What Is Proposition 23, The Dialysis Clinics Law?

LOS ANGELES, CA — California voters can be forgiven a sense of deja vu, having voted down a law governing dialysis clinics just two years ago. But the 2018 measure and this year’s Proposition 23 are fundamentally different.

Voters in 2018 rejected Prop 8, which sought to cap dialysis clinic profits. Proposition 23, focuses on patient safety and clinic oversight.

So what exactly would Prop 23 do?

It would require dialysis clinics to have a doctor or nurse practitioner onhand when patients are being treated, and it would require clinics to report patient infections to the state and federal government. It would also prohibit clinics from closing without state approval and prohibit them turning away patients because of their source of payment.

Opponents of the measure argue that these requirements are unnecessary and costly. Clinics would be forced to close down, and patients will lose access to the care they

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California voters weigh in again on care at dialysis clinics

SAN FRANCISCO (AP) — California voters will again weigh in on the quality of care dialysis clinics provide to about 80,000 people in the state with kidney failure.

Proposition 23 would require a doctor or highly trained nurse at each of the state’s 600 dialysis clinics whenever patients are being treated to improve patient care. It was placed on the ballot by unions that represent health care workers.

Opponents, financed by dialysis clinic companies, say that under that mandate, between two and three doctors would be required at every facility because most are open at least 16 hours a day, creating a financial burden that could lead some clinics to close.


“There are a tremendous number of complications that can occur during and around dialysis, and a doctor onsite will be able to respond not only to emergencies such as cardiac arrest, bleeding, dangerous fluctuations in blood pressure — all

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