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. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. } Ads for and against Proposition 29 have been running non-stop for the last several months. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. | 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. California's current cigarette tax is 87 cents per pack. Various Entities Own and Operate Dialysis Clinics. Prop. If there is a shortage of licensed healthcare workers available to monitor. What's the difference between Prop 26 and Prop 27. However, not everyone is in favor of the measure. Counties will begin mailing vote-by-mail ballots. Wage hikes for some workers, not others. You can find a full list of the opponents on noprop29.com. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. columns: 2; Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. 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. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. The proposition allows CDPH to determine whether or not to consent. (310) 391-2245, 1747 Connecticut Ave NW 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. Dialysis is recommended when a person's kidneys lose most of their function. Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. 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. Certification allows clinics to receive payment from Medicare and Medi-Cal. State executives | .sbtotalheader { "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.". } Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. margin-top: 0 !important; Prop. Requires Dialysis Clinics to Say Who Its Owners Are. } Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. Voters correctly rejected the last two propositions, and they should do so a third time. 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. Dialysis Mimics What a Normal Kidney Does. 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. 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. This measure isnt really about patient care. 5737 Mesmer Ave. 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. California has implemented an online voter registration system. }, .arguments-bm-widget { "[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. 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. California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. The Times will begin publishing our endorsements this week for ballot measures and major local and statewide races. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. Cities | Proposition 29 would establish a set of regulations for the staffing and operations of chronic dialysis clinics in the state. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. [12],
Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. 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. Contact Information. Federal regulations do not require medical directors to spend a set amount of time at the clinic. 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. 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. 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. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. .sbtotaltable td { 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. fx vd. Report dialysis-related infections to the California Department of Public Health (CDPH). The clinic may request a hearing if it disagrees with the penalty. 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]. Conditional voter registration is available beginning 14 days before an election through Election Day. (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. } May 13, 2012 / 4:53 PM However, the owner or operator might not be willing or able to do this over the longer term. The propositions, like all state ballot measures, require approval by a simple majority . The attorney general of California issued ballot language for the initiative on October 29, 2021, allowing a signature drive to begin. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West, which is in a protracted battle with the two largest private dialysis companies, DaVita and Fresenius, to organize workers. Other requirements of the proposition would not significantly increase clinic costs. CON By Vittorio Nastasi and Austill Stuart December 12, 2022. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Have at least one of the following on site during patient treatments: Legislative Analysts Office, Proposition 23, November 3, 2020. [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. .split-cols-bm { [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. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. INITIATIVE STATUTE. Gambling nurse practitioner or physician assistant be on site during treatment. 29. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Cross Lunch Off Your List, Lunch Bunch delivers nutritious, creative and fun to eat meals for kids aged 3-10. . / CBS San Francisco. 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. 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. 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. How often a person needs hemodialysis treatment can vary. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. } Requires physician, nurse practitioner, or physician assistant on site during treatment. Specifically, the measure would require that clinics: Prop. Run/Walk for WeSPARK 5k/10k . Stop yet another dangerous dialysis proposition. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. Jan 29, 2023. U.S. President | No other state requires a doctor on-site, nor do the Centers for Medicare & Medicaid Services or the California State Department of Public Health, which regulates dialysis centers. Requires Dialysis Clinics to Report Infection-Related Information to CDPH. Click here for the California Secretary of State page to ensure you have the most current information. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? 2022 California propositions explained These propositions deal with abortion, sports betting and environmental initiatives. 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. Ballot measures, Who represents me? Elections in 2023 | 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 Con- Will extend income tax that was supposed to be temporary. It was not intended to be weaponized in this way. California Proposition 29, Dialysis Clinic Requirements Initiative (2022) California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. Healthy kidneys remove waste and extra fluid from a persons blood. This November is no different. 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. Another potential issue for Prop. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. 8 in 2018 and Prop. Residents can register to vote by visiting this website. [35], To vote in California, an individual must be a U.S. citizen and California resident. Overall, the proposition would increase costs for clinics. Prop. 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? [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. 2012 CBS Broadcasting Inc. All Rights Reserved. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. [19][20] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. The machine filters the blood and adds a solution to help remove waste. They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. Prop. 2, 2005, pages 11521. Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. Who supported and opposed Proposition 29? The attorney general wrote the ballot language for this measure. The Stop the Dangerous & Costly Dialysis Proposition PAC was registered to oppose the ballot initiative. Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. CDPH licenses clinics to operate in California. [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. The FKGL for the ballot summary is grade level 14, and the FRE is 20. 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. text-align:center; The proposed initiative, if. 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. 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. -moz-columns: 2; 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. Should dialysis clinics be forced to close as a result of increased operating costs, vulnerable patients could lose access to life-saving treatments, sending them to emergency rooms to receive necessary procedures. [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. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. State law does not specify a length of time for which you must have been a resident to be eligible. 29.[8]. The California Democratic Party and California Labor Federation supported the campaign. State and local courts | 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. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. Proposition 29 purports to improve patient care. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. 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. 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. You may occasionally receive promotional content from the Los Angeles Times. } 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. [7] Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets, International Journal for Quality in Health Care 17, no. Prop. Public File for KBCW-TV / KBCW 44 Cable 12. On the other hand, opponents question whether an on-site medical practitioner could effectively respond to a medical emergency given the lack of equipment at most dialysis centers. 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. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. The California Republican Party is against the measure. na si. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues 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. Kidney disease happens when a persons kidneys do not work properly. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. Group and Individual Health Insurance. vehicle certificate of ownership issued by a governmental agency. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. ), First published on May 13, 2012 / 4:53 PM. MORE | What's the difference between Prop 26 and Prop 27? Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. background-color: black !important; All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. Proposition 29 Could Increase Health Care Costs for State and Local Governments. -moz-columns: 1; Close Some Clinics. 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prop 29 california 2022 pros and cons