Senate Standing Committee on Rules
- Monique Limón
Legislator
The Senate Committee on Rules will come to order. Before we begin today's agenda, let's establish quorum. Secretary, can we please call the roll?
- Monique Limón
Legislator
Quorum has been established. Thank you so much. Thank you all for being here for my very first rules hearing. Everybody, if there's no objections, I'd like to take up first on today's agenda. Governor's appointments not required to appear, starting with item 2C.
- Monique Limón
Legislator
The appointment of Courtney Welsh as a Member of the California Housing Partnership Corporation Board of Directors.
- Monique Limón
Legislator
Thank you so much. Senator Laird has made the motion. Can we please call the roll?
- Monique Limón
Legislator
All right, that item is approved with the 30 vote. Next, we have an item for the governor's appointments not required to appear. Item 2 D. Janessa Goldbeck for the California Veterans Board.
- Monique Limón
Legislator
Thank you so much. Senator Laird has made a motion. Can we please call the roll?
- Monique Limón
Legislator
All right, thank you very much. That item is Approved with the 30 vote. And the last item for the governor's appointments not required to appear is item 2E. Tom Huntington for appointment to the state Parks and Recreation Commission. I'll entertain a motion. Thank you so much. Senator Laird has made the motion. Can we please call the roll?
- Monique Limón
Legislator
Thank you very much. So that motion is approved, three to zero. Next, I'd like to take up item three, which is reference of bills to committees. I will entertain a motion if there is one. Thank you so much. We have here. We have. Sorry, I'm going to call the roll. Thank you.
- Monique Limón
Legislator
That item is approved with 4 to 0 votes. The next item I'd like to take up is item 4. Appointment of the chairs and Members of committees for the 2026 legislative session. Please note that all changes aside from the budget Committee, budget subcommittees and natural resources and water committees will take effect February 1st of 2026.
- Monique Limón
Legislator
This includes the creation of the two new committees, which are contingent upon the adoption of the Senate. Senate resolution creating the new committees. I will entertain a motion. Thank you so much. Senator Jones, with The motion. Can we please call the roll?
- Monique Limón
Legislator
All right, that is out. 4 to 0. Next, I'd like to take up item number five, the adoption of the 2026 session schedule. I'd welcome a motion. Thank you so much, Senator Jones, for that motion.
- Monique Limón
Legislator
All right, that motion is out, 4 to 0. For the next item, I'd like to take up item number six, the 2026 Senate Holiday schedule. I will entertain a motion. Thank you very much. Senator Jones, can we please call the roll?
- Monique Limón
Legislator
Next, we will move on to. For acknowledgments. So before we turn to our Governor appointees, we're going to move to items 7 and 8 Floor Acknowledgments, and I will entertain a motion. Thank you very much, Senator Jones, for the motion.
- Monique Limón
Legislator
4 to 0. So now we're going to return to governor's appointees that are required to appear. And we're going to begin with item 1A, the appointment of Hernando Garzon, M.D. as Chief Medical officer, Emergency medical services authorities. You are welcome, or if you prefer to. Okay. Okay, great. Thank you. Thank you very much.
- Monique Limón
Legislator
Dr. Garzon, you will have the opportunity to provide one to two minutes for your opening testimony to this Committee. And in your opening, you're welcome to introduce any guest. I will be keeping time of the opening and we'll give you a prompt when it is time to close that opening. Opening.
- Hernando Garzon
Person
Thank you. Thank you, Senator. Good afternoon, Senators and distinguished guests. My name is Hernando Garzon. Thank you for your time for the opportunity to attend this confirmation hearing.
- Hernando Garzon
Person
I've been serving as the acting Chief Medical Officer for the California Emergency Medical Services Authority since November of 21 and began my Governor appointment position for the same role on March 25. I serve in partnership with the Director of EMSA, Elizabeth Basnet, who was appointed to her position in 23.
