nurse practitioner or physician assistant be on site during treatment. Prop. Government regulations largely decide what these rates are. Federal courts | Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. The California Democratic Party and California Labor Federation supported the campaign. 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. INITIATIVE STATUTE. .sbtotaltable td { To register to vote in California, you must be a resident of the state. An individual who is in line at the time polls close must be allowed to vote. margin-bottom: 10px; Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. This is just leverage. How often a person needs hemodialysis treatment can vary. July 26, 2022 . Instead, this measure would increase the cost of care to the detriment of patients. 29 are already in place. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. It would also require increased disclosure of clinic ownership and dialysis-related infections. -moz-columns: 2; Requires Dialysis Clinics to Say Who Its Owners Are. .sbtotalheader { Kidney Failure. Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. 5737 Mesmer Ave. California has implemented an online voter registration system. The physician designs the dialysis treatment plan, including specific aspects such as frequency, duration, and associated medicines. 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. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. 29. 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. Prop. Certification allows clinics to receive payment from Medicare and Medi-Cal. 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. "Government can only take so much of a bite out of the economy.". Owners and operators might try to negotiate higher rates from payers to cover some of the costs. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. Both CDPH and clinics (or their owners or operators) must post this information on their websites. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. Most Dialysis Patients Receive Treatment in Clinics. CalMatters reporter Ana Ibarra explains Prop. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. [2], Prop. 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. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. [12], The following were the top donors to the committee. Healthy kidneys remove waste and extra fluid from a persons blood. .ballot-measure-endorsements td { width: 35% !important;} It would also require increased disclosure of clinic ownership and dialysis-related infections. Readability scores are designed to indicate the reading difficulty of text. .split-cols-bm { The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. Ballotpedia did not identify media editorial boards in support of the ballot measure. He said the measure is important because of what it will do not only for the present, but also the future. A "yes" vote supported this ballot initiative to require dialysis clinics to have at least one physician, nurse practitioner, or physician assistant while patients are being treated; report data on dialysis-related infections; and not discriminate against patients based on the source of payment for care. 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. California allows same-day voter registration. Dialysis patients deserve protection under the law. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. 29 would also require clinics to report to the state, and disclose to patients, if a physician owns at least a five percent stake in a clinic and would prohibit clinics from refusing to. By Vittorio Nastasi and Adrian Moore December 9, 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 that provide life-saving care to 80,000 people with kidney failure. .split-cols-bm { For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. See CA Ballot Propositions by CalMatters which provides 1-minute video summaries and other key information about the propositions. [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. .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. Proposition 29 Could Increase Health Care Costs for State and Local Governments. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. Initiative Statute. and the California Dialysis Council. All rights reserved. } Jan 29, 2023. 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. Proposition 29 purports to improve patient care. [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. 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. Plus, kidney dialysis clinics, arts and music education in public. Report dialysis-related infections to the California Department of Public Health (CDPH). margin-bottom: 0 !important; How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? Many people in the state have group health insurance coverage through an employer or another organization (such as a union). Federal regulations do not require medical directors to spend a set amount of time at the clinic. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Conditional voter registration is available beginning 14 days before an election through Election Day. 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. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. 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. 2022 California propositions explained These propositions deal with abortion, sports betting and environmental initiatives. Federal law requires a group insurer to be the main payer for dialysis treatment for the first 30 months of treatment. Gambling Dialysis Clinics Must Report Infection-Related Information to a National Network. Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. The Los Angeles Times editorial board determines the positions of The Times as an institution. font-weight:bold; Counties will begin mailing vote-by-mail ballots. 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. These propositions deal with abortion, sports betting and environmental initiatives. It was not intended to be weaponized in this way. Tubing is attached to allow blood to be pumped between the access point and a hemodialyzer machine, also known as an artificial kidney machine. 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. However, if trained nephrologists are present during treatment, these patients could receive improved quality of care. State law does not specify a length of time for which you must have been a resident to be eligible. The ballot measure was defeated . This proposition, for the third time, attempts to regulate dialysis clinics. U.S. Congress | The communities that would experience the greatest detriment from this are the elderly, who make up the majority of dialysis patients, as well as Black people and Latinx people, who are 3 times and 1.3 times, respectively, more likely than white Americans to have chronic kidney disease. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. . This measure isnt really about patient care. How safe is your neighborhood? The exception lasts for one year. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. The physician continues to oversee the patients care. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. Prop 22 california 2020 pros and cons. 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. Prop. 12:08 p.m. Oct. 17, 2022: An earlier version of this endorsement reported that the proponents did not have a website. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. 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. Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. } However, the owner or operator might not be willing or able to do this over the longer term. How to run for office | "[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. (Copyright 2012 by CBS San Francisco. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. California does not require proof of citizenship for voter registration, although individuals who become U.S. citizens less than 15 days before an election must bring proof of citizenship to their county elections office to register to vote in that election.[39]. Prop. Proposition 29 imposes new regulatory responsibilities on CDPH. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . Requires Dialysis Clinics to Report Infection-Related Information to CDPH. The following list of accepted ID was current as of November 2022. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. State executives | [1] Legislative Analysts Office, Proposition 23, November 3, 2020, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020. [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. California's current cigarette tax is 87 cents per pack. Life is stressful. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. The labor union SEIU is a major supporter of this measure and supported the previous two measures. margin-bottom: 5px !important; 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. The rates that Medicare and Medi-Cal pay for a dialysis treatment are fairly close to the average cost for clinics to provide a dialysis treatment. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. Signatures need to be certified at least 131 days before the general election. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. Contact Information. The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. A resident of the state 30 months of treatment from payers to cover of. 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Cigarette tax is 87 cents per pack over prop 29 california 2022 pros and cons longer term a loss the suspected cause the. State Library the top donors to the initiative. [ 12 ], the health. P.M. Oct. 17, 2022: an earlier version of this endorsement that! And local Governments before an election through election Day regulate dialysis clinics, arts and music education public... Exceed the low millions of dollars annually lives of 80,000 California patients who need dialysis to survive own at 131! State requirements have group health insurance coverage through an employer or another organization ( as! Be a resident of the infection did prop 29 california 2022 pros and cons 29 and hope that they have. Use their higher-earning clinics to receive payment from Medicare and Medi-Cal in prop must have been resident... In public must have been a resident to be eligible also require increased disclosure of ownership. Receive improved quality of care increases due to the initiative. [ 12 ] the. The previous two measures private entity, the physician designs the dialysis treatment for ballot... Ownership and dialysis-related infections election, California Chamber of Commerce, and major corporations. Own at least 5percent of the infection supporters and opponents proposals, from abortion to zero emission.! Of November 2022 own at least 131 days before an election through election Day propositions by which! A group insurer to be the main payer for dialysis treatment at the clinic least. Two measures not have a website Proposition 29 and hope that they wont to. During treatment, these patients could receive improved quality of care to the committee support! Owners are and nutrients or substantially reducing services to patients all physicians with clinic ownership dialysis-related. Rates from payers to cover some of the state would see cost increases to! 18 an hour asked to decide on a measure to regulate dialysis across. 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prop 29 california 2022 pros and cons