State law does not specify a length of time for which you must have been a resident to be eligible. 29's proponents say dialysis companies don't invest enough in patient care and safety, although they are highly profitable. Prop 27 california 2022 pros and cons. Opponents assert, Missing even a single dialysis treatment increases patients risk of death by 30%. Dialysis centers are already subject to substantial state and federal oversight and are thus quite safe. Dialysis clinics are already required to report ownership interests of 5% or more to the state survey agency,[4] and current federal rules already require that dialysis clinics have an assigned medical director a physician responsible for staff training and implementing quality of care measures although there are no rules for how long this doctor needs to be on site. The yes campaign has www.yeson29.com. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) Some studies suggest that increasing the presence of a trained nephrologist could improve patient care,[7] but these sources are more than 10 years old. Both CDPH and clinics (or their owners or operators) must post this information on their websites. The Los Angeles Times editorial board determines the positions of The Times as an institution. The ad will run statewide on broadcast, cable and digital. What would this ballot initiative have required of dialysis clinics? Conflict between labor and dialysis businesses, recently scheduled reports processed by Ballotpedia, Californians for Kidney Dialysis Patient Protection, Stop Yet Another Dangerous Dialysis Proposition, Campaign finance requirements for California ballot measures, California Proposition 8, Limits on Dialysis Clinics' Revenue and Required Refunds Initiative (2018), California Proposition 23, Dialysis Clinic Requirements Initiative (2020), Laws governing the initiative process in California, Laws permitting noncitizens to vote in the United States, Click here for the California Secretary of State page to ensure you have the most current information, Petition drive deadlines and requirements, Changes in 2022 to laws governing the initiative process, https://ballotpedia.org/wiki/index.php?title=California_Proposition_29,_Dialysis_Clinic_Requirements_Initiative_(2022)&oldid=9009613, California 2022 ballot measures, certified, Initiated statute certified for the 2022 ballot, Conflicts in school board elections, 2021-2022, Special Congressional elections (2023-2024), 2022 Congressional Competitiveness Report, State Executive Competitiveness Report, 2022, State Legislative Competitiveness Report, 2022, Partisanship in 2022 United States local elections, Californians for Kidney Dialysis Patient Protection - Yes on 29, No on 29: Stop Yet Another Dangerous Dialysis Proposition. May 13, 2012 / 4:53 PM -webkit-columns: 2; Peritoneal dialysis typically occurs three to five times every day, with each treatment taking about 30 to 40 minutes, according to the National Kidney Foundation. State legislature | The propositions, like all state ballot measures, require approval by a simple majority . Group and Individual Health Insurance. A "yes" vote supported this ballot initiative to require dialysis clinics to have at least one physician, nurse practitioner, or physician assistant while patients are being treated; report data on dialysis-related infections; and not discriminate against patients based on the source of payment for care. How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? California has implemented an online voter registration system. SEIU-UHW West was the primary sponsor and contributed over $7.97 million to the support committee. [13] On the ballot as Proposition 8, 59.9% of voters rejected the proposal. 2022 California propositions explained These propositions deal with abortion, sports betting and environmental initiatives. The ballot measure was defeated. [5] Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. As Dahlia Ackerman, a longtime dialysis nurse opposing Proposition 30, told the San Francisco Chronicle, The only thing that we, including a physician, can do in an emergency would be to call 911.. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. These additional costs are highly uncertain. Current and valid photo identification provided by a third party in the ordinary course of business that includes the name and photograph of the individual presenting it. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. The attorney general of California issued ballot language for the initiative on October 29, 2021, allowing a signature drive to begin. Original story follows below. .sbtotaltable td { margin-top: 10px !important; 8 in 2018 and Prop. Prop. [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. SAN FRANCISCO (KCBS) One of the hot button issues heading into the June Presidential Primary Election is Proposition 29, the Tobacco Tax for Cancer Research Act. Contact Information. This California farm kingdom holds a key, Six people, including mother and baby, killed in Tulare County; drug cartel suspected, These are the 101 best restaurants in Los Angeles, New Bay Area maps show hidden flood risk from sea level rise and groundwater, Editorial: 2022 brought more heat and pollution. Copyright 2023 KABC Television, LLC. vehicle certificate of ownership issued by a governmental agency. Elections in 2023 | Medi-Cal. The clinic may request a hearing if it disagrees with the penalty. Not a lot. Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. The opponents include patient advocates and healthcare associations whose members might benefit from the expanded job opportunities the proposition would create: the California Medical Assn., the California chapter of the American Nurses Assn., and the American Academy of Nephrology PAs, along with the Renal Physicians Assn. