Number of i. C. U. Patients has trimmed. Other topics included helping the Homeless Population and efforts to bring in more Health Care Workers. Good afternoon, everybody. We are now in our nicks phase to begin the process. Actualizing those plans in real time. Let me give you an update of where we are in the state of california. Particularly in the last four days we have seen a doubling of the number of hospitalizations related to covid19. In the last four days, double the population that has been hospitalized. We have always seen a tripling of the number of i. C. U. Patients in our system in the last four days. These have long been projected based upon our modeling and consequence. We have for weeks now been organizing ourselves around a surge that will recryer roughly a 2 3 increase in capacity within our Hospital System. That requires three fundamental things. It requires finding new places to put people. Number two, it requires having adequate supplies from p. P. E. s to the ventilators. And importantly, number three, requires people. And today we are announcing a corps rt, health dcadgov, that will provide a platform to match individuals that may have retired in the last five years, may be in the process of getting licensed or relpsed. People that are in Nursing Schools or medical schools that are nearing the completion of those efforts to incorporate and encourage them to get on this platform to provide for the kind of Human Capital surge that we will need to meet the moment over the course of the next number of weeks as these numbers continue to rise. We couldnt be more pleased by the incredible professionalism of our nurses and doctors, our professional representatives at came together across many differences and organized around a framework of providing more flexibility, more Surge Capacity within the system by providing scope of practice reforms, by allowing us to utilize our existing resources in a more resourceful way. I want to thank all of the representatives for putting aside again those differences and meeting this moment headon to provide the flexibility that is required to meet this moment. We have an executive order that went out that will provide flexibility through june 30th. This is temporary flexibility on staffing ratios, on scope of practice for Nurse Practitioners, e. M. T. s and others. We are going out now to keeply find the kind of talent that is necessary beyond the scope of practice changes and beyond the regulatory changes to make sure we have the adequate work force, looking for Mental Health experts, looking for s, more t. Pharmacists, looking for fleb mists, looking for more experts in ress torii care and the like, technicians, a administrators, doctors, nurses, we are calling on you to step up, step in and meet this moment. We have more licensed Health Care Professionals in the state of california than any state in the nation, in 766,000 professionals in the state of california. But we estimate we have the capacity to increase our ranks by an additional 37,000plus professionals that are in that time of life where they again may have just recently retired or they are in the process of getting their license and their degrees. We are hopeful with this effort that we will see a surge of individuals to be paid and compensated to participate in the work force and zrirbletted throughout our care Delivery System allaround the state of california. I will have an individual representative here in a moment to talk more specifically about what that means, and also to remind everybody it is National Doctors day in the United States of america. And again, just deep respect and admiration for all of our front line employees for meeting this moment. I also want to express deep respect and admiration to Mark Zuckerberg and facebook. I am well aware of the need to surge with our health care capacity. They are providing stipends for he individuals that need transportation funding, that need child care support if they are going to participate in this work force that can get the kind of support on things that otherwise they wouldnt be paid for. Not just things like child care and trance and transportation, but things like hospital. They put up, and we thank facebook for providing 0 those stipends in those areas where we need extra support. That is the spirit of california. That is the spirit of this moment. That is the spirit that is driving our resolve. Driving our resolve as well is the aggregation of all of these physical assets that have taken place and shape over the course of the last few weeks. From the u. S. S. Mercy that took their first patients just yesterday in los angeles, to the 2,000 rooms that will be surging from the support of the federal government, the field medical stations. We already have our santa clara operation up and running. We have riverside up and running. We have work being done in los angeles and san mateo. We will share in of that and part of the f. M. S. Process, already operationalized. Seaton hospital that we brought into the portfolio of assets here in the state. We have been talking over the weekend to get st. Vincent, 366 beds in los angeles fully staffed up as well. We will have some specific announcements on that in the next few days. A Community Hospital down in long beach, we are starting to see that all take shape in real time. We have other hospitals we have identified in addition to the. M. S. Sites and the u. S. N. S. Mercy. We are looking to get some 1,000 nursing skilled facility units up and running. And we have made progress in areas and others are looking a lot 15 high priority sites. They have four more they will be looking at from the sleep train center here in sacramento, to oakland coliseum, to the l. A. Coliseum and other sites throughout the state of california, looking at those sites as potential surge sites, all part of a plan to increase by 50,000 beds our available capacity within our health care Delivery System. We have distributed now some 32. 