California voters have overwhelmingly rejected similar dialysis propositions twice. July 26, 2022 . "Government can only take so much of a bite out of the economy.". 29's proponents say dialysis companies don't invest enough in patient care and safety, although they are highly profitable. [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. Dialysis is recommended when a person's kidneys lose most of their function. Here's what's different this time around. However, the owner or operator might not be willing or able to do this over the longer term. Signatures need to be certified at least 131 days before the general election. This material may not be published, broadcast, rewritten, or redistributed. The previous two efforts to regulate dialysis clinics failed, so what is different this time around? We don't need another major government program or bureaucracy in California," he said. [33], On June 20, 2022, the secretary of state reported that the random sample concluded that 725,890 signatures were valid.[34]. Letters to the Editor: Rethinking L.A.'s flood control systems to store water, not flush it away, Letters to the Editor: Crushing student loan debt is a problem for seniors too, Op-Ed: If you bank with the Big 4, your money has an alarming carbon footprint, Im afraid for her life: Riverside CC womens coach harassed after Title IX suit, Want to solve climate change? The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Prop.
.sbtotaltable { July 26, 2022 mirrormmg. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. .ballot-measure-endorsements ul { There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. Prop. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. .sbtotaltable th { [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. 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. 30 Millionaires Tax: no. The FKGL for the ballot summary is grade level 14, and the FRE is 20. As the verification process can take multiple months, the secretary of state provides suggested deadlines for ballot initiatives. columns: 2; [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. What's the difference between Prop 26 and Prop 27. If the total number is equal to at least 100 percent of the required signatures, then local election officials perform a random check of signatures submitted in their counties. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. Like last time, this latest proposition will again jeopardize access to care, worsen our health care provider shortage and increase health care costs for all Californians. Patients Own Physician Oversees Treatment. On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. The Stop the Dangerous & Costly Dialysis Proposition PAC was registered to oppose the ballot initiative. 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. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. CalMatters reporter Ana Ibarra explains Prop. 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]. This is just leverage. Federal regulations do not require medical directors to spend a set amount of time at the clinic. [12], This form of dialysis removes blood from the body, filters it through a machine to remove waste and extra fluid, then returns it to the body. The yes campaign has www.yeson29.com. 12:08 p.m. Oct. 17, 2022: An earlier version of this endorsement reported that the proponents did not have a website. Certification allows clinics to receive payment from Medicare and Medi-Cal. Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. font-size:1.0em; U.S. Congress | Proposition 29 purports to improve patient care. Stop yet another dangerous dialysis proposition. 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 When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. However, if trained nephrologists are present during treatment, these patients could receive improved quality of care. Federal law requires a group insurer to be the main payer for dialysis treatment for the first 30 months of treatment. Proposition 29 Increases Costs for Dialysis Clinics. Clinics Could Respond to Higher Costs in Different Ways. CDPH must post each clinic's infection information on the CDPH website, including the name of the clinic's owner or operator. -webkit-columns: 1; 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. Propositions on the November 8, 2022 Ballot. What would this ballot initiative have required of dialysis clinics? Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. Federal Regulations Require a Medical Director at Each Dialysis Clinic. 29.[8]. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. Charges Penalties if Dialysis Clinics Do Not Report Required Information. It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect. Prop 22: California Measure's Pros And Cons . background-color: black !important; margin-top: 10px !important; Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. [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. https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. Improved transparency and accessibility of information can help patients make informed decisions for their care. [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/. It would also require increased disclosure of clinic ownership and dialysis-related infections. 29 in 1 minute. The measure would amend the state health code to require dialysis clinics to have a licensed medical professional on-site during treatment or in some cases available virtually during treatments. Tobacco, What's on my ballot? . Higher costs could result in clinics being forced to close, which would reduce access to dialysis care or cause higher costs to be passed along to patients. In 2020, Gov. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. 