29. 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. Since then, the yes campaign has launched www.yeson29.com. "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. 29infection data is already collected at the federal level by the Centers for Disease Control and Preventions (CDCs) National Healthcare Safety Network (NHSN), so state collection would largely be redundant. Opponents view the measure as a further attempt to politically and financially weaken DaVita and Fresenius Medical Care and to unionize dialysis workers, and assert that the shortage of nephrologists in the state would leave clinics unable to meet the requirements of Prop. Counties will begin mailing vote-by-mail ballots. Text of measure Ballot title The official ballot title was as follows: [5] 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. 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. font-size:1.2em; Cross Lunch Off Your List, Lunch Bunch delivers nutritious, creative and fun to eat meals for kids aged 3-10. . Requires clinics to report dialysis-related infection data to state. } Requires Dialysis Clinics to Report Infection-Related Information to CDPH. The exception lasts for one year. 29 would require all clinics throughout the state to have an on-site physician during all hours of operation. If the random sample estimates that more than 110 percent of the required number of signatures are valid, the initiative is eligible for the ballot. SAN FRANCISCO (KGO) -- For the third time in three straight elections, California voters rejected a ballot measure that would have mandated major changes to the operations of dialysis clinics that provide life-saving care to 80,000 people with kidney failure. School districts | This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. (Copyright 2012 by CBS San Francisco. It would also prohibit clinics from refusing to treat patients based on the source of payment. There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. Dialysis clinics are already required to report ownership interests of 5% or more to the state survey agency,[4] and current federal rules already require that dialysis clinics have an assigned medical director a physician responsible for staff training and implementing quality of care measures although there are no rules for how long this doctor needs to be on site. 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. The FKGL for the ballot summary is grade level 14, and the FRE is 20. Specifically, owners and operators may be able to negotiate higher rates with private commercial insurance companies and, to a lesser extent, with Medi-Cal managed care plans. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. However, if trained nephrologists are present during treatment, these patients could receive improved quality of 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. 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. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . California's current cigarette tax is 87 cents per pack. 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. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. The PAC raised over $7.9 million from the SEIU-UHW West. 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. To receive payments from Medicare, clinics must report specific dialysis-related infection information to the National Healthcare Safety Network at the federal Centers for Disease Control and Prevention. Charges Penalties if Dialysis Clinics Do Not Report Required Information. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. Ballot measures, Who represents me? Federal regulations do not require medical directors to spend a set amount of time at the clinic. It would also require increased disclosure of clinic ownership and dialysis-related infections. fx vd. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. Obtain the CDPHs written consent before closing or substantially reducing services to patients. Another potential issue for Prop. / CBS San Francisco. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . Take a look at the latest stories and videos about the 2022 Midterm Elections here. Proposition 29 Increases Costs for Dialysis Clinics. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. Proponents assert that there is a need for dialysis industry reform. Proposition 29 requires each clinic to have, at its expense, at least one physician, nurse practitioner, or physician assistant on-site during all the hours patients receive treatments at that clinic. If this proposal seems familiar thats because its virtually the same as two previous measures on the 2018 and 2020 ballots. [32], The initiative campaign submitted 1,018,730 raw signatures. 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. .arguments-bm-widget li { Not a lot. Here's what you need to know about the measure: App users: For a better experience, click here to view the full map in a new window. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. CDPH also certifies clinics on behalf of the federal government. -moz-columns: 1; Currently, California relies primarily on federal regulations as the basis for its licensing program. Dialysis patients deserve protection under the law. 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. margin-top: 0 !important; State and local courts | 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. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Californians will vote on propositions ranging from abortion to sports betting in the November general election. Prop 27 california 2022 pros and cons. The treatment involves pumping a solution into the abdomen. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. Overall, the proposition would increase costs for clinics. No program or agency should be specifically funded by fines and fees revenue. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. Other people purchase health insurance individually. However, not everyone is in favor of the measure. 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. What's the difference between Prop 26 and Prop 27. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. Get browser notifications for breaking news, live events, and exclusive reporting. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. July 26, 2022 mirrormmg. Continue Current Operations, but With Lower Profits. Opponents claim Prop. width: 100%; 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. 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. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. 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. CDPH must post each clinic's infection information on the CDPH website, including the name of the clinic's owner or operator. Higher costs could result in clinics being forced to close, which would reduce access to dialysis care or cause higher costs to be passed along to patients. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. If there is a shortage of licensed healthcare workers available to monitor. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. 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. if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues Most Dialysis Patients Receive Treatment in Clinics. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. Wage hikes for some workers, not others. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. 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 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. Specifically, because dialysis is a dangerous procedure, it is essential that a trained clinician be nearby to react if something goes wrong. 1461, also known as the New Motor Voter Act. 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. This November is no different. 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. 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. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. Prohibits clinics from closing or substantially reducing services without state approval. On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. 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. .ballot-measure-endorsements ul { The propositions, like all state ballot measures, require approval by a simple majority . Click here to contact our editorial staff, and click here to report an error. Proponents of Prop. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. 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. } Committee major funding from DaVita, Fresenius Medical Care, and U.S. Renal Care. [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. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. Cities | CDPH must specify which information clinics should report, and how and when to report the information. Clinics carry out the treatment. Defining the Future of California Sports Betting: Prop 26 and Prop 27 . 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. The pros and cons explanations of the ballot propositions are usually given as part of a program to groups. Patients Own Physician Oversees Treatment. columns: 2; 29's proponents say dialysis companies don't invest enough in patient care and safety, although they are highly profitable. 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,. 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. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. } Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. Dialysis care is a highly complex issue and should not be left up to voters to decide. 740Am and 106.9FM least 5percent of the federal government own at least 5percent of the clinic could., 2022 a program to groups difference between Prop 26 and Prop.. 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