GOOD. WE'LL GO AHEAD AND GET
STARTED HERE NOW, BEFORE WE
BEGIN OUR HEALTH COMMITTEE HERE
, AND I GUESS I SHOULD BANG THE
GAVEL. HERE WE GO. NOW IT'S
OFFICIAL BEFORE WE BEGIN, UM
LIKE TO SAY A FEW WORDS. UH WE
SEEK TO PROTECT THE RIGHTS OF
ALL WHO PARTICIPATE IN THE
LEGISLATIVE PROCESS. SO THAT WE
CAN HAVE EFFECTIVE DELIBERATION
ON THE CRITICAL ISSUES FACING
CALIFORNIA. OUR WITNESSES WILL
BE TESTIFYING IN PERSON. WE
ALLOW TWO MAIN WITNESSES FOR A
MAXIMUM OF THREE MINUTES EACH
ADDITIONAL PERSON TESTIMONY WILL
ALSO BE IN PERSON AND LIMITED TO
NAME POSITION AND ORGANIZATION.
IF YOU REPRESENT ONE ALL
COMMENTS ARE LIMITED TO THE BILL
AT HAND. WE HAVE THREE BILLS
PROPOSED FOR CONSENT TODAY FOR
TODAY'S HEARING. ANY MEMBER OF
THE COMMITTEE MAY REMOVE A BILL
FROM CONSENT. WE HAVE ITEM
NUMBER FIVE A B 4 83 BY MR
MURATSUCHI. REMEMBER 12 83 65 BY
MISS AGUILAR CURRY. AND ITEM
NUMBER 15 A B 14 62 BY MR JIM
PATTERSON. UM AT THIS POINT, WE
DO NOT HAVE A QUORUM SO WE WON'T
BE ABLE TO TAKE ANY OFFICIAL
ACTION ON ANY BILLS, AND WE DO
NOT HAVE AN AUTHOR TO PRESENT A
BILL, SO WE'LL JUST HANG OUT
HERE FOR A FEW MORE MINUTES.
THANK YOU.
DR BEANS. WOULD YOU LIKE TO
PRESENT YOUR BILL?
WELCOME TO THE ASSEMBLY HEALTH
COMMITTEE. THANK YOU. WHENEVER
YOU'RE READY. NICE TO BE HERE.
AWESOME. THANK YOU, CHAIRMAN AND
MEMBERS I AM HERE TODAY TO
PRESENT A B 33 UNTIL TASK FORCE
, UM TO THE HEALTH COMMITTEE.
MAYBE 33 IS A FIRST BILL THAT I
INTRODUCED ON MY VERY FIRST DAY
IN OFFICE BECAUSE I HAVE BEEN
LIVING THE FENTANYL CRISIS
FIRSTHAND AS A PHYSICIAN AND
ADDICTION SPECIALIST AND CURRAN
COUNTY. I HAVE SEEN FIRSTHAND
HOW OUR EFFORTS TO COMBAT THIS
CRISIS HAVE FALLEN SHORT AND
ALLOWED FENTANYL TO BECOME THE
SINGLE DEADLIEST DRUG THREAT IN
OUR NATION'S HISTORY. THERE WAS
ENOUGH FENTANYL SEIZED BY THE
DRUG AND FOR ENFORCEMENT
ADMINISTRATION LAST YEAR TO KILL
EVERY MAN, WOMAN AND CHILD IN
AMERICA. THAT'S £28,000 OF
FENTANYL, REPRESENTING MORE THAN
370 MILLION LETHAL DOSES.
FENTANYL IS INCREASINGLY BEING
LACED AND CUT INTO OTHER DRUGS
LIKE HEROIN AND COCAINE TO BOOK
THEM OUT. WITH CHEAP FILLER IN
ADDITION TO ITS ADDICTIVE
PROPERTIES AS WELL, EXPOSING
PEOPLE TO LETHAL DOSES WHO DO
NOT EVEN KNOW THEY'RE USING THE
DRUG. ALL OF THIS HAS LED TO
THIS SOBERING REALITY THAT
FENTANYL OVERDOSE WAS FOUND TO
BE THE LEADING CAUSE OF DEATH
FOR AMERICANS BETWEEN THE AGES
OF 18 AND 45. IN 2019 AND 2020.
FENTANYL KILLS TWICE THE NUMBER
OF PEOPLE THAT DIE IN CAR
ACCIDENTS OR FROM GUN VIOLENCE.
OVER 100 AND 50 PEOPLE A DAY DIE
FROM FENTANYL IN THE UNITED
STATES, AND IT'S NOW RESPONSIBLE
FOR ONE IN FIVE YOUTH DEATHS IN
CALIFORNIA. WE HAVE TO DO BETTER
AND A B 33 IS A STEP IN THAT
DIRECTION. THE BILL ESTABLISHES
THE FENTANYL ADDICTION AND
OVERDOSE PREVENTION TASK FORCE
CO CHAIRED BY THE ATTORNEY
GENERAL. AND THE CALIFORNIA
SURGEON GENERAL. PENCIL CRISIS
IS A MULTI SECTOR PROBLEM THAT
NEEDS MULTI SECTOR SOLUTIONS.
THE TASK FORCE WILL BRING
EXPERTS FROM MEDICINE PUBLIC
HEALTH. PUBLIC SAFETY ADDICTION
AND GOVERNING BACKGROUNDS TO THE
TABLE TO PROMOTE COLLABORATION
AND INFORMED DECISION MAKING.
THE TASK FORCE WILL FOCUS ON
INCREASING ACCESS TO OVERDOSE,
REVERSING DRUGS AND CRAFTING
STRATEGIES TO REDUCE THE
AVAILABILITY OF ILLICIT FENTANYL
. IT WILL WORK TO RAISE PUBLIC
AWARENESS ABOUT THE DANGERS
OFFENSE, ANIL AND IDENTIFY
BETTER WAYS TO CONNECT PEOPLE
WITH SUBSTANCE USE DISORDER
TREATMENT AND RECOVERY SUPPORT.
WORKING WITH LAW ENFORCEMENT AND
PUBLIC HEALTH OFFICIALS. THE
TASK FORCE CAN MONITOR DRUG
DISTRIBUTION AND DEVELOP
STRATEGIES TO PREVENT THE USE,
MANUFACTURE AND DISTRIBUTION OF
ILLICIT SENTINEL. THEY FOCUSING
ON STRATEGIES TO REDUCE THE
AVAILABILITY OF FENTANYL WHILE
WORKING TO IMPROVE ACCESS TO
TREATMENT AND INCREASING PUBLIC
AWARENESS. THE TASK FORCE CAN
HELP TO REDUCE THE DEVASTATING
IMPACT THE FENTANYL IS HAVING ON
OUR COMMUNITIES. IMPORTANTLY THE
TASK FORCE WILL TELL US AND
LEGISLATURE WHAT TOOLS WE NEED
TO MAKE AVAILABLE TO EFFECTIVELY
COMBAT THE CRISIS. THEY WILL
TELL US WHAT'S WORKING WHAT'S
NOT AND WHERE WE NEED TO GO FROM
HERE. IN MY EXPERIENCE, I'VE
HELD THE HAND OF TOO MANY
CHILDREN WHO JUST FOUND OUT THAT
THEIR MOM OR DAD HAS DIED OF AN
OVERDOSE. AND EVEN MORE
HEARTBREAKING, HELD THE HAND OF
PARENTS. WHOSE CHILD PASSED AWAY
AFTER BEING EXPOSED TO A LETHAL
DOSE OF FENTANYL. PLEASE JOIN ME
IN SUPPORTING A B 33 TO HELP
STAMP OUT THIS CRISIS HOLD THOSE
RESPONSIBLE ACCOUNTABLE AND GET
PEOPLE TO HELP THEY NEED TO STAY
ALIVE. WITH ME TODAY. IN SUPPORT
OF THE BILL IS SARAH BRIDGE ON
BEHALF OF THE ASSOCIATION OF
CALIFORNIA HEALTHCARE DISTRICTS.
THANK YOU, MR CHAIRMAN MEMBERS
AS SARAH BRIDGE ON BEHALF OF THE
ASSOCIATION OF CALIFORNIA
HEALTHCARE DISTRICTS HERE IN
PROUD SUPPORT OF A B 33
HEALTHCARE DISTRICTS OR
REPRESENTS A 77 HEALTHCARE
DISTRICTS THROUGHOUT THE STATE
OF CALIFORNIA HEALTHCARE
DISTRICTS PROVIDE LIFESAVING
CARE TO MILLIONS OF CALIFORNIANS
AND SERVICE 44 COUNTIES IN THE
STATES. HEALTHCARE DISTRICTS ARE
ON THE FRONT LINES OF CARE IN
THEIR COMMUNITIES, BUT THE
SAFETY OF THEIR PATIENTS,
PROVIDERS AND FIRST RESPONDERS,
CALIFORNIA MUST MAKE A CONCERTED
EFFORT TO SYSTEMATICALLY
ADDRESSED THIS UP. TEMIC.
FENTANYL IS A MAJOR CONTRIBUTOR
TO DRUG OVERDOSE. THE DEATH IT'S
HIGHLY VOLATILE AND PUTS
PROVIDERS AND FIRST RESPONDERS
CONTINUE TO RISK. BUT NOT ALL IS
A SYNTHETIC OPIOID. THAT IS 50
TIMES STRONGER THAN HEROIN AND
100 TIMES STRONGER THAN MORPHINE
. THE CALIFORNIA DEPARTMENT OF
PUBLIC HEALTH REPORTED THAT
BASED ON PRELIMINARY 2021 DATA
THAT'S 6843 DEATHS WERE RELATED
TO OPIOID OVERDOSE IN CALIFORNIA
ALONE OF THOSE 5722 OF THESE
DEATHS WERE RELATED TO FENTANYL.
THIS IS UNACCEPTABLE. A B 33, AS
THE ASSEMBLYMEMBER'S MENTIONED,
WILL ESTABLISH A TASK FORCE CODE
BY THE CO CHAIRED BY THE
ATTORNEY GENERAL AND THE
CALIFORNIA SURGEON GENERAL TO
DEVELOP INFORMED STRATEGIES TO
TACKLE ONE OF THE MOST PRESSING
PUBLIC HEALTH CRISIS. THE TASK
FORCE WILL INCLUDE EXPERTS FROM
THE MEDICAL COMMUNITY, PUBLIC
HEALTH, PUBLIC SAFETY ADDICTION
AND GOVERNING BACKGROUNDS TO THE
TABLE TO PROMOTE COLLABORATION
AND INFORMED DECISION MAKING.
THE OBJECTIVE OF THIS BODY WILL
BE TO IDENTIFY STRATEGIES TO
INCREASE ACCESS TO OPIOID
ANTAGONISTS. IMPROVE SUBSTANCE
USE, DISORDER, TREATMENT,
RECOVERY AND SUPPORT AND REDUCE
THE AVAILABILITY OF ILLICIT
FENTANYL. THE TASK FORCE WILL
DEVELOP STRATEGIES TO INCREASE
PUBLIC AWARENESS ABOUT THE
DANGEROUS OF FENTANYL. AS WE
CONNECT PEOPLE WITH SUBSTANCE
USE DISORDER, TREATMENT AND
RECOVERY SUPPORT. CALIFORNIA IS
A LEADER IN HEALTHCARE. IT'S
TIME WE BECOME A LEADER IN
ADDRESSING THE FENTANYL CRISIS.
MAYBE 33 WILL SAVE LIVES. IT'S
FOR THIS REASON MARIA CHD IS IN
STRONG SUPPORT AND URGES YOUR I
VOTE. THANK YOU. THANK YOU VERY
MUCH. ARE THERE OTHERS IN
SUPPORT OF THIS BILL? JUST YOUR
NAME OBVIOUSLY SUPPORT POSITION
IN ANY ORGANIZATION. YOU
REPRESENT ONE. THANK YOU, MR
CHAIR. MEMBERS OF THE COMMITTEE
BRANDON MARCHI, WITH THE
CALIFORNIA MEDICAL ASSOCIATION
AND SUPPORT THANK YOU. HELLO
LEAH BARROWS ON BEHALF OF
CALIFORNIA HOSPITAL ASSOCIATION
AND SUPPORT MANNY DELGADO ON
BEHALF OF THE CALIFORNIA
EMERGENCY NURSES ASSOCIATION AND
SUPPORT LETTER COMING THANK YOU.
HELLO MASON VEGA. I'M HERE ON
BEHALF OF THE CALIFORNIA
PARTNERSHIP FOR HEALTH, THE
CENTRAL VALLEY HEALTH NETWORK
AND HEALTHCARE L A AND SUPPORT.
THANK YOU. GOOD AFTERNOON, MR
CHAIR AND MEMBERS ELIZABETH
ESPINOSA HERE ON BEHALF OF THE
COUNTY HEALTH EXECUTIVES
ASSOCIATION OF CALIFORNIA IN
SUPPORT ARE REQUESTING A MODEST
AMENDMENT TO PLEASE INCLUDE
LOCAL HEALTH DEPARTMENTS IN THIS
EFFORT, AND WE HAVE SUBMITTED A
LETTER AND IS REFLECTED IN THE
ANALYSIS. THANK YOU. GOOD
AFTERNOON. MISS CHAIR MEMBERS,
RYAN SHERMAN WITH THE RIVERSIDE
SHERIFFSASSOCIATION SUPPORT ALSO
IN SUPPORT. UH THE POLICE
OFFICER ASSOCIATIONS OF THE
CITIES OF CLAREMONT CORONA.
POMONA PALACE FORTIES NEWPORT
BEACH, UPLAND, SANTA ANA,
BURBANK, MURRIETA. ARCADIA
RIVERSIDE FULLERTON COVER CITY
AND THE DEPUTY SHERIFF
ASSOCIATION OF MONTEREY COUNTY
AND PLASTER COUNTY ON SUPPORT.
THANK YOU. THANK YOU VERY MUCH.
ANYONE ELSE? NO ONE. IS THERE
ANY OPPOSITION TO THE BILL? SEE
NO ONE WILL BRING IT BACK TO THE
COMMITTEE QUESTIONS OR COMMENTS,
MISS. THAT'S VICE CHAIR. MS
WALDRON REALLY QUICKLY. THANK
YOU, MR CHAIR. UM AH. I'M VERY
HAPPY ASSEMBLYMEMBER'S BEANS
THAT YOU'VE BROUGHT THIS FORWARD
. UM VERY IMPORTANT BILL. I
REMEMBER BACK IN 2000 WHEN I WAS
ON THE CITY COUNCIL. THE SAN
DIEGO CREATED THE OPIOID TASK
FORCE, AND THEY BROUGHT IN LAW
ENFORCEMENT AS WELL AS HEALTH
ENTITIES AND PARENTS AND
EVERYONE ELSE THAT WAS DEALING
WITH THE ISSUE AND IT WAS MY
FIRST EXPOSURE TO WHAT WAS GOING
ON WITH THE OPIOID CRISIS, AND I
WAS JUST CITY COUNCIL MEMBER. I
HAD NOT EVEN HEARD ABOUT IT. AND
AS A PARENT IT WAS, YOU KNOW,
VERY INFORMATIVE AND THEN FROM
THERE ON, WE WENT ON TO RAISE
AWARENESS EVERYWHERE ABOUT IT.
AND NOW WITH FENTANYL, YOU KNOW,
ONCE AGAIN, WE'RE DEALING WITH
IT, AND WE NEED TO DO SOMETHING
ABOUT IT. WE KEEP TALKING ABOUT
IT. SO GETTING THE DATA GETTING
PEOPLE TOGETHER IS VERY
IMPORTANT. AND I'D LOVE TO BE
ADDED AS A CO AUTHOR, AS THE
BILL MOVES FORWARD WHEN THERE'S
AN OPPORTUNITY THANK YOU. AND I,
TOO, LIKE TO THANK YOU, DR
BAINES FOR BRINGING THIS BILL
FORWARD. UM I THINK AS WITH OUR
VICE CHAIR, WE'VE WE'VE WE'VE
SAT HERE THROUGH MANY HEARINGS
TALKING ABOUT THE OPIOID CRISIS
, AND NOW WE'VE MOVED ON, UM, TO
SOMETHING SYNTHETIC LIKE THIS
LIKE THIS. THIS HORRIBLE UH,
DRUG AND THE CONSEQUENCES OF
THAT. UM I, TOO WOULD LIKE TO
CONSIDER BEING ADDED AS A CO
AUTHOR HERE. UM AND I HOPE THAT
IF THIS YOU KNOW IF THIS TASK
FORCE IS ACTUALLY PUT INTO PLAY
THAT IT CAN, IT CAN WORK AT AT
AT A SPEED THAT IS NOT USUALLY
TYPICAL OF OUR TASK FORCE
BECAUSE I THINK THE URGENCY OF
THIS IS VERY, VERY SIGNIFICANT.
SO I, UM BILL DOES ENJOY A DO
PASS RECOMMENDATION. WE ARE. WE
ARE SO FAR SHORT OF A QUORUM.
BUT YOU KNOW, WE WILL GET TO A
QUORUM AT SOME POINT. UH AND AT
THIS POINT, I'D LIKE TO GIVE THE
OPPORTUNITY TO CLOSE IF YOU'D
LIKE. SURE THANK YOU AGAIN.
COMMITTEE MEMBERS. UH THANK YOU
FOR MEETING WITH ME. THANK YOU
FOR THE COMMENTS AS WELL FOR ME
WORKING ON THE FRONT LINES OF
FENTANYL FOR THE PAST SIX YEARS
, GOING BACK FROM A COMMUNITY OF
CURD. THIS IS SOMETHING THAT IS
VERY NEAR AND DEAR TO NOT JUST
MY COMMUNITY, BUT VERY MANY
PEOPLE IN CALIFORNIA, SO I
RESPECTFULLY REQUEST AN AYE
VOTE. THANK YOU VERY MUCH.
SEEING NO OTHER AUTHORS
PRESIDENT MS QUIRK-SILVA, YOU
ARE PRESIDENT SO PLEASE COME
FORWARD. BEFORE US ITEM NUMBER
10 A B 14 77. THANK YOU AND GOOD
AFTERNOON, MR CHAIR IS THIS ONE?
HERE WE GO. THANK YOU AND GOOD
AFTERNOON, MR CHAIR AND MEMBERS
FIRST. I WANT TO THANK THE
COMMITTEE CONSULTANT FOR WORKING
WITH MY OFFICE AND ACCEPT THE
PROPOSED COMMITTEE AMENDMENTS.
CALIFORNIA'S ADDICTION PROBLEM
IS A STATEWIDE CRISIS FROM 2020
TO 2021. WE HAVE SEEN A 45%
INCREASE IN DRUG RELATED DEATHS
AND MORE THAN HALF OF THEM BEING
A RESULT OF SYNTHETIC OPIOIDS,
INCLUDING FENTANYL. MAYBE 14 77
APPROACHES THIS CRISIS BY MAKING
SURE OR STATES NON PROFIT
PROVIDERS AND PROGRAMS ARE ABLE
TO KEEP THEIR DOORS OPEN IN
ORDER TO PROVIDE THE CRITICAL
SERVICES OUR COMMUNITIES NEED
DURING THE 2022 BUDGET PROCESS,
THE DEPARTMENT OF HEALTH CARE
SERVICES REQUESTED AN INCREASE
TO PROVIDER FEES BY 63. HOWEVER
THE FEES WERE DENIED BY THE
LEGISLATURE BECAUSE WE WERE
CONCERNED THAT WOULD EXASPERATE
THE SHORTAGE OF VITAL TREATMENT
PROGRAMS INCREASED COST TO OUR
PROGRAMS THAT ARE CURRENTLY
STRUGGLING AND PREVENT NEW
PROGRAMS FOR FROM OPENING IN OUR
COMMUNITIES. A B 14 77
ESTABLISHES A MORATORIUM ON FEE
INCREASES FOR THE LICENSING AND
CERTIFYING OF NONPROFIT
RESIDENTIAL TREATMENT
FACILITIES. AND PROGRAMS THAT
PROVIDE ADDICTION TREATMENTS TO
MEDICAL BENEFICIARIES TO THE
RATE THAT WAS LAST PUBLISHED IN
2022. ADDITIONALLY A B 14 77
REQUIRES THE RE THE RATE TO
REMAIN IN EFFECT UNTIL 2031 OR
UNTIL DEATHS RELATED TO ANY
OPIOID OVERDOSE OARS REPORTED
REPORTED BY THE CALIFORNIA
OVERDOSE SURVEILLANCE DASHBOARD
HAVE DECLINED BY 50% WHICHEVER
IS FIRST. LASTLY ONCE FEES MAY
BE INCREASED, THEY ARE CAPPED AT
NO MORE THAN 10% PER YEAR. I DO
HAVE SOME WITNESSES, BUT LET ME
CHECK TO SEE IF THEY'RE HERE.
SINCE I JUMPED AHEAD. WE DID
HAVE MISS SHERRY DAILY, VICE
PRESIDENT OF GOVERNMENT AFFAIRS.
YEAH I THINK WE'LL HAVE TO DO
WITHOUT OUR WITNESSES IF THAT'S
OKAY. WITH THAT. THAT'S. OH
WELL, THEN, PLEASE COME UP, DR.
LEON LEANDRA, CLARK HARVEY. NOPE
THAT ISN'T. NO THAT IS NOT DR
LEANDER CARTER. BJ DAVIS.
ALRIGHT WELL, WELCOME. HOW DO I
GET IN? WE OFTEN ASK THAT SAME
QUESTION. WE LIKE TO SEE IF YOU
CAN FIGURE OUT YEAH. THANK YOU.
WELCOME. THANK YOU. HAVE SOMEONE
ELSE COMING QUICKLY HERE.
ALRIGHT TWO WITNESSES PERFECT
QUICKLY. WE JUMPED AHEAD OF THE
LINE BREATH. IT'S OKAY. I
APOLOGIZE CHAIR. THAT'S OKAY.
THAT'S NO PROBLEM. GOOD
AFTERNOON, HONORABLE CHAIR AND
MEMBERS. SHERRY DAILY WITH THE
CALIFORNIA CONSORTIUM OF
ADDICTION PROGRAMS AND
PROFESSIONALS REPRESENTING OVER
20,000 ADDICTION FOCUSED
PROFESSIONALS. MORE THAN 100
TREATMENT PROGRAMS, 350 RECOVERY
RESIDENCES. AND THOUSANDS OF
PEOPLE LIVING IN RECOVERY
THROUGHOUT CALIFORNIA. TODAY. I
WOULD LIKE TO DRAW YOUR
ATTENTION TO ADDICTION TREATMENT
CAPACITY ISSUES ARE STATE NOW
FACES IN ATTEMPTING TO BRING
DOWN OPIOID AND STIMULATE DEATHS
AND TO ADDRESS HOMELESS. ADRIN
ATTRIBUTABLE TO UNTREATED
SUBSTANCE USE DISORDER. SIMPLY
PUT. WE DO NOT HAVE ENOUGH
TREATMENT BEDS, OUTPATIENT
SERVICES OR RECOVERING HOUSING,
RECOVERY HOUSING TO MEET OUR
NEEDS AND MAY OF 2021. THE
DEPARTMENT OF HEALTH CARE
SERVICES REPORTED A BUDGET
EXCEPT TO BUDGET SUBCOMMITTEES
THAT THERE WERE 17,904.
TREATMENT BEDS TODAY. THERE ARE
18,129. A MIRROR INCREASE OF 215
NEW BEDS STATEWIDE. WHILE WE
FACE HISTORIC INCREASES IN CASES
THE SHORTAGE OF BEDS IS ACUTE
AND CHRONIC. IN THE PUBLIC
SAFETY NET SYSTEM 56 OF 58
COUNTIES. ARE NOT MEETING
NETWORK ADEQUACY REQUIREMENTS
FOR MEDICAL ENROLLEES. THE
SHORTAGE OF BEDS IS SO CRITICAL
THAT ONE OF CALIFORNIA'S LARGEST
COUNTIES IS NOW STEPPING DOWN
CLIENTS FROM DETOX. WHO HAVE MET
NEED FOR INPATIENT TREATMENT TO
UNREGULATED, SOBER LIVING. UM.
THIS IS THE ONLY ALTERNATIVE
TAUGHT TO NOT RETURNING THESE
PEOPLE TO THE STREETS. THERE ARE
NOT BEDS FOR THEM. TO UNDERSTAND
WHY A B 14 77 IS NECESSARY. LET
ME DESCRIBE WHAT OUR IN PATIENT
PROGRAMS LOOK LIKE. OVER 50% OF
OUR RESIDENTIAL INVENTORY IS
PROVIDED BY SIX BED FACILITIES.
MANY OF THESE PROVIDERS ARE
SMALL WHAT WE WOULD CALL MOM AND
POP FACILITIES RUN BY HIGHLY
COMMITTED PEOPLE WHO ARE
DEDICATED TO SAVING LIVES AND IN
MANY CASES, PAYING IT FORWARD TO
SAY THESE OPERATIVES RUN ON SLIM
MARGINS IS AN UNDERSTATEMENT.
THEY DO NOT HAVE LARGE STAFF AND
RESOURCES TO SPREAD THE WORKLOAD
NEEDED TO ADJUST ACCOUNTING
CHANGES NOW UNDERWAY. WE ARE
HEARING DIRECTLY FROM MANY OF
THEM THAT THE PACE OF CHANGE AND
LACK OF RESOURCES TO ASSIST THEM
COULD MAKE THESE THESE CHANGES,
UM, SERIOUSLY CONSIDERED.
RETIRING THEIR BUSINESSES HAS
DEEP CONCERNS THAT A HUGE
INCREASE IN LICENSING AND
CERTIFICATION FEES COULD BE THE
PROVERBIAL STAR THAT PROMPTS
STRAW THAT PROMPTS THEM TO LEAVE
THE SYSTEM. MAYBE 14 77 WAS
CAREFULLY CRAFTED TO THE LIFE
INCREASES TO ALL OUR PROGRAMS TO
RECOVER FROM PANDEMIC SETBACKS,
ENCOURAGE EXPANSION TO MEET THE
EXPLOSIVE GROWTH IN DEMAND AND
DELIVER A MESSAGE FROM
POLICYMAKERS THAT OUR
CONTRIBUTIONS TO REDUCING DEATHS
AND HOMELESSNESS ARE VALUED. AND
ALSO PROVIDES A MECHANISM FOR
GRADUALLY RAISING FEES TO RENT
AN UNDUE SHOCK TO THE SYSTEM IN
THE FUTURE, WHILE ALLOWING THE
DEPARTMENT THE TIME IT NEEDS TO
WIDEN THE POOL OF REGULATED
PROGRAMS PROPOSED IN ITS TRAILER
BILL, YOUR SUPPORT OF THIS BILL,
THANK YOU. THANK YOU. PLEASE GO
AHEAD. HMM. THIS ISN'T GOOD
AFTERNOON. HONORABLE CHAIR
MEMBERS. I AM DR BJ DAVIS. I'VE
BEEN IN THE SUBSTANCE MISUSE AND
CO OCCURRING MENTAL HEALTH
TREATMENT FIELD FOR 23 YEARS.
I'M CURRENTLY THE EXECUTIVE
DIRECTOR FOR SACRAMENTO RECOVERY
HOUSE INCORPORATED ONE OF THE
FEW RESIDENTIAL PROGRAMS HERE IN
SACRAMENTO. WE PROVIDE A BROAD
MENU OF SERVICES FOR RESIDENTIAL
TREATMENT FACILITIES. AH, I'M
ALSO A PROFESSOR AND THE DOCTOR
OF CLINICAL PSYCHOLOGY PROGRAM
AT ATLANTA UNIVERSITY. I'M 25
YEARS CLEAN AND I WAS INVITED TO
DO A TED TALK REGARDING MY OWN
RECOVERY STORY. AH A COUPLE OF
YEARS AGO, SO I KNOW A LITTLE
SOMETHING ABOUT SYSTEMS
TREATMENT AND RECOVERY. I'M HERE
TODAY TO SHARE WITH YOU. THE
MANY CHALLENGES ARE ALCOHOL AND
DRUG TREATMENT PROGRAMS ARE
FACING SO THAT YOU WILL CONSIDER
SUPPORTING A TEMPORARY FREEZE
THIS BILL ON INCREASING OUR
LICENSING FEES. BEFORE THE COVID
PANDEMIC BEGAN. OUR PROGRAMS
FACE MAJOR CHALLENGES AND
MANAGING RESOURCES TO REMAIN
FINANCIALLY SOLVENT. MEDICAL
REIMBURSEMENT HAS A LONG HISTORY
OF BEING LOW WHEN COMPARED TO
PRIVATE PAY RATES. THIS RESULTED
IN PROVIDERS LIKE MYSELF HAVING
TO OPERATE WITH VERY SMALL
MARGINS, OFTEN BORROWING FROM
PETER TO PAY PAUL BUT STILL
MANAGING TO PROVIDE THE MUCH
NEEDED TREATMENT TO THE
POPULATIONS. WE SERVE, WHICH ARE
POOR AND MARGINALIZED.
