GOOD WE'RE GOING TO GO AHEAD AND
GET STARTED WITH OUR HEARING
THIS AFTERNOON. I WAS GONNA DO
IT AMENDED EARLIER BUT I WAS
REMINDED BY MY SICK CHIEF
SECRETARY THAT THAT WOULD BE A
BAD IDEA SOUTH WAS NOW ONE
THIRTY WE CAN ACTUALLY PUSH
OFFICIALLY BEGAN I'M BUT BEFORE
WE BEGIN I'D LIKE TO MAKE A
STATEMENT REGARDING TESTIMONY
PROVIDING TESTIMONY AT THIS
HEARING WE SEEK TO PROTECT THE
RIGHTS OF ALL WHO PARTICIPATE IN
THE LEGISLATIVE PROCESS SO WE
CAN HAVE AN EFFECTIVE
DELIBERATION ON THE CRITICAL
ISSUES FACING CALIFORNIA ALL
WITNESSES WILL BE TESTIFYING IN
PERSON WE WILL OUT TO ME
WITNESSES FOR A MAXIMUM OF THREE
MINUTES EACH ADDITIONAL
TESTIMONY WILL ALSO BE IN PERSON
AND LIMITED TO NAME POSITION AND
ORGANIZATION IF YOU REPRESENT
ONE. ALL TESTIMONY COMMENTS ARE
LIMITED TO THE BILL AT HAND A
TODAY WE HAVE ONE ITEM IS VOTE
ONLY TO A WE'RE VOTING ON SB
THREE TWENTY SIX FOR AN
AMENDMENT TO THE BILL TO ADDED
URGENCY CLAUSE ONLY THERE WILL
BE NO TESTIMONY TAKING TAKEN THE
BILL WILL BE SET FOR A FULL
POLICY HEARING IN AUGUST AND
THAT'S WHEN WE WILL TAKE
TESTIMONY ON THE BILL WE HAVE A
CONSENT CALENDAR DAY. TODAY
THERE ARE FOR THE FOLLOWING I
BILLS ARE PROPOSED FOR. CONSENT
FOR TODAY'S HEARING. ANY MEMBER
OF THE COMMITTEE MAY REMOVE A
BILL FROM CONSENT. THE BILL'S
PROPOSED FOR CONSENT ARE AS
FOLLOWS ITEM NUMBER EIGHT S. B.
TEN BUYS BY SENATOR CORTESE.
ITEM NUMBER NINE S. B. TWO
EIGHTY TWO BY SENATOR EGGMAN. I
DON'T NUMBER TEN SB EIGHT
NINETEEN BY SENATOR EGGMAN. ITEM
NUMBER FIFTEEN SB FIVE NINETY
FIVE BY SENATOR ROTH. AND ITEM
NUMBER SIXTEEN SB SIXTY SEVEN BY
SENATOR SEYARTO. SO WE DO HAVE A
SPECIAL ORDER OF BUSINESS TODAY
WE'RE GOING TO START. WITH THE
SENATOR MENSCH OF ARE. GOING TO
PRESENT- S. B. SIX THIRTY FIVE.
AND WHENEVER YOU'RE READY CENTER
YOU ANY WITNESSES COME ON UP.
I WILL NOTE THAT WE ARE- WE DO
NOT HAVE A QUORUM SO WILL BE
OPERATE AS A SUB COMMITTEE- AND
WE'RE HOPEFUL WE GET A QUORUM
VERY VERY SOON. IN HIT MEMBERS
OF THE COMMITTEE PLEASE COME ON
DOWN.
THANK YOU SENATOR.
THEY BELIEVE WE HAVE SOMEONE
WHO'S GONNA BE PROVIDING SIGN.
AND SOLUTION. THIS THANK YOU.
OKAY WE'RE GONNA WE'RE GONNA DO
WE ARE GOING TO GO AHEAD AND GET
STARTED SO. IF SHE WANTS TO COME
INSIDE YOUR YOU CAN COME INSIDE
THEIR- OKAY THAT'S FINE. YEAH
OKAY READY SENATOR HE BACK THANK
YOU DR WOOD MISTER CHAIR SOME
MEMBERS. WE'RE GOING TO THANK
THEM TAKE THE TIME TO THINK THE
COMMITTEE STAFF FOR THEIR WORK-
WITH MY TEAM ON THIS BILL I ASK
THAT THE COMMITTEE- DOT MY
AUTHOR AMENDMENTS ARE AS STATED
IN THE CAMINO LISTENS ON PAGE
EIGHT TO DELAY THE
IMPLEMENTATION TO JANUARY FIRST
TWENTY TWENTY FIVE. CURRENTLY
UNDER CALIFORNIA'S NEWBORN
HEARING SCREENING PROGRAM
HOSPITALS ARE REQUIRED TO SCREEN
NEWBORNS FOR HEARING LOSS ONCE
THE CHILD HAS BEEN IDENTIFIED AS
DEAF OR HARD OF HEARING HOWEVER
THERE SEEMS TO EXIST A LACK OF
ACCESS TO ESSENTIAL HEARING
AIDS. YOU'RE THE RIGHT AS ANY
PARENT YOU ARE TOLD YOUR CHILD
CHILD IS HARD OF HEARING AND
LEFT TO SCRAMBLE TO FIGURE OUT
HOW TO ADDRESS THIS UNIQUE NEED
SB SIX THIRTY FIVE THE LET
CALIFORNIA KIDS HERE ACT OF
TWENTY TWENTY THREE WOULD
IMPROVE ACCESS TO HEARING AIDS
FOR YOU SPECIFICALLY THIS BILL
WOULD REQUIRE ALL PRIVATE HEALTH
INSURANCE PLANS ISSUED. AMENDED
OR RENEWED ON OR AFTER JANUARY
FIRST TWENTY TWENTY FIVE TO
RECOVER HEARING AIDS AND
SERVICES FOR INDIVIDUALS UNDER
TWENTY ONE YEARS OLD. THIS WILL
ALLOW FAMILIES TO SAY WITHIN
THEIR LOCAL NETWORKS BY USING
THEIR HEALTH INSURANCE PLANS
TAXES LOCAL PROVIDERS. BECAUSE
WE WERE SEEN NUMEROUS EXPERTS
AGREE THAT PEDIATRIC HEARING
LOSS IS A DEVELOPMENTAL
EMERGENCY REQUIRING TIMELY
INTERVENTION TO PREVENT
PERMANENTLY. PERMANENT DELAYS
NOW YOU MAY BE ASKING WHY THIS
IS A DEVELOPMENTAL EMERGENCY WHY
HASN'T SOMETHING SOMETHING BEEN
DONE. WELL PREVIOUS LEGISLATION
WITH ATTEMPTED TO RECTIFY THE
SITUATION BUT INSTEAD WAS PUT
ASIDE. TO ATTEMPT TO FIX THROUGH
DH CS. ONE HOWEVER THE HEARING
AID COVERAGE OF CHILDREN PROGRAM
LAUNCHED BY THE DEPARTMENT OF
HEALTH CARE SERVICES ON JULY
FIRST TWENTY TWENTY ONE. HAS
ONLY PROVIDED HEARING AIDS TO
TWO HUNDRED TWENTY FIVE OF THE
SEVEN THOUSAND ELIGIBLE CHILDREN
IN THE STATE OF CALIFORNIA.
CALIFORNIA HAS SEEN ONLY ONE IN
TEN FAMILIES HAVING SOME SORT OF
COVERAGE ADDITIONALLY FEW
PEDIATRIC PROVIDERS ARE
PARTICIPATING IN THE PROGRAM DUE
TO THE HISTORICALLY LOW
REIMBURSEMENT RATES AND HIGH
ADMINISTRATIVE BURDENS CREATING
PARTY GEOGRAPHIC COVERAGE.
SEGMENTED CARE AND BERRIES ARE
DIFFICULT TO OVERCOME. THAT
PROGRAM IS NOT WORKING SO WE
MUST RE ROUTE THROUGH THE
LEGISLATIVE PROCESS. OVER THIRTY
STATES WILL- CURRENTLY REQUIRE
IN THE BEGINNING OF TWENTY
TWENTY FOUR COVERAGE FOR
CHILDREN HEARING AIDS THROUGH
COMMERCIAL PLANTS OR THE STATE
EXCHANGE. THE STATE OF
CALIFORNIA THE STATE OF GEORGIA
WAS ALSO IN OUR SITUATION WHERE
THEY ATTEMPTED. THE SAME WAY
THAT WE INITIALLY DID BUT THEY
REWROTE IT BECAUSE IT ALSO
WASN'T WORKING IN THEIR STATE.
WE SHOULD FOLLOW SUIT AND
ENSURING THAT CHILDREN ARE ABLE
TAXES HEARING AIDS AT AN EARLY
STAGE IN LIFE. A LACK OF
COMPREHENSIVE COVERAGE MEANS
CARE CAN BE UNAFFORDABLE. AT
LEAST CHILDREN WITHOUT ACCESS TO
HEARING AIDS AND SERVICES TO
SUPPORT THEIR DEVELOPMENT.
SHOULD HAVE FOUND ME DECIDE TO
GO WITH HEARING AIDS THE CENTERS
FOR DISEASE CONTROL AND
PREVENTION CHAU THAT OUTCOMES OR
GREATER THE EARLIER CHILD BEGINS
USING HARRY AIDS. HERE WITH ME
TODAY TO TESTIFY MR WITH THE
PERMISSION LIKE TO TURN TO
TORMENT WHEN ASSIST. I'M
MICHELLE A CULTURE AND COFOUNDER
OF LATE CALIFORNIA'S KIDS HERE.
DR DANIELLA CARBALLO WITH THE
BRADY CHILDREN'S HOSPITAL.
PLEASE GO AHEAD. HI MY NAME IS
MICHELLE MARCINIAK AND I'M THE
MOM OF A HARD TO HEARING. CHILD
AND CO FOUNDER OF LET CALIFORNIA
KIDS HERE AND A CO SPONSOR WITH
CHILDREN NOW. OF SB SIX THREE
FIVE. THANK YOU TO THE FIFTY
ORGANIZATIONS WHO SIGNED ON AND
ALL THE PARENTS HERE TODAY
REPRESENTING DEAF AND HARD OF
HEARING FAMILIES IN CALIFORNIA.
THANK YOU SENATOR MANAGE OF OUR
SENATOR PORTANTINO ASSEMBLY
MEMBER DR ARAMBULA FOR THEIR
EXTRAORDINARY LEADERSHIP. AND
THE LEADERS COMMITTED TO
ADDRESSING THIS PEDIATRIC HEALTH
EQUITY ISSUE THAT WILL ENABLE
CHILDREN TO HERE AND CONNECT
WITH OUR WORLD. A PRIOR VERSION
OF THE BILL IN TWO THOUSAND
NINETEEN HAD UNANIMOUS APPROVAL
IN THE LEGISLATURE BUT WAS NOT
SIGNED INTO LAW. INSTEAD THE NEW
SOME ADMINISTRATION CREATED THE
HEARING A COVERAGE FOR CHILDREN
PROGRAM TWO YEARS LATER WITH
THIRTY TWO MILLION BUDGETED. TWO
HUNDRED AND TWENTY FIVE OF THE
ESTIMATED SEVEN THOUSAND
CHILDREN IN NEED HAVE
BENEFITTED. THERE ARE NO
PROVIDERS IN SACRAMENTO OR
CENTRAL COAST AND ONLY ONE
PROVIDER IN LOS ANGELES. KAISER
ARE LARGEST HEALTH PLAN DOES NOT
PARTICIPATE IN ANY STATE
SPONSORED HEARING. HEARING AID
PROGRAMS- INFORMS THEM OUT INTO
THE COMMUNITY. THE STATE OF
GEORGIA RAN A SIMILAR PROGRAM IT
FAILED THEY COURSE CORRECTED AND
THEY PASSED TO MANDATE. WE ARE
ASKING FOR YOUR RENEWED SUPPORT
TO ADOPT THE ORIGINAL SOLUTION A
PEDIATRIC MANDATE TO ADDRESS A
DEVELOPMENTAL MIRCHI MERGING SEE
THAT HAS BEEN UNFOLDING FOR
YEARS IN CALIFORNIA. THIS STORY
THAT HAUNTS ME MOST IS FROM A
CENTER DIRECTOR IN LOS ANGELES
ABOUT CHILDREN SHOWING UP AT THE
AGE OF FIVE UNABLE TO SAY THEIR
NAME BECAUSE THEY'VE NEVER HAD
ACCESS TO SOUND. IT SHOULDN'T BE
HAPPENING IN CALIFORNIA. HERE IN
CALIFORNIA ONLY ONE IN TEN
HEALTH PLANS COVER HEARING AIDS
THE HEALTH PLANS HAVE YET TO
ADDRESS THIS MARKET FAILURE.
DATING BACK TO THE START OF
NEWBORN HEARING SCREENING IN
NINETEEN NINETY EIGHT. THERE
HAVE BEEN MULTIPLE ATTEMPTS OVER
THE YEARS. WHEN THERE IS A
MARKET FAILURE ESPECIALLY
INVOLVING CHILDREN. LEADERS ARE
CALLED TO STEP IN AND REGULATE.
NOW THIRTY TWO STATES REQUIRE
HEALTH PLANS TO COVER HEARING
AIDS. THROUGH THE COMMERCIAL
MANDATE AND OR THE STATE
EXCHANGE TO ADDRESS. WHAT
EXPERTS CONSIDER A DEVELOPMENTAL
EMERGENCY. THE MISCONCEPTION
THAT A CHILD HEARING AID
REQUIREMENT WOULD VIOLATE
FEDERAL AGE DISCRIMINATION LAW
DOES NOT HOLD AND HAS BEEN
CONFIRMED BY HHS SOCIETY. BY
FEDERAL LAW STATES HAVE THE
FLEXIBILITY TO EXCEED THE
ESSENTIAL HEALTH BENEFITS. WELL
THERE'S POTENTIAL FOR DIFFERENT-
COST TO INCLUDE SOME OF THE MOST
VULNERABLE CHILDREN IN THE
EXCHANGE. THE CURRENT ESTIMATE
IS LESS THAN THE ANNUAL COST OF
THE HACCP PROGRAM THAT'S FAILING
. THESE COSTS ARE NOT ONLY
DEVASTATING TO THE CHILD IN THE
FAMILY THE COSTLY TO SOCIETY
OVER THIRTY YEARS AGO THE CDC
ESTIMATED THAT THE COST. FOR
EVERY CHILD THAT DOESN'T GET
EARLY INTERVENTION IS ONE
MILLION DOLLARS IN SPECIAL
EDUCATION OTHER MEDICAL
COMPLICATIONS AND UNEMPLOYMENT.
FURTHER THE STATE SPENDS FOUR
HUNDRED MILLION A YEAR EDUCATING
SIXTEEN THOUSAND DEAF AND HARD
OF HEARING CHILDREN. THE ABSENCE
OF AN EFFECTIVE SOLUTION COSTING
TAXPAYERS HUNDREDS OF MILLIONS
OF DOLLARS BY FAILING TO PROVIDE
EARLY INTERVENTION. THE BILL IS
A BETTER DEPLOYMENT OF STATE
RESOURCES SUPPORTING ACCESS TO
LOCAL PEDIATRIC PROVIDERS AND
THEIR MEDICAL HOME WILL HELP
EIGHT THOUSAND CHILDREN. MARIE
WAS SUPPOSED TO SAY THIS TODAY
AND- HE WAS FEELING A LITTLE SAD
THAT IT'S BEEN TAKING SO LONG SO
I'M GOING TO SHARE HER WORDS.
THIS ISN'T A DRILL IT'S AN
EMERGENCY. CALIFORNIA'S CHILDREN
AND FAMILIES HAVE BEEN WAITING
FOR YEARS AND THEY CAN'T WAIT
ANY LONGER. HE IS LET CALIFORNIA
KIDS HERE. PLEASE GO AHEAD. MY
NAME IS THE- MY NAME IS AN
ALCOHOL MY PEDIATRIC
OTOLARYNGOLOGY CERVIDAE
CHILDREN'S HOSPITAL IN SAN DIEGO
AND A PROFESSOR AT THE
UNIVERSITY OF CALIFORNIA SAN
DIEGO. I WANT TO THANK THE
MEMBERS OF THIS COMMITTEE AND
THANK THE AMAZING LEADERS THAT
HAVE BEEN AND ARE BRINGING
FORWARD SB SIX THREE FIVE. I'M
HERE IS A PEDIATRIC CAL A
SPECIALIST TO EXPLAIN TO YOU WHY
YOU NEED TO SUPPORT THIS BILL.
BY THE END OF MY THREE MINUTES I
HOPE YOU UNDERSTAND AGAIN THAT
THE PEDIATRIC CARE LOSS IS A
DEVELOPMENT EMERGENCY OUR BRAINS
NEED SOUND SIMULATION. EARLY ON
TO BE ABLE TO CREATE PATHWAYS
THAT WILL DEVELOP SPOKEN
LANGUAGE COMPREHENSION AND
SPEECH. FOR THIS REASON TWO
THOUSAND SEVEN THE JOINT
COMMITTEE ON INFANT HEARING CAME
OUT WITH THE RECOMMENDATION OF
THE ONE THREE SIX MODEL. MANY
CHILDREN FOR HEARING LOSS BY ONE
MONTH OF AGE DIAGNOSING HEARING
LOSS BY THREE MONTHS AND
TREATING THEM BY SIX MONTHS OF
AGE. CALIFORNIA'S A WONDERFUL
JOB IN DIAGNOSING AND SCREENING
CHILDREN WITH HEARING LOSS BUT
WE FAIL MISERABLY WHEN IT COMES
TO TREATING THEM. UNFORTUNATELY
THE HACCP HAS NOT TURNED OUT TO
BE A SOLUTION THESE CHILDREN
NEED AND THERE ARE STILL MORE
THAN SEVEN THOUSAND CHILDREN IN
OUR STATE WITHOUT HEARING AIDS.
THESE CHILDREN WITHOUT ACCESS TO
HEARING AIDS WILL HAVE
SIGNIFICANT DELAYS IN SPEECH
ACADEMIC DELAYS AND PROBLEMS
WITH SOCIAL INTERACTION. AND
WILL LIKELY BE ADDED TO THE
ALREADY MASSIVE NUMBER CHILDREN
WITH MENTAL HEALTH PROBLEMS AND
OUR STATE. CHILDREN WITH
UNTREATED HEARING LOSS AND WITH
LACK OF LANGUAGE HAVE A HIGHER
INCIDENCE OF DEPRESSION AND
SUICIDAL IDEATION. AND THE
PROBLEM IS THAT IT TAKES YEARS
OF SPEECH THERAPY AND SPECIAL
EDUCATION TO HELP CHILDREN WHO
DO NOT HAVE THE APP APPROPRIATE
ACCESS TO SOUNDS AND LANGUAGE
AND MOST OF THE TIME THE DELAYS
WILL CONTINUE DESPITE ALL THESE
INTERVENTIONS. YOU HAVE NO I
HAVE NO IDEA HOW DISHEARTENING
IT IS TO SEE A FAMILY IN OUR
CLINIC. WHO FINDS OUT THAT THEY
CANNOT PROVIDE THEIR CHILD WITH
A HEARING AID DESPITE HAVING
INSURANCE. AS THEY KNOW THE
DEVASTATING EFFECTS OF THIS MY
HAVE IN THEIR CHILD'S LIFE.
WE'RE KEEPING CHILDREN WITH
HEARING LOSS IN CALIFORNIA
HOSTAGE TO GREED. IT IS TIME
THAT WE DO SOMETHING FOR THEM WE
CAN AND WE HAVE TO DO BETTER.
THE CLOCK IS TICKING AND IT'S
UNFORTUNATELY NOT IN OUR KIDS
FAVOR. IT IS TIME TO LET
CALIFORNIA KIDS HERE. THANK YOU
. THANK YOU VERY MUCH OTHERS IN
SUPPORT PLEASE COME FORWARD IF
YOU LIKE JUST YOUR NAME AND
ORGANIZATION IF YOU REPRESENT
ONE. GOOD AFTERNOON CHAIRED
MEMBERS SAREK KAMINSKI WITH THE
ASSOCIATION OF CALIFORNIA SCHOOL
ADMINISTRATORS AND SUPPORT THANK
YOU. GOOD AFTERNOON SANDRA POOL
WESTERN CENTER FOR LONG POVERTY
IN SUPPORT THANK YOU. IN ASKING
ON BEHALF OF THE NURSE FAMILY
PARTNERSHIP AND CHILD FIRST IN
SUPPORT. THANK YOU. IF NAY MOXIE
F. T. IN SUPPORT THANK YOU THANK
YOU. REBECA GONZALEZ NATIONAL
ASSOCIATION OF SOCIAL WORKERS
CALIFORNIA CHAPTER IN SUPPORT
THANK YOU. GOOD AFTERNOON
CHAIRMAN REYES JOSE TOWARDS WITH
HEALTH ACCESS CALIFORNIA IN
SUPPORT THANK YOU. AT THE GERMAN
MEMBERS NICK PROGRAM BEHALF THE
CALIFORNIA ACADEMY OF AUDIOLOGY
IN SUPPORT THANK YOU. I'M NANCY
SAGER I AM THAT RECENTLY
DIFFERENT- RETIRED AS THE
CALIFORNIA DEPARTMENT OF
EDUCATION AND DEAF AND HARD OF
HEARING PROGRAMS CONSULTING I
REPRESENT CALIFORNIA. HANDS
INVOICES WE SUPPORT THANK YOU.
DR CRISTINA ROUSSELLE I'M A
PEDIATRIC AUDIOLOGIST AT THE U.
S. C. CARUSO FAMILY CENTER FOR
CHILDHOOD COMMUNICATION AND LOS
ANGELES WE SERVE OVER TEN
COUNTIES IN CALIFORNIA. AND
PLEASE LET CALIFORNIA KIDS HERE
THANK YOU THANK YOU. BRITOMART
YOU WITH A CALIFORNIA MEDICAL
ASSOCIATION IN SUPPORT THANK YOU
. SO MY AND HER WITH THE
CALIFORNIA CHILDREN SPECIALTY
CARE COALITION AND SUPPORT THANK
YOU. HELLO MY NAME IS DR ERIN
OAKES IN THE PEDIATRIC AN
EDUCATIONAL IDEOLOGIST AND ALSO
THE PARENT OF A DEAF CHILD WHO
STARTING COLLEGE. THIS FALL IT
CSU NORTHRIDGE IN PART FROM
EARLY ACCESS TO HEARING AIDS AND
TECHNOLOGY I AM IN SUPPORT THANK
YOU. MY NAME IS JOHN I WONDER
LIAM A MILITARY SPOUSE WHO ONLY
HAVE COVERAGE WHEN MY HUSBAND'S
ON ACTIVE DUTY ORDERS I AM FROM
PLASTER COUNTY AND- MY FOUR
CHILDREN WHO ARE HARD OF
HEARING. AND I'M HERE IN
SUPPORT. THANK YOU. GOOD
AFTERNOON TURN MEMBERS KATHLEEN
SORIANO ON BEHALF OF THE KECK
SCHOOL OF MEDICINE AT THE
UNIVERSITY OF SOUTHERN
CALIFORNIA PLEASED TO SUPPORT
THIS BILL THANK YOU THANK YOU.
AS A CRUISE ON BEHALF OF SOBA
ADMINISTRATORS ASSOCIATION OF
CALIFORNIANS SUPPORT THANK YOU.
ALEX SMITH LODI CALIFORNIA A MOM
OF A SON WHOSE HARD OF HEARING-
HE NEEDS IT TO THRIVE IN HIS
SAFETY AND ACCESSIBILITY AND TO
DEVELOP I SUPPORT. THANK YOU.
HELLO MY NAME IS TIM SCHULER
FROM LOADING- I'M HERE IN
SUPPORT OF SB SIX THIRTY FIVE
THIS BILL MEANS A WHOLE LOT TO
OUR FAMILY PLEASE LET CALIFORNIA
KIDS HERE. THANK YOU. HI MY
NAME'S. HI MY NAME IS A REACH
SURE AND I THINK I THINK
CALIFORNIA SHOULD HAVE HEANEY.
THANK YOU. HELLO MY NAME IS
ELIJAH SCHULER. OF I'M FROM LODI
CALIFORNIA AND LET CALIFORNIA
GETS HERE. THANK YOU. HI MY
NAME'S CAPRI SURE AND FROM WHAT
I CALIFORNIA I'M A PARENT OF A
HARD OF HEARING KID THAT. THE
DHS PROGRAM DID NOT WORK FOR US
SO WE'RE ASKING TO PLEASE LET
CALIFORNIA KIDS HERE. THANK YOU
. I'M SHELLEY SINUS I AM A
PRESCHOOLERS GRANDMA WHO'S BEEN
WEARING HEARING AIDS AND SHE WAS
TWO MONTHS OLD AND I'M HERE IN
SUPPORT OF THIS BILL THANK YOU.
I'M CHRIS SOME THE GRANDFATHER I
SUPPORT THE BILL THANK YOU. I'M
VICKI SCHILLER I'M FROM AT LUNA
AND MY GRANDDAUGHTERS AVERY
SCHILLER AND I'M HERE TO SUPPORT
THE BILL PLEASE LET CALIFORNIA
KIDS HERE THANK YOU. HI MY
NAME'S DELANEY HARRINGTON
DOMINATE OF CALIFORNIA AND ITS
LOCAL HARD OF HEARING ADULT- I
AM ALSO A GRADUATE STUDENT AT UC
DAVIS GETTING MY DOCTORATE AND
WORKING IN A FOSTER YOUTH
EDUCATION AND ENCOURAGE YOU TO
LIVE. CHILDREN WHO ARE LIKE ME
BE ABLE TO HEAR IN THE STATE
THANK YOU THANK YOU. GOOD
AFTERNOON TREES BURNS OTHER
SPEECH LANGUAGE PATHOLOGY
AUDIOLOGY AND HEARING A
DISPENSER BOARDS ASSISTANT
EXECUTIVE OFFICER WE ARE SORRY
WE MISSED THE DEADLINE FOR THE
SPORT LETTERS BUT WE SUPPORT
WE'RE HAPPY TO SUPPORT THIS AND
OUR LICENSEES STAND READY TO
SUPPORT THE CHILDREN CALIFORNIA.
THIS DEVELOPMENTAL MERGING SAFE
THANK YOU THANK YOU. SURE
MEMBERS CUT THE MUSTER WITH THE
FIRST FIVE ASSOCIATION OF
CALIFORNIA IN SUPPORT THANK YOU
. HI I'M ELLEN DIETRICH I'M A
MOTHER OF TO DEATH. DAUGHTERS
AND AS YOU CAN SEE BEHIND ME
THEY'LL THEY'LL SAY HOW WELL
THEY'VE GOTTEN THE EARLY
INTERVENTION THEY HAD- TWO
MONTHS AND TWO WEEKS THEY HAD
HEARING AIDS ON. AND I'M FROM
NEWPORT BEACH THANK YOU. HI I'M
MAGGIE DIETRICH AND SINCE I HAD
EARLY INTERVENTION IT LED ME TO
HAVE OPPORTUNITIES THAT I HAVE
TO GO TO SCHOOL AND MEET NEW
FRIENDS AND I WOULD LOVE IF THE-
KIDS WOULD HAVE THE SAME
OPPORTUNITIES. SO I SUPPORT
THANK YOU. HI MY NAME IS KATIE
TRICK AND I WAS AIDED AT AT TWO
AND A HALF WEEKS AND BECAUSE OF
THAT I WAS ABLE TO HAVE. A LOT
OF OPEN OPPORTUNITIES AND SO I
HOPE THAT YOU HELP CALIFORNIA
KIDS HERE. THANK YOU. HI MY NAME
IS CASEY CAME. I AM A MOM OF A
DEAF AND HARD OF HEARING CHILD.
I'M ALSO THE PRESIDENT OF
CALIFORNIANS INVOICES WE ARE
HERE IN SUPPORT I'M ALSO AN
AUDIOLOGY STUDENT SO I AM
REALLY. PLEASE SUPPORT THIS. IN
MICE MY CHILDREN HAVE SOMETHING
TO SAY. THAT KIDS HERE RIGHT.
HERE THANK YOU THANK YOU. HI I'M
BROOKE PHILLIPS I'M A PEDIATRIC
AUDIOLOGIST IN CALIFORNIA FOR
THAT CALIFORNIA KIDS HERE. WE'VE
BEEN FIGHTING THIS BATTLE FOR
TWENTY FIVE YEARS SO IT'S TIME
TO LET CALIFORNIA KIDS HERE. HI
MY NAME IS CHLOE I'M EIGHT YEARS
OLD I'M KIND OF HEARING LET
CALIFORNIA KID HERE. THANK YOU.
HI MY NAME'S SOPHIE I'M ALIVE
AND I'M DAFT THAT COVERING
CATCHER THANK YOU. HI MY NAME IS
CAMMY WHEN. I AM A DEAF SINGLE
MOTHER. AND YOU JUST MET MY TWO
GIRLS RIGHT NOW LET CALIFORNIA
GETS HERE THANK YOU. NORRLAND
WITH CHILDREN NOW IN SUPPORT
THANK YOU. GAVE THE BALL I'M
HAPPY TO SUPPORT THIS BILL THAT
IS MAKING THE TWENTY SEVENTH THE
TWENTY SEVENTH DISTRICT VERY
PROUD THANK YOU SENATOR MENTAL.
MICHAEL PEARSON IN SUPPORT OF
THIS BILL. THANK YOU. M. HOLLY
GILL A PARA EDUCATOR IN SPECIAL
EDUCATION AND THE GRANDMOTHER OF
ARDEER GILES. THE CALIFORNIA
GETS HERE THANK YOU. HI THERE
I'M CHRISTINA JANES ROCKLIN
CALIFORNIA I AM A MOM TO A SIX
YEAR OLD HARD OF HEARING CHILD
WHO'S HERE WITH ME TODAY I'M
ALSO A FORMER CBS THIRTEEN NEWS
ANCHOR. I'M SO PROUD OF THIS
BILL AND ALL THAT WE'RE DOING
FOR CHILDREN SO PLEASE LET
CALIFORNIA KIDS HERE THANK YOU
THANK YOU. HI I'M VIKI FEINSTEIN
I MOM TO AMERI FEINSTEIN HERE
WHO'S A SECURE OUR SIX YEAR OLD
HARD OF HEARING LITTLE GIRL
PLEASE LET CALIFORNIA KIDS HERE.
THANK YOU. EVERY FIND STEAM
PLEASE LET CALIFORNIA KIDS HERE
THEY- HI I'M RIDE FIND SEEN I'M
EMBRACE FIND DEAN. EVERY FIND
SCENES BIG SISTER AND I THINK
THAT CALIFORNIA KID **** HERE.
THANK I AM IDENTIFYING AND
REFINANCING STAD I SUPPORT SB
SIX THIRTY FIVE IN ONE
CALIFORNIA KIDS HERE. THANK YOU
. HELLO MY NAME IS COURTNEY HAVE
SCAM I AM DEAF AND I'M ALSO A
TEACHER OF THE DEAF I'VE BEEN
USING HEARING AIDS SINCE I WAS
THREE MONTHS OLD. AND IT HELPED
ME TREMENDOUSLY PLEASE LET
CALIFORNIA GETS HERE THANK YOU.
THANK YOU. HELLO MY NAME IS
ROBERT SCHULLER FROM PETALUMA
CALIFORNIA GRAND FATHER OF.
AVERY SURE AND- I'M- HOPING THAT
THE- FOLKS COULD HELP US LET
CALIFORNIA KIDS HERE THANK YOU.
I AM DEFINITELY FLETCHER I'M A
PUBLIC SCHOOL TEACHER FROM
ISRAEL CALIFORNIA AND MCCARTY
HEARING AT ALL AND MY SON IS A
HARD OF HEARING CENTER.
OBVIOUSLY I'M- ASKING FOR YOUR
SUPPORT THANK YOU THANK YOU.
THIS CHAIR MEMBERS BRIAN HOW THE
CALIFORNIA FACULTY ASSOCIATION
WE DON'T HAVE AN OFFICIAL
SUPPORT POSITION ON IT BUT I
WOULD BE RECOMMENDING A SUPPORT.
I ACTUALLY WORK IN THIS BILL AS
A YOUNG SENATOR JACK SCOTT
STAFFER BACK IN TWO THOUSAND
FOUR WE WERE THE FIRST TIME
AUTHOR TO CARRY THIS BILL SO.
THE FACT THAT WE'RE STILL TRYING
THIS IS A TRAVESTY I REALLY HOPE
THIS IS THE YEAR THAT WE GET
THIS THROUGH THANK YOU SO MUCH
THANK YOU. HELLO ALLEY SNYDER
MOTHER I SUPPORT THE BILL THANK
YOU. NICOLE ORNAMENT ON BEHALF
OF THE PARTNERSHIP AND SUPPORT.
THANK YOU. IS SHE A MOTHER OF
THREE IN SUPPORT OF THE BILL
THANK YOU THANK YOU. THE CALL
YOUNG MOTHER OF SIX I SUPPORT
THIS BILL THANK YOU. THANK YOU
VERY MUCH ALL THE WITNESSES AND
SUPPORT IS THEIR OPPOSITION TO
THE BILL. IN KNOWN OPENING BACK
TO THE COMMITTEE QUESTIONS OR
COMMENTS ANYONE DOCTOR WITH
DOCTOR DR WEBER. GOOD AFTERNOON
SENATOR THANK YOU VERY MUCH FOR
CARRYING THIS VERY IMPORTANT
BILL I WANNA GIVE A SPECIAL
SHOUT OUT TO MY COLLEAGUE AT
RADY CHILDREN'S DOCTOR CARBALLO.
AND I WOULD JUST LOVE AT THE
APPROPRIATE TIME TO BE ADDED AS
A CO AUTHOR THANK YOU THANK YOU
DR RUBBER. ABSOLUTELY ANYONE
ELSE. OKAY SO I'M FIRST I WANT
TO SAY THANK YOU CENTER MENJIVAR
FOR BRING IN THE BILL FORWARD-
IN MY TIME AS CHAIR. GOING BACK
TO TWENTY SIXTEEN. THIS IS NOW
THE FOURTH ATTEMPT- AND THE
PREVIOUS THREE TIMES I THINK WE
HAD UNANIMOUS SUPPORT ON THIS
AND IT ALWAYS GOT HUNG HIM UP
THE FIRST TWO TIMES GOT HUNG UP
IN APPROPRIATIONS ONCE IN THE
ASSEMBLY ONCE IN THE SENATE. AND
THEN AND AS YOU POINTED OUT IN
TWENTY NINETEEN. ASSEMBLY MEMBER
BLUM WHO WAS THE CHAMPION AND
ALL THREE OF THOSE CASES- THERE
WAS A DEAL STRUCK WITH THE
ADMINISTRATION. AND IT APPEARS
THAT WELL THAT IT'S NOT WORKING.
AND SO I APPLAUD YOU FOR
BRINGING THIS FORWARD AGAIN
LETTING US HAVE THIS POLICY
DISCUSSION- AND LETTING US TAKE
A VOTE ON THIS AND- I FULLY
SUPPORT WHAT YOU'RE DOING I
SUPPORTED THIS ALL ALONG AND-
WANT TO SEE THIS WANT TO SEE
THIS GET DONE- SO- WE DON'T HAVE
A QUORUM SO WE CAN'T. WE CAN'T
MAKE A MOTION ON THIS I KNOW
THAT'S PROBABLY CONFUSING TO THE
AUDIENCE WE HAVE TO HAVE. THAT
WE HAVE FIFTEEN MEMBERS WE HAVE
TO HAVE EIGHT HERE. SO THAT WE
CAN OFFICIALLY TAKE A MAKE A
MOTION AND A VOTE I APOLOGIZE
THAT WE DON'T HAVE THAT SO WE
COULD YOU COULD ACTUALLY SEE
THAT- IN PLAY. A BY I AM VERY
CONFIDENT THAT WHEN WE HAVE A
QUORUM THAT THIS WILL GET. A
VERY HIGH THRESHOLD VOTE AND
HOPEFULLY UNANIMOUS VOTE TO MOVE
ON TO ASSEMBLY APPROPRIATIONS. I
TOO WOULD LIKE TO BE ADDED AS A
CO AUTHOR IF YOU'LL HAVE ME.
ABSOLUTELY THANK YOU SO MUCH SO
WITH THAT WOULD YOU LIKE TO
CLOSE. AS SOME MEMBERS WE ALL WE
CAN ALL AGREE THAT THIS CURRENT
PROGRAM IS NOT WORKING- I THINK.
USUALLY I SAY THIRDS THE LUCKY
NUMBER BUT I'LL TAKE FOURTH AS
THE LUCKY NUMBER THIS TIME AND I
CAN FEEL THAT WE'LL GET IT ALL
THE WAY- I JUST WANNA GIVE A-
GREAT THANK YOU AS WELL TO THE
WITNESSES AND IF EVERYBODY WHO
CAME OUT. AND VOICE YOUR SUPPORT
WITH THAT WHEN APPROPRIATE
RESPECTFULLY ASK FOR NIVEAU.
THANK YOU VERY MUCH. ACTUALLY
IT'S MORE LIKE THE EIGHTH TIME.
FOURTH IN MY PRE. MY TEN YEAR-
BUT IS EIGHT TIMES AND- AND THIS
IS I JUST. I'M SHOCKED AND I AND
I RODE A MISTER HA. THAT WORKED
ON THIS GOES BACK BUT BECAUSE
BACK AWAY SO. WE ARE ONE TWO
THREE. WERE WON SHORT OF QUORUM
. I SHOULD BE REALLY NICE
ANOTHER ASSEMBLY MEMBER COULD
MAKE THEIR WAY DOWN HERE AND WE
COULD GET A QUORUM. BUT WITH
THAT WE WILL- WE WILL GO AHEAD
AND MOVE ON TO IT TO THE NEXT
THANK YOU. THANK YOU VERY MUCH
TO THE WITNESSES FOR COMING AND
ALL THE ALL THE SUPPORT. THANK
YOU. CHIGO ARM HE GOT THREE MORE
BILLS IT'S LIKE YOU CAN BE HERE
FOR HERE FOR AWHILE. TO GET
COMFORTABLE YOU GOT SOME WATER
YOU OKAY ANIMAL. ALL RIGHT YOU
NEED TO REFILL HIS LIFE NOW
OKAY. SO THE ITEM NUMBER TWO S.
B. ELEVEN.
PERFECT MAY PROCEED. ABSOLUTELY
. AGAIN THANK YOU SO MUCH
COMMITTEE STAFF. MISTER CHAIR
FOR WORKING WITH MY TEAM ON THIS
I WILL BE ACCEPTING THE
COMMITTEES TECHNICAL AMENDMENT
TO THIS BILL. WE'VE ALL HEARD
SINCE THE PANDEMIC- THAT OUR
MENTAL HEALTH ILLNESSES HAVE
INCREASED THE NEED FOR MENTAL
SERVICES AS A CREASED- IN TWENTY
TWENTY ONE THERE WAS A
DECLARATION OF EMERGENCY WITH
YOUTH MENTAL HEALTH IN THE CASES
WERE SEEN WITH ANXIETY
DEPRESSION AND SO FORTH I BIND
MY BACKGROUND IS IN SOCIAL WORK
I UNDERSTAND FIRSTHAND THE NEED.
TO BETTER REMOVED TO A REMOVE
BARRIERS TO MENTAL HEALTH ALSO
AS A SOCIAL WORKER I RECOGNIZE
THE HARDSHIP OF GOING THROUGH
BECOMING A SOCIAL WORKER TWO
YEARS OF UNPAID WORK IS A LOT TO
ASK FOR. AND EVERY SINGLE DAY
HERE IN MY SHORT SEVEN MONTHS
AND CONVERSATIONS WE HOW WE TALK
ABOUT THE WORK FOR SHORTAGE WE
TALK ABOUT THE NEED TO PUT
SOCIAL WORKERS EVERYWHERE IN OUR
E. OURS IN THE COMMUNITY CLINICS
IN OUR HOSPITALS AND OUR SCHOOLS
BUT WE'RE STILL HAVING A
BOTTLENECK ABOUT WORK FORCE SO
MY BILL. IS NOT TO SAY IT'S
GOING TO SOLVE THE ENTIRE
PROBLEM BUT IS ONE STEP CLOSER
TO ENSURE THAT WE'RE SUPPORTING.
THE WORK FORCE. WE'RE SEEING
UNFORTUNATELY THAT THAT CSU
SYSTEMS ARE NOT MAINTAINING
RECOMMENDED RATIO CURRENTLY THE
INTERNATIONAL ASSOCIATION OF
COUNSELING SERVICES RECOMMENDS
THE COLLEGES AND UNIVERSITIES
MAINTAIN A RATIO. OF ONE FULL
TIME MENTAL HEALTH PROFESSIONAL
TO EVERY A THOUSAND TO FIFTEEN
HUNDRED STUDENTS WHICH I'M
LOOKING TO CODIFY WITH THIS BILL
. ADDITIONALLY SB ELEVEN CREATES
THE CSU MENTAL HEALTH
PROFESSIONALS ACT I CAN MENTION
TO ENSURE THAT WE'RE PROVIDING
SOME IN FRONT ON FOUGHT SOME
FINANCIAL SUPPORT TO INDIVIDUALS
WHO WISH TO BE MENTAL THERAPIST.
AS WE'RE LOOKING TO EMBED THEM
IN ALMOST EVERY SINGLE THING WE
DO HERE IN THE STATE OF
CALIFORNIA. THE SHORT STOP IN A
MENTAL SERVICE PROVIDERS AT THIS
YEAR'S US LED TO WAIT TIMES OF
STUDENTS SEEN. UP TO FOUR TO
EIGHT WEEKS. I WAS A STUDENT
BEFORE. AND WHEN I WENT INTO AN
INTAKE- I WAS HAVING A VERY
DIFFICULT TIME I DID MY INTAKE
AND I WAS TOLD I COULDN'T COME
BACK IN THREE MONTHS. FOR AN
APPOINTMENT I LEFT THERE WHAT
WITH THE TERM IT'S CALLED
FLOODED. FELT FLOODED BECAUSE I
WAS TOLD TO RELEASE ALL THE
THINGS THAT I WANTED TO SEEK
MENTAL HEALTH FOR. BUT WAS NOT
ABLE TO GET AN APPOINTMENT
SHORTLY AFTER TO REALLY DIVE
INTO IT. IN THAT MOMENT I FELT
THAT I DIDN'T WANT TO COME BACK
TO SIX SERVICES MAYBE I'D FIGURE
OUT ON MY OWN TO DEAL WITH THE
ISSUES THAT I WAS GOING THROUGH.
THAT'S A SITUATION THAT SO MANY
OF OUR STUDENTS ARE GOING
THROUGH. AND FOR ME I WAS ABLE
TO TURN TO MIGHT BE A HEALTHCARE
SERVICE TO GET A MENTAL HEALTH
APPOINTMENT SOONER THAN WHAT MY
SCHOOL WAS OFFERING ME NOT
EVERYONE HAS THAT OPPORTUNITY.
WE'RE CALLING FOR SOCIAL WORKERS
AND OTHER MENTAL HEALTH
PROFESSIONALS TO BE AT EVERY
SPACE SPARE FOR WE NEED TO
INVEST IN THIS WORK FORCE WERE
ASKING FOR THIS RACIAL BECAUSE
RIGHT NOW WHAT WE'RE SEEING IN
MOST CITIES USE FOR EXAMPLES. IS
IN ON. APPROACH IS AS A RATIO
THAT IS UNACCEPTABLE. CSULA HAS
A RATIO OF A THOUSAND- I
APOLOGIZE. SEE SOME OF THE REACH
OF A THOUGHT ONE TWO THOUSAND
EIGHT HUNDRED NINETY ONE. CSU
DOMINGUEZ HILLS AND SINCE YOU
SON MARCUS AND MARCUS IS A
THOUSAND NINE HUNDRED TWENTY
FOUR. SAN FRANCISCO HAS A RACIAL
ONE FOUR THOUSAND EIGHT HUNDRED
NINETY SEVEN. FULLER TEMP SIMILE
A THOUSAND TO ONE HUNDRED A
1-210-008-0090 TWO. THESE ARE
THE NUMBERS THAT WE NEED TO
ENSURE THAT WE'RE ADDRESSING.
WITHOUT MISTER CHAD LIKE TO TURN
TO MY TO WHEN THIS ISN'T SUPPORT
I HAVE CAR LUCK. THE CANCER AT
THAT STAGE IN KIMBERLY
ROSENBERGER SENIOR. GOVERNMENT
NATION'S. ADVOCATE HELLO
SENATORS THANK YOU FOR HEARING
THIS ABOUT THIS BILL MY NAME IS
CARLA CASTILLO. AND I'M SPEAKING
TO YOU ON BEHALF OF THE
CALIFORNIA FACULTY ASSOCIATION
THE COUNSELORS COMMITTEE. I'M IN
SUPPORT OF S. B. ELEVEN. AND TO
SUPPORT THE TWO HUNDRED AND
SEVENTY. MENTAL HEALTH
COUNSELORS WITHIN THE CALIFORNIA
STATE SYSTEM. I HAVE BEEN
WORKING AT SAN FRANCISCO STATE
FOR SEVENTEEN YEARS I AM A
TENURED CANCER FACULTY PROVIDING
MENTAL HEALTH SERVICES TO
STUDENTS ON MY CAMPUS. I ALSO
SERVE ON THE CFA COUNSELORS
COMMITTEE AND I DO MY BEST TO
REPRESENT MENTAL HEALTH
COUNSELOR STATEWIDE. I HAVE THE
PLEASURE OF MEETING REGULARLY
WITH CANCER COLLEAGUES FROM
ACROSS THE CSU SYSTEM AND ONE
THING I CAN SAY ABOUT A MENTAL
HEALTH COUNSELORS IS THAT THEY
ARE THE MOST EMPATHETIC.
HARDWORKING AND DEDICATED
PROFESSIONALS WE ALL WORK REALLY
HARD TO HOPE COLLEGE STUDENTS
GET THROUGH HARD TIMES AND WE
OFTEN ENGAGING CRITICAL AND-
VERY MUCH LIFESAVING WORK. MANY
OF US GO ABOVE AND BEYOND OUR
ASSIGNED ROLES TO MEET STUDENT
NEEDS I FOR EXAMPLE STARTED A
SCHOLARSHIP ABOUT LIVING YEARS
AGO FOR UNDOCUMENTED STUDENTS
AND I FUND RAISE EVERY YEAR- BY
SWIMMING FROM ALCATRAZ TO RAISE
SCHOLARSHIP FUNDS. SO MANY OF MY
COLLEAGUES STATEWIDE ALSO DO
AMAZING WORK EXTRA PROJECT ON
PROJECTS ON THEIR RESPECTIVE
CAMPUSES. WE DO SO BECAUSE WE
WANT OUR STUDENTS TO BE WELL
MENTALLY PHYSICALLY EMOTIONALLY
SO THEY COULD SUCCEED IN THEIR
EFFORTS TO COMPLETE THEIR DEGREE
. IN MY SEVENTEEN YEARS WITHIN
THE CSU SYSTEM I HAVE SEEN SOME
WORRISOME TRENDS DEVELOP.
STUDENT MENTAL HEALTH IS
DECLINING AND COUNSELORS ARE
ASKED TO DO TO SEE MORE STUDENTS
AND SEE THEM WITH WITHIN LESS
SESSIONS. I'VE ALSO SEEN THE
TRENDS OF ELIMINATING PERMANENT
COUNSELOR POSITIONS TENURE TRACK
POSITIONS AND REPLACING THEM
WITH COUNSELORS WORKING ON
TEMPORARY APPOINTMENTS YOUR TWO
YEAR CONTRACTS WITH LESS PAY. MY
COLLEAGUES ARE BECOMING TIRED
AND BURNT OUT TRYING TO HELP
MEET THE NEEDS OF STUDENTS
WITHIN A SYSTEM THAT IS BECOMING
LESS AND LESS SUPPORTIVE OF
COUNSELORS AND THE WORK THAT WE
DO. THE WORST PART IS SEEN GOOD
COUNSELORS LEAD THE CSU FOR A
MORE REASONABLE WORKLOAD BETTER
PAY AND MORE JOB SECURITY
ELSEWHERE ARE COUNSELING CENTERS
ARE LEFT WITH LESS CANCERS IN
THE ONES THAT STAY HAVE A BIGGER
WORKLOAD. WHILE IT WON'T SOLVE
EVERYTHING SB ELEVEN WILL HELP
ADDRESS THESE PROBLEMS OVER HALF
OF THE CAMPUSES IN THE CSU TO
NOT MEET THE FIFTEEN HUNDRED TWO
ONE FACULTY TO SEE. US STUDENT
RATIO REQUIRED IN S. B. ELEVEN
THIS HELP THIS BILL WILL HELP
INCREASE ACCESS TO MENTAL HEALTH
COUNSELORS IN THE CSU AND HELP
SUPPORT STUDENTS SUCCEED IN
COLLEGE. S. B. ELEVEN WILL
CREATE NEW INCENTIVES AND
FUNDING FOR STUDENTS WHO WANT TO
DEVELOP A CAREER IN MENTAL
HEALTH. CALIFORNIA NEEDS GREATER
ACCESS TO MENTAL HEALTH
PROFESSIONALS I URGE YOU TO VOTE
YES ON SB ELEVEN THANK YOU.
THANK YOU. THANK YOU GOOD
AFTERNOON MR CHAIRMAN BIRDS-
COMMITTEE ROSENBERGER WITH SEIU
CALIFORNIA. WILL NOT AS HISTORIC
AS YOUR PREVIOUS BILL THIS IS A
BILL THAT WE HAVE BROUGHT FOR A
NUMBER OF YEARS AND IN THAT TIME
WE WERE URGING TO PUT THIS FLOOR
IN. WE HAVE SINCE FACED A
PANDEMIC SO THE- THE URGENCY IS
ONLY INCREASED- WE RECOGNIZE THE
NEED WE THINK WE WERE NOT JUST
COMING TO YOU TODAY THOUGH WITH
A PROBLEM SAYING WE NEED THIS
RATIO WERE ALSO TRYING TO BRING
A SOLUTION WITH THE INTERNSHIP.
BECAUSE WHAT'S IMPORTANT ABOUT
THE STUDENTS THAT ARE GOING TO
BE THIS MENTAL HEALTH COUNSELORS
IS THERE STILL CURRENTLY CSU
STUDENTS AND CSU STUDENTS ARE
TWICE AS LIKELY TO BE HOMELESS
THAN UC STUDENTS YES USE
CORNERSTONE IS THAT THEY SERVE
FIRST GENERATION. WE KNOW THAT
THIS IS A POPULATION THAT NEEDS
SOMETIMES ADDITIONAL SUPPORT AND
RESOURCES AND SO WHILE WE'RE
TRYING TO PROVIDE FOR THAT ON
THE END OF ENSURING THERE'S
ENOUGH MENTAL HEALTH COUNSELORS.
ALSO TRYING TO MAKE SURE THAT
THOSE THAT ARE INTERESTED IN
GOING INTO THE FIELD ARE
SUPPORTED AND ENCOURAGED TO GIVE
BACK TO THE COMMUNITY THAT
SUPPORTED THEM- I'LL KEEP MY CAN
COMMENTS BRIEF BUT BE AVAILABLE
FOR TECHNICAL COMMENT. I JUST
REALLY WANT TO EMPHASIZE THAT
THE IMPORTANCE IS ONLY GROWING
AND THE NEED FOR MENTAL HEALTH
SERVICES. IN A TIMELY FASHION AT
THE CSU. AS NOTED THERE
IMPROVING THINGS. BUT THE DELAY
IS TOO LONG AND WE NEED TO ADD
SOME URGENCY TO IT WHICH IS WHY
WE STRONGLY SUPPORT AND SPONSOR
THIS. THANK YOU ONLY- DR- THANK
YOU WE ONLY HAVE TWO WITNESSES
FIND OKAY- CATCHES UP HAD SIR.
SUPPORT OKAY OKAY THANK YOU. WE
DO HAVE A QUORUM SO I'M GONNA
STOP AND TAKE ROLE BECAUSE IT'S
REALLY COOL THAT WE HAVE. QUORUM
RIGHT NOW. PLEASE CALL THE-
MEMBERS TO ORDER. WOOD HERE
WALDRON. AGUIAR-CURRY
AGUIAR-CURRY HERE. ARAMBULA
FAMILY HERE. WERNER WERNER HERE.
WENDY CARILLO. LARA FLOOR HERE
MISS FONG. MAIENSCHEIN MCCARTY.
YEAH PATTERSON. RODRIGUEZ
SANTIAGO. SANTIAGO HERE. WHAT
WEBER. WEBER HERE. SO WE DO HAVE
A QUORUM AND A MOTION BY. DOCTOR
REGULUS SECOND BY MISS BERNARD
PLEASE. THANK YOU SO- OTHERS IN
SUPPORT OF THE BILL. PERSECUTORS
HERE ON BEHALF OF THE CALIFORNIA
STATE ASSOCIATION PSYCHIATRIST
IN SUPPORT. THANK YOU. REBECA
GONZALEZ NATIONALIZATION OF
SOCIAL WORKERS CALIFORNIA
CHAPTER WE REPRESENT
PROFESSIONAL SOCIAL WORKERS AND
ALSO SOCIAL WORK STUDENTS AND
WE'RE VERY STRONGLY IN SUPPORT
OF THIS BILL THANK YOU.
AFTERNOON MISTER CHAIRMAN BIRDS
A LITHIUM ON BEHALF OF THE CSU
EMPLOYEES UNION AND STRONG
SUPPORT THANK YOU THANK YOU.
WELL TURN MEMBERS AND I'M NOT
THESE OF THE FACULTY ASSOCIATION
OF THE CALIFORNIA COMMUNITY
COLLEGES AND SUPPORT THANK YOU.
YEAH. JERRY MEMBERS MY NAME IS
YOUSSEF MILLER I'M WITH CLEANER
THREE KIDS IN THE NORTH COUNTY
EQUITY AND JUSTICE COALITION FOR
SUPPORT. THANK YOU. WELL SIMMONS
WITH THE DEPRESSION BIPOLAR
SUPPORT ALLIANCE OF CALIFORNIA
IS SUPPORTED LIKE TO THANK THE
AUTHOR FOR WORKING. THANK YOU.
THE BALL ARE LOCAL EIGHTEEN IBEW
MEMBER IN SUPPORT THANK YOU.
WELL AS THEIR OPPOSITION TO THE
BILL. YOU COME UP TO THE TABLE
IF YOU LIKE.
THEY PUSH THE BUTTON PLEASE.
THAT WOULD BE A GOOD PLACE TO
START. HI GOOD AFTERNOON A
MAGGIE WHITE THE CALIFORNIA
STATE UNIVERSITY I WE HAVE AN
OPPOSE UNLESS AMENDED POSITION
ON THE BILL WE'D LIKE TO THANK
THE AUTHORS OFFICE SINCERELY
WE'VE HAD SEVERAL PRODUCTIVE
CONVERSATIONS ABOUT THE MENTAL
HEALTH PROFESSIONALS ACT AND HOW
IT WOULD BE IMPLEMENTED. I WERE
VERY ENTHUSIASTIC ABOUT ANYTHING
THAT WOULD ENCOURAGE FOLKS TO
PURSUE THIS CAREER PATH AS A WAY
OF ADDRESSING THE SUPPLY SIDE OF
THE SUPPLY AND DEMAND ISSUE WE
OFTEN FACE WHEN HIRING
COUNSELORS FOR CAMP SAYS. I WE
DO REMAIN OPPOSED TO THE RATIO
REQUIREMENT IN THE BILL THERE
ARE FEW REASONS FOR THAT. I WON
WE BELIEVE FUNDAMENTALLY THAT
CAMPUS IS STAFFING AND BUDGET
DECISION SHOULD BE LEFT OR BOARD
OF TRUSTEES. I WE SEE THIS AS AN
UNFUNDED MANDATE THAT WOULD COST
AT LEAST EIGHT MILLION DOLLARS
PER YEAR AND GROWING. AT THIRDLY
WE BELIEVE THAT THE NATIONAL
STANDARD IS MOVING AWAY FROM A
RATIO RECOMMENDATION I TOWARD A
MORE NUANCED MEASURE CALLED THE
CLINICAL LOAD INDEX THAT WOULD
TAKE SEVERAL FACTORS INCLUDING
UTILIZATION BY STUDENTS INTO
ACCOUNT WHEN DETERMINING
APPROPRIATE STAFFING LEVELS I
JUST A QUICK EXAMPLE DESPITE
GREAT EFFORTS TO ENCOURAGE
STUDENTS TO SEEK CARE ON CAMPUS.
I ONE OF OUR LARGEST CAMPUSES
SACRAMENTO STATE ONLY ABOUT FOUR
AND A HALF PERCENT OF STUDENTS
EVEN MAKE CONTACT WITH THE
MENTAL HEALTH COUNSELING OFFICE
EACH SEMESTER. I WOULD NOTE THAT
MANY OF OUR STUDENTS ALSO DO YOU
HAVE HEALTH INSURANCE MAY BE
SEEKING SERVICES OFF CAMPUS THEY
MAY ALREADY BE DIALED IN WITH A
PRIVATE PROVIDER. I WOULD ALSO
NOTE THAT OUR AVERAGE WAIT TIME
FOR NON CRISIS APPOINTMENT. AND
I WANT TO MAKE A SPECIAL POINT
THAT STUDENTS AND CRISIS ARE
SEEN ON THE SAME DAY WE TAKE
THAT EXTREMELY SERIOUSLY. UP
OVER STUDENTS WHO WANT TO
COMMANDED TO START SEEING
SOMEONE TWICE A MONTH AND WHEN
CASEY SOMEONE WE HAVE AN AVERAGE
WAIT TIME OF ONE TO TWO WEEKS.
EVEN IN CAMPUS AS WELL WE DO
HAVE THOSE LARGER RATIOS ARE
BIGGER CAMPUSES LIKE CAL STATE
LA. I WE COMPLETELY AGREE WITH
THE AUTHOR AND THE SPONSORS THAT
TWO TO THREE MONTH WAIT TIMES
ARE ABSOLUTELY UNACCEPTABLE. I'D
LIKE TO BE VERY CLEAR THAT WE
AREN'T SATISFIED WITH BEING
STAGNANT BUT THE CARE WE'RE
PROVIDING. A WE HAVE DECREASED
OUR RATIO BY 30% OVER THE PAST
FOUR YEARS. AND WE DON'T INTEND
TO STOP THAT PROGRESS BUT WE DO
NOT BELIEVE THAT THIS RATIO
SHOULD BE MANDATED BY THE STATE.
PARTICULARLY WHEN WE ARE MAKING
PROGRESS THANK YOU FOR YOUR TIME
. THANK YOU VERY MUCH ARE THERE
OTHERS IN OPPOSITION. A. C.
KNOWN BRING IT BACK TO THE
COMMITTEE ANY QUESTIONS OR
COMMENTS FROM THE COMMITTEE. A
DOCTOR AND A DOCTOR EXCUSE ME.
DR WEBER. FLOOD DOCTORS ON THIS
COMMITTEE THERE'S A LICENCES
SENTENCE. MY BAD. THANK YOU
SENATOR ONCE AGAIN FOR
INTRODUCING THAT SPELL. I'M AND
I DO HAVE A QUESTION JUST TO
KIND OF PIGGYBACK OFF OF
SOMETHING THAT THE OPPOSITION
SAID. AS FAR AS THE METRICS THAT
ARE USED- THE ONE TWO I FIFTEEN
HUNDRED STUDENTS VERSES
UTILIZING THE CLINICAL LOAD
INDEX OR- HAVING SOMETHING IN
THE BILL. THAT WOULD ALLOW FOR
FLEXIBILITY IF IT LOOKS LIKE THE
CLINICAL LOAD INDEX IS A BETTER-
INDICATOR FOR- FOR THE PROVIDERS
AND FOR THE PATIENCE I NEED TO
STUDENTS. THEY'RE SERVING- THAT
WOULD NECESSARILY REQUIRE
ANOTHER BILL TO COME BACK AND
CHANGE IT. I DON'T KNOW IF YOU
HAD. THOUGHT ABOUT THAT ARE BEEN
IN ANY DISCUSSIONS I HAVE
THOUGHT ABOUT THIS YOU KNOW YOU
HEARD FROM ONE OF MY WITNESSES
THAT THIS IS NOT THE FIRST
ATTEMPT OF THIS YOU KNOW IT'S-
BEEN GONE FOR A COUPLE OF YEARS
AND NOTHING HAS HAPPENED WE'VE
SEEN NO CHANGE FROM THE CSU. CLI
INDEX THE WAY I'M LOOKING AT IS
THE WAY TO PROVIDE ADEQUATE CARE
AND QUALITY CARE VERSES THE
AMOUNT OF CLINICIANS A LOT OF OR
THE AMOUNT OF CLINICIANS ON
CAMPUSES. SO WHILE I DO
RECOGNIZE THE SEAL I SHOULD BE
TAKEN INTO ACCOUNT WHEN
ADDRESSING THE NEED OF MENTAL
HEALTH SERVICES BUT I THINK THAT
DEALS WITH MORE OF THE QUALITY
OF CARE. IN THE ACTUAL NEEDS OF
THE CAMPUS VERSUS. THE MENTAL
HEALTH NEEDS VERSUS ACTUAL RATIO
OF THE CAMPUS ADDITIONALLY I
WILL NOTE- THE FIRST TIME THAT
THE CLI WAS INTRODUCED WAS IN
TWENTY EIGHTEEN WHEN SURVEYS OF
MENTAL HEALTH WERE NO WORK
COMPARED COMPARABLE TO WHAT
WE'VE SEEN IN MENTAL HEALTH
RATES RIGHT NOW. SO I WOULD SAY
THAT WE SHOULD TAKE THAT INTO
CONSIDERATION ONE OF THE MOST
RECENT REPORTS IN TWENTY TWENTY
ONE CAME OUT OF A SEAL YOU
CALIFORNIA'S ACTION WITH THE CSU
CENTER TO CLOSE THE OPPORTUNITY
GAP TO THE AND RELEASED. AND IN
THE REPORT THAT SAID THAT
STUDENTS 83% OF THE STUDENTS
SURVEYED SAW NO CHANGE. POST
PANDEMIC TO ADDRESS THE INCREASE
OF MENTAL HEALTH NEEDS. SO TO I
WOULD SAY THAT. WITH SOME TIME.
