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Election results, ballot measures that qualify or withdraw, and lawsuits that directly affect health centers.
The Associated Press reported November 9 that California voters rejected Proposition 40, 52.8% no to 47.2% yes. SEIU-UHW said the 5% billionaire tax would have raised $100 billion for health care and education, and vows a 2028 retry unless lawmakers deliver a real solution. Texas lawmakers filed House and Senate bills to expand Medicaid. Republicans hold the Texas Senate, the Legislature convenes January 12, 2027, and it is unclear whether the governor-elect can order an expansion plan. Proposition 44 also failed, and certification is December 11. California Governor-elect Xavier Becerra takes office January 4, 2027. On November 6, San Diego's Measure B had 52.00% yes, and Imperial County's Measure N had 54.97% but needs two-thirds. Colorado approved Amendment 87, estimated to raise $2 billion a year for health care, schools and child care. South Dakota kept Medicaid expansion.
As of
Based on: CalMatters, November 9, 2026 · The Texas Tribune · The Texas Tribune · LAist · CalMatters · CalMatters · NBC San Diego · Imperial County Registrar of Voters · The Colorado Sun, Nov 6, 2026 · STAT News
CalMatters, November 9, 2026
The Associated Press reported California voters rejected Proposition 40, per CalMatters. The state count is 52.8% no to 47.2% yes, all 23,860 precincts in.
CalMatters
CalMatters reported that Propositions 41 and 42 were written to cancel Proposition 40, the billionaire tax for health care, if either drew more yes votes.
California Secretary of State
Proposition 40 on the November 3, 2026 ballot is a one-time tax of up to 5% on Californians with more than $1 billion in covered assets; 90% of the money goes to health care. Proponents project about $100 billion.
The Texas Tribune
State Rep. John Bucy filed a bill that would direct the Texas Health and Human Services Commission to expand Medicaid. A Senate companion was also filed.
The Texas Tribune
The Texas Tribune reported that Texas law bars the state from changing Medicaid eligibility without legislative approval. It is unclear whether that blocks the governor-elect from directing officials to file an expansion plan.
Analysis · FQHC Talent
Democrats won the House, the Senate and a majority of governorships on November 3, 2026, and California voters rejected Proposition 44 by 82% to 18%.
Analysis · FQHC Talent
Democrats won the House, the Senate and a majority of governorships on November 3, 2026, and California voters rejected Proposition 44 by 82% to 18%.
Imperial County Registrar of Voters
Imperial County’s unofficial results showed Measure N, a $111 yearly parcel tax for the Imperial Valley Healthcare District, at 54.97% yes. The count was 15,100 yes and 12,371 no. The measure needs two-thirds approval.
NBC San Diego
NBC San Diego reported that Measure B had 374,267 yes votes (51.62%) and 350,762 no votes (48.38%), a margin that grew from the first count.
Analysis · FQHC Talent
Democrats won the House, the Senate and a majority of governorships on November 3, 2026, and California voters rejected Proposition 44 by 82% to 18%.
Stateline, States Newsroom
Stateline reported that midterm results tilted the political calculus toward Medicaid expansion in Georgia, Kansas, Texas and Wisconsin. Lawmakers have not laid out details. In all, 10 states have not expanded Medicaid.
The Colorado Sun, Nov 6, 2026
The Colorado Sun reported that Colorado voters approved Amendment 87, a graduated income tax. The Associated Press called the race with 51.4% in favor.
LAist
On November 3, 2026, California voters rejected Proposition 44, the SEIU-UHW measure requiring nonprofit clinics to spend 90% of revenue on program services.
California Secretary of State
SEIU-UHW's Initiative 25-0008 / Measure 1986 — now officially PROPOSITION 44 per the Secretary of State's qualified-measures list (July 2026) — was on the November 3, 2026 ballot, where voters rejected it.
U.S. District Court, Eastern District of California, No. 2:26-cv-03311
The federal docket in the California Primary Care Association’s racketeering suit against SEIU-UHW showed two executed waivers of service. The docket also lists a joint status report deadline of January 5, 2027.
California Secretary of State, Official Voter Information Guide
California's official voter guide, certified August 10, 2026, says Proposition 3 would make the 2012 high-income tax rates permanent instead of letting them expire in 2031.
CalChamber
The California Primary Care Association (CPCA), the California Hospital Association, and the California Children's Hospital Association announced support for Proposition 45…
CCALAC
HISTORICAL — 2024, not 2026. The Community Clinic Association of Los Angeles County (CCALAC) and Family Health Centers of San Diego (FHCSD) backed the Protect Access to Healthcare Initiative, which qualified for the November 2024 ballot.
and 55 more organizations