Wage hikes for some workers, not others. ), First published on May 13, 2012 / 4:53 PM. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. Specifically, owners and operators may be able to negotiate higher rates with private commercial insurance companies and, to a lesser extent, with Medi-Cal managed care plans. margin-top: 10px !important; State executives | The ban is delayed until voters make a decision in November. (Copyright 2012 by CBS San Francisco. .ballot-measure-endorsements ul { 29 is being led by Californians for Kidney Dialysis Patient Protection. Prop. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. } Under Proposition 29, clinics are required to offer the same quality of care to all patients. 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. "[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. The pros and cons explanations of the ballot propositions are usually given as part of a program to groups. Pros & Cons Unbiased explanation with arguments for and against . 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. 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. 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. .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. This is a breaking news topper. 29. 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. 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. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. Cross Lunch Off Your List, Lunch Bunch delivers nutritious, creative and fun to eat meals for kids aged 3-10. . [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 include patient advocates and healthcare associations whose members might benefit from the expanded job opportunities the proposition would create: the California Medical Assn., the California chapter of the American Nurses Assn., and the American Academy of Nephrology PAs, along with the Renal Physicians Assn. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. Stop Yet Another Dangerous Dialysis Proposition For immediate release: November 8, 2022 Contact: Kathy Fairbanks (916) 813-1010 [email protected] Once again California voters reject shameful attack on dialysis patients by one. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. Take a look at the latest stories and videos about the 2022 Midterm Elections here. [33], On June 20, 2022, the secretary of state reported that the random sample concluded that 725,890 signatures were valid.[34]. 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. The opponents say Proposition 29 would probably hurt patients more than help. Currently, California relies primarily on federal regulations as the basis for its licensing program. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. 30 Millionaires Tax: no. Continue Current Operations, but With Lower Profits. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. Tobacco, What's on my ballot? } 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. This material may not be published, broadcast, rewritten, or redistributed. You may occasionally receive promotional content from the Los Angeles Times. 29 differs from Prop. CDPH must specify which information clinics should report, and how and when to report the information. By Vittorio Nastasi and Adrian Moore December 9, 2022. 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. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. Clinics are already required to have a physician on staff overseeing patients care, and each patient has a kidney specialist directing their individual treatment. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. Prop. It was not intended to be weaponized in this way. INITIATIVE STATUTE. 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. [12],
For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. Not a lot. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. While our example was specifically drawn from a home in Los Angeles, a similar story is likely to play out in other areas of California. [1] Legislative Analysts Office, Proposition 23, November 3, 2020, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020. A single treatment lasts about four hours and happens about three times per week. The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). Prop. [7], The full text of the ballot initiative is below:[1]. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. Proposition 29 would establish a set of regulations for the staffing and operations of chronic dialysis clinics in the state. The proponents says the proposition is intended to improve patient care. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. However, not everyone is in favor of the measure. They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. Prohibits clinics from closing or substantially reducing services without state approval. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. The Stop the Dangerous & Costly Dialysis Proposition PAC was registered to oppose the ballot initiative. The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. All rights reserved. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. If the random sample estimates that between 95 and 110 percent of the required number of signatures are valid, a full check of signatures is done to determine the total number of valid signatures. vehicle certificate of ownership issued by a governmental agency. According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. Some people qualify for both Medicare and Medi-Cal. Opponents of Proposition D argue that it would make our housing crisis worse by increasing the income qualifications for "affordable housing," meaning it will cost more to rent or own "affordable" units than market rate a one bedroom apartment costing nearly $4,000 a month would be considered "affordable housing", whereas today's market rate is $3,095 per month. | That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. 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. If donors were properly compensated for their considerable sacrifice, more people would likely be willing to donate reducing the need for dialysisand reducing the need for this type of ballot initiative. 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