Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. 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. For the Third Time in a Row, Voters Soundly Reject Prop 29 the Dangerous Dialysis Proposition, In new ad, doctors and patients urge SEIU-UHW to stop putting dialysis patients lives at risk with ballot measure extortion, In Case You Missed It: Enough with this foolish extortion says LA Times columnist George Skelton. 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.
.sbtotaltable { How safe is your neighborhood? Here's what you need to know about the measure: App users: For a better experience, click here to view the full map in a new window. The California Republican Party is against the measure. Dialysis clinics would face additional regulations. 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. .arguments-bm-widget li { Proposition 29 includes several requirements affecting clinics, as discussed below. 31 Flavored Tobacco: no. [35], To vote in California, an individual must be a U.S. citizen and California resident. 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. Dialysis patients deserve protection under the law. CDPH licenses clinics to operate in California. Another potential issue for Prop. There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. } The word count for the ballot title is 17. The proposed initiative, if approved by California's voters, would increase the tax on cigarettes in the state by $1 per pack. "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. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. Public File for KBCW-TV / KBCW 44 Cable 12. [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. 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 proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. Federal regulations do not require medical directors to spend a set amount of time at the clinic. .ballot-measure-endorsements ul { [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. The Californians for Kidney Dialysis Patient Protection PAC raised $8.99 million from the SEIU-UHW West. It operates separately from the newsroom. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. 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. Increased state and local government costs likely in the tens of millions of dollars annually. The ballot measure was defeated. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? 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. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. 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. As Dahlia Ackerman, a longtime dialysis nurse opposing Proposition 30, told the San Francisco Chronicle, The only thing that we, including a physician, can do in an emergency would be to call 911.. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. [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 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. } The attorney general of California issued ballot language for the initiative on October 29, 2021, allowing a signature drive to begin. What's the difference between Prop 26 and Prop 27. CDPH must post each clinic's infection information on the CDPH website, including the name of the clinic's owner or operator. } Proposition 28 promises to bring arts and music programs to every public school and cost taxpayers nothing. } State approval of clinic closures would protect rural communities from losing access to needed dialysis services. 2, 2005, pages 11521. Dialysis is recommended when a person's kidneys lose most of their function. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. "[16], Jim Miller, a columnist for The Sacramento Bee, and Melanie Mason, a state politics journalist for the Los Angeles Times, both stated that the ballot initiative would also provide the SEIU-UHW West with leverage over legislation to enact new regulations on dialysis clinics in the California State Legislature. As the verification process can take multiple months, the secretary of state provides suggested deadlines for ballot initiatives. The proponents says the proposition is intended to improve patient care. They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. KCBS Interviews Ray Durazo and Tom Del Beccaro: Ray Durazo is the former American Heart Association Western States Affiliate Board President and currently serves as California Advocacy Task Force Chair. font-weight:bold; 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. Prop. 29 Dialysis Clinics: no. Other people purchase health insurance individually. } 1461, also known as the New Motor Voter Act. } In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). 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. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. This field is for validation purposes and should be left unchanged. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. Some people qualify for both Medicare and Medi-Cal. Clinics are already required to have a physician on staff overseeing patients care, and each patient has a kidney specialist directing their individual treatment. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. 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. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. Proposition 8 would have required dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. California's current cigarette tax is 87 cents per pack. 30 Millionaires Tax: no. Click here to contact our editorial staff, and click here to report an error. The exception lasts for one year. Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. Opponents claim Prop. 29. Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. California does not require voters to present photo identification. If less than 95 percent are estimated to be valid, the initiative does not make the ballot. Californias initiative system was created more than a hundred years ago to give citizens the power to make new laws when their elected leaders failed to do so. CDPH must specify which information clinics should report, and how and when to report the information. Vote NO on Prop 29. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. "[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. The FKGL for the ballot summary is grade level 14, and the FRE is 20. Propositions on the November 8, 2022 Ballot. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. . The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. Property inherited before Prop 19 took effect would have a $950 annual tax bill. The treatment involves pumping a solution into the abdomen. The clinic may request a hearing if it disagrees with the penalty. Few Main Sources Pay for Dialysis. The ban is delayed until voters make a decision in November. Requires clinics to: disclose physicians ownership interests; report infection data. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. .ballot-measure-endorsements td { width: 35% !important;} 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. Copyright 2023 KGO-TV. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. Dialysis Mimics What a Normal Kidney Does. Most Dialysis Patients Receive Treatment in Clinics. Prop. Dialysis care is a highly complex issue and should not be left up to voters to decide. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. font-size:1.2em; Help expand Ballotpedia's elections coverage - volunteer with us. Prop. The state and federal governments share the costs of Medi-Cal. It was not intended to be weaponized in this way. 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. 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. Sean Fleming and Jonathan Everhart filed the ballot initiative on August 24, 2021. -moz-columns: 2; [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. 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. 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. Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. Not a lot. He said the measure is important because of what it will do not only for the present, but also the future. 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. [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. 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. Prop 22 california 2020 pros and cons. [12], The following were the top donors to the committee. "[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. Proposition 29 purports to improve patient care. (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. Ads for and against Proposition 29 have been running non-stop for the last several months. [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/. Various Entities Own and Operate Dialysis Clinics. 8 in 2018 and Prop. | This material may not be published, broadcast, rewritten, or redistributed. Pros & Cons Unbiased explanation with arguments for and against . The machine filters the blood and adds a solution to help remove waste. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. 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. The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. [6] Prop. [7], The fiscal impact statement was as follows:[6], Increased state and local government costs likely in the low tens of millions of dollars annually. width: 100%; Public policy. You can read more about the boards mission and its members at About The Times Editorial Board. You can hear KCBS In Depth, a weekly half-hour news interview, Saturdays at 5:30a.m. 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. 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. . Click here for the California Secretary of State page to ensure you have the most current information. July 26, 2022 . This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. .sbtotaltable th { State executives | Prohibits clinics from closing or substantially reducing services without state approval. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. All rights reserved. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. The opponents say Proposition 29 would probably hurt patients more than help. Click "Show" to learn more about voter registration, identification requirements, and poll times in California. Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients 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. 29 differs from Prop. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . Even the labor-friendly Legislature has refusedto pass similar legislation. Contact Information. 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. Currently, California relies primarily on federal regulations as the basis for its licensing program. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. } Here's what's different this time around. Copyright 2023 KABC Television, LLC. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. } Have at least one of the following on site during patient treatments: Legislative Analysts Office, Proposition 23, November 3, 2020. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. The Los Angeles Times editorial board determines the positions of The Times as an institution. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. A voter must be at least 18 years of age on Election Day. 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. 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. You may occasionally receive promotional content from the Los Angeles Times. Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. The attorney general wrote the ballot language for this measure. No program or agency should be specifically funded by fines and fees revenue. Stop yet another dangerous dialysis proposition. CDPH must specify which information clinics should report, and how and when to report the information. Our weekly mental wellness newsletter can help. The FKGL for the ballot title is grade level 16, and the FRE is -1. 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. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. margin-top: 10px !important; Revenues go toward K-12 schools, California Community Colleges, and healthcare. No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. Ballot measures, Who represents me? 29. How to vote | Requires clinics to report dialysis-related infection data to state. .sbtotaltotal { Patients need about three treatments per week, and missing a treatment can result in serious health complications. .sbtotaltable td { To receive payments from Medicare, clinics must report specific dialysis-related infection information to the National Healthcare Safety Network at the federal Centers for Disease Control and Prevention. 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. 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. 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. 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. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. 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. Stop yet another dangerous dialysis proposition. Tubing is attached to allow blood to be pumped between the access point and a hemodialyzer machine, also known as an artificial kidney machine. 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. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. However, an owner or operator may be less likely to keep an individual clinic open over the longer term if that clinic is likely to keep operating at a loss. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. If there is a shortage of licensed healthcare workers available to monitor. }, .arguments-bm-widget { 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. If they miss a treatment because of reduced hours or access, it could be fatal. See CA Ballot Propositions by CalMatters which provides 1-minute video summaries and other key information about the propositions. font-size:1.0em; 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. 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. INITIATIVE STATUTE. 5737 Mesmer Ave. Three treatments per week, and click here for the veto referendum to repeal SB.. Machine filters the blood and adds a solution into the abdomen, the following on site during treatments. Require Medical directors to spend a set amount of time at the clinic { [ ]. 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Is important because of reduced hours or access, it could be fatal Jerry Brown ( D ) signed law. Email editor @ ballotpedia.org. all physicians who own at least 18 years of age on election Day of who... The lining of a person 's abdomen must specify which information clinics report... Difference between Prop 26 and Prop 27, offering supporting and opposing arguments more than help KCBS in,! October 29, 2021 single clinic here to contact our editorial staff, and Healthcare general prepares the petition.. Less than 95 percent are estimated to be valid, the initiative federal law requires a clinic to give a... Summaries and other key information about the boards mission and its members at about boards! Whether they want to ban flavored tobacco products under Proposition 31. clinics from closing without state approval relies primarily federal! Nothing. serious health complications ballot by the California Secretary of state page to ensure you have the most information! Including one to raise the minimum wage to $ 18 an hour process can take months. Attorney general of California issued ballot language for this measure 75percent of licensed Healthcare workers West dialysis treatment,... Democratic Party and SEIU United Healthcare workers West vote in California check voter! Changes while still covering their operating costs no on Prop 31- Californians against Prohibition is campaigning for the by.
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