GOOD. BEFORE WE BEGIN I'D LIKE
TO START BY MAKING A STATEMENT
OF PROVIDING TESTIMONY AT
TODAY'S HEARING. WE SEEK TO
PROTECT THE RIGHTS OF ALL WHO
PARTICIPATE IN THE LEGISLATIVE
PROCESS SO WE CAN HAVE EFFECTIVE
DELIBERATION ON THE CRITICAL
ISSUES FACING CALIFORNIA A
WITNESSES WILL BE TESTIFYING IN
PERSON WILL OUT TO MAIN
WITNESSES FOR A MAXIMUM OF THREE
MINUTES EACH ADDITIONAL
TESTIMONY WILL ALSO BE IN PERSON
AND LIMITED TO NAME POSITION AN
ORGANIZATION IF YOU REPRESENT
ONE OF TESTIMONY COMMENTS ARE
LIMITED TO THE BILL AT HAND. WE
DO HAVE A PRISON A PROPOSED
CONSECUTIVE DAY- THAT CALENDAR-
CONSISTS OF THE FOLLOWING ITEMS
ITEM NUMBER TWO SB SIX NINETY
FOUR BY S. BY CENTER EGGMAN I AM
NUMBER FOUR SB SIX FORTY ONE BY
SENATOR ROTH. I REMEMBER FIVE S.
B. NINETEEN BY SOME OF THE
SENATOR- SEYARTO- SO THAT WILL
LEAVE US. WITH AMENDMENTS EXCUSE
ME THANK YOU I'M SO THAT WILL
LEAVE US WITH FOR BILLS- AND THE
FIRST BILL TODAY IS WE IS-
SENATOR CAFIERO SB SIX TWENTY
ONE. WE ARE OPERATING AS A SUB
COMMITTEE A SMALL SUB COMMITTEE
UNTIL WE HAVE MORE PEOPLE. THIS
GROWING THAT'S GOOD SO WHENEVER
YOU'RE READY SENATOR.
THANK YOU VERY MUCH MR CHAIRMAN
MEMBERS I AM PLEASED TO PRESENT
SB SIX TWENTY ONE. CALIFORNIANS
ESPECIALLY RURAL RESIDENTS ARE
CONFRONTED BY HEALTHAXIS
CHALLENGES THAT I KNOW ARE VERY
FAMILIAR TO YOU MISTER CHAIR
SUCH AS HOSPITAL CLOSURES
LIMITED TREATMENT FOR ACCESS
LACK OF TRANSPORTATION AND HIGH
PRESCRIPTION DRUG PRICES THIS
BILL WILL TARGET A CRUCIAL AREA
OF HEALTH CARE ACCESSIBILITY. TO
LOWER THE PRICE OF PRESCRIPTION
DRUGS WHICH HAVE HIGH PRICES IN
DUE DUE IN PART TO THE LACK OF
COMPETITION THE BRANDED DRUGS
RECEIVED FROM LOWER PRICED BUT
EQUALLY EFFECTIVE OPTIONS.
BIOSIMILARS ARE DRUGS THAT ARE
REGULAR RIGOROUSLY TESTED AND
APPROVED BY THE FDA AS HAVING
QUOTE NO CLINICALLY MEANINGFUL
DIFFERENCE FROM A BRAND NAME
DRUG IN TERMS OF SAFETY PURITY
AND POTENCY ACCORDING TO THE FDA
BIOSIMILARS ARE SAFE AND AS
EFFECTIVE AS THE ORIGINAL
BIOLOGIC BOTH ARE RIGOROUSLY AND
THOROUGHLY EVALUATED BY THE FDA
BEFORE APPROVAL. AND BEFORE THAT
APPROVAL FDA EXPERTS MUST
CONCLUDE THAT IT'S HIGHLY
SIMILAR TO AND HAS NO CLEAN
CLINICALLY MEANINGFUL DIFFERENCE
FROM THE ORIGINAL BIOLOGIC THE
INTRODUCTION OF BIOSIMILARS
FREQUENTLY LEADS TO INCREASE
ACCESS FOR PATIENTS DRIVEN BY
THE LOWER COST. SINCE
BIOSIMILARS HAVE BEEN INTRODUCED
IN THE U. S. THEY HAVE SAVED
OVER THIRTEEN BILLION DOLLARS
AND ARE EXPECTED TO GENERATE
OVER A HUNDRED AND EIGHTY
BILLION DOLLARS OVER THE- IN
SAVINGS OVER THE NEXT FIVE
YEARS. DESPITE BIOSIMILARS
WIDESPREAD ADOPTION IN EUROPE
BARRIERS TO THEIR ADOPTION
REMAIN IN THE UNITED STATES DUE
TO THE POWER OF THE PRESCRIPTION
DRUG COMPANIES WHICH HAVE. USED
THE LEGAL SYSTEM TO BLOCK THE
WIDESPREAD ADOPTION. THIS IS
RESULTED IN HIGHER HEALTH CARE
PREMIUMS AND TENS OF THOUSANDS
OF DOLLARS IN OUT OF POCKET
COSTS FOR THE PATIENTS WITH
CHRONIC CONDITIONS THIS BILL
PROVIDES HEALTH PLANS WITH THE
TOOLS TO ACCESS THE LOWER COST
BIOSIMILAR. WITHOUT THE NEED TO
TRY THE EQUIVALENT BRAND
TREATMENT FIRST IT EXTENDS A
RELEVANT PATIENT PROTECTIONS TO
THE USAGE OF BIOSIMILAR SUCH AS
THE ABILITY OF THE PROVIDER TO
REQUEST THAT THE ORIGINAL BRAND
TREATMENT TODAY BUT TO BE
UTILIZED IN OTHER WORDS IT
DOESN'T TAKE THAT OFF THE TABLE.
A PRESCRIBER IN CALIFORNIA WILL
HAVE TO APPROVE THE USE OF
BIOSIMILARS PRIOR TO IT BEING
ADMINISTERED TO A PATIENT. I'M
PROUD TO SAY THAT THE PATIENT
GROUP LIKE SEE LIKE. THE PATIENT
GROUPS LIKE THE INTERNATIONAL
FOUNDATION FOR AUTO IMMUNE AND
INFLAMMATORY ARTHRITIS IN THE
AIDS HEALTHCARE FOUNDATION AND
GROUPS RURAL CALIFORNIA LIKE THE
AFRICAN AMERICAN FARMERS OF
CALIFORNIA. AND THEN YOU SEE
FARMERS LEAGUE SUPPORT THE BILL.
BECAUSE IT WE ARE WORKING TO
LOWER THE PRICE OF PRESCRIPTION
DRUGS AND REDUCE HEALTHCARE
PREMIUMS WITHOUT DELAY. TO
ENSURE PATIENTS WITH CHRONIC
CONDITIONS HOW THE CARE THEY
NEED. WITH ME TODAY TO TESTIFY
IS BRED MICHELIN FROM THE
ASSOCIATION FOR ACCESSIBLE
MEDICINES.
GOOD AFTERNOON MR CHAIRMAN
MEMBERS PROMOTION WITH THE
ASSOCIATION. FOR ASSESSABLE
MEDICINES A A. M. REPRESENTS THE
GENERIC AND BIOSIMILAR
MANUFACTURERS- AND ARE PLEASED
TO SPONSOR THIS BILL AND THANK
THE SENATOR FOR CARRYING IT. OR
INTENT BEHIND THE BILL IS- IS
REALLY QUITE SIMPLE AND THAT IS
TO INCREASE ACCESS AND REDUCE
COSTS. SOME SPECIFIC REDUCTIONS
ACOSTA THROUGH THE USE OF
BIOSIMILARS- FOR PARTICULAR
DRUGS- THE SENATOR HAS ALREADY
MENTIONED SOME OF THE- JUST THE
SCOPE OF BIOSIMILAR SAVINGS BUT-
WE'VE ALREADY SEEN WITH THE
FIRST. BIOSIMILAR INSULIN COME
TO MARKETS BEING OFFERED AT A
65% REDUCTION- FROM THE
REFERENCE DRUG. THERE WAS A
RECENTLY- WHAT WILL BE THE
SECOND CHIU MERA BIOSIMILAR AND
IT IS GOING TO BE OFFERED AT IT
85% REDUCTION FROM THE
REFERENCED BRAND DRUGS. SO THE
DATA IS VERY CLEAR THERE IS VERY
SIGNIFICANT COST SAVINGS- THE
DATA IS ALSO SHOWING THAT THERE
IS NO INCREASED RISK FROM USING
BIOSIMILARS FROM THE- THE
REFERENCE PRODUCT OR REALLY FOR.
THE ANY INTERCHANGEABLE
BIOSIMILARS AND I'M HAPPY TO
ANSWER ANY QUESTIONS I KNOW
THERE'S OFTEN QUESTIONS ON
REALLY WHAT ARE THE DIFFERENCES
BETWEEN. OF THE REFERENCE
PRODUCT OF BIOSIMILAR AND
INTERCHANGEABLE BIOSIMILAR BUT-
AWAY. FOR ANY QUESTIONS IF THERE
ARE ANY FOR THAT. THANK YOU AGIP
OF WITNESSES AND SOME. BUT THERE
ARE OTHERS IN SUPPORT IN THE
AUDIENCE- JUST YOUR NAME-
ORGANIZATION IF YOU REPRESENT
ONE. THE AFTERNOON MR CHAIRMAN
MEMBERS ON THE RESTAURANT MADE
AS ON BEHALF OF THE CITY OF
SOLEDAD IN STRONG SUPPORT THANK
YOU THANK YOU. THIS CHAIR
MEMBERS COMMITTEE BRANDON MARCH
WITH THE CALIFORNIA MEDICAL
ASSOCIATION IN SUPPORT THANK YOU
. IS THIS ONE ARE BEHALF OF
MADERA COUNTY BOARD OF
SUPERVISORS AND SUPPORT THANK
YOU THANK YOU. PRESTON YOUNG FOR
THE CALIFORNIA CHAMBER OF
COMMERCE HERE TODAY IN SUPPORT.
THANK YOU. IS THERE ANYONE IN
OPPOSITION TO THE BILL. SEE NO
ONE WILL BRING BACK TO THE
COMMITTEE QUESTIONS OR COMMENTS
FROM THE COMMITTEE. AFTER WEBER
. THANK YOU SENATOR FOR BRINGING
THIS BELL AND I'M ACTUALLY GOING
TO TAKE YOU UP ON YOUR OFFER I'M
TO EXPLAIN BECAUSE I WAS TRYING
TO DISCUSS WITH WITH MY STAFF
AND- ARE ALL BIOSIMILARS
INTERCHANGEABLE. NO IT'S
ACTUALLY THE OTHER WAY AROUND
ALL INTERCHANGEABLE ARE
BIOSIMILARS. BUT IN ORDER TO GET
THE INTERCHANGEABLE DESIGNATION
IT'S REALLY A FISCAL DECISION
MADE BY THE MANUFACTURER AND THE
INTENT IS WHETHER OR NOT THAT
PARTICULAR DRUG IS ACCESSED
THROUGH A LIKE A CVS ROLE. A
WALGREENS OR YOU KNOW ANY OTHER
TYPE OF PHARMACY- AND THE ONLY
REAL. JOINT OF DOING THAT IS
BECAUSE THE INTERCHANGEABLE
DESIGNATION WOULD ALLOW A
PHARMACIST TO SUBSTITUTE AN
INTERCHANGEABLE FOR. WHETHER
IT'S THE BIOLOGIC WERE ANOTHER
BIOSIMILAR- AND SO BETTER
THERE'S- THEM SINCE THE BOOK OF
A BIOLOGIC DRUGS OR BIOSIMILARS
ARE ADMINISTERED THROUGH
HOSPITAL OR AT A CLINIC. OR OR
WITH YOUR PRESCRIBER HEALTH CARE
PROFESSIONAL- THERE'S NO NEED TO
EVER SEEK THAT INTERCHANGEABLE
DESIGNATION. OKAY I'M AND THE
ONLY REASON WHY I ASK AT LEAST
IN OUR ANALYSIS A TALKS ABOUT-
WHEN YOU'RE GIVEN THAT
INTERCHANGEABLE DIE. AGNOS IS
BUT TERM HERE WHEN YOU'RE WHEN
YOU'RE GIVEN THAT LABEL- THAT IT
HAS BEEN SHOWN I GUESS AND
CLINICAL RESULTS TO PRODUCE. THE
SAME CLINICAL RESULT AS THE
REFERENCE BIOLOGIC IN ANY GIVEN
PATIENT SO WHAT YOU'RE SAYING IS
THAT BIOSIMILARS. PRODUCE THE
SAME CLINICAL RESULT IN ANY
GIVEN PATIENT EVEN WITHOUT THAT
SPECIFIC DESIGNATION THAT IS
CORRECT THE FDA CAN REQUIRE
THEY'RE NOT EVEN MANDATED BUT
THEY CAN REQUIRE AN ADDITIONAL
STUDY THAT'S CALLED A SWITCHING
STUDY. AND WHAT THAT WOULD SHOWS
IF A PATIENT- FIRST TO GET THE
BRAND THEN THEY GET A AN
INTERCHANGEABLE THEN THEY GET
THE BIOSIMILAR THEN THEY GET THE
BRAND AGAIN AND GOES CONSTANTLY
BACK AND FORTH AND MOVING
BETWEEN THE THREE- THAT THERE'S
NO. ILL EFFECT- BUT AGAIN WITH
MOST BIOSIMILARS IT'S GOING TO
BE A ONE TIME INJECTION
TYPICALLY. OR A VERY VERY. VERY
FEW TIMES WITH A PATIENT BE
RECEIVING IT SO THERE THERE
WOULD BE NO NEED FOR THAT
INTERCHANGEABLE DESIGNATION AND
THERE IS ACTUALLY DISCUSSIONS AT
THE FDA ON WHETHER. THOSE
SWITCHING STUDIES ARE TRULY
NECESSARY. AND WITH THIS BILL IF
A PROVIDER I DID NOT WANT THEIR
PATIENTS TO GET A BIOSIMILAR
THEY WANTED THEM TO GET LET'S
SAY THE BRAND NAME. I'M HOW
WOULD THEY DO THAT IS IT JUST
WRITTEN ON THE PRESCRIPTION
BRAND NAME ONLY I KNOW I'VE HAD
TO DO THAT. IN THE PAST FOR SOME
OF MY PATIENTS BUT- YOU KNOW
THOSE ARE ORAL MEDICATIONS NOT
NECESSARILY I B. R. I. AMOR.
SUBCUTANEOUS SO HOW WOULD THAT
WORK IN THIS WHICH IS SO IN THIS
CIRCUMSTANCE THE FOR THE
PRESCRIBER- SO IF THEY WRITE
LET'S JUST STAY WITH- WITH-
LET'S GO WITH- LANTIS. IF YOU
WRITE FOR LANTUS. THEY'RE GOING
TO GET LANTIS WORE A PHARMACY
COULD- CHANGE IT FOR AN
INTERCHANGEABLE- BIOSIMILAR. IF
YOU WRITE FOR THE BIOS SIMPLY IS
THE ONLY ONE ON THE MARKET RIGHT
NOW. THEN THEY WOULD GET SIMPLY.
