The California Democratic Party is in favor of the measure. On November 8, 2022, Californians had the chance to vote on Proposition 29- a ballot measure demanding high standards of medical centers in the state. They also argue that the necessity for teaching the arts in schools is driven by the benefits that the arts have on childrens cognitive development. The proposition would require clinics to obtain written consent from dialysis patients within the clinic before closing the clinic. LA City Council In 2023: Your Guide To Who's Who (And What They Do), You Need Child Care For Your Baby. Dialysis Mimics What a Normal Kidney Does. These waivers, intended to ensure adequate staffing at medical facilities, remained in place as of Aug. 2022, with no end in sight but 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. 30 is a special interest carve-out a cynical scheme devised by a single corporation to funnel state income tax revenue to their company. The proposition allows CDPH to determine whether or not to consent. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. Opponents argue that Prop. 
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. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. Clinics should always have a healthcare provider available to help. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Opposition to Prop. 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. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. About 80,000 patients in California receive dialysis services from 650 Chronic Dialysis Clinics (CDCs). 
California 2022 election | Ballot propositions explained. Emanuel Gonzales, Dialysis Patient Care Technician, Reverend Kisheen W. Tulloss, President The Baptist Ministers Conference of Los Angeles, Cecilia Gomez-Gonzalez, Dialysis Patient Advocate. Proponents argue that the two major corporations, who control 80% of Californias dialysis clinics, DaVita and Fresenius, make billions of dollars yearly and can afford to hire more staff without closing clinics. Proposition 1 is an extreme law that allows late-term abortions at taxpayer expense up to the moment of birtheven if the baby is healthy and the mothers health is not threatened. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. Prop. The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). As noted earlier, an owner or operator might be able to support these clinics with its higher-earning clinics. Currently, California relies primarily on federal regulations as the basis for its licensing program. Fourth, it prohibits clinics from discriminating against patients because of their type of insurance and protects patients in every clinic. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. Yes on 28, a coalition of teachers, artists and labor organizations, is the primary proponent of Prop. Prop. Clinics must disclose who owns the clinic to patients. When reliable local election reporting is widely available, the entire community benefits. Proposition 29 requires each clinic to have, at its expense, at least one physician, nurse practitioner, or physician assistant on-site during all the hours patients receive treatments at that clinic. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. In most cases, dialysis treatment replicates what healthy kidneys do by using a machine to filter a patients blood of excess fluid and waste. Opponents argue that the proposition will hurt non-tribal competitors and create a monopoly on sports gambling in California. Prop. 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. 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. WebProp. The Case Remains Cold, Even 'Affordable Housing' In LA Isn't Affordable. This will protect access to dialysis treatment, particularly for patients in rural communities. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. Prop. Proposition 29 would create new requirements for clinics where dialysis treatment is administered. If federal data is insufficiently timely or complete, health advocates purposes would seem better served by working with the CDC to improve that data rather than imposing a second collection system in just one state un Prop. 29s proponents say dialysis companies dont invest enough in patient care and safety, although they are highly profitable. Two for-profit companies, DaVita Inc. from Colorado and Fresenius Medical Care from Germany, operate almost three quarters of the CDCs in California. 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. We help you understand who's who and what's next. Proposition 29 Increases Costs for Dialysis Clinics. In the less likely event that a relatively large number of clinics would close due to this proposition, having obtained consent from CDPH, state and local governments could have additional costs in the short run. 29 would require that a doctor, nurse practitioner or physician assistant be on site during treatment. Heres the fine print: Head to the Voter Game Plan homepage for guides to the rest of your ballot. PROPOSAL (Analysis by the Legislative Analyst). Original story follows below. 29s proponents say dialysis companies dont invest enough in patient care and safety, although they are highly profitable. CDCs are licensed by the California Department of Public Health using federal standards. 