- Hernando Garzon
Person
I would like to thank Governor Newsom for the appointment to the position. I would like to give you a bit more background than you will find in my resume or LinkedIn page. Both for context and better understanding of how I got to sit here in front of you today.
- Hernando Garzon
Person
I was born in Bogota, Colombia, and my family moved to New York City when I was 4 years old. I started kindergarten one month after we emigrated, not yet speaking any English except for four years in Western Massachusetts.
- Hernando Garzon
Person
During college, I grew up and attended medical school at New York University and completed my Emergency Medicine residency in New York City. I characterize my career with two lifelong recurring themes. The first is the motivation to be of service. This has been my guiding principle as a physician.
- Hernando Garzon
Person
The second is an endless curiosity to undertake new challenges and opportunities, particularly if I can apply my medical knowledge to them. I've been very fortunate to have a unique and diverse career as a physician.
- Hernando Garzon
Person
The foundation of that professional career has been 30 years as an emergency Department physician doing emergency Department shifts in Northern California, primarily in Sacramento, but I've always been curious about using my medical knowledge in other settings.
- Hernando Garzon
Person
Shortly after beginning my clinical practice in Sacramento, I joined the Sacramento Urban Search and Rescue Team in the nascent Urban Search and Rescue System under the Federal Emergency Management Agency.
- Hernando Garzon
Person
In that role, I served as the Chair for the Urban Search and Rescue Medical Working Group federally and in 15 years of participation, I provided medical oversight for federal relief efforts in many federal disasters, including the Oklahoma City bombing, the World Trade center at 911 New Orleans during Hurricane Katrina, and others.
- Hernando Garzon
Person
The FEMA work led to international training opportunities through the US State Department, and I have worked with many international non governmental organizations like Doctors Without Borders International, Medical Corps Relief International, and Project hope in over 20 countries.
- Hernando Garzon
Person
Circling back to my career at home, I was able to bring emergency management and disaster response experience back home in two ways.
- Hernando Garzon
Person
Perhaps most pertinent to this Committee is the second way was through my work with the Sacramento Fire Departments, and as a result of that work, I served as the Sacramento County EMS medical Director from 2008 to 2022.
- Hernando Garzon
Person
All of this career experience led directly to my participation with EMSA and the California Department of Public Health in the state's response to the COVID 19 pandemic, and finally to the position I currently serve at EMSA.
- Hernando Garzon
Person
On a personal level, I have three amazing children, three amazing granddaughters, and we had two family weddings in 2025 as two of my children got married that year. I enjoy almost any outdoor activity but skiing in particular, and in case you haven't guessed already, I love to travel. Thank you again for your time and attention. I'm happy to take questions.
- Monique Limón
Legislator
Thank you very much, Dr. Garzon. For your service Members. We're going to open it up for questions. Questions, any questions. And I'm going to start with Senator Laird, followed by Senator Jones.
- John Laird
Legislator
Thank you for your service and your willingness to serve. And I appreciate the the background you just described that you bring to this position because I think that will be really helpful. I just had a few questions and one is, is that in 2023 your agency did a strategic plan and it's supposed to cover 10 years.
- John Laird
Legislator
What progress have you made and how has that given you some priorities that you are trying to move ahead with as you move into this position?
- Hernando Garzon
Person
Senator, thank you for that question. So in addition to the Health and Safety Code, the statute and our regulations, our strategic plan has been a critical part of essentially laying the roadmap for our progress moving forward. Built into that strategic plan is a process to reevaluate and update that plan.
- Hernando Garzon
Person
So we had short term, medium term and long term objectives. Our plan was and we're working on now is a two year update of revision to that where we review our short and medium term goals and assess them.
- Hernando Garzon
Person
And so we've all the work we've done in the last couple of years which have worked in many areas but have been very focused on updating our regulations book with many of the chapters are outdated to address the objectives that we have laid out in that plan, defining the metrics that we're going to use to track success and progress in those areas.
- Hernando Garzon
Person
And we should have a two year report at some point in this coming year for how we've been doing with that strategic plan.
