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LA TIMES says NO....
The 2022 initiative — and the two before it — was placed on the ballot by the Service Employees International Union-United Healthcare West, which is in a protracted battle with the two largest private dialysis companies, DaVita and Fresenius, to organize workers. The measure has a number of needless provisions, such as requiring infections to be reported to the state, though these data are being reported to the federal government now, and prohibiting dialysis centers from discriminating due to payer source, which even the proponents say is not a problem now.
But the most consequential provision is the requirement that a physician, nurse practitioner or physician’s assistant with experience be on-site at all times at the roughly 650 dialysis centers in the state.
The proponents says the proposition is intended to improve patient care. It’s an assertion they can’t back up with evidence. No other state requires a doctor on-site, nor do the Centers for Medicare & Medicaid Services or the California State Department of Public Health, which regulates dialysis centers. Nor is there evidence that the current arrangement has harmed patients.
Sept. 4, 2022
The SEUI-UHW says the 9-1-1 service calls from dialysis centers suggest the need for more staff, though they offer no data that the volume is higher than might be expected given that dialysis patients often have other serious health conditions. It’s true that clinics often have to call for help if a kidney patient has an emergency, but that won’t change even with extra staff because they are not emergency medical facilities. And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition.
https://www.latimes.com/opinion/story/2022-09-06/endorsement-no-prop-29-dialysis-center-proposition-california
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