:09.594
WALDRON AYE FIFTEEN ZERO THAT'S
05:59:09.661 --> 05:59:12.197
FIFTEEN ZERO ITEM NUMBER --
05:59:12.264 --> 05:59:14.633
FIFTEEN AB SIX FIFTY ONE BY MR
05:59:14.699 --> 05:59:15.500
GRAYSON.
05:59:15.567 --> 05:59:16.801
FROM AND SECRETARY PLEASE LIFT
05:59:16.868 --> 05:59:21.973
THE ROLL CALL THE ABSENT MEMBERS.
05:59:22.040 --> 05:59:23.942
WITH A CALL EXCUSE ME.
05:59:24.009 --> 05:59:25.777
CALL THE ABSENT MEMBERS.
05:59:25.844 --> 05:59:27.712
EGGER CURRY.
05:59:27.779 --> 05:59:28.847
I GET CURRY I BIGELOW.
05:59:28.914 --> 05:59:30.148
BIGELOW AYE BONTA.
05:59:30.215 --> 05:59:33.251
BONTA AYE BURKE BURKE AYE FLORA.
05:59:33.318 --> 05:59:36.554
FLORA I LIVE ON LOAN AYE MCCARTY.
05:59:36.621 --> 05:59:39.524
MCCARTY I IN THIS AREA NAZARIAN
05:59:39.591 --> 05:59:41.893
AYE SANTIAGO.
05:59:41.960 --> 05:59:44.362
SANTIAGO AYE WALDRON.
05:59:44.429 --> 05:59:47.265
WELL -- NINE FIFTEEN AS FIFTEEN
05:59:47.332 --> 05:59:50.702
ZERO PART OF APEC ITEM NUMBER
05:59:50.769 --> 05:59:51.269
SIXTEEN EIGHTY SIX FIFTY SIX
05:59:51.336 --> 05:59:53.071
PLEASE LIFT THE CALL CALL THE
05:59:53.138 --> 05:59:54.839
ABSENT MEMBERS MAY.
05:59:54.906 --> 05:59:56.241
OTHER.
05:59:56.308 --> 05:59:59.077
MAYES MEMORY AGUIAR-CURRY.
05:59:59.144 --> 06:00:01.947
AGAR CURRY I BIGELOW.
06:00:02.013 --> 06:00:03.615
BIGELOW NOT VOTING BONTA.
06:00:03.682 --> 06:00:04.983
BONTA AYE BURKE.
06:00:05.050 --> 06:00:07.218
BURKE AYE FLORA.
06:00:07.285 --> 06:00:10.255
FLORIDA VOTING LIMóN.
06:00:10.322 --> 06:00:13.058
LOW MOAN I MISS AREA NAZARIAN
06:00:13.124 --> 06:00:16.594
AYE SANTIAGO.
06:00:16.661 --> 06:00:17.896
SANTIAGO AYE WALDRON.
06:00:17.963 --> 06:00:22.834
WATER NOT VOTING. ELEVEN ZERO
06:00:22.901 --> 06:00:23.835
THAT'S ELEVEN DESERVE **** ITEM
06:00:23.902 --> 06:00:25.804
NUMBER SEVENTEEN EIGHTY SEVEN
06:00:25.870 --> 06:00:26.304
ONE NINE BY MISTER DEEP.
06:00:26.371 --> 06:00:29.174
PLEASE LIFT THE CALL CALL THE
06:00:29.240 --> 06:00:32.644
ABSENT MEMBERS HELLO.
06:00:32.711 --> 06:00:34.412
BIGELOW I BONTA.
06:00:34.479 --> 06:00:37.148
BONTA AYE FLORA FLORA I LIVE
06:00:37.215 --> 06:00:37.849
ALONE.
06:00:37.916 --> 06:00:40.352
LIMóN AYE MCCARTY.
06:00:40.418 --> 06:00:42.487
MCCARTY AYE NAZARIAN.
06:00:42.554 --> 06:00:45.623
IS THERE AN ICE SANTIAGO SANTO
06:00:45.690 --> 06:00:48.193
AYE WALDRON.
06:00:48.259 --> 06:00:49.961
OLDER.
06:00:50.028 --> 06:00:51.196
NINE FIFTEEN ITEM NUMBER
06:00:51.262 --> 06:00:52.063
NINETEEN PLEASE OPEN THE ROLL
06:00:52.130 --> 06:00:55.000
CALL THE ABSENT MEMBERS BIGELOW.
06:00:55.066 --> 06:00:58.636
BIGELOW I BONTA BONTA AYE FLORA.
06:00:58.703 --> 06:01:04.009
THIS AGUIAR-CURRY.
06:01:04.075 --> 06:01:06.044
FLORIDA VOTING OUT NAZARIAN
06:01:06.111 --> 06:01:08.413
TELEHEALTH.
06:01:08.480 --> 06:01:12.017
WE'RE GOOD SO.
06:01:12.083 --> 06:01:16.087
AND IS THERE AN I SANTIAGO.
06:01:16.154 --> 06:01:17.055
THE RESULT.
06:01:17.122 --> 06:01:21.593
OF THIS OR SANTIAGO.
06:01:21.659 --> 06:01:23.995
THANK YOU BYE [inaudible]
06:01:24.062 --> 06:01:24.562
FOURTEEN FOURTEEN ZERO ITEM
06:01:24.629 --> 06:01:26.698
NUMBER. TWENTY ONE AB SEVEN
06:01:26.765 --> 06:01:28.400
SIXTY THREE MISTER GRAY PLEASE --
06:01:28.466 --> 06:01:30.568
LIFT THE CALL CALL THE ABSENT
06:01:30.635 --> 06:01:32.670
MEMBERS BIGELOW.
