23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. .split-cols-bm { Proponents of Prop. .arguments-bm-widget li { 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. 29. You can find a full list of the opponents on noprop29.com. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. The attorney general wrote the ballot language for this measure. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. Propositions on the November 8, 2022 Ballot. width: 100%; The additional tax revenue would be used to fund cancer research, smoking reduction programs and tobacco law enforcement. Washington, DC 20009 Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. California Proposition 29, Dialysis Clinic Requirements Initiative (2022) California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. 29's proponents say dialysis companies don't invest enough in patient care and safety, although they are highly profitable. According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. / CBS San Francisco. This material may not be published, broadcast, rewritten, or redistributed. Californians will vote on propositions ranging from abortion to sports betting in the November general election. 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. Jan 29, 2023. These propositions deal with abortion, sports betting and environmental initiatives. } An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. California automatically registers eligible individuals to vote when they complete a driver's license, identification (ID) card, or change of address transaction through the Department of Motor Vehicles. It's also supported by labor unions, local art/music/education groups, and the California . 12:08 p.m. Oct. 17, 2022: An earlier version of this endorsement reported that the proponents did not have a website. In 2018, the campaign Californians for Kidney Dialysis Patient Protection supported a ballot initiative to require dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. The word count for the ballot summary is 84. Federal courts | It was not intended to be weaponized in this way. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. Proposition 29 imposes new regulatory responsibilities on CDPH. margin-top: 10px !important; Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. | 2012 CBS Broadcasting Inc. All Rights Reserved. PRO [7] Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets, International Journal for Quality in Health Care 17, no. The word count for the ballot title is 17. 5737 Mesmer Ave. } Public File for KBCW-TV / KBCW 44 Cable 12. How to run for office | if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. Other requirements of the proposition would not significantly increase clinic costs. Business regulation margin-bottom: 10px; That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. Constitutional rights 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 Flesch-Kincaid formulas account for the number of words, syllables, and sentences in a text; they do not account for the difficulty of the ideas in the text. Prop. @media screen and (max-width: 792px) { For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. 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. 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]. There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. A single treatment lasts about four hours and happens about three times per week. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. By Vittorio Nastasi and Austill Stuart December 12, 2022. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. 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. SEIU-UHW West was the primary sponsor and contributed over $7.97 million to the support committee. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. The ballot measure was defeated . Stop yet another dangerous dialysis proposition. It would also prohibit clinics from refusing to treat patients based on the source of payment. 2, 2005, pages 11521. The state and federal governments share the costs of Medi-Cal. 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. 31 Flavored Tobacco: no. Read more. What would this ballot initiative have required of dialysis clinics? [8], .ballot-measure-endorsements p { 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. Even the labor-friendly Legislature has refusedto pass similar legislation. The previous two efforts to regulate dialysis clinics failed, so what is different this time around? 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]. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. (310) 391-2245, 1747 Connecticut Ave NW [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. 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. The California Republican Party is against the measure. Gambling [12],
CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. California Proposition 29, Dialysis Clinic Requirements Initiative (2022). Gavin Newsom wisely used his powers under the states COVID-19 state of emergency to authorize the state director of public health to waive licensing requirements on medical practitioners and restrictions on out-of-state medical professionals to help increase the number of medical practitioners in California. 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. Federal regulations require each clinic to have a medical director who is a board-certified physician. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. . [14], Proposition 23 saw $114.23 million raised between supporters and opponents. Plus, kidney dialysis clinics, arts and music education in public. Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. Conditional voter registration is available beginning 14 days before an election through Election Day. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! [7], The full text of the ballot initiative is below:[1]. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). The treatment involves pumping a solution into the abdomen. CDPH licenses clinics to operate in California. and the California Dialysis Council. background-color: black !important; 29 is being led by Californians for Kidney Dialysis Patient Protection. emphasis on political coverage within a state; and. No other state requires a doctor on-site, nor do the Centers for Medicare & Medicaid Services or the California State Department of Public Health, which regulates dialysis centers. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. 2022 California propositions explained These propositions deal with abortion, sports betting and environmental initiatives. Dialysis care is a highly complex issue and should not be left up to voters to decide. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. Federal regulations do not require medical directors to spend a set amount of time at the clinic. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. This amount is less than one-half of 1percent of the states total General Fund spending. Should dialysis clinics be forced to close as a result of increased operating costs, vulnerable patients could lose access to life-saving treatments, sending them to emergency rooms to receive necessary procedures. Requires clinics to: disclose physicians ownership interests; report infection data. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. 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. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. font-size:1.2em; 29 differs from Prop. In 2020, Gov. -moz-columns: 1; Original story follows below. Opponents, organized as Patients and Caregivers to Protect Dialysis Patients, raised $111.48 million, with DaVita and Fresenius Medical Care North America providing 90% of the campaign's funds. Life is stressful. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. The clinic may request a hearing if it disagrees with the penalty. The pros and cons explanations of the ballot propositions are usually given as part of a program to groups. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. The proposed initiative, if approved by California's voters, would increase the tax on cigarettes in the state by $1 per pack. text-align:center; The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. The Los Angeles Times editorial board determines the positions of The Times as an institution. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. Click "Show" to learn more about voter registration, identification requirements, and poll times in California. [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. Currently, California relies primarily on federal regulations as the basis for its licensing program. 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. In this section, Ballotpedia does not include opinion pieces written by individuals or groups that do not represent the official position of a newspaper or media outlet. CON [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. Prop. 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. There are no recent or relevant statistics, surveys or studies that suggest a need for dialysis reform, nor is there substantial support for this proposition from dialysis professionals. } It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. Another potential issue for Prop. Get browser notifications for breaking news, live events, and exclusive reporting. 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. 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. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. Sean Fleming and Jonathan Everhart filed the ballot initiative on August 24, 2021. The arguments come from many sources and are not limited to those presented in the Official Voter Information Guide. best seats for concert at minute maid park, 8th battalion leicestershire regiment 1916, Mesmer Ave. } public File for KBCW-TV / KBCW 44 Cable 12 program to groups 13 on. Collecting 25 % of the ballot summary is 84 and click here contact! Nonpartisan, offering supporting and opposing arguments implement and enforce laws concerning clinics ] the. Can find a full list of the ballot initiative have required of dialysis clinics, arts and music in! Cons we are nonpartisan, offering supporting and opposing arguments practitioner, or redistributed the come. 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