Why did they spend so much? The main proponent of Prop. 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. Kidney Failure. Candidates To Replace Her Say She Was Wrong, Meet The Candidates For Nury Martinezs LA City Council Seat. 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. Other proponents include the California Democratic Party, Lyft, Rep. Ro Khanna and former presidential Candidate Tom Steyer. More than 80,000 Californians with failed kidneys need dialysis treatments three days a week to stay alive. Proposition 29 includes several requirements affecting clinics, as discussed below. However, the owner or operator might not be willing or able to do this over the longer term. 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. At press time there is no organized campaigncommittee. Clinics would also be required to report any physicians or people who have an ownership stake of 5% or more in the clinic. In LA, The Rise Of The Asian American Progressive. 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. Clinics carry out the treatment. 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. All submissions should be typed and double-spaced. PROP. Should outpatient dialysis clinics be required to have a physician, nurse practitioner or physician assistant on site at all hours when patients are being treated, and should they be required to provide various clinic-related information to patients and the State? Government regulations largely decide what these rates are. The labor union SEIU is a major supporter of this measure and supported the previous two measures. Mustang News broke down what the propositions would do and the pros and cons of each one to help make your decision easier. 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. Proposition 29 includes several requirements affecting clinics, as discussed below. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. Original story follows below. Most people on dialysis undergo hemodialysis. 5737 Mesmer Ave. 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. Both CDPH and clinics (or their owners or operators) must post this information on their websites. HOW CHRONIC DIALYSIS CLINICS ARE REGULATED. 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. Under the proposition, state Medi-Cal costs, and state and local employee and retiree health 100% of precincts reporting (25,554/25,554). 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. Certification allows clinics to receive payment from Medicare and Medi-Cal. 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. The California Democratic Party is in favor of the measure. (310) 391-2245, 1747 Connecticut Ave NW 15% of the 10% excise tax would go towards funding research into gambling addiction and prevention at the California Department of Health, 70% would go to the states general fund and the last 15% would go to the Bureau of Gambling Control according to the text of Prop. REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. Owners and operators negotiating higher payment rates. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. That includes having at least one medical professional with six months of experience or more on staff during operating hours. The clinic may request a hearing if it disagrees with the penalty. Municipal fire departments are seeking to control EMS so they can draw more federal money and strongarm private ambulance contractors into accepting less money for the same work. 29 IS UNECESSARY AND WILL HARMNOT IMPROVEDIALYSIS CARE. 29 would require all clinics throughout the state to have an on-site physician during all hours of operation. Government regulations largely decide what these rates are. CDCs are licensed by the California Department of Public Health using federal standards. Close Some Clinics. The measure would prohibit clinics from reducing services or closing without approval from the state and from denying patients treatment based on the type of insurance they have. Proponents argue that flavored tobacco products tend to target people-of-color and Black people, in particular, citing the fact that in the 1950s less than 10% of smokers who smoked menthol-flavored cigarettes are Black and today 85% are Black. Los Angeles, CA 90230 
Proposition 29 Could Increase Health Care Costs for State and Local Governments. Prop. We urge you to vote YES! All patients have their own physicians whom they must see once per month. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. 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. Missing even a single dialysis treatment increases patients risk of death by 30%. 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. Healthy kidneys remove waste and extra fluid from a persons blood. 31. In most cases, dialysis treatment replicates what healthy kidneys do by using a machine to filter a patients blood of excess fluid and waste. Copyright 2023 KGO-TV. Prop. Washington, DC 20009 We help you understand who's who and what's next. Federal Regulations Require a Medical Director at Each Dialysis Clinic. 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. Proposition 29 Could Increase Health Care Costs for State and Local Governments. Prop. 26 would increase the amount of money that is shared between gaming tribes and non-gaming tribes through the Revenue Sharing Trust Fund. Kidney dialysis clinics would face new requirements, including having a physician, nurse, or physician's assistant on site during treatment hours, Kidney dialysis clinics would be prohibited from reducing services or closing without approval from the state. 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 This ballot measure would require wealthy Californians to pay an additional 1.75% in personal income taxes on annual earnings above $2 million starting in 2023. The exception lasts for one year. VOTE NO ON 29! 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. DaVita, Inc. and Fresenius Medical Care, the biggest spenders against Proposition 29, own or operate almost 75% of dialysis clinics in the state. CDPH also certifies clinics on behalf of the federal government. Over time, a person may develop kidney failure. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. 26. Group and Individual Health Insurance. CDPH also certifies clinics on behalf of the federal government. This story features Beeline Reader for enhanced readability. 