GOOD MORNING, EVERYONE WELCOME
TO THIS MORNING'S BUSINESS AND
PROFESSIONS COMMITTEE HEARING,
WHICH IS OUR LAST SCHEDULED
HEARING FOR ASSEMBLY BILLS. I'M
GOING TO SPEAK VERY SLOWLY
THROUGH MY INTRODUCTORY TALKING
POINTS. AND I'M GOING TO HOPE
THAT MY COLLEAGUES WHO HAVE
BILLS UP TODAY WILL SHOW UP BY
THE TIME I'M DONE WITH THESE
TALKING POINTS. WE HAVE DRIVEN
BILL. UH YEAH. THANK YOU.
REMEMBER DIXON FOR BEING HERE SO
WE CAN AT LEAST START AS A
SUBCOMMITTEE. WE HAVE 18 BILLS
ON TODAY'S AGENDA, INCLUDING THE
FOLLOWING SEVEN BILLS ON CONSENT
THERE. HE LOOKED AT THAT YOU
THROW A WISH OUT INTO THE WORLD,
AND IT HAPPENS. WE HAVE 18 BILLS
ON TODAY'S AGENDA, INCLUDING THE
FOLLOWING SEVEN BILLS ON CONSENT
WOULD BE 5 28 BY SOMETHING
MEMBER IRWIN A. B 11 30 BY
MYSELF, MAYBE 15 60 BY SOMEONE
MEMBER FLORA. AND MAYBE HE'S 15
. EXCUSE ME AND ABBY IS 12 57 12
60 TO 12 63 AND 12 64 AUTHORED
BY THIS COMMITTEE. FOR EACH BILL
BEING PRESENTED TODAY WILL BE
ALLOWING PRIMARY WITNESSES HERE
IN THE ROOM TODAY TO SPEAK FOR
UP TO TWO MINUTES EACH WITH UP
TO TWO PRIMARY WITNESSES PER
SIDE. ANY ADDITIONAL WITNESSES
WILL BE LIMITED TO NAME POSITION
ON THE BILL AND THE ORGANIZATION
THEY REPRESENT, IF ANY, FOR
THOSE WISHING TO PROVIDE FURTHER
COMMENTS WERE ACCEPTING WRITTEN
TESTIMONY THROUGH THE POSITION
LETTER PORTAL ON THE COMMITTEE'S
WEBSITE WITH THAT WILL BEGIN
TODAY'S HEARING AND I SEE MY
GOOD FRIEND ASSEMBLYMEMBER'S LOW
IS HERE TO PRESENT AGENDA ITEM
NUMBER 5 89 96. ASSEMBLYMEMBER'S
LOW READY WHEN YOU ARE AND WE
ARE A SUBCOMMITTEE, SO WE WILL
NOT HAVE MOTIONS OR SECONDS YET.
THANK YOU VERY MUCH, MR CHAIRING
IN COLLEAGUES. GOOD MORNING.
IT'S GOOD TO SEE EACH AND EVERY
ONE OF YOU FOR US. THANK YOU FOR
ALLOWING ME TO PRESENT TODAY.
I'M HERE TO ANSWER ANY QUESTIONS
AND ALSO WOULD APPRECIATE THE I
SUPPORT. WHEN YOU HAVE REACHED A
CORMAN RESPECTFULLY ASKED RIVAL
THANK YOU. REMEMBER, I
APOLOGIZE. I'M GONNA NEED YOU TO
PRESENT FOR LONGER BECAUSE WE
HAVE NO ONE ELSE TO PRESENT. SO
WHILE WE'RE FILIBUSTERING. UM
UNTIL WE GET SOME OTHER AUTHORS
THANK YOU ASSEMBLYMEMBER'S LOW.
I'M ABSOLUTELY DELIGHTED TO
SUPPORT THIS BILL TODAY. UH AND
I'M SURE IT WILL GET A MOTION
AND A SECOND ONE. THE DUMP COMES
THANK YOU VERY MUCH, MR TRAN
COLLEAGUES. ALRIGHT, THAT DIDN'T
LAST LONG. SO I'M LOOKING FOR
OTHERS. IF YOU'RE WATCHING ON
TV, GO FIND YOUR MEMBER. AND
DRAG THEM TO ROOM. 1100. JURY
BILL ASSEMBLYMEMBER'S DEVICE
SHARE FLOOR. EXCUSE ME. IT WILL
BE AN HONOR AND A PRIVILEGE IF
YOU WOULD PRESENT HMM. YEAH. 12
92. ITEM AGENDA. ITEM NUMBER 12.
NOW I'M INTIMIDATED. A LOT OF. A
LOT OF PEOPLE. SO AM I. YEAH.
YOU WANT US TO TAKE TIME? SO
HERE WE GO EXACTLY. DRINKS
MYSELF. ALL RIGHT. THANK YOU.
CHAIR AND COMMITTEE MEMBERS
TODAY AND PRESENTING A B 12 92
RECOGNIZING THAT FOR MANY
CALIFORNIA RESIDENTS, DISTANCE
NERD DISTANCE NURSING EDUCATION
IS THE BEST. IF NOT THE ONLY
OPTION FOR PURSUING PURSUING A
NURSING DEGREE. UNFORTUNATELY
CALIFORNIA LAW DOES NOT ALLOW
FOR CALIFORNIA STUDENTS. TO
CONDUCT THEIR IMPERSONAL LABS IN
CALIFORNIA. A B 12 9 TO 6 TO
REMEDY THIS BY ALLOWING OUR
CALIFORNIA REST TO ENROLL WHO
ARE ENROLLED IN IN CREDITED
DISTANCE NURSING EDUCATION
PROGRAMS TO PARTICIPATE IN
CLINICAL ROTATIONS AND AT
CALIFORNIA FACILITIES CONDUCTED
BY A CALIFORNIA LICENSE
REGISTERED NURSE. I'M GONNA JUST
HOLD MY TESTAMENT TO TURN IT
OVER TO, UM, MY FIRST WITNESS,
CHRIS KAHN, REPRESENTING
NIGHTINGALE EDUCATION GROUP.
THANK YOU, MR CHAIR AND MEMBER
UH CHRIS KAHN, REPRESENTING
NIGHTINGALE EDUCATION GROUP, THE
PARENT COMPANY OF NIGHTINGALE
COLLEGE. UM WE'RE PREPARED TO BE
VERY BRIEF, OR IF YOU'D LIKE US
TO BE LONGER. WE CAN REMEDY IS
BEAUTIFUL. OKAY, GREAT. WELL,
NIGHTINGALE, UM, COLLEGES THAT
DISTANCE EDUCATION, UM, COLLEGE,
HEADQUARTERED IN SALT LAKE CITY.
NINE GALE SERVES THOUSANDS OF
PRE LICENSURE NURSING STUDENTS
THROUGHOUT THE COUNTRY OVER 2000
. AS OF MAY 8TH THERE WILL BE
SERVING OVER 2000, CALIFORNIA
STUDENTS WITH AN INCOMING CLASS
OF OVER 600 STUDENTS, AND THAT
INCOMING CLASS GROWS WITH EVERY
INCOMING CLASS. UM AS SOMEONE
FOR US SAID THIS BILL IS ALL
ABOUT JUST GIVING THESE STUDENTS
A CHANCE TO DO THEIR CLINICAL ON
THE GROUND PLACEMENTS IN
CALIFORNIA RIGHT NOW, THEY ARE
NOT ABLE TO DO THAT, UM WITH ME
TODAY IS MICHAEL SCHNEIDER,
WHO'S THE PRESIDENT OF
NIGHTINGALE COLLEGE? HE'S HERE
TO ANSWER QUESTIONS. QUESTIONS
YOU MAY HAVE ABOUT OUR PROGRAM
AND WHAT WE DO. UM I ALSO HAVE
ASHLEY JONES FROM GENERATIONS
HEALTH TO TALK ABOUT THE INNER
BRIEFLY ABOUT THE INTERACTIONS
BETWEEN HEALTHCARE FACILITIES
AND THESE CALIFORNIA STUDENTS.
UM BUT FIRST I HAVE WE HAVE TWO
STUDENTS HERE ONE FROM SAN DIEGO
. CURRENT STUDENTS, ONE FROM SAN
DIEGO, ONE WHO WORKS AT THE
FACILITY OR A HOSPITAL IN
RICHMOND TO TALK ABOUT THEIR
EXPERIENCE AND THE HARDSHIPS
THAT THEY'VE HAD TO HAVE TO GO
OUT OF STATE TO DO THEIR
CLINICAL PLACEMENTS IN ANOTHER
STATE, OTHER THAN CALIFORNIA, SO
, RYAN, DO YOU WANT TO KICK IT
OFF, AND WE USUALLY HAVE TWO
PRIMARY WITNESSES PER SIDE. SO
WHY DON'T WE WILL SPLIT UP EAST
OF YOU? I APOLOGIZE FOR THIS NOW
BECAUSE YOU PROBABLY WERE TOLD
YOU HAVE TWO MINUTES, BUT BUT DO
ONE MINUTE. THAT'S WHAT WE'RE
DOING. MR. CHAIR ONE MINUTE EACH
THEN TWO MINUTES FOR OUR OTHER
WITNESSES THAT WORK OR I WILL DO
ONE MINUTE. ONE MINUTE EACH. ALL
RIGHT, THANK YOU. THAT'S FINE.
MR CHAIRMAN. I SPEAK FAST
ANYWAYS. PERFECT. GOOD
AFTERNOON, MR CHAIRMAN, MEMBERS
OF THE COMMITTEE. IT'S TRUE
HONOR TO SPEAK HERE BEFORE YOU
TODAY. MY NAME IS RYAN GETTING
I'M A SENIOR AT NIGHTINGALE
COLLEGE. AND I'M ALSO THE
MILITARY STUDENT AMBASSADOR IN
CHARGE OF 300 STUDENTS. UM AT,
UH, AT NIGHTINGALE. I'M ALSO A
CALIFORNIA DISTANCE LEARNER WHO
I'M HERE TO REPRESENT. TODAY WE
NEED TO REALIZE THAT WE LIVE IN
A VERY DIFFERENT WORLD THAN WE
DID PRE PANDEMIC, ACCORDING TO
NATIONAL COUNCIL STATE BOARD
NURSING 100,000 NURSES LEFT
DURING THE PANDEMIC, AND THAT
NUMBER IS GOING TO CONTINUE TO
GROW UNTIL 900 K. OR ONE POINT
FIFTH OF THE 4.5 MILLION TOTAL.
RNS INTEND TO LEAVE THE
WORKFORCE. WE ARE AT A DIRE
CRISIS. WHEN I APPLIED TO
NURSING SCHOOL, I WAS FRESH OUT
OF NEW YORK CITY. WHERE I WORKED
ACTIVATED FOR COVID, AND I SEE
YOU AS A MEDIC WITH THE ARMY.
AND I WAS TOLD WHEN I GOT BACK
HERE, I WOULD HAVE TO BE ON A
WAIT LIST A LOTTERY OR BECAUSE
OF THE COMPLEXITY OF COVID. I
MIGHT NOT EVEN GET INTO NURSING
SCHOOL AND I LOOKED AT 32 TO 3
YEARS FOR GETTING IN. I BEGAN MY
JOURNEY AT NIGHTINGALE, AND THAT
IS THUS PROVED GOOD THUS FAR. AS
WE MOVE FORWARD IN NIGHTINGALE,
WE HAVE TO TRAVEL I MYSELF HAVE
BEEN TO SOUTH DAKOTA, UTAH,
NEVADA AND, MOST RECENTLY TO
PITTSBURGH. I WAS ACTUALLY IN
PITTSBURGH FOR 12 DAYS. THIS
CAUSES A STRAIN ON CALIFORNIA
STUDENTS, AND THIS ALSO ALLOWS
FOR OUTSIDE RECRUITMENT OF OUR
FUTURE NURSES IN CALIFORNIA AS
WE GET TO PITTSBURGH AS I GOT TO
PITTSBURGH, I WAS ACTUALLY
RECRUITED BY A HOSPITAL IN
PITTSBURGH TO COME WORK FOR
THEM. THIS IS NOT WHAT WE NEED
TO DO TO MEET THE SHORT SHORTAGE
OF NURSES. THANKS. THANK YOU
APPRECIATE IT. HI. I DON'T TALK
MUCH, BUT UM I AM A STUDENT. I
JUST STARTED NIGHTINGALE. I'M
ONLY ON MY THIRD SEMESTER. SO
THIS IS MY FIRST TIME TRAVELING
. AND, UM, I THINK THAT'S THAT
WAS THE HARDEST PART FOR ME. I
AM A SINGLE PARENT. UM I HAD TO
FIGURE OUT TO DIFFERENT
LOCATIONS FOR MY THREE KIDS TO
GO. UM, AND THE COST OF
TRAVELING. PUT A STRAIN ON MY
HOUSEHOLD BECAUSE I'M THE ONLY
PERSON AT WORK. UM I DO WORK AT
A HOSPITAL IN RICHMOND AND THEY
WERE WILLING TO LET ME DO MY
CLINICAL THERE BUT BECAUSE OF
NIGHTINGALE NOT HAVING THE
CAPACITY TO WORK IN COWARD DUE
TO CLINICAL IN CALIFORNIA, AND
IT MAKES ME HAVE TO TRAVEL.
THANK YOU VERY MUCH. APPRECIATE
THAT. SO NOW I'M GONNA HAVE TO
POLITELY AT WELL, LET ME SEE.
ARE THERE ANY PRIMARY WITNESSES
IN OPPOSITION? COME ON UP, SO I
NEED ONE OF YOU TO VACATE YOUR
CHAIR. TO GIVE A SPOT FOR THE
OPPOSITION. WE GOTTA BE FAIR.
READY WHEN YOU ARE YOU HAVE TWO
MINUTES. THANKS. MORNING,
CARRIE. MEMBERS I'M MARISSA
CLARK FROM THE BOARD OF
REGISTERED NURSING. I'M ARE
BOARD MEMBERS DISCUSS A B 12 92
AT THEIR MEETING LAST THURSDAY
AND VOTED TO TAKE AN OPPOSED
POSITION DUE TO CONCERNS ABOUT
THE BILL'S IMPACT ON PUBLIC
PROTECTION AND CLINICAL
DISPLACEMENT. TO BE CLEAR.
STUDENTS ENROLLED IN OUT OF
STATE NURSING PROGRAMS CAN
COMPLETE THEIR CLINICAL IN
CALIFORNIA. THE SCHOOL WOULD
JUST NEED TO GO THROUGH THE
EXACT SAME VETTING PROCESS THAT
IS REQUIRED FOR ALL OTHER
NURSING PROGRAMS IN THE STATE BY
BECOMING A BOARD APPROVED
PROGRAM. THE BILL WOULDN'T SAID
, ESSENTIALLY PROVIDE A CARVE
OUT FOR AN ESTATE SCHOOLS IN
WHICH THEY COULD CIRCUMVENT
BOARD OVERSIGHT AND THIS COULD
POTENTIALLY PLACE CALIFORNIANS
AT RISK. UNDER CURRENT LAW, AS
WAS STATED A NURSING STUDENT CAN
ONLY PROVIDE NURSING SERVICES IF
THEY ARE ENROLLED IN A BOARD
APPROVED PROGRAM. THIS
REQUIREMENT IS IN PLACE FOR THE
SOLE PURPOSE OF PUBLIC
PROTECTION. EVERY STATE HAS ITS
OWN UNIQUE NURSING PRACTICE ACT
THAT SETS A FRAMEWORK FOR HOW
NURSES ARE PREPARED AND CAN
PRACTICE IN THAT STATE. I'M EACH
STATE HAS DIFFERENT STANDARDS
AND RULES RELATED TO NURSING
EDUCATION, NURSING DISCIPLINE
AND NURSING SCOPE OF PRACTICE.
THE BOARD'S PROGRAM. APPROVAL
PROCESSES ARE VEHICLE FOR
ENSURING NURSING PROGRAMS AND
THEIR STUDENTS ARE OPERATING IN
COMPLIANCE WITH THE LAWS THAT
WERE ESTABLISHED BY THE
LEGISLATURE UNDER CALIFORNIA'S
UNIQUE NURSING PRACTICE ACT.
THIS INCLUDES REVIEWING WHETHER
SCHOOLS CURRICULUM MEETS THE
LICENSING STANDARDS OF
CALIFORNIA WHETHER FACULTY OF
EXPERTISE IN THE CONTENT AREA
THEY'RE TEACHING AND WHETHER
CLINICAL PLACEMENTS ARE
APPROPRIATE FOR THE STATED
COURSE OBJECTIVES. ADDITIONALLY,
IT ENSURES THAT STUDENTS ARE
ADEQUATELY PREPARED TO WORK
ALONGSIDE OTHER HEALTHCARE
PERSONNEL AND PROVIDE CARE TO
PATIENTS BASED ON THE SCOPE OF
PRACTICE OF AN RN IN CALIFORNIA.
LASTLY CALIFORNIA'S APPROPRIATE
LICENSE OR NURSING PROGRAMS ARE
HAVING A VERY HARD TIME SECURING
ENOUGH CLINICAL PLACEMENTS.
THOUGHTS FOR THEIR CURRENT
STUDENTS. SOME HAVE HAD A
DECREASE ENROLLMENT NUMBERS,
SKIP ENROLLMENT CYCLES OR CLOSE
THEIR PROGRAMS ALTOGETHER.
WITHOUT ANY TYPE OF BOARD
INVOLVEMENT. WE CANNOT ENSURE
THAT STUDENTS ENROLLED IN AT A
STATE PROGRAMS FROM ACROSS THE
COUNTRY WILL NOT BE DISPLACING
CURRENT STUDENTS IN PRE APPROVED
PRE LICENSURE NURSING PROGRAMS
IN IMPACTED AREAS. FOR THESE
REASONS, WE URGE YOUR NO VOTE
AND VERY MUCH APPRECIATE THE
OPPORTUNITY TO SPEAK TODAY.
THANK YOU VERY MUCH. SO NOW
WE'RE GONNA HAVE AN OPPORTUNITY
FOR FOLKS TO ADD ON AND SUPPORT
OR OPPOSITION TO THE BILL. LET'S
START WITH SUPPORT. IS THERE
ANYONE WHO WANTS TO ADD ON AND
SUPPORT OF THE BILL? PROVIDING
YOUR NAME ORGANIZATION YOU'RE
WITH, IF ANY, UH AND POSITION ON
THE BILL, GO AHEAD. GOOD MORNING
. THANK YOU. THANK YOU FOR THE
TIME FOR GATHERING TODAY. I
APOLOGIZE THIS SO SORRY. MY NAME
IS ASHLEY JONES AND GENERATIONS
HEALTHCARE, AND I'M THE REGIONAL
RETENTION AND RECRUITING
COORDINATOR FOR THE COMPANY AND
IN SUPPORT OF THE BILL. YES I
AM. THANK YOU VERY MUCH. ANY
ADDITIONAL WITNESSES WANNA ADD
ON AND SUPPORT OF THE BILL?
SEEING NONE OF ANYONE WANT TO
ADD ON IN OPPOSITION TO THE
BILL. GOOD MORNING. JOHN SHOVEN
, CALIFORNIA NURSES ASSOCIATION
A POST THANK YOU VERY MUCH. ANY
ADDITIONAL WITNESSES WANT TO ADD
ON AND SUPPORT OF THE IN
OPPOSITION TO THE BILL. SEEING
NONE. I'M GOING TO BRING IT BACK
TO COLLEAGUES. WE'RE STILL WE'RE
STILL A SUBCOMMITTEE, BUT
ANYBODY HAVE ANY QUESTIONS OR
COMMENTS FOR THE AUTHOR, MR
GIBSON. THANK YOU VERY MUCH. I
WANT TO THANK THE AUTHOR. I
THINK THAT WE NEED TO DO, UM,
SOMETHING WE'VE NEVER DONE
BEFORE. WE NEED TO THINK OUTSIDE
THE BOX. UM I HEAR SO MANY
STUDENTS WHO ARE ON THESE
RIDICULOUS AH LONG WAITING LIST
TO GET INTO THESE ARE THESE ARE
STUDENTS IN CALIFORNIA. YOU
KNOW, THERE'S THIS WHOLE THING
THAT MY FORMER MAYOR WHEN I WAS
IN CITY COUNCIL, SAID, HOW CAN I
FEED MY NEIGHBOR'S KIDS OF MY
OWN? KIDS ARE GOING HUNGRY. WE
SHOULD TAKE CARE OF CALIFORNIA'S
FIRST. UM AND I THINK BY DOING
THAT IS MAKING SURE I HAVE A
BILL THAT WILL BE HEARING AT
SOME POINT, BUT WE HAVE A
NURSING SHORTAGE. WE HAVE OUT OF
STATE NURSES. WE HAVE RECRUITING
NURSES FROM OTHER COUNTRIES
COMING IN. UM AND THEN WE HAVE
STUDENTS WHO WANT TO BECOME
NURSES. NURSES UM, TO GO IN THIS
FIELD. WE HAVE NURSES WHO ARE
BURNT OUT WHO ARE LEAVING WHO
ARE RETIRED. UM WHO JUST SAID
ENOUGH IS ENOUGH. WITH THIS
PANDEMIC? I WANT THE HELL OUT.
UM BUT WE'RE NOT FILLING THE
SPACES AND WE ARE RELYING ON A
SYSTEM. UM THAT DISENFRANCHISE
OUR OWN AND SO I'LL OBVIOUSLY
I'LL BE SUPPORTING THIS BILL
TODAY AND THANK YOU VERY MUCH
FOR, UM ONE STEPPING UP AND
ALLOWING AN ELEVATING THIS REAL
ISSUE THAT FACE CALIFORNIA AND
WE REALLY HAVE TO TAKE A REAL
LOOK AT IT. AND I THINK THIS IS
THE BEGINNING. THANK YOU. THANK
YOU REMEMBER GIBSON ANY
ADDITIONAL QUESTIONS OR COMMENTS
FROM COMMITTEE MEMBERS? SEEING
NONE. UH, SOME OF THEM WERE
FLOOR. WOULD YOU LIKE TO CLOSE
AND JUST WANT TO CONFIRM THAT
YOU'VE TAKEN THE COMMITTEE'S
AMENDMENTS? YES ABSOLUTELY.
THANK YOU VERY MUCH. HONESTLY
I'LL JUST ACCEPT MY COLLEAGUE
FROM ELLA'S COMMENTS AS MY
CLOTHES. I APPRECIATE YOUR
COMMENTS. THANK YOU, SIR. THAT'S
MY FAVORITE CLOTHES. THANK YOU
FOR WORKING WITH US ON THIS BILL
. I BELIEVE THE ACCEPTED
AMENDMENTS TIGHTEN THE BILL
QUITE A BIT, BUT UNDERSTAND THAT
THERE ARE STILL CONCERNS THAT
MAY NEED TO BE ADDRESSED. THE
BOARD'S OPPOSITION CAME IN PAST
OUR DEADLINE, SO WE DID NOT HAVE
ENOUGH TIME TO WORK THAT INTO
THE RECOMMENDATION. I'LL BE
SUPPORTING THE BILL TODAY BUT
HOPE THAT THE AUTHOR AND
SPONSORS WILL CONTINUE TO WORK
WITH THE BOARD AND OTHER
OPPOSITION MOVING FORWARD. UH
AND WE ARE STILL A SUBCOMMITTEE
, BUT I'M SURE IT'LL GET A
MOTION IN A SECOND WHEN THE TIME
COMES, THANK YOU VERY MUCH.
APPRECIATE IT. THE NEXT STEP. I
SEE ASSEMBLYMEMBER'S CARILLO
WITH AGENDA ITEM NUMBER 1 84 81.
READY WHENEVER YOU ARE. THANK
YOU, MR CHAIR AND MEMBERS. I AM
PROUD TO PRESENT ASSEMBLY BILL 4
81, WHICH WILL CREATE NEW PATH
TO BECOMING A REGISTERED DENTAL
ASSISTANT AND EXPAND THE
EXISTING DUTIES OF DENTAL
ASSISTANCE, BOTH INCREASING THE
ACCESS TO CARE AND MAKING THE
CAREER LADDER MORE ATTRACTIVE.
DENTAL CARE, JUST LIKE OTHER
HEALTHCARE FIELDS, IS FACING
WORKFORCE SHORTAGES THAT ONLY
GOT WORSE DURING THE PANDEMIC
WHILE THEY ARE BACK TO PROVIDING
PREPACKAGED EMMICK LEVELS OF
CARE 87% OF DENTAL OFFICES
NATIONALLY REPORTED THAT
RECRUITING AND HIRING DENTAL
ASSISTANCE ASSISTANCE WAS HIGHLY
CHALLENGING. ADDITIONALLY RECENT
DATA FROM THE DENTAL BOARD OF
CALIFORNIA SHOWS THAT HALF OF
THE STATES 58 COUNTIES ARE
EXPERIENCING A SHORTAGE OF
DENTAL ASSISTANCE. CURRENTLY
THERE ARE TWO WAYS TO BECOME A
REGISTERED DENTAL ASSISTANT
THROUGH A EDUCATION PROGRAM OR
ON THE JOB TRAINING. HOWEVER
AFFORDABLE EDUCATION PROGRAMS
ARE OFTEN HARD TO COME BY, AND
ON THE JOB TRAINING CAN TAKE A
YEAR AND A HALF TO COMPLETE. A B
41 WOULD CREATE NEW PATHWAYS TO
REGISTER DENTAL ASSISTANTS
LICENSURE. ALLOWING DENTAL
ASSISTANCE TO RECEIVE PALE PAY
WHILE TRAINING FOR OUR D A
LICENSOR IN ADDITION TO A
PATHWAY THROUGH REGIONAL
OCCUPATION AND ADULT OCCUPATION
PROGRAMS. THESE NEW PATHWAYS
WILL HELP TO DIVERSIFY THE
DENTAL WORK FORCE AND REDUCE
BARRIERS TO THE LICENSOR WITHOUT
ANY COMPROMISES ON QUALITY OF
CARE. THE BILL ALSO UPDATES THE
DUTIES AND RESPONSIBILITIES OF
DENTAL ASSISTANCE TO REFLECT NEW
TECHNOLOGIES USED IN THE DENTAL
PROFESSION. CALIFORNIA HAS THREE
CLASSIFICATIONS FOR DENTAL
ASSISTANCE ONLINE, SAYS
UNLICENSED DENTAL ASSISTANCE,
REGISTERED DENTAL ASSISTANCE AND
REGISTERED DENTAL ASSISTANCE
ASSISTANCE IN EXTENDED FUNCTION.
