The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. 1461, also known as the New Motor Voter Act. Read more endorsements at: latimes.com/endorsements. Plus, kidney dialysis clinics, arts and music education in public. No program or agency should be specifically funded by fines and fees revenue. NO 29 aims to improve reliability and accuracy of data, which can be difficult to obtain, and to maximize the time that a trained physician, nurse practitioner or physician assistant is present during a patients treatment. This form of dialysis removes blood from the body, filters it through a machine to remove waste and extra fluid, then returns it to the body. The solution absorbs wastes and uses the lining of the abdomen as a filter. Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. Signatures need to be certified at least 131 days before the general election. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Get browser notifications for breaking news, live events, and exclusive reporting. 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. 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. Prop. The PAC raised over $7.9 million from the SEIU-UHW West. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. The California Democratic Party and California Labor Federation supported the campaign. It operates separately from the newsroom. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. Opponents assert, Missing even a single dialysis treatment increases patients risk of death by 30%. Dialysis centers are already subject to substantial state and federal oversight and are thus quite safe. [8] Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://www.kidney-international.org/article/S0085-2538(21)00943-1/fulltext, SPUR Urban Center, 654 Mission Street, San Francisco, CA 94105-4015 | (415) 781-8726 | [email protected], 2023 SPUR Privacy Policy 501(C)(3) Non-Profit Tax Identification: 94-1498232, Protect the Lives of Dialysis Patients Act, a member-supported nonprofit organization. Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. 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. (202) 986-0916, Senior Managing Director, Transportation Policy, Photo 193235704 Saengsuriya Kanhajorn | Dreamstime.com, Innovators in Action: James Small, public safety director of Palmyra, Wisconsin, Florida must stop relying on taxation by citation, Properly designed impact fees could help Wakulla County accommodate population growth. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. This material may not be published, broadcast, rewritten, or redistributed. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. emphasis on political coverage within a state; and. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. .ballot-measure-endorsements ul { Report dialysis-related infections to the California Department of Public Health (CDPH). The Times will begin publishing our endorsements this week for ballot measures and major local and statewide races. CDPH licenses clinics to operate in California. Federal regulations require each clinic to have a medical director who is a board-certified physician. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. 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. The proposed initiative, if approved by California's voters, would increase the tax on cigarettes in the state by $1 per pack. The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. This November is no different. [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. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. 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. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. The machine filters the blood and adds a solution to help remove waste. 2023 CBS Broadcasting Inc. All Rights Reserved. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. Prop. The proponents says the proposition is intended to improve patient care. Proposition 8 would have required dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. A voter must be at least 18 years of age on Election Day. Quieres leer este artculo en espaol? 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. SEIU-UHW West was the primary sponsor and contributed over $7.97 million to the support committee. Prop 22: California Measure's Pros And Cons . 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. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. These propositions deal with abortion, sports betting and environmental initiatives. The SEIU-UHW West said workers at dialysis clinics had been attempting to unionize since 2016, but that their employers were retaliating against pro-union employees. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. The ban is delayed until voters make a decision in November. Defining the Future of California Sports Betting: Prop 26 and Prop 27 . According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. [33], On June 20, 2022, the secretary of state reported that the random sample concluded that 725,890 signatures were valid.[34]. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst, specialized physician, such as a nephrologist, physician assistant with at least six months of experience with end-stage renal disease. } Revenues go toward K-12 schools, California Community Colleges, and healthcare. We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. Dialysis Clinics Must Report Infection-Related Information to a National Network. Other people purchase health insurance individually. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. .sbtotaltable th { The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. Most people on dialysis undergo hemodialysis. A bipartisan bill introduced in Congress, House Resolution 3569, would amend NOTA to clarify that organ donors could be compensated for out-of-pocket expenses, lost wages, and other costs associated with donating. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. Ads for and against Proposition 29 have been running non-stop for the last several months. In particular, the propositions requirement that each clinic have a physician, nurse practitioner, or physician assistant on-site during all treatment hours would increase each clinics costs by several hundred thousand dollars annually on average. 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. That means voters will decide the fewest measures in an election year since 1916. "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. Firearms 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. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. 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. Medicare pays for dialysis treatment for the majority of people on dialysis in California. 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. 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. They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. The Legislative Analyst Office estimates that Proposition 29 would cost Californias state and local governments taxpayerstens of millions of dollars annually. Dialysis centers would incur additional costs to implement the measure some of which they would be expected to pass along in the form of higher fees and charges to Californias Medi-Cal system and to health care plans for public sector employees and retirees. The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. font-weight:bold; Not a lot. Copyright 2023 KABC Television, LLC. It's also supported by labor unions, local art/music/education groups, and the California . State law does not specify a length of time for which you must have been a resident to be eligible. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. California's current cigarette tax is 87 cents per pack. 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. 8 in 2018 and Prop. 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. [12],
Cities | It would also require increased disclosure of clinic ownership and dialysis-related infections. California has implemented an online voter registration system. Proposition 29 imposes new regulatory responsibilities on CDPH. Proponents of Prop. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. Summary of General Obligation BondsElection Results 1986 to Present (Excel File). Prop. The pros and cons explanations of the ballot propositions are usually given as part of a program to groups. Proposition 29 would establish a set of regulations for the staffing and operations of chronic dialysis clinics in the state. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. All Rights Reserved. The proposition allows CDPH to determine whether or not to consent. 29 would also require clinics to report to the state, and disclose to patients, if a physician owns at least a five percent stake in a clinic and would prohibit clinics from refusing to. These waivers, intended to ensure adequate staffing at medical facilities, remained in place as of Aug. 2022, with no end in sight but Prop. 29 would require all clinics throughout the state to have an on-site physician during all hours of operation. } 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. We don't need another major government program or bureaucracy in California," he said. Pro- $4 billion to $9 billion for schools and health care. .split-cols-bm { 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. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. Have at least one of the following on site during patient treatments: Legislative Analysts Office, Proposition 23, November 3, 2020. [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. What's the difference between Prop 26 and Prop 27. Proposition 29 purports to improve patient care. 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. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. Conditional voter registration is available beginning 14 days before an election through Election Day. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. !function(){"use strict";window.addEventListener("message",(function(e){if(void 0!==e.data["datawrapper-height"]){var t=document.querySelectorAll("iframe");for(var a in e.data["datawrapper-height"])for(var r=0;rCan I Bring Water Into Yankee Stadium,
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