ANY MAN WITHOUT ANY RACIAL
MANDATE IN THE CEASE USE OF
STILL YET TO ADDRESS. THE NEEDS
OF THE STUDENTS SO I HAVE TAKEN
INTO CONSIDERATION SO VERY SORRY
ABOUT THAT BUT STILL YET FEEL
STRONGLY. THAT THIS IS THE
APPROACH THAT NEEDS TO BE TAKEN.
THANK YOU SO MUCH AND I THINK I
WAS ASKING. I'M BECAUSE OF THE
FACT THAT WE ARE SEEING A
SIGNIFICANT SPIKE IN OUR MENTAL.
NEEDS OF OUR STUDENTS- AND ALSO
THE SEVERITY OF IT SO. THERE MAY
BE A SITUATION AT A COLLEGE
CAMPUS WHERE. A ONE TO FIFTEEN
HUNDRED TUNE RATIO IS JUST TOO
MUCH BECAUSE OF THE- AMOUNT OF
CLINICAL SEVERITY THAT THAT
PARTICULAR THERAPIST IS HAVING
AND SO THE ABILITY TO. TO LOOK
AT THAT AND SAY OKAY WE ACTUALLY
PROBABLY NEED TO DECREASE IT-
FOR OUR CAMPUS. NOT NECESSARILY
BECAUSE PEOPLE MAY NOT
NECESSARILY BE TAKING ADVANTAGE
OF THE SERVICE BUT- IT MAY BE TO
THE POINT WHERE. I'M THE
SEVERITY OF THE PATIENTS OR THE
STUDENTS. THAT ARE COMING
THROUGH REQUIRE SO MUCH MORE
TIME ENERGY AND EFFORT OF OUR
MENTAL. THERAPIST THAT THEY
ACTUALLY NEED A SMALLER RATIO SO
THAT'S WHAT I WAS ASKING THAT'S
WHY I WAS ASKING QUESTIONS.
THANK YOU THE. WE ENCOURAGE UP.
I THINK I'M JUST YEAH WE
ENCOURAGE THEM TO REDUCE THE
NUMBERS. FURTHER WE'RE WE'RE
JUST TRYING IT'S 1-210-002-1215
HUNDRED SO WE ARE ALREADY ON THE
HIGHER AND I WOULD RECOMMEND.
THAT THOSE NUMBERS BE TARGETED
AT THE LOWER END AND JUST TO
CIRCLE BACK TO THE EARLIER POINT
WHICH I THINK THE AUTHOR. I JUST
PERFECTLY I DO JUST WANT TO ADD
ON THAT THESE KIND WORK IN
TANDEM SO WE'RE NOT OPPOSED TO
IT. IT AS AS- WITH HIGHLIGHTED
IT'S- QUALITY VERSUS QUANTITY
BUT RIGHT NOW WE'RE AT A
QUANTITY ISSUE THAT NEEDS TO BE
ADDRESSED BEFORE WE CAN EVEN
SEE. YOU KNOW THE LIGHT THROUGH
THE TREES. THANK YOU. OKAY THIS
REGARD. YES I THINK YOU- YOU
KNOW SENATOR BUT BEFORE THAT
PANDEMIC. THIS WAS A HUGE ISSUE
AND I HAD BILLS ON THE MONEY
SIDE ON AT CSU A QUESTION-
TRYING TO REDIRECT MONEY FROM
PROP SIXTY THREE THE MENTAL
HEALTH SERVICES ACT TO. FIT A
MENTAL HEALTH- A COUPLE YEARS
LATER WE DID PUT ONGOING MONEY
IN THE BUDGET WHICH I'LL GET TO
IN A SECOND. BUT EVEN BEFORE THE
PANDEMIC YOU KNOW THE NUMBER ONE
CAUSE OF DEATH FOR YOUNG PEOPLE
BECAUSE OF SUICIDE AND- YOU KNOW
HAVING TO. WAIT MONTHS WHEN YOU
HAVE AN ELEMENT WE HAVE A BROKEN
ANKLE. YOU'D PROBABLY GO SEE
SOMEONE RIGHT AWAY. THE CRISIS
YOU CAN'T I WANNA SEE SOMEBODY
COME BACK IN SIX WEEKS. REALLY
WORK THAT WAY. THAT BEING SAID I
SEE AN ANALYST AS A THIS IS THE
POLICY BILL WILL OF COURSE GO
THROUGH THE APPROPRIATIONS
PROCESS UP. IT SAYS HERE THAT
THE COST HERE IS. UNDER THIS-
AND IT MANDATES REQUIREMENT.
THAT WOULD BE. LESS THAN TEN
MILLION DOLLARS THAT ACCURATE TO
SEE IF YOU AND THEN. I GUESS THE
FLIP IS THAT. THE ONGOING MONEY
WE PUT TO THE SYSTEM IN THE
BUDGET IS WET WAY MORE THAN THAT
SO. WHY IS THAT NOT. SUFFICIENT
TO ADDRESS WHAT WE'RE TRYING TO
ACCOMPLISH HERE. I WILL GET THIS
DOWN THANK YOU FOR THE QUESTION
SIR. I ABSOLUTELY SEE WHERE
YOU'RE GOING SO THAT FIFTEEN
MILLION DOLLARS ON GOING IN THE
BUDGET IS THE REASON WE'VE BEEN
ABLE TO DECREASE OUR RATIO BY
30% OVER THE PAST FEW YEARS.
THAT IS BEING FULLY UTILIZED BY
OUR CAMPUSES WERE VERY GRATEFUL
FOR IT ABSOLUTELY MAKING A
DIFFERENCE ON OUR CAMPUSES. THE
EIGHT MILLION DOLLAR NUMBER IS
ONE THAT WE'VE CALCULATED BASED
ON OUR CURRENT POPULATION TO GET
THAT ONE TO FIFTEEN HUNDRED
NUMBER. AT THE AYE I BELIEVE
THERE EIGHT CAMPS IS OFF THE TOP
OF MY HEAD THAT ARE ABOVE THAT
FIFTEEN HUNDRED RATIO. OF NOT
MORE THAN FIFTEEN KNOWINGLY PUT
IN THERE THE RATIO WAS LIKE ONE
TO THREE THOUSAND OR SOMETHING I
THINK ONE TO TWENTY ONE FORTY
SIX AND TWENTY NINETEEN IT WAS
IT WAS OVER TWO THOUSAND MORE
NOW DOWN SYSTEM WIDE AVERAGE.
ONE COUNSELOR PER FIFTEEN
HUNDRED AND SEVENTY SIX
STUDENTS. SO WE WOULD NEED TO
HIRE. I THINK IT'S FIFTY SEVEN
COUNCILLORS AT A COST OF EIGHT
MILLION PER YEAR INCLUDING
BENEFITS OKAY. THEN HOW WOULD WE
ATTEMPT TO. ON THIS. YOU TO
PARTS FOR THE WORK FORCE PLACE-
WORKFORCE PORTION OF THE BILL
IS. MY TEAM HAS BEEN HAVING
CONVERSATION WITH H. CAUGHT- TO
FIND EXISTING PARTS THERE ARE TO
BE ABLE TO EMBED THIS UNDER AND-
WE'VE BEEN HAVING. A GREAT
CONVERSATIONS WITH EIGHT H. KIND
I KNOW THEY ARE. THEY
DEMONSTRATED THAT WORK TO
ENSURE. THAT FUNDING IS
AVAILABLE FOR THE PROGRAM. WE
BELIEVE THAT THE FIFTEEN MILLION
AND FUNDING AND I WAS JUST
RECENTLY LOOKING AT THE MOST
REPORT AFTER GIVE. SEATS USE
HAVE TO PROVIDE AN ANNUAL REPORT
OF HOW THAT FUNDING IS BEING
GENERALIZED. OF EACH CAMPUS IS
SUFFICIENT TO COVER. TO COVER
THIS- WE DO RECOGNIZE THERE ARE.
OPENINGS AT DIFFERENT CSU HIRING
MENTAL THERAPIST. I BELIEVE THIS
COULD GO IN TANDEM TO FURTHER
INCENTIVIZE UP FOR THE
RECRUITMENTS TO FILL THOSE SLOTS
. ANYONE ELSE. SEE NO ONE- THE
BILL DOES ENJOY DO PASS
RECOMMENDATION SENATOR- WOULD
YOU LIKE TO CLOSE. THANK YOU SO
MUCH FOR ENGAGE ME ON THIS
CONVERSATION YOU KNOW. I SAID IN
THE BEGINNING THIS IS IN THE AND
ALL THIS IS NOT GOING TO SOLVE
THE ENTIRE PROBLEM THIS IS A
STEP FORWARD TO ENSURE THAT
WE'RE INCENTIVIZE THE NETWORK
FORCE. THAT IS DESPERATELY
NEEDED IN THE STATE OF
CALIFORNIA WE'RE ALSO PROVIDING
THE SUPPORT TO THE HELPERS WHO
HELP OTHERS CORRECT AND ALSO TO
THE STUDENTS WHO GO I'M RIGHT
NOW AT THIS TIME ARE GOING TO
SCHOOL WORKING FULL TIME
INTERNSHIP UNPAID- THIS IS. I
THINK IT'S APPROPRIATE NOW TO
ENSURE WE'RE INVESTING IN THAT
GENERATION WORKFORCE WITH THAT
RESPECT ME ASPIRIN AYE VOTE.
THANK YOU VERY MUCH SENATOR- WE
HAVE A MOTION BY DOCTOR ARAMBULA
A SECOND BY MISS BURNER. MOTION
IS TO PASS AS AMENDED TO
APPROPRIATIONS MADAM SECRETARY
PLEASE CALL THE ROLL WHAT I
WOULD AYE WALDRON. WALDRON AYE
AGUIAR-CURRY. AGUIAR-CURRY AYE
ARAMBULA. BURNER WENDY CARILLO.
LARA VINCE FONG. MAIENSCHEIN
MCCARTY. MCCARTY I. FEEL
PATTERSON. RODRIGUEZ SANTIAGO IT
WOULD WHAT. YOU PUT WHAT I
WEBER. WEBER I. YOU HAVE SIX
VOTES WILL LEAVE THE BILL ON
CALL. AT SO WE MOVE ON TO NEXT
BILL WHY WE'RE DOING WHAT WE'RE
WAITING FOR A SHIFT IN YOUR IN
YOUR- WITNESSES- I'M GONNA ASK A
FORUM IT. WOULD BE COMMUNITY IN
MOTION FOR I REMEMBER ONE SB SIX
THIRTY FIVE. SO MOTION BY. MISS
AGUIAR-CURRY THE SECOND BY
DOCTOR WEBER A MOTION IS- DO
PASS THAT. AS A AS AMENDED TO
APPROPRIATIONS BENEFACTOR PLEASE
CALL THE ROLL. WHEN I WOULD I
WALDRON WALDRON AYE AGUIAR-CURRY
AGUIAR-CURRY AYE ARAMBULA BURNER
WENDY CARILLO FLORA AND FONG
MAIENSCHEIN MCCARTY. MCCARTY AYE
THE PATTERSON RODRIGUEZ SANTIAGO
IT WOULD WHAT YOU PUT Y. WEBER.
WEBER I. SIX MONTHS AND THEN
WE'LL DO THIS REALLY QUICKLY THE
CONSENT CALENDAR ITEM NUMBER
EIGHT SB TEN MOTION BY A MISS-
MISS AGUIAR-CURRY. SECOND.
SECOND BY MISS WALDRON ON THE
CONSENT CALENDAR I REMEMBER
EIGHT S. B. TEN BY A CENTER
CORTESE ITEM NUMBER NINE S. B.
TWO EIGHTY TWO BY SENATOR
EGGMAN. NUMBER TEN S. B. EIGHT
NINETEEN BY SENATOR EGGMAN I'VE
NUMBER FIFTEEN SB FIVE NINETY
FIVE BY SENATOR ROTH AND ITEM
NUMBER SIXTEEN SB SIXTY SEVEN BY
SENATOR SAY ARE CHOKED OUT OF
SECTOR PLEASE CALL THE ROLL. I
WOULD I WOULD I WALDRON WALDRON
AYE AGUIAR-CURRY AGUIAR-CURRY I
AROUND WERNER WENDY CARILLO LARA
VINCE FONG MAIN. MCCARTY MCCARTY
HI JAPAN. RODRIGUEZ SANTIAGO
YUBA YUBA I WEBER. WEBER I. AT
SIX ALSO SO OKAY NOW WE ARE ALL
CAUGHT UP AND IT'S A GOOD
FEELING SO- PLEASE GO AHEAD AND
PICK THANK YOU MISTER CHAIR.
COMMITTEE MEMBERS MY THIRD BILL
THAT YOU'LL BE HEARING THAT
YOU'RE ABOUT TO HEAR RIGHT NOW
IS TO DEAL WITH AND S. CI A
POTOM MAKE WHERE OR SEEN IN THE
STATE OF CALIFORNIA AND HONESTLY
NATIONWIDE. RIGHT NOW WE'RE SEEN
YOU ESPECIALLY YOUTH OF COLOR
ARE DISPROPORTIONATELY BEING
REPRESENTED OF THOSE WHO HAVE AN
ISSUE. RIGHT NOW ALL YOU WITH-
AIR TEH INDIVIDUALS A MAKE UP
ABOUT 50% OF INDIVIDUALS WITH S.
YACHT MY BILL IS LOOKING TO
ADDRESS THAT REMOVE BARRIERS FOR
INDIVIDUALS HIGH SCHOOL
INDIVIDUALS TO- OBTAIN THAT
CONDOMS AND TO MAKE IT. EASIER
TO OBTAIN THE HPV VACCINE SHOULD
YOU WISH TO SPECIFICALLY THIS
WILL BOIL EXPAND ACCESS TO
CONDOMS THAT ARE BY REQUIRING
PUBLIC AND CHARTER HIGH SCHOOLS
TO MAKE CONDOMS WE DIDN'T
READILY AVAILABLE. FOR STUDENTS
FOR FREE. BAR HIGH SCHOOLS FROM
PROHIBITING CONDOM DISTRIBUTION
IN THE CONTEXT OF AN EDUCATIONAL
OR PUBLIC HEALTH PROGRAM FOR
EXAMPLE SEX EDUCATION OR A
COMMUNITY PARTNER THAT COMES
INTO THE- CLASS ON TO THE SCORE
TO PUT ON A HEALTH FAIR. IT
WOULD PROHIBIT PHARMACIES ARE
RETAILERS FROM ASKING PROOF OF
H. REQUESTING AN ID WHEN
INDIVIDUAL WANTS TO PURCHASE
CONDOMS THERE IS NO STATE LAW
RIGHT NOW THAT REQUIRES- PROOF
OF BEING EIGHTEEN YEARS OLD TO
PURCHASE THESE ITEMS BUT IT'S
HAPPENING. AND FINALLY WE WANT
ENSURE THERE IS A NO WRONG DOOR
FOR THE HPV VACCINE AND WERE
REQUIRING ASKING TO REQUIRED
FAMILY PACK PROGRAMS TO COVER
VACCINES HPV VACCINE FOR YOUNG
INDIVIDUALS AGES TWELVE TO
EIGHTEEN GIVING THAT THIS IS THE
LEADING STI. I CAN MENTION WE'RE
EXPERIENCING A PUBLIC HEALTH
CRISIS OF SCI'S AND YOUTH ARE
DISPROPORTIONATELY IMPACTED IN
THIS WE NEED THE END OF THE
YOUTH SHOULD THEY MAKE THAT
DECISION DECISION. TO BE
PREPARED AND READY WITH
PREVENTION TOOLS WHEN THEY ARE
SEXUALLY ACTIVE. TEENS ARE BEING
LIKE I'M LIKE A BRIEFLY ALLUDED
TO WHEN LOOKING TO PURCHASE
CONDOMS ARE BEING ASKED TO
PROVIDE PROOF THAT THEIR
EIGHTEEN. BEAN SENT AWAY NOW
THIS ISN'T DETERRING THEM FROM
PRACTICING SEX THIS IS ACTUALLY-
PUSHING THEM TO PRACTICE UNSAFE
SEX. AND WHEN SOMEONE MAKES THE
PERSONAL DECISION TO BE SEXUALLY
ENGAGE WE WANT THEM TO BE
PREPARED WITH ALL THE TOOLS
NECESSARY TO PROTECT THEMSELVES.
I AM PROUD TO HAVE THIS BILL BE
A YOUTH DRIVEN BILL WE'RE
LISTENING TO THEM AS WE CONTINUE
AND MOVE THIS BALL FORWARD. THIS
IS ENOUGH THIS IS A NEW SYSTEM
THAT WE'RE LOOKING TO IMPLEMENT
CONDOM AVAILABILITY PROGRAMS ARE
CAPS HAVE BEEN AROUND SINCE THE
NINETIES WE SEE THEM IN LA WE
SEE THEM IN THE BAY AREA. BUT
WE'RE HOW WE'RE SEEN AS THE IN
THE RURAL AREAS THE RURAL AREAS
SOMEONE OF THE HIGHEST STI- IN
NUMBERS ACROSS THE STATE OF
CALIFORNIA AND WE WANT TO CLOSE
THE EQUITY GAP. ENSURING THAT
ALL HIGH SCHOOLS ACROSS OR
GEOGRAPHIC AREAS PROVIDE THIS
RESOURCE I'M SO WITH ACTED LIKE
TO TURN WITH MY- TURN TO MY-
WITNESSES FIRST CAM ROBINSON THE
COMMUNITY LIAISON WITH BLACK
WOMEN FOR WELLNESS. FOLLOWED BY
SERBIA CASTEEL THE DIRECTOR OF
GOVERNMENT AFFAIRS. AT ITS
CENTRAL AXIS HEALTH. GOOD AFTER.
AND THANK YOU MR CHAIRMAN AND
COMMITTEE MEMBERS MY NAME ESTATE
IT WAS KIM ROBINSON I'M THE
COMMUNITY LIAISON WITH BLACK
WOMEN FOR WELLNESS. AND BLACK
WOMEN FOR WELLNESS ACTION
PROJECT WHERE A STATE WIDE
REPRODUCTIVE JUSTICE COMMUNITY
BASED ORGANIZATION. COMMITTED TO
IMPROVING THE OVERALL HEALTH
STATUS AND WELL BEING OF BLACK
WOMEN AND GIRLS. I'M READING
THIS TESTIMONY ON BEHALF OF MY
COLLEAGUE ONE ELSE JEWELER. WHO
SERVES AS PROGRAM LEAD FOR BLACK
WOMEN FOR WELLNESS GET SMART
BEFORE YOU GET SEXY PROGRAM OUR
COMPREHENSIVE SEX EDUCATION
PROGRAM DEDICATED TO ELIMINATING
HEALTH DISPARITIES. THAT'S
PRESENT IN OUR COMMUNITIES.
BLACK WOMEN FOR WELLNESS ACTION
PROJECT IS PROUD TO CO SPONSOR
SB FIVE FORTY ONE THE YOUTH
HEALTH EQUITY AND SAFETY ACT.
BECAUSE IT'S A HUGE STEP IN
ELIMINATING HEALTH DISPARITIES
AND IT REMOVE BARRIERS THAT
LIMIT USED ACCESS TO CRITICAL
RESOURCES THIS BILL WILL ADVANCE
HEALTH EQUITY. IMPROVE HEALTH
OUTCOMES AND SUPPORT SAFER SEX
BEHAVIORS AMONG TEENS BY
REQUIRING THAT CALIFORNIA PUBLIC
AND CHARTER SCHOOLS MAKE
INTERNAL AND EXTERNAL CONDOMS
ARE READILY AVAILABLE TO
STUDENTS PROHIBITING RETAILERS
FROM ASKING FOR ID. FOR CONDOM
PURCHASES AND INCREASING ACCESS
TO HPV VACCINES. AS PROGRAM LEAD
FOR GET SMART A LARGE PORTION OF
MY WORK IS TO TRAIN PEER
EDUCATORS FROM HIGH SCHOOLS
ACROSS LA COUNTY TO LEAD
COMPREHENSIVE. SEX ED WORKSHOPS
IN SCHOOLS AND COMMUNITIES WE
EDUCATE AROUND FIFTEEN HUNDRED
TO THREE THOUSAND YOUTH AND
YOUNG ADULTS BETWEEN THE AGES OF
TWELVE AND THIRTY. YEARS OF AGE
ON SEXUAL HEALTH TOPICS LIKE
CONSENT BODY IMAGE SEXUALLY
TRANSMITTED INFECTIONS BIRTH
CONTROL AND GENDER IDENTITY AND
EXPRESSION TO NAME A FEW. LAST
WEEK AFTER HOSTING AN EVENT ON
HEALTH ADVOCACY ONE OF THE PEER
EDUCATORS THAT TENS KING DREW
MEDICAL MAGNET HIGH SCHOOL
THANKED ME FOR DOING THIS WORK
SHE SAID THAT BEFORE. GOING TO
GET SMART SHE HAD NOT RECEIVED
ANY SEX A IN SCHOOL AND CAN
FIRST TO BE. SHE WHEN HER AND
HER BOYFRIEND WANTED TO TAKE
THINGS FURTHER NEITHER OF THEM
KNEW WHERE TO GET CONDOMS FOR OR
WHO TO ASK. SHE SAID SHE
SUPPORTS BILLS LIKE SB FIVE
FORTY ONE BECAUSE SHE RECALLS
THE FEAR AND STIGMA SHE FELT
AFTER EXPERIENCING A PREGNANCY
SCARE AND NOT FEELING LIKE SHE
HAD ANYONE TO TALK TO OR WHETHER
TO GO FOR HELP. SHE WISHED HER
SCHOOL PROVIDE EFFECT EDUCATION
AND MADE SURE THAT CONDOMS WERE
ASSESSABLE SO THAT SHE AND HER
PARTNER WOULD BE EQUIPPED TO
MAKE BETTER DECISIONS FOR
THEMSELVES. GET SMART OUR
MISSION IS TO ENSURE YOU HAVE
THE KNOWLEDGE AND TOOLS TO MAKE
THE MOST INFORMED DECISIONS
ABOUT THEIR HEALTH. THE
ADVANTAGES AND MOBILIZING
RESOURCES WHERE I IMPLORE YOU
ALL TO VOTE YES ON SB. FIVE
FORTY ONE. RIGHT A GOOD
AFTERNOON MR CHAIRMAN AND
COMMITTEE MEMBERS MY NAME IS
SYLVIA CASTEEL AND I'M THE
DIRECTOR OF GOVERNMENT AND
COMMUNITY AFFAIRS AT ESSENTIAL
ACCESS HEALTH- WE ADVANCE HEALTH
EQUITY AND CHAMPION- PROMOTE
QUALITY SEXUAL AND REPRODUCTIVE
HEALTH CARE FOR ALL. AND WE'RE
PROUD CO SPONSORS OF SB FIVE
FORTY ONE. WE WORK IN CLOSE
PARTNERSHIP WITH THE STATE
COUNTY HEALTH DEPARTMENT'S
COMMUNITY PROVIDERS AND OTHER
STAKEHOLDERS STATEWIDE TO
INCREASE ACCESS TO SEXUAL AND
REPRODUCTIVE HEALTH CARE.
INCLUDING STI PREVENTION.
TESTING AND TREATMENT. AS THE
SENATOR MENTIONED THE STI
EPIDEMIC IN CALIFORNIA AND
ACROSS THE NATION HAS REACHED
CRISIS LEVELS. THIS PAST APRIL
THE CDC RELEASED THE MOST RECENT
DATA ON NATION NATIONWIDE STI
RATES WHICH IS FROM TWENTY
TWENTY ONE AND THE PICTURE AT
THE DATA PAINTS IS NOT PRETTY.
ACROSS THE BOARD STI RATES HAVE
CONTINUED TO RISE THERE WAS ONE
POINT SIX MILLION CASES OF
CHLAMYDIA REPORTED IN TWENTY
TWENTY ONE. THE STATE IS STEVE
OF CASES FATHER STEEPEST RISE
WITH TWENTY POINT SIX I
INCREASED FROM TWENTY TWENTY TO
TWENTY TWENTY ONE AND YOU'VE
CONTINUED TO BE
DISPROPORTIONATELY IMPACTED WITH
LGBTQ PLUS. AND YOUTH OF COLOR
FACING THE MOST SIGNIFICANT
INEQUITIES IN TWENTY TWENTY ONE
YOUTH ACCOUNTED FOR MORE THAN
50% OF STI'S. IN TWENTY EIGHTEEN
THE CDC ESTIMATED THE STI'S COST
THE US HEALTHCARE SYSTEM
APPROXIMATELY SIXTEEN BILLION
AND DIRECT LIFETIME MEDICAL
COSTS. ABOUT 36% OF THAT COST
ACCOUNTED FOR CARE PROVIDED TO
YOUTH AGES FIFTEEN TO TWENTY
FOUR. SINCE MOST SEOS ARE A
SYMPTOMATIC THEY'RE OFTEN LEFT
UNDETECTED AND CAN POSE SERIOUS
LIFE THREATENING HEALTH PROBLEMS
LATER IN LIFE. IT IS ESTIMATED
THAT 80% OF SEXUALLY ACTIVE
PEOPLE IN THE US WILL GET AN H.
P. WILL GET HPV AT SOME POINT IN
THEIR LIVES. THIS IS WHY YOUTH
IN PARTICULAR NEED AND DESERVE
EQUITABLE ACCESS TO THE HPV
VACCINE TO PROTECT THEIR HEALTH
AND SAFETY. THE VACCINE IS A
VITAL TOOL TO REDUCE INCIDENCES
OF HPV RELATED CANCERS. AND
WHILE NEARLY 80% OF CALIFORNIA
TEENS RECEIVE THE FIRST OF THREE
DOSES OF THE HPV VACCINE IN
TWENTY TWENTY. WAS THE VAST
MAJORITY DO NOT COMPLETE THE
FULL VACCINATION SERIES LEAVING
THEM WITHOUT MAXIMUM PROTECTIVE
CARE. REPRODUCTIVE HEALTH
ADVOCATES WE'RE THRILLED WHEN
THE CALIFORNIA FAMILY PACK
PROGRAM BEGAN COVERING THE HPV
VACCINE FOR BENEFICIARIES AGES
NINETEEN AND OLDER THANKS FOR
THE GREAT WORK OF THE DEPARTMENT
OF HEALTH CARE SERVICES IN
SECURING THE FEDERAL MATCHING
FUNDS TO. PUT TO SUPPORT THE
ADDED BENEFIT NOW IT'S TIME OUR
STATE TAKES THE FINAL STEP. UP
TO CLOSE THE HPV VACCINE
COVERAGE GAP UNDER F. PACK FOR
TEENS AGES TWELVE TO EIGHTEEN.
WE URGE YOU TO VOTE YES ON THIS
BILL THANK YOU. THANK YOU VERY
MUCH OTHERS IN SUPPORT PLEASE
JUST YOUR NAME AND ORGANIZATION
IF YOU REPRESENT ONE. IF THE
MARKHAM HALF OF CFT IN SUPPORT
THANK YOU THANK YOU. RIGHT
SPENCER AMERICAN COLLEGE OF
OBGYN STIRS AT NINE IN SPORT.
THANK YOU. KATHY MUST PROGRAM
HALF OF THE SEPARATIST GREAT
FOUNDATION APLE HEALTH AND
SPORTS THANK YOU. PERSONAL CLOSE
HERE ON BEHALF OF THE CALIFORNIA
FACULTY ASSOCIATION SUPPORT
THANK YOU. SEMANA HER ON BEHALF
OF THE ALAMEDA COUNTY BOARD OF
SUPERVISORS IN SUPPORT THANK YOU
. ALL EUROPE'S WITH PLANNED
PARENTHOOD AFFILIATES OF
CALIFORNIANS SUPPORT. THANK YOU
. JACKSON WITH CALIFORNIA HEALTH
PLUS ADVOCATES IN SUPPORT THANK
YOU. REPORTS FROM BEHALF OF A
QUALITY CALIFORNIA IN SUPPORT
THANK YOU. AND MARTIN ON BEHALF
OF THE AIDS HEALTHCARE
FOUNDATION STRONG SUPPORT THANK
YOU THANK YOU. NOBODY TELLS ON
BEHALF OF A SO YOU CALIFORNIA
ACTION IN SUPPORT THANK YOU
THANK YOU. EARNS OUT ON BEHALF
OF THE NAY ROLE ARE NEVER
BORDERS CALIFORNIA AND THE
CALIFORNIA'S BIGGEST ASSOCIATION
IN SUPPORT THANK YOU VERY MUCH.
IS THEIR OPPOSITION TO THE BILL
. THE PLEASE COME FORWARD.
I TERM MEMBERS MY NAME IS GREG
BURCH WITH THE CALIFORNIA FAMILY
COUNCIL. OF THE LAST DECADE OR
MORE THIS LEGISLATIVE BODY HAS
BEEN PUSHING CONDOMS AS A
SOLUTION TO SEXUALLY TRANSMITTED
INFECTIONS SPREADING AMONG OUR
YOUTH. AND EACH TIME THAT RATE
ROSE YOU INSISTED. HIS JUST
NEEDED EASIER ACCESS TO CONDOMS
AND INFORMATION ABOUT SAFE SEX
AT YOUNGER AND YOUNGER AGES.
THAT WAS THE WHOLE ARGUMENT
SURROUNDING THE CALIFORNIA
HEALTHY YOUTH ACT PASSED IN TWO
THOUSAND FIFTEEN WHICH MANDATED
COMPREHENSIVE SEX ED IN EVERY
SCHOOL DISTRICT. AND NOW YOU
HAVE AN STI EPIDEMIC ON YOUR
HANDS THE ACT ISN'T WORKING.
ACCORDING TO THE CALIFORNIA
DEPARTMENT OF HEALTH STI'S ARE
AT EPIDEMIC LEVELS IN TWO
THOUSAND TWENTY A REPORT SHOWED-
EIGHT THREE HUNDRED AND 20%
INCREASE IN SYPHILIS OVER THE
PAST TEN YEARS. GONORRHOEA IS UP
A 190% HOW MUCH DO YOU REALLY
TRUST CONDOMS TO PROTECT KIDS.
DID YOU KNOW CONDOMS DON'T
PROTECT PEOPLE FROM ALL STI'S
SUCH AS HERPES GENITAL WARTS
SYPHILIS. AND MONKEY POX WHICH
CAN SPREAD BY SKIN TO SKIN
CONTACT. DON'T YOU THINK IT'S
TIME TO REASSESS YOUR HEALTH
POLICY ON THIS ISSUE. DO YOU
THINK IT'S TIME TO TELL YOUNG
PEOPLE THE TRUTH THAT THOSE WITH
THE MOST FULFILLING AND HEALTHY
SEX LIVES ARE THOSE WHO TREAT
SEX. AS A SPECIAL AND INTIMATE
ACT TO BE SHARED IN A MONOGAMOUS
COMMITTED MARRIAGE. I'M NOT
ENCOURAGING YOU TO SHAME PEOPLE
BUT TO HOLD UP ABSENCE TO
MARRIAGE AS A NOBLE IDEAL.
SOMETHING BEAUTIFUL TO PURSUE
NOT SOMETHING TO LAUGH AT AND
MARK AS UNREALISTIC. WHY NOT PUT
TOGETHER A MESSAGING CAMPAIGN
FOR YOU TO MAKE MARRIAGE COOL
AGAIN. HONOR IT TO PRAISE IT.
STDS CANNOT SURVIVE IN A CULTURE
THAT IDEALIZE IS WAITING FROM
SEX UNTIL MARRIAGE. BUT IT DOES
THRIVE IN THE HOOK UP CULTURE
WHICH YOU HAVE MORE LESS
ENCOURAGED WHERE SEX IS
MEANINGLESS AND DONE FOR FUN
WITH MULTIPLE PARTNERS. I KNOW
IT'S HARD TO CHANGE COURSE WHEN
YOU'RE SO CONVINCED YOU WERE
DOING THE RIGHT THING. BUT ASK
YOURSELF HOW MANY YOUNG PEOPLE
ARE YOU WILLING TO SACRIFICE
WHAT STI INFECTION RATES ARE YOU
WILLING TO TOLERATE BEFORE
YOU'RE WILLING TO LOOK AT
DIFFERENT OPTIONS. PLEASE VOTE
NO THANK YOU. THANK YOU OTHER
OTHERS IN OPPOSITION. NO ONE
WILL BRING IT BACK TO THE
COMMITTEE QUESTIONS OR COMMENTS
FROM THE- I'M SORRY IS THERE
OTHER OPPOSITION. APART PLEASE.
TWO QUICK I GUESS SORRY. ALLEY
SNYDER IN OPPOSITION THANK YOU
YOUR- NICOLE YOUNG OPPOSITION.
THANK YOU. HE I'M A PARENT OF
THREE AND I OPPOSE THIS BILL AND
THERE WAS THINK THAT MY KIDS
WERE LEARNING. ABOUT SEX SAID
THAT AS A GROWN WOMAN OF FIFTY
THAT THEY WERE GONNA KNOW BEFORE
I DID THAT. NO THANK THANK YOU
JUST YOUR NAME AND POSITION ON
THE BILL PLEASE. CALL PEARSON IN
OPPOSITION THANK YOU. X. BENICIA
OPPOSITION THANK YOU. CHAYANNE
KENNY IN OPPOSITION. THANK YOU
ELIZABETH KENNY OPPOSITION THANK
YOU. ANYONE ELSE. RIGHT NOW
BRING IT BACK TO COMMITTEE ANY
QUESTIONS OR COMMENTS FROM THE
COMMITTEE. AFTER WEBER. I'M
SENATOR ONCE AGAIN I WANNA THANK
YOU FOR BRINGING FORTH A SPELL
IT IS- VERY MUCH NECESSARY AS A
OBGYN WHO SPECIALIZES IN
PEDIATRIC AND ADOLESCENT
GYNECOLOGY- IT IS NOT LOSS TO ME
THAT THE HIGHEST RATES OF STI
ARE WITHIN OUR FIFTEEN TO TWENTY
FOUR YEAR OLD AND SO. WE NEED TO
NOT ONLY EDUCATE THEM- BUT MAKE
SURE THAT WE ARMING THEM WITH
THE TOOLS TO PROTECT THEMSELVES
AS WELL. AN APPEAL TO THE
OPPOSITION I THINK ONE OF THE
REASONS WHY WE HAVE MOVED AWAY
FROM- ABSTINENCE BASED TEACHING
IS THAT RESEARCH HAS SHOWN THAT
IT DOESN'T WORK. NOT ONLY DO
CHILDREN NOT DO THAT BUT
ACTUALLY INCREASES- TEEN
PREGNANCY RATES- WHICH WOULD
THEN ALSO INCREASED STI RATES IN
SOUTH THANK YOU VERY MUCH FOR
BRINGING THIS BILL FORWARD AND
FOR FOCUSING ON EVIDENCE BASED
RESEARCH WHICH- WILL DECREASE
THE AMOUNT OF STI THAT OUR OUR
TEAMS ARE HAVING. THANK YOU.
THANK YOU DOCTOR THANK YOU
ANYONE ELSE. SEE NO ONE THE BILL
DOESN'T JOY TO PASS
RECOMMENDATION SENATOR ON WOULD
YOU LIKE TO CLOSE. I APPRECIATE
THE SUPPORT MISTER CHAIR WITH I
JUST RECKON THE ASPIRIN I ABOUT
THANK YOU VERY MUCH OF IT IS
THERE A MOTION ON THE- A SECOND-
SO WE HAVE A MOTION BY- MISS
AGUIAR-CURRY A SECOND BY DOCTOR
WEBER. THE MOTION IS DUE PASSED
YOU APPROPRIATIONS MADAM
SECRETARY PLEASE CALL THE ROLL
WHAT FIVE WHAT I WALDRON.
AGUIAR-CURRY AGUIAR-CURRY AYE
ARAMBULA. BURNER WENDY CARILLO.
WENDY CARILLO AYE FLORA AND FONG
MAIENSCHEIN MCCARTY. MCCARTY IDA
PATTERSON RODRIGUEZ SANTIAGO IT
WOULD WHAT. WEBER HOWEVER I. YOU
HAVE FIVE VOTES WILL LEAVE THE
ROLE OPEN WAS HE WILL BE THE
BILL A CALL EXCUSE ME. WELL AND
DOUBLE THAT WILL GO TO YOUR NEXT
BILL THANK YOU THANK YOU.
ONE MORE SOME MEMBERS ONE MORE.
WATER OKAY YOU YOU DOING OKAY
THEY'RE DOING GOOD ACTORS HI.
IT IS MY LAST ONE ON HEALTH
COMMITTEE FOR THE YEAR WE'LL SEE
YOU AGAIN AFTER NEXT YEAR. I
WOULD AGAIN THINK MISTER CHAIR
YOU AND I HAVE HAD CONVERSATIONS
ON THIS THE COMMITTEE HAS HAD
SEVERAL MEETINGS WITH MY TEAM ON
THIS SOMEONE I THINK YOU ON FOR
YOUR DILIGENT WORK ON GETTING TO
A PLACE WE CAN MOVE FORWARD
HOPEFULLY I WILL BE ACCEPTING
THE COMMITTEE AMENDMENTS AS
DESCRIBED ON PAGE NINE OF THE
COMMITTEE ANALYSIS. SB SEVEN
TWENTY NINE WOULD REQUIRE LARGE
GROUP HEALTH PLANS PROVIDE
COVERAGE FOR FERTILITY CARE
INCLUDING TREATMENT FOR
INFERTILITY AND IVF. WE'RE
SEEING THAT ONE IN EIGHT TO
OPPOSITE SEX COUPLES WILL BE
STRUGGLING WITH INFERTILITY AND
THAT RATIO DOESN'T NOT EVEN
INCLUDE ANY OF THE UNIQUE FAMILY
BUILDING CHALLENGES FACED BY
MYSELF AND MY FAMILY AND THE
REST OF THE LGBTQ PLUS COUPLES.
DATA FROM THE PEW RESEARCH
CENTER INDICATES THAT A FULL
THIRD OF AMERICANS HAVE USED
FERTILITY HEALTH SERVICES OR
KNOW SOMEONE WHO HAS ICE
DEFINITELY NO SEVERAL MY FRIENDS
WHO HAVE YEAH RIGHT NOW THE
SAFEST AND MOST RELIABLE METHODS
OF FERTILITY CARE REMAIN OUT OF
REACH FOR MOST CALIFORNIANS
BECAUSE IT'S REALLY EXPENSIVE.
CURRENT LAW MANDATES ONLY THAT
HEALTH INSURANCE OFFER COVERAGE
FOR TREATMENT OF INFERTILITY BUT
IT DOES NOT REQUIRE THAT ALL
PLANS ACTUALLY PROVIDE COVERAGE.
ADDITIONALLY LAW REQUIRES
INVASIVE STANDARDS OF PROOF IN
ORDER TO ACCESS CARE. FOR
EXAMPLE YOU HAVE A FOR IT FOR
EXAMPLE YOU HAVE TO PROVE THEY
HAVE COMPLETED A YEAR OF
HETEROSEXUAL RELATIONS. WITHOUT
CONTRACEPTION WHICH ARE
STANDARDS THAT ME AND THE REST
OF BILLS WITH YOU MOST OF THOSE
B. Q. COUPLES ARE OFTEN UNABLE
TO MEET. WORSE YET THE LOCKS
WITH CITY EXCLUDES ANY COVERAGE
OF IVF. EVEN THOUGH THAT'S THE
MOST RELIABLE TREATMENT WITHIN
UP 277% OF SUCCESS RATE. FOR
CALIFORNIA STRUGGLING WITH
INFERTILITY THE VERY EXISTENCE
OF THE FAMILY THEY HOPE TO BUILD
CAN DEPEND ON INCOME ALONE NOW I
RECOGNIZE THAT THIS BILL. IS
AGAIN NOT SOMETHING THAT IS IF
SHOULD THIS PASS AND GETS A
SIGNATURE WHERE WE STOP THERE IS
SO MUCH ROOM TO MOVE ON TO GROW
ON. A BUT THIS IS A WAY TO
ENSURE THE CONVERSATION GET
STARTED BUT I KNOW YOU'RE IN
THIS COMMITTEE HAVE HEARD THIS
BILL BEFORE FROM ONE OF YOUR
COLLEAGUES- IN THE OTHER HOUSE
SO THE CONVERSATION HAS STARTED
I'M LOOKING TO ENSURE THAT IT
CONTINUES. GOING WE WANT TO
ENSURE THAT WE'RE INCREASING
ACCESS TO CARE HELP REDUCE
INEQUITIES IN HEALTH AND
ECONOMIC STATUS TO BRING THEM UP
TO DATE ON MEDICAL ADVANCEMENTS
IN IVF AND ITS USES. AS
REPRODUCTIVE FREEDOM STATE
CALIFORNIANS. ARE HAS
SIGNIFICANT WORK TO DO. I WILL
ALWAYS BE THE FIRST PERSON AT
THE FRONT LINE TO PROTECT
SOMEONE'S RIGHT. TO CHOOSE TO
HAVE A CHILD BUT I'M ALWAYS
GOING TO BE AT THE FRONT LINE AS
WELL TO HELP AN INDIVIDUAL HAVE
A CHILD. SHOULD THEY WISH TO AS
WELL. FOURTEEN OTHER STATES HAVE
ALREADY PASSED IBF ENTRANCE LOS
AND WEEDS MUCH MUST CATCH UP TO
CONTINUE TO EARN OUR DESIGNATION
A REPRODUCTIVE FREEDOM STATE. TO
THAT LIKE TO DRUM UP TURNOVER
TAMALES- CASPERSEN THE CEO
COFOUNDER OF CACTUS CANCER
SOCIETY WHO BRINGS FIRST HAND
EXPERIENCE. FOLLOWED BY DOCTOR
RUBIN A LITTLE A PROFESSOR
OBSTETRICS AND GYNECOLOGY AT
STANFORD UNIVERSITY. HELLO MY
NAME IS MALLORY CASPERSON AND I
LIVE IN BERKELEY CALIFORNIA OUT
WITH MY HUSBAND BRETT ARE THREE
AND A HALF YEAR OLD SON TENNYSON
AND OUR RESCUE DOG LULU. WHEN I
WAS TWENTY FOUR YEARS OLD TWO
MONTHS AFTER MY MOTHER PASSED
AWAY FROM A BRAIN TUMOR. I WAS
DIAGNOSED WITH HODGKIN'S
LYMPHOMA I WAS ENGAGED TO BE
MARRIED IN A MASTER'S PROGRAM IN
AEROSPACE ENGINEERING. MORNING
MY MOM AND SUDDENLY FACING A
LIFE THREATENING DIAGNOSIS. I
UNDERWENT MONTHS OF CHEMOTHERAPY
TREATMENT AND WAS DEEMED CANCER
FREE. BUT LONG TERM SIDE EFFECTS
CAUSED ME TO LEAVE MY PHD
PROGRAM. I SPENT A YEAR TALKING
WITH OTHER YOUNG SURVIVORS AND
ULTIMATELY FOUNDED A NONPROFIT
TO SUPPORT THEM CALLED CACTUS
CANCER SOCIETY. WHEN I WAS FIRST
DIAGNOSED WITH CANCER I ENTERED
TREATMENT QUICKLY AND DID NOT
UNDERGO FERTILITY PRESERVATION.
I WAS YOUNG AND THE TREATMENT I
UNDER WENT ON A CLINICAL TRIAL
WAS RELATIVELY LOW RISK TO MY
FERTILITY. EIGHT YEARS LATER AND
MORE THAN AFTER MORE THAN
EIGHTEEN MONTHS OF ACTIVELY
TRYING I HAD MY SON. WHEN HE WAS
ONE YEARS OLD MY SPOUSE AND I
STARTED TRYING FOR ANOTHER CHILD
BUT I NOTICED HARDENED LYMPH
NODES IN MY NECK. JUST SHY OF MY
TENURE CANCER FREE ANNIVERSARY
OF MY CANCER HAD RETURNED. I WAS
NOW THIRTY FOUR YEARS OLD. AND
TERRIFIED THAT I WOULD DIE WITH
A HUSBAND AND A BABY AT HOME.
FOR I DECIDED AGAIN. TO
IMMEDIATELY START CHEMOTHERAPY.
NOW AFTER TO CANCER DIAGNOSES
TEN YEARS APART MY ABILITY TO
CONCEIVE HAS BEEN SEVERELY
COMPROMISED. I CHOSE NOT. I
CHOSE NOT TO PRESERVE MY
FERTILITY IN ORDER TO EXPEDITE
MY LIFESAVING TREATMENTS. AND
NOW PAYING FOR COSTLY IVF
TREATMENT. THIS IS A FULL
SERVICE- WITH VERY LIMITED
FERTILITY COVERAGE. THROUGH MY
EXPERIENCE AND THROUGH MY WORK I
KNOW HOW PAINFUL AND DIFFICULT
IT IS TO LOSE. TO LOSE YOUR
FERTILITY BECAUSE OF CANCER.
YOUNG PEOPLE FACING CANCER ONE
TO LIVE BUT SURVIVING IS NOT
ENOUGH WE WANT TO BE ACTIVE AND
PRODUCTIVE LIVES AND MANY OF US
WANT TO HAVE CHILDREN. MY SON IS
RAMBUNCTIOUS AND HE LOVES LEGOS-
AND I'M BEYOND LIKE YOU TO HAVE
HIM BUT I WANT TO HAVE ANOTHER
CHILD. SB SEVEN TWENTY NINE
WOULD HELP THOSE WHO NOW BECAUSE
OF SB SIX HUNDRED WERE ABLE TO
UNDERGO FERTILITY PRESERVATION
REALIZE THE PROMISE OF THEIR
CAREFULLY STORED MATERIALS AND
IT WOULD ALSO HELP PATIENTS LIKE
ME WHO COULDN'T PRESERVE. BY
PROVIDING FOR THE MEDICAL
INTERVENTIONS THEY NEED AFTER
SURVIVING CANCER. WE ALREADY
FACE DAUNTING OBSTACLES TO
REALIZING THE DREAM OF A FAMILY
THE RISK OF RECURRENCE THE
CHALLENGE OF LONG TERM PHYSICAL
AND EMOTIONAL SIDE EFFECTS THE
POSSIBILITY OF DYING TOO YOUNG.
THE BURDEN OF HAVING TO PAY THE
SUBSTANTIAL OUT OF POCKET COST
OF IVF WHICH ARE NOT FEASIBLE
FOR MANY DOES NOT NEED TO BE
INCLUDED IN THIS LIST. ON BEHALF
OF YOUNG YOUNG CANCER SURVIVORS
LIKE ME AND ALL CALIFORNIANS WHO
ARE FACING OR MAY ONE DAY FACE
INFERTILITY I RESPECTFULLY ASK
THAT YOU SUPPORT SB SEVEN TWENTY
NINE. TO BRING MORE EQUITABLE
AND COMPREHENSIVE INFERTILITY
COVERAGE TO ALL CALIFORNIANS WHO
NEED IT THANK YOU. THANK YOU
VERY MUCH. GOOD AFTERNOON
MEMBERS. MY NAME IS DR RUBEN
OLIVERO AND I AM A PROFESSOR AND
DIVISION DIRECTOR OF
REPRODUCTIVE ENDOCRINOLOGY AND
INFERTILITY AT STANFORD
UNIVERSITY IN STANFORD MEDICAL
SCHOOL. I'M ALSO RETIRED US ARMY
COLONEL WITH THE TWENTY SEVEN
YEAR CAREER WITH A SIGNIFICANT
PORTION OF THAT TIME SERVING THE
FERTILITY NEEDS OF ACTIVE DUTY
SERVICE MEMBERS. AND THEIR
PARTNERS. INFERTILITY IS INDEED
A DISEASE NOT UNLIKE DIABETES
AND CANCER. I AM PROFOUNDLY
AFFECTS THE QUALITY OF LIFE FOR
THOSE AFFECTED INCLUDING ONE IN
SEVEN CALIFORNIANS OF
REPRODUCTIVE AGE. BOTH THE WORLD
HEALTH ORGANIZATION AND THE
AMERICAN MEDICAL ASSOCIATION
HAVE LONG HELD THIS VIEW CITING
THE MILLIONS OF PEOPLE WORLDWIDE
WHO ARE IMPACTED BY THIS
CONDITION. AND QUALITY OF CARE
UNEQUIVOCALLY HAS BEEN SHOWN TO
BE EFFECTIVE IN TREATING THE
CONDITION IN MOST CASES.
UNFORTUNATELY THERE'S AN EQUAL
ACCESS TO QUALITY FERTILITY CARE
SINCE EVEN THE MOST EVEN IN THE
MOST AFFLUENT COUNTRY IN THE
WORLD ONLY FOURTEEN STATES. HAVE
SOME MANDATE FOR INSURANCE
COVERAGE UNFORTUNATELY
CALIFORNIA IS NOT ONE OF THE
STATE'S. PRIOR TO COMING TO
CALIFORNIA I PRACTICE IN RHODE
ISLAND. WHICH HAS A MANDATE AND
I HAD THE PRIVILEGE OF CARING
FOR FISHERMEN FOR BUS DRIVERS OR
TEACHERS FOR COPS FIREMAN JUST
EVERY MEMBER OF THE COMMUNITY
THAT YOU CAN THINK OF. AT WALTER
REED I CARED FOR ALL RANKS
EQUALLY INCLUDING ENLISTED
NONCOMMISSIONED OFFICERS- GOOD
COMPANY GREAT FEEL GREAT AND
EVEN GENERAL OFFICERS ALL
WITHOUT REGARD TO COST. AS A
NATIVE SPANISH SPEAKER I AM USED
TO SERVING THE HISPANIC
COMMUNITY AND USUALLY ABOUT A
THIRD OF MY PATIENTS ARE SPANISH
SPEAKING SADLY GIVEN THE ABSENCE
OF A MANDATED MANDATE IN
CALIFORNIA. I SPEAK VERY LITTLE
SPANISH IN MY CLINIC THE STATE'S
. FERTILITY COSTS HAVE BEEN
SHOWN TO BE COST EFFECTIVE IN
MULTIPLE JOURNALS AND IN THE
STATES WITH THE MANDATE.
ESTIMATES FOR THE PRICE OF A
SINGLE BIRTH GENERALLY RANGE
FROM. TWENTY FIVE THOUSAND TO
THIRTY THOUSAND DOLLARS PER LIVE
BIRTH WHICH IS EXCEPTIONALLY
GOOD IN THE COST EFFECTIVENESS
WORLD. ADDITIONALLY MANDATES
HAVE BEEN SHOWN TO INCENTIVIZE
THE USE OF SAFER SAFER
APPROACHES. SUCH AS TRANSFERRING
ONLY A SINGLE EMBRYO THIS
IMPROVES OUTCOMES AND REDUCES
COST. WHEN YOU PRACTICE IN THESE
MANDATE SETTINGS INDIVIDUALS CAN
FOCUS ON THE REPRODUCTIVE
JOURNEY RATHER THAN BEING
DISTRACTED AND WORRIED ABOUT
WHAT THEIR TREATMENTS WILL COST.
ABSENCE OF A CAR OF COVERAGE
ENCOURAGES DANGEROUS PRACTICES
WHICH INCREASE MULTIPLE
PREGNANCIES. WHICH HAVE
SIGNIFICANT COST FOR THE MEDICAL
SYSTEM AND ALSO FOR THE STATE.
FERTILITY SERVICES ARE
CONSIDERED TO THE STANDARD OF
CARE IN ANY COMMUNITY IN OUR
PART OF THE CONTINUING FROM PRE
PREGNANCY TO NEONATAL CARE.
CALIFORNIA SHOULD JOIN THOSE
STATES AND MEDICAL SYSTEMS THAT
HAVE CHOSEN TO DO THE RIGHT
THING. I ACTUALLY SUPPORT SENATE
BILL SEVEN TWENTY NINE THANK YOU
. THANK YOU VERY MUCH- OTHERS
AND SUPPORT PLEASE. HELLO
KAREN'S GONNA BE OFF OF NARAL
PRO CHOICE CALIFORNIA PROUD
SPONSOR OF THE BILL AS WELL AS
THE CALIFORNIA NURSES
ASSOCIATION IN STRONG SUPPORT.
THANK YOU. HI JOYCE REINECKE ON
BEHALF OF THE ALLIANCE FOR
FERTILITY PRESERVATION AND HERE
ON BEHALF OF RESOLVE THE M. AND
NATIONAL INFERTILITY ASSOCIATION
SUPPORTING THE BILL THANK YOU
THANK YOU. REBECA GONZALEZ
NATIONALIZATION OF SOCIAL
WORKERS CALIFORNIA CHAPTER IN
SUPPORT. THANK YOU. CRIPPLES
FROM BEHALF OF THE QUALITY
CALIFORNIA PROUD BECAUSE BONSER
IN STRONG SUPPORT- JENNIFER
UNLESS WITH HEALTHAXIS
CALIFORNIANS SUPPORT THANK YOU.
A FUN ASK IT AS A CALIFORNIANS
SUPPORT THANK YOU. JENNIFER
STARTED WITH CAPITAL ADVOCACY ON
BEHALF OF THE CALIFORNIA LIFE
SCIENCES AND SUPPORT THANK YOU.
I WAS KESSLER ON BEHALF OF THE
ACADEMY OF CALIFORNIA ADOPTION
A. R. T. ASSISTED REPRODUCTIVE
TECHNOLOGY LAWYERS AND SUPPORT
THANK YOU. NOVATEL ON BEHALF OF
A SO YOU CALIFORNIA ACTION IN
SUPPORT THANK YOU. AUTHOR OF
SOME OF MY PARENTS HAD A FLEET
OF CALIFORNIANS PARK THANK YOU.
JOSEPHINE FIGUEROA ON BEHALF OF
INSURANCE COMMISSIONER GOT A LOT
OF PRO CO SPONSOR AND SUPPORT
THANK YOU. THEIR OPPOSITION TO
THE BILL. WHEN WE HAVE TO
WITNESSES. HELLO MY NAME IS
ALLEY SNYDER MOTHER OF TWO. NO
ONE HAS THE RIGHT TO BUY A BABY
. SB SEVEN TO NINE REDEFINES
INFERTILITY TO A PERSON'S
INABILITY TO REPRODUCE EITHER AS
AN INDIVIDUAL OR WITH THEIR
PARTNER WITHOUT MEDICAL
INTERVENTION THIS IS OBVIOUSLY
INSANE. HUMANS NEED TO GAMETE
STORY PRODUCE SPERM AND EGGS
INDIVIDUALS HAVE ONLY ONE OR THE
OTHER SO NO ONE CAN REPRODUCE
WITHOUT A PERSON OF THE OPPOSITE
SEX. UNDER SB SEVEN TO NINE
EVERYONE WILL BE CONSIDERED IN
FOR TILE AND ELIGIBLE FOR
SURROGACY. CALIFORNIA OBVIOUSLY
DOESN'T CARE ABOUT WOMEN AFTER
ALL IT HOUSES CONVICTED RAPISTS
IN WOMEN'S PRISONS UNDER SB ONE
THIRTY TWO. STILL IT SHOULD BE
NOTED DESTITUTE WOMEN'S BODIES
WILL BE BROKEN BY THE INCREASED
DEMAND FOR BABIES. LET'S BE
EXPLICIT IN WHO WILL BE ELIGIBLE
FOR A BABY I'LL FOCUS ON TO
PROTECTED CHARACTERISTICS AGE
AND DISABILITY. THE STATE
LEGISLATURE THINGS KIDS AS YOUNG
AS TWELVE CAN EMANCIPATE
THEMSELVES UNDER AB SIX SIX FIVE
DOES IT FOLLOW THEY'RE MATURE
ENOUGH TO HAVE A BABY. HOW ABOUT
THE ELDERLY USING IVF DOCTORS
THE HOCKEY AND HELPED A WOMAN
GIVE BIRTH TO TWINS AT AGE SIXTY
SEVEN. SHE DIED OF CANCER A YEAR
LATER LEAVING HER TWINS ORPHANS
. HOW ABOUT SOMEONE WITH A
DISABILITY SUCH AS AN ACUTE
MENTAL ILLNESS. MAYBE AN ARTICLE
IN A FILE WITH A BREAST FEEDING
FETISH. PROPERTY PROPAGANDISTS
SAY THESE MEN ARE LOVING PARENTS
JUST NURSING THEIR INFANTS BUT
THESE VERY SAME MEN POST
PICTURES OF THEMSELVES ENJOYING
NIPPLE CLAMPS AND- **** WHILE
USING BREAST PUMPS. THERE'S A
WORD FOR MEN WHO FORCE CHILDREN
TO SUCK ON THEM AND IS NOT
MOTHER. BABIES ARE BLESSINGS TOO
MANY OF WHOM ALREADY SUFFERED
THE PRIMAL TRAUMA OF LOSING
THEIR MOTHER. THEY NEED LOVING
FAMILIES. SB SEVEN TO NINE WILL
MAKE CALIFORNIA COMPLICIT IN
THIS TRAUMA COMPLICIT IN BUYING
BABIES AND POTENTIALLY COMPLICIT
AND GIVING THEM TO PREDATORS.
VOTE NO ON SB SEVEN TWO NINE.
THANK YOU MISTER CHAIRMAN
COMMITTEE MEMBERS. FROM THE
CALIFORNIA. HELLO MY VERY OF
BETTER ALL RIGHT RESTING YOUNG
FOR THE CALIFORNIA CHAMBER OF
COMMERCE HERE TODAY IN
OPPOSITION TO SB SEVEN TO NINE.
AS I'VE SAID IN PREVIOUS
COMMITTEE HEARINGS IN MAKE CLEAR
IS THAT IS THAT NOT A POLICY
ISSUE FOR US THAT IS NOT WHY
WE'RE HERE TODAY IN OPPOSITION
IT'S THE UNINTENDED CONSEQUENCES
THAT COME ALONG WITH SB SEVEN TO
NINE THAT WE'RE CONCERNED ABOUT.
NOTABLY THE COSTS ASSOCIATED
WITH SB SEVEN TO NINE IF THIS
BILL GOES INTO EFFECT IS THE
REASON FOR OPPOSITION TODAY NOT
THE CALIFORNIA HEALTH BENEFITS
REVIEW PROGRAM. CONDUCTED AN
ANALYSIS OF SB SEVEN TO NINE IN
THE- DETERMINE THAT IF THE BILL
WENT INTO EFFECT WITH THE WAY IT
APPEARS IN PRINT TODAY IT WOULD
INCREASE PREMIUMS FOR CALIFORNIA
EMPLOYERS AND EMPLOYEES OVER
THREE HUNDRED THIRTY MILLION
DOLLARS. I APPRECIATE THE AUTHOR
IN THE COMMITTEE'S WORK ON THIS
I APPRECIATE THE AMENDMENTS THAT
HAVE BEEN AGREED TO. AND PUTTING
A CAP ON THE IVF TREATMENT IS A
STEP IN THE RIGHT DIRECTION
HOWEVER THIS IS STILL AN
EXTREMELY LARGE EXPENSE FOR
CALIFORNIA EMPLOYERS AND
EMPLOYEES. WHEN WE LOOK AT THIS
IN ISOLATION I UNDERSTAND IT
SEEMS LIKE IT'S SOMETHING THAT
IS WORTH IT IT SEEMS LIKE POLICY
THAT WE SHOULD IMPLEMENT BECAUSE
IT IS GOING TOWARDS INDIVIDUAL
STARTING FAMILY HOWEVER WE HAVE
TO PUT THIS INTO CONTEXT.
