Prop. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. 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. The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. The state and federal governments share the costs of Medi-Cal. Wage hikes for some workers, not others. 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. Click here to contact us for media inquiries, and please donate here to support our continued expansion. 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. Code of Federal Regulations Title 42, Chapter IV, Subchapter G, Part 494: Conditions for Coverage for End-Stage Renal Disease Facilities, last modified July 11, 2022. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. [32], The initiative campaign submitted 1,018,730 raw signatures. Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. Dialysis patients deserve protection under the law. Life is stressful. and the California Dialysis Council. Read more endorsements at: latimes.com/endorsements. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. Pro- $4 billion to $9 billion for schools and health care. [2], Prop. margin-bottom: 10px; It would also prohibit clinics from refusing to treat patients based on the source of payment. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. PRO The proposed initiative, if approved by California's voters, would increase the tax on cigarettes in the state by $1 per pack. Constitutional rights SEIU-UHW West was the primary sponsor and contributed over $7.97 million to the support committee. -webkit-columns: 2; na si. Click "Show" to learn more about voter registration, identification requirements, and poll times in California. State legislature | 29 aims to improve reliability and accuracy of data, which can be difficult to obtain, and to maximize the time that a trained physician, nurse practitioner or physician assistant is present during a patients treatment. 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. Property inherited before Prop 19 took effect would have a $950 annual tax bill. According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. Firearms Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Prop. 29 Dialysis Clinics: no. [12],

No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. Kidney donors must take time off work, suffer discomfort, and accept the increased health risks that come with having only one kidney. An individual who is in line at the time polls close must be allowed to vote. Government regulations largely decide what these rates are. 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. 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. margin-bottom: 0 !important; .sbtotaltable td { 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. Counties | Residents can register to vote by visiting this website. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. 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. 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. Dialysis Clinics Must Report Infection-Related Information to a National Network. [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. The FKGL for the ballot summary is grade level 14, and the FRE is 20. 2022 California propositions explained These propositions deal with abortion, sports betting and environmental initiatives. 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. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. 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. This field is for validation purposes and should be left unchanged. California voters have seven propositions to vote on in the Nov. 8 general election. On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. The attorney general wrote the ballot language for this measure. Why are city leaders picking winners and losers? 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. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. margin-bottom: 5px !important; 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. The following list of accepted ID was current as of November 2022. KCBS Interviews Ray Durazo and Tom Del Beccaro: Ray Durazo is the former American Heart Association Western States Affiliate Board President and currently serves as California Advocacy Task Force Chair. [35], To vote in California, an individual must be a U.S. citizen and California resident. David Miller, research director of SEIU-UHW, said, "Theres just so much improvement that can be made, and theres plenty of resources in the industry to make those improvements. The yes campaign has www.yeson29.com. Opponents claim that it may force some clinics to close. 29. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. 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. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. 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. How often a person needs hemodialysis treatment can vary. .sbtotalheader { Plus, kidney dialysis clinics, arts and music education in public. This measure would result in higher operating and penalty costs for dialysis clinics. 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. Clinics Could Respond to Higher Costs in Different Ways. Run/Walk for WeSPARK 5k/10k . The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. This proposition, for the third time, attempts to regulate dialysis clinics. The Times will begin publishing our endorsements this week for ballot measures and major local and statewide races. Public policy. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. font-weight:bold; California voters will decide the fate of seven statewide propositions on Nov. 8. 29's proponents say dialysis companies don't invest enough in patient care and safety, although they are highly profitable. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. By Vittorio Nastasi and Austill Stuart December 12, 2022. . 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. 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. California has implemented an online voter registration system. 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,. 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. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. Under Proposition 29, clinics are required to offer the same quality of care to all patients. The proposed initiative, if. 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]. Opponents claim Prop. Even the labor-friendly Legislature has refusedto pass similar legislation. Original story follows below. MORE | What's the difference between Prop 26 and Prop 27? Overall, the proposition would increase costs for clinics. CalMatters reporter Ana Ibarra explains Prop. These waivers, intended to ensure adequate staffing at medical facilities, remained in place as of Aug. 2022, with no end in sight but Prop. State executives | This measure isnt really about patient care. -moz-columns: 1; . } [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. 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. font-size:1.0em; Voters correctly rejected the last two propositions, and they should do so a third time. You can read more about the boards mission and its members at About The Times Editorial Board. Report dialysis-related infections to the California Department of Public Health (CDPH). Counties will begin mailing vote-by-mail ballots. Tubing is attached to allow blood to be pumped between the access point and a hemodialyzer machine, also known as an artificial kidney machine. Other requirements of the proposition would not significantly increase clinic costs. Proponents of Prop. May 13, 2012 / 4:53 PM [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. Dialysis is recommended when a person's kidneys lose most of their function. Ballot measures, Who represents me? Certification allows clinics to receive payment from Medicare and Medi-Cal. Its an assertion they cant back up with evidence. 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. 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. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. (Copyright 2012 by CBS San Francisco. Click here for the California Secretary of State page to ensure you have the most current information. Proposition 29 imposes new regulatory responsibilities on CDPH. How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? Readability scores are designed to indicate the reading difficulty of text. 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. The California Republican Party is against the measure. .ballot-measure-endorsements td { width: 35% !important;} / CBS San Francisco. Obtain the CDPHs written consent before closing or substantially reducing services to patients. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. 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. Using the Flesch-Kincaid Grade Level (FKGL) and Flesch Reading Ease (FRE) formulas, Ballotpedia scored the readability of the ballot title and summary for this measure. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Instead, this measure would increase the cost of care to the detriment of patients. .split-cols-bm { Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. 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. It would also require increased disclosure of clinic ownership and dialysis-related infections. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. columns: 1; Pros & Cons Unbiased explanation with arguments for and against . CDPH must specify which information clinics should report, and how and when to report the information. } The California Democratic Party is in favor of the measure. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. What would this ballot initiative have required of dialysis clinics? 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. 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. 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