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. The Times will begin publishing our endorsements this week for ballot measures and major local and statewide races. 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. 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. It would also require increased disclosure of clinic ownership and dialysis-related infections. margin-bottom: 10px; 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. 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. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. Dialysis, a treatment that removes waste and chemicals from the bloodstream, is administered to people whose kidneys no longer function properly. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. 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. Prop. } See CA Ballot Propositions by CalMatters which provides 1-minute video summaries and other key information about the propositions. The clinic may request a hearing if it disagrees with the penalty. Even the labor-friendly Legislature has refusedto pass similar legislation. | If federal data is insufficiently timely or complete, health advocates purposes would seem better served by working with the CDC to improve that data rather than imposing a second collection system in just one state un Prop. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. .split-cols-bm { U.S. President | "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. Group and Individual Health Insurance. [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. 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. Click "Show" to learn more about voter registration, identification requirements, and poll times in California. The solution absorbs wastes and uses the lining of the abdomen as a filter. State executives | 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. [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. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. The attorney general wrote the ballot language for this measure. Conditional voter registration is available beginning 14 days before an election through Election Day. 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. Patients Own Physician Oversees Treatment. columns: 2; The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. Most people on dialysis undergo hemodialysis. Proposition 8 would have required dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. 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. "[19] In 2017, legislation was introduced, but not passed, to require staff-patient ratios in dialysis clinics and, like the ballot initiative, limit the revenue of businesses. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. The pros and cons explanations of the ballot propositions are usually given as part of a program to groups. Other people purchase health insurance individually. Initiative Statute. Ballot measures, Who represents me? This November is no different. Contact Information. Dialysis copies what healthy kidneys do. nurse practitioner or physician assistant be on site during treatment. There are no recent or relevant statistics, surveys or studies that suggest a need for dialysis reform, nor is there substantial support for this proposition from dialysis professionals. Readability scores are designed to indicate the reading difficulty of text. California allows same-day voter registration. Currently, California relies primarily on federal regulations as the basis for its licensing program. Prop. Prop. .sbtotalheader { 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. However, the owner or operator might not be willing or able to do this over the longer term. A clinic may dispute CDPHs decision by requesting a hearing. He said the measure is important because of what it will do not only for the present, but also the future. emphasis on political coverage within a state; and. The propositions, like all state ballot measures, require approval by a simple majority . [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. The FKGL for the ballot summary is grade level 14, and the FRE is 20. 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. Specifically, because dialysis is a dangerous procedure, it is essential that a trained clinician be nearby to react if something goes wrong. 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. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. It would also require increased disclosure of clinic ownership and dialysis-related infections. 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. (310) 391-2245, 1747 Connecticut Ave NW However, not everyone is in favor of the measure. 29 in 1 minute. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. In 2020, Gov. 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. The state and federal governments share the costs of Medi-Cal. Clinics carry out the treatment. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. 2023 CBS Broadcasting Inc. All Rights Reserved. The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. [13] On the ballot as Proposition 8, 59.9% of voters rejected the proposal. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. 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. State and local courts | This measure would result in higher operating and penalty costs for dialysis clinics. Have at least one of the following on site during patient treatments: Legislative Analysts Office, Proposition 23, November 3, 2020. .split-cols-bm { Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. [7], The summary provided for inclusion on signature petition sheets was as follows:[6], Requires physician, nurse practitioner, or physician assistant, with six months relevant experience, on site during treatment at outpatient kidney dialysis clinics; authorizes exemption for staffing shortage if qualified medical professional is available through telehealth. Through October 27, 2022, the campaign had received over $23.2 million, including $9.7 million from R.J. Reynolds Tobacco Co. and $9.5 million from Philip Morris USA. December 29, 2022. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. Why are city leaders picking winners and losers? The PAC raised over $86.4 million in contributions. Another potential issue for Prop. This material may not be published, broadcast, rewritten, or redistributed. 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. Report dialysis-related infections to the California Department of Public Health (CDPH). California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. 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. Wage hikes for some workers, not others. By Vittorio Nastasi November 22, 2022, Reason Foundation [33], On June 20, 2022, the secretary of state reported that the random sample concluded that 725,890 signatures were valid.[34]. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. } The physician continues to oversee the patients care. 1 would amend California's constitution to say that the state would not be allowed to interfere with or deny a person's right to abortion or contraceptives if it passes. Read more endorsements at: latimes.com/endorsements. By Vittorio Nastasi and Adrian Moore December 9, 2022. Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. Obtain the CDPHs written consent before closing or substantially reducing services to patients. Prop. The Los Angeles Times editorial board determines the positions of The Times as an institution. }, The following is the argument in support of Proposition 29 found in the Official Voter Information Guide:[9], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. [32], The initiative campaign submitted 1,018,730 raw signatures. Opponents assert, Missing even a single dialysis treatment increases patients risk of death by 30%. Dialysis centers are already subject to substantial state and federal oversight and are thus quite safe. The previous two efforts to regulate dialysis clinics failed, so what is different this time around? 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. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. 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. [7], The full text of the ballot initiative is below:[1]. Medicare pays for dialysis treatment for the majority of people on dialysis in California. Business regulation and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. An individual who is in line at the time polls close must be allowed to vote. Dialysis care is a highly complex issue and should not be left up to voters to decide. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. Educational. } -webkit-columns: 1; This is just leverage. Counties | If a clinic plans to close or substantially reduce its services, Proposition 29 requires the clinic or its owner or operator to notify CDPH in writing and obtain CDPHs written consent. State law does not specify a length of time for which you must have been a resident to be eligible. A bipartisan bill introduced in Congress, House Resolution 3569, would amend NOTA to clarify that organ donors could be compensated for out-of-pocket expenses, lost wages, and other costs associated with donating. font-size:1.2em; 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. / CBS San Francisco. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. 29 Dialysis Clinics: no. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. .sbtotaltable th { Ballotpedia did not identify media editorial boards in support of the ballot measure. The proposed initiative, if. The measure would have required a doctor, nurse practitioner or physicians' assistant to be present during treatment at the state's 600 outpatient dialysis facilities. 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. font-weight:bold; This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. Opponents, organized as Patients and Caregivers to Protect Dialysis Patients, raised $111.48 million, with DaVita and Fresenius Medical Care North America providing 90% of the campaign's funds. Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. You can find a full list of the opponents on noprop29.com. If CDPH approves the exception, the clinic can meet the requirement through telehealth. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. The ballot measure was defeated . [12], In 2020, the SEIU-UHW West launched a new campaign for a ballot initiative to have a minimum of one licensed physician present at the clinic while patients are being treated; report data on dialysis-related infections to the state health department and National Healthcare Safety Network (NHSN); and provide a written notice to the state health department and obtain consent from the state health department before closing a chronic dialysis clinic. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. If they miss a treatment because of reduced hours or access, it could be fatal. 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. 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 The exception lasts for one year. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. Opponents view the measure as a further attempt to politically and financially weaken DaVita and Fresenius Medical Care and to unionize dialysis workers, and assert that the shortage of nephrologists in the state would leave clinics unable to meet the requirements of Prop. [19][20] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. What's the difference between Prop 26 and Prop 27. This field is for validation purposes and should be left unchanged. Click here for the California Secretary of State page to ensure you have the most current information. Some people qualify for both Medicare and Medi-Cal. Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. The following list of accepted ID was current as of November 2022. Requires Dialysis Clinics to Say Who Its Owners Are. Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. 2012 CBS Broadcasting Inc. All Rights Reserved. Various Entities Own and Operate Dialysis Clinics. Click here to contact us for media inquiries, and please donate here to support our continued expansion. background-color: black !important; }, .arguments-bm-widget { A variety of nonprofit organizations and for-profit companies own or operate the other clinics. You may occasionally receive promotional content from the Los Angeles Times. Prop 22: California Measure's Pros And Cons . Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. 2022 California propositions explained These propositions deal with abortion, sports betting and environmental initiatives. Residents can register to vote by visiting this website. Copyright 2023 KGO-TV. Prop. By Vittorio Nastasi and Austill Stuart December 12, 2022. Proponents of Prop. na si. [35], To vote in California, an individual must be a U.S. citizen and California resident. Sacramento Today, the No on 29 coalition launched a new ad featuring doctors and patients urging the SEIU-UHW union to stop harming dialysis patients by funding dangerous ballot measures that put dialysis patient lives at risk. The California Democratic Party is in favor of the measure. Propositions on the November 8, 2022 Ballot. } On November 3, 2020, 58.63% of voters in California voted in favor of Prop 22 and the law went into effect in mid-December of 2020. . ABC7 is breaking down all of the propositions Californians are voting on this Election Day. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Gavin Newsom wisely used his powers under the states COVID-19 state of emergency to authorize the state director of public health to waive licensing requirements on medical practitioners and restrictions on out-of-state medical professionals to help increase the number of medical practitioners in California. 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. Prop. if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues Tobacco, What's on my ballot? . Since then, the yes campaign has launched www.yeson29.com. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. It was not intended to be weaponized in this way. Nor is there evidence that the current arrangement has harmed patients. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. } CalMatters reporter Ana Ibarra explains Prop. As the verification process can take multiple months, the secretary of state provides suggested deadlines for ballot initiatives. 12:08 p.m. Oct. 17, 2022: An earlier version of this endorsement reported that the proponents did not have a website. 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. Property inherited before Prop 19 took effect would have a $950 annual tax bill. U.S. Congress | .endorsements-header { Proposition 28 promises to bring arts and music programs to every public school and cost taxpayers nothing. "Things like Prop 29 are the worst of proposed government. 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. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. Dialysis is recommended when a person's kidneys lose most of their function. Tubing is attached to allow blood to be pumped between the access point and a hemodialyzer machine, also known as an artificial kidney machine. .footer-nav .dropIcon { display: none !important;} .footer-nav .sub-menu {display: none !important;}Paid for by No on 29: Stop Yet Another Dangerous Dialysis Proposition, sponsored by patients, doctors, nurses and dialysis providers. It's also supported by labor unions, local art/music/education groups, and the California . Elections in 2023 | Further options, short of creating a market for kidney donations, could include offering tax credits for donors. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. (202) 986-0916, Senior Managing Director, Transportation Policy, Photo 193235704 Saengsuriya Kanhajorn | Dreamstime.com, Innovators in Action: James Small, public safety director of Palmyra, Wisconsin, Florida must stop relying on taxation by citation, Properly designed impact fees could help Wakulla County accommodate population growth. The attorney general of California issued ballot language for the initiative on October 29, 2021, allowing a signature drive to begin. "[19] Dave Regan stated, "The reason Prop. Medi-Cal. [12],
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. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. . 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. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. Even though abortion is legal in California, Prop. 1461, also known as the New Motor Voter Act. ew /span>. It would also prohibit clinics from refusing to treat patients based on the source of payment. All Rights Reserved. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. Requires physician, nurse practitioner, or physician assistant on site during treatment. However, if trained nephrologists are present during treatment, these patients could receive improved quality of care. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). Help expand Ballotpedia's elections coverage - volunteer with us. The ballot measure was defeated. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. CDPH must specify which information clinics should report, and how and when to report the information. It's almost identical to the 2020 measure that failed, but supporters say they did make some changes after receiving feedback from voters in 2020.Why Does Henry Gowen Limp, Thomasville, Ga Victorian Christmas 2022, Should I Clean Dried Blood Off Stitches, What Are The Individual Single Services Values And Standards?, Howard Morris Play On Gunsmoke,