Medicare pays for dialysis treatment for the majority of people on dialysis in California. 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. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. How to vote | The proposed initiative, if. California does not require voters to present photo identification. Proponents assert that there is a need for dialysis industry reform. } CON Prohibits clinics from closing or substantially reducing services without state approval. 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. Kidney donors must take time off work, suffer discomfort, and accept the increased health risks that come with having only one kidney. Requires Dialysis Clinics to Report Infection-Related Information to CDPH. Prop. How safe is your neighborhood? For people enrolled only in Medi-Cal, the Medi-Cal program alone pays for dialysis. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. Prop. The exception lasts for one year. The PAC raised over $86.4 million in contributions. California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. 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. Many people in the state have group health insurance coverage through an employer or another organization (such as a union). Dialysis copies what healthy kidneys do. Prop 29 Explained - November 8 Election . 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. The measure would amend the state health code to require dialysis clinics to have a licensed medical professional on-site during treatment or in some cases available virtually during treatments. By Vittorio Nastasi and Austill Stuart December 12, 2022. Life is stressful. The FKGL for the ballot summary is grade level 14, and the FRE is 20. } The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). . 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 "[19] Dave Regan stated, "The reason Prop. Proposition 29 Increases Costs for Dialysis Clinics. Copyright 2023 KABC Television, LLC. 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. Its an assertion they cant back up with evidence. And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. No program or agency should be specifically funded by fines and fees revenue. The ban is delayed until voters make a decision in November. [12], In 2020, the SEIU-UHW West launched a new campaign for a ballot initiative to have a minimum of one licensed physician present at the clinic while patients are being treated; report data on dialysis-related infections to the state health department and National Healthcare Safety Network (NHSN); and provide a written notice to the state health department and obtain consent from the state health department before closing a chronic dialysis clinic. [19][20] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. Even the labor-friendly Legislature has refusedto pass similar legislation. } The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. 12:08 p.m. Oct. 17, 2022: An earlier version of this endorsement reported that the proponents did not have a website. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. 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. [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. [12], The following were the top donors to the committee. The California Republican Party is against the measure. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. Not a lot. 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. Federal Regulations Require a Medical Director at Each Dialysis Clinic. The Times will begin publishing our endorsements this week for ballot measures and major local and statewide races. A "no" vote opposed 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. }, 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. .endorsements-header { Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. Doctors, nurses, and patients urge you to vote NO on Prop 29. | Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. U.S. President | Firearms 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. State and local courts | The solution absorbs wastes and uses the lining of the abdomen as a filter. Con- Will extend income tax that was supposed to be temporary. As noted earlier, an owner or operator might be able to support these clinics with its higher-earning clinics. Federal courts | 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. Specifically, because dialysis is a dangerous procedure, it is essential that a trained clinician be nearby to react if something goes wrong. 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. All Rights Reserved. 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. Readability scores are designed to indicate the reading difficulty of text. You can read more about the boards mission and its members at About The Times Editorial Board. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. This is just leverage. Dialysis clinics would face additional regulations. In particular, the propositions requirement that each clinic have a physician, nurse practitioner, or physician assistant on-site during all treatment hours would increase each clinics costs by several hundred thousand dollars annually on average. Nor is there evidence that the current arrangement has harmed patients. 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. Here's what's different this time around. There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. It's almost identical to the 2020 measure that failed, but supporters say they did make some changes after receiving feedback from voters in 2020. 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. Kidney disease happens when a persons kidneys do not work properly. [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. The ballot measure was defeated. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . California allows same-day voter registration. .sbtotaltotal { Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. Defining the Future of California Sports Betting: Prop 26 and Prop 27 . ew /span>. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. You can't legally bet on sports in California right now, but Proposition 27 would change that, allowing online betting operated by Native American tribes and gambling companies. [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. All Rights Reserved. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. This measure would result in higher operating and penalty costs for dialysis clinics. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. Report dialysis-related infections to the California Department of Public Health (CDPH). Public File for KBCW-TV / KBCW 44 Cable 12. 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. [4] 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, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. 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. 2012 CBS Broadcasting Inc. All Rights Reserved. Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. 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. It would also require increased disclosure of clinic ownership and dialysis-related infections. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. margin-top: 0 !important; 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. It would also require increased disclosure of clinic ownership and dialysis-related infections. This is a breaking news topper. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. "[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. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. Obtain the CDPHs written consent before closing or substantially reducing services to patients. 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. Propositions on the November 8, 2022 Ballot. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. California's current cigarette tax is 87 cents per pack. What's the difference between Prop 26 and Prop 27. Increased state and local government costs likely in the tens of millions of dollars annually. fx vd. 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. (310) 391-2245, 1747 Connecticut Ave NW 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. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. 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]. You can find a full list of the opponents on noprop29.com. The state and federal governments share the costs of Medi-Cal. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. 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. Prop. It operates separately from the newsroom. 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. nurse practitioner or physician assistant be on site during treatment. School districts | The California Democratic Party and California Labor Federation supported the campaign. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. YES Patients Own Physician Oversees Treatment. 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. 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. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. [1] Legislative Analysts Office, Proposition 23, November 3, 2020, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020. On November 3, 2020, 58.63% of voters in California voted in favor of Prop 22 and the law went into effect in mid-December of 2020. . Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. columns: 2; We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. Our weekly mental wellness newsletter can help. 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. .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. This form of dialysis removes blood from the body, filters it through a machine to remove waste and extra fluid, then returns it to the body. Public policy. [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. 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. Proposition 29 imposes new regulatory responsibilities on CDPH. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. 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. The propositions, like all state ballot measures, require approval by a simple majority . } Currently, California relies primarily on federal regulations as the basis for its licensing program. font-size:1.2em; Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. 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