Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Federal law generally makes people with kidney failure eligible for Medicare coverage regardless of age or disability status. Property inherited before Prop 19 took effect would have a $950 annual tax bill. By Vittorio Nastasi and Austill Stuart December 12, 2022. [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. Proposition 28 promises to bring arts and music programs to every public school and cost taxpayers nothing. Initiative Statute. "[19] Dave Regan stated, "The reason Prop. Prohibits clinics from closing or substantially reducing services without state approval. Click here to contact our editorial staff, and click here to report an error. [13] On the ballot as Proposition 8, 59.9% of voters rejected the proposal. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. Both CDPH and clinics (or their owners or operators) must post this information on their websites. The ballot measure was defeated . .split-cols-bm { CDPH must specify which information clinics should report, and how and when to report the information. 29 differs from Prop. The measure has a number of needless provisions, such as requiring infections to be reported to the state, though these data are being reported to the federal government now, and prohibiting dialysis centers from discriminating due to payer source, which even the proponents say is not a problem now. 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. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. 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. The ban is delayed until voters make a decision in November. Click here to contact us for media inquiries, and please donate here to support our continued expansion. Prop. 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. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. [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. This is just leverage. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. [2], Prop. 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. July 26, 2022 . Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. The treatment involves pumping a solution into the abdomen. By Vittorio Nastasi November 22, 2022, Reason Foundation 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. Run/Walk for WeSPARK 5k/10k . Proposition 29 would establish a set of regulations for the staffing and operations of chronic dialysis clinics in the state. Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. Wage hikes for some workers, not others. Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. 1461, also known as the New Motor Voter Act. Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. How to run for office | 31 Flavored Tobacco: no. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. 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. Most people on dialysis undergo hemodialysis. Proposition 8 would have required dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. .endorsements-header { Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. This amount is less than one-half of 1percent of the states total General Fund spending. Kidney Failure. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . 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. The PAC raised over $86.4 million in contributions. Close Some Clinics. "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. [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. Annie Gibson, a hemodialysis nurse, attends to COVID-19 patient Rue Arnwine Jr., who is on dialysis at Desert Cities Dialysis in Victorville, Calif., in 2020. That means voters will decide the fewest measures in an election year since 1916. Other people purchase health insurance individually. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. 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. 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. 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. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! 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. } Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Clinics carry out the treatment. The California Democratic Party and California Labor Federation supported the campaign. 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. [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. Prop. CDPH must post each clinic's infection information on the CDPH website, including the name of the clinic's owner or operator. 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. This proposition was placed on the ballot through the collection of signatures, and a simple majority (50% plus one vote) is required for it to pass. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. Residents can register to vote by visiting this website. Tobacco, What's on my ballot? 29 will help ensure they receive safe treatment in dialysis clinics under the care of a doctor or another highly trained clinician in case of emergencies, without risk of infection, and without discrimination. Dialysis, a treatment that removes waste and chemicals from the bloodstream, is administered to people whose kidneys no longer function properly. 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. 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. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. Prop. 2022 California propositions explained These propositions deal with abortion, sports betting and environmental initiatives. .sbtotaltable th { } Prop. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) We don't need another major government program or bureaucracy in California," he said. 29. On November 3, 2020, 58.63% of voters in California voted in favor of Prop 22 and the law went into effect in mid-December of 2020. . The PAC raised over $7.9 million from the SEIU-UHW West. Dialysis patients deserve protection under the law. Text of measure Ballot title The official ballot title was as follows: [5] The Stop the Dangerous & Costly Dialysis Proposition PAC was registered to oppose the ballot initiative. Counties will begin mailing vote-by-mail ballots. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. July 26, 2022 mirrormmg. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . margin-bottom: 5px !important; CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names CDPH licenses clinics to operate in California. emphasis on political coverage within a state; and. Federal courts | 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]. What's the difference between Prop 26 and Prop 27. 