The proposition allows CDPH to determine whether or not to consent. 29 say that because kidney dialysis services are essential to the continued survival of 80,000 Californians a month, the industry requires common-sense regulation that ensures these services are provided safely. The ad will run statewide on broadcast, cable and digital. The clinic may request a hearing if it disagrees with the penalty. Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. Given how often patients need dialysis and how long treatments last, clinics often offer treatments six days per week and often are open outside of typical business operating hours. Run/Walk for WeSPARK 5k/10k . (202) 986-0916, Senior Managing Director, Transportation Policy, Photo 193235704 Saengsuriya Kanhajorn | Dreamstime.com, Innovators in Action: James Small, public safety director of Palmyra, Wisconsin, Florida must stop relying on taxation by citation, Properly designed impact fees could help Wakulla County accommodate population growth. Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. [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. How safe is your neighborhood? No other state requires a doctor on-site, nor do the Centers for Medicare & Medicaid Services or the California State Department of Public Health, which regulates dialysis centers. Proposition 29 purports to improve patient care. The proposed initiative, if. } 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 SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. 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 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. Business regulation Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. California automatically registers eligible individuals to vote when they complete a driver's license, identification (ID) card, or change of address transaction through the Department of Motor Vehicles. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. [5] Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. width: 100%; vehicle certificate of ownership issued by a governmental agency. 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. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. 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. 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. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. By Vittorio Nastasi and Austill Stuart December 12, 2022. / CBS San Francisco. The California Democratic Party and California Labor Federation supported the campaign. Help expand Ballotpedia's elections coverage - volunteer with us. Close Some Clinics. The solution absorbs wastes and uses the lining of the abdomen as a filter. 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,. It's also supported by labor unions, local art/music/education groups, and the California . How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. 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. 29 Dialysis Clinics: no. 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. 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. A voter must be at least 18 years of age on Election Day. California voters have overwhelmingly rejected similar dialysis propositions twice. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. nurse practitioner or physician assistant be on site during treatment. The proponents says the proposition is intended to improve patient care. Another potential issue for Prop. If less than 95 percent are estimated to be valid, the initiative does not make the ballot. .split-cols-bm { 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. .sbtotaltotal { [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. 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. 2012 CBS Broadcasting Inc. All Rights Reserved. If they miss a treatment because of reduced hours or access, it could be fatal. 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. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. Prohibits clinics from closing or substantially reducing services without state approval. On November 3, 2020, 58.63% of voters in California voted in favor of Prop 22 and the law went into effect in mid-December of 2020. . California has implemented an online voter registration system. 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. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. State executives | 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. SEIU-UHW West was the primary sponsor and contributed over $7.97 million to the support committee. Copyright 2023 KABC Television, LLC. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. Residents can register to vote by visiting this website. Click here to contact our editorial staff, and click here to report an error. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. | 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. Nor is there evidence that the current arrangement has harmed patients. The arguments come from many sources and are not limited to those presented in the Official Voter Information Guide. This individual must have at least six months of experience providing care to kidney patients and is responsible for patient safety and the provision and quality of medical care. Dialysis copies what healthy kidneys do. California Proposition 29, Dialysis Clinic Requirements Initiative (2022). 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. .footer-nav .dropIcon { display: none !important;} .footer-nav .sub-menu {display: none !important;}Paid for by No on 29: Stop Yet Another Dangerous Dialysis Proposition, sponsored by patients, doctors, nurses and dialysis providers. 30 Millionaires Tax: no. 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. 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. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. Requires Dialysis Clinics to Report Infection-Related Information to CDPH. Given the higher costs a clinic would face, some owners and operators may decide to seek consent from CDPH to close some of their clinics that are operating at a loss. This November is no different. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. 29 differs from Prop. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. 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. .sbtotalheader { 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. 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