GOOD. AFTERNOON. WE'D LIKE TO GO
AHEAD AND GET STARTED WITH OUR
HEARING. SO IF YOU, UH I'LL FIND
YOUR SEATS OUT THERE WOULD BE WE
APPRECIATE THAT. BEFORE WE BEGIN
. I'D LIKE TO MAKE A STATEMENT
PROVIDING REGARDING PROVIDING
TESTIMONY AT THIS HEARING. WE
SEEK TO PROTECT THE RIGHTS OF
ALL WHO PARTICIPATE IN THE
LEGISLATIVE PROCESS SO THAT WE
CAN HAVE AN EFFECTIVE
DELIBERATION ON THE CRITICAL
ISSUES FACING CALIFORNIA. OUR
WITNESSES WILL BE TESTIFYING IN
PERSON. WE ALLOWED TO MAKE MAIN
WITNESSES FOR MAXIMUM OF THREE
MINUTES. EACH ADDITIONAL
TESTIMONY WILL ALSO BE IN PERSON
AND LIMITED TO NAME POSITION AND
ORGANIZATION. IF YOU REPRESENT
ONE ALL TESTIMONY, COMMENTS ARE
LIMITED TO THE BILL AT HAND. WE
DO HAVE A PROPOSED CONSENT
CALENDAR FOR TODAY'S HEARING.
ANY MEMBER OF THE COMMITTEE MAY
REMOVE A BILL FROM CONSENT.
PROPOSED CONSENT CALENDAR IS
ITEM NUMBER FIVE A B 700 BY
ASSEMBLYMEMBER'S GRAYSON. ITEM
NUMBER 12 A B 11 10. MY DOCTOR
ARAMBULA WITH AMENDMENTS
REMEMBER 13, MAYBE 12 33 BY VICE
CHAIR. WALDRON. UM. REMOVED FROM
TO THE CALENDAR ITEM NUMBER TWO
A B 4 12 WAS REMOVED FROM
TODAY'S AGENDA AT THE REQUEST OF
THE AUTHOR. SO WE DO NOT HAVE A
QUORUM SO WE WILL CONTINUE THE
HEARING AS A SUBCOMMITTEE, AND
I'D LIKE TO INVITE, UM
ASSEMBLYMEMBER'S PACHECO TO COME
FORWARD. YOU HAVE ITEM ITEM
NUMBER ONE A. B 77.
WELCOME TO THE HEALTH COMMITTEE.
YOU HAVE TO. YOU HAVE TO HIT THE
BUTTON SO WE CAN HEAR YOU,
THOUGH. CAN YOU HEAR ME NOW?
THANK YOU. PLEASURE TO BE HERE
BEFORE ALL OF YOU, MR CHAIR AND
COMMITTEE MEMBERS. I HAVE A VERY
EXCITING BILL. IT IS A B 77. AND
I WANT TO THANK YOU ALL FOR THIS
OPPORTUNITY TO PRESENT I WANT TO
START BY THANKING THE COMMITTEE
STAFF FOR ALL THEIR HARD WORK ON
THIS BILL, AND I WANTED TO
MENTION THAT WE WILL BE
ACCEPTING THE COMMITTEE
AMENDMENTS. I AM PLEASED TODAY
TO PRESENT A B 77, WHICH WOULD
ALLOW FOR THE USE OF DIRE
CRITICAL MARKS ON VITAL
DOCUMENTS. WATCH INCLUDE BIRTH.
DEATH, FETAL DEATH CERTIFICATES
AND MARRIAGE LICENSES. IT IS NOT
ONLY IMPORTANT TO SPELL A
PERSON'S NAME PROPERTY, IT IS
EQUALLY IMPORTANT TO CORRECTLY
PRONOUNCE THE PERSON'S NAME
WITHOUT CHANGING ITS MEANING.
THIS IS IMPORTANT TO MAINTAIN
CULTURAL IDENTITY AND HERITAGE.
GIVEN CALIFORNIA'S INCREASING
DIVERSITY, IT IS IMPORTANT THAT
CULTURAL NAME PRONOUNCED THE
ATIONS THAT DEVIATE FROM THE
TYPICAL ENGLISH LANGUAGE ARE
REPRESENTED AND REFLECTED IN
CALIFORNIA LAW. THE PASSAGE OF
PROPOSITION 63 1986. WHICH
DECLARED ENGLISH THE OFFICIAL
LANGUAGE OF CALIFORNIA
ELIMINATED THE USE OF DIRE
CRITICAL MARKS ON VITAL RECORDS.
PRIOR TO THIS DAY, A CRITICAL
MARKS WERE PERMITTED ON VITAL
RECORDS. THIS BILL SIMPLY SEEKS
TO RESTORE WHAT WAS PREVIOUSLY
ALLOWED. WITH ME TODAY TO
TESTIFY IN SUPPORT OF THIS BILL
IS HIGH MAHA DREAM. MLB HALL OF
FAME DODGERS ANNOUNCER WHO
CHAMPIONED THE HASHTAG ONLY A
SENTO. INITIATIVE TO ADD DIACO
REMARKS TO TEAM JERSEYS. AND I
ALSO HAVE WITH ME CHINA'S MOTHER
OF SIX YEAR OLD NICHOLAS, WHO IS
PRESENT AND THIS IS THE
INSPIRATION OF MY BILL. SO I'M
GONNA. HANDED ON OVER TO A HIGH.
MCCARRON GOOD AFTERNOON. MY NAME
IS HIGH. MCCARRON WITH THAT TILL
DAY ON THE I MY LAST NAME. IT IS
MY PLEASURE TO APPEAR BEFORE
YOU. HE REMINDS ME OF MY THREE
YEARS AS THE OFFICIAL ANNOUNCER
OF THE SENATE OF THE NATIONAL
CONGRESS OF ECUADOR. I RECENTLY
RETIRED AFTER 64 YEARS AS THE
SPANISH VOICE OF THE VALUES
SEASON ARRIVAL FROM ECUADOR IN
1955. I HAVE A WITNESS A GREAT
CHANGE IN THE LANDSCAPE OF WHAT
PART SPORTS AND SOCIETY. IN
CALIFORNIA. I AM HERE TO EXPRESS
MY TOTAL SUPPORT TO A B 77 BILL.
BASED ON MY EXPERIENCES IN
BASEBALL. THERE HAVE BEEN SO
MANY TURNING TO THE FRUITS FROM
OTHER COUNTRIES WHO HAVE PLAYED
THE SPORT CALLED AMERICA'S PAST
TIME. BUT THERE WAS A PERIOD
WHEN SPEAKING SPANISH IN A MAJOR
LEAGUE HOUSE WAS DISCOURAGED BY
MANAGEMENT. MY DEAREST
COLLEAGUE, VINCE CURLY. WHO WAS
CONSIDERED THE BEST BASEBALL
ANNOUNCER OF ALL TIME USED TO
COME TO MY BOOTH DURING A GAME.
YOU ASKED ME. HOW DO YOU
PRONOUNCE THIS HISPANIC NAME? WE
JUST WANTED TO BE RIGHT. IT
HOLDS MY YEARS WHEN THE PUBLIC
ANNOUNCER AT THE BALLPARK WILL
MISPRONOUNCED THE PLAYER'S NAME
, SAYING RACE INSTEAD OF PARIS.
GÓMEZ INSTEAD OF GÓMEZ. ACUNA
FOR A KENYA OR PENA FOR PENA. IT
WAS 2017 WHEN THE MEASURE LEAGUE
PLAY YOURSELF ASSOCIATION
SPONSOR A CAMPAIGN CALL. AND THE
MAJOR LEAGUES BASEBALL. EVERY
CLUB. WAS US TO INCLUDE. IN THE
DAILY GAME, NOTES A PAGE WITH
TRANSLATION AND PROPER SPELLING,
INCLUDING THE MENU. OF THE
LATINO, EUROPEAN AND ASIAN
PLAYERS. SO THEY ALL MAJOR
LEAGUE BASEBALL TEAMS HAVE
INTERPRETERS AND THE PLAYER'S
JERSEYS HAVE BEEN THE NAME IS
USING THE ACCURATE CRITICAL
MARKS AND ACCENTS. PUNCTUATION
MARKS TO THE WRITTEN WORD OF IN
SPANISH. EXPANDS THE BEAUTIFUL
AND MELODIC LANGUAGE, THE SAME
RESULT AS A MUSICAL COMPOSER,
GIVING THE OPPORTUNITY TO OTHER
SHARPS AND FLATS MUSICAL NOTES.
BUT BEYOND FUNCTION, IT IS THE
ULTIMATE SIGN OF RESPECT.
RESPECTFULLY NAME. RESPECT TO
THE PERSON RESPECT FOR THE
CULTURE. PLEASE ACCEPT MY
COMPLETE SUPPORT OF THE
PROPOSITION A B 77 LEGISLATION.
THANK YOU AND THANK YOU WERE
ASSEMBLYMEMBER'S BLANCA BOCEK.
IT HAS BEEN A GREAT HONOR FOR ME
THE WAY HERE WITH YOU TODAY
THANK YOU VERY MUCH. THANK YOU
VERY MUCH. PLEASE GO AHEAD.
THANK YOU. GOOD AFTERNOON. MY
NAME IS NANCY CHEETAHS HAS BEEN
OSA. IN 2016. MY SON, NICHOLAS
MADE HIS DEBUT INTO THE WORLD
AND I LEARNED THAT THE STATE OF
CALIFORNIA WOULD NOT ALLOW ME TO
GIVE MY SON THE NAME THAT HIS
FATHER AND I HAD SO LOVINGLY AND
THOUGHTFULLY CHOSEN FOR HIM. THE
STATE'S DENIAL OF THE DEAL THERE
JUST ONE TYPE OF DIA CRITICAL
MARK IN MY SON'S NAME, CHANGES
ITS PRONUNCIATION AND STRIPS IT
OF ITS CULTURAL HERITAGE. MY
GRANDFATHER ATTENDED SEGREGATED
MEXICAN SCHOOLS IN THE STATE,
AND HE WORKED THE FIELDS FROM
CALEXICO TO LAKEPORT WITH MY
DAD. MY PARENTS CAME OF AGE AT A
TIME WHEN STUDENTS WERE OFTEN
PUNISHED FOR SPEAKING THEIR HOME
LANGUAGES AT SCHOOL AND TEACHERS
WOULD ARBITRARILY ANGLICIZED
STUDENTS NAMES FOR THEIR OWN
COMFORT. TODAY WE KNOW THAT
ACKNOWLEDGEMENT OF SOMEONE'S
NAME IS THE STARTING POINT FOR
INCLUSION EVEN IF WE CAN'T
PRONOUNCE THE NAME CORRECTLY,
HOW WE RESPOND TO IT MATTERS.
PERSONALLY I'M PRETTY BAD AT
TONAL LANGUAGES, BUT I ALWAYS
TRY MY BEST TO GET PEOPLE'S
NAMES RIGHT. IT'S IMPORTANT TO
MAKE PEOPLE FEEL SEEN AND TO
SEND THE MESSAGE THAT SHEDDING
OFF PARTS OF ONESELF IS NOT THE
PRICE OF ADMISSION IN OUR
SOCIETY, NOT IN CALIFORNIA. NOT
ANYMORE. TOO OFTEN, WE HEAR
GOVERNMENT INSTITUTIONS CLAIMING
THAT CHANGES TOO HARD THAT THE
SIMPLE ACT OF ACKNOWLEDGING NON
ENGLISH NAMES AND ALLOWING
PEOPLE TO USE THEM AS A BURDEN
NOT WORTH OVERCOMING. IT SENDS
THE MESSAGE THAT PEOPLE FROM NON
WESTERN EUROPEAN CULTURES ARE
NOT WORTH RESPECTING. YOU HAVE
ALL INHERITED THE DISCRIMINATIVE
DISCRIMINATORY PRACTICES IN
PLACE TODAY, BUT YOU ALSO HAVE
THE OPPORTUNITY TO ASK YOURSELF
WHETHER THE PROHIBITION OF DIA
CRITICAL MARKS ON THE GOVERNMENT
DOCUMENTS THAT LITERALLY
IDENTIFY US REFLECTS WHO WE ARE
AS A STATE NOW AND WHETHER IT
ALIGNS WITH THE FUTURE THAT
WE'RE TRYING TO BUILD. A B 77
ADVANCES SOME OF OUR MOST
TREASURED IDEALS. FREEDOM SELF
DETERMINATION, PARENTAL RIGHTS,
THE VISION OF CALIFORNIA FOR ALL
AND THE BASIC RESPECT FOR PEOPLE
FROM THE MULTITUDE OF CULTURES
THAT MAKE THIS SUCH A SPECIAL
PLACE TO LIVE. I RESPECTFULLY
REQUEST HER. I VOTE. AND WITH
THE CHAIRS, INDULGENCE. I'D LIKE
TO YIELD THE BALANCE OF MY TIME
TO MY SON, NICHOLAS. MY NAME IS
NICHOLAS DEALER. I WANNA BE ABLE
TO WRITE MY NAME RIGHT? THANK
YOU. THANK YOU VERY MUCH. OTHERS
IN SUPPORT. PLEASE COME FORWARD.
NO ONE IS THERE WE HAVE. DO WE
HAVE OPPOSITION TO THE BILL.
SAYING NO OPPOSITION WILL BRING
IT BACK TO THE COMMITTEE FOR
QUESTIONS OR COMMENTS. MR
RODRIGUEZ. I WANT TO THANK THE
AUTHOR FOR BRINGING THIS
IMPORTANT BILL FORWARD TO
PRESERVE REMEMBER OUR CULTURAL
IDENTITY. SO I WANT TO THANK YOU
AND THANK YOUR FOLKS THAT CAME
WITH YOU. THANK YOU, MR HARDEEN
FOR JOINING US AS WELL AND THE
OTHERS. I'M GLAD YOU BRING THIS
BEFORE IT. IT'S WAY OVERDUE AND
I LOOK FORWARD TO MAKING THE
MOTION TO SUPPORT IT. ONCE WE
GET THE QUORUM AND HOPEFULLY GET
IT THROUGH AND BECOME LAW AND
STATE OF CALIFORNIA, SO THANK
YOU ALL FOR BEING HERE THIS
MORNING OR AFTERNOON. THANK YOU.
THANK YOU ANY MISS WEBBER? DR
WEBBER. GOOD AFTERNOON. THANK
YOU SO MUCH FOR THE BILL. THANK
YOU FOR BEING HERE TO GIVE YOUR
PRESENTATIONS. UM AS I WAS
READING THROUGH THE BILL. HELP
ME IF I MISSED IT, BUT I I'M NOT
SURE DID YOU LIMIT THE NUMBER OF
DIA CRITICAL MARKS THAT YOU ARE
TRYING TO? INCLUDE. NO, THEY
THEY'RE NOT LIMITED. IT ALL
DEPENDS ON THE SPELLING OF THE
NAME. OKAY BECAUSE ONE OF THE
THINGS I DID NOTICE IN THE
ANALYSIS IS THAT FOR SOME OF THE
STATES THAT DO ALLOW IT, THEY
ALLOW A CERTAIN NUMBER. UM, NOT
NECESSARILY OPEN TO ALL. DO YOU
KNOW HOW MANY THERE ARE OUT
THERE? HOW MANY CRITICAL MARKS?
UH NO. I'M NOT AWARE OF HOW MANY
DARK CRITICAL MARKS BECAUSE IT
ALL DEPENDS ON THE LANGUAGE. SO
THERE'S DIFFERENT TYPES OF DIRE
CRITICAL MARKS. THAT COULD BE
THE ONION ACCENT. SO IT JUST
DEPENDS ON ON THE COUNTRY. UM
YOU KNOW, GERMANY HAS THEIR OWN
, UH, JEWISH COMMUNITY. THEY
HAVE THEIR OWN SO NO, IT'S NOT
LIMITED. YEAH SO AND I, YOU
KNOW, I KNOW THAT THERE IS
CONCERN ABOUT COST AND
FEASIBILITY, SINCE IT WOULD BE
MORE OF A LOCAL MANDATE AND
WHETHER LOOK, LOCALITIES WOULD
BE ABLE TO DO THAT. THAT MIGHT
BE SOMETHING THAT YOU WOULD LIKE
TO LOOK INTO TO SEE WHAT OTHER
STATES THAT HAVE IT. I KNOW
THERE'S NOT A LOT OF STATES THAT
ALLOW IT. BUT FOR THOSE THAT DO,
YOU MIGHT WANT TO KIND OF MODEL
IT AFTER THEM BECAUSE THAT MAY
HELP WITH SOME OF THE, UM UH,
THE CALIFORNIA ASSOCIATION OF
CLERKS AND ELECTION OFFICIALS.
THAT DID, UH, HAVE SOME CONCERNS
ABOUT THIS, UM, AND THEN ALSO
RECOGNIZED THE FACT THAT IT
WOULD STILL NEED IT. THOSE DIA
CRITICAL MARKETS STILL NEED TO
BE REMOVED BECAUSE FROM A
FEDERAL LEVEL THEY'RE NOT
ALLOWED. AND SO WE'RE LOOKING
FOR SOMETHING LIKE A SOCIAL
SECURITY NUMBER. OUR OUR
LOCALITIES WITHIN NEED TO REMOVE
THEM TO SEND THEM OFF FOR THEIR
SOCIAL SECURITY CARD. BUT THANK
YOU VERY MUCH. CURRENTLY SEVEN
STATES THAT ALLOW IT, WHICH
INCLUDE TEXAS YES, IN TEXAS
ALLOWS FOR. THANKS. OKAY, THANK
YOU. AND UM, WE'RE WE ARE
WORKING WITH OPPOSITION TO
WHAT'S YOUR PHONE? DO YOU HAVE
QUESTIONS? ANYONE ELSE? I JUST
WANT TO. I WANT TO THANK YOU, UH
, ASSEMBLYMEMBER'S PACHECO FOR
BRINGING THIS FORWARD AND MR
HARDEEN. THANK YOU SO MUCH FOR
BEING HERE. I'VE NEVER BEEN A
DODGER FAN. BUT TODAY I'M MAKING
EXCEPTION. UH YEAH, I LOVE IT.
HEY, I'M A GIANTS FAN. WHAT CAN
I SAY? YOU KNOW, I THINK YOU CAN
APPRECIATE THAT. I AM A BASEBALL
FAN, AND I AM I'M A BIG FAN OF
THIS BILL. MR JOSE MEDINA HAD A
BILL SIMILAR TO THIS. I WAS
ENTHUSIASTIC SUPPORTER OF THAT,
AND I THINK THIS IS THIS IS A
REALLY IMPORTANT BILL FOR
EVERYBODY WHO MIGHT BE AFFECTED
BY THE LACK OF A MARK IN AND IN
CRITICAL DOCUMENTS. UM, I WILL.
I WOULD NOTE THAT, UM, UM JUST
FOR PRODUCTIVE WEBER. WE. WITH
REGARDS TO FEDERAL, THE FEDERAL
GOVERNMENT. THE ACTUAL, UM. THEY
ACTUALLY RECEIVED DATA, NOT THE
DOCUMENT, SO WHEN THEY PUT
THINGS TOGETHER, IT'S DIFFERENT
THAN THE ACTUAL ACTUAL ACTUAL,
UM, THAT CRITICAL MARKS INCLUDED
IN THAT SO AND AS FAR AS YOU
KNOW, I UNDERSTAND. I DO
RECOGNIZE THAT SOME OF THE
COUNTY CLERKS AND HAVE HAVE
CHALLENGES WITH THIS AS WELL.
UM, YOU KNOW, I DON'T MEAN TO BE
TOO FLIPPANT, BUT YOU KNOW, I'M
HAPPY TO SEND ANYBODY. A BOX OF
SHARP PIECE. UM AND IF IT IF IT
HELPS TO SPEED THE PROCESS ALONG
WHILE THEY WHILE THEY GET THE
COMPUTERS, COMPUTERS TO GENERATE
THESE THESE MARKS BECAUSE I
THINK IT IS IMPORTANT AND I
THINK IT'S THE LONG OVERDUE AND
I VERY MUCH APPRECIATE YOU
BRINGING THE BILL FORWARD. SO
THANK YOU VERY MUCH. WOULD YOU
LIKE TO CLOSE? I WOULD LOVE TO.
I JUST WANT TO THANK ALL OF YOU
, MR CHAIR AND COMMITTEE MEMBERS
FOR THIS OPPORTUNITY TO PRESENT
WANNA ALSO, THANK MY AMAZING,
UH, WITNESSES WHO TESTIFIED, AND
MAYBE ONE OF OUR YOUNGEST
WITNESSES TO SPECIFY SO I
APPRECIATE YOUR TIME AND WHEN
THE OPPORTUNITY COMES, I
RESPECTFULLY ASK FOR YOUR RIVAL.
THANK YOU. THANK YOU. AND WE, AS
YOU SEE, WE'RE ONE SHORT OF A
QUORUM HERE, UNFORTUNATELY,
BECAUSE WE'D LOVE TO BE ABLE TO
TAKE THIS UP. BUT THANK YOU.
THANK YOU. THANK YOU TO YOURSELF
AND YOUR WITNESSES REALLY
APPRECIATE THAT VERY MUCH. GO
AHEAD AND MOVE ON, MR ALVAREZ.
YOU HAVE, UM, ALWAYS SECOND.
WHENEVER YOU'RE READY, SIR, YOU
HAVE A BABY FOR 25 DO AND I WANT
TO PUT ON THE RECORD THAT I JUST
GOT A GOOD LUCK FROM A LIFELONG
DODGERS FAN FOR MY SAN DIEGO
PADRES. SO THAT WAS PRETTY COOL.
UM HE DIDN'T SAY ANYTHING ABOUT
THE GIANTS ON THE WAY. SORRY.