POPULATIONS THAT ARE AT HIGHER
RISK AND WITH THE LEAST
RESOURCES WHEN THE PANDEMIC
BEGAN, THINGS GOT WORSE. PEOPLE
WITH ADDICTION WERE AFRAID TO
COME IN DO THE POSSIBILITY
INFECTION FAMILIES PRIORITIZED
AT FINANCES AND SAFETY, UH, OVER
GETTING THEIR LOVED ONES IN THE
TREATMENT. THERE WAS ALSO A
CONTINUOUS OUTBREAKS AMONG STAFF
, WHICH CAUSED TEMPORARY CLOSURE
PROGRAMS AND LIMITED SERVICES
FOR THOSE WHO STAYED OPEN DUE TO
DIMINISH STAFFING FOR THOSE
EXPOSED TO INFECTION. AND THOSE
WHO WERE ISOLATING OR RECOVERING
FROM THE ILLNESS. SINCE WE ARE
ONLY REIMBURSED FOR SERVICES
DELIVERED, UM THERE WAS A
IMMEDIATE IMPACT ON OUR
FINANCIAL STABILITY. THIS IMPACT
THREATENED THE ENTIRE TREATMENT
SYSTEM, WHICH YOU'VE JUST HEARD.
TO ALLEVIATE THE ECONOMIC IMPACT
OF THE PANDEMIC. FEES FOR
CERTIFICATION AND LICENSURE WERE
WAVED. THIS HELPED MANY PROGRAMS
MAKE ENDS MEET DURING THIS
PRECARIOUS TIME. UNFORTUNATELY
THIS APPEARS TO NOT HAVE BEEN
TRUE WAIVERS BECAUSE NOW WE'RE
BEING ASKED TO PAY IT BACK AT
INCREASED AMOUNT. WHEN YOU LOOK
AT WHAT'S GOING ON WHAT WAS JUST
SET UP HERE? THE REMEDY IS
ACTUALLY GOING TO HURT BECAUSE
IF THE FEES GO UP THEN, UH,
ORGANIZATIONS THAT OPERATE AT
MARGINS WON'T BE ABLE TO PAY
THEM AND KEEP UP WITH IT.
THERE'S ALSO THE RECOVERING FROM
THE PANDEMIC. INCREASED COST
FOR, UH, COUNSELORS. UM AND SO
UM. IF YOU INCREASE THE COST OF
THE FEES, YOU'RE GOING TO
DECREASE THE PROGRAMS, AND IF
YOU DECREASE THE PROGRAMS,
YOU'RE GOING TO IMPACT TREATMENT
, WHICH WAS WHAT WAS TALKED
ABOUT HERE IN THE PREVIOUS
PERSON TALKED ABOUT I WANT TO
CLOSE BECAUSE I ONLY HAVE 30
SECONDS WITH. WE JUST HAD A
YOUNG MAN 19 YEARS OLD THAT DIED
HERE IN SACRAMENTO. UM HE WAS ON
A WAIT LIST FOR TOO MUCH BECAUSE
YOU COULDN'T GET ANY TREATMENT.
HE GOT INTO TREATMENT. FINALLY
AFTER INTAKE HE HAD SMUGGLED IN
SOME FENTANYL. HE OVERDOSED
WHILE IN TREATMENT AFTER INTAKE
BECAUSE, AND I BELIEVE THAT
HAPPENED BECAUSE HE COULDN'T GET
INTO TREATMENT WHEN HE NEEDED IT
. I REALLY THINK THIS BILL IS
ABOUT SAVING LIVES, AND I THINK
THIS IS A STEP THAT LEGISLATURE
CAN DO. IN THAT DIRECTION. THANK
YOU VERY MUCH OTHERS IN SUPPORT.
WHAT'S YOUR NAME AND POSITION ON
OR NAME ORGANIZATION? YOU
REPRESENT ONE? OH EASTMAN WITH
THE STEINBERG INSTITUTE AND
SUPPORT ANYONE ELSE? NO ONE IS
THEIR OPPOSITION TO THE BILL. NO
ONE WILL BRING IT BACK TO THE
COMMITTEE. I WILL KNOW BECAUSE
THE AUTHOR DID ACCEPT THE
AMENDMENTS MEMBERS INCLUDE, UM
THAT THESE FOUR WE'VE WE'VE
STRICKEN THE WORD NONPROFIT, SO
THIS WOULD HAVE APPLIED TO ALL
TREATMENT FACILITIES AND WE'VE
ALSO SAID THE FEES INCREASES
SHALL CONTINUE TO A LICENSING
CERTIFICATIONS ARE SELF
SUFFICIENT AND NO INSTANCE MAYOR
SINGLE YEAR INCREASED. BE MORE
THAN 15. AND YOU ACCEPTED THOSE
AMENDMENTS. OKAY, ALRIGHT, JUST
FOR CLARIFICATION. AH, DO YOU
HAVE ANYBODY QUESTIONS OR
COMMENTS. SO NO QUESTIONS OR
COMMENTS WOULD YOU LIKE TO
CLOSE? HE ASKED FOR A NICE I
VOTE. WE DON'T HAVE A QUORUM YET
, SO AS WHEN WE DO WE'LL WE'LL
ASK FOR A MOTION. IT DOES ENJOY
DO PAST RECOMMENDATIONS. SO
THANK YOU. THANK YOU MEMBERS.
STUFF, MISS PETRIE-NORRIS.
PETRIE-NORRIS YOU HAVE A B 90?
WHENEVER YOU'RE READY. ALL
RIGHT. WELL, THANK YOU, MR CHAIR
AND MEMBERS HAPPY TO BE HERE
TODAY TO PRESENT 80 90, WHICH
WILL EXPAND ACCESS TO
CONTRACEPTIVE CARE FOR WOMEN
ACROSS CALIFORNIA. THIS IS A
SIMPLE BELL TO CLOSE A GAP IN
COVERAGE IN CALIFORNIA'S FAMILY
PLANNING PROGRAM FOR LOW INCOME
WOMEN. CURRENTLY WHEN A PATIENT
IS IN THE HOSPITAL, RECEIVING
POSTPARTUM OR GYNECOLOGICAL CARE
, THEY ARE ACTUALLY INELIGIBLE
FOR AN INPATIENT, LONG ACTING
CONTRACEPTIVE DEVICE. INSTEAD
THEY HAVE TO RECEIVE IT AS AN
OUTPATIENT PROCEDURE, WHICH WE
KNOW IS LESS EFFECTIVE BECAUSE
FOLLOW UP RATES FOR OUTPATIENT
PROCEDURES ARE. UNFORTUNATELY,
THOUGH, THIS BILL. THIS BILL
SIMPLY CLOSES THAT GAP AND MAKE
SURE THAT IF A PATIENT WISHES TO
RECEIVE A CONTRACEPTIVE DEVICE
THEY CAN DO SO WHILE THEY ARE IN
THE HOSPITAL, PROUD TO STAND
WITH A WONDERFUL COALITION OF
PARTNERS WHO ARE WORKING WITH ME
ON THIS BILL, AND NOW LIKE TO
INTRODUCE DR JOEL BROWN AND DR
SHIVA YAZDANI PLEASE. THANK YOU.
PLEASE GO AHEAD WHEN YOU'RE
READY COURSE THANK YOU,
EVERYBODY SO MUCH FOR HAVING US
HERE TODAY. I'M DOCTOR JOEL
BROWN. I'M AN OBSTETRICIAN
GYNECOLOGIST AND A MEMBER OF THE
AMERICAN COLLEGE OF G. Y. N S
WHO IS SPONSORING THIS BILL AND
REPRESENT THEM AS WELL. AND
WE'RE TODAY HERE TODAY IN
SUPPORT OF A B 90. THIS WOULD
EXPAND THE FAMILY PACKED PROGRAM
TO COVER CONTRACEPTIVE DEVICES
AND THE HOSPITAL SETTING IN OUR
PRACTICE. WE TAKE HER MANY
PATIENTS WHO COULD BENEFIT FROM
INCREASED ACCESS TO
CONTRACEPTION WHILE RECEIVING
TIME SENSITIVE SERVICES IN THE
HOSPITAL. I WOULD LIKE TO TELL
YOU ABOUT ONE OF THOSE PATIENTS
CALL HER CARLA. CARLOS A 33 YEAR
OLD MOTHER OF TWO, WHO WAS
RECENTLY REFERRED TO ME FOR AN
ABORTION. SHE LIVES IN HER
READING, BUT WAS UNABLE TO GET
THE CARE. SHE NEEDED CLOSE TO
HOME BECAUSE OF THE CLINICS
LIMITED CAPACITY. SHE DOESN'T
HAVE A CAR SO DEPENDS ON HELP
FROM OTHERS FOR TRANSPORTATION.
SHE EVEN HAD TO RESCHEDULE THE
DAY HER FIRST VISIT WITH US DUE
TO HER RIGHT, FALLING THROUGH.
AS A SINGLE MOM. ORGANIZING
CHAIRLIFT CARE WAS ALSO A BIG
CHALLENGE FOR HER. WHEN SHE WAS
FINALLY ABLE TO MAKE IT TO
SACRAMENTO. SHE STRONGLY DESIRE
TO START A HIGHLY EFFECTIVE
METHOD OF BIRTH CONTROL AS SOON
AS POSSIBLE AFTER HER ABORTION
PROCEDURE. SHE FELT LIKE THE
HORMONAL IUD WITH THE RIGHT
CHOICE FOR HER AND WISH TO HAVE
IT PLACED IMMEDIATELY AFTER THE
PROCEDURE WHILE SHE WAS ASLEEP
IN THE OPERATING ROOM.
UNFORTUNATELY HER INSURANCE
COVERAGE OF RESTRICTED MEDICAL
WAS LIMITED TO PREGNANCY CARE. I
HAD TO TELL HER THAT EVEN THOUGH
IT WAS MEDICALLY APPROPRIATE TO
DO SO I WAS NOT ABLE TO PLACE
THE I U D AFTER HER PROCEDURE
BECAUSE SHE LOCKED COVERAGE.
OUTSIDE OF PREGNANCY. CARLO
QUALIFIES FOR FAN PACKED AND WAS
COUNCIL WE COULD PLACE AN I U D
FOR HER IN CLINIC, BUT THAT FAN
PACK COULD NOT COVER THE DEVICE
PLACEMENT IN THE HOSPITAL
SETTING. BECAUSE OF HOW HARD IT
WAS FOR CARLA TO GET TO
SACRAMENTO FOR ABORTION. SHE
DECLINED TO MAKE A FOLLOW UP
APPOINTMENT WITH US AND DECIDED
TO BE SEEN INSTEAD BY A CLINIC
CLOSER TO HOME. EVEN TODAY, I'M
NOT SURE IF HE WAS EVER ABLE TO
MAKE IT TO THAT APPOINTMENT,
RECEIVE THE CARE THAT SHE
DESERVED. EVEN THOUGH CALIFORNIA
LEADS THE COUNTY AND PROTECTING
ACCESS TO REPRODUCTIVE HEALTH
CARE. THERE ARE STILL PEOPLE
LIKE HARLAN, WHO ARE GETTING
LEFT BEHIND. THIS BILL WOULD
CLOSE AN IMPORTANT GAP AND ALLOW
PATIENTS ACCESS TO CONTRACEPTIVE
DEVICES, IF DESIRED, WHILE
GETTING TIME SENSITIVE CARE IN
THE HOSPITAL SETTING. FOR THIS
REASON I URGED TO VOTE IN
SUPPORT OF A B 90 THANK YOU ALL
SO MUCH. THANK YOU. PLEASE.
SUPPORT 80 90 AS WELL AS YOU'VE
SEEN A LOT OF PATIENTS SIMILAR
TO CARLA'S STORY, UM AND
ACTUALLY SUPPORT. OKAY. GREAT
THANK YOU. OTHERS IN SUPPORT OF
THE BILL. HE'S COME FORWARD.
JUST YOUR NAME AND ORGANIZATION
IF YOU REPRESENT ONE. LINDA WAY
WITH WESTERN CENTER ON LAW AND
POVERTY AND SUPPORT. THANK YOU.
MOLLY ROBSON WITH PLANNED
PARENTHOOD AFFILIATES OF
CALIFORNIA AND SUPPORT AARON
EVANS ON BEHALF OF NARAL PRO
CHOICE CALIFORNIA AS WELL AS THE
CALIFORNIA NURSE MIDWIVES
ASSOCIATION. BOTH IN SUPPORT.
THANK YOU. BRANDON MARCHI WITH
THE CALIFORNIA MEDICAL
ASSOCIATION AND SUPPORT THANK
YOU. ANYONE ELSE? SO YOU KNOW,
ONE IS THEIR OPPOSITION TO THE
BILL. SEEN NO OPPOSITION TO THE
BILL. BRING IT BACK TO THE
COMMITTEE QUESTIONS OR COMMENTS
ANY QUESTIONS? DR WEBBER. GOOD
AFTERNOON, ASSEMBLYMEMBER'S AND
HELLO O B G Y N, UM THANK YOU SO
MUCH FOR PRESENTING THIS BILL. I
DO HAVE A COUPLE OF QUESTIONS.
UM FIRST OFF. IT'S AT THE
BEGINNING WHEN WE'RE TALKING
ABOUT, UH, TRADITIONAL
POSTPARTUM PERIOD. THAT'S AFTER
SOMEONE HAS DELIVERED AND
THEY'VE ARE USUALLY THEY USUALLY
DO HAVE INSURANCE SO THEY CAN
GET A LARGE PLACED AT THAT POINT
. UM SO I THINK PROBABLY WHAT
YOU'RE REFERRING MOST TO IS, IF
SOMEONE HAS HAD A TERMINATION OF
PREGNANCY AND MAY NOT QUALIFY
UNDER UNDER THAT SPECIFIC, UM
GUIDELINES. THE OTHER QUESTION
THAT I HAVE FOR YOU IS, UM IN
THE BILL. I DON'T SEE THAT IT IS
SPECIFIC TO UM UM, A PERSON
WHO'S JUST RECENTLY TERMINATED A
PREGNANCY. I JUST I'VE SEEN THAT
IT'S ACTUALLY JUST OPENING UP
FAMILY PACK AND LARGE PLACEMENT
TO ANYONE WHO'S INPATIENT. IS
THAT CORRECT? THAT'S CORRECT.
IT'S NOT JUST RESTRICTED TO POST
TERMINATION. IT'S FOR PATIENTS
THAT ARE FALLING IN THAT FAMILY
PACKED COVERAGE THAT CAN'T GET
LARK PLACEMENT IN THE INPATIENT
SETTING TO MAKE SURE THAT THEY
DON'T HAVE TO ONLY GET THOSE
LARGE PLACEMENTS IN THE
OUTPATIENT SETTING, RIGHT?
ACTUALLY, THAT'S RIGHT. THAT'S
WHAT I READ. AND, UM. DO WE KNOW
HOW? HOW MUCH OR HOW? HOW MUCH
FUN WE HAVE WITHIN THE FAMILY
PACK SYSTEM AND HOW MUCH WE'RE
CURRENTLY USING. ON AN ANNUAL
BASIS. HOW MUCH WE AS PROVIDERS
CHARGE THE FOUNTAIN, THE
CALIFORNIA FAMILY PACK SYSTEM.
LET ME LET US FOLLOW UP WITH
YOU. LET'S FOLLOW BACK UP WITH
YOU THINK I THINK RYAN HAS THAT
SHURA RYAN SPENCER UP THROUGH
THE CHAIR? SORRY, PLEASE GO
AHEAD. UM RYAN SPENCER ON BEHALF
OF MERIT. CULTURE O B G Y N, UM
, LAST YEAR'S BUDGET HAD ABOUT
$370 MILLION APPROPRIATE FOR THE
FAMILY PACK. UM IT'S LIKE 280 OF
THAT'S FEDERAL FUNDS ABOUT 80.
UM MILLION AND SOME CHANGE. WE
DO HAVE A BUDGET REQUEST THAT
THERE'S A MOMENT DID SUBMIT THIS
YEAR. REALLY A PLACEHOLDER? WE
DON'T BELIEVE THIS WOULD BE A
LARGE EXPENSE TO THE TO THE
FAMILY PACKED. WE'RE TALKING
ABOUT VERY RARE CASES. BUT FOR
THOSE CASES WHEN THEY DO OCCUR,
WANT TO MAKE SURE THAT THEY HAVE
ACCESS TO THESE SUPPORTING
SERVICES. THANK YOU. THANK YOU.
YES. IF I COULD GET THAT
INFORMATION ABOUT HOW MUCH WE
ACTUALLY CHARGED, UM OR BUILD
FOR THOSE SERVICES THROUGH THE
FAMILY PRACTICES, HOW MUCH OF
THAT MONEY THAT WE'RE ACTUALLY
USING? THAT WOULD BE GREAT. UM
CERTAINLY FELL OUT WITH YOU.
THANK YOU. THANK YOU. UM THERE
IS ALSO A DIFFERENCE IN THE
AMOUNT OF COST FOR INPATIENT
PROCEDURES VERSUS THINGS THAT
ARE DONE ON AN OUTPATIENT
BECAUSE YOU HAVE YOUR HOSPITAL
FACILITY FEES AND ALL OF THESE
OTHER THINGS THAT ARE ATTACHED
WHEN YOU DO SOMETHING, UM,
WITHIN THE HOSPITAL SETTING, AND
SO I'M JUST MAKING. I JUST WANT
TO MAKE SURE THAT WE'RE NOT, UM
, DRAWING DOWN ON FUNDS FOR
PATIENTS THAT NEED THIS ON AN
OUTPATIENT SETTING. AND SINCE
THIS BILL DOES EXPANDED TO NOT
JUST THOSE WHO ARE POST
TERMINATION, IT'S REALLY TO ANY
ONE WHO CHOOSES TO GET A LARK
AND QUALIFIED WOULD QUALIFY FOR
FAMILY PACK ON THE OUTSIDE. UM
WE DON'T REALLY KNOW HOW BROAD
WE'RE EXPANDING THIS TOO. RIGHT
SO I THINK IT'S IMPORTANT TO
KNOW HOW MUCH WE HAVE ALLOCATED.
HOW MUCH WE'RE USING. AND YOU
KNOW WHETHER OR NOT WE HAVE THE
LEEWAY TO BE THIS BROAD OR IF WE
WANT TO KIND OF NARROW IT TO A
MORE SPECIFIC SUBGROUP, UM, SUCH
AS OUR POST TERMINATION PATIENTS
AND NOT JUST PARTICULARLY ANY
FEMALE WHO IS IMPATIENT, RIGHT?
YES, AND THANK YOU FOR THOSE
POINTS. AND FOR THOSE QUESTIONS,
UM AND CERTAINLY WANT TO MAKE
SURE THAT WE UNDERSTAND THE
FINANCIAL IMPLICATIONS OF THIS.
I THINK THAT WILL OBVIOUSLY COME
OUT IN SOME OF THE
APPROPRIATIONS ANALYSIS, BUT I
THINK WE CAN CERTAINLY DO. UH
SOME OF THAT THAT WORK NOW AND
DO SOME OF THOSE CALCULATIONS
AND MOST CERTAINLY. SURE THAT
WITH YOUR OFFICE AS WELL. THANK
YOU. ANY OTHER QUESTIONS. UM, I
GUESS I GUESS I WOULD JUST LET'S
GET JUST AS A FOLLOW UP. I. I
ASSUME THAT THERE IS I SHOULDN'T
ASSUME ANYTHING. THERE IS DATA
ON THE NUMBER OF PEOPLE AND OR
IS THIS OR IT IS THIS ON THE
PRESUMPTION OF ANECDOTAL
EVIDENCE. I MEAN, SORRY. SAY IS
THEIR DATA. DO WE KNOW THAT THIS
IS AN UNMET NEED? AND HOW MANY
PEOPLE DO WE HAVE ANY ANY ANY
IDEA? WE DO SEE A USUALLY ON
AVERAGE ABOUT 2 TO 3 PATIENTS A
MONTH THAT KIND OF FALL INTO
THIS LOOPHOLE. UM SO IT'S YOU
KNOW, THE ISSUE THAT WE'RE
FACING. IT JUST DOESN'T SEEM
RIGHT THAT FOR SOME PATIENTS, WE
CAN OFFER THIS SERVICE AND
OTHERS WE CAN'T AND OFTEN THE
ONES THAT WERE NOT ABLE TO
OFFER. THIS SERVICE ALREADY
WANTS TO HAVE SUCH A HARD
OBSTACLES TO OBTAIN THE CARE AND
SEE US IN CLINIC. UM SO AGAIN,
WE ARE REALLY LUCKY THAT FAN
PACK CAN COVER THESE PROCEDURES
AND OUTPATIENT, BUT IDEAL
SETTING FOR A LOT OF THESE WOMEN
IS TO HAVE IT AT THE TIME OF
THEIR PROCEDURE. SO WE DO
COMMONLY HAVE TO DENY ABOUT A
COUPLE OF PATIENTS A MONTH DUE
TO THE SPECIFIC LOOPHOLE IN THE
SYSTEM. AND JUST IN TERMS OF, I
THINK THE SCALE OF THE POTENTIAL
UNMET NEED, UM AND WE DO KNOW
THAT UP TO 40% OF INDIVIDUALS
DON'T ATTEND A POSTPARTUM VISIT
AND 40 TO 75% OF INDIVIDUALS WHO
SAY THEY PLAN TO USE AN I U D
POSTPARTUM. DON'T END UP
OBTAINING IT. UM AND WE ALSO
KNOW THAT, UH. AND MANY PRIVATE
INSURERS DO COVER THIS AS AN
INPATIENT SERVICE. BUT I. IT'S
LOW INCOME WOMEN WHO ARE BEING
EXCLUDED AND WHOSE CARE IS
POTENTIALLY BEING COMPROMISED AS
A RESULT. I'M PARTICULARLY
SENSITIVE TO TRAVEL DISTANCES
AND CHALLENGES OF GETTING TO
APPOINTMENTS. I'VE JUST I'M JUST
TRYING TO GET MY ARMS AROUND
THIS SCALE THE SCALE OF IT. SO
DO YOU HAVE ANOTHER QUESTION,
DR. WEBBER YEAH, I THINK JUST TO
YOUR POINT, THOUGH, BECAUSE
AGAIN WHAT YOU'RE FOCUSING ON
OUR, UH, POST TERMINATION
PATIENTS, WHICH IS NOT WHAT THE
BILL SPECIFIES. THE SPILL
SPECIFIES. ANY INPATIENT THAT
DESIRES A LARK OR CONTRACEPTION
, SO THOSE NUMBERS COULD
POTENTIALLY BE HIGHER THAN WHAT
YOU'RE SAYING OR WHAT THEIR
PARTICULAR YES. AND PERHAPS WE
SHOULD THEN THE MEN THE BELT TO
SPECIFY THAT I THINK I DIDN'T
AND BECAUSE OUR IS YOUR CONCERN
THAT SOMEONE GOES IN FOR LIKE A.
I DON'T KNOW THE REPLACEMENT AND
THEN SAYS WHILE I'M AT IT, I'M
GOING TO GET THEY STAND IN THE
WAY THAT BILL ADRIN ANYONE
INPATIENT. OKAY WHETHER OR NOT
THEY'RE HAVING A KNEE
REPLACEMENT WHERE THEY'RE NOT.
THEY'RE THERE FOR YOU KNOW A
PSYCHOTIC BREAK IT. IT'S REALLY
ANY IMPATIENT. I COULDN'T
SPECIFICALLY FIND AN AREA THAT
HONED IN ON, YOU KNOW,
GYNECOLOGICAL CARE, ETCETERA
CARE OR POST TERMINATION. SO IF
THAT'S THE INTENT IN ORDER TO
ALSO, YOU KNOW. GET REALLY TO
THE NUMBERS THAN YOU PROBABLY
NEED TO KIND OF HONE AND THAT IS
THAT IS CERTAINLY THE INTENT.
AND I THINK PERHAPS WE DIDN'T
ANTICIPATE THAT. YES WE WERE
THINKING WE WERE MAKING A
PRESUMPTION THAT THIS WOULD BE
HAPPENING IN A CERTAIN CONTEXT,
BUT WE CAN CERTAINLY AH! ADD
THAT SPECIFICATION. UM SO THAT
THERE'S NOT. YES CONFUSION OR
KIND OF AND INTENDED EXPANSION
BECAUSE I THINK YOUR YOUR
WITNESSES CAN ATTEST THAT YOU
WILL GET CALLED, YOU KNOW, PAGE
FROM ANY SURFACE TO COME AND
DEAL WITH GYNECOLOGIC ISSUES FOR
IN PATIENTS. SO UM, YOU KNOW,
IT'S NOT JUST THOSE THAT ARE
ADMITTED TO US. GOT IT. GREAT.
THANK YOU FOR AYE. I'M ALWAYS
GRATEFUL FOR YOUR LIVED
EXPERIENCE AND THE WAY THAT WE
CAN LEVERAGE THAT SHAPE. BETTER
POLICY. UM, IN THIS COMMITTEE.
THANK YOU. SO JUST FOR
CLARIFICATION. SHOULD YOU CHOOSE
TO FURTHER LOOK AT AMENDMENTS?
YOU AREN'T DOING IT TODAY?
CORRECT THANK YOU. I WAS THAT
WAS A STATEMENT. UM ANY OTHER
QUESTIONS OR COMMENTS? SAYING
THAT WE'LL BRING IT BACK TO YOU.
MS. PETRIE-NORRIS SORRY. HANG
ON. WE DO HAVE A QUESTION BY
JUST DR WEBBER BROUGHT IN UP AN
INTERESTING POINT, BECAUSE WE
ALWAYS TALK ABOUT ACCESS TO CARE
. AND, YOU KNOW, GETTING PEOPLE
IN AND STREAMLINING AND THINGS
IT MAY NOT NECESSARILY BE A BAD
THING IF YOU'RE IN FOR ANOTHER
PROCEDURE TO GET THAT DONE AT
THE SAME TIME, IF IT'S DIFFICULT
TO GET TO PROVIDER. I DON'T KNOW
. I GUESS AS YOU LOOK AT THE
BILL, FIGURE OUT WHAT'S WHAT'S
THE MOST EFFICIENT FOR THE
PATIENT AND YOU KNOW, I
APPRECIATE WHAT DR WEBBER IS
SAYING, BECAUSE IT MAKES A LOT
OF SENSE. AND I THINK WHAT WE
HAVE SEEN IS THAT, UM THEY, THEY
ADMIT NAME THAT HAS BEEN
IDENTIFIED, AS IS CERTAINLY
WITHIN THE CONTEXT OF
GYNECOLOGICAL. MHM CARE AND CARE
. YEAH THAT'S WHERE WE'RE
FACING. IT WERE NOT ROUTINELY, I
THINK EVER PLACING SOMEBODY
COMING IN FOR A NON
GYNECOLOGICAL ISSUE. THESE
DEVICES. UM WE DO SOMETIMES SEE
PEOPLE ARE LIKE CANCER PATIENTS
, FOR INSTANCE, THAT NEED
EFFECTIVE CONTRACEPTION DURING
THEIR CHEMOTHERAPY, AND WE MIGHT
BE CONSULTED TO SEE THEM AND
SOMETIMES THEY DO FALL IN THAT
GAP, OR THEY WOULD BE BEST
SERVED TO HAVE A DEVICE PLACE IN
THE HOSPITAL, AND SOMETIMES THEY
DO FALL INTO THIS. IN BETWEEN,
DEPENDING ON THEIR INSURANCE
COVERAGE, SO THERE ARE CERTAIN
SITUATIONS OUTSIDE OF ABORTION
AND POSTPARTUM CARE FOR US,
PARTICULARLY WHERE WE'RE SEEING
THE STRONGEST. UM UH, PROBLEMS
IS FOR THESE PEOPLE THAT ARE
COMING ALL OVER CALIFORNIA TO
OUR CLINIC. JUST BECAUSE OF THE
RESOURCES WE HAVE FOR ABORTION
CARE AND NOT BEING ABLE TO COME
BACK FOR THAT DEVICE PLACEMENT
AND BEING LEFT WITHOUT EFFECTIVE
CONTRACEPTION BECAUSE OF
DISTANCES. OKAY? ANYONE ELSE?
WOULD YOU LIKE? WE DON'T HAVE A
QUORUM SO WE CAN'T TAKE A VOTE.
BUT WOULD YOU LIKE TO CLOSE?
MISS PETRIE-NORRIS? THANK YOU.
