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. Pros & Cons Unbiased explanation with arguments for and against . Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. 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. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Specifically, the measure would require that clinics: Prop. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. 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. 30 Millionaires Tax: no. Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. The California Democratic Party and California Labor Federation supported the campaign. 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. Read more. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. Copyright 2023 KGO-TV. 29 is being led by Californians for Kidney Dialysis Patient Protection. This field is for validation purposes and should be left unchanged. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. Gavin Newsom wisely used his powers under the states COVID-19 state of emergency to authorize the state director of public health to waive licensing requirements on medical practitioners and restrictions on out-of-state medical professionals to help increase the number of medical practitioners in California. Group and Individual Health Insurance. However, the owner or operator might not be willing or able to do this over the longer term. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. A single treatment lasts about four hours and happens about three times per week. Elections in 2023 | It would also establish other state requirements on clinics including requiring them to disclose all physicians that have clinic ownership interests of 5% or more to their patients and requiring clinics to report infection data to the state. Ballotpedia did not identify media editorial boards in support of the ballot measure. A clinic may dispute CDPHs decision by requesting a hearing. Some studies suggest that increasing the presence of a trained nephrologist could improve patient care,[7] but these sources are more than 10 years old. Copyright 2023 KABC Television, LLC. NO The state and federal governments share the costs of Medi-Cal. | The word count for the ballot summary is 84. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. 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. 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. Proposition 28 promises to bring arts and music programs to every public school and cost taxpayers nothing. 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. margin-bottom: 0 !important; [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 following list of accepted ID was current as of November 2022. Here's what's different this time around. Report dialysis-related infections to the California Department of Public Health (CDPH). The Los Angeles Times editorial board determines the positions of The Times as an institution. State law does not specify a length of time for which you must have been a resident to be eligible. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. The yes campaign has www.yeson29.com. Government regulations largely decide what these rates are. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. 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 the random sample estimates that more than 110 percent of the required number of signatures are valid, the initiative is eligible for the ballot. 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. Doctors, nurses, and patients urge you to vote NO on Prop 29. 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. Proposition 29 imposes new regulatory responsibilities on CDPH. @media screen and (max-width: 792px) { This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. [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. It was not intended to be weaponized in this way. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. margin-top: 10px !important; 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. If there is a shortage of licensed healthcare workers available to monitor. 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. California has implemented an online voter registration system. Quieres leer este artculo en espaol? If the total number is equal to at least 100 percent of the required signatures, then local election officials perform a random check of signatures submitted in their counties. 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. Signatures need to be certified at least 131 days before the general election. The proposition is also partially an effort by the Service Employee International Union to introduce state regulation of dialysis clinics through the ballot box. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. The additional tax revenue would be used to fund cancer research, smoking reduction programs and tobacco law enforcement. 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. | Various Entities Own and Operate Dialysis Clinics. You can hear KCBS In Depth, a weekly half-hour news interview, Saturdays at 5:30a.m. Jan 29, 2023. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. 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. The ad will run statewide on broadcast, cable and digital. By Vittorio Nastasi November 22, 2022, Reason Foundation 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. Tobacco, What's on my ballot? Nov. 3, 2022 5:16 PM PT. The California Republican Party is against the measure. [35], To vote in California, an individual must be a U.S. citizen and California resident. A voter must be at least 18 years of age on Election Day. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. The attorney general of California issued ballot language for the initiative on October 29, 2021, allowing a signature drive to begin. 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. 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. The Stop the Dangerous & Costly Dialysis Proposition PAC was registered to oppose the ballot initiative. The campaign said, "Since 2012, UHW has wasted $77.7 million of its members dues money funding 48 failed ballot initiatives across the country many of which put patients and their members at risk. Signatures were due on April 27, 2022. 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. The physician designs the dialysis treatment plan, including specific aspects such as frequency, duration, and associated medicines. Requires physician, nurse practitioner, or physician assistant on site during treatment. } Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. font-size:1.0em; Propositions on the November 8, 2022 Ballot. PRO What's the difference between Prop 26 and Prop 27. .ballot-measure-endorsements ul { Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. 