No On AB 290

What is AB 290?

  • Discriminates against low-income dialysis patients by limiting what health insurance companies pay for care for patients who receive charitable premium assistance (CPA).
  • Allows insurance companies to slash reimbursements down to Medicare rates, which are below the cost of care.
  • Jeopardizes access to care for ALL dialysis patients who need dialysis three days a week, four hours at a time, to survive.
  • Opposed by patients, doctors and dialysis providers.
Learn More about AB 290

Reject AB 290: Bill Prioritizes Insurance Company Profits Over Dialysis Patient Access to Life-Saving Care

Bill discriminates against low-income dialysis patients by limiting what health insurance companies pay for patients who receive charitable premium assistance (CPA). Wealthier dialysis patients, those who can afford to pay their insurance premiums out of their own pockets, are not affected by this bill whatsoever.

AB 290 attacks vulnerable dialysis patients receiving charitable premium assistance (CPA) to maintain commercial health insurance. A small number of Californians on dialysis (about 5%) use financial assistance from non-profit charitable organizations to help pay health insurance premiums. These patients are largely minority (59% Latino, African-American and Asian) and low-income (average income less than $20,000/yr). Premium assistance is important for patients on dialysis who prefer to maintain private health insurance but cannot maintain employment.


AB 290 slashes what insurance companies pay for dialysis care, below the cost of care. AB 290 allows insurance companies to slash reimbursements to Medicare rates for patients who receive CPA. According to a January 2019 report by the payment advisory committee for the federal government (MedPAC), Medicare reimbursement levels are 1.1% below the actual cost of providing dialysis care.


AB 290 treats wealthy patients differently. Under AB 290, the only patients affected are low-income dialysis patients who need charitable premium assistance to help pay their insurance premiums. Patients who can afford to pay their insurance premiums out of their own pockets are not affected by this bill.


AB 290 jeopardizes access to care for ALL dialysis patients who need dialysis three days a week, four hours at a time, to survive.

  • Because government payors reimburse at or below the cost of care, private insurance payments help subsidize ALL dialysis clinics, especially those in low-income and rural areas of the state.
  • 90% of dialysis patients rely on government coverage (Medicare, Medi-Cal) at rates that are below cost. Because no business can afford to keep its doors open if reimbursements do not cover the cost of care, AB 290 would cause long-term access to care issues.
  • AB 290 would exacerbate the slowed investment in new dialysis facilities – at a time when demand for dialysis is growing at a rate of 5% per year.

Patients, doctors and dialysis providers support responsible measures to strengthen accountability around charitable premium assistance – but oppose AB 290. AB 290 will jeopardize patient access to life-saving dialysis care.


Reject insurance company profiteering. Protect patient access to life-saving dialysis care. No on AB 290.

Download a PDF of this Fact Sheet

take action

Privacy Policy
Paid for by Patients and Caregivers to Protect Dialysis Patients
Sponsored by the California Dialysis Council