HEARING OF THE SENATE BUSINESS
PROFESSIONS AND ECONOMIC
DEVELOPMENT AND ASSEMBLY
BUSINESS AND PROFESSIONS
COMMITTEES WILL COME TO ORDER.
GOOD MORNING IN RESPONSE TO THE
COVERT NINETEEN EMERGENCY AND TO
PROTECT THE PUBLIC LEGISLATORS
AND EMPLOYEESWE MUST LIMIT
NONESSENTIAL GATHERINGS AND IT
HERE TO SOCIAL DISTANCING AND
FACE COVERING GUIDELINES. IN
COMPLIANCE WITH THOSE ORDERS THE
SENATE IS MADE NECESSARY
ADJUSTMENTS TO NORMAL PRACTICES.
IN ORDER TO ENSURE THAT THE
PUBLIC CONTINUES TO HAVE ACCESS
TO THE LEGISLATIVE PROCESS.
WE'RE HOLDING OUR COMMITTEE
HEARINGS HERE IN THE CAPITAL. WE
ALSO HAVE REPRESENTATIVES FROM
THE BOARD OF CHIROPRACTIC
EXAMINERS NATURAL PATHAK
MEDICINE COMMITTEE. AND
RESPIRATORY CARE BOARD WHO ARE
FROM A PARTICIPATING REMOTELY.
FOR OUR REMOTE PARTICIPANTS
PLEASE MUTUAL PHONES OR
COMPUTERS THIS WILL GREATLY AID.
IN ELIMINATING ANY ACOUSTIC
FEEDBACK. AS A REMINDER AGAIN
PLEASE MEET YOUR PHONES OR
COMPUTERS THIS WILL GREATLY AID
IN ELIMINATING ANY ACOUSTIC
FEEDBACK I YES THAT EVERY TIME.
YOU WISH TO BE RECOGNIZED THAT
YOU USED TO RAISE YOUR HAND
FEATURE IN THE PROGRAM. EACH
TIME YOU ARE RECOGNIZED TO SPEAK
A POP UP WINDOW WILL APPEAR
ASKING IF YOU WOULD LIKE TO-
MUTE. PLEASE SELECT ON MUTE
BEFORE YOU BEGIN SPEAKING ARE I.
T. PERSONNEL WILL PUT YOU BACK
ON MUTE WHEN YOU WERE DONE. ONCE
RECOGNIZED TO SPEAK PLEASE MAKE
SURE YOU CAN BE SEEN ON THE
SCREEN STATE YOUR NAME AND THEN
YOU WILL BE READY TO ADDRESS.
OUR COMMITTEES. TO ALLOW THE
PUBLIC ACCESS WE'VE ADMITTED
MEMBERS OF THE PUBLIC TO THE
SENATE GALLERY. TO THE EXTENT
THAT SOCIAL DISTANCING
REQUIREMENTS ALLOW AND WILL BE
USING A TELECONFERENCE SERVICE
FOR THOSE INDIVIDUALS WHO WISH
TO TESTIFY TODAY. FOR ALL
INDIVIDUALS WISHING TO PROVIDE
PUBLIC COMMENT THE PARTICIPANT
TOLL FREE NUMBER. AND ACCESS
CODE IS POSTED ON OUR COMMITTEE
WEBSITE IT WILL BE DISPLAYED ON
THE SCREEN AND I WILL ANNOUNCE
IT NOW. TODAY'S PARTICIPANT
NUMBER IS. EIGHT FOUR FOUR TWO
NINE ONE FOUR ONE EIGHT FIVE.
AND THE ACCESS CODE IS. FOUR SIX
SIX THREE NINE SIX EIGHT. FOR
DETAILED INSTRUCTIONS ON HOW THE
TELECONFERENCES TO WORKS PLEASE
REFER TO THE SENATE. FOR THE
COMMITTEE WEBSITE. FOR TODAY'S
HEARING PUBLIC COMMENT MAY BE
PROVIDED ON EACH BOARD UPON THE
CONCLUSION OF QUESTIONS FROM
MEMBERS OF THE COMMITTEES.
PLEASE NOTE THAT IN ORDER FOR US
TO HEAR YOU CLEARLY AND TO AVOID
ACOUSTIC FEEDBACK YOU MUST MEET
TO DEVICE YOU'RE WATCHING THE
HEARING ON PRIOR TO GIVING
TESTIMONY OVER THE PHONE. IT IS
IMPORTANT THAT WE HEAR FROM YOU
AND WE THANK YOU IN ADVANCE FOR
YOUR PATIENCE. I WILL MAINTAIN
DECORUM DURING THE HEARING AS IS
CUSTOMARY HERE AND ANY
INDIVIDUAL WHO IS DISRUPTIVE MAY
BE REMOVED FROM THE REMOTE
MEETING SERVICE OR HAVE THEIR
CONNECTION MUTED. SUNSET REVIEW
OVERSIGHT HEARINGS LIKE TODAY'S
A LOVE FOR THE OPPORTUNITY TO
EVALUATE THE EFFECTIVENESS. OF
REGULATORY PROGRAMS AND TO
DETERMINE WHETHER CHANGES IN THE
LAW. OR IN. PROGRAM OPERATIONS
OR FUNCTIONS ARE NECESSARY. WE
WILL BE REVIEWING SPECIFIC
ISSUES REGARDING THE BOARD OF
CHIROPRACTIC EXAMINERS NATURAL
PATHAK MEDICINE COMMITTEE. AND
RESPIRATORY CARE BOARD PROGRAMS
TO PLAY A CRITICAL ROLE. IN
ENSURING THE EFFECTIVE OVERSIGHT
OF HEALTH CARE PROVIDERS WHO
INTERACT. WITH MILLIONS OF
CALIFORNIANS THROUGHOUT THE
STATE. TO ASSIST IN THE REVIEW
AND EVALUATION OF EACH AGENCY
COMMITTEE STAFF PREPARED
BACKGROUND PAPERS WHICH IDENTIFY
ISSUES AND MAKE STAFF
RECOMMENDATIONS FOR EACH PROGRAM
. THESE PAPERS HAVE BEEN POSTED
ON THE COMMITTEE'S WEBSITES.
THAT HAVE BEEN MADE AVAILABLE TO
INTERESTED PARTIES. EACH BOARD
WILL PROVIDE A VERY BRIEF
OVERVIEW OF THE BOARD'S
FUNCTIONS MEMBERS OF THE
COMMITTEES WILL THEN HAVE AN
OPPORTUNITY TO RAISE ANY OTHER
ISSUES OR QUESTIONS WHICH THEY
MAY HAVE WE WILL ALSO HAVE THE
OPPORTUNITY TO HEAR FROM
CONSUMER GROUPS PROFESSIONAL
ORGANIZATIONS AND MEMBERS OF THE
PUBLIC. FOR EACH PORTION OF
TODAY'S HEARING. I WOULD LIKE TO
INVITE MY COLLEAGUE
ASSEMBLYMEMBER MARC BERMAN CHAIR
OF THE ASSEMBLY BUSINESS AND
PROFESSIONS COMMITTEE. TO MAKE
ANY OPENING REMARKS THAT HE
DESIRES TO MAKE SURE BERMAN.
THEY'RE ALL- THANK YOU SURE OFF
AND I'D I RECOGNIZE THAT ONE OF
THE PRIVILEGES OF SERVING AS
CHAIR OF THE BUSINESS AND
PROFESSIONS COMMITTEE IS THE
OPPORTUNITY TO ENGAGE IN
OVERSIGHT OF REGULATORY BOARDS
ENTRUSTED WITH PROTECTING THE
PUBLIC I WANT TO THANK OUR
COLLEAGUES FOR JOINING US TODAY
AND I LOOK FORWARD TO THE
DISCUSSION ABOUT HOW WE CAN
ENSURE EFFECTIVE OVERSIGHT OF
LICENSEES WHILE PROMOTING A
STRONG PROFESIONAL WORK FORCE.
THANK YOU THANK YOU SIR BEFORE
WE BEGIN WITH OUR SPEAKERS I
WOULD LIKE TO INVITE THOSE
MEMBERS OF THE PUBLIC WHO WISH
TO PARTICIPATE TO CALL IN NOW
PLEASE DIAL THIS TOLL FREE
NUMBER. 844-291-4185 WHEN
PROMPTED PLEASE USE THE ACCESS
CODE. FOUR SIX SIX THREE NINE
SIX EIGHT. WE WILL NOW HEAR FROM
DAVID PERRIS CHAIR OF THE BOARD
OF CHIROPRACTIC EXAMINERS IN
ACTING EXECUTIVE OFFICER FOR THE
BOARD CHRISTON WALKER WELCOME
DOCTOR PERSON MS WALKER. PLEASE
PROCEED. GOOD MORNING KERR'S
BERMAN AND RALPH AND MEMBERS OF
THE COMMITTEE MY NAME IS DOCTOR
DAVID PERRIS AND I'M A
PROFESSIONAL MEMBER CURRENTLY
SERVING AS CHAIR OF THE BOARD OF
CHIROPRACTIC EXAMINERS WITH ME
TODAY MS KRISTEN WALKER ACTING
EXECUTIVE OFFICER OF THE BOARD
FOR THE BENEFIT OF THE NEW
COMMITTEE MEMBERS AND WILL
PROVIDE A BRIEF OVERVIEW OF THE
BOARD OF CHIROPRACTIC EXAMINERS
THE BOARD WAS CREATED THROUGH
THE CHIROPRACTIC INITIATIVE ACT
OF CALIFORNIA IN NINETEEN TWENTY
TWO TO REGULATE THE CHIROPRACTIC
PROFESSION AND ITS MISSION IS TO
PROTECT THE HEALTH WELFARE AND
SAFETY OF THE PUBLIC. YOUR
LICENSURE EDUCATION AND
ENFORCEMENT THE BOARD OVERSEES
APPROXIMATELY TWELVE THOUSAND
FIVE HUNDRED LICENSEES FROM
EIGHTEEN CHIROPRACTIC COLLEGES
APPROVED CONTINUING EDUCATION
PROVIDERS AND COURSES AND TAKES
ENFORCEMENT ACTION AGAINST
LICENSEES AND UNLICENSED
INDIVIDUALS WHO VIOLATE THE ACT
OR BOARD REGULATIONS FOLLOWING
THE BOARD'S LAST REVIEW IN
TWENTY SEVENTEEN THERE HAVE BEEN
A FEW MAJOR CHANGES TO THE
BOARD. INCLUDING THE COMPOSITION
OF THE BARD ITSELF AS FIVE OF
THE SIX CURRENT BOARD MEMBERS
WERE APPOINTED IN RECENT YEARS
THE BOARD IS ALSO PREPARING FOR
A CHANGE IN ADMINISTRATIVE
LEADERSHIP AS THE BOARD'S FORMER
EXECUTIVE OFFICER ROBERT KHALIL
RETIRED IN DECEMBER AFTER
SERVING THE BOARD SINCE TWO
THOUSAND NINE THE BOARD EXPECTS
TO DESIGNATE A NEW EXECUTIVE
OFFICER THE SPRING. A PRESSING
ISSUE FACING THE BOARD IS A
PROJECTED INSOLVENCY OF ITS FUND
IN FISCAL YEAR TWENTY TWENTY
THREE TWENTY FOUR AND DESPITE
PRIOR FEE INCREASES THE BUDGET
REMAIN STRUCTURALLY IMBALANCED
AS DEMONSTRATED IN OUR REPORT A
CONSULTANT CONCLUDED THE BOARD
IS UNDER RECOVERING ITS COSTS BY
ABOUT ONE POINT FOUR MILLION AND
THE MAJORITY OF THESE COSTS
RELATE TO THE BOARD'S CONTINUING
EDUCATION PROGRAM THROUGH THIS
PROCESS THE BOARD IS SEEKING TO
REALIGN ALL THESE FEES WITH THE
ACTUAL COST OF PROVIDING THOSE
SERVICES AS WELL AS BUILD A
HEALTHY RESERVE BALANCE TO
ENSURE LONG TERM. LONG TERM.
STABILITY IN THE BOARD'S FUN.
THE BOARD WAS NOT UNDERTAKING
SINCE OUR LAST REVIEW HAS BEEN
OUR PARTICIPATION WITH THREE
OTHER PROGRAMS IN THE FIRST
COHORT OF THE DEPARTMENT'S
BUSINESS MODERNIZATION PROJECT.
TO DEVELOP AND IMPLEMENT A NEW
APPLICATION LICENSING AND
ENFORCEMENT SYSTEM KNOWN AS
CONNECT. THREE PHASE OFFER
RELEASES FROM SEPTEMBER TWENTY
TWENTY THREE JULY TWENTY TWENTY
ONE THE BOARD HAS ADDED LICENSE
APPLICATIONS RENEWALS ADDRESS
CHANGES AND AN ONLINE COMPLAINT
FORM FOR CONSUMERS TO FILE THEIR
COMPLAINTS DIRECTLY WITH THE
BOARD. IN NOVEMBER TWENTY TWENTY
ONE THE REST OF THE BOARD'S
ENFORCEMENT PROCESSES WERE
TRANSITIONED TO THE CAN ACCESS
THEM. THE BOARD IS NOW WORKING
TO INTEGRATE CONTINUING
EDUCATION RECORDS INTO THE
SYSTEM WITH THE GOAL OF
ACHIEVING 1100% LICENSEE
COMPLIANCE WITH C. E.
REQUIREMENTS AT THE TIME OF
RENEWAL. WE THANK YOU FOR YOUR
TIME TODAY AND WILL BE HAPPY TO
ANSWER ANY ADDITIONAL QUESTIONS
YOU MAY HAVE. THANK YOU SIR MS
WALKER. MORNING CHAIRS ROSS
BERMAN AND MEMBERS OF THE
COMMITTEE MY NAME'S KRISTEN
WALKER AND I AM THE ACTING
EXECUTIVE OFFICER OF THE BOARD
OF CHIROPRACTIC EXAMINERS. WE'D
BE HAPPY TO ANSWER ANY QUESTIONS
YOU MAY HAVE REGARDING- THE
CONTENT OF OUR REPORT. THANK YOU
. JERRY BERMAN ANY QUESTIONS
WOULD YOU LIKE TO LEAD OFF THANK
YOU CHAIR OFF A COUPLE OF
QUESTIONS IN REGARDS TO ISSUE
NUMBER FOUR- RELATING TO THE
BOND BOARDS FIND CONDITION. IS
THE BOARD CONCERNED ABOUT THE
FACT THAT ITS LICENSEE
POPULATION CONTINUES TO
DECREASE. OR THAT AS A VALID AS
IT COLLECTS FEWER FEES THAT FEE
AMOUNTS WILL NECESSARILY
CONTINUE TO RISE- AND THE SECOND
QUESTION IS DOES THE BOARD SEE
ANYTHING THAT WOULD INDICATE THE
LICENSEE POPULATION STABILIZING.
OR REVERSING ITS TREND.
THANK YOU FOR YOUR QUESTION. AS
FAR AS I'M- YES THE BOARD DOES
HAVE CONCERNS WITH THE THAT
TREND OF A SLIGHTLY DECREASING
LICENSEE POPULATION WHEN IT
COMES TO THE BUT WE HOPE TO
OFFSET THAT THROUGH THE STATIONS
HE'S GAINED THROUGH OUR USE OF
THE KENEXA SYSTEM- AND AS FAR AS
WHETHER OR NOT. THERE'S ANY LONG
TERM STABILITY OR REVERSING THIS
TREND I'D LIKE TURN TURN THAT
QUESTION WHICH DR PARIS. THANK
YOU FOR THE QUESTION- I'VE- I
BELIEVE WE DO HAVE. SOME
CONCERNS REGARDING THE TREND OF
DECREASING LICENSEES. THAT HAS
NOT BEEN FORMALLY STUDIED BY THE
BOARD. AND IT'S A TREND THAT HAS
BEEN GOING ON FOR A NUMBER OF
YEARS AT THIS PHASE. AND I
BELIEVE WE'RE ALIGNING- OUR
BUDGET WITH OUR COSTS ALLOWS US
TO ACCOUNT FOR ANY ANY FURTHER
DECLINES IN- LICENCIA CATIONS.
THANK YOU I DON'T HAVE ANY
ADDITIONAL QUESTIONS THANK YOU
WOULD YOU EVER LET ME JUST ASK A
COUPLE OF. WITH RESPECT TO THE
FUN CONDITION IN THE FEE ISSUE-
WHAT SPECIFICALLY DO YOU PROPOSE
I NOTED IN THE ANALYSIS THAT.
YOUR FEES STUDY REFLECTED THAT
YOU'RE CURRENTLY CURLY CURLY
COLLECTING A SURPLUS OF FEES FOR
VARIOUS- FOR VARIOUS ITEMS
INITIAL LICENSE FEES LICENSE
APPLICATION FEES WERE. YOU'RE
COLLECTING MORE THOROUGHLY THAN
THE COST OF. AS SOON PROVIDING
THE SERVICE. AND THEN IN ANOTHER
PORTION OF THE ANALYSIS IT
REFLECTS THAT YOU'RE UNDER
RECOVERING COSTS BY
APPROXIMATELY ONE POINT FOUR
MILLION. MOSTLY IN REGARDS TO A
CONTINUING EDUCATION PROVIDER
APPLICATION SO IT MAYBE I MISSED
IT IS THERE A SPECIFIC PROPOSAL
TO RIGHT THE SHIP. I'M GONNA ASK
THIS WALKER TO RESPOND TO THAT
QUESTION. THANK YOU I'M YES
THERE IT SO WITH WHAT WAS
IDENTIFIED BY IN R. V. PROPOSAL
FOR ENOUGH YOU STUDY THAT WAS
PERFORMED FOR WORKING CLOSELY
WITH THE DEPARTMENT'S BUDGET
OFFICE TO RUN SCENARIOS TO
ENSURE THAT THAT'S GOING TO END
THAT'S GOING TO ALLOW FOR LONG
TERM STABILITY AND THE BOARDS
FUN I'M SPECIFICALLY THAT POINT
IN STUDY- TIME THAT THE STUDY
THAT WAS CONDUCTED BY THE BOARD-
WITH THE CONSULTANT DID IDENTIFY
WHERE THERE WERE IMBALANCES IN
FEES THAT WERE COLLECTED AND
WE'RE TRYING TO WRITE THAT
THROUGH THIS PROPOSAL- BY
REALIGNING SPECIFICALLY THE
CONTINUING EDUCATION COSTS. WITH
AND PUSHED OUT TO THE PROVIDERS
WHO ARE- SUBMITTING THOSE
APPLICATIONS WERE ALSO LOOKING
AT SOME OTHER STRATEGIES SUCH AS
POTENTIALLY- ESTABLISHING RANGES
FOR FEES SO THAT WE CAN ADJUST
UP OR DOWN- THROUGH REGULATION
WHEN NECESSARY- AS WE ACHIEVE
FURTHER EFFICIENCIES FOR KENEXA
STEM THE BOARD IS WORKING VERY
CLOSELY WITH THE DEPARTMENT'S
BUDGET OFFICE TO FINALIZE OUR
FEE PROPOSAL AND WE'LL BE
INCLUDING. THAT IN A WRITTEN
RESPONSE TO THE COMMITTEE'S.
OKAY H. THIRTY ONE OF OUR
ANALYSIS AT THE BOTTOM REFLECTS
ACE THE SETTLEMENT OF A LAWSUIT
- AND A LOAN THAT WAS OBTAINED
FROM ANOTHER DCA BOARD. TO PAY
THE SETTLEMENT THE RESULTS AND
ANNUAL PAYMENTS I ASSUME MADE BY
THIS PARTICULAR BOARD. TO TRY TO
REPAY THAT LOAN. AND IT WASN'T
REFERRED TO AS A MULTI MILLION
DOLLAR- JUDGMENT ACTUALLY I
CALLED IT A SETTLEMENT JUDGMENT.
RESULTING FROM A LAWSUIT FILED
BY A FORMER EMPLOYEE I ASSUME
THIS WAS AN EMPLOYEE OF THE
BOARD. THAT CORRECT. YES THAT IS
CORRECT. AND IT'S ALL FOR THE
BOARD IS REPAID ABOUT ONE POINT
FIVE MILLION DOLLARS OF THIS.
TWO POINT SIX EIGHT NINE MILLION
DOLLAR LOAN TO SATISFY THE
JUDGMENT. IS THE COST OF THIS.