6 million n95 masks in the state of california. We have our sites on getting that 101 million that we have locked up into the state. Every couple of days more of that p. P. E. Comes in, not just n95 masks, but coveralls, shields, gowns, glove sets and the like. As soon as we get them in, we get them out. Yesterday we were getting in a umber of he ventilators into bloom energy for refurbishing and reconfigure ration. I am very pleased. The 150 that came from l. A. As part of the national stockpile, all of those have been completed, and are done and are being sent back out into l. A. County. Folks, ant to encourage if you have a line on ventilators, it doesnt matter if they are brand new, maybe you have a few pieces lying around your house i dont mean to be flippant we will take them. We have folks in Silicon Valley that can do miracles and refurbish equipment. Our Community College system he they found 192 ventilators, note all of them in perfect shape, some of them used for training and the like, but we will take whatever we can get. We currently have 4,252 ventilators that we have locked down. Our goal is to get to 10,000 ventilators. We are looking to procure new ones from around the globe. We are hopeful that the federal government can assist us beyond the 170 that came into l. A. County, but if they dont, we will be as resourceful as we possibly comment on the physical asset side, that surge of 50,000 beds we are making real progress. On p. P. E. And lining up and identifying those needs, wore making progress, but more still needs to be done. As it relates to personnel and people, nothing more strauble and nothing more potent to meet this moment. So if you are a Nursing School student, or medical school student, we need you. If you have just retired in the last few years, we need you. If you are looking to expand your scope of practice and have particular expertise in any particular capacity. We need you, and we encourage u to take a look at that healthcore website. Five simple steps. We will ask you basic questions, and we will help you with your relicenses and the protocols and processes to get you up and running and out the door so can you support the needs of the people of statham i have california all throughout our state. We have seen an increase, a modest 8. 3 in terms of total number of posstiffles last night. 5,763 total covid19 positives in the state of california. But it is those hospitalization numbers, the i. C. U. Numbers that we are most focused on. Again, those numbers are starting to go back up, again along the leipsic of our model. The next few weeks are going to be critical in the state of california. In the next few weeks we are going to need more to flex and to surge and do more together to meet this moment. Before i turn it over to the doctor, i want to just remind people of how they can meet this moment. All of you that have the capacity to contribute can contribute most significantly by practicing physical distancing, by continuing the good work that we have done in the state, including over this weekend. We had to shut down all 280 parking lots in our state parks system. We saw a reduction in the kind of surge in our activity in our parks and beaches compared to the previous weekend, but we want you to continue to dough that there. Is nothing more potent and powerful in terms of meeting this moment than practicing that physical distancing. Socially connected, lets be resourceful in addressing the needs of others. I couldnt be more proud of our partnership with next door and the volunteers, some eight Million People we are connected with to check in on seniors and check in on people that are struggling with social isolation. They need not just food and medicine, but may just need a person to call and check in and see how they are doing. Nothing more important for individuals if they want to contribute in this moment than to continue to dot incredible work you have done in the nations largest state to practice physical distancing. And number two, i just want to remind people that if you know anybody in the medical profession, if you know people that you think are willing to contribute their time and energy in a compensated way, to go to this new website so we can meet the Health Care Surge as well. Partners across the spectrum, private sector, facebook, the public sectors with the incredible contributions of nonprofits and civicminded individuals, we will continue to row in the same direction and continue to meet this moment as we have in the state of california. In addition, and happy to answer questions, we are significantly increasing our efforts on homelessness. I am happy to go into details around that. I want to now turn it over to the doctor, who has been part of our partnership with the California Medical Association, working across the spectrum of Health Care Professionals that helped us with guidance and was willing to again work with us to create the flexibility and to create the kind of licensing reforms that temporarily are needed to meet this moment. Thank dr. To constant for that he effort and her energy. I want her to come to the podium and talk more about what we are looking for on the medical side. Thank you. First i wanted to take this moment to thank governor newsome and californias Public Health leaders for the swift action that they have had in terms of our physical distancing and sheltering in place, because it is really helping the Health Care Team. It is hoping us. The time has really been crucial to help us learn about this new virus as health care providers, how best to treat it and how to create the systems of care so that we are there and ready for the sickest when they need us. Today is National Doctors day. I want to first extend my heartfelt gratitude to all my physician colleagues as well as everyone in the Health Care World taking care of our patients, for your Vital Service at this time for both our patients and our communities. This crisis is already impacting thousands of physicians across california. Not just those who are directly