Prop 29 Explained - November 8 Election . 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. Education and Health Care Tax, Prop 55 12-year extension to the 2012 tax income tax increases on those making $250,000 or more a year. The ballot measure was defeated. 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. CDPH must specify which information clinics should report, and how and when to report the information. The ban is delayed until voters make a decision in November. You can't legally bet on sports in California right now, but Proposition 27 would change that, allowing online betting operated by Native American tribes and gambling companies. 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. They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. 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. 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. Cities | For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Prop. PRO .sbtotaltable td { 29 in 1 minute. 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. To register to vote in California, you must be a resident of the state. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. The ballot measure was defeated . [14], Proposition 23 saw $114.23 million raised between supporters and opponents. .endorsements-header { 5737 Mesmer Ave. 23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. Using the Flesch-Kincaid Grade Level (FKGL) and Flesch Reading Ease (FRE) formulas, Ballotpedia scored the readability of the ballot title and summary for this measure. Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. Tubing is attached to allow blood to be pumped between the access point and a hemodialyzer machine, also known as an artificial kidney machine. Who supported and opposed Proposition 29? July 26, 2022 . Other requirements of the proposition would not significantly increase clinic costs. Conditional voter registration is available beginning 14 days before an election through Election Day. "[16], Jim Miller, a columnist for The Sacramento Bee, and Melanie Mason, a state politics journalist for the Los Angeles Times, both stated that the ballot initiative would also provide the SEIU-UHW West with leverage over legislation to enact new regulations on dialysis clinics in the California State Legislature. However, the owner or operator might not be willing or able to do this over the longer term. 29.[8]. Here's what's different this time around. Many people in the state have group health insurance coverage through an employer or another organization (such as a union). This California farm kingdom holds a key, Six people, including mother and baby, killed in Tulare County; drug cartel suspected, These are the 101 best restaurants in Los Angeles, New Bay Area maps show hidden flood risk from sea level rise and groundwater, Editorial: 2022 brought more heat and pollution. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. 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. Certification allows clinics to receive payment from Medicare and Medi-Cal. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. . If federal data is insufficiently timely or complete, health advocates purposes would seem better served by working with the CDC to improve that data rather than imposing a second collection system in just one state un Prop. The attorney general wrote the ballot language for this measure. }, 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. Few Main Sources Pay for Dialysis. Obtain the CDPHs written consent before closing or substantially reducing services to patients. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. margin-bottom: 5px !important; columns: 1; If this proposal seems familiar thats because its virtually the same as two previous measures on the 2018 and 2020 ballots. How safe is your neighborhood? Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. In California, the number of signatures required for an initiated state statute is equal to 5 percent of the votes cast in the preceding gubernatorial election. The proposition is also partially an effort by the Service Employee International Union to introduce state regulation of dialysis clinics through the ballot box. Some people qualify for both Medicare and Medi-Cal. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. 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. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. Our weekly mental wellness newsletter can help. Improved transparency and accessibility of information can help patients make informed decisions for their care. 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. fx vd. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. [4] Code of Federal Regulations Title 42, Chapter IV, Subchapter G, Part 494: Conditions for Coverage for End-Stage Renal Disease Facilities, last modified July 11, 2022, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. But the most consequential provision is the requirement that a physician, nurse practitioner or physicians assistant with experience be on-site at all times at the roughly 650 dialysis centers in the state. 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. [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. Dialysis patients deserve protection under the law. Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. 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. Prop 22 california 2020 pros and cons. 29. [12],
Contact Information. Increased state and local government costs likely in the tens of millions of dollars annually. Pros & Cons Unbiased explanation with arguments for and against . 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. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. The previous two efforts to regulate dialysis clinics failed, so what is different this time around? 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. Proposition 30 wants to tax the wealthiest Californians -- a 1.75% personal income tax hike on those who make more than $2 million per year. Proponents assert that there is a need for dialysis industry reform. Clinics carry out the treatment. Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. State executives | 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 Haz clic aqu, Mongols gang member sentenced to 10 years in killing of Pomona officer, Polar bear kills woman, boy in remote Alaska village, Man gets 30 years in prison in road rage killing of teen Astros fan. The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. background-color: black !important; The FKGL for the ballot summary is grade level 14, and the FRE is 20. 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. CON Read more endorsements at: latimes.com/endorsements. Revenues go toward K-12 schools, California Community Colleges, and healthcare. "Government can only take so much of a bite out of the economy.". Tobacco, What's on my ballot? Committee major funding from DaVita, Fresenius Medical Care, and U.S. Renal Care. } Like last time, this latest proposition will again jeopardize access to care, worsen our health care provider shortage and increase health care costs for all Californians. Dialysis Mimics What a Normal Kidney Does. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. font-size:1.0em; Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets,. Public policy. 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. 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