JUDGMENTS AND THE REPAYMENT OF
THE JUDGMENT BEING PASSED TO THE
LICENSEES OF THE BOARD. I
BELIEVE IN THAT THANK YOU FOR
THAT QUESTION. I BELIEVE IN THE
PERSPECTIVE THAT- IT IS IT IS
CONSIDERED IN OUR FEE STUDY ON
THIS MOST RECENT STUDY.
ACCOUNTED FOR THE COST OF THE-
THE LOAN REPAYMENT OF THE LOAN
IT ALSO ACCOUNTED FOR THE COST
OF OUR BUSINESS MODERNIZATION I.
T. PROJECT AND ALSO. FOR COSTS
ASSOCIATED WITH A SUBSTANTIAL
RATE INCREASE FOR LEGAL
SERVICES. AND- SO THIS. THE
CONSULTANT. FEES STUDY INCLUDED
ALL OF THOSE COSTS AND OTHER
RECOMMENDATIONS AND THIS THIS
LAWSUIT RESULTED FROM THE- I
GUESS NOT ALLEGED ANYMORE THE
CONDUCT OF A- ANOTHER STATE
EMPLOYEE. THIS LAWSUIT PRECEDED
MY TIME ON THE BOARD AND I'M
GONNA ASK THIS WALKER TO PROVIDE
AS MUCH DETAIL AS YOU CAN- THANK
YOU FOR THE QUESTION AND THIS
LAWSUIT ALSO PRECEDED MY TIME
WITH THE BOARD AND I'D BE HAPPY
TO ROVIDE ADDITIONAL DETAILS
REGARDING THE LAWSUIT I'M IN A
WRITTEN RESPONSE TO THE
COMMITTEE'S. WELL JUST ONE FINAL
QUESTION ON THIS. ON THIS ITEM
IF IN FACT THE CONDUCT. THAT
RESULTED IN THE LAWSUIT WAS THE
CONDUCT OF A STATE EMPLOYEE WHY.
IS THE COST OF THE JUDGMENT.
BEING PASSED ON TO INDIVIDUAL
LICENSEES RIGHT OF THIS
PARTICULAR BOARD YEAH. YEAH
WHATEVER PRESSURES IN THE STATE
OF CALIFORNIA. ALL H. R. ANY
TAKERS. AT THANK YOU FOR THAT
QUESTION AND I BELIEVE THAT IS
MY APOLOGIES I BELIEVE THAT IS
A- A QUESTION THAT WE WOULD BE
ABLE TO PROVIDE FURTHER DETAIL
IN A WRITTEN REPORT. OKAY LET ME
JUMP AHEAD AND I'LL TRY TO KEEP
THIS SHORT TO ALLOW MY COMMITTEE
MEMBERS TO ATTEND ASK QUESTIONS
WITH RESPECT TO RECIPROCAL
LICENSE REQUIREMENTS AND IN
REVIEWING THE BACKGROUND PAPER
THAT WAS SUPPLIED BY STAFF. I
NOTED THAT- WE WERE APPARENTLY
REQUIRE. OF THOSE ATTEMPTING TO.
COME INTO THE STATE THAT THEY
OMPLETE AT LEAST FOUR THOUSAND
FOUR HUNDRED INSTRUCTIONAL HOURS
OVER FOUR ACADEMIC YEARS.
COMPLETE AN EXAMINATION ALL
SUBJECTS EXAMINED IN CALIFORNIA
AND HOLD A VALID ACTIVE LICENSE
. IN THEIR CURRENT STATE OF
LICENSURE. AND BEING GAY HAVE
BEEN ENGAGED IN THE PRACTICE OF
CHIROPRACTIC FOR FIVE YEARS.
WHAT'S THE BASIS FOR THE
REQUIREMENT THAT SOMEONE WHO'S
HAS A VALID LICENSE AND ITS
PRACTICE FOR FIVE YEARS ALSO
SHOW THAT THEY'VE COMPLETED.
FOUR THOUSAND FOUR HUNDRED
INSTRUCTIONAL HOURS OVER FOUR
ACADEMIC YEARS. THANK YOU FOR
THAT QUESTION- SOME OF THAT
LANGUAGE- HAS IS PROBABLY AGED A
BIT- ESPECIALLY WITH THE- FIVE
YEARS IN PRACTICE- I WILL NOTE
THAT- BOTH PROCESS AND
REQUIREMENTS ARE SIMILAR WHETHER
IT'S THE INITIAL APPLICATION
PROCESS. OR THE REST RECIPROCITY
PATH- AND THE REST OF THE
RECIPROCITY PATH ALLOWS FOR
LICENSURE UNDER PRIOR FORMATS OF
THE NATIONAL BOARD OF
CHIROPRACTIC EXAMINERS EXAM
WHICH IS HAS BEEN FOR AT LEAST
THE LAST TWO DECADES A FOUR PART
EXAMPLE FOR SOME OF OUR- OLDER
LICENSEES. THAT MAY NOT HAVE
APPLIED- I IT I BELIEVE WE
HAVEN'T- STUDIED THE FIVE YEARS
IN PRACTICE AND IT'S SOMETHING
THAT I THINK WE'RE GOING TO LOOK
AT AGAIN. SO YOU DO THINK IT
WOULD MIGHT BE A GOOD IDEA TO
TAKE A LOOK AT YOUR RECIPROCITY
REQUIREMENTS. YES WE DO. OKAY
COMMITTEE MEMBERS I SEE DOCTOR
PAN MICHAEL OPENED SOME
REMEMBER- WHEN FIRST- I DON'T
REMEMBER WHO WAS FIRST. DR PAN
EUROPE I THANK YOU VERY MUCH J.
ROSS- JUST FIRST PNCIL BEGIN BY
SAYING THAT- EIGHTY L.
PRITCHETT- ROCK THAT YOU RAISED
THE ISSUE ABOUT THE- LICENSEES
HAVING TO PAY FOR THE RESULT NOW
LAWSUIT RESULTING IN THE YOU
KNOW FROM THE MISDEEDS OF A-
STAFF MEMBER OF THE BOARD I
DON'T THINK IT SHOULD BE THE
LICENSEES. LICENSEES HAD NO SAY
IN THE- ELECTION OF THAT PERSON-
THE HIRING. IT SAID ROUGH. AND
YOU KNOW WHEN THEY FOUGHT AND I
THINK IT'S EMPLOYEES OF THE
STATE TO FOLLOW TALLY CHAR. SO I
THINK IT'S INAPPROPRIATE THAT
THE LICENSEES ARE THE ONES WHO
HAVE TO. ACTUALLY BEAR THE COST
OF THE- BUT THE RESULT OF A
LAWSUIT SO LET'S PUT THAT OUT
THERE. THE EIGHT THE OTHER ISSUE
I WANT TO ALSO RAISE- WHICH I
THINK OF RACE AND OTHER BOARDS
AS WELL AS THE STATS ON ONE OF
THE OTHER FINANCIAL P. ONE L.
FINANCIAL PRESSURES WAS BACK IN
TWENTY NINETEEN- DEPARTMENT
JUSTICE DRAMATICALLY RAISE THE
RATES THAT THEY CHARGE EACH OF
THE BOARDS IF YOU ACTUALLY DO
THE MATH- THAT YEAH WE'RE WE'RE
WE'RE YOU KNOW IF YOU ACTUALLY
LOOK AT HOW MUCH THEY GET PAID
BECAUSE THE YOU CAN SEE THE
DIFFERENT PAY SCALES AND TELL
HR. AND THE FEES- THEY'RE NOT
ALIGNED SO IN OTHER WORDS WE'RE
WE'RE BASICALLY PAYING LIKE IF
YOU KNOW THE CLEVELAND PER HOUR
AND UP TO BE LIKE I THINK OVER
FOUR HUNDRED THOUSAND DOLLARS
FOR WILL CLEARLY NOT PAYING
PARALEGALS. FOUR HUNDRED
THOUSAND DOLLARS A YEAR. IN THE
STATE. SO SO I GUESS FIRST ON
MAKE A GENERAL COMMENT AND I
THINK I MADE IT LAST YEAR WE'D
REALLY NEED TO LOOK AT HOW
PROPRIOCEPTIVE HE'S- DO JAYCEES
ARE- THAT WOULD. THAT BE CHARGE
THE BOARDS BECAUSE ESSENTIALLY
ALL THOSE COSTS BEING BORNE BY
LICENSEES. BUT PERHAPS- ACEKARD
BORDER CAR PRACTICA X. QUESTION
I'VE ASKED MANY OTHER BOARDS. TO
WHAT DEGREE YOU KNOW IS THIS. AT
NINETEEN TWENTY NINETEEN.
INCREASED BY DOJ FOR SENTRY
LEGAL SERVICES. IMPACTING THE
BOARD'S FINANCES. THANK YOU FOR
THAT QUESTION. IT WAS A PROBABLY
THE MAJOR IMPACT- OTHER OTHER
THAN THE EXISTING ISSUES- OF THE
LOAN THEY TAKE YOU MENTION- WE
SAW INCREASES AS AS YOU ARE ALL
AWARE- FROM BETWEEN 30% TO
NINETY. 99% WITH VERY LITTLE
NOTICE AND ABILITY TO ADAPT. TO
THOSE BUDGETARY INCREASES SO- WE
WOULD WELCOME FURTHER DISCUSSION
ON ON SOLUTIONS OKAY I
APPRECIATE THAT SO I HOPE. THIS
OUR OUR JOINT COMMITTEES ON B.
AND P. SHOULD. HAVE A
CONVERSATION WITH THE C. A. N.
D. O. J. ABOUT THE PROPIONATE
CERTAINLY DOJ NEEDS TO BE.
REIMBURSED FOR THEIR EXPENSES
RELATE TO THIS WORK BUT IT DID
TO ME AT LEAST- DOING YA ON THE
SPACE OF IT IT SEEMS LIKE THOSE
FEE INCREASES ARE EXCESSIVE IN
ENFORCING- PUTTING TREMENDOUS
FINANCIAL PRESSURE ON VARIOUS
SPORTS INCLUDING THE
CHIROPRACTIC BOARD. THE OTHER
QUESTION I HAD WAS ACTUALLY OF I
ALWAYS ASK ABOUT CONTINUING
EDUCATION AND FROM MY
UNDERSTANDING CORRECT ME IF I'M
WRONG. A CONTRACTOR IS REQUIRED-
TWENTY FOUR CREDITS IS IT EVERY
TWO YEARS BECAUSE THEY RENEW
THEIR LICENSE EVERY TWO YEARS.
THANK YOU FOR THAT IT IS ANNUAL.
AND TWENTY OKAY- ALL RIGHT. OKAY
SO IT'S FORTY EIGHT IN OVER TWO
YEARS OKAY THANK YOU. AND I'VE
AND I CERTAINLY UNDERSTAND- COVE
IT IT'S BEEN CHALLENGING BUT YOU
KNOW THE LAST. CERTAINLY THE
LAST TIME YOU DID AN AUDIT-
BASICALLY ALMOST A QUARTER NOT
QUITE BUT ALMOST A QUARTER OF
PEOPLE FILLED THE AUDIENCE WHICH
IS QUITE DISTURBING- SO IT'S ONE
THING YOU KNOW AND I UNDERSTAND
THAT TO YOUR YOU MIGHT NOT HAVE
THE CAPACITY TO AUDIT 10% AND
YOU DID MAKE A COMMENT THAT YOUR
TIME BUT ELECTRONIC SYSTEM SO
YOU CAN DO A BETTER. CAN YOU
SPEAK TO WHY SO MANY
CHIROPRACTORS RIGHT YOU KNOW IT-
THAT EVEN IN THE SENT IN A
SAMPLE. THAT ALMOST A QUARTER
DON'T MEET THEIR C. E.
REQUIREMENTS I MEAN THIS IS NOT
AN UNUSUAL C. SELF POSITIONS
HAVE TO DO FIFTY CREDITS EVERY
TWO YEARS SO CONTRACTORS FORTY
EIGHT SO IT'S NOT. YOU KNOW IT
THAT IN USUAL FROM THE AMOUNT OF
CREDITS WHY IS IT THAT THE WORD
OF WHAT'S GOING ON IN
CHIROPRACTIC PROFESSION IN
CALIFORNIA THAT ALMOST A QUARTER
OF ALL THE LICENSEES ARE DOING
THEIR C. E. THANK YOU FOR THAT
QUESTION AND- I DO WE DO THIS-
BELIEVE THAT TWENTY FOUR HOURS
IS. ANNUALLY IS APPROPRIATE- FOR
THE PURPOSES OF PUBLIC
PROTECTION AND I WE HAVE NOT-
FULLY STUDIED OR ANALYZE THAT-
JUMP IN AND WITHOUT IT I HAVE IT
IN FRONT OF ME HERE BUT I
BELIEVE IT JUMPED 13% YEAR OVER
YEAR. AND I THINK ONE OF THE-
ONE OF THE ONLY THINGS THAT WE-
WOULD CONSIDER THERE IS THAT-
THAT FISCAL YEAR INCLUDED ABOUT
FIVE MONTHS OF THE PANDEMIC. AND
SO THERE WAS A LOT OF I BELIEVE
THERE WAS THERE THERE WAS
DEFINITELY A LOT OF- CONFUSION
AS TO HOW TO GET C. E. AND CAN
YOU GET C. E. AND THIS WAS MOST
OF THAT WAS- WAS A COUPLE MONTHS
BEFORE ANY OF THE WAIVERS. AND
SO- AND I AND WE HAVE NOT
FORMALLY STUDIED IT BUT- THAT
THAT'S THE CONSIDERATION THAT I
WOULD MAKE IN IN THAT DATA AND
WE ANTICIPATE THAT BEING
DECREASE AS WE MOVE ALONG HERE
ALTHOUGH I WOULD POINT OUT THAT
WILL CERTAINLY- BEFORE WAS LESS
AND IT WAS A LARGE INCREASE THAT
EVEN BEFORE THE TWO YEARS
BEFORE. ONE WAS THIRTEEN POINT
4% THE OTHER ONE TEN POINT 8%
STILL A LOT OF PEOPLE AND ONE IN
TEN. I MEAN THIS IS A
REQUIREMENT THAT SHOULD THAT
EVERYONE SHOULD KNOW THEY SHOULD
BE MEETING- WE'VE TALKED WE'VE
HAD OTHER BOARDS HERE USUALLY
WHEN THEY DO AUDITS AND NOW
BELIEVE THAT US ON THE BOARDS
HAVE BEEN AS GOOD ABOUT DOING
AUDITS- THE NUMBERS ARE TEND TO
BE IN THE SINGLE DIGITS SO WHICH
WE STILL HAVE A FAIRLY HIGH
PERCENTAGE OF PEOPLE I MEAN-
THAT. AREN'T BEING THERE C.
REQUIREMENTS IT'S OVER CERTAINLY
UNDERSTAND IT PERHAPS THE MOST
RECENT NUMBER MAYBE BECAUSE THE
COVERED BUT I MEAN IT SEEMS LIKE
THERE'S SOME BASELINE PROBLEM
HERE. THAT SO- YEAH. THANK YOU
FOR THAT QUESTION WE- WE SHARE
YOUR CONCERN AND WE ARE- WORKING
WE BELIEVE THAT THE- WE'RE STILL
ON A LOT OF PAPER DRIVEN SYSTEMS
AND- ONE ONE THING WE THINK IS
REALLY GOING TO HELP IN THAT
BUSINESS MODERNIZATION PROCESS
IS THAT OUR KENEXA STONE WILL
ALLOW PRIMARY SOURCE
VERIFICATION AND SO WHEN
LICENSEES- GO TO RENEW WE
ANTICIPATE THAT- WHEN THAT'S
COMPLETED WE WILL HAVE 1100%
AUDIT THAT THEY COMPLETED THEIR
C. AT THE TIME OF RENEWAL. OKAY
SIDE AGAIN THIS IS VALID IT IS
REQUIREMENT WE SHOULD BE
FOLLOWING IT CAREFULLY AT ISSUE
NUMBER EIGHT- TALK ABOUT
PERFORMANCE BASED ASSESSMENT OF
LICENSEE COMPETENCY. AND
EFFICIENCY OR LOUIS C. WORK CAN
YOU ELABORATE HOW THIS INTERACTS
WITH THE C. E. REQUIREMENTS I
MEAN ARE YOU ARE YOU WILL BE
LOOKING AT. DOING- IS ARE YOU
LOOKING AT COURSES THAT THE
BOARD SPONSORS ARE WHOSE PURPOSE
IS GOING TO BE PERFORMING DOING
THESE PERFORMANCE BASED
ASSESSMENTS THAT THAT. BE
ACCEPTABLE TO THE BOARD. WELL
THE BOARD HAS NOT DISCUSSED THIS
ISSUE AND IT WILL LIKELY BE
REFERRED FOR CONSIDERATION
DURING THE BOARD'S STRATEGIC
PLANNING SESSION OKAY- YEAH AS
PART OF THE C. E. ENHANCEMENTS
THAT LICENSING AND CONTINUING
EDUCATION COMMITTEE. HAS
DISCUSSED- REQUIRING KNOWLEDGE
CHECK EXAMINATIONS IN CORSI
ABILITY COURSE EVALUATIONS AS
PART OF THE COMPREHENSIVE
UPDATES. OKAY ALL RIGHT AND THEN
FINALLY- I DID WANT TO JUST-
ISSUE NUMBER TEN WHICH IS ABOUT-
ENFORCEMENT MEASURES TO CURB
SPREAD IF MEDICAL ARE BEING
CONSIDERED EVEN CHIROPRACTIC
MISINFORMATION I WOULDN'T HAVE
PRACTICUM UNITY I WOULD MAKE
NOTE THAT THE SURGEON GENERAL
PUT OUT A REPORT ON HEALTH-
DISINFORMATION OR MISINFORMATION
AND JUST THE QUOTE- WHAT SURGEON
GENERAL SAID LIMITING THE HEALTH
OF HEALTH IN THIS INFORMATION IS
A MORAL AND CIVIC IMPERATIVES.
THAT REQUIRE A WHOLE OF SOCIETY
EFFORT THAT INCLUDING OUR
LICENSING BOARDS BUT ALSO MAKE
NOTE THAT THIS STATE HAS BEEN
HUNDREDS AND HUNDREDS OF
MILLIONS OF DOLLARS TO ENCOURAGE
PEOPLE TO- TO- TAKE TO FOLLOW
PUBLIC HEALTH MEASURES INCLUDING
VACCINATION AND WHILE CERTAIN
THAT- THAT IS THAT THE VAST
MAJORITY OF PEOPLE THE
CHIROPRACTIC COMMUNITY HOPEFULLY
SUPPORTS THESE EFFORTS-
UNFORTUNATELY IN SOME OF THE
MEDICAL PROFESSION AND SOME OF
THE PROFESSIONS- AND I WON'T SAY
CARS CERTAINLY NOT CAR PRACTICAL
LOAN EVEN IN THE MEDICAL
PROFESSION WE'VE HAD UNFORTUNATE
EXAMPLES OF HEALTH PROFESSIONALS
WHO HAVE. VIOLATED THEIR DUTY
AND- TO PROTECT PUBLIC HEALTH-
SO I SEE AN ISSUE NUMBER TEN YOU
DESCRIBE SOME OF YOUR EFFORTS
INCLUDING- DRESSING
ADVERTISEMENT I GUESS MY
QUESTION TO YOU IS THAT- WHAT
FURTHER AUTHORITIES DO YOU NEED. NATION MISINFORMATION THAT'S
PERHAPS RESULT IN THE DEATH OF
MORTON OF HUNDREDS OF THOUSANDS
OF AMERICANS INCLUDING
CALIFORNIANS- WHAT IS THE WHAT
IS THE BOARD OF CHIROPRACTIC-
NEEDED WHAT TO WHAT AUTHORITIES
DO YOU NEED TO ADDRESS. THIS IF
IT IF ANY OF THIS COMES FROM THE
CHIROPRACTIC COMMUNITY
PARTICULARLY FROMINDIVIDUAL
LICENSEES WHO MAY BE PROMOTING
HEALTHINESS INFORMATION THA IS
COUNTER TO PUBLIC HEALTH THAT
IS- CAUSING LEADING TO THE DEATH
AND DISABILITY OF HUNDREDS
PERHAPS THOUSANDS OF
CALIFORNIANS. THANK YOU FOR THAT
QUESTION. I WOULD REITERATE THAT
THE BOARD'S MISSION IS TO
PROTECT THE HEALTH WELFARE AND
SAFETY OF THE PUBLIC THROUGH
LICENSURE EDUCATION AND
ENFORCEMENT AND WE ARE
COMMITTED. TO CONSUMER
PROTECTION. WE SHARE THE
FRUSTRATIONS- IN THE SPREAD OF
HEALTH MISINFORMATION AND
ESPECIALLY WHEN IT'S COMING FROM
OUR LICENSEES. AND AS WAS NOTED
IN THE BACKGROUND PAPER WE
RECEIVED SEVERAL COMPLAINTS
AGAINST LICENSEES WHO WERE
ADVERTISING ARE PERMITTING OR
INFERRING THAT CHIROPRACTIC CARE
CAN HELP PATIENTS REDUCE RISK OF
FROM KOGAN INFECTION. IN MANY
CASES THESE COMPLAINTS RELATED
TO- MISLEADING INFORMATION SOME
LICENSEES WEBSITES WITH CLAIMS
ABOUT IMMUNE BOOSTING EFFECTS OF
CHIROPRACTIC ALONG WITH GENERAL
HEALTH. NUTRITIONAL WELLNESS
ADVICE. THE PROCESS WAS THE
BOARD'S STAFF- INITIALLY TAKES
AN EDUCATIONAL APPROACH BY
NOTIFYING LICENSEES OF THE
COMPLAINT REVIEWING THEIR
RESPONSE AND THEN CLOSING THE
CASES AFTER THEY REMOVED ANY
QUESTIONABLE OR UNSUPPORTED
CLAIMS. I FELT LIKE WE WERE
PROACTIVE IN UTILIZING OUR
WEBSITE AND MEETING WITH
STAKEHOLDERS- TO REMIND THEM
TILL- THE EXPECTATION TO ALIGN
WITH PUBLIC HEALTH MANDATE TO
RECOMMENDATIONS. SOME AGREE JUST
CASES ARE STILL UNDER
INVESTIGATION AT THIS TIME. AND
THE BOARD WILL TAKE APPROPRIATE
ACTION CITATIONS OR DISCIPLINARY
ACTION AGAINST LICENSEES WHO
EXCEED THE SCOPE OF PRACTICE.