taking care of covid19 patients, but also the thousands of others whose practices have been forced to close over the past several weeks. But even amidst this uncertainty and personal hardship, over 500 physicians have reached out to the California Medical Association to ask how can they help during this time. Either directly treating the sickest patients or stepping in to help fill in the gaps for the people that are taking care of our sickest patients. All members of our Health Care Team are showing tremendous courage and bravery, continuing to treat patients even though they worry about the personal Protection Equipment that they need to keep them safe. I am very grateful to governor newsome for his intense focus on delivering the personal protective equipment to our workers who are on the front lines of this pandemic to ensure that california is doing everything that they can to protect our physicians, our nurses and all members of the Health Care Team. Many of us were drawn to careers in medicine balls of the opportunity to truly help others. This is the work that we have been called to do. Now is our time. We are asking all medical professionals, physicians, nurses, physician assistants and all members of the Health Care Team to join us to take care of californians through this surge. For many of us that means tepping outside of our comfort zone and leaning into our inner strength. We are calling in on the sport of all Health Care Workers across california to step up and help serve the patients of our state. I have been humbled and deeply moved by the many stories of physicians and others whose true selflessness has really led with compassion and heartwarming caring solidarity through this. I know we are going to hear many, many, many more stories of this true humanity in the weeks to come. So thank you to all of you who have already worked long hours and who will continue to work tirelessly to help our patients. We truly appreciate you, and thank you in advance for your continued courage and your service, and please reach out to the health care or sorry, pcapgov to help patients in our communities. Thank you. Thank you, doctor. We are struggling with that site. We just got it up and operationalized. I just want to make this point. I am very proud. California has some of the in fact the highest standards personal protection, long championed by the medical association, long championed bite California Nurses Association in terms of ratios, in terms of protective gear. Those are things that we are very, very proud of. Recognize at this moment of excitement in order to meet this moment, we have to temporarily suspend in position of licensing and practices as it comes to meeting the care needs of those. It took a lot for those organizations to participate and step up, and i just want to thank them personally on behalf of millions of californians. We are grateful for your willingness to do so at this moment. Again, i will remind you this is temporary. This is not permanent. No games are being played, and our deep admiration roots back for all of you, and deep gratitude that you are willing to work with us to meet this moment. With that, broad strokes, that is the call to action today to all california Health Care Professionals to help participate and go on this site. We look forward to any questions that anyone may have as well. Governor, we understand that the California Department of health wont release the total number of hospitalizations county by county. Is that a number that you have . Do you have the statewide number of hospitalizations . And if so, will you make that more publicly available given how you can track the disease . It is 1,432. That number substantially higher than the first number we gave awe couple of days ago of 764. It has doubled in four days. We will provide more information on that as needed. The number of i. C. U. Beds today is at 597. You may recall four days ago it was at 200. We cant be more precise than that. We have a 19. 9 increase overnight in the i. C. U. Bed capacity and a 14. 3 overnight increase in the hospitalization capacity. As it relates to your very specific question, the county level, we will provide that information. I will make sure you get it. Hi, governor. Thanks for doing this. I have a twopart question. I hope thats ok. On the first one, we are two weeks into the bay area sheltonner in place orders. California has a whole is faring better than a couple of states, new york, new jersey, louisiana. Just your thoughts. Do you think that those orders have flattened the curve in the bay area as some doctors suggested over the weekend . And my second question is on school closures. We are three weeks into those and some of the schools are providing instruction in different ways. Some are giving video classroom lessons. Others are pointing families to websites with work sheets. Does the state need to do more than just provide guidelines. What do you think about districts and teachers are engaged in disputes . At 2 00 today all 58 county superintendents are getting on the phone, and we will have more detailed information to provide you after that Conference Call that goes deep into the issue not only of Distance Learning but special education and the issue related to food distribution. That is the agenda today. And then a very sober conversation we are going to have about the expectations for the remainder of the school year. By the answer to your question is yes, we need to do more. Let me fill in the blank space on the details that come out of that call this afternoon. And by the way, on thursday we have another webinar specifically related to Distance Learning for special needs kids as well, which only run forces my affirmation which only reinforces my after face that we need to dough that in real time. As relates to the bending of the curve, i am not going to we are in the middle of this, and i think it would be too easy for us to assert a belief what has ment about or has not worked. The one thing that does work is