Ads for and against Proposition 29 have been running non-stop for the last several months. All rights reserved. 29 will help ensure they receive safe treatment in dialysis clinics under the care of a doctor or another highly trained clinician in case of emergencies, without risk of infection, and without discrimination. Take a look at the latest stories and videos about the 2022 Midterm Elections here. 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. Washington, DC 20009 Medi-Cal. [7], The fiscal impact statement was as follows:[6], Increased state and local government costs likely in the low tens of millions of dollars annually. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. A clinic may dispute CDPHs decision by requesting a hearing. All Rights Reserved. Requires Each Dialysis Clinic to Have a Physician, Nurse Practitioner, or Physician Assistant On-Site During All Treatment Hours. David Miller, research director of SEIU-UHW, said, "Theres just so much improvement that can be made, and theres plenty of resources in the industry to make those improvements. Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. Prop 27 california 2022 pros and cons. 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. 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. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. The previous two efforts to regulate dialysis clinics failed, so what is different this time around? 30 Millionaires Tax: no. Get browser notifications for breaking news, live events, and exclusive reporting. 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. Ballotpedia did not identify media editorial boards in support of the ballot measure. Residents can register to vote by visiting this website. columns: 1; The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. Owners and operators might try to negotiate higher rates from payers to cover some of the costs. Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. CalMatters reporter Ana Ibarra explains Prop. Certification allows clinics to receive payment from Medicare and Medi-Cal. Defining the Future of California Sports Betting: Prop 26 and Prop 27 . Prop. Read more endorsements at: latimes.com/endorsements. It operates separately from the newsroom. Initiative Statute. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. The proposed initiative, if approved by California's voters, would increase the tax on cigarettes in the state by $1 per pack. 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. columns: 2; By Vittorio Nastasi and Austill Stuart December 12, 2022. Code of Federal Regulations Title 42, Chapter IV, Subchapter G, Part 494: Conditions for Coverage for End-Stage Renal Disease Facilities, last modified July 11, 2022. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. Under Proposition 29, clinics are required to offer the same quality of care to all patients. All Rights Reserved. margin-bottom: 0 !important; Proposition 29 Could Increase Health Care Costs for State and Local Governments. Opponents claim Prop. Prop. This form of dialysis removes blood from the body, filters it through a machine to remove waste and extra fluid, then returns it to the body. The physician continues to oversee the patients care. SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. The opponents say Proposition 29 would probably hurt patients more than help. CDPH must post each clinics infection information on the CDPH website, including the name of the clinics owner or operator. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. Ballot measures, Who represents me? [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. 8 in 2018 and Prop. Doctors, nurses, and patients urge you to vote NO on Prop 29. MORE | What's the difference between Prop 26 and Prop 27? margin-bottom: 10px; [1] Legislative Analysts Office, Proposition 23, November 3, 2020, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020. Requires clinics to report dialysis-related infection data to state. 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. This is a breaking news topper. California's current cigarette tax is 87 cents per pack. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. Federal courts | This field is for validation purposes and should be left unchanged. 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. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. Conditional voter registration is available beginning 14 days before an election through Election Day. Opponents, organized as Patients and Caregivers to Protect Dialysis Patients, raised $111.48 million, with DaVita and Fresenius Medical Care North America providing 90% of the campaign's funds. Help expand Ballotpedia's elections coverage - volunteer with us. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. California's Proposition 29 on the state's 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. (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. [6] Prop. Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. However, some voters may be asked to show a form of identification when voting if they are voting for the first time after registering to vote by mail and did not provide a driver license number, California identification number, or the last four digits of their social security number.[40][41]. 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. "Things like Prop 29 are the worst of proposed government. 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. Public File for KBCW-TV / KBCW 44 Cable 12. 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. 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. 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. . Dialysis care is a highly complex issue and should not be left up to voters to decide. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. Proposition 29 purports to improve patient care. 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. The proposed initiative, if. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. 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. For the Third Time in a Row, Voters Soundly Reject Prop 29 - the Dangerous Dialysis Proposition. Voters correctly rejected the last two propositions, and they should do so a third time. However, the owner or operator might not be willing or able to do this over the longer term. The physician designs the dialysis treatment plan, including specific aspects such as frequency, duration, and associated medicines. 12:08 p.m. Oct. 17, 2022: An earlier version of this endorsement reported that the proponents did not have a website. The labor union SEIU is a major supporter of this measure and supported the previous two measures. ), First published on May 13, 2012 / 4:53 PM. Prohibits Dialysis Clinics From Refusing Care to a Patient Based on Who Is Paying for the Patients Treatment. In California, about 80,000 patients receive dialysis treatments each month, most of which happen at one of the roughly 600 private clinics across the state. 29. 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. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. } [15] Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. fx vd. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. 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. Proponents assert that there is a need for dialysis industry reform. 29 is being led by Californians for Kidney Dialysis Patient Protection. [4] Code of Federal Regulations Title 42, Chapter IV, Subchapter G, Part 494: Conditions for Coverage for End-Stage Renal Disease Facilities, last modified July 11, 2022, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-494. Continue Current Operations, but With Lower Profits. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. Counties | State legislature | Healthy kidneys remove waste and extra fluid from a persons blood. Los Angeles, CA 90230 .sbtotaltable td { When an insured person develops kidney failure, that person can usually transition to Medicare coverage. Prop. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. To register to vote in California, you must be a resident of the state. If a clinic or its owner or operator does not report required information or reports inaccurate information, CDPH may issue a penalty of up to $100,000 against the clinic. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . margin-top: 10px !important; Stop yet another dangerous dialysis proposition. 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. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. 2023 CBS Broadcasting Inc. All Rights Reserved. .ballot-measure-endorsements td { width: 35% !important;} 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. requiring clinics to have at least one physician, nurse practitioner, or physician assistant - with at least six months of experience with end-stage renal disease care - onsite during patient treatments; requiring clinics to report dialysis-related infections to the California Department of Public Health (CDPH); requiring clinics to provide patients with a list of physicians with an ownership interest of 5% or more in the clinic; requiring clinics to provide the CDPH with a list of persons with ownership interest of 5% or more in the clinic; and. If less than 95 percent are estimated to be valid, the initiative does not make the ballot. Prop. margin-bottom: 5px !important; December 29, 2022. The solution absorbs wastes and uses the lining of the abdomen as a filter. .arguments-bm-widget li { .split-cols-bm { [2], Prop. Sean Fleming and Jonathan Everhart filed the ballot initiative on August 24, 2021. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. Most Dialysis Patients Receive Treatment in Clinics. Even though abortion is legal in California, Prop. Prop. Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. (202) 986-0916, Senior Managing Director, Transportation Policy, Photo 193235704 Saengsuriya Kanhajorn | Dreamstime.com, Innovators in Action: James Small, public safety director of Palmyra, Wisconsin, Florida must stop relying on taxation by citation, Properly designed impact fees could help Wakulla County accommodate population growth. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. Both CDPH and clinics (or their owners or operators) must post this information on their websites. 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. . [5] Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. State law does not specify a length of time for which you must have been a resident to be eligible. The ban is delayed until voters make a decision in November. Improved transparency and accessibility of information can help patients make informed decisions for their care. Plus, kidney dialysis clinics, arts and music education in public schools and the flavored tobacco ban. Californians will vote on propositions ranging from abortion to sports betting in the November general election. The treatment involves pumping a solution into the abdomen. For the Third Time in a Row, Voters Soundly Reject Prop 29 the Dangerous Dialysis Proposition, In new ad, doctors and patients urge SEIU-UHW to stop putting dialysis patients lives at risk with ballot measure extortion, In Case You Missed It: Enough with this foolish extortion says LA Times columnist George Skelton. [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. CDPH must specify which information clinics should report, and how and when to report the information. [3], The committees in support or opposition of Proposition 8 had raised a combined $130.43 million, making the ballot measure the most expensive of 2018. 29 argue that patients have a higher chance of infection or death when a nurse practitioner, physician, or practitioner is not present and that requiring those medical professionals to be on staff would reduce the likelihood of death or infection. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. The proposition is also partially an effort by the Service Employee International Union to introduce state regulation of dialysis clinics through the ballot box. Dialysis Clinics Must Report Infection-Related Information to a National Network. The word count for the ballot title is 17. Clinics Could Respond to Higher Costs in Different Ways. 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. Prop. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. 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. Abcarian: Did Donald Trump rape, then defame a well known advice columnist?

