prop 29 california 2022 pros and cons

by

prop 29 california 2022 pros and consdeath notice examples australia

Requires physician, nurse practitioner, or physician assistant on site during treatment. 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. 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. Prop. .arguments-bm-widget li { requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. 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. 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. Currently, California relies primarily on federal regulations as the basis for its licensing program. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. This field is for validation purposes and should be left unchanged. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. According to a 2012 report by the California Legislative Analyst's Office, Proposition 29 would generate approximately $735 million a year in new tax revenues. CDPH must specify which information clinics should report, and how and when to report the information. [6] Prop. Get browser notifications for breaking news, live events, and exclusive reporting. [19][20] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. 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. -webkit-columns: 2; emphasis on political coverage within a state; and. *The 2022 CalMatters Voter Guide is sponsored by the California State Library. Over time, a person may develop kidney failure. 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. The SEIU-UHW West said workers at dialysis clinics had been attempting to unionize since 2016, but that their employers were retaliating against pro-union employees. The PAC raised over $7.9 million from the SEIU-UHW West. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. NO Not a lot. Copyright 2023 KABC Television, LLC. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. Even though abortion is legal in California, Prop. 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. [12],

Report dialysis-related infections to the California Department of Public Health (CDPH). The ballot measure was defeated. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. July 26, 2022 mirrormmg. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. Under Proposition 29, clinics are required to offer the same quality of care to all patients. The ballot measure was defeated . Sacramento TheSanta Rosa Press Democratand the 11 papers that make up theSouthern California News Grouptold voters to reject Proposition 29 in recent editorials. It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect. [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. fx vd. California Proposition 29, Dialysis Clinic Requirements Initiative (2022) California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. 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. Washington, DC 20009 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. 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. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. State executives | Constitutional rights columns: 1; Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. 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. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. California Proposition 29, Dialysis Clinic Requirements Initiative (2022). A voter must be at least 18 years of age on Election Day. The ad will run statewide on broadcast, cable and digital. Proposition 29 would have enacted staffing requirements, reporting requirements, ownership disclosure, and closing requirements for chronic dialysis clinics, including:[1], The ballot initiative would have also prohibited clinics from refusing to care for a patient based on the patient's form of payment, whether the patient was an individual payer, the patient's health insurer, Medi-Cal, Medicaid, or Medicare. } 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. Here's what's different this time around. As the verification process can take multiple months, the secretary of state provides suggested deadlines for ballot initiatives. 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. 5737 Mesmer Ave. text-align:center; If the total number is equal to at least 100 percent of the required signatures, then local election officials perform a random check of signatures submitted in their counties. 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. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. Proponents assert that there is a need for dialysis industry reform. .split-cols-bm { How often a person needs hemodialysis treatment can vary. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. You can hear KCBS In Depth, a weekly half-hour news interview, Saturdays at 5:30a.m. 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. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. We don't need another major government program or bureaucracy in California," he said. "[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. 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. 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. Original story follows below. These revenues consist of payments for dialysis from a few main sources, or payers: Medicare. Specifically, the measure would require that clinics: Prop. | | In 2020, Gov. 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. 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. "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. [33], On June 20, 2022, the secretary of state reported that the random sample concluded that 725,890 signatures were valid.[34]. An individual who is in line at the time polls close must be allowed to vote. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. 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. For people enrolled only in Medi-Cal, the Medi-Cal program alone pays for dialysis. All Rights Reserved. CON [5] Additionally, most patients in California already use Medi-Cal or Medicare to pay for dialysis treatments. 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 As noted earlier, an owner or operator might be able to support these clinics with its higher-earning clinics. Prop. "[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. Many people in the state have group health insurance coverage through an employer or another organization (such as a union). For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. Quieres leer este artculo en espaol? A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. ew /span>. Click here to contact us for media inquiries, and please donate here to support our continued expansion. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. 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. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. Requires clinics to report dialysis-related infection data to state. Defining the Future of California Sports Betting: Prop 26 and Prop 27 . -moz-columns: 2; When an insured person develops kidney failure, that person can usually transition to Medicare coverage. Prop. The word count for the ballot summary is 84. Patients Own Physician Oversees Treatment. Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. Both objected to the repeated abuse of the ballot system by Prop 29 backers and said the measure would be harmful to dialysis patients. Opponents claim Prop. Sean Fleming and Jonathan Everhart filed the ballot initiative on August 24, 2021. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. 2012 CBS Broadcasting Inc. All Rights Reserved. No other state requires a doctor on-site, nor do the Centers for Medicare & Medicaid Services or the California State Department of Public Health, which regulates dialysis centers. CalMatters reporter Ana Ibarra explains Prop. Federal regulations require each clinic to have a medical director who is a board-certified physician. 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. The proponents says the proposition is intended to improve patient care. Counties | However, not everyone is in favor of the measure. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. California's current cigarette tax is 87 cents per pack. Elections in 2023 | [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. Opponents, however, say this is just another effort by labor organizers to get the industry to unionize its workers. Clinics carry out the treatment. [32], The initiative campaign submitted 1,018,730 raw signatures. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. } (310) 391-2245, 1747 Connecticut Ave NW The Times will begin publishing our endorsements this week for ballot measures and major local and statewide races. All rights reserved. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. The clinic may request a hearing if it disagrees with the penalty. } 29. 29 would require all clinics throughout the state to have an on-site physician during all hours of operation. 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. font-weight:bold; [35], To vote in California, an individual must be a U.S. citizen and California resident. Prohibits clinics from closing or substantially reducing services without state approval. CDPH must specify which information clinics should report, and how and when to report the information. Higher costs could result in clinics being forced to close, which would reduce access to dialysis care or cause higher costs to be passed along to patients. 29 aims to improve reliability and accuracy of data, which can be difficult to obtain, and to maximize the time that a trained physician, nurse practitioner or physician assistant is present during a patients treatment. Other requirements of the proposition would not significantly increase clinic costs. Voters correctly rejected the last two propositions, and they should do so a third time. 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. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. If less than 95 percent are estimated to be valid, the initiative does not make the ballot. [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. The arguments come from many sources and are not limited to those presented in the Official Voter Information Guide. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. Stop yet another dangerous dialysis proposition. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. May 13, 2012 / 4:53 PM Committee major funding from DaVita, Fresenius Medical Care, and U.S. Renal Care. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. Charges Penalties if Dialysis Clinics Do Not Report Required Information. The ban is delayed until voters make a decision in November. Here's a breakdown of each proposition and what it entails. The legislation, which took effect in 2016, authorized automatic voter registration in California for any individuals who visit the Department of Motor Vehicles to acquire or renew a driver's license.[37][38]. 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. The California Democratic Party and California Labor Federation supported the campaign. 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. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. .sbtotaltotal { What would this ballot initiative have required of dialysis clinics? Click "Show" to learn more about voter registration, identification requirements, and poll times in California. Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. These additional costs are highly uncertain. 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. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. Dialysis Clinics Must Report Infection-Related Information to a National Network. } This material may not be published, broadcast, rewritten, or redistributed. You can find a full list of the opponents on noprop29.com. 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. SAN FRANCISCO (KGO) -- For the third time in three straight elections, California voters rejected a ballot measure that would have mandated major changes to the operations of dialysis clinics that provide life-saving care to 80,000 people with kidney failure. . The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. Firearms Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. 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. That means voters will decide the fewest measures in an election year since 1916. Healthy kidneys remove waste and extra fluid from a persons blood. } The PAC raised over $86.4 million in contributions. Signatures were due on April 27, 2022. California has implemented an online voter registration system. CDPH must post each clinic's infection information on the CDPH website, including the name of the clinic's owner or operator. 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. [5] Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. Wage hikes for some workers, not others. 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. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. [12], The following were the top donors to the committee. vehicle certificate of ownership issued by a governmental agency. Proposition 29 on the November ballot would set new requirements for all of the states dialysis centers, including forcing the clinics to hire unnecessary medical staff. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. This proposition, for the third time, attempts to regulate dialysis clinics. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. It would also prohibit clinics from refusing to treat patients based on the source of payment. } State law does not specify a length of time for which you must have been a resident to be eligible. State and local courts | Requires clinics to: disclose physicians ownership interests; report infection data. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. California voters have seven propositions to vote on in the Nov. 8 general election. font-size:1.2em; CDPH licenses clinics to operate in California. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. How to vote | How safe is your neighborhood? 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. However, if trained nephrologists are present during treatment, these patients could receive improved quality of care. Educational. !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;rHow Old Is Meteorologist Mark Johnson, Jersey College School Of Nursing Lawsuit, Liste Des Chapelains De Lourdes, Thames Valley Police Hq North Address, James Cadbury Wife, Articles P

prop 29 california 2022 pros and consanthony joseph foyt iii

craft outlet wreath kitsFebruary 17, 2023