physical distancing. We believe strongly the stay at home order has helped advance our efforts in reducing the stress on the system that we believe would have already materialized in more acute ways had we not advanced those protocols when question did. We have not been sitting around over the last week or two. We have been preparing over the last week or two. That stay at home order has advanced that effort. It has bought us time to prepare. But i want to make this point. I made it from the outset. When you see a tripling of the i. C. U. Beds, when you see a doubling of hospitalization in a fourday period, that is a point of not just consideration, it is a point of obvious concern as it relates to our ability to meet not only the physical needs of that surge, but the personal protective equipment that is required of it, and obviously the Human Capital that we are speaking of today. I dont want to say that it has worked, but i will say i think we have benefited in terms of our capacity to prepare. But we are very sober about what these trend lines are looking to, or at least instructing over the next couple of weeks. Governor, you mentioned you wanted to increase the number of medical workers by about 37,000. That seems like a really large logistical challenge. I wonder how the state can go about doing that in a short time . Where would they go . Would they go to field hospitals, existing hospitals or both . Thank you for the opportunity to clarify. That is the universe of individuals who are retired or active licenses we project are out there. That is not the number we are trying to bring in. That is the universe we are trying to pull from. We are looking for thousands and thousands of individuals. And again, it depends on the expertise. It depends on the specific skill set. We are parsing those out throughout the system, working very collaboratively with our entire Hospital System as well as our Skilled Nursing facilities, our assisted living facilities and the like. It is all part of the larger system. O we are scoping a universe of 37,000, and those we will break down in real time. It is geographic, it is system by system, it is capacity that we are looking for. Let me be specific when we open up the sleep train center. It is a capacity we are looking for when we open up the field medical stations. That capacity deviates itself on needs. In riverside they may have certain needs. Santa clara county has different needs. Counties can absorb more in the more resourced part of the states. We have to supplement that in other parts of the state. It is an interim process, but the universe is 37,000, and thousands is the number that we hope in very real terms in short order will present themselves and we can start aking those matches. Hi, governor. I just wanted to clarify again about this 37,000. The nursing students you mentioned, would they be granted provisional licenses to practice, and then what would happen after the pandemic is over . Would they go back to school . What would happen . Let me ask the doctor to come up and talk about that. Our goal is to recruit both retired and active folks, people who have parttime roles now who can increase their hours. And to your specific question about students, depending on where they are in their training, we are obviously looking to people who were near graduation and fulfilling their degrees. So many were not able to finish the last few months because schools are out because of the covid19 response. So who better than those folks who are really close to being done to bring into the work force now and essentially continue their clinical trainingwomen the support of experienced nurses or other Health Professionals that are in the same line of work that they will be and invite them into the work. Depending on where they were and how many months they are surging, we will have to work with our licensing boards to determine whether they have completed enough of their training to get fully licensed on an ongoing basis or whether they need to return back to the classroom and their clinical rotations to finish up and get their license down the road. Next question . Governor, thank you for taking our questions. We wanted to ask, looking a lot your projections and the modeling that you all have done, when do they indicate that the state could be reaching their capacity in terms of hospital beds needed . When could they be overwhelmed roughly . If you cant provide a specific date, when roughly could that happen . One more thing to put on the end of that, we are wondering if the plans to expand capacity are being done in addition to what individual hospitals and Hospital Systems might be doing, or is it spearheading the across the board response . Just on that, we are working hand in glove within the system. I will remind you roughly 75,000 licensed beds in the state of california. We requested a surge of the system of 50,000 beds. 30,000 of those is a requirement within the Hospital System themselves, which represents a 40 surge. So that is actively being advanced within the Hospital System itself. We are required for the additional 20,000 to go out and access and resource additional capacity. U. S. N. S. Mercy is a part of that. All of these field medical stations are part of that. And all of these other hospitals that we are bringing online, fair view, porterville and the other assets that i referred to that the army of corps of engineers are looking toward, are part of that 20,000. That is an integrated strategy within, and externally outside of that system but all being coordinated through the folks here at the state operations center. As it relates to your other part of the question of when we are seeing peak, that is determined on the basis of our personal behavior. That is determined on the basis of abiding by the stay at home order, making sure that essential and nonessential basis is being conducted, and on the basis of our modeling and projections over the last weeks, not just the fourday period i gave you as a snapshot. I