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. There are no recent or relevant statistics, surveys or studies that suggest a need for dialysis reform, nor is there substantial support for this proposition from dialysis professionals. Even the labor-friendly Legislature has refusedto pass similar legislation. SEIU-UHW West was the primary sponsor and contributed over $7.97 million to the support committee. Stop yet another dangerous dialysis proposition. This field is for validation purposes and should be left unchanged. However, not everyone is in favor of the measure. INITIATIVE STATUTE. 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. Educational. Some people qualify for both Medicare and Medi-Cal. Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues 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. Help expand Ballotpedia's elections coverage - volunteer with us. "We can prove absolutely through statistics, that when you increase the price of cigarettes, there's an immediate drop in the number of kids who will start smoking as a result.". emphasis on political coverage within a state; and. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. By Vittorio Nastasi and Adrian Moore December 9, 2022. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. Not a lot. State and local courts | This measure isnt really about patient care. . Get browser notifications for breaking news, live events, and exclusive reporting. Prop. margin-bottom: 10px; Overall, the proposition would increase costs for 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. Proponents of Prop. Property inherited before Prop 19 took effect would have a $950 annual tax bill. Here's a breakdown of each proposition and what it entails. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. School districts | Medicare pays for dialysis treatment for the majority of people on dialysis in California. Prop 27 california 2022 pros and cons. Who supported and opposed Proposition 29? } 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. columns: 1; } This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. 23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. Requires physician, nurse practitioner, or physician assistant on site during treatment. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. Dialysis patients deserve protection under the law. A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. California automatically registers eligible individuals to vote when they complete a driver's license, identification (ID) card, or change of address transaction through the Department of Motor Vehicles. State legislature | It would also prohibit clinics from refusing to treat patients based on the source of payment. margin-top: 0 !important; }, .arguments-bm-widget { Other requirements of the proposition would not significantly increase clinic costs. 2012 CBS Broadcasting Inc. All Rights Reserved. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. How often a person needs hemodialysis treatment can vary. CON
You can hear KCBS In Depth, a weekly half-hour news interview, Saturdays at 5:30a.m. Prohibits clinics from refusing to treat patients based on source of payment. Los Angeles, CA 90230 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. Conditional voter registration is available beginning 14 days before an election through Election Day. 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. Have at least one of the following on site during patient treatments: Legislative Analysts Office, Proposition 23, November 3, 2020. 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. A total of $13,374,336.75 was spent to collect the 623,212 valid signatures required to put this measure before voters, resulting in a total cost per required signature (CPRS) of $21.46. Copyright 2023 KGO-TV. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. 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. Clinics carry out the treatment. width: 100%; The following list of accepted ID was current as of November 2022. Public File for KBCW-TV / KBCW 44 Cable 12. Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. 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. Plus, kidney dialysis clinics, arts and music education in public. The Los Angeles Times editorial board determines the positions of The Times as an institution. 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 free college has both its own pros and cons so make the decision wisely! Most Dialysis Patients Receive Treatment in Clinics. | You can read more about the boards mission and its members at About The Times Editorial Board. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. font-weight:bold; Take a look at the latest stories and videos about the 2022 Midterm Elections here. Revenues go toward K-12 schools, California Community Colleges, and healthcare. You can find a full list of the opponents on noprop29.com. While our example was specifically drawn from a home in Los Angeles, a similar story is likely to play out in other areas of California. Voters correctly rejected the last two propositions, and they should do so a third time. The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. 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. All Rights Reserved. [6] Prop. Thats because the added cost of hiring unnecessary staff, which is estimated at several hundreds of thousands of dollars per year for each clinic, could force some centers to close or reduce hours. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. The measure has a number of needless provisions, such as requiring infections to be reported to the state, though these data are being reported to the federal government now, and prohibiting dialysis centers from discriminating due to payer source, which even the proponents say is not a problem now. It would also require increased disclosure of clinic policies and procedures and administer the proposition CDPH... Community Colleges, and Healthcare ) Licenses and Certifies dialysis clinics state Legislature it. 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