Ballot measure · California · November 3, 2026

Proposition 44

Title as the state lists it: Requires Community Health Clinics Spend 90% Of Revenue on Program Services. Initiative Statute.1,2,3,4

Research draftCitizen initiativeState law
How it got there
Citizen initiative
Kind of measure
State law
To pass
A majority of the votes on it
Researched
October 27, 2026

Research draft. We gathered this from official sources on October 27, 2026: election offices, state laws and court records, each linked to its source. Separate reviewers checked a random sample of 48 facts from the ballot-measure research against the cited sources and found no errors. The rest hasn't been reviewed fact by fact yet, so check the linked source before relying on anything here.

§1What your vote means

Drafted by AI from the public sources cited. Each sentence links to its source.

A yes vote

A yes vote would require nonprofit Federally Qualified Health Centers to spend at least 90 percent of their revenue each year on program services, with a penalty equal to any shortfall that is refunded if the clinic complies within five years, and criminal charges allowed for false reports.3,4

A no vote

A no vote would mean no minimum share of revenue that nonprofit Federally Qualified Health Centers must spend on program services, and these clinics would keep reporting their revenue and expenses as they do today with no new penalties.3,4

§2How it got on the ballot

Citizen initiative. Voters proposed it by signing a petition.1,2,3,4

State law. It would change state law, not the constitution.1,2,3,4

It is on California's list of statewide measures for November 3, 2026.1,2,5 One of these official sources itself calls the list certified or final. What we couldn't confirm about the list is in the notes on California's measures.

§3What it needs to pass

Drafted by AI from the public sources cited. Each sentence links to its source.

A majority of the votes on it. An initiative passes if more voters vote yes than no on it.6,7 Where in the source: Initiative Guide ch. IV, p. 17 (PDF p. 22), citing Cal. Const. art. II, § 10(a)