06:01:32.737 --> 06:01:33.405
BIGELOW AYE BONTA BONTA AYE
06:01:33.471 --> 06:01:35.673
FLORA.
06:01:35.740 --> 06:01:37.308
FLORA I'LL AMONG.
06:01:37.375 --> 06:01:39.110
THE MON I MCCARTY.
06:01:39.177 --> 06:01:41.546
MCCARTY AYE NAZARIAN.
06:01:41.613 --> 06:01:44.549
NAZARIAN AYE SANTIAGO.
06:01:44.616 --> 06:01:47.218
SANTIAGO AYE WALDRON.
06:01:47.285 --> 06:01:48.186
WALDRON.
06:01:48.253 --> 06:01:49.354
NINE FIFTEEN ZERO THAT'S FIFTEEN
06:01:49.421 --> 06:01:50.655
ZERO ITEM NUMBER -- TWENTY THREE
06:01:50.722 --> 06:01:52.057
A. B. SEVEN SIXTY SEVEN WICKS
06:01:52.123 --> 06:01:54.626
PLEASE OPEN THE ROLE OR LIFT THE
06:01:54.692 --> 06:01:56.161
CALL CALL THE ABSENT MEMBERS.
06:01:56.227 --> 06:01:58.229
MAYES.
06:01:58.296 --> 06:01:58.997
IT'S NOT VOTING.
06:01:59.064 --> 06:02:01.166
BIGELOW.
06:02:01.232 --> 06:02:03.001
BIGELOW NO BONTA.
06:02:03.068 --> 06:02:05.770
BONTA AYE BURKE BURKE I CARILLO.
06:02:05.837 --> 06:02:08.673
CARILLO AYE FLORA.
06:02:08.740 --> 06:02:11.209
FLORIDA VOTING LEMOND.
06:02:11.276 --> 06:02:12.343
LIMON AYE MCCARTY.
06:02:12.410 --> 06:02:14.813
MCCARTY AYE NAZARIAN NAZARIAN
06:02:14.879 --> 06:02:15.847
AYE WALDRON.
06:02:15.914 --> 06:02:18.049
WALDRON NO.
06:02:18.116 --> 06:02:19.017
LOGIN.
06:02:19.084 --> 06:02:20.585
TO THAT'S ELEVEN TO TO THE PET
06:02:20.652 --> 06:02:20.919
BILL PASSES.
06:02:20.985 --> 06:02:21.586
ELEVEN TO TWO ITEM NUMBER TWENTY
06:02:21.653 --> 06:02:23.288
FOUR AB EIGHT TWENTY SIX PLEASE
06:02:23.354 --> 06:02:25.090
LIFT THE CALL CALL THE ABSENT
06:02:25.156 --> 06:02:26.691
MEMBERS MAYES.
06:02:26.758 --> 06:02:29.594
YES MAYES AYE BIGELOW.
06:02:29.661 --> 06:02:32.030
BIGELOW AYE BONTA BONTA AYE
06:02:32.097 --> 06:02:32.664
CARILLO.
06:02:32.730 --> 06:02:36.367
CARILLO AYE FLORA FOR I LEVEL.
06:02:36.434 --> 06:02:38.703
THE MON I MCCARTY.
06:02:38.770 --> 06:02:39.938
MCCARTY I IN THIS AREA.
06:02:40.004 --> 06:02:42.307
NAZARIAN AYE. FIFTEEN AS FIFTEEN
06:02:42.373 --> 06:02:45.009
ZERO ITEM NUMBER TWENTY FIVE
06:02:45.076 --> 06:02:45.643
EIGHTY EIGHT EIGHTY SEVEN MISTER
06:02:45.710 --> 06:02:48.513
KALRA PLEASE LIFT THE CALL CALL
06:02:48.580 --> 06:02:51.449
THE ABSENT MEMBERS BIGELOW.
06:02:51.516 --> 06:02:53.351
BIGELOW AYE BONTA AYE BONTA AYE
06:02:53.418 --> 06:02:54.385
BURKE.
06:02:54.452 --> 06:02:57.422
BURKE AYE FLORA FLORA EILEMA
06:02:57.489 --> 06:02:57.722
[inaudible]
06:02:57.789 --> 06:03:02.060
LIMóN I IN THIS AREA.
06:03:02.127 --> 06:03:03.761
NAZARIAN AYE SANTIAGO.
06:03:03.828 --> 06:03:04.562
SANTIAGO AYE WALDRON
06:03:04.629 --> 06:03:04.863
[inaudible]
06:03:04.929 --> 06:03:09.067
WALDRON NO. FOURTEEN THAT'S
06:03:09.134 --> 06:03:12.270
FOURTEEN TO ONE ITEM NUMBER --
06:03:12.337 --> 06:03:12.904
TWENTY EIGHT EIGHTY NINE TWENTY
06:03:12.971 --> 06:03:13.705
MISS PETRIE-NORRIS PLEASE LIFT
06:03:13.771 --> 06:03:17.075
THE CALL CALL THE ABSENT MEMBERS
06:03:17.142 --> 06:03:17.375
[inaudible]
06:03:17.442 --> 06:03:19.444
BIGELOW.
