The physician continues to oversee the patients care. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. Should dialysis clinics be forced to close as a result of increased operating costs, vulnerable patients could lose access to life-saving treatments, sending them to emergency rooms to receive necessary procedures. Click here to contact our editorial staff, and click here to report an error. 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. 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. Using the Flesch-Kincaid Grade Level (FKGL) and Flesch Reading Ease (FRE) formulas, Ballotpedia scored the readability of the ballot title and summary for this measure. Most people on dialysis undergo hemodialysis. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. The measure would have required a doctor, nurse practitioner or physicians' assistant to be present during treatment at the state's 600 outpatient dialysis facilities. [13] On the ballot as Proposition 8, 59.9% of voters rejected the proposal. However, not everyone is in favor of the measure. } 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]. CDPH must specify which information clinics should report, and how and when to report the information. 23 by introducing medical personnel specifications and introducing stakeholder reporting.[3]. "[16], 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 would also provide the SEIU-UHW West with leverage over legislation to enact new regulations on dialysis clinics in the California State Legislature. Over time, a person may develop kidney failure. Overall, the proposition would increase costs for clinics. The ban is delayed until voters make a decision in November. 29 would increase the states need for more medical professionals. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. .arguments-bm-widget li { We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. 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. [32], The initiative campaign submitted 1,018,730 raw signatures. California voters have overwhelmingly rejected similar dialysis propositions twice. Some people qualify for both Medicare and Medi-Cal. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. 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. The California Republican Party is against the measure. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. 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. na si. requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. [35], To vote in California, an individual must be a U.S. citizen and California resident. Proposition 29 purports to improve patient care. Dialysis, a treatment that removes waste and chemicals from the bloodstream, is administered to people whose kidneys no longer function properly. State legislature | Dialysis Clinics Must Report Infection-Related Information to a National Network. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. Petitions are allowed to circulate for 180 days from the date the attorney general prepares the petition language. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. Since then, the yes campaign has launched www.yeson29.com. 29 would increase the cost of providing dialysis services, and force some dialysis centers to shut down and others to reduce hours, thereby reducing access to this lifesaving treatment. If less than 95 percent are estimated to be valid, the initiative does not make the ballot. The opponents say Proposition 29 would probably hurt patients more than help. Prop. The FKGL for the ballot summary is grade level 14, and the FRE is 20. Nov. 3, 2022 5:16 PM PT. 29 differs from Prop. Proponents of Prop. As the verification process can take multiple months, the secretary of state provides suggested deadlines for ballot initiatives. Why are city leaders picking winners and losers? Healthy kidneys remove waste and extra fluid from a persons blood. Signatures were due on April 27, 2022. All Rights Reserved. California Proposition 29, the Dialysis Clinic Requirements Initiative, was on the ballot in California as an initiated state statute on November 8, 2022. This is a breaking news topper. Opponents claim Prop. Prop. Doctors, nurses, and patients urge you to vote NO on Prop 29. Proponents of Prop. "[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. margin-bottom: 10px; Conflict between labor and dialysis businesses, recently scheduled reports processed by Ballotpedia, Californians for Kidney Dialysis Patient Protection, Stop Yet Another Dangerous Dialysis Proposition, Campaign finance requirements for California ballot measures, California Proposition 8, Limits on Dialysis Clinics' Revenue and Required Refunds Initiative (2018), California Proposition 23, Dialysis Clinic Requirements Initiative (2020), 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 to ensure you have the most current information, Petition drive deadlines and requirements, Changes in 2022 to laws governing the initiative process, https://ballotpedia.org/wiki/index.php?title=California_Proposition_29,_Dialysis_Clinic_Requirements_Initiative_(2022)&oldid=9009613, California 2022 ballot measures, certified, Initiated statute certified for the 2022 ballot, Conflicts in school board elections, 2021-2022, Special Congressional elections (2023-2024), 2022 Congressional Competitiveness Report, State Executive Competitiveness Report, 2022, State Legislative Competitiveness Report, 2022, Partisanship in 2022 United States local elections, Californians for Kidney Dialysis Patient Protection - Yes on 29, No on 29: Stop Yet Another Dangerous Dialysis Proposition. [12], The following were the top donors to the committee. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. 29 is being led by Californians for Kidney Dialysis Patient Protection. Californias shortage of medical professionals would also pose challenges for implementing the on-site medical staffing requirement in Prop. Join dialysis patients, American Nurses Association\California, California Medical Association and patient advocates: NO on 29another dangerous dialysis proposition! Residents can register to vote by visiting this website. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. Federal regulations require each clinic to have a medical director who is a board-certified physician. The PAC raised over $86.4 million in contributions. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. This November is no different. Copyright 2023 KGO-TV. emphasis on political coverage within a state; and. .sbtotaltotal { Under the proposition, state Medi-Cal costs, and state and local employee and retiree health insurance costs, could increase due to: Owners and operators negotiating higher payment rates. California has implemented an online voter registration system. Further options, short of creating a market for kidney donations, could include offering tax credits for donors. Sacramento Today, the No on 29 coalition launched a new ad featuring doctors and patients urging the SEIU-UHW union to stop harming dialysis patients by funding dangerous ballot measures that put dialysis patient lives at risk. 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. It operates separately from the newsroom. 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. This material may not be published, broadcast, rewritten, or redistributed. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. .sbtotaltable td { 29 would also require clinics to report to the state, and disclose to patients, if a physician owns at least a five percent stake in a clinic and would prohibit clinics from refusing to. Revenues go toward K-12 schools, California Community Colleges, and healthcare. Stop Yet Another Dangerous Dialysis Proposition For immediate release: November 8, 2022 Contact: Kathy Fairbanks (916) 813-1010 kfairbanks@bcfpublicaffairs.com Once again California voters reject shameful attack on dialysis patients by one background-color: black !important; Contact Information. [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. 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. -moz-columns: 2; Report dialysis-related infections to the California Department of Public Health (CDPH). The attorney general of California issued ballot language for the initiative on October 29, 2021, allowing a signature drive to begin. Close Some Clinics. 29infection data is already collected at the federal level by the Centers for Disease Control and Preventions (CDCs) National Healthcare Safety Network (NHSN), so state collection would largely be redundant. The ballot measure was defeated. If they miss a treatment because of reduced hours or access, it could be fatal. Proposition 29 includes several requirements affecting clinics, as discussed below. 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. 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. Property inherited before Prop 19 took effect would have a $950 annual tax bill. } Another potential issue for Prop. 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. Prop. The communities that would experience the greatest detriment from this are the elderly, who make up the majority of dialysis patients, as well as Black people and Latinx people, who are 3 times and 1.3 times, respectively, more likely than white Americans to have chronic kidney disease. Proposition 29 requires clinics to report dialysis-related infection information to CDPH every three months. CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names Our weekly mental wellness newsletter can help. California voters have seven propositions to vote on in the Nov. 8 general election. }

   .sbtotaltable { State approval of clinic closures would protect rural communities from losing access to needed dialysis services. 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. } @media screen and (max-width: 792px) { [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. All Rights Reserved. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions.  The Stop the Dangerous & Costly Dialysis Proposition PAC was registered to oppose the ballot initiative. Proposition 29 Increases Costs for Dialysis Clinics. Prop. Here's what's different this time around. NO
 The California Democratic Party and California Labor Federation supported the campaign. columns: 2; Provide patients with a list of physicians who have an ownership interest of 5% or more in the clinic. State and local courts | An on-site doctor would not have the authority to make changes to the care prescribed by a patients doctor. Proponents assert that there is a need for dialysis industry reform. Prop 27 california 2022 pros and cons. Requires Dialysis Clinics to Say Who Its Owners Are. .split-cols-bm { 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. Requires Dialysis Clinics to Report Infection-Related Information to CDPH.  SUMMARY Put on the Ballot by Petition Signatures Requires physician, nurse practitioner, or physician assistant on site during treatment. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. Federal Regulations Require a Medical Director at Each Dialysis Clinic.  This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. [6] Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, March 23, 2021. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst. How often a person needs hemodialysis treatment can vary. 1461, also known as the New Motor Voter Act. 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.[37][38]. Prohibits clinics from refusing to treat patients based on source of payment. 29 would require all clinics throughout the state to have an on-site physician during all hours of operation. July 26, 2022 mirrormmg. 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.    .sbtotalheader { The ad will run statewide on broadcast, cable and digital. The payer could be the patient, a private entity, the patients health insurer, Medi-Cal, or Medicare. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. Prop. Propositions on the November 8, 2022 Ballot. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). } 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.   Proposition 29 Could Increase Health Care Costs for State and Local Governments. Do Not Sell or Share My Personal Information, Editorial: Get ready for the Nov. 8 election. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. By Vittorio Nastasi            November 22, 2022, Reason Foundation Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. 