THIS SCAFFOLD OF DENTAL
ASSISTING PROFESSION CREATE A
CAREER LADDER THAT ALLOWS
INDIVIDUALS TO ADVANCE THEIR
SKILLS, RESPONSIBILITY AND
COMPENSATION OF THEIR CAREER
PROGRESS. THIS BILL ISN'T ABOUT
SETTING ANYONE OUT. WORKFORCE
SHORTAGES MEAN THAT CALIFORNIA
NEEDS AND ALL OF THE ABOVE
APPROACH AND THAT IS WHAT THIS
BILL DOES. IT MAINTAINS THE HIGH
STANDARDS OF CARE AND ACCESS
THAT CALIFORNIANS EXPECT BY
INSURING DENTAL ASSISTANTS ARE
ABLE TO FULLY BE TRAINED AND
LICENSED QUICKLY TO MEET
WORKFORCE DEMANDS WHILE AT THE
SAME TIME REINFORCING THE GROWTH
OF OPPORTUNITIES IN THE DENTAL
ASSISTANT CAREER LADDER AND
DIVERSIFICATION OF THE
PROFESSION. HERE TO TALK MORE ON
THE NEED FOR THE BILL AND ANSWER
ANY TECHNICAL QUESTIONS ARE DR
AARON CRLA, IMMEDIATE PAST
PRESIDENT OF THE CALIFORNIA
DENTAL ASSOCIATION. AND MARY
MCCUNE, POLICY DIRECTOR FOR THE
CALIFORNIA DENTAL ASSOCIATION.
THANK YOU VERY MUCH. YOU EACH
HAVE TWO MINUTES. HI MY NAME IS
MARY MCCUNE WITH THE CALIFORNIA
DENTAL ASSOCIATION. I HAVE. I'M
HERE FOR ANY TECHNICAL QUESTIONS
, BUT I CAN ACTUALLY TOSS IT
OVER TO DR ARIANE TARLOW. GOOD
MORNING. MY NAME IS DR ARIANE
TRULY. AND I'M SPEAKING ON
BEHALF OF THE CALIFORNIA DENTAL
ASSOCIATION BILL, SPONSOR OF 41
. I'M A GENERAL GENTLEST
PRACTICING IN BERKELEY, AND I'M
ALSO THE CHIEF DONNELL OFFICER
FOR LA CLINICA, WHICH IS A
FEDERALLY QUALIFIED HEALTH
CENTER. DENTISTRY LIKE MUCH OF
THE HEALTHCARE IS FACING AN
ONGOING WORKFORCE SHORTAGE
EXACERBATED BY THE PANDEMIC,
PARTICULARLY AMONGST DENTAL
ASSISTANTS. THE DUTIES AND
RESPONSIBILITIES OF DENTAL
ASSISTANTS ARE VITAL TO THE
DENTAL TEAM. AND ARE OFTEN
REFERRED TO AS THE RIGHT HAND OF
THE DENTIST. THEY ARE MY RIGHT
AND LEFT HANDS IN MY CLINIC.
CURRENTLY TWO PATHWAYS EXIST TO
BECOME BECOMING REGISTERED
DENTAL, UH, LICENSED REGISTERED
DENTAL ASSISTANCE EDUCATION
PROGRAMS, WHICH CAN COST UPWARDS
OF 20,000 AND ON THE JOB
TRAINED, WHICH CAN BE A LENGTH,
WHICH CAN BE VERY LENGTHY TO
COMPLETE A B 4. 81 WILL CREATE
NEW PATHWAYS THAT INCLUDE A
PRECEPT ER SHIP THAT ALLOWS
SORRY. I JUST LOST MY I JUST
LOST MY IT NEVER WORKS WHEN WE
WANTED TO. NO WORRIES GOING TO
APOLOGIZE. I'M GOING TO DO THIS
OFF THE TOP OF MY HEAD BECAUSE I
JUST LOST IT OFF MY SCREEN, SO
BASICALLY IT WILL CREATE THE
RECEPTOR SHIP CREATES NEW
PATHWAYS THAT WILL ALLOW, UM
WITH EDUCATION FOR DENTAL
ASSISTANCE TO MOVE FROM DENTAL
FROM A DENTAL ASSISTANT.
UNLICENSED POSITION ALL THE WAY
TO REGISTER DONNELL DONNELL
SYSTEM POSITION. THE WORKFORCE.
IMPACT IS HUGE IN THIS STATE,
AND WE'RE SEEING IT ALL LEVELS.
IT IS EVEN WORSE AT THE
COMMUNITY HEALTH CENTERS. I
THINK THAT YOU BASICALLY THE
THIS ALLOWS US A PATHWAY CAREER
PATHWAY. IT ALSO INCREASES
DIVERSITY IN OUR WORKFORCE
BECAUSE IT ALLOWS US TO BRING
MORE PEOPLE IN WE'RE GIVING A
LOT OF EDUCATION TO THIS, SO I
BELIEVE I WOULD ASK YOU TO
SUPPORT THIS GOING FORWARD
BECAUSE IT WILL MAKE A HUGE
DIFFERENCE. WE NEED BOOTS ON THE
GROUND NOW, NOT A YEAR AND A
HALF FROM NOW, SO I WOULD ASK
FOR YOUR SUPPORT. THANK YOU.
THANK YOU VERY MUCH. ANY PRIMARY
WITNESSES AND OPPOSITION TO THE
BILL. COME ON UP. YOU HAVE TWO
MINUTES. GOOD MORNING. MY NAME
IS MELANIE RANDOLPH AND I AM
WITH THE CALIFORNIA ASSOCIATION
OF DENTAL ASSISTING TEACHERS.
I'M ALSO REPRESENTING THE
CALIFORNIA DENTAL ASSISTANTS
ASSOCIATION AND THE CALIFORNIA
EXPANDED FUNCTIONS ASSOCIATION,
AND WE HAVE AN OPPOSED UNLESS
AMENDED POSITION ON A B 4 81. I
WOULD LIKE TO SINCERELY THINK
THE AUTHOR AND THE SPONSOR OF
THE BILL FOR ENGAGING IN ROBUST
DIALOGUE, UM IN THIS BILL, AND
WE DO APPRECIATE THE PROGRESS
THAT HAS GONE FORWARD SO FAR
WITH THIS BILL, THERE'S BEEN A
NUMBER OF CHANGES IN THE LAST
COUPLE OF MONTHS, AND WE'VE HAD
GOOD DIALOGUE WITH THEM. UM WITH
THIS BILL, HOWEVER, WE CONTINUE
TO HAVE CONCERNS IN THE
FOLLOWING TWO AREAS. THE FIRST
ONE IS THE EIGHT HOUR INFECTION
CONTROL COURSE THAT IS REQUIRED
OF ALL UNLICENSED DENTAL
ASSISTANCE. WE ARE DELIGHTED
THAT THIS BILL WILL CHANGE THE
REQUIREMENT TO DO THIS, UM,
COURSE PRIOR TO POTENTIAL
EXPOSURE TO BLOOD AND OPM RIGHT
NOW, UM, THE CURRENT, UH,
REGULATION STATES THAT THEY CAN
DO IT WITHIN THEIR FIRST YEAR OF
EMPLOYMENT. SO WE ARE DELIGHTED
THAT IT THEY'VE MADE THIS CHANGE
. HOWEVER, THEY'VE MADE A CHANGE
TO THE LAB REQUIREMENT. OF THE
COURSE IT WOULD REMOVE THE HANDS
ON LAB INSTRUCTION BY A
QUALIFIED EDUCATOR IN THE BOARD
APPROVED COURSE AND REPLACE IT
WITH AN OPTION TO WATCH AND I
QUOTE NO MORE THAN TWO HOURS OF
VIDEOS ON INFECTION CONTROL.
WHAT WILL HAPPEN, THEREFORE IS
ASSISTANCE. WE'LL GET THE
LECTURE PART OF THE EDUCATION
AND WATCH A VIDEO AND THEN BE
TRAINED BY A DENTAL ASSISTANT IN
THE DENTAL OFFICE, WHO HAS BEEN
TRAINED BY A PREVIOUS DENTAL
ASSISTANT WHO'S BEEN TRAINED BY
A PREVIOUS DENTAL ASSISTANT. IF
YOU'RE FAMILIAR WITH THE GAME OF
TELEPHONE, YOU KNOW, BY THE TIME
IT GETS TO THE THIRD OR FOURTH
PERSON IN LINE, THE MESSAGE IS
COMPLETELY CHANGED. SO THIS IS
WHAT WOULD HAPPEN WITH INFECTION
CONTROL TRAINING. THERE WOULD BE
NO ACTUAL PHYSICAL TRAINING AND
EVALUATION OF PERFORMANCE OF
PROPER AND EFFECTIVE INFECTION
CONTROL PROCEDURES BY A
QUALIFIED EDUCATOR IN THE BOARD
, APPROVED COURSE TO ENSURE THE
SAFETY OF CONSUMERS OF
CALIFORNIA. OUR SECOND ISSUE IS
REGARDING THE RADIATION SAFETY
CERTIFICATION COURSE. CURRENTLY
THIS CERTIFICATION REQUIREMENTS
REQUIRE LECTURE EDUCATION AND A
SPECIFIED NUMBER OF X RAY
EXPOSURES IN A LAB SETTING, UM
AND FOUR PATIENT FULL SETS OF X
RAYS UNDER THE DIRECT
SUPERVISION OF A QUALIFIED
INSTRUCTOR, AND THAT'S THAT'S
TWO MINUTES OF YOU JUST WRAP UP
VERY QUICKLY. THAT'D BE GREAT.
YES SO WHAT THIS WOULD DO WOULD
CHANGE IT SO THAT THERE'S NO
MINIMUM. UH, REQUIREMENT FOR LAB
INSTRUCTION AND THE CLINICAL
INSTRUCTION WOULD BE UNDER THE
GENERAL SUPERVISION OF A DENTIST
AND GENERAL SUPERVISION JUST
DOESN'T MEANS THAT THE DENTIST
DOESN'T EVEN NEED TO BE IN THE
FACILITY. SO REALLY, NO
SUPERVISION WHEN THIS ASSISTANT
IS TAKING X RAYS ON THEIR
PATIENTS FOR THE FIRST TIME.
THANK YOU VERY MUCH. THANK YOU.
THANK YOU. ANY ADDITIONAL, SO
NOW LET'S GO TO THE PUBLIC
COMMENT PART OF THE HEARING ANY
MEMBERS OF THE PUBLIC WHO WANT
TO ADD ON AND SUPPORT OF THE
BILL, PLEASE PROVIDE YOUR NAME
ORGANIZATION YOU'RE WITH IF ANY
IMPOSITION ON THE BILL COOPER,
REPRESENTING CALIFORNIA
ASSOCIATION OF ORAL AND
MAXILLOFACIAL SURGEONS IN
SUPPORT, THANKS. REALIZE THE GUY
REPRESENTING CALIFORNIA
ASSOCIATION FOR THIRD DANTAS AND
SUPPORT THANK YOU. MORNING CHAIR
MEMBERS, DENNIS CUEVAS ROMERO,
REPRESENTING THE CALIFORNIA HELP
PLUS ADVOCATES. CALIFORNIA
COMMUNITY HEALTH CENTERS IN
SUPPORT. THANKS ANY MEMBERS OF
THE PUBLIC WHO WANT TO ADD ON IN
OPPOSITION TO THE BILL. SEEING
NONE. WE'RE GOING TO BRING BACK
THE COLLEAGUES FOR QUESTIONS OR
COMMENTS ANY QUESTIONS OR
COMMENTS FROM COLLEAGUES ON THE
COMMITTEE. SO REMEMBER DIXON HI
. JUST AS WE DISCUSSED IN THE
PREVIOUS, UM, YOU KNOW, I MEAN,
CALIFORNIA HAS APPARENTLY HAS
SOME SCENARIOS ISSUES WITH
REGARD TO PROFESSIONAL.
PROFESSIONALS SERVING IN THE
HEALTHCARE INDUSTRY, AND I'M
PLEASED WITH THE PRIOR BILL. AND
WITH THIS BILL TO MAKE IT
POSSIBLE FOR MORE PEOPLE TO HAVE
A PATHWAY. I LIKE THAT WORD TO
THEIR PROFESSIONAL GOLD. AH! UH
MR KROLL, IF YOU COULD JUST
RECONCILE THAT TO PROFESSIONAL
ORGANIZATIONS WHO SERVED THE
DENTISTRY. PROFESSION ONE WANTS
MORE PROFESSIONAL OVERSIGHT, AND
ONE IS SAYING VIRTUAL IS OKAY.
HOW DO WE BLEND? THE TWO? THANK
YOU FOR THE QUESTION.
ASSEMBLYMEMBER'S WE HAD THIS
BILL LAST YEAR. IT UM
COMPLICATIONS WITH WITH EXACTLY
YOUR QUESTION. WE CAME BACK WITH
THE BILL HAVE BEEN WORKING WITH
THE OPPOSITION TO ENSURE THAT WE
HAVE A PATHWAY FORWARD AS
CALIFORNIANS NEED ACCESS TO
DENTAL CARE. WHEN YOU CONTINUE
TO MOVE THE GOALPOST OF WHAT
THAT'S SUPPOSED TO LOOK LIKE,
THEN WE'RE NO LONGER NEGOTIATING
IN GOOD FAITH. AND SO AT THE END
OF THE DAY, WHAT WE WANT TO
ACCOMPLISH AS THE ABILITY FOR
ALL CALIFORNIANS TO HAVE ACCESS
TO HEALTHCARE WHEN DENTISTS
DON'T HAVE DENTAL ASSISTANCE,
AND WHEN YOU YOUR ARGUMENT IS
THAT IF A DENTAL ASSISTANT
TRAINS ANOTHER DENTAL ASSISTANT
THAT DENTAL ASSISTANT IS NOT
GOING TO HAVE THE SAME LEVEL OF
KNOWLEDGE. THAT TO ME IS JUST AN
ERRONEOUS ARGUMENT, BUT I WILL
PASS IT ON TO DR IRENE TURLEY,
WHO CAN SPEAK A LITTLE BIT MORE
ABOUT, UM, THE HOW WE GET TO A
NEUTRAL PLACE. THANK YOU. I WANT
TO ECHO MR GIBSON. YOUR PREVIOUS
COMMENTS IS THINKING OUT OF THE
BOX, UM, BASICALLY FOR A YEAR
AND A HALF COLLEGE CHANGED THE
WORLD. IN TERMS OF THERE ARE
THINGS THAT WE'RE DOING TODAY,
INCLUDING HAVING OUTDOOR
RESTAURANTS IN BERKELEY TO BE
ABLE TO PASS AND EAT ON THE
STREET, QUITE FRANKLY, THE
ENTIRE TIME DURING COVID. WE
TAUGHT DENTAL SCHOOL, DENTAL
ASSISTING AND DENTAL HYGIENE,
INSTRUCTION CONTINUED, AND
BASICALLY WE LEARNED THAT YOU
CAN LEARN ON ONLINE EDUCATION.
AND I WOULD DISAGREE WITH THE
COMMENT BECAUSE QUITE FRANKLY,
YOU'RE APPROVED TO BE ABLE TO DO
THE X RAY CERTIFICATIONS RIGHT
NOW. THE STUDENTS THAT ARE GOING
THROUGH THE X RAY CERTIFICATIONS
AND THAT I'VE PUT THROUGH THEY
COME AND DO THEIR X RAYS IN MY
OFFICE UNDER MY SUPERVISION SO
IT CAN BE TAUGHT YOU HAVE THE
CRITERIA. WE ALL WENT THROUGH
INFECTION CONTROL. YOU CHECK OUT
THE BOXES AND THEN YOU CERTIFY.
THAT IT'S DONE. WE ALL WANT OUR
PATIENTS TO BE SAFE DURING COVID
. WE HAVE AN INCREDIBLE RECORD
IN DENTISTRY FOR NOT HAVING
PATIENTS GET SICK FROM COVID
BECAUSE OF OUR INFECTION CONTROL
PROCEDURES, SO WE WANT EDUCATION
. WE ARE NOT DIMINISHING
ANYTHING OR ASKING FOR MORE
EDUCATIONAL REQUIREMENTS, BUT WE
BELIEVE THAT THIS CAN BE DONE IN
THE OFFICE. AND THEN ONE FINAL
QUESTION. THANK YOU FOR COLLECT
CLARIFICATION. BOTTOM LINE. WE
HAVE A SHORTAGE OF THEN ALL
PROFESSIONALS TO TEACH TO
PRACTICES THAT THE SITUATION IN
THE STATE OF CALIFORNIA I'LL
GIVE YOU AN EXAMPLE. RIGHT NOW
THERE'S 30,000 LICENSED DENTISTS
IN THE STATE OF CALIFORNIA IF I
DO THE MATH SIMPLY AND BASICALLY
SAY THAT I NEED THREE DENTAL
ASSISTANTS PER DENTIST, AND YOU
KNOW, DENSE PEDIATRIC OFFICES
HAVE UP TO 10 TO 15. BASICALLY I
THERE ARE ONLY 67,000 LICENSED
ARGUS IN THE STATE OF CALIFORNIA
AND I NEED 100,000. SO THE OTHER
PIECE OF IT IS THAT WE WANT THE
CURRENT DENTAL ASSISTANTS TO
BECOME RDS BECAUSE WHAT WE ARE
LOOKING FOR AS DENTIST IS WELL
EDUCATED, LICENSED PROFESSIONALS
TO WORK WITH US BECAUSE THEY ARE
RIGHT AND LEFT HANDS AND THEY
HELP US AT MY ABILITY TO PROVIDE
ACCESS TO CARE IN OUR CLINICS
COMES FROM MY ASSISTANTS WORKING
WITH ME. OKAY THANK YOU VERY
MUCH. I APPRECIATE THAT
CLARIFICATION. THANK YOU. SOME
OF THEM ARE GIBSON. THANK YOU
VERY MUCH. THANK THE AUTHOR FOR
BRINGING THIS BILL FOR. I THINK
IT'S A REASONABLE REQUEST. I
THINK YOU ARE AN ANSWER TO, UH,
THIS SHORTAGE, AS I SAID.
PREVIOUSLY WHEN IT COMES DOWN TO
NURSING NURSING, I WOULD LIKE TO
BE ADDED AS A CO AUTHOR OF THE
BILL. THANK YOU VERY MUCH, AND
WHEN WE GET A QUORUM, UM I WOULD
LIKE TO MOVE IT. I'M AT THE
APPROPRIATE TIME. GETTING A JUMP
START ON THINGS. I APPRECIATE IT
. ALL RIGHT. THANK YOU, MR
GIBSON. ANY ADDITIONAL QUESTIONS
OR COMMENTS FROM COLLEAGUES ON
THE COMMITTEE, SAYING NONE OF
SOMETHING MEMBER WOULD YOU LIKE
TO CLOSE? THANK YOU, MR CHAIR
AND MEMBERS APPRECIATE THE
CONVERSATION. A B 44 81 IS OUR
OUR SECOND ATTEMPT TO ENSURE
THAT CALIFORNIANS HAVE ACCESS TO
DENTAL CARE. THE STATE HAS DONE
INCREDIBLE WORK TO INCREASE
ACCESS TO MEDICAL RECIPIENTS. UM
HOWEVER. WHAT IS THE POINT OF
INCREASING ACCESS ONE AT THE END
OF THE DAY, FOLKS CAN'T GET
ACCESS BECAUSE WE HAVE A MEDICAL
WORKFORCE. UM SHORTAGE, SO WE
NOT ONLY NEED TO INCREASE THE
ACCESS THROUGH POLICY. WE NEED
TO DO THE WORK NECESSARY THAT WE
ARE AT THE SAME TIME BUILDING
THE WORKFORCE THAT'S GOING TO
CREATE THE ACCESS FOR ALL
CALIFORNIANS. WE HAVE WORKED
INCREDIBLY HARD ON THIS BILL.
THIS IS OUR SECOND ATTEMPT TO
MAKE SURE THAT WE MOVE FORWARD.
THIS BILL WILL MAKE THE CAREER
LADDER MORE ATTRACTIVE AND
DIVERSIFY THE PROFESSION,
ENSURING THE CALIFORNIANS. HAVE
ACCESS TO THE CARE. THEY NEED
THEM MAINTAINS THE STANDARDS
THAT THEY EXPECT. I'D LIKE TO
THANK THE COMMITTEE STAFF FOR
WORKING WITH MY OFFICE WITH OUR
STAKEHOLDERS AND THE DENTAL
BOARD OF CALIFORNIA TO ENSURE
THAT THIS BILL CONTINUE TO MOVE
FORWARD, AND I RESPECTFULLY
REQUEST AND I VOTE. THANK YOU.
THANK YOU REMEMBER AND THANK YOU
FOR WORKING WITH US ON THIS
BILL, AS WELL AS FOR AGREEING TO
TEMPORARILY TAKE OUT SOME OF THE
CONTROVERSIAL PORTIONS OF THE
BILL UNTIL THE DENTAL BOARD CAN
DISCUSS THOSE IN MAY. I KNOW
THERE ARE STILL SOME
DISAGREEMENT ON THE INFECTION
CONTROL PIECES WE HEARD BUT
WOULD LIKE TO GIVE THE BOARD AN
OPPORTUNITY TO REVIEW THAT AS
WELL. AND WITH THAT
ACKNOWLEDGEMENT, I'M HAPPY TO
SUPPORT THE BILL TODAY, AND ONCE
WE HAVE A QUORUM, I'M SURE I'LL
GET A MOTION IN THE SECOND.
THANK YOU VERY MUCH. I SEE
ASSEMBLYMEMBER'S DR WEBBER. DR
WEBBER. IF YOU'D LIKE TO PRESENT
, UH, AGENDA ITEM NUMBER THREE A
B 7 96. YEAH. ARE YOU SIGNALING?
MR GIBSON? YEAH SIGNAL THAT SOME
OF OUR COLLEAGUES TO GET DOWN
HERE IN THEIR CHAIRS, AND WE
PERFECT.
GOOD MORNING CHAIR AND MEMBERS.
I AM HERE TO PRESENT A B 796. I
WANT TO START BY ACCEPTING THE
COMMITTEE AMENDMENTS AND
APPRECIATE THE THOUGHTFUL
CONVERSATIONS MY STAFF HAVE HAD
WITH THE COMMITTEE STAFF ON THIS
BILL. A B 796 WILL CREATE THE
ATHLETIC TRAINER LICENSING
COMMITTEE. WITHIN THE MEDICAL
BOARD AT THE DEPARTMENT OF
CONSUMER AFFAIRS TO EXERCISE
REGISTRATION, ENSURE NATIONAL
CERTIFICATION AND FACILITATE
DISCIPLINARY FUNCTIONS RELATING
TO ATHLETIC TRAINERS. THIS BILL
WOULD ALSO PROHIBIT A PERSON
FROM PRACTICING AS AN ATHLETIC
TRAINER OR USING CERTAIN TITLES
OR TERMS WITHOUT BEING LICENSED
BY THE COMMITTEE. AND IT WOULD
DEFINE THE PRACTICE OF ATHLETIC
TRAINING. SPECIFY REQUIREMENTS
FOR REGISTRATION AND
CERTIFICATION AS AN ATHLETIC
TRAINER AND WOULD REQUIRE A
CERTIFIED AND REGISTERED
ATHLETIC TRAINER TO PRACTICE
ONLY UNDER THE SUPERVISION OF A
PHYSICIAN OR SURGEON. ATHLETIC
TRAINERS ARE EDUCATED AND
TRAINED TO SPECIALIZE IN THE
PREVENTION ASSESSMENT AND
INTERVENTION OF EMERGENCY, ACUTE
AND CHRONIC ISSUES SUCH AS
CONCUSSIONS, HE ILLNESS AND
SUDDEN CARDIAC ARREST. THE
AMERICAN MEDICAL ASSOCIATION
RECOGNIZES ATHLETIC TRAINERS AS
AN ALLIED HEALTH CARE
PROFESSIONAL. AND ARE CLASSIFIED
AS SUCH BY THE US DEPARTMENT OF
HEALTH AND HUMAN SERVICES. THERE
ARE ALSO ASSIGNED A NATIONAL
PROVIDER IDENTIFIER OR N P I
NUMBER JUST LIKE EVERY OTHER
HEALTH PROFESSIONAL, INCLUDING
MYSELF. IN FACT, THE AMERICAN
PHYSICAL THERAPY ASSOCIATION S¼
SAYS CERTIFIED ATHLETIC TRAINER
IS QUALIFIED TO SUPERVISE
PHYSICAL THERAPIST FOR SPORTS
SPECIALIZATION CERTIFICATION
BECAUSE OF THEIR ABILITY TO
EDUCATE ON THE ACUTE INJURY,
ILLNESS MANAGEMENT COMPETENCY.
