prop 29 california 2022 pros and cons

Proponents argue that flavored tobacco products tend to target people-of-color and Black people, in particular, citing the fact that in the 1950s less than 10% of smokers who smoked menthol-flavored cigarettes are Black and today 85% are Black. 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. 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. Trump pleads not guilty to 34 felony counts; indictment unsealed, Tracking CA's reservoir levels, snowpack map, drought status, How safe is your neighborhood? 27 are Californians for Tribal Sovereignty and Safe Gaming and Coalition for Safe, Responsible Gaming, which are both coalitions of gaming tribes in California. Check out Bay Area safety tracker, Bay Area Life; Sundays at 6:30 p.m. on ABC7, click here to view the full map in a new window. The ballot measures official fiscal impact statement: According to the analysis, those increased costs for the state will come in the form of increased California Medi-Cal costs and state and local health insurance costs due to clinic owners and operators negotiating higher costs and some dialysis patients needing to get treatment in hospitals if their local clinic closes. Other opponents include the Republican Party of California, the California Teachers Association and the California Chamber of Commerce. Candidates To Replace Her Say She Was Wrong, Meet The Candidates For Nury Martinezs LA City Council Seat. Dialysis Clinics Must Report Infection-Related Information to a National Network. Overall, we assume that clinic owners and operators generally would: (1)be able to negotiate with some payers to receive higher payment rates to cover some of the new costs imposed by the proposition, particularly if many clinics were to close otherwise; (2)continue to operate some clinics with reduced income; and (3)close some clinics, with the consent of CDPH. Prop. 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. As CalMatters notes, "The union says it wants to reform the booming industry and increase transparency, while dialysis companies that spent millions to defeat the two prior measures say its a union ploy to pressure clinics and organize dialysis workers.". We estimate that clinics have total revenues of around $3.5 billion each year (annually) from their operations in California. At press time there is no organized campaigncommittee. Use tabs to select your choice. Proposition 29 includes several requirements affecting clinics, as discussed below. LA Explained: With A New Mayor In Town, What Powers Does Bass Actually Have? On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. To protect their massive $561 million in profits in California in 2020. Other requirements of the proposition would not significantly increase clinic costs. 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. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! At a forum focused on transit issues, no one mentioned the disgraced former councilmember. 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. Once again they are using gravely ill dialysis patients to shield their perks and million-dollar salaries. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. The previous two efforts to regulate dialysis clinics failed, so what is different this time around? CDPH also certifies clinics on behalf of the federal government. Federal law requires that a physician visit a patient during dialysis treatment at least once a month, according to the state legislative analysts office and it also requires that they report infections to the federal government. Why did they spend so much? Supporters also say that greater financial disclosure is required so that researchers and the public can better assess the impact of physician ownership of clinics. Currently, California relies primarily on federal regulations as the basis for its licensing program. 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. 28 are listed on the California Secretary of State website. proposition (3) close some clinics, with the consent of CDPH. The medical director is responsible for quality assurance, staff education and training, and development and implementation of clinic policies and procedures. Opposition to Prop. Dialysis clinics currently face fewer inspections than other health facilities and deficiencies are often uncovered. It makes no sense to also require a physician administrator on-site full-time who will not be involved in providing care. For the latest national news from NPR and our live radio broadcast, visit LAist.com/radio. For people enrolled only in Medi-Cal, the Medi-Cal program alone pays for dialysis. Requires Dialysis Clinics to Say Who Its Owners Are. Still, the 2022 election is giving Californians a chance to decide on popular issues, from protecting abortion rights to subsidizing zero-emission vehicles. According to the California Legislative Analyst's Office, Two private for-profit companies DaVita, Inc. and Fresenius Medical Care own or operate nearly 75 percent of licensed clinics in California.. 