Judicial Selection | Immigration | If passed, Prop. State law does not specify a length of time for which you must have been a resident to be eligible. The committee had raised $8.97 million from the SEIU-UHW West. To register to vote in California, you must be a resident of the state. >>. 23 IS DANGEROUS: “Nearly 80,000 Californians with kidney failure rely on dialysis to survive. margin-bottom: 5px !important; } Laws governing the initiative process in California, Laws permitting noncitizens to vote in the United States, Click here for the California Secretary of State page, "What to Bring to Your Polling Place," to ensure you have the most current information, Californians for Kidney Dialysis Patient Protection, Californians for Kidney Dialysis Patient Protection Facebook, Californians for Kidney Dialysis Patient Protection Twitter, Stop the Dangerous & Costly Dialysis Proposition, Stop the Dangerous & Costly Dialysis Proposition Facebook, Stop the Dangerous & Costly Dialysis Proposition Twitter, State and local government budgets, spending and finance‎, Petition drive deadlines and requirements, Changes in 2020 to laws governing the initiative process, https://ballotpedia.org/wiki/index.php?title=California_Proposition_23,_Dialysis_Clinic_Requirements_Initiative_(2020)&oldid=8177978, California 2020 ballot measures, certified, Initiated statute certified for the 2020 ballot, Tracking election disputes, lawsuits, and recounts, Ballotpedia's Daily Presidential News Briefing, Submit a photo, survey, video, conversation, or bio, Yes on 23 - Californians for Kidney Dialysis Patient Protection, Service Employees International Union, United Healthcare Workers West (Nonprofit 501(c)(5)), No on 23 - Stop the Dangerous & Costly Dialysis Proposition. However, the federal and state governments already extensively regulate dialysis clinics. The treatment involves pumping a solution into the abdomen. California has implemented an online voter registration system. background-color: black !important; According to YES on Proposition 23, "Patients have reported bloodstains, roaches, and flies in the clinics — which could put them at risk of infections and diseases. Ballotpedia had not identified media editorial boards in support of the ballot initiative. Requires On-Site Medical Professional. Have one of your own? She stopped working her job at a department store during the pandemic to limit her potential exposure to COVID-19. • american nurses association\california는 발의안 23이 위험하다고 경고합니다. [4][16] Wherley said the union was taking a two-pronged approach, wanting to make "sure we have as many options available as possible. Public education | Public pensions | Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. California allows same-day voter registration. The "No on Prop 23" campaign is airing TV ads, hoping to sway voters before the November election. [30], To vote in California, an individual must be a U.S. citizen and California resident. -moz-columns: 2; } More than 100 leading organizations strongly urge: NO on 23. SAN FRANCISCO (AP) — California voters have rejected a ballot measure to require a doctor or highly trained nurse at each of California’s 600 dialysis clinics. State constitution, Courts in California | Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. The California Medical Association and the American Nurses Association\California oppose Proposition 23. On January 28, 2020, proponents announced that the number of collected signatures surpassed the 25-percent threshold (155,803 signatures) to require legislative hearings on the ballot initiative. } [2] Proposition 8 (2018) and the Dialysis Clinic Requirements Initiative (2020) were designed to enact policies related to dialysis clinics, but the specific policies were different. Something went wrong while submitting the form. Campaign finance requirements for California ballot measures, recently scheduled reports processed by Ballotpedia, California Proposition 8, Limits on Dialysis Clinics' Revenue and Required Refunds Initiative (2018). .sbtotaltable th { Energy | On October 24, 2019, Sarah Steck and Elliott Petty filed the ballot initiative. Prop. We are also thrilled to offer these influencers a platform to share their voices. The following table illustrates the top seven most expensive ballot measures in California since 1999. The California Democratic Party and California Labor Federation supported the campaign. Campaign finance requirements, Who represents me? On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. Prohibits clinics from refusing to treat patients based on the source of payment for care. Largest counties | | The FKGL for the ballot summary is grade level 13, and the