Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. Tobacco, What's on my ballot? 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 Proposition 29, Dialysis Clinic Requirements Initiative (2022). 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. Under Proposition 29, clinics are required to offer the same quality of care to all patients. Nov. 3, 2022 5:16 PM PT. / CBS San Francisco. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. However, the owner or operator might not be willing or able to do this over the longer term. The free college has both its own pros and cons so make the decision wisely! Run/Walk for WeSPARK 5k/10k . And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. } The machine filters the blood and adds a solution to help remove waste. Copyright 2023 KABC Television, LLC. Help expand Ballotpedia's elections coverage - volunteer with us. 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. To register to vote in California, you must be a resident of the state. As Dahlia Ackerman, a longtime dialysis nurse opposing Proposition 30, told the San Francisco Chronicle, The only thing that we, including a physician, can do in an emergency would be to call 911.. Clinics are already required to have a physician on staff overseeing patients care, and each patient has a kidney specialist directing their individual treatment. Prohibits clinics from closing or substantially reducing services without state approval. Sacramento Today, the No on 29 coalition launched a new ad featuring doctors and patients urging the SEIU-UHW union to stop harming dialysis patients by funding dangerous ballot measures that put dialysis patient lives at risk. 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. . Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. The proposed initiative, if approved by California's voters, would increase the tax on cigarettes in the state by $1 per pack. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. 1461, also known as the New Motor Voter Act. 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. Prop. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. Counties | California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. December 29, 2022. [32], The initiative campaign submitted 1,018,730 raw signatures. 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. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. 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. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. 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. What would this ballot initiative have required of dialysis clinics? Cities | In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. How to run for office | Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. SEIU-UHW West was the primary sponsor and contributed over $7.97 million to the support committee. .split-cols-bm { Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. INITIATIVE STATUTE. The FKGL for the ballot summary is grade level 14, and the FRE is 20. Take a look at the latest stories and videos about the 2022 Midterm Elections here. The propositions, like all state ballot measures, require approval by a simple majority . Opponents assert, Missing even a single dialysis treatment increases patients risk of death by 30%. Dialysis centers are already subject to substantial state and federal oversight and are thus quite safe. Increased state and local government costs likely in the tens of millions of dollars annually. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. 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. Vote NO on Prop 29. 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. 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. This amount is less than one-half of 1percent of the states total General Fund spending. } [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. PRO
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. The treatment involves pumping a solution into the abdomen. 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. 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. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. Stop Yet Another Dangerous Dialysis Proposition For immediate release: November 8, 2022 Contact: Kathy Fairbanks (916) 813-1010 kfairbanks@bcfpublicaffairs.com Once again California voters reject shameful attack on dialysis patients by one State executives | How safe is your neighborhood? These additional costs are highly uncertain. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. "Things like Prop 29 are the worst of proposed government. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. 8 in 2018 and Prop. Medicare pays for dialysis treatment for the majority of people on dialysis in California. Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. Get browser notifications for breaking news, live events, and exclusive reporting. 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. Read more endorsements at: latimes.com/endorsements. Proposition 29 includes several requirements affecting clinics, as discussed below. 29 differs from Prop. Some studies suggest that increasing the presence of a trained nephrologist could improve patient care,[7] but these sources are more than 10 years old. font-weight:bold; Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. Patients Own Physician Oversees Treatment. 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. The PAC raised over $86.4 million in contributions. The yes campaign has www.yeson29.com. [12], In 2020, the SEIU-UHW West launched a new campaign for a ballot initiative to have a minimum of one licensed physician present at the clinic while patients are being treated; report data on dialysis-related infections to the state health department and National Healthcare Safety Network (NHSN); and provide a written notice to the state health department and obtain consent from the state health department before closing a chronic dialysis clinic. Specifically, the measure would require that clinics: Prop. 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. 2023 CBS Broadcasting Inc. All Rights Reserved. "Government can only take so much of a bite out of the economy.". .arguments-bm-widget li { California voters will decide the fate of seven statewide propositions on Nov. 8. 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. State law does not specify a length of time for which you must have been a resident to be eligible. Signatures were due on April 27, 2022. 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. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. Prop. 29's proponents say dialysis companies don't invest enough in patient care and safety, although they are highly profitable. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. In California, about 80,000 patients receive dialysis treatments each month, most of which happen at one of the roughly 600 private clinics across the state. [7], The full text of the ballot initiative is below:[1]. 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. 5737 Mesmer Ave. [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. Another potential issue for Prop. Click here for the California Secretary of State page to ensure you have the most current information. background-color: black !important; -webkit-columns: 2; Prop. 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. Property inherited before Prop 19 took effect would have a $950 annual tax bill. .sbtotaltable td { He said the measure is important because of what it will do not only for the present, but also the future. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. 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. Constitutional rights "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. Most Dialysis Patients Receive Treatment in Clinics. Having on-site, fully trained physicians, nurse practitioners or physician assistants at dialysis clinics would ensure that a trained professional would be present in emergencies. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. .ballot-measure-endorsements td { width: 35% !important;} Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Business regulation They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. 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. .sbtotaltable th { July 26, 2022 mirrormmg. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. Federal regulations do not require medical directors to spend a set amount of time at the clinic. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. Click here to contact our editorial staff, and click here to report an error. SAN FRANCISCO (KCBS) One of the hot button issues heading into the June Presidential Primary Election is Proposition 29, the Tobacco Tax for Cancer Research Act. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. This proposition, for the third time, attempts to regulate dialysis clinics. Proponents assert that there is a need for dialysis industry reform. Prop. It would also require increased disclosure of clinic ownership and dialysis-related infections. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. Some people qualify for both Medicare and Medi-Cal. 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. The exception lasts for one year. Proposition 29 Could Increase Health Care Costs for State and Local Governments. The opponents say Proposition 29 would probably hurt patients more than help. "[19] Dave Regan stated, "The reason Prop. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. 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