Note: this post will be periodically updated! (10/07/2026)
VOTER GUIDE – QUICK LINKS:
- HOME: Quick Voting Guide
FEDERAL LEGISLATORS: 24th Congressional Dist. * 26th Congressional Dist. * 32nd Congressional Dist. - STATE LEGISLATORS: Assembly, 38th Dist. * Assembly, 42nd Dist. * Assembly, 46th Dist.
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- CITY SCHOOL DISTRICTS: Fillmore USD * Las Virgenes USD * Moorpark USD * Oxnard USD * Pleasant Valley School District * Rio School District * Santa Paula USD * Simi Valley USD * Ventura USD
- CITY COUNCILS: Camarillo * Moorpark * Ojai * Oxnard * Port Hueneme * Santa Paula * Simi Valley * Thousand Oaks * Ventura
- SPECIAL DISTRICTS: Antelope Valley -East Kern Water Agency * Bell Canyon Community Service Dist. * Camarillo Health Care District * Conejo Rec. & Park District * Fillmore-Piru Memorial District * Oxnard Harbor District * Pleasant Valley Rec. & Park District * Rancho Simi Rec. & Park District * Santa Clarita Valley Water Agency * United Water Conservation District
- PROPOSITIONS: TLDR * Prop. 1 * Prop. 2 * Prop. 3 * Prop. 4 * Prop. 5 * Prop. 37 * Prop. 38 * Prop. 39 * Prop. 40 * Prop. 41 * Prop. 42 * Prop. 43 * Prop. 44 * Prop. 45
- LOCAL MEAURES: Measures
- VOTING:
90%? Seriously? Clinics have to pay rent, utilities, maintenance, janitorial services, insurance and more! SEIU – We love you, but this proposition is too extreme!
Seriously, work on capping executive salaries for clinics that use public funds, if that’s the real issue!
Watch this video at the noprop44.com site.
Keep California’s safety net!
What’s the Background? Federally Qualified Health Centers (FQHCs) that receive federal funds and FQHC “look-alikes” that receive Medi-Cal/Medicaid reimbursement are operated as non-profits and serve as a safety net to provide primary and preventive care to low-income and underserved populations. Non-profit boards review and approve CEO and CFO compensation for FQHCs, and clinics already file annual IRS Form 990 reports, undergo federal and state audits, and answer to the Attorney General. A handful are genuine outliers on executive pay, but the current average spend ratio is 80% for program services and 20% for administrative and management costs. Proposition 44 would raise that bar to 90% – measured against each clinic’s total annual revenue, not its expenses. A one-time capital grant, a bequest, or the sale of a building inflates revenue for a single year and can push a clinic below the line even though its patient-care spending never changed. The question is not whether executive pay deserves scrutiny, but whether a blunt statewide formula backed by penalties is the right tool – or whether it closes the clinics our most vulnerable neighbors depend on.
What would Proposition 44 do?
- Require non-profit FQHCs and “look-alikes” – roughly 200 organizations statewide – to spend at least 90% of their total annual revenue on program service expenses directly related to their exempt mission.
- Authorize the Attorney General to publish guidance on which expenses count as program services – creating uncertainty about what will and won’t be a covered expense.
- Cap administrative and management costs – including rent, utilities, insurance, and IT – at no more than 10% of revenue.
- Assess monetary penalties equal to the difference between the 90% requirement and the clinic’s actual mission spending that year. Penalties go to a state fund, refunded only if the clinic reaches compliance within five years.
- Allow the Department of Public Health to grant temporary waivers of the 90% requirement for exceptional circumstances or where a clinic’s finances threaten regional access to care.
- Assess criminal penalties for directors, officers, or agents of the clinic who knowingly misreport expenditures or revenues.
- Cost the state in the low tens of millions of dollars to enforce each year – recovered through fees on all affected clinics, not just those out of compliance – per the Legislative Analyst’s Office (LAO).
