How safe is your neighborhood? 2, 2005, pages 11521. The California Democratic Party and California Labor Federation supported the campaign. Educational. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. All rights reserved. If the random sample estimates that between 95 and 110 percent of the required number of signatures are valid, a full check of signatures is done to determine the total number of valid signatures. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. Prop. Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. Patients need about three treatments per week, and missing a treatment can result in serious health complications. There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. Kidney donors must take time off work, suffer discomfort, and accept the increased health risks that come with having only one kidney. 29. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Having on-site, fully trained physicians, nurse practitioners or physician assistants at dialysis clinics would ensure that a trained professional would be present in emergencies. The FKGL for the ballot title is grade level 16, and the FRE is -1. Most Dialysis Patients Receive Treatment in Clinics. 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. CDPH must specify which information clinics should report, and how and when to report the information. 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. [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. Prop 27 california 2022 pros and cons. Further, tying up physicians and other highly trained medical personnel at dialysis centers would worsen the shortage of healthcare workers across the state and increase waiting times at emergency rooms. Over time, a person may develop kidney failure. Group and Individual Health Insurance. .footer-nav .dropIcon { display: none !important;} .footer-nav .sub-menu {display: none !important;}Paid for by No on 29: Stop Yet Another Dangerous Dialysis Proposition, sponsored by patients, doctors, nurses and dialysis providers. The California Democratic Party is in favor of the measure. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. color:white !important; 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. Proposition 29 Could Increase Health Care Costs for State and Local Governments. 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. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. ew /span>. columns: 1; [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). December 29, 2022. Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. However, not everyone is in favor of the measure. Click "Show" to learn more about voter registration, identification requirements, and poll times in California. Opponents claim Prop. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . 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. [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. 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. Prop. For the Third Time in a Row, Voters Soundly Reject Prop 29 the Dangerous Dialysis Proposition, In new ad, doctors and patients urge SEIU-UHW to stop putting dialysis patients lives at risk with ballot measure extortion, In Case You Missed It: Enough with this foolish extortion says LA Times columnist George Skelton. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. The clinic must give a patient this list when the patient is starting treatment, each year after that, or any time a patient (or potential patient) asks for it. 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. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. 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. Sacramento Today, the No on 29 coalition launched a new ad featuring doctors and patients urging the SEIU-UHW union to stop harming dialysis patients by funding dangerous ballot measures that put dialysis patient lives at risk. Government regulations largely decide what these rates are. Public policy. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. . This amount is less than one-half of 1percent of the states total General Fund spending. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. The FKGL for the ballot summary is grade level 14, and the FRE is 20. 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. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. vehicle certificate of ownership issued by a governmental agency. Most people on dialysis undergo hemodialysis. It would also require increased disclosure of clinic ownership and dialysis-related infections. Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. } The state and federal governments share the costs of Medi-Cal. Dialysis Clinics Must Report Infection-Related Information to a National Network. Constitutional rights 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. 29 will help ensure they receive safe treatment in dialysis clinics under the care of a doctor or another highly trained clinician in case of emergencies, without risk of infection, and without discrimination. Requires clinics to report dialysis-related infection data to state. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. Ads for and against Proposition 29 have been running non-stop for the last several months. This November is no different. 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. . background-color: black !important; margin-bottom: 0 !important; U.S. Congress | CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. .sbtotaltable th { Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. The physician designs the dialysis treatment plan, including specific aspects such as frequency, duration, and associated medicines. 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. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. 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. 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. This measure isnt really about patient care. }, 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. Under the proposition, state Medi-Cal costs, and state and local employee and retiree health insurance costs, could increase due to: Owners and operators negotiating higher payment rates. How to vote | Its an assertion they cant back up with evidence. 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