California Proposition 44 (Requires Community Health Clinics Spend 90% of Revenue on Program Services) is on the November 3, 2026 ballot. Require nonprofit Federally Qualified Health Centers to spend at least 90% of their revenue on program services advancing their charitable purpose rather than management and overhead, with monetary penalties for noncompliance.
What a yes or no vote means
Read the certified ballot question
Require nonprofit Federally Qualified Health Centers to spend at least 90% of their revenue on program services advancing their charitable purpose rather than management and overhead, with monetary penalties for noncompliance.
Verify with the state: official full text and details →.
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About this measure
California allows initiated constitutional amendments, initiated statutes, and veto referendums, and the Legislature can refer amendments with a two-thirds vote of each house. Initiative signature requirements are pegged to the last governor's race: 8 percent of votes cast for constitutional amendments (874,641 signatures for the 2026 cycle) and 5 percent for statutes and referendums (546,651), gathered within a 180-day circulation window. Every measure, citizen-initiated or referred, passes with a simple majority of votes cast on it.
Wording above follows the certified ballot language; The Ballot Brief does not take positions on measures.