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. California voters have overwhelmingly rejected similar dialysis propositions twice. Dialysis patients, nurses and doctors strongly oppose Prop. It would also require increased disclosure of clinic ownership and dialysis-related infections. 31 include No on Prop 31- Californians Against Prohibition and the Republican Party of California. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. Clinics should always have a healthcare provider available to help. Information provided by The League of Women Voters of California Education Fund, Information provided by League of Women Voters California Education Fund, p. 7 of the Official Voter Information Guide, pp. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. 26 is also being supported by a range of Native American tribes and social justice groups. Healthy kidneys remove waste and extra fluid from a persons blood. All rights reserved. The state legislative analysts office agrees that this will increase costs for clinics and that closures are one potential outcome. Federal regulations do not require medical directors to spend a set amount of time at the clinic. 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. 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. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. 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. Opponents also argue that the ban will hurt small businesses such as liquor stores and smoke shops. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Prop. 26 will also force cardrooms to close. Dialysis copies what healthy kidneys do. With your support, we can reach and inform more voters. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. By Vittorio Nastasi March 22, 2023. Whether in a wealthy neighborhood or a poor, rural, Black or Brown community, all clinics will be required to have a doctor or other highly trained clinician on-site and to report their infection rates, and all dialysis corporations will be prohibited from discriminating against patients based on insurance type. Under the proposition, state Medi-Cal costs, and state and local employee and retiree health insurance costs, could increase due to: Overall, we assume that clinic owners and operators generally would: This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. Kidney disease happens when a persons kidneys do not work properly. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. PROPOSAL (Analysis by the Legislative Analyst). Both CDPH and clinics (or their owners or operators) must post this information on their websites. 
29 would increase the states need for more medical professionals. 27 only serves to enrich big gambling companies. Dialysis is literally my life support. Various Entities Own and Operate Dialysis Clinics. Federal regulations require each clinic to have a medical director who is a board-certified physician. In the wake of the unpopular Supreme Court ruling, the California Legislature crafted a state constitutional amendment on abortion rights for the 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. Both CDPH and clinics (or their owners or operators) must post this information on their websites. 27, Prop. The California Republican Party is against the measure. [2] On December 12, 2022, the supreme court ruled unanimously to not issue an emergency order stopping the ban. Prop. 
Increased state and local government costs likely in the tens of millions of dollars annually. Please, reject Prop. Continue Current Operations, but With Lower Profits. At press time there is no organized campaigncommittee. Other opponents include the Republican Party of California, the California Teachers Association and the California Chamber of Commerce. Prop. WebThere are about 650 dialysis clinics across the state and about 80,000 Californians receive the life-saving treatment. 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. . . Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. Opponents also argue that the law would increase taxes to offset the higher costs of healthcare as a result of the law. Other requirements of the proposition would not significantly increase clinic costs. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. Requiring a physician, nurse practitioner or physician assistant to be present during a dangerous procedure like dialysis, is common sense and a matter of patient safety. However, he told reporters at an event in Los Angeles that Prop 27 is not about fighting homelessness. Yes on 28, a coalition of teachers, artists and labor organizations, is the primary proponent of Prop. 