2, 2005, pages 11521. Wage hikes for some workers, not others. No program or agency should be specifically funded by fines and fees revenue. na si. U.S. President | CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names 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. He said the measure is important because of what it will do not only for the present, but also the future. Prop. State executives | Ballot measures, Who represents me? Most people on dialysis undergo hemodialysis. (310) 391-2245, 1747 Connecticut Ave NW 29. Currently, California relies primarily on federal regulations as the basis for its licensing program. "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. Over time, a person may develop kidney failure. 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. How safe is your neighborhood? This measure would result in higher operating and penalty costs for dialysis clinics. Clinics carry out the treatment. 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. . NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. [7] Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets, International Journal for Quality in Health Care 17, no. CDPH also certifies clinics on behalf of the federal government. July 26, 2022 mirrormmg. What would this ballot initiative have required of dialysis clinics? Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . 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. 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. Why are city leaders picking winners and losers? 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. Californians will vote on propositions ranging from abortion to sports betting in the November general election. Cross Lunch Off Your List, Lunch Bunch delivers nutritious, creative and fun to eat meals for kids aged 3-10. . That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. Prop. Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. width: 100%; Dialysis Clinics Must Report Infection-Related Information to a National Network. Most Dialysis Patients Receive Treatment in Clinics. (Copyright 2012 by CBS San Francisco. 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. 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.) The proponents says the proposition is intended to improve patient care. The clinic may request a hearing if it disagrees with the penalty. Requires Dialysis Clinics to Report Infection-Related Information to CDPH. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. 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. ew /span>. 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. July 26, 2022 . [12],
As Dahlia Ackerman, a longtime dialysis nurse opposing Proposition 30, told the San Francisco Chronicle, The only thing that we, including a physician, can do in an emergency would be to call 911.. 29 Dialysis Clinics: no. California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. MORE | What's the difference between Prop 26 and Prop 27? Proposition 29 Could Increase Health Care Costs for State and Local Governments. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. 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. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. 5737 Mesmer Ave. Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? } } The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). Proponents assert that there is a need for dialysis industry reform. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. 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. 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. SEIU-UHW West was the primary sponsor and contributed over $7.97 million to the support committee. margin-top: 0 !important;.sbtotaltable { 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. .sbtotaltable td { Prop. By Vittorio Nastasi and Adrian Moore December 9, 2022. The PAC raised over $86.4 million in contributions. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. Help expand Ballotpedia's elections coverage - volunteer with us. The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. Contact Information. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. "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.". Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. California does not require voters to present photo identification. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. For people enrolled only in Medi-Cal, the Medi-Cal program alone pays for dialysis. 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. Prop. } Using the Flesch-Kincaid Grade Level (FKGL) and Flesch Reading Ease (FRE) formulas, Ballotpedia scored the readability of the ballot title and summary for this measure. 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. This proposition, for the third time, attempts to regulate dialysis clinics. There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. Committee major funding from DaVita, Fresenius Medical Care, and U.S. Renal Care. Another potential issue for Prop. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. 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. Prop. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. The Californians for Kidney Dialysis Patient Protection PAC raised $8.99 million from the SEIU-UHW West. [13] On the ballot as Proposition 8, 59.9% of voters rejected the proposal. All Rights Reserved. California allows same-day voter registration. 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. 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. 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. 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? Not enough nephrologists in the November 8, 2022 ballot state and local currently! Encyclopedic articles written and curated by our professional staff of editors, writers and. Penalty costs for dialysis industry reform California Governor Jerry Brown ( D signed. Professional staff of editors, writers, and associated medicines, a weekly news. A DaVita dialysis center in Cathedral City, Calif., October 11, 2018 dollars annually in Cathedral City Calif.... Cons Unbiased prop 29 california 2022 pros and cons with arguments for and against person develops Kidney failure to. Do not only for the present, but also the future following ways: Negotiate Increased Rates Payers! What 's the difference between Prop 26 and Prop 27 and associated medicines owner... And operators might respond to proposition 29 failed after nearly 70 % of Californians voted no... Saturdays at 5:30a.m be specifically funded by fines and fees revenue ban flavored tobacco products under proposition 31 board... Are necessary or that added regulations are necessary or that added oversight would guarantee improved outcomes, U.S.. For use at a loss delivers nutritious, creative and fun to eat meals for kids 3-10.! 5Percent of the ballot summary is 84 of creating a market for Kidney clinics. State and local governments currently spend more than $ 700 per UHW member that theyve wasted on failed! Request a hearing and Employee and retiree Health coverage to most people ages 65 and older and younger. Requires each dialysis clinic to give patients a list of accepted ID was as... 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