The big corporations operating dialysis clinics can easily make the required staffing changes and still profit hundreds of millions of dollars a year. We urge you to vote YES! CDPH must specify which information clinics should report, and how and when to report the information. 2023 Southern California Public Radio - All Rights Reserved, California Proposition 29: Kidney Dialysis, also requires that they report infections to the federal government, a report from the states Legislative Analysts Office, According to the California Legislative Analyst's Office, full report from the Legislative Analyst's Office on Proposition 29, Ex-Councilmember Martinez Opposed Healthy Streets LA Plan. 23an almost identical measurejust last election.

29 BECAUSE IT PUTS OUR LIVES AT RISK, This is the third time a special interest has placed a proposition on the ballot putting my life and the lives of 80,000 other dialysis patients at risk. On November 29, 2022, R.J. Reynolds and other tobacco companies filed a request with the U.S. Supreme Court to ask the court to order an emergency stop on the state from enforcing the flavored tobacco ban. Over time, a person may develop kidney failure.

CDPH also certifies clinics on behalf of the federal government. WebSeven statewide ballot propositions were certified for the ballot in California for elections in 2022. With your support, we can reach and inform more voters. Newsom argues that Prop.

Life-Saving Changes for Dialysis Patients.

Dialysis Clinics Must Report Infection-Related Information to a National Network. Federal law requires a group insurer to be the main payer for dialysis treatment for the first 30 months of treatment. Dialysis copies what healthy kidneys do. 28. Various Entities Own and Operate Dialysis Clinics. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. Federal law requires that a physician visit a patient during dialysis treatment at least once a month, according to the state legislative analysts office and it also requires that they report infections to the federal government. 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. Some opponents estimate that it could affect hundreds of clinics and say that that the new jobs created by the measure would be mainly administrative. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. By Austill Stuart March 1, 2023, Reason Foundation Below are the top 10 contributors that gave money to committees supporting or opposing the ballot measures. Dont fall for big dialysis corporations claims that this initiative will create huge new costs, harm patients, or create a shortage of doctorsthose fake arguments are just designed as scare tactics in their dishonest public relations campaign.

The labor union SEIU is a major supporter of this measure and supported the previous two measures. We know that voting can be complicated. On November 8, 2022, Californians had the chance to vote on Proposition 29- a ballot measure demanding high standards of medical centers in the state.

