YOUR MORNING EVERYONE FOR THE
RECORD AT THE ASSEMBLY MEMBERS
ARE HERE AND READY TO HAVE A
HEARING SO IF WE GET A SENATOR
TO SHOW UP AND PRESENT A BILL
THAT WOULD BE FANTASTIC SO IF
YOU'RE WATCHING THE HEARING AND
YOU'RE A STAFFER TO A SENATOR GO
FIND YOUR BOSS DRAG THEM TO WHAT
HERE MARIA ELEVEN HUNDRED DRAGON
ELEVEN HUNDRED AND WE CAN HAVE
OUR HEARING I JUST WASTED TWENTY
MINUTES OF MY LIFE THAT I WON'T
GET BACK IN A SENATE COMMITTEE
HEARING WAITING FOR SENATORS TO
SHOW UP. SO I DON'T KNOW WHERE
ALL THE SENATORS ARE BUT THEY'RE
NOT WHERE THEY'RE SUPPOSED TO BE
SO IF WE GO FIND SOME SENATORS
THAT WOULD BE AWESOME THANK YOU
.
GOOD MORNING EVERYBODY I HAVE
TWO BINDERS WHICH ONE IS YOURS
WHICH WAS MINE. GOOD MORNING
WELCOME TO THIS MORNING'S
BUSINESS AND PROFESSIONS
COMMITTEE HEARING WHICH IS OUR
FINAL REGULARLY SCHEDULED
HEARING FOR THE YEAR WE HAVE
NINE BILLS ON TODAY'S AGENDA
INCLUDING THE FOLLOWING TWO
BILLS ON CONSENT SB EIGHT
THIRTEEN BY SENATOR ROTH IN SB
EIGHTY SEVEN BY THE SENATE
COMMITTEE ON BUSINESS AND
PROFESSIONS AND ECONOMIC
DEVELOPMENT AS ALWAYS FOR EACH
MEASURE 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 WE ARE ACCEPTING
WRITTEN TESTIMONY FOR THE
POSITION LETTER PORTAL. ON THE
COMMITTEE'S WEBSITE WITH THAT WE
WILL BEGIN TODAY'S HEARING AND I
SEE GENERAL ROTH IS WITH US-
GENERAL BY PLEASE COME ON UP AND
PRESENT WHICHEVER BILLS YOU WANT
TO PRESENT FIRST. AND I WOULD
SAY THE CENTER BRADFORD CENTER
WINNER STAFF HANG OUT FOR A
LITTLE BIT BECAUSE- GENERAL ROTH
AS FIVE BILLS. READY WHEN YOU
ARE SIR. MAYBE. OUR ONE SB EIGHT
TWELVE GREATER CALIFORNIA TAX
EDUCATION COUNCIL THIS IS THE
SUNSET BILL FOR THE CALIFORNIA
TAX EDUCATION COUNCIL THE BILL
INSURERS CONTINUED OVERSIGHT OF
TAX PREPARERS IN CALIFORNIA BY
EXTENDING THE OPERATIONS OF THE
COUNCIL FOR FOUR YEARS I THINK
WE ALL AGREE THAT CONSUMERS ARE
BETTER OFF A STANDARDIZED
EDUCATION PROFESSIONAL
ACCOUNTABILITY FOR
PROFESSIONALS. WHO PROVIDE FEE
BASED TAX PREPARATION SERVICES
AT THE APPROPRIATE TIME I WOULD
RESPECTFULLY. REQUEST AN AYE
VOTE. THANK YOU GENERAL- JOINT
PRIOR WITNESSES IN SUPPORT. NOT
TO MY KNOWLEDGE AND I WOULD HOPE
THERE ARE NO PRIMER WITNESSES IN
OPPOSITION. SEEING NONE LET'S
OPEN UP TO ANYBODY WANT TO ADD
ON IN SUPPORT OR OPPOSITION TO
THE BILL IS ANYBODY IN THE
HEARING ROOM WANT TO ADD ON IN
SUPPORT OR OPPOSITION TO THE
BILL. SEEING NONE GONNA BRING IT
BACK TO COLLEAGUES FOR QUESTIONS
OR COMMENTS WE DON'T HAVE A
QUORUM YET SO WE CAN'T TAKE
MOTIONS AND SECONDS. I DON'T SEE
ANY IS THIS IS A VERY STRAIGHT
FOR BILL- WOULD YOU LIKE TO
CLOSE. AT THE APPROPRIATE TIME
IS TEACHER. BUCKLEY AS FOR NAY
VOTE THANK YOU THANK YOU CHAIR
ROTH I UNDERSTAND CONVERSATIONS
ARE ONGOING WITH THE DOJ. TO
DETERMINE HOW BEST TO ENSURE CDC
RECEIVES FEDERAL CRIMINAL
HISTORY INFORMATION FROM THE
FBI- AND I'M SURE WE'LL COME TO
RESOLUTION ON THAT AND I'M HAPPY
TO SUPPORT THE BILL TODAY. THE
CONTINUE OVERSIGHT OF PAID TAX
PREPARERS IN THE STATE. I HAVE
NO DOUBT WILL HAVE A MOTION IN
THE SECOND WHEN THE TIME COMES
THANK YOU MISTER CHAIR. OF THE
NEXT ITEM ON THE FILE IS THE
SENATE BILL EIGHT FOURTEEN IT'S
THE- SENSIBLE FOR THE BUREAU OF
HOUSEHOLD GOODS AND SERVICES THE
CHANGES IN THIS BILL- STEM FROM
OUR WORK DURING THE JOINT SUNSET
REVIEW HEARING AND- MAKES A
NUMBER OF CHANGES TO THE BUREAU
HOUSEHOLD GOODS AND SERVICES IN
ORDER TO CREATE SOME
EFFICIENCIES. AND UPDATE SOME
PROVISIONS THE BILL MERGES THREE
SEPARATE FUNDS AT THE BUREAU
OVERSEAS INTO ONE HOUSEHOLD
GOODS AND SERVICES FUND. AND
UPDATES DEFINITIONS IN THE
ELECTRONIC AND APPLIANCE REPAIR
ACT TO KEEP PACE WITH EVOLVING
TECHNOLOGY CELL PHONES AND THE
LIKE. THE BILL ALSO AUTHORIZES
THE BUREAU TO ISSUE LICENSES TO
LIMITED LIABILITY COMPANIES THE
COMMON PRACTICE AT MULTIPLE
OTHER LICENSING ENTITIES WITHIN
THE D. ENDED THE LEADS AN
ARBITRARY AND UNNECESSARY
REQUIREMENT FOR THE BUREAU TO
ASSESS THE- FINANCIAL RESOURCES
OF HOUSEHOLD MOVERS WHO ARE
APPLYING FOR A PERMIT WITH THE
BUREAU. AND NOTABLY CONFIRMS
THAT THE BUREAU WILL COME UNDER
LEGISLATIVE REVIEW OF YOUR VIEW
OF THE SUNSET REVIEW PROCESS
ONCE AGAIN. FOUR YEARS FROM NOW-
AT. AT THE APPROPRIATE TIME I
WOULD ALSO A RESPECTFULLY
REQUEST AN AYE VOTE ON THIS ONE
THANK YOU CHAIR OFF- DR PRIMER
WITNESSES IN SUPPORT. FROM MY
WITNESSES AND ALL. WEINER'S AT
ON'S THERE IS. WHEN SAY A
PRIMARY AT NOT RUN IN- WHICH I
ARE INTO ELDERLY ON THE OF THE
CAL. MOVING AND STORAGE A- WE
APPRECIATE THE AUTHOR IN THE
BILL- WE HAVE ACTUALLY FOUND
QUITE A HOME AT B. HUGS THE BEER
OF HOUSEHOLD GOODS AND SERVICES
SINCE WE WERE. MOVED FROM THE
PUBLIC UTILITIES COMMISSION TO
BE HUGS A SEVERAL YEARS AGO I
APPRECIATE THE CLEAN UP-
AMENDMENTS THAT THIS BILL IS
DOING. AND WE CONTINUE TO WORK
WITH STAFF WITH THE AUTHOR'S
OFFICE AND YOUR COMMITTEE STOP
MISTER CHAIR- ON SOME FINAL
TWEAKS TO THE LAW. WE DON'T GET
A LOT OF SHOTS AT THIS AS YOU
SEE AN ANALYSIS WE'VE BEEN DOING
CLEAN UP. A BILLS FOR A COUPLE
OF YEARS NOW AFTER SB NINETEEN
WENT INTO EFFECT- AND SO I
REALLY APPRECIATE THE AUTHOR AND
YOUR EFFORTS TO- MOVE THIS
FORWARD THANK YOU. THANK YOU
VERY MUCH. ANY OTHER WITNESSES
WHO WANT TO ADD ON IN SUPPORT OR
OPPOSITION TO THE BILL. SO NONE
GONNA BURN BACK THE CALL FOR. OR
COMMENTS. SEEING NONE SIDE CHAIR
ROTH REAL TO CLOSE JUST AT THE
APPROPRIATE TIME RESPECTFULLY
REQUEST AN AYE VOTE SIR. THANK
YOU VERY MUCH THANK YOU FOR YOUR
PRESENTATION. SB A FORTY EIGHT
FOURTEEN- BE HUGS SUNSET BILL
PROVIDES NECESSARY TECHNICAL
CLEANUP. AND CLARIFIES THE
BUREAU WITH ALREADY OVER ITS
LICENSE POPULATION. THESE
NECESSARY REVISIONS AND SURABHI
HUGS IS EQUIPPED TO PROTECT
CONSUMERS AND ITS LICENSE
WORKFORCE. HABITS ABOARD THE
BILL TODAY- AND I'M SURE WE'LL
HAVE A MOTION SECOND AT THE
PROPER TIME. THANK YOU SIR. IF I
COULD SKIPPER EIGHT FIFTEEN FOR
THE MOMENT AND LOUDLY AND TAKE
US SENATE BILL EIGHT SIXTEEN
THIS IS A SUNSET CLEANUP BILL.
CONTAINS SEVERAL CHANGES TO A
NUMBER OF PRACTICE ACTS
ADMINISTERED BY THE DEPARTMENT
OF CONSUMER AFFAIRS. INCLUDES
NECESSARY FEE INCREASES FOR
BOARDS THAT ARE IN DIRE FISCAL
SITUATION MAKES CHANGES TO THE
OPERATIONS OF A NUMBER OF
PROGRAMS AND THE CALIFORNIA
COUNCIL. FOR INTERIOR DESIGN
CERTIFICATION. FOLLOWING A
RECENT SUNSET REVIEW WORK FOR
THESE ENTITIES. I APPRECIATE THE
OPPORTUNITY TO AMEND THE BILL
LEAVING THE COMMITTEE TODAY IN
ORDER TO EXTEND THE CURRENT
REQUIREMENTS FOR A JUNK DEALER
OR RECYCLER TO SUBMIT ADDITIONAL
INFORMATION. TO THE DEPARTMENT
OF FOOD AND AGRICULTURE WHEN
APPLYING FOR A WAY MASTER'S
LICENSE ALONG WITH THE PAYMENT
OF ADDITIONAL FEES. REACH FIX
LOCATION THIS BILL UPDATES
PROVISIONS OF THE INTERIOR
DESIGN CHAPTER TO INCLUDE OR TO
CLARIFY RATHER THAT THE
CALIFORNIA COUNCIL FOR INTERIOR
DESIGN CERTIFICATION IS THE
CERTIFYING ENTITY. INCLUDING
CODIFYING THE COMMERCIAL DESIGN
STAMP DESIGNATION AMONG OTHER
TECHNICAL AND CLARIFYING
CHANGES. THE BILL INCREASES
VARIOUS LICENSE FEES IN ORDER TO
ENSURE SOLVENCY FOR. THE BOARD
OF PSYCHOLOGY THE BOARD OF
PHARMACY THE BOARD OF
ACCOUNTANCY AND THE LANDSCAPE
ARCHITECTS TECHNICAL COMMITTEE.
AS REQUESTED BY THOSE ENTITIES
AND THE DEPARTMENT OF CONSUMER
AFFAIRS. THE BILL DELETES A
CURRENT PROVISION OR PROHIBITION
IN THE VETERINARY MEDICAL
PRACTICE ACT THAT PREVENTS THE
VETERINARY MEDICAL BOARD FROM
BEING ABLE TO ISSUE A
PROBATIONARY CERTIFICATE IF
APPROPRIATE. TO AN APPLICANT FOR
A VETERINARY ASSISTANT
CONTROLLED SUBSTANCE PERMIT. THE
BILL ALSO MAKES TECHNICAL
CHANGES RELATED TO THE A FORTY
FOR THE BOARD OF OCCASIONAL
NURSING AND PSYCHIATRIC
TECHNICIANS. TO DECREASE
COMMUNITY COLLEGE FEES FOR THE
BOARDS SCHOOL APPROVAL PROCESS.
WHEN THOSE INSTITUTIONS FACED
DECLINES IN ENROLLMENT AND
COMMENSURATE DECLINES. IN STATE
FUNDING. THE APPROPRIATE POINT
IN TIME RESPECTFULLY REQUEST AN
AYE VOTE. THANK YOU MISTER
CHAIR- ANY PRIMER WITNESSES IN
SUPPORT. SEEING NOW UP THE ONE I
WANT TO GO TIME YOUR TWO MINUTES
. I JUST WANNA SAY THANK YOU TO
THE COMMITTEE STAFF AND SENATOR
ROB FOR HIS LEADERSHIP ON THIS
BILL AND- IT WILL HELP THE BOARD
OF PSYCHOLOGY CONTINUE ITS
FISCAL SOLVENCY ENOUGH FUTURE
YEARS THANK YOU. WE ALL WANT
THAT THANK YOU VERY MUCH ANY
ADDITIONAL WITNESSES IN SUPPORT
. HI MY NAME'S ELEMENT DEL I'M
HERE ON BEHALF OF THE
INTERNATIONAL INTERIOR DESIGN
ASSOCIATION BOTH NORTHERN AND
SOUTHERN CALIFORNIA CHAPTERS IN
SUPPORT AND WANT TO THANK STAFF.
AND THE AUTHOR FOR THE RECENT
CLARIFYING AMENDMENTS TO THE
INJURED SIDE SECTION THANK YOU.
THANK YOU VERY MUCH. ANY IT
DIDN'T BY ANY ADDITIONAL
WITNESSES IN SUPPORT. ANY
WITNESSES IN OPPOSITION. SEEING
NONE ANY ADD ON'S ME TOOS. BRING
ABOUT A COLLEGE FOR QUESTIONS OR
COMMENTS. NOPE SEEMS PRETTY
STRAIGHTFORWARD CHAIR WOULD YOU
LIKE TO CLOSE JUST AT THE
APPROPRIATE POINT TIME AS FOR
NOW VOTE THANK YOU VERY MUCH
THANK YOU FOR WORKING ON THESE
IMPORTANT ISSUES I'M- HAPPY TO
SUPPORT THE BILL TODAY. YOU AND
YOUR STAFF EFFORT ON THAT BILL
AND WHILE THE MOTION SECOND WHEN
WE WERE QUORUM. SURE THE NEXT
WOULD BE- S. B. EIGHT SEVENTEEN
THIS IS THE BARBERING AND
COSMETOLOGY. A BILL IT'S SIMPLY
ENSURES THAT THE BOARD OF
BARBERING AND COSMETOLOGY DOES
NOT CHARGE MORE THAN FIFTY
DOLLARS TO AN INDIVIDUAL WHO
SEEKS TO BECOME A HAIR STYLIST.
AS CURRENTLY WRITTEN THE LAW
LEAVES OPEN THE POTENTIAL FOR
THE BOARD OF BARBERING AND
COSMETOLOGY TO CHARGE OVER THIS
AMOUNT AND MORE THAN IT CHARGES
OTHER PROFESSIONALS LIKE
COSMETOLOGISTS AND BARBERS. THE
APPROPRIATE POINT I RESPECTFULLY
ASK FOR AN AYE VOTE. THANK YOU-
MISTER CHAIR DO WE HAVE ANY
PRIMER WITNESSES IN SUPPORT OF
THE BILL. ANY PRIMARY WITNESSES
IN OPPOSITION. TO THE BILL.
ANYBODY WANT TO ADD ON. IN
SUPPORT OR OPPOSITION AND BRING
IT BACK TO COLLEGE FOR QUESTIONS
OR COMMENTS. THIS IS AGENDA ITEM
NUMBER. EIGHT SB EIGHT SEVENTEEN
. SEEING NONE. CENTER WOULD YOU
LIKE TO CLOSE IS THAT THE
APPROPRIATE POINT I RESPECTFULLY
AS FOR NOW VOTE. THANK YOU
SENATOR- THANK YOU FOR. THE WORK
ON THIS BILL I'M HAPPY TO
SUPPORT THE BILL WHEN THE TIME
COMES. THANK YOU MISTER CHAIRMAN
OF THE BILL EVERYONE'S BEEN
WAITING FOR SENATE BILL EIGHT
FIFTEEN THE MEDICAL BOARD OF
CALIFORNIA. THIS IS THE SUNSET
BILL FOR THE MEDICAL BOARD OF
CALIFORNIA AND I ACCEPT THE
COMMITTEE'S PROPOSED AMENDMENTS.
AS YOU KNOW WITHOUT THE LEDGES
THIS LEGISLATION THE MEDICAL
BOARD WILL NO LONGER EXIST AFTER
JANUARY. ONE TWO THOUSAND TWENTY
FOUR. AS PROPOSED TO BE AMENDED
THE BILL RESPONSE TO A NUMBER OF
THE ISSUES DISCUSSED PUBLICLY AT
MEDICAL BOARD MEETINGS AND
DISCUSSED PUBLICLY IN THIS
COMMITTEE AND COLLABORATIVE LEE.
WITH THE SENATE BUSINESS
PROFESSIONS AND ECONOMIC
DEVELOPMENT COMMITTEE FOR A
NUMBER OF YEARS. I DO WANT TO-
TO THANK YOU MISTER CHAIRMAN
ACKNOWLEDGES ACKNOWLEDGE THE
EXCELLENT WORK OF YOUR STAFF IN
THE ANALYSIS IT WAS VERY
COMPREHENSIVE. AND I DO
APPRECIATE THAT. THE CHANGES TO
THE MEDICAL PRACTICE SECTOR THAT
WILL BE CONTAINED IN THIS BILL
ARE CONTAINED THIS BILL DIRECTLY
CORRESPOND TO THIS LIKELY SUNSET
REVIEW OVERSIGHT HEARING. WE
HELD EARLIER THIS YEAR. AND ARE
AIMED AT ENSURING THAT THE
MEDICAL BOARD HAS THE TOOLS TO
DO THE JOB THAT WE'VE TESTED
WITH. THERE A NUMBER OF
ENHANCEMENTS TO THE ENFORCEMENT
PROCESS BUILT INTO THE BILL TO
ALLOW FOR SWIFT DISCIPLINARY
ACTION WHEN NECESSARY AND TO
PROMOTE CONSUMER AND PATIENT
INTERESTS. AS YOU ALL KNOW FROM
WHAT THE WORK YOU DO IN THIS
COMMITTEE THE MEDICAL BOARD IS
CURRENTLY INSOLVENT. AND HAS
ATTEMPTED TO RECEIVE INCREASED
REVENUE FOR A NUMBER OF YEARS.