| Myths | Facts |
| Public funds are being siphoned off for bloated administrative costs and executive pay. | Although the percentage varies wildly from one clinic to the next, the LAO reports that FQHC and FQHC “look-alike” clinics spend an average of about 80% of revenue on health care services. Outliers exist and should be addressed – but Prop 44 imposes one rigid formula on roughly 200 organizations to reach a handful of bad actors. |
| Clinics that simply spend more on patients have nothing to fear. | A clinic can spend every available dollar on care and still fail, because the test measures spending against revenue. An analysis of IRS Form 990 data commissioned by the No campaign projected 183 of 202 FQHC organizations would fall short in one year. |
| The measure will not cut clinic funding or reduce services patients rely on. | Capping management and administrative costs at 10% sweeps in rent, utilities, and IT – operating costs that clinics cannot stop paying. The No campaign’s commissioned study projects $1.7 billion in first-year penalties, pushing 161 of 183 non-compliant organizations into negative margins. The LAO, which takes no side, likewise warns some clinics might close. |
Prop 44 is sponsored by: Service Employees International Union – United Healthcare Workers West (SEIU-UHW) and SEIU 721
Vote No is joined by: the California Democratic Party, Planned Parenthood Affiliates of California, CA Medical Association, and others
NO” Recommended by the following organizations:
| Physician Organizations California Medical Association American Academy of Pediatrics, California American College of Obstetricians & Gynecologists District IX American College of Emergency Physicians, California America’s Physician Groups California Academy of Family Physicians California Chapter of the American College of Cardiology California Dental Association California Neurology Society California Radiological Society California Otolaryngology Society California Podiatric-Medical Association California Society for Addiction Medicine California Society of Pathologists Children’s Specialty Care Coalition California Society of Plastic Surgeons Kern County Medical Society North Valley Medical Association Northern California Rural Medical Association Orange County Medical Association Physician Association of California Riverside County Medical Association Sierra Sacramento Valley Medical Society San Bernardino County Medical Society San Diego County Medical Society San Francisco Marin Medical Society San Joaquin Medical Society San Mateo County Medical Association Stanislaus County Medical Society Women’s/Reproductive Health Organizations Planned Parenthood Affiliates of California Black Women for Wellness Action Project California Latinas for Reproductive Justice Hospitals/Health Care Districts Association of California Healthcare Districts California Children’s Hospital Association California Hospital Association Canyon Ridge Hospital Casa Colina Hospital and Centers for Healthcare District Hospital Leadership Forum United Hospital Association Torrance Memorial Health Community Groups Alcar Health ABRAZAR, INC. API Council Asian Americans and Pacific Islanders For Civic Empowerment Asian Law Alliance Asian Pacific Islander Initiative Bring California Home Coalition California Association of Nonprofits California Human Development Catholic Charities San Francisco Canal Alliance Center for Empowering Refugees & Immigrants Central Valley Opportunity Center Ceres Community Project Communities United for Restorative Youth Justice Community Action Marin Community Agency for Resources, Advocacy and Services Concilio of Yolo County Corporation for Supportive Housing East Bay Asian Youth Center East County Transitional Living Center El Centro del Pueblo Encompass Community Services Family Paths Equality California First Day Foundation Health Professionals for Equality and Community Empowerment Hermandad Los Angeles Economic and Community Development Corporation Hermandad Mexicana Nacional Hijas del Campo Inland Empire Community Health Initiative Los Amigos de la Comunidad La Cooperativa Campesina de California Los Cien Sonoma County La Luz Center Little Tokyo Service Center The San Diego LGBT Community Center Mothers of East Los Angeles NAACP California Hawaii State Conference NAMI San Diego & Imperial Counties North County LGBTQ Resource Center Omid Multicultural Institute for Development Peers Envisioning & Engaging in Recovery Services Proteus, Inc. Reach Out Sacramento Homeless Union SF Human Services Network San Francisco Senior and Disability Action San Diego for Every Child San Diego Hunger Coalition Serving Seniors San Diegans for Healthcare Coverage TELACU Industries The Los Angeles Trust for Children’s Health Venice Community Housing Corporation Wonder Wood Ranch Health Care Organizations Advocates for Community Health Alzheimer’s Orange County Ascend Healthcare Inc Association of Asian Pacific Community Health Organizations (AAPCHO) California Association of Alcohol & Drug Program – Executives California Behavioral Health Association California Black Health Network California Coverage & Heath Initiatives CalPACE California Primary Care Association California Primary Care Association Advocates Cardiovascular Institute of San Diego CBO Medi-Cal Coalition The Behavioral Health Collaborative of Alameda County Health Improvement Partnership of Santa Cruz County Heart & Wellness Center Liver Coalition of San Diego National Association of Community Health Centers National Association of Social Workers, California Chapter Valley Care Community Consortium Vision y Compromiso UHC Solutions Labor California Teachers Association Peace Officers Research Association of California