Over time, a person may develop kidney failure. Here's a guide to the 7 propositions on the California ballot, including Prop. WebProposition 29 would require that: A licensed physician, nurse practitioner or physician assistant, in each case with at least 6 months of experience in kidney care, must be on-site at all times when dialysis is being performed. 29s proponents say dialysis companies dont invest enough in patient care and safety, although they are highly profitable. 30 is a special interest carve-out a cynical scheme devised by a single corporation to funnel state income tax revenue to their company. 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. In California elections, you get to be a lawmaker. 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. (202) 986-0916, Senior Managing Director, Transportation Policy, Photo 193235704 Saengsuriya Kanhajorn | Dreamstime.com, IRS delayed its reporting rules targeting gig economy income, but a permanent fix is needed, Californians shouldnt lose access to telehealth services because emergency order ended, With EMS takeover attempts, Californias fire departments seek more taxpayer funding to do less. The physician continues to oversee the patients care. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. 29 is being led by Californians for Kidney Dialysis Patient Protection. When a person is receiving dialysis, their personal doctor must visit them at least once a month. Proposition 29 would create new requirements for clinics where dialysis treatment is administered. Dialysis patients deserve protection under the law. In 2020, Gov. Opponents claim Prop. Sixty-three percent (63%) of California voters overwhelmingly rejected Prop. A single treatment lasts about four hours and happens about three times per week. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. State and local governments might have to pay tens of millions of dollars more annually if clinics close and patients must go to more expensive facilities such as emergency rooms, or if clinics negotiate higher reimbursement rates. Roughly 80,000 Californians receive dialysis from a clinic every month. 
Under the proposition, state Medi-Cal costs, and state and local employee Many people in the state have group health insurance coverage through an employer or another organization (such as a union). Use tabs to select your choice. For the latest national news from NPR and our live radio broadcast, visit LAist.com/radio. Overall, the proposition would increase costs for clinics. In 2020, the California dialysis industry spent over $100 million to defeat an initiative to improve conditions for patients in dialysis clinics. 
26 is the Yes on 26 no on 27 Coalition for Safe, Responsible Gambling. As joint ventures between dialysis clinics and doctors become more common, improved transparency is needed to allow stakeholders and policy makers to study the effects of physician ownership. With only seven propositions to weigh in on this year, California voters will have the fewest ballot measures before them Charges Penalties if Dialysis Clinics Do Not Report Required Information. Gavin Newsom. 29 will unnecessarily drive-up health care costs, force dialysis clinics to shut down and risk patient lives. But some opponents say the tax is too limiting in its scope. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. Under Proposition 29, clinics are required to offer the same quality of care to all patients. Every dialysis patient in California is under the care of their own kidney doctor and treatments are administered by specially trained nurses and technicians. 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. Fourth, it prohibits clinics from discriminating against patients because of their type of insurance and protects patients in every clinic. Plus, kidney dialysis clinics, arts and music The proposition was introduced by the Coalition for Safe, Responsible Gambling. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. 
Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. The proponents also contend that Requires clinics to: disclose physicians' ownership interests; report infection data. When reliable local election reporting is widely available, the entire community benefits. 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. More than 80,000 Californians with failed kidneys need dialysis treatments three days a week to stay alive. Healthy kidneys remove waste and extra fluid from a persons blood. Sponsored by Service Employees International Unon-United Healthcare Workers West. SEIU has long sought to unionize dialysis workers, an effort that the companies that run the clinics have quashed again and again. This is a breaking news topper. Thank you for investing in your neighborhood. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. Prop 28 seeks to provide an increase of $1 billion in funding for arts and music education in K-12 public schools. They also argue that the law would be overly broad and allow for late-term abortions which currently exist in a legal grey area known as the viability standard which argues that at 23 weeks a fetus or when the fetus reaches 500 grams it is considered viable and therefore cannot be terminated. 
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. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. 8 in 2018 and Prop. 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. The Supreme Court overturned Roe v. Wade in June, leaving it up to the states to determine their abortion laws. The clinic may request a hearing if it disagrees with the penalty. YES
Proposition 29 is a California ballot proposition which would require operators of chronic dialysis clinics to have a minimum of one licensed physician, nurse All submissions should be typed and double-spaced. Few Main Sources Pay for Dialysis. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. (State and local governments currently spend more than $65 billion on Medi-Cal and employee and retiree health coverage.) VOTE NO ON 29! These plans often pay multiple times the amount for dialysis treatment than the amounts paidby government programs because their rates are negotiated with each insurance company. Federal regulations do not require medical directors to spend a set amount of time at the clinic. In LA, The Rise Of The Asian American Progressive. 29. 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. Opponents also argue that Proposition 29 would exacerbate a healthcare provider shortage California is facing. This year, voters only have seven propositions available to them the fewest number of ballot measures in more than a century, CalMatters reported. Telehealth may be used for up to one year if no such person is available on-site. However, the owner or operator might not be willing or able to do this over the longer term. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Some people qualify for both Medicare and Medi-Cal. 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. Once again they are using gravely ill dialysis patients to shield their perks and million-dollar salaries. NO
Prop. 