THIS BILL INCREASES PHYSICIAN
AND SURGEON LICENSING FEES TO
ALLOW THE MEDICAL BOARD SIMPLY
TO FUNCTION. THE BOARD HAS BEEN
PAYING ITS BILLS THANKS TO LOANS
FROM OTHER SPECIAL FUNDS AND
OTHER BOARDS AND BUREAUS FOR
YEARS AND IT IS FAR PAST TIME
FOR US TO FUND THIS IMPORTANT
PROGRAM AT THE APPROPRIATE RATE.
AND TO ALLOW IT TO EFFECTIVELY
DO ITS LICENSURE AND ENFORCEMENT
WORK. THE BILL RETAINS A HIGH
BURDEN OF PROOF CLEAR AND
CONVINCING EVIDENCE FOR
ENFORCEMENT CASES THAT WOULD
RESULT IN LICENSE REVOCATION BUT
NOTABLY PROVIDES THE BOARD WITH
AUTHORITY THAT FORTY ONE OTHER
STATES CURRENTLY HAVE TO UTILIZE
A PREPONDERANCE OF EVIDENCE
STANDARD. FOR CASES THAT ARE
LESS SEVERE. THE BILL ALSO
SPEEDS UP THE MEDICAL BOARD'S
ABILITY TO TAKE ENFORCEMENT
ACTION AGAINST THE CURRENT
LICENSEE WHO IS CONVICTED OF A
FELONY. WHERE THE CONVICTION
INVOLVES MORAL TURPITUDE
DISHONESTY OR CORRUPTION FRAUD
OR SEXUAL ASSAULT. WHETHER IN
THE COURSE OF THE LICENSEE'S
ACTIONS AS A PHYSICIAN AND
SURGEON OR OTHERWISE. THE
PROPORTION TIME I RESPECTFULLY
AS FROM VOTE. THANK YOU. CHAIR I
HAVE A FEELING WE MIGHT HAVE
PRIMARY WITNESSES IN SUPPORT-
AND OPPOSITION FOR THIS BILL
COME ON HAVE YOU HAVE TWO
MINUTES YOU CAN COME TO THE DAIS
OR- IF YOU WANT YOU CAN SPEAK
FROM THE- MIKE WHICHEVER YOU
PREFER. THANK YOU MICROPHONES
FIND THANK YOU MR CHAIRMAN ERIN
BONE WITH THE MEDICAL BOARD OF
CALIFORNIA. FIRST WISH TO THANK
THE AUTHOR AND HIS STAFF FOR
THEIR DILIGENT EFFORTS TO
SUPPORT THE BOARD'S MISSION. IN
ADDRESS MANY OF THE CONCERNS AND
REQUESTS THE BOARD RAISED AND
IT'S SUNSET REPORT. ALSO
APPRECIATE YOU YOUR LEADERSHIP
MISTER CHAIR AND YOUR STAFF.
WHILE WE ARE DISAPPOINTED WITH
THE PUBLIC MEMBER MAJORITY
CHANGES PROPOSED IN THE ANALYSIS
WE OTHERWISE APPRECIATE MOST OF
THE PROPOSED AMENDMENTS AND WILL
CONTINUE TO WORK WITH THE AUTHOR
TO FURTHER REFINE THE LANGUAGE.
WE RECOGNIZE THAT THE FEE
INCREASE PROPOSED IN THE BILL IS
CONTROVERSIAL BUT AS TOUCHED ON
BY SENATOR ROB IT REFLECTS THE
UNFORTUNATE REALITY THAT THE
BOARD CURRENTLY FACES. WITH THE
INDULGENCE OF A SHARE LIKE TO
READ A BRIEF STATEMENT FROM TWO
OF OUR PHYSICIAN MEMBERS. ARE
VICE PRESIDENT DR RANDY HAWKINS
WHO PRACTICES IN INGLEWOOD AND
IS AN ASSISTANT PROFESSOR AT
CHARLES DREW UNIVERSITY OF
MEDICINE. AND THE OTHER MEMBER
IS DR RICHARD THORPE THE
PRACTICES IN PARADISE OUTSIDE OF
CALIFORNIA TOP OUTSIDE OF CHICO
SEES ME. AND DR THORPE IS A
FORMER PRESIDENT OF THE
CALIFORNIA MEDICAL ASSOCIATION.
QUOTE WE OUR PHYSICIAN MEMBERS
OF THE MEDICAL BOARD OF
CALIFORNIA WHO EACH HAVE MORE
THAN THIRTY FIVE YEARS OF
EXPERIENCE IN MEDICAL PRACTICE.
WE ARE COMMITTED TO THE BOARD'S
CONSUMER PROTECTION MISSION. AND
THAT IS WHY WE ENTHUSIASTICALLY
SUPPORT INCREASING PHYSICIAN
LICENSING FEES AS PROPOSED IN SB
EIGHT ONE FIVE. TWO YEARS AGO
THE LEGISLATURE APPROVED AN
EIGHTY DOLLAR INCREASE. WHICH
WAS THE FIRST PHYSICIAN FEE
CHANGED SINCE TWO THOUSAND AND
NINE. BUT THAT WAS FAR LESS THAN
WHAT THE BOARD REQUESTED BASED
ON AN INDEPENDENT THIRD PARTY
REPORT. THEREFORE WE ARE BACK
TODAY UNFORTUNATELY SEEKING A
LARGER FEE INCREASE. THE SIMPLE
REALITY IS THAT THE BOARD IS NOT
ABLE TO PAY ITS BILLS. WHICH IS
WHY WE'VE HAD TO TAKE ON
EIGHTEEN MILLION DOLLARS IN
LOANS JUST TO MAINTAIN OUR
TYPICAL OPERATIONS. AS A RESULT
A LARGE FEE INCREASES NECESSARY
SO THE BOARD CAN PERFORMANCE
VITAL WORK. PAY OFF OUR DEBT IN
REBUILD OUR RESERVES. LIKE OTHER
LICENSING BOARDS WE RECEIVE NO
SUPPORT FROM GENERAL FUND. WE
ARE PHYSICIANS IN PRIVATE
PRACTICE AND THIS FEE INCREASE
WILL IMPACT US PERSONALLY.
ALBEIT AN INCREASED COST OF LESS
THAN TWENTY DOLLARS PER MONTH.
WE DO NOT SEE THIS AS A BURDEN
BUT RATHER AS AN INVESTMENT INTO
THE ORGANIZATION THAT HELPS
ENSURE THAT PHYSICIANS HAVE THE
CONFIDENCE OF THE PATIENTS THAT
WE ARE PRIVILEGED TO TREAT.
INFLATION IMPACTS ALL AREAS OF
LIFE INCLUDING THE EXPENSES OF
THE BOARD. ABOUT SEVENTY FIVE
CENTS OF EVERY DOLLAR OF REVENUE
IS SPENT ON OUR ENFORCEMENT
PROGRAM. THIS INCLUDES
INVESTIGATING AND PROSECUTING
LICENSEES AND MONITORING THOSE
ON PROBATION. THAT IS WHY IT IS
CRITICAL THAT THE BOARD HAS THE
FINANCIAL RESOURCES IT NEEDS TO
PERFORM THE WORK. EXPECTED BY
THE LEGISLATURE AND PUBLIC.
THEREFORE WE REQUEST WE
RESPECTFULLY ASK EACH COMMITTEE
MEMBER TODAY TO VOTE HI. AND SB
EIGHT ONE FIVE. THAT INCLUDES
THEIR STATEMENT BUT I WOULD JUST
LIKE TO ADD MISTER CHAIR VERY
QUICKLY PLEASE THAT TODAY AGAIN
IS THE FINAL HEARING. AND IF THE
LEGISLATURE IF THE SUNSET DATE
FOR THE BOARD IS NOT EXTENDED
THE BOARD MEMBERS WILL BE
DISMISSED AND EXECUTIVE DIRECTOR
WILL BE DISMISSED IN THE BOROUGH
BE WITHOUT ITS KEY LEADERSHIP.
UNTIL A NEW BOARDS CONSTITUTED
AND NOBODY WANTS THAT. THANK
YOU. ASPIRIN I THOUGHT. THANK
YOU VERY MUCH. HELLO CHAIR-
ROTH- MY NAME'S CARMEN BOULDER
EXECUTIVE DIRECTOR OF CONSUMER
WATCHDOG. AND YOU HAVE ALL BEEN
HERE- ON THE MANY MANY OCCASIONS
OVER THE LAST RECENT YEARS. WHEN
PATIENTS WHO HAVE BEEN INJURED
THEIR FAMILY MEMBERS AND
CONSUMER ADVOCATES. HAVE COME
BEFORE YOU BEGGING FOR CHANGE.
BACKING FOR REFORMS AT THE
MEDICAL BOARD. THE L. A. TIMES
SAID HAD A PATTERN. OF LENIENCY
AND DISCIPLINE- I WANT TO THANK
ALL OF YOU INCLUDING THE MEDICAL
BOARD FOR THE REFORMS AND SB
EIGHT ONE FIVE. THAT FINALLY
ADDRESS SOME OF THE SYSTEMIC
PROBLEMS THAT PATIENT ADVOCATES.
HAVE BEEN BRINGING TO YOU FOR
YEARS- AS OF THE MEDICAL BOARD
SAID WE REGRET THE REMOVAL OF
THE- A PUBLIC MEMBER MAJORITY IN
THE BILL BUT OTHERWISE IT
CONTAINS KEY REFORMS THAT WE
URGE YOUR SUPPORT OF- THAT
INCLUDES THE PATIENT INTERVIEW.
SO PATIENTS NO LONGER SUBMIT A
COMPLAINT TO THE BOARD AND THEN
GET IT DISMISSED WITHOUT BEING
SPOKEN TO. THAT WILL GIVE THE
BOARD INFORMATION IT NEEDS AND
GIVE THE PUBLIC THE
RESPONSIVENESS IT NEEDS. THE
BILL GIVES PATIENTS A VOICE BY
CREATING A COMPLAINT LIAISON
UNIT AND ALSO BY ALLOWING
PATIENTS TO GIVE A VICTIM IMPACT
STATEMENT OF THE BOARD BEFORE
FINAL ENFORCEMENT IS- DECIDED
UPON. IT CREATES SIGNIFICANT
STRUCTURAL CHANGES TO PREVENT A
LEASE AND INCREASED COSTS IN THE
BOARD'S OF PROCESSES AND THAT'S
CRITICAL TO REFORM AND- IT
CHANGES THE STANDARD. OF PROOF
AND MEDICAL BOARD CASES SO
CALIFORNIA IS ON PAR WITH OTHER
STATES CAN MOVE MORE QUICKLY TO
GET ENFORCEMENT ACTIONS
COMPLETED THAT'S BETTER FOR
DOCTORS AND BETTER FOR PATIENTS-
FINALLY THEY NEED THAT FULL FEE
INCREASE IN ORDER TO DO THAT JOB
OR PATIENT SAFETY WILL CONTINUE
TO SUFFER IN CALIFORNIA. THAT'S
. WHY WE ARE JOB THANK YOU.
THANK YOU VERY MUCH ONE A QUICK.
THE TECH YES I A QUORUM WHAT WE
HAVE ONE BEFORE EVERYONE RUNS
AWAY- MADAM SECRETARY CAN YOU
PLEASE CALL THE ROLL. BERMAN
HERE. LARA AGUIAR-CURRY. ALANIZ
PAINS. BONTA CAN. DIXON GIPSON.
GRAYSON IRWIN. JACKSON LEE.
LOWENTHAL HERE MCCARTY. MY
KENNER. WHEN PATTERSON THANK.
GREAT WE HAVE A QUORUM AND DO WE
HAVE ANY- FOR FIRST READING GO
TO PRIMER WITNESSES IN
OPPOSITION TO HAVE ANY PRIMARY
WITNESSES IN OPPOSITION TO THE
BILL.
YOU HAVE TWO MINUTES. MAYBE AREA
PERFECT I HAVE. GOOD MORNING
CHAIR MEMBERS MY NAME IS GEORGE
SOURIS WITH THE CALIFORNIA
MEDICAL ASSOCIATION WE GREATLY
APPRECIATE THE CHAIRED THE
COMMITTEE STAFF TO WORK ON THIS
BILL CMA'S STILL OPPOSE UNLESS
AMENDED TO THIS MEASURE WITH THE
PROPOSED AMENDMENTS AND
ANALYSIS. WE HAVE THREE MAIN
CONCERNS LEFT THE BILL GOING
FORWARD FIRST BEING THE FEE
INCREASE SECOND LOWERING THE
EVIDENTIARY STANDARD THIRD THE
END THE UNCERTAINTY AS TO WHAT
THE EXACT ALANIZ WOULD
CONSTITUTE MORAL TURPITUDE
DISHONESTY AND FRAUD IN THE
AUTOMATIC REVOCATION PROVISION
IN THIS BILL. THE PROPOSED FEE
INCREASE IN THIS BILL WILL GO
FROM EIGHT HUNDRED SIXTY THREE
DOLLARS 210-002-0080 NINE.
DOLLARS CMA CANNOT AGREE TO A
FEE INCREASE OF ABOUT 50% THAT
WILL GO TOWARDS BUILDING A MULTI
MILLION DOLLAR RESERVE FUND FOR
THE MEDICAL BOARD WITH A
SIGNIFICANT AMOUNT OF THE FEE
INCREASE GOING TOWARD NEW
PROGRAMS WITH LITTLE
DEMONSTRATION OF WHY THESE
PROGRAMS ARE NEEDED.
ADDITIONALLY THE MEDICAL BOARD
AT SOME OF THE LONGEST
APPLICATION WAIT TIMES AS
COMPARED TO OTHER STATES AND
NOTHING IN THIS FEE INCREASE
WILL ALLEVIATE THE TIME
POSITIONS MUST WAIT FOR LICENSE.
LICENSE APPLICATIONS TO BE
PROCESSED CMA IS WILLING TO
AGREE TO A FEE INCREASE TO FULLY
FUND THE BOARD BUT THE ONE
THOUSAND TWO HUNDRED EIGHTY NINE
DOLLAR FEE FIGURE IS
UNJUSTIFIED. CURRENTLY THE EIGHT
HUNDRED SIXTY THREE DOLLAR FEE
IS A TOP FIVE. HIGHEST IN THE
NATION AND THE PROPOSED FEE.
WOULD MAKE IT THE MOST EXPENSIVE
ONE IN THE COUNTRY AND ABOUT
DOUBLE THE NATIONWIDE AVERAGE-
WE'RE COMMITTED TO CONTINUE TO
WORK WITH. ALL STAKEHOLDERS
INCLUDING THE GOVERNOR'S OFFICE
TO FIND A REASONABLE FEE NUMBER
AND ENSURE THE MEDICAL BOARD HAS
THE RESOURCES IT NEEDS TO
FUNCTION. WE'RE OPPOSED TO
CHANGING THE CURRENT EVIDENTIARY
STANDARD IT WOULD RESPECTFULLY
ASK THAT THAT IS REMOVED FROM
THE BILL BEFORE MOVING FORWARD.
THE CLEAR AND CONVINCING
STANDARD HAS BEEN LAW FOR ALL
HEALING ARTS BOARD SINCE
NINETEEN EIGHTY TWO AND IT IS
NOT CLEAR WHY WE WOULD SINGLE
OUT THE MEDICAL BOARD ALONE AND
NOT HAVE TO. CHANGE ACROSS THE
BOARD. FINALLY WE ARE OPPOSED TO
THE WAY THE CURRENT SECTION OF
FELONY CONVICTIONS IS DRAFTED.
IT IS NOT CLEAR WHAT. CRIMES
WOULD BE DEFINED UNDER THE
DEFINITIONS OF DISHONESTY FRAUD
OR MORAL TURPITUDE. WE REQUEST
THE SECTION IS REMOVED FROM THE
BILL OR EXPLICITLY CLARIFYING
STATUTE BEFORE MOVING FORWARD.
AND FINALLY JUST WANT TO MAKE A
NOTE OF A CURRENT PTL PROPOSAL.
WE APPRECIATE IT BUT IT'S BEING
FURTHER ANALYZED AND ARE WORKING
WITH THE STAKEHOLDER GROUP AND
WE DO THINK WE'LL FIND SOMETHING
ON THAT BUT THE CURRENT FORM OF
THE WE STILL HAVE SOME CONCERNS
ABOUT- WITH THIS BILL. AS AS WE
RESPECTFULLY ASK THAT YOU VOTE
NO ON THIS MEASURE. I APPRECIATE
THE TIME AND HAPPY TO ANSWER ANY
QUESTIONS AT THE APPROPRIATE
TIME. THANK YOU. THANK YOU VERY
MUCH ANY ADDITIONAL- WHEN
PRIMARY WITNESSES IN OPPOSITION
TO THE BILL. BOOKMARK OB GET TWO
MINUTES AGO ONE MORE PRIMARY ONE
IS IN OPPOSITION GO AHEAD. I J.
DOUCETTE- HAVE TRAUMA SURGEON
PROFESSOR AND CHIEF OF STAFF
TRAUMA SURGERY AT UC SAN DIEGO.
ALSO GOVERNOR ANY MIRACLE TO
SURGEONS AND- REVERSING THE
CHAPTERS OF THE AMERICAN COLLEGE
OF SURGEONS IN CALIFORNIA SILVER
STRONGLY OPPOSED TO PARTICULARLY
THAT THE PUBLIC MAJORITY SECTION
WHICH IS UNPRECEDENTED. IN
VARIOUS STATES- YOU KNOW THE
PROFESSION OF MEDICINE AS A
PROFESSION IS SELF REGGIE GREG'S
SELF REGULATED AND SELF
EDUCATING- TO TAKE THAT AWAY
FROM US- I THINK IS IT. IS A
PRETTY MAJOR SLIGHT ON. HOW MUCH
COMMITMENT THAT TIME AFTER TAKES
TO BECOME A SURGEON OR
PHYSICIAN. AND AS A RESULT-
WEIRD STRONG. OPPOSITION NOT
BASIS ALONG. THANK YOU A THAT
SORT OF CONFIRM THAT THAT YOU'RE
YOU'RE KIND OF YOU PUBLIC MA'AM
MAJORITY OUTSIDE AND AN WAS. AN
AMENDMENT IS TAKEN THAT WILL
CHANGE THAT TO OUR THE WALKIE
THE STATUS. THANK YOU LED
ANALOGY- THAT WOULD BE A OF A
GOOD MOVE FOR US OTHERWISE WE
ORPHALI GREEN WITH THE CMA
POSITION. THANK YOU VERY MUCH
ANY WITNESSES WANT TO ADD ON IN
OPPOSITION OR SUPPORT TO THE
BILL THIS IS DUE EVERYONE WANTS
COME ON UP GIVE ME YOUR NAME.
PLEASE PROVIDE YOUR NAME
ORGANIZATION YOU'RE WITH IF ANY
AND POSITION ON THE BILL.
REBECCA MARKETS REPRESENTING
THAT CONSUMER PROTECTION POLICY
CENTER. EXCUSE ME AT THE
UNIVERSITY OF SAN DIEGO LAW
SCHOOL THANK YOU. THANK YOU AND
I'M SORRY WAS THAT SUPPORT. YES
AND STRONG SUPPORT OF THE BILL
THANK YOU VERY MUCH. NORRIS
SMITH WITH STONE ADVOCACY ON
BEHALF OF THE CALIFORNIA
ORTHOPEDIC ASSOCIATION-
RESPECTFULLY OPPOSED THANK YOU
VERY MUCH. INTERNET SOREK WITH
THE BOARD OF PSYCHOLOGY IN
SUPPORT OF THE BILL WE
APPRECIATE THE AMENDMENT ON THE
DELAYED IMPLEMENTATION. FOR
RESEARCH PSYCHOANALYST AND
THERE'S JUST ONE AT TECHNICAL
AMENDMENT ON THE FEES UP FOR
SOME REASON THEY WENT UP- DOWN
SORRY WE WANT THEM TO STAY THE
SAME. STUFF AT THAT THANK YOU
THINK. THANK YOU VERY MUCH.