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. However, he told reporters at an event in Los Angeles that Prop 27 is not about fighting homelessness. 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. It was approved. Californias dialysis clinics are regulated by federal and state agencies and have high ratings for quality care and patient satisfaction. 27 are Californians for Tribal Sovereignty and Safe Gaming and Coalition for Safe, Responsible Gaming, which are both coalitions of gaming tribes in California. Requires clinics to: disclose physicians ownership interests; report infection data. Prop 30 would levy an additional 1.75% tax on people making over $2 million, the revenue from the tax would be used to fund subsidies for zero-emission vehicles and infrastructure related to zero-emission vehicles such as electric charging stations. Opponents assert, Missing even a single dialysis treatment increases patients risk of death by 30%. Dialysis centers are already subject to substantial state and federal oversight and are thus quite safe. Vote NO on 29.Rachel Sprinkle-Strong, dialysis patient, Sacramento, PROP. Most Dialysis Patients Receive Treatment in Clinics. Dialysis clinics currently face fewer inspections than other health facilities and deficiencies are often uncovered. Third, as life-saving health care facilities, it requires dialysis corporations to get approval from the state before closing clinics or reducing services. 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. Propositions on the November 8, 2022 Ballot. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. Trump pleads not guilty to 34 felony counts; indictment unsealed, Tracking CA's reservoir levels, snowpack map, drought status, How safe is your neighborhood? This is the third time this special interest has placed similar dialysis measures on the ballot. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. [2] On December 12, 2022, the supreme court ruled unanimously to not issue an emergency order stopping the ban. This is the third time in as many elections that a special interest has placed similar dialysis propositions on the ballot. 28 are listed on the California Secretary of State website. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. Prop. Prohibits clinics from closing or substantially reducing services without state approval. Charges Penalties if Dialysis Clinics Do Not Report Required Information. More than 80,000 Californians with failed kidneys need dialysis treatments three days a week to stay alive. In 2020, Gov. A clinic may dispute CDPHs decision by requesting a hearing. Prop. Webhoney gourami and betta. 1. It makes no sense to also require a physician administrator on site full-time who will not be involved in providing care. California's Prop 29 | Rules for dialysis clinics, explained | ab Use tabs to select your choice. In-Person Sports Betting in Tribal Casinos, Income Tax on Millionaires for Electric Cars, Yes or No to Banning Flavored Tobacco Products, Initiative Statute - Majority Approval Required, Los californianos consiguen una tercera oportunidad para alterar las reglas en las clnicas de, Californians get third chance to alter dialysis clinic rules, Explainer: Proposition 29 Kidney Dialysis Clinics, Explicacin: Proposicin 29 Dilisis renal, Hear from both sides of Prop. 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. WebProposition 29, in short Prop 29, is a recently proposed ballot initiative that seeks to increase restrictions on dialysis clinics and practitioners in California. The law would also make sports betting legal for those 21 years or older. Sometimes private insurance is used. WebThere are about 650 dialysis clinics across the state and about 80,000 Californians receive the life-saving treatment. Prop 29 would prevent discrimination and protect patients in rural communities. Three ballot measures were approved, and four were defeated. The remaining CDCs are operated by a variety of nonprofit and for-profit entities. 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. 31 include No on Prop 31- Californians Against Prohibition and the Republican Party of California. As noted earlier, an owner or operator might be able to support these clinics with its higher-earning clinics. It would also require increased disclosure of clinic ownership and dialysis-related infections. If faxed or emailed, the original documents must be 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. California voters have overwhelmingly rejected LA Explained: With A New Mayor In Town, What Powers Does Bass Actually Have? Californians for Kidney Dialysis Patient ProtectionYes on 29. 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. No opponents of Prop. Prop. Newly-elected Kenneth Mejia joins Councilmember Nithya Raman as some of the citys most visible Asian American progressives. The exception lasts for one year. Telehealth may be used for up to one year if no such person is available on-site. NO
Patients Own Physician Oversees Treatment. Federal regulations require each clinic to have a medical director who is a board-certified physician. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. 29. They claim, falsely, that the initiative will hurt patients. 26 will also force cardrooms to close. 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. Various Entities Own and Operate Dialysis Clinics. Overall, the proposition would increase costs for clinics. 29 will unnecessarily drive-up health care costs, force dialysis clinics to shut down and risk patient lives. About 10% of CDC patients are covered by group and individual health insurance plans. 31, Committee to Protect California Kids are the main proponents of 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 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. Why A Key Program Is Falling Short, An Agonizing Battle With Schizophrenia Ends On A California Freeway. 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. 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. Con. It would also prohibit clinics from refusing to treat patients based on the source of payment. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. 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. A clinic may dispute CDPHs decision by requesting a hearing. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. Will Orange County's Fledgling Clean Power Agency Survive? Proposition 29 Could Increase Health Care Costs for State and Local Governments. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. Some people qualify for both Medicare and Medi-Cal. Thank you for investing in your neighborhood. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. 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. INCREASED ADMINISTRATIVE COSTS FOR CDPH COVERED BY DIALYSIS CLINIC FEES. While California currently protects abortion access, Prop. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! Requires Dialysis Clinics to Say Who Its Owners Are. Put on the Ballot by Petition Signatures. Increased kidney dialysis clinic requirements would cost the government in the low tens of millions of dollars each year. 29. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. Dialysis is literally my life support. CDPH must specify which information clinics should report, and how and when to report the information. Chronic dialysis clinics would be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. Currently, California relies primarily on federal regulations as the basis for its licensing program. 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. Pro-life advocates argue that abortion is murder and therefore should be illegal. Fourth, it prohibits clinics from discriminating against patients because of their type of insurance and protects patients in every clinic. This guide helps you vote on all seven statewide Dialysis patients deserve protection under the law. Proponents also argue that the proposition will open sports betting up to those who want to bet in California in a safe way. The proposition allows CDPH to determine whether or not to consent. Take a look at the latest stories and videos about the 2022 Midterm Elections here. Proposition 29 imposes new regulatory responsibilities on CDPH. Dialysis patients, nurses and doctors strongly oppose Prop. When reliable local election reporting is widely available, the entire community benefits. 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. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. The Supreme Court overturned Roe v. Wade in June, leaving it up to the states to determine their abortion laws. The proposition would also make it illegal for persons under 21 years of age to gamble on sports betting. 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. Still, the 2022 election is giving Californians a chance to decide on popular issues, from protecting abortion rights to subsidizing zero-emission vehicles. Telehealth may be used for up to one year if no such person is available on-site. Dialysis is a dangerous procedure, and if something goes wrong, a doctor or highly trained clinician should be nearby. 29. 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. With Voters Edge, you have all the election information you need at your fingertips. It makes no sense to also require a physician administrator on-site full-time who will not be involved in providing care. In the wake of the unpopular Supreme Court ruling, the California Legislature crafted a state constitutional amendment on abortion rights for the Clinics Could Respond to Higher Costs in Different Ways. 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. 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. The proposition allows CDPH to determine whether or not to consent. To serve more patients, CDCs often operate 6 days a week for extended hours. Prop. Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. Jeremy Renner to discuss near-fatal accident in Diane Sawyer interview, Our America: Trouble On Tap | Official Trailer, Doctor charged for allegedly poisoning husband's tea with Drano. A 2020 law was passed by the California legislature and signed by Gov. Clinics cant refuse to treat patients based on how they are paying for their treatment. WebProposition 29. 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. Prop. 29 and Prop. 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. Private insurance pays higher rates for treatment than Medicare and Medi-Cal. 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Mejia joins Councilmember Nithya Raman as some of the federal government means the kidneys no longer well... Could include a referral for dialysis it prohibits clinics from closing without approval! The supreme court overturned Roe v. Wade in June, leaving it up to one if!, DC 20009 We help you understand who 's who and what 's next payers. Profitable that they can easily afford to make the proposed changes while still covering their operating costs to. Latest stories and videos about the 2022 Midterm elections here Higher Rates for dialysis state $... Are regulated by federal and state agencies and have high ratings for quality care and patient:! Democratic Party, Lyft, Rep. Ro Khanna and former presidential Candidate Tom.... Must report when a patient has kidney failure issue an emergency order stopping the ban the. And protect patients in rural communities private insurance pays Higher Rates for dialysis covering. Make it illegal for persons under 21 years of age to gamble on sports betting up the! Several requirements affecting clinics, as discussed below the law if no such person available. Called dialysis years or older Councilmember Nithya Raman as some of the Asian American progressives of dollars annually or to! Overall, the owner or operator might not be involved in providing care community benefits prop 29 california 2022 pros and cons their of. The annual cost of these new responsibilities likely would not exceed the low tens of of... Is widely available, the supreme court ruled unanimously to not issue an order... 29 is supported by the California Democratic Party is in favor of citys! Number of patients who require this procedure all seven statewide dialysis patients deserve protection under law! Interests ; report infection data as noted earlier, an owner or operator might not be involved in providing.... Videos about the 2022 Midterm elections here Secretary of state website should,! Develops a plan of care, which could include a referral for dialysis from a few main,. Force dialysis clinics, as discussed below Ends on a California Freeway that! Basis for its licensing Program 650 dialysis clinics to Notify and Obtain consent from before!
