The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. How often a person needs hemodialysis treatment can vary. [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. 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. Help expand Ballotpedia's elections coverage - volunteer with us. 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. This is just leverage. Prop. This measure would result in higher operating and penalty costs for dialysis clinics. Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. California voters will decide the fate of seven statewide propositions on Nov. 8. For the Third Time in a Row, Voters Soundly Reject Prop 29 the Dangerous Dialysis Proposition, In new ad, doctors and patients urge SEIU-UHW to stop putting dialysis patients lives at risk with ballot measure extortion, In Case You Missed It: Enough with this foolish extortion says LA Times columnist George Skelton. The California state government, the states two public university systems, and many local governments in California provide group health insurance coverage for their current workers, eligible retired workers, and their families. "Government can only take so much of a bite out of the economy.". The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. A NO vote on this measure means: Chronic dialysis clinics would not be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. Nor is there evidence that the current arrangement has harmed patients. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. Obtain the CDPHs written consent before closing or substantially reducing services to patients. May 13, 2012 / 4:53 PM On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. Group and Individual Health Insurance. 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. 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. Counties will begin mailing vote-by-mail ballots. "[19] Dave Regan stated, "The reason Prop. Prop. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. All Rights Reserved. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. The machine filters the blood and adds a solution to help remove waste. 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. Proposition 29 purports to improve patient care. 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. All rights reserved. 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. This measure isnt really about patient care. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. Report dialysis-related infections to the California Department of Public Health (CDPH). [7], The fiscal impact statement was as follows:[6], Increased state and local government costs likely in the low tens of millions of dollars annually. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. } You can find a full list of the opponents on noprop29.com. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. Prop 29 is supported by the California Democratic Party and SEIU United Healthcare Workers West. School districts | Jan 29, 2023. Public File for KBCW-TV / KBCW 44 Cable 12. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. Constitutional rights It's also supported by labor unions, local art/music/education groups, and the California . Owners and operators might try to negotiate higher rates from payers to cover some of the costs. Its true that clinics often have to call for help if a kidney patient has an emergency, but that wont change even with extra staff because they are not emergency medical facilities. margin-bottom: 0 !important; Specifically, the measure would require that clinics: Prop. Elections in 2023 | [14], Proposition 23 saw $114.23 million raised between supporters and opponents. Over time, a person may develop kidney failure. [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. 29. No program or agency should be specifically funded by fines and fees revenue. Clinics Could Respond to Higher Costs in Different Ways. The ballot measure was defeated . NO No on Prop 31- Californians Against Prohibition is campaigning for the veto referendum to repeal SB 793. Copyright 2023 KGO-TV. The physician designs the dialysis treatment plan, including specific aspects such as frequency, duration, and associated medicines. Ballotpedia did not identify media editorial boards in support of the ballot measure. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. 2023 CBS Broadcasting Inc. All Rights Reserved. David Miller, research director of SEIU-UHW, said, "Theres just so much improvement that can be made, and theres plenty of resources in the industry to make those improvements. .split-cols-bm { (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). Prop 29 Explained - November 8 Election . It would also prohibit clinics from refusing to treat patients based on the source of payment. Medi-Cal. Kidney Failure. Check out Bay Area safety tracker, Bay Area Life; Sundays at 6:30 p.m. on ABC7, click here to view the full map in a new window. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. The word count for the ballot summary is 84. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. } Why are city leaders picking winners and losers? Furthermore, its a tactic the union has used before to pressure healthcare facilities, most recently in Los Angeles and other cities, where the SEIU-UHW has qualified local ballot measures to force private health facilities, including dialysis centers, to pay workers at least $25 an hour. California allows same-day voter registration. Instead, this measure would increase the cost of care to the detriment of patients. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. 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.. Prop. 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. 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