06:03:19.511 --> 06:03:21.312
BIGELOW AYE BONTA.
06:03:21.379 --> 06:03:22.847
BONTA AYE FLORA.
06:03:22.914 --> 06:03:26.551
FLORA AYE LIMóN.
06:03:26.618 --> 06:03:28.353
Là M<c.cyan> NOT VOTING MCCARTY.</c>
06:03:28.419 --> 06:03:29.821
MCCARTY AYE.
06:03:29.888 --> 06:03:31.489
THIS AREA [inaudible]
06:03:31.556 --> 06:03:35.126
NAZARIAN I SANTIAGO.
06:03:35.193 --> 06:03:36.161
SANTIAGO AYE WALDRON.
06:03:36.227 --> 06:03:43.401
WALDRON AYE.
06:03:43.468 --> 06:03:47.772
HAS -- THIRTEEN ZERO THAT PASSES.
06:03:47.839 --> 06:03:49.641
THIRTEEN ZERO AB TEN THAT NUMBER
06:03:49.707 --> 06:03:51.142
TWENTY NINE A. B. TEN SIXTEEN
06:03:51.209 --> 06:03:56.714
MISTER MAIENSCHEIN PLEASE -- TEN
06:03:56.781 --> 06:03:57.282
SIXTEEN LOW CALL THE ABSENT
06:03:57.348 --> 06:03:58.650
MEMBERS.
06:03:58.716 --> 06:03:59.784
MAYES.
06:03:59.851 --> 06:04:01.653
MAYES AYE BIGELOW BIGELOW AYE
06:04:01.719 --> 06:04:02.987
BONTA.
06:04:03.054 --> 06:04:05.857
BONTA AYE FLORA FLORA EILEMA.
06:04:05.924 --> 06:04:08.126
Là MON I MCCARTY.
06:04:08.193 --> 06:04:10.461
MCCARTY I IN THIS AREA.
06:04:10.528 --> 06:04:12.297
THIS VERY NIGHT FIFTEEN AS
06:04:12.363 --> 06:04:12.964
FIFTEEN ZERO ITEM NUMBER THIRTY
06:04:13.031 --> 06:04:15.767
AB TEN FIFTY EIGHT BY MR SALAS
06:04:15.833 --> 06:04:18.436
PLEASE LIFT THE THE THE CALL
06:04:18.503 --> 06:04:20.038
CALL THE ABSENT MEMBERS.
06:04:20.104 --> 06:04:22.473
MAYES AYE MAYES AYE AGUIAR-CURRY
06:04:22.540 --> 06:04:25.710
I AGREE I BONTA BONTA AYE FLORA
06:04:25.777 --> 06:04:27.412
FLOOR I LEVEL.
06:04:27.478 --> 06:04:29.013
ALONE I MCCARTY.
06:04:29.080 --> 06:04:30.915
MCCARTY INEZ AREA.
06:04:30.982 --> 06:04:32.283
NAZARIAN AYE RODRIGUEZ.
06:04:32.350 --> 06:04:33.685
RODRIGUEZ I SANTIAGO.
06:04:33.751 --> 06:04:38.389
SANTIAGO AYE WALDRON WALDRON AYE.
06:04:38.456 --> 06:04:39.357
FIFTEEN ZERO HAS FIFTEEN ZERO
06:04:39.424 --> 06:04:41.626
ITEM NUMBER THIRTY TWO AB ELEVEN
06:04:41.693 --> 06:04:42.560
TWENTY SIX BY MR O'DONNELL
06:04:42.627 --> 06:04:45.463
PLEASE LIFT THE CALL CALL THE
06:04:45.530 --> 06:04:47.465
ABSENT MEMBERS MAYES.
06:04:47.532 --> 06:04:48.833
MAYES AYE BIGELOW BIGELOW AYE
06:04:48.900 --> 06:04:50.401
BONTA.
06:04:50.468 --> 06:04:51.236
BONTA AYE BURKE.
06:04:51.302 --> 06:04:54.806
BURKE I CARILLO CARILLO I LEVEL.
06:04:54.872 --> 06:04:56.074
THE LOAN I MCCARTY.
06:04:56.140 --> 06:04:57.675
MCCARTY I IN THIS AREA.
06:04:57.742 --> 06:04:59.544
NAZARIAN AYE RODRIGUEZ.
06:04:59.611 --> 06:05:02.013
RODRIGUEZ AYE SANTIAGO.
06:05:02.080 --> 06:05:04.515
SANTIAGO AYE WALDRON.
06:05:04.582 --> 06:05:05.917
WALDRON NINE FIFTEEN ZERO AS
06:05:05.984 --> 06:05:06.551
FIFTEEN ZERO ITEM NUMBER THIRTY
06:05:06.618 --> 06:05:07.852
SIX A. B. ELEVEN SIXTY ONE BY
06:05:07.919 --> 06:05:09.621
MISTER CALDERON -- LOOKING FOR A
06:05:09.687 --> 06:05:13.591
MOTION.
06:05:13.658 --> 06:05:14.225
I MISSED MOTION BY MISTER MAYES
06:05:14.292 --> 06:05:19.063
A SECOND BY MISTER FLORA.
06:05:19.130 --> 06:05:21.633
I CAN DO THAT IF YOU'D LIKE.
06:05:21.699 --> 06:05:23.468
ALL RIGHT THIS WE'RE GONNA STOP
06:05:23.534 --> 06:05:24.402
FOR A SECOND.