THANK YOU VERY MUCH. I AM A
MEMBER, DAVID ALVAREZ WITH A
PILL ON THE FIRST DAY IN MY LAST
NAME. UM AND THANK YOU MEMBERS
FOR THE OPPORTUNITY TO PRESENT
THIS WITH YOU TODAY, THANKS TO
THE COMMITTEE STAFF FOR THE
COMMUNICATION WITH MY OFFICE AS
WE TRY TO BEFORE THIS AND
OBVIOUSLY, UM, APPRECIATE THE
WORK DONE AND ACCEPT THE
AMENDMENTS THAT HAVE COME FROM
THE COMMITTEE. MAYBE 4 25 WAS
INSPIRED BY ONE OF MY
CONSTITUENTS. YOU ALL PUT A CALL
OUT TO CONSTITUENTS. I THINK
WHEN IN THE FALL AND YOU TALK
ABOUT THE THINGS THAT YOU DO,
AND ONE OF THE THINGS WE ASK
CONSTITUENCIES. DO YOU HAVE ANY
IDEAS FOR A BILL? AND I GOT A
CALL FROM A HIGH SCHOOLER AS IT
RELATES TO THIS BILL, AND I GOT
ON A ZOOM WITH WITH THEM AND, UH
, AND THE MOTHER OF THE STUDENT
AND, UM, THIS WAS PRESENTED TO
ME AS SOMETHING BRAND NEW. I HAD
NO IDEA ON THIS TOPIC THAT I'M
ABOUT TO TALK TO YOU ABOUT, AND,
UM AND IT WAS PRETTY CLEAR VERY
, VERY, VERY EARLY ON THE
CONVERSATION AT THE STUDENT WAS
PASSIONATE BECAUSE OF THEIR
PERSONAL EXPERIENCE. THE STUDENT
WAS SOMEONE THAT WAS SHARE THEIR
STORY WITH ME. SUFFERING FROM
DEPRESSION AND ANXIETY AND, UM,
AND SUICIDAL THOUGHTS AND WAS
UNDER CARE OF MEDICAL
PROFESSIONALS AND UNDER
MEDICATION. UM UNFORTUNATELY,
NONE OF THE MEDICATION THAT WAS
PRESCRIBED HER RESOLVED HER
SYMPTOMS, AND IN FACT, IT ONLY
SEEMED TO GET WORSE. SHE LEARNED
ABOUT WHAT ACTUALLY, HER MOTHER
LEARNED ABOUT PHARMACOGENOMICS
TESTING THROUGH A FACEBOOK
PATIENT GROUP AND WAS FORTUNATE
ENOUGH TO GET THE TEST. THE
RESULTS OF THAT TEST HELPED HER
FIND THE RIGHT MEDICATION FOR
HER. NOW SHE'S ON A MISSION TO
INCREASE AWARENESS AND ACCESS TO
THE TEST THAT SHE HAS SHARED
WITH US HAS SAID HAS SAVED HER
LIFE. PHARMACOGENOMICS HER MOST
EASILY KNOWN AS P G X, FOR SHORT
IS A SCIENCE OF HOW A PERSON'S
GENES IMPACT THE WAY THEY
METABOLIZE MEDICATION. BASED ON
OUR GENES, YOU COULD BE A POOR
METABOLIZE ER, NORMAL METABOLIZE
ER, ULTRA RAPID METABOLIZE ER
FOR MEDICATION. MEANING
INDIVIDUALS COULD RECEIVE TOO
MUCH OR TOO LITTLE OF A
PARTICULAR TYPE OF PRESCRIBED
MEDICATION. IN ADDITION TO MY
CONSTITUENTS STORY, AND THE
STORY WELL HERE TODAY, THERE ARE
EXAMPLES ACROSS MANY OTHER
CONDITIONS. AH, WHILE MEDICARE
AND COMMERCIAL INSURANCES COVER
THIS TEST MEDIC AL DOES NOT 84
25 CLOSES THAT GAP, OPENING UP A
HUGE OPPORTUNITY FOR SAVINGS,
IMPROVED OUTCOMES AND, MOST
IMPORTANTLY, BETTER PATIENT
SAFETY. I WANT TO TAKE THE
MOMENT TO APPRECIATE TO MEMBERS
OF YOUR COMMITTEE IN PARTICULAR
SOMETHING WOMAN AND YOU'RE A
CURRY AND ITS MEMBER RODRIGUEZ
FOR BEING CO AUTHORS, UM AND
CERTAINLY WELCOME OTHERS TO JOIN
. TODAY WE HAVE CHRISTINE VON
REESE FIELD FROM PEOPLE WITH
EMPATHY AND DR BONNIE CAMERAS
FROM UC SAN FRANCISCO, WHICH
WILL BE PROVIDING SOME TESTIMONY
AND SUPPORT. AND THEN WE HAVE
SHANNON CHANTELLE SHINING WITHIN
VIÆT, WHO'S HERE? THAT'S RIGHT.
ANY TECHNICAL EXPERTISE ON PBX
TESTING ITSELF? PASS IT ON TO
THE WITNESSES, PLEASE. CAN YOU
HEAR ME? WOULD YOU HOLD ON ONE
SECOND HERE WE HAVE A QUORUM AND
IT'S A PRECIOUS THING AND I
WOULD HATE WOULD HATE FOR IT TO
BE HERE. SO MADAM SECRETARY,
PLEASE CALL THE ROLL. WOULD
WALDRON AGUIAR-CURRY ARAMBULA.
BOERNER HORVATH CARILLO. FLORA.
IT'S FONG. MAIENSCHEIN.
MCCARTHY, JOE PATTERSON
RODRIGUEZ. SANTIAGO DE
VALLAPUDUA WEBER. WE HAVE A
QUORUM. GREAT. PLEASE GO AHEAD.
THANK YOU. OKAY ARE WE READY FOR
ME? NOW? I THINK THANK YOU. MY
NAME IS CHRISTINE VON RAISED
FELLED AND I'M A RESIDENT OF SAN
JOSE, BUT BORN AND RAISED IN THE
BAY AREA AND ALSO A MEMBER
COMMITTEE MEMBER FOR THE DBS, A.
THE DEPRESSION BIPOLAR SUPPORT
ALLIANCE. I'M HERE TO SPEAK TO
YOU ABOUT THE IMPORTANCE OF
PHARMA COACH. NO MAX TESTING FOR
MEDICAL PATIENTS. AS A PATIENT
WHO HAS SUFFERED FROM THE
HARMFUL SIDE EFFECTS OF
MEDICATIONS. I UNDERSTAND THE
IMPORTANCE OF A PERSONALIZED
TREATMENT OPTIONS. I HAVE A LONG
HISTORY OF ILLNESS AND A LIST OF
MEDICATIONS TO GO ALONG WITH IT.
I LIKE TO SAY THAT MY HEALTH
JOURNEY HAS BEEN A SERIES OF
UNFORTUNATE EVENTS. FOR MOST OF
MY LIFE. I NEVER REACTED WELL TO
MEDICATIONS IN 2002. AFTER A
LIFETIME OF SYMPTOMS. I RECEIVED
A DIAGNOSIS OF LUPUS. DURING
THAT TIME I WAS EXPERIENCING
SYMPTOMS BEYOND MY CONDITION. I
WAS TOLD THAT THE SYMPTOMS WERE
PROGRESSION OF MY DISEASE AND
WHERE NORMAL, BUT IN REALITY, IT
WAS THE WAY I METABOLIZE THE
DRUGS THAT I WAS GIVEN. IT TURNS
OUT THE THREE DRUGS USED HIS
STANDARD OF CARE CAUSE
SIGNIFICANT DAMAGE. I WAS FACED
WITH THREE JOINT REPLACEMENTS,
REMOVAL OF DEAD BONE FROM OTHER
JOINTS. TOXIC ENCEPHALOPATHY,
WHICH IS BRAIN DAMAGE FOR THOSE
WHO DON'T KNOW AND LOSS OF NIGHT
VISION. ONE OF THE MOST
SIGNIFICANT CHALLENGES I FACED
WITH A RESISTANT TO OPIOIDS DUE
TO BEING A RAPID C YP METABOLIZE
, ER. THIS MEANS THAT MY LIVER
PROCESSES MEDICATION QUICKLY,
WHICH CAN LEAD TO DRUG TOXICITY
AND LIMITED EFFICACY. AS A
RESULT, I WAS UNABLE TO FIND
RELIEF FROM MY PAIN, EVEN WITH
HIGH DOSES OF OPIOIDS, WHICH
CAUSED ME TO FEEL FRUSTRATED AND
HOPELESS. REGULAR OPIOID
TREATMENTS ARE NOT EFFECTIVE FOR
ME WITH THAT ALLOWED IT AS ONE
OF THE ONLY COMPOUNDS THAT
ACTUALLY HELPS WITH MY PAIN. I'M
OFTEN TREATED AS A DRUG SEEKER,
BECAUSE I KNOW WHAT I NEED. IN
2018. I JOINED A STANFORD HUMAN
WIDE PRECISION MEDICINE PROGRAM
WHERE A PG X TEST WAS OFFERED.
WE REALIZED THAT OUT OF THE
MULTIPLE COMPOUNDS TESTED, I
REACT DIFFERENTLY TO MANY. I'M A
SLOW METABOLISM METABOLISM WHEN
IT COMES TO CERTAIN COMPOUNDS, A
RAPID METABOLIZE ER AND OTHERS
WITH SOME HAVING ABSOLUTELY NO
IMPACT. FORTUNATELY AS A PART OF
MY PRECISION MEDICINE INITIATIVE
BY STANFORD, I WAS ABLE TO
UNDERGO PHARMACOGENOMICS WHICH
ALLOWED MY DOCTORS TO IDENTIFY
MY GENETIC VARIATIONS. AND
DEVELOP A PERSONALIZED TREATMENT
PLAN. WITH THE HELP OF THIS
TESTING, MY DOCTORS WERE ABLE TO
PRESCRIBE MEDICATIONS THAT WERE
TAILORED TO MY UNIQUE, UNIQUE
GENETIC MAKEUP, WHICH GREATLY
REDUCED MY RISK OF ADVERSE
EFFECTS AND IMPROVE MY OVERALL
QUALITY OF LIFE. BEING A
MEDICARE PATIENT MYSELF. I KNOW
FIRSTHAND HOW DIFFICULT IT CAN
BE TO ACCESS THE CARE WE NEED,
ESPECIALLY WHEN IT COMES TO
PERSONALIZED MEDICINE. HOWEVER I
STRONGLY BELIEVE THAT
PHARMACOGENOMICS TESTING SHOULD
BE MADE AVAILABLE TO ALL MEDICAL
PATIENTS, AS AS IT HAS THE
POTENTIAL TO GREATLY IMPROVE
HEALTH OUTCOMES AND REDUCE
HEALTH CARE COSTS LONG TERM. BY
INVESTING IN PHARMACOGENOMICS
TESTING FOR MEDICAL PATIENTS. WE
CAN HELP PREVENT HARMFUL SIDE
EFFECTS, MINIMIZED THE RISK OF
DRUG TOXICITY AND ENSURE THAT
PATIENTS RECEIVE THE MOST
EFFECTIVE TREATMENTS TO REDUCE
HEALTH CARE COSTS BY AVOIDING
UNNECESSARY HAPPENS,
HOSPITALIZATIONS AND EMERGENCY
ROOM VISITS. I SEE A TRUE NEED
FOR PG X TESTING. NOT ONLY CAN
IT HELP PATIENTS ATTAIN THE BEST
CARE AND TREATMENT, IT CAN SAVE
COSTS DOWN THE LINE. FOR THE
REST OF MY LIFE. I WILL BE
BURDENED WITH THE SIDE EFFECTS
OF THE MEDICATIONS USED TO TREAT
THE SYMPTOMS OF MY DISEASE, NOT
EVEN KNOWING THE UNDERLYING
CAUSE. IT IS UNETHICAL AND
UNHUMAN TO NOT PROVIDE THIS
RESOURCE TO OUR POPULATIONS. IN
CONCLUSION. I URGE YOU TO
CONSIDER THE BENEFITS OF
PHARMACOGENOMICS TESTING FROM
MEDICAL PATIENTS AS SOMEONE WHO
HAS EXPERIENCED THE NEGATIVE
EFFECTS OF MEDICATION FIRSTHAND
. I CAN ATTEST TO THE IMPORTANCE
OF PERSONALIZED MEDICINE AND THE
POSITIVE IMPACT IT CAN HAVE ON
OUR PATIENT LIVES. BY INVESTING
IN PHARMACOGENOMICS TESTING. WE
CAN ENSURE THAT ALL MEDICAL
PATIENTS RECEIVE THE CARE THEY
NEED AND DESERVE. THANK YOU.
THANK YOU. PLEASE GO AHEAD. HMM
THANK YOU. GOOD AFTERNOON. MY
NAME IS BONNIE TAMRAZ. UM, AN
ASSOCIATE PROFESSOR OF CLINICAL
PHARMACY FROM UNIVERSITY OF
CALIFORNIA, SAN FRANCISCO. I
HAVE A FOREIGN DELYLAH DOCTOR OF
PHARMACY DEGREE AND I ALSO HAVE
A PHD IN PHARMACEUTICAL SCIENCES
AND PHARMACOGENETICS AND I AM A
MEMBER OF A MULTIDISCIPLINARY
TEAM THAT WE STARTED ABOUT A
YEAR AND A HALF AGO AT UCSF THAT
HAS BEEN WORKING DILIGENTLY AND
PUTTING TOGETHER THE CLINICAL
PHARMACOGENETICS PROGRAM THAT
WE'VE THAT WE'D LIKE TO INITIATE
. AND WE ARE ACTUALLY IN PROCESS
SAY THAT WE'RE GOING LIVE BUT
OUR CLINICAL PHARMACOLOGY
PROGRAM ON MAY 9TH OF THIS YEAR
AND I'M HERE TO SPEAK. OBVIOUSLY
THE SUPPORT OF A B FOR 25. I'M
HERE ON MY OWN BEHALF. UM SO,
UM, WHY DID UCSF STARTED
THINKING ABOUT THIS? WHILE
THEY'RE THERE EXISTS A LARGE AND
GROWING BODY OF KNOWLEDGE THAT'S
RELATED TO PHARMACOGENETICS. FDA
STARTED INSERTING MEDICAID
GENETIC INFORMATION IN THE
PACKAGE INSERT OF MEDICATIONS
SINCE IN 2007, AND AS OF LAST
YEAR, THERE ARE AT LEAST 335
MEDICATIONS THAT HAVE
INFORMATION ABOUT PHARMACY ABOUT
GENETIC MARKERS IN THE PACKAGE,
INSERT AND IN THE UNITED STATES
. WE ALSO HAVE A CONSORTIUM OF
EXPERTS IN PHARMACOGENETICS AND
MEDICINE. THIS CAN THE NAME OF
THIS CONSORTIUM IS CALLED C PICK
. IT STANDS FOR HIS CLINICAL
PHARMACOGENETICS IMPLEMENTATION
CONSORTIUM. THESE THIS IS A
GROUP OF EXPERTS THAT REVIEWS
LITERATURE AND BASED ON THEIR
EVALUATION. THEY COME UP WITH
SPECIFIC DRUG GENE INTERACTION
RECOMMENDATIONS FOR TESTING, AND
THEY IT'S AN NIH FUNDED
CONSORTIUM, AND IT'S ORIGINATED
IN STANFORD. THEIR
RECOMMENDATIONS ARE DIVIDED INTO
FOUR DIFFERENT LEVELS. THERE'S
LEVEL A WHICH, WHEN THEY SAY FOR
MEDICATIONS THAT ARE LEVEL A,
WHICH MEANS THAT IF THEIR
GENETIC INFORMATION IS
AVAILABLE, THIS INFORMATION
SHOULD BE USED FOR THEM. FOR THE
THERAPY SELECTION AND THEN LEVEL
B DRUGS ARE THE ONES THAT IF
THEY SAY IF THE MAGELLANIC
INFORMATION IS, IS THERE THE IS
AVAILABLE. THIS INFORMATION
COULD BE USED FOR PRESCRIPTION.
SO WE HAD UCSF ARE STARTING OUR
PROGRAM WITH MEDICATIONS THAT
FDA RECOMMENDS TESTING AND ALSO
LEVEL A AND SOME OF LEVEL B. WE
HAVE A LIST OF 15 GENES AND 56
MEDICATIONS. THAT'S ON OUR PANEL
. THESE INCIDENTALLY 99% OF
PATIENTS THE WE KNOW, CARE. AT
LEAST ONE VARIANT THAT WILL
IMPACT ONE OF THESE MEDICATIONS.
BUT FOR SURE AND THEN FOR THESE
MEDICATIONS AT UCSF WE HAVE WE
LOOKED AT WHEN WE KNOW THAT OVER
118,000 PATIENTS WERE PRESCRIBED
ONE OF THESE MEDICATIONS AND
2020. SO THIS THIS EFFORT HAS
SUPPORTED IN IT, SO OUR EFFORT
THAT WE'RE IMPLEMENTING HAS A
LOT OF SUPPORT ACROSS THE UCSF
SPECIALTIES FROM CARDIOLOGY TO
PSYCHIATRY, PRIMARY CARE,
POSITIVE CARE GOTTEN. G I
ONCOLOGY TO JUST NAME A FEW. WE
ARE. WE ARE PREEMPTIVELY TESTING
OUR PATIENTS WITH THE GOAL THAT
OUR ELECTRONIC HEALTH RECORD
WILL TRIGGER THIS COMPETITIVE
THIS COMPARABILITY AND WE'LL PUT
THESE 56 MEDICATIONS. UM THEN
THIS IS A ONE TIME TEST. OUR
PATIENCE WILL BE TESTED ONCE,
BUT PHARMACOGENETICS TESTING IS
EVIDENCE BASED, THERE IS AMPLE
EVIDENCE IN SUPPORT OF CLINICAL
BENEFITS. THERE WAS A RECENT
STUDY THAT LOOKED AT THE 12 GENE
PANEL AND TÌM. THANK YOU. JUST
JUST JUST FINISH UP. JUST FINISH
UP. OKAY I'M SORRY. OKAY SO
THAT'S OKAY. UM SO, UM, UM,
BASICALLY, THERE'S THE THERE'S
MOST RECENT STUDY, WHICH IS
REALLY PIONEERING INITIALS THAT
THERE WAS A 30% REDUCTION IN
ADVERSE DRUG REACTION ASSOCIATED
WITH USE OF PHARMACOGENETICS
TESTING. SO IN CALIFORNIA OR IN
GENERAL, YOU KNOW, WE HAVE.
THERE ARE ALL KINDS OF NUMBERS
OUT THERE FROM 100,000 PLUS TWO
OVER 200,000. PEOPLE HAVE
EXPERIENCED ADVERSE DRUG
REACTIONS IN THE UNITED STATES.
AND I MEAN THESE NUMBERS VARY.
THE ADVERSE DIRECTIONS ARE NOT
CERTAIN AND IT'S LIMITED BY
METHODOLOGICALLY CONSIDERATIONS
. HOWEVER, WHATEVER THE TRUTH
NUMBER IS A DÍAS REPRESENT A
SIGNIFICANT PUBLIC SAFETY
PROBLEM. THAT IS, FOR THE MOST
PART PREVENTABLE. UM DEATH AND
ILLNESS ASSOCIATED RESULTED FROM
THE NON OPTIMIZED MEDICATION
THERAPY COST ABOUT $528.4
BILLION ANNUALLY, AND THIS WAS
BASED ON A STUDY THAT WAS
PUBLISHED IN 2018. AND GIVEN THE
RECENT STUDY THAT
PHARMACOGENETICS TASKS CAN
REDUCE CAN RESULT IN A 30%
DECREASE IN ADVERSE DRUG EVENT.
THE WIDE USE OF PG X CAN HAVE
SIGNIFICANT MONETARY AND HUMAN
BENEFITS. WE LOOK AT NATIONAL
HIGHWAY TRAFFIC SAFETY
ADMINISTRATION REPORTS THAT
23,824 PASSENGERS CAR OCCUPANTS
WERE KILLED IN 2020 AND OF THESE
51% WERE NOT WEARING SEAT BELTS.
SEAT BELTS SAVED AN ESTIMATED
14,995 LIVES BY INVESTING IN
THIS BILL. WE ARE INVESTING IN
AN AIRBAG OR A SEATBELT OR ARE
FOR MEDICATIONS. SO BY PROVIDING
COVERAGE FOR THIS TASK WILL SAVE
LIVES. THANK YOU. THANK YOU
OTHERS IN SUPPORT. JUST YOUR
NAME AND ORGANIZATION IF YOU
REPRESENT ONE. HI PAUL SIMMONS
WITH THE DEPRESSION AND BIPOLAR
SUPPORT ALLIANCE OF CALIFORNIA
IN STRONG SUPPORT. ANYONE ELSE?
IS THERE OPPOSITION TO THE BILL?
AND NO ONE COMES FORWARD. BRING
IT BACK TO THE COMMITTEE FOR
QUESTIONS OR COMMENTS FROM THE
COMMITTEE. YOUR QUESTION, DR
WEBBER. THANK YOU, UM
ASSEMBLYMEMBER'S ALVAREZ FOR
BRINGING THIS BILL FORWARD. UM
YOU KNOW, UH, PG X IS REALLY THE
FUTURE AND, UH, HOPEFULLY WITH
IMPLEMENTATION AND MORE STUDIES
. WE CAN MAKE SURE THAT WE'RE
TREATING PEOPLE WITH THE CORRECT
MEDICATION FROM THE VERY
BEGINNING. I JUST HAD A QUICK
QUESTION FOR YOU, THOUGH. WITH
THIS, UM, TESTING BE TRIGGERED
BY A DIAGNOSIS. OR A DRUG
BECAUSE I'VE I'VE KIND OF HEARD
22 DIFFERENT THINGS. SO IF I'M
DIAGNOSED WITH DEPRESSION WITH
THAT TRIGGER ME TO GET THIS
TESTING DONE, OR IS IT BECAUSE
I'VE BEEN DIAGNOSED WITH PROZAC?
THAT WOULD FIGURE BE TESTING? A
SIMILAR WEBBER. DR WEBBER. LET
ME ASK, UH, CHANTEL TO HELP
ANSWER THAT. I'M HAPPY TO, UM SO
BECAUSE A LOT OF THESE GENES
ACTUALLY SPAN OCLOCK ACROSS MANY
DISEASE STATES, UM, REALLY, IT'S
FOCUSED ON IF THERE IS A
MEDICATION THAT IS CURRENTLY
PRESCRIBED OR BEING CONSIDERED.
THAT IS AN ALIGNMENT WITH THE
GUIDELINES TO FDA OR CPIC,
BECAUSE, FOR EXAMPLE, IF YOU
TEST SOMEONE FOR A SPECIFIC, YOU
KNOW, DISEASE CONDITION OR A
SPECIFIC UM, YEAH, LET'S DO THIS
DISEASE CONDITION, UM, THAT
MEDICATION OR THAT GENE MAY
ACTUALLY IMPACT A DIFFERENT TYPE
OF CONDITION. SO IF YOU START
WITH MENTAL HEALTH, FOR EXAMPLE
THERE'S ALSO JEAN DRUG
IMPLICATIONS FOR MAYBE G I OR
CANCER THAT NEEDS TO BE TAKEN
INTO CONSIDERED. SO IT'S A ONE
TIME TEST THAT SPANS ACROSS MANY
CONDITIONS BASED ON THE GENE AND
THE MEDICATIONS. I'M SORRY I SO
I'M. WHY WOULD SOMEONE BE
OFFERED THIS TEST RIGHT NOW?
WITH THIS? UM WITH THIS BILL, IS
IT BECAUSE THEY GOT A DIAGNOSIS
OF SOMETHING OR IS IT BECAUSE
THEY WERE PRESCRIBED A SPECIFIC
MEDICATION MEDICATION? OKAY,
THANK YOU. ANYONE ELSE? BACK TO
THE AUTHOR, E. WE HAVE A MOTION
BY MR RODRIGUEZ, A SECOND BY MR
FLORA. THE SECOND THE MOTIONS DO
PASS AS AMENDED TO
APPROPRIATIONS YOU YOU DID
ACCEPT THE AMENDMENTS. YES UM
AND SO WOULD YOU LIKE TO CLOSE?
