{"edition":"ca-2026","kind":"measure","id":"ca-prop-44","record":{"id":"ca-prop-44","number":"44","officialTitle":{"en":"Requires Community Health Clinics Spend 90% Of Revenue on Program Services. Initiative Statute.","he":"מחייבת מרפאות בריאות קהילתיות להוציא 90% מההכנסות על שירותי התוכנית. חוק ביוזמת אזרחים."},"analystSummary":{"en":"Sets Minimum Spending on Health Care at Private Nonprofit Safety Net Clinics. Proposition 44 requires private nonprofit safety net clinics to spend at least 90 percent of their total revenue each year on providing health care services. This means that spending on other expenses, such as administrative costs, would be limited to no more than 10 percent of revenue. The California Attorney General would define in more detail which kinds of expenses are related to providing health care services, and which are other expenses, using existing reports to the federal government as a starting point. Affected clinics could ask the state for a temporary waiver of the requirements in some cases.","he":"קובעת הוצאה מינימלית על שירותי בריאות במרפאות פרטיות ללא כוונת רווח מסוג „רשת ביטחון”. הצעה 44 מחייבת מרפאות פרטיות ללא כוונת רווח מסוג „רשת ביטחון” להוציא לפחות 90 אחוז מסך ההכנסות שלהן מדי שנה על מתן שירותי בריאות. פירוש הדבר שההוצאות על דברים אחרים, כמו עלויות מנהליות, יוגבלו ל־10 אחוזים מההכנסות לכל היותר. התובע הכללי של קליפורניה יגדיר ביתר פירוט אילו סוגי הוצאות קשורים למתן שירותי בריאות ואילו הם הוצאות אחרות, תוך שימוש בדיווחים הקיימים לממשל הפדרלי כנקודת מוצא. מרפאות שההצעה חלה עליהן יוכלו לבקש מהמדינה פטור זמני מהדרישות במקרים מסוימים."},"fiscalEffect":{"en":"Increased state costs in the low tens of millions of dollars per year to enforce the new requirements on certain private nonprofit health care clinics, covered by fees charged to the affected clinics.","he":"עלויות מוגברות למדינה בהיקף של עשרות מיליוני דולרים בודדות בשנה לאכיפת הדרישות החדשות על מרפאות בריאות פרטיות מסוימות ללא כוונת רווח, שיכוסו מאגרות שייגבו מהמרפאות שההצעה חלה עליהן."},"yesMeans":{"en":"Certain private nonprofit health care clinics would have to spend at least 90 percent of their revenue each year on providing health care services.","he":"מרפאות בריאות פרטיות מסוימות ללא כוונת רווח יצטרכו להוציא לפחות 90 אחוז מההכנסות שלהן מדי שנה על מתן שירותי בריאות."},"noMeans":{"en":"The new requirement on health care clinic spending would not go into effect.","he":"הדרישה החדשה לגבי ההוצאות של מרפאות בריאות לא תיכנס לתוקף."},"links":[],"argumentsUrl":"https://voterguide.sos.ca.gov/propositions/44/arguments-rebuttals.htm","funders":[{"name":"SEIU United Health Care Workers West Political Issues Committee","side":"yes","amount":16929633.88,"sourceUrl":"https://fppc.ca.gov/search-filings/top-10-contributors-list/november-2026-general-election/","asOf":"2026-09-29"},{"name":"Altamed Health Services 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