BUT IT COMES DOWN TO THE
PROVIDER AND WHAT THEY WRITE THE
PRESCRIPTION SO IT'S NOT THE
SAME AS ON LIKE A GENERIC-
PRESCRIPTION WHERE YOU RIGHT DO
NOT SUBSTITUTE OR SOMETHING LIKE
THAT OR CHECK THE BOX- YOU
ACTUALLY HAVE TO WRITE FOR THE
BIO SIMILAR IN ORDER TO GET THE
BIO SIMILAR. WITHOUT ANY OTHER
INTERACTION FROM THE FROM- THE
PRESCRIBER NOW A PHARMACIST
COULD CALL AND- THEN CONTACT TO
A PRESCRIBER AND SAY OH BY THE
WAY. THERE'S A SIGNIFICANTLY
REDUCED 6585% LOWER COST OPTION
FOR THE BIO SIMILAR IS THAT
APPROPRIATE. BUT IT STILL TAKES
INTERVENTION OF THE PRESCRIBER
IN ORDER TO ALLOW THAT PATIENT
TO GET THE BIOSIMILAR OKAY GREAT
SO THE PROVIDER WOULD HAVE TO.
WRITE FOR THAT BIOSIMILAR IT'S
NOT SOMETHING THAT WOULD BE
CHANGED AT THE PHARMACIST LIKE
THEY DO SOMETIMES WE WRITE A
PRESCRIPTION AND VACATION INTO
GETTING SOMETHING DIFFERENT JUST
FOR AN INTERCHANGEABLE YOU CAN
DO THAT WITH AN INTERCHANGEABLE
BUT NOT WITH- BIOSIMILAR WITHOUT
THAT DESIGNATION OKAY PERFECT
THANK YOU. MMHM SHOW QUESTIONS
WHAT. OKAY IF SHE HAD A
BIOSIMILAR QUESTION CURRENTLY
BUT- IT WAS ANSWERED SO IT'S ALL
GOOD. AND ANY OTHER ANY OTHER
QUESTIONS SIMILAR OR NOT. SEE
NON- THAT THE BILL DOES ENJOY A
DO PASS RECOMMENDATION SENATOR-
WE DON'T HAVE A QUORUM WE'RE
GETTING CLOSER. WOULD YOU LIKE
TO CLOSE RESPECTFULLY ASK FOR
YOUR AYE VOTE THANK YOU THANK
YOU FOR THAT THE QUESTIONS MAKE
IT OKAY THANKS. AND WE DON'T SEE
ANY AUTHORS OUT THERE AND WE
DON'T HAVE A QUORUM. WE DON'T
HAVE A DECK OF CARDS. I DON'T
HAVE ANY SKITTLES.
WE GOT QUORUM AND SECRETARY
PLEASE CALL THE ROLL. WOOD HERE
WHAT PRESIDENT WALDRON WALDRON
PRESENT AGUIAR-CURRY
AGUIAR-CURRY PRESENT ARAMBULA.
EARNER WENDY CARILLO LARA
SPENCER FONG IT'S FONG PRESIDENT
MAIENSCHEIN MCCARTY MCCARTY
PRESIDENT JOE PATTERSON
RODRIGUEZ RODRIGUEZ PRESIDENT
SANTIAGO THE FOOD WHILE THEY PUT
WHAT PRESIDENT WEBER WEBER
PRESIDENT. OKAY SO WE HAVE A
QUORUM WE HAVE A CONSENT
CALENDAR ITEMS NUMBER TWO SB SIX
NINETY FOUR EGGMAN ITEM NUMBER
FOR SB SIX FORTY ONE ROTH S.
ITEM NUMBER FIVE S. B. NINETEEN
SAY ARE TO WITH AMENDMENTS TO
HAVE A MOTION ON THE CONSENT
CALENDAR. MOTION BY MISS AGAR
CURRY A SECOND BY THE MR BE
APPROVED WHAT- MA'AM SECTOR
PLEASE CALL THE ROLL ACOSTA
COUNTER WHAT I WOULD AYE WALDRON
WALDRON AYE AGUIAR-CURRY
AGUIAR-CURRY AYE ARAMBULA.
WERNER WENDY CARILLO LARA VINCE
FONG IT'S FONG AYE MAIENSCHEIN
MCCARTY MCCARTY I TO PATTERSON
RODRIGUEZ RODRIGUEZ AYE SANTIAGO
VEHICLE WALK. BUT WHAT I WEBER
WEBER I. AT EIGHT ZERO BILLS
THAT WILL LEAVE THE ROLE OPEN
FOR OTHERS TO ADD ON WE HAVE
ITEM NUMBER ONE SB SIX TWENTY
ONE BY SENATOR CAFIERO DRIVEN
MOTION BUT A MOTION BY MISS
AGUIAR-CURRY A SECOND BY MISS
WALDRON MOTION IS TO PASS TO
APPROPRIATIONS MADAM SECRETARY
PLEASE CALL THE ROLL. WHAT I
WOULD AYE WALDRON WALDRON AYE
AGUIAR-CURRY AGUIAR-CURRY AYE
ARAMBULA WERNER WENDY CARILLO
LARA VINCE FONG. THAT'S FINE I
MAIENSCHEIN MCCARTY. MCCARTY I
JOE PATTERSON. RODRIGUEZ
RODRIGUEZ I SANTIAGO. WHAT
VEHICLE WHAT I WEBER WEBER I.
THAT HAD A HAS EIGHT THAT BILL
WAS OUT LEAVE THE ROLE OPEN FOR
OTHERS TO ADD ON AND- AND I WILL
GO BACK TO OUR- CARD GAMES.
SENATOR PLEASE DON'T GET TOO
COMFORTABLE COME UP HERE. I
DON'T GET TOO COMFORTABLE THERE
EITHER BUT UNIQUE YOU PLEASE
PRESENT YOUR BILL REPORTER YEAH
I HAVE A SEAT. YEAH YOU NEVER
BEEN IN HERE- FOR SEND THIS YEAR
OKAY. WELCOME TO THAT WELCOME TO
THE GREEN CHAIR. WOULD YOU LIKE
TO PRESENT YOUR BILL OKAY. THIS
INPUT YOU TURN YOUR MICROPHONE
ON TO IF YOU WANT TO LET'S SEE
IF THIS WORKING HERE I GOOD
ADDRESS THAT'S BETTER COOL RIGHT
. I DESERVE THE FRESHMAN
TREATMENT BUT I I'M SOMEHOW
SEVEN YEARS IN START FEELS LIKE
THE FIRST TIME- THIS IS VERY
PERSONAL FOR ME. JUST WENT
THROUGH THE END OF LIFE FOR MY
FATHER IN LAW MY WIFE'S DAD- TRY
THE HOLOCAUST IN- THREE WARS IN
ISRAEL- AND MADE HIS WORKING
CLASS PALMER IN LA AND HAS A
LIFETIME OF TRAUMA AND IN THE
END OF HIS LIFE WENT THROUGH-
YOU KNOW THE PANDEMIC- IN A
NURSING HOME- WITH. DEMENTIA AND
ALONGSIDE MANY OTHER SENIORS IN
HIS POSITION AND A LOT OF THE
POSITIONS OF BOTH IN FACILITIES
AND OUTSIDE OF FACILITIES- LIFE
AT THE END- OR EVEN CLOSE TO THE
END CAN BE ISOLATING DRAMATIC
AND- AND WHAT WE WHAT WE
LEARNED. THROUGH THE PROCESS
THAT WAS WHEN IT COMES TO
MEDICATION A LIMITED RANGE THAT
WE'RE GIVING TO DOCTORS- LIMIT
RANGE OF TOOLS THAT WE'RE GIVING
TO DOCTORS WHO SPECIALIZE
SPECIALIZE IN. GERIATRIC CARE-
AND CHRONIC DISEASE CARE TO BE
ABLE TO HELP PEOPLE THROUGH IT
SO REALLY ALL THE HIS NURSING-
MAD FOR HIM TO GO THROUGH- A
VERY TOUGH PERIOD- WAS THINGS
LIKE ANTI PSYCHOTICS ANTI
DEPRESSANTS- YOU KNOW MORE FOR.
AND OPIOIDS- THAT. THE TOOLS
THAT WE'VE SORT OF PUT BEFORE
THE- NURSING CARE AND SORT OF
CHRONIC DISEASE CARE ELDER CARE
INDUSTRY ARE LIMITED AND- AS WE
SORT OF WENT DOWN THE
DECRIMINALIZATION PATH AROUND
CANNABIS. THERE'S SOMEONE SOLVE
THE ISSUES I FEEL ARE STILL
SITTING THERE IN HEALTHCARE
AROUND MEDICAL USE THAT NEED TO
BE SOLVED AND TO ME THIS IS ONE
OF THEM- YOU KNOW NOW YOUNG
PEOPLE HAVE ACCESS TO. UNLIMITED
GONNA BE QUANTITIES CANNABIS IN
THEIR LIVES AND CAN USE IT
RECREATIONALLY AT THEIR
DISCRETION BUT- MY FATHER IN LAW
WAS PUT IN A SPOT WHERE HE
LITERALLY COULDN'T BE IN THE
FACILITY ANYMORE IF WE WANTED TO
TREAT. SOME OF HIS CONDITIONS-
WITH MEDICAL CANNABIS WE WENT WE
END UP TALKING TO A FEW DOCTORS
AND FOUND A TABLET THAT WORK FOR
HIM THAT YOU COULD QUESTION WAS
VERY PRECISE IN THE- SAME TEN
MILLIGRAMS EVERY MORNING AND IT.
IT TRULY IT IT GOT HIM OFF ANTI
PSYCHOTICS ANTI DEPRESSANTS AND
SOMEHOW IN A PLACE WHERE YOU
DIDN'T NEED THE KIND OF CARE
THAT WAS SORT OF. TRIGGERING A
LOT OF OTHER TRAUMA AND I SAW
THE SAME THING HAPPENED YOU KNOW
AND THIS ISN'T JUST ANECDOTAL
BUT EIGHT PEOPLE WITH ALS WE'RE
IN THE LAST YEAR OR TWO OF THEIR
LIFE. SUDDENLY HAVE BEEN USING
CANNABIS IN THE IN A PALLIATIVE
CONTEXT AT A DOCTOR'S DISCRETION
AND THEN WHEN THE INTERFACE
SILLY THE BECAUSE OF ALL THE-
LIABILITIES AND LACK OF CLARITY
IN THE LAW YOU'RE SHOULD YOU
HAVE TO DO IS YOU FORCE YOURSELF
OFF YOUR MEDICATION. SO THAT
THIS IN IN MY VIEW IS IT IS
DESIGNED TO GIVE. HEALTH
FACILITIES- BOTH YOU KNOW IN
FACILITY SETTINGS BUT ALSO IN
THAT SORT OF PALLIATIVE CARE
CONTEXT. THE TOOL OF MEDICAL
CANNABIS TO SAY AT LEAST- MAKE
THAT. A PRE CONDITION WHERE
YOU'RE GOING TO DRUG TEST. YOU
KNOW ELDERLY PEOPLE AND SAY
YOU'RE OFF CARE IF YOU STAY ON
CANNABIS THAT'S THE SITUATION
WE'RE IN TODAY. PEOPLE ARE
LITERALLY GETTING DRUG TESTED-
WE'RE TRYING TO MOVE THAT SAYS A
CONDITION OF EMPLOYMENT BUT
SOMEHOW NOW IT'S A CONDITION OF
CARE I AM HOPING WE CAN REMEDY
THAT. I KNOW THERE'S SOME
QUESTIONS I'M HAPPY TO GET INTO
A BUT- LOOK THIS BILL ISN'T
GONNA SOLVE EVERYTHING. IT'S
GONNA HOPEFULLY REMOVE SOME
INITIAL BARRIERS AND THEN GIVE
THE MEDICAL COMMUNITY IN THE
CARE COMMUNITY SPACE I THINK TO
DO THAT KIND OF. OF REALLY HANDS
ON PRACTITIONER WORK THAT THEY
CAN MAKE STRONG DECISIONS AS
DOCTORS AS CARE GIVERS. A FOR
WHAT'S GOING TO BE BEST FOR
THEIR PATIENTS AND THAT. THAT'S
WHY I'M SORT OF PROUD TO HAVE.
SUPPORT AND NOT IT'S NOT IT'S
NOT AS POSITION OF DEFENSIVENESS
OR CONCERN FROM. BOTH HEALTH
FACILITIES AND FROM FROM. THE
MEDICAL PROVIDERS THEMSELVES- I
THINK THERE'S JUST INTEREST AND-
IT'S AMAZING HOW IMMATURE THIS
SPACE OF HEALTHCARE IS FOR HOW
FAR WE'VE COME. ON THE
DECRIMINALIZATION SIDE SO I HOPE
THAT THIS BILL- HELPS OTHER
PEOPLE. NOT JUST AT THE END OF
THEIR LIFE BUT IN THE- IN THOSE
LATER YEARS OF LIFE- LOOK TO.
THIS MEDICINE AND TRY TO FIND
ALTERNATIVE WAYS THROUGH TRAUMA
AND IT DOESN'T HAVE TO BE THIS
BUT- WE JUST ONE AS AN OPTION
SO. THANK YOU I'M I KNOW WE'RE
ACCEPTING SOME REALLY STRONG
STRONG COMMITTEE AMENDMENTS
APPRECIATE THE WORK FROM THE
COMMITTEE SO HAPPY TO ACCEPT.
THOSE AND ANSWER ANY QUESTIONS.
DID YOU HAVE WITNESSES. YEAH IF
YOU ARE LIED STRAIGHT IN- THE-
ONE TO GO. WHAT ORDER HERE.
LET'S SEE MISTER WHAT MY NOTES
SAY. THAT IT. SO. WHAT WHEN WE
START WITH A DOCTOR YOU'RE FINE
OKAY I SAID DR SHERRY FILES HERE
WITH THE SOCIETY OF CANNABIS
CLINICIANS. THANK YOU. PLEASE
PUSH THE BUTTON THERE SO WE CAN
PERIOD. THANKS THAT'S RIGHT OKAY
PERFECT GOOD AFTERNOON AND THANK
YOU FOR HAVING ME HERE TODAY MY
NAME IS DR SHERRY ASIDE I'M A
BOARD CERTIFIED EMERGENCY
MEDICINE PHYSICIAN. FOR NEARLY
FIFTEEN YEARS MY WORKING
CANNABIS MEDICINE DID NOT BEGIN
UNTIL TWO THOUSAND AND SEVENTEEN
WHEN I BEGAN SEEING PATIENTS
SPECIFICALLY FOR CANNABIS BASED
TREATMENT. SINCE THAT TIME I'VE
WRITTEN A CHAPTER ON CANVAS
MEDICINE FOR MEDICAL TEXTBOOK
HAVE CO AUTHORED TWO RESEARCH
ARTICLES ON CANNABIS MEDICINE.