Clinics would be required to report information on infections to state public health officials and provide patients with a list of doctors who own at least a 5% stake in the facility, among other requirements. The proposition is also supported by a variety of online sports betting companies such as Draft Kings, a variety of homelessness support organizations, American Indian tribes, the MLB and more. CDPH must specify which information clinics should report, and how and when to report the information. State analysts estimate that the clinics have total revenue of This is the third time a labor union, Service Employees International Union-United Healthcare Workers West, has put a kidney dialysis measure on the ballot. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. CDPH also certifies clinics on behalf of the federal government. The proposition also requires clinics to report to CDPH every three months persons who own at least 5 percent of the clinic. Webhoney gourami and betta. 26s main opponent is No on 26, Taxpayers Against Special Interest Monopolies. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Both CDPH and clinics (or their owners or operators) must post this information on their websites. Californians for Kidney Dialysis Patient ProtectionYes on 29. With Voters Edge, you have all the election information you need at your fingertips. For people enrolled only in Medi-Cal, the Medi-Cal program alone pays for dialysis. FISCAL EFFECTS (Analysis by the Legislative Analyst), INCREASED COSTS FOR DIALYSIS CLINICS AFFECT STATE AND LOCAL COSTS. However, the owner or operator might not be willing or able to do this over the longer term. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. A clinic may dispute CDPHs decision by requesting a hearing. The content on this site is licensed with a Creative Commons license. California voters have overwhelmingly rejected 
The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. Under the proposition, state Medi-Cal costs, and state and local employee and retiree health 27 will cause an explosion for online sports gambling in California, which will hurt gaming tribes. The proposition is also partially an effort by the Service Employee International Union to introduce state regulation of dialysis clinics through the ballot box. A licensed physician, nurse practitioner or physician assistant, in each case with at least 6 months of experience in kidney care, must be on-site at all times when dialysis is being performed. The California Constitution and state law limit gambling in California. 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. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5 percent of the clinic. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. Governor Gavin Newsom and No on 30 are the main opponents of Prop. Certification allows clinics to receive payment from Medicare and Medi-Cal. In California, licensed dialysis clinics usually provide dialysis. 26 is the Yes on 26 no on 27 Coalition for Safe, Responsible Gambling. Why A Key Program Is Falling Short, An Agonizing Battle With Schizophrenia Ends On A California Freeway. Some people qualify for both Medicare and Medi-Cal. Prop. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). 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. Once and for all, Californians can protect fragile dialysis patients by voting Yes on Prop. I am so angry that one special interest is pushing a third proposition that puts my life at risk. Newsom argues that Prop. Clinics would also be required to report any physicians or people who have an ownership stake of 5% or more in the clinic. 29 WOULD WORSEN OUR HEALTH CARE WORKER SHORTAGE AND LEAD TO MORE EMERGENCY ROOM OVERCROWDING. 
Requires Dialysis Clinics to Report Infection-Related Information to CDPH. Charges Penalties if Dialysis Clinics Do Not Report Required Information. Mismanagement, Sloppy Hiring Practices, Lack Of Transparency. Prop. HIGHLIGHTS The state legislature voted to send a constitutional amendment to establish a right to reproductive freedom to 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 federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. Pick up a copy from a newsstand around Cal Poly's campus to read more. Proponents of Prop. 2023 Southern California Public Radio - All Rights Reserved, California Proposition 29: Kidney Dialysis, also requires that they report infections to the federal government, a report from the states Legislative Analysts Office, According to the California Legislative Analyst's Office, full report from the Legislative Analyst's Office on Proposition 29, Ex-Councilmember Martinez Opposed Healthy Streets LA Plan. This proposition aims to make legal challenges to the aforementioned rights more difficult by enshrining them into Californias constitution. Other proponents include the California Democratic Party, Lyft, Rep. Ro Khanna and former presidential Candidate Tom Steyer. Clinics Could Respond to Higher Costs in Different Ways. Opponents claim that it may force some clinics to close. Opponents also argue that the ban will hurt small businesses such as liquor stores and smoke shops. Propositions on the November 8, 2022 Ballot. Gavin Newsom. 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. Californias dialysis clinics have high ratings for quality care and patient satisfaction. But to industry executives, its a huge money-maker, so theyre at it again, stoking fear by threatening to close clinics if Prop. Group and Individual Health Insurance. [2] On December 12, 2022, the supreme court ruled unanimously to not issue an emergency order stopping the ban. Requires Dialysis Clinics to Report Infection-Related Information to CDPH. Owners and operators might respond to Proposition 29 in one or more of the following ways: Proposition 29 Could Increase Health Care Costs for State and Local Governments. 
