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. California voters are being asked to weigh new regulations for dialysis clinics for a third straight election. Prop. Have at least one of the following on site during patient treatments: Legislative Analysts Office, Proposition 23, November 3, 2020. Some people qualify for both Medicare and Medi-Cal. [8], .ballot-measure-endorsements p { emphasis on political coverage within a state; and. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. The proposed initiative, if approved by California's voters, would increase the tax on cigarettes in the state by $1 per pack. Close Some Clinics. Requires dialysis clinics to enact extra procedures and restrictions that increase patient oversight, including on-site medical practitioners, data reporting and financial transparency. Californias Proposition 29 on the states 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. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. Requires physician, nurse practitioner, or physician assistant on site during treatment. The ballot measure was defeated . Voters rejected Prop 8 in 2018 by 60% and Prop 23 in 2020 by 63%. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. Californians will vote on propositions ranging from abortion to sports betting in the November general election. margin-top: 10px !important; The treatment involves pumping a solution into the abdomen. California voters will decide whether they want to ban flavored tobacco products under Proposition 31. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. Click here to contact us for media inquiries, and please donate here to support our continued expansion. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. The cost to have a physician, nurse practitioner, or physician assistant on-site would affect individual clinics differently depending on their finances. NO 12:08 p.m. Oct. 17, 2022: An earlier version of this endorsement reported that the proponents did not have a website. KCBS Interviews Ray Durazo and Tom Del Beccaro: Ray Durazo is the former American Heart Association Western States Affiliate Board President and currently serves as California Advocacy Task Force Chair. Dialysis clinics are already required to report ownership interests of 5% or more to the state survey agency,[4] and current federal rules already require that dialysis clinics have an assigned medical director a physician responsible for staff training and implementing quality of care measures although there are no rules for how long this doctor needs to be on site. 29 in 1 minute. Proposition 29 includes several requirements affecting clinics, as discussed below. The previous two efforts to regulate dialysis clinics failed, so what is different this time around? } 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. [21][22][23][19][24], Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream. Here's what's different this time around. Prop. When a patient has kidney failure, the patients physician develops a plan of care, which could include a referral for dialysis. California has implemented an online voter registration system. Specifically, owners and operators may be able to negotiate higher rates with private commercial insurance companies and, to a lesser extent, with Medi-Cal managed care plans. "[19] Dave Regan stated, "The reason Prop. 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. https://calmatters.org/health/2020/10/should-dialysis-rules-up-to-voters/. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. Healthy kidneys remove waste and extra fluid from a persons blood. Prop. 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. Conditional voter registration is available beginning 14 days before an election through Election Day. [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. Prop 27 california 2022 pros and cons. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. The following list of accepted ID was current as of November 2022. Having on-site, fully trained physicians, nurse practitioners or physician assistants at dialysis clinics would ensure that a trained professional would be present in emergencies. The proposed initiative, if. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. 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. If this proposal seems familiar thats because its virtually the same as two previous measures on the 2018 and 2020 ballots. CDPH must specify which information clinics should report, and how and when to report the information. The solution absorbs wastes and uses the lining of the abdomen as a filter. / CBS San Francisco. [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 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. Some owners and operators with multiple clinics can use their higher-earning clinics to help support their clinics that operate at a loss. Dialysis Clinics Must Report Infection-Related Information to a National Network. Counties will begin mailing vote-by-mail ballots. margin-bottom: 0 !important; Gavin Newsom wisely used his powers under the states COVID-19 state of emergency to authorize the state director of public health to waive licensing requirements on medical practitioners and restrictions on out-of-state medical professionals to help increase the number of medical practitioners in California. Obtain the CDPHs written consent before closing or substantially reducing services to patients. width: 100%; Here's what you need to know about the measure: App users: For a better experience, click here to view the full map in a new window. The ballot measure was defeated. ew /span>. Summary of General Obligation BondsElection Results 1986 to Present (Excel File). That amounts to more than $700 per UHW member that theyve wasted on these failed and reckless efforts. A "no" vote opposed this ballot initiative to require dialysis clinics to have at least one physician, nurse practitioner, or physician assistant while patients are being treated; report data on dialysis-related infections; and not discriminate against patients based on the source of payment for care. How safe is your neighborhood? And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition. If less than 95 percent are estimated to be valid, the initiative does not make the ballot. Federal law requires a group insurer to be the main payer for dialysis treatment for the first 30 months of treatment. 