MR CHAIR AND COMMITTEE MEMBERS
FOR THE ROBUST DISCUSSION AND
ENGAGEMENT AND WOULD
RESPECTFULLY ASKED FOR AN I VOTE
AT THE APPROPRIATE TIME. THANK
YOU. THANK YOU VERY MUCH FOR
BRINGING IT FORWARD AND WHEN WE
HAVE A QUORUM ROOM ASK HER
EMOTION. THANK YOU. CHEERS. MISS
WILSON.
WHENEVER YOU'RE READY. YOU HAVE
BEFORE US A B 2 TO 8. THANK YOU
, MR CHAIR. GOOD AFTERNOON
MEMBERS. I AM PLEASED TO PRESENT
A B 2 TO 8. THE INFANT FORMULA
STOCKPILE BILL. A B 2 TO 8 WOULD
REQUIRE THE CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH TO
CREATE A PROGRAM THAT CREATES A
STRATEGIC STOCKPILE OF BABY
FORMULA THAT COULD BE TAPPED TO
EASE FUTURE SHORTAGES. IN 2022.
THE UNITED STATES EXPERIENCE A
SEVERE SHORTAGE OF INFANT
FORMULA AS A RESULT OF THE 2021
2022 GLOBAL SUPPLY CHAIN CRISIS
. IT WAS COMPOUNDED BY A LARGE
SCALE PRODUCT RECALL. EVEN AS
RECENT AS THIS MONTH. IT IS
REPORTED BY THE GUARDIAN AND
MANY OTHER PUBLICATIONS THAT
FAMILIES STILL FACE ISSUES
FINDING FORMULA, PARTICULARLY
PARENTS OF COLOR AND FAMILIES
WITHIN RURAL COMMUNITIES. IMPORT
RESTRICTIONS AND MARKET
CONCENTRATION HAS ALSO
EXACERBATED THIS ISSUE. AS A
RESULT, MANY CALIFORNIA PARENTS
WERE MET WITH THE UNIMAGINABLE
PLIGHT OF NOT HAVING ENOUGH FOOD
FOR THEIR BABIES. UNLIKE OTHER
FOOD PRODUCTS, INFANT FORMULA
OFTEN DOES NOT HAVE AN AVAILABLE
AND ACCEPTABLE SUBSTITUTE AS A
SOURCE OF NUTRITION FOR THOSE
WHO RELY ON IT. FOR THESE
REASONS, AND 2022. THE FOOD AND
DRUG ADMINISTRATION COMMISSIONER
ROBERT KHALIF RECOMMENDED THAT
LAWMAKERS CONSIDERED INITIATIVE
TO HAVE A STOCKPILE OF INFANT
FORMULA THAT WE COULD BE TAPPED
TO EASE FEATURES SHORTAGES THAT
MAY ARISE. THIS BILL IS MODELED
AFTER HEALTH AND SAFETY CODE
1310 TO 1, WHICH REQUIRED THE
DEPARTMENT TO STOCKPILE PERSONAL
PROTECTIVE EQUIPMENT AND WILL
OPERATE IN A SIMILAR MANNER. THE
DEPARTMENT WILL ALSO ESTABLISHED
GUIDELINES FOR PROCUREMENT,
MANAGEMENT AND DISTRIBUTION OF
INFANT FORMULA FROM THE
DEPARTMENT UNDER ADVISEMENT FROM
THE INFANT FORMULA ADVISORY
COMMITTEE. THEY WILL TAKE INTO
ACCOUNT VARIOUS TYPES OF INFANT
FORMULA, INCLUDING SPECIALTY
FORMULA THAT MAY BE REQUIRED
DURING A SHORTAGE THE SHELF LIFE
OF EACH TYPE OF INFANT FORMULA
AND HOW TO RESTOCK AND
DISTRIBUTE TO ENSURE THEY ARE
COMPLIANT WITH EXPIRATION DATES
, THE FUNDING THAT WOULD BE
REQUIRED FOR THE STATE TO
ESTABLISH AND MAINTAIN A
STOCKPILE OF INFANT FORMULA. AND
THE AMOUNT AND TYPE OF FORMULA
THAT WOULD BE REQUIRED TO MEET
SHORTAGES, PARTICULARLY FOR
FAMILIES THAT ARE ENROLLED IN
CALIFORNIA PROGRAMS, INCLUDING
BUT NOT LIMITED TO WICK. MY
OFFICE HAS HAD SEVERAL
CONVERSATIONS WITH GROUPS ACROSS
CALIFORNIA TO GET THEIR INPUT ON
THIS BILL, AND I HOPE TO ADDRESS
A FEW OF THEIR CONCERNS. NOW WE
HAVE HAD AN ONGOING
CONVERSATIONS WITH THE
BREASTFEEDING COALITION AS THEY
ARE CONCERNED ABOUT THE
EXCLUSION OF BREASTFEEDING
INDIVIDUALS. HOWEVER WHILE WE
ALWAYS SUPPORT ALL EFFORTS TO
FEED INFANTS ARE BILL AIMS TO
SPECIFICALLY ADDRESS FORMULA. WE
INVITE THE COALITION TO WORK
WITH US IN FUTURE YEARS ON THE
LEGISLATION THEY ARE INTERESTED
IN. WITH ME TODAY ARE EVELYN
SARKIS, A MOTHER WHO EXPERIENCED
FIRSTHAND HOW DEVASTATING THE
SHORTAGE WAS. AND MARAN ARGON
DIFFER FROM THE BLACK HEALTH
NETWORK TO DISCUSS HOW THIS
SHORTAGE IMPACTED, HISTORICALLY
UNDERSERVED COMMUNITY. THANK YOU
. PLEASE GO AHEAD. GOOD
AFTERNOON. THANK YOU, MR CHAIR
AND MEMBERS OF THE COMMITTEE FOR
THE OPPORTUNITY TO SPEAK HERE
TODAY. MY NAME IS EVELYN SARKIS
AND I'M THE PROUD MOTHER OF
NERO'S CIRCUS WHO WAS BORN ON
JUNE 8TH 2022 IN ORANGE,
CALIFORNIA. WELL HAVING A
NEWBORN BABY WILL CREATE A
VARIETY OF CHALLENGES HAVING A
DAUGHTER DURING THE HEIGHT OF
THE FORMULA SHORTAGE WAS
ESPECIALLY DIFFICULT. I HAD
PREPARED AND HOPE TO BREASTFEED
MY BABY, BUT I QUICKLY CAME TO
LEARN THAT THAT WOULD NOT BE AN
OPTION FOR HER. MY LITTLE ONE
DID NOT TAKE WELL TO MY BREAST
MILK AND BECAME VERY ILL WITH
REFLEX AND COLIC. ONLY A VERY
SPECIFIC FORMULA. THAT WAS VERY
DIFFICULT TO FIND BECAME HER
SOURCE OF NUTRITION AND THE ONLY
FORMULA THAT SHE COULD KEEP
DOWN. GOING FROM ONE GROCERY
STORE TO ANOTHER AND SEEN EMPTY
SHELF AFTER SHELF WHILE I LEFT
MY LITTLE ONE AT HOME, AND I
MYSELF WHERE WE WAS RECOVERING
FROM A C SECTION CREATED STRESS
ANXIETY AND WAS AN EXTREMELY
FRUSTRATING AND SCARY SITUATION.
MOTHERS SUCH AS MYSELF WERE
FORCED TO SCOUR STORES FROM
SURROUNDING CITIES FIND ONLINE
GROUPS. AND RELY ON FAMILY
MEMBERS TO DO THE SAME FOR US.
WHILE I WAS BLESSED TO HAVE
RESOURCES TO HELP ME GET THROUGH
THE SHORTAGE, IT IS MY HOPE THAT
CALIFORNIA WILL IMPLEMENT
POLICIES THAT WILL PREVENT
MOTHERS OF NEWBORNS FROM HAVING
TO EXPERIENCE THIS NIGHTMARE.
THIS IS WHY I AM PROUD TO BE
HERE TODAY IN SUPPORT OF
ASSEMBLY BUILT TO 28, WHICH WILL
CREATE A FORMULA STOCKPILE TO
HELP PREVENT THE IMPACTS OF
FUTURE SHORTAGES. THANK YOU
AGAIN FOR THE OPPORTUNITY TO
SPEAK HERE TODAY, AND I
RESPECTFULLY ASK FOR YOUR
SUPPORT ON THIS BILL. THANK YOU
VERY MUCH. CHAIRMAN WOULD AND
MEMBERS. MY NAME IS MARINA
GHANA. FOR I AM THE POLICY AND
LEGISLATIVE AFFAIRS MANAGER WITH
THE CALIFORNIA BLACK HEALTH
NETWORK. TBH TREND IS A SEAT
WIDE ORGANIZATION DEDICATED TO
ADVANCING HEALTH EQUITY FOR ALL
AFRICAN AMERICANS AND BLACK
IMMIGRANTS. TBH AND STRONGLY
URGE YOUR SUPPORT OF MAYBE 2 TO
8, DR. AKILA WEBER,
ASSEMBLYMEMBER'S LORI WILSON AND
DR JUST MEET PAINS. THE BILL
REQUIRES THE CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH AND
THE OFFICE OF EMERGENCY SERVICES
TO ESTABLISH AN INFANT FORMULA
STOCKPILE. THE BABY FORMULA
SHORTAGE IMPACTED THE BLOCK AND
MANY LOW INCOME MOTHERS.
ACCORDING TO THE CENTERS FOR
DISEASE CONTROL AND PREVENTION,
FEWER THAN 74.1% OF BLACK
INFANTS ARE BREASTFED. LOWER
THAN ALL OTHER GROUPS. ACCORDING
TO THE CDC REPORTS AND
SUPPORTIVE WORK POLICIES AND
LACK OF PARENTS AND LEAVE WAS
CITED AS ONE OF THE MAJOR
FACTORS FOR BLACK AND LOW INCOME
MOTHERS TO STOP BREASTFEEDING
EARLY. MANY BLACK AND OTHER
MINORITY MOTHERS DON'T HAVE THE
LUXURY OF STAYING AT HOME OR THE
WORK FLEXIBILITY TO BREASTFEED
THEIR IN FUNDS. THIS IS DUE TO
SO SOCIOECONOMIC FACTORS. AS A
MOTHER. I STAYED AT HOME TO
BREAST FEED MY SON. IT WAS. IT
WAS COSTLY BUT DELIGHTFUL
EXPERIENCE. THAT MAY NOT BE
POSSIBLE. FOR MANY MOTHERS WHO
LOOK LIKE ME. A B 2 TO 8 WOULD
IMPLEMENT THE 2022 FDA
COMMISSION'S RECOMMENDATION FOR
LAWMAKERS TO CONSIDER
LEGISLATION TO HAVE A STOCKPILE
OF INFANT FORMULA. THIS BILL
WOULD ALSO ESTABLISHED THE
INFANT FORMULA ADVISOR COMMITTEE
. IT WOULD CREATE GUIDELINES FOR
DEVELOPING AND IMPLEMENTING THE
PROGRAM TO ENSURE THAT INFANT
FORMULA WILL BE AVAILABLE. AND
DISTRIBUTED TO DISADVANTAGED
COMMUNITIES. IN CASE OF SHORT,
IT'S ON BEHALF OF MILLIONS OF
LOW INCOME FAMILIES IN
CALIFORNIA. I URGE YOU TO
SUPPORT A B 2 TO 8. THANK YOU
FOR YOUR TIME. THANK YOU VERY
MUCH OTHERS IN SUPPORT OF THE
BILL. MHM. WHAT'S YOUR NAME AND
ORGANIZATION? IF YOU REPRESENT
ONE MICHELLE TERAN WOLF FORK
WITH THE CALIFORNIA COMMISSION
ON THE STATUS, WOMEN AND GIRLS
IN STRONG SUPPORT OF MAYBE 2 TO
8. THANK YOU TO THE AUTHOR OF
BRINGING THIS FORWARD. MR
CHAIRMAN MEMBERS. I WOULD
CORDANI REPRESENTING THE
CHILDREN'S HOSPITAL ASSOCIATION.
CALIFORNIA HAVE THE PLEASURE OF
SUPPORTING THIS BILL AND THANK
YOU TO THE AUTHOR. THANK YOU.
NORA LYNN ON BEHALF OF CHILDREN
NOW IN SUPPORT. THANK YOU.
AFTERNOON JANICE SOMALI WITH THE
AMERICAN FEDERATION OF STATE
COUNTY, MUNICIPAL EMPLOYEES AND
SUPPORT THANK YOU. HELLO MATT.
HELLO MATTLAGE, A WITH STU,
CALIFORNIA AND SUPPORT THANK
YOU. JESSICA HEY WITH THE
CALIFORNIA SCHOOL EMPLOYEES
ASSOCIATION AND SUPPORT THANK
YOU. ANYONE ELSE IN SUPPORT. SEE
KNOWING ANY IS THERE OPPOSITION
TO THE BILL. YOU KNOW, I WANT TO
BRING BACK TO THE COMMITTEE FOR
QUESTIONS OR COMMENTS. ANY
QUESTIONS, MISS A GEAR CURRY.
THANK YOU FOR BRINGING THE BILL
FORWARD, BUT I DO HAVE A COUPLE
OF REALLY EASY QUESTIONS. I HOPE
YOU KNOW, FORMULA HAS AN
EXPIRATION DATE ON IT. UM, AND
THERE'S A BILL THAT'S ROAMING
AROUND THIS BUILDING ON EXPIRED
SELL BY. HOW DO WHAT DO WE DO
WITH THE, UM EXPIRED FORMULA,
AND IS THERE A WAY THAT WE CAN
MAKE SURE IT GETS DISTRIBUTED
EARLY ON, SO WE DON'T HAVE THAT
ISSUE. THE FAMILY MAY NOT YOU
KNOW, BE SCARED A LITTLE BIT
ABOUT GETTING THAT OUT.
ABSOLUTELY THAT IS. PART OF THE
PLAN IS TO HAVE A PROCESS FOR BY
WHICH THE FORMULA IS DISTRIBUTED
PRIOR TO THE EXPIRATION DATE, UM
, WITH THE INCORPORATION,
INCLUDING WIC AND FOOD BANKS,
AND THE STATE ALREADY PROVIDES
CONTRIBUTIONS OF THAT LEVEL TWO
ACROSS THOSE NETWORKS CURRENTLY
AND SO THIS WOULD, UM THEY WERE
THEN INSTEAD OF PURCHASING THOSE
WOULD GET THERE THROUGH THE
STOCKPILE. PURCHASING SEPARATELY
WOULD GET THEM TO THE STOCKPILE
. AND CAN YOU CLARIFY FOR ME?
WHAT IS STOCKPILE MEAN TO YOU IN
THIS BILL? STOCKPILE IS THE
ABILITY TO HAVE A CERTAIN LEVEL
OF PRODUCT ON HAND IN CASE OF AN
EMERGENCY, AND THAT WOULD BE SET
BY, UM, AND COOPERATION WITH THE
DEPARTMENT OF PUBLIC HEALTH, AS
WELL AS THE INFANT ADVISORY
COMMISSION. THANK YOU VERY MUCH.
ANYONE ELSE? QUESTION, MR
PATTERSON. UM YEAH. I JUST
WANTED TO MAKE COMMENT THAT I
HAVE A BABY BORN AND, UH
FEBRUARY OF 2021. NOW SHE'S A
THREE YEAR OLD TWO YEAR OLD
SOMETIMES A MONSTER. UM BUT YOU
KNOW, WE WENT THROUGH THIS ISSUE
WHERE YOU KNOW IT WAS HARD TO
FIND FORMULA. AND UH, YOU KNOW,
IF, IF POSSIBLE, IF THIS IF THIS
MOVES ON, I'D LIKE TO BE AT ITS
CO AUTHOR. ABSOLUTELY THANK YOU
FOR THAT AND JUST TO KNOW WHAT I
SAID INFANT ADVISORY COMMITTEE
INFANT FORMULA ADVISORY
COMMITTEE AND THANK YOU, UM,
ASSEMBLY MEMBER PATTERSON FOR
WANTING TO BE SIGNED ARTICLE OUT
THERE AND I'M SO APPRECIATIVE
OF, UM DR BAINES AND DR WEBBER,
WHO SIGNED ON AS PRINCIPAL CO
AUTHORS VERY EARLY. UM AND
APPRECIATE THEIR WISDOM AND
CRAFTING THIS BILL. VERY MUCH
APPRECIATE THAT WE'RE GOING TO
STOP FOR A SECOND AND CALL THE
ROLE AS I SIT HERE AND ENVISION
AN INFANT ADVISORY COMMITTEE
SECRETARY, PLEASE CALL THE ROLL.
WHAT WALDRON CURRY. ARAMBULA.
BOERNER HORVATH CARILLO. FLORA.
RESPOND. MAIENSCHEIN MCCARTHY.
JOE PATTERSON. RODRIGUEZ.
SANTIAGO. VALLAPUDUA HOWEVER. WE
HAVE A QUORUM. THAT'S A GOOD
THING. SO UM, I JUST AND JUST A
QUESTION TO YOU, MS WILSON VERY
MUCH. APPRECIATE YOU BRINGING
THE BILL FORWARD. SO WHEN YOU DO
YOU ENVISION THAT STOCKPILE
WOULD BE USED. WE'VE HAD A
NUMBER OF EMERGENCIES HERE IN
THE STATE RIGHT NOW, I THINK OF
PARTICULARLY THE AREA. RATHER
BAHAR A RIVER WHERE YOU KNOW 17
1800 PEOPLE EVACUATED. IS THAT
IS THAT PART OF THE VISION OF
THE STOCKPILE, OR IS IT MORE
WHEN THERE IS A SHORTAGE OF
FORMULA OR IS IT IS IT BOTH?
IT'S ACTUALLY BOTH. SO I BELIEVE
, UM, WHEN YOU HAVE A STOCKPILE
, UM IT IS FOR EMERGENCY
PURPOSES, AND IT COULD BE THE
EMERGENCY CAUSED BY A SHORTAGE
OR IT COULD BE BY A NATURAL
DISASTER OR SOMETHING OF THAT
SORT. AND WE WOULD LIKE IT TO BE
REGIONALLY BASED, SO THAT WAY
YOU CAN DEPLOY AS NEEDED FOR
PLACES WHERE IT'S VERY SPECIFIC
, LIKE THE FLOOD WHERE YOU
NEEDED FOOD, AND YOU COULD BE
ABLE TO PROVIDE THAT FOR THOSE,
UM BABIES. GREAT. OKAY THANK YOU
VERY MUCH. I APPRECIATE THAT.
CLARIFICATION UM, THE BILL DOES
ENJOY A DO PASS RECOMMENDATION.
WOULD YOU LIKE TO CLOSE? I WOULD
. I WOULD LIKE TO THANK, UM MY
WITNESSES, EVELYN SARKIS, WHO
ALSO BROUGHT HER DAUGHTER AS ME
HERE TODAY FROM SOUTHERN
CALIFORNIA'S, WHEREAS MARON FOR
JENNIFER AND AS WELL AS THE
PRINCIPAL CO AUTHORS, AND TO THE
MEMBERS OF THE COMMITTEE, I
THANK YOU AND RESPECTFULLY ASK
FOR I VOTE. THANK YOU VERY MUCH,
MADAM SECRETARY. WE DON'T HAVE
EMOTION. THAT'S A GOOD POINT. SO
NOW WE DO A MOTION BY MS WALDRON
, SECOND BY MS AGUIAR-CURRY
MOTION IS DO PASS THE
APPROPRIATIONS. MADAM SECRETARY,
PLEASE CALL THE ROLL. I WOULD. I
WOULD I. WALDRON WALDRON, I
AGUIAR-CURRY AGUIAR-CURRY. AYE,
ARAMBULA. BOERNER HORVATH
BOERNER HORVATH CARILLO. LARA.
FLORA I, VINCE FONG. MAIENSCHEIN
MCCARTHY. JOE PATTERSON. JOE
PATERSON. I RODRIGUEZ RODRIGUEZ
I SANTIAGO VALLAPUDUA WEBER.
WHOEVER I. YOU HAVE EIGHT VOTES
BILLS OUT OF COMMITTEE WILL
LEAVE THE ROLE OPEN FOR OTHERS
TO ADD ON. THANK YOU VERY MUCH.
BEFORE WE GO TO THE. NEXT BILL
WILL JUST WANT TO DO OUR CONSENT
CALENDAR, MR GIBSON, AND THEN
YOU'RE UP, OKAY? SO IS THERE A
MOTION FOR THE CONSENT CALENDAR?
I'M SORRY. I HEARD I HEARD SO
MOVED BY MR KURTZ, SECOND BY MS
BOERNER HORVATH. THE CONSENT
CALENDAR INCLUDES ITEM NUMBER
FIVE, WHICH IS A B 4 83 BY MR
MURATSUCHI REMEMBER 12 83 65 BY
MR MISS A GEAR CURRY ITEM NUMBER
15 ABBY 14 62 BY MR JIM
PATTERSON. MADAM SECRETARY.
PLEASE CALL THE ROLL ON THE
CASSETTE CALENDAR, WOULD I?
WALDRON WALDRON, IAGAR CURRY
CURRY. I ARAMBULA OR NO HARVEST.
BOERNER HORVATH. AYE, CARILLO.
FLORA. FOR IVINS, FONG
MAIENSCHEIN MCCARTHY, JOE
PATTERSON. PATERSON. I RODRIGUEZ
RODRIGUEZ I SANTIAGO VALLAPUDUA.
WEBER. WHOEVER I. BECAUSE THAT
CALENDAR HAS EIGHT VOTES. SO
THAT IS, UH WE'LL LEAVE THE ROLE
OPEN BROTHERS TO ADD ON MR
GIBSON. YOU HAVE BEFORE US A B 6
32 WHENEVER YOU'RE READY, SIR.
THANK YOU VERY MUCH, CHAIRMAN
WORD AND ALSO VICE CHAIR.
WALDRON COMMITTEE MEMBERS. THANK
YOU FOR ALLOWING ME TO PRESENT
THANK YOU VERY MUCH TO PRESENT
ASSEMBLY BILL 6 32, WHICH SEEKS
TO PROHIBIT COST SHARING FOR
PROSTATE SCREENING FOR INSURANCE
, ENROLL ENROLLEES WHO ARE
EITHER 55, OR AT LEAST 40. YEARS
OF AGE, CONSIDERING HEIGHT RISK
BY THEIR HEALTH CARE PROVIDER,
PROSTATE CANCER. IS THE SECOND
MOST COMMON CANCER IN AMERICA,
AFFECTING ONE AND 81 IN EVERY
EIGHT MEN, BUT I APPRECIATE, UH
, THE MOTION THAT WAS MADE, AND
I'M JUST GONNA CUT RIGHT THROUGH
. THIS BILL IS ABSOLUTELY
IMPORTANT FOR ME, BECAUSE WHEN
YOU LOOK AT THE STATISTICS,
AFRICAN AMERICANS ARE AT A
HIGHER RATE OF DEVELOPING
PROSTATE CANCER. WITH THE
DEMOGRAPHICS BEING 60% MORE
LIKELY TO DEVELOP PROSTATE
CANCER THAN ANY OTHER RACE, AND
I WANT TO JUST SKIP DOWN TO MY
NEXT PARAGRAPH. THE FIRST DEGREE
OF A PERSON WHO COULD
POTENTIALLY A CONTRACT. PROSTATE
CANCER IS AS FROM A FATHER OR A
FIRST DEGREE RELATIVE. WHY FALL
IN THAT CATEGORY? I FALL IN THE
CATEGORY IS BEING AFTER THE
AFRICAN AMERICAN. I FALL INTO
PERCENT, AND MY FATHER PASSED
AWAY FROM PROSTATE CANCER. WE
MUST DO EVERYTHING WE CAN TO
REMOVE THE BARRIERS OF COSTS IN
THIS PARTICULAR AREA, ESPECIALLY
BECAUSE THIS IS A TREATABLE AND
PREVENTABLE, UH, DISEASE AND SO
HERE TO HEAR THEIR TESTIMONY,
AND THEIR STORIES ARE WITNESSES
IN SUPPORT OF THIS BILL 6 32. I
WANT TO FIRST INTRODUCE
COURTNEY, WHO WAS SUFFERING TO
DO. SHE IS WITH ZERO PROSTATE
CANCER. PACIFIC NORTHWEST
CHAPTER DIRECTOR AND ALSO RYAN,
WHO WAS SELF INTRODUCED WHO
FATHER SEVEN YEARS AGO PASSED
FROM PROSTATE CANCER. GOOD
AFTERNOON CHAIR MEMBERS. I'M
COURTNEY BRANT. I'M THE LOCAL
CHAPTER DIRECTOR FOR ZERO
PROSTATE CANCER, AND I'M HERE TO
IN SUPPORT OF A B 632. ZERO IS
THE LEADING NATIONALLY NONPROFIT
WITH A MISSION TO END PROSTATE
CANCER AND HELP ALL WHO ARE
IMPACTED. IN CALIFORNIA. WE
OPERATE 17 SUPPORT GROUPS TO
HELP MEN AND THEIR LOVED ONES.
UM AND HAVE SIX RUN WALKS TO
BUILD THE PROSTATE CANCER
COMMUNITY. WE ALSO SUPPORT
EFFORTS LIKE THIS ONE TO ENSURE
THAT NO ONE FAILS TO RECEIVE THE
PROSTATE CANCER SCREENING THEY
NEED BECAUSE OF COST. A MAN
DIAGNOSED WITH PROSTATE CANCER.
A MAN IS DIAGNOSED WITH PROSTATE
CANCER EVERY TWO MINUTES. AND
THERE'S THREE MINUTE TESTIMONY
THAT'S TO DIAGNOSIS IS IN
CALIFORNIA. THERE WILL BE 26,970
NEW CASES OF PROSTATE CANCER AND
OVER 4000 MEN WILL DIE. PROSTATE
CANCER DOESN'T HAVE TO BE A
DEATH SENTENCE DIAGNOSED EARLY,
ALMOST ALL MEN SURVIVE FOR AT
LEAST FIVE YEARS. FOR MEN
DIAGNOSED IN THE LATER STAGES,
ONLY ABOUT 30% SURVIVE FOR FIVE
YEARS. PROSTATE CANCER DOESN'T
OPERATE ON A LEVEL PLAYING
FIELD, THOSE WITH A FIRST DEGREE
RELATIVE WITH PROSTATE CANCER
HAVE ABOUT TWICE THE RISK OF
PROSTATE CANCER COMPARED TO THE
GENERAL POPULATION. BLACK MEN
ARE 1.7 TIMES AS LIKELY TO BE
DIAGNOSED WITH PROSTATE CANCER,
MORE THAN TWICE AS LIKELY TO DIE
OF THE DISEASE. THOSE WHO HAVE
SERVED IN OUR MILITARY ARE ALSO
TWICE AS LIKELY TO BE DIAGNOSED
WITH PROSTATE CANCER. FOR MANY
INDIVIDUALS, EVEN WHAT WE MIGHT
THINK OF AS A SMALL COPAY CAN BE
A REASON NOT TO BE SCREENED.
ELIMINATING COST SHARING MAKES
IT EASIER FOR MEN AT HIGH RISK
TO BE SCREENED, DIAGNOSED EARLY
AND TO SURVIVE THIS DISEASE.
IMPORTANTLY ELIMINATING COST
SHARING SIMPLY REMOVES THE
BARRIER, ENSURING THAT A MAN AND
HIS DOCTOR ARE FREE TO MAKE THE
MEDICAL CHOICES RIGHT FOR HIM.
BASED ON HIS PERSONAL MEDICAL
HISTORY, HIS RISK FACTORS AND
HIS VALUES. A B 6 32 ALLOWS THE
DOCTOR AND PATIENT TOGETHER TO
MAKE THE RIGHT MEDICAL DECISION
FREE FROM UNNECESSARY BARRIERS
BETWEEN A MAN AND A FUTURE FREE
FROM PROSTATE CANCER. THANK YOU.
ASSEMBLYMEMBER'S JEPSON FOR YOUR
LEADERSHIP ON THIS ISSUE AND TO
THE CHAIR AND MEMBERS OF THE
COMMITTEE FOR YOUR TIME AND
CONSIDERATION. THANK YOU. PLEASE
GO AHEAD. GOOD AFTERNOON CHAIR
AND MEMBERS OF THE HEALTH
COMMITTEE. THANK YOU FOR HEARING
THIS BILL, AND I THINK
ASSEMBLYMEMBER'S GIBSON FOR AH,
SPONSORING THIS BILL. THIS BILL
IS IMPORTANT TO ME. MY NAME IS
RYAN PACE, AND AS THE
ASSEMBLYMEMBER'S MENTIONED, I
LOST MY DAD SEVEN YEARS AGO TO
PROSTATE CANCER. I THINK MY DAD
WOULD STILL BE HERE ALIVE AND
WELL IF HE WAS DIAGNOSED EARLY
AND HAD TREATMENT EARLY, AND
WHAT THIS BILL WOULD DO IS
REMOVE THE BARRIERS SO THAT MORE
PEOPLE CAN GET SCREENED FOR
PROSTATE CANCER. I BELIEVE EARLY
SCREENING AND OFTEN SCREENING IS
THE KEY TO KEEP OUR OUR
GRANDFATHERS OR FATHERS OR
UNCLES OR BROTHERS OR NEPHEWS
ALIVE. UH UM, A LOT OF MEN THAT
I TALKED TO. I DO. A LOT OF
ADVOCACY IN THE SACRAMENTO
COMMUNITY REACHING OUT AND
EDUCATING PEOPLE ABOUT PROSTATE
CANCER, AND WHEN I TALK WITH
THEM ABOUT PROSTATE CANCER, A
LOT OF PEOPLE ARE SCARED. THEY
JUST THERE. LOOK THERE'S SOME.