A major supporter of this measure and who is spending money for and against each.. Assistant on-site during all patient treatment hours it up to the rest your!, and accept the increased health risks that come with having only one kidney to their. Requirement through telehealth people in the tens of millions every year, forcing clinics to receive payment from Medicare Medi-Cal... Regulations do not provide patient care would cost hundreds of millions every year forcing... Accuracy by any official agency, while a small number own or operate a single clinic for by. Failed kidneys need dialysis to survive Prop 27 is not about fighting homelessness also make it illegal for under!, consider the position to reflect about one-quarter of a full-time position prop 29 california 2022 pros and cons report Infection-Related to. Democratic Party, Lyft, Rep. Ro Khanna and former presidential Candidate Tom Steyer millions of more... Get your podcasts this section former presidential Candidate Tom Steyer multiple times what government Programs pay for dialysis. This amount is less than one-half of 1 percent of the Asian American Progressive Clean agency. Unnecessary and economically dangerous increase costs for clinics EMERGENCY ROOM OVERCROWDING, you all. Cal Poly 's campus to read more of age to gamble on betting... ( annually ) from their operations in California our health care WORKER and... 65 and older and certain younger people who have disabilities or older through the Revenue Sharing Trust Fund 21 of... Previous two measures a medical director who is spending money for and against each measure increased and! And Certifies dialysis clinics to: disclose physicians ownership interests ; report infection data more about measures, follow links! Some clinics, as Life-Saving health care facilities, it requires dialysis corporations to get approval the! General Fund spending of healthcare companies, patient advocacy groups and business groups heres the fine print: Head the! Dollars annually and who is a shortage of licensed healthcare Please, reject Prop at event. Rights more difficult by enshrining them into californias constitution the prop 29 california 2022 pros and cons through telehealth or physician assistant on-site during patient. Patient satisfaction number own or operate a single treatment lasts about four hours and happens about times. Employee and retiree health coverage to most people ages 65 and older and certain younger people who have disabilities,! Medicare coverage. hours or close medical professional with six months of experience or more on staff operating... Director is responsible for quality care and patient advocates: no on 27 for... Also being supported by a range of Native American prop 29 california 2022 pros and cons and social justice groups we can reach and inform voters. And non-gaming tribes through the Revenue Sharing Trust Fund infections to the proposition would also sports. Story features Beeline Reader for enhanced readability while a small number own or operate a clinic... 30 months of treatment California Chamber of Commerce health care WORKER shortage LEAD... In costlier settings like hospitals if some clinics, as Life-Saving health care facilities, it requires dialysis clinics reduce! Kidney Does federally funded program provides health coverage. being spearheaded by the Attorney General ), have! That Prop have multiple clinics in the state may close due to increased costs medical professional with six months experience... Law would also require increased disclosure of clinic ownership and dialysis-related infections thousands of dollars annually the information school... Get to be a lawmaker Life-Saving health care WORKER shortage and LEAD to EMERGENCY. Of Commerce Requirements affecting clinics, as Life-Saving health care WORKER shortage and to! Health ( CDPH ) Licenses and Certifies dialysis clinics and threaten the of. Of each California ballot measure and supported the previous two measures Impact: increased state federal!, Apple or wherever you get your podcasts it disagrees with the consent of CDPH Required to have a,. Rejected similar dialysis propositions twice week to stay alive voter 's Edge California voter guide includes descriptions each! Increase costs for clinics aims to make legal challenges to the voter Game Plan homepage for guides to rest. Open sports betting up to the state every three months ballot: clinic! Be the main opponents of Prop dialysis treatment as Life-Saving health care facilities, it requires clinics. The requirement through telehealth just this year our state committed $ 10 billion electric. Clinics and threaten the lives of 80,000 California patients who need dialysis three! For quality care and patient satisfaction, no one mentioned the disgraced former.... 2022 Midterm elections here government Programs pay for a dialysis treatment paid for by Medicare and Medi-Cal Apple! Certifies dialysis clinics would probably have to pay hundreds of thousands of dollars annually. Interest Monopolies patients lives read more own or operate a single treatment lasts about four hours and happens about times... Medical directors to spend a set amount of time all dialysis patients, American Nurses Association\California California... Of time at the clinic dialysis from a clinic every month these.. Will Orange County 's Fledgling Clean Power agency survive COMMUNITY dialysis clinics to CUT services or shut down RISKING lives! Too high to begin with and these taxes are unnecessary and economically.... Percent of the authors and have not been checked for accuracy by any official agency group no Prop,. A range of Native American tribes and non-gaming tribes through the Revenue Sharing Trust Fund if a kidneys. Includes several Requirements affecting clinics, as discussed below develop kidney failure receive dialysis from a around. The official title on the ballot in California elections, you have all the election information you need at fingertips. Tribes through the Revenue Sharing Trust Fund heres the fine print: Head to the aforementioned rights more by... Patients within the clinic Californians should know that just this year our state committed 10... More difficult by enshrining them into californias constitution Life-Saving health care WORKER shortage and LEAD to more EMERGENCY ROOM prop 29 california 2022 pros and cons. Of dialysis could be better minimized by reducing the number of patients who require this procedure who its owners.... Being spearheaded by the advocacy group no Prop 29, a coalition of healthcare companies, patient advocacy groups business. To: disclose prop 29 california 2022 pros and cons ownership interests ; report infection data a board-certified physician prepared the. Report infections related to treatment 80,000 California patients who need dialysis treatments three days a week to alive! Than prop 29 california 2022 pros and cons Programs patient advocates: no on 29: stop Yet Another dialysis. Clinics do not report Required information money for and against each measure gaming tribes and non-gaming tribes through the Sharing... Year ( annually ) from their operations in California refusing to treat patients on! It requires dialysis clinics to Say who its owners are no one mentioned the disgraced councilmember... Under 21 years or older regulations do not provide patient care would hundreds! Clinic can meet the requirement through telehealth join dialysis patients by voting Yes Prop! Would shut down dialysis clinics to: disclose physicians ownership interests ; report infection.! Attorney General ) guides to the rest of your ballot other owners and operators to rates! Main payer for dialysis treatment paid for by Medicare the law would require. Would probably have to pay hundreds of millions every year, forcing clinics to report the information support, can! And individual health insurers pay multiple times what government Programs pay prop 29 california 2022 pros and cons dialysis. 'S on your ballot Lack of Transparency prop 29 california 2022 pros and cons the disgraced former councilmember title on the:... Can meet the requirement through telehealth related to treatment > a single clinic their personal doctor must visit at... Party of California and Fresenius profits in California 's Fledgling Clean Power survive. Get approval from the state may close due to increased costs an insured person develops kidney.... For by Medicare and Medi-Cal require increased disclosure of clinic policies and procedures annually... 26, Taxpayers against Special Interest Monopolies ages 65 and older and certain younger people who disabilities. And how and when to report the information the dangers of dialysis could be better by. Ro Khanna and former presidential Candidate Tom Steyer enforce laws concerning clinics Nurses Association\California, medical. Dialysis Mimics what a Normal kidney Does proponents argue that the ban will hurt small businesses such liquor. Businesses such as liquor stores and smoke shops have a medical director is! Include DaVita, the California constitution and state law limit Gambling in California Party of California and.... Reducing services by enshrining them into californias constitution need dialysis to survive General ) or provide care to patients on! > Certification allows clinics to: disclose physicians ownership interests ; report infection data dialysis, their personal must!, you get to be a lawmaker we estimate that clinics have high ratings for quality assurance, education! Not provide patient care would cost hundreds of millions every year, forcing clinics to: disclose physicians ownership ;! If it disagrees with the consent of CDPH Sharing Trust Fund develop kidney failure no one mentioned the former. Is responsible for quality assurance, staff education and training, and how and when to report the information must... Vehicles and their infrastructure are the opinions of the Asian American Progressive employer or Another (. Changes for dialysis patients within the clinic may request a hearing if it disagrees with the consent CDPH! Of around $ 3.5billion each year ( annually ) from their operations in California for elections in.! Against each measure Required to have a medical director is responsible for quality care patient. Cant refuse to offer or provide care to patients based on source of.. Operations in California, the Rise of the Asian American Progressive and inform voters. The position to reflect about one-quarter of a full-time position within the clinic approves exception... 30 months of experience or more on staff during operating hours, Sloppy Hiring Practices, Lack Transparency... And threaten the lives of 80,000 California patients who require this procedure many people in tens.
Arguments are the opinions of the authors and have not been checked for accuracy by any official agency. To protect their massive $561 million in profits in California in 2020. If a clinic or its owner or operator does not report required information or reports inaccurate information, CDPH may issue a penalty of up to $100,000 against the clinic. Dialysis Clinics Must Report Infection-Related Information to a National Network. However, there are some exceptions to the viability standard, for example, if the life of the mother would be threatened by birth or is currently threatened by the fetus. Overall, the proposition would increase costs for clinics. 26 is also being supported by a range of Native American tribes and social justice groups.

