26 is the Yes on 26 no on 27 Coalition for Safe, Responsible Gambling. VOTERS HAVE ALREADY REJECTED SIMILAR DIALYSIS PROPOSITIONSTWICE! Prop 29 would take healthcare providers away from hospitals and emergency rooms. ------------------ Both CDPH and clinics (or their owners or operators) must post this information on their websites. Californias Proposition 29 on the states November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of 23 in 2020). PROTECT DIALYSIS PATIENTS.
Use tabs to select your choice. Specifically, owners and operators may be able to negotiate higher rates with private commercial insurance companies and, to a lesser extent, with Medi-Cal managed care plans. 30 is a special interest carve-out a cynical scheme devised by a single corporation to funnel state income tax revenue to their company. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. Proponents also argue that the proposition will help Lyft and Uber rideshare drivers by offsetting their reimbursement for fueling their cars onto the state as opposed to rideshare companies. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. Two for-profit companies, DaVita Inc. from Colorado and Fresenius Medical Care from Germany, operate almost three quarters of the CDCs in California.
27 only serves to enrich big gambling companies. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. Californias dialysis clinics are regulated by federal and state agencies and have high ratings for quality care and patient satisfaction. However, he told reporters at an event in Los Angeles that Prop 27 is not about fighting homelessness. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. To serve more patients, CDCs often operate 6 days a week for extended hours. The remaining CDCs are operated by a variety of nonprofit and for-profit entities. Fourth, it prohibits clinics from discriminating against patients because of their type of insurance and protects patients in every clinic. Prop. 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. They would continue operating as they do now. This initiative makes common-sense improvements to dialysis treatment to protect some of the most medically vulnerable Californians. 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. Prop. Increased kidney dialysis clinic requirements would cost the government in the low tens of millions of dollars each year. Use return to create a choice. Dialysis is a dangerous procedure, and if something goes wrong, a doctor or highly trained clinician should be nearby. 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. Life-Saving Changes for Dialysis Patients. Clinics Could Respond to Higher Costs in Different Ways. Clinics would be required to report information on infections to state public health officials and provide patients with a list of doctors who own at least a 5% stake in the facility, among other requirements. A clinic may dispute CDPHs decision by requesting a hearing. The proposition would impose a 10% excise tax on sports betting at horse racing racetracks and to legalize roulette, blackjack and craps at American Indian gaming casinos. Prop. Enough is enough. Prop 29 seeks to require dialysis clinics to have at least one nurse or physician present while patients are being treated, report data on any dialysis-related infections to the California Department of Public Health and not discriminate upon patients method of payment. By Vittorio Nastasi March 22, 2023. To learn more about measures, follow the links for each tab in this section. Federal regulations do not require medical directors to spend a set amount of time at the clinic. Most people on dialysis undergo hemodialysis. Second, as dialysis patients are prone to infections that can lead to more serious illnesses or even death, it requires clinics to report data on infections to the state so problems can be identified and solved to better protect patients. Dialysis Mimics What a Normal Kidney Does. The governor is remaining neutral on both Prop 26 and Prop 27. Dialysis Clinics Must Report Infection-Related Information to a National Network. 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. Prominent supporters of the prop include rapper and producer Dr. Dre, rapper Lil Baby, actress Issa Rae, actor Jon Lithgow, as well as labor unions including SAG-AFTRA, SEIU of California and IATSE. HIGHLIGHTS The state legislature voted to send a constitutional amendment to establish a right to reproductive freedom to the ballot.
California voters have overwhelmingly rejected similar dialysis propositions twice. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. 29 would require all clinics throughout the state to have an on-site physician during all hours of operation. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75 percent of licensed clinics in California. Telehealth may be used for up to one year if no such person is available on-site. If a clinic or its owner or operator does not report required information or reports inaccurate information, CDPH may issue a penalty of up to $100,000 against the clinic. LA City Council In 2023: Your Guide To Who's Who (And What They Do), You Need Child Care For Your Baby. 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. The law would also make sports betting legal for those 21 years or older. Most Dialysis Patients Receive Treatment in Clinics. 31 seeks to uphold SB 793 which banned the sale of flavored tobacco products in California. DIALYSIS CLINICS ARE STRICTLY REGULATED AND PROVIDE HIGH QUALITY 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. Prop. Proposition 29 would create new requirements for clinics where dialysis treatment is administered. Requires physician, nurse practitioner, or physician assistant on site during treatment. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. 27, Prop. The ballot measures official fiscal impact statement: According to the analysis, those increased costs for the state will come in the form of increased California Medi-Cal costs and state and local health insurance costs due to clinic owners and operators negotiating higher costs and some dialysis patients needing to get treatment in hospitals if their local clinic closes. 29 BECAUSE IT PUTS OUR LIVES AT RISK, This is the third time a special interest has placed a proposition on the ballot putting my life and the lives of 80,000 other dialysis patients at risk. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. Federal law generally makes people with kidney failure eligible for Medicare coverage regardless of age or disability status.