AT HOSTED TO MEDICAL CANNABIS
CONFERENCES FOR MEDICAL
EDUCATION AND SAT ON THE
HOSPITAL PHARMACY AND
THERAPEUTICS COMMITTEE.
ACCORDING TO TWO THOUSAND TWENTY
TWO STUDY 73% OF PATIENTS IN
LONG TERM ADULT CARE FACILITIES
ARE ON ON OPIATE MEDICATION FOR
PAIN MANAGEMENT. CURRENTLY OUR
OPTIONS FOR PAIN MANAGEMENT
THESE SETTINGS ARE LIMITED IT IS
IMPERATIVE TO HAVE A NONLETHAL
OPTION FOR PAIN MANAGEMENT
AVAILABLE. ACCORDING TO MULTIPLE
STUDIES CANNABIS BASED MEDICINE
IS ONE SUCH OPTION. ACCORDING TO
THE MEDICAL BOARD OF CALIFORNIA
CANNABIS IS ON EQUAL FOOTING TO
PRESCRIPTIVE MEDICATION. FOR THE
TREATMENT OF NEUROPATHIC PAIN.
THIS RECOMMENDATION IS BASED ON
THE STRONG FOUNDATION OF
RESEARCH OVER THE LAST TWENTY
YEARS. FURTHER STUDIES OVER THE
LAST DECADE HAVE SHOWN
BENEFICIAL PAIN MANAGEMENT IN
THE TREATMENT OF ARTHRITIS AND
CANCER. BOTH DIAGNOSES WHICH
AFFECT ADULTS OVER THE AGE OF
SIXTY FIVE. FURTHER STUDIES HAVE
SHOWN THE IMPLEMENTATION OF
CANNABIS LAWS AN ACCESS TO
CANNABIS MEDICINE. HAVE SHOWN A
DECREASE IN OPIATES PRESCRIBED
FILLED AND AS A RESULT A
DECREASE IN OPIATE OVERDOSE. BUT
MY REMAINING TIME I WOULD LIKE
TO PRESENT A SPECIFIC CASE TO
THE COMMITTEE. IN TWO THOUSAND
NINETEEN I BEGAN WORKING WITH AN
EIGHTY NINE YEAR OLD FEMALE.
WITH DEMENTIA AND A RECENT
STROKE WHO IS EXPERIENCING
SEVERE INSOMNIA. AGITATION AND
PTSD. AFTER WITNESSING HER
DAUGHTER'S SUICIDE THE YEAR
BEFORE. ON THE HEELS OF THIS
CATASTROPHIC CATASTROPHIC EVENT
SHE WAS MOVED INTO AN ASSISTED
LIVING FACILITY. AND HER
SURVIVING DAUGHTER WAS REFERRED
TO ME BY LOCAL GERIATRICIAN. TO
ASSIST WITH THESE DIAGNOSES. I
STARTED HER ON THE CBD DOMINANT
TEAM FOR. THAT MEANS THAT IT WAS
MOSTLY CBD BUT THE SMALL MAY I
HAVE TEACH THE AND THEN- THAT
SHE WOULD INTO. IN A SMALL DOSE
OF TEACH IN THE FORM OF A
CHOCOLATE AT THAT TIME. WITHIN
TWO MONTHS SHE WAS SLEEPING WELL
AND FEELING BETTER DURING THE
DAYTIME. SHE BEGAN ENGAGING IN
ACTIVITIES AND THAT THAT THE
FACILITY HAD TO OFFER AND LIVING
HER BEST LIFE. IN FACT HER
TREATMENT PLAN WAS SO SUCCESSFUL
THE PROVIDENCE ST JOHN'S PACIFIC
NEUROSCIENCE INSTITUTE AND I
HAVE BEGUN WORKING TOGETHER TO
ASSIST PATIENTS WITH DEMENTIA.
UTILIZING CANNABIS TO HELP WITH
AGITATION PHYSICAL AGGRESSION
AND INSOMNIA. NEARLY FOUR YEARS
LATER I HAD ABOUT THIRTY FIVE
PATIENTS WITH DEMENTIA. THAT
HAVE BEEN REFERRED FOR AN
TREATED WITH MEDICAL CANNABIS IN
NON INHALED FORMATS WITH SOME
REMARKABLE OUTCOMES. NO STUDIES
HAVE SHOWN THAT PATIENTS WITH
DEMENTIA LIVE ROUGHLY THREE TO
FIVE YEARS AFTER THIS DIAGNOSIS.
WHICH WOULD MEAN THEY'RE NOT
CANDIDATES FOR RYAN'S LAW AS IT
STANDS. ACCORDING TO THE
ALZHEIMER'S ORGANIZATION MORE
THAN 50% OF RESIDENTS IN
ASSISTED LIVING FACILITIES. AND
NURSING HOMES HAVE SOME TYPE OF
DEMENTIA OR COGNITIVE
IMPAIRMENT. PROVIDING OPTIONS
FOR PATIENTS IN THESE FACILITIES
TO USE CANNABIS MEDICINE IS
IMPERATIVE. OUR LARGEST
CHALLENGE CURRENTLY IS TO BE
LEGALLY ALLOWED TO PROVIDE
CANNABIS MEDICINE INSIDE OF
THESE HOW LARGE HEALTHCARE
FACILITIES. AND HOME HEALTH
AGENCIES. IT IS WITH THIS THAT I
AM COMPELLED TO LEND MY SUPPORT
FOR THE PASSAGE OF THIS BILL.
THANK YOU SENATOR STERN FOR THE
OPPORTUNITY I WANT TO ENCOURAGE
AN AYE VOTE ON SB THREE OH TWO.
THANK YOU. NEXTERA BRIEFLY I
DON'T KNOW HOW MUCH TIME WE HAVE
YEAH MISTER SORRY MINUTES OF
RESPECTFUL BUT- A MISTER CASTLE
BUNCH WITH THE CALIFORNIA
ASSOCIATION OF RETIRED.
AMERICANS MY ON HERE GREAT.
GERMAN WOOD- COMMITTEE MEMBERS
GOOD TO SEE YOU ALL. I'M HERE ON
BEHALF OF THE CALIFORNIA
ALLIANCE FOR RETIRED AMERICANS.
WE ARE STATEWIDE ORGANIZATION
THAT REPRESENTS A ORGANIZATIONS
WITH OVER A MILLION MEMBERS.
ACROSS THE STATE- I BROUGHT THIS
UP ON OUR- LEGISLATIVE COMMITTEE
CALL LAST WEEK- USE ABOUT THIRTY
PEOPLE THERE USUALLY EVERY BILL
TAKES ABOUT A HALF AN HOUR TO
DISCUSS. ABOUT THIS BILL UP
THERE WAS NO DISCUSSION IT WAS
UNANIMOUS BEFORE IT EVEN GOT THE
LAST WORD OUT OF MY MOUTH
SOMEBODY SAID SO MOVED. SOMEBODY
ELSE AT SECOND AND- WE HAD A
UNANIMOUS ENDORSEMENT MARK
COMMITTEE UP LETTING YOU KNOW
JUST HOW STRONGLY OF SENIORS
ACROSS CALIFORNIANS SUPPORT THIS
BILL- I CAN'T POSSIBLY MATCH. MY
COLLEAGUE OVER HERE IN TERMS OF
RESEARCH THOUGH I DID DO A
LITTLE OF MY OWN ON PUBLIC
HEALTH IMPLICATIONS. OF
FORTUNATELY NEIDA NOW HOUSE ON
THEIR WEBSITE. INFORMATION ABOUT
THE EFFICACY OF CANNABIS FOR
TREATMENT OF VARIOUS AILMENTS
AND- THAT'S A THAT'S A NEW THING
BECAUSE OF COURSE. SINCE NIXON
WE WEREN'T ABLE TO LOOK AT
CANNABIS OR HOW IT AFFECTS
PEOPLE DO ANY RESEARCH AT ALL.
SO THE FACT THAT TONIGHT IS AT
LEAST MAKING AN EFFORT NOW TO
SAY WHAT WE CAN SAY. BASED ON
PRELIMINARY RESEARCH WHAT THEY
SHOW IS THAT- IT CAN'T BE A
TREATMENT FOR PAIN. A CAN BE
TREATMENT FOR ANXIETY- AFFECTED
TREATMENT- WHICH I UNDERSTAND IS
A VERY COMMON CONDITION IN
NURSING HOMES. AND ALSO IT CAN
BE A SUBSTITUTE FOR OPIOIDS. AND
IT'S JUST APPALLING TO THINK.
THAT'S SOMETHING LIKE SEVEN
PLUS. OF PEOPLE NURSING HOMES
ARE ARE USING OPIOIDS FOR PAIN
THAT'S REALLY SCARY. KNOWING
WHAT'S GOING ON WITH- PURITAN
THE OPIOID EPIDEMIC. SO THIS
OFFERS A WHAT I WOULD THINK IS A
VERY EFFICACIOUS ALTERNATIVE.
FOR PAIN MANAGEMENT AND I HOPE
THAT PEOPLE ARE NURSING HOMES
HAVE. THE RIGHT TO TAKE THIS
BILL. THANK YOU VERY MUCH- CAN'T
OF. EDIBLES OR WHAT WHATEVER
FORM AND THEY COME IN THANK YOU.
THANK YOU- BACK TO THE COMMITTEE
FOR QUESTIONS OR COMMENTS. WHAT
RIGHT HANG ON A SECOND WHEN THEY
DO WELL. OTHERS IN SUPPORT. I
REALLY JUMPED AHEAD THERE SO I
WAS READY TO GO UNANIMOUS WITH
YOU THERE SO- MY APOLOGIES NAME
AN ORGANIZATION OF EUROPE SO.
THE OPPORTUNITY HOW D'AMATO ON
BEHALF OF CALIFORNIA NORMALLY
REPRESENT CONSUMERS IN STRONG
SUPPORT. THANK YOU THANK. YOU
ANYONE ELSE. HEY IS THERE ANY
OPPOSITION TO THE BILL. SEEING
NO ONE WILL BRING IT BACK TO THE
COMMITTEE NOW- THIS WALDRON.
THANK YOU MISTER CHAIR. OF GREAT
BILL THANK YOU SO MUCH FOR
BRINGING FORWARD- I'D LOVE TO BE
ADDED AS A CO AUTHOR IF THERE'S
ANY POINT IN THE PROCESS THAT
CAN BE DONE. BUT WITH APPROX I
WAS READING IT ON THE ANALYSIS
AND IT'S SHOCKING THAT. IT
STATES THAT. APPROXIMATELY 95%
OF PEOPLE OVER THE AGE OF SIXTY
FIVE HAVE AT LEAST ONE CHRONIC
CONDITION. AND ABOUT EIGHTY PER
80% HAVE TWO OR MORE- YET WE'RE
DEALING WITH AN OPIOID CRISIS IN
THIS COUNTRY. AND EVEN SENIORS
LIKE MY MOTHER IN LAW'S EIGHTY
NINE AND THEY'LL- PAIN ALL THE
TIME AND TRYING TO GET SOME KIND
OF PAIN KILLER AND EVEN THOUGH
FOODS DON'T WORK AND IT'S REALLY
HARD FOR THEM TO GET IT. IS THEY
DON'T WANT TO GET A DICK TO IT
AND IT'S- YOU KNOW THE CYCLE SO
HAVING THIS OTHER OPTION
AVAILABLE THAT HAS SHOWN A LOT
OF SUCCESS. YOU KNOW MAYBE
THERE'S STILL STIGMA ATTACHED TO
IT OR WHATEVER BUT IN THE
HEALTHCARE SETTING IT'S BEEN
SHOWN TO WORK. IN THE NUMBER OF
CASES SO- I DEFINITELY SUPPORT
THE BILL AND THANK YOU FOR
BRINGING FORWARD. THANK YOU DR
WEBER. THANK YOU SENATOR STERN
FOR BRINGING THIS UP- YOU KNOW I
AM. IN I THINK WE HAVE SEEN
WITHIN THE HEALTH CARE INDUSTRY
THAT. I CANNABIS CAN HELP WITH
CERTAIN CONDITIONS DEFINITELY
PAIN- YOU KNOW CANCER AND I
KNOW- THE FATHER OF RYAN AND
THAT AND THAT AND THE STORY
BEHIND THE BILL THAT HIS FATHER
JIM BARNETT. I WROTE FOR THIS
ORIGINAL BELL- WE KNOW THAT IT
HELPS WITH SEIZURES RIGHT- AND
OUT A LOT OF NOT SEEN VOMITING
WITH CANCER PATIENTS AND-
ARTHRITIS AND PICK A PTSD
ANXIETY SO THERE ARE. I'M
CERTAIN CONDITIONS WHERE.
CANNABIS HAS BEEN SHOWN EITHER
ANECDOTALLY AND NOW HOPEFULLY
WITH MORE RANDOMIZED CLINICAL
TRIALS TO SHOW THE EFFICACY. I
GUESS MY QUESTION IS- AROUND THE
DEFINITION OF CHRONIC DISEASE.
BECAUSE IT JUST SAYS. A
CONDITION THAT LAST ONE OR MORE
YEARS REQUIRING ONGOING MEDICAL
ATTENTION. AND WHEN I WAS
TALKING WITH SOME PEOPLE THAT. I
WOULD. GUESS THAT A LOT OF
PEOPLE OVER SIXTY FIVE HAVE A
CHRONIC CONDITION CONDITION AND
WAS JUST STATED BY- MY FELLOW
ASSEMBLY MEMBER IN THE ANALYSIS
NINETY FIVE AND SO. CHRONIC
DISEASES. SOMETHING THAT YOU'RE
DEALING WITH FOR A YEAR
CONSISTENT HIGH BLOOD PRESSURE
CONSIST OF DIABETES CONSIST OF
ADMA CONSISTED OF SEASONAL
ALLERGIES RIGHT SO- I GUESS MY
QUESTION IS AND THOSE ARE NOT
NECESSARY THINGS THAT WE KNOW
THAT WE KNOW. AT THIS TIME THAT
CANNABIS WOULD BE USED FOR WE
USE IT A LOT AND ALL OF YOU HAVE
TALKED ABOUT PAIN- WHAT WAS THE
THOUGHT PROCESS BEHIND HAVING
SUCH A BROAD DEFINITION THAT
ESSENTIALLY. BRINGS IN. EVERY
SINGLE MEDICAL DIAGNOSIS IF
YOU'VE HAD IT FOR A YEAR. I'LL
SEND IT TO THE DOCTOR FIRST BUT
I WOULD JUST SAY AT THE OUTSET.
