CSRHA Testifies at Little Hoover Commission Hearing on Governor's Reorganization Plan (GRP)

The Governor's plan to overhaul state government made its way to the Little Hoover Commission (the Commission) for review and public input on January 26, 2005. The Secretary of State auditorium was crowded with advocates and government representatives waiting their turn, while the Commission heard testimony and asked difficult questions from presenters on both sides of the debate in the first of many of the Administration's reorganization proposals.

The Governor's Reorganization Plan 1 (GRP1) will eliminate 88 boards and commissions described in Appendix I of the GRP1. An index of these boards and commissions can be found in Appendix II (click here to view GRP1). According to the GRP1, in most cases, the activities or functions of the boards and commissions eliminated will continue, and be transferred to an agency or department.

Peter Abbott, M.D., treasurer for California State Rural Health Association (CSRHA) was invited by the Commission to submit testimony on the first reorganization plan. Along with other commissions and boards, the Rural Health Policy Council (RHPC) is proposed for elimination in the first round of recommendations. Lauri Medeiros, CSRHA executive director stood in for Abbott at the public meeting and shared with the Commission the importance of the RHPC and its convening and coordinating role for rural health providers and advocates. "It's a rare opportunity for rural health to present at such a prestigious policy forum," said Medeiros to the members of the Commission. "We seek your support to ensure the RHPC continues as an effective voice for rural health at the highest level of state government."

The Little Hoover Commission's role (which includes Senator Poochigian, a Rural Caucus legislator) in the reorganization process is described in Government Code Section 8523. The law requires the Governor to submit any reorganization plan to the Little Hoover Commission "at least 30 days prior" to submitting the plan to the Legislature. The Commission's role in the reorganization process is only advisory. The Commission reviews and submits a report to the Governor and the Legislature within 30 days of the plan being submitted to the Legislature. In other words, the Commission typically has 60 days to review a plan and complete its report. Legislative Council drafts the proposal into bill language for the Legislature to vote.

The Commission then conducts one or more public hearings, providing a forum for affected agencies, constituencies and interest groups to comment on the proposal. In addition to invited witnesses, the Commission hears testimony from other interests or members of the public who would like to testify.

The Commission assesses the plan based on its broad mandate to assist policy-makers in "promoting economy, efficiency and improved service in the transaction of the public business." The Commission makes a recommendation to the Governor and the Legislature as to whether it believes the reorganization plan should go into effect. The Commission sometimes offers recommendations for how the plan could be strengthened or measures that should be taken if the plan is implemented.

To view the testimony submitted by Kim Belshe, Secretary, Health and Human Services Agency, click here.
To view the testimony submitted by Peter Abbott, M.D., President, California Public Health Association North and Treasurer, California State Rural Health Association, click here.

To view the meeting agenda and links to testimonies given, click here.

GRP1 Description of California Rural Health Policy Council:

California Rural Health Policy Council – This six-member interagency council is composed of the Director of Health Services, the Director of Statewide Health Planning and Development, the Director of Alcohol and Drug Programs, the Director of Emergency Medical Services Authority, 44 the Director of Mental Health, and the Executive Director of the Managed Risk Medical Insurance Board.

The members of the council are reimbursed for expenses. The California Rural Health Policy Council was established in 1996 and serves to formulate and establish rural health policy for the state, to provide a focal point for discussion of rural health policy issues within the California Health and Human Services Agency, to receive suggestions and recommendations from rural health constituencies, and to improve rural health care services. The Council also administers the Rural Grants Program. The Rural Health Policy Council will be eliminated and its functions transferred to the Department of Health Services.

Advisory Boards Proposed for Elimination in GRP1:

Advisory boards should be impaneled under the purview of a Secretary on an ad hoc basis to address specific issues, rather than being made permanent fixtures of state government. These advisory bodies often outlive their usefulness or effectiveness. When necessary, expert advice can be sought from existing professional associations such as the California Bar Association, American Medical Association, American Society of Appraisers, Association of Engineering Geologists, and others. Detailed expert advice where needed can be contracted for on a case-by-case basis.

• 911 Advisory Board
• Agriculture Bargaining Association Advisory Board
• Commission on Asian and Pacific Islander American Affairs
• Mortgage Bankers Advisory Committee
• Brown vs. Board of Education of Topeka Advisory Commission
• Campus Sexual Assault Task Force
• Child Development Policy and Advisory Committee
• Clinical Advisory Panel
• Credit Union Advisory Committee
• Economic Development Commission
• Electronic Commerce Advisory Council
• Emergency Medical Services Commission
• Health Policy and Data Advisory Commission
• Hearing Aid Dispenser Advisory Committee
• Heart Disease and Stroke Prevention Treatment Task Force
• Heritage Preservation Commission
• Bipartisan Internet Political Practices Commission
• Loan Advisory Council
• Advisory Committee on Managed Health Care
• Postsecondary Education Commission
• Racial Profiling Panel
• Real Estate Advisory Commission
• Recreational Trails Committee
• Rural Health Policy Committee
• Seismic Safety Commission
• Small Business Reform Task Force
• Departmental Transportation Advisory Committee
• Commission on Uniform State Laws
• Governor’s Commission on Veterans Cemeteries
• Mexican-American Memorial Beautification and Enhancement Commission
• Vietnam Veterans Memorial Commission



Article Posted 02/09/05