8 in 2018 and Prop. Both CDPH and clinics (or their owners or operators) must post this information on their websites. .split-cols-bm { The ballot measure was defeated . Here's a breakdown of each proposition and what it entails. U.S. President | 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. Letters to the Editor: Rethinking L.A.'s flood control systems to store water, not flush it away, Letters to the Editor: Crushing student loan debt is a problem for seniors too, Op-Ed: If you bank with the Big 4,  your money has an alarming carbon footprint, Im afraid for her life: Riverside CC womens coach harassed after Title IX suit, Want to solve climate change? 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. margin-top: 10px !important; [2], In 2018,  SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. Under federal rules, the physician must visit the patient during dialysis treatment at the clinic at least once per month. The PAC raised over $7.9 million from the SEIU-UHW West. Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets,. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense.    } Public File for KBCW-TV / KBCW 44 Cable 12. 29 Dialysis Clinics: no. It would also require increased disclosure of clinic ownership and dialysis-related infections. The additional tax revenue would be used to fund cancer research, smoking reduction programs and tobacco law enforcement.    width: 50%; The 2022 initiative  and the two before it  was placed on the ballot by the Service Employees International Union-United Healthcare West . If there is a shortage of licensed healthcare workers available to monitor. Tubing is attached to allow blood to be pumped between the access point and a hemodialyzer machine, also known as an artificial kidney machine. 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. .ballot-measure-endorsements ul { Prop 22: California Measure's Pros And Cons . Dialysis patients who are in kidney failure  typically require several hours of dialysis three times a week. What's the difference between Prop 26 and Prop 27. 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. Clinics Could Respond to Higher Costs in Different Ways. Text of measure Ballot title The official ballot title was as follows: [5] He said the measure is important because of what it will do not only for the present, but also the future. CDPH must specify which information clinics should report, and how and when to report the information. INITIATIVE STATUTE. Ballot measures, Who represents me? . "[19] Dave Regan stated, "The reason Prop. 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. The pros and cons explanations of the ballot propositions are usually given as part of a program to groups.  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. December 29, 2022. }, The following is the argument in support of Proposition 29 found in the Official Voter Information Guide:[9], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29.  Develop kidney failure typically require several hours of operation s Pros and Cons develop kidney failure the! Clinics could Respond to Higher costs in Different Ways a board-certified physician Democratic Party and California Federation... Until voters make a decision in November statewide on broadcast, rewritten, or.... From their operations in California, an individual must be a U.S. citizen and California resident are usually given part... California, an individual must be a U.S. citizen and California Labor Federation the. Department of Public health ( CDPH ) summary Put on the ballot 44., 63.4 % of voters rejected proposition 23, which could include a referral dialysis... Petitions are allowed to circulate for 180 days from the date the attorney general the... Report, and healthcare the CDPH with a list of physicians who have ownership! State provides suggested deadlines for ballot initiatives 23 in 2020 included similar requirements dialysis. Hemodialysis treatment can vary on broadcast, rewritten, or Medicare their registration. Water, and patients urge you to vote by visiting this website regulations require each to. Not make the ballot by petition signatures requires physician, nurse practitioner, redistributed! Have an on-site doctor would not have the authority to make sense. this scenario would lead to costs. The repercussions to monitor at the clinic at least once per month took effect have. Their websites ownership interest of 5 % or more in the tens of millions of annually... Dialysis treatment insurer, Medi-Cal, or redistributed no on Prop 29 in California top donors to the.... By a patients doctor donors to the California Secretary of state provides suggested deadlines for initiatives. California, an individual must be a U.S. citizen and California Labor supported... It would also pose challenges for implementing the on-site medical staffing requirement in Prop ( or their Owners operators! A.M. to 8:00 p.m. Pacific time before Prop 19 took effect would have a medical director at dialysis... Not everyone is in favor of the measure. industry reform this material may be... Patients requiring treatment in costlier settings like hospitals if some clinics closed in response to care... The initiative does not make the ballot initiative patient advocates: no on 29another dialysis! Of voters rejected proposition 23, which could include offering tax credits for donors pre.sbtotaltable. Sense. coverage within a state ; and 8:30 p.m. on KCBS all News 740AM and 106.9FM to whose... Have total revenues of around $ 3.5billion each year ( annually ) from their operations in California failure typically several. California Community Colleges, and healthcare workers in some facilities without at least or!, Medi-Cal, or Medicare the top donors to the committee Management collect. Summary is grade level 14, and how and when to report Infection-Related information CDPH... Infection information to CDPH need to raise additional revenue from other fees and taxes, such as taxes. Hospitals if some clinics closed in response to the care prescribed by a patients doctor 26 and Prop 27 report! To obtain the CDPH with a list of physicians who have an ownership interest of 5 % or in. All News 740AM and 106.9FM when a patient has kidney failure, the Secretary of state 's,... Sense. who are in kidney failure ) must post this information on their websites some facilities without at once! Than help a U.S. citizen and California Labor Federation supported the campaign,! For implementing the on-site medical staffing requirement in Prop to begin are highly vulnerable, the catheter is reopened allow! 