- John Laird
Legislator
And at a high level, are there certain places you've already adopted that there's real shortcomings that you need to address?
- Hernando Garzon
Person
Well, we've been there were many I'll give you some of the highlights, I think of the strategic plan. One is to as some of you may know, EMSA has a role in disaster response throughout the state.
- Hernando Garzon
Person
So part of this is to look at our preparedness, especially with changes that have happened at the federal level and knowing that we face increasing climate change issues and other things are are we prepared enough as a state and is MSEP prepared enough to participate the way it is designed to and supposed to in that so that's one component.
- Hernando Garzon
Person
Another component has been our data because we have many silos of data, whether it's the central registry on EMS personnel or the clinical records that we have that paramedics complete the patient care reports.
- Hernando Garzon
Person
And many questions have come up about and I think looking for data and I think both Director Besnett and I believe in a data driven, evidence based decision making process moving forward. Do we have the data we need and how do we bring that all together?
- Hernando Garzon
Person
So we've done huge changes in our information technology section, worked with Department cdt, California Department of Technology to have. We're making this effort to bring all this data in house, have it all communicate with each other and have that more easily available so we can do the analytics we need to do for our EMS system.
- John Laird
Legislator
And then sort of what you said tees up my next question a little.
- John Laird
Legislator
And I really appreciate the, the sort of emphasis on climate because I mean I had a district and I'm sure Senator Lamone had a similar thing that were ground zero in the atmospheric rivers a couple of years ago, the Pajaro levee break, various pieces of wharfs floated away, seawalls were washed away.
- John Laird
Legislator
It was into homes in a number of places. And a lot of those, despite the stereotype about the coast, were disadvantaged communities and disadvantaged people. And so helping be prepared is a big deal. But you sort of have 34 emergency medical services areas in the state and you work with them and they're all very different.
- John Laird
Legislator
And so how do you take standardized protocols that are supposed to be for the entire state and deal with the fact that you might be dealing with wealthy coastal areas, disadvantaged farm worker communities? How do you make sure that that sort of isn't this one size fits all and it deals with these differences.
- Hernando Garzon
Person
Thank you Senator for your question. So I think fortunately the EMS act of 1980, the health and safety code that is written for EMS, was very forward thinking to take this into account because we really have a two tiered system of EMS governance in the state.
- Hernando Garzon
Person
We have the EMS that created this EMS authority for the state and we provide, as you mentioned, sort of statewide regulations and create a minimum standard. But then with the 34 local EMS agencies, they each have an administrator, they each have a medical Director and they write the local policy. And so we balance this carefully.
- Hernando Garzon
Person
We meet with the administrators and the medical directors on a quarterly basis and even more often as a group, actually as a collective group, but also have calls with their leaderships monthly to address issues.
- Hernando Garzon
Person
And as much as we can, we try and create state standards that then they can fine tune or make more specific to their particular circumstance. Because as you mentioned, we have wealthier areas, we have rural areas versus urban areas and different numbers of resources, both on the Ms. Side and the hospital side.
- Hernando Garzon
Person
So some rural areas have to do more air medical transports of critical patients, whereas in an Urban center like Los Angeles or San Francisco, you see relatively little helicopter use. So all these things have to.
- Hernando Garzon
Person
We appreciate the differences locally and we give them, I think, the minimum standard and the framework or the architecture for them to apply locally for their needs.
- John Laird
Legislator
And if you ascertain that somebody in some area has not met the standards or is struggling, what recourse do you have to deal with that?
- Hernando Garzon
Person
So I think there's two things we do. One is the struggling portion is we provide technical assistance. And we frequently, I think the, the administrators and the local EMS medical directors tend to be a close knit group of people that work collaboratively so they frequently share best practices.
- Hernando Garzon
Person
And from the EMSA side, we provide technical assistance for people having problems resolving something or getting an application together for community paramedicine program or something like that. We provide help in doing those things.
