Subject: [AVFCA] SB276 Action Alert: Governor staff meeting, SB714 Amendment bill, Press Conference

From	Christina Hildebrand <[email protected]>
Subject	[AVFCA] SB276 Action Alert: Governor staff meeting, SB714 Amendment bill, Press Conference
Date	September 7, 2019 1:15 AM
Attachments	image003.png AVFCA SB276 9-5-19 Gov amendment requests.pdf

Links have been removed from this email. Learn more in the FAQ.

------=_NextPart_001_0556_01D564DF.4D6C5E90
Content-Type: multipart/alternative;
boundary="----=_NextPart_002_0557_01D564DF.4D6C5E90"

------=_NextPart_002_0557_01D564DF.4D6C5E90
Content-Type: text/plain;
charset="us-ascii"
Content-Transfer-Encoding: 7bit

(All the following xxxxxx and more can be found at
www.avoiceforchoiceadvocacy.org/sb-276
<[link removed]> . Please share.)
The roller coaster ride of SB276 continues.Please read to the bottom as
there is important xxxxxx.

Meeting with Governor Staff
A Voice for Choice Advocacy was granted a meeting with a key Newsom staffer
yesterday. We met with him for about half an hour and asked the Governor
veto SB276, but understood that if there was an Amendment bill to SB276 that
the Governor would likely sign it. If that was the case we asked for
amendments that would make this process one where physicians can continue to
do their job without the fear of being unnecessarily reviewed and where
appropriate healthcare is being provided to children who are at risk of
vaccine injury. They were amendments that would support doctors who are
currently putting their licenses on the line because there are so few of
them even willing to write MEs (attached). We were hopeful that we were
heard, but.

SB714 Amendment bill
([link removed]
200SB714)
Senator Pan gut and amended a bill - SB714 - to incorporate the amendments
Governor Newsom requested, and more. The bill is now significantly worse
than it was and very few of our concerns with SB276 were addressed. This
will be voted on by the Assembly next week, followed by the Senate and then
goes to the Governor's desk. He has indicated he will sign both SB276 and
this bill.