THERE'S SOME SCARED TO GET
TESTED. AND I THINK JUST A COPAY
OR DEDUCTIBLE IS JUST ANOTHER
BARRIER FOR THEM TO JUST SAY NO
. WHY WOULD I WANT TO GET
SCREENED OR TESTED BECAUSE I
HAVE TO PAY MONEY. SO JUST BY
REMOVING THIS BARRIER, THIS
FINANCIAL BARRIER WOULD HELP
INCREASE FOLKS HIS ABILITY TO
GET TESTED. OFTEN AND EARLY AND
RECEIVED TREATMENT. SO I
APPRECIATE THE MEMBERS WHO
OFFERED EMOTION, A SECOND TO
PASS THIS BILL. BILL'S VERY
IMPORTANT TO ME. THANK YOU. VERY
MUCH. OTHERS IN SUPPORT. JUST
YOUR NAME AND ORGANIZATION. IF
YOU REPRESENT ONE, PLEASE. CHAIR
AND MEMBERS AUTUMN OGDEN SMITH
WITH THE AMERICAN CANCER SOCIETY
CANCER ACTION NETWORK. ALSO IN
STRONG SUPPORT. THANK YOU. GOOD
AFTERNOON CHAIR AND MEMBERS JOSE
TORRES WITH HEALTH ACCESS
CALIFORNIA AND STRONG SUPPORT AS
WELL. THANK YOU. GOOD AFTERNOON,
LINDA WAY WITH WESTERNS AND
ONLINE POVERTY IN SUPPORT. GOOD
AFTERNOON. ALEX CON WITH THE
CALIFORNIA CHRONIC CARE
COALITION AND STRONG SUPPORT.
ANYONE ELSE? SAYING NO ONE IS
THEIR OPPOSITION TO THE BILL.
SEE NO ONE WILL BRING IT BACK TO
THE COMMITTEE FOR QUESTIONS OR
COMMENTS, QUESTIONS OR COMMENTS,
MS WALDRON THANK YOU, MR CHAIR.
JUST REALLY QUICKLY. I'M SORRY
FOR YOUR LOSS. I TOO, LOST MY
DAD TO PROSTATE CANCER AS WELL
AS MY FATHER IN LAW. SO IT IS
SOMETHING THAT IF I BELIEVE HAD
BEEN DIAGNOSED EARLIER WOULD
HAVE MADE A DIFFERENCE. SO THANK
YOU FOR BRINGING THIS BILL
FORWARD. ANYONE ELSE? MR DR
WEBBER. THANK YOU
ASSEMBLYMEMBER'S GIBSON FOR THIS
BILL, AND THANK YOU ALL SO MUCH
FOR BEING HERE TO PROVIDE
TESTIMONY AND YOUR STORIES, AND
I'M SORRY TO HEAR ABOUT YOUR
FATHER. UM YOU KNOW, IT'S UM. I
THINK ONE OF PROBABLY THE MAIN
ISSUE WITH PROSTATE CANCER AND
THE LACK OF EARLY SCREENING. IS
MORE EDUCATION AND NOT SO MUCH
COVERAGE. WHEN YOU LOOK AT THE
CHAIR OF ANALYSIS, 97% OF, UM
PEOPLE WHO WOULD BENEFIT FROM
THIS ALREADY HAVE COVERAGE WITH
NO, UH, NO COST SHARING. SO
THERE'S ONLY A SMALL PERCENTAGE
OF THOSE THAT THAT ACTUALLY DO
HAVE THAT COST SHARING. AND SO I
AM LOOKING FORWARD TO SEEING
WHAT OTHER BILLS THAT YOU BRING
FORWARD IN THE FUTURE TO REALLY
TACKLE. WHAT I THINK THE ISSUE
IS WHICH IS MORE THE EDUCATION
AND THE ENCOURAGEMENT OF MEN TO
GO AND GET THIS, YOU KNOW,
SIMPLE BLOOD TEST OR, YOU KNOW,
I KNOW PEOPLE DON'T LIKE THE
DIGITAL RECTAL EXAMS, BUT I
THINK THAT IS REALLY WHAT IS THE
BARRIER TO EARLIER? UM DETECTION
OF THIS CANCER, WHICH A LOT OF
MONEY HAS BEEN PUT TOWARDS YOU
KNOW, PROSTATE CANCER TREATMENT
. SO LIKE YOU SAID, IF IT'S IF
IT'S CAUGHT EARLY, THEY HAVE A
VERY HIGH LIKELIHOOD OF
SURVIVAL. I THINK THE BARRIER IS
MORE SO EDUCATION AND, UM NOT SO
MUCH COSTS. I WILL BE SUPPORTING
THIS, BUT I LOOK FORWARD TO WHAT
ELSE YOU BRING IN THE FUTURE TO
HELP ON THAT END. BECAUSE I
THINK THAT'S REALLY WHERE WE CAN
START TO SEE SOME IMPROVEMENT
AND, UM AND DETECTING THIS VERY
EARLY ON, SO THANK YOU. THANK
YOU ANYONE ELSE? YOU KNOW, BRING
BACK TO YOU, MR GIBSON. BILL
DOES ENJOY DO PASS
RECOMMENDATION. WOULD YOU LIKE
TO CLOSE ITS REAL QUICK? I WANT
TO MEET THAT CHALLENGE THAT MY
COLLEAGUE HAS EXTENDED TO ME AND
STAY TUNED. I WILL BE BRINGING
ANOTHER ANOTHER BILL THAT RISES
THAT EXPECTATION. UM, I
RESPECTFULLY ASK FOR AN I VOTE,
AS HAS BEEN ARTICULATED BY MY
WITNESSES AS WELL AS MY OWN
PERSONAL STORY. UM EARLY
DETECTION ARE SHARING, UM,
TEARING DOWN THOSE BARRIERS BUT
ALSO EDUCATION. UM I CAN SEE TO
THAT, AND WE'LL DO WORK IN THIS
SPACE CONTINUOUSLY. THANK YOU
VERY MUCH. THANK YOU VERY MUCH.
WE DO HAVE A MOTION BY MR FLORA
SECOND BY MR RODRIGUEZ. I
BELIEVE MOTION IS DUE PASS TO
APPROPRIATIONS. MADAM SECRETARY
, PLEASE CALL THE ROLL. WHAT
WOULD I WALDRON WALDRON II
AGUIAR-CURRY COREY, I ARAMBULA
BOERNER HORVATH BOERNER HORVATH.
AYE, CARILLO. FLORA FLORA I,
VINCE FONG. MAIENSCHEIN MCCARTY,
JOE PATTERSON. JOE PATTERSON. I
RODRIGUEZ. RODRIGUEZ I SANTIAGO.
VALLAPUDUA WEBER. HOWEVER, I. IT
HAS EIGHT VOTES. IT'S OUT, WE'LL
LEAVE THE ROLE OPEN FOR OTHERS
TO ADD ON. THANK YOU VERY MUCH,
MR GIBSON. DR WEBBER. WOULD YOU
LIKE TO PRESENT THERE'S WE DON'T
HAVE OTHER WITNESSES, SO PLEASE
. DR WEBBER HAS A B 3 17.
GOOD AFTERNOON. I'M HERE TO
PRESENT A B 3 17 A BILL THAT
REMOVES A BARRIER FOR
PHARMACISTS WHEN BILLING FOR
THEIR SERVICES. IN 2013 SB 4 93
ESTABLISHED THE ADVANCED
PRACTICE. PHARMACISTS LICENSE
YOUR CATEGORY. WITH SPECIFIED
REQUIREMENTS, A PPS ARE NOW
AUTHORIZED TO PERFORM PATIENT
ASSESSMENTS. ORDER AND INTERPRET
DRUG THERAPY RELATED TEST.
PARTICIPATE IN THE EVALUATION OR
MANAGEMENT OF DISEASES AND
HEALTH CONDITIONS IN
COLLABORATION WITH OTHER HEALTH
CARE PROVIDERS. INDEPENDENTLY
INITIATE AND PROVIDE LIFESAVING
HIV PREVENTION. MEDICATION
PERFORM TEST FOR COVID OR OTHER
RESPIRATORY ILLNESSES. SEXUALLY
TRANSMITTED INFECTIONS TEST FOR
STREP THROAT URINARY TRACT
INFECTIONS, AMONG OTHER
SERVICES. AND ALTHOUGH
PHARMACISTS NOW DO MUCH MORE
THAN JUST DISPENSE DRUGS,
THEY'RE ONLY CURRENTLY GETTING
PAID FOR DISPENSING DRUGS. NOT
FOR THE CLINICAL WORK THAT WE
HAVE NOW ASKED THEM TO DO. A B 3
17 REQUIRES A HEALTH CARE
SERVICE PLAN THAT OFFERS
COVERAGE FOR A SERVICE WITHIN
THE SCOPE OF PRACTICE OF A
PHARMACIST TO PAY OR REIMBURSE
THE COST OF SERVICES PERFORMED
BY A PHARMACIST AT AN IN NETWORK
PHARMACY. OR BY A PHARMACIST AT
AN OUT OF WORK PHARMACY IF THE
HEALTHCARE SERVICE PLAN OR
ENSURE AS AN OUT OF NETWORK
PHARMACY BENEFIT. IN 2015.
WASHINGTON BECAME THE FIRST
STATE TO PROVIDE THE ABILITY TO
BUILD FOR PATIENT CARE SERVICES
WITHIN THE SCOPE OF PRACTICE OF
PHARMACIST. CALIFORNIA NOW HAS
THE OPPORTUNITY TO DO THE SAME.
THIS BILL HAS NO OPPOSITION. A B
3 17 IS SPONSORED BY THE
CALIFORNIA PHARMACISTS
ASSOCIATION, AND I AM JOINED
TODAY BY MICHELLE RIVAS AS WELL
AS CLINT HOPKINS, OWNER OF
POOCHES PHARMACY. PLEASE GO
AHEAD. THANK YOU, MR CHAIR
COMMITTEE. IF WE LEARNED
ANYTHING FROM THE PANDEMIC, IT
IS THAT OUR HEALTHCARE SYSTEM IS
FRAGILE. PROVIDERS AND
FACILITIES WERE STRETCHED BEYOND
CAPACITY. PHARMACISTS HAVE THE
AUTHORITY TO HELP PHYSICIANS
MANAGE PATIENTS, CHRONIC
ILLNESSES AND PROVIDE PREVENTIVE
CARE. HOWEVER HEALTH INSURANCE
COMPANIES HAVE NOT YET
RECOGNIZED THEM AS HEALTHCARE
PROVIDERS. THEREFORE, THEIR
ABILITY TO PROVIDE THESE
SERVICES IS LIMITED. BY TRADING
PHARMACISTS AS OTHER HEALTHCARE
PROVIDERS BE 3 17 WILL ENABLE
THEM TO PROVIDE AND BILL FOR
PATIENT CARE SERVICES. THIS WILL
INCREASE ACCESS TO CARE AND WE
RESPECTFULLY REQUEST YOUR I
VOTE. THANK YOU. THANK YOU, MR
CHAIR. I'M DR CLINT HOPKINS,
PHARMACIST AND CEO OF POOCHES
PHARMACY, WHICH HAS BEEN PART OF
THE SACRAMENTO COMMUNITY SINCE
1930. MY PHARMACY HAS BEEN
FOCUSED ON THE HEALTH AND
WELLNESS OF SACRAMENTO COUNTY
RESIDENTS FOR OVER 93 YEARS WE
KNOW OUR PATIENTS AND OUR FAMILY
MEMBERS BY NAME, MANY OF WHOM
WORK IN THESE GOVERNMENT
BUILDINGS AND CAN SPEAK TRUTH TO
THE CHALLENGES IN ACCESSING
HEALTHCARE AND THEIR OWN
COMMUNITIES. COMMUNITY
PHARMACISTS, PHARMACISTS
CONTINUE TO BE THE MOST
ACCESSIBLE HEALTHCARE PROVIDER.
88.9% OF AMERICANS LIVE WITHIN
FIVE MILES OF A PHARMACY. WE
HAVE MORE INTERACTIONS ON AN
ANNUAL BASIS WITH PATIENTS THAN
ANY OTHER PROVIDER. CALIFORNIA
HAS MORE THAN 6243 COMMUNITY
PHARMACIES WHERE PATIENTS
INTERACT WITH THEIR PHARMACIST
DAILY. CALIFORNIA IS FACING A
HEALTH CARE PROVIDER SHORTAGES
OR I'M SORRY CALIFORNIA IS
FACING HEALTH, HEALTH CARE
PROVIDERS, SHORTAGES AND
PHARMACISTS ARE HIGHLY EDUCATED
HEALTHCARE PROFESSIONALS WHO ARE
POSITIONED TO RELIEVE THE STRAIN
ON OUR HEALTH CARE SYSTEM.
COMMUNITY PHARMACIES EXISTS IN
BOTH URBAN AND RURAL AREAS
THROUGHOUT OUR STATE AND PROVIDE
SERVICES TO ALL DEMOGRAPHICS,
AGES, RACES, RACES AND
ETHNICITIES. DURING INTERACTIONS
IN THE COMMUNITIES IN WHICH WE
EXIST. PHARMACISTS CAN IDENTIFY
ACUTE PATIENT ILLNESSES AS WELL
AS NEEDS RELATED TO THE
PATIENT'S EXISTING HEALTH
CONDITIONS, WHICH CAN BE
ADDRESSED AND RESOLVED BY THE
PHARMACIST DURING THE PATIENT'S
ROUTINE VISIT. PHARMACISTS WERE
GIVEN AUTHORITY TO INDEPENDENTLY
ORDER AND INTERPRET TESTS AND TO
INITIATE AND PROVIDE SPECIFIC
MEDICATIONS UNDER SB 4 93.
SIGNED INTO LAW BY GOVERNOR
BROWN IN 2013. WE COLLABORATE
WITH PHYSICIANS IN OUR
COMMUNITIES TO KEEP THEM ABREAST
OF THE TESTING PERFORMED.
RESULTS IN THERAPY IS INITIATED,
MODIFIED OR DISCONTINUED. WHILE
SB 4 93 PROPELLED CALIFORNIA'S
PHARMACISTS TO PROVIDE HER
STATUS, IT DID NOT ADEQUATELY
ADDRESS THE MATTER OF PAYMENT
FOR THESE SERVICES. DUE TO THIS
LACK OF PAYMENT. MOST
PHARMACIES, INCLUDING BOTH
LOCALLY OWNED SMALL BUSINESSES,
LIKE MINE AND LARGE CHAIN,
PHARMACIES, HAVE NOT IMPLEMENTED
PROGRAMS TO PROVIDE CALIFORNIANS
WITH THE GREATER ACCESS TO
SERVICES WHICH WAS INTENDED BY
US BEFORE 93. NO PROVIDER CAN
AFFORD TO WORK FOR FREE OR
PROVIDE TESTING WITHOUT
REIMBURSEMENT, AND MOST PATIENTS
ARE UNWILLING OR UNABLE TO
PROVIDE FOR THESE SERVICES OUT
OF POCKET, NOR SHOULD THEY HAVE
TO. THEY PAY FOR THEIR HEALTH
CARE BENEFITS, AND THEY SHOULD
BE ABLE TO UTILIZE THEM EVEN IN
THEIR COMMUNITY PHARMACY.
EXPANDING ACCESS DOES NOT
INCREASED COST. IT PREVENTS
PATIENTS FROM SUFFERING
CONTINUED ILLNESS RETURNS THEM
TO HEALTH, PREVENTING FURTHER
SPREAD OF ILLNESS AND PREVENTS
MORE COSTLY SEQUELAE, INCLUDING
HOSPITAL ADMISSION, MORBIDITY
AND MORTALITY. NOW IS THE TIME
TO STRENGTHEN CALIFORNIA'S
POSITION ON EXPANDING HEALTH
CARE ACCESS TO ALL PERSONS BY
AFFORDING PHARMACISTS THE
RECOGNITION TO BUILD COMMERCIAL
HEALTH PLANS FOR PATIENT CARE
THAT THEY ARE ALREADY AUTHORIZED
BY STATUTE TO PROVIDE COMMERCIAL
HEALTH INSURANCE PLANS ARE NOT
GOING TO DO THIS ON THEIR OWN,
BECAUSE IT IS THE RIGHT THING TO
DO. OR THEY ALREADY WOULD HAVE
DONE IT. WE MUST LEGISLATE THEM
TO RECOGNIZE PHARMACISTS IN THE
SAME WAY THEY RECOGNIZE OTHER
PROVIDERS SUCH AS PHYSICIANS,
NURSE PRACTITIONERS AND
PHYSICIAN ASSISTANCE. I REQUEST
. I RESPECTFULLY REQUEST YOUR
SUPPORT FOR THIS IMPORTANT
HEALTHCARE ACCESS BILL. THANK
YOU. THANK YOU VERY MUCH OTHERS
IN SUPPORT. WHAT'S YOUR NAME AND
ORGANIZATION, PLEASE? SUCH SHORT
ON BEHALF OF LOMA LINDA
UNIVERSITY HEALTH AND SUPPORT.
RYAN ELAINE, ON BEHALF OF THE
CALIFORNIA COMMUNITY PHARMACY,
COALITION AND SUPPORT THANK YOU.
ALEX CON CALIFORNIA CHRONIC CARE
COALITION AND STRONG SUPPORT.
THANK YOU. THEIR OPPOSITION TO
THE BILL. COME ON UP. THANK YOU,
MR CHAIR MEMBERS JET HAMPTON
WITH CALIFORNIA ASSOCIATION OF
HEALTH PLANS. WE CURRENTLY DO
NOT HAVE A POSITION ON 83 17. WE
DO HAVE SOME CLARIFYING
QUESTIONS THAT WE ARE WORKING
WITH THE AUTHOR'S OFFICE AND THE
SPONSORS ON TO GET SOME MORE
CLARITY AROUND OPERATIONAL
IMPLEMENTATION ISSUES. SO WE
LOOK FORWARD TO HAVING THOSE
CONVERSATIONS ARE CONTINUING
THOSE CONVERSATIONS WITH THE
AUTHOR'S OFFICE IN THE SPONSORS
AND MOVING FORWARD. THANK YOU
VERY MUCH. WE'RE BRINGING BACK
TO THE COMMITTEE FOR QUESTIONS
OR COMMENTS, MR PATTERSON. THANK
YOU JUST HAVE A QUESTION ABOUT
HOW THIS WOULD WORK. IF A
PHARMACIST YOU KNOW, THEIR
CHARGE IS MORE THAN MAYBE
WHATEVER IS IN THE CONTRACTED
HEALTH PLAN. WHAT IS WHAT IS THE
HEALTH PLAN HAVE TO PAY FOR AH,
A PARTICULAR SERVICE. SO WE IN
CALIFORNIA HAVE ALREADY GIVEN
PHARMACISTS THE AUTHORITY TO DO
MORE THAN JUST DISPENSE DRUGS.
SO YOU YOURSELF MAY HAVE GONE TO
A PHARMACIST AND YOU GOT YOUR
FLU SHOT OR YOUR COVID SHOT. OR
UM, YOU HAVE A MEDICATION THAT
IS NEW WHEN YOU'RE HAVING TO GO
THROUGH EXTENSIVE COUNSELING FOR
THAT ALL OF THAT IT'S TIME THAT
THE PHARMACIST IS HAVING TO
PROVIDE, JUST LIKE YOUR
PHYSICIAN OR YOUR NURSE
PRACTITIONER WOULD PROVIDE IF
YOU DID IT IN A CLINIC. AND SO
WHAT THEY'RE ASKING FOR AND WHAT
THEY SHOULD BE GETTING AS
REIMBURSEMENT FOR THEIR SERVICES
. YOU GET PAID FOR YOUR TIME AS
THEY SHOULD AS WELL. YES THANK
YOU. UM YOU KNOW, BECAUSE WHEN
ALL THE. YOU KNOW, LIKE I LOOK
AT MY HEALTH BILLS RIGHT? AND
LET'S SAY I GET A SERVICE THAT
COSTS $200. BUT THE PLAN ONLY
PAY YOU KNOW THE CONTRACTUAL
AGREEMENT IS $100. BUT LET'S
SAY, YOU KNOW, PARTICULAR
PHARMACISTS CHARGES, YOU KNOW
THEY WANT THE $200 NOT THE $100
. HOW DOES THAT GET IRONED OUT?
WITH THIS BILL. SO THAT WOULD BE
IRON OUT THE SAME WAY THAT YOUR
HEALTH PLANS HAVE UNDER DOUBT
WITH THE PHYSICIANS THAT YOU SEE
OR YOUR DENTAL PLANS GET IRONED
OUT BY THE DENTIST THAT YOU SEE
THEY WOULD IRON ALL OF THAT OUT
. SO THIS WOULD BE NO DIFFERENT
THAN YOUR MEDICAL PLAN OR YOUR
DENTAL PLAN. THE ONLY DIFFERENCE
IS THAT NOW YOUR PHARMACIST
WOULD GET COVERED FOR THEIR
SERVICES THAT THEY'RE PROVIDING
YOU AS WELL. THANKS. ANY OTHER
QUESTIONS. JUST, UH I'M SORRY. I
DIDN'T SEE. OKAY, OKAY. I SAW
YOU LOOKING. I THOUGHT MAYBE I
MISSED SOMETHING THERE. DOCTOR.
WEBER SAW, UM SO NO APPRECIATE
ONCE A THANK YOU, AND I
APPRECIATE YOU BRINGING THIS
BEFORE. WORD. UM I AGREE
COMPLETELY WITH YOU. I THINK IF
YOU'RE PROVIDING THE SERVICE,
YOU DESERVE TO BE COMPENSATED
FOR IT. UM AND, UM AND I ALSO
RECOGNIZE THAT IF YOU'RE NOT
GOING TO BE COMPENSATED FOR THE
SERVICE, YOU'RE NOT LIKELY TO
PROVIDE IT. UH SO YOU THERE IS A
HUGE DISSERVICE TO PATIENTS WHO
COULD WHO COULD BENEFIT FROM
THAT? UM WE'RE SEEING I THINK
MORE AND MORE. IT'S AS WE HAVE
CHALLENGES WITH PROVIDERS.
PROVIDERS KNOW THAT PHARMACISTS
CAN PROVIDE CERTAIN SERVICES,
AND SO THEY'RE OFTEN
RECOMMENDING THAT THEIR PATIENTS
GET A FLU SHOT THERE IF THEY IF
THAT'S EASIER FOR THEM TO DO OR
SOME OTHER VACCINATION, IF
THAT'S EASIER FOR THEM TO DO UM
, AND USE A PHARMACIST OR TAKING
TIME. DOING SOMETHING THAT YOU
DON'T DO 100% OF THE TIME. IT
TAKES A LITTLE BIT LONGER,
SOMETIMES TO DO THAT, BECAUSE
YOU DON'T DO IT ON A REGULAR
BASIS. YOU DESERVE TO BE
COMPENSATED FOR THAT. SO UM, I'M
I'M GLAD YOU BROUGHT THIS BILL
FORWARD. UM MORE THAN HAPPY TO
SUPPORT IT. LOVE BE ADDED AS A
CO AUTHOR, IF YOU'LL IF YOU'LL
ALLOW ME AND, UM I HOPE IT
PASSES. I THINK IT'S I THINK
IT'S WAY OVERDUE. SO DR WEBBER,
WOULD YOU LIKE TO CLOSE YES.
THANK YOU. CHAIR AND COMMITTEE.
UM, I THINK YOU YOU CLOSED OFF
VERY WELL FOR ME. UM WITH THIS
PARTICULAR BILL, WE HAVE ASKED
PHARMACISTS TO DO MORE. UM, AND
YET WE ARE NOT PAYING THEM TO DO
MORE. WE NOT ONLY HAVE ASKED
THEM TO HELP WITH OUR VACCINES
IN MY SCOPE OF PRACTICE AND O B
G Y N. WE'RE NOW ALLOWING THEM
TO DO THINGS IN THE WORLD OF
CONTRACEPTION. UM I KNOW HOW
MUCH TIME IT TAKES TO COUNSEL
SOMEONE WHEN THEY'RE STARTING ON
A BIRTH CONTROL PILL, AND I AM
COMPENSATED FOR THAT. AND SO IF
A PHARMACIST IS GOING TO START
DOING THAT HE OR SHE SHOULD BE
COMPENSATED FOR THAT AS WELL.
AND ON THAT NOTE, I WOULD LIKE I
WOULD RESPECTFULLY ASK FOR AN I
VOTE ON A B 3 17. THANK YOU, DR
WEBBER. WE HAVE EMOTION FROM
MISS AGUILAR CURRY, A SECOND BY
MR RODRIGUEZ. EMOTION IS DO PASS
TO APPROPRIATIONS. MADAM
SECRETARY, PLEASE CALL THE ROLL.
WOULD WOULD I? WALDRON WALDRON,
I CURRY CURRY. I ARAMBULA
ARAMBULA. I WANNA HORVATH.
BOERNER HORVATH CARILLO. FLORA.
FLORA I, VINCE FONG. MAIENSCHEIN
MCCARTHY, JOE PATTERSON. JOE
PATTERSON. I RODRIGUEZ RODRIGUEZ
I SANTIAGO VALLAPUDUA WEBER.
WEBER. AYE. THANK YOU. YOUR BILL
HAS NINE VOTES. IT'S OUT, WILL
ALLOW OTHERS TO ADD ON WHEN THE
TIME COMES SO AH! MAYBE. ALL
RIGHT, MR BERMAN. WILL ALLOW YOU
SINCE TIME IS TICKING. MR
BERMAN, YOU HAVE A B 9 48.
EMOTION BY MR FLORES, SECOND BY
MS WALDRON. YOU FOR YOUR
PATIENCE, MR CHAIR. UH AND I
KNOW. CURRENTLY PARTISAN, BUT I
ASSUME SOON TO BE BIPARTISAN
SUPPORT FOR THE BILL, SO I'LL BE
VERY QUICK. SINCE 2017
CALIFORNIANS HAVE BEEN PROTECTED
FROM RISING PRESCRIPTION DRUG
COSTS WITH A $250 COPAY CAMP FOR
A 30 DAY SUPPLY OF MEDICATION,
BUT THAT CONSUMER PROTECTION IS
SET TO EXPIRE NEXT YEAR. MAYBE 9
48 WOULD MAKE THE EXISTING COPAY
CAP PERMANENT BEFORE THIS
CONSUMER PROTECTION WAS SIGNED
INTO LAW. CALIFORNIANS WAS
SERIOUS AND CHRONIC CONDITIONS
WERE PARTICULARLY VULNERABLE TO
HIGH OUT OF POCKET COSTS, WHICH
WERE OFTEN THOUSANDS OF DOLLARS
. PLEASE JOIN ME IN SUPPORTING
89 48 TO ENSURE THAT
CALIFORNIANS CAN ACCESS THE
MEDICATION THAT THEY NEED AND
FOCUS ON THEIR HEALTH, NOT
WHETHER THEY CAN AFFORD THEIR
PRESCRIPTION RESPECTFULLY ASKED
FOR AN I VOTE, AND I'M JOINED BY
MARGUERITE CASILLAS, VOLUNTEER
WITH THE NATIONAL MULTIPLE
SCLEROSIS SOCIETY, AND KATIE VAN
DINES POLICY AND LEGISLATIVE
ADVOCATE WITH HEALTH ACCESS,
CALIFORNIA OKAY, PLEASE GO
AHEAD. HI CHAIRMAN WOULD
COMMITTEE MEMBERS. MY NAME IS
MARGUERITE CASILLAS. I AM A
VOLUNTEER WITH THE NATIONAL
MULTIPLE SCLEROSIS SOCIETY. AND
I HAVE BEEN LIVING WITH M S
SINCE 2003 WITH M S. IT'S
CRITICAL TO START MEDICATION AS
EARLY AS POSSIBLE AND TO TAKE IT
CONSISTENTLY. MÁS MEDICATIONS
ARE EXPENSIVE, BUT THEY ARE
POWERFUL. THEY HELP TO REDUCE
RELAPSES AND TO DELAY THE
PROGRESSION OF DISABILITY.