HEALTHCARE AFFORDABILITY AS A
WHOLE RIGHT NOW IS INCREASING
EVERY YEAR- IT'S COSTS
ADDITIONALLY THERE'S
INFLATIONARY PRESSURES IN THE
ECONOMY RIGHT NOW PHARMACEUTICAL
COST INCREASES OF POINT OF CARE
COST INCREASES. FURTHERMORE TO
PUT AND GREATER CONTEXT OVER THE
LAST FIVE YEARS THE AVERAGE
PREMIUM FOR FAMILY COVERAGE AN
EMPLOYER SPONSORED PLANS HAS
INCREASED TWENTY PERCENT. IN TWO
THOUSAND TWENTY TWO THE AVERAGE
FAN THE AVERAGE ANNUAL PREMIUMS
FOR CALIFORNIA EMPLOYER
SPONSORED FAMILY HEALTH CARE
COVERAGE 220-004-0060 THREE
DOLLARS. WORKERS ON AVERAGE PAID
SIX THOUSAND ONE HUNDRED SIX
DOLLARS TOWARDS THE COST OF THAT
COVERAGE. SO AS I SAID AT THE
BEGINNING WE NEED TO KEEP THIS
IN CONTEXT I UNDERSTAND THE
POLICY I UNDERSTAND WHAT IS
BEING DRIVEN TOWARDS HERE. THE
UNINTENDED CONSEQUENCES THAT
WE'RE CONCERNED ABOUT AND I
THINK YOU VERY MUCH FOR YOUR
TIME AND CONSIDERATION. THANK
YOU VERY MUCH- OTHERS IN
OPPOSITION. MISTER CHAIRMAN IS
THE CAGE AT HAMPTON WITH THE
CALIFORNIA ASSOCIATION OF HEALTH
PLANS- HERE RADICALLY IN
OPPOSITION. WOODLAND MY COMMENTS
OF MR YOUNG'S COMMENTS WE ARE
CONCERNED ABOUT THE COST OF THIS
PARTICULAR MANDATE THANK YOU.
THANK YOU. SHARE MEMBERS JOHN
LINGER BEHALF AMERICA'S HEALTH
INSURANCE PLANS ALSO LINER
COMMENTS WITH THE CHAMBER
RELATED TO THE COST. THANK YOU.
LET ME WALK INS ON BEHALF THE
ASSOCIATION CALIFORNIA LIFE AND
HEALTH INSURANCE COMPANIES WOULD
ECHO MY COLLEAGUES' COMMENTS
WITH THE G. THANK YOU. THANK YOU
. THE CALL YOUNG PASSER COUNTY
OPPOSED. THANK YOU. THE CALL
PEARSON IN STRONG OPPOSITION
THANK YOU. BACKSPIN IN STRONG
OPPOSITION YOU. SHY AND KENNY IN
OPPOSITION. THANK YOU. ELIZABETH
KENNY OPPOSITION. THANK YOU.
RIVER THE CALIFORNIA FAMILY
COUNCIL IN OPPOSITION. THANK YOU
. THIS IS JAY AND I OPPOSE THANK
YOU. ANYONE ELSE. S. C. NUMBER
BRING IT BACK TO THE COMMITTEE
QUESTIONS OR COMMENTS DR WEBER.
THE. I FIRST ARM. ONE I THINK
BOTH OF YOUR YOUR WITNESS SAYS
BY- PACIFIC WAY THE PATIENT FOR
RELAYING YOUR STORY- I TO HAVE A
FAMILY MEMBER WHO WAS DIAGNOSED
WITH NON HODGKINS LYMPHOMA WHEN
HE WAS NINETEEN- I WAS. ON THIS
A LITTLE OVER TWENTY YEARS AGO
UNFORTUNATELY THERE WAS NO
THOUGHT OR CONSIDERATION TO
FUTURE FERTILITY. AND THE
THOUGHT WAS JUST GO STRAIGHT TO
CHEMOTHERAPY AND- YEAH. HE WAS
HIT WITH SOME VERY VERY STRONG
CHEMOTHERAPY AND IS
UNFORTUNATELY- AND FERTILE- AT
THIS POINT SO THANK YOU VERY
MUCH FOR SHARING YOUR STORY-
INFERTILITY. TO MY FELLOW
COLLEAGUE- IS AS IS A DISEASE
AND I KNOW IT'S BEEN TAKEN OUT
OF THIS BILL BUT IT IS- AND IT
IS A CONDITION THAT. WE SHOULD
TREAT AND GIVE AS MUCH FOCUS AND
ATTENTION TO AS WE DO OTHER
DISEASES OR CONDITIONS- THERE
ARE A COUPLE OF THINGS THAT-
PEOPLE SAID. ONE SENATOR I THINK
YOU SAID YOU WANTED TO REDUCE
INEQUITIES WITHIN THE HEALTHCARE
SYSTEM. AND THAT MY FELLOW
PHYSICIAN TALKED ABOUT THE FACT
THAT I'M IN CERTAIN STATES IN
CERTAIN AREAS WHERE YOU PRACTICE
YOU WERE ABLE TO GIVE CARE FOR
EVERY MEMBER OF THE COMMUNITY.
NOT HALF AN EQUAL ACCESS. MY
CONCERN WITH THIS BILL. IS THAT
IT DOES NOT GIVE EQUAL ACCESS TO
EVERYONE. AND SENATOR YOU AND I
HAVE TALKED ABOUT THIS. ON IT
EXPLICITLY ELIMINATES. THE
PEOPLE WHO NEED IT THE MOST. AND
THAT'S OUR PATIENTS ON MEDICARE
. AND YOU KNOW THERE ARE TIMES
BECAUSE THESE TREATMENTS ARE SO
EXPENSIVE THAT- WITH INSURANCE
HAVE TO DECIDE BETWEEN. USING
THE MONEY FOR A DOWN PAYMENT OF
A HOME. OR PAY FOR THESE
TREATMENTS. BUT WHEN WE LOOK AT
OUR MOST VULNERABLE IN THE
MEDICARE POPULATION THAT'S NOT
EVEN AN OPTION FOR THEM BECAUSE
THEY DON'T HAVE MONEY FOR EITHER
ONE. AND ALTHOUGH WE SAY OKAY
WHAT WILL WORK HERE WILL CHIP
SLOWLY AT THIS UNTIL WE CAN GET
TO A POINT WHERE WE COVER
EVERYONE. ONE OF THE THINGS THAT
WE HAVE NOTICED IS THAT THOSE
ARE THE PEOPLE THAT ARE OFTEN
LEFT BEHIND FIRST. WE WILL
EVENTUALLY GET TO YOU. WE WILL.
MAKE SURE THAT WE'RE WORKING ON
EDUCATION IN THIS SPACE AND
EVENTUALLY WILL GET OVER TO THIS
AREA TO IMPROVE EDUCATIONAL
OUTCOMES FOR. PEOPLE IN OTHER
AREAS WE WILL DEAL WITH
ENVIRONMENTAL ISSUES OVER HERE
AND THEN EVENTUALLY COME OVER
AND WORK WITH YOU WHILE WE WILL
MAKE SURE THAT WE HAVE THE BEST
AND THE BRIGHTEST AND THE
BIGGEST HOSPITALS OVER IN THIS
AREA. THAT TAKE COMMERCIAL
INSURANCE AND OVER HERE WILL GET
TO YOU AT SOME POINT. AND ALL
THAT IS DONE IS CREATED CONTINUE
DISPARITY. BETWEEN THE HAVES AND
THE HAVE NOTS. I BELIEVE THAT
THIS IS SOMETHING THAT SHOULD BE
COVERED FOR EVERYONE. AND WE'RE
GONNA START SOMEPLACE I BELIEVE
THAT WE SHOULD START AT A PLACE
FOR THOSE THAT NEED IT THE MOST
THAT DO NOT HAVE THE ABILITY. TO
CHOOSE BETWEEN PAYING FOR A DOWN
PAYMENT ON A HOUSE OR A DOWN
PAYMENT ON A CAR OR THIS
PARTICULAR TREATMENT- AND SO
THIS BILL AS IT STANDS TO ME
SETS UP. INEQUITIES BETWEEN THE
HAVES AND HAVE NOTS- WILL GET
COVERED. BASED ON YOUR INSURANCE
AND WHO WON'T GET COVERED
BECAUSE YOU HAPPEN TO BE ON
MEDICARE- AND FOR THAT FOR THIS
PARTICULAR BILL ADDS IS FOR THAT
REASON. I CANNOT. SUPPORT IT. WE
TALKED ABOUT- YOU KNOW MY
BACKGROUND I. DID MY OBGYN
RESIDENCY AT COOK COUNTY
HOSPITAL IN CHICAGO. AND WHEN IT
CAME TO ISSUES OF FAMILY
PLANNING. IF SOMEONE HAD HAD.
THEIR TUBES TIED. AND THEY DON'T
HAVE INSURANCE AND THEY HAVE TO
COME AND SEE US AT COOK COUNTY.
THE ONLY OPTION THAT WE HAD FOR
THEM. WAS ACTUALLY DO SURGERY
OPEN THEM UP. AND REYES
ANASTOMOSIS THEIR TUBES. IF THEY
HAD INSURANCE AND THEY HAD HAD
THEIR TUBES TIED. AND THEY
WANTED TO NOW HAVE A BABY THEY
HAD THE ABILITY TO GO ACROSS THE
STREET TO RASH. AND GET IVF.
THAT BOTHERED ME BACK THEN
TWENTY YEARS AGO. AND I FELT
THAT WAY WHEN I READ THIS BILL.
SO I REALLY APPLAUD YOUR EFFORT
FOR CONTINUING THE CONVERSATION
- I HOPE THAT. YOU CONTINUE DOWN
THIS ROAD AND NOT FORGET THE
PEOPLE WHO. REGARDLESS OF WHAT
COMMUNITY BECAUSE WE HAVE
MINORITIES THAT ARE ON MEDICARE
HOW WE HAVE LGBTQ PLUS PEOPLE
WHO ARE ON MEDICARE WE HAVE-
ARRIVE RIGHTY OF OUR PATIENT
POPULATION THAT IS ON MEDICARE
THEY DO DESERVE TO HAVE THE
BEST. HEALTH CARE. OPTIONS JUST
LIKE THOSE WITH COMMERCIAL
INSURANCE. I HOPE THAT YOU
CONTINUE THE CONVERSATION AND-
WHEN THAT BILL COMES FORWARD I
WOULD. GRATEFULLY SUPPORTED-
BUT- THIS PARTICULAR ABOUT I
CANNOT SUPPORT TODAY THANK YOU.
THE OTHER MEMBERS. C. KNOWN THE
BILL ENJOYS A DO PASS
RECOMMENDATION SENATOR WOULD YOU
LIKE TO CLOSE. THINGS ARE SURE
YOU KNOW AND NOW ADDRESS A
COUPLE OF THINGS. YOU KNOW WHAT
IF YOU LOOK AT YOU. FROM NOT MY
LEGISLATIVE PACKAGE THIS YEAR
HAS TO DO WITH A BLIP IN OUR
MOST VULNERABLE INDIVIDUALS YOU
DESCRIBE TO DEMOGRAPHICS THAT
MAKE UP WHO I AM DR WEBER I WAS
B. Q. MINORITY- MEDICARE
RECIPIENTS MAKE UP MY FAMILY- I
AM NO STRANGER TO ENSURING THAT.
WHATEVER WE POWER AS IS- HELPING
. I DON'T HAVE MOTION SENSOR-
DEPRESSIVE. IS SOME IS THAT IT
IS GOING TO BE REACHING EVERY
SINGLE INDIVIDUAL AT THE SAME
TIME A MOST SO. I AS CHAIR OF
SUB BUDGET SUB ONE IN THE CENTER
OF HEALTH AND HUMAN SERVICES
HAVE DIED DIDN'T IT INTO ALL THE
MONEY INTO THIS BUDGET DEFICIT-
AND I WAS REALISTIC AND SEEN HOW
WHAT I CAN MOVE FORWARD. IF
THAT- THE BILL FROM YOUR
COLLEAGUES I BELIEVE LAST FOR
TWO YEARS AGO DIDN'T MAKE IT OUT
OF THE FIRST HOUSES THE FOR THIS
THIS KIND OF BILL HAS. GONE AND
I KNOW THAT THIS IS NO WAY A ONE
AND DONE. BUT TO SAY THAT
BECAUSE NOT EVERYONE CAN GET A
RIGHT NOW TO NOT SUPPORT IT'S
GOING TO BE HARD FOR ME TO AGREE
WITH THAT- BUT I WOULD ALWAYS
SAY YES TO PROVIDING SERVICES TO
EVERY SINGLE INDIVIDUAL. TO THE
CHART TO THE- EXPENSE. YOU KNOW
CHIPPER MADE THEIR ANALYSIS BUT
I WOULD NOTE THAT THERE ARE
NUMBER ALSO INCLUDES POSTPARTUM
SERVICES THAT ARE ALREADY
COVERED BY THE STATE OF
CALIFORNIA. SO THAT LARGE NUMBER
INCLUDES FROM. PREGNANCY TO
POSTPARTUM. THERE HAS BEEN
ANOTHER REVIEW- FROM AN INDUSTRY
LEADER IN VIRTUALLY DOLLAR DATA
ANALYTICS THAT SHOWS THAT IT
WILL BE A POINT SEVENTY TWO CENT
PER MEMBER PER MONTH. TO COVER
THE NINE MILLION INSURANCE PLAN
AND RELEASED WITH INSURANCE
SUBJECT TO THIS REQUIREMENTS
ADDITIONALLY. A TWENTY TWENTY
ONE MERCER SURVEY OF MORE THAN
FOUR HUNDRED FIFTY EMPLOYERS
NATIONWIDE. FOUND THAT 97% OF
THOSE EMPLOYERS OFFERING
INFERTILITY COVERAGE EVEN THOSE
WITH IVF ONLY SAW DID NOT
EXPERIENCE INCREASES IN THEIR
MEDICAL COST. AND THESE ARE FROM
THE STATES THAT ARE READY
OFFERED THIS KIND OF CARE. THIS
IS A DIRECT THIS IS A NEEDED
MUCH NEEDED FIRST STEP IN THE
RIGHT DIRECTION TO ENSURE
INDIVIDUALS LIKE YOU HEARD OF MY
FIRST WITNESS TO ENSURE-
INDIVIDUALS LIKE MEAN THAT EVEN
WITH THE- SENATE. HEY IT'S STILL
VERY EXPENSIVE FOR ME AND MY
WIFE TO GO THROUGH IDEA. IT'S A
STEP IN THE RIGHT DIRECTION AND
IF YOU ALLOW ME TO MOVE IN THAT
RIGHT DIRECTION MAY MOVING IT
OUT OF THIS COMMITTEE I DO
PROMISE LIKE I SURE WOULD DOCTOR
WHETHER THAT WEBER THAT IF I
WON'T STOP HERE I WILL ENSURE
THAT EVERY SINGLE INDIVIDUAL.
I'M GETS COVERED FOR INFERTILITY
WITHOUT RESPECTFULLY ASK RIVAL.
THANK YOU VERY MUCH SENATOR. OUR
MOTION. THE MOTION BY OF A MISS
AGUIAR-CURRY A SECOND BY THIS
CARILLO THE MOTION IS TO PASS AS
AMENDED TO APPROPRIATIONS.
AMOUNT SECTOR PLEASE CALL THE
ROLL WOOD I WOULD I WALDRON.
WALDRON AYE AGUIAR-CURRY.
AGUIAR-CURRY AYE ARAMBULA.
WERNER WENDY CARILLO. WENDY
CARILLO AYE FLORA. AND FAUNA.
MAIENSCHEIN MCCARTY. THE
PATTERSON RODRIGUEZ. RODRIGUEZ I
SANTIAGO. VALLAPUDUA WEBER.
WEBER NOT VOTING. YOUR FIVE
VOTES WILL LEAVE THE BILL ON
CALL FIGURE SPENDING THAT BUDGET
AFTERNOON WITH ME THANK YOU
SENATOR- SENATOR ASHLEY. ON A.
THANK YOU SENATOR WELCOME ALL
RIGHT. THIS IS MY GOAL TO BE NOT
QUITE AS SPICY AS MY COLLEAGUE
SENATOR MENSCH OF OUR LET'S SEE
IF I CAN GET YOU AND THAT'S A
LITTLE SIMPLER TO GET THROUGH-
AND THAT KEEP THE LIGHTS ON
WHILE WE'RE MOVING ALL RIGHT
THANK YOU MISTER CHAIR I I'M
HERE TODAY TO PRESENT TO YOU SB
FOUR OH EIGHT. I WANT TO BEGIN
BY THANKING YOUR COMMITTEE STAFF
AT LEAST MORESCHI IS A SUPERSTAR
HER AND HER TEAM HAVE HAVE
HELPED US MAKE THIS BILL A
LITTLE BIT BETTER ON ITS WAY
THROUGH YOUR COMMITTEE AND WE'RE
VERY GRATEFUL FOR THAT. I'M
ALSO- ACCEPTING THOSE COMMITTEE
AMENDMENTS THEY HELP TO CLARIFY
THAT HAVE SOME TECHNICAL CHANGES
AND ALLOW FOR SOME FLEXIBILITY
WITH THESE REGIONAL HEALTH TEAMS
I'M GONNA TELL YOU A LITTLE BIT
ABOUT WHICH IS WHAT SB FOUR OH
EIGHT. SIXTY DO CREATE TEN
REGIONAL HEALTH TEAMS ACROSS THE
STATE THAT WILL GO DIRECTLY TO
YOUTH IN CRISIS. AND THEIR
FAMILIES TO PROVIDE DIAGNOSTIC
ASSESSMENT DIRECT CARE AND
SUPPORT THESE REGIONAL HEALTH
TEAMS WILL FOCUS ON BEING TRAUMA
INFORMED AND ADDRESSING NEEDS
THAT CROSS SYSTEMS OF CARE SO
OUR GOAL HERE IS TO BRING
TOGETHER FOLKS IN THEIR
EDUCATION THE IN THE LIVES OF
THESE YOUNG PEOPLE THAT ARE
WORKING ON IN THEIR EDUCATION
BUT ALSO OCCUPATIONAL THERAPY
AND MENTAL HEALTH. OF COURSE
THEIR PHYSICAL HEALTH DOCTORS
AND ANY SUBSTANCE ISSUES THEY
MAY HAVE AS WELL THESE REGIONAL
HEALTH TEAMS WILL PRIORITIZE
REFERRALS FROM CHILD WELFARE I'M
FROM PROBATION AND FROM TRIBES
REGIONAL HEALTH TEAMS CAN ALSO
HELP YOU THAT RISK. WE WANT TO
PREVENT THEM FROM EVER ENTERING
THE FOSTER CARE SYSTEM THIS IS
AN EFFORT TO GO BACK IN TIME I
WORK WITH FAMILIES WHO ARE AT
RISK OF ENTERING OUR SYSTEM AND
HOPEFULLY GET THEM THE RESOURCES
AND THEY NEED ACROSS MULTI
JURISDICTIONS. TO SUPPORT THE
FAMILY FROM EVER ENTERING THE
SYSTEM. ANOTHER THING THAT I
LOVE ABOUT THIS BILL IS THAT IT
IS THE FIRST TIME THAT. THE
CHILD IS NOT THE ONLY PERSON WHO
WOULD RECEIVE HELP IN THE FAMILY
THE CHILD IS THE IMPETUS FOR THE
HELP. BUT IF THERE IS A PARENT
OR A GRANDPARENT OR AN OLDER
SIBLING OR SOMEONE ELSE IN THE
HOME. WHO'S IN NEED OF MENTAL
HEALTH SERVICES SUBSTANCE ABUSE
SUPPORT IN ORDER FOR THAT FAMILY
TO STAY STABLE THE REGIONAL
HEALTH. WE COULD TAKE A WHOLE.
APPROACH AND A WHOLE FAMILY
APPROACH TO SERVING THESE THESE
FAMILIES SB FOUR OH EIGHT IS
PRETTY SIMPLE. IT SEEKS TO MEET
HIGHLY TRAUMATIZED FOSTER YOUTH
WHERE THEY'RE AT WORK HOPEFULLY
BEFORE THEY BECOME FOSTER YOUTH.
AND PROVIDE TRAUMA INFORMED
SERVICES TO REDUCE THE HARMS
THAT ARE HAPPENING IN THE LIVES
OF THESE KIDDOS. I HAVE WITH ME
SOME SUPERSTARS THAT I LOVE TO
TAKE THESE TWO WITH ME I'M SURE
YOU ALREADY KNOW THEM. BUT THE
HEAD OF THE CHILD WELFARE
DIRECTORS ASSOCIATION KATHY
SANDERLING AND DANIEL SANCHEZ
WHO LEADS THE PROBATION OFFICERS
ASSOCIATION BOTH WITH ME TODAY
TO WITNESS. GREAT THANK YOU
MISTER CHAIR NUMBERS KATHY
SANDERLING WITH THE CAN YOU
OFFER DIRECTORS HE WTA WE'RE
PLEASED TO SPONSOR AS BEFORE
WAIT ALONG WITH THE CHIEF
PROBATION OFFICERS- AROUND TEN
YEARS AGO IN THE CONTINUUM OF
CARE REFORM WAS ENACTED. FOR THE
FOSTER CARE AND CHILD WELFARE
SYSTEM. IT DID SOME GREAT
AMAZING THINGS AND ONE THING
THAT IT DIDN'T DO IS REALLY
FOCUS ON. THOSE YOUTH WITH THE
MOST COMPLEX NEEDS ACROSS
MULTIPLE SYSTEMS. SO WE'RE
TALKING AT THAT MAY HAVE AN
INTELLECTUAL OR DEVELOPMENTAL
DISABILITY OR DELAY EDUCATIONAL
NEEDS. BEHAVIORAL HEALTH NEEDS
AND THAT SORT OF THING ACROSS
MORE THAN ONE SYSTEM. AND ABOUT
40% OR SO OF OUR YOUTH IN CARE
ARE NOT IN MANAGED CARE MEDIC
CAL THERE'D FEE FOR SERVICE.
THERE ONE OF THEIR SORT OF
REMAINING GROUPS SO I ONE OF THE
ONLY REMAINING GROUPS THAT'S I'M
NOT A MANDATORY. MANAGED CARE
GROUP AND SO THEY'RE NOT GOING
TO. BE RECEIVING THE BENEFITS OF
THE ENHANCED CARE MANAGEMENT
PROGRAM. UNDER THE NEW CAL AIM
AND THEY SHOULD'VE THAT'S
GETTING GOING NOW. AND SO WHAT
WE FOUND IS THAT A LACK OF
COORDINATION ACROSS THE
DIFFERENT ORGANIZATIONS AND
ESPECIALLY AS WELL WITH THE
HEALTH CARE NEEDS. REALLY WERE
UP RESULTS IN THEM JUST NOT
GETTING THE CARE AS QUICKLY AS A
NEED OR AS COMPREHENSIVELY AS
THEY NEED. OTHER STATES HAVE
USED THIS TYPE OF APPROACH WE'VE
ACTUALLY TRIED IN SOME DIFFERENT
WAYS WITH DIFFERENT POPULATIONS
AND SEEN SOME GOOD SUCCESS AS
WELL. AND SO AS BEFORE- IT WOULD
ALLOW US TO DO I'M UP TO TEN OF
THESE REGIONAL HEALTH TEAMS. I
REALLY WANT TO THANK AS WELL THE
STAFF ABOUT THE HEALTH COMMITTEE
AND HUMAN SERVICES FOR WORKING
SO WELL TOGETHER THEY DEFINITELY
HELPED US IMPROVE THE BILL
THROUGH THIS PROCESS. URGE YOUR
AYE VOTE AND I'M VERY HAPPY TO
ANSWER QUESTIONS. THANK YOU. BUT
I CHAIRMAN DANNY SANCHEZ ON
BEHALF OF CHEAPER BE OFFICER OF
CALIFORNIA A VERY PLEASED TO BE
A CO SPONSOR OF THIS IMPORTANT
EFFORT- AS WAS STATED- YOU KNOW
A NUMBER OF YEARS AGO C. C. R.
TOOK PLACE AND- AND CERTAINLY
RESULTED IN A MUCH GREATER FOCUS
ON. SUPPORTING CHILDREN YOUTH
AND FAMILY BASED SETTINGS- ALSO
HAS BEEN SAID THOUGH- THERE ARE
SIGNIFICANT AREAS FOR YOUTH WITH
COMPLEX TRAUMA. AND THOSE WITH A
PHYSICAL BEHAVIORAL AND RELATED
NEEDS- WITHOUT RESTATING- KIND
OF YOU KNOW WHAT THE BILL DOES I
THINK. FROM PROVISIONS
PERSPECTIVE WE REALLY SEE THIS
THROUGH THE LENS OF- BOTH
SERVING A PROBATION FOSTER YOUTH
THAT WE WORK WITH BUT ALSO
MAKING SURE. THAT WE'RE REALLY
LIMITING DISRUPTIONS AND
PRESERVING THEIR PLACEMENTS THAT
REALLY IS THE GOAL OF THIS AND
BY BRINGING TOGETHER KIND OF. A
MULTI SYSTEM APPROACHES AND
MAKING SURE THAT THE
COORDINATION IS THERE FOR THESE
PARTICULAR SUBSET OF YOUTH. WE
BELIEVE IT'S GOING TO BE A VERY
IMPORTANT AND NEEDED STAFF AGAIN
TO PRESERVING FAMILIES- INTO
SUPPORTING YOUTH- IN A MORE
HOLISTIC AND COORDINATED WAY SO
FOR THOSE REASONS WE ASK FOR
YOUR SUPPORT TODAY. THANK YOU.
VERY MUCH OTHERS IN SUPPORT-
ANYMORE REPRESENT CASA WANTS.
THANK YOU. NICOLE WATERMAN ON
BEHALF OF SAN BERNARDINO COUNTY
AND THE CHILDREN'S PARTNERSHIP
AND SUPPORT THANK YOU. SURCHARGE
ON BEHALF OF THE CITY OF SANTA
MONICA AND THE FOLLOWING
COUNTIES. KERN FRESNO IN HUMBLE
SUPPORT. THANK YOU. IF ANYONE
WITH A C. ARE YOU CALIFORNIA AND
SUPPORT THANK YOU THANK YOU. MY
AND HER WITH ALAMEDA COUNTY
BOARD OF SUPERVISORS IN SUPPORT.
THANK YOU. KELLY BROOKS ON
BEHALF OF THE URBAN COUNTIES OF
CALIFORNIA THE RURAL COUNTY
REPRESENTATIVES OF CALIFORNIA
AND THE BOARDS OF SUPERVISORS OF
LOS ANGELES. SANTA CLARA
RIVERSIDE IN MAJURO ON SUPPORT
THANK YOU. JEFF NEAL
REPRESENTING CONTRA COSTA COUNTY
ALSO IN SUPPORT. THANK YOU.
THANK YOU VERY MUCH ARE THERE IS
THEIR OPPOSITION TO THE BILL.
THEME NUMBER BRING IT BACK TO
THE COMMITTEE QUESTIONS OR
COMMENTS FROM THE COMMITTEE. CA
NINETY THE BILL DOES ENJOY DO
PASS RECOMMENDATION SENATOR
WOULD YOU LIKE TO CLOSE I JUST
APPRECIATE YOUR TIME AND I YOUR
HARD WORK THIS A TOUGH COMMITTEE
YOU GUYS ARE WORKING REALLY HARD
ON I APPRECIATE ALL OF YOUR
EFFORT ASK FOR AN AYE VOTE.
THANK YOU THINK VERY MUCH
DESERVED THE PROMOTION ON THE
BILL. MOTION BY DOCTOR WEBER A
SECOND BY MR RODRIGUEZ A MOTION
IS DUE PASS AS AMENDED TO
APPROPRIATIONS MADAM SECRETARY
PLEASE CALL THE ROLL WOOD I
WOULD I WALDRON. WALDRON AYE
AGUIAR-CURRY. BRAMBILLA BURNER.
WENDY CARILLO WENDY CARILLO AYE
FLORA AND FAUNA. THAT'S FONG AYE
MAIENSCHEIN. RT PATTERSON.
RODRIGUEZ RODRIGUEZ AYE SANTIAGO
IT WOULD WHAT. WEBER WEBER I.
YOUR SIX VOTES WILL BELIEVE THE
BILL ON CALL. THANK YOU VERY
MUCH. YEAH WE HAVE- THERE ANY
SENATORS WHO HAVE A BILL BEFORE
THE COMMITTEE WE DO HAVE A AN
OPENING AT THE TABLE. WE CAN DO
YEAH WE CARE ALTHOUGH WE CAN DO-
NOW- ITEM NUMBER TWENTY ONE SB
THREE TWENTY SIX WHICH WAS
CENTER EGGMAN. THIS IS NOT A
BILL FOR HEARING TODAY THE VOTE
IS TO AMEND THE BILL TO ADDED
URGENCY CLAUSE. BOB CAN I
ENTERTAIN A MOTION TO DO THAT.
AMID A MOTION BY DOCTOR WEBER A
SECOND BY MR RODRIGUEZ THE
MOTION IS AMEND AND RE REFER TO
THE HEALTH COMMITTEE ADAM
SECRETARY PLEASE CALL THE ROLL
WHAT I WOULD AYE WALDRON. TWENTY
ONE. WALDRON I AGUIAR-CURRY.
ARAMBULA WERNER WENDY CARILLO.
WHEN ISRAEL AYE FLORA. AND FAUNA
. THANKS FONG I. MAIENSCHEIN
MCCARTY PHIL PATTERSON RODRIGUEZ
RODRIGUEZ AYE SANTIAGO YOU PUT
WHAT. WEBER WEBER I. S. SIX A WE
WILL LEAVE THAT ON CALL SO. AND
NOW WE WILL WAIT PATIENTLY FOR
SENATORS.
SENATOR WELCOME. FINNERTY HAVE
TWO BILLS BEFORE US SO. HOW
ABOUT. ABOUT HALF ABOUT
NUMERICAL ORDER- THANK YOU.
LET'S START THEN YEAH SB. SEVEN
SEVENTEEN THAT'S ALRIGHT I WANT
TO START OUT BY- THANKING THE
COMMITTEE FOR THEIR WORK- ON
TIGHTENING THIS BILL I'M WE MADE
AN IMPORTANT COMPROMISE IN THE
AMENDMENTS THAT YOU'LL SEE
BEFORE YOU HERE TODAY I'M WILL
GET INTO IT BUT SENSE OF THIS
INVOLVES THE- PRISON HISTORY
PIPELINE THAT WE'RE SEEING PLAY
OUT DAILY. TO THE DETRIMENT I'M
NOT JUST OF THOSE WHO WERE IN
THE CARCERAL SYSTEM BUT ALSO
THOSE WHO END UP ON THE STREETS
AFTER AND THEIR NEIGHBORS IN THE
COMMUNITY AROUND THEM- WHEN
YOU'RE DECLARED INCOMPETENT TO
STAND TRIAL AND YOU'VE BEEN
CONVICTED OF A YOU'VE BEEN
CHARGED WITH A MISDEMEANOR
DURING THE PENDENCY THAT TRIAL
NOW YOU CAN. SPEND THAT TIME
RECEIVING MENTAL HEALTH SERVICES
HOWEVER IF YOUR CHARGE
DISMISSED- THERE IS CURRENTLY NO
REQUIREMENT THAT COUNTY OR AT
PUBLIC DEFENDERS OR THE BEHAVIOR
HEALTH SYSTEM OR REALLY ANYBODY-
TRIES TO KEEP OFFERING YOU
SERVICES AND STAYS IN CONTACT
WITH YOU IN AND WHAT ENDS UP
HAPPENING IS THAT HUNDREDS IF
NOT THOUSANDS OF PEOPLE NOW IN
CALIFORNIA. WE'RE INCOME DIDN'T
STAND TRIAL- THEY HAVE SEVERE
MENTAL HEALTH DISORDERS ARE
SIMPLY JUST BACK ON THE STREET
NO HOUSING THEY'LL BE A REAL
HEALTH TREATMENT AND THIS IS A
DISSERVICE TO ARM THEM AND OUR
WHOLE SYSTEM WE'VE BEEN
ENCOURAGED BY SOME RECENT
ACTIVITY AT THE DEPARTMENT
HEALTH. CARE SERVICES I'M
LOOKING AT EARLIER INTERVENTIONS
IN THE PRISON SYSTEM. BUT WE
FEEL LIKE THIS BILL IS A REALLY
IMPORTANT SAFETY NET MEASURE TO
MAKE SURE THAT. AT LEAST- AT THE
COUNTY LEVEL WHEN FOLKS ARE
RELEASED- OR DISMISS THAT
THEY'RE GONNA HAVE SOME KIND OF
CONTACT FOR THAT INITIAL PERIOD
POST RELEASE. AND THE AMENDMENTS
THAT I MENTIONED WILL FLEE MAKE
THAT VERY INTENSE UP FRONT- IF
YOU LOSE TRACK OF SOMEBODY. IN
THE FIRST COUPLE WEEKS OR IS
THIS BILL PUTS OUT THERE IN THE
FIRST SIXTY DAYS I'M GONNA BE
VERY HARD TO FIND THEM AGAIN AND
SERVE THEM- WE HAD A HUNDRED
EIGHTY DAY PERIOD ORIGINALLY
THIS BILL WE'VE- WE'VE TRUNCATED
THAT BUT HOPEFULLY MADE THOSE
INITIAL. WEEKS VERY INTENSIVE-
SO THEY'RE GONNA BE MULTIPLE
CONTACTS WE HOPE. AND AN ATTEMPT
TO GET PEOPLE INTO HOUSING AND
SERVICES- THEY CAN OBVIOUSLY
STILL DECLINE THOSE SERVICES AND
PEOPLE WILL HAVE THE RIGHT STILL
TO DO SO THEY ARE NOT COMPELLED
BUT WE'VE WE OUGHT TO TRY- SO I
WANTED TO. HAVE AN ANSWER ANY
CHINS BUT TRYING TO FILL A
REALLY IN. HOLE RIGHT NOW YOUR
JUSTICE. IN OUR HEALTH CARE
SYSTEM. AND I WANT TO RECOGNIZE
THAT. THE CONCERNS FROM ASKED ME
IN SOME OF THE COUNTY BEHAVIORAL
HEALTH DIRECTORS. AROUND
SHORTAGES WE SHARE SOME OF THOSE
CONCERNS WE DON'T THINK IS GOING
TO BE UNDULY BURDENSOME ON A
WORK FROM THE WORKFORCE
PERSPECTIVE- MORE OBVIOUSLY. WE
PURSUING THAT ON BUDGET FRIENDS
AS WELL BUT- I. FEEL LIKE. THIS
IS WHAT THE SYSTEMS ARE DESIGNED
TO DO WE JUST WANT TO EMPOWER
THEM TO MAKE IT WORK AND SO WITH
ME HERE TODAY I HAVE PAUL SIMONS
EXECUTIVE DIRECTOR TO THE
DEPRESSION. AND BIPOLAR SUPPORT
ALLIANCE AS WELL AS THE ANDREA
CLARK HARVEY. IS THE CEO OF THE
CALIFORNIA COUNCIL OF COMMUNITY
BEHAVIORAL HEALTH AGENCIES. THE
. THERE WE GO. AFTERNOON THANKS
FOR ALLOWING ME TO SPEAK WITH
YOU TODAY. OTHER DEPRESSION
BIPOLAR SUPPORT ALLIANCE IS THE
LEADING PEER DIRECTED NATIONAL
ORGANIZATION FOCUSING ON. TWO
MOST PREVALENT. MENTAL HEALTH
CONDITIONS. DEPRESSION AND
BIPOLAR DISORDER AS WELL AS
OTHER NUMEROUS OTHER CONDITIONS
IN THE MENTAL HEALTH SPACE- SUCH
AS ANXIETY DISORDER. PTSD
ETCETERA. NOT AS OF THE CENTER
MENTIONED SB SEVEN SEVENTEEN
WOULD REQUIRE COUNTY BEHAVIORAL
HEALTH DEPARTMENT TO MAIN
CONTACT FOR. REALLY JUST SIXTY
DAYS- I THINK IT SHOULD BE
LONGER BUT- IN ORDER TO- AND ARE
FOR MENTAL HEALTH TREATMENT TO.
AN INDIVIDUAL CHARGED WITH A
MISDEMEANOR HE'S BEEN FOUND
INCOMPETENT. WE FIND OURSELVES
IN A PARTICULARLY DIFFICULT TIME
FOR THOSE WITH MOOD DISORDERS
AND MENTAL HEALTH CHALLENGES.
MORE AND MORE PEERS THOSE WITH
PERSONAL LIVED EXPERIENCE LIKE
MYSELF. ARE BEING MARGINALIZED
EVEN CRIMINALIZED AND END UP IN
A CYCLE OF FORCE TREATMENT
INCARCERATION WITHOUT GETTING
THE HELP THEY REALLY NEED.
PROGRAM TO ENSURE THE PEOPLE OF
RECEIVED A FOLLOW UP THAT THEY
NEED PARTICULARLY WHEN THEY ARE
SO ILL- WERE IN SUCH A CRISIS
MODE THAT THEY'RE PRONOUNCED
INCOMPETENT TO STAND TRIAL SEEMS
FAIRLY OBVIOUS. IF THERE SEEMS
TO BE NORMAL NO REAL SYSTEM IN
PLACE TO ADDRESS THIS. SB SEVEN
SEVENTEEN. REQUIRING SIXTY DAYS
A CONTACT WITH THESE INDIVIDUALS
IS A GOOD KICK START. TO ENSURE
CAN CONTINUITY OF CARE IT'S THE
WE SIXTY DAYS I HOPE IT'S A GOOD
KICK START- ONCE ONCE
INDIVIDUALS GET START
RECONNECTING WITH SERVICES I
THINK IT'S GOING TO BE A REAL
GOOD BENEFITS ENCOURAGE THEM
ONCE THEY HAVE THOSE CONTACTS.
TO CONTINUE ON. SO WHAT THOSE
FOR SIXTY DAYS- IS REALLY WHEN
IT MATTERS THE MOST. YOU'VE
OFTEN A COMMUNITY BASED
ORGANIZATIONS IN THE PROCESS
COULD BOTH ENHANCES
EFFECTIVENESS OF THE PROGRAM BY
PROVIDING MORE POINTS OF
CONTACT. FOR THE PATIENT BUT
ALSO MAKING THIS MINIMAL BURDEN
EVEN LIGHTER FOR THE COUNTY
BEHAVIORAL HEALTH DEPARTMENTS.
ANYONE FOUND INCOMPETENT TO
STAND TRIAL SHOULD ALREADY
ALREADY BE RECEIVING A
SUBSTANTIAL AMOUNT ABOUT HER
MENTAL HEALTH SERVICES. AND
HOPEFULLY THIS BILL WILL DO MORE
TO ENSURE THIS. I THINK IT'S A
BEST PRACTICE MAIN CONTACT AS
LONG AS POSSIBLE WE'RE CERTAINLY
AT LEAST UNTIL THE INDIVIDUALS
MENTAL. HEALTH RECOVERY IS WELL
ON ITS WAY. WE SUPPORT THIS BILL
STRONGLY THANK YOU. THANK YOU
VERY MUCH. THANK YOU TURN
MEMBERS I'M DOCTOR LOUDER CARL
HARVEY AT PSYCHOLOGIST THE CEO
CH I- OUR MEMBERS REPRESENT
MENTAL HEALTH AND SUBSTANCE USE
DISORDER. AT AGENCIES ACROSS THE
STATE THAT SERVE OVER ONE
MILLION INDIVIDUALS SO WE
UNDERSTAND THAT INDIVIDUALS
FOUND INCOMPETENT TO STAND TRIAL
ON MISDEMEANOR CHARGES OFTEN
FALL THROUGH THE CRACKS.
RECEIVING LITTLE TO NO BEHAVIOR
HEALTH SUPPORT THIS LACK OF
ASSISTANCE CAN EXACERBATE THEIR
MENTAL HEALTH CONDITIONS PUTTING
THEM AT FURTHER RISK FOR
CRIMINAL JUSTICE INVOLVEMENT
INCREASED PERSONAL SUFFERING. I
SAW THIS FIRST HAND WHEN WORKING
THE WITH THIS POPULATION AT THE
STATE HOSPITAL MUCH CONTINUOUS
AGO. IT WASN'T ODDITY THE SAME
INDIVIDUAL CYCLE THROUGH THE
SYSTEM. BY REQUIRING COUNTY
BEHAVIORAL HEALTH DEPARTMENTS TO
MAINTAIN CONTACT WITH THESE
INDIVIDUALS SB SEVEN TO
SEVENTEEN CAN INCREASE ACCESS
AND SUPPORT. TO HELP PREVENT
FURTHER DISTORT DETERIORATION OF
THEIR MENTAL HEALTH AND
SUBSTANCE ABUSE DISORDERS AND
REDUCE THE LIKELIHOOD OF
RECIDIVISM. WE FIRMLY BELIEVE
THAT PRIMARY AND SECONDARY
PREVENTION CAN HELP INDIVIDUALS
WHO HAVE CONTACT WITH THE
JUSTICE SYSTEMS ACHIEVE RECOVERY
AND BECOME CONTRIBUTING MEMBERS
OF THEIR COMMUNITIES THANK YOU.
THANK YOU VERY MUCH OTHERS AND
SUPPORT THESE. I MEAN NO ONE
ANSWER OPPOSITION TO THE BILL.
GOOD AFTERNOON LISA GARDNER WITH
THE COUNTY BEHAVIORAL HEALTH
DIRECTORS ASSOCIATION WE
REPRESENT THE- LEADERS OF THE
PUBLIC. EVER HEALTH SAFETY NET
AND FIFTY EIGHT COUNTIES AND TWO
CITIES. I'M IN IT WE SHARE THE
AUTHOR'S CONCERN FOR THIS
POPULATION AND RECOGNIZE THAT
THEY- COULD BENEFIT DEFINITELY
FROM BEHAVIORAL HEALTH SERVICES
BUT WE REMAIN OPPOSED TO MUST
AMENDED ON THE MEASURE- THANK
YOU I TO THE AUTHOR FOR THEIR
RECENT AMENDMENTS WHICH NARROW
THE AMOUNT OF TIME REQUIRED TO
TRACK THESE CLIENTS. WE CONTINUE
TO FIND THE SIXTY DAY TIME FRAME
UNDULY BURDENSOME AT A TIME WHEN
WE ARE FACING A CATASTROPHIC
WORKFORCE CRISIS- WE BELIEVE
THIS BILL WOULD REQUIRE THE
HIRING OF MULTIPLE ADDITIONAL
STAFF PER COUNTY. AND UNDER
MATIC HAULED OUT REACH AND
ENGAGEMENT ARE NOT REIMBURSABLE
SERVICES I'M IN ADDITION THE
PRESCRIPTION OF PRESCRIPTIVE
DEATH OF THE LANGUAGE AROUND THE
OUR REACH- WHICH REQUIRES MAKING
CONCERTED EFFORTS TO MAINTAIN
CONTACT. AT A MINIMUM OF TWICE A
WEEK FOR THE FIRST THREE WEEKS
REALLY OVER Y. OVERRIDES THE
IMPORTANT TO AND CAREFUL
CLINICAL JUDGMENT AND EXPERTISE
THAT ARE PROFESSIONALS BRING TO
ENGAGEMENT. WITH THIS DIFFICULT
POPULATION. I'M AS THE AUTHOR IN
THE ANALYSIS NOTED- THE
ADMINISTRATION IS IN THE PROCESS
OF IMPLEMENTING A JUSTICE
INVOLVED MEDIC CALENDAR SHOULD
HAVE- AND NINETY DAY JAIL IN
REACH PROGRAM- THIS IS THE FIRST
OF ITS KIND IN THE COUNTRY- AND-
IN OUR INITIAL AND DISCUSSIONS
WITH THE ADMINISTRATION- THIS
PROGRAM WHICH IS SET SET TO
START IN APRIL OF TWENTY TWENTY
FOUR- WE UNDERSTAND THE GOAL IS.
ALSO TO SERVE THOSE WITH
MISDEMEANOR HIGHEST. I'M SO WE
BELIEVE IT MAKES A GREAT DEAL OF
SENSE TO CONCENTRATE ON UP FRONT
OUTRAGE OF THIS POPULATION. SO
THANK YOU VERY MUCH. THANK YOU.
THANK YOU MISTER CHAIRMAN OF THE
COMMITTEE ONLY A GRAPHING WITH
THE AMERICAN FEDERATION OF STATE
COUNTY MUNICIPAL EMPLOYEES-
APPRECIATE THE AUTHOR'S COMMENTS
AND- HE DID MENTION THAT WE HAVE
CONCERNS ABOUT THE IMPACT TO THE
TO THE EXISTING WORK FORCE-
CURRENTLY HIGHLY UNDERSTAFFED
AND WE DO HAVE THAT. CONCERN AS
MENTIONED AND LOOK FORWARD TO
WORKING WITH AUTHOR MOVING
FORWARD THANK YOU. THANK YOU.
SEE NO ONE ELSE REPORT TO THE
COMMITTEE QUESTIONS OR COMMENTS
FROM THE COMMUNITY. I WANT TO
THANK YOU FOR BRINGING THE BILL
FORWARD- WE ARE ALWAYS TALKING
ABOUT HOW WE NEED TO GET. TIMELY
INTERVENTION ESPECIALLY. THE
PEOPLE WHO NEED IT RIGHT AT THAT
MOMENT WHERE THEY'RE FACING IN
THEIR INCARCERATION OUR FUTURE.
RECIDIVISM OF THAT'S ONE OF THE
THINGS WE ALWAYS TRY TO PREVENT
AN- A TO BREAK THAT CYCLE SO. I
AM SUPPORT OF THE BILL. AND I'D
I'D IF YOU CAN I TO. SUPPORT
SUPPORT WHAT YOU'RE TRYING TO DO
CENTER WE'VE HAD WE HAD A WE HAD
A DISCUSSION ABOUT THIS AND I
HAVE A MUCH BETTER UNDERSTANDING
FOR WHAT YOU'RE TRYING TO DO.
AND I GUESS AS FAR AS SAW THANK
TO WORK FOR CHIU. WE'RE OF A
KIND OF A REVOLVING DOOR WE GOT
PEOPLE THAT THAT ARE CA. TO RE
THROUGH CYCLE. AND I CAN HELP
BUT THINK THAT IF WE TOOK A MORE
PRO APPROACH TO CONT. THEM IT
WOULD ALLEVIATE POTENTIAL THE
DAY. WORK FOR THAT WOULD HAVE TO
BE DONE BY PEOPLE WHO ARE READY
WHO ARE READY HAVING TO WORK
HARD SO. I SEE THIS AS A- IN.
AND CON DOESN'T. MEAN YOUR A
PHYSICALLY SEE THEM CON MIGHT
MEAN SELF CALL. JUST A TOUCH
BASE. AND LIKE I JUST HAVE A
HARD TIME THINKING THAT'S- GONNA
BE THAT DID. UNLESS YOU
PHYSICALLY REACH THEM AND SO I
APPLY WHAT YOU'RE TRYING TO DO
HERE I UNDERSTAND THAT- I
SUPPORT WHAT YOU'RE DOING- AND
THE BILL DOES ENJOY DO PASS
RECOMMENDATION. WHICH WOULD YOU
LIKE TO CLOSE. THANK YOU FOR
THAT MISTER CHAIR AND FOR-
GETTING INTO DETAILS HERE ON
THIS- WE THINK THAT THAT SORT OF
RELENTLESS ABUNDANT CARE UP
FRONT AT THOSE CRISIS MOMENTS
IS. JUST DESPERATELY NEEDED AND
RIGHT NOW PEOPLE ARE BEING
RELEASED- FROM A VERY YOUNG JUST
CARCERAL SYSTEM INTO AN EQUALLY
UNJUST LIFE ON THE STREETS AND
NOT JUST. CAN'T STAND SO BIG
RESOURCE ISSUES TO SOLVE ONE
WERE CLOSE TO THE COUNTIES IN
BEHAVIOR HEALTH DIRECTORS. WE'RE
GONNA KEEP DOING THAT MOVING
FORWARD BUT REALLY APPRECIATE
YOUR CONSIDERATION I
RESPECTFULLY ASK RIVAL. THANK
YOU VERY MUCH SENATOR- THEIR
MOTION CAN ENTERTAIN A MOTION-
MOVE. THE IS IT I'M SORRY THE
REST. WITH THAT YOU SAID- THIS
WATER MOVING THE BILL. THE
SECOND. FROM DOCTOR. FROM WHAT
WENT AMISS CARILLO THANK YOU SO.
MOTION IS DUE PASSED TO PROVIDE
. I'M I'M JUST. I AM HEARING
THINGS ALL OVER THE PLACE HERE
TODAY SO. MOST APPARENTLY SEEING
THINGS THAT AREN'T THERE SO
ANYWAY OF THE MOTION IS DUE
PASSED YOU APPROPRIATIONS AMOUNT
OF SECRETARY PLEASE CALL THE
ROLL. WHAT WOULD I WALDRON
WALDRON AYE AGUIAR-CURRY.
ARAMBULA BURNER WENDY CARILLO.
WENDY CARILLO AYE FLORA. AND
FAUNA. IT'S FUN I MAIENSCHEIN.
MCCARTY YEAH PATTERSON RODRIGUEZ
SANTIAGO. YOU PUT WHAT YOU PUT
WHAT I WEBER. WEBER HI. THE SIX
VOTES WILL LEAVE THAT BILL ON
COFFEE. AND YOU HAVE ANOTHER
BILL. SB SEVEN SEVEN NINE. YES
THANK YOU MISTER CHAIR- I WANT
EXCEPT AT THE OUTSET THE
COMMITTEE AMENDMENTS REFERENCE
ON PAGE ELEVEN- AND THANK YOU
AGAIN THE COMMITTEE AND- FOR
THEIR ENGAGEMENT THOUGHT FOR A
MOMENT DIALOGUE. OF THIS THIS
BILLS IT REALLY AN EFFORT TO
INCREASE ACCOUNTABILITY QUALITY
AND TRANSPARENCY IN HEALTHCARE
BY UPDATING ANNUAL DATA
REPORTING FOR LICENSE PRIMARY
CARE CLINICS- WE KNOW THAT
COMMUNITY CLINICS- AND THESE THE
LICENSE PRIMARY CARE CLINICS
THAT THEY OFTEN OPERATE UNDER
ARE IN. VERY TOUGH ENVIRONMENTS
REACHING POPULATIONS THAT ARE
OFTEN IMPOSSIBLE TO REACH AND
THE WORK IS HARD AT THE INTAKE
IS HARD- WE KNOW THAT IT'S NOT
JUST THE TRADITIONAL INTAKE THAT
YOU MAY FACE WHEN YOU GO TO THE
DOCTOR'S OFFICE AND- FILL OUT
THAT FORM OFTEN- FOLKS OF THE
CLINICS HAVE TO HELP PEOPLE EVEN
FILL OUT THAT DOCUMENTATION
SOMETIMES A MAYBE THE PEOPLE ARE
JUST TALKING ABOUT- WHO. MAYBE
AN INCOMPETENT TO STAND TRIAL IN
BACK ON THE STREET OR MAY HAVE A
PSYCHOTIC EFFECTIVE DISORDER BI
POLAR DISORDER OTHER ISSUES THAT
MAKE. SERVING THEM VERY
DIFFICULT SO WE DON'T WANT TO
COMPLICATE THAT RELATIONSHIP OR
ADD ANY UNDUE STRESS BUT WE ALSO
KNOW THAT WE NEED. CRITICAL
QUALITY AND WORK FOR STATE AS
WELL AS PATIENT DATA- WHEN THEY
WANT TO SUBMIT IT TO MAKE SURE
WE'RE SERVING POPULATIONS AS
BEST WE CAN- AND SO AS WE'RE
SHORT OF EMBRACING. AT PRIMARY
CARE IN CLINIC WORK IN UPPING
THE BUDGETS THERE AND TRYING TO
SORT OF CATCH UP WITH THIS
BROKEN SO SHE'D SOCIAL SAFETY
NET- WE DON'T WANT TO DELAY THAT
CARE. I WE WANT TO MAKE SURE
THERE'S QUALITY IN EQUITY IN
THIS AT REACH N. CURRENTLY THE
DA DEPARTMENT HEALTH CARE ACCESS
AND INFORMATION. IS ANNUALLY
COLLECTING A LOT OF THE STATE OF
MAKING PUBLIC FINANCIAL
UTILIZATION LABOR PATIENT
DEMOGRAPHIC INFORMATION. FROM
LICENSE PRIMARY CARE CLINICS
HOWEVER THESE CARPORTS DON'T
PROVIDE THE LEVEL OF DETAIL WE
THINK IS NEEDED TO ENABLE THE
STATE TO. LOOK AT THE HEALTH
CARE. POLICY QUESTIONS ASSESS
TRENDS INTO SPADE WORK FOR
SHORTAGES- WE NEED TO BE A SPOT
CRISES. THEY SEE. I WE NEED TO
KNOW WHERE THE GAPS ARE IN
SERVICE FOR POPULATIONS WE WANT
HELP COMMUNITY CLINICS. YOU
THEIR JOBS BETTER- A WE THINK
THE STATE IS GOING TO HELP
EMPOWER THEM TO DO SO. AND I
SINCERELY APPRECIATE THEIR
CONCERNS AND THE BURDENS THEY'VE
GOT JUST FOR DELIVERING CARE OUT
THERE BUT- I THINK THIS BILL. IS
NOT UNDULY DUPLICATIVE AND
HOPEFULLY WILL LEARN YOUR AYE.
VOTE I'VE GOT A BETTER KNOWN
OWSKI HERE WITH US YEAH YOU. AS
WELL AS ONE OF OUR LOCAL
LEADERS- FROM SEIU AS WELL SO
THANK YOU. THANK YOU. CHAIRED
MEMBERS BETH NOT ASKING A HERE
TODAY WITH S. YEAH YOU
CALIFORNIA I'M EVER SEVENTY
THOUSAND MEMBERS. IF YOU
CALIFORNIA'S PROUD SPONSOR OF SB
SEVEN SEVEN NINE AND WE'RE
GRATEFUL FOR CENTER STERN FOR
HIS LEADERSHIP. I THE SENATOR
NOTED WE ALSO DEEPLY
APPRECIATIVE OF COMMITTEE STAFF
WORKING WITH US TO CONTINUE TO
REFINE THE BILL- I ONE ALIGN
MYSELF WITH THE REMARKS MADE BY
CENTER STERN. RESPECTFULLY ASK
YOUR AYE VOTE TODAY AVAILABLE TO
ANSWER ANY TECHNICAL QUESTIONS-
AND NOW THE PURGE OF HANDING
OVER TO ADDRESS YEAH YOU
LEADERS. JOSEPH TOWARDS VASQUEZ
A MEDICAL ASSISTANT AT WATCH
HEALTHCARE IN LOS ANGELES AND A
MEMBER OF SEIU LOCAL SEVEN TO
WANT TO SHARE A BIT MORE. ABOUT
WHY SB SEVEN SEVEN NINE MATTERS
TO OUR WORK FORCE. IT YOU. GOOD
AFTERNOON COMMITTEE CHAIR WOULD
AND MEMBERS OF THE COMMITTEE MY
NAME IS JOSEPH TOWARDS VASQUEZ.
AND I'M A MEDICAL ASSISTING THE
PEDIATRICS DEPARTMENT AT WHAT'S
HEALTHCARE. I STARTED WORKING IN
HEALTH CARE BECAUSE I FEEL
PASSIONATE ABOUT HELPING PEOPLE.
ESPECIALLY IN MY COMMUNITY
WANTS. A WORKING IN A CLINIC
THAT MINE IS REALLY FIT IN
BECAUSE I KNOW THAT I'M HELPING
MY COMMUNITY. I AM ESPECIALLY
PROUD OF PARTY INVITED PARENTS
AND THEIR CHILDREN AND ARE
HEALTHY STEPS PROGRAM. ZERO
THREE. THIS PROGRAM HELPS GUIDE
PARENTS ON HOW TO BEST SUPPORT
THEIR BABIES EARLY DEVELOPMENTAL
STAGES. MAKING SURE THAT ALL
FAMILIES INCLUDING THE LOW
INCOME BLACK LATINO AND
IMMIGRANT FAMILIES. THAT MAKE UP
THE MAJORITY OF OUR PATIENTS.
HAVE THE CARE AND SUPPORT THAT
THEY NEED. IN CREATES A BRIGHTER
FUTURE FOR OUR GENERATION. I
WANT TO CONTINUE AND BUILD A
CAREER IN THE HEALTHCARE FIELD
BUT- TO BE HONEST I DON'T KNOW.
IF I WILL CONTINUE TO DO SO. I
DON'T KNOW HOW MUCH LONGER I AM
GOING TO STAY A LOT OF CLINIC
WORKERS AREN'T. QUITE CREATING.
AND I AND YOU KNOW. THE FINAL
CELLS IN THE SAME POSITION WERE
WONDERING IF THEY CAN KEEP GOING
WITH THE WAY THINGS ARE. MEDICAL
ASSISTANCE LIKE MYSELF ARE
GETTING PAID EIGHTEEN DOLLARS AN
HOUR. AND YOU KNOW WE GET TAXED
AS WELL AS SELECT WASTE HE COMES
OUT TO LIKE AROUND. FIFTEEN
DOLLARS AN HOUR. OUR WAGES ARE
SO LOW AND WE FIND OURSELVES
EXHAUSTED AS JUDGE BEYOND OUR
LIMITS DUE TO OUR- OUR COMMUNITY
CONNECTS RECEIVED MILLIONS IN
TAXPAYER DOLLARS BUT REPORTING
REQUIREMENTS. FOR HOW THEY SPEND
THIS MONEY TO ENSURE THAT
CONNECTS SEVEN OF STAFF AND
WHETHER THEY ARE INVESTING. IN
WORKFORCE DEVELOPMENT. WELL
EXIST IN OUR STATE. FOR THE
FIRST TIME SB SEVEN SEVEN NINE
WOULD GUARANTEE THAT THE PRIMARY
CARE ANNUAL UTILIZATION REPORT
BRINGS TOGETHER INFORMATION. OUR
FINANCES IN CLINIC WORK FORCE
WITH INFORMATION ON QUALITY OF
CARE. SB SEVEN SEVEN NINE OF
DAYS REPORTING REQUIREMENTS SO
THAT THE CLINICS HAVE TO PROVIDE
INFORMATION ON HOW THEY ARE
CREATING A PIPELINE FOR THEIR
WORKERS. FOR LONG TERM CAREERS
AND HEALTH CARE. IT MAKES IT SO
THAT LAWMAKERS AND THE PUBLIC
KNOW THAT THE CLINICS ARE DOING
THE SUPPORT WORKERS WITH JOB
TRAINING AND EDUCATION. WITHOUT
HEALTH CARE WORKERS ARE CONNECTS
WON'T THRIVE. AND WITH OUR
CONNECTS OUR PATIENTS HAVE NO
OTHER PLACES TO GO. SB SEVEN
SEVEN NINE WILL HELP US SEEK HOW
DEEP THE PROBLEMS GO WHEN IT
COMES TO STAFFING ATION CARE.
WORKFORCE DEVELOPMENT. AND AS
WELL AS INFORMATION ON CONNECT
MERGERS AND ACQUISITIONS. I URGE
YOU TO VOTE YES ON SB SEVEN
SEVEN NINE. DESTROYED IN OUR
CLINICS. OF THE COMMUNITIES THAT
RELY ON THEM. AND TO STAND WITH
CLINIC WORKERS AND OUR PATIENTS
THANK YOU. THANK YOU VERY MUCH
OTHERS IN SUPPORT. GOOD
AFTERNOON CHEN MEMBERS JUST K.
WITH THE CALIFORNIA SCHOOL
EMPLOYEES ASSOCIATION AND
SUPPORT. THANK YOU. JUST JUST
NAME AN ORGANIZATION IF YOU
REPRESENT ONE PLEASE. CONNIE
TAYLOR SMITH YOU H. W. HEALTH
CARE JUSTICE I STAND IN SUPPORT
THANK YOU. MY NAME MOTHER MODEL
FROM SAN DIEGO WAS CENTER STAGE
OR HEALTH STATUS SUPPORT THANK
YOU. JOHN BROOKS BOY RETIRED
FROM SEIU U. H. W. AND AS A
PATIENT ADVOCATE TO HEALTHCARE
SYSTEM I STAND IN SUPPORT THANK
YOU. LAURIE BRIDGES HEALTH RIGHT
THREE SIXTY STATEWIDE I STAND IN
SUPPORT YOU. REMEMORY YOU SELL
DESERT REGIONAL MEDICAL CENTER
PALM SPRINGS S. C. A. U. U. H.
W. AND SAN DIEGO CLINIC. CLINICS
I STAND IN SUPPORT THANK YOU.
THE NUMBER OF SPOT LIKE A THREE
YO YOU THINK OTHER MORE THEY
STILL GIVING FOUR YET LET'S SEE
IF THIS DID NOT. JUST LIKE INTO
A LOCAL LEVEL BY. THAT THAT'S
THE THING YOU. GOOD MY NAME IS
THEA I FROM ASIDE AND I'M TO
SERVE THE SEVENTH NINE THANK YOU
. HI GOOD AFTERNOON MY NAME IS
MEMBERS GATHER- I'M COMING HERE
BECAUSE SIGNED THEY'LL SENT. THE
METICULOUS DNA THIS COME TODAY
POSSIBLE THIS IS A SEVENTH NINE
THANK YOU THANK YOU. NOON MY
NAME S. MEDIA AND I WORK AT THE
WATTS HAS CENTER THREE YEARS I
AM ALSO AN ACLU ARE SEVEN TWENTY
ONE MEMBER AND I'M HERE TO
SUPPORT THIS SEVEN SEVEN NINE.