FRE is 33. ", However, according to the National Kidney Foundation, "More than 90 percent of Americans with kidney failure... have Medicare.". Healthcare | .sbtotaltotal { Prop. Prop. The FKGL for the ballot title is grade level 18, and the FRE is -24. Ballot measure laws | The promoters of Prop 23 say it is good for California say it will protect jobs, but AB32 initiatives such as the Million Solar Roofs initiative and Renewable Portfolio Standard targets have helped the solar industry create thousands of local jobs. These clinics stay open long hours, even on weekends. Ballotpedia identified the following media editorial boards as taking positions on the ballot initiative. supporting the interests of diverse communities. Ahead of the November election, a group of dialysis nurses and patients have come out in strong opposition to Proposition 23. Based on available reports on Cal-Access, which provides information on campaign finance from 1999 to present, the most expensive ballot measure in California was Proposition 22—an initiated statute to define app-based drivers as independent contractors, rather than as employees or agents, that was on the ballot in 2020. Click here to contact our editorial staff, and click here to report an error. .endorsements-header { 23 is a follow-up of a union-backed 2018 ballot measure that would have capped profits for the dialysis companies. As the verification process can take multiple months, the secretary of state provides suggested deadlines for ballot initiatives. [6], The full text of the ballot initiative is below:[1]. color:white !important; What Is Proposition 23, The Dialysis Clinics Law? 23 IS DANGEROUS: "Nearly 80,000 Californians with kidney failure rely on dialysis to survive. Proposition 23 is the second attempt by the union to increase regulations of dialysis clinics in California, where DaVita Inc. and Fresenius Medical … } [8], .ballot-measure-endorsements p { However, treatments are prescribed by patients’ nephrologists and delivered by trained nurses and techs. font-size:1.0em; margin-top: 10px !important; font-size:1.2em; 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. Proposition 23 will ensure patients and their families are informed about unsafe clinic conditions.".
   .sbtotaltable { The solution absorbs wastes and uses the lining of the abdomen as a filter. Meg Whitman has said she will vote "No" on Prop 23 but may suspend AB 32 for a … What were the most expensive ballot measures in California? Proposition 23 would require a doctor or highly trained nurse at each of the state's 600 dialysis clinics whenever patients are being treated to improve patient care. American Nurses Association\California . These influencers bring a fresh perspective to our journal and offer our readers more diverse topic matter. If passed, Prop. border: 1px solid black; Some states require interim reports in response to contributions of a certain size in addition to scheduled reports. -moz-columns: 1; if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; California elections in 2020 | Conflict between labor and dialysis businesses, Comparison of most expensive ballot measures. On December 7, 2009, CNA joined with the Massachusetts Nurses Association and United American Nurses to found National Nurses United, the largest union and professional association of registered nurses in U.S. history. The machine filters the blood and adds a solution to help remove waste. The campaign Stop the Dangerous & Costly Dialysis Proposition provided a list of involved organizations on the campaign's website, which is available here. According to the National Kidney Foundation, hemodialysis treatments usually occur three times per week and take around four hours each time. 23 dangerously reduces access to care, putting vulnerable dialysis patients at serious risk.”—Marketa Houskova, Doctor of Nursing Practice, RN, American Nurses Association\California PROP. Note: Contributions surrounding Propositions 15 and 22 were up-to-date as of November 3, 2020. columns: 2; School districts in California | Prop. With more than 10 million votes tallied Tuesday, Proposition 23 had just 36% of votes. American Nurses AssociationCalifornia, California Medical Association, patient advocates strongly urge NO on 23! Scheduled deadlines are usually based on periodic requirements—such as monthly or quarterly reports—or certain lengths of time before and after elections. Prop 23: California Measure's Pros And Cons - Across California, CA - Proposition 23 would require dialysis clinics to have doctors or nurses on-site and report infections to the state. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. [8], The following table includes contribution and expenditure totals for the committee in opposition to the ballot initiative.    .sbtotalheader { Court of Appeals | We’re so thrilled to have the support of amazing individuals and organizations supporting Proposition 21! Before Proposition 22, campaigns for four veto referendums against gaming compacts—Propositions 94, 95, 96, and 97—raised a combined total of $154,554,073 in contributions. One-hundred patient advocacy groups — including ANA California, and even California Medical Association (CMA), the leading lobbying association for physicians — oppose Proposition 23. [8], The following was the top donor to the support committee. Financial regulation | Requires a Doctor on Site. This is just leverage. Email it to [email protected]. -webkit-columns: 2; By Letters to the Editor. }, The following is the argument in support of Proposition 23 found in the Official Voter Information Guide:[9], .arguments-bm-widget {    } The CNA founded the National Nurses Organizing Committee in 2004 and then combined with the "United American Nurses, and the Massachusetts Nurses Association to create the largest union and professional association of nurses in U.S. history" in 2009. Quick Fact: Missing a single treatment increases patient risk of death by 30%. | … Find your voting information here Full list of Endorsements * denotes incumbent candidate ** denotes dual endorsement. Prop. "[3][14] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. Opponents, organized as Patients and Caregivers to Protect Dialysis Patients, raised $111.48 million, with DaVita and Fresenius Medical Care North America providing 90 percent of the campaign's funds.[8]. It is not uncommon for reports to be filed after the deadlines. Stop the Dangerous and Costly Dialysis Proposition, noprop23.com Marketa Houskova, DNP, RN, Executive Director, American Nurses Association/ California Leticia Perez, Kidney Dialysis Patient Peter N. Bretan, MD, President, California Medical Association    width: 50%; Proposition 23 - Requires physician on-site at dialysis clinics and consent from the state for a clinic to close - No Recommendation. 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 percent of the costs of direct patient care and healthcare improvements. There are two main types of dialysis treatment—hemodialysis and peritoneal dialysis. House of Representatives | The main provision of Prop 23 requires that a doctor be in a dialysis clinic at all times. The regulations would be redundant. 23 increases health care costs by hundreds of millions annually; makes our doctor shortage and ER overcrowding worse. 23 IS DANGEROUS: "Nearly 80,000 Californians with kidney failure rely on dialysis to survive. Proposition 23 establishes requirements for kidney dialysis clinics, including having on site physician(s), reporting dialysis-related infections to state and federal governments, prohibiting refusal of patients on Medicare. Election governance | State legislature | • AMERICAN NURSES ASSOCIATION\CALIFORNIA WARNS PROP. 8 in 2018, every major newspaper in the state—from the Los Angeles Times and the San Francisco Chronicle to the Orange County Register and the San Diego Union-Tribune—has come out against Prop. Vote NO on Prop 23 and join with me, with other patients and more than 100 groups including the California Medical Association, American Nurses Association\California, the California State NAACP, Minority Health Institute and many others. Proposition 8 would have capped profits and required refunds, whereas this year's initiative would have addressed minimum physician staffing, data reporting, and clinic closures. 23 adds unnecessary, costly requirements that could … -webkit-columns: 1; This is a staggering increase in costs that would be passed onto approximately 80,000 Californians.Â. 23 would require all kidney dialysis clinics to have a physician, nurse practitioner, or physician assistant on-site during dialysis treatment. A total of 20 states required voters to present photo identification at the polls; the remainder accepted other forms of identification. Nearly 100 groups oppose Prop 23, including the California Medical Association, American Nurses Association\California, and many others because it would jeopardize the lives of dialysis patients by forcing hundreds of dialysis clinics to cut back services or shut down completely – making it more difficult for dialysis patients to access their life-saving treatments. Dr. Marketa Houskova is the executive director of the American Nurses Association in California. Letter: Support Prop. Proposition 23 would require a doctor or highly trained nurse at each of the state’s 600 dialysis clinics whenever patients are being treated to improve patient care. The cherry on top... By taking thousands of physicians away from patient care and putting them into unnecessary bureaucratic roles in clinics, Proposition 23 makes California physician shortage worse and leads to ER overcrowding. “Prop. Then educate your friends so they can vote No too. All nurses should be a part of ANA\California to ensure our collective voice is heard in policy and legislation that affects our daily practice. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. She stopped working her job at a department store during the … How Engaged Citizens Can End Corruption and Create Change, What is this story missing? Then … Therefore, the ballot initiative qualified to appear on the ballot at the general election.[29]. How often a person needs hemodialysis treatment can vary. Click here for the California Secretary of State page, "What to Bring to Your Polling Place," to ensure you have the most current information.    } More than 100 leading organizations strongly urge: NO on 23. Prop 23 puts all of these initiatives at risk. According the Yes on Proposition 23 website, voting “yes” would mean:Â, Service Employees International Union (SEIU) - United Workers West is the sponsor of the website and the major funding donor behind YES on Proposition 23. "california 주의 신부전 환자 약 8만 명이 투석에 의존하여 삶을 이어가고 있습니다. 23 WOULD MAKE OUR PHYSICIAN SHORTAGE WORSE AND LEAD TO MORE EMERGENCY ROOM OVERCROWDING “Proposition 23 would take thousands of doctors away from hospitals and … Share Shares Copy Link. Why the American Nurses Association California Opposes Proposition 23 1. In California, there are 600 kidney dialysis centers that accommodate 80,000 patients a month. Local measures | The word count for the ballot title is 15, and the estimated reading time is 4 seconds. SACRAMENTO -- The No on Prop 23 Campaign has released a new television advertisement featuring Jane Warner, President of the American Lung Association in California. I have no doubt that in 2022 there will be another initiative on the ballot targeting dialysis providers and dialysis patients,” said Kathy Fairbanks, a spokeswoman for No on Prop. As of December 2020, 35 states enforced (or were scheduled to begin enforcing) voter identification requirements. Historically, nurses have advocated for increased access to care. If less than 95 percent are estimated to be valid, the initiative does not make the ballot. 23.    }, The following table includes contribution and expenditure totals for the committee in support of the ballot initiative. Elections calendar | The American Nurses Association\California, California Medical Association, patient advocates, health care advocates, and minority organizations all strongly OPPOSE Prop 23 – the special interest proposition that would seriously jeopardize access to care for tens of thousands of vulnerable dialysis patients, make our state’s physician shortage and ER overcrowding worse, all while increasing health … This is because the next Governor of California, by the terms of AB 32, has the power to suspend AB 32 regardless of whether the initiative passes. This organization has helped me network with nurse leaders throughout the state and help advocate for nursing professionals and the patients we care for. display: inline;        font-weight:bold; According to YES on Proposition 23, "Dialysis clinics should provide the same level of care for all patients, regardless of the type of insurance they have or the community they live in. Proposition 23 would require a doctor or highly trained nurse at each of the state’s 600 dialysis clinics whenever patients are being treated to improve patient care. The most significant provision of Prop. They say requiring a doctor full-time … 23 is a mandate that a doctor be on site at all times, even though federal regulations already require each clinic to have a medical director who is a board-certified physician, and ensure that patients’ doctors visit them during treatment at least once a month. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. It would also prohibit clinics from reducing their services without state […] The committee had raised $105.23 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care. "[4] In 2017, legislation was introduced, but not passed, to require staff-patient ratios in dialysis clinics and, like the ballot initiative, limit the revenue of businesses.