06:05:24.469 --> 06:05:28.940
WE'RE GONNA STOP.
06:05:29.007 --> 06:05:29.807
MISTER CALDERON IS BILL HE GOT
06:05:29.874 --> 06:05:36.714
SOME MARKET MUSIC [inaudible]
06:05:36.781 --> 06:05:43.921
I'M SORRY.
06:05:43.988 --> 06:05:46.257
THAT'S ALL HE GETS.
06:05:46.324 --> 06:05:47.358
HE'S NOT HERE.
06:05:47.425 --> 06:05:50.061
ANYWAY.
06:05:50.128 --> 06:05:54.232
YEAH WHERE WE WE HAVE A THE
06:05:54.299 --> 06:05:56.000
MOTION BY MISTER MAYES A SECOND
06:05:56.067 --> 06:06:00.405
BY MISTER FLORA THE MODE THE THE
06:06:00.471 --> 06:06:01.806
TO PASS SOME ENTERED I'M SORRY.
06:06:01.873 --> 06:06:04.242
WE NEED TO SING OR SOMETHING --
06:06:04.309 --> 06:06:06.511
MESSER TRIPLY CALL THE ROLL WHAT
06:06:06.577 --> 06:06:09.080
HI WHEN I MAYES MAYES AYE
06:06:09.147 --> 06:06:13.017
AGUIAR-CURRY BAKER CURRY I
06:06:13.084 --> 06:06:15.053
BIGELOW.
06:06:15.119 --> 06:06:17.455
BIGELOW I BONTA BONTA AYE BURKE
06:06:17.522 --> 06:06:20.091
BURKE I CARILLO CARILLO AYE
06:06:20.158 --> 06:06:21.559
FLORA FLOOR I LEVEL.
06:06:21.626 --> 06:06:23.928
LIMóN AYE MCCARTY.
06:06:23.995 --> 06:06:25.630
MCCARTY AYE NAZARIAN.
06:06:25.697 --> 06:06:27.332
IS THERE AND I RAMOS.
06:06:27.398 --> 06:06:28.499
BRELO'S AYE RODRIGUEZ.
06:06:28.566 --> 06:06:29.734
RODRIGUEZ AYE SANTIAGO.
06:06:29.801 --> 06:06:33.071
SANTIAGO AYE WALDRON WATER NINE
06:06:33.137 --> 06:06:33.738
FIFTEEN ZERO AS THE TWO ZERO FOR
06:06:33.805 --> 06:06:34.372
THE RECORD OF ANY ANY MEMBER OF
06:06:34.439 --> 06:06:35.606
THE COMMITTEE WANTS WALK AT
06:06:35.673 --> 06:06:36.207
MUSIC COULD JUST TELL ME WHAT
06:06:36.274 --> 06:06:36.841
YOU'RE.
06:06:36.908 --> 06:06:39.911
TELL ME WHAT YOUR REQUEST WILL
06:06:39.977 --> 06:06:40.144
BE ABLE.
06:06:40.211 --> 06:06:43.548
TO DO.
06:06:43.614 --> 06:06:44.148
I'LL TRY TO GET IN TROUBLE FOR
06:06:44.215 --> 06:06:44.349
THIS.
06:06:44.415 --> 06:06:45.883
SOMEBODY SOMEWHERE IS GOING TO
06:06:45.950 --> 06:06:47.618
PUT ME IN TROUBLE TOO LATE TODAY
06:06:47.685 --> 06:06:49.287
BUT YOU KNOW I'M SORRY.
06:06:49.354 --> 06:06:51.122
OKAY.
06:06:51.189 --> 06:06:51.723
WE CAN'T DO THAT ON THE FLOOR
06:06:51.789 --> 06:06:52.557
UNFORTUNATELY.
06:06:52.623 --> 06:06:55.093
ALL RIGHT -- ENOUGH OF THAT --
06:06:55.159 --> 06:06:57.929
ITEM NUMBER THIRTY SEVEN PLEASE --
06:06:57.995 --> 06:07:00.331
OPEN THE ROLL CALL THE ABSENT
06:07:00.398 --> 06:07:02.200
MEMBERS BIGELOW.
06:07:02.266 --> 06:07:03.768
HELLO I BONTA.
06:07:03.835 --> 06:07:04.769
BONTA AYE BURKE.
06:07:04.836 --> 06:07:06.904
AYE IN THIS AREA [inaudible]
06:07:06.971 --> 06:07:12.944
YES.
06:07:13.010 --> 06:07:15.747
NAZARIAN II RODRIGUEZ.
06:07:15.813 --> 06:07:18.216
RODRIGUEZ AYE SANTIAGO.
06:07:18.282 --> 06:07:19.784
SANTIAGO I FIFTEEN THROUGH.
06:07:19.851 --> 06:07:22.487
THAT'S FIFTEEN ZERO THAT PASSES --
06:07:22.553 --> 06:07:24.422
A. B. TWELVE FORTY NINE MISS
06:07:24.489 --> 06:07:25.590
ITEM NUMBER THIRTY NINE BY
06:07:25.656 --> 06:07:27.091
MISTER MAIENSCHEIN PLEASE OPEN
06:07:27.158 --> 06:07:28.659
THE ROLE AND CALL THE ABSENT
06:07:28.726 --> 06:07:31.396
MEMBERS NAMES.
06:07:31.462 --> 06:07:40.772
MAYES AYE BIGELOW.
06:07:40.838 --> 06:07:43.474
BIGELOW NOT VOTING.