AVFCA Issues with SB714
Shout out to Greg Glaser for his fast review of our concerns to ensure our
interpretation is correct.
120370. (a) (2) Commencing January 1, 2020, a child who has a medical
exemption issued before January 1, 2020, shall be allowed continued
enrollment to any public or private elementary or secondary school, child
care center, day nursery, nursery school, family day care home, or
developmental center within the state until the child enrolls in the next
grade span.
For purposes of this subdivision, "grade span" means each of the following:
(A) Birth to preschool, inclusive.
(B) Kindergarten and grades 1 to 6, inclusive, including transitional
kindergarten.
(C) Grades 7 to 12, inclusive.
(3) Except as provided in this subdivision, on and after July 1, 2021, the
governing authority shall not unconditionally admit or readmit to any of
those institutions specified in this subdivision, or admit or advance any
pupil to 7th grade level, unless the pupil has been immunized pursuant to
Section 120335 or the parent or guardian files a medical exemption form that
complies with Section 120372.
This is what this means:
* Children with a medical exemption on file in 2020 under SB277 that
are between grade spans have until July 2021 being grandfathered in.
Thereafter they will need a ME that is based on CDC/ACIP/AAP
Contraindications/Precautions to enter any grade. 99% of all children in
all grades with current MEs will not qualify, and will be kicked out of
school in July 2021.
* Children with a medical exemption on file in 2020 under SB277 that
are starting school or going into Kindergarten or 7th grade, will need to
submit a new ME, but it is not clear what criteria they will have to follow
given the criteria only go into effect in July 2021. Also the form will not
be available until 2021. If they have to follow the SB276 criteria then 99%
will be kicked out of school.
* The parent will have to refile the medical exemption every year
thereafter to be readmitted into school.
* Without this amendment, children who had an ME under SB277 would
have been allowed to continue with school with their existing legal ME and
were grandfathered in unless their doctor wrote more than 4 or their school
fell below 95% vaccination rate. This amendment removes the ME for all
children immediately if they are entering school, Kindergarten or 7th grade
and removes it in July 2021 for all the remaining children with an ME
regardless of where they are in grade level.
120372. (a) (G) Whether the medical exemption is permanent or temporary,
including the date upon which a temporary medical exemption will expire. A
temporary exemption shall not exceed one year. All medical exemptions shall
not extend beyond the grade span, as defined in Section 120370.
This is what this means:
* This removes all permanent medical exemptions. All medical
exemptions will have to be renewed by the physician and resubmitted at
school entrance, Kindergarten and 7th grade. (Note: physicians are not
allowed to charge for this per the bill)
120372. (c) (1)By January 1, 2021, the department shall create a
standardized system to monitor immunization levels in schools and
institutions as specified in Sections 120375 and 120440, and to monitor
patterns of unusually high exemption form submissions by a particular
physician and surgeon.
(d) (1) The department, at a minimum, shall annually review immunization
reports from all schools and institutions in order to identify medical
exemption forms submitted to the department and under this section that will
be subject to paragraph
(2) A clinically trained immunization department staff member, who is either
a physician and surgeon or a registered nurse, shall review all medical
exemptions from any of the following:
(A) Schools or institutions subject to Section 120375 with an overall
immunization rate of less than 95 percent.
(B) Physicians and surgeons who have submitted five or more medical
exemptions in a calendar year beginning January 1, 2020.
(C) Schools or institutions subject to Section 120375 that do not provide
reports of vaccination rates to the department.
(3) (A) The department shall identify those medical exemption forms that do
not meet applicable CDC, ACIP, or AAP criteria for appropriate medical
exemptions. The department may contact the primary care physician and
surgeon or issuing physician and surgeon to request additional xxxxxxrmation
to support the medical exemption.
What this means:
* There is no mechanism in place any more to collect the MEs that are
submitted to the schools in 2020, so will this mean that medical exemptions
will be sent from each school to CDPH separately, over email or some other
non-secure format to determine the number of MEs written by each doctor.
Why are doctors going to be monitored from next year, but the rest of the
bill goes into effect in 2021?
* If a doctor has written over 4 MEs then even if the grandfathered
ones did not have to comply with CDC/ACIP/AAP Contraindications/Precautions,
they will now have to comply immediately.
Net, Net, there is no grandfathering in and all MEs are required to comply
with CDC/ACIP/AAP Contraindications/Precautions by 2021 at the latest.

Press Conference
Thank you to Leigh Dundas and Advocates for Physician's Rights for holding a
press conference yesterday to discuss and amplify what A Voice for Choice
Advocacy published in 2016 and then again a few months ago regarding the
collusion and corruption with regard to Charity Dean, Senator Pan, the CMA
and the CMB. You can watch the press conference here:
[link removed] and read AVFCA press release
from last month here:
[link removed]
elease-SB-276-Collusion-Corruption-or-usual-Sacramento-politics.pdf?fbclid=I
wAR2d9Vx4Lw6x_CTqzv_Yve2Byq4pgXOmoRXInf9qShjH1MXLv4B6Avvim3M

What can you do?
* Please call and visit your Assembly member's and Senator's district
office with the above bill concerns. Let them know that if they held off on
the bill in the SB276 vote, that they need to do so again as the addition of
SB714 makes it much worse.
* Tweet to Assembly members and Governor Newsom multiple times a day.
Respond to tweets and retweet
* Donate to A Voice for Choice Advocacy
([link removed])

WE ARE STRONG AND WE ARE MAKING A DIFFERENCE BUT WE HAVE TO KEEP FIGHTING
FOR OUR MEDICAL RIGHTS!

THANK YOU!!

C
Christina Hildebrand
President/Founder
A Voice for Choice Advocacy, Inc.
www.avoiceforchoiceadvocacy.org <[link removed]>
408 835 9353
Giving issues a voice, A Voice for Choice Advocacy advocates for people's
rights to be fully xxxxxxrmed about the composition, quality, and short- and
long-term health effects of all products that go into people's bodies, such
as food, water, air, pharmaceuticals and cosmetics.