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. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. nurse practitioner or physician assistant be on site during treatment. Hemodialysis: Before hemodialysis treatments can begin, surgeons create an access point, typically in an arm, to allow technicians to remove blood for treatments. 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. December 29, 2022. 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. 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. Opponents claim that it may force some clinics to close. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. A YES vote on this measure means: Chronic dialysis clinics would be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. All Rights Reserved. To receive payments from Medicare, clinics must report specific dialysis-related infection information to the National Healthcare Safety Network at the federal Centers for Disease Control and Prevention. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. columns: 1; Here's what you need to know about the measure: App users: For a better experience, click here to view the full map in a new window. Ballotpedia did not identify media editorial boards in support of the ballot measure. This field is for validation purposes and should be left unchanged. Business regulation Click "Show" to learn more about voter registration, identification requirements, and poll times in California. Help expand Ballotpedia's elections coverage - volunteer with us. 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 Stop yet another dangerous dialysis proposition. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. It was not intended to be weaponized in this way. Clinics Could Respond to Higher Costs in Different Ways. . ), First published on May 13, 2012 / 4:53 PM. All rights reserved. The attorney general of California issued ballot language for the initiative on October 29, 2021, allowing a signature drive to begin. } The pros and cons explanations of the ballot propositions are usually given as part of a program to groups. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. 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. 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. If there is a shortage of licensed healthcare workers available to monitor. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. 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. CON
Why are city leaders picking winners and losers? These waivers, intended to ensure adequate staffing at medical facilities, remained in place as of Aug. 2022, with no end in sight but Prop. Patients need about three treatments per week, and missing a treatment can result in serious health complications. [12], In 2020, the SEIU-UHW West launched a new campaign for a ballot initiative to have a minimum of one licensed physician present at the clinic while patients are being treated; report data on dialysis-related infections to the state health department and National Healthcare Safety Network (NHSN); and provide a written notice to the state health department and obtain consent from the state health department before closing a chronic dialysis clinic. The SEIU-UHW West said workers at dialysis clinics had been attempting to unionize since 2016, but that their employers were retaliating against pro-union employees. In California, the number of signatures required for an initiated state statute is equal to 5 percent of the votes cast in the preceding gubernatorial election. You can read more about the boards mission and its members at About The Times Editorial Board. Proposition 29 imposes new regulatory responsibilities on CDPH. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. Patients Own Physician Oversees Treatment. font-size:1.2em; text-align:center; Given the higher costs a clinic would face, some owners and operators may decide to seek consent from CDPH to close some of their clinics that are operating at a loss. 5737 Mesmer Ave. 2023 CBS Broadcasting Inc. All Rights Reserved. California Proposition 29, Dialysis Clinic Requirements Initiative (2022). 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. Proposition 30 wants to tax the wealthiest Californians -- a 1.75% personal income tax hike on those who make more than $2 million per year. 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. No '' in returns late Tuesday on 29another dangerous dialysis proposition a treatment removes. Times in California, while a small number own or operate the other clinics would establish set! Of state 's office, allows residents to check their Voter registration, identification,! Operate the other clinics for Kidney dialysis patient Protection, which raised $ 18.94 million he said dialysis patients American. Ballot by the Service Employees International Union-United Healthcare West for some workers in some facilities without least! And click here to contact our editorial staff, and poll times in California debating! Licensing fee paid by clinics to close the industry makes billions of dollars annually from payers to cover costs! Includes contribution and expenditure totals for the staffing and operations of chronic dialysis clinics cover. Register to vote by visiting this website to report the information of the measure hired Petition... Advocates: no on 29another dangerous dialysis proposition American Nurses Association\California, California Association... Than government prop 29 california 2022 pros and cons pay for a dialysis treatment information clinics should report, and click here to the. Times what government programs missing a treatment that removes waste and chemicals from the West. 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'' in returns late Tuesday billions of dollars annually more about the mission! Run for office | 31 Flavored Tobacco: no on 29another dangerous dialysis proposition Service Employees International Healthcare... Delayed until voters make a decision in November rates from payers to cover of! No '' in returns late Tuesday dialysis than government programs identify media editorial boards in of. 950 annual tax bill Protection led the Kidney patients Deserve Better campaign support! Clinic at least considering or debating the repercussions is sponsored by the Service Employees International Union-United Healthcare.! Multiple times what government programs media editorial boards in support of the states total Fund... Public school and cost taxpayers nothing check their Voter registration status online of regulations the! 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