A. ONLY HERE THAT GOOD MORNING.
WELCOME TO THIS MORNING.
CERTAINLY BUSINESS AND
PROFESSIONAL COMMITTEE HEARING.
WE HAVE 14 BILLS ON TODAY'S
HEARING AGENDA, INCLUDING THE
FOLLOWING FIVE BILLS ON CONSENT
. SB 12 59 BY SENATOR LAIRD. SB
14 37 14 40 14 41 BY SENATOR
ROTH AND SB 14 95 BY THE SENATE
COMMITTEE ON BUSINESS
PROFESSIONS AND ECONOMIC
DEVELOPMENT WITH COMMITTEE
AMENDMENTS. FOR EACH BILL HEARD
TODAY WE WILL BE ALLOWING
PRIMARY WITNESSES TO SPEAK FOR
UP TO TWO MINUTES EACH WITH UP
TO TWO PRIMARY WITNESSES PER
SIDE. FOR THOSE WISHING TO
PROVIDE FURTHER COMMENTS WERE
ACCEPTING WRITTEN TESTIMONY
THROUGH THE POSITION LETTER
PORTAL ON THE COMMITTEE'S
WEBSITE. IN ADDITION TO HEARING
FROM THOSE HERE IN THE ROOM
TODAY WILL BE USING A MODERATED
TELEPHONE SERVICE THROUGH WHICH
ANY WITNESS CAN TESTIFY ON A
BILL. THE CALLING NUMBER FOR
THIS HEARING IS 877692. AGAIN.
THAT'S 87769289. THE ACCESS CODE
IS 1 85. 01100 THE ACCESS CODE
IS 1850110. YOU CAN ALSO FIND
THIS NUMBER ON THE COMMITTEE'S
WEBSITE AS WELL AS ON TV. YOU'RE
CALLING IN. PLEASE PLAN TO DO
SO, AS THE AUTHOR OF THE BILL
YOU'RE TESTIFYING ON IS
BEGINNING THERE BILL
PRESENTATION WITH THAT WE'LL
BEGIN TODAY'S HEARING AS A
SUBCOMMITTEE. UH AND I'M GONNA
GO AHEAD AND PRESENT. ALL OF
SENATOR ROTH BILLS. UH, BECAUSE
HE WAS KIND ENOUGH TO DO THAT
FOR ME YESTERDAY. SO I'M GOING
TO TURN THE GAVEL OVER TO HERE,
FLORA. THANK YOU. THANK YOU, MR
CHAIR.
WALK UP. ALRIGHT, MR CHAIR
PRESENTING FOR SENATOR ROTH. SB
14 33 FILE ITEM NUMBER FOUR.
THANK YOU, MR CHAIR. MEMBERS. SB
14 33 IS THE SUNSET BILL FOR THE
BUREAU FOR PRIVATE POSTSECONDARY
EDUCATION. THIS BILL IS THE
PRODUCT OF THREE YEARS OF SUNSET
OVERSIGHT AND BROAD STAKEHOLDER
DISCUSSION. THE BILL INCLUDES A
NUMBER OF TECHNICAL CHANGES, AS
WELL AS NEW REFORMS TO PROTECT
STUDENTS FROM BAD ACTORS IN THE
FOR PROFIT COLLEGE INDUSTRY.
WITH ME TODAY BY PHONE IS W.
COCHRAN WITH THE WITH THE BUREAU
TO ASSIST WITH ANY TECHNICAL
QUESTIONS. I RESPECTFULLY ASK
FOR YOUR I VOTE. ALL RIGHT.
THANK YOU VERY MUCH CHAIR. WE
HAVE DEBBIE. I THINK DEBBIE
MIGHT BE IN THE ROOM. SHE CAN
COME ON UP, DEBBIE. YOU DON'T
HAVE TO DO BY PHONE. OH, YEAH.
AS FINE. GO AHEAD. HOLD ON ONE
SECOND, DEBBIE. THANK YOU.
DEBBIE COCHRANE WITH THE BUREAU
FOR PRIVATE POST SECONDARY
EDUCATION AND HERE AS AS THIS
SENATOR MENTIONED, ASSEMBLYMAN
MENTIONED TO ANSWER ANY
TECHNICAL QUESTIONS THAT MAY
ARISE. THANK YOU VERY MUCH.
ANYONE IN OPPOSITION IN THE
ROOM? ACTUALLY ANYONE ELSE IN
SUPPORT IN THE ROOM? SUPPORT FOR
S B 14 33. MORNING MR CHAIR
MEMBERS. DHINGRA FELLA WAS SAN
JOAQUIN VALLEY COLLEGE PARENTING
COLLEGES FOR OUR LETTER. WE HAVE
A SUPPORTIVE FOR MANY POSITIONS
IN THE LETTER WITH DETAILED
OBVIOUSLY, THE PROPOSED AMEND
SPECIFIC TO UM, MISLEADING
STATEMENTS TO STUDENTS, THE N
DÍAS AS WELL AS LANGUAGE, JUST
CLARIFYING AMENDMENTS LOOKING
FORWARD TO CONTINUE WORKING WITH
THIS COMMITTEE AUTHOR. OTHERS AS
THE BILL MOVES FORWARD, THANK
YOU. THANK YOU VERY MUCH. ANYONE
ELSE IN SUPPORT OF SB 14 33.
SEE, NOT ANYONE IN OPPOSITION IN
THE COMMITTEE ROOM TO SB 14 33.
SEEN AND. MODERATOR WILL GO TO
THE PHONE LINES WILL TAKE ANY
SUPPORT OR OPPOSITION ON THE
PHONE LINES TO SB 14 33. AND
SUPPORT HER OPPOSITION FOR SP 14
33 PRESS ONE AND ZERO. NOTCHING
AT ANY OTHER TIME. PLEASE
CONTINUE. THANK YOU VERY MUCH,
MR. CHAIR. WOULD YOU LIKE TO
CLOSE? RESPECTFULLY ASK FOR YOUR
I VOTE WHEN WE GET TO THAT POINT
OF THE HEARING SO MUCH, ALL
RIGHT, MOVING ON TO FILE ITEM
NUMBER FOUR. SB FOUR. I'M SORRY
. I'LL HAVE NUMBER FIVE SB 14 34
GREAT. THANK YOU, MR CHAIR. 3 14
34 IS THE SUNSET BILL FOR THE
BOARD OF CHIROPRACTIC EXAMINERS
. IN ADDITION TO EXTENDING THE
BOARD'S DATE FOR LEGISLATIVE
REVIEW TO JANUARY 1ST 2027 THIS
BILL PROVIDES THE BOARD WITH
NECESSARY REVENUE TO DO IT'S
IMPORTANT WORK BY UPDATING THE
CURRENT FEE STRUCTURE IN LINE
WITH A FEAST STUDY IN RECENT
DISCUSSIONS AT THE BOARD LEVEL,
UPDATES THE CONTACT INFORMATION
REQUIRED TO BE COLLECTED FOR THE
BOARD'S DIRECTORY OF LICENSES.
REMOVES THE SPECIFIED EXEMPTIONS
FOR LICENSES TO NOTIFY PATIENTS
OF THEIR PROBATIONARY STATE
STATUS IF THE LICENSES UNDER
PROBATION BY THE BOARD AND THE
REPRESENTATIVE OF THE BOARD OF
CHIROPRACTIC EXAMINERS KRISTEN
WALKER, IS WITH ME AT THE
HEARING TODAY TO ANSWER ANY
TECHNICAL QUESTIONS THAT YOU
MIGHT HAVE. THANK YOU SO MUCH.
WHAT WOULD YOU LIKE TO ADD A
LITTLE BIT OF SUPPORT? GOOD
MORNING, CHRISTINE WALKER,
EXECUTIVE OFFICER OF THE BORDER
CHIROPRACTIC EXAMINERS ON BEHALF
OF THE BOARD. I JUST WANT TO
SHARE THE BOARD STRONG SUPPORT
FOR THIS BILL, AND I'M AVAILABLE
TO ANSWER ANY TECHNICAL
QUESTIONS IF NECESSARY ON THE
PROVISION. THANK YOU. THANK YOU
SO MUCH FOR THAT ANYONE ELSE IN
SUPPORT? SB 14 34. SEEN NOT
ANYBODY IN OPPOSITION TO SB 14
34 IN THE COMMITTEE ROOM. SEEN
NONE. MADAM MODERATE WILL GO TO
THE PHONE LINES WILL TAKE
SUPPORT AND OR OPPOSITION TO SB
14 34. QUÊ FOR SUPPORTER UPS
OPPOSITION FOR SP 14 34 PRESS
ONE AND ZERO AT THIS TIME. ONE
MOMENT.
9 17. YOUR LINE IS OPEN. 17.
YES, 17. YOUR LINE IS OPEN. GOOD
MORNING, MARY RODRIGUEZ ON
BEHALF OF TICKETS IN SUPPORT OF
SB 14 33. THANK YOU FOR THAT. NO
ONE FURTHER PLACE. CONTINUE
THANK YOU SO MUCH. MR JOE, WOULD
YOU LIKE TO CLOSE WOULD LIKE TO
THANK OUR NEWEST COLLEAGUES, UH
, TINA, MAKIN ER AND DAVID
ALVAREZ FOR SUBBING IN ON BNP
TODAY. I WOULD ALSO LIKE TO
THANK THEM FOR SHOWING UP CLOSE
TO ON TIME. NEVER CHANGE NEVER
CHANGED. AND WITH THAT I RESPECT
THE ASK FOR MY VOTE WILL TAKE
THAT UP WHEN WE CAN. HE'S A
DISGRUNTLED CHAIR. HALF THE
TIME. SO ALRIGHT. JUST TRYING TO
GET A QUORUM. OKAY GOTTA DO FOR
A CORNER. HONESTLY. ALRIGHT. WE
WENT ON TO FILE OUT OF NUMBER
SIX. UH SENATOR SB 14 36. THANK
YOU, MR CHAIR. SP 14 36 IS THE
SUNSET BILL FOR THE RESPIRATORY
CARE BOARD OF CALIFORNIA. IN
ADDITION TO EXTENDING THE BOARD,
SUNSET DATE TO JANUARY 1ST 2027
THIS BILL REVISE IS MANDATORY
REPORTING REQUIREMENTS,
CLARIFIES WHO CAN PERFORM
RESPIRATORY CARE SERVICES DURING
A DECLARED EMERGENCY AND ALLOWS
LICENSED VOCATIONAL NURSES TO
PERFORM SPECIFIED RESPIRATORY
CARE SERVICES. AFTER TRAINING
REPRESENTATIVE OF THE
RESPIRATORY CARE BOARD OF
CALIFORNIA, STEPHANIE NUNEZ IS
AVAILABLE ON THE LINE IF THERE
ARE ANY TECHNICAL QUESTIONS
THANK YOU SO MUCH. IT LOOKS LIKE
WE HAVE A JENNIFER TANNEHILL. AS
WELL. JENNIFER NO NEED TO RUN.
TRYING TO HELP THINGS GO QUICKLY
TODAY. GOOD MORNING CHAIR AND
MEMBERS JENNIFER TANNEHILL WITH
AARON REID AND ASSOCIATES ON
BEHALF OF THE CALIFORNIA SOCIETY
FOR RESPIRATORY CARE. CSRC
SUPPORTS EXTENDING THE SUNSET OF
THE RCB. AND THE LANGUAGE IN SP
14 36, WHICH PROVIDES THAT THE
RCB OUTLINED THE MANUAL AND
TECHNICAL RESPIRATORY TASKS THAT
CAN BE PROVIDED BY L. V. N S. WE
SUPPORT THE AMENDMENTS REQUIRING
DEMONSTRATED COMPETENCY FOR
THOSE TASKS AND SUPPORT
EXTENDING THE SUNSET. THANKS FOR
YOUR WORK TO ADDRESS THESE
ISSUES. WE REQUEST YOUR SUPPORT.
THANK YOU VERY MUCH. ANYONE
ELSE'S SUPPORTING THE COMMITTEE
ROOM ON SB 14 36. SEE NONE.
ANYONE IN OPPOSITION? SEEN NONE
. MADAM MODERATE WILL GO TO THE
PHONE LINES WILL TAKE SUPPORT
AND OUR OPPOSITION TO SB 14 36.
QUÊ VERSUS BORDER OPPOSITION
FROM SB 14 36 PLEASE REST ONE
AND ZERO. NOT SEEING ANY AT THIS
TIME. THANK YOU SO MUCH, MR.
CHAIR. WOULD YOU LIKE TO CLOSE?
RESPECTFULLY ASK FOR OUR VOTE.
APPRECIATE THAT VERY MUCH.
MOVING ON TO FILE ITEM NUMBER
EIGHT. SB 14 38. MR ROSS, MR.
CHAIR 14 30. THANK YOU, MR
CHAIR. 14 38 IS THE JOINT SENATE
BUSINESS PROFESSIONS IN ECONOMIC
DEVELOPMENT COMMITTEE AND
ASSEMBLY, BUSINESS AND
PROFESSIONS COMMITTEES. PHYSICAL
THERAPY SUNSET BILL, WHICH
OFFERS VARIOUS TECHNICAL, MINOR
OR NON CONTROVERSIAL CHANGES TO
THE BUSINESS AND PROFESSIONS
CODE. RELATING TO THE PRACTICE
OF PHYSICAL THERAPY.
SPECIFICALLY SP 14 38 EXTENDS
THE SUNSET DATE IN THE PHYSICAL
THERAPY LAW AFTER THE JOINT
CENTER REVIEW OVERSIGHT OF THE
PHYSICAL THERAPY BOARD OF
CALIFORNIA IT PROVIDES LANGUAGE
TO QUANTIFY A WAIVER THAT
TEMPORARILY WAIVED THE
REQUIREMENT FOR A LICENSED
PHYSICIAN AND SURGEON OR
PODIATRIST. AS APPLICABLE TO
CONDUCT AN IN PERSON PATIENT
EXAMINATION AND EVALUATION
SUBJECT TO THE CONDITION THAT
THE EXAMINATION AND EVALUATION
IT MUST BE PERFORMED VIA
APPROPRIATE ELECTRONIC MEANS,
AND IT MAKES OTHER TECHNICAL
CLARIFYING IN CONFORMING CHANGES
. I WOULD LIKE TO ACCEPT THE
AMENDMENTS REFERENCED IN THE
STAFF ANALYSIS. AND I HAVE JASON
KEYSER WITH THE PYSICAL THERAPY
BOARD OF CALIFORNIA AVAILABLE ON
THE LINE IF THERE ARE ANY
TECHNICAL QUESTIONS THANK YOU
VERY MUCH, JASON. WOULD YOU LIKE
TO OFFER ANY TESTIMONY ON THE
PHONE LINE? NO I JUST LIKE TO
SAY GOOD MORNING AND THANK YOU
FOR THIS OPPORTUNITY, AND
OBVIOUSLY WE'RE IN SUPPORT OF
OUR OWN SUNRISE BILL, AND I'M
HERE TO PROVIDE ANY ASSISTANCE
OR ANSWER ANY QUESTIONS THAT
THEY'RE SIMPLY MY HEALTH. THANK
YOU VERY MUCH FOR THAT ANYONE
ELSE IN THE COMMITTEE ROOM AND
SUPPORT OF SB 14 38. SEEN THAT?
