November 3, 2026 general election
California Proposition 44; what a yes or no vote means.
Requires certain nonprofit community health clinics to spend at least 90% of annual revenue on program services advancing their charitable purpose.
Bottom line
What Proposition 44 does
Requires certain nonprofit community health clinics to spend at least 90% of annual revenue on program services advancing their charitable purpose.
The measure is a initiative statute placed on the ballot by petition signatures. Its official title is “Requires Community Health Clinics Spend 90% of Revenue on Program Services.”
A yes vote
Yes means
Covered clinics would have to meet the new 90% program-services spending requirement.
A no vote
No means
The proposed spending requirement would not take effect.
State estimate
What it could cost
Estimated state costs are in the low tens of millions of dollars each year; fees would cover those costs.
That is the fiscal effect summarized from the state voter guide. Estimates describe likely government effects; they are not a promise of an exact future result.
Primary record
Read the complete state analysis
This explainer is a starting point. The Secretary of State’s guide carries the impartial analysis, fiscal estimate, arguments for and against the measure, rebuttals and proposed law. Read that record before making a decision.
Open the official Proposition 44 guide