Certain private nonprofit health care clinics would have to spend at least 90 percent of their revenue each year on providing health care services.
PROP44
California · November 3, 2026 · upcoming
REQUIRES COMMUNITY HEALTH CLINICS SPEND 90% OF REVENUE ON PROGRAM SERVICES.
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.
What your vote means
Yes or No, in the state's words
The new requirement on health care clinic spending would not go into effect.
What the state says it may cost or change
Increased state costs in the low tens of millions of dollars per year, covered by fees.
Read the full analysis
The Quick Reference Guide does not publish a separate current-law sentence for this proposition. Election.org does not infer one. The Legislative Analyst's analysis in the official proposition PDF explains the baseline law.
Open official analysis ↗Qualified through petition signatures
The official guide labels this measure as put on the ballot by Petition Signatures. This is a source classification, not an Election.org judgment.
Not available before Election Day
This election is upcoming. Election.org will not show a blank or zero as a result.
Attributed positions
Who the official quick guide lists
None submitted
American Academy of Pediatrics CA; CA School Nurses Org; CA Academy of Family Physicians; CA Medical Assoc.
Arguments are the opinions of their authors and have not been checked for accuracy by an official agency.