29infection data is already collected at the federal level by the Centers for Disease Control and Preventions (CDCs) National Healthcare Safety Network (NHSN), so state collection would largely be redundant. To register to vote in California, you must be a resident of the state. 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. Doctors, nurses, and patients urge you to vote NO on Prop 29. California voters will decide the fate of seven statewide propositions on Nov. 8. Proposition 29 would establish a set of regulations for the staffing and operations of chronic dialysis clinics in the state. You may occasionally receive promotional content from the Los Angeles Times. .sbtotaltable td { 29 would require all clinics throughout the state to have an on-site physician during all hours of operation. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. Californias Proposition 29 on the states 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. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. The propositions, like all state ballot measures, require approval by a simple majority . 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. Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. Both CDPH and clinics (or their owners or operators) must post this information on their websites. Clinics carry out the treatment. This is just leverage. Defining the Future of California Sports Betting: Prop 26 and Prop 27 . 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. California voters have seven propositions to vote on in the Nov. 8 general election. Currently, California relies primarily on federal regulations as the basis for its licensing program. Currently, there are over 19,000 candidates in California on the kidney organ transplant waiting list. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. If they miss a treatment because of reduced hours or access, it could be fatal. 29 would also require clinics to report to the state, and disclose to patients, if a physician owns at least a five percent stake in a clinic and would prohibit clinics from refusing to. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. Prop. The Los Angeles Times editorial board determines the positions of The Times as an institution. Requires Dialysis Clinics to Say Who Its Owners Are. Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. Californians will vote on propositions ranging from abortion to sports betting in the November general election. California's current cigarette tax is 87 cents per pack. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. The proponents says the proposition is intended to improve patient care. Constitutional rights The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. 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. Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. California does not require voters to present photo identification. The California Republican Party is against the measure. In the less likely event that a relatively large number of clinics would close due to this proposition, having obtained consent from CDPH, state and local governments could have additional costs in the short run. 29 would also prohibit clinics from refusing patient care based on the patients form of payment, whether the patient is an individual payer or whether the patients health insurer is Medi-Cal or Medicare. Annie Gibson, a hemodialysis nurse, attends to COVID-19 patient Rue Arnwine Jr., who is on dialysis at Desert Cities Dialysis in Victorville, Calif., in 2020. CDPH licenses clinics to operate in California. If donors were properly compensated for their considerable sacrifice, more people would likely be willing to donate reducing the need for dialysisand reducing the need for this type of ballot initiative. Sacramento TheSanta Rosa Press Democratand the 11 papers that make up theSouthern California News Grouptold voters to reject Proposition 29 in recent editorials. He said the measure is important because of what it will do not only for the present, but also the future. [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. The California Democratic Party is in favor of the measure. This amount is less than one-half of 1percent of the states total General Fund spending. [36], On October 10, 2015, California Governor Jerry Brown (D) signed into law Assembly Bill No. Ads for and against Proposition 29 have been running non-stop for the last several months. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. 29's proponents say dialysis companies don't invest enough in patient care and safety, although they are highly profitable. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. U.S. Congress | In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. [32], The initiative campaign submitted 1,018,730 raw signatures. 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 font-weight:bold; Copyright 2023 KABC Television, LLC. What would this ballot initiative have required of dialysis clinics? [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. The attorney general of California issued ballot language for the initiative on October 29, 2021, allowing a signature drive to begin. 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. 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. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. CON [7], The full text of the ballot initiative is below:[1]. The PAC raised over $7.9 million from the SEIU-UHW West. Like last time, this latest proposition will again jeopardize access to care, worsen our health care provider shortage and increase health care costs for all Californians. Few Main Sources Pay for Dialysis. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. columns: 2; A voter must be at least 18 years of age on Election Day. That means voters will decide the fewest measures in an election year since 1916. Proponents of Prop. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. 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. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. 5737 Mesmer Ave. 29 differs from Prop. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. Proposition 23 would have required chronic dialysis clinics to: have an on-site physician while patients are being treated; report data on dialysis-related infections; obtain consent from the state health department before closing a clinic; and not discriminate against patients based on the source of payment for care. } If CDPH approves the exception, the clinic can meet the requirement through telehealth. 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. 