THANK YOU. GOOD AFTERNOON MY
NAME IS JUDITH VALENZUELA I'M
FROM SAN DIEGO SANTEE ZERO
HEALTH CENTERS I'M A CNA AND I'M
HERE TO SUPPORT A SEVEN SEVEN
NINE SPENDING FOR SUPPORT THANK
YOU. MY NAME IS FRANCISCO BILL
HERNANDEZ I AM- CLINIC CAREER
IT'S A LIBERAL HINT IN
WATSONVILLE CALIFORNIA. I'M A
MEMBER OF SEIU FIVE TWENTY ONE
AND I STRONGLY URGE YOU TO
PLEASE VOTE YES ON SB SEVEN
SEVEN NINE. THANK YOU THANK YOU
. IF NEAR LOCK REPRESENTING CFTA
UNION OF EDUCATORS AND
CLASSIFIED PROFESSIONALS IN
SUPPORT THANK YOU THANK YOU. HI
GOOD AFTERNOON DEBORAH BORROW
SOME A NURSES OCCUR BURKE SAN
FRANCISCO GENERAL HOSPITAL I'M
ALSO MEMBER OF AN ICE S. HE ARE
YOU TEN TO ONE. I STAND HERE IN
SUPPORT THANK YOU THANK YOU.
GOOD AFTERNOON MY NAME IS
JESSICA LANDIS I'M A MEDICAL
ASSISTANT AT HIGHLAND HOSPITAL
IN OAKLAND AND I STAND IN
SUPPORT. THANK YOU. WE'RE
AFTERNOON I AM BRANDON DAWKINS
I'M A HEALTH WORK WITH THE SAN
FRANCISCO DEPARTMENT OF PUBLIC
HEALTH AND A MEMBER OF SEIU
LOCAL TWO TO ONE AND I TO
SUPPORT SB SEVEN SEVEN NINE.
THANK YOU. HELLO I'M SHELLEY BUT
DOT WORK AT WHAT'S HEALTHCARE
I'M HERE TO ASK FOR YOUR SUPPORT
SB SEVEN SEVEN NINE. THANK YOU
HAVE A GOOD DAY THANK YOU. HI
I'M DIANA MORALIS REGISTERED
OWNERS- I WORK WITH FOR A GOAL
AND I ASK FOR YOUR SUPPORT AND
YES ON SB SEVEN SEVEN NINE.
THANK YOU YOU. IN FACT. I'M
SORRY NOBODY SIX INCOME FROM
ALLEN EMPIRE AND I ALSO DO
SUPPORT FOR THE S. B. SEVEN
SEVEN NINE. THANK YOU. HEY I'M
K¾T TEMPLETON I'M FROM HOLLYWOOD
CALIFORNIA LA LGBT CENTER WE
STAND IN SUPPORT. THANK YOU. HI
MY NAME IS VAUGHN COTTON I AM A
WELL SPACE PATIENT. THAN IN THE
SUPPORT FOR SEVEN SEVEN NINE
THANK YOU THANK YOU. HI MY NAME
IS JEANNIE RHEE HENRY IDEAS CNA
FOR THIRTY YEARS AT P. MY
GARDEN. HEALTHCARE JUSTICE FOR
USE FOR UC. W. SEVEN NINE NINE
I'M SUPPORTING THANK YOU. ANYONE
ELSE. SEE NO ONE IS THEIR
OPPOSITION TO THE BILL.
GOOD AFTERNOON MR CHAIRMAN
MEMBERS DENNIS CLASS FROM METAL
WITH A CALIFORNIA HEALTH PLUS
ADVOCATES WE ARE THE C. FOUR ARM
OF THE CALIFORNIA PRIMARY CARE
ASSOCIATION WE REPRESENT NEARLY
THIRTEEN HUNDRED HEALTH CENTERS
IN THE STATE OF CALIFORNIA-
PROVIDING CARE FOR OVER SEVEN
POINT SEVEN MILLION PATIENTS IN
THE STATE- WE APPRECIATE THE
COMMITTEES- HARD WORK ON THE
AMENDMENTS ARE ALSO APPRECIATE
THE AUTHOR AND SPONSOR FOR THE
CONTINUED DIALOGUE. ON THE BILL-
WE WILL BE BRINGING THE PROPOSED
AMENDMENTS TO OUR LEGISLATIVE
COMMITTEE ON THURSDAY FOR
POTENTIAL RECONSIDERATION OF OUR
POSITION- IN THE MEANTIME DO
WANT TO JUST EXPRESS A COUPLE-
ONGOING CONCERNS- YOU KNOW THE
AUTHOR AND SPONSORS DO ARGUE
THAT THERE IS AN AND IF THE BILL
IS INTENDED TO. ADDRESS A GAP-
WITH THE INCREASE OF INTIMATE
INSIGHTS AND THE LACK OF DATA
THAT HAS NOT FOLLOWED WE AGREE
WITH THAT ASSESSMENT AND THAT'S
WHY WE'VE PROVOKED PROVIDED-
PROPOSED AMENDMENTS TO TRY TO
ADDRESS THAT CONCERN- TO TRY TO
MAKE SURE THAT THE DATA FOLLOWS-
THE- RIDES IN IN A MINUTE
CLINICS. OUT AGAIN WE AGREE WITH
THAT AND WE DO BELIEVE THAT
THERE IS A NEED FOR INCREASED
DATA THE CONCERN WITH THIS BILL
IS THAT WE DON'T REALLY SEE THE
SPECIFIC DATA POINTS THAT ARE
REMAINING IN THE BUILDING NEW
DATA THAT IS REALLY GETTING TO
THE HEART OF INCREASING PATIENT
CARE. AND THAT'S I THINK THAT
THE MOST PROBLEMATIC ISSUE FOR
OUR MEMBERS OUT WE CERTAINLY
APPRECIATE THE- DELAYED
IMPLEMENTATION BECAUSE THAT WILL
HELP OUR OUR MEMBERS IMPLEMENT
THE BILL IF THE BILL IS PASSED
AND SIGNED INTO LAW AND WE DO
APPRECIATE THE CONTINUED
DIALOGUE THAT WILL HAVE WITH
THE- AUTHORS AND SPONSORS BUT
THOSE ARE SOME OF THE REMAINING
CONCERNS. THE LAST THING I DO
WANT TO MENTION IS WITH THE
EXPANSION OF HEALTH CARE FOR ALL
FOR THE TWENTY SIX TO FORTY NINE
POPULATION ON JAN ONE. OUR
HEALTH CENTERS ARE GOING TO TAKE
ON THE LION'S SHARE OF THOSE
MEMBERS. AND THE CONCERN FROM
OUR OUR HEALTH CENTERS IS THAT.
WITHOUT ANY AT ADDITIONAL
FUNDING TO HELP SUPPORT THIS
THEY MAY HAVE TO TAKE MOVE STAFF
TO MEET THE REQUIREMENTS OF THIS
BILL INSTEAD OF PROVIDING.
ADDITIONAL SUPPORT FOR PATIENT
CARE BECAUSE IT THE AUTHOR AND
SPONSORS I KNOW WE SHARE THE
GOAL OF PROVIDING BETTER MORE
TIMELY ACCESS AND- PATIENT CARE.
AND WE HOPE TO CONTINUE THAT
DIALOGUE MOVING FORWARD THANK
YOU FOR YOUR TIME. IF THANK YOU
VERY MUCH. ANYONE ELSE IN
OPPOSITION. MARIN PIN IT ON
BEHALF OF CALEXICO UNDER CENTER
AND LOCAL PUT IT THE ROCK
CAMPESINA IN OPPOSITION. THANK
YOU. BRANDON MARCH WITH THE
CALIFORNIA MEDICAL ASSOCIATION
IN AN OPPOSE UNLESS AMENDED
POSITION WILL TAKE THE
AMENDMENTS BACK AND REVEAL THANK
YOU THANK YOU. DOMINIC TOMORROW
HERE ABOUT HALF OF HEALTH CENTER
PARTNERS NOT SURE WHY WE DIDN'T
SHOW UP ON THE- ANALYSIS WILL
FIGURE THAT OUT BUT- SENATOR
STERN WILL NOT BE SURPRISED THAT
WE ARE OPPOSE LESS AMENITIES
WILL BE TAKING THE MEMBERS BACK
TO OUR- LET'S GET THESE WELL
THANK YOU. GOOD AFTERNOON CHAIR
MEMBERS OF THE HANDLE SO LEASE
ON BEHALF OF LOS AMIGOS IT UP WE
UN OPPOSITION AND AS A PROXY FOR
CALIFORNIA. HUMAN DEVELOPMENT
CENTER FOR EMPLOYMENT TRAINING
AND ABILITY OPPORTUNITY CENTER
FARMWORKER INSTITUTE OF
EDUCATION AND LEADERSHIP. AND
THE COALITION FOR IMMIGRANT
JUSTICE. AND SAN DIEGO REGIONAL
CHAMBER OF COMMERCE ON
OPPOSITION THANK YOU. THANK YOU
. LIBBY SANTOS ON BEHALF OF
ALTON THE UNOPPOSED UNLESS
AMENDED POSITION ECHOING THE
COMMENTS OF MY COLLEAGUE AT C.
PCA. THANK YOU. ANYONE ELSE. SEE
NO ONE BRING BACK TO THE
COMMITTEE ANY QUESTIONS OR
COMMENTS FROM THE COMMITTEE.
AFTER WEBER. THANK YOU SENATOR
STERN FOR- FOR BRINGING THIS
BILL FORWARD- I THINK YOU HAVE-
AND ON ONE POINT KIND OF
HIGHLIGHTED. IN AREA THAT WE DO
NEED MORE DATA FROM SOME OF OUR
INTERMITTENT CLINICS- I DO ECHO
THE CONCERNS FROM THE OPPOSITION
. WITH THE EXPANSION OF THE DATA
REQUIREMENTS- AS I WAS READING
THROUGH THE BELL. THE DOCTOR
CAME OUT OF ME AND IT'S JUST
LIKE. MORE PAPERWORK MORE
PAPERWORK MORE PAPERWORK. BUT
HOW DOES THIS TRANSLATE INTO A
BETTER PATIENT OUTCOMES AND
IMPROVED ACCESS TO CARE. AND SO
I'M UNDERSTANDING THAT. THESE
CLINICS THAT WERE REFERRING TO-
THESE ARE COMMUNITY CLINICS THAT
ARE REALLY OUR SAFETY NETS FOR
OUR COMMUNITIES THESE. ARE THE
CLINICS THAT ARE ENSURING THAT
OUR MOST UNDERSERVED- PATIENTS
AND OUR COMMUNITIES ARE GETTING
AT LEAST THE PRIMARY CARE AT
LEAST AT FIRST STEP IN THE DOOR.
ARMED THERE ARE MANY PEOPLE HERE
FROM SAN YSIDRO HEALTH- AND
ALTHOUGH IT'S NOT NECESSARILY IN
MY CLINIC I UNDERSTAND THIS BE
IMPACTFUL ROLE THAT THEY PLAY
WITH AND I SAN DIEGO COUNTY. AND
SO THE WHEN I WAS READING AND I
SO WHO IS GOING TO BE THE PERSON
THAT WILL BE COLLECTING ALL OF
THE STATE. AND PUTTING IT
TOGETHER IN A REPORT. AND IS
THIS TAKING AWAY FROM SOMEONE
WHO COULD BE PROVIDING PATIENT
CARE. WHEN AT THE END OF THE DAY
SOME OF THESE THINGS I DON'T SEE
HOW IT TRANSLATE INTO BETTER
PATIENT. CARE BETTER PATIENT
OUTCOMES BETTER PATIENT ACCESS
AREN'T LIKE. MERGERS AND
ACQUISITIONS I DON'T UNDERSTAND
HOW COLLECTING THAT DATA-
TRANSLATES INTO SOME LOWER
HYPERTENSION RATES ARE LOWER
DIABETES RATES AND THINGS LIKE
THAT AND SO ALTHOUGH I DO
BELIEVE THAT. SOME OF THESE
CLINICS FOR WHICH WE'RE NOT
GETTING ANY DATA FROM WE DO NEED
PATIENT DEMOGRAPHIC DATA WE DO
NEED. YOU KNOW WORKER DATA WE
NEED THE DATA THAT WE'RE GETTING
FROM SOME OF THESE OTHER-
HOSPITALS AND CLINICS THAT ARE
CURRENTLY REQUIRED. I'M NOT SURE
IF THE EXTENSIVE EXPANSION. ARM
IS GOING TO TRANSLATE INTO
BETTER PATIENT OUTCOMES AND SO
THAT'S REALLY KIND OF WHERE I'M
I'M I'M- I'M HAVING DIFFICULTY
BECAUSE- PERSONAL HAS TO COME
FROM SOMEWHERE. AND IF IT'S AN
OVER REMOVING IT FROM CURRENT
PATIENT CARE THAN I WON AT LEAST
SAY AT THE END OF THE DAY IT'S-
IT'S GOING TO IMPROVE PATIENT
OUTCOMES I'M NOT SURE OF ALL OF
THIS DATA DOES THAT BUT- I DO
WANNA THANK YOU FOR SHEDDING.
THIS LIGHT THAT WERE NOT
REPORTING ON ALL OF OUR CLINICS
AS WE SHOULD BE- I'M GONNA
CONTINUE TO LOOK AT THIS- BUT I
JUST WANTED TO KIND OF LET YOU
KNOW- MY APPRECIATION OUR PART
BUT ALSO MY. THANK YOU ANYONE
ELSE AT MR BE APPROVED WHAT.
THANK YOU TO THE CHAIR. I THANK
YOU SENATOR FOR BRINGING THIS UP
BY NO. ONE OF MY. JOBS WHEN I
FIRST CAME UP HERE. SOME A
FORMER COUNTY SUPERVISORS RIGHT.
I SEE IT FROM WHEN HE HITS- AT
THE COUNTY LEVEL AND- MY CLINICS
ARE ARE CLOSE. THAT MEANS.
ANOTHER ISSUE BUT ONE THAT
UPSETS ME. THE MOST RIGHT
BECAUSE- THESE ARE FOLKS THAT IN
MY DISTRICT THAT. SOMETIMES I
DON'T HAVE MEANS OF
TRANSPORTATION. IN YOUR CLOSING
THESE CLINICS IN OUR IN OUR
DISTRICT IN IN WE'RE WE'RE
FEARING THAT MORE MORE. IN
HEARING THAT MORE AND MORE- I
ALSO HAVE HEARD FROM YOU KNOW.
PLEASE COUNTY BOARD. THAT JUST
SEEMS LIKE. THE GOVERNMENT GETS
INVOLVED WE'RE ASKING THEM TO DO
MORE. WITH LESS IT WORRY MANY
YOU GUYS. ALL THE ALL THE SEIU
MEMBERS HERE. THERE WERE IN SO
MANY DIFFERENT. YOU KNOW- RASKIN
COLLECT MORE MORE DATA I'M I'M
GOING TO BE VOTING FOR THIS. BUT
I'M JUST I JUST WANNA MAKE SURE
THAT THE DATA THAT WE'RE- ASKING
OUR PLACE TO DO THAT IT'S GOING
TO. BE TO MAKE SURE THAT OUR OUR
- OUR COMMUNITY IS SERVED WELL.
ARE SIMPLE HUMANITY IS FOR FOLKS
THAT I'M I'M THINKING OF- MY
DISTRICT PROBABLY YOUR DISTRICT-
THAT WE'RE SERVING THEM. AND
GIVEN THE BEST NOT TRYING TO
CLOSE THOSE CLINICS THAT ARE
CLOSEST HOSPITALS BECAUSE IT'S
JUST THINGS THAT WILL WORK OR
SEEN THE HAND. FOR FORCING OUR
WORKERS TO DO MORE AND THEY'RE
DOING THE MAX THAT THEY CAN'T.
IT JUST SEEMS THAT WE KEEP THE
GOVERNMENT GETS INVOLVED IN
ASKING FOR MORE MORE DATA I HEAR
YOU KNOW THAT LIKE I RATHER THEM
DO. YOU KNOW. DEAL WITH PATIENTS
WORK WITH THE CONSTITUENTS.
INSTEAD OF US KEEP ASKING
UNDERTAKING YOU BUT I KNOW
SOMETIMES THEY SAY WELL WE'RE
DOING IT BECAUSE IT IT EAGLES
DOLLARS RIGHT. OKAY WELL- COMING
HERE I FOUGHT I'M FIGHTING HARD
TO MAKE SURE THAT WE DON'T ADD
ANOTHER HAT. THAT WORKER SIR
APPRECIATE. APPRECIATE THE BILL
AND I WILL BE. A SUPPORT THANK
YOU. THE YOU THIS. THANK YOU
MISTER CHAIR- I WOULD THINK THAT
THE MEMBERS OF SEIU SEVEN TO ONE
ANOTHER'S THAT CAME UP FROM
VARIOUS DIFFERENT PARTS OF- THE
STATE. TO ADDRESS THE
IMPORTANCE- AND THE CONCERNS
RELATED TO THE TO THIS
PARTICULAR PIECE OF POLICY
SENATOR THANK YOU FOR YOUR HARD
WORK OFFICE. WE'VE DONE A LOT OF
WORK IN THE LAST FEW YEARS
MYSELF INCLUDED IN AN AUTHORING
LEGISLATION THAT EMPOWERS. OF
THE WORK FORCE AT COMMUNITY
CLINICS IN AT FEDERALLY
QUALIFIED HEALTH CARE CENTERS.
BUT I DO WANNA- ECHO THE
SENTIMENTS OF MY COLLEAGUES WHO
HAVE EXPRESSED SOME CONCERNS. IN
MY DISTRICT COMMUNITY CLINICS.
SAVED THOUSANDS OF LIVES AMID
PANDEMIC. WE WERE ONE OF THE
HARDEST DISTRICTS HIT AND ALL OF
L. A. COUNTY. IT WAS ALSO
INCREDIBLY CHALLENGING TO. EVEN
TRY TO ADDRESS ISSUES WITH THE
ADMINISTRATION ON COVERT TESTING
CODE VACCINES IF YOU DON'T HAVE
AN IPHONE YOU COULDN'T EVEN GET
ACCESS. TO MAKING UP AN
APPOINTMENT AND SO I JUST WANNA
THANK OUR COMMUNITY CLINICS AS
WELL- IN PARTICULAR AND SOME OF
OUR HARDEST HIT COMMUNITIES. WHO
WERE AT THE FOREFRONT OF THE
PANDEMIC AND WHO AGAIN SAVED
THOUSANDS OF LIVES I DO BELIEVE
THAT THE CONCERNS RAISED. ARE
IMPORTANT AND NEED TO BE
ADDRESSED SO I WILL BE
SUPPORTING THE BILL TODAY BUT I
DO HOPE THAT YOU TAKE INTO
ACCOUNT SOME OF THE- THE
CONVERSATIONS AND POTENTIAL
AMENDMENTS THAT ARE BEING
REQUESTED ANNOUNCED. TO ENSURE
THAT ONE WE'RE DOING THE VERY
BIG THE VERY BEST WE CAN ON.
TRANSPARENCY AND ACCOUNTABILITY
BUT ALSO PATIENT CARE. COMMUNITY
CLINICS AS MENTIONED. ARE REALLY
THE FOREFRONT OF SO MANY OF THE
MOST VULNERABLE. OF COMMUNITIES
ACROSS CALIFORNIA. AND I DON'T
THINK ANY OF US WANT TO BE IN A
POSITION OF MAKING THEIR WORK
HARDER. BUT CERTAINLY WANNA
FIGURE OUT A WAY IN WHICH WE
ACHIEVE TRANSPARENCY
ACCOUNTABILITY WORKER SHORTAGES.
EXPANSION OF A WORK FORCE THAT
WE KNOW IT'S ALREADY UP VERY
UNDERSTAFFED AND UNDERSERVED
ACROSS THE STATE. BUT I DO HOPE
THAT YOU TAKE SOME OF THE
CONSIDERATIONS IN THE AMENDMENTS
AS IT MOVES FORWARD INTO
ASSEMBLY APPROPRIATIONS AND
BEFORE IT GETS THE FLOOR VOTE.
THANK YOU. AND UP SENATOR THANK
YOU FOR BRINGING THE BILL
FORWARD I DO SUPPORT THE BILL-
HI- I GUESS I WOULD POINT OUT
THAT. WITH OKAY THE OFFICE OF
HEALTH CARE AFFORDABILITY IN
TIME THIS IS SOME OF THE STATE
IS GOING TO BE COLLECTED SO I
DON'T BELIEVE WE'RE REALLY
ASKING FOR A LOT OF NEW DATA A
LOT OF THIS INFORMATION IS.
ALREADY AVAILABLE OUT THERE IT'S
JUST A MATTER PACKAGING IT IN A
WAY THAT'S UNDERSTANDABLE. SO WE
TALK ABOUT TRANSPARENCY AND
UNDERSTANDING THE- THINGS LIKE
THE FINANCES AND WORK FORCE AND
HOW THE HOW THEY'RE PAID AND ALL
OF THAT I THINK THAT'S
IMPORTANT. IN THE LONG RUN TO
THE TO THE EFFICIENT OPERATION-
TO BE SURE THE WORKFORCE AS WELL
COMPENSATED SO THEY CAN PROVIDE
THE CARE THAT'S NECESSARY FOR
PEOPLE SO. I APPRECIATE YOU
BRINGING FOR THE BILL- IT IS AT
AT ITS HEART A DATA AND
TRANSPARENCY BILL. AND I THINK
THAT'S IMPORTANT I'VE ALWAYS
BEEN DRIVEN BY THAT AND- I JUST
THINK FOR BRING IT FORWARD AND-
WITH THAT WOULD YOU LIKE TO
CLOSE. YES THANK YOU MISTER
CHAIR NOT JUST IN MY CLOTHES
RESPOND TO THE THOUGHTFUL
COMMENTS ESPECIALLY NOT JUST
FROM YOU BUT- FROM. THE
COMMITTEE MEMBERS- WE'RE NOT
LOOKING TO. ADD FURTHER TO THE
BURDEN FACING. MANY CLINIC
WORKERS THOSE ADMINISTERED THE
DOCTORS THEMSELVES- IN FACT IN
SOME OF THESE CASES WE DON'T
ACTUALLY THINK IT TAKES A NEW
PIECE OF PAPER- SOME OF THE
QUESTIONS AROUND. THAT PATIENT
DEMOGRAPHIC ISSUES SAY GENDER-
AND SEXUAL ORIENTATION THOSE ARE
SOME OF THE ONES BROUGHT UP IS.
SOMETHING THAT FOR THE CLINICS
THEY WERE UNCOMFORTABLE OR AT
LEAST. YOU KNOW EXPRESSING
DISCOMFORT WITH ASKING FOR THAT
KIND OF INFORMATION FROM THE
PATIENT- THAT MAYBE THAT WOULD
CAUSE A- A RESTORE SOME. SORT OF
YOU KNOW- AND- AB PUSH BACK OR I
WILL UNWILLINGNESS TO EVEN SHOW
UP AT ALL- WE WANNA MAKE CLEAR
THAT IT'S NOT MANDATORY THAT YOU
GO. COLLECT THAT DATA IF DATA
IT'LL BE A BOX TO CHECK SO
YOU'RE GONNA HAVE TO. JUST LIKE
YOU. CHECK YOU KNOW. NAME YOU
HAVE TO PUT RACE- YOU DON'T HAVE
TO CHECK THE BOX BUT THERE'S
THAT THE CHECK BOX THERE SO
ADDING A COUPLE CHECK BOXES. WE
DON'T THINK AT LEAST ON THAT
ISSUE WILL BE TOO BURDENSOME BUT
WE DID CLARIFY THAT. I'M THE
CLINICS WILL BE HELD HARMLESS IF
THE PATIENT DOESN'T WANT TO
SUBMIT THAT KIND OF. INFORMATION
AROUND GENDER SEXUAL I'D- SEXUAL
ORIENTATION THINGS LIKE THAT. WE
ARE HOPING THAT- THE-
ASSOCIATION AND SOME OF THE-
MAJOR CLINICS OUT THERE TAKE A
GOOD HARD LOOK AT THE TIME LINES
WE PUT OUT HERE. BECAUSE WE DO
WANT TO MAKE IT SYNC UP WITH
SOME OF THE BROADER. A NEW DATA
REQUIREMENTS AND SO INTO THE
EXTENT THAT THEY'RE WRITING DOWN
ON PAPER RIGHT NOW ABOUT THEIR
WORK FORCE WHICH IS SORT OF THE
FEEDBACK FROM THE FEEDBACK WE
GOT WHEN YOU- WHEN YOU'RE GOING
THROUGH YOUR WORKER EVALUATION
OR- HIRING FOLKS AND- YOU'RE-
YOU'RE TAKING NOTE. LITERALLY OF
YOU KNOW OF. WHO YOUR WORK
FORCES IT'S A LOT OF THAT'S
WRITTEN DOWN RIGHT NOW MAY NOT
BE. BEEN INTEGRATED INTO THE
DATABASE ITSELF. THERE SHOULD BE
A PRETTY LOW COST SIMPLE WAY TO
GET THE TACK IN THE DATABASE
PART SORTED BUT WE KNOW THAT MAY
TAKE A LITTLE TIME SO HOPEFULLY.
PUSHING THAT OUT TO TWENTY FIVE
AND TWENTY SIX FOR. A NEW
REPORTING REQUIREMENTS WILL HELP
GIVE THEM A LITTLE THAT
BREATHING ROOM- BUT LOOK THIS
BILL IS- BEEN. I'M SENSITIVE
ABOUT IT TOO BECAUSE THIS IS A
LIFE LINE IN MY DISTRICT. YOU
KNOW YOU GO OUT TO PLACES LIKE
RECEITA CANOGA PARK- YOU KNOW WE
WE'RE THIS IS LIFE AND DEATH FOR
A LOT OF PEOPLE OUT THERE THESE
CLINICS SO. I'M GRATEFUL TO THE
WORK THEY DO AS WELL I JUST
THINK THIS GONNA HELP STRENGTHEN
US ALL AND AGAIN NOT HAVE
SURPRISES IN THIS SPACE. ON THE
M. IN A QUESTION AND SORT OF
THAT BROADER FINANCIAL TRENDS
LIKE WHY IS THAT USEFUL AND I'M
I THINK IT'S A- VALID.
CONVERSATION AND DEBATE TO GET
INTO BILLY'S MIKE MY THINKING SO
YOU KNOW WHERE WE'RE COMING
FROM. IS TO SAY IF THEY'RE GONNA
BE. BROADER FINANCIAL TRENDS IN
THE INDUSTRY AND WE KNOW SAY
THERE COULD BE CLOSURES IN A
PARTICULAR AREA OR- BECAUSE OF
CONSOLIDATION THERE'S GOING TO
BE SORT OF. FISCAL PRESSURE ON
THIS NETWORK VERSES THAT
NETWORK. THAT'S THE IDEA THAT I
MEAN. IF WE HAVE THAT KIND OF
INFORMATION. WE CAN SEE CRISES
COMING BEFORE THEY START- IT'S
NOT INTENDED TO BE A SORT OF
DISRUPTIVE ARE BURDENSOME DATA
REQUEST IT'S MORE TO SAY. LET'S
NOT FLY BLIND HERE WE'RE TRYING
TO DELIVER MORE COMMUNICATOR SO
WE GOT THAT KIND OF. GETS A
LITTLE PER YOU KNOW WHAT TO
EXPECT OBVIOUSLY. CAN'T BE
PERFECT ABOUT THIS STUFF BUT- I
HOPE YOU CAN APPRECIATE JUST THE
GOOD FAITH EFFORTS MAKING. AND
WE'RE GONNA KEEP WORKING WITH
OPPOSITION TO TRY TO DIG IN HERE
AND SEE IF WE CAN. WIN THIS
THING WITH AN OUTCOME THAT WORKS
FOR ALL AND THAT RESPECTFULLY
ASK RIVAL. THANK YOU VERY MUCH
SENATOR- OUR MOTION FOR THE BILL
. BUT MOTION BY MISTER B.
APPROVAL. SECOND BY MISS
CARILLO. MOTION IS DUE PASS AS
AMENDED TO APPROPRIATIONS MADAM
SECRETARY PLEASE CALL THE ROLL.
WHAT I WOULD AYE WALDRON.
WALDRON NOW AGUIAR-CURRY.
ARAMBULA BURNER. WENDY CARILLO.
WENDY CARILLO AYE FLORA. IT'S
FONG. MAIENSCHEIN MCCARTY.
PATTERSON THE PATTERSON-
RODRIGUEZ. SANTIAGO PEOPLE WALK
. IT WOULD Y. WEBER. WEBER I.
THAT'S OF THE VOTERS FOR TO
LEAVE THE BILL ON CALL. THANK
YOU. AND ACCEPTED A CENTERLINE.
HOW ABOUT START BY PUSHING THE
BUTTON. THANK THANK YOU THANK
YOU MR CHAIRMAN MEMBERS I'D LIKE
TO START BY THANKING THE CHAIR
AND COMMITTEE STAFF FOR YOUR
WORK ON THIS NEXT MEASURE I
ACCEPT THE COMMITTEE AMENDMENTS
AS OUTLINED IN THE ANALYSIS SB
FOUR NINE SIX INSURERS HEALTH
CARE COVERAGE OF BIOMARKER
TESTING BY HEALTH PLANS HEALTH
INSURANCE POLICIES AND THE MEDIC
HEALTH PROGRAM. PRECISION
MEDICINE IS IMPROVING PATIENT
OUTCOMES BY USING THEIR OWN
GENES OR PROTEINS ALSO KNOWN AS
BIOMARKERS TO PREVENT DIAGNOSE
OR TREAT DISEASES ACCORDING TO
LAST YEAR'S SUBURBAN HOUSES
BIOMARKER TESTING IS BROADLY
COVERED BY THE CALIFORNIA
ESSENTIAL HEALTH BENEFITS PLAN
THERE FOR THIS BILL WOULD NOT
REQUIRE COVERAGE OF A NEW STATE
BENEFIT MANDATES. HOWEVER EIGHT
IN A TWENTY TWENTY ONE SURVEY
66% OF ONCOLOGY PROVIDERS
PROVIDED THAT INSURANCE COVERAGE
INSURANCE COVERAGE IS A BARRIER
TO BIOMARKER TESTING THIS BILL
WILL IMPROVE ACCESS TO BIOMARKER
TESTING TO HELP PATIENTS TREAT
THEIR DISEASE. SLOWED IS DISEASE
RECURRENCE OR PROGRESSION AND
LEAD TO A BETTER QUALITY OF LIFE
I WITH ME TODAY TO TESTIFY IN
SUPPORT OF THE BILL WE HAVE
AUTUMN OGDEN SMITH THE M. WITH
AMERICAN CANCER SOCIETY. ACTION
NETWORK ENGINE CHASE WITH THE
UNIVERSITY OF CALIFORNIA OFFICE
OF THE PRESIDENT. HELLO TERM
MEMBERS ARE MUGGED IN SMITH WITH
THE AMERICAN CANCER SOCIETY
CANCER ACTION NETWORK HERE IS A
PROUD CO SPONSOR- INSURANCE
COVERAGE FOR BIOMARKERS IS
FAILING TO KEEP PACE WITH
INNOVATIONS AND ADVANCEMENTS IN
TREATMENT. SB FOUR NINETY SIX
WILL ENSURE TIMELY ACCESS TO
APPROPRIATE BIOMARKER TESTING
WITH HELP OF ACHIEVE BETTER
HEALTH OUTCOMES IMPROVE QUALITY
OF LIFE. AND REDUCE COSTS BY
CONNECTING PATIENTS TO THE RIGHT
TREATMENT AT THE RIGHT TIME THIS
BILL THIS LANGUAGE HAS BEEN
PASSED IN THIRTEEN OTHER STATES
INCLUSIVE OF. ILLINOIS' ARIZONA.
TEXAS ALABAMA RHODE ISLAND IN
LOUISIANA WE THANK THE COMMITTEE
FOR ALL THEIR HARD WORK AND
HELPING US ADDRESS DEPARTMENT
CONCERNS. WITH OVERWHELMING WAY
TOO AS A SIGNATURE THIS YEAR AND
FOR THESE REASONS I ASKED FOR AN
AYE VOTE. THANK YOU. GOOD
AFTERNOON CHAIR MEMBERS JOHN
CHASE WITH THE UNIVERSITY OF
CALIFORNIA WE ARE PROUD CO
SPONSORS OF SB FOUR NINE SIX AND
ALSO WANTED TO THANK THE
COMMITTEE STAFF FOR ALL THEIR
HARD WORK- OVER THE PAST FEW
WEEKS ON THE BELL. YOU SEE IS A
LEADER IN CANCER CARE IN OUR
FIVE CANCER CENTERS ARE FOCUSED
ON ADDRESSING HEALTH DISPARITIES
IN PROMOTING HEALTH EQUITY IN
CANCER DIAGNOSIS AND CARE.
RESEARCH SHOWS OUT THERE RACIAL
AND SOCIOECONOMIC INEQUALITIES
IN BIOMARKER TESTING AND TARGET
THERAPY UTILIZATION ACROSS
DIFFERENT CANCER TYPES. IN ONE
OF THESE BARRIERS IS VARIABILITY
IN HOW HEALTH PLANS COVER
BIOMARKER TESTING SB FOUR NINE
SIX WILL REQUIRE HEALTH PLANS TO
COVER BIOMARKER TESTING USING
THE SAME COVERAGE CRITERIA.
WHICH WILL INCREASE OUR ACCESS
TO PRESIDENT PRECISION MEDICINE
WHICH IS- WHAT I'D AN INITIATIVE
WORKING ON VERY- HARD AT THE
UNIVERSITY OF CALIFORNIA. AND SO
RESPECTFULLY ASK YOUR READER I
THOUGHT NESTEA FOUR NINE SIX.
THANK YOU OTHERS IN SUPPORT.
GOOD AFTERNOON CHRISTIE FOR HERE
ON BEHALF OF THE CALIFORNIA
CLINICAL LABORATORY ASSOCIATION
AND STRONG SUPPORT THANK YOU.
RIGHT SPENCER THE CROHN'S AND
COLITIS FOUNDATION IN SUPPORT
THANK YOU. AS CHAIR MEMBERS
ADVOCATE ON BEHALF IN THE TERRA
AND AS A PATIENT WHO UTILIZES
THIS TEST IN SUPPORT. THANK YOU
. SO MY AND HER ON BEHALF OF
CHILDREN SPECIALTY CARE
COALITION IN SUPPORT THANK YOU.
THANK YOU. AFTERNOON WHERE A TOP
ON BEHALF OF VIACOM CALIFORNIANS
SUPPORT. THANK YOU. CONOR
SWEENEY WITH THE SUSAN G. KOMEN
FOUNDATION IN SUPPORT THANK YOU
THANK YOU. ALEX CON ON BEHALF OF
THE CALIFORNIA CHRONIC CARE
COALITION AND THE ALS
ASSOCIATION AND SUPPORT. THANK
YOU. JERRY MEMBERS DEAN TALLY
WITH THE CALIFORNIA
MANUFACTURERS AND TECHNOLOGY
ASSOCIATION STRONG SUPPORT.
THANK YOU. RENDON MARTY WITH THE
CALIFORNIA MEDICAL ASSOCIATION
IN SUPPORT THANK YOU. JOHN WHEN
YOU'RE ON BEHALF THE ADVANCED
MEDICAL TECHNOLOGY ASSOCIATION
IN SUPPORT THANK YOU. THEIR
OPPOSITION TO THE BILL. IN NINE
WILL BRING IT BACK TO THE
DWINDLING COMMITTEE. THEIR
QUESTIONS YES OR MISS WALDRON.
THANK YOU MISTER CHAIR JUST
COMMENT- I'VE TOURED SEVERAL
FACILITIES THAT DO HOLDEN AUM
SEQUENCING AND IT'S REALLY
AMAZING WE TALK ABOUT
INDIVIDUALIZED CARE AND ACTUALLY
IF WE COULD DO SUCH A THING OVER
TIME. WE'RE GOING TO SAVE MONEY
. SOME PATIENTS WILL HAVE TO
UNDERGO TREATMENTS THAT THEY
DON'T NEED- IT'S REALLY A WAY TO
DO ARE YOU KNOW AS SOMEONE IS
UNDER TREATMENT. MAKE SURE THE
MONITORING IS. MORE OF AN EXACT
SCIENCE SO TO SPEAK THAT ARE
ACTUALLY GETTING WHAT THEY NEED
AND IS SUPPORTED BY SCIENTIFIC
EVIDENCE SO. I SUPPORT YOUR BILL
. IF ANYONE ELSE SEE FINO. ONE-
THE BILL DOESN'T ALREADY PASSED
RECOMMENDATION WHICH ARTICLES. I
RESPECTFULLY ASK FOR AN AYE VOTE
THANK YOU. IS THERE A MOTION FOR
THE BILL. THE MOTION BY MISS
WALDRON A SECOND BY MR THE
VALLAPUDUA MOTION IS DUE PASS AS
AMENDED TO APPROPRIATIONS MADAM
SECRETARY PLEASE CALL THE ROLL.
WHEN I WHEN I WALDRON WALDRON
AYE AGUIAR-CURRY. ARAMBULA
BURNER WENDY CARILLO FLORA AND
FAUNA. MAIENSCHEIN MCCARTY YEAH
PATTERSON- SOME AYE RODRIGUEZ.
SANTIAGO YOU PUT WHAT.
VALLAPUDUA I WEBER. YOU HAVE FOR
LEAVE THAT BILL ON COFFEE THANK
YOU THE BUSY DAY OUT THERE SO IF
MEMBERS ARE ALL OVER THE PLACE
SO- SEEN SENATOR BRADFORD.
YOU HAVE A P. EIGHT S. B. EIGHT
SEVENTY THREE. THANK YOU MR
CHAIRMAN MEMBERS I'M HERE TO
PRESENT SB EIGHT SEVENTY SIX
WHICH WILL. ENSURE PATIENTS ARE
BETTER ABLE TO AFFORD THEIR
MEDICATION BY PERF- REFORMING
THE STATE'S PRESCRIPTION DRUG
REBATES SYSTEM TO DIRECTLY
BENEFIT. PATIENTS CURRENTLY WHEN
A PATIENT PAYS FOR A DRUG. IN
THE DEDUCTIVE PHASE OR PAYS. ARE
GOING TO POINT SINCE.
COINSURANCE AT THE PHARMACY
COUNTER THE AMOUNT THEY MUST PAY
IS BASED ON THE FULL PRICE OF
THE DRUG UNIT THEIR HEALTH
INSURER AND PHARMACY BENEFIT
MANAGERS OR PBMS ARE PAYING A
LOWER AMOUNT. THEY NEGOTIATED
WITH THE MANUFACTURER AND TWENTY
TWENTY ONE ALONE PBMS IN THE
UNITED STATES NEGOTIATED TWO
HUNDRED AND THIRTY SIX BILLION
DOLLARS IN REBATES OVERALL WOULD
NONE OF THAT MONEY GOING TO
OFFSET THE HIGH COST OF
MEDICATION TO THE PATIENT. AT
THE PHARMACY COUNTER IN
CALIFORNIA TWENTY TWENTY ONE
REPORT FROM THE DEPARTMENT OF
MANAGED HEALTH CARE SHOW THAT
HEALTH PLANS IN THE STATE
RECEIVED ONE POINT SEVEN.
BILLION IN REBATES UP TO ONE
POINT FOUR BILLION IN TWENTY
TWENTY AND UP TO ONE POINT TWO
BILLION IN TWENTY NINETEEN.
BECAUSE THERE IS NO TRANSPARENCY
IN THE SYSTEM PATIENTS HAVE NO
IDEAL. HOW MUCH IF ANY REBATE
MONEY GOES TO LAUREN INSURANCE
PREMIUMS ARE WARRING OTHER OUT
OF POCKET COSTS TO THE PATIENT.
WITH PRIOR LEGISLATION ONLY
PROVIDING TRANSPARENCY CHIU A-
PORTION OF THE SYSTEM SB SIX
EIGHT SEVEN THREE WILL ADD MUCH
NEEDED ACCOUNTABILITY AND
TRANSPARENCY BY SHARING 90% OF
THE REBATE WITH THE PATIENT AT
THE PHARMACY COUNTER. SB EIGHT
SEVEN THREE WILL IMMEDIATELY
LOWER PRESCRIPTION DRUG COSTS
HOPING CALIFORNIA'S BETTER
ACCESS AS- OTHER MEDICINES. I
JANUARY TWENTY TWENTY TWO A
CALIFORNIA HEALTH BENEFITS
REVIEW PROGRAM REPORT A VASE OF
A SIMILAR POLICY MEASURE FOUND
THAT IT IS. POSSIBLE FOR
PHARMACY SOFTWARE TO BE UPDATED
TO SHEER REBATES AT THE POINT OF
SALE. AS OUTLINED IN THIS BILL.
THE SOFTWARE ALREADY ALLOWS FOR
POINT OF SALE VARIATIONS IN
PRICES COST SHARING AMOUNTS
BENEFIT COVERAGE AND- FORMALLY
INFORMATION. LET'S NOT FORGET
THAT OTHER STATES ALREADY ARE
BEGINNING TO IMPLEMENT A PROGRAM
SIMILAR TO EIGHT A. B. S. B.
EIGHT SEVEN THREE. AND TWENTY
TWENTY ONE WEST VIRGINIA BEGAN-
PASSING A 100% OF THE NEGOTIATED
REBATES TO PATIENTS AT THE
COUNTER. AND WE'VE BEEN- WE'VE
SEEN NATIONAL ON HEALTH INSURERS
AND OTHER PBMS START TO OFFER
REBATES FOR THEIR PATIENTS AS
WELL. I WANT TO ADDRESS THE
DECISION TO NOT ACCEPT THE
COMMITTEES AMENDMENTS AND SENATE
BILL. EIGHT SEVEN THREE MY
CONSTITUENTS ARE PROFOUNDLY
IMPACTED BY CHRONIC DISEASES AND
HEALTH IN EQUITY INEQUITIES AND-
IT IS MY RESPONSIBILITY TO
IMPLEMENT SOLUTIONS THAT ADDRESS
THESE DISPARITIES AND ENSURE
EQUITABLE. ACCESS TO AFFORDABLE
HEALTH CARE HEALTH CARE
AFFORDABILITY OF CENTRO
IMPROVING THE LIVES OF
INDIVIDUALS AND FAMILIES ACROSS
OUR STATE. THE SUGGEST TO THE
MEMBER TO REPLACE THIS BILL WITH
A STUDY AND WHILE I'M BIG ON A
BIG PROPONENT OF MORE DATA I
BELIEVE WE ALREADY. KNOW WHAT IS
NEEDED HERE THE CALIFORNIA
HEALTH BENEFITS REVIEW PROGRAM
HAS CONDUCTED ITS FINANCIAL
ASSESSMENT AND WE HAVE SEVERAL
OTHER STATES TO BASE OUR EFFORTS
ON. SB EIGHT SEVEN THREE WELL AS
WRITTEN PROVIDES AN OPPORTUNITY
TO ALLEVIATE AND FINANCIAL
BURDENS AND MAKE VITAL
MEDICATIONS MORE ACCEPTABLE FOR
THE MORE REPRESENTING AN ERROR
WORD DISENFRANCHISEMENT. IS A
PRESSING ISSUE EVERY BIT OF
SAVINGS THAT CAN BE OBTAINED
THROUGH THIS BILL HOLDS. IMMENSE
IMMENSE IMPORTANCE. WE MUST
SEIZE EVERY OPPORTUNITY TO
UPLIFT OUR COMMUNITIES AND
ENHANCE THEIR QUALITY OF LIFE
NATIONAL FORMS SHE BENEFIT
MANAGERS HAVE ALREADY ADOPTED
SIMILAR PRACTICES AND STATES
LIKE WEST VIRGINIA ARKANSAS.
HAVE SUCCESSFULLY PASSED SIMILAR
LEGISLATION. IT IS VITAL THAT
THIS BILL RECEIVED ATTENTION AND
DISCUSSION IT DESERVES AND IT
HAS THE POTENTIAL POSITIVELY AND
IMPACT THE LIVES OF COUNTLESS
CALIFORNIANS WITH ME TODAY AND
SUPPORT IS DOCTOR LEE ANDRE.
CLARKE HARVEY. PSYCHOLOGIST AND
EXECUTIVE DIRECTOR OF THE
CALIFORNIA ACCESS COALITION IN
ASHEVILLE LIES IT VICE PRESIDENT
OF THE WESTERN REGION OF STATE
ADVOCACY FOR FORM. I
RESPECTFULLY ASK RIVAL. THANK
YOU PLEASE GO AHEAD. GOOD
AFTERNOON. THE ACCESS COALITION
JOINS OUR CURRENT SPONSORS AT
THE DIABETES PATIENT ADVOCACY
COALITION AND THE PATIENT POCKET
PROTECTOR COALITION TO LOWER
CALIFORNIA'S PATIENTS OUT OF
POCKET COSTS FOR PRESCRIPTION
DRUGS. IN TWENTY TWENTY I
RECEIVED A PHONE CALL THAT NO
ONE WANTS TO GET I WAS TOLD THAT
I HAD AN EARLY BREAST CANCER
DIAGNOSIS. I HAVE MY DOCTORATE I
WORKED IN HOSPITALS AND I'M A
PROFESSIONAL ADVOCATE I WAS ALSO
STUCK WITH A HIGH DEDUCTIBLE
PLAN TO MY HUSBAND'S HEALTH
INSURANCE. I WAS HIT WITH
THOUSANDS OF DOLLARS OF MEDICAL
BILLS AFTER I HAD MY DOUBLE
MASTECTOMY AND A FEW MONTHS
LATER MY MOTHER REVEALED THAT
SHE TOO WAS DIAGNOSED WITH
BREAST CANCER BUT HER IS A STAGE
FOR. HOW DID IT GET TO STAGE FOR
BECAUSE SHE MANAGED HER DIABETES
TREATMENT FOR YEARS SHE KNEW THE
HIGH COST MEDICATIONS AND SHE
WAS TERRIFIED. OF THE EXTRA
COSTS OF CANCER MEDICATION AND
TREATMENT THAT WOULDN'T BE
COVERED BY HER HEALTH PLAN. SO
SHE WAITED UNTIL SHE WAS OLD
ENOUGH TO GET MEDICARE TO PURSUE
YOUR TREATMENT. AFTER
DEBILITATING CHEMO RADIATION AND
DOUBLE MASTECTOMY A SUSPICIOUS
MASS RESURFACED DURING HER
RECONSTRUCTION PHASE. MY MOTHER
IS HOSPITALISED AS I SPEAK. THE
CURRENT PRESCRIPTION DRUG REBATE
SYSTEM WAS DESIGNED TO HELP
PATIENTS AFFORD THEIR
MEDICATIONS. BUT IT IS CHANGED.
AND IT NOW BENEFITS HEALTH
INSURERS AND PHARMACY BENEFIT
MANAGERS AT THE EXPENSE OF
PATIENTS. STUDIES HAVE SHOWN
THAT PATIENTS FACING HIGH COSTS
ARE LESS LIKELY TO TAKE THEIR
MEDICATIONS AS PRESCRIBED. MORE
LIKELY TO ABANDON THERAPY AND
MORE LIKELY TO DELAY OR FORGO
TREATMENT. PUTTING THEM AT
HIGHER RISK FOR EXPENSE OF
EMERGENCY ROOM VISITS. AVOIDABLE
HOSPITALIZATIONS AND POORER
HEALTH OUTCOMES THIS IS THE
STORY OF MY MOTHER. THIS
FOREGOING OF HEALTH CARE DUE TO
HIGH COSTS IS UNTENABLE AND SB
EIGHT SEVENTY THREE PROVIDES A
REMEDY. A SOLUTION THAT FIXES
THE BROKEN PRESCRIPTION DRUG AND
DRUG REBATES SYSTEM. IS IT A
SILVER BULLET NO. BUT IS IT AN
IMPORTANT STEP IN THE RIGHT
DIRECTION. AND DESPITE WHAT THE
OPPOSITION WILL ASSERT OTHER
STATES HAVE SUCCESSFULLY
IMPLEMENTED THIS POLICY. THIS
BILL WILL BENEFIT THOUSANDS OF
SMALL BUSINESSES AND THEIR
EMPLOYEES WHO HAVE HIGH
DEDUCTIBLE HEALTH PLANS AND FACE
HIGH OUT OF POCKET COSTS THAT
MAKE IT DIFFICULT AND OFTEN
IMPOSSIBLE FOR THEM TO AFFORD
THE MEDICATIONS THEY NEED TO GET
AND STAY WELL. MEMBERS YOUR
LEGISLATIVE COLLEAGUES
INTRODUCES MEASURE MULTIPLE
TIMES. AND THIS IS THE SECOND
TIME THAT WE HAVEN'T HEARD IN
THIS COMMITTEE SO THANK YOU
SINCERELY GERMAN WHAT FOR
LETTING ME SHARE MY STORY MY
MOTHER STORY. AND SO MANY OTHER
PATIENTS AND COALITION MEMBERS
WHO DON'T HAVE AN OPPORTUNITY TO
SPEAK BEFORE YOU TODAY. WHETHER
IT IS FIVE FIFTY OR FIVE HUNDRED
DOLLARS THAT ARE SAVED AT THE
PHARMACY COUNTER. EVERY DOLLAR
COUNTS WHEN YOU'RE A PATIENT IN
NEED THANK YOU. THANK YOU.
THURMOND WOULD MEMBERS OF THE
COMMITTEE THANK YOU FOR HAVING
ME HERE TODAY. AS SENATOR
BRADFORD STATED IN TWENTY
SEVENTEEN THE DEPARTMENT OF
MANAGED HEALTHCARE STARTED
MEASURING- IMPART REBATES. AND
SENDS TWENTY SEVENTEEN THEY HAVE
FOUND OUT THAT REBATES HAVE GONE
UP EIGHTY ONE POINT 6% THAT'S A
GROWTH OF AROUND 13% A YEAR. THE
GOOD NEWS AND THAT IS THAT WE
HAVE SEEN THE NET COST OF
PRESCRIPTION DRUGS SO THE COST
OF A PRESCRIPTION DRUG MINUS THE
REBATE. THEY STEADY OVER THE
LAST SEVERAL YEARS BECAUSE OF
THE INCREASE IN REBATES.
UNFORTUNATELY THE REBATE SYSTEM
HAS ALSO CREATED SOME PERVERSE
INCENTIVES. AND REALLY IT NEEDS
TO BE FIXED. ONE OF THOSE
PERVERSE INCENTIVES THAT THE
SENATE FINANCE COMMITTEE
RECENTLY FOUND IN CONGRESS. IS
THAT HE B. M.'S AND HEALTH PLANS
WILL ACTUALLY INCENTIVIZE A
HIGHER COST DRUGS BECAUSE- A
DRUG IS. A REBATE IS BASED OFF A
PERCENTAGE OF THE LIST PRICE.
AND THEN THEY ARE RETAINING THE
PERCENTAGE OF THE REBATE THEY
RECEIVE AND THAT'S NOT GOING TO
CONSUMERS. THIS MEANS THAT
HEALTH INSURANCE FORMULARIES ARE
INCREASINGLY EXCLUDING LOWER
LIST PRICE OPTION DRUGS IN FAVOR
OF THE HIGHER LIST PRICE HIGHER
REBATE DRUGS. MAKING MATTERS
WORSE CONSUMERS ARE NOT
BENEFITING FROM THE REBATES WHEN
THEY'RE PAYING AND THE
DEDUCTIBLE PHASE AND THEN
COINSURANCE. AND I WILL FULLY
ACKNOWLEDGE THIS BILL DOES NOT
FIX THE ENTIRE SYSTEM BUT WHAT
IT WILL DO IS MAKE SURE THAT
PATIENTS AND CALIFORNIA
CONSUMERS WILL BENEFIT FROM THE
NEGOTIATION THAT'S HAPPENING
BETWEEN THE MANUFACTURERS AND
THE HEALTH PLANS. WHEN THEY GO
TO THE PHARMACY COUNTER AND FOR
THOSE REASONS I RESPECTFULLY ASK
FOR YOUR SUPPORT. THANK YOU
OTHERS IN SUPPORT.
GOOD AFTERNOON TARGET BUT HE'S
BEEN WITH THE STEINBERG
INSTITUTE IN SUPPORT. THANK YOU
. JENNIFER CENTER WITH THE
CALIFORNIA LIFE SCIENCES IN
SUPPORT THANK YOU. RIGHT SPENCER
WITH THE CALIFORNIA PODIATRIC
MEDICAL ASSOCIATION AND THE
CROHN'S AND COLITIS FOUNDATION
BOTH IN SUPPORT THANK YOU. TWO
MEN REPRESENT THE CALIFORNIA
RHEUMATOLOGY ALLIANCE IN SUPPORT
THANK YOU. AWESOME IS WITH THE
DEPRESSION AND BIPOLAR SUPPORT
ALLIANCE CALIFORNIA IN SUPPORT
THANK YOU. MATTHEW BURKE A TYPE
ONE DIABETIC LIVING IN DAVIS
FULL IN SUPPORT THANK YOU. INTEL
WITH THE CALIFORNIA
MANUFACTURERS AND TECHNOLOGY
ASSOCIATION AND SUPPORT. YOU
MISSY JOHNSON ON BEHALF THE
CALIFORNIA PHARMACISTS
ASSOCIATION IN SUPPORT YEAH.
ALEX CON ON BEHALF OF THE
CALIFORNIA CONCORD COALITION AND
THE ALS ASSOCIATION IN SUPPORT
THANK YOU. WE WERE TOP ON BEHALF
OF BIO CALM CALIFORNIA SUPPORT
THANK YOU. KATHLEEN SORIANO ON
BEHALF OF THE KECK MEDICINE AT
THE UNIVERSITY OF SOUTHERN
CALIFORNIA AND SUPPORT THANK YOU
. OPPOSITION.
DR WOULD MEMBERS OF THE
COMMITTEE MY NAME IS BILL HAD
WITH PCMA THE PBM TRADE
ASSOCIATION HERE IN OPPOSITION
THE SB EIGHT SEVENTY THREE. I
THINK IT IS IMPORTANT TO
REMEMBER THAT THIS PROPOSALS
COME BEFORE THE COMMITTEE I
THINK IN THE LAST FOUR FIVE
YEARS. AND BEEN REJECTED BECAUSE
THE COST IMPACT- AND LET'S
CONSIDER THE SOURCE FROM IN AND
NOT TO BE TO DISPARAGING. BUT
THIS HAS BEEN A FORMAL PROPOSAL
FOR ALL THOSE FOR ALL THOSE
YEARS SO THIS IS THE INDUSTRY
THAT CREATES PATENT THICKETS.
THAT LIMIT THE ABILITY OF THE
DARK MARKET GENERIC DRUGS TO
COME TO MARKET. WHEN THEY ARE
ABLE TO COME TO MARKET THEY
OFTEN DO PAY FOR DELAY THAT'S
WERE PHARMACEUTICAL COMPANY WILL
PAY A GENERIC MANUFACTURER MONEY
NOT TO COME TO MARKET. BUT YET
THEY WANT YOU TO. SUPPORT THIS
POLICY WHEN IT DOES ABSOLUTELY
NOTHING TO LOWER THE COST OF
PRESCRIPTION DRUGS. BEAR IN MIND
THAT 90% OF DRUGS DISPENSER
GENERIC DRUGS SO THAT 10% OF THE
10% THAT ARE BRAND DRUGS. LET
LESS THAN 20% OF THAT 10%
ACTUALLY HAVE REBATES TO THE
VAST MAJORITY OF DRUGS DO NOT
COME WITH REBATES. THIS PROPOSAL
WAS CONSIDERED UNDER THE
PREVIOUS ADMINISTRATION TO DO
FOR MEDICARE. AND WHAT THE
CONGRESSIONAL BUDGET OFFICE CAME
TO LISTEN OUR CONCLUSION THIS IS
CBO SAID THAT YES FOR SOME
BENEFIT MEDICARE BENEFICIARIES
THEY WOULD PAY LOWER COSTS FOR
DRUGS BUT FOR ALL MEDICARE
BENEFICIARIES. THEY WOULD X.
THEY WOULD EXPERIENCE A COST
INCREASE TO THE TUNE OF A
HUNDRED SEVENTY ONE BILLION
DOLLARS OVER TEN YEARS. ALSO CBO
ESTIMATED THAT FORM THE
PHARMACEUTICAL MANUFACTURERS
WOULD KEEP THE MONEY THAT THEY
WOULD OTHERWISE GIVEN A REBATE.
AND INCREASED DRUG COSTS BY A
HUNDRED THIRTY SEVEN BILLION
DOLLARS OVER TEN YEARS. REBATES
FOR THE CREATION OF THE
PHARMACEUTICAL INDUSTRY. IF
THERE'S A PROBLEM WITH THEM THEY
SHOULD FIX IT AND STOP OFFERING
REBATES INSTEAD JUST LOWER THE
COST OF THE DRUG. THIS NOTION
THAT THERE'S AN INCENTIVE TO
HAVE HIGHER COST REBATE DRUGS ON
THE FORMULARY IS A FALSEHOOD. OF
PBM IS ALWAYS GOING TO GO WITH
THE LOWEST NET COST DRUGS TO THE
HEALTH PLAN. WHETHER HAS A
REBATE OR IS DISCOUNTED TO THAT
PRICE. OTHERWISE THE PLAN'S
GOING TO GO SHOP SOMEWHERE ELSE
BECAUSE THE PLAN IS ONLY
INTERESTED IN WHAT IS THE LOWEST
COST NET. THAT THEY WILL PAY FOR
A PARTICULAR DRUG. SO THIS IS
NOTHING MORE THAN REALLY A SHELL
GAME IN THE PAST WE'VE HEARD THE
PHARMACEUTICAL INDUSTRY SAY.
THAT- REBATES ADD TO THE LIST
PRICE. WELL IF THAT'S THE CASE
THE BASICALLY SAME WEEK WE
EXPECT THE LIST PRICE TO
CONTINUE TO RISE BECAUSE WE'RE
NOT DOING ANYTHING ABOUT THAT
WE'RE GONNA CONTINUE THE REBATE
SYSTEM AND CONTINUE TO HAVE OUR
PRICES INCREASE. THE FOR THESE
REASONS WE RESPECTFULLY ASK A NO
VOTE ON THIS BILL THANK YOU.
THANK YOU. THANK YOU MISTER
CHAIRMAN REYES NICKEL RESULTS ON
BEHALF OF THE CALIFORNIA
ASSOCIATION OF HEALTH PLANS ON
IN OPPOSITION TO SB EIGHT
SEVENTY THREE. REGRETTABLY THE
COST TO EMPLOYERS EMPLOYEES AND
INDIVIDUALS. FAR OUTWEIGH THE
PURPORTED BENEFITS OF THIS BILL
. TWO HUNDRED MILLION DOLLARS.
TWO HUNDRED MILLION DOLLARS IS
THE PREMIUM INCREASE THAT IS
ESTIMATED BY THE INDEPENDENT
ANALYSIS. OF THE CALIFORNIA
HEALTH BENEFITS REVIEW PROGRAM
OF THE FIRST YEAR IMPACT TO
PREMIUM PAYER SO THIS IS THE
COST THAT INDIVIDUALS AND
EMPLOYERS IN YOUR DISTRICT WILL
BE PAYING. IN THE FIRST YEAR OF
IMPLEMENTATION OF THIS BILL-
THAT COST IS ALMOST THREE TIMES
THE PURPORTED BENEFIT- THAT WILL
BE EXPERIENCED BY. A SMALL
PERCENTAGE OF CONSUMERS. IN
OTHER WORDS CONSUMERS WILL
COLLECTIVELY PAY MORE- SO THAT
SOME MIGHT PAY LESS AND THIS
SIMPLY DOES NOT PENCIL OUT SO.
SETTING ASIDE THE COST FOR A
MINUTE THIS IS BAD PUBLIC POLICY
FOR A NUMBER OF OTHER REASONS-
THIS WILL LEAD TO PRIORITIZATION
OF THE USE OF EXPENSIVE BRAND
NAME DRUGS AT THE EXPENSE OF
LOWER COST ALTERNATIVES. MEMBERS
WHAT THIS BILL DOES IT REMOVES
THE ABILITY OF MY MEMBER HEALTH
PLANS TO COLLECTED DRUG REBATE
AND APPLY THAT ACROSS ALL
PREMIUM PAYERS IN ORDER TO
MITIGATE. THE COST OF PREMIUMS-
TO YOUR CONSTITUENTS. AND
DESPITE THE FOR. STATEMENT THAT
THERE'S NO TECH THERE'S NO
TRANSPARENCY IN DRUG COSTS.