Education/Youth California Alliance of Child and Family Services California Association of School Counselors California School Nurses Organization California School-Based Health Alliance Political Organizations Avance Democratic Club California Democratic Party California Republican Party California Working Families Party Courage California Democratic Party of Sacramento Democratic Party of Orange County Indivisible Marin Steering CommitteeIranian American Democrats of California League of Women Voters of California Libertarian Party of California Los Angeles County Young Democrats PICO California Action Fund Progressive Democratic Club PowerCA ActionSan Diego County Democratic Party Santa Clara County Democratic Party Solano County Democratic Central Committee United Democratic Club of San Francisco | Local Government City of Escondido Business California Chamber of Commerce Carlsbad Chamber of Commerce LA County Business Federation LAX Coastal Chamber of Commerce Sacramento Metropolitan Chamber of Commerce Santa Cruz Area Chamber of Commerce San Diego Regional East County Chamber of Commerce San Jose Silicon Valley Chamber of Commerce San Marcos Chamber of Commerce West Ventura County Business Alliance Community Health Centers & Clinics AACI Achievable Health Alameda Health Consortium Alcar Health Aliados Health All-Inclusive Community Health Center AltaMed Altura Center for Health Ampla Health Anderson Valley Health Center Angeles Community Health Center APLA Health Aria Community Health Center Arroyo Vista Family Health Center Asian Americans for Community Involvement (AACI) Asian Health Services Asian Pacific Health Care Venture, Inc. Axis Community Health BARTZ-Altadonna Community Health Center Baywell Health (formerly West Oakland Health Council) Big Sur Health Center Blessing Community Health Calexico Wellness Center Camarena Health Camino Health Center Castle Family Health Centers Celebrating Life Community Health Center Central Neighborhood Health Foundation Central Valley Health Network Chinatown Service CenterClinica De Salud Del Valle De Salinas Clinica Monsenor Oscar A. Romero Clinicas del Camino Real Coalition of Orange County Community Health Centers Communicare + OLE Community Clinic Association of Los Angeles County Community Health Association Inland Southern Region Community Health Partnership Community Health System Community Medical Centers Inc. Complete Care Community Health Center Comprehensive Community Health Centers DAP Health Davis Street Community Health Center Dientes Community Dental Care East Valley Community Health Center, Inc. Eisner Health El Dorado Community Health Centers El Proyecto del Barrio, Inc. Elica Health Centers Equity Health Families Together of Orange County Family Health Care Centers of Greater Los Angeles Family Health Centers of San Diego Father Joe’s Village Friends of Family Health Center Gardner Health Services Garfield Health Center Greater Fresno Health Organization, Inc Golden Valley Health Centers Harbor Community Health Centers Harmony Health Medical Clinic and Family Resource Center Health Alliance of Northern California Health and Life Organization, Inc. – Sacramento Community Clinic – Explorer Health Center Partners of Southern California HealthRIGHT 360 Herald Christian Health Center Hill Country Community Clinic Hurtt Family Health Clinic, Inc. Indian Health Council, inc. Inland Behavioral Health Services Innercare JWCH Institute/ Wesley Health Centers Kedren Community Health Center Korean Community Services Korean Health, Education, Information & Research Center La Clinica de La Raza, Inc. La Maestra Community Health Centers Livingstone Community Health Clinic Long Valley Health Center Los Angeles Christian Health Centers Marin Community Clinics Mendocino Coast Clinics Mendocino Community Health Centers Mission City Community Network Mission Neighborhood Health Center Mountain Valley Health Centers Neighborhood Healthcare Nhan Hoa Comprehensive Health Care Clinic North Coast Clinics Network North East Medical Services (NEMS) Northeast Valley Health Corporation Northeastern Rural Health Clinics Obria Medical Clinics of Southern California One Community Health Open Door Community Health Centers OPSAM Health Parktree Community Health Center Peach Tree Healthcare Peninsula Healthcare Connection, Inc. Petaluma Health Center Prime Wellness Community Health Center Redwood Coast Medical Services Redwoods Rural Health Center Roads Foundation Saban Community Clinic SAC Health Samuel Dixon Family Health Center, Inc. San Benito Health Foundation San Fernando Community Health Center San Francisco Community Clinic Consortium San Ysidro Health Santa Barbara Neighborhood Clinics Santa Cruz Community Health Centers School Health Clinics of Santa Clara County Share Our Selves Corporation Shasta Cascade Health Centers Shasta Community Health Center Shingletown Medical Center Sierra High School: School Based Health Center Fairchild Medical Center Sonoma Valley Community Health Center Southern Indian Health Council South Central Family Health Center Southside Coalition of Community Health Centers St. Jude Neighborhood Health Centers Tarzana Treatment Centers TCC Family Health The WeCare Group TrueCare UMMA Health Unicare Community Health Center United Health Centers of the San Joaquin Valley Universal Community Health Center Valley Community Healthcare Venice Family Clinic Via Care Community Health Center Vista Community Clinic Watts Health Center WellSpace Health West County Health Centers, Inc. Western Sierra Medical Clinic – Grass Valley Westside Family Health Center White Memorial Community Health Center Wilmington Community Clinic Winters Healthcare Foundation |
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