Gavin Newsom wisely used his powers under the states COVID-19 state of emergency to authorize the state director of public health to waive licensing requirements on medical practitioners and restrictions on out-of-state medical professionals to help increase the number of medical practitioners in California. Here's a breakdown of each proposition and what it entails. These waivers, intended to ensure adequate staffing at medical facilities, remained in place as of Aug. 2022, with no end in sight but Prop. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. Close Some Clinics. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. Educational. Opponents claim that it may force some clinics to close. No other state requires a doctor on-site, nor do the Centers for Medicare & Medicaid Services or the California State Department of Public Health, which regulates dialysis centers. Pros & Cons Unbiased explanation with arguments for and against . .ballot-measure-endorsements td { width: 35% !important;} Text of measure Ballot title The official ballot title was as follows: [5] Education and Health Care Tax, Prop 55 12-year extension to the 2012 tax income tax increases on those making $250,000 or more a year. .split-cols-bm { Prohibits clinics from closing or substantially reducing services without state approval. } This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. If there is a shortage of licensed healthcare workers available to monitor. Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. These additional costs are highly uncertain. If CDPH approves the exception, the clinic can meet the requirement through telehealth. 29 is being led by Californians for Kidney Dialysis Patient Protection. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. It's also supported by labor unions, local art/music/education groups, and the California . Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. 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. Tobacco, What's on my ballot? Other requirements of the proposition would not significantly increase clinic costs. Group and Individual Health Insurance. Prop. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. See CA Ballot Propositions by CalMatters which provides 1-minute video summaries and other key information about the propositions. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. California does not require proof of citizenship for voter registration, although individuals who become U.S. citizens less than 15 days before an election must bring proof of citizenship to their county elections office to register to vote in that election.[39]. Medicare pays for dialysis treatment for the majority of people on dialysis in California. emphasis on political coverage within a state; and. By Vittorio Nastasi November 22, 2022, Reason Foundation In the time Small has served in this role, the property crime rate has plummeted by 88% to just over five property crimes per 1,000 residents. Dialysis copies what healthy kidneys do. 29 is the third attempt in four years by labor organization Service Employees International Union-United Healthcare Workers West (SEIU-UHW West) to regulate dialysis clinics. May 13, 2012 / 4:53 PM A voter must be at least 18 years of age on Election Day. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. 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. Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. 2022 California propositions explained These propositions deal with abortion, sports betting and environmental initiatives. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. .split-cols-bm { and the California Dialysis Council. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. The PAC raised over $86.4 million in contributions. "If Prop 29 passes, it will save 104,000 lives, it will stop 228,000 kids from smoking and that at a cost of $1 increase per pack," said Durazo. Prop. YES Nov. 3, 2022 5:16 PM PT. Dialysis clinics would face additional regulations. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West, which is in a protracted battle with the two largest private dialysis companies, DaVita and Fresenius, to organize workers. The clinic may request a hearing if it disagrees with the penalty. .sbtotaltable th { .sbtotalheader { [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. Californias initiative system was created more than a hundred years ago to give citizens the power to make new laws when their elected leaders failed to do so. For the Third Time in a Row, Voters Soundly Reject Prop 29 the Dangerous Dialysis Proposition, In new ad, doctors and patients urge SEIU-UHW to stop putting dialysis patients lives at risk with ballot measure extortion, In Case You Missed It: Enough with this foolish extortion says LA Times columnist George Skelton. Even though abortion is legal in California, Prop. 31 Flavored Tobacco: no. [19][20] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. [2], Prop. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. It would also require increased disclosure of clinic ownership and dialysis-related infections. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Prop. Using the Flesch-Kincaid Grade Level (FKGL) and Flesch Reading Ease (FRE) formulas, Ballotpedia scored the readability of the ballot title and summary for this measure. [35], To vote in California, an individual must be a U.S. citizen and California resident. However, the owner or operator might not be willing or able to do this over the longer term. -webkit-columns: 1; Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. } Washington, DC 20009 Kidney Failure. Conditional voter registration is available beginning 14 days before an election through Election Day. fx vd. The campaign said, "Since 2012, UHW has wasted $77.7 million of its members dues money funding 48 failed ballot initiatives across the country many of which put patients and their members at risk. Have at least one of the following on site during patient treatments: Legislative Analysts Office, Proposition 23, November 3, 2020. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. California Proposition 29, Dialysis Clinic Requirements Initiative (2022). (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) However, if trained nephrologists are present during treatment, these patients could receive improved quality of care. The SEUI-UHW says the 9-1-1 service calls from dialysis centers suggest the need for more staff, though they offer no data that the volume is higher than might be expected given that dialysis patients often have other serious health conditions. But the most consequential provision is the requirement that a physician, nurse practitioner or physicians assistant with experience be on-site at all times at the roughly 650 dialysis centers in the state. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. That means voters will decide the fewest measures in an election year since 1916. The communities that would experience the greatest detriment from this are the elderly, who make up the majority of dialysis patients, as well as Black people and Latinx people, who are 3 times and 1.3 times, respectively, more likely than white Americans to have chronic kidney disease. Counties will begin mailing vote-by-mail ballots. A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. The legislation, which took effect in 2016, authorized automatic voter registration in California for any individuals who visit the Department of Motor Vehicles to acquire or renew a driver's license.[37][38]. font-weight:bold; It operates separately from the newsroom. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. Dialysis Clinics Must Report Infection-Related Information to a National Network. Read more. The Californians for Kidney Dialysis Patient Protection PAC raised $8.99 million from the SEIU-UHW West. Californias Proposition 29 on the states November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of relevant experience to be on-site during treatment at outpatient kidney dialysis clinics. Read more endorsements at: latimes.com/endorsements. Both objected to the repeated abuse of the ballot system by Prop 29 backers and said the measure would be harmful to dialysis patients. You can find a full list of the opponents on noprop29.com. In this section, Ballotpedia does not include opinion pieces written by individuals or groups that do not represent the official position of a newspaper or media outlet. How often a person needs hemodialysis treatment can vary. Thats because the added cost of hiring unnecessary staff, which is estimated at several hundreds of thousands of dollars per year for each clinic, could force some centers to close or reduce hours. | Stop Yet Another Dangerous Dialysis Proposition For immediate release: November 8, 2022 Contact: Kathy Fairbanks (916) 813-1010 kfairbanks@bcfpublicaffairs.com Once again California voters reject shameful attack on dialysis patients by one Requires clinics to: disclose physicians ownership interests; report infection data. As Dahlia Ackerman, a longtime dialysis nurse opposing Proposition 30, told the San Francisco Chronicle, The only thing that we, including a physician, can do in an emergency would be to call 911.. | There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. Note: supporters of the measure have not said whether or not they will put a fourth measure on the 2024 ballot if this measure fails. The rates that Medicare and Medi-Cal pay for a dialysis treatment are fairly close to the average cost for clinics to provide a dialysis treatment. 29 differs from Prop. Should dialysis clinics be forced to close as a result of increased operating costs, vulnerable patients could lose access to life-saving treatments, sending them to emergency rooms to receive necessary procedures. Prop. Prop. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. [7], The fiscal impact statement was as follows:[6], Increased state and local government costs likely in the low tens of millions of dollars annually. [7], The summary provided for inclusion on signature petition sheets was as follows:[6], Requires physician, nurse practitioner, or physician assistant, with six months relevant experience, on site during treatment at outpatient kidney dialysis clinics; authorizes exemption for staffing shortage if qualified medical professional is available through telehealth. The opponents say Proposition 29 would probably hurt patients more than help. There are no recent or relevant statistics, surveys or studies that suggest a need for dialysis reform, nor is there substantial support for this proposition from dialysis professionals. Dialysis clinics are already required to report ownership interests of 5% or more to the state survey agency,[4] and current federal rules already require that dialysis clinics have an assigned medical director a physician responsible for staff training and implementing quality of care measures although there are no rules for how long this doctor needs to be on site. [8] Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://www.kidney-international.org/article/S0085-2538(21)00943-1/fulltext, SPUR Urban Center, 654 Mission Street, San Francisco, CA 94105-4015 | (415) 781-8726 | info@spur.org, 2023 SPUR Privacy Policy 501(C)(3) Non-Profit Tax Identification: 94-1498232, Protect the Lives of Dialysis Patients Act, a member-supported nonprofit organization. vehicle certificate of ownership issued by a governmental agency. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. Under the proposition, state Medi-Cal costs, and state and local employee and retiree health insurance costs, could increase due to: Owners and operators negotiating higher payment rates. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. The measure would have required a doctor, nurse practitioner or physicians' assistant to be present during treatment at the state's 600 outpatient dialysis facilities. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. 29 is the third attempt in four years by labor organization Service Employees International Union-United Healthcare Workers West (SEIU-UHW West) to regulate dialysis clinics. Requires clinics to report dialysis-related infection data to state. July 26, 2022 . No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. nurse practitioner or physician assistant be on site during treatment. "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. Federal regulations do not require medical directors to spend a set amount of time at the clinic. CalMatters reporter Ana Ibarra explains Prop. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. SAN FRANCISCO (KCBS) - One of the hot button issues heading into the June Presidential Primary Election is Proposition 29, the Tobacco Tax for Cancer Research Act. This field is for validation purposes and should be left unchanged. 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. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. Click here for the California Secretary of State page to ensure you have the most current information. Residents can register to vote by visiting this website. The arguments come from many sources and are not limited to those presented in the Official Voter Information Guide. The measure would amend the state health code to require dialysis clinics to have a licensed medical professional on-site during treatment or in some cases available virtually during treatments. 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. Help expand Ballotpedia's elections coverage - volunteer with us. Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. [7] Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets, International Journal for Quality in Health Care 17, no. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. Wage hikes for some workers, not others. In California, about 80,000 patients receive dialysis treatments each month, most of which happen at one of the roughly 600 private clinics across the state. Los Angeles, CA 90230 All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. Continue Current Operations, but With Lower Profits. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. .footer-nav .dropIcon { display: none !important;} .footer-nav .sub-menu {display: none !important;}Paid for by No on 29: Stop Yet Another Dangerous Dialysis Proposition, sponsored by patients, doctors, nurses and dialysis providers. Prop 22: California Measure's Pros And Cons . You can read more about the boards mission and its members at About The Times Editorial Board. Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. Sacramento Today, the No on 29 coalition launched a new ad featuring doctors and patients urging the SEIU-UHW union to stop harming dialysis patients by funding dangerous ballot measures that put dialysis patient lives at risk. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. The physician continues to oversee the patients care. 23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. .sbtotaltable td { Kidney donors must take time off work, suffer discomfort, and accept the increased health risks that come with having only one kidney. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. Take a look at the latest stories and videos about the 2022 Midterm Elections here. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Dialysis Mimics What a Normal Kidney Does. If the total number is equal to at least 100 percent of the required signatures, then local election officials perform a random check of signatures submitted in their counties. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. . If they miss a treatment because of reduced hours or access, it could be fatal. 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 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. CDPH also certifies clinics on behalf of the federal government. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. CDPH licenses clinics to operate in California. Proposition 29 Could Increase Health Care Costs for State and Local Governments. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. Like last time, this latest proposition will again jeopardize access to care, worsen our health care provider shortage and increase health care costs for all Californians. (202) 986-0916, Senior Managing Director, Transportation Policy, Photo 193235704 Saengsuriya Kanhajorn | Dreamstime.com, Innovators in Action: James Small, public safety director of Palmyra, Wisconsin, Florida must stop relying on taxation by citation, Properly designed impact fees could help Wakulla County accommodate population growth. 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. Healthy kidneys remove waste and extra fluid from a persons blood. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. Defining the Future of California Sports Betting: Prop 26 and Prop 27 . Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. Federal courts | Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. SAN FRANCISCO (KGO) -- For the third time in three straight elections, California voters rejected a ballot measure that would have mandated major changes to the operations of dialysis clinics that provide life-saving care to 80,000 people with kidney failure. The California Republican Party is against the measure. How to vote | This measure would result in higher operating and penalty costs for dialysis clinics. California Proposition 29, Dialysis Clinic Requirements Initiative (2022) California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. Stop yet another dangerous dialysis proposition. This individual must have at least six months of experience providing care to kidney patients and is responsible for patient safety and the provision and quality of medical care. State executives | SAN FRANCISCO (KCBS) One of the hot button issues heading into the June Presidential Primary Election is Proposition 29, the Tobacco Tax for Cancer Research Act. Original story follows below. Certification allows clinics to receive payment from Medicare and Medi-Cal. "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. Dialysis is recommended when a person's kidneys lose most of their function. The word count for the ballot summary is 84. Ballot measures, Who represents me? A clinic may ask CDPH to grant an exception from this requirement if there are not enough physicians, nurse practitioners, or physician assistants in the clinics area. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? Conflict between labor and dialysis businesses, recently scheduled reports processed by Ballotpedia, Californians for Kidney Dialysis Patient Protection, Stop Yet Another Dangerous Dialysis Proposition, Campaign finance requirements for California ballot measures, California Proposition 8, Limits on Dialysis Clinics' Revenue and Required Refunds Initiative (2018), California Proposition 23, Dialysis Clinic Requirements Initiative (2020), Laws governing the initiative process in California, Laws permitting noncitizens to vote in the United States, Click here for the California Secretary of State page to ensure you have the most current information, Petition drive deadlines and requirements, Changes in 2022 to laws governing the initiative process, https://ballotpedia.org/wiki/index.php?title=California_Proposition_29,_Dialysis_Clinic_Requirements_Initiative_(2022)&oldid=9009613, California 2022 ballot measures, certified, Initiated statute certified for the 2022 ballot, Conflicts in school board elections, 2021-2022, Special Congressional elections (2023-2024), 2022 Congressional Competitiveness Report, State Executive Competitiveness Report, 2022, State Legislative Competitiveness Report, 2022, Partisanship in 2022 United States local elections, Californians for Kidney Dialysis Patient Protection - Yes on 29, No on 29: Stop Yet Another Dangerous Dialysis Proposition. 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Amp ; Cons Unbiased explanation with arguments for and against prop 29 california 2022 pros and cons disclosure of clinic ownership and infections..., and the flavored tobacco ban 35 ], Stop Yet Another dialysis. Deal with abortion, sports betting and environmental initiatives since 1916 ballot summary is 84 find! | this measure would result in higher operating and penalty costs for dialysis clinics must when! Republican Party, said the Party decided not to support the proposition would not significantly increase clinic costs education Public..., data reporting and financial transparency a look at the clinic clinics on behalf of the ballot system by 29! Penalty costs for dialysis clinics and Establishes other state requirements at Kidney patient... Ballot propositions by CalMatters which provides 1-minute video summaries and other key information about the mission! Third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics and other. 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