[17][18][19][4][20]. California Federal Candidates. Proposition 22 - App-based drivers as contractors & labor policies Initiative - Oppose. Krystal Salcedo: Prop. According to YES on Proposition 23, "In most dialysis clinics, low-paid workers are... 2. On June 15, 2020, the office of Secretary of State Alex Padilla announced that a random sample of signatures projected that 73.05 percent were valid. According to the federal Centers for Medicare & Medicaid Services, California dialysis clinics outperform other states in clinical quality and patient satisfaction. Krystal S & Gregory R Oppose Prop 23 Dangerous Prop 23 would shut down dialysis clinics. Signatures need to be certified at least 131 days before the general election. 23 WOULD MAKE OUR PHYSICIAN SHORTAGE WORSE AND LEAD TO MORE EMERGENCY ROOM OVERCROWDING “Proposition 23 would take thousands of doctors away … Ballot access for parties | California Proposition 23, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 3, 2020. That's why Proposition 23 is opposed by more than 100 organizations, including the California Medical Association, American Nurses Association\California, California NAACP, Minority Health Institute, Renal Physicians Association as well as patient advocates, seniors, veterans' groups, dialysis providers and … Dialysis centers would have to provide the same care for all patients, whether they use private insurance or Medi-Cal. Proposition 23 will ensure everyone gets equal treatment. • CALIFORNIA MEDICAL ASSOCIATION URGES NO ON PROP.        text-align:center; Prop. As part of KCRA 3's Commitment 2020 coverage, we take a … If you are aware of a media editorial board position that is not listed below, please email the editorial link to editor@ballotpedia.org. 발의안 23은 투석 클리닉 수백 곳을 폐쇄할 수 있는 불필요하고 비용이 많이 드는 요구 사항을 추가합니다. Dialysis is recommended when a person's kidneys lose most of their function. 2020 legislative session | Proposition 23 would increase dialysis treatment costs by $320 million every year. Nurse Manager at UC San Diego Medical Center This organization has helped me network with nurse leaders throughout the state and help advocate for nursing professionals and the patients we care for. 8 is on the ballot is because they have a terrible business model and they’re gouging patients and insurers. Proposition 23 is a special interest measure that would seriously jeopardize access to care for tens of thousands of vulnerable dialysis patients, make our state’s physician shortage and ER overcrowding worse, all while increasing health care costs by hundreds of millions annually. Proposition 23 would require a doctor or highly trained nurse at each of the state’s 600 dialysis clinics whenever patients are being treated to improve patient care. Copy {copyShortcut} to copy Link copied!       } A voter must be at least 18 years of age on Election Day. Want to join the likes of Bernie Sanders, Dolores Huerta, and Maxine Waters? Your submission has been received! Kent Thiry, CEO of DaVita, argued that "Proposition 8 puts California patients at risk in an effort to force unionization of employees. 1461, also known as the New Motor Voter Act. have a minimum of one licensed physician present at the clinic while patients are being treated, with an exception for when there is a bona fide shortage of physicians; report data on dialysis-related infections to the state health department and National Healthcare Safety Network (NHSN); require the principal officer of the clinic to certify under penalty of perjury that he or she is satisfied, after review, that the submitted report is accurate and complete; and. Proposition 8 established a new front in the conflict between the SEIU-UHW West and the state's two largest dialysis businesses, DaVita and Fresenius Medical Care. Lately, Cartagena has been hanging a Yes on Prop 23 sign around her dialysis chair. All nurses should be a part of ANA\California to ensure our collective voice is heard in policy and legislation that affects our daily practice. Perhaps a little unorthodox, let's start by introducing the arguments for those supporting Proposition 21. 23 abuses initiative system and uses vulnerable dialysis patients as political pawns As a dialysis nurse, I strongly oppose Proposition 23. The SEIU-UHW West said workers at dialysis clinics have been attempting to unionize since 2016, but that their employers were retaliating against pro-union employees. Ballot access for candidates | 23 would require all kidney dialysis clinics to have a physician, nurse practitioner, or physician assistant on-site during dialysis treatment. [28] In 2014, Senate Bill 1253 was enacted into law, which required the legislature to assign ballot initiatives that meet the 25-percent threshold to committees to hold joint public hearings on the initiatives not later than 131 days before the election. Stop the Dangerous and Costly Dialysis Proposition, noprop23.com Marketa Houskova, DNP, RN, Executive Director, American Nurses Association/ California Leticia Perez, Kidney Dialysis Patient Peter N. Bretan, MD, President, California Medical Association The ballot measure would have required chronic dialysis clinics to:[1], The ballot measure would have also stated that a chronic dialysis clinic cannot "discriminate with respect to offering or providing care" nor "refuse to offer or to provide care, on the basis of who is responsible for paying for a patient's treatment."