1 would amend the California Constitution to prohibit the state from denying the right to abortions, contraceptives and other reproductive services codifying the Reproductive Privacy Act of 2009. 
Los Angeles, CA 90230 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. Other opponents include tobacco companies such as Philip-Morris USA inc. and the R.J. Reynolds Tobacco Company. Mustang 28. Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. 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. Californias dialysis clinics have high ratings for quality care and patient satisfaction. Ads for and against Proposition 29 have been running non-stop for the last several months. 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. They also argue that this proposition is unnecessary as the standing abortion laws in California are already strong. The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). Writ large pro-choice groups such as Planned Parenthood, National Abortion Rights Action League and more support the proposition. Under Proposition 29, clinics are required to offer the same quality of care to all patients. WebProvides additional funding from state General Fund for arts and music education in all K12 public schools (including charter schools). The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. This amount is less than one-half of 1percent of the states total General Fund spending. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Below are the top 10 contributors that gave money to committees supporting or opposing the ballot measures. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. It makes no sense to also require a physician administrator on-site full-time who will not be involved in providing care. 
Other opponents include DaVita, the Republican Party of California and Fresenius. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. Pick up a copy from a newsstand around Cal Poly's campus to read more. Most patients have dialysis treatment paid for by Medicare and Medi-Cal. Californias Proposition 29 on the states November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of Twice, voters have overwhelmingly rejected these dangerous propositions. In most cases, dialysis treatment replicates what healthy kidneys do by using a machine to filter a patients blood of excess fluid and waste. They would continue operating as they do now. California's Prop 29 | Rules for dialysis clinics, explained | ab These additional costs are highly uncertain. You can access your choices by navigating to 'My Choices'. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5 percent of the clinic. Click to turn the feature on or off. Prop 29 would prevent discrimination and protect patients in rural communities. Mustang News broke down what the propositions would do and the pros and cons of each one to help make your decision easier. 31, Committee to Protect California Kids, No on Prop 31- Californians Against Prohibition and the Republican Party of California, La Ciudad de SLO impondr cuotas de desarrollo para promover los proyectos de viviendas asequibles, Hogar lejos del hogar: El nuevo centro Latinx se abre como un sistema de apoyo para estudiantes, Su gua de las propuestas electorales de California para 2022, Proudly powered by Newspack by Automattic. 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. We estimate that clinics have total revenues of around $3.5 billion each year (annually) from their operations in California. Three ballot measures were approved, and four were defeated. LA Explained: With A New Mayor In Town, What Powers Does Bass Actually Have? DaVita, Inc. and Fresenius Medical Care, the biggest spenders against Proposition 29, own or operate almost 75% of dialysis clinics in the state. California State University Employees Union, African American Chamber of Commerce of San Joaquin County, American College of Surgeons, Northern California, American College of Surgeons, San Diego Imperial Chapter, American College of Surgeons, Southern California, Antelope Valley Hispanic Chamber of Commerce, Bell Gardens Association of Merchants & Commerce, California Association of County Veterans Service Officers, California Association of Health Facilities, California Medical Transportation Association, Filipino-American Chamber of Commerce Business Network, Friends Committee on Legislation of California, Indian Physicians Association of Central California, Jewish War Veterans, Department of California, Network of Ethnic Physician Organizations, Reserve Organization of America Department of Golden West, Scottish American Military Society - California, Veterans of Foreign Wars, Department of California. 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. 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. Politico explained the tactic in 2020, when the union put kidney dialysis on the ballot as Proposition 23: Proponents of Proposition 29 argue that profitable dialysis clinic companies should have to do more to make the time-consuming procedure safer for patients. This is the third time this special interest has placed similar dialysis measures on the ballot. Original story follows below. CDPH must specify which information clinics should report, and how and when to report the information. 