QUITE THE CONTRARY THERE'S- A
SIGNIFICANT AMOUNT OF
TRANSPARENCY IN THE STATE OF
CALIFORNIA WITH RESPECT TO DRUG
COSTS IN FACT SB SEVENTEEN WHICH
PASSED A NUMBER OF YEARS AGO AND
WAS SUPPORTED BY OUR INDUSTRY-
APPLY TRANSPARENCY TO BOTH THE
HEALTH PLANS AND THE
PHARMACEUTICAL COMPANIES. THAT
WAS OPPOSED BY THE
PHARMACEUTICAL COMPANIES IN
INDIA BAY TOOK IT TO COURT EVEN-
AND- YOU KNOW MY UNDERSTANDING
IS THAT- THEY THEY LOST ON THAT
ISSUE SO THAT CIVIL LAW MOVES
FORWARD. BUT ONE OF THE THINGS
THAT THE TRANSPARENCY REPORT
POINTED OUT ITS LATEST ADDITION.
B. TWENTY TWENTY ONE DEPARTMENT
MANAGED HEALTHCARE DRUG COST
TRANSPARENCY REPORT HE CLEARLY
SHOWS THAT HEALTH PLANS USE DRUG
DRUG MANUFACTURER REBATES TO
HELP MITIGATE THE OVERALL IMPACT
OF HIGH DRUG PRICES BY REDUCING.
TOTAL HEALTH PLAN PREMIUMS BY
TWO POINT ONE PERCENT. IN SO.
WE'RE PERPLEXED AS TO WHY WE
WOULD PROPOSE OR PASS A LAW THAT
ELIMINATES THAT OPTION OF THE
HEALTH PLANS TO BE ABLE TO APPLY
THE DRUG REBATE ACROSS PREMIUM
PAYERS- IT IT'S WHAT ARM. HEALTH
PLAN CLIENTS WANT AND- WE JUST
THINGS BAD PUBLIC POLICY TO
REMOVE THAT OPTION FOR OUR FOR
OUR MEMBERS. SO WHY WOULD WE
WANT TO INTERFERE WITH THAT-
THEY WERE WERE IT MAKES LITTLE
SENSE FROM OUR PERSPECTIVE SO
FINALLY I WOULD JUST SAY
CAPPIES- YOU KNOW I HAD HAS
SUPPORTED OTHER LEGISLATION
PASSED TO REDUCE SHARE OF COSTS
IN FACT THE BUDGET THAT WAS JUST
PASSED RECENTLY- WILL ENACT A
PROGRAM AT COVERED CALIFORNIA.
TO REDUCE THE SHARE OF COST FOR-
FOR ENROLLEES THERE ANY WILL DO
SO IN A WAY THAT WILL NOT
INCREASE PREMIUMS AND WE NEED TO
LOOK AT INNOVATIVE SOLUTIONS
LIKE THAT. AND NOT BILLS LIKE
THIS THANK YOU. THANK YOU VERY
MUCH OTHERS IN OPPOSITION. CHAIR
MEMBERS JOHN WHEN YOU'RE BEHALF
AMERICA'S HEALTH INSURANCE PLANS
IN OPPOSITION. THANK YOU.
RESTING YOUNG FOR THE CALIFORNIA
CHAMBER OF COMMERCE HERE IN
OPPOSITION THANK YOU. OKAY SEE
NO ONE ELSE WILL BRING BACK
COMMITTEE QUESTIONS OR COMMENTS
FROM THE COMMITTEE. DR WEBER.
THANK YOU I SENATOR- AND THOSE
WHO HAVE SPOKEN SUPPORT AND IN
OPPOSITION- I DO HAVE- A COUPLE
OF QUESTIONS- AND SOME CONCERNS
I WILL BE SUPPORTING THE BILL
TODAY BECAUSE- ALL OF THIS
INFORMATION THE ANALYSIS KIND OF
CAME OUT A LITTLE LATE AND I DID
WAS NOT ABLE TO GIVE THE
OPPOSITION- OPPORTUNITY TO.
ANSWER SOME OF THE QUESTIONS NOR
THE SUPPORTERS I'M BUT ONE OF
THE THINGS THAT THAT STRUCK ME
AS I WAS READING THROUGH THE
ANALYSIS IS THAT WHEN THEY WERE
FIRING TO RE REBATES. I'M THAT
THAT'S DONE IN SECRET. SO HOW
ARE WE NEED TO KNOW WHEN SOMEONE
GOES TO POINT OF SALE PURCHASE
HOW MUCH THEY SHOULD BE
RECEIVING A DISCOUNT FOR. SO
THAT IS TRUE THAT THAT
NEGOTIATION HAPPENS BETWEEN THE
PBM IN THE MANUFACTURE AND THAT
INFORMATION IS NOT. PUBLIC WHAT
THE BILL SAYS IS AT LEAST 90% OF
REBATES HAVE TO BE PASSED
THROUGH AT THE POINT OF SALE SO
THAT PBM AND HEALTH PLAN COULD
CHOOSE TO PASS THROUGH A 100% OR
THEY COULD CALCULATE IT DOWN.
THE NINETY PERCENT- AS FAR AS
HOW YOU WOULD KNOW WHETHER YOU
GOT THE BENEFIT OF THE REBATE
THE CONSUMER WHEN SEE THEIR BILL
GO DOWN- AND THEIR DEDUCTIBLE
PHASE FOR ONE AND THEN TO THE
DEPARTMENT OF INSURANCE AND THE
DEPARTMENT OF MANAGED HEALTHCARE
WOULD HAVE THE ABILITY. TO GO IN
AND LOOK AT THE BOOKS AND MAKE
SURE THAT REBATES ARE BEING
PASSED THROUGH. AND DOCTOR CAN I
JUST ASK THAT THE MAYBE THE
BROADER POINT YOU'RE GETTING AT
IS THAT IN TERMS OF THE REBATE.
THE CURRENT SYSTEM NOW. THE
THERE IS TRANSPARENCY TO BETWEEN
THE PPM OF THE CLIENT. IF THAT'S
WHAT YOU'RE GETTING AT AND IT'S
NOT UNUSUAL AT ALL FOR THE
CLIENT AFTER CALPERS AT THIS
PROVISION. THEY HAVE AUDIT
PROVISIONS SO THAT THEY CAN
AUDIT WHAT THE RE YOU KNOW WHAT
REBATE THEY'RE GETTING AND
COMPARED AND IN THE GRAND SCHEME
OF THINGS. SO THAT THAT
INFORMATION IS KNOWN BUT IT IS
IT IS PROPRIETARY BETWEEN THE
CLIENT. AND WHAT THE PBMS
NEGOTIATED WITH THE MANUFACTURER
IF THAT'S WHAT YOU'RE GETTING AT
. GO AHEAD. BOB I WAS GONNA SAY
YOUR DAD YOU KNOW WHAT YOU
HEARING IS CORRECT AS PER. AND
I'M IT IS A ON AGGREGATE SO. YOU
KNOW THE HEALTH PLANS UNLIKE
OTHERS IN THE HEALTH CARE
SECTOR- GO THROUGH- YOU KNOW
RATE REVIEW. ON AND AS PART OF
THAT PROCESS THE AGGREGATE
REBATES ARE REPORTED. TO THE
DEPARTMENT OF MANAGED HEALTH
CARE BUT I THINK. YOU'RE ONE OF
THE THINGS THAT- YOU KNOW WE'RE
ALL KIND OF PRETENDING HERE IS
THAT THE REBATE PROCESS HAPPENS
IN REAL TIME AND FOR THE MOST
PART IT DOESN'T. SO YOU KNOW THE
HEALTH PLANS ARE GONNA BE ASKED
AS PART OF THIS BILL TO FRONT A
REBATE THAT THEY MAY NOT HAVE.
ON IN SO MY UNDERSTANDING AND
BILL MIGHT BE ABLE TO CLARIFY
THIS IS THAT- WHEN IT REPEATS
NEGOTIATED CONTINGENT. A LOT OF
TIMES IS CONTINGENT ON VOLUME.
SO YOU KNOW THE DRUG COMPANIES
NOT GIVING A REBATE BECAUSE YOU
KNOW THEY'RE BEING ALTRUISTIC.
THEY'RE PROVIDING A REBATE WITH
THE UNDERSTANDING WE'VE DONE
SOME SORT OF ESTIMATE YOU KNOW I
DON'T KNOW HOW. YOU KNOW IT
WORKS TECHNICALLY BUT THEY'VE
DONE SOME SORT OF ESTIMATE ABOUT
VOLUME AND MARKET PENETRATION
WITHIN THE HEALTH PLANS.
ENROLLEES BEFORE THE REBATE IS
ISSUED. AND I COULD TAKE SIX
MONTHS TO A YEAR. SO A LOT OF
TIMES THE REASON CLIENTS DON'T
WANT THIS. IS BECAUSE- THEY
DON'T KNOW IF IT'S GONNA
MATERIALIZE IN THE MOUNT OR ALSO
IF YOU'RE BASICALLY KIND OF.
OPERATING UNDER. SOME
ASSUMPTIONS HERE I AND I COULD
BE MORE THAN A YEAR IT CAN BE
ALMOST IT CAN BE TWO YEARS TO
GET THE REBATE DOLLARS. RIGHT
AND FELL RIGHT AND I GUESS THAT
IS A PART OF MY QUESTION LIKE IF
WE DON'T REALLY EXACTLY KNOW THE
AMOUNT. OF THE REBATE. THEN HOW
ARE WE GOING TO PROVIDE. THAT
DISCOUNT TO THE- ASIAN CLIENT.
AT THE POINT OF PURCHASE. ON
BECAUSE IT DOES SEEM TO BE AT
LEAST FROM EVERYTHING I'VE READ
SOMETHING THAT'S RETROACTIVE.
AND EVEN I THINK IN THE BILL IT
STATES THAT. HEY IF YOU. DIDN'T
GET ALL YOUR MONEY AFTER THE
AUDIT HAS BEEN DONE. WILL GIVE
YOU MORE MONEY. BUT IF WE GAVE
YOU TOO MUCH. THEN YOU DON'T
HAVE TO GIVE IT BACK SO. THAT
TELLS ME THAT WE'RE NOT REALLY
QUITE SURE EXACTLY HOW MUCH TO
GIVE. TO THAT PARTICULAR
INDIVIDUAL AT THE POINT OF
PURCHASE. OKAY I GUESS I GUESS
THE QUESTIONS ANSWERED. SO- MY
OTHER QUESTION IS- YOU KNOW.
FROM EVERYTHING I'VE READ THESE
REBATES ARE ON OUR BRAND NAME.
PRODUCTS NOT ON ARE GENERIC. AND
SO- WHEN WE ARE TALKING ABOUT- A
POTENTIAL INCREASE IN THE AMOUNT
OF PEOPLE WHO ARE GETTING BRAND
NAME VERSUS GENERIC DRUGS. HOW
IS THIS BILL GOING TO. LOWER THE
OVERALL OVERALL COST OF OUR
HEALTH CARE SYSTEM. WEBER AND I
CAN START THANK YOU FOR THE-
QUESTION. YOU KNOW I THINK ONE
OF THE THINGS THEY SAW IN THE
ANALYSIS WAS THAT THERE WOULD BE
A PERVERSE INCENTIVE TO PER FOR
BRAND NAME DRUGS. AND I THINK
THAT QUITE THE OPPOSITE IS GOING
TO HAPPEN RIGHT NOW IF YOU LOOK
AT THE INSULIN MARKET PLACE FOR
INSTANCE. GENERIC INSULIN CAME
TO MARKET BUT NONE OF THE LARGE
THREE PBMS WANTED TO PUT GENERIC
INSULIN ON THEIR FORMULARY THEY
EXCLUDED SO IT WAS THE BRAND
NAME PRESCRIPTION DRUGS THAT WAS
MORE EXPENSIVE THAT CAME WITH
THE REBATE WITH BUT NOT COST
THAT WAS LOWER. THAT ULTIMATELY
GOT FAVORED IN SO I THINK IF WE
IF WE SEE THIS BILL MOVE FORWARD
THE PERVERSE INCENTIVE TO KEEP
THE BRAND NAME MEDICINE ON THE
FORMULARY LONGER IS ACTUALLY
GOING TO GO AWAY AND SO TO US
IT'S VERY IMPORTANT TO KEEP. THE
GENERIC DISPENSING RATE HIGH AND
KEEP IT HEALTHY GENERIC MARKET
PLACE SO WE DON'T SEE LIKE WHAT
WE HAVE WITH INSULIN WHERE THERE
IS AN UPTICK IN THE GENERIC
MARKET PLACE FOR INSULIN. BUT IF
WE HAVE REBATES ARE ONLY GOING
TO BRAND NAME AND NOW THIS MONEY
IS GOING TO DECREASE WHAT THE
INDIVIDUAL HAS TO PAY TO ME IT
SEEMS LIKE MORE PEOPLE WOULD BE
PRESCRIBING AND GIVING AWAY A
BRAND NAMES FESTUS
INCENTIVIZING. ARE GENERIC
MEDICATIONS AND DISINCENTIVE
MINING COMPANIES TO ACTUALLY
CREATE. GENERIC MEDICATIONS. SO
I'M- JUST TO CLARIFY TO IT'S
ONLY GOING TO. THE BRANDS WHO
HAVE COMPETITORS IN THE SAME
THERAPEUTIC CLASS THOSE IT'S ALL
IT'S SUBSECTION OF RANDOX NOT
ALL BRAND. THOUGH A SOURCE
SOURCE SOURCE BRAND DRUG THERE'S
NO COMPETITION THE PRICES
UNLIMITED. RIGHT THERE'S NO
RETURN I CAN OFFER REBATE
BECAUSE THEY DON'T HAVE TO THEY
HAVE THE ENTIRE MARKET. THOSE
ONLY FOR THIS SUBSECTION IS
COMPETING IN THE SAME THERAPY
CLASS AND THAT'S A CONCERN TOO
BECAUSE WHAT ARE WE DOING ABOUT
THOSE PEOPLE. SO YOU ARE HELPING
I THOUGHT THE SMALL SEGMENT OF
THE POPULATION AT THE EXPENSE OF
THE ENTIRE POPULATION. AND THANK
YOU SO I'M- SO AGAIN HOW ARE WE
THINKING THIS IS GONNA LOWER
OVERALL HEALTH CARE COSTS. I
THINK FIRST AND FOREMOST IT'S
GOING TO LOWER COSTS FOR
CONSUMERS AND THEN WHAT WE ARE
HOPING THAT WE SEE IS THAT THE
GENERIC MARKET PLACE STAYS
STRONG. AND THAT WE CONTINUE TO
SEE GENERICS COME TO MARKET AND
GET ON FORMULA AIRY BECAUSE WHEN
THEY ARE ON FORMULA AIRY WHEN
YOU YOU PRESCRIBE AN INSULIN TO
A PATIENT THEN THE PHARMACIST
WILL AUTOMATICALLY SUBSTITUTE TO
THE LOWER PRICED GENERIC FIRST.
BUT IF IT'S NOT ON FORMULA AIRY
IF IT'S NOT COVERED THEN THEY
WON'T MAKE THAT FORMULA AIRY
SWITCH- SUBSTITUTION AT THE
PHARMACY. FROM. WELL AS SENATOR
BRADFORD I REALLY APPRECIATE YOU
BRINGING THIS BILL FORWARD I
DEFINITELY APPRECIATE THE
CONVERSATION- I DO THINK THAT.
THERE MAY BE SOME CONCERNS OR
SOME FURTHER DISCUSSIONS THAT I
DO NEED TO HAVE ON BOTH SIDES-
BUT FOR TODAY I WILL BE
SUPPORTING IT TO LET IT CONTINUE
TO GO. ON AND I LOOK FORWARD TO
MY FUTURE CONVERSATIONS- ON THIS
PARTICULAR BILL THANK YOU. THE
OTHER COMMON QUESTIONS. MISTER
PATTERSON. THANK YOU I'M- YEAH I
YOU KNOW IS THIS TO ME SOME OF
THE COMMENTS AND- YOU KNOW IT'S
ALWAYS INTERESTING- HAVING
FRIENDS ON ON DIFFERENT SIDES OF
A PARTICULAR ISSUE WHICH IS I
THINK PRETTY MUCH EVERY BILL IN
THIS COMMITTEE- BUT- YOU KNOW I
DON'T WANT TO. YOU KNOW GET IN A
POSITION WHERE WE'RE TALKING
ABOUT YOU KNOW THIS THIS
PARTICULAR GROUP THAT YOU KNOW
DOES BAD THINGS AND YOU KNOW SO
ON AND SO FORTH I THINK
EVERYBODY PROVIDES CRITICAL ROLE
AND YOU KNOW THE DELIVERY OF
HEALTHCARE SERVICES AND- I'M-
WHEN I INITIALLY THOUGHT OF
THIS. BILL I SEE A LOT OF ISSUES
JUST GENERALLY WHEN IT COMES TO-
YOU KNOW HOW. HEALTH CARE IS A
YOU KNOW BEING THE NEW GUY. HOW
HEALTHCARE IS DELIVERED- IN
TERMS A- YOU KNOW PBMS IN
REBATES AND YOU KNOW IT'S ALL
VERY COMPLICATED AND SO MY
INITIAL IMPRESSION OF THIS BILL
WAS. I'M SUPPORTIVE OF THE
CONCEPT BUT I DO FEEL LIKE WE
NEED TO TAKE A STEP BACK THERE
BEEN OTHER PIECES OF LEGISLATION
ON. PBMS AND YOU KNOW. ALL SORTS
OF THINGS LIKE THAT THAT YOU
REALLY NEED TO- AND I KNOW
THEY'RE BEEN INFORMATIONAL
HEARINGS IN THE PAST THAT YOU
KNOW I WASN'T HERE NEITHER WAS A
THIRD OF THE LEGISLATURE WAS
HERE. TO REALLY. DO A DEEP DIVE
INTO ALL OF THIS. HEY YOU KNOW
THAT SAID. WHEN YOU LOOK AT THE
INTRICACIES OF. THE LEGISLATION
AND WE DON'T KNOW EXACTLY HOW
IT'S GOING TO IMPLEMENT BUT I DO
PHILOSOPHICALLY BELIEVE THAT.
MMHM YOU KNOW THE PATIENTS
SHOULD BENEFIT FROM FROM THE
REBATES- AND I THINK THAT'S THE
INTENT OF THEM I THINK THAT'S
ALWAYS BEEN THE INTENT OF THEM
SO I AM- YOU KNOW INTERESTED IN
SUPPORTING THIS MEASURE BUT ALSO
VERY CAUTIOUSLY BECAUSE I THINK
IT'S- IT'S BITING OFF. YOU KNOW
A PIECE OF THAT REALLY A PROBLEM
THAT WE HAVE TO ADDRESS MORE
GLOBALLY OR YOU KNOW HAVE A
BETTER UNDERSTANDING AND MAKE
SOME. MORE DETAILED DECISIONS
ON. THIS I THINK IT'S KIND OF.
INCOMPLETE YOU KNOW IT'S AGAIN A
SMALL PIECE OF SOMETHING WE NEED
TO DISCUSS BUT- I'M- BUT I'M YOU
KNOW WILLING TO SUPPORT THIS
TODAY. AND- YOU KNOW. FLAT
HOPEFULLY. IT IF THE ONE OUT IT
IS IT IS IT IS YOU KNOWN AS
APPROVED ON THE FLOOR I'D BE I'D
BE COMFORTABLE WITH IT BUT I DO
THINK ON GOING WE REALLY HAVE
TO- CONSIDER ALL OF THESE ISSUES
MORE GLOBALLY NOT JUST. YOU KNOW
PHARMACEUTICALS ARE- ANY
PARTICULAR PIECE BECAUSE IT'S A
VERY COMPLICATED I READ PICTURE
BOOKS TO GET A BETTER
UNDERSTANDING. OF THE HEALTHCARE
DELIVERY SYSTEM- AND SO THE MORE
PICTURES IN LESS WORDS YOU KNOW
IS GOOD FOR ME BUT- BUT I DO
THINK YOU KNOW AGAIN. WE SHOULD
EVENTUALLY TAKE ANOTHER STEP
BACK SO MANY OF US ARE NEW HERE-
AND SO WE'RE TRYING TO REALLY
LEARN ON THE FLY AND I MEAN SO
MANY OF YOU HAVE REALLY YOU KNOW
COME INTO MY OFFICE AND TRY TO
EDUCATE. YOU KNOW ME ON A VERY
COMPLEX. ISSUE AND I APPRECIATE
THAT AND I JUST GO BACK TO THE
WHOLE POINT IS I AM SUPPORTIVE
OF THE CONCEPT- AND SO THAT'S
WHY I WANT TO BE SUPPORTING THIS
MEASURE TODAY THANKS. ANYONE
ELSE MISS KOREA. THANK YOU
MISTER CHAIRMAN I WANT TO THANK
THE AUTHOR FOR BRINGING THIS UP
VERY IMPORTANT PIECE OF
LEGISLATION. FORWARD I WAS THE
CO AUTHOR OF AB TWENTY NINE
FORTY TWO AND TWENTY TWENTY TWO
BY THE MEMBER FOR THE PREVIOUS
MEMBER FROM ANAHEIM. ON IT ALSO
THINK THE OPPOSITION IN TERMS OF
THE CONVERSATIONS AND ONGOING
POTENTIAL NEGOTIATIONS RELATED
TO THE BILL THE NATIONAL
CONVERSATION RELATED TO HEALTH
CARE AND- OF ENSURING THAT. THE
BENEFITS OF ANY- CASA ACTUALLY
GO TOWARDS THE CONSUMER- AND
IT'S THE A VERY COMPLICATED
ISSUE. AND ONE THAT CERTAINLY
NEEDS TO BE TACKLED I WANT TO
THANK THE CHAIR FOR. ALLOWING
THE PRESENTATION AND NO-
INSURING THAT. THE MEMBERS THAT
HAVE THE ABILITY TO VOTE- THE
PREVIOUS VERSION OF THE BILL-
DID NOT GET A HEARING SO I THINK
THIS IS A STEP FORWARD. I AND
CERTAINLY YOU KNOW CONVERSATION
WORTH HAVING AND TRYING TO
FIGURE OUT HOW DO WE BEST.
ENSURE THAT AT THE END OF THE
DAY EVERYDAY PEOPLE THE FORTY
MILLION PEOPLE ACROSS CALIFORNIA
ACTUALLY. RECEIVE SOME OF THE
BENEFITS OF THOSE COST SAVING
MEASURE SO I WILL BE. SUPPORTING
THIS BILL AND LOOK FORWARD TO
THE CONTINUED CONVERSATIONS
THANK YOU. ANYONE ELSE. OKAY THE
GAS IS BACK TO ME SO LET ME
BEGIN BY SAYING THIS IS THE
FIFTH TIME THIS IS BEN THIS
PROPOSAL'S BEEN. BEFORE
LEGISLATURE SINCE TWENTY TWENTY
ONE. I'VE BEEN THE CHAIR THIS
COMMITTEE SINCE TWENTY SIXTEEN
SO I'VE BEEN HERE THE WHOLE TIME
. PRESCRIPTION DRUGS ARE TOO
EXPENSIVE PERIOD EXCLAMATION
POINT. I WORKED REALLY HARD IN
MY TIME HERE IN THE LEGISLATURE
TO ADDRESS THIS. BUT THIS IS NOT
THE ANSWER. I KNOW THERE ARE
SPECIFIC POPULATIONS
DISPROPORTIONATELY. MANY PEOPLE
OF COLOR WITH UNDERLYING CHRONIC
CONDITIONS WHO ARE HARDEST HIT.
BY THESE EVER ESCALATING
PRESCRIPTION DRUG COSTS AND MY
COMPASSION FOR THEM ISRAEL. BUT
THIS IS A BANDAID TO A MUCH
LARGER PROBLEM. AND IT MAY
BENEFIT SOME PATIENTS TO SAVE
MONEY AT THE PHARMACY COUNTER.
ONLY TO HAVE THE POTENTIAL TO
INCREASE THE COST OF HEALTH CARE
TO EVERYONE. IN THE IN THE FORM
OF HIGHER PREMIUMS. THOSE
SAVINGS FOR SOME WILL TRANSLATE
TO COST HIGHER COSTS FOR
EVERYONE EVEN THOSE PEOPLE WHO
ARE GETTING THAT BENEFIT AT THE
COUNTER WILL SEE A HIGHER
PREMIUM AND THEIR HEALTH CARE.
REBATES AT THE POINT OF SALE. I
BELIEVE INCENTIVIZES THE HEIGHT
USE OF HIGH COST EXPENSIVE BRAND
DRUGS. WHILE SPECIALLY DRUGS
ACCOUNT FOR ONLY ONE POINT SIX
OF ALL ONE POINT 6% OF ALL DRUGS
DISPENSED. THEY ACCOUNT FOR
SIXTY TWO POINT 9% OF THE
SPENDING ON PRESCRIPTION DRUGS.
ONE POINT 6% OF THE DRUG POOL
62% 63% OF THE OVERALL COST.
GIBBER POINTS OUT THAT THIS BILL
ACTUALLY INCREASED TO A TOTAL
NET PREMIUMS EXPENDITURES BY. A
HUNDRED THIRTY MILLION IN THE
COMMERCIAL MARKET THIRTY MILLION
COVER CALIFORNIA. I THINK THAT
THE THINK THE TOP NUMBERS
QUESTION CLOSER TO TWO HUNDRED
MILLION TOTAL. SO WE'RE SERIOUS
ABOUT ADDRESSING PRESCRIPTION
DRUG PRICING WE NEED TO FIX THE
MANUFACTURE THE PF PBM IN THE
FORMULARY PROCESS THAT ARE
CAUSING THESE EVER INCREASING
PRICES. NEWS BE MORE
ACCOUNTABILITY AND TRANSPARENCY
BUT THIS TRANSIT THIS PROPOSAL
IN MY OPINION IS COST SHIFTING.
AND IT'S UNSUSTAINABLE N. N. I
WANT TO ASK SOME QUESTIONS BUT-
YOU CAN TELL I'M NOT SUPPORTING
THIS HERE TODAY. BUT I WON I
HAVE SOME SPECIFIC QUESTIONS
BECAUSE THE THINGS IMPORTANT
TOPIC. THE REASON I PROPOSED A
STUDY WAS NOT TO KILL THE COP
THE CONVERSATION THE REASON I
PROPOSE THE STUDY IS THAT THIS
IS A REALLY COMPLICATED- AND
THERE ARE MANY PLAYERS. I LOOK
AT I FIND MYSELF. THOSE TWO GUYS
OVER THERE DON'T USUALLY LOOK AT
ME AS SUPPORTERS. OKAY YOU AT
THE OTHER SIDE OF THE FARM IT
CERTAINLY DOESN'T LOOK AT ME AS
A SUPPORTER I HOPE CONSUMERS
LOOK AT ME AS A SUPPORTER
BECAUSE THAT'S WHAT WE'VE BEEN
TRYING TO DO FOR A LONG LONG
TIME. SO EARLY ON IN THE
STATEMENT CENTER YOU SAID WHAT
YOU HAS A CUT THEIR STATES THAT
ARE DOING THIS WESTFORD WEST
VIRGINIA IN PARTICULAR OKAY.
THERE'S A DIFFERENCE IN WHAT'S
GOING ON A WEST VIRGINIA. THEY
TREAT COPAYS AND COINSURANCE
DIFFERENTLY. THE PREMIUM SAVING
THE MONEY ACTUALLY SAY DOESN'T
GO BACK TO THE PATIENT IN A
REBATE GOES BACK INTO PREMIUM
SAVINGS WHICH IS ACTUALLY WHAT.
PBM REBATES ARRESTS ARE ARE
DESIGNED TO DO THEY'RE DESIGNED
TO GO BACK AND HELP TO SPREAD
OUT AND REDUCE PREMIUM FOR
EVERYONE. SO WHAT'S GOING ON
WEST VIRGINIA IS COMPLETELY
DIFFERENT. THAN WHAT YOU'RE
YOU'RE PROPOSING HERE- THE OTHER
THING IS THAT WEST VIRGINIA THEY
HAVE THE ABILITY TO REGULATE
PBMS AND WE DON'T HAVE THAT IN
CALIFORNIA. WE CANNOT REGULATE
PBMS WE TRY TO GET THERE I HAD A
BILL AB THREE FIFTEEN I GOT. I
GOT TO KNOW THE PBM INDUSTRY UP
CLOSE AND PERSONAL AND IT WASN'T
PRETTY. AND WHAT WE GOT OUT OF
THAT WAS IN TRANSPARENCY AND WE
UNDERSTAND THE PBM INDUSTRY
BETTER. AND YOU KNOW IT'S BEEN A
WHILE MAYBE IT'S TIME TO STEP
BACK AND TAKE ANOTHER SHOT AT
THAT YOU KNOW QUITE FRANKLY-
BECAUSE I AM I AM CONCERNED THAT
THE OVERALL INCREASE. POTENTIAL
FOR INCREASES IN DRUGS COSTS IS
THERE. THERE IS NOTHING IN THE
BILL. THAT INCENTIVIZES. DRUG
MANUFACTURERS THEY KEEP THEIR
PRICES DOWN. IF THE PRICES WERE
LOWER. WE WOULD NEED REBATES.
AND THERE'S NO INCENTIVE TO
PREVENT. THE COMPANY'S FROM
INCREASING THE COST OF DRUGS. SO
IN TWENTY TWENTY TO. FORTY TWO
PERCENT. OF DRUGS HAD A WE HAD A
WHOLESALE ACQUISITION COST OF
BETWEEN A THOUSAND AND FIVE
THOUSAND DOLLARS. A THOUSAND TO
FIVE THOUSAND DOLLARS. 25% OF
NEW DRUGS. FOR TEN THOUSAND
DOLLARS OR MORE. THAT KIND OF
TREND. IS GROSSLY UNSUSTAINABLE
I FEEL LIKE THIS IS A WOLF IN
SHEEP'S CLOTHING. THIS IS. ON
THE SURFACE LOOKS LIKE IT'S A
GREAT WAY TO HELP SOME CONSUMERS
AND IT AND IT AND IT IS. BUT THE
BIGGER PICTURE IS THAT I THINK
THE DRUG COMPANIES GET MORE
MONEY. THE PATIENT THE CONSUMERS
PAY MORE IN IN PREMIUMS AND I
DON'T SEE HOW SUSTAINABLE. ARM I
DON'T KNOW WHAT'S GOING ON IN
ARKANSAS EXCEPT THAT I KNOW THAT
ARKANSAS IS PATTERNED AFTER WEST
VIRGINIA I DON'T KNOW IF AND
MAYBE MAYBE SOMEONE OVER HERE
KNOWS HOW THEIR WHAT THEIR THEIR
THEIR PROGRAM LOOKS LIKE. BUT IS
CLEARLY NOT WHAT WE'RE WE HAVE
HERE WHAT WE'RE LOOKING AT IN
THIS PARTICULAR BILL. SO MY
PURPOSE FOR A STUDY IN ASKING
FOR A STUDY. WAS SO THAT WE CAN
ACTUALLY DIG INTO THIS AGAIN
REALLY DIG INTO THIS AND FIGURE
OUT WHY AND HOW WE CAN ACTUALLY
APPROACH THIS. FROM A SYSTEM
WIDE LEVEL BECAUSE I THINK THIS
IS REALLY A BAND DAY- THE IT
REALLY IS ABOUT THE COST AND THE
PRICE OF DRUGS IT'S THE PRICE OF
DRUGS. PERIOD NOTHING TO KEEP
THAT FROM GOING UP- REBATES AS
WE HEARD. IN THE CURRENT SYSTEM
OR ABOUT HELPING TO REDUCE
PREMIUMS. THAT'S HOW IT CYCLE
BACK. AND AS I SAID THAT'S THE
WEST VIRGINIA PLANT. THEN GO
DIRECTLY TO THE PATIENT- I
WONDER IF WE'RE LOOKING AT 90%
OF THE REBATE GOING BACK TO THE
PATIENT- ART WE END THIS IS
SUPPOSEDLY A TRADE SECRET AREN'T
WE- PREVIOUS SITUATION WE CAN
CATTERY REVERSE ENGINEER AND
FIGURE OUT WHAT THE REBATE IS. I
DON'T KNOW AND IT'S CERTAINLY
SOUNDS LIKE IT I MEAN I DO 100%
PRICE PRETTY CLOSELY FIGURE OUT
WHAT THE REBATE IS. THE DRUG
COMPANY AND YOUR BILL FIGURE OUT
THE COMPETITORS AGO BILL FIGURED
OUT AND SUDDENLY IS GONNA BE AN
ESCALATION THERE- TALK ABOUT PAY
FOR DELAY THAT CAME UP. YOU
KNOW. WHERE VARMINT WAS
INCENTIVISING GENERIC COMPANIES.
TO REDUCE SLOW DOWN THE
PRODUCTION OF A GENERIC DRUG. WE
DID THAT BILL. AND THEY'RE
TRYING TO DO THAT FEDERAL LEVEL
NOW TO. THE POLICY YOU'RE
PUTTING FORWARD HERE WAS BEEN
TRIED AT THE FEDERAL LEVEL AND
THEY PULL BACK BECAUSE IT'S TOO
EXPENSIVE THEY REALIZED THAT
THEY CAN'T DO IT. I'M. I'M JUST
IT I JUST FEEL IT'S JUST FOR ME
IT'S JUST THE WRONG APPROACH I
DESPERATELY WANTED I HAVE DONE
WORK IN I'VE WORKED THIS IS I'VE
BEEN IN THE LEGISLATURE NINE
YEARS BY NINETY YEAR. BEEN EIGHT
YEARS AS THE CHAIR OF THIS
COMMITTEE. I WORKED ON SO MANY
POLICIES HAVE GONE AFTER EVERY
ENTITY IN THE HEALTHCARE SPACE.
I CAN'T SUPPORT YOUR BILL TODAY
. WHICH I CLOSE. THANK YOU
MISTER CHAIRMAN I HAVE THE
UTMOST RESPECT FOR YOUR COMMENTS
AND YOUR CONCERN AS IT RELATES
TO THIS MATTER AND I WANT TO
THANK YOU FOR THE CONVERSATION
THAT WE'VE HAD TO EXPRESS YOUR
CONCERNS AND H. DULY NOTED AND
RESPECTED. BUT IT'S THE SAME
TIME WE DO KNOW- THE PORTS IN
THE SIX CITIES INDIVIDUALS HERE
IN CALIFORNIA ACROSS THIS.
COUNTRY PAYS THE MOST FOR HEALTH
CARE MANY TIMES WHEN THEY- CAN'T
EVEN AFFORD IT- SACRIFICING. IN
IN NOT HAVING MADISON JUST TO
KEEP THE LIGHTS ON THE THINGS OF
THIS NATURE. THIS IS THE
OPPORTUNITY TO TRY SOMETHING
NEW. AND SEE IF IN FACT WE CAN.
DIRECT THOSE DISCOUNTS TO THE-
TO THE PATIENT AS YOU CLEARLY
STATED. IT'S THE BIG COMPANIES
TO CONTROL THIS INDUSTRY AND
THIS DOES NOT ADDRESS THAT. BUT
I THINK. IT'S WORTH A TRY AND
THIS IS NOT THE FOURTH TIME AS
THE OPPONENTS AT THAT THIS. BILL
HAS COME BEFORE THIS COMMITTEE
IT IS YES THIS BILL HAS BEEN
INTRODUCED FOUR TIMES AND I'M
THINKING THANK YOU FOR. ALLOWING
THIS TO HEARING THIS IS ONLY THE
SECOND TIME THIS BILL IS EVEN
BEEN GRANTED A HEARING IN HEALTH
SO I APPRECIATE THAT AND IT'S-
NOT GOING GONE. UNNOTICED BUT I
THINK IT'S AN OPPORTUNITY FOR US
TO AGAIN TRY SOMETHING WHEN YOU
TALK ABOUT TWO HUNDRED MILLION
DOLLAR COST WHEN. YOU SPREAD
THAT OUT OVER ALL. DESCRIBERS
WE'RE TALKING POINT 1% WERE TIME
PENNIES ON THE DOLLARS AT THE
END OF THE DAY AND YES. DOES
THAT IMPACT FOLKS YES BUT IT'S
PENNIES ON THE DOLLARS WE
SUBSIDIZE OUR POOR FOLKS
SUBSIDIZE SO MANY OTHER THINGS
STOCK ABOUT SOLAR AND ALL THE
OTHER RENEWABLE PRODUCTS THAT
THEY NEVER BENEFIT FROM BUT NO
ONE SEEMS TO BE CONCERNED ABOUT.
THEM SUBSIDIZING THIS THIS
PROVIDES A MORE DIRECT BENEFIT
BY BRINGING ALONG FOLKS AFFORD
MY MEDICINE AND HAVING IT TO
TREAT TO SICK KIDS CALIFORNIANS
AND GIVE THEM A CHANCE. AT
LIVING A HEALTHY LIFESTYLE. I'M
YES YOU'RE ASKING FOR THIS
OPPORTUNITY IS IT PERFECT NOW
AND AS I STATED IT'S STILL MUCH
WORK TO BE DONE AND I RESPECT.
BOTH DOCTOR WEBER YOURSELF FOR
HEALTH CARE PROFESSIONALS. BUT I
TO COME FROM HEALTH CARE FAMILY
AS WELL AND I KNOW THE COST OF
MEDICINE AND WE HAVE TO FIND A
WAY TO BRING IT DOWN. I WISH
THIS BILL FIXED ALL THOSE THINGS
THAT ARE WRONG AND IMPACTING
THEM THE MEDICAL INDUSTRY TODAY
IT DOESN'T BUT I THINK IT'S A-
OPPORTUNITY TO TAKE A SHOT. IT'S
MORE THAN ARKANSAS AND WEST
VIRGINIA WHO'S DOING THIS STATES
LIKE NEVADA MAINE. AND VERMONT
ARE ALSO LOOKING AT SIMILAR
PROGRAMS LIKE THIS SO I THINK
THE TIME HAS COME WE- OFTEN SAY
CALIFORNIA YOU KNOW SO GOES
CALIFORNIA SO GOES THE NATION I
THINK WE HAVE OPPORTUNITY. TO
PROVE VERY BY WRONG AND FIX. FIX
THIS INDUSTRY AND- TRY SOMETHING
NEW SO I RESPECTFULLY ASK RIVAL
. THOUGH WE HAVE A MOTION. BY
MISTER FLORA. THE SECOND VIVUS
CARILLO. MA'AM SECRETARY PLEASE
CALL THE ROLL. THE MOTION IS DUE
PASS TO APPROPRIATIONS WOULD
HELP WHAT NOW WALDRON. WALDRON
AYE AGUIAR-CURRY. ARAMBULA
BURNER. WENDY CARILLO. WENDY
CARILLO AYE FLORA. FLORA IVINS
FONG. IN FONG AYE MAIENSCHEIN
MCCARTY THE PATTERSON THE
PATTERSON AYE RODRIGUEZ SANTIAGO
PEOPLE WHAT. THEY PUT WHILE I
WEBER. WEBER I. THE BILL HAS
SEVEN VOTES WILL LEAVE THE BILL
ON CALL. MR COMMITTEE MEMBER.
MISTER BECKER. THE RECORD.
AFTERNOON DUTCHER MEMBERS I'M
HERE TODAY PERCENT SB FIVE
SEVENTY. AT THIS BILL WOULD
RESTORE. A PREGNANT PERSON'S
ABILITY IN CONSULTATION WITH OUR
DOCTOR TO UTILIZE ALL AVAILABLE
PRENATAL SCREENING SERVICES.
THIS WILL ALLOW THEM TO MAKE THE
MOST INFORMED DECISIONS ABOUT
THEIR HEALTH AND THE HEALTH OF
THE NEWBORN AS POSSIBLE. SIMPLY
THIS BILL PROHIBITS THE STATE
FROM LIMITING ACCESS TO GENETIC
SCREENING THROUGH RULE
REGULATION OR CONTRACT WHEN
GENEX SCREENINGS RECOMMENDED OR
ORDERED BY PREGNANT INDIVIDUALS
PRENATAL PROVIDER. WELL THE FIX
OPPOSED THE BILL IS SIMPLE I
MAKE YOU SURE PREGNANT
CALIFORNIANS MAINTAIN A CHOICE
IN ACCESS THE PRENATAL SCREENING
OPTIONS AND HAVE THE SCREEN IS
COVERED BY INSURANCE OR MEDICARE
NOW THE SAME AS IT WAS BEFORE
THIS CHANGE WE BELIEVE IS
ABSOLUTELY ESSENTIAL TO ADDRESS
A PORTION ACCESS ISSUES THAT
RECENT CD PH CHANGES HAVE
CREATED. UNFORTUNATELY TWENTY
TWENTY CHU CDPH IMPLEMENTED
MAJOR CHANGES THAT LIMIT THE
STATE'S PRENATAL SCREENING
PROGRAM TO TESTING PROJECTS
TRISOMY TWENTY ONE TRISOMY
EIGHTEEN AND TRISOMY THIRTEEN.
INDIVIDUALS WISH TO ACCESS
ADDITIONAL SCREENING THEY
PREVIOUSLY WOULD HAVE ENJOYED AS
RECOMMENDED BY THEIR PROVIDER
THEY MUST NOW UNDERGO
COMPLICATED AND CONFUSING TO
PATH PROCESS OF SCREENING. WE
BELIEVE THIS UNNECESSARY NEW
BERRIER MEANS THE VAST MAJORITY
PREGNANT PEOPLE WILL NOT HAVE
ACCESS TO FULL PRINT PANEL
SCREENING. AND THE PORT
INFORMATION IT PROVIDES. THIS
ABOUT MEDICAL CARE BE DECIDED IN
MEDICAL CARE PROVIDERS RATHER
THAN ARBITRARY LINE IN THE SAND.
ALAS I DID AMEND THE BILL TO
MOVE REFERENCE TO MICRO
DELETIONS AT THE RECOMMENDATION
OF. THE COMMITTEE. I NEVER AND I
APPRECIATE AND THANK THE
COMMITTEE FOR WORKING WITH ME ON
THAT MATTER. AND WITH ME I'VE TO
WITNESSES TODAY LIBBY SANCHEZ
AND RYAN SPENCER. GOOD
AFTERNOON- MISTER CHAIRMAN
COMMITTEE MEMBERS LIBBY SANCHEZ
HERE ON BEHALF OF THE TERRA. SB
FIVE SEVENTY SIX TO ADDRESS
INHERENT FLAWS IN THE CD PH P.
N. S. PROGRAM AND TO SOLIDIFY
THE RIGHT OF PREGNANT
INDIVIDUALS TO ACCESS PRENATAL
SCREENING TESTS AS ORDERED BY
THEIR PRENATAL TREATERS. DURING
THE SHORT TIME THE CHANGES TO
THE PNS PROGRAM WERE
ADMINISTERED- POST ADOPTION OF
THE EMERGENCY REGULATIONS BUT
PRIOR TO THE INJUNCTIONS OF FOR
ABOUT A TWELVE WEEK PERIOD.
THERE WAS A DRAMATIC REDUCTION
IN UPTAKE RATE IN THE BLACK
BROWN AND MEDIKAL POPULATIONS-
THE IRONY OF THIS IS THAT THERE
WAS THESE EXACT POPULATIONS THAT
CDPH HAD BEEN CONCERNED WERE NOT
ACCESSING IMPORTANT PRENATAL
SCRIPPS SCREENING AT AS HIGH A
RATE AS OTHER POPULATIONS. AND
THAT CDPH HAD INTENDED THE WHOLE
PURPOSE OF THE CHANGES TO THE
PROGRAM TO ACHIEVE- TO ADDRESS
THAT THOSE DISPARITIES IN ACCESS
AND UPTAKE RATES IN OTHER WORDS
THE ACCESS AND EQUITY CONCERNS
PROVIDERS GENETICISTS PARENTS
AND OTHERS RAISED WITH THE
DEPARTMENT WHEN THE DEPARTMENT.
WAS FIRST PUBLICLY UNVEILING ITS
LIMITED VERSION OF THAT CHANGES
TO THE PROGRAM ALL CAME TO
FRUITION. WELL THE COURT
DECISIONS UPHOLDING THE
INJUNCTION NOW STAND AND WILL
UNTIL AND UNLESS THE DEPARTMENT
CHOOSES TO APPEAL THE COURT
DECISIONS DO NOT PROVIDE
ADEQUATE AND CONSISTENT ACCESS
TO PRENATAL SCREENING PREGNANT
INDIVIDUALS NEED. THE ONLY THING
THAT CAN DO SO ENSURE THAT ABOUT
CONSISTENT ACCESS AND ADEQUATE
ACCESS IS FOR THE LEGISLATURE TO
PROVIDE THE DIRECTION PURSUANT
TO THIS MEASURE. I'M AS
HIGHLIGHTED IN THE COMMITTEES
VERY GOOD ANALYSIS AND WE DO
APPRECIATE SO MUCH THE WORK OF
THE COMMITTEE CONSULTANT ON THIS
ON THERE IS A SERIOUS DISCONNECT
BETWEEN WHAT THE DEPARTMENT SAYS
DOCTORS PATIENTS AND LABS CAN
AND CANNOT DO. UNDER THE PROGRAM
AND WHAT DOCTORS PATIENTS AND
LABS ACTUALLY CAN DO. A CASE IN
POINT OF THE REPRESENTATION BY
THE DEPARTMENT THE PREGNANT
INDIVIDUALS CAN SIMPLY OPT OUT
AND SECURE PIANA SCREENINGS
ELSEWHERE. WELL THAT IN FACT IS
THE CASE UNDER THE COURT RULING
THAT WAS NOT THE CASE UNDER THE
CHANGES TO THE PROGRAM IS
ADMINISTERED BY THE DEPARTMENT
PRE IN JUNCTION AS NON CONTRACT
LYME. WERE PRECLUDED FROM
ADMINISTERING PS PNS TESTS THERE
WERE NO THERE WERE NO AND
CONTINUES TO BE NO CODE FOR THE
NON PIANO SCREENING SEX
CHROMOSOMES AND MICRO DELETIONS
WHICH COMPRISE THE FULL PANEL OF
TRADITIONAL. OM THE PANEL
ORDERED BY A OBGYN. AND THERE'S
NO REIMBURSEMENT MECHANISM- I'M
IN IN OTHER WORDS THE
DEPARTMENT'S PREGNANT
INDIVIDUALS CAN OPT OUT AND GET
THE FULL PANEL ELSEWHERE
NEGLECTED TO MENTION THE FACT
THAT THERE WAS NO WHERE ELSE TO
GO AND NO NO WAY TO GET IT PAID
FOR. FINALLY I'D LIKE TO ADDRESS
CONCERNS REGARDING THAT THE
FALSE POSITIVES FALSE POSITIVES
ARE ARE NO MORE COMMON WITH THE
CURRENT GENERATION OF PNS-
SCREENING THAN THEY WERE WITH
THAT PRIOR GENERATIONS OF
SCREENING THAT THAT HAVE BEEN
ADMINISTERED FOR FORTY YEARS.
THAT DOESN'T MEAN FALSE.
POSITIVES ARE PROBLEMATIC- BUT
THEY'RE NOT AS PROBLEMATIC AS
FALSE NEGATIVES OF THE NUMBERS
OF WHICH ARE FAR LOWER IN THIS
GENERATION OF TESTING. AS
MENTIONED IN THE ANALYSIS THE
PURPOSE OF PIANO SCREENING IS TO
REDUCE THE NUMBER OF MORE
INVASIVE FOLLOW UP TESTS
REQUIRED. THIS GENERATION OF
SCREENING DOES EXACTLY THAT BY
ENSURING THE SMALLEST NUMBER
PREGNANT INDIVIDUALS HAVE TO
RELY ON MORE INVASIVE DIAGNOSTIC
SCREENING. THE PROBLEM WITH THE
CD EIGHT CD PH PROGRAM AND THE
NEED FOR THIS MEASURE THAT ONE
PROVIDERS ORDER THE FULL PANEL
FOR THEIR PATIENTS IT IS BECAUSE
IT'S IN THE PATIENT'S BEST
INTEREST. TO BE FULLY. INFORMED
THANK YOU. THANK MISTER CHAMP
RYAN SPENCER ON BEHALF OF THE
AMERICAN COLLEGE OF OBGYN
STRYCHNINE AND I'LL BE BRIEF OUR
SUPPORT OF SB FIVE SEVENTY IS
BASED ON A VERY FUN MOMENT.
FUNDAMENTAL ISSUE FOR A COG IN
HOUSE MADISON. GOVERNMENTAL
INTERFERENCE WITH MEDICAL
STATIONS AND THE PATIENT AND
PHYSICIAN RELATIONSHIP. SHARED
DECISION MAKING INVOLVES THIS
QUESTION OF THE BENEFITS AND
RISKS OF ALL AVAILABLE TESTING
TREATMENT OPTIONS. IN THE
CONTEXT OF PATIENT VALUES AND
PRIORITIES. THE POSITIONS
ORDERING THE SCREEN AND TESTING
SHOULD ALONG THE PATIENT DECIDE
WHICH GREEN OR TEST IS
APPROPRIATE FOR THE INDIVIDUAL.
THE DECISION SHOULD BE BASED ON
SCIENCE AND CLINICAL GUIDANCE
NOT CONTINGENT ON GOVERNMENT
REGULATION. RESTRICTIONS OR
LIMITATIONS ON WHAT TESTS MAY BE
PERFORMED AND WHO MAY PERFORM
THE TEST. INTERFERE OF THIS
VITAL PATIENT PHYSICIAN
RELATIONSHIP AND THE
GOVERNMENT'S NOT PLEASE BARRIERS
THAT COULD IMPEDE ACCESS TO THIS
CARE. FOR THESE REASONS EXPORTS
A BILL AND ASK FOR YOUR AYE VOTE
THANK YOU. THANK YOU OTHERS IN
SUPPORT. HELLO CHRISTY FOR A ON
BEHALF OF THE CALIFORNIA
CLINICAL LABORATORY ASSOCIATION
IN STRONG SUPPORT THANK YOU YOU
. MISTER MEMBERS ADAM K. ONE ON
BEHALF OF BILLION A ONE IN
SUPPORT. THANK YOU. I RIPPED
THEM APART HAD AFFILIATES OF
CALIFORNIANS PARK THANK YOU.
MISSY JOHNSON ON BEHALF OF
MERION GENETICS IN SUPPORT THANK
YOU. JENNIFER SNYDER MAY HAVE
THE CALIFORNIA LIFE SCIENCES IN
SUPPORT THANK YOU. ALEX CALLING
ON BEHALF OF ALUMINA AND SUPPORT
THANK YOU. ANYONE ELSE. THEIR
OPPOSITION TO THE BILL. IN A
BRING BACK TO COMMITTEE
QUESTIONS OR COMMENTS DR PEPPER
. THANK YOU SENATOR I BAKER SO
MUCH FOR- FOR BRINGING THIS BILL
FORWARD FOR BEING OUT ONE OF THE
CHAMPION OF THIS VERY VERY VERY
IMPORTANT ISSUE- ARM AS AN OBGYN
I CANNOT OVERSTATE THE
IMPORTANCE OF THIS BILL. AND
THIS IS SOMETHING THIS IS
TESTING THIS IS COUNSELING THAT
WE- DEAL WITH WITH EVERY SINGLE
PATIENT PREGNANT PATIENT THAT
WALKS THROUGH OUR OFFICE EVERY
SINGLE DAY. AND YOU KNOW ONE OF
THE THINGS THAT WE TALKED ABOUT
WITH THE LAST BILL AND BEFORE I
WE EVEN INTRODUCED THE LAST BILL
WITH THAT WHAT THIS WILL DO
WHAT'S CDPH IS NEW PNS PROGRAM
WE DO. IS TO LIMIT ACCESS TO THE
TYPE OF SCREENING LIMIT ACCESS
TO THE LAB AND THEREFORE LIMIT
ACCESS TO HEALTH CARE AND
DELIVERY I'M SO VERY HAPPY THAT
YOU ACTUALLY. CAME TODAY WITH
THOSE NUMBERS- TO SHOW THAT
THERE WAS A DECREASE IN THE
NUMBER OF PATIENTS WHO GOT
PRENATAL SCREENING WITH A VERY
LIMITED TIME THAT THIS PROGRAM
WAS ABLE TO BE ROLLED OUT- THIS
IS EXTREMELY IMPORTANT OP ARE
ARE PREGNANT PATIENTS ARE. A
VERY HIGH RISK IN VERY
VULNERABLE- THEY ARE CARING THE
FUTURE OF THE STATE IN THE
FUTURE OF THIS NATION AND WE
NEED TO MAKE SURE. THAT OF THE
CONVERSATIONS THAT THEY HAVE
WITH THEIR DOCTORS THE KIND OF
TESTING THAT THEY NEED TO GET IS
OPEN TO THEM AND THAT THE WE DO
NOT PLACE ANY UNDUE BURDEN ON
THEM. TO ACTUALLY ACQUIRE THOSE
TESTINGS BY GOING OUTSIDE OF
THEIR COMMUNITIES TO WHAT I IS
CONSIDERED BY CDPH TO BE A
CONTRACTED LAB OBVERSES BEING
ABLE TO GO WITHIN THEIR
COMMUNITY TO A NON CONTRACTED
LAP SO. THANK YOU SO MUCH
SENATOR BACKER I THANK YOU TO
THE TO THE WITNESSES THIS IS A
VERY VERY IMPORTANT BELL A
CORRECTION THAT IS NEEDED. TO BE
MADE LEGISLATIVELY SO THANK YOU.
ANYONE ELSE. A MISTER PATTERSON
. HI SORRY THAT WE NEED TO DO
THIS BILL IN THE FIRST PLACE.
SHOULD BE TOTALLY UNNECESSARY TO
DO THIS FOR KIDS MYSELF ALL WENT
THROUGH DIFFERENT TYPES OF A-
SCREENING YOU KNOW THEY CHANGE.
YOU KNOW. OVER TIME BUT GEN NEED
THIS BILL WHEN GOVERNMENT GETS
IN THE WAY OF- YOU KNOW
ACTUATING- HEALTH CARE SAID
THANKS FOR BRINGING AND LOOK
TOWARDS SUPPORTING. IT WAS
ANYONE ELSE. WELL- I GUESS I'M
JUST BEING CONTRARY TODAY BUT-
CENTER BACKER I'M CONSISTENT
WITH MY POSITION LAST YEAR ON ON
A SIMILAR BILL I'M I'M NOT.
GONNA SUPPORT TODAY- EXISTING
LAW REQUIRES DPH TO EXPAND-
PRENATAL SCREENING TO INCLUDE
THOSE WHO MEET. OR EXCEED THE
CURRENT STANDARD OF CARE. WHEN
DPH MADE CHANGES TO THE PNS
PROGRAM IT FOLLOWED EVIDENCE
BASED RESEARCH. TO THE CURRENT
STANDARD OF CARE. THE NEW YORK
TIMES WAS HAS REPORTED THAT
THESE LABORATORIES ARE MAKING
THESE BROAD PRENATAL TESTS. AND
WITH OR WITHOUT INTENT. ARE
PROFITING SIGNIFICANTLY.
ADDITIONALLY IT NONE OF THE N.
I. P. T.'S HAVE BEEN AUTHORIZED.
CLEARED OR APPROVED BY THE FDA.
REQUIRING ALL AND I. P. TEAS-
ALL IS NOT SUPPORTED BY SCIENCE
. IN ADDITION PRENATAL TESTING
AS MEDICAL IF ADDITIONAL
PRENATAL TESTING IS MEDICALLY
NECESSARY EXISTING LAW ALREADY
ALLOWS HEALTH CARE PROVIDERS TO
ORDER IT. LASTLY AND I KNOW I
MENTION THIS REGULARLY I HAVE
BEEN ADVOCATING FOR COST
CONTAINMENT SINCE I STARTED IN
THE LEGISLATURE. THE NEWLY
ESTABLISHED OFFICE OF HEALTH
CARE AFFORDABILITY WILL BE
SETTING COST TARGETS FOR VARIOUS
PROVIDERS AND THAT WILL INCLUDE
CLINICAL LABS. ONE OF THE UNIQUE
ASPECTS OF THE **** PROGRAM IS
THAT IT ACTUALLY SETS THE PRICE
FOR PRENATAL TESTS AND ALL
PAYERS WILL PAY INCLUDING
MEDICARE AND COMMERCIAL
INSURERS. AS A RESULT THE
OVERALL HEALTH CARE SYSTEM IS
SAVING MILLIONS OF DOLLARS. I
BELIEVE THE CURRENT DIRECTION OF
THE PNS PROTECT PROGRAM PROTECTS
THE INTEGRITY OF THE PROGRAM
IT'S IN THE BEST INTERESTS OF
PREGNANT PEOPLE. AND GOES A LONG
WAY TO CONTROLLING HEALTH CARE
COSTS. WITH THAT WOULD YOU LIKE
CLOSER. WELL THANK YOU AND
APPRECIATE DISCUSSION OVER THE
YEARS AND CERTAINLY- VERY MUCH
APPRECIATE- YOU'RE WELCOME COST
CONTAINMENT WHICH IS IT. AS
TREMENDOUS. ISSUE GOES WITHOUT
SAYING IT IN THE HEALTHCARE
FIELD- AND YOU LOOK FOR TO LOOK
FOR TO THE NEW OFFICE AND WHAT'S
COMING- A COME UP WITH AYE AYE
DO. YOU BELIEVE IN THIS CASE
RIGHT SO PERSONALLY I'D WANT YOU
KNOW WOULD WIN ABOUT FRAUD
CALIFORNIA'S WHAT I WOULD WANT
FOR MY KIDS AND I THINK WE ALSO
HEARD FROM. FROM A- AN EXPERT
HERE- YOU KNOW HOW HOW HOW
IMPORTANT- YOU KNOW SHE LEAVES
THESE TESTERS AND I BELIEVE
THEY'RE VERY IMPORTANT AS WELL
SO- A. G. PREACHY REFERENCE IN
THE IN. IN GENERAL IN THESE
AREAS BUT I DO YOU RESPECTFULLY
ASK FOR AN AYE VOTE BECAUSE WE
DO BELIEVE THAT THESE. THESE
TESTS ARE IMPORTANT SOMETHING WE
SHOULD WHAT FOR CALIFORNIANS
THANK YOU. THE MOTION BY DOCTOR
WEBER A SECOND BY MR RODRIGUEZ
THE MOTION IS TO PASS AS AMENDED
TO PREPARATIONS MADAM SECRETARY
PLEASE CALL THE ROLL WHAT NOW
WHAT NOW WALDRON. WALDRON AYE
AGUIAR-CURRY. ARAMBULA BURNER.
WENDY CARILLO. WHEN YOU CARILLO
I FLORA. THANKS FONG. VINCE FONG
I MAIENSCHEIN. MCCARTY THE
PATTERSON. PATTERSON AYE
RODRIGUEZ. RODRIGUEZ AYE
SANTIAGO YOU PUT WHAT. IT PUT Y.
WEBER. WEBER I. THE SEVEN VOTES
WITH THE BILL ON CALL MANAGER.
MISTER PORTANTINO. YOU HAVE
THREE BILLS BEFORE US. THREE
GOOD BILLS. I'M GONNA START
RESEARCHER PLEASE GO AHEAD
WHENEVER YOU'RE READY SIR THANK
YOU MISTER CHAIRMAN FOR THE
START WITH THE TWO THIRTY FOUR-
THANK YOU MR COMMITTEE MEMBERS
I'D LIKE TO BEGIN BY ACCEPTING
THE COMMITTEE MEMBERS OUTLINED
IN THE COMMITTEE NOW ASSISTANT
THANK YOUR STAFF FOR WORKING.
WITH MY STAFF I'M SB TWO THREE
FOUR WOULD REQUIRE SCHOOLS
COLLEGES CAMPUSES STADIUMS
CONCERT VENUES IN AMUSEMENT
PARKS IN THE STATE TO MAINTAIN
UNEXPIRED DOSES OF NOR CAN ALSO-
NOR CAN WE SAW SPIKE OBVIOUSLY
AND TRAGICALLY IN A LESSON DEATH
RATES FROM OPIOID OVERDOSES FROM
TWO THOUSAND NINETEEN THE TWO
THOUSAND TWENTY. NEARLY DOUBLING
THE NUMBER AND HAVE CONTINUED TO
SEE ALARMING INCREASES WITHIN
THE PAST YEAR WE ALSO FOUND THAT
20% OF FORTY TWO BAY AREA SCHOOL
DISTRICTS REPORTED NOT HAVING
DARK AND RADICALLY AVAILABLE ON
THE CAMPUSES AND OBVIOUSLY WE
THINK IT'S CRUCIAL TO MAKE THIS.
LIFESAVING TREATMENT AVAILABLE
OBVIOUSLY- WE WANT TO EQUIP
SCHOOLS- GIVEN THE RESOURCES
THEY NEED GIVEN THEIR- MARC AND
THEY NEED AN OB I HAVE- ADRIAN
SHELTON FROM CALIFORNIA ALLIANCE
OF CHILD AND FAMILY SERVICES AND
TRISTIAN BROWN ON THE CALIFORNIA
FEDERATION OF TEACHERS TO
TESTIFY IN SUPPORT AND WOULD
RESPECTFULLY ASK FOR AN AYE VOTE
AT THE APPROPRIATE TIME. THANK
YOU SENATOR. GOOD AFTERNOON
CHAIR AND MEMBERS ADRIN SULTAN
WITH THE CALIFORNIA ALLIANCE OF
CHILD AND FAMILY SERVICES WE
REPRESENT ONE HUNDRED AND SIXTY
NONPROFIT COMMUNITY BASED
ORGANIZATIONS ACROSS CALIFORNIA
THAT ARE SERVING AND SUPPORTING
YOUTH AND BEHAVIORAL HEALTH AND
CHILD WELFARE AND EDUCATION. IN
OUR MEMBERS ARE SERVING YOUTH IN
A VARIETY OF SETTINGS INCLUDING-
SCHOOLS AND REALLY RECOGNIZE THE
NEED TO HAVE THIS LIFE SAVING
MEDICATIONS SUCH AS NALOXONE.