BEFORE THE COPAY CAP. MANY
PEOPLE WERE FORCED TO PAY THEIR
ENTIRE ANNUAL OUT OF POCKET
MAXIMUM IN THE VERY FIRST MONTH
OF THE YEAR, WHICH IS THOUSANDS
OF DOLLARS BEFORE INSURANCE
WOULD COVER ANY OF THE COST.
THAT'S A SIGNIFICANT COSTS FOR
MOST PEOPLE AND OUT OF REACH FOR
MANY. WITHOUT A COPAY CAP,
PEOPLE MAY SKIP OR DELAY TAKING
THEIR MEDICATION. IN A RECENT
NATIONAL SURVEY BY THE M S
SOCIETY, 40% OF PEOPLE WITH MS
REPORTED THAT THEY HAD ALTERED
THEIR USE OF THEIR MEDICATION
DUE TO COST EITHER DELAYING OR
SKIPPING TREATMENT. AND THIS CAN
LEAD TO PROGRESSION OF
DISABILITY AND ULTIMATELY, THE
INABILITY TO WORK. PEOPLE WITH M
S AND OTHER CHRONIC CONDITIONS
DEPEND ON THE COPAY CAP TO KEEP
THEIR COST OF REASONABLE SO THAT
THEY CAN AFFORD THEIR
MEDICATIONS AND STAY HEALTHY. 89
48 WILL GIVE THOSE OF US WITH
SERIOUS ILLNESSES. PEACE OF MIND
WHEN IT COMES TO PAYING FOR OUR
ESSENTIAL MEDICATIONS. THANK
YOU. THANK YOU. PLEASE GO AHEAD.
NOPE. GOOD AFTERNOON, MR
CHAIRMAN MEMBERS. I'M KATIE VAN
DINES POLICY AND LEGISLATIVE
ADVOCATE WITH HEALTH ACCESS
CALIFORNIA, THE SPONSOR OF HB 9
48. HOW TO ACCESS CALIFORNIA
SPONSORED 83 39 BY
ASSEMBLYMEMBER'S, WHICH GORDON
BACK IN 2015 THAT SET THE $250
COPAY CAP OR A 30 DAY
PRESCRIPTION AND CREATE
ESTABLISHED THE STANDARDS FOUR
TIERS WITHIN THE DRUG FORMULARY
, AMONG OTHER IMPORTANT CONSUMER
PROTECTIONS. AS WE JUST HEARD
FROM MS CASILLAS BEFORE A B 339
CONSUMERS THAT COULD PAY UP TO
THE $6000 THAT OUT OF POCKET
MAXIMUM FOR A SINGLE
PRESCRIPTION IN JANUARY. WITH
THIS COPAY CAP. UM WE'VE SEEN
OVER THESE YEARS THAT THIS HELPS
CONSUMERS KEEP THEIR
PRESCRIPTION DRUG COSTS
AFFORDABLE AND WITH PRICES GOING
UP, WE'VE SEEN MORE AND MORE
CONSUMERS HITTING THAT $250 CAP
, MEANING THAT MORE CONSUMERS
ARE RELYING ON THIS CONSUMER
PROTECTION TO KEEP THEIR COSTS
DOWN. I RESPECTFULLY ASK FOR
IPHONE, MAYBE 9 48 TO MAKE THESE
IMPORTANT CONSUMER PROTECTIONS
PERMANENT. THANK YOU. THANK YOU
VERY MUCH OTHERS IN SUPPORT OF
THE BILL. JUST YOUR NAME AND
ORGANIZATION. IF YOU REPRESENT
ONE, PLEASE, MR. CHAIR MEMBERS
OF THE COMMITTEE BRANDON MARCHI
WITH THE CALIFORNIA MEDICAL
ASSOCIATION AND SUPPORT GOOD
AFTERNOON, LINDA WAY WITH
WESTERN SENT ONLINE POVERTY IN
SUPPORT. CHAIR MEMBERS, TIM
MADDEN, REPRESENTING THE
CALIFORNIA SOCIETY OF PLASTIC
SURGEONS, THE CALIFORNIA SHOP
WITH AMERICAN COLLEGE OF
CARDIOLOGY AND THE CALIFORNIA
RHEUMATOLOGY ALLIANCE IN SPORT.
THANK YOU. GOOD AFTERNOON,
REBECCA MARCUS ON BEHALF OF
CALIPER AGAINST SUPPORT. THANK
YOU. JESSICA HEY WITH THE
CALIFORNIA SCHOOL EMPLOYEES
ASSOCIATION AND SUPPORT THANK
YOU. ALEX CON WITH THE
CALIFORNIA CHRONIC CARE
COALITION AND SUPPORT THANK YOU.
GOOD AFTERNOON, JAMES MICHAEL
PAULA, WITH THE AMERICAN
FEDERATION OF STATE, COUNTY AND
MUNICIPAL EMPLOYEES AND SHRUNK
SUPPORT. THANK YOU. THANK YOU.
BRIAN SPENCER IN BATH FOR THE
CROHN'S AND COLITIS FOUNDATION
AND SUPPORT. THANK YOU. ANYONE
ELSE? I WAS GONNA SAY WITH THAT
. I THOUGHT I SAW SOMEONE MAKING
A BEELINE FOR THAT MICROPHONE
THERE, BUT APPARENTLY NOT. AH IS
THERE OPPOSITION TO THE BILL? I
SEE. NONE WILL BRING IT BACK TO
THE COMMITTEE FOR QUESTIONS OR
COMMENTS ANY QUESTIONS OR
COMMENTS WE HAVE A MOTION BY MR
FLORA SECOND BY MS WALDRON. UM
APPRECIATE YOU BRING THE BILL
FOR IT, AND THAT'S ACTUALLY
REFRESHING TO HEAR THE NAME RICH
GORDON WHO REMEMBER WHEN THIS
BILL CAME FORWARD AND WAS HAPPY
TO SUPPORT IT THEN SO, UM, WITH
THAT, WOULD YOU LIKE TO CLOSE MR
BERMAN? ANY BILL THAT WAS
INITIALLY AUTHORED BY THE
OFFICIANT OF MY WEDDING IS A IS
A GOOD BILL. GOOD MAN. THANK
YOU. WAS THAT YOUR CLOTHES?
OKAY. ALRIGHT, THEN. YEAH. ADAM
MOTION IS DUE PAST TWO
APPROPRIATIONS. MADAM SECRETARY
. PLEASE CALL THE ROLL. WOULD
WOULD I? WALDRON WALDRON, IAGAR
CURRY CURRY. I ARAMBULA ARAMBULA
I BORN IN HARVARD. CARILLO.
LARA. OR IVAN SPHANG.
MAIENSCHEIN MCCARTHY, PATTERSON.
PATERSON IRODRIGUEZ. RODRIGUEZ I
SANTIAGO DE VALLAPUDUA WEBER.
HOWEVER, I. 80 YOUR BILL IS OUT.
WE'LL LEAVE THE ROLE OPEN FOR
OTHERS TO ADD ON. MR GABRIEL.
NO APPARENT. I KNOW. I KNOW IT'S
. WHENEVER YOU'RE READY, SIR.
THANK YOU VERY MUCH. MR CHAIRMAN
MEMBERS. I AM PLEASED TODAY TO
PRESENT A B 29, WHICH WILL
CREATE THE CALIFORNIA VOLUNTARY
DO NOT SELL LIST. THIS BILL
PROVIDES THOSE BATTLING SUICIDAL
IDEATION AND STRUGGLING WITH
MENTAL ILLNESS OPTION TO PROTECT
THEMSELVES BY TEMPORARY LIVING,
LIMITING THEIR ABILITY TO
PURCHASE FIREARMS DURING A TIME
OF CRISIS. THERE IS STRONG
EVIDENCE THAT SHOWS THAT ACCESS
TO FIREARMS INCREASES YOUR RISK
OF SUICIDE. INDEED, SUICIDES
MAKE UP OVER HALF OF FIREARM
DEATHS IN CALIFORNIA, AND MORE
THAN ONE THIRD OF ALL SUICIDES
IN CALIFORNIA ARE BY FIREARM.
THIS DECISION IS PREVENTABLE.
STUDIES HAVE FOUND THAT
INDIVIDUALS, ESPECIALLY THOSE
DIAGNOSED WITH MENTAL HEALTH
ISSUES, ARE WILLING TO ADD THEIR
NAME TO DO NOT SELL LIST IF THEY
HAVE AN OPTION. INDEED VOLUNTARY
. DO NOT SELL THIS HAVE BEEN
SUCCESSFULLY PASS AND ARE NOW
OPERATING IN VIRGINIA,
WASHINGTON STATE AND UTAH.
COMPARABLY COMPREHENSIVELY
ADDRESSING THE GUN VIOLENCE
EPIDEMIC IN OUR COUNTRY MEANS
ENDING GUNS WHOSE SIDES TOO A B
29 WILL HELP RESOLVE THIS
CRITICAL PUBLIC HEALTH ISSUE
THAT HAS ALREADY TAKEN THE LIVES
OF FAR TOO MANY. THIS BILL
SUPPORTED BY COALITION OF GUN
VIOLENCE, AND PUBLIC HEALTH
ORGANIZATIONS, INCLUDING MOMS
DEMAND ACTION, EVERY TOWN FOR
GUN SAFETY AND THE BRADY
CAMPAIGN. AND WITH ME TODAY TO
TESTIFY AND SUPPORT IS PAUL
YODER ON BEHALF OF OUR SPONSOR,
THE CALIFORNIA STATE ASSOCIATION
OF PSYCHIATRISTS. THANK YOU AND
RESPECTFULLY REQUEST YOUR I
VOTE. THANK YOU VERY MUCH.
PLEASE GO AHEAD, MR CHAIRMAN AND
MEMBERS POLIO TO ON BEHALF OF
THE CALIFORNIA STATE ASSOCIATION
OF PSYCHIATRIST SPONSOR OF THE
BILL, KEEP IT SHORT. THIS BILL
WILL IN FACT, SAVE LIVES, NOT
JUST PEOPLE WHO MIGHT KILL
THEMSELVES PEOPLE WHO MIGHT KILL
OTHERS BEFORE THEY KILL KILL
THEMSELVES. THERE'S A LOT OF
PROCESS IN THE BILL. YOU CAN NOT
ONLY GET ON THE LIST YOU CAN GET
OFF THE LIST, AND THERE'S A VERY
CLEAR PROCESS FOR THAT. WE DO
HAVE A COOLING OFF PERIOD IN
CALIFORNIA. BUT SEE, CEP STILL
BELIEVES THAT THIS BILL
ABSOLUTELY WILL SAVE LIVES.
APPRECIATE THE ANALYSIS BY YOUR
CONSULTANT INCREDIBLY THOROUGH,
APPRECIATE ALL THE STATISTICS
THAT WERE LISTED AS FOR AND I
VOTE HAPPY TO ANSWER ANY
QUESTIONS. THANK YOU VERY MUCH
OTHERS IN SUPPORT. LARA GAMBO
EASTMAN WITH THE STEINBERG IS
TUNED SUPPORT. THANK YOU. BACK
TO MARCUS ON BEHALF OF THE BRADY
CAMPAIGN AND SUPPORT. DANNY
OFFER WITH EVERY TIME FOR GUN
SAFETY AND SUPPORT. THANK YOU.
THEIR OPPOSITION TO THE BILL.
SEEING NONE. BILL COMMITTEE FOR
QUESTIONS OR COMMENTS. WE HAVE A
MOTION BY MISS A GEAR CURIOUS
SECOND BY MS BOERNER HORVATH.
THE QUESTIONS ARE COMING, DR
WEBBER. GOOD AFTERNOON. UM, THIS
IS A MUCH NEEDED BILL. THE
ESPECIALLY, I'M LOOKING AT THE
HEALTH COMPONENT SINCE WE'RE IN
THE HEALTH COMMITTEE, BUT BEING
ABLE TO PROVIDE THIS INFORMATION
TO PATIENTS WHEN THEY ARE
IMPATIENT ON THE RIGHT
MEDICATIONS IN THE RIGHT STATE
OF MIND, GIVING THEM THE
OPPORTUNITY AT THAT. TIME IS SO
CRITICAL. UM THIS BILL IS
DEFINITELY NEEDED, AND I WOULD
REALLY APPRECIATE IT. IF YOU
ADDED ME AS A CO AUTHOR. I WOULD
BE HONORED TO DO SO. THANK YOU.
ASSEMBLYMEMBER'S MR RODRIGUEZ
QUESTION. QUESTION THANK THE
AUTHOR FOR BRINGING THIS BILL
FORWARD. IT'S NOT A QUESTION
REGARDING PROTECTIONS. WHAT ARE
PROTECTIONS IN THERE THAT
SOMEBODY CAN JUST PUT SOMEBODY'S
NAME ON THERE? BECAUSE I KNOW
YOU'RE RESIDENTS YOUR DATE OF
BIRTH THAT THERE'S PROTECTIONS
THAT'S ONLY THEIR INTENDED FOR
THAT PERSON. ONLY YEAH, THANK
YOU. IT'S A IT'S A GREAT
QUESTION, AND THAT'S SOMETHING
THAT WE WORKED WITH ON THE
PUBLIC SAFETY COMMITTEE ON TO
MAKE SURE THAT THERE WOULD BE
APPROPRIATE PROTECTIONS. THEY'RE
BOTH FOR PEOPLE TO MAKE SURE
THAT, UM FOLKS COULD BE ADDED TO
LIST BUT ALSO COULD BE TAKEN OFF
AND MAKE SURE THAT THAT WAS, UM
YOU KNOW THAT THERE WOULD BE A
SYSTEM THAT WAS ESTABLISHED.
WE'VE HAD CONVERSATIONS WITH THE
ATTORNEY GENERAL'S OFFICE ABOUT
THAT. OBVIOUSLY THERE'S A PUBLIC
SAFETY COMPONENT, BUT ALSO DUE
PROCESS COMPONENT TO DOING THAT.
YOU WANT TO MAKE SURE THAT WE
DID THAT IN THE RIGHT WAY. MR
FLORA, JUST A FAULT. THANK YOU
FOR BRINGING US I'D LIKE TO
BUILD, BUT WHAT IS THE PROCEDURE
TO GET OFF THE LIST? UH SO THE
IDEA HERE THAT WE'VE NEGOTIATED
WITH FOLKS IS THAT BASICALLY,
YOU CAN, UM YOU CAN. YOU CAN
REQUEST AT ANY POINT TO BE
REMOVED FROM THE LIST. UH
THERE'S A PERIOD OF TIME THAT IT
TAKES TO PROCESS THAT, BUT THEN
YOU WILL BE REMOVED FROM THE
LIST. OKAY SO IT'S ALMOST AS
EASY TO GET OFF THE LIST AS IT
WAS TO GET ON IT. WITH EXCEPTION
OF THE TIMEFRAME, CORRECT,
CORRECT, AND THE IDEA HERE IS
THAT THIS IS AN ENTIRELY
VOLUNTARY THING, RIGHT? AND SO
THIS IS FOR SOMEBODY WHO MAY
WORRY THAT, UM, THEY KNOW,
BECAUSE MAYBE THEY HAVE A MENTAL
HEALTH DIAGNOSIS OR SOMETHING
ELSE THAT THEY'RE WORRIED ABOUT
HARMING THEMSELVES OR
POTENTIALLY HARMING OTHERS GIVEN
OPPORTUNITY, AS DR ROBERTS SAID,
FOR MEDICAL PROFESSIONALS,
FAMILY MEMBERS TO ENCOURAGE
FOLKS TO PUT THEMSELVES ON THE
LIST. BUT ULTIMATELY IT'S AN
ENTIRELY VOLUNTARY THING, AND
THAT'S WHY YOU'VE SEEN IT DONE
IN RED AND BLUE STATES. VERY
MUCH ANYONE ELSE. PATERSON SEEN
THIS? UH YOU KNOW, THIS KIND OF
METHOD IS USED IN, UH, THE
GAMBLING WORLD OR PROBLEM
GAMBLING AND YOU KNOW, IT'S BEEN
PRETTY SUCCESSFUL AT STOPPING
PEOPLE WITH GAMBLING ADDICTION
FROM, UH, YOU KNOW, GAMBLING. SO
UM, YOU KNOW, I THINK IT'S A
VERY INTERESTING BILL. I DO
HAVE, UH, YOU KNOW, IT'S JUST
SOME CONCERNS ABOUT IF, UH, YOU
KNOW JUST HOW THIS. OBVIOUSLY
BUREAUCRACY WILL HANDLE THIS AND
IF SOMEBODY ACCIDENTALLY SELLS A
FIREARM WHEN THEY SHOULDN'T, BUT
I THINK I LIKE WHERE THIS HAS
GONE, SO THANK YOU FOR BRINGING
IT. THANK YOU ANYONE ELSE? I
LIKE TO BUILD UP. I'M JURORS
ENJOYS THE DO PASS
RECOMMENDATION. I'D LIKE TO BE
ADDED AS A CO AUTHOR. IF YOU'D
HAVE ME AT SOME POINT, AND WOULD
YOU LIKE TO CLOSE WE DO HAVE
EMOTION. NANOSECOND THANK YOU,
DOCTOR WOULD WOULD BE HONORED TO
HAVE YOU AS A CO AUTHOR AS WELL,
JUST TO SAY TO, UM DR WEBBER'S
POINT. PART OF THIS IS WE'VE
OFTEN THOUGHT ABOUT GUN VIOLENCE
AS A PUBLIC SAFETY ISSUE, BUT IT
IS ALSO CHANGING THE FRAME A
LITTLE BIT TO THINK ABOUT IT AS
A PUBLIC HEALTH CRISIS AND
SUICIDE IS OBVIOUSLY SUCH A BIG
PART OF THE PUBLIC HEALTH. UH
THE GUN VIOLENCE TEST WE HAVE
HERE IN THE STATE OF CALIFORNIA.
WE THINK WE'VE COME UP WITH A
GOOD AND THOUGHTFUL, VOLUNTARY
WAY TO GET AT THAT AND SAVE
LIVES. AND SO WITH THAT WOULD
RESPECTFULLY REQUEST AND I VOTE.
THANK YOU VERY MUCH. I BELIEVE
THE MOTION WAS BY MISS AGUILAR,
CURRENT SECOND BY MS TOSH
BOERNER HORVATH. IS THAT
CORRECT? OKAY. ALL RIGHT. JUST I
JUST MOMENTARILY LOST. I USED TO
WRITE IT DOWN. SO MOTION IS DO
PASS THROUGH APPROPRIATIONS.
MADAM SECRETARY, PLEASE CALL THE
ROLL. WOULD I? WALDRON NIAGARA
CURRY. ARAMBULA. ARAMBULA. I'M
BOERNER HORVATH.
BOERNER HORVATH. AYE, CARILLO.
FLORA LARA. I'VE BEEN SPONG.
VINCE VAUGHN, NOT VOTING.
MAIENSCHEIN MCCARTHY, JOE
PATTERSON. PATERSON. I RODRIGUEZ
RODRIGUEZ I SANTIAGO VALLAPUDUA.
HOWEVER. WHOEVER I. YOUR BILL
HAS EIGHT VOTES. IT'S OUT WILL
LEAVE THE ROLE OPEN FOR OTHERS
THAT ON THANK YOU.
MR LIKE IT. OKAY MR LACKEY. ARE
YOU PREPARED TO AH PRESENT. A B
1202.
GOOD AFTERNOON AND THANK YOU FOR
THIS OPPORTUNITY TO, UH PRESENT
A B 12 02. I WANT TO THANK THE
COMMITTEE FOR THEIR WORK AND
ESPECIALLY ON THE SUGGESTED
AMENDMENTS, WHICH WE WILL BE
ACCEPTING. UM IN 2022, THE STATE
AUDITOR'S OFFICE FOUND THAT THE
DEPARTMENT OF HEALTH CARE
SERVICES OR D, H. C S HAS NOT
TAKEN SUFFICIENT STEPS TO ENSURE
THAT CHILDREN AND NEW EXPECTING
PARENTS ENROLLED IN MEDICAL IN
THEIR MANAGED CARE PLANS WERE
RECEIVING SUFFICIENT ACCESS TO
PREVENTIVE CARE AND MEDICAL
SERVICES. IN THE REPORT. THE CAL
STATE AUDITOR FOUND THAT D HCS
IS PROVIDING LESS THAN HALF OF
THE CHILDREN ON MEDICAL WITH
PREVENTION SERVICES, WHICH MEANS
AN AVERAGE OF 2.9 MILLION
CHILDREN ARE MISSING SOME OF
THESE ESSENTIAL SERVICES DURING
PARTICULARLY CRUCIAL
DEVELOPMENTAL PERIODS IN THEIR
LIVES. THERE ARE A NUMBER OF
FACTORS IDENTIFIED AS TO WHY
WE'RE LETTING OUR CHILDREN DOWN,
INCLUDING A LACK OF OUTREACH BY
DHC S TO MAKE FAMILIES AWARE OF
THE SERVICES AVAILABLE TO THEM
AS MEDICAL BENEFICIARIES. AS
WELL AS PROBLEMS WITH AN
INSUFFICIENT AMOUNT OF PROVIDERS
GEOGRAPHICALLY. TO ENSURE THAT
MEDICAL MANAGED CARE PLAN
BENEFICIARIES ARE ABLE TO
RECEIVE CARE FROM A PRIMARY CARE
PROVIDER WHO HAS REASONABLY
CLOSE BY BIG PROBLEM IN MY
DISTRICT BECAUSE I HAVE A VERY
SPREAD OUT RURAL DESERT AREA.
TIME AND DISTANCE STANDARDS
TYPICALLY REQUIRE BENEFICIARY.
TRAVEL OF NO MORE THAN 10 OR 30
MINUTES TO A PRIMARY CARE
APPOINTMENT LOCATION. AT THESE
STANDARDS ARE NOT BEING MET BY A
MANAGED CARE PLAN PROVIDER
NETWORK AND EXCEPTION MUST BE
GRANTED BY DHC S AND REVIEWING
THIS PROCESS. THE STATE
AUDITOR'S REPORT FOUND THAT THC
S APPROVED NEARLY 10,500
EXCEPTIONS RELATED TO PEDIATRIC
SERVICES AND FISCAL YEAR 2021.
THIS BILL REQUIRED THE HCS TO
WORK WITH ITS MANAGED CARE PLANS
TO IDENTIFY THE NUMBER OF
PROVIDERS NEEDED TO ENSURE
ADEQUATE AND EQUITABLE ACCESS TO
MEDICAL SERVICES TO CONDUCT THIS
ANALYSIS, MANAGED CARE PLANS
WILL COLLECT AND PROVIDE DATA
DHC S AND WHAT SERVICES ARE
BEING RECEIVED BY MEDICAL
BENEFICIARIES AND WE'RE COVERAGE
GAPS EXIST ACROSS ACROSS
DIFFERENT AGE AND SOCIO ECONOMIC
GROUPS. THAT'S AN IMPORTANT STEP
FORWARD, EFFECTIVELY ADDRESSING
PROVIDERS SHORTAGES BY PROVIDING
NECESSARY INFORMATION AND DATA
IN ORDER TO MAKE STRATEGIC
INVESTMENTS IN THE FUTURE. I
HAVE ANDREA RIVIERA HERE WITH ME
ON BEHALF OF I'M SORRY, RIVERA,
NOT RIVIERA. RIVERA I APOLOGIZE
WITH ME TODAY ON BEHALF OF THE
CALIFORNIA PAN ETHNIC HEALTH
NETWORK TO PROVIDE TESTIMONY.
GOOD AFTERNOON SHARON MEMBERS
ANDREA RIVERA ON BEHALF OF THE
CALIFORNIA PEN ETHNIC HEALTH
NETWORK. I'D LIKE TO START OFF
BY STATING THAT SEA PEN IS
PLEASED TO SUPPORT A B 12 02 BY
ASSEMBLYMEMBER'S BLACKIE, WHICH
IS SPONSORED BY THE CHILDREN'S
PARTNERSHIP, WHO UNFORTUNATELY
COULD NOT BE HERE TODAY, SO I
WILL BE FOCUSING MY REMARKS ON
THE REASONS WHY SEA PEN SUPPORTS
THIS BILL. A B 12. OH, TWO WOULD
REQUIRE THE DEPARTMENT OF HEALTH
CARE SERVICES TO CONDUCT AN
ANALYSIS AND THIS ANALYSIS WOULD
HELP TO IDENTIFY THE NUMBER OF
MEDICAL PROVIDERS THAT ARE
NEEDED IN ORDER TO ENSURE
ADEQUATE ACCESS FOR CHILDREN'S
HEALTH CARE SERVICES. THIS
ANALYSIS WOULD BE COMPLETED
GROUP COMPLIANCE BY MEDICAL
MANAGED CARE PLANS. AND IT WOULD
TAKE INTO ACCOUNT TIME AND
DISTANCE STANDARDS AS WELL AS
APPOINTMENT TIME STANDARDS
ESTABLISHED UNDER EXISTING LAW.
CALIFORNIA IS HOME TO NEARLY
NINE MILLION CHILDREN AND OF
THOSE CHILDREN OVER HALF WHICH
IS APPROXIMATELY 5.5 MILLION
RECEIVED MEDICAL CARE THROUGH
MEDICAL IN 2019, THE CALIFORNIA
STATE AUDITOR DETERMINED THAT
MILLIONS OF CHILDREN DO NOT
RECEIVE ADEQUATE PREVENTATIVE
CARE AND SERVICES. WHICH THEY
ARE ENTITLED TO THROUGH MEDICAL
IN FACT, CALIFORNIA RANKS 40TH
AMONG ALL STATES AND PROVIDING
PREVENTATIVE HEALTH CARE
SERVICES TO CHILDREN. IN A
FOLLOW UP REPORT FROM THE STATE
AUDITOR LAST YEAR. IT WAS
DETERMINED THAT LESS THAN 50% OF
CHILDREN ENROLLED IN MEDICAL
HAVE RECEIVED THE WORK REQUIRED
PREVENTATIVE SERVICES THAT WOULD
HELP ENSURE THAT THEY LIVE
HEALTHIER AND MORE PRODUCTIVE
LIVES. WITH THE PASSAGE OF A B
12 OH, TWO, THE STATE WOULD BE
ABLE TO IDENTIFY WHERE MORE
MEDICAL PROVIDERS ARE NEEDED AND
REQUEST ADDITIONAL FUNDING FROM
THE LEGISLATURE SO THAT WE CAN
INCREASE THE NUMBER OF PROVIDERS
AND THOSE IDENTIFIED AREAS. AS
DETERMINED BY THE AUDITOR'S
REPORT. ONE KEY REASON THAT
CHILDREN DO NOT RECEIVE
PREVENTATIVE SERVICES AND MANY
PARTS OF THIS STATE IS DUE TO
THE LACK OF ACCESS OF PROVIDERS.
A B 12. OH TWO WOULD ENSURE THE
LEGISLATURE HAS A ROAD MAP AND
CAN PROPERLY IDENTIFY WHERE TO
FILL THOSE POTENTIAL INVESTMENTS
AND FULFILL THESE GAPS AND
COMMUNITIES AND NEED IT IS FOR
THESE REASONS THAT SEA PEN IS
PROUD TO SUPPORT A B 12. OH,
TWO. THANK YOU. THANK YOU. ARE
THERE OTHER WITNESSES AND
SUPPORT NAME ORGANIZATION? ONLY
. THING NONE ANY WITNESSES IN
OPPOSITION? THING NONE. UM WE'LL
BRING IT BACK TO THE COMMITTEE
FOR QUESTIONS, COMMENTS. ANYBODY
KNOW? OKAY? UM. YOU KNOW, ALLOW
THE AUTHOR TOO CLOSE. IF YOU
WOULD LIKE MR LIKE HOPEFULLY,
YOU LISTEN TO THE DATA WAS A
LITTLE DRY. BUT I'M TELLING YOU
, IT'S A VERY, VERY IMPORTANT
BILL, AND THERE'S A LOT OF
CHILDREN THAT NEED TO BE
RECOGNIZED AND DESERVE THIS.
THIS, UH IMPROVED SERVICES THAT
THIS BILL WILL POINT OUT AND SO
I HOPE TO GET YOUR I VOTE. THANK
YOU. UM WE DO HAVE A MOTION FROM
MR ARAMBULA DOCTOR ARAMBULA
SECOND BY SOME WOMEN, RODRIGUEZ
DO PASS AS AMENDED TO
APPROPRIATIONS. MADAM SECRETARY.