- Hernando Garzon
Person
And then when they're not meeting their regulatory responsibilities, we have a regular cadence of communication of meeting with them and working with them to see how can we get you in compliance with them.
- John Laird
Legislator
Okay, I appreciate that. And that is an issue we all deal with with our locals. And my last question is, is that frequently either laws or budgets require reports and somehow it's up to us to make sure that the reports are actually done.
- John Laird
Legislator
And there was a requirement for your agency to develop and publish a report on its work website showing the allowable maximum rates for ground ambulance transportation services in each county. And I think that report is late if it's been made. Are you working on that? Is that something you're going to have out there and meet that requirement?
- Hernando Garzon
Person
Yes. So we're aware of that. I believe you're talking about Assembly Bill 716, that that legislation is really under the purview of the Director at emsa. I think as the chief medical officer, I typically don't get involved with ground ambulance transport rates. I tend to focus more on the medical side.
- John Laird
Legislator
So I, I suspect you'll go back. To the office and you'll say, I was asked about that. When are you going to do the report? So. So you should probably just do that.
- John Laird
Legislator
It doesn't come up in that confirmation hearing. Okay. Thank you. You've been very responsive. I appreciate it.
- Monique Limón
Legislator
Thank you. We're gonna go on to Senator Jones and then we'll do Senator Reyes.
- Brian Jones
Legislator
Thank you. Actually, Senator Laird hit on a couple of points that I wanted to make as well. On the answer to the last question, I would second Senator Laird's request that you have a conversation with the Director and just mentioned that you know we're anticipating that report and we'd like to see it. Another. Sorry, two other.
- Brian Jones
Legislator
One other issue he picked up on was the statewide standardization protocols. Specifically on that note on AB40 regulations, the ambulance patient offload time. I've received some feedback that the regulations were adopted and need some clarity to them.
- Brian Jones
Legislator
Do you anticipate your authority doing an faq, facts and questions or other informative documents to respond to concerns raised by stakeholders for more clarity on those regulations?
- Hernando Garzon
Person
Senator, thank you for your question. Yes, absolutely. So the AB40 legislation called for EMSA to produce emergency regulations for all the things that were required in the legislation. And so that process, I think, was a three month process.
- Hernando Garzon
Person
We took public comments but didn't respond to them and that they were passed so that we can actually begin the program, begin the portal to verify the signature that EMS providers had to allow the hospital staff to sign. And so it's been a learning process for all of us. We work collaboratively with hospital partners and EMS partners.
- Hernando Garzon
Person
They've given us feedback. We've heard similar things. We've actually been changing and improving the process along the way. For example, in the portal, initially you couldn't download the table of incidents that were happening and people requested that. So we made it so that they can download it to facilitate their work and their audits and things like that.
- Hernando Garzon
Person
So after the emergency rulemaking process comes a process where you have to then go and go through the normal rulemaking process with a longer public comment period and all of that.
- Hernando Garzon
Person
So all of the feedback we've gotten about the initial, the approved emergency regulations has gone into the drafting and revisions of those regulations, which we hope to have out for public comment in the, in the next three to six months.
- Brian Jones
Legislator
Great, thank you. One final thing. You know, obviously we pass bills here that, you know, take effect and become law and then regulators pass things that, you know, become regulations and stakeholders have to respond to. So I kind of like to get a grip on kind of your personal leadership style on dealing with stakeholders.
- Brian Jones
Legislator
Can you speak to your leadership style and how you would engage meaningfully with the full range of stakeholders. And if you want to mention a couple of stakeholders in your, if you have some in mind, that would be great with your emergency services space to ensure that all the stakeholders perspectives are heard.
- Hernando Garzon
Person
Exactly. So I think Director Besnett and I are both very much on the same page about transparency and inclusivity. And when we both came on board, it was, okay, what are the issues? What are the people's position? And let's Bring them all to the table and discuss this and everything, starting with the strategic plan.