THE SPEAKER HOW MANY CASES ARE
CURRENTLY OPEN THEY ARE
INVESTIGATING- I WOULD ASK MISS
WALKER TO RESPOND TO THAT
QUESTION. WE'RE CURRENTLY
INVESTIGATING A NUMBER OF CASES
I WOULD ESTIMATE WE HAVE ABOUT
FIFTY PENDING COMPLAINTS- SOME
OF THOSE ARE DEAD ARE LESS AGREE
JUST SO WE HAVE A FEW I'M VERY
GRACIOUS CASES THAT WERE STILL
PURSUING. AND GIVEN THE URGENCY
OF THE PANDEMIC- WHAT'S THAT AND
I REALIZE CAN'T SPEAK ABOUT
INDIVIDUAL CASES WHAT WHAT DO
YOU THINK IS THE GENERAL TIME
LINE IN WHICH THE BOARD IS GOING
TO BE ABLE TO ACT ON. THOSE
EGREGIOUS CASES. WE PLAN. TO ACT
ON THOSE WITHIN THE COMING
MONTHS- ONE CHALLENGE THAT WE
THAT WE DO HAVE IN OUR UNIT IS-
IS HAS BEEN RELATED TO KIND OF
FUNDING LIMITATIONS THAT WE
HAVE. AND WE DO WANT TO COMBAT
THAT THROUGH- ESTABLISHING
BETTER PARTNERSHIPS WITH OUR
LOCAL PUBLIC HEALTH AGENCIES- AS
THEY'VE RECEIVED. QUITE A BIT OF
FUNDING RELATED TO COMBATING
COMPANY TEAM AND MISINFORMATION
. AND AGAIN FINALLY AS THE ARE
THERE DO YOU FEEL LIKE YOU HAVE
SUFFICIENT LEGAL AUTHORITY TO
PURSUE THE ALL THE CASES THAT
YOU SEE OR DO YOU NEED- THE
OTHER THINGS THAT WE AS A
LEGISLATURE TO DO TO GIVE YOU
THE AUTHORITY IN ORDER TO.
EFFECTIVELY ADDRESS
MISINFORMATION AND CAR PRACTICAL
PROFESSION. WHEN WE FEEL THAT WE
HAVE THE TOOLS THAT WE DO NEED
AND WE'RE SURE THAT THERE ARE
ENHANCEMENTS THAT COULD BE MADE
TO GIVE US A GREATER AUTHORITY
AND WE WOULD LIKE TO ADDRESS
THAT THROUGH A WRITTEN RESPONSE
TO THE COMMITTEE'S. OKAY WELL WE
DO HAVE LEGISLATIVE TIME LINES
AND I BELIEVE THERE'S
LEGISLATION MOVING THROUGH SO I
WOULD APPRECIATE IT IF YOU CAN.
PROVIDE THAT INFORMATION TO ME
MY COLLEAGUES- WE WANT TO BE
SURE YOU CAN BE EFFECTIVE IN.
ADDRESSING THIS PROBLEM. THANK
YOU SENATOR SAID CONCURRENT. YES
FALCONS I WAS HOPING WE'RE
HOPING TO HEAR A YES BUT- I
THINK SILENCE IS GOLDEN ALL
RIGHT WELL SONS ALWAYS GOLD BUT
THANK YOU THINK THANK YOU SIR.
SEARCH FOR. THANK YOU TO SHARE
AND THANK YOU FOR THE
PRESENTATION. OBVIOUSLY THE
SUBJECT IS GOING INTO CONSUMER
SAFETY AND CONSUMER PROTECTION
WHICH IS YOUR MAIN MISSION. I'D
LIKE TO POINT OUT THAT OF THE
TWELVE THOUSAND FIVE HUNDRED
LICENSEES YOU POINT OUT. YOUR
CONCERN ABOUT UNLICENSED
INDIVIDUALS COULD YOU ELABORATE
A LITTLE BIT HOW YOUR
ENFORCEMENT IS BECAUSE I KNOW
THAT IT'S ABOUT FIVE HUNDRED
FORTY DAYS WHEN YOU'RE WORKING
WITH ISSUES PERTAINING TO
LICENSE INDIVIDUALS BUT HOW
ABOUT ENFORCEMENT. FOR THOSE
THAT ARE. EATING INTO YOUR
INDUSTRY- ILLEGALLY AND ARE
CLAIMING TO BE LICENSED WHAT
WHAT'S THE OUTCOME OF THESE SOME
OF THESE CASES. AND IT'S A
PREVALENT. THANK YOU FOR THAT
QUESTION I'M GONNA ASK MS WALKER
TO RESPOND TO THAT PLEASE. THANK
YOU. WE DO NOT BELIEVE THE
UNLICENSED PRACTICE OF
CHIROPRACTIC IS PREVALENT
HOWEVER UPON RECEIPT OF
COMPLAINTS AND WE REVIEWED BASED
ON THE NATURE OF THE COMPLAINT-
AT SOME POINT SINCE IT'S MORE
RELATED TO ADVERTISING OR SOME
TYPE OF ONLINE POSTING. THAT
SOMEONE MAY BE. USING THAT
ACRONYM DC OR THAT THEIR
CHIROPRACTOR DOES WE TAKE AN
EDUCATIONAL APPROACH BY
IMMEDIATELY TRYING TO MAKE
CONTACT WITH THAT INDIVIDUAL-
AND THEN USING THEM TOWARDS
COMPLIANCE WITH THE LAW IN MORE
GREGIS CASES OR ANYTHING
INVOLVING PATIENT HARM WE WOULD
REFER THOSE TO THE DEPARTMENT'S
DIVISION INVESTIGATION FOR A
CRIMINAL INVESTIGATION. THANK
YOU MR THANK YOU SENATOR. WE
HAVE A COUPLE QUICK ONES- DO I
DON'T DO I UNDERSTAND THAT THE
BOARD IS NOT PARTICIPATING IN
THE BREEZE SYSTEM. THANK YOU FOR
THAT THAT IS CORRECT. OKAY AT
THE AT THE TIME BREEZE WAS
INITIATED OR THEREAFTER DID THE
BOARD PAY A PRO RATED SHARE OF
THE- DEVELOPMENT COSTS INTO THE
SYSTEM FOR BREEZE. YES WHAT WAS
THE BOARD SURE OF THE PARADE
ACROSS FOR BREEZE DEVELOPMENT.
I'M GONNA ASK MISS WALKER TO
RESPOND TO THAT. THANK YOU
DOUBLE CHECKING MY FACTS HERE
BUT WE CONTRIBUTED APPROXIMATELY
FIVE HUNDRED THOUSAND DOLLARS TO
THE BREACH BREACH PROJECT BEFORE
TRANSITIONING OUT TO THE CONNECT
PROJECT. DID THE BOARD- RECOVER
THAT FIVE HUNDRED THOUSAND
DOLLARS. THE BOARD DID NOT. DO
YOU KNOW WHY. THE DEPARTMENT
INFORMED US THAT THE MONEY THAT
HAD BEEN ALLOCATED BY THE BOARD
TRANSIT RES PROJECT- DID GO
TOWARDS THE DEVELOPMENT OF
OFFICE OF INFORMATION SERVICES
STAFF THAT'S NOW SUPPORTING THE
BOARD IN OUR EFFORTS TO
IMPLEMENT THAT CONNECTS THE
SYSTEM SO WHILE IT DIDN'T
DIRECTLY BENEFIT THE BOARD AS-
BEING PART OF THE BREEZE PROJECT
INSTEAD IT'S NOW BENEFITING US
IN OUR- CONNECT. ASSERTS. WE'LL
HAVE TO LOOK INTO THAT ALL FIVE
HUNDRED THOUSAND DOLLARS IS
ATTRIBUTED TO THE- I. T. STAFF.
IS THAT YOUR UNDERSTANDING. THAT
IS MY UNDERSTANDING THAT WILL
CERTAINLY PROVIDE THE COMMITTEE
WITH MORE DETAILS IN ON THIS
ISSUE IN A WRITTEN RESPONSE
THANK YOU YOU MENTIONED DURING
HER EARLIER TESTIMONY THAT THAT
THE ATTORNEY GENERAL'S FEES THE
COST OF ATTORNEY GENERAL
REPRESENTATION. HAS HAD A MAJOR
IMPACT ON YOUR BUDGET SO MY
QUESTION IS THIS DOES THE BOARD
HAVE INTERNAL CONTROLS IN PLACE
TO MONITOR AND ADJUST
UTILIZATION OF ATTORNEY SERVICES
AS APPROPRIATE FOR EXAMPLE
REQUIRING BUDGETS OF THE DEPUTY
ATTORNEY GENERALS WHO HANDLE
YOUR CASES ESTABLISHING DECISION
POINTS AS CASES MOVE THROUGH THE
SYSTEM. DECISION POINT FOR
DECISION BY THE BOARD OR IT'S A
SENIOR STAFF. THANK YOU FOR THAT
QUESTION HI I'M AGAIN GONNA ASK
MS WALKER TO RESPOND. IN
RESPONSE TO YOUR QUESTION- THE
BOARD CLOSELY MONITORS THE
MONTHLY- THE MONTHLY STATEMENTS
THAT WE RECEIVE FROM THE
ATTORNEY GENERAL'S OFFICE
OUTLINING AND DETAIL DETAILS
REGARDING THE FEES THAT WERE
CHARGED AND WE LOOK FOR ANY
DISCREPANCIES. OR ERRORS WITHIN
THOSE RECORDS- WE ALSO DO HAVE
ESTABLISHED- DECISION POINTS
WITHIN WHEN MAKING THE REFERRAL
TO THE ATTORNEY GENERAL'S OFFICE
JUST BASED ON THE DEGREE JUST
MESSED UP THE CASE. AND THE NEED
FOR US TO PURSUE DISCIPLINARY
ACTION ONE CHALLENGE IS THE FACT
THAT WE- WELL WE HAVE THE BUDGET
TO PAY FOR THE ATTORNEY
GENERAL'S OFFICE WE SOMETIMES
CAN'T ANTICIPATE WHEN WE'RE
GOING TO HAVE TO MAKE THOSE
REFERRALS. AND WE CERTAINLY
CAN'T HOLD BACK CASES AND ALLOW
THEM TO AGE- AND BENEFITS AND
RISKS- RISK ISSUES FOR CONSUMERS
SOLELY TO PRESERVE THE BOARD'S
BUDGET SO THAT'S ONE OF THE
MAJOR CHALLENGES THAT WE HAVE
RELATING TO THAT. LINE ITEM.
WELL I'M NOT GOING TO BELABOR
THIS BUT ONE OF MY CONCERN
HAVING BEEN ON THE RECEIVING END
OF LEGAL BUDGETS AND HAVEN'T
DEALT WITH. IN HOUSE GENERAL
COUNSEL IN THE PRIVATE SECTOR
WHO. ESSENTIALLY PERFORM THE
SAME FUNCTIONS THAT I ASSUME YOU
WILL PERFORM. IN TERMS OF
MONITORING MONITORING LEGAL
UTILIZATION AND MAKING
DECISIONS. TO USE OR NOT USE.
ATTORNEYS OR NOT USE ATTORNEYS
TO THE EXTENT PROPOSED. MY
CONCERN IS THAT THAT'S NOT GOING
ON INSIDE THIS BOARD OR VERY
MANY BOARDS UNDER THE-
JURISDICTION OF THE DCA SO.
PERHAPS WE CAN YOU CAN ADDRESS
THAT IN YOUR- WRITTEN RESPONSE
TO OUR COMMITTEE SPECIFICALLY.
ARE THERE OTHER OCCASIONS WHERE
ATTORNEYS RECOMMEND A PARTICULAR
COURSE OF ACTION AT A PARTICULAR
COST. AND DECISIONS ARE MADE NOT
TO DO THAT. IN A PROACTIVE WAY.
IN AN ATTEMPT TO CONTROL THE
LEGAL BUDGET AND THE LEGAL
EXPENSES. BUT YOU WILL HAVE
INDICATED ARE A MAJOR IMPACT ON
YOUR- YOUR FINANCIAL STATEMENTS
SO. PERHAPS WE CAN DISCUSS THAT
IN A DIFFERENT FORM AND PERHAPS
YOU CAN ADDRESS SOME OF THAT IN
YOUR- IN YOUR WRITTEN RESPONSE.
THANK YOU MEMBERS ANY OTHER
QUESTIONS BEFORE WE GO TO PUBLIC
COMMENT ANY OTHER QUESTIONS OR
COMMENTS. OKAY WILLING NOW
ACCEPT TESTIMONY FROM MEMBERS OF
THE PUBLIC ABOUT THE BOARD OF
CHIROPRACTIC EXAMINERS LET'S
BEGIN WITH ANY WITNESSES HERE IN
THE GALLERY. I SEE NO WITNESSES
IN THE GALLERY WILL MOVE TO
WITNESSES WAITING TO PROVIDE
PUBLIC COMMENT VIA THE
TELECONFERENCE OVER THIS.
MODERATOR IF YOU WOULD PLEASE
PROMPT ANY SUCH INDIVIDUALS.
WAITING TO TESTIFY. ABOUT THE
BOARD OF CHIROPRACTIC EXAMINERS
WE WILL BEGIN. BY WRITER.
IS THERE A MODERATOR. MANY OF MY
PRESS ONE AND THEN ZERO. FOR ANY
PUBLIC OMMENT THAT IS ONE ZERO
FOR ANY PUBLIC COMMENT. THANK
YOU WE WILL GO TO LINE ELEVEN
PLEASE GO AHEAD YOUR LINE IS
OPEN. HELLO NINE ELEVEN YOU NEED
TO RE PROMPT. ONE ZERO. MISTER
CHAIR WE HAVE. THEIR VIRTUAL
LINE ELEVEN YOU MADE. YOUR LINE
IS OPEN PLEASE GO AHEAD. GOOD
MORNING KAREN MEMBERS BALLOT
COMING UP WITH ON WITH VITAMIN
GROUP ON BEHALF OF THE
CALIFORNIA CHIROPRACTIC
ASSOCIATION WE APPRECIATE THE
ROBUST CONVERSATIONAL WRITING BC
SENT THEIR REVIEW AND WANT TO
EXPRESS HER SUPPORT FOR THE
BOARD SOMETHING EXTENSION. THERE
ARE A COUPLE OF ISSUES THAT WE
LIKE TO HIGHLIGHT TODAY FIRST
AND ONE OF THE MOST DURING
ISSUED TO US IN THE BUDGET AND
SOLVING THE CHALLENGES THE BOARD
CONTINUES TO FADE. BUT THIS ONE
ALPHA CONDUCTED BY THE
CONSULTING FIRM THANK YOU FOCUS
THERE AND FEED THEM I NEED TO BE
MODIFIED. TO INCREASE. THE WORK
REVENUE. OKAY REPORT THE THEY
WANT BY LEVEL THE BOARD AND HAVE
. ON THE BEST WAY TO THE- THAT
JUMP A DIFFERENT. FOR ON ME AND
YOU FEEL LIKE BEAT. SECOND THAT
. EXACTLY CAPTURE ATTENTION AND
THEY HAD BEEN HIDING. DURING THE
PANDEMIC. WE WOULD LIKE TO FEED.
AND YOU TWENTY HOUR. INTO
REQUIRED. MAKING A LEVEL PUT. WE
THOUGHT DURING THE PANDEMIC BY
ALLOWING THAT ALL CAN BE GIVEN
OUTSIDE OF HAVING TO ATTEND IN
PERSON COURSES. THE DRESS
ABILITY PIZZA THAT WILL MELT HE
BITI APPROVES THE SESSIONS
INCLUDED Q. AND A PORTION AT THE
END OF THE FORCES. BUT FOR
DICTIONARY PRACTITIONERS BUT THE
QUICKLY PASSED ME TEST. PRIOR TO
BEING GRANTED THE CERTIFICATION
OF COMPLETION AND I THINK
THEY'LL GET THE LEVEL OF ACCOUNT
ACCOUNTABILITY THAT IS. MUCH
NEEDED DURING. THE REMOTE THE
COURT THAT. WE WILL BE FOLLOWING
UP IN MY IF ALL THESE AND OTHERS
INCLUDING THE BACKGROUND PAPER.
I WANNA THANK YOU FOR THE TIME I
LOOK FORWARD TO WORKING WITH THE
COMMITTEE AND BOARD YEAH THANK
YOU. THANK YOU NEXT PLEASE.
THANK YOU MR CHAIR WE HAVE NO
FURTHER PUBLIC COMMENT TO QUEUE
AT THIS TIME. THANK YOU. MEMBERS
ANY ADDITIONAL QUESTIONS OR
COMMENTS REGARDING THE BOARD OF
CHIROPRACTIC EXAMINERS BEFORE WE
MOVE ON. SEEING NONE WILL BEGIN
A REVIEW OF THE NATURAL PATHAK
MEDICINE COMMITTEE WOULD LIKE TO
WELCOME DR DAERAH THOMPSON.
COMMITTEE CHAIR DR GRITTED THE
MAKO VICE CHAIR AND MS REBECCA
MITCHELL EXECUTIVE OFFICER.
PLEASE PROCEED. THANK YOU SO
MUCH. I WANT TO THANK THE
HONORABLE CHAIRS AND THE MEMBERS
OF THE COMMITTEE I AM DOCTOR
THOMPSON ON THE ELECTED CHAIR OF
THE NATURE PATHAK MEDICINE
COMMITTEE. AND I HAVE BEEN A
LICENSED NATUROPATHIC DOCTORS
SINCE TWO THOUSAND AND TWO.
LICENSED IN THE STATE OF
CALIFORNIA SINCE TWO THOUSAND
AND FIVE. THIS IS MY NINETEENTH
YEAR PRACTICE. I'VE BEEN A
MEMBER OF THE COMMITTEE SINCE
DECEMBER OF TWO THOUSAND AND
FIFTEEN. I ATTENDED NATUROPATHIC
MEDICAL SCHOOL IN PORTLAND
OREGON AT THE NATIONAL COLLEGE
OF NATUROPATHIC MEDICINE AND I
PRACTICE IN SAN FRANCISCO. WHERE
ALTHOUGH I AM BUSY SEEING
PATIENTS DAILY I MAKE TIME FOR
THE COMMITTEE BUSINESS BECAUSE I
AM DEDICATED TO THE MISSION. OF
PROTECTING THE PUBLIC SAFETY AND
I'M HERE TODAY TO DEMONSTRATE
THAT COMMITMENT. THE COMMITTEE'S
MISSION IS TO PROTECT CALIFORNIA
HEALTH CARE CONSUMERS AND EXPAND
ACCESS TO SAFE AND EFFECTIVE
PRIMARY CARE BY LICENSING AND
REGULATING THE TRAFFIC DOCTORS.