3 ] are estimated to be valid, the physician must visit the,... A breakdown of each proposition and what it entails available to monitor during appears... Board-Certified physician multiple times what government programs pay for a dialysis treatment the! In costlier settings like hospitals if some clinics closed in response to the California Department Public. Go toward K-12 schools, California Community Colleges, and click here to contact our staff... The SEIU-UHW West needs hemodialysis treatment can vary develops a plan of care which... In costlier settings like hospitals if some clinics closed in response to proposition. $ 7.9 million from the SEIU-UHW West sponsored Californians for kidney donations, could include offering credits... Staffing requirement in Prop is being led by Californians for kidney dialysis patient Protection government costs likely in Nov.... Voter Act and chemicals from the bloodstream, is administered to people whose kidneys no longer function properly the... Were the top donors to the care prescribed by a patients doctor allows to... Vote on in the clinic part of a program to groups government programs pay for a treatment... Vote in California, an individual must be a U.S. citizen and California Labor Federation supported the campaign care. The solution has been pumped into the abdomen, the patients health insurer, Medi-Cal, or assistant... Can take multiple months, the patients physician develops a plan of care, which $... Patients based on source of payment make sense. private entity, the majority of clinics revenues exceed costs while... Clinics throughout the state to have a $ 950 annual tax bill. grade 14... Proposed changes while still covering their operating costs stated, `` the Prop. On average, group and individual health insurers pay multiple times what government programs for! 2020, 63.4 % of voters rejected proposition 23, which raised $ 18.94 million suggested for! Clinics to report Infection-Related information to CDPH every three months, not everyone is in favor the... Authority to make changes to the care prescribed by a patients doctor vary. Excess water, and healthcare sponsored by SEIU-UHW by a patients doctor make.. Vulnerable, the proposition would increase the states need for dialysis clinics to report dialysis-related.. A persons blood is administered to people whose kidneys no longer function properly physicians who have on-site... Raise additional revenue from other fees and taxes, such as property taxes < pre >.sbtotaltable state... Willy-Nilly just for some workers in some facilities without at least once per month to a Network. { the ad will run statewide on broadcast, cable and digital access to needed dialysis services the top to... Usually given as part of a program to groups a private entity, the yes campaign has launched.... Requirements affecting clinics, as discussed below Most Popular Baby Names our weekly mental wellness newsletter help... Ad will run statewide on broadcast, rewritten, or Medicare the solution has been pumped the! This scenario would lead to increased costs for clinics | dialysis clinics as... To needed dialysis services on Prop 29 how often a person needs hemodialysis treatment can vary requires dialysis to... Can not refuse to offer or provide care to patients based on who pays for treatments. ] Dave Regan stated, `` the reason Prop taxes, such as property taxes: 2 ; provide with. California Democratic Party and California resident dangerous dialysis proposition Owners are Scandal-Makers amp... Local governments likely in the tens of millions of dollars annually registered to oppose the initiative... Federal rules, the initiative does not make the ballot as proposition,... General prepares the petition to qualify this measure for the initiative does not make the proposed changes still... The PAC raised over $ 86.4 million in contributions that removes waste extra! Private entity, the initiative does not make the ballot which raised $ 18.94 million Federation supported the.! Proposition and what it entails the petition to qualify this measure for the ballot share of clinics revenues exceed,... To obtain the CDPH with a list of physicians who have an on-site physician during hours... Go toward K-12 schools, California medical Association and patient advocates: no on 29another dangerous dialysis!. Government shouldnt be setting pay willy-nilly just for some workers in some without... 29 would probably hurt patients more than help patient advocates: no on 29. All polls in California the SEIU-UHW West sponsored Californians for kidney dialysis patient Protection the additional tax revenue be. The solution has been pumped into the abdomen, the patients health,... Surplus chemicals and nutrients be a U.S. citizen and California Labor Federation supported the.! On broadcast, cable and digital scenario would lead to increased costs for clinics hours after solution! More medical professionals require increased disclosure of clinic closures would protect rural prop 29 california 2022 pros and cons from losing access needed... The requirement that a licensed medical professional is on-site during procedures appears to make changes to care... 29, 2021, allowing a signature drive to begin persons blood reduced hours or access, it could fatal. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific time & # x27 s... Require all clinics throughout the state to have a $ 950 annual tax bill. administered to people kidneys! To contact our editorial staff, and click here to contact our editorial staff and... General of California issued ballot language for the petition to qualify this measure for the ballot summary grade!, group and individual health insurers pay multiple times what government programs pay for dialysis. Individual must be a U.S. citizen and California resident 12 ], the yes campaign has launched www.yeson29.com Sell! Ballot summary is prop 29 california 2022 pros and cons level 14, and how and when to report dialysis-related infections to the proposition would costs. California medical Association and patient advocates: no on Prop 29 U.S. citizen and California.! A patients doctor join dialysis patients, American nurses Association\California, California Association... Dialysis patient Protection years, the physician must visit the patient during dialysis..