ANYBODY IN OPPOSITION? SB 14 38.
SEE NONE. MADAM MODERATE WILL GO
TO THE PHONE LINES FOR TAKE
SUPPORT OR OPPOSITION TO SB 14
38. QUÊ IF YOU WOULD LIKE TO
SPEAK IN OPPOSITION OR SUPPORT
FOR SB 14 38 PLEASE PRESS 10 AT
THIS TIME. NOT SEEING ANY.
PLEASE CONTINUE. THANK YOU VERY
MUCH. MR. CHAIR. WOULD YOU LIKE
TO CLOSE? RESPECTFULLY ASK FOR
YOUR I VOTE. THANK YOU SO MUCH
LIKE WE SHOULD KEEP THIS
ROLLING. LET'S DO IT. MR
CHAIRMAN, COLLEAGUES. SP 14 43
IS AN OMNIBUS BILL RELATING TO
THE DEPARTMENT OF CONSUMER
AFFAIRS. THEY GET MORE AND MORE
EXCITING WITH EVERY BILL. THIS
BILL EXTENDS THE SUNSET DATE FOR
A NUMBER OF D C A ENTITIES AND
MAKES OTHER TECHNICAL CHANGES.
REPRESENTATIVES OF THE
DEPARTMENT OF CONSUMER AFFAIRS
ARE HERE TO HELP ANSWER ANY
TECHNICAL QUESTIONS REGARDING
PROVISION IN THE BILL RELATING
TO THE CEMETERY AND FUNERAL
BUREAU. THIS BILL HELPS TO
ENSURE A COMPREHENSIVE AND
THOUGHTFUL SUNSET REVIEW PROCESS
CAN OCCUR FOR EACH ENTITY IN THE
CEMETERY AND FUNERAL BUREAU CAN
CONTINUE ITS REGULATORY
FUNCTIONS. AND I RESPECTFULLY
ASK FOR YOUR VOTE. THANK YOU
VERY MUCH. ANYONE IN SUPPORT IN
THE COMMITTEE ROOM? ON SPF 14
43. THANK YOU, MR CHAIR AND
MEMBERS AARON TAYLOR ON BEHALF
OF THE CALIFORNIA DENTAL
ASSOCIATION AND SUPPORT THANK
YOU. ANYONE ELSE IN SUPPORT. THE
COMMITTEE ON SB 14 43. SEEN
NONE. ANYBODY IN OPPOSITION TO
SB 14 43. MR CHAIRMAN, MEMBERS
OF THE COMMITTEE TERRY MCHALE,
WITH AARON REID AND ASSOCIATES
REPRESENTING THE CALIFORNIA
FUNERAL DIRECTORS ASSOCIATION.
WERE OPPOSED TO THE FEE PORTION.
BIT SPITS IN THIS BILL. MR
CHAIRMAN. THE MODERN FUNERAL
INDUSTRY BEGAN RIGHT AFTER THE
CIVIL WAR, AND I MENTION THIS
ONLY BECAUSE AT THAT TIME PEOPLE
HAD ONLY GONE 50 MILES FROM
THEIR HOMES, AND SO MANY YOUNG
MEN WERE KILLED. THEY STARTED
THE EMBALMING, AND THEY STARTED
SHIPPING PEOPLE BACK HOME FOR
BURIAL. AND I SAY THIS BECAUSE
IN CALIFORNIA THE FUNERAL
INDUSTRY IS THE SECOND OLDEST
LICENSED PROFESSION. IN THE LAST
25 YEARS, THE CHANGES TO THE
FUNERAL INDUSTRY HAVE BEEN
CATACLYSMIC. WHEN I STARTED WITH
THE FUNERAL DIRECTORS 25 YEARS
AGO, THE CREMATION RATE WAS
UNDER 20. TODAY IT IS 66% AND IT
CHANGES EVERYTHING IN THE WAY WE
DEAL WITH DISPOSALS OF THE BODY.
ABOUT 20 YEARS AGO, THE FUNERAL
BUREAU WAS IN FINANCIAL TROUBLE
AND HEY CAME TO US AND THEY
WANTED TO INCREASE THE FEES AND
THE DEAL WE MADE WAS INSTEAD OF
INCREASING THE FEES THAT WE
INCREASED THE COST. WE PAID PER
CREMATION AND BURIAL. AND THAT
ALLOWED THEM TO BE SUSTAINED
ESSENTIALLY FOR THE NEXT 20
YEARS. WHAT THIS BILL HAS DONE
IS THAT IT SORT OF ARBITRARILY
INCREASES ALL OF THE FEES. AND
WHILE THE FEES ARE NOT
DEMONSTRABLY INCREASED IT MAKES
A REAL DIFFERENCE IN THE REAL
WORLD. FOR EXAMPLE, MR CHAIRMAN
IN A TOWN LIKE MODESTO,
CALIFORNIA, WHERE THERE ARE ONLY
THREE OR FOUR FUNERAL HOMES,
FUNERAL DIRECTOR HAS TO HAVE
MORE THAN ONE LICENSED SO AT
SALEH'S BROTHERS FUNERAL HOME,
OR, UH, EVEN I WOULD GUESS THAT
THE FUNERAL DIRECTOR, PROBABLY
AS A FUNERAL DIRECTOR'S LICENSE
AND BOMBERS LICENSE THE
CREMATIONS LICENSE. A CEMETERY
MANAGER'S LICENSE. THE CEMETERY
SALES LICENSE, A FUNERAL
ESTABLISHMENTS LICENSE, AND IF
THEY HAVE A FACILITY, THEY HAVE
A FACILITY DUPLICATE LICENSE
FEE. IT JUST ONE OF THE FUNERAL
HOMES IN ROSE HILLS IN LOS
ANGELES. THESE INCREASES DEALING
JUST WITH THEIR EMPLOYEES WOULD
HAVE A $72,000 COST. NOW WE'RE
NOT SAYING THAT THE FUNERAL
INDUSTRY OR THAT THE FUNERAL
BUREAU DOES NOT DESERVE TO HAVE
SOME KIND OF INCREASE THEY DO.
AND I ALSO WANT TO SAY THAT WE
ARE SATISFIED WITH THE WORK OF
THE FUNERAL BUREAU AND INA
SANCHEZ, THEIR EXECUTIVE OFFICER
, IS AN EXTRAORDINARILY GOOD
OFFICER AND AN EXTRAORDINARILY
GOOD PUBLIC SERVANT. WHAT WE'RE
SAYING INSTEAD IS THAT WE NEED
TO TAKE A STEP BACK AND FIGURE
OUT. WHAT ARE THESE FEES BEING
USED FOR? ARE WE REALLY IN
FORCING THE FUNERAL INDUSTRY NOW
THAT 66% ARE BEING CREMATED THE
WAY WE DID 25 YEARS AGO, DO WE
HAVE TO HAVE ALL OF THESE
LICENSES? I WOULD ALSO MENTION
THAT YOU JUST VOTED FOR A
BUDGET. INCLUDED IN THAT BUDGET
WAS $4,281,000. TO MODERNIZE THE
SOFTWARE SYSTEMS AT DEPARTMENT
OF CONSUMER AFFAIRS, OF WHICH
THE FUNERAL BUREAU IS ONE OF
FIVE. BUT THEY WILL TAKE
ADVANTAGE OF THAT, AND
890,000,880. IN WHICH THE
FUNERAL BUREAU WILL GET A NEW
ENFORCEMENT PERSON. SO ALL WE'RE
ASKING IS THAT YOU AMEND THE
BILL, OR AT LEAST TODAY TAKE A
PAUSE AND SAY BEFORE WE GO
THROUGH APPROPRIATIONS THAT WE
SIT DOWN AND FIGURE OUT DO THESE
FEE INCREASES MAKE SENSE. WE
WANT THEM TO HAVE WHAT THEY NEED
TO ENFORCE. BUT LET'S THINK
ABOUT HOW WE'RE ENFORCING. UH
DOCUMENT LIKE THIS IS NOT JUST A
MATTER OF NUMBERS. IT IS AN
UNDERSTANDING OF OUR PRIORITIES
, AND WE'D LIKE TO DISCUSS THOSE
PRIORITIES. SORRY TO TAKE SO
MUCH TIME, BUT THANK YOU FOR
YOUR PATIENCE. THANK YOU, SIR.
ANYONE ELSE IN OPPOSITION. SB 14
43. MORNING CHAIR MEMBERS JERRY
DESMOND, BUT THE CEMETERY AND
MORTUARY ASSOCIATION OF
CALIFORNIA ALSO SPECIFICALLY ON
THE RELATIONS, YOUR FEET
INCREASES FOR THE CEMETERY AND
FUNERAL INDUSTRY. NO WE WISH TO
ENGAGE, WE KNOW THAT THE FEES
HAVEN'T BEEN INCREASED FOR MANY
YEARS. IT'S A QUESTION OF WHAT
ARE THE FEES AND WHAT ARE THEY
FOR? MUCH LIKE TERRY SAID. THE
WE HAD PUT ON THE TABLE. I THINK
IT WAS SIX MONTHS AGO. THE IDEA
OF DISCUSSING A REGULATORY FEE
INCREASE THAT COULD ACCOMPLISH
THE REVENUES THAT ARE MEANT TO
BE ACHIEVED IN A WAY THAT
DOESN'T CREATE A BARRIER TO
ENTRY FOR CERTAIN LICENSED
PROFESSIONS. WITHIN THE INDUSTRY
AND WITHIN THIS LICENSE CATEGORY
WE WISH TO ENGAGE. WE THINK THAT
WE CAN ACCOMPLISH LIKE WE HAVE
IN THE PAST WHENEVER THERE IS A
FEE INCREASE, AND WE ALSO NOTE
THAT THERE COULD BE MEASURES
THAT COULD BE TAKEN NOW TO
ADDRESS THE ANTICIPATED FISCAL
YEAR. 23 24 UH, OVER SHORTFALL
IN A WAY THAT PROVIDES A STOPGAP
WHILE THOSE DISCUSSIONS TAKE
PLACE, SO WE THINK EVEN A
REGULATORY FEE INCREASE COULD
PERHAPS ACCOMPLISHED THAT AND WE
LOOK FORWARD TO THE DISCUSSIONS,
HOPEFULLY AS A AS IT MOVES
FORWARD. THANK YOU. THANK YOU SO
MUCH. ANYONE ELSE IN OPPOSITION
? THE COMMITTEE ROOM 14 43. SEEN
AND MADAM MODERATE WILL GO TO
THE PHONE LINES FOR SUPPORT AND
OR OPPOSITION TO SB 14 43. WE
WOULD LIKE TO SPEAK IN
OPPOSITION OR SUPPORT OF SB 14
43. PLEASE PRESS 10 AT THIS
TIME. NOT SEEING ANY. PLEASE
CONTINUE. THANK YOU SO MUCH, MR.
CHAIR. WOULD YOU LIKE TO CLOSE?
APPRECIATE THE CONVERSATION.
APPRECIATE THE CONCERNS THAT
WERE RAISED, YOU KNOW, DO DO. I
WANT TO NOTE THAT FEES HAVE NOT
BEEN RAISED FOR 25 YEARS, AND
THAT THE, UM THE BUREAU IS OR
THE CEMETERY AND FUNERAL FUND IS
CURRENTLY EXPECTED TO BE, UH
HAVE A STRUCTURAL DEFICIT OF $2
MILLION. SO THESE ARE THESE ARE
IMPORTANT ISSUES THAT NEED TO BE
ADDRESSED. APPRECIATE THE NUANCE
. I'VE ASSURED WITH THE CHIEF
CONSULTANT THAT HE IS VERY
EXCITED TO HAVE ADDITIONAL
CONVERSATIONS ABOUT THE ISSUE.
AH AND RESPECTFULLY ASK FOR I
VOTE. YOU SURE SEEMS LIKE IT.
YEAH. THANK YOU, SIR. WE WILL
TAKE THAT UP WHEN THE TIME IS
APPROPRIATE. GREAT THAT'S IT
APPRECIATE EVERYONE'S PATIENCE.
THANK YOU MR VICE CHAIR AS HE,
SENATOR ARCHULETTA. IN THE ROOM
. SENATOR GILLETTE IF YOU'D LIKE
TO PRESENT ON ITEM NUMBER THREE
pSB 14 28. THANK YOU AND GOOD
MORNING, MR CHAIR AND COMMITTEE
MEMBERS. AGAIN I'M SENATOR BOB
ARCHULETTA. I'M PRESENTING TO
YOU THIS MORNING SENATE BILL 14
28. WHICH WOULD CREATE A NEW
CATEGORY OF REGISTERED MENTAL
HEALTH PROFESSIONALS,
PSYCHOLOGICAL TESTING
TECHNICIANS, PSYCHOLOGICAL
TESTING TECHNICIANS. TO MEET THE
GROWING NEED FOR PSYCHOLOGICAL
AND NEUROLOGICAL SERVICES WHILE
PROTECTING CONSUMERS. THESE
TECHNICIANS WOULD OPERATE AS
SERVICE EXTENDERS FOR
PSYCHOLOGISTS. ALTHOUGH
EXASPERATED BY COVID 19 PANDEMIC
, THE DEMAND FOR PSYCHOLOGICAL
AND NEUROLOGICAL SERVICES HAS
BEEN STEADILY INCREASING.
UNFORTUNATELY STATE STATUTE DOES
NOT DEFINE TECHNICIAN SERVICES.
IN THE PRACTICE OF PSYCHOLOGY,
CREATING A SIGNIFICANT DELAYS TO
ACCESS FOR PSYCHOLOGICAL TESTING
SERVICES. CALIFORNIA ALSO IS
EXPERIENCING A DIRE SHORTAGE OF
MENTAL HEALTH PROFESSIONALS AND
GRAPPLING WITH THE MEETING AND
MEETING THESE DEMANDS, WHETHER
THEY BE IN SCHOOLS OR IN SOCIETY
AS A WHOLE. INDIVIDUALS WHO HAVE
RECEIVED TRAUMATIC BRAIN
INJURIES ARE AFFECTED BY
PSYCHOLOGICAL DISORDER OR
REQUIRE AN ASSESSMENT AS PART OF
THE LEGAL OR EDUCATIONAL
PROCEEDINGS. AT WHICH RELY ON
WORK DONE BY A LICENSED
PSYCHOLOGIST. PSYCHOLOGISTS
PERFORM BATTERIES OF
PSYCHOLOGICAL TESTS THAT CAN
VARY IN LENGTH, DEPENDING ON THE
NATURE OF THE REFERRALS THEY
RECEIVED. IT IS NOT UNUSUAL FOR
THEM TO REQUIRE 1 TO 2 FULL DAYS
OF ADMINISTRATION. OF CERTAIN
PSYCHOLOGICAL TESTS FOR A SINGLE
PATIENT. VERY VERY TIME
CONSUMING FOR THE PSYCHOLOGIST.