WWW.AVOICEFORCHOICEADVOCACY.ORG
You are receiving this email because you have signed up on the AVFC or AVFCA
website or on a sign up list in person. If you would like to be removed
from receiving all emails, please reply to this email with "Unsubscribe" in
the email subject line. If you would prefer just to get Action Alerts,
please reply to this email with "Action Alert Only" in the email subject
line.

------=_NextPart_002_0557_01D564DF.4D6C5E90
Content-Type: text/html;
boundary="----=_NextPart_000_04FE_01D564DD.2FB6D940";
charset="us-ascii"
Content-Transfer-Encoding: quoted-printable

<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:m=3D"[link removed]" =
xmlns=3D"[link removed]"><head><meta =
http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dus-ascii"><meta name=3DProgId content=3DWord.Document><meta =
name=3DGenerator content=3D"Microsoft Word 15"><meta name=3DOriginator =
content=3D"Microsoft Word 15"><link rel=3DFile-List =
href=3D"cid:[email protected]"><link rel=3DEdit-Time-Data =
href=3D"cid:editdata.mso"><style></style></head><body lang=3DEN-US =
link=3D"#0563C1" vlink=3D"#954F72" style=3D'tab-interval:.5in'><div =
class=3DWordSection1>(All =
the following xxxxxx and more can be found at =
<a =
href=3D"[link removed]">www.avoiceforchoic=
eadvocacy.org/sb-276</a>.  Please =
share.)<o:p></o=
:p>The roller coaster ride of SB276 =
continues…Please read to the bottom as there is important =
xxxxxx…<o:p></o:p><o:p> </o:p>Meeting with Governor =
Staff<o:p></o:p>A Voice =
for Choice Advocacy was granted a meeting with a key Newsom staffer =
yesterday.  We met with him =
for about half an hour and asked the Governor veto SB276, but understood =
that if there was an Amendment bill to SB276 that the Governor would =
likely sign it.  If that =
was the case we asked for amendments that would make this process one =
where physicians can continue to do their job without the fear of being =
unnecessarily reviewed and where appropriate healthcare is being =
provided to children who are at risk of vaccine injury.  They were amendments that would =
support doctors who are currently putting their licenses on the line =
because there are so few of them even willing to write MEs =
(attached).  We were =
hopeful that we were heard, but…<s><o:p></o:p></s><s><o:p> </o:p></s>SB714 Amendment bill (<a =
href=3D"[link removed]
_id=3D201920200SB714">[link removed]
ent.xhtml?bill_id=3D201920200SB714</a>)<o:p></o:p>Senator Pan gut and amended a bill – SB714 - =
to incorporate the amendments Governor Newsom requested, and more.  The bill is now significantly =
worse than it was and very few of our concerns with SB276 were =
addressed.  This will be =
voted on by the Assembly next week, followed by the Senate and then goes =
to the Governor’s desk.  =
He has indicated he will sign both SB276 and this =
bill.<o:p></o:p><o:p> </o:p>AVFCA Issues with =
SB714<o:p></o:p>Shout out to Greg =
Glaser for his fast review of our concerns to ensure our interpretation =
is correct.<o:p></o:p>120370. (a) =
(2) Commencing January =
1, 2020, a child who has a medical exemption issued before January 1, =
2020, shall be allowed continued enrollment to any public or private =
elementary or secondary school, child care center, day nursery, nursery =
school, family day care home, or developmental center within the state =
until the child enrolls in the next grade =
span.<o:p></o:p>For purposes of =
this subdivision, “grade span” means each of the =
following:<o:p></o:p>(A) Birth to =
preschool, inclusive.<o:p></o:p>(B) Kindergarten and grades 1 to 6, inclusive, =
including transitional kindergarten.<o:p></o:p>(C) Grades 7 to 12, =
inclusive.<o:p></o:p>(3) Except as =
provided in this subdivision, on and after July 1, 2021, the governing =
authority shall not unconditionally admit or readmit to any of those =
institutions specified in this subdivision, or admit or advance any =