THROUGH THE VIGOROUS ENFORCEMENT
OF THE NEW TRAFFIC DOCTORS ACT.
TO ACCOMPLISH THIS MISSION
COMMITTEE INVESTIGATES CONSUMER
COMPLAINTS AND CRIMINAL
CONVICTIONS RESPONSE TO EMERGING
CHANGES AND TRENDS IN THE NTURE
PUBLIC HEALTH CARE PROFESSION
LEGISLATIVELY AND THROUGH
REGULATIONS. AND THESE ARE
LICENSED DOCTORS WHO PRACTICE A
WHOLE PERSON APPROACH TO
MEDICINE LOOKING BEYOND JUST
SYMPTOMS TO UNDERSTAND HOW
LIFESTYLE AND ENVIRONMENTAL
FACTORS IMPACT YOUR WELL BEING.
THE NT PROFESSION IS QUICKLY
GROWING IN CANISTERS TO FILL IN
THE PRIMARY HEALTH CARE
PRACTITIONER SHORTAGE. THE
NUMBER OF ATTENDEES IN
CALIFORNIA HAS INCREASED FROM
SIX HUNDRED AND SEVENTY EIGHT TO
TWO I'M SORRY NINE HUNDRED AND
SEVENTEEN ACTIVE LICENSEES SINCE
THE TWO THOUSAND SIXTEEN SUNSET
REVIEW. THIS REPRESENTS A 35%
INCREASE IN THE LICENSE
POPULATION. WE NEED TO PROTECT
MEDICAL COMMITTEE. TAKES PRIDE
IN FILLING THE COMMITTEE'S
MISSION OF PROTECTING THE PUBLIC
ALTHOUGH WE DO NOT RECEIVE MANY
COMPLAINTS AGAINST LICENSED AND
DIS WE HOLD THE LICENSEES TO A
VERY HIGH STANDARD AND TAKE
SWIFT AND APPROPRIATE ACTION
WHEN NECESSARY. WE BELIEVE THAT
NATURE PATH DOCTORS IN
CALIFORNIA SHOULD CONTINUE TO BE
REGULATED UNDER THE CURRENT
MAJOR CATHOLIC MEDICAL
COMMITTEE. TO PROTECT THE HEALTH
AND SAFETY OF THE RESIDENTS OF
CALIFORNIA. THANK YOU SO MUCH AT
THIS TIME I WOULD LIKE TO
INTRODUCE OUR EXECUTIVE OFFICER
REBECCA MITCHELL. THANK YOU MS
MITCHELL PLEASE PROCEED. THANK
YOU SO MUCH BUCKS ON A WHEEL
CHAIRS AND MEMBERS OF THE
COMMITTEE I'M REBECCA MITCHELL
AND I HAVE BEEN THE EXECUTIVE
OFFICER OF THE COMMITTEE SINCE
JULY TWO THOUSAND THIRTEEN I'M
EXCITED TO BE HERE TO REPRESENT
THE COMMITTEE TODAY MY VISION
FOR THE COMMITTEE IS TO CONTINUE
TO FULFILL OUR MISSION OF
PROTECTING THE PUBLIC. THE
COMMITTEE DOES NOT HAVE ANY
ISSUES FROM A BUDGET
PERSPECTIVE. THE COMMITTEE IS
STRUCTURALLY BALANCED IN THAT
OUR REVENUE AND SPENDING HAVE
BEEN FAIRLY CONSISTENT WITH ONE
ANOTHER. SINCE THE COMMITTEE'S
LAST SUNSET REVIEW THE COMMITTEE
CONTINUES TO HAVE CONCERNS WITH
UNLICENSED ACTIVITY. WITH
VIOLATIONS OF THE MISUSE OF THE
INDIE TITLE AND PARTIES
PORTRAYING THEMSELVES AS
LICENSED AND DIS. PROVIDING
DIAGNOSIS AND TREATMENT WITHOUT
THE BENEFIT OF A LICENSE. THE
COMMITTEE HAS PROVIDED SEVERAL
CONSUMER OUTREACH CAMPAIGNS BUT
THE CONTINUED USE OF THE
INTERCHANGEABLE TERM NATURE PATH
MAJOR PATHAK PRACTITIONER. AND
THE THING IS ABOUT THE DOCTORS
SEEM TO BE CONFUSING TO THE
LAYPERSON. AND CONTINUE TO
UNDERMINE CONSUMER PROTECTION.
CONVEYED NINETEEN HAS CREATED
SOME UNPRECEDENTED SITUATIONS
FOR THE COMMITTEE. DC HAS BEEN
GREAT WORKING WITH THE
INDIVIDUAL PROGRAMS TO ENSURE
THE NEEDS ARE MET DUE TO THEIR
GUIDANCE AND OPEN COMMUNICATION
. THERE HVE BEEN SEVERAL
WAIVERS ISSUED TO ENSURE THAT
COLEMAN NINETEEN DID NOT CREATE
A BARRIER FOR LICENSURE ON THE
COMMITTEES AND WE HAVE FOLLOWED
SAFETY PROTOCOLS BY ENCOURAGING
TELEWORKING STAFF ROTATION
SCHEDULES AND STAGGERING OFFICE
VISITS. HE SEES IT TEAM WAS
INSTRUMENTAL IN GETTING STUFF UP
AND RUNNING REMOTELY AND DC'S
LEADERSHIP WAS APPRECIATED
DURING SUCH A STRENUOUS AND
CHALLENGING TIME THANK YOU SO
MUCH AND I LOOK FORWARD TO YOUR
QUESTIONS. THANK YOU. IS THAT IT
FROM THE- FROM THE COMMITTEE. DR
THE MAKO. I JUST INTRODUCED
MYSELF DOCTOR READY TO MAKE-
I'VE ALSO BEEN PRACTICING IN THE
STATE OF CALIFORNIA FOR EIGHTEEN
YEARS SINCE WE FIRST HAD
LICENSURE HERE AND- I PRACTICE
WITH MY HUSBAND IN AUBURN
CALIFORNIA HAPPY TO BE HERE AND
I'M HAPPY THAT YOU ARE. WE HAVE
THE OPPORTUNITY TO DO THIS
REVIEW WITH YOU ALL THANK YOU.
THANK YOU. QUESTIONS FROM THE
COMMITTEE CHAIR BERMAN ANY
QUESTIONS. THANK YOU TEAR OFF
THE- JUST A COUPLE ONE IS OUT. I
UNDERSTAND THAT THE COMMITTEE IS
STAFFED BY JUST TWO PEOPLE. HAS
THIS IMPACTED YOUR ABILITY TO
CARRY OUT YOUR RESPONSIBILITIES.
AND AT THE REQUEST OF THE
AUTHORITY TO HIRE ADDITIONAL
PERSONNEL. THANK YOU SO MUCH FOR
THAT QUESTION. AND STOPPING IS A
CONCERN FOR US- ONE OF THE
REASONS FOR OUR FEE INCREASE IN
TWO THOUSAND NINETEEN WANTS TO
ALLOW US TO HIRE ADDITIONAL
STAFF- AND WE COULDN'T DO THAT
THE INITIAL YEAR THAT WE MADE
THE FEE INCREASE BECAUSE WE'RE
WAITING TO HAVE. THAT EXTRA
EXTRA RESERVE AND THEN OF COURSE
THE DEMANDS OF TODAY. COULD BE
NINETEEN HAD DONE AT TIMES-
IMPEDED OUR ABILITY TO HIRE NEW
STAFF. ALL RIGHT WE HAVE
CONTINUED TO MEET OUR GOALS-
MOSTLY THROUGH THE SUPER HUMAN
EFFORTS OF OUR EXECUTIVE OFFICER
REBECCA MITCHELL. WHO IS
TIRELESS- BUT WE- WAIT- WE ARE
ACTIVELY WORKING ON- HIRING NEW
STAFF THANK YOU. GREAT THANK YOU
VERY MUCH- AND WHAT IS IT CAN
YOU CAN YOU TALK A LITTLE BIT
ABOUT YOUR RELATIONSHIP WITH
AUSTRIA PATHAK MEDICAL BOARD IS
THERE IS THERE ANY MEANINGFUL
REASON. THAT THAT STATE STATUTE
SAYS YOU WERE WITHIN THAT BOARD.
THEN YOU KNOW WHAT YOUR MIND
MAKES YOU A COMMITTEE. I GUESS
AS OPPOSED TO BEING YOUR ON
BOARD. SO I DO THINK THAT'S
CONFUSING AND WE WOULD- WELCOME
THERE RECALIBRATION OF OUR
COMMITTEE HAS A BOARD BECAUSE
WHEN WE ARE AUTONOMOUS FROM THE
OSTEOPATHIC MEDICAL BOARD- EONS-
WE FUNCTION AS A BOARD IN THE
STATE OF CALIFORNIA. SO THAT
THAT IS ALSO A GOAL FOR US AND
IF- THAT DESIGNATION WAS CREATED
WE WOULD WELCOME IT. THANK YOU
VERY MUCH THEY TEAR OFF. THANK
YOU- JUST A QUICK FOLLOW UP- I
KNOW FROM THE BACKGROUND PAPER
ON THIS PARTICULAR- COMMITTEE.
ON THE SUBJECT OF- EXPENSES AND
FUND BALANCES THAT. THE PRO
RATED CONTRIBUTION TO THE DCA IS
PROPORTIONATELY SIZEABLE AT
TIMES REPRESENTING ITS LARGEST
EXPENDITURE WHAT DOES THAT PRO
RATHER CONTRIBUTION TO DCA
RELATE. TO I'M GOING TO ASK
REBECCA MITCHELL TO ANSWER THAT
QUESTION THANK YOU. AND THE
REASON I ASK IS FOR EXAMPLE IN
FISCAL YEAR TWO THOUSAND
NINETEEN TWENTY IF I'M READING
THIS CORRECTLY. THE DCA PRO RATE
IT WAS A HUNDRED AND SIXTY TWO.
THOUSAND DOLLARS. IF THAT'S
CORRECT. AND THE TOTAL. WAS TWO
HUNDRED AND TWO. EIGHT THANK YOU
FOR THAT QUESTION SO- IT IS A
VERY LARGE PORTION OF OUR BUDGET
HOWEVER FOR A SMALL PROGRAM LIKE
OURS WITH VERY LIMITED STAFF-
DCA DOES GIVE US A LOT OF-
ADMINISTRATIVE- ASSISTANCE AND
SO WE DO RELY HEAVILY ON DCA AND
THERE ARE MANY UNITS AND
PROGRAMS WITHIN THEIR DEPARTMENT
TO ASSIST US IN MAKING SURE THAT
WE ARE NOT. YOU KNOW COMPLETING
AND WHAT WE'RE SUPPOSED TO
INTERMISSIONS ON THAT WE DO
BUDGET- APPROPRIATELY AND
HOPEFULLY- WILL STAY AND- GOOD
IN OUR BUDGET THANK YOU THANK
YOU JUST CHECKING. SIR PM. THANK
YOU THANK YOU VERY MUCH AND
APPRECIATE THE PRESENTATION-
pCOMMITTEE. IN ON PAGE TWELVE
REGARDING C. E. IT SAYS EACH
QUARTER PERCENTAGE OF LICENSEES
ARE AUDITED CONFIRM C.
REQUIREMENTS WHAT PERCENTAGE OF
LICENSEES ARE ACTUALLY AUDITED
TO CONFIRMS C. E. REQUIREMENTS.
ARE YOU ABLE TO GIVE THAT NUMBER
. FIVE SEVENTY AND YOU'LL NEVER
FIND IT WHATEVER YES THANK YOU
WE DO WE DO 25% ANNUALLY THAT
GIVES US A 100% AT FOUR YEARS SO
THAT'S TWO OF OUR ANNUAL
SESSIONS. ALL RIGHT THAT THAT
THAT'S VERY HELPFUL TO KNOW HEY
I MAKE NOTE THAT YOU APPOINTED
ONE LICENSEE. THAT FILL THE
AUDIT SO GOOD JOB- THE- THE
QUICKNESS I DO ALSO WANT TO ASK
YOU IS ISSUE NUMBER SIX. IN
TERMS OF THE ATTORNEY GENERAL
BILLING RATE HOW IS THAT
IMPACTING YOUR YOUR- COMMITTEE.
SO WE ARE CONCERNED ABOUT THE
INCREASE IN BILLING RATE BUT
THANKFULLY WE HAVEN'T HAD ANY
CASES THAT NEEDED TO BE REFERRED
TO THE ATTORNEY GENERAL SINCE
THAT RATE WENT INTO EFFECT SO IT
HASN'T AFFECTED US DIRECTLY YET.
WE CAN'T REALLY SPEAK TO HOW IT
WILL AFFECT US BECAUSE WE DON'T
HAVE THAT DATA. OKAY ALL RIGHT
SO THAT THAT'S HELPFUL TO KNOW-
I GUESS I DON'T KNOW WHETHER
YOU'RE ON ONE CONTRACT THE BOARD
WAS PRESENTING- I THINK- TROUGH
MEHTA EXCELL SUGGESTION ABOUT
BEING SURE YOU HAVE CONTROLS IN
PLACE I KNOW YOU ONLY HAVE TWO
PEOPLE ON YOUR STAFF. IN TERMS
OF- MADE MANAGING YOUR LEGAL
EXPENSES- THE OTHER THE OTHER
QUESTION ACTUALLY ISSUE NUMBER
SEVEN IN TERMS OF- DELINQUENT
LICENSES- MAKE NOTE THERE'S A
PRETTY HIGH PERCENTAGE. WHAT
YEAH IT SEEMS UNUSUAL CAN YOU
EXPLAIN WHY THERE'S SUCH A HIGH
PERCENTAGE OF THE LINCOLN
LICENSES- YES THANK YOU FOR THAT
QUESTION. IT DOES SEEM HIGH IT
IS LARGELY AN ARTIFACT DUE TO
OUR GRACE PERIOD SO WHEN A
LICENSE BECOMES DELINQUENT THERE
IS A THREE YEAR GRACE PERIOD
BEFORE IT BECOMES AN ACTIVE AND
THAT IS. COMMENSURATE WITH THAT
TIME PERIOD OF OTHER BOARDS. WE
DO THINK THAT THAT IS SOMEWHAT
THE CODEPENDENT MAKES SO MANY
PEOPLE DIDN'T MOVE AND SO MANY
THINGS CHANGE THAT THAT MAY HAVE
IMPACTED OUR NUMBER. BUT WHEN
LOOKING BACK AS TO WHY THAT
NUMBER IS HIGH IT IS ALMOST
ENTIRELY BASED ON THAT GRACE
PERIOD OF THREE YEARS. AND SO
FOR. ALL THOSE DELINQUENCIES.
YOU'RE SAYING IS THAT PEOPLE
RETIRING THEY'RE MOVING-
HOPEFULLY THEY'RE NOT JUST SORT
OF. CHANGING THE PRACTICE OF THE
DOCTOR BE LICENSED I SO I KNOW
YOU TOO ARE YOU TRACKING WHAT
HAPPENS TO THE FOLKS WHO. WHO
THEN BECOME DELINQUENT. SO WE
WOULD ABSOLUTELY NOT- TOLERATE
SOMEBODY SIMPLY NOT RENEWING
THEIR LICENSE AND CONTINUING TO
PRACTICE IN CALIFORNIA BECAUSE-
SURE HOWEVER I AM GOING TO ASK
HIM DENTAL TO STEP IN BECAUSE
SHE IS MORE FAMILIAR WITH THE
EXACT NUMBERS ON THAT AND MAY BE
ABLE TO ANSWER THIS IN MORE
DETAIL. THANK YOU. GREAT THANK
YOU SO MUCH. THANK YOU SO MUCH
FOR THE QUESTION- SO AT THIS
TIME WE DON'T TRACK PER SE- THE
NUMBER OF PEOPLE THAT ARE
LEAVING THE STATE HOWEVER WE DO
KNOW THAT IN GENERAL
CONVERSATIONS WITH THE LICENSEES
THAT ALLOW THEIR- THEIR LICENSE
TO GO TO A DELINQUENT STATUS
THAT THEY ARE LEAVING-
PRACTICING CALIFORNIA AND GOING
ELSEWHERE AND NORMALLY IT'S JUST
BECAUSE OF THE RESTRICTED SCOPE
HI HERE IN CALIFORNIA. OKAY AND
THEN THANK YOU AND THEN ISSUE
NUMBER FOURTEEN. IT IS MADE NOTE
THAT THERE'S ZERO CASES
RESULTING IN FORMAL DISCIPLINE
OVER THE PAST SEVERAL YEARS- SO
LIKE I GUESS SOMEONE HANDED IT
AT THE END- I DON'T WANT TO YOU
KNOW SOON THAT THAT IT JUST
SEEMS A LITTLE UNUSUAL I
APPRECIATE THAT THE- THIS
COMMUNITY IS VERY ETHICAL AND
TRAPS HOLDS REALLY HIGH
STANDARDS TO ITSELF BUT IT DOES
SEEM SOMEWHAT UNUSUAL SO- THAT
CAN YOU JUST TALK ABOUT THE FACT
THAT OVER THREE YEARS I MEAN HOW
MANY CASES HAVE YOU INVESTIGATED
WHAT WHAT'S WHAT'S THE
SITUATION. IN REGARDS AND YOU
MAY NOTE THAT YOU HAVEN'T HAD TO
USE LEGAL SERVICES EITHER SELF-
CHANGING USER OF TALK A LITTLE
BIT ABOUT THAT ILLICIT BECAUSE
THE COMPLAINT SAID TURN OUT THE-
THEY DON'T BEAR OUT. OR I MEAN
WHAT WHAT'S GOING ON THAT- THAT
THAT RESULT IN ACTUALLY NO LEGAL
NO FORMAL DISCIPLINARY CASES.
FOR I THINK OVER THREE YEARS NOW
RIGHT YES. THANK YOU FOR THAT
QUESTION- WE ARE VERY LUCKY IN
THAT THERE ARE VERY FEW SERIOUS
COMPLAINTS AGAINST OUR
LICENSEES. I DO BELIEVE THAT
WERE HIGHLY EDUCATED ETHICAL
PROFESSION AND WE'RE ALSO A-
SMALL PROFESSION IN CALIFORNIA
SO THERE'S A SMALLER POOL OF
PEOPLE- WE- TAKE ANY SERIOUS
COMPLAINTS VERY SERIOUSLY AND
TAKES WHAT SWIFT ACTION ON
THOSE- THERE HAVE BEEN SOME IN
THE PAST AND THERE MAY BE SOME
IN THE FUTURE- THERE'S JUST.
BEEN A PARTICULARLY GOOD PERIOD
OF TIME FOR US. THE MAJORITY OF
COMPLAINTS AGAINST OUR LICENSEES
ARE MINOR THINGS THAT ARE EASILY
MANAGED WITH THE RE EDUCATION
YOU KNOW. ADVERTISING VIOLATIONS
AND THINGS LIKE THAT WHICH DON'T
REALLY REQUIRE- AND I AGGRESSIVE
FORMAL- JUDICIAL REVIEW OR
ANYTHING LIKE THAT WE ALSO
HANDLE A LOT OF COMPLAINTS-
REGARDING UNLICENSED ACTIVITY.
AND THOSE ALSO WE- TRY TO HANDLE
INITIALLY WITH EDUCATION. AND I
WOULD ALSO LIKE TO BRING OUR
EXECUTIVE OFFICER REBECCA
MITCHELL ON ANSWERING THIS
QUESTION BECAUSE- SHE ALSO HAS.
IS ACTIVELY DEALING WITH THE
CLIENTS WHEN THEY COME IN OKAY
THANK YOU. THANK YOU SO MUCH FOR
THAT QUESTION YES- WE ARE.
