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Prop 23 Explainer: Establishing State Requirements For Kidney Dialysis Clinics

Giraldo Garcia, 54, gets dialysis at DaVita Dialysis Center in Inglewood in Aug. 2014.
Giraldo Garcia, 54, gets dialysis at DaVita Dialysis Center in Inglewood in Aug. 2014.
Irfan Khan/LA Times via Getty Images

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Voters are going to see another ballot measure in November regarding the operation of kidney dialysis clinics. Back in 2018, Californians voted on a similar proposal that involved many of the same players between labor unions and medical industry groups. 

If passed, Proposition 23 would require a minimum of one licensed physician to be present at the clinic while patients are being treated. The measure would also require clinics to report 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. The proposition’s main supporter has been the Service Employees International Union-United Healthcare Workers West, the labor union representing healthcare workers in California, who argue that the measure provides stronger protections and creates a safer environment for dialysis patients. But concerns over costs, lack of resources and access to care have medical companies and groups, like Davita, the California Medical Association and California NAACP State Conference, urging voters to say no. Today on AirTalk, we break down the measure, what it would mean for dialysis patients and the California medical community, and what voters need to know about the proposition before November. Do you have any questions about Proposition 23? Let us know by calling 866-893-5722.


Sammy Caiola, healthcare reporter for CapRadio; she tweets at @SammyCaiola