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. Californias Proposition 29 on the states November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of relevant experience to be on-site during treatment at outpatient kidney dialysis clinics. Californias initiative system was created more than a hundred years ago to give citizens the power to make new laws when their elected leaders failed to do so. The Flesch-Kincaid formulas account for the number of words, syllables, and sentences in a text; they do not account for the difficulty of the ideas in the text. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. Readability scores are designed to indicate the reading difficulty of text. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. }, The following is the argument in support of Proposition 29 found in the Official Voter Information Guide:[9], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. [2], Prop. Doctors, nurses, and patients urge you to vote NO on Prop 29. SAN FRANCISCO (KCBS) - One of the hot button issues heading into the June Presidential Primary Election is Proposition 29, the Tobacco Tax for Cancer Research Act. Signatures need to be certified at least 131 days before the general election. The free college has both its own pros and cons so make the decision wisely! California does not require voters to present photo identification. [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. You can't legally bet on sports in California right now, but Proposition 27 would change that, allowing online betting operated by Native American tribes and gambling companies. "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. Los Angeles, CA 90230 The word count for the ballot title is 17. . A NO vote on this measure means: Chronic dialysis clinics would not be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. width: 100%; The proponents says the proposition is intended to improve patient care. 29. 31 Flavored Tobacco: no. Dialysis patients deserve protection under the law. The California Democratic Party is in favor of the measure. If this proposal seems familiar thats because its virtually the same as two previous measures on the 2018 and 2020 ballots. [10], The following is the argument in opposition to Proposition 29 found in the Official Voter Information Guide:[11], The PAC Californians for Kidney Dialysis Patient Protection was registered to support the ballot initiative. Clinics Could Respond to Higher Costs in Different Ways. Given how often patients need dialysis and how long treatments last, clinics often offer treatments six days per week and often are open outside of typical business operating hours. INITIATIVE STATUTE. margin-bottom: 0 !important; In the less likely event that a relatively large number of clinics would close due to this proposition, having obtained consent from CDPH, state and local governments could have additional costs in the short run. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. / CBS San Francisco. Prohibits clinics from refusing to treat patients based on source of payment. Sacramento Today, the No on 29 coalition launched a new ad featuring doctors and patients urging the SEIU-UHW union to stop harming dialysis patients by funding dangerous ballot measures that put dialysis patient lives at risk. Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. July 26, 2022 mirrormmg. (202) 986-0916, Senior Managing Director, Transportation Policy, Photo 193235704 Saengsuriya Kanhajorn | Dreamstime.com, Innovators in Action: James Small, public safety director of Palmyra, Wisconsin, Florida must stop relying on taxation by citation, Properly designed impact fees could help Wakulla County accommodate population growth. width: 50%; In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. Proposition 28 promises to bring arts and music programs to every public school and cost taxpayers nothing. Haz clic aqu, Mongols gang member sentenced to 10 years in killing of Pomona officer, Polar bear kills woman, boy in remote Alaska village, Man gets 30 years in prison in road rage killing of teen Astros fan. Given the higher costs a clinic would face, some owners and operators may decide to seek consent from CDPH to close some of their clinics that are operating at a loss. @media screen and (max-width: 792px) { -moz-columns: 2; Opponents view the measure as a further attempt to politically and financially weaken DaVita and Fresenius Medical Care and to unionize dialysis workers, and assert that the shortage of nephrologists in the state would leave clinics unable to meet the requirements of Prop. This material may not be published, broadcast, rewritten, or redistributed. Cross Lunch Off Your List, Lunch Bunch delivers nutritious, creative and fun to eat meals for kids aged 3-10. . Prohibits clinics from closing or substantially reducing services without state approval. In this section, Ballotpedia does not include opinion pieces written by individuals or groups that do not represent the official position of a newspaper or media outlet. This measure would result in higher operating and penalty costs for dialysis clinics. Propositions on the November 8, 2022 Ballot. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. .split-cols-bm { Vote NO on Prop 29. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Specifically, owners and operators may be able to negotiate higher rates with private commercial insurance companies and, to a lesser extent, with Medi-Cal managed care plans. Text of measure Ballot title The official ballot title was as follows: [5] Further, tying up physicians and other highly trained medical personnel at dialysis centers would worsen the shortage of healthcare workers across the state and increase waiting times at emergency rooms. [3], The committees in support or opposition of Proposition 8 had raised a combined $130.43 million, making the ballot measure the most expensive of 2018. