Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. Requires clinics to: disclose physicians ownership interests; report infection data. All rights reserved. December 29, 2022. 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. 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. An individual who is in line at the time polls close must be allowed to vote. Requires physician, nurse practitioner, or physician assistant on site during treatment. 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 federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). State law does not specify a length of time for which you must have been a resident to be eligible. .ballot-measure-endorsements ul { 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. Prop. It would also require increased disclosure of clinic ownership and dialysis-related infections. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. If CDPH approves the exception, the clinic can meet the requirement through telehealth. Constitutional rights Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. The exception lasts for one year. 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. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. 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.. The additional tax revenue would be used to fund cancer research, smoking reduction programs and tobacco law enforcement. 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. Dialysis patients deserve protection under the law. CalMatters reporter Ana Ibarra explains Prop. Dialysis Mimics What a Normal Kidney Does. 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. California voters have seven propositions to vote on in the Nov. 8 general election. By Vittorio Nastasi November 22, 2022, Reason Foundation Having on-site, fully trained physicians, nurse practitioners or physician assistants at dialysis clinics would ensure that a trained professional would be present in emergencies. California Proposition 29, Dialysis Clinic Requirements Initiative (2022). This field is for validation purposes and should be left unchanged. 29 in 1 minute. CDPH must specify which information clinics should report, and how and when to report the information. Group and Individual Health Insurance. A single treatment lasts about four hours and happens about three times per week. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. In California, about 80,000 patients receive dialysis treatments each month, most of which happen at one of the roughly 600 private clinics across the state. Its an assertion they cant back up with evidence. Committee major funding from DaVita, Fresenius Medical Care, and U.S. Renal Care. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. The PAC raised over $7.9 million from the SEIU-UHW West. Help expand Ballotpedia's elections coverage - volunteer with us. The labor union SEIU is a major supporter of this measure and supported the previous two measures. However, if trained nephrologists are present during treatment, these patients could receive improved quality of care. 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. } Supporters also say that greater financial disclosure is required so that researchers and the public can better assess the impact of physician ownership of clinics.
.sbtotaltable { California voters will decide whether they want to ban flavored tobacco products under Proposition 31. Various Entities Own and Operate Dialysis Clinics. Patients Own Physician Oversees Treatment. Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets,. Pros & Cons Unbiased explanation with arguments for and against . 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. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. 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. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. The California Democratic Party is in favor of the measure. Washington, DC 20009 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. Letters to the Editor: Rethinking L.A.'s flood control systems to store water, not flush it away, Letters to the Editor: Crushing student loan debt is a problem for seniors too, Op-Ed: If you bank with the Big 4, your money has an alarming carbon footprint, Im afraid for her life: Riverside CC womens coach harassed after Title IX suit, Want to solve climate change? These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. na si. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition. In 2020, Gov. font-weight:bold; We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. Here's a breakdown of each proposition and what it entails. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. As the verification process can take multiple months, the secretary of state provides suggested deadlines for ballot initiatives. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. Click here for the California Secretary of State page to ensure you have the most current information. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. Here's what's different this time around. Dialysis care is a highly complex issue and should not be left up to voters to decide. 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. Prop. 29. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. Voters correctly rejected the last two propositions, and they should do so a third time. 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 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . If this proposal seems familiar thats because its virtually the same as two previous measures on the 2018 and 2020 ballots. This proposition, for the third time, attempts to regulate dialysis clinics. Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. color:white !important; By Vittorio Nastasi and Adrian Moore December 9, 2022. Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. California allows same-day voter registration. "[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. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. The word count for the ballot summary is 84. However, some voters may be asked to show a form of identification when voting if they are voting for the first time after registering to vote by mail and did not provide a driver license number, California identification number, or the last four digits of their social security number.[40][41]. Opponents view the measure as a further attempt to politically and financially weaken DaVita and Fresenius Medical Care and to unionize dialysis workers, and assert that the shortage of nephrologists in the state would leave clinics unable to meet the requirements of Prop. 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 proposition allows CDPH to determine whether or not to consent. 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 General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. Stop yet another dangerous dialysis proposition. Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. As noted earlier, an owner or operator might be able to support these clinics with its higher-earning clinics. While our example was specifically drawn from a home in Los Angeles, a similar story is likely to play out in other areas of California. !function(){"use strict";window.addEventListener("message",(function(e){if(void 0!==e.data["datawrapper-height"]){var t=document.querySelectorAll("iframe");for(var a in e.data["datawrapper-height"])for(var r=0;r 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]. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. (310) 391-2245, 1747 Connecticut Ave NW Counties will begin mailing vote-by-mail ballots. Proposition 29 Could Increase Health Care Costs for State and Local Governments. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. 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