06:07:43.541 --> 06:07:44.909
LEBRON.
06:07:44.976 --> 06:07:47.378
Là MON I MCCARTY.
06:07:47.445 --> 06:07:48.479
PARTY AYE NAZARIAN.
06:07:48.546 --> 06:07:50.181
IS THERE ANY.
06:07:50.248 --> 06:07:50.815
NINE FOURTEEN ZERO FOURTEEN ZERO
06:07:50.882 --> 06:07:52.517
ITEM NUMBER FORTY AB TWELVE
06:07:52.583 --> 06:07:53.918
SIXTY EIGHT PLEASE OPEN THE ROLL
06:07:53.985 --> 06:07:55.386
CALL THE ABSENT MEMBERS.
06:07:55.453 --> 06:07:56.220
BURKE.
06:07:56.287 --> 06:07:59.157
BURKE I FLORA FLORA AYE.
06:07:59.223 --> 06:08:01.025
WALDRON.
06:08:01.092 --> 06:08:05.630
WATER NOT VOTING. FOURTEEN
06:08:05.696 --> 06:08:11.602
FOURTEEN ZERO I'M SORRY.
06:08:11.669 --> 06:08:13.137
1-321-308-1313 -- ZERO ITEM
06:08:13.204 --> 06:08:15.740
NUMBER FORTY ONE A. B. TWELVE
06:08:15.807 --> 06:08:16.474
SEVENTY FIVE MISTER SANTIAGO
06:08:16.541 --> 06:08:18.409
PLEASE OPEN THE ROLE IN CALL THE
06:08:18.476 --> 06:08:20.845
ABSENT MEMBERS BURKE. FIVE BURKE
06:08:20.912 --> 06:08:26.484
AYE FLORA AYE FLORA AYE WALDRON.
06:08:26.551 --> 06:08:28.386
ITEM NUMBER FORTY ONE MISTER
06:08:28.453 --> 06:08:33.291
SANTIAGO. TWELVE SEVEN EIGHTY
06:08:33.357 --> 06:08:33.925
TWO OH SEVENTY FIVE WALDRON AYE
06:08:33.991 --> 06:08:34.492
FIFTEENS.
06:08:34.559 --> 06:08:37.895
AS FIFTEEN ZERO I DON'T NUMBER
06:08:37.962 --> 06:08:38.529
FORTY FOUR EIGHTY FIFTEEN TWENTY
06:08:38.596 --> 06:08:39.664
FOUR BY MISTER TO PLEASE LIFT
06:08:39.730 --> 06:08:41.532
THE CALL AND CALL THE ABSENT
06:08:41.599 --> 06:08:42.900
MEMBERS NAMES.
06:08:42.967 --> 06:08:45.403
MAYES NOT VOTING.
06:08:45.470 --> 06:08:48.473
BIGELOW.
06:08:48.539 --> 06:08:51.275
BIGELOW BONTA BONTA AYE BURKE.
06:08:51.342 --> 06:08:52.977
BURKE I CARILLO.
06:08:53.044 --> 06:08:55.847
I MON.
06:08:55.913 --> 06:08:57.348
Là MON I MCCARTY.
06:08:57.415 --> 06:08:58.616
MCCARTY AYE NAZARIAN.
06:08:58.683 --> 06:09:00.451
NAZARIAN AYE RODRIGUEZ.
06:09:00.518 --> 06:09:02.019
RODRIGUEZ AYE SANTIAGO.
06:09:02.086 --> 06:09:04.055
SANTIAGO AYE WALDRON.
06:09:04.121 --> 06:09:12.029
WALDRON NO. ELEVEN THIRTY THREE
06:09:12.096 --> 06:09:14.332
THAT'S ELEVEN THE BILL PASSES.
06:09:14.398 --> 06:09:15.700
ELEVEN TO THREE I DON'T NUMBER
06:09:15.766 --> 06:09:17.301
FORTY FIVE A. B. FIFTEEN FORTY
06:09:17.368 --> 06:09:18.970
SIX BY MR KILEY PLEASE LET THE
06:09:19.036 --> 06:09:20.571
CALL CALL THE ABSENT MEMBERS.
06:09:20.638 --> 06:09:22.473
BIGELOW.
06:09:22.540 --> 06:09:25.209
HELLO I BONTA BONTA AYE BURKE
06:09:25.276 --> 06:09:25.510
[inaudible]
06:09:25.576 --> 06:09:27.845
VOTING [inaudible]
06:09:27.912 --> 06:09:32.149
THIS AREA.
06:09:32.216 --> 06:09:36.420
HI NAZARIAN AYE [inaudible]
06:09:36.487 --> 06:09:38.256
RODRIGUEZ.
06:09:38.322 --> 06:09:40.958
RODRIGUEZ THE VOTING SANTIAGO.
06:09:41.025 --> 06:09:46.664
WHATEVER NOT VOTING. EIGHT TO
06:09:46.731 --> 06:09:48.232
ONE DID YOU WERE NOT HERE WITH
06:09:48.299 --> 06:09:56.274
ME I DO NOT LOADING LOADING
06:09:56.340 --> 06:09:56.574
[inaudible]
06:09:56.641 --> 06:09:58.509
SORRY SORRY.
06:09:58.576 --> 06:10:01.145
AB FIFTEEN FORTY SIX WAS COMING.
06:10:01.212 --> 06:10:04.048
I AM VERY NUMBER.