- Hernando Garzon
Person
It took us a year to develop that plan. We did that in partnership and in meetings with all the relevant stakeholders. And so I think collaboration is a critical component of my leadership style for certain.
- Hernando Garzon
Person
I mean, I think we have on the EMS side, we have both local EMS agency staff that they oversee EMS locally, and then the participants in that system include the EMS providers. And we have public and private EMS providers throughout the state. And then we also have hospital side. Right. Because EMS interfaces with the hospital system.
- Hernando Garzon
Person
So we are in frequent communication with CHA and other hospital liaisons. And. And then we have the American College of Emergency Physicians and we have the Nursing Association, California association, and others that weigh in and participate in many of our committees and our technical advisory groups.
- Brian Jones
Legislator
Do you have some particular ways that you like to do that? I think you mentioned roundtables. Do the stakeholders have access, I don't know if it's appropriate or not, for your cell phone number.
- Brian Jones
Legislator
Do you bring people in for stakeholder meetings and kind of get their thoughts and ideas on how these regulations and laws are impacting the implementation?
- Hernando Garzon
Person
Yes, all of those. I think I probably give out my cell phone too liberally, but have that same problem because. Yeah. And my goal is to be available. Right. For people. So I really don't hesitate to share that information.
- Hernando Garzon
Person
And even, you know, the lowest level paramedic that call me and they say, zero no, we can't call you. We'll have my boss call you. I said, you call me if you have an idea or question or suggestion. So to be inviting that way to begin with. And then I think it depends on the topic.
- Hernando Garzon
Person
So we have a number of ongoing quarterly meetings. When we're trying to get through, say, a regulations update, we may have more frequent. Sometimes it's a smaller regulatory update. It's not too contentious. It may not require a lot of meetings before. Before it goes through the formal rulemaking process and public comment and everything.
- Hernando Garzon
Person
And sometimes if it's a bigger package of regulations or they're more challenging issues, we'll do multiple meetings with larger groups and get everyone's input.
- Hernando Garzon
Person
So I think we try and tailor the opportunity to provide input and the duration that we do that or the frequency on the needs of the question at hand is this really challenging big pass package. Is this something we can. Everyone kind of agrees on. We're just adding one medication to a scope of practice, for example. That may be a quick one.
- Brian Jones
Legislator
Well, I'm glad you mentioned paramedics I wasn't expecting that answer, but my son is completing his paramedic training so he should be finished by the end of March. I'll let him know that we met and I have your cell phone. Thank you very much.
- Monique Limón
Legislator
Thank you. Thank you, Senator Jones. Next we're gonna. Senator Reyes.
- Eloise Gómez Reyes
Legislator
Thank you. Madam PT. Dr. Garcon, thank you so much for your service, your continued service and after today, continuing your service. I believe you're familiar with confire.
- Eloise Gómez Reyes
Legislator
In my district in San Bernardino county, they have made efforts to improve the 911 system through the Emergency Communications Nurse System, ECNS, which uses nurses to triage 911 calls to, to reduce unnecessary ambulance use. It's been very successful reducing preventable ER visits by 10 to 15%.
- Eloise Gómez Reyes
Legislator
And my question again has to do with the offloading and I know that that isn't the exact area that you want to have this whole conversation about, but it is an important issue and you can tell by the questions being asked how important the issue is.
- Eloise Gómez Reyes
Legislator
So given the problem of ambulance patient offloading and specifically the time that we're talking about the over reliance on 911 for health care and General recruitment issues, can you talk about your thoughts on how the state can use programs like Confire as a model to use statewide?
- Hernando Garzon
Person
Senator, thank you for your question. And I don't mind spending time on this topic because it is the biggest topic I want to, one of the biggest and most challenging in EMS. And I lived it for 30 years doing emergency Department shifts and seeing this firsthand and the problem's only gotten worse over time.