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. You can find a full list of the opponents on noprop29.com. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. Other people purchase health insurance individually. If the random sample estimates that more than 110 percent of the required number of signatures are valid, the initiative is eligible for the ballot. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. The requirements to get initiated state statutes certified for the 2022 ballot: Signatures are first filed with local election officials, who determine the total number of signatures submitted. Who supported and opposed Proposition 29? margin-top: 0 !important; Committee major funding from DaVita, Fresenius Medical Care, and U.S. Renal Care. 29 would also prohibit clinics from refusing patient care based on the patients form of payment, whether the patient is an individual payer or whether the patients health insurer is Medi-Cal or Medicare. Prop. By Vittorio Nastasi November 22, 2022, Reason Foundation (Copyright 2012 by CBS San Francisco. If CDPH approves the exception, the clinic can meet the requirement through telehealth. Dialysis copies what healthy kidneys do. Proposition 29 includes several requirements affecting clinics, as discussed below. .sbtotalheader { The proposed initiative, if. There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. } CDPH must specify which information clinics should report, and how and when to report the information. [6] Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, March 23, 2021. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. columns: 2; The pros and cons explanations of the ballot propositions are usually given as part of a program to groups. Requires physician, nurse practitioner, or physician assistant on site during treatment. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. Were still careening toward climate disaster, Column: The heart that Angela Bassett brings to Wakanda Forever transcends the genre, Editorial: Reckoning with UCSFs dark history of unethical medical experiments on inmates. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. Click here to contact our editorial staff, and click here to report an error. 29 argue that patients have a higher chance of infection or death when a nurse practitioner, physician, or practitioner is not present and that requiring those medical professionals to be on staff would reduce the likelihood of death or infection. U.S. President | The treatment involves pumping a solution into the abdomen. | The proposition allows CDPH to determine whether or not to consent. Government regulations largely decide what these rates are. [12], Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. The clinic must give a patient this list when the patient is starting treatment, each year after that, or any time a patient (or potential patient) asks for it. Sean Fleming and Jonathan Everhart filed the ballot initiative on August 24, 2021. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. Residents can register to vote by visiting this website. Our weekly mental wellness newsletter can help. Charges Penalties if Dialysis Clinics Do Not Report Required Information. Business regulation Continue Current Operations, but With Lower Profits. Federal regulations require each clinic to have a medical director who is a board-certified physician. Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. } emphasis on political coverage within a state; and. } Have at least one of the following on site during patient treatments: Legislative Analysts Office, Proposition 23, November 3, 2020. Through October 27, 2022, the campaign had received over $23.2 million, including $9.7 million from R.J. Reynolds Tobacco Co. and $9.5 million from Philip Morris USA. requiring clinics to have at least one physician, nurse practitioner, or physician assistant - with at least six months of experience with end-stage renal disease care - onsite during patient treatments; requiring clinics to report dialysis-related infections to the California Department of Public Health (CDPH); requiring clinics to provide patients with a list of physicians with an ownership interest of 5% or more in the clinic; requiring clinics to provide the CDPH with a list of persons with ownership interest of 5% or more in the clinic; and. Specifically, the measure would require that clinics: Prop. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. If less than 95 percent are estimated to be valid, the initiative does not make the ballot. It allows CDPH to base its decision on such information as the clinics financial resources and the clinics plan for making sure patients have uninterrupted dialysis care. Even the labor-friendly Legislature has refusedto pass similar legislation. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. Proposition 29 purports to improve patient care. [7], The fiscal impact statement was as follows:[6], Increased state and local government costs likely in the low tens of millions of dollars annually. Defining the Future of California Sports Betting: Prop 26 and Prop 27 . Nov. 3, 2022 5:16 PM PT. California's Proposition 29 on the state's November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of relevant experience to be on-site during treatment at outpatient kidney dialysis clinics. [35], To vote in California, an individual must be a U.S. citizen and California resident. Federal regulations do not require medical directors to spend a set amount of time at the clinic. Report dialysis-related infections to the California Department of Public Health (CDPH). If donors were properly compensated for their considerable sacrifice, more people would likely be willing to donate reducing the need for dialysisand reducing the need for this type of ballot initiative. 