Measure on the ballot in the 2020 California General Election in California.
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Get StartedRequires physician, nurse practitioner or physician assistant on site during dialysis treatment. Prohibits clinics from reducing services without state approval. Prohibits clinics from refusing to treat patients based on payment source. Fiscal Impact: Increased state and local government costs likely in the low tens of millions of dollars annually.
A "YES" vote on Proposition 23 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 Proposition 23 means: Chronic dialysis clinics WOULD NOT BE REQUIRED to have a physician, nurse practitioner or physician assistant on-site during all patient treatment hours
\[Prop. 23] requires a physician or nurse practitioner to be in the clinic any time patients are being treated, which is not currently required. Dialysis is a dangerous procedure, and if something goes wrong, a doctor or highly trained nurse should be nearby., in support of Proposition 23 (Learn more)
Dialysis patients are prone to infections from their treatments that can lead to more serious illnesses or even death. This initiative requires clinics to report accurate data on infections to the state and federal governments so problems can be identified and solved to protect patients., in support of Proposition 23 (Learn more)
\[Prop. 23] prohibits clinics from discriminating against patients because of the type of insurance they have, and it protects patients in every clinic., in support of Proposition 23 (Learn more)
Proposition 23 would force dialysis clinics to have a physician administrator on-site at all times, even though they would not care for patients., in opposition to Proposition 23 (Learn more)
“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. This is not the time to make our physician shortage worse.”, in opposition to Proposition 23 (Learn more)
Requires at least one licensed physician on site during treatment at outpatient kidney dialysis clinics; authorizes Department of Public Health to exempt clinics from this requirement due to shortages of qualified licensed physicians if at least one nurse practitioner or physician assistant is on site. Requires clinics to report dialysis-related infection data to state and federal governments. Requires state approval for clinics to close or reduce services. Prohibits clinics from discriminating against patients based on the source of payment for care. Summary of estimate by Legislative Analyst and Director of Finance of fiscal impact on state and local governments: Increased state and local health care costs, likely in the low tens of millions of dollars annually, resulting from increased dialysis treatment costs.
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