Proposition 29 would establish a set of regulations for the staffing and operations of chronic dialysis clinics in the state. 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. If the random sample estimates that more than 110 percent of the required number of signatures are valid, the initiative is eligible for the ballot. You can hear KCBS In Depth, a weekly half-hour news interview, Saturdays at 5:30a.m. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst, specialized physician, such as a nephrologist, physician assistant with at least six months of experience with end-stage renal disease. Were still careening toward climate disaster, Column: The heart that Angela Bassett brings to Wakanda Forever transcends the genre, Editorial: Reckoning with UCSFs dark history of unethical medical experiments on inmates. Some people qualify for both Medicare and Medi-Cal. The Californians for Kidney Dialysis Patient Protection PAC raised $8.99 million from the SEIU-UHW West. 2023 CBS Broadcasting Inc. All Rights Reserved. [33], On June 20, 2022, the secretary of state reported that the random sample concluded that 725,890 signatures were valid.[34]. The ad will run statewide on broadcast, cable and digital. Since then, the yes campaign has launched www.yeson29.com. YES
The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). A single treatment lasts about four hours and happens about three times per week. By Vittorio Nastasi November 22, 2022, Reason Foundation The previous two efforts to regulate dialysis clinics failed, so what is different this time around? These additional costs are highly uncertain. . 29 aims to improve reliability and accuracy of data, which can be difficult to obtain, and to maximize the time that a trained physician, nurse practitioner or physician assistant is present during a patients treatment. It would also require increased disclosure of clinic ownership and dialysis-related infections. -moz-columns: 1; The opponents say Proposition 29 would probably hurt patients more than help. The PAC raised over $86.4 million in contributions. For people enrolled only in Medi-Cal, the Medi-Cal program alone pays for dialysis. Higher costs could result in clinics being forced to close, which would reduce access to dialysis care or cause higher costs to be passed along to patients. The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. Why are city leaders picking winners and losers? How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? If a clinic plans to close or substantially reduce its services, Proposition 29 requires the clinic or its owner or operator to notify CDPH in writing and obtain CDPHs written consent. [10], The following is the argument in opposition to Proposition 29 found in the Official Voter Information Guide:[11], The PAC Californians for Kidney Dialysis Patient Protection was registered to support the ballot initiative. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. .arguments-bm-widget li { The pros and cons explanations of the ballot propositions are usually given as part of a program to groups. 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. How often a person needs hemodialysis treatment can vary. The proposition is also partially an effort by the Service Employee International Union to introduce state regulation of dialysis clinics through the ballot box. The proposition allows CDPH to determine whether or not to consent. Proposition 29 Increases Costs for Dialysis Clinics. na si. Cities | Prop 29 Explained - November 8 Election . 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. font-weight:bold; The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. California has implemented an online voter registration system. A "yes" vote supported this ballot initiative to require dialysis clinics to have at least one physician, nurse practitioner, or physician assistant while patients are being treated; report data on dialysis-related infections; and not discriminate against patients based on the source of payment for care. The PAC raised over $7.9 million from the SEIU-UHW West. Having on-site, fully trained physicians, nurse practitioners or physician assistants at dialysis clinics would ensure that a trained professional would be present in emergencies. 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. 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. [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. Con: Opponents of Proposition 29 argue that it would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. [2], Prop. Few Main Sources Pay for Dialysis. All rights reserved. Prop. color:white !important; You can find a full list of the opponents on noprop29.com. 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. "[16], Jim Miller, a columnist for The Sacramento Bee, and Melanie Mason, a state politics journalist for the Los Angeles Times, both stated that the ballot initiative would also provide the SEIU-UHW West with leverage over legislation to enact new regulations on dialysis clinics in the California State Legislature. KCBS Interviews Ray Durazo and Tom Del Beccaro: Ray Durazo is the former American Heart Association Western States Affiliate Board President and currently serves as California Advocacy Task Force Chair. The free college has both its own pros and cons so make the decision wisely! Prohibits clinics from refusing to treat patients based on source of payment. Dialysis Mimics What a Normal Kidney Does. 8 in 2018 and Prop. 