pupil to 7th grade level, unless the pupil has been immunized pursuant =
to Section 120335 or the parent or guardian files a medical exemption =
form that complies with Section 120372.<o:p></o:p>This is what =
this means:<o:p></o:p><![if =
!supportLists]>·       =
<![endif]>Children with a medical exemption =
on file in 2020 under SB277 that are between grade spans have until July =
2021 being grandfathered in.  =
Thereafter they will need a ME that is based on CDC/ACIP/AAP =
Contraindications/Precautions to enter any grade.  99% of all children in all =
grades with current MEs will not qualify, and will be kicked out of =
school in July 2021.<o:p></o:p><![if =
!supportLists]>·       =
<![endif]>Children with a medical exemption =
on file in 2020 under SB277 that are starting school or going into =
Kindergarten or 7th grade, will need to submit a new ME, but =
it is not clear what criteria they will have to follow given the =
criteria only go into effect in July 2021.  Also the form will not be =
available until 2021.  If =
they have to follow the SB276 criteria then 99% will be kicked out of =
school.<o:p></o:p><![if =
!supportLists]>·       =
<![endif]>The parent will have to refile the =
medical exemption every year thereafter to be readmitted into =
school.<o:p></o:p><![if =
!supportLists]>·       =
<![endif]>Without this amendment, children =
who had an ME under SB277 would have been allowed to continue with =
school with their existing legal ME and were grandfathered in unless =
their doctor wrote more than 4 or their school fell below 95% =
vaccination rate.  This =
amendment removes the ME for all children immediately if they are =
entering school, Kindergarten or 7th grade and removes it in =
July 2021 for all the remaining children with an ME regardless of where =
they are in grade level.<o:p></o:p>120372. (a) (G) Whether the medical =
exemption is permanent or temporary, including the date upon which a =
temporary medical exemption will expire. A temporary exemption shall not =
exceed one year. All medical exemptions shall not extend beyond =
the grade span, as defined in Section 120370.<o:p></o:p>This is what =
this means:<o:p></o:p><![if =
!supportLists]>·       =
<![endif]>This removes all permanent medical =
exemptions.  All medical =
exemptions will have to be renewed by the physician and resubmitted at =
school entrance, Kindergarten and 7th grade.  (Note: physicians are not =
allowed to charge for this per the bill)<o:p></o:p>120372. (c) (1)By January 1, 2021, =
the department shall create a standardized system to monitor =
immunization levels in schools and institutions as specified in Sections =
120375 and 120440, and to monitor patterns of unusually high exemption =
form submissions by a particular physician and surgeon.<o:p></o:p>(d) (1) The department, at a minimum, shall =
annually review immunization reports from all schools and institutions =
in order to identify medical exemption forms submitted to the department =
and under this section that will be subject to =
paragraph<o:p></o:p>(2) A clinically =
trained immunization department staff member, who is either a physician =
and surgeon or a registered nurse, shall review all medical exemptions =
from any of the following:<o:p></o:p>(A) Schools or institutions subject to Section =
120375 with an overall immunization rate of less than 95 =
percent.<o:p></o:p>(B) Physicians and =
surgeons who have submitted five or more medical exemptions in a =
calendar year beginning January 1, 2020.<o:p></o:p>(C) Schools or institutions subject to Section =
120375 that do not provide reports of vaccination rates to the =
department.<o:p></o:p>(3) (A) The =
department shall identify those medical exemption forms that do not meet =
applicable CDC, ACIP, or AAP criteria for appropriate medical =
exemptions. The department may contact the primary care physician and =
surgeon or issuing physician and surgeon to request additional =
