Why We Need Prop 44

Every year, billions in taxpayer dollars go to Federally Qualified Health Centers (FQHCs)—our local community clinics—to provide high-quality, affordable healthcare for low-income and underserved communities.

Unfortunately, some clinic executives have lost sight of that mission:

  • Overpaid Executives: Millions of dollars intended for patients are going toward bloated executive salaries and non-essential spending.
  • Less Than 50% Spent on Care: Some community clinics spend less than half of their revenue on direct healthcare services.
  • $1.7 Billion Misdirected: An estimated $1.7 billion currently floating through the clinic system is not being spent on core patient care.

At a time when healthcare facilities face massive federal funding cuts, healthcare dollars must go where they belong: to patient care and the caregivers on the front lines.

What Prop 44 Will Do

Prop 44 will require Federally Qualified Health Centers (FQHCs), also known as community clinics, to spend a minimum of 90% of their revenues on caregivers, patient care, and furthering their mission of care. That means taxpayer money is going where it truly belongs: to direct care and the caregivers who provide it.

How will Prop 44 work

If a clinic fails to meet the 90% goal (which means they spent more than 10% of revenues on executive pay or other non-essentials) they will be fined. The money from the fines will go into an escrow account that they can earn back if they meet the 90% threshold in future years. This encourages clinics to do the right thing and makes sure funds that can be used for patient care are not lost.

Can clinics afford this? Will it hurt clinics?

Some community clinics are already meeting this goal, which shows others can do it too. But too many clinics are wasting money on executive pay and non-essentials: there is an estimated $1.7 billion in the clinics system that is not being spent on the core mission of patient care. Prop 44 will make sure that healthcare dollars go where they can do the most good. That will improve clinics, not hurt them.

👉 Learn More on the Official Campaign Webpage


Ad paid for by Yes on Prop 44, Sponsored by Service Employees International Union – United Healthcare Workers West

Ad Committee’s Top Funder

Service Employees International Union – United Healthcare Workers West

Funding Details at www.fppc.ca.gov