MISTER MEMBERS TO MADDEN
REPRESENTING NUMBER
ORGANIZATIONS INCLUDING THE
CALIFORNIA CHAPTER OF THE
AMERICAN COLLEGE OF EMERGENCY
PHYSICIANS THE CALIFORNIA
SOCIETY OF PLASTIC SURGEONS.
CALIFORNIA CHAPTER OF THE
AMERICAN COLLEGE OF CARDIOLOGY
CALIFORNIA RHEUMATOLOGY ALLIANCE
AND CONCENTRIC ALL WITH AN
OPPOSE UNLESS AMENDED POSITION.
THANK THANK YOU VERY MUCH.
RESEARCHER MEMBERS INJURED ANTS
WE WOULD SHOW YOUR AUNT WE
SMELLS AROUND LAYING HERE TODAY
ON BEHALF OF THE CALIFORNIA
ASSOCIATION. OF PSYCHIATRY STATE
ASSOCIATION OF PSYCHIATRY OPPOSE
UNLESS AMENDED THANK YOU VERY
MUCH. GOOD MORNING MATT WAS A ON
BEHALF OF AS YET YOU CALIFORNIA-
JUST IN A SUPPORT FOR MANY
POSITION IF WE CAN ADDRESS THAT
PTL ISSUE THAT TIMELINESS OF
THAT- LICENSING PROCESSING AND
ALSO THE MENTAL HEALTH ISSUE
APPRECIATE THE WORK. OF BOTH
COMMITTEES ON. THANK YOU VERY
MUCH. ANY ADDITIONAL WITNESSES
WANT TO ADD ON IN SUPPORT OR
OPPOSITION TO THE BILL SEEING
NONE GONNA BRING IT BACK TO
COLLEAGUES FOR QUESTIONS OR
COMMENTS. DR BAINES. THANK YOU
I'M FIRST OF ALL THERE'S TWO
PARTS OF THE SHOW. THE FIRST
PART HOLDING YOU KNOW ABOUT
ACTORS ACCOUNTABLE BACK
POSITIONS COME ACCOUNTABLE
ABSOLUTELY. A LONG TIME OVERDUE
ABSOLUTELY HOLD PEOPLE OF BAD
PHYSICIAN THERE'S GOOD
PHYSICIANS ARE AS BAD POSITIONS
AS IN ANY INDUSTRY AND IN ORDER
TO HOLD BACK PEOPLE ACCOUNTABLE
YOU GOTTA STRENGTHENING THE LAWS
AROUND THAT. BUT THE PART THAT I
DO HAVE AN ISSUE WITH IS LET'S
GO BACK TO THREE YEARS AGO.
THREE YEARS AGO COBIT HEAD.
PHYSICIANS WERE ASKED TO
SACRIFICE AROUND THE CLOCK
INCLUDING MYSELF MY LIFE GOT
FLIPPED UPSIDE DOWN THREE YEARS
AGO. I WORKED AROUND THE CLOCK.
SELFLESSLY STAYING AWAY FROM MY
FAMILY. BEING AWAY FROM MY LOVED
ONES. WORKING MORE HOURS THESE
PAST THREE YEARS IN MY ENTIRE
LIFE INCLUDING MY RESIDENCY.
WHILE OTHER STATES WE'RE GETTING
HAZARD PAY. FOR WORKING IN THESE
SITUATIONS. LIFE RISKING
SITUATIONS LIKE COALBED. OUR
STATE IS WORKING ON INCREASING
OUR LICENSURE FEES. IT'S NOT
JUST A SLAP IN THE FACE. FOR
PHYSICIANS I HAVE SELFLESSLY
WORKED AROUND THE CLOCK FOR
THESE PAST THREE YEARS. WE DON'T
WANT A PIZZA WE DON'T WANT A
SNICKERS BAR WE JUST WANT TO BE
SUPPORTED TO DO OUR JOB AND TO
DO IT RIGHTFULLY. LET'S THINK
ABOUT THE- LET'S WE'RE JUST ONE
YEAR OUT OF COPA. WE HAVE ASKED
OUR PHYSICIANS OUGHT NOT JUST
PHYSICIANS EVERYONE IN HEALTH
CARE TO WORK AROUND THE CLOCK.
AND YOU DON'T WANT TO GIVE DO
THINGS LIKE HAUSER PAY IN THE
FOURTH LARGEST ECONOMY BUT YOU
WANT TO DO THINGS LIKE INCREASE
OUR LICENSURE. THAT'S THE ISSUE
I HAVE WITH THIS BILL. THANK YOU
DR BANDS. SOME IMMIGRATION AND
THEN AS A MEMBER LONG BALL AND
THEN- SUMMER ONE. THANK YOU
MISTER CHAIR AND- JUST OF FOR
CLARIFICATION IN THIS CAN COME
FROM EITHER THE AUTHOR OR THE
OPPOSITION AT THE END FOR THE
PUBLIC THAT'S THAT'S LISTENING-
THE DIFFERENCE BETWEEN THE
CURRENT STANDARD WHICH IS CLEAR
AND CONVINCING- VERSUS- THE
PREPONDERANCE- OF EVIDENCE- WHAT
EXACTLY AND AGAIN THIS IS
CLARITY FOR THE PUBLIC BUT WHAT
EXACTLY IS THE DIFFERENCE. AND
THEN WHAT WOULD THE BURDEN BE UP
ON THE BOARD- BECAUSE IT SEEMS
LIKE THE BOARD SHOULD HAVE TO
PROVE ITS CASE UP BUT- WHAT DOES
THIS DO. THE PREPONDERANCE OF
THE EVIDENCE STANDARD IS THE
LOWEST STANDARD. 51% OF THE
EVIDENCE FOR EXAMPLE FIFTY PLUS
ONE SUPPORTS. WHATEVER IT IS THE
PROPOSITION CLEAR AND CONVINCING
IS THE HIGHEST STANDARD IN THE
LEGAL FIELD- ASIDE FROM CRIMINAL
CASES WHICH ARE BEYOND A
REASONABLE DOUBT. SO WHAT WE'VE
DONE IN THIS PARTICULAR BILL IS
TO TAKE THOSE LESSER FORMS OF
DISCIPLINE- AND SAY OKAY
PREPONDERANCE OF THE EVIDENCE
STANDARD WILL WORK HERE. NOT
REVOKING LOSING A LICENSE NOT
SUSPENDING THE PHYSICIANS
ABILITY TO PRACTICE BUT
REPRIMANDS ANY OTHER
DISCIPLINARY ACTIONS THAT THE
BOARD HAS AVAILABLE TO IT WHEN
THE EVIDENCE. DICTATES BUT FOR
THOSE CASES WHERE REVOCATION IS
THE PENALTY SOUGHT WORSE
SUSPENSION LINK THE SUSPENSION
WHERE THE PHYSICIAN WILL EITHER
BE PUT OUT OF BUSINESS FOR A
WHILE OR PERMANENTLY PUT OUT OF
BUSINESS LOSING THE ABILITY TO
PRACTICE THE TRADE THE
PROFESSION FOR WHICH THE
PHYSICIAN WENT TO SCHOOL. WE SAY
THE HIGHEST EVIDENTIARY STANDARD
SHOULD APPLY NOW. THE BOARD
PROPOSES. PREPONDERANCE OF THE
EVIDENCE FOR EVERYTHING AND
OBVIOUSLY THEY'RE FORTY ONE
STATES WHO DO THAT. OR THAT DO
THAT. BUT THAT DIDN'T SEEM QUITE
RIGHT TO ME BECAUSE IF YOU'RE
GONNA LOSE YOUR LICENSE THEN THE
PERSON OR THE GROUP OR THE
ENTITY OR THE BOARD IS PROPOSING
THAT. SHOULD HAVE TO MEET THE
HIGHEST BIRD SO THAT'S THE
DIFFERENCE HERE THE MINIMUM
SENATOR THANK YOU FOR THAT
ANSWER. ASSEMBLY MEMBER.
LOWENTHAL. THANK YOU VERY MUCH
I'M- FIRST WOULD LIKE TO STATE
THAT I SHARE THE CONCERNS
BROUGHT FORWARD BY- THE
REPRESENTATIVE OF CMA. ABOUT
BIFURCATING THE EXPENSES
ASSOCIATED WITH THE FEES. THAT
ARE CALLED FOR IN THE BILL THAT
IS TO SAY THE FEES DIRECTLY.
AFFECTING OPERATIONS OF THE MED
BOARD ITSELF AS OPPOSED TO A NEW
PROGRAMS WISHING TO IMPLEMENT SO
I WANT TO SHARE. SOME CONCERN
ABOUT THAT AND I'D LIKE TO ASK A
QUESTION DIRECTLY BECAUSE I ALSO
WANT TO BE MINDFUL OF. THE VERY
IMPORTANT CALLER COMMENTS BY MY
COLLEAGUE. FROM KERN COUNTY. I'M
WHICH IS ARE WE PUSHING OUR
PHYSICIANS IN THE WRONG
DIRECTION. UP WHAT I'M
PARTICULARLY WORRIED ABOUT AND I
ASK YOU DO YOU THINK ABOUT OR IF
YOU HAVE THOUGHT ABOUT IT WHAT
WHY YOU'VE ARRIVED AT THIS PLACE
RIGHT NOW IS. ARE THESE FEES
EQUAL FOR ALL. DOCTORS I'M- THAT
IS TO SAY IS THE FEW GOING TO BE
THE SAME FOR SOMEBODY WHO'S
DOING PLASTIC SURGERY IN BEVERLY
HILLS OR SOMEBODY WHO'S WORKING
AT A CLINIC. ALONG THE BORDER.
FOR A POPULATION THAT CAN AFFORD
TO PAY VERY MUCH- YEP. DR BEN
SPOKE VERY MUCH VERY
PASSIONATELY ABOUT THE
CHALLENGES AND COVE IT BUT TO BE
HONEST WITH OR WITHOUT COVED.
YOU KNOW IT IS A TRYING
PROFESSION. ELEVEN AN ORDINATE
AMOUNT OF DEBT. AND ARE WE
PUSHING OUR PHYSICIANS TO ONLY
PURSUE AREAS OF THE OF THE FIELD
WHERE THEY'RE GOING TO BE
REMUNERATED. AND SERVING A
POPULATION. THAT CAN AFFORD TO
PAY. AND DO THE HEIGHTENED FEES
PUSH THEM IN A DIRECTION. OUR
WHERE WE'RE NOT GOING TO BE
SERVING OUR POPULATIONS I CAN'T
AFFORD TO PAY AND I LIKE TO ASK
DID YOU CONSIDER A DIFFERENT FEE
STRUCTURE BASED ON THE TYPE OF
MEDICINE. OR THE POPULATIONS
BEING SERVED. LET ME- LET ME
STEP BACK AND LET'S JUST MAKE
SURE WE ALL UNDERSTAND WHERE WE
ARE WITH THE FEES PER YEAR
BECAUSE THIS IS A BI ANNUAL FEE
BILL SO IT'S EVERY TWO YEARS
THAT THE FEES ARE ASSESSED. SO
BACK ABOUT FIFTEEN YEARS AGO OR
SO. THE FEES WERE. THREE HUNDRED
AND NINETY ONE DOLLARS A YEAR
FOR A PHYSICIAN SURGEON FOR THE
PRIVILEGE OF PRACTICING MEDICINE
IN THE STATE OF CALIFORNIA. THEN
ABOUT WHAT TWO YEARS AGO OR SO
TWO THOUSAND TWENTY ONE. THERE
WAS A FEES STUDY DONE BY THE
BOARD THAT SUGGESTED A FEE OF
ELEVEN HUNDRED FIFTY DOLLARS-
EVERY TWO YEARS SO THAT'S A
LITTLE LESS THAN SIX HUNDRED
DOLLARS. FIVE HUNDRED SOMETHING
DOLLARS A YEAR. WE ENGAGED WITH
CMA ON THIS ISSUE WHO PUSH BACK
ON THAT AND THAT THE TIME I WAS
TOLD THAT THE ONLY THING THAT
PHYSICIANS WOULD ACCEPT WAS A
FORTY DOLLARS A YEAR. THE
INCREASE. WE SEE. THE
LEGISLATURE SAID OKAY. WE'LL PUT
THAT IN WITH A COMMITMENT THAT
YOU'LL SIT DOWN WITH US AND WORK
ON WHAT IT IS EXACTLY INSIDE THE
MEDICAL BOARD. THIS IS CAUSING
THESE FEES TO GO UP WE KNOW WHAT
IT IS IT'S THE DEPARTMENT OF
JUSTICE LEGAL FEES IT'S THE
EXPERT WITNESS FEES THAT ARE.
THAT THE BOARD HAS TO PAY IN
ORDER TO DISCIPLINE PHYSICIANS
AND A WHOLE RED AND THE FACT
THAT IT'S A STATE. ENTITY WITH
STATE EMPLOYEES SO EVERY TIME
THE GOVERNOR IN THE
ADMINISTRATION NEGOTIATE A NEW
MO YOU. AND THERE I DON'T KNOW
TEN OR TWELVE OR FIFTEEN OF THEM
OVER THERE I THINK. THEN THAT
THERE IS AN INCREASE IN THE
OPERATING COSTS OF THE MEDICAL
BOARD THAT NIGHT OF THE
PHYSICIANS NOR THIS LEGISLATURE
REALLY HAVE ANY CONTROL OVER.
DESPITE THE COMMITMENT THERE WAS
NO ENGAGEMENT WHATSOEVER ON THE
ISSUE OF EXPENSES ON THE EXPENSE
SIDE OF THE EQUATION. SO BY THE
WAY THAT FORTY DOLLARS PUT THE
ANNUAL FEE FOR PHYSICIANS AND
SURGEONS AT ABOUT FOUR HUNDRED
AND THIRTY TWO DOLLARS A YEAR.
THE PROBLEM IS THE BOARD HAS
BEEN RUNNING AT A- IT'S
STRUCTURAL DEFICIT- THE FUND
BALANCE IN TWO THOUSAND TWENTY
THREE WAS TEN MILLION DOLLARS.
BUT THAT WAS BECAUSE THERE WAS A
TEN MILLION DOLLAR LOAN FROM
ANOTHER SPECIAL FUND. IN TWO
THOUSAND TWENTY ONE AND A TWELVE
MILLION DOLLAR FULL BLOWN TO THE
BOARD FROM ANOTHER SPECIAL FUND
IN TWO THOUSAND TWENTY TWO. THE
LOANS ARE COMING FROM THE BUREAU
OF AUTOMOTIVE REPAIR SO THE AUTO
MECHANICS OR FINANCING. THE
MEDICAL BOARD OF CALIFORNIA. I'M
NO THERE'S BEEN NO ENGAGEMENT ON
BIFURCATING FEES ARE DIVIDING
FEES ORG CHARGING PLASTIC
SURGEONS ORTHOPEDIC SURGEONS OR
NEUROSURGEONS A HIGHER FEE THAN
THOSE. FAMILY PRACTICE
PHYSICIANS THAT ARE WORKING IN
THE CLINICS OF THE CENTRAL
VALLEY OR EASTERN RIVERSIDE
COUNTY WHY IS THAT. YOU'LL HAVE
TO ASK HIM ABOUT THAT ASSEMBLY
MEMBER NO ANOTHER QUESTION IS
WHY IS THE MED BOARD NOT
CONSIDERED BIFURCATING THE FEES
BASED ON TYPE MEDICINE WELL YOU
CAN'T NEGOTIATE AGAINST YOURSELF
. WE'RE TRYING BUT WE AND I TOOK
A PERSONAL INTEREST IN THIS AND
INVITE AND ACTUALLY HAD A
COMMITMENT. ADMITTEDLY PRAYER
CMA STAFF TO SIT DOWN TO WORK ON
THE EXPENSE SIDE OF THE EQUATION
THAT THE MEDICAL BOARD. BUT IF
THEY DON'T COME THAT'S THAT'S A
HOLISTIC COST IT'S NOT
CONSIDERING MY QUESTION. WHICH
IS THERE GOING TO BE AN IMPACT
FOR PEOPLE WHO ARE EARNING ON
THE LOWER END OF THE SPECTRUM IN
MEDICINE. BASED ON THESE HIGHER
FEES AND WILL THAT HAVE AN
UNINTENDED CONSEQUENCE THE TO
AUTOMATICALLY CLOSE TO TWO
HUNDRED AND TWELVE DOLLAR
INCREASE PER YEAR. THAT IS
CORRECT. SO YOU. I DON'T KNOW
WHAT TO TELL YOU. WHAT. IT'S
WORTH LOOKING INTO YEAH I JUST
BROUGHT IT IF IT'S WORTH LOOKING
INTO WORTH. HAVING THE
CONVERSATION ONE THING TO KEEP
IN MIND IS THAT ANYTHING THAT
COSTS MORE. HAS TO BE COVERED BY
FEES. BECAUSE THE MED BUT AND SO
IF IT DID CREATING AN INCOME
ELIGIBILITY STANDARD AND DOING
THAT NOW SO IT'S IT MIGHT BE
WORTH LOOKING INTO- BUT BUT WE
HAVE TO KEEP IN MIND ALL THE
DIFFERENT- CONSEQUENCES INTENDED
OR UNINTENDED. THAT MIGHT COME
UP MISTER CHAIR IF I MAY THIS IS
THE FIRST YEAR. I ASKED FOR AND
RECEIVED IT WASN'T EASY TO GET.
A DETAILED FINANCIAL STATEMENT
FUND BALANCE. AND PROJECTION.
GOING OUT FROM 200-022-2000
TWENTY EIGHT TWENTY NINE. FOR
THE MEDICAL BOARD OF CALIFORNIA
BALANCE SHEET FINANCIAL
STATEMENT. I PROVIDED THAT THE
CMA. AS SOON AS I GOT IT WE HAD
AN OPPORTUNITY TO SIT DOWN WE
REVIEWED THIS BOTH ON THE SENATE
SIDE AND I PROVIDED IT TO THE
ASSEMBLY. HERE TO GO THROUGH THE
EXPENSE SIDE OF THE MEDICAL
BOARD AND DECIDE WHAT EXPENSES.
ARE UNACCEPTABLE BUT OF COURSE
THE PROBLEM IS WHEN YOU'RE
TRYING TO DO IT IN THE LAST
MONTH OR SO WHEN YOU HAVE TO DO.
THESE SORTS BILLS. IT'S
DIFFICULT AND IT SHOULD HAVE
BEEN DONE. LAST YEAR AND FRANKLY
THE YEAR BEFORE THAT OF COURSE
WE SHOULD SIT DOWN AND FIGURE
THESE THINGS OUT I SUSPECT. THAT
IF WE START CHARGING PLASTIC
SURGEONS AND ORTHOPEDIC SURGEONS
MORE THAN WE CHARGE FAMILY
PRACTICE PHYSICIANS. CMA IS
GOING TO HAVE A CLIENT MAN AND
OTHERS ARE GOING TO HAVE A
CLIENT MANAGEMENT PROBLEM IN
DEALING WITH THAT BUT- THAT'S
NOT TO SAY WE SHOULDN'T TRY IT.