THAT WE DID WANT TO BE THAT WE
DIDN'T WANT TO BE AS BROAD AS
POSSIBLE USED IN A USED A- CDC
DEFINITION SHE CAN TALK MORE
ABOUT BUT- THE GOAL. WE DON'T
WANT TO MICROMANAGER BE HANDS ON
ABOUT A DOCTOR PATIENT
RELATIONSHIP ON WHAT THE DOCTOR
THEMSELVES HOW THEY WANT TO DEAL
WITH THE GERIATRIC CARE SIDE AND
WHAT DECISIONS THEY WANT TO MAKE
ABOUT SAY TREATING DEMENTIA- WE
WANT ALL OPTIONS ON THE TABLE SO
I DID THAT. THAT WAS IT WAS
INTENTIONAL TO BE THAT BROAD
BECAUSE- RIGHT RIGHT NOW YOU'RE
TAKING SO THAT OPTION OFF THE
TABLE IF WE WERE SORT OF
SPECIFIC ABOUT WELL FOR. THIS
THIS AND THIS TREATMENT SAY-
THESE OTHER AREAS LIKE DEMENTIA
WEATHER'S CLINICAL TRIALS GOING
ON RIGHT NOW AND THINGS LIKE
THAT THAT. YOU KNOW PEOPLE ARE
SAYING WORKING. THEY CAN'T THEN
DO THAT WORK AND THE PATIENT
ACTUALLY CAN'T EVEN JUST POSSESS
IT THEMSELVES RIGHT THEY CAN BE
DRUG TESTED. FORGET THE DOCTOR
PART THEY THEY THEMSELVES CAN BE
DRUG TESTED IN KICKED OFF OF
THEIR HEALTHCARE PLAN NOW JUST
BY POSSESSING IT SO. THOSE WERE
ANYWAY I I'LL LET YOU COMMENT
FURTHER. SO ACCORDING TO THE
GUIDELINES FOR THE
RECOMMENDATIONS OF CANNABIS
ACCORDING TO THE MEDICAL BOARD
OF CALIFORNIA THAT IS ACTUALLY
ONE OF THE LISTED DIAGNOSES SO
IT'S ABOUT SEVEN DIFFERENT
DIAGNOSES PLUS ANY CHRONIC
CONDITION THAT IS INDICATED BY
THE PHYSICIAN. SO IT IT MIMICS
THE GUIDELINES THAT WE HAVE
UNDER THE MEDICAL BOARD OF CAL
CALIFORNIA. I'M ONE OF THE
THINGS THAT I FIND BENEFICIAL
ABOUT HAVING THAT KIND BROAD OF
A STATEMENT ESPECIALLY HERE IN
CALIFORNIA WHERE IT'S
RECREATIONALLY LEGAL IN. THE
ENTIRE STATE IS THAT IT ALSO
GIVES US SOME ALLOWANCES AS
WE'RE DISCOVERING NEW THINGS
WHERE WE'RE FINDING BENEFITS AS
YOU MENTIONED EPILEPSY WAS JUST.
AND IF DIAGNOSED OR INCLUDED IN
THAT JUST IN THE LAST FIVE YEARS
ALONE SO AT AT THE DIALECTS
WHICH IS WHAT I BELIEVE YOU'RE
REFERRING TO IT'S A CBD BASED
HEMP BASED MEDICATION. THAT'S
FOUND INDICATION AND SEIZURES
AND ACTUALLY TWO TO THREE
SPECIFICS THE FIRST LENNOX
GASTAUT SYNDROME. THE BASS AND
DRUM AND TUBEROUS SCLEROSIS
SEIZURES THAT ARE RELATED TO
THAT. WHAT WE'RE SEEING IS A NEW
STUDY COMING OUT FOR AUTISM SO
CBD INDICATED FOR AUTISM WE WILL
BE SEEING STUDIES COMING OUT ON
DEMENTIA AND THE NEXT UPCOMING
YEAR. THERE'S ABOUT TWENTY
MILLION DOLLARS WITH THE GRANTS
THAT WERE FUNDED JUST THREE
MONTHS TWO MONTHS AGO THROUGH
THE STATE DEPARTMENT OF CANNABIS
CONTROL TO UNDERSTAND AND SEE
WHAT OTHER DIAGNOSES WE'RE
LOOKING AT FOR TREATMENT
PURPOSES. SO I BELIEVE YOU KNOW
NARROWING THE FIELD AND JUST
GIVING US YOU KNOW THREE OR FOUR
BULLET POINTS IN TERMS OF
CHRONIC ILLNESSES. IS A LITTLE-
SHORT SIGHTED BECAUSE THEN
YOU'RE JUST GONNA KEEP COMING
BACK TO THIS TABLE. OF WHEREAS I
AGREE WITH YOU HYPERTENSION IS
NOT AN INDICATION FOR CANNABIS
USE RIGHT. I REQUEST REALLY ME
AND NOT AN INDICATION THOSE ARE
TWO VERY NORMAL CHRONIC
DIAGNOSES THAT SIXTY FIVE AND
UP. HALF RIGHT RIGHT OFF THE
BAT. AND AGAIN IT'S LED TO ALLOW
PHYSICIANS TO HAVE A LITTLE BIT
OF DISCRETION AS WE CONTINUE TO.
REALLY UNVEILED THE RESEARCH.
WELL I THINK YOU FOR THAT ANSWER
IT IS- DIFFERENT THAN WHAT WE
NORMALLY DO BECAUSE WE DO HAVE A
MEDICATION AND VERY SPECIFIC AS
TO WHAT IT CAN TREAT. WE DON'T
USUALLY HAVE. YOU KNOW HERE'S
YOUR LIPITOR YOU CAN TREAT IT
FOR WHATEVER RIGHT IT'S VERY
VERY SPECIFIC AND SO- THAT PART
IS. JUST A LITTLE CONCERNING-
NOT CONCERNING ENOUGH FOR ME TO
NOT SUPPORT IT BECAUSE I THINK
THE IDEA OVERALL IS JUST- AND
LIKE I SAID BEFORE THERE ARE
SOME- CONDITIONS THAT WE DO
KNOW. THAT THIS CAN
SIGNIFICANTLY HELP HOMAGE JUST
AS WAS NOTED IN THE ANALYSIS
CHRONIC DISEASE IT'S VERY BROAD
AND WHEN YOU'RE DEALING WITH
THIS PARTICULAR AGE GROUP- A
VAST MAJORITY OF THEM HAVE SOME
TYPE OF. CHRONIC DISEASE EVEN IF
IT'S JUST YOU HAVE ALLERGIES AND
YOU'VE BEEN HAVING IT FOR A YEAR
AND NOW YOU'RE BEING MEDICALLY
TREATED FOR IT. SO NOW BASED ON
THIS DEFINITION. YOUR SIXTY FIVE
STATURE CHRONIC CONDITION. THANK
. THE OVERSEE- SORRY WILL MORE
CLEAR FIND. I'M SO JUST ADD TO
THAT SAID IS SPECIFICALLY FROM
MY UNDERSTANDING FOR NURSING
HOMES HOME HEALTH AGENCIES ALL
OF THOSE HAVE PRE REQUISITES
BOTH BY MEDICARE MEDICAID AL IN
ORDER TO QUALIFY. SO YOU ALREADY
HAVE TO MEET SOME TYPE OF
QUALIFYING ILLNESSES AND
QUALIFYING- EITHER PHYSICAL
INABILITY IS- IN CAPACITIES IN
ORDER TO QUALIFY FOR THIS SO
WE'RE NOT TALKING ABOUT A
HEALTHY SIXTY FIVE YEAR OLD
WE'RE TALKING ABOUT OR READY AN
ILL SIXTY FIVE YEAR OLD. WHO'S
BEEN ABLE TO REQUIRE THOSE THOSE
CHRONIC ILLNESSES OR ACUTE ON
CHRONIC ILLNESSES THAT HAVE
LANDED THEM IN A NURSING HOME
FACILITY AN ASSISTED CARE
FACILITY OR A HOME HEALTH
FACILITIES OR HOME HEALTH. SO I
GUESS ALONG THOSE LINES SO IF
SOMEONE IS THERE FOR BE HAPPY
RIGHT- AND HAD NOT BEEN ON
CANNABIS BEFORE. BUT NOW IS IN
REHAB FOR AN INJURY THAT
HAPPENED THAT'S A THREE MONTHS
AGO BUT THEY HAVE A CHRONIC
MEDICAL CONDITION WHICH IS
ALLERGIES THEY WOULD QUALIFY.
UNDER FACT. THEY WOULD FIGHT BUT
TECHNICALLY YOU WOULD BE
TREATING THEIR PAIN THAT HAS
LANDED THEM IN THE REHAB
FACILITY OKAY RIGHT SO NOT THE
ALLERGY ILLNESS BUT RIGHT THE
ONE THAT ACTUALLY LANDED THEM IN
THAT. RIGHT THANK YOU. AND IN
JUST A GOING AS WIDE OPEN THEY
COULD STILL. A DOCTOR MIGHT NOT
PRESCRIBE IT THEY MAY NOT BE
TREATED FOR IT BUT THEY COULD
STILL. IF THEY HAVE THEIR
DISCRETION WANTED TO POSSESS IT
AND YOU KNOW THEIR- THEIR- SON
BROTHER YOU KNOW THE- THEY
COULDN'T BE KICKED OFF THEIR
CARE. FOR USING IT THAT'S THE
OTHER PIECE OF IT RIGHT SO IT'S-
IT'S NOT SO MUCH TRY TO TELL THE
DOCTORS. YOU SHOULD BE
PRESCRIBING IS FOR EVERYTHING
IT'S MORE THAT. IT'S GIVEN THE
PATIENTS THAT THAT REASSURANCE
ALSO THAT. THAT LAYER THAT THEY
MAY ACTUALLY LOSE IT KICKED OUT
OF THE FACILITY OR LOSE THEIR
CAROL TO GATHERED THAT THAT'S
BEEN A BIG TENSION OUT THERE AT
LEAST IN THE FIELD WILL BE LEFT
TO HIDE IT. YOU KNOW OR WHATEVER
IT MAY BE. IT'S GETTING AROUND
THAT ISSUE TOO AND THERE'S ALL
KINDS OF ELEMENTS FOR SECURING
IT AND YOU KNOW- STORAGE AND-
SAFETY PROTOCOL SO BUT IF YOU DO
HAVE SUGGESTIONS GOING FORWARD I
REALLY RESPECT YOUR DEEP WISDOM
ON THE HEALTH CARE FIELD IN
GENERAL IF YOU HAVE THOUGHTS
ABOUT. HIS WAYS TO CLARIFY THAT
WE ARE NOT THE INTENT HERE IS
NOT TO- OVERPRESCRIBED IS OR TO
APPLIED AND YOU KNOW NOT
MEDICALLY APPROPRIATE CONTEXT
IT. IF YOU THOUGHTS ON THAT
GOING FORWARD VERY OPEN TO.
WORKING WITH YOU WERE LISTENING.
THANK YOU. THANK YOU YEAH THANK
YOU. ANYONE ELSE SHOULD BE ABLE
. THANK YOU TO THE CHAIR. SO I
JUST WANT TO THANK THE AUTHOR
YESTERDAY WE WERE TALKING ABOUT
ALZHEIMER'S AND- DEMENTIA- THIS
WE LOOK AT MORE MORE THE NUMBERS
JUST GROWING. TRYING TO FIGURE
OUT. WHICH SHE WE WOULD BE
DOING- RASHLY. WE NEED YOU MORE.
RIGHT SO I JUST WANNA THANK YOU
FOR BRINGING THIS FORWARD. I'LL
BE MOVING- TO VOTE ON THIS AT
THE SECOND. IF ANYONE ELSE. I
GUESS THE IRONY OF THIS IS THAT.
IF YOU'RE OVER SIXTY FIVE AND
YOU'RE NOT IN A FACILITY YOU CAN
GO TO A STORE AND GET AS MUCH AS
YOU WANT BUT THE MINUTE YOU STEP
IN THERE YOU CAN'T. AND I THINK
THAT'S- QUITE FRANKLY KIND OF
RIDICULOUS SO- SO I WANT TO SAY
THANK YOU SENATOR STERN FOR
BRINGING THE BILL FORD AND THE
PERSONAL. CONNECTION YOU HAVE
WITH THIS- I'M SURE ITS SEARCH
SHARED BY A LOT OF OTHER PEOPLE
WITH SO THANK YOU FOR BRINGING
THAT THANK YOU TO YOUR
WITNESSES- THE BILL DOES ENJOY A
DO PASS RECOMMENDATION. WOULD
YOU LIKE TO CLOSE. EIGHT WIFE OF
FOR. TAKING A CHANCE AND WORKING
WITH HER DAD AND ARE CARE TAKERS
TO LOOK AT A DIFFERENT WAY
THROUGH THE END IS A VERY HARD
THING TO DO SHE'S NOT LIKE A-
HEY EVERYONE. WE'RE YOU KNOW.
WE'RE THE- HOT SMOKING HOUSE
WHICH IS LIKE NOW NO DRUGS AND
ALCOHOL LIKE THEY'RE THEY'RE A-
CONSERVATIVE BUNCH BY NATURE.
SEEING THAT WORK IN A FAMILY
LIKE THIS- AND SEEING WHAT IT
CAN DO TO. BUT YOUR MIND
APPROACH HAIN AND EVEN DEATH IN
A DIFFERENT WAY. IT'S A HARD
TOPIC TO TALK ABOUT BUT WE GOTTA
KEEP PUT ON THE TABLE- AND I
JUST APPRECIATE Y'ALL- YOUR
CONSIDERATION HERE SO EXPECT THE
S. REP VERY WELL THANK YOU I
THINK WE- DO WE HAVE A MUCH
WITHOUT EMOTION FROM YOU MISTER
VIA PAPA. THE SECOND BY- THE
SECULAR KAREEM MOTION IS DUE
PASS TO APPROPRIATIONS- MADAM
SECRETARY PLEASE CALL THE ROLL.
WHAT I WOULD AYE WALDRON.
WALDRON AYE AGUIAR-CURRY AGAR
CURRY I ARAMBULA. BURNER WENDY
CARILLO. LARA VINCE FONG. THE
FONG AYE MAIENSCHEIN.
MAIENSCHEIN AYE MCCARTY. YEAH
PATTERSON. RODRIGUEZ RODRIGUEZ I
SANTIAGO. YOU PUT WHAT YOU PUT
WHAT I WEBER. WEBER I. MCCARTY I
. YOU HAVE NINE VOTES THE BILL
IS OUT WILL LEAVE THE ROLE OPEN
FOR OTHERS TO ADD ON. SO SENATOR
LIMON.
THANK YOU DISK YEAH PRESS THE
BUTTON. PLEASE HEY GO THANK YOU
THANK YOU CHAIR AND MEMBERS.