THIS MEASURE WOULD ALLOW
PSYCHOLOGICAL TESTING
TECHNICIANS TO ADMINISTER AND
SCORE PSYCHOLOGICAL AND
NEUROLOGICAL TEST. UNDER THE
DIRECT SUPERVISION OF THE
LICENSED PSYCHOLOGIST. THE USE
OF TECHNICIANS PRIMARILY ALLOWS
THE PSYCHOLOGIST TO UTILIZE
THEIR TIME MORE EFFECTIVELY AND
PRODUCTIVELY. FREEING THEM TO
ENGAGE ANOTHER INTERPRETATIONS
AND MEETINGS WITH THE PATIENT
THEMSELVES AS A RESULT OF BEING
ABLE TO PROVIDE ADDITIONAL
SERVICES. THAT REQUIRES THEIR
SPECIFIC SKILL SET. WITHOUT
EMPLOYING TECHNICIANS. THE
MAJORITY OF THESE CYCLES
PSYCHOLOGIST TIME IS SPENT IN
THE ADMINISTRATION AND SCORING
OF STANDARDIZED TESTS AS A
RESULT, WHICH IS THAT
PSYCHOLOGISTS WORKING IN THE
AREA. CAN ONLY SEE A FRACTION OF
THE PATIENTS THEY WOULD
OTHERWISE BE ABLE TO SEE IF THEY
HAD THE ASSISTANCE AND THE AID
OF THE TECHNICIAN. THE
UTILIZATION OF TECHNICIANS IS
AKIN TO OTHER DOCTORAL LEVEL
PROFESSIONALS EMPLOYING
TECHNICIAN SUCH AS NEUROLOGIST
NEUROLOGIST WITH THE E G
TECHNICIANS OR RADIOLOGISTS WITH
X RAY TECHNICIANS. WITH THE NEED
OF SERVICES FROM PSYCHOLOGISTS
AND NEUROLOGISTS. GROWING DAY BY
DAY, I ASK THAT YOU SUPPORT THIS
IMPORTANT PIECE OF LEGISLATION
AND WITH ME TODAY I HAVE DR JAY
ROSEN. WITH THE CALIFORNIA
PSYCHOLOGICAL ASSOCIATION TO
TESTIFY AND SUPPORT AND I
RESPECTFULLY ASK FOR YOUR VOTE.
THANK YOU VERY MUCH, SENATOR. UM
AND SO DR ROSEN. IS TESTIFYING
OVER THE PHONE. APPRECIATE THAT
, MR OR MADAM OPERATOR, IF YOU
CAN FIND DR JAY ROSEN TO TESTIFY
OVER THE PHONE, THAT WOULD BE
GREAT.
YES, ROSE IN THE VAN WITH US.
THANK YOU. HELLO CHAIR AND
MEMBERS. MY NAME IS DR JAY
ROSEN. I'M A NERVOUS
PSYCHOLOGISTS IN NORTH COUNTY,
SAN DIEGO, AND I'M HERE
REPRESENTING THE CALIFORNIA
PSYCHOLOGICAL ASSOCIATION, THE
SPONSORS OF THE BILL. I'M
ORIGINALLY FROM CHICAGO BUT
MOVED TO SAN DIEGO IN 2000 AND
NINE TO COMPLETE A RESIDENCY AND
FELLOWSHIP BY THE V EIGHT SAN
DIEGO HEALTHCARE SYSTEM AND U.
C. S D. I WAS PRIVILEGED TO GAIN
SPECIALTY TRAINING AND
NEUROPSYCHOLOGICAL ASSESSMENT OF
BRAIN INJURY MOVEMENT DISORDERS
LIKE PARKINSON'S DISEASE.
NEURODEGENERATIVE DISORDERS LIKE
ALZHEIMER'S DISEASE AND
PSYCHIATRIC CONDITIONS, SUCH AS
POST TRAUMATIC STRESS DISORDER.
PRESENTLY I PROVIDE OUTPATIENT
NEUROPSYCHOLOGICAL ASSESSMENT AT
THE NEUROLOGY CENTER OF SOUTHERN
CALIFORNIA, AS WELL AS INPATIENT
SERVICES AT SCRIPTS AND HOSPITAL
AND TONY ROSS AND TRI CITY
MEDICAL CENTER IN OCEANSIDE,
CALIFORNIA. NEUROPSYCHOLOGIST
PROVIDE DIAGNOSTIC AND TREATMENT
SERVICES FOR INDIVIDUALS LIVING
WITH A VARIETY OF NEUROLOGICAL,
NEURO DEVELOPMENTAL AND
PSYCHIATRIC CONDITIONS. WE
ASSIST WITH DECISION MAKING
RELATED TO DIAGNOSIS TREATMENT.
JT WHILE DRIVING AND LEVELS OF
SUPPORT NEEDED AT HOME, IN
SCHOOLS OR IN THE COMMUNITY IN
CND IN SAN DIEGO, LIKE
NEUROPSYCHOLOGY SERVICES WITH 12
MONTH, WAITLIST A ROUTINE AND IF
YOU ACCEPT THE INSURANCE PLANS
OF THE MAJORITY OF MY FELLOW
RESIDENTS ESPECIALLY THOSE MOST
VULNERABLE, GIVEN THEIR LEVEL OF
DISABILITY AND MEMBERSHIP AND
MARGINALIZED COMMUNITIES. INDEED
PATIENTS SEEKING MEDICAL LEGAL
SERVICES OR SERVICES IN CASH
BASED CLINICS. ARE THOSE MOST
LIKELY TO RECEIVE A
NEUROPSYCHOLOGICAL ASSESSMENT IN
A TIMELY MANNER. MANY OF YOUR
CONSTITUENTS LIVING WITH NEURO
BEHAVIORAL DISORDERS FACE A
SIGNIFICANT BOTTLENECK IN THEIR
PURSUIT OF HEALTHCARE. THIS
BOTTLENECK WILL ONLY GET WORSE
AS THE BABY BOOMER GENERATION
AGES. AND THE PREVALENCE OF
CONDITIONS LIKE ALZHEIMER'S
DISEASE INCREASES. INDEED,
NEUROPSYCHOLOGICAL ASSESSMENT IS
CONCLUDED THE GOLD'S CANNARD FOR
THE IDENTIFICATION OF NEURO
AGENDA CONDITIONS SUCH AS
ALZHEIMER'S DISEASE. AND
NEURODEVELOPMENTAL DISEASES SUCH
AS AUTISM. WHILE THE USE OF TIME
BEING TECHNICIANS IS COMMON IN
OTHER STATES AND THE V, A
HEALTHCARE SYSTEM HERE IN
CALIFORNIA. CALIFORNIA LAW IS
SILENT ON THIS ISSUE, MEANING
THAT PSYCHOLOGISTS AND
CALIFORNIA GENERALLY MUST
ADMINISTER THEIR OWN TEST. EVEN
THOSE THAT ARE HIGHLY MANUAL
IZED AND ROUTINE. ADMINISTERING
TESTS LIMITS MY ABILITY TO
OPERATE AT THE HIGHEST LEVEL OF
MY CLINICAL SKILL SET. IN OTHER
WORDS, MY CLINICAL SKILLS THAT
IS BACK UTILIZED WHEN I'M
DIRECTLY ENGAGED IN THE
INTERPRETATION OF TEST DATA AND
IN PROVIDING PATIENTS
REHABILITATION TREATMENT. RATHER
THAN ADMINISTRATION PASSED,
WHICH CAN BE EFFECTIVELY DONE BY
A WELL TRAINED TECHNICIAN
WORKING UNDER THE SUPERVISION OF
A PSYCHOLOGIST. THANK YOU,
DOCTOR, IF YOU COULD WRAP UP IF
YOU WALK CLEARLY ESTABLISHED
AUTHORITY CONDITIONS IS NEEDED.
UM THERE'S STILL WOULD
EFFECTIVELY FREE UP A
SIGNIFICANT PORTION OF MY TIME.
C P A BELIEVES THIS, UH BUILD
CRITICAL TO HEALTHCARE AND
CALIFORNIA I THANK YOU FOR YOUR
TIME. THANK YOU VERY MUCH. AH. I
DON'T BELIEVE WE HAVE ANY
ADDITIONAL PRIMARY WITNESSES AND
SUPPORT. I DON'T SEE ANY PRIMARY
WITNESSES IN OPPOSITION. UH SO
LET'S OPEN IT UP TO FOLKS IN THE
HEARING ROOM IF WE HAVE ANY
PEOPLE WANT TO ADD ON AND
SUPPORT OR OPPOSITION TO SB 14
28. GOOD MORNING COMMITTEE
MEMBERS AND TWO NETS ORIC FROM
THE BOARD OF PSYCHOLOGY IN
SUPPORT OF THE BILL. THANK YOU.
THANK YOU. ANY ADDITIONAL
WITNESSES IN THE HEARING ROOM
WHO WANT TO ADD ON SEEING NONE.
LET'S GO TO THE PHONE LINES,
MADAM OPERATOR. IF THERE'S
ANYONEON THE PHONE LINES WANTS
TO ADD ON AND SUPPORT OR
OPPOSITION TO SB 14 28. LIKE TO
SPEAK IN OPPOSITION OR SUPPORT
OF SB 14 28, PLEASE PRESS ONE
AND ZERO. AND NOT SEEING ANY
POLICE CONTINUE. THANK YOU VERY
MUCH WANT TO BRING IT BACK TO
COLLEAGUES FOR ANY QUESTIONS OR
COMMENTS THAT THEY MIGHT HAVE AN
SP 14 28? SEEING NONE. SENATOR.
WOULD YOU LIKE TO CLOSE? THANK
YOU, MR CHAIR. I RESPECTFULLY
ASK FOR YOUR VOTE. THANK YOU
VERY MUCH. THANK YOU, SENATOR
ARCHULETTA FOR BRINGING FORWARD
SP 14 28 AND PROVIDING OUR
COMMITTEE WITH THE SURO THOROUGH
SUNRISE QUESTIONNAIRE. WHICH IN
ADDITION TO THE MOST RECENT
AMENDMENTS HELPED ADDRESS THE
INITIAL CONCERNS RAISED IN THE
SENATE BNP COMMITTEE. THIS BILL
WILL ENSURE THAT ALL PTS ARE
PROPERLY REGISTERED SATISFY
SPECIFIC EDUCATION TRAINING
REQUIREMENTS. THIS WILL SUPPORT
CURRENT WORKFORCE CHALLENGES
EXPERIENCED ENVIRONMENTAL
HEALTH. UH ENVIRONMENTAL HEALTH
CARE PROFESSIONALS. TECHNICIANS
PRIMARILY ALLOWS THE
PSYCHOLOGIST TO UTILIZE THEIR
TIME MORE EFFICIENTLY AS AS YOUR
PRIMARY WITNESS SAID, AND
PRODUCTIVELY, FREEING THEM TO
ENGAGE IN PATIENT TREATMENT AND
OTHER SERVICES. ONCE WE HAVE A
QUORUM, I'LL BE HAPPY TO
RECOMMEND AND I VOTE. THANKS,
SENATOR. MOVING ON. WE NEED
SENATORS, SENATORS. LOOKING FOR
SENATORS, SENATORIAL STAFF IF
YOU CAN GO FIND YOUR SENATOR.
AND BRING THEM DOWN. ROOM 1100.
IN PARTICULAR, NOT JUST ANY
SENATOR, BUT SENATORS BRADFORD
OR KOBO, GORE GLASER. EXCEPT NOT
GLASER, UH, BECAUSE THAT WOULD
BE A SEVEN MEMBER OF VINCE
VAUGHN. SO FOR SOME, REMEMBER,
VINCE FALLING STAFF IS LOOKING
YOU'RE WATCHING. GO FIND HIM AS
WELL. THANK YOU.
UH BMP ASSEMBLY COMMITTEE STAFF
. PLEASE GO FIND YOUR MEMBER
BECAUSE OTHER MEMBERS ARE GOING
TO LEAVE AND WE'RE GONNA GO IN
THE WRONG DIRECTION IN TRYING TO
ESTABLISH A QUORUM. SO EVERYBODY
GO GRAB YOUR MEMBER. LIE TO
THEM. WE HAVE DONUTS. WE GOT
DOUGHNUTS IN ROOM 1100 FOR EVERY
BMP OR SOME OF THE STAFF. I
DON'T THINK IT'S GONNA WORK. IS
NOT GONNA WORK, ALL RIGHT? MAYBE
THE DONUTS ACTUALLY GOT
SOMEBODY. NO. WELL, YEAH. ONE
FOR ONE I JUST PROMISED YOU
DONUTS, MR NAZARIAN.
I APPRECIATE THAT. EVERYONE HAS
A LOT GOING ON THIS MORNING.
WE'RE WE'RE TRYING TO GET
THROUGH THE COMMITTEE HEARING AS
QUICKLY AS POSSIBLE TO DO THAT,
UH, WE'RE GOING TO ADJOURN AT 9
45. IF WE DON'T GET ANY SENATORS
OR A CERTAIN ASSEMBLYMEMBER'S
WHO'S PRESENTING FOR A SENATOR
IN THE HEARING ROOM BY 9 45. 11
MINUTES, FOLKS. YOU GOT 11
MINUTES. LET'S DO THIS. WE ARE
CREWS THAT WE WERE CRUISING, AND
THEN WE HIT A WALL. UM SO WE'RE
THREE BILLS AWAY. AND NOW SIX
COLLEAGUES AWAY. TABLING A
QUORUM. BUT I HAVE FAITH. WE CAN
DO THIS IN THE NEXT 11 MINUTES.
GO.
RE MEMBERS JUST CAME IN. IF THAT
HAPPENS AGAIN, WE'VE GOT A
QUORUM. I JUST NEED THAT EXACT
AND WE'RE DOWN AND WE'RE DOWN
AGAIN. CONSTANT SEESAW.
CAUSE HE'S ON THE COMMITTEE. SO
WE HAVE ANOTHER COMMITTEE MEMBER
ON THEIR HUESO BNP COMMITTEE
STAFF. WE'VE GOT A SENATOR.
