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. This amount is less than one-half of 1percent of the states total General Fund spending. Prop. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. Some people qualify for both Medicare and Medi-Cal. "[19] In 2017, legislation was introduced, but not passed, to require staff-patient ratios in dialysis clinics and, like the ballot initiative, limit the revenue of businesses. Education and Health Care Tax, Prop 55 12-year extension to the 2012 tax income tax increases on those making $250,000 or more a year. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. .sbtotaltotal { Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. Prop. A single treatment lasts about four hours and happens about three times per week. . Even the labor-friendly Legislature has refusedto pass similar legislation. 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. margin-top: 0 !important; CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names Business regulation Quieres leer este artculo en espaol? May 13, 2012 / 4:53 PM The proposition allows CDPH to determine whether or not to consent. "[19] Dave Regan stated, "The reason Prop. CalMatters reporter Ana Ibarra explains Prop. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! Revenues go toward K-12 schools, California Community Colleges, and healthcare. This form of dialysis removes blood from the body, filters it through a machine to remove waste and extra fluid, then returns it to the body. 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. Certification allows clinics to receive payment from Medicare and Medi-Cal. Overall, the proposition would increase costs for clinics. 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. 29.[8]. .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. 29 Dialysis Clinics: no. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. The Los Angeles Times editorial board determines the positions of The Times as an institution. 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. A NO vote on this measure means: Chronic dialysis clinics would not be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. 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. 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. . [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. 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. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. [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. Requires clinics to: disclose physicians ownership interests; report infection data. 29 would increase the states need for more medical professionals. 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. Proposition 29 Increases Costs for Dialysis Clinics. A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. Proposition 29 on the November ballot would set new requirements for all of the states dialysis centers, including forcing the clinics to hire unnecessary medical staff. font-weight:bold; Check out Bay Area safety tracker, Bay Area Life; Sundays at 6:30 p.m. on ABC7, click here to view the full map in a new window. Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. 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. Kidney donors must take time off work, suffer discomfort, and accept the increased health risks that come with having only one kidney. } Counties will begin mailing vote-by-mail ballots. Washington, DC 20009 Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. Report dialysis-related infections to the California Department of Public Health (CDPH). Read more endorsements at: latimes.com/endorsements. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. No other state requires a doctor on-site, nor do the Centers for Medicare & Medicaid Services or the California State Department of Public Health, which regulates dialysis centers. 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. 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. You can find a full list of the opponents on noprop29.com. Should dialysis clinics be forced to close as a result of increased operating costs, vulnerable patients could lose access to life-saving treatments, sending them to emergency rooms to receive necessary procedures. 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. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. Propositions on the November 8, 2022 Ballot. background-color: black !important; How safe is your neighborhood? We don't need another major government program or bureaucracy in California," he said. The California Democratic Party is in favor of the measure. Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. } Run/Walk for WeSPARK 5k/10k . 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. State executives | [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. Prop 29 Explained - November 8 Election . .ballot-measure-endorsements ul { When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. [13] On the ballot as Proposition 8, 59.9% of voters rejected the proposal. Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. emphasis on political coverage within a state; and. 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. Higher costs could result in clinics being forced to close, which would reduce access to dialysis care or cause higher costs to be passed along to patients. 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 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. Currently, California relies primarily on federal regulations as the basis for its licensing program. } 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. Nov. 3, 2022 5:16 PM PT. The PAC raised over $7.9 million from the SEIU-UHW West. For people enrolled only in Medi-Cal, the Medi-Cal program alone pays for dialysis. Using the Flesch-Kincaid Grade Level (FKGL) and Flesch Reading Ease (FRE) formulas, Ballotpedia scored the readability of the ballot title and summary for this measure. "Government can only take so much of a bite out of the economy.". Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. . 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. These additional costs are highly uncertain. [2], Prop. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. What would this ballot initiative have required of dialysis clinics? Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. (310) 391-2245, 1747 Connecticut Ave NW Prop. margin-bottom: 0 !important; December 29, 2022. NO
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