Pros & Cons Unbiased explanation with arguments for and against . [35], To vote in California, an individual must be a U.S. citizen and California resident. These additional costs are highly uncertain. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. Readability scores are designed to indicate the reading difficulty of text. Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. na si. Prop. 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. This proposition, for the third time, attempts to regulate dialysis clinics. The ban is delayed until voters make a decision in November. This is a breaking news topper. The exception lasts for one year. 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. Opponents claim that it may force some clinics to close. Improved transparency and accessibility of information can help patients make informed decisions for their care. Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. It was not intended to be weaponized in this way. Ads for and against Proposition 29 have been running non-stop for the last several months. 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]. CON 29 are already in place. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. The state and federal governments share the costs of Medi-Cal. Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. text-align:center; Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. Doctors, nurses, and patients urge you to vote NO on Prop 29. 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. 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. @media screen and (max-width: 792px) { For people enrolled only in Medi-Cal, the Medi-Cal program alone pays for dialysis. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. -moz-columns: 1; 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. 31 Flavored Tobacco: no. Furthermore, its a tactic the union has used before to pressure healthcare facilities, most recently in Los Angeles and other cities, where the SEIU-UHW has qualified local ballot measures to force private health facilities, including dialysis centers, to pay workers at least $25 an hour. The proponents says the proposition is intended to improve patient care. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. Kidney Failure. These propositions deal with abortion, sports betting and environmental initiatives. CDPH must post each clinic's infection information on the CDPH website, including the name of the clinic's owner or operator. Charges Penalties if Dialysis Clinics Do Not Report Required Information. Who supported and opposed Proposition 29? The California Democratic Party is in favor of the measure. Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. The ad will run statewide on broadcast, cable and digital. Copyright 2023 KABC Television, LLC. 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. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. 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. Other requirements of the proposition would not significantly increase clinic costs. Its true that clinics often have to call for help if a kidney patient has an emergency, but that wont change even with extra staff because they are not emergency medical facilities. "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.". The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. Federal Regulations Require a Medical Director at Each Dialysis Clinic. NO 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. font-size:1.2em; 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. vehicle certificate of ownership issued by a governmental agency. 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. 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. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! 23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. Pro- $4 billion to $9 billion for schools and health care. [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. 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. Healthy kidneys remove waste and extra fluid from a persons blood. We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. 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. 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. 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. 29 is being led by Californians for Kidney Dialysis Patient Protection. This November is no different. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. By Vittorio Nastasi and Adrian Moore December 9, 2022. Federal courts | Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. 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. 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. Ballotpedia did not identify media editorial boards in support of the ballot measure. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. [2], Prop. Medi-Cal. nurse practitioner or physician assistant be on site during treatment. Text of measure Ballot title The official ballot title was as follows: [5] } Code of Federal Regulations Title 42, Chapter IV, Subchapter G, Part 494: Conditions for Coverage for End-Stage Renal Disease Facilities, last modified July 11, 2022. Signatures need to be certified at least 131 days before the general election. Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. You can read more about the boards mission and its members at About The Times Editorial Board. The proposed initiative, if. Under the proposition, state Medi-Cal costs, and state and local employee and retiree health insurance costs, could increase due to: Owners and operators negotiating higher payment rates. Another potential issue for Prop. U.S. President | [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/. State and local courts | For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. Continue Current Operations, but With Lower Profits. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . Proposition 29 purports to improve patient care. 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. Californias Proposition 29 on the states 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. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. 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. However, if trained nephrologists are present during treatment, these patients could receive improved quality of care. 29infection data is already collected at the federal level by the Centers for Disease Control and Preventions (CDCs) National Healthcare Safety Network (NHSN), so state collection would largely be redundant. 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. How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? Click here to contact us for media inquiries, and please donate here to support our continued expansion. "Things like Prop 29 are the worst of proposed government. 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.

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