AVAILABLE ON SCHOOL CAMPUSES AND
SO DUE TO THE AVAILABILITY OF
OPIOIDS AND THEIR IMPACT ON
YOUTH ACROSS THE STATE WE
BELIEVE THAT WE MUST TAKE
FURTHER PRECAUTIONS. TO PREPARE.
FOR POTENTIAL OVERDOSES IN OUR
COMMUNITIES AND WE BELIEVE THAT
THIS BILL TAKES THE RIGHT
APPROACH. WE ARE SEEING DEATHS
LINKED TO OPIOID OVERDOSES AT
ALARMING RATES AND OUR CENTER
FOR DISEASE CONTROL AND
PREVENTION. IN PARTICULAR IS
RECORDING A SHARP SPIKE IN YOUTH
AND ADOLESCENCE AND SO THERE'S
REALLY A GROWING URGENCY- HAVING
THIS MEDICATION AVAILABLE IN
LOCATIONS THAT ARE. FREQUENTLY
ACCESSED BY YOUTH INCLUDING
INCLUDING SCHOOLS THE WE BELIEVE
THAT WE CAN SAVE LIVES- WHEN
THIS IS READILY AVAILABLE. SO S.
B. TWO THIRTY FOUR WILL EQUIP A
QUICK CALIFORNIA TO RESPOND TO
OUR OPIOID CRISIS AND WILL MAKE
THIS CRITICAL. MEDICATION
AVAILABLE TO THOSE EXPERIENCING
AN OVERDOSE SO FOR THESE REASONS
WE ARE PROUD TO SUPPORT S. B.
TWO THIRTY FOUR TODAY AND URGE
AND PRIVATE. THANK YOU. THANK
YOU. GOOD AFTERNOON MR CHAIRMAN
MEMBERS TRISTEN BROWN A CFDT
UNION VETS CARE DOESN'T CLASSIFY
PROFESSIONALS. I IT IS SAD THAT
WE ARE HERE AT THE BOUT THE
SUBJECT MATTER OF THIS BILL IS
GOING TO BE A THEME FOR THE
SENATOR NIGHT TODAY WE'VE GOT
OTHER BILLS OF LIKE. SPACE BUT
UNFORTUNATELY IT IS REALITY AND
IT IS APROPOS TO WHAT WE'VE
HEARD IT OUR OWN CONVENTION THIS
PAST YEAR WERE SEVERAL. MEMBERS
OF OUR WORK FORCE CAME TO US-
DEMANDING ACTION ON TRAINING AND
HELP WITH PREVENTING MORE OPIOID
OVERDOSES IN THEIR SCHOOL
ENVIRONMENTS. IT IS A CRUSHING
DEFEAT TO ANY ONE OF OUR MEMBERS
WHO SPEND EVERY DAY TRYING TO
SUPPORT STUDENTS. TO WATCH THEM
DEAL WITH AN OPIOID ADDICTION
AND WORST CASE DIE FROM IT- IN
FRONT OF THEM. HAVING ACCESS TO
THESE LIFESAVING DRUGS IN THE
TRAINING AND VOLUNTEERING THAT
GOES ALONG WITH IT. IS A CRUCIAL
THING THAT UNFORTUNATE WE DO
NEED IN OUR SCHOOLS TODAY. HOPE
ONE DAY WE DON'T NEED THESE EVER
AGAIN BUT FOR NOW HAVING THE
ACCESS. AND HAVING THOSE
VOLUNTEERS BE TRAINED TO UTILIZE
THESE DRUGS WILL HOPEFULLY SAVE
LIVES AND LET STUDENTS HAVE
ANOTHER TURN TO FIND A BETTER
PATH. A WITH MORE SUPPORT SO FOR
THOSE REASONS WE DO URGENT I
FELT AND WE APPRECIATE YOUR TIME
TODAY. THANK YOU VERY MUCH
OTHERS IN SUPPORT. IN STONE OF
STONE ADVOCACY ON BEHALF THE
CALIFORNIA DISTRICT ATTORNEYS
ASSOCIATION IN SUPPORT THANK YOU
. AND I'M NOT THESE OF THE
FACULTY ASSOCIATION OF THE
CALIFORNIA COMMUNITY COLLEGES IN
SUPPORT THANK YOU. REBECA
GONZALEZ NATIONALIZATION OF
SOCIAL WORKERS CALIFORNIA
CHAPTER IN SUPPORT. THANK YOU.
PERSECUTORS COUNTY HAVE THE CITY
OF SANTA MONICA AND SUPPORT
THANK YOU. ARGUABLE EASEMENT
STEINBERG INSTITUTE SUPPORT
THANK YOU. OSMAN'S RUSSIAN
BIPOLAR SUPPORT ALLIANCE FOR
CALIFORNIANS SUPPORT THANK YOU.
RENDON MARCH WITH CALIFORNIA
MEDICAL ASSOCIATION IN SUPPORT
THANK YOU. GRETCHEN BURNS
BERGMAN- CO FOUNDER OF THE NEW
PATH PARENTS FOR ADDICTION
TREATMENT AND HEALING IN SUPPORT
THANK YOU. IS THERE ANY
OPPOSITION TO THE BILL. YOU KNOW
ONE OF BRING IT BACK TO THE
COMMITTEE MISTER PATTERSON.
THANK YOU SENATOR. YOU MIGHT NOW
ACTUALLY I HAD A BILL SENT TO.
SUSPENSE TODAY THAT. ONE OF
ACTUALLY MY FIRST DAY ENERGIZED
A BILL THAT WOULD ALSO REQUIRE
SCHOOLS TO HAVE AND- YOU KNOW I
THINK IT'S GREAT BRING IT FROM
BOTH SIDES. ONE IN THE ASSEMBLY
AND ONE IN THE SENATE. AND YOURS
IS BROADER OBVIOUSLY COVERS
COMMUNITY COLLEGES AND STADIUMS
AND THINGS LIKE THAT I THINK
IT'S GREAT AND I'VE BEEN REALLY
PLEASED WITH THE AMOUNT OF
SUPPORT YOU KNOW INCLUDING FROM
THE EDUCATION COMMUNITY. YOU
KNOW JUST A COUPLE YOU KNOW A
LITTLE BIT OF COMMENTS ON THIS.
AT ISSUE. THAT I'VE AS I'VE GONE
THROUGH THIS PROCESS INITIALLY I
WANTED TO DO A BILL THAT JUST
SAID HEY YOU'RE REQUIRED TO
MATTER WHAT TO CARRY THIS ON
CAMPUS. AND I KNOW THAT THERE
ARE SOME CONCERNS HIS TRAINING
AND YOU KNOW THINGS LIKE THAT
AND WHAT I FOUND OUT MEETING
WITH. YOU KNOW SOME OF THE PRESS
AND THE BAY AREAS IS THERE ARE
ACTUALLY SOME SCHOOLS THAT HAVE
HAD THIS ON CAMPUS AND THEY HAVE
IT LOCKED AWAY BECAUSE NOBODY'S
TRAINED TO ADMINISTER THIS AND I
THINK THAT IS. NOT OKAY TOTALLY
UNACCEPTABLE I THINK MOST PEOPLE
WOULD AGREE WITH THAT I MEAN IF
SOMEBODY'S DYING OF FAN ARE BEEN
EXPOSED I MEAN. YOU KNOW YOU
HAVE IT ON CAMPUS. YOU KNOW AND
SO I WAS PERSONALLY OFFENDED BY
YOU KNOW LEARNING OF THESE
PARTICULAR DISTRICTS THAT WERE
DOING THAT AND I DON'T THINK
THAT'S THE NORM. YOU KNOW AND I
JUST HAVE TO SAY THAT BUT I LIKE
TO WORK MORE WITH THE EDUCATION
COMMUNITY YOU KNOW IN FUTURE
YEARS. BECAUSE THE WAY THE
LANGUAGES RATE AS YOU NARROW
BASIS AS IF THERE'S A VOLUNTEER
A TRAINED PERSON YOU KNOW THAN
THE REQUIRED DAY. AREA BUT I
THINK WE GOT TO GET TO THE POINT
WHERE IT'S LIKE SCHOOLS HAVE TO
CARRY THIS- AND SO WHAT DO WE
NEED TO GET TO THE POINT TO DO
THE TRAINING WHICH IS. WHICH IS
VERY EASY AND YOU KNOW IT'S NOT.
TOO COMPLICATED I'M SURE YOU
HAVE SOME THOUGHTS ON THAT BUT-
YOU KNOW I'D LIKE TO GET TO
THAT. POINT WHERE PEOPLE ARE
CARRYING THIS. ON CAMPUS. AND
IT'S ADMINISTERED BY SOMEBODY
YOU KNOW AND WHATEVER LIABILITY
PROTECTIONS WE NEED YOU KNOW
THINGS LIKE THAT IF YOU WANNA
RESPOND AT ELEVEN THANK YOU FOR
GOING ON THIS ISSUE VERY NEAR
AND DEAR TO MY HEART. AND THAT
UNFORTUNATELY THIS IS HAPPENING
ON CAMPUSES. AND YOU KNOW WE'LL
BE GLAD WHEN IT'S NOT. WANT ME
TO RESPOND OF MICHAEL'S COMMENTS
OR- I'LL JUST COVERED. SHOULD
ANYONE ELSE. O. S. RIGHT I'M
SORRY MISS RODRIGUEZ. YOU'RE
HIDING BEHIND THE SIDE OF THE
CHEROKEE BARELY SEE A MENTOR IN
THE CHAIR THANK THANK YOU VERY
MUCH I WANT TO THANK THE CENTER
FOR BRING THIS BILL FORD AS I'M
A CO AUTHOR. REALLY ADMIRE ALL
THE WORK YOU PUT INTO IT AS A
FORMER FIRST RESPONDER. WORKED A
LOT OF CONCERTS SPORTING VENUES
AND TO HAVE THIS MORE ACCESSIBLE
AND AVAILABLE TO FOLKS. THE
BETTER RIGHT WHICH WE DON'T HAVE
TO BUT WERE LIVING AT DIFFERENT
TIMES NOW. SO REALLY WANT TO
THANK YOU VERY MUCH FOR BRINGING
THIS BILL FORWARD. MUCH NEEDED
HOPEFULLY WE EVER COME TO IT
THEN WE WOULDN'T WE DON'T NEED
IT IN THESE PLACES BUT NOW. MORE
THAN EVER WE NEED THAT TO BE A
MORE FOR ONE'S ACCEPTABLE AND-
REALLY SAVE LIVES WITHIN THE DAY
SO THANK YOU VERY MUCH FOR ALL
THE HARD WORK. THIS BILL THANK
YOU. THANK YOU AND I TOO WANT TO
THANK YOU CENTER FOR BRINGING
THIS FORWARD I REMEMBER AS A
KID- I WOULD GET HEADACHES AND-
AND WHEN I WENT TO SCHOOL IF I
HAD ASPIRIN WITH ME I HAD TO
TAKE IT TO THE SCHOOL NURSE. AND
THEN. WHEN I GOT WHEN I NEEDED
THAT I THEN WENT TO THE SCHOOL
NURSE TO GET. ASPIRIN THAT I
BROUGHT ON CAMPUS. AND AND-
ISN'T IT A SHAME THAT HERE WE
ARE NOW IN TWENTY TWENTY THREE.
AND WE'RE GOING TO BE. ASKING
YOUNG PEOPLE TO CARRY. OUR CATS.
ARE NOT LOCKS ON- AND- I'M JUST
I'M JUST SHOCKED BY THE WAY. MY
THINGS. AND I COULD I SUPPORT
WHAT YOU'RE DOING ABSOLUTELY I'D
LOVE TO BE A CO AUTHOR ON THIS
BILL. RELUCTANTLY BECAUSE OF.
THE SCOPE OF THE SCOPE OF THIS
PROBLEM- I WILL KNOW TOO THAT-
YOU KNOW THE STATE IS LOOKING
AT- MANUFACTURING. MEDICATIONS
IN THE STATE NUMBER ONE. IS
GOING TO IS. AS A- INSULIN. I
BELIEVE NUMBER TWO IS GONNA BE
NO LOCKS ON. THE WHY WE DOING
NUMBER TWO. BECAUSE THE
PHARMACEUTICAL COMPANIES ARE
CHARGING WAY TOO MUCH MONEY FOR
THIS LIFESAVING DRUGS. SO I'M
SORRY I'M ON A I'M ON A ROLL
HERE TODAY. ACOSTA DRUGS. BUT
THE REALITY IS. THAT THEY COULD
BE DOING IT FOR LESS. AND
PASSING THAT ON AS A PUBLIC
SAFETY. OF PUBLIC HEALTH
MEASURE. BUT WE AS A STATE ARE
GOING TO BE RESORTING TO
MANUFACTURED OURSELF TO KEEP THE
COST DOWN. SO WITH THAT I'LL GET
OFF MY SOAPBOX NOW. IT'LL SAVE
AND SAVE SAVE SAVE SOME OTHER
COMMENTS FOR SOMETHING ELSE
LATER. I WOULD LIKE TO CLOSE
CENTER. THANK YOU- THANK YOU MR
CHAIRMAN MEMBERS AND I AGREE
WITH. BOTH OF YOU- WE WANT THIS
TO BE AS READILY AVAILABLE AS
POSSIBLE WE'VE BEEN PUSHING BACK
THERE'S BEEN EFFORTS TO. TO
REQUIRE. EXTRA TRAINING IN THIS
IS AN OVER THE COUNTER
MEDICATION THAT. IS EXTREMELY
SIMPLE TO ADMINISTER AND TIME IS
OF THE ESSENCE AND WE DON'T WANT
PEOPLE SEARCHING YOU KNOW
THROUGH LOCKERS DEFINED IT WE
WANT IT TO BE AVAILABLE AND WHEN
THE ACUTE NEED IS PRESENT SO. I
WILL LOOK FOR MORE AFTER WASTED
TO STRENGTHEN THE AVAILABILITY
IF- IF WE CAN AND SO- WITH THAT-
I RESPECTFULLY ASK HER AND I
WILL. IT THANK YOU IS IT WAS-
MOTION I'M SORRY IF I MISSED IT
. MR A MOTION BY. MR RODRIGUEZ
THE SECOND OF MY DOCTOR WEBER.
MOTION IS TO PASS AS AMENDED TO
PREPARATIONS MOUNT SECTOR PLEASE
CALL THE ROLL WHAT I WOULD AYE
WALDRON WALDRON AYE
AGUIAR-CURRY. AGUIAR-CURRY AYE
ARAMBULA. BURNER WENDY CARILLO
WENDY CARILLO AYE FLOOR. VINCE
FONG. MAIENSCHEIN MCCARTY.
MCCARTY HYDRO PATTERSON. THE
PATTERSON AYE RODRIGUEZ
RODRIGUEZ I SANTIAGO. VALLAPUDUA
. WEBER WEBER I. EIGHT THAT'S
THE FIRST BILL OUT TODAY. AT
FIVE O'CLOCK. THANK YOU
CONGRATULATIONS SENATOR HEY I
TOLD YOU WAS A GOOD BILL AND
IT'S GOT A LUCKY NUMBER THIRTEEN
HERE ON THE ON THE AGENDA AND
SEE HOW THAT GOES. YOU KNOW. S.
B. F. FOUR TWENTY SEVEN. MISTER
CHAIRMAN COMMITTEE MEMBERS I'D
LIKE AGAIN TO BEGIN BY THANKING
THE COMMITTEE FOR WORKING WITH
THE DEPARTMENT OF INSURANCE AND
MY STAFF TO ADDRESS THE CONCERNS
REGARDING IMPLEMENTATION. IN THE
AMENDMENTS- AS BEFORE TWENTY
SEVEN WILL ELIMINATE COST
SHARING REDUCE ACCESS BARRISTER
PRE EXPOSURE RAP AND POST
EXPOSURE PAP IN HEALTH INSURANCE
COVERAGE. THE HIV EPIDEMIC
CONTINUES TO DISPROPORTIONATELY
IMPACT HISTORICALLY
DISADVANTAGED COMMUNITIES IN
CALIFORNIA- AFRICAN AMERICANS
ARE MOST DISPROPORTIONATELY
AFFECTED BY HIV MAKING UP
SEVENTEEN PERCENT. CALIFORNIA'S
HIV POSITIVE POPULATION
OBVIOUSLY BUT ONLY 6% OF THE
GENERAL POPULATION WHAT NEXT-
MAKE UP THE LARGEST RACIAL
ETHNIC GROUP AMONG NEW HIV
DIAGNOSIS ACCOUNTING 450% OF ALL
NEW HIV. CASES AROUND 40% OF
CALIFORNIA'S POPULATION SO AGAIN
YOU SEE DISPROPORTIONATE IMPACT
TRADE COMMISSION BY MAIL MAIL
CONTACT INCLUDE- SEXUAL CONTACT
OBVIOUSLY INJECTION DRUG USE
MAKE UP THE MAJORITY OF. HIV
POSITIVE CASES IN CALIFORNIA
ACCOUNTING 460% OF NEW HIV DEBT
A DIAGNOSIS- SB FOUR TWENTY
SEVEN WHEN THE ELIMINATE THE
COST SHARING FOR PREP. AND
GRANDFATHERED HEALTH PLANS
ELIMINATE COST SHARING IN
HAPPENED BOTH GRANDFATHERED IN
NON GRAND FIRED GRANDFATHERED
HEALTH PLANS AND WOULD ALSO
ADDRESS UNNECESSARY BURDENS
UTILIZATION MANAGEMENT METHODS
USED BY INSURANCE AND ALLOW
PEOPLE TO ACCESS- NON GENERIC
DRUGS. MORE EASILY WITH ME TODAY
I HAVE JOSEPHINE. FIGUEROA FROM
CALIFORNIA DEPARTMENT INSURANCE
AND STASH A HODGES YOU ANSWER
ANY TECHNICAL QUESTIONS IN THERE
THEY B. B. AND I'LL JUST ADD A
PERSONAL NOTE- I'VE DONE IN MY
TIME IN THE LEGISLATURE- LEVIN
SUMMITS ON HIV AT CITY OF HOPE.
WELL. WE FOR A TRIED TO- AND- AS
MANY PEOPLE AS POSSIBLE WE'VE
HAD THE LOCAL HEALTH ACADEMIES
WE'VE HAD EVERY YEAR WE GET A
HUNDRED FIFTY HIGH SCHOOL
STUDENTS THAT COME- I LOST A
COUSIN TO HIV BACK AT A TIME
WHEN WE DIDN'T MENTION THE WORD.
AND I REMEMBER MY AUNTS JUST
SAYING HE WASTED AWAY THAT'S HOW
THEY DESCRIBED IT WHEN HE WAS
JUST HE WAS DYING AND SELF. YOU
KNOW THAT WAS A LONG TIME AGO
AND HERE WE ARE. AND WE'VE GOT.
BETTER WAYS TO LIVE WITH THIS-
ISSUE AND WE SHOULD MAKE IT
AVAILABLE TO AS MANY PEOPLE AS
POSSIBLE IN A PARTICULAR
UNDERSERVED COMMUNITIES THAT ARE
STRUGGLING SO MUCH SELF. WITH
THAT AT THE APPROPRIATE TIME
I'D- HOPE FOR AN AYE VOTE. THANK
YOU VERY MUCH SENATOR- GO AHEAD
PLEASE OKAY. GOOD EVENING CHAIR
WOULD MEMBERS OF THE COMMITTEE.
RESERVING FIGARO CHIEF DEPUTY
LEGISLATIVE DIRECTOR FOR THE
DEPARTMENT OF INSURANCE. OF HERE
UNDER THE LEADERSHIP OF
INSURANCE COMMISSIONER TO
COLORADO. FOR SOMEONE I THINK
SENATOR PORTANTINO FOR AUTHORING
THIS IMPORTANT MEASURE.
COMMISSIONER LOTTE IS EIGHT PROP
PROUD SPONSOR OF SB FOUR TWENTY
SEVEN. SB FOUR TWENTY SEVEN
WOULD ELIMINATE BARRIERS. TO PEP
AND PREP. IN HEALTH INSURANCE
COVERAGE WELL TREMENDOUS
PROGRESS HAS BEEN MADE IN
REDUCING HIV TRANSMISSION. SINCE
THE HEIGHT OF THE EPIDEMIC WE
CAN AND MUST DO MORE. ONE OF THE
WAYS TO HELP IN THE HIV EPIDEMIC
IS BY ENSURING EFFECTIVE HIV
PREVENTION WHICH IS ALL
COMMUNITIES BUT ESPECIALLY THOSE
PUT DISPROPORTIONATELY AFFECTED
BY HIV. PREVENTION EFFORTS HAVE
BEEN FRUSTRATED BY IN PART
LIMITED ACCESS TO HEALTH
COVERAGE. OF COVERAGE PLEASE A
MAJOR ROLE IN ENABLING PEOPLE TO
ACCESS HEALTHCARE AND PROTECTING
FAMILIES WITH HIGH MEDICAL
COSTS. VERSES OF COLORS HAVE
BASS LONGSTANDING DISPARITIES IN
HEALTH COVERAGE THAT CONTRIBUTED
TO DISPARITIES IN HEALTH- THE
SENATE ALREADY MENTIONED SOME OF
THE JUSTICE SIX OF. WHICH
COMMUNITIES ARE AFFECTED AND
HOW- SB WOULD ELIMINATE BARRIERS
TO SH TO THESE NECESSARY LIFE
SAVING MEDICATIONS. SB FOUR
TWENTY SEVEN WOULD EXPAND ACCESS
TO ZERO DOLLAR PREP AND PAP IN
CALIFORNIA WHILE SIMILAR
COVERAGE IS IN PERIL FOR MANY
OTHERS THROUGHOUT THE COUNTRY
DUE TO THE VERY WOOD STATION. IT
IS INHERENT THAT WE LEAD THE WAY
AND EXPAND ACCESS TO THIS
COVERAGE TO ALL OF YOU HAVE
INSURANCE COMMISSIONER TO CAUSE
A LOTTA. I ASK FOR YOUR I. BOATS
. THANK YOU VERY MUCH OTHERS IN
SUPPORT. RIGHT SPENCER AMERICAN
COLLEGE OF OBGYN IS JUST AT NINE
IN SPORT THANK YOU. RED PULSE
FROM BEHALF OF QUALITY
CALIFORNIA IN SUPPORT THANK YOU
. HIGHER UPS WITH PLANNED
PARENTHOOD AFFILIATES OF
CALIFORNIANS BURKE THANK YOU.
JOSE TOWARDS WITH HEALTH ACTORS
CALIFORNIANS SUPPORT THANK YOU.
ANYONE ELSE GETS THEIR
OPPOSITION TO THE BILL.
YES HER NAME IS CHAIR MEMBERS OF
THE COMMITTEE CHEN HAMPTON
CALIFORNIA ASSOCIATION HEALTH
PLANS- REGRETTABLY WE ARE HERE-
IN OPPOSITION AS BEFORE TWENTY
SEVEN A WORLDLY CONCERNED- WITH
THIS BILL AND THAT IT WOULD
REQUIRE US TO COVER ALL OF
HELPING TO COVER ALL PRESENT HAD
DRUGS DEVICES AND PRODUCTS
PARTICULARLY- THAT THE PROVISION
OF THE BILL THAT THAT PROHIBITS
COST SHARING FOR THESE DRUGS
DEVICES DEVICES AND PRODUCTS IS
UP FROM OUR PERSPECTIVE MOST
CONCERNING WITH THE BILL. AS YOU
KNOW LEGISLATION THAT SEEKS TO
IMPLEMENT CAUTION PROHIBITIONS-
GENERALLY CONTAIN TRADE OFFS
THAT NEED TO BE CONSIDERED A
CAUTIONARY MANDATES HAVE TO BE
ASSESSED TO DETERMINE THE IMPACT
OF COVER CALIFORNIA'S ABILITY TO
SET STANDARD BENEFIT DESIGNS.
ARE COMPLIANT WITH FEDERAL STATE
ACTUARIAL VALUE REQUIREMENTS SO
WHEN COST SHARING PROVISIONS
BECOME LAW THEY HAVE AN
OVERARCHING IMPACT ON THOSE
ACTUAR ACTUARIAL VALUE
REQUIREMENTS- WHICH THEN THE
CESA TATE'S COST SHARING
INCREASES FOR OTHER SERVICES WE
ARE CONCERNED THAT THOSE COST
SHARING INCREASES NUMBER
SERVICES- WILL BE IMPACTED BY
THIS BILL. ALSO CONCERNED ARE
ALL ON THE OF THE PRICE TAG OF
THE BILL AS AJ RIFTED LISTED AS
A ONE HUNDRED AND FIFTY SEVEN
MILLION DOLLARS A NET ANNUAL
HEALTH CARE EXPENDITURE
INCREASE. A SO FOR THOSE REASONS
I REGRETTABLY WE ARE POSTED.
THANK YOU. MISTER CHAIRMAN
PERSEPHONE WATKINS ON BEHALF OF
THE ASSOCIATION OF CALIFORNIA
LIFE AND HEALTH INSURANCE
COMPANIES. WE TO A REGRETTABLY
IN OPPOSITION- I WOULD JUST LIKE
TO ECHO MY COLLEAGUES' COMMENTS
AND BRING UP ONE ADDITIONAL
THING WE APPRECIATE THE A MOMENT
FOR THE DELAYED EFFECTIVE DATE
THAT WAS ADDED. I'M IT'S A
LITTLE IT'S DIFFERENT THAN WHAT
WE'VE SEEN BEFORE I THINK WE
SEEN THIS YEAR A BIFURCATED
IMPLEMENTATION DATE WHERE AS M.
IN PAST YEARS WE'VE SEEN A JULY
FIRST. I'M CONSISTENT ACROSS ALL
MARKET SEGMENTS I THINK WE'D
LIKE TO HAVE THAT CONVERSATION
GOING FORWARD. IT MAKES IT
SOMEWHAT COMPLICATED FOR THE
PLANS TO HAVE ONE IMPLEMENTATION
DATE FOR ONE GROUP AND THEN A
SECONDARY IMPLEMENTATION DATE
FOR ANOTHER SO. LOOK FOR TO
HAVING THOSE CONVERSATIONS
POTENTIALLY AT THE BILL MUST FOR
TODAY THANK YOU THANK YOU.
OTHERS IN OPPOSITION. SHARE
MEMBERS JOHN LINGER ON BEHALF
AMERICA'S HEALTH INSURANCE PLANS
IT JUST ECHO THE COMMENTS A
CAPITA CLICK. THANK YOU. THANK
YOU PRESTON YOUNG FOR THE
CALIFORNIA CHAMBER OF COMMERCE
HERE IN OPPOSITION. THANK YOU.
ANYONE ELSE. YOU KNOW BRING IT
BACK TO THE COMMITTEE ANY
QUESTIONS OR COMMENTS FROM THE
COMMITTEE. OF MISS WALDRON.
THANK YOU MISTER CHAIR- I HAD
SERVED MANY YEARS UNTIL
SUSPENDED ON THE- US SELECT
COMMITTEE. FOR INFECTIOUS
DISEASE IN HIGH RISK
COMMUNITIES. AND THROUGH- THE
COUPLE YEARS I WAS ON THE
COMMITTEE WE- WENT OUT TO
DIFFERENT AREAS INCLUDING. PARTS
OF LA. OF PARTS OF SAN DIEGO AND
SAN FRANCISCO. WE TALKED ABOUT
AFFECTIONS DISEASE- AND IN MANY
CASES IT WAS SPECIFICALLY AIDS
HIV- IN THOSE COMMUNITIES M. R.
HOW. WHAT WOULD HELP IN IN-
ALLOWING PEOPLE TO GET ACCESS TO
BETTER TREATMENT- SOME OF THE-
LEGISLATION ON A RUN INCLUDES-
WIRING THE MEDICAL BOARD TO-
INCLUDE. INFORMATION ON PREP AND
PAP. TWO ARE RENEWING EDUCATION
FOR PHYSICIANS BECAUSE SOME YOU
EVEN KNEW ABOUT IT. OR EVEN KNEW
HOW TO TALK TO PATIENTS ABOUT IT
- THERE WAS A STIGMA ATTACHED TO
IT AND ALL OF THOSE THINGS. AND
WHEN WE MET IN THOSE COMMUNITIES
THE PEOPLE CAME FORWARD THOSE
PUBLIC MEETINGS AND THEY TALK
ABOUT HOW. FRUSTRATED THE WORD
THAT A LOT OF PEOPLE DIDN'T EVEN
KNOW ABOUT IT EVEN FROM THE
HEARING PEOPLE HEARING ABOUT
PREP AND PEP. AND BEING ABLE TO
REMOVE BARRIERS SO THAT THERE
CAN BE ACCESS TO THE TREATMENT
IS SO VITAL- IT'S AN IMPORTANT
AND IF YOU LOOK OUT INTO THE
LONG RUN WE CAN PREVENT THIS
DISEASE THAT'S A LIFELONG
DISEASE ALTHOUGH PEOPLE ARE
LIVING NOW WITH IT IT'S BECOME
KIND OF A CHRONIC CONDITION OF.
OF FOLKS ARE HEARING TO THEIR
TREATMENTS- OF. THE SAVINGS.
THIS SO MUCH BETTER COST SAVINGS
WISE NOT EVEN TALKING ABOUT THE
QUALITY OF LIFE FOR THE PATIENT-
IF THEY DO. GET ACCESS TO PREP
AND PEP EARLY ON SO ME IT'S A
WIN WIN THAT THEY CAN GET THAT
ACCESS AND THEY'LL ALSO BE COST
SAVINGS IN THE LONG RUN FOR SURE
. THANK YOU ANYONE ELSE. YOU
KNOW ONE OF THE BILL DOES ENJOY
A DO PASS RECOMMENDATION. WHICH
I TO CLOSER. YES FOR AN AYE
VOTE. OKAY WE DO NOT HAVE A
MOTION. MOTION BY MISS
AGUIAR-CURRY. SECOND BY MR
MCCARTY THE MOTION IS YOU PASS
AS AMENDED TO APPROPRIATIONS
MADAM SECRETARY PLEASE CALL THE
ROLL. WHAT I WOULD AYE WALDRON.
WALDRON AYE AGUIAR-CURRY
AGUIAR-CURRY AYE ARAMBULA.
WERNER WENDY CARILLO WENDY
CARILLO AYE FLORA. THANKS FONG.
THE FONG NUMBERING MAIENSCHEIN
MCCARTY. MCCARTY IDA PATTERSON.
RODRIGUEZ RODRIGUEZ I SANTIAGO
IT WOULD WALK. WEBER HOWEVER I.
I HAVE SEVEN- WILL LEAVE THAT
BILL ON COP- PLEASE GO AHEAD TO
GET ONE MORE BILL A SB SEVEN
EIGHTY SIX. THANK YOU MR
CHAIRMAN MEMBERS AND AGAIN I'VE
WON ON THE PRIOR BILL WANT TO
THANK THE INSURANCE COMMISSIONER
MR LARA FOR HIS SPONSORSHIP.
APPRECIATE EVERYTHING I THOUGHT
I JUST HEARD A MOTION SO IN
NINETEEN NINETY TWO CONGRESS
ESTABLISHED THE THREE FORTY B.
DRUG PRICING PROGRAM TO PROTECT
ELIGIBLE HOSPITALS CLINICS AND
OTHERS WE THINK THIS HELPS
PATIENTS. AND SENSORS A MOTION I
WILL CUT MY COMMENTS AND JUST
SAY WE HAVE RAN MARTIN HERE TO
OFFER TESTIMONY AND I
RESPECTFULLY ASK FOR AN AYE VOTE
WHEN APPROPRIATE THANK YOU
MISTER MARTIN. THIS IS YOUR
MEMBERS ALSO BE VERY BRIEF
APPRECIATE THE MOTION- IT'S
HEALTHCARE FOUNDATION IS A THREE
FORTY B. PROGRAM- THEY DO HAVE
PHARMACIES ACROSS THE STATE AND
HAVE BEEN NOT REALLY CONCERNED
ABOUT ON THE WAY PHARMACY
BENEFIT MANAGERS HAVE DEALT WITH
THEM CONTRACTUALLY- IN
DISCRIMINATING AGAINST- UP
AGAINST THEIR SERVICES. AND WE
BELIEVE THAT THIS WILL EASE THAT
DISCRIMINATION PROBLEM I'M AND
ALLOW US TO CONTINUE TO USE THE
THREE FORTY BEAM ON MONIES OR
SAFETY NET SERVICES WHICH IS
WHAT THEY'RE INTENDED TO DO SO-
SO WE APPRECIATE YOUR SUPPORT
THANK YOU. THANK YOU VERY MUCH
OTHERS IN SUPPORT. MARK FOR
CALIFORNIA HOSPITAL ASSOCIATION
IN SUPPORT THANK YOU. RIGHT
SPENT ON BEHALF OF- CHEN IN
SUPPORT THANK YOU. HI DARBY
KERNAN ON BEHALF OF THE APL A
HEALTH IN SUPPORT THANK YOU.
FRENCHAY C. UNIVERSITY OF
CALIFORNIA AND SUPPORT THANK YOU
. ADALINE SORIANO I'M TO HAVE A
CAT MEDICINE AT THE UNIVERSITY
OF SOUTHERN CALIFORNIA IN
SUPPORT THANK YOU IF. RENDON
MARCH WITH CALIFORNIA MEDICAL
ASSOCIATION IN SUPPORT THANK YOU
. YOUR JACKSON WITH CALIFORNIA
HEALTH PLUS ADVOCATES
REPRESENTING CALIFORNIA'S
THIRTEEN HUNDRED COMMUNITY
HEALTH CENTERS HERE IN SUPPORT.
THANK YOU. ALSO THEY WOULD NOT
BE ABLE FORM A WE JUST WANT TO
THANK THE AUTHOR IN THE SPONSOR
FOR WORKING WITH US TO ADDRESS
OUR CONCERNS THE BILLS OF THE
SENATE. THANK YOU. JENNIFER
CENTER MAY HAVE THE CALIFORNIA
LIFE SCIENCES AND BIOTECHNOLOGY
INNOVATION ORGANIZATION AS SAME
AS FARMER WE DO APPRECIATE
WORKING WITH THE AUTHOR. AND
TAKING AMENDMENTS ALLOW FOR
THEIR TO BE TRACKING OF A THREE
FORTY BEEP DRUGS DISPENSED AND
SO WITH THOSE AMENDMENTS WERE
MOVING TO A NEUTRAL POSITION SO
THANK YOU. THANK YOU. THE ONE
ELSE.
OPPOSITION TO THE BILL. OKAY
BRING IT BACK TO THE COMMITTEE
QUESTIONS OR COMMENTS FROM
COMMITTEE. SEEING NONE THE BILL
DOES ENJOYED DO PASS
RECOMMENDATION WE HAVE A MOTION
BY- THE SIGAR CORREA SECOND BY
MR RODRIGUEZ WHICH I THE CLOSE
UNDER YEAH THANK YOU MISTER
CHAIRMAN I JUST WANT TO ECHO-
THE APPRECIATION WITH HF AND
FARM AND OTHER INTERESTED
PARTIES FOR- WORKING. FOR THE
LAST SEVERAL MONTHS TO GET
EVERYONE- PRETTY MUCH ON THE
SAME PAGE SO WE CAN HELP
PATIENTS SO THANKS EVERYBODY FOR
BEING INVOLVED IN RESPECT
ASTRONOMICAL. THANK YOU VERY
MUCH SENATOR ON THE MOTION IS DO
YOU PASS ON MADAM SECRETARY
PLEASE CALL THE ROLL WHAT I
WOULD AYE WALDRON WALDRON AYE
AGUIAR-CURRY AGUIAR-CURRY AYE
ARAMBULA. BURNER WENDY CARILLO
WENDY CARILLO AYE FLORA. VINCE
FONG. AND FONG AYE MAIENSCHEIN
MCCARTY. MCCARTY IDLE PATTERSON
. RODRIGUEZ VEGAS AYE SANTIAGO
YOU COULD WALK. WEBER WEBER I.
AT EIGHT SO TWO OR THREE STEP
THAT. WILL LEAVE THE OTHER BILL
ON CALL THANK YOU SENATOR. WE'LL
LEAVE THIS ONE WITH THE ROLE
OPEN. GET TO BILLS LEFT WE'VE
GOT TO SENATORS OUT THERE CENTER
SKINNER SENATOR WIENER SO. MAKE
YOUR WAY HERE AT SOME POINT WE
APPRECIATE IT. I'M IN A- WHICH
ITEMS- I AM NUMBER SIX SB FIVE
SEVENTY OF ONE OF BOTH CHANGE.
FOR MYSELF FROM NO TO NOT VOTING
. WOULD KNOW TO NOT VOTING.
THAT'S. FIVE SEVENTY. WE CAN
OPEN THE ROLE IN THAT IF IT
PURPOSES OTHER MEMBERS OF YOUR
CITY. AGUIAR-CURRY.
AGUIAR-CURRY AYE ARAMBULA BURNER
LARA MAIENSCHEIN MCCARTY MCCARTY
I SANTIAGO. THAT THE BILL IS
NINE ZERO LET'S SINCE WE'VE GOT
A FEW MINUTES LET'S TAKE
ADVANTAGE OF THAT TIME TOGETHER
EVERYBODY. SO WE WILL GO TO THE
TOP OF THE ORDER AND THESE ARE
GOING TO TAKE SOME VOTES HERE-
ITEM NUMBER ONE IS IN SEARCH OF
A MOTION. THE WAY WE HAVE MOTION
. REMARKABLE THAT'S RIGHT I'M
SORRY WE DID THIS RIGHT WE HAVE
A MOTION THAT'S RIGHT WE GOT
MOTION I'VE BEEN HERE TOO LONG
TODAY SO ANYWAY ALL RIGHT THAT
ONE IS ON CALL SO LET'S LIFT THE
CALL CALL THE ABSENT MEMBERS
ARAMBULA BURNER WENDY CARILLO.
WENDY CARILLO I LARA VINCE FONG
VINCE FONG I MAIENSCHEIN THERE
PATTERSON RODRIGUEZ SANTIAGO.
THAT'S EIGHT ZERO ITEM NUMBER
TWO S. B. ELEVEN PLEASE LIFT THE
CALLING CALL THE ABSENT MEMBERS
. ARAMBULA BURNER WENDY CARILLO
. WHEN HE CAREER FLORA. VINCE
FONG. THAT'S FINE I MAIENSCHEIN
SO PATTERSON. RODRIGUEZ SANTIAGO
. THAT'S EIGHT ZERO. I'D AND
WILL- ITEM NUMBER THREE SB FIVE
FORTY ONE MINS OF OUR- THESE
WITHOUT. A LIFT THE CALL CALL
THE ABSENT MEMBERS. WALDRON
WALDRON I ARAMBULA BURNER. LARA
VINCE FONG. VINCE FONG NO.
MAIENSCHEIN PATTERSON RODRIGUEZ
SANTIAGO YOU PUT WHAT. AT SIX
ONE WILL LEAVE THAT BILL ON CALL
ITEM NUMBER FOR SB SEVEN TWENTY
NINE BY CENTER MENJIVAR PLEASE
LIFT THE CALL CALL THE ABSENT
MEMBERS. ARAMBULA BURNER LARA
VINCE FONG. THUS FAR NO.
MAIENSCHEIN MCCARTY MCCARTY I.
YOUR PATTERSON. SANTIAGO THE
VALLAPUDUA. AT SIX ONE MOSTLY
THAT WHEN A COP ITEM NUMBER FIVE
S. B. FIVE FOUR OH EIGHT PLEASE
LIST THE CALL CALL THE ABSENT
MEMBERS. AGUIAR-CURRY
AGUIAR-CURRY AYE ARAMBULA BURNER
LARA. MAIENSCHEIN MCCARTY
MCCARTY I JOE PATTERSON.
SANTIAGO YOUR FOOD WHAT.
ARAMBULA ARAMBULA I. S. NINE
ZERO SO WE'LL STOP THERE BECAUSE
WE HAVEN'T I WE HAVE A SENATE
AUTHOR. SO SOME IS GONNA HAVE TO
KEEP ME ON TRACK ASSAULT I'M NOT
SURE WHERE THE HELL I'M GOING TO
BE A UNIQUE. WELL LET'S LET'S
THIS CATCH UP IF YOU DON'T MIND
WAS TO CATCH UP SO MAKE. A GIVEN
THAT THE THAT THE TROOPS ARE
RESTLESS APPEAR SO- I'VE NEVER
SIX PLEASE- LIFT THE CALL CALL
THE UPS OF THEM SARS AT. OVER
THE ROLL CALL THE ABSENT MEMBERS
. WE JUSTIFY IT. SIX FIVE.
THAT'S RIGHT RETAIN FIVE OF
NEVER MIND I FORGOT ABOUT THAT
AFTER I CHANGED MY- WE CAN ADD
OVER THE ROLE. A NUMBER ITEM
NUMBER SIX IS OPEN THE ROLE. ALL
THE ABSENT MEMBERS ARAMBULA.
ARAMBULA NOT VOTING. BURNER LARA
. MAIENSCHEIN SANTIAGO. SO MY
ZERO ITEM NUMBER SEVEN S. B.
EIGHT SEVENTY THREE THE CHAIR
HAS A NO RECOMMENDATION MISS
CENTER BRADFORD. AGUIAR-CURRY
AGUIAR-CURRY NOT VOTING ARAMBULA
. SB. EIGHT SEVENTY THREE.
ARAMBULA AYE BURNER. MAIENSCHEIN
MCCARTY MCCARTY I. RODRIGUEZ
SANTIAGO. NINE ONE THE BILL HAS
NINE VOTE SETS OUT. ON THE
SECOND SECONDARIES ITEMS AMBER
EIGHT NINE TEN. FIFTEEN AND
SIXTEEN PLEASE- WITH THE CALL
CALL THE ABSENT MEMBERS ARAMBULA
. BRAMBILLA I BURNER. WENDY
CARILLO. CONSENT WENDY CARILLO I
LARA AND FONG. THAT'S FONG I
MAIENSCHEIN THE PATTERSON.
RODRIGUEZ SANTIAGO. THAT'S NINE
ZERO ITEM NUMBER ELEVEN SP FOUR
NINETY SIX PLEASE LIFT THE CALL
CALL THE ABSENT MEMBERS. SB FOUR
NINETY SIX ITEM NUMBER ELEVEN
AGUIAR-CURRY AGUIAR-CURRY AYE
ARAMBULA ARAMBULA AYE BURNER.
WHEN THEY CARILLO. I DO NUMBER.
ELEVEN MISS MISS LIMÓN WENDY
CARILLO AYE FLORA AND FAUNA.
IT'S FONG I MAIENSCHEIN MCCARTY
MCCARTY AYE RODRIGUEZ SANTIAGO.
WEBER WEBER II. AND SINCE IT'S
TEN ZERO ITEM NUMBER TWELVE S.
B. TWO THIRTY FOUR BY CENTER
PORTANTINO PLEASE- OPEN THE ROLL
CALL THE ABSENT MEMBERS.
ARAMBULA RAMBLE I BURNER. LARA
VINCE FONG. THANKS FONG I
MAIENSCHEIN. SANTIAGO YOUR FOOD
WHAT. IN ZERO ITEM NUMBER
THIRTEEN AS BEFORE TWENTY SEVEN
PLEASE LIFT THE CALL CALL THE
ABSENT MEMBERS ARAMBULA ARAMBULA
AYE BURNER. LARA MAIENSCHEIN. SO
PATTERSON SANTIAGO THE
VALLAPUDUA. THAT'S EIGHT ZERO OF
BILLS OUT ITEM NUMBER FOURTEEN
SB SEVEN EIGHTY SIX PLEASE OPEN
THE ROLL CALL THE ABSENT MEMBERS
. ARAMBULA ARAMBULA AYE BURNER.
LARA MAIENSCHEIN THE PATTERSON.
SANTIAGO BE APPROVED WHAT. AND-
THAT'S NINE ZERO ITEM NUMBER
EIGHTEEN SB SEVEN SEVENTEEN BY
SENATOR STERN PLEASE LIFT THE
CALL CALL THE ABSENT MEMBERS
AGUIAR-CURRY AGUIAR-CURRY AYE
ARAMBULA RAMBLE I BURNER. LARA
MAIENSCHEIN MCCARTY MCCARTY IDLE
PATTERSON. RODRIGUEZ SANTIAGO. I
HAVE USER. NINE NINE ZERO NINE
ZERO THAT FILLS OUT ITEM NUMBER
NINETEEN SB SEVEN SEVENTY NINE
BY SENATOR STERN PLEASE. OF THE
FOR CALL CALL THE ABSENT MEMBERS
AGUIAR-CURRY. AGUIAR-CURRY AYE
ARAMBULA RAMBLE I BURNER FLORA
AND FAUNA AND FONG NO
MAIENSCHEIN. RODRIGUEZ SANTIAGO
. WE GET A VOTE FOR MR MCCARTY
MCCARTY I. THAT'S SEVENTY THREE
SO WE'LL LEAVE THAT BILL ON
CALL. AND THEN FINALLY- S. B.
THREE TWENTY SIX ITEM NUMBER
TWENTY ONE OF THIS MOTION IS TO
MATCH AMENDED REFER TO THE
HEALTH COMMITTEE WE'RE ADDING
URGENCY CLAUSE WERE NOT ACTUALLY
HEARING THE CONTENT OF THE BILL
TODAY. SO PLEASE A LIFT FOR
CALLING CALL THE ABSENT MEMBERS
AGUIAR-CURRY AGUIAR-CURRY AYE
ARAMBULA RAMBLE I BURNER LARA
MAIENSCHEIN MCCARTY MCCARTY IDA
PATTERSON. SANTIAGO THE FOOD
WHAT. NINE ZERO S. NINE ZERO
OKAY THANK YOU FOR YOUR PATIENCE
CENTER WIENER OH WAIT A SEC-
RECEIVE. HI MISS SKINNER. IOA
I'M. GO AHEAD SINCE I.
I'M SORRY GO AHEAD OKAY THANK
YOU MISTER CHAIR- I WILL BE
BRIEF SINCE THERE'S ALREADY IN
MOTION OF I THINK ALL OF US ARE
AWARE THAT OFTEN WHEN OUR DOCTOR
PRESCRIBES- EITHER PARTICULAR
TREATMENT OR MEDICATION- WE ARE
NOT ALWAYS ABLE TO PROCEED
BECAUSE THE INSURANCE COMPANY
HAS DECIDED THAT IT MUST GIVE
YOU PRIOR AUTHORIZATION NOW WELL
YOU KNOW SOMETIMES THAT CAN WORK
FINE. OFTENTIMES WE'RE SEEING.
EVENTS THAT- MEDICATION- THAT
TREATMENT THAT YOUR DOCTOR IS
DETERMINED IS MEDICALLY
NECESSARY AND WHAT THIS BILL
DOES IS A DRESS THAT
CIRCUMSTANCE WHICH IS BECAUSE
GREAT DELAYS TO PATIENTS AND
PRETEND ANGER HARM EVEN SO WHAT
IT DOES IS RESTORES THAT
APPROPRIATE BALANCE BY REQUIRING
THAT- WHEN A MEDICAL OF PER ONE
A PRACTITIONER HAS- FOLLOWED THE
INSURANCE GUIDELINES THAT IT
REQUIRES INSURANCE COMPANIES TO
DISCONTINUE PRIOR AUTHORIZATION
ON THE CARE THAT IS CONSISTENTLY
APPROVED 295% OF THE TIME- I'M
IN IT VIEW OTHER THINGS AND I
WANT TO GO RIGHT TO MY
WITNESSES. THEY ARE WE HAVE
OCEAN MCINTURFF TYREE WHO IS A
SPACE COMMUNICATOR AND STE-
SCIENCE COMMUNICATOR IN SOUTHERN
CALIFORNIA AND VIVIAN GONZALEZ
WHO IS A PUBLIC HEALTH NURSE AND
WE HAVE SEEN MAY ALSO HERE. TO
ADD. ANSWER ANY TECHNICAL
QUESTIONS THANK YOU. THAT
AFTERNOON MR FAIR AND MEMBERS OF
THE COMMITTEE. MY NAME IS VIVIAN
GONZALEZ AND MY MOTHER STELLA.
IN BEHIND ME- IS HERE WITH ME WE
LOST OUR FATHER MY FATHER TO
CANCER ONE YEAR AGO. JUST TWO
WEEKS AGO MY PARENTS WOULD HAVE
CELEBRATED THEIR SIXTY FIRST
ANNIVERSARY MY DAD ALWAYS MADE
THAT A SPECIAL DAY FOR MY MOM.
AS YOU CAN IMAGINE WHEN DOCTORS
IDENTIFIED A TUMOR GROWING IN MY
DAD'S LUNGS IN AUGUST OF TWENTY.
TWENTY ONE WE KNEW THAT ANY
CHANCE WE HAD OF BEATING HIS
CANCER WOULD BE ROOTED IN THE
TEAM OF SPECIALISTS HANDLE IN
THIS CARE AND TAKING SWIFT
ACTION. BUT MY DAD'S HEALTH PLAN
MADE THAT IMPOSSIBLE VIRTUALLY
EVERY TREATMENT AND TESTS AS
DOCTOR SAID HE NEEDED. REQUIRE
PRIOR AUTHORIZATION. BEFORE MY
DAD'S TREATMENT COULD EVEN BEGAN
AS DOCTORS STRUGGLE TO GET
APPROVAL FOR A BIOPSY. THAT
WOULD DETECT EARLY SIGNS OF
CANCER AND PROVIDE A MORE
ACCURATE DIAGNOSIS. FINALLY
AFTER RECEIVING APPROVAL AND
GETTING AN APPOINTMENT SCHEDULED
TEN WEEKS. LATER DIAGNOSTIC
TESTING SO THAT MY DAD HAD
METASTATIC MELANOMA. HE WAS
REFERRED TO AN ONCOLOGY
SPECIALIST. WHERE AGAIN THERE
WITH THE DAILY DELAY IN
OBTAINING APPROVAL FOR FURTHER
DIAGNOSTICS AND TREATMENT
OPTIONS. I VIVIDLY REMEMBER
SPENDING THREE AND A HALF HOURS
ONE DAY IN MARCH TRYING TO
REQUEST APPEALS OF DENTURES THE
NILE OF AN MRI. AND PET SCAN
REQUESTED BY HIS DOCTORS. THIS
IS MY DAD HAVE FILE. ALL MY
DOCUMENTATION. FOUR WEEKS LATER
A PET SCAN. HE FINALLY RECEIVE
SHOWED HIS CANCER HAD ALREADY
SPREAD INTO HIS ADRENAL GLAND
GIPSON LUNGS. THIS TO MY DOCTORS
KEPT THEIR SPIRITS HIGH AND
DEVELOPED AN EMAIL MENTAL
THERAPY TREATMENT PLAN. WE'RE
THRILLED WHEN MY DAD'S FRIEDMAN
WAS TRANSFERRED TO THE STATE OF
THE ART HOSPITAL OFFER OFFERING
SPECIALTY CARE AND TRIALS FOR
METASTATIC MELANOMA. BUT EVERY
NEW TREATMENT RECOMMENDATION ARE
SCANNED WAS MET WITH AN OBSTACLE
COURSE THE PRIOR AUTHORIZATION
TO NILES AND WHICH WE APPEALED
ULTIMATELY APPROVED BY INSURANCE
COMPANY. THIS LED MY FAMILY AND
I TO BELIEVE THAT THE GOAL IS
NOT TO PROVIDE MY DAD WITH THE
CARE THAT HE NEEDED BUT TO DELAY
HIS TREATMENT TO PROTECT THEIR
PROFITS. IT CERTAINLY WASN'T TO
PROVIDE MY DAD WITH THE CARE HE
NEEDED TO FIGHT THIS CANCER. HI
I WAS THE MOST PRECIOUS RESOURCE
WHEN IT COMES TO CANCER NOW
SPENDING MY TIME THE LAST FEW
MONTHS MY FATHER'S LIFE FIGHTING
WITH HIS INSURANCE COMPANY. WE
HELD OUT HOPE AND HIS DOCTORS
TRIED TO GET HIM INTO A CLINICAL
TRIAL THAT WOULD GET HIM
IMMEDIATE TREATMENT RATHER THAN
THE REPEAT A PRIOR AUTHORIZATION
DELAYS WE EXPERIENCED THUS FAR.
BUT AN MRI SHOWED THAT THE
CANCER HAD SPREAD TO HIS BRAIN.
AND HE WOULD NO LONGER QUALIFY
FOR THE CLINICAL TRIAL. WE
DIDN'T GIVE UP HOPE WE GOT A
REFERRAL FOR THE RADIATION.
THERAPY REFERRAL WAS DENIED.
APPEALED AND OVERTURNED. BUT IT
WAS TOO LATE. MY FATHER PASSED
AWAY APRIL TWENTY SEVENTH.
TWENTY TWO NOBODY SHOULD HAVE TO
EXPERIENCE THE STRESS
PROSTRATION IN PAIN WE WENT
THROUGH. THAT IS WHY SB FIVE
NINE EIGHT IS SO IMPORTANT IT
ALLOWS PATIENTS LIKE MY DAD TO
GET THE TREATMENTS THEY URGENTLY
NEED WITHOUT AN UNNECESSARY
DELAYS. I WILL FIX THE PROCESS
TO ALLOW PHYSICIANS TO PROVIDE
TREATMENT AND SERVICES BASED ON
WHAT THE PATIENTS NEED AND WHEN
THEY NEED IT. PRIOR
AUTHORIZATION DELAYS THE UNDER
MY FATHER'S CARE OPTIONS. AND
HEALTH. PLEASE PASS AS SB. FIVE
NINETEEN TO STOP THIS TERRIBLE
PRACTICE. PLEASE VOTE YES ON SB
FIVE MAKE FIVE NINE EIGHT THANK
YOU. THE NEXT WITNESS WITH. ALL
RIGHT. GOOD AFTERNOON MR
CHAIRMAN MEMBERS OF THE
COMMITTEE MY NAME IS OCEAN
MCINTYRE AND IN TWO THOUSAND AND
EIGHT. I BEGAN RAPIDLY LOSING MY
VISION FROM A- DISORDER CALLED
IDIOPATHIC INTRACRANIAL
HYPERTENSION. EVENTUALLY LOST MY
INDEPENDENCE MY ABILITY TO WORK
AND ULTIMATELY MY LIFE AS I KNEW
IT. BUT IT WASN'T JUST MY
CONDITION THAT LED ME TO LOSE MY
VISION. IT WAS ALSO THE
COUNTLESS DELAYS TO OBTAINING
TREATMENT. THAT I ENCOUNTERED.
INKSTER PRIOR AUTHORIZATIONS. IS
DELAYS KEPT ME FROM RECEIVING
THE TREATMENT I NEEDED AS MY
BRAIN ESSENTIALLY CRUSHED MY
OPTIC NERVES. I HAVE TO LIVE THE
REST OF MY LIFE WITH THE AFFECTS
A PRIOR AUTHORIZATION. HAD I
BEEN ALLOWED TO GET THE CARE
THAT I NEEDED. WHEN I NEEDED IT
I WOULD STILL BE ABLE TO DRIVE A
CAR. WHY A PLANE. LOOK THROUGH A
TELESCOPE. SEE COLORS OR WALK
WITHOUT A CANE. BUT I CAN'T AND
I NEVER WILL BE ABLE TO DO THOSE
THINGS AGAIN. MY TRIALS OF PRIOR
AUTHORIZATION BEGAN AS SOON AS I
RECEIVED MY DIAGNOSIS. MY DOCTOR
REQUESTED AN URGENT
AUTHORIZATION TO SEE A NEURO
OPHTHALMOLOGIST BUT IT WAS
DENIED. HE PUT IN ANOTHER AND IT
WAS DENIED AGAIN. AND AGAIN AND
AGAIN. I SPENT SO MUCH TIME
CALLING TO FIND OUT WHY THE
AUTHORIZATIONS WEREN'T APPROVED.
THAT I DEVELOPED A NEW
RELATIONSHIP WITH MY MEDICAL
GROUPS NURSE CASE MANAGER. WHO
IS EQUALLY FRUSTRATED BY THE
DENIALS I CAN'T TELL YOU HOW
MANY TIMES WE SAT ON THE PHONE
TOGETHER AND CRIED. FOR MORE
THAN TWELVE WEEKS I DID NOT GET
AN APPROVAL FOR THAT URGENT
AUTHORIZATION. DURING THAT TIME.
THERE WAS NOTHING I COULD DO. I
COULDN'T PAY OUT OF POCKET.
BECAUSE OF THE RULES THAT
EXISTED I WAS STUCK. BY THE TIME
I FINALLY GOT TO SEE AN ORAL
OPHTHALMOLOGIST. I COULD BARELY
SEE IT ALL. I NEEDED TO HAVE
SURGERY AS SOON AS POSSIBLE TO
PRESERVE. PRESERVE WHAT
REMAINING VISION I HAD LEFT. IT
TOOK TWO MORE WEEKS TO GET THAT
AUTHORIZATION. LATER THAT YEAR I
FINALLY HAD BRAIN SURGERY WHICH
TOOK ANOTHER FIGHT. AFTER THAT
PROCEDURE. THE NEUROSURGEON SAID
HE DIDN'T THINK I'D EVER BE ABLE
TO LIVE A NORMAL INDEPENDENT
LIFE AGAIN. MY RECOVERY HAS BEEN
LONG. IT WAS EXCRUCIATING. BUT
THE HARDEST PART WAS THAT MY
CHILD WHO WAS SEVEN AT THE TIME.
HOW DO EXPERIENCE IT ALONG WITH
ME. I BECAME A SHELL OF THE
PERSON THAT I ONCE WAS. WE WERE
HOMELESS FOR OVER A YEAR. IT
WORK. IT TOOK TEN YEAR. BUT I
WAS. ABLE TO GET A FULL TIME JOB
AGAIN. IT HAS NOT BEEN EASY. I
KNOW THAT I AM NOT UNIQUE. THERE
ARE COUNTLESS OTHERS. GOING
THROUGH SIMILAR EXPERIENCES AND
FAR WORSE. BECAUSE OF PRIOR
AUTHORIZATION. BEING REPEATEDLY
DENIED CARE MADE ME FEEL LIKE I
WASN'T IMPORTANT. THAT MY LIFE
WAS NOT IMPORTANT. AND NO ONE
SHOULD BE LEFT FEELING HELPLESS
AND HOPELESS AS THEY LOSE THEIR
HEALTH OR QUALITY OF LIFE AND
EVEN THEIR VERY LIFE ITSELF.
THAT'S WHY I WAS THRILLED TO
LEARN THAT THIS LEGISLATURE
COULD FIX THIS BROKEN SYSTEM. I
PASSING SENATOR SKINNER'S SENATE
BILL FIVE NINE EIGHT. HEALTH
INSURANCE SHOULD BE THERE TO
PROVIDE YOU THE CARE YOU NEED
WHEN YOU NEED IT. I URGE THIS
COMMITTEE TO PLEASE VOTE YES ON
SB FIVE NINE EIGHT. THANK YOU.
THANK YOU. OTHER OTHERS IN
SUPPORT. MISTER CHAIR MEMBERS OF
THE COMMITTEE BRANDON MARCH WITH
CALIFORNIA MEDICAL STATION
ASSOCIATIONS PROUD SPONSORS OF
THE BILL. THANK YOU. BRENT
SPENCER WITH THE CALVET MY
SPENCER BEHALF FOR THE
CALIFORNIA PODIATRIC MEDICAL
ASSOCIATION IN SUPPORT. THANK
YOU HAVE A STONE STONE ADVOCACY
ON BEHALF THE CALIFORNIA
ORTHOPEDIC ASSOCIATION IN
SUPPORT THANK YOU. PROSECUTORS
HERE ON BEHALF OF THE CALIFORNIA
ACADEMY OF CHILD AND ADOLESCENT
PSYCHIATRY CASH OUT COSPONSORED
AND PROUD SUPPORTER OF THE BILL
THANK YOU. IS THIS ON THEIR
BEHALF THE CALIFORNIA STATE
ASSOCIATION OF PSYCHIATRY IN
SUPPORT THANK YOU. ARE HAD
FIGHTS CALIFORNIANS PART. YOU F.
YOU MISTER CHAIRMAN CARL LONDON
ON BEHALF CALIFORNIA PHYSICAL
THERAPY ASSOCIATION IN SUPPORT
AS WELL THANK YOU. REPORTS FROM
BEHALF OF A QUALITY CALIFORNIA
IN SUPPORT. IF DUNGEONS CAN BE
HAVE A CALDERON IN SUPPORT.