I WOULD JUST SAY, UM, BECAUSE I
KNOW SHE'S FOLLOWING THE YOUNG
WOMAN WHO BROUGHT THIS TO OUR
ATTENTION. HER GOAL WAS TO TAKE,
UH ELEVATE THIS TOPIC AND MAKE
MORE OF US AWARE OF IT. I KNOW
CERTAINLY I HAVE AND MANY PEOPLE
THAT I KNOW IN MY CIRCLES HAVE
BECOME AWARE OF THIS IMPORTANT
TOOL. UM, AND THAT'S ALREADY A
WIN. BUT OBVIOUSLY APPRECIATE
YOUR I VOTE SO THAT MORE
PATIENTS CAN ACTUALLY HAVE
ACCESS TO THIS. THANK YOU. THANK
YOU VERY MUCH. MR ALVAREZ, MADAM
SECRETARY, SO THE MOTION IS DUE
PASS AS AMENDED TO
APPROPRIATIONS. MADAM SECRETARY
, PLEASE CALL THE ROLL. I WOULD
I, WALDRON WALDRON, I
AGUIAR-CURRY AGUIAR-CURRY. AYE,
ARAMBULA. BOERNER HORVATH
CARILLO. FLORA. IT'S FONG. WANG.
I MAIENSCHEIN MCCARTY. PATERSON.
JOE PATTERSON. I RODRIGUEZ
RODRIGUEZ I SANTIAGO VALLAPUDUA
PUT WHY WEBER HOWEVER, I. THAT'S
80. YOUR BILL IS OUT. WE WILL
LEAVE THE ROLE OPEN FOR OTHERS
TO ADD ON. THANK YOU VERY MUCH.
SO ASSEMBLYMEMBER'S SZABO.
YOU HAVE A B 4 64 WHENEVER
YOU'RE READY. THANK YOU SO MUCH
. MR CHAIR MEMBERS. I AM. THIS
IS A MAYBE 4 64 IS ESPECIALLY AN
IMPORTANT BILL TO ME BECAUSE, UM
, AS YOU MAY NOT KNOW, I CO
FOUNDED AN ORGANIZATION WORKING
ON HOMELESSNESS AND DID OUTREACH
FOR OVER A YEAR EVERY SUNDAY TO
ENCAMPMENTS WHERE THE NUMBER ONE
THING THAT PEOPLE ASKED FOR WHEN
I SPOKE WITH THEM ASIDE FROM
HOUSING AND FOOD. WAS AN I D
HELP GETTING AN I D. AND SO YOU
KNOW, ONE OF THE THINGS THAT WE
KNOW IS THAT YOU CAN'T GET A
JOB. YOU CAN'T GET HOUSING. YOU
CAN'T REALLY GET ON YOUR FEET.
IF YOU DON'T HAVE AN I D AND SO
YOU KNOW, HOUSING INSECURITY
TAKES MANY FORMS. IT COULD BE
GETTING BEHIND ON THE RENT.
COUCHSURFING MOVING BETWEEN
MULTIPLE SHELTERS. SOME
INDIVIDUALS MAY LIVE IN THEIR
VEHICLES OR MAKESHIFT TENTS, AND
SOME MAY HAVE HOUSING TODAY AND
LOSE IT TOMORROW. AS A RESULT,
IT'S NOT UNCOMMON FOR
IDENTIFICATION TO BE LOST,
STOLEN OR DESTROYED. GIVEN THE
BURDENS OF LIVING IN SUCH
UNSTABLE CIRCUMSTANCES, IT CAN
BE VERY CHALLENGING TO RECOVER
VITAL DOCUMENTS SUCH AS PERSONAL
IDENTIFICATION, DRIVER'S
LICENSES AND OTHER PAPERWORK.
WHEN AN INDIVIDUAL IS SEEKING
EMPLOYMENT, ENROLLING IN SCHOOL
, APPLYING FOR ASSISTANCE OR
HEALTHCARE, UM OR APPLYING FOR
HOUSING IDENTIFICATION.
DOCUMENTS OF THIS SORT ARE IN
MOST INSTANCES ARE REQUIREMENT.
MAYBE 4 64 WILL REDUCE
ADMINISTRATIVE BARRIERS FOR LOW
INCOME INDIVIDUALS. AND IT DOES
NOT, UM, IT DOES SO BY EXEMPTING
INDIVIDUALS BASED ON THEIR
INCOME OR QUALIFICATIONS FOR
CERTAIN PUBLIC ASSISTANCE FROM
HAVING TO PAY FEES OTHERWISE
REQUIRED. FOR COPIES OF VITAL
RECORDS FOR CALIFORNIA STATE I D
CARD OR FOR A DRIVER'S LICENSE
RENEWAL. CURRENT LAW REQUIRES A
CUMBERSOME PROCESS THAT THAT
REQUIRES HOMELESS INDIVIDUALS TO
REACH OUT AND OTHERWISE BE
CONNECTED WITH THE THIRD PARTY
TO VERIFY THEIR STATUS AS
HOMELESS. OR IN ORDER TO ACCESS
REPLACEMENT DOCUMENTS OF THIS
SORT. 84 64 SEEKS TO MAKE THIS
PROCESS SOMEWHAT EASIER BY
EXPANDING ELIGIBILITY TO ANYONE
WHO QUALIFIES FOR ONE OF THE
PUBLIC ASSISTANCE PROJECTS
PROGRAMS ARTICULATED IN THE
BILL. MAYBE 4 64 WILL ELIMINATE
FEES FOR ANY INDIVIDUAL WHO
INCOME QUALIFIES FOR PUBLIC
ASSISTANCE AS DEFINED IN THE
WELFARE AND INSTITUTIONS CODE.
FOR CERTIFIED COPIES OF BIRTH
CERTIFICATES, DEATH RECORDS,
MARRIAGE OR MARRIAGE,
DISILLUSION RECORDS AS WELL AS
DRIVER'S LICENSES AND STATE ID
CARDS. THIS APPROACH SIMPLIFIES
THE CUMBERSOME PROCESS FOR
INDIVIDUALS WHOSE LIVES ARE
ALREADY CHALLENGED AND
COMPLICATED TO GIVE THE TOOLS
THAT THEY NEED TO GET ON THEIR
FEET. HERE WITH ME TODAY IS CAT
CALVIN, WHO IS WITH PROJECT I D
AND THE SPONSOR OF THE BILL AND
AN EXPERT WITNESS TO SPEAK ON
THE BILL AS WELL. HELLO MY NAME
IS CAT. CALVIN I AM THE CEO OF
THE PROJECT IDEA. ACTION FUND.
I'M GONNA START BY TELLING YOU
ABOUT NICOLE NICOLE WAS ONE OF
MY CLIENTS. SHE'S A SINGLE
MOTHER OF FOUR LIVING IN SECTION
EIGHT HOUSING IN LOS ANGELES.
NICOLE CAME TO US BECAUSE SHE
NEEDED BIRTH CERTIFICATES FOR
HERSELF AND FOR TWO OF HER
CHILDREN TO ENROLL THEM IN
SCHOOL. BUT SHE COULDN'T AFFORD
THE FEES. UNFORTUNATELY ALL THAT
WE HAD TO OFFER HER WAS AN
AFFIDAVIT OF HOMELESSNESS TO GET
FREE BIRTH CERTIFICATES. BUT
NICOLE DIDN'T WANT TO SIGN THOSE
AND WE DIDN'T WANT TO GIVE THEM
TO HER BECAUSE WE DIDN'T WANT TO
LIE TO THE STATE. SHE WASN'T ON
HOUSED. SHE JUST WAS POOR.
MILLIONS OF CALIFORNIANS ARE IN
THIS PREDICAMENT. THEY'RE LIVING
IN POVERTY, BUT THEY HAVE
HOUSING FOR NOW. FOR THEM, THE
COST OF VITAL DOCUMENTS AND I D
S ARE OUT OF REACH, BUT THEY'RE
NOT ELIGIBLE FOR THE VOUCHERS
FOR FREE IEDS AND AFFIDAVITS FOR
FREE BIRTH CERTIFICATES THAT ARE
AVAILABLE TO THE HOMELESS. EVEN
THOSE, HOWEVER, HAVE TO BE
DISTRIBUTED BY OFFICIAL HOMELESS
SERVICES PROVIDERS. YOU HAVE TO
HAVE A WET SIGNATURE, AND IN
MOST COUNTIES, YOU CAN ONLY GO
TO CERTAIN CLERKS ON CERTAIN
DAYS OF THE WEEK TO GET THEM.
APPROXIMATELY 2.7 MILLION ADULTS
IN CALIFORNIA DO NOT HAVE PHOTO
ID AND 1.9 MILLION DO NOT HAVE
ACCESS TO BIRTH OR CITIZENSHIP
RECORDS AND AN OUTSIZED
PERCENTAGE OF THOSE ARE PEOPLE
OF COLOR. THESE CALIFORNIANS
STILL NEED IDEAS AND VITAL
DOCUMENTS FOR JOBS FOR HEALTH
CARE FOR BENEFITS AND SO MUCH
MORE AND WITHOUT THOSE IDEAS AND
VITAL DOCUMENTS, THE HOUSING
THAT THEY CURRENTLY HAVE IS IN
SERIOUS JEOPARDY. IT'S DIFFICULT
TO MAINTAIN HOUSING WHEN YOU
CAN'T WORK. CALIFORNIANS
BENEFITS CALIFORNIA BENEFITS
WHEN ITS CITIZENS ARE WORKING,
HEALTHY AND EDUCATED, AND THE
VERY SMALL COST OF VITAL
DOCUMENTS AND IEDS IS VASTLY
OUTWEIGHED BY THE ECONOMIC AND
SOCIAL BENEFITS OF A THRIVING
CONTRIBUTING CITIZENRY. AND WHEN
WE ARE WORKING TO PREVENT MORE
HOMELESSNESS ACROSS THE STATE,
AND THAT'S WHY WE'RE
RESPECTFULLY ASKING FOR YOUR
VOTES TODAY. THANK YOU. THANK
YOU OTHERS IN SUPPORT. ANDHRA
POOL, WESTERN CENTER FOR LAW AND
POVERTY AND SUPPORT ANYONE ELSE?
IS THERE OPPOSITION TO THE BILL?
SAYING NO OPPOSITION. UM WE'LL
BRING IT BACK TO THE COMMITTEE
FOR QUESTION. WE HAVE, UM,
MOTION BY MS AGUIAR-CURRY, A
SECOND BY MS WEBBER. ANY
QUESTIONS FROM THE COMMITTEE, MR
PATTERSON. YEAH. I JUST WANTED
TO COMMENT ON THIS BILL A LITTLE
BIT. UM, YOU KNOW, UH, YOU KNOW
I GREW UP. I MEAN, NOBODY'S
GONNA LISTEN TO THIS TERRACES IN
PUBLIC RECORD OR ANYTHING. UM
YOU KNOW, I GREW UP MY MOM WAS A
WAITRESS. SINGLE TWO KIDS. WE
GREW UP. UM, YOU KNOW, NOT
HAVING VERY MUCH, AND, UH YOU
KNOW, MY MOM WAS ON WIC FOR A
WHILE AND SO I'M DEFINITELY
SYMPATHETIC TO THE NEED FOR THIS
. I KNOW THERE ARE OTHER BILLS
THAT ARE COMING THROUGH THIS
YEAR. AND MAYBE EVEN TODAY THAT
CONSIDER GIVING FREE, UH,
DOCUMENTS A CERTAIN INDIVIDUALS
. I THINK, UH, YOU KNOW, I DO
HAVE SOME CONCERNS ABOUT UH UM.
YOU KNOW, JUST IT IS. IT IS
SLIGHTLY PIECEMEAL ON CERTAIN
GROUPS OF PEOPLE. UM YOU KNOW
THAT HAVE TO THAT MIGHT GET
EXEMPTIONS FROM PAYING THESE
RECORDS AND, UM SO I KIND OF
HAVE MIXED FEELINGS ON IT. I
MEAN, I REALLY DO APPRECIATE
WHAT YOU'RE TRYING TO
ACCOMPLISH, BECAUSE YEAH, PAYING
$18 OR WHATEVER. FOR UH UM, YOU
KNOW, RECORD OR $35 FOR A
DRIVER'S LICENSE, OR WHATEVER
THE FEES ARE, YOU KNOW, THAT
REALLY DOES MATTER. I MEAN,
THAT'S A LOT OF BABY FORMULA OR
YOU KNOW, UM, SO I AM KIND OF
SYMPATHETIC OR I AM VERY
SYMPATHETIC TOWARDS THIS. I JUST
YOU KNOW, I THINK WE KIND OF
NEED A GLOBAL CONVERSATION ON
THE ON WHO SHOULD BE PAYING FOR
DRIVER'S LICENSES AND BIRTH
RECORDS AND THINGS LIKE THAT,
BECAUSE I THINK WE CAN ARGUE
PERHAPS THAT THERE ARE SEVERAL
OTHER GROUPS OUT THERE. UM THAT
SHOULDN'T SHOULDN'T PAY THIS,
AND I ALSO AM SOMEWHAT CONCERNED
ABOUT THE FISCAL IMPACTS AS WELL
. BUT UH, SO I DO THINK THIS IS
A VERY BIG ISSUE, AND I THINK,
UH, UM, YOU KNOW, I LIKE THAT
YOU'RE BRINGING THIS DISCUSSION
FORWARD AS I SIT HERE RIGHT NOW.
I DON'T I DON'T EVEN KNOW I'M
GOING TO VOTE IN A COUPLE OF
MINUTES HERE, BUT, UM, BUT IT'S
UH YOU KNOW, IT'S A GREAT
DISCUSSION TO HAVE. I JUST AH!
THERE ARE A LOT OF THINGS THAT
MAYBE PEOPLE WHO ARE, UM GOING
THROUGH DIFFICULT TIMES SHOULD
MAYBE GET THERE SHOULD BE A
SAFETY NET FOR AND YOU KNOW,
THIS IS ONE SMALL THING, YOU
KNOW, BUT, UH UM. IT'S JUST
THERE'S SO THERE'S SO MANY.
THERE'S A VERY BIG DISCUSSION.
WE HAVE ANOTHER BILL ON THIS
TOPIC, ACTUALLY IN THIS
COMMITTEE COMING UP, SO I WANT
TO MAKE SURE I'M CONSISTENT BY
THE WAY, SO THANK YOU. THANK YOU
ANYONE ELSE? OKAY, I RESPOND. IS
THAT OKAY? ACTUALLY CLOSE. OKAY
WELL, I'LL DO BOTH. THEN UM, I
AS AS SOMEONE WHO ALSO MY MOM
WHEN I WAS YOUNGER WAS A
WAITRESS. AND I HAVE, UH, HAD
ENJOYED THE GOVERNMENT. SHE'S
GRILLED SANDWICHES MYSELF AT A
CERTAIN POINT IN MY CHILDHOOD,
UM YOU KNOW, AND IT'S HARD WHEN
YOU'RE STRUGGLING RIGHT AND THAT
CAN MAKE A BIG DIFFERENCE IN
TERMS OF YOU KNOW WHAT IS
EXISTING RIGHT NOW? THESE UM YOU
KNOW, AND I D AT STATE ID AND A
DRIVER'S LICENSE IS ALREADY
THERE'S ALREADY A PROGRAM THAT
MAKES IT FREE FOR AN HOUSE
FOLKS. THEY HAVE TO GO THROUGH
GETTING A VOUCHER. IT'S VERY
CUMBERSOME. WE'D LIKE IT TO BE
FREE AT THE POINT OF SERVICE, SO
IT'S THERE'S NOT THESE EXTRA
BARRIERS, BUT THAT ALREADY
EXISTS FOR FOLKS. AND THAT'S
ACTUALLY THE MOST UTILIZED. UM
PROGRAM THE THERE IS ONE THAT
REDUCES THE COST FOR LOWER LOW
INCOME FOLKS, AND THAT IS VERY
UNDERUTILIZED THERE, I THINK, UM
OVER THE LAST YEAR, THE DMV SAID
THAT THERE WERE 120,000 VOUCHERS
ISSUED FOR FOLKS WHO ARE
EXPERIENCING HOMELESSNESS AND
ONLY 30,000 FOR PEOPLE WHO ARE
LOW INCOME. SO WE HAVEN'T SEEN A
HUGE TAKE UP AND THAT MAKES ME
FEEL LIKE IT'S NOT GOING TO BE
SOMETHING THAT BREAKS THE BANK.
AND IF YOU'RE GOING FROM, YOU
KNOW $6 TO $0 SPECIFICALLY
AROUND THE IDEA. IT'S NOT A HUGE
LEAP. UM WE UNDERSTAND YOU KNOW
THAT THAT THERE WILL BE, UM YOU
KNOW THAT THERE ARE SOME
COUNTIES THAT ALREADY MAKE THESE
AVAILABLE FOR FREE FOR FOLKS WHO
ARE LOW INCOME, SO IN SOME
COUNTIES, THERE WON'T BE A BIG
DIFFERENCE. UM AND I THINK A LOT
OF PEOPLE, UNFORTUNATELY, DON'T
KNOW ABOUT PROGRAMS LIKE THIS.
NOT THAT WE THINK THAT'S A GOOD
THING. BUT YOU KNOW, TAKE UP
OBVIOUSLY HAS AN IMPACT ON WHAT
THE BUDGET IMPACT IS GOING TO
BE. SO UM, WE THINK THAT THIS IS
AN IMPORTANT POLICY, THOUGH,
BECAUSE YOU KNOW, ULTIMATELY IF
YOU WANT PEOPLE TO GET ON THEIR
FEET IF YOU WANT THEM TO PAY
TAXES IF YOU WANT THEM TO HAVE
STABLE HOUSING, AND NOT, UM, YOU
KNOW, NOT NEED MORE AND MORE
PUBLIC ASSISTANCE. THEN THIS IS,
YOU KNOW, AN IMPORTANT RESOURCE
FOR THEM TO BE ABLE TO DO THAT
AND GET ON THEIR FEET AND GET
STABILIZED SO THAT THEY CAN
CONTRIBUTE TO OUR STATE. AND, UM
AND YOU KNOW AND MOVE FORWARD IN
THEIR LIVES. AND SO THAT'S WHY
WE THINK IT'S AN IMPORTANT BILL.
AND I HOPE I CAN CONVINCE YOU
FOR A YES VOTE, BUT I WOULD
APPRECIATE THAT. AND I VOTE AND
THANK YOU SO MUCH. THANK YOU
VERY MUCH. UM YOUR BILL DOES
ENJOY DO PASS RECOMMENDATION. WE
HAVE A MOTION FROM MS
AGUIAR-CURRY SECOND FROM DR
WEBBER. MOTION IS DUE PASS TO
TRANSPORTATION. SO I'M GONNA ASK
SECRETARY TO CALL THE ROLE WOULD
WOULD I? WALDRON. AGUIAR-CURRY
COREY, I ARAMBULA.
BOERNER HORVATH CARILLO. LARA.
THAT'S FUNK. MAIENSCHEIN
MCCARTHY. PATERSON. JOE
PATTERSON, NOT VOTING.
RODRIGUEZ. RODRIGUEZ I SANTIAGO.
VALLAPUDUA VALLAPUDUA. AYE,
WEBER. HOWEVER, I. YOU HAVE FIVE
VOTES WILL LEAVE THE BILL ON
CALL. WE'VE GOT A LOT OF
MEMBERS. NOT HERE. THANK YOU.
NEXT UP, MISS MAKIN ER YOUR. YOU
HAVE A B 9 74.
PLEASE. PLEASE PUSH THE BUTTON
UP THERE IF YOU DON'T MIND.
THANK YOU. GOOD AFTERNOON. THANK
YOU. CHAIR AND MEMBERS. I'M HERE
TODAY TO PRESENT A B 9 74, WHICH
WOULD ENSURE ALL INCARCERATED
PEOPLE HAVE ACCESS TO A FEE
EXEMPT COPY OF THEIR BIRTH
CERTIFICATE. LAST YEAR, THE
LEGISLATURE PASSED SB 6 TO 9 TO
ESTABLISH AN IN PRISON PROGRAM
FOR PEOPLE TO RECEIVE A
CALIFORNIA ID UPON THEIR
RELEASE. AND IDEAS NEEDED IN
ORDER TO ACCESS, HOUSING,
EMPLOYMENT AND ROLLING
EDUCATIONAL PROGRAMS, RECEIVE
MEDICARE, MEDICAL CARE AND SIGN
UP FOR PUBLIC BENEFITS, AMONG
OTHER THINGS, EXISTING LAW
STATES THAT IN ORDER TO GET A
CALIFORNIA IDENTIFICATION CARD,
WHILE INCARCERATED, AND
APPLICANT MUST BE ABLE TO SHOW
PROOF OF THEIR FULL NAME. DATE
OF BIRTH, SOCIAL SECURITY NUMBER
LEGAL PRESENCE IN THE US AND
CALIFORNIA RESIDENCY. A BIRTH
CERTIFICATE IS TYPICALLY THE
FORM OF PROOF MOST PEOPLE USE
BUT INDIVIDUALS WHO DO NOT HAVE
ACCESS TO THEIR BIRTH BIRTH
CERTIFICATE WHILE INCARCERATED,
DO NOT QUALIFY FOR THE NEW I D
PROGRAM. THAT IS WHY I AM
INTRODUCING A B 974, WHICH WOULD
REQUIRE A LOCAL REGISTRAR, STATE
REGISTRAR OUR COUNTY RECORDER TO
PROVIDE A BIRTH CERTIFICATE FEE
WAIVER TO INCARCERATED PEOPLE.
ADDITIONALLY, IT DIRECTS THE
CALIFORNIA DEPARTMENT OF PUBLIC
HEALTH TO DEVELOP AN AFFIDAVIT
FOR CERTIFICATION OF
INCARCERATED STATUS. WITH THIS
BILL, INCARCERATED INDIVIDUALS
WILL PREPARE WITH THE NECESSARY
WILL BE PREPARED WITH THE
NECESSARY TOOLS TO BE SUCCESSFUL
AND HAVE A BETTER CHANCE AT
REENTRY IN COMMITTEE WITH ME TO
TESTIFY AND SUPPORT IS JUNE LEE
A SYSTEM IMPACTED PERSON AND
ADVOCATE AND GAIL YIN WITH THE
LOS ANGELES REGIONAL REENTRY.