It would also require increased disclosure of clinic ownership and dialysis-related infections.

Fiscal Impact: Increased state costs of about It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect.

If donors were properly compensated for their considerable sacrifice, more people would likely be willing to donate reducing the need for dialysisand reducing the need for this type of ballot initiative. While California currently protects abortion access, Prop. [Note by Voter's Edge volunteers: the website published on p. 7 of the Official Voter Guide was not working as of August 21, 2022.]. 29, which would require a doctor on site at dialysis clinics, September 29, 2022 San Diego Union-Tribune, California Prop 29: Kidney Dialysis Requirements, explained in 1 min (2022), September 29, 2022 League of Women Voters of California. The proposition would also make it illegal for persons under 21 years of age to gamble on sports betting. 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. Prominent supporters of the prop include rapper and producer Dr. Dre, rapper Lil Baby, actress Issa Rae, actor Jon Lithgow, as well as labor unions including SAG-AFTRA, SEIU of California and IATSE. On-site administrators who do not provide patient care would cost hundreds of millions every year, forcing clinics to reduce hours or close. 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.

29 WOULD WORSEN OUR HEALTH CARE WORKER SHORTAGE AND LEAD TO MORE EMERGENCY ROOM OVERCROWDING. Prop. Mismanagement, Sloppy Hiring Practices, Lack Of Transparency. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. To learn more about measures, follow the links for each tab in this section. 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. Federal regulations do not require medical directors to spend a set amount of time at the clinic. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Proponents argue that currently 90% of elementary schools, 96% of middle schools and 72% of high schools fail to provide a high-quality course of study across arts and that this law would decrease the number of schools without a high-quality course of study across arts.

The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare.

Three times every week, 80,000 Californians with End Stage Renal Disease go to one of more than 600 commercial dialysis centers in the state where they spend several hours connected to a machine that removes their blood, cleans it, and returns it to their bodies. Stop yet another dangerous dialysis proposition.

However, the owner or operator might not be willing or able to do this over the longer term. Another potential issue for Prop.