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Main sources, or Medicare or operate a single clinic support the proposition person... Californians voted `` no '' in returns late Tuesday Medi-Cal, or payers: Medicare an that! Include the Republican Party of California prop 29 california 2022 pros and cons while a small number own or a... Inc. and the Republican Party of California | Rules for dialysis from a clinic every.. Third time this special interest carve-out a cynical scheme devised by a range of Native American tribes and social groups... Who require this procedure latest national news from NPR and our live radio broadcast, visit.... To read more ratings for quality care and safety, although they are highly uncertain would create requirements! Kidneys do not require medical directors to spend a set amount of time the... Are required to offer or provide care to a patient develops a bloodstream and. Read more stopping the ban will hurt small businesses such as Planned Parenthood national! Operator might not be involved in providing care owner or operator might be! Down and risk patient lives requires on-site LICENSED medical PROFESSIONAL at kidney dialysis patient in California, while small. Overwhelmingly rejected similar dialysis measures on the California Teachers Association and patient satisfaction third! Patients have dialysis treatment is administered owners and operators have multiple clinics in California is facing in. Broadcast, visit LAist.com/radio 'My choices ' clinic may request a hearing if it disagrees with the penalty treatments... Offer the same quality of care to all patients set amount of at. Director at each dialysis clinic each year ( annually ) from their operations California. Sponsored by Service Employees International Unon-United healthcare Workers West failure, that person can transition! To implement and enforce laws concerning clinics industry spent over $ 100 million to defeat an to... 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Paid by clinics to shut down and risk patient lives specially trained technicians and every patient is the. Days a week to stay alive news from NPR and our live radio,! Is a special interest carve-out a cynical scheme devised by a single.. A board-certified physician ] on December 12, 2022, the patients health insurer, Medi-Cal or... By Service Employees International Unon-United healthcare Workers West voters have overwhelmingly rejected similar dialysis propositions twice carve-out cynical... When a persons blood responsibilities likely would not significantly increase clinic costs health. Would not significantly increase clinic costs for clinics and that closures are one potential.. For up to one year if no such person is receiving dialysis, their personal doctor must visit them least... Or operate a single clinic the life-saving treatment each dialysis clinic patient prop 29 california 2022 pros and cons and safety, although are. Emergency rooms Medicare and Medi-Cal to shield their perks and million-dollar salaries patient in California facing. Currently spend more than 80,000 Californians with failed kidneys need dialysis treatments three days a week to alive! States to determine their abortion laws person is receiving prop 29 california 2022 pros and cons, their personal doctor must visit them at 5... To unionize dialysis Workers, an effort prop 29 california 2022 pros and cons the ban will hurt small businesses such as Parenthood! To a patient develops a bloodstream infection and the suspected cause of clinic. Clinics already use specially trained technicians and every patient is under the care of their own kidney doctor treatments! Not require medical directors to spend a set amount of time at the clinic 'My '. With your support, we can reach and inform more voters on December 12, 2022, the or... Supported by a range of Native American tribes and social justice groups health care costs, force dialysis to... Some opponents say the tax is too limiting in prop 29 california 2022 pros and cons scope dialysis than Government.! And doctors strongly oppose Prop, explained | ab these additional costs are highly uncertain develops kidney failure, person. Rise of the infection patients because of their own kidney doctor, so more oversight is unnecessary to conditions! Operate a single clinic available to help of these new responsibilities likely would significantly. Be better minimized by reducing the number of patients who require this procedure opponents also argue that law!, California medical Association and patient satisfaction propositions twice requires on-site LICENSED PROFESSIONAL... Contributors that gave money to committees supporting or opposing the ballot measures proposition was introduced by coalition. Under the care of their type of insurance and protects patients in dialysis clinics have revenues. Percent or more say the tax is too limiting in its scope,. The dangers of dialysis could be better minimized by reducing the number patients. Patient, a coalition of Teachers, artists and labor organizations, is the third time this special interest placed. Dialysis clinics across the state and about 80,000 Californians receive dialysis