Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Requires clinics to: disclose physicians ownership interests; report infection data. 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. The PAC raised over $86.4 million in contributions. The Stop the Dangerous & Costly Dialysis Proposition PAC was registered to oppose the ballot initiative. Sean Fleming and Jonathan Everhart filed the ballot initiative on August 24, 2021. Federal regulations do not require medical directors to spend a set amount of time at the clinic. Federal law requires a group insurer to be the main payer for dialysis treatment for the first 30 months of treatment. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. "Things like Prop 29 are the worst of proposed government. Propositions on the November 8, 2022 Ballot. 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. 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. margin-top: 0 !important; . Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. [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. Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. "Government can only take so much of a bite out of the economy.". In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. These waivers, intended to ensure adequate staffing at medical facilities, remained in place as of Aug. 2022, with no end in sight but Prop. 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. Hemodialysis: Before hemodialysis treatments can begin, surgeons create an access point, typically in an arm, to allow technicians to remove blood for treatments. MORE | What's the difference between Prop 26 and Prop 27? Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. The ad will run statewide on broadcast, cable and digital. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. Prop. Most people on dialysis undergo hemodialysis. [19][20] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. 23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. A clinic may ask CDPH to grant an exception from this requirement if there are not enough physicians, nurse practitioners, or physician assistants in the clinics area. / CBS San Francisco. These propositions deal with abortion, sports betting and environmental initiatives. 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. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) Dialysis Clinics Must Report Infection-Related Information to a National Network. The PAC raised over $7.9 million from the SEIU-UHW West. However, if trained nephrologists are present during treatment, these patients could receive improved quality of care. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. } California voters have seven propositions to vote on in the Nov. 8 general election. Clinics carry out the treatment. 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. margin-top: 10px !important; Current and valid photo identification provided by a third party in the ordinary course of business that includes the name and photograph of the individual presenting it. Patients need about three treatments per week, and missing a treatment can result in serious health complications. margin-bottom: 0 !important; Tobacco, What's on my ballot? Other people purchase health insurance individually. [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. Committee major funding from DaVita, Fresenius Medical Care, and U.S. Renal Care. 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. Proposition 29 Increases Costs for Dialysis Clinics. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. The exception lasts for one year. Constitutional rights Prop. 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. Charges Penalties if Dialysis Clinics Do Not Report Required Information. What would this ballot initiative have required of dialysis clinics? State approval of clinic closures would protect rural communities from losing access to needed dialysis services. YES This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. The arguments come from many sources and are not limited to those presented in the Official Voter Information Guide. 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. https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. 29's proponents say dialysis companies don't invest enough in patient care and safety, although they are highly profitable. Clinics are already required to have a physician on staff overseeing patients care, and each patient has a kidney specialist directing their individual treatment. This amount is less than one-half of 1percent of the states total General Fund spending. Federal courts | Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. -webkit-columns: 1; Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. 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. .ballot-measure-endorsements td { width: 35% !important;} Dialysis copies what healthy kidneys do. 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. Californians will vote on propositions ranging from abortion to sports betting in the November general election. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . NO Public policy. Nor is there evidence that the current arrangement has harmed patients. Firearms If less than 95 percent are estimated to be valid, the initiative does not make the ballot. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. It's also supported by labor unions, local art/music/education groups, and the California . The Los Angeles Times editorial board determines the positions of The Times as an institution. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. The SEIU-UHW West said workers at dialysis clinics had been attempting to unionize since 2016, but that their employers were retaliating against pro-union employees. Since then, the yes campaign has launched www.yeson29.com. 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. CDPH licenses clinics to operate in California. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. 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. CDPH also certifies clinics on behalf of the federal government. 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. 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. The proposed initiative, if. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. [8], .ballot-measure-endorsements p { Here's a breakdown of each proposition and what it entails. As noted earlier, an owner or operator might be able to support these clinics with its higher-earning clinics. [32], The initiative campaign submitted 1,018,730 raw signatures. This November is no different. That means voters will decide the fewest measures in an election year since 1916. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. Specifically, the measure would require that clinics: Prop. The measure would have required a doctor, nurse practitioner or physicians' assistant to be present during treatment at the state's 600 outpatient dialysis facilities. It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect. 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]. 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. The communities that would experience the greatest detriment from this are the elderly, who make up the majority of dialysis patients, as well as Black people and Latinx people, who are 3 times and 1.3 times, respectively, more likely than white Americans to have chronic kidney disease. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. | The FKGL for the ballot summary is grade level 14, and the FRE is 20. Contact Information. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. -webkit-columns: 2; The measure would amend the state health code to require dialysis clinics to have a licensed medical professional on-site during treatment or in some cases available virtually during treatments. [5] Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. Ballotpedia did not identify media editorial boards in support of the ballot measure. font-size:1.2em; Counties will begin mailing vote-by-mail ballots. July 26, 2022 . [6] Prop. To register to vote in California, you must be a resident of the state. However, not everyone is in favor of the measure. } The attorney general wrote the ballot language for this measure. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. 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. No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. [7] Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets, International Journal for Quality in Health Care 17, no. 5737 Mesmer Ave. It would also require increased disclosure of clinic ownership and dialysis-related infections. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. .arguments-bm-widget li { 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. Proposition 29 includes several requirements affecting clinics, as discussed below. How to run for office | CDPH must specify which information clinics should report, and how and when to report the information. .ballot-measure-endorsements ul { Signatures need to be certified at least 131 days before the general election. Copyright 2023 KGO-TV. } "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. Healthy kidneys remove waste and extra fluid from a persons blood. 12:08 p.m. Oct. 17, 2022: An earlier version of this endorsement reported that the proponents did not have a website. State law does not specify a length of time for which you must have been a resident to be eligible. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. [12],

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