California · Law · put on the ballot by petition · Nov 3, 2026
Proposition 44
Requires Community Health Clinics to Spend 90% of Revenue on Program Services
What it says
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 patient services. The Department of Public Health may waive spending requirements in exceptional circumstances. Authorizes the Attorney General to publish guidance defining qualifying expenditures. Monetary penalties may be refunded if centers become compliant within five years. Authorizes criminal charges for false reports or artificially increasing the spending ratio.
This is a summary from the state's own official materials, shown as published. Read the full text at the source, and check your state's election office for the final word on what is on your ballot. Official source ↗(opens in a new tab) Download the official file ↗(opens in a new tab)
Other measures in California
- Proposition 1 · Authorizes Bonds for Housing Affordability Programs
- Proposition 2 · Increases State's Rainy Day Fund
- Proposition 3 · Provides Permanent Funding for Schools and Health Care by Extending Existing Tax on High Incomes
- Proposition 4 · Repeals Prohibition Against Public Funding of Election Campaigns
- Proposition 5 · Changes Recall Election Process for Statewide Officers
- Proposition 39 · Prohibits Citizens from Voting Unless They Present Government-Issued Identification
- Proposition 40 · Imposes One-Time Tax on Certain Taxpayers
- Proposition 41 · Prohibits New State Taxes That Exclude Revenues From State Spending Limit; Requires Audits for New State Special Taxes
- Proposition 37 · Creates Loan Program for Middle-Income Buyers of Qualified New Homes
- Proposition 38 · Authorizes Bonds for Immunology Medical Research
- Proposition 45 · Modifies Environmental Review for Certain Projects
- Proposition 42 · Prohibits New State Personal Property Taxes and Certain Retroactive State Taxes
- Proposition 43 · Limits Voters' Ability to Raise Revenues for Local Government Services