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.