prop 29 california 2022 pros and cons

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. The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. 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. As noted earlier, an owner or operator might be able to support these clinics with its higher-earning clinics. Another potential issue for Prop. Why are city leaders picking winners and losers? In this section, Ballotpedia does not include opinion pieces written by individuals or groups that do not represent the official position of a newspaper or media outlet. The committee reported nearly $86.4 million in contributions from DaVita Inc. and Fresenius Medical Care. Californias initiative system was created more than a hundred years ago to give citizens the power to make new laws when their elected leaders failed to do so. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. .arguments-bm-widget li { [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. Prop. 12:08 p.m. Oct. 17, 2022: An earlier version of this endorsement reported that the proponents did not have a website. "[19] Dave Regan stated, "The reason Prop. The additional tax revenue would be used to fund cancer research, smoking reduction programs and tobacco law enforcement. 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. Conditional voter registration is available beginning 14 days before an election through Election Day. Proponents of Prop. Even the labor-friendly Legislature has refusedto pass similar legislation. Patients need about three treatments per week, and missing a treatment can result in serious health complications. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. 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. Proponents of Prop. 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 Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. Specifically, because dialysis is a dangerous procedure, it is essential that a trained clinician be nearby to react if something goes wrong. -webkit-columns: 2; [6] Prop. } That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. The proposition is also partially an effort by the Service Employee International Union to introduce state regulation of dialysis clinics through the ballot box. Initiative Statute. How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? 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. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. Gambling This November is no different. CDPH also certifies clinics on behalf of the federal government. 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's Proposition 29 on the state's 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. Signatures need to be certified at least 131 days before the general election. The clinic may request a hearing if it disagrees with the penalty. MORE | What's the difference between Prop 26 and Prop 27? Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. This measure isnt really about patient care. The attorney general wrote the ballot language for this measure. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. Business regulation Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. These propositions deal with abortion, sports betting and environmental initiatives. [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. It would also require increased disclosure of clinic ownership and dialysis-related infections. .sbtotaltotal { .split-cols-bm { Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. 30 Millionaires Tax: no. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. 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. 1461, also known as the New Motor Voter Act. A clinic may dispute CDPHs decision by requesting a hearing. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. Text of measure Ballot title The official ballot title was as follows: [5] background-color: black !important; If there is a shortage of licensed healthcare workers available to monitor. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. .split-cols-bm { 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. 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. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. Signatures were due on April 27, 2022. Prop. } Dialysis care is a highly complex issue and should not be left up to voters to decide. U.S. Congress | Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. The California Republican Party is against the measure. However, the owner or operator might not be willing or able to do this over the longer term. SAN FRANCISCO (KCBS) - One of the hot button issues heading into the June Presidential Primary Election is Proposition 29, the Tobacco Tax for Cancer Research Act. Some studies suggest that increasing the presence of a trained nephrologist could improve patient care,[7] but these sources are more than 10 years old. 29 in 1 minute. 29 is the third attempt in four years by labor organization Service Employees International Union-United Healthcare Workers West (SEIU-UHW West) to regulate dialysis clinics. 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. Over time, a person may develop kidney failure. While our example was specifically drawn from a home in Los Angeles, a similar story is likely to play out in other areas of California. California allows same-day voter registration. A "yes" vote supported 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. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. California voters have seven propositions to vote on in the Nov. 8 general election. 29 Dialysis Clinics: no. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. } This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. Some people qualify for both Medicare and Medi-Cal. Sacramento TheSanta Rosa Press Democratand the 11 papers that make up theSouthern California News Grouptold voters to reject Proposition 29 in recent editorials. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. All Rights Reserved. Revenues go toward K-12 schools, California Community Colleges, and healthcare. If they miss a treatment because of reduced hours or access, it could be fatal. Who supported and opposed Proposition 29? A variety of nonprofit organizations and for-profit companies own or operate the other clinics. Propositions on the November 8, 2022 Ballot. The Stop the Dangerous & Costly Dialysis Proposition PAC was registered to oppose the ballot initiative. [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. margin-bottom: 5px !important; CON *The 2022 CalMatters Voter Guide is sponsored by the California State Library. California voters have overwhelmingly rejected similar dialysis propositions twice. An individual who is in line at the time polls close must be allowed to vote. Residents can register to vote by visiting this website. U.S. President | Pros & Cons Unbiased explanation with arguments for and against . About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. This material may not be published, broadcast, rewritten, or redistributed. Stop yet another dangerous dialysis proposition. Take a look at the latest stories and videos about the 2022 Midterm Elections here. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. Help expand Ballotpedia's elections coverage - volunteer with us. [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. December 29, 2022. 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. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition. If the random sample estimates that more than 110 percent of the required number of signatures are valid, the initiative is eligible for the ballot. nurse practitioner or physician assistant be on site during treatment. It was not intended to be weaponized in this way. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. !function(){"use strict";window.addEventListener("message",(function(e){if(void 0!==e.data["datawrapper-height"]){var t=document.querySelectorAll("iframe");for(var a in e.data["datawrapper-height"])for(var r=0;r Who Is The Old Guy In 'down To The Honkytonk, Landlord Causing Emotional Distress Ontario, Blues Brothers 2000, Articles P