If CDPH approves the exception, the clinic can meet the requirement through telehealth. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. The California Democratic Party and California Labor Federation supported the campaign. Federal courts | Medi-Cal. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. Proposition 29 includes several requirements affecting clinics, as discussed below. 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. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. Dialysis is recommended when a person's kidneys lose most of their function. Jan 29, 2023. Charges Penalties if Dialysis Clinics Do Not Report Required Information. However, if trained nephrologists are present during treatment, these patients could receive improved quality of care. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. 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. The ad will run statewide on broadcast, cable and digital. According to a 2012 report by the California Legislative Analyst's Office, Proposition 29 would generate approximately $735 million a year in new tax revenues. If less than 95 percent are estimated to be valid, the initiative does not make the ballot. The proposed initiative, if. "Things like Prop 29 are the worst of proposed government. This is a breaking news topper. [12], The following were the top donors to the committee. Prop. 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. Kidney donors must take time off work, suffer discomfort, and accept the increased health risks that come with having only one kidney. All Rights Reserved. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. .ballot-measure-endorsements td { width: 35% !important;} They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. 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. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. 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. "[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. 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. Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. color:white !important; If they miss a treatment because of reduced hours or access, it could be fatal. 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. 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. However, not everyone is in favor of the measure. California allows same-day voter registration. How often a person needs hemodialysis treatment can vary. Medicare pays for dialysis treatment for the majority of people on dialysis in California. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. margin-top: 10px !important; Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. [3], The committees in support or opposition of Proposition 8 had raised a combined $130.43 million, making the ballot measure the most expensive of 2018. 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. Group and Individual Health Insurance. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) The ban is delayed until voters make a decision in November. Proposition 29 imposes new regulatory responsibilities on CDPH. The word count for the ballot title is 17. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. 8 in 2018 and Prop. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. The free college has both its own pros and cons so make the decision wisely! All Rights Reserved. Clinics are already required to have a physician on staff overseeing patients care, and each patient has a kidney specialist directing their individual treatment. Healthy kidneys remove waste and extra fluid from a persons blood. Opponents claim that it may force some clinics to close. 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. Cities | 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. CON [19][20] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. The Californians for Kidney Dialysis Patient Protection PAC raised $8.99 million from the SEIU-UHW West. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. emphasis on political coverage within a state; and. Click here for the California Secretary of State page to ensure you have the most current information. [13] On the ballot as Proposition 8, 59.9% of voters rejected the proposal. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. Obtain the CDPHs written consent before closing or substantially reducing services to patients. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Supporters also say that greater financial disclosure is required so that researchers and the public can better assess the impact of physician ownership of clinics. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. 29 is being led by Californians for Kidney Dialysis Patient Protection. .sbtotalheader { font-size:1.2em; Federal Regulations Require a Medical Director at Each Dialysis Clinic. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. This amount is less than one-half of 1percent of the states total General Fund spending. However, some voters may be asked to show a form of identification when voting if they are voting for the first time after registering to vote by mail and did not provide a driver license number, California identification number, or the last four digits of their social security number.[40][41]. It was not intended to be weaponized in this way. Dialysis patients deserve protection under the law. Proposition 29 purports to improve patient care. margin-top: 0 !important; [6] Prop. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. 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. 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 arguments come from many sources and are not limited to those presented in the Official Voter Information Guide. Elections in 2023 | 29 in 1 minute. Federal law generally makes people with kidney failure eligible for Medicare coverage regardless of age or disability status.

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