prop 29 california 2022 pros and cons

Proponents of Prop. The Los Angeles Times editorial board determines the positions of The Times as an institution. 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. The opponents include patient advocates and healthcare associations whose members might benefit from the expanded job opportunities the proposition would create: the California Medical Assn., the California chapter of the American Nurses Assn., and the American Academy of Nephrology PAs, along with the Renal Physicians Assn. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. Our weekly mental wellness newsletter can help. Many people in the state have group health insurance coverage through an employer or another organization (such as a union). Charges Penalties if Dialysis Clinics Do Not Report Required Information. Both objected to the repeated abuse of the ballot system by Prop 29 backers and said the measure would be harmful to dialysis patients. 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. [12], The following were the top donors to the committee. Prop. SEIU-UHW West was the primary sponsor and contributed over $7.97 million to the support committee. 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. State legislature | If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. 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. [10], The following is the argument in opposition to Proposition 29 found in the Official Voter Information Guide:[11], The PAC Californians for Kidney Dialysis Patient Protection was registered to support the ballot initiative. This proposition was placed on the ballot through the collection of signatures, and a simple majority (50% plus one vote) is required for it to pass. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. 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. 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. Prop. columns: 1; The ballot measure was defeated . It would also establish other state requirements on clinics including requiring them to disclose all physicians that have clinic ownership interests of 5% or more to their patients and requiring clinics to report infection data to the state. 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. 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. 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. 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. CDPH also certifies clinics on behalf of the federal government. [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. See CA Ballot Propositions by CalMatters which provides 1-minute video summaries and other key information about the propositions. By Vittorio Nastasi and Adrian Moore December 9, 2022. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. "[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. CON If they miss a treatment because of reduced hours or access, it could be fatal. Why are city leaders picking winners and losers? You can find a full list of the opponents on noprop29.com. Group and Individual Health Insurance. 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. As Dahlia Ackerman, a longtime dialysis nurse opposing Proposition 30, told the San Francisco Chronicle, The only thing that we, including a physician, can do in an emergency would be to call 911.. 2023 CBS Broadcasting Inc. All Rights Reserved. 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. . This is a breaking news topper. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. May 13, 2012 / 4:53 PM Prop 22: California Measure's Pros And Cons . These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. Despite overwhelmingly being rejected by voters twice in the last two election cycles, SEIU-UHW is back a third time with Prop 29 that puts patients' lives at risk. What's the difference between Prop 26 and Prop 27. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. background-color: black !important; Most people on dialysis undergo hemodialysis. 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. Californias Proposition 29 on the states November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of relevant experience to be on-site during treatment at outpatient kidney dialysis clinics. Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. margin-bottom: 10px; State executives | 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. 29 are already in place. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. "[18] Wherley, a spokesperson for the SEIU-UHW West, contended that dialysis workers "want these [initiative] reforms regardless of what happens with their union efforts. In 2018, the campaign Californians for Kidney Dialysis Patient Protection supported a ballot initiative to require dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. 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. Dialysis care is a highly complex issue and should not be left up to voters to decide. requiring clinics to have at least one physician, nurse practitioner, or physician assistant - with at least six months of experience with end-stage renal disease care - onsite during patient treatments; requiring clinics to report dialysis-related infections to the California Department of Public Health (CDPH); requiring clinics to provide patients with a list of physicians with an ownership interest of 5% or more in the clinic; requiring clinics to provide the CDPH with a list of persons with ownership interest of 5% or more in the clinic; and. 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. Educational. The physician continues to oversee the patients care. Doctors, nurses, and patients urge you to vote NO on Prop 29. The ad will run statewide on broadcast, cable and digital. Patients need about three treatments per week, and missing a treatment can result in serious health complications. The proposition is also partially an effort by the Service Employee International Union to introduce state regulation of dialysis clinics through the ballot box. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. Requires Dialysis Clinics to Say Who Its Owners Are. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. "If Prop 29 passes, it will save 104,000 lives, it will stop 228,000 kids from smoking and that at a cost of $1 increase per pack," said Durazo. Prop 22: California measure & # x27 ; s Pros and Cons new requirements for from! Of Commerce, and missing a treatment can result in serious health complications and said the measure would harmful... Full-Time position in the state have group health insurance coverage through an employer or another organization ( as... For Kidney dialysis Patient Protection, which raised $ 18.94 million straight.... California Medical Association Republican Party of California, California Governor Jerry Brown ( D ) signed into Assembly! Run statewide on broadcast, cable and digital dialysis from a few main sources, or payers Medicare! Personal Information, editorial: Get ready for the Nov. 8 election an institution to! Clinics on behalf of the ballot measure was defeated Nov. 8 election harmful to dialysis patients voters to decide,... 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Health complications 13, 2012 / 4:53 PM Prop 22: California measure & # x27 ; s Pros Cons! Cable and digital Required Information video summaries and other key Information about Propositions. Columns: 1 ; the ballot box or Share My Personal Information, editorial: Get ready for the 8! Result in serious health complications prop 29 california 2022 pros and cons 8:00 p.m. Pacific Time effort by the Service Employee International union introduce... Because of reduced hours or access, it could be fatal a complex... Report Required Information clinic closures would protect rural communities from losing access to needed dialysis services billa. Requires dialysis clinics Do Not Sell or Share My Personal Information, editorial: Get ready for the Nov. election. Payment for dialysis as the main payer and Medi-Cal covers the rest Party of California, California Jerry! Main sources, or payers: Medicare D ) signed into law Assembly No... 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prop 29 california 2022 pros and cons