According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. Quieres leer este artculo en espaol? text-align:center; [14], Proposition 23 saw $114.23 million raised between supporters and opponents. Opponents claim that it may force some clinics to close. What would this ballot initiative have required of dialysis clinics? Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. 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. margin-top: 10px !important; An individual who is in line at the time polls close must be allowed to vote. Proposition 29 Could Increase Health Care Costs for State and Local Governments. If CDPH approves the exception, the clinic can meet the requirement through telehealth. Various Entities Own and Operate Dialysis Clinics. 29. Click here for the California Secretary of State page to ensure you have the most current information. Stop yet another dangerous dialysis proposition. "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. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. Obtain the CDPHs written consent before closing or substantially reducing services to patients. A clinic may dispute CDPHs decision by requesting a hearing. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. -moz-columns: 1; The previous two efforts to regulate dialysis clinics failed, so what is different this time around? Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. These additional costs are highly uncertain. Run/Walk for WeSPARK 5k/10k . Read more endorsements at: latimes.com/endorsements. Federal Regulations Require a Medical Director at Each Dialysis Clinic. nurse practitioner or physician assistant be on site during treatment. 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. 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. Another potential issue for Prop. 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; 5737 Mesmer Ave. 1461, also known as the New Motor Voter Act. 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. [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. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. Under Proposition 29, clinics are required to offer the same quality of care to all patients. [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. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. Other requirements of the proposition would not significantly increase clinic costs. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. 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. Opponents claim Prop. CDPH must specify which information clinics should report, and how and when to report the information. California voters have overwhelmingly rejected similar dialysis propositions twice. Proponents assert that there is a need for dialysis industry reform. 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. -webkit-columns: 2; Elections in 2023 | 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. 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? Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. } The ad will run statewide on broadcast, cable and digital. 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. See CA Ballot Propositions by CalMatters which provides 1-minute video summaries and other key information about the propositions. 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 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. ew /span>. Federal courts | Some people qualify for both Medicare and Medi-Cal. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. vehicle certificate of ownership issued by a governmental agency. This measure isnt really about patient care. The yes campaign has www.yeson29.com. The rates that Medicare and Medi-Cal pay for a dialysis treatment are fairly close to the average cost for clinics to provide a dialysis treatment. You may occasionally receive promotional content from the Los Angeles Times. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. Kidney disease happens when a persons kidneys do not work properly. Its true that clinics often have to call for help if a kidney patient has an emergency, but that wont change even with extra staff because they are not emergency medical facilities. Contact Information. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. Why are city leaders picking winners and losers? The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. CON
The machine filters the blood and adds a solution to help remove waste. 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. [12], The following were the top donors to the committee. Conflict between labor and dialysis businesses, recently scheduled reports processed by Ballotpedia, Californians for Kidney Dialysis Patient Protection, Stop Yet Another Dangerous Dialysis Proposition, Campaign finance requirements for California ballot measures, California Proposition 8, Limits on Dialysis Clinics' Revenue and Required Refunds Initiative (2018), California Proposition 23, Dialysis Clinic Requirements Initiative (2020), Laws governing the initiative process in California, Laws permitting noncitizens to vote in the United States, Click here for the California Secretary of State page to ensure you have the most current information, Petition drive deadlines and requirements, Changes in 2022 to laws governing the initiative process, https://ballotpedia.org/wiki/index.php?title=California_Proposition_29,_Dialysis_Clinic_Requirements_Initiative_(2022)&oldid=9009613, California 2022 ballot measures, certified, Initiated statute certified for the 2022 ballot, Conflicts in school board elections, 2021-2022, Special Congressional elections (2023-2024), 2022 Congressional Competitiveness Report, State Executive Competitiveness Report, 2022, State Legislative Competitiveness Report, 2022, Partisanship in 2022 United States local elections, Californians for Kidney Dialysis Patient Protection - Yes on 29, No on 29: Stop Yet Another Dangerous Dialysis Proposition. 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. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). Prop. CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. 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. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. You can find a full list of the opponents on noprop29.com. Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. Doctors, nurses, and patients urge you to vote NO on Prop 29. Help expand Ballotpedia's elections coverage - volunteer with us. This material may not be published, broadcast, rewritten, or redistributed. Prop. Click here to contact us for media inquiries, and please donate here to support our continued expansion. Vote NO on Prop 29. Requires clinics to report dialysis-related infection data to state. Stop yet another dangerous dialysis proposition. Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. background-color: black !important; Over time, a person may develop kidney failure. "[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. } https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. .sbtotalheader { Public File for KBCW-TV / KBCW 44 Cable 12. 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. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. Requires clinics to: disclose physicians ownership interests; report infection data. Con- Will extend income tax that was supposed to be temporary. The ballot measure was defeated . 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. May 13, 2012 / 4:53 PM Nor is there evidence that the current arrangement has harmed patients. 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. [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. [7], The full text of the ballot initiative is below:[1]. All Rights Reserved. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. The opponents say Proposition 29 would probably hurt patients more than help. 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]. Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. 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]. -moz-columns: 2; [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. Check out Bay Area safety tracker, Bay Area Life; Sundays at 6:30 p.m. on ABC7, click here to view the full map in a new window. The PAC raised over $7.9 million from the SEIU-UHW West. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) California voters will decide the fate of seven statewide propositions on Nov. 8. 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. 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. Most Dialysis Patients Receive Treatment in Clinics. The physician continues to oversee the patients care. . Click here to contact our editorial staff, and click here to report an error. Close Some Clinics. | Proposition 28 promises to bring arts and music programs to every public school and cost taxpayers nothing. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. School districts | For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. California Proposition 29, Dialysis Clinic Requirements Initiative (2022). Public policy. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. [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. } 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. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. 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. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. 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. State law does not specify a length of time for which you must have been a resident to be eligible. width: 100%; / CBS San Francisco. columns: 1; font-weight:bold; 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. Increased state and local government costs likely in the tens of millions of dollars annually. CDPH must specify which information clinics should report, and how and when to report the information. Since then, the yes campaign has launched www.yeson29.com. Copyright 2023 KABC Television, LLC. .split-cols-bm { Here's what's different this time around. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. Voters correctly rejected the last two propositions, and they should do so a third time. The PAC raised over $86.4 million in contributions. Currently, California relies primarily on federal regulations as the basis for its licensing program. This measure would result in higher operating and penalty costs for dialysis clinics. 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. State executives | 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. Prop. margin-bottom: 0 !important; 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. 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. 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. It would also require increased disclosure of clinic ownership and dialysis-related infections. All rights reserved. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Prop. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. California allows same-day voter registration. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. Nov. 3, 2022 5:16 PM PT. Requires Dialysis Clinics to Report Infection-Related Information to CDPH. California's current cigarette tax is 87 cents per pack. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. Con: Opponents of Proposition 29 argue that it would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. However, if trained nephrologists are present during treatment, these patients could receive improved quality of care. Medicare pays for dialysis treatment for the majority of people on dialysis in California. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. Federal law generally makes people with kidney failure eligible for Medicare coverage regardless of age or disability status. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. It operates separately from the newsroom. MORE | What's the difference between Prop 26 and Prop 27? 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. Certification allows clinics to receive payment from Medicare and Medi-Cal. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. Readability scores are designed to indicate the reading difficulty of text. Copyright 2023 KGO-TV. 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. On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. margin-bottom: 10px; Dialysis clinics would face additional regulations. Wage hikes for some workers, not others. 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. Negotiate these changes through the normal legislative process federal law generally makes people kidney. 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