06:10:04.115 --> 06:10:04.649
THAT'S CORRECT NOT LOADING IS
06:10:04.715 --> 06:10:07.151
CORRECT.
06:10:07.218 --> 06:10:08.819
ANY EVERYBODY BEFORE WE CALL IT
06:10:08.886 --> 06:10:12.023
ANYBODY ELSE.
06:10:12.089 --> 06:10:15.626
OKAY IT IS PASSES.
06:10:15.693 --> 06:10:16.160
EIGHT TO ONE THANK YOU FOR
06:10:16.227 --> 06:10:19.764
CALLING THE I KNOW WE'VE DONE NO
06:10:19.830 --> 06:10:20.932
NO NO.
06:10:20.998 --> 06:10:22.633
WE'RE NEVER GONNA BE DONE THIS
06:10:22.700 --> 06:10:26.571
IS THE HOTEL CALIFORNIA
06:10:26.637 --> 06:10:26.871
[inaudible]
06:10:26.938 --> 06:10:29.440
THANKS MONIQUE.
06:10:29.507 --> 06:10:31.208
I'M NOT SURE WHAT PAGE WERE ON
06:10:31.275 --> 06:10:33.578
BUT WE ARE ON THE PAGE. FORTY
06:10:33.644 --> 06:10:34.412
FOR ALMOST DIRECTLY DO PRETTY
06:10:34.478 --> 06:10:36.013
GOOD YEAH WE'RE DOING GOOD -- A.
06:10:36.080 --> 06:10:40.151
B. ITEM NUMBER FORTY SIX A. B.
06:10:40.217 --> 06:10:43.554
FIFTEEN FIFTY BY MR BONTA --
06:10:43.621 --> 06:10:45.923
JUST ACTUALLY IS IT WITHOUT.
06:10:45.990 --> 06:10:48.225
US IT WAS WE GOT A MALL.
06:10:48.292 --> 06:10:51.529
NO WE DIDN'T BUT EVERYBODY VOTED
06:10:51.596 --> 06:10:51.862
NO [inaudible]
06:10:51.929 --> 06:10:55.032
BUT THEY WERE AT OKAY LET'S OPEN
06:10:55.099 --> 06:10:56.601
THE ROLL CALL THE ABSENT MEMBERS
06:10:56.667 --> 06:10:57.635
SANTIAGO.
06:10:57.702 --> 06:11:01.272
SANTIAGO AYE WALDRON.
06:11:01.339 --> 06:11:03.574
WALDRON AYE. FOURTEEN ZERO OKAY
06:11:03.641 --> 06:11:04.342
FOR TEENS -- ITEM AND THAT
06:11:04.408 --> 06:11:04.976
PASSES FOR TEENS -- ITEM NUMBER
06:11:05.042 --> 06:11:06.410
FORTY SEVEN A. B. SIXTEEN ELEVEN
06:11:06.477 --> 06:11:08.412
BY MISTER -- TO PLEASE LIFT THE
06:11:08.479 --> 06:11:11.515
CALL CALL THE ABSENT MEMBERS
06:11:11.582 --> 06:11:12.850
BONTA [inaudible]
06:11:12.917 --> 06:11:14.118
BONTA AYE [inaudible]
06:11:14.185 --> 06:11:17.488
LEBRON.
06:11:17.555 --> 06:11:19.991
LIVE ON AYE THIS AREA.
06:11:20.057 --> 06:11:22.226
IS THERE AN AYE SANTIAGO.
06:11:22.293 --> 06:11:24.562
CENTER -- I WALDRON.
06:11:24.629 --> 06:11:28.733
WATER NOT VOTING.
06:11:28.799 --> 06:11:29.934
IT IS.
06:11:30.001 --> 06:11:31.168
ZERO AT ELEVEN ZERO TOLL PASSES
06:11:31.235 --> 06:11:33.137
ITEM NUMBER FORTY EIGHT AB
06:11:33.204 --> 06:11:33.904
SIXTEEN NINETEEN BY MISS WEBBER
06:11:33.971 --> 06:11:36.340
PLEASE -- LIFT THE CALL CALL THE
06:11:36.407 --> 06:11:40.077
ABSENT MEMBERS WHAT I WHAT I
06:11:40.144 --> 06:11:44.815
AGUIAR-CURRY.
06:11:44.882 --> 06:11:50.554
I GET THIS FIGURE OCCURRING
06:11:50.621 --> 06:11:50.855
[inaudible]
06:11:50.921 --> 06:11:52.289
WELL [inaudible]
06:11:52.356 --> 06:11:55.826
APPARENTLY NOT.
06:11:55.893 --> 06:11:57.161
AGUIAR-CURRY I BIGELOW BIGELOW
06:11:57.228 --> 06:11:59.864
AYE BONTA BONTA BURKE.
06:11:59.930 --> 06:12:03.334
BURKE I CARILLO CARILLO ISLA.
06:12:03.401 --> 06:12:06.103
LOW MOAN AYE NAZARIAN.
06:12:06.170 --> 06:12:09.373
LARA NAZARIAN AYE RAMOS ROLLS
06:12:09.440 --> 06:12:11.842
EYES SANTIAGO.
06:12:11.909 --> 06:12:13.377
CENTER. FIFTEEN AT FIFTEEN ZERO
06:12:13.444 --> 06:12:14.912
ITEM NUMBER FIFTY EIGHT BE
06:12:14.979 --> 06:12:15.513
SIXTEEN SEVENTY SIX BY MISTER
06:12:15.579 --> 06:12:16.614
MAIENSCHEIN -- PLEASE LIFT THE
06:12:16.681 --> 06:12:18.215
CALL CALL THE UP TO MEMBERS
06:12:18.282 --> 06:12:19.817
MAYES.
