prop 29 california 2022 pros and cons
Life-Saving Changes for Dialysis Patients. 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. (310) 391-2245, 1747 Connecticut Ave NW On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. 26 is also being supported by a range of Native American tribes and social justice groups. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. Prop. 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. Proponents of Prop. Proposition 29 imposes new regulatory responsibilities on CDPH. Both CDPH and clinics (or their owners or operators) must post this information on their websites. If there is a shortage of licensed healthcare Dialysis copies what healthy kidneys do. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. 26 seeks to legalize sports betting in California exclusively at American Indian gaming casinos and licensed horse racing racetracks. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. WebProp. Bar graph showing total amount relative to total amount for this entire campaign. The exception lasts for one year. YES CON Proponents argue that proposition 30 will reduce emissions and the cost of electric vehicles. These revenues consist of payments for dialysis from a few main sources, or payers: 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. Specifically, owners and operators may be able to negotiate higher rates with private commercial insurance companies and, to a lesser extent, with Medi-Cal managed care plans. 29 say that because kidney dialysis services are essential to the continued survival of 80,000 Californians a month, the industry requires common-sense regulation that ensures these services are provided safely. Dialysis Clinics Must Report Infection-Related Information to a National Network. They say dialysis clinics are already highly regulated, but they face far fewer inspections than other health facilities, and even so, deficiencies are often uncovered. 29 BECAUSE IT PUTS OUR LIVES AT RISK, This is the third time a special interest has placed a proposition on the ballot putting my life and the lives of 80,000 other dialysis patients at risk. When reliable local election reporting is widely available, the entire community benefits. Information provided by The League of Women Voters of California Education Fund, Information provided by League of Women Voters California Education Fund, p. 7 of the Official Voter Information Guide, pp. SEIU has long sought to unionize dialysis workers, an effort that the companies that run the clinics have quashed again and again. Certification allows clinics to receive payment from Medicare and Medi-Cal. CDPH licenses clinics to operate in California. . Support Cal Polys student-run local news source. 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. Specifically, because dialysis is a dangerous procedure, it is essential that a trained clinician be nearby to react if something goes wrong. 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. 27 only serves to enrich big gambling companies. REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. These additional costs are highly uncertain. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Requires clinics to: disclose physicians' ownership interests; report infection data. Opponents claim that it may force some clinics to close. To patients, dialysis is lifesaving. Take a look at the latest stories and videos about the 2022 Midterm Elections here. If CDPH approves the exception, the clinic can meet the requirement through telehealth. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. Gavin Newsom. Original story follows below. It makes no sense to also require a physician administrator on-site full-time who will not be involved in providing care. This initiative makes common-sense improvements to dialysis treatment to protect some of the most medically vulnerable Californians. Similar versions of prop 29 were proposed in the 2018 and 2020 election cycles (Prop. Newsom argues that Prop. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. All Rights Reserved. For example, state law bans sports betting, roulette, and games with dice (such as craps). In most cases, dialysis treatment replicates what healthy kidneys do by using a machine to filter a patients blood of excess fluid and waste. 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. Proponents argue that the proposition would help to address homelessness in California. At press time there is no organized campaigncommittee. Opponents argue that prop. Please, protect patients like me . Proposition 29 would force dialysis clinics to have new administrators on-site at all timeseven though they would not provide direct patient care. The proposition is also supported by a variety of online sports betting companies such as Draft Kings, a variety of homelessness support organizations, American Indian tribes, the MLB and more. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. This story first appeared in the November print edition of Mustang News, titled "SLO County Voter Guide." The proposition allows CDPH to determine whether or not to consent. 29 would require all clinics throughout the state to have an on-site physician during all hours of operation. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). Once and for all, Californians can protect fragile dialysis patients by voting Yes on Prop. 27s main proponent is Yes on 27 Californians for Solutions to Homelessness and Mental Health Support. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. High school sports would also be prohibited from being gambled upon. Second, as dialysis patients are prone to infections that can lead to more serious illnesses or even death, it requires clinics to report data on infections to the state so problems can be identified and solved to better protect patients. Once again they are using gravely ill dialysis patients to shield their perks and million-dollar salaries. A brief summary of what Prop 29 would do and why it is on the ballot, followed by a one-minute video. Kidney dialysis clinics would not be required to have a physician, nurse, or physician assistant on site during patient treatment hours. 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. A clinic may dispute CDPHs decision by requesting a hearing. LWVCEF Video Series Explaining the 2022 Statewide Ballot Measures | cavotes.org. Candidates To Replace Her Say She Was Wrong, Meet The Candidates For Nury Martinezs LA City Council Seat. Californians for Kidney Dialysis Patient ProtectionYes on 29, No on 29Yet Another Dangerous Dialysis Proposition. Californians should know that just this year our state committed $10 billion for electric vehicles and their infrastructure. Other opponents argue that taxes are too high to begin with and these taxes are unnecessary and economically dangerous. Los Angeles, CA 90230 Proposition 29 would take thousands of doctors, physician assistants and nurse practitioners away from hospitals and clinicswhere theyre neededand place them into administrative jobs at dialysis clinics where they arent.Marketa Houskova, Doctor of Nursing Practice, RN, Executive Director of American Nurses Association\California. 28. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. Roughly 80,000 Californians receive dialysis from a clinic every month. We know that voting can be complicated. Proponents argue that the two major corporations, who control 80% of Californias dialysis clinics, DaVita and Fresenius, make billions of dollars yearly and can afford to hire more staff without closing clinics. California voters have overwhelmingly rejected similar dialysis propositions twice. Opponents also argue that Prop. I am so angry that one special interest is pushing a third proposition that puts my life at risk. Telehealth may be used for up to one year if no such person is available on-site. 36-37 of the Official Voter Information Guide. Current California law already guarantees a womans right to choose, making this extreme and costly proposal unnecessary. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. They also believe that the Dobbs decision will be used as a precedent to overturn other related cases involving contraceptives such as Griswold v. Connecticut. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. Proposition 29 would create new requirements for clinics where dialysis treatment is administered. 8 in 2018 and Prop. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! Emanuel Gonzales, Dialysis Patient Care Technician, Reverend Kisheen W. Tulloss, President The Baptist Ministers Conference of Los Angeles, Cecilia Gomez-Gonzalez, Dialysis Patient Advocate. New faces are in, and longstanding members are gone. Gov. 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. The California Democratic Party is in favor of the measure. Summary of General Obligation BondsElection Results 1986 to Present (Excel File). Requires Dialysis Clinics to Say Who Its Owners Are. More than 80,000 Californians with failed kidneys need dialysis treatments three days a week to stay alive. See details in our interactive tool. 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. Opponents also argue that Proposition 29 would exacerbate a healthcare provider shortage California is facing. Dialysis copies what healthy kidneys do. According to a report from the states Legislative Analysts Office, there are roughly 650 licensed clinics that offer dialysis treatment to some 80,000 people each month. Goes wrong additional cost could cause some clinics to operate at a greater loss than previously is. Payment from Medicare and Medi-Cal at American Indian gaming casinos and licensed horse racing racetracks Measures cavotes.org. 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