California qualifies SEIU-UHW's 90% patient-care measure for the November 3 ballot
Issue
California's Secretary of State announced on May 19, 2026 that SEIU-UHW's Clinic Funding Accountability and Transparency Act qualified for the November 3, 2026 ballot. It would require nonprofit FQHCs and look-alikes to spend at least 90% of revenue on direct patient care, clinical staff and front-line services.
Two clinic lawsuits against it did not stop it from qualifying.
Key points
- Officially on Nov 3, 2026 ballot — qualified May 19 by SoS Weber
- Applies to California nonprofit FQHCs and Look-Alikes; penalties equal the spending shortfall
- CPCA + Open Door federal suit + CHA state suit continue, did NOT block qualification
- 5.5-month campaign window through Nov 3 — develop 90% compliance scenarios now
Sources for this story
Ballotpedia / CA Secretary of StatePart of
- State health elections and ballot measures
Proposition 44 (clinic spending requirement)
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FQHC Talent. (2026, May 19). California qualifies SEIU-UHW's 90% patient-care measure for the November 3 ballot. Source: Ballotpedia / CA Secretary of State. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/seiu-uhw-90-percent-ballot-qualified-may-19-2026