xxxxxxrmation to support the medical exemption.<o:p></o:p>What this =
means:<o:p></o:p><![if =
!supportLists]>·       =
<![endif]>There is no mechanism in place any =
more to collect the MEs that are submitted to the schools in 2020, so =
will this mean that medical exemptions will be sent from each school to =
CDPH separately, over email or some other non-secure format to determine =
the number of MEs written by each doctor.  Why are doctors going to be =
monitored from next year, but the rest of the bill goes into effect in =
2021?<o:p></o:p><![if =
!supportLists]>·       =
<![endif]>If a doctor has written over 4 MEs =
then even if the grandfathered ones did not have to comply with =
CDC/ACIP/AAP Contraindications/Precautions, they will now have to comply =
immediately.<o:p></o:p>Net, Net, there is no =
grandfathering in and all MEs are required to comply with CDC/ACIP/AAP =
Contraindications/Precautions by 2021 at the =
latest.<o:p></o:p><o:p> </o:p>Press Conference =
<o:p></o:p>Thank you to Leigh Dundas =
and Advocates for Physician’s Rights for holding a press =
conference yesterday to discuss and amplify what A Voice for Choice =
Advocacy published in 2016 and then again a few months ago regarding the =
collusion and corruption with regard to Charity Dean, Senator Pan, the =
CMA and the CMB.  You can =
watch the press conference here: <a =
href=3D"[link removed]">[link removed]
e.com/watch?v=3Dfj7CYtDZjTU</a> and read AVFCA press release from last =
month here:<o:p></o:p><a =
href=3D"[link removed]
FCA-Press-Release-SB-276-Collusion-Corruption-or-usual-Sacramento-politic=
s.pdf?fbclid=3DIwAR2d9Vx4Lw6x_CTqzv_Yve2Byq4pgXOmoRXInf9qShjH1MXLv4B6Avvi=
m3M">[link removed]
-Press-Release-SB-276-Collusion-Corruption-or-usual-Sacramento-politics.p=
df?fbclid=3DIwAR2d9Vx4Lw6x_CTqzv_Yve2Byq4pgXOmoRXInf9qShjH1MXLv4B6Avvim3M=
</a><o:p></o:p><o:p> </o:p>What =
can you do?  =
<o:p></o:p><![if =
!supportLists]>·       =
<![endif]>Please call and visit your Assembly =
member’s and Senator’s district office with the above bill =
concerns.  Let them know =
that if they held off on the bill in the SB276 vote, that they need to =
do so again as the addition of SB714 makes it much worse.  <o:p></o:p><![if !supportLists]>·       =
<![endif]>Tweet to Assembly members and Governor Newsom =
multiple times a day.  =
Respond to tweets and retweet<o:p></o:p><![if !supportLists]>·       =
<![endif]>Donate to A Voice for Choice =
Advocacy (<a =
href=3D"[link removed]">[link removed]
eadvocacy.org/donate/</a>)<o:p></o:p><o:p> </o:p>WE =
ARE STRONG AND WE ARE MAKING A DIFFERENCE BUT WE HAVE TO KEEP FIGHTING =
FOR OUR MEDICAL RIGHTS!<o:p></o:p><o:p> </o:p>THANK =
YOU!!<o:p></o:p><o:p> </o:p>C<o:p></o:p>Christina Hildebrand<o:p></o:p>President/Founder<o:p></o:p>A Voice for Choice Advocacy, =
Inc.<o:p></o:p><a =
href=3D"[link removed]">www.avoiceforchoiceadvoca=
cy.org</a><o:p></o:p>408 =
835 9353<o:p></o:p>Giving issues a voice, A Voice for Choice Advocacy advocates for =
people’s rights to be fully xxxxxxrmed about the composition, =
quality, and short- and long-term health effects of all products that go =
into people’s bodies, such as food, water, air, pharmaceuticals =
and cosmetics.<o:p></o:p><img border=3D0 width=3D186 height=3D120 =
id=3D"Picture_x0020_3" src=3D"cid:[email protected]" =
alt=3D"cid:[email protected]"><o:p></o:p><a =
href=3D"[link removed]">WWW.AVOICEFORCHOICEADVOCA=
CY.ORG</a><o:p></o:p>You are receiving =
this email because you have signed up on the AVFC or AVFCA website or on =
a sign up list in person.  If you would like to be removed from =
receiving all emails, please reply to this email with =
“Unsubscribe” in the email subject line.  If you would =
prefer just to get Action Alerts, please reply to this email with =
“Action Alert Only” in the email subject =
line.<o:p></o:p><o:p> </o:p></div></body></html>
------=_NextPart_002_0557_01D564DF.4D6C5E90--

