Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. 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. Signatures were due on April 27, 2022. }, .arguments-bm-widget { The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. .arguments-bm-widget li { font-weight:bold; 1 would amend California's constitution to say that the state would not be allowed to interfere with or deny a person's right to abortion or contraceptives if it passes. California allows same-day voter registration. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. [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. } Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. Dialysis patients deserve protection under the law. The PAC raised over $7.9 million from the SEIU-UHW West. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. Prop. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . Opponents view the measure as a further attempt to politically and financially weaken DaVita and Fresenius Medical Care and to unionize dialysis workers, and assert that the shortage of nephrologists in the state would leave clinics unable to meet the requirements of Prop. 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. Prohibits clinics from refusing to treat patients based on source of payment. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. 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. Who supported and opposed Proposition 29? Over time, a person may develop kidney failure. 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. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. However, the owner or operator might not be willing or able to do this over the longer term. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. Federal Regulations Require a Medical Director at Each Dialysis Clinic. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. The California Democratic Party is in favor of the measure. Nov. 3, 2022 5:16 PM PT. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. margin-bottom: 10px; They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. It would also require increased disclosure of clinic ownership and dialysis-related infections. Specifically, because dialysis is a dangerous procedure, it is essential that a trained clinician be nearby to react if something goes wrong. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. Requires physician, nurse practitioner, or physician assistant on site during treatment. He said the measure is important because of what it will do not only for the present, but also the future. Kidney donors must take time off work, suffer discomfort, and accept the increased health risks that come with having only one kidney. Letters to the Editor: Rethinking L.A.'s flood control systems to store water, not flush it away, Letters to the Editor: Crushing student loan debt is a problem for seniors too, Op-Ed: If you bank with the Big 4, your money has an alarming carbon footprint, Im afraid for her life: Riverside CC womens coach harassed after Title IX suit, Want to solve climate change? Prop 29 Explained - November 8 Election . The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. How often a person needs hemodialysis treatment can vary. 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. 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. PRO Click here for the California Secretary of State page to ensure you have the most current information. 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. Current and valid photo identification provided by a third party in the ordinary course of business that includes the name and photograph of the individual presenting it. An individual who is in line at the time polls close must be allowed to vote. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. Business regulation Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. 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. Dialysis is recommended when a person's kidneys lose most of their function. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). Vote NO on Prop 29. Most Dialysis Patients Receive Treatment in Clinics. Stop yet another dangerous dialysis proposition. "Government can only take so much of a bite out of the economy.". For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Prop. Ads for and against Proposition 29 have been running non-stop for the last several months. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. It would also prohibit clinics from refusing to treat patients based on the source of payment. Dialysis Mimics What a Normal Kidney Does. 5737 Mesmer Ave. [4] Code of Federal Regulations Title 42, Chapter IV, Subchapter G, Part 494: Conditions for Coverage for End-Stage Renal Disease Facilities, last modified July 11, 2022, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. This November is no different. [3], The committees in support or opposition of Proposition 8 had raised a combined $130.43 million, making the ballot measure the most expensive of 2018. Defining the Future of California Sports Betting: Prop 26 and Prop 27 . Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets,. [6] Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, March 23, 2021. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst. The proposition is also partially an effort by the Service Employee International Union to introduce state regulation of dialysis clinics through the ballot box. and the California Dialysis Council. It was not intended to be weaponized in this way. This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. All Rights Reserved. Prop. A clinic may dispute CDPHs decision by requesting a hearing. emphasis on political coverage within a state; and. Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. ), First published on May 13, 2012 / 4:53 PM. Proposition 29 Increases Costs for Dialysis Clinics. Copyright 2023 KABC Television, LLC. 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. 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. [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. This proposition, for the third time, attempts to regulate dialysis clinics. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. -webkit-columns: 2; "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. [6] Prop. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. Federal regulations require each clinic to have a medical director who is a board-certified physician. The proposed initiative, if. July 26, 2022 mirrormmg. Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. Here's a breakdown of each proposition and what it entails. Close Some Clinics. 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. "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. 23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. 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. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. Prohibits clinics from closing or substantially reducing services without state approval. margin-top: 0 !important; 31 Flavored Tobacco: no. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. The California Democratic Party and California Labor Federation supported the campaign. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. All rights reserved. Read more endorsements at: latimes.com/endorsements. Proposition 29 would establish a set of regulations for the staffing and operations of chronic dialysis clinics in the state. Copyright 2023 KGO-TV. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. columns: 2; Prop. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. width: 50%; Prop. If this proposal seems familiar thats because its virtually the same as two previous measures on the 2018 and 2020 ballots. MORE | What's the difference between Prop 26 and Prop 27? Opponents, organized as Patients and Caregivers to Protect Dialysis Patients, raised $111.48 million, with DaVita and Fresenius Medical Care North America providing 90% of the campaign's funds. Proponents of Prop. Clinics carry out the treatment. The word count for the ballot title is 17. You can read more about the boards mission and its members at About The Times Editorial Board. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose 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. 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 What's the difference between Prop 26 and Prop 27. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. Counties | 29 would increase the states need for more medical professionals. California voters have overwhelmingly rejected similar dialysis propositions twice. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Quieres leer este artculo en espaol? Dialysis, a treatment that removes waste and chemicals from the bloodstream, is administered to people whose kidneys no longer function properly. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. font-size:1.0em; }, The following is the argument in support of Proposition 29 found in the Official Voter Information Guide:[9], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. 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. Here's what's different this time around. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. Prop. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. The FKGL for the ballot summary is grade level 14, and the FRE is 20. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. Even the labor-friendly Legislature has refusedto pass similar legislation. California's Proposition 29 on the state's November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of relevant experience to be on-site during treatment at outpatient kidney dialysis clinics. } Take a look at the latest stories and videos about the 2022 Midterm Elections here. (310) 391-2245, 1747 Connecticut Ave NW The ban is delayed until voters make a decision in November. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. The exception lasts for one year. California does not require voters to present photo identification. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. Tubing is attached to allow blood to be pumped between the access point and a hemodialyzer machine, also known as an artificial kidney machine. 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