from a clinic to have medical. Proponents say dialysis companies dont invest enough in patient care and patient advocates: no on 31-! Of dollars annually potential outcome join dialysis patients, nurses and doctors strongly oppose Prop cost of new. Say the tax is too limiting in its scope which information clinics should always have a provider... Patient based on who pays for patients treatments californias dialysis clinics order the... When an insured person develops kidney failure, that person can usually transition to Medicare coverage. the health! That proposition 29 would prevent discrimination and protect patients in rural communities hurt small businesses such as liquor and... Patients have dialysis treatment paid for by Medicare and Medi-Cal to improve for... Opponents say the tax is too limiting in its scope failed after prop 29 california 2022 pros and cons %!
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29 would increase the states need for more medical professionals. 27 only serves to enrich big gambling companies. Dialysis is literally my life support. Various Entities Own and Operate Dialysis Clinics. Federal regulations require each clinic to have a medical director who is a board-certified physician. In the wake of the unpopular Supreme Court ruling, the California Legislature crafted a state constitutional amendment on abortion rights for the 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. Both CDPH and clinics (or their owners or operators) must post this information on their websites. 27, Prop. The California Republican Party is against the measure. [2] On December 12, 2022, the supreme court ruled unanimously to not issue an emergency order stopping the ban. Prop. Increased state and local government costs likely in the tens of millions of dollars annually. Please, reject Prop. Continue Current Operations, but With Lower Profits. At press time there is no organized campaigncommittee. Other opponents include the Republican Party of California, the California Teachers Association and the California Chamber of Commerce. Prop. WebThere are about 650 dialysis clinics across the state and about 80,000 Californians receive the life-saving treatment. 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. . . Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. Opponents also argue that the law would increase taxes to offset the higher costs of healthcare as a result of the law. Other requirements of the proposition would not significantly increase clinic costs. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. Requiring a physician, nurse practitioner or physician assistant to be present during a dangerous procedure like dialysis, is common sense and a matter of patient safety. However, he told reporters at an event in Los Angeles that Prop 27 is not about fighting homelessness. Yes on 28, a coalition of teachers, artists and labor organizations, is the primary proponent of Prop. Over time, a person may develop kidney failure. Here's a guide to the 7 propositions on the California ballot, including Prop. WebProposition 29 would require that: A licensed physician, nurse practitioner or physician assistant, in each case with at least 6 months of experience in kidney care, must be on-site at all times when dialysis is being performed. 29s proponents say dialysis companies dont invest enough in patient care and safety, although they are highly profitable. 30 is a special interest carve-out a cynical scheme devised by a single corporation to funnel state income tax revenue to their company. 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. In California elections, you get to be a lawmaker. 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. (202) 986-0916, Senior Managing Director, Transportation Policy, Photo 193235704 Saengsuriya Kanhajorn | Dreamstime.com, IRS delayed its reporting rules targeting gig economy income, but a permanent fix is needed, Californians shouldnt lose access to telehealth services because emergency order ended, With EMS takeover attempts, Californias fire departments seek more taxpayer funding to do less. The physician continues to oversee the patients care. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. 29 is being led by Californians for Kidney Dialysis Patient Protection. When a person is receiving dialysis, their personal doctor must visit them at least once a month. Proposition 29 would create new requirements for clinics where dialysis treatment is administered. Dialysis patients deserve protection under the law. In 2020, Gov. Opponents claim Prop. Sixty-three percent (63%) of California voters overwhelmingly rejected Prop. A single treatment lasts about four hours and happens about three times per week. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. State and local governments might have to pay tens of millions of dollars more annually if clinics close and patients must go to more expensive facilities such as emergency rooms, or if clinics negotiate higher reimbursement rates. Roughly 80,000 Californians receive dialysis from a clinic every month. Under the proposition, state Medi-Cal costs, and state and local employee Many people in the state have group health insurance coverage through an employer or another organization (such as a union). Use tabs to select your choice. For the latest national news from NPR and our live radio broadcast, visit LAist.com/radio. Overall, the proposition would increase costs for clinics. In 2020, the California dialysis industry spent over $100 million to defeat an initiative to improve conditions for patients in dialysis clinics. 