Supporter: They said the new rules are designed to keep dialysis patients safe and hold dialysis providers accountable. They point out that several states, including Georgia, Louisiana, Maryland, Massachusetts, New Jersey, Oregon, South Carolina, Texas and Utah, have requirements for staff-to-patient ratios in dialysis clinics.
David Miller, research director of SEIU-UHW, said the group denies allegations about the use of the suggestion system to unionize dialysis center workers. He said the proposal was not designed to dictate what on-site doctors would do or how they would oversee care.
He said dialysis patients have expressed concern that centers lack sufficient staff if anything goes wrong. He noted that SEIU-UHW, along with other groups and patients, filed an administrative complaint with the US Department of Health and Human Services earlier this year over the differential effects of dialysis on Latino and Asian patients.
The view of Sacramento
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Criticism: The No on Prop 29 campaign has a long list of medical industry associations opposing the voting measure, including the California Medical Assn., the California chapter of the American Nurses Assn., the American Academy of Nephrology Physician Assistants, the dialysis technicians represents, and several advocacy groups for dialysis patients. Opponents say paying for more staff could lead to clinic closures. In addition, they say the federal agency for Medicare and Medicaid Services already requires clinics to report bloodstream infections in patients.
Satellite Healthcare chief executive Jeff Goffman said he’s worried about how the company’s clinics will survive Proposition 29 if they have to pay for more staff.
Goffman said a potential increase in staffing by hundreds of thousands of dollars is risky for a nonprofit like his, where much of the revenue comes from government programs. He said many of the patients treated are black and the majority have comorbidities such as high blood pressure, obesity or heart disease. “It’s a risk for an underserved population because it’s certainly a risk for access to care and a racial inequality issue when we look at the patient population that is treated with dialysis,” he said.
https://www.latimes.com/california/story/2022-11-03/2022-california-election-voter-guide-proposition-1-kidney-dialysis-centers 2022 California election: Proposition 29 voter guide