WHICH INCLUDES QUOTE EXAMINATION
EVALUATION DIAGNOSIS, AS WELL AS
PROGNOSIS, INTERVENTION OUTCOMES
OF THE ACUTELY INJURED OR ILL
ATHLETE QUOTE. ATHLETIC TRAINERS
ARE SO IMPORTANT THAT 46 STATES
HAVE A LICENSOR FOR ATHLETIC
TRAINERS. HAWAII REQUIRES
REGISTRATION AND NEW YORK AND
SOUTH CAROLINA HAVE
CERTIFICATION TITLE PROTECTION.
AND THEN THERE'S OUR GREAT
STATE. IT HAS NOTHING. BUT IT'S
NOT JUST A HEALTH AND SAFETY
ISSUE. IT'S ALSO A SOCIAL
JUSTICE ISSUE. THE ATHLETIC
TRAINING LOCATIONS AND SERVICES
PROJECT HAS CREATED REAL TIME
DATABASE, ATHLETIC TRAINING
SERVICES AND SECONDARY SCHOOLS.
LET'S REVIEW SOME OF THEIR DATA
OF C I F SCHOOLS, EMPLOYMENT OF
CERTIFIED ATHLETIC TRAINERS IN
SAN FRANCISCO. THERE ARE 79% OF
CERTIFIED ATHLETIC TRAINERS.
ACROSS THE WAY IN OAKLAND. 0%
SAN DIEGO WHERE I REPRESENT WE
HAVE 63% OF CERTIFIED. ATHLETIC
TRAINERS. ANGELES. 4.8.
SACRAMENTO SAN JOAQUIN VALUE
VALLEY. EXCUSE ME, 16% HAVE
NATIONALLY CERTIFIED ATHLETIC
TRAINERS. CF SCHOOLS OVERALL,
AND THERE'S 1620 63% HAVE NO
NATIONALLY CERTIFIED ATHLETIC
TRAINERS. BEFORE I MOVE ON TO MY
WITNESSES, I WOULD LIKE TO
ADDRESS SOME OF THE CONCERNS IN
THE OPPOSITION LETTER. THE FIRST
THING, THEY SAY, IS A LACK OF
NECESSITY BECAUSE THERE IS NO
CURRENT CRISIS HERE IN
CALIFORNIA. WELL, FIRST OF ALL,
I DON'T REMEMBER WHEN WE EVER
WAIT FOR A CRISIS TO ACT. AND
ADDITIONALLY IF THERE IS NO
OVERSIGHT, THEN YOU ARE UNABLE
TO CORRECTLY ASSESS WHAT HARM
HAS BEEN DONE. SECOND IS THAT,
UM. THERE IS THE SCOPE OF
PRACTICE IS DEFINED IN THIS BILL
THAT ANY PERSON OR PATIENT CAN
BE TREATED BY AN ATHLETIC
TRAINER. WELL, IF YOU RATE THE
BILL, IT CLEARLY DEFINES WHO CAN
BE AN ATHLETIC TRAINER AND WHO
THEY CAN WORK ON AND WHAT
SUPERVISION THEY'LL HAVE.
ADDITIONALLY THEY SAY THAT THE
BROADNESS OF THIS LEGISLATION
PUTS PUBLIC SAFETY AT RISK.
THAT'S WHAT WE'RE DOING RIGHT
NOW. WE'RE PUTTING PUBLIC SAFETY
AT RISK BECAUSE WE HAVE NO
OVERSIGHT, NO RULES AND NO
REGULATIONS. THEY ALSO SAY THAT
ATHLETIC TRAINERS TODAY WORK
UNDER THE SUPERVISION OF A
PHYSICIAN, AND THAT IS NOT TRUE
BECAUSE THERE IS NO REQUIREMENT
OF THAT. THEY ALSO GO ON TO SAY
THAT THE CONDITIONS OF THIS BILL
WOULD ALLOW AN ATHLETIC TRAINER
TO ASSESS AND EVALUATE A
PATIENT'S CONDITION. ASSESSMENT
AND EVALUATION IS NOT A
DIAGNOSIS. ASSESSMENT AND
EVALUATION IS AN ACUTE
RECOGNITION OF WHAT NEEDS TO BE
DONE. WHEN A PARAMEDIC COMES TO
YOU, AND YOU'RE HAVING CHEST
PAIN, THEY ASSESS THE FACT THAT
YOU NEED SOME OXYGEN. THEY
ASSESS THE FACT THAT YOU NEED TO
GO TO THE EMERGENCY ROOM. THEY
DO NOT DIAGNOSE A DVT OR A HEART
ATTACK. THE ATHLETIC TRAINER.
WHO SAVED THE LIFE OF DAMAR
HANLON WENT ON THE FIELD AND
ASSESS THE FACT THAT HIS HEART
PROBABLY STOPPED AND HE NEEDED
SOME INTERVENTION. HE DID NOT
DIAGNOSE WHY THAT HAPPENED.
THERE ARE OTHER CONCERN IS THAT
IT'S UNDER THE OCCUPATIONAL
THERAPY BOARD, WHICH HAS BEEN
TAKEN CARE OF IN THE AMENDMENT.
IT IS UNDER THE MEDICAL BOARD
BECAUSE PHYSICIANS ARE
SUPERVISING THESE ATHLETIC
TRAINERS. AND THEIR LAST
ARGUMENT IS ALSO DEBUNKED. UM
AND THAT'S ALSO IN THE LETTER.
BUT HOPEFULLY YOU ALL RECEIVED
FROM THE ATHLETIC TRAINERS
ASSOCIATION, UM, CONCERNING THE
FACT THAT OTHER STATES DO
REQUIRE, UM, THAT ATHLETIC
TRAINERS THAT PRACTICE IN THEIR
STATE HAVE SOME KIND OF
LICENSURE CERTIFICATION. SO AS A
PARENT OF TWO ATHLETES MYSELF, I
WANT TO ENSURE THAT THE PERSON
CARING FOR THEM IS EDUCATED AND
PROPER TECHNIQUES TO MINIMIZE
INJURY AND IS REQUIRED TO WORK
WITH PHYSICIANS AND OTHER
HEALTHCARE PROFESSIONALS ON
FOLLOW UP CARE. WITH ME TODAY. I
HAVE KELSEY STRINGER, FOUNDER OF
COREY STRINGER INSTITUTE, AND DR
CINDY CHANG, CHIEF MEDICAL
OFFICER FOR THE WOMEN'S NATIONAL
SOCCER LEAGUE AND PROFESSIONAL
PROFESSOR EMERITUS. AT THE
UNIVERSITY OF CALIFORNIA, SAN
FRANCISCO. I'M ALSO JOINED BY MR
REGGIE SCOTT, VICE PRESIDENT OF
SPORTS MEDICINE AND PERFORMANCE
FOR THE LOS ANGELES RAMS, WHO
WILL GIVE UM UH, WHO WILL HELP
WITH ANY TECHNICAL QUESTIONS?
THANK YOU. THANK YOU VERY MUCH.
AND, UH, TWO MINUTES EACH. GOOD
MORNING, MR CHAIR AND ESTEEMED
COMMITTEE MEMBERS. I AM KELSEY
STRINGER, WIFE OF FORMER
MINNESOTA VIKINGS, ALL PRO
OFFENSIVE TACKLE KOREY STRINGER
AND I ADVOCATE FOR IMPROVED
SAFETY AND PROFESSIONAL SPORTS.
I AM HERE TODAY TO ASK FOR YOUR
SUPPORT OF A B 7 96, WHICH WOULD
LICENSE ATHLETIC TRAINERS IN THE
STATE OF CALIFORNIA. TRAGICALLY
MY HUSBAND PASSED AWAY DUE TO
COMPLICATIONS OF A HEAT STROKE
IN AUGUST OF 2001. WHILE WITHOUT
THE PROPER MEDICAL CARE AND
SUPERVISION OF AN ATHLETIC
TRAINER. THIS INCIDENT SPARKED
MY LIFELONG MISSION TO ENSURE
THAT PROPER MEDICAL CARE IS
ALWAYS ACCESSIBLE TO ATHLETES IN
2010, I FOUND IT THE KOREY
STRINGER INSTITUTE ALONGSIDE THE
PARTNERSHIP OF THE NFL AND
GATORADE. COREY STRINGER
INSTITUTE SERVES THE NEEDS OF
ATHLETES AT ALL LEVELS. YOUTH
HIGH SCHOOL, COLLEGE
PROFESSIONAL AND RECREATIONAL
ATHLETES. THE TEAM UP FOR SPORTS
SAFETY INITIATIVE, WHICH IS LED
BY THE KOREY STRINGER INSTITUTE
WAS ESTABLISHED TO DRIVE CHANGES
AND ADOPTION OF POLICIES PROVEN
TO REDUCE CATASTROPHIC SPORTS
INJURY IN THE SECONDARY SCHOOL
LEVEL. TO ACCOMPLISH THIS GOAL.
THE COURSE STRINGER INSTITUTE
AND THE TUFTS INITIATIVE. WE
TRAVEL STATE TO STATE TO MEET
WITH LEGISLATORS TO FACILITATE
ADOPTION OF BEST PRACTICES
NATIONWIDE IN 2017, OUR
ORGANIZATION PERFORMED THEY
STUDY OF STATE LEVEL
IMPLEMENTATION OF EVIDENCE BASED
BEST PRACTICES FOR PREVENTING
AND MANAGING THE LEADING CAUSES
OF SUDDEN DEATH IN SECONDARY
SCHOOL ATHLETICS. THE STUDY
RANKED EACH STATE IN TERMS OF
ADOPTION OF EVIDENCE BASED BEST
PRACTICES AND CALIFORNIA WAS
RANKED LAST THAT'S RIGHT. LAST.
CALIFORNIA'S LACK OF LICENSED
SHIRT LICENSE SHIRT OF ATHLETIC
TRAINERS, THE ONLY STATE IN THE
NATION TO NOT LICENSE AND
REGULATE ATHLETIC TRAINERS WAS
ONE OF THE FACTORS THAT EARN
CALIFORNIA THE LOW SCORE OF 30
OUT OF 100. NOW JUST LAST NIGHT,
I WAS WATCHING THE LOCAL NEWS
HERE. AND ONE OF THE TOP STORIES
ASIDE FROM YOU KNOW YOUR LOCAL
HOME INVASION AND ROBBERY WAS
SACRAMENTO KINGS STAR PLAYER,
THE AIR AND FOX. HE SUFFERED A
HAND INJURY THAT MAKES HIM
QUESTIONABLE TO CONTINUE TO PLAY
IN THE PLAYOFFS, WHICH THE KINGS
HAVE NOT MADE IN 16 YEARS, AND
THE FANS ARE GOING CRAZY, OKAY?
NOW IMAGINE HIM NOT HAVING A
LICENSE CERTIFIED ATHLETIC
TRAINER TO PROPERLY CARE FOR HIM
. SO I CHALLENGE YOU TO IMAGINE
ANY OF YOUR CHILDREN OR ANY
YOUNG ATHLETES BEING DENIED THAT
RIGHT BY THE STATE OF CALIFORNIA
TO HAVE ANYONE BASICALLY OFF THE
STREET TO PROVIDE CARE FOR THEM.
SO AS YOU SEE A B 7 96 IS A VERY
IMPORTANT PIECE OF THE PUZZLE
AND ENSURING ATHLETES RECEIVE
THE BEST CARE POSSIBLE HAVING
LICENSED ATHLETIC TRAINERS ON
THE SIDELINES WOULD INCREASE THE
LEVEL OF MEDICAL CARE THAT
ATHLETES ARE ENTITLED TO AND
COMPLETE. PREVENT TRAGEDIES LIKE
MY HUSBAND'S FROM OCCURRING
AGAIN, SO I STRONGLY URGE YOU TO
SUPPORT A B 7 96. THANK YOU.
THANK YOU VERY MUCH. GO AHEAD.
HA HA. THANK YOU. GOOD MORNING.
I'M DR CINDY CHANG 30. YEARS
AGO, I BECAME A BOARD CERTIFIED
AND LICENSED FAMILY PHYSICIAN IN
SPORTS MEDICINE PHYSICIAN. I'VE
WORKED ALONGSIDE ATHLETIC
TRAINERS AT ALL LEVELS FROM HIGH
SCHOOLS TO CAL, BERKELEY, OHIO
STATE PRIOR TO THAT. BEIJING
PARALYMPICS. LONDON OLYMPICS.
OAKLAND ROOTS SAN FRANCISCO
MARATHON AND I'M THE CMO. THE
NATIONAL WOMEN'S SOCCER LEAGUE.
THE REGULATION OF OUR ATHLETIC
TRAINERS IS IMPORTANT TOO, NOT
JUST ME, BUT TO ALL RESIDENTS OF
OUR STATE. YOU'VE GOTTEN A LOT
OF LETTERS OF SUPPORTING THE
ATHLETIC TRAINER PROFESSION, BUT
I'D LIKE TO SHARE EXAMPLES OF
THE ADVERSE CONSEQUENCES THAT
HAVE OCCURRED BECAUSE OF THIS
LACK OF REGULATION IN OCTOBER,
2022 ATHLETIC TRAINER IN
BAKERSFIELD WAS CHARGED WITH
MULTIPLE FELONIES, INCLUDING
CONTACTING AND MEETING A 15 YEAR
OLD MINER. WITH AN INTENT TO
COMMIT A SEX ACT. HE RECEIVED
HIS ATHLETIC TRAINING DEGREE
FROM CANADA WAS IN PENNSYLVANIA
AND THEN WORKED AS AN ATHLETIC
TRAINER IN ARIZONA PRIOR TO
BEING HIRED AT BAKER'S VILLE
BECAUSE HE DID NOT NEED TO BE
LICENSED TO PRACTICE IN
CALIFORNIA. WE HAD NO REGULATORY
BODY TO INVESTIGATE WHETHER OR
NOT HE HAD PRIOR COMPLAINTS,
VIOLATIONS OR SUSPENSIONS OF HIS
LICENSE. IN THESE OTHER STATES
PRIOR TO COMING TO CALIFORNIA,
ALSO IN OCTOBER OF 2022 6,
FORMER HIGH SCHOOL FOOTBALL
PLAYERS SUED THE COLTON DISTRICT
SCHOOL DISTRICT AND THE SCHOOL'S
FORMER ATHLETIC TRAINER.
ALLEGING SEXUAL ASSAULT, ABUSE
AND MOLESTATION BETWEEN THE AGES
OF 14 AND 17. SHE WAS NOT
EDUCATED NOR CERTIFIED AS AN
ATHLETIC TRAINER. IF SHE HAD
BEEN REQUIRED TO HAVE A
CALIFORNIA LICENSE TO WORK AS A
TRAINER. SHE NEVER WOULD HAVE
HAD THE OPPORTUNITY TO ABUSE
THESE CHILDREN IN THE TRAINING
ROOM IN THE LOCKER ROOM. WITH A
B 7 96, EVEN IF ONE IS EDUCATED
AND CERTIFIED PARENTS AND OTHER
MEMBERS OF THE PUBLIC WOULD HAVE
AN AVENUE TO REGISTER COMPLAINTS
AND OUR STATE COULD INVESTIGATE
AND SANCTION ILLEGAL, UNSAFE OR
UNETHICAL BEHAVIOR. WHY SHOULD
ANY OF US EXPECT ANY LESS
OVERSIGHT OF THIS IMPORTANT
HEALTHCARE PROFESSIONAL? WHEN
ONE CAN CALL THE BOARD OF
BARBERING AND COSMETOLOGY IF
THEIR HAIRDRESSER BURNS THEIR
SCALP WITH HAIR DYE? THAT'S TWO
MINUTES IF YOU COULD WRAP UP?
THAT'D BE GREAT. I WILL. THANK
YOU. I WAS GIVEN THREE. SO I'M
GOING TO TALK FAST. NOW EVEN
SMOG CHECK INSPECTORS ARE ARE
LICENSED BY THE CALIFORNIA
BOROUGH OF AUTOMATIVE REPAIR
PAIRING. OUR CONTINUED LACK OF
REGULATION ALSO CONVEYS A LACK
OF RESPECT FOR THE HEALTHCARE
PROFESSION, AND THIS IS
DETRIMENTAL TO ATTRACTING
QUALIFIED ATHLETIC TRAINERS TO
WORK HERE TO BE EDUCATED AND BE
EDUCATED HERE. YOU COULD WRAP
UP. THAT'D BE GREAT. IT'S TWO
MINUTES PER WITNESS, NOT THREE.
THANK YOU SO MUCH. WE NEED IT.
WE'VE PASSED MULTIPLE STATE
LAWS, HEALTH AND SAFETY LAWS
ABOUT CONCUSSIONS. I'VE BEEN
HERE WITH ALL THESE PASSAGES
SUDDEN CARDIAC ARREST. HEAT
ILLNESS AND WE NEED ATHLETIC
TRAINERS IN OUR STATE. THANK
YOU. THANK YOU VERY MUCH. THIS
BILL IS A CENTRAL. THANK YOU FOR
PROVIDING PROTECTION. THANK YOU
VERY MUCH. I APPRECIATE YOUR
TESTIMONY. WE HAVE A LOT OF
BILLS TODAY, SO I NEED FOLKS TO
STICK CLOSER TO TWO MINUTES. UH
PER PER WITNESS. THANK YOU.
PRIMARY WITNESSES AND OPPOSITION
TO THE BILL. AND I'M GONNA
PERFECT. YOU GOT A COUPLE OF
SPOTS UP HERE.
READY WHEN YOU ARE THANK YOU
VERY MUCH. THANK YOU, MR. THANK
YOU, MR CHAIR AND MEMBERS OF THE
COMMITTEE FOR THE OPPORTUNITY TO
TESTIFY BEFORE YOU TODAY I'M
CHRIS READ A DOCTOR OF PHYSICAL
THERAPY AND CERTIFIED ATHLETIC
TRAINER. I AM THE CHAIR OF THE
CALIFORNIA PHYSICAL THERAPY
ASSOCIATIONS GOVERNMENT AFFAIRS
COMMITTEE REPRESENTING OVER
10,000 MEMBERS STATEWIDE, I RISE
TO SPEAK IN OPPOSITION TO A B
796 AND WERE IN OPPOSITION NOT
BECAUSE WE DISAGREE THAT ATHLETE
TRAINER SHOULD BE REGULATING THE
STATE. WE JUST BELIEVE THAT THIS
IS NOT THE APPROPRIATE METHOD OF
DOING IT. FIRST ACKNOWLEDGE THE
WORK DONE BY THE COMMITTEE AND
THE PROPONENTS. THUS FAR. THE
AMENDMENTS ADDRESS CONCERNS
RELATE TO HOW ATHLETIC TRAINERS
ARE RECOGNIZED IN CALIFORNIA.
THEY DO NOT ADEQUATELY ADDRESS
THE MORE CONCERNING ISSUES THAT
WE CONTINUE TO HAVE RELATED TO
SCOPE. THE DEFINITION. AN
ATHLETE IN THIS BILL IS A PERSON
WHO IS ENGAGED IN SPORTS GAMES,
RECREATION OR EXERCISE REQUIRING
PHYSICAL STRENGTH, FLEXIBILITY
RANGE OF MOTION SPEED, STAMINA
OR AGILITY. THIS DEFINITION
REMAINS OVERLY BROAD. ALLOWING
THE ATHLETE TRAINING TO WORK
WITH ESSENTIALLY ANYBODY THAT
MOVES, INCLUDING A MIDDLE AGED
MALE THAT INJURES HIS KNEE, WILL
PLAY IN A GAME OF TAG AND HIS
BACKYARD WITH HIS DAUGHTER. WE
BELIEVE THAT LANGUAGE SIMILAR TO
WHAT IS USING IT IN THE MAJORITY
OF STATES, WHICH TIES THE
ATHLETE PARTICIPATION. ORGANIZED
SPORTS WOULD BETTER REFLECT THE
POPULATION ATHLETIC TRAINERS ARE
TRYING TO WORK WITH. WE
APPRECIATE THE INCLUSION OF SOME
SPECIFIC ELEMENTS THAT MUST BE
INCLUDED IN THE PRACTICE
AGREEMENTS BETWEEN THE ETHNIC
TRAINER AND SUPERVISION
SUPERVISING PHYSICIAN, HOWEVER,
THEY FALL SHORT AND TRULY
ENSURING PROTECTION OF THE
PUBLIC BY NOT DELINEATING THE
APPROPRIATE SETTINGS AND
ATHLETIC TRAINER MAY WORK IN
FURTHERMORE, THERE ARE NO TIME
LIMITS ON HOW LONG AN ATHLETIC
TRAINER MAY TREAT AN ATHLETE
WITHOUT THE INVOLVEMENT OF A
PHYSICIAN IN ORDER TRULY PROVIDE
PROTECTION OF THE PUBLIC. WE
BELIEVE THERE NEEDS TO BE
FURTHER REFINEMENT OF THE
ELEPHANT ELEMENTS RELATING TO
THE PRACTICE SETTINGS AND
REFERRAL REQUIREMENTS. A FURTHER
CONCERN THIS BILL STATES THAT
THE POSITION OF SEARCHING,
OVERSEES THE ACTIVITIES AND
ACCEPTS RESPONSIBILITY FOR THE
MEDICAL SERVICES PROVIDED BY AN
ATHLETE TRAINER, NOT THE
ATHLETIC TRAINING SERVICES, THE
MEDICAL SERVICES THIS BILL IS
NOT ABOUT PROTECTING YOUNG
ATHLETES PARTICIPATE IN HIGH
SCHOOL CLUBS SPORTS. IT'S NOT
ABOUT STOPPING UNQUALIFIED BAD
ACTORS RUNNING AROUND THE STATE,
CALLING THEMSELVES ATHLETIC
TRAINERS. THIS BILL IS NOT EVEN
ABOUT THE OVERSIGHT OF THE
DELIVERY OF ATHLETE TRAIN
SERVICES TO ATHLETES PARTICIPATE
IN ORGANIZED SPORTS. IT IS
ABUNDANTLY CLEAR THAT THIS BILL
IS ABOUT PART ABOUT ELEVATING
ETHNIC TRAINERS ABOVE OTHER
HEALTH CARE PROFESSIONALS. BY
CREATING A NEW PHYSICIAN
EXTENDER MODEL TO DELIVER
MEDICAL SERVICES TO ANYBODY THAT
MOVES IN ANY SETTING, DEEMED
APPROPRIATE. WELCOME FURTHER
CONVERSATIONS WITH THE AUTHOR
AND THE PROPONENTS OF THIS BILL
AND URGE YOU TO HOLD THIS BILL
IN THIS COMMITTEE TO ENSURE
THOSE CONVERSATIONS CONTINUE TO
HAPPEN. I ASK FOR YOUR BOOK FOR
YOU TO VOTE NO ON ABC. 796 THANK
YOU VERY MUCH NEXT WITNESS.
REMEMBER? MIGHT TAKE A SECOND.
GOOD MORNING, MR CHAIR AND
MEMBERS PAT WHELAN, ELLISON
WILSON ABACUS HERE ON BEHALF OF
UNITED NURSES ASSOCIATION OF
CALIFORNIA UNIONS, HEALTHCARE
PROFESSIONALS BACK AH, WE ARE IN
RESPECTFUL OPPOSITION. UH REAL
BRIEFLY NOT TO REITERATE WITH MY
COLLEAGUE JUST SAID, UM, I WITH
REGARD TO THE DISTURBING
STATISTICS OFFERED BY DR WEBBER
ABOUT THE NUMBER OF ATHLETIC
TRAINERS IN SCHOOLS. THAT'S BAD,
BUT THIS BILL DOESN'T DO
ANYTHING ABOUT ENSURING ATHLETIC
TRAINERS IN SCHOOLS DOESN'T
PROVIDE ANY FUNDING DOESN'T SET
ANY MANDATES OR ANYTHING LIKE
THAT. INSTEAD IT'LL IT ALLOWS
BLOWN OFF THE BARN DOOR ON SCOPE
FOR ATHLETIC TRAINERS TO TREAT
ANYBODY WHO MOVES. AS THE
ANALYSIS NOTES AT PAGE SIX AND
SEVEN, TYPICALLY THIS COMMITTEE
WHEN EVALUATING REGULATING A
PROFESSION, THERE'S FIVE LEVELS
GOING, YOU KNOW, FROM JUST
MODIFYING EXISTING LAWS,
UPDATING ENFORCEMENT ALL THE WAY
UP TO THE FIFTH LEVEL OF
LICENSURE. WHICH IS WHAT THIS
BILL DOES. WE'RE GOING FROM 0 TO
60. YOUR COMMITTEE HAS A LONG
ESTABLISHED HISTORY OF SAYING WE
WOULD RESERVE THAT FIFTH LEVEL.
FOR THE SITUATIONS WHERE THERE
IS AN OBVIOUS NEED TO PROTECT
PATIENTS OR CLEAR RISK OF HARM
TO PEOPLE. WE DON'T HAVE ANY
EVIDENCE OF THAT, AND WE'RE
GOING RIGHT TO THE MAXIMUM LEVEL
AND ESTABLISHING LICENSOR FOR
THOSE REASONS WE OPPOSE. THANK
YOU. THANK YOU VERY MUCH ANY
ADDITIONAL MEMBERS OF THE PUBLIC
WHO WANT TO, UH ADD ON I SEE
THERE ARE A LOT I'M GOING TO ASK
EVERYBODY TO FOLLOW THE
COMMITTEE RULES. PLEASE PROVIDE
YOUR NAME ORGANIZATION YOU'RE
WITH IF ANY IMPOSITION ON THE
BILL, PLEASE DO NOT, UH, WHAT DO
WE CALL EDITORIALIZED MUCH?