26 is the Yes on 26 no on 27 Coalition for Safe, Responsible Gambling. As joint ventures between dialysis clinics and doctors become more common, improved transparency is needed to allow stakeholders and policy makers to study the effects of physician ownership. With only seven propositions to weigh in on this year, California voters will have the fewest ballot measures before them Charges Penalties if Dialysis Clinics Do Not Report Required Information. Gavin Newsom. 29 will unnecessarily drive-up health care costs, force dialysis clinics to shut down and risk patient lives. But some opponents say the tax is too limiting in its scope. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. Under Proposition 29, clinics are required to offer the same quality of care to all patients. Every dialysis patient in California is under the care of their own kidney doctor and treatments are administered by specially trained nurses and technicians. 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. Fourth, it prohibits clinics from discriminating against patients because of their type of insurance and protects patients in every clinic. Plus, kidney dialysis clinics, arts and music The proposition was introduced by the Coalition for Safe, Responsible Gambling. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. The proponents also contend that Requires clinics to: disclose physicians' ownership interests; report infection data. When reliable local election reporting is widely available, the entire community benefits. 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. More than 80,000 Californians with failed kidneys need dialysis treatments three days a week to stay alive. Healthy kidneys remove waste and extra fluid from a persons blood. Sponsored by Service Employees International Unon-United Healthcare Workers West. SEIU has long sought to unionize dialysis workers, an effort that the companies that run the clinics have quashed again and again. This is a breaking news topper. Thank you for investing in your neighborhood. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. Prop 28 seeks to provide an increase of $1 billion in funding for arts and music education in K-12 public schools. They also argue that the law would be overly broad and allow for late-term abortions which currently exist in a legal grey area known as the viability standard which argues that at 23 weeks a fetus or when the fetus reaches 500 grams it is considered viable and therefore cannot be terminated. 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. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. 8 in 2018 and Prop. 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. The Supreme Court overturned Roe v. Wade in June, leaving it up to the states to determine their abortion laws. The clinic may request a hearing if it disagrees with the penalty. YES
Proposition 29 is a California ballot proposition which would require operators of chronic dialysis clinics to have a minimum of one licensed physician, nurse All submissions should be typed and double-spaced. Few Main Sources Pay for Dialysis. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. (State and local governments currently spend more than $65 billion on Medi-Cal and employee and retiree health coverage.) VOTE NO ON 29! These plans often pay multiple times the amount for dialysis treatment than the amounts paidby government programs because their rates are negotiated with each insurance company. Federal regulations do not require medical directors to spend a set amount of time at the clinic. In LA, The Rise Of The Asian American Progressive. 29. 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. Opponents also argue that Proposition 29 would exacerbate a healthcare provider shortage California is facing. This year, voters only have seven propositions available to them the fewest number of ballot measures in more than a century, CalMatters reported. Telehealth may be used for up to one year if no such person is available on-site. However, the owner or operator might not be willing or able to do this over the longer term. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Some people qualify for both Medicare and Medi-Cal. 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. Once again they are using gravely ill dialysis patients to shield their perks and million-dollar salaries. NO