can just say this without getting into the specifics and showing you a chart of a worstCase Scenario or a best Case Scenario and having people run with those things, that over the course of the next few weeks, we are very confident that in the aggregate, and that is a distinction in the aggregate that we will be able to resore the needs both physically, and if we are successful with the health corps, the human resources. In additions, i continue to make the case that the p. P. E. And the supplied side of this continue to be a challenge. Despite the 36 mcgee masks we have put out, tenles of millions have been requested of the state throughout our system and beyond the system. As you know, this is a huge issue for our grocers, big issues for those that deliver the groceries and many others that are also looking for personal protective gear as well. On the ore work there health and Human Service side. But over the next few weeks, i have confidence in our can capacity to meet the moment. The doctor can fill in and amfully reconsideration to what i may have just said. Governor, you hit it right on the nose. I think at the moment the modeling that we show and where we are with our projections and actuals is that our current efforts around surge meet the moment, and that we are able to take care of anybody who needs a hospital bed today, anyone o needs an i. C. U. Bed or a ventilators. Our effort to increase staff, beds and supplies are on track to continue to meet that for weeks to come. Just to reiterate what the governor said, that as we continue our physical distancing efforts, that those are going to help us change what those curves and lines look like. So to continue supporting our neighbors and our communities to do that well is of the utmost importance. I know it is an old mantra, decisions, not conditions determine our fate and future. Decisions, not conditions. I dont live on the basis of than ic forecasts anymore health care forecasts. We change expectations by changing behavior. That is why what the doctor said is so foundational, so incredibly important. The power and potent si we have as individuals to radically change the projections that resides in every one of us in every decision we make each and every day. That social pressure we are seeing out there for people to do the right thing is the most powerful enforcement tool we have, and we will continue to use that as our moral authority is advanced all throughout the state of california. We have to exercise our formal authority as it relates to licensing and business revocation because people abuse it in law enforcement, we will. But again, i am incredibly blessed and pleased to live in a state where so many people get it and are getting it done. In next question. Hi, governor. I have a twopart question. One based on your Community Surveillance testing and the modeling you have done today, how many people do you think are infected with the virus in california . And then the second part adds on to what angela asked, but i am curious why you are reluctant to give us a peak date and why you dont want us to know the date . First of all on that, it is a dynamic model, and it radically is different than just four or five days ago. If we had a model that i could more confidently say based on all of these conditions and everything being static, then we would provide it to you. I can assure you we are running those models in real time. Remember, these models arent just on the basis of current infection rates or the Community Surveillance or testing. It is also on the basis of movement. It has all these in puts. We mentioned this a few weeks ago, working with ezry, blue dot, facebook, apple and others, we have our modeling that is done on a daily basis based on patterns, as well as patterns across the rest of the country and the world. Dr. Galy can fill in a little bit more in terms of making sure that you are satisfied that we are providing that information in real time and give you a sense and prokhorov of our thanking as it relates to making more public those best and worst Case Scenarios. I will come back to a number that the governor uses frequently, which is our 50,000 additional beds. That number is based on the model. We are preparing it we call it our phase one number because we know that depending on how we perform with our physical zansing efforts across the state, that that number is tracked towards an expectation that we meet this moment with physical distancing, and that is what we are going to need based on our models. We project we will need that towards the second half of the month of may. So we are very busy trying to build towards that. That includes at least an additional 10,000 beds in an i. C. U. Setting with ventilators to be able to support that number of patients. Those are the numbers. We are certainly working towards those. It does not mention the total number of people who are infected or who test positive because that is highly dependent on our work to bring on testing. But live people in emergency rooms, hospital beds and i. C. U. s requiring ventilate support do not lie. We have numbers on a daily basis. That will continue to guide us on this road we have been on towards that middle of may target, and we are constantly reassessing as the governor has said. These numbers are dynamic. We know that every day we get information about what the actuals are that help us adjust that model, and we hope balls of our great performance here in california on physical distancing, that we will continue to tell positive storylines of where that is going. We are tipping to prepare for a situation where we need at least 50,000 beds, and if we need more down the road, i am confident, and the governor will be communicating that to you in real time. A note on the modeling, one of the areas also dynamic is is not just on the surge modeling, but the slack of the system within the system, meaning the hospitals have done a magnificent job as it relates to reducinged number of elective surgeries and