State Measures – 2022 General Election

Note: This post is “IN PROCESS” and will be periodically updated! (10/27/22)

QUICK LINKS TO: Federal candidates, State candidates, State Measures, Judges, County Supervisors, Local Candidate, School Boards, Special Districts, Local Measures, Other voting guides/endorsements.

These measures are on every CA ballot. Local measure on listed on the “Local Measures” page. We’ve put our opinion in, shown you what others think, given you links to the Secretary of State’s website here. the money trail, and those of the proponents and opponents. Go as deep as you want.


Why we’re voting “YES“: Seriously, if this is a question, you are in the wrong place. We believe in reproductive freedom, but ever further, reproductive justice. Loretta J. Ross explains…

Favorite quote: Abortion bans are against my religion. Reproductive freedom is a religious right. 

( A YES vote on this measure means: The California Constitution would be changed to expressly include existing rights to reproductive freedom—such as the right to choose whether or not to have an abortion and use contraceptives. This amendment does not narrow or limit the existing rights to privacy and equal protection under the California Constitution. 

NO vote on this measure means: The California Constitution would not be changed to expressly include existing rights to reproductive freedom. These rights, however, would continue to exist under other state law.

Fiscal Impact: No direct fiscal effect because reproductive rights already are protected by state law.

Yes on 1 committeeAbortion rights groups, including Planned Parenthood Affiliates of California Planned parenthood
CADEMNorth valley dem
Los Angeles dem. PartyCalifornia Young DemocratsSIMI VALLEY DEM
dem. party of san fernando
GAVIN NEWSOMDianeother Democratic statewide elected officials
and dozens of other Democratic legislatorsLeague of Women Voters CA
sierra club
equality CA
California Medical AssociationAmerican College of Obstetricians and Gynecologists
calaborfedCA Teachers association
sierra club
San Jose Mercury NewsLos Angeles Times
Bakersfield Californian
Sacramento Bee
San Diego Union-TribuneSan Francisco ExaminerSan Francisco Chronicle

YES on Prop 1: Right to Reproductive Freedom Amendment
The FUND envisions “a region where power and resources are distributed equitably, empowering everyone to participate in making decisions that affect them.” The Supreme Court’s decision to limit women and pregnant people’s sovereign right to their bodies and health denies women and pregnant people the right to make their own decisions regarding reproductive health, and strips women and pregnant people of their dignity and right to their bodies. Prop 1 would protect the reproductive rights and bodily autonomy of women and pregnant people and contribute to “a community free of exploitation and oppression.”

Prop 1: Reproductive Freedom – YES

Prop 1: Reproductive Freedom

A recent decision by the U.S. Supreme Court held that the U.S. Constitution does not protect the right to abortion. While access to abortion is no longer federally protected and is under attack across the country, we can safeguard access in California. Proposition 1 will amend the California Constitution to enshrine the fundamental right to choose an abortion, use or refuse contraceptives (birth control), and make individual decisions on reproductive health. These rights are consistent with existing state laws and our state constitutional rights to privacy and equal protection. Access to affordable, comprehensive reproductive health care, including abortion, allows people to plan their lives, protect their health, and achieve their dreams. Prop 1 protects access to the care that will give individuals and families the freedom to make those choices.

MEASURE 1 -YES ( “…You might say: But California’s laws are strong enough. Alas, they aren’t. We’ve seen what a determined court can do. We’ve seen what a political breeze can do. Enshrining this in the constitution is the only way to preserve our freedom of choice.”

No on 1 committeeCalifornia Alliance of Pregnancy CarePacific Justice InstituteCalifornia Catholic Conference
International Faith Based Coalition



Committee: Yes on Proposition 1, Protect Constitutional Abortion Rights, supported by health care organizations, Planned Parenthood Affiliates of California and Senator Toni Atkins Ballot Measure Committee – 1357909

No.ContributorStateStatusTotal Contributions
1Federated Indians of Graton RancheriaCA$5,000,000
2Newsom for California Governor 2022Top Donors to ContributorCA↑+$1,246,348
3California Medical Association and its affiliated entitiesCA$1,000,000
 California Medical Association – Physicians’ Issues CommitteeTop Donors to Contributor   
4Yes on Proposition 1 – Protecting Choice in California, a project of Planned Parenthood Affiliates of CaliforniaTop Donors to ContributorCA$525,000
6Planned Parenthood Advocacy Project Los Angeles County – Yes on Prop 1 (nonprofit 501(c)(4))Top Donors to ContributorCA$500,000
10CA Federation of Teachers COPE PROP/BALLOTTop Donors to ContributorCA$250,000
11CA Teachers Association Issues PACTop Donors to ContributorCA$250,000
12ACLU of Northern CA Issues CommitteeTop Donors to ContributorCA$250,000

Total from top contributors: $10,471,348


No committee opposing this ballot measure raised enough money to reach the reporting threshold for this list.


Why we’re voting “NO“: Ugh. When there are good people on both sides of a proposition that obstensibly supports our tribal communities, it means that it was written badly or is crammed with questionable extras.

This particular mashup would breathe life back into four increasingly unpopular, privately-owned racetracks with no apparent Tribal affiliations — Santa Anita Park and Golden Gate Fields – both owned by the Stronach Group, Del Mar Race Track, and Los Alamitos Race Course. Over 1200 horses at sites regulated by the CA Horse Racing Board have died since 2012, and 72 horses died during the 2020-21 season (down from 144 in 2019). It’s no surprise that the Humane Society and other animal welfare groups are a “NO” vote on rekindling this dying (sometimes literally) industry.

It also sets the stage for a legal harrassment campaign against licensed cardroom competitors, hence all the minority-owned business community groups in the “NO” column. Said Julian Canete, Pres. of the CA Hispanic Chambers of Commerce: “We support the rights of Native Americans to be self-sufficient but we oppose Prop 26 because it will devastate other communities of color in California.”

