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Legislation

Court dismissed the clinics' suit to block the 90% ballot measure

CaliforniaMore from California

Issue

State health elections and ballot measuresDecision due

Next: · California's Secretary of State certifies the November 3 results, including Propositions 40, 41 and 42

On April 30, 2026, the California Primary Care Association and Open Door Community Health Centers sued in federal court to block SEIU-UHW's clinic spending initiative. The measure would require health centers to spend 90% of revenue on their mission.

On August 7, the court dismissed the suit, and the measure stayed on the November 3 ballot as Proposition 44.

Corrected Oct 6, 2026: AB 1113, the bill version of the 90% rule, died on January 31, 2026; it was not advancing when the suit was filed.

Key points

  • CPCA and Open Door filed in the U.S. District Court for the Northern District of California on April 30, 2026
  • The clinics say the measure conflicts with federal spending rules for nonprofit health clinics
  • SEIU-UHW calls the measure legally sound
  • The court dismissed the suit on August 7, 2026 without reaching the merits: the clinics lacked standing, their claims against the measure's backers were not ripe, and the Secretary of State was immune from suit. The case closed August 21.

Sources for this story

CalMatters

Part of

Affected FQHCs

Open Door Community Health Centers

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Cite this analysis

FQHC Talent. (2026, April 30). Court dismissed the clinics' suit to block the 90% ballot measure. Source: CalMatters. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/cpca-open-door-federal-suit-90-percent-ballot