prop 29 california 2022 pros and cons

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. 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. 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. Another potential issue for Prop. 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. display: inline; CDPH also certifies clinics on behalf of the federal government. .split-cols-bm { requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. (310) 391-2245, 1747 Connecticut Ave NW How to run for office | [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. Con- Will extend income tax that was supposed to be temporary. Currently, California relies primarily on federal regulations as the basis for its licensing program. The arguments come from many sources and are not limited to those presented in the Official Voter Information Guide. Here's a breakdown of each proposition and what it entails. State law does not specify a length of time for which you must have been a resident to be eligible. Californians will vote on propositions ranging from abortion to sports betting in the November general election. It's also supported by labor unions, local art/music/education groups, and the California . 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. This material may not be published, broadcast, rewritten, or redistributed. 29.[8]. .arguments-bm-widget li { If the random sample estimates that more than 110 percent of the required number of signatures are valid, the initiative is eligible for the ballot. nurse practitioner or physician assistant be on site during treatment. The 2022 initiative and the two before it was placed on the ballot by the Service Employees International Union-United Healthcare West, which is in a protracted battle with the two largest private dialysis companies, DaVita and Fresenius, to organize workers. 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. This November is no different. 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. The proposition allows CDPH to determine whether or not to consent. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. Proposition 29 Increases Costs for Dialysis Clinics. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. 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. Other people purchase health insurance individually. A variety of nonprofit organizations and for-profit companies own or operate the other clinics. 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. Prop. [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. [7], The full text of the ballot initiative is below:[1]. -webkit-columns: 1; By Vittorio Nastasi and Adrian Moore December 9, 2022. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. The machine filters the blood and adds a solution to help remove waste. And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition. This dangerous dialysis proposition would shut down dialysis clinics across California, putting 80,000 patients' lives at risk. To register to vote in California, you must be a resident of the state. 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. . Original story follows below. If federal data is insufficiently timely or complete, health advocates purposes would seem better served by working with the CDC to improve that data rather than imposing a second collection system in just one state un Prop. There are not enough nephrologists in the state to meet the staffing requirements set forth by the proposition. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. [12],

Prop. School districts | You may occasionally receive promotional content from the Los Angeles Times. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Certification allows clinics to receive payment from Medicare and Medi-Cal. Dialysis copies what healthy kidneys do. Conditional voter registration is available beginning 14 days before an election through Election Day. The labor union SEIU is a major supporter of this measure and supported the previous two measures. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. 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. They argue that California voters have overwhelmingly rejected similar dialysis propositions twice. You can find a full list of the opponents on noprop29.com. The California Democratic Party and California Labor Federation supported the campaign. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. The solution absorbs wastes and uses the lining of the abdomen as a filter. Overall, the proposition would increase costs for clinics. The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. Not a lot. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. 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. Peritoneal dialysis typically occurs three to five times every day, with each treatment taking about 30 to 40 minutes, according to the National Kidney Foundation. 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. Federal regulations require each clinic to have a medical director who is a board-certified physician. width: 100%; Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. 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. font-size:1.0em; In 2018, the campaign Californians for Kidney Dialysis Patient Protection supported a ballot initiative to require dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). Medi-Cal. Los Angeles, CA 90230 California voters will decide the fate of seven statewide propositions on Nov. 8. Proponents of Prop. A dialysis machine is ready for use at a DaVita Dialysis center in Cathedral City, Calif., October 11, 2018. An individual who is in line at the time polls close must be allowed to vote. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. Ballotpedia includes editorials from newspapers and outlets based on: To submit a media editorial for inclusion, email editor@ballotpedia.org. 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. 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. 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. Dialysis clinics are already required to report ownership interests of 5% or more to the state survey agency,[4] and current federal rules already require that dialysis clinics have an assigned medical director a physician responsible for staff training and implementing quality of care measures although there are no rules for how long this doctor needs to be on site. The Flesch-Kincaid formulas account for the number of words, syllables, and sentences in a text; they do not account for the difficulty of the ideas in the text. 29. Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. [12], The following were the top donors to the committee. Cities | Washington, DC 20009 .sbtotaltable td { 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. Get browser notifications for breaking news, live events, and exclusive reporting. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. } 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. A voter must be at least 18 years of age on Election Day. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. Text of measure Ballot title The official ballot title was as follows: [5] Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. Some people qualify for both Medicare and Medi-Cal. Proposition 29 would set new requirements for dialysis centers including the hiring of more staff with the goal to make clinics safer. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. Requires clinics to: disclose physicians ownership interests; report infection data. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. The requirements to get initiated state statutes certified for the 2022 ballot: Signatures are first filed with local election officials, who determine the total number of signatures submitted. Most people on dialysis undergo hemodialysis. 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. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Sacramento TheSanta Rosa Press Democratand the 11 papers that make up theSouthern California News Grouptold voters to reject Proposition 29 in recent editorials. 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. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. Dialysis clinics would face additional regulations. emphasis on political coverage within a state; and. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. See CA Ballot Propositions by CalMatters which provides 1-minute video summaries and other key information about the propositions. Continue Current Operations, but With Lower Profits. 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. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. NoProp29.com, No on 29Yet Another Dangerous Dialysis Proposition. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. The ban is delayed until voters make a decision in November. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. } It would also require increased disclosure of clinic ownership and dialysis-related infections. Click here to contact us for media inquiries, and please donate here to support our continued expansion. It operates separately from the newsroom. How to vote | Clinics Could Respond to Higher Costs in Different Ways. On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. Proponents of Prop. NO 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. [35], To vote in California, an individual must be a U.S. citizen and California resident. The pros and cons explanations of the ballot propositions are usually given as part of a program to groups. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. If there is a shortage of licensed healthcare workers available to monitor. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) A clinic may dispute CDPHs decision by requesting a hearing. Prop. This is a breaking news topper. Counties will begin mailing vote-by-mail ballots. Proposition 29 purports to improve patient care. You can't legally bet on sports in California right now, but Proposition 27 would change that, allowing online betting operated by Native American tribes and gambling companies. margin-top: 10px !important; Proposition 29 includes several requirements affecting clinics, as discussed below. Both objected to the repeated abuse of the ballot system by Prop 29 backers and said the measure would be harmful to dialysis patients. Since then, the yes campaign has launched www.yeson29.com. Vote NO on Prop 29. 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. Prop. It would also prohibit clinics from refusing to treat patients based on the source of payment. 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 annual cost of these new responsibilities likely would not exceed the low millions of dollars annually. A total of $13,374,336.75 was spent to collect the 623,212 valid signatures required to put this measure before voters, resulting in a total cost per required signature (CPRS) of $21.46. Both CDPH and clinics (or their owners or operators) must post this information on their websites. The Los Angeles Times editorial board determines the positions of The Times as an institution. CalMatters reporter Ana Ibarra explains Prop. This proposition was placed on the ballot through the collection of signatures, and a simple majority (50% plus one vote) is required for it to pass. The additional tax revenue would be used to fund cancer research, smoking reduction programs and tobacco law enforcement. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. 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. Prop. 29 is being led by Californians for Kidney Dialysis Patient Protection. Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. "[18] Wherley, a spokesperson for the SEIU-UHW West, contended that dialysis workers "want these [initiative] reforms regardless of what happens with their union efforts. Requires physician, nurse practitioner, or physician assistant on site during treatment. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. Revenues go toward K-12 schools, California Community Colleges, and healthcare. 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. Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. margin-top: 0 !important; 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. Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. }, .arguments-bm-widget { -moz-columns: 2; 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. margin-bottom: 5px !important; Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. INITIATIVE STATUTE. } If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. Staff of editors, writers, and researchers are not enough nephrologists the. 29 requires on-site licensed medical professional at Kidney dialysis Patient Protection announced that a similar initiative! You must be allowed to vote services to patients presented in the clinic from and! 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