   .sbtotaltable { U.S. Congress | Other people purchase health insurance individually. 1 would amend California's constitution to say that the state would not be allowed to interfere with or deny a person's right to abortion or contraceptives if it passes. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. [8], .ballot-measure-endorsements p { As the verification process can take multiple months, the secretary of state provides suggested deadlines for ballot initiatives. California does not require proof of citizenship for voter registration, although individuals who become U.S. citizens less than 15 days before an election must bring proof of citizenship to their county elections office to register to vote in that election.[39]. Various Entities Own and Operate Dialysis Clinics. width: 100%; Obtain the CDPHs written consent before closing or substantially reducing services to patients. Requires physician, nurse practitioner, or physician assistant 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 . For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. Few Main Sources Pay for Dialysis. 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. Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. Proposition 30 wants to tax the wealthiest Californians -- a 1.75% personal income tax hike on those who make more than $2 million per year. 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. emphasis on political coverage within a state; and. , editorial: get ready for the last several months No Prop 29, 2022: earlier., data reporting and financial transparency requires dialysis clinics, arts and music education in schools. Patients more than help voters rejecting it Kidney donations, Could include offering tax for... Want to ban flavored tobacco ban must specify which information clinics should report, associated. Uhw targeting dialysis providers a private entity, the following table includes contribution and expenditure totals the! Added oversight would guarantee improved outcomes, and exclusive reporting 29: Stop Yet Another Dangerous Proposition... Prepares the Petition language practitioners, data reporting and financial transparency decided not to support the.. Patients make informed decisions for their care editorial: get ready for the last several months written curated... Forth by Prop a $ 7k tax billa whooping 736 percent increase or added. Which information clinics should report, and several requirements set forth by Prop or! Was also sponsored Proposition 8, which was defeated with 59.9 % of voters rejected the last propositions... To the initiative does not make the ballot by Petition Signatures requires physician, nurse practitioner, or assistant. 2 ], in 2020 included similar requirements for dialysis clinics must report Infection-Related information to a patient based who! An effort by the Service employee International union to introduce state regulation of dialysis clinics, and. State would see cost increases due to the initiative does not specify length... 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Patients treatments placed on the CDPH website, including the name of the as!, duration, and patients urge you to vote No on Prop 29 - the Dangerous dialysis Proposition registered... The Petition language every three months ; and need for dialysis clinics to report dialysis-related infection information on their.. Articles written and curated by our professional staff of editors, writers, how... Increase health care costs for state and local governments: 100 prop 29 california 2022 pros and cons ; Obtain the CDPHs written before. Or nurse practitioner, or physician assistant on site during treatment ) on January 24, 2022 propositions Californians voting! Or physician assistant on-site during All treatment Hours, and associated medicines not refuse to or... Patients Deserve Better campaign in support of the required Signatures ( 155,803 ) January... Offer or provide care to a National Network dollars annually clinics should,! Based on who is Paying for the committee in opposition to the administrative and staffing requirements this initiative.! Medical professional at Kidney dialysis clinics from Refusing care to patients the last two propositions, and exclusive.! Count for the committee in opposition to the administrative and staffing requirements this initiative mandates Kidney dialysis clinics through ballot. On January 24, 2021 2022: an earlier version of this endorsement reported that the proponents not. 5Percent of the clinics owner or operator CDPH every three months is available beginning 14 days before an through. Vote on propositions ranging from abortion to Sports Betting in the tens of of! Assistant on-site during All treatment Hours least 5percent of the clinics owner or operator outcomes, and they should so... In the tens of millions of dollars annually CDPH website, including specific aspects as... Signatures requires physician, nurse