SENATOR. COME ON DOWN. PLEASE
PRESENT ITEM NUMBER 13 SP 14 53
WHENEVER YOU'RE READY, AND WHILE
YOU'RE DOING THAT I WILL MAKE
THE PLEA. THE BNP COMMITTEE
STAFF. GO GET YOUR MEMBER AND
GET THEM TO 1100. WE ARE. THREE
AWAY FROM A QUORUM AND I KNOW
THAT ONE COMMITTEE MEMBER IS
COMING DOWN BUT WILL NOT BE HERE
LONG. SO LET'S GET SOME
COORDINATION. PARTICIPATION. I
FEEL LIKE I'M JUST LIKE A RADIO
HOST FILIBUSTERING JUST LIKE
DRAGGING IT OUT. YEAH. ARE THERE
AREAS ALRIGHT, WE'RE GETTING
CLOSER AND NOW I JUST NEED TO
COMMITTEE MEMBERS. YEAH, IT'S IN
THE BACK. SENATOR READY WHEN YOU
ARE. WE'RE NOT QUITE AT THAT
POINT YET, BUT I APPRECIATE YOUR
ENTHUSIASM. AND SUPPORT. GOOD
MORNING, MR CHAIR AND MEMBERS. I
WOULD FIRST LIKE TO THANK THE
CHAIR AND THE COMMITTEE STAFF
FOR YOUR WORK ON THIS BILL. I'M
HAPPY TO TAKE THE PROPOSED AMENDMENTS, AS NOTED
IN THE ANALYSIS. SB 14 53 WILL
PROVIDE CLARITY TO THE LAW
SURROUNDING SPEECH LANGUAGE WITH
OLOGISTS ABILITY TO PERFORM
FLEXIBLE AND DISCUSS TOPIC.
EVALUATION OF SWALLOWING. COMELY
COMMONLY REFERRED TO SPS BY
MAKING IT CLEAR THAT THEY MUST
RECEIVE WRITTEN VERIFICATION
FROM CERTIFIED EAR, NOSE AND
THROAT DOCTOR THAT THE SLP HAS
PERFORMED A MINIMUM OF 25
SUPERVISED, FLEXIBLE TRANS NASAL
ENDOSCOPIC PROCEDURES IN ORDER
TO PERFORM FEES. RFE ES
EVALUATIONS AND PATIENTS AND
THAT THE SLP MAY PERFORM THESE
PROCEDURES AT A LOCATION BASED
ON THE PATIENT'S MEDICAL NEEDS.
AND MIND. YOU JUST HAVE TO PUT
IN THERE. THE FACT THAT, UM WE
DID PUT THE NOSE, EAR, EAR, NOSE
AND THROAT DOCTOR BECAUSE THE
OTHER WORD WAS TOO DIFFICULT.
CHALLENGING TO PRONOUNCE. I JUST
THOUGHT I MENTIONED THAT BEEN
THERE. BEEN THERE, AS WE ALL
KNOW, COVID 19 HAS HAD
UNPRECEDENTED IMPACT ON SERVICE
DELIVERY IMPACT IN HEALTHCARE
WORKERS AND PATIENTS THEY SERVE.
SPEECH LANGUAGE WITH OLOGISTS
CONTINUE TO PROVIDE CRITICAL
SERVICES MEETING THE EMERGING
NEEDS OF PATIENTS AND THEIR
COMMUNITIES AS PART OF INTER
PROFESSIONAL TEAMS S LPS HAVE A
VITAL ROLE. IN PERFORMING IF
THESE EVALUATIONS TO INFORM
DYSPLASIA MANAGEMENT THIS FRASER
OR SWALLOWING DYSFUNCTION CAN
LEAD TO POSSIBLE LUNG INFECTIONS
, LIMITING A PERSON'S FOOD AND
LIQUID CHOICES FOR SAFETY. WHICH
CAN LEAD TO A REDUCED OVERALL
QUALITY OF LIFE AND EVEN
DEPRESSION. THESE ASSESSMENTS OF
SWALLOWING ARE NECESSARY TO
ASSESS VERY, VERY IN JAIL THIS
ASIA AND DEVELOP AN APPROPRIATE
AND EFFICIENT TREATMENT PLAN.
QUESTIONS HAVE ARISEN IN THE
FIELD REGARDING THE EXTENT OF
THE AUTHORIZATION NEEDED BY AN
EAR, NOSE AND THROAT DOCTOR AND
WHETHER IT IS A ONE TIME
AUTHORIZATION BASED ON THE SLP
COMPETENCY. FOR IF THE
AUTHORIZATION IS REQUIRED EVERY
TIME AN SLP HAS TO PERFORM ONE
OF THESE PROCEDURES. THIS HAS
RESULTED IN SOME INCIDENTS WITH
AN SLP NOT BEING ABLE TO PERFORM
THE NEEDED EVALUATION OR NOT
BEING ABLE TO PERFORM IN IT. IN
THE LOCATION BASED ON THE
PATIENT'S MEDICAL NEEDS.
ADDITIONALLY THE CALL FOR THE
FEES PROCEDURES TO BE PERFORMED
IN MULTIPLE SETTINGS HAS GROWN
DURING THE PANDEMIC. DUE TO THE
NUMBER OF COVID PATIENTS WHO
HAVE HAD TO BE INTUBATED.
JOINING ME TO TESTIFY AND
SUPPORT AND HELP TO ANSWER ANY
TECHNICAL QUESTIONS IS JENNIFER
KITTS NER AND SUSANNA RODRIGUEZ
WITH THE SPONSOR OF THE BILL,
THE CALIFORNIA SPEECH LANGUAGE
HEARING ASSOCIATION. GREAT THANK
YOU, SENATOR. AND I UNDERSTAND
YOUR PRIMARY WITNESSES ARE
TESTIFYING OVER THE PHONE, MADAM
OPERATOR OPERATOR, IF YOU CAN
FIND THE LINE FOR I'VE GOT
JENNIFER KISSNER, UM OR THE
SECOND PERSON WHO HAS MENTIONED
TO TESTIFY. THAT'D BE GREAT.
FORGIVENESS LINE IS JOINED. I'M
HERE. GREAT. YOU HAVE TWO
MINUTES TO TESTIFY. I APOLOGIZE
. I THOUGHT I WAS JUST ANSWERING
QUESTIONS. THAT'S OKAY. WE'LL
TAKE THAT AS YOUR TESTIMONY, AND
WE'LL REFER BACK IF ANY
QUESTIONS COME UP, NO WORRIES AT
ALL. TOTALLY GET IT. OKAY THANK
YOU VERY MUCH. THANK YOU VERY
MUCH, AND I BELIEVE WE MIGHT
ALSO HAVE PAUL SANCHEZ AND OR
CHERIE'S BURNS AS SUPPORT IF
AMENDED, WHO WANTED TO TESTIFY
BY PHONE? ARE THEY, MADAM
OPERATOR? CAN YOU FIND THEIR
PHONE LINES OR PHONE LINE? IT
LOOKS LIKE THEY'LL BE ON THE
SAME LINE. SHERRY'S BURNS IS
JOINED GREAT. YES GOOD MORNING.
THIS IS PAUL SANCHEZ, EXECUTIVE
OFFICER OF THE SPEECH, LANGUAGE
PATHOLOGY, AUDIOLOGY AND HEARING
AID DISPENSERS, SPORT. I JUST
WANT TO EXPRESS SUPPORT POSITION
OF SUPPORT IF AMENDED. WE STILL
HAVE JUST A COUPLE OF CONCERNS
THAT WE HAVE BEEN WORKING OUT
WITH THE SPONSORS, AND I'M
CONFIDENT THAT WE CAN WORK OUT
THESE DIFFERENCES PRIOR TO THE
NEXT STAGE. THANK YOU. GREAT
THANK YOU VERY MUCH. I DON'T SEE
ANY PRIMARY WITNESSES AND
OPPOSITION. LET'S BRING IT BACK
TO ANYBODY WHO WANTS TO ADD ON
AND SUPPORT OR OPPOSITION TO SB
14 53. DO WE HAVE ANYBODY IN THE
HEARING ROOM TODAY? WHO WANTS TO
ADD ON AND SUPPORT OR OPPOSITION
TO SB 14 53. NO ONE OTHER THAN
SENATOR BRADFORD IS RUSHING UP
TO THEM. I OH, PLEASE. I'M
HEARING JUST IN SUPPORT FOR THE
CALIFORNIA SPEECH LANGUAGE
HEARING ASSOCIATION. THANK THE
AUTHOR OF THE COMMITTEE AND A
SPECIAL THANK YOU TO THE
COMMITTEE CONSULTANT, MISS
CURRY. FOR WORKING WITH US TO
CRAFT AMENDMENTS TO ALLOW BILL
TO MOVE BE IMPLEMENTED WITHOUT
DELAY. THANK YOU. THANK YOU VERY
MUCH. ANY ADDITIONAL WITNESSES
IN SUPPORT OR OPPOSITION. SEEING
NONE OF THE FOOT. WE LAWCENTER
BRADFORD. EASY. COME EASY. GO.
UH ANYBODY ON THE HERE ON THE
PHONE LINES WHO WANTS TO TESTIFY
AND SUPPORT OR OPPOSITION?
THAT'S B 14 53. I WOULD LIKE TO
SPEAK IN OPPOSITION OR SUPPORT
OF SB 14 53. PLEASE PRESS 10 AT
THIS TIME. YEAH NOT SAYING ANY
POLICE CONTINUE BRINGING BACK TO
THE CALL COLLEAGUES QUESTIONS OR
COMMENTS FROM COLLEAGUES SAYING
YES, DR WEBBER. GOOD MORNING,
SENATOR. THANK YOU SO MUCH FOR
THIS VERY IMPORTANT, BILL. UM
SPEECH LANGUAGE. PATHOLOGISTS
PERFORM MIRACLES THEY ARE. THEY
ARE ABSOLUTELY WONDERFUL.
THEY'VE DONE THE ONES THAT I'VE
HAD FOR MY SON HAVE DONE AMAZING
AN AMAZING JOB. UM I DO HAVE A
QUESTION, THOUGH THERE WAS A
CONCERN ABOUT THE DEFINITION OF
EMERGENCY MEDICAL BACKUP. UM ARE
WE WORKING THROUGH THAT? OR HAS
, UM IS THIS BILL GOING TO TAKE
18 MONTHS BEFORE IT'S ACTUALLY
IMPLEMENTED IF PASSED. IN ORDER
TO DEFINE SPECIFICALLY WHAT THAT
PHRASE WOULD BE. WE'RE WORKING
ON THAT AND I WILL LET MY EXPERT
WITNESS LET'S FIGHT IT OUT. MS
KISSNER MAY BE ABLE TO ADD TO
THAT. BUT I WILL JUST SAY THAT
THE AMENDMENTS PROPOSED TO BE
TAKEN WILL LIST THE FACILITIES
LICENSED BY DEPARTMENT OF PUBLIC
HEALTH, WHICH HAVE VERY DEFINED
UM, EMERGENCY REQUIREMENTS FOR
EMERGENCY MEDICAL BACKUP
PROCEDURES. THANK YOU. MS
KISSNER WOULD YOU LIKE TO ADD IN. YEAH I WOULD JUST AGREE WITH
WHAT WAS SAID THAT FACILITIES
HAVE VERY WELL DEFINED EMERGENCY
BACKUP PROCEDURES FOR ANY
ISSUES, INCLUDING ANYTHING THAT
COULD OCCUR AFTER A FEES. OKAY
WELL, I KNOW THAT IN OUR
ANALYSIS, IT'S SPECIFICALLY
STATES THAT NEITHER EXISTING LAW
NOR REGULATIONS DEFINE WHAT
SPECIFICALLY, EMERGENCY MEDICAL
BACKUP PROCEDURES ARE. SO ARE
ARE WE GOING TO BE ABLE TO
DEFINE THOSE BEFORE? THIS BILL
IS PASSED AND THERE IS NO
DEFINITION AT THIS TIME. SO THIS
MIGHT BE. SORRY THIS IS JENNIFER
CHESTNUT. SO JUST IN, UM YOU
KNOW, SOMEONE WHO NOT ONLY DOES
FEES, BUT I TEACH OTHER SPEECH
PATHOLOGISTS HAD TO PERFORM FEES
. THE WHEN YOU LOOK AT THE
LITERATURE, THE TWO MAJOR ISSUES
THAT YOU CAN HAVE AFTER A FEES
WOULD BE LIKE A VASE OR VAGAL
RESPONSE OR SOMEONE GETS
LIGHTHEADED OR AN EPIC TEXAS OR
A NOSEBLEED, WHICH ARE
RELATIVELY MINOR. AND YOU KNOW
WHEN THERE WAS THERE WAS ISSUES
CAN BE INCORPORATED INTO A
FACILITIES BACK UP EMERGENCY
ISSUES, AND THAT'S WHAT WE'RE
WORKING WITH THE CALIFORNIA
BEACH STATE BOARD ON JUST TWO
GET THE LANGUAGE THAT'S
APPROPRIATE. OKAY, UM. YOU KNOW
, AS AS SOMEONE WHO DOES
PROCEDURES. I THINK IT'S
EXTREMELY IMPORTANT THAT THAT WE
DEFINE THOSE. AND WE HAVE THOSE
BEFORE. WE ACTUALLY, UM, MOVE
THIS BILL FORWARD. I KNOW FOR
MOST PEOPLE AND NOSEBLEED ISN'T
THAT MUCH, BUT A LOT OF TIMES.
IT'S YOU KNOW, DEPENDING ON WHO
YOU'RE DEALING WITH. YOU MAY RUN
INTO A BLEEDING DISORDER THAT
HASN'T BEEN DIAGNOSED YET. UM
AND SO IT'S MORE THAN JUST A
SIMPLE NOSEBLEED THAT WILL STOP
WITH PRESSURE. UM AND YOU KNOW,
SOMETIMES LAUREN GO SPASM IS NOT
SOMETHING THAT JUST SOMETHING
THAT RESOLVES ON ITS OWN. SO YOU
KNOW, I ALWAYS TELL MY PATIENTS
THAT EVEN THE MOST MINOR
PROCEDURE HAS CAN HAVE
SIGNIFICANT RISK. AND SO I JUST
WANT TO MAKE SURE FROM A
SURGEON'S PERSPECTIVE THAT DOES
PROCEDURES THAT THAT THIS IS
DEFINED. THANK YOU. OF COURSE,
AND CAN I JUST ASK? CAN I JUST
ANSWER THAT THAT BEFORE WE DO
ANY PROCEDURE? WE DO? UM, A
THOROUGH CHART REVIEW. WE TALKED
TO THE YOU KNOW, THE PRIMARY
TEAM. AND WE GET CONSENT FROM
THE PATIENT, VERBAL CONSENT THAT
WE THEN WILL WRITE IN OUR CHART
THAT WE EXPLAINED THE PROCEDURE
. WE EXPLAINED THE RISKS AND THE
BENEFITS OF THE PROCEDURE. AND
THAT THEY AGREED TO GO ON WITH
IT. SO WE DEFINITELY DON'T WE
UNDERSTAND THAT THERE COULD BE
SOME MORE SIGNIFICANT SIDE
EFFECTS, AND WE TRY TO MITIGATE
THAT BY AGAIN. CHART REVIEW
GREAT MEDICAL HISTORY TALKING TO
THE PRIMARY TEAM BECAUSE IT'S
REALLY IMPORTANT TO GET THIS
DATA ABOUT SOMEONE SWALLOWING,
ESPECIALLY SOMEONE WHO IS NOT
ABLE TO EAT BY MOUTH AND IT HAS
A FEEDING TUBE. WE KNOW THE
IMPORTANCE FOR QUALITY OF LIFE.
