[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. YES It would also prohibit clinics from refusing to treat patients based on the source of payment. Prop 22: California Measure's Pros And Cons . ABC7 is breaking down all of the propositions Californians are voting on this Election Day. State executives | }, The following is the argument in support of Proposition 29 found in the Official Voter Information Guide:[9], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. U.S. President | NO Various Entities Own and Operate Dialysis Clinics. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. 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. California's Proposition 29 on the state's November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of relevant experience to be on-site during treatment at outpatient kidney dialysis clinics. By Vittorio Nastasi and Adrian Moore December 9, 2022. Prop. Under Proposition 29, clinics are required to offer the same quality of care to all patients. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. margin-bottom: 5px !important; 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. Furthermore, its a tactic the union has used before to pressure healthcare facilities, most recently in Los Angeles and other cities, where the SEIU-UHW has qualified local ballot measures to force private health facilities, including dialysis centers, to pay workers at least $25 an hour. We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. The legislation, which took effect in 2016, authorized automatic voter registration in California for any individuals who visit the Department of Motor Vehicles to acquire or renew a driver's license.[37][38]. Medi-Cal. Federal law requires a group insurer to be the main payer for dialysis treatment for the first 30 months of treatment. However, the owner or operator might not be willing or able to do this over the longer term. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). If the total number is equal to at least 100 percent of the required signatures, then local election officials perform a random check of signatures submitted in their counties. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. Prop. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. "We can prove absolutely through statistics, that when you increase the price of cigarettes, there's an immediate drop in the number of kids who will start smoking as a result.". Some people qualify for both Medicare and Medi-Cal. | Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. Prop. Proponents of Prop. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. 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. Run/Walk for WeSPARK 5k/10k . font-size:1.0em; The ban is delayed until voters make a decision in November. @media screen and (max-width: 792px) { [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. A total of $13,374,336.75 was spent to collect the 623,212 valid signatures required to put this measure before voters, resulting in a total cost per required signature (CPRS) of $21.46. The 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. California Proposition 29, Dialysis Clinic Requirements Initiative (2022) California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. font-size:1.2em; In this section, Ballotpedia does not include opinion pieces written by individuals or groups that do not represent the official position of a newspaper or media outlet. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. Prop. 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. If they miss a treatment because of reduced hours or access, it could be fatal. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. California voters have overwhelmingly rejected similar dialysis propositions twice. Committee major funding from DaVita, Fresenius Medical Care, and U.S. Renal Care. Proposition 29 Increases Costs for Dialysis Clinics. 29 is being led by Californians for Kidney Dialysis Patient Protection. The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. Read more endorsements at: latimes.com/endorsements. 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 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. [6] Prop. 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. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. 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. The PAC raised over $86.4 million in contributions. Both objected to the repeated abuse of the ballot system by Prop 29 backers and said the measure would be harmful to dialysis patients. California voters will decide the fate of seven statewide propositions on Nov. 8. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names 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. "[19] Dave Regan stated, "The reason Prop. An individual who is in line at the time polls close must be allowed to vote. 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. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. In 2020, Gov. The physician designs the dialysis treatment plan, including specific aspects such as frequency, duration, and associated medicines. No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. Healthy kidneys remove waste and extra fluid from a persons blood. 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. 29 would also require clinics to report to the state, and disclose to patients, if a physician owns at least a five percent stake in a clinic and would prohibit clinics from refusing to. https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. .sbtotaltable th { The opponents say Proposition 29 would probably hurt patients more than help. Sean Fleming and Jonathan Everhart filed the ballot initiative on August 24, 2021. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. In the time Small has served in this role, the property crime rate has plummeted by 88% to just over five property crimes per 1,000 residents. Hemodialysis: Before hemodialysis treatments can begin, surgeons create an access point, typically in an arm, to allow technicians to remove blood for treatments. 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. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. Life is stressful. -moz-columns: 1; Patients need about three treatments per week, and missing a treatment can result in serious health complications. .ballot-measure-endorsements ul { The measure has a number of needless provisions, such as requiring infections to be reported to the state, though these data are being reported to the federal government now, and prohibiting dialysis centers from discriminating due to payer source, which even the proponents say is not a problem now. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. [2], Prop. Prop 29 Explained - November 8 Election . Kidney disease happens when a persons kidneys do not work properly. Dialysis Mimics What a Normal Kidney Does. [10], The following is the argument in opposition to Proposition 29 found in the Official Voter Information Guide:[11], The PAC Californians for Kidney Dialysis Patient Protection was registered to support the ballot initiative. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. CDPH must specify which information clinics should report, and how and when to report the information. You can find a full list of the opponents on noprop29.com. Increased state and local government costs likely in the tens of millions of dollars annually. Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. May 13, 2012 / 4:53 PM This field is for validation purposes and should be left unchanged. A clinic may dispute CDPHs decision by requesting a hearing. What's the difference between Prop 26 and Prop 27. 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. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. 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. nurse practitioner or physician assistant be on site during treatment. 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. 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. Click here to contact our editorial staff, and click here to report an error. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. (310) 391-2245, 1747 Connecticut Ave NW CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. Help expand Ballotpedia's elections coverage - volunteer with us. Prohibits clinics from refusing to treat patients based on source of payment. The Los Angeles Times editorial board determines the positions of The Times as an institution. Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. / CBS San Francisco. On November 3, 2020, 58.63% of voters in California voted in favor of Prop 22 and the law went into effect in mid-December of 2020. . PRO If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. Proposition 29 requires each clinic to have, at its expense, at least one physician, nurse practitioner, or physician assistant on-site during all the hours patients receive treatments at that clinic. [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. State law does not specify a length of time for which you must have been a resident to be eligible. .ballot-measure-endorsements td { width: 35% !important;} 29 Dialysis Clinics: no. -webkit-columns: 1; The proposed initiative, if. Federal regulations do not require medical directors to spend a set amount of time at the clinic. Dialysis Clinics Must Report Infection-Related Information to a National Network. 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. In 2018, the campaign Californians for Kidney Dialysis Patient Protection supported a ballot initiative to require dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. 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. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually.
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