PLEASE CALL THE ROLL WOULD
WALDRON. I WALDRON. I
AGUIAR-CURRY. ARAMBULA ARAMBULA
. AYE BORDER. HORVATH ORDER
HARVEST I CARILLO. LARA. FOR
I'VE BEEN SONG. FOLLOWING. I
MAIENSCHEIN MCCARTY, JOE
PATTERSON. PATERSON. I RODRIGUEZ
RODRIGUEZ. I SANTIAGO V.
VALLAPUDUA VALLAPUDUA. AYE,
WEBER.
80 BILL IS OUT. THANK YOU. OKAY
NEXT UP, ASSEMBLYWOMAN SZABO, WE
HAVE A B. 12 OH EIGHT. NUMBER
NINE.
GOOD AFTERNOON. UM MADAM CHAIR
AND MEMBERS. THANK YOU SO MUCH.
WE ARE HAPPY TO PRESENT A B 12.
OH, EIGHT TO YOU TODAY, AND I
APPRECIATE THE WORK OF THE
COMMITTEE STAFF AND I'M HAPPY TO
ACCEPT THE COMMITTEE'S
AMENDMENTS. THE BILL REQUIRES
COVERED CALIFORNIA TO PROVIDE
STATE FUNDED, COST SHARING
ASSISTANCE TO SILVER PLAN
EMPLOYEE ENROLLEES. TO REDUCE
DEDUCTIBLES AND COPAYS FOR LOW
AND MIDDLE INCOME ENROLLEES FOR
AS LONG AS THE FEDERAL PREMIUM.
SUBSIDIES CONTINUE. ALMOST 60%
OF CALIFORNIANS REPORTED FEELING
WORRIED ABOUT THE OUT OF POCKET
COSTS WHEN UTILIZING THEIR
HEALTH INSURANCE. THAT'S
ACTUALLY A HIGHER PERCENTAGE
THAN PEOPLE WORRYING ABOUT THE
COST OF HOUSING, UTILITIES OR
GROCERIES. AND SO THIS RESULTS
IN DELAYED CARE OR NO CARE FOR
MANY OF THOSE IN NEED,
ESPECIALLY FOR THOSE LOW INCOME
FAMILIES. THIS MEASURE HELPS
PROVIDE ADDITIONAL ASSISTANCE TO
THOSE FAMILIES THAT MAY HAVE TO
CHOOSE BETWEEN PAYING THEIR RENT
OR HEALTHCARE DEDUCTIBLES.
JOINING ME TODAY IS DIANNA
DOUGLAS, DIRECTOR OF POLICY AND
ADVOCACY FOR HEALTH ACCESS AND
ANDREA RIVERA FROM CALIFORNIA
PAN ETHNIC HEALTH NETWORK. UM I
WOULD LOVE TO GIVE THEM AN
OPPORTUNITY TO PRESENT ON THE
BILL AS WELL. THANK YOU. YOU MAY
GO AHEAD. GOOD AFTERNOON, MADAM
CHAIR AND MEMBERS OF THE
COMMITTEE. MY NAME IS DIANA
DOUGLAS ON BEHALF OF HEALTH
ACCESS CALIFORNIA, THE STATEWIDE
HEALTHCARE CONSUMER ADVOCACY
COALITION. WE ARE PLEASED TO
SPONSOR A B 12 OH, EIGHT, WHICH
WILL DRAMATICALLY REDUCE THE
BURDEN OF COST SHARING FOR
COVERED CALIFORNIA ENROLLEES
THANKS TO SIGNIFICANT PREMIUM
ASSISTANCE, FIRST PROVIDED BY
THE STATE AND THEN BY THE
FEDERAL GOVERNMENT. MORE
CALIFORNIANS THAN EVER ARE
ENROLLED IN OUR COVERED
CALIFORNIA, MY MARKETPLACE AND
WITH MONTHLY PREMIUMS THAT ARE
MORE AFFORDABLE THAN EVER.
HOWEVER EVEN WITH COVERAGE,
RISING DEDUCTIBLES AND COPAYS
KEEP CARE OUT OF REACH FOR MONEY
. A RECENT SURVEY OF COVERED
CALIFORNIA AND RELEASE
SPECIFICALLY FOUND THAT 48%
DELAYED OR SKIPPED CARE DUE TO
HIGH OUT OF POCKET COSTS. THIS
IS UNSURPRISING, GIVEN
DEDUCTIBLES OFTEN AMOUNT TO
SEVERAL MONTHS OF WAGES. A B 12
OH, EIGHT WILL REQUIRE COVERED
CALIFORNIA TO ANNUALLY UPDATE
THEIR COST SHARING AFFORDABILITY
DESIGN AND PROVIDE COST SHARING
ASSISTANCE FOR AS LONG AS THE
FEDERAL PREMIUM SUBSIDIES
CONTINUE AT THE CURRENT
GENEROSITY, WHILE THE BURDEN OF
COST SHARING ESCALATES YEAR
AFTER YEAR. MEANWHILE AS A
RESULT OF OUR STATES INDIVIDUAL
MANDATE PENALTY CALIFORNIA
CONTINUES TO GENERATE OVER 350
MILLION BY PENALIZING THOSE WHO
ARE UNINSURED. WITH ABOUT THE
SAME AMOUNT OF INVESTMENT. WHAT
WE COULD DO IS ELIMINATE
DEDUCTIBLES FOR ALL ENROLLEES IN
SILVER PLANS UP TO ABOUT 600% OF
THE FABRIC, FEDERAL POVERTY
LEVEL, SO SOMEBODY MAKING ABOUT
75,000 PER YEAR AND WE COULD
ALSO SIGNIFICANTLY REDUCED THE
COPAYS. THEY'RE PAYING WITH A B
12 08, THE STATE WOULD MAKE GOOD
AND ITS COMMITMENTS TO
AFFORDABLE HEALTHCARE. AND
ENSURE THAT NOBODY WOULD
COVERAGE IN OUR MARKETPLACE IS
FORCED TO SKIP CARE DUE TO COSTS
. WE ARE PROUD TO SPONSOR A B 12
08 AND ASK RESPECTFULLY FOR YOUR
I VOTE. GOOD AFTERNOON CHAIR AND
MEMBERS OF THE COMMITTEE ANDREA
RIVERA ON BEHALF OF THE
CALIFORNIA PAN ETHNIC HEALTH
NETWORK. AS A STATEWIDE
MULTICULTURAL HEALTH ADVOCACY
ORGANIZATION. WE ARE PLEASED TO
SUPPORT 12 OH EIGHT, WHICH WILL
PROVIDE ESSENTIAL AFFORDABILITY
ASSISTANCE FOR LOW AND MIDDLE
INCOME CALIFORNIANS. WHO ARE
ELIGIBLE TO PURCHASE HEALTH CARE
COVERAGE THROUGH COVERED
CALIFORNIA. CALIFORNIA HAS MADE
GREAT STRIDES TO EXPAND HEALTH
CARE COVERAGE FOR COMMUNITIES OF
COLOR. YET DESPITE THESE GAINS
THE COSTS ASSOCIATED WITH
COVERED CALIFORNIA'S HEALTH PLAN
OPTIONS SUCH AS CO PAYS AND
DEDUCTIBLES ARE INCREASING AT A
FASTER RATE THAN THE COST OF
LIVING IN THIS STATE. AS THESE
COSTS CONTINUE TO RISE,
COMMUNITIES OF COLOR ARE FORCED
TO CHOOSE BETWEEN PAYING FOR
THEIR HEALTH CARE OR PROVIDING
FOR THEIR FAMILIES AND LOVED
ONES. LAST MONTH. AL MATTERS
SHARED THE STORY OF AN
INDIVIDUAL BRIAN EV IN ORANGE
COUNTY, WHO DESCRIBED THE
CHALLENGES HE FACES EVERY DAY AS
HE IS FORCED TO CHOOSE BETWEEN
PAYING FOR HEALTH COVERAGE AND
FINDING WAYS TO MAKE OTHER ENDS
MEET. BRIAN SUFFERS FROM CHRONIC
PAIN DUE TO A LIFETIME OF
WORKING MANUAL LABOR JOBS AND
SUFFERING FROM PREVIOUS
WORKPLACE INJURIES. HE OFTEN
TREATS THE PAIN WITH HOME
REMEDIES AND TRADITIONAL
CAMBODIAN HEALING PRACTICES
BECAUSE VISITING THE DOCTOR IS
TOO EXPENSIVE. BRIAN WAS A LONG
TIME COVERED CALIFORNIA SILVER
PLAN ENROLLEE. AND VISITING THE
PRIMARY CARE DOCTOR COST NEARLY
$50 PER VISIT. EACH TIME BRIAN
PICKED UP PRESCRIPTION
MEDICATION THAT WAS AN
ADDITIONAL 10 TO $15. THESE
COSTS SIGNIFICANTLY ADD UP,
ESPECIALLY FOR SOMEONE WHO IS
LIVING PAYCHECK TO PAYCHECK AND
HAS TO FIGURE OUT HOW TO PAY
RENT AND OTHER BILLS WITH A VERY
TIGHT BUDGET. UNFORTUNATELY
BRIAN'S STORY IS NOT UNIQUE AND
MANY BIPAC CALIFORNIANS UP TO
SKIP OR DELAY CARE SIMPLY DUE TO
LACK OF SUBSIDIES AND FINANCIAL
ASSISTANCE AVAILABLE TO THEM.
THE CALIFORNIA HEALTHCARE
FOUNDATION RELEASED ITS ANNUAL
HEALTH POLICY SURVEY AND FOUND
THAT HALF OF CALIFORNIANS
REPORTED SKIPPING CARE IN THE
PAST 12 MONTHS DUE TO
SKYROCKETING COSTS. PEOPLE WHO
ARE BLACK OR LATIN X ARE MORE
LIKELY TO SKIP OR DELAY CARE
THAN THOSE WHO ARE WHITE OR
ASIAN. AND OF THOSE WHO SKIPPED
CARE HAVE STATED THAT THEIR
CONDITION GOT WORSE AS A RESULT.
A B 12. OH EIGHT WILL ENSURE
THAT OUR STATE ESTABLISHES A
RESPONSIBILITY TO PROVIDE
SUBSIDY SUPPORT FOR COMMUNITIES
IN NEED. DURING A TIME WHEN MANY
CALIFORNIANS ARE DESPERATELY IN
NEED OF HEALTH CARE. AS A STATE
BEGINS TO UNWIND THE PUBLIC
HEALTH EMERGENCY. WE MUST ENSURE
CRITICAL SAFETY NET SUPPORT. IS
EXPANDED WITHIN COVERED
CALIFORNIA SO THAT COMMUNITY
MEMBERS DO NOT CONTINUE TO FORGO
HEALTH CARE DUE TO COST BURDENS.
THANK YOU. THANK YOU ARE THERE
OTHER WITNESSES IN SUPPORT NAME
ORGANIZATION POSITION ONLY SHARE
BRANDON MARTY WITH THE
CALIFORNIA MEDICAL ASSOCIATION
AND SUPPORT. HI ROBERT BOYKIN
WITH THE CALIFORNIA ASSOCIATION
OF HEALTH PLANS AND SUPPORT.
GOOD AFTERNOON VICE CHAIR AND
MEMBERS JAMES MICHAEL APOLLO
WITH THE AMERICAN FEDERATION OF
STATE, COUNTY AND MUNICIPAL
EMPLOYEES AND STRONG SUPPORT.
THANK YOU. THANK YOU. ANY OTHER
WITNESSES IN SUPPORT. SEEING
NONE ANY, UH, TESTIMONY IN
OPPOSITION? SEEING NONE WILL
BRING IT BACK TO THE COMMITTEE
FOR COMMENTS QUESTIONS.
ANYTHING. NO LOOKS GOOD HERE, UM
I WOULD LIKE TO ASK THE AUTHOR
IF YOU HAVE CLOSING REMARKS.
JUST THANK YOU SO MUCH FOR THE
OPPORTUNITY TO PRESENT THIS.
WE'RE VERY EXCITED ABOUT A
CHANCE TO ACTUALLY ELIMINATE
DEDUCTIBLES FOR SILVER PLAN
MEMBERS, UM AND MAKE A BIG DENT
IN COPAYS THAT ARE, YOU KNOW,
BETWEEN THEM AND GETTING THE
HEALTH CARE THAT THEY NEED. SO
RESPECTFULLY ASK FOR YOUR VOTE.
THANK YOU. THANK YOU. WE DO HAVE
A MOTION FROM DR ARAMBULA AND
SECOND BY ASSEMBLYWOMAN
BOERNER HORVATH. TO PASS AS
AMENDED TO APPROPRIATIONS. MADAM
SECRETARY. PLEASE CALL THE ROLL
WOULD. WALDRON WALDRON, I GAR
CURRY. ARAMBULA ARAMBULA. I BORN
A HARVEST. BOERNER HORVATH
CARILLO. FLORA. FLORA I VINCE
WONG. I'M NOT VOTING
MAIENSCHEIN. BACARDI. JOE
PATTERSON. JOE PATTERSON. I
RODRIGUEZ. RODRIGUEZ I SANTIAGO.
VALLAPUDUA VALLAPUDUA. AYE,
WEBER. THE BILL IS ON CALL RIGHT
NOW. YOU NEED ONE MORE. UM
OBVIOUSLY WE DON'T HAVE ALL OUR
MEMBERS HERE. SO THANK YOU VERY
MUCH.
STRUCTURE. ARAMBULA IS READY
WITH A B 494. SEE WHEN YOU ARE
READY. THANK YOU, MADAM VICE
CHAIR AND MEMBERS. I'D LIKE TO
BEGIN BY THANKING THE COMMITTEE
STAFF FOR THE RECOMMENDED
AMENDMENTS, WHICH I ACCEPT. 84
94 WILL PROTECT FARMWORKERS
INSURED THROUGH THEIR UNION. AND
BOOST THE RFK MEDICAL PLAN. FARM
WORKERS ARE THE BACKBONE OF
CALIFORNIA'S ECONOMY AND AN
ESSENTIAL PART OF OUR
COMMUNITIES. DESPITE THEIR
SIGNIFICANT CONTRIBUTIONS TO OUR
STATE, FARM WORKERS CONTINUED TO
FACE A RANGE OF BARRIERS THAT
IMPEDE THEIR ACCESS TO
HEALTHCARE, INCLUDING
AFFORDABILITY. THE R F K MEDICAL
PLAN IS A HEALTH PLAN FOR FARM
WORKERS BY FARM WORKERS. WITH
GROWING U F W MEMBERSHIP AND
RISING HEALTHCARE COST. NOW IS
THE TIME TO REAFFIRM OUR
COMMITMENT TO CALIFORNIA'S FARM
WORKERS. THIS LEGISLATION
ENSURES THAT THE THOUSANDS OF
FAMILIES WHO ARE ENROLLED IN THE
PLAN STATE COVERED TESTIFYING IN
SUPPORT OF A B 4 94 IS A RALLY
AT THE ADA, REPRESENTING THE
UNITED FARM WORKERS. GOOD
MORNING. MY NAME IS LITERALLY
ARTEAGA SERVED AS THE POLITICAL
AND LEGISLATIVE DIRECTOR FOR THE
UNITED FARM WORKERS AND SUPPORT
OF A B 494. THIS BILL WILL ALLOW
BOTH FARM WORKERS AND THEIR
EMPLOYERS TO CONTINUE
CONTRIBUTING FINANCIALLY TO
THEIR OWN HEALTH. AND ALLOW THE
STATE OF CALIFORNIA TO CONTINUE
PRODUCING MEDICAL COSTS. A B 494
REMOVES THE SUNSET ON THE
SUCCESSFUL PROVISION IN THE
HEALTH AND SAFETY CODE. AND
ADJUST THE CURRENT STATE'S
REIMBURSEMENT CAP. THE ROBERT F
. KENNEDY MEDICAL PLAN IS A
JOINT LABOR MANAGEMENT HEALTH
PLAN FOR FARM WORKERS ORGANIZED
UNDER THE 1947 TAFT HARTLEY ACT.
THROUGH THE RFK MEDICAL PLAN,
THE UNITED FARM WORKERS AND
CONTRIBUTING EMPLOYERS. DELIVER
BASIC MEDICAL COSTS, MEDICAL
CARE EXCUSE ME AND AFFORDABLE
COSTS FOR OVER 6000 CALIFORNIANS
, AND IT INCLUDES APPROXIMATELY
2000 CHILDREN. WITH THE RECENT
CHANGES IN CALIFORNIA LAW,
THERE'S A REASONABLE EXPECTATION
THAT THE NUMBER OF FARM WORKERS
UNDER COVERED UNDER THE RFK
MEDICAL PLAN WILL INCREASE. THAT
GROWTH WILL EXPLODE THE PUN TO
HIGH INCREASED COSTS, AS WELL AS
THE INCREASE OF THE STATE'S
MEDICAL SAVINGS, WHICH IS
CURRENTLY AT 11 MILLION
ANNUALLY. WE ASKED FOR YOUR
CONSIDERATION. THANK YOU. THANK
YOU. ARE THERE OTHER WITNESSES
AND SUPPORT NAME ORGANIZATION
POSITION ONLY PLEASE. GOOD
AFTERNOON, ENJOY A RIVERA ON
BEHALF OF THE CALIFORNIA PEN,
ETHNIC HEALTH NETWORK AND
SUPPORT.
THANK YOU. ANY WITNESSES IN
OPPOSITION. THING NONE WILL
BRING IT BACK TO THE COMMITTEE.
ANY COMMENTS? QUESTIONS. FROM
COMMITTING. NO. UM THE AUTHOR
LIKE TO CLOSE. THANK YOU FOR THE
OPPORTUNITY TO PRESENT AND I
RESPECTFULLY ASK FOR MY VOTE.
OKAY WE DO HAVE A MOTION FROM,
UH ASSEMBLYWOMAN BOERNER HORVATH
SECOND. ASSEMBLYMAN VÆ
VALLAPUDUA DO PASS AS AMENDED TO
APPROPRIATIONS. MADAM SECRETARY,
PLEASE CALL THE ROLL. WOULD.
WALDRON WALDRON, I AGUIAR-CURRY
. ARAMBULA ARAMBULA I BORN
AHORA. AHORA CARILLO. FLORA.
FLORA NOT VOTING. WONG. IT'S
WRONG, NOT VOTING MAIENSCHEIN.
MCCARTHY. JOE PATTERSON. JOE
PATTERSON, NOT VOTING RODRIGUEZ.
RODRIGUEZ I SANTIAGO. VALLAPUDUA
VALLAPUDUA. AYE, WEBER. YOUR
BILL NEEDS THREE VOTES. UM AND
ONCE AGAIN, WE DON'T HAVE ALL
OUR MEMBERS SO WE WILL KEEP THE
ROLL OPEN. IT'LL BE ON CALL.
THANK YOU.
OKAY IN THE MEANTIME, WE'RE
WAITING FOR OUR TWO AUTHORS. WE
CAN GO BACK TO SOME BILLS THAT
WE HEARD WHEN WE DIDN'T HAVE A
QUORUM AND GO THROUGH THE VOTES
. UM IT'S ITEMS NUMBER TWO A B
33 ITEM NUMBER THREE A B 90 AND
ITEM NUMBER 10 A B 1477. WE CAN
GO THROUGH THOSE AND CALL THE
ROLL. OKAY A B 33 OF. MOTION IN
THE SECOND. TO PASS TO PUBLIC
SAFETY. MADAM SECRETARY. PLEASE
CALL THE ROLL WOULD WALDRON AND
I AGUIAR-CURRY. ARAMBULA
ARAMBULA I BORN ON HORVAT
BOERNER HORVATH. AYE, CARILLO.
FLORA. FOR I, VINCE FONG. THAT'S
WRONG. I MAIENSCHEIN MCCARTHY,
JOE PATTERSON. PATERSON I
RODRIGUEZ RODRIGUEZ I SANTIAGO
VALLAPUDUA. YOU PUT WHAT I
WEBER. 8 TO 0. THAT BILL IS OUT.
WILL MOVE TO ITEM THREE A. B 90
, A SIMILAR WOMAN,
PETRIE-NORRIS. PAST TWO
APPROPRIATIONS. WE HAVE EMOTION
IN THE SECOND MADAM SECRETARY,
POLICE COLORABLE. WOULD WALDRON.
HI, WALDRON. I AGUIAR-CURRY
ARAMBULA ARAMBULA. I KNOW
HORVATH. HORVATH I CARILLO LARA.
LARA. I'VE BEEN STRONG. THAT'S
WHY I'M NOT VOTING MAIENSCHEIN.
MCCARTY. PATERSON. JOE PATTERSON
IRODRIGUEZ. RODRIGUEZ I
SANTIAGO. VALLAPUDUA GÂY WEBER.
OKAY THAT BILL NEEDS ONE MORE.
HOLD THAT OPEN. AND PUT IT ON
CALL. UM ITEM NUMBER 10 A B 1477
ASSEMBLED WOMAN QUIRK-SILVA. WE
NEED A MOTION.
IS THAT YOU, MR. PRAN PATTERSON.
MR FONG, OKAY? SECOND BY DR
ARAMBULA. MADAM SECRETARY,
PLEASE COLORADO TO PASS AS
AMENDED TO APPROPRIATIONS WOULD
WALDRON, WALDRON, IAGAR CURRY
ARAMBULA ARAMBULA. AYE, BORDER,
HORVATH BOERNER HORVATH. AYE,
CARILLO. FLORA. FLORA IVAN
SPHANG. THAT SONG. I MAIENSCHEIN
MCCARTHY. PATERSON PATERSON. I
RODRIGUEZ RODRIGUEZ I SANTIAGO
VALLAPUDUA VALLAPUDUA I?
WHOEVER. THAT BILL HAS EIGHT
VOTES. IT'S OUT, UM MCCARTY.
MCCARTY? AYE. THAT'S MY BOOK.
NINE VOTES. OKAY NOW WE WAIT FOR
OUR OUR AUTHORS.
OKAY SO WE ARE GOING TO OPEN UP
FROM THE TOP TO DO ADD ONS ON
BILLS FOR THOSE MEMBERS THAT
WERE ABSENT. UM ITEM NUMBER ONE
A B 29. CALLING THE ABSENT
MEMBERS. MADAM SECRETARY. I HEAR
CURRY. CARILLO. MAIENSCHEIN
MCCARTY. MCCARTHY. AYE.
SANTIAGO. VALLAPUDUA VALLAPUDUA,
AYE. 10 TO 0 ON THAT BILL RIGHT
NOW. UM ITEM NUMBER TWO WILL
TAKE IT OFF. CALL A B 33.
ENDING, UH, CALL THE ABSENT
MEMBERS. AGUIAR-CURRY. WOULD
EGGER CURRY CARILLO? MAIENSCHEIN
MCCARTY. MCCARTHY I SANTIAGO.
WHOEVER. 90 ON THAT BILL. ITEM
NUMBER. ITEM NUMBER THREE TO
TAKE OFF. CALL A B 90. MADAM
SECRETARY. I WOULD THANK YOUR
CURRY, CARILLO. MAIENSCHEIN
MCCARTHY. MCCARTHY. AYE.
SANTIAGO WEBER. THAT'S NOT BILL
NOW HAS EIGHT VOTES AND HAS
PASSED. I DON'T NUMBER FOUR A B
2 TO 8. MADAM SECRETARY. CALL
THE ABSENCE. ARAMBULA. ARAMBULA
AYE CARILLO FONG. MONNING. AYE,
MAIENSCHEIN. MCCARTY. MCCARTHY I
SANTIAGO. VALLAPUDUA VALLAPUDUA,
AYE. 12 0. AND THEN WE HAVE
CONSENT CALENDAR. MAYBE FOR A
THREE ITEM NUMBER FIVE. AH! HEY
B 365 ITEM NUMBER 12 AND A B
FIFTH, UH, ITEM NUMBER 15 A B 14
62. CALL THE ABSENT MEMBERS
ARAMBULA. ARAMBULA. AYE,
CARILLO. VINCE FONG. THAT'S
FINE. I MAIENSCHEIN. CHINA. I
MCCARTY. MCCARTHY I SANTIAGO DE
VALLAPUDUA VALLAPUDUA. AYE. 13 0
ON THE CONSENT CALENDAR. AND MR
MAIENSCHEIN. YOU ARE HERE AND
READY TO PRESENT ITEM. 14 A B 10
85. THANK YOU. MY COLLEAGUE FROM
SAN DIEGO. THANK YOU VERY MUCH.
MADAM CHAIR AND MEMBERS 30% OF
ALL AMERICANS EXPLAINED SEEN
HOMELESSNESS OR CALIFORNIANS
WITH OVER 239,000 HOUSEHOLDS
LIVING ON HOUSED OVER THE COURSE
OF A YEAR IN OUR STATE 45% OF
CALIFORNIA'S EXPERIENCING
HOMELESSNESS LIVE WITH
DISABILITIES. HOMELESSNESS
DRAMATICALLY IMPACTS, HEALTH
OUTCOMES, COSTS AND ACCESS TO
CARE. MAYBE 10 85 WOULD REQUIRE
THE DEPARTMENT OF HEALTH CARE
SERVICES TO SEEK ANY NECESSARY
FEDERAL APPROVALS. FROM MEDICAL
BENEFIT TO COVER HOUSING SUPPORT
SERVICES. HOUSING SUPPORT
SERVICES HELP PEOPLE ACCESS
HOUSING REMAINS STABLE HOUSE AND
ARE ESSENTIAL FOR INDIVIDUALS
EXPERIENCING HOMELESS TO ACCESS
MEANINGFUL CARE. THESE SERVICES
INCLUDE HOUSING, TRANSITION AND
NAVIGATION SERVICES, ONE TIME
HOUSING DEPOSITS AND HOUSING
TENDENCY AND SUSTAINING SERVICES
WITH ME. I HAVE SHARON REPORT ON
BEHALF OF CORPORATION FOR
SUPPORTIVE HOUSING. AND LINDA
WAY FROM WESTERN CENTER ON LAW
AND POVERTY. GOOD AFTERNOON.
SHARON MEMBERS. I'M SHARON
REPORT WITH THE CORPORATION FOR
SUPPORTIVE HOUSING WERE A
NATIONAL NONPROFIT WORKING TO
SOLVE HOMELESSNESS. WE ARE ONE
OF THE SPONSORS OF AB 10 85.
EVIDENCE SHOWS HOUSING SUPPORT
SERVICES ARE BOTH CRITICAL TO
IMPROVING ACCESS TO MEANINGFUL
CARE AND DECREASING HEALTH COSTS
AMONG PEOPLE EXPERIENCING
HOMELESSNESS. INCLUDING HOUSING
SUPPORT SERVICES, AS CAL AIM
COMMUNITY SUPPORTS HAS ALLOWED
HUNDREDS OF HOMELESS SERVICE
PROVIDERS TO BECOME NETWORK
PROVIDERS. UNDER CAL AIM,
HOWEVER, IT ALSO MAKES PROVISION
OF HOMELESS SERVICES MUCH MORE
CHALLENGING. EACH PLAN DESIGNS
THEIR OWN ELIGIBILITY CRITERIA.
AUTHORIZATION PERIOD PAYMENT
RATE REFERRAL PROCESS AND IN
DATE FOR SERVICE PROVISION, AND
EVERY PROVIDER MUST NAVIGATE
THIS MAZE. SOME PROVIDERS REPORT
THEIR ADMINISTRATIVE COSTS
EXCEED THE PAYMENT THAT THEY'RE
RECEIVING TO PROVIDE THE
SERVICES. MORE IMPORTANTLY, AS
THE ANALYSIS POINTS OUT, BECAUSE
COMMUNITY SUPPORTS MOST OVERALL
BECAUSE DEFECTIVE SUBSTITUTES
FOR OTHER TREATMENT PLANS MUST
UNDERGO A COST BENEFIT
CALCULATION. STUDIES SHOW
ELIGIBILITY FOR HEALTH CARE
BASED ON COSTS LEADS TO
INEQUITABLE OUTCOMES, OFTEN WITH
PEOPLE OF COLOR
DISPROPORTIONATELY UNDERSERVED.