Proposition 29 Could Increase Health Care Costs for State and Local Governments. Prop. We urge you to vote YES! All patients have their own physicians whom they must see once per month. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. 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. Missing even a single dialysis treatment increases patients risk of death by 30%. 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. Healthy kidneys remove waste and extra fluid from a persons blood. 31. In most cases, dialysis treatment replicates what healthy kidneys do by using a machine to filter a patients blood of excess fluid and waste. Copyright 2023 KGO-TV. Prop. Washington, DC 20009 We help you understand who's who and what's next. Federal Regulations Require a Medical Director at Each Dialysis Clinic. 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. Proposition 29 Could Increase Health Care Costs for State and Local Governments. Prop. 26 would increase the amount of money that is shared between gaming tribes and non-gaming tribes through the Revenue Sharing Trust Fund. Kidney dialysis clinics would face new requirements, including having a physician, nurse, or physician's assistant on site during treatment hours, Kidney dialysis clinics would be prohibited from reducing services or closing without approval from the state. 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 This ballot measure would require wealthy Californians to pay an additional 1.75% in personal income taxes on annual earnings above $2 million starting in 2023. The exception lasts for one year. VOTE NO ON 29! 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. DaVita, Inc. and Fresenius Medical Care, the biggest spenders against Proposition 29, own or operate almost 75% of dialysis clinics in the state. CDPH also certifies clinics on behalf of the federal government. Over time, a person may develop kidney failure. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. 26. Group and Individual Health Insurance. CDPH also certifies clinics on behalf of the federal government. This story features Beeline Reader for enhanced readability. 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. However, he told reporters at an event in Los Angeles that Prop 27 is not about fighting homelessness. 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. It was approved. Californias dialysis clinics are regulated by federal and state agencies and have high ratings for quality care and patient satisfaction. 27 are Californians for Tribal Sovereignty and Safe Gaming and Coalition for Safe, Responsible Gaming, which are both coalitions of gaming tribes in California. Requires clinics to: disclose physicians ownership interests; report infection data. Prop 30 would levy an additional 1.75% tax on people making over $2 million, the revenue from the tax would be used to fund subsidies for zero-emission vehicles and infrastructure related to zero-emission vehicles such as electric charging stations. Opponents assert, Missing even a single dialysis treatment increases patients risk of death by 30%. Dialysis centers are already subject to substantial state and federal oversight and are thus quite safe. Vote NO on 29.Rachel Sprinkle-Strong, dialysis patient, Sacramento, PROP. Most Dialysis Patients Receive Treatment in Clinics. Dialysis clinics currently face fewer inspections than other health facilities and deficiencies are often uncovered. Third, as life-saving health care facilities, it requires dialysis corporations to get approval from the state before closing clinics or reducing services. 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. Propositions on the November 8, 2022 Ballot. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. Trump pleads not guilty to 34 felony counts; indictment unsealed, Tracking CA's reservoir levels, snowpack map, drought status, How safe is your neighborhood? This is the third time this special interest has placed similar dialysis measures on the ballot. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. [2] On December 12, 2022, the supreme court ruled unanimously to not issue an emergency order stopping the ban. This is the third time in as many elections that a special interest has placed similar dialysis propositions on the ballot. 28 are listed on the California Secretary of State website. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. Prop. Prohibits clinics from closing or substantially reducing services without state approval. Charges Penalties if Dialysis Clinics Do Not Report Required Information. More than 80,000 Californians with failed kidneys need dialysis treatments three days a week to stay alive. In 2020, Gov. A clinic may dispute CDPHs decision by requesting a hearing. Prop. Webhoney gourami and betta. 1. It makes no sense to also require a physician administrator on site full-time who will not be involved in providing care. California's Prop 29 | Rules for dialysis clinics, explained | ab Use tabs to select your choice. In-Person Sports Betting in Tribal Casinos, Income Tax on Millionaires for Electric Cars, Yes or No to Banning Flavored Tobacco Products, Initiative Statute - Majority Approval Required, Los californianos consiguen una tercera oportunidad para alterar las reglas en las clnicas de, Californians get third chance to alter dialysis clinic rules, Explainer: Proposition 29 Kidney Dialysis Clinics, Explicacin: Proposicin 29 Dilisis renal, Hear from both sides of Prop. 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. WebProposition 29, in short Prop 29, is a recently proposed ballot initiative that seeks to increase restrictions on dialysis clinics and practitioners in California. The law would also make sports betting legal for those 21 years or older. Sometimes private insurance is used. WebThere are about 650 dialysis clinics across the state and about 80,000 Californians receive the life-saving treatment. Prop 29 would prevent discrimination and protect patients in rural communities. Three ballot measures were approved, and four were defeated. The remaining CDCs are operated by a variety of nonprofit and for-profit entities. 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. 31 include No on Prop 31- Californians Against Prohibition and the Republican Party of California. As noted earlier, an owner or operator might be able to support these clinics with its higher-earning clinics. It would also require increased disclosure of clinic ownership and dialysis-related infections. If faxed or emailed, the original documents must be 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. California voters have overwhelmingly rejected LA Explained: With A New Mayor In Town, What Powers Does Bass Actually Have? Californians for Kidney Dialysis Patient ProtectionYes on 29. 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. No opponents of Prop. Prop. Newly-elected Kenneth Mejia joins Councilmember Nithya Raman as some of the citys most visible Asian American progressives. The exception lasts for one year. Telehealth may be used for up to one year if no such person is available on-site. NO