- Hernando Garzon
Person
So it's a very important issue. I think when the EMS act first passed, the paradigm in pre hospital care was to assess, stabilize and transport and transport to an acute care emergency Department. And right now, actually at the federal level from Centers for Medicare Services, they reimburse EMS when a patient is transported. So.
- Hernando Garzon
Person
And a lot of people don't necessarily know that or understand that. So any other resolution to a 911 call generally doesn't generate income for EMS providers. But I think we realize that as you mentioned, many people who utilize 911 or even show up to emergency departments is, is part of what causes the ED crowding that we're experiencing.
- Hernando Garzon
Person
Don't really have acute emergencies and so transport to an emergency Department is not necessarily the optimal outcome or the best services for a patient. I think as an emergency physician and EMS physician, I support other alternatives besides transport to an acute care ER.
- Hernando Garzon
Person
And as long as, and I say this all the time when evaluating any program, it is done safely for patients. And so all these things that we're considering. So the nurse navigator that you're talking about is a wonderful idea if done safely.
- Hernando Garzon
Person
And then what we've done, we've had pilot programs going back to 2012 in community Paramedicine and triage to alternate destination. Those pilot programs prove their safety and the efficacy in terms of saving money and doing diverting emergency Department visits. And so they passed the legislation that allowed community paramedicine and trash alternate destination programs.
- Hernando Garzon
Person
Another thing that's in the conversation is the use of telehealth in 911. And there's some emergency medicine staff telehealth programs that know the prehospital environment and would be able to do a telehealth consultation for appropriate patients in the field and perhaps avert emergency Department visits.
- Hernando Garzon
Person
So I think moving to the modern era of EMS, we have to consider all of these options to save costs to the health care systEms, to help decompress emergency departments, and to get patients safe and effective care for their presenting problem.
- Eloise Gómez Reyes
Legislator
When you mentioned that if you don't transport to a medical facility or once you transport, then that ends the funding to the EMS provider.
- Hernando Garzon
Person
So in General at the federal level, CMS reimburses for transport to the emergency.
- Eloise Gómez Reyes
Legislator
Department and that then the funding then goes to the medical facility that's accepting them at that point.
- Hernando Garzon
Person
No, that's. I'm talking about the Bill that's generated by the ambulance company that transported so that the hospital will generate their own Bill for the care they've provided once the patient's there.
- Eloise Gómez Reyes
Legislator
Thank you for that. Recently in the Los Angeles fires, as you know, we lost so many of our wonderful citizens. 31, I believe in total, the majority of them being either seniors or those with disabilities.
- Eloise Gómez Reyes
Legislator
When we're talking about disaster response, who do you work with to advise you on the best way to transport or evacuate vulnerable communities? And I'm talking in this case seniors and those with disabilities. For example, in the skilled nursing space with aging and developmentally disabled.
- Eloise Gómez Reyes
Legislator
How do you encourage communication between the organizations who work with those populations and the local EMS agencies? And is there a known impending, if there's a known impending disaster, a flood, a fire, how do you pre position help?
- Hernando Garzon
Person
Senator, thank you for your question. So in, I think it's a two part answer. So in the emergency management structure, there's a typical sort of response process that happens. So the local entities are really the first responders that are there.
- Hernando Garzon
Person
And so you have the local law enforcement, fire, rescue and then the EMS side which is, can be EMS can be fire as well. And sometimes it's private ambulance companies. And so the incident commander, whoever's running the response is really life and safety first. I mean the fire is going, we need to put out the fire.
- Hernando Garzon
Person
But who's at risk for like who needs to be evacuated, who needs help evacuating? And so there's a local response that's determined if the size of the event or the needs of the event are larger than the locals can respond to, then they go up and they may request regional help and then state help.
- Hernando Garzon
Person
And so you can. The regional resources are other local EMS agencies or other counties that will send in their, their rescue personnel, their medical personnel. Often that's cord still the response is coordinated by the local incident commander.
- Hernando Garzon
Person
But they start using the other resources that coming from outside and then from the regional level if they can go up and request state assets and things like that. So there's, and then there's an emergency operations center where you have all sorts of people there communicating.