ACKNOWLEDGING THESE LIMITATIONS
, THE DEPARTMENT OF HEALTH CARE
SERVICES STAFF HAVE INDICATED
THAT THEY WOULD LIKE TO SEE A
HOUSING SUPPORT SERVICES
TRANSITION TO BENEFIT HOUSING
SUPPORT SERVICES BENEFIT CREATED
UNDER A B 10 85 WOULD ALLOW
CALIFORNIA TO TAP INTO FEDERAL
FUNDING TO PAY FOR THESE
SERVICES. IT WOULD ALLOW THE
STATE TO STANDARDIZE ELIGIBILITY
AUTHORIZATION PERIODS AND A
PROCESS FOR REFERRAL AND
CREATING ASSESSMENT THAT OFFERS
SERVICES BASED ON NEED, RATHER
THAN COSTS WOULD BE FAR EASIER
FOR PLANS TO ADMINISTER AND FOR
PROVIDERS TO ACCESS. MOREOVER ÁP
10 85 WOULD ALLOW TENS OF
THOUSANDS OF PEOPLE TO STOP
LIVING IN PAIN AND TO START
THRIVING AND HEALING. I URGE
YOUR I VOTE. THANK YOU. GOOD
AFTERNOON, LINDA WAY WITH
WESTERN CENTER ON LONG, POVERTY
, PROUD CO SPONSOR OF MAYBE 10
85 HERE TO READ THEODORE
PATERSON STATEMENT WHO HAD
PLANNED TO JOIN IN PERSON BUT
WAS UNFORTUNATELY ABLE TO UNABLE
TO JOIN MY NAME IS THEODORE
PATTERN AND I WORK AS A SPEAK UP
ADVOCATE HERE IN SUPPORT OF A B
10, 85 AND 2004. I WAS INVOLVED
IN A VERY SERIOUS ACCIDENT AND,
AS A RESULT, SUSTAINED LIFELONG
INJURIES. I SUFFERED A CRACK
LOWER DISC IN MY BACK, WHICH
OVER TIME TURNED INTO A
HERNIATED DISC AND CAUSED ME
SEVERE PAIN. DURING THIS TIME, I
ALSO EXPERIENCED MENTAL HEALTH
ISSUES. AFTER MY ACCIDENT, I
BECAME HOMELESS AND SLEPT IN MY
CAR. BECAUSE OF THE SHARP PAIN
FOR MY INJURIES. I COULD NOT SIT
OR STAND FOR LONG LENGTH OF TIME
I WENT BACK AND FORTH FROM
SLEEPING IN MY CAR TO STANDING
IN LINE FOR OVER THREE HOURS
EVERY NIGHT AT THE MIDNIGHT
MISSION IN DOWNTOWN L, A ALL IN
THE HOPES OF GETTING A BED. WITH
ALL MY ACHES AND PAINS DUE TO MY
CAR ACCIDENT. I OFTEN QUESTION
HOW DID I GET HERE? FORTUNATELY
A LADY NAMED NANCY CALLED MY
MOTHER'S HOME AND TOLD MY MOTHER
THAT SHE HAD A BED FOR ME. IN
THE SHELTER. I'VE BEEN TALKING
WITH NANCY FOR SOME TIME TO GET
HOUSING BUT LOST TOUCH. TO MY
GOOD FORTUNE. SHE REACHED OUT TO
MY MOTHER AND EVENTUALLY HELPED
ME GET INTO HOUSING WITHOUT
HOUSING. I WASN'T ABLE TO FOCUS
ON MY HEALTH AS MUCH AS I WANT
IT. FOR INSTANCE, I WASN'T
EATING HEALTHY OR MAKING MY
DOCTOR APPOINTMENTS. ONCE I WAS
HOUSED, MY PRIORITIES CHANGED. I
WAS ABLE TO EAT MORE HEALTHY,
DRINK MORE WATER AND KEEP UP MY
HYGIENE. MOST IMPORTANTLY, I HAD
A BED TO SLEEP IN EVERY NIGHT,
WHICH IS VERY IMPORTANT FOR MY
BACK INJURY. HAD A B 10 85 BEEN
IN PLACE. I WOULDN'T HAVE HAD TO
JUMP THROUGH ALL THE HOOPS I DID
TO GET HOUSING WAITING YEARS.
AND MADE MORE DIFFICULT BY MY
DISABILITY. I APPRECIATE THE
OPPORTUNITY TO READ MR PATENTS
TESTIMONY AND URGE YOUR SUPPORT.
THANK YOU. THANK YOU, UM.
ASSEMBLYMAN. MAIN CHINA. ARE YOU
ACCEPTING THE COMMITTEE
AMENDMENTS? OKAY THANK YOU, UM,
LIKE TO ASK FOR OTHER WITNESSES
IN SUPPORT NAME ORGANIZATION
POSITION ONLY. TARGET BOWIE,
EASTMAN WITH STEINBERG INSTITUTE
AND SUPPORT. AND ON BEHALF OF
CAL PEACE AND SUPPORT. YES ME
AND PALLET ON BEHALF OF JUSTICE
AND AGING AND SUPPORT. HI MARI
CASTALDI ON BEHALF OF HOUSING,
CALIFORNIA AND SUPPORT. THANK
YOU. ARE THERE ANY WITNESSES IN
OPPOSITION? SEEING NONE BRING IT
BACK TO THE COMMITTEE FOR
QUESTIONS, COMMENTS. AT ALL.
THING NONE. I DID WANT TO MAKE A
COMMENT IF IT OH, SORRY. SORRY
ABOUT THAT. UM I HAVEN'T YET.
YOU KNOW, BUTTONED UP ON MY
EXPERTISE ON MEDICAL AND THE
LAST 105 DAYS HAVE BEEN A MEMBER
. UM, SO EXACTLY UH, YOU KNOW, I
USED TO WORK HERE AS A STAFF
PERSON, AND WE WERE MAKING CUTS
TO MEDICAL VARIOUS MEDICAL
PROGRAMS. UH FOR THE LEGISLATURE
WAS I WAS NOT INVOLVED IN THAT.
UM YOU KNOW, AS A RESULT OF THE
FISCAL CRISIS, YOU KNOW, 10
YEARS AGO, PLUS UM AND YOU KNOW
REIMBURSEMENT RATES AND THINGS
LIKE THAT ARE STILL LOW. AND SO
I'M JUST WONDERING HOW THIS
IMPACTS EXISTING MEDICAL
PROGRAMS IF AT ALL, UM,
FINANCIALLY AND WHAT IT WOULD DO
TO THOSE WELL, I DON'T THINK IT
WOULD AFFECT AN EXISTING
PROGRAM. THIS WOULD BE AN
ADDITIONAL SERVICE IF IT'S
APPROVED AT THE FEDERAL LEVEL.
REIMBURSED OR. LINDA WITH
WESTERN WESTERN CENTER ON LAW
AND POVERTY. I JUST MENTIONED IT
HAS UP TO A 90% FEDERAL MATCH
RATE, AND SO A SIGNIFICANT
FEDERAL REIMBURSEMENT I'M GONNA
GUESS. GUESS NOT. BUT HAS THE
ADMINISTRATION COMMENTED ON THIS
AT ALL AT THIS POINT? THEY
HAVEN'T IN IN OUR PRELIMINARY
CONVERSATIONS WITH THE
DEPARTMENT OF HEALTH CARE
SERVICES THEY SHARE THAT THEIR
INTENT IS TO MAKE HOUSING
SUPPORT SERVICES A MEDICAL
BENEFIT. IN FACT, THEY SHOP FOR
TIME FRAME OF 2024. SO THAT'S
PART OF THE REASON WHY WE ARE
SPONSORING THIS LEGISLATION AND
AS WELL AS THROUGH THEIR CALLUM
INITIATIVE, MAKING IT A
COMMUNITY SUPPORT PLAN OPTION.
THANK YOU. ASSEMBLYMAN MCCARTHY.
YES THANK YOU. I SUPPORT THIS.
UH, THIS MEASURE. UM AND TWO
THAT QUESTION IT IS SMART
BECAUSE 90% OF THE MONEY WE
WOULD GET IS FROM THE FEDERAL
GOVERNMENT SO GOOD. YOU KNOW, 9
TO 1 MATCH THERE, BUT I DID. UH
I THINK WE ALL READ TODAY THAT
THE GOVERNOR AND HIS STATE OF
THE STATE TOUR TALKED ABOUT
INCREASED HOUSING SERVICES, AND
THERE WAS AN IDEA. TO USE
MEDICAL OR HOMELESS FOR THE
FIRST SIX MONTHS. SO THIS IS NOT
THAT IDEA, BUT IT'S PARALLEL AND
IS THE SAME CONCEPT. RIGHT? AND
THEN THAT IDEA UM, I THINK I SAW
THAT TWO STATES, OREGON AND SOME
OTHER STATE HAD ALREADY APPROVED
THIS. IDEA. THAT I CAN RESPOND
TO THAT. SHARON REPORT WITH
CORPORATION FOR SUPPORTIVE
HOUSING SO WITH THE GOVERNOR'S
PROPOSING IS TAKING ADVANTAGE OF
SOMETHING THAT THE FEDERAL
GOVERNMENT HAS APPROVED AN
ARIZONA AND OREGON AND IT'S UP
TO SIX MONTHS OF RENTAL
ASSISTANCE, SO IT'S ACTUALLY FOR
THE OPERATING COSTS OF A SHELTER
OR TO PAY FOR SOMEBODY TO LIVE.
AND HOUSING FOR UP TO SIX MONTHS
. SO THIS IS ACTUALLY WHAT A B
10 85 PROPOSES IS TO FUND
SERVICES THAT WOULD BE ON GOING
BEYOND PROBABLY SIX MONTHS. BUT
WHAT THE GOVERNOR IS PROPOSING
IS ACTUALLY PAYING FOR UP TO SIX
MONTHS OF HOUSING. SO MY
QUESTION WAS GREAT. I'M IN
SUPPORT OF BOTH THOSE IDEAS. BUT
IN THAT IDEA. YOU SAID THAT
THERE'S TWO STATES THAT HAVE
APPLIED TO THE ITEM
MINISTRATIONS AND THEY GOT THE
WAIVER. CORRECT THIS CONCEPT
BEEN TRIED BY OTHER STATES BEEN
APPROVED AS WELL. THERE ARE 19
OTHER STATES THAT HAVE BENEFITS
THAT FUN PLACE AND ARIZONA IS
ONE AS WELL AS NORTH DAKOTA,
MINNESOTA. SO SOME PRETTY, UM
BIPARTISAN GROUP OF STATES 19.
MY ONLY BEEF IS WHAT MAIENSCHEIN
WHAT'S TAKING YOU SO LONG
GETTING ON IT JUST RIGHT BEHIND
NORTH DAKOTA. OKAY GREAT. THANK
YOU. I MAKE SUPPORT THE BILL AND
MOVE THE BILL. ASSEMBLYMEMBER'S
UM BOERNER HORVATH. YES I
REMOVED THE BILL. I'M GLAD
YOU'RE IN THE PARTY. UM AND I'D
LIKE TO BE ON IT AS CO AUTHOR.
IT'S A WONDERFUL BOOK. VERY
SMART. THANK YOU. THANK YOU. I'M
JUST REALLY QUICK. I WANTED TO
COMMENT THAT AND MAYBE THE
WITNESSES CAN CHIME IN, UM AND
ADDED ON IF I'M ERRONEOUS AND
WHAT I SAY THAT CURRENTLY
MEDICAL PLANS CAN CHOOSE TO
PROVIDE HOUSING SUPPORT SERVICES
, AND I REMEMBER WE HAVE
DISCUSSED THIS PREVIOUS IN
PREVIOUS YEARS AS WELL. UM BUT
THERE'S DIFFERENT ELIGIBILITY
REQUIREMENTS. COUNTIES ARE
DIFFERENT. THE STANDARDS ARE
DIFFERENT. I KNOW MR MINCHIN HAS
WORKED. FOR MANY, MANY YEARS,
EVEN PREVIOUSLY HERE IN IN
CHRONIC HOMELESSNESS AND THOSE
ISSUES AND SAN DIEGO UM, BUT
HAVING THIS BE A STATEWIDE
BENEFIT WOULD MAKE IT, UH MORE
AVAILABLE TO PEOPLE IN MEDICAL.
UM MORE STREAMLINED IS THAT
THAT'S THE ULTIMATE GOAL PLUS
THE BENEFIT OF A 90% MATCH. WITH
THE FEDERAL IF THAT'S APPROVED
AND APPROPRIATED. YES YOU'RE
EXACTLY RIGHT. IT WOULD MAKE IT
MORE STANDARDIZED RIGHT NOW. AS
YOU SAID, IT'S VOLUNTARY FOR THE
HEALTH PLAN SO THEY CAN FASHION
THE SERVICES. HOWEVER THEY SEE
FIT, AND THEY'RE DRIVEN BY
SAVING, YOU KNOW, SEEING RETURN
ON THEIR INVESTMENT, SO THIS
WOULD ALLOW THEM TO ACTUALLY
RECEIVED PAYMENT FOR THE
SERVICES THAT THEY COULD UH, IT
WOULD BE MORE STANDARDIZED
ACROSS THE STATE AND THERE WOULD
BE FEDERAL FUNDING. GREEN. THANK
YOU. AH! WITH HIS BACK. OKAY SO
WE DO HAVE A MOTION. BY A
SIMILAR MOMENT BURNER HARVEST
SECOND BY DR ARAMBULA. THE
MOTION DO PASS AS AMENDED TO
APPROPRIATIONS. MADAM SECRETARY.
WOULD. WOULD I? WALDRON WALDRON.
I AGUIAR-CURRY ARAMBULA ARAMBULA
. AYE BOERNER HORVATH
BOERNER HORVATH. AYE, CARILLO.
BORA BORA, NOT VOTING, VINCE
FONG. THAT'S FINE. NOT VOTING
MAIENSCHEIN. I MEAN CHINA. I
MCCARTY MCCARTHY I JOE
PATTERSON. JOE PATTERSON, NOT
VOTING RODRIGUEZ. RODRIGUEZ I
SANTIAGO. VALLAPUDUA. WHY WEBER?
WEBER. AYE. YOUR BILL HAS 90 IT
IS OUT. CHAIRMAN WOULD WILL BE
DOING ITEMS 16 MAYBE 869. THANK
YOU VERY MUCH. MADAM VICE CHAIR
AND MEMBERS. MAYBE 8 69 WOULD
HELP A TARGETED SUBSET OF
FINANCIALLY DISTRESSED HOSPITALS
MEET THEIR 2030 SEISMIC SAFETY
COMPLIANCE REQUIREMENTS. THIS
BILL REQUIRES HK I TO PROVIDE
GRANTS TO FINANCIALLY DISTRESSED
SMALL AND RURAL, SMALL RURAL AND
DISTRICT HOSPITALS TO PAY FOR
2030 SEISMIC UPGRADES AND DELAY
THE COMPLETION DATE. 2035 THE
FUNDS ARE NOT AVAILABLE
FINANCIALLY DISTRESSED RURAL
HOSPITALS THAT HAVE AN ESTIMATED
SEISMIC COST OF MORE THAN $1
MILLION, OR 2% OF THE HOSPITALS
REVENUE, WHICHEVER IS GREATER.
WILL NOT BE REQUIRED TO COMPLY
WITH THE 2030 SEISMIC
REQUIREMENTS UNTIL FUNDS ARE
AVAILABLE. THIS BILL ALSO
INCLUDES A LIMITED NUMBER OF
DISTRICT HOSPITALS THAT ARE NOT
LOCATED IN RURAL AREAS, BUT ARE
FINANCIALLY DISTRESSED AS
DETERMINED BY H. CHI.
ADDITIONALLY THESE HOSTILITIES,
DISTRICT HOSPITALS WOULD NEED TO
IMMEDIATE LEAST ONE ADDITIONAL
CRITERIA. ONE THEY'RE LOCATED
MORE THAN 30 MILES OR 30 MINUTES
FROM ANOTHER HOSPITAL, OR THEY
TREAT AND ABOVE THE AVERAGE
NUMBER OF MEDICAL PATIENTS, OR
THEY HAVE ALREADY SOUGHT VOTER
APPROVAL FOR FINANCIAL
ASSISTANCE, AND THE EFFORT WAS
NOT SUCCESSFUL. WE'RE ALL AWARE
THAT MANY HOSPITALS IN
CALIFORNIA EXPERIENCING
DIFFICULT FINANCIAL SITUATIONS
THE HOSPITALS COVERED BY THIS
BILL HAVE ALWAYS FACED FINANCIAL
CHALLENGES TO THE LOCATION AND
THE POPULATIONS THEY SERVE. THE
BILL IS A TARGETED APPROACH TO
PRESERVE A SMALL NUMBER OF
HOSPITALS THAT ARE MOST OFTEN
COMMUNITIES ONLY ACCESS TO
EMERGENCY CARE WILL CERTAINLY
CLOSE IF SOME RELIEF IS NOT
PROVIDED. HERE TO TESTIFY IN
SUPPORT IS DAVID NEAL, THE CHIEF
EXECUTIVE OFFICER OF MAD RIVER
COMMUNITY HOSPITAL, AND DARREN
BEATTIE, THE CHIEF OPERATING
HOSPITAL OFFICER OF PLUMAS
DISTRICT HOSPITAL. I
RESPECTFULLY ASK FOR YOUR VOTE.
THANK YOU. CHAIRMAN WOULD AND
VICE CHAIR WALDRON AND MEMBERS
OF THE COMMITTEE. MY NAME IS
DAVID NEIL I'M THE CHIEF NURSING
OFFICER AND CHIEF EXECUTIVE OF
MAD RIVER COMMUNITY HOSPITAL IN
ARCADIA, CALIFORNIA. MAD RIVER
IS A SMALL RURAL HOSPITAL,
LOCATED IN HUMBOLDT COUNTY THAT
SERVES THE COMMUNITY HAS SERVED
THE COMMUNITY FOR 50 YEARS. I
URGE SUPPORT OF A B 8 69, WHICH
PROVIDES TARGETED RELIEF TO
SMALL AND RURAL HOSPITALS FROM
THE LOOMING 2030 SEISMIC
RETROFITTING GUIDELINES. IT IS A
CRITICAL LEGISLATION THAT GIVES
ONGOING EFFORTS TO THE PANDEMIC
ON RURAL HOMES. HOSPITALS THAT
IS BEEN VERY LABORIOUS AND HELP
SAVE HOSPITALS FROM CLOSURE BY
FREEZING UP FREEZING UP CAPITAL
RESERVES THAT ARE DESPERATELY
NEEDED TO MEET ONGOING
OPERATIONAL LOSSES. ACCORDING TO
A RECENT REPORT FROM THE CENTER
OF RURAL HEALTH QUALITY 55 YEAR
OLD HOSPITALS IN CALIFORNIA. ARE
AT RISK 16 RISK OF CLOSURE AND
SIX IN IMMEDIATE RISK OF
CLOSURE. WITH MADEIRA HOSPITAL
RECENTLY CLOSING JUST SENT
SHOCKWAVES THROUGHOUT THE STATE
, NOT TO MENTION THE CRIPPLING
IMPACT HAS HAD ON THE LOCAL
POPULATION, BASED ON RECENT
REPORTS SUCH FACILITIES AS HAZEL
HAWKINS, MAYBE NEXT. OUR
HOSPITAL PROVIDES REPRODUCTIVE
PORTION OF WOMEN'S HEALTH CARE
AND HUMBLE COUNTY AS TUBAL
LIGATIONS ARE NOT AVAILABLE AT
OTHER SECULAR HOSPITALS IN OUR
COUNTY. WE ALSO PROVIDE GENDER
AFFIRMING CARE FOR A LARGE
FEMALE TO MALE POPULATION IN OUR
AREA WHO WOULD HAVE TO TRAVEL
MILES TO RECEIVE THEIR SURGERY
FOR OUR HOSPITAL WAS NOT
AVAILABLE. THE CLOSURE OF RURAL
HOSPITALS THROUGHOUT CALIFORNIA
IS A SYSTEMIC PROBLEM THAT
REQUIRES TARGETED SOLUTIONS.
EVEN BEFORE THE PANDEMIC, WE
OPERATED IN VERY TIGHT MARGINS
DUE TO LOW PATIENT VOLUMES IN
RURAL AREAS, INADEQUATE
REPLACEMENT RATES. FOR MEDICAL
FOR OVER THAT HAS NOT GONE UP
AND OVER 10 YEARS AND CONTINUING
RISING COST THE PANDEMIC ONLY
EXACERBATED THESE PROBLEMS
REQUIRING US TO DEPLETE OUR
CAPITAL RESERVES TO COVER ALL
TIME HIGH COSTS, ESPECIALLY
RELATED TO PROVIDERS AND TRAVEL
NURSES AND THEIR COMPANIES
ATTEMPTING TO FINANCE MILLIONS
OF DOLLARS IN TWO SEISMIC
RETROFIT ARE SINGLE STORY, WOOD
FRAMED FACILITY WAS NOT ACHIEVED
BEFORE THE PANDEMIC AND IS OUT
OF THE QUESTION NOW. TO REBUILD
OUR HOSPITAL REQUIRE OVER $100
MILLION AS A SINGLE STORY, WOOD
FRAME BUILDING. OUR HOSPITAL HAS
PROVEN TO WITHSTAND LARGE
SEISMIC EVENTS DURING OUR 50
YEARS OF OPERATION. AS HIGH AS
THE 7.3 DURING THIS PERIOD OF
TIME THIS LAST DECEMBER OF 6.4.
THIS WAS A THIRD STRONGEST IN
CALIFORNIA HISTORY BY G FORCE,
AND WE SUSTAINED $40 IN DAMAGE
VASE THAT WAS BROKEN IN OUR GIFT
SHOP. THANKFULLY A B 6869
RECOGNIZES THERE'S NOT A ONE
SIZE FITS ALL SEISMIC SOLUTION.
THIS BILL PROVIDES NECESSARY
FUNDING TO ALLOW RURAL HOSPITALS
TO ASSESS THEIR SEISMIC RISK AND
PROVIDE EXTENSIONS TO THE
IMPENDING SEISMIC DEADLINES.
BASED ON OUR FINANCIAL HARDSHIPS
, PLEASE REMEMBER, CALIFORNIA'S
HOSPITALS ARE ALREADY AMONG THE
SAFEST STRUCTURES IN THEIR
COMMUNITIES, WITH BILLIONS
ALREADY INVESTED IN SEISMIC
COMPLIANCE IS ABC, 869 IS A
REASONABLE AND ACHIEVABLE STEP
IN THE RIGHT DIRECTIONS. IN
CLOSING. I HAVE SPENT 39 YEARS
IN HEALTHCARE INDUSTRY IS A
NURSING AND ADMINISTRATOR. I'VE
NEVER SEEN A MORE DIRE
CIRCUMSTANCE FOR HOSPITALS,
ESPECIALLY RURAL HOSPITALS, THEN
I SEE NOW. SIZING COMPLIANCE IS
A MULTIMILLION DOLLAR UNFUNDED
MANDATE THAT MAY WELL BE THE
FINAL STRAW. I HAVEN'T WORKED
LARGE HOSPITALS IN LOS ANGELES,
THE CENTRAL VALLEY AND SAN
FRANCISCO AND I CAN TRULY ATTEST
TO THE FACT THAT A ONE SIZE FITS
ALL APPROACH IS NOT AT ALL
APPROPRIATE TO THE SEISMIC
SOLUTION. RURAL HEALTHCARE IS
VERY DIFFERENT THAN URBAN
HEALTHCARE. I STRONGLY URGE YOUR
SUPPORT OF A B 8 69. THANK YOU.
THANK YOU ASSEMBLYMEMBER'S WOOD
AND COMMITTEE MEMBERS. MY NAME
IS DARREN BEATTIE, AND I'M, THE
CHIEF OPERATING OFFICER AT
PLYMOUTH DISTRICT HOSPITAL IN
QUINCY. PROMISE DISTRICT
HOSPITAL IS A HEALTHCARE
DISTRICT IN RURAL NORTHEASTERN
CALIFORNIA AS A DISTRICT
HOSPITAL. WE WERE FORMED BY THE
WILL OF THE PEOPLE IN 1957. TO
EXTEND ACCESS TO CARE TO AN
UNDERSERVED PORTION OF THE
STATE. IN 1959 WITH FUNDING
PROVIDED BY THE FEDERAL HILL
BURTON ACT. A NEW HOSPITAL WAS
BUILT. 64 YEARS LATER. WE ARE
CARING FOR OUR COMMUNITY AND
THAT SAME BUILDING STATE AND
FEDERAL LAWMAKERS IN THE POST
WORLD WAR TWO ERA UNDERSTOOD
THAT IN ORDER TO EXTEND CARE TO
POOR AND RURAL AREAS, DIRECT
ASSISTANCE WOULD BE NEEDED. THAT
SAME NEED EXISTS TODAY. SOME MAY
ASK WHY WE HAVE NOT YET COMPLIED
WITH THE STATE SEISMIC MANDATE.
TRUST ME. IF WE COULD AFFORD TO
BUILD A NEW HOSPITAL WE WOULD
HAVE DONE SO YEARS AGO. OUR
FACILITIES IN RURAL CALIFORNIA
FACING INFRASTRUCTURE CRISIS,
NOT ALL RELATED TO SEISMIC. MORE
THAN ANYBODY. WE WANT MODERN AND
RELIABLE FACILITIES TO CARE FOR
OUR FRIENDS AND FAMILIES.
POTENTIAL FUNDING SOURCE FOR A
NEW HOSPITAL IS A GENERAL
OBLIGATION BOND. THE PROBLEM
WITH THE SOURCE OF FUNDS ISN'T
THAT IT REQUIRES IS THAT IT
REQUIRES A SUPERMAJORITY AND
THAT THE FACT THAT IT LEVIES A
TAX ON THE POOREST OF
CALIFORNIANS AT A RATE THEY
CANNOT AFFORD. A CONSERVATIVE
ESTIMATE IN MY DISTRICT PLACES
AN AVERAGE ANNUAL TAX BURDEN ON
MY COMMUNITY AT A RATE OF ALMOST
$700 PER HOUSEHOLD FOR THE NEXT
35 YEARS. AFTER THE DEVASTATING
DEVASTATING LOSS OF MORE THAN
500 HOMES IN 2020 ONE'S DIXIE
FIRE, THE REMAINING COMMUNITY
SIMPLY SIMPLY CANNOT BEAR THIS
COST ALONE. A B 8 69 PROVIDES US
ADDITIONAL TIME TO LOCATE A
FUNDING SOURCE TO BUILD A NEW
HOSPITAL THAT WE NEED IN OUR
COMMUNITY. IF NOTHING HAPPENS,
WE FACE IMMINENT CLOSURE. ACCESS
TO CARE FOR THE PEOPLE WHO
MANAGE THE PRIMARY WATERSHED FOR
THE CALIFORNIA STATE WATER
PROJECT WILL BE GONE. THE
INDEPENDENT DELIVERY OF CARE
FOCUSED ON THE NEEDS OF THE
COMMUNITY WILL BE LOST. I THINK
ASSEMBLYMEMBER'S WOULD FOR HIS
COURAGE AND LEADERSHIP AND
ELEVATING THIS ISSUE. AND FOR
PRESENTING A BILL THAT MOVES US
TOWARDS MODERN HEALTH CARE
DELIVERY IN RURAL CALIFORNIA.
THANK YOU. THANK YOU ARE THERE
OTHER WITNESSES IN SUPPORT NAME
ORGANIZATION POSITION ONLY. IS
THAT SHORT ON BEHALF OF
ADVENTIST HEALTH AND SUPPORT
CONNIE DELGADO ON BEHALF OF THE
DISTRICT HOSPITAL LEADERSHIP
FORUM AND SUPPORT SINGLE BRIDGE
ON BEHALF OF THE ASSOCIATION OF
CALIFORNIA HEALTHCARE DISTRICTS
AND RURAL COUNTY REPRESENTATIVES
OF CALIFORNIA IN SUPPORT.
MICHAEL RATTIGAN ON BEHALF OF
THE BOARD OF SUPERVISORS OF
SANTA CLARA COUNTY IN SUPPORT.
THANK YOU, MADAM. VICE CHAIR DON
SINS CAN BE HALF OF THE
STRUCTURAL ENGINEERS ASSOCIATION
OF CALIFORNIA WE ARE ALMOST OUT
OF SUPPORT WHERE ENGINEERS SO
THE DETAILS ARE, UH AH, IT'S NOT
WORTH SUPPORTING. UNLESS WE
UNDERSTAND ALL THE DETAILS, I
GUESS, BUT WE'RE JUST ABOUT
THERE. WE WOULD ASK THAT WE DO
HAVE CONSENSUS THAT THE BILL
REMAINED FOCUSED. THANK YOU.
