Copyright 2023 KGO-TV. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. Prop. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. December 29, 2022. 2022 California propositions explained These propositions deal with abortion, sports betting and environmental initiatives. 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. PRO 2023 CBS Broadcasting Inc. All Rights Reserved. [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. The pros and cons explanations of the ballot propositions are usually given as part of a program to groups. How to vote | 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. Other requirements of the proposition would not significantly increase clinic costs. [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. 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. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. emphasis on political coverage within a state; and. Counties will begin mailing vote-by-mail ballots. There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. 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. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. Improved transparency and accessibility of information can help patients make informed decisions for their care. Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. 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. Close Some Clinics. This measure isnt really about patient care. Another potential issue for Prop. . Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? 29 in 1 minute. Proposition 30 wants to tax the wealthiest Californians -- a 1.75% personal income tax hike on those who make more than $2 million per year. "We can prove absolutely through statistics, that when you increase the price of cigarettes, there's an immediate drop in the number of kids who will start smoking as a result.". California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. 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. Click here for the California Secretary of State page to ensure you have the most current information. A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. The clinic may request a hearing if it disagrees with the penalty. . If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. [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. 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. The Times will begin publishing our endorsements this week for ballot measures and major local and statewide races. It would also require increased disclosure of clinic ownership and dialysis-related infections. Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. font-weight:bold; Run/Walk for WeSPARK 5k/10k . display: inline; / CBS San Francisco. The opponents include patient advocates and healthcare associations whose members might benefit from the expanded job opportunities the proposition would create: the California Medical Assn., the California chapter of the American Nurses Assn., and the American Academy of Nephrology PAs, along with the Renal Physicians Assn. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. 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. California voters have overwhelmingly rejected similar dialysis propositions twice. Dialysis copies what healthy kidneys do. The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. 29. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. If less than 95 percent are estimated to be valid, the initiative does not make the ballot. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. The Flesch-Kincaid formulas account for the number of words, syllables, and sentences in a text; they do not account for the difficulty of the ideas in the text. 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. Prop. The attorney general of California issued ballot language for the initiative on October 29, 2021, allowing a signature drive to begin. 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. 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,. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. CDPH also certifies clinics on behalf of the federal government. Dialysis care is a highly complex issue and should not be left up to voters to decide. INITIATIVE STATUTE. Proponents of Prop. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. margin-top: 10px !important; The solution absorbs wastes and uses the lining of the abdomen as a filter. All Rights Reserved. Further, tying up physicians and other highly trained medical personnel at dialysis centers would worsen the shortage of healthcare workers across the state and increase waiting times at emergency rooms. Revenues go toward K-12 schools, California Community Colleges, and healthcare. 1461, also known as the New Motor Voter Act. 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. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. 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. 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. 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. The FKGL for the ballot title is grade level 16, and the FRE is -1. 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. Quieres leer este artculo en espaol? 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. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. Educational. 29 will help ensure they receive safe treatment in dialysis clinics under the care of a doctor or another highly trained clinician in case of emergencies, without risk of infection, and without discrimination. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. Federal law requires a group insurer to be the main payer for dialysis treatment for the first 30 months of treatment. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. Despite overwhelmingly being rejected by voters twice in the last two election cycles, SEIU-UHW is back a third time with Prop 29 that puts patients' lives at risk. Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. Other people purchase health insurance individually. The California Democratic Party and California Labor Federation supported the campaign. The labor union SEIU is a major supporter of this measure and supported the previous two measures. "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. margin-bottom: 5px !important; The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. Clinics are already required to have a physician on staff overseeing patients care, and each patient has a kidney specialist directing their individual treatment. Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. width: 50%; 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. According to a 2012 report by the California Legislative Analyst's Office, Proposition 29 would generate approximately $735 million a year in new tax revenues. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. 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. The physician continues to oversee the patients care. 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. Dialysis Mimics What a Normal Kidney Does. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. This material may not be published, broadcast, rewritten, or redistributed. This amount is less than one-half of 1percent of the states total General Fund spending. "Government can only take so much of a bite out of the economy.". The FKGL for the ballot summary is grade level 14, and the FRE is 20. 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. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. Prop. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. 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. 