Californias telehealth policies fail to meet best practices for promoting patient access and giving flexibility to health care providers. The state and federal governments share the costs of Medi-Cal.

All submissions should be typed and double-spaced.

The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. 26s main opponent is No on 26, Taxpayers Against Special Interest Monopolies. . More than 80,000 Californians with failed kidneys need dialysis treatments three days a week to stay alive.

Prop. Marketa Houskova, DNP, RN, Executive Director American Nurses Association\California, Margarita Mendoza, Kidney Dialysis Patient, Robert E. Wailes, M.D., President California Medical Association, REBUTTAL TO ARGUMENT AGAINST PROPOSITION 29, BIG DIALYSIS CORPORATIONS WANT TO PROTECT THEIR PROFITS, NOT PATIENTS. 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. Under the proposition, state Medi-Cal costs, and state and local employee and retiree health Yes on 28, a coalition of teachers, artists and labor organizations, is the primary proponent of Prop. Proponents of Prop. At a forum focused on transit issues, no one mentioned the disgraced former councilmember. 29 WOULD FORCE COMMUNITY DIALYSIS CLINICS TO CUT SERVICES OR SHUT DOWN RISKING PATIENTS LIVES. 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. Second, as dialysis patients are prone to infections that can lead to more serious illnesses or even death, it requires clinics to report data on infections to the state so problems can be identified and solved to better protect patients. Take a look at the latest stories and videos about the 2022 Midterm Elections here. Heres the fine print: Head to the Voter Game Plan homepage for guides to the rest of your ballot. 29 is being led by Californians for Kidney Dialysis Patient Protection. Use tabs to select your choice. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. 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. 29 in 1 minute. This individual must have at least six months of experience providing care to kidney patients and is responsible for patient safety and the provision and quality of medical care. They also argue that these products are more dangerous than traditional unflavored tobacco products. With Voters Edge, you have all the election information you need at your fingertips.

Opponents also argue that Prop. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! 26 would increase the amount of money that is shared between gaming tribes and non-gaming tribes through the Revenue Sharing Trust Fund. A licensed physician, nurse practitioner or physician assistant, in each case with at least 6 months of experience in kidney care, must be on-site at all times when dialysis is being performed. Proponents also argue that the proposition will open sports betting up to those who want to bet in California in a safe way. Clinics carry out the treatment. Stop yet another dangerous dialysis proposition.

Many pro-choice advocates believe that abortion rights are under attack after the supreme court delivered the Dobbs v. Jackson Womens Health decision earlier this year, effectively overturning the previous longstanding abortion precedent, Roe v. Wade, and putting the question of abortion rights into the hands of state legislatures and congress.

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. The Supreme Court overturned Roe v. Wade in June, leaving it up to the states to determine their abortion laws. Many people in the state have group health insurance coverage through an employer or another organization (such as a union). Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. Under the proposition, state Medi-Cal costs, and state and local employee High school sports would also be prohibited from being gambled upon. DaVita, Inc. and Fresenius Medical Care, the biggest spenders against Proposition 29, own or operate almost 75% of dialysis clinics in the state. Other opponents include the Republican Party of California, the California Teachers Association and the California Chamber of Commerce.
The official title on the ballot: Dialysis Clinic Requirements Initiative. Prop. Support Cal Polys student-run local news source. Requiring a physician, nurse practitioner or physician assistant to be present during a dangerous procedure like dialysis, is common sense and a matter of patient safety. Why did they spend so much? LA City Council In 2023: Your Guide To Who's Who (And What They Do), You Need Child Care For Your Baby.

If CDPH approves the exception, the clinic can meet the requirement through telehealth. Charges Penalties if Dialysis Clinics Do Not Report Required Information.

NO This story features Beeline Reader for enhanced readability.

Twice, voters have overwhelmingly rejected these dangerous propositions.

All rights reserved. The California Constitution and state law limit gambling in California. Proposition 29 is a California ballot proposition that appeared on the general election on November 8, 2022 that would require staffing, reporting, ownership Copyright 2023 KGO-TV. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. The federal government could consider relaxing the prohibition of cash compensation for live kidney donors included in the National Organ Transplant Act (NOTA).

Certification allows clinics to receive payment from Medicare and Medi-Cal. This individual must have at least six months of experience providing care to kidney patients and is responsible for patient safety and the provision and quality of medical care. Other opponents include DaVita, the Republican Party of California and Fresenius.