CHECK OUT US ON BEHALF OF THE
ADVANCED MEDICAL TECHNOLOGY
ASSOCIATION IN SUPPORT. JENNIFER
CENTER MAY HAVE THE CALIFORNIA
LIFE SCIENCES AND SUPPORT YOUR-
REDUCE RIVER AUDIO ON BEHALF OF
CALIFORNIA COUNCIL OF COMMITTEE
BEHAVIORAL HEALTH AGENCIES IN
SUPPORT. J. NORMAN ON BEHALF OF
THE CALIFORNIA ACCESS COALITION
IN SUPPORT. ALEX CON ON BEHALF
OF THE CALIFORNIA CHRONIC CARE
COALITION AN LS ASSOCIATION IN
SUPPORT. OF. TAYLOR JACKSON WITH
CALIFORNIA HEALTH PLUS ADVOCATES
REPRESENTING CALIFORNIA'S
COMMUNITY HEALTH CENTERS IN
STRONG SUPPORT. OPPOSITION TO
THE BILL.
MISTER CHAIRMAN PERSEPHONE
WATKINS ON BEHALF OF THE
ASSOCIATION OF CALIFORNIA LIFE
AND HEALTH INSURANCE COMPANIES
FIRST AND FOREMOST I'D LIKE TO
THANK THE AUTHOR THE SPONSORS
THE COMMITTEE STAFF WE'VE HAD
MULTIPLE CONVERSATIONS REGARDING
THIS BILL AND OTHER ITERATIONS.
AND ALSO TO SHARE MY EMPATHY AND
SYMPATHY TO THE SITUATIONS THAT
WERE PREVIOUSLY DISCUSSED I
THINK ALL OF US AS CONSUMERS AS
PATIENTS. AS FAMILY MEMBERS CAN
UNDERSTAND THE FRUSTRATION-
WHICH IS ONE OF THE REASONS WHY
WE CAME TO THIS COMMITTEE- AND
HAD MULTIPLE CONVERSATIONS
REGRETTABLY WE ARE IN OPPOSITION
TO THE BILL AND PRINT TODAY
WHICH I AM REPRESENTS ONE OF THE
MANY PROPOSALS THIS YEAR THAT
SEEK TO UNRAVEL CALIFORNIA'S
SYSTEM OF HEALTHCARE.
REGRETTABLY WE ARE CONCERNED
THAT THIS MEASURE IN ITS CURRENT
FORM WILL NOT ONLY INCREASE THE
COST OF HEALTH CARE BUT MORE
IMPORTANTLY LEAD TO POOR PATIENT
OUTCOMES SPECIFICALLY THE
TARGETED ATTACK ON PRIOR
AUTHORIZATION DIRECTED AT PPO
PRODUCTS COULD NOT ONLY LEAD TO
AN INCREASE IN UNNECESSARY AND
ULTIMATELY HARMFUL PATIENT
SERVICES BEING AUTHORIZED. BUT
WILL MOST CERTAINLY RESULT IN
DISPARATE TREATMENT OF ENROLLEES
INSURANCE BASED ON THE HEALTH
CARE PRODUCTS THEY HAVE ACCESS
TO HEALTH PLANS AND INSURERS
WORK DILIGENTLY TO ENSURE THAT
ENROLLEES IN INSUREDS ARE
GETTING THE RIGHT CARE AT THE
RIGHT TIME FROM THE RIGHT
PROVIDER. MEDICAL AND
UTILIZATION MANAGEMENT TOOLS
LIKE PRIOR AUTHORIZATION ARE KEY
TO PROMOTING SAFE AND EFFECTIVE
CARE FOR ALL ENROLLEES AND
INSURANCE. AND RECOGNITION OF
SOME OF THE FRUSTRATION THAT HAS
BEEN EXPRESSED BY BOTH PROVIDERS
AND PATIENTS. MANY HEALTH PLANS
AND INSURERS ARE CURRENTLY
IMPLEMENTING THEIR OWN ENHANCE
PRIOR AUTHORIZATION PROGRAMS TO
HELP EASE THE BURDEN ON
PROVIDERS ENROLLEES.
UNFORTUNATELY THE ONE SIZE FITS
ALL MANDATE THAT IS OUTLINED IN
SB FIVE NINETY EIGHT WILL.
DISRUPT THOSE EFFORTS AND
POTENTIALLY HARM ALL THE GOOD
WORK THAT HAS BEEN DONE TO DATE.
SPECIFICALLY HEALTH INSURERS ARE
CONCERNED THE SB FIVE NINETY
EIGHT WILL REMOVE THE
COMMONSENSE CHECKS AND BALANCES
THAT ARE HEALTHCARE SYSTEM
RELIES ON AND WILL INEVITABLY
LEAD TO ADVERSE WHAT COMES FOR A
MEMBER. AS CURRENTLY DRAFTED THE
SCOPE OF SB FIVE NINETY EIGHT IS
QUITE ALARMING THE PROVIDER
MEETS THE CRITERIA IN THE BILL
PRIOR AUTHORIZATION IS WAIVED
FOR ALL SERVICES AND MOST DRUGS
RENDERED BY THE PROVIDER. FOR
THESE REASONS WE HAVE COME
TOGETHER COLLECTIVELY WITH OUR
PHYSICIAN GROUP PARTNERS APIGEE
TO PROPOSE AN ALTERNATIVE WE
BELIEVE STRIKES THE APPROPRIATE
BALANCE OF PROVIDING IMMEDIATE
RELIEF TO ALL ENROLLEES AND
INSURERS. WHILE ALSO PROTECTING
THE INTEGRITY OF THE HEALTHCARE
SYSTEM AS A WHOLE. I'M I THINK
WE SHARE THESE MOMENTS WITH MANY
OF THE COMMITTEE MEMBERS WE LOOK
FORWARD TO THE POTENTIAL OF
CONTINUE TO HAVE THAT
CONVERSATION WE WOULD LIKE TO
FIND. A RESOLUTION TO THIS ISSUE
AND SOMETHING THAT MOVES IT
FORWARD. FOR ALL PATIENTS ACROSS
ALL MARKET SEGMENTS. THANK YOU.
THANK YOU. THANK YOU MR CHAIRMAN
MEMBERS BILL BARCELONA WITH
AMERICA'S PHYSICIAN GROUPS. I
WANTED ADD MY EMPATHY TO THE
SITUATION AS WELL. THIS IS A
COMPLEX SITUATION ESPECIALLY FOR
PROVIDERS WHO WERE IN ORGANIZED
MEDICAL GROUPS IN CALIFORNIA
WHO'S KIND OF SIT IN THE MIDDLE
OF THIS SITUATION BETWEEN. THE
PAIR. AND THE PATIENT- THERE ARE
SO MANY DIFFERENT. PAYER MODELS
IN CALIFORNIA MEDICARE MEDICAID.
SELF FUNDED INSURANCE. FULLY
INSURED HMO AND PPO UNDER THE
KNOX KEEN ACT. ONE OF THE
PROBLEMS WITH THIS BILL IS THAT
WHEN YOU HAVE SENIOR PATIENTS
FOR EXAMPLE WHO RUN INTO THESE
PROBLEMS. THIS IS NOT AN AREA
THAT STATE LEGISLATION CAN
ADDRESS- IF THE PATIENT IS IN A
SELF FUNDED PLAN THIS IS NOT AN
AREA- THAT STATE LEGISLATION CAN
ADDRESS. THIS LEGISLATION CAN
ADDRESS. WHAT IS COVERED UNDER
FULLY INSURED KNOCKS KEEN AND
ALSO- THE CALIFORNIA DEPARTMENT
OF INSURANCE WHICH IS A NARROW
SLICE. OF THE TOTAL MARKET PLACE
ABOUT FIFTEEN PERCENT. IT IS
STILL UNCERTAIN WHETHER THIS
BILL CAN ADDRESS THE FOURTEEN
MILLION LIFE MEDICARE MANAGED
CARE MARKET. AND INDEED. THE C.
M. S. IN WASHINGTON DC IS
PROMULGATING REGULATIONS RIGHT
NOW ON PRE AUTHORIZATION THAT
WON'T BE READY UNTIL THE FALL OF
THIS YEAR THAT WILL AFFECT HOW
PRE AUTHORIZATION. IS HANDLED IN
MEDICARE AND MEDICAID ACROSS THE
UNITED STATES. BECAUSE OF THIS
COMPLEXITY. WE RESPECTFULLY ARE
IN OPPOSITION TO THIS BILL AS
WELL AND WE HAVE PARTNERED WITH
THE HEALTH PLANS IN THIS
INSTANCE TO PUT FORTH. A
COMPROMISE POSITION THAT WE
BELIEVE IS VALID AND VIABLE. AND
WE WOULD URGE YOUR CONSIDERATION
WE ALSO WANT TO THANK THE CHAIR
FOR THE AMENDMENTS THAT HAVE
BEEN PROPOSED WITH RESPECT TO-
CAPITATED DELEGATED GROUPS AND
I'M HAPPY TO ANSWER ANY
QUESTIONS FROM THE PANEL TODAY
THANK YOU. THANK YOU VERY MUCH-
OTHERS IN OPPOSITION. THREE
CHAIR MEMBERS JOHN LINGER ON
BEHALF AMERICA'S HEALTH
INSURANCE PLANS WOULD ECHO THE
COMMENTS OF ACT CLICK AND LOOK
FOR THE FUTURE CONVERSATION
THANK YOU. MEMBERS GET THE MOST
FOR THE LOCAL HEALTH PLANS A
CALIFORNIA WOULD ECHO THE SAME
COMMENTS AS WELL THANK YOU.
ALISON RAINY FOR PCMA TODAY HERE
IN OPPOSITION THANK YOU THANK
YOU. IT WAS A CALIFORNIA
ASSOCIATION HEALTH PLANS IN
OPPOSITION THANK YOU. RESTING
YOUNG CALIFORNIA CHAMBER OF
COMMERCE. THANK YOU. SEE NO ONE
ANSWERING BACK TO THE COMMITTEE
FOR QUESTIONS OR COMMENTS. AT DR
WEBBER OF. QUALITIES CHAIR I
DIDN'T OPEN WITH ACCEPTING THE
COMMITTEE CEMENTS AND I WANTED
TO MAKE SURE YOU KNOW THAT I
WILL BE OKAY THANK YOU THANK YOU
. NO WAY OUT I'VE GOT SHE'S. ON
ME HERE SO- DR WEBER IT IS JEFF
QUESTION. THANK YOU AYE SENATOR
ON BEFORE I GET TO MY- MY
REMARKS I DID. I WANT TO GIVE-
SPONSORS AN OPPORTUNITY TO
RESPOND TO THE COMMENT ABOUT
THE- ABILITY FOR THIS. PRIOR
AUTHORIZATION TO BE USED IN OUR
MEDIC HEALTH SPACE. I ABSOLUTELY
A DOCTOR WEBER SO THE BILL DOES
INCLUDE MEDIC HOW THE PROVISIONS
OF THE BILL DO APPLY TO MEDIC
HOW. TO ADDRESS THESE SORT OF
UNCERTAINTY THAT WE HAVE AS IT
RELATES TO THE FEDERAL RULES
THAT WOULD APPLY AND FEDERAL
REGULATIONS WE HAVE A PROVISION
IN THE BILL THAT STATES THAT IF
THEY ARE THAT IS APPLICABLE TO
MEDICAL ONLY TO THE EXTENT THAT
FEDERAL LAW ALLOWS. SO I IN ITS
IMPLEMENTATION THE DEPARTMENT OF
HEALTH CARE SERVICES I WOULD
MAKE THAT DETERMINATION OKAY
THANK YOU SO THIS IS NOT
SOMETHING THAT ONLY SPECIFIC TO
COMMERCIAL INSURANCE BUT IT
WOULD ALSO INCLUDE OUR MEDICAL
PATIENTS. THAT IS CORRECT OKAY
THANK YOU. SO I'M A FIRST OF ALL
I WANT TO THANK- REALLY GIVE MY
APPRECIATION TO YOUR WITNESSES
FOR COMING UP HERE AND ALLOWING
US- SOME INSIGHT INTO YOUR LIFE.
INTO SOME OF THE MOST PRIVATE-
SOME OF THE MOST DIFFICULT TIMES
THAT YOU HAVE PROBABLY
EXPERIENCED- YOU KNOW REALLY
APPRECIATED AND YOUR- WHAT YOU
TOLD US THAT PIERRE WAS
DEFINITELY HEART WARMING AND-
VERY INFORMATIVE FOR ALL OF US
TO BE ABLE TO HEAR ESPECIALLY
THOSE WHO ARE NOT IN THE MEDICAL
PROFESSION THE THINGS THAT
PATIENTS. HAVE TO GO THROUGH- AT
SOME OF THE MOST DIFFICULT
TIMES- YOU KNOW I DO WANNA VOICE
MY- SUPPORT FOR THIS MEASURE AND
I SENATORS SKINNER. IF YOU WOULD
ALLOW I'D LOVE TO BE A CO AUTHOR
ON THIS BILL- YOU KNOW SB FIVE
NINE EIGHT SENATE AROUND
IMPROVING PATIENT OUTCOMES. BY
DECREASING ADMINISTRATIVE
BURDENS AND DELAYS IN TREATMENT
CARE. AS A PRACTICING PHYSICIAN
I KNOW FIRST HAND THE COUNTLESS
AMOUNT OF FORMS THAT MUST BE
COMPLETED FOR OFFICE VISITS. LAB
TESTS TREATMENT AUTHORIZATION
AND SO ON. WE ARE CURRENT HEALTH
PROFESSIONALS WITH PAPERWORK
THAT DIMINISHES OUR FOCUS TO BE
ABLE TO- TO PROVIDE THE BEST
PATIENT CARE AND ACTUALLY AT THE
END OF THE DAY DAY. EVEN THOUGH
IT'S VERY BURDENSOME FOR US IT'S
REALLY THE PATIENTS THAT SUFFER.
THE PATIENTS AND THEIR FAMILIES
. I'M READING THROUGH. I THE
ANALYSIS AND THE OPPOSITION NO
THEY POINT OUT TO THE ABSENCE OF
THE TERM MEDICALLY NECESSARY
WHICH I THINK IS A VERY
INTERESTING TERM- HOWEVER IN
THIS BILL A PHYSICIAN WHO HAS
RECEIVED THE GOLD CARD. HAS
ALREADY PROVEN FOR THREE YEARS
OR THIRTY SIX MONTH THAT THEY
ARE ABLE TO MAKE. EVIDENCE BASED
DECISIONS OVER TIME ON TREATMENT
AND SERVICES THAT ARE MEDICALLY
NECESSARY. AND SO WE'RE NOT JUST
GIVING IT TO ANYBODY THEY HAVE A
PROVEN HISTORY AND TRACK RECORD.
THAT THEY KNOW HOW TO PRACTICE
MEDICINE THAT THEY KNOW HOW TO
PRACTICE EVIDENCE BASED
MEDICINE. AND THAT THEY KNOW HOW
TO TREAT THEIR PATIENTS-
ACCORDINGLY- WE MUST CONSTANTLY
LOOK FOR WAYS TO INCREASE
EFFICIENCIES AND ARE ALREADY
STRAINED SYSTEM. AND I HAVE NOT
BEEN PRIVY TO WHATEVER
AMENDMENTS THE OPPOSITION IT MAY
HAVE. PROVIDED I WASN'T ONE OF
THOSE MEMBERS WHO GOT IT HOWEVER
I DID. HEAR ABOUT THE
POSSIBILITY OF EVERY INSURANCE
COMPANY HAVING AN OPPORTUNITY TO
KIND OF CREATE THEIR OWN SYSTEM.
AND THAT AND THAT IN ITSELF
WOULD BE EVEN MORE BURDENSOME ON
S. HEALTHCARE PROFESSIONALS AND
I WOULD I WOULD DEFINITELY NOT
BE SUPPORTIVE OF THAT. SO I
THANK YOU SO VERY MUCH FOR
BRINGING THIS FORWARD THANK YOU
SO VERY MUCH FOR TAKING THE TIME
TO COME OUT THIS IS A EXTREMELY
IMPORTANT BILL TO IMPROVE THE
CARE THAT WE ARE ABLE TO PROVIDE
FOR THEIR PATIENTS AND THEIR
FAMILIES. AND DIE AND I WILL BE
VOTING FOR IT AT THE APPROPRIATE
TIME THANK YOU. THE ATTACK MR
FONG. I THINK WAS CHAIR I WANT
TO OF COURSE. I THINK FOR THAT
THANK THE WITNESSES FOR BEING
HERE AND SHARING YOUR STORY- I
THINK EVERY EMPHASIZES THAT THE
POINT THAT I'VE SAID TO BOTH THE
SUPPORTERS AND THE OPPOSITION-
TO THE STATUS QUO IS
UNACCEPTABLE. THAT THERE HAS TO
BE SOMETHING DONE- I CHALLENGE
THE AT THE OPPOSITION THAT
THEY'VE THEY'VE AT LEAST
INDICATED THEY AND AMENDMENTS
THAT THERE IS. SOME WAY A PATH
FORWARD- TO. ACHIEVE I THINK
WHAT. THE ULTIMATE GOAL IS- I
HAVE TO AND I DO APPRECIATE- MY
COLLEAGUE FROM SAN DIEGO FOR
PROVIDING ME WITH SOME
EDUCATION. IN TERMS OF TRYING
TO- REDUCE THE BURDENS OF
PHYSICIANS I DO BELIEVE THAT
THERE HAS TO BE SOME UNIFORMITY-
AND THAT. THE CHALLENGE OF
HAVING MULTIPLE. HAVING A
POSITION TRY TO KNOW THE PLANS-
DIFFERENT POLICIES IS A
CHALLENGE SO. I GUESS MY
QUESTION IS THE OPPOSITION. IS
TERMS OF LIKE WHERE DO YOU SEE
THIS LANDING- IF YOU. HAVE A OF
PROPOSED AMENDMENTS WHICH I'VE
I'VE- REVIEWED IS THERE A WAY TO
GET TO. A POINT WHERE- THERE'S
SOME STREAMLINING AND CAN THEN
BE SITUATIONS CAMP- CAN BE
AVOIDED. I'M HAPPY YESTERDAY- I
THINK WHAT WE DID WHEN WE CAME
TOGETHER IS WE- BUILT OUR
PROPOSAL OFF OF SOME- LANGUAGE
THAT WAS ADDED IN SENATE HELD
THAT CREATED A 95% THRESHOLD.
FOR PLANS AND INSURERS TO REVIEW
ALL THEIR POLICIES AND
PROCEDURES- AND ALL THEIR PRIOR
AUTHORIZATION AND THEN ANYTHING
THAT MET THAT THRESHOLD YOU
WOULD COMPLETELY REMOVE PRIOR
AUTHORIZATION SO ACROSS ALL
MARKET SEGMENTS- PRIOR
AUTHORIZATION WOULD BE REMOVED
OFF OF THAT SERVICE- WE SORT OF
BUILT OUR PROPOSAL AROUND THAT.
AND THEN- CREATED A PILOT
PROGRAM FOR THE GOLD CARTING
PIECE THE ONE PIECES WE WANT TO
MAKE SURE THAT WE ARE AS WE ARE
ROLLING OUT GOLD CARDING WE ARE
USING BEST PRACTICES THAT WE ARE
USING IT BASED ON FIRST HAND
KNOWLEDGE AND EXPERIENCE. SO WE
SORT OF FLIPPED THE BILL A
LITTLE BIT THERE FILL FOCUSES
PRIMARILY ON GOLD CARTING AND
THAT ALSO HAS THAT 95% STANDARD
AND THRESHOLD WHAT WE DID IS
FOCUS OUR AMENDMENTS ON THE 95%
THRESHOLD TO WORK WITH THE
DEPARTMENT. ON HOW TO REMOVE
PRIOR AUTHORIZATION COMPLETELY
ACROSS MARKET SEGMENTS FOR THOSE
SERVICES AND THEN SET UP A PILOT
PROGRAM EACH INDIVIDUAL PLAN
WOULD HAVE TO SET UP A PILOT
PROGRAM MOVING FORWARD ON GOLD
CARTING. AND THEN THAT WOULD BE
WHAT WE WOULD BUILD OFF OF GOING
FORWARD. OKAY I'M SO LET ME JUST
SAY THAT WILL PROLONG THE
CONVERSATION BECAUSE WE'VE BEEN
HERE FOR A WHILE BUT I MEAN I
DID READ IN THE US IS VERY GOOD
FROM FROM THE COMMITTEE AND HOW
THERE CERTAINLY ARE CHALLENGES
TO LEARN FROM OTHER STATES. THAT
WE'RE TRYING TO AVOID SO I DO
BELIEVE THAT IT'S INCUMBENT
THAT. THE KEY STAKEHOLDERS
ESPECIALLY THE PLANS- THERE ARE
PART OF THE CONVERSATION TO TRY
TO ENSURE THAT WHATEVER UNCLEAR
CHALLENGES ARE IN PLACE CAN BE
AVOIDED- BUT I DO BELIEVE THAT.
THAT I AM HOPEFUL THAT SOMETHING
CAN BE DONE I DO IT STRONGLY
ENCOURAGE- THE OPPOSITION TO
YOU. TRY TO COME TO SOME TYPE OF
COMPROMISE WITH- THE SPONSORS
BECAUSE I DO BELIEVE THAT
SOMETHING HAS TO BE DONE AS I
SAID BEFORE SO- I WILL. LAYOFF
FOR TODAY BUT I AM PREPARED TO
SUPPORT THIS MEASURE ON THE
FLOOR IF HE GETS THERE. I'LL
GIVE YOU THE SUMMER. TO GET TO
MAKE THAT HAPPEN THANK YOU.
THANK YOU ANYONE ELSE I'D MISS
AGUIAR-CURRY. THANK YOU SENATOR
FOR BRING THE BILL FOR IT I HAVE
A COUPLE QUESTIONS BECAUSE I
HAVEN'T SEEN YOUR AMENDMENTS
YEAH. NO I'M JUST YOU KNOW ME
I'M ALWAYS CONCERNED. ABOUT MY
RURAL COMMUNITIES. AND I WANT TO
MAKE SURE WE HAVE- IF THERE'S
ANY IMPACTS THAT WOULD HAVE ON
OUR MY REAL COMMUNITIES. AND HOW
ARE THEY ADDRESSED IN THE BILL.
YOU COULD SHOW THAT. SORRY THE
OF. AMENDMENTS ARE IN THE
ANALYSIS. BUT AS- ASSEMBLY
MEMBER. ARE YOU REFERRING TO THE
COMMITTEE MEMBERS OR TO THE
AMENDMENTS BY THE OPPOSITION.
MEMBERS BY THE OPPOSITION- I
CAN'T SPEAK TO THOSE I DON'T
HAVE THE AMENDMENTS BY THE
OPPOSITION I'M REFERRING TO I'M
TAKING THE COMMITTEES AMENDMENTS
WHICH ARE NOT. THE AMENDMENTS OF
THE OPPOSITION. THEY WERE
OBVIOUSLY THE COMMITTEE- YOU
KNOW TO TALK TO ALL STAKEHOLDERS
BUT I HAVE TO LET THIS COMMITTEE
SPEAK TO THEY DON'T ROOF- YOU
I'M SURE IT WAS HOPEFULLY
REFLECTING TO STRETCH SOME BUT
IT IS NOT EASY COMMITTEE THAT IS
NOT THE OPPOSITION'S AMENDMENTS
. SO ASSEMBLY WHEN I'M WITH
REGARD TO THE- I WITH REGARD TO
THE OPPOSITION'S AMENDMENTS
RIGHT THERE AYE AYE THE BILL
ATTEMPTS TO ADDRESS TWO ISSUES
THAT WE HAVE BEEN SEEING RIGHT
ONE IS PATIENT ACCESS TO CARE
THAT THEY NEED WHEN THEY NEED
IT. AND THE OTHER ONE IS TO
PROMOTE AND SORT OF STREAMLINED
AND MAKE IT MORE EFFICIENT
PHYSICIAN PRACTICES TO DR
WEBBER'S POINT. I'M WE UPON
REVIEW OF THE AMENDMENTS DON'T
BELIEVE THAT THE AMENDMENTS
WOULD ACCOMPLISH ANY OF THOSE
GOALS. I'M WHEN IT RELATES TO
THE MODERN ARE THE MAKING
PRACTICES MORE EFFICIENT- AGAIN
KEEPING TRACK OF EACH PROGRAM
WHAT'S WHAT THE CRITERIA IS WHAT
IT APPLIES TO WHAT TREATMENTS
WHAT SERVICES. IS MORE OF A
BURDEN ON POSITIONS- THAN WHAT
WE SORT OF ARE CURRENTLY SAYING
WITHIN THE PROCESS- AS IT
RELATES TO TIMELY CARE WE HAVE
SEEN A COUPLE. OF HEALTH PLANS
AND STAKEHOLDERS ROLL OUT THERE-
ROLL OUT A SOME PRIOR
AUTHORIZATION BURDEN REDUCTION
PROGRAMS- THAT QUITE FRANKLY
HAVE NOT WORKED I'M AND SO WE
DON'T BELIEVE THAT. OUT WITHOUT
SORT OF THE GUIDELINES AND THE
GUARDRAILS ARE IN PLACE IN SB
FIVE NINETY EIGHT THAT THE
AMENDMENTS WOULD ADDRESS THAT.
WOULD ADDRESS EITHER OF THOSE
CONCERNS WHICH ARE OR OF WHAT
THE EITHER OF THOSE GOALS AND SO
ON THAT IS WHY. FOR RURAL I
WHICH I THINK IS WHAT YOUR YOUR
QUESTION WAS DIRECTLY TO IN
ORDER TO GET CARE TO THOSE AT TO
YOUR CONSTITUENTS AND IN ORDER
TO MAKE SURE THAT THEY WE CAN
INCREASE ACCESS TO CARE. SB FIVE
NINETY EIGHT AS IT'S PROPOSED TO
BE AMENDED AND AS WE'RE
ACCEPTING THE AMENDMENTS IS THE
BEST WAY FORWARD FOR THOSE TYPES
OF COMMUNITIES. THANK YOU. OKAY
I'M SORRY I WAS. DISTRACTED I'VE
BEEN DISTRACTED ALL DAY
APPARENTLY HI. THIS WALDRON.
THANK YOU- I'VE BEEN A HUGE
PROPONENT OF STREAMLINING THE
PRIOR AUTHORIZATION PROCESS FOR
MANY YEARS- AND I APPRECIATE THE
WORK THAT'S- BEEN DONE ON IT-
YOU KNOW BUT WE TALK ABOUT ALL
THE DIFFERENT TYPE OF PAY YOUR
PLANS. IT'S NOT JUST BLACK A
WHITE COAT DRY- THE MEDICAL
ISSUE. WHICH IS YOU KNOW AS
MEDICAID IS STILL UNDER FEDERAL.
LAW WE DON'T KNOW EXACTLY WHERE
THAT'S GOING TO FALL- JUST THE
VARIOUS DIFFERENT TYPE OF PLANS
. IT KINDA NARROWS IT DOWN QUITE
A BIT TO THE PPO PLANS AND HOW
THAT WOULD BE ADDRESSED SO I
GUESS MY ASK GOING FORWARD IS.
THAT THE PARTIES CAN REALLY WORK
TOGETHER IT'S REALLY IMPORTANT
THAT WE GET IT RIGHT. ARM I'D
APPRECIATE THAT THE OPPOSITION
HAS BROUGHT FORWARD. OF
AMENDMENTS I THINK THAT IS
REALLY GOOD AND IT REALLY.
AFFECTED ME AS FAR AS WHEN I SAW
I SAW THE EFFORT- SO I WOULD
REALLY ASK THAT THIS FOR THE
MOST VOTER AS IT MOVES FORWARD.
THAT THAT CAN BE WORKED ON TO
TRY TO GET TO A AGREEABLE AND
WORKABLE SITUATION AND ALSO
ADDRESSES. DR WEBER'S CONCERNS
AS WELL ON. EASING THE ABILITY
OF PHYSICIANS SO. THAT WOULD BE
MY ASK. OKAY ANYONE ELSE WALKING
AROUND HERE MAKE SURE NOT FROM.
REPORTER THANK YOU- FOR THE FOR
BRINGING THIS FORWARD. IT IS
INTERESTING WE HAVE THE
CALIFORNIA MEDICAL ASSOCIATION
ON ONE SIDE AND THEN A
PHYSICIANS GROUP DOCTORS.
PRACTICE MEDICINE ON THE OTHER
SIDE- WITH WITH HEALTH HEALTH
PLANS- AS WELL AND SO IT CREATES
KIND OF AN AN AWKWARD AWKWARD
DYNAMIC HERE- NOW. THIS DOESN'T
THIS THIS DOESN'T APPLYING
ASSISTANCE A SUPPLIED TO
MEDICARE OR THROUGH DESERVE WITH
LIKE MEDICARE ADVANTAGE PLANS I
SEE THAT AND AUTHOR NODDING YES
ONLY SEES HIM GOING NO SO. THE
CAMPUS FEDERAL PRO NOT NOT
MEDICARE MANAGE PLANTS BUT
MEDICARE ALL BUT NOT MEDICARE
YEAH SO ANYONE WHO'S GOT A
MEDICARE PLAN SIXTY FIVE OR
OLDER THIS DOESN'T COVER THAT AT
ALL CORRECT HI. IT DOESN'T WE
KNOW IT DOESN'T COVER SELF
INSURED PLANS SO LABOR TRUST
PLANS I KIND OF PLANNED SO WHICH
BECAUSE WE HAVE NO. NO WERE JUST
YOUR RESTRICTION THERE AS WELL
SO I YOU KNOW I DO IT IN A LOOK
I WAS A PROVIDER IT'S HAS BEEN A
WHILE NOW AND I KNOW IT'S
FRUSTRATING AND IT FOR ME- AND
BECAUSE THEY'RE- IN FOR ME WAS
PRESSURING BECAUSE THEY WERE IT
WAS ABOUT. COMMON PROCEDURES IT
WAS ALWAYS ABOUT COMMON
PROCEDURES AND IN A LOT OF TIMES
IT REALLY WASN'T ABOUT WHETHER
THE WHETHER THE TREATMENT WAS
MEDICAL MEDICALLY NECESSARY IT
WAS ABOUT ELIGIBILITY FROM THE-
FROM THE PLAN. IT WAS ABOUT- AND
WHAT THE IT WHAT THE BENEFIT
COST WAS GOING TO BE FOR THE
PATIENTS SO VERY DIFFERENT
DENTISTRY PATIENTS SIR. PATIENTS
ARE MUCH MORE SENSITIVE TO THE
COST BECAUSE- THERE THERE AREN'T
A LOT OF WRITE OFFS IN TEHRAN
BREAKDOWNS AND THINGS LIKE THAT
WITH INSURANCE AT LIKE MEDICAL
INSURANCE PLANS ARE VERY VERY
DIFFERENT BUT- BUT STILL VERY
VERY FRUSTRATE FRUSTRATING
BECAUSE IT WAS ALWAYS. COMMON
THINGS THAT THERE WAS NO THERE
WAS THERE WAS NEVER REALLY- OR
MEDICAL REASON TO DISPUTE IT BUT
IT WAS THERE WERE OTHER OTHER
REASONS SO. SO THAT MAKES ME A
LITTLE BIT YOU KNOW. A NUMBER OF
COMMON SUPPORT THE BILL TODAY-
BUT THIS IS THIS IS GONNA THIS
DISCUSSION GOING ON FOR LIKE
THREE YEARS NOW SO- FOR REASON
AND PART OF IT IS GET. DOCTORS
ON BOTH SIDES OF THE ISSUE HERE-
AND THAT THAT CREATES CHALLENGES
SO. SO I AM I AM OF A SENSE OF
TO THE IDEA OF THE IDEA OF
LOOKING AT. PROCEDURES AND MAKE
IT MORE SYSTEMATIC- THAN
INDIVIDUAL PROVIDERS WHICH KIND
OF WOULD. ELIMINATE THE NEED FOR
THE CARD ALL TOGETHER SO. SO
NOPE THE BILL BEFORE US IS
WHAT'S IMPRINT I'M GOING TO
SUPPORT THAT TODAY. BUT I THINK
THERE'S MERIT TO CONSIDERING
CONVERSATION AND- I'M ASKING
THAT YOU CONSIDER. THE
CONVERSATION GO FORWARD. AND
WITH THAT- BECAUSE THAT WAS PART
THE BILL TODAY BUT YOU'RE
WELCOME TO CLOSE IF YOU LIKE
CENTER THANKS SO MUCH AND I
WANTED TO JUST RAISE THAT THE-
THE IN YOUR ANALYSIS IT LISTS
THE AUTHORS AMENDMENTS. AND IN
ADDITION TO THE COMMITTEES
AMENDMENTS AND ONE OF THOSE THE
AUTHORS MOMENTS IS THAT IT
EXCLUDES THE- PRIOR
AUTHORIZATION THAT IS DELEGATED.
BY A HEALTH PLAN OR INSURER TO A
RISK BEARING ORGANIZATIONS. SO
THERE'S MANY HERE THAT DO
ADDRESS SOME OF THE CONCERNS AT
LEAST BY THE- PHYSICIANS GROUP
WHETHER THEY EXT- FEEL IT DOES
TO A FULL EXTENT- BUT THERE. AND
THAT IS LISTED ON PAGE TWELVE OF
THE ANALYSIS WHAT I THINK I
THINK I WOULD GIVE HIM THAT. I
DON'T MEAN TO INTERRUPT YOUR
CLOTHES BUT I'VE HEARD AYE AYE-
I THINK. GIVEN THE AYE HE I
THINK YOU WOULD RECOGNIZE THAT
THAT DOES DOES THAT. BUT IT IS.
I'M LOOKING AT THE BIGGER SYSTEM
WHAT'S UP YOU'RE LOOKING AT THE
I'M LOOKING FOR TRYING TO THE
PROJECT WAS TO HELP PATIENTS
THAT IT'S- THAT BY. ONLY
ADDRESSING CERTAIN PATIENTS THAT
IT DOESN'T NECESSARILY CREATE
THE KIND OF EFFICIENCIES. THAT
WE MIGHT BE TRYING TO ACHIEVE
FOR EVERYBODY. I'M TRYING TO
LOOK AT JUST IT IT MORE. AT
ORDER LOOKING FOR DIFFERENT SO I
THINK WE TO GET TO THE SAME
PLACE BUT WE'RE LOOKING AT JUST
A LITTLE BIT A LITTLE BIT
DIFFERENTLY. SO MY ASK IS JUST.
IF THERE'S NOT LIKE I SAID I'M
SICK OF US YES FOR YOU AND IN
MANY A RUPTURED CLOUT OKAY IT'S
WHAT I THOUGHT WAS IMPORTANT
LOOK YES DOES. ELIMINATE RPOS.
GOT THAT THAT WAS THAT WAS A
CHALLENGE YOU KNOW IN THE LAST
LACERATION OF THE SOUTH. SO
THAT'S THAT'S PROGRESS AND MY
PERSPECTIVE BUT- I DO THINK
THERE IS POTENTIALLY ANOTHER YOU
KNOW. LOOKING AT PROCEDURES MAY
BE IS OF. ANOTHER WAY TO DO IT
SO BUT ANYWAY. I'M NOT TRYING TO
MUDDY THE WATER WATERS REALLY
MONEY RIGHT NOW. BUT I MUDDYING
THE WATER- SO ANYWAY I KNOW YOU
I KNOW YOU'RE YOU'RE
CONSCIENTIOUS AUTHOR I TRANSFER
SPEC FOR YOU BUT- I'D- ASK YOU
TO CONSIDER WITH AN OPEN MIND.
ABSOLUTELY WELL. AND I THANK THE
COMMITTEE FOR THE DISCUSSION
AND- EVERYONE IN THE DICE AND I
ASK YOUR AYE VOTE. THANK YOU
SENATOR SKINNER- TRYING TO
REMEMBER IF WE HAD A- THAT'S
RIGHT OUT OF A SAID THAT THE-
THE OF MOTION WAS- BY DR RAMYA
OF THE SECOND WAVE WAS DOCTOR.
WAS BY DR WEBER. THE MOTION IS
TO PASS AS AMENDED TO
PREPARATIONS. AND SECTOR PLEASE
CALL THE ROLL. WHAT I WOULD AYE
AND WALDRON. WALDRON NOT VOTING
AGUIAR-CURRY. AGUIAR-CURRY AYE
ARAMBULA. ARAMBULA AYE BURNER.
BURNER I WENDY CARILLO. WENDY
CARILLO AYE FLORA. VINCE FONG.
AND FONG NOT VOTING. MAIENSCHEIN
MCCARTY. MCCARTY I JOE PATTERSON
. RODRIGUEZ SANTIAGO. SANTIAGO
I. COULD WALK. WEBER WEBER HI.
GIVE A BOAT SOME BILLS OUT WILL
LEAVE THE ROLE OPEN FOR OTHER
STAT ON THANK YOU. SENATOR
WIENER.
RECESS SO MUCH QUALITY TIME
TOGETHER JEFFERIES METER. HAHAHA
THIS ON FUND OF. I WITH ALREADY
BEEN MOVED SECONDED OUR LIKE
IT'S MOVING AND SECONDING ALL
OVER THE PLACE HERE SO THANK YOU
. MR SHOULD I THINK I'M FIRST OF
ALL I'M HERE ON A BILL THAT THE
HEALTH PLANS ARE NOT OPPOSING TO
MY KNOWLEDGE THAT IS A AFTER A
FIRST IN THIS COMMITTEE HAVING-
HE'LL SEE WE ARE NOW- AND I'M
HERE WITH MY- CO AUTHOR- SOME
NUMBER LOWENTHAL AS WELL- FIRST
I WANT TO THANK THE CHAIRMAN THE
COMMITTEE FOR WORKING WITH US
BOTH LAST YEAR AND THIS YEAR
WE'RE HAPPY TO ACCEPT THE-
AMENDMENTS OUTLINED IN THE
COMMITTEE ANALYSIS RELATING TO
THE SUPPORT OF. ARE YOU SENDING
AND WE THANK THE COMMITTEE FOR
WORKING WITH US ON SB FIFTY
EIGHT- DECRIMINALIZE PERSONAL
POSSESSION AND USE OF CERTAIN
NATURALLY OCCURRING PLANT OR
MUSHROOM BASED- PSYCHEDELIC
SUBSTANCES THIS BILL IS NARROWER
THAN THE BILL THAT PASSED THE
COMMITTEE THIS COMMITTEE LAST
YEAR BECAUSE WE HAVE SINCE BEEN
REMOVED- SYNTHETIC SUBSTANCES
LSD. AND MDMA SO THE CURRENT
SUBSTANCES IN THE BILL ARE
PSILOCYBIN SILAS AND DMT
MASKELYNE AND I'VE OF GAME OF
THE BILL ONLY APPLIES TO PEOPLE
TWENTY ONE AND OLDER- AND IT-
ALSO DOES NOT DECRIMINALIZE THE
SALE OF THESE SUBSTANCES. ON SO
I. SO RESEARCH. SHOWS THAT THESE
SUBSTANCES HAVE SIGNIFICANT
BENEFITS PARTICULARLY FOR PEOPLE
EXPERIENCING MENTAL HEALTH. AND
ADDICTION I CHALLENGES- THIS
RESEARCH STARTED IN THE NINETEEN
SIXTIES- AND UNFORTUNATELY IT
WAS COMPLETELY SHUT DOWN BY THE
WAR ON DRUGS AND WE LOST ABOUT.
FORTY YEARS ARE OVER THE LAST
DECADE THE RESEARCHERS STARTED
AGAIN- AND IT IS EXTREMELY
PROMISING WE HOPE THAT ONE DAY
THE FEDERAL GOVERNMENT- WILL ACT
AND WILL- AUTHORIZE OR LEGALIZE.
OF THE SUBSTANCES IF I CANNABIS
IS ANY INDICATION ON I'M NOT
GONNA HOLD MY BREATH FOR IN THE
MEDIA- ACT THERE BUT HOPEFULLY
AT SOME POINT BUT AS WE OFTEN
HAVE. CALIFORNIA SHOULD LEAD. IN
DECRIMINALIZING THE POSSESSION
AND USE OF THESE SUBSTANCES OF
COURSE WE WILL NOT BE THE FIRST-
ORGAN IN COLORADO HAVE ALREADY.
DONE IT- A NUMBER OF CITIES HAVE
GONE AHEAD AND KNOCKED IT
POLICIES- WE HAVE OUR PROVIDED
FOLKS WITH STUDIES OUT OF
COLORADO SHOWING THAT THAT
DECRIMINALIZATION DID NOT.
RESULT IN INCREASED EMERGENCY
ROOM VISITS OR INCREASE PUBLIC
SAFETY- CHALLENGES- THE SPONSOR
OF THIS BILL ZERO HEARTS PROJECT
A VETERANS SERVICE ORGANIZATION
WORKING WITH COMBAT VETERANS.
WHO COME HOME AND EXPERIENCE
SIGNIFICANT- BEHAVIORAL HEALTH
CHALLENGES AND RIGHT NOW HAVE TO
LEAVE THE COUNTRY I TO GET THE
HELP THAT THEY NEED WE WANT THEM
TO BE ABLE. TO GET HELP- HERE-
SO. OUR COLLEAGUES AGAIN I THANK
YOU FOR YOUR TIME TODAY AND I
RESPECTFULLY ASK FOR AN AYE
VOTE. WITH ME TODAY- ALASKA- SO
MEMBER LOWENTHAL IF IT'S OKAY
MISTER JONES SAID A FEW WORDS
AND THEN OUR- WITNESSES ARE JOE
MCKAY. WHO IS A RETIRED
FIREFIGHTER WITH THE NEW YORK
CITY FIRE DEPARTMENT- JASON
MOORE BROWN A UNITED STATES ARMY
COMBAT VETERAN- WITH HER- CARTS
PROJECT. AND DR DANIEL MILLS A
LICENSED CLINICAL PSYCHOLOGIST
AND CLINICAL DIRECTOR AFTER THE
SACRAMENTO INSTITUTE FOR
PSYCHOTHERAPY THANK YOU RIGHT
WILL NOT WE USUALLY JUST HAVE TO
WITNESSES AND WE KNOW IT BY
AGREEMENT YOU'LL EACH HAVE TWO
MINUTES. OKAY WHEN THE TIME
COMES UP LEPTA ARE MY ARE MY
COLLEAGUE OF MR LOWENTHAL GO
AHEAD THANK YOU MISTER CHAIR
I'LL BE VERY BRIEF- IS VERY
PROUD TO BE A PRINCIPAL CO
AUTHOR OF SB FIFTY EIGHT. THE
BILL THAT WOULD ENSURE THE
PEOPLE TWENTY ONE YEARS AND
OLDER NO LONGER ARRESTED
CRIMINALLY PENALIZE FOR USING A
POSSESSION POSSESSING SPECIFIC
SPECIFIED AMOUNTS OF. FIVE
NATURALLY OCCURRING PSYCHEDELIC
SUBSTANCES. I BE CLEAR. IT'S
JUST SB FIFTY EIGHT IS IN IS
ABOUT NO LONGER PUNISHING THOSE
WHO PERSONALLY USE THESE
SUBSTANCES BILL DOES NOT
AUTHORIZE THE SALE OR
COMMERCIALIZATION OF THE
SUBSTANCES. AND THIS IS NOT A
NEW CONCEPT WHATSOEVER AS A
MATTER OF FACT. AUSTRALIA JUST
AUTHORIZED THE USE OF CELL SITE
SIDE BEEN. ON JULY FIRST FOR
TREATMENT AND LAST WEEK THE U.
S. FDA SUPPORT NEW GUIDANCE FOR
RESEARCH ON PSYCHEDELICS. FOR
THE TREATMENT OF POST MATIC
STRESS DISORDER DEPRESSION.
OTHER MENTAL HEALTH. CONDITIONS
AUSTRIA BRAZIL NEPAL
NETHERLANDS. ALL HAVE LEGALIZED.
CHILE CROATIA CZECH REPUBLIC
ITALY HAVE DECRIMINALIZED AS THE
CENTER IS SAID. TO STATES HAVE
HAVE GONE THROUGH THAT PROCESS
BUT THERE ARE FOUR STATES RIGHT
NOW. THAT HAVE CITIES THAT HAVE
DECRIMINALIZED INCLUDING
CALIFORNIA. IN OAKLAND AND SANTA
CRUZ AND WASHINGTON DC THE
DISTRICT. THROUGH REFERENDUM
PASSED. DECRIMINALIZATION AND
LEGALIZATION AT SEVENTY SIX
PERCENT. IN TWENTY TWENTY PUBLIC
OPINION HAS CHANGED ON THIS
DRAMATICALLY OVER THE LAST THREE
TO FOUR YEARS TOTALLY AND
COMPLETELY. AND IS NOW. ENJOYS A
MAJORITY PUBLIC OPINION SUPPORT.
ACROSS ALL DEMOGRAPHICS-
RESEARCHERS OF THE SUBSTANCES
ARE NOT ADDICTIVE AND THAT
THEY'RE USED IS NOT INCREASE
PUBLIC SAFETY RISK AS A MATTER
OF FACT. JUST YET JUDGE DANIEL
LOWENTHAL WHO IS A- RURAL COURT
JUDGE LAST SEVENTEEN YEARS SPARE
COURT LONG ENOUGH. LOS ANGELES
WHO HAPPENS TO BE MY BROTHER-
SUBMITTED ACTUALLY. A STATEMENT
INTO THE PORTAL- WHICH YOU CAN
ACCESS. AND HE NOTES THAT IF A
PERSON IS CAUGHT POSSESSING.
UNDER THE INFLUENCE OF ANY DRUG
INCLUDING. MUSHROOMS IT WILL BE
OFTEN OFFERED QUOTE D. E. J.
LEGISLATIVE INACTIVE. PENAL CODE
ONE THOUSAND DRUG TREATMENT
PROGRAM SO THEY COMPLETE THE
PROGRAM THE CHARGES GET THEM
DISMISSED. AND IF THEY'RE IF
THEY'RE NOT OFFER DJ THEY'RE
GIVEN A PROBATION STYLE OF JAIL
AS A CONDITION OF PROBATION WILL
BE ORDERED TO COMPLETE A DRUG
TREATMENT PROGRAM SO I WANT YOU
TO STOP. AND THINK ABOUT THAT
FOR A SECOND RIGHT NOW FOR
PEOPLE WHO ARE TREATING
THEMSELVES FOR MENTAL HEALTH
ISSUES RIGHT NOW. THAT IF THERE
WERE CAUGHT WITH MUSHROOMS BY
LAW ENFORCEMENT IT WOULD HAVE TO
GO AND DO ANOTHER DRUG TREATMENT
. PROGRAM THAT ACTUALLY DOES NOT
IMPACT THE USE OF MUSHROOMS
WHATSOEVER. THE IRONY IS THAT
THE OFFENDING WHO'S HELD IN
COURT FOR USING MUSHROOMS IS
GENERALLY NOT ADDICTED BUT IS
USING THE PLANT POSITIVELY. FOR
HEALING MEDICINAL PURPOSES. UP
FINALLY SB FIFTY IS SPONSORING
PEOPLE CAN YOU SUBSTANCE THEY
NEED WITHOUT THE FEAR BEING
PENALIZED FOR DUKE DOING SO
THANK YOU FOR YOUR
CONSIDERATION. AT THE MEASURE
GONNA DIVIDE UP. THREE MINUTES A
MINUTE AND A HALF A MINUTE AND A
HALF OF THAT'S OKAY. THANK YOU
IT'S GOING TO TEST OUR MATH
SKILLS HAHAHA. OKAY YEAH. HELLO
MY NAME IS JOE MCKAY I'M RETIRED
FDNY FIREFIGHTER IN MY STORY
STARTS ON NINE ELEVEN. I DON'T
THREE HUNDRED FORTY THREE
FIREFIGHTERS THAT WERE KILLED
THAT DAY I PERSONALLY NEW TWENTY
SIX BEFORE FROM MY COMPANY. SIX
MONTHS AFTER SIX MONTHS WORKING
ON A PILE GO TO COUNTLESS
FUNERALS I THOUGHT I'D HIT ROCK
BOTTOM AND COULDN'T GET ANY
WORSE. THEN I HAD MY FIRST
ATTACK. I WOKE UP AT ONE IN THE
MORNING FEELING AS IF SOMEONE
HAD JUST THAT MAYBE I WOULD HAVE
BURNING HOT ICE PICK. THE PAIN
WAS SO INTENSE I THOUGHT I WAS
GONNA DIE. THEY ENDED UP IN THE
EMERGENCY ROOM IN A FEW WEEKS
LATER I WAS DIAGNOSED WITH
CLUSTER HEADACHE. OTHERWISE
NOTED SUICIDE HEADACHE. IT'S THE
MOST PAINFUL CONDITION KNOWN TO
MEDICINE. THE RATE OF SUICIDE
FOR CLUSTER HEADACHE PATIENTS IS
TWENTY TIMES TIED TO THE GENERAL
PUBLIC. OVER THE YEARS STOCKS
HAVE TRIED MANY MEDICATIONS TO
TREAT MY TAX WITH LITTLE TO NO
SUCCESS. I SEARCHED ON THE
INTERNET FOUND THAT HARVARD HAD
DONE A STUDY. THAT SHOWED THAT
PSYCHEDELICS WERE VERY HELPFUL
THE TREATMENT OF CLUSTER
HEADACHE. BUT PSYCHEDELICS WERE
AGAINST THE LAW AND I COULDN'T
RISK LOSING MY JOB AND
EVERYTHING THAT WORK FOR. IN
TWENTY TEN THINGS GOT WORSE FOR
ME THE METHODS I HAVE BEEN USING
TO ABORT COPE WITH THE ATTACKS
WITH A LOCAL WORKING. MY DOCTOR
HAD SAID THAT IT WASN'T FIT FOR
DUTY AND I SHOULD RETIRE. BE
DIFFERENT. SKEWS A BIT DESPERATE
TO ESCAPE FROM THE PAIN I DID.
BUT I WAS STILL UNSURE I DON'T
EDUCATED ABOUT TRY PSYCHEDELICS
. NEXT YOU NEXT TWO YEARS WITH
TOUGH FOR ME. I LOST BOTH MY
CAREER AND MY IDENTITY. I GOT
HOOKED ON PRESCRIPTION
PAINKILLERS. AND I FELL INTO A
DEEP DEPRESSION. I THOUGHT TO
TAKE MY LIFE MORE THAN ONCE. BE
IN DESPERATE. I REVISITED THE
IDEA TRIED PSYCHEDELICS TO TREAT
MY TAX. I GOT THE NERVE UP. THEY
TOOK MY FIRST DOSE. THEN THE
NEXT DAY. I HAD NO HEADACHES.
STILL SOBBING GAVE ME MY LIFE
BACK. NO MORE FEAR OF THE NEXT
ATTACK. IN OVER THE YEARS I
WOULD TAKE A SMALL DOSE OF
PSILOCYBIN TWO TIMES A YEAR TO
KEEP THE ATTACKS AWAY. I WOULD
DOES ALONE. UNLIKE THE MEDICINE
TO THE WORK. DURING ONE OF MY
PSILOCYBIN SESSIONS I REALIZE
HOW A CHANGE SINCE NINE ELEVEN.
THAT I WAS LIVING WITH PTSD. I
CAN NOW SEE ALL THE ON PROCESS
TRAUMA THAT I HAD BEEN CARRYING
FOR ALL THESE YEARS. I FELT I
COULDN'T PROCESS THE TRAUMA
ALONE SO I SAW IT ON ON THE
GROUND FACILITATOR WHO GUIDED ME
THROUGH PSYCHEDELIC HEALING
HEALING EXPERIENCE. AND TODAY I
CAN HONESTLY SAY THAT SO SEVEN
HE'LL BE BOTH PHYSICALLY. AND
MENTALLY. I KNOW PSYCHEDELIC
MEDICINES COULD WORK WONDERS FOR
OTHERS I ASK YOU PLEASE. USE
YOUR POWER TO MAKE PSYCHEDELICS
AVAILABLE TO ALL DAHLE TO
CALIFORNIA BECAUSE NO ONE SHOULD
GO TO JAIL FOR USING THIS
MEDICINE IS TO TRY TO HEAL.
THANK YOU. MISTER CHAIRMAN
MEMBERS GOOD AFTERNOON. MY NAME
IS JASON MOORE BROWN. ELEVEN
PLASTER COUNTY WITH MY BEAUTIFUL
WIFE AND FIVE CHILDREN I'M A
DECORATED ARMY OFFICER IN A
COMBAT VETERAN. I DEPLOYED THREE
TIMES IN SUPPORT OF THE GLOBAL
WAR ON TERROR FROM TWO THOUSAND
TWO THOUSAND EIGHT. RECEIVING
TWO BRONZE STAR MEDALS FOR MY
ACTIONS. I'VE SUCCESSFULLY
CONDUCTED OVER THREE HUNDRED
COMBAT MISSIONS STATISTICALLY I
SHOULD HAVE BEEN KILLED FIFTEEN
TIMES. I'M HERE TODAY ON BEHALF
OF THE BILL'S SPONSOR HER-
CARTS. AS AN AMBASSADOR AND A
BENEFICIARY OF THE LIFESAVING
PLANT MEDICINE RETREATS HAVING
ATTENDED ONE IN FEBRUARY THE AYE
AYE HAVING ATTENDED ONE APPROVED
THIS PAST FEBRUARY. TO SAY THIS
PROGRAM WAS TRANSFORMATIONAL
WOULD BE AN UNDERSTATEMENT. MY
WIFE WAS SO MOVED BY THE
DIFFERENT SHE SIGNED ME THAT SHE
ASKED AT TEN THE SPOUSES RETREAT
WITH HER ACROSS PARTS TO DEAL
WITH SECONDARY PTSD.
UNFORTUNATELY BECAUSE BY ME. SO
THEY ARE HAPPY TO DISCUSS IN THE
QUICKLY KIANA. MY WIFE GETS HOME
FROM HER RETREAT MEXICO TOMORROW
AFTERNOON I'M VERY EXCITED FOR
RETURN. AS HARD AS THE LAST
FIFTEEN YEARS I'VE BEEN ON MY
FAMILY AND ME I CONSIDER MYSELF
FORTUNATE. MANY OF MY BROTHERS
AND SISTERS OF SUCCUMB TO THE
DARKNESS NEVER HAVING FOUND THE
THERAPEUTIC BENEFIT OF THE PLANT
MEDICINES THIS BILL WILL BE
CRIMINALIZED. FOR CONTEXT I LOST
SIX SOLDIERS IN SUSTAIN COMBAT
IN IRAQ FROM APRIL- THREE TO
APRIL FOR. AND I LOST TWO MORE
SUICIDE WITH INTO MORE TOO MUCH
RETURNING HOME. 25% THE SOLDIERS
WE LOST WERE SUICIDE. THE
VETERAN SUICIDE EPIDEMIC IS
STILL VERY REAL TWENTY TWO
YOU'RE TWENTY TWO YEARS AFTER
THE WAR BEGAN. ACCORDING TO THE
VA'S MOST RECENT REPORT RELEASED
IN TWENTY TWENTY TO.
600-010-0406 VETERANS COMMITTED
SUICIDE IN TWENTY TWENTY. A RATE
HIGHER 57% HIGHER THAN NON
VETERANS. OVER A HUNDRED TWENTY
FIVE THOUSAND VETERANS HAVE
COMMITTED SUICIDE SINCE THE
GLOBAL WAR ON TERROR STARTED IN
TWO THOUSAND ONE. MANY OF THE
PRESCRIPTION DRUGS AT THE VA
PRESCRIBES HAVE SEVERE SIDE
EFFECTS. ONE OF THEM IS AN
INCREASED RISK OF SUICIDE. AS OF
TWENTY TWENTY CALIFORNIA IS HOME
TO ONE POINT EIGHT MILLION
VETERANS. THE LARGEST VETERAN
POPULATION UNITED STATES. I'M
NOT HERE ASKING THE LEGALIZED I
COULD ALEX I'M ASKING YOU KNOW
IF I NEED TO I'M GONNA BEG YOU.
ON BEHALF OF EVERY BATCH IN
CALIFORNIA. TO NOT ARREST THOSE
OF US THAT SWORE AN OATH TO
DEFEND OUR NATION AGAINST ALL
ENEMIES FOREIGN AND DOMESTIC.
AND WILL PAY THE PRICE FOR A
SELFLESS SERVICE. FOR SEEKING
THERAPY VIA PHONE FOR NATURALLY
CURLY. NONADDICTIVE PLANT
MEDICINES. SUPPORT OUR VETERANS
SUPPORT OUR FIRST RESPONDERS
SUPPORT THEIR FAMILIES. WELL
YESTERDAY ON SB FIFTY EIGHT.
MISTER CHAIRMAN COMMITTEE
MEMBERS MY NAME IS DR NATHANIEL
MILLS. I AM A LICENSED CLINICAL
PSYCHOLOGIST CLINICAL RESEARCHER
. AND THE NATIVE AMERICAN MEMBER
OF THE CHOCTAW NATION- I HAVE
COME HERE TO SHARE WITH YOU THAT
PSYCHEDELIC MEDICINE REPRESENTS
THE SINGLE MOST IMPORTANT
BREAKTHROUGH. IN THE TREATMENT
OF MENTAL HEALTH. IN OUR
LIFETIMES. PSYCHEDELIC THERAPIES
HAVE BEEN SHOWN TO ACCOUNT 452%
OF REMISSION OF SYMPTOMS. OF
PTSD. 63% OF REMISSION OF
SYMPTOMS OF DEPRESSION. AN 83%
REDUCTION OF HEAVY DRINKING IN
PEOPLE ADDICTED TO ALCOHOL. THAT
IS A HUGE DIFFERENCE. IT'S A
GAME CHANGER. THESE MEDICINES
HAVE BEEN. BOTH EFFECTIVE AS
WELL AS SELF LIMITING EVEN AN
ANIMAL STUDY SUBJECTS WHO USE A
PSYCHEDELIC ONCE A RELUCTANT TO
TRY IT AGAIN. AND THERE IS NO
EVIDENCE OF ADDICTIVE RISK FOR
THE SET- FOR THESE- SUBSTANCES
EVEN WHEN COMPARED TO LEGAL
SUBSTANCES LIKE CAFFEINE ALCOHOL
TOBACCO. THESE MEDICINES HAVE
BEEN SHOWN TO BE EFFECTIVE EVEN
IN TREATING SUBSTANCE DEPENDENCE
TO OTHER DRUGS. THE SAFETY
PROFILES FOR THESE SUBSTANCES IS
EXCEEDINGLY SAFE- EVEN WHEN
COMPARED WITH MAINSTAY-
TREATMENTS WE KNOW A LOT ABOUT
THESE MEDICINES BECAUSE WE'VE
BEEN USING THEM FOR THE PAST
EIGHT THOUSAND YEARS-
CRIMINALIZING THEM STOLE THE
INDIGENOUS HEALING PRACTICES OF
MILLIONS OF NATIVE PEOPLE- IN
DECRIMINALIZING THESE PLANT
MEDICINES WILL CREATE
OPPORTUNITIES FOR HEALING. FOR
THE PEOPLE WHO NEED IT MOST AND
WHO NEED IT NOW I AM URGING YOU
TO PASS THIS LANDMARK PIECE OF
LEGISLATION. THANK YOU VERY
MUCH- OTHERS IN SUPPORT. IS A
STELLAR SHIRE AND HE SMELLS ARE
LYING HAVE THE CITY OF WEST
HOLLYWOOD'S TRANSPORT GIVE YOUR
- REBECA GONZALEZ NATIONAL
ASSOCIATION OF SOCIAL WORKERS
CALIFORNIA CHAPTER IN SUPPORT
THANK YOU. MICHAEL YOUNG SAN
FRANCISCO RESIDENT ARMY VETERAN
FORMER US DIPLOMAT- AMBASSADOR
HER CARDS PROJECT I SUPPORT THIS
BILL. YOUR ALLEN CHANCE HAPPENS
CISCO- US BETTER DISABLED
VETERAN A FORMER LAW ENFORCEMENT
AND FIRST RESPONDER IN SUPPORT.
YOUR CARL TANNENBAUM THIRTY TWO
YEAR VETERAN OF THE SAN DIEGO
POLICE DEPARTMENT WITH THE
MAJORITY OF THAT CAREER SPENT IN
OUR CUTS ENFORCEMENT I STRONGLY
I'M HERE TO SUPPORT THIS
LIFESAVING LEGISLATION. THANK
YOU. STEVE ABBOTT FORMER US ARMY
RANGER PURPLE HEART RECIPIENT
CURRENT PARAMEDIC BUTTE COUNTY
SUPPORT THANK YOU. MR CHAIRMAN
MEMBERS IN THIRTY MILLION ON
BEHALF DO APPROACH ADVOCACY THE
LAW ENFORCEMENT ACTION
PARTNERSHIP IN A NEW PATH IN
SUPPORT THANK YOU THANK YOU. A
NICK MORROW FORMER NARCOTICS
DETECTIVE PHILIP COUNTY SHERIFF
MEMBER OF LAW ENFORCEMENT ACTION
PARTNERSHIP STRONG SUPPORT THANK
YOU. AB MOBERG CLUSTER BUSTERS
AND THE PSYCHEDELICS IN PAIN
ASSOCIATION HERE IN SUPPORT
THANK YOU THANK YOU- THEIR
OPPOSITION TO THE BILL. YOU CAN
.
