November 3, 2020 Ballot Prop. 23

Proposition 23: Kidney Dialysis Clinics

Official Results

Available once the California Secretary of State has certified the election. This can take up to 3 weeks or more.

Yes votes: 6,161,109 (36.6%)

No votes: 10,683,606 (63.4%)

Proposition 23 institutes new rules concerning the operation of chronic dialysis clinics (CDC). These include requiring each  CDC to have a doctor onsite during treatment hours; requiring each CDC to report dialysis-related infection information to the California Department of Public Health (CDPH) every three months; and requiring the CDPH to charge penalties if CDCs fail to report this information; requiring CDCs to seek consent from the CDPH vefore closing or reducing services; and barring CDCs from denying care to patients based on who is paying for their treatment. The CDPH would fully implement and administer these rules.  

Voter Information

Public Opinion

Non-Partisan Resources

Pro/Con Statements

Supporters of Proposition 23 claim that the measure makes common sense improvements to dialysis treatment that will protect some of the most medically vulnerable people in the state.They say that the dialysis industry can easily make these changes and still make millions of dollars in profits.
Opponents of Proposition 23 claim that the measure would force community dialysis clinics to close. They say that the closure of clinics will overburden emergency rooms and will lead to huge increases in health care costs. They say dialysis clinics are appropriately regulated and provide high quality care.
Kidney Patients Deserve Better