Quick Guide to Propositions
Requires Community Health Clinics Spend 90% of Revenue on Program Services. Initiative Statute.
Requires Community Health Clinics Spend 90% of Revenue on Program Services. Initiative Statute.
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. Supporters: None submitted Opponents: American Academy of Pediatrics CA; CA School Nurses Org; CA Academy of Family Physicians; CA Medical Assoc.
Money Raised
Chart depicts total fundraising by all committees primarily formed for and against Prop 44.Totals are updated daily with contributions from Power Search 
and adjustments from the most recent Political Reform Division analysis.
Largest Contributions
Showing the 10 largest contributions to committees formed primarily for and against Prop 44 in the election cycle when it appeared on the ballot. Contributions in earlier election cycles and contributions between allied committees are excluded. For more information on funding for ballot measure campaigns, visit the Power Search campaign finance search engine.
Yes on Prop 44
01/29/2026
05/07/2026
02/12/2026
01/14/2026
11/07/2025
09/18/2025
11/13/2025
12/04/2025
12/10/2025
01/09/2026
No on Prop 44
12/29/2025
11/07/2025
11/06/2025
11/06/2025
11/06/2025
12/19/2025
05/15/2026
02/17/2026
08/06/2026
08/24/2026
What your vote means
Yes
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.
No
A NO vote on this measure means: The new requirement on health care clinic spending would not go into effect.
More on Proposition 44
For background on Proposition 44, an analysis by the legislative analyst, endorsements for and against the measure, and more...
- Read the California Voter Information Guide.
Arguments
Pro
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.
Con
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
Campaigns
For
- Gustavo Medina
SEIU-UHW - 5480 Ferguson Drive
Los Angeles, CA 90022 - (323) 805-0241
- contact@yesonprop44.com
- yesonproposition44.com
Against
- No on Prop. 44—Stop the
Attack on Patients and
Community Health Clinics - info@noprop44.com
- www.NoProp44.com