We’re no fans of horseracing or cardrooms, but this proposition should have been a straight-up proposition written specifically for tribal casinos to increase their offerings. It’s not. So, no. Magic 8 ball says “Ask again later.”

Explainer: ( How to vote on California’s Prop. 26 and Prop. 27, depending on your priorities

( A YES vote on this measure means: Four racetracks could offer in-person sports betting. Racetracks would pay the state a share of sports bets made. Tribal casinos could offer in-person sports betting, roulette, and games played with dice (such as craps) if permitted by individual tribal gambling agreements with the state. Tribes would be required to support state sports betting regulatory costs at casinos. People and entities would have a new way to seek enforcement of certain state gambling laws.

NO vote on this measure means: Sports betting would continue to be illegal in California. Tribal casinos would continue to be unable to offer roulette and games played with dice. No changes would be made to the way state gambling laws are enforced.

Fiscal Impact: Increased state revenues, possibly reaching tens of millions of dollars annually. Some of these revenues would support increased state regulatory and enforcement costs that could reach the low tens of millions of dollars annually.
27 tribes and tribal organizations, led by tribes with casinos including Federated Indians of Graton Rancheria, Pechanga Band of Indians, Yocha Dehe Wintun Nation
California Young DemocratsHarvey Milk LGBTQ Democratic Clubmany local Democratic committees
California League of United Latin American Citizens (CA LULAC)California Latina Democrats- Fresno CountyReluctant
San Diego County Republican PartyNAACP, California-Hawaii state conferenceSanta Clarita Branch NAACPCalifornia District Attorneys Association
Eleni KounalakisFiona MaDOLORES HUERTASouthern California Black Chamber of Commerce
Rural SURJ of Northern CaliforniaShowing Up for Racial Justice – San Francisco SURJ North San Diego County SURJ Santa Barbara
La Raza Roundtable of CaliforniaSan Francisco Berniecrats
SEIU Local 280Communications Workers of America
Los Angeles dem. Party

(Indivisible Conejo) MEASURE 26 -NO ENDORSEMENT

Legalized sports gambling is the wave of the future, and this scheme for sorting out winners and losers (in gambling’s implementation) is preferable to its alternative (see below). Still, the measure is criticized for being designed to enrich certain gambling interests (those funding the initiative, unsurprisingly) while leaving others out of the money.

No on Prop. 26.orgCADEM
California Democratic Council

North valley demPotrero Hill Democratic ClubUnited Democrats of the San Gabriel Valley
dem. party of san fernando MLK Democratic ClubModesto Progressive DemocratsSan Diego Labor Democratic Club
– and more.
California Black ExpositionBlack American Political Association of CaliforniaAfrican American Network of Kern CountyBlack American Political Association of California – Sacramento Chapter
Ca. Black Chamber of CommerceCa. Hispanic Chamber of CommerceCa. Hmong Chamber of Commerce
Central California Hispanic Chamber of Commerce   Central California Hispanic Chamber of CommerceCentral Valley Hispanic Chamber of Commerce
Advance PeaceFeel the Bern San Fernando ValleyLift Up Love AlwaysModesto Progressive Democrats
Cities including Clovis, Commerce, Compton, and Huntington ParkAmerican Federation of State, County, and Municipal Employees California
Society for the Prevention of Cruelty to Animals chaptersAnimal Legal Defense FundSociety for the Prevention of Cruelty to Animals Los Angeles (spcaLA)Society for the Prevention of Cruelty to Animals Inland Valley (SPCA Inland Valley)
AFSCMEFSCME District Council 36AFSCME Local 127 – City of San Diego and CoronadoAFSCME Local 773 – Commerce City
Employees Association
– AFSCME Local 3624 – City of Hawaiian Gardens, rank and file unit
AFSCME Local 3947 – City of ComptonCalifornia Animal Welfare Association National Animal Care and Control
Paw ProjectPublic Interest CoalitionReturn to FreedomCentral Oregon Wild Horse Coalition
City of Sacramento Front Street Animal ShelterForgotten Felines of Sonoma CountyFresno Humane Animal ServicesFront Range Equine Rescue
Horseracing WrongsInland Valley Humane SocietyMarin Humane SocietySan Diego Humane Society
Santa Paula Animal Rescue Center
San Jose Mercury NewsOrange County RegisterLos Angeles Times
Sacramento Bee
San Diego Union-Tribune
– East Bay Times
– Fresno Bee
– Inland Valley Daily Bulletin
– Lake County Record
– Long Beach Press-Telegram

– Torrance Daily Breeze
– Los Angeles Daily News
– Los Angeles Times
– Marin Independent Journal
– Modesto Bee
– Orange County Register
– Pasadena Star News
– Redlands Daily Facts
– Riverside Press Enterprise
– Sacramento Bee
– San Bernardino Sun
– San Diego Union-Tribune
– San Francisco Chronicle
– San Gabriel Valley Tribune
– San Jose Mercury News
– Whittier Daily News

No on Prop 26: Legalize SPorts Betting on American Indian Lands
Negative impacts of gambling, which include addiction, mental health impacts, and increased poverty rates, disproportionately affect vulnerable communities, particularly working class communities of color. We are against Prop 26’s move to increase gambling opportunities through the legalization of sports betting and expansion of gaming, and are against gambling’s influence on creating and upholding cycles of poverty and addiction. While we support the sovereignty of Native peoples in their own economic pursuits and economic development, we envision “a community free of exploitation and oppression,” and believe that the gaming industry’s impacts reinforce exploitation of vulnerable communities.