AND UM ALL OF THAT, SO I JUST
WANTED TO ADD THAT THAT PART I
DEFINITELY APPRECIATE YOU, UM
BRINGING THAT UP. I THINK BEFORE
ANY PROCEDURES DONE, WE ALWAYS
DO A THOROUGH CHART REVIEW AND
WE ALWAYS CONSENT. THE PATIENT
OR THE PARENT. UM HOWEVER, THERE
ARE ALWAYS SURPRISES AT TIMES
AND I HAVE HAD ENOUGH PATIENTS
WITH AND DIAGNOSED MANUELA
BRANDS DISEASE THEY DIDN'T KNOW
AND THEY HAD NO FAMILY HISTORY
TO KNOW. MHM. TO MAKE ME THINK
ABOUT IT IN ADVANCE TO KNOW THAT
YOU CAN'T ALWAYS COUNT ON
EVERYTHING. AND SO WHENEVER YOU
DO A PROCEDURE, YOU WANT TO MAKE
SURE THAT IT'S DONE IN THE RIGHT
PLACE. WHERE IF YOU HAVE IF YOU
NEED FOR THE BACKUP, ESPECIALLY
FROM A PHYSICIAN AND SURGEON,
HEMATOLOGIST, OR WHATEVER THAT
IT'S THERE AND SO JUST MAKING
SURE THAT, UM THAT WE HAVE THAT
DEFINED. UM WOULD BE GREAT.
THANK YOU, SENATOR. SO I JUST
HAVE SOME NOTES HERE THAT I
MIGHT WANT TO JUST PUT ON THE
RECORD AS WELL. THAT MIGHT BE
HELPFUL. SO AS BE 14 53
MAINTAINS THAT THE REQUIREMENT
THAT THE LOCATION IN WHICH THE
PROCEDURE IS PERFORMED BEING
REQUIRED TO PROTOCOLS FOR
EMERGENCY MEDICAL BACKUP.
PROPOSED AMENDMENTS WILL FURTHER
SPECIFIED THAT THE LOCATION
COMPLIES WITH THIS REQUIREMENT
AND SB 14. 53 ALSO ADDS LANGUAGE
TO SPECIFY THAT THE PROCEDURE
SHALL NOT BE PERFORMED IN
PATIENTS WHO HAVE CONTRACTS.
INDICATIONS. PROPOSED AMENDMENTS
WILL FURTHER CLARIFY THAT AND
PROVIDE EXAMPLES OF THESE
COUNTRY. CONTRARY INDICATIONS,
SO I'M NOT SURE IF THAT'S
HELPFUL FOR YOU AS WELL. BUT I
THOUGHT I'D JUST MENTIONED THAT
AS WELL. THANK YOU. THANK YOU,
SENATOR. AND WE'RE JUST GONNA
PAUSE VERY QUICKLY TO ESTABLISH
A QUORUM BEFORE EVERYONE ELSE
RUNS OFF. MR SECRETARY, PLEASE
CALL THE HÌNH GERMAN HERE.
FLOOR. ALVAREZ. PONTA CHEN
CUNNINGHAM VALLEY PH. GIBSON.
GRAYSON. IRWIN. ME MCCARTY
MCNARY MEDINA. NAZARIAN. THING.
WHATEVER. GREAT WE HAVE A QUORUM
, UM ANY ADDITIONAL QUESTIONS OR
COMMENTS FROM COLLEAGUES? GOT A
MOTION. GOT A SECOND. CENTER.
WOULD YOU LIKE TO CLOSE? THE
PERFECT. MR GIBSON WALLS CREDIT
FOR THE MOTION. THE
CLARIFICATIONS PROVIDED BY THIS
BILL MEANS THAT MORE PATIENTS
WILL RECEIVE THE SERVICES THEY
NEED IN THE SETTING BEST SUITED
FOR THEIR NEEDS. I RESPECTFULLY
ASK FOR AN I VOTE. THANK YOU,
SENATOR. I UNDERSTAND THIS BILL
STRIKES AN IMPORTANT BALANCE
BETWEEN EXPANDING ACCESS TO THIS
PROCEDURE. AND PROTECTING
PATIENT SAFETY. UM ALSO
APPRECIATE THE COMMENT FROM MY
COLLEAGUE AND ACKNOWLEDGEMENT.
INTERESTING LOOKING INTO THAT.
UH AND AS SUCH, I'M HAPPY TO
SUPPORT THE BILL TODAY WITH THE
AMENDMENTS. UH, MR SECRETARY,
WOULD YOU PLEASE CALL THE VOTE?
THE MOTION IS TO PASS AS AMENDED
TO THE COMMITTEE ON
APPROPRIATIONS. BERMAN BERMAN I
FLORA LAURA ALVAREZ VERSUS I
BONTA, CHEN CUNNINGHAM VALLEY
PH. FUNGI. GIBSON GIBSON, I
GRAYSON GRACE AND I, IRWIN. WE
MCCARTHY. MCKENNA MCKENNA I.
MEDINA MEDINA IN NAZARIAN.
NAZARIAN. I WEBER WHERE I. THAT
BILL IS OUT WITH 10 VOTES WILL
BE THE ROLE OPEN. PERHAPS SOME
MEMBERS. THANK YOU, SENATOR.
SENATOR BRADFORD READY TO ROCK
AND ROLL ON SP 12 93. GALA
MOTION AND A SECOND SER.
RESPECTFULLY THAT'S ARRIVAL.
THAT IS A GREAT PRESENTATION. I
THINK YOU MIGHT GET IT. UH ANY
WITNESSES IN SUPPORT? UH I HAVE
KHALIL FERGUSON FROM THE CANOPY
CANNABIS EQUITY POLICY COUNCIL.
YOU HAVE TWO MINUTES. THANK YOU.
GOOD MORNING. SHARON COMMITTEE.
MY NAME IS COLIN FERGUSON,
PRESIDENT FOR THE CANNABIS
EQUITY POLICY COUNCIL. UM CPC IS
COMPOSED OF CANNABIS, EQUITY
ENTREPRENEURS AND SOCIAL JUSTICE
, UM NONPROFIT ORGANIZATIONS
THAT HAVE UNIFIED TO
COLLECTIVELY ADDRESS THE GAP IN
FUNDING, EDUCATIONAL RESOURCES
AND LEGISLATIVE ADVOCACY FOR
CANNABIS EQUITY POLICIES.
ACCORDING TO THE CALIFORNIA
DEPARTMENT OF TAX AND FEE
ADMINISTRATION, THE STATE OF
CALIFORNIA GENERATED OVER 1.3
BILLION AND TAX REVENUE FROM THE
CANNABIS INDUSTRY IN 2021. YET
EQUITY BUSINESSES REPRESENT LESS
THAN 4% OF FUNDING RECEIVING
THESE TAXES IN THE AGGREGATE.
ADDITIONALLY THE DEPARTMENT OF
FINANCE IS CALIFORNIA'S CANNABIS
TEXT FUND NUMBER, 3314 REFLECTS
SPENDING THE LOCAL EQUITY
PROGRAMS VIA SP 12 94 ONLY
AMOUNTING TO APPROXIMATELY 2% OF
YEARLY EXPENDITURES. THE SPEAKER
CLEARLY DOES NOT REPRESENT
REFLECT THE STATE'S
PRIORITIZATION TO DEVELOP AN
EQUITABLE CANNABIS MARKET.
EQUITY OPERATORS AND BUSINESSES
HAVE STRUGGLED TO KEEP PACE WITH
WELL FUNDED LARGE COMPANIES
SINCE THE BEGINNING OF THE
REGULATED MARKET IN 2018. SOCIAL
EQUITY BUSINESSES SUFFER FROM
MUCH DEEPER CHALLENGES THAN
GENERAL LICENSES LICENSEES
BECAUSE OF THE STRUCTURAL
IMPEDIMENTS SUCH AS LACK OF
ACESS TO CAPITAL, COUPLED WITH
THE HIGH COST OF MARKET ENTRY.
THERE ARE SEVERAL FACTORS
CONTRIBUTING TO THE CURRENT
STRUGGLE FACING CANNABIS EQUITY
BUSINESSES IN THE CALIFORNIA
MARKET. ONE HIGH FISCAL
PRESSURES DUE TO THE COMBINED
LOCAL TAXES. UM STATE EXCISE AND
CORPORATE INCOME TAXES AS WELL
AS FEDERAL CORPORATE INCOME
TAXES TOO HIGH START UP COSTS
SUCH AS DEVELOPMENT FEES,
LICENSING FEES AND CONSULTANT
FEES. THREE THE HIGH. UM SORRY.
THE HIGH COST OF EXISTING,
SUSTAINABLE AND SAFE BANKING FOR
THE ILLICIT MARKET, WHICH
PROVIDES FOR MUCH MORE
AFFORDABLE COMMODITY MARKET MUCH
MORE AFFORDABLE COMMODITY MARKET
FOR CONSUMERS AND FIVE THE
ACCESS TO ACT, THE LACK OF
ACCESS TO UPFRONT AND WORKING
CAPITAL. THE COMBINATION OF
PREVIOUS CAN'T CANNABIS
CRIMINALIZATION POLICIES PAIRED
WITH CONTEMPORARY STRUCTURAL
IMPEDIMENTS HAVE RESULTED IN
SOCIAL EQUITY BUSINESSES, MAKING
THEM LESS THAN 5% OF CANNABIS
COMPANIES. IN THE LONG RUN.
CANNABIS ECUADOR PRENEURS FACE
PROBLEMS WE'RE GOING TO
ECONOMIES OF SCALE THAT
SUPPRESSED THE ABILITY TO REACH
OPTIMAL BUSINESS GROWTH RATES.
SP 12 12 93 IS CRITICAL BECAUSE
IT PROVIDES EQUITY OPERATORS
SOME OF THE FINANCIAL RELIEF
NEEDED TO ALLOW THE BUSINESS TO
THRIVE. THE BILL HELPS LEVEL THE
PLAYING FIELD BETWEEN EQUITY,
NOT EQUITY BUSINESSES. THE
FUNDING FROM THE TAX CREDITS
HEALTH EQUITY BUSINESSES RECRUIT
SOME OF THE COSTS THAT ARE
NEEDED TO MAINTAIN THEIR STATUS
AS SOCIAL EQUITY ENTREPRENEURS.
AND OPERATORS THAT IS HELD AS
SAD AS HELL BECAUSE AS OF ADAM
STATUS HELD BECAUSE OF THE
INJUSTICE EXPERIENCE BY US, OUR
FAMILIES AND THE REST OF OUR
COMMUNITIES IN THE WAR ON DRUGS.
THANK YOU, MR FERGUSON. IF YOU
JUST WRAP UP, THAT'D BE GREAT.
AND CLOSING. WE THINK THE
LEGISLATIVE THANK THE GODS
LEGISLATOR UNDERSTAFFED FOR
DEDICATED, DEDICATED AND
TIRELESS WORK ON THIS IMPORTANT
ISSUE WITH STRONGER URGE. ER, I
VOTE. THANK YOU. THANK YOU VERY
MUCH. ANY ADDITIONAL WITNESSES
IN SUPPORT OR OPPOSITION WHO
WANT TO ADD ON IN THE HEARING
ROOM. SEEING NONE. LET'S TAKE IT
TO THE PHONE LINES, AND HE
WITNESSES IN SUPPORT OR
OPPOSITION WHO WANT TO ADD ON ON
THE PHONE LINES, MADAM OPERATOR
I'D LIKE TO SPEAK IN OPPOSITION
OF SUPPORT TO THIS LEGISLATION,
PLEASE JUST ONE AND ZERO AT THIS
TIME. ONE MOMENT.
MANNLEIN 31. YOUR LINE IS OPEN.
31 YEAR LINE IS OPEN. ERIN
GILBERT FOR THE COUNTY OF SAN
DIEGO IN SUPPORT. PLEASE
CONTINUE. GREAT THANK YOU VERY
MUCH, BRINGING BACK THE
COLLEAGUES ANY QUESTIONS OR
COMMENTS FROM COLLEAGUES. SEEING
NONE. SENATOR WOULD YOU LIKE TO
CLOSE ONE OR TWO SENTENCES?
THANK YOU. THANK YOU, MR CHAIR,
AND I JUST WOULD ALCOHOL WHAT MY
WITNESSES STATED. I THINK THIS
IS AN ISSUE THAT IT'S ABOUT
ELIMINATING AND HELPING TO
ARRIVE DECAYED. I SHOULD SAY THE
LEGAL MARKET BY A 4 14 THESE
EQUITY OPERATORS OPPORTUNITY TO
ENTER SPACE AND FLOURISH AS
WELL. IT'S AN ISSUE THAT'S BEEN
DISCUSSED ACROSS THE COUNTRY,
NOT JUST HERE IN CALIFORNIA, AND
I RESPECTFULLY ASK FOR I VOTE.
THANK YOU, SENATOR. AND THANK
YOU FOR YOUR HISTORY OF
LEADERSHIP ON THIS ISSUE ON THIS
BILL. HAPPY TO SUPPORT THE BILL
TODAY. THANK YOU. I THINK WE
HAVE A MOTION IN A SECOND. MR.
SECRETARY. PLEASE CALL THE VOTE.
THREE MOTIONS. THE MOTION IS DUE
PAST THE COMMITTEE ON
APPROPRIATIONS. BERMAN BERMAN I,
FLORA ALVAREZ. HOWEVER, AS I
BEGAN TO CHEN CUNNINGHAM.
VALLEY. PHÊN ON EVERYTHING.
GIBSON. GRAYSON. GRACE AND I,
IRWIN. REALLY? MCCARTHY.
MCKENNA. LOOK IN HER EYE,
MEDINA. DENY NAZARIAN. THING.
HOWEVER. THAT BUILDS ON CALL.
