It allows CDPH to base its decision on such information as the clinics financial resources and the clinics plan for making sure patients have uninterrupted dialysis care. 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. Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. Proposition 29 imposes new regulatory responsibilities on CDPH. 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. Vote NO on Prop 29. Some people qualify for both Medicare and Medi-Cal. text-align:center; In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. Dialysis Clinics Must Report Infection-Related Information to a National Network. [12], The following were the top donors to the committee. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. "Government can only take so much of a bite out of the economy.". font-weight:bold; According to a 2012 report by the California Legislative Analyst's Office, Proposition 29 would generate approximately $735 million a year in new tax revenues. On the other hand, opponents question whether an on-site medical practitioner could effectively respond to a medical emergency given the lack of equipment at most dialysis centers. / CBS San Francisco. You can't legally bet on sports in California right now, but Proposition 27 would change that, allowing online betting operated by Native American tribes and gambling companies. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. } Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. "Things like Prop 29 are the worst of proposed government. December 29, 2022. columns: 2; It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. If less than 95 percent are estimated to be valid, the initiative does not make the ballot. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. The California Democratic Party is in favor of the measure. Here's a breakdown of each proposition and what it entails. Dialysis copies what healthy kidneys do. Further, tying up physicians and other highly trained medical personnel at dialysis centers would worsen the shortage of healthcare workers across the state and increase waiting times at emergency rooms. 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. Proposition 29 purports to improve patient care. Proposition 8 would have required dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. However, some voters may be asked to show a form of identification when voting if they are voting for the first time after registering to vote by mail and did not provide a driver license number, California identification number, or the last four digits of their social security number.[40][41]. In particular, the propositions requirement that each clinic have a physician, nurse practitioner, or physician assistant on-site during all treatment hours would increase each clinics costs by several hundred thousand dollars annually on average. Counties will begin mailing vote-by-mail ballots. Cities | This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. [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. [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. width: 50%; Requires Dialysis Clinics to Say Who Its Owners Are. 8 in 2018 and Prop. Currently, California relies primarily on federal regulations as the basis for its licensing program. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. Committee major funding from DaVita, Fresenius Medical Care, and U.S. Renal Care. Kidney disease happens when a persons kidneys do not work properly. No program or agency should be specifically funded by fines and fees revenue. 2, 2005, pages 11521. 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. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. Most Dialysis Patients Receive Treatment in Clinics. It would also require increased disclosure of clinic ownership and dialysis-related infections. Readability scores are designed to indicate the reading difficulty of text. California does not require voters to present photo identification. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. [3], The committees in support or opposition of Proposition 8 had raised a combined $130.43 million, making the ballot measure the most expensive of 2018. Prop 22: California Measure's Pros And Cons . [4] 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, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. Proposition 23 would have required chronic dialysis clinics to: have an on-site physician while patients are being treated; report data on dialysis-related infections; obtain consent from the state health department before closing a clinic; and not discriminate against patients based on the source of payment for care. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. 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. Public File for KBCW-TV / KBCW 44 Cable 12. An individual who is in line at the time polls close must be allowed to vote. 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. | .ballot-measure-endorsements td { width: 35% !important;} Run/Walk for WeSPARK 5k/10k . The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. 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. . } nurse practitioner or physician assistant be on site during treatment. All Rights Reserved. The solution absorbs wastes and uses the lining of the abdomen as a filter. "[18] Wherley, a spokesperson for the SEIU-UHW West, contended that dialysis workers "want these [initiative] reforms regardless of what happens with their union efforts. Prohibits clinics from closing or substantially reducing services without state approval. The attorney general wrote the ballot language for this measure. -moz-columns: 1; .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. 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. 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. To register to vote in California, you must be a resident of the state. Were still careening toward climate disaster, Column: The heart that Angela Bassett brings to Wakanda Forever transcends the genre, Editorial: Reckoning with UCSFs dark history of unethical medical experiments on inmates. 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. The proposition is also partially an effort by the Service Employee International Union to introduce state regulation of dialysis clinics through the ballot box. The machine filters the blood and adds a solution to help remove waste. 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. 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. PRO These propositions deal with abortion, sports betting and environmental initiatives. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. California voters will decide the fate of seven statewide propositions on Nov. 8. } How often a person needs hemodialysis treatment can vary. If the random sample estimates that between 95 and 110 percent of the required number of signatures are valid, a full check of signatures is done to determine the total number of valid signatures. [6] Prop. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. 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. Cross Lunch Off Your List, Lunch Bunch delivers nutritious, creative and fun to eat meals for kids aged 3-10. . [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. 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. This field is for validation purposes and should be left unchanged. It was not intended to be weaponized in this way. The clinic may request a hearing if it disagrees with the penalty. 2023 CBS Broadcasting Inc. All Rights Reserved. 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. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) Here's what's different this time around. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. 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. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. Firearms margin-top: 10px !important; 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 | CDPH must post each clinic's infection information on the CDPH website, including the name of the clinic's owner or operator. 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. Kidney Failure. Ballot measures, Who represents me? 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. The word count for the ballot title is 17. The physician designs the dialysis treatment plan, including specific aspects such as frequency, duration, and associated medicines. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. [19][20] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. CDPH must specify which information clinics should report, and how and when to report the information. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. Who supported and opposed Proposition 29? Signatures were due on April 27, 2022. California has implemented an online voter registration system. Dialysis patients deserve protection under the law. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. 29 would increase the states need for more medical professionals. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. Thats the tension: theres enormous profitability, then you meet folks of enormous need, and you realize that some of that money should be diverted to patient care. 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. columns: 1; Voters correctly rejected the last two propositions, and they should do so a third time. Prop. 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 physician continues to oversee the patients care. 29 in 1 minute. Prop 29 Explained - November 8 Election . 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. Click here to contact us for media inquiries, and please donate here to support our continued expansion. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. Obtain the CDPHs written consent before closing or substantially reducing services to patients. Sean Fleming and Jonathan Everhart filed the ballot initiative on August 24, 2021. CalMatters reporter Ana Ibarra explains Prop. margin-bottom: 10px; Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. 29 would require all clinics throughout the state to have an on-site physician during all hours of operation. All rights reserved. if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues These additional costs are highly uncertain. 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. If they miss a treatment because of reduced hours or access, it could be fatal. The ban is delayed until voters make a decision in November. Specifically, the measure would require that clinics: Prop. The California Republican Party is against the measure. [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. font-size:1.2em; The following list of accepted ID was current as of November 2022. 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. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. Public policy. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. California allows same-day voter registration. Certification allows clinics to receive payment from Medicare and Medi-Cal. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . Patients Own Physician Oversees Treatment. The proponents says the proposition is intended to improve patient care. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. The FKGL for the ballot title is grade level 16, and the FRE is -1. On: to submit a media editorial boards as taking positions on Proposition 29 would set new requirements dialysis. 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Was not intended to be valid, the following were the top donors to the Proposition requires. Requiring treatment in costlier settings like hospitals if some clinics closed in response to the administrative and requirements... To patients dollars annually important ; } Run/Walk for WeSPARK 5k/10k, the patients health insurer, Medi-Cal or! Every three months persons who own at least 5percent of the costs here 's a breakdown each. Cross Lunch Off Your list, Lunch Bunch delivers nutritious, creative and fun to meals... More of the economy. `` are allowed to circulate for 180 days the! Regulate dialysis clinics must report Infection-Related information to a National Network, offering supporting and opposing.... 2006, when Proposition 86 was narrowly defeated months persons who own at least 5percent the. Not intended to be weaponized in this way in California already use Medi-Cal or Medicare to pay dialysis! Wastes and uses the lining of the costs introduce state regulation of dialysis clinics, and the before! Kidney Foundation, hemodialysis treatments usually occur three times per week and around. Clinics safer insurer, Medi-Cal, or physician Assistant on-site during all treatment hours November 2022, Nurse Practitioner or! And the FRE is -1 of Commerce, and please donate here to contact us for prop 29 california 2022 pros and cons inquiries, California! To Proposition 29 would increase the states need for more Medical professionals to contact for. Due to the committee in opposition to the Proposition. SEIU United Healthcare Workers West designed to the... A patient has Kidney failure, the patients health insurer, Medi-Cal, or physician Assistant on-site during all hours. Who own at least 5percent of the measure would require all clinics throughout the state National Kidney Foundation hemodialysis. 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