Berkeley Research Group: SEIU 90% Spending Mandate Would Redirect $1.7B from FQHCs, Push Two-Thirds into Deficits
A Berkeley Research Group study commissioned by Protect Patients CA finds the SEIU-UHW 90% mission-spend ballot measure would redirect $1.7 billion from community health centers and push two-thirds of state health centers into operating deficits. The 90% threshold would exclude spending on nurse/physician managers, translation services, enrollment navigators, transportation, community outreach, and new clinic construction.
CPCA, CCALAC, CMA, AltaMed, and FHCSD are top funders of the opposition. SEIU counters that FQHCs like United Health Centers had a $25M surplus on $180M revenue in 2023.
Part of
- State health elections and ballot measures
Proposition 44 (clinic spending requirement)
- Healthcare labor and organizing
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Berkeley Research Group / Protect Patients CASources for your board packet
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FQHC Talent. (2026, March 15). Berkeley Research Group: SEIU 90% Spending Mandate Would Redirect $1.7B from FQHCs, Push Two-Thirds into Deficits. Source: Berkeley Research Group / Protect Patients CA. Retrieved September 28, 2026, from https://www.fqhctalent.com/intel/seiu-fqhc-90-spend-brg-1-7b-impact-study
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