FOOD SERVICE WORKERS IN
CALIFORNIA MUST GO THROUGH FOOD
SIFT THROUGH FOOD SAFETY
TRAINING THIS TRAINING IS PAID
FOR BY THE EMPLOYEE AND IT'S
REQUIRED EVERY THREE YEARS UNDER
THIS BILL FOOD HANDLERS WOULD
STILL BE REQUIRED TO COMPLETE
THE TRAINING BUT THE TRAINING
BUT NO LONGER COME AT THE
EXPENSE OF THE EMPLOYEE. THE
EMPLOYER WOULD BE REQUIRED TO
PAY FOR THE FOOD SAFETY TRAINING
AND THE TIME IT TAKES FOR THE
EMPLOYEE TO TAKE THIS TRAINING
FOR EXAMPLE CURRENTLY THERE ARE
ISSUES AND TRAININGS RELATED TO
ASBESTOS ACCIDENT PREVENTION OF
BLOOD BORNE. UP PATH PATHOGENS
FALL PREVENTION ERGONOMICS FIRE
EXTINGUISHER FIRST AID AMONG
MANY MANY OTHER HEALTH AND
SAFETY TRAININGS THAT ARE PAID
FOR BY THE EMPLOYERS. SB FOUR
SEVEN SIX WOULD REQUIRE THAT THE
STATE COMPILED A LIST OF
ELIGIBLE TRAININGS PROVIDING
MORE TRANSPARENCY ABOUT THE
DIFFERENT OPTIONS THIS WOULD
SERVE AS A TOOL FOR THE EMPLOYER
IN ORDER TO KNOW WHAT OPTIONS
ARE AVAILABLE AND THEIR
POTENTIAL COST. THE STATE HAS
REQUIRED EMPLOYERS TO PAY FOR
OTHER TRAININGS AS MENTIONED
BEFORE- AND THIS IS A BILL THAT
WILL PROTECT AND HELP WORKERS I
ENSURE THAT THEY ARE. TRAINED
RELATED IN RELATION TO FOOD
SAFETY TRAINING AND THAT IN IT
OF ITSELF IS A PUBLIC GOOD I
WITH ME TODAY IN SUPPORT OF THE
BILL WE HAVE STELLA DENNING
SHE'S A RESTAURANT OWNER AS WELL
AS MERRY GO YOSHIHARA
REPRESENTING ONE FAIR WAGE.
THANK YOU MISTER CHAIR A MEMBER
IS AMERICA YOSHI ARE A I AM HERE
ON BEHALF OF ONE FAIR WAGE AND
NATIONAL ORGANIZATION OF NEARLY
THREE HUNDRED THOUSAND SERVICE
WORKERS AND TWENTY FIVE HUNDRED
INDEPENDENT RESTAURANT OWNERS.
AND WE ARE PROUD TO CO SPONSOR
AS BEFORE SEVENTY SIX ALONG WITH
CALIFORNIA LABOR FEDERATION IN
SEIU CALIFORNIA TO END THE
EGREGIOUS MISUSE OF WORKER MONEY
THROUGH CALIFORNIA'S FOOD
HANDLER TRAINING PROGRAM. AT THE
SENATOR MENTIONED EARLIER THIS
YEAR THE NEW YORK TIMES HAD A
FRONT COVER EXPOSE REVEALING HOW
THE NATIONAL RESTAURANT
ASSOCIATION WAS USING WORKER
MONEY THROUGH THEIR FOOD HANDLER
TRAINING PROGRAM CALLED SERVE
SAFE. TO ACTUALLY FIND THEIR
LOBBYING ACTIVITIES WHICH
NOTORIOUSLY HAVE BEEN AIMED AT
DEFEATING PRO WORKER LEGISLATION
AS YOU CAN IMAGINE THESE WORKERS
WERE REALLY OUTRAGED TO LEARN
ABOUT THIS AND THEY HAVE NOW
COLLECTIVELY PAID OVER TWENTY
FIVE MILLION DOLLARS TO SERVE
SAFE NOT KNOWING THAT THEIR
MONEY WAS ACTUALLY BEING USED.
AGAINST THEM NOW THIS IS A
PUBLIC HEALTH TRAINING AND THE
CAUTION NOT BE BORN ON THE BOX
OF LOW WAGE WORKERS- AND
ESPECIALLY WHEN THOSE COSTS ARE
ACTUALLY DRIVING MILLIONS OF
DOLLARS IN PROFITS TO VERY WELL
FUNDED INDUSTRY GROUPS. THIS OP
THE OPPOSITION ARGUES THAT
WORKERS SHOULD HAVE TO PAY FOR
THIS BECAUSE THE CERTIFICATION
CAN MOVE FROM EMPLOYER TO
EMPLOYER. AND THEN USING THIS-
ARGUMENT THEY THEY COMPARE THIS
TRAINING TO OTHER. QUOTE
TRAININGS THAT LEAD TO LICENSURE
IS THAT ARE MANDATED BY LAW LIKE
A REAL ESTATE LICENSE OR NURSING
LICENSE. THIS FUNDAMENTALLY THIS
IS NOT A SKILLS BASED LICENSE
LICENSE OR CERTIFICATION THIS IS
FUNDAMENTALLY A HEALTH AND
SAFETY TRAINING TO ENSURE THAT
THE FOOD THAT IS PROVIDED BY THE
BUSINESS. IS SAFE FOR THE PUBLIC
TO CONSUME. WHICH IS ULTIMATELY
THE BUSINESSES RESPONSIBILITY-
SO FOR IT FROM OUR PERSPECTIVE
THERE SIMPLY NO. POLICY
JUSTIFICATION OR RATIONALE FOR
WHY THIS PARTICULAR TRAINING
PROGRAM SHOULD BE PAID FOR BY
WORKERS AND BE WHOLLY
INCONSISTENT WITH EVERY OTHER
HEALTH AND SAFETY EACH. THAT IS
WERE BY LAW SO WE WERE
RESPECTFULLY ASK FOR YOUR AYE
VOTE ON THIS BILL THANK YOU.
THANK YOU. HI MY NAME IS
TELEGENIC I AM AS WAS MENTIONED
BY SENATOR LEE MUN A RESTAURANT
OWNER. OF A SMALL INDEPENDENTLY
RUN SINGLE LOCATION RESTAURANT
IN OAKLAND CALIFORNIA WE OPENED
A LITTLE LESS THAN TWO YEARS AGO
IT'S THE FIRST BRICK AND MORTAR
I'VE EVER HAD- AND- WE-
CURRENTLY ALREADY CHOOSE TO PAY
FOR THIS TRAINING FOR OUR TEAM
WE DIDN'T WHEN WE OPENED. AND
AND WE STARTED HALFWAY THROUGH.
AND I'M HERE FULLY IN SUPPORT OF
THIS BILL- AND IN FACT I'M HERE
TO TALK ABOUT HOW WE'VE ACTUALLY
SEEN A POSITIVE IMPACT ON OUR
BOTTOM LINE SINCE WE MADE THAT
SHIFT. AND TO TELL YOU MORE
ABOUT THAT. TO BE CLEAR- I. WANT
TO I WANT TO MAKE SURE IT'S
CLEAR THAT WHAT WE'RE TALKING
ABOUT IS LESS THAN FIFTEEN
DOLLARS FOR THE TRAINING AND TWO
TO FOUR HOURS OF EMPLOYEES TIME
OVER THREE YEARS. MAXIMUM IN IN
REALITY THOSE COSTS ARE ACTUALLY
SIGNIFICANTLY LESS FOR US AS A
BUSINESS BECAUSE- 5275%
SOMETIMES MORE OF OUR NEW HIRES
ALREADY COME WITH THIS WITH THE
CERTIFICATE BECAUSE IT IS
REQUIRED IN THE INDUSTRY AND
THERE'S SO MUCH MOVEMENT IN THIS
INDUSTRY THAT- WORKERS. OFTEN
ARE ARE ALREADY COMING WITH THIS
TRAINING IN HAND SO ARE THE COST
TO THE BUSINESS IS ACTUALLY
SIGNIFICANTLY LOWER. I'M AND YOU
KNOW I CAN DEFINITELY SPEAK TO
FIRST HAND HOW. HOW INCREDIBLY
CHALLENGING IT IS TO MAKE THIS
BUSINESS WORK WERE REALLY
STRUGGLING THAT THE REALITY THAT
YOU'VE HEARD ABOUT RESTAURANT
OWNERSHIP IS TRUE. IT'S REALLY
THE RAZOR THIN MARGINS- AND AT
THE SAME TIME WHEN I REALLY LOOK
AT THESE NUMBERS IN COMPARISON
TO OUR TOTAL LABOR WHICH
PARTICULARLY IN A STATE LIKE
CALIFORNIA IS EXTREMELY HIGH.
IT'S TRULY NOMINAL IN COMPARISON
AND I DON'T USE THAT WORD
LIGHTLY IN THIS INDUSTRY- IT'S
REALLY ODD WHAT I WANT TO
SPECIFICALLY HIGHLIGHT IS WHEN
WE SHIFTED FROM NOT PAYING TO
PAYING FOR THIS TRAINING WHAT
HAPPENED WE SAW THAT OUR
EMPLOYEES STARTED TAKING MORE
TIME. TO REALLY UNDERSTAND THE
MATERIALS TO DO THE TRAINING
BECAUSE WE WERE PAYING THEM FOR
IT SO THEY WERE INCENTIVIZED TO
DO THAT WHEREAS BEFORE WE DID
THAT THEIR LABOR WAS BEING
EXPLOITED. IN THAT PROCESS
BECAUSE THEY WEREN'T BEING PAID
FOR THOSE HOURS AND THEY WERE
INCENTIVIZED TO RUSH THROUGH THE
MATERIALS AND I TAKE THE TEST AS
QUICKLY AS THEY COULD MAKE THAT
KIND OF PASSING GRADE. AND
THAT'S IT- AND NOW WE SEE IT
WHERE WE SEE FINANCIAL GAINS IS
BECAUSE PEOPLE ACTUALLY KNOW
THIS MATERIAL AND THE REALITY IS
THAT THE COST OF MISTAKES. IN
THIS AREA IS THERE SO HIGH ON
THE HIGH END THERE'S LIKE
LAWSUITS THERE'S THE LIABILITY
OF POTENTIAL LAWSUITS- FOR
REALLY. REALLY INTENSE EXAMPLES
THAT COULD DEFINITELY SHUT DOWN
OUR BUSINESS- AND THEN ON THE
LOWEST END OF IT WHAT WE'RE
TALKING ABOUT IS COMPING A
GUESTS MEAL BECAUSE WE MADE A
SMALL ERROR. AND THAT COST US IS
ACTUALLY TWICE AS GREAT AS THE
COST OF ACTUALLY PAYING FOR THIS
EXAM. SO WHAT WE SAW WHEN WE
SHIFTED IN DOING THAT WAS WE
WERE ACTUALLY SAVING MONEY- AND
YOU KNOW SO THAT THAT THIS PAYS.
PAYS FOR ITSELF IN POTENTIAL
ORDERS OF MAGNITUDE DEPENDING ON
WHAT WE'RE DEALING WITH- AND I
THINK IT'S ALSO IMPORTANT TO
NOTE THAT. THE LIABILITY OF
MISTAKES HERE IS ON A SAYS
RESTAURANT OWNERS IT'S NOT ON
EMPLOYEES. SO REALLY WE NEED TO
BE PAYING FOR THIS WE ARE
INCENTIVIZED TO PAY FOR THIS IS
IN OUR BEST INTEREST FINANCIALLY
AND AS A BUSINESS TO PAY FOR
THIS- AND YOU KNOW LASTLY I JUST
WANT TO BRING SOME ATTENTION TO
THE- US. MICHAEL MENTIONED THIS
BUT- RESTAURANT WORKERS ARE SOME
OF THE LOWEST WAGE EARNERS IN
AMERICA. WE HAD A TEAM MEMBER
WHO TOLD ME LAST WEEK THAT THEY
HAD FORTY SEVEN CENTS IN THEIR
BANK ACCOUNT. AND THAT'S AT A
RESTAURANT THAT'S PAYING MORE
THAN TWICE THE STANDARD IN THIS
INDUSTRY- AND YOU KNOW I'VE I'VE
ANOTHER EMPLOYEE. WHO SHARED
THAT THEY WERE LIVING OUT OF
THEIR CAR FOR A YEAR. TO TRY TO
SAVE ENOUGH MONEY FOR A SECURITY
DEPOSIT FOR AN APARTMENT THEY
COULDN'T SEE THEIR KIDS DURING
THAT TIME- BECAUSE OF. NOT
HAVING A HOME TO HAUSMAN. AND
YOU KNOW THE IMPACT OF THIS
NOMINAL EXPENSE TO US AS A
BUSINESS IS NOT NOMINAL TO IT
SAID TYRONE PLOYS. AND THIS IS
REALLY IT'S IT WE ARE
INCENTIVIZED TO AND IT. IN FACT
BENEFITS US TO PAY FOR THIS- SO
I URGE AN AYE VOTE ON THIS THANK
YOU. THANK YOU. I'M OTHERS IN
SUPPORT OF THE BILL. THESE COME
FORWARD IN JUST YOUR- NAME AND
ORGANIZATION IF YOU REPRESENT
MORE. MISTER CHAIR MEMBER SARAH
FLOCKS CALIFORNIA LABOR
FEDERATION CO SPONSOR AND
SUPPORT THANK YOU THANK YOU.
REALLY ROSENBERGER WITH US YEAH
YOU ALSO. SUPPORTING CO SPONSOR
THANK YOU THANK YOU. AFTERNOON
CASSIE MANZINI ON BEHALF OF THE
CALIFORNIA SCHOOL EMPLOYEES
ASSOCIATION AND SUPPORT. THANK
YOU. THEIR OPPOSITION TO THE
BILL. PLEASE COME ON UP. YEAH
YOU COME IN.
THANK YOU MR CHAIRMAN MEMBERS
MATT SUTTON OF THE CALIFORNIA
RESTAURANT ASSOCIATION. HERE IN
OPPOSITION TO THE BILL WE'RE NOT
IN OPPOSITION OF COURSE THE FOOD
SAFETY TRAINING WE WERE PART OF
HELPING CRAFT THE TRAINING BACK
IN TWO THOUSAND ELEVEN WITH AND
CENTER ALEX PADILLA. AND SO JUST
A LITTLE BIT OF HISTORY ON THAT
IF YOU DON'T MIND BECAUSE I KNOW
IT'S NEW TO SOME AND I KNOW
THERE'S BEEN COMPARISONS BETWEEN
DIFFERENT TYPES OF TRAINING- I
GUESS WHAT I WOULD START WITH
ITS IS BASICALLY AT THE TIME.