the hospital us in our system census to a degree we did not anticipate. It goes to the incredible capacity of this system to prepare. That surge, that slack, that number of phase one still remains around 50,000 despite all the other changing conditions in and around our modeling. Hi, governor. Thanks for taking questions. Can you more explicitly explain how far the executive order goes in terms of suspending the rules in what exactly are you waiting with respect to staffing ratios and staffing . I will let the doctor answer that in more detail. Essentially we are on two fronts. I will mention it does mention the ratios and allows us to work with our facilities and our labor partners to move beyond our current ratios, whether that is for nurses or other staff positions so that we can meet the demand in our surge facilities and existing hospitals. So it is not specifically outlined to the number, but it does give us the flexibility and room to work within reasonable measures with the current or the conditions we expect. In regards to who we are inviting back into the work force or accelerating them into the work force, there are a number of things that have to do with who can get licensed, how they can reinstate their being flexion inin some of the tried and true conditions. For example, somebody who has been out of the work force for just under five years, five years and less, to allow them to come in immediately to meet the surge demand on the Health Care Work force. It is both in the areas of staffing ratios and well as allowing individuals to come into the work force that are currently not there but do have the capability of being licensed very quickly. Hi, governor, thanks for taking questions. I wanted to see if there were any updates on numbers for testing kits as far as how many are available to the state for dose testing for covid19, how many are needed and what the backlog is for pending tests right now . The biggest backlog is swabs. That is now the principle limiting factor of our ability to increase tests throughout the state of california. Swabs as well as the media to transport the swabs. We continue to need, though this becomes less of a restrictive reality, the reagents, the r. N. A. Extraction kilts. But no some of the older protocols, old by standards of days, not just weeks, we obviously see the need for more of those reagents and r. N. A. Extraction. That said, the new threwput technology that is coming on, all of the announcements you have heard in the last 24 to 48 hours, including this morning, there is not a company that has been referenced either by your own reporting or someone elses that hasnt been in contact with us that we are not in cammingt with. But i want to caution folks on this. The scale ability of some of these promoted testing protocols, 10minute home tests, 45 minutes, whatever it is. , the escape ability is not there as advertised. We have practitioners of this. We have resourced, and we are deeply engaged with the companies. They have many parts, but they are missing others in order to adopt and strategize the kind of scale that is being promoted and people are demanding and deserving of. We need exponentialally more testing throughout the state of california. We have been looking at advanced conversations conversations at blood based tests and the antibody tests, moving people from coming back intro some semblence of normalcy, and those protocols, processes are happening in real time. I mentioned just yesterday or day before we were down at bloom energy. Right next door to us was a went well known or well discussed company in that space. They are a californiabased company. We are engaging them along with many others. I dont know, doctor, if you want to amplify this a bit more. But this is in real time, 90 of what i think the doctor is doing. That is the case. We are working with just about every testing entity that we can reach out to to figure out what they can provide california. We know that it is not going to be a single solution as the governor said. There is not one company or one strategy that is going to make a difference. We continue to work on the p. C. R. Tests, which are the ones that many people are familiar with. Nd now moving into the serulogic testing zone to bring on another mo difficult to meet our testing needs across the state. We continue to work very hard to make sure that people on the front lines, our Health Care Work force and our First Responders get the testing they need to feel safe and confident that they can be with their families and continue to work. And additionally that we get patients in the hospital who we arent sure if they are covid19 positive but we suspect they are based on their symptoms. The tests so that we can take care of them in the safest most efficient way. All of those priorities notwithstanding, we continue to grow our testing capacity. Those efforts that are happening locally, county by county, system by system, and we are here to fill in the gaps, supporting the systems to scale on their own so that together the local story about than r and the state story lifts up an enormous amount of testing for the state and we can look to the future with a little bit more information. And just to provide a little bit more information, it is not just the specimen samples, not just the dying particulars. It is how long the diagnostic process is taking. The number of pending tests out there is extraordinarily frustrating because of the delay in getting that information back into the parents to the inbox. Tens of thousands of tests have been conducted, but we do not have the result yet. That is the number of p. U. I. s we researched, people under investigation within the Hospital System in our i. C. U. s that we have made public over the course of the last few days and will continue to make public. But also mo broledly, men and did i hat are watching also more broadly, men and women that are watching, you are hearing, six, seven, eight, in one case 12 days to get the results. We need