California voters to decide dialysis-related ballot initiative in November
Voters in California will decide a ballot initiative related to dialysis clinics for the second consecutive general election after the office of California Secretary of State Alex Padilla (D) announced June 15 that supporters submitted enough valid signatures for such a measure. In 2018, voters rejected a ballot measure titled Proposition 8 that would have required dialysis clinics to refund patients or their insurers for profits above a certain threshold. Dialysis is a medical treatment that removes waste products and excess fluids and chemicals from a person's bloodstream and is recommended when a person's kidneys lose most of their function.
2018’s Proposition 8 was the most expensive ballot measure that year, with campaign committees raising a combined $130.4 million. Opponents of the measure $111.5 million including contributions from DaVita ($67 million), Fresenius Medical Care North America ($34 million), and U.S. Renal Care ($8.2 million). Supporters of the measure raised $18.9 million, with $17.9 million of that coming from the Service Employees International Union-United Healthcare Workers West.
This year’s initiative is different from the one California voters decided in 2018. It would require chronic dialysis clinics to do the following:
- 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.
Sponsors of the measure submitted one million signatures in April. In order to make the ballot in California, proponents must submit 623,212 valid signatures—5% of the votes cast in the previous gubernatorial election. Based on random samples, the secretary of state’s office announced that an estimated 73.05%—or approximately 739,326 signatures—were valid.
This ballot initiative is the seventh measure to qualify for the November 3 ballot in California. The deadline for the secretary of state’s office to verify signatures is June 25. Two ballot initiatives are currently undergoing a random sample of signatures. The California legislature also has until June 25 to refer measures to the general election ballot.
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