2026 ballot measure forecast

California Proposition 44

Community clinics must spend 90 percent on services

Requires nonprofit community health clinics to spend at least 90 percent of revenue on patient care and mission related program services. The forecast has Yes at 41.3 percent against the 50 percent it needs, a 8% chance to pass.

Likely to failCitizen initiated statuteHealth careUpdated October 22, 2026
Chance to pass
8%
2,000 simulations
Forecast Yes
41.3%
80% range 34 to 49
Needs
50%
a simple majority
Polling average
35.7%
Yes, with undecided split two to one for No

Proposition 44 by county

San Benito CountyShasta CountySierra CountyFresno CountyAmador CountyEl Dorado CountyMonterey CountySan Bernardino CountyTehama CountyNevada CountyTuolumne CountySanta Barbara CountyTrinity CountyStanislaus CountyColusa CountyAlpine CountySiskiyou CountyDel Norte CountyInyo CountySan Joaquin CountyImperial CountyCalaveras CountyButte CountyMadera CountyVentura CountyOrange CountyKern CountyContra Costa CountyKings CountyMendocino CountySonoma CountyYuba CountyMerced CountyTulare CountySacramento CountySolano CountySan Francisco CountyMariposa CountyMarin CountySutter CountyLassen CountyRiverside CountyPlumas CountySanta Clara CountyPlacer CountySan Luis Obispo CountySan Mateo CountyMono CountySan Diego CountyNapa CountyAlameda CountyYolo CountyLake CountyLos Angeles CountyGlenn CountySanta Cruz CountyHumboldt CountyModoc CountyLos AngelesSan DiegoOrangeRiversideSanta ClaraSan BernardinoAlamedaSacramentoContra CostaVenturaSan MateoFresno
No +30Yes +30Click a county to zoom · arrow keys step through counties by size
Where the margin is won
Los Angeles County: No +513,836San Diego County: No +204,318Orange County: No +190,378Riverside County: No +125,045Santa Clara County: No +106,324San Bernardino County: No +100,329Alameda County: No +96,798Sacramento County: No +93,343Contra Costa County: No +74,466San Francisco County: No +58,347Ventura County: No +53,337San Mateo County: No +47,196Fresno County: No +45,579Kern County: No +38,516San Joaquin County: No +36,506Sonoma County: No +35,818Placer County: No +32,698Stanislaus County: No +26,450Solano County: No +26,298Santa Barbara County: No +25,952San Luis Obispo County: No +21,545Marin County: No +20,958Monterey County: No +20,425Santa Cruz County: No +19,240Tulare County: No +18,752El Dorado County: No +15,695Butte County: No +13,481Yolo County: No +13,400Shasta County: No +12,351Merced County: No +11,597Napa County: No +9,291Humboldt County: No +9,080Nevada County: No +8,835Madera County: No +7,362Imperial County: No +6,761Kings County: No +5,769Mendocino County: No +5,613Sutter County: No +5,337Tuolumne County: No +4,098Yuba County: No +4,032Lake County: No +3,792San Benito County: No +3,745Tehama County: No +3,717Calaveras County: No +3,700Amador County: No +3,211Siskiyou County: No +3,076Lassen County: No +1,635Del Norte County: No +1,543Plumas County: No +1,462Glenn County: No +1,435Mariposa County: No +1,354Inyo County: No +1,303Colusa County: No +991Trinity County: No +854Mono County: No +853Modoc County: No +586Sierra County: No +253Alpine County: No +107
Yes +0 net votes from 0 countiesStatewide No +17.3, a 2,198,773 vote marginNo +2,198,773 net votes from 58 counties

Projected vote

12,687,177 votes on the question
ChoiceVotesShare
Yes5,244,20241.3%
No7,442,97558.7%
Total12,687,177100%
CountyYesNoTotalYes share
Los Angeles County1,225,5271,739,3632,964,89041.3%
San Diego County487,309691,6271,178,93641.3%
Orange County454,063644,4411,098,50441.3%
Riverside County298,238423,283721,52141.3%
Santa Clara County253,590359,914613,50441.3%
San Bernardino County239,290339,619578,90941.3%
Alameda County230,870327,668558,53841.3%
Sacramento County222,628315,971538,59941.3%
Contra Costa County177,605252,071429,67641.3%
San Francisco County139,161197,508336,66941.3%
Ventura County127,213180,550307,76341.3%
San Mateo County112,565159,761272,32641.3%
Fresno County108,710154,289262,99941.3%
Kern County91,865130,381222,24641.3%
San Joaquin County87,070123,576210,64641.3%
Sonoma County85,430121,248206,67841.3%
Placer County77,987110,685188,67241.3%
Stanislaus County63,08789,537152,62441.3%
Solano County62,72289,020151,74241.3%
Santa Barbara County61,89687,848149,74441.3%
San Luis Obispo County51,38472,929124,31341.3%
Marin County49,98570,943120,92841.3%
Monterey County48,71669,141117,85741.3%
Santa Cruz County45,88965,129111,01841.3%
Tulare County44,72363,475108,19841.3%
El Dorado County37,43453,12990,56341.3%
Butte County32,15345,63477,78741.3%
Yolo County31,96045,36077,32041.3%
Shasta County29,45841,80971,26741.3%
Merced County27,65839,25566,91341.3%
Napa County22,16031,45153,61141.3%
Humboldt County21,65630,73652,39241.3%
Nevada County21,07429,90950,98341.3%
Madera County17,55724,91942,47641.3%
Imperial County16,12522,88639,01141.3%
Kings County13,75919,52833,28741.3%
Mendocino County13,38719,00032,38741.3%
Sutter County12,73118,06830,79941.3%
Tuolumne County9,77513,87323,64841.3%
Yuba County9,61713,64923,26641.3%
Lake County9,04312,83521,87841.3%
San Benito County8,93212,67721,60941.3%
Tehama County8,86412,58121,44541.3%
Calaveras County8,82512,52521,35041.3%
Amador County7,65910,87018,52941.3%
Siskiyou County7,33610,41217,74841.3%
Lassen County3,8995,5349,43341.3%
Del Norte County3,6785,2218,89941.3%
Plumas County3,4854,9478,43241.3%
Glenn County3,4234,8588,28141.3%
Mariposa County3,2314,5857,81641.3%
Inyo County3,1074,4107,51741.3%
Colusa County2,3653,3565,72141.3%
Trinity County2,0372,8914,92841.3%
Mono County2,0342,8874,92141.3%
Modoc County1,3981,9843,38241.3%
Sierra County6038561,45941.3%
Alpine County25636361941.4%

Projected 2026 votes: each county's expected turnout, less the roughly 6 percent of voters who skip a ballot question, times its forecast Yes share. The measure needs 50.0 percent Yes to pass.

Polls of the measure

1 poll
PollsterSampleEndedYesNoUndecidedYes, adjusted
Public Policy Institute of California (PPIC Statewide Survey)1,103 LV2026-09-10346135.7%
How this is built
Proposition 44 is forecast as a health care measure whose Yes vote leans to neither party. Comparable measures from 2018 to 2024 set how far its Yes share moves with California's partisanship and with each county's 2024 presidential vote, and how it reached the ballot moves it further. Polls then pull the forecast toward them by recency and size, after splitting undecided voters two to one for No. Sources: elections.cdn.sos.ca.gov, growsf.org, ppic.org. All measures.