Put on the Ballot by Petition Signatures. Telehealth may be used for up to one year if no such person is available on-site. Proponents of Prop. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. Vote NO on 29.Rachel Sprinkle-Strong, dialysis patient, Sacramento, PROP. 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. These plans often pay multiple times the amount for dialysis treatment than the amounts paidby government programs because their rates are negotiated with each insurance company. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. This video explains Proposition 29. Gov. Use tabs to select your choice. VOTERS HAVE ALREADY REJECTED SIMILAR DIALYSIS PROPOSITIONSTWICE! California voters have overwhelmingly rejected similar dialysis propositions twice. Under Proposition 29, clinics are required to offer the same quality of care to all patients. We know that voting can be complicated. They also argue that the law would be overly broad and allow for late-term abortions which currently exist in a legal grey area known as the viability standard which argues that at 23 weeks a fetus or when the fetus reaches 500 grams it is considered viable and therefore cannot be terminated. Dialysis is a dangerous procedure. 31, Committee to Protect California Kids, No on Prop 31- Californians Against Prohibition and the Republican Party of California, La Ciudad de SLO impondr cuotas de desarrollo para promover los proyectos de viviendas asequibles, Hogar lejos del hogar: El nuevo centro Latinx se abre como un sistema de apoyo para estudiantes, Su gua de las propuestas electorales de California para 2022, Proudly powered by Newspack by Automattic. Twice, voters have overwhelmingly rejected these dangerous propositions. This guide helps you vote on all seven statewide This year, voters only have seven propositions available to them the fewest number of ballot measures in more than a century, CalMatters reported. Overall, we assume that clinic owners and operators generally would: (1)be able to negotiate with some payers to receive higher payment rates to cover some of the new costs imposed by the proposition, particularly if many clinics were to close otherwise; (2)continue to operate some clinics with reduced income; and (3)close some clinics, with the consent of CDPH. [3] Overview Opponents also argue that Prop. 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. However, he told reporters at an event in Los Angeles that Prop 27 is not about fighting homelessness. Con. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. Californias Proposition 29 on the states November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of Opponents also argue that the law would increase taxes to offset the higher costs of healthcare as a result of the law. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. Prohibits clinics from refusing to treat patients based on source of payment. 29 say that because kidney dialysis services are essential to the continued survival of 80,000 Californians a month, the industry requires common-sense regulation that ensures these services are provided safely. Under Proposition 29, clinics are required to offer the same quality of care to all patients. Plus, kidney dialysis clinics, arts and music The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. They say dialysis clinics are already highly regulated, but they face far fewer inspections than other health facilities, and even so, deficiencies are often uncovered. On-site administrators who do not provide patient care would cost hundreds of millions every year, forcing clinics to reduce hours or close. Other requirements of the proposition would not significantly increase clinic costs. Trump pleads not guilty to 34 felony counts; indictment unsealed, Tracking CA's reservoir levels, snowpack map, drought status, How safe is your neighborhood? The candidates include a city council staffer, two community organizers, the head of a housing nonprofit, the head of the San Fernando Valley NAACP, and three people in private business. A 2020 law was passed by the California legislature and signed by Gov. The law would guarantee that 30% of the funds appropriated would go toward schools with economically disadvantaged students. Chronic dialysis clinics would be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. 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. YES
Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. WebProposition 29 would require that: A licensed physician, nurse practitioner or physician assistant, in each case with at least 6 months of experience in kidney care, must be on-site at all times when dialysis is being performed. Federal regulations do not require medical directors to spend a set amount of time at the clinic. PRO
(State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) 31. Dialysis Clinics Must Report Infection-Related Information to a National Network. Copyright 2023 KGO-TV. (3) close some clinics, with the consent of CDPH. SEIU has long sought to unionize dialysis workers, an effort that the companies that run the clinics have quashed again and again. again. Other requirements of the proposition would not significantly increase clinic costs. 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. They also argue that these products are more dangerous than traditional unflavored tobacco products. With only seven propositions to weigh in on this year, California voters will have the fewest ballot measures before them 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. The proponents also contend that They claim, falsely, that the initiative will hurt patients. The main opponents to prop. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. INCREASED ADMINISTRATIVE COSTS FOR CDPH COVERED BY DIALYSIS CLINIC FEES. Khanna and former presidential Candidate Tom Steyer health care WORKER SHORTAGE and lead to EMERGENCY! The owner or operator might be able to do this over the longer term 5 or... 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