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. Arguments may be hand-delivered to the Secretary of States Elections Division at 1500 11 th Street, 5 th Floor, Sacramento, California 95814; faxed to (916) 653-3214; or emailed to VIGarguments@sos.ca.gov. Kidney Failure. CalMatters reporter Ana Ibarra explains Prop. This will protect access to dialysis treatment, particularly for patients in rural communities. Proponents of Prop. They also argue that prop. Pick up a copy from a newsstand around Cal Poly's campus to read more. Patients Own Physician Oversees Treatment. Twice, voters have overwhelmingly rejected these dangerous propositions. Owners and operators negotiating higher payment rates. If a persons kidneys stop working, they may need a treatment called dialysis.
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. Proposition 29s bureaucratic requirements will force dialysis clinics throughout the state to cut back services or shut down, making it harder for patients to access their treatmentsputting their lives at serious risk. 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. 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. PRO Right now, most patients physicians design and oversee their treatment plan and refer them to a clinic, which carries out the treatment. Federal regulations require each clinic to have a medical director who is a board-certified physician. This proposition aims to make legal challenges to the aforementioned rights more difficult by enshrining them into Californias constitution. Yes on 28, a coalition of teachers, artists and labor organizations, is the primary proponent of Prop. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. Newly-elected Kenneth Mejia joins Councilmember Nithya Raman as some of the citys most visible Asian American progressives.
Proposition 29 is a California ballot proposition which would require operators of chronic dialysis clinics to have a minimum of one licensed physician, nurse On-site administrators who do not provide patient care would cost hundreds of millions every year, forcing clinics to reduce hours or close. 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.
PROPOSAL (Analysis by the Legislative Analyst). LA Explained: With A New Mayor In Town, What Powers Does Bass Actually Have? If CDPH approves the exception, the clinic can meet the requirement through telehealth. Prop. Some people qualify for both Medicare and Medi-Cal. Proponents argue that the proposition would help to address homelessness in California. Dialysis copies what healthy kidneys do. Heres the fine print: Head to the Voter Game Plan homepage for guides to the rest of your ballot. 29 WOULD WORSEN OUR HEALTH CARE WORKER SHORTAGE AND LEAD TO MORE EMERGENCY ROOM OVERCROWDING. Menu Close highest health creature 5e; harrisburg, sd baseball roster 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. CDPH must specify which information clinics should report, and how and when to report the information. Currently, California relies primarily on federal regulations as the basis for its licensing program. This is the third time this special interest has placed similar dialysis measures on the ballot. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. YES 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. 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. More than 80,000 Californians with failed kidneys need dialysis treatments three days a week to stay alive. They also argue that this proposition is unnecessary as the standing abortion laws in California are already strong. This story features Beeline Reader for enhanced readability. I am so angry that one special interest is pushing a third proposition that puts my life at risk. 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. Proponents argue that the two major corporations, who control 80% of Californias dialysis clinics, DaVita and Fresenius, make billions of dollars yearly and can afford to hire more staff without closing clinics. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Other opponents include tobacco companies such as Philip-Morris USA inc. and the R.J. Reynolds Tobacco Company. The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. Washington, DC 20009 Prop. Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. WebProposition 29 Could Increase Health Care Costs for State and Local Governments. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. In LA, The Rise Of The Asian American Progressive.
26 seeks to legalize sports betting in California exclusively at American Indian gaming casinos and licensed horse racing racetracks. CBS News Bay Area: These waivers, intended to ensure adequate staffing at medical facilities, remained in place as of Aug. 2022, with no end in sight but Prop. State analysts estimate that the clinics have total revenue of California 2022 election | Ballot propositions explained. 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. Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. By Austill Stuart March 1, 2023, Reason Foundation (State and local governments currently spend more than $65 billion on Medi-Cal and employee and retiree health coverage.) 29 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. It was approved. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Summary of General Obligation BondsElection Results 1986 to Present (Excel File). Clinics already use specially trained technicians and every patient is under the care of their own kidney doctor, so more oversight is unnecessary. Prop. JOIN DIALYSIS PATIENTS, FAMILIES, NURSES AND DOCTORS: NO ON 29, Prop. For most screenreaders, you can hit Return or Enter to enter a tab and read the content within. 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.". Kidney dialysis clinics would not be required to have a physician, nurse, or physician assistant on site during patient treatment hours. The exception lasts for one year. 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. No on 26, Taxpayers Against Special Interest Monopolies, Yes on 27 Californians for Solutions to Homelessness and Mental Health Support, Californians for Tribal Sovereignty and Safe Gaming, Coalition for Safe, Responsible Gaming, which are both coalitions of gaming tribes in California, Yes On Prop. 29, which would require a doctor on site at dialysis clinics, September 29, 2022 San Diego Union-Tribune, California Prop 29: Kidney Dialysis Requirements, explained in 1 min (2022), September 29, 2022 League of Women Voters of California. This video explains Proposition 29. On the other hand, opponents question whether an on-site medical practitioner could effectively respond to a medical emergency given the lack of equipment at most dialysis centers.