PRETTY LUCKY IN THAT WE HAVE A
VERY SMALL- AT CONSUMER
COMPLAINTS AGAINST OUR
LICENSEES- AND AS AND DOCTOR
THOMPSON WAS STATING THAT THEY
ARE NORMALLY VERY MINOR
VIOLATIONS AND CAN BE CORRECTED
WITH THE RE EDUCATION OR JUST
KIND OF EDUCATING THEM AND ONCE
THE APPROPRIATE- STATUTES AND
REGULATIONS ARE FOR THEM- AND
FURTHER. WE DO HAVE A LOT AND-
OUR CASES AGAINST UNLICENSED
INDIVIDUALS AND SO THAT TAKES UP
A LOT OF OUR ENFORCEMENT TIME
AND RESOURCES AS WELL. SO IN
THAT IN THAT INSTANCE AND WE DO
TAKE ACTION SWIFTLY AGAINST ANY
AND DIS- THAT OUR VIOLATING OUR
OUR STATUTES AND REGULATIONS-
AGAIN WE'VE HAD A COUPLE IN THE
PAST THAT WE DID TAKE ACTION ON-
DURING THIS PERIOD WE DID NOT
HAVE ANY- HOWEVER WE DO HAVE A
COUPLE THAT WILL BE- MOVING
FORWARD. UNFORTUNATELY. OKAY
THANK YOU. THE OTHER I DO A
FOLLOW UP ON ISSUE EIGHTEEN IT'S
DESCRIBED AS VACCINE
MISINFORMATION BY MAY BROUGHT
THE ALSO HEALTH MISINFORMATION
AND AGAIN- I KNOW IF THE REST
NEEDS HER DESPONDENT A QUOTE
AGAIN THE SURGEON GENERAL'S
REPORT THAT. LIVING THE SPREAD
OF HEALTH INFORMATION IS A MORAL
AND CIVIC IMPERATIVES THAT
REQUIRES A WHOLE SOCIETY EFFORT
NOW INCLUDING OUR LICENSING
BOARDS. IN INDY AND ISSUE
EIGHTEEN IT DID MENTION THAT-
UNFORTUNATELY AND THIS IT'S NOT
CERTAINLY LIMITED TO- ANDY'S-
WE'VE- EVEN THE MEDICAL BOARD
ITSELF HAS TO DEAL WITH THIS-
THERE'S SOME HEALTH
PROFESSIONALS INCLUDING SOME
LICENSE RIGHT AND THESE HAVE
PROMOTED HEALTH. MISINFORMATION
AND TO KEEP IN MIND WHEN MILK
PANDEMIC. WE SPENDING HUNDREDS
OF MILLIONS OF DOLLARS GETTING
TWENTY COURAGE PEOPLE TO GET
VACCINATED JUST TO SAVE LIVES
WE'VE HAD UNFORTUNATELY HUNDREDS
OF THOUSANDS AMERICANS DIE
BECAUSE OF HEALTH IN THIS
INFORMATION- SO CAN YOU SPEAK TO
FOR THE ND BOARD- HOW MANY OPEN
CASES DO YOU HAVE RELATING TO-
HEALTH MISINFORMATION. NOT JUST
THAT. AND THEN ALSO. IZZARD ANY%
ADDITIONAL AUTHORITY FIELD THE
BOARD NEEDS IN ORDER TO BE ABLE
TO PURSUE LICENSEES WHO'VE BEEN
ENGAGED IN PROMOTING HEALTH
MISINFORMATION THROUGH SOCIAL
MEDIA. OR OTHER TYPES OF VENUES
AS WELL. THANK YOU SO MUCH FOR
THAT QUESTION WE TAKE THIS ISSUE
SO SERIOUSLY. AS YOU KNOW- YOU
KNOW THE CODE NINETEEN PANDEMIC
IS UNLIKE ANYTHING I'VE SEEN IN
MY LIFE AND CERTAINLY AS- IN
DURING MY PRACTICE AS A DOCTOR
AND I. LIVED THROUGH THE AIDS
EPIDEMIC SO THAT IS HOW IT IS.
SUCH A SERIOUS ISSUE AND FROM
THE VERY BEGINNING WE HAVE
DEDICATED A LARGE PORTION OF OUR
RESOURCES TO EDUCATING OUR
LICENSEES. ON HOW TO RESPOND TO
THIS APPROPRIATELY AND- HAVE
MADE. VERY CLEAR THAT WE WANT TO
PREVENT ANY MISINFORMATION.
WE'RE BACK- IMMEDIATELY AS SOON
AS VACCINES WERE AVAILABLE-
STORAGE WORKING GETTING A
TRAFFIC DOCTORS INDEPENDENT- THE
ABILITY TO INDEPENDENTLY
ADMINISTER THE COOK AT NINE.
NINETEEN VACCINE ALLOWING OUR
DOCTORS TO ADMINISTER THE
VACCINE IN THEIR OFFICES AND
ALSO TO VOLUNTEER AT THE LARGE-
VACCINATION SITES. AROUND THE
STATE- YOU KNOW I THINK HELPING
TO CONTRIBUTE TO THE HIGH
VACCINATION RATES IN THE STATE
OF CALIFORNIA. AND WE HAVE JUST
CONTINUED TO EDUCATE. OUR
LICENSEES ABOUT THIS THROUGHOUT-
AS FAR AS THE NUMBER OF OUR
ENFORCEMENT CASES AND I KNOW
THAT WE'RE NOT ALLOWED TO
COMMENT SPECIFICALLY ON OPEN
CASES- BUT REBECCA DO YOU DO YOU
HAVE A NUMBER OF. CASES THAT ARE
ASSOCIATED. WITH THAT THAT
NUMBER AVAILABLE. SURE THANK YOU
I'M I DON'T HAVE THE EXACT
NUMBER I KNOW THAT WE HAVE THAT.
ONE THAT WE ACTUALLY HAD TO TAKE
ACTION ON- AND WHILE WE HAD A
COUPLE THAT CAME IN THAT WERE
FOR- THE WAY THAT THEY WERE
PRETTY MUCH ADVERTISING- WE DID
GET OUT SOME EDUCATIONAL
MATERIAL- SEVERAL TIMES. DURING
THIS PANDEMIC TO ADVISE OUR
LICENSEES TO BE CAREFUL HOW
THEY- WERE ADVERTISING AND TO
ENSURE THAT THEY'RE NOT STATING
THAT THEY COULD CURE OR- PRE
BENT TO COPE ED SO WE DO TAKE
THIS VERY SERIOUSLY THANK YOU.
OKAY SO YOU MENTIONED THAT-
AGAIN I'M NOT ASBESTOS US ANY
THE DETAILS A SPECIFIC CASE
THERE'S BEEN THERE'S BEEN ONE
DISCIPLINARY ACTION TAKEN OR IS
IT IN THE MIDST OF
INVESTIGATION. YES IT'S UNDER
INVESTIGATION AND IT'S ABOUT TO.
BE MOVED TO THE AG'S OFFICE
CRACKED AND THEN- OKAY SO NOW
YOU'LL FIGURE OUT YOUR LEGAL
FEES. THAN THE OTHER- THEN I
GUESS THIS IS THE FOLLOW UP
QUESTION AGAIN IS DO YOU FEEL
LIKE YOU HAVE SUFFICIENT
AUTHORITY TO PURSUE THESE CASES
OF. HEALTH MISINFORMATION OR DO
YOU DO YOU THIS LEGISLATURE NEED
TO ACT TO GIVE YOU THE
APPROPRIATE AUTHORITY. TO
ADDRESS THIS PROBLEM. THANK YOU
SO MUCH FOR THAT I'LL GO AHEAD
AND- THERE IS- I BELIEVE WE DO
HAVE APPROPRIATE AUTHORITY-
CERTAINLY AT THAT OUR EFFORTS TO
HIRE ANOTHER STAFF WOULD MAKE IT
EVEN EASIER FOR US. OKAY ALL
RIGHT SO AT THE END IT'S-
SOMETIMES IT'S A LITTLE OUTSIDE
THE USUAL BECAUSE IT'S NOT THIS
WEEK I COME FROM A PATIENT
COMPLAINT PER SE ALL RIGHT AND
THEN FINALLY JUST ISSUE
NINETEEN- IN TERMS OF ENGAGING
OVERSIGHT ENFORCEMENT OF ANDY'S-
INITIATING ADMINISTERING-
KODAK'S NATIONS PART OF PUBLIC
HEALTH ORDER- CAN YOU JUST SPEAK
TO- SPEAK TO THAT. I'M SO SORRY
I'M NOT ENTIRELY SURE RIGHT I
HEARD THE QUESTION THEY'RE
ASKING YEAH. SO BASICALLY- SO
ISSUE NUMBER NINETEEN IS OUR
CODE IMMUNIZATIONS- GETTING AN
UPDATE WEATHER BELIEVES A
SUBSTANTIAL NUMBER OF INDIES
HAVE BEEN. STREAM THE COVE IN
NINETEEN SIXTEEN AND- HOW'S
ENGAGED IN THE- WAIVERS
REQUIREMENTS SO THERE'S ALSO A
REQUIREMENT THAT- OKAY A SURVEY
TO ME ONLY 7% INDIES RESPONDED
THEY CURRENTLY ADMINISTERED
COVERED NINETEEN ACTION PURSUANT
TO THE TO THE WAIVER SO THAT
JUST GOES BACK TO IS HE SAID YOU
MENTIONED THAT THAT MANY OF THE
LICENSEES ARE AT YOU KNOW BEEN
ENGAGED IN- THE MYSTERY OF THE
VACCINE. WELL I THINK THAT MOST
PRIVATE PRACTICE PRACTITIONERS
ARE NOT ADMINISTERING THE
VACCINE. MAJORITY VACCINATION.
IN GENERAL NOT JUST AND
DETERMINE GENERA CALIFORNIA
RIGHT MOST OF THE VACCINE
ADMINISTRATION IS HAPPENING AT
LARGE TECHNIQUES INSIGHTS. AND
PHARMACY IS- ESPECIALLY I
PRACTICE IN SAN FRANCISCO SO
THERE YOU KNOW IT'S NOT A LOT OF
NEED FOR THAT. IN OUR AREA I
THINK IT'S BECOME MORE IN PLACE
WITH OUR LICENSEES THAT ARE IN
RURAL AREAS WHERE THERE'S LESS
ACCESSIBILITY. AND WE DO KNOW
THAT WE HAVE LICENSEES WHO HAVE.
BEEN VOLUNTEERING AT THE LARGER
VACCINATION SITES I DO NOT HAVE
THE EXACT NUMBER. OKAY AND IT
MAY NOT NECESSARY TO BE THE
PLACE OF LICENSING FOR TO FIGURE
THAT OUT BUT- SINCE IT WAS
RAISED IN THE ANALYSIS I THOUGHT
I'D JUST ASK. ALL RIGHT WELL
APPRECIATE THANK YOU VERY MUCH.
THANK YOU THANK YOU SENATOR. CAN
MEMBERS ANY OTHER QUESTIONS
COMMENTS OR CONCERNS- DOCTOR
OVER. GOOD MORNING THANK YOU FOR
YOUR PRESENTATION THANK YOU TO
MY COLLEAGUE DR PAN SENATOR PAN
WHO ASKED A LOT OF THE COLLISION
THE VACCINE QUESTIONS THAT I
HAVE FOR YOU ALL THANK YOU. ONE
OTHER QUESTION I JUST KIND OF
POPPED OUT WHEN I WAS READING.
THE REPORT- YOU HAVE THREE
SUBCOMMITTEES OF WHICH- ARE
SUPPOSED TO HAVE PHYSICIAN
MEMBERS ON IT THAT PRESCRIBING
AND FURNISHING AUTHORITY OF
NATURAL PATHAK DR SUBCOMMITTEE
AND THE MINOR OFFICE PROCEDURES
THAT COMMITTEE AND BOTH OF THOSE
PHYSICIANS RESIGNED IS THERE A
PARTICULAR REASON WHY THE
PHYSICIANS ON THOSE TWO
COMMITTEES SUBCOMMITTEES.
RESIGNED. YES THANK YOU FOR THAT
QUESTION SO BOTH OF THEM IT WAS-
I'M FAT I DON'T KNOW HOW MUCH I
CAN GIVE THAT DETAIL ON THE
REASONS THERE IS AND IT
CERTAINLY HAD NOTHING TO DO WITH
THE COMMITTEE REBECCA MY ABLE TO
SAY WELL WHY THEY'RE RIGHT. WHY
THEY RESIGNED BECAUSE I DO
ACTUALLY KNOW. ACTUALLY I'M JUST
WONDERING IF THERE'S A COMMON.
THEME LIKE ANY CONCERNS THAT
WERE COMING OUT OF WHATEVER WAS
BEING DISCUSSED. NO NO IT WAS
ABSOLUTELY UNRELATED TO THEIR
WORK ON THE COMMITTEES- AND- I
THINK WAS. PERSONAL FOR BOTH OF
THEM HI AND- WE ARE ACTIVELY
WORKING ON GETTING NEW PHYSICIAN
MEMBERS FOR OUR COMMITTEE- IT'S
JUST BEEN VERY HARD. DURING KOBE
AND TO ASK SOMEONE TO DO
ANOTHER- YOU KNOW BASICALLY
VOLUNTEER POSITION- DURING THIS
TIME BUT WE- WOULD WELCOME NEW
PHYSICIAN MEMBERS DO WE DO WE
HAVE ONE NEW ONE REBEKAH. YES WE
DO. YEAH SO THAT WAS EXCELLENT
WE GOT IT SEVERAL NEW COMMITTEE
MEMBERS SIGNED RECENTLY SO WE'RE
LOOKING VERY MUCH FORWARD TO
MEMBERS AND TOP. AND MOVING
FORWARD THANK YOU THANK YOU.
REGULAR TO A RESEARCH LETTER YES
THANK YOU AGAIN MISTER CHAIR
THANKS FOR THE PRESENTATION BUT
MY QUESTION LEANS TOWARDS
ADVERTISING YOU HAD MENTIONED
ABOUT DISCIPLINE SOME OF THESE
INDIVIDUALS- BUT YET THERE'S
NOTHING ON THE RECORD TO SHOW
THAT ANYONE HAS LOST HER
LICENSE. AND THERE'S BEEN A
STRONG ENFORCEMENT. MY QUESTION
IS THIS IF SOMEONE IS
ADVERTISING CAN YOU GIVE US AN
EXAMPLE OF WHAT TYPE OF
ADVERTISING IS GOING ON THAT-
WOULD BRING AWARENESS. TO THE
COMMITTEE AND THEN WHAT TYPE OF
ADVERTISING WOULD ACTUALLY CAUSE
ACTION ON YOUR PART IT WOULD
ACTUALLY CAUSE A REVOCATION OF
THE LICENSE OR HARSH DISCIPLINE
. GIVE ME AN EXAMPLE. THANK YOU
SO MUCH FOR THAT QUESTION. SO
THE MAJORITY OF THIS I'M GOING
TO HAVE HER BACK ANSWER BECAUSE
SHE IS AGAIN RECEIVING THOSE
COMPLAINTS BUT- FOR ADVERTISING
THE SORT OF THINGS WE'RE TALKING
ABOUT- AN EXAMPLE FOR THIS WOULD
BE THAT IN THE STATE OF
CALIFORNIA YOU CAN'T GIVE
CERTAIN DISCOUNTS FOR HEALTH
CARE SO YOU CAN'T SAY IF YOU DO
ONE TREATMENT YOU CAN GET ARE
YOU DO TO TREATMENTS YOU CAN GET
ONE FOR FREE. AND SOME OF OUR
LICENSES TO DON'T REALIZE THAT
AND THEY MAY ADVERTISE SOMETHING
LIKE THAT WE WILL GO IN AND RE
EDUCATE THEM AND THEN IF THEY
STOPPED DOING THAT AND THAT IS
THE END OF THAT ISSUE WE DO
ALLOW PEOPLE TO CORRECT THEIR
BEHAVIOR IF THEY WEREN'T AWARE
ORIGINALLY ANNOUNCED THE RULE-
AND SO THAT'S THE MAJOR REASON
THAT WE HAVEN'T HAD ANY SERIOUS
DISCIPLINARY. ACTIONS AROUND
SOMETHING LIKE ADVERTISING
BECAUSE WE'VE BEEN ABLE TO RE
EDUCATE AND CORRECT BEHAVIOR.
WE'RE BACK IF YOU WANT TO
OPERATE ON THEM. YES THANK YOU
DR THOMPSON I THINK THAT THAT
WAS SPOT ON- IF THAT'S EXACTLY
WHAT IT IS THAT THE OUR
EDUCATION- IT WE TAKE AN IN A
VIOLATION PRIOR TO ANY.
DISCIPLINE IS IT JUST SEEMS TO
BE WORKING FOR US- AND FOR THE
LICENSEES- AND OF COURSE THAT
THIS IS FOR CASES THAT DO NOT
HAVE PUBLIC HARM. IF THERE'S
PUBLIC HARM INVOLVED OF COURSE
WE'RE GOING TO TREAT THAT CASE.
A LOT DIFFERENTLY. THANK YOU FOR
SURE. THANK YOU SENATOR
FINANCING NO OTHER MIKES UP
GERMAN PLEASE PROCEED THANK YOU
VERY MUCH I JUST WANT TO- MAYBE
GIVE- THE WHEN THIS IS A CHANCE
TO EXPAND A LITTLE BIT I KNOW
THEY MENTIONED- THE ISSUE
AROUND- YOU KNOW NATURE PATH
VERSUS NATURE PERFECT DR AND
SOME OF THE CONFUSION THAT
EXISTS- ESPECIALLY AMONGST
CONSUMERS. GONNA GIVE THEM THE
OPPORTUNITY TO EXPOUND UPON UPON
THE CONCERNS ABOUT THAT- AND
MAYBE ASK WHAT EFFORTS AS THE
COMMITTEE MADE TO ENGAGE IN MORE
CONSUMER AWARENESS OF THAT
DISTINCTION. BUT WITH US HE'S-
THANK YOU SO MUCH FOR THAT
QUESTION AND- THERE THERE IS AN
UNFORTUNATE ISSUE AROUND TITLE
IN THE STATE OF CALIFORNIA. AND
THAT IS THAT THERE ARE MANY- LAY
PRACTITIONERS WHO ARE NOT
EDUCATED AS DOCTORS WHO USE THE
TERM NATURE PAST TRADITIONAL
MAJOR PATH OR SOME VARIATION OF
THAT AS THEIR TITLE. AND NINE IS
EXTREMELY CONFUSING TO THE
CONSUMERS OF CALIFORNIA. AS A
NATUROPATHIC DOCTOR HIGH AND THE
LICENSEES UNDER THE COMMITTEE I
HAVE WENT THROUGH A FOUR YEAR
MEDICAL PROGRAM TOOK BOARD
EXAMS- AND HAVE YOU KNOW A
RIGOROUS LICENSING AND
ENFORCEMENT STANDARDS IN PLACE.
AND IT'S SIMPLY A DIFFERENT
PROFESSION AND WE ARE NOT SAYING
THAT THERE IS NOT PLACE FOR
OTHER TYPES OF PRACTITIONERS BUT
THE NAMING IS A VERY CONFUSING
TO THE CONSUMERS AND MAY LEAD A
PERSON TO. SEEK CARE FROM
SOMEONE THAT THEY BELIEVE IS A
TRAINED DOCTOR WITH- YOU KNOW A
PRIMARY CARE DEGREE AND THEN
THEY ARE NOT AND SO THIS THIS IS
AN ISSUE WE ABSOLUTELY LIKE I
SAID WE ABSOLUTELY SUPPORT THE
RIGHT AND THESE- PRACTITIONERS
TO PRACTICE IN CALIFORNIA. WE
JUST THINK THAT THE NAMING
SHOULD BE SEPARATED- AND WE HAVE
SUPPORTED THE USE OF POTENTIALLY
DIFFERENT TITLE SOMETHING LIKE
HOLISTIC HEALTH PRACTITIONER OR
SOMETHING LIKE THAT. BUT NOT
NATURE PATH NEED TO PASS. THOSE
DERIVATIVES BECAUSE AGAIN IT'S
CONFUSING AND COULD LEAD. TO
SIGNIFICANT PUBLIC SAFETY
ISSUES. FOR YOU A QUICK FOLLOW
UP HOW MUCH OF YOUR TIME- THE
COMMITTEE'S TIME WOULD YOU SAY
YOU SPENT INVESTIGATING
COMPLAINTS. AGAINST NATURE PATHS
THAT THAT YOU DON'T LICENSE. SO. I BELIEVE THAT OUR
ENFORCEMENT- IS- I MEAN A LOWER
BACK ANSWER THIS I BELIEVE IT'S
6270% OF OUR ENFORCEMENT IS
UNLICENSED ACTIVITIES REBECCA
CAN YOU GIVE AN EXACT NUMBER
THAT IS CORRECT- AT THE TIME
THAT WE PREPARED THE REPORT IT
WAS AT SEVENTY ONE PERCENT-
WHICH IS EXTREMELY HIGH IN ANY
OF THE PROGRAMS FOR UNLICENSED
ACTIVITY- AND WE DO FEEL THAT
THIS IS A YOU KNOW JUST A VERY-
HORROR AWAY AS- CONDUCTING.
