The same union supporting a billionaire tax wants voters to limit clinic spending. Here’s what to know about Prop. 44

By CalMatters · October 7, 2026

The same union that put forward the billionaire wealth tax has another, lesser-known proposal on the ballot: Proposition 44.

Service Employees International Union-United Healthcare Workers West wants voters to change how community health clinics spend money and penalize those that violate the ballot initiative’s provisions. The union claims too many clinics spend money inappropriately on things like high executive salaries rather than patient care. Clinics say they already prioritize patients and the initiative could bankrupt many facilities.

While public interest in the billionaire tax fight dwarfs all other ballot measures, Prop. 44 is also shaping up to be contentious. Here’s what to know about it. 

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