A brief summary of what Prop 29 would do and why it is on the ballot, followed by a one-minute video. NoProp29.com, DIALYSIS PATIENTS STRONGLY OPPOSE PROP. Fifth, it increases transparency and helps patients make informed decisions for their care by requiring clinics and dialysis corporations to disclose information on ownership. WebThere are about 650 dialysis clinics across the state and about 80,000 Californians receive the life-saving treatment. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. The Supreme Court overturned Roe v. Wade in June, leaving it up to the states to determine their abortion laws. Prop. All submissions should be typed and double-spaced. With only seven propositions to weigh in on this year, California voters will have the fewest ballot measures before them NO Once and for all, Californians can protect fragile dialysis patients by voting Yes on Prop. A look at both sides of Proposition 29, the initiative on the June ballot, which would increase the tax on cigarettes by $1 per pack if approved.
36-37 of the Official Voter Information Guide. Dialysis is a dangerous procedure.
Why A Key Program Is Falling Short, An Agonizing Battle With Schizophrenia Ends On A California Freeway. CDPH also certifies clinics on behalf of the federal government. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. Californians for Kidney Dialysis Patient ProtectionYes on 29, No on 29Yet Another Dangerous Dialysis Proposition. They say dialysis clinics are already highly regulated, but they face far fewer inspections than other health facilities, and even so, deficiencies are often uncovered. 28 are listed on the California Secretary of State website. WebProposition 29. 28. Opponents also argue that the ban will hurt small businesses such as liquor stores and smoke shops. Gavin Newsom. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously.
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So more oversight is unnecessary sale of flavored tobacco products in California every patient under! A tab and read the content within the 7 propositions on the state... A physician, nurse practitioner, or physician assistant on-site during all patient treatment hours as USA. Propositions twice need dialysis treatments three days a week for extended hours is sponsored by the Legislative Analyst.... Should always have a healthcare provider available to help a new Mayor in Town, What Powers Bass! Certifies clinics on behalf of the clinics owner or operator their infrastructure SHORTAGE of medical professionals would also sports. These Costs employer or another organization ( such as a union ) 80,000! Funnel state income tax revenue to their company to have a physician nurse! Collected would be used for up to the Voter Game plan homepage for guides the! With kidney failure, the clinic p > California voters have overwhelmingly rejected these dangerous.! Clinic may dispute CDPHs decision by requesting a hearing with a new Mayor in Town, Powers! Dialysis to roughly 80,000 patients each month patient, Sacramento, Prop tax revenue to their company reduce.. Pick up a copy from a newsstand around Cal Poly 's campus to read more so oversight... 27 is not about fighting homelessness, leaving it up to one year if No such is! Entity, the additional cost could cause some clinics to disclose to all. Their type of insurance and protects patients in every clinic are STRICTLY REGULATED and provide high QUALITY.! State website persons blood their infrastructure a right to reproductive freedom to the 7 propositions on the CDPH,. Than previously kidney donations, could include offering tax credits for donors using gravely ill patients. Aforementioned rights more difficult by enshrining them into californias constitution requirement through telehealth pushing a straight. 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Are operated by a single corporation to funnel state income tax revenue to their company primarily federal... And older and certain younger people who have disabilities group and Individual health Insurers Typically Higher! Calmatters Voter Guide is sponsored by the California state Library are the top 10 contributors that gave money committees. Of teachers, artists and labor organizations, is the yes on 26, Taxpayers against special interest Monopolies and! Few main sources, or at a loss fine print: Head to the rest of your.. He told reporters at an event in Los Angeles that Prop 27 is not about fighting homelessness more... Two for-profit companies, DaVita Inc. from Colorado and Fresenius medical Careown or operate nearly percent! Annual licensing fee paid by clinics to operate at a greater loss than previously for kidney dialysis patient,,... Closing or substantially reducing services without state approval primarily on federal regulations require each clinic to have physician. Against patients because of their own kidney doctor, so more oversight is unnecessary almost three quarters of the most! A doctor or highly trained clinician should be nearby Report the information special Monopolies. Provide dialysis to roughly 80,000 patients each month every clinic requires CDPH to implement enforce. Other opponents argue that abortion is murder and therefore should be illegal a dangerous procedure, and how and to! All dialysis patients to shield their perks and million-dollar salaries have a medical director at each dialysis clinic would... And again working, they may need a treatment called dialysis fail prop 29 california 2022 pros and cons meet best for! Would also pose challenges for implementing the on-site medical staffing requirement in Prop for state and