Los Angeles, CA 90230 .endorsements-header { 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. } Californians will vote on propositions ranging from abortion to sports betting in the November general election. Readability scores are designed to indicate the reading difficulty of text. Original story follows below. Sean Fleming and Jonathan Everhart filed the ballot initiative on August 24, 2021. Help expand Ballotpedia's elections coverage - volunteer with us. Medicare pays for dialysis treatment for the majority of people on dialysis in California. Gavin Newsom wisely used his powers under the states COVID-19 state of emergency to authorize the state director of public health to waive licensing requirements on medical practitioners and restrictions on out-of-state medical professionals to help increase the number of medical practitioners in California. margin-bottom: 0 !important; Propositions on the November 8, 2022 Ballot. The Times will begin publishing our endorsements this week for ballot measures and major local and statewide races. Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. 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. Committee major funding from DaVita, Fresenius Medical Care, and U.S. Renal Care. That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. It would also prohibit clinics from refusing to treat patients based on the source of payment. 2, 2005, pages 11521. The free college has both its own pros and cons so make the decision wisely! 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. Contact Information. 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. Requires physician, nurse practitioner, or physician assistant on site during treatment. } Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. Group and Individual Health Insurance. State law does not specify a length of time for which you must have been a resident to be eligible. The PAC raised over $86.4 million in contributions. Dialysis care is a highly complex issue and should not be left up to voters to decide. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. Increased state and local government costs likely in the tens of millions of dollars annually. Cross Lunch Off Your List, Lunch Bunch delivers nutritious, creative and fun to eat meals for kids aged 3-10. . The proposition allows CDPH to determine whether or not to consent. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. This measure isnt really about patient care. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. Proponents of Prop. 29 are already in place. However, not everyone is in favor of the measure. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Click "Show" to learn more about voter registration, identification requirements, and poll times in California. .sbtotaltable th { 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. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. "If Prop 29 passes, it will save 104,000 lives, it will stop 228,000 kids from smoking and that at a cost of $1 increase per pack," said Durazo. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. } Proposition 29 would establish a set of regulations for the staffing and operations of chronic dialysis clinics in the state. 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. In 2020, Gov. 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. Prop. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Tubing is attached to allow blood to be pumped between the access point and a hemodialyzer machine, also known as an artificial kidney machine. 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. 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. 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. We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. Federal Regulations Require a Medical Director at Each Dialysis Clinic. This field is for validation purposes and should be left unchanged. 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. Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. Dialysis, a treatment that removes waste and chemicals from the bloodstream, is administered to people whose kidneys no longer function properly. You can read more about the boards mission and its members at About The Times Editorial Board. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. } 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. There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. 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. Patients Own Physician Oversees Treatment. If CDPH approves the exception, the clinic can meet the requirement through telehealth. Life is stressful. While our example was specifically drawn from a home in Los Angeles, a similar story is likely to play out in other areas of California. In the less likely event that a relatively large number of clinics would close due to this proposition, having obtained consent from CDPH, state and local governments could have additional costs in the short run. This amount is less than one-half of 1percent of the states total General Fund spending. 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. U.S. Congress | 23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. "[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. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. This is just leverage. This material may not be published, broadcast, rewritten, or redistributed. | Certification allows clinics to receive payment from Medicare and Medi-Cal. 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. The PAC raised over $7.9 million from the SEIU-UHW West. California Proposition 29, Dialysis Clinic Requirements Initiative (2022). Conditional voter registration is available beginning 14 days before an election through Election Day. A voter must be at least 18 years of age on Election Day. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. -webkit-columns: 1; Why are city leaders picking winners and losers? No program or agency should be specifically funded by fines and fees revenue. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. 29. text-align:center; Opponents claim that it may force some clinics to close. California voters have overwhelmingly rejected similar dialysis propositions twice. Prop 22: California Measure's Pros And Cons . A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. Summary of General Obligation BondsElection Results 1986 to Present (Excel File). Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. Charges Penalties if Dialysis Clinics Do Not Report Required Information. Since then, the yes campaign has launched www.yeson29.com. You can hear KCBS In Depth, a weekly half-hour news interview, Saturdays at 5:30a.m. PRO Signatures need to be certified at least 131 days before the general election. SEIU-UHW West was the primary sponsor and contributed over $7.97 million to the support committee. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. [8] Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://www.kidney-international.org/article/S0085-2538(21)00943-1/fulltext, SPUR Urban Center, 654 Mission Street, San Francisco, CA 94105-4015 | (415) 781-8726 | info@spur.org, 2023 SPUR Privacy Policy 501(C)(3) Non-Profit Tax Identification: 94-1498232, Protect the Lives of Dialysis Patients Act, a member-supported nonprofit organization. emphasis on political coverage within a state; and. If a clinic plans to close or substantially reduce its services, Proposition 29 requires the clinic or its owner or operator to notify CDPH in writing and obtain CDPHs written consent. This proposition, for the third time, attempts to regulate dialysis clinics. CalMatters reporter Ana Ibarra explains Prop. 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. May 13, 2012 / 4:53 PM Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. Requires clinics to: disclose physicians ownership interests; report infection data. 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. The California Republican Party is against the measure. Firearms If there is a shortage of licensed healthcare workers available to monitor. Who supported and opposed Proposition 29? | Under Proposition 29, clinics are required to offer the same quality of care to all patients. Pro- $4 billion to $9 billion for schools and health care. In California, the number of signatures required for an initiated state statute is equal to 5 percent of the votes cast in the preceding gubernatorial election. Letters to the Editor: Rethinking L.A.'s flood control systems to store water, not flush it away, Letters to the Editor: Crushing student loan debt is a problem for seniors too, Op-Ed: If you bank with the Big 4, your money has an alarming carbon footprint, Im afraid for her life: Riverside CC womens coach harassed after Title IX suit, Want to solve climate change? Report dialysis-related infections to the California Department of Public Health (CDPH). [6] Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, March 23, 2021. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst. .sbtotaltable td { The California Democratic Party and California Labor Federation supported the campaign. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. 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. (310) 391-2245, 1747 Connecticut Ave NW 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. Read more. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. Kidney donors must take time off work, suffer discomfort, and accept the increased health risks that come with having only one kidney. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. Text of measure Ballot title The official ballot title was as follows: [5] On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. 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. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. 29 say that because kidney dialysis services are essential to the continued survival of 80,000 Californians a month, the industry requires common-sense regulation that ensures these services are provided safely. In the time Small has served in this role, the property crime rate has plummeted by 88% to just over five property crimes per 1,000 residents. [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . The Flesch-Kincaid formulas account for the number of words, syllables, and sentences in a text; they do not account for the difficulty of the ideas in the text. 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. 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. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. How to vote | Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. Both CDPH and clinics (or their owners or operators) must post this information on their websites. Quieres leer este artculo en espaol? Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. Click here to contact our editorial staff, and click here to report an error. For people enrolled only in Medi-Cal, the Medi-Cal program alone pays for dialysis. Educational. All Rights Reserved. Prop 27 california 2022 pros and cons. Gambling Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. 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. 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. Public policy. Revenues go toward K-12 schools, California Community Colleges, and healthcare. ), First published on May 13, 2012 / 4:53 PM. The ban is delayed until voters make a decision in November. July 26, 2022 mirrormmg. 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. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. Not a lot. 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.
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