THEIR WORDS THREE DIFFERENT
HEALTH AND SAFETY TRAINING
PROGRAMS THROUGHOUT THE STATE
THOSE STILL EXIST TODAY THAT WAS
SAN DIEGO COUNTY RIVERSIDE
COUNTY AND SAN BERNARDINO
COUNTY- THOSE WERE NOT IMPACTED
BY SENATOR THAN OUR EXPEDIA'S
BILL- SO WHAT WE'RE TALKING
ABOUT NOW. IS A PROGRAM THAT WAS
SET UP OVER A DECADE AGO VERY
DELIBERATELY AND WITH WORKER
PROTECTIONS IN MIND. LABOR WAS
AT THE TABLE AS WELL AS
RESTAURANTS AND HEALTH
DEPARTMENTS- TO CRAFT THE
PRODUCT THERE WERE THREE A
NUMBER OF EAST CENTRAL THINGS
THAT WENT INTO THAT AND ONE IS
THE AS WAS MENTIONED BY ONE OF
THE PROPONENTS. THAT THE
CERTIFICATE BE THE PROPERTY OF
THE EMPLOYEE THE OTHER WAS THAT
IT WOULD BE PORTABLE BECAUSE
FOOD SAFETY IS FOOD SAFETY IT
SHOULD WORK IN ALL REGIONS
THROUGHOUT THE STATE. AT THE
TIME YOU HAD SOME LOCAL
LOCALITIES LOOKING TO DO THEIR
OWN FOOD SAFETY PROGRAM SO
UNIFORMITY MADE SENSE. IT AND
THEN IT WOULD LAST FOR THREE
YEARS AT A MINIMUM- AND THERE
WOULD BE CHOICE THERE'S AN OPEN
MARKET OF MANY MANY MANY
PROVIDERS MANY COUNTY.
DEPARTMENTS OF HEALTH HAVE LISTS
OF PROVIDERS SERVE SAFE IS
MENTIONED SIR SAFE WE BELIEVE
AND MOST HEALTH. INSPECTORS
BELIEVE IS SORT OF BEST IN CLASS
AND THAT'S WHY IT'S MENTIONED SO
MUCH IT'S KIND OF LIKE SAYING
KLEENEX FOR TISSUE- IT BUT
EMPLOYEES HAVE A CHOICE OF WHICH
PROVIDER THEY USE. MY SON
RECENTLY DECIDED TO USE A
DIFFERENT ONE AT A LOWER COST-
THAT'S COMPLETELY. APPROPRIATE
AND AVAILABLE AND THEN THE LAST
PIECES AFFORDABILITY. DON'T SEE
THIS TOO OFTEN BUT WRITTEN INTO
THE STATUTE AT THE TIME WAS THAT
THEY'D TEST. HAD TO BE A FIFTEEN
DOLLAR- LAST YEAR WE LIVE IN
YOUR LATER THERE IS LOW AS EIGHT
DOLLARS. SO AN EIGHT DOLLAR
CERTIFICATE OVER THREE YEARS
SENSE OF BEING TO DOLLARS AND
CHANGE. OF FOR THE EMPLOYEES SO
AT THE TIME THAT WAS DEEMED AN
EQUITABLE SOLUTION. TO HAVE
SOMETHING THAT WAS RELATIVELY
MANAGEABLE FOR THE EMPLOYEE.
DIFFERENT FROM WHAT WAS ALSO
MENTIONED EMPLOYER MANDATED
TRAININGS LIKE SEXUAL HARASSMENT
PREVENTION TRAINING AND SOME OF
THE OTHERS. SO THERE WAS AN
EFFORT TO MAKE IT DISTINCTLY
DIFFERENT. ALL THAT BEING SAID
RESTAURANTS ARE VERY VERY LABOR
INTENSIVE. AND IT IS A
MANAGEABLE COST AN OBLIGATION
FOR THE EMPLOYEE UNDER THE
CURRENT PROGRAM THAT'S WHAT WAS
DEEMED APPROPRIATE. BUT WHEN YOU
TAKE THAT COST WHICH COULD BE
FIFTY OR SIXTY DOLLARS PER
EMPLOYEE. AND MULTIPLIED ACROSS
THE INDUSTRY THAT HAS ONE POINT
FOUR MILLION RESTAURANT WORKERS
THROUGHOUT THE STATE. THAT ENDS
UP BEING A REAL SIGNIFICANT
COST. 85% OF OUR MEMBERS ARE
INDEPENDENT RESTAURANTS
COMMUNITY BASED RESTAURANTS IN
YOUR DISTRICTS. SO THAT IS THE
COST COMPOUNDING AND THAT HAS
RESTAURANTS SO CONCERNED IT IS
TRUE. THERE ARE RESTAURANTS THAT
OFFER TO PAY FOR THIS- THERE ARE
MANY THAT SIMPLY CAN'T- SO I
APPRECIATE THE COMMENTS MADE BY
THE RESTAURATEUR ABSOLUTELY- BUT
THAT IS THE CRUX OF OUR
OPPOSITION. THANK YOU OTHER
OTHERS IN OPPOSITION TO THE BILL
. FOUR ENGINE ST ON BEHALF OF
CALIFORNIA CHAMBER OF COMMERCE
IN OPPOSITION. THANK YOU. ANYONE
ELSE. BRING IT BACK TO THE
COMMITTEE QUESTIONS OR COMMENTS
FROM THE COMMITTEE. YEAH DR
WEBER. THANK YOU SENATOR FOR
THIS FALL I'M SO I HAVE A OF A
QUESTION FOR THE OPPOSITION
BECAUSE I JUST HEARD. FIFTY TO
SIXTY DOLLARS PER EMPLOYEE. BUT
WE'VE HEARD FIFTEEN UP MAX OF
FIFTEEN SO WHERE'S THE FIFTY.
THANK YOU DOCTOR EVER APPRECIATE
THE QUESTION SO THE ACTUAL
CERTIFICATE. IS WHAT'S MANDATED
ALLOWED TO BE FIFTEEN DOLLARS OR
LESS BUT YOU'RE ALSO UNDER THIS
SHIFTING THE COST STRUCTURE TO
THE RESTAURANT TO PAY FOR THE
TIME OF TRAINING. AND SO WHEN
YOU TAKE EVEN THE LOWEST MINIMUM
MINIMUM WAGE IS FIFTEEN FIFTY R.
A. N. U. TWO HOURS MINIMUM FOR
THE COURSE THAT I GUESS IS THE
OTHER OTHER PIECE OF INFORMATION
SO WHEN YOU LOOK AT THE TIME OF
THE TRAINING. AND I ADMIT YOU
KNOW THE FIFTEEN DOLLARS OR
EIGHT DOLLARS THAT THAT'S NOT
THE SIGNIFICANT PUNCH TO THE
RESTAURANT COMMUNITY IT'S THAT
TIME OF TRAINING WHICH WILL VARY
FOR PEOPLE BUT WE FIND TO BE AT
LEAST TWO HOURS. SO THAT'S HOW
YOU GET UP INTO THE FORTY FIFTY
SIXTY DOLLARS PER- AND IT
DEPENDS ON THE PROVIDER OF
COURSE. THANK YOU FOR THAT
CLARIFICATION- I JUST SAY THIS.
IS STILL GOING YOU CENTER
LAMONT- YOU KNOW I THINK THIS
TRAINING IS. I DEFINITELY
NEEDED- AS WE STATED FOR PUBLIC
HEALTH. I IMPACT AND BENEFIT- I
UNDERSTAND THAT. MANY OF OUR
RESTAURANTS ARE STILL STRUGGLING
AND REELING FROM THE PANDEMIC-
AND WE HAVE A DIFFERENT KIND OF
WORK FORCE NOW WITH A LOT OF
TURNOVER- AND I KNOW THAT WE PUT
A LOT OF RULES AND REGULATIONS
AND A LOT OF COST- TO CERTAIN-
RESTAURANTS I SPOKE TO A FEW AND
THEY WERE SAYING WILL. YOU KNOW
THROUGH COLLECTIVE BARGAINING
THERE'S A LOT OF THINGS THAT WE
PAY FOR OUR EMPLOYEES- I'M- THIS
IS AN IMPORTANT THING I WISH
THAT IT WAS ACTUALLY COVERED. BY
THE STATE. IT IS A STATE MANDATE
FOR PUBLIC HEALTH BENEFITS. AND
I BELIEVE THAT IT'S SOMETHING
THAT THE STATE SHOULD COVER AND
THE COUNTY SHOULD BE OVER BY
THE- ARM. YOU KNOW THIS IS WHERE
WE ARE IT'S AN INTERESTING
BUDGET YEAR. ARMS SO I'D- I TOLD
YOU I WILL SUPPORT YOUR BILL
TODAY BUT I REALLY BELIEVE THAT
THIS ISN'T SOMETHING THAT. THE
EMPLOYER OR THE EMPLOYEE SHOULD
BEAR THE BURDEN FOR IT REALLY
SHOULD BE ON THE STATE THANK YOU
. MUCH OF MR PAPERWORK. THANK
YOU. I WOULD CONCUR WITH MAY MY
COLLEAGUE AS A FORMER RESTAURANT
OWNER. I GET THE TIME THAT THEY
HAVE TO AT THE PUT IN IT'S AND
IT'S A REQUIREMENT. PROBLEM I
HAVE WITH IT IS BECAUSE OF NOW
THE REGULATIONS SPECIALLY. MY
DISTRICT I CAN'T SPEAK FOR ALL
MY COLLEAGUES HERE IN MY
DISTRICT. I GOT HIT HARD. WITH
RESTAURANTS CLOSING AND AS MUCH
AS THIS NUMBER MIGHT BE SMALL.
THEY'RE NOT EVEN PAYING
ATTENTION THAT THEY'RE JUST
THEY'RE TALKING TO ME ON A
REGULATION LIGHT YOU KEEP ADDING
MORE AND MORE TO US. AS IT IS
VERY VERY EXPENSIVE I. WILL
NEVER GET INTO THE RESTAURANT AS
EVER AGAIN IT IS THE MOST
TOUGHEST THING TO DO. I MEAN FOR
THE MINUTE YOU OPEN UP. YOU KNOW
OPEN UP THAT DOOR TO TURN ON
LITERACY TO WORKMEN'S COMP TO
INSURANCE. I MEAN IT IS SO
EXPENSIVE. AND THEY ARE ON TOP
OF THAT IS THIS IS THAT- THE
BILL PASSES RIGHT YOU'RE GOOD
THE EMPLOYER'S GONNA PAY FOR IT.
BUTTON BUT IN PLACE INCOMING GO
THAT THEY CAN CHOOSE AROUND TAKE
THAT NOW NOW YOU'RE TRYING TO
FIGURE OUT THE RETENTION PART.
ARE YOU GOING TO KEEP RETAINING
EMPLOYEES I IT WAS HEARTFELT
WHICH YOU MENTIONED YOUR STORY
THAT THEY FELT LIKE THEY WOULD
WANT TO BE BELONGING TO THE
RESTAURANT. BUT THAT'S NOT THE
CASE ESPECIALLY AT AFTER THE
PANDEMIC I'VE LEARNED A LOT AT
THESE RESTAURANTS ARE
STRUGGLING. I GET THE AUTHOR
WHERE SHE'S GOING WITH THIS AND
I. BUT AND TODAY I REALLY CAN'T
SUPPORT BECAUSE I GET A LOT OF
CALLS FROM A BUSINESS COMMUNITY
WHICH IS SOMETIMES REALLY IS THE
BACKBONE OF OUR COMMITTEE MORE
ASKING FOR. PERCEPTIVE BE PAID
UP HERE- IT'S AT ITS AT THEIR
EXPENSE AND AS AT A CERTAIN
POINT I HAVE TO SAY. OKAY ENOUGH
IS ENOUGH AND I REALLY CONCUR
WITH MY COLLEAGUES THAT I THINK
THAT. SOMEONE'S GONNA PAY FOR IT
REALLY SHOULD BE THE STATE.
THANK MISTER RODRIGUEZ. IT'S
ALSO MORE THANK THE- CENTER FOR
BRING THIS BILL FOR ITS
OVERSEAS. BORN BILL ALSO WON
SAID I AGREE WITH MY COLLEAGUE
FROM SAN DIEGO AS WELL THAT THE
STATE SHOULD BE RESPONSIBLE FOR
THIS. BUT JUST WANNA SHARE SOME
ABOUT THE INDUSTRY I CAME FROM
WE TALKED ABOUT YOU KNOW THAT
THE RESTAURANT INDUSTRY WHAT'S
HAPPENING OR THE EMPLOYEES. OF
THE INSTRUCTION FROM THERE ARE
CERTAIN CERTIFICATIONS IN
LICENSE WE NEEDED AN EMPLOYER
ALWAYS PAY FOR THOSE WHICH WAS
NEVER A PROBLEM. THE ONE
CONCERNED I'M HAVING IS JUST NOW
THAT THE- UP THE BUSINESS ALSO
HAS PLAYED FOR THE TIME TAKEN TO
TAKE THAT. CERTIFICATION RIGHT
AN HOUR TWO HOURS WHATEVER THE
CASE MAY BE. WENT BACK TO MY
EXAMPLES I MEAN. WERE GIVEN THE
OPPORTUNITY THAT THEY WOULD PAY
FOR IT BUT NOBODY WAS NEVER PAID
US THE TIME. TO TAKE THOSE
TESTER GET THOSE CERTIFICATES OR
NEEDED. TO BE THAT A PLAYER OF
THAT INDUSTRY AND WAS NEVER A
PROBLEM. YOU TALK ABOUT THE
INDUSTRY THAT SOME OF THESE
EMPLOYEES ARE BARELY MAKING IT.
WELL THAT'S INDUSTRY I CAME
FROM. ARE PROBABLY LESS HAD LESS
THAN A DOLLAR IN MY BANK ACCOUNT
AFTER- GETTING MY PAYCHECK
PAYING MY BILLS I NOTICED LIKE
STRUGGLE. ONCE AGAIN THERE WAS
NEVER A ISSUE WITH US AS
EMPLOYEES AT THE TIME. TAKING
TWO THREE EVEN FOUR HOURS AT A
TIME TO GO GET THE CERTIFICATION
GOING TO GET THIS LICENSES THAT
WE NEEDED. SO THAT I'M
STRUGGLING WITH THAT PARLIAMENT
HAS ALSO THAT THE THEM TO OUR
HOUSE TO PAY. FOR- FOR THE TIME.