MEASURE 26 -NO ( The Yes side emphasizes that this is highly regulated, and that it benefits the tribes. But it doesn’t benefit all tribes — which is why there is heavy advertising against this. The folks for this are the tribes that will benefit, and the politicians that will benefit. You’ll note these are the smaller tribes, with the smaller casinos. The big tribes — especially those that have been investing in Las Vegas — are against this and supporting 27 instead.

Further, although the carrot is there in terms of state revenue, look at the numbers: “According to a report by the nonpartisan Legislative Analyst, Prop 26 will result in “increased state revenues, potentially reaching the tens of millions of dollars annually.” Tens of millions may sound large, but for the state budget — that’s miniscule. This really doesn’t help the state all that much. It benefits the tribes…

The No side argues: Five California tribal casinos sponsoring Prop 26 have become some of the wealthiest and most powerful special interests in the state. Now they are pushing Prop 26 to guarantee themselves a virtual monopoly on all gaming in California by giving private trial lawyers the powers of the Attorney General to bury their licensed cardroom competitors with frivolous lawsuits. Prop 26 opens the door to a massive expansion of gambling—allowing its sponsors to add exclusivity over roulette, dice and sports wagering to their current monopoly on slot machines.

In other words, this gores the ox of the card rooms. Who else is against it? Loads of progressive organizations, veterans organizations, social justice groups. Both Democratic and Republican groups are against this. Taxpayer associations are against this.


Supporting: Committee: YES on 26, NO on 27 – Coalition for Safe, Responsible Gaming, Sponsored by California Indian Tribes – 1424396

No.ContributorStateStatusTotal Contributions
1Pechanga Band of IndiansCA$32,436,095
2Federated Indians of Graton RancheriaCA$31,859,359
3Yocha Dehe Wintun NationCA+$22,414,507
4Agua Caliente Band of Cahuilla Indians CA$11,501,868
5Barona Band of Mission IndiansCA$11,381,350
6Chumash Casino and Resort EnterprisesCA↑+$6,848,674
7Sycuan Band of Kumeyaay NationCA$5,887,944
8Soboba Band of Luiseno IndiansCA$2,750,000
9Shingle Springs Band of Miwok IndiansCA$2,018,549
10San Manuel Band of Mission IndiansCA$1,650,000

Total from top contributors: $128,748,346

Opposing: Committee: No on the Gambling Power Grab: A committee of local community leaders, licensed card clubs and their employees, law enforcement, and local businesses – 1425966

No.ContributorStateStatusTotal Contributions
1Knighted Ventures LLCCA$2,250,000
2Parkwest CasinosCA$2,250,000
3PT Gaming LLCCANEW$500,000
4Bicycle CasinoCANEW$500,000
5Hollywood Park CasinoCA$500,000
6Hawaiian Gardens CasinoCA$500,000
7Elevation Entertainment GroupCA$500,000

Total from top contributors: $7,000,000


Why we’re voting “NO“:

That would actually be “Hahaha. No!” . Meaure 27 has the unique position of being OPPOSED by both major parties. We oppose this too.

( A YES vote on this measure means: Licensed tribes or gambling companies could offer online sports betting over the Internet and mobile devices to people 21 years of age and older on non-tribal lands in California. Those offering online sports betting would be required to pay the state a share of sports bets made. A new state unit would be created to regulate online sports betting. New ways to reduce illegal online sports betting would be available.

NO vote on this measure means: Sports betting would continue to be illegal in California. No changes would be made to the way state gambling laws are enforced.

Fiscal Impact: Increased state revenues, possibly in the hundreds of millions of dollars but not likely to exceed $500 million annually. Some revenues would support state regulatory costs, possibly reaching the mid-tens of millions of dollars annually.

Yes on Prop. 27 committeeFanDuel, DraftKings, BetMGM and four other gaming companies Three Native American tribes: Santa Rosa Rancheria Tachi Yokut Tribe, Middletown Rancheria of Pomo Indians, and Big Valley Band of Pomo IndiansMayors of Fresno, Sacramento, Oakland, and Long Beach
Some homelessness advocates, including Bay Area Community Services and Sacramento Regional Coalition to End HomelessnessMajor League Baseball
No on Prop. 27 committee50 Native American tribes and tribal organizationsCADEM
North valley demLos Angeles dem. Party
California Young Democratsdem. party of san fernando
Eleni KounalakisCA Teachers associationCommunication Workers of AmericaUnited Food and Commercial Workers
DOLORES HUERTAHomelessness and housing advocates, including Coalition on Homelessness San Francisco and California Coalition for Rural Housing
San Jose Mercury NewsSacramento Bee
San Francisco Chronicle
Orange County Register
Los Angeles Times
Los Angeles Times
San Bernardino SunSan Diego Union-Tribune

(Indivisible Conejo) MEASURE 27 – NO

This is a risky bet on tribal/corporate-run gambling. We’ll go with the 50-plus tribes who have endorsed against the measure, which would send the vast majority of profits out of state.

NO on Prop 27: Legalize Sports Betting and Revenue for Homelessness Prevention Fund Initiative
Negative impacts of gambling, which include addiction, mental health impacts, and increased poverty rates, disproportionately affect vulnerable communities, particularly working class communities of color. Prop 27’s move to establish a new gambling industry through legalizing online and mobile sports betting would have disastrous consequences, including increasing early gambling addictions, as online betting targets youth populations, as well as the gambling industry’s creation and upholding of cycles of poverty. Gambling addiction can contribute to homelessness – something acknowledged by Prop 27’s weak attempt to mitigate the disastrous consequences of an expanded gambling industry. While we support the sovereignty of Native peoples in their own economic pursuits and economic development, we envision “a community free of exploitation and oppression,” and believe that the gaming industry’s impacts reinforce exploitation of vulnerable communities. 