ENFORCEMENT UNFORTUNATELY WE
HAVE VERY LIMITED RESOURCES AND
WHEN WE'RE SPENDING ALL OUR TIME
DEALING WITH UNLICENSED
VIOLATIONS- AND COMPLAINTS THAT
IT REALLY IS- REALLY IS THAT
CHALLENGING FOR US. THANK YOU
VERY MUCH THANK YOU GERALD THANK
YOU- BERMAN ANY OTHER QUESTIONS
COMMENTS OR CONCERNS SAYING NONE
WHATSOEVER EXCEPT TESTIMONY FROM
MEMBERS OF THE PUBLIC ABOUT THE
NATURAL PATHAK MEDICINE
COMMITTEE. LET'S BEGIN WITH ANY
WITNESSES IN THE GALLERY I SEE
ONE WITNESS IDENTIFYING HIMSELF
SIR PLEASE THE- STEP TO THEM I
CAN IDENTIFY YOURSELF WITH.
HONORABLE MEMBERS OF THE
COMMITTEE MY NAME IS MICHAEL
SOLACE I'M A NATURE PATH IN THE
PRESIDENT OF THE CALIFORNIA
NATURE PATHAK ASSOCIATION. WE
REPRESENT OVER FIVE HUNDRED
METER PATHAK PRACTITIONERS IN
THE STATE OF CALIFORNIA WHO
CURRENTLY PRACTICE NATUROPATHY
UNDER THE DEFINITION IN THE NOT
FOR PROFIT DOCTORS ACT AND WHICH
DIFFERS FROM NATURAL PATHAK
MEDICINE. WE COME TO YOU TODAY
CONCERNED ABOUT THE ACTIONS THAT
WERE UNDERTAKEN BY THE NATURAL
PATHAK MEDICINE COMMITTEE IN THE
LAST FIVE YEARS. DURING THIS
TIME THE NMC HAS RECEIVED
VARIOUS LEGAL GRIEVANCES FROM
MULTIPLE PARTIES THESE
GRIEVANCES WERE NOT OUTLINED IN
THEIR REVIEW TO LEGISLATURE.
MOST OF THESE WERE ABOUT THE
PUBLIC'S PERCEPTION ABOUT THE
NMC'S INCESSANT PLOTTING TO
REMOVE PRACTITIONERS OF
NATUROPATHY FROM CURRENT NAFTA
PATHAK DOCTORS ACT. THE
ACCUSATIONS FROM THE PUBLIC IS
FOUNDED IN FACT BY VIDEO AND
RECORDING EVIDENCE MEANT IN
MEETINGS POSTED TO SOCIAL MEDIA
IN ACCORDANCE WITH THE BAGLEY
KEENE OPEN MEETING ACT. IN THESE
MEETINGS ND AFTER PATHAK
MEDICINE COMMITTEE OPENLY
DISCUSSES OPTIONS ON HOW TO
REMOVE PRACTITIONERS OF
NATUROPATHY FROM CURRENT
PRACTICE ACT AFTER LEGISLATURE
HAD VOTED AGAINST IT. NEVER HAVE
I HEARD OF A BOARD AND NEEDING
TO TAKING COMPLAINTS ON BEHALF
OF THE PRACTICE THEY DO NOT
REGULATE NOR ALLOWED TO
REGULATE. AFTER ALL THE
MECHANISM FOR A MEMBER OF THE
PUBLIC TO FILE A COMPLAINT
AGAINST A PRACTITIONER
NATUROPATHY. IS STATED IN ACTING
AS REFERENCE IN SECTIONS TWO
ZERO FIVE THREE POINT SIX OF THE
MEDICAL PRACTICE ACT.
NEVERTHELESS THE NMC CONTINUES
TO ASK THE LEGISLATURE TO REMOVE
US AND HELP US THINK YOU'RE THE
COST OF REBRANDING TO A TITLE.
SUCH AS HOLISTIC HEALTH
PRACTITIONER WHICH IS
INCONSISTENT WITH OUR HISTORY OR
IDENTITY. NEEDS PROPERTY INDEED
PREDATES NATURAL PATHAK MEDICINE
IN THE STATE THIS IS WELL
DOCUMENTED IN THE COMMITTEE'S
FINDINGS IN OUR REVIEW. AS AS IF
IT WERE NOT ENOUGH FOR CASES
SUCH AS YOUR VERSES BOARD. AND
SERVING VERSUS STATE CONFIRMED
THIS. THE DEFINITION OF NATURAL
PATHAK MEDICINE AND THIS YEAR'S
REVIEW DEFINES IT AS AN-
INTEGRATION OF NATURE NATURE
APATHY. AND MODERN MEDICINE. NO
MENTION OF THE MELTING OF THESE
TWO HEALING ARTS NOR THE
PHRASING AFTER PATHAK MEDICINE.
CAN BE FOUND IN THE HISTORY OF
CALIFORNIA PRIOR TO THE PASSING
OF SB NINE OH SEVEN. FOR THIS
REASON. OUTLINED AND THE
CONTINUED ASSAULT FROM THE
COMMITTEE ON OUR PRACTITIONERS
WE WOULD ABSOLUTELY JUST NATURE
TO HELP US. IN THE PROCESS OF
REGULATING AND REGISTERING
PRACTITIONERS OF NATUROPATHY.
AND ALL THEIR TITLES IN AN
AMENDMENT. TO THE CURRENT
NATURAL CATHOLIC DOCTORS ACT.
THIS WOULD HELP US. SO WE CAN.
UP AND THE PUBLIC. WE WILL ALSO
ASK THE LEGISLATURE TO
CONTEMPLATE ANY NAME CHANGES- WE
HOPE TO WORK CLOSELY WITH THE
CURRENT COMMITTEES. TO FINALLY
BE ABLE TO CLEAR UP THE ISSUES
WITH THIS BILL AND TO GIVE THE
CITIZENS AND PRACTITIONERS OF
THE STATE OF CALIFORNIA ACCESS
TO BOTH OF THESE HEALING ARTS.
IN A SAFE AND CONSISTENT WAY%
THANK YOU. THANK YOU IF YOU HAVE
NOT ALREADY DONE SO PLEASE-
CEMENT. THE WRITTEN COPY OF THAT
WHICH YOU WERE READING TO THE
STAFFS OF BOTH. OF THE ASSEMBLY
AND THE SENATE COMMITTEES.
CONDUCTING THIS JOINT HEARING
THANK YOU. ANY OTHER WITNESSES
IN THE GALLERY. SEEING NONE.
LET'S MOVE ON TO WITNESSES
WAITING TO PROVIDE PUBLIC
COMMENT VIA TELECONFERENCE
ORVIS. MODERATOR IF YOU WOULD
PLEASE PROMPT ANY SUCH WITNESSES
WAITING TO PROVIDE PUBLIC
COMMENT. ABOUT THE NATURAL
PATHAK MEDICINE COMMITTEE. WE
WILL CONTINUE WITH THE HEARING.
THANK YOU MISTER CHAIR LADIES
AND GENTLEMEN IF YOU WISH TO
PROVIDE PUBLIC COMMENT OVER THE
PHONE TODAY THANKS PLEASE PRESS
ONE TEN ZERO THE COMMAND AGAIN
ONE. ZERO AND WE WILL CUT THE
LINE THIRTEEN PLEASE GO AHEAD.
HONORABLE MEMBERS MY NAME IS
STEVEN AND I AM NOT FOR THE
DOCTOR AND THE CLINICAL DIRECTOR
OF THE CEDAR SINAI INTEGRATIVE
MEDICINE PROGRAM IN LOS ANGELES
I'M ALSO THE VICE PRESIDENT OF
THE CALIFORNIA MEDICAL DOCTORS
ASSOCIATION. I'D LIKE TO SAY MY
SUPPORT FOR THE NEXT MEDIC
MEDICINE COMMITTEE. AND THEIR
SUNSET REVIEW AND EXTENSION. AT
END THAT IS INTEGRATING
CONVENTIONAL MEDICINE WITH
COMPLEMENTARY ALTERNATIVE
MEDICINE OR NOT TO MENTION. IT
INCREASINGLY PROMINENT IN THE
HEALTHCARE LANDSCAPE WITH NEARLY
EVERY MAJOR HEALTH SYSTEM IN THE
UNITED STATES. NOW INCLUDING
INTEGRATED METHOD IN THEIR
OFFERINGS. YES BUT THE DOCTORS
ARE KNOWLEDGE BY MANY PATIENTS
THAT HELPS THEM TO CALIFORNIA AS
EXPERTS AND GREAT MEDICINE.
THAT'S WHAT THE LIKE MR ADDED
NOW STAND IS ESSENTIAL IN
PROVIDING SAFE. EFFECTIVE
INTEGRATIVE HEALTH SERVICES BY
ELECTIONS BACK FROM THE DOCTORS.
I WANT TO MAKE SURE TO. THANK
YOU VERY MUCH SIR NEXT PLEASE.
AND NEXT WE WILL GO TO LINE
SIXTEEN. HELLO I'M DR SIMON
BARKER LEGISLATIVE CHAIR
CALIFORNIA NATUROPATHIC DOCTORS
ASSOCIATION AND- URGE YOU TO
SUPPORT THIS BILL THANKS TO
KERR. THANK YOU SIR MODERATOR
NEXT PLEASE. NEXT WE'LL GO TO
LINE TWELVE. GOOD MORNING ANY
DOCTOR LEADERSHIP AROUND I'M A
PRESIDENT OF THE CALIFORNIA
TRAFFIC DOCTOR PATIENT
EXPRESSING MY SUPPORT AND NOT
HAVE IT BUT IF YOU BELIEVE IN
NORTHAMPTON BELL- AND- VERY
HAPPY TO REPORT THEY PROVIDE ARE
LICENSED. CALIFORNIA AFTER DR IN
ORDER TO IN ORDER FOR US TO BE
ABLE TO CONTINUE TO PRACTICE.
SAFELY AND EFFECTIVELY- AND
PROTECTING OUR PATIENTS WELL
THANK YOU SO MUCH THANK YOU VERY
MUCH FEDERER NEXT. WE HAVE NO
FURTHER COMMENT AT THIS TIME.
THANK YOU VERY MUCH. HAVING
HEARD ALL THE PUB PUBLIC
TESTIMONY- MEMBERS ANY OTHER
QUESTIONS COMMENTS OR CONCERNS.
SEEING NO MICROPHONES UP WHAT'S
NEXT DISCUSS THE RESPIRATORY
CARE BOARD OF CALIFORNIA. WE
HAVE WITH THIS RICARDO GOOS MON
BOARD PRESIDENT JOINED BY BOARD
EXECUTIVE OFFICER STEPHANIE
NUNEZ AND ASSISTANT EXECUTIVE
OFFICER CHRISTINE MOLINA. ON HIS
ARM PLEASE PROCEED. I WANT TO
CONFIRM YOU CAN HEAR ME.
ACCORDING PLEASE PROCEED CAN YOU
HEAR ME. EXCELLENT YES MORNING
CHAMBER MANAGED GERMAN ROCK
MEMBERS OF THE COMMITTEES I AM A
CARD IT WAS MOM PRESIDENT OF THE
RIGHTS TO A KEYBOARD I'M JOINED
BY STEPHANIE NEWNESS AND
CHRISTINA EXECUTIVE OFFICER AND
ASSISTANT EXECUTIVE OFFICER
RESPECTIVELY. IT IS A PLEASURE.
TO EIGHT A- MR GOODMAN YOU SEEM
TO BE FREEZING YOU MAY NEED TO
REVERT TO. AUDIO ONLY. BUT HEY
82% THE REST. LET'S TRY THAT I
LIKE YOUR PICTURE CAREFUL TO
SUNSET RIDGE FLETCHER. IN
NINETEEN EIGHTY TWO. OKAY MR
GOODMAN WANTED TO START OVER
WITH YOU AND THEN IN A FEW
MINUTES REPEAT ANYTHING JUST
HEARD ABOUT THE RESPIRATORY
TRACT OF HONORABLE PATIENT
POPULATION FROM THE UNQUALIFIED. PRACTICE OF RESTITUTION FOR
RESPIRATORY CARE. YOU CAN BEST.
YOU'RE BREAKING UP. CAN YOU HEAR
ME NOW. MR GOODMAN WE'RE GOING
TO GET WORSE WE'RE GOING TO GIVE
YOU A DIAL IN NUMBER AND WE'RE
GOING TO TRY IT THAT WAY HOW'S
THAT OKAY. SOUNDS GOOD. DO YOU
WANT TO HAVE ONE OF YOUR OTHER-
PARTICIPANTS SPEAK AND TRY. WELL
WE'RE DOING THE DIAL IN. WHAT
WHATEVER IS BETTER FOR YOU. WELL
WE'RE ACTUALLY HERE TO HEAR FROM
YOU SO I'LL LET YOU DECIDE WE'RE
GOING TO GET YOU A DIAL IN
NUMBER HERE WHICH SHOULD. HELP
YOU- COMMUNICATE YOUR- POSITION
STATEMENT MORE CLEARLY SO STAND
BY OKAY. THANK YOU.
I THINK I HAVE A NUMBER-
688-840-6046 THREE. THAT'S
CORRECT. BUT I'M NOT TOTALLY
RIGHT NOW.
MISCELLANEOUS MS MALENA WE'RE
ATTEMPTING TO- SECURE THE LINE
WITH ME. WE'RE ATTEMPTING TO
SECURE THE LET ME. THE TIMING MR
USMAN. ME OKAY WHY DON'T WE
START AGAIN ND LET'S SEE HOW
THIS GOES IF IT DOESN'T GO WELL
THEN WE'RE GOING TO MOVE TO THE
BOARD STAFF AS WE TRY TO SECURE
YOUR LINE WITH US SO PLEASE
PROCEED. SOUNDS GOOD. I WILL
BEGIN AGAIN GOOD MORNING
REMEMBER VENTURA AND MEMBERS OF
THE COMMITTEE. I AM A CARD WITH
MOM PRESIDENT OTHER RESPIRATORY
CARE BOARD AND I'M JOINED BY
STEPHANIE UNION AND CHRISTINE
MOLINA EXECUTIVE OFFICER AND
ASSISTANT EXECUTIVE OFFICER
RESPECTIVELY IT IS A PLEASURE TO
BE HERE TODAY TO PRESENT THE
RESPIRATORY CARE BOARD TWENTY
TWENTY TWO SUNSET REVIEW REPORT.
THE RESPIRATORY CARE WAS CREATED
BY THE LEGISLATURE IN NINETEEN
EIGHTY TWO TO PROTECT A
VULNERABLE POPULATION POPULATION
FROM THE UNQUALIFIED PRACTICE OF
RESPIRATORY CARE. THE
COMPOSITION OF THE BOARD
CONSISTS OF NINE MEMBERS
INCLUDING FOR RESPIRATORY CARE
PRACTITIONERS FOR PUBLIC MEMBERS
AND ONE PHYSICIAN AND SURGEON.
APARTMENT THE BOARD MADE EQUALLY
BY THE GOVERNOR THE SENATE RULES
COMMITTEE AND THE SPEAKER OF THE
ASSEMBLY WITH DISHES ALREADY
APPOINTING THREE MEMBERS OF THE
BOARD THE BOARD IS RESPONSIBLE
FOR ENFORCING STATE LAW
PERTAINING TO THE PRACTICE OF
RESPIRATORY CARE AND REGULATE
THE SINGLE CATEGORY. OF HEALTH
CARE SPECIALIST RESPIRATORY CARE
PRACTITIONERS OR RT P. RT PEAS
ARE SPECIALIZED HEALTHCARE
PRACTITIONERS WHO WORK UNDER THE
SUPERVISION OF MEDICAL DIRECTORS
AND ARE INVOLVED IN THE
PREVENTION DIAGNOSIS TREATMENT
MANAGEMENT. AND REHABILITATION
OF PROBLEMS AFFECTING THE HEART
AND LUNGS AND KNOW THE OTHER
DISORDERS AS WELL AS PROVIDING
DIAGNOSTIC EDUCATIONAL. AND
REHABILITATION SERVICES. RCB
PROVIDE CARE FOR THE WHO ARE
DEEP UPON OF. YOU CANNOT
TOLERATE. SORRY I CANNOT BREATHE
ON HER OWN R. C. B. THREE
PATIENTS WITH ACUTE AND CHRONIC
DISEASES INCLUDING CHRONIC
OBSTRUCTIVE PULMONARY DISEASE
ALSO KNOWN AS COPD. TRAUMA
VICTIMS AND SURGERY PATIENTS
MORE RECENTLY ARE TO BE GAINED
NATIONAL ATTENTION AS THE KEY
HEALTHCARE PROVIDER IN
BALLINCOLLIG NINETEEN RCB VERY
DIFFICULT EMPLOYEE HOSPITAL
HOWEVER A GROWING NUMBER OF
RCB'S WARD IN ALTERNATIVE
SETTINGS SUCH AS SUB ACUTE
FACILITIES. HOME MEDICAL DEVICE
RETAIL FACILITIES HYPERBARIC
OXYGEN THERAPY FACILITY.
ACTUALLY LABORATORY. THE
RESPIRATORY CARE PRACTICE ACT
REQUIRED LICENSURE FOR
INDIVIDUALS PERFORMING
RESPIRATORY CARE IN CARRYING OUT
ITS MANDATE TO ENSURE THE
PROTECTION OF THE PUBLIC SHOULD
BE HIGH PRIORITY IN EXERCISING
ITS LICENSING REGULATORY AND
DISCIPLINARY FUNCTION. THE BOARD
SCREENS SHOPPING CATION FOR
LICENSURE TO ENSURE MINIMUM
EDUCATION COMPETENCY STANDARDS
ARE MET AND CONDUCT A THOROUGH
CRIMINAL BACKGROUND CHECKS ON
EACH TOPIC.IT INVESTIGATES
COMPLAINTS AGAINST LICENSEES
INCLUDING THOSE GENERATED FROM
UPDATED CRIMINAL HISTORY REPORT.
AND MANDATORY REPORTING OF
VIOLATIONS BY LICENSEES AND
EMPLOYERS IT AGGRESSIVELY
MONITORS RCB'S PLACED ON
PROBATION. IT EXERCISES ITS
AUTHORITY TO PENALIZE OR
DISCIPLINE APPLICANTS AND
LICENSEES INCLUDING THE ISSUANCE
OF CITATIONS AND FINES FOR
PUBLIC REPRIMAND FOR OFFERING
THE DENIAL. RELATION OR
RELOCATION OF A LIFE AND- IN
NINETEEN EIGHTY FIVE WHEN THE
FIRST LICENSE WAS ISSUED THE
MORE HAD LICENSED OVER FORTY
FOUR THOUSAND LICENSEES
PUBLISHED OVER TWENTY THOUSAND
REMAIN ACTIVE. OR HAS A THREE
POINT EIGHT MILLION DOLLAR
BUDGET HE MANAGES CLOSELY THERE
ARE THREE KEY ISSUES AS PART OF
THE FENCE THE REVIEW PROCESS THE
BOARD HAS ADDRESSED IN THE PRIOR
YEARS. IN REFERENCE TO UNIFORM
STANDARDS IN THE CONSUMER
PROTECTION ENFORCEMENT
INITIATIVE THE C. P. E. I. THE
BOARD IMPLEMENTED STANDARDS AND
PROPOSAL PRIOR TO TWENTY TWELVE.