- Hernando Garzon
Person
And so if there's a request for staff or for ambulances or for medical supplies, there's a communication process for that request to go to a point where it can get filled, it can get filled at a regional level. If it can't, then it goes to the state and then the state fills it.
- Hernando Garzon
Person
So we have Members or disaster medical services division within EMSA that are actively engaged in any response as and so we have staff Members that are in the emergency operations center and things like that.
- Hernando Garzon
Person
The other part of your question is, I believe is that generally the knowledge of the vulnerable people, like where the nursing homes are and things like that, what hospital needs to be evacuated lies in the local response. That's where everyone knows their neighborhood, right?
- Hernando Garzon
Person
They know where the candy store is, they know where the hospital, they know where their school is. So the incident commander who's local tends to have an awareness of all of those. And that's where the strategic decisions get made. We need to evacuate that nursing home, for example.
- Hernando Garzon
Person
And so that gets communicated to the rescue side and the ambulance side and say the local ambulances don't have enough ambulances to send because they're engaged in other things. They make the request up and we get regional input and then state level input. And so we EMSET participates in this in we help oversee.
- Hernando Garzon
Person
We have a medical health, the MOAC, medical health operational coordinator for disasters and then the RDMHCS, RDMHs, which is regional Disaster Medical coordinators and specialists. And so we have them meet regularly. We also run an ambulance strike team program. So are we have an ambulance strike team that typically is five ambulances and all the staff.
- Hernando Garzon
Person
And so if we know as you're saying, we can pre position these assets or send them in.
- Hernando Garzon
Person
And when there were the fires in Monterey and there was flooding in Monterey, that we were concerned the road was going to cut off and isolate that area, we put in a calmat team and ambulance strike teams in that area because we suspected that evacuation, evacuation from that area might be more difficult.
- Hernando Garzon
Person
So there are strategic decisions made to pre stage assets. And then we can also respond to requests for assistance.
- Eloise Gómez Reyes
Legislator
And the question was very specific because this is just the most recent fire. Tubbs fire the same thing. The majority of those we lost were seniors and those with disabilities. In the Los Angeles fires.
- Eloise Gómez Reyes
Legislator
Mr. Miller, who was disabled, taking care of his son with Justin with cerebral palsy, called for an ambulance, waited for the ambulance, expected the ambulance. They perished in the fire because the ambulance never arrived. And so they would not know to call somebody above the local ambulance service.
- Eloise Gómez Reyes
Legislator
So perhaps there is something more that needs to be done so that if an ambulance service does not receive, is not able to fulfill that request, then they have a responsibility. Put it up to the regional level and from the regional then to the state. Because it is a question of making sure we protect life.
- Monique Limón
Legislator
Thank you, Senator Reyes. And I'm going to actually just piggyback back on where Senator Reyes left off. And I think you've heard from all of us in some ways just about the state of the state when it comes to emergencies and our thought and our thinking about how we prepare, but also some of the lessons learned.
- Monique Limón
Legislator
Senator Reyes focused a little bit on some of our elder communities, vulnerable communities, how we ensure that during natural disasters we have the best way to get to them, but also to help them. And I my question has to do with what are. I mean, every year I feel like we're learning lessons.
- Monique Limón
Legislator
And so from your vantage point, what are those lessons that we've learned in the last two years about how the work that you do intersects with the natural disasters across our state in all regions and what we're learning and how we're improving on that specifically.
- Hernando Garzon
Person
Senator, thank you for your question. I think one other thing that I would point out is that we work, EMSA work, our sister agencies, the California Department of Public Health and those two agencies are responsible for the medical and health response to disasters. So from the health side, EMSA is not acting alone.
- Hernando Garzon
Person
We also work with CDPH and of course our hospital partners and then of course we collaborate with the fire and the rest rescue and the law enforcement and those other entities as well. I think two years.