MEASURE 27 – NO ( “…The supporters of this proposition tout the money going to homelessness services and mental health, but the true is there isn’t all that much. Again, possibly in the hundreds of millions — and how much are the supporters making? This measure essentially makes online sports betting legal (and most of the companies doing such betting are out of state), with a percentage coming back to the tribes that contract with those large companies (and you know who gets the bigger end of that stick), and an even smaller percentage going to the state.

So now look at that hundreds of millions estimate. If that’s going to the state, how much are these out of state companies making?

So who is behind 27? They show the homelessness groups, and they present the proposition as an either-or with 26. The reality is that the biggest donors in support of Prop. 27 are sports betting and digital gaming entertainment companies, including FanDuel, BetMGM, and DraftKings. Not the native american tribes. That says quite a bit.

My answer here is the same as for 26: Measures 26 and 27 are not an “either-or”. You can vote both of them down. That’s what I plan to do. I don’t see any advantage in this gaming expansion. I would prefer it if we engineer ways for tribes to raise funds that isn’t at the expense of vulnerable individuals. No. I also don’t like businesses exploiting the California initiative process for their gain.”



Committee: Yes on 27 – Californians For Solutions to Homelessness and Mental Health Support, A Coalition of Housing and Mental Health Experts, Concerned Taxpayers and Digital Sports Entertainment and Gaming Companies – 1440682

No.ContributorStateStatusTotal Contributions
1Betfair Interactive US LLC d/b/a Fanduel SportsbookCA+$35,010,206
2Crown Gaming Inc. d/b/a DRAFTKINGSMA$34,120,984
3Penn National Gaming IncPA$25,000,000
5BETMGM LLCNV$25,000,000
6WSI US LLCNV$12,500,000
7Bally’s Interactive LLCNV$12,500,000

Total from top contributors: $169,131,190


Committee: YES on 26, NO on 27 – Coalition for Safe, Responsible Gaming, Sponsored by California Indian Tribes – 1424396

No.ContributorStateStatusTotal Contributions
1Pechanga Band of IndiansCA↑+$32,436,095
2Federated Indians of Graton RancheriaCA$31,859,359
3Yocha Dehe Wintun NationCA$22,271,873
4Agua Caliente Band of Cahuilla IndiansCA$11,501,868
5Barona Band of Mission IndiansCA$11,380,477
6Sycuan Band of Kumeyaay NationCA$5,882,944
7Chumash Casino and Resort EnterprisesCA$5,848,674
8Soboba Band of Luiseno IndiansCA$2,750,000
9Shingle Springs Band of Miwok IndiansCA$2,018,549
10San Manuel Band of Mission IndiansCA$1,650,000

Total from top contributors: $127,599,839

Committee: No on 27 – Californians for Tribal Sovereignty and Safe Gaming, sponsored by tribal organizations – 1443032

No.ContributorStateStatusTotal Contributions
1San Manuel Band of Mission IndiansCA+$103,129,308
2Rincon Band of Luiseno Mission Indians of the Rincons Reservation CaliforniaCA$10,000,000
3Pala Casino Resort SpaCA$3,000,000
4Wilton RancheriaCA$50,000
5Pala Band of Mission IndiansCA$28,131


Why we’re voting “YES“: – Seriously. YES! All of us who had band practice and orchestra in school, and who brought home “masterpieces” in clay, macaroni and fingerpaint for our parents – imagine a childhood without art and music education.

( A YES vote on this measure means: The state would provide additional funding specifically for arts education in public schools. This amount would be above the constitutionally required amount of funding for public schools and community colleges.

NO vote on this measure means: Funding for arts education in public schools would continue to depend on state and local budget decisions.

Fiscal Impact: Increased state costs of about $1 billion annually, beginning next year, for arts education in public schools.

Vote Yes on 28 committeeCADEM
North valley demLos Angeles dem. PartySIMI VALLEY DEM
California Young Democratsdem. party of san fernando
Local music and arts education groupsLocal arts organizations
calaborfedCA Teachers association
Los Angeles Daily News/Orange County RegisterSan Francisco ChronicleLos Angeles TimesLos Angeles Times
Sacramento BeeLos Angeles Times
Los Angeles Times

(Indivisible Conejo) MEASURE 28 – YES

This measure guarantees that arts and music education will be funded in all TK-12 public and charter schools.

YES on Prop 28: Art and Music K-12 Education Funding Initiative
Every student in California deserves a complete education, one that feeds and supports all aspects of a complete person. Arts education must be a part of that complete education, but when such programs are cut, it is usually in lower-income communities, already those places less likely to have access to the arts. Proposition 28 would guarantee that 1% of the total Prop. 98 funding received by school districts be used for teaching arts. According to the Legislative Analyst’s Office, that 1% guarantee would increase spending on arts education by $800 million to $1 billion. One percent is the least we should do. We call for “A region where power and resources are distributed equitably.” Art is both a power and a resource that all children deserve.

League of Women Voters CA

Prop 28: Funding Arts and Music Education – NEUTRAL

The League strongly supports a high-quality public education system in California. Because of a variety of voter-supported initiatives which limit and prescribe state and local spending, California does not provide the level of financial support for its schools that the League considers adequate. This proposition would provide additional financial resources (about $1 billion per year), specifically for music and arts education. We recognize that arts and music education, which has been underfunded in California, is beneficial to student achievement, cognitive development, reading comprehension, attendance, and social emotional wellness. Furthermore, Prop 28 is designed to ensure that low-income schools and under-resourced  students, who are often kept the farthest away from arts and music education opportunities, will benefit from the increased funding. Despite these advantages, we remain neutral on Prop 28 because making decisions about budget expenditures through ballot measures is not a good policy. It reduces the flexibility our legislators need to react to future needs and makes less revenue available to other important state priorities like climate change, health care, and housing. Earmarking funds in this way also limits the ability of local school boards to respond to local needs. Finally, we are concerned that Prop 28 has extensive reporting requirements paired with an unrealistically low cap (1 percent) on administrative expenses.

