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California Voters Will Decide Prop. 44, Which Would Regulate Community Health Clinic Spending on Program Services

Supporters say the measure would curb excessive spending, while clinics warn it could trigger $1.7 billion in penalties and service cuts.

  • On Tuesday, California voters are deciding on Proposition 44, which would require community health clinics to spend at least 90% of their annual revenue on patient care.
  • The Service Employees International Union-United Healthcare Workers West sponsored the initiative, marking a second attempt to restrict clinic spending after a similar bill failed last year.
  • Union spokespeople cited "excessive" executive salaries as inappropriate use of taxpayer dollars, while opponents estimate noncompliance penalties could cost clinics about $1.7 billion in the first year.
  • Susanne Spano of the American College of Emergency Physicians in California warned the measure would "force millions of patients into already overcrowded emergency rooms," and Jerry Abraham of Kedren Health in South Los Angeles added that limiting access puts patients in danger.
  • If passed, the California Attorney General would define which expenses qualify as patient care, leaving clinics vulnerable to penalties for essential upgrades, support staff, or construction projects.
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Prop. 44: Voters decide on spending restrictions for healthcare clinics

California Prop. 44, the union-backed measure requiring community clinics to spend at least 90% of revenue on patient care or pay fines.

·Sacramento, United States
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AsAm News broke the news on Monday, November 2, 2026.
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