06:12:19.884 --> 06:12:20.317
VOTING MAYES NOT VOTING
06:12:20.384 --> 06:12:20.618
[inaudible]
06:12:20.685 --> 06:12:22.787
BIGELOW.
06:12:22.853 --> 06:12:24.255
BIGELOW NOT VOTING [inaudible]
06:12:24.321 --> 06:12:25.790
CARILLO [inaudible]
06:12:25.856 --> 06:12:29.226
I LIMóN.
06:12:29.293 --> 06:12:31.195
LEVINE AYE MCCARTY.
06:12:31.262 --> 06:12:32.830
MCCARTY AYE NAZARIAN.
06:12:32.897 --> 06:12:34.598
NAZARIAN AYE RODRIGUEZ.
06:12:34.665 --> 06:12:37.334
RODRIGUEZ AYE SANTIAGO.
06:12:37.401 --> 06:12:38.369
SANTIAGO AYE WALDRON.
06:12:38.436 --> 06:12:43.808
WELL WE'RE NOT VOTING
06:12:43.874 --> 06:12:44.108
[inaudible]
06:12:44.175 --> 06:12:45.342
LOW.
06:12:45.409 --> 06:12:47.078
THAT'S ELEVEN PASSES ELEVEN ZERO
06:12:47.144 --> 06:12:50.081
ITEM NUMBER FIFTY ONE A. B. --
06:12:50.147 --> 06:12:51.015
SIXTEEN NINETY FIVE PLEASE --
06:12:51.082 --> 06:12:52.883
MISS CARILLO PLEASE -- OPEN THE
06:12:52.950 --> 06:12:54.051
ROLL CALL THE ABSENT MEMBERS
06:12:54.118 --> 06:12:56.253
BIGELOW [inaudible]
06:12:56.320 --> 06:12:58.456
BIGELOW.
06:12:58.522 --> 06:12:59.623
BURKE.
06:12:59.690 --> 06:13:01.625
BURKE I FLORA.
06:13:01.692 --> 06:13:02.660
OR NOT VOTING.
06:13:02.727 --> 06:13:03.728
WALDRON [inaudible]
06:13:03.794 --> 06:13:10.234
ORDER NOW. 1-123-2 LET PASSES.
06:13:10.301 --> 06:13:11.569
ELEVEN TO THREE ITEM NUMBER
06:13:11.635 --> 06:13:13.003
FIFTY TWO AB SEVENTEEN OH NINE
06:13:13.070 --> 06:13:13.904
BY MISTER JONES SAWYER PLEASE
06:13:13.971 --> 06:13:16.207
LIST THE CALL CALL THE ABSENT
06:13:16.273 --> 06:13:18.476
MEMBERS MAYES.
06:13:18.542 --> 06:13:23.414
MAYES AYE AGUIAR-CURRY. FIVE I
06:13:23.481 --> 06:13:24.815
GET VERY AYE BONTA.
06:13:24.882 --> 06:13:26.851
BONTA AYE FLORA.
06:13:26.917 --> 06:13:27.752
FLORA AYE LIMóN.
06:13:27.818 --> 06:13:30.554
THE ONE I MCCARTY MCCARTY I IN
06:13:30.621 --> 06:13:33.224
THIS AREA.
06:13:33.290 --> 06:13:34.925
NAZARIAN AYE RODRIGUEZ.
06:13:34.992 --> 06:13:37.461
RODRIGUEZ AYE SANTIAGO SANTIAGO
06:13:37.528 --> 06:13:38.229
AYE WALDRON.
06:13:38.295 --> 06:13:41.332
WALDRON HIGH FIFTEEN THAT'S
06:13:41.398 --> 06:13:41.932
FIFTEEN ZERO ITEM NO AND THAT
06:13:41.999 --> 06:13:42.533
PASSES FIFTEENS OR EXCUSE ME
06:13:42.600 --> 06:13:45.102
ITEM NUMBER FIFTY FOUR AB
06:13:45.169 --> 06:13:45.736
SEVENTEEN FIFTY NINE BY MISTER
06:13:45.803 --> 06:13:47.805
CELIS PLEASE LIFT THE CALL CALL
06:13:47.872 --> 06:13:49.306
THE ABSENT MEMBERS.
06:13:49.373 --> 06:13:52.443
MAYES BY MAYES AYE AGUIAR-CURRY
06:13:52.510 --> 06:13:53.477
HAGER KERR AYE BONTA.
06:13:53.544 --> 06:13:55.146
BONTA AYE FLORA.
06:13:55.212 --> 06:14:00.017
FLORA LIMóN.
06:14:00.084 --> 06:14:02.553
THE ONE I MCCARTY.
06:14:02.620 --> 06:14:03.954
THE AYE NAZARIAN.
06:14:04.021 --> 06:14:05.756
THIS AREA AND I RODRIGUEZ.
06:14:05.823 --> 06:14:07.291
RODRIGUEZ AYE SANTIAGO.