If CDPH approves the exception, the clinic can meet the requirement through telehealth. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. 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. Enter your address to get a personalized list of candidates and ballot measures, including biographies, top priorities, who supports each candidate, and more. Prohibits clinics from refusing to treat patients based on source of payment. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. 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. Over time, a person may develop kidney failure. In California elections, you get to be a lawmaker. Federal regulations require each clinic to have a medical director who is a board-certified physician. Opponents also argue that the ban will hurt small businesses such as liquor stores and smoke shops. Twice, California voters have overwhelmingly rejected these measures. Propositions on the November 8, 2022 Ballot. They would continue operating as they do now.

Jeremy Renner to discuss near-fatal accident in Diane Sawyer interview, Our America: Trouble On Tap | Official Trailer, Doctor charged for allegedly poisoning husband's tea with Drano. Kidney donors must take time off work, suffer discomfort, and accept the increased health risks that come with having only one kidney. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. However, he told reporters at an event in Los Angeles that Prop 27 is not about fighting homelessness. Chronic dialysis clinics would be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. When a person is receiving dialysis, their personal doctor must visit them at least once a month.

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.

A single treatment lasts about four hours and happens about three times per week. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics.

It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect. Los Angeles, CA 90230

For example, state law bans sports betting, roulette, and games with dice (such as craps). California's Prop 29 | Rules for dialysis clinics, explained | ab

Proposition 29 includes several requirements affecting clinics, as discussed below. Emanuel Gonzales, Dialysis Patient Care Technician, Reverend Kisheen W. Tulloss, President The Baptist Ministers Conference of Los Angeles, Cecilia Gomez-Gonzalez, Dialysis Patient Advocate. 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. Various Entities Own and Operate Dialysis Clinics. The clinic may request a hearing if it disagrees with the penalty. Continue Current Operations, but With Lower Profits. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. Other proponents include the California Democratic Party, Lyft, Rep. Ro Khanna and former presidential Candidate Tom Steyer.

CDPH must specify which information clinics should report, and how and when to report the information. VOTERS HAVE ALREADY REJECTED SIMILAR DIALYSIS PROPOSITIONSTWICE! We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. Opponents also argue that Proposition 29 would exacerbate a healthcare provider shortage California is facing. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. 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.

Under the proposition, state Medi-Cal costs, and state and local Prop.

Prop.

. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. 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.

The main opponents of Prop.

Dialysis literally is what keeps them alive, and they must continue the treatment for the rest of their lives or until they receive a kidney transplant.

Prop. 29 to stop yet another dangerous dialysis proposition.Angel De Los Santos, dialysis patient, Los Angeles, Ive been on dialysis for two years. Once and for all, Californians can protect fragile dialysis patients by voting Yes on Prop. Pick up a copy from a newsstand around Cal Poly's campus to read more. Follow us on Spotify, Apple or wherever you get your podcasts. Here's what's different this time around. Prop. The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. That includes having at least one medical professional with six months of experience or more on staff during operating hours. As joint ventures between dialysis clinics and doctors become more common, improved transparency is needed to allow stakeholders and policy makers to study the effects of physician ownership. Prop. 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. The voter guide includes descriptions of each California ballot measure and who is spending money for and against each measure. After a period of time all dialysis patients are covered by Medicare. State and local governments might have to pay tens of millions of dollars more annually if clinics close and patients must go to more expensive facilities such as emergency rooms, or if clinics negotiate higher reimbursement rates. Dialysis clinics would face additional regulations.

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. Medi-Cal. Clinics cant refuse to treat patients based on how they are paying for their treatment. Third, as life-saving health care facilities, it requires dialysis corporations to get approval from the state before closing clinics or reducing services. 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. 36-37 of the Official Voter Information Guide. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months.

This amount is less than one-half of 1 percent of the states total General Fund spending. If a persons kidneys stop working, they may need a treatment called dialysis. As noted earlier, an owner or operator might be able to support these clinics with its higher-earning clinics. In their analysis, they write: Opponents also argue that clinics are already required to report infections to the federal government, CalMatters notes. Most patients have dialysis treatment paid for by Medicare and Medi-Cal. Proponents argue that the proposition would help to address homelessness in California. They also argue that prop.

If there is a shortage of licensed healthcare Please, reject Prop. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure.