PARTNERSHIP. GOOD AFTERNOON. UM
MY NAME IS JUNE LI. I AM A
REENTRY COORDINATOR FOR
ORGANIZATION CALLED HIM'S A
COLLECTIVE. WE DO A LOT OF
RESTORATIVE JUSTICE WORK. UM I
ALSO USED TO WORK FOR ROOT AND
REBOUND AS AN IMPRISONED PROGRAM
COORDINATOR. UM AND SO I AM
GOING TO SPEAK ON THIS BILL AS A
FROM MY LIVED EXPERIENCE I DID
OVER 21 YEARS. I CAME HOME.
LUCKILY I CAME HOME GOT A SECOND
CHANCE IN 2010. BEFORE I CAME
HOME. I KNEW THAT MY SUCCESS. TO
TRANSITION FROM PRISON TO MY
COMMUNITY WAS ABOUT PREPARING
MYSELF. I DID MY PAROLE PLANS. I
FOUND A PLACE TO LIVE BEFORE I
LEFT. I ACTUALLY HAD TWO JOBS
AVAILABLE FOR ME BEFORE I CAME
HOME. AND THEN I MADE PLAN A, B
AND C AND EVEN D. SO I DID ALL
THESE THINGS BECAUSE I WANTED TO
COME BACK AND BE A RETURNING
CITIZEN, HAVING A JOB PAYING
TAXES AND GIVING BACK TO MY
COMMUNITY. WHAT I WISH I HAD
BEFORE I LEFT WAS MY BIRTH
CERTIFICATE. THIS REALLY PUT AN
OBSTACLE IN MY PATH, BUT IT
DIDN'T STOP ME. BUT IT STOPPED
ME FOR ABOUT TWO MONTHS BECAUSE
WITHOUT THAT BIRTH CERTIFICATE
PEOPLE DIDN'T KNOW WHO I WAS. I
COULDN'T GET AN I D. I COULDN'T
GO TO THE DMV TOGETHER. I D. IT
STOPPED ME FROM GETTING THOSE
JOBS. BUT IT DIDN'T STOP ME.
TODAY I AM SO THANKFUL THAT I AM
A UM, A COORDINATOR THAT HELPS
HELPS PEOPLE COMING BACK HOME
AFTER DOING 10. TO 40 YEARS. AND
RIGHT NOW I'M WORKING WITH THE
MAN. THAT WE'RE THIS IS STOPPING
HIS BIRTH CERTIFICATE IS
STOPPING HIM. I'VE BEEN WORKING
WITH HIM FOR ALMOST A MONTH. AND
WITHOUT THAT BIRTH CERTIFICATE
THAT HE DID THE FOOTWORK TO FILL
OUT THE APPLICATION, BUT IT
TAKES TIME. AND EVEN WITH COVID,
IT TAKES EVEN MORE TIME. I'M
THANKFUL TODAY THAT HE HAS
GOTTEN WE'VE DONE THE FOOTWORK.
WE WALKED THROUGH IT. HE'S
GOTTEN HIS I D. I JUST HELPED
HIM FIND A JOB. BUT WE'RE THE
LUCKY ONES. I HAD SUPPORT.
THERE'S PEOPLE COMING BACK HOME
THAT DO NOT HAVE THE SUPPORT.
EVERYTHING TAKES LIKE I DIDN'T
YOU HAVE TO BE A PEOPLE HAVE TO
KNOW WHO YOU ARE TO GET HOUSING
TO GET A JOB. TO COME BACK HOME
TO BE LIKE WE WANT TO BE.
COMMUNITY MEMBERS GIVING BACK
AND THAT'S WHY I'M HERE TO
SUPPORT THIS BILL TODAY BECAUSE
I KNOW IT'S IMPORTANT. I KNOW
IT'S IMPORTANT. THANK YOU. THANK
YOU. GOOD AFTERNOON CHAIR
MEMBERS. MY NAME IS GAIL. YEN.
I'M THE CALIFORNIA POLICY
DIRECTOR OF THE ROOT AND REBOUND
WERE ILLEGAL SERVICE NONPROFIT
THAT PROVIDES SUPPORT FOR
FORMERLY INCARCERATED PEOPLE
COMING HOME. AS YOU WAS
MENTIONED. WE ALSO HAVE AN
IMPRISONED PROGRAM WHERE WE
PROVIDE SUPPORTS FOR FOLKS WHO
ARE COMING HOME AND HELP PLAN
THEIR REENTRY, INCLUDING SIGNING
UP FOR PUBLIC SERVICES AND OR
PUBLIC BENEFITS, BUT ALSO
HELPING THEM GET THEIR I D S AND
BIRTH CERTIFICATES SO THAT THEY
CAN GET THEIR IDEAS WHEN THEY
COME HOME. JUST HERE TO ALSO
ANSWER ANY TECHNICAL QUESTIONS
THAT YOU GUYS MAY HAVE. THANK
YOU. UM OTHER SUPPORTERS. CALVIN
PROJECT IDEA ACTION FUND AND
STRONG SUPPORT. THANK YOU. IS
THERE ANY OPPOSITION TO THE
BILL? SEE, NO ONE WILL BRING
BACK TO THE COMMITTEE FOR
QUESTIONS OR COMMENTS. MR V
VALLAPUDUA. WELL, FIRST OF ALL,
I JUST WANT TO THANK THE AUTHOR
OR BRINGING THIS FORWARD AND IF
I CAN BE ADDED AS A CO AUTHOR UM
AND I WANT TO THANK THE WITNESS
FOR SPEAKING. WE WE DID WE
REALLY NEED TO DO MORE. I MEAN,
I THINK THERE WAS IT WAS LAST
YEAR WE PASSED SOMETHING THAT
WAS WHERE THEY NEED TO MAKE SURE
BEFORE THEY LEAVE, TOO, IS TO
HAVE AN I D. RIGHT. AND THAT
BIRTH CERTIFICATES GREAT. EVEN
HAVING THE I D. BECAUSE IT IS SO
HARD WHEN YOU GET RELEASED THAT
YOU GOT TO GO OUT. DO THIS LIKE
VICIOUS CIRCLE RIGHT TO GO TO
GET A JOB. THEY'RE LOOKING FOR
ALL THAT. THEY NEED ALL THAT
WHEN YOU DON'T HAVE THAT YOU
DON'T HAVE THOSE TOOLS. GUESS
WHAT? THERE'S A PERCENTAGE OF
FOLKS THAT WILL PROBABLY END UP
YOU KNOW, GOING DOWN THE WRONG
PATH, AND IT'S NOT SOMETIMES
THEIR FAULT. IT'S JUST THAT THEY
DIDN'T HAVE A TOOL. SO I THINK
PROVIDING THIS IS THIS IS ONE
TOOL OF BEING RELEASED THAT THEY
NEED AND I JUST WANT TO THANK
THE AUTHOR FOR THIS. THANK YOU
VERY MUCH. THANK YOU. ANY OTHER
QUESTIONS? MR PATTERSON. THANKS
UH, HEY, I TRY TO BE IS
INCONSISTENTLY CONSISTENT AS
POSSIBLE. UM YOU KNOW, WE
CONSIDERED NOT A SIMILAR BILL,
BUT YOU KNOW, JUST LITERALLY THE
LAST BILL, UM, YOU KNOW, AND I
HAVE SIMILAR FEELINGS. I WILL
SAY THAT I'VE HAD THIS
CONVERSATION WITH, UM YOU KNOW,
A FRIEND OF MINE WHO SPENT SOME
TIME IN PRISON AND I KNOW THAT
THERE ARE A LOT OF THINGS WE CAN
BE DOING BETTER TO. YOU KNOW,
THE VAST MAJORITY OF PEOPLE ARE
GOING TO BE GETTING OUT OF
PRISON AND YOU KNOW, WE CAN BE
DOING A MUCH BETTER JOB AT
PREPARING THEM TO RE ENTER
SOCIETY AND BE SUCCESSFUL. AND,
UH, CONGRATULATIONS. BY THE WAY,
I THINK THAT'S AMAZING. UM YOU
KNOW, I DO FEEL VERY SIMILAR IN
TERMS OF THE LAST BILL THAT I
THINK, UH, YOU KNOW, THIS IS
REALLY A CONVERSATION WE SHOULD
HAVE IN THIS STATE. UH, A
BROADER CONVERSATION ABOUT WHO
SHOULD BE PAYING THE FEE FOR
BIRTH CERTIFICATES AND DOCUMENTS
THAT ARE REALLY NECESSARY TO
SURVIVE. YOU KNOW, FOR
EVERYBODY. UM SO YOU KNOW, I
THINK AGAIN, I'M GOING TO TRY TO
BE CONSISTENT ON THIS BILL. AND
YOU KNOW, I THINK I'M GONNA BE
NOT VOTING, BUT, UH, YOU KNOW,
ONCE THE FISCAL ANALYSIS COMES
OUT AND THINGS LIKE THAT, AND I
CAN SORT OF WAY THAT IN AFTER
THE NEXT COMMITTEE, YOU KNOW,
MAYBE ON THE FLOOR. I'LL HAVE A
DIFFERENT OPINION AT THAT POINT,
BUT, UM YOU KNOW, I WANT TO SEE
PEOPLE WHO ARE IN PRISON AND ARE
COMING OUT TO BE SUCCESSFUL. I
THINK IT BENEFITS EVERYBODY. SO
I APPRECIATE YOU BRINGING THIS
BILL AND YOU KNOW, GETTING THE
CONVERSATION GOING, SO THANK
YOU. MR RODRIGUEZ ALSO WANT TO
THANK THE AUTHOR FOR BRINGING
THIS BILL FORWARD TO HAVE A
FRIEND WHO WAS IN INCARCERATED
FOR MANY YEARS. AND YET A LOT OF
ISSUES TRANSITIONING OUT. SO
THIS IS THE FIRST STEP ON
HELPING OUR FOLKS COMING OUT AND
TRANSITION BACK INTO LIFE. SO
ONCE AGAIN, I THANK THE AUTHOR
FOR BRINGING THIS FORWARD AND
YOUR WITNESSES TESTIFYING
SUPPORT. THANK YOU ALL AND
WISHING YOU WELL, THANK YOU.
ANYONE ELSE? YOU KNOW WHAT? UM,
THE BILL HAS A DO PASS
RECOMMENDATION, THE MOTION WOULD
BE DUE PAST TWO APPROPRIATIONS.
MR RODRIGUEZ MADE THE MOTION. IT
WAS SECOND BY MS AGUIAR-CURRY.
WOULD YOU LIKE TO CLOSE MISS
MCKINNEY? THANK YOU. AND I
RESPECTFULLY ASK FOR YOUR I VOTE
. THANK YOU. BUT THAT MADAM
SECRETARY, PLEASE CALL THE ROLL.
WOULD WOULD I? WALDRON. EDGAR
CURRY, EDGAR CARILLO, I
ARAMBULA. BORN OF CORVETTE.
BOERNER HORVATH. AYE, CARILLO.
FLORA. VINCE FONG. MAIENSCHEIN
MCCARTHY, JOE PATTERSON.
PATERSON NOT VOTING. RODRIGUEZ
RODRIGUEZ I SANTIAGO VALLAPUDUA
VALLAPUDUA. AYE, WEBER. HOWEVER,
I. YOU HAVE SIX VOTES WILL LEAVE
THE BILL ON CALL FOR THANK YOU.
THANK YOU. THANK YOU. DOCTOR
EVER WOULD YOU LIKE TO PRESENT
WERE. YOU HAVE A B 12 41.
GOOD AFTERNOON CHAIR AND
MEMBERS. I WANT TO START BY
THANKING THE CHAIR AND THE
COMMITTEE STAFF FOR THE WORK ON
THIS BILL LEADING UP TO THIS
HEARING. I'M HERE TO PRESENT A B
12 41, WHICH WOULD ENSURE THAT
THERE IS ONE STANDARD OF CARE,
REGARDLESS OF INCOME OR MEDICAL
ELIGIBILITY FOR INDIVIDUALS TO
ACCESS, CONNECTED CARE AND WOULD
MAKE HEALTH CARE MORE ACCESSIBLE
FOR ALL. SPECIFICALLY. THIS BILL
WILL REMOVE THE REQUIREMENT IN
CURRENT LAW FOR THE TELE HEALTH
PRACTITIONER TO SCHEDULE AN
APPOINTMENT WITH ANOTHER
PRACTITIONER ON BEHALF OF THE
PATIENT. CURRENT LANGUAGE THAT
THE LEGISLATURE ADOPTED LAST
YEAR REQUIRES A WARM HANDOFF FOR
TELEHEALTH PRACTITIONERS WHO ARE
REFERRING A PATIENT TO
SPECIALIZED CARE IN CLINICAL
SETTINGS. THIS MEANS THAT A TELE
HEALTH PRACTITIONER WOULD NEED
TO MAKE DIRECT CONTACT WITH THIS
SPECIALIST AND ENSURE AN
APPOINTMENT FOR FOLLOW UP CARE
IS MADE. MANY HEALTH PLANS
CONTRACT FOR PROVIDERS, AND
THOSE PRACTITIONERS DO NOT SHARE
THE SAME SCHEDULING SYSTEMS AS A
SPECIALIZED CARE PROVIDERS.
THAT'S THE CURRENT LAW WOULD
MAKE IT IMPOSSIBLE FOR THEM TO
CONTINUE PROVIDING TELEHEALTH
SERVICES TO OUR MEDICAL PATIENTS
IN CALIFORNIA. STATISTICS SHOW
THAT ONE IN FOUR CALIFORNIANS
LIVE IN AN AREA THAT IS
EXPERIENCING A SHORTAGE OF
PRIMARY CARE PROVIDERS. A B 12
41 ATTEMPTS TO RELIEVE
HEALTHCARE PROVIDERS SHORTAGES.
THIS BILL WOULD INCREASE ACCESS
TO TELEHEALTH SERVICES AND URBAN
AND RURAL COMMUNITIES WHERE
HEALTHCARE DELIVERY CAN BE
DIMINISHED DUE TO A LACK OF
HEALTH FACILITIES OR
TRANSPORTATION TO GET THERE.
TELEHEALTH ASSURES THAT
REGARDLESS OF YOUR INCOME STATUS
, YOU HAVE ACCESS TO A
CALIFORNIA LICENSE. TELE HEALTH
PRACTITIONER. SHOULD A PATIENT
NEED TO SEE AN IN PERSON
PROVIDER. THE TELE HEALTH
PRACTITIONER CAN REFER THE
PATIENT TO A NEW PROVIDER. A B
12 41 ELIMINATES THE
UNINTENTIONAL BARRIER PLACED ON
OUR MEDICAL PATIENTS BY CREATING
A WAY FOR PROVIDERS TO SATISFY
THE NEW REQUIREMENTS WITHOUT
SACRIFICING PATIENT PROTECTIONS
OR LOWERING THE QUALITY OF
HEALTH CARE THAT PATIENTS
RECEIVE. THIS BILL HAS SUPPORT
FROM THE CALIFORNIA RETIRED
TEACHERS ASSOCIATION.
CALIFORNIANS FOR ACCESSIBLE
CONNECTED CARE, CALIFORNIA
HISPANIC CHAMBER OF COMMERCE,
NATIONAL DIVERSITY COALITION
SPECIAL NEEDS NETWORK AND THE
AMERICAN TELEMEDICINE
ASSOCIATION. WITH HERE WITH ME
HERE TO TESTIFY, HAVE JORDAN'S
SEE. DIRECTOR OF GOVERNMENT
AFFAIRS FOR TELADOC HEALTH. GOOD
AFTERNOON. MY NAME IS JORDAN.
SEE AND I'M THE DIRECTOR OF
GOVERNMENT AFFAIRS FOR TELADOC
HEALTH. I'M HERE TODAY TO
EXPRESS SUPPORT FOR ASSEMBLY
BILL 12 41. TODAY IN CALIFORNIA
TELL ABOUT HEALTH IS CONTRACTED
THROUGH FIVE OF THE STATES
MANAGED CARE ORGANIZATIONS AS AN
ELIGIBLE BENEFIT FOR OVER TWO
MILLION MEDICAL BENEFICIARIES
WITH ACCESS TO AT LEAST ONE OF
OUR HEALTHCARE SERVICES.
BEGINNING JANUARY. 1 2024,
CALIFORNIA LICENSED PROVIDERS
AND THE MEDICAL PROGRAM WHO WISH
TO OFFER TELEHEALTH SERVICES
WILL BE SUBJECT TO REQUIREMENTS
THAT ARE FAR MORE RESTRICTIVE
THAN THOSE REQUIRED FOR THE SAME
CAREGIVING TO PATIENTS UNDER
COMMERCIAL HEALTH PLANS. TELADOC
HEALTH, LIKE THE MAJORITY OF
HEALTHCARE PROVIDERS IN
CALIFORNIA, IS NOT PART OF A
CLOSE HEALTHCARE SYSTEM. IT HAS
NO ACCESS OR VISIBILITY INTO
SCHEDULING FOR POSITIONS AND
OTHER HEALTH CARE PROVIDERS
OUTSIDE OF TELADOC HEALTH.
ASSEMBLY BILL 12 41 OFFERS A
SIMPLE AMENDMENT TO CLARIFY THAT
THE CURRENT REFERRAL AND
FACILITATION ARRANGEMENT
CODIFIED LAST YEAR WOULD NOT
CREATE A REQUIREMENT FOR MEDICAL
TELE HEALTH PROVIDERS SCHEDULED
APPOINTMENT WITH A DIFFERENT
PROVIDER ON BEHALF OF THE
PATIENT. NOR THERE WILL BE AN
EXPECTATION FOR MEDICAL
PROVIDER. TO BE RESPONSIBLE FOR
MAINTAINING AN INTEGRATED
SCHEDULING SYSTEM THAT IS NOT
CURRENTLY FEASIBLE IN CALIFORNIA
TODAY. TELL DOG HEALTH FIRMLY
BELIEVES THAT MEDICAL PATIENTS
DESERVE TO HAVE IT AS MANY
HEALTHCARE CHOICES. UH AND
RECEIVED THE HEALTHCARE THE SAME
HEALTHCARE HAS COMMERCIAL HEALTH
PLAN PATIENTS ENJOY TODAY. IT
REMAINS OUR GOAL PROVIDE
CALIFORNIANS WITH ALL WITH SAFE
QUALITY, CONVENIENT HEALTHCARE,
ESPECIALLY FOR THOSE AND
UNDERSERVED AND UNSERVED AREAS.
THANK YOU FOR YOUR TIME TO SHARE
TELADOC HEALTH PERSPECTIVE ON
THIS IMPORTANT PIECE OF
LEGISLATION, AND I'LL BE GLAD TO
ANSWER ANY QUESTIONS THE
COMMITTEE MAY HAVE THANK YOU
OTHERS IN SUPPORT OF THE BILL.
AND I WILL BRING HIM ACTUALLY
ANY OPPOSITION TO THE BILL. IT'S
A VERY QUIET AUDIENCE TODAY.
BACK TO THE COMMITTEE FOR
QUESTIONS OR COMMENTS. UM YOU
KNOW, I LOVE TELEHEALTH. THAT'S
MY HEART AND SOUL. THANK YOU FOR
BRINGING THIS BILL FORWARD. WE
ALWAYS NEED TO CLEAN UP. WE
ALWAYS NEED TO LOOK AT IT EACH
YEAR A LITTLE BIT DIFFERENTLY.
AND I APPRECIATE THE CHANGE THAT
YOU'VE DONE ON THIS AND THANK
YOU VERY MUCH, AND I'LL BE
SUPPORTING THE BILL TODAY. IF
I'M NOT ALREADY CO AUTHOR. MAKE
SURE I AM. AND I THINK ANYONE
ELSE THANK YOU, DR ROBERT FOR
BRINGING THIS FORWARD. UM I HAVE
A FEW COMMENTS BEEN WORKING ON
THIS AREA AS WELL FOR QUITE A
WHILE. UH DEPARTMENT HEALTHCARE
SERVICES UNDERWENT PUBLIC
STAKEHOLDER PROCESS IN THE FALL
OF 2021 UPDATED THE POLICIES TO
REFLECT STAKEHOLDER INPUT AND
FINAL LEGISLATIVE NEGOTIATIONS.
SO THE CURRENT LAW, WHICH IS
BILL CLARIFIES, REFLECTS THESE
AGREEMENTS AS THE CHAIR OF THE
COMMITTEE HERE. I WANT TO STATE
ON THE RECORD MY SUPPORT FOR
TELEHEALTH. WE'VE SEEN THROUGH
THE PANDEMIC AND CONTINUING ON
THAT TELEHEALTH IS CRITICAL TO
INCREASING ACCESS, PARTICULARLY
IN RURAL DISTRICTS LIKE MINE AND
OUR SOME OF OUR FELLOW
COLLEAGUES HERE. BUT I ALSO
BELIEVE THAT TELEHEALTH IS NOT A
STANDALONE SERVICE DISCONNECTED
FROM A PERSON'S NORMAL SOURCE OF
CARE. BUT THE MODALITY PROVIDERS
CAN USE TO DELIVER CARE. CARE
OFTEN OFFERED THROUGH TELEHEALTH
SHOULD BE COORDINATED WITH A
NORMAL SOURCE OF CARE, NOT AND
NOT CREATE MORE FRAGMENTATION.
FOR INSTANCE, IF DURING A
TELEHEALTH APPOINTMENT IF IT
BECOMES NECESSARY TO INSTEAD
HAVE THE PERSON COME IN IN
PERSON FOR THE PROVIDER WILL
SAY. PLEASE COME INTO THE
CLINIC. UM OR THE TELEPHONE
HEALTH PROVIDER DOESN'T PROVIDE
IN PERSON CARE THAT THEY HAVE A
RELATIONSHIP WITH SOMEBODY IN
THE COMMUNITY THAT CAN ASSIST
THAT PATIENT AND THE PATIENT
WILL HAVE A HAND OFF TO SOMEBODY
. MY CONCERN IS THAT IF THAT IF
THERE ISN'T NO CONNECTION AT ALL
HOW DO YOU WE? WE TALKED ABOUT
PROVIDER NETWORKS LAST WEEK AND
, UH, YOU KNOW, WE CAN'T JUST BE
GIVING A LIST OF PROVIDERS TO
PEOPLE AND SAYING, WELL, WE
DIAGNOSE THIS. HERE'S A LIST OF
PROVIDERS. GOOD LUCK. AND SO
THAT'S THAT'S ONE OF THE
CHALLENGES. WE DON'T WANT THEM
TO BE STUCK IN THE PATIENTS BE
STUCK IN THE MIDDLE HAVING TO
BRIDGE A GAP BETWEEN THE
TELEHEALTH PROVIDER AND THE
PERSON PERSON WHO MIGHT BE
PROVIDING CARE IN PERSON SO THE
BILL STRIKES A GOOD BALANCE BY
MAINTAINING THESE IMPORTANT
PATIENT PROTECTIONS BY MAKING IT
EASIER FOR PROVIDERS TO COMPLY
WITH THIS REQUIREMENT IT
CLARIFIES THE REQUIREMENT DOES
NOT MEAN THAT TELE HEALTH
PROVIDERS ACTUALLY HAVE TO
SCHEDULE AN APPOINTMENT WITH THE
PATIENT. AND THEN AT THE
PROVISION OF IN PERSON CARE, UH
AND THAT THE PROVISION OF IN
PERSON CARE OR WARM HANDOFF
DOESN'T OCCUR IN EVERY CASE. WE
EXPECT ADDITIONAL GUIDANCE
COMING FROM THE DEPARTMENT OF
HEALTH CARE SERVICES ON THIS
REQUIREMENT, BUT THIS HELPS
CLARIFY THE LEGISLATIVE INTENT
AROUND THAT PROVISION, WHICH I
BELIEVE IS THE INTENTION OF THE
BILL. SO I WANT TO THANK YOU FOR
WORKING ON THIS. UM THAT'S TO
AMEND THE BILL PRIOR TO THE
HEARING, AND I'M HAPPY TO
SUPPORT THE BILL TODAY. WE DO
HAVE A MOTION BY MS AGUIAR-CURRY
A SECOND BY MR V VALLAPUDUA.
