Proposition 8 Excludes Key Caregivers and Jeopardizes Access to Care

Prop 8 narrowly defines what insurance companies are required to reimburse dialysis clinics for patient care. In fact, Prop 8 excludes critical staff and services necessary to provide high-quality care, as well as services required by federal regulators.

By excluding these services, the Berkeley Research Group estimates 80% of kidney dialysis clinics will operate at a loss, forcing them to cut back services or shut down. Prop 8 puts dialysis patients' lives at risk by jeopardizing access to care.

Legitimate patient care expenses EXCLUDED by Prop 8 include

Physician Medical Director

  • Accountable for quality of care, safety of equipment and facility
  • Oversight for all patient care and clinic quality

Nurse Clinical Coordinator

  • Assists with implementation of patient care plans
  • Accountable for adherence to certain CMS regulations, including infection control and monitoring vital signs

Facility Administrator

  • Manages all operations of a clinic, overseeing an average of 30 employees and up to 40,000 dialysis treatments each year
  • Responsible for ensuring clinical outcomes and patient satisfaction

Staff Who Help Patients Navigate Their Insurance Options

  • Educate patients on available insurance options
  • Advocate for patients when insurance companies refuse to cover health care costs

Additional Patient Care Expenses EXCLUDED

Kidney disease education including diet charts for kidney patients are excluded by Prop 8 2018.

Community-Based Kidney Disease Education

Prop 8 2018 excludes clinical research including diet for kidney patients.


Prop 8: Dialysis ballot measure excludes regulatory compliance


CA Proposition 8 2018 excludes security for dialysis clinics


Prop 8 2018 excludes recruiting


CA Proposition 8  excludes payor contracting


CA Prop 8 2018 excludes human resources.


CA Proposition 8 2018 excludes non-clinical information technology

Information Technology

California Proposition 8 2018 excludes professional services

Professional Services
(Accounting and Legal)