An individual who is in line at the time polls close must be allowed to vote. 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. 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. Proposition 23 would have required chronic dialysis clinics to: have an on-site physician while patients are being treated; report data on dialysis-related infections; obtain consent from the state health department before closing a clinic; and not discriminate against patients based on the source of payment for care. State executives | In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. 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. Nor is there evidence that the current arrangement has harmed patients. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Various Entities Own and Operate Dialysis Clinics. In California, about 80,000 patients receive dialysis treatments each month, most of which happen at one of the roughly 600 private clinics across the state. and the California Dialysis Council. State legislature | } 2, 2005, pages 11521. } Medi-Cal. This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. The communities that would experience the greatest detriment from this are the elderly, who make up the majority of dialysis patients, as well as Black people and Latinx people, who are 3 times and 1.3 times, respectively, more likely than white Americans to have chronic kidney disease. 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. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. . Read more endorsements at: latimes.com/endorsements. Washington, DC 20009 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. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . } In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. Under Proposition 29, clinics are required to offer the same quality of care to all patients. na si. No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. } This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. 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. Sacramento TheSanta Rosa Press Democratand the 11 papers that make up theSouthern California News Grouptold voters to reject Proposition 29 in recent editorials. 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. .ballot-measure-endorsements ul { Not a lot. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. 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. Prop 29 Explained - November 8 Election . Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. 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. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. 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. However, the owner or operator might not be willing or able to do this over the longer term. The additional tax revenue would be used to fund cancer research, smoking reduction programs and tobacco law enforcement. [6] Prop. Proposition 29 requires each clinic to have, at its expense, at least one physician, nurse practitioner, or physician assistant on-site during all the hours patients receive treatments at that clinic. Federal Regulations Require a Medical Director at Each Dialysis Clinic. nurse practitioner or physician assistant be on site during treatment. Dialysis Mimics What a Normal Kidney Does. Propositions on the November 8, 2022 Ballot. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. Kidney Failure. 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. Federal regulations require each clinic to have a medical director who is a board-certified physician. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . 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. Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. 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. 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. [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. Thats the tension: theres enormous profitability, then you meet folks of enormous need, and you realize that some of that money should be diverted to patient care. 31 Flavored Tobacco: no. 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. Proposition 28 promises to bring arts and music programs to every public school and cost taxpayers nothing. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Requires physician, nurse practitioner, or physician assistant on site during treatment. font-weight:bold; The word count for the ballot title is 17. The arguments come from many sources and are not limited to those presented in the Official Voter Information Guide. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. Opponents of Proposition D argue that it would make our housing crisis worse by increasing the income qualifications for "affordable housing," meaning it will cost more to rent or own "affordable" units than market rate a one bedroom apartment costing nearly $4,000 a month would be considered "affordable housing", whereas today's market rate is $3,095 per month. background-color: black !important; The opponents say Proposition 29 would probably hurt patients more than help. However, not everyone is in favor of the measure. This is a breaking news topper. CalMatters reporter Ana Ibarra explains Prop. Conditional voter registration is available beginning 14 days before an election through Election Day. CON Click here for the California Secretary of State page to ensure you have the most current information. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. Patients Own Physician Oversees Treatment. margin-bottom: 5px !important; 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. Kidney disease happens when a persons kidneys do not work properly. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. 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. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. The solution absorbs wastes and uses the lining of the abdomen as a filter. A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. See CA Ballot Propositions by CalMatters which provides 1-minute video summaries and other key information about the propositions. 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? SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. Dialysis Clinics Must Report Infection-Related Information to a National Network. 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. Prop. The PAC raised over $86.4 million in contributions. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. 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. If they miss a treatment because of reduced hours or access, it could be fatal. CDPH also certifies clinics on behalf of the federal government. 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. . 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. May 13, 2012 / 4:53 PM 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. This proposition, for the third time, attempts to regulate dialysis clinics. 8 in 2018 and Prop. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. 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. Hemodialysis: Before hemodialysis treatments can begin, surgeons create an access point, typically in an arm, to allow technicians to remove blood for treatments. Click here to contact our editorial staff, and click here to report an error. }, .arguments-bm-widget { "Government can only take so much of a bite out of the economy.". 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. 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. Overall, the proposition would increase costs for clinics. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. Copyright 2023 KGO-TV. Prop 22: California Measure's Pros And Cons . margin-top: 0 !important; [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. 29 would increase the cost of providing dialysis services, and force some dialysis centers to shut down and others to reduce hours, thereby reducing access to this lifesaving treatment. Both CDPH and clinics (or their owners or operators) must post this information on their websites. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. In the time Small has served in this role, the property crime rate has plummeted by 88% to just over five property crimes per 1,000 residents. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. Dialysis, a treatment that removes waste and chemicals from the bloodstream, is administered to people whose kidneys no longer function properly. A single treatment lasts about four hours and happens about three times per week. The physician continues to oversee the patients care. Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. The FKGL for the ballot summary is grade level 14, and the FRE is 20. All Rights Reserved. Prop. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. 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. Quieres leer este artculo en espaol? 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. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. 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. 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. 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. Clinics carry out the treatment. 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. Certification allows clinics to receive payment from Medicare and Medi-Cal. } What would this ballot initiative have required of dialysis clinics? "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. If the random sample estimates that between 95 and 110 percent of the required number of signatures are valid, a full check of signatures is done to determine the total number of valid signatures. Stop yet another dangerous dialysis proposition. No program or agency should be specifically funded by fines and fees revenue. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. Instead, this measure would increase the cost of care to the detriment of patients. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. 29.[8]. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). .arguments-bm-widget li { Both objected to the repeated abuse of the ballot system by Prop 29 backers and said the measure would be harmful to dialysis patients. 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. 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 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. [2], Prop. In 2020, Gov. Copyright 2023 KABC Television, LLC. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. Even the labor-friendly Legislature has refusedto pass similar legislation. [8], .ballot-measure-endorsements p { The labor union SEIU is a major supporter of this measure and supported the previous two measures. 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. 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]. NO 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. 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. Doctors, nurses, and patients urge you to vote NO on Prop 29. Close Some Clinics. display: inline; Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. Public policy. Improved transparency and accessibility of information can help patients make informed decisions for their care. 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. 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. 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