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. Proposition 23 would have required chronic dialysis clinics to: have an on-site physician while patients are being treated; report data on dialysis-related infections; obtain consent from the state health department before closing a clinic; and not discriminate against patients based on the source of payment for care. 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. margin-bottom: 0 !important; Help expand Ballotpedia's elections coverage - volunteer with us. Jan 29, 2023. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. 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. A clinic may dispute CDPHs decision by requesting a hearing. U.S. Congress | Text of measure Ballot title The official ballot title was as follows: [5] 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. The machine filters the blood and adds a solution to help remove waste. Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. A "no" vote opposed this ballot initiative to require dialysis clinics to have at least one physician, nurse practitioner, or physician assistant while patients are being treated; report data on dialysis-related infections; and not discriminate against patients based on the source of payment for care. margin-bottom: 10px; Government regulations largely decide what these rates are. 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. Pros & Cons Unbiased explanation with arguments for and against . The FKGL for the ballot summary is grade level 14, and the FRE is 20. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Proposition 28 promises to bring arts and music programs to every public school and cost taxpayers nothing. Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. Dialysis, a treatment that removes waste and chemicals from the bloodstream, is administered to people whose kidneys no longer function properly. [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. The physician designs the dialysis treatment plan, including specific aspects such as frequency, duration, and associated medicines. State and local courts | Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. 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. Hemodialysis: Before hemodialysis treatments can begin, surgeons create an access point, typically in an arm, to allow technicians to remove blood for treatments. Report dialysis-related infections to the California Department of Public Health (CDPH). 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. Instead, this measure would increase the cost of care to the detriment of patients. Counties will begin mailing vote-by-mail ballots. https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. } 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. This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. 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. Close Some Clinics. School districts | .sbtotaltable th { } Kidney disease happens when a persons kidneys do not work properly. Some studies suggest that increasing the presence of a trained nephrologist could improve patient care,[7] but these sources are more than 10 years old. Federal law requires a group insurer to be the main payer for dialysis treatment for the first 30 months of treatment. background-color: black !important; Propositions on the November 8, 2022 Ballot. Most Dialysis Patients Receive Treatment in Clinics. [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. 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. INITIATIVE STATUTE. 29 would increase the states need for more medical professionals. Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. } 29 would also prohibit clinics from refusing patient care based on the patients form of payment, whether the patient is an individual payer or whether the patients health insurer is Medi-Cal or Medicare. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. Get browser notifications for breaking news, live events, and exclusive reporting. Ballot measures, Who represents me? Medi-Cal. Proposition 29 purports to improve patient care. California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) Proponents of Prop. A total of $13,374,336.75 was spent to collect the 623,212 valid signatures required to put this measure before voters, resulting in a total cost per required signature (CPRS) of $21.46. Thats the tension: theres enormous profitability, then you meet folks of enormous need, and you realize that some of that money should be diverted to patient care. Federal regulations require each clinic to have a medical director who is a board-certified physician. Sacramento TheSanta Rosa Press Democratand the 11 papers that make up theSouthern California News Grouptold voters to reject Proposition 29 in recent editorials. The Los Angeles Times editorial board determines the positions of The Times as an institution. 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. Public File for KBCW-TV / KBCW 44 Cable 12. 30 Millionaires Tax: no. 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. Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? "We can prove absolutely through statistics, that when you increase the price of cigarettes, there's an immediate drop in the number of kids who will start smoking as a result.". / KBCW 44 cable 12 usually given as part of a program to groups the Medi-Cal program alone for. Establish a set of regulations for dialysis ; propositions on the November 8 Election when a persons do. The physician designs the dialysis treatment for the ballot box first 30 months of treatment disease happens a... 44 cable 12 every public school and cost taxpayers nothing patients more than $ 65billion on and. To weigh new regulations for dialysis for dialysis clinics in the state may CDPHs! 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