Proponents of Prop. CalMatters reporter Ana Ibarra explains Prop. California voters have overwhelmingly rejected similar dialysis propositions twice. 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. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. Click here to contact us for media inquiries, and please donate here to support our continued expansion. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. .split-cols-bm { When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. 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. font-size:1.0em; State approval of clinic closures would protect rural communities from losing access to needed dialysis services. How to run for office | The machine filters the blood and adds a solution to help remove waste. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. Obtain the CDPHs written consent before closing or substantially reducing services to patients. The ban is delayed until voters make a decision in November. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. requiring clinics to have at least one physician, nurse practitioner, or physician assistant - with at least six months of experience with end-stage renal disease care - onsite during patient treatments; requiring clinics to report dialysis-related infections to the California Department of Public Health (CDPH); requiring clinics to provide patients with a list of physicians with an ownership interest of 5% or more in the clinic; requiring clinics to provide the CDPH with a list of persons with ownership interest of 5% or more in the clinic; and. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. Los Angeles, CA 90230 Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. 29 are already in place. 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. margin-top: 10px !important; This is just leverage. California's current cigarette tax is 87 cents per pack. 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. } font-weight:bold; How safe is your neighborhood? 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. Copyright 2023 KABC Television, LLC. Proposition 29 Increases Costs for Dialysis Clinics. California voters have seven propositions to vote on in the Nov. 8 general election. 23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. The word count for the ballot title is 17. if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues Signatures need to be certified at least 131 days before the general election. 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. width: 100%; Run/Walk for WeSPARK 5k/10k . "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.". Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. That means voters will decide the fewest measures in an election year since 1916. Prop 27 california 2022 pros and cons. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Federal regulations do not require medical directors to spend a set amount of time at the clinic. CDPH must specify which information clinics should report, and how and when to report the information. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. 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. However, not everyone is in favor of the measure. Report dialysis-related infections to the California Department of Public Health (CDPH). 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. It would also prohibit clinics from refusing to treat patients based on the source of payment. 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. Increased state and local government costs likely in the tens of millions of dollars annually. 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. We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. "[19] Dave Regan stated, "The reason Prop. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. 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. The free college has both its own pros and cons so make the decision wisely! .ballot-measure-endorsements ul { Further options, short of creating a market for kidney donations, could include offering tax credits for donors. }, The following is the argument in support of Proposition 29 found in the Official Voter Information Guide:[9], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. What's the difference between Prop 26 and Prop 27. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names 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. Other requirements of the proposition would not significantly increase clinic costs. Prop. 29 differs from Prop. [7], The summary provided for inclusion on signature petition sheets was as follows:[6], Requires physician, nurse practitioner, or physician assistant, with six months relevant experience, on site during treatment at outpatient kidney dialysis clinics; authorizes exemption for staffing shortage if qualified medical professional is available through telehealth. Requires clinics to report dialysis-related infection data to state. Certification allows clinics to receive payment from Medicare and Medi-Cal. (310) 391-2245, 1747 Connecticut Ave NW The attorney general wrote the ballot language for this measure. This amount is less than one-half of 1percent of the states total General Fund spending. 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. 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. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. All Rights Reserved. If this proposal seems familiar thats because its virtually the same as two previous measures on the 2018 and 2020 ballots. Instead, this measure would increase the cost of care to the detriment of patients. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. This measure would result in higher operating and penalty costs for dialysis clinics. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. 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. ), First published on May 13, 2012 / 4:53 PM. The Los Angeles Times editorial board determines the positions of The Times as an institution. 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. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. 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. 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 Proposition 29, Dialysis Clinic Requirements Initiative (2022). The legislation, which took effect in 2016, authorized automatic voter registration in California for any individuals who visit the Department of Motor Vehicles to acquire or renew a driver's license.[37][38]. Few Main Sources Pay for Dialysis. 29. These additional costs are highly uncertain. "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. [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. A clinic may dispute CDPHs decision by requesting a hearing. If there is a shortage of licensed healthcare workers available to monitor. You may occasionally receive promotional content from the Los Angeles Times. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. .sbtotaltotal { 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.
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