WOULD YOU LIKE TO CLOSE DR
WEBBER? WELL THANK YOU VERY MUCH
. I WOULD LIKE TO CLOSE JUST BY
ONCE AGAIN THANKING THE CHAIR
AND THE COMMITTEE. UM WE ARE ALL
VERY WELL AWARE OF THE
IMPORTANCE OF TELEHEALTH. IT HAS
REALLY BEEN A GAME CHANGER TO
BREAKING DOWN A LOT OF BARRIERS
TO ACCESS THAT WE HAVE HAD UP
AND DOWN THE STATE AND ACTUALLY
, ACTUALLY THROUGHOUT THIS
COUNTRY, UM TO HAVE THE
REQUIREMENT THAT THE PROVIDER ON
TELEHEALTH ACTUALLY SCHEDULE THE
APPOINTMENT FOR THE PATIENT IS
MORE THAN JUST A BIT ONEROUS. I
PRIOR TO COMING HERE ACTUALLY
WORKED AT TWO SEPARATE HOSPITALS
WITHIN THE SAN DIEGO AREA,
COMPLETELY. TWO DIFFERENT
ANALYTICAL ELECTRIC ELECTRIC
MEDICAL RECORD SYSTEMS. NO, I
DID NOT SPEAK TO EACH OTHER. SO
IF WE CAN'T DO IT WITHIN THE
SAME CITY, THEN I DON'T KNOW HOW
WE WOULD EXPECT THAT OF SOMEONE
WHO IS PROVIDING CARE VIA
TELEHEALTH. SO UM, I APPRECIATE
IT AND I JUST WANT TO REITERATE
THAT THIS BILL IS ABOUT
ELIMINATING BARRIERS TO CARE
THAT IS NECESSARY TO ENSURE THAT
TELE HEALTH CARE REMAINS AN
OPTION FOR ALL CALIFORNIANS.
JUST NOT THOSE WHO HAVE
COMMERCIAL INSURANCE. AND I
RESPECTFULLY REQUEST AND I VOTE.
THANK YOU. THANK YOU VERY MUCH,
DOCTOR. REVEREND CLARIFICATION.
I WAS, UM YES. MY HEARING ISN'T
AS GOOD THESE DAYS SO THE MOTION
WAS BY MISS AGUILAR CURRY. THE
SECOND BY WAS BY MR
BOERNER HORVATH AND A VERY IT
WAS A VERY CLOSE. IT WAS VERY
CLOSE, THOUGH. SO PARDON? I DID.
I DID. I THOUGHT WHAT I SAID.
DID I. APPARENTLY, I CAN'T SPEAK
AS WELL AS HERE. I'M NOT. I'M
SCARED OF WHAT MIGHT BE NEXT. SO
UM, BUT ANYWAY, OKAY, WE DO HAVE
A MOTION. WE DO HAVE A SECOND.
I'M NOT GOING TO REPEAT THE
NAMES. EMOTIONS DO PASS THROUGH
APPROPRIATIONS. MADAM SECRETARY
, PLEASE QUICKLY CALL THE ROLE.
WOULD WOULD I, WALDRON WALDRON,
I AGUIAR-CURRY AND YOUR CREE I
ARAMBULA. ORDER CORVETTE.
BOERNER HORVATH CARILLO. LARA.
MONNING. MAIENSCHEIN MCCARTHY,
PATTERSON. JOE PATTERSON
IRODRIGUEZ. SANTIAGO. VALLAPUDUA
VALLAPUDUA. AYE, WEBER. HOWEVER,
I. YOU HAVE SEVEN. WE'RE ALMOST
THERE. WE'LL LEAVE THE BILL ON
CALL. THANK YOU. STATUS. YOU
HAVE A B 68 39 EXCUSE ME.
MICROPHONE LIKE THANK YOU THIS,
OKAY. GOOD AFTERNOON. HONORABLE
CHAIR. THANK YOU FOR HAVING US
AND MEMBERS OF THE COMMITTEE. I
ALSO WANT TO THANK COMMITTEE
STAFF WHO HELPED US WITH SOME
AMENDMENTS. MY STAFF AND OUR
WITNESS WHO IS HERE TODAY AND
THEN SAY A VERY SPECIAL HAPPY
BIRTHDAY TO ASSEMBLYMEMBER'S
WALDRON. HOPE YOU GET TO
CELEBRATE TODAY. BUT I AM HERE
TODAY TO ASK FOR YOUR I VOTE ON
ASSEMBLY BILL 8 39. THIS BILL
WAS DEVELOPED WITH SIGNIFICANT
INPUT FROM COMMITTEE STAFF AND
WE DID TAKE ALL COMMITTEE STAFF
RECOMMENDED AMENDMENTS. WE'RE
TALKING ABOUT RESIDENTIAL CARE
FACILITIES FOR THE ELDERLY,
WHICH ARE INCREDIBLY IMPORTANT
PART OF OUR STATE'S HEALTH
SYSTEM, SUPPLYING HOUSING AND
CARE TO INDIVIDUALS OVER 60
YEARS OF AGE. THESE FACILITIES
ARE GENERALLY SEEN AS AN
INTERMEDIARY BETWEEN INDEPENDENT
LIVING AND 24 HOURS SUPERVISED
CARE, PROVIDING PERSONALIZED
CARE ASSISTANCE ROOM AND BOARD,
AMONG OTHER SERVICES TO SENIORS.
CALIFORNIA LIKE MANY OTHER
STATES, HAS AN AGING POPULATION
AND BY 2030. WE ARE EXPECTED TO
HAVE OVER 10.8 MILLION
INDIVIDUALS OVER THE AGE OF 60
AND QUALIFYING FOR WHAT'S CALLED
R C, F E U OR RESIDENTIAL CARE
FACILITY FOR THE ELDERLY AS
SUPPORT BY 2060. IT IS PROJECTED
THAT ADULTS OVER AGE 60, WE'LL,
UM WE'LL MAKE UP 30% OF OUR
STATES OVER OF OUR STATE'S TOTAL
POPULATION. SO AS YOU CAN SEE
CARE FACILITIES SUCH AS OUR CFCS
ARE GOING TO BECOME MORE AND
MORE IMPACTFUL AS CALIFORNIA'S
DEMOGRAPHICS CONTINUE TO SHIFT
IN SHARP CONTRAST TO THE GROWING
NEED FOR SENIOR CARE. UM THERE'S
A HARSH REALITY THAT MANY ARE
CFCS FACE, WHICH IS STAFFING
SHORTAGES EXACERBATED BY THE
COVID 19 PANDEMIC, WHICH HAS
LEAD TO OTHER PROBLEMS,
ESPECIALLY FOR THE SMALLER
NONPROFIT OUR CF FEES. SO WE'RE
A B 8 39 WOULD DO WHAT DIRECTLY
SUPPORT THESE NONPROFIT
FACILITIES BY OPENING ACCESS TO
LOWER INTEREST RATE TAX EXEMPT
FINANCING THROUGH A PROGRAM THAT
ALREADY EXISTS, WHICH IS THE
CALIFORNIA HEALTH FACILITIES
FINANCING AUTHORITY. AND TO BE
CLEAR THE CH F F A ONLY FUNDS
NONPROFIT CARE FACILITIES, SO
THIS BILL IS A VERY MODEST
CHANGE THAT WILL HAVE A PROFOUND
IMPACT ON OUR CF VIEWS BY
REDUCING BORROWING COSTS AND
ALLOWING THEM TO INVEST THOSE
FUNDS IN AREAS OF DIRE NEED. ABC
8 39 WOULD ADD, ADD A MAXIMUM
239 NONPROFITS THAT COULD
QUALIFY FOR THIS FUNDING ABOUT
WHAT WE KNOW IS THAT SOME OF
THESE FACILITIES SOME OF THE NON
PROFIT FACILITIES ALREADY ARE
GETTING THE FUNDING, SO WE
EXPECT THE NUMBER TO BE A LITTLE
BIT LESS SO NOT PUTTING A
BURDEN. ON THE C H F F A PROGRAM
AND I DO HAVE A WITNESS HERE.
AMBER KING WITH LEADING AGE
CALIFORNIA WOULD LIKE TO TURN IT
OVER TO HER TESTIMONY. THANK
YOU. THANK YOU, MR CHAIRMAN
MEMBERS. AMBER KING WITH LEADING
AGE CALIFORNIA REPRESENTING
NONPROFIT PROVIDERS OF CARE AND
AFFORDABLE HOUSING FOR OLDER
ADULTS THROUGHOUT THE STATE, AND
WE ALSO REPRESENT SKILLED
NURSING FACILITIES, RESIDENTIAL
CARE FACILITIES, HOME AND
COMMUNITY BASED CARE, HOME
HEALTH AND HOSPICE CARE
THROUGHOUT THE STATE. WE'RE
PROUD TO SPONSOR A B A 39, WHICH
WOULD ALLOW NONPROFIT ARE CFE IS
TO TAKE ADVANTAGE OF THE
CALIFORNIA HEALTH FACILITIES
FINANCING AUTHORITY. UM AND
THEIR TAX EXEMPT ON PROGRAM AS
THE ASSEMBLYMEMBER'S MENTIONED.
THE DEMOGRAPHICS OF OLDER ADULTS
IS RAPIDLY CHANGING THROUGHOUT
THE STATE WHEN TRAVEL WAS
ORIGINALLY CREATED IN 1979, THE
DELIVERY OF CARE OF OLDER ADULTS
WAS MUCH DIFFERENT THAN IT IS
TODAY AND OLDER ADULTS AND HOW
OLDER ADULTS ARE WISHING TO
RECEIVE CARE IN HOW THEY'RE
WISHING TO AGE. INDEPENDENCE AND
DIGNITY AS A KEY DRIVER OF THAT
CHANGE, WHILE SKILLED NURSING
FACILITIES ARE AN INTEGRAL PART
OF THE HEALTH CARE DELIVERY
SYSTEM, WE ARE SEEING MORE AND
MORE OF OUR NONPROFIT PROVIDER
MEMBERS, DOWNSIZING THEIR
SKILLED NURSING CARE AND
INCREASING THEIR CAPACITY FOR
ASSISTED LIVING AND IN
PARTICULAR MEMORY CARE WHICH
WE'RE SEEING A STRONGER DEMAND
FOR MORE RECENTLY AS OLDER
ADULTS ARE CHOOSING TO RECEIVE
THEIR CARE IN THEIR HOME FOR AS
LONG AS POSSIBLE AND DELAYING
THEIR MOVE TO THE MORE CLINICAL
AND HEALTH SETTING. I A B 8 39,
ADDITIONALLY FURTHERS GOAL ONE
HOUSING FOR ALL AGES AND STAGES
OF THE MASTER PLAN FOR AGING,
WHICH AIMS TO ALLOW OLDER ADULTS
TO LIVE WHERE THEY CHOOSE AS
THEY AGE IN COMMUNITIES THAT ARE
AGE, DISABILITY AND DEMENTIA
FRIENDLY. A B 8 39 WILL REDUCE
BORROWING COSTS TO CREATE MORE
ASSISTED LIVING IN MEMORY CARE
TO MEET THE NEEDS OF OUR GROWING
ORDER DOT POPULATION. AND WITH
THAT I WOULD URGE YOUR I VOTE.
THANK YOU. THANK YOU VERY MUCH.
FAVORITE MOTION BY MR V.
VALLAPUDUA SECOND BY MS WALDRON.
MAKE SURE YOU GET THAT ONE
RIGHT? OKAY. UM OTHERS IN
SUPPORT OF THE BILL. THERE ANY
OPPOSITION TO THE BILL? THE NUN
WILL BRING BACK TO THE COMMITTEE
QUESTIONS OR COMMENTS FROM THE
COMMITTEE. SEE NONE. WELL. WOULD
YOU LIKE TO CLOSE MISS? HMM.
THERE WE GO. THANK YOU SO MUCH
FOR YOUR TIME, AND I
RESPECTFULLY ASK FOR YOUR VOTE
ON A B 8 39. THANK YOU VERY MUCH
. THE BILL DOES ENJOY DO PASS
RECOMMENDATION. WE HAVE A MOTION
BY MR V. VALLAPUDUA SEGMENT BY
MS WALDRON. MADAM SECRETARY.
PLEASE DO PASS AS AMENDED TO
APPROPRIATIONS. SO THANK YOU FOR
ACCEPTING THE AMENDMENTS. MADAM
SECRETARY. PLEASE CALL THE ROLL.
WOULD WOULD I? WALDRON WALDRON,
IAGAR CURRY AGUIAR-CURRY? AYE,
ARAMBULA. BOERNER HORVATH
BOERNER HORVATH. AYE, CARILLO.
FLORA. VINCE FANG. MAIENSCHEIN
MCCARTHY. PATERSON. RODRIGUEZ.
SANTIAGO DE VALLAPUDUA. BEING
PUT WHAT I WHATEVER HOWEVER, I.
YOU HAVE SIX VOTES WILL LEAVE
THE BILL ON CALL. THANK YOU.
THANK YOU. SEEING NO OTHER
AUTHORS. I'M GOING TO TURN THIS
OVER TO OUR VICE CHAIR, AND I'M
GOING TO PRESENT MY BILL.
ITEM 15 A B 10 92 CHAIRMAN WOULD
START WHEN YOU'RE READY. THANK
YOU VERY MUCH, MADAM CHAIR AND
MEMBERS MAYBE 10 92 BUILDS ON
PRIOR MY PRIOR LEGISLATION A B 5
95 TO ENSURE HEALTH PLANS.
ACQUIRING A PHYSICIAN GROUP IS
SUBJECT TO REGULATORY REVIEW.
SPILL AUTHORIZES DEPARTMENT OF
MANAGED HEALTHCARE DIRECTOR TO
REVIEW COMPETITION AND
HEALTHCARE SYSTEMS. OUR OR
HEALTHCARE PROVIDERS AND TO
PROVIDE THIS INFORMATION TO THE
ATTORNEY GENERAL TO CLARIFY THIS
BILL DOES NOT EXPAND ATTORNEY
GENERAL AUTHORITY OTHER THAN
WHAT IS AN EXISTING LAW AND
MERELY AUTHORIZES THE D A. THE
DEPARTMENT OF MANAGED HEALTH
CARE TO SHARE INFORMATION WITH
THE ATTORNEY GENERAL. WE ARE IN
DISCUSSIONS WITH THE HEALTH
PLANS TO CLARIFY THESE
PROVISIONS WITH ME AND SUPPORT
IS HEALTH ACCESS CALIFORNIA AND
I RESPECTFULLY ASK FOR YOUR
VOTE. GOOD AFTERNOON, MADAM
CHAIR AND MEMBERS. I'M KATIE VAN
DIE INS, A POLICY AND
LEGISLATIVE ADVOCATE WITH HEALTH
ACCESS CALIFORNIA AT THE
STATEWIDE HEALTHCARE CONSUMER
ADVOCACY COALITION. ACCESS
PROBABLY SUPPORTS AB 10 92,
WHICH WILL ENSURE THAT WHEN
HEALTH PLANS MERGE OR REQUIRE
OTHER ENTITIES LIKE PHYSICIAN
GROUPS, THERE'S A REVIEW FOR THE
IMPACTS OF THE MURDERERS ON
CONSUMERS TO PREVENT ANY
NEGATIVE IMPACTS. HEALTH ACCESS
SPONSORED EVERY 595 BY DOCTOR
WOULD, WHICH LEGISLATURE PASSED
IN 2018 TO APPROVE OR DENY
HEALTH PLAN MERGERS OR APPROVE,
UM MURDERERS WITH CONDITIONS TO
PROTECT CONSUMERS. MAYBE 595
REQUIRED THAT WHEN TWO HEALTH
PLANS MERGED, OR ANOTHER ENTITY
ACQUIRED A HEALTH PLAN. THAT
THEY SEEK APPROVAL FROM THE
DEPARTMENT AND UNDER THE LAW,
THE DEPARTMENT REVIEWS THE
MERGER FOR THE IMPACT ON
CONSUMERS, PURCHASERS, COSTS,
QUALITY AND COMPETITION AND
HOLDS A PUBLIC MEETING ON THE
MERGER. TI¾N 92 CLOSE AS A
CRITICAL GAP IN THIS OVERSIGHT
BY REQUIRING THAT WHEN HEALTH
PLAN ACQUIRES ANOTHER ENTITY,
THERE IS THAT SAME REVIEW. SINCE
THE PASSAGE OF 85 95. WE'VE SEEN
AN INCREASING TREND OF HEALTH
PLANS, BUYING PHYSICIAN GROUPS,
AND THERE'S NOT EXISTING
OVERSIGHT OVER THESE KINDS OF
MERGERS. FOR EXAMPLE, HEALTH? UM
SORRY. OPTIMUM UM, A MEDICAL
GROUP OWNED BY UNITED
HEALTHCARE. UM RECENTLY BOUGHT
TWO OF THE LARGEST PHYSICIAN
ENTITIES IN SOUTHERN CALIFORNIA.
UNITED HEALTHCARE IS NOW ONE OF
THE LARGEST EMPLOYERS OF
PHYSICIANS IN AMERICA AND IS
GROWING LIKE HEALTH, PLANNED
MERGERS, ELIMINATING OR
LESSENING COMPETITION AMONG
PROVIDERS AND INSURERS. IMPLANTS
CAN LEAD TO INCREASING COSTS FOR
CONSUMERS UNLESS COMPETITION FOR
QUALITY AND TYPES OF SERVICES
OFFERED. THAT IS MY REQUIRING
THAT ALL KINDS OF HEALTH PLAN
MERGERS HAVE THIS OVERSIGHT IS
CRITICAL TO PROTECTING QUALITY
AND AFFORDABLE HEALTH CARE. THE
LEGISLATURE IN THIS COMMITTEE
HAVE PRIORITIZED CONTAINING
HEALTHCARE COSTS. MAYBE 10 92 IS
IMPORTANT MEASURE TO DO JUST
THAT I RESPECTIVELY ASK FOR I
VOTE ON A B 10 92. THANK YOU.
BASKETBALL WITH HEALTH ACCESS
HERE TO ANSWER ANY QUESTIONS.
THANK YOU. THANK YOU ARE THERE
OTHER WITNESSES IN SUPPORT OF
THE BILL? PLEASE COME FORWARD
NAMING ORGANIZATION. GOOD
AFTERNOON, ANDREA RIVERA ON
BEHALF OF THE CALIFORNIA PEN,
ETHNIC HEALTH NETWORK AND
SUPPORT. SANDRA POET, WESTERN
CENTER FOR LAW AND POVERTY AND
SUPPORT AFTERNOON, BETH
MALINOWSKI WITH CALIFORNIA AND
SUPPORT. CHRISTOPH MAYER WITH
THE AMERICAN FEDERATION. EXCUSE
ME OF STATE, COUNTY AND
MUNICIPAL EMPLOYEES AND SUPPORT
THANK YOU SEEING NO OTHER
WITNESSES IN SUPPORT. UM, I'LL
CALL UP WITNESSES AND
OPPOSITION. TWO WITNESSES THREE
MINUTES EACH. YOU MADAM CHAIR
AND MEMBERS. UH NICK LOUISA'S
WITH THE CALIFORNIA ASSOCIATION
OF HEALTH PLANS, AND WE ARE
RESPECTFULLY OPPOSED TO, UM THIS
BILL IN ITS CURRENT FORM BY WAY
OF BACKGROUND. THIS BILL A B 10
92 REVISITS CHAIRMAN WOODS.
MAYBE 5 95 FROM 2018, WHICH WE
OPPOSED AT THE TIME BECAUSE IT
GAVE THE DEPARTMENT OF MANAGED
HEALTH CARE. AUTHORITY TO IMPOSE
NEW REQUIREMENTS ON HEALTH PLAN
TRANSACTIONS, INCLUDING
GOVERNMENT REGULATORS, GIVING
GOVERNMENT REGULATORS MORE
LEVERAGE TO DEMAND EXPENSIVE
UNDERTAKINGS FROM OUR MEMBERS
WHEN THEY SEEK APPROVAL FOR A
TRANSACTION. ONE OF THE REASONS
WE OBJECTED TO A B 5 95 WAS
BECAUSE IT'S SPECIFICALLY
CODIFIED THIS PRACTICE BY
ALLOWING CONDITIONAL APPROVAL
ONLY IF CERTAIN CONTINGENCIES.
ARE MET BY THE PLANS. IN OTHER
WORDS, UNDERTAKINGS IN THE FORM
OF FINANCIAL CONTRIBUTIONS TO
VARIOUS GROUPS AND INITIATIVES.