San Jose Mercury NewsSan Diego Union-Tribune



Committee: Yes on 28 – Californians for Arts and Music in Schools – 1442974

No.ContributorStateStatusTotal Contributions
1Austin BeutnerCA$4,266,000
2California Teachers Association/Issues PACTop Donors to ContributorCA↑+$2,000,000
3Fender Musical Instruments Corp.CA↓+$1,221,715
4Ballmer Giving LLC (Connie and Steve Ballmer)WA$1,000,000
5Monica H. RosenthalCA$1,000,000
6California Community FoundationCA$250,000
7California Federation of Teachers COPE Prop/Ballot CommitteeCA$100,000
8Penske Media CorporationCA$100,000
9Comcast Corporation and Affiliated EntitiesCA$100,000

Total from top contributors: $10,137,715


No committee opposing this ballot measure raised enough money to reach the reporting threshold for this 


Why we’re voting “YES“:

Watch John Oliver’s overview of the dialysis clinic system here.

“NO on 20”: “Nice little dialysis clinic you got here. Shame if anything should happen to it…”

Translation: The multi-million dollar “NO on 29” campaign, funded mostly by the two multi-BILLION dollar for-profit corporations who control of more than 75% of dialysis clinics for the +80,000 Californians suffering from kidney disease, is saying that voting “YES” would cause the closure of dialysis clinics, harming or even killing their patients.

“YES” ON 29″: You’d need PERMISSION FROM THE STATE TO CLOSE – THAT’S IN THE PROPOSITION. Maybe you missed that bit?

No, they didn’t, but they’re hoping you did. That’s why they’re trying to distract us with “life-risking closures” and union-bashing rhetoric. They are ALREADY closing clinics they deem “unprofitable to a degree that can’t be corrected,” leading to higher patient hospitalizations and deaths and handing out “involuntary discharges,” both issues affecting the poor, rural and minority patients the most.

How did we get to this dystopian reality where two corporations can make business decisions that kill people? Before Medicare was extended in 1972 to cover dialysis treatment for kidney failure to all, no matter what age, most dialysis centers were in hospitals. Afterwards, kidney specialists started their own clinics, which were then bought up by for-profit chains, and taxpayer money was diverted into shareholder pockets.

So, an inherently risky process that can cause bleeding, infection and clotting issues, along with permanent heart damage or cognitive loss, for an already medically-fragile population was de-medicalized for profit, despite evidence that more frequent patient-physician contact correlates to more postive outcomes.

Just for irony: forced-birthers in red states dictated that abortion clinics that serve young healthy people with minimal complications must conform with hospital-style facility, equipment and staffing requirements. Meanwhile we been lulled into believing that access to one actual medical provider, live or telehealth, is unnecessary for very sick patients undergoing an invasive process. Other countries, such as Italy, prove this to be self-serving propaganda, as do published studies here in the U.S.

And then there’s this…”patients at for-profit clinics are less likely to get kidney transplansts, more like to be hospitalized, and more likely to die.” Meanwhile, other kidney treatments, such as at-home peritoneal dialysis, used in other countries and which “tends to yield better outcomes”, is declining due to lack of physician training and awareness, financial disincentives and other factors.”

Here are the basics requirements of the proposition:

  • ACCESS TO EXPERT HELP ONSITE: Clinics appear to be using pandemic staffing shortages as a permanent opportunity to cut costs and cheat on treatments. The Feds already require clinics to have at least one physician, or kidney specialist as a director, but not necessarily on-site. Prop. 29 allows the a nurse practitioner, or physician assistant on the payroll – onsite or via telehealth during patient treatments. This is NOT TOO MUCH TO ASK for a treatment that originated in a hospital setting for good reason (sooo many anecdotal stories about blood on floors and treatment chairs) and the mega-corps will still make a healthy profit.
  • Report dialysis-related infections to the California Department of Public Health (CDPH); (No issue, – right? Clinics are already required to report infections, hospitalizations and deaths to the Centers for Medicare & Medicaid (CMS))
  • Require clinics to provide patients with a list of physicians with an ownership interest of 5% or more in the clinic; (YES, this! “If you really look at the corporation’s obligation to shareholders and you take that seriously, and you take the obligation to patients seriously, I think they’re fundamentally incompatible,” said Klemens Meyer, a nephrologist and director of dialysis services at Tufts Medical Center. “And I think that this is whitewashed over.”
  • Requiring clinics to provide the CDPH with a list of persons with ownership interest of 5% or more in the clinic; (YES, see above!)
  • Prohibit clinics from refusing to care for a patient based on the patient’s form of payment, whether the patient is an individual payer, the patient’s health insurer, Medi-Cal, Medicaid, or Medicare.
  • Oh, and lastly, REQUIRE CLINICS TO OBTAIN THE CDPHS WRITTEN CONSENT BEFORE CLOSING OR SUBSTANTIALLY REDUCING SERVICES TO PATIENTS. THIS ISSUE IS HUGE! CA is taking steps to make its own insulin to keep diabetics from dying due to its high cost, but telling a dialysis patient that the treatment center they need 3x/week is being closed seems to have slipped under the radar.

People keep saying – “Why doesn’t this just get taken care of in the legislature?” Good question! Maybe because it affects a multi-billion duopoly? Maybe SEIU has brought this proposition up for the third time, not to annoy voters, but to sound the alarm for patients who are in no condition to help themselves. Vote “YES!”

( A YES vote on this measure means: Chronic dialysis clinics would be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours.

NO vote on this measure means: Chronic dialysis clinics would not be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours.

Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually.

Yes on 29 committeeCADEM
North valley demLos Angeles dem. PartySIMI VALLEY DEM
California Young Democratsdem. party of san fernando
calaborfedPeace and Freedom Party of California SEIU-UHW West 

If you are scratching your head wondering why dialysis seems to be on the ballot election cycle, you’re not alone. This is the third such ballot measure in four years, and they’ve all seemed complicated. So, what’s the problem that this measure intends to solve?

Two companies, DaVita Dialysis and Fresenius, make up about 80% of the dialysis clinics in California and nationwide. They have a monopoly on a procedure that mimics the function of healthy kidneys for people with renal failure, and is medically necessary anywhere from several times a week to several times a day. 

Because of this monopoly, they can charge exorbitant rates for people with private insurance (in some cases over $1,000 per treatment). To make matters worse, these for-profit companies with enormous power and little oversight are often accused of using shoddy practices to increase their profits at the expense of patient care. They’re also often accused of dangerous understaffing and using aggressive anti-union tactics against their healthcare worker employees. 

Prop 29 prevents these companies from discriminating against patients who are supported by less-profitable Medicare insurance, implements minimum staffing requirements, and creates broad new disclosure requirements for what might be the biggest scam going in modern medicine. Voting yes would bring much-needed regulation to a vital procedure.

League of Women Voters CA

(Indivisible Conejo) MEASURE 29 – NO ENDORSEMENT

Here we go again with a measure very much like the ones rejected by voters in 2018 and 2020. It is meant to change regulations for dialysis centers, which have tailored their operations to resist union organizing. We support the goal, but many believe this remains a bad way to achieve it.

Neutral on Prop 29: Dialysis Clinic Requirements Initiative
While we appreciate the concerns of those organizations that support this measure, we can find no evidence that the primary demands of this meaure — that a doctor, nurse practitioner or physician assitant be present at all dialysis centers — is necessary to improve patient care. While we are sympathetic to the other demands of the measure — those requiring information disclosure, the prohibition on reducing patient services without state approval, and the prohibition on refusing patients based on source of payment — it would be more appropriate to achieve these goals through legislation rather than initiative.

Prop 29: Kidney Dialysis Clinics Requirements – NEUTRAL

This measure would require operators of chronic dialysis clinics to have a minimum of one licensed physician, nurse practitioner, or physician’s assistant at a clinic whenever patients are being treated, offer the same level of care to all patients regardless of how payment is being made, and make reports about dialysis-related infections to the state’s health department, in addition to submitting federal agency reports containing the same information. Consent of the California Department of Public Health would be required prior to any clinic’s closure or reduction of hours of operation. Prop 29 would also require that patients be informed if a physician owns five percent or more of a dialysis clinic. Under current law, clinics are required to have a medical director and are staffed with dialysis nurses and dialysis technicians. The patient’s personal doctor is required to see each patient once a month during the time the patient receives dialysis. Reporting of dialysis related infections is currently made to the Centers for Disease Control and Prevention. There is disagreement about whether the presence of a doctor is always necessary and if requiring additional staff would exacerbate a medical provider shortage, and over whether costs are manageable or prohibitively high. Furthermore, the League of Women Voters of California questions why voters should be deciding questions of recordkeeping and medical staffing. The uncertainty of the costs and benefits of the measure leads us to take a neutral position.

No Prop. 29 committee
DaVita, Inc.Fresenius Medical CareAmerican Academy of Nephrology PAs
American Nurses Association California Medical Association California Chamber of Commerce
Los Angeles Times
Los Angeles Times
Orange County RegisterSan Jose Mercury NewsSacramento Bee/Fresno Bee
San Francisco ChronicleSan Diego Union-Tribune

MEASURE 29 -NO ( “…While Prop. 29 is far from perfect, it’s an attempt to address this problem while giving the overworked staff some countervailing power over their corporate overlords who care only about providing the best wealth care for their shareholders (and themselves). So it’s no surprise that the cartel are spending millions of dollars on scary commercials featuring patients terrified that the cartel will be forced to close their dialysis factory if the measure passes, and imploring us to spare their lives by voting no. In fact, the only real threat the measure poses is to the cartel’s executives and shareholders, who risk losing some profit because they would have to spend more money on staffing. The fact is that the industry is incredibly profitable, and will likely be even more so as an overweight population ages.”

I think those are good, or if not good at least intriguing, points. So I went looking to see where the arguments like this were. Calmatters indicated that no papers to date have endorsed 29. Both liberal and conservative papers are against it. The Yes side only shows the California Democratic Committee and the California Labor Federations. The sponsors in favor are only the healthcare unions.  The No side has loads of doctors and nursing organizations — not just the operators of clinics. Patient advocates are against this. Veterans groups are against this.

The conclusion seems to be that although there is a need to improve conditions at these clinics, this particular measure is not the way to do it. Further, trying multiple times is likely overdoing it, and the electorate will not believe future attempts — at least backed by the current backers of this.”


No committee supporting this ballot measure raised enough money to reach the reporting threshold for this list.

Opposing: $86,357,629

Committee: Stop Yet Another Dangerous Dialysis Proposition, sponsored by patients, doctors, nurses and dialysis providers – 1442293

No.ContributorStateStatusTotal Contributions
1DaVita, Inc.DC$52,730,766
2Fresenius Medical CareDC+$27,346,018
3US Renal Care, Inc.TX$5,930,845
4Satellite Healthcare, Inc.CA$250,000
5Dialysis Clinic, Inc.TN$100,000


Why we’re voting “NO“:

Seriously, F**K Lyft and the horses of toxic capitalism and libertarianism they rode in on! Last time they spent obscene amounts of money on politics – Prop. 22 – it was to strip newly-won employment benefits from CA’s gig workers. That particular bit of economic regression has been held up in court, but they and their buddy Uber are busy spreading their anti-worker campaign to a national stage. (Action for your legislators here.)