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. The previous two efforts to regulate dialysis clinics failed, so what is different this time around? Dialysis clinics would face additional regulations. Requires physician, nurse practitioner, or physician assistant on site during treatment. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Vote NO on Prop 29. -webkit-columns: 2; 2012 CBS Broadcasting Inc. All Rights Reserved. The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. [8], .ballot-measure-endorsements p { Federal courts | The yes campaign has www.yeson29.com. Proponents of Prop. Plus, kidney dialysis clinics, arts and music education in public. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Thats because the added cost of hiring unnecessary staff, which is estimated at several hundreds of thousands of dollars per year for each clinic, could force some centers to close or reduce hours. 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. How safe is your neighborhood? margin-bottom: 10px; [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. .arguments-bm-widget li { CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names The Californians for Kidney Dialysis Patient Protection PAC raised $8.99 million from the SEIU-UHW West. Here's what's different this time around. 12:08 p.m. Oct. 17, 2022: An earlier version of this endorsement reported that the proponents did not have a website. How did Proposition 29 relate to Proposition 23 (2020) and Proposition 8 (2018)? July 26, 2022 mirrormmg. Federal law requires a group insurer to be the main payer for dialysis treatment for the first 30 months of treatment. 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 additional tax revenue would be used to fund cancer research, smoking reduction programs and tobacco law enforcement. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. When an insured person develops kidney failure, that person can usually transition to Medicare coverage. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) Con: Opponents of Proposition 29 argue that it would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. Nov. 3, 2022 5:16 PM PT. Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. Government regulations largely decide what these rates are. Since then, the yes campaign has launched www.yeson29.com. This material may not be published, broadcast, rewritten, or redistributed. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. [33], On June 20, 2022, the secretary of state reported that the random sample concluded that 725,890 signatures were valid.[34]. Ballotpedia did not identify media editorial boards in support of the ballot measure. Here's a breakdown of each proposition and what it entails. Pros & Cons Unbiased explanation with arguments for and against . *The 2022 CalMatters Voter Guide is sponsored by the California State Library. This federally funded program provides health coverage to most people ages 65 and older and certain younger people who have disabilities. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. Read more. 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. 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. The Times will begin publishing our endorsements this week for ballot measures and major local and statewide races. } The attorney general wrote the ballot language for this measure. Quieres leer este artculo en espaol? PRO @media screen and (max-width: 792px) { Ballot measures, Who represents me? Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. font-weight:bold; } 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. . Proposition 29 Increases Costs for Dialysis Clinics. Charges Penalties if Dialysis Clinics Do Not Report Required Information. (Copyright 2012 by CBS San Francisco. Read more endorsements at: latimes.com/endorsements. Obtain the CDPHs written consent before closing or substantially reducing services to patients. Medicare pays for dialysis treatment for the majority of people on dialysis in California. Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. 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. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. Certification allows clinics to receive payment from Medicare and Medi-Cal. Close Some Clinics. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. Opponents of Proposition D argue that it would make our housing crisis worse by increasing the income qualifications for "affordable housing," meaning it will cost more to rent or own "affordable" units than market rate a one bedroom apartment costing nearly $4,000 a month would be considered "affordable housing", whereas today's market rate is $3,095 per month. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. 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. "[19] Dave Regan stated, "The reason Prop. Stop yet another dangerous dialysis proposition. 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. Other requirements of the proposition would not significantly increase clinic costs. This individual must have at least six months of experience providing care to kidney patients and is responsible for patient safety and the provision and quality of medical care. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. The following list of accepted ID was current as of November 2022. nurse practitioner or physician assistant be on site during treatment. By Vittorio Nastasi and Austill Stuart December 12, 2022. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. 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. 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. The annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. Dialysis Clinics Must Report Infection-Related Information to a National Network. Dialysis Mimics What a Normal Kidney Does. In the time Small has served in this role, the property crime rate has plummeted by 88% to just over five property crimes per 1,000 residents. Kidney donors must take time off work, suffer discomfort, and accept the increased health risks that come with having only one kidney. Requires Dialysis Clinics to Report Infection-Related Information to CDPH. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. } Letters to the Editor: Rethinking L.A.'s flood control systems to store water, not flush it away, Letters to the Editor: Crushing student loan debt is a problem for seniors too, Op-Ed: If you bank with the Big 4, your money has an alarming carbon footprint, Im afraid for her life: Riverside CC womens coach harassed after Title IX suit, Want to solve climate change? 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. 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. !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 Smerconish Question Of The Day Today, Articles P farooq twins manchester gangsters 0
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