California · Ballot measure
Proposition 44: Spending requirement for community health clinics
On the ballot: November 3, 2026 Initiative statute
A YES vote means
Private nonprofit community health clinics (Federally Qualified Health Centers) would have to spend at least 90% of their revenue each year on program services, or pay a penalty to the state.
A NO vote means
This new spending requirement would not go into effect.
Who supports it
Not yet compiled
Who opposes it
- American Academy of Pediatrics, California
- American College of Emergency Physicians, California Chapter
- American College of Obstetricians & Gynecologists District IX
- California Academy of Family Physicians
- California Medical Association
- and 1 more
From official campaign filings and public endorsements, each linked on the full page (checked October 30, 2026). Not complete; not an endorsement.