Proposition 44: Community Health Clinic Revenue Spending
Source: electionresults.sos.ca.gov
What does this measure do?
Private nonprofit safety-net clinics would have to spend at least 90% of their yearly revenue on health care services. Clinics that fall short would pay the difference as a penalty, and fees on the clinics, not taxpayers, would cover state enforcement costs in the low tens of millions a year.
Read the official ballot measure (PDF)
Proposed by: Citizen initiative sponsored by SEIU-United Healthcare Workers West (health care workers union)
A union of about 120,000 health care workers. It says some clinics spend too much on executive pay and perks. It raised $17 million, mostly union money, for this.
Source: calmatters.org
A YES vote means
Covered clinics would face the 90% spending minimum, clinic-funded enforcement, and penalties for falling short.
A NO vote means
The new clinic spending minimum, penalties, and enforcement fees would not take effect.
Campaign Finance Information
Campaign Finance Information
Largest donors supporting
- SEIU United Health Care Workers West Political Issues CommitteeHealthcare workers union committee$16,929,634
Some of this money went to groups that also work on other measures.
Largest donors opposing
- Altamed Health Services CorporationCommunity health clinic network$5,467,868
- California Primary Care Association Advocates and affiliated entitiesCommunity health clinics association$2,035,766
- Family Health Centers of San DiegoCommunity health clinic network$1,511,285
- Wellspace HealthCommunity health clinic network$1,500,000
- North East Medical ServicesCommunity health clinic network$1,500,000
Filings as of September 16, 2026 · Source: fppc.ca.gov
Sources: sos.ca.gov · lao.ca.gov