I NEEDED TO TAKE THAT THAT-
CERTIFICATION SO. I'M LOOKING TO
SUPPORT IT NOW JUST AS AS A
COURTESY BUT- WE CAN ADDRESS
SOME OF THE I DON'T KNOW HOW
MUCH MORE YOU CAN DO BECAUSE
OBVIOUSLY. I JUST STARTED
TALKING TO FOLKS ABOUT THE BILL
SINCE YESTERDAY THIS MORNING. SO
THERE'S A LOT OF OTHER THINGS I
WANTED TO TALK ABOUT BUT-
HOPEFULLY- YOU CAN KIND OF WORK
WITH THE OPPOSITION ON SOME OF
THESE OTHER THINGS ARE BRING
ABOUT. AND RESERVE MY RIGHT IF
IT COMES BACK TO ME JUST PUT IT
ON IN THE FUTURE. I'M SO THANK
YOU ONCE AGAIN FOR THAT. ANY
ANYONE ELSE. I SEE NO WHEN IT
COMES BACK TO ME- I'M FIRST WIDE
EYED I SUPPORT YOUR BILL SENATOR
I. APPRECIATE WHAT YOU'RE TRYING
TO DO- AND- I'M RISE A FORMER
EMPLOYER I THINK OF ALL THE
THINGS THAT I PAID FOR MY
EMPLOYEES. BECAUSE I KNEW THAT
IN THE END OF THE DAY LIKE OUR
RESTAURANT OWNER HERE- THAT THAT
WAS GOING TO BE A NET BENEFIT
FOR ME- FLU SHOTS BUT- ONE
WHOEVER WONDERFULLY SHOT. I PAID
FOR IT- CONTINUED EDUCATION I
GAVE THAT AS OPPORTUNITIES FOR
MY STAFF. WHAT THAT DID. WAS IT
MADE MY STAFF A BETTER. BETTER
TEAM MORE ENGAGEMENT WE'RE DOING
PROVIDING BETTER CARE FOR OUR
PATIENTS. AND SO RECOGNIZE NOT
EVERY BUSINESSES IN THE SAME
POSITION. BUT I LOOK AT SOME OF
THIS AS AN INVESTMENT. BUT I
ALSO GOT TO THINK THAT PART OF
THE AN INSPIRATION FOR THIS BILL
COMES FROM THAT NEW YORK TIMES
ARTICLE. WHERE YOU HAVE A
COMPANY THAT'S PROVIDING THIS
CERTIFICATE- TRAINING AND THEN
USES SOME OF THAT. THE LOBBY AND
TRY TO DEPRESS WAGES FOR
WORKERS- I HAVE A PROBLEM WITH
THAT. I REALLY REALLY DO AND SO-
HAPPY TO SUPPORT YOUR BILL
TODAY- AND IF IT PASSED OUT HER
LOVE TO BE ADDED AS A CO AUTHOR-
WITH THAT WILL- WOULD YOU LIKE
TO CLOSE. YES THANK YOU AND
THANK YOU MEMBERS FOR THE
THOUGHTFUL CONVERSATIONS AND THE
QUESTIONS BACK AND FORTH AND
YOU'RE RIGHT THERE IS A NATIONAL
CONVERSATION HAPPENING ABOUT
THIS VERY ISSUE RIGHT NOW- IN
MULTIPLE STATES WE'RE NOT THE
ONLY STATE THAT IS LOOKING. AT
THIS PARTICULAR TRAINING AND
WHERE THE FEES GO HOWEVER I ALSO
COME FROM A FAMILY OF RESTAURANT
OWNERS. AND I ALSO HAVE THIS
CERTIFICATION BECAUSE IT TURNS
OUT THAT WHEN SOMEONE CAN SHOW
UP TO WORK. THEY HAVE TO CALL A
RELATIVE TO GO FILL IN TO HELP
WITH CATERING. SO I KNOW WHAT
IT'S LIKE TO BE IN A FAMILY
WHERE PEOPLE HAVE TO PICK UP AND
BE ABLE TO HELP OUT TO MAKE A
BUSINESS AND A SMALL BUSINESS IN
PARTICULAR THRIVE. AND THAT IS
DIFFICULT. BUT I ALSO KNOW AS I
THINK. IT WAS VERY WELL
ARTICULATED HERE- BY IT YOU
KNOW. THE STELLA WHICH IS THAT
THE LIABILITY THE REASON THIS
BILL IS COMING TO HEALTH
COMMITTEE IS BECAUSE IT IS A
HEALTH ISSUE. WE CAN BE TALKING
EIGHT DOLLARS. FIVE DOLLARS I
MEAN THESE ARE A FRACTION OF A
CENTS PER DAY. AND YOU GET A
LAWSUIT AND I CAN TELL YOU YOU
WILL NOT BE LOOKING AT FIFTY A
HUNDRED THOUSAND DOLLARS. IF YOU
HAVE A LISTERIA BREAK OUT. YOUR
GOAL IT IS GOING TO BE MUCH MORE
COSTLY SO FROM A PUBLIC HEALTH
PERSPECTIVE. IT IS A PUBLIC
GOOD. AND THE INDIVIDUAL OR THE
ENTITY THAT BENEFITS. IS THE
SMALL BUSINESS. THAT IS WHAT
WE'RE TRYING TO PROTECT. WE
DON'T WANT THESE BREAKOUTS WE
DON'T WANT THE LAWSUITS OF MIS
HANDLING FOOD. AND SO FOR THOSE
REASONS BECAUSE AT THE END OF
THE DAY IT IS THE SMALL BUSINESS
THAT IS PROTECTED THE EMPLOYEES
THAT ARE PROTECTED. YOU KNOW
WHAT THE EXAMPLE THAT WAS GIVEN
IS ON THE LOW END YOU COMPANY OR
SOMETHING DOESN'T GO RIGHT. BUT
ON THE HIGH END IT'S A LAWSUIT.
AND SO FIFTY DOLLARS EIGHT
DOLLARS FIVE DOLLARS THERE'S
SOME FREE PROGRAMS OUT THERE
RIGHT AND THAT IS WHAT WE'RE
TRYING TO ENSURE. THAT THE TIME
THAT IT TAKES THAT NO ONE RUSHES
THROUGH SOMETHING THAT IS GOING
TO COST A SMALL BUSINESS. A
REALLY HEFTY TAG. AND SO I THINK
IT'S YOU KNOW I RESPECT FOR ALL
OF US ARE COMING FROM- AS
LEGISLATORS AND THE BACKGROUND
AND EXPERIENCES THAT WE BRING. I
DO WISH THAT THE STATE COULD PAY
FOR A LOT OF THE- THE TRAINING-
THAT WE MANDATE IT YOU KNOW
HEALTH AND OTHER ENTITIES- BUT
THAT IS A DIFFERENT DISCUSSION
FOR A DIFFERENT BILL- WHAT YOU
HAVE IN FRONT OF YOU I THINK IS
YOU KNOW. OUR STATE'S VERSION OF
TRYING TO ENSURE THAT WE'RE
CLOSING THESE LOOPHOLES BUT
ALSO. ENSURING THAT THE PUBLIC
GOOD IS MET BY PROPER TRAINING-
THAT IS DONE BY THE EMPLOYER TO
PROTECT THE EMPLOYER. FROM A
HEALTH. MISHAP WITH FOOD- SO
WITH THAT I RESPECTFULLY ASK FOR
AN AYE VOTE. THANK YOU MUCH
SENATOR MON OF. WE HAVE A MOTION
. A BY MISS BURNER THAT'S RIGHT
EXCUSE ME THIS OUR SECOND. THANK
YOU BY MISTER MCCARTY. THE
MOTION IS DUE PASSED TO
APPROPRIATIONS MADAM SECRETARY
PLEASE CALL THE ROLL. WHAT I
WOULD AYE WALDRON. AGUIAR-CURRY
AGUIAR-CURRY AYE ARAMBULA.
ARAMBULA AYE BURNER. BURNER I
WENDY CARILLO. WENDY CARILLO HI
FLORA. AND FONG. THAT'S FINE NO
MAIENSCHEIN. MAIENSCHEIN AYE
MCCARTY. MCCARTY IDA PATTERSON.
RODRIGUEZ RODRIGUEZ AYE
SANTIAGO. SANTIAGO IBM COULD
WALK. VEHICLE ONE OF VOTING.
WEBER WEBER II. GET TEN VOTES AT
BILLS OUT LEAVE THE ROLE OPEN
FOR OTHERS TO ADD ONS. AND THAT
SIXTIES IT WAS TEN TO ONE EXCUSE
ME MY APOLOGIES. SENATOR WIENER
.
THANK YOU VERY MUCH MISTER CHAIR
OUR COLLEAGUES I'M HERE TO
PRESENT SENATE BILL NINETY THE
INSULIN AFFORDABILITY ACT WHICH
PASSED THIS PAST THE SENATE
FORTY TO NOTHING- MILLIONS OF
CALIFORNIANS FACE THE FEAR BEING
ON IT UNABLE TO AFFORD- THE
INSULIN THAT THEY NEED SIMPLY TO
SURVIVE- THIS BILL WILL
ALLEVIATE THESE INDIVIDUALS-
NEEDING TO RATION THEIR INSULIN
TO SAVE. OUR COSTS WE KNOW THAT
INSULIN PRICES HAVE NEARLY
TRIPLED IN THE PAST DECADE AS A
RESULT ONE IN FOUR PEOPLE REPORT
INSULIN UNDER USE OUR RESEARCH
FROM USC FOUND THAT THE PRICE
INCREASE IS NOT BECAUSE OF
RISING COSTS BECAUSE OF RIDER
FACTORS- INCLUDING PHARMACY
BENEFIT MANAGERS CHARGING MORE
TO SUPPLY PHARMACIES AND HEALTH
PLANS. ARE LET THIS BILL WILL
ALONG- CALIFORNIA LAW FOR MANY
PRIVATE PLANS WITH THE FEDERAL
LAW THAT WAS RECENTLY PASSED THE
CAPS INSULIN COPAYS AT THIRTY
FIVE DOLLARS FOR A THIRTY DAY
SUPPLY- WE MADE VARIOUS
AMENDMENTS TO THE BILL IN THE
SENATE PARTICULARLY FOCUSING THE
BILL ON TIER ONE AND TWO PLANS-
AND I RESPECTFULLY ASK FOR YOUR
AYE VOTE. WITH ME TODAY TESTIFY
IS US TARA ON THE CBS IF THERE
IS DANGERS OF PATIENT THE SUMMER
OCT THE FALCONS THE OFFICER WITH
AMER DIABETES. AT THE GO AHEAD
OF MOST AND SECOND OF. I THINK
IT'S A MUCH AND MISTER MEMBER
WERE- GRATEFUL TO HAVE
OPPORTUNITY TO TALK TO YOU ABOUT
THIS BILL TODAY- THERE'S A
NATIONAL CONVERSATION ABOUT THE
PRICE OF INSULIN AND WHAT IS
WHAT THAT IMPACT IS BAN ON
PEOPLE WITH DIABETES. WE HAVE
TWENTY FOUR STATES PLUS THE
DISTRICT OF COLUMBIA THAT TAKEN-
I HOPE THAT OF APPROVE COST
SHARING MEASURES TO MAKE THIS A
DRUG MORE AFFORDABLE NO ONE'S
REALLY STANDING IN LINE BECAUSE
THEY WANT TO TAKE INSULIN
THEY'RE TAKING A PLAN BECAUSE
THEY HAVE TO. I'M GONNA YIELD
THE REST OF MY TIME TO- TO ONE
OF OUR VOLUNTEERS SHE'S GONNA
TALK TO YOU ABOUT HER OWN
EXPERIENCE WITH INSULIN
AFFORDABILITY THANK YOU. GOOD
AFTERNOON MR CHAIRMAN MEMBERS MY
NAME IS SARAH SPIDERS AND I'VE
BEEN LIVING WITH TYPE ONE
DIABETES FOR ELEVEN YEARS A
DISEASE FOR WHICH THERE IS NO
CARE. I AM A PROUD LOS ANGELES
NATIVE AND RESIDENT A MASTERS OF
PUBLIC HEALTH AND HEALTH POLICY
CANDIDATE UCLA A MEMBER OF THE
AMERICAN DIABETES ASSOCIATION
SOUTHERN CALIFORNIA ADVOCACY
ADVOCACY COMMITTEE. AND I LIKE
NEARLY FOUR MILLION OTHER
CALIFORNIANS A DIABETES RELY ON
INSULIN AS MY ONLY TREATMENT
OPTION. HOWEVER THE RISE OF
INSULIN PRICES HAS MADE THAT
DRUG UNAFFORDABLE FOR ROUGHLY
ONE IN FOUR INSULIN USERS.
REPORT RATIONING THEIR DOSES TO
PAY FOR OTHER LIFE ESSENTIALS
INCLUDING RENT. UTILITIES FOOD
AND CHILD CARE. RATIONING
INSULIN TAKES MANY FORMS AND HAS
MANY FACES AND EVERY YEAR IT
CAUSES DEATH AND SEVERE MEDICAL
COMPLEX. COMPLICATIONS AMONG MY
COMMUNITY. I HAVE EXPERIENCE
TIMES OF RATIONING INSULIN AS A
YOUNG PROFESSIONAL EVEN WITH
EMPLOYER BASED INSURANCE TO THE
ASTRONOMICAL COST OF COPAYMENTS.
AND MY HEALTH AND SUBURB HAS A
CONSEQUENCE. ONCE WHILE BEING
RUNG UP AT THE PHARMACY COUNTER.
THE PHARMACIST WAS SHOCKED TO
SEE THE TOTAL COST OF MY BILL.
SO MUCH SO THAT HE DOUBLE
CHECKED THE RECEIPT AND SAID
THAT'S A CAR PAYMENT. AND IT
WAS. THE COVER ALL OF MY INSULIN
PRESCRIPTIONS I WAS LOOKING AT A
BILL OF OVER FOUR HUNDRED
DOLLARS. WHICH WAS NOT A
REGULAR. THAT'S OVER FOUR
HUNDRED DOLLARS AN INSULIN
ALONE. NO INSULIN PUMP SUPPLIES
NO DOCTORS VISITS OR GLUCOSE
MONITORING SUPPLIES. NO
LABORATORY COPAYMENTS NEEDLES OR
SYRINGES JUST INSULIN. A DRUG
FOR WHICH I HAVE NO CHOICE BUT
TO FIND A WAY TO PAY FOR OR RISK
MY LIFE AND IT'S ABSENCE.
HOWEVER CHANGE IS POSSIBLE. IN
TWO THOUSAND TWENTY TWO WE SAW
CONGRESS PASSED THE INFLATION
REDUCTION ACT WHICH CONTAIN
BECAUSE PROVISIONS ENSURING
MEDICAID MEDICARE BENEFICIARIES.
DON'T PAY MORE THAN THIRTY FIVE
DOLLARS PER MONTH FOR INSULIN.
TWENTY FOUR STATES AND THE
DISTRICT OF COLUMBIA HAVE.
SELLABLE PROHIBIT CALIFORNIA'S
STATE REGULATED HEALTH INSURANCE
PLANS FROM IMPOSING DEDUCTIBLES
ON ITS INSULIN PRESCRIPTIONS. OR
IMPOSING A CO PAYMENT OF MORE
THAN THIRTY FIVE DOLLARS FOR A
THIRTY DAY SUPPLY OF AN INSULIN
PRESCRIPTION. PASSAGE WOULD MEAN
TAKING LARGE EQUITABLE STEPS
TOWARDS INSULIN AFFORDABILITY
THAT IS DESPERATELY NEEDED FOR
SO MANY. ANALYSIS ON PREVIOUS
VERSIONS OF THIS BILL FROM THE
CALIFORNIA HEALTH BENEFIT REVIEW
PROGRAM FOUND THAT CAPPING COST
SHARING ON INSULIN WOULD NOT
RAISE PREMIUMS FOR CALIFORNIA.