MAYBE 10 92 NOW ADDS NEW
CONTINGENCIES TO THAT LANGUAGE,
WHICH WHILE WELL, MEANING, YOU
KNOW, FROM OUR PERSPECTIVE ARE
ILL DEFINED AND DIFFICULT TO
ATTAIN, BECAUSE THEY YOU KNOW,
FROM OUR PERSPECTIVE, AT LEAST
IGNORE, YOU KNOW, UNDERCURRENTS
AND HEALTHCARE MARKET. UM OTHER
PROVISIONS OF THE BILL RAISED
ADDITIONAL CONCERNS. UM CURRENT
LAW ALREADY REQUIRES THAT
PROPOSED TRANSACTIONS BY PLANS
BE APPROVED BY THE GMHC. UM AND
, UM, YOU KNOW, PROVISIONS IN
THIS BILL INVOLVE THE ATTORNEY
GENERAL. WE HAD A CONVERSATION
WITH THE YOU KNOW THE AUTHORS,
STAFF AND THE SPONSORS
YESTERDAY, SO WE'RE SEEKING MORE
CLARIFICATION ABOUT WHAT THE
ROLE OF THE ATTORNEY GENERAL
WOULD BE, UM, YOU KNOW, WITH THE
ADDED LANGUAGE IN THIS BILL
ADDITIONALLY, YOU KNOW, WE
SHOULD ADD THAT THE NEWLY
CREATED OFFICE OF HEALTH CARE
AFFORDABILITY AIMS TO TAKE A
COMPREHENSIVE APPROACH TO
ADDRESSING RISING HEALTH CARE
COSTS. AND, OF COURSE, UM,
CHAIRMAN WOULD WAS A CHAMPION OF
THE OFFICE OF HEALTH CARE
AFFORDABILITY. UM AS PART OF ITS
MISSION, THE OFFICE IS REQUIRED
TO MONITOR THE IMPACT OF
CONSOLIDATIONS IN THE HEALTHCARE
MARKET AND PROPOSED PROMOTE
COMPETITIVE MARKETS. IN A MANNER
THAT IS SUPPORTIVE OF THE A G
AND GMHC S CURRENT EFFORTS. SO
UM FROM YOU KNOW OUR PERSPECTIVE
, IT'S NOT ENTIRELY CLEAR WHY
THESE, YOU KNOW, ADDED
PROVISIONS ARE NEEDED. AND SO
YOU KNOW, I WILL. I'LL JUST
CLOSE BY SAYING, YOU KNOW, WE
KNOW THAT THE AUTHOR OF THE
CHAIR IS A CHAMPION OF COST
CONTAINMENT, AFFORDABILITY AND
WE, YOU KNOW, WE CERTAINLY
CERTAINLY APPRECIATE THAT WE DO
DISAGREE. WITH THE DIRECTION OF
THIS PROPOSED BILL, BUT WE
UNDERSTAND THAT, YOU KNOW,
ENSURING HEALTHY MARKETPLACE IS
VERY IMPORTANT, SO WE HAD SOME
INITIAL DISCUSSIONS. UM YOU KNOW
IF THERE'S AN OPENNESS TO, YOU
KNOW, RESOLVING SOME LANGUAGE
CONCERNS THAT WE HAVE, UM YOU
KNOW, WE LOOK FORWARD TO HAVING
FURTHER CONVERSATIONS DOWN THE
LINE. THANK YOU. THANK YOU ARE
THERE OTHER WITNESSES AND
OPPOSITION NAME ORGANIZATION AND
POSITION ONLY. THING NONE. BRING
IT TO THE COMMITTEE FOR ANY
QUESTIONS OR COMMENTS. UM RETURN
IT TO CHAIRMAN WOULD FOR A
CLOSE. THANK YOU, MADAM VICE
CHAIR. I'M ALWAYS MY DOOR IS
ALWAYS OPEN TO WORK WITH
STAKEHOLDERS AND OPPOSITION TO
BILL. UM I THINK MAYBE 5 95
PROVED ITS WORTH IN A RECENT
MERGER OF HEALTH PLANS. UM WE
AND I WILL SAY THAT IN GENERAL,
THE MERGER OF HEALTH PLANS IS
NOT A FREQUENT OCCURRENCE, BUT
WHAT WE'RE SEEING NOW. IS MUCH
MORE FREQUENT, AND THAT IS THE
ACQUISITION BY A HEALTH PLAN OF
PHYSICIAN PROVIDER GROUPS. AND
THAT IS THAT IS OF CONCERN. UM
WE WILL CONTINUE TO WORK WITH
THE OPPOSITION ON THIS, MY
ALWAYS LOOKING FOR HIGH QUALITY
, HIGH ACCESS AND PATIENT
CENTERED HEALTH CARE. THIS BILL
IS NO EXCEPTION TO THAT. I
RESPECTFULLY ASK FOR YOUR VOTE.
THANK YOU. WE DO HAVE A MOTION.
UH DO PASS AS AMENDED TO
APPROACH THE APPROPRIATIONS.
MADAM SECRETARY. PLEASE CALL THE
ROLL WOULD WOULD I? WALDRON
WALTER. NO CREE CREE. I ARAMBULA
BOERNER HORVATH AHORA BETH I
CARILLO LARA, VINCE FONG
MAIENSCHEIN MCCARTY. JOE
PATTERSON. RODRIGUEZ. SANTIAGO
DE VALLAPUDUA PUT BY WHOEVER
HOWEVER, I. 5 TO 1. MHM PUT IT
ON CALL.
MR MURATSUCHI. THANK YOU VERY
MUCH. MR CHAIRMAN. IF I MAY
PROCEED, PLEASE DO PLEASE. THANK
YOU TO THE, UH, MEMBERS OF THE
COMMITTEE. I'M HERE TO PRESENT A
B 899 WHICH, UH, YOUR EXCELLENT
WANT TO THANK YOUR EXCELLENT
STAFF. UH, REPORT VERY
COMPREHENSIVE SUMMARY OF THE
STATE OF TRYING TO MAKE SURE
THAT, UH, INFANT FORMULA BABY
FOOD SOLD, UH AND NOT ONLY IN
THE STATE OF CALIFORNIA BUT
ACROSS THE COUNTRY. A NATIONAL
EFFORT TO TRY TO RAISE STANDARDS
TO PROTECT OUR YOU KNOW OUR
BABIES AND OUR, UH, OUR BABIES.
UM. AS THE SUMMER INDICATES,
THIS REQUIRES BASICALLY THREE
THINGS ONE IS REQUIRING IN STATE
OR OUT OF STATE MANUFACTURERS OF
INFANT FORMULA OR BABY FOOD SOLD
OR DISTRICT DISTRIBUTED IN THE
STATE TO NUMBER ONE. TEST THEIR
INFANT FORMULA OR BABY FOOD
PRODUCTS FOR TOXIC HAVING METALS
, ESPECIALLY LEAD, MERCURY,
CADMIUM AND ARSENIC. NUMBER TWO
POST ON THEIR WEBSITE, THE NAME
AND LEVEL OF TOXIC HEAVY METALS
IN THE FINAL INFANT FORMULA OR
BABY FOOD PRODUCT, AND THREE
INCLUDE A LABEL ON THE PRODUCT
THAT IT HAS BEEN TESTED. THIS,
UH. BILL IDEA ACTUALLY CAME FROM
, UH, ONE OF MY FORMER COMMITTEE
STAFF. SUSAN CHAN. SHE UH, WE
CELEBRATED HER NEW MOTHERHOOD
LAST YEAR. UH AND, UH, YOU KNOW,
SHE DISCOVERED AND BROUGHT TO MY
ATTENTION, THE ISSUE THAT I'M
SURE MANY MOTHERS AND FATHERS AH
, AND THIS BUILDING AS WELL AS,
UM, YOU KNOW ALL CALIFORNIANS
WHO ARE NEW PARENTS ARE
DISCOVERING WHICH IS THE, UM
VERY UNCERTAIN SITUATION IN
TERMS OF, UH, THE DOCUMENTED
EVIDENCE OF TOXIC HEAVY METALS
AND INFANT FORMULA AND BABY
FOOD. BEING SOLD, UM. THESE ARE
THE COMMITTEE REPORT SUMMARIZES
THE CONGRESSIONAL SUBCOMMITTEE
THAT ISSUED THE REPORT. WHICH I
WANTED TO JUST, UH READ AND
HIGHLIGHTS. THAT ACCORDING TO
THE CONGRESSIONAL SUBCOMMITTEE,
COMMERCIAL BABY FOODS ARE
TAINTED WITH SIGNIFICANT LEVELS
OF TOXIC HEAVY METALS, INCLUDING
ARSENIC, LEAD, CADMIUM AND
MERCURY. EXPOSURE TO TOXIC HEAVY
METALS CAUSES PERMANENT
DECREASES IN I Q DIMINISHED
FUTURE ECONOMIC PRODUCTIVITY AND
INCREASED RISK OF FUTURE
CRIMINAL AND ANTISOCIAL BEHAVIOR
IN CHILDREN. TOXIC HEAVY METALS
AND DANGER, INFANT NEUROLOGICAL
DEVELOPMENT AND LONG TERM BRAIN
FUNCTION. SUBCOMMITTEE GOES ON
TO FIND THAT INTERNAL COMPANY
STANDARDS PERMIT CURRENTLY
PERMIT DANGEROUSLY HIGH LEVELS
OF TOXIC HEAVY METALS AND
DOCUMENTS REVEALED THAT THE
MANUFACTURERS OFTEN SOLD FOODS
THAT EXCEEDED THE FOOD AND DRUG
MINISTRATIONS LEVELS. SO WE
CLEARLY HAVE A NATIONAL PROBLEM
HERE. UM WHILE THE FDA AND
CONGRESS ARE LOOKING INTO THIS
ISSUE, UH, THIS IS AN
OPPORTUNITY FOR CALIFORNIA TO
ONCE AGAIN TAKE THE LEAD AND TO
SPUR CONGRESS AND THE REST OF
THE COUNTRY. UH YOU KNOW, AS THE
WORLD'S FOURTH LARGEST ECONOMY
Tð UH, BEND THE MARKET TO SPUR
THE MARKET TO ENSURE THAT WE ARE
PROTECTING BABIES FROM THESE
HEAVY TOXIC METALS HERE TO
TESTIFY IN SUPPORT OF THIS BILL
IS SUSAN LITTLE WITH THE
ENVIRONMENTAL WORKING GROUP WHO
WAS WORKING ON THIS NOT ONLY
HERE IN CALIFORNIA BUT ALSO IN
OUR NATION'S CAPITAL. GOOD
AFTERNOON. THANK YOU. UM AS THE
ASSEMBLYMEMBER'S MENTIONED, MY
NAME IS SUSAN LITTLE I'M A
SENIOR ADVOCATE WITH THE
ENVIRONMENTAL WORKING GROUP. AND
I'D FIRST LIKE TO THANK THE
ASSEMBLY MEMBER FOR AUTHORING 88
99. MAYBE 8 99, WHICH WILL
INFORM PARENTS ABOUT THE HEAVY
METALS LURKING IN THE FOOD THAT
THEY FEED THEIR INFANTS. TO
DATE, THIS INFORMATION HAS BEEN
LARGELY A MYSTERY. THE PRESENCE
OF HIGH LEVELS OF LEAD, MERCURY
, ARSENIC AND CADMIUM AND BABY
FOOD THAT'S ONLY BEEN BROUGHT TO
LIGHT AS A RESULT OF THIRD PARTY
TESTING AND ACTS OF CONGRESS.
THESE DISCLOSURES HAVE
DEMONSTRATED THAT ALARMINGLY
HIGH LEVELS OF TOXIC METALS ARE
PRESENT. THE PRESENCE OF THESE
TOXIC METALS AND BABY FOOD
SHOULD CAUSE US ALL CONCERN
BECAUSE THE INGESTION INGESTION
OF EVEN LOW LEVELS OF THESE
METALS WHICH BUILD UP OVER TIME
IN CHILDREN'S BODIES CAN CAUSE
INFANTS AND TODDLERS GRAVE
HEALTH EFFECTS. LEAD AS WE KNOW
IS ESPECIALLY DAMAGING TO BABIES
. IT'S A NEUROTOXIN DAMAGES, THE
NERVOUS SYSTEM AND EVEN LOW
LEVELS OF LEAD EXPOSURE CAN
CAUSE LIFELONG LEARNING AND
BEHAVIORAL DIFFICULTIES. LEAD IS
ALSO A CARCINOGEN CAN DAMAGE
KIDNEYS AND CAUSE HIGH BLOOD
PRESSURE. CHRONIC EXPOSURE TO
CADMIUM CAN CAUSE KIDNEY, LIVER
AND BONE DAMAGE. CHILDREN ARE
MORE SUSCEPTIBLE TO THE EFFECTS
OF LOW DOSES OF CADMIUM OVER
TIME AND LIKE LEAD, CADMIUM
CAUSES DEVELOPMENTAL AND
BEHAVIORAL PROBLEMS. MERCURY IS
ANOTHER NEUROTOXIN AND WHEN
CONSUMED BY CHILDREN CAN CAUSE
BLINDNESS, BRAIN, LUNG AND
KIDNEY DAMAGE. HARM THE IMMUNE
SYSTEM AND CREATE DIGESTIVE
PROBLEMS. ARSENIC CAN ALSO LOWER
I Q IMPAIRED BRAIN DEVELOPMENT
CAUSE CANCER GROWTH AND
BREATHING PROBLEMS AND HURT THE
IMMUNE SYSTEM. NONE OF THESE
MEDALS SHOULD BE PRESENT IN BABY
FOOD OR FED TO CHILDREN, EVEN AT
LOW LEVELS. BABY FOOD
MANUFACTURERS SHOULD TEST THEIR
PRODUCTS FOR THESE TOXINS AND
TRANSPARENTLY DISCLOSED LEVELS
TO CONSUMERS. AMAZINGLY SUCH
PROTECTIONS ARE NOT CURRENTLY
REQUIRED. A B 8 99 WILL CLOSE
THIS GAP AND GIVE CALIFORNIANS
THE INFORMATION THEY NEED TO
PROTECT THEIR INFANTS FROM TOXIC
METALS THAT CAN IMPAIR THEIR
DEVELOPMENT AND HARM THEIR LIFE
OUTCOMES. WE'D URGE YOUR SUPPORT
FOR THIS BILL. THANK YOU. THANK
YOU VERY MUCH OTHERS IN SUPPORT
. IS THERE ANYONE IN OPPOSITION
TO THE BILL? BRING BACK TO THE
COMMITTEE FOR QUESTIONS OR
COMMENTS. MR FLORA. THANK YOU,
MR CHAIR. THANK YOU. COLLEAGUE
FOR BRINGING THIS FORWARD. I
JUST HAD A COUPLE JUST QUESTIONS
AND YOU SAID IT SORT OF IN YOUR
, UM, YOUR STATEMENTS THAT THE
FDA HAS NOT ACTUALLY SETTLED
LEVEL YET IS THAT THAT'S CORRECT
. THAT IS CORRECT. OKAY SO IF
THE FEDS HAVE NOT LOOKED AT THIS
AND SAID A LEVEL AND WE DISCLOSE
THIS INFORMATION. WHAT ARE THE
PARENTS SUPPOSED TO DO WITH
THAT? SO WHAT ARE THE OTHER
ALTERNATIVES? THANK YOU. THANK
YOU, MR FLORA. UM SO THE FDA IS,
UH CURRENTLY REVIEWING AND
TAKING PUBLIC COMMENTS, AS THE
COMMITTEE REPORT INDICATES. UM A
ACTION PLAN. A DRAFT ACTION PLAN
ON LEAD AND BABY FOOD. UM. BUT
IN THE MEANTIME, THEY HAVE
ISSUED THE RECOMMENDATION THAT
UH UH, MANUFACTURERS SHOULD
DISCLOSE THE AMOUNT OF HEAVY
METALS THAT THAT EXISTS IN THESE
PRODUCTS. AND, UM, UM, YOU KNOW,
WHILE. THE FDA HAS NOT, UH,
FORMALLY LANDED ON, YOU KNOW?
THE GUIDELINES IN TERMS OF WHAT
LEVELS OF THESE, UH HEAVY METALS
ARE AH, ARE YOU KNOW ARE ARE, IN
FACT DANGEROUS AND HOW DANGEROUS
ARE THEY? THEY HAVE ISSUED THE
RECOMMENDATION FOR THE SAKE OF
CONSUMER AWARENESS WITH THE
GENERAL GUIDANCE THAT OBVIOUSLY
THE LESS TOXIC HEAVY METALS THAT
THE BETTER IT IS FOR THEIR BABY.
SO THIS IS WHAT WE ARE PROPOSING
THE FIRST STEP WHERE WE'RE NOT.
UM AND WHERE WE'RE CERTAINLY
OPEN TO WORKING WITH THIS
COMMITTEE, AS WELL AS YOU KNOW,
WITH ANY CONCERNS, I KNOW THAT,
UH UH, THERE. THERE ARE SOME
CONCERNS HIGHLIGHTED IN THE
COMMITTEE ANALYSIS. UM AND WHAT
ONE PROPOSAL WAS, UH, TO TRY TO
ALIGN THIS WITH ANY, UH,
SUBSEQUENT RECOMMENDATIONS THAT
MAY BE FORTHCOMING FROM THE FDA.
UM ON THE LAST PAGE OF THE
COMMITTEE ANALYSIS, THE AUTHOR
MAY WISH TO CONSIDER REQUIRING
THE POSTING ONLY WHERE THE FDA
HAS ADOPTED GUIDANCE. I MEAN,
THOSE ARE, YOU KNOW.
CONSIDERATIONS THAT WERE
CERTAINLY. OPEN TO, BUT IN THE
MEANTIME, I THINK THE YOU KNOW,
MOTHERS, FATHERS, ALL PARENTS
SHOULD HAVE THE RIGHT TO KNOW
WHAT TOXIC HEAVY METALS ARE IN,
UH, THE FOOD THAT THEY'RE
FEEDING THEIR BABIES. AND I
WOULD AND I APPRECIATE THAT. I
WOULD CERTAINLY AGREE WITH YOU.
I THINK PARENTS DESERVE THAT
RIGHT TO KNOW. I ALSO THINK IT'S
IMPORTANT THAT THE THAT PARENTS
UNDERSTAND THE INFORMATION
THEY'RE GIVEN. AND IF THERE'S NO
GUIDELINES SET, AND WE JUST
THROW OUT A BUNCH OF INFORMATION
THAT COULD CREATE LIKE AN
UNNECESSARY CONCERN THAT MAY OR
MAY NOT BE THERE AT CERTAIN
LEVELS. AND RIGHT NOW WE JUST
CAME THROUGH A BIT OF A FORMULA
SHORTAGE THAT WE ALL ARE VERY,
VERY AWARE OF, AND SO TO CREATE
A HYSTERIA ABOUT THIS WITH
REALLY NO GUIDELINES, I THINK
MIGHT BE A LITTLE BIT PREMATURE.
BUT I CERTAINLY RESPECT THE
INTENT OF THE BILL. I AM GONNA
BE LAYING OFF OF IT TODAY. BUT I
DO THINK IT'S PROBABLY WISE, UM
CALIFORNIA WE DO LIKE TO LEAD
BUT ON THIS PARTICULAR ISSUE, I
THINK WE SHOULD LET THE FDA THE
PROFESSIONALS TAKE A LOOK AT
THIS. SET THE GUIDELINES AND
THEN WE COME IN BEHIND THEM. SO
THANK YOU. THANK YOU. ANY OTHER
QUESTIONS, MR V VALLAPUDUA. SO.
WAS IT MENTIONED THAT THERE IS
TESTING GOING ON RIGHT NOW.
THERE IS TESTING TESTING GOING
ON? YES, OKAY. AND IN PART OF
THIS BILL WILL BE. IS IT TESTING
IN BULK IS IT EACH CAN. THE, UM
SO AS UH, THE HEALTH COMMITTEE
ANALYSIS INDICATES, UH, THE
SUBCOMMITTEE. UM HAS FOUND. THAT
. THAT UH, THE FINAL PRODUCTS,
UH UM, HAVE INCLUDED FOODS THAT
EXCEEDED THE FDA IS, UH.
RECOMMENDED LEVELS. THE
CONGRESSIONAL SUBCOMMITTEE
RECOMMENDED. THAT BABY FOOD
MANUFACTURERS SHOULD BE REQUIRED
BY THE FDA TO TEST THEIR
FINISHED PRODUCTS FOR TOXIC
HEAVY METALS, NOT JUST THEIR
INGREDIENTS, SO WE'RE TRYING TO
FOCUS ON THE FINISHED PRODUCTS
OF THE CONCERN IS THAT, UM, MUCH
OF THE TESTING TO DATE HAS
FOCUSED ON THE INPUT INGREDIENTS
, BUT NOT ON THE FINAL PRODUCT.
WHAT CONSUMERS ARE ACTUALLY
CONSUMING. AND SO THIS BILL
WOULD BE TO REQUIRE THE TEST OR
SAMPLES, NOT EVERY PRODUCT, BUT
SAMPLES OF THE FINAL PRODUCT.
GOT IT. GOOD. YEAH, AGAIN. I
DON'T I DON'T WANT ANY ANY BAD
FINISHED PRODUCT COMING OUT. BUT
AS LONG AS IT'S, UH THERE'S NO
DELAYS, RIGHT? AS MY COLLEAGUE
MENTIONED, YOU KNOW, WE JUST
CAME OFF A YEAR NOT HAVING
ENOUGH OUT THERE AND THAT WAS
KIND OF YOU KNOW? DISPLAYED ALL
OVER THE SOCIAL MEDIA, RIGHT. SO
ON TV, TOO. SO, UM I'LL BE
VOTING FOR THIS TODAY. THANK YOU
AND JUST TO CLARIFY, UH, MR
CAPUTO, A, UM. NOTHING IN THIS
BILL SEEKS TO BAN OR LIMIT UH
THE, UH, CONSUMPTION OR THE
AVAILABILITY OF THESE INFANT
FORMULAS OR BABY FOOD. IT IS
MERELY A TRANSPARENCY MEASURE TO
GIVE CONSUMERS THAT INFORMATION.
THANK YOU, SIR. THANK YOU. MISS
WEBBER OR DR WEBBER. EXCUSE ME.
I WANT TO THANK THE AUTHOR FOR
BRINGING THIS BILL FORWARD. UM
YOU KNOW, TRANSPARENCY IS
IMPORTANT, ESPECIALLY WHEN WE'RE
DEALING WITH OUR YOUNG INFANTS.
AND EVEN THOUGH WE MAY NOT HAVE
THIS SPECIFIC DATA, AT LEAST
GIVING PARENTS THAT KNOWLEDGE,
AND THIS IS NOT SOMETHING THAT
IS UNCOMMON HERE IN CALIFORNIA
WITH PROP 65. WE STARTED PUTTING
LABELS THAT THINGS MAY HAVE
CERTAIN INGREDIENTS OR CERTAIN
PRODUCTS THAT MAY LEAD TO CANCER
. AND I DON'T THINK THAT THAT
HAS CAUSED MASS HYSTERIA BECAUSE
I THINK THAT'S BEEN IN EFFECT
FOR PROBABLY LIKE 30 YEARS, BUT
IT IS GOOD TO KNOW AND IT'S
REALLY GOOD TO GIVE PEOPLE THE
OPPORTUNITY TO MAKE THE CHOICE
IF THEY WANT TO PURCHASE
SOMETHING, OR IF THEY WANT TO
CONSUME SOMETHING. UM EVEN IF WE
DON'T HAVE ALL OF THE
INFORMATION OUT THERE, SO I
DEFINITELY APPRECIATE THAT. I'VE
YOU KNOW, GIVEN, UM THESE TYPES
OF FOODS TO MY TO MY CHILDREN
WHEN THEY WERE YOUNGER, AND I
WISH I HAD KNOWN ABOUT THIS
INFORMATION, SO THANK YOU. AND I
LOVE TO SIGN ON AS A CO AUTHOR.
