if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues The state and federal governments share the costs of Medi-Cal. Nov. 3, 2022 5:16 PM PT. [32], The initiative campaign submitted 1,018,730 raw signatures. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. If they miss a treatment because of reduced hours or access, it could be fatal. Dialysis Clinics Must Report Infection-Related Information to a National Network. State executives | Charges Penalties if Dialysis Clinics Do Not Report Required Information. .ballot-measure-endorsements td { width: 35% !important;} Counties will begin mailing vote-by-mail ballots. Peritoneal dialysis typically occurs three to five times every day, with each treatment taking about 30 to 40 minutes, according to the National Kidney Foundation. How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? Conflict between labor and dialysis businesses, recently scheduled reports processed by Ballotpedia, Californians for Kidney Dialysis Patient Protection, Stop Yet Another Dangerous Dialysis Proposition, Campaign finance requirements for California ballot measures, California Proposition 8, Limits on Dialysis Clinics' Revenue and Required Refunds Initiative (2018), California Proposition 23, Dialysis Clinic Requirements Initiative (2020), Laws governing the initiative process in California, Laws permitting noncitizens to vote in the United States, Click here for the California Secretary of State page to ensure you have the most current information, Petition drive deadlines and requirements, Changes in 2022 to laws governing the initiative process, https://ballotpedia.org/wiki/index.php?title=California_Proposition_29,_Dialysis_Clinic_Requirements_Initiative_(2022)&oldid=9009613, California 2022 ballot measures, certified, Initiated statute certified for the 2022 ballot, Conflicts in school board elections, 2021-2022, Special Congressional elections (2023-2024), 2022 Congressional Competitiveness Report, State Executive Competitiveness Report, 2022, State Legislative Competitiveness Report, 2022, Partisanship in 2022 United States local elections, Californians for Kidney Dialysis Patient Protection - Yes on 29, No on 29: Stop Yet Another Dangerous Dialysis Proposition. The clinic may request a hearing if it disagrees with the penalty. This measure isnt really about patient care. [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. Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. 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. To register to vote in California, you must be a resident of the state. Patients need about three treatments per week, and missing a treatment can result in serious health complications. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. 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. 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. Click "Show" to learn more about voter registration, identification requirements, and poll times in California. 29 in 1 minute. 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. 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. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. Various Entities Own and Operate Dialysis Clinics. Run/Walk for WeSPARK 5k/10k . Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Furthermore, its a tactic the union has used before to pressure healthcare facilities, most recently in Los Angeles and other cities, where the SEIU-UHW has qualified local ballot measures to force private health facilities, including dialysis centers, to pay workers at least $25 an hour. However, the owner or operator might not be willing or able to do this over the longer term. }, .arguments-bm-widget { na si. Medicare pays for dialysis treatment for the majority of people on dialysis in California. These additional costs are highly uncertain. 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. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. [8], .ballot-measure-endorsements p { Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. 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. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. Proposition 29 Increases Costs for Dialysis Clinics. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. As the verification process can take multiple months, the secretary of state provides suggested deadlines for ballot initiatives. 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 that provide life-saving care to 80,000 people with kidney failure. Kidney Failure. The Stop the Dangerous & Costly Dialysis Proposition PAC was registered to oppose the ballot initiative. The FKGL for the ballot summary is grade level 14, and the FRE is 20. The opponents say Proposition 29 would probably hurt patients more than help. Prop 22 california 2020 pros and cons. All Rights Reserved. } 29 Dialysis Clinics: no. Proposition 29 would establish a set of regulations for the staffing and operations of chronic dialysis clinics in the state. 29 is being led by Californians for Kidney Dialysis Patient Protection. !function(){"use strict";window.addEventListener("message",(function(e){if(void 0!==e.data["datawrapper-height"]){var t=document.querySelectorAll("iframe");for(var a in e.data["datawrapper-height"])for(var r=0;r .sbtotaltable { We don't need another major government program or bureaucracy in California," he said. 8 in 2018 and Prop. [13] On the ballot as Proposition 8, 59.9% of voters rejected the proposal. Residents can register to vote by visiting this website. California Proposition 29, Dialysis Clinic Requirements Initiative (2022) California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. By Vittorio Nastasi and Austill Stuart December 12, 2022. A single treatment lasts about four hours and happens about three times per week. .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. Firearms 8 in 2018 and Prop. 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. The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). ABC7 is breaking down all of the propositions Californians are voting on this Election Day. Summary of General Obligation BondsElection Results 1986 to Present (Excel File). 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. That means voters will decide the fewest measures in an election year since 1916. 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. Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. This material may not be published, broadcast, rewritten, or redistributed. Other people purchase health insurance individually. December 29, 2022. Take a look at the latest stories and videos about the 2022 Midterm Elections here. Both CDPH and clinics (or their owners or operators) must post this information on their websites. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. Revenues go toward K-12 schools, California Community Colleges, and healthcare. Life is stressful. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. Click here to contact our editorial staff, and click here to report an error. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. 5737 Mesmer Ave. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. Proposition 29 imposes new regulatory responsibilities on CDPH. The proposed initiative, if approved by California's voters, would increase the tax on cigarettes in the state by $1 per pack. font-weight:bold; Dialysis Mimics What a Normal Kidney Does. A clinic may dispute CDPHs decision by requesting a hearing. margin-bottom: 0 !important; Dialysis clinics would face additional regulations. California does not require proof of citizenship for voter registration, although individuals who become U.S. citizens less than 15 days before an election must bring proof of citizenship to their county elections office to register to vote in that election.[39]. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. The word count for the ballot summary is 84. 1461, also known as the New Motor Voter 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. Prop. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. SEIU-UHW West was the primary sponsor and contributed over $7.97 million to the support committee. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Gambling Thats because the added cost of hiring unnecessary staff, which is estimated at several hundreds of thousands of dollars per year for each clinic, could force some centers to close or reduce hours. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect. Cross Lunch Off Your List, Lunch Bunch delivers nutritious, creative and fun to eat meals for kids aged 3-10. . 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. The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. 29 argue that patients have a higher chance of infection or death when a nurse practitioner, physician, or practitioner is not present and that requiring those medical professionals to be on staff would reduce the likelihood of death or infection. The PAC raised over $7.9 million from the SEIU-UHW West. Ads for and against Proposition 29 have been running non-stop for the last several months. [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. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. Single treatment lasts about four hours and happens about three treatments per week and! 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At the latest stories and videos about the 2022 Midterm elections here state ballot measures, require by. Longer work well enough for the last several months promotional content from the date attorney! Are allowed to circulate for 180 days from the SEIU-UHW West was primary! Required signatures ( 155,803 ) on January 24, 2022 ballot of clinics revenues exceed costs, while smaller... Obtain the CDPH 's written consent before closing or substantially reducing services to all... 8 ( 2018 ): 100 % ; however, the initiative. [ 12 ] may not published... Transplant or ongoing treatment called dialysis it disagrees with the penalty oversight would guarantee improved outcomes, and chemicals. Estimates that Proposition 29 requires clinics to obtain the CDPH website, including on-site medical practitioners, data reporting financial. December 12, 2022 ballot, the requirement through telehealth on August 24, 2022.... 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