By Community Coalition Action Fund’s Member-Led Committee:
Ana Carrion
Minzita Fernandez
Atala Giraldo
Jairo Giron
Rodrigo Moreno
Maria Rutledge
Pastor Byron Smith
Joy Stalworth
Christina Starks
Latia Suttles
Cordie Williams-Moss

The ballot measure would require chronic dialysis clinics to:

  • Have a minimum of one licensed physician present at the clinic while patients are being treated, with an exception for when there is a bona fide shortage of physicians;
  • Report data on dialysis-related infections to the state health department and National Healthcare Safety Network (NHSN);
  • Require the principal officer of the clinic to certify under penalty of perjury that he or she is satisfied, after review, that the submitted report is accurate and complete; and
  • Provide written notice to the state health department and obtain consent from the state health department before closing a chronic dialysis clinic.
    The ballot measure also states a chronic dialysis clinic cannot “discriminate concerning offering or providing care” nor “refuse to offer or to provide care, based on who is responsible for paying for a patient’s treatment.”

CoCo Member Vanessa Bailey Wants You To Know Why She’s Voting Yes!


EIU-UHW West Union – The Service Employees International Union-United Healthcare Workers West


DaVita, Inc.
AMVETS, Department of California
California Medical Association
Fresenius Medical Care
American Legion, Department of California
California NAACP State Conference


Pros: According to, in most dialysis clinics, low-paid workers are pressured to rush patients through treatment. Prop 23 will help to ensure there is always a doctor on site — the difference between life or death if something goes wrong. Dialysis clinics should provide the same level of care for all patients, regardless of the type of insurance or the community they live in. Prop 23 will ensure everyone gets equal treatment.

Cons: The Bakersfield Californian Editorial Board says, “Proposition 23 basically is a replay of a 2018 ballot battle, with voters decisively siding with dialysis centers. Rather than accepting that vote, union activists are taking another bite on the apple with Proposition 23. … Patient care regulation at dialysis clinics should be a matter of legislation of industry regulation, not a union negotiating ploy decided by voters.”

Why Does It Matter To South LA? 

South LA has become an area in which we are seeing increasing Dialysis Clinics. This vote will affect many of our residents. Black and Brown people deserve quality care.

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