AS IT RELATES TO GREET THE
MORNING IN THE FIRST ROLLOUT OF
GRIEF IN TWENTY THIRTEEN THE
LAST REMAINING MODULE ONLINE
INITIAL APPLICATION MODEL
MARSHALL WAS ROLLED OUT LAST
APRIL. THE BOARD TO REVIEW THE
MOST SIGNIFICANT ACTIVITIES AND
CHANGES THAT HAVE TAKEN PLACE
INCLUDE. IMPLEMENTATION OF
ASSEMBLY BILL TWENTY ONE THIRTY
EIGHT. THE MORE REVISED
APPLICATION FORM AND REGION NEAR
BEST BUSINESS PROCESS
CONSISTENT. WITH THEIR STATUTORY
CHANGES AND MODIFY THE BRIEF
SYSTEM TO CAPTURE REQUIRED OUT
AGAIN DEMOGRAPHIC DATA IN THE
LAST FIVE YEARS THE WAR HAS MADE
SEVERAL UPDATES TO ITS WEBSITE
INCLUDING MAKING AN ADA
COMPLIANT. ADDING A PAGE
DEDICATED TO CURRENT AND FORMER
MILITARY PERSONNEL AND MILITARY
SPOUSES AND ADDING A MODULE TO
REVIEW DISCIPLINARY ACTIONS AS
I'VE TAKEN AS RECOMMENDED DOING
THE BOARD. LAST SENSITIVITY IN
AFTER NEARLY TWENTY YEARS OF NOT
BEING CREASES DEVORE HAD TO
RAISE HIS RENEWAL FEE FROM TWO
THIRTY TO THREE THIRTY THE MORE
CONTRIBUTORS THIS INCREASE. THE
CLIMBING CROAGH TAX BENEFIT AND
THE RISE IN PERSONAL SALARY
DIVORCE FINE IS NOT SOLVENT.
WITH BALANCE REVENUE AND
EXPENDITURES. ENJOY NINETEEN THE
RESPIRATORY CARE FOR A NEWBORN
EDUCATION NURSING IMPROPER
INSIDE TECHNICIANS LISA JOINT
STATEMENT TO REAFFIRM THE ROLE
FOR RESPIRATORY THERAPISTS AND
VOCATIONAL NURSES IN SAFELY
CAMERAS WHICH ARE KARAPETIAN.
THE JOINT STATEMENT SPECIFICALLY
ADDRESSES CARING FOR PATIENTS
REQUIRING INVASIVE MECHANICAL
VENTILATION THE CLINICAL
INSTRUCTION AND OPERATION OR
APPLICATION OF RESPIRATORY CARE
EQUIPMENT AND APPLIANCES.
DEVELOPMENT OF PATIENT CARE
PLANS AND WORKING TITLE HELD BY
A HEALTH CARE PROFESSIONAL
HEALTH CARE PERSONNEL PROVIDING
RESPIRATORY CARE. WELL THERE ARE
SOME PENDING ISSUES WITH THE
RESOLUTION TO BALL REMAINS
RESOLVED. ISSUING PUBLIC
PROTECTION IS THE HIGHEST
PRIORITY PRIOR TO THE LAST
REVIEW. THE BOARD INCREASE THE
NUMBER OF C. UNITS REQUIRED FOR
LICENSE RENEWAL FROM FIFTEEN TO
THIRTY HOURS IS THEN THE BOARD
HAS APPROVED A PLAN AND DRAFT
REGULATORY LANGUAGE TO REVAMP
THE CONTENT OF IT CONTINUING
EDUCATION REQUIREMENTS. THAT
WILL INCREASE ACTIVE
PARTICIPATION AND A PATHWAY TO
IMPROVE PARTICIPATION IN
QUALIFIED. PRECEPTOR OVER SIDE.
IN TWENTY TWENTY THE MORE WORK
TO RUSH OF COLD IT NOW PANDEMIC
. REGARDING PERSONAL PERSONAL
SHORTAGES AND THE IMPACT OF THE
STATE OF EMERGENCY ON INTERNAL
OPERATIONS. IN CONCERT WITH PCA
AND LEGAL COUNSEL THAT REVIEWED
AND IMPLEMENTED STRATEGIES TO
INCREASE HEALTHCARE PERSONNEL
AND LESSEN REGULATORY BURDENS ON
OUR C. P. THIS YEAR AS A RESULT
OF EIGHTY NINE TWENTY SEVEN-
PILAR RESPIRATORY BACK LOWER
DUTY DEGREE PROGRAMS HAVE BEEN
ESTABLISHED PERMANENTLY. OF
CALIFORNIA TWENTY SIX
EDUCATIONAL INSTITUTION WITH
THIRTY FIVE LOCATIONS THAT WE
NOW OFFER A BACCALAUREATE
PROGRAM FINALLY THE BOARD IS
PROUD TO SHARE SUCCESS AS WELL
AS HE OFFICE OF THE ATTORNEY
GENERAL DOES THAT AT A MEETING
EVERY TARGET TIME LINE OF THE
POOREST PERFORMANCE MEASURES.
INCLUDING THAT FIVE HUNDRED AND
FORTY DAY TARGET TO COMPLETE A
CASE FROM BEGINNING TO END FOR
NEARLY FIVE YEARS APRIL TWENTY
SEVENTEEN. THANK YOU FOR
INVITING US HERE TODAY THE BOARD
REMAINS COMMITTED TO CONDUCT
BUSINESS IN AN EFFICIENT AND
EFFECTIVE MANNER. AND RESPONDING
TO PRACTICE AND OPERATIONAL
ISSUES IN A PROACTIVE. FORWARD
THINKING THERE MOREOVER THE
BOARD COMMITTED TO ENSURING THAT
CONSUMER PROTECTION IS ALWAYS IS
HIGH PRIORITY. I'M NOT GOING TO
TURN IT OVER TO STEPHANIE UNION.
ARE EFFECTIVE OFFICER TO TOUCH
UPON ISSUES THAT WERE RAISED BY
COMMITTEE STAFF. THANK YOU VERY
MUCH FOR YOUR ATTENTION AND
PATIENCE THANK YOU SERVICE DONE
YES. YOU ARE YOU MUST BE ON MUTE. THANK YOU. CAN YOU HEAR ME
PERFECTLY PLEASE CLICK I AGREE
GOOD AFTERNOON CHAIRMAN ROSTER
MEMBER MANY MEMBERS OF THE
COMMITTEE I AM STEPPING IN AS
THE EXACT OUR EXECUTIVE OFFICER
OF THE RESPIRATORY CARE BOARD
FIRST I JUST WANNA THANK YOU AND
YOUR STAFF FOR YOUR TIME TO
REVIEW AND REALLY CONNECT WITH
OUR OARD WE FIND THE PROCESS TO
BE INCREDIBLY HELPFUL IN GAINING
YOUR INSIGHT OUR BOARD WILL BE
GOING TO SACK STRATEGIC PLANNING
LATER THIS YEAR AND ALL OF YOUR
SUGGESTIONS WILL BE INCLUDED IN
THAT PROCESS. I HAD INITIALLY
PREPARED- TO GO THROUGH EVERY
ISSUE BUT IT APPEARS THAT- MAYBE
I MISSED THE MEMO THAT MAYBE
WE'RE JUST ASKING FOR QUESTIONS
SO I AM HERE TO ANSWER ANY
QUESTIONS YOU WOULD YOU YOU ARE
HERE MANY MEMBERS ACT. THANK YOU
. OF THIS MS. HAVE ANYTHING ADD. GOOD MORNING MY NAME IS
CHRISTINE MOLINA I'M THE
ASSISTANT EXECUTIVE OFFICER OF
THE RESPIRATORY CARE WORK I AM
GRATEFUL FOR THE OPPORTUNITY TO
APPEAR BEFORE YOU TODAY AND
PARTICIPATE IN THIS VERY
IMPORTANT PROCESS THANK YOU FOR
YOUR INPUT AND FEEDBACK HAS BEEN
RECEIVED. THANK YOU FOR
PARTICIPATING NOW LET ME TURN IT
TO THE MEMBERS OF THE
COMMITTEES- FIRST- CHAIRMAN ANY
QUESTIONS. BROUGHT FEATURE OFTEN
IS THIS ISN'T MORE OF A
STATEMENT DRESSED UP AS A
QUESTION BUT I DEFINITELY INVITE
ANY ANY COMMENTS IN REPLY I KNOW
THERE'S BEEN CONVERSATIONS
AROUND INCREASING- THE MINIMAL
THE MINIMUM EDUCATIONAL
REQUIREMENT FOR AN ASSOCIATE'S
DEGREE TO A BACHELOR'S- AND JUST
FROM A PHILOSOPHICAL STANDPOINT-
I'M ALWAYS VERY HESITANT TO
INCREASE BARRIERS TO ENTRY- TO
ANY FIELD UNLESS THERE'S REALLY
SIGNIFICANT CONSUMER PROTECTION
ISSUES- THAT EXISTS SO- YOU.
WOULDN'T BE HAPPY THAT TO HEAR
ANY COMMENTS FROM FOLKS ABOUT
THAT ISSUE BUT- YEAH DEFINITELY
HAVE CONCERNS ABOUT INCREASING
MINIMUM EDUCATIONAL REQUIREMENTS
ABSENT. SIGNIFICANT CONSUMER
PROTECTION ISSUES. HEY FROM OUR
PANELISTS YES. THIS IS
STEPHANIE. ARMOR HEY I WANNA
MAKE IT REALLY CLEAR TO EVERY
MEMBER OF THE LEGISLATURE AND
OUR COMMITTEES HERE TODAY THAT.
THIS REVIEW BEGAN LAST YEAR AND
IS EXPECTED TO TAKE ANYWHERE
FROM AT LEAST ANOTHER TWO YEARS
THIS IS A VERY. SINCERE EFFORT
TO LOOK AT ALL THE ISSUES ALL OF
THE STAKEHOLDERS HAVE BEEN
BROUGHT IN THEIR COURAGE TO
PARTICIPATE IN THIS AND THEY ARE
LOOKING AT THIS FROM EVERY ANGLE
INCLUDING. ALTERNATIVES TO JUST
RAISING THE MINIMUM EDUCATION
THERE IS NO INTENDED OUTCOME
HERE AND- THERE'S ALSO LOOKING
AT MAKING A LADDER BECAUSE THE
PROFESSION HAS GROWN SO MUCH AND
D. THE TECHNOLOGY HAS INCREASED
SO MUCH. THAT THERE DEFINITELY
APPEARS TO NEED FURTHER
EDUCATION THAT IS NOT QUESTION
IT'S JUST A MATTER OF HOW IT
ENDS UP BEING INCORPORATED INTO
THE ACT ITSELF. YOU'RE MUCH
THANK YOU- LET ME JUST TO MAKE A
COUPLE COMMENTS MAYBE ASK A
QUESTION TO KIND OF WHAT MY
COLLEAGUE SURE BERMAN JUST ASKED
ABOUT ONE OF THE THINGS AND I'M
NOT GOING TO BELABOR THIS
HEARING WITH A LOT OF QUESTIONS
BUT I HOPE YOU WILL COVER THESE
SUBJECTS AND WHATEVER WRITTEN
SUBMISSION YOU FOLLOW UP WITH TO
OUR COMMITTEES. I'D BE
INTERESTED IN IN KNOWING IN WITH
SOME DEGREE OF SPECIFICITY THE
DIFFERENCES IN CLINICAL
EDUCATION BETWEEN THOSE WHO
COMPLETE AN ASSOCIATE'S PROGRAM
AND THOSE WHO COMPLETE A
BACHELOR'S PROGRAM FOR EXAMPLE
IS IT. MUCH LIKE THE NURSING
FIELD WHERE THE CLINICAL WORK IS
ALMOST ENTIRELY DONE IF NOT
ENTIRELY DONE. AT THE ASSOCIATE
DEGREE LEVEL AND THE BACHELOR'S
DEGREE SIMPLY ADDS LIBERAL ARTS
AND OTHER MANAGEMENT TYPE
COURSES OR IS IT SOMETHING.
TOTALLY DIFFERENT OR SOMETHING
IN BETWEEN I THINK THAT NEEDS TO
BE ADDRESSED. I THINK YOU ALSO
NEED TO ADDRESS THE IMPACT. OF
HAVING A BACHELOR'S DEGREE
PROGRAM OR MANY OF THEM- WORKING
ALONG SIDE OR IN SOME CASES
AGAINST AN ASSOCIATE DEGREE
PROGRAM. ON THE AVAILABILITY OF
CLINICAL TRAINING SLOTS AND WHAT
YOU PROJECT PROJECT OF THOSE
ISSUES TO BE MUCH YOU CAN TO THE
ISSUES THAT WE ARE NOW FACING-
IN THE NURSING FIELD. I'M I'M
ALSO CONCERNED ABOUT.
PREFERENCES IN TERMS OF HIRING
THAT THE HOSPITALS OR OTHER
MEDICAL FACILITIES MAY HAVE FOR
BACHELOR'S DEGREE CANDIDATES- AS
OPPOSED TO THOSE COMING OUT OF
OUR ASSOCIATE DEGREE PROGRAMS.
AND WILL ANY MOVE TO MAKE THE
BACHELOR'S DEGREE THE GOLD
STANDARD OR THE MINIMUM
REQUIREMENT- WILL WHAT WILL IT
MAKE OUR ASSOCIATE DEGREE
PROGRAMS LARGELY IRRELEVANT. AND
IF NOT WHAT DO YOU PROJECT TO BE
THE PIPELINE FROM AN ASSOCIATE
DEGREE PROGRAM. IN LET'S SAY A
COMMUNITY COLLEGE TO A FOUR YEAR
DEGREE PROGRAM FOR THE EXTRA TWO
YEARS WHAT'S THE TAKE RATE OR WE
SIMPLY CREATING A LOG JAM. THERE
AND FINALLY. MUCH LIKE MY
COLLEAGUE. JERRY BERMAN I'M
CONCERNED ABOUT STRANDING. AN
ENTIRE SEGMENT OF OUR WORKFORCE
WITHOUT ANY OFFER HIM FOR THEM
SO THOSE ARE QUESTIONS YOU NEED
TO NECESSARILY RESPOND TO TODAY
OR ISSUES I HOPE TO SEE.
RESPONSES TO THOSE ISSUES IN
YOUR WRITTEN SUBMISSION- TO THIS
THESE COMMITTEES. COLLINGS ANY
ANY REAL QUESTIONS COMMENTS OR
CONCERNS THE CENTER PANNED
DOCTRINE. THANK YOU- AND AGAIN
REALLY APPRECIATE THE
PRESENTATION I ALSO JUST WANNA
MAKE NOTE IS A POSITION THAT-
MAY YOUR LICENSEES ON THE FRONT
LINES- FIGHTING CODED- GIVEN THE
FACT THAT- NEEDS AT LEAST
INITIAL SYMPTOMS ARE ARE
RESPIRATORY BURIED THAT DAY FOR
A- THAT THE NEED FOR. A
LICENSEE'S PROFESSIONS EXTREMELY
HIGH- BUT ALSO MAKE NOTE THAT-
EVEN PRIOR TO BECAUSE OF IT-
WHEN I WAS IN PRACTICE BEFORE
YOU IN THE LEGISLATURE- THERE
WAS ACTUALLY A SHORTAGE OF-
RESTRICT THEIR PESTS AND- TO
HELP PROVIDE CARE SO- I WOULD
MAKE NOTES IN ISSUE NUMER THREE
THE WORKFORCE LANDSCAPE- STATS-
IT WAS NOTED THAT FROM TWENTY SO
THIS IS APROPOS OF THE-
DISCUSSION ABOUT. THE MOVING
PERHAPS TO. NOPE ACTUALLY BUT
THERE'S ACTUALLY BEEN A 25%
DECLINE IN LICENSEES. FROM
TWENTY SIXTEEN SEVENTEEN TWO
FISCAL YEAR TWENTY TWENTY ONE-
SO CAN AND OF COURSE WE HAVEN'T
SEEN WHAT'S GOING TO BE THE LONG
TERM WHAT'S THE IMPACT OF CODED
SO MAYBE CAN YOU ADDRESS WHAT.
THE REASON IS FOR THE DECLINE IN
LICENSEES THAT YOU'RE AWARE OF-
AND THEN ALSO HAVE YOU SEEING A
FURTHER DECLINE. IN DURING COVE
IT OR IS THERE A DISSIPATION I
MEAN WE'VE BEEN HEARING ABOUT
BURN OUT. LOTS OF OTHER ISSUES
GOING ON FOR PEOPLE WHO ARE ON
THE FRONT LINES TAKEN CARE OF
CODED- IS THAT IS THAT SOMETHING
THAT THERE'S A CONCERN ABOUT AS
WELL SO WE HAVE A 25% DECLINE
PRIOR TO COVE IT IS GONNA GET
ACCELERATED POST CODE. OUR
ACTIONS OPPOSE COMMONSENSE
COVERS NOT GOING AWAY BUT THIS
IS KELLY CONTINUES CAN YOU SPEAK
TO THAT. YES. YES- THANK YOU
VERY MUCH BOTH OF YOU FOR YOUR
FEEDBACK THAT'S EXCELLENT
FEEDBACK TO INCLUDE IN THE
REVIEW FOR THE BACHELOR DEGREE
INCORPORATION- AS FAR AS THE
SHORTAGE RIGHT NOW WE DO NOT
SHARE A SHORTAGE THAT WAS FROM
MAY TWO THOUSAND WORKFORCE SEVEN
WORK FOR STUDY WHERE THEY-
HESITATED AND- ANTICIPATED A
SHORTAGE. I'M IN THAT SAME WORK
FOR STUDY THEY ESTIMATED THAT WE
WOULD NEED NINETEEN THOUSAND RC
PIECE BY TWENTY TWENTY FIVE AND
THAT'S- WITH THREE YEARS BEFORE
THAT WE ALREADY HAVE TWENTY
THOUSAND ACTIVE RCTS. THEY ARE
ALSO RECOMMENDED OR- ESTIMATED
THAT WE WOULD BE TWENTY ONE
THOUSAND ARE SECURED BY TWENTY
THIRTY AND I THINK WE'RE WELL ON
OUR WAY TO GETTING TO THAT
POINT. AS FAR AS THE 25%
REDUCTION THAT WAS ALSO
PREDICTED IN THE TWO THOUSAND
WORK FOR STUDY DUE TO
RETIREMENTS AND WE DO HOPE OR
NEARING THE END OF THAT BUT WE
ARE MONITORING IT CLOSELY AS IN
EVERY MONTH WE LOOK AT THESE
NUMBERS TO SEE. IF THERE'S ANY-
MAJOR DIFFERENCE IS HAPPENING
SO- WE ARE LOOKING AT IT
CLOSELY. AND AS I SAID THIS
REVIEW IS GOING TO BE TAKING TWO
TO THREE YEARS SO. I THINK OVER
THAT TIME PERIOD IT WILL HAVE A
BETTER IDEA OF WHERE WE STAND ON
THE WORK FORCE ITSELF. SO
ACTUALLY JUST TO CLARIFY.
THERE'S A 25% DECLINE BUT YOU'RE
SAYING IN LICENSEES BE SAID THE
NUMBER IS ACTUALLY YOU'RE ON
TRACK. TO INCREASE THE NUMBER OF
OURS IT SEEMS TO BE
CONTRADICTORY CAN YOU CAN YOU
EXPLAIN TO THEM THIS YEAR. SURE
YEAH. THERE EVEN THOUGH THE
NUMBERS DECLINED WE STILL HAVE.
BETWEEN ONE AND TWELVE HUNDRED
NEW APPLICANTS EVERY YEAR SO IT
MAKES UP FOR THE DIFFERENCE THE
NUMBER STILL ARE INCREASING. BUT
AS I STATED I THINK. WE START
CARRIED ABOUT THREE YEARS WHERE
THE NUMBERS WERE NEW LICENSEES
ARE NOT. KEEPING UP WITH THE
NUMBER OF NEW APPLICANTS OKAY.