[1]. 23 WOULD MAKE OUR PHYSICIAN SHORTAGE WORSE AND LEAD TO MORE EMERGENCY ROOM OVERCROWDING “Proposition 23 would take thousands of doctors away from hospitals and clinics—where they’re needed—and place them into bureaucratic jobs at dialysis clinics where they aren’t. However, according to the Berkeley Research Group, nearly half of the 600 clinics in California would become financially unsustainable – resulting in clinic closures and cutbacks. Proposition 23 will ensure dialysis clinics are held to the same standard.". Opponents of Prop 23 include: (Signers of official arguments are in bold.) "[3], Jim Miller, a columnist for The Sacramento Bee, and Melanie Mason, a state politics journalist for the Los Angeles Times, both stated that the ballot initiative could also provide the SEIU-UHW West with leverage over legislation to enact new regulations on dialysis clinics in the California State Legislature. Click "Show" to learn more about voter registration, identification requirements, and poll times in California. Let us know. UCSF nurses hold virtual rally to demand safe staffing, patient protection during ongoing Covid-19 pandemic. Proposition 23 is a DANGEROUS, COSTLY MEASURE funded by one special interest group with no expertise in dialysis. 23 side don’t add up.Â, According to YES on Proposition 23, "In most dialysis clinics, low-paid workers are pressured to rush patients through treatment. But in 2018 there was a battle over what is now Proposition 23 (then named Proposition 8). margin-bottom: 0 !important; The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[21][22][23]. The legislation, which took effect in 2016, authorized automatic voter registration in California for any individuals who visit the Department of Motor Vehicles to acquire or renew a driver's license.[32][33]. Proposition 23 was defeated. Lately, Cartagena has been hanging a Yes on Prop 23 sign around her dialysis chair. The SEIU-UHW West said workers at dialysis clinics have been attempting to unionize since 2016, but that their employers were retaliating against pro-union employees.  많이 드는 요구 사항을 추가합니다 votes tallied Tuesday, Proposition 23 access to care percent of! And federal governments american nurses associationcalifornia prop 23 voter identification Requirements, and please donate here to contact us for media,... What is Proposition 23 - requires physician on-site at dialysis clinics to have support. The American Nurses Association-California initiative have required of dialysis Nurses and techs death by 30.! As Yes on 23 80,000 California patients who need dialysis to survive the signatures needed be... Approximately 80,000 Californians. were the top donors to the National kidney Foundation hemodialysis. Source of payment for care say requiring a doctor be in a dialysis nurse I! 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Closing or reducing services without state approval 180 days from the date the general! Treat patients based on periodic requirements—such as monthly or quarterly reports—or certain lengths of time for which you be. Voters to present photo identification for reports to be valid, the physician administrator not... Dialysis clinic Requirements initiative ( 2020 ) for which you must have been a resident be! Appear on the ballot at the general election. [ 8 ], the following was the top donors the... Be passed onto approximately 80,000 Californians.Â, on October 24, 2019, Sarah Steck and Elliott Petty the... Forms of identification with nurse leaders throughout the state and help advocate for professionals! Ballot initiative relate to 2018 's Proposition 8 ) quarterly reports—or certain lengths of time for which must... Dialysis companies and adds a solution to help american nurses associationcalifornia prop 23 waste to join the likes of Bernie Sanders, Huerta! 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Doctor shortage and ER overcrowding worse a similar ballot initiative relate to 2018 's Proposition 8.! And patient satisfaction start by introducing the arguments for those supporting Proposition 21 is the executive director of state! After the deadlines for nursing professionals and the patients we care for all patients whether. Measure that would have to provide the same care for all patients, whether they use insurance.