Proposition 29 enacts staffing requirements, reporting requirements, ownership disclosure, and closure requirements for chronic dialysis clinics. Specifically, this ballot measure requires clinics to:
- have a physician, nurse practitioner, or physician assistant on-site during all treatment hours.
- report all dialysis-related infection information to the California Department of Public Health (CDPH) every three months.
- disclose clinic ownership disclosed to patients.
- notify and obtain permission from CDPH before closing or reducing services.
- pay penalties if clinics do not report required information.
- treat patients regardless of how they are paying for their treatment, be it through Medicare, Medi-Cal, patient’s health insurance, or out of pocket.
This measure was put on the ballot by petition signatures.
According to the California Legislative Analyst's Office:
Proposition 29 would increase costs for clinics. In particular, the proposition’s requirement that each clinic have a physician, nurse practitioner, or physician assistant on-site during all treatment hours would increase each clinic’s costs by several hundred thousand dollars annually on average. Other requirements of the proposition would not significantly increase clinic costs. How each clinic chooses to manage these costs will vary. Three possible options could be an increase in costs to patients, clinic closure, or continued operation with lower profit.
Additionally, estimated costs to state and local governments could increase likely in the tens of millions of dollars annually. This would be due to higher patient treatment costs, either from the clinic itself or due patients requiring treatment in costlier settings like hospitals, if a clinic closes in response to the proposition.
Increased administrative costs for CDPH due to new regulatory responsibilities likely would not exceed the low millions of dollars annually and could be covered by the annual licensing fee paid by clinics.
What your vote means
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.
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.
Official Voter Information
- California Secretary of State, Quick Reference Guide Prop. 29
- California Secretary of State, Official Voter Guide
- California Secretary of State, Cal-Access: Campaign contributions
- California Legislative Analyst's Office, Proposition 29
- California Fair Political Practices Commission, November 2022 General Election Top Contributors to State Ballot Propositions
- California Choices
- League of Women Voters Recommendation
- Project for an Informed Electorate
- Voter's Edge
No polls available for this proposition at this time.