------=_NextPart_001_0556_01D564DF.4D6C5E90
Content-Type: image/png;
name="image003.png"
Content-Transfer-Encoding: base64
Content-ID: <[email protected]>
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------=_NextPart_001_0556_01D564DF.4D6C5E90--

(All the following xxxxxx and more can be found at
www.avoiceforchoiceadvocacy.org/sb-276
<[link removed]> . Please share.)
The roller coaster ride of SB276 continues.Please read to the bottom as
there is important xxxxxx.

Meeting with Governor Staff
A Voice for Choice Advocacy was granted a meeting with a key Newsom staffer
yesterday. We met with him for about half an hour and asked the Governor
veto SB276, but understood that if there was an Amendment bill to SB276 that
the Governor would likely sign it. If that was the case we asked for
amendments that would make this process one where physicians can continue to
do their job without the fear of being unnecessarily reviewed and where
appropriate healthcare is being provided to children who are at risk of
vaccine injury. They were amendments that would support doctors who are
currently putting their licenses on the line because there are so few of
them even willing to write MEs (attached). We were hopeful that we were
heard, but.

SB714 Amendment bill
([link removed]
200SB714)
Senator Pan gut and amended a bill - SB714 - to incorporate the amendments
Governor Newsom requested, and more. The bill is now significantly worse
than it was and very few of our concerns with SB276 were addressed. This
will be voted on by the Assembly next week, followed by the Senate and then
goes to the Governor's desk. He has indicated he will sign both SB276 and
this bill.

AVFCA Issues with SB714
Shout out to Greg Glaser for his fast review of our concerns to ensure our
interpretation is correct.
120370. (a) (2) Commencing January 1, 2020, a child who has a medical
exemption issued before January 1, 2020, shall be allowed continued
enrollment to any public or private elementary or secondary school, child
care center, day nursery, nursery school, family day care home, or
developmental center within the state until the child enrolls in the next
grade span.
For purposes of this subdivision, "grade span" means each of the following:
(A) Birth to preschool, inclusive.
(B) Kindergarten and grades 1 to 6, inclusive, including transitional
kindergarten.
(C) Grades 7 to 12, inclusive.
(3) Except as provided in this subdivision, on and after July 1, 2021, the
governing authority shall not unconditionally admit or readmit to any of
those institutions specified in this subdivision, or admit or advance any
pupil to 7th grade level, unless the pupil has been immunized pursuant to
Section 120335 or the parent or guardian files a medical exemption form that
complies with Section 120372.
This is what this means:
* Children with a medical exemption on file in 2020 under SB277 that
are between grade spans have until July 2021 being grandfathered in.
Thereafter they will need a ME that is based on CDC/ACIP/AAP
Contraindications/Precautions to enter any grade. 99% of all children in
all grades with current MEs will not qualify, and will be kicked out of
school in July 2021.
* Children with a medical exemption on file in 2020 under SB277 that
are starting school or going into Kindergarten or 7th grade, will need to
submit a new ME, but it is not clear what criteria they will have to follow
given the criteria only go into effect in July 2021. Also the form will not
be available until 2021. If they have to follow the SB276 criteria then 99%
will be kicked out of school.
* The parent will have to refile the medical exemption every year
thereafter to be readmitted into school.
* Without this amendment, children who had an ME under SB277 would
have been allowed to continue with school with their existing legal ME and
were grandfathered in unless their doctor wrote more than 4 or their school
fell below 95% vaccination rate. This amendment removes the ME for all
children immediately if they are entering school, Kindergarten or 7th grade
and removes it in July 2021 for all the remaining children with an ME
regardless of where they are in grade level.
120372. (a) (G) Whether the medical exemption is permanent or temporary,
including the date upon which a temporary medical exemption will expire. A
temporary exemption shall not exceed one year. All medical exemptions shall
not extend beyond the grade span, as defined in Section 120370.
This is what this means:
* This removes all permanent medical exemptions. All medical
exemptions will have to be renewed by the physician and resubmitted at
school entrance, Kindergarten and 7th grade. (Note: physicians are not
allowed to charge for this per the bill)
120372. (c) (1)By January 1, 2021, the department shall create a
standardized system to monitor immunization levels in schools and
institutions as specified in Sections 120375 and 120440, and to monitor
patterns of unusually high exemption form submissions by a particular
physician and surgeon.
(d) (1) The department, at a minimum, shall annually review immunization
reports from all schools and institutions in order to identify medical
exemption forms submitted to the department and under this section that will
be subject to paragraph
(2) A clinically trained immunization department staff member, who is either
a physician and surgeon or a registered nurse, shall review all medical
exemptions from any of the following:
(A) Schools or institutions subject to Section 120375 with an overall
immunization rate of less than 95 percent.
(B) Physicians and surgeons who have submitted five or more medical
exemptions in a calendar year beginning January 1, 2020.
(C) Schools or institutions subject to Section 120375 that do not provide
reports of vaccination rates to the department.
(3) (A) The department shall identify those medical exemption forms that do
not meet applicable CDC, ACIP, or AAP criteria for appropriate medical
exemptions. The department may contact the primary care physician and
surgeon or issuing physician and surgeon to request additional xxxxxxrmation
to support the medical exemption.
What this means:
* There is no mechanism in place any more to collect the MEs that are
submitted to the schools in 2020, so will this mean that medical exemptions
will be sent from each school to CDPH separately, over email or some other
non-secure format to determine the number of MEs written by each doctor.
Why are doctors going to be monitored from next year, but the rest of the
bill goes into effect in 2021?
* If a doctor has written over 4 MEs then even if the grandfathered
ones did not have to comply with CDC/ACIP/AAP Contraindications/Precautions,
they will now have to comply immediately.
Net, Net, there is no grandfathering in and all MEs are required to comply
with CDC/ACIP/AAP Contraindications/Precautions by 2021 at the latest.

