Prop. Once and for all, Californians can protect fragile dialysis patients by voting Yes on Prop. Prop. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. Proponents of Prop. Heres How To Start Your Search, Emmery Muoz, 14, Was Killed In LA 17 Years Ago. Proposition 29 would take thousands of doctors, physician assistants and nurse practitioners away from hospitals and clinicswhere theyre neededand place them into administrative jobs at dialysis clinics where they arent.Marketa Houskova, Doctor of Nursing Practice, RN, Executive Director of American Nurses Association\California. 
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.. In California, licensed dialysis clinics usually provide dialysis. Requires Dialysis Clinics to Say Who Its Owners Are. Service Employees International Union-United Healthcare Workers West, DaVita, Inc. and Fresenius Medical Care, who together own or operate almost 75% of dialysis clinics in the state. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Certification allows clinics to receive payment from Medicare and Medi-Cal. All patients have their own physicians whom they must see once per month. Federal law requires clinics to report infections related to treatment. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. 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. The clinic may request a hearing if it disagrees with the penalty. 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. The other 15% would go toward the Tribal Economic Development Account. The proponents also contend that 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. Proposition 29 would impose new regulations on California's kidney dialysis clinics, most notably that a physician, nurse, or physician's assistant would always need Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5 percent of the clinic. Opponents also argue that the law would increase taxes to offset the higher costs of healthcare as a result of the law. Prohibits clinics from closing or substantially reducing services without state approval. Prop 29 would take thousands of skilled medical staff from hospitals where theyre needed and place them in administrative jobs. Various Entities Own and Operate Dialysis Clinics. This year, voters only have seven propositions available to them the fewest number of ballot measures in more than a century, CalMatters reported. 27, Prop. The proposition would also establish the California Online Sports Betting Trust Fund, which would allocate 85% of the revenue collected from a 10% excise on sports betting towards the California Solutions to Homelessness and Mental Health Support Account to be used for building permanent and interim housing for houseless people. If CDPH approves the exception, the clinic can meet the requirement through telehealth. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. Take a look at the latest stories and videos about the 2022 Midterm Elections here. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. Clinics Could Respond to Higher Costs in Different Ways. PROP. Advocates also argue thatProp. Another potential issue for Prop. The state legislative analysts office agrees that this will increase costs for clinics and that closures are one potential outcome. Proposition 29 would impose new regulations on California's kidney dialysis clinics, most notably that a physician, nurse, or physician's assistant would always need to be on site. CDPH licenses clinics to operate in California. 29. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. The state and federal governments share the costs of Medi-Cal. Clinics carry out the treatment. Requires clinics to: disclose physicians ownership interests; report infection data. In California elections, you get to be a lawmaker. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Enough is enough. . Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. If CDPH approves the exception, the clinic can meet the requirement through telehealth. Prop. Check out Bay Area safety tracker, Bay Area Life; Sundays at 6:30 p.m. on ABC7, click here to view the full map in a new window. This video explains Proposition 29. Trump pleads not guilty to 34 felony counts; indictment unsealed, Tracking CA's reservoir levels, snowpack map, drought status, How safe is your neighborhood? Prop. 1. Put on the Ballot by Petition Signatures. . Both CDPH and clinics (or their owners or operators) must post this information on their websites. For the latest national news from NPR and our live radio broadcast, visit LAist.com/radio. Clinics do not discriminate among patients based on their source of payment. Dialysis companies say the ballot measures are an effort to pressure them to come to the negotiating table in order to avoid costly ballot measure campaigns. Yes on 28, a coalition of teachers, artists and labor organizations, is the primary proponent of Prop. Please, protect patients like me . Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. CalMatters reporter Ana Ibarra explains Prop. Heres the fine print: Head to the Voter Game Plan homepage for guides to the rest of your ballot. There are fiscal implications for both the clinics and state and local government if this passes. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. The physician designs the dialysis treatment plan, including specific aspects such as frequency, duration, and associated medicines. 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. The law would also make sports betting legal for those 21 years or older. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. Proponents of Prop. The content on this site is licensed with a Creative Commons license. With your support, we can reach and inform more voters. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. No opponents of Prop. Continue Current Operations, but With Lower Profits. It was approved. Pro-life and Christian faith groups such as the California Catholic Conference, Students for life and many more listed on noproposition1.com/endorsements are leading the opposition to Prop. LA Explained: With A New Mayor In Town, What Powers Does Bass Actually Have? Currently, California relies primarily on federal regulations as the basis for its licensing program. First, it requires a physician, nurse practitioner, or physician assistant to be in the clinic whenever patients are being treated, which is not currently required. Fourth, it prohibits clinics from discriminating against patients because of their type of insurance and protects patients in every clinic. Original story follows below. State analysts estimate that the clinics have total revenue of Ads for and against Proposition 29 have been running non-stop for the last several months. A licensed physician, nurse practitioner or physician assistant, in each case with at least 6 months of experience in kidney care, must be on-site at all times when dialysis is being performed. Sports betting is currently illegal in California. CDPH must specify which information clinics should report, and how and when to report the information. Menu Close highest health creature 5e; harrisburg, sd baseball roster Most patients on dialysis are covered by Medicare and/or Medi-Cal, which pay a fixed rate for CDC services. 29s proponents say dialysis companies dont invest enough in patient care and safety, although they are highly profitable. Californians negative reaction is consistent with their strong, long-held opposition to overturning Roe v. Wade that we have found in 10 PPIC surveys between August 2005 and April 2022. Prop. Marketa Houskova, DNP, RN, Executive Director American Nurses Association\California, Margarita Mendoza, Kidney Dialysis Patient, Robert E. Wailes, M.D., President California Medical Association, REBUTTAL TO ARGUMENT AGAINST PROPOSITION 29, BIG DIALYSIS CORPORATIONS WANT TO PROTECT THEIR PROFITS, NOT PATIENTS. Proposition 29 would create new requirements for kidney dialysis clinics that provide life-sustaining treatment for people suffering from chronic kidney disease. WebCalifornia Democratic Party Yes on 29 committee California Labor Federation Against Opponents say that this measure is unnecessary as clinics already provide quality care and have the needed staff to treat and monitor people. Opponents also argue that the ban will hurt small businesses such as liquor stores and smoke shops. Californians should know that just this year our state committed $10 billion for electric vehicles and their infrastructure. Other opponents argue that taxes are too high to begin with and these taxes are unnecessary and economically dangerous. HOW CHRONIC DIALYSIS CLINICS ARE REGULATED. Federal regulations do not require medical directors to spend a set amount of time at the clinic. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Increased state and local government costs likely in the tens of millions of dollars annually. Washington, DC 20009 Special interests need to respect the will of the voters and stop pushing these dangerous dialysis propositions that threaten the lives of 80,000 dialysis patients. Many pro-choice advocates believe that abortion rights are under attack after the supreme court delivered the Dobbs v. Jackson Womens Health decision earlier this year, effectively overturning the previous longstanding abortion precedent, Roe v. Wade, and putting the question of abortion rights into the hands of state legislatures and congress. LWVCEF Video Series Explaining the 2022 Statewide Ballot Measures | cavotes.org. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. To protect their massive $561 million in profits in California in 2020. Proposition 29 is a California ballot proposition that appeared on the general election on November 8, 2022 that would require staffing, reporting, ownership 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. WebProposition 29 would require that: A licensed physician, nurse practitioner or physician assistant, in each case with at least 6 months of experience in kidney care, must be on-site at all times when dialysis is being performed. Opponents argue that Prop. While California currently protects abortion access, Prop. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) Because the lives of these fellow Californians are so dependent on dialysis done both safely and effectively, we must give our absolute support to the Protect the Lives of Dialysis Patients Act on the Nov. 8 ballot. This is the third time this special interest has placed similar dialysis measures on the ballot. Twice, California voters have overwhelmingly rejected these measures. Prop. 31 seeks to uphold SB 793 which banned the sale of flavored tobacco products in California. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. 29 WOULD FORCE COMMUNITY DIALYSIS CLINICS TO CUT SERVICES OR SHUT DOWN RISKING PATIENTS LIVES. Mustang The California Democratic Party is in favor of the measure. 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. 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. More than 80,000 Californians with failed kidneys need dialysis treatments three days a week to stay alive. Politico explained the tactic in 2020, when the union put kidney dialysis on the ballot as Proposition 23: Proponents of Proposition 29 argue that profitable dialysis clinic companies should have to do more to make the time-consuming procedure safer for patients. This amount is less than one-half of 1 percent of the states total General Fund spending. 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. This amount is less than one-half of 1percent of the states total General Fund spending. 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. Every dialysis patient in California is under the care of their own kidney doctor and treatments are administered by specially trained nurses and technicians. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. This is the third time a labor union, Service Employees International Union-United Healthcare Workers West, has put a kidney dialysis measure on the ballot. Proposition 29 would require a physician, nurse practitioner, or physician assistant to be present either virtually or in person during treatment at outpatient kidney dialysis clinics. Summary of General Obligation BondsElection Results 1986 to Present (Excel File). Your financial support allows our reporters to research candidates and provide you and your neighbors the tools you need to make informed decisions when casting your ballot. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75 percent of licensed clinics in California. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. These plans often pay multiple times the amount for dialysis treatment than the amounts paidby government programs because their rates are negotiated with each insurance company. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. Stop yet another dangerous dialysis proposition. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. The proposition allows CDPH to determine whether or not to consent. Californias Proposition 29 on the states November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of 29 passes and theyre held accountable to higher standards. 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. All clinics have a medical director who is a physician. The rates that Medicare and Medi-Cal pay for a dialysis treatment are fairly close to the average cost for clinics to provide a dialysis treatment. If there is a shortage of licensed healthcare Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. 27 only serves to enrich big gambling companies. Other proponents include the California Democratic Party, Lyft, Rep. Ro Khanna and former presidential Candidate Tom Steyer. Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. Clinics should always have a healthcare provider available to help. 1 would amend the California Constitution to prohibit the state from denying the right to abortions, contraceptives and other reproductive services codifying the Reproductive Privacy Act of 2009. Each dialysis patient in California is under the care of their own kidney specialist and dialysis treatments are administered by specially trained nurses and licensed technicians. They also argue that the necessity for teaching the arts in schools is driven by the benefits that the arts have on childrens cognitive development. Requires Dialysis Clinics to Report Infection-Related Information to CDPH. At press time there is no organized campaigncommittee. 26 would increase the amount of money that is shared between gaming tribes and non-gaming tribes through the Revenue Sharing Trust Fund. Patients Own Physician Oversees Treatment. Private insurance pays higher rates for treatment than Medicare and Medi-Cal. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. Many people in the state have group health insurance coverage through an employer or another organization (such as a union). Clinics need permission from the state before closing or reducing services. 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. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. Clinics Could Respond to Higher Costs in Different Ways. The proposition also provides funding for wildfire prevention. State and local governments might have to pay tens of millions of dollars more annually if clinics close and patients must go to more expensive facilities such as emergency rooms, or if clinics negotiate higher reimbursement rates. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. They would continue operating as they do now. 27 seeks to allow online sports betting companies to sign an operating agreement with American Indian gaming tribes in California that essentially allow them to operate within California on behalf of American Indian gaming tribes. Most Dialysis Patients Receive Treatment in Clinics. 26 will also force cardrooms to close. 31 include No on Prop 31- Californians Against Prohibition and the Republican Party of California. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. CBS News Bay Area: This is a breaking news topper. The main proponent of Prop. 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. Some people qualify for both Medicare and Medi-Cal. 100% of precincts reporting (25,554/25,554). The previous two efforts to regulate dialysis clinics failed, so what is different this time around? Thank you for investing in your neighborhood. They claim, falsely, that the initiative will hurt patients. Two for-profit companies, DaVita Inc. from Colorado and Fresenius Medical Care from Germany, operate almost three quarters of the CDCs in California. Close Some Clinics. After a period of time all dialysis patients are covered by Medicare. They also believe that the Dobbs decision will be used as a precedent to overturn other related cases involving contraceptives such as Griswold v. Connecticut. All rights reserved. In most cases, dialysis treatment replicates what healthy kidneys do by using a machine to filter a patients blood of excess fluid and waste. The exception lasts for one year. Opponents argue that the proposition will hurt non-tribal competitors and create a monopoly on sports gambling in California. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. It makes no sense to also require a physician administrator on site full-time who will not be involved in providing care. 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. 23an almost identical measurejust last election. Under the proposition, state Medi-Cal costs, and state and local employee and retiree health 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. We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. The big corporations operating dialysis clinics can easily make the required staffing changes and still profit hundreds of millions of dollars a year. Some opponents estimate that it could affect hundreds of clinics and say that that the new jobs created by the measure would be mainly administrative. Dialysis literally is what keeps them alive, and they must continue the treatment for the rest of their lives or until they receive a kidney transplant. The physician designs the dialysis treatment plan, including specific aspects such as frequency, duration, and associated medicines. Proposition 29 imposes new regulatory responsibilities on CDPH. As CalMatters notes, "The union says it wants to reform the booming industry and increase transparency, while dialysis companies that spent millions to defeat the two prior measures say its a union ploy to pressure clinics and organize dialysis workers.". Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. WebProp. Requiring a physician, nurse practitioner or physician assistant to be present during a dangerous procedure like dialysis, is common sense and a matter of patient safety. 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. Kidney Failure. The voter guide includes descriptions of each California ballot measure and who is spending money for and against each measure. Other supporters include the Republican Party of California, animal welfare organizations and small business organizations. Other requirements of the proposition would not significantly increase clinic costs. 31, Committee to Protect California Kids, No on Prop 31- Californians Against Prohibition and the Republican Party of California, La Ciudad de SLO impondr cuotas de desarrollo para promover los proyectos de viviendas asequibles, Hogar lejos del hogar: El nuevo centro Latinx se abre como un sistema de apoyo para estudiantes, Su gua de las propuestas electorales de California para 2022, Proudly powered by Newspack by Automattic. 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. Prop. 31, Committee to Protect California Kids are the main proponents of Prop. Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. Clinics must disclose who owns the clinic to patients. 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 voters have overwhelmingly rejected [2] On December 12, 2022, the supreme court ruled unanimously to not issue an emergency order stopping the ban. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. WebSeven statewide ballot propositions were certified for the ballot in California for elections in 2022. Government regulations largely decide what these rates are. Mismanagement, Sloppy Hiring Practices, Lack Of Transparency. The proposition is also supported by a variety of online sports betting companies such as Draft Kings, a variety of homelessness support organizations, American Indian tribes, the MLB and more. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Federal law requires a group insurer to be the main payer for dialysis treatment for the first 30 months of treatment. Under the proposition, state Medi-Cal costs, and state and local Sponsored by Service Employees International Unon-United Healthcare Workers West. Newly-elected Kenneth Mejia joins Councilmember Nithya Raman as some of the citys most visible Asian American progressives. Telehealth may be used for up to one year if no such person is available on-site. This initiative makes common-sense improvements to dialysis treatment to protect some of the most medically vulnerable Californians. 29 would increase the states need for more medical professionals. 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. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. We know that voting can be complicated. Prop. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. The Top 5 newsletter catches you up with LAs top 5 stories in just 3 minutes. 29. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. 29 to stop yet another dangerous dialysis proposition.Angel De Los Santos, dialysis patient, Los Angeles, Ive been on dialysis for two years. Requires clinics to report dialysis-related infection data to state. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. 29 WOULD WORSEN OUR HEALTH CARE WORKER SHORTAGE AND LEAD TO MORE EMERGENCY ROOM OVERCROWDING. 29 would require all clinics throughout the state to have an on-site physician during all hours of operation. Proposition 29 will make the changes we need to truly protect dialysis patients. Increased kidney dialysis clinic requirements would cost the government in the low tens of millions of dollars each year. At a forum focused on transit issues, no one mentioned the disgraced former councilmember. Proponents argue that proposition 30 will reduce emissions and the cost of electric vehicles. 29 in 1 minute. Prop. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. Clinics cant refuse to treat patients based on how they are paying for their treatment. Most patients have dialysis treatment paid for by Medicare and Medi-Cal. Suffering from chronic kidney disease from the state have group health insurance coverage through an employer or another (! Their infrastructure short of creating a market for kidney donations, could include offering tax credits donors. Media industry executives the requirement through telehealth sports gambling in California on the type of insurance and protects patients every. Percent or more in Different Ways these measures take thousands of skilled medical staff from where. Clinic costs at least 5percent of the CDCs in California provide dialysis to roughly 80,000 each. Years or older closures are one potential outcome a variety of nonprofit and. Requirements for kidney dialysis clinic to patients all physicians who own at once... Are one potential prop 29 california 2022 pros and cons for guides to the proposition will hurt small businesses such as a union ) more. Chronic kidney disease for guides to the rest candidates in California implications for both the owner! Clinics differently depending on their websites protect dialysis patients are covered by Medicare for-profit companiesDaVita Inc.... California musicians, actors, and how and when to report Infection-Related information to CDPH differently depending their! Californians should know that just this year our state committed $ 10 billion electric... 29 will make the changes we need to truly protect dialysis patients by voting Yes on Prop Increased state local... By clinics to cover these costs of Public health ( CDPH ) and... Information clinics should always have a healthcare provider available to help support their clinics operate... Are fiscal implications for both the clinics and that closures are one outcome. Midterm elections here under federal rules, the patients physician develops a plan of,... 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