THANK YOU VERY MUCH. DOCTOR
WEBER AS A PHYSICIAN, I
ESPECIALLY APPRECIATE YOUR YOUR
SUPPORT FOR THIS BILL. QUÊ
ANYONE ELSE? I WANT. I WANT TO
THANK YOU, MR MURATSUCHI FOR
BRINGING THIS BEFORE YOU
CERTAINLY SPARKED A LOT OF
CONVERSATION WITH HER COMMITTEE
CONSULTANTS AS WE AS WE ANALYZED
THE BILL, UM AND, UM, JUST FOR
THE RECORD, UM. TO MR FLORES.
COMIC QUESTION ABOUT, UM
SHOULDN'T BE BE BE WAITING.
WE'VE WE'VE DONE THIS BEFORE
WITH COSMETICS AND THAT THAT WAS
YOUR BILL. UH SO THIS IS NOT
UNPRECEDENTED THAT THAT WE'RE
LOOKING AT AT THIS AS A
POSSIBILITY. MOVING FORWARD. UM,
ONE OF THE YOU KNOW, WE'RE WE'RE
ALSO ASKING FOR TESTING BY
MANUFACTURERS. ANYTHING AT SOME
POINT WE'D LIKE TO SEE THE FDA
DO A LITTLE BIT OF THIS TESTING
AS WELL. UM TRANSPARENCY CAN
CHANGE BEHAVIOR. I THINK THAT
WHEN PEOPLE KNOW WHAT'S IN
SOMETHING, THEY CAN MAKE A
CONSCIOUS DECISION, WHETHER THEY
WANT TO PURCHASE IT OR CONSUME
THAT, UM, I AM PERSONALLY KIND
OF REALLY APPALLED TO THINK THAT
THERE MIGHT BE HIGH LEAD LEVELS
OF LEAD AND OTHER HEAVY METALS
IN AND WHAT WE'RE FEEDING TO OUR
INFANT CHILDREN. UM AND THAT AND
THAT, UM. I WISH I COULD SAY I
WAS OPTIMISTIC THAT THE FDA
WOULD BE ON THIS IMMEDIATELY AND
REALLY WORKING ON IT. UM, THE
FEDERAL GOVERNMENT WAS VERY
SLOWLY AND THE FDA, UM IT WAS
VERY SLOWLY. UH AND SO I DO
APPRECIATE YOUR DESIRE TO SHINE
A LIGHT ON THIS. AND MAYBE BY
SHINING A LIGHT ON THIS, UH,
THAT THE FEDERAL GOVERNMENT WILL
ACTUALLY ACCELERATE THEIR
EFFORTS TO GET TO PLACE WHERE WE
CAN HAVE. AT LEAST DISCLOSURE.
WHAT'S SAFE LEVELS CAN BE, UM
AND THEN AND ENSURE THAT WE'RE
ACTUALLY GIVING OUR INFANT
CHILDREN THE SAFEST POSSIBLE
FOOD. SO HAPPY SUPPORT YOUR YOUR
BILL TODAY. UM, WOULD YOU LIKE
TO CLOSE? I RESPECTFULLY ASK FOR
YOUR VOTE. THANK YOU. I ACTUALLY
IN SEARCH OF A MOTION AT THIS
POINT. UM MOTION BY DR WEBBER,
AND THAT WAS MISS WALDRON'S
SECOND. A SECOND BY BY VICE
CHAIR WALDRON, SO THE MOTION IS
DUE PASS TO ENVIRONMENTAL SAFETY
AND TOXICS. MADAM SECRETARY,
PLEASE CALL THE ROLL. I WOULD. I
WOULD I. WALDRON WALDRON, IAGAR
CURRY CURRY. I ARAMBULA
BOERNER HORVATH BOERNER HORVATH.
AYE, CARILLO. LARA. OR NOT
VOTING VINCE FONG. MAIENSCHEIN
MAIENSCHEIN I'M MCCARTY
PATERSON. RODRIGUEZ. SANTIAGO DE
VALLAPUDUA VALLAPUDUA. AYE,
WEBER WHOEVER I. SEVEN VOTES
WILL LEAVE THAT BILL ON CALL. MR
MURATSUCHI. MR. IRWIN WOULD YOU
LIKE TO COME FORWARD WHILE
YOU'RE COMING FORWARD? I'M HAPPY
TO ENTERTAIN A MOTION ON THE
CONSENT CALENDAR. MOTION BY MS
AGUIAR-CURRY I BELIEVE SECOND BY
DR WEBBER OR VICE VERSA OVER
THAT LIMIT. THIS BOERNER HORVATH
EXCUSE ME. UM. MADAM SECRETARY.
THE CONSENT CALENDAR INCLUDES
ITEM NUMBER FIVE A B 700 BY MR
GRAYSON. ITEM NUMBER 12 A B 1 11
10 BY DR ARAMBULA AND A B 13
MAYBE 12. EXCUSE ME THE ITEM 13
MAYBE 12 33 BY VICE CHAIR,
WALDRON. SO THESE CALL THE ROLL
ON THE CONSENT CALENDAR. WOULD
WOULD I WALDRON. WILDER AND I
AGUIAR-CURRY KARKOURI. AYE,
ARAMBULA. BOERNER HORVATH
BOERNER HORVATH. AYE, CARILLO.
FLORA. LARA? AYE. WANG.
MAIENSCHEIN MAIENSCHEIN. AYE
MCCARTY. PATERSON RODRIGUEZ.
SANTIAGO VALLAPUDUA. THEY PUT
WHERE I PEPPER. HOWEVER, I.
CONSENT CALENDAR IS APPROVED
WITH EIGHT VOTES AND WE'LL LEAVE
THE ROLE OPEN FOR OTHERS TO ADD
ON IS IRWIN YOU HAVE A B 11 17.
PEACE. PLEASE PUSH THE BUTTON.
THANK YOU. THANK YOU HEARD THE
CIA. GOOD AFTERNOON. ALREADY
LAST YEAR I AUTHORED A B 26 73,
WHICH IMPLEMENTED THE REGULATION
. THE RECOMMENDATIONS MADE BY
THE STATE AUDITOR TO ADDRESS
SIGNIFICANT FRAUD IN THE HOSPICE
INDUSTRY. RECENTLY, IT WAS
BROUGHT TO MY ATTENTION. THAT
SOME HOSPICE PROVIDERS HAVE
IDENTIFIED A LOOPHOLE IN STATE
LAW THAT ALLOWS BAD ACTORS TO
CONTINUE DEFRAUDING THE STATE.
CERTAIN FRAUDULENT HOSPITAL.
HOSPICE PROVIDERS CURRENTLY HOLD
MULTIPLE LICENSES, BUT ONLY
CERTIFY ONE LICENSE WITH
MEDICARE FOR BUILDING THE
FRAUDULENT PROVIDERS. THEN BILL
MEDICARE FOR SERVICES PROVIDED
TO FICTIONAL PATIENTS UP UNTIL
FRAUD IS DETECTED AND AN
INVESTIGATION IS OPEN. ONCE THE
UNDER INVESTIGATION, THE
PROVIDER WILL ABANDON THAT
LICENSE AND CERTIFY HIS NEXT
LICENSE TO BEGIN THE WHOLE
PROCESS ALL OVER AGAIN. A B 11
17 ADDRESSES THIS FRAUD BY
REQUIRING LICENSES TO BE
CERTIFIED WITHIN 12 MONTHS OF
RECEIPT. OF FROM THE DEPARTMENT
OF PUBLIC HEALTH. UM AS AN
ADDITIONAL SAFEGUARD LICENSES
MUST SUBMIT PATIENT DATA TO H I
ON AN ONGOING BASIS IF REPORTING
DATA CEASES, THE LICENSEE MUST
FORWARD OF FORFEIT THEIR LICENSE
WITH ME TO TESTIFY. IN SUPPORT
IS PETER KELSON, REPRESENTING
THE CALIFORNIA HOSPICE AND
PALLIATIVE CARE ASSOCIATION.
THANK YOU, MR CHAIR AND MEMBERS
PETER KELLISON ON BEHALF THE
CALIFORNIA HOSPICE AND
PALLIATIVE CARE ASSOCIATION WANT
TO THANK THE AUTHOR AND YOUR
STAFF FOR ONCE AGAIN WORKING
WITH US. ON THIS ISSUE TO TRY TO
REDUCE FRAUD IN THE HOSPICE
SYSTEM THAT PROVIDES CARE TO THE
TERMINALLY ILL AND THOSE NEEDING
PALLIATIVE CARE. THE AUTHOR IS
SUMMARIZED THE ISSUE.
ESSENTIALLY THIS BILL REQUIRES
HOSPICE PROVIDERS TO USE THEIR
LICENSE TO SUBSTANTIATE THAT THE
LICENSE IS BEING USED TO SERVE
PATIENTS OR LOSE IT HAPPY TO
ANSWER ANY QUESTIONS IF NEEDED.
AH MOTION BY MR FLORA, SECOND BY
MS AGUIAR-CURRY, RIGHT, UM
OTHERS IN SUPPORT OF THE BILL.
NO ONE. IS THERE ANY OPPOSITION
TO THE BILL? I WANT TO BRING IT
BACK TO THE COMMITTEE QUESTIONS
OR COMMENTS FROM THE COMMITTEE.
NOW WE HAVE A MOTION AND BY MR
FLORES. THANK YOU. BYE. MISS
AGUILAR CURRY MOTIONS DO PASS
THROUGH APPROPRIATIONS. WOULD
YOU LIKE TO CLOSE MR I
APPRECIATE THE BIPARTISAN
MOTION. SER. AH RESPECTFULLY
AFTER YOU. THANK YOU. THANK YOU
. MOTION IS DUE PASS TO
APPROPRIATIONS. MADAM SECRETARY.
PLEASE CALL THE ROLL. WOULD
WOULD I ADRIN WALTER AND I
AGUIAR-CURRY GOT CURIAE
ARAMBULA. BOERNER HORVATH
BOERNER HORVATH. AYE, CARILLO.
LARA. OR I, VINCE WONG,
MAIENSCHEIN MAIENSCHEIN. AYE
MCCARTY. PATERSON. RODRIGUEZ
SANTIAGO. VALLAPUDUA. WHY WEBER?
WHOEVER I. YOU'RE BECAUSE EIGHT
VOTES. IT'S OUT. WE'LL LEAVE THE
BILL ON WE THE ROLE OPEN FOR
OTHERS TO ADD ON. THANK YOU VERY
MUCH. THANK YOU. SO WE HAVE A
COUPLE OF BILLS LEFT. UM LOOKING
. FOR DOCTOR JACKSON, UM, THE
SANCHEZ TO COME AND PRESENT
THEIR BILLS, PLEASE.
WE HAVE. OH, YEAH, LET'S GO
AHEAD. WE HAVE SEVERAL BILLS ON
CALL HERE. SO LET'S UM LET'S GO
TO THE TOP OF THE ORDER. UM AND,
UH WE'LL OPEN THE ROAD ON ITEM
NUMBER ONE OPEN THE. OH, I'M
SORRY. WE DID NOT HAVE A QUORUM.
SO LOOKING FOR A MOTION ON ITEM
NUMBER ONE A B 77 BY MR PACHECO.
A MOTION BY MS AGUIAR-CURRY IS
SECOND BY MR FLORA. THE MOTION
IS DUE PASS AS AMENDED TO
APPROPRIATIONS. MADAM SECRETARY
. PLEASE CALL THE ROLL. WOULD
WOULD I WALDRON WALDRON II
AGUIAR-CURRY CURRY. I ARAMBULA
BOERNER HORVATH BOERNER HORVATH.
AYE, CARILLO. LARA. FLORA I,
VINCE FONG MAIENSCHEIN
MAIENSCHEIN I. MCCARTY JOE
PATTERSON. RODRIGUEZ SANTIAGO,
VALLAPUDUA VALLAPUDUA, AYE,
WEBER. HOWEVER, I. THAT'S 80.
THAT BILL IS OUT. ITEM NUMBER
THREE. A B 4 25 BY MR ALVAREZ,
PLEASE OPEN THE ROLE AND CALLED
THE ABSENT MEMBERS. IT WAS LEFT
CAUSE THIS WAS NOT A CALL. OKAY,
THEN OPEN THE ROLL. CALL THE
ABSENT MEMBERS. ARAMBULA.
BOERNER HORVATH BOERNER HORVATH.
AYE, CARILLO. LARA. LARA. AYE
MAIENSCHEIN MAIENSCHEIN. AYE,
SANTIAGO. THAT'S 11 0 ITEM
NUMBER 4 84 64 BY MS YOBBO,
PLEASE LIFT THE CALL AND CALL
THE ABSENT MEMBERS. WALDRON.
WALDRON, NOT VOTING. ARAMBULA.
HORNER, HORVATH. BOERNER HORVATH
TÚI CARILLO. LARA. LARA, NOT
VOTING. VINCE FONG. MAIENSCHEIN
MAIENSCHEIN I'M MCCARTY.
SANTIAGO. THAT SEVEN THAT WAS
BILLS STILL ON CALL THE CONSENT
CALENDAR. PLEASE LIFT THE CALL
AND CALL THE ABSENT MEMBERS ON
THE CONSENT CALENDAR. ARAMBULA.
CARILLO. MONNING MCCARTHY. JOE
PATTERSON. RODRIGUEZ RODRIGUEZ
I, SANTIAGO THAT'S 90. PLEASE
LIFT THE CALL AND CALL THE
ABSENT MEMBERS ON A B 8 39 ITEM
NUMBER SIX. ARAMBULA. CARILLO.
FLORA. FOR NOT VOTING. VINCE
WANG. MAIENSCHEIN MAIENSCHEIN I
. MCCARTY JOE PATTERSON.
RODRIGUEZ RODRIGUEZ I SANTIAGO.
80 THAT BILL IS OUT. UH PLEASE
OPEN THE ROLL. CALL THE OPPOSITE
MEMBERS ON A B 8 99. WAS IT? IT
WAS UNCALLED. EXCUSE ME. OKAY.
PLEASE LIFT THE CALL. CALL THE
ABSENT MEMBERS ON ARAMBULA.
CARILLO FONG MCCARTHY. PATERSON
RODRIGUEZ RODRIGUEZ, I SANTIAGO
. NOW THAT NOW THAT ONE IS OUT,
UM PLEASE LIFT THE CALL ON ITEM
NUMBER EIGHT. MAYBE 9 74 BY MS
MAKIN, ER. WALDRON. WALDRON, I
ARAMBULA. CARILLO. LARA. LARA
NÓ. THAT'S FONG. MAIENSCHEIN
MAIENSCHEIN. AYE MCCARTY.
SANTIAGO. NG¯ÜI. HAS NINE VOTES
AT BILL IS OUT. ITEM NUMBER 10 A
B 11 17 BY MR IRWIN, PLEASE OPEN
THE ROLL CALL THE ABSENT
MEMBERS. ARAMBULA. CARILLO. PHªN
MCCARTHY. PATERSON RODRIGUEZ.
RODRIGUEZ I SANTIAGO. SANTIAGO.
AYE. 10. ITEM NUMBER. 14 A B 12
41 BY DR WEBBER, PLEASE. LIFT
THE CALL CALLED THE ABSENT
MEMBERS. ARAMBULA. CARILLO.
FLORA. OR I HAVE BEEN SVAHNG.
MAIENSCHEIN MAIENSCHEIN I.
MCCARTY RODRIGUEZ. RODRIGUEZ I
SANTIAGO. SANTIAGO. AYE. 11 11
VOTES. I DON'T NUMBER 15 A B 10
92 BY WOULD PLEASE LIFT THE
CALL. CALL THE ABSENT MEMBERS
ARAMBULA. CARILLO. LAURA LAURA.
NO. IT'S FONG MAIENSCHEIN
MAIENSCHEIN, AYE MCCARTHY, JOE
PATTERSON. RODRIGUEZ RODRIGUEZ,
I SANTIAGO SANTIAGO. AYE. YEAH.
THAT THAT BILL HAS EIGHT VOTES.
IT'S OUT AND WE'LL LEAVE THE
ROLE OPEN FOR OTHERS TO ADD ON.
OKAY? THEY HAVE WORDS THAT ARE
AUTHORS ARE ON THEIR WAY. TIGHT.
OH, I'M SORRY. THAT WAS QUICK.
OKAY PLEASE COME FORWARD. COME
ON UP TO THE DESK.
WHENEVER YOU'RE READY. PUSH
THEM. YOU HAVE TO PUSH THE
BUTTON ON THE MIC THERE. THANKS.
THANK YOU, MR CHAIR AND MEMBERS
. I WANT TO THANK THE COMMITTEE
AND STAFF AND STAKEHOLDERS FOR
WORKING WITH US ON THIS MEASURE.
A B 16 96 IS A STRAIGHTFORWARD
BILL THAT HELPS OUR GOVERNMENT
AGENCIES BETTER PROTECT STATE
AND FEDERAL FUNDING FROM BEING
EXPLOITED BY BAD ACTORS IN THEIR
RECOVERY. RESIDENTS INDUSTRY
RECOVERY RESIDENCES ARE AN
IMPORTANT SOURCE OF SUPPORT FOR
INDIVIDUALS UNDERGOING TREATMENT
FOR SUBSTANCE ABUSE. RESIDENCES
THAT ALLOW NATIONALLY, STANDARDS
OF QUALITY ARE SAFE AND
EFFECTIVE IN HELPING THESE
INDIVIDUALS. HOWEVER THE
GENERALLY UNREGULATED NATURE OF
RECOVERY RESIDENCES INDUSTRY HAS
LEFT THE DOOR OPEN FOR BAD
ACTORS TO TAKE ADVANTAGE OF
VULNERABLE PEOPLE. THESE ARE
RESIDENTS THAT ARE OVERCROWDED,
UNSAFE. PREDATORY AND
DESTRUCTIVE TO THE RESIDENTS AND
TWO NEIGHBORS AROUND THEM. A B
16 96 THE VERY COMMON SENSE BILL
THAT SIMPLY SAYS IF A GOVERNMENT
ENTITY IN CALIFORNIA CONTRACTS
WITH THE RECOVERY RESIDENTS THE
RESIDENTS OWNER MUST SUBMIT
PROOF THAT THEIR RESIDENTS
MAINTAIN THE STANDARD OF
PRACTICE THAT HELPS KEEP THE
RESIDENTS AND NEIGHBOR SAFE. WE
SHOULD NOT ALLOW ANY STATE OR
FEDERAL FUNDING TO BE FUNNELED
INTO THE POCKETS OF BAD ACTORS.
LOOKING TO MAKE A QUICK BUCK AT
THE EXPENSE OF RESIDENTS WHO ARE
SUFFERING. WE MUST ENSURE THAT
THESE FUNDS SUPPORT PROGRAMS TO
PROVIDE A SAFE QUALITY OF LIFE.
FOR THESE REASONS. I URGE YOUR
SUPPORT ON THIS MEASURE.
TESTIFYING WITH ME TODAY IS
SHERRY DAILY WITH THE CALIFORNIA
CONSORTIUM OF ADDICTION PROGRAMS
AND PROFESSIONALS AND LESLIE
HUBER, WHO HAS PERSONAL
EXPERIENCE WITH RECOVERY.
RESIDENTS. HOUSING THANK YOU.
HONORABLE CHAIR AND MEMBERS
SHERRY DAILY WITH THE CALIFORNIA
CONSORTIUM OF ADDICTION PROGRAMS
AND PROFESSIONALS, SEE KAPPAS,
CALIFORNIA'S AFFILIATE
ORGANIZATION FOR THE NATIONAL
ALLIANCE FOR RECOVERY RESIDENCES
, WHICH SETS STANDARDS FOR THIS
TYPE OF HOUSING. AS SUCH, WE
CERTIFY REDDIT RESIDENCES THAT
MEET SAFETY AND QUALITY
BENCHMARKS. INSPECT INSPECT
HOMES RESPOND TO COMPLAINTS
AGAINST THEM. AND TRAIN OWNERS
AND OPERATORS ON HOW TO
ESTABLISH NEW HOMES OR IMPROVE
THE QUALITY OF EXISTING HOMES.
IT IS OUR MISSION TO IMPROVE
ACCESS TO THIS HOUSING TYPE AND
ENSURE THAT PARTICIPANTS ARE
SAFE AND THEIR NEEDS IN EARLY
RECOVERY ARE BEING MET AND
SEVERAL STATES ALL PUBLIC
FUNDING DEDICATED TO THIS
HOUSING TYPE AND ALL REFERRALS
MADE TO IT FROM STATE REGULATED
ENTITIES ARE TIED TO
CERTIFICATION. THIS HAS BEEN
PROVEN TO BE AN EFFECTIVE MEANS
TO RAISE QUALITY AND WARD OFF
BAD ACTORS BECAUSE IT
INCENTIVIZES GOOD PRACTICES BY
RESERVING CONTRACT OPPORTUNITIES
AND REFERRALS TO LEGITIMATE
PROVIDERS AND ALSO CREATES A
PUBLIC PRIVATE PARTNERSHIP OR
OWNER OPERATORS WHO HARM
CONSUMERS OR DEFRAUD FUNDERS CAN
BE ELIMINATED FROM THE SYSTEM.
CALIFORNIA IS POISED TO INVEST
ALMOST $1 BILLION IN BEHAVIORAL
HEALTH BRIDGE HOUSING. THIS
RAISES CONCERNS THAT
UNSCRUPULOUS AND FRAUDULENT
OPERATORS WILL WREAK HAVOC IN AN
ALREADY UNTENABLE AND
UNREGULATED MARKET, ALTHOUGH
MUCH NEEDS TO BE DONE TO MOVE
THE NEEDLE TOWARDS TYING QUALITY
TO FUNDING THIS BILL ADDRESSES
FOR IMMEDIATE NEEDS FOR MOVING
IN THAT DIRECTION. FIRST TO
IMPROVE RESIDENTS SAFETY. THE
BILL DOES TWO THINGS IT MANDATES
THAT CONTRACTED HOME SUPPLY
OVERDOSE REVERSAL MEDICATION AND
ENSURES SOMEONE IN THE HOME
KNOWS HOW TO ACCESS IT AND
ADMINISTER IT. IT ALSO REQUIRES
THAT CONTRACTED ENTITIES HAVE IN
PLACE A POLICY TO ADDRESS
MEDICATION USED BY THE RESIDENTS
WHO STAY IN THESE HOMES. TO
PROMOTE ETHICAL BEHAVIOR. THE
BILL REQUIRES CONTRACTORS TO
SIGN THE NAR CODE OF ETHICS AND
TO PRODUCE DOCUMENTATION THAT
DEMONSTRATES THAT THE OWNER OF
THE PROPERTY HAS GIVEN
PERMISSION FOR IT TO BE USED FOR
RECOVERY. RESIDENTS HOUSING WITH
JUST THESE FOUR CONTRACT
REQUIREMENTS. CALIFORNIA CAN
BEGIN TO MOVE TOWARDS HEALTHIER
HOMES, LONGER LASTING RECOVERY
FOR RESIDENTS AND HAPPIER
NEIGHBORHOODS. WE URGE YOUR I
VOTE ON THIS MEASURE. THANK YOU.