SUNBURN. WELL THIS THIS IS-
WE'RE WE'RE WE REALLY HAVE QUITE
A QUANDARY TODAY BECAUSE-
OBVIOUSLY WE HAVE TO TRY TO MOVE
THIS THROUGH COMMITTEE BUT- A
50% INCREASES. IS QUITE A
SUBSTANTIAL AND ASSEMBLY MEMBER
LOWENTHAL WAS TALKING ABOUT. OF
FOLKS THAT ARE WORKING WITH
LOWER INCOME COMMUNITIES BUT
RESIDENTS HAVE TO PAY THESE FEES
TO AND AS A HAVING A SON THAT
HAS A- LOT OF DEBT. IS IT IS IT
IS A RESIDENT CURRENTLY OF IT
THERE IS A BURDEN THERE I KNOW
THE FIRST THE FIRST SPEAKER HAD
SAID THIS IS NOT REALLY A BURDEN
BUT IT'S IT IS- IT'S A HUGE
INCREASE AND IT SEEMS SOMEWHERE
ALONG THE LINE- THERE HAS BEEN A
OF. AND WILLINGNESS TO LOOK AT
REALITY AND HAVE THESE FEES KEEP
UP WITH THE COST SO I JUST WANT
TO GO BACK TO. AND THIS IS I
GUESS SAID CMA QUESTION. WHEN
ARE WE LOOKING AT WAYS TO
REDUCE- OR THE MEDICAL BOARD
QUESTION WHEN ARE WE LOOKING AT
WAYS TO REDUCE THESE FEES YOU
MENTIONED DOJ AND THE LEGAL FEES
ARE VERY HIGH WHY NOT BRING A-
ATTORNEY AND HOUSE IS THAT
SOMETHING THAT HAS BEEN
CONSIDERED HOW. WHAT WHERE AND
HOW CAN WE LOOK COMPREHENSIVELY
AT HOW TO LOWER THESE FEES WE'VE
LOOKED AT THAT I SUGGESTED.
ENFORCEMENT BRINGING ENFORCEMENT
IN HOUSE CHANGES TO THE
ENFORCEMENT PROCESS LOOKED AT.
AT THEM THE CALL THE LEGAL COSTS
OF- SOME OF THE ENFORCEMENT
ACTIONS THE PROBLEM IS. THE TURN
THE FEES THE LAWYER FEES IN THE
PARALEGAL FEES CHARGED BY THE
DEPARTMENT OF JUSTICE. OUR
RELATIVELY INSIGNIFICANT IN
COMPARISON TO WHAT PRIVATE
PRACTICE ATTORNEYS CHARGE FOR
THE SAME TYPE OF WORK. AS I
RECALL THE DOJ ATTORNEY FEE IS
TWO HUNDRED AND SOMETHING
DOLLARS AN HOUR. AND PRIVATE
PRACTICE ATTORNEYS TODAY IN THIS
PARTICULAR FIELD. ARE CHARGING
SIX HUNDRED SEVEN HUNDRED EIGHT
HUNDRED. DOLLARS AN HOUR SO I'M
NOT SURE THAT WE WERE NECESSARY
SAVE ANY MONEY BUT IT'S
CERTAINLY SOMETHING. THAT WE
NEED TO LOOK AT I DO. NOTE THE
IRONY AND CMA'S POSITION. AS
THEY COMPLAIN ABOUT THE FEE
INCREASE THEY ALSO COMPLAIN
ABOUT SOME OF THE PROVISIONS IN
THIS PARTICULAR BILL THAT SEEKS
TO STREAMLINE THE PROVISIONS. OF
THE MEDICAL BOARD ENFORCEMENT
PROCESS LOWERING THE EVIDENTIARY
STANDARD WHERE THE LIVELIHOOD OF
THE PHYSICIAN IS NOT NECESSARILY
IMPACTED WITH REVOCATION OR
SUSPENSION. FELONY CONVICTIONS
MORAL TURPITUDE ETCETERA WELL
DEFINED IN THE IN THE CASE LAW
AND BY THE WAY THE PROVISION IN
THIS BILL WAS WAS LIFTED TAKEN
FROM THE BUSINESS PROFESSIONS
CODE. PROVISIONS THAT ARE
DIRECTLY APPLICABLE TO LAWYERS
AND IF IT WORKS FOR LAWYERS
SHOULD WORK FOR PHYSICIANS AND
THERE SHOULDN'T BE ANY QUESTION
ABOUT HOW IT WORKS BUT THERE IS
A COMPLETE IT STREAMLINES THE
PROCESS WHY. BECAUSE THE BOARD
DOES NOT HAVE TO RETAIN HIGHER
EXPERT WITNESSES AT HUGE COST
WHERE THE CASE IS ALREADY
PROCEEDED TO TRIAL. IN A
CRIMINAL COURT THERE IS A
CONVICTION. A FULL APPEAL
PROCESS IS GRANTED TO THE LAWYER
WHEN THE APPEAL PROCESS IS OVER.
THEN THE LAWYER THE PHYSICIAN
THE PHYSICIAN HAS AN OPPORTUNITY
TO GO TO HEARING ON THE ISSUE OF
REVOCATION OR SUSPENSION SO FULL
DUE PROCESS THERE BUT AGAIN.
IT'S A IT'S AN ATTEMPT TO
ACHIEVE SOME COST SAVING
INSUFFICIENCY IN THE MEDICAL
BOARD OPERATION BUT OF COURSE
THERE'S AN OBJECTION TO THAT
PROCEEDING TO SO. IT WILL REMAIN
TO BE SEEN WHETHER WE CAN
ACTUALLY HAVE A MEANINGFUL
NEGOTIATION TO DELVE INTO THE
EXPENSE SIDE OF THE MEDICAL
BOARD OPERATION. AND SEE HOW WE
CAN ACHIEVE SOME FURTHER
EFFICIENCIES I HOPE THAT
ANSWERED THE QUESTION. CERTAINLY
SO JUST FOR A MOMENT GOING BACK
TO THE IDEA OF A SLIDING SCALE-
THE BAR EXAM DOES THAT FOR I
MEAN THE BUT THE- THE BAR DOES
IT FOR LAWYERS THAT ARE MAKING
UNDER A CERTAIN AMOUNT. WOULD
THAT BE SOMETHING THAT WOULD IS
THAT THE BOARD THAT WOULD DECIDE
THAT ARE THE LEGISLATURE WHO WHO
WOULD LOOK AT THE POTENTIAL FOR.
CHARGING THE PLASTIC SURGEON IN
BEVERLY HILLS MORE AND THE
RESIDENT OR PEOPLE WORKING IN
UNDERSERVED COMMUNITIES LESS.
THE BOARD COULD PROPOSE THE
LEGISLATURE COULD PROPOSE IT
THROUGH THE SUNSET REVIEW
PROCESS AND HAVE A DISCUSSION
ABOUT IT. I'VE ONLY BEEN DOING
THIS JOB FOR. THREE YEARS AND NO
ONE HAS SUGGESTED IT. DURING THE
SUNSET REVIEW HEARINGS AND WE'VE
HAD A VARIETY OF HEARINGS ON
THIS MEDICAL BOARD IT'S BEEN.
SOMETHING ATTACHED TO MY SHOE
FOR THE ENTIRE TIME THAT I'VE
BEEN- CHAIR OF THE SENATE SIDE
OF THIS CORRECT COMMITTEE SO
ABSOLUTELY BUT THE- THE OTHER
COMPONENT. IS WILL THE PHYSICIAN
GROUPS. OF WHICH THERE MANY.
COMING FROM DIFFERENT DIRECTIONS
SUPPORT THAT. OR WILL WE BE
BRIGHT BACK HERE. TALKING ABOUT
THE SAME THING. RIGHT WELL-
APPRECIATE- APPRECIATE THE
CONVERSATION AND I HOPE THE
DISCUSSIONS CONTINUE ESPECIALLY
AROUND- THE ISSUE. THANK YOU
ASSEMBLY MEMBER ANY ADDITIONAL
QUESTIONS OR COMMENTS A SUMMER
PATTERSON. THANK YOU VERY MUCH
APOLOGIZE BEING LATE FOR SOME OF
THE DISCUSSION HERE I'M-
SURPRISE PRECIADO OBVIOUSLY I
MEAN WE HAVE TO KEEP THE
MEDICAL. BOARD GOING- AND YOU
KNOW YOU DID SAID BIG CHALLENGE
THAT YOU'RE TAKING WITH THIS. SO
I'M GONNA TALK FOR A SECOND JUST
ON. SOME PHILOSOPHICAL THINGS
THAT I HAVE WITH HOW AGENCIES
AND REGULATORY AGENCIES ARE
WORKING THAT I'VE SEEN FIRST
HAND IN CALIFORNIA. AND- I WILL
BE IN A PRIOR LIFE I WAS
INVOLVED IN A PARTICULAR AGENCY
THAT WAS MOVING FORWARD AT. YOU
KNOW DID FEES AND THINGS LIKE
THAT IT GOT SO BAD THAT ACTUALLY
STATE AUDIT WAS REQUESTED ON
THIS PARTICULAR AGENCY. THE DATA
SAID DADA DADA CAME BACK AND
SAID THE FEES WERE TOO HIGH
PROCESSES WERE DUPLICATIVE AND
IT WAS ALSO AN EFFICIENT. SO THE
THAT ORGANIZATION GOES THROUGH
READ AS ALL THEIR FEES. AND SURE
ENOUGH THAT DOES THEIR FEE STUDY
IN THE AMOUNT OF MONEY THAT THEY
NEED TO COLLECT IS THE SAME
AMOUNT OF MONEY. THEY JUST
SHIFTED AROUND WHERE WHO IS PAN
WHAT FEES. AND SO I'VE SEEN HOW
ALSO THE BACKGROUND CHECK
PROCESS WORKS WHEN YOU GO GET
YOUR LICENSES AND THAT LIES IN
THE ANALYSTS THAT ARE WORKING
ON- BOTH THE BACKGROUND CHECK
FROM A LEGAL STANDPOINT BUT ALSO
JESS. YOU KNOW ALL THE
QUALIFICATIONS ME AND THINGS
LIKE THAT AND I JUST. I THINK
WHEN WE TALK ABOUT THE EXPENSE
SIDE. LOOK WE CAN GO THROUGH AND
WE CAN SAY- LOOK LET'S WE GOT IT
LOOK AT THIS EXPENSE IN THIS
EXPENSE BUT I'M JUST I'M JUST
NOT SO SURE THAT THE PROCESSES
ARE EFFICIENT. THAT THERE ARE
DUPLICATIVE PROCESSES IN THERE
AND THAT WE CAN'T JUSTIFY. IT IS
THAT I I'M NOT SO SURE WE NEED
TO CUT THIS EXPENSE OR THIS
EXPENSE I THINK TO ASK 450% FEE
INCREASE. WHEN I THINK THERE ARE
SOME CONCERNS ABOUT WHETHER THE
EFFICIENCIES OF THE PROCESS IN
THE IN THE FIRST PLACE IS. IT IS
IT IS TOUGH. A BITE OF THE APPLE
TO TAKE AND I THINK I AM. YOU
KNOW SO I'M I'M NOT REALLY I'M
YOU KNOW OBVIOUSLY IF YOU WANT
TO RESPOND TO THIS I'M I'M NOT
REALLY SUPPORTIVE OF THE IDEA OF
INCREASING THE FEE THAT MUCH I
UNDERSTAND THAT THE MEDICAL
BOARD IS BORROWING MONEY FROM
OTHER PLACES AND I BUT I. THINK
WE MIGHT HAVE IS MORE OF A
SYSTEMIC ISSUE THAT NEEDS TO BE
LOOKED AT. ESPECIALLY FOR GONNA
BE ASKING FOR A 50% FEE INCREASE
BEFORE I FEEL COMFORTABLE
SUPPORTING THAT MAGNITUDE OF A
FEE INCREASE. AND I KNOW IT'S
HARD YOU'RE NOT IN THERE I'M NOT
IN THERE EVERY DAY LOOKING AT
THIS SO NONE OF US REALLY HAVE
EXPERTISE ON THIS YOU KNOW MORE
ABOUT IT MORE WAY MORE THAN
PROBABLY ANYBODY IN THIS
BUILDING- AND THAT'S WHAT MAKES
IT KIND OF HARD BECAUSE YOU KNOW
I WANNA. RESPECT TO THAT BUT I
JUST I'VE SEEN THIS FROM ANOTHER
SIDE AND I. I DON'T FEEL
CONFIDENT THAT GIVING A 50% FEE
INCREASE. AS ANYTHING OTHER THAN
JUST BALANCE THEIR BUDGET. OUT
IN OBVIOUS AT LOVE YOU TO
RESPOND TO THAT WELL I SHOULD
NOTE WE HAVE A- ENFORCEMENT
MONITOR THAT THE LEGISLATURE.
YEARS SO AGO- VOTED TO PUT IN AN
OUTSIDE ENFORCEMENT MONITOR TO
PUT INSIDE THE MEDICAL BOARD TO
TAKE A LOOK AT. AT THE
ENFORCEMENT PROCESS THESE
PROCEDURES. TAKE A LOOK AT THE
FISHING SEASON EFFECTIVENESS
THAT PROCESS. IS I BELIEVE STILL
ON GOING ABOUT TO WIND ITSELF
UP. MMHM THERE WAS A PRELIMINARY
REPORT ISSUED. I'M NOT IN THERE
AND I CAN'T ATTEST TO. HOW
EFFICIENT THE MEDICAL BOARD IS
WITH RESPECT TO ITS INTERNAL
OPERATIONS SHARE BERMAN AND I
HAVE CONDUCTED SEVERAL OF THESE
HEARINGS AND WE'VE TRIED TO. GET
A HANDLE ON HOW THAT WORKS. I DO
KNOW THIS THE MEDICAL PRACTICE
ACT WAS DRAFTED YEARS AGO AND IT
WAS DRAFTED WITH THE- INPUT FROM
THE STAKEHOLDERS IN THE
STAKEHOLDERS OR THE PHYSICIANS
IN THE PHYSICIAN OF SUPPORT
GROUPS AND IT'S A VERY
CUMBERSOME. MEDICAL PRACTICE ACT
WE'RE TRYING TO CLEAN SOME OF IT
UP BUT IT EVERYTHING TAKES A LOT
OF TIME EVERYTHING COSTS A LOT
OF MONEY. EVERY SET MOST
EVERYTHING REQUIRES EXPERT
WITNESSES. THE OTHER LAWYERS
INVOLVED AT EVERY STAGE OF THE
PROCESS AND WHEN YOU HAVE A
SYSTEM THAT'S DESIGNED AROUND
AND I'M I'M- I'M A LAWYER OR
USED TO BE I'M CLEARLY IN FAVOR
OF PROTECTING. THE RIGHTS AND
DUE PROCESS PARTICULARLY WHEN IT
COSTS PEOPLE THEIR LIVELIHOOD.
BUT IT'S A VERY COMPLICATED AND
IT'S VERY EXPENSIVE SO IT
DOESN'T SURPRISE ME THAT THE
MEDICAL BOARD RUNS AT A DEFICIT
WERE. AS I SAID BUT CHIEFLY
WHERE THE THEIR STATE EMPLOYEES
WITH MO USE AND THEIR FIXED
COSTS HAVING TO DO WITH THE
WAGES AND BENEFITS AND PENSIONS.
THAT I DON'T KNOW MAYBE 34% PER
YEAR AND WE HAVEN'T HAD A THREE
OR 4% OF. FEE INCREASE FOR
PHYSICIANS IN A LONG TIME. I'M
HAPPY TO TAKE A LOOK AT THAT I
THINK WE SHOULD TAKE A LOOK AT
THAT. IF SOMEONE THINKS THAT AN
AUDIT IS APPROPRIATE. I'M OKAY
WITH THAT TOO. WE CLEARLY HAVE
TO. FRY TO ACHIEVE EFFICIENCY
BECAUSE WHILE WE NEED ENOUGH
MONEY. IN THIS AND OTHER DC
AGENCIES BY THE WAY BECAUSE
THERE WERE SOME OTHER BILLS WITH
SOME FEE INCREASES. TO MAKE THEM
SOLVENT WE DON'T EVER WANT TO
CHARGE PEOPLE FEES THAT ARE NOT
ABSOLUTELY NECESSARY BECAUSE WE
REQUIRE THEM TO BE LICENSED IN
THE STATE OF CALIFORNIA AND THEN
UNFORTUNATELY THE WAY WE'VE
DESIGNED WE- COLLECTIVELY. HAVE
DESIGNED THE SYSTEM HERE WE SAY
WE'RE GOING TO LICENSE YOU BIG
FOR CONSUMER PROTECTION PURPOSES
BUT YOU'RE GOING TO PAY FOR THE
ENTIRE COST OF YOUR LICENSING.
THE LICENSING APPLICATIONS THE
RENEWALS AND THE ENFORCEMENT
BECAUSE NONE OF IT IS FUNDED OUT
OF THE GENERAL FUND. AND I DON'T
NECESSARILY AGREE WITH THAT
BECAUSE I THINK THERE'S A PUBLIC
SAFETY CONSUMER PIECE OF THIS
THAT OUGHT TO BE FUNDED OUT OF
THE GENERAL FUND BUT
UNFORTUNATELY IT'S NOT WE TURN
TO THE LICENSEES AND SAY. YES
WHAT YOU'RE PAYING. YEAH THIS IS
A HARD. YOU KNOW I DON'T WANT
THEM. YOU KNOW TAKE IT OUT ON
THE MEDICAL BOARD PER SE WHEN I
THINK THERE'S PROBABLY OTHER.
DCA REGULATORY BODIES. YOU KNOW
THAT THEY NEED TO BE. REALLY
LOOKED AT ON THE LICENSING IN
GENERAL FOR VARIOUS AGENCIES IN
VARIOUS. BUT AT THE SAME TIME A
LOOK AT IT THIS IS THIS IS OUR
OPPORTUNITY TO THIS IS ACTUALLY
OUR ONLY CHANCE. TO PUT SOME
ACCOUNTABILITY ON THESE AGENCIES
AND- YOU KNOW FOR. I THINK I
FEEL LIKE IF WE IF WE PASS OUT
THE REVIEW YOU KNOW THIS. THE
EXTENSIONS. WITHOUT HAVING THAT
THAT QUALITATIVE ANALYSIS THAT
AFFECTS THE QUANTITATIVE PART OF
IT. THEN I DON'T THINK WE'RE
WE'RE NECESSARILY DOING- YOU
KNOW WHAT WE'RE HERE TO. MORE
WORK TO DO I GOT. NOT SUGGESTING
YOU ARE BUT WE'RE CLEARLY NOT
HERE JUST TO EXTEND IT BECAUSE
IT NEEDS TO BE EXTENDED I THINK
OR WANT TO TAKE A QUICK CLOSE A
LOOK AT THIS. YOU KNOW AGAIN
IT'S TOUGH BECAUSE YOU SPENT
MORE TIME ON THIS AND THEN. THEN
THE FIVE MINUTES I HAVE. RIGHT
HERE YOU KNOW. BUT IT'S JUST
SUCH A IT'S JUST IT GIVES ME A
LOT OF HEARTBURN TO GIVE THAT
BIG OF A FEE INCREASE WHEN I'M
NOT SO SURE. THAT THEY'VE HAD
THE OPPORTUNITY TO JUSTIFY IT-
YOU KNOW WITH AN AUDIT.
