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. font-weight:bold; [13] On the ballot as Proposition 8, 59.9% of voters rejected the proposal. A clinic may dispute CDPHs decision by requesting a hearing. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. The exception lasts for one year. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. Dialysis Clinics Must Report Infection-Related Information to a National Network. Proponents of Prop. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. Prop. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. }, .arguments-bm-widget { You can read more about the boards mission and its members at About The Times Editorial Board. Elections in 2023 | Prop 22 california 2020 pros and cons. Prop. Ads for and against Proposition 29 have been running non-stop for the last several months. Why are city leaders picking winners and losers? The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. 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. and the California Dialysis Council. 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. Under Proposition 29, clinics are required to offer the same quality of care to all patients. Some people qualify for both Medicare and Medi-Cal. | Overall, the proposition would increase costs for clinics. 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. Wage hikes for some workers, not others. Few Main Sources Pay for Dialysis. 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. 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. [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. [5] Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. (310) 391-2245, 1747 Connecticut Ave NW . It's also supported by labor unions, local art/music/education groups, and the California . The FKGL for the ballot title is grade level 16, and the FRE is -1. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Here's what's different this time around. 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. Contact Information. Nov. 3, 2022 5:16 PM PT. 29. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. How to vote | How safe is your neighborhood? 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. 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. -webkit-columns: 1; Various Entities Own and Operate Dialysis Clinics. However, the owner or operator might not be willing or able to do this over the longer term. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Ballot measures, Who represents me? Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. }, 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. CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names } Public File for KBCW-TV / KBCW 44 Cable 12. 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. Read more. This November is no different. CDPH must post each clinic's infection information on the CDPH website, including the name of the clinic's owner or operator. "[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. Counties will begin mailing vote-by-mail ballots. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. 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. 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. .sbtotaltable td { "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. Copyright 2023 KGO-TV. Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. Increased state and local government costs likely in the tens of millions of dollars annually. Kidney Failure. 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. [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. 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. By Vittorio Nastasi November 22, 2022, Reason Foundation 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. Run/Walk for WeSPARK 5k/10k . Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. You can find a full list of the opponents on noprop29.com. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. Signatures need to be certified at least 131 days before the general election. That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. He said the measure is important because of what it will do not only for the present, but also the future. May 13, 2012 / 4:53 PM Prop. margin-top: 0 !important; The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. We don't need another major government program or bureaucracy in California," he said. Tobacco, What's on my ballot? ), First published on May 13, 2012 / 4:53 PM. The Californians for Kidney Dialysis Patient Protection PAC raised $8.99 million from the SEIU-UHW West. 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. Currently, California relies primarily on federal regulations as the basis for its licensing program. 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. A single treatment lasts about four hours and happens about three times per week. Since then, the yes campaign has launched www.yeson29.com. 29 are already in place. Kidney donors must take time off work, suffer discomfort, and accept the increased health risks that come with having only one kidney. .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. 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 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. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. Jan 29, 2023. 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. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. Proposition 29 would establish a set of regulations for the staffing and operations of chronic dialysis clinics in the state. No program or agency should be specifically funded by fines and fees revenue. The Legislative Analyst Office estimates that Proposition 29 would cost Californias state and local governments taxpayerstens of millions of dollars annually. Dialysis centers would incur additional costs to implement the measure some of which they would be expected to pass along in the form of higher fees and charges to Californias Medi-Cal system and to health care plans for public sector employees and retirees. Help expand Ballotpedia's elections coverage - volunteer with us. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. Cities | Federal regulations require each clinic to have a medical director who is a board-certified physician. } In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. Opponents, organized as Patients and Caregivers to Protect Dialysis Patients, raised $111.48 million, with DaVita and Fresenius Medical Care North America providing 90% of the campaign's funds. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . .endorsements-header { 29. 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. 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. .split-cols-bm { California allows same-day voter registration. } 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. [8] Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://www.kidney-international.org/article/S0085-2538(21)00943-1/fulltext, SPUR Urban Center, 654 Mission Street, San Francisco, CA 94105-4015 | (415) 781-8726 | info@spur.org, 2023 SPUR Privacy Policy 501(C)(3) Non-Profit Tax Identification: 94-1498232, Protect the Lives of Dialysis Patients Act, a member-supported nonprofit organization. background-color: black !important; Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic.
