There are two main state healthcare poll initiatives voters will determine this fall: a measure regulating California dialysis clinics and a proposal to offer Oklahoma lawmakers extra flexibility to fund the state’s Medicaid enlargement.
Proposition 23 in California, which is supported by the influential Service Staff Worldwide Union-United Healthcare Staff West union, would require chronic-dialysis clinics to have an on-site doctor whereas sufferers are handled, report knowledge on infections and get permission from the state earlier than closing clinics.
Dialysis trade giants DaVita and Fresenius have poured cash into defeating the measure—$93 million to proponents’ $6 million, according to state disclosures—claiming it could create arbitrary bureaucratic necessities and trigger some clinics to shut.
Proponents say the measure would enhance sufferers’ high quality of care. SEIU-UHW spokesman Steve Trossman mentioned the dialysis trade makes large income and will afford to adjust to the laws.
A 2018 SEIU-UHW-backed initiative that will have capped dialysis clinics’ income failed, and newspaper editorial boards throughout California urged voters to reject this yr’s proposal, calling it an intentional negotiating ploy.
Oklahoma voters will determine whether or not to take annual funds from a tobacco firm settlement and let lawmakers use it to fund Medicaid packages, together with the Medicaid enlargement voters approved in June. Republican Gov. Kevin Stitt helps the measure, whereas the Oklahoma Hospital Affiliation has not taken a place.
States throughout the nation might be going through a fiscal crunch as tax income plummets, and state authorities elections will decide how states face down their deficits.
Medicaid supplier funds are likely targets, as states have restricted choices to chop different Medicaid expenditures as a situation of accepting federal help.
“The query is how states react to fiscal constraints that they’re going through. Will they reduce Medicaid? Will they reduce elsewhere or create new sources of income?” mentioned Heather Howard, a Princeton College lecturer and director of a program that provides states technical help on healthcare coverage reform.