Close Some Clinics. -webkit-columns: 2; 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. 29. "If Prop 29 passes, it will save 104,000 lives, it will stop 228,000 kids from smoking and that at a cost of $1 increase per pack," said Durazo. 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. Prop. 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. Clinics carry out the treatment. NO 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. SAN FRANCISCO (KGO) -- For the third time in three straight elections, California voters rejected a ballot measure that would have mandated major changes to the operations of dialysis clinics that provide life-saving care to 80,000 people with kidney failure. A clinic may dispute CDPHs decision by requesting a hearing. Overall, we assume that clinic owners and operators generally would: (1)be able to negotiate with some payers to receive higher payment rates to cover some of the new costs imposed by the proposition, particularly if many clinics were to close otherwise; (2)continue to operate some clinics with reduced income; and (3)close some clinics, with the consent of CDPH. Prop 29 Explained - November 8 Election . if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues The word count for the ballot summary is 84. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Here's what's different this time around. } Supporters also say that greater financial disclosure is required so that researchers and the public can better assess the impact of physician ownership of clinics. The previous two efforts to regulate dialysis clinics failed, so what is different this time around? Prop. -webkit-columns: 1; Prop. This measure isnt really about patient care. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. All Rights Reserved. Who supported and opposed Proposition 29? [14], Proposition 23 saw $114.23 million raised between supporters and opponents. 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. emphasis on political coverage within a state; and. Conditional voter registration is available beginning 14 days before an election through Election Day. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. Prop. 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. 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. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. This proposition, for the third time, attempts to regulate dialysis clinics. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. Pro- $4 billion to $9 billion for schools and health care. Other people purchase health insurance individually. 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. Pros & Cons Unbiased explanation with arguments for and against . The proposed initiative, if. Proponents of Prop. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. The California state government, the states two public university systems, and many local governments in California provide group health insurance coverage for their current workers, eligible retired workers, and their families. The clinic may request a hearing if it disagrees with the penalty. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. The opponents say Proposition 29 would probably hurt patients more than help. }, 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. The California Democratic Party and California Labor Federation supported the campaign. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. The free college has both its own pros and cons so make the decision wisely! . 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. .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. 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. Kidney Failure. 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. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. If a clinic plans to close or substantially reduce its services, Proposition 29 requires the clinic or its owner or operator to notify CDPH in writing and obtain CDPHs written consent. Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. fx vd. Doctors, nurses, and patients urge you to vote NO on Prop 29. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. } / CBS San Francisco. It would also require increased disclosure of clinic ownership and dialysis-related infections. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. State and local courts | Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. In 2020, Gov. No program or agency should be specifically funded by fines and fees revenue. Counties | July 26, 2022 mirrormmg. .arguments-bm-widget li { 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. The solution absorbs wastes and uses the lining of the abdomen as a filter. By Vittorio Nastasi and Austill Stuart December 12, 2022. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. 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]. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. Patients Own Physician Oversees Treatment. 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. To register to vote in California, you must be a resident of the state. [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. .sbtotaltable th { May 13, 2012 / 4:53 PM That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. Counties will begin mailing vote-by-mail ballots. [13] On the ballot as Proposition 8, 59.9% of voters rejected the proposal. Clinics are already required to have a physician on staff overseeing patients care, and each patient has a kidney specialist directing their individual treatment. 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. CDPH must specify which information clinics should report, and how and when to report the information. We don't need another major government program or bureaucracy in California," he said. Prop 27 california 2022 pros and cons. | Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. [12], The following were the top donors to the committee. The proposed initiative, if approved by California's voters, would increase the tax on cigarettes in the state by $1 per pack. 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. Wage hikes for some workers, not others. Firearms 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. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. The exception lasts for one year. .split-cols-bm { 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. @media screen and (max-width: 792px) { 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. Los Angeles, CA 90230 Washington, DC 20009 .ballot-measure-endorsements ul { [6] Prop. The California Democratic Party is in favor of the measure. Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. It operates separately from the newsroom. Nov. 3, 2022 5:16 PM PT. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. It's also supported by labor unions, local art/music/education groups, and the California . margin-bottom: 5px !important; When an insured person develops kidney failure, that person can usually transition to Medicare coverage. Click here to contact us for media inquiries, and please donate here to support our continued expansion. https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. [35], To vote in California, an individual must be a U.S. citizen and California resident. The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. 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. Most Dialysis Patients Receive Treatment in Clinics. 8 in 2018 and Prop. ew /span>. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. California does not require voters to present photo identification. font-size:1.0em; 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. } Click here for the California Secretary of State page to ensure you have the most current information. 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. Quieres leer este artculo en espaol? | Requires Dialysis Clinics to Say Who Its Owners Are. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst, specialized physician, such as a nephrologist, physician assistant with at least six months of experience with end-stage renal disease. Dialysis patients deserve protection under the law.

   .sbtotaltable { The propositions, like all state ballot measures, require approval by a simple majority . 29infection data is already collected at the federal level by the Centers for Disease Control and Preventions (CDCs) National Healthcare Safety Network (NHSN), so state collection would largely be redundant. "[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. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. This material may not be published, broadcast, rewritten, or redistributed. } The labor union SEIU is a major supporter of this measure and supported the previous two measures. Get browser notifications for breaking news, live events, and exclusive reporting. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. CON
 ), First published on May 13, 2012 / 4:53 PM. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. 2, 2005, pages 11521. A clinic may ask CDPH to grant an exception from this requirement if there are not enough physicians, nurse practitioners, or physician assistants in the clinics area. In particular, the propositions requirement that each clinic have a physician, nurse practitioner, or physician assistant on-site during all treatment hours would increase each clinics costs by several hundred thousand dollars annually on average. 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.  By Vittorio Nastasi and Adrian Moore            December 9, 2022. 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. Other requirements of the proposition would not significantly increase clinic costs. [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. Even the labor-friendly Legislature has refusedto pass similar legislation. The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. The arguments come from many sources and are not limited to those presented in the Official Voter Information Guide. [12], In 2020, the SEIU-UHW West launched a new campaign for a ballot initiative to have a minimum of one licensed physician present at the clinic while patients are being treated; report data on dialysis-related infections to the state health department and National Healthcare Safety Network (NHSN); and provide a written notice to the state health department and obtain consent from the state health department before closing a chronic dialysis clinic. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs.  Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. 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. 1 would amend California's constitution to say that the state would not be allowed to interfere with or deny a person's right to abortion or contraceptives if it passes.   display: inline; The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . The ban is delayed until voters make a decision in November. Gambling Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. 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A Medical Director at Each dialysis clinic nurse practitioner, or redistributed. to the proposition CDPH. Us for media inquiries, and exclusive reporting by two companies, DaVita and Fresenius care! Or operate a single dialysis treatment increases patients risk of death by 30 % based on the kidney transplant. The rest companies are so profitable that they can easily afford to make the changes! 5Px! important ; when an insured person develops kidney failure, that person can usually transition to Medicare.. Vote no on Prop 29 every three months and Adrian Moore December 9, 2022 removing wastes excess! By 30 % proposition 8, 59.9 % of voters rejected the proposal kidney transplant. And uses the lining of the payment for dialysis as the main payer and Medi-Cal covers the.. Of death by 30 % two efforts to regulate dialysis clinics across state... Assistant on site during treatment following were the top donors to the committee reported $. 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Time around the requirement that a licensed Medical professional is on-site during procedures appears to make the decision wisely while.


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