APPROPRIATE YOUR COMMENTS
ASSEMBLY MEMBER. THIS MEMBER
DIXON THANK YOU IT HERE. I GUESS
TO FOLLOW UP ON THAT WE'RE I
THINK WE'RE A WHOLE. SWATTING A
CLOUD HERE- THE 50% SEEMS HIGH
BUT GIVEN THE HISTORY OF THE OR
THAT JUST THE REALITY OF THE
COST WE DON'T HAVE VISIBILITY
ON. ON A BUDGET FOR THE
CALIFORNIA MEDICAL BOARD DO WE I
DIDN'T SAID I'M A NEW HERE IS
OUR IS OUR FINANCIAL STATEMENT
THAT SUPPORTS. A LOT OKAY THAT'S
- FOR THE FIRST TIME ASSEMBLY
MEMBER I. S. THAT THE
ADMINISTRATION IN DC APE PRODUCE
FOR ME THE FINANCIAL STATEMENT.
THAT REFLECTS THE VARIOUS LOANS
THAT WERE EXTENDED THE PAYOUT
PERIODS WE'VE PICKED IN WORKING
WITH CMA TO TRY TO LOWER THE
FEE. WE'VE PUT IN PLACE OF A
SWAP OUT OF LOANS THAT WERE
RESTRICTED AND HAD TO BE PAID
OUT OVER A VERY LIMITED TWO OR
THREE YEAR PERIOD. TO EXTEND THE
LOAN PAYOUTS FOR THE BOARD OVER
SIX YEARS BACK TO THE BUREAU OF
AUTOMOTIVE REPAIR. THEY HAVE TO
BE PAID BACK SURE TO LOWER THE
TEMP TO LOWER THE FEE
UNFORTUNATELY IT DIDN'T LOWER IT
. VERY MUCH OR CERTAINLY ENOUGH
TO EASE THE OBJECTIONS SO. BUT
YES I WOULD EXPECT THAT. WHEN I
COME AND GO THAT THOSE VIEWERS
STILL HERE WOULD. REQUEST THE
FINANCIAL STATEMENT IN THE FUND
BALANCED CONDITION ON THE
MEDICAL BOARD IN YEARS TO COME
SO YOU KNOW EXACTLY WHAT'S GOING
ON WITH THE SENATE AND AS SUCH
IS RELATED TO THE LOAN AND THE
LOAN REPAYMENT IS A TALK ABOUT.
PAYROLL COSTS. THOUGH IT THE
ENTIRE COST STRUCTURE OF THE
CALIFORNIA MEDICAL BOARD WHERE
YOU WERE. SUGGESTING AND STATING
CORRECTLY THAT YOUR PAYROLL COST
YOUR COST OF. OPERATIONS HAVE
INCREASED IN THE CAN THE
ELEMENTS OF THAT ARE AHEAD
COUNTER LABOR COST SIX AFTER
THAT YOU HAVE NO CONTROL OVER.
ANYWAY IS THAT IN THAT DOCUMENT
I APOLOGIZE I DO NOT HAVE ALL
THAT INFORMATION. TO ME THE
EXPENDITURES ARE SOMEWHAT
SUMMARIZE BUT THEY THEY CAN
SPREAD THESE OUT FOR YOU IF WHAT
I THINK I GET BACK TO MY OPENING
COMMENT. THAT'S PART OF THE
PROBLEM I DON'T THINK WE- YOU'RE
MAKING YOUR BOTH ARE MAKING
COMPELLING CASES. BUT WE'RE- NOT
DEALING WITH ALL THE INFORMATION
THAT HELPS US UNDERSTAND THAT
WHAT'S THE COSTS THAT ARE
DRIVING. THE CALIFORNIA MEDICAL
BOARD AND YOU'VE GOT THESE.
EXTERNAL AS WELL AS INTERNAL
COSTS THAT YOU HAVE NO CONTROL
OVER. AND YOU'VE GOT A MEDICAL
COMMUNITY THAT DOESN'T WANT TO
SEE A 50% INCREASE- IN THEIR
RATES. ARE NO LICENSE FEES
RENEWALS AND THEN YOU'VE GOT
OTHER PROVISIONS OF THIS BILL
RELATED TO- EVIDENTIARY MATTERS
AND FELONIES AND ALL KINDS OF
OPERATIONAL. ISSUES THAT ARE ARE
IN THIS. BASKET FOR OF. THEM OR
CHANGE. WITHOUT REALLY
UNDERSTANDING WHAT'S DRIVING ALL
OF THIS- I JUST WONDER IF THE
FEET LICENSE FEE INCREASE CAN BE
A SEPARATE ENTITY WITH THE
FINANCIALS BEHIND IT. TO EXPLAIN
SO WE KNOW WHAT WE'RE DEALING
WITH I MEAN IT I THINK IT'S VERY
DIFFICULT TO MAKE A FINANCIAL.
DECISION HERE WITH. INCOMPLETE
INFORMATION WELL I WILL SAY THIS
ASSEMBLY MEMBER. ON THE SENATE
SIDE WE'VE ATTEMPTED OVER
SEVERAL YEARS TO DEAL WITH THESE
FEE INCREASES IN THE BUDGET
BECAUSE IT'S REALLY A BUDGET
ISSUE. IT'S NOT A POLICY
COMMITTEE ISSUE. BUT. FRANKLY
THE ASSEMBLY AND I ASSUME
STAKEHOLDERS OUTSIDE THE
BUILDING HAVE DECIDED THAT IT
SHOULD NOT BE IN THE IN THE
BUDGET. AND WE SHOULD BE
DEBATING THESE FEES SENATE
POLICY COMMITTEE. WHICH WE'RE
NOT REALLY EQUIPPED TO DO
BECAUSE WE DON'T DEAL WITH
NUMBERS AND WE ALSO DON'T SEE
THE LARGER PICTURE IN THE
BUDGET. AND WHETHER GEN GENERAL
FUND MONEY SHOULD BE USED TO
ACCOMPLISH WHICH IS WHAT I THINK
SOME OF THESE OBJECTIVES THAT
THE MEDICAL BOARD HAS TO IT HAS
TO ACHIEVE. SO I DON'T. I AGREE
WITH YOU WHICH IS THIS IS THE
FIRST TIME I'VE SEEN THIS AND
I'VE- THIS IS THREE YEARS FOR ME
. IT'S LIKE IN ANY BUSINESS OR
THE COST OF DOING BUSINESS
INCREASES INFLATION OR WHATEVER.
MARKET CONDITIONS EXIST SO- YOU
MAY HOLD OFF RAISING THE
BUSINESS MAY HOLD OFF RAISING
PRICES A WE DON'T WANT TO
DISRUPT THEIR CUSTOMER BASE BUT
AT SOME POINT IN TIME. I YOU
CAN'T CONTINUE TO OPERATE UNLESS
YOU REALLY SACRIFICE THE QUALITY
OF YOUR PRODUCT OR- ARE THEY
YOUR EMPLOYER LABOR FORCE OR
WHAT HAVE YOU. SO THEY'RE JUST
SO MANY FACTORS THAT ARE GOING
INTO THIS AND WE'RE ONLY LOOKING
WITH. JUST A VERY SLIVER OF IT
AND I AGREE WITH YOUR POINT I
MEAN IT JUST MAKES IT VERY
DIFFICULT TO. ACCURATELY AND-
FAIRLY EQUITABLY DEAL WITH THE-
ACOSTA INCREASE AT A FIFTY
PERCENT. INCREASE LICENSE
FAVORITE SOUNDS HIGH. GRANTED
IT'S OVER TWO YEARS IT BIANNUAL
TO OVER TO PERIOD I'M NOT I'M
NOT IN A POSITION TO SAY IT'S TO
HIGHER TO LOWER SHOULD STAY THE
SAME. BUT I AM CONCERNED WITH
THE- OF CALLS FOR. COMPLAINTS
AGAINST MEDICAL PROFESSIONALS
THAT ARE NOT BEING INVESTIGATED
WE HAVE ANY DATA ON THAT THE
CASELOAD THAT COMES IN THAT
NEEDS TO BE. REVIEWED AND THAT'S
DRIVING SOME OF YOUR COST AS
WELL I USED THEIR SAYS IT'S BEEN
INCREASED BY A LOT I MEAN HOW
MUCH IS A LOT IN TERMS OF.
INVESTIGATIONS THAT ARE UNDERWAY
OF THE INCREASED 10% 20% FIFTY
PERCENT. OVER THE LAST TWO YEARS
WHAT HOW DO WE EVALUATE THE
PRESSURES ON THE ORGANIZATION
WHEN WE REALLY DON'T UNDERSTAND.
THE TO COST DRIVERS WELL WE HAVE
A LOT OF DATA I DID NOT BRING
THAT DATA WITH ME TODAY BECAUSE
I WAS PREPARED TO DEAL WITH THE
FINANCIAL ISSUES- WE HAVE
PROTECTIONS BUILT INTO THIS BILL
FOR THE FIRST TIME WHERE
COMPLAINTS HAVE A VOICE. BOTH AT
THE BEGINNING AND VARIOUS POINTS
IN THE PROCESS. OF SO THOSE
CALLERS IT TO HAVE CALLED AND I
THINK SOME OF THEIR ISSUES WILL
BE RESOLVED IF. BY THE BY THE
AMENDMENTS IN THIS BILL IF THE
BILL HAPPENS TO PASS- AND AGAIN
I DON'T DISAGREE WITH YOU THAT
IT IS VERY DIFFICULT. TO GET A
HANDLE ON SOME OF THESE ISSUES
WE'VE TRIED TO DO THAT THIS
YEAR. WORKING WITH CHAIR BERMAN
AND HIS STAFF- WE'VE TRIED TO.
BUILD IN- FRIED TO WORK WITH CMA
ON LOAN REPAYMENT MEDICAL BOARD
LOAN REPAYMENTS TO TRY TO LOWER
THE FEE AS MUCH. AS WE CAN BUT
I'VE AS I'VE TOLD. MY FRIENDS
FROM OUTSIDE THE BUILDING YOU
KNOW THE REALITY IS. UNLESS AND
UNTIL THE ADMINISTRATION DECIDES
TO APPLY GENERAL FUNDS TO THIS.
YOU KNOW THE EXPENSES ARE WHAT
THEY ARE WE CAN REDUCE THEM AS
MUCH AS WE CAN BY CHANGING THE
EVIDENCE RESTATED MAKING IT
EASIER ON THE LOWER OF IN CASES
AND NOT HAVE TO DEAL WITH EXPERT
WITNESSES ON CRIMINAL
CONVICTIONS IN. AND YOU KNOW TRY
TO MONITOR DOJ ATTORNEYS FEES
AND ALL OF THAT BUT AT THE END
OF THE DAY THE EXPENSES ARE WHAT
THEY ARE AND SINCE THIS IS A- ON
A BOARD THAT IS FUNDED
EXCLUSIVELY BY THE LICENSEES IT
REGULATES. AT SOME POINT FEES
HAVE TO GO UP. THAT'S ONE FOR
THE QUESTION TO YOU KNOW I DON'T
KNOW THE ANSWER THIS. FOR
EXAMPLE THE STATE BAR ARE THERE
ARE A THE BAR FEES ARE THOSE ONE
HUNDRED NOW IF THEY'RE 1100%
FUNDING THE- STATE BOARD. I I'M
NOT SURE ABOUT THAT BUT I DO
KNOW. THAT THE BAR FEES ARE AS
MUCH OF. ITEM OF CONTENTION
RIGHT EVERY SINGLE YEAR IS THE
PHYSICIAN AND SURGEON FEES AT
THE MEDICAL BOARD AND I'M NOT
EVEN SURE THAT WE I HAVE LOST
TRACK OF IT WHEN. WHEN THERE WAS
A BARFI BILL AND THERE IS ONE
THERE WERE NO FEES INSERTED IN
IT SO I GUESS THAT IF IT HASN'T
BEEN RESOLVED IT'S STILL UNDER
TO GO THIS IS KIND OF A SYSTEMIC
ISSUE I AM MAYBE THIS ISN'T THE
PLACE TO DEAL WITH THAT BUT-
PERHAPS THERE'S A- DIFFERENT WAY
TO. APPROACH THIS IN THE FUTURE
IN TERMS OF AN ODD LOOKING AT
THE AUDITING OF. THE COSTS AND
OPERATIONAL COSTS AND EXPENSES
ANYWAY THANK YOU VERY MUCH I
WILL SAY THE STATE BAR IS A
GOVERNMENT AGENCY AS WELL SO.
IT'S STAFF BY STATE EMPLOYEES
WHO HAVE PERS IN WAGES AND
BENEFITS AND- IT WITH EITHER THE
SAME COST PRESSURES THERE I
KNOW. ALL RIGHT THANK YOU VERY
MUCH. OKAY ANY ADDITIONAL
QUESTIONS OR COMMENTS FROM
COLLEAGUES. I AM LOOKING FOR A
MOTION AND A SECOND. HAVE A
MOTION. HAVE A SECOND. THE CHAIR
OFF WOULD YOU LIKE TO CLOSE.
WELL I JUST WANT CHIRLA THANK
YOU AND YOUR COLLEAGUES FOR YOUR
PATIENCE I KNOW THIS IS A VERY
VERY DIFFICULT BILL. I KNOW THE
PRESSURES ARE FAIRLY INTENSE- I
FEEL THE SAME WAY. AS SLIGHTLY
DIFFERENT CONTEXT- I'D S. ZERO
VOTE. THANK YOU. CHAIR AND- I
KNOW THAT WHEN YOU RAN FOR THE
SENATE- NEGOTIATING THAT
LICENSING FEES FOR DOCTORS WAS.
NOT AT THE TOP OF YOUR LIST. OF
THINGS THAT YOU PLAN ON DOING IN
OFFICE- I APPRECIATE THE WORK
THAT YOU PUT IN. TO THIS-
CHALLENGING ISSUE. FRANKLY MADE
WAY MORE CHALLENGING BY THE FACT
THAT THE LEGISLATURE HADN'T
INCREASED FEES SINCE TWO
THOUSAND NINE. AND THEN DID A
VERY MODEST FEE INCREASE IN TWO
THOUSAND TWENTY ONE THAT DIDN'T
REALLY ADDRESS. THE PROBLEM- AND
I KNOW THAT THIS ISN'T SOMETHING
YOU WANT TO BE. DOING BUT YOU
LOOK AT NUMBERS ON A SPREADSHEET
AND- AND SEE- A CONCLUSION THAT
ONE NEEDS TO GET TO THERE CAN BE
DEBATE ABOUT THE NUMBERS ON THAT
SPREADSHEET- AND I KNOW THERE
ARE- AND THEN SO I KNOW THAT.
NOW I AM I'M GOING WAY OFF MY
COMMENTS HERE. BUT BUT I KNOW
THAT CMA- YOU KNOW IT. IT IS
THAT WE DON'T QUITE GET WHAT WE
WANTED. OVER THE LAST TWO YEARS
BUT THE LAST COUPLE OF MONTHS
THERE'S BEEN BETTER ENGAGEMENT
WHICH I APPRECIATE. WE'RE STILL
WAITING FOR THE GOVERNOR'S
OFFICE- TO ENGAGE MORE THAN THAN
THEY HAVE- AND THEN THAT'S BEEN
A CHALLENGE TO GETTING ALL THE
PARTIES TOGETHER TO GET COME TO.
AN AGREEMENT ON- YOU KNOW BOTH
THE NUMBERS ON THE PAGE WHAT
AMOUNT WE NEED TO GET TO AND
THEN THE RIGHT PROCESS FOR
GETTING TO THAT AMOUNT- SO I
KNOW THAT THESE ARE ALL THINGS
THAT ARE BEING ACTIVELY
DISCUSSED RIGHT NOW IT WOULD'VE
BEEN BETTER. IF WE'D- IN THOSE
CONVERSATIONS THAT STARTED IN
EARNEST TWO YEARS AGO LIKE WE
HAD HOPED- BUT- I. YOU KNOW THAT
BEING SAID I'M ALSO SYMPATHETIC
TO THE- THE DCMA AND THEIR
MEMBERS- BECAUSE IT IS ALL OF A
SUDDEN A BIG. SPIKE THE
LICENSING FEES- AND YEAH THAT'S
NOT SOMETHING TO BE TO BE
MINIMIZED AND- I THINK THAT'S
SOMETHING THAT YOU THAT YOU AND
I AS LAWYERS CAN APPRECIATE- YOU
KNOW GIVEN GIVEN PAYING OUR BAR
DUES. IT'S BECOME CLEAR THAT
SIGNIFICANTLY INCREASE CAN'T BE
AVOIDED TO KEEP THE BOARD
SOLVENT- BUT BUT I WILL CONTINUE
TO WORK WITH WITH. CHAIR ROTH
AND STAKEHOLDERS. TO EXPLORE
OPTIONS FOR SOFTENING THE
IMMEDIATE IMPACT. ON LICENSEES.
AND I URGENT VOTE THE BILL AS
AMENDED TODAY. AND LOOK FORWARD
TO CONTINUING TO WORK
COLLABORATIVELY WITH. A CHAIR
ROTH AS THE BILL MOVES FORWARD
IN THE PROCESS. WITH THEM
SECRETARY PLEASE CALL VOTE. SB
EIGHT FIFTEEN ROTH THE MOTION IS
TO PASS AS AMENDED TO THE
COMMITTEE ON APPROPRIATIONS
BERMAN AYE. BERMAN AYE FLORA.
FLORA NO AGUIAR-CURRY.
AGUIAR-CURRY AYE ALANIZ BAINES.
BANE'S NOT BOATING BONTA VOTING
BONTA NOT VOTING CHEN. CHEN NOW
DIXON DIXON NO GIPSON. GRAYSON
IRWIN. JACKSON LEE. WE I LOCAL
LAW THOUGHT I MCCARTY THE
KENNER. WHEN NOT VOTING.
PATTERSON PATTERSON NOW TAKING.
WELL THE THAT OPEN FOR ABSENT
MEMBERS THANK YOU JEFF ZHOROV.
THANK YOU MISTER. WE HAD TO
SENATORS WHO LOST THEM. WHY
DON'T WE GO ON TO THE CONSENT
CALENDAR KICKING MOTION SIGNAL
CONSENT CALENDAR. GOT A MOTION
AND A SECOND MADAM SECRETARY
PLEASE CALL VOTE. ON THE CONSENT
CALENDAR BERMAN HI BERMAN AYE
FLORA FLORA I AGUIAR-CURRY.
AGUIAR-CURRY AYE ALL THESE PAINS
PAINS I BONTA BONTA AYE CHAN AYE
CHAN AYE DIXON DIXON I'D GIPSON.
GIPSON I GRAYSON. IRWIN JACKSON
. WE I LOWENTHAL LODI MCCARTY
MCCANN- WHEN I PATTERSON
PATTERSON I THINK. CONSENT
CALENDARS OUT. NOW TO SEE THE
SANDERS BACK. THEY GOT A QUICK
PAUSE. MADAM SECRETARY CAN YOU
OPEN THEM A ROLL ON. CAN I GET
TO MOTIONS AND SECONDS ON THE
OTHER ROTH BILLS THAT WERE A
LITTLE LESS CONTROVERSIAL. THEN
THE WHO WITH. WITH A FOR ALL OF
THEM. WHEN WE START WITH AB AGE
WELL OURS AS BE A TWELVE I
APPRECIATE THE ENTHUSIASM. SB
EIGHT TWELVE ROSS THE MOTION IS
DUE PASSED TO THE COMMITTEE ON
APPROPRIATIONS BERMAN BERMAN I
FLOOR FLOOR AYE AGUIAR-CURRY
AGUIAR-CURRY AYE ALLEN NIECE.