WE'LL KEEP IT OPEN FOR HAVE SOME
MEMBERS. THANK YOU. THANK YOU,
MR CHAIR MEMBERS APPRECIATE YOU
MOVING ON TO THE FINAL ITEM OF
THE DAY. ADAM 14. LET'S BE 14 75
BY SENATOR GLASER PRESENTED BY
ASSEMBLYMEMBER'S PHÊN. READY
WHEN YOU ARE THANK YOU, MR
CHAIR. AH I AM HERE ON BEHALF OF
SENATOR GLACIER TO PRESENT SP 14
75, WHICH I'M PROUD TO HAVE BEEN
WORKED. I'VE BEEN PROUD TO WORK
ON WITH HIM AS A PRINCIPAL CO
AUTHOR FIRST LIKE TO THANK THE
CHAIR AND THE COMMITTEE STAFF
FOR ALL THEIR HARD WORK ON THIS
BILL, AND WE ACCEPT THE
COMMITTEE AMENDMENTS. LAST YEAR,
I AUTHORED LEGISLATION THAT
PASSES COMMITTEE TO ALLOW MOBILE
BLOOD DRIVES TO OPERATE WITHOUT
A REGISTERED NURSE ON SITE.
SENATOR GLAZER HAS CONTINUED
THIS EFFORT IN PARTNERSHIP WITH
THE AMERICAN RED CROSS. THIS
BILL AUTHORIZES A REGISTERED
NURSE WHO WAS IN CHARGE OF BLOOD
COLLECTION AT A MOBILE BLOOD
BANK TO BE PHYSICALLY PRESENT OR
AVAILABLE VIA TELEHEALTH. BLOOD
DONATIONS SAVE COUNTLESS LIVES
ACROSS THE STATE AND NATION. AND
ACCORDING TO THE BLOOD CENTERS
OF CALIFORNIA, SOMEONE NEEDS A
BLOOD TRANSFUSION EVERY THREE
SECONDS. THIS BILL WILL ENSURE
THAT BLOOD IS COLLECTED SAFELY
INCREASE ACCESS IN RURAL
COUNTIES AND INCREASED BLOOD
DONATIONS DURING THIS CRITICAL
SHORTAGE WITH ME TODAY IS ANGIE
TURNER, THE ORIGINAL DONOR
SERVICES EXECUTIVE. AMERICAN RED
CROSS AND CHRIS REASONS THE
MEDICAL DIRECTOR AT VITAL IN TO
TESTIFY AND SUPPORT. GREAT TWO
MINUTES PER WITNESS. READY WHEN
YOU ARE WHATEVER ORDER YOU WANT.
I THINK YOU MIGHT. THERE YOU GO
PERFECT. MY NAME IS ANGIE
TURNER. AND I'M CURRENTLY AN RN
CURRENTLY, I AM THE AMERICAN RED
CROSS, SOUTHERN CALIFORNIA DONOR
SERVICES EXACT RESPONSIBLE FOR
ALL WHOLE BLOOD COLLECTIONS AND
RECRUITMENT. MY BACKGROUND ALSO
INCLUDES IS EDUCATION OF NURSING
STUDENTS AND INTENSIVE AND
CORONARY CARE. THE LAST 16 YEARS
I'VE BEEN DEDICATED TO ENSURING
AN ADEQUATE SUPPLY AND SAFETY OF
OUR BLOOD TO HELP PATIENTS IN
NEED. I BEGAN MY BLOOD SERVICES
CAREER ALONGSIDE OF COLLECTION
TEXT, TAKING THE SAME TRAINING
TO BE ABLE TO DETERMINE IF
DONORS ARE ELIGIBLE TO DONATE.
LEARNING THE SPECIAL PROCEDURES
TO DRAW BLED. AND DISCUSSING
DONOR COMPLICATION CARE
PROCEDURES. WHEN I WENT THROUGH
SUPERVISOR TRAINING, I
PARTICIPATED WITH NON RNS AND WE
LEARNED THE ROLE OF SUPERVISION
OF BLOOD DRIVES. I TREASURE THE
FACT THAT I'M AN RN AND CARE
VERY MUCH ABOUT THE CATION CARE
OF PATIENTS. I'VE SEEN TIMES
WHEN WE FACE BLOOD SHORTAGES,
PAINTING A PICTURE IN MY MIND
WHERE THE LIVES OR WHERE PEOPLE
ARE PATIENTS LIVE OR DIE,
DEPENDING ON OUR BLOOD SUPPLY.
LAST MONTH. MAY WE WOULD HAVE
HAD TO CANCEL 128 BLOOD DRIVES
IN SOUTHERN CALIFORNIA, TOTALING
OVER 2868 WHOLE BLOOD UNITS AND
684 PLATELET UNITS IF WE WOULD
HAVE HAD TO HAVE AN RN ON SITE.
CALIFORNIA IS THE ONLY STATE
WHICH REQUIRES OUR END, PHYSICAL
OR VIRTUAL AT ALL BLOOD
OPERATIONS. THE PRIMARY
REGULATOR OF BLOOD BANKS IN THE
UNITED STATES IS THE FDA AND
THEY DON'T REQUIRE AN RN A B B
ALSO HAS NO REQUIREMENT FOR OUR
ENDS AT ALL BLOOD DRIVES. IT
SHOULD BE NOTED THAT CALIFORNIA
ADOPTED A BB STANDARDS PUBLISHED
IN 1989 AND ALL SUBSEQUENT
AMENDMENTS AS STATE LAW. AND A
BB SUPPORTS 14 75. DONOR SAFETY
WON'T BE COMPROMISED UNDER THIS
BILL. IN FACT, OVER THE LAST TWO
YEARS, THE DATA DEMONSTRATES
THAT DONORS SAFETY HAS BEEN IN
NO WAY BEEN COMPROMISED WHILE
OPERATING UNDER THE VARIANTS TO
ALLOW OUR ENTS TO PARTICIPATE
VIA TELEHEALTH. THE TREATMENT OF
CALIFORNIA, CALIFORNIA PATIENTS
WILL BE COMPROMISED IF
CALIFORNIA BLOOD BANKS ARE
UNABLE TO COLLECT THE BLOOD THEY
NEED. THIS LEGISLATION HAS NOT
PASSED. THAT IS THE PATIENT
SAFETY ISSUE. BLOOD SHORTAGES
HAVE EVEN RECENTLY COMPROMISE
PATIENT CARE AND LIFE AS YOU SEE
L, A CLOSED ITS TRAUMA CENTER
FOR SEVERAL HOURS BECAUSE BLOOD
WAS NOT READILY AVAILABLE. AS AN
RN, AND ON BEHALF OF THE
AMERICAN RED CROSS AND ALL
CALIFORNIA BLOOD BANKS AND MOST
IMPORTANTLY ON BEHALF OF
PATIENTS, RELYING ON THE
CALIFORNIA BLOOD SUPPLY, I ASK
FOR YOUR SUPPORT. A 14 75. AND
I'LL BE AVAILABLE TO ANSWER ANY
QUESTIONS. THANK YOU. THANK YOU
VERY MUCH. GOOD MORNING AS WELL.
CHAIRMAN. WE HAVE MIKE? YES.
GOOD MORNING AS WELL. CHAIRMAN
BERMAN AND OTHER COMMITTEE
MEMBERS. MY NAME IS DOCTOR CHRIS
CHRISTENS AND OUR MEDICAL
DIRECTOR FOR THE WEST DIVISION
OF I TALENT WHERE I PROVIDE
OVERSIGHT FOR ALL BLOODS THAT
ARE FUNCTIONS THAT SUPPORT
CALIFORNIA'S BLOOD DONORS AS
WELL AS BY EXTENSION OUR
PATIENTS. I ALSO SPEAK PROUDLY
ALONGSIDE MY AIR SEA COLLEAGUE,
MISS ANGIE TURNER AND ON BEHALF
OF THE BLOOD CENTERS OF
CALIFORNIA, ALTHOUGH STILL MY
REASONS FOR SUPPORTING THIS BILL
DOWN TO THREE FIRST THIS BILL
DOES NOT COMPROMISE THE SAFETY
OF CALIFORNIA'S BLOOD DONORS.
BLOOD CENTERS HAVE QUALIFIED,
WELL TRAINED AND COMPETENT STAFF
WHOSE WORK ADHERES TO THE FDA
REGULATIONS. THE CONSTITUTE
FEDERAL LAW AS WELL AS A BB
STANDARDS THAT CONSTITUTES STATE
LAW. OVER THE PAST TWO PLUS
YEARS. OUR BLOOD COLLECTORS HAVE
DEMONSTRATED DURING THE COVID
PANDEMIC THAT USE OF TELEHEALTH
HAS BEEN EFFECTIVE AND SAFE, AND
THIS HAS BEEN CONFIRMED BY
EXTENSIVE REVIEW OF THE DATA,
INCLUDING REVIEW PERFORMED BY
THE CALIFORNIA DEPARTMENT OF
PUBLIC HEALTH, WHO OBSERVED IN
2021. THAT THERE WERE NO
SIGNIFICANT OR SEVERE REACTIONS
ARE CONSEQUENCES ASSOCIATED WITH
THE TELEHEALTH WAIVER. SECOND
POINT. THIS BILL ALLOWS ALL
CALIFORNIANS TO BENEFIT
OPTIMALLY FROM THE EXPERTISE AND
DEDICATION OF OUR NURSES. IT IS
IMPERATIVE THAT OUR NURSES
ALREADY IN EXTREMELY SHORT
SUPPLY BE AVAILABLE TO SUPPORT
THE MANY PATIENTS. AND AGAIN,
I'M TALKING PATIENTS WHO TRULY
REQUIRE THEIR DEDICATION IN
THEIR CRITICALLY IMPORTANT
SKILLS. CALIFORNIA'S BLOOD
CENTER SHOULD NOT CONTRIBUTE TO
THE UNDUE STRAIN ON THIS VITAL
HUMAN RESOURCE. AND FINALLY IF
THIS BILL DOES NOT PASS, THEN WE
RISK LIVES OF CALIFORNIANS WHO
REQUIRE BLOOD TRANSFUSIONS
WITHOUT THE PROTECTIONS OF THIS
BILL IS MISS TURNER SAID. TENS
OF THOUSANDS OF UNITS OF BLOOD
EACH YEAR. COULD AND LIKELY
WOULD GO UNCOLLECTED. SO THAT'S
WHY I ASK THAT YOU PLEASE
SUPPORT SENATE BILL 14 75 SO THE
CALIFORNIA'S PATIENTS WILL HAVE
ENOUGH BLOOD BENEATH THEIR NEEDS
. WHILE WE SIMULTANEOUSLY
PROTECT THE HEALTH OF OUR BLOOD
DONORS, THANK YOU VERY MUCH.
THANK YOU VERY MUCH. I
APPRECIATE THAT. I BELIEVE YOU
HAVE TWO PRIMARY WITNESSES AND
OPPOSITION, BOTH TESTIFYING OVER
THE PHONE. MADAM OPERATOR IF YOU
CAN FIND CURTIS LAYING OR
DOLORES TRUJILLO TO TESTIFY IN
OPPOSITION TO SP 14 75. THANK
YOU BOTH WITH NECESSARY HERE AND
CONNECTED. GOOD MORNING, MR
TERROR MEMBERS. I'M CURTIS,
ALONG WITH THE CALIFORNIA NURSES
ASSOCIATION, REPRESENTING OVER
100,000 REGISTERED NURSES IN
CALIFORNIA. WE RESPECTFULLY
OPPOSED SB 14 75, WHICH WOULD
END THE REQUIREMENT THAT BLOOD
BANKS HAVE A REGISTERED NURSE
PHYSICALLY PRESENT. DURING BLOOD
DRIVES AND OTHER PROCEDURES AND
INSTEAD WOULD ALLOW REGISTERED
NERVES TO MONITOR THE PROCEDURES
VIA TELECONFERENCE. THE
SUPERVISING LICENSED PHYSICIAN
DOESN'T HAVE TO BE PRESENT ON
THE BLOOD BANK PREMISES. AND NOW
THIS BILL WANTS TO EVEN REMOVE
THE RN. PROPONENTS OF THIS
MEASURE HAVE INDICATED THAT
REMOVING THE RESTRICTION TO HAVE
NURSES PHYSICALLY PRESENT AT A
BLOOD DRAW WOULD ALLOW FOR
GREATER INCREASES IN BLOOD
DONATIONS. HOWEVER ACCORDING TO
A RECENT TUFTS UNIVERSITY
ARTICLE, THE BLOOD SUPPLY HAS
BEEN UNDER PRESSURE FOR THE PAST
FIVE OR SIX YEARS, WITH BLOOD
CENTERS HAVING TROUBLE WITH
SHRINKING POPULAR MARGINS AND
RELUCTANCE AMONG INDIVIDUALS WHO
DON'T DONATE BLOOD. ESPECIALLY
DURING COVID 19 RESTRICTIONS.
EVEN STATES THAT DO NOT REQUIRE
OUR ENDS ARE ALSO SEEING DROPS
IN DONATIONS. IT IS NOT RELATED
TO DIFFICULTIES IN HIRING RNS.
BOTH THE SENATE AND ASSEMBLY
HELP ANALYSIS INDICATE THAT THE
RECENT BLOOD DONATIONS SORTED IS
DUE TO CANCELATION OF BLOOD
DRIVES DURING THE PANDEMIC. THE
BILL'S PROPONENTS ARE SEEKING TO
EXPLOIT THE CD PH. REGS THAT
ALLOW FOR DEVIATION FROM THE
PROVISIONS REGULATING BLOOD
BANKS IN THE EVENT THAT A STATE
OF EMERGENCY IS DECLARED THIS
DEVIATION BEING THE USE OF
TELEHEALTH. TO SUPERVISE BLOOD
DONATIONS. NURSES ARE VERY
CONCERNED THAT DONOR SAFETY WILL
BE PUT AT RISK BY THIS CHANGE,
EDITED AS IT HAD BECOMES
PAINFULLY CLEAR OVER THE LAST
TWO YEARS. TELECONFERENCE
SERVICES ARE FREQUENTLY
UNRELIABLE, AND THIS RISK WOULD
BE EVEN EXASPERATED IN RURAL
AREAS WITH LESS RELIABLE
INTERNET OR PHONE SERVICE AND
THESE RURAL AREAS ALSO LIKELY
INVOLVED LONGER TRAVEL TIME TO
EMERGENCY CARE, CREATING
ADDITIONAL RISK TO THOSE
DONATING HEALTHCARE WORKERS
SIMPLY CAN'T INTERPRET SOMEONE'S
PHYSICAL REACTION TO BLOOD BANK
PROCEDURES OVER THE PHONE, OR
EVEN BY VIDEO CONFERENCE AS WELL
AS CAN BE DONE IN PERSON, AND
UNDER THIS BILL ARE IN PROVIDING
REMOTE SUPERVISION COULD VERY
WELL BE MONITORING MULTIPLE
SITES. IT SEEMS LIMITLESS IN
TERMS OF HOW MANY BLOOD BANKS
AND THEIR BLOOD DONORS ARE IN,
MAYBE MONITORING AT ONE TIME.
