California voters weigh 90% clinic spending mandateProp. 44 would make clinics prioritize patients over overheadProp. 44 risks clinic closures in pursuit of a spending quota
California voters are deciding Proposition 44 on November 3, 2026. The proposal would direct community health clinics to allocate at least 90% of annual revenue to patient care and services or face state penalties.California voters are deciding Proposition 44 on November 3, 2026. Backed by a union, the proposal would direct community clinics to devote no less than 90% of annual revenue to patient care or face penalties.California voters are deciding Proposition 44 on November 3, 2026. The proposal would impose a 90% patient-care spending threshold on community clinics, with penalties for those that miss it.