BEANS BEANS I BONTA BONTA AYE
CHAN AYE CHAN AYE DIXON DIXON I
GIPSON. GIPSON I GRAYSON. IRWIN
JACKSON. WE I LONG BALL LOW THE
AYE MCCARTY THE KENNER WHEN I
PATTERSON PATTERSON I THINK. THE
BILL OUT. THE BILLS OUT PLEASE
MOVE ON TO THE NEXT ONE. GOT BUT
WHICH WILL. A. B. A. FOR A SAYS
ARE YOU GOING TO GO AHEAD AS
PROMOTION THE SECOND FOR IT- CAN
MOTIONS LIKE ON A. B. FOURTEEN.
GOT MOTION FROM FLOOR GOT A
SECOND FROM SOME MEMBER WHEN. ON
S. B. EIGHT FOURTEEN ROTH THE
MOTION IS DUE PASSED TO THE
COMMITTEE ON APPROPRIATIONS
BERMAN. BERMAN I FLOOR FLOOR AYE
AGUIAR-CURRY AGUIAR-CURRY I
ALANIZ BAINS BAINS AYE BONTA.
BONTA AYE CHAN CHAN I DIXON.
DIXON I GIPSON GIPSON I GRAYSON
IRWIN. JACKSON WE AYE LOW DAHLE
BONTA AYE MCCARTY BEGINNER WHEN
I PATTERSON PATTERSON I THINK.
THAT BILL IS OUT. NEXT UP IS AB
SB EIGHT SIXTEEN I BELIEVE IS
OUR IT. CAN GET A MOTION AND
SECOND SB EIGHT SIXTEEN. THANK
YOU VERY MUCH. SB EIGHT SIXTEEN
ROCKED THE MOTION IS DUE PASSED
AS AMENDED TO THE COMMITTEE ON
APPROPRIATIONS BERMAN HI BERMAN
I FLOOR. FLOOR NO AGUIAR-CURRY
AGUIAR-CURRY AYE ALLEN EAST
HANES. BANE'S NOT VOTING BONTA.
BONTA AYE CHAN. CHAN NOT VOTING
DIXON DIXON NOT VOTING GIPSON
GIPSON I GRAYSON. IRWIN JACKSON
. WE I LOCAL LAW THE AYE MCCARTY
BEGINNER WHEN I PATTERSON. THE
NOTING. WELL IN THAT ROLE OPEN I
SEE CENTER BRADFORD IS HERE
CENTER BRADFORD- WE WOULD LOVE
TO HAVE YOU PRESENT IF YOU
ALREADY SIR. AS AGENDA ITEM
NUMBER ONE S. B. FIFTY ONE. HAVE
A BIPARTISAN MOTION AND SECOND
THANK YOU I RESPECT S. RIVAL. IT
. I'LL JUST START BY SAYING I
ACCEPTED COMMITTEE AMENDMENTS
OURS THANK TO CHEER ON THE
COMMITTEE FOR THE WORK THAT
WE'RE DOING HERE AND THIS
MEASURE SIMPLY PROVIDES AN
OPPORTUNITY TO EXTEND A
PROVISIONAL LICENSE FOR SO MANY
OF OUR EQUITY OPERATORS YOU'RE
TRYING TO EXISTENCE CANNABIS
WORLD AND I WAS HAPPY TO AUTHOR
TWELVE NINETY FOUR. OZ SIX YEARS
AGO TO HELP CREATE THIS
ENVIRONMENT FOR- SOCIAL EQUITY
APPLICANTS IN THIS BILL SIMPLY
GIVE THEM A LONGER RUNWAY TO
HOPEFULLY STAND UP THE BILL
BUSINESS AND BECOME SUCCESSFUL
SO I RESPECTFULLY ASK FOR YOUR
VOTE THANK YOU CENTER BRADFORD
ANY- PRIMARY WITNESSES IN
SUPPORT OF THE BILL. I'M GONNA
BE OF TWO MINUTES EACH THANK YOU
FOR YOUR PATIENCE.
GOOD MORNING A THEME. THE
MORNING ESTEEM COMMITTEE MEMBERS
IT'S MY HONOR TO BE HERE MY NAME
IS ELLIE ON THE GREEN ON THE
DIRECTOR OF COMMUNICATION IN
REENTRY STAFF ATTORNEY AT THE
HOOD INCUBATOR WHAT WE EMPOWER
DRUG WAR SURVIVORS IN THE DRUG
WAR BY TWENTY FORTY THROUGH
ECONOMIC DEVELOPMENT PART OF THE
POLICY ADVOCATES SEE. AS A
PRACTICING ATTORNEY I ALSO WORK
TO ENSURE THAT CANNABIS RELATED
LAWS AND POLICIES ARE EQUITABLE
IN JOKE WORKED VIA FRIENDLY
WHILE DRESSING IN PREVENTING
FUTURE DISPARITIES. THE HOOD
INCUBATOR THE PALCO SPONSOR
SENATE BILL FIFTY ONE A BILL
THAT WOULD PROVIDE MUCH NEEDED
LIFELINE TO EQUITY ENTREPRENEURS
AND HELP TO ENSURE WE HAVE A
FAIR SHOT IN THE COMMERCIAL
CANNABIS MARKET PLACE. AS WE
DISCUSSED SENATE BILL FIFTY ONE
WHICH IS BEFORE YOU TODAY I WANT
YOU TO BE REPETITIVELY THINKING
ABOUT TWO PIECES OF EXISTING
AUTHORITY AS WE MUST KEEP IN
MIND ONE THE SPIRIT OF
PROPOSITION SIXTY FOUR INTO THE
LEGISLATIVE INTENT OF. THE
CANNABIS EQUITY ACT OF TWO
THOUSAND EIGHTEEN. PROP SIXTY
FOR WAS PASSED REDUCE BARRIERS
TO IT INTO THE LEGAL REGULATED
CANNABIS MARKET IN THE CANNABIS
EQUITY ACT INTIMATES OFFER
FINANCIAL ASSISTANCE TO THOSE
MOST HARMED BY CANDACE
CRIMINALIZATION. AS WE DISCUSSED
IN A BILL FIFTY ONE WHICH
PROVIDE RESELL US SOCIAL EQUITY
OPERATORS WITH THE PROVISIONAL
LICENSE FOR FIVE YEARS. THESE
TWO PIECES OF AUTHORITY SHOULD
SERVE AS A GUIDE FOR ACTIONS
TODAY. DID YOU KNOW IN THE LAST
FIVE YEARS EIGHTEEN CANNABIS
SOCIAL EQUITY PROGRAMS HAVE
ROLLED OUT THROUGHOUT THE STATE.
BUT IN JUST THE LAST TWO GRANT
PERIOD THAN ADDITIONAL THIRTEEN
LOCAL JURISDICTIONS HAVE APPLIED
FOR FUNDING TO START DEVELOPING
THEIR EQUITY PROGRAMS BUT AREN'T
QUITE READY TO LAUNCH. THIS
MEANS ONLY ABOUT HALF OF THE
JURISDICTIONS INTERESTED IN
DEVELOPING A SOCIAL EQUITY
PROGRAM HAVE ACTUALLY LAUNCH
THEIR PROGRAM. THE URGENT NEED
FOR PROVISIONAL LICENSE WILL
CONTINUE TO INCREASE AS MORE
SOCIAL EQUITY PROGRAMS ROLL OUT.
PROVISIONAL LICENSES ALLOW
BUSINESS OWNERS TEMPORARY
APPROVAL TO OPERATE IN EARNED
REVENUE WHILE WORKING FOR
FILLING THE COMPLEX AND
EXPENSIVE REQUIREMENTS OF ANNUAL
LICENSE. GIVEN OPERATOR MORE
TIME TO BE COMPLIANT WHILE STILL
MAKING MONEY. THIS IS A BENEFIT
THAT WITH THE FOURTEENTH GENERAL
OPERATORS FOR A PERIOD OF FIVE
YEAR WINDOW. IT'S CRUCIAL THAT
SOCIAL EQUITY APPLICANTS BE
AFFORDED THE SAME OPPORTUNITIES
FOR SUCCESS THAT HAD BEEN
EXTENDED TO GENERAL OPERATE IS
FOR THE- LAST HALF DECADE.
WITHOUT SENATE BILL FIFTY ONE
FORTHCOMING SOCIAL EQUITY
PROGRAM PARTICIPANTS WILL NOT
HAVE THE OPPORTUNITY TO BENEFIT
FROM THE PRIVILEGES OTHER
PROVISIONAL LICENSE. WHICH ARE A
MYTH. WITHOUT SB FIFTY ONE
CALIFORNIA CANNABIS SOCIAL
EQUITY PROGRAMS WILL FAIL. THANK
YOU. THANK YOU VERY MUCH NEXT
WITNESS IT TASTING MEMBERS MY
NAME IS KEITH KEITH I AM THE
PROUD OWNER OF CARRILLO ARE ITS
WELLNESS CAL. LA'S FIRST BLACK
WOMAN ON SOCIAL EQUITY RETAIL
DISPENSARY. AND CO FOUNDER OF
THE SOCIAL EQUITY OWNERS AND
WORKERS ASSOCIATION CO SPONSORS
OF SB FIFTY ONE. TODAY THING
HERE BEFORE YOU AS A DRUG WAR
SURVIVOR A SINGLE MOTHER THREE
BEAUTIFUL DAUGHTERS FROM SOUTH
CENTRAL LA. AND THE VOICE FOR
THE VOICELESS. MY PATHWAY TO
LICENSE YOUR AND LOS ANGELES TO
GO OVER SEVENTEEN HUNDRED AND
THIRTY DAYS. BECAUSE OF A THREE
HUNDRED AND FIFTY THOUSAND
DOLLARS BEFORE I OPEN MY DOORS.
MY STE MY STORY IS NOT AN
EXCEPTION IT IS THE REALITY OF
BLACK AND BROWN SMALL CANNABIS
BUSINESS OWNERS ACROSS THE
STATE. WE BELIEVED IN ENTERING
THE CANNABIS INDUSTRY WAS A TRUE
OPPORTUNITY TO CREATE
GENERATIONAL WEALTH. SIX YEARS
LATER LESS THAN 10% OF THE MORE
EIGHT HUNDRED AND FIFTY RETAIL
LICENSE. ACTUALLY OWNED BY
SOCIAL EQUITY RETAIL OWNERS.
THIS BILL IS EXTREMELY IMPORTANT
WE ASK FOR YOUR SUPPORT AS IT
WILL BE A LIFELINE FOR SOCIAL
EQUITY APPLICANTS. TO HAVE THE
SPACE IN ORDER TO GET THEIR
BUSINESSES TOGETHER AND OPEN
THEIR DOORS WE THANK YOU. FOR
YOUR SUPPORT FOR SB FIFTY ONE.
THANK YOU VERY MUCH. ANY PRIME
WITNESS IN OPPOSITION TO THE
BILL. SEEING NINE DID ANYONE
WANT TO ADD ON IN SUPPORT PLEASE
PROVIDE YOUR NAME. ORGANIZATION
YOU'RE WITH IF ANY AND POSITION
ON THE BILL. MORNING MR SURE
MEMBERS TEMP COMMITTEE ON BEHALF
OF THE INSTITUTE FOR MORE A
PROGRAM OF THE CALIFORNIA URBAN
PARTNERSHIP. IN SUPPORT OF THE
BILL THANK YOU. MORRELL OSCAR
FOR THE CALIFORNIA AFRICAN
AMERICAN CHAMBER OF COMMERCE.
THE GREATER SACRAMENTO URBAN A
STRONG SUPPORT. THANK YOU. GOOD
MORNING AMY JENKINS ON BEHALF OF
THE CALIFORNIA CANNABIS INDUSTRY
ASSOCIATION SUPPORT THANK YOU
THANK YOU. JOHNSON CLAIMED AFTER
THE COUNTY SAN DIEGO IN SUPPORT
THANK YOU. ALICIA PRIEGO ON
BEHALF OF THE CALIFORNIA
CANNABIS MANUFACTURERS
ASSOCIATION AND ALSO THROUGH THE
CONVICTIONS AND- THANK YOU.
CANELA LOPEZ ON BEHALF OF STEVIE
AND CALIFORNIA NORMAL IN SUPPORT
THANK YOU. EXPERI WITH CITY OF
LONG BEACH IN SUPPORT THANK YOU
. RTC DRUM BEHALF THE COUNTY OF
LOS ANGELES IN SUPPORT THANK YOU
. DR ASHLEY RIDLEY STARLIN A
MEMBER OF THE HOOD INCUBATOR IN
THE RESIDENT HERE STOCK. ANY I
AM IN SUPPORT THANK YOU. OKAY
I'M IN TODAY'S NET PATIENT N.
ADVOCATE WAS GIVEN OF WOMEN IN
SUPPORT THANKS. ROSTER NUMBER OF
ABORTIONS COUNSEL AND SUPPORT
THANK YOU. ALFONZO TURKEY ONE
OWNER OF THE FIRST SOCIAL EQUITY
RETAILER ANYWHERE IN THE WORLD
PLAN SOME MORE FOR SUPPORT THANK
YOU. SHARE MEMBERS INJURED ANTS
WE WOULD SHOW YOUR INTUITION
WALDRON LAYING HERE TODAY ON
BEHALF OF THE CITY OF LOS
ANGELES IN SUPPORT THANK YOU.
THE TERM MEMBERS RAND MARTIN ON
BEHALF OF THE PARENT COMPANY IN
STRONG SUPPORT OF THIS BILL
THANK YOU THANK YOU. CHENEY
TURNER FOUNDER OF BEYOND EQUITY
CHAIR OF THE CITY OF OAKLAND
CANNABIS COMMISSION AND I EIGHT
AM EIGHTEEN DELEGATES HERE IN
SUPPORT OF SB FIFTY ONE THANK
YOU. GOOD MORNING WONDERFUL
COMMITTEE MY NAME IS ALFRED TO
OREGON ON THE FOUNDER OF SPACE
FLIGHT AS A RETAIL DISPENSARY IN
LOS ANGELES AS WELL AS A BOARD
MEMBER CEO- AND- C. E. PC AS
WELL AND FOR SUPPORT THANK YOU
SENATE. THANK YOU. HELLO JASMINE
STEVENS OF REPRESENTING SPACE BY
AND I'M IN SUPPORT THANK YOU.
HELLO LARA ANDRADA I AM A
COMMUNITY BASED RESEARCHER WITH
THE UC BERKELEY CANNABIS
RESEARCH CENTER AND FULL SUPPORT
THANK YOU. SHEILA BROMIUM BEHALF
OF LOTS OF VITAMIN GROUP CEO ARE
AND GO RELAX ALMOST IN FULL
SUPPORT OF THE BILL THANK YOU.
RATINGS IGNITE DANIEL ON BEHALF
OF LIFE DEVELOPMENT GROUP
CARRILLO OUR RANKS AS THE ALL
WAY- GO VERDADE HE DELIVERY
INCUBATOR FLOWER POLICY ACTIVITY
KNIGHTED LOVE CONNECTION AND A
HOST OF OTHER SOCIAL EQUITY.
APPLICANTS THAT ARE TRYING IN
NEED THIS PROVISIONAL LICENSE
INFO SUPPORT THANK YOU. GOOD
MORNING MY NAME IS RUNNING
EARNEST I AM THE CEO OF NATURAL
HIGH IN H. LOGISTICS HERE IN
SACRAMENTO THAT'S DELIVERY
MANUFACTURING DISTRIBUTION ALSO
A HAIR STYLIST HERE FOR THIRTY
FIVE YEARS. THANK YOU- YEAH YOU
ARE A CURRENT BOARD MEMBER
CINEMA COUNTY CAMPUS CLIENT CO-
OR FOR DISTRIBUTION SAN
FRANCISCO IN FULL SUPPORT THANK
YOU. HELLO MY NAME IS VALERIE
BIRD GOOD MORNING EVERYONE AND I
AM FULL SUPPORT- CEO WAS SMOOTH
ELEVATIONS WELLNESS HERE AND
HAVING A EQUITY HELP ME GET AND
GET MY PROVISIONAL LICENSE THANK
YOU VERY MUCH. THANK YOU.
REGULAR COMMITTEE RUNNING HIS
MIKE SNELL I AM THE OWNER OF A
OFF THE CHARTS IN SACRAMENTO
SEGMENTS FOR IS EQUITY AND BLACK
OWNED DISPENSARY AND I'M FULL
SUPPORTER OF. SB FIFTY ONE THANK
YOU. SENATE BRADFORD WASN'T FOR
YOUR BILL WE HAVE EMPTY HERO- D.
ANY DAMAGE WANT TO ADD ON IN
OPPOSITION TO THE BILL. SEEING
NONE BRING IT BACK TO COLLEGE
FOR QUESTIONS OR COMMENTS AS A
MEMBER BONTA I JUST WANT TO
THANK THE AUTHOR FOR BRINGING
FORWARD THIS BILL AND FOR THE
TESTIMONY AT THE PRIMARY
TESTIMONY THAT WE HEARD AS WELL
AS THE- REPRESENTATION OF THE
CITY OF OAKLAND IN THE
COMMISSION OF THE CITY OF
OAKLAND IN THIS WORK HERE. ON
APPRECIATE THAT- ONE EIGHT IN
OUR DISTRICT IT'S INCREDIBLY.
IMPORTANT FOR THIS TO BE
SOMETHING THAT WE ACTUALLY
INVEST IN AND ENSURE THAT OUR
EQUITY PARTNERS. ARE ABLE TO
HAVE MORE THAN 10% OF THESE
OPPORTUNITIES BECAUSE THAT'S
WHAT IT WAS INTENDED FOR SO
THANK YOU AUTHOR FOR BRINGING
THE SPORT I'LL BE SUPPORTING THE
BILL. YEAH THANK YOU SENATOR
BONTA SUMMER GIPSON. THANK YOU
VERY MUCH WAS GERMAN WANT TO
THANK THE AUTHOR FOR BRING THIS
BILL FOR- MISTER BRADFORD
CERTAINLY HAS BEEN IN THE SPACE
OF A LONG TIME IS TRYING TO
FIGHT TO MAKE SURE THAT WE HAVE.
A PLACE FOR SPACE AFTER
AMERICANS AND JUST LEVEL PLAYING
FIELD AND SO I WANT TO SAY THANK
YOU VERY MUCH FOR ONE ALWAYS
BEING A DRUM MAJOR FOR JAZZ
JUSTICE. AND EQUITY- IN THIS
SPACE AND CERTAINLY- YOU AT
LEAST YOUR POSITION TO BRING A
THOUGHTFUL BILLS BASED ON YOUR
DISTRICT THAT WE SHARE TOGETHER-
AND I WANT TO BE CONSIDERED AS A
CO AUTHOR OF THE BILL. NO
PRINCIPLE CO. THE CENTERS WERE
AND HAVING PERSONAL GO AS-
VERIFY THEIR. AND IT IS OKAY OR
COME FROM. WE HAVE A SECOND
MOTION. WE HAVE A SECOND SECOND
. ANY ADDITIONAL QUESTIONS OR
COMMENTS SEEN ON CENTER WOULD
YOU LIKE TO CLOSE. I'M GONNA
THANK ALL MY WITNESSES WHO CAME
HERE TODAY TO TESTIFY ESPECIALLY
THESE TWO AMAZING YOUNG WOMEN
WHO EXEMPLIFY WHAT. THIS
INDUSTRY COULD BE AND SHOULD BE
AGAIN AS AUTHOR OF TWELVE NINETY
FOUR SIX YEARS AGO WE SAW THE
LACK OF. DIVERSITY IN THE SPACE
AND HERE WE ARE SIX YEARS LATER.