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. } California voters have seven propositions to vote on in the Nov. 8 general election. Proposition 29 imposes new regulatory responsibilities on CDPH. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. Were still careening toward climate disaster, Column: The heart that Angela Bassett brings to Wakanda Forever transcends the genre, Editorial: Reckoning with UCSFs dark history of unethical medical experiments on inmates. Under Proposition 29, clinics are required to offer the same quality of care to all patients. An individual who is in line at the time polls close must be allowed to vote. The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. 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. Government regulations largely decide what these rates are. This is just leverage. Original story follows below. Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. .split-cols-bm { California allows same-day voter registration. May 13, 2012 / 4:53 PM State law does not specify a length of time for which you must have been a resident to be eligible. The opponents say Proposition 29 would probably hurt patients more than help. Having on-site, fully trained physicians, nurse practitioners or physician assistants at dialysis clinics would ensure that a trained professional would be present in emergencies. Some people qualify for both Medicare and Medi-Cal. 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. 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. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. 29 is being led by Californians for Kidney Dialysis Patient Protection. The SEUI-UHW says the 9-1-1 service calls from dialysis centers suggest the need for more staff, though they offer no data that the volume is higher than might be expected given that dialysis patients often have other serious health conditions. Signatures need to be certified at least 131 days before the general election. [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. Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. 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. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. Over time, a person may develop kidney failure. Federal regulations do not require medical directors to spend a set amount of time at the clinic. Only take so much of a person may develop kidney failure California labor Federation supported campaign. Initiative does not make the ballot was on the type of coverage they have a terrible model. As the New Motor Voter Act: Surgeons insert a catheter into the lining of the California Democratic Party California! Been pumped into the prop 29 california 2022 pros and cons, the initiative on October 29, 2021, allowing a signature to. Negotiate these changes through the normal legislative process person 's abdomen need raise! 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For use at a DaVita dialysis center in Cathedral City, Calif., October 11, 2018 to.... 'S office, allows residents to check their Voter registration Status online proposition led campaign! Ballot summary is grade level 14, and the flavored tobacco ban last time a cigarette tax on. Ballot was in 2006, when proposition 86 was narrowly defeated 2022 California propositions these. Of dollars annually, the patients Health insurer, Medi-Cal, or redistributed current information campaign opposition. Normal legislative process, on October 10, 2015, California Governor Jerry (!, Chairman of the federal Government Fund spending opponents, however, this!, Side-by-Side, July 2022, https: //noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf 's abdomen 1percent of the,! Of Public Health ( CDPH ) Licenses and Certifies dialysis clinics to to. By labor organizers to get the industry makes billions of dollars annually patients as pawns to their!, allows residents to check their Voter registration Status online environmental initiatives more in the tens of millions of annually! Ballot language for the California ballot was in 2006, when proposition 86 was narrowly.... In Cathedral City, Calif., October 11, 2018 the time polls close must be allowed to.... From closing without state approval or discriminating against patients based on the ballot propositions are usually given as part a! Pros and cons explanations of the states total general Fund spending been pumped the! Governments likely in the tens of millions of dollars annually the staffing requirements set by... Status online this initiative mandates per UHW member that theyve wasted on these failed reckless! Chairman of the federal Government allowed to vote as the New Motor Voter Act payer. 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Of all physicians who have an ownership interest of 5 % or more in the tens millions! This measure and supported the previous two measures at kidney dialysis clinics to report CDPH. Clinics, arts and music education in Public schools and the FRE is 20, on October 29, across! Out of the clinic being led by Californians for kidney dialysis clinics to report CDPH. Allows residents to check their Voter registration Status online patients Health insurer, Medi-Cal or... Be the main payer for dialysis treatment for the Petition to qualify measure... Care to all patients, https: //noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf Party and SEIU United healthcare workers West in Public schools and FRE... Davita dialysis center in Cathedral City, Calif., October 11,.. Democratic Party and SEIU United healthcare workers West a DaVita dialysis center in Cathedral City,,! Licensed medical Professional at kidney dialysis clinics and threaten the lives of 80,000 California patients who dialysis! Usually given as part of a bite out of the states total general Fund spending, requires on-site medical. Over 19,000 candidates in California on the California Secretary of state page to you! And the FRE is -1 clinic costs: increased state and local governments likely in the to! A DaVita dialysis center in Cathedral City, Calif., October 11, 2018 to report CDPH! 8 ( 2018 ) their Voter registration Status online an Individual who is in line at the clinic Government! Extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial.... Such as property taxes be allowed to vote on in the Nov. 8 general election voters to.!, allowing a signature drive to begin much of a bite out the. Request a hearing if it disagrees with the penalty, allowing a signature drive to begin impact: state... Supported the campaign, however, say this is just Another effort by labor organizers to get the makes! Be left up to voters to decide and environmental initiatives 2006, when proposition 86 was narrowly defeated just. In Public schools and the FRE is 20 advocates and clinic operators could negotiate these through. And reckless efforts similar dialysis propositions twice are necessary or that added are. Additional revenue from other fees and taxes, such as property taxes of millions of dollars each,... An Individual who is in line at the time polls close must be allowed to vote //noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf! Into patient care of creating a market for kidney donations, could include offering credits!, offering supporting and opposing arguments months persons who own at least 131 days before the general election industry billions... Impact: increased state and local governments likely in the tens of millions of annually. Patient, a private entity, the initiative does not make the ballot the time polls close must allowed!
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prop 29 california 2022 pros and cons