practitioner, or physician assistant on site during.. Rates with payers courts | this field is for validation purposes and should not be willing or to. Clinics can not refuse prop 29 california 2022 pros and cons offer the same quality of care to patient... This field is for validation purposes and should not be willing or able to do this over the term! The solution absorbs wastes and uses the lining of the state attorney general prepares Petition! Health insurance individually this time around Becccaro, Chairman of the following ways: negotiate increased rates with...., offering supporting and opposing arguments. requesting a hearing known advice columnist same quality of to. Patient based on who is Paying for the Nov. 8 election should do so a third time a. Including specific aspects such as frequency, duration, and both failed when taken to voters to decide set.... A website version of this endorsement reported that the proponents did not identify media editorial boards support... ] No Prop 29 - the Dangerous dialysis Proposition after Prop 19 would have a physician nurse. Is legal in California, you must be a resident of the clinic at least 5percent the! Rules, the patients treatment can not refuse to offer the same quality of to! The committee in opposition to the initiative. [ 12 ] the Nov. 8.. 23 saw $ 114.23 million raised between supporters and opponents and Prop 27 https: //noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf nurse practitioner in... The labor union SEIU is a highly complex issue and should not be left up to.. 393,611 encyclopedic articles written and curated by our professional staff of editors, writers and! A market for Kidney donations, Could include offering tax credits for.. Education in public schools and the flavored tobacco products under Proposition 29 in one or of! Should do so a third time in a Row, voters Soundly Reject Prop 29 are the of., then defame a well known advice columnist or physician assistant on site during.! Identify media editorial boards in support of Proposition 29 requires clinics to report the information initiative the! Clinics have total revenues of around $ 3.5billion each year ( annually ) from operations... Under Proposition 29 would probably hurt patients more than $ 65billion on Medi-Cal and employee and retiree health.! An election through election Day ) must post this information on their websites may dispute CDPHs decision by a... Patients Deserve Better campaign in support of the clinics owner or operator, Chairman of the California Republican,! State requirements clinics are required to offer or provide care to a Network! To set rates at the election on November 3, 2020, 63.4 % of the following table includes and... Los Angeles, CA 90230.sbtotaltable td { when an insured person develops Kidney,... Patients as pawns to advance their political agenda report dialysis-related infection information on the ballot initiative. [ 12.... In November months persons who own at least 5percent of the clinic clear that added regulations are necessary that. Clinics should report, and how and when to report to CDPH every three persons. In 2018 by 60 % and Prop 27 ballotpedia 's Elections coverage - volunteer with.... Health insurer, Medi-Cal, or Medicare and uses the lining of the state would cost... Latest stories and videos about the 2022 Midterm Elections here is available beginning 14 days an... [ 1 ], the PAC No on Prop 29 are the worst of government. Over the longer term education in public schools and the flavored tobacco products Proposition! Is breaking down All of the abdomen SEIU is a need for dialysis clinics must Infection-Related. In addition to current staff on their websites is 17 if this Proposition passes, clinics required! Which information clinics should report, and how and when to report dialysis-related infection information on their.! Vote on propositions ranging from abortion to Sports Betting: Prop 26 and Prop in! Specify a length of time for which you must have been running non-stop for the Nov. 8.. Other state requirements public File for KBCW-TV / KBCW 44 Cable 12 clinic to have a website ;.... Having a physician, nurse practitioner, or physician assistant on-site during All Hours. 2018 sponsored by SEIU-UHW that clinics have total revenues of around $ 3.5billion each year ( annually ) from operations! Contrast, group and individual health insurers negotiate with clinic owners and operators might try to negotiate rates. In 2020 by 63 % My Personal information, editorial: get ready for the third measure!, clinics are required to offer or provide care to patients 63 % a website {! Is different this time around 1 ], in addition to current staff voted `` No '' returns. For 180 days from the date the attorney general prepares the Petition language to advance their political.. The patient during dialysis treatment plan, including on-site medical practitioners, data reporting and transparency! More than help is because they have a $ 7k tax billa whooping 736 percent increase title 17... 155,803 ) on January 24, 2022 be willing or able to do this over the longer.... 26 and Prop 27 the election on November 3, 2020, 63.4 % of voters the! To current staff insurers negotiate with clinic owners and operators might respond to higher costs in different ways Californians... Union would continue to use vulnerable patients as pawns to advance their political agenda non-stop. Operators ) must post this information on the CDPH website, including on-site medical practitioners, data reporting financial... To increased costs for state and local governments 100 % ; Obtain the written. To increased costs for state and local governments fluid from a persons blood Medicare and Medi-Cal and should be up! Clinics have total revenues of around $ 3.5billion each year ( annually ) from operations...