AND IT'S INDUSTRY THAT'S 85%
WHITE MALE DOMINATED AND IF IT'S
GONNA BE SIX SEXUAL IT HAS TO
LOOK LIKE CALIFORNIA. IN THIS
PROVISIONAL LICENSES ALLOWING
INDIVIDUALS LIKE MUST KEEP TO
STAND UPPER OPERATION AS WELL AS
MANY OF THE FOLKS WHO TESTIFIED
HERE TODAY SIR RESPECTFULLY ASK
FOR OUR VOTE. THANK YOU US
SENATE BRADFORD FOR ALL THE
YEARS OF WORK YOU'VE DONE ON
THESE ISSUES- AND FOR WORKING
WITH THE COMMITTEE ON THE
AMENDMENTS THAT YOU'VE ACCEPTED
TODAY. I DEFINITELY UNDERSTAND
THE CHALLENGES EQUITY EQUITY
RETAILERS FACE AREN'T GOING TO
GO AWAY AND SEVEN YEARS. UP WITH
THE DEPARTMENT'S REPORTING
REQUIREMENT WE CAN REEVALUATE
WHETHER PROVISIONAL LICENSING IS
STILL THE BEST SOLUTION AT THAT
TIME. IN THE MEANTIME I'M MORE
THAN HAPPY TO SUPPORT THE BILL
TODAY. MADAM SECRETARY PLEASE
CALL VOTE. SB FIFTY ONE BRADFORD
THE MOTION IS TO PASS AS AMENDED
TO THE COMMITTEE ON
APPROPRIATIONS BERMAN HI BERMAN
I FLOOR. FLOOR I AGUIAR-CURRY.
ALANIZ BAINES. BEANS I BONTA AYE
BONTA AYE CHAN AYE CHAN AYE
DIXON. DIXON NOT VOTING GIPSON.
GIPSON I GRAYSON. IRWIN IRWIN
AYE JACKSON. WE V. I. PAUL
LOWENTHAL AYE MCCARTY. I AM A
KENNER. WHEN I PATTERSON.
THERE'S A NOT VOTING TANK.
CONGRATULATIONS AT BILLS OUT
THANK YOU VERY MUCH REALLY THE
ROLE OF THE PRESS MEMBERS. THANK
YOU. CENTER WIENER. WE'RE READY
FOR YOU WHEN YOU ARE CHEN ITEM
NUMBER TWO SB.
THREE THIRTY
NINE.
YES AND A REMINDER FOR. ALLEN'S
ON THE COMMITTEE THERE IS STILL
ONE IF. THERE'S ONE MORE BILL
THAT WE HAVEN'T HAD A MOTION
SECOND ON THAT WILL DO AFTER
CENTER WIENER'S BILL DON'T RUN
AWAY TOO QUICKLY. PLEASE THANK
YOU CENTER WIENER READY WHEN YOU
ARE. I THANK YOU VERY MUCH I
MISTER SHARON COLLEAGUES- TODAY
I'M PRESENTING SENATE BILL THREE
THIRTY NINE WHICH IS A REVISION
TO OUR PREVIOUS LAW THAT I
AUTHORED IN THIS LEGISLATURE
PASSED IN TWENTY NINETEEN I SB
ONE FIVE NINE AFTER FOUR YEARS
OF IMPLEMENTATION- WE HAVE-
THROUGH DATA COLLECTION- BEEN
ABLE TO DETERMINE TO SERIOUS
FLAWS IN SB ONE FIFTY NINE THAT
HAVE PREVENTED IT FROM BEING
FULLY IMPLEMENTED- WHILE OTHER
STATES HAVE NOW GONE AHEAD OF US
BECAUSE THEY DID NOT ADOPT THOSE
LAWS- AND SO WE WANT TO FIX. OF
THIS BILL I'M SB THREE THIRTY
NINE- MINISTRY ONE FIFTY NINE
BEFORE IT IS ABOUT EXPANDING
ACCESS TO PRE EXPOSURE
PROPHYLAXIS AND POST EXPOSURE
PROPHYLAXIS PREP AND PAP. THESE
ARE TWO OF THE ABSOLUTELY GAME
CHANGER- AND THE HIV CRISIS- AYE
INTERVENTIONS AYE IF EVER A PREP
IS A ONCE A DAY PILL THAT YOU
TAKE AND I'VE BEEN VERY PUBLIC
THAT ID. I TAKE IT. THAT ALL
ALMOST ENTIRELY ELIMINATES YOUR
RISK OF CONTRACTING HIV ALMOST A
HUNDRED PERCENT. THOUGHT
REDUCTION- IF EVERYONE AT RISK.
FOR HIV WERE TAKING PROP. WE
WOULD ARE VERY PROMPTLY
ELIMINATE NEW INFECTIONS ON THE
GLOBE AND THEN WE COULD FOCUS ON
MAKING SURE THAT PEOPLE LIVING
WITH HIV HAVE THE CARE. THAT
THEY NEED AND WE COULD. AND THIS
EPIDEMIC LITERALLY BUT THE
PROBLEM IS THAT THE VAST
MAJORITY OF PEOPLE AT RISK OF
HIV ARE NOT TAKING PROP. AND
ONCE YOU GET OUTSIDE OF PLACES
LIKE A SAN FRANCISCO ALONG BEACH
OR CHICAGO OR NEW YORK CITY. AND
YOU'LL HAVE TO GET THAT FAR OUT
THE RATES OF PREP USAGE. DROP
WHEN YOU GET IN THE RURAL AREAS
. WHEN YOU GET INTO ESPECIALLY
LOW INCOME COMMUNITIES OF COLOR
. IT THE RATES DRAMATICALLY
DROP- AND THIS IS A CANAL ALIVE
IN YEARS. CENSUS WAS APPROVED
AND WE STILL ARE NOT DOING WHAT
WE NEED TO DO. AND ONE OF THE
BARRIERS. IS THAT PEOPLE CAN
CURRENTLY OR BEFORE SB ONE FIVE
NINE COULD ONLY GET IT THROUGH
THEIR DOCTOR. SO I'M LIKE BIRTH
CONTROL WHERE YOU GO YOUR
PHARMACIST AND GOT IT AND WE
MAKE IT EASY. FOR WOMEN TO GO IN
AND GET BIRTH CONTROL NOT HAVE
TO HAVE AN APPOINTMENT EVERY
TIME EVEN IF THEY DON'T HAVE A
PRIMARY CARE PHYSICIAN THEY CAN
GET ACCESS TO BIRTH CONTROL. NOT
TO WE WANT TO DO WITH PROPER NOT
SORRY PASSED SB ONE FIVE NINE.
IT ALLOWS PHARMACISTS TO
PROVIDE- THIS GAME CHANGING HIV
PREVENTATIVE- WITHOUT A
PHYSICIAN PRESCRIPTION JUST LIKE
BIRTH CONTROL. OF THE BILL HAS
GUARDRAILS IN AT THE PHARMACISTS
HAVE TO GO THROUGH TRAINING- IN
ADDITION THEY HAVE TO ENSURE
THAT THE PERSON HAS A NEGATIVE
HIV TEST BECAUSE IT PERMITS
EVERY POSITIVE YOU SHOULD NOT BE
TAKING PROP- AND OTHER GUARD
RAILS. ON THE WHAT WE HAVE
LEARNED IS THAT THE REASON WHY
SB ONE FIVE NINE HAS NOT BEEN
MORE EFFECTIVE. IS THAT WHEN
THAT WENT THROUGH THE PROCESS
INCLUDING THIS COMMITTEE BACK IN
TWENTY NINETEEN WE AGREED TO AN
AMENDMENT. ON CAPPING THE AMOUNT
OF PROP THE PHARMACIST COULD
PROVIDE AT SIXTY DAYS EVERY TWO
YEARS. IN ADDITION PHARMACISTS
DO NOT RECEIVE INSURANCE
REIMBURSEMENT FOR THE TIME THAT
THEY SPEND- DOING ALL EVERYTHING
THEY HAVE TO DO TO THE TO COMPLY
WITH THE LAW. I'M AND AS A
RESULT PHARMACIES ARE GENERALLY
NOT PARTICIPATING WE SPOKE WITH
THE MAJOR PHARMACY CHAINS.
RESTORE WITH PHARMACISTS. AND
THE AND THESE TWO BARRIERS THAT
VOTE SIXTY DAY LIMITATION EVERY
TWO YEARS THE LACK OF INSURANCE
REIMBURSEMENT. I ROSE TO THE TOP
AS THE TWO BIGGEST BARRIERS. I
SAID THIS BILL REQUIRES-
INSURANCE REIMBURSEMENT- AND
THAT IT- IT ALLOWS FOR BEYOND
THE SIXTY DAYS IT'S REALLY GOING
TO BE AN INITIAL NINETY DAYS AND
YOU CAN KEEP GOING AS LONG AS
THE PHARMACIST KEEPERS ENSURING
THAT THE PERSON IS HIV NEGATIVE.
ON ORDERS OF LABS TO MAKE SURE
THERE'S NO RENAL. PROBLEMS AND
SO FORTH. ARE WE THINK THAT THIS
WILL BE AN ABSOLUTE GAME
CHANGER- I WANT TO NOTE THAT
SINCE WE PASSED SB ONE FIVE
NINE- IN TWENTY NINETEEN-
COLORADO ILLINOIS NEVADA OREGON
VIRGINIA AND UTAH- HAVE ALL
ADOPTED FOLLOWED OUR LEAD AND-
ANALYSIS TALKS ABOUT A FEW OF
THE STATE. THE STATE DO NOT
HAVE. THE TIME. I AND THEY DONE
NOT HIDE. THE CHALLENGES THAT
WE'VE HAD. IMPLORING THE LAWSUIT
WE TRIED IT. IT DIDN'T WORK
OTHER STATES HAVE GONE ANOTHER
DIRECTION HAS WORKED AND SO WE
WANT TO GO AND NOT BETTER-
DIRECTION I RESPECTFULLY ASK.
FOR YOUR AYE VOTE I WITH ME TO
TESTIFY ARE DR VERONICA- BANDY A
COMMUNITY PHARMACIST AND FACULTY
OF THE UNIVERSITY OF THE PACIFIC
SCHOOL OF PHARMACY. AND LARA
THOMAS THE DIRECTOR OF HIV IN
HARM REDUCTION POLICY AT THE SAN
FRANCISCO AIDS FOUNDATION. GREAT
READY WHEN YOU ARE TWO MINUTES
EACH. THANK YOU MISTER CHAIR AND
MEMBERS OF THE COMMITTEE TODAY.
SAYS REINSTATED I'M DR VERONICA
BANDY I CURRENTLY EMPLOYED AT
THE UNIVERSITY OF PACIFIC SCHOOL
OF PHARMACY AND I'M PRACTICING
COMMITTEE PHARMACISTS ON
CALIFORNIA. THANK YOU FOR THE
OPPORTUNITY TO ADDRESS YOU TODAY
IN SUPPORT OF SB THREE THREE
NINE. PHARMACIST TRAINING
CONSISTS OF FOUR YEARS
PROFESSIONAL GRADUATE LEVEL
STUDY TO EARN A DOCTOR OF
PHARMACY DEGREE IN CALIFORNIA.
DURING THESE YEARS STUDENT
PHARMACISTS ARE REQUIRED TO
COMPLETE A MINIMUM OF FIFTEEN
HUNDRED HOURS IN CLINICAL
PRACTICE EXPERIENCE. ON TOP OF
IN CONJUNCTION WITH THEIR FORMAL
DIDACTIC EDUCATION IS IMPORTANT
TO NOTE THAT PHARMACY STUDENTS
ARE REQUIRED TO INTERPRET
LABORATORY TESTS PRIOR TO
GRADUATION. ONCE MY DOCTOR CAN
CLINICAL HOURS A COMPLETED
PHARMACIST CAN THAT'S MY
SUCCESSFULLY PASSED TO BOARD
EXAMS TO BE LICENSED IN THE
STATE OF CALIFORNIA.
INTERPRETATION OF LABORATORY
RESULTS IS IN THE CONTENT
OUTLINE OF BOTH OF THESE EXAMS.
WE ARE REQUIRED TO COMPLETE A
MINIMUM OF THIRTY HOURS OF
CONTINUING EDUCATION EVERY TWO
YEARS IN ORDER TO RENEW OUR
LICENSES. IN ADDITION TO OUR
CLINICAL TRAINING PHARMACISTS
ARE COMMITTED TO ENSURING THAT
WERE ABLE TO PER I CULTURALLY
COMPETENT CARE. IT IS WITH THIS
IN MIND THAT WE HAVE WORKED WITH
THE LGBTQ COMMUNITY PLUS
ADVOCATES. TO PASS LEGISLATION
REQUIRING PHARMACISTS AND
PHARMACY TECHNICIANS TO COMPLETE
TRAINING AND CONTINUING
EDUCATION AND CULTURAL
COMPETENCY COURSES. FOCUSED ON
LGBTQ PLUS PATIENTS. WHEN
SPONSORING INITIAL BILL GRANTED
US THE AUTHORITY TO
INDEPENDENTLY INITIATE PROVIDE
PREP AND PEP WE- THERE WAS
LANGUAGE ADDED REQUIRING
PHARMACISTS TO RECEIVE
ADDITIONAL UPDATED TRAINING IN
ORDER TO PROVIDE THIS MEDICATION
. IMPORTANT TO NOTE HIV
DISPROPORTIONATELY AFFECTS
PEOPLE OF COLOR WITH AFRICAN
AMERICANS AND HISPANICS.
COMPROMISING TWO THIRDS OF ALL
NEW INFECTIONS IN THE UNITED
STATES. IT IS ALSO VERY
IMPORTANT TO NOTE THAT MORE THAN
80% OF NEW INFECTIONS REPORTED
IN TWENTY TWENTY WERE WOMEN.
CALIFORNIA HAS BEEN THE LEADER
IN ADDRESSING THIS ISSUE OF
HEALTH ©ITY
NINE WILL REMOVE BARRIERS. THAT
CURRENTLY PREVENT PHARMACISTS
FOR EXPANDING ACCESS TO THESE
LIFESAVING MEDICATIONS
PARTICULARLY UNDERSERVED
COMMUNITIES. I RESPECTFULLY
REQUEST YOUR SUPPORT ON THIS
IMPORTANT PUBLIC HEALTH BILL
THANK YOU THANK YOU VERY MUCH.
AT THE ISSUE TO HIT THE BUTTON
YEP IT'S ON THERE THANK YOU VERY
MUCH. I THINK YOU COMMITTEE FOR
HEARING THIS BILL AND THANK YOU
TO SENATOR WIENER FOR HIS LONG
STANDING LEADERSHIP ON THIS
ISSUE. MY NAME IS LAURA THOMAS I
AM THE SENIOR DIRECTOR OF EACH
AB IN HARM REDUCTION POLICY AT
THE SAN FRANCISCO AIDS
FOUNDATION IN SAN FRANCISCO. OUT
WE ARE ONE OF THE LARGEST-
PRESCRIBERS OF CRAP IN THE STATE
OF CALIFORNIA AND WE HAVE SEEN
IT. HAND THE IMPACT THAT ACCESS
TO PROP CAN HAVE ON DRAMATICALLY
REDUCING HIV TRANSMISSION IN SAN
FRANCISCO IT IS A KEY PART OF
OUR OVERALL STRATEGY OF GETTING
TWO ZERO. NEW HIV TRANSMISSIONS
WE HAVE BEEN PROUD TO COME ON AS
A CO SPONSOR OF THIS BILL AS WE
CO SPONSORED THE EARLIER BILL SB
ONE FIVE NINE. BECAUSE WE
SUPPORT THE BROADEST POSSIBLE
ACCESS FOR ANYONE AT RISK OF
HIV. TO PREP WE WOULD LIKE
EVERYONE TO HAVE THE SAME LEVEL
OF CULTURALLY COMPETENT HIGH
QUALITY CARE THAT WE PROVIDE IN
SAN FRANCISCO BUT WE ARE FULLY
AWARE THAT THAT DOESN'T EXIST
EVERYWHERE ACROSS THE STATE. WE
ARE CONCERNED ABOUT ENSURING
THAT THERE IS EQUITABLE ACCESS
TO PROPER ACROSS THE STATE AND
THAT THAT IS- THAT WE'RE ABLE TO
ACHIEVE RACIAL ECONOMIC AND
GEOGRAPHIC EQUITY IN ACCESS. AND
WE KNOW THAT I FOR PLACES THAT
WHERE PEOPLE DO NOT HAVE EASY
ACCESS TO A PRIMARY CARE
PROVIDER WHERE IT MAY TAKE SIX
MONTHS TO ACCESS AN APPOINTMENT
WITH A PRIMARY CARE PROVIDER- WE
UNDERSTAND THE URGENCY OF BEING
ABLE TO ACCESS PROP. A SIMILAR
TO THE URGENCY AROUND ACCESSING
EMERGENCY CONTRACEPTION FOR
EXAMPLE AND THAT IS WHERE WE
KNOW THAT COMMUNITY PHARMACIES
AND PHARMACISTS GENERALLY CAN
PLAY A ROLE IN ENSURING. I
IMMEDIATE ACCESS TO THIS LIFE
CHANGING MEDICATION FOR PEOPLE-
AND THAT IS WHY WE STRONGLY
SUPPORT EXPANDING PHARMACY ACTS
S. I AS SENATOR WIENER MENTIONED
WE'VE BEEN THE BENEFICIARIES OF
SOME REALLY FANTASTIC
EVALUATION. OF S. B. ONE FIVE
NINE AT THE CALIFORNIA HIV AIDS
POLICY RESEARCH CENTER WHICH IS
A CONSORTIUM OF. A NUMBER OF
DIFFERENT- CALIFORNIA
UNIVERSITIES WAS ABLE TO- A
SURVEY PHARMACISTS ACROSS THE
STATE WHO BY AND LARGE STRONGLY
SUPPORTED ACCESS TO THIS FELT
LIKE THIS WAS AN IMPORTANT PART
OF THE PHARMACIST'S ROLE BUT
BECAUSE OF THESE BARRIERS
INCLUDING REIMBURSEMENT IN
PARTICULAR- THEY WERE UNABLE TO
TAKE ON THE ADDITIONAL WORK
REQUIRED HERE SO. THIS BILL WILL
FIX SOME OF THOSE- GAPS AND
ADDRESS THESE BARRIERS SO THAT
WE CAN ACHIEVE THE FULL PROMISE
OF S. B. ONE FIVE NINE AND MOVE
CALIFORNIA THAT MUCH CLOSER TO
GETTING TO ZERO IN NEW HIV
TRANSMISSIONS. THANK YOU FOR
YOUR SUPPORT THANK YOU VERY MUCH
ANY. WHO ARE WITNESSES IN
OPPOSITION TO THE BILL.
I THANK MISTER CHAIR RYAN
SPENCER BEHALF OF THE AMERICAN
COLLEGE OF OBGYN IS DISTRICT
NINE AND THE CALIFORNIA MEDICAL
ASSOCIATION I FIRST LIKE TO
EMPHASIZE TO SEE AMANDA ****
PRESHEAF IN THE AUTHOR'S INTENT
AND IS COMMITMENTS AS LONG TERMS
STRONG COMMITMENT TO THIS ISSUE
EXPANDING SAFE ACCESS TO PREP
AND PAP FOR INDIVIDUALS OF THE
HIGHEST RATES OF HIV AND
ACQUISITIONS INCREDIBLY
IMPORTANT. THIS IS WHY IN TWENTY
NINETEEN A COG IN C. MAKE
COLLEAGUES WORKED WITH THE
AUTHOR ON SB ONE FIVE NINE THAT
AUTHORIZE PHARMACISTS TO
DISPENSE A LIMITED SUPPLY OF
PREP AND PAP FOR A LIMITED TIME
WITHOUT A PRESCRIPTION THE FINAL
BILL WAS A COMPROMISE PROVIDED
APPROVED THE FINAL BILL THAT WAS
A COMPROMISE PROVOKED PROVIDED
APPROPRIATE SAFEGUARDS WHICH
INCLUDED APPROPRIATE BALL CARE
AND PRESCRIPTION TO CONTINUE
COVERAGE OF THE MEDICATION.