CATHERINE AUSTIN SCOTT ON BEHALF
OF THE CALIFORNIA HOSPITAL
ASSOCIATION. REALLY THANK DOCTOR
WOULD FOR THIS BILL. IN THE
INTRODUCTION OF THIS BILL, WE
ARE SUPPORT IF AMENDED, UM LIKE
OUR RURAL HOSPITALS, WHICH WE
SUPPORT IN THIS BILL, WE HAVE
OTHER HOSPITALS THAT FACE THE
SAME STRUGGLES AS BOTH WITNESSES
HAVE COMMENTED ON ENGLISH TO
CONTINUE TO WORK ON THOSE
HOSPITALS GOING FORWARD. SO
SUPPORTIVE OF DR WOODS BILL
MOVING FORWARD AND LOOK FORWARD
TO WORKING ON FUTURE BILLS ON
THE SAME TOPIC. THANK YOU. GOOD
AFTERNOON. MATTLAGE ON BEHALF OF
S C I. U CALIFORNIA JUST WANTED
TO THANK DR WOOD FOR THE
CONTINUED CONVERSATION. LOOK
FORWARD TO CONTINUING TO WORK
WITH THEM ON THE BILL. WE DO NOT
CURRENTLY HAVE A POSITION. THANK
YOU. ARE THERE ANY QUESTIONS
COMMENTS FROM COMMITTEE? OH,
OPPOSITION. IS THERE ANY
OPPOSITION TO THIS BILL? I
OVERLOOKED THAT PART. SEEING
NONE. MR RODRIGUEZ. I WANT TO
THANK THE MEMBER FOR BRINGING
THIS BILL FORD. OBVIOUSLY KIND
OF PUTS ME IN A VERY AWKWARD
POSITION IS AS CHAIR OF
EMERGENCY MANAGEMENT COMMITTEE.
WE'RE ALWAYS LOOKING AT MAKING
SURE CALIFORNIA IS BETTER
PREPARED TO RESPOND TO THAT
EARTHQUAKE, RIGHT? UM AND I KNOW
THAT IT'S VERY DIFFICULT IN
THESE ROLES SETTINGS RIGHT
BECAUSE OF THE FUNDING THE
LOCATION AND HOW UNIQUE YOU ARE
TO THOSE COMMUNITIES. UM I LIKE
THE FUNDING COMPONENT THERE.
SOMEBODY REMEMBER WHAT I'M GREAT
. I WISH WE COULD GET MORE
FUNDING SO WE WON'T HAVE TO
CONTINUE DELAYING THESE PROJECTS
BECAUSE WE TALKED ABOUT KEEPING
THESE HOSPITALS OPEN ALL THE
TIME. I'M ALSO CONCERNED ABOUT
MAKING SURE THAT PEOPLE THAT ARE
TREATING THE PATIENT. THE
PATIENT IN THERE ARE IN SAFE,
SECURE BUILDINGS AS WELL. I WAS
LOOKING AT CALIFORNIA I DON'T
THINK WE'VE BEEN REALLY TESTED
ON A MAJOR EARTHQUAKE. WHETHER
IT'S ON THE UP HERE OR DOWN
SOUTH TO MAKE SURE THAT OUR
HOSPITAL PARTICULARLY OR ARE
REGULARLY ARE ARE ABLE TO
WITHSTAND THOSE EARTHQUAKES
RIGHT BECAUSE WORST CASE. SOME
OF THESE HOSPITALS GO DOWN SOME
OF THESE BUILDINGS. I KNOW IT'S
VERY UNIQUE DEPENDING ON URBAN
OR RURAL SETTING, BUT WE JUST
GOT TO MAKE SURE WE DON'T
CONTINUE TO KICK THIS CAN DOWN
THE ROAD WHERE WE'LL NEVER GET
TO THAT COMPLIANCE RIGHT? AND
GOD FORBID, ONCE AGAIN, WE HAVE
THAT MAJOR EARTHQUAKE AND WE
HAVE SOME OF THE STRUCTURES GO
DOWN AND CAUSE ADDITIONAL ISSUES
TO THE WORKERS AND THE PATIENT
THAT WE'RE TREATING. SO UM I'M
VERY AWKWARD POSITION. I'M
LOOKING AT SUPPORTED. HOPEFULLY
WE CAN NARROW THESE TIMELINES
WHERE DON'T ANOTHER 5 10 YEARS
THAT, UH, ONCE AGAIN WE DON'T
SEEM TO BE KICKING THIS
SITUATION DOWN THE ROAD. BUT
ONCE AGAIN, THANK YOU FOR
BRINGING THIS FORWARD LOOK
FORWARD TO CONTINUE WORKING THE
WORKING WITH YOU, AND HOPEFULLY
WE CAN FIND A WAY TO GET THAT
FUNDING SOONER RATHER THAN LATER
AND UM, WHATEVER WE DO TO HELP
YOU WITH SOMETHING, REMEMBER
WHAT ON THAT THROUGH MY
COMMITTEE? HOPEFULLY WE CAN COME
UP WITH SOMETHING AS WE MOVE
THIS BILL FORWARD. THANK YOU.
OOPS. THANK YOU. MR AGREE OUR
CURRY. THANK YOU. AH
ASSEMBLYMEMBER'S WOULD FOR
BRINGING THIS FORWARD. YOU AND I
SHARE THE SAME COMMITMENT AND WE
TRY TO IDENTIFY WAYS TO ADDRESS
THE CHALLENGES FOR OUR RURAL
HOSPITALS. IT WAS ON AND ON AND
NINE EVERY SINGLE YEAR. UM YOU
KNOW, SUPPORTING WHAT MANY TIMES
ARE THE ONLY FACILITIES THAT OUR
CONSTITUENTS CAN ACCESS CARES?
ABSOLUTELY ESSENTIAL OF HEALTH
CARE ACCESS IN BOTH OF OUR
DISTRICTS. WE'VE SEEN THIS. GO
ON. I'VE BEEN HERE FOR SIX
YEARS, AND WE HAVE SOMETHING
LIKE THIS COME UP EVERY YEAR. UM
I REALLY APPRECIATE YOU BRINGING
THE BILL BACK AND LET'S SEE IF
WE CAN GET ACROSS THE FINISH
LINE, AND I WOULD LIKE TO BE A
CO AUTHOR BE ADDED AS A CO
AUTHOR. THANK YOU, MR FLORA. DID
YOU HAVE ANYTHING OKAY? UH, DR
WEBBER. THANK YOU, DOCTOR WOULD
FOR THIS BILL FOR NOT ONLY
RECOGNIZING THAT SOME OF OUR
HOSPITALS IN OUR REMOTE OR RURAL
AREAS WILL NEED A LITTLE BIT
MORE TIME AND A LITTLE BIT MORE.
UM ASSISTANCE BUT ALSO SOME OF
OUR HEALTHCARE DISTRICTS, WHICH
MAY NOT NECESSARILY BE LOCATED
IN A RURAL AREA BUT HAVE A PAIR
MIX WHICH, UM, WILL NOT ALLOW
THEM THE ABILITY TO HAVE THE
FUNDS, UM EARLIER AND SO,
OPENING THIS UP TO THEM, AS WELL
AS EXTREMELY IMPORTANT BECAUSE
THEY DO ALSO SERVED. VERY
CRUCIAL NEED IN THE COMMUNITY
AND I AGREE WITH
ASSEMBLYMEMBER'S RODRIGUEZ. WE
WANT OUR HOSPITALS TO BE, UM AS
SAFE AS POSSIBLE FOR THAT, YOU
KNOW, BIG EARTHQUAKE IF IT EVER
COMES. LET'S HOPE IT DOESN'T. UM
BUT AT THE SAME TIME, WE DON'T
WANT TO PUT TOO MANY CONSTRAINTS
ON THE HOSPITALS THAT WE HAVE SO
THAT THEY END UP CLOSING OR NOT
BEING ABLE TO SERVE THE
COMMUNITY. SO IT'S A DELICATE
BALANCE. I KNOW WE'LL CONTINUE
TO TALK ABOUT IT HERE IN HEALTH
COMMITTEE, BUT I JUST WANT TO
THANK I'M DOCTOR WOULD AND ALSO
ASKED TO BE A CO AUTHOR. UM IF
YOU WOULD ALLOW ME TO BE THANK
YOU. ANY OTHER COMMENTS, MR
FANG? UM I'LL JUST BE BRIEF.
THANK YOU, MADAM CHAIR. I JUST
WANT TO THANK YOU FOR THIS BILL.
YOU AND I HAVE HAD A NUMBER OF
CONVERSATIONS ABOUT FINANCIALLY
DISTRESSED HOSPITALS AND
PROVIDING THEM SOME RELIEF,
ESPECIALLY A NUMBER OF THEM ON
THE BRINK OF CLOSURE. MADEIRA IS
CERTAINLY THE CANARY IN COAL
MINE OF SOMEONE WHO REPRESENTS
THE CENTRAL VALLEY. WE HAVE A
NUMBER OF HOSPITAL DISTRICTS.
THEY'RE IN THE SAME BOAT. SO
THANK YOU FOR THIS BILL AND WILL
ALSO LIKE TO BE ADDED AS
COOPERATIVE. ANY OTHER COMMENTS
FROM COMMITTEE MEMBERS. UM I TO
REPRESENT A VERY RURAL DISTRICT
ABOUT 80% OF THE LAND MASS. AND
MY DISTRICT IS RURAL. SO IT DOES
AFFECT OUR HOSPITALS THERE. UM
I'D LIKE TO ASK THE AUTHOR IF
YOU'D LIKE TO CLOSE. YES AND
THANK YOU. AND I APPRECIATE THAT
. THIS THIS BILL MEANS A LOT TO
ME. UM YOU KNOW, YOU OFTEN HEAR
ME TALK ABOUT THE CHALLENGES OF
RURAL COMMUNITIES. THIS IS A
HUGE CHALLENGE FOR RURAL
COMMUNITIES, YOU KNOW? UH A
COUPLE OF YEARS AGO, WE SOME
MONEY FROM THE VAPING TAX FUND.
TO HELP WITH THIS. UM SOME OF
YOU MAY REMEMBER THAT AND I GOT
PEOPLE THAT WEREN'T HAPPY ABOUT
I WOULD HAVE TAKEN THE WHOLE
FREAKING THING IF I COULD HAVE
QUITE FRANKLY, BUT WHAT WE
DIDN'T AND WE GOT SOME MONEY,
AND THERE'S MONEY THERE THAT
WILL HELP WITH SOME OF THE
ANALYSIS AND FOR HOSPITALS GOING
FORWARD HERE. UM BUT THESE
HOSPITALS ARE LIFELINES AND
WITHOUT A HOSPITAL IN A
COMMUNITY THEY'RE OFTEN MADE THE
MAJOR EMPLOYERS IN SOME IN SOME
OF OUR SMALLER COMMUNITIES. YOU
LOSE YOUR EMPLOYERS. YOU LOSE.
YOU LOSE YOUR HOSPITAL. UM AND
PEOPLE LEAVE. THEY'LL MOVE AWAY
BECAUSE YOU HAVE TO HAVE ACCESS
TO HEALTHCARE. UM AND I
APPRECIATE, UH, CONCERNS OF MR
RODRIGUEZ. I UNDERSTAND THE
DELICATE POSITION HE IS IN AND I
JUST WOULD JUST SAY THAT LOOK,
WE WANT ALL THESE HOSPITALS TO
BE ABLE TO COME INTO COMPLIANCE
, BUT WE CAN'T FORCE THEM OUT OF
BUSINESS IN THE IN THE IN THE
INTERIM HERE. WHEN I THINK OF IT
, I TALK ALL THE TIME ABOUT MAD
RIVER HOSPITAL BECAUSE THEY HAVE
SUSTAINED A 7.3, A 6.4. MOST
RECENTLY THEY HAVEN'T LOST A DAY
OF SERVICE FROM AN EARTHQUAKE
THAT I'M AWARE OF IN OVER 50
YEARS, AND WE HAVE EARTHQUAKES
EVERY YEAR. SIGNIFICANT ONES IN
OUR IN OUR COUNTY $40 IN DAMAGE
. I'M RIGHT. READY WRITE YOU A
CHECK, YOU KNOW, UM FOR THAT,
BUT IT IS, UM AND THESE ARE MANY
OF THESE HOSPITALS WE'RE TALKING
ABOUT ARE SINGLE STORY WOODEN
STRUCTURES THAT THAT WITHSTAND
MOVEMENT MOVEMENT. WELL, AND SO
WE'RE JUST LOOKING FOR A CHANCE
. WE'RE THREADING A DELICATE
LINE HERE. I KNOW THAT. UM I
CAN'T. WE CAN'T TAKE EVERY
HOSPITAL IN HERE BECAUSE THE
NATURE OF SOME HOSPITALS ARE
DIFFERENT. BUT THESE ARE THESE.
I BELIEVE THESE ARE DIFFERENT. I
THINK IT'S JUSTIFIED TO MOVE
THIS FORWARD. AND I HOPE THAT
THOSE THAT ARE, YOU KNOW ON THE
FENCE OR HAVE CONCERNS,
ESPECIALLY, YOU KNOW, SOME OF
THE WITNESSES WE HEARD. YOU CAN
GET THERE WITH US BECAUSE IT IS.
THIS IS A HUGE LIFELINE FOR
PEOPLE. AND I THANK YOU FOR YOUR
CONSIDERATION. I THANK YOU FOR
THOSE WHO HAVE CHOSEN TO JOIN ME
ON THIS TRACK. I YOU KNOW, UH, I
ASK YOU FOR A HARD THINGS
SOMETIMES. I DO. THAT'S JUST WHO
I AM, AND WE KEEP PUSHING
FORWARD ON AFFORDABILITY. AND ON
FRIDAY THINGS BUT THIS IS
PERSONAL. SO I ASK FOR YOUR
SUPPORT. THANK YOU. WE DO HAVE A
MOTION FROM MR FLORA. SECOND
FROM MR FONG DO PASS TO
APPROPRIATIONS. MADAM SECRETARY.
PLEASE CALL THE ROLL WOULD WOULD
I? WALDRON WALDRON, IAGAR CURRY
CURRY. I ARAMBULA ARAMBULA. AYE.
PORNO CORVETTE. BOERNER HORVATH.
AYE, CARILLO. FLORA. FLORA I
SANG THAT SONG. I MAIENSCHEIN
MAIENSCHEIN I MCCARTY MCCARTHY
I. JOE PATERSON, PATERSON. I
RODRIGUEZ RODRIGUEZ I SANTIAGO
SANTIAGO. I VE VALLAPUDUA.
VALLAPUDUA AYE. WEBBER WEBBER?
AYE. YOUR BILL HAS 14 VOTES AND
IS OUT.
OKAY LAST BUT NOT LEAST, ITEMS.
17 A B. 952 CHAIRMAN WOULD THANK
YOU VERY MUCH. A B 952 IS A BILL
TO MAKE IT EASIER FOR CONSUMERS
AND DENTISTS TO KNOW WHO AND
WHERE TO TURN TO WHEN THEY NEED
HELP WITH AN APPEAL OR WITH
PROCESSING DENTAL COVERAGE
CLAIMS. SOMETIMES PATIENTS
CALLED THE DENTAL OFFICE. THE
DENTAL PLAN, THE DEPARTMENT OF
MANAGED HEALTH CARE OR THE
DEPARTMENT OF INSURANCE, ONLY TO
FIND OUT THAT THEIR EMPLOYERS
RESPONSIBLE FOR THEIR IDENTIFY
THE EMPLOYER RESPONSIBLE FOR
THEIR DENTAL BENEFITS IS A SELF
INSURED ORISSA PLAN. HONESTLY I
DIDN'T REALLY KNOW WHAT MARISSA
PLAN WAS. UNTIL I CAME TO THE
LEGISLATURE. I JUST KNEW THERE
WERE DIFFERENT KINDS OF PLANS
OUT THERE BECAUSE IT'S IN A RISK
OF PLAN. CONSUMERS ARE SUBJECT
TO FEDERAL LAWS, NOT THE PROCESS
IN CALIFORNIA, REGULATED THAT
THEN REGULATED FOR CALIFORNIA
DENTAL COVERAGE. WE'RE
ENCOURAGED. WE ARE CURRENTLY
ENGAGED WITH THE CALIFORNIA
ASSOCIATION OF DENTAL PLANS TO
TRY TO ADDRESS THEIR OPERATIONAL
CONCERNS AND FIND OTHER METHODS
OF NOTIFYING THEIR ENROLLEES IN
CONTRACTED PROVIDERS. WITH ME.
WE HAVE REPRESENTATIVE WITNESSED
FROM THE CALIFORNIA ASSOCIATION.
THAT WHEN YOU INTERN MEMBERS,
JESSICA RAN WITH THE CALIFORNIA
DENTAL ASSOCIATION HERE TODAY AS
THE SPONSORS OF 89 52.
CALIFORNIA HAS MADE GREAT
STRIDES AND INCREASING ACCESS TO
ORAL HEALTHCARE WITH AN
ESTIMATED 86% OF CALIFORNIA AND
HAVING SOME FORM OF DENTAL
COVERAGE. WHILE MOST DENTAL
INSURANCE PRODUCTS ARE REGULATED
AT THE STATE LEVEL BY D. M H. C.
OR C D, OVER 40% OF CALIFORNIANS
WITH EMPLOYER SPONSORED COVERAGE
HAVE DENTAL INSURANCE THAT IS
SELF INSURED, ALSO KNOWN AS A
RISK OF PLANS. THESE PLANS ARE
REGULARLY AT THE FEDERAL LEVEL
AND THUS EXEMPT FROM STATE
REGULATIONS AND RULES CAN BE
DIFFICULT FOR BOTH PROVIDERS AND
DENTIST TO DETERMINE IF A PLAN
IS REGULATED BY STATE OR FEDERAL
LAW. OFTENTIMES THE GENERAL
OFFICE DOES NOT KNOW WHAT TYPE
OF COVERAGE OF PATIENT HAS UNTIL
AFTER THE BUILDING PROCESS IS
COMPLETED WHEN THEY RECEIVE A
RETROACTIVE DENIAL OR BUILDING
EXEMPTION FOR CARE. THEY'VE
ALREADY PROVIDED. THE LACK OF
TRANSPARENCY ALSO LEAVES
PATIENTS WITHOUT KNOWING WHO TO
CONTACT IF THEY HAVE AN ISSUE
WITH THEIR PLAN. 89 52 IS A
SIMPLE YET EFFECTIVE WAITER
INCREASED TRANSPARENCY BETWEEN
DENTAL PLANS, PATIENT AND THE
PROVIDER. UNDER 89 5 TO DINNER
PLANS WOULD BE REQUIRED TO
DISCLOSE WHETHER AN EMPLOYEE'S
PLAN IS SUBJECT TO STATE OR
FEDERAL LAW AT THE TIME OF
DETERMINING A PATIENT'S
ELIGIBILITY FOR AND BENEFITS.
RECEIVING NOTIFICATION OF WHAT
TYPE OF PLAN A PATIENT HAS IS
CRITICAL. TÔI DENTAL OFFICE
KNOWING THE RULES OF THE ROAD
WHEN COMMUNICATING A, UM PLANNED
COVERAGE TO A PATIENT
ADDITIONALLY, 89 52 WOULD
REQUIRE DENTAL PLANS TO PROVIDE
THE SAME DISCLOSURES ON
DOCUMENTATION PROVIDED TO
ENROLLEES SUCH AS INSURANCE
CARDS AND ONLINE PORTALS. AT
LEAST SIX OTHER STATES HAVE
PASSED LEGISLATION OR
REGULATIONS REQUIRING DENTAL
PLANS TO DISCLOSE WHETHER PLANS
ARE SELF INSURED. CALIFORNIA
CONTINUES TO MOVE THE NEEDLE AND
INSURANCE AND ENSURING ACCESS TO
CARE. 89 52 IS NECESSARY TO
CLOSE THE LAND SENT THE
LONGSTANDING LACK OF
TRANSPARENCY BETWEEN DENTAL
PLANS AND PROTECTIVE PATIENT
PROVIDER RELATIONSHIP. I'D LIKE
TO CLOSE BY KNOWLEDGE IN THE
CALIFORNIA ASSOCIATION OF DENTAL
PLANS OPPOSING LESS ADMITTED
POSITION. WE HAVE BEGUN
DISCUSSIONS WITH THEM AND WILL
BE CLAMORING ON AMENDMENTS TO
MEET THE PROVISIONS IN THIS BILL
WORK AS WE INTENDED. I RESPECT
TO ASK FOR MY VOTE. THANK YOU.
THANK YOU ARE THERE WITNESSES IN
SUPPORT NAME ORGANIZATION ONLY
PLEASE. THE LAST GUY FOR THE
CALIFORNIA ASSOCIATION OF
FORTUNATE DANTAS AND SUPPORT.
NEW ORLEANS ON BEHALF OF
CHILDREN NOW AND SUPPORT. AND HE
WITNESSES AND OPPOSITION PLEASE
COME FORWARD. THANK YOU MEMBERS
MATT, BACK REPRESENTING THE
CALIFORNIA ASSOCIATION OF DENTAL
PLANS. OBVIOUSLY, CHAIRMAN WOULD
AND THE SPONSOR MENTIONED THAT
WE ARE IN CONVERSATIONS. WE
CERTAINLY DO NOT OPPOSE THE
TRANSPARENCY PIECE IN THE
DISCLOSURE. IT'S MORE ON THE
OPERATIONAL SIDE AGAIN. WE'VE
ENGAGED IN A POSITIVE
CONVERSATIONS AND WE LOOK
FORWARD TO A GOOD OUTCOME. THANK
YOU. THANK YOU SEEING NO OTHER
OPPOSITION BRING IT BACK TO THE
COMMITTEE FOR QUESTIONS,
COMMENTS. SAYING NONE CHAIRMAN
WOULD WOULD YOU LIKE TO CLOSE? I
JUST RESPECTFULLY ASK FOR YOUR
VOTE. THANK YOU. WE DO HAVE A
MOTION FROM DR ARAMBULA SECONDED
BY ASSEMBLYWOMAN
BOERNER HORVATH. Dð PAST TWO
APPROPRIATIONS. MADAM SECRETARY.
PLEASE CALL THE ROLL WOULD WOULD
I? WALDRON, WALDRON, NYAGAH
CURRY. THANK YOUR CURRY. I
ARAMBULA ARAMBULA. AYE BOERNER,
HORVATH BOERNER HORVATH THE EYE
CARILLO. FLORA. MONNING THAT'S
WRONG. I MAIENSCHEIN MEANTIME,
I'M MCCARTY MCCARTHY I, JOE
PATTERSON. PATERSON I RODRIGUEZ
RODRIGUEZ. I SANTIAGO SANTIAGO
IVY VALLAPUDUA. VALLAPUDUA AYE.
WEBBER WEBBER? AYE. YOUR BILL
HAS 13 VOTES. THANK YOU.
OKAY I APOLOGIZE. I HAD TO STEP
OUT EARLIER, SO I DON'T KNOW
WHERE WE ARE IN THE PROCESS.
WE'RE GOING TO FIND OUT REAL
SOON. LET'S GO TO THE LET'S GO
TO THE TOP OF THE ORDER. OKAY?
OKAY? OKAY? SO WE'RE GONNA GO
AHEAD AND I WILL OPEN THE ROLL
ON ITEM NUMBER ONE. A. B 29 CALL
THE OPPOSITE MEMBERS.
AGUIAR-CURRY EDGAR CURRY. AYE.
CARILLO. MAIENSCHEIN MAIENSCHEIN
AND I SANTIAGO. MAYBE 29.
SANTIAGO. AYE. 13 0 13 0 WILL GO
TO ITEM NUMBER TWO A B 33 BY
ASSEMBLYMEMBER'S BAINS. THESE
OPEN THE ROLL CALL, THE OPPOSITE
MEMBERS, WOULD WOULD I
AGUIAR-CURRY AGUIAR-CURRY. AYE,
CARILLO. MAIENSCHEIN
MAIENSCHEIN, AYE. SANTIAGO.
SANTIAGO, I WEBER WHOEVER I.
THAT'S 14 0. ITEM NUMBER THREE
A. B 90 BY MS PETRIE-NORRIS,
PLEASE OPEN THE ROLL CALL THE
ABSENT MEMBERS WOULD I
AGUIAR-CURRY AGUIAR-CURRY. AYE,
CARILLO. MAIENSCHEIN
MAIENSCHEIN, AYE. SANTIAGO.
SANTIAGO I WEBER WHEREVER I.
THAT'S 13 0. ITEM NUMBER FOUR A
B 2 TO 8 BY MS WILSON. PLEASE
OPEN THE ROLL CALL THE ABSENT
MEMBERS. CARILLO. MAIENSCHEIN
MAIENSCHEIN, AYE. SANTIAGO. VÚI
. THAT'S 14 0, ITEM NUMBER 5, 12
AND 15 OF THE CONSENT CALENDAR.
PLEASE OPEN THE ROLL ON THE
CONSENT CALENDAR CALLED THE
ABSENT MEMBERS. CARILLO.
SANTIAGO. SANTIAGO. AYE. 14 0.
THAT'S 14 0. I DON'T REMEMBER.
ITEM NUMBER SEVEN A. B 6 32 BY
MR GIBSON, PLEASE OPEN THE ROLE
AND CALLED THE ABSENT MEMBERS.
MM. NUMBER SIX. IT WAS. BUT WE
DO. THAT'S WHY I CALLED THIS
SUMMER SINCE DID I CALL YOU
HAVEN'T. I DON'T NUMBER SIX A B
6 32 BY MR GIBSON, PLEASE OPEN
THE ROLL CALL THE ABSENT MEMBERS
ARAMBULA. ARAMBULA. AYE,
CARILLO. AND SPUNK. VINCE FONG,
I MAIENSCHEIN MAIENSCHEIN I
MCCARTY MCCARTHY I SANTIAGO.
SANTIAGO IVY VALLAPUDUA. YEAH
BUT WHY? 14 0? THAT'S 14 0. ITEM
NUMBER 7 89 48 BY MR BERMAN,
PLEASE OPEN THE ROLL CALL THE
ABSENT MEMBERS BOERNER HORVATH.
CARILLO. BONK. THAT'S WRONG. I
MAIENSCHEIN MAIENSCHEIN I
MCCARTY MCCARTHY I SANTIAGO.
SANTIAGO. I BE VALLAPUDUA.
VALLAPUDUA I 13 0 13 0 ITEM
NUMBER EIGHT A B 12 02 BY MR
LACKEY, PLEASE OPEN THE ROLL
CALL THE ABSENT MEMBERS WOULD I
WOULD I AGUIAR-CURRY CREATE I
CARILLO. MAIENSCHEIN MAIENSCHEIN
I MCCARTY MCCARTHY I SANTIAGO.
SANTIAGO WEBER. WEBER I
SANTIAGO, I WEBER AYE. 14 14 0
ITEM NUMBER NINE A. B 12 OH,
EIGHT, PLEASE LIFT THE CALL AND
CALL THE ABSENT MEMBERS. WOULD
WOULD I THANK YOUR CURRY CURRY.
AYE. CARILLO. MAIENSCHEIN
MAIENSCHEIN, AYE MCCARTY.
MCCARTY? AYE. SANTIAGO.
SANTIAGO, I WEBER WHERE I. MHM.
THAT'S 13 0 ITEM NUMBER 10 A B
14 77 BY MS QUIRK-SILVA, PLEASE
OPEN THE ROLE AND CALL THE
ABSENT MEMBERS. I WOULD I WOULD
I HAD YOUR CURRY CURRY. AYE.
CARILLO. MAIENSCHEIN MAIENSCHEIN
I. SANTIAGO? SANTIAGO, I WEBER.
HOWEVER, I 14 0 THAT'S 14 0.
REMEMBER, 11 A B 3 17 BY DR
WEBBER. PLEASE OPEN THE ROLE
CALLED THE ABSENT MEMBERS FOR
REAL. VINCE PHªN. SHANGHAI
MAIENSCHEIN MAIENSCHEIN I
MCCARTY MCCARTHY I SANTIAGO.
SANTIAGO IVY VALLAPUDUA. AND PUT
YOUR I 14 0. THANK YOU. ITEM
NUMBER 13, PLEASE LIFT THE CALL
AND CALL THE ABSENT MEMBERS
WOULD I WOULD I FIGURE CREEK
CURRY. I CARILLO. MAIENSCHEIN
MAIENSCHEIN I MCCARTY MCCARTHY I
SANTIAGO. SANTIAGO I WEBBER
WEBBER. AYE. 11. 11 0. MY THAT
WAS MY BAD I MEANT TO SAY A B. 4
94 BY DR ARAMBULA. SORRY, I
DON'T KNOW. UM ITEM NUMBER 14 A
B 10 85 BY MR MAIENSCHEIN,
PLEASE. OPEN THE ROLL CALL THE
ABSENT MEMBERS CURRY CURRY, I
CARILLO. SANTIAGO. SANTIAGO I 11
0 11 0. AND THEN I REMEMBER 16.
WOULD A B A 69, PLEASE OPEN THE
ROLL CALL THE UPSET MEMBERS.
ONLY FOR ONLY THAT ONE. SO AT 14
0 AND 9 50 THE NEXT BILL, IS
THAT AS WELL, SO OKAY. OKAY UM,
WITH THAT, UNDERSTAND, MR CORREA
WILL NOT BE ABLE TO MAKE IT. UH
SO AT THIS POINT, WE WILL GO
AHEAD AND CLOSE THE THIS
CONCLUDES OUR MEETING. WE'LL GO
AHEAD AND ADJOURNED. THANK YOU
VERY MUCH.