Proposition 8

Proposition 8 -- Kidney dialysisWhat it does: The measure caps the amount that the state's 588 chronic dialysis clinics, where most kidney dialysis treatment occurs, can collect from those who pay for treatment -- insurance companies, Medi-Cal, Medicare or the patients themselves. Amounts collected over the cap would have to be rebated.The allowable charges would include direct costs such as wages and benefits, training, drugs, medical supplies and facilities. Administrative overhead would not be included.The measure also requires the companies to report financial information to the state.How much it costs: The Legislative Analyst’s Office estimates the measure would reduce revenue for the clinics and perhaps make some unprofitable. It says there are many uncertainties, particularly about what costs could ultimately be considered allowable, and notes that the clinics may file lawsuits to seek clarity.

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  • Yes - For the Measure

  • No - Against the Measure

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Statements for and against the measure:

Supporters: SEIU-United Healthcare Workers West. Congress of California Seniors. Southern Christian Leadership Conference of Southern California.

What they say: Privately owned dialysis clinics are unsanitary and overcharge patients. Overcharging insurance companies for treatment raises health care costs for everyone. Dialysis companies make huge profits.
Opponents: Dialysis clinic owners; California Medical Association; American Nurses Association/California.

What they say: By limiting what insurance companies can pay for dialysis services, clinics would be forced to close, endangering patients. Clinics already are heavily regulated by state and federal governments. The union pushing Proposition 8 is putting patients at risk to pressure companies into unionizing.