PERSONALLY SB THREE THREE NINE
NOW REMOVES THESE IMPORTANT
PATIENT PROTECTIONS SEEMLY
ALLOWING THE PHARMACIST TO
CONTINUOUSLY DISPENSED BOTH PREP
PREP IN PERPETUITY WITHOUT
PRESCRIPTION OR EVER SEEN A
PRIMARY CARE PROVIDER EARLIER
THIS YEAR WE OFFERED AMENDMENTS
WHICH WOULD EXTENDED THE ONLY
THE TIME THAT A PHARMACIST MAY
FURNISH BEYOND THE NINETY DAYS.
BUT STILL ENSURE PRESCRIPTION WE
MADE AT SOME POINT IN THE
FUTURE. THOSE MEMBERS WERE
DECLINED. WELL WE STILL CONTEND
OF POP THAT A PRESCRIPTION IS
NECESSARY TO ENSURE. PATIENT
SAFETY AND WE STILL HOPE. THAT
THEY WILL RECEIVE SUCH A
PRESCRIPTION THIS IS NOT WERE
ASKING FOR TODAY. WERE EQUALLY
IF NOT MORE CONCERNED ABOUT
PROVISIONS RELATED TO THE
PROPUBLICA THAT ALLOWS THE
FURNISHING TO CONTINUE. AND WHO
WILL BE PROVIDING THE CARE
WHETHER RELATED OR NOT RELATED
TO THE FURNISHING OF PREP. WELL
PHARMACISTS ARE AUTHORIZED TO
PERFORM CERTAIN TASKS THEIR
CURRENT SCOPE OF PRACTICE AS
WELL AS OUR EXISTING MEDICAL
KNOWLEDGE. DOES NOT AFFORD THEM
THE ABILITY TO PERFORM ALL
TASKS. OR TURBINE ALL RESULTS.
AND THE SCOPE OF PRACTICE
DEFINITELY DOESN'T AUTHORIZE
THEM TO TREAT CONDITIONS OR
PROVIDE MEDICAL CARE. ARMAMENT
SIMPLY. THAT ANY TEST OR FOLLOW
UP. THAT IS NECESSARY FOR FARMS
IS TO CONTINUE PRESSING PREP CAN
STILL BE FORMED BY PHARMACISTS.
BUT ONLY AS LONG AS IT IS WITHIN
THEIR EXISTING SCOPE OF
PRACTICE. AND ALL TEST RESULTS
ARE VERIFIED AND NOT JUST IN
SHORT. AGAIN WE SHARE IN THE
AUTHORS GOAL TO IMPROVE ACCESS
TO PREP. WELCOME ADDITIONAL
IDEAS TO PROVE A HIGHLIGHT
ACCESS TO MEDICATION SUCH AS TO
TELL HEALTH. THE PER DAY UNLESS
OUR MEMBERS ARE DOTTED MUST
RESPECT REMAIN OPPOSED. THANK
YOU. THANK YOU VERY MUCH. ANY
FOLKS WANNA ADD ON IN SUPPORT OR
OPPOSITION TO THE BILL- PLEASE
PROVIDE YOUR NAME. ORGANIZATION
YOU'RE WITH IF ANY IMPOSITION ON
THE BILL. THANK YOU MISTER
CHAIRMAN ROBINSON ON BEHALF OF
THE CITY AND COUNTY OF SAN
FRANCISCO AS WELL AS THE CITY OF
WEST HOLLYWOOD SUPPORT. THANK
YOU. GOOD MORNING LINSEY
COLORING WITH THE CALIFORNIA
COMMUNITY PHARMACY COALITION
WHICH IS A PROJECT OF THE
CALIFORNIA RETAILERS ASSOCIATION
IN SUPPORT. THANK YOU. GOOD
MORNING MICHELLE RIVAS WHAT THE
CALIFORNIA PHARMACISTS
ASSOCIATION PROUD CO SPONSOR IN
SUPPORT. THANK YOU. I PULSE FROM
BEHALF OF A QUALITY CALIFORNIA
PROUD CO SPONSOR AND SUPPORT.
THANK YOU. SURE MEMBERS KATHY
MOSSBERG ON BEHALF OF A DELAY
HEALTH AN ESSENTIAL ACCESS
HEALTH ALSO IN SPORTS. THANK YOU
. REMEMBERS WHERE TOP ON BEHALF
OF VIACOM CALIFORNIA IN SUPPORT.
THANK YOU. EXPERIMENT OFF THE
CITY OF LONG BEACH IN SUPPORT
THANK YOU. NOVATEL AND WE HAVE A
SO YOU CALIFORNIA ACTION IN
SUPPORT THANK YOU THANK YOU.
JOSH DUGGAR ON BEHALF OF THE
COUNTY HEALTH EXECUTIVES
ASSOCIATION OF CALIFORNIA IN THE
SANTA CLARA COUNTY BOARD OF
SUPERVISORS IN SUPPORT THANK.
THANK YOU. GOOD MORNING SANDRA
PULL ON BEHALF OF WESTERN CENTER
ON LAW AND POVERTY AND SUPPORT.
THANK YOU VERY MUCH. AARON BROWN
WITH THE MEDICAL BOARD OF
CALIFORNIA IN SUPPORT THANK YOU
. BRING IT BACK TO COLLEAGUES
FOR QUESTIONS COMMENTS MOTION
SECONDS A SOMBER GIPSON. HAS THE
MOST MARVIN MAKE NOT YET SIR- I
MOVE THE BUILDING. AND WHATEVER
THANK THE AUTHOR OF LAW- THANK
YOU VERY MUCH- SENATOR WINNER
FOR BRING THIS BILL. IS OKAY
THANK YOU SO MUCH OKAY. OF THANK
YOU VERY MUCH- CERTAINLY EVEN
BEFORE I WAS ELECTED- TO ANY
OFFERS WITH THE CITY COUNCIL OR-
IS THE LEGISLATURE I'VE BEEN
WORKING IN THIS SPACE. BECAUSE%
OF LOS ANGELES BECAUSE OF HIV
KNOWLEDGE SHARED MY OWN PERSONAL
TESTIMONY LAWSON DEAR FOR OF
FAMILY AND FRIENDS- TO HIV AND
TRYING TO MAKE SURE THAT WE GET
TO ZERO IS ABSOLUTELY IMPORTANT
CALIFORNIA. WE LOOK AT THE
NUMBERS AFRICAN AMERICANS
CONTINUE TO BE THE HIGHEST-
CASE- IN I THINK IN THE COUNTRY
ARMENTA WE NEED TO MAKE IT.
OPPEN ONLY POSSIBLE ALSO DO
WHERE THEY WE CAN'T TEAR DOWN
BARRIERS THAT EXIST AND THANK
YOU VERY MUCH FOR ONE-
RECOGNIZING- THE SHORTCOMINGS OF
THE PREVIOUS BILL AND
STRENGTHENING THIS BILL MOVING
FORCE OKAY CALIFORNIA CAN. AGAIN
LEAD THE WAY IN THE SPACE NOT
LIKE TO BE CONSIDERED AS A CO
PRINCIPAL OF THIS BILL. THANK
YOU. YEP THANK YOU SEE NUMBER
GIPSON ANY ADDITIONAL QUESTIONS
OR COMMENTS AND COLLEAGUES.
SEEING NONE CENTER WOULD HAVE TO
CLOSE. I'M WE'VE RECEIVED STRONG
BIPARTISAN SUPPORT FOR THIS
BILL- ECHO AND I RESPECTFULLY
ASK FOR YOUR SUPPORT. THANK YOU
CENTER FOR YOUR CONTINUED
EFFORTS TO INCREASE ACCESS
POINTS FOR INDIVIDUALS SEEKING
THIS PREVENTATIVE LIFESAVING
MEDICATION- I SUPPORT EFFORTS TO
INCREASE AND EXPAND ACCESS TO
PREP WHILE SIMULTANEOUSLY
MAINTAINING SAFETY PROTOCOLS
INCLUDING YOUR PREVIOUS BILL SB
ONE FIVE NINE. WHICH I WAS HAPPY
TO SUPPORT IN TWENTY NINETEEN.
IN AN IDEAL SITUATION A PATIENT
RECEIVING PREP WOULD ALSO HAVE
ACCESS TO CONSISTENT CARE AND
TREATMENT FOR THE PATIENTS
PRIMARY CARE PROVIDER.
UNFORTUNATELY THAT ISN'T
FEASIBLE FOR EVERYONE AS WE KNOW
HIV IS A MAJOR PUBLIC HEALTH
CHALLENGE IN CALIFORNIA WITH
ALMOST FOUR THOUSAND NEW HIV
DIAGNOSES EVERY YEAR. AND WITH A
DIRE STATISTIC IN MIND- HAPPY TO
SUPPORT THE BILL I DO WANT TO
ENCOURAGE YOU TO CONTINUE
WORKING WITH THE OPPOSITION IT
SEEMS LIKE THERE'S BEEN. A
BETTER ENGAGEMENT OVER THE PAST
FIVE DAYS THAN THE PREVIOUS FIVE
MONTHS. WHAT DID YOU WANT TO
KNOW. WHEN YOU'RE DONE I
COULDN'T CHIRLA. GLADLY INCUBATE
CONTINUAR WITH THE OP TO REACH A
BALANCED AGREEMENT ON
AMENDMENTS. THAT EXPAND ACCESS
TO THIS MEDICATION THAT WHILE
CONFIRMING THE PATIENT RECEIVES
ONGOING FOLLOW UP CARE. AND
TREATMENT FROM THE PHARMACIST OR
THE PATIENT'S PRIMARY CARE
PROVIDER AS APPROPRIATE. RIGHT
BUT A APPRECIATE YOUR WORK ON
THIS ISSUE- AND- PLEASE. REFER
TO ADD ANYTHING YOU'D LIKE.
THANK YOU VERY MUCH MR CHAIRMAN
I APPRECIATE I JUST ONE I HAVE
HAD SEVERAL CONVERSATIONS-
RECENTLY WITH- ECOG CMA- AND- TO
BE CLEAR. WE ALL AGREE THAT
IDEALLY WE WANT PEOPLE TO HAVE
PRIMARY CARE PHYSICIAN- I THINK
EVERY PHARMACIST EVERYONE AGREES
ON THAT- AND THE BILL DOES HAVE
REQUIREMENTS ABOUT. ASKING AND
IF THEY DON'T HAVE ONE GIVING
THEM A LIST OF PRIMARY CARE
PHYSICIANS IN THE AREA THEY CAN
GO TO- BUT OF COURSE WE KNOW YOU
CAN'T. FORCE SOMEONE TO DO IT
AND UNFORTUNATELY WE ALL IS
SOMETIMES NOT THAT EASY EVEN GET
A PRIMARY CARE PHYSICIAN OR
COULD TAKE. MONTHS STEVEN DOT-
AN APPOINTMENT- IF THE
AMENDMENTS THAT SEEM AN A COG
HAVE BEEN CIRCULATING IN VARIOUS
ITERATIONS WHAT THEY HAVE SAID
TO ME. I'M IF THEY JUST WANT TO
MAKE SURE THAT IF THERE IS A
PROBLEM THAT GOES BEYOND THE
PHARMACISTS SCOPE. THE PERSON
TESTS POSITIVE FOR HIV THE POP
PERSON HAS AN ABNORMAL RENAL-
BLOOD TESTS THAT THE PERSON SOME
OTHER. PROBLEMS BUT OF COURSE WE
WANT THE PHARMACIST TO RECOGNIZE
THAT AND SAY HEY. YOU NEED TO
SEE A YOU NEED TO SEE A DOCTOR
OF COURSE WE ALL I SUPPORT THAT.
BUT THE MEMBERS OF THE DRAFT TO
GROW DRAMATICALLY BEYOND THAT
AND BASICALLY PROVIDE THAT IF
YOU- IF THERE IS. THAT YOU HAVE
TO HAVE ANOTHER QUALIFIED HEALTH
CARE PROFESSIONAL LOOK AT THE
PERSON. AND THEN YOU'RE NOT
ALLOWED TO GIVE ANYTHING BEYOND
THE NINETY DAY CENTER. YEAH SO.
THERE DEBATE ABOUT THE INITIAL
SET OF AMENDMENTS THAT WERE
CIRCULATED ANOTHER SET OF
AMENDMENTS WAS CIRCULATED. RAN
LATE LATE LAST NIGHT WHICH IS
WHY WE'RE NOT. YOU KNOW. ASKING
FOR ANYTHING THE COMMITTED DAY.
WERE ENCOURAGING YOU TO KEEP ON
WORKING WE WILL COGGIN CMA THERE
SEEMS TO BE AGREEMENT ON IT
GENERALLY WHAT FOLKS ARE TRYING
TO ACCOMPLISH. LET'S LET'S.
LEAVE IT THERE YES THERE IS
THERE IS AGREEMENT WHEN WE
TALKED TO EACH OTHER AND WE'RE
ABSOLUTELY COMMITTED TO WORKING
WITH THEM BUT I JUST WANNA. ALSO
THERE'S NO IN TERMS OF HELPING
TO DRAFT THAT'S NOT WHAT IT DOES
BUT YOU KNOW ME I'M I KNOW YOU
AN OPEN DOOR AND I'VE HAD
MULTIPLE CONVERSATIONS ON
INCLUDING. ON SUNDAY- WE HAD A
GOOD CONVERSATION AND WILL
CONTINUE TO PERFECT. PERFECT
THAT'S I APPRECIATE THAT
OPENNESS THANK YOU VERY MUCH.
MADAM SECRETARY PLEASE CALL
VOTE. SB THREE THREE NINE WIENER
THE MOTION IS DUE PASSED TO THE
COMMITTEE ON APPROPRIATIONS
BERMAN HI BERMAN I FLOOR.
AGUIAR-CURRY ALANIZ. ALANIZ I
PAINS. SPAIN'S NOT VOTING BONTA
AYE BONTA AYE CHAN. DIXON DIXON
I GIPSON. GIPSON AYE GRAYSON.
GRAYSON AYE IRWIN. IRWIN AYE
JACKSON. LEE WE ISLAND PAUL
LOWENTHAL AYE MCCARTY. MY KENNER
. WHEN I PATTERSON. PATTERSON I
THINK. GRADUATIONS UNDER THAT
BILL IS OUT. THANK YOU MISTER
TERRIFIC YOUR COLLEAGUES THANK
YOU. SO IF I GET A MOTION AND A
SECOND ON SB EIGHT SEVENTEEN.
HAVE A MOTION AND SECOND- I'M
SORRY PLEASE CALL ABOUT. SB
EIGHT SEVENTEEN ROTH THE MOTION
IS DUE PASSED TO THE COMMITTEE
ON APPROPRIATIONS BERMAN HI
BERMAN HI FLORA. AGUIAR-CURRY
ALANIZ. SB EIGHT SEVENTEEN ROTH
. ALANIZ I PAINS. PAINS I BONTA
. BONTA AYE CHAN. DIXON DIXON I
GIPSON. GIPSON AYE GRAYSON.
GRAYSON AYE IRWIN- WHEN I
JACKSON LEE. WE AYE LONG BALL
BONTA AYE MCCARTY THE KENNER.
WHEN I PATTERSON PATTERSON
NINETEEN. THAT BILL IS OUT. THAT
IS ALL THE BILLS IF YOU WERE
HERE TO VOTE FOR ALL OF THEM IF
YOU WEREN'T HERE TO OVERALL THEM
STICK AROUND. YEAH WHEN WE TOOK
OVER THE TOP- STARTING WITH A
JAN I'M ONE SB FIFTY ONE. OR
CONSENT AND CONSENT TO THE STORE
WITH CONSENT ON THE CONSENT
CALENDAR ALANIZ ALANIZ I GRAYSON
GRAYSON AYE IRWIN. IRWIN AYE
JACKSON MCCARTY MY KENNER. THANK
. OTHERS CONSENT CONSENT ARE
OBTAINED I. ON SB FIFTY ONE
BRADFORD- ALANIZ. ALANIZ I
GRAYSON GRAYSON I JACKSON MY
KENNER. THANK I THINK I. ON SB
THREE THREE NINE WIENER- THANK.
THANK I. ON SB EIGHT TWELVE ROTH
ALANIZ ALANIZ I GRAYSON GRAYSON
I IRWIN. IRWIN I JACKSON MCCARTY
MCCARTY AYE MCKENNA. THANK I
THINK I. ON SB EIGHT FOURTEEN
ROTH ALANIZ ALANIZ I GRAYSON
GRAYSON I IRWIN IRWIN AYE
JACKSON. RT MCCARTY I'M A KENNER
TEAM. I THINK I. ON SB EIGHT
FIFTEEN ROTH ALANIZ. HOW MANY
SNOW GIPSON GIPSON I GRAYSON.
IRWIN AYE IRWIN AYE JACKSON
MCCARTY MCCARTY I AM A KENNER
TING TING I.
ON S. EIGHT SIXTEEN ROTH. ALANIZ
ALLEN IS NOT VOTING GRAYSON
GRAYSON I IRWIN IRWIN I JACKSON
THIRTY MCCARTY I AM A KENNER
TEAM I.
ON SB EIGHT SEVENTEEN ROTH
MCCARTY. MCCARTY I THINK TANK I
.
ONE CONSENT MCCARTY MCCARTY I.
ON SB THREE THREE NINE WIENER
FLOOR FLOOR I MCCARTY RIGHT
MCCARTY I.
ON CONSENT- MECHANIC HI I CAN- I
. ON SB FIFTY ONE BRADFORD
AGUIAR-CURRY AGUIAR-CURRY I
MCKENNA MCKENNA HI. ON SB THREE
THREE NINE WIENER. AGUIAR-CURRY
AGUIAR-CURRY I. CHEN JACKSON
MCKENNA MCKENNA I. ON SB EIGHT
TWELFTH I CAN- I CAN- I. ON SB
EIGHT FOURTEEN ROTH. I CAN- HI
CAN I. ON SB EIGHT FIFTEEN ROTH
MY KENNER. I CAN- I. ON S. B.
EIGHT SIXTEEN ROTH BEGINNER. I
CAN- I. ON S. B. EIGHT SEVENTEEN
ROTH FLORA. OKAY AGUIAR-CURRY
AGUIAR-CURRY I. MCINERNEY
MCINERNEY I.
ON THE CONSENT CALENDAR JACKSON
JACKSON I. SB FIFTY ONE BRADFORD
JACKSON JACKSON I. SB THREE
THREE NINE WIENER JACKSON
JACKSON I. S. B. EIGHT TWELVE
ROTH JACKSON JACKSON I. S. B.
EIGHT FOURTEEN ROTH R. JACKSON
JACKSON I. ON S. B. EIGHT
FIFTEEN ROTH JACKSON JACKSON I.
ON SB EIGHT SIXTEEN ROTH JACKSON
JACKSON I. ON S. B. EIGHT
SEVENTEEN JACKSON JACKSON HI.
THANK YOU AS A MEMBER. AND SB
EIGHT FIFTEEN IS OUT. THANK YOU
EVERYBODY THE HEARING IS
ADJOURNED.