Statewide ballot measure · Tuesday, November 3, 2026
Proposition 44: Requires Community Health Clinics Spend 90% of Revenue on Program Services. Initiative Statute.
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.
What a vote means
- A yes vote
- A YES vote on this measure 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
- A NO vote on this measure means: The new requirement on health care clinic spending would not go into effect.
Sources
Measure summary
- Official Voter Information Guide, Proposition 44 (California Secretary of State, Public record)
What's included: U.S. Senate and House, statewide offices, state legislative races (shown in the app once you enter your address) and statewide ballot measures.
Local races (county, city, school board, judges) and anything else on your ballot are on your official sample ballot: voterstatus.sos.ca.gov.
Candidate lists as of Wednesday, October 14, 2026.
This is not an official ballot. Confirm your registration, polling place and ballot with your election office through vote.gov.