Election 2018: Proposition 8 – Dialysis Treatment

Requires dialysis clinics to issue refunds to patients, insurance companies and other payers when the revenue for those clinics exceeds 115 percent of certain costs.
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What this proposition does: This proposition would require dialysis clinics to issue refunds to patients, insurance companies and other payers when the revenue for those clinics exceeds 115 percent of the cost of both patient care and certain quality improvement measures. The initiative would also ban clinics from refusing to treat patience based on their source of payment, including patience who pay out-of-pocket or supplement costs with private or social medical insurances like Medi-Cal or Medicare. What supporters say: Supporters claim that patients who need dialysis treatment often face exorbitant costs and receive lackluster care. Supporters say some dialysis clinics bill private insurance companies more than 350 percent of the cost of the service, which drives up the price of insurance for policy holders. Supporters argue that private dialysis companies spend less than three-quarters of their revenue providing treatment to patience, and proponents say it’s now time for a law that will help make improved dialysis treatment more affordable. What opponents say: Opponents claim the measure is a bullying tactic by a healthcare union that is attempting to gain some leverage with state lawmakers through the ballot initiative process. If passed, opponents argue private insurers would be capped on what they could pay for treatment, and that could lead to less people receiving dialysis treatment, not more. Opponents also say the measure would apply equally to for-profit and community-operated clinics, which could force some community dialysis clinics to close completely. What a YES vote means: A YES vote means a voter wants to create a law that would cap the amount of revenue a dialysis clinic could receive, with rebates issued to payers when that revenue exceeds 115 percent, and would ban dialysis clinics from refusing treatment to patients based on their method of payment. What a NO vote means: A NO vote means a voter does not want the amount of revenue a dialysis clinic generates to be capped and does not want dialysis clinics to have to issue rebates based on the amount of revenue received. Official ballot title: “Authorizes State Regulation of Kidney Dialysis Clinics. Limits Charges for Patient Care. Initiative Statute.”]]>

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