The battle over healthcare clinic revenue. See how Proposition 44 works

There is a measure on your California ballot that could change spending rules for community health clinics. Let's talk Prop 44. Proposition 44 targets federally qualified health centers. Those are non-profit clinics that serve underserved communities across California. There's about 2,000 of them. The ballot measure proposes a new rule. These clinics would have to spend 90% of their revenue on patient care and services tied to their mission. Right now, They average about 80%. Missed that target, and the clinic pays a penalty. They can earn it back if they hit 90% within five years. If not, the state keeps the money. Supporters, led by the health care union SDIU-UHW, says it stops wasteful spending on executive pay and forces accountability. Opponents, including both major state parties, Planned Parenthood, and the California Medical Association, say clinics can't realistically hit 90%. One analysis found 89% of California clinic organizations would fail in year one, facing $1.6 billion in fines. Read the full breakdown before you vote.