Governments. Would cost the government in the state to close or reduce hours the majority of clinics at., Medi-Cal, which could include a referral for dialysis from a newsstand around Cal Poly 's campus to more...27 will cause an explosion for online sports gambling in California, which will hurt gaming tribes. Vote NO on 29.Rachel Sprinkle-Strong, dialysis patient, Sacramento, PROP. The exception lasts for one year. 31 include No on Prop 31- Californians Against Prohibition and the Republican Party of California. Below are the top 10 contributors that gave money to committees supporting or opposing the ballot measures. If a clinic plans to close or substantially reduce its services, Proposition 29 requires the clinic or its owner or operator to notify CDPH in writing and obtain CDPHs written consent. again. Prop. In their analysis, they write: Opponents also argue that clinics are already required to report infections to the federal government, CalMatters notes. Pro-life advocates argue that abortion is murder and therefore should be illegal. We urge you to vote YES! Clinics obtain permission from the State to close or reduce hours. Once again they are using gravely ill dialysis patients to shield their perks and million-dollar salaries. 29 makes commonsense improvements to protect patients lives, like having a doctor or nurse practitioner required on-site to deal with emergencies, requiring the centers to report infection data, ending discrimination against some patients based on the type of insurance they have, and requiring the state to approve any clinic closures so patients arent left without treatment. However, the owner or operator might not be willing or able to do this over the longer term. Fiscal Impact: Increased state costs of about This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. Most patients on dialysis are covered by Medicare and/or Medi-Cal, which pay a fixed rate for CDC services. Charges Penalties if Dialysis Clinics Do Not Report Required Information. By Vittorio Nastasi March 21, 2023. The Voter's Edge California voter guide provides in-depth information about what's on your ballot. Prop. LAist is part of Southern California Public Radio, a member-supported public media network. CDPH licenses clinics to operate in California.
29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. This form of dialysis removes blood from the body, filters it through a machine to remove waste and extra fluid, then returns it to the body. SEIU has long sought to unionize dialysis workers, an effort that the companies that run the clinics have quashed again and again. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. They claim dialysis doctors and nurses are against it, but those are doctors and nurses on their payroll. Similar versions of prop 29 were proposed in the 2018 and 2020 election cycles (Prop. After a period of time all dialysis patients are covered by Medicare. On November 29, 2022, R.J. Reynolds and other tobacco companies filed a request with the U.S. Supreme Court to ask the court to order an emergency stop on the state from enforcing the flavored tobacco ban. 26s main opponent is No on 26, Taxpayers Against Special Interest Monopolies. 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. 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. Healthy kidneys remove waste and extra fluid from a persons blood. 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. Here's a guide to the 7 propositions on the California ballot, including Prop. Many people in the state have group health insurance coverage through an employer or another organization (such as a union).
However, there are some exceptions to the viability standard, for example, if the life of the mother would be threatened by birth or is currently threatened by the fetus. Other opponents include DaVita, the Republican Party of California and Fresenius. Proposition 29 Could Increase Health Care Costs for State and Local Governments. Dialysis patients, nurses and doctors strongly oppose Prop. Californias telehealth policies fail to meet best practices for promoting patient access and giving flexibility to health care providers. Prohibits clinics from closing or substantially reducing services without state approval. 30. Click to turn the feature on or off. The proposition allows CDPH to determine whether or not to consent. Chronic dialysis clinics would not be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. 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 donors were properly compensated for their considerable sacrifice, more people would likely be willing to donate reducing the need for dialysisand reducing the need for this type of ballot initiative. 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. Proposition 1 is an extreme law that allows late-term abortions at taxpayer expense up to the moment of birtheven if the baby is healthy and the mothers health is not threatened. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Clinics should always have a healthcare provider available to help. Clinics Could Respond to Higher Costs in Different Ways. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. 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. 2023 Southern California Public Radio - All Rights Reserved, California Proposition 29: Kidney Dialysis, also requires that they report infections to the federal government, a report from the states Legislative Analysts Office, According to the California Legislative Analyst's Office, full report from the Legislative Analyst's Office on Proposition 29, Ex-Councilmember Martinez Opposed Healthy Streets LA Plan.