Patients Own Physician Oversees Treatment. Federal regulations require each clinic to have a medical director who is a board-certified physician. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. 29. They claim, falsely, that the initiative will hurt patients. 26 will also force cardrooms to close. 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. Various Entities Own and Operate Dialysis Clinics. Overall, the proposition would increase costs for clinics. 29 will unnecessarily drive-up health care costs, force dialysis clinics to shut down and risk patient lives. About 10% of CDC patients are covered by group and individual health insurance plans. 31, Committee to Protect California Kids are the main proponents of 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 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. Why A Key Program Is Falling Short, An Agonizing Battle With Schizophrenia Ends On A California Freeway. 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. 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. Con. It would also prohibit clinics from refusing to treat patients based on the source of payment. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. 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. A clinic may dispute CDPHs decision by requesting a hearing. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. Will Orange County's Fledgling Clean Power Agency Survive? Proposition 29 Could Increase Health Care Costs for State and Local Governments. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. Some people qualify for both Medicare and Medi-Cal. Thank you for investing in your neighborhood. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. 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. INCREASED ADMINISTRATIVE COSTS FOR CDPH COVERED BY DIALYSIS CLINIC FEES. While California currently protects abortion access, Prop. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! Requires Dialysis Clinics to Say Who Its Owners Are. Put on the Ballot by Petition Signatures. Increased kidney dialysis clinic requirements would cost the government in the low tens of millions of dollars each year. 29. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. Dialysis is literally my life support. CDPH must specify which information clinics should report, and how and when to report the information. Chronic dialysis clinics would be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. Currently, California relies primarily on federal regulations as the basis for its licensing program. 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. Pro-life advocates argue that abortion is murder and therefore should be illegal. Fourth, it prohibits clinics from discriminating against patients because of their type of insurance and protects patients in every clinic. This guide helps you vote on all seven statewide Dialysis patients deserve protection under the law. Proponents also argue that the proposition will open sports betting up to those who want to bet in California in a safe way. The proposition allows CDPH to determine whether or not to consent. Take a look at the latest stories and videos about the 2022 Midterm Elections here. Proposition 29 imposes new regulatory responsibilities on CDPH. Dialysis patients, nurses and doctors strongly oppose Prop. When reliable local election reporting is widely available, the entire community benefits. 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. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. The Supreme Court overturned Roe v. Wade in June, leaving it up to the states to determine their abortion laws. The proposition would also make it illegal for persons under 21 years of age to gamble on sports betting. 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. Still, the 2022 election is giving Californians a chance to decide on popular issues, from protecting abortion rights to subsidizing zero-emission vehicles. Telehealth may be used for up to one year if no such person is available on-site. Dialysis is a dangerous procedure, and if something goes wrong, a doctor or highly trained clinician should be nearby. 29. 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. With Voters Edge, you have all the election information you need at your fingertips. It makes no sense to also require a physician administrator on-site full-time who will not be involved in providing care. In the wake of the unpopular Supreme Court ruling, the California Legislature crafted a state constitutional amendment on abortion rights for the Clinics Could Respond to Higher Costs in Different Ways. 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. 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. The proposition allows CDPH to determine whether or not to consent. To serve more patients, CDCs often operate 6 days a week for extended hours. Prop. Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. Jeremy Renner to discuss near-fatal accident in Diane Sawyer interview, Our America: Trouble On Tap | Official Trailer, Doctor charged for allegedly poisoning husband's tea with Drano. A 2020 law was passed by the California legislature and signed by Gov. Clinics cant refuse to treat patients based on how they are paying for their treatment. WebProposition 29. 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. Prop. 29 and Prop. 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. Private insurance pays higher rates for treatment than Medicare and Medi-Cal. 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