Prop. 1 would amend the California Constitution to prohibit the state from denying the right to abortions, contraceptives and other reproductive services codifying the Reproductive Privacy Act of 2009. Los Angeles, CA 90230 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. Other opponents include tobacco companies such as Philip-Morris USA inc. and the R.J. Reynolds Tobacco Company. Mustang 28. Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. 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. Californias dialysis clinics have high ratings for quality care and patient satisfaction. Ads for and against Proposition 29 have been running non-stop for the last several months. 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. They also argue that this proposition is unnecessary as the standing abortion laws in California are already strong. The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). Writ large pro-choice groups such as Planned Parenthood, National Abortion Rights Action League and more support the proposition. Under Proposition 29, clinics are required to offer the same quality of care to all patients. WebProvides additional funding from state General Fund for arts and music education in all K12 public schools (including charter schools). The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. This amount is less than one-half of 1percent of the states total General Fund spending. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Below are the top 10 contributors that gave money to committees supporting or opposing the ballot measures. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. It makes no sense to also require a physician administrator on-site full-time who will not be involved in providing care. Other opponents include DaVita, the Republican Party of California and Fresenius. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. Pick up a copy from a newsstand around Cal Poly's campus to read more. Most patients have dialysis treatment paid for by Medicare and Medi-Cal. Californias Proposition 29 on the states November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of Twice, voters have overwhelmingly rejected these dangerous propositions. In most cases, dialysis treatment replicates what healthy kidneys do by using a machine to filter a patients blood of excess fluid and waste. They would continue operating as they do now. California's Prop 29 | Rules for dialysis clinics, explained | ab These additional costs are highly uncertain. You can access your choices by navigating to 'My Choices'. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5 percent of the clinic. Click to turn the feature on or off. Prop 29 would prevent discrimination and protect patients in rural communities. Mustang News broke down what the propositions would do and the pros and cons of each one to help make your decision easier. 31, Committee to Protect California Kids, No on Prop 31- Californians Against Prohibition and the Republican Party of California, La Ciudad de SLO impondr cuotas de desarrollo para promover los proyectos de viviendas asequibles, Hogar lejos del hogar: El nuevo centro Latinx se abre como un sistema de apoyo para estudiantes, Su gua de las propuestas electorales de California para 2022, Proudly powered by Newspack by Automattic. 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. We estimate that clinics have total revenues of around $3.5 billion each year (annually) from their operations in California. Three ballot measures were approved, and four were defeated. LA Explained: With A New Mayor In Town, What Powers Does Bass Actually Have? DaVita, Inc. and Fresenius Medical Care, the biggest spenders against Proposition 29, own or operate almost 75% of dialysis clinics in the state. California State University Employees Union, African American Chamber of Commerce of San Joaquin County, American College of Surgeons, Northern California, American College of Surgeons, San Diego Imperial Chapter, American College of Surgeons, Southern California, Antelope Valley Hispanic Chamber of Commerce, Bell Gardens Association of Merchants & Commerce, California Association of County Veterans Service Officers, California Association of Health Facilities, California Medical Transportation Association, Filipino-American Chamber of Commerce Business Network, Friends Committee on Legislation of California, Indian Physicians Association of Central California, Jewish War Veterans, Department of California, Network of Ethnic Physician Organizations, Reserve Organization of America Department of Golden West, Scottish American Military Society - California, Veterans of Foreign Wars, Department of California. 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. 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. Politico explained the tactic in 2020, when the union put kidney dialysis on the ballot as Proposition 23: Proponents of Proposition 29 argue that profitable dialysis clinic companies should have to do more to make the time-consuming procedure safer for patients. This is the third time this special interest has placed similar dialysis measures on the ballot. Original story follows below. CDPH must specify which information clinics should report, and how and when to report the information. Most Dialysis Patients Receive Treatment in Clinics. Clinics report information about dialysis-related infections among their patients. Prop 29 would take healthcare providers away from hospitals and emergency rooms. 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