The proponents also contend that having a physician or nurse practitioner, in addition to current staff . Prop. State legislature | margin-top: 0 !important; The word count for the ballot title is 17. } [7], The summary provided for inclusion on signature petition sheets was as follows:[6], Requires physician, nurse practitioner, or physician assistant, with six months relevant experience, on site during treatment at outpatient kidney dialysis clinics; authorizes exemption for staffing shortage if qualified medical professional is available through telehealth. California has implemented an online voter registration system. This is just leverage. The treatment involves pumping a solution into the abdomen. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. Prop. (202) 986-0916, Senior Managing Director, Transportation Policy, Photo 193235704 Saengsuriya Kanhajorn | Dreamstime.com, Innovators in Action: James Small, public safety director of Palmyra, Wisconsin, Florida must stop relying on taxation by citation, Properly designed impact fees could help Wakulla County accommodate population growth. text-align:center; Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. However, not everyone is in favor of the measure. .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. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. Fiscal Impact: Increased state and local government costs 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. .sbtotaltable th { Dialysis, a treatment that removes waste and chemicals from the bloodstream, is administered to people whose kidneys no longer function properly. The word count for the ballot summary is 84. [12], The following were the top donors to the committee. columns: 2; [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. 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. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. Patients Own Physician Oversees Treatment. Most Dialysis Patients Receive Treatment in Clinics. July 26, 2022 . May 13, 2012 / 4:53 PM The PAC raised over $7.9 million from the SEIU-UHW West. Doctors, nurses, and patients urge you to vote NO on Prop 29. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. PRO } The Times will begin publishing our endorsements this week for ballot measures and major local and statewide races. .ballot-measure-endorsements td { width: 35% !important;} 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. 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. [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. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Here's a breakdown of each proposition and what it entails. A clinic may dispute CDPHs decision by requesting a hearing. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. Ballotpedia did not identify media editorial boards in support of the ballot measure. 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. U.S. Congress | 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. California does not require voters to present photo identification. Healthy kidneys remove waste and extra fluid from a persons blood. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. Opponents, organized as Patients and Caregivers to Protect Dialysis Patients, raised $111.48 million, with DaVita and Fresenius Medical Care North America providing 90% of the campaign's funds. Requires physician, nurse practitioner, or physician assistant on site during treatment. Educational. 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. 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 proponents says the proposition is intended to improve patient care. 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. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. 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. If this proposal seems familiar thats because its virtually the same as two previous measures on the 2018 and 2020 ballots. 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. California voters have seven propositions to vote on in the Nov. 8 general election. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. California automatically registers eligible individuals to vote when they complete a driver's license, identification (ID) card, or change of address transaction through the Department of Motor Vehicles. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. 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. 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. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) The clinic must give a patient this list when the patient is starting treatment, each year after that, or any time a patient (or potential patient) asks for it. Through October 27, 2022, the campaign had received over $23.2 million, including $9.7 million from R.J. Reynolds Tobacco Co. and $9.5 million from Philip Morris USA. Clinics Could Respond to Higher Costs in Different Ways. 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. 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. Pros & Cons Unbiased explanation with arguments for and against . Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. 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. This November is no different. Even the labor-friendly Legislature has refusedto pass similar legislation. [33], On June 20, 2022, the secretary of state reported that the random sample concluded that 725,890 signatures were valid.[34]. Here's what's different this time around. How to vote | A bipartisan bill introduced in Congress, House Resolution 3569, would amend NOTA to clarify that organ donors could be compensated for out-of-pocket expenses, lost wages, and other costs associated with donating. 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. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. 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. [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. See CA Ballot Propositions by CalMatters which provides 1-minute video summaries and other key information about the propositions. } This proposition was placed on the ballot through the collection of signatures, and a simple majority (50% plus one vote) is required for it to pass. Hemodialysis: Before hemodialysis treatments can begin, surgeons create an access point, typically in an arm, to allow technicians to remove blood for treatments. Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. Opponents claim that it may force some clinics to close. fx vd. Revenues go toward K-12 schools, California Community Colleges, and healthcare. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. [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. Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets,. CalMatters reporter Ana Ibarra explains Prop. 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. . However, if trained nephrologists are present during treatment, these patients could receive improved quality of care. 2012 CBS Broadcasting Inc. All Rights Reserved. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. The physician continues to oversee the patients care. [2], Prop. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. } Read more endorsements at: latimes.com/endorsements. Counties will begin mailing vote-by-mail ballots. A "no" vote opposed 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. Committee major funding from DaVita, Fresenius Medical Care, and U.S. Renal Care. Run/Walk for WeSPARK 5k/10k . Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. vehicle certificate of ownership issued by a governmental agency. if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues Owners and operators might try to negotiate higher rates from payers to cover some of the costs. The FKGL for the ballot title is grade level 16, and the FRE is -1. 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. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. You can find a full list of the opponents on noprop29.com. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. Conditional voter registration is available beginning 14 days before an election through Election Day. 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. An individual who is in line at the time polls close must be allowed to vote. 29 would increase the states need for more medical professionals. Wage hikes for some workers, not others. No program or agency should be specifically funded by fines and fees revenue. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. Proposition 29 purports to improve patient care. 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 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. Public policy. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. 1461, also known as the New Motor Voter Act. .sbtotalheader { 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. SAN FRANCISCO (KGO) -- For the third time in three straight elections, California voters rejected a ballot measure that would have mandated major changes to the operations of dialysis clinics. 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. This material may not be published, broadcast, rewritten, or redistributed. The attorney general wrote the ballot language for this measure. Summary of General Obligation BondsElection Results 1986 to Present (Excel File). 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. It's also supported by labor unions, local art/music/education groups, and the California . 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. columns: 1; Prohibits clinics from refusing to treat patients based on source of payment. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. The proposition allows CDPH to determine whether or not to consent. 29. 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. 29 in 1 minute. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Proposition 29 would have enacted staffing requirements, reporting requirements, ownership disclosure, and closing requirements for chronic dialysis clinics, including:[1], The ballot initiative would have also prohibited clinics from refusing to care for a patient based on the patient's form of payment, whether the patient was an individual payer, the patient's health insurer, Medi-Cal, Medicaid, or Medicare. School districts | 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. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . nurse practitioner or physician assistant be on site during treatment. Note: supporters of the measure have not said whether or not they will put a fourth measure on the 2024 ballot if this measure fails. 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. Copyright 2023 KABC Television, LLC. . For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. 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. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. Federal law requires a group insurer to be the main payer for dialysis treatment for the first 30 months of treatment. Prop. The California Democratic Party is in favor of the measure. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. 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. motion to strike injunctive relief,