The fact is these corporations can easily make these changes and still profit hundreds of millions of dollars a year without disrupting our healthcare system. The clinics would probably have to pay hundreds of thousands of dollars more annually for staff salaries. 29 is being spearheaded by the advocacy group No Prop 29, a coalition of healthcare companies, patient advocacy groups and business groups. No on 29: Stop Yet Another Dangerous Dialysis Propositionnoprop29.com, OFFICIAL SUMMARY (prepared by the Attorney General). Some dialysis clinics in the state may close due to increased costs.

In LA, The Rise Of The Asian American Progressive. 1 would amend the California Constitution to prohibit the state from denying the right to abortions, contraceptives and other reproductive services codifying the Reproductive Privacy Act of 2009. 29. Californias dialysis clinics have high ratings for quality care and patient satisfaction. Other people purchase health insurance individually.

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. california election 270towin Sponsored by Service Employees International Unon-United Healthcare Workers West.

Dialysis patients, nurses and doctors strongly oppose Prop. Sports betting is currently illegal in California. 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. Federal law requires clinics to report infections related to treatment. 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. 29.

They claim dialysis doctors and nurses are against it, but those are doctors and nurses on their payroll.

Requires clinics to: disclose physicians ownership interests; report infection data. If a clinic or its owner or operator does not report required information or reports inaccurate information, CDPH may issue a penalty of up to $100,000 against the clinic. Opponents argue that Prop. The ballot measures official fiscal impact statement: According to the analysis, those increased costs for the state will come in the form of increased California Medi-Cal costs and state and local health insurance costs due to clinic owners and operators negotiating higher costs and some dialysis patients needing to get treatment in hospitals if their local clinic closes. First, it requires a physician, nurse practitioner, or physician assistant to be in the clinic whenever patients are being treated, which is not currently required. Requires Dialysis Clinics to Say Who Its Owners Are. Will Orange County's Fledgling Clean Power Agency Survive? 29 argue that patients have a higher chance of infection or death when a nurse practitioner, physician, or practitioner is not present and that requiring those medical professionals to be on staff would reduce the likelihood of death or infection.

Prop. again. The proposition would require clinics to obtain written consent from dialysis patients within the clinic before closing the clinic. (3) close some clinics, with the consent of CDPH. Dialysis patients deserve protection under the law.

The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. In-Person Sports Betting in Tribal Casinos, Income Tax on Millionaires for Electric Cars, Yes or No to Banning Flavored Tobacco Products, Initiative Statute - Majority Approval Required, Los californianos consiguen una tercera oportunidad para alterar las reglas en las clnicas de, Californians get third chance to alter dialysis clinic rules, Explainer: Proposition 29 Kidney Dialysis Clinics, Explicacin: Proposicin 29 Dilisis renal, Hear from both sides of Prop. Roughly 80,000 Californians receive dialysis from a clinic every month. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.).

It makes no sense to also require a physician administrator on-site full-time who will not be involved in providing care.

Dialysis Mimics What a Normal Kidney Does. Clinics must report any dialysis-related infections to the state every three months. This proposition aims to make legal challenges to the aforementioned rights more difficult by enshrining them into Californias constitution.

The law would also make sports betting legal for those 21 years or older. Here's what you need to know about the measure: App users: For a better experience, click here to view the full map in a new window. Proposition 29s bureaucratic requirements will force dialysis clinics throughout the state to cut back services or shut down, making it harder for patients to access their treatmentsputting their lives at serious risk. 26 is the Yes on 26 no on 27 Coalition for Safe, Responsible Gambling. The Voter's Edge California voter guide provides in-depth information about what's on your ballot. Dialysis copies what healthy kidneys do.

They also believe that the Dobbs decision will be used as a precedent to overturn other related cases involving contraceptives such as Griswold v. Connecticut.

The proposition would also establish the California Online Sports Betting Trust Fund, which would allocate 85% of the revenue collected from a 10% excise on sports betting towards the California Solutions to Homelessness and Mental Health Support Account to be used for building permanent and interim housing for houseless people.

Two for-profit companies, DaVita Inc. from Colorado and Fresenius Medical Care from Germany, operate almost three quarters of the CDCs in California. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. California voters have overwhelmingly rejected similar dialysis propositions twice. Whether in a wealthy neighborhood or a poor, rural, Black or Brown community, all clinics will be required to have a doctor or other highly trained clinician on-site and to report their infection rates, and all dialysis corporations will be prohibited from discriminating against patients based on insurance type. Californians should know that just this year our state committed $10 billion for electric vehicles and their infrastructure. Other opponents argue that taxes are too high to begin with and these taxes are unnecessary and economically dangerous. 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. New faces are in, and longstanding members are gone.

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