Who supported and opposed Proposition 29? The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . 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. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. Group and Individual Health Insurance. [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. columns: 2; If this proposal seems familiar thats because its virtually the same as two previous measures on the 2018 and 2020 ballots. The free college has both its own pros and cons so make the decision wisely! Nov. 3, 2022 5:16 PM PT. Various Entities Own and Operate Dialysis Clinics. Dialysis patients deserve protection under the law. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. The solution absorbs wastes and uses the lining of the abdomen as a filter. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. 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. 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. California allows same-day voter registration. color:white !important; Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. Original story follows below. Proponents of Prop. 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. The proponents says the proposition is intended to improve patient care. .arguments-bm-widget li { ew /span>. Kidney disease happens when a persons kidneys do not work properly. Washington, DC 20009 The ballot measure was defeated. Hemodialysis: Before hemodialysis treatments can begin, surgeons create an access point, typically in an arm, to allow technicians to remove blood for treatments. ), First published on May 13, 2012 / 4:53 PM. 8 in 2018 and Prop. 29. It was not intended to be weaponized in this way. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. California does not require proof of citizenship for voter registration, although individuals who become U.S. citizens less than 15 days before an election must bring proof of citizenship to their county elections office to register to vote in that election.[39]. If a clinic or its owner or operator does not report required information or reports inaccurate information, CDPH may issue a penalty of up to $100,000 against the clinic. How to run for office | 29 would increase the states need for more medical professionals. Propositions on the November 8, 2022 Ballot. Prop. This November is no different. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. Prohibits clinics from closing or substantially reducing services without state approval. .sbtotalheader { 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. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. This proposition, for the third time, attempts to regulate dialysis clinics. [19][20] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. 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. 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. Haz clic aqu, Mongols gang member sentenced to 10 years in killing of Pomona officer, Polar bear kills woman, boy in remote Alaska village, Man gets 30 years in prison in road rage killing of teen Astros fan. Medi-Cal. California voters have seven propositions to vote on in the Nov. 8 general election. text-align:center; Why are city leaders picking winners and losers? The communities that would experience the greatest detriment from this are the elderly, who make up the majority of dialysis patients, as well as Black people and Latinx people, who are 3 times and 1.3 times, respectively, more likely than white Americans to have chronic kidney disease. Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. } Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. [35], To vote in California, an individual must be a U.S. citizen and California resident. This measure would result in higher operating and penalty costs for dialysis clinics. 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. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West, which is in a protracted battle with the two largest private dialysis companies, DaVita and Fresenius, to organize workers. Its an assertion they cant back up with evidence. }, .arguments-bm-widget { Improved transparency and accessibility of information can help patients make informed decisions for their care. The attorney general wrote the ballot language for this measure. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. 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. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Over time, a person may develop kidney failure. [6] Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, March 23, 2021. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst. Click here to contact us for media inquiries, and please donate here to support our continued expansion. Firearms Contact Information. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. Educational. The Los Angeles Times editorial board determines the positions of The Times as an institution. Federal courts | Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. Pros & Cons Unbiased explanation with arguments for and against . In 2020, Gov. [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. State legislature | The ballot measure was defeated . Despite overwhelmingly being rejected by voters twice in the last two election cycles, SEIU-UHW is back a third time with Prop 29 that puts patients' lives at risk. Opponents claim that it may force some clinics to close. Requires Dialysis Clinics to Say Who Its Owners Are. Another potential issue for Prop. May 13, 2012 / 4:53 PM No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. 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. Few Main Sources Pay for Dialysis. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. Instead, this measure would increase the cost of care to the detriment of patients. Prop. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. YES
SAN FRANCISCO (KCBS) - One of the hot button issues heading into the June Presidential Primary Election is Proposition 29, the Tobacco Tax for Cancer Research Act. However, some voters may be asked to show a form of identification when voting if they are voting for the first time after registering to vote by mail and did not provide a driver license number, California identification number, or the last four digits of their social security number.[40][41]. You can read more about the boards mission and its members at About The Times Editorial Board. 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. Proposition 29 would have enacted staffing requirements, reporting requirements, ownership disclosure, and closing requirements for chronic dialysis clinics, including:[1], The ballot initiative would have also prohibited clinics from refusing to care for a patient based on the patient's form of payment, whether the patient was an individual payer, the patient's health insurer, Medi-Cal, Medicaid, or Medicare. 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. [13] On the ballot as Proposition 8, 59.9% of voters rejected the proposal. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. @media screen and (max-width: 792px) { .ballot-measure-endorsements td { width: 35% !important;} Stop yet another dangerous dialysis proposition. / CBS San Francisco. 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