THANK YOU. GOOD MORNING. MY NAME
IS KATHY DERRINGER FROM THE I AM
THE PRESIDENT OF THE NATIONAL
ATHLETIC TRAINERS ASSOCIATION.
IN SUPPORT OF LICENSOR FOR
ATHLETIC TRAINERS. THANK YOU.
GOOD MORNING, GINA KIRKENDALL,
ALSO FROM THE NATIONAL ATHLETIC
TRAINERS ASSOCIATION, AND
SUPPORT OF LICENSURE PER
ATHLETIC TRAINERS. THANK YOU
VERY MUCH. GOOD MORNING. JOHN
SHOVEN. CALIFORNIA NURSES
ASSOCIATION OPPOSED. THANK YOU.
OKAY, I GUESS WE'RE GONNA TAKE
SUPPORT AND OPPOSITION AT THE
SAME TIME. WHY NOT? COME ON,
COME ALL. HELLO, TOM ABNER.
RETIRED ATHLETIC TRAINER FROM
SAN DIEGO STATE UNIVERSITY AND
THE GOLDEN STATE WARRIORS IN
FULL SUPPORT OF ATHLETIC
TRAINING. LICENSURE RECOGNIZED
THAT NAME. GOOD TO SEE YOU, SIR.
THANK YOU. HELLO NICK HARVEY
WITH THE CALIFORNIA ATHLETIC
TRAINERS ASSOCIATION AND SUPPORT
THANK YOU. RONALD CHETTY,
EXECUTIVE DIRECTOR OF THE
CALIFORNIA INTERSCHOLASTIC
FEDERATION, OR CF IN SUPPORT.
THANK YOU. MAC JANO CERTIFIED
ATHLETIC TRAINER WITH THE
CALIFORNIA ATHLETIC TRAINERS
ASSOCIATION IN FULL SUPPORT OF
LICENSURE. THANK YOU. YOU KNOW
VIVIANO, MANAGER OF ATHLETIC
TRAINERS AT UCSF SPORTS MEDICINE
AND WE ALL SUPPORT. THANK YOU.
SUSIE GOT ASIDE I AM WITH THE
CALIFORNIA ATHLETIC TRAINING
ASSOCIATION. I AM FULL SUPPORT
OF THIS BILL. THANK YOU. GOOD
MORNING, LINDSEY GOAL HORN ON
BEHALF OF THE OCCUPATIONAL
THERAPY ASSOCIATION OF
CALIFORNIA. RESPECTFULLY
OPPOSED. THANK YOU. I AM WEARING
LACY. I AM AN ATHLETIC TRAINER
CERTIFIED IN CALIFORNIA. AND I
SUPPORT THIS BILL. THANK YOU.
GOOD MORNING, APRIL JOHNSON,
CERTIFIED ATHLETIC TRAINER AND
FRESNO SUPPORT THIS BILL. THANK
YOU. HELLO MY NAME IS FRANCISCO
GAMBOA, REPRESENTING, UH, FRESNO
, CALIFORNIA CERTIFIED ATHLETIC
TRAINER. AND I SUPPORT THIS
BILL. THANK YOU. JAIME DARRELL.
OH, I HAVE MY DOCTORATE IN
ATHLETIC TRAINING AND I AM IN
FULL SUPPORT OF THIS FROM
MODESTO JUNIOR COLLEGE. THANK
YOU. DR HOLLY BROWN AND ATHLETIC
TRAINER FOR OVER 20 YEARS AT
SACRED HEART, PREPARATORY AND
ATHERTON, CALIFORNIA AND I FULLY
SUPPORT THIS BILL. THANK YOU.
MICHAEL KAUFMAN FROM SACRAMENTO
CITY COLLEGE CERTIFIED ATHLETIC
TRAINER IN FULL SUPPORT OF THIS
BILL. THANK YOU. J. NATIONAL
CERTIFIED TRAINER, SPORTS
PERFORMANCE COMMUNITY OF JESUIT
HIGH SCHOOL. SACRAMENTO WILL
SUPPORT OF THIS BILL. THANK YOU.
GOOD MORNING. MY NAME IS CAMILLE
LU. I'M AN ATHLETIC TRAINER AT
UCSF MEDICAL CENTER. AND I
SUPPORT THIS BELL. THANK YOU. I
AM JUSTINE LEE. I'M A CERTIFIED
ATHLETIC TRAINER FROM OAKLAND,
CALIFORNIA AND I AM IN FULL
SUPPORT OF LICENSOR FOR ATHLETIC
TRAINERS. THANK YOU. HI I'M
SANDY KNOW IT. I'M A STUDENT OF
ATHLETIC TRAINING AND I AM IN
FULL SUPPORT. THANK YOU. I'M
DOCTOR TK KESTER. I'M THE MEMBER
OF MANAGING BORDER OF CALIFORNIA
ATHLETIC TRAINERS ASSOCIATION
AND THAT ATHLETIC TRAINING
EDUCATION PROGRAM DIRECTOR AT
THE UNIVERSITY OF PACIFIC AND I
SUPPORT THIS BILL. THANK YOU.
I'M SEEING US ANTONIO HOME OF
PRISONERS STATE MASTERS OF
ATHLETIC TRAINING STUDENT. I'M
IN SUPPORT OF THIS BILL. THANK
YOU. ALEX SALMERON, MASTERS OF
ATHLETIC TRAINING STUDENT IN
FULL SUPPORT OF THIS BILL. THANK
YOU. JASON MCKAMEY, METICULOUS
MEDICAL EMPLOYER THAT ATHLETIC
TRAINER IN FULL SUPPORT OF
LICENSURE. THANK YOU. NAME IS
MIKE CHASER. I'M A PHYSICAL
THERAPIST AND ATHLETIC TRAINER
AND SUPPORTIVE LICENSOR FOR
ATHLETIC TRAINING IN THIS BILL.
THANK YOU, DR MANNY ROMERO,
FORMER ATHLETIC TRAINER FOR THE
SACRAMENTO KINGS, FORMER
ATHLETIC TRAINER FOR THE LOS
ANGELES LAKERS. CURRENTLY THE
CLINICAL EDUCATION DIRECTOR FOR
THE UNIVERSITY OF THE PACIFIC
MASTERS OF SCIENCE AND ATHLETIC
TRAINING PROGRAM. FULL SUPPORT
OF THIS BILL. THANK YOU. LISA
BARNUM, UH, UNIVERSITY OF
CALIFORNIA. DAVIS SPORTS
MEDICINE. WE'RE IN FULL SUPPORT.
THANK YOU. MATT DAVEY, HEAD
ATHLETIC TRAINER, SACRAMENTO
STATE AND I SUPPORT THIS BILL.
THANK YOU, AND YOU KEEP IT. CERA
CERTIFIED ATHLETIC TRAINER,
SACRAMENTO STATE UNIVERSITY AND
I'M FULL SUPPORT OF THIS BILL.
THANK YOU. TUBS, ASSOCIATE
ATHLETIC DIRECTOR OF STUDENT
ATHLETE HEALTH, WELLNESS AND
PERFORMANCE SACRAMENTO STATE AND
I SUPPORT THIS BILL. THANK YOU.
SARAH LYONS, SENIOR ASSOCIATE
DIRECTOR OF ATHLETIC TRAINING AT
STANFORD UNIVERSITY. AND I'M IN
FULL SUPPORT OF THIS BILL. THANK
YOU. AND JOOST MR OF ATHLETIC
TRAINING STUDENT AT OKLAHOMA
STATE, CURRENTLY WITH STANFORD
UNIVERSITY, AND I SUPPORT THIS,
BILL. THANK YOU. BRANDON PADILLA
HAD ATHLETIC TRAINER JESSUP
UNIVERSITY AND ROCK IN
CALIFORNIA. I SUPPORT SUPPORT
THIS BILL. THANK YOU. GENESIS
RAGLAN CERTIFIED ATHLETIC
TRAINER ADDRESS AT THE
UNIVERSITY AND I SUPPORT THIS,
THOUGH. THANK YOU. GRANT CLAUDE
SPEAKER, CERTIFIED LEG TRAINER
AT JESSUP UNIVERSITY, AND I'M IN
FULL SUPPORT OF THIS BILL. THANK
YOU. RIGHT COHEN CERTIFIED
ATHLETIC TRAINER FOR PREMISE
HEALTH AND I AM FULL SUPPORT OF
THIS BILL. THANK YOU. CARLY
MANGINI CERTIFIED ATHLETIC
TRAINER WITH PREMISE HEALTH AND
FULL SUPPORT. THANK YOU. MELISSA
CORTEZ ON BEHALF OF THE SAN
FRANCISCO 40 NINERS IN SUPPORT
OF THIS, BILL. THANK YOU. CHRIS
POND, DIRECTOR OF SPORTS,
MEDICINE AND WELLNESS AT THE
UNIVERSITY OF THE PACIFIC IN
SUPPORT OF THIS, BILL, THANK
YOU. SILVIO FERRARI IN BEHALF
THE NATIONAL FOOTBALL LEAGUE IN
SUPPORT. THANK YOU. MR CHAIRMAN
COMMITTEE. I WOULD ADANI,
REPRESENTING THE LOS ANGELES
RAMS PROUDLY SUPPORTING THIS
BILL. THANK YOU. ANY ADDITIONAL
MEMBERS OF THE PUBLIC WHO WANT
TO ADD ON AND SUPPORT OR
OPPOSITION TO THE BILL. THE
HEARING IS GOING TO BE EMPTY
AFTER THIS BILL. WANT TO BRING
IT BACK TO COLLEAGUES. ANY
QUESTIONS OR COMMENTS? YES.
REMEMBER MAKIN ER GOOD MORNING.
THANK YOU. ASSEMBLYMEMBER'S
THANK YOU, DR. WEBBER UM, I
APPRECIATE YOU BRINGING THIS
BILL FORWARD. MY SON, NICHOLAS
PLAYED SPORTS THROUGH HIGH
SCHOOL AND COLLEGE. HE BROKE TWO
TOES HIS NOSE. HE LOST HIS
TOOTH. UM I NEEDED SOMEBODY
THERE THAT KNOW WHAT THEY WERE
DOING BECAUSE HE HAS A LIMP
RIGHT NOW. BECAUSE ONE OF THOSE
TOES THEY DIDN'T DO DIDN'T IT
DIDN'T HEAL WELL. AND SO I THANK
YOU FOR BRINGING THIS BILL
FORWARD FOR OUR CHILDREN. THANK
YOU. THANK YOU SOME MEMBER OF
BEGINNER. ANY ADDITIONAL
QUESTIONS OR COMMENTS FROM
COLLEAGUES WERE STILL SHORT OF A
QUORUM. WE WERE SHORT ONE MEMBER
. I THINK NOW WE'RE SHORT. TWO,
UM BUT, UH DOCTOR. WHAT WOULD
YOU LIKE TO CLOSE? I WOULD THANK
YOU VERY MUCH. UM FIRST I WANT
TO, UM, ADDRESS AGAIN. SOME OF
THE OPPOSITION'S COMMENTS. UM
I'M NOT SURE IF THEY READ THE
CURRENT VERSION OF THE BILL. UM
BUT THIS IS A CERTIFICATION AND
NOT A LICENSOR. SO WHEN YOU'RE
TALKING ABOUT GOING FROM 0 TO 5
OR 0 TO 100 OR WHATEVER WE ARE
DOING THE PROPER STEPS. UM
ADDITIONALLY, MAKING SURE THAT
THERE IS CERTIFICATION AND
LIGHTS AND TITLE PROTECTION
WOULD PROTECT OUR KIDS IN
SCHOOL. BECAUSE SOMEONE COULD
NOT CLAIM TO BE AN ATHLETIC
TRAINER UNLESS THEY ACTUALLY HAD
GONE THROUGH. THE COMMITTEE
SHOWN THAT THEY WERE, UM, HAD
NATIONAL CERTIFICATION. UM AND
THEN THAT'S HAD OVERSIGHT. DID
YOU WANT ME TO STOP FOR A
MINUTE? FANTASTIC I APPRECIATE
YOU WERE GONNA QUICKLY QUICKLY
ESTABLISHED A QUORUM. MADAM
SECRETARY, PLEASE CALL THE ROLL.
BERMAN BERMAN HERE, FLORA. FLORA
HERE, ELONIS ALVAREZ. BANTA.
CHEN. DIXON DIXON HERE. GIBSON
GIBSON HERE, GRAYSON. IRWIN.
IRWIN HERE, JACKSON. LEE. WE
HEAR LOWENTHAL THOUGHT HERE,
MCCARTY MAKIN ER MAKIN HER HERE
WHEN? WHEN? HERE PATTERSON
PATTERSON HERE, TING. GREAT WE
HAVE A QUORUM. PLEASE CONTINUE
WITH YOUR CLOTHES. DR WEBBER.
ALRIGHT SO THE OPPOSITION HAS
MENTIONED IN THE OPPOSITION
LETTER THAT VARIOUS LEGISLATORS
FOR THE PAST 20 YEARS HAVE BEEN
TRYING TO GET THIS DONE. 15
TIMES BILLS HAVE BEEN INTRODUCED
IN MANY DIFFERENT FORMS TO
CREATE LICENSURE OR
CERTIFICATION FOR ATHLETIC
TRAINERS. AND 15 TIMES. THIS
STATE HAS FAILED TO ENSURE THE
SAFETY OF OUR MOST VULNERABLE
CALIFORNIANS ARE YOUTH. EVERY
OTHER STATE IN THIS NATION,
INCLUDING WASHINGTON, D C HAS
DECLARED. THAT THERE ARE NO
SCOPE OF PRACTICE ISSUES. YET
FOR SOME REASON, WE WANT TO
CLING TO THAT FALSE BELIEF. IN
ACTUALITY BY DEFINING AND
CERTIFYING AND REGULATING
ATHLETIC TRAINERS IN CALIFORNIA
. WE ARE PROVIDING SCOPE,
PROTECTION FOR ALL OTHER ALLIED
HEALTH PROFESSIONALS. IN
ADDITION TO PROTECTING THE
HEALTH AND SAFETY OF OUR
CHILDREN, AND I WILL CONCLUDE
WITH THE RESULTS FROM THE QUARRY
STRINGER INSTITUTE. WE LOOKED AT
EVERY STATE TO DETERMINE WHO HAS
THE BEST POLICIES AND
IMPLEMENTATION OF EVIDENCE BASED
BEST PRACTICES AND HIGH SCHOOL
SPORTS FOR SAFETY. AND I ALWAYS
FIND THIS INTERESTING BECAUSE
RECENTLY I'VE. SOME PEOPLE LIKE
TO COMPARE CALIFORNIA TO
FLORIDA. FLORIDA RANKED NUMBER
ONE IN STATE HIGH SCHOOL SPORTS
AND SAFETY POLICIES WITH THE
SCORE OF 86. AS WAS STATED. WE
RANKED 51 OUT OF 51 WITH THE
SCORE OF 30. MEMBERS I ASK THAT
WE FINALLY JOIN OUR OTHER 49
STATES AND WASHINGTON, D C AND
DECLARING THAT OUR STUDENT
ATHLETES LIVES ARE WORTH
PROTECTING. PLEASE STOP ALLOWING
PEOPLE TO REFER TO US AS THEY DO
RIGHT NOW, WHEN IT COMES TO
ATHLETIC TRAINING AND THE SAFETY
OF OUR STUDENTS AS THE WILD WILD
WEST. AND WE CAN DO THIS BY
FIRST CREATING CERTIFICATION FOR
ATHLETIC TRAINERS. AND FOR THIS
REASON, I RESPECTFULLY ASK FOR
YOUR VOTE. THANK YOU. THANK YOU
, DR WEBBER. AND DOCTOR EVER.
YOU ALLUDED TO THIS, BUT I WANT
TO MAKE SURE THAT EVERYONE'S ON
THE SAME PAGE THAT WITH THE
AMENDMENTS THE AUTHOR HAS
ACCEPTED TODAY. THE BILL NO
LONGER REQUIRES A LICENSE FOR
ATHLETIC TRAINERS. I AGREE A
LICENSE IS THE HIGHEST BARRIER
TO ENTRY AND SHOULD BE OUR LAST
RESORT. WHAT THE AMENDED BILL
WILL REQUIRE AS REGISTRATION
WITH THE MEDICAL BOARD AND
PROTECT THE TITLE ATHLETIC
TRAINER FOR THOSE WITH ACTIVE
CERTIFICATION. THIS BALANCES THE
AUTHOR'S INTENT TO PROTECT
ATHLETES WHILE ADDRESSING THE
CONCERNS WE'VE HEARD TODAY ABOUT
THE DOWNSIDES OF FULL LICENSURE
, AND I WANT TO THANK THE AUTHOR
OF THE SPONSORS THE OPPOSITION
FOR WORKING WITH US ON THE BILL.
UM WE AGREE THAT SOME LEVEL OF
REGULATION IS NEEDED,
PARTICULARLY FOR INTERSTATE
TRAVEL COMPLICATIONS. WE THE
COMMITTEE DOES NOT AGREE THAT
FULL LICENSURE IS NEEDED AT THIS
TIME, SO THE AMENDMENTS ARE
INTENDED TO REDUCE THE COST
BURDENS ON THE PROFESSION. TO
ADDRESS THE CONCERNS FROM
OPPOSITION. WE'RE CLARIFYING THE
RELATIONSHIP BETWEEN A PHYSICIAN
AND AN ATHLETIC TRAINER UNDER A
PRACTICE AGREEMENT, AS WELL AS
REMOVING THE COMMITTEE FROM
UNDER THE OCCUPATIONAL THERAPY
BOARD, AS WAS ALLUDED TO WELL,
WE DID NOT HAVE ENOUGH TIME TO
ADDRESS ALL OF THE CONCERNS
REGARDING DEFINITIONS AND
SETTINGS. WE FULLY EXPECTED
THOSE CONVERSATIONS WILL
CONTINUE AS THE PROCESS UNFOLDS.
AND WITH THAT I'M HAPPY TO
SUPPORT THE BILL TODAY AND WE'LL
DEFINITELY CONTINUE TO MONITOR
THE BILL'S PROGRESS AS A MOOSE
FEEL LEGISLATIVE PROCESS ON THE
VARIOUS CONCERNS, AND WITH THAT,
WELCOME FOR A MOTION AND A
SECOND I HAVE A MOTION IN A
SECOND. UM MADAM SECRETARY.
PLEASE CALL THE VOTE. A B 7 96
WEBER. THE MOTION IS DUE PASS AS
AMENDED TO THE COMMITTEE ON
APPROPRIATIONS. BERMAN BERMAN. I
FLORA. FLORA, NOT VOTING
COLONIES. ALVAREZ. PONTA CHEN.
DIXON I GIBSON. GIBSON. I
GRAYSON. IRWIN. OH, JACKSON.
LEE. LEE I, LOWENTHAL. I'M
MCCARTY MCKENNA. I WENT WHEN I
PATERSON PATERSON WRITING. WE'LL
KEEP THE ROLE OPEN FOR ABSENT
MEMBERS. THANK YOU VERY MUCH.
EVERYBODY APPRECIATE Y'ALL. AND
I THINK WE'RE GOING TO COME TO
AUTHORS ON THE COMMITTEE IF WE
HAVE ANY AND WE DO, MR
LOWENTHAL. AGENDA ITEM NUMBER
FOUR A B 8 14. OH, EXCUSE ME,
EDDIE. SOME MEMBER GARCIA. WITH
GENDER ADAM 14 A B 13 96. HMM.
THANK YOU, MR CHAIR. HMM. GOOD
MORNING. MAYBE 13 86 THE BILL
REGARDING DOCTORS AND DENTISTS
FROM THE MEXICO PROGRAM, GOT A
MOTION AND A BIPARTISAN SECOND
RESPECTFULLY ASK FOR A VOTE.
GREAT CALL. ANY PRIMARY
WITNESSES IN SUPPORT OF THE
BILL. FOR THAT ARNOLD TORREZ,
REPRESENTING COMMUNITY HEALTH
CENTERS, AND THE CENTRAL COAST
HEALTH NETWORK. THANK YOU AGAIN
. ALL OF YOU. THANK YOU AND THE
PRIMARY WITNESSES IN OPPOSITION
TO THE BILL. SEEING NONE. ANY
MEMBERS OF THE PUBLIC WHO WANT
TO ADD ON AND SUPPORT OF THE
BILL. SEEING NONE OF THE MEMBERS
OF THE PUBLIC WANT TO ADD ON AN
OPPOSITION TO THE BILL. SEEING
NONE GOING TO BRING IT BACK TO
COLLEAGUES FOR QUESTIONS OR
COMMENTS. SEEING NONE.
ASSEMBLYMEMBER'S GARCIA, WOULD
YOU LIKE TO CLOSE? NONE. THANK
YOU. MR GARCIA WAS HAPPY TO
SUPPORT THIS BILL. WHEN YOU
PRESENTED A FEW WEEKS AGO. I'M
HAPPY TO SUPPORT IT AGAIN TODAY.
AND WITH THAT, MADAM SECRETARY,
PLEASE CALL THE VOTE. A B 13 96
GARCIA. THE MOTION IS DUE PASS
TO THE COMMITTEE ON
APPROPRIATIONS. BERMAN BERMAN
FLORA FLORA, IOWA KNEES ALVAREZ
BONTA. CHAN. DIXON. GIBSON.
GIBSON. I GRAYSON. IRWIN.
JACKSON LEE LEE, I, LOWENTHAL.
LOW AND THOUGHT I'M MCCARTY
MCKINNA MCKINNA. I WENT WHEN I
PATERSON PATERSON, I TANK WE'LL
LEAVE THAT ROLE OPEN FOR ABSENT
MEMBERS. THANK YOU REMEMBER, SO
WE'RE GOING TO NOW GO MEMBERS OF
THE COMMITTEE IN FILE ORDER? UM,
BUT WITH A LITTLE DEVIATION IN A
SECOND, BUT FIRST AGENDA ITEM
NUMBER FOUR. UH REMEMBER
LOWENTHAL A B 8 14.
SOME MEMBER LOANS ALREADY WHEN
YOU ARE HMM. THANK YOU, MR CHAIR
AND MEMBERS AND PLEASED TO
PRESENT A B 8 14, WHICH EXPANDS
HEALTH CARE OPTIONS FOR THOSE
SEEKING PHYSICAL REHABILITATION
FOR THEIR ANIMALS. SPECIFICALLY
THIS MEASURE CREATES A PATHWAY
FOR LICENSED PHYSICAL THERAPISTS
WITH ADVANCED TRAINING IN ANIMAL
REHABILITATION TO TREAT ANIMALS
ONLY IF CERTAIN CONDITIONS ARE
MET. I'D LIKE TO START BY
ACCEPTING THE COMMITTEE
AMENDMENTS AND THANK THE
COMMITTEE STAFF FOR ALL OF THEIR
WORK ON THIS BILL. THE ENTIRE
COUNTRY IS FACING A SHORTAGE OF
VETERINARIANS AND ACCESS TO
VETERINARY CARE AS A GROWING
CHALLENGE FOR CONSUMERS. A
SERIES OF STUDIES PUBLISHED BY
MARS, VETERINARY HEALTH AND TO
2022 REVEALED THE FOLLOWING PET
CARE APPOINTMENTS INCREASED BY
6.5% IN 2021. NEARLY 2000 BABY
BOOMER VETERINARIANS ARE
RETIRING EACH YEAR. THE NUMBER
OF US VETERINARIANS IS
INCREASING JUST 2.7% ANNUALLY.
MORE THAN 40,000. NEW
VETERINARIANS ARE NEEDED TO MEET
PROJECTED DEMAND IN 2030. THE
CURRENT PACE, A VETERINARIAN
GRADUATES WILL LEAVE A 16%
SHORTFALL OVER THE NEXT 10
YEARS. IT WOULD TAKE MORE THAN
30 YEARS OF GRADUATES TO MEET
THE TENURE NEED FOR CREDENTIAL.
VETERINARIAN TECHNICIANS BASED
ON CURRENT U. S EDUCATION
CAPACITY. OVER 75 MILLION PETS
IN THE UNITED STATES MAY NOT
HAVE ACCESS TO VETERINARY CARE
BY 2030 WITHOUT INTERVENTION.
THE STUDIES ALSO INDICATED THAT
MANY VETERINARIAN TEAMS ARE
FEELING OVERWORKED AND
OVERWHELMED AND THAT BECAUSE OF
THE UNDERLYING VETERINARIAN
FORCED EXCUSE ME. WORKFORCE
SHORTAGES GROWTH IN DEMAND FOR
SPECIALTY SERVICES AND
SPECIALISTS HAS SIGNIFICANTLY
OUTPACED GENERAL GROWTH IN
DEMAND FOR COMPANION ANIMAL
VETERINARIAN. SERVICES.
CALIFORNIA'S NEW X IS NO
EXCEPTION. WHEN IT COMES TO THIS
VETERINARIAN, SHORT SHORTAGE AND
AVAILABILITY OF CARE. THERE ARE
VETERINARY PRACTICES IN THE
STATE THAT SPECIALIZE IN ANIMAL
PHYSICAL REHABILITATION OR A PR
AND SOME PRACTICES MAY NOT FOCUS
EXCLUSIVELY ON A PR BUT DO OFFER
REHABILITATION SERVICES. THAT
BEING SAID NOT EVERY PRACTICE IN
THE STATE OFFERS ANIMAL PHYSICAL
REHABILITATION. AND THERE IS
GROWING DEMAND FOR THESE AND
OTHER SPECIALIZED SERVICES
THROUGHOUT THE STATE AND COUNTY
COUNTRY. AMERICAN COLLEGE OF
VETERINARY SPORTS, MEDICINE AND
REHABILITATION, WHICH WAS
DEVELOPED TO MEET THE UNIQUE
NEEDS OF ATHLETIC AND WORKING
ANIMALS, AS WELL AS ALL ANIMALS
IN NEED OF REHABILITATION.
