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";s:4:"text";s:15424:"The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. Specifically, the measure would require that clinics: Prop. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. 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. Other people purchase health insurance individually. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. It was not intended to be weaponized in this way. 29 would increase the cost of providing dialysis services, and force some dialysis centers to shut down and others to reduce hours, thereby reducing access to this lifesaving treatment. [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. State law does not specify a length of time for which you must have been a resident to be eligible. Prop. 1461, also known as the New Motor Voter Act. There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. The additional tax revenue would be used to fund cancer research, smoking reduction programs and tobacco law enforcement. 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. All Rights Reserved. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. If CDPH approves the exception, the clinic can meet the requirement through telehealth. Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. Contact Information. Signatures were due on April 27, 2022. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. Help expand Ballotpedia's elections coverage - volunteer with us. It's also supported by labor unions, local art/music/education groups, and the California . 8 in 2018 and Prop. 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. Federal regulations do not require medical directors to spend a set amount of time at the clinic. Click "Show" to learn more about voter registration, identification requirements, and poll times in California. Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. Take a look at the latest stories and videos about the 2022 Midterm Elections here. Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. 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. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. Close Some Clinics. 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. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. 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. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. na si. 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. | Voters correctly rejected the last two propositions, and they should do so a third time. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? KCBS Interviews Ray Durazo and Tom Del Beccaro: Ray Durazo is the former American Heart Association Western States Affiliate Board President and currently serves as California Advocacy Task Force Chair. Proposition 29 imposes new regulatory responsibilities on CDPH. CDPH must specify which information clinics should report, and how and when to report the information. Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. 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. California allows same-day voter registration. Constitutional rights 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. 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. Wage hikes for some workers, not others. . NO Public File for KBCW-TV / KBCW 44 Cable 12. It would also require increased disclosure of clinic ownership and dialysis-related infections. 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. 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. Dialysis copies what healthy kidneys do. }, The following is the argument in support of Proposition 29 found in the Official Voter Information Guide:[9], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. Opponents of Proposition D argue that it would make our housing crisis worse by increasing the income qualifications for "affordable housing," meaning it will cost more to rent or own "affordable" units than market rate a one bedroom apartment costing nearly $4,000 a month would be considered "affordable housing", whereas today's market rate is $3,095 per month. How to run for office | Pro- $4 billion to $9 billion for schools and health care. Thats the tension: theres enormous profitability, then you meet folks of enormous need, and you realize that some of that money should be diverted to patient care. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. Note: supporters of the measure have not said whether or not they will put a fourth measure on the 2024 ballot if this measure fails. Click here to contact our editorial staff, and click here to report an error. How safe is your neighborhood? 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. Stop yet another dangerous dialysis proposition. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. | Prop 29 Explained - November 8 Election . Requires clinics to: disclose physicians ownership interests; report infection data. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. 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. Vote NO on Prop 29. The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA). 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 free college has both its own pros and cons so make the decision wisely! "[19] Dave Regan stated, "The reason Prop. Here's a breakdown of each proposition and what it entails. Requires Dialysis Clinics to Say Who Its Owners Are. Californians will vote on propositions ranging from abortion to sports betting in the November general election. See CA Ballot Propositions by CalMatters which provides 1-minute video summaries and other key information about the propositions. 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. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. 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. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. A single treatment lasts about four hours and happens about three times per week. "[19] In 2017, legislation was introduced, but not passed, to require staff-patient ratios in dialysis clinics and, like the ballot initiative, limit the revenue of businesses. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. Propositions on the November 8, 2022 Ballot. 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. / CBS San Francisco. California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. 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. Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. Get browser notifications for breaking news, live events, and exclusive reporting. font-size:1.2em; 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. 30 Millionaires Tax: no. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. Some people qualify for both Medicare and Medi-Cal. It allows CDPH to base its decision on such information as the clinics financial resources and the clinics plan for making sure patients have uninterrupted dialysis care. text-align:center; 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. On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. The PAC raised over $86.4 million in contributions. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. 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. . Proposition 29 Could Increase Health Care Costs for State and Local Governments. font-weight:bold; No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. The SEUI-UHW says the 9-1-1 service calls from dialysis centers suggest the need for more staff, though they offer no data that the volume is higher than might be expected given that dialysis patients often have other serious health conditions. An individual who is in line at the time polls close must be allowed to vote. Even though abortion is legal in California, Prop. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. 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. Who supported and opposed Proposition 29? 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. To register to vote in California, you must be a resident of the state. ";s:7:"keyword";s:37:"prop 29 california 2022 pros and cons";s:5:"links";s:707:"Missile Silos In Ohio For Sale, Can We Eat Banana After Eating Fish, Newcastle United Academy Open Trials, Ricardo Goncalves Partner, Clue: Discover The Secrets Game Sheets Pdf, Articles P
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