Press Conference
Thank you to Leigh Dundas and Advocates for Physician's Rights for holding a
press conference yesterday to discuss and amplify what A Voice for Choice
Advocacy published in 2016 and then again a few months ago regarding the
collusion and corruption with regard to Charity Dean, Senator Pan, the CMA
and the CMB. You can watch the press conference here:
[link removed] and read AVFCA press release
from last month here:
[link removed]
elease-SB-276-Collusion-Corruption-or-usual-Sacramento-politics.pdf?fbclid=I
wAR2d9Vx4Lw6x_CTqzv_Yve2Byq4pgXOmoRXInf9qShjH1MXLv4B6Avvim3M

What can you do?
* Please call and visit your Assembly member's and Senator's district
office with the above bill concerns. Let them know that if they held off on
the bill in the SB276 vote, that they need to do so again as the addition of
SB714 makes it much worse.
* Tweet to Assembly members and Governor Newsom multiple times a day.
Respond to tweets and retweet
* Donate to A Voice for Choice Advocacy
([link removed])

WE ARE STRONG AND WE ARE MAKING A DIFFERENCE BUT WE HAVE TO KEEP FIGHTING
FOR OUR MEDICAL RIGHTS!

THANK YOU!!

C
Christina Hildebrand
President/Founder
A Voice for Choice Advocacy, Inc.
www.avoiceforchoiceadvocacy.org <[link removed]>
408 835 9353
Giving issues a voice, A Voice for Choice Advocacy advocates for people's
rights to be fully xxxxxxrmed about the composition, quality, and short- and
long-term health effects of all products that go into people's bodies, such
as food, water, air, pharmaceuticals and cosmetics.

WWW.AVOICEFORCHOICEADVOCACY.ORG
You are receiving this email because you have signed up on the AVFC or AVFCA
website or on a sign up list in person. If you would like to be removed
from receiving all emails, please reply to this email with "Unsubscribe" in
the email subject line. If you would prefer just to get Action Alerts,
please reply to this email with "Action Alert Only" in the email subject
line.

Screenshot of the email generated on import

Message Analysis

Sender: A Voice for Choice Advocacy
Political Party: n/a
Country: United States
State/Locality: n/a
Office: n/a