HONORABLE CHAIR AND MEMBERS. MY
NAME IS LESLIE HUBER. I'M A 30
YEAR OLD SACRAMENTO RESIDENT IN
LONG TERM RECOVERY, AND I'M HERE
TO SPEAK. ON BEHALF OF THOUSANDS
OF PEOPLE WHO DO OR COULD
PROBABLY SHOULD BENEFIT FROM
RECOVERY HOUSING. I DON'T THINK
MY HISTORY IS RELEVANT TO THE
IMPORTANCE OF RECOVERY. HOUSING
IS ADDICTION ISN'T BIASED.
ANYONE CAN BE AFFECTED AND WENT,
ANYONE CAN NEED HELP FOR ANY
SUCCESSFUL RECOVERY TO ESSENTIAL
THAT THERE IS SUPPORT AVAILABLE
IN AN ENVIRONMENT THAT IS
PROPERLY EQUIPPED WITH TOOLS AND
TRAINING FOR LIFE BEYOND
AFFLICTION. EARLY SOBRIETY CAN
BRING RELIEF, EXCITEMENT,
FREEDOM ENERGY, BUT THERE IS A
LOT MORE TO WORK THROUGH. FEAR
ANXIETY, SHAME, LACK OF
CONFIDENCE, BROKEN RELATIONSHIPS
, FINANCIAL HURDLES AND THE
MONUMENTAL TASK OF REFRAMING THE
WIRES OF OUR BRAIN TO THINK AND
ACT DIFFERENTLY. IN A WELL
PREPARED SOBER RESIDENTS.
THERE'S NO STIGMA MOMENTS
SURROUNDED BY PEERS WHO ARE
UNITED IN THEIR RECOVERY AND WHO
ALL STRIVE FOR ACCOUNTABILITY.
THERE'S AN OPPORTUNITY TO LEARN
HOW TO GROW BACK AND INTO
AUTHENTICITY AND REVISIT THE
FOUNDATIONS OF BUILDING MEN AND
MENDING MEANINGFUL AND HEALTHY
RELATIONSHIPS. THERE'S A PIECE
THAT COMES KNOWING THERE ARE
PEOPLE FURTHER ON IN THEIR
JOURNEY WHO HAVE MADE IT THEIR
MISSION TO GUIDE YOU. AN ARMY
WITH THE TOOLS TO TAKE ON YOUR
JOURNEY TO THERE'S THE MOST
IMPORTANCE OF THE QUALITY AND
PROCEDURES AND RESIDENCES AS
WELL. IT'S EXCUSE ME. THERE'S AN
THERE'S UTMOST IMPORTANCE THAT
THE QUALITY AND PROCEDURES AND
RESIDENCES ARE WELL REGULATED IN
STRUCTURED PEOPLE DO STILL USE
DRUGS THROUGH RECOVERY, WHETHER
WE WANT THEM TO OR NOT, AND
HAVING A REVERSAL, MEDICATION ON
HAND IS IF SOMEONE RELAPSES WELL
AWAY FROM THE RESIDENCE IS
HIGHLY IMPORTANT. IF I DIDN'T
FEEL SAFE IF I STILL HAD ACCESS
TO DRUGS, OR IF THERE WAS A LACK
OF STAFF TRAINING OR KNOWLEDGE,
I DON'T THINK I WOULD HAVE BEEN
SUCCESSFUL IN MY SOBER RESIDENCY
BECAUSE THESE ENVIRONMENTS
HARBOR PEOPLE WHO ARE STRUGGLING
WITH CRISIS, IT CAN BE A
DANGEROUS PLACE COSTING LIVES.
EVERYONE DESERVES A FIGHTING
CHANCE AND A SAFE PLACE TO START
THEIR JOURNEY. THANK YOU FOR
YOUR CONSIDERATION, AND I URGE
YOU I VOTE ON THIS LIFE SAVING
MEASURE. THANK YOU, OTHERS IN
SUPPORT. NO ONE IS THERE ANY ONE
IN OPPOSITION TO THE BILL? NO
ONE WILL BRING IT BACK TO THE
COMMITTEE QUESTIONS OR COMMENTS
FROM THE COMMITTEE. SEEN NONE.
WE HAVE A MOTION BY MR V.
VALLAPUDUA A SECOND BY MR
RODRIGUEZ. I THINK I GOT THAT
RIGHT. EMOTION IS DUE PAST TWO.
APPROPRIATIONS. WOULD YOU LIKE
TO CLOSE? A B 16 96 IS A
REASONABLE MEASURE THAT HELPS
ENSURE THAT STATE AND FEDERAL
FUNDING IS NOT USED TO PROP UP
OR INCENTIVIZE THE ENTRANCE OF
BAD ACTORS INTO THE RECOVERY.
RESIDENTS INDUSTRY. I
RESPECTFULLY ASK FOR YOUR VOTE
ON THIS MEASURE. THANK YOU VERY
MUCH. MADAM SECRETARY, PLEASE.
THE MOTION IS DUE PAST TWO
APPROPRIATIONS. HE'S CALLED THE
ROLE WOULD I WOULD I. WALDRON
WALDRON. NIAGARA CURRY CURRY. I
ARAMBULA. BOERNER HORVATH
BOERNER HORVATH. AYE, CARILLO.
FLORA LARA I, VINCE FONG.
MAIENSCHEIN MAIENSCHEIN. AYE
MCCARTHY. MCCARTHY. AYE. JOE
PATTERSON. JOE PATTERSON. I
RODRIGUEZ RODRIGUEZ I SANTIAGO
SANTIAGO IVY VALLAPUDUA
VALLAPUDUA, AYE, WEBER. WHERE
WERE I? WE HAVE 12 VOTES. THE
BILL IS OUT. WE'LL LEAVE THE
ROLE OPEN FOR OTHERS TO ADD ON.
THANK YOU. DR JACKS. I'M SORRY.
EXCUSE ME. DOCTOR JACKSON, YOU
HAVE THE FINAL BILL OF THE DAY.
THANK YOU VERY MUCH. THANK YOU
VERY MUCH. MR CHAIR, REMEMBERS,
UM I WOULD LIKE TO OPEN UP BY
SAYING THAT WE ARE ACCEPTING THE
COMMITTEE AMENDMENTS, AND I
THINK THE COMEDIAN STAFF FOR
THEIR WORK. WITH MY OFFICE ON
THIS MEASURE. UM I PRESENT TO
YOU A B 10 79, WHICH WOULD
CREATE A HATE CRIMES
INTERVENTION UNIT WITHIN THE
CALIFORNIA DEPARTMENT OF PUBLIC
HEALTH. AND ESTABLISHED THE
CALIFORNIA AD COUNCIL WITHIN THE
CALIFORNIA CIVIL RIGHTS
DEPARTMENT. IN 2021, CALIFORNIA
STAR A HORRIFYING SURGEON HATE
CRIMES. REACHING NUMBERS AND
SEEN SINCE THE AFTERMATH OF THE
TERRORIST ATTACKS OF SEPTEMBER
11TH. IN 2021. THERE WERE 1763
BIAS EVENTS. A 32.6% INCREASE
FROM 2020. THE HIGHEST NUMBER
REPORTED SINCE 2001. ANTI BLACK
HATE CRIMES, THE MOST FREQUENT
OF ALL HATE CRIMES, BOTH NOW AND
SINCE THE UNITED STATES BEGAN
TRACKING HATE CRIMES IN 1991
INCREASED BY 12.5% ANTI ASIAN
HATE CRIME EVENTS SKYROCKETED
YET AGAIN ARISING BY 100 AND
77.5. HATE CRIMES MOTIVATED.
BISEXUAL ORIENTATION BIAS ROSE
BY NEARLY 50. ALONGSIDE HISTORIC
INCREASES AND HATE VIOLENCE
AGAINST OUR JEWISH BROTHERS AND
SISTERS. UM IN FACT, CALIFORNIA
HAD THE SIXTH MOST INCIDENTS. UM
WHITE SUPREMACIST PROPAGANDA
DISTRIBUTION AND THE COUNTRY
NEARLY DOUBLING 2021 NUMBERS.
CALIFORNIA WAS SECOND IN THE
COUNTRY AND WHITE SUPREMACIST
EVENTS AND THIRD AND INCIDENTS
OF WHITE SUPREMACIST PROPAGANDA
DISTRIBUTION AND COLLEGES
UNIVERSITY AND K THROUGH 12
SCHOOL CAMPUSES. WHILE THERE ARE
SERIOUS EFFORTS TO GUNPOWDER
COMBAT HATE CRIMES FROM THE
CALIFORNIA DEPARTMENT OF
JUSTICE. AND THROUGH OTHER
COMMUNITY INVESTMENTS. THERE
HAVE BEEN LITTLE EFFORT, THE
REPUBLIC HEALTH LENS ON A
STATEWIDE LEVEL. RACISM IS A
PUBLIC HEALTH CRISIS IN
CALIFORNIA. WITH 37 DECLARATIONS
BY OUR LOCAL GOVERNMENTS OR
GOVERNING BODIES, THE HIGHEST
NATIONWIDE. THESE DECLARATIONS,
HOWEVER, DO NOT OUTPACE THE HARM
CAUSED BY THE UNPRECEDENTED
SPIKE IN HATE CRIMES. THE HALT.
TO HALT THE GROWING TIDE OF
BIGOTRY. HATE DOGMATIC IDEOLOGY.
CALIFORNIA MUST GO ON THE
OFFENSE AGAINST BIGOTRY, HATE
AND XENOPHOBIA WITH A B 10, 79
AND OTHER MEASURES LIKE IT. AH
IT WILL BE THE FIRST GENUINELY
ANTI RACIST STATE. JOINING ME
TODAY IN SUPPORT IS A
REPRESENTATIVE FROM THE BILL'S
SPONSOR, THE ANTI DEFAMATION
LEAGUE, MR CLIFF BERG. THANK YOU
. I WOULD LIKE TO THANK THE
AUTHOR AND, UH, GOOD AFTERNOON
CHAIRMAN WOULD VICE SHERMAN
WALDRON AND MEMBERS OF THE
COMMITTEE ON HEALTH. MY NAME IS
CLIFF BERG. I AM HERE ON BEHALF
OF THE JEWISH PUBLIC AFFAIRS
COUNCIL ON BEHALF OF OUR MEMBER
ORGANIZATION. THE ANTI
DEFAMATION LEAGUE A D. L. WE'D
LIKE FIRST TO THANK ASSEMBLYMAN
MEMBER JACKSON FOR SPONSORING
THIS BILL. FOUNDED IN 1913 80. L
IS A LEADING ANTI HATE AND CIVIL
RIGHTS ORGANIZATION. WHOSE
MISSION IS TO STOP THE
DEFAMATION OF THE JEWISH PEOPLE
AND SECURE JUSTICE AND FAIR
TREATMENT TO ALL A. D L IS A
LEADING ADVOCATE ON HATE CRIME
LEGISLATION AND HATE CRIME
PREVENTION. IN 1981. WE DEVELOP
MODEL LEGISLATION, AND TODAY WE
PROVIDE VICTIMS SUPPORT
INCREASED COMMUNITY AWARENESS
AND CONDUCT TRAINING IS ON HOW
TO IDENTIFY HATE CRIMES. YEAH HE
CRIMES ARE MET MESSAGE CRIMES
THEY ARE UNIQUELY HARMFUL AND
DEEPLY PERSONAL, BOTH THROUGH
THE TARGETED INDIVIDUAL INTO THE
COMMUNITY WHO SHARE THAT
INDIVIDUAL'S CHARACTERISTICS. AS
WE DEVELOP POLICY SOLUTIONS TO
ADDRESS HATE CRIMES, IT IS
ESSENTIAL TO TAKE A COMMUNITY
AND VICTIM CENTERED APPROACH.
ALTHOUGH TRADITIONAL HATE CRIME
LAWS HAVE TYPICALLY FOCUSED ON
PENALTY ENHANCEMENTS, THAT IS
ONLY ONE PIECE OF THE PUZZLE.
ADDRESSING AND PREVENTING BIAS
MOTIVATED REQUIRES HOLISTIC,
MULTI PRONGED APPROACH. THAT IS
WHY A DL IS PROUD TO SUPPORT A B
10 79, WHICH WOULD ESTABLISH
HATE CRIMES INTERVENTION UNIT TO
DEVELOP RESEARCH BASED
STRATEGIES TO ADDRESS HATE AND
THE CALIFORNIA AD COUNCILS TO
CREATE A MEDIA ADVOCATING
AGAINST DISCRIMINATION. A B 10
79 RECOGNIZES HATE IS NOT ONLY
AS A PUBLIC SAFETY ISSUE BUT
ALSO A PUBLIC HEALTH ISSUE. DÍAS
HATE AND BIAS CAN DENY ACCESS TO
RESOURCES, DIGNITY AND IMPACT
QUALITY OF LIFE. THIS APPROACH
FOCUSES OUR EFFORTS ON EDUCATION
, COMMUNITY BUILDING AND VICTIM
CENTERED APPROACHES. ALTHOUGH
CALIFORNIA IS HOME TO MANY
DIVERSE COMMUNITIES, THE TRUE
IMPACT AND SCOPE OF HATE, AND
THE GOLDEN STATE IS OFTEN
UNDERESTIMATED. ACCORDING TO THE
NEWLY RELEASED FBI DATA IN 2021
REPORTED HATE CRIME INCIDENTS
ACROSS THE CAMP. COUNTRY
INCREASED TO 10,840 INCIDENTS,
THE HIGHEST LEVEL RECORDED IN
MORE THAN TWO DECADES. IN
CALIFORNIA WE SAW IN OVER 33%
INCREASE IN REPORTED HATE
CRIMES, THE HIGHEST SINCE 2001.
HATE CRIMES INTERVENTION UNIT
WOULD HELP IMPLEMENT HOLISTIC
COMMUNITY BASED APPROACH TO
ADDRESS THIS TROUBLING RISE IN
HATE CRIME INCIDENTS IN OUR
STATE. WE URGE YOU TO SUPPORT A
B 10 79. THANK YOU VERY MUCH
OTHERS IN SUPPORT. ANDREA RIVERA
ON BEHALF OF THE CALIFORNIA PAN
ETHNIC HEALTH NETWORK AND
SUPPORT THANK YOU ANYONE ELSE?
THERE ANY OPPOSITION TO THE
BILL? DON'T BRING IT BACK TO THE
COMMITTEE QUESTIONS OR COMMENTS
OF THE AUTHOR FROM THE
COMMITTEE. HAVE A SO WE HAVE NO
QUESTIONS. WE HAVE A MOTION BY
MR RODRIGUEZ, A SECOND BY DR
ARAMBULA. EMOTION IS DO PASS AS
AMENDED TO JUDICIARY. WOULD YOU
LIKE TO CLOSE DR JACKSON? THANK
YOU VERY MUCH. COMMITTEE
MEMBERS. AS AS YOU KNOW, UM, THE
ISSUES OF RACISM, HATE AND
XENOPHOBIA CONTINUE TO CLIMB.
WE'RE IN ANOTHER UPWARD
TRAJECTORY WHEN IT COMES TO THAT
, AND THEREFORE IT IS OUR GOAL
TO ENSURE THAT WE CREATE
SYSTEMIC EFFORTS TO ENSURE THAT
ONGOING FOR FUTURE GENERATIONS
WE QUIT. WE CREATE THE MECHANISM
NECESSARY TO CONTINUE TO COMBAT
THESE ISSUES. I RESPECTFULLY ASK
FOR MY VOTE. VERY MUCH. MADAM
SECRETARY. PLEASE CALL THE ROLL.
WOULD I WOULD I? WALDRON WALDRON
. IAGAR CURRY. AGRA. COREY I
ARAMBULA ARAMBULA
BOERNER HORVATH.
BOERNER HORVATH. AYE, CARILLO.
LARA. LAURA IVAN SPONG. IT'S
FUNNY. I MAIENSCHEIN MAIENSCHEIN
I MCCARTY CARDI I PATERSON.
PATERSON, NOT VOTING RODRIGUEZ.
RODRIGUEZ I SANTIAGO. SANTIAGO
IVY VALLAPUDUA VALLAPUDUA, AYE,
WEBER. WHOEVER I. 13 0. I KNOW.
MR FOR YOU HAD A VOTE CHANGE YOU
WANTED AND THEN WE'LL GO TO THE
TOP OF THE ORDER FOR DEAD. VOTE
CHANGE A B 839 ADDIS FROM NOT
VOTING TÔI. SO VOTE CHANGE.
MAYBE 8 39. ADDIS, NOT VOTING
TÔI. LARA, NOT VOTING TÔI. OKAY.
THANK YOU. THAT MAKES IT 90. SO
WE'LL GO TO THE TOP OF THE
ORDER. UM AND, UH, OPEN THE ROLE
FOR MEMBERS WHO HAVEN'T HAVEN'T
VOTED SO. ON A SECOND WERE
CONFERRING HERE.
OKAY WE'LL GO TO THE TOP OF THE
ORDER. ITEM NUMBER ONE A B 77 BY
ASSEMBLYMEMBER'S PACHECO, PLEASE
OPEN THE ROLE AND CALL THE
ABSENT MEMBERS ARAMBULA.
ARAMBULA. AYE, CARILLO. VINCE
FONG. IT'S FUNNY, I MCCARTHY
BACARDI I JOE PATTERSON.
PATERSON IRODRIGUEZ. RODRIGUEZ I
SANTIAGO NG¯ÜI. 14. THAT'S 14 0
. ITEM NUMBER 3 84 25 BY SOME
REMEMBER ALVAREZ, PLEASE OPEN
THE ROLL. CALL THE ABSENT
MEMBERS. ARAMBULA ARAMBULA. AYE,
CARILLO. MCCARTHY. BACARDI I
SANTIAGO. SANTIAGO. AYE. THAT'S
14 0. ITEM NUMBER 4 84 64 BY BY
ASSEMBLYMEMBER'S IVO, PLEASE
LIFT THE CALL. CALL THE ABSENT
MEMBERS. ARAMBULA ARAMBULA. AYE.
CARILLO. THAT'S PHªN. THAT'S
FINE, NOT VOTING. MCCARTY.
MCCARTHY I PATTERSON. I'M SORRY.
IT'S NOT VOTING SANTIAGO.
SANTIAGO. AYE. IT HAS 10 VOTES.
UM I DON'T SEE THE CONSENT
CALENDAR IS ITEMS NUMBER 5 87
100 BY MR GRAYSON. ITEM NUMBER
12 11 10 BY DR ARAMBULA AND I
REMEMBER 13 12 33 BY VICE CHAIR.
WALDRON PLEASE OPEN THE ROLE
CALLED THE ABSENT MEMBERS.
ARAMBULA ARAMBULA. AYE, CARILLO.
THAT'S FINE. VINCE WANG. AYE.
MCCARTY. MCCARTHY I, JOE
PATTERSON. NO, THIS WAS THE
CONSENT CALENDAR. PATERSON. I
SANTIAGO. SANTIAGO. AYE. 14 0. I
DIDN'T NUMBER SIX A B 8 39 BY
ASSEMBLYMEMBER'S ADDIS, PLEASE
OPEN THE ROLE CALLED THE ABSENT
MEMBERS. ARAMBULA ARAMBULA. AYE,
CARILLO. VINCE FONG. VINCE WANG.
AYE. MCCARTY. MCCARTHY I
PATERSON. I PATERSON I SANTIAGO.
SANTIAGO. AYE. THAT'S 14 0. ITEM
NUMBER SEVEN. MAYBE 8 99 BY MR
MURATSUCHI, PLEASE OPEN THE
ROYAL CALLED THE ABSENT MEMBERS
. ARAMBULA ARAMBULA. AYE,
CARILLO. PHªN THAT'S WHY I'M NOT
VOTING. MCCARTY. MCCARTHY I, JOE
PATTERSON. PATERSON. NO
SANTIAGO. SANTIAGO. AYE. VOTE IS
11 TO 1. ITEM NUMBER EIGHT.
MAYBE 9 74 BY MS MAKIN, ER,
PLEASE OPEN THE ROLE CALLED THE
ABSENT MEMBERS ARAMBULA.
ARAMBULA. AYE, CARILLO. VINCE
FONG. THAT'S FUNNY. I MCCARTHY.
MCCARTHY I, JOE PATTERSON.
PATERSON. AYE. OKAY? 13 0. 13 0
ITEM NUMBER NINE ÁP 10 79 BY DR
JACKSON PLEASE OPEN THE ROLL
CALL THE ABSENT MEMBERS REAL.
THAT WAS IT 14. OKAY, THAT VOTE
IS, UM 13 0 ITEM NUMBER 10 A B
11 17 BY MS IRWIN IS OPEN THE
ROAD CALLED THE ABSENT MEMBERS.
ARAMBULA ARAMBULA. AYE. CARILLO
VINCE PONG. VINCE WONG I MCCARTY
MCCARTHY I, JOE PATTERSON.
PATERSON I 14 0. THAT'S 14 0.
REMEMBER, 11 A B 6 90. HANG ON.
AND THEN WE GOT TO NO, NO, NO.
11 7. UM I THINK WE'RE OKAY. NOW
ITEM NUMBER 11 A B 16 96 BY
SUDDENLY MEMBER SANCHEZ, PLEASE
OPEN THE ROLE CALLED THE ABSENT
MEMBERS ARAMBULA. ARAMBULA? AYE.
CARILLO VINCE WONG. KHÔNG I 14 0
14 0. I DON'T NUMBER 14 A B 12
41 BY DR WEBBER. PLEASE OPEN THE
ROLE CALLED THE ABSENT MEMBERS.
ARAMBULA ARAMBULA. AYE, CARILLO.
IT'S FONG. THAT'S FONG. I
MCCARTY MCCARTHY. AYE. 14 0.
THAT'S 14 0 AND ITEM NUMBER 15 A
B 10 92. I WOULD PLEASE OPEN THE
ROLL. CALL THE ABSENT MEMBERS.
ARAMBULA ARAMBULA. AYE. VINCE
WONG. THAT'S FINE, YOU KNOW?
MCCARTHY. MCCARTHY I, JOE
PATTERSON. PATERSON. NO.
SO UM, WE HAVE A BOAT CHANGED BY
MR PATTERSON A B 1974. SO WE
CHANGED FROM I TO NOT VOTING.
PATERSON I TO NOT VOTING. 12 0
12 0. THANK YOU. OKAY? HANG ON A
SECOND. WE GOTTA.
YEAH OKAY, SO, UM, UNFORTUNATELY
, KOREA WILL WILL NOT BE ABLE TO
MAKE THE HEARING. SO WITH THAT
WE WILL GO AHEAD AND CONCLUDE
THE BUSINESS MEETING ADJOURNED.