A variety of nonprofit organizations and for-profit companies own or operate the other clinics. July 26, 2022 mirrormmg. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? Higher costs could result in clinics being forced to close, which would reduce access to dialysis care or cause higher costs to be passed along to patients. David Miller, research director of SEIU-UHW, said, "Theres just so much improvement that can be made, and theres plenty of resources in the industry to make those improvements. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. Over time, a person may develop kidney failure. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. Quieres leer este artculo en espaol? 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. Kidney disease happens when a persons kidneys do not work properly. And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition. Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. Pro- $4 billion to $9 billion for schools and health care. Ballot measures, Who represents me? 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. Report dialysis-related infections to the California Department of Public Health (CDPH). Sean Fleming and Jonathan Everhart filed the ballot initiative on August 24, 2021. 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. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. May 13, 2012 / 4:53 PM Currently, California relies primarily on federal regulations as the basis for its licensing program. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. The rates that Medicare and Medi-Cal pay for a dialysis treatment are fairly close to the average cost for clinics to provide a dialysis treatment. 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. background-color: black !important; State legislature | 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. 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 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. "Things like Prop 29 are the worst of proposed government. 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. columns: 2; Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. 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. Patients Own Physician Oversees Treatment. 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 Proposition 29 Increases Costs for Dialysis Clinics. 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. Ads for and against Proposition 29 have been running non-stop for the last several months. Elections in 2023 | Given how often patients need dialysis and how long treatments last, clinics often offer treatments six days per week and often are open outside of typical business operating hours. Text of measure Ballot title The official ballot title was as follows: [5] CDPH must post each clinic's infection information on the CDPH website, including the name of the clinic's owner or operator. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. Tubing is attached to allow blood to be pumped between the access point and a hemodialyzer machine, also known as an artificial kidney machine. 5737 Mesmer Ave. Here's what's different this time around. 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. Prop. .split-cols-bm { font-size:1.0em; 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. . 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. The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. That means voters will decide the fewest measures in an election year since 1916. 31 Flavored Tobacco: no. Dialysis copies what healthy kidneys do. "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.". No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. 2, 2005, pages 11521. "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. A single treatment lasts about four hours and happens about three times per week. Propositions on the November 8, 2022 Ballot. 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]. The campaign said, "Since 2012, UHW has wasted $77.7 million of its members dues money funding 48 failed ballot initiatives across the country many of which put patients and their members at risk. 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. . In California, about 80,000 patients receive dialysis treatments each month, most of which happen at one of the roughly 600 private clinics across the state. Educational. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. display: inline; Initiative Statute. The word count for the ballot summary is 84. | How to vote | [5] Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. [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 yes campaign has www.yeson29.com. margin-bottom: 5px !important; Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. 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. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. Federal Regulations Require a Medical Director at Each Dialysis Clinic. Thats because the added cost of hiring unnecessary staff, which is estimated at several hundreds of thousands of dollars per year for each clinic, could force some centers to close or reduce hours. 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. 8 in 2018 and Prop. This is a breaking news topper. Proposition 23 would have required chronic dialysis clinics to: have an on-site physician while patients are being treated; report data on dialysis-related infections; obtain consent from the state health department before closing a clinic; and not discriminate against patients based on the source of payment for care. The California Republican Party is against the measure. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. Copyright 2023 KGO-TV. By Vittorio Nastasi and Adrian Moore December 9, 2022. [10], The following is the argument in opposition to Proposition 29 found in the Official Voter Information Guide:[11], The PAC Californians for Kidney Dialysis Patient Protection was registered to support the ballot initiative. 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. Dialysis clinics would face additional regulations. 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. [7], The full text of the ballot initiative is below:[1]. Con- Will extend income tax that was supposed to be temporary. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. YES 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. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. Opponents claim Prop. No program or agency should be specifically funded by fines and fees revenue. 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. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. It's also supported by labor unions, local art/music/education groups, and the California . Charges Penalties if Dialysis Clinics Do Not Report Required Information. The state and federal governments share the costs of Medi-Cal. Original story follows below. Both objected to the repeated abuse of the ballot system by Prop 29 backers and said the measure would be harmful to dialysis patients. Furthermore, its a tactic the union has used before to pressure healthcare facilities, most recently in Los Angeles and other cities, where the SEIU-UHW has qualified local ballot measures to force private health facilities, including dialysis centers, to pay workers at least $25 an hour. -moz-columns: 1; 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. 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. Click here to contact our editorial staff, and click here to report an error. Group and Individual Health Insurance. Some people qualify for both Medicare and Medi-Cal. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. 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