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.

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

Community-Based Kidney Disease Education

Clinical Research

Regulatory Compliance

Facility Security


Payor Contracting

Human Resources

Information Technology

Professional Services
(Accounting and Legal)