CURRENTLY LISTS ONLY 14
DIPLOMATS OR PROVIDERS IN
CALIFORNIA, FOUR OF WHOM ARE
LOCATED IN DAVIS, CALIFORNIA.
THE AMERICAN ASSOCIATION OF
REHABILITATE REHABILITATION
VETERINARIANS LISTS JUST 23
REHABILITATION PROFESSIONALS IN
THE ENTIRE STATE OF CALIFORNIA.
OF THE 37 PRACTICES AND
PROVIDERS LISTED WHO SPECIALIZE
IN ANIMAL PHYSICAL
REHABILITATION. THE MAJORITY ARE
CONCENTRATED IN EITHER NORTHERN
CALIFORNIA. IN THE SACRAMENTO
AND BAY AREA OR IN SOUTHERN
CALIFORNIA IN THE L. A OR SAN
DIEGO REGIONS WILL NOT SUGGEST
THAT THIS LIST OF PROVIDERS IS
EXHAUSTED, BUT IT SHOWS THAT
THERE IS NOT NO OVER ABUNDANCE
OF SPECIALIZED PROVIDERS IN THE
STATE. CALIFORNIA'S CURRENT
TOTAL POPULATION IS ESTIMATED AT
39 MILLION RESIDENTS AND
13,000,217. HOUSEHOLDS ACCORDING
TO THE MOST RECENT CENSUS DATA.
IT IS ESTIMATED THAT
APPROXIMATELY 40.1% OF THOSE
HOUSEHOLDS OWN PETS, WHICH IS
CLOSE TO 5.3 MILLION HOUSEHOLDS
WITH PETS IN OUR STATE. AS WE
FACE THIS ONGOING SHORTAGE, WE
SHOULD BE LOOKING AT OPTIONS TO
HELP ALLEVIATE THE BURDEN THAT
MAY THAT MANY VETERINARY
PRACTICES ARE EXPERIENCING AND
PROVIDING ALL SERVICES TO
CONSUMERS AND A ANIMAL PATIENTS.
A B 8 14 WILL NOT SOLVE THE
VETERINARY SHORTAGE, BUT IT
PROVIDES VETERINARIANS WITH AN
ADDITIONAL OPTION FOR ANIMAL
PHYSICAL REHABILITATIVE
TREATMENT WHEN DEEMED
APPROPRIATE. UNDER A B 8 14, THE
SUPERVISING VETERINARIAN WHO HAS
REFERRED AN ANIMAL TO A PHYSICAL
THERAPIST FOR A PR IS
RESPONSIBLE FOR MAKING ALL
DECISIONS RELATING TO THE
DIAGNOSIS, TREATMENT MANAGEMENT
AND FUTURE DISPOSITION OF THE
ANIMAL PATIENT PRIOR TO
TREATMENT BY PT IN ANIMAL MUST
BE REFERRED BY A LICENSED
VETERINARIAN WHO HAS AN
ESTABLISHED VETERINARY CLIENT
PATIENT RELATIONSHIP. VÆ CPR.
REFERRALS TO A LICENSED PHYSICAL
THERAPISTS ARE COMPLETELY
OPTIONAL AND AT THE DISCRETION
OF A REFERRING VETERINARIAN
UNDER THE PROVISIONS OF THIS
BILL, ADDITIONALLY, A REFERRAL
WOULD ONLY BE AUTHORIZED AFTER A
VETERINARIAN HAS CONDUCTED A
THOROUGH MEDICAL EXAMINATION AND
DETERMINED THAT PHYSICAL
REHABILITATION WOULD BE A
BENEFICIAL AND SAFE TREATMENT
OPTION. REFERRALS WOULD BE
LIMITED TO ONLY THOSE PHYSICAL
THERAPISTS WHO ARE CERTIFIED IN
ANIMAL REHABILITATION AND WORK
ON A REGISTERED ANIMAL PHYSICAL
REHABILITATION PREMISE THAT
MEETS STATE HEALTH AND SAFETY
STANDARDS OR IN A MOBILE
ARRANGED, UH OR RANGE SETTING.
FINALLY WHEN MAKING A REFERRAL
TO A LICENSE PT, THE
VETERINARIAN WOULD HAVE THE
CHOICE OF PROVIDING EITHER
DIRECT OR INDIRECT SUPERVISION
OVER THE TREATMENT THAT A PT IS
PROVIDING TO AN ANIMAL. THIS
BILL IS DESIGNED TO PROVIDE MORE
OPTIONS FOR TREATMENT.
VETERINARIANS THROUGHOUT THE
STATE IF, FOR INSTANCE, THE
VETERINARIAN DOES NOT SPECIALIZE
OR OTHER EYES OFFER A PR WITHIN
THEIR PRACTICE, AND THERE ARE NO
OTHER PRACTICES, OFFERING THOSE
SERVICES IN THE REGION AND
AUTHORIZED PHYSICAL THERAPIST
WOULD BE AN EXCELLENT OPTION FOR
REFERRAL IF DEEMED APPROPRIATE
BY THE VETERINARIAN. I WANT TO
MAKE CLEAR THE FOLLOWING THIS
BILL DOES NOT AUTHORIZED DIRECT
ACCESS FOR PHYSICAL THERAPIST TO
PROVIDE PHYSICAL REHABILITATION
TO ANIMALS WITHOUT THE REFERRAL.
FROM A VETERINARIAN. IF A
VETERINARIAN ALREADY SPECIALIZED
IN A PR OR OTHERWISE PROVIDES A
PR SERVICES THEY'RE NOT REQUIRED
AND DO NOT NEED TO REFER AN
ANIMAL TO PHYSICAL THERAPIST FOR
TREATMENT UNDER THIS BILL. IF AN
ANIMAL HAS A CHRONIC OR
UNDERLYING CONDITION IS NOT
SUITABLE FOR A PR TREATMENT BY
PHYSICAL THERAPIST. A
VETERINARIAN IS NOT REQUIRED AND
DOES NOT NEED TO REFER A BILL TO
REFERRING ANIMAL TO A PHYSICAL
THERAPIST FOR TREATMENT UNDER
THIS BILL. IF A VETERINARIAN
SIMPLY DOES NOT WANT TO REFER AN
ANIMAL TO PHYSICAL THERAPIST FOR
TREATMENT THEY'RE NOT REQUIRED
TO DO AND DO NOT NEED TO REFER
AN ANIMAL PHYSICAL THERAPIST FOR
TREATMENT UNDER THIS BILL,
FINALLY I REMAIN COMMITTED TO
WORKING WITH THE OPPOSITION TO
THIS BILL TO SEE IF WE CAN FIND
WORKABLE SOLUTIONS TO THEIR
CONCERNS. I'M PLEASED TO BE
JOINED BY KAREN ATLAS AND TRACY
WALKER, REPRESENTING THE ANIMAL
PHYSICAL THERAPY COALITION, WHO
WILL BE TESTIFYING IN SUPPORT OF
THIS BILL TODAY. THANK YOU FOR
THE EXHAUSTIVE PRESENTATION. I
CAN'T IMAGINE THERE'S ANYTHING
MORE TO SAY. BUT IF THERE IS, UH
DO YOU HAVE TWO MINUTES EACH
READY WHEN YOU ARE. THANK YOU
VERY MUCH. THANK YOU. CHAIR
BERMAN AND THE COMMITTEE MEMBERS
FOR YOUR THOUGHTFUL
CONSIDERATION AND TIME FOR A B 8
14. MY NAME IS KAREN ATLAS AND I
AM THE PRESIDENT OF THE ANIMAL
PHYSICAL THERAPY COALITION. WE
ARE A COALITION COMPRISED OF
VETERINARIANS, PHYSICAL
THERAPISTS. BET TAX REGISTERED
VET TECHS. UHM CONSUMERS,
EDUCATORS AND LAW ENFORCEMENT
AND SEARCH AND RESCUE HANDLERS.
BASICALLY WE ARE A COALITION OF
ALL STAKEHOLDERS WE HAVE BEEN WE
HAVE NOW COME TOGETHER AFTER 15
YEARS OF DIALOGUE AND DEBATE.
AND HAVE ARRIVED AT A COMMON
SENSE SOLUTION FOR THE ONGOING
PROBLEM ACCESSING ANIMAL
PHYSICAL THERAPY. CALIFORNIA HAS
AN ACCESS TO CARE CRISIS FOR
ANIMAL HEALTH CARE. THERE SIMPLY
ARE NOT ENOUGH VETERINARIANS FOR
ALL THE ANIMALS IN NEED. IN
ADDITION, THIS COMMITTEE AND ITS
CENTER COUNTERPARTS HAVE
IDENTIFIED ANIMAL REHAB AS AN
AREA THAT NEEDED RESOLUTION IN
THE LAST TWO SUNSET REVIEWS OF
THE VETERINARY MEDICAL BOARD. A
B 8 14 IS THAT RESOLUTION. AS
AMENDED. A B 8 14 ALLOWS A
VETERINARIAN AFTER THEY HAVE
EXAMINED DIAGNOSED DETERMINED
THAT ANIMAL REHAB IS APPROPRIATE
AND SAFE. UM WOULD BE ABLE TO
REFER THEIR ANIMAL PATIENT TO A
QUALIFIED ANIMAL PHYSICAL
THERAPIST. THE REFERRING VET
WOULD ALSO DETERMINE THE LEVEL
OF SUPERVISION, WHETHER THAT BE
DIRECT SUPERVISION WHERE THE VET
IS ON SITE AT ALL TIMES OR
INDIRECT SUPERVISION WHEREBY THE
VETERINARIAN CAN BE ON A ANOTHER
, UM, AN OFFSITE LOCATION. A B 8
14 INCREASES SAFE ACCESS TO
ANIMAL PHYSICAL THERAPY. HOW DO
WE KNOW THAT THIS MODEL IS SAFE?
BECAUSE OTHER STATES HAVE
DEMONSTRATED SUCCESS.
AUTHORIZING ANIMAL PTS TO CARE
FOR ANIMALS. SEVEN OTHER STATES
HAVE AN INDIRECT SUPERVISION
WITH REFERRAL MODEL. AND WELL SO
WELL OVER 70 YEARS OF COMBINED
EXPERIENCE WITH THIS FRAMEWORK,
ACCORDING TO THE STATE BOARD
AUTHORITIES, THERE HAVE BEEN NO
COMPLAINTS OF HARM OR NEGLIGENCE
AGAINST A, UM PHYSICAL THERAPIST
TRAINED ON ANIMALS, SO THIS
MODEL IS PROVEN SAFE. AND IF YOU
COULD WRAP IF YOU COULD WRAP UP,
THAT'D BE GREAT. THANK YOU. 14
WILL INCREASE INTERPRET INTER
PROFESSIONAL COLLABORATION
BETWEEN VETERINARIANS AND
PHYSICAL THERAPISTS. IT WILL
INCREASE SAFE ACCESS TO CARE SO
MORE ANIMALS CAN BE HELPED AND
ELEVATE THE QUALITY OF THAT CARE
AND HOW IT IS DELIVERED. THIS IS
LONG OVERDUE. AND WE ASK FOR
YOUR VOTE TODAY. THANK YOU.
THANK YOU VERY MUCH. GO AHEAD.
MORNING. MY NAME IS TRACY WALKER
AND I'M HERE TO PROVIDE MY
PERSPECTIVE AND PERSONAL
EXPERIENCE WITH ANIMAL PHYSICAL
THERAPIST. PART OF MY INJURY. I
WORKED IN LAW ENFORCEMENT WITH
SANTA BARBARA COUNTY SHERIFF'S
OFFICE AS A CRISIS INTERVENTION,
DEPUTY IT WAS ALSO A MEMBER OF
THE DEPARTMENT'S MOUNTED
ENFORCEMENT UNIT OFF HIGHWAY
VEHICLE UNIT, A FIELD TRAINING
OFFICER AND A SEARCH AND RESCUE
COORDINATOR. I STARTED MY LAW
ENFORCEMENT CAREER IN 2012 WITH
LOS ANGELES COUNTY SHERIFF'S
OFFICE. IN ADDITION TO WORKING
IN LAW ENFORCEMENT, I ALSO
VOLUNTEERED MY TIME WITH THE
CALIFORNIA RESCUE DOG
ASSOCIATION. IT'S ALSO KNOWN AS
CARTA. AS A HUMAN REMAINS
DETECTION DOG HANDLER. I'VE BEEN
WITH CARTER'S SINCE 2009. THESE
SKILLS HAVE BEEN UTILIZED WITHIN
MY DEPARTMENT, AS WELL AS OTHER
DEPARTMENTS FOR CRIMINAL CASES.
UH MY ELDEST DOG MOJO WAS
WORKING AS A HUMAN REMAINS
DETECTION DOG, BUT HER ARTHRITIS
WAS AFFECTING HER ABILITY TO
WORK AS MUCH AS WE BOTH DESIRED
DESPITE MOTO'S EAGERNESS, ADD TO
LIMIT HER WORKING TIME TO ENSURE
HER ABILITY TO GET UP THE
FOLLOWING MORNING. WHEN I WAS
TOLD ABOUT ANIMAL PT SERVICES IN
MY COMMUNITY, I WAS NOT
INITIALLY SOLD ON THE POTENTIAL
BENEFITS, BUT BASED ON MY GOOD
FRIEND'S RECOMMENDATION, I GAVE
IT A TRY. THE RESULTS WERE, THEY
WERE PRETTY INCREDIBLE. MOJO WAS
ABLE TO MOVE AND DO THINGS SHE
HADN'T BEEN ABLE TO DO IN QUITE
A WHILE. HAD I NOT UTILIZED THE
SERVICES MOJO WOULD NOT HAVE
BEEN ABLE TO ASSIST DURING THE
MONTECITO MUDSLIDE IN 2018 AND
SEARCHING FOR VICTIMS. MOJO HAS
SINCE RETIRED AND SHE IS
CURRENTLY 14 YEARS OLD BUT STILL
ABLE TO RUN AROUND AND PLAY. I'M
CERTAIN WITHOUT THE SKILLED
TREATMENT PROVIDED BY AN ANIMAL
PHYSICAL THERAPIST. MOJO WOULD
CERTAINLY BE SUFFERING FROM A
SIGNIFICANT AMOUNT OF PAIN FROM
HER ARTHRITIC HIPS BACK AS WELL
AS HER NARROWED SPINAL COLUMN.
UM. DURING THE MONTECITO
MUDSLIDES AND 2018 AND THE
CAMPFIRE IN 2019, OR SEARCH AND
RESCUE TEAMS RECEIVED ANIMAL PT
SERVICES TO CARE FOR THE WORKING
DOGS INVOLVED IN SEARCHING FOR
THE VICTIMS OF THESE HORRENDOUS
NATURAL DISASTERS. THESE
SERVICES ARE ESSENTIAL FOR
WORKING DOGS IN CALIFORNIA,
WHETHER THEY BE MILITARY SEARCH
AND RESCUE APPREHENSION OR DRUG
DETECTION DETECTION DOGS. THESE
DOGS ARE HIGHLY TRAINED AND
SERVE THE PEOPLE OF CALIFORNIA
AND THEY NEED MORE ACCESS TO
REHAB CARE SO THEY CAN BE
UTILIZED TO THEIR HIGHEST
POTENTIAL. AND IF YOU COULD WRAP
UP THAT'D BE GREAT. YES, SIR.
THIS MEASURE WILL NOT ONLY
BENEFIT ANIMALS BUT ALSO THE
COMMUNITIES SUFFERING FROM THESE
NATURAL DISASTERS. UM THEY'LL BE
ABLE TO STAY OUT FOR LONGER
PERIODS RETURN SOON AFTER THE
BRAKES AFTER THE SPECIALIZED
CARE OF THE ANIMAL TEETH. E T. I
KNOW I'M NOT ALONE WHEN I ASK
YOUR VOTE TODAY. THANK YOU.
THANK YOU VERY MUCH. ANY PRIMARY
WITNESSES AND OPPOSITION TO THE
BILL. YOU HAVE TWO MINUTES EACH
AHEAD. MR CHAIRMAN AND MEMBERS.
I'M DR KEITH RHODIA, SMALL
ANIMAL VETERINARIAN AND WOODLAND
AND PRESIDENT OF THE CALIFORNIA
VETERINARY MEDICAL ASSOCIATION.
THE CVM IS OPPOSED TO THIS
MEASURE, ALONG WITH SEVERAL
OTHER VETERINARY MEDICAL
ASSOCIATIONS. AT LEAST 20 YEARS
AGO. CHIROPRACTORS WANTED TO
PERFORM WORK ON ANIMALS. WE SAT
DOWN AS A GROUP, THE CVM, A THE
CHIROPRACTIC ASSOCIATION, THE
VETERINARY MEDICAL BOARD AND THE
CHIROPRACTIC BOARD. WE HAMMERED
OUT AN AGREEMENT THAT IS
CONTAINED IN OUR CODE OF
REGULATIONS THAT SAYS A
CHIROPRACTOR MAY PERFORM WORK ON
AN ANIMAL AS LONG AS IT IS UNDER
DIRECT SUPERVISION BY A
VETERINARIAN. DIRECT SUPERVISION
MEANS THAT THE TREATMENT IS
TAKING PLACE AT A LICENSED
VETERINARY PREMISE AND THE
VETERINARIAN. IT'S ON THE
PREMISE IN THE EVENT THAT
SOMETHING BAD HAPPENS AND WE CAN
ADMINISTER AID. THAT AGREEMENT
HAS WORKED WELL FOR MORE THAN
TWO DECADES. THIS BILL WOULD
TREAT HUMAN PHYSICAL THERAPISTS
COMPLETELY DIFFERENTLY. IT SAYS
THAT THE HUMAN PHYSICAL
THERAPIST CAN OPERATE
INDEPENDENTLY FROM A
VETERINARIAN AT AN OFFSITE
LOCATION WHERE VETERINARIAN MAY
NOT BE WITHIN MILES TO RENDER
AID. THE SPONSOR, HAS REPEATEDLY
SAID THAT THIS BILL CONTAINS
SUPERVISION. I WANT TO BE
CRYSTAL CLEAR YOU'VE HEARD ABOUT
DIRECT AND INDIRECT, BUT THIS
BILL CONTAINS ZERO SUPERVISION
BY A VETERINARIAN, ZERO
SUPERVISION BECAUSE ONCE AN
ANIMAL GETS REFERRED OUT OF A
VETERINARIAN'S OFFICE, THE
CHANCES OF THE VETERINARIAN
GETTING TO SEE THE ANIMAL AGAIN
DURING THE COURSE OF ITS THERAPY
ARE ESSENTIALLY ZERO. AND TO
MAKE MATTERS WORSE, THERE WILL
BE NO VETERINARIANS ON SITE IN
THE PHYSICAL THERAPIST OFFICE TO
RESPOND TO AN EMERGENCY 11
OCCURS. THE VETERINARY
PROFESSION IS DEEPLY INSULTED
THAT A HUMAN HEALTHCARE
PRACTITIONER THINKS THAT THEY
HAVE AND SHOULD HAVE THE ABILITY
TO EXPAND THEIR SCOPE TO
PRACTICING VETERINARY MEDICINE
WITH ZERO VETERINARY
SUPERVISION. DESPITE THEM HAVING
NO TRAINING ON ANIMALS AS PART
OF THEIR FORMAL LICENSING
CURRICULUM WITH THE SAME CONCEPT
EVEN BE CONSIDERED, IF WE AS
VETERINARIANS DECIDED THAT WE
WANTED TO WORK ON HUMAN BEINGS
WE SUPPORT CALIFORNIA'S CURRENT
LAW, WHICH REQUIRES PHYSICAL
THERAPIST WORK ON ANIMALS UNDER
DIRECT VETERINARY SUPERVISION,
WHICH STILLS WHICH STILL ALLOWS
FOR THE DESIRED INCREASED ACCESS
TO CARE FOR THEIR SERVICES. WE
FEEL THAT THIS PROVIDES
PROTECTION TO CALIFORNIA'S
CONSUMERS AND ANIMALS DESERVE
AND WE HOPE THAT YOU WILL AGREE.
THANK YOU FOR YOUR TIME. THANK
YOU VERY MUCH. GO AHEAD. EXCUSE
ME, CHAIR BERMAN AND MEMBERS AND
MY NAME IS KATHY BOWLER AND I'VE
BEEN A MEMBER OF THE VETERINARY
MEDICAL BOARD FOR ALMOST NINE
YEARS NOW, AND I'M THE IMMEDIATE
PAST PRESIDENT. I'M HERE TODAY
REPRESENTING THE BOARD IN OUR
UNANIMOUS OPPOSITION TO A BE A
14 AS IT WAS PRESENTED TO US
LAST WEEK. I CALL YOUR ATTENTION
TO OUR LETTER OF OPPOSITION,
WHICH DETAILS SEVERAL OF OUR
CONCERNS. BUT I'D LIKE TO
SPECIFICALLY SPEAK TO SOME OF
THE CONSUMER AND ANIMAL PATIENT
PROTECTION ISSUES THIS MORNING.
CURRENTLY THE INDIVIDUALS
PROMOTING THIS LEGISLATION. AS
YOU'VE HEARD. CANADA MINISTER ÁP
OUR TREATMENT AT VETERINARY
PREMISES UNDER THE DIRECTION OF
LICENSED VETERINARIAN WHILE
THESE LICENSED HUMAN PHYSICAL
THERAPISTS HAVE AN EXTENSIVE
EDUCATION ON THE HUMAN BODY AND
A PASSED A RIGOROUS LICENSING
EXAM, THERE'S NO SUCH CORE
EDUCATION, ALLOWING THEM TO
PROVIDE THIS TYPE OF MEDICINE,
VETERINARY CARE TO OUR PETS. AS
A MAJOR CONSUMER OF ALL TYPES OF
VETERINARY SERVICES, INCLUDING
ANIMAL PHYSICAL THERAPY. I TRULY
APPRECIATE AND I'M SO GRATEFUL
FOR THE EXHAUSTIVE AND EXTENSIVE
FOUNDATIONAL CURRICULUM THAT
VETERINARIANS MUST GRADUATE WITH
AND THEN GO ON TO PASS A
RIGOROUS HIGH STAKES EXAM IN
ORDER TO BE LICENSED IN THE U. S
AND CANADA. AGAIN THERE ARE NO
SUCH ACCREDITED EDUCATIONAL OR
TESTING EQUIVALENT FOR THESE
INDIVIDUALS AND THERE ARE VAST
AND ATOMIC PHYSIOLOGIC AND
BEHAVIORAL DIFFERENCES BETWEEN
HUMANS AND ANIMALS, NOT TO
MENTION BETWEEN ANIMAL SPECIES
OR EVEN BREEDS. SO FOR THIS
REASON, AND MANY OTHERS AFTER
MANY HEARINGS OVER THE YEARS,
BOTH IN PERSON AND WRITTEN
TESTIMONY ON BOTH SIDES OF THE
ISSUE THE VETERINARY MEDICAL
BOARDS STILL BELIEVES THAT OUR
MISSION TO PROTECT THE PUBLIC IS
BEST SERVED WITH THE CURRENT
REGULATION, ALLOWING THIS WORK
TO BE PERFORMED UNDER THE DIRECT
SUPERVISION OF THE VETERINARIAN
, OUR BOARD PRESIDENT, DR
CHRISTINA BRADBURY AND EXECUTIVE
OFFICER JESSICA C. FOR MEN ARE
ALSO HERE AND CAN ANSWER
QUESTIONS ON VARIOUS CONCERNS
WITH THE IMPLEMENTATION OF THIS
LEGISLATION. OR OTHER SPECIFIC
VETERINARY ISSUES. THANK YOU
VERY MUCH FOR YOUR TIME. THANK
YOU VERY MUCH. ANY ADDITIONAL
WITNESSES WHO WANT TO ADD ON
MEMBERS OF THE PUBLIC WHO WANT
TO ADD ON, UH, IN SUPPORT OF THE
BILL. PROVIDE YOUR NAME
ORGANIZATION YOU'RE WITH, IF ANY
IN POSITION ON THE BILL GOOD
MORNING, MR CHAIRMAN AND MEMBERS
CARL LONDON HERE ON BEHALF OF
THE CALIFORNIA PHYSICAL THERAPY
ASSOCIATION AND SUPPORTED THIS
BILL. THANK YOU. THANK YOU VERY
MUCH. CHRIS REED, CHAIR OF THE
GOVERNMENT AFFAIRS COMMITTEE FOR
THE CALIFORNIA PHYSICAL THERAPY
ASSOCIATION, ALSO IN SUPPORT.
THANK YOU. MY NAME'S SHORTY
ROSSI AND THIS IS MY SERVICE
ANIMAL AREAS FOR THE PAST 22
YEARS, I'VE FOUND IT AND THE
PRESIDENT OF SHORTY'S PIT BULL
RESCUE, WHICH WE SAVE THOUSANDS
AND ALSO PRESIDENT, FOUNDER OF
HERCULES SAYS. EXCUSE ME.
HERCULES IS CLINIC, WHICH WE
PROVIDE A FREE SPAY AND NEUTER
PROGRAM TO PEOPLE WHO CAN'T
AFFORD IT. WITHOUT PHYSICAL
THERAPY FOR THE HUNDREDS OF OUR
DOGS. THIS DOG RIGHT HERE
WOULDN'T BE ABLE TO HELP ME
CLIMB UPSTAIRS. THANK YOU. I'M
IN SUPPORT OF THIS BILL. THANK
YOU VERY MUCH. HOWARD POTTER,
BULLDOG OWNER AND RESCUER. IN
FAVOR OF THE BILL. THANK YOU
VERY MUCH. ANY MEMBERS OF THE
PUBLIC WHO WANT TO ADD ON IN
OPPOSITION TO THE BILL. SEEING
NONE GOING TO BRING IT BACK TO
COLLEAGUES FOR QUESTIONS OR
COMMENTS, MOTIONS AND SECONDS.