YEAH SO YOU'RE SAYING THERE WAS
A DIP BUT IT'S NOW HEADING UP OR
DOWN. YEAH THERE WAS. THERE WAS
NOT I DID BECAUSE OUR NEW
LICENSE YOU STILL OUTWEIGHED THE
NUMBER OF PEOPLE RETIRING. OKAY
ALL RIGHT WELL I JUST SAID THAT
I MADE NOTES THAT THERE'S A 25%
DECLINE THE LICENSEES INCLUDING
NEW LICENSEES AND LICENSORS LEFT
FIELD SO THAT. AT LEAST IMPLIES
TO ME DOES A NET DECREASE OVER
THAT PERIOD OF TIME. IF YOU
DON'T COUNT THE NEW APPLICANTS
YES. OKAY BECAUSE I SEE NEW
LICENSEES- I ASSUME THOSE ARE
NEW APPLICANTS. IT'S A THERE'S A
25% DECLINE THE LICENSEES
INCLUDING NEW LICENSEES AND
LICENSEES A LEFT FIELD SO NEW
LICENSEE ASSUME THEIR NEW
APPLICANTS LICENSEES LEFT FIELD
ONCE YOU CHOSE NOT TO RENEW OR-
WHATEVER ELSE. RIGHT LEFT SO THE
NET WAS 25% DECLINE AT LEAST
THAT'S THE WAY I READ THE
SENTENCE I YEAH I WOULD TRY TO
CLARIFY THAT AND THE WRITTEN
DOCUMENT OKAY ALL RIGHT SO THAT
THAT WOULD BE VERY IMPORTANT WE
WONDER WHAT THE NET IS RIGHT SO
AND THAT'S- BECAUSE IF THERE IS
A DECLINE LEADING TO TWENTY
TWENTY ONE- AND THEN I'M
CONCERNED ABOUT A FURTHER
DECLINE ALTHUGH IF YOU'RE
TELLING ME THERE'S A- YOU KNOW
INCREASE NUMBER OF APPLICANTS
THAT'S GOO. OBVIOUSLY WHEN WE
TALK ABOUT IF YOU TRY TO MOVE TO
BACHELORS WHICH IS THAT HASN'T
BEEN DECIDED- YOU KNOW WITH THAT
ACTUALLY DECREASE THE NUMBER OF
NEW APPLICANTS BECAUSE THAT'S
GOING TO CREATE A LARGER BURDEN
BOTH TIME AND FINANCES AS WELL
AS PROGRAMS- BUT EVEN FINANCES
FOR INDIVIDUAL- YOU KNOW THE
PEOPLE WHO ARE INTERESTED IN
ENTERING THE FIELD IN TERMS OF
BARRIERS TO THEM ENTERING AND
YOU. NEW APPLICANTS SO. SO IT'S
GONNA BE IMPORTANT TO CLARIFY
AND AGAIN I'M I AM INTERESTED IN
FIGURE OUT WHAT'S GOING ON WITH
THE COVETED. AND THEN I GUESS IN
TERMS OF- YOU DID MENTION PART
OF THE REASON YES THE
TECHNOLOGIES INCREASED STANDARDS
FOR EXAMPLE- FOR LIKE OPERATING
IN ECMO MACHINE WHICH RESTS WITH
THE ALBUM WHICH THERE THERE'S A
ROLE THAT THAT'S A HIGHLY YOU
KNOW SKILLED THINGS- ARE WE
LOOKING AT. BUT YOU DON'T NEED
TO TRAIN EVERYONE TO RUN AN ECMO
MACHINE THERE'S NOT THAT MANY OF
THEM SO- ARE YOU LOOKING AT
DIFFERENT LEVELS ARE YOU JUST
GONNA SAY EVERYONE NEEDS TO KNOW
HOW TO DO THIS. I COULD NOW I
COULDN'T EVEN COMMENT ON THAT
THAT'S HOW NEW WE ARE INTO THE
SPRING ALL RIGHT SO AGAIN AND I
REALIZE IT'S GONNA HAPPEN AND
OVER EXPOSED OVER YEARS BY
THINGS IMPORTANT TO SORT THAT
OUT BECAUSE WHAT WE DON'T WANT
TO DO IS. AND YET OBVIOUSLY YOU
REALIZE THIS I MEAN YOU'RE
PROFESSIONALS ARE EXTREMELY
EXTREMELY IMPORTANT AND- FOR
TAKING CARE OF A WIDE RIGHT WIDE
VARIETY OF RESPIRATORY DISEASES
AND SO WE CERTAINLY DON'T. WANT
TO HAVE A WORKFORCE SHORTAGE
BECAUSE A WORD TO ME- EDUC. THAT
IS FOR SMALL SECOND SUBJECT IS
PAY. AND MAKING IT MORE
DIFFICULT FOR THE BROADER SET OF
PATIENTS TO BE ABLE TO GET
ACCESS TO THE- BRIM PORT
SERVICES YOUR LICENSEES PROVIDE.
SO HOPEFULLY YOU'LL BE LOOKING
AT THAT- THE OTHERS QUESTION I
ALWAYS ASK ABOUT CONTINUING
EDUCATION AND I'D MAKE NOTE
THAT- YOU KNOW WE HAVE SOME DATA
ON AUDITING AND I UNDERSTAND
CERTAINLY WITH. THE CODE THAT
YOU HAVE BEEN ABLE TO ADD IT IS
A HIGH PERCENTAGE WE DON'T
REPORT IS. UP PERCENT IN THE
ODDITY BEEN ABLE TO PERFORM.
WHAT PERCENTAGE OF PEOPLE HAVE
ACTUALLY MET THE C. E.
REQUIREMENTS. AND HOW WHAT
PERCENTAGE OF LICENSEES WHEN YOU
DO THE AUDITS HAVE NOT. I DON'T
HAVE THE FIGURES WITH ME. RIGHT
HERE I CAN AND I COULD EVEN GIVE
YOU A BALLPARK FIGURE BUT I CAN
INCLUDE IT IN THE RIGHT
RESPONSE. OKAY SO I WOULD MAKE
NOTE I THINK I'VE BEEN ASKING
THIS QUESTION- EVERY. ANGLE FOR
EVERY WORKER DID THAT'S A HEALTH
CARE BOARD FOR MANY YEARS. SO
I'M HOPING THAT HOPEFULLY WHEN
THESE. THAT THE BOARD CAN HAVE
THAT INFORMATION AVAILABLE WE
HAVE THESE OVERSIGHT HEARING SO.
YES THAT WOULD BE VERY IMPORTANT
BECAUSE CERTAINLY I THINK THE
PERCENTAGE THAT YOU HAVE TO
AUDIT DEPENDS ON HOW GOOD
COMPLIANCE IS THAT THE
COMPLIANCE IS. VERY HIGH AND
THERE'S VERY FEW PEOPLE FOUND
THE AUDIT. SMALLER SAMPLE MAKES
SENSE ESPECIALLY WITH ALL THE
LICENSES THAT YOU HAVE IF IT'S A
FAIRLY HIGH PERCENTAGE TO DON'T
AREN'T COMPLIANT AND PERHAPS.
THE HIGHER SAMPLES IMPORTANT TO
TRY TO GET AT THE CAUSE FOR
THAT. ALL RIGHT- SO BRIGITTE
HEARING BACK IN YOUR- FOLLOW UP
REPORT ON THAT- AND- AND THEN IS
THERE ANY JUSTICE FINALLY AS
RELATE TO ISSUE NUMBER EIGHT-
AND I YOU KNOW AGAIN TOUCHED ON
THIS. YOU KNOW WHAT WHAT WHAT DO
YOU SEE WE GIVEN COVER IN THE
LAST COUPLE YEARS AND AGAIN- AND
IT'S CERTAINLY NOT JUST
RESPIRATORY DISEASE BUT CLEARLY
IS- THERE SO. IT'S A MAJOR
RESPIRATORY DISEASE. AND THE
IMPACT IT'S HAD ON THE
HEALTHCARE WORKFORCE INCLUDING
THE MENTAL HEALTH OF THE- HEALTH
CARE WORKFORCE INCLUDING YOUR
LICENSEES CAN YOU SPEAK TO ARE
THERE- THINGS THE BOARD MIGHT BE
DOING TO HELP ADDRESS. BURNOUT
OR OTHER MENTAL HEALTH ISSUES
PTSD T. A PTSD- THAT MIGHT BE
AFFECTING YOUR LICENSEES. I'M
THANK YOU DOCTOR SENATOR PAN-
FIRST I WANT TO TAKE THE BACK UP
ON THE C. E. R. QUESTION ON PAGE
THIRTY EIGHT IT DOES SHOW HOW
MANY PEOPLE WE ARE GOOD AND WHAT
THE FAILED RAID IS. IT LOOKS
LIKE. IT LOOKS LIKE IT'S ABOUT
2% GIVE OR TAKE- ON HOW MANY
FAIL OKAY HM I DON'T HAVE A PAGE
THIRTY EIGHT ONLINE BUT- BUT
DIED FROM. CANCER OKAY THAT'S
GOOD TO KNOW ALL RIGHT THE 2%
THAT'S PRETTY GOOD OKAY THANK
YOU. AND NOW ON TO THE- SO THAT
QUESTION. AND PERHAPS A RECORDER
PRESIDENT IS BECAUSE MEN CAN-RESPOND TO THAT HE WROTE AN
EXCELLENT ARTICLE IN OUR LAST
ANNUAL NEWSLETTER- THAT MAYBE
COULD TOUCH UPON THAT. YEAH
SURE- I'M ACTUALLY OUT
PRACTICING RESPIRATORY THERAPIST
AS WELL- YOU CAN HEAR ME OKAY
RIGHT YES. OKAY AND SO- I'M
KEENLY AWARE OF THIS THE IMPACT
THE CODE NINETEEN HAS HAD ON OUR
PROFESSION. AND- YOU KNOW I CAN
DEFINITELY ATTEST THAT THE BOARD
HAS BEEN EXTREMELY SUPPORTIVE OF
SUPPORTING OUR PROFESSION IN I
MAKE SURE THAT WE WERE ABLE TO-
ACCOMMODATE. RETIREES THEY
WANTED TO RETURN IN MAKING IT
POSSIBLE FOR THEM TO SUPPORT
STAFF OF PEOPLE THAT WERE R. T.
THAT WOULD COME FROM OTHER
STATES AND SILLY IT IT MADE THE-
THE SUPPORT- AVAILABLE THAT THAT
WAS NEEDED. BUT I KNOW THAT WE
ARE. YOU KNOW HOPEFULLY- SEE
BETTER DAYS- I THINK THE STAFF
IS RELIEVED A LITTLE BIT RIGHT
NOW TAKING A LITTLE BREATHER- IT
HOPING THAT THIS WILL CONTINUE I
THINK THAT. IS THAT IS CREATED-
A RENEWED SENSE OF. PRIDE IN
WHAT WE DO AS WELL AS- THE NEWS
IS A PURPOSE FOR- FOR A ROLE AND
SO- YOU'RE DEFINITELY- WE WANT
WE WANT TO SUPPORT YOU TO
SUPPORT. OUR LIFE THIS SEASON SO
WE'RE WE DEFINITELY. WILL DO
WHATEVER WHATEVER IS NECESSARY
OKAY RIGHT WHAT WELL THANK YOU I
APPRECIATE YOUR LAB A LITTLE BIT
ON THAT MORE IN YOUR WRITTEN
SUBMISSION LATER ON BUT- AGAIN I
WANT TO EXPRESS A LEASE MY
GRATITUDE FOR YOUR LICENSEES OR
ON THE FRONT LINES THAT'S BEEN A
REALLY ROUGH COUPLE YEARS WERE
NOT- THROUGH IT YET- AND I
APPRECIATE THAT THE BOARDS- ALSO
BEING- YOU KNOW ACCOMMODATING
AND UNDERSTANDING OF THAT BUT-
CERTAINLY WANT US. TO THINK
ABOUT WHAT THE BOARD CAN DO IN
RECOGNIZING OF COURSE ON THE
PROFESSION ITSELF AS WELL TO
HELP SUPPORT YOUR LICENSEES US
THEY'RE GOING TO VERY HARD. WORK
OF SAVING LIVES AND FRONT LINES
THANK YOU. THANK YOU SIR. SEARCH
FOR THANK YOU MR CHAIRMAN I
WOULD JUST LIKE TO ACKNOWLEDGE
AND THANK THE ESSENTIAL WORK
FORCE THE ACTOR IN THE MEDICAL
FIELD AND HOW IMPORTANT IT IS
THAT THESE REFS STORY CARE
GIVERS SHUT- ARE THERE AND BEEN
ON THE FRONT LINES- DURING THE
CALL BUT AND I THINK WORKING
WITH PHYSICIANS AND NURSES AND
WE'VE DISCOVERED THAT TECHNICAL
BUT NINETEEN HAS AFFECTED SO
MANY FAMILIES AND IT WAS ALWAYS
THE BIG I CAN'T BREATHE I CAN'T
BREATHE IN. AND WHETHER THEY BE
IN THE HOSPITAL ON THE WAY TO
THE HOSPITAL THAT WAS THE ISSUE
AND OF COURSE WE KNOW THAT THE
BREEDING IS SO VERY VERY
IMPORTANT WHEN THE DOCTORS
TRYING TO EXAMINE AND FIND OUT
EXACTLY WHAT'S GOING ON IS THAT
THE HARD JACKET IS STROKE YEAH
IF YOU'RE A CANCER IN THE LUNG
WHAT WHAT'S GOING ON AND I THINK
THAT- THESE ANGELS OF MERCY I
WANNA COLUMN HAVE BEEN ABLE TO
TAKE ON THESE POSITIONS AND-
CHOOSES FIELD OF SERVICE I WOULD
JUST LIKE TO ACKNOWLEDGE HIM AND
THANK THEM. AND I KNOW THAT WELL
OBVIOUSLY WE'RE CONCERNED ABOUT
THE NEW TECHNOLOGY OR EDUCATION-
BUT I THINK THEY WILL DO WHAT
NEEDS TO BE DONE IN THE FUTURE
BUT- CONTINUE GOOD WORK AND. WE
THANK YOU FOR YOUR SERVICE TO
THE GENERAL PUBLIC. THANK YOU
THANK YOU SENATOR. THINKING BACK
I SEE NO OTHER MIKES UP THANK
YOU MEMBERS LET'S NOW ACCEPT
TESTIMONY FROM MEMBERS OF THE
PUBLIC. ABOUT THE RESPIRATORY
CARE BOARD OF CALIFORNIA. FIRST
LET'S BEGIN WITH WITNESSES IN
THE GALLERY I SEE ONE WITNESS IN
THE GALLERY PLEASE IDENTIFY
YOURSELF FOR THE RECORD YOU MAY
PROCEED. WHAT DO YOU GOT A- WE
START I THANK YOU CHAIRMAN
MEMBERS DENISE TO GOT A WITH
SEIU UNITED HEALTHCARE WORKERS
ON BEHALF OF THE OVER FOURTEEN
HUNDRED OR C. P.'S RT'S WITHIN
OUR MEMBERSHIP. I WOULD LIKE TO
THANK SURE RALPH JR BERMAN A
DOCTOR PAN FOR RAISING MANY OF
THE WORK FORCE ISSUES WHICH WE-
YOU KNOW RESPECT WE HAVE
CONCERNED WITH IN PARTICULAR
AROUND ISSUE NUMBER THREE-
CHANGING THE EDUCATIONAL
REQUIREMENT FOR ENTRY TO
PRACTICE FROM A- DISSOCIATE
LEVEL DEGREE TO A BACHELOR'S
DEGREE I'M IN ADDITIONS TO IN
ADDITION TO THE REASON STATED-
YOU KNOW ULTIMATELY THIS WOULD
IMPACT PATIENT CARE- WHICH IS
ABSOLUTELY CRITICAL- THE- THE
UCSF STUDY WHICH WAS CITED-
NOTED THAT CLINICAL REASONING
WAS THE ABSOLUTE NEED FOR ENTRY
TO PRIVATE TO PRACTICE- HOWEVER-
WE HAVE- RECIPES WHO HAVE BEEN
IN THE FIELD FOR FORTY EVEN
FIFTY YEARS. OF WHO RECEIVED
EXTREMELY SPECIALIZED DEGREES
WHICH DO NOT EQUATE TO AN
ASSOCIATE LEVEL DEGREE MANY OF
THESE WORKERS WOULD BE PUSHED
OUT OF THE PROFESSION- AS SUCH-
YOU WE URGE- RECONSIDERATION FOR
THE CENTER TO PRACTICE- AND URGE
CONSIDERATION OF HOW ISSUE FOR
RELATED TO CLINICAL TRAINING-
CAN FILL THOSE NEEDS. THANK YOU
JOHN MEMBERS. FAVOR MUCH ANY
OTHER WITNESSES IN THE GALLERY.
SEEING NONE LET'S MOVE TO
WITNESSES WAITING TO PROVIDE
PUBLIC COMMENT THROUGH THE
TELECONFERENCE SERVICE MODERATOR
IF YOU WOULD PLEASE PROMPT ANY
SUCH WITNESSES WITNESSES WAITING
TO PROVIDE PUBLIC COMMENT ABOUT
THE RESPIRATORY CARE BOARD OF
CALIFORNIA WE WILL CONTINUE.
THANK YOU MISTER CHAIR LADIES
AND GENTLEMEN IF YOU WISH TO
PROVIDE PUBLIC COMMENTS OVER THE
PHONE TODAY PLEASE PRESS ONE
THEN ZERO. RECOMMEND AGAIN ONE.
ZERO A MISTER CHAIR WE HAVE ONE
PERSON KILLING UP ONE MOMENT
PLEASE WHILE WE PROVIDE THEM
WITH THEIR LINE NUMBER THANK YOU.
WE WILL NOW GO TO LINE EIGHTEEN
PLEASE GO AHEAD. MORNING
CHAIRMAN AND MEMBERS IT'S
JENNIFER CANNON HILL WITH AARON
REED AND ASSOCIATES ON BEHALF OF
THE CALIFORNIA SOCIETY. OF
SOCIETY FOR RESPIRATORY CARE I
WAS CALLING IN TODAY TO LET YOU
KNOW THAT THE OTHER PARTY TO
PORT EXPANDING THE RT DECIDED
THAT BY FIVE YEARS. AND THE
ISSUE OF L. B. N. PRACTICING
RESPIRATORY CARE WITHOUT A
LICENSE HAS BEEN AN AREA. OF
CONFUSION FOR MANY YEARS. WE AT
COMMANDER ARE HE BEAT HER TO ASK
HER TO WORK WITH THE D. N. P. T.
TO RESOLVE THE ISSUE. YES ARE
YOU WITNESS APPOINTED WHEN THE
SOLUTION THE BOARD AGREED TO WAS
REMOVED FROM THE B. B. AND T. T.
WEBSITE ANY AGREEMENT ABANDONED
BY THE PD AND PT. WE REQUEST THE
COMMITTEE THE QUALITATIVE
POLLUTION TO THE ISSUE I WENT IN
FOR ALL. ANTAEUS THIRTY
APPRECIATE THE BOARD AND YOU
KNOW WORK TO RUN AN EFFICIENT
AND COST CONSCIOUS BOARD LOOK
FORWARD TO WORKING WITH THE
BOARD AND THE COMMITTEE
THROUGHOUT THE SUNSET REVIEW
PROCESS AND. AND THANK YOU FOR
ALL THE WORK THAT'S BEING DONE
HERE. THANK YOU VERY. MY RETURN.
AND WE HAVE NO FURTHER COMMENT
AT THIS TIME THANK YOU MR
MODERATOR MEMBERS ANY OTHER
ADDITIONAL QUESTIONS COMMENTS OR
CONCERNS ABOUT THE RESPIRATORY
CARE BOARD OF CALIFORNIA
STARTING WITH. MY COLLEAGUE SURE
BERMAN ANY ANY FURTHER QUESTIONS
OR COMMENTS NO SIR. SAYING NO
OTHER MIKES UP LET'S WRAP THIS
UP SO I'D LIKE TO THANK COACH-
BERMAN MEMBERS OF OUR COMMITTEES
AND OUR WITNESSES FOR TESTIMONY
TODAY. ALSO LIKE TO THANK
MEMBERS OF THE PUBLIC FOR
SHARING AND FOR WEIGHING IN ON
THESE PROCEEDINGS IF YOU WERE
NOT ABLE TO TESTIFY VIA
TELECONFERENCE ORVIS PLEASE
SUBMIT YOUR COMMENTS OR
SUGGESTIONS. IN WRITING TO THE
SENATE BUSINESS PROFESSIONS AND
ECONOMIC DEVELOPMENT COMMITTEE
IN THE ASSEMBLY BUSINESS AND
PROFESSIONS COMMITTEE OR VISIT
OUR RESPECTIVE WEBSITES. YOUR
COMMENTS AND SUGGESTIONS ARE IN
FACT IMPORTANT TO US AND WE WANT
TO INCLUDE YOUR TESTIMONY IN THE
OFFICIAL HEARING RECORD OF THIS
PROCEEDING TODAY. THANK YOU WE
APPRECIATE YOUR PARTICIPATION
AGAIN THANKS TO EVERYONE FOR
YOUR PATIENCE AND COOPERATION
WE'VE NOT CONCLUDED THE AGENDA
THE SUNSET REVIEW OVERSIGHT
HEARING IS NOW ADJOURNED.