to see that as well. Final question. Thank you. I wanted to ask, if i cant do a twopart question. He first question is the healthcorps site you are talking about says this is going to be paid for and that physicians or other Health Professionals will be there. Will the state be able to cover that. What is the mesa mated cost or the bug line for that at least for now, not knowing who or how many people might sign up . The second question, can you be more specific regarding changes to scope of practice, especially regarding Nurse Practitioners and physician assistants. Other states have been giving professionals things regarding that as well. We are providing a treaf flex in that space through june 30. Those conversations we are all intimately familiar with in the state of california articularly with our Nurse Practitioners. This order provides that flex through june 30. The costs are being born in a myriad of ways, within the system, by the state as well as the federal government. Fema and their reimbursement processes. Obviously the federal support that we are receiving will help us with those efforts. The costs, though, we will address and is being processed in real time. I can assure you cost is not the issue from my humble perspective. We are always mindful of costs, and we do not believe in waste or abuse. By the way, let me talk about abuse when it comes to procuring p. P. E. The scams out there are real. People are being investigated not just for price gouging, but investigated by the f. B. I. And others. I just caution individuals again. This is a time individually, not just for large institutions like states and Hospital Systems, to be very, very wary of people that over promise and dont deliver at all, let alone under deliver, and people that are scamming individuals at the moment. But we are not in that business, and we will provide appropriate can compensation for individuals, and that comes through the traditional system that provides the support, be it the medicade system, medicare, a myriad of other supports that come through the federal government as well as the state government. Dr. Galy, perhaps you want to amplify on the Nurse Practitioners. I think that question was answered june 30, temporary, and ratios along the same lines as well. The only thing i would amplify is that we set dates around this, and we are always looking at whether those are the right dates based on the conditions on the ground. As the governor said, this is not there is no effort here to extend beyond our surge need. Any of these flexes or rule changes because we are sensitive to the ongoing conversations with a number of people who are here with us now and havent been as much in recent days, that these are decisions that californians take very seriously. We work hand in glove with our lebron james slayers and trade organizations to make work with our legislators and trade organizations to prepare to meet the needs of tens of thousands of californians. They need it now and we will be looking a lot it over the weeks and months to come. That concludes this conversation. We look forward to many more in the next couple of days. Let me just make one closing statement. I want to thank our partners at the county level and the city level. Darrell steinberg and many the mayors that have been active in trying to get resourced through the states procurement of hotel rooms for homeless individuals. We are up to over 5,000 hotel rooms now that are available at the county level, at the city level. We recognize we need to do a lot more. Some 5,491 rooms to be resighs. We are getting those trailers out, but we dont want to get them out until we have the support services overlaid. We will be meeting on the phone, a teleconference today to talk more with our counties about how they can continue to support the most vulnerable californians out on the streets and side walks. A top priority for us, and we recognize we have a lot more work to do in that space as well. I will close by reminding everybody at home we also have a lot more work to do to continue as patiently as we can to stepped the stay at home order and recognize that if you have ever done skydiving, the worst thing a human being can do is cut the parachute when you are not even chose to the ground. We are not yet close to the ground. So let us not run that 90yard dash. Lets continue to follow through on the incredible work that has been done and the commitment we all have to meet this moment head on. Take care, everybody. If you miss any of our live coverage of the governments response to the coronavirus coyote break. Watch it any time at cspan. Org slash coronavirus. From daily briefings by the president and the White House Task force, to updates from governors of the hardest hit states. Its all there. Use the charts and maps to track the virus spread and confirm cases in the u. S. County by county. Our coronavirus web page is your fast and easy way to watch cspans unfiltered coverage of this pandemic. Cspans wall street journal, live every day with news and policy issues that impact you. Coming up tuesday morning, the executive director of the National Conference of state legislators, tom story discussion what the coronavirus package means to states and the response to the crisis. And then dr. Ira bright of n. Y. U. , and siriusxms dr. Radio talk about the latest developments in u. S. Efforts to combat the pandemic. And detailer, president of a labor union that represents more than 300,000 workers in the Hospitality Industry about how the coronavirus coronavirus pandemic is impact his his members. Watch cspans wall street journal live at 7 00 eastern tuesday morning. Join the discussion. Now Arkansas Governor Asa Hutchinson on the states response to the coronavirus pandemic. He announced a new Steering Committee to direct the anticipated 1. 25 billion in emergency federal funds. From little rock, this is 30 minutes. Good to have you jonathan. Good afternoon to everyone. Thank you for joining us today for our daily update on the