California · Ballot measure · November 3, 2026
Proposition 44
Independent information project. Not an official government website.
Requires Community Health Clinics Spend 90% Of Revenue on Program Services.
Official ballot information
- Official summary
- Imposes penalties on nonprofit Federally Qualified Health Centers (community clinics providing primary care to medically underserved areas and populations) that spend less than 90% of revenue on “program services” advancing their charitable purpose, including but not limited to patient services. Fiscal Impact: Increased state costs in the low tens of millions of dollars per year, covered by fees.
- A YES vote means
- Certain private nonprofit health care clinics would have to spend at least 90 percent of their revenue each year on providing health care services.
- A NO vote means
- The new requirement on health care clinic spending would not go into effect.
- Fiscal impact
- Not listed in the source reviewed.
- Official links
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Official voter guide page (external site, opens in new tab)
Full text of proposed law (PDF) (external site, opens in new tab)
Legislative analyst's analysis (external site, opens in new tab)
Ballot arguments
In favor
Prop. 44 holds community clinics and their executives accountable by requiring that 90% of clinic revenue be spent on clinics’ charitable mission: patient care and services that make care possible. It increases transparency, reduces wasteful executive spending, and ensures healthcare dollars go where they belong: caring for Californians in need.
Against
Prop. 44 is a dangerous measure that will shut down hundreds of community health clinics and eliminate vital patient services for millions of Californians. American Academy of Pediatrics CA, California Medical Association, California Academy of Family Physicians, California School Nurses Organization, doctors, nurses and patients urge NO on 44! www.NOProp44.com
Official party recommendations
Democratic Party
Oppose
Republican Party
Oppose