THE COLLECTION OF WHOLE BLOOD
FROM HEALTHY DONORS IS ONLY ONE
PROCEDURE PERFORMED IN BLOOD
BANK SETTINGS, OTHER PROCEDURES
THAT INVOLVE A POTENTIAL FOR
GREATER RISK INCLUDE APRIL
REESE'S DURING WHICH PLASMA IS
OBTAINED FROM A DONOR AND
SEPARATED OUT FOR COLLECTION AND
THEN THE REMAINING BLOOD IS
RETURNED TO THE DONOR AT THE END
OF THE PROCEDURE. TO ENSURE
SAFETY FOR CALIFORNIANS. NURSES
MUST BE ON THE PREMISES WITH
THIS AND OTHER PROCEDURES AND
FOR THESE REASONS, WE ASK FOR
YOUR NO VOTE TODAY. THANK YOU
VERY MUCH. MYSTERY. OH, I AM THE
LORD. YES. GREAT GOOD MORNING,
MR CHAIR AND MEMBERS. I AM
DIVORCED TRUJILLO AND REGISTERED
NURSE AND I HAVE ASSISTED IN THE
QUESTION OF PLASMA AND BLOOD
BANKS AS WELL AS HAVE DONATED
BLOOD IN THE PAST. THANK YOU FOR
THE OPPORTUNITY TO PROVIDE
COMMENT. I ALIGN MY COMMENTS
WITH MR LANG AND I AM VERY
CONCERNED THAT DONOR SAFETY WILL
BE PUT AT RISK BY ENDING THE
REQUIREMENTS THAT BLOOD BANKS
HAVE A REGISTERED NURSE.
PHYSICALLY PRESENT. TEARING
BLOOD DRAWS AND OTHER PROCEDURES
AND INSTEAD WOULD ALLOW
REGISTERED NURSES TO MONITOR THE
PROCEDURES. FEAR TELECONFERENCE.
DURING MY EXPERIENCE SUPERVISING
PLASMA DONATION AND ALSO AS A
BLOOD DONOR. I HAVE WITNESSED
DONORS WHO HAVE HAD REACTIONS
AND REQUIRED IMMEDIATE
INTERVENTION. AND THAT
INTERVENTION CAME FROM MYSELF.
AS A NURSE WHO WAS PRESENT. WHEN
YOU ARE ASSISTING A DONOR WHO
HAS THE REACTION? NOT ONLY ARE
YOU TREATING THEIR LITTLE BLOOD
SUGAR REACTION, BUT AS A NURSE
YOU WERE MENTALLY ASSESSING THEM
TO SEE IF MORE CHARACTER
ACQUIRED. IT IS ALMOST
IMPOSSIBLE TO DO THIS ASSESSMENT
REMOTELY, ESPECIALLY IF THE RN
IS MONITORING SEVERAL SITES.
PRESS IS NOT SAFE FOR DON'T
BLOOD DONOR. BUT IT'S FOR THESE
REASONS AS AN RN, I RESPECTFULLY
ASK FOR YOUR NO VOTE ON SB FOUR
TEETH 25 TODAY. THANK YOU. THANK
YOU VERY MUCH. ANY UH, SO LET'S
OPEN IT UP TO ANY ADDITIONAL
WITNESSES IN SUPPORT OR
OPPOSITION TO SB 14 75. THIS IS
AN OPPORTUNITY FOR ASUS OTHER
NAME ORGANIZATION THEY'RE
REPRESENTING, IF ANY END
POSITION ON THE BILL WILL START
IN THE HEARING ROOM. CHRISTIE
WOODS, REPRESENTING THE AMERICAN
RED CROSS ASKING FOR YOUR VOTE.
THANK YOU. MR CHAIR MEMBER SARAH
FLOCKS REPRESENTING AFSCME. WE
ARE IN OPPOSITION OF THE BILL.
THANK YOU. THANK YOU. IF NOT ASK
US TO CALIFORNIA AND OPPOSITION.
THANK YOU. VIDEO BORN
REPRESENTING BLOOD CENTERS OF
CALIFORNIA WERE IN SUPPORT.
THANK YOU VERY MUCH. SEEING NO
ADDITIONAL WITNESSES IN THE
HEARING ROOM. THAT'S OPEN UP THE
PHONE LINES, MADAM OPERATOR. IF
THERE ANY WITNESSES WHO WANT TO
ADD ON IN TESTIMONY AND SUPPORT
OR OPPOSITION SP 14 75. THANK
YOU. PETER WOULD WISH TO SPEAK
AN OPPOSITION OR SUPPORTED THIS
LEGISLATION. SB 14 75, PLEASE
PRESS ONE AND ZERO. GO TO LINE
11. GOOD MORNING, MR CHAIRMAN
AND MEMBERS ROXANNE GOLD,
REPRESENTING THE AMERICAN NURSES
ASSOCIATION OF CALIFORNIA IN
STRONG SUPPORT. THANK YOU. 99
24. GOOD MORNING CHAIR AND
MEMBERS THAT WHALEN HELPS WILSON
ATMOSPHERE ON BEHALF OF UNITED
NURSES ASSOCIATION OF CALIFORNIA
EVACUATE CP IN OPPOSITION. THANK
YOU. LINE 32. MR CHAIRMAN
MEMBERS MATT BROUGHT HERE ON
BEHALF OF THE CALIFORNIA SCHOOL
EMPLOYEES ASSOCIATION
OPPOSITION. THANK YOU. THANK
YOU. LINE 33. THANK YOU, MR
CHAIRMAN MEMBERS MITCH STEIGER,
WITH THE CALIFORNIA LABOR
FEDERATION, ALSO IN OPPOSITION.
NO FURTHER. PLEASE CONTINUE
BRINGING BACK TO COLLEAGUES ANY
QUESTIONS OR COMMENTS ALL THESE
QUESTIONS OR COMMENTS ON THE
BILL. DR WEBBER. THANK YOU, UM
ASSEMBLYMEMBER'S FOR PRESENTING
THIS BILL. I JUST WANT TO ASK A
COUPLE OF CLARIFYING QUESTIONS.
SURE SO SINCE WE'VE BEEN IN THIS
STATE OF EMERGENCY, UM AND SOME
OF THE RULES HAVE BEEN LAXED AND
NURSES HAVE NOT PHYSICALLY BEEN
PRESENT AT OUR BLOOD TRANSFUSION
OR BLOOD DRAWS CENTERS. HOW
MANY, UM. ISSUES HAVE WE HAD
OVER THE LAST TWO YEARS THAT
THIS HAS BEEN IN PLACE OR
ADVERSE REACTIONS, ADVERSE
EVENTS? HOW MANY PATIENTS HAVE
BEENAT RISK? THANK YOU, DR
WEBBER FOR ASKING THAT IMPORTANT
QUESTION. UM ONE INDICATOR HAS
BEEN WITH THE CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH HAS
STATED THAT DURING THE ENTIRETY
OF THE YEAR, 2021 DURING WHICH
THIS APPROACH WAS USED MANY,
MANY HUNDREDS OF TIMES. THERE
WERE NO SEVERE REACTIONS NORTH,
SEVERE CONSEQUENCES THAT WERE
NOTED, AND CERTAINLY BLOOD
CENTERS ACROSS CALIFORNIA WERE
ACTIVELY COOPERATING AND
REPORTING SUCH PROBLEMS SO
AGAIN. NOTHING IN ALL OF 2021.
WE COULD IF YOU WISH DIVE
FURTHER INTO THOSE DATA, BUT I
THINK THOSE ARE PRETTY STRONG
DATA. AND THEN I BELIEVE SOME OF
THE MEMBER FONG IN YOUR IN YOUR
OPENING STATEMENT. YOU MENTIONED
THE FACT THAT THIS, UM IS PRETTY
MUCH THE WAY IN MANY STATES
THROUGHOUT THIS COUNTRY. AND SO
I'M JUST WONDERING. YES
CALIFORNIA IS THE ONLY STATE
THAT MANDATES THAT A REGISTERED
NURSE BE PHYSICALLY PRESIDENT.
ALL SITES WHENEVER BLOOD IS
DONATED, SO WE HAVE EVIDENCE
FROM 49 OTHER STATES. OKAY,
WELL, SPEAKING TO THAT EVIDENCE
, SO WHAT DOES IT SHOW? IS THERE
A SIGNIFICANT ADVERSE REACTIONS
SIGNIFICANT EVENTS OF THE
PATIENTS? AT RISK BY NOT
NECESSARILY HAVING A NURSE ON
SITE. IF I MAY AGAIN RESPOND AND
AGAIN THANK YOU FOR ASKING THIS
BECAUSE THESE ARE THE CRUX
QUESTIONS, OBVIOUSLY, UM, A B B
, WHICH IS THE PROFESSIONAL
BODY? THAT OVERSEAS ALONG WITH
FDA, THE FEDERAL REGULATORY BODY
, ALL THINGS BLOOD CENTER
RELATED, HIS STATED IN ITS
LETTER OF SUPPORT THAT THERE ARE
NO DIFFERENCES OF ANY
APPRECIABLE EITHER STATISTICAL
SIGNIFICANCE OR CLINICAL
RELEVANCE. BETWEEN DONOR
REACTION RATES OR ULTIMATE
OUTCOMES TO DONOR REACTIONS
BETWEEN CALIFORNIA AND THE 49
OTHER STATES, SO THIS IS A MOOT
ISSUE. AND JUST FOR CLARIFYING
PURPOSES. WHEREVER WE HAVE THESE
BLOOD BLANKS, THEY WILL BE
WITHIN 15 MINUTES OF A EMERGENCY
MEDICAL FACILITY. THAT IS
CORRECT, AS STATED AS STIPULATED
IN THE ACTUAL BILL ITSELF. THAT
IS HOW WE OPERATE. THANK YOU.
THANK YOU, DR WEBBER. ANY
ADDITIONAL QUESTIONS OR COMMENTS
FROM COLLEAGUES? UH MR ALVAREZ,
AND THEN I THINK MAYBE. GOOD
MORNING. QUICK QUESTION ON THE
ISSUE OF THE RNS COVERING
MULTIPLE SITES. THROUGH
TELEHEALTH. UM IS THERE EXISTING
LAW ON THE LIMITED NUMBER OF
OTHER SITES OR UM, DONORS
ASSIGNED PER RN CURRENTLY UNDER
CURRENT LAW. THERE UM, COMMITTEE
MEMBER OF ARRESTS TO MY
KNOWLEDGE, THERE IS NOTHING
DEFINING THE ABSOLUTE MAXIMUM.
HOWEVER IF I MIGHT PUT THIS INTO
CONTEXT WHEN I UH SPOKE BOTH
WITH VITALITY, WHICH IS YOUR
NATION'S SECOND LARGEST BLOOD
PROVIDER, REPRESENTATIVES
THEREOF, AS WELL AS COLLEAGUES
AT SEVERAL OTHER BLOOD CENTERS
IN CALIFORNIA. I'VE LEARNED THAT
THIS IS NOT BEEN, UH, SOMETHING
THAT'S LED TO SIGNIFICANT OR
UNDUE STRAIN ON THE NURSES WHO
ARE MANAGING TELEHEALTH LINES,
FOR EXAMPLE, INVITE ALAN WHERE
WE ARE ONE OF THE TWO MAJOR
BLOOD PROVIDERS IN THE STATE. WE
HAD ONLY 40 SUCH CALLS GOING TO
NURSES DURING THE ENTIRETY OF
THE TYPICAL MONTH OF 2021. SO AS
YOU CAN IMAGINE THAT NURSES
PERHAPS GETTING ONE OR TWO CALLS
MAYBE OUTSIDE LIMIT THREE CALLS
A DAY IN. TYPICALLY, THESE ARE
VERY, UH, VALLAPUDUA. THESE ARE
APPROPRIATELY HANDLED ALWAYS AND
TYPICALLY FAIRLY SIMPLE AND
STRAIGHTFORWARD CASES. AND THERE
ARE NATIONAL STANDARDS. SO AS I
MENTIONED BEFORE THE FDA AND A
BB STANDARDS, THOSE REMAIN IN
PLACE. THAT WAS THOSE WHO ARE
NOT CHANGED AT ALL. IN THIS, WE
APPLY THOSE STANDARDS WERE THOSE
CENTERS REMAIN IN CALIFORNIA.
ABSOLUTELY AIN'T NEVER ANY
WIGGLE ROOM WITH REGARD TO THAT.
AND THEN JUST TO CLARIFY ON THE
15 MINUTES. UM AH! THE DONOR
MUST BE WITHIN. 15 MINUTES OF
ACCESS TO THIS TYPE OF POTENTIAL
CARE OR EMERGENCY SITUATION
THERE. YEAH, THERE HAS TO BE
QUALIFIED PHYSICIAN EMERGENCY
FACILITY WITHIN 15 MINUTES WHO
CAN ATTEND TO DONORS. IF THERE'S
ANY SITUATION THANK YOU. YOU
KNOW? GOOD MORNING. MY CONCERN
IS ABOUT THE TELECONFERENCING
SERVICES. I DON'T THINK IT'S A
RELIABLE REPLACEMENT FOR
PHYSICAL PRESENCE, ESPECIALLY IN
THE RURAL AREAS. AND I WOULD
ALSO SAY IN THE URBAN AREA WHERE
CALLS ARE DROPPED WHERE WE LOSE
SERVICE. UM SO I'M VERY
CONCERNED ABOUT THE
TELECONFERENCING. AND IF THAT'S
A RELIABLE SERVICE. UM COMMITTEE
MEMBER MAKIN. ER, THANK YOU FOR
YOUR UNDERSTANDABLE CONCERN, UH,
I CAN SHARE BASED UPON MY
EXPERIENCE AS WELL AS
DISCUSSIONS WERE. I'VE STRESSED
THIS VERY ISSUE. AND I'VE ASKED
PEOPLE TO CONVINCE ME THAT THESE
MEANS OF COMMUNICATION TRULY ARE
RELIABLE. IN MY PRACTICE WHERE
I'VE PRACTICED ACROSS A BROAD
SWATH OF SWATH OF 10 DIFFERENT
STATES, INCLUDING VERY RURAL
PARTS, NOT JUST OF CALIFORNIA,
BUT ALSO NORTH DAKOTA. SOUTH
DAKOTA, WYOMING, ETCETERA. I
JUST NEVER HAVE FOUND IN MANY
THOUSANDS OF CALLS. SO FOR MY
CAREER THAT THIS HAS BEEN A
SIGNIFICANT ISSUE, AND THEN THE
OTHER THING I WOULD SHARE
RESPECTFULLY IN IN IN IN
RESPONSE TO YOUR VERY MEANINGFUL
AND REASONABLE QUESTION OR
CONCERN. IS THAT AGAIN? OUR
STAFF ON SITE ARE QUALIFIED.