DO I HAVE ANY QUESTIONS OR
COMMENTS? EMOTIONS ACTUALLY, MR
CHAIRMAN QUESTION. I'M SORRY. I
HAVE A QUESTION. REMEMBER WHEN
YOU UM I YOU KNOW, I'M A BIG PET
LOVER AND I UNDERSTAND THAT
THERE ARE CONCERNS BECAUSE
THERE'S A LACK OF PROFESSIONS
AND, UM, IN ALL FIELDS,
WHATEVER. AND I KNOW WE'RE
TRYING TO FIND WAYS TO ADDRESS
THAT ISSUE. I DO HAVE A CONCERN.
DON'T I THINK THE OPPOSITION
BROUGHT UP A GOOD POINT THAT IF
WE'RE ALLOWING NOW, UM, FOR UH,
PHYSICAL THERAPY TO HAPPEN. UM,
IF YOU DID HUMANS FOR A PET MY
CONCERN IS THAT IS THAT GOING TO
BE THE REVERSE, AND WE'RE ALSO
GOING TO NOW ALLOW THOSE THAT
ARE PHYSICAL THERAPY FOR PETS TO
BE ABLE TO DO FOR HUMANS. I
MEAN, I HAVE CONCERNS IN THE
SENSE OF HOW DO WE KNOW THAT
THERE ARE FULLY PROPERLY
TRAINED? THANK YOU FOR ALSO
CLARIFYING THE FACT THAT THIS
NEEDS TO BE A REFERRAL FROM A
VETERINARIAN TO SOMEBODY THAT IS
TRAINED. THAT CLARIFIED A LOT
FOR ME BECAUSE I HAD SOME
CONCERNS ABOUT THEIR DIFFERENT
TRAINING. UM DIFFERENT
STRUCTURES AND WHATNOT AND WHAT
HAPPENS IF IT DOES MORE HARM,
AND I DON'T KNOW IF YOU CAN
ADDRESS SOME OF THE CONCERNS
THAT THE OPPOSITION BROUGHT UP
EARLIER AS WELL, TOO. GPS WITH.
GPS WITH THE ANIMAL PHYSICAL
THERAPY COALITION REPRESENTING
THEM AND NOT HERE TESTIFY BUT TO
ANSWER QUESTIONS NOW, UH, THE
TRAINING THAT EXIST IS RIGOROUS
. UH IT IS NOT ONLY TRAINING IN
IN EDUCATION BUT ALSO IN
TRAINING AND EXPERIENCE AT IT,
TOO. THERE HAS BEEN NO BEEN NO
INSTANCES WHERE ANY HARM HAS
BEEN NOTED BY THOSE STATES THAT
DO IT. THERE'S BEEN NO INSTANCES
OF HARM THAT HAS BEEN NOTED HERE
IN CALIFORNIA, AND SO WE
UNDERSTAND WE BELIEVE THAT IT IS
SAFE. UH AS FAR AS THE, UH, THE
ISSUE OF WHETHER VET
VETERINARIANS GOOD PRACTICE ON
HUMANS. WELL, THAT'S NOT AN
ISSUE THAT WE'RE DEALING WITH.
AND THAT'S NOT AN ISSUE. THAT IS
THAT IS AT HAND AT THIS POINT.
THIS IS AN ISSUE WHERE THESE
PEOPLE. THESE PHYSICAL THERAPIST
ARE HIGHLY TRAINED IN PHYSICAL
THERAPY. ALTHOUGH ADDITIONALLY
ARE INITIALLY IT'S IN HUMANS,
THEY HAVE ADDITIONAL TRAINING
WITH ANIMALS. THAT'S A
DIFFERENTIAL DIFFERENCE MAKER AS
FAR AS THEY'RE BEING ABLE TO DO
IT, UH BE ABLE TO DO IT WITHOUT
DIRECT SUPERVISION WITH
CHIROPRACTORS. CHIROPRACTORS
HAVE I'M NOT GOING TO TRY TO PIT
ONE AGAINST THE OTHER
CHIROPRACTORS HAVE NO ANIMAL.
HAVE NO ANIMAL TRAINING AND
THEIR CURRICULUM AT ALL, AND
THERE'S NONE REQUIRED UNDER THE
BOARD UNDER THE BOARD
REGULATIONS. UH, BUT SO THAT'S A
DIFFERENCE MAKER. THAT'S A
DIFFERENCE MAKER IN THIS
DISCIPLINE AND HIS PRACTICE.
OKAY COULD I JUMP IN REALLY
QUICKLY? UM ASSEMBLYMEMBER'S I
WANT YOU TO CONSIDER MY
DISTRICT. I REPRESENT FOUR
CITIES. LONG BEACH, CARSON,
SIGNAL HILL AND AVALON CATALINA
ISLAND. CATALINA ISLAND, THERE
ISN'T VETERINARY CARE AVAILABLE.
UM AND YOU KNOW. THE ABILITY FOR
SENIORS OR OTHERS TO BE ABLE TO
GET OFF THE ISLAND. C CARE. IT'S
VERY, VERY CHALLENGING. AND SO I
THINK YOU KNOW, AS A MENTIONED
EARLIER, IT'S WE HAVE A NUANCED
SITUATION WHERE WE HAVE
CONCENTRATED CARE IN CERTAIN
AREAS OF THE STATE. AND NOT
OTHER PLACES. THIS IS ALREADY
HAPPENING RIGHT NOW AND WOULD
NOT HAPPEN IN ANY CIRCUMSTANCES
WITHOUT REFERRAL OF THE
VETERINARIAN THEMSELVES. I'M
SORRY. ONE MORE QUESTION. I KNOW
BEATING THIS. YOU'RE GOOD JUST
TO CLARIFY THE ONLY WAY WOULD BE
A REFERRAL FROM FROM A
VETERINARIAN IN ORDER, SO THEY
OKAY? AND THE VETERINARIAN WOULD
HAVE TO UNDERSTAND THE REFERRAL.
OBVIOUSLY THAT THEY'RE MAKING
THAT THIS PERSON IS QUALIFIED
WELL ABLE TO BE ABLE TO. OKAY
PERFECT. THANK YOU. THANK YOU. I
KNOW WE HAVE A MOTION FROM
SOUTHERN MEMBER OF MAKIN ER,
LOOKING FOR A SECOND FROM A CUP
GOT ITS SECOND FROM SOME MEMBER
LEE. I BELIEVE ANY ADDITIONAL
QUESTIONS OR COMMENTS FROM
COLLEAGUES. SEEING NONE. IT'S A
NUMBER LOWENTHAL, WOULD YOU LIKE
TO CLOSE? UM JUST WANT TO
REITERATE ONCE AGAIN THAT WE
CERTAINLY WILL WORK WITH THE
OPPOSITION ON THIS, AND ANYBODY
HAS ANY CONCERNS, OTHERWISE, WE
VERY MUCH WOULD LIKE TO DO SO.
AND RESPECTFULLY ASK FOR YOUR I
VOTE. THANK YOU FOR SELLING
MEMBER. I WANT TO THANK THE
AUTHOR. SPONSORS ON THE RIGHT
ONE. I AM AND OPPOSITION. FOR
WORKING WITH US ON THIS BILL. I
KNOW THERE'S STILL CONCEPTUAL
OPPOSITION TO THE BILL, BUT THE
AMENDMENTS WERE AT LEAST
STRENGTHEN THE VETERINARIANS
ROLE AND CLARIFY THAT THE BOARD
WILL DECIDE THE NEEDED EDUCATION
OR TRAINING AND WITH THE
ACCEPTED AMENDMENTS ALL SUPPORT
THE BILL UNTIL OUT FOR ONGOING
CONVERSATIONS WITH THE
OPPOSITION IN THE HOPES THAT
THERE IS ROOM FOR AGREEMENT WITH
THAT, MADAM SECRETARY, PLEASE
CALL THE VOTE. A B 14 LOWENTHAL
. THE MOTION IS DUE PASS AS
AMENDED TO THE COMMITTEE ON
APPROPRIATIONS. BERMAN BERMAN I
FLORA FLORA, IOWA KNEES ALVAREZ
PONTA. CHEN. DIXON. GIBSON.
GREAT GIBSON. I GRAYSON. IRWIN
IRWIN, I JACKSON LI LI I
LOWENTHAL. I AM MCCARTY.
MCKENNA. MCKENNA I WIN WHEN I
PATERSON PATERSON WRITING. WE'LL
LEAVE THAT ROLE OPEN FOR ABSENT
MEMBERS. THANK YOU VERY MUCH. UH
HUH. AND WITH THAT, WE'RE GOING
TO MOVE ON TO AGENDA ITEM NUMBER
SEVEN. REMEMBER HOLDEN, WHICH IS
GOING TO BE PRESENTED BY SOME
REMEMBER MAKIN ER. YEAH SORRY,
MR GIBSON FOR THE
DISAPPOINTMENT.
HAVE EMOTION. THANK YOU,
CHAIRMAN. ALLOW ME TO PRESENT A
B 12 04 ON BEHALF OF ASSEMBLY.
AND IS THAT IS YOUR MIKE ON OH,
THERE IT IS. THERE IT IS. THANKS
THIS IS A BILL AIMED AT
ADDRESSING THE ISSUE OF
EMPLOYEES BEING MISCLASSIFIED AS
INDEPENDENT CONTRACTORS IN THE
CONSTRUCTION INDUSTRY BEFORE
GOING ON TO FURTHER THE BILL. I
WOULD LIKE TO STATE THAT ON
BEHALF OF ASSEMBLYMEMBER'S
HOLDEN, I ACCEPT THE AMENDMENTS
OUTLINED OUTLINED IN THE
ANALYSIS AND THANK THE
CONSULTANT FOR HER TIRELESS WORK
ON THIS BILL. DESPITE EFFORTS
FROM THE LABOR COMMISSIONER, THE
LABOR MOVEMENT AND HIGH ROAD
CONTRACTORS TO ADHERE TO LABOR
LAW. THE PROBLEM OF
MISCLASSIFICATION REMAINS
RAMPANT IN THE INDUSTRY, WITH
LOW ROLL CONTRACTORS PUTTING
THEIR PROFITS ABOVE EMPLOYEE
BENEFITS LIKE WORKERS,
CONVERSATION, INSURANCE AND REST
BREAKS THE MISUSE OF INDEPENDENT
CONTRACTORS. ALLOWS THESE LOW
ROAD CONTRACTORS TO UNDERBID LAW
ABIDING CONTRACTORS AND IGNORES
STATE LABOR LAW REQUIREMENTS,
CREATING UNSAFE WORKPLACES FOR
EMPLOYEES AND LEAVING WORKERS
RESPONSIBLE FOR FINDING REMEDIES
TO BE PAID PROPERLY. A B 12 OH
46 TO LIMIT THE NUMBER OF
INDEPENDENT CONTRACTORS. WORKING
UNDER A SINGLE SUBCONTRACT HELPS
TO CURB EMPLOYEE
MISCLASSIFICATION AND IT'S YOUR
ACCURATE CERTIFIED PAYROLL
REPORTS WHILE DECREASING THE
LIKELIHOOD OF PROJECT
ABANDONMENT. THE BILL DOES NOT
AFFECT LEGITIMATE SUBCONTRACTING
RELATIONSHIPS WHERE EMPLOYERS
PROPERLY CLASSIFIED THEMSELVES
AS SUCH AND THEIR WORKERS AS
EMPLOYEES. BY ENACTING A B 12
OH, FOUR. CALIFORNIA WILL JOIN
OTHER STATES AND SETTING CLEAR
STANDARDS AND LIMITS FOR THE USE
OF INDEPENDENT CONTRACTORS IN
THE CONSTRUCTION INDUSTRY. TODAY
I HAVE WITH ME JEREMY SMITH WITH
THE STATE BUILDING AND
CONSTRUCTION TRADE COUNCIL OF
CALIFORNIA AND BOB DARRYL WITH
THE INTERNATIONAL UNION OF
PAINTERS AND ALLIED TRADES WHO
WOULD SHARE HOW EMPLOYEE
MISCLASSIFICATION HAS AFFECTED
THEIR LIVES. THANK YOU VERY MUCH
TO TWO MINUTES PER WITNESS. THE
BILL HAS EMOTION IN A SECOND.
THANK YOU, SIMON. MEMBER, MR
CHAIR. I UNDERSTAND THE MOTION
OF THE SECOND. I'LL BE VERY
BRIEF. WE ARE STILL LIVING IN A
SPACE WHERE THERE ARE LOW ROAD
CONTRACTORS THAT MISCLASSIFYING
EMPLOYEES. IT'S STILL HAPPENING
OUT THERE IT IS RAMPANT A B 12.
OH, FOUR WILL HELP QUELL THIS
SITUATION AND LEAD TO SAFER
WORKPLACES AND WORKERS GETTING
THE WAGES AND BENEFITS THAT THEY
DESERVE. WE'RE DRIVE OUT TODAY.
THANK YOU. THANK YOU VERY MUCH.
MR CHAIRMAN AND MEMBERS BOB
JEROME, ON BEHALF OF THE
INTERNATIONAL UNION UNION OF
PAINTERS AND ALLIED TRADES,
NORTHERN CALIFORNIA DISTRICT
COUNCIL 16 IN SOUTHERN
CALIFORNIA DISTRICT COUNCIL 36.
WE HAVE FINISHING CRAFTS IN OUR
UNION. WE HAVE FLORAL LAYERS,
CARPET LAYERS OR COVERS. DRYWALL
MORE DRYWALL TAPERS, DRYWALL
MUTTERS, WE HAVE ABOUT 40
DIFFERENT CLASSIFICATIONS OF
EMPLOYEES THAT ARE QUITE OFTEN
MISCLASSIFIED BY SUBCONTRACTORS
THAT ARE SEEKING WORK THIS BILL
THIS BILL LIMITS THE NUMBER OF
SUBCONTRACTORS TO A JOB IN A
CERTAIN CRAFT, AND, UM, WE'VE
SEEN THIS FOR YEARS. IT'S JUST A
DIFFERENT METHOD OF AN
UNDERGROUND ECONOMY IN
CALIFORNIA, SO WE JUST LIKE TO
HAVE EVERYTHING ABOVE BOARD AND
HAVE EVERYBODY UM, RECEIVED THE
HEALTH AND WELFARE AND PAYMENTS
THAT THEY DESERVE FOR THE WORK
THAT THEY'RE PERFORMING. THANK
YOU. THANK YOU VERY MUCH, AND HE
HAD WITNESSED PRIMARY WITNESSES
IN OPPOSITION TO THE BILL.
SEEING NONE. ANY MEMBERS OF THE
PUBLIC WANT TO ADD ON AND
SUPPORT THE BILL. UH, ME TO
SUPPORT NAME. ORGANIZATION
POSITION. NOPE ANY MEMBERS OF
THE PUBLIC WANT TO ADD ON AN
OPPOSITION TO THE BILL? SEEING
NONE GONNA BRING IT BACK TO
COLLEAGUES FOR QUESTIONS OR
COMMENTS, VICE CHAIR FLOOR.
THANK YOU FOR BRINGING THIS BILL
FORWARD AND TO THE BUILDING
TRACES HAVE ONE QUICK
CLARIFICATION. UM IF YOU HAVE A
CONTRACTOR THAT IS A SIGNATORY
TO THREE DIFFERENT LABOR GROUPS
THAT WOULDN'T WHETHER IT'S LIKE
THE LABORERS, THE MASONS OR UM,
YOU KNOW, WHATEVER WITH THIS
BILL AFFECT THEM. NO. I THINK
THAT WOULD FALL UNDER IN THE
AMENDMENTS THAT WERE FONDRE
VALID COLLECTIVE BARGAINING
AGREEMENT. PERFECT. THANK YOU.
THANK YOU, MR VICE CHAIR, MR
PATTERSON. YES UH, WHAT KIND OF
PROJECTS? EXACTLY I MEAN,
OBVIOUSLY, YOU KNOW, THERE COULD
BE BIG ONES AND THINGS LIKE
THAT, BUT AN INDIVIDUAL, YOU
KNOW, LET'S SAY BUILDING, YOU
KNOW, HOUSE OR SOMETHING, YOU
KNOW, UM, WE'RE GOING THROUGH
THAT. I'M JUST WONDERING HOW
THIS WOULD IMPACT, YOU KNOW,
KIND OF SMALLER INDIVIDUAL.
PROJECTS LIKE THAT. WELL, I
THINK THAT SPECIALTY CONTRACTORS
TEND TO, UH, WORK NOT ONLY ON
SMALLER PROJECTS, BUT LARGE
PROJECTS, AND UNFORTUNATELY, THE
RESIDENTIAL HOUSING MARKET. IS
PROBABLY THE BIGGEST OFFENDER IN
THE UNDERGROUND ECONOMY. UM WE
WOULD HOPE THAT IT WOULD AFFECT
IT IN A WAY THAT WOULD MAKE SURE
EMPLOYEES ARE TAKEN CARE OF. AND
THEY EITHER ACTUALLY HAVE A
BONAFIDE EMPLOYEE EMPLOYER
RELATIONSHIP WITH THEIR
SPECIALTY CONTRACTOR, OR THEY
ARE LUCKY ENOUGH TO BE IN THE
UNION TO BE UNDER A COLLECTIVE
BARGAINING AGREEMENT. WOULD YOU?
WOULD YOU MIND ILLUSTRATING IN
THAT EXAMPLE THE RESIDENTIAL
HOUSING MARKET? UM EXACTLY IF
YOU'RE WHAT HAPPENS NOW? AND
THEN. IF THIS BILL BECOMES LAW,
WHAT WOULD CHANGE THERE? WELL A
GENERAL CONTRACTOR. I READ
PICTURE STORIES. SORRY. SO YOU
KNOW, TRYING TO ILLUSTRATE IT
FOR ME. SO THANK YOU. A GENERAL
CONTRACTOR GETS A JOB. HE OR SHE
THEN UH, PERFORM SOME OF THE
WORK THEMSELVES, BUT MOSTLY MOST
OF THE TIME THEY HIRE
SUBCONTRACTORS. UM IN THE BILL
AND THE PARLIAMENTS OF THE BILL,
A SUBCONTRACTOR IS ALSO
ESPECIALLY CONTRACTOR IN THE
SENSE UM, THE GENERAL CONTRACTOR
DOESN'T HAVE THE EMPLOYEES ON
STAFF OR THE EXPERTISE HIM OR
HERSELF TO DO. PLACING FOR
EXAMPLE, OR PAINTING OR TILING.
I'M JUST USING THE PAINTERS
CRAFT AS AN EXAMPLE, BECAUSE
HE'S HERE, UM BUT THERE'S LOTS
OF SMALLER CONTRACTORS THAT
EXIST IN THE WORLD THAT THAT'S
ALL THEY DO. ALL THEY DO IS
CARPET. ALL THEY DO IS TILE. UH
THOSE MEN OR WOMEN ARE HIRED AND
THEN THEY EMPLOY THEIR WORKERS.
IN THIS SPACE. UH, WHAT THE BILL
IS TRYING TO GET AT IS WHEN THAT
FIRST SUBCONTRACTOR OR SPECIALTY
CONTRACTOR. THEN DECIDES TO HIRE
ANOTHER ONE ANOTHER ONE OF THEM.
RIGHT. ANOTHER CONTRACTOR THAT
DOES THERE UH UM, CRAFT. AND
THEN THAT PERSON HIRES A THIRD.
THIS IS WHAT HAPPENS IN, UH MUCH
OF THE CONSTRUCTION INDUSTRY AND
UNFORTUNATELY IN THE RESIDENTIAL
MARKET UM MOST OF THOSE WORKERS
. MOST OF THOSE CONTRACTORS ARE
ONES WHO TEND TO NOT WANT TO
PLAY BY THE RULES. AND UM, I
SHOULD HAVE MENTIONED THIS
EARLIER. UH, UNDERBID. BECAUSE
THEY AREN'T GOING TO BE HAVING
TO PAY WORKERS COMPENSATION.
THEY'RE NOT PLANNING TO PAY
WORKERS COMPENSATION. THEY HAVE
TO PAY IT, BUT THERE ARE PLENTY
NOT TO PAY IT. UM OR
UNEMPLOYMENT INSURANCE OR HEALTH
AND WELFARE. AND THEY THEN ARE
ABLE TO UNDERBID GOOD
CONTRACTORS. WHO DO FOLLOW THE
LAW. UM MR GRAYSON IS ON THIS
COMMITTEE. HE IS ONE OF THOSE.
IF HE WERE HERE, HE COULD
PROBABLY TALK TO YOU ABOUT THIS.
UM SO WE WANT TO NOT ONLY
PROTECT WORKERS IN THIS SPACE WE
WANT TO MAKE SURE WE PROTECT
GOOD CONTRACTORS. GOOD EMPLOYERS
WHO DO CHOOSE TO FOLLOW THE
STATE'S LABOR LAWS. WE ALSO, UM
ASSEMBLYMEMBER'S. WE BELIEVE
THIS IS GOOD CONSUMER PROTECTION
BILL FOR THE ESPECIALLY THE
HOMEOWNER WHO ENDS UP A LOT OF
TIMES HAVING WORK DONE BY AN
UNLICENSED CONTRACTOR. A
CONTRACTOR WHO DOESN'T PAY THE
WAGES AND THEN WHAT HAPPENS IS
THAT EMPLOYEE THAT'S NOT TREATED
RIGHT OR OR OR NOT RECEIVING.
THE COMPENSATION THEY DESERVE
WILL COME BACK TO THE HOMEOWNER
. AND THEN THE HOMEOWNERS HAS TO
RESULT TO GOING TO THE
CONTRACTORS STATE LICENSE BOARD
AND FILING A COMPLAINING IT'S
THE GENERAL THAT WE BELIEVE THIS
IS STRENGTHENING CONSUMER
PROTECTION AS WELL. I ALSO WANT
TO NOTE UH, MR CHAIRMAN, THAT I
WANT TO THANK YOUR STAFF. FOR
ALL OF THE WORK THAT SHE PUT IN
CAITLIN CURRY OVER THE LAST
COUPLE OF WEEKS WITH WITH OUR
TEAM. SO YOU'RE IN YOUR VIEW AT
THE JOB SITE. THIS IS A WAY THAT
UM SOME CONTRACTORS ARE GETTING
AROUND. DOING THE PAYING THE
WAGES THAT WOULD OTHERWISE BE
MAYBE MANDATED IN THE CONTRACT
OR OR WHATNOT. THAT'S CORRECT.
AND THIS IS SO IF THERE'S A
PAINTER UM AND THE PAINTER GETS
THE CONTRACT. THIS ONLY APPLIES
WHEN THERE ARE TWO OR MORE
SUBCONTRACTORS UNDER THAT
PAINTER. THAT IS THE GOAL OF THE
AMENDMENTS. YES HOPEFULLY THAT'S
CLEAR. BUT THAT'S YEAH, I KNOW.
THAT'S WHY I SAY THE PICTURES
WORK REALLY, REALLY WELL FOR ME
, SO I'M JUST ILLUSTRATING IT
OUT. UM OKAY. WELL, I, UM YOU
KNOW, I'M GONNA THINK ABOUT THIS
, UH, YOU KNOW, I'M THE VICE
CHAIR OF HOUSING AND YOU KNOW, I
THINK BUILDING AH YOU KNOW,
MAKING IT, UH SO WE CAN BUILD
HOMES IS IMPORTANT, BUT YOU
KNOW, IT IS AN IMPORTANT
COMPONENT. OBVIOUSLY YOU KNOW,
MAKING SURE PEOPLE WANT TO BUILD
HOMES. UM AND SO YOU KNOW, I'M
KIND OF INTERESTED IN THIS. I
THINK YOU KNOW, DEPENDING ON
WHAT MY VOTE IS TODAY, OR NO
MATTER WHAT IT IS, YOU KNOW.
SHOULD MORE INFORMATION BECOME
AVAILABLE. OBVIOUSLY, I
OBVIOUSLY WOULD PRESERVE MY
RIGHTS. YOU KNOW THAT SORT OF
MOVES FORWARD THROUGH THE
PROCESS, BUT I REALLY APPRECIATE
YOU ILLUSTRATING THIS FOR ME. SO
THANK YOU. YOU'RE WELCOME. THANK
YOU, SAM. REMEMBER ANY
ADDITIONAL QUESTIONS OR COMMENTS
FROM THE COMMITTEE? DO WE HAVE
EMOTIONAL SECOND YET? WE DO HAVE
EMOTION IN A SECOND, UM SOME
MEMBER MAKING OR WOULD YOU LIKE
TO CLOSE? I RESPECTFULLY ASK FOR
YOUR I VOTE. THANK YOU VERY MUCH
. THANK YOU. REMEMBER MCKENNA
FOR PRESENTING THIS BILL ON
BEHALF OF THE OTHER MEMBER,
HOLDEN, THANKS TO THE TO THE
PROPONENTS FOR WORKING WITH THE
COMMITTEE AND WITH THE
AMENDMENTS. I'M HAPPY TO SUPPORT
THE BILL TODAY. MADAM SECRETARY,
PLEASE CALL THE VOTE. A B 12 OH,
FOUR HOLDEN. THE MOTION IS DUE
PASS AS AMENDED TO THE COMMITTEE
ON APPROPRIATIONS. BERMAN
BERMAN. I FLORA. LARA IOLANI.
