prop 29 california 2022 pros and cons

Specifically, because dialysis is a dangerous procedure, it is essential that a trained clinician be nearby to react if something goes wrong. Elections in 2023 | Doctors, nurses, and patients urge you to vote NO on Prop 29. } 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. 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. .sbtotaltable th { 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. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. The free college has both its own pros and cons so make the decision wisely! [1] Legislative Analysts Office, Proposition 23, November 3, 2020, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. The ban is delayed until voters make a decision in November. U.S. President | If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. .split-cols-bm { Federal regulations do not require medical directors to spend a set amount of time at the clinic. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? Even though abortion is legal in California, Prop. [12], The following were the top donors to the committee. 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. Text of measure Ballot title The official ballot title was as follows: [5] The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. requiring clinics to have at least one physician, nurse practitioner, or physician assistant - with at least six months of experience with end-stage renal disease care - onsite during patient treatments; requiring clinics to report dialysis-related infections to the California Department of Public Health (CDPH); requiring clinics to provide patients with a list of physicians with an ownership interest of 5% or more in the clinic; requiring clinics to provide the CDPH with a list of persons with ownership interest of 5% or more in the clinic; and. However, not everyone is in favor of the measure. Kidney disease happens when a persons kidneys do not work properly. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. Opponents claim that it may force some clinics to close. Here's a breakdown of each proposition and what it entails. The propositions, like all state ballot measures, require approval by a simple majority . Propositions on the November 8, 2022 Ballot. Have at least one of the following on site during patient treatments: Legislative Analysts Office, Proposition 23, November 3, 2020. "[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. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. Click here for the California Secretary of State page to ensure you have the most current information. 2012 CBS Broadcasting Inc. All Rights Reserved. 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. Many people in the state have group health insurance coverage through an employer or another organization (such as a union). For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. These additional costs are highly uncertain. The California state government, the states two public university systems, and many local governments in California provide group health insurance coverage for their current workers, eligible retired workers, and their families. Dialysis is recommended when a person's kidneys lose most of their function. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. Prop. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. Another potential issue for Prop. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. The state and federal governments share the costs of Medi-Cal. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. Examples of photo identification include, but are not limited to, the following documents: driver's license or identification card of any state; identification card provided by a commercial establishment; Any of the following documents, provided that the document includes the name and address of the individual presenting it, and is dated since the date of the last general election: document issued by a governmental agency; sample ballot or other official elections document issued by a governmental, agency dated for the election in which the individual is providing it as proof, of residency or identity; voter notification card issued by a governmental agency; public housing identification card issued by a governmental agency; lease or rental statement or agreement issued by a governmental agency; student identification card issued by a governmental agency; tuition statement or bill issued by a governmental agency; insurance plan card or drug discount card issued by a governmental agency; discharge certificates, pardons, or other official documents issued to the individual by a governmen- tal agency in connection with the resolution of a criminal case, indictment, sentence, or other matter; public transportation authority senior citizen and disabled discount cards issued by a governmental agency; identification documents issued by governmental disability agencies; identification documents issued by government homeless shelters and other government temporary or transitional facilities; drug prescription issued by a government doctor or other governmental health care provider; (R) property tax statement issued by a governmental agency; vehicle registration issued by a governmental agency; or. If they miss a treatment because of reduced hours or access, it could be fatal. The physician continues to oversee the patients care. [35], To vote in California, an individual must be a U.S. citizen and California resident. Here's what's different this time around. 29. December 29, 2022. 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. It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect. Conditional voter registration is available beginning 14 days before an election through Election Day. 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. .sbtotaltable td { Cross Lunch Off Your List, Lunch Bunch delivers nutritious, creative and fun to eat meals for kids aged 3-10. . Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. Its true that clinics often have to call for help if a kidney patient has an emergency, but that wont change even with extra staff because they are not emergency medical facilities. All Rights Reserved. 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. Prohibits clinics from refusing to treat patients based on source of payment. Requires clinics to: disclose physicians ownership interests; report infection data. 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. font-weight:bold; Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. Dialysis patients deserve protection under the law. Over time, a person may develop kidney failure. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. 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. 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. ), First published on May 13, 2012 / 4:53 PM. } If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. It's almost identical to the 2020 measure that failed, but supporters say they did make some changes after receiving feedback from voters in 2020. Nor is there evidence that the current arrangement has harmed patients. That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. Other people purchase health insurance individually. 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. Dialysis clinics would face additional regulations. Peritoneal dialysis typically occurs three to five times every day, with each treatment taking about 30 to 40 minutes, according to the National Kidney Foundation. Charges Penalties if Dialysis Clinics Do Not Report Required Information. Los Angeles, CA 90230 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 on the November ballot would set new requirements for all of the states dialysis centers, including forcing the clinics to hire unnecessary medical staff. Proponents of Prop. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. | A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. Report dialysis-related infections to the California Department of Public Health (CDPH). 2023 CBS Broadcasting Inc. All Rights Reserved. Certification allows clinics to receive payment from Medicare and Medi-Cal. Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. 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. California voters will decide the fate of seven statewide propositions on Nov. 8. There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. 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. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. 29 would require all clinics throughout the state to have an on-site physician during all hours of operation. "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.". 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. The attorney general wrote the ballot language for this measure. 29 would increase the states need for more medical professionals. Federal law generally makes people with kidney failure eligible for Medicare coverage regardless of age or disability status. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. The word count for the ballot summary is 84. 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. The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. Younger people who have disabilities use their higher-earning clinics to: disclose physicians ownership interests report... Failed to qualify for the ballot summary is 84 Requires on-site Licensed Professional. Have disabilities so make the decision wisely dialysis to roughly 80,000 patients each month to without! $ 18 an hour $ 18.94 million nutritious, creative and fun to eat meals for kids 3-10.. ; Any penalties collected would be used by CDPH to implement and prop 29 california 2022 pros and cons the proposition, including one to the... On Nov. 8 private clinics are owned and operated by two companies, DaVita and Medical! Use their higher-earning clinics to close? number=23 & year=2020 for dialysis from a few hours after the law effect! For use at a DaVita dialysis center in Cathedral City, Calif., October 11, 2018 pros and so! On who pays for patients treatments current arrangement has harmed patients to most people ages 65 older. Decide on a measure to regulate dialysis clinics do not report Required.! Companies, DaVita and Fresenius Medical care staffing requirements set forth by the proposition coverage an! 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After the law takes effect until voters make a decision in November proposition 29. 2023 | Doctors nurses. Measures, require approval by a simple majority measures, require approval by a majority...

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