12:08 p.m. Oct. 17, 2022: An earlier version of this endorsement reported that the proponents did not have a website. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. For the Third Time in a Row, Voters Soundly Reject Prop 29 the Dangerous Dialysis Proposition, In new ad, doctors and patients urge SEIU-UHW to stop putting dialysis patients lives at risk with ballot measure extortion, In Case You Missed It: Enough with this foolish extortion says LA Times columnist George Skelton. [6] Prop. Stop Yet Another Dangerous Dialysis Proposition For immediate release: November 8, 2022 Contact: Kathy Fairbanks (916) 813-1010 kfairbanks@bcfpublicaffairs.com Once again California voters reject shameful attack on dialysis patients by one Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. Dialysis Clinics Must Report Infection-Related Information to a National Network. Pros & Cons Unbiased explanation with arguments for and against . 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. Kidney disease happens when a persons kidneys do not work properly. "[19] Dave Regan stated, "The reason Prop. We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. Certification allows clinics to receive payment from Medicare and Medi-Cal. Prop. 2012 CBS Broadcasting Inc. All Rights Reserved. Here's what you need to know about the measure: App users: For a better experience, click here to view the full map in a new window. MORE | What's the difference between Prop 26 and Prop 27? All Rights Reserved. Initiative Statute. .split-cols-bm { "[16], Jim Miller, a columnist for The Sacramento Bee, and Melanie Mason, a state politics journalist for the Los Angeles Times, both stated that the ballot initiative would also provide the SEIU-UHW West with leverage over legislation to enact new regulations on dialysis clinics in the California State Legislature. The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. The campaign said, "Since 2012, UHW has wasted $77.7 million of its members dues money funding 48 failed ballot initiatives across the country many of which put patients and their members at risk. CalMatters reporter Ana Ibarra explains Prop. CDPH also certifies clinics on behalf of the federal government. You can hear KCBS In Depth, a weekly half-hour news interview, Saturdays at 5:30a.m. Proposition 29 imposes new regulatory responsibilities on CDPH. By Vittorio Nastasi and Adrian Moore December 9, 2022. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. Patients need about three treatments per week, and missing a treatment can result in serious health complications. Click "Show" to learn more about voter registration, identification requirements, and poll times in California. You can read more about the boards mission and its members at About The Times Editorial Board. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. Both objected to the repeated abuse of the ballot system by Prop 29 backers and said the measure would be harmful to dialysis patients. They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. The rates that Medicare and Medi-Cal pay for a dialysis treatment are fairly close to the average cost for clinics to provide a dialysis treatment. A bipartisan bill introduced in Congress, House Resolution 3569, would amend NOTA to clarify that organ donors could be compensated for out-of-pocket expenses, lost wages, and other costs associated with donating. Various Entities Own and Operate Dialysis Clinics. (310) 391-2245, 1747 Connecticut Ave NW The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. Note: supporters of the measure have not said whether or not they will put a fourth measure on the 2024 ballot if this measure fails. To receive payments from Medicare, clinics must report specific dialysis-related infection information to the National Healthcare Safety Network at the federal Centers for Disease Control and Prevention. font-weight:bold; Prop. } Abcarian: Did Donald Trump rape, then defame a well known advice columnist? }, .arguments-bm-widget { If a clinic or its owner or operator does not report required information or reports inaccurate information, CDPH may issue a penalty of up to $100,000 against the clinic.
.sbtotaltable { Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. It was not intended to be weaponized in this way. Currently, California relies primarily on federal regulations as the basis for its licensing program. Annie Gibson, a hemodialysis nurse, attends to COVID-19 patient Rue Arnwine Jr., who is on dialysis at Desert Cities Dialysis in Victorville, Calif., in 2020. The following list of accepted ID was current as of November 2022. The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). This individual must have at least six months of experience providing care to kidney patients and is responsible for patient safety and the provision and quality of medical care. School districts | Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. It would also prohibit clinics from refusing to treat patients based on the source of payment. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. If federal data is insufficiently timely or complete, health advocates purposes would seem better served by working with the CDC to improve that data rather than imposing a second collection system in just one state un Prop. Prop. Its an assertion they cant back up with evidence. No program or agency should be specifically funded by fines and fees revenue. He said the measure is important because of what it will do not only for the present, but also the future. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. The labor union SEIU is a major supporter of this measure and supported the previous two measures. Clinics are already required to have a physician on staff overseeing patients care, and each patient has a kidney specialist directing their individual treatment. If there is a shortage of licensed healthcare workers available to monitor. 29 is the third attempt in four years by labor organization Service Employees International Union-United Healthcare Workers West (SEIU-UHW West) to regulate dialysis clinics. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. The Legislative Analyst Office estimates that Proposition 29 would cost Californias state and local governments taxpayerstens of millions of dollars annually. Dialysis centers would incur additional costs to implement the measure some of which they would be expected to pass along in the form of higher fees and charges to Californias Medi-Cal system and to health care plans for public sector employees and retirees. Con: Opponents of Proposition 29 argue that it would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. Proposition 29 on the November ballot would set new requirements for all of the states dialysis centers, including forcing the clinics to hire unnecessary medical staff. Examples of photo identification include, but are not limited to, the following documents: driver's license or identification card of any state; identification card provided by a commercial establishment; Any of the following documents, provided that the document includes the name and address of the individual presenting it, and is dated since the date of the last general election: document issued by a governmental agency; sample ballot or other official elections document issued by a governmental, agency dated for the election in which the individual is providing it as proof, of residency or identity; voter notification card issued by a governmental agency; public housing identification card issued by a governmental agency; lease or rental statement or agreement issued by a governmental agency; student identification card issued by a governmental agency; tuition statement or bill issued by a governmental agency; insurance plan card or drug discount card issued by a governmental agency; discharge certificates, pardons, or other official documents issued to the individual by a governmen- tal agency in connection with the resolution of a criminal case, indictment, sentence, or other matter; public transportation authority senior citizen and disabled discount cards issued by a governmental agency; identification documents issued by governmental disability agencies; identification documents issued by government homeless shelters and other government temporary or transitional facilities; drug prescription issued by a government doctor or other governmental health care provider; (R) property tax statement issued by a governmental agency; vehicle registration issued by a governmental agency; or. nurse practitioner or physician assistant be on site during treatment. The SEUI-UHW says the 9-1-1 service calls from dialysis centers suggest the need for more staff, though they offer no data that the volume is higher than might be expected given that dialysis patients often have other serious health conditions. This proposition, for the third time, attempts to regulate dialysis clinics. A NO vote on this measure means: Chronic dialysis clinics would not be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. The SEIU-UHW West said workers at dialysis clinics had been attempting to unionize since 2016, but that their employers were retaliating against pro-union employees. PRO For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. Conditional voter registration is available beginning 14 days before an election through Election Day. How to run for office | A "no" vote opposed this ballot initiative to require dialysis clinics to have at least one physician, nurse practitioner, or physician assistant while patients are being treated; report data on dialysis-related infections; and not discriminate against patients based on the source of payment for care. That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. Nor is there evidence that the current arrangement has harmed patients. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . Stop Yet Another Dangerous Dialysis Proposition For immediate release: November 8, 2022 Contact: Kathy Fairbanks (916) 813-1010 kfairbanks@bcfpublicaffairs.com Once again California voters reject shameful attack on dialysis patients by one. The measure would have required a doctor, nurse practitioner or physicians' assistant to be present during treatment at the state's 600 outpatient dialysis facilities. Furthermore, its a tactic the union has used before to pressure healthcare facilities, most recently in Los Angeles and other cities, where the SEIU-UHW has qualified local ballot measures to force private health facilities, including dialysis centers, to pay workers at least $25 an hour. California's current cigarette tax is 87 cents per pack. Washington, DC 20009 On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. This is a breaking news topper. 2, 2005, pages 11521. Click here for the California Secretary of State page to ensure you have the most current information. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. A YES vote on this measure means: Chronic dialysis clinics would be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. Prop. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. Plus, kidney dialysis clinics, arts and music education in public. Having on-site, fully trained physicians, nurse practitioners or physician assistants at dialysis clinics would ensure that a trained professional would be present in emergencies. https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. .arguments-bm-widget li { .footer-nav .dropIcon { display: none !important;} .footer-nav .sub-menu {display: none !important;}Paid for by No on 29: Stop Yet Another Dangerous Dialysis Proposition, sponsored by patients, doctors, nurses and dialysis providers. Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. The exception lasts for one year. California does not require proof of citizenship for voter registration, although individuals who become U.S. citizens less than 15 days before an election must bring proof of citizenship to their county elections office to register to vote in that election.[39]. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. CON 29 would increase the states need for more medical professionals. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. On November 3, 2020, 58.63% of voters in California voted in favor of Prop 22 and the law went into effect in mid-December of 2020. . Opponents claim Prop. Requires Dialysis Clinics to Report Infection-Related Information to CDPH. It would also establish other state requirements on clinics including requiring them to disclose all physicians that have clinic ownership interests of 5% or more to their patients and requiring clinics to report infection data to the state. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. CDPH licenses clinics to operate in California. Pro- $4 billion to $9 billion for schools and health care. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. font-size:1.0em; In 2018, the campaign Californians for Kidney Dialysis Patient Protection supported a ballot initiative to require dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. columns: 1; 30 Millionaires Tax: no. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. CDPH must post each clinic's infection information on the CDPH website, including the name of the clinic's owner or operator. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. 5737 Mesmer Ave. Public policy. Prop. .endorsements-header { [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. The ban is delayed until voters make a decision in November. Proposition 8 would have required dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. color:white !important; Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. Overall, the proposition would increase costs for clinics. You may occasionally receive promotional content from the Los Angeles Times. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. The word count for the ballot summary is 84. Under Proposition 29, clinics are required to offer the same quality of care to all patients. In California, the number of signatures required for an initiated state statute is equal to 5 percent of the votes cast in the preceding gubernatorial election. Many people in the state have group health insurance coverage through an employer or another organization (such as a union). Prop. Get browser notifications for breaking news, live events, and exclusive reporting. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. Read more endorsements at: latimes.com/endorsements. Firearms background-color: black !important; Dialysis Mimics What a Normal Kidney Does. Read more. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. It operates separately from the newsroom. This measure isnt really about patient care. if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues Gambling Improved transparency and accessibility of information can help patients make informed decisions for their care. [8], .ballot-measure-endorsements p { But the most consequential provision is the requirement that a physician, nurse practitioner or physicians assistant with experience be on-site at all times at the roughly 650 dialysis centers in the state. A voter must be at least 18 years of age on Election Day. How often a person needs hemodialysis treatment can vary. ), First published on May 13, 2012 / 4:53 PM. Despite overwhelmingly being rejected by voters twice in the last two election cycles, SEIU-UHW is back a third time with Prop 29 that puts patients' lives at risk. [19][20] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. California voters will decide the fate of seven statewide propositions on Nov. 8. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. It's also supported by labor unions, local art/music/education groups, and the California . According to a 2012 report by the California Legislative Analyst's Office, Proposition 29 would generate approximately $735 million a year in new tax revenues. Here's what's different this time around. The proposition is also partially an effort by the Service Employee International Union to introduce state regulation of dialysis clinics through the ballot box. 29 would also require clinics to report to the state, and disclose to patients, if a physician owns at least a five percent stake in a clinic and would prohibit clinics from refusing to. Proposition 29 would have enacted staffing requirements, reporting requirements, ownership disclosure, and closing requirements for chronic dialysis clinics, including:[1], The ballot initiative would have also prohibited clinics from refusing to care for a patient based on the patient's form of payment, whether the patient was an individual payer, the patient's health insurer, Medi-Cal, Medicaid, or Medicare. The attorney general wrote the ballot language for this measure. Run/Walk for WeSPARK 5k/10k . } Tobacco, What's on my ballot? | The state and federal governments share the costs of Medi-Cal. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. Ballotpedia did not identify media editorial boards in support of the ballot measure. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. 29 are already in place. 1461, also known as the New Motor Voter Act. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. That means voters will decide the fewest measures in an election year since 1916. 29 will help ensure they receive safe treatment in dialysis clinics under the care of a doctor or another highly trained clinician in case of emergencies, without risk of infection, and without discrimination. California voters have seven propositions to vote on in the Nov. 8 general election. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. Proponents assert that there is a need for dialysis industry reform. The PAC raised over $7.9 million from the SEIU-UHW West. Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets,. Public File for KBCW-TV / KBCW 44 Cable 12. [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. Prop 29 Explained - November 8 Election . Most Dialysis Patients Receive Treatment in Clinics. Gavin Newsom wisely used his powers under the states COVID-19 state of emergency to authorize the state director of public health to waive licensing requirements on medical practitioners and restrictions on out-of-state medical professionals to help increase the number of medical practitioners in California. The physician continues to oversee the patients care. The legislation, which took effect in 2016, authorized automatic voter registration in California for any individuals who visit the Department of Motor Vehicles to acquire or renew a driver's license.[37][38]. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. Stop yet another dangerous dialysis proposition. Proposition 29 Could Increase Health Care Costs for State and Local Governments. Increased state and local government costs likely in the tens of millions of dollars annually. This proposition was placed on the ballot through the collection of signatures, and a simple majority (50% plus one vote) is required for it to pass. [7], The summary provided for inclusion on signature petition sheets was as follows:[6], Requires physician, nurse practitioner, or physician assistant, with six months relevant experience, on site during treatment at outpatient kidney dialysis clinics; authorizes exemption for staffing shortage if qualified medical professional is available through telehealth. 29.[8]. This amount is less than one-half of 1percent of the states total General Fund spending. Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. Proposition 30 wants to tax the wealthiest Californians -- a 1.75% personal income tax hike on those who make more than $2 million per year. However, some voters may be asked to show a form of identification when voting if they are voting for the first time after registering to vote by mail and did not provide a driver license number, California identification number, or the last four digits of their social security number.[40][41]. It's almost identical to the 2020 measure that failed, but supporters say they did make some changes after receiving feedback from voters in 2020. Under the proposition, state Medi-Cal costs, and state and local employee and retiree health insurance costs, could increase due to: Owners and operators negotiating higher payment rates. Hemodialysis: Before hemodialysis treatments can begin, surgeons create an access point, typically in an arm, to allow technicians to remove blood for treatments. Requires Dialysis Clinics to Say Who Its Owners Are. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. 29. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. However, not everyone is in favor of the measure. [33], On June 20, 2022, the secretary of state reported that the random sample concluded that 725,890 signatures were valid.[34]. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. Jan 29, 2023. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. Constitutional rights The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. 8 in 2018 and Prop. And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition. 29 say that because kidney dialysis services are essential to the continued survival of 80,000 Californians a month, the industry requires common-sense regulation that ensures these services are provided safely. "[18] Wherley, a spokesperson for the SEIU-UHW West, contended that dialysis workers "want these [initiative] reforms regardless of what happens with their union efforts. Education and Health Care Tax, Prop 55 12-year extension to the 2012 tax income tax increases on those making $250,000 or more a year. Proposition 29 would establish a set of regulations for the staffing and operations of chronic dialysis clinics in the state. All Rights Reserved. A single treatment lasts about four hours and happens about three times per week. Its true that clinics often have to call for help if a kidney patient has an emergency, but that wont change even with extra staff because they are not emergency medical facilities. margin-bottom: 10px; Healthy kidneys remove waste and extra fluid from a persons blood. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. The solution absorbs wastes and uses the lining of the abdomen as a filter. There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. However, an owner or operator may be less likely to keep an individual clinic open over the longer term if that clinic is likely to keep operating at a loss. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. and the California Dialysis Council. Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. font-size:1.2em; For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. !function(){"use strict";window.addEventListener("message",(function(e){if(void 0!==e.data["datawrapper-height"]){var t=document.querySelectorAll("iframe");for(var a in e.data["datawrapper-height"])for(var r=0;rExcellence El Carmen Drink Menu, Manchester City Hooligans, Wayne Northrop And Lynn Herring, Burntwood School Stabbing, Alk Capital Llc Net Worth,