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Dialysis Clinic Requirements

REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS

The ballot measure would enact staffing requirements, reporting requirements, ownership disclosure, and closing requirements for chronic dialysis clinics, requering clinics to: have at least one physician, nurse practitioner, or physician assistant - with at least six months experience with end-stage renal disease care - onsite during patient treatments;
report dialysis-related infections to the California Department of Public Health (CDPH);
requiring clinics to provide patients with a list of physicians with ownership interest of 5 percent or more in the clinic
requiring clinics to provide the CDPH with a list of persons with ownership interest of 5 percent or more in the clinic; and
requiring clinics to obtain the CDPH's written consent before closing or substantially reducing services to patients.
The ballot initiative would also prohibit clinics from refusing to care for a patient based on the patient's form of payment, whether the patient as an individual payer, the patient's health insurer, Medi-Cal, Medicaid, or Medicare

1907. (21-0013)

REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS

PAC

Californians for Kidney Dialysis Patient Protection

Signatures reached

(est. April 2022)

150000

Proponents

Sean Fleming, Jonathan Everhart

Topic

Health and Welfare

Type

INITIATIVE STATUTE

Circulation Deadline

04/27/22

Official Text

Petition Summary

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. Requires clinics to disclose to patients all physicians with clinic ownership interests of five percent or more. Requires clinics to report dialysis-related infection data to state. Prohibits clinics from closing or substantially reducing services without state approval. Prohibits clinics from refusing to treat patients based on source of payment. :

Fiscal Impact

Increased state and local government costs likely in the low tens of millions of dollars annually.

Regulation:

California Medical Practice Act. - Title 16, Professional and Vocational Regulations, Division 13, Medical Board of California.

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