prop 29 california 2022 pros and cons

Prop. 31 Flavored Tobacco: no. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. It was not intended to be weaponized in this way. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. "We can prove absolutely through statistics, that when you increase the price of cigarettes, there's an immediate drop in the number of kids who will start smoking as a result.". }, .arguments-bm-widget { and the California Dialysis Council. 8 in 2018 and Prop. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. Prop. The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. State executives | Not a lot. 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. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. .arguments-bm-widget li { The measure has a number of needless provisions, such as requiring infections to be reported to the state, though these data are being reported to the federal government now, and prohibiting dialysis centers from discriminating due to payer source, which even the proponents say is not a problem now. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. [32], The initiative campaign submitted 1,018,730 raw signatures. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! 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. The machine filters the blood and adds a solution to help remove waste. } Ads for and against Proposition 29 have been running non-stop for the last several months. The attorney general wrote the ballot language for this measure. 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. 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. . If they miss a treatment because of reduced hours or access, it could be fatal. 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. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. Get browser notifications for breaking news, live events, and exclusive reporting. Nov. 3, 2022 5:16 PM PT. All Rights Reserved. Conditional voter registration is available beginning 14 days before an election through Election Day. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. Jan 29, 2023. Proposition 29 Increases Costs for Dialysis Clinics. Voters correctly rejected the last two propositions, and they should do so a third time. font-size:1.0em; 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. We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. 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. 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 California Democratic Party is in favor of the measure. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. Since then, the yes campaign has launched www.yeson29.com. Revenues go toward K-12 schools, California Community Colleges, and healthcare. fx vd. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. Prop. Most Dialysis Patients Receive Treatment in Clinics. Prop. This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. 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. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. [12], The following were the top donors to the committee. 23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. You can read more about the boards mission and its members at About The Times Editorial Board. The Legislative Analyst Office estimates that Proposition 29 would cost Californias state and local governments taxpayerstens of millions of dollars annually. Dialysis centers would incur additional costs to implement the measure some of which they would be expected to pass along in the form of higher fees and charges to Californias Medi-Cal system and to health care plans for public sector employees and retirees. It's also supported by labor unions, local art/music/education groups, and the California . *The 2022 CalMatters Voter Guide is sponsored by the California State Library. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. The ballot measure was defeated. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. Proposition 28 promises to bring arts and music programs to every public school and cost taxpayers nothing. 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. If the random sample estimates that between 95 and 110 percent of the required number of signatures are valid, a full check of signatures is done to determine the total number of valid signatures. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. Dialysis Clinics Must Report Infection-Related Information to a National Network. .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. The word count for the ballot title is 17. Propositions on the November 8, 2022 Ballot. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. Vote NO on Prop 29. Specifically, because dialysis is a dangerous procedure, it is essential that a trained clinician be nearby to react if something goes wrong. 8 in 2018 and Prop. columns: 2; [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. Improved transparency and accessibility of information can help patients make informed decisions for their care. Both objected to the repeated abuse of the ballot system by Prop 29 backers and said the measure would be harmful to dialysis 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. The campaign said, "Since 2012, UHW has wasted $77.7 million of its members dues money funding 48 failed ballot initiatives across the country many of which put patients and their members at risk. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. The physician designs the dialysis treatment plan, including specific aspects such as frequency, duration, and associated medicines. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. Under the proposition, state Medi-Cal costs, and state and local employee and retiree health insurance costs, could increase due to: Owners and operators negotiating higher payment rates. California allows same-day voter registration. Group and Individual Health Insurance. 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. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. 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. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. 2022 California propositions explained These propositions deal with abortion, sports betting and environmental initiatives. Specifically, the measure would require that clinics: Prop. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. May 13, 2012 / 4:53 PM 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. PRO It would also prohibit clinics from refusing to treat patients based on the source of payment. Kidney disease happens when a persons kidneys do not work properly. Ballotpedia lists the positions of and excerpts from editorials supporting or opposing ballot measures from the editorial boards of certain media outlets. Summary of General Obligation BondsElection Results 1986 to Present (Excel File). 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]. The SEUI-UHW says the 9-1-1 service calls from dialysis centers suggest the need for more staff, though they offer no data that the volume is higher than might be expected given that dialysis patients often have other serious health conditions. Both CDPH and clinics (or their owners or operators) must post this information on their websites. 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. There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. Here's a breakdown of each proposition and what it entails. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. July 26, 2022 . It would also require increased disclosure of clinic ownership and dialysis-related infections. On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. 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 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West . It allows CDPH to base its decision on such information as the clinics financial resources and the clinics plan for making sure patients have uninterrupted dialysis care. } .sbtotaltable td { font-size:1.2em; This November is no different. .sbtotaltable th { [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. Prohibits clinics from refusing to treat patients based on source of payment. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. nurse practitioner or physician assistant be on site during treatment. Voters should reject Proposition 29 and hope that they wont have to do so again in 2024, and 2026, and beyond. Prop. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. [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. Public File for KBCW-TV / KBCW 44 Cable 12. The rates that Medicare and Medi-Cal pay for a dialysis treatment are fairly close to the average cost for clinics to provide a dialysis treatment. However, the owner or operator might not be willing or able to do this over the longer term. 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. Readability scores are designed to indicate the reading difficulty of text. Requires Dialysis Clinics to Say Who Its Owners Are.

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