BUT EVEN ONE PERCENT. AND WOULD
REDUCE COSTS ASSOCIATED WITH
DIABETES RELATED EMERGENCY
DEPARTMENT VISITS BY 10%
THEREFORE WE WOULD LIKE HELL FOR
YOU TO CHOOSE TO TAKE ACTION
THAT MEARS OUT OF CONGRESS AND
STATES ACROSS THE COUNTRY AND
RECOGNIZE THAT ENSURING INSULIN
IS AFFORDABLE MAKES SENSE
FISCALLY AND IS IMPACTFUL IN
CREATING MORE POSITIVE HEALTH
OUTCOMES. THANK YOU. THANK YOU-
DO WE HAVE OTHERS IN SUPPORT OF
THE BILL. EIGHT FOUR JUST ON
BEHALF OF CALIFORNIA AGENTS AND
HEALTH INSURANCE PROFESSIONALS
AND SUPPORT THANK YOU. GIVE ME
BROWN ON BEHALF OF THE CITY OF
LOS ANGELES IN SUPPORT SIX YEARS
RIGHT LONG BEACH AND SUPPORT
THANK YOU. THANK YOU HI KATIE
VAN NUYS WITH HEALTHAXIS
CALIFORNIA STRONG SUPPORT THANK
YOU THANK YOU. GOOD AFTERNOON
DOUG JANUARY WITH THE ASKING
CALIFORNIA IN SUPPORT THANK YOU
THANK YOU. ALL EX CON ON BEHALF
OF THE CALIFORNIA CHRONIC CARE
COALITION IN SUPPORT. THANK YOU
. ANYONE ELSE. IS THEIR
OPPOSITION TO THE BILL.
WE WOULD LIKE THIS COME UP BY
THE MAJORITY ARE NOT GONNA BE
PRETTY. OKAY OKAY A GOOD
AFTERNOON MEMBERS OF THE
COMMITTEE OUR REPORT CAN WITH
THE OF PLANS RESPECT OPPOSITE.
TO THE BILL AND PRINT FIRST YOU
WANNA CLEAR THAT WE OBVIOUSLY
UNDER A SIMPLE WITH THE PATIENTS
OR BIRD WITH HIGH COST OF. WE
HAVE CONTINUALLY VOCALLY
EXPRESSED AT ADDRESSING THE HIGH
COST OF PRESCRIPTION DRUGS
WITHIN OUR HEALTHCARE SYSTEM IS
CRITICAL TO MAINTAINING
AFFORDABILITY FOR ENROLLEES. WE
SHARON IS FRUSTRATING OUT THE
EXPONENTIAL RISE PRESCRIPTION
DRUG PRICES INCLUDING INSULIN
CONTINUES TO DRIVE ACROSS WITHIN
OUR HEALTH CARE SYSTEM. HOWEVER
THANKS TO INCREASE COMPETITION
POLITICAL PRESSURE. AND RECENT
CHANGES IN FEDERAL LAWS THE
INFLATED PRICE OF INSULIN IS
FINALLY STARTING TO COME DOWN.
WE WILL BE OPEN TO A
CONVERSATION WITH THE AUTHOR
THAT WOULD DELAY THE EFFECTIVE
DATE OF THIS BILL AND APPLY TO
TEARING STRUCTURE EQUALLY DAHLE
MARKETS INDIVIDUAL SMALL AND
LARGE GROUP IN ORDER TO MAKE
IMPLEMENTATION SMOOTHER. HEALTH
PLANS REMAIN COMMITTED TO
PROVIDING COMPREHENSIVE COVERAGE
THAT HELPS OUR RELEASE PREVENT
DIAGNOSE AND MANAGE BOTH ACUTE
AND CHRONIC CONDITIONS THAT
PROMOTE HEALTH WELLNESS AND
PREVENTION. WE LOOK FORWARD TO
CONTINUING TO WORK WITH THE
AUTHOR LEGISLATURE TO ENSURE
THAT CALIFORNIANS HAVE ACCESS TO
INSULIN AT A COMPETITIVE AND
TRANSPARENT PRICE. THANK YOU FOR
YOUR TIME TODAY. THANK YOU.
MISTER CHAIRMAN PERSEPHONE WALK
INS ON BEHALF OF THE ASSOCIATION
OF CALIFORNIA LIFE AND HEALTH
INSURANCE COMPANIES IN THE
INTEREST OF TIME- ECHO MY
COLLEAGUES' COMMENTS I WOULD
JUST HIGHLIGHT ON THE
IMPLEMENTATION DATE WE'VE SEEN
THIS IN A COUPLE BILLS THAT
THERE'S TWO DIFFERENT DATES.
JUST FOR THE EASE AND QUALITY OF
IMPLEMENTATION ACROSS ALL MARKET
SEGMENTS WE WOULDN'T LIKE TO
HAVE A FURTHER CONVERSATION
ABOUT A MERGING THOSE STATES AND
HAVING ONE IMPLEMENTATION DATE
THAT WOULD GO ACROSS ALL
MARKETS. AND FOR THOSE REASONS
WE REMAIN OPPOSED TO THE BILL
BUT WE LOOK FORWARD TO HAVING
FUTURE CONVERSATIONS. THANK YOU
. THE TWENTY ONE ELSE. OTHERS IN
OPPOSITION PLEASE. YOUNG FOR THE
CALIFORNIA CHAMBER OF COMMERCE
HERE TODAY IN OPPOSITION ALIGNED
MY COLUMNS. OKAY AND- ACCOUNT
THANK YOU. THANK YOU. ANYONE
ELSE. OKAY WAS COME BACK TO THE
COMMITTEE QUESTIONS OR COMMENTS
FROM THE COMMITTEE. THIS WALDRON
. THANK YOU MISTER CHAIR- THANK
YOU SENATOR WIENER FOR BRINGING
THIS BILL FORWARD. I'M HAPPY TO
BE A CO AUTHOR- IT WILL HELP
LOWER THE COST OF LIFE SAVING
INSULIN FOR CALIFORNIANS WHO
DEPEND ON IT. AND WE KNOW THAT
THE COSTS HAVE SKYROCKETED OVER
THE LAST FEW YEARS I THINK IT
WAS. AVERAGE LIST PRICE OF BRAND
NAME INSULIN NEARLY TRIPLED
BETWEEN TWO THOUSAND SEVEN AND
TWENTY EIGHTEEN INCREASING BY
210062% ADD TO AN AVERAGE OF A
159% FOR ALL DRUG CLASSES. I'VE
BEEN INVOLVED WITH THIS ISSUE.
FOR MANY YEARS AS WELL AS WORK
AND OTHER CHRONIC CONDITIONS AND
TRYING TO GET MORE STREAMLINED
ACCESS TO NEEDED MEDICATIONS SO-
WE NEED TO MAKE SURE THAT
PATIENTS HAVE ACCESS TO. THE
LIFESAVING TREATMENTS- IN THE
LONG RUN IT SAVES MONEY YOU
KNOW. JUST THE PREVENTION OF
WHAT COULD BE HOSPITALIZATIONS
OR OTHER THINGS. AND ALSO HELPS
FOR SUCCESSFULLY HEARINGS FOR
THESE DRUGS WITH WHICH LEADS TO
BETTER STABILITY AN OUTCOME SO.
I'LL BE SUPPORTING THE BILL
THANK YOU. THANK YOU ANYONE ELSE
. THE NO ONE AT HOME FOR FOUR
THANK YOU CENTER WAITING FOR
BRINGING THIS BILL FORWARD-
APPRECIATE WHAT THE FEDERAL
GOVERNMENT IS DONE BUT THAT
WOULDN'T HAVE HELPED YOUR YOUR
WITNESS. WHO I WOULD GUESS IS
PROBABLY NOT ON MEDICARE- YEAH I
THINK SOPHIA LOOKING PRETTY
YOUNG THERE- AND YOU KNOW AND I
DO APPRECIATE YOU KNOW WHERE.
WE'VE HEARD FROM- OPPOSITION
THAT THE PRICES COMING DOWN
PRINCE ONE BUT THERE'S NO
GUARANTEE IT'S GOING TO STAY
DOWN- AND IN REALITY IF THE
PRICE IS JUST COMING DOWN. IN
PRICE COULD COME DOWN A LONG
TIME AGO- AND ONE OF THE REASONS
THAT- THERE WAS A BILL- TO
ACTUALLY HAVE THE STATE BEGAN
PRODUCING ITS OWN INSULIN. WAS
BECAUSE OF THE HIGH PRICE OF
INSULIN AND THAT IS THE EFFORT
TO MAKE SURE IT'S AFFORDABLE
PERIOD- AND SO- I DO ACTUALLY
SHARE ONE CONCERN OF THE
OPPOSITION AND THAT'S THE UNEVEN
IMPLEMENTATION DATE HERE- I
WOULD RATHER SEE THIS ALL. QUITE
FRANKLY M. TAKE EFFECT JANUARY
FIRST TWENTY TWENTY FOUR- AND
THAT THE IS BASED IT'S THE
INDIVIDUAL SMALL GROUP MARKET
THAT ISN'T GOING TO GO INTO
EFFECT UNTIL JANUARY TWENTY. BUT
JANUARY ONE TWENTY TWENTY FIVE
THE SOME OF THAT QUITE FRANKLY
IS COVERED CALIFORNIA. AND SO
THE UNEVEN IMPLEMENTATION OF
THAT I FIND REALLY FRUSTRATING
AND- I WOULD HOPE THAT IF COVER
CALIFORNIA'S LISTENING THAT THEY
MAYBE THEY CAN FIGURE OUT HOW TO
GET THIS IN. THE WE COULD
ACTUALLY HAVE AN EFFECT FOR
EVERYONE JANUARY FIRST TWENTY
TWENTY FOUR- OF ANYONE IF. WITH
THAT WOULD YOU LIKE TO CLOSE.
THANK YOU MISTER ASK COVER CAL
IN THE SENATE WAS QUITE AND- ON
A DELAYED IMPLEMENTATION SO THAT
HAPPENED HAPPENED AND SENATE
HEALTH- AND I I'M I'M ALIVE IF
YOU IN TERMS OF MY YOU MIGHT YOU
POINT BUT THAT WAS. AMENDMENTS
IN THE SENATE. SO ARE CHRIS I
WANNA BE I'M VERY GRATEFUL THAT
THIS IS A BI PARTISAN- BILL
SHOULD NOT BE A PARTISAN ISSUE-
DIABETES FACTS. EVERYONE RED AND
BLUE AND THIS IS JUST A HUGE.
ISSUE I AM YES WE HAVE A LOT OF
WORK TO DO ON MULTIPLE FRONTS
AROUND. THE COST OF INSULIN AND
IT'S GREAT THAT THE STATE WILL I
HOPE BE A PRODUCING INSULIN IT'S
GREAT WHAT'S HAPPENING WITH SOME
OF. THE PHARMACEUTICAL COMPANY'S
ABOUT ALTERNATELY WHEN THE
CONSUMER. WHEN THE WHEN THE
PATIENT IS GOING. TO GET THERE
AND SOMEONE. FROM THE PHARMACY.
WHAT THEY SEE IS A CO PAY.
EVERYTHING ELSE IS WHAT IS A
BUNCH OF INDUSTRY GIANTS WHO
MIGHT FIGHTING WITH EACH OTHER.
AND BIT AND THAT'S- THAT'S GREAT
BIG FIGHT WITH EACH OTHER AND
GOVERNMENT GOT INVOLVED TRY TO
WORK IT OUT. WHAT THE WHAT THE
PATIENT SEES WALKING THE
PHARMACY AND THE PHARMACIST SAYS
. UNDER A HUNDRED DOLLARS FOR
NEXT MONTH'S SUPPLY WHY DON'T
HAVE A HUNDRED DOLLARS WILL THEN
YOU CAN'T HAVE YOUR INSULIN. DOT
DOTTORE FIXING TODAY AND I'M SO
APPRECIATIVE FOR THE BIPARTISAN
SUPPORT AND I RESPECTFULLY ASK
HER AYE VOTE. THANK YOU VERY
MUCH WE HAVE A MOTION BY MISS
AGUIAR-CURRY A SECOND BY MS
BURNER. ON THE MOTION IS TO PASS
TO APPROPRIATIONS MADAM
SECRETARY PLEASE CALL THE ROLL.
WHAT I WHAT I WALDRON. WALDRON
AYE AGUIAR-CURRY AGUIAR-CURRY
AYE ARAMBULA ARAMBULA AYE BURNER
. BURNER I WENDY CARILLO WENDY
CARILLO AYE FLORA. AND FAUNA.
THANKS FONG I MAIENSCHEIN
MAIENSCHEIN I'M- MCCARTY IDLE
PATTERSON THE PATTERSON AYE
RODRIGUEZ. RODRIGUEZ AYE
SANTIAGO. SANTIAGO I BE A GOOD
ONE THE VALLAPUDUA I WEBER.
HOWEVER I FOURTEEN. THAT'S
FOURTEEN ZERO SO THANK YOU VERY
MUCH YOUR BILL IS OUT. AND THAT
IS A PRESENTATION OF ALL THE
BILLS SO WE'LL GO BACK TO THE
TOP OF THE ORDER- AND WE'LL GO
THROUGH THIS ONE TIME. SO. FOR
THE TOP OF THE ORDER- ITEM
NUMBER ONE SB SIX TWENTY ONE
PLEASE A MASSACRE PLEASE OPEN
THE ROLL CALL THE ABSENT
MEMBERS. ARAMBULA ARAMBULA AYE
BURNER. BURNER I WENDY CARILLO
WENDY CARILLO AYE FLORA.
MAIENSCHEIN MAIENSCHEIN IDA
PATTERSON. THE PATTERSON AYE
SANTIAGO. SANTIAGO I. THAT'S
FOURTEEN ZERO ITEMS NUMBER TWO
FOUR AND FIVE ARE THE CONSENT
CALENDAR PLEASE MA'AM SECTOR
PLEASE OPEN THE ROLL CALL THE
ABSENT MEMBERS ON THE CONSENT
CALENDAR. ARAMBULA ARAMBULA AYE
BURNER BURNER I WENDY CARILLO
WENDY CARILLO AYE FLORA.
MAIENSCHEIN MAIENSCHEIN AYE SO
PATTERSON THE PATTERSON AYE
SANTIAGO. SANTIAGO. THE
FOURTEENTH I NUMBER WITH THREE
S. B. FOR SEVEN SIX AND PLEASE
CALL OPEN THE CALL THE MEMBERS.
WALDRON WALDRON NO. LARA YEAH
PATTERSON. PATTERSON NOW. AND
THE THREE THAT'S TEN TO THREE-
ITEM NUMBER SIX SB THREE OH TWO
THAT OF SECTORS PLEASE CO OPEN
THE ROLL CALL THE ABSENT MEMBERS
ARAMBULA. ARAMBULA AYE BURNER
BURNER I WENDY CARILLO WENDY
CARILLO AYE FLORA. SO PATTERSON
. PATTERSON HI SANTIAGO THE
TERRIBLE I. THE FOURTEENTH ZERO
AND FINALLY- ITEM NUMBER SEVEN
S. B. NOT AS PEACE NINETY BY
SENATOR WIENER PLEASE WE GOT. WE
ARE THE SAME SO IT'S FOURTEEN
ZERO SO. THAT MEANS WE ARE DONE
SO I'VE DURING THE MEETING THANK
YOU.