The staffing ratios and longer transition times mandated by SB 349 would result in significantly fewer appointment slots available and dialysis clinic closures. According to a statewide survey conducted by the California Dialysis Council (CDC), under SB 349:
- 15,379 patients could lose their current access to dialysis care.
- 121 dialysis clinics are at risk of closing statewide.
- Nearly two-thirds (63%) of California’s evening and overnight (nocturnal dialysis) treatment shifts are at risk of elimination.
Demand for dialysis has more than doubled since 1997 and is expected to grow rapidly for the foreseeable future. Individuals on dialysis already have difficulty finding available treatment options near their homes and suitable to their schedules. SB 349 will reduce the availability of treatment slots, increasing hospitalizations and emergency room visits and creating less flexibility for working patients as evening and nighttime treatments would be jeopardized.