THREE WITNESSES TO TWO MINUTES
APIECE OKAY. THANK YOU MISTER
CHAIR AND COMMITTEE MEMBERS FOR
THE OPPORTUNITY TO SHARE MY
STORY. MY NAME IS LISA HUTSON
I'M A LIFELONG CALIFORNIAN AND I
STRONGLY OPPOSE SB FIFTY EIGHT
AS CURRENTLY WRITTEN. TO BE
CLEAR THE BILL NOW INCLUDES A
FRAMEWORK FOR THERAPEUTIC USE
WHICH IS GOOD BUT WOULD ALSO
IMMEDIATELY DECRIMINALIZE THE
SUBSTANCES FOR PERSONAL USE WITH
NO SAFEGUARDS NO PROTECTIONS OF
ANY KIND. I PERSONALLY
EXPERIENCED THE DEVASTATING
CONSEQUENCES OF PSILOCYBIN AND
BELIEVE IT WOULD BE DANGEROUS
AND IRRESPONSIBLE TO ALLOW OTHER
UNREGULATED RECREATIONAL AND
WIDESPREAD USE. MY SPARKLY
SIXTEEN YEAR OLD SON SHANE
RABBIT TOY. TRAGICALLY LOST HIS
LIFE IN A MUSHROOM RELATED
ACCIDENTAL FALL IN OUR HOME IN
JANUARY OF TWENTY TWENTY. SHANE
WAS A VIBRANT AND AMBITIOUS
YOUNG MAN WITH A BRIGHT FUTURE
AHEAD OF THEM BUT HIS
EXPERIMENTATION WITH PSYCHEDELIC
DRUGS LED TO HIS UNTIMELY DEATH
. THE GRIEF AND SORROW OF LOSING
MY ONLY CHILD WILL STAY WITH ME
FOREVER AND I WANNA PREVENT
OTHER PARENTS FROM EXPERIENCING
THE SAME PAIN. PROPONENTS OF SPC
PROPONENTS OF SB FIFTY EIGHT
ARGUE THAT LEGALIZING
PSYCHEDELICS CAN TREAT MENTAL
HEALTH ISSUES OR PROMOTE
SPIRITUAL GROWTH. HOWEVER THESE
POWERFUL SUBSTANCES CAN CAUSE
SEVERE HALLUCINATIONS DELUSIONS
AND DISORIENTATION. LEADING TO
ACCIDENTS AND FATALITIES.
BECAUSE REAL RISKS MUST BE
MITIGATED WITH SAFEGUARDS.
MOREOVER LEGISLATION. CHANGES
HOW YOUTH PERCEIVE THE RISKS
RELATED TO DRUG USE NORMALIZING
DRUG USE AND SUGGESTING THAT
IT'S ACCEPTABLE AND HARMLESS. WE
MUST DISCOURAGE YOUNG PEOPLE
FROM EXPERIMENTING WITH
DANGEROUS SUBSTANCES. IN
CONCLUSION I URGE YOU TO VOTE
AGAINST SB FIFTY EIGHT UNLESS
AMENDED TO INCLUDE SAFEGUARDS
LIKE EDUCATION. PUBLIC
INFORMATION AND FIRST RESPONSE
TRAINING. WE CANNOT AFFORD TO
TAKE SUCH RISKS WITH PEOPLE'S.
THANK YOU FOR YOUR ATTENTION TO
THIS MATTER. ASSEMBLY MEMBERS-
MY NAME IS SUSAN SAGI AND I AM
NEW TO LEGISLATIVE ADVOCACY AND
FORMED A COALITION WITH OTHERS
AS A RESULT OF THE DEATH OF MY
TWENTY ONE YEAR OLD CHILD. AFTER
THE USE OF PSILOCYBIN. THEY WERE
STUDENT A VERY ACCOMPLISHED
AERIALIST TEACHING FLYING
TRAPEZE WAS ACCEPTED TO THE
UNIVERSITY OF CALIFORNIA DAVIS
TWO MONTHS AFTER THEIR DEATH.
TRULY A LIFE CUT SHORT. I THINK
THE TOOK PSILOCYBIN IN THE HOPES
OF THE THERAPEUTIC BENEFIT.
WHICH IS WHAT SO MUCH RESEARCH
TELLS US ABOUT PSYCHEDELIC USE.
AFTER SEVERE ADVERSE REACTION MY
CHILD FELL TO THEIR DEATH. THIS
IS NOT CONJECTURE ON OUR PART
THEY VIDEOED THE ENTIRE TRIP ON
THEIR IPHONE. AND WE WERE ABLE
TO SEE THE ADVERSE REACTIONS
THAT OCCURRED. RIGHT BEFORE
THEIR DEATH. A CHILD IS ABLE TO
BY PSILOCYBIN IN OAKLAND WHERE
IT IS DECRIMINALIZED. THEY SAID
TO ME. IT'S LEGAL TWENTY ONE. SO
BEING A RULES BASED PERSON FELT
THEY HAD TO WAIT TILL THEY WERE
TWENTY ONE AND IS LISA POINTED
OUT THAT WAS. THAT THE DRUG WAS
NORMALIZED IN OAKLAND AND FELT
IT WOULD BE SAFE TO PURCHASE.
I'VE SEEN THE BAD AND NOW YOU
HAVE. WHERE THEY BOUGHT THE
PSILOCYBIN. AND OPEN IT UP THERE
WAS NO INFORMATION. THERE WAS NO
INSTRUCTIONS GIVEN. THE
POTENTIAL FOR AT ANY ADVERSE
EFFECTS NO RECOMMENDATIONS TO
NOT DO IT ALONE. WE GET MORE
INFORMATION WHEN WE BUY VITAMINS
. THE BILL NOW PROVIDES FOR
STUDIES TO ENACT A REGULATORY
FRAMEWORK BEFORE THERE IS A-
BEFORE THEIR THERAPEUTIC OR
FACILITATED USE BUT IT DOES NOT
DO THAT FOR PERSONAL USE. THIS
WILL ONLY MAKE THE BILL LESS
PROTECTIVE FOR INDIVIDUAL USERS
PARTICULARLY YOUNG ADULTS AND
THOSE WHO ARE MOST VULNERABLE
LIKE VETERANS WILL USE THESE
SUBSTANCES WITH NO SUPPORT. OR
SAFETY NET. WE WANT TO SEE AN
END TO THE DRUG WAR POLICIES
HOWEVER WE BELIEVE THE
CALIFORNIANS DESERVE A SAFE AND
RESPONSIBLE POLICY. AND I URGE
YOU TO TAKE THE TIME AND ENACT
THE SAFETY IN EDUCATION MEASURES
THAT ARE BEING ENACTED FOR THE
FACILITATED AND THERAPEUTIC
ACCUSE. FOR PERSONAL USE. THE
BILL NOW HAS A TWELVE MONTH
PERIOD IN THEIR FOR THIS-
STUDIED THE STUDIES TO OCCUR.
WHAT'S THE RUSH TAKE THAT SEEM
TWELVE MONTH PERIOD AND PROTECT
THE CONSUMER WHO IS GOING TO USE
THESE DRUGS. INSTEAD OF RUSHING
THEM- THROUGH A PROCESS THAT
COULD HARM MANY. AND I'D ALSO
LIKE TO JUST POINT OUT FOR
CLARIFICATION- THAT IN THE BILL
RIGHT NOW ALTHOUGH WE HAVEN'T
SEEN THE CURRENT. DRAFT OF THE
BILL. HERE'S TO BE IN SECTION
FOUR AYE. A PROVISION THAT SAYS
THE TRANSFER OF A SUBSTANCE
DESCRIBED IN PARAGRAPH ONE OF
SUBDIVISION A WITHOUT FINANCIAL
GAME BETWEEN PARTIES TWENTY ONE
YEARS OF AGE AND OLDER AND IN
THE CONTEXT OF THERAPEUTIC USE
WHICH INCLUDES PATEL THE
CIVITATE ID USE OR SUPPORT OF
USE. SHALL NOT BE A VIOLATION OF
SECTION ONE ONE THREE FIVE TWO
OR ANY OTHER STATE AND LOCAL LAW
SO THAT MAY BE A LOOPHOLE THAT-
WOOD. BUT IN A ALLOW PEOPLE TO
HAVE A FACILITATED USE WHILE YOU
WERE DOING THIS PERIOD OF STUDY.
AGAIN WE HAVEN'T SEEN THE
REDRAFT OF THE BILL SO I'M JUST
LOOK PUTTING THAT OUT THERE IS
A- RED FLAG. THANK YOU. GOOD
AFTERNOON GOOD EVENING AND THANK
YOU FOR YOUR TIME MY NAME IS
JENNIFER MITCHELL I AM THE
ASSOCIATE CHIEF OF STAFF FOR
RESEARCH AT THE SAN FRANCISCO VA
MEDICAL CENTER AND I'M A
PROFESSOR AT UCSF. IN THE
DEPARTMENTS OF NEUROLOGY AND
PSYCHIATRY AND I ALSO SERVE THE
CALIFORNIA DEPARTMENT OF JUSTICE
IS A MEMBER OF THE RESEARCH
ADVISORY PANEL WHICH IS TASKED.
WITH REVIEWING ALL RESEARCH
PROJECTS IN THE STATE THAT YOU
SEE A SCHEDULE ONE AND SCHEDULE
TWO SUBSTANCES WHICH INCLUDES
ALL OF THE PSYCHEDELICS THAT ARE
LISTED IN THE CURRENT BILL. AND
I SHOULD ALSO PROBABLY ADDED I
AM A NURSE I TEST AND BEHAVIORAL
PHARMACOLOGIST AND THAT FOR THE
PAST SEVEN YEARS. OUR GROUP AT
UCSF HAS FOCUSED ON DEVELOPING
PSYCHEDELIC MEDICINES FOR MENTAL
HEALTH INDICATIONS. MOST NOTABLY
MDMA FOR PTSD. AND PERHAPS IN
PART BECAUSE OF THIS RESEARCH
AND BECAUSE OF THE PRESS THAT IT
IS GARNERED. I HAVE SOME CONCERN
THAT THE MEDIA COVERAGE. AND
THEREFORE THE GROWING PUBLIC
PERCEPTION OF PSYCHEDELICS HAS
BECOME UNREALISTICALLY POSITIVE.
AND DOESN'T ALWAYS PAINT AN
ACCURATE PICTURE OF THE POSSIBLE
HARMS THAT PSYCHEDELICS CAN
SOMETIMES INDUCE. AND SO I'M
HERE TODAY TO SHARE MY OPINION
THAT STATE DECRIMINALIZATION OF
PSYCHEDELICS. FOR FACILITATED OR
MEDICAL USE AND BUILDING A
FRAMEWORK TO SUPPORT THIS USE
SHOULD PROCEED DECRIMINALIZATION
FOR PERSONAL USE. I KNOW THAT
THERE BEEN SOME RECENT CHANGES
TO THE LANGUAGE IN SB FIFTY
EIGHT AND THAT NOW IF I
UNDERSTAND CORRECTLY.
DECRIMINALIZATION FOR PERSONAL
USE WOULD PROCEED
DECRIMINALIZATION OF
PSYCHEDELICS FOR FACILITATED AND
THERAPEUTIC USE. IT FACILITATED
USE AND THE DATA FROM
FACILITATED USE SHOULD COME
BEFORE AND THERE BY INFORMED
PERSONAL USE. IT IS IMPORTANT TO
REMEMBER THAT SO FAR AS WE'VE
HEARD THESE COMPOUNDS HAVE ONLY
BEEN SHOWN TO BE SAFE. AND
EFFECTIVE FOR TREATMENT OF
MENTAL HEALTH CONDITIONS. WHEN
ADMINISTERED WITH ADMINISTERED
WITH FACILITATION. ALSO AS
SOMEONE WHO WORKS WITH VETERANS
I AM CONCERNED THAT THAT
DECRIMINALIZATION FOR PERSONAL
USE. PRIOR TO DECRIMINALIZATION
FOR FACILITATED USE. WILL LIKELY
RESULT IN NEGATIVE CONSEQUENCES
FOR VETERANS WHO HAVE BEEN VERY
VOCAL IN THEIR DESIRE TO ACCESS
PSYCHEDELICS TO TREAT THEIR
TRAUMA AND DEPRESSION. BUT WHO
WILL NEED TO EXPERIENCE THESE
DRUGS AND WELL VETTED MEDICAL
SETTINGS WITH THE PROPER STAFF
AND TRAINING IN ORDER TO SAFELY
EXPERIENCE THEIR FULL POTENTIAL
. VETERANS ALSO TYPICALLY HAVE
COUNTRY INDICATIONS AND
COMORBIDITIES AND SO NEED TO BE
THOROUGHLY SCREENED PRIOR TO
PSYCHEDELIC USE. IF PERSONAL USE
OUR SOCIAL USE PROCEEDS
THERAPEUTIC USE THE NEGATIVE
CONSEQUENCES OF SOCIAL USE WILL
UNDOUBTEDLY IMPACT THE FUTURE OF
FACILITATED THERAPEUTIC USE THIS
IS PRECISELY WHAT OCCURRED HERE
IN THE LATE SIXTIES AND EARLY
SEVENTIES AND WE ARE NOW FIFTY
YEARS LATER STILL TRYING TO
RECOVER. PSYCHEDELICS ARE
COMPLICATED COMPOUNDS THAT CAN
INDUCE A STATE OF OPENNESS AND
VULNERABILITY. WHICH WITH THE
RIGHT GUIDANCE AND SUPPORT CAN
BE TRANSFORMATIONAL AND CURATIVE
. WITHOUT THE RIGHT GUIDANCE AND
SUPPORT HOWEVER THIS
VULNERABILITY CAN BE INCREDIBLY
DESTRUCTIVE. IT IS THEREFORE
IMPORTANT THAT WE GENERATE A
SYSTEM OF PSYCHEDELIC ACCESS
THAT WILL ENABLE APPROPRIATE
CONTAINMENT AND OVERSIGHT. THANK
YOU FOR YOUR TIME. THANK YOU-
OTHERS IN OPPOSITION. GOOD
EVENING LAURIE D. VAN I'M A
PARENT IN LARKSPUR I AM SPEAKING
FOR THESE ORGANIZATIONS. PUEBLO
E. SALUTE INSIDE THE SAN
FERNANDO VALLEY WELL IF I
EIGHTEEN IN MARIN COUNTY SAFE
LAUNCH IN SANTA BARBARA. THE
CIVIC CLIFF AND THE GEORGE SARLO
FAMILY IN SAN FRANCISCO SAN
RAFAEL VICE MAYOR RACHEL KURTZ
SAUSALITO CITY COUNCIL MEMBER
JILL HOFFMAN AND MY CALIFORNIA
NON PROFIT BE THE INFLUENCE ALL
IN STRONG OPPOSITION TO SB FIFTY
EIGHT THANK YOU THANK YOU.
RESEARCHERS HERE ON BEHALF OF
THE CITY OF BEVERLY HILLS
RESPECTFUL OPPOSITION THANK YOU
. BETH PARKER ON BEHALF OF THE
CALIFORNIA COALITION FOR
PSYCHEDELIC SAFETY AND EDUCATION
WHERE OPPOSED UNLESS FURTHER
AMENDED AND ALSO FOR YOU
TRANSFORM JUSTICE HOUSE HAMMER
FELL OPPOSED THANK YOU. C.
FERNANDEZ WITH MARIN HEALTHY
PARTNERSHIPS AND ALSO A PROXY
FOR LAURIE ROBINSON MOM STRONG
THOUSAND OAKS THANK YOU THANK
YOU. JOHN GAFFNEY JOHNNY'S
AMBASSADORS- PARENT ALSO OF A
CHILD WHO DEVELOPED CANNABIS
INDUCED PSYCHOSIS IN PSILOCYBIN
PSYCHOSIS. IN OPPOSITION THANK
YOU THANK YOU. AND BRING IT BACK
TO THE COMMITTEE FOR QUESTIONS
OR COMMENTS. MISTER V. PUT WHAT
. THANK YOU TO THE CHAIR- FIRST
I WANT TO THANK THE AUTHOR FOR
BRINGING THIS FORWARD I HAD.
MANY PHONE CALLS WITH HIM AND- I
APPRECIATE THE HARD WORK YOU PUT
INTO THIS AND HE KNOWS ALL ALL
SHARE THIS I WAS. THOSE IN THIS
BILL- TILL TODAY. AND I REALLY
WANT I THINK- MISTER MCKAY- REAL
HEARTFELT- TESTIMONY TODAY. I
MEAN AND- AND JASON- MORE AROUND
. THANK YOU FOR SPEAKING YOU
KNOW I THINK I THINK THAT YOU'RE
HEARING THIS MORE AND MORE ON.
THE SUN JUST EVERYWHERE YOU GO-
FRIENDS FAMILY TV SOCIAL MEDIA
EVEN MOVIES RIGHT HERE AND IT.
AND I THINK THAT WE HAVE NOT I
I'M A MIXED AND THANK YOU TO THE
OPPOSITION RIGHT BECAUSE- I HAVE
TO HEAR BOTH SIDES- BUT I ALSO
HAVE TO FIGURE OUT HOW DO WE
COME UP WITH SOLUTIONS AS WE
HAVE IT SEEMS LIKE WE HAVEN'T
CAME UP WITH. AN ANSWER FOR THAT
AND IS HE KEEP HEARING MORE
ABOUT PS PTSD- POST TRAUMATIC
STRESS- NOT JUST FOR MILITARY
BUT JUST IN GENERAL THE PUBLIC
THIS GOING THROUGH SO MUCH- OF
WHAT HOW THIS WORLD IS CHANGING
. AND ID WE JUST. NEED TO DO
MORE IN THIS LANE IS. THERE'S
NOTHING THERE. AND I'M NOT
APPROVING THEY'RE SAYING HEY I
APPROVED YOU KNOW- PSYCHEDELIC
DRUGS. BUT I I'M I'M WHAT I'M
TRYING TO MOVE IS TRYING TO
FIGURE OUT. WHAT ELSE CAN WE DO
WHAT ELSE CAN WE DO IN THIS LANE
TO HELP THOSE WORK- AND WE HAVE
GONE THROUGH SUICIDE PEOPLE ARE
THINKING ABOUT SUICIDE- WE HAVE
TO DO MORE SO- I WANNA THINK.
THANK THE AUTHOR FOR BRINGING
THIS TODAY AND- YOU KNOW I'LL BE
MOVING TO. THAT THANKS THANK YOU
. M. S. WALDRON. THANK YOU
MISTER CHAIR. OF FIRST HONORED
RECOGNIZE FDNY YOU MIGHT STILL
HEAR MY NEW YORK ACCENT- I TO I
LOST SOME FRIENDS IN NINE
ELEVEN. WHO WERE FIREFIGHTERS
THAT I WENT TO SCHOOL WITH- SO
EVERY YEAR WE RECOGNIZE THEM-
YOU KNOW WE WON'T EVER FORGET.
THEIR WHAT THEY GAVE. I'M OVER
THE LAST FEW YEARS I'VE ACTUALLY
BEEN EXPOSED- THE BENEFITS OF
THE THERAPY EUTYCHIUS OF
PSYCHEDELIC DRUGS. AND YOU KNOW
I AM NOT I WAS NOT FAMILIAR AT
ALL WITH IT AND THE IN THE
INITIAL FEELING I ALWAYS GOT
WHEN SOMEONE SAID- PSYCHEDELICS
WENT USE MUSHROOMS AND THIS AND
THAT WAS. NO OH MY GOD YOU KNOW
IT'S NOT SOMETHING THAT. I AND
UNDERSTOOD I'M- ESPECIALLY IN
THE USE OF VICTIMS OF PTSD
COMBAT VETERANS FIRST RESPONDERS
AND OTHERS. WHO ARE DEALING WITH
THE- I'M MY EXPERIENCE IN
WORKING WITH US HAS BEEN
SPECIFICALLY WITH NAVY SEALS.
AND WHAT THEY GO THROUGH IN THE
IN THE POSTTRAUMATIC STRESS THE
SUICIDE ISSUES THE NAVY SEALS
HAVE BEEN DEALING WITH. AND IT
PERSONALLY KNOW MANY PEOPLE WHO
HAVE. BENEFITTED FROM THE
THERAPEUTIC USE OF. PSYCHEDELICS
BUT THEY HAD TO GO ACROSS THE
BORDER. IN ORDER TO GET THE
TREATMENT THERE ARE PROVIDERS
HERE IN THE UNITED STATES BUT
THEY ALSO GO ACROSS THE BORDER
TO ADMINISTER THE CARE. AND I
COULDN'T FIGURE OUT. HOW IT
WORKED. WHEN I TALK TO THE NAVY
SEALS THEY TOLD ME. THAT IF YOU
HAVE. THE CLINICIAN WITH YOU AND
YOU TAKE THE SUBSTANCE. THEY
WALK YOU THROUGH IT THEY PEEL
BACK THE ONION STEP BY STEP
THROUGH THE INITIAL POINT OF THE
STRESS. WHATEVER THE ISSUE ISSUE
WAS. AND THEN YOU CAN WALK
FORWARD WITH A TRAINED. PERSON
WALKING YOU THROUGH IT SO THAT
WHEN YOU GET. THROUGH THIS OUR
SERIES IT'S NOT JUST HAPPENS IN
ONE SESSION SOMETIMES UP TO
THIRTY. THEY HAVE RE LIVE THIS
WITH A LICENSED CLINICIAN. EVERY
STEP OF THE WAY AND THEY WORK
THROUGH IT SO THAT WHEN THEY
COME OUT ON THE OTHER SIDE. MANY
OF THEM HAVE SAID THAT THEY'VE
BEEN HEALED. FROM THIS BURDEN OF
THE SUICIDE THAT'S BEEN HANGING
OVER THEM AND THEIR FAMILIES. SO
I MEAN I DEFINITELY SEE THE
BENEFITS OF. THE UNDERSTANDING
THAT AND BEING ABLE TO. INSTEAD
OF JUST SAYING NO WE CAN'T DO
THIS TO UNDERSTAND- THAT THE
BENEFITS THAT ARE THERE AND TO
BE ABLE TO USE IT THE RIGHT WAY
- I HAVE AS YOU KNOW AB NINE
FOUR ONE WHICH IS IN THIS
COMMITTEE STILL AND WE'RE GONNA
WORK THROUGH THAT THE END
VETERAN SUICIDE ACT. WHICH TRIES
TO GET MORE INTO THE THERAPEUTIC
USE OF PSYCHEDELICS. SOME BUT
WHAT I FOUND IS WE REALLY NEED
TO PUT MORE LIGHT ON THIS THE
SUBSTANCE THE SUBSTANCES. AND I
AGREE THAT PUBLIC EDUCATION IS
CRUCIAL WE CAN'T DO IT WITHOUT
PUBLIC EDUCATION- WE NEED TO
UNDERSTAND MORE. YOU KNOW THE
GOOD AND THE BAD THERE'S CLEARLY
BAD ASSOCIATED WITH WE HAVE TO
BE ABLE TO SHINE THE LIGHT ON IT
SO WE UNDERSTAND IT. FROM THIS
BILL I I'VE PROBABLY SPENT MORE
TIME ON THIS BILL AND ANY OTHER
I'VE POURED THROUGH THESE
AMENDMENTS. OF. AND THE BILL HAS
BEEN NARROWED DOWN
SUBSTANTIALLY- AS FAR AS
REMOVING THE SYNTHETIC
PSYCHEDELICS. STILL INCLUDES
MANY RESTRICTIONS BECAUSE I KEPT
SEEING RESTRICTIONS AS A READ
THROUGH- SPECIALLY FOR SELLING
AND FOR UNDERAGE POSSESSION- AND
WHAT I REALLY LIKE SPECIFICALLY
WAS THE AMENDMENTS INCLUDE
CONVENING THE WORK GROUP TO
STUDY THE FRAMEWORK FOR
THERAPEUTIC USE- AS I. WAS
DEALING WITH MY BILL AB NINE
FOUR ONE. THE ONE OF THE ISSUES
THAT WE KEPT GETTING WAS WILL WE
NEED MORE DATA WE NEED DATA
SHOWING. THAT THESE ARE
SUBSTANCES ACTUALLY HAVE. SHOWN
RESULTS BUT BECAUSE WE'RE NOT
USING IT LEGALLY HERE IN THE
UNITED STATES AND THAT WAY. YOU
KNOW THAT WE DON'T HAVE THE DATA
READILY AVAILABLE. SO OUR LAWS
HERE IN THE UNITED STATES HAVE
BEEN RESTRICTING THE THERAPEUTIC
USE AND THEN BY THAT JUST BY
THAT RESTRICTION HAS. A
ELIMINATED OUR ABILITY TO HAVE
DATA AT OUR FINGERTIPS SO THAT
WE COULD REFERENCE AT. SOME I
FEEL THIS BILL CAN BE THE
FOUNDATION FOR THERAPEUTIC AND
MEDICAL USE OF PSYCHEDELICS- AND
THEN THE NEEDED LEGISLATION LIKE
ROOM AB NINE FOUR ONE OR OTHER
BILLS. ARE GOING FORWARD THAT
CAN- YOU KNOW FINALLY ADDRESSED
THE SITUATION THAT AT OTHER
TYPES OF THERAPIES HAVE NOT BEEN
ABLE TO. GET A HANDLE ON WHICH
IS THAT PTSD IN THE SUICIDE- SO
I MEAN THOSE THOSE ARE MY
COMMENTS. AND I WILL BE
SUPPORTING THE BILL TODAY. THANK
YOU DR WEBER. THANK YOU CHAIRED
THANK YOU I. SENATOR WINNER FOR
BRINGING THIS BILL FORWARD AND
YOU AND I HAVE HAD MANY
CONVERSATIONS ABOUT THIS I'VE
I'VE ALSO SPOKEN WITH A COUPLE
OF YOUR- SUPPORTERS SO THANK YOU
VERY MUCH FOR COMING AND TAKING
THE TIME- THANK YOU TO THOSE WHO
CAME AND SPOKE IN OPPOSITION-
HAVE CONCERN ABOUT THE CURRENT
BILL- YOU KNOW I THINK. I ECHO A
LOT WHAT YOUR LAST OPPOSITION
SPEAKER SAID I'M- EVEN THOUGH WE
HAVEN'T BEEN ABLE TO DO FORMAL
STUDIES. ON ON THESE- SUBSTANCES
WE DO HAVE ANECDOTAL EVIDENCE
CASE- CASE REPORTS ON THAT IT
CAN BE BENEFICIAL IN CERTAIN
INSTANCES WHEN WE TALK ABOUT OUR
VETERANS AND WE TALK ABOUT
PATIENTS WITH PTSD WHEN WE TALK
ABOUT PATIENTS WITH DEPRESSION
ESPECIALLY F. TRADITIONAL
MEDICATIONS HAVE FAILED ARE NOT
WORKING. I'M I REALLY APPRECIATE
THE FACT IN THE BILL THAT YOU
HAVE- DELAYED IMPLEMENTATION OF
THE TREATMENT UNTIL THERE'S
MORE. INFORMATION AND STUDY AND
ALL OF THAT AND THAT IS
DEFINITELY WHAT IS NEEDED. WHAT
CONCERNS ME ABOUT THIS BILL IS
WHEN YOU TALK ABOUT INDIVIDUAL
USE THE FACT THAT THERE ARE NO.
PRIOR STUDIES- TO DETERMINE
WHAT'S SAFE WHO SHOULD TAKE IT
HOW IT SHOULD BE TAKEN FROM
BEFORE SO WE'RE JUST KIND OF
OPENING THE GATE AND SO YOU KNOW
I KNOW IT'S A DECRIMINALIZATION
BUT FOR MANY PEOPLE
DECRIMINALIZATION IN THEIR MIND
IS LEGALIZATION. IT IS THE STATE
SAYING THIS IS SAFE THIS IS OKAY
TO TAKE AND WE DON'T HAVE THAT
INFORMATION- EVEN. WITH SOME OF
OUR OUR WITNESSES HERE THEY TALK
ABOUT SOME OF THE HARMFUL SIDE
EFFECTS WHEN YOU LOOK THROUGH
THE EYES OF THE ANALYSIS IT
TALKS ABOUT SOME OF THE CASE
REPORTS THAT HAVE BEEN WRITTEN
AND PUBLISHED THAT DEMONSTRATE.
THEM THE ADVERSE EFFECTS OF
THESE UP THE SAME- MEDICATIONS
BOB THAT YOU ARE PROPOSING TO
DECRIMINALIZE AND YOU KNOW ONE
OF THE FIRST THINGS I TALK TO
YOU ABOUT AND ALSO I SOME OF
YOUR SUPPORTERS- IT'S HOUSES IN
PREGNANCY. HOW IS THIS OF IMPACT
A PREGNANT WOMAN HOW DOES THIS
HAVE AN IMPACT ON THAT FETUS
SHORT TERM OR LONG TERM. AND WE
DON'T HAVE THAT INFORMATION. AND
SO WHEN WE TALK ABOUT
DECRIMINALIZING IT FOR. ANYONE
THAT'S TWENTY ONE AN OLDER
WITHOUT ANY BARRIERS WITHOUT ANY
SAFEGUARDS WITHOUT ANY. SPECIFIC
IF YOU HAVE PTSD IF YOU HAVE
DEPRESSION IF YOU HAVE THIS IF
YOU'RE UNDER THE CARE OF A
PHYSICIAN WE HAVE NONE OF THAT.
WE ARE LITERALLY OPENING IT UP
AND SAYING. THROUGHT
DECRIMINALIZATION THAT THIS
STATE SAYS THAT THIS IS SAFE.
AND I CANNOT. I DON'T KNOW THAT
INFORMATION. AND I'VE ASKED.
EVERYONE TO PROVIDE ME REPORTS
OR STUDIES THAT SHOW- THAT THIS
IS SAFE IN PREGNANCY THAT THIS
IS SAFE TO THE UNBORN FETUS THAT
WE'RE NOT. GOING TO HAVE A
SITUATION WHERE WE FIND WITH YOU
KNOW ALCOHOL I ALWAYS TELL MY
PATIENTS THERE'S NO SAFE AMOUNT
OF ALCOHOL YOU HAVE. FETAL
ALCOHOL SYNDROME WE EITHER HAVE
BEEN- TYPICA PARENTS BUT NOW
WHAT WE'RE REALIZING THAT A LOT
OF PATIENTS. WHO ARE DIAGNOSED
WITH AUTISM ACTUALLY NOT REALLY
ARTISTIC BUT THEY HAVE A
DIFFERENT TYPE OF FETAL ALCOHOL.
SPECTRUM DISORDER SO. I DON'T
HAVE THAT INFORMATION SO FOR ME
IT'S HARD FOR ME TO SUPPORT
SOMETHING. OUT TO OPEN UP THE
FLOODGATES WITHOUT. THAT
KNOWLEDGE WITHOUT THOSE
SAFEGUARDS AND HONESTLY I FEEL
LIKE. YOU NEED THAT STUDY AND
THOSE SAFEGUARDS FOR NOT JUST
TREATMENT PURPOSES BUT ALSO FOR
INDIVIDUAL USE PRIOR TO
DECRIMINALIZATION BECAUSE FOR
MANY PEOPLE THAT IS LEGALIZATION
AND THAT IS GIVING THE GREEN
LIGHT THIS IS THAT THIS IS SAFE
AND OKAY BUT- I DEFINITELY
APPRECIATE YOU BRINGING THIS
BACK. CONTINUING THE
CONVERSATION- I LOOK FORWARD TO
DATA. I IN THE FUTURE- THAT
SHOWS WHO SHOULD. BE GIVEN THE
GREEN LIGHT AND WHO SHOULD NOT
BE GIVEN THE GREEN LIGHT WITH
THESE KIND OF MEDICATION SO
THANK YOU. THE NEW OF MR
PATTERSON. HOLA SENATOR I
APPRECIATE YOU IS TAKING ON THE
LIGHTS SUBJECTS WITH NO
CONTROVERSY. I'M YOU KNOW I WANT
TO SAY TO YOU KNOW THE VICTIMS.
WE'VE HAD FAMILY MEMBERS THAT
YOU NOW REALLY- YOU KNOW
APPRECIATE YOUR PERSPECTIVE
OBVIOUSLY ON. THE IMPACTS THAT
THIS CAN HAVE ON YOU KNOW
FAMILIES- IT IS IMPORTANT
COMPONENTS AND TO THE YOUR
WITNESSES IN SUPPORT WE'RE-
SITTING BACK THERE INCLUDING ONE
FROM PLASTER COUNTY- YOU KNOW. I
CAN'T IMAGINE THE TRAUMA AND I
SPEAK ABOUT THIS A LOT THAT. A
FIREFIGHTER. WOULD GO THROUGH
YOU YOU SEE YOU KNOW WHETHER
IT'S NINE ELEVEN ARE SEEING A
I'M A BABY WHO HAD DROWNED IN A
SWIMMING POOL YOU KNOW MULTIPLE
TIMES YOU KNOW THE KIND OF
CUMULATIVE TRAUMA THAT THAT PUTS
ON A- YOU KNOW FIREFIGHTER AND
OBVIOUSLY. YOU KNOW SERVING IN
THE MILITARY YOU KNOW I COME
FROM A FAMILY LONG HISTORY OF A
- FAMILY MEMBERS IN THE MILITARY
AND- YOU KNOW WE HEAR THE
STORIES AND THINGS LIKE THAT AND
THEY CAN ALWAYS TALK ABOUT YOU
KNOW THE HERO LIKE ONES BUT THEY
DON'T OFTEN TALK ABOUT THE
DIFFICULT SITUATIONS THAT THEY
WERE AND- I'M IN SO I DON'T YOU
KNOW FRANKLY I DON'T KNOW WHAT'S
- YOU KNOW WORKS FOR THEM MIGHT.
I DO FEEL LIKE I DO HAVE A HARD
TIME BELIEVING THAT IN
CALIFORNIA- I AM NOT SAYING IT
DOESN'T HAPPEN BUT- SOMEBODY
WHO. IS USING SOMETHING FOR
PERSONAL USE. IS GOING TO BE
SENT TO PRISON- FOR DOSING ON IN
FACT WE HAVE LAWS THAT BASICALLY
DON'T DO THAT I MEAN I KNOW WE
HAVE. SELLING OF YOU KNOW
TRAFFICKING YOU KNOW THEY'RE ALL
SORTS OF OTHER LAWS SORT OF
SURROUNDING. YOU KNOW DRUGS IN
AND THINGS LIKE THAT BUT- I
THINK IF SOMEBODY'S USING IT FOR
PERSONAL USE I THINK THE CHANCES
OF SOMEBODY GOING TO PRISON ARE
BEING CRIMINALIZED FOR THAT IS
NOT. SOMETHING THAT I SEE A LOT
OF PROSECUTION ON AND I MEAN I
COULD BE WRONG ON THAT BUT I
THINK DECRIMINALIZING IT TO THIS
EXTENT. IS A IS A STEP TOO FAR
THAT I'M NOT WILLING TO GO TO.
LOOK I DON'T WANT. SOMEBODY WHO
HAS SUFFERED THROUGH NINE
ELEVEN. TO GO TO PRISON YOU KNOW
FOR DOING SOMETHING THAT HELPS
THEM BE A BETTER PERSON AND A
CONTRIBUTOR TO SOCIETY AND
SOMEBODY WHO'S ALREADY SERVED.
YOU KNOW OUR COUNTRY- YOU KNOW
SO I AM SYMPATHETIC TO THAT AND
I AM INTERESTED IN THIS TOPIC.
GOING FORWARD FOR SURE BUT I'M
I'M NOT TO THE POINT WHERE I'M
WILLING TO- YOU KNOW
DECRIMINALIZE IT IN THIS IN THIS
METHOD I THINK A LOT MORE WORK
AND- YOU KNOW NEEDS TO BE DONE
TO GET THERE. I'M YOU KNOW SO
LIKE I SAID I'M NOT QUITE THERE
I DO YOU KNOW YOU BROUGHT A VERY
STRONG CAST OF SUPPORTERS I WILL
SAY THAT WITH- STORIES THAT.
YEAH NOW I MEAN I'M I'M I'M VERY
HAPPY THAT GENTLEMEN HAVE FOUND
SOMETHING THAT. BUT YOU IN A
POSITION TO NOT HAVE THE SUFFER
FROM WHAT YOU'VE BEEN THROUGH
AND THANK YOU BY THE WAY FOR THE
BOTH OF YOU THE SERVICE TO OUR
COUNTRY- YOU NOW AND- BUT TAX.
YOU KNOW I'M OBVIOUSLY INSERTED
IN YOUR CLOSING STATEMENTS. NOT
QUITE THERE YOU KNOW LIKE I SAID
PRECIADO IT YOU BRINGING THAT
LESS CONTROVERSIAL ITEMS ALWAYS.
EVERY COMMITTEE THAT YOU KNOW
I'VE SEEN YOU KNOW THINKING
OUTSIDE THE BOX A LITTLE BIT SO
THANK YOU SENATOR AND- NOW
EXAMPLES AS NOT THERE TODAY ON
THIS BILL BUT- APPRECIATE YOU
OPENING THIS CONVERSATION AND-
BRINGING STRONG WITNESS IS. TO
TESTIFY ON HOW THIS IS THIS IS
HELP THEM GET THROUGH SOME OF
THE TRAUMA THAT THEY'VE
EXPERIENCED THANK YOU. THANK YOU
. EVERYONE ELSE IN THIS CAREER.
THANK YOU MISTER CHAIRMAN AND
THANK YOU TO THE AUTHOR AND THE
CONVERSATIONS THAT WE HAVE HAD
RELATED TO THIS POLICY. I ALSO
WANT TO THANK THE- I BELIEVE
IT'S MOSTLY THE GENTLEMAN THAT
THAT SHOWED UP TODAY IN AND-
POSITIVE TESTIMONY TOWARDS THE
BILL AND THE IMPORTANCE OF HOW
THEY FELT AND DEALING WITH. OF
PTSD AN ADDITIONAL TRAUMA AND I
WANT TO THANK ALSO THE-
WITNESSES IN OPPOSITION I WANT
TO ALIGN MY COMMENTS WITH AYE
I'M STARTING CATCHER NAME DOCTOR
FROM. JENNIFER MITCHELL JENNIFER
MITCHELL THANK YOU. FOR YOUR
COMMENTS IN TERMS OF. WHAT IS
POSSIBLE AND WHAT WE CAN DO
MOVING FORWARD- SPECIFICALLY AS
I WAS READING THE ANALYSIS OF
THE BILL- ITEM THIRTEEN. WHICH
ARE ADAM FOURTEEN. AND I LOST MY
ITEM ONE MOMENT. I DON'T.
SPECIFIES THAT IMPLEMENTATION
RELATED TO FACILITATED AND
SUPPORTIVE USE AND RELATED
ACTIVIST ACTIVITIES IS NOT
LAWFUL. UNTIL SUCH A TIME AS
REGULATORY FRAMEWORK GOVERNING.
THE THERAPY THE THERAPEUTIC USE
INCLUDING FACILITATED AND
SUPPORTED USE OF- YOU KNOW THE-
MESCALINE DID DMT AT. ARE
DEVELOPED AND ADOPTED. SO WHAT I
HEARD TODAY. IS THAT. IN THESE
POTENTIAL SUBSTANCES ARE
INCREDIBLY HELPFUL IN DEALING
WITH PTSD WE CURRENTLY DO NOT
HAVE IS A STRUCTURE IN WHICH THE
SUBSTANCES CAN BE USED IN A SAFE
MANNER. WITH- INDIVIDUALS AND
KNOW HOW TO. PROCESS AND TREAT
AND SUPPORT AN INDIVIDUAL GOING
THROUGH THAT PROCESS WHAT WERE
ME- AND I REPRESENT THE MOSTLY
THE CITY OF LOS ANGELES. IS THAT
WHILE WE ARE DEALING WITH
MASSIVE ISSUES RELATED TO
HOUSING AND ON HOUSE COMMUNITIES
SUBSTANCE ABUSE ISSUES. OF
MENTAL HEALTH CHALLENGES AT
CETERA DECRIMINALIZING FOR
PERSONAL USE WHILE NOT HAVING
ALL THE OTHER- SAFEGUARDS IN
PLACE DOES NOT HELP MY COMMUNITY
. I DON'T KNOW HOW TO RESPOND TO
LAW ENFORCEMENT WHO WILL NOT
HAVE THE SUPPORT THAT THEY NEED
TO ENSURE THAT. THESE SUBSTANCES
ARE GETTING INTO THE WRONG
HANDS. WE HAVE A FEDERAL CRISIS
THAT WE'RE DEALING WITH WE HAVE
AN ON HOUSING CRISIS THAT WE'RE
DEALING WITH WE HAVE MENTAL
HEALTH CHALLENGES SUBSTANCE
ABUSE ISSUES WE HAVE A LOT OF
REALLY BIG CHALLENGES IN THE
STATE. I DON'T UNDERSTAND I
DON'T SEE UP A PATHWAY IN WHICH
WE DECRIMINALIZED BEFORE WE HAVE
THE REGULATORY FRAMEWORK FOR
CLINICAL USE AND SUPPORT. AND I
SAY THAT WITH ALL DUE RESPECT
AND THOUGHT ABOUT WHAT YOU'RE
TRYING TO ACCOMPLISH FOR THOSE
THAT NEED. ADDITIONAL OF WAYS IN
WHICH TO HEAL I GET THAT THAT'S
NOT THE ISSUE. THE ISSUE IS WHY
DON'T WE WORK ON CREATING THE
FRAMEWORK NECESSARY FIRST TO
ENSURE THAT THOSE THAT ARE USING
THE SUBSTANCE HAS TO HE'LL- HAVE
THAT AVAILABLE TO THEM VERSUS
JUST SAYING HEY YOU'RE TWENTY
ONE AND OVER AND YOU HAVE. YOU
KNOW TWO GRAMS OF ACSR TWO GRAMS
OR FOUR OUNCES OF WHATEVER OF
MUSHROOMS. YOU'RE GONNA BE FINE
. THAT STILL DOESN'T ANSWER THE
QUESTION AS TO WHO'S SELLING IT.
WHO'S MAKING A PROFIT. AND HOW
ARE THESE SUBSTANCES GETTING
INTO THE WRONG HANDS POTENTIALLY
. SO I WILL AS I DID IN PREVIOUS
VERSIONS OF YOUR BILL NOT BE
SUPPORTING THE POLICY. AND YOU
KNOW WILL CONSIDER YOUR YOUR
CLOSING REMARKS AS THIS BILL
MOVES FORWARD TO APPROPRIATIONS
THANK YOU. ANYONE HOUSE. OKAY
WELL FIRST OFF THANK YOU SENATOR
FOR WORKING WITH US- AND I WILL
BE SUPPORTING THE BILL TODAY BUT
I DO WANT TO SAY THAT- BEFORE WE
GOT THE LONGEST ANALYSIS OF ANY
BILL ONE. OF THE DAY HERE AND I
THINK THERE'S A GOOD REASON FOR
THAT- BUT- I TO. YOU I'M GOING
TO SUPPORT IT TODAY- WE'VE-
WHICH YOU TOOK A LOT OF
AMENDMENTS. THAT I KNOW YOU
WEREN'T THRILLED ABOUT- AND I
RESPECT YOU AND I THANK YOU FOR
DOING THAT- I STILL DO HARPER
PERSONAL RESERVATIONS ABOUT.
EXACTLY WHAT THIS CARILLO WAS
TALKING ABOUT AS WEEK WE'RE
WE'RE GOOD LOOKING AT A
THERAPEUTIC WE'RE LOOKING AT A
GUIDELINES FOR THERAPEUTIC HE
SAID THIS. BUT REALLY NOTHING
FOR THE PERSONAL RECREATIONAL HE
SAID THAT OR WHATEVER YOU WANNA
CALL WE'RE CALLING THIS
DECRIMINALIZATION AND SO. THE
DECRIMINALIZATION PIECE OF THIS
IS REALLY MORE THAN THE PURVIEW
OF THE PUBLIC SAFETY COMMITTEE
THEY'VE WEIGHED IN THAT'S KIND
OF WHERE WE ARE I'M LOOKING AT
THIS FROM THE PUBLIC HEALTH
PERSPECTIVE. I DON'T KNOW WHAT
LONG TERM USE IN LARGER AMOUNTS
AS IN OTHER CANNABIS- WERE WERE
SEEN SOME THINGS IN CANADA SAID
NONE OF US NONE OF US EXPECTED
IN OR NOT I'M NOT THRILLED
ABOUT- FOR THE RECORD AND I
DIDN'T SUPPORT PROP SIXTY FOUR
BECAUSE I WANTED TO MEDICAL
FRAMEWORK. TO BE IN PLACE FOR A
LONGER PERIOD OF TIME BUT THE
VOTER SPOKE AND THAT'S WHERE WE
THAT'S WHERE WE ARE. AND OUR
SCENE DOWN THE ROAD SOME
CHALLENGES WITHOUT. SO I AM
GOING TO SUPPORT THIS TODAY BUT
I. DO AGREE I THINK IT'S I WOULD
BE PERSONALLY MUCH MORE
COMFORTABLE IF WE HAD THE STUDY
DONE FIRST. AND THEN AND THEN A
FRAMEWORK FOR AROUND. THE MORE
RECREATIONAL USE ABOUT BUT- BUT
I'M IN HONOR. OF CONVERSATIONS
WE'VE HAD WITH YOU MOVE THIS
FORWARD AND- AN ASSET YOU MAYBE
CONSIDER THIS. YEAR SO GOT TO
GET TO APPROPRIATIONS AND YOU'VE
GOT. EIGHT OF EIGHTY PEOPLE ON
THE ASSEMBLY FLOOR- HER GIVE A
LOOK AT THIS ITEM AS WELL SO
ANYWAY SO I THINK YOU AND I AM
FOR THAT- GIVE ME THE
OPPORTUNITY CLOSE. GREAT I
THOUGHT. I'M SORRY THANK YOU
MISTER CHAIRMAN THANK YOU
COLLEAGUES FOR THE THOUGHTFUL
CONVERSATION BOTH THE ONE ON ONE
CONVERSATIONS WE'VE HAD THIS
YEAR. AND LAST YEAR- AS- AND THE
GROUP CONVERSATION TODAY VERY
THOUGHTFUL INCLUDING THOSE WHO
SUPPORT AND DON'T SUPPORT- I
ALSO JUST WANNA AS I DID IN
POSTED JUST ONE EXPRESS- TO THE
MOTHERS- HERE TODAY- I AM SO.
DEEPLY SORRY. FOR YOUR LOSS THAT
IS. ONE OF THE MOST HORRIFIC
LOSSES THAN ANY HUMAN BEING
COULD EVER. OF EXPERIENCE AND
ALSO THE OTHER- PARENTS- AND I
AM JUST SO SORRY- I ALSO JUST
WANNA ONE QUICK THING ON THE
LINE WHICH I WAS BROUGHT UP
ABOUT- THE- ARE GIVING UP RIGHT-
DOT. IS NOW CONTINGENT WITH THE
AMENDMENTS ON THE FACILITATED
USE BEING ADOPTED BY THE
LEGISLATURE TO. UNFAIR
INFORMATION. SO I'M YOU KNOW IN
THE CONVERSATION TODAY THERE'S
BEEN- RIGHT. TO UNREGULATED
WEISS WIDESPREAD USE FLOODGATES
AND IN THE POTENTIAL FOR A LOT
OF USE OF PSYCHEDELICS. I WILL
BE ALSO VERY VERY CLEAR. THAT'S
HAPPENING RIGHT NOW. A HUGE
NUMBER OF PEOPLE RIGHT NOW IN
CALIFORNIA AND EVERY OTHER STATE
ARE USING PSYCHEDELICS- USING A
ON. ON ONE UP WHATEVER WITH
WHATEVER REGULARITY THEY'RE
USING DESPITE THE FACT. THAT
IT'S- BANDS. ARE AND WHAT THAT
MEANS UNDER BY THE END OF SUMMER
PATTERSON THERE ARE THERE ARE
ARRESTS- THAT HAPPENED THERE
ARE- THEY TEND NOT TO BE PEOPLE
WHO LOOK LIKE ME BUT THERE ARE
US. OTHER HAPPENED A BIT EVEN UP
BEYOND ANY ARRESTS THAT
HAPPENED. ON JUST THE FACT THAT
PEOPLE KNOW. THAT THEY ARE
COMMITTING A CRIMINAL ACT BY.
POSSESSING BY USING MAKES IT
LESS LIKELY THAT THEY WILL SEEK
THE EDUCATION. AND INFORMATION
THAT WE WANT THEM TO RECEIVE IT
THEY IF YOU THINK YOU'RE DOING
SOMETHING WRONG. YOU ARE LESS
LIKELY TO SEEK OUT INFORMATION
TO TALK TO SOMEONE ABOUT HOW. TO
BE SAFE- AND THAT'S WHAT OUR
CURRENT MODEL DOESN'T STOP
PEOPLE FROM USING. BECAUSE
THEY'RE STILL USING. BUT IT DOES
MAKE IT LESS LIKELY THAT PEOPLE
WILL GET THE INFORMATION THAT
THEY NEED. AND PEOPLE AREN'T AS
USING NOW A HUGE NUMBER OF
PEOPLE AND CULTURES ACROSS THIS
PLANET HAVE BEEN USING
PSYCHEDELICS PLAN A MUSHROOM
BASED PSYCHEDELIC. FOR EVER. OR
EVER THIS IS NOT A NEW THING.
AND THERE ARE. I'M NOT THERE ARE
PEOPLE AS WE HEARD TODAY WHO'VE
HAD BAD EXPERIENCES IN SOME
INCREDIBLY TRAGICALLY BAD
EXPERIENCES THERE ARE A LOT OF
PEOPLE. WHO HAVE NOT AND HAVE
BEEN ABLE TO USE A PLATE. OF FOR
YEARS AND YEARS AND WE KNOW FROM
THE STUDIES COME OUT OF COLORADO
AS I MENTIONED. THAT WE HAVE NOT
SEEN AN INCREASE IN THE OUR
VISITS AND- INCREASE IN PUBLIC
SAFETY. I CHALLENGES. I'M FINE I
APPRECIATE MY CONVERSATION
CONVERSATION THERE WITH SOMEONE
WITHOUT THEIR WEBER- ABOUT
PREGNANT WOMEN AND I APPRECIATE
THE COMPARISON WITH. WOMEN WHO
ARE WHO USE ALCOHOL DURING
PREGNANCY AND THE TERRIBLE
IMPACT SECOND HAPPENED A FETUS.
AND THAT ALCOHOL IS LEGAL WE
DON'T ARREST THEM FOR USING
ALCOHOL WE DON'T BAN ALCOHOL WE
TRIED BANNING ALCOHOL ONCE
DIDN'T. GO OVER SO WELL ON WE
TRIED TO PROVIDE EDUCATION AND
INFORMATION ON AND WE'D AND THE
FACT THAT THEY'RE NOT BEING
THREATENED WITH ARREST.
DIVIDIDOS WHEN THEY'RE NOT MAKES
IT MORE LIKELY THAT THEY WILL
TALK TO SOMEONE AND GET THAT
INFORMATION AND THAT'S WHAT IT'S
ABOUT. I SO APPRECIATE THE
CONVERSATION TODAY AND I
RESPECTFULLY ASK YOUR RIVAL.
THANK YOU VERY MUCH SENATOR
WINNER- WE DO HAVE A MOTION FROM
DIE PLEASE DOCTOR ARAMBULA AND
ASSEMBLY MEMBER MCCARTY. THE
MOTION IS TO PASS AS AMENDED TO
APPROPRIATIONS. ON THAT SECTOR
PLEASE CALL THE ROLL WOOD I
WOULD I WALDRON. WALDRON AYE
AGUIAR-CURRY AGUIAR-CURRY AYE
ARAMBULA. ARAMBULA AYE BURNER.
BURNER I WENDY CARILLO. WENDY
CARILLO NONVOTING FLORA. LARA I
VINCE FONG. AND FONG NO
MAIENSCHEIN. MAIENSCHEIN NOT
VOTING MCCARTY MCCARTY I TO
PATTERSON. THE PATTERSON NO
RODRIGUEZ. RODRIGUEZ NOT VOTING
SOMETHING'S SANTIAGO. SANTIAGO I
BE ABLE TO UP. YOUR FOOD WHILE I
WEBER. WEBER NOT VOTING. YOUR
BILL HAS NINE VOTES IT'S OUT OF
COMMITTEE THANK YOU BOTH NINETY
TWO THANK YOU CALLING THANK YOU
MISTER- SAYS FOR ALL GATHERED
HERE WE CAN NOW GO THROUGH THE
REST OF OUR- THANK GOD OUR VOTES
FOR THE REST OF OUR- THAT'S
HERE- WE'RE GONNA START THE TOP-
ITEM NUMBER ONE. SB SIX THIRTY
FIVE BY SENATOR MENSCH OF ARE
THESE- OPEN THE ROLE AND CALL
THE ABSENT MEMBERS. ARAMBULA
ARAMBULA AYE BURNER. BURNER I
LARA. LARA I MAIENSCHEIN.
MAIENSCHEIN AINDA PATTERSON.
PATTERSON AYE RODRIGUEZ
RODRIGUEZ AYE SANTIAGO SANTIAGO
I. AT FIFTEEN ZERO ITEM NUMBER
TWO S. B. ELEVEN BY SENATOR
MENJIVAR PLEASE OPEN THE ROLL
CALL THE ABSENT MEMBERS ARAMBULA
ARAMBULA AYE BURNER BURNER HI
FLORA. FLORA I MAIENSCHEIN
MAIENSCHEIN IDOL PATTERSON.
PATTERSON AYE RODRIGUEZ
RODRIGUEZ AYE SANTIAGO SANTIAGO
I FIFTEEN TO FIFTEEN ZERO I
DON'T NUMBER THREE SB FIVE FORTY
ONE BY SENATOR MANAGER MANAGER
OF OUR PLEASE LIFT THE CALLING
CALL THE ABSENT MEMBERS.
ARAMBULA ARAMBULA AYE BURNER.
BURNER I. LAURA LAURA NO
MAIENSCHEIN MAIENSCHEIN IDA
PATTERSON. PATTERSON NO
RODRIGUEZ RODRIGUEZ AYE SANTIAGO
SANTIAGO I PUT WHAT IT PUT Y.
FOUR THAT'S TWELVE TO FOUR. WHAT
THE CAT DOESN'T WORK. I'M SORRY
YEAH THIS TOP THREE OF THE THREE
THAT WORKS BETTER THANK OKAY
ITEM NUMBER FIVE SP FOUR OH
EIGHT WE WERE AWAKE THERE PATTY
IS JUST. FAIR RIGHT. OKAY I'D S.
B. R. FOUR AWAIT BY ASHBY-
PLEASE OPEN. OH I'M SORRY I'M
SORRY ITEM NUMBER FOR SB SEVEN
TWENTY NINE MANAGE OF OUR PLEASE
LIFT THE CALL CALL THE ABSENT
MEMBERS ARAMBULA ARAMBULA AYE
BURNER BURNER I FLORA. OR NOT
VOTING. MAIENSCHEIN MAIENSCHEIN
ARCHER PATTERSON. THE PATTERSON
NOT VOTING SANTIAGO. A ITEM
NUMBER FOR SB SEVEN TWENTY NINE
. SANTIAGO I FEEL APPROVED WHAT
. THE VALLAPUDUA NOT VOTING. AND
THE ONE THAT'S TEN TO ONE I
REMEMBER FIVE SP FOUR OH EIGHT
BY SENATOR ASHBY PLEASE OPEN THE
ROLL CALL THE ABSENT MEMBERS
EARNER. BURNER I FLORA FLORA I
MAIENSCHEIN. MAIENSCHEIN IDOL
PATTERSON. THE PATTERSON AYE
SANTIAGO SANTIAGO IP VALLAPUDUA
REPORT BY. FIFTEEN FIFTEEN ZERO
ITEM NUMBER SIX SB FIVE SEVENTY
BY SENATOR BACKER PLEASE OPEN
THE ROLL CALL THE ABSENT MEMBERS
BURNER. WERNER I. LAURA LAURA I
MAIENSCHEIN MAIENSCHEIN AYE
SANTIAGO. SANTIAGO I. THIRTEEN
ZERO THIRTEEN ZERO I'M ITEM
NUMBER SEVEN S. B. EIGHT SEVENTY
THREE BRADFORD PLEASE OPEN THE
ROLL CALL THE ABSENT MEMBERS
BURNER. WERNER I MAIENSCHEIN.
MAIENSCHEIN I. RODRIGUEZ
RODRIGUEZ I SANTIAGO SANTIAGO I
. S. B. EIGHT SEVENTY THREE ITEM
NUMBER SEVEN. THIRTEEN ONE.
ABOUT US THIRTEEN TO ONE- ITEM
NUMBER ITEM NUMBER EIGHT NINE
TEN FIFTEEN SIXTEEN OR THE
CONSENT CALENDAR PLEASE OPEN THE
ROLL CALL THE ABSENT MEMBERS
BURNER. WERNER II FLORA FLORA I
MAIENSCHEIN MAIENSCHEIN IHO
PATTERSON. PATTERSON AYE
RODRIGUEZ RODRIGUEZ I SANTIAGO.
SANTIAGO AYE FIFTEENS ARE AT
FIFTEEN ZERO ITEM NUMBER ELEVEN
SP FOUR NINETY SIX PLEASE OPEN
THE ROLL CALL THE ABSENT MEMBERS
BURNER BURNER I FLORA FLORA I
MAIENSCHEIN MAIENSCHEIN AYE
RODRIGUEZ. RODRIGUEZ I SANTIAGO
. UNTIL I FIFTEEN ZERO TO
FIFTEEN ZERO ITEM NUMBER TWELVE
S. B. TWO THIRTY FOUR BY SENATOR
PORTANTINO PLEASE OPEN THE ROLL
CALL THE ABSENT MEMBERS BURNER.
BURNER I LAURA LAURA I
MAIENSCHEIN MAIENSCHEIN EYEING
SANTIAGO. SANTIAGO I WOULD WANNA
BE ABLE TO I. FIFTEEN ZERO
FIFTEEN ZERO ITEM NUMBER
THIRTEEN SB FOUR TWENTY SEVEN BY
SENATOR PORTANTINO PLEASE OPEN
THE ROLL CALL THE ABSENT MEMBERS
BURNER. EARNER I LARA. LARA
NODDING. MAIENSCHEIN MAIENSCHEIN
I JOE PATTERSON- PATTERSON NOT
VOTING SANTIAGO SANTIAGO I FEEL
WOULD WANNA. BE APPROVED BY.
TWELVE ZERO ITEM NUMBER FOURTEEN
SP FOUR SEVEN EIGHTY SIX BY
SENATOR PORTANTINO PLEASE OPEN
THE ROLL CALL THE ABSENT MEMBERS
BURNER. EARNER I LAURA LAURA I
MAIENSCHEIN MAIENSCHEIN IDA
PATTERSON. PATTERSON AYE
SANTIAGO. SANTIAGO I REPORT WHAT
. IT WOULD Y. FIFTEEN ZERO EIGHT
FIFTEENS ARE ITEM NUMBER
SEVENTEEN S. B. FIVE NINETY
EIGHT PLEASE- THE ROLL CALL THE
ABSENT MEMBERS LARA. LARA NOT
OWNING MAIENSCHEIN MAIENSCHEIN
IDA PATTERSON. PATTERSON NOT
VOTING RODRIGUEZ RODRIGUEZ IP
VALLAPUDUA IT WOULD Y. ELEVEN
ZERO THAT'S ELEVEN ZERO I
REMEMBER EIGHTEEN SB SEVEN
SEVENTEEN PLEASE OPEN THE ROLL
CALL THE ABSENT MEMBERS BURNER.
BURNER I FLORA FLORA I
MAIENSCHEIN MAIENSCHEIN I JOE
PATTERSON. PATTERSON AYE
RODRIGUEZ. RODRIGUEZ AYE
SANTIAGO SANTIAGO I. FIFTEEN
ZERO FIFTEEN FIFTEEN ZERO ITEM
NUMBER NINETEEN PLEASE. LIFT.
LIFT THE CALL THE CALL THE
ABSENT MEMBERS. FOR BURNER I
LARA. LARA NO. MAIENSCHEIN
MAIENSCHEIN I RODRIGUEZ
RODRIGUEZ AYE SANTIAGO SANTIAGO
I. ELEVEN FOR ELEVEN TO FOUR
ITEM NUMBER TWENTY- WE'VE- WE'VE
COMPLETED THE VOTE ON THAT- ITEM
NUMBER TWENTY ONE PLEASE OPEN
THE ROLL CALL THE ABSENT MEMBERS
BURNER. BURNER I FLORA FLORA I
MAIENSCHEIN MAIENSCHEIN I'M JOE
PATTERSON. PATTERSON AYE
SANTIAGO SANTIAGO I BE APPROVED
WHILE THE FOOD WINE. FIFTEEN
ZERO FIFTEEN ZERO. WITH THAT OF
THE HEARING FOR THE HEALTH
COMMITTEE IS NOW ADJOURNED.