We agree with Knock LA’s review below – they want CA taxpayers to subsidize their cars and to allow “it to pay drivers less and make more money.”

Newsom calls it “A Trojan horse…A terrible, terrible initiative…a special interest carve-out — a cynical scheme devised by a single corporation to funnel state income tax revenue to their company.”

  • ( A YES vote on this measure means: Taxpayers would pay an additional tax of 1.75 percent on personal income above $2 million annually. The revenue collected from this additional tax would support zero-emission vehicle programs and wildfire response and prevention activities.
  • NO vote on this measure means: No change would be made to taxes on personal income above $2 million annually.

Fiscal Impact: Increased state tax revenue ranging from $3.5 billion to $5 billion annually, with the new funding used to support zero-emission vehicle programs and wildfire response and prevention activities.

Yes on 30 Clean Air CoalitionCADEM
North valley demLos Angeles dem. PartySIMI VALLEY DEM
California Young Democratsdem. party of san fernando
California State Association of Electrical WorkersState Building and Construction Trades Council

Cal Fire Local 2881Unite HERE
San Francisco Chronicle

(Indivisible Conejo) MEASURE 30 – YES

California’s need to mitigate both the effects of climate change and the catastrophic damage from wildfires overwhelms any opposition to this measure. It would raise taxes on personal income above $2 million to subsidize zero-emission vehicles and infrastructure, and to fund the prevention and suppression of wildfires.

sierra club
No on Prop 30 committee

No on 30 Coalition
Fiona MaCA Teachers association
San Jose Mercury NewsOrange County RegisterLos Angeles Times

MEASURE 30 – NO: ( Proposition 30 sounds really good on its surface. It would impose an additional annual 1.75% tax on individual income over $2 million, with 80% of the resulting revenue to go toward funding zero-emission vehicle (ZEV) programs (like state-funded electric vehicle charging stations and funding for households to buy ZEVs), and 20% toward wildfire prevention and response programs. The state estimates that Prop 30 would generate $3.5–$5 billion annually.

The catch? While this proposition is supported by several environmental and public health groups, its largest proponent by far is tech mega-giant Lyft. Lyft has spent $25 million (NOTE – now $45m) in support of the proposition, as highlighted by Governor Newsom in his aggressive “No on Prop 30” campaign. Currently, Lyft reimburses drivers for charging EVs out of its own pocket. And since the state will require Lyft to transition 90% of its fleet to zero-emission vehicles by 2030, the cost of that reimbursement will only go up. 

If this proposition passes, Lyft will pass that cost on to state-funded charging stations, allowing it to pay drivers less and make more money. Proposition 30 is, in essence, a corporate cash grab disguised in the trappings of environmental activism. California, and the rest of the country, badly need to reduce their emissions to keep our planet livable. This, however, is not the way to do it. 

No On Prop 30: Tax on Income above $2 Million for Zero-Emissions Vehicles and Wildfire Prevention Initiative
Budget should be a legislative activity not a referendum. This prop would carve out spending for 20 years regardless how things change. Also it is sponsored by Lyft which is hoping to use tax dollars to electrify its fleet. This measure would circumvent the Prop 98 guarantee of 40% of the general fund budget for education, settling a bad precedent for future initiatives if it passes. The FUND’s vision statement calls for, “A region where power and resources are distributed equitably, empowering everyone to participate in making decisions that affect them.” Ballot measures funded by corporations to benefit corporations take the power from the people and their representatives.

MEASURE 30 – NO: “This is one of the more misleading propositions on the ballot. Proponents make it sound like the progressive dream: tax the wealthy, while supporting electric vehicles and fighting wildfires. When you go to their website, they tout the clean air benefit of the act. That’s their focus. That’s why the Lung Association supports this. It helps fights wildfires. That’s why firefighters support this. But where does the bulk of funding go? To provide subsidies for purchasing electric vehicles.

Loads of progressive organizations are behind this. Environmental. Health. Unions. They all will benefit.

But who else is supporting this? Who is providing the funding for the advertising? From the bottom of the Yes page: “Clean Air California, a Coalition of CalFire Firefighters, Working Families, Rideshare Companies, and Environmental Groups. Committee Major Funding from: Lyft, International Brotherhood of Electrical Workers, and Zinc Collective.” Lyft is almost singlehandedly behind this. As the No side notes: “The state of California recently ruled that 90% of rideshare vehicles must be electric vehicles by 2030. Lyft is trying to force the taxpayers to foot the bill – rather than spend their own corporate money to support their drivers and comply with the new law. Lyft wants voters to believe Prop 30 is about clean air and wildfires instead of what it actually is: Prop 30 is a flawed and corporate carveout scheme to further line the pockets of Silicon Valley tech billionaires.

Conclusion: This proposition is an example of “right idea, wrong execution”. As written, it primarily benefits a small number of organizations, locks the state in volatile funding sources with little oversight, and can hurt the state in the long run. They need to try again with something more balanced. No.”


Why we’re voting “YES“:

Seriously, is this stupid issue going to be a yearly thing? No, stop luring kids into a really bad habit that will eventually maim their bodies and kill them. Yeah, GOP-who-keep-defending-crap-like-this, this is a great example of literal “toxic capitalism.” (More below.)

( A YES vote on this measure means: In-person stores and vending machines could not sell most flavored tobacco products and tobacco product flavor enhancers.

NO vote on this measure means: In-person stores and vending machines could continue to sell flavored tobacco products and tobacco product flavor enhancers, as allowed under other federal, state, and local rules.

