Proposition 23 requires “at least one licensed physician on-site during treatment at outpatient kidney dialysis clinics.” However, it also allows the California Department of Public Health to exempt clinics from this requirement if there is a shortage of qualified licensed physicians and the clinic has at least one nurse practitioner or physician assistant on site.
Prop 23 also requires clinics to report dialysis-related infection data to state and federal governments, and prohibits clinics from closing or reducing services without approval from the state health department, a move that supporters state is meant to protect rural patients.
Additionally, Prop 23 bans clinics from giving patients different treatments based on how they pay, which could be the patient, a private entity, the patient’s health insurer, Medi-Cal, Medicaid, or Medicare...
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