Private nonprofit safety-net clinics must spend at least 90% of their yearly revenue on health care services (they average about 80% now). A shortfall is paid to the state and refunded within five years if the clinic complies; otherwise it supports clinic workers.
Proposition 44 · California · Nov 3, 2026
Community clinic spending
Official title: Requires Community Health Clinics Spend 90% of Revenue on Program Services. Initiative Statute.
Requires qualifying nonprofit community clinics to spend at least 90% of revenue on program services, with penalties.
At a glance
Spending requirement- Does it raise taxes?
- No new tax. Enforcement is paid by fees on affected clinics.
- Estimated cost or revenue
- Tens of millions a year to enforce, paid by clinic fees. Other costs unclear, including possible clinic closures.
- Who pays
- Fees from affected clinics.
- Where the money goes
- Patient health care services.
- How long
- Not yet verified
From the official voter guide and the state’s fiscal analysis. Estimates are the state’s, not ours.
Your choice
Saved privately on this device.What your vote does
Clinics keep reporting spending as today, with no 90% requirement.
How the money works
TypeSpending requirement
Cost, who pays and where the money goes are in “At a glance” above.
What your guides say
No guides selected yet. Pick guides to compare.
Why they disagree
Cuts waste such as high executive pay and directs more money to patient care, with more transparency.
Official ballot argument for (summary)Limits spending on staff, equipment and translation; clinics might cut services or close, sending patients to crowded ERs.
Official ballot argument against (summary)Who’s funding it
We haven’t loaded campaign-finance filings for Proposition 44 yet. You can look them up directly:
Sources
- California Secretary of State
Proposition 44: Official Voter Information Guide · Official title, summary, vote effects and fiscal impact
Checked Oct 31, 2026 - Easy Voter Guide (League of Women Voters of California Education Fund)
Easy Voter Guide, November 3, 2026 · State propositions
Checked Nov 1, 2026