Yes on 31 committeeCADEM
North valley demLos Angeles dem. PartySIMI VALLEY DEM
California Young Democratsdem. party of san fernando
Campaign for Tobacco Free KidsCalifornia State PTA
Michael R. BloombergKaiser Foundation Health Plan, Inc. and the HospitalsCalifornia Dental AssociationAmerican Cancer Society Cancer Action Network, Inc.
American Heart AssociationAmerican Lung AssociationHealthy CaliforniaJerry Hill for Assembly 2024
League of Women Voters CA
sierra club
calaborfedCA Teachers association
Issues PAC
San Jose Mercury NewsSan Francisco ChronicleLos Angeles Times

(Indivisible Conejo) MEASURE 31 – YES

This measure will enable the state’s ban on sales of most flavored tobacco products, including menthol cigarettes, to take effect.

Yes on Prop 31: Flavored Tobacco Products Ban Referendum
Flavored tobacco encourages tobacco addiction, in adult and youth populations alike. The FUND’s vision statement elevates that we envision “A community free of exploitation”, and this measure blocks the exploitation of some of the most vulnerable among us. Banning flavored tobacco products would stop special interests by tobacco corporations and contribute to prioritizing community health over corporation profits.

Prop 31: Yes or No to Banning Flavored Tobacco Products – YES

In 2020, California passed a law banning the in-person sale of flavored tobacco products, like candy-flavored e-cigarettes and menthol cigarettes, at stores and vending machines. Sellers violating the law would be subject to criminal misdemeanor prosecution. A YES vote on Prop 31 is a vote to keep the ban in place. More than two million middle and high school students in the U.S. use e-cigarettes which deliver large doses of addictive nicotine. In California, 96 percent of high school e-cigarette users choose flavored products. Nationally, 80 percent of kids who use tobacco started out with a flavored product. In addition to the well-known dangers of tobacco-related disease and death, epidemic usage among youth poses risks to brain development, attention, mood, and impulse control.  Furthermore, for many decades tobacco companies have targeted Black communities with well-funded campaigns to promote menthol-flavored tobacco.  Now 85 percent of Black smokers using menthol cigarettes and deaths caused by tobacco-related diseases (including heart disease, lung cancer and stroke) among Black people exceeds deaths caused by AIDS, homicide and accidents combined. Prop 31 is an important step to protect the health and safety of Californians.

Prop 31: Yes or No to Banning Flavored Tobacco Products – YES

Cotton Candy. Mango. Menthol. These are some of the flavors that Big Tobacco is using to hook young people on their deadly product. Nearly 9 of 10 adults who smoke cigarettes daily first try smoking by age 18, and their first cigarette was likely flavored. According to the CDC, 80% of high school students and 75% of middle school students who smoked reported using a flavored tobacco product in the past 30 days. Over 130 cities and counties in California have already banned flavored tobacco products, including the city of LA this year.  

California passed a statewide ban on flavored tobacco in 2020, but tobacco and vape companies gathered enough signatures to suspend the bill until voters weighed in. Since that time, tobacco and vape companies have cynically portrayed the ban as an attack on Black Californians, because 85% of African American smokers smoke menthol cigarettes, far higher than other groups. Yet this preference, cultivated by decades of targeted advertising by Big Tobacco, has led to a health disparity whereby African Americans are more likely to die of smoking-related diseases, despite smoking less than other racial and ethnic groups. Studies confirm that menthol cigarettes lead to increased smoking initiation among youth and young adults, greater addiction, and decreased success in quitting smoking.

Unfortunately, approving this ballot measure will not ban flavored disposable vaping devices, which have surged in popularity in the past three years. We hope the state legislature acts swiftly to ban these devices once voters approve Prop 31. The ballot measure also excludes flavored hookah and premium cigars.

No on 31 committeeR.J. Reynolds Tobacco American Snuff Co.President of California Hispanic Chambers of Commerce
Philip Morris USA Inc. and its AffiliatesItg Brands, LLCSwedish Match North America, LLC
CEO of Central Valley Business Federation
Orange County RegisterPresident of California Taxpayer Protection CommitteePresident of CalAsian Chamber of Commerce


Support – $17,370,099
Oppose – $23,226,819
– Wow! It’s all tobacco manufacturers. Who knew?

No.ContributorStateStatusTotal Contributions
1R.J. Reynolds Tobacco Company and its AffiliatesNC+$11,259,940
2Philip Morris USA Inc. and its AffiliatesCA+$10,966,878
3Itg Brands, LLCNC$500,000
4Swedish Match North America, LLCVA$500,000

Indivisible Ventura: In case you missed this tale of toxic capitalism: In 2020, U.S. Department of Agriculture (USDA) stated it would use its ability to create a special funding mechanism to issue up to $100 million in taxpayer dollars to tobacco farmers as part of the CARES Act, mostly benefiting famers in North Carolina, a swing state for the Nov. 3 election. (Trump carried the state by 1.34%). Then USDA Sec. Sonny Perdue, who was busy making sure hungry Americans stayed that way during the worst of the pandemic, noted that if Congress wanted to block tobacco farmers from this money, it would have specifically excluded them in the law.

Nothing more than normal graft to see here, folks. Move along…

Now, in a country that regulates all sorts of hazards for kids, including car seats, cribs, caps for bottles of medications and cleaning solvents, an industry built on selling a highly addictive and carcinogenic substance wants to be allowed to infuse it with flavors like “bubble gum.” Those who cry “nanny state” want us to ignore tobacco industry’s outright promises to addict youth, to replace the older smokers they’ve killed through heart disease, cancer and emphysema.

Smoking costs the U.S. economy almost $900 BILLION dollars a year, almost 10x the cigarette industry’s $92 billion revenue. You want to STOP stoking this fire with the bodies of our kids, vote “YES” on Measure 31.

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