Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. Defining the Future of California Sports Betting: Prop 26 and Prop 27 . Dialysis, a treatment that removes waste and chemicals from the bloodstream, is administered to people whose kidneys no longer function properly. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. Another potential issue for Prop. Government regulations largely decide what these rates are. David Miller, research director of SEIU-UHW, said, "Theres just so much improvement that can be made, and theres plenty of resources in the industry to make those improvements. [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. Prop 22 california 2020 pros and cons. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. Should dialysis clinics be forced to close as a result of increased operating costs, vulnerable patients could lose access to life-saving treatments, sending them to emergency rooms to receive necessary procedures. It operates separately from the newsroom. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. California has implemented an online voter registration system. 30 Millionaires Tax: no. However, not everyone is in favor of the measure. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. Clinics carry out the treatment. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. 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. NO This field is for validation purposes and should be left unchanged. margin-bottom: 5px !important; State approval of clinic closures would protect rural communities from losing access to needed dialysis services. Hemodialysis: Before hemodialysis treatments can begin, surgeons create an access point, typically in an arm, to allow technicians to remove blood for treatments. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! The attorney general wrote the ballot language for this measure. 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. Federal regulations do not require medical directors to spend a set amount of time at the clinic. By Vittorio Nastasi and Adrian Moore December 9, 2022. 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. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. The opponents say Proposition 29 would probably hurt patients more than help. @media screen and (max-width: 792px) { PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. Original story follows below. Proposition 29 includes several requirements affecting clinics, as discussed below. Specifically, the measure would require that clinics: Prop. Increased state and local government costs likely in the tens of millions of dollars annually. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. -moz-columns: 2; A total of $13,374,336.75 was spent to collect the 623,212 valid signatures required to put this measure before voters, resulting in a total cost per required signature (CPRS) of $21.46. (Copyright 2012 by CBS San Francisco. The Legislative Analyst Office estimates that Proposition 29 would cost Californias state and local governments taxpayerstens of millions of dollars annually. Dialysis centers would incur additional costs to implement the measure some of which they would be expected to pass along in the form of higher fees and charges to Californias Medi-Cal system and to health care plans for public sector employees and retirees. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. The ban is delayed until voters make a decision in November. 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 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. 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. A single treatment lasts about four hours and happens about three times per week. Jan 29, 2023. . (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) Patients Own Physician Oversees Treatment. Our weekly mental wellness newsletter can help. Thats the tension: theres enormous profitability, then you meet folks of enormous need, and you realize that some of that money should be diverted to patient care. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. columns: 1; The free college has both its own pros and cons so make the decision wisely! Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. Dialysis is recommended when a person's kidneys lose most of their function. YES 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. 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. A clinic may dispute CDPHs decision by requesting a hearing. This material may not be published, broadcast, rewritten, or redistributed. 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. Sean Fleming and Jonathan Everhart filed the ballot initiative on August 24, 2021. No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. Signatures need to be certified at least 131 days before the general election. [33], On June 20, 2022, the secretary of state reported that the random sample concluded that 725,890 signatures were valid.[34]. Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. Take a look at the latest stories and videos about the 2022 Midterm Elections here. By Vittorio Nastasi November 22, 2022, Reason Foundation Owners and operators might try to negotiate higher rates from payers to cover some of the costs. https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. CDPH licenses clinics to operate in California. It would also require increased disclosure of clinic ownership and dialysis-related infections. 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. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. 2012 CBS Broadcasting Inc. All Rights Reserved. Prop. On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . Los Angeles, CA 90230 About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. 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. 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. The FKGL for the ballot summary is grade level 14, and the FRE is 20. 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. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. -webkit-columns: 1; "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.". U.S. Congress | 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. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? California Proposition 29, Dialysis Clinic Requirements Initiative (2022). School districts | The machine filters the blood and adds a solution to help remove waste. 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. 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. width: 50%; [12], The following were the top donors to the committee. Life is stressful. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. Opponents, organized as Patients and Caregivers to Protect Dialysis Patients, raised $111.48 million, with DaVita and Fresenius Medical Care North America providing 90% of the campaign's funds. While our example was specifically drawn from a home in Los Angeles, a similar story is likely to play out in other areas of California. .endorsements-header { Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. display: inline; [7], The full text of the ballot initiative is below:[1]. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. .sbtotaltable th { If there is a shortage of licensed healthcare workers available to monitor. An individual who is in line at the time polls close must be allowed to vote. 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. The PAC raised over $7.9 million from the SEIU-UHW West. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. If a clinic plans to close or substantially reduce its services, Proposition 29 requires the clinic or its owner or operator to notify CDPH in writing and obtain CDPHs written consent. If donors were properly compensated for their considerable sacrifice, more people would likely be willing to donate reducing the need for dialysisand reducing the need for this type of ballot initiative. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. Contact Information. It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect. 23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst, specialized physician, such as a nephrologist, physician assistant with at least six months of experience with end-stage renal disease. PRO margin-top: 10px !important; The proponents says the proposition is intended to improve patient care. These waivers, intended to ensure adequate staffing at medical facilities, remained in place as of Aug. 2022, with no end in sight but Prop. "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. 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. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. The measure would have required a doctor, nurse practitioner or physicians' assistant to be present during treatment at the state's 600 outpatient dialysis facilities. Property inherited before Prop 19 took effect would have a $950 annual tax bill. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. "[16], Jim Miller, a columnist for The Sacramento Bee, and Melanie Mason, a state politics journalist for the Los Angeles Times, both stated that the ballot initiative would also provide the SEIU-UHW West with leverage over legislation to enact new regulations on dialysis clinics in the California State Legislature. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. 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. May 13, 2012 / 4:53 PM Voters correctly rejected the last two propositions, and they should do so a third time. 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. text-align:center; If less than 95 percent are estimated to be valid, the initiative does not make the ballot. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. That means voters will decide the fewest measures in an election year since 1916. The ad will run statewide on broadcast, cable and digital. Various Entities Own and Operate Dialysis Clinics. Conditional voter registration is available beginning 14 days before an election through Election Day. Proposition 29 Could Increase Health Care Costs for State and Local Governments. It would also prohibit clinics from refusing to treat patients based on the source of payment. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. 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. 29 Dialysis Clinics: no. Click here for the California Secretary of State page to ensure you have the most current information. 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. Here's a breakdown of each proposition and what it entails. Who supported and opposed Proposition 29? Ballot measures, Who represents me? Prop 27 california 2022 pros and cons. Prop. For the Third Time in a Row, Voters Soundly Reject Prop 29 the Dangerous Dialysis Proposition, In new ad, doctors and patients urge SEIU-UHW to stop putting dialysis patients lives at risk with ballot measure extortion, In Case You Missed It: Enough with this foolish extortion says LA Times columnist George Skelton. } The PAC raised over $86.4 million in contributions. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. 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. Click here to contact us for media inquiries, and please donate here to support our continued expansion. Prop. The Californians for Kidney Dialysis Patient Protection PAC raised $8.99 million from the SEIU-UHW West. | Instead, this measure would increase the cost of care to the detriment of patients. Improved transparency and accessibility of information can help patients make informed decisions for their care. These additional costs are highly uncertain. Here's what's different this time around. These propositions deal with abortion, sports betting and environmental initiatives. The California Democratic Party is in favor of the measure. There are no recent or relevant statistics, surveys or studies that suggest a need for dialysis reform, nor is there substantial support for this proposition from dialysis professionals. } All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. Not a lot. !function(){"use strict";window.addEventListener("message",(function(e){if(void 0!==e.data["datawrapper-height"]){var t=document.querySelectorAll("iframe");for(var a in e.data["datawrapper-height"])for(var r=0;r