THEY'RE TRAINED. THEY'RE
COMPETENT TO TAKE CARE OF ALL OF
THE MOST COMMON AND SIGNIFICANT
ISSUES. AND MAKE SURE THAT UNTIL
IF THERE WERE SUCH A PROBLEM
WITH TELEHEALTH COMMUNICATION
EMERGENCY RESPONDERS COULD COME
THAT THE DONOR IS WELL CARED
FOR. BUT AGAIN. I APPRECIATE
YOUR QUESTION, BECAUSE I'VE
ASKED THE VERY SAME OF MY AH OF
THE PEOPLE WHO REPORT TO ME AND
JUST WANTED TO ADD THAT YOU KNOW
, THE THIS WAS PUT IN PLACE
DURING THE PANDEMIC. SO THE LAST
TWO YEARS THIS SITUATION HAS
BEEN IN EXISTENCE TO ALLOW BLOOD
CENTERS TO, UH TO UTILIZE
TELEHEALTH TO ENHANCE, YOU KNOW,
UH, BLOOD DONATIONS AND AS
SOMEONE WHO REPRESENTS REAL
COMMUNITIES IN CENTRAL VALLEY,
THIS IS SOME SOMETHING THAT'S A
SIGNIFICANT IMPORTANCE TO US. UM
YOU KNOW, I REPRESENT RURAL
COMMUNITIES THROUGHOUT THE MAIN
IF YOU DRIVE THE NATO AND THE
AND THE FIVE AND THE ARE THERE
IS SIGNIFICANT NEEDS. IF SOMEONE
GETS IN A CAR ACCIDENT, YOU
KNOW, IN A REAL ROAD AND THEY
GET TRANSPORTED TO A TO A TRAUMA
CENTER AND THEY NEED BLOOD AND
OUR OUR BLOOD CENTERS AND OUR
AND OUR BLOOD DONATION CENTERS
IN IN BAKERSFIELD AND KERN
COUNTY. THEY ARE IN AND UM,
SIGNIFICANT SUPPORT OF THIS.
THIS IS IN FAVOR OF EQUITY,
WHETHER IT'S RURAL VERSUS URBAN
, WHETHER IT'S WITH REGARD TO
RACIAL AND ETHNIC ETHIC EQUITY
AS WELL, BECAUSE WE WANT TO MAKE
SURE WE CAN REACH AND CARE FOR
ALL OF HER DONORS. OF EVERY
SINGLE BACKGROUND AS EFFECTIVELY
AS POSSIBLE. THAT'S WHAT WE'RE
ACHIEVING WITH THIS BILL. I
STRONGLY BELIEVE GREAT ANY
ADDITIONAL QUESTIONS.
COLLEAGUES. QUESTIONS COMMENTS
MOTION SECONDS. GOT A MOTION IN
A SECOND OR REALLY TWO MOTIONS,
BUT WE'LL COUNT ONE AS A SECOND.
AH! THE NUMBER ONE WOULD YOU
LIKE TO CLOSE? SURE I JUST WANT
TO SAY CALIFORNIA AGAIN IS THE
ONLY STATE THAT THAT REQUIRES
THIS. WE WOULD BE, UH,
CONFORMING WITH 49 OTHER STATES
. WE ALL KNOW THE IMPORTANCE OF
BLOOD DONATIONS. THIS IS
IMPORTANT NOT ONLY FOR REAL
COMMUNITIES FOR DISADVANTAGED
COMMUNITIES AS WELL, UM, THIS
WILL INCREASE ACCESS TO BLOOD
BANK SERVICES. I RESPECTFULLY
ASK FOR MY VOTE. THANK YOU,
ASSEMBLYMEMBER'S AND I'D LIKE TO
THANK THE AUTHOR FOR WORKING
WITH US ON THIS BILL AND FOR
ACCEPTING THE COMMITTEE'S
AMENDMENTS THAT THE AMENDMENT
WILL MAINTAIN ADVERSE EVENT
REPORTING TO GO ALONG WITH THE
SUNSET DATE FOR REVIEW AT THAT
TIME. WE HAVE SUPPORTED THE
PREVIOUS VERSION OF THIS. THIS
COMMITTEE HAS SUPPORTED THE
PREVIOUS VERSION OF THIS BILL,
AND WE HAVE NOT SEEN ANYTHING
TROUBLING IN THE SAFETY DAY THAT
WE'VE SEEN UNDERSERVED PH UNDER
THE CD PH VARIANTS WITH THAT I
WILL BE SUPPORTING THE BILL
AGAIN TODAY. THANK YOU. MR
SECRETARY. PLEASE CALL THE VOTE
. THE MOTION IS DUE PASS AS
AMENDED. BERMAN BERMAN I FLORA
FLORA ALVAREZ ALVAREZ. I BEGAN
TO CHEN. CUNNINGHAM. SALLY. PHÊN. I FIND I GIBSON GIBSON, I
GRAYSON GRAYSON, IRWIN IRWIN
ISLAY. NOT FUNNY. MCCARTY
MCCARTHY. I'M MAKIN ER. CAN OR
NO MEDINA MEDINA. I NAZARIAN
NAZARIAN KNIGHTING, HOWEVER. OH
WHATEVER. I JUST BAN TO BAN TO.
MONTANA VOTING. THAT BILL IS OUT
WITH 11 VOTES WILL LEAVE THE
ROLE OPEN FOR ABSENT MEMBERS.
THANK YOU VERY MUCH APPRECIATE
IT. AH! WITH THAT WE RUN THROUGH
ALL THE BILL PRESENTATIONS.
LET'S RUN THROUGH THE AH, WELL,
I GUESS A LOT OF BILLS AND
MOTIONS IN SECONDS, SO WE'RE
GOING TO RUN THROUGH THE AGENDA.
YEAH.
ALRIGHT SO WE'RE GONNA VOTE ON
THE CONSENT CALENDAR, SO THIS
CONTENT CALENDAR IS FIVE BILLS
STARTING WITH SP 12 59 BY
SENATOR LAIRD. SB 14 37 14 40 14
41 BY SENATOR ROTH AND THAT'S B
14 95 BY THE SENATE COMMITTEE ON
BUSINESS PROFESSIONS AND
ECONOMIC DEVELOPMENT WITH
COMMITTEE AMENDMENTS. GOT
EMOTION. GOT A SECOND, MR
SECRETARY, PLEASE CALL THE VOTE.
AND THE CONSENT CALENDAR. BERMAN
BERMAN I FLORA FOR I, ALVAREZ
ALVAREZ. I BEGAN TO TÔI CHAN.
CUNNINGHAM. SALLY FUN, FUN. I
GIBSON GIBSON. I GRAYSON GRACE
AND I, IRWIN. IRWIN ISLAY. ONLY
I'M MCCARTY. MCCARTHY. I'M MAKIN
ER MY MEDINA. MEDINA, ANNA'S
AARON. NAZARIAN KNIGHTING.
HOWEVER. HOWEVER, I. THAT'S OUT
WITH A LOT OF VOTES WILL COME
BACK TO IT LATER. WE GOT
MEMBERS. YOU GOTTA RUN. SO I'LL
SAY ALL THE THINGS I'M SUPPOSED
TO SAY LATER. GO AHEAD. YEAH 12
93. BRADFORD. FOUR. WE'RE NOT
VOTING TO TÔI CHEN. FUN OF HIM.
DARLING. GIBSON GIBSON, I IRWIN
IRWIN I LI LI I'M MCCARTY
MCCARNEY? AYE, NAZARIAN.
MISSOURIAN. I THING, HOWEVER.
HOWEVER, I DOUBT WITH 11 OR 12
VOTES. I'LL GET THE NUMBER RIGHT
LATER MOVING ON TO THE NEXT ONE.
WE'LL LEAVE IT OPEN FOR SOME
MEMBERS. GOT A MOTION GOT A
SECOND. THIS IS FOR 14 28. FOR
THOSE WHO ARE CURIOUS. PLEASE GO
AHEAD AND CALL THE RURAL VOTE.
SB 14 28. THE MOTION IS DUE PASS
TO THE COMMITTEE ON
APPROPRIATIONS. BERMAN BERMAN. I
FLORA OR I, ALVAREZ ALVAREZ, I
BONTA WANT TO I CHEN CUNNINGHAM.
SALLY. PHÊN FUNAI. GIBSON
GIBSON, I, GRAYSON. GRACE AND I,
IRWIN IRWIN, ISLAY. LEE I'M
MCCARTY MCCARTHY I MAKIN ER
MAKIN, ER I'M MEDINA. MEDINA IN
IS AARON NAZARIAN. I TANG
FOREVER. WHERE WERE I? THAT
BUILDS OUT WITH A BUNCH OF VOTES
BELIEVE THEY'RE ALL BEEN FRIENDS
MEMBERS. 14 33 GOT EMOTION. GOT
A SECOND MR SECRETARY. PLEASE
CALL THE VOTE. 14 33. THE
MOTIONS DO PASS THE COMEDIAN
APPROPRIATIONS. BERMAN BERMAN I
FLORA. WE'RE NOT PUTTING ALVAREZ
ZYBAN TO PHÊN T CHEN.
CUNNINGHAM. VALLEY. I'M NOT
VOTING PHÊN. AND GIBSON. IT'S AN
EYE, GRAYSON. GRACE AND I,
IRWIN. HERMAN I LI LI I'M
MCCARNEY MCCARTY I'M MAKIN ER
MCKENNA. I MEDINA MEDINA. IRON
IS ARIAN NAZARIAN KNIGHTING.
WHATEVER. HOWEVER THAT BUILDS
OUT WITH 11 TO 12 VOTES WILL
LEAVE THE ROLE OF AND PERHAPS
AND MEMBERS, UH LET'S SKIP THE.
SO WE'RE GOING TO START WITH SP
14 34 MOTION SECONDS. GOT A
MOTION IN A SECOND. HAS ABOUT 14
YEARS BEFORE THE MOTIONS DO PASS
THE APPROPRIATIONS. BERMAN
BERMAN, I FLORA OR I ARREST
ALVAREZ. I BONTA WANT TO I CHEN
CUNNINGHAM. DOLLY DARLING, I
PH GIBSON. GIBSON. I GRAYSON
GRAYSON. I IRWIN IRWIN ISLAY ME.
I'M A CARNY. MCCARTHY. I'M MAKIN
ER. MCKENNA I MEDINA MEDINA IN
IS AARON NAZARIAN KNIGHTING.
WHATEVER THAT BUILDS OUT WITH 15
VOTES WILL EITHER ROLL OPEN,
PERHAPS IN MEMBERS, AND NEXT UP
IS SP 14 36 NEED EMOTION IN A
SECOND. GOT EMOTION, GOT A
SECOND 14 36 EMOTIONS DO PASS
THE COMEDIAN APPROPRIATIONS.
BERMAN BERMAN. IF LARA FLORIDA.
ALVAREZ ALVAREZ BONTA. WANT TO I
10. CUNNINGHAM. DOLLY! SALLY I
PH GIBSON. GIBSON. I GRAYSON
GRAYSON. I IRWIN IRWIN ISLAY, WE
I'M A CARNY. MCCARNEY AND MAKIN,
ER. MCKENNA. I'M MEDINA. MARTINA
NAZARIAN NAZARIAN KNIGHTING,
HOWEVER, ALRIGHT THAT BUILDS UP
WITH 15 VOTES WILL EITHER ALL
OPEN FOR ABSENT MEMBERS. NEXT UP
SP 14 38 GOT EMOTION. GOT A
SECOND. MOTIONS DO PASS AS
AMENDED THE COMMITTEE ON
APPROPRIATIONS BERMAN BERMAN, I
FLORA FLORA ALVAREZ. PONTA.TÔI
CHEN CANYON VALLEY RALLY. I PH
GIBSON. GIBSON. I GRAYSON
GRAYSON. I IRWIN URBAN ISLAY.
ME. I'M MCCARTY. MCCARTHY. I'M
MAKIN THERE. I KNOW I MEDINA.
MEDINA IN IS AARON NAZARIAN
KNIGHTING. WHATEVER. THAT GOES
OUT WITH 14 VOTES WILL BE THE
ROLE OF AND PERHAPS, AND
MEMBERS. NEXT UP IS SB 14 43.
GOT EMOTION. GOT A SECOND. THE
MOTION IS TO PASS THE COMEDIAN
APPROPRIATIONS. BERMAN BERMAN I
FLORA. WE'RE NOT FIGHTING
ALVAREZ. BONTA. PHÊN T CHEN.
CUNNINGHAM. SALLY. I'M VOTING
PH. MONNING GIBSON. GIBSON. I
GRAYSON. JUST LOOK IRWIN ISLAY.
ME. I'M MCCARTY. MCCARTHY. I'M
CONNOR. TÔI MEDINA MEDINA IN IS
AARON. NAZARIAN KNIGHTING.
WHATEVER. HOWEVER, I. THAT
BUILDS OUT WITH 10 VOTES WILL
EITHER ALL OPEN FOR ABSENT
MEMBERS. GO AHEAD. SB 14 53 ATO
BOGUE. BANTA. ONTO I 10.
CUNNINGHAM.
CHENNAI CUNNINGHAM. SALLY.
VALLEY. AYE. IRWIN IRWIN, I LI
LI I'M MCCARTY MCCARTY I TING.
THAT BALL WAS ALREADY OUT. IT
STILL IS. SB 14 75 GLASER. CHEN.
AND I CUNNINGHAM SALLY. SALLY. I
THING. THAT BILL IS STILL OUT.
UM WE WILL. PAUSE FOR A MINUTE,
TAKE A BREATH AND FIGURE OUT THE
SITUATION.
ON THE CONSENT CALENDAR. CHEN
CHEN, I CUNNINGHAM. SALLY. I. SB
12 93 BRADFORD CHEN AND I REALLY. SB 14 28 ARCHULETTA CHEN JEN,
I DOLLY. TELL ME, I. SB 14 33
ROTH TIÞN. NOT VOTING
CUNNINGHAM.
MM. SB 14 34 ROTH CHEN CAN I. SP
14 36 ROTH CHEN AND I. SB 14 38
ROTH. CHEN. AND I.
SB 14 43 WRATH CHEN ARE NOT
VOTING. GRAYSON. SB 14 FIFTIES
THREE. MUCH HUB.
ON THE CONSENT CALENDAR. TING
TING AYE. SB 12 93 BRADFORD
TING. AND I. SB 14 28 ARCHULETTA
TING. THING I. SB 14 33 RAFTING
THING. I. SB 14 34 WRATH THING
THING I. SB 14 36 ROTH TING.
THING I SB 14 38 RAFTING. THING
I. SP 14 43 ROTH TING. THING I.
SB 14 53 OCHOA BOATING. THING I. SB 14 75 GLASER TING.
AND WITH THAT WE ARE ADJOURNING
THE COMMITTEE OF BUSINESS AND
PROFESSIONS.