29s proponents say dialysis companies dont invest enough in patient care and safety, although they are highly profitable. Summary of General Obligation BondsElection Results 1986 to Present (Excel File). The California Republican Party is against the measure. Advocates argue that the proposition would generate millions of dollars in revenue for the state. 31 include No on Prop 31- Californians Against Prohibition and the Republican Party of California. Group and Individual Health Insurance. Telehealth may be used for up to one year if no such person is available on-site. Prop 29 would take healthcare providers away from hospitals and emergency rooms. Opponents argue that Prop. Because the lives of these fellow Californians are so dependent on dialysis done both safely and effectively, we must give our absolute support to the Protect the Lives of Dialysis Patients Act on the Nov. 8 ballot. The labor union SEIU is a major supporter of this measure and supported the previous two measures. [Note by Voter's Edge volunteers: the website published on p. 7 of the Official Voter Guide was not working as of August 21, 2022.]. Patients may also reach their nephrologists via telemedicine if needed. Dialysis patients deserve protection under the law. Other proponents include the California Democratic Party, Lyft, Rep. Ro Khanna and former presidential Candidate Tom Steyer. Chronic dialysis clinics would not be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. Kidney Failure. Heres How To Start Your Search, Emmery Muoz, 14, Was Killed In LA 17 Years Ago. Proponents argue that currently 90% of elementary schools, 96% of middle schools and 72% of high schools fail to provide a high-quality course of study across arts and that this law would decrease the number of schools without a high-quality course of study across arts. Few Main Sources Pay for Dialysis. Prop 29 would prevent discrimination and protect patients in rural communities. Clinics must disclose who owns the clinic to patients. Kidney dialysis clinics would not be required to have a physician, nurse, or physician assistant on site during patient treatment hours. The big corporations operating dialysis clinics can easily make the required staffing changes and still profit hundreds of millions of dollars a year. Supporters also say technicians at clinics are overworked and could use the extra support having a physician on-site would bring. To patients, dialysis is lifesaving. FISCAL EFFECTS (Analysis by the Legislative Analyst), INCREASED COSTS FOR DIALYSIS CLINICS AFFECT STATE AND LOCAL COSTS. 26. Supporters of this bill say it would help California move to clean energy and to help hit that ambitious climate goal. There are fiscal implications for both the clinics and state and local government if this passes. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. (202) 986-0916, Senior Managing Director, Transportation Policy, Photo 193235704 Saengsuriya Kanhajorn | Dreamstime.com, IRS delayed its reporting rules targeting gig economy income, but a permanent fix is needed, Californians shouldnt lose access to telehealth services because emergency order ended, With EMS takeover attempts, Californias fire departments seek more taxpayer funding to do less. In particular, the propositions requirement that each clinic have a physician, nurse practitioner, or physician assistant on-site during all treatment hours would increase each clinics costs by several hundred thousand dollars annually on average. This is a breaking news topper. 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. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) Enter your address to get a personalized list of candidates and ballot measures, including biographies, top priorities, who supports each candidate, and more. Dialysis is a dangerous procedure. We urge you to vote YES! REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. The Case Remains Cold, Even 'Affordable Housing' In LA Isn't Affordable. Governor Gavin Newsom and No on 30 are the main opponents of Prop. The law would also make sports betting legal for those 21 years or older. Dialysis clinics would face additional regulations. Requires physician, nurse practitioner, or physician assistant on site during treatment. . In particular, the propositions requirement that each clinic have a physician, nurse practitioner, or physician assistant on-site during all treatment hours would increase each clinics costs by several hundred thousand dollars annually on average. Californias dialysis clinics are regulated by federal and state agencies and have high ratings for quality care and patient satisfaction. 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. Previous SEIU-sponsored measures in 2018 and 2020 were defeated by large margins. It makes no sense to also require a physician administrator on site full-time who will not be involved in providing care. proposition cons proposition california affect 2021 election voted approved effect goes february november into At clinics are overworked and could use the extra support having a physician administrator site! Dollars a year those 21 Years or older also say technicians at are. 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