- Hernando Garzon
Person
I would say that we've learned a lot from COVID about long term statewide pandemic type of things, infectious disease, because that in some ways is an emergency situation that's very different from short term things like floods or earthquakes or things like that.
- Hernando Garzon
Person
So we learned a lot from COVID but that's been a little bit more than two years. I mean we. We've had wildland fires going back years and decades really. We've had some years that we had four of the worst fires in history happened in one year or two year block.
- Hernando Garzon
Person
So we've seen more fires and larger fires in General. We've. We evacuated the town of paradise when there was in Santa Rosa. We evacuated the Kaiser and the town Dignity hospitals there when the fires came through there back.
- Hernando Garzon
Person
I think the coordination you spoke to this, the coordination and communication between operationally because the theory is there and the framework is there for the response and the communication sometimes in the chaos of a disaster, it doesn't always happen as ideally as it should.
- Hernando Garzon
Person
And to your point, lessons learned, I'm sure all of these situations where you had an individual like you were mentioning that called 911 and didn't get an ambulance promptly or promptly enough that gets looked at very closely and what happened here and how do, how do we avoid that or mitigate that.
- Hernando Garzon
Person
So the thing is that the lessons learned have to happen at all levels. They have to happen at the local response. Because was the gap something that happened at the local response level or is the gap something that happens at a regional level or at a higher level?
- Monique Limón
Legislator
And on that note, can you speak to anything related to our rural communities that we know have their own limitations because they're harder to get to.
- Monique Limón
Legislator
And certainly during natural disasters, what is already hard to get to or you know, takes a little longer to get to, you know, can you just speak to rural communities in particular and what our thought process is and how we're improving access in these critical moments?
- Hernando Garzon
Person
I think one of the key things in rural areas is pre planning and having a plan ready because help may not be quick to come as happens. And we just know that's actually one of the rules of preparedness. I think the respondentities need to obviously augment what they do and do it well.
- Hernando Garzon
Person
But one of the key things about disaster response is you know, fireproof your home, what's your plan? How are you going to communicate with loved ones when something happens and you have to evacuate?
- Hernando Garzon
Person
So I think there's a lot of life saving that happens when individuals or smaller groups of people are empowered to assist in their response planning and evacuations.
- John Laird
Legislator
Oh, no, I just have a follow up comment and you were talking, talking about Monterey and the fact that the highway was out and people could only get in and out in convoys twice a day and you had to pre position things.
- John Laird
Legislator
Behind the good news is, is today at noon, for the first time in three years, Highway 1 is completely open north to south so you can get anywhere in Big Sur starting today. And hopefully you don't have to deal with that again soon.
- John Laird
Legislator
But appreciated the court not with that because it allowed for people to come in where they would have been excluded if we weren't pre positioning emergency services or fire things behind the closure where all the people lived during that period. So thanks for the work on that.
- Monique Limón
Legislator
Thank you, Senator Laird. All right, well, thank you. Icc. No questions. We are going to open it up for public comments. So we will now take public comments on this appointee. If there are any. If there are, I ask that you come to the microphone.
- Monique Limón
Legislator
All right, so seeing no Members wishing to testify in support, we want to walk up. I will ask if there are any Members of the public wishing to testify in opposition to please come forward and speak now. All right, seeing no Members, thank you all for this and we're going to bring it back to the Members.
- John Laird
Legislator
I actually have a motion. I'm that we approve this appointment and send it to the Senate floor for full confirmation.
- Monique Limón
Legislator
Thank you very much. We have a motion by Senator Laird and so we will go ahead and call the roll.
- Monique Limón
Legislator
All right, the appointment has been approved and it will move to the full Senate for confirmation with four vote. Thank you so much, Dr. Garzon
- Monique Limón
Legislator
Thank you. For our final item, we're going to return to Governor appointee required to appear. And that is Item 1b, the appointment of Stephanie Weldon as Deputy Director of the Office of Health Equity Department of Public Health.
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