ALVAREZ. PONTA. CHAN DIXON.
GIBSON GRAYSON. OKAY GIBSON, I
GRAYSON IRWIN. IRWIN YES,
JACKSON LEE. REALLY I LOWENTHAL
I'M MCCARTY. MAKIN ER I ER I
WHEN I PATERSON PATERSON
KNIGHTING. THANK YOU VERY MUCH.
WE'LL LEAVE THAT BILL OPEN FOR
ABSENT MEMBERS. THANK YOU. THANK
YOU VICE CHAIR FOR TAKING OVER
FOR A COUPLE MINUTES WHILE I CAN
PRESENT. GOOD LUCK, SIR. ALL
RIGHT, UH, I SEE MR WALDRON
WOMAN, WALDRON, WE ARE READY
WHEN YOU ARE. SO THE WOMAN
WALDRON PRESENTING A B 17 41. WE
ARE READY WHEN YOU ARE. OOPS.
NÂNG. THANK YOU, MR CHAIR AND
MEMBERS OF THE COMMITTEE. I'M
HERE TODAY TO PRESENT A B 17 41.
I AM ACCEPTING THE COMMITTEE
AMENDMENTS AND WANT TO THANK THE
CHAIR AND COMMITTEE CONSULTANT
VINCE SHE AND THE COMMITTEE FOR
WORKING DILIGENTLY WITH US ON
THE AMENDMENTS, WHICH RESPOND TO
EVERY CONCERN OUTLINED BY THE
OPPOSITION. THE CLINICAL LAB
INDUSTRY IS FACING A WORKFORCE
SHORTAGE, ESPECIALLY WITH
CLINICAL LABORATORY SCIENTISTS.
THE STATE HAS RECOGNIZED THIS
PROBLEM WITH THE CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH,
ESTABLISHING A WORK GROUP THAT
WAS TASKED TO UNDERSTAND THAT
SPECIFIC PROBLEM AND PROPOSE
SOLUTIONS. THIS SHORTAGE IMPACTS
PATIENT DIAGNOSTICS AND DELAYS
TREATMENT OPPORTUNITIES. AMONG
THE SUBCOMMITTEE'S
RECOMMENDATIONS WAS TO UPDATE
CALIFORNIA LICENSING
REQUIREMENTS TO ALLOW UNLICENSED
PERSONNEL THAT MEET FEDERAL
STANDARDS TO ASSIST LICENSED
PERSONNEL AND LABORATORIES. THIS
ALLOWS LABORATORIES TO MEET HIGH
TESTING DEMAND WHILE MAINTAINING
ACCESS TO ACCURATE CARE. THESE
CHANGES WILL HELP ADDRESS
WORKFORCE SHORTAGES IN LABS
IMPROVED TESTING CAPACITY,
ADDRESS DELAYS IN PATIENT CARE
AND CREATE NEW JOBS IN THE
INDUSTRY. I COMMIT TO CONTINUE
WORKING WITH THE OPPOSITION ON
THEIR CONCERNS SHOULD THE BILL
MOVE FORWARD TODAY HERE TO
TESTIFY AND SUPPORT AND ANSWER
ANY QUESTIONS OR REPRESENTATIVES
FROM QUEST DIAGNOSTICS? UM MIKE
ROBSON. AND TIM TUBMAN AS WELL
AS CHRISTIE FOY, WHO IS HERE
WITH THE CLINICAL LABORATORY
ASSOCIATION. IN CASE THERE ARE
ANY SPECIFIC QUESTIONS. THANK
YOU SO MUCH. WE'LL TAKE TWO
MINUTES PER WITNESS, PLEASE. HMM
MICROBES IN HERE ON BEHALF OF
QUEST DIAGNOSTICS, AND I'LL TRY
TO BE VERY QUICK. UM AS AS THE
ASSEMBLYWOMAN NOTED, UH, THIS
BILL, UM IT'S AIMING TO ADDRESS
WORKFORCE SHORTAGES IN THE
CLINICAL LAB INDUSTRY. QUEST
DIAGNOSTICS IS LARGEST CHEMICAL
LAB IN THE STATE AND I THINK IN
THE COUNTRY AND YOU KNOW, QUITE
SIMPLY, THIS BUILD, CLEARS UP
SOME BEGGING CONFLICTING
LANGUAGE BETWEEN THE EXISTING
STATUTE AND REGULATIONS THAT ARE
AT THE LAB FIELD SERVICES AT THE
DEPARTMENT OF PUBLIC HEALTH. UM,
ENSURES THAT THAT THAT
UNLICENSED PERSONNEL CAN DO
ROUTINE TASKS THAT AND UNDER
UNDER SUPERVISION. AND WHILE THE
LICENSE STAFF THE CLINICAL LAB
SCIENTISTS ARE ABLE TO DO THE
ATTACK THE JOBS, THE ANALYTICAL
JOBS THAT ARE MORE APPROPRIATE
FOR THEIR THEIR THEIR STATUS IN
LICENSE. UM AND AGAIN. I WANNA
THANK VINCE CHIA YOUR COMMITTEE
CONSULTANT. HE WORKED VERY
DILIGENTLY ON ON FINDING
SOMETHING. TIGHTENING THIS BILL
UP. THERE'S 3.5 PAGES OF
AMENDMENTS IN YOUR ANALYSIS AND
REALLY APPRECIATE HIS EFFORTS.
SO THANK YOU. TIM TUBMAN, QUEST
DIAGNOSTICS AND HERE REALLY, FOR
TECHNICAL QUESTIONS ON THE BILL
, BUT TO ADD TO MIX, UM,
TESTIMONY THERE. WE, UH WE DO
HAVE CLEAR IN PLACE, WHICH IS A
FEDERAL GUIDELINE THAT DOES
ENSURE A LOT OF THE CHURCH. ALL
THE LEVELS OF APPROPRIATE
CONTROLS ARE IN PLACE TO
MAINTAIN QUALITY IN THE
LABORATORY. UM, AND THIS LAW
THAT WOULD CLARIFY THE LANGUAGE
THAT UM PUTS THAT SUPERVISION IN
PLACE. THANK YOU, CHRISTI FOY
HERE ON BEHALF OF THE CALIFORNIA
CLINICAL LABORATORY ASSOCIATION
, IN STRONG SUPPORT OF THIS BILL
WILL ADDRESS THIS CRITICAL
WORKFORCE SHORTAGES OF CLINICAL
LABORATORY PERSONNEL. IT WILL
SET UP A KEY ROAD TO LICENSOR
FOR CALIFORNIA LABORATORY
PERSONNEL AND ESTABLISH
IMPORTANT SUPERVISION STANDARDS
TO HELP MEET TESTING DEMANDS.
WHILE MAINTAINING ACCURATE, HIGH
QUALITY TESTING. SEE CLS.
PLEASED TO SEE THIS BILL MOVE
FORWARD IN FOR THOSE REASONS.
WE'RE HAPPY TO SUPPORT. THANK
YOU SO MUCH. THANK YOU SO MUCH.
ANYONE ELSE IN SUPPORT OF A B 17
41 NAME AND ORGANIZATION,
PLEASE. SUPPORT. SEEN NONE.
ANYONE IN OPPOSITION? SORRY I DO
IT DIFFERENT THAN THE CHAIR. HE
WON THE OPPOSITION TO A B 17 41
COME ON UP.
THANK YOU, MR CHAIRMAN MEMBERS
MATT BROUGHT HERE ON BEHALF OF
THE TEAMSTERS AND ENGINEERS AND
SCIENTISTS OF CALIFORNIA TO
UNIONS THAT REPRESENT, UM
CLINICAL LAB SCIENTISTS AND
MEDICAL LAB TECHS ACROSS THE
STATE. I THINK, UM, FIRST OF
ALL, I'D LIKE TO THANK THE
COMMITTEE. WE'VE COME A LONG WAY
IN TERMS OF THIS BILL OF
ADDRESSING SOME OF OUR CONCERNS.
UM WITH ANY BILL, I THINK THE
GERMAN QUESTION IS. WHAT PROBLEM
ARE WE TRYING TO SOLVE? ARE WE
TRYING TO GET MORE PEOPLE INTO
THE INDUSTRY? IF SO, I THINK
WE'RE KIND OF AT A PHILOSOPHICAL
LOGGERHEADS. WE WOULD PREFER
THIS SORT OF SKILL PEOPLE UP SO
THEY CAN DO MORE WORK IN THE LAB
POSTED DE SKILLING AND ALLOWING
UNLICENSED PERSONNEL TO DO MORE
IN THE LAB WITH THIS SPECIFIC
BILL. AT THIS POINT, WE'RE
REALLY CONCERNED ABOUT THE KIND
OF BROAD AND NEBULOUS AUTHORITY
, UM FOR UNLICENSED PERSONNEL.
TO PERFORM PREVENTATIVE
MAINTENANCE, UH, WITHIN A LAB ON
MACHINES, WHICH FALLS KIND OF
SQUARELY WITHIN THE AMBIT OF A
CLINICAL LAB SCIENTIST SCOPE, SO
WE LOOK FORWARD TO CONTINUING
WORKING WITH THE AUTHOR'S OFFICE
AND SPONSORS ON MAYBE CLARIFYING
THAT FURTHER WITH ME TODAY IS
SANDRA PEDRO NAVA, WHO IS A
CLINICAL LAB SCIENTISTS AT
KAISER AND ROOSEVELT. SHE'S
GOING TO TALK A LITTLE BIT MORE
ABOUT THE PREVENTATIVE
MAINTENANCE ISSUE. THANK YOU.
WHAT'S UP? WOW, TRY THIS. HOW
ABOUT NOW? SO JUST SO I
GRADUATED FROM SEXY WITH A
BACHELOR'S DEGREE AND BY ALI
CONCENTRATION AND CHEMISTRY, AND
, UM, MINOR CHEMISTRY AND
CONCENTRATION OF CLINICAL LAB
SCIENCES, SO PREVENTATIVE
MAINTENANCE CAN RANGE FROM A
WIDE PRIORITY FROM CLEANING THE
OUTSIDE OF THE ANALYZER TO
ACTUALLY REPLACING TUBING AND
CALIBRATING THE ANALYZER THAT
AFFECTS PATIENT RESULTS AND
PATIENT RESULTS IS WHAT DOCTORS
USED TO TAKE CARE OF. OF THE
PATIENT HOW THEY TREAT THEM
CLINICALLY. SO IN MY OPINION, I
FEEL LIKE AN UNLICENSED
PERSONNEL DOES NOT HAVE THE
KNOWLEDGE OF WHEN DEALING WITH
THE ANALYZER AS TO LIKE WHAT
CHEMICAL REACTIONS ARE GOING ON
. HAVING A DEGREE IN CHEMISTRY.
IT'S LIKE YOU UNDERSTAND WHY
IT'S SO IMPORTANT, BUT
EVERYTHING IN THE ANALYZER IS
WORKING PROPERLY. IT'S NOT JUST
ABOUT LIKE GOING IN THERE. YOU
KNOW, TOUCHING IT AND JUST LIKE
SAYING, OKAY, IT'S FIXED.
PREVENTATIVE MAINTENANCE IS DONE
, BUT IT TAKES LIKE IT. WE HAVE
TO MAKE SURE THAT THE ANALYZERS
WORKING PROPERLY BECAUSE THIS IS
WHAT THE DOCTORS ARE USING TO
TREAT THE PATIENT'S. THE RESULTS
OF THE ANALYZER IS PRODUCING. UM
YOU KNOW, WE ALSO HAVE ENGINEERS
THAT COME IN AND DO PARENTAL
PREVENTATIVE MAINTENANCE ON THE
ANALYZERS. YOU KNOW, THEY'RE
VERY SKILLED PERSONNEL SO OURS
SO ARE AS WE ARE, AND I DON'T
BELIEVE LIKE HAVING AN
UNLICENSED PERSON DOING PREVENT
MAYONNAISE IS GOING TO SOLVE THE
ISSUE OF WORK OF SHORTAGE IN THE
LAB. THANK YOU SO MUCH FOR THAT
ANYONE ELSE IN OPPOSITION TO A B
17 41 NAME AND ORGANIZATION,
PLEASE? SEEING NINE WILL BRING
IT BACK TO THE COMMITTEE. ANY
QUESTIONS FROM THE COMMITTEE
MEMBERS? SEEING NONE. SO WOULD
YOU LIKE TO CLOSE? THANK YOU, MR
CHAIR. UM DELAYING PATIENT CARE
IS HURTING PEOPLE AND HEALTH
CARE ACCESS. THIS BILL SIMPLY
IMPLEMENT IMPLEMENTS A
RECOMMENDATION FROM THE
DEPARTMENT OF PUBLIC HEALTH TO
ADDRESS THE CRITICAL WORKFORCE
SHORTAGE IN TESTING LABS THAT IS
NOT GOING AWAY. THE GOAL IS TO
STREAMLINE MOVING UNLICENSED
PERSONNEL INTO LICENSURE. I
THINK THAT'S SOMETHING WE CAN
ALL AGREE ON. UM AND I THANK YOU
AND ASK YOU FOR YOUR SUPPORT IN
THIS BILL SO WE CAN CONTINUE TO
WORK ON THIS CRITICAL ISSUE, AND
AS I SAID, I WOULD COMMIT TO
WORK WITH THE OPPOSITION AS WE
MOVE FORWARD. THANK YOU. THANK
YOU SO MUCH FOR THAT. WE HAVE A
MOTION TO HAVE A SECOND ON THIS
BILL. THANK YOU VERY MUCH. MADAM
SECRETARY, PLEASE CALL THE ROLL.
A B 17 41 WALDRON. THE MOTION IS
DUE PASS AS AMENDED TO THE
COMMITTEE ON APPROPRIATIONS
BERMAN. LARA, LARA, IOWA KNEES.
ALVAREZ PONTA. CHEN. DIXON.
GIBSON. GIBSON. I GRAYSON.
GRAYSON. I IRWIN. JACKSON. WE.
LINO LOWENTHAL. DON'T TALK. I'M
MCCARTY. ER. YOU KNOW WHEN NOT
VOTING, PATTERSON PATERSON. I
THINK. LEAVE THAT OPEN ROLL OPEN
FOR ABSENT MEMBERS TO ADD ON
THANK YOU SO MUCH. MOVING ON. TO
A B 15 18 FRIEDMAN SUMMER WOMAN,
FRIEDMAN. SECOND.
HELLO MR CHAIR AND MEMBERS. I
GOT THE MESSAGE. I WANT TO FIRST
THANK THE COMMITTEE AND THE
CHAIR FOR WORKING ON THIS VERY
IMPORTANT PIECE OF LEGISLATION.
THIS BILL IS ABOUT HELPING MAKE
SURE THAT PEOPLE UNDERSTAND THE
ROLE OF SERVICE ANIMALS WHAT IS
AND IS NOT A SERVICE ANIMAL AND
WHAT THEY ARE ENTITLED TO DO AND
BE AND PARTICULARLY TO MAKE SURE
THAT WE UNDERSTAND WHEN ANIMALS
ARE NOT LEGAL SERVICE ANIMALS
AND NOT ENTITLED TO BE IN
RESTAURANTS OR IN STORES, AND
THIS IS FOR THE PROTECTION OF
ACTUAL SERVICE ANIMALS BECAUSE,
UNFORTUNATELY, SOMETIMES ANIMALS
THAT ARE NOT TRAINED UM, THE WAY
THAT A SERVICE ANIMAL IS TRAINED
OR BEING PASSED OFFICE SERVICE
ANIMALS OR CALLED EMOTIONAL
SUPPORT ANIMALS, WHICH IS NOT
ENTITLED IN THE SAME ACCESS, AND
THERE HAVE BEEN CASES WHERE
THOSE ANIMALS HAVE ATTACKED.
ACTUAL SERVICE ANIMALS REALLY
CAUSED PROBLEMS SO A B 15 18
WOULD REQUIRE THE DEPARTMENT OF
CONSUMER AFFAIRS TO INFORM
PLACES OF BUSINESS THROUGH A
STATEWIDE EDUCATIONAL CAMPAIGN.
ON THE PROBLEMS FACED BY
QUALIFIED SERVICE DOG USERS, IT
WOULD AUTHORIZED THE CIA TO
SOLICIT DONATIONS FROM PRIVATE
SOURCES, INCLUDING INCLUDING
SERVICE DOG SCHOOLS TO HELP
CREATE THIS CONTENT. AND REALLY,
TO HELP TO EDUCATE OUR BUSINESS
COMMUNITY AND OUR COMMUNITY. NOW
WE'VE TALKED TO CAL CHAMBER AND
OTHER BUSINESS GROUPS ABOUT THE
BILL. THEY HAVE NO ISSUES
TESTIFYING AND SUPPORT THIS
AFTERNOON IS AMANDA WOLF,
INSTRUCTOR AND FIELD
REPRESENTATIVE FROM CANINE
COMPANIONS, AND JUDY WILKINSON,
FORMER PRESIDENT OF THE
CALIFORNIA COUNCIL OF THE BLIND
. THE BILL HAS NO OPPOSITION AND
I WOULD REQUEST AND I VOTE.
THANK YOU. THANK YOU SO MUCH.
WELL, DUE TO IT OR TWO MINUTES
PER WITNESS, PLEASE. THANK YOU.
GOOD MORNING. MY NAME IS AMANDA
WOLF AND I'M REPRESENTING CANINE
COMPANIONS AND SUPPORT OF 80 15
HAVE WORKED AT KEENAN COMPANIONS
FOR NEARLY 10 YEARS AS A MEMBER
OF OUR PROFESSIONAL TRAINING
STAFF, TRAINING OVER 100 SERVICE
DOGS AND SUPPORTING OVER 1000
SERVICE DOG USERS NOW AS A FIELD
REPRESENTATIVE IN SACRAMENTO AS
AN INSTRUCTOR OF INVESTED
THOUSANDS OF HOURS AND TRAINING,
THE HIGHEST QUALITY SERVICE DOGS
FOR OUR CLIENTS WITH
DISABILITIES. AND TOO OFTEN I
HEAR ABOUT INCIDENCES WHERE
SERVICE DOGS ARE DENIED ACCESS
TO PUBLIC PLACES DUE TO
IGNORANCE OR BIAS. SOMEONE
CLAIMING A PET WAS A SERVICE DOG
LEFT A BAD TASTE IN THE MOUTH OF
A BUSINESS OWNER. WHAT'S WORSE
SERVICE DOGS I'VE TRAINED, HAVE
BEEN FORCED OUT OF THEIR CAREERS
AFTER BEING ATTACKED AND
HARASSED BY POORLY TRAINED DOGS
AND PLACES WHERE PETS ARE NOT
PERMITTED. AND I AM ONLY ONE
TRAINER AND I KNOW SO MANY
SERVICE DOG PROFESSIONALS HERE.
THESE DEVASTATING STORIES. IN
FACT, A RECENT WHITE PAPER
PUBLISHED BY CANINE COMPANIONS
93.2% OF OUR 1500 SERVICE DOG
USERS REPORTED ENCOUNTERING
POORLY TRAINED DOGS IN PUBLIC
PLACES. 79% HAD A DOG BITE.
SNAP, VOCALIZED LUNGE AT OR
DISTRACT THEIR WORKING SERVICE
DOGS. I KNOW EDUCATION OF
BUSINESS OWNERS AND THE GENERAL
PUBLIC IS KEY TO REDUCING THE
NEGATIVE IMPACT ON PEOPLE WITH
DISABILITIES WHO RELY ON SERVICE
DOGS FOR INDEPENDENCE. MAYBE 15
IS THE ANSWER, AND IT WILL MAKE
A DIFFERENCE, PROVIDING THIS
MUCH NEEDED EDUCATION ON
AWARENESS ON BEHALF OF CANINE
COMPANIONS AND OUR CO SPONSORS.
I IMPLORE YOU TO SUPPORT MAYBE
15 18, AND I BELIEVE I SHOULD
HAVE A FEW EXTRA SECONDS, WHICH
I WILL BE GIVING. TO ONE OF OUR
GRADUATES OF BARRY SLASHING HER.
HELLO. I'M BARRY SLESINGER. I AM
IN SUPPORT OF A B 15 18. I AM A
FIVE TIMES SUPPORT DOG USER.
THANK YOU SO MUCH FOR THAT. AND
THAT'S NEXT WITNESS AND SUPPORT
. GOOD MORNING. I'M JUDY
WILKINSON, IMMEDIATE PAST
PRESIDENT OF THE CALIFORNIA
COUNCIL OF THE BLIND AND A
MEMBER OF ONE OF OUR STATE
CHAPTERS, THE GOLDEN STATE GUIDE
DOG HANDLERS. I'M ALSO A RETIRED
PROFESSOR OF ENGLISH I WAS AN
ORIGINAL FACULTY MEMBER OF
SKYLINE COMMUNITY COLLEGE IN THE
CEMETERY DISTRICT. SO I'M ALL
ABOUT EDUCATION AND THAT MY
GUIDE DOG ECHO AND I ARE HERE.
TO TALK ABOUT THAT CAN
DEPARTMENT OF CONSUMER AFFAIRS
EDUCATIONAL CAMPAIGN TO EDUCATE
BUSINESSES ABOUT BOTH THEIR
RESPONSIBILITIES AND, YES, THEIR
RIGHTS? UH AS BUSINESSES THEY DO
HAVE RESPONSIBILITIES TO LET
SERVICE ANIMALS IN. THEY HAVE
RIGHTS. THEY CAN EXCLUDE ANY
HANDLER AND SERVICE ANIMALS WHO
BEHAVES INAPPROPRIATELY WE ARE
ALL SUPPOSED TO HANDLE. HAVE THE
DOGS ON HAVE OUR ANIMALS UNDER
OUR CONTROL AT ALL TIMES WHEN
THEY ARE IN A BUSINESS AND A
BUSINESS HAS THE RIGHT TO SEND
US AWAY IF WE ARE NOT OBEYING
THE RULES, TOO MANY DOGS ARE
ALLOWED IN NOW WHO ARE NOT
FOLLOWING THE RULES. WE NEED TO
EDUCATE BUSINESSES ABOUT THAT,
AND WE NEED TO DO IT IN A TIMELY
MANNER. YOU WILL HAVE THE
SUPPORT OF THE GUIDE THE SERVICE
ANIMAL SCHOOLS, WHO WITH
ADVOCACY ORGANIZATIONS WILL
DETERMINE WHAT GOES INTO THIS
CAMPAIGN. AND ALSO, YOU CAN
APPARENTLY HIT HIM UP FOR SOME
MONEY, TOO. SO UH, WITH THAT, I
WILL. THANK YOU SO MUCH AND ECHO
AND I URGE YOUR SUPPORT OF THIS
BILL. THANK YOU SO MUCH. ANYONE
ELSE'S SUPPORT. MAYBE 15 18.
SEEN NONE. ANYONE IN OPPOSITION?
THANK GOODNESS. ALL RIGHT. SO
YOU KNOW OPPOSITION, BRING IT
BACK TO THE COMMITTEE. ANY
QUESTIONS FROM THE COMMITTEE
MEMBERS? SEEING NONE. WE HAVE A
MOTION AND A SECOND. UM, SOME
WOMEN WOULD YOU LIKE TO CLOSE?
JUST TAKE A MOMENT TO EDUCATE.
WE DIDN'T WORK ON THIS LAST
YEAR. BUT THERE WAS NO SUCH
THING IN THE LAW AS AN EMOTIONAL
SUPPORT ANIMAL. THEY'RE NOT
ALLOWED TO BE IN PLACES WHERE
OTHER PETS ARE NOT ALLOWED YOU
AS A HUMAN BEING CAN GET A
PRESCRIPTION FROM A DOCTOR TO
KEEP A PET IN YOUR HOME AS
EMOTIONAL SUPPORT, BUT THAT
ANIMAL DOESN'T HAVE ANY SPECIAL
RIGHTS. UH OCCURRED TO IT THAT
WAY THAT A SERVICE ANIMAL DOES.
THIS IS TO REDUCE THAT, UH, THAT
CONFLICT AND THAT LACK OF
UNDERSTANDING BY THE PUBLIC AND
BY BUSINESS OWNERS. I WOULD
CERTAINLY REQUESTS AND I VOTE.
THANK YOU. THANK YOU SO MUCH.
MADAM SECRETARY, PLEASE CALL THE
ROLL. A B 15 18 FRIEDMAN. THE
MOTION IS DUE PASS TO THE
COMMITTEE ON APPROPRIATIONS
VERMIN. HI. BERMAND I FLORA
AYALON EASE. ALVAREZ. PONTA.
CHEN. DIXON. GIBSON. GIBSON. I
GRAYSON. GRACE AND I, IRWIN.
JACKSON LEE. WE? I. I AM MCCARTY
MAKIN, ER WHEN I PATERSON
PATERSON KNIGHTING. I BELIEVE
THAT ROLE OPEN FOR ABSENT
MEMBERS. THANK YOU, SIMON
MEMBER. NEXT STEP. I BELIEVE WE
HAVE SOME REMEMBER GIBSON. WITH
A B. 13 28 AGENDA. I REMEMBER
13. YEAH, I GOT A MOTION IN A
SECOND. IN A CHAIR. I WRECK Ó.