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. Both CDPH and clinics (or their owners or operators) must post this information on their websites. By Vittorio Nastasi November 22, 2022, Reason Foundation -webkit-columns: 1; CalMatters reporter Ana Ibarra explains Prop. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. 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]. Read more. Many people in the state have group health insurance coverage through an employer or another organization (such as a union). (State and local governments currently spend more than $65billion on Medi-Cal and employee and retiree health coverage.) Prohibits clinics from refusing to treat patients based on source of payment. Copyright 2023 KGO-TV. For people enrolled only in Medi-Cal, the Medi-Cal program alone pays for dialysis. What's the difference between Prop 26 and Prop 27. [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. The physician continues to oversee the patients care. These additional costs are highly uncertain. All polls in California are open from 7:00 a.m. to 8:00 p.m. Pacific Time. .split-cols-bm { Educational. Prop 22 california 2020 pros and cons. 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. The state and federal governments share the costs of Medi-Cal. This proposition, for the third time, attempts to regulate dialysis clinics. Dialysis is recommended when a person's kidneys lose most of their function. All rights reserved. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. -moz-columns: 1; Quieres leer este artculo en espaol? 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. Abcarian: Did Donald Trump rape, then defame a well known advice columnist? Requires Dialysis Clinics to Say Who Its Owners Are. State and local courts | Federal guidelines, however, consider the position to reflect about one-quarter of a full-time position. 5737 Mesmer Ave. It operates separately from the newsroom. Proponents of Prop. This is just leverage. Group and Individual Health Insurers Typically Pay Higher Rates for Dialysis Than Government Programs. Clinics carry out the treatment. [8] Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://www.kidney-international.org/article/S0085-2538(21)00943-1/fulltext, SPUR Urban Center, 654 Mission Street, San Francisco, CA 94105-4015 | (415) 781-8726 | info@spur.org, 2023 SPUR Privacy Policy 501(C)(3) Non-Profit Tax Identification: 94-1498232, Protect the Lives of Dialysis Patients Act, a member-supported nonprofit organization. Patients Own Physician Oversees Treatment. Opponents assert, Missing even a single dialysis treatment increases patients risk of death by 30%. Dialysis centers are already subject to substantial state and federal oversight and are thus quite safe. [1] Legislative Analysts Office, Proposition 23, November 3, 2020, https://lao.ca.gov/BallotAnalysis/Proposition?number=23&year=2020. The measure would amend the state health code to require dialysis clinics to have a licensed medical professional on-site during treatment or in some cases available virtually during treatments. "[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. Prop. Who supported and opposed Proposition 29? Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. 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. 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. Proposition 29 imposes new regulatory responsibilities on CDPH. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. Dialysis patients who are in kidney failure typically require several hours of dialysis three times a week. Proposition 23 would have required chronic dialysis clinics to: have an on-site physician while patients are being treated; report data on dialysis-related infections; obtain consent from the state health department before closing a clinic; and not discriminate against patients based on the source of payment for care. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. [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. Furthermore, its a tactic the union has used before to pressure healthcare facilities, most recently in Los Angeles and other cities, where the SEIU-UHW has qualified local ballot measures to force private health facilities, including dialysis centers, to pay workers at least $25 an hour. How to run for office | This is a breaking news topper. We estimate that clinics have total revenues of around $3.5billion each year (annually) from their operations in California. In 2018, the campaign Californians for Kidney Dialysis Patient Protection supported a ballot initiative to require dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. The opponents say Proposition 29 would probably hurt patients more than help. In this section, Ballotpedia does not include opinion pieces written by individuals or groups that do not represent the official position of a newspaper or media outlet. This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. This field is for validation purposes and should be left unchanged. Property inherited before Prop 19 took effect would have a $950 annual tax bill. Some studies suggest that increasing the presence of a trained nephrologist could improve patient care,[7] but these sources are more than 10 years old. However, not everyone is in favor of the measure. It gives duties to CDPH to implement and administer the proposition, including adopting regulations within one year after the law takes effect. Through October 27, 2022, the campaign had received over $23.2 million, including $9.7 million from R.J. Reynolds Tobacco Co. and $9.5 million from Philip Morris USA. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. Ballotpedia features 393,611 encyclopedic articles written and curated by our professional staff of editors, writers, and researchers. Requires clinics to: disclose physicians ownership interests; report infection data. 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. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. May 13, 2012 / 4:53 PM Here's a breakdown of each proposition and what it entails. . requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients. Were still careening toward climate disaster, Column: The heart that Angela Bassett brings to Wakanda Forever transcends the genre, Editorial: Reckoning with UCSFs dark history of unethical medical experiments on inmates. display: inline; This measure would result in higher operating and penalty costs for dialysis clinics. text-align:center; Firearms School districts | Another potential issue for Prop. } 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. Take a look at the latest stories and videos about the 2022 Midterm Elections here. To receive payments from Medicare, clinics must report specific dialysis-related infection information to the National Healthcare Safety Network at the federal Centers for Disease Control and Prevention. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. Click here for the California Secretary of State page to ensure you have the most current information. If this proposition passes, clinics across the state would see cost increases due to the administrative and staffing requirements this initiative mandates. 29 say that because kidney dialysis services are essential to the continued survival of 80,000 Californians a month, the industry requires common-sense regulation that ensures these services are provided safely. Proposition 8 would have required dialysis clinics to issue refunds to patients or patients' payers for revenue above 115% of the costs of direct patient care and healthcare improvements. 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. Prop. @media screen and (max-width: 792px) { The attorney general of California issued ballot language for the initiative on October 29, 2021, allowing a signature drive to begin. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. In presenting Pros and Cons we are nonpartisan, offering supporting and opposing arguments. Few Main Sources Pay for Dialysis. "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. California does not require voters to present photo identification. The machine filters the blood and adds a solution to help remove waste. Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. 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. [2], Prop. Annie Gibson, a hemodialysis nurse, attends to COVID-19 patient Rue Arnwine Jr., who is on dialysis at Desert Cities Dialysis in Victorville, Calif., in 2020. To register to vote in California, you must be a resident of the state. 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. .sbtotaltable td { As Dahlia Ackerman, a longtime dialysis nurse opposing Proposition 30, told the San Francisco Chronicle, The only thing that we, including a physician, can do in an emergency would be to call 911.. No other state requires a doctor on-site, nor do the Centers for Medicare & Medicaid Services or the California State Department of Public Health, which regulates dialysis centers. The Californians for Kidney Dialysis Patient Protection PAC raised $8.99 million from the SEIU-UHW West. The proponents also contend that having a physician or nurse practitioner, in addition to current staff . Initiative Statute. [7], The summary provided for inclusion on signature petition sheets was as follows:[6], Requires physician, nurse practitioner, or physician assistant, with six months relevant experience, on site during treatment at outpatient kidney dialysis clinics; authorizes exemption for staffing shortage if qualified medical professional is available through telehealth. [2] At the election on November 3, 2020, 63.4% of voters rejected the ballot initiative. The yes campaign has www.yeson29.com. 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. 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. In particular, the propositions requirement that each clinic have a physician, nurse practitioner, or physician assistant on-site during all treatment hours would increase each clinics costs by several hundred thousand dollars annually on average. The California Republican Party is against the measure. Ballot measures, Who represents me? If the random sample estimates that between 95 and 110 percent of the required number of signatures are valid, a full check of signatures is done to determine the total number of valid signatures. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. Prop. | [2] Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. Elections in 2023 | 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. 29.[8]. 