06:14:07.358 --> 06:14:10.127
SANTIAGO AYE WALDRON WALDRON AYE
06:14:10.194 --> 06:14:10.761
FIFTEEN THAT'S FIFTEEN ZERO ITEM
06:14:10.828 --> 06:14:12.429
NUMBER FIFTY FIVE AB SEVENTEEN
06:14:12.496 --> 06:14:12.997
SIXTY NINE BY MISTER FRAZIER
06:14:13.063 --> 06:14:14.131
PLEASE LIFT THE CALL CALL THE
06:14:14.198 --> 06:14:15.766
ABSENT MEMBERS WHAT.
06:14:15.833 --> 06:14:19.937
I WOULD I BIGELOW.
06:14:20.004 --> 06:14:22.439
BIGELOW NOT VOTING BONTA BONTA
06:14:22.506 --> 06:14:23.941
AYE BURKE [inaudible]
06:14:24.008 --> 06:14:27.545
I LIMóN.
06:14:27.611 --> 06:14:28.813
THE LOAN I IN THIS AREA.
06:14:28.879 --> 06:14:31.582
THIS AREA AND I RAMOS FROM A
06:14:31.649 --> 06:14:34.084
SIZE SANTIAGO.
06:14:34.151 --> 06:14:36.520
SANTIAGO I FOURTEEN ZERO AS
06:14:36.587 --> 06:14:38.088
FOURTEEN ZERO AND ITEM NUMBER
06:14:38.155 --> 06:14:39.657
FIFTY SIX AB SEVENTEEN SEVENTY
06:14:39.723 --> 06:14:41.158
NINE BY MR DAILY PLEASE LIFT THE
06:14:41.225 --> 06:14:43.460
CALL CALL THE ABSENT MEMBERS
06:14:43.527 --> 06:14:44.795
BIGELOW.
06:14:44.862 --> 06:14:46.363
BIGELOW AYE BONTA.
06:14:46.430 --> 06:14:50.501
BONTA I BURKE BURKE HI Là M<c.cyan>.</c>
06:14:50.568 --> 06:14:54.205
WHEN I MCCARTY?
06:14:54.271 --> 06:14:58.876
IS THAT MCCARTY I NECESSARY.
06:14:58.943 --> 06:15:01.645
THE VERY AND I RAMOS RAMOS I
06:15:01.712 --> 06:15:03.013
SANTIAGO.
06:15:03.080 --> 06:15:07.084
SANTIAGO HI FIFTEENTH.
06:15:07.151 --> 06:15:10.754
AS FIFTEEN ZERO PASSES.
06:15:10.821 --> 06:15:15.059
HANG ON ONE SEC [inaudible]
06:15:15.125 --> 06:15:16.527
SIXTEEN WHAT MEMBERS
06:15:16.594 --> 06:15:30.541
[inaudible] SIXTEEN WE DID A
06:15:30.608 --> 06:15:31.976
CONCERT [inaudible]
06:15:32.042 --> 06:15:33.944
YES. TWENTY THREE WAS.
06:15:34.011 --> 06:15:36.447
NUMBER TWENTY THREE WAS AB SEVEN
06:15:36.513 --> 06:15:40.551
SIXTY SEVEN BY MISS WICKS
06:15:40.618 --> 06:15:40.851
[inaudible]
06:15:40.918 --> 06:15:43.687
YEAH YEAH [inaudible]
06:15:43.754 --> 06:15:46.257
WE'RE DONE [inaudible]
06:15:46.323 --> 06:15:48.292
YES.
06:15:48.359 --> 06:15:48.893
YEAH YOU CAN OF COURSE YEAH OF
06:15:48.959 --> 06:15:49.360
COURSE.
06:15:49.426 --> 06:15:50.661
YES.
06:15:50.728 --> 06:15:51.729
SO OF VOTE CHANGE.
06:15:51.795 --> 06:15:56.133
OKAY [inaudible] FORTY ITEM
06:15:56.200 --> 06:15:56.734
NUMBER FOR MISS WALDRON ITEM
06:15:56.800 --> 06:16:00.638
NUMBER FORTY A. B..
06:16:00.704 --> 06:16:01.171
TWELVE SIXTY EIGHT I'M NOT
06:16:01.238 --> 06:16:02.973
VOTING TO HIGH.
06:16:03.040 --> 06:16:08.712
WALDRON HIGH MAKES IT --
06:16:08.779 --> 06:16:10.614
FOURTEEN ZERO YES FOURTEENTH.
06:16:10.681 --> 06:16:14.985
OKAY. TWELVE SIXTY EIGHT
06:16:15.052 --> 06:16:16.754
RODRIGUEZ [inaudible]
06:16:16.820 --> 06:16:23.827
ADAM [inaudible] FORTY SECOND.
06:16:23.894 --> 06:16:26.964
AND EVERYBODY'S ON THE WHOLE.
06:16:27.031 --> 06:16:28.232
WANT TO GO AHEAD AND JUST PUSH.
06:16:28.299 --> 06:16:31.669
OKAY -- ITEM NUMBER. FOUR FORTY
06:16:31.735 --> 06:16:33.237
AB TWELVE SIXTY EIGHT BY MISTER
06:16:33.304 --> 06:16:34.738
RODRIGUEZ -- MISTER BIGELOW
06:16:34.805 --> 06:16:36.507
CHANGES FROM NOT VOTING TO AYE
06:16:36.573 --> 06:16:51.088
BIGELOW AYE. FIFTEEN ZERO
06:16:51.155 --> 06:16:51.722
FIFTEEN ZERO TWENTY THREE TWENTY
06:16:51.789 --> 06:17:08.072
THREE I HAVE IS A