AND A REPUBLICAN IRAQ. OH,
THINGS ARE LOOKING UP, MR
GIBSON. I APPRECIATE THAT. THANK
YOU VERY MUCH, MR. CHAIR UM
AGAIN, I WANT TO INTRODUCE AND
THANK YOU VERY MUCH FOR THE
MOVING THE BILL. I HAVE TWO
WITNESSES. UM JUST LET ME SAY
THIS IS A SIMILAR BILL 13 28,
WHICH ALLOWS CALIFORNIA TO ENTER
INTO AN INTERSTATE COSMETOLOGY
COMPACT. MY TWO WITNESSES WILL
SELF INTRODUCED A REPRESENTATIVE
FROM THE CALIFORNIA BOARD OF
BARBERING AND COSMETOLOGY AND
THE NATIONAL CENTER. OR
INTERSTATE COMPACT. SO ALL RIGHT
. CHRISTY UNDERWOOD. I'M THE
EXECUTIVE OFFICER WITH THE STATE
BOARD OF BARBERING AND
COSMETOLOGY. OUR BOARD IS IN
SUPPORT OF THE BILL. THANK YOU
VERY MUCH. MHM. REMEMBER THAT
THE COMMITTEE? MY NAME'S DAN
LACSON. I AM THE DIRECTOR OF THE
NATIONAL CENTER FOR INTERSTATE
COMPACTS AT THE COUNCIL, STATE
GOVERNMENTS AND I'M HERE TO
ANSWER ANY TECHNICAL QUESTIONS
YOU MAY HAVE. I DON'T ANTICIPATE
ANY APPRECIATE IT. ANY QUESTIONS
OR COMMENTS FROM COLLEAGUES. I
THINK EVERYONE'S READY TO MOVES
THE BILL ALONG AND WE'VE GOT A
MOTION A SECOND. SURE JUST
REMEMBER GIBSON. WOULD YOU LIKE
TO CLOSE? RESPECTFULLY ASK WHEN
I VOTE. THANK YOU VERY MUCH
CHAIR IN A DIFFERENT CONTEXT,
BUT UM THANK YOU TO MR GIBSON.
BUT FOR AUTHORING THIS BILL IN
FOR YOUR REPRESENTATION OF
CALIFORNIA ON THE COUNCIL OF
STATE GOVERNMENTS, YOU DO A VERY
GOOD JOB OF REPRESENTING
CALIFORNIA ON THE COUNCIL OF
STATE GOVERNMENTS. UM HAPPY TO
SUPPORT THE BILL TODAY. THANK
YOU VERY MUCH. MADAM SECRETARY.
PLEASE CALL THE VOTE. A B 13 28
GIBSON. THE MOTION IS DUE PASS
TO THE COMMITTEE ON
APPROPRIATIONS. BERMAN BERMAN I
FLORA FLORA, VIOLIN EASE.
ALVAREZ BANTA CHEN DIXON. GIBSON
GIBSON, I GRAYSON. GRACE AND I,
IRWIN. JACKSON LEE. LOW AND TALL
, LOW AND THOUGHT I AM MCCARTY
MAKIN ER WHEN I PATERSON
PATERSON KNIGHTING. OH, OR WHEN,
AND WE'RE BACK. UM A B 13 28
GIBSON. THE MOTION IS DUE PASS
TO THE COMMITTEE ON
APPROPRIATIONS. IRWIN IRWIN. I
LI WAIT BY. WE'LL DO THAT ROLE
OPEN CRABS AND MEMBERS. I HAVE
LOST TRACK, SO I DON'T KNOW
WHICH BILLS WE HAVE LEFT. UH
SOME MEMBER NGUYEN AGENDA ITEM
17 A B 16 46.
MM HMM. GOOD MORNING CHAIR AND
MEMBERS. ON NOVEMBER 11TH. 2022
CALIFORNIA OVERWHELMINGLY PASSED
PROP ONE TO PROTECT THE RIGHTS.
TO SAFELY ABORTION. AND
FURTHERMORE, THE ACCREDITATION
COUNCIL FOR GRADUATE MEDICAL
EDUCATION REAFFIRMED ITS
LONGSTANDING REQUIREMENT THAT O
B G Y IN RESIDENCY PROGRAMS MAKE
TRAINING. AVAILABLE. HOW DID THE
TWO RELATE. MR CHAIR, YOU ASK I
CAN TELL YOU THIS. WHAT THAT DID
WAS THAT ALLOWED MEDICAL
RESIDENTS TO BE ABLE TO BE FULLY
AND PROPERLY TRAIN. WHAT WE'RE
SEEING HAPPENING NOW IS STATES
ALL ACROSS THE COUNTRY ARE
BANNING ABORTION, MAKING IT
REALLY DIFFICULT FOR MEDICAL
RESIDENTS TO BE FULLY AND
PROPERLY TRAINED. A B 16 46
ALLOW THIS PROVISION AND SHOW
THAT MEDICAL RESIDENTS CAN
PARTICIPATE IN NOT ONLY GUESS
ROTATION AND IN APPROVED POST
POST GRADUATE TRAINING PROGRAMS
, BUT ALSO IN A C G M E
CERTIFIED TRAINING SITES LIKE
HEALTH CLINICS, COMMUNITY
CLINICS, PUBLIC HEALTH CENTERS
AND OTHER HEALTH FACILITIES IN
CALIFORNIA. ALLOWING THEM TO BE
ABLE TO FULFILL THEIR HOURS AND
BECOME PROPERLY AND FULLY
TRAINED. WITH ME TODAY IS
CHRISTIAN SIMONSON. DIRECTOR OF
PROGRAMS AND OPERATIONS FROM
RYAN RESIDENCY TRAINING
PROGRAMS, AND DR TANYA. FAST SUE
DIRECTOR OF ABORTION INSULATION
SERVICES AT PLANNED PARENTHOOD,
NORTHERN CALIFORNIA. I HAVE A
MOTION THE SECOND TWO MINUTES
PER WITNESS READY WHENEVER YOU
ARE. GOOD MORNING CHAIR BERMAN
AND MEMBERS. MY NAME IS KRISTEN
SIMONSON, AND I'M THE DIRECTOR
OF PROGRAMS AND OPERATIONS FOR
THE RYAN RESIDENCY TRAINING
PROGRAM. THE RYAN PROGRAM IS A
NATIONAL INITIATIVE TO INTEGRATE
AND ENHANCE FAMILY PLANNING,
TRAINING FOR OBSTETRICS AND
GYNECOLOGY RESIDENTS. I'M HERE
TODAY IN SUPPORT OF ASSEMBLY
BILL 16 46, WHICH WILL OFFER
MEDICAL RESIDENTS TO PARTICIPATE
IN GUEST ROTATIONS IN
CALIFORNIA. NEARLY ALL OBEDIENCE
HAVE PATIENTS THAT NEED ABORTION
CARE, MAKING IT A CRITICAL SKILL
THAT THEY MUST BE TRAINED TO
PROVIDE. THESE SAME SKILLS ARE
ESSENTIAL FOR MANAGING PREGNANCY
LOSS, PREGNANCY COMPLICATIONS
AND MANY OTHER COMMON OBSTETRIC
AND GYNECOLOGIC CASES. THESE
SKILLS ARE IN JEOPARDY FOR
THOUSANDS OF WOULD BE GOING
RESIDENTS SINCE THE SUPREME
COURT OVERTURNED ROE V. WADE. WE
NEED TO FIND WAYS FOR FUTURE
PHYSICIANS TO GET HANDS ON
TRAINING TO ENSURE THAT PEOPLE
IN ALL STATES GET THE SKILLED
CARE THEY DESERVE. APPROXIMATELY
ONE THIRD OF OBEDIENCE RESIDENCY
PROGRAMS IN THE UNITED STATES
ARE EITHER IN A STATE WITH VERY
RESTRICTIVE ABORTION BANS HAVE
NO ABORTION PROVIDERS LIMIT
ABORTION CARE AFTER SIX WEEKS OR
FACE AN UNCERTAIN ABOARD FUTURE
FOR ABORTION ACCESS AS THEY
AWAIT OUTCOMES OF COURT CASES.
APPROXIMATELY ONE THIRD OF
FUTURE Ó BEGINS WILL
POTENTIALLY GRADUATE WITHOUT THE
SKILLS THEY NEED TO PROVIDE FULL
SPECTRUM REPRODUCTIVE
HEALTHCARE. IT HAS ENORMOUS
IMPLICATIONS FOR THEIR FUTURE
PATIENTS AND THE COMMUNITIES
THEY WILL SERVE. THE RYAN
PROGRAM STARTED A PROJECT TO
HELP OUR PROGRAMS AND
RESTRICTIVE STATES PARTNER WITH
OTHER PROGRAMS SO RESIDENTS CAN
RECEIVE THE ABORTION TRAINING
THEY NEED. SINCE MARCH, 2020. WE
HAVE WORKED WITH 17 PROGRAMS AND
RESTRICTIVE STATES WHO ARE NOW
SENDING THEIR RESIDENTS TO
CALIFORNIA, NEW YORK,
MASSACHUSETTS AND ILLINOIS TO
RECEIVE ABORTION TRAINING. OVER
50 PROGRAMS ARE STILL LOOKING
FOR TRAINING PARTNERSHIPS, AND
THAT NUMBER WILL LIKELY ONLY
INCREASE. THE PROCESS IS SET UP
OUT OF STATE TRAINING
PARTNERSHIPS IS COMPLEX AND TIME
CONSUMING, AND THERE CURRENTLY
IS MORE DEMAND FOR TRAINING
PARTNERSHIPS, THEN AVAILABLE
PARTNERS NATIONWIDE. ASSEMBLY
BILL 16 46 WOULD HELP TO ADDRESS
BOTH THESE OBSTACLES BY
FACILITATING EASIER TRAINING
RELATIONSHIPS AND INCREASE
CALIFORNIA'S ABILITY AND
CAPACITY TO CREATE PARTNERSHIPS
AND HOST RESIDENTS. IT'S AN
IMPORTANT STEP TO HELP FIX A
COMPLEX PROBLEM AND I URGE YOUR
SUPPORT. THANK YOU VERY MUCH.
HMM THANK YOU. GOOD MORNING
SHARE BERMAN AND MEMBERS OF THE
COMMITTEE. MY NAME IS DR TANYA
BASU, AND I'M A BOARD CERTIFIED
OBSTETRICIAN GYNECOLOGISTS AND
COMPLEX FAMILY PLANNING
SPECIALISTS. I'M ALSO THE
DIRECTOR OF ABORTION AND
SEDATION SERVICES FOR PLANNED
PARENTHOOD, NORTHERN CALIFORNIA
AND ON VOLUNTARY CLINICAL
PROFESSOR OF O B. G Y. N AT
UNIVERSITY OF CALIFORNIA, SAN
FRANCISCO. I AM HERE TODAY IN
STRONG SUPPORT OF ASSEMBLY BILL
16 46, WHICH WILL ALLOW A
MEDICAL RESIDENT PHYSICIANS TO
PARTICIPATE IN GUEST ROTATIONS
IN CALIFORNIA. TRAINING IN
ABORTION CARE IS ESSENTIAL TO
THE PROVISION OF HEALTH CARE TO
PREGNANT PEOPLE ACROSS THIS
COUNTRY. SOON AFTER ROE FELL, I
WAS APPROACHED BY MEDICAL
STUDENTS WHO MATCHED IN A BIG
GÂY N IN SEVERELY RESTRICTED
STATES. THESE FUTURE DOCTORS
WERE CONCERNED REGARDING THEIR
ABILITY TO GAIN THE SKILLS TO
SAFELY PROVIDE ABORTION, ASKING
IF THEY CAN RETURN RETURN TO
TRAIN WITH ME IN CALIFORNIA. AS
A REPRODUCTIVE FREEDOM STATE. WE
ARE IN THE BEST POSITION TO
PROVIDE THE SUPPORT TO TRAINEES
COMING FROM STATES WHERE THEY
CAN BE PROSECUTED FOR PERFORMING
A PROCEDURE THAT IS AN ESSENTIAL
PART OF HEALTHCARE. RECENTLY I
WAS ON CALL ON LABOR AND
DELIVERY, CARING FOR A PATIENT
WHO WAS 20 WEEKS PREGNANT WITH
SEVERELY HIGH BLOOD PRESSURE IS
CAUSING LIVER AND KIDNEY FAILURE
. SHE HAD A CONDITION CALLED
SEVERE PRE ECLAMPSIA, AND IF SHE
REMAINED PREGNANT, SHE COULD
SUFFER STROKES AND EVEN DIE. THE
EVENING I WAS ON CALL HER HEALTH
STATUS QUICKLY DETERIORATED.
AFTER MUCH DISCUSSION WITH THE
SPECIALIST ON THE TEAM, SHE
DECIDED TO UNDERGO PROCEDURAL
ABORTION OF THIS MUCH DESIRED
PREGNANCY IN ORDER TO SAVE HER
LIFE AND TO BE PRESENT FOR HER
THREE YEAR OLD CHILD. THAT
NIGHT. THE RESIDENT AND I WERE
ABLE TO SAFELY PROVIDE THE CARE
SHE NEEDED. AND WITHIN HOURS
AFTER THE PROCEDURE, HER BLOOD
PRESSURE STABILIZED AND HEALTH
RAPIDLY APPROVED. THE RESIDENTS
REFLECT ON HOW IF I WASN'T THERE
TO BOTH PROVIDE THE CARE AND TO
SUPERVISE THE RESIDENT THROUGH
IT. THEY WOULD HAVE HAD TO
PERFORM A MUCH LARGER SURGERY,
WHICH COULD HAVE INCREASED HER
RISK OF COMPLICATIONS, INCLUDING
PROLONGED HOSPITALIZATION AND
LOSS OF HER UTERUS. IF WE DO NOT
TRAIN THE NEXT GENERATION OF
PROVIDERS APPROPRIATELY, THE
HEALTH OF MANY PREGNANT PEOPLE
AND THE WELL BEING OF FAMILIES
WILL BE GREATLY IMPACTED,
ULTIMATELY FURTHER, INCREASING
MATERNAL MORTALITY AND OUR
COUNTRY. IN CALIFORNIA. WE HAVE
SEVERAL TRAINING PROGRAMS, MANY
OF WHICH PARTNER WITH PLANNED
PARENTHOOD AFFILIATES TO TRAIN
RESIDENT PHYSICIANS IN
PROCEDURAL ABORTION. DOCTORS WHO
ARE TRAINED DURING RESIDENCY ARE
MORE LIKELY TO PERFORM THESE
PROCEDURES IN THEIR PRACTICE,
WHICH IS USED COMMONLY FOR
MANAGEMENT OF PREGNANCY
COMPLICATIONS LIKE THE VERY ONE
I DESCRIBED. PLEASE HELP
MAINTAIN THIS ESSENTIAL
PROCEDURAL SKILL WITHIN THE
PRACTICE OF HIGH QUALITY
EVIDENCE BASED MEDICINES. AND
PLEASE SUPPORT A PIECE. 16 46.
THANK YOU. THANK YOU VERY MUCH.
ANY PRIMARY WITNESSES IN
OPPOSITION TO THE BILL. ANY UH
FOLKS OF THE PUBLIC WHO WANT TO
ADD ON IN SUPPORT OF THE BILL,
PLEASE PROVIDE YOUR NAME
ORGANIZATION YOU'RE WITH IF ANY
POSITION ON THE BILL ALL YOUR
APPS AND PLANNED PARENTHOOD
AFFILIATES OF CALIFORNIA WERE
SPONSORED STRONG SUPPORT. THAT
WAS A MEMBER OF A S. C I U
CALIFORNIA AND SUPPORT. THANK
YOU. ANY MEMBERS OF THE PUBLIC
WANT TO ADD ON AN OPPOSITION TO
THE BILL. SEEING NONE, AND WE'VE
GOT A MOTION IN A SECOND, I
BELIEVE, BRING IT BACK TO
COLLEAGUES FOR QUESTIONS OR
COMMENTS ANY QUESTIONS OR
COMMENTS GOOD BILL. THAT'S TWO
WORDS THAT SAY SO MUCH. SOUTHERN
MEMBER. WHEN WOULD YOU LIKE TO
CLOSE? RESPECTFULLY ASK FOR YOUR
VOTE. THANK YOU. THANK YOU.
THANK YOU FOR BRINGING THIS BILL
FORWARD. IT'S CRITICALLY
IMPORTANT THAT WE DO EVERYTHING
IN OUR POWER TO PRESERVE ACCESS
TO ESSENTIAL REPRODUCTIVE
HEALTHCARE SERVICES. UH AND I AM
PROUD OF SUPPORT THIS BILL TODAY
, MADAM SECRETARY, PLEASE CALL
THE VOTE. A B 16 46 WHEN THE
MOTION IS DUE PASS AS AMENDED TO
THE COMMITTEE ON APPROPRIATIONS.
BERMAN. I FLORA. LARA NÓ ELONIS.
COLONIES. I ALVAREZ. PONTA WANT
TÚI CHEN DIXON. DIXON. DIXON.
NO, GIBSON. GIBSON I GRAYSON
GRAYSON. I IRWIN IRWIN I
JACKSON. JACKSON. I LI. AYE,
LOWENTHAL LOW AND THOUGHT I AM A
CARDI MAKIN ER WHEN I PATERSON
PATERSON, NOTING. CONGRATS
THAT'S THE FIRST BILL THAT'S OUT
SO FAR TODAY WE'LL KEEP THE ROLE
OPEN FOR ABSENT MEMBERS. AND WE
HAVE A MOTION ON THE CONSENT
CALENDAR HAVE A SECOND ON THE
CONSENT CALENDAR. GIBSON UH AND
FLORA, MADAM SECRETARY, PLEASE
CALL THE VOTE ON THE CONTENT
CALENDAR. ON THE CONSENT
CALENDAR. BERMAN. I FLORA. FLORA
I COLONIES COLONIES? I ALVAREZ.
PONTA. AYE. PHªN TÚI CHEN DIXON
SIX, AND I GIBSON. GIBSON I
GRAYSON GRAYSON, I IRWIN IRWIN,
I JACKSON JACKSON ISLAY. LEE I
LOWENTHAL AND THOUGHT I MCCARTY
MAKIN ER WHEN I PATERSON
PATERSON. I THINK. CONSENT
CALENDARS OUT, WE'LL LEAVE THE
ROLE OF AND PERHAPS SOME
MEMBERS. IT'S ALL GOOD. SO LET'S
UH WHY DON'T WE START FROM THE
TOP? SOME BILLS WILL NEED
MOTIONS IN SECONDS BECAUSE WE
WERE ONLY A SUBCOMMITTEE WHEN
THE BILLS WERE PRESENTED, BUT
LET'S START WITH AGENDA. ITEM
NUMBER ONE, PLEASE. GOT A MOTION
IN A SECOND. A BEEF A B 4 81
WENDY CARILLO EMOTION IS DO PASS
TO THE COMMITTEE ON
APPROPRIATIONS. BERMAN BERMAN. I
FLORA. FLORA IOWA KNEES, KNEES.
I ALVAREZ. PONTA I WANTED I CHEN
DIXON. FIX AND I GIBSON.
GRAYSON. GRACE AND I, IRWIN.
IRWIN I JACKSON. JACKSON I LI LI
I LOWENTHAL. UM AH! LOWENTHAL 84
81. I LOVE AND THOUGHT I MCCARTY
MAKIN ER WHEN I PATERSON
PATERSON WRITING. THAT BUILDS
OUT WE'LL LEAVE IT OPEN FOR
ABSENT MEMBERS. YEAH. A B 7 96
WEBER. COLONIES. ALAN IS NOT
VOTING. ALVAREZ PONTA. BANTER.
AYE. GRAYSON. GRACE AND I,
IRWIN. IRWIN NOT VOTING,
JACKSON. JACKSON I MCCARTY AH
TANG. THAT BILL IS OUT. A B 8 14
LOWENTHAL. THE MOTION IS DUE
PASS AS AMENDED TO THE COMMITTEE
ON APPROPRIATIONS COLONIES IS
NOT VOTING ALVAREZ PONTA. I WANT
TO I, CHEN DIXON. DIXON KNOW
GRAYSON. GRACE AND I, JACKSON
JACKSON. AYE. MCCARTHY TING.
THAT BUILDS OUT. A B 996 LOW. UM
. WE NEED EMOTION IN A SECOND
FOR I HAVE A MOTION AND A SECOND
ON JENNA ITEM. 5 89 96 LOW THE
MOTION IS DUE PASS TO THE
COMMITTEE ON APPROPRIATIONS.
BERMAN BERMAN I FLORA. FLORA I
COLONIES COLONIES. I ALVAREZ. I
BONTA I WANTED I CHEN DICKSON
DICKSON. I GIBSON GRAYSON. GRACE
AND I, IRWIN. IRWIN I JACKSON.
JACKSON. I LI UH HUH. LEE I,
LOWENTHAL. HELLO AND THOUGHT I
AM MCCARTY MCKINNA MCKINNA I
WHEN I PATERSON PATERSON, I TANK
THAT BUILDS OUT. A B 12 OH,
FOUR. HOLDEN THE MOTION IS DUE
PASS AS AMENDED TO THE COMMITTEE
ON APPROPRIATIONS COLONIES. HE'S
NOT VOTING. ALVAREZ I BONTA. TÔI
CHEN DIXON. DIXON KNOW GRAYSON.
GRACE AND I, JACKSON JACKSON, I
MCCARTY THANK YOU. THAT BUILDS
OUT. WE NEED A MOTION IN SECOND
FOR 12 92 IF YOU WANT TO MOVE
YOUR BILL. GIVE MOVES THE BILL.
WE HAVE A SECOND. THANK YOU. A B
12 92 FLORA. THE MOTION IS DUE
PASS AS AMENDED TO THE COMMITTEE
ON APPROPRIATIONS. BERMAN BERMAN
I FLORA FLORA, IOWA KNEES,
KNEES. I ALVAREZ. I BONTA
BANTER, NOT VOTING. CHEN. DIXON.
FIXING I GIBSON GRAYSON. GRACE
AND I, IRWIN. IRWIN I JACKSON.
JACKSON ISLAY. UH HUH. LEE NOT
VOTING LU█N LOAN THOUGHT I
MCCARTY MAKIN, ER MAKIN HER. I
WIN WHEN I PATERSON PATERSON, I
TINK. ON A B 13 28 GIBSON. THE
MOTION WAS DO PASS TO THE
COMMITTEE ON APPROPRIATIONS
COLONIES. COLONIES I ALVAREZ I
BONTA. TÔI CHEN DIXON. SIX AND
I, JACKSON JACKSON. I MCCARTY
MAKIN ER MAKIN ER I TINK. THAT
BUILDS OUT. ON A B 13 96 GARCIA
. THE MOTION WAS DO PASS TO THE
COMMITTEE ON APPROPRIATIONS
COLONIES. ELONIS AYE, ALVAREZ. I
BONTA. TÔI CHAN DICKSON DICKSON.
I GRAYSON. GRACE AND I, IRWIN.
IRWIN I JACKSON. JACKSON. I'M
MCCARTY TING. THAT BUILDS OUT.
ON A B 15 18 FRIEDMAN. THE
MOTION WAS DUE PASSED TO THE
COMMITTEE ON APPROPRIATIONS
ALBANESE COLONIES. ALVAREZ
ALVAREZ, I BONTA. TÔI CHEN
DIXON. DIXON. I IRWIN. IRWIN I
JACKSON. JACKSON I MCCARTY MAKIN
ER MAKIN ER I TINK. THAT BILL IS
OUT, UM. NEVER MIND. TO GET
AHEAD. ON A B 16 46 WHEN THE
MOTION WAS DO PASS AS AMENDED TO
THE COMMITTEE ON APPROPRIATIONS.
ALVAREZ. I MAKIN, ER MAKIN, ER I
AND THAT'S IT. YEAH.
GO AHEAD. ON A B 17 41 WALDRON.
THE MOTION WAS DO PASS AS
AMENDED TO THE COMMITTEE ON
APPROPRIATIONS. BERMAN BERMAN. I
COLONIES ELONIS? AYE, ALVAREZ. I
BONTA. AGENDA 18 A B 17 41
WALDRON UM BONTA, NOT VOTING.
CHEN DIXON. FIXING I IRWIN
IRWIN, I JACKSON. JACKSON I
MCCARTY WHEN I 10. THAT BILL IS
OUT. ASSUME YEP. OKAY, SO, UH.
IF YOU.
ALL RIGHT. SO WHY DON'T WE?
WE'RE GONNA WE'RE GONNA RUN IT
FROM THE TOP BECAUSE FOLKS HAVE
BEEN COMING IN AND OUT, SO WE'RE
JUST GONNA TAKE IT TAKE IT FROM
THE TOP. ON THE CONSENT
CALENDAR. ALVAREZ ALVAREZ, I
MCKINNA MCKINNA. AYE. ON MM ON A
B 4 81 WENDY CARILLO UM ALVAREZ.
ON A B 4 81. UM ALVAREZ? AYE.
THANK MCKINNA MCKINNA? AYE.
ON ABC. 7 96 WEBER. UH, UM
ALVAREZ ALVAREZ? AYE. ON A B 8
14 LOWENTHAL ALVAREZ ALVAREZ.
AYE. TALKING.
A B 12 OF FOUR HOLDEN VOTE
CHANGE COLONIES FROM NOT VOTING
TO COLONIES. AYE.
ON CONSENT. UM TING TING? AYE. A
B FOR 81 WHEN THE CARILLO TING
TING. AYE. A B 7 96 WEBER THING.
THING I. A B 8 14 LOWENTHAL.
TING TING. AYE. A B 996 LO TING
TING. AYE. MAYBE 12 OH, FOUR.
HOLDEN. TING. I THINK I. A B 12
92 FLORA TING TING. AYE. HE BE
13 28 GIBSON THING, KING? AYE. A
B 13 96 GARCIA TING. TING AYE. A
B 15 18 FRIEDMAN TING. THING I.
A B 16 46 WHEN KING THING I. AND
A B 17 41 WALDRON TING. I THINK
I. AND WITH THAT, AND WITH THAT
WE'RE ADJOURNED.