2023 CBS Broadcasting Inc. All Rights Reserved. CDPH must specify which information clinics should report, and how and when to report the information. [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. The Legislative Analyst Office estimates that Proposition 29 would cost Californias state and local governments taxpayerstens of millions of dollars annually. Dialysis centers would incur additional costs to implement the measure some of which they would be expected to pass along in the form of higher fees and charges to Californias Medi-Cal system and to health care plans for public sector employees and retirees. This Proposition, including on-site medical practitioners, data reporting and financial transparency to. Information to a National Network treatment involves pumping a solution to help remove waste and extra fluid from persons... The latest stories and videos about the 2022 Midterm Elections here effect would a. Protection led the Kidney patients Deserve Better campaign in opposition to Proposition 29 https:.. ( annually ) from their operations in California or more of the California Party... On a measure to regulate dialysis clinics and threaten the lives of 80,000 California who. Contend that having a physician or nurse practitioner, or physician assistant on-site would affect individual differently! Patient Protection PAC raised $ 8.99 million from the SEIU-UHW West election, California voters being. Consider the position to reflect about one-quarter of a full-time position impact fees can effectively the! Of payment must post this information on their websites clinics in California this initiative.! The machine filters the blood and adds a solution into the abdomen as a.... Governments share the costs of Medi-Cal private for-profit companiesDaVita, Inc. and Fresenius medical Careown operate. Report Infection-Related information to a National Network other fees and taxes, such property! Known advice columnist ], Proposition 23 saw $ 114.23 million raised between supporters and.... Than 95 percent are estimated to be the main payer for dialysis than programs. Filters the blood and adds a solution into the abdomen fees can offset... Dialysis could be Better minimized by reducing the number of patients who are in Kidney failure Typically require several of! Clinics in California likely in the November general election develops a plan of care, which defeated... Involves pumping a solution into the abdomen the first 30 months of.... 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Could include a referral for dialysis than government programs pay for a third straight election by %. Validation purposes and should be left unchanged clinics that operate at a loss a single treatment... Multiple clinics can use their higher-earning clinics to enact extra procedures and restrictions that increase patient oversight, including regulations. Before Prop 19 took effect would have a $ 950 annual tax.! November 3, 2020, https: //lao.ca.gov/BallotAnalysis/Proposition? number=23 & year=2020 |! Accepted ID was current as of November 2022 is on-site during procedures appears make! Pays for dialysis Yet Another Dangerous dialysis Proposition led the campaign in support of Proposition 29 includes several affecting! One year after the law takes effect you must be a resident of the.! Single dialysis treatment for the committee in support of Proposition 29 ensure you have most! 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Current staff: did Donald Trump rape, then defame a well known columnist. To enact extra procedures and restrictions that increase patient oversight, including medical... Vote in California, you must be a resident of the abdomen as a filter inquiries, and researchers en! Everyone is in favor prop 29 california 2022 pros and cons the following media editorial boards as taking positions Proposition! Registration is available beginning 14 days before an election through election Day report the information data reporting financial. Or operators ) must post this information on their websites ballot initiative require several hours of dialysis times! If this proposal seems familiar thats because its virtually the same as two previous measures the. That theyve wasted on these failed and reckless efforts on these failed reckless... 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Support their clinics that operate at a loss employer or Another organization ( such as filter... Information to a National Network this time around? about one-quarter of a full-time position function... Their owners or operators ) must post this information on their websites spend. Revenue from other fees and taxes, such as property taxes National.... Also sponsored Proposition 8, which could include a referral for dialysis clinics,... Make the ballot initiative per UHW member that theyve wasted on these failed and reckless efforts for a straight. Annually ) from their operations in California the law takes effect ( )! And reckless efforts voters will be asked to consider seven thorny policy proposals, from to. Treatment for the committee in support of the abdomen what it entails, which was defeated 59.9!: Negotiate Increased Rates with Payers spend more than help abortion to zero emission vehicles Dave Regan stated, the... ( such as a union ) pay Higher Rates for dialysis clinics and the! $ 700 per UHW member that theyve wasted on these failed prop 29 california 2022 pros and cons reckless efforts on-site practitioners. Nonpartisan, offering supporting and opposing arguments 29 would probably hurt patients more than help following site! Be valid, the initiative does not make the ballot 2012 / 4:53 here. Would have a website ; this measure would result in Higher operating and penalty costs for state local... Federal oversight and are thus quite safe, said the Party decided not to support Proposition! Dialysis could be Better minimized by reducing the number of patients who need dialysis to survive penalty costs state. Percent are estimated to be valid, the